{"id":3814,"date":"2015-03-23T09:41:46","date_gmt":"2015-03-23T09:41:46","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=3814"},"modified":"2015-04-01T12:01:26","modified_gmt":"2015-04-01T12:01:26","slug":"prof-dr-andrew-boulton-presedintele-easd-unde-vezi-diabet-vezi-neuropatie-diabetica","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/prof-dr-andrew-boulton-presedintele-easd-unde-vezi-diabet-vezi-neuropatie-diabetica\/","title":{"rendered":"Prof.dr. Andrew Boulton, pre\u0219edintele EASD: Unde vezi diabet, vezi neuropatie diabetic\u0103"},"content":{"rendered":"

Neuropatia diabetic\u0103<\/strong> este cea mai comun\u0103 \u0219i frecvent\u0103 complica\u021biea diabetului zaharat, afect\u00e2nd peste jum\u0103tate dintre persoanele care sufer\u0103 de aceast\u0103 boal\u0103 cronic\u0103. Oriunde vezi diabet, vezi neuropatie diabetic\u0103<\/strong>, conform prof.dr. Andrew Boulton,pre<\/strong>\u0219<\/strong>edintele Asocia<\/strong>\u021b<\/strong>iei Europene pentru Studiul Diabetului (EASD),<\/strong> prezent la Cluj-Napoca<\/strong>, la invita\u021bia Societ\u0103<\/strong>\u021b<\/strong>ii de Neuropatie Diabetic\u0103<\/strong>.<\/p>\n

 <\/p>\n

Practic, neuropatia<\/strong> reprezint\u0103 distrugerea progresiv\u0103 a fibrelor nervoase<\/strong>, afect\u00e2nd sistemul nervos autonom \u0219i pe cel somatic. Av\u00e2nd \u00een vedere c\u0103 de multe ori aceast\u0103 complica<\/strong>\u021b<\/strong>ie ireversibil\u0103<\/strong> este nediagnosticat\u0103<\/strong> sau diagnosticat\u0103 c\u00e2nd deja e prea t\u00e2rziu<\/strong>, screeningul<\/strong> ar trebui sa \u00eenceap\u0103 c\u00e2t mai devreme la persoanele cu diabet zaharat.<\/p>\n

Neuropatia diabetic\u0103<\/strong>are un impact negativ asupra calit\u0103<\/strong>\u021b<\/strong>ii vie<\/strong>\u021b<\/strong>ii<\/strong>, at\u00e2t prin simptomele sale, c\u00e2t \u0219i prin deficitele pe care le implic\u0103. Pe de o parte, manifest\u0103rile neuropatiei diabetice pot fiextrem de dureroase<\/strong> – arsur\u0103, senza<\/strong>\u021b<\/strong>ie de electrocutare, alte senza<\/strong>\u021b<\/strong>ii deranjate<\/strong>, care provoac\u0103 frecvent disfunc\u021bii grave fizice \u0219i psihice, precum \u0219i tulbur\u0103ri de somn<\/strong>.<\/p>\n

Pe de alt\u0103 parte, neuropatia diabetic\u0103<\/strong> poate fi nedureroas\u0103<\/strong>, transpus\u0103 \u00een pierderea capacit\u0103<\/strong>\u021b<\/strong>ii de a sim<\/strong>\u021b<\/strong>i durerea<\/strong>. \u201dUn chirurg a descris durerea ca fiind cel mai mare dar al lui Dumnezeu pentru omenire – doar atunci c\u00e2nd pierzi darul durerii \u00ee<\/em>\u021b<\/em>i dai seama c\u00e2t este de important. Acest lucru este valabil <\/em>\u0219<\/em>i \u00een cazul neuropatiei diabetice. Am \u00eent\u00e2lnit cazuri de persoane care, din cauza neuropatiei diabetice aveau impresia c\u0103 picioarele lor sunt reci, au \u00eencercat s\u0103 le \u00eenc\u0103lzeasc\u0103, dar au ajuns la noi cu arsuri grave, deoarece nu <\/em>\u0219<\/em>i-au dat seama c\u0103, de fapt, temperatura la care le expuneau era foarte ridicat\u0103.<\/em>\u201d, a atras aten\u021biaprof.dr. Andrew Boulton<\/strong>.<\/p>\n

\u201dAm g\u0103sit obiecte \u00een pantofii pacien<\/em>\u021b<\/em>ilor care le-au cauzat ulcera<\/em>\u021b<\/em>ii pentru c\u0103 ei nu au sim<\/em>\u021b<\/em>it c\u0103 le aveau acolo. Este extrem de important pentru persoanele cu diabet zaharat s\u0103 aib\u0103 grij\u0103 de picioarele lor, s\u0103 le verifice zilnic, s\u0103 poarte \u00eenc\u0103l<\/strong><\/em>\u021b<\/em><\/strong>\u0103minte adecvat\u0103, s\u0103 nu mearg\u0103 descul<\/em><\/strong>\u021b<\/em><\/strong>e<\/em><\/strong>. Persoanele cu neuropatie tind s\u0103 cumpere \u00eenc\u0103l<\/strong><\/em>\u021b<\/em><\/strong>\u0103minte mai str\u00e2mt\u0103<\/em><\/strong>, deoarece au mul<\/em>\u021b<\/em>i centri nervo<\/em>\u0219<\/em>i pierdu<\/em>\u021b<\/em>i <\/em>\u0219<\/em>i au nevoie de mai mult\u0103 presiune pentru a sim<\/em>\u021b<\/em>i \u00eenc\u0103l<\/em>\u021b<\/em>\u0103mintea. Este recomandat\u0103 o grij\u0103 sporit\u0103 \u00een alegerea \u00eenc\u0103l<\/em>\u021b<\/em>\u0103mintei <\/em>\u0219<\/em>i sunt de evitat modelele cu v\u00e2rf ascu<\/em>\u021b<\/em>it<\/em>\u201d, a recomandat prof.dr. Andrew Boulton.<\/p>\n

Educa<\/strong>\u021b<\/strong>ia<\/strong> persoanelor care sufer\u0103 de neuropatie diabetic\u0103 este esen\u021bial\u0103. \u201dUneori este dificil de spus unui pacient ce \u00eenseamn\u0103 neuropatia diabetic\u0103, iar noi, medicii, trebuie s\u0103 le explic\u0103m \u00een termeni simpli<\/strong>, prin analogii<\/strong>. Nu spunem c\u0103 nervii sunt mor<\/em>\u021b<\/em>i, ci le d\u0103m ca exemplu un bec care se aprinde dac\u0103 tragi de un fir, dar dac\u0103 firul e stricat, r\u0103m\u00e2i f\u0103r\u0103 lumin\u0103. A<\/em>\u0219<\/em>a trebuie \u00een<\/em>\u021b<\/em>eleas\u0103 leg\u0103tura dintre piciorul lor <\/strong><\/em>\u0219<\/em><\/strong>i creier<\/em><\/strong>, c\u0103ci dac\u0103 firul, adic\u0103 nervul, nu func<\/em>\u021b<\/em>ioneaz\u0103, ei nu \u00ee<\/em>\u0219<\/em>i pot da seama ce se \u00eent\u00e2mpl\u0103 cu piciorul lor<\/em>\u201d, a completat prof.dr. Andrew Boulton<\/strong>.<\/p>\n

Prof.dr. Andrew Boulton<\/strong> puncteaz\u0103: \u201dSus<\/em><\/strong>\u021b<\/em><\/strong>inerea familiei<\/em><\/strong> \u0219<\/em>i a celor apropia<\/em>\u021b<\/em>i este extrem de important\u0103 pentru persoana care sufer\u0103 de neuropatie diabetic\u0103. S-a ar\u0103tat c\u0103 neuropatia<\/strong> poate fi asociat\u0103 destul de des cu depresia<\/strong>. Spre exemplu, pacientul \u00eencearc\u0103 s\u0103 mearg\u0103, dar este instabil <\/em>\u0219<\/em>i se g\u00e2nde<\/em>\u0219<\/em>te c\u0103 lumea poate crede c\u0103 este ame<\/em>\u021b<\/em>it. Dar el nu este ame<\/em>\u021b<\/em>it, ci pur <\/em>\u0219<\/em>i simplu nu mai poate merge corect din cauz\u0103 c\u0103nu mai poate sim<\/strong><\/em>\u021b<\/em><\/strong>i<\/em><\/strong>. \u00cen acest caz, bolnavii au nevoie de \u00een<\/strong><\/em>\u021b<\/em><\/strong>elegere <\/em><\/strong>\u0219<\/em><\/strong>i empatie pentru a putea face fa<\/em><\/strong>\u021b<\/em><\/strong>\u0103 afec<\/em><\/strong>\u021b<\/em><\/strong>iunii<\/em><\/strong>\u201d<\/strong>.<\/p>\n

Prof.dr. Andrew Boulton<\/strong> a fost prezent la Cluj-Napoca, la invita<\/strong>\u021b<\/strong>ia Societ\u0103<\/strong>\u021b<\/strong>ii de Neuropatie Diabetic\u0103<\/strong>, la Seminariile Departamentului de Neuro<\/strong>\u0219<\/strong>tiin<\/strong>\u021b<\/strong>e al Universit\u0103<\/strong>\u021b<\/strong>ii de Medicin\u0103 <\/strong>\u0219<\/strong>i Farmacie \u201dIuliu Ha<\/strong>\u021b<\/strong>ieganu\u201d Cluj-Napoca<\/strong>. Evenimentul a fost coordonat \u0219tiin\u021bific de prof.dr. Dafin Mure<\/strong>\u0219<\/strong>anu<\/strong> \u0219i a reunit lideri de opinie europeni <\/strong>\u0219<\/strong>i rom\u00e2ni<\/strong> din domeniul diabetului zaharat \u0219i neurologiei.<\/p>\n

Pre<\/strong>\u0219<\/strong>edintele Asocia<\/strong>\u021b<\/strong>iei Europene pentru Studiul Diabetului (EASD), prof.dr. Andrew Boulton, a confirmat prezen<\/strong>\u021b<\/strong>a <\/strong>\u0219i la Congresul Na<\/strong>\u021b<\/strong>ional de Neuropatie Diabetic\u0103 <\/strong>\u0219<\/strong>i Picior Diabetic \u2013 Neurodiab<\/strong>, care se va desf\u0103\u0219ura \u00een Bucure<\/strong>\u0219<\/strong>ti<\/strong>, \u00een perioada 15-17 octombrie 2015<\/strong>.<\/p>\n

www.neurodiab.org<\/a>\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Neuropatia diabetic\u0103 este cea mai comun\u0103 \u0219i frecvent\u0103 complica\u021biea diabetului zaharat, afect\u00e2nd peste jum\u0103tate dintre persoanele care sufer\u0103 de aceast\u0103 boal\u0103 cronic\u0103. Oriunde vezi diabet, vezi neuropatie diabetic\u0103, conform prof.dr. […]<\/p>\n","protected":false},"author":4,"featured_media":3940,"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":[1],"tags":[],"class_list":["post-3814","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"\nProf.dr. 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