BPOC, noua provocare a acestui deceniu

31 August, 2010 - 23:00

In lume sunt peste 600 milioane de oameni care sufera de BPOC (BronhoPneumopatie Obstructiva Cronica). BPOC reprezinta a cincia cauza de mortalitate din intreaga lume si se preconizeaza ca pana in anul 2020 va ajunge a treia cauza jogos casino online.

Peste un milion si jumatate de romani sufera de BPOC. Aceasta afectiune, care cuprinde bronsita cronica si emfizemul pulmonar, apare la fumatori dupa varsta de 40 de ani si la inceput se manifesta printr-o tuse matinala Bonus Fara Depunere

In timp, ea poate fi insotita de respiratie grea la cel mai mic efort, ajungandu-se chiar pana la sufocare. Aceasta boala are o evolutie progresiva ceea ce inseamna ca se agraveaza in timp si poate merge pana la moarte.

Bolnavii suferinzi de BPOC fac infectii repetate, au tuse cu expectoratie mucopurulenta, au episoade de sufocare nocturna, sunt astenici, uneori scad in greutate, fiind o categorie de pacienti care se interneaza des.

De multe ori, pacientii sunt tentati sa ignore simptomele si ajung la medic doar atunci cand se sufoca. Calitatea vietii este mult afectata la acesti pacienti si imbunatatirea ei presupune o colaborare foarte stransa intre familie si medic.

Din pacate, atunci cand este vorba despre BPOC, medicii nu pot vorbi despre vindecare. Multi dintre bolnavi platesc tributul unui viciu care a fost si a ramas la moda: fumatul.

Fumul de tigara induce leziuni ireversibile atat la nivelul mucoasei bronsice, dar si la nivelul plamanului. Primul gest in afara de medicatie este intreruperea fumatului.

Daca pana acum BPOC era cunoscuta ca o boala de care sufereau mai mult barbatii, acum, s-a constatat ca sunt afectate in mare masura si femeile, datorita faptului ca fumatul a crescut semnificativ si in randul acestora.

Costurile pentru tratarea BPOC sunt mari atat pentru societate cat si pentru individ si aceasta datorita spitalizarilor repetate si indelungate rezultate in urma acutizarilor (exacerbarilor) bolii.

Prevenirea exacerbarilor bolii printr-un tratament continuu si adecvat ar reduce atat riscul de deces al acestor bolnavi cat si costurile datorate BPOC.

Acum 10 ani, medicii erau sceptici in privinta succesului tratamentului BPOC, dar rezultatele cercetarilor din ultimii 5 ani au redat speranta atat medicilor dar mai ales pacientilor.

Tratamentele actuale (bronhodilatatoare cu durata lunga de actiune si corticosteroizii pe cale inhalatorie) reusesc sa tina boala sub control, reducand mult simptomele si acutizarile, imbunatatind totodata toleranta la efort a acestor pacienti.

Succesul tratamentului BPOC este strans legat de relatia pacient-medic. De aceea, cei care sunt fumatori vechi, au peste 40 ani, tusesc, expectoreaza (elimina sputa) si obosesc mai repede trebuie sa se adreseze medicului pentru ca s-ar putea sa sufere de BPOC!

(Dr. Ruxandra Ulmeanu, Conf. Dr. Florin Mihaltan - Institutul de Pneumologie ”Marius Nasta”, Bucuresti)

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