ABSTRACT
The stigma and discrimination due to disabilities in leprosy has a profound effect on a leprosy individual and the disability hampers his/her earning capacity and therefore socio-economic status. The Government of India has recently come out with an approved plan for disability prevention and medical rehabilitation. There are some objectives to provide appropriate services to the disabled or to prevent the disability. In order to prevent disability early treatment is necessary but there are a lot of studies on delayed presentation. It is in fact suggested that not only early correct treatment of leprosy with MDT but also early correct treatment of reactions and nuritis can prevent disability. Some cases as specified in the text require referral to prevent the menace. Many deformities can be corrected by reconstructive surgery. The management protocol to prevent primary impairment is depicted in Figs within the article.
Subject(s)
Disability Evaluation , Disabled Persons/rehabilitation , Leprosy/diagnosis , Plastic Surgery Procedures/rehabilitation , Referral and Consultation/standards , Congenital Abnormalities/microbiology , Congenital Abnormalities/surgery , Early Diagnosis , Humans , India , Leprosy/complications , Leprosy/surgery , Nervous System Diseases/microbiology , Nervous System Diseases/surgery , Time FactorsSubject(s)
Congenital Abnormalities/rehabilitation , Disabled Persons/rehabilitation , Leprosy/rehabilitation , Activities of Daily Living , Adolescent , Adult , Congenital Abnormalities/surgery , Female , Humans , India , Male , Middle Aged , Quality of Life , Rehabilitation Centers , Socioeconomic FactorsABSTRACT
Despite some positive experiences, surgical rehabilitation, presently, is minimally available in endemic countries and the contingent of patients in need of this modality of treatment is enlarging constantly. With the reduction of prevalence of leprosy and the progressive integration of care of leprosy-affected persons into the general health services, surgical rehabilitation should be made available in these centres. Training health personnel of general health services in leprosy surgery is mandatory and urgent. There is a need for the settlement of a multi-organizational task-force (WHO-ILEP-ILA) to deal with this problem. The aim of this task-force should be the definition of strategies to organize such training and to increase awareness among medical societies and schools regarding this issue. This group should also remember that the referral centres in Africa, Asia, North and South America should act as reservoir of this knowledge and, as such, should be fully supported and enhanced, since they have an important and unique role to play in the training of general health services personnel.
Subject(s)
Congenital Abnormalities , Leprosy , Allied Health Personnel/education , Congenital Abnormalities/etiology , Congenital Abnormalities/rehabilitation , Congenital Abnormalities/surgery , Disabled Persons/rehabilitation , Global Health , Humans , Leprosy/complications , Leprosy/rehabilitation , Leprosy/surgery , Referral and Consultation , Rehabilitation CentersABSTRACT
Foi realizado um estudo retrospectivo de seis (06) anos dos pacientes portadores de hanseníase matriculados no Centro de Reabilitaçao Física Dr. Demétrio Medrado, dando ênfase as lesoes nervosas e consequentes deformidades provocadas pelo bacilo de Hansen, possíveis de correçao cirúrgica. O referido levantamento demonstra a grande importância da reabilitaçao cirúrgica dessas lesoes, nao deixando dúvidas quanto a recuperaçao das deformidades com respectiva funçao, tornando possível a reitegraçao à sociedade de pacientes que até pouco tempo nao possuiam um programa que lhes possibilitasse perspectivas tao favoráveis