{"id":5202,"date":"2017-01-18T22:11:12","date_gmt":"2017-01-18T22:11:12","guid":{"rendered":"http:\/\/doctorexpres.ro\/?p=5202"},"modified":"2017-01-18T22:11:12","modified_gmt":"2017-01-18T22:11:12","slug":"o-treime-din-pacientii-cu-astm-sint-diagnosticati-gresit","status":"publish","type":"post","link":"https:\/\/doctorexpres.ro\/index.php\/2017\/01\/18\/o-treime-din-pacientii-cu-astm-sint-diagnosticati-gresit\/","title":{"rendered":"O treime din pacien\u0163ii cu astm s\u00eent diagnostica\u0163i gre\u015fit"},"content":{"rendered":"<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Astmul afecteaz\u0103 300 de milioane de oameni din \u00eentreaga lume. Cu toate acestea, noi cercet\u0103ri sugereaz\u0103 c\u0103 un num\u0103r semnificativ de cazuri de astm s\u00eent gre\u015fit diagnosticate. <\/span><\/span><!--more--><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Noul studiu constat\u0103 c\u0103 aproape o treime din pacien\u0163i diagnostica\u0163i ini\u0163ial cu astm nu au aceast\u0103 afec\u0163iune. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\"><a href=\"http:\/\/doctorexpres.ro\/index.php\/2017\/01\/04\/salamul-agraveaza-simptomele-astmului\/\" target=\"_blank\">Astmul <\/a>este o boal\u0103 cronic\u0103 afect\u00eend tubul bron\u015fic, cel prin care <a href=\"http:\/\/doctorexpres.ro\/index.php\/2017\/01\/17\/inhalatiile-o-terapie-care-inspira-sanatate\/\" target=\"_blank\">aerul intr\u0103 \u00een pl\u0103m\u00eeni.<\/a> Un nou studiu, publicat \u00een JAMA, sugereaz\u0103 c\u0103 astmul este supradiagnosticat. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Cercet\u0103torii, condu\u015fi de dr. Shawn Aaron, de la Universitatea din Ottawa, au examinat 613 pacien\u0163i selecta\u0163i aleatoriu din 10 ora\u015fe canadiene, \u00eentre ianuarie 2012 \u015fi februarie 2016. Cercet\u0103torii au recrutat adul\u0163i <a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/06\/18\/radiestezia-straveche-metoda-de-diagnosticare\/\" target=\"_blank\">diagnostica\u0163i<\/a> cu astm <a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/06\/16\/floarea-cucului-trateaza-bronsitele\/\" target=\"_blank\">bron\u015fic<\/a> \u00een cei 5 ani de studiu \u015fi au reevaluat starea participan\u0163ilor. Ei au folosit spirometre \u015fi o serie de teste pentru bronhii pentru a monitoriza simptomele. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Studiul a constatat c\u0103 un num\u0103r mare de participan\u0163i s-ar putea s\u0103 fi primit ini\u0163ial un diagnostic fals. \u00cen plus, marea majoritate a celor al c\u0103ror astm nu a fost confirmat de noul studiu au \u00eencetat s\u0103 ia medicamente \u015fi au putut s\u0103 tr\u0103iasc\u0103 \u00een siguran\u0163\u0103 f\u0103r\u0103 ele timp de un an. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><strong><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Rezultate<\/span><\/span><\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Cercet\u0103torii au exclus astmul la 203 din 613 pacien\u0163i, ceea ce reprezint\u0103 33,1% din \u00eentregul e\u015fantion.<\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\"> Dintre cei gre\u015fit <a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/11\/14\/1-din-2-adulti-cu-diabet-ramin-nediagnosticati-si-risca-sa-moara\/\" target=\"_blank\">diagnostica\u0163i<\/a>, 12 au avut alte boli cardiorespiratorii grave, care ar fi putut fi diagnosticate incorect ca fiind astm.<\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">80% dintre pacien\u0163ii gre\u015fit diagnostica\u0163i au luat medicamente pentru astm, iar 35% dintre ei au f\u0103cut acest lucru de zi cu zi.<\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Pacien\u0163ii care nu aveau astm nu au prezentat semne de agravare acut\u0103 a <a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/10\/01\/tigarile-adultilor-ii-imbolnavesc-pe-copii\/\" target=\"_blank\">simptomelor de astm<\/a> \u015fi nicio obstruc\u0163ie a fluxului de aer sau hiperreactivitate <a href=\"http:\/\/doctorexpres.ro\/index.php\/2017\/01\/09\/mustarul-planta-care-invinge-bronsitele\/\" target=\"_blank\">bron\u015fic\u0103<\/a>, chiar \u015fi dup\u0103 ce au \u00eencetat s\u0103 ia medicamente. <\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Dintre participan\u0163ii al c\u0103ror astm nu a fost confirmat, 28% nu au avut nicio boal\u0103 respiratorie, majoritatea au avut probleme minore, cum ar fi alergii sau<a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/06\/27\/de-ce-apar-arsurile-la-stomac\/\" target=\"_blank\"> arsuri la stomac<\/a>.<\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Peste 90% dintre pacien\u0163ii gre\u015fit diagnostica\u0163i au putut s\u0103 opreasc\u0103 medica\u0163ia \u00een condi\u0163ii de siguran\u0163\u0103 timp de un an. <\/span><\/span><\/li>\n<li><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Dup\u0103 primul diagnostic, peste 49% din pacien\u0163ii nu au fost supu\u015fi unor proceduri obiective de testare. <\/span><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\">\u201e<span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\"><em>Este imposibil de spus c\u00eet de mul\u0163i dintre ace\u015fti pacien\u0163i au fost diagnostica\u0163i gre\u015fit ini\u0163ial cu astm \u015fi la c\u00eet de mul\u0163i boala nu mai este activ\u0103. Ceea ce \u015ftim este c\u0103 to\u0163i au putut \u00eentrerupe tratamentul cu <a href=\"http:\/\/doctorexpres.ro\/index.php\/2016\/11\/29\/cele-3-tipuri-de-medicamente-care-te-pot-duce-la-urgenta\/\" target=\"_blank\">medicamente<\/a> de care nu au nevoie, costisitoare \u015fi cu efecte secundare<\/em>\u201d, spune dr. Aaron. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Autorii recunosc dou\u0103 cauze posibile pentru incapacitatea de a confirma diagnosticul de astm la peste 33% dintre participan\u0163i: astmul tinde s\u0103 dispar\u0103 \u00een mod spontan (11,8 % din cazuri), cel\u0103lalt motiv ar putea fi pur \u015fi simplu un diagnostic gre\u015fit ini\u0163ial. <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\">\u201e<span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\"><em>Medicii nu ar diagnostica diabetul zaharat f\u0103r\u0103 a verifica nivelul de zah\u0103r din s\u00eenge, sau un os rupt, f\u0103r\u0103 o radiografie. Dar, pentru un motiv oarecare, mul\u0163i medici nu dispun efectuarea de teste de spirometrie care pot diagnostica cu certitudine astmul<\/em>.\u201d <\/span><\/span><\/p>\n<p style=\"text-align: justify;\" align=\"JUSTIFY\"><span style=\"font-family: Times new roman,serif;\"><span style=\"font-size: medium;\">Sursa: <a href=\"http:\/\/www.medicalnewstoday.com\/articles\/315305.php\" target=\"_blank\">medicalnewstoday.com<\/a><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Astmul afecteaz\u0103 300 de milioane de oameni din \u00eentreaga lume. Cu toate acestea, noi cercet\u0103ri sugereaz\u0103 c\u0103 un num\u0103r semnificativ<\/p>\n","protected":false},"author":4,"featured_media":5205,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1008,96,1359,91],"tags":[688,1057,6741,6740,6739,6742,6743,6744],"class_list":["post-5202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aparatul-respirator","category-boli","category-investigatii","category-stiri","tag-astm","tag-astm-bronsic","tag-astm-diagnostic","tag-astm-gresit-diagnosticat","tag-dr-shawn-aaron","tag-spirometrie","tag-statistici-astm","tag-teste-astm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>O treime din pacien\u0163ii cu astm s\u00eent diagnostica\u0163i gre\u015fit - Doctor Expres<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorexpres.ro\/index.php\/2017\/01\/18\/o-treime-din-pacientii-cu-astm-sint-diagnosticati-gresit\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"O treime din pacien\u0163ii cu astm s\u00eent diagnostica\u0163i gre\u015fit - Doctor Expres\" \/>\n<meta property=\"og:description\" content=\"Astmul afecteaz\u0103 300 de milioane de oameni din \u00eentreaga lume. 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