\u00cen cadrul unui program na\u021bional unic \u00een Timi\u0219, pacien\u021bii cu scleroz\u0103 sistemic\u0103 \u0219i ulcere digitale evolutive beneficiaz\u0103 de tratament gratuit la Spitalul CFR din Timi\u0219oara.<\/p>\n
Potrivit reprezentan\u021bilor unit\u0103\u021bii sanitare, scleroza sistemic\u0103 sau sclerodermia sistemic\u0103 intr\u0103 \u00een categoria bolilor autoimune rare. Afec\u021biunea este caracterizat\u0103 prin anomalii func\u021bionale \u0219i apoi structurale la nivelul vaselor mici \u2013 vasculopatie sclerodermic\u0103 \u2013, produc\u021bie de anticorpi, dar \u0219i prin fibroz\u0103 intersti\u021bial\u0103 \u0219i vascular\u0103, av\u00e2nd caracter progresiv \u0219i localizare la nivelul tegumentului \u0219i al organelor interne: tract gastro-intestinal, pl\u0103m\u00e2ni, cord, rinichi.<\/p>\n
Una dintre complica\u021biile acestei afec\u021biuni o reprezint\u0103 apari\u021bia ulcerelor digitale evolutive. Acestea sunt o complica\u021bie frecvent\u0103 a sclerodermiei sistemice, afect\u00e2nd \u00eentre 35 \u0219i 60% dintre pacien\u021bi. La aproximativ 30% dintre ace\u0219tia, ulcerele digitale sunt recurente sau persistente, put\u00e2nd avea o evolu\u021bie spre infec\u021bii locale, gangrene sau amputa\u021bii. Cauza acestei complica\u021bii este afectarea circula\u021biei periferice.<\/p>\n
\u201eAfectarea micilor vase de s\u00e2nge este definitorie pentru sclerodermia sistemic\u0103. Ini\u021bial se manifest\u0103 sub forma fenomenului Raynaud, un vasospasm care const\u0103 \u00een albirea degetelor, apoi \u00eenvine\u021birea \u0219i, ulterior, apari\u021bia ro\u0219e\u021bii, dup\u0103 expunere la frig sau fumat. Fenomenul Raynaud antedateaz\u0103 manifest\u0103rile clinice ale sclerodermiei cu p\u00e2n\u0103 la c\u00e2\u021biva ani. Afectarea tegumentar\u0103 se manifest\u0103 ini\u021bial prin edem, degete pufoase (\u00abpuffy fingers\u00bb), ulterior prin indurare \u0219i infiltrare, iar \u00een final apare atrofia. Pacien\u021bii prezint\u0103 dificult\u0103\u021bi la efectuarea activit\u0103\u021bilor zilnice: \u00eembr\u0103care, alimenta\u021bie, activitate la calculator\u201d<\/em>, a explicat Alexandru Caraba, medic primar medicin\u0103 intern\u0103, reumatologie \u0219i nefrologie, \u0219ef Sec\u021bie Reumatologie \u2013 Spitalul Clinic C.F. Timi\u0219oara.<\/p>\n \u00cen cazul acestor ulcere digitale, diagnosticarea timpurie \u0219i \u00eenceperea tratamentului pot preveni agravarea \u0219i apari\u021bia complica\u021biilor severe. Programul na\u021bional permite identificarea, monitorizarea \u0219i tratarea pacien\u021bilor diagnostica\u021bi cu scleroz\u0103 sistemic\u0103 \u0219i ulcere digitale. Studiile clinice nu au dovedit efecte benefice ale terapiei \u00een ceea ce prive\u0219te vindecarea ulcerelor digitale existente, ci doar reducerea num\u0103rului de ulcera\u021bii digitale noi, precum \u0219i apari\u021bia unui num\u0103r mai mic de ulcere digitale multiple.<\/p>\n \u201ePacien\u021bii la care exist\u0103 suspiciunea de boal\u0103 beneficiaz\u0103 de o evaluare clinico-biologic\u0103 complex\u0103: capilaroscopie periunghial\u0103 (evaluarea microcircula\u021biei), elastografie tegumentar\u0103, investiga\u021bii hematologice, biochimice, imagistice \u0219i func\u021bionale (evaluarea organelor interne), precum \u0219i completarea unui formular detaliat, care include numeroase \u00eentreb\u0103ri, inclusiv legate de auto\u00eengrijire. Implementarea acestui program permite accesul pacien\u021bilor la terapii moderne, care pot contribui la ameliorarea simptomelor, la reducerea inciden\u021bei complica\u021biilor \u0219i la \u00eembun\u0103t\u0103\u021birea prognosticului bolii. Medicamentele ac\u021bioneaz\u0103 la nivelul vaselor de s\u00e2nge, obiectivul primar fiind reducerea num\u0103rului de ulcera\u021bii digitale noi (cu 50%) dup\u0103 24 de s\u0103pt\u0103m\u00e2ni de tratament, precum \u0219i men\u021binerea unei ulcera\u021bii vindecate timp de 12 s\u0103pt\u0103m\u00e2ni\u201d<\/em>, a afirmat medicul Alexandru Caraba.<\/p>\n \u00cen cadrul Ambulatoriului Spitalului Clinic C.F. Timi\u0219oara func\u021bioneaz\u0103 un Cabinet de Reumatologie, unde pacien\u021bii pot beneficia de consult de specialitate. Evaluarea se face \u00een baza biletului de trimitere de la medicul de familie sau de la medicul specialist.<\/p>\n<\/div>\n [analyse_source url=”https:\/\/www.banatulmeu.ro\/pacienti-cu-doua-boli-rare-tratati-gratuit-la-spitalul-cfr-din-timisoara\/”]<\/p>\n","protected":false},"excerpt":{"rendered":" [analyse_image type=”featured” src=”http:\/\/www.banatulmeu.ro\/wp-content\/uploads\/2020\/03\/534799_476510472403343_485009981_n.jpg”] \u00cen cadrul unui program na\u021bional unic \u00een Timi\u0219, pacien\u021bii cu scleroz\u0103 sistemic\u0103 \u0219i ulcere digitale evolutive beneficiaz\u0103 de tratament gratuit la Spitalul CFR din Timi\u0219oara. Potrivit reprezentan\u021bilor unit\u0103\u021bii sanitare, scleroza sistemic\u0103 sau sclerodermia sistemic\u0103 intr\u0103 \u00een categoria bolilor autoimune rare. Afec\u021biunea este caracterizat\u0103 prin anomalii func\u021bionale \u0219i apoi structurale la nivelul vaselor […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[204,226],"class_list":["post-1831602","post","type-post","status-publish","format-standard","hentry","category-romania","tag-banatulmeu-ro","tag-crawlmanager"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1831602","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1831602"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1831602\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1831602"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1831602"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1831602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}