RESUMO
To improve a system of prevention and rehabilitation for broncho-pulmonary diseases among workers engaged into extraction and utilization of chrysotile asbestos, the authors specified major criteria for diagnosis of asbestos-related pulmonary diseases and signs of exposure to asbestos-containing dust, with definition of risk groups for broncho-pulmonary diseases. The authors formulated main concepts of prevention and rehabilitation for asbestos-related pulmonary diseases in workers engaged into asbestos industry. Special attention was paid to harmonization of all medical and technical measures aimed to prevention and liquidation of asbestos-related diseases.
Assuntos
Asbestos Serpentinas/efeitos adversos , Broncopatias/etiologia , Pneumopatias/etiologia , Broncopatias/prevenção & controle , Broncopatias/reabilitação , Humanos , Indústrias , Pneumopatias/prevenção & controle , Pneumopatias/reabilitação , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Doenças Profissionais/reabilitação , Exposição Ocupacional/efeitos adversos , Serviços de Saúde do Trabalhador/organização & administração , Federação Russa/epidemiologiaRESUMO
The Authors refer the results a clinical-statistical research revealing that more than one-third of the yearly admissions to the pneumological divisions of the U.H. in Jesi are represented by patients who re-enter because of COLD with R.I. at various degree. On the basis of the selective criteria which can be found in literature, it's shown that the above patients can largely take advantage of rehabilitating treatment aiming both at the functional recovery and at the prevention of relapses, with a consequent fall in hospital admissions, carrying doubtless social advantages. The Authors also assert that such a treatment, though involving an équipe-approach, must be carried out by the pneumologist as the respiratory rehabilitation is to be considered, both for its aims and its methodologies as a branch of pneumology. Starting from this introductory statement the Authors go on making consideration on regional health programming in the pneumology field, particularly the rehabilitating one.
Assuntos
Broncopatias/reabilitação , Departamentos Hospitalares , Pneumopatias/reabilitação , Serviço Hospitalar de Terapia Respiratória , Terapia Respiratória , Adulto , Idoso , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-IdadeAssuntos
Broncopatias/reabilitação , Pneumopatias/reabilitação , Doença Aguda , Bronquite/reabilitação , Estâncias para Tratamento de Saúde , Humanos , Pneumopatias Obstrutivas/reabilitação , Educação Física e Treinamento , Modalidades de Fisioterapia , Pneumonia/reabilitação , Psicoterapia , Reabilitação VocacionalRESUMO
The authors analized the effect of reeducation on patients with an exacerbated bronchial stasis and mucostasis. The group studied was composed of 103 patients suffering from chronic bronchitis, with or without pulmonary emphysema, bronchial asthma and bronchiectasis. Examination methods and breathing reeducation methods were briefly reported. Values measured before and after reeducation enabled by comparison the appreciation of this as an independent method. The rates of pulse (P less than 0.005), of breathing (P less than 0.001) and of systolic pressure (P less than 0.05) were influenced favourably by reeducation. The average quantity of sputum per day increased by 69% (P less than 0.001) specially in asthmatic patients, in itself an important improvement. After exercise there was a slight decrease of PaO2 and SaO2, but after 2 hours of rest, improved values for PaO2 (P less than 0.05), SaO2 (P less than 0.05) Raw (P less than 0.05) and SGaw (P less than 0.05) were noted. The transitory decrease was probably due to tired respiratory muscles and auxillary respiratory muscles. Breathing reeducation favourably affected the clinical conditions, the sputum production, mucostasis, blood-gases exchange, and decreased the airways obstruction. For a greater objectivity, different methodological approaches should also be considered.
Assuntos
Exercícios Respiratórios , Broncopatias/reabilitação , Adulto , Idoso , Asma/complicações , Asma/reabilitação , Bronquiectasia/complicações , Bronquite/complicações , Bronquite/reabilitação , Dióxido de Carbono/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Oxigênio/sangue , Enfisema Pulmonar/complicações , Enfisema Pulmonar/reabilitaçãoAssuntos
Broncopatias/reabilitação , Modalidades de Fisioterapia , Criança , Pré-Escolar , Humanos , LactenteRESUMO
A Reabilitaçao Pulmonar tem-se tornado uma modalidade terapêutica de grande utilidade no manejo de pacientes com Doença Broncopulmonar Obstrutiva Crônica. O autor revisa os princípios de funcionamento de um programa de Reabilitaçao Pulmonar e sugere adaptaçoes para sua introduçao em comunidade.