WHAT DOES NEURO-RISK MEAN AND WHAT ARE RISK FACTORS?

Djecu majki koje su imale komplikacije tijekom trudnoće, pri porodu ili neposredno nakon poroda zovemo "neurorizična". Iako se u medicinskoj dokumentaciji često navodi kao dijagnoza, važno je istaknuti da se ne radi o bolesti. Razvrstavanje novorođenčadi u nisko i visoko neurorizičnu djecu obavlja neonatolog u rodilištu odnosno pedijatar primarne zdravstvene zaštite (nakon izlaska iz rodilišta). Podjele čimbenika rizika su brojne, a najčešće su one koje se dijele na: prenatalne, perinatalne i postnatalne. Procjenom kvalitete općih pokreta (engl. general movements) razvijen je oblik procjene neuromotornog razvoja dojenčadi. Zbog faktora individualnosti i psihomotričkog razvoja djeteta s neurorazvojnim rizikom, važna je rana dijagnostika neurorazvojnih odstupanja, te interdisciplinirano praćenje i rana rehabilitacija. U drugoj polovici 20. stoljeća stvoreni su registri neurorizične djece. Istraživanja o rizičnim čimbenicima ranog razvoja u Hrvatskoj nisu brojna, ali su vrijedna, te uglavnom pokazuju ono što pokazuju i istraživanja u svijetu.Children of mothers who have had complications during pregnancy, at birth, or immediately after birth are characterised as at “neurorisk”. Although in medical documentation it is often cited as a diagnosis, it is important to highlight that it is not a disease. Classification of newborns into low and high categories of neurorisk children is performed by a neonatologist in the maternity ward, that is, a pediatrician of primary health care (after leaving the maternity ward). The division of risk factors are numerous, and the most common are those that are divided into: prenatal, perinatal and postnatal. By assessing the quality of general movements, a form of assessing the neuromotor development of infants is developed. Due to the factors of individuality and psychomotor development of a child with a neurodevelopmental risk, early diagnosis of neurodevelopmental disorders is necessary, as well as interdisciplinary monitoring and early rehabilitation. In the second half of the 20th century, registers of neurorisk children were created. Research on risk factors for early development in Croatia is not numerous, but are valuable, and mostly demonstrate what the research in the rest of the world shows