{"id":10611,"date":"2020-07-07T12:43:11","date_gmt":"2020-07-07T12:43:11","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=10611"},"modified":"2020-07-07T12:43:11","modified_gmt":"2020-07-07T12:43:11","slug":"preventia-face-cat-o-mie-de-tratamente","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/preventia-face-cat-o-mie-de-tratamente\/","title":{"rendered":"Preven\u0163ia face c\u00e2t o mie de tratamente"},"content":{"rendered":"
\"\"<\/a>
DAN RADU CRISTIAN, medic specialist Obstetric\u0103 Ginecologie, Centrul Medical Neolife<\/figcaption><\/figure>\n
C\u00e2nd ar trebui o femeie s\u0103 mearg\u0103 pentru prima dat\u0103 la medicul ginecolog?<\/strong><\/div>\n

Atunci c\u00e2nd crede c\u0103 este ceva \u00een neregul\u0103 din punct de vedere ginecologic sau dup\u0103 \u00eenceperea vie\u0163ii sexuale. Consultul ginecologic este recomandat anual, \u00eenso\u0163it de ecografie.<\/em><\/p>\n

Ce ar putea fi \u00een neregul\u0103, care sunt semnele care nu ar trebui ignorate?<\/strong><\/p>\n

Sunt c\u00e2teva lucruri care ritmeaz\u0103 via\u0163a unei femei, primul fiind ciclul menstrual. Femeile ar trebui s\u0103 se prezinte la un consult ginecologic dac\u0103 s\u00e2nger\u0103rile sunt abundente, durerile la menstrua\u0163ie sunt excesive sau ciclul menstrual este neregulat.<\/em><\/p>\n

La ce ar trebui s\u0103 se a\u0219tepte? Cum decurge o consulta\u0163ie?<\/strong><\/p>\n

Prima consulta\u0163ie e o discu\u0163ie, o \u00eent\u00e2lnire. \u00cen principiu, medicul ginecolog ar trebui s\u0103 aib\u0103 o atitudine deschis\u0103 fa\u0163\u0103 de pacient\u0103, astfel \u00eenc\u00e2t aceasta s\u0103 nu resimt\u0103 ca fiind un prag psihologic. De multe ori pacientele nu vin la medicul ginecolog din team\u0103, dintr-o team\u0103 nu neap\u0103rat fa\u0163\u0103 de ceea ce ar putea s\u0103 descopere, ci pentru c\u0103 percep consultul ginecologic ca fiind invaziv. \u00cen ceea ce prive\u0219te setarea mental\u0103 pe care ar trebui s\u0103 o aib\u0103 oamenii \u00een general \u0219i femeile fa\u0163\u0103 de consultul ginecologic, acesta face parte din via\u0163\u0103 \u0219i este component\u0103 a unei preven\u0163ii de care ar trebui s\u0103 aib\u0103 parte toat\u0103 lumea.<\/em><\/p>\n

Au rom\u00e2ncele educa\u0163ia controalelor periodice? Ce categorie de v\u00e2rst\u0103 consideri c\u0103 este mai educat\u0103 \u0219i con\u0219tient\u0103 \u00een acest sens?<\/strong><\/p>\n

Cred c\u0103 mai degrab\u0103 putem \u00eemp\u0103r\u0163i pe medii, femeile din mediul urban vin mai des la medicul ginecolog fa\u0163\u0103 de femeile din mediul rural. Societatea informa\u0163ional\u0103, mediile de comunicare, Facebook \u0219i a\u0219a mai departe au produs o schimbare cu privire la comunicare, oamenii comunic\u0103 mai mult \u0219i \u00eemp\u0103rt\u0103\u0219esc experien\u0163e: \u201dam fost \u0219i am f\u0103cut, am descoperit, m-am speriat sau nu m-am speriat, am sc\u0103pat ca prin urechile acului\u201d. Sunt femei care n-au mai mers de 10-15 ani la medicul ginecolog, dar decid s\u0103 mearg\u0103 deoarece vecina a avut o problem\u0103 \u0219i vor s\u0103 afle dac\u0103 au \u0219i ele. \u00cen principiu, ceea ce aduce pacientele care nu au mai mers de mult timp la medic, este teama de cancer, orice fel de cancer. Teama de cancer este cea care trimite pacienta de v\u00e2rst\u0103 medie \u0219i dup\u0103, la consult ginecologic, de urgen\u0163\u0103. \u00cen ceea ce prive\u0219te tinerele, acestea au tendin\u0163a de a avea mai mul\u0163i parteneri \u0219i atunci e o preocupare cu privire la bolile cu transmitere sexual\u0103, deci sunt alte motive care aduc pacienta la medic. Mai apoi vorbim despre preocup\u0103rile legate de sarcin\u0103, paciente care vor o sarcin\u0103 sau ob\u0163in o sarcin\u0103 pe care nu o doresc. Pacientele cu v\u00e2rst\u0103 de peste 30 de ani merg la ginecolog ca urmare a faptului c\u0103 \u00eencearc\u0103 s\u0103 ob\u0163in\u0103 o sarcin\u0103 \u0219i nu reu\u0219esc, \u0219i atunci \u00eencep s\u0103 fac\u0103 o sumedenie de investiga\u0163ii \u0219i vizite la medic.<\/em><\/p>\n

\u00cen ce m\u0103sur\u0103 vin femeile la un consult de preven\u0163ie, comparativ cu cele care vin cu o problem\u0103?<\/strong><\/p>\n

Sunt mai pu\u0163ine cele care vin pentru preven\u0163ie. \u00cen ultima perioad\u0103 companiile, dar \u0219i institu\u0163iile de stat asigur\u0103 angaja\u0163ilor acces la servicii de s\u0103n\u0103tate, abonamente medicale. Datorit\u0103 faptului c\u0103 pot accesa consulta\u0163ii f\u0103r\u0103 a mai trece prin birocra\u0163ia asigur\u0103rilor na\u0163ionale de s\u0103n\u0103tate determin\u0103 pacientele s\u0103 profite de acest beneficiu \u0219i s\u0103 vin\u0103 la investiga\u0163ii de rutin\u0103, preven\u0163ie.\u00a0 Testul Papanicolau e exemplul clasic de investiga\u0163ie f\u0103cut\u0103 pentru preven\u0163ie. Pacientele vin des pentru a efectua testul, de\u0219i la \u00eentrebarea \u201dPentru ce face\u0163i acest test?\u201d majoritatea nu or s\u0103 \u0219tie s\u0103 r\u0103spund\u0103.<\/em><\/p>\n

Este cancerul o boal\u0103 care poate fi prevenit\u0103?<\/strong><\/p>\n

\u00cen unele instan\u0163e, da, cancerul poate fi prevenit. Fumatul poate predispune la o serie de cancere, cel mai cunsocut fiind cancerul pulmonar. Teoretic este incriminat \u0219i pentru factorii de risc ai cancerului de col, spre exemplu. O persoan\u0103 fum\u0103toare are gudron, cenu\u0219\u0103, deci produ\u0219i de ardere pe haine, care pot s\u0103-\u0219i fac\u0103 loc \u00eencet \u00eencet \u0219i \u00een vagin. De\u0219i probabil e destul de greu de verificat, mai sunt \u0219i factorii toxici din \u0163ig\u0103ri care ajung \u00een s\u00e2nge. \u00cen ceea ce prive\u0219te preven\u0163ia \u00een cazul cancerului de col datorat \u00een mare parte infec\u0163iei cu Papilloma Virus, ca metode de prevenire amintim folosirea prezervativului \u0219i vaccinarea. \u00cen \u0163\u0103rile \u00een care vaccinarea se practic\u0103 pe scar\u0103 larg\u0103, num\u0103rul de cazuri de cancer de col uterin este foarte foarte sc\u0103zut. De asemenea, Papanicolau este recomandat pentru leziunile preneoplazice, care poate s\u0103 conduc\u0103 la o urm\u0103rire, respectiv la tratament adecvat care poate s\u0103 opreasc\u0103 dezvoltarea leziunii c\u0103tre cancer de col uterin. \u00centruc\u00e2t poate fi prevenit, cancerul de col uterin nu ar trebui s\u0103 mai existe.<\/em><\/p>\n

\u00cen ce m\u0103sur\u0103 prezen\u0163a cazurile de cancer \u00een familie determin\u0103 femeile s\u0103 se prezinte la\u00a0 controale de rutin\u0103?<\/strong><\/p>\n

Informa\u0163ia ajunge \u00een familie mult mai repede, determinismul genetic e important \u00een multe situa\u0163ii. \u00cen acest context femeile se prezint\u0103 la medic din dou\u0103 motive: ar putea s\u0103 aib\u0103 acelea\u0219i caracteristici genetice sau pentru c\u0103 i s-a \u00eent\u00e2mplat cuiva apropiat. Astfel c\u0103, fiind sub influen\u0163a impresiei emo\u0163ionale a ceea ce s-a \u00eent\u00e2mplat, pacientele aleg s\u0103 vin\u0103 destul de repede la consult.<\/em><\/p>\n

Care este influen\u0163a \u0219i rolul medicilor de familie \u00een campaniile de prevenire?<\/strong><\/p>\n

Rolul lor este \u0219i ar trebui s\u0103 fie foarte important pentru c\u0103 acesta este rolul medicinei primare, preven\u0163ia, \u00een special. De asemenea, accesul la specialist este moderat de medicul de familie. Multe dintre pacientele mele sus\u0163in c\u0103 au fost trimise de doctorul de familie \u00een vederea unui consult ginecologic, \u00een caz contrar nu ar fi venit. \u00cen cabinetul meu se vede efectul pozitiv al implic\u0103rii \u0219i al inform\u0103rii pe care o furnizeaz\u0103 medicul de familie.<\/em><\/p>\n

\n","protected":false},"excerpt":{"rendered":"

C\u00e2nd ar trebui o femeie s\u0103 mearg\u0103 pentru prima dat\u0103 la medicul ginecolog? Atunci c\u00e2nd crede c\u0103 este ceva \u00een neregul\u0103 din punct de vedere ginecologic sau dup\u0103 \u00eenceperea vie\u0163ii […]<\/p>\n","protected":false},"author":4,"featured_media":10613,"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":[276],"tags":[],"class_list":["post-10611","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\nPreven\u0163ia face c\u00e2t o mie de tratamente - Jurmed - Medici<\/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:\/\/jurmed.ro\/medici\/preventia-face-cat-o-mie-de-tratamente\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Preven\u0163ia face c\u00e2t o mie de tratamente - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"C\u00e2nd ar trebui o femeie s\u0103 mearg\u0103 pentru prima dat\u0103 la medicul ginecolog? 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