Cuidando al paciente pediátrico con espina bífida-meningocele: orientado en el modelo de dorothea orem

Abstract

Spina bifida, which means "spine divided in two" is a congenital malformation that occurs when the baby's spine does not form properly, a meningocele is a sac that protrudes through the spinal defect, usually it is covered by a thin layer of skin. The sac is made up of: meninges (the membranes that cover the brain and spinal cord) and cerebrospinal fluid. When the spinal cord or lumbosacral nerve roots are involved, as usual, varying degrees of paralysis and sensory deficits are seen below the injury. There is usually decreased rectal tone. The signs and symptoms depend on the severity scale of each patient and are determined by the size and location of the cyst, "if it is covered or not by the skin, if the spinal nerves protrude from it, but among them we have the following : The nerves around the spine are sometimes damaged which can present some minor functional problems, including those that go to the bladder and intestines. Urination and urine continence is a process controlled by the central nervous system and nerves from the spinal cord. Therefore, the control of urination implies a correct and complex coordination between these elements. In the case of the existence of meningocele it affects the nerves that are involved in this process, which is called neurogenic bladder. the first trimester of pregnancy.