medbioМедико-биологические проблемы жизнедеятельностиMedical and Biological Problems of Life Activity2074-2088Республиканский научно-практический центр радиационной медицины и экологии человека10.58708/2074-2088.2026-2(38)-96-103medbio-512Research ArticleОБМЕН ОПЫТОМEXPERIENCE EXCHANGEКлинический случай нейрогенного расстройства мочеиспускания в послеродовом периодеA clinical case of neurogenic urinary disorder in the postpartum periodhttps://orcid.org/0000-0002-8465-9368ЛызиковаЮ. А.LyzikovaYu. A.

г. Гомель

zed-lu@inbox.ruhttps://orcid.org/0000-0003-0562-3357ЭынфшЕ. А.EynyshE. A.

г. Гомель

miv65@mail.ruМалаеваЕ. Г.MalaevaE. G.

г. Гомель

КнязюкА. С.KnyazyukA. S.

г. Гомель

ВакульчикИ. О.VakulchikI. O.

г. Гомель

ВакульчикЛ. И.VakulchikL. I.

г. Гомель

УО «Гомельский государственный медицинский университет»BelarusГУЗ «Гомельская городская клиническая больница №3»Belarus2026070820260296103Copyright © Лызикова Ю.А., Эынфш Е.А., Малаева Е.Г., Князюк А.С., Вакульчик И.О., Вакульчик Л.И., 20262026Лызикова Ю.А., Эынфш Е.А., Малаева Е.Г., Князюк А.С., Вакульчик И.О., Вакульчик Л.И.Lyzikova Y.A., Eynysh E.A., Malaeva E.G., Knyazyuk A.S., Vakulchik I.O., Vakulchik L.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medbio.ejournal.by/jour/article/view/512

В статье приведён анализ клинического случая нейрогенного расстройства мочеиспускания в послеродовом периоде после применения спинальной анальгезии. Проведён аналитический обзор литературы по современным подходам к проблеме дисфункции (гипофункции) мочевого пузыря в послеродовом периоде, наиболее частым клиническим проявлением которого является послеродовая задержка мочи. Многофакторный патогенез данного осложнения включает нейромышечные повреждения, механическую обструкцию, влияние анестезии и болевой синдром. Современные исследования позволяют чётко определить группы риска (инструментальные роды, эпидуральная анестезия, длительные роды, крупный плод), что даёт возможность врачам проводить целенаправленный скрининг. Внедрение протоколов раннего выявления (УЗИ-сканирование, измерение объёма мочи) и унифицированных подходов к лечению позволяют минимизировать риски и обеспечить благоприятный долгосрочный прогноз для пациенток с данным осложнением. Данные литературы проиллюстрированы собственным наблюдением успешного ведения пациентки с гипофункцией мочевого пузыря в послеродовом периоде.

The article presents an analysis of a clinical case of neurogenic urinary disorder in the postpartum period after spinal analgesia. An analytical review of the literature on modern approaches to the problem of bladder dysfunction (hypofunction) in the postpartum period, the most common clinical manifestation of which is postpartum urinary retention, has been conducted. The multifactorial pathogenesis of this complication includes neuromuscular damage, mechanical obstruction, the effect of anesthesia, and pain syndrome. Modern research makes it possible to clearly identify risk groups (instrumental labour, epidural anesthesia, prolonged labour, large fetus), which allows doctors to conduct targeted screening. The introduction of early detection protocols (ultrasound scanning, urine volume measurement) and unified treatment approaches can minimize risks and ensure a favourable long-term prognosis for patients with this complication. The literature data is illustrated by our own observation of the successful management of a patient with bladder hypofunction in the postpartum period.

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The authors declare that there are no conflicts of interest present.