{"id":2258,"date":"2016-08-05T06:00:26","date_gmt":"2016-08-05T04:00:26","guid":{"rendered":"https:\/\/www.activasalut.com\/ca\/?p=2258"},"modified":"2016-08-04T18:51:01","modified_gmt":"2016-08-04T16:51:01","slug":"como-conocer-la-mpoc-y-convivir-con-ella","status":"publish","type":"post","link":"https:\/\/www.activasalut.com\/ca\/como-conocer-la-mpoc-y-convivir-con-ella\/","title":{"rendered":"Com con\u00e8ixer la MPOC i conviure amb ella"},"content":{"rendered":"

En el marc de la fisioter\u00e0pia respirat\u00f2ria la patologia que m\u00e9s casos at\u00e9n la Corporaci\u00f3 Fisiogesti\u00f3n<\/a> \u00e9s la Malaltia Pulmonar Obstructiva Cr\u00f2nica (MPOC)<\/strong>.
\n<\/p>\n

\"Gemma<\/a>De fet la MPOC<\/a><\/strong> \u00e9s el primer motiu ambulatori i domiciliari. Aix\u00ed ens ho fa const\u00e0 Gemma Flotats<\/strong>, responsable en rehabilitaci\u00f3 ambulat\u00f2ria i domiciliaria d\u2019aquest tipus de malalties respirat\u00f2ries a la Corporaci\u00f3 Fisiogesti\u00f3n, creadora i impulsora del primer model estructurat de Rehabilitaci\u00f3 Domiciliaria <\/strong>a Espanya<\/strong> i coautora del llibre Rehabilitaci\u00f3 Domicili\u00e0ria. Principis, indicacions i programes Terap\u00e8utics<\/a><\/em>.<\/p>\n

La l\u00ednia que separa la rehabilitaci\u00f3 ambulat\u00f2ria de la domiciliaria<\/strong><\/h5>\n

La frontera est\u00e0 en l\u2019estadi de la malaltia.\u00a0Les malalties passen per diferents estats, els pacients que poden despla\u00e7ar-se en transport p\u00fablic fan la rehabilitaci\u00f3 ambulat\u00f2ria, per\u00f2 quan la malaltia avan\u00e7a aquests pacients a vegades els hi suposa massa fatiga despla\u00e7ar-se al centre, i \u00e9s quan es decideix fer-se a casa.<\/p>\n

Progressi\u00f3 i s\u00edmptomes de la MPOC<\/strong><\/h5>\n

La MPOC es caracteritza per uns s\u00edmptomes clars sobretot quan la malaltia avan\u00e7a. L\u2019exacerbaci\u00f3<\/em><\/strong> \u00e9s el m\u00e9s cr\u00edtic. Quan el malalt fa una exacerbaci\u00f3 <\/strong>es tradueix en: increment de la tos, febre i augmenta la dispnea (la sensaci\u00f3 que t\u00e9 el pacient d\u2019ofec). Aquest \u00e9s el principal motiu d\u2019ingr\u00e9s hospitalari.<\/p>\n

Quan hi ha una exacerbaci\u00f3 \u00e9s un dels motius pels quals el pacient ha d\u2019anar d\u2019urg\u00e8ncies. Fan molt ingressos hospitalaris i quan hi hagut aquest fet \u00e9s molt freq\u00fcent que es demani rehabilitaci\u00f3 per poder recuperar-se al m\u00e0xim.<\/p>\n

Exacerbaci\u00f3 sin\u00f2nim de ingr\u00e9s hospitalari?<\/strong><\/h5>\n

Hi han pacients que porten molts anys convivint amb ella, coneixen molt b\u00e9 la seva malaltia i a m\u00e9s a l\u2019hospital els hi han fet un programa d\u2019educaci\u00f3 sanit\u00e0ria (els han informat sobre el qu\u00e8 \u00e9s la malaltia)… quan noten que estan iniciant un proc\u00e9s d\u2019exacerbaci\u00f3, ells mateixos trucan al seu metge per tel\u00e8fon i comencen la pauta de medicaci\u00f3 que ja han seguit amb crisis anteriors.<\/p>\n

Perfil del malalt de MPOC<\/strong><\/h5>\n

Tamb\u00e9 \u00e9s un malalt que ingressa molt en els centres de rehabilitaci\u00f3. Ja que en aquests va associat que quan ingressen per una exacerbaci\u00f3 tamb\u00e9 els hi donin tractament amb corticoides, aix\u00f2 provoca una miopatia, \u00e9s a dir, a part de la seva patologia respirat\u00f2ria, a nivell muscular perden la for\u00e7a degut al tractament que els hi donen i provoca aquesta impot\u00e8ncia funcional, els hi costa posar-se drets, caminar, per exemple<\/strong>. Per tant, venen per dos motius: 1) per fer ter\u00e0pia rehabilitadora de la pr\u00f2pia malaltia respirat\u00f2ria; 2) per la seva impot\u00e8ncia funcional deguda al tractament que segueixen per treure\u2019ls de la crisi.<\/p>\n

El secret: coneixement de la malaltia<\/strong><\/h5>\n

\u00c9s molt important que el pacient conegui molt b\u00e9 la seva malaltia i els s\u00edmptomes que dona. Molts d\u2019aquests MPOCS sobretot en les \u00e8poques d\u2019octubre a mar\u00e7 tenen m\u00e9s brots, si saben com actuar davant els primers s\u00edmptomes d\u2019una exacerbaci\u00f3 podran disminuir els ingressos.<\/p>\n

Recomanacions<\/strong><\/h5>\n

Amb els nostres pacients sempre treballem amb uns \u00edtems molt clars:<\/p>\n

    \n
  • Donar-li eines perqu\u00e8 es converteixi en pacient expert (\u00e9s a dir conegui molt b\u00e9 la seva malaltia).<\/li>\n
  • Pautes d\u2019exercicis tutoritzats pel professional sanitari.<\/li>\n
  • Deixar el tabac<\/li>\n
  • Seguir una dieta equilibrada<\/li>\n
  • H\u00e0bits saludables<\/li>\n<\/ul>\n

    L\u2019objectiu \u00e9s clar, millorar en la mesura del possible la seva qualitat de vida<\/strong>.<\/p>\n

    <\/h5>\n","protected":false},"excerpt":{"rendered":"

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