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1.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería, HANSEN | ID: biblio-1051323

RESUMEN

Objetivo: Analisar a percepção de pacientes com hanseníase sobre suas Necessidades Humanas Básicas alteradas. Método: Pesquisa qualitativa e descritiva, realizada com dez pacientes inscritos no Programa Nacional de Controle da Hanseníase em uma Unidade Básica de Saúde em Belém-PA. Dados coletados de agosto a setembro de 2017, por meio de entrevista semiestruturadas e prontuários dos participantes. Os dados foram organizados e analisados na perspectiva da análise de conteúdo. A pesquisa foi aprovada, sob o nº 2.148.415/23.06.2017, pelo Comitê de Ética da Escola de Enfermagem Magalhães Barata. Resultados: foram detectadas cinco necessidades alteradas: necessidades fisiológicas, de segurança, de amor e/ou sociais, de estima e de autorrealização. Evidenciou-se que a percepção das necessidades alteradas estimula ações de autocuidado, com vistas a sua satisfação. Conclusão: O enfermeiro deve prestar cuidados humanizados ao paciente com hanseníase, motivando-os para a autonomia e para o autocuidado, contribuindo para a melhoria da qualidade de vida


Objective: To analyze Hansen's disease patients' perception on their altered fundamental human needs. Method: Qualitative descriptive research, conducted with ten patients who were registered in the National Hansen's Disease Control Program at a Health Unit, in Belém-PA. The data was collected from August to September, 2017, through semi structured interviews and patients' medical reports. The data was organized and analyzed from the perspective of content analysis. The research was approved under the nº 2.148.415/23.06.2017 through the zip code of the Magalhães Barata Nursing School. Results: Five altered needs were identified: physiological, security, of love and/or social, esteem and self-actualizing needs. It was noticeable that the perception of the altered stimulates self-care actions, aiming its satisfaction. Conclusion: The nurse should provide humanized care to Hansen's disease patients, motivating them in order to achieve autonomy and self-care, contributing to an improvement in their quality of life


Objetivos: Analizar la percepción de los pacientes con hanseníasis sobre sus necesidades humanas fundamentales cambiadas. Método: Investigación descriptiva cualitativa, realizada con diez pacientes inscritos en el Programa Nacional de Control de la Hanseníasis en una Unidad Básica de Salud en Belém-PA. Los datos fueron recolectados desde agosto hasta septiembre de 2017, por medio de entrevistas semiestructuradas e historial clínico de los participantes. Los datos fueron organizados y analizados en la perspectiva del análisis de contenido. La investigación fue aprobada bajo el número 2.148.415/23.06.2017 a través del código postal de la Escuela de Enfermería Magalhães Barata. Resultados: Fueron detectadas cinco necesidades cambiadas: necesidades fisiológicas, de seguridad, de amor y/o sociales, de estima y de autorrealización. Fue evidenciado que la percepción de las cambiadas estimula acciones de autocuidado con el objetivo de alcanzar su satisfacción. Conclusión: El enfermero debe ofrecer cuidados humanizados a los pacientes con hanseníasis, motivándolos a todos para la autonomía y para el autocuidado, contribuyendo para la mejoría en la cualidad de vida


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Autocuidado/psicología , Lepra/prevención & control , Lepra/terapia , Calidad de Vida , Educación en Salud , Investigación Cualitativa
2.
Rev. bras. cir. plást ; 34(4): 497-503, oct.-dec. 2019. ilus, tab
Artículo en Inglés, Portugués | LILACS | ID: biblio-1047912

RESUMEN

Introdução: A úlcera plantar por hanseníase é uma lesão no pé resultante da falta de sensibilidade plantar. O objetivo é descrever o tratamento realizado em portadores de úlceras plantares por hanseníase. Métodos: Estudo de prontuários de portadores de úlcera plantar atendidos no Hospital Sarah em Brasília, de 2006 a 2016, quanto ao sexo, idade, etiologia, localização e tratamento. Resultados: Foram atendidos 27 pacientes, 17(62,96%) homens e 10 (37,04%) mulheres, procedentes de Goiás e DF, na faixa etária de 41 a 60 anos (40,74%). Todos necessitaram de um ou mais procedimentos cirúrgicos. Conclusão: Observou-se maior frequência no sexo masculino, grau avançado, localizadas no primeiro artelho. Todos necessitaram de procedimentos cirúrgicos e não cirúrgicos, evoluindo com cicatrização completa da ferida, amputação transtibial em um caso e de artelhos em sete casos, e 90% dos casos apresentaram recorrência da úlcera após um ano.


Introduction: Leprosy-induced plantar ulcers result from a lack of plantar sensitivity. Objective: This study aimed to describe the treatment provided to patients with leprosy-induced plantar ulcers. Methods: We retrospectively reviewed the medical records of patients with plantar ulcers treated at Sarah Hospital in Brasilia from 2006 to 2016 and collected information about sex, age, etiology, location, and treatment. Results: A total of 27 patients (17 [62.96%] men, 10 [37.04%] women; 40.74% were aged 41­60 years) were treated from Goiás and the Federal District. All required ≥1 surgical procedure. Conclusion: A higher frequency of advanced grade was observed in men, primarily on the first toe. All needed surgical and non-surgical procedures and achieved complete wound healing. Transtibial amputation was required in 1 case and toe amputation in 7 cases; 90% patients developed ulcer recurrence after 1 year.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Historia del Siglo XXI , Rehabilitación , Terapéutica , Tratamiento Terciario , Registros Médicos , Úlcera del Pie , Lepra , Rehabilitación/métodos , Rehabilitación/estadística & datos numéricos , Terapéutica/métodos , Terapéutica/estadística & datos numéricos , Tratamiento Terciario/métodos , Tratamiento Terciario/estadística & datos numéricos , Registros Médicos/normas , Registros Médicos/estadística & datos numéricos , Úlcera del Pie/cirugía , Úlcera del Pie/complicaciones , Úlcera del Pie/terapia , Lepra/cirugía , Lepra/complicaciones , Lepra/terapia
4.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 739-747, abr.-maio 2019. tab, il
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-987983

RESUMEN

Objective: The study's target has been to analyze the causes and solutions strategies for leprosy in children using the Ishikawa Diagram. Methods: It is a literature review based on the Ishikawa Diagram production, which was carried out over April 2017 in the databases of PubMed, Virtual Health Library (VHL), EBSCO and SciELO. Results: It was identified that the prevalence of leprosy in children is due to social, environmental and cultural factors, where: socioeconomic conditions, population cluster and lack of professional qualification correspond to 70% of the mentioned causes. Conclusion: It was evidenced the need for intensifying epidemiological surveillance, promoting larger investments in preventive actions, such as health education, including the adoption of professional training towards the professionals directly responsible the disease diagnosis


Objetivo: Analisar por meio do Diagrama de Ishikawa as causas e as estratégias de soluções para hanseníase em crianças. Método: Revisão da literatura baseada na construção do Diagrama de Ishikawa, realizado em abril de 2017, nos bancos de dados do Pubmed, Biblioteca Virtual de Saúde (BVS), Scielo e Ebsco. Resultados: Identificou-se que a prevalência da hanseníase em crianças se dá por fatores sociais, ambientais e culturais, onde: condições socioeconômicas, aglomerado populacional e ausência de capacitação profissional correspondem a 70% das causas apontadas. Conclusão: Evidenciou-se a necessidade de intensificar a vigilância epidemiológica, realizar maiores investimentos nas ações preventivas, como a educação em saúde, incluindo também a adoção de capacitações dos profissionais responsáveis pelo diagnóstico


Objetivo: Analizar por medio del diagrama de Ishikawa las causas y estrategias de las soluciones para la lepra en los niños. Método: Revisión de la literatura basada en la construcción del Diagrama de Ishikawa, realizado en abril de 2017 en los bancos de datos del Pubmed, Biblioteca Virtual de Salud (BVS), Scielo y Ebsco. Resultados: Se identificó que la prevalencia de la hanseniasis en niños se da por factores sociales, ambientales y culturales, donde: condiciones socioeconómicas, aglomerado poblacional y ausencia de capacitación profesional corresponden al 70% de las causas señaladas. Conclusión: Se evidenció la necesidad de intensificar la vigilancia epidemiológica, realizar mayores inversiones en las acciones preventivas, como la educación en salud, incluyendo también la adopción de capacitaciones de los profesionales responsables del diagnóstico


Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Grupo de Atención al Paciente/estadística & datos numéricos , Lepra/diagnóstico , Lepra/prevención & control , Lepra/terapia , Salud Pública/educación , Salud Pública , Creación de Capacidad
5.
PLoS One ; 14(2): e0210955, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30726259

RESUMEN

BACKGROUND: Leprosy remains a disease of concern in many countries including Nepal. To achieve the target of elimination, the WHO strategy promotes comprehensive education of patients, healthcare workers (HCWs), and the public on leprosy-related issues. However most educational programs are based on the concerns of HCWs and not on patients' needs. The objective of this paper is to explore the educational needs of leprosy affected patients in Nepal and compare them to the needs perceived by HCWs. METHODOLOGY/PRINCIPAL FINDINGS: Semi directive interviews were conducted with patients and HCWs. The data was analyzed using the basic interpretative qualitative framework. The study was conducted in two leprosy referral centers, one university hospital and one primary health care center: Lalgadh Leprosy Hospital and Services Centre, Anandaban Hospital and its satellite clinic in Patan, B. P. Koirala Institute of Health Sciences in Dharan, and the Itahari primary health care centre. The results show that there remains a lack of knowledge regarding the disease (origins, manifestations, prevention and treatment) contributing to late care seeking behavior and high levels of stigma, with an important psychological and financial stress for patients. All of the HCWs displayed a good understanding of patients' difficulties and needs and acknowledged the key role of patient education. However, they expressed several challenges in managing patients due to lack of time, human resources and training in patient education. CONCLUSIONS/SIGNIFICANCE: Further efforts need to be made to increase patients' general knowledge of the disease in order to motivate them to seek healthcare earlier and change their perception of the disease to reduce stigma. HCWs need proper training in patient education and counseling for them to acquire the necessary skills required to address the different educational needs of their patients. The use of lay and peer counselors would be an option to address the workload and lack of time expressed by HCWs.


Asunto(s)
Cuidadores/psicología , Consejo/métodos , Lepra/psicología , Educación del Paciente como Asunto , Relaciones Profesional-Paciente , Adolescente , Adulto , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Lepra/diagnóstico , Lepra/terapia , Amor , Masculino , Nepal , Grupo Paritario , Investigación Cualitativa , Estigma Social , Adulto Joven
6.
Rev. pesqui. cuid. fundam. (Online) ; 11(1): 211-215, jan.-mar. 2019. graf., tab.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-968500

RESUMEN

Objetivo: Avaliar os aspectos referentes as limitações físicas, psicossociais e qualidade de vida das pessoas atingidas pela hanseníase. Método: Estudo quantitativo, transversal. Foram aplicadas as escalas Screening Activity Limitation and Safety Awareness (SALSA), Participação Social e World Health Organization Quality of Life (WHOQOL-bref) com 31 sujeitos. Resultado: Evidenciou-se que a maioria dos participantes apresentava algum grau de restrição física e social. Correlacionando com o grau de incapacidade, destaca-se que os pacientes que apresentaram restrições também possuíam grau II de incapacidade. Quanto à qualidade de vida, o domínio psicológico e o de relações sociais apresentaram as médias mais altas, enquanto o físico e o ambiental tiveram as mais baixas. Conclusão: Afirma-se a necessidade de priorização e intensificação das ações de prevenção de incapacidades da hanseníase


Objective: Analyze the aspects related to the physical, psychosocial and quality of life of people affected by leprosy. Method: Quantitative, crosssectional study. The Screening Activity Limitation and Safety Awareness (SALSA), Social Participation and e World Health Organization Quality of Life (WHOQOL-bref) scales were applied with 31 subjects. Result: The majority of the participants presented some degree of physical and social restriction. The correlation with the degree of disability highlighted that the patients who presented restrictions also had degree of disability II. About the quality of life, the psychological domain and the social relations showed the highest averages, while the physical and the environmental had the lowest ones. Conclusion: It is necessary to prioritize and intensify actions to prevent disability in leprosy


Objetivo: Evaluar los aspectos referentes a las limitaciones físicas, psicosociales y calidad de vida de las personas afectadas por la lepra. Método: Estudio cuantitativo, transversal. Se aplicaron las escalas Screening Activity Limitation and Safety Awareness (SALSA), Participación Social y World Health Organization Quality of Life (WHOQOL-bref) con 31 sujetos. Resultado: Se evidenció que la mayoría de los participantes presentaba algún grado de restricción física y social. Correlacionando con el grado de incapacidad, se destaca que los pacientes que presentaron restricciones, también poseían grado II de incapacidad. En cuanto a la calidad de vida, el dominio psicológico y el de relaciones sociales presentaron las medias más altas, mientras que el físico y el ambiental tuvieron las más bajas. Conclusión: Se afirma la necesidad de priorización e intensificación de las acciones de prevención de incapacidades de la lepra


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Lepra/prevención & control , Lepra/psicología , Lepra/terapia , Calidad de Vida , Autocuidado , Perfil de Impacto de Enfermedad
7.
Monografía en Portugués | HISA - História de la Salud | ID: his-44258

RESUMEN

O artigo comenta sobre algumas substâncias para tratamento da hanseníase. Atenta para as reações que tais medicamentos podem provocar


Asunto(s)
Lepra , Lepra/terapia , Leyes de la Curación en Homeopatía , Sulfonas/uso terapéutico , Clofazimina/uso terapéutico , Rifampin/uso terapéutico , Quimioterapia Combinada
8.
Clin Dermatol ; 36(6): 779-784, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30446203

RESUMEN

Father Adam Wisniewski (1913-1987), who was a Pallottine and a medical doctor with specialization in tropical diseases, devoted his life to helping and curing leprosy patients in India. His life proved difficult and varied. He began his medical studies during World War II in occupied Warsaw. What is more, he participated in the Warsaw Uprising in 1944, for which he later received the Cross of Valour, one of the highest Polish commendations. He learned about leprosy in France and then moved to India to use his medical knowledge to treat lepers and stop the spread of the disease. He created a center for the impoverished at Jeevodaya, India, which is still serves as a refuge for patients with leprosy.


Asunto(s)
Lepra/historia , Historia del Siglo XX , India , Lepra/terapia , Polonia
9.
Rev Gaucha Enferm ; 39: e20180045, 2018 Oct 22.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-30365764

RESUMEN

OBJECTIVE: To analyze the self-care practices on the face, hands and feet carried out by people affected by Hansen's disease. METHODOLOGY: A qualitative study, carried out in reference units for Hansen's disease in Pernambuco, between May 2014 and April 2015, with 24 people. Data was collected through the semi-structured interview and content analysis was carried out. RESULTS: Two categories emerged: Knowledge and execution of self-care practices in Leprosy and Singularities and challenges for self-care. The study found that respondents are familiar with information about face, hand and foot care, but report difficulties such as low income to acquire material for self-care, lack of time, and some lack of interest. Most of them already presented a degree of incapacity. CONCLUSIONS: The training of professionals who work on the empowerment of people facing the disease, guidelines on prevention of disabilities and access to inputs for carrying out self-care are necessary.


Asunto(s)
Lepra/terapia , Autocuidado , Adulto , Anciano , Cara , Femenino , Pie , Mano , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Autocuidado/métodos , Adulto Joven
10.
Future Microbiol ; 13: 1449-1451, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30311780
11.
Clin Dermatol ; 36(5): 680-685, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30217283

RESUMEN

Father Damien de Veuster, or Saint Damien of Molokai (1840-1889), was one of the pioneers of the holistic approach to care provision for leprosy patients and contributed to the overcoming of the patients' social stigmatization. He devoted his life to the lepers living in America's only leper colony, on the Hawaiian island of Molokai, where people with leprosy were required to live under government-sanctioned medical quarantine. Father Damien gained practical skills in caring for the sick, eagerly learning wound cleansing, bandaging techniques, and drug administration from a nurse. Mahatma Gandhi said that Father Damien's work had inspired his own social campaigns in India.


Asunto(s)
Lepra/historia , Bélgica , Hawaii , Historia del Siglo XIX , Colonias de Leprosos/historia , Lepra/terapia , Aislamiento de Pacientes/historia
12.
Trans R Soc Trop Med Hyg ; 112(11): 492-499, 2018 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-30189090

RESUMEN

Background: In Nigeria, little is known about the development of new or additional physical disability during leprosy treatment. The objective of this study was to determine the prevalence and evaluate factors associated with worsening of physical disability during leprosy treatment in Nigeria. Methods: This was a retrospective cohort study conducted among leprosy patients treated in six referral facilities in six States in Nigeria between January 2011 and December 2015. Multivariable logistic regression analysis was used to identify predictors of worsening disability after treatment. Results: Of 984 leprosy patients who completed treatment, the mean age of the patients was 39.8±17.6 years and 57.4% (565/984) of them were male. Also, 51.6% (508/984) of the patients had either grade 1 or 2 disability at diagnosis, but this declined to 30.8% (303/984) following treatment (p<0.001). Overall, 4.7% (46/984) of the cases developed new or additional disability (or worsening disability) during treatment. The cases with the greatest odds for developing worsening physical disability were patients from the southwest (adjusted odds ratio [aOR] 15.9; 95% CI 3.8-67.4) and southeast zones (aOR 4.7; 95% CI 1.1-19.2), and patients who had a leprosy reaction requiring additional corticosteroid therapy (aOR 11.7; 95% CI 4.4-31.2). Conclusion: Sustained capacity building for health professionals on better monitoring and management of leprosy and its complications is strongly recommended in Nigeria.


Asunto(s)
Personas con Discapacidad/estadística & datos numéricos , Leprostáticos/uso terapéutico , Lepra/fisiopatología , Lepra/terapia , Adolescente , Adulto , Evaluación de la Discapacidad , Progresión de la Enfermedad , Femenino , Humanos , Lepra/diagnóstico , Lepra/epidemiología , Masculino , Persona de Mediana Edad , Nigeria/epidemiología , Prevalencia , Estudios Retrospectivos , Factores de Riesgo , Adulto Joven
14.
Bull Hist Med ; 92(2): 261-286, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29961715

RESUMEN

In the face of an obdurate disease, the Mission to Lepers made a virtue out of "saving" children from leprosy and from paganism by separating them from their parents so that they became a source of publicity, sponsorship, and fund-raising. This policy transformed a benevolent work of mercy into a professional one, for it soon became clear that children separated from their parents did not develop leprosy. Consequently, the asylum became a site where scientific conclusions were made about the transmission of the disease, and the authority of the mission was enhanced at international medical conferences. This nascent professionalism became sufficient for the Philippines to also be persuaded to remove children from their leprosy-infected parents. In turn, Culion-based research on the observations of children ensured the authority of the American and Philippine doctors in informing decisions made by the League of Nations and later the World Health Organization.


Asunto(s)
Lepra/historia , Religión y Medicina , Adolescente , Niño , Preescolar , Historia del Siglo XIX , Historia del Siglo XX , Humanos , India , Lepra/psicología , Lepra/terapia , Filipinas
17.
BMC Public Health ; 18(1): 201, 2018 01 30.
Artículo en Inglés | MEDLINE | ID: mdl-29382314

RESUMEN

BACKGROUND: Lymphatic filariasis (LF) and leprosy are disabling infectious diseases endemic in Nepal. LF infection can lead to lymphoedema and hydrocoele, while secondary effects of leprosy infection include impairments to hands, eyes and feet. The disabling effects of both conditions can be managed through self-care and the supportive effects of self-help groups (SHGs). A network of SHGs exists for people affected by leprosy in four districts in Nepal's Central Development Region, however no such service exists for people affected by LF. The aim of this study was to determine the feasibility of integrating LF affected people into existing leprosy SHGs in this area. METHODS: A survey was conducted using a semi-structured questionnaire to elicit information on: (i) participant characteristics, clinical manifestation and disease burden; (ii) participants' knowledge of management of their condition and access to services; and (iii) participants' knowledge and perceptions of the alternate condition (LF affected participants' knowledge of leprosy and vice versa) and attitudes towards integration. RESULTS: A total of 52 LF affected and 53 leprosy affected participants were interviewed from 14 SHGs. On average, leprosy affected participants were shown to have 1.8 times greater knowledge of self-care techniques, and practiced 2.5 times more frequently than LF affected participants. Only a quarter of LF affected participants had accessed a health service for their condition, compared with 94.3% of leprosy affected people accessing a service (including SHGs), at least once a week. High levels of stigma were perceived by both groups towards the alternate condition, however, the majority of LF (79%) and leprosy (94.3%) affected participants stated that they would consider attending an integrated SHG. CONCLUSIONS: LF affected participants need to increase their knowledge of self-care and access to health services. Despite stigma being a potential barrier, attitudes towards integration were positive, suggesting that the SHGs may be a good platform for LF affected people to start self-care in this area. TRIAL REGISTRATION: This is not a registered trial.


Asunto(s)
Servicios de Salud Comunitaria/organización & administración , Prestación Integrada de Atención de Salud , Filariasis Linfática/terapia , Autocuidado , Grupos de Autoayuda/organización & administración , Filariasis Linfática/psicología , Estudios de Factibilidad , Femenino , Conocimientos, Actitudes y Práctica en Salud , Accesibilidad a los Servicios de Salud , Humanos , Lepra/psicología , Lepra/terapia , Masculino , Persona de Mediana Edad , Nepal , Estigma Social
18.
Soc Sci Med ; 196: 190-196, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29195190

RESUMEN

This study explored experiences of courtesy stigma among caregivers of people affected by leprosy. Using a qualitative research approach, twenty participants were purposively selected and in-depth interviews conducted. The interviews were audio-recorded, transcribed, and analyzed to identify emerging themes that addressed objectives of the study. The findings indicated that caregivers of people affected by leprosy experienced courtesy stigma. Evidence showed that fear of contagion underpinned caregivers' experiences, especially in employment and romantic relationships. In addition, participants adopted different strategies (disregarding, concealment, education, faith-based trust) to handle courtesy stigma. The findings demonstrate that psychosocial support and financial assistance to caregivers are necessary considerations for attainment of effective care for people affected by leprosy.


Asunto(s)
Cuidadores/psicología , Lepra/psicología , Estigma Social , Adaptación Psicológica , Adolescente , Adulto , Anciano , Cuidadores/estadística & datos numéricos , Empleo , Femenino , Ghana , Humanos , Relaciones Interpersonales , Lepra/terapia , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Adulto Joven
19.
Curr Protein Pept Sci ; 19(9): 889-899, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-28847289

RESUMEN

Leprosy is an infectious disease caused by non-cultivable bacteria Mycobacterium leprae. Ridley and Jopling classified the disease into five polar forms, Tuberculoid (TT) and Lepromatous (LL), in between two forms of the disease Borderline tuberculoid (BT), Borderline (BB) and Borderline lepromatous (BL) are laid. The tuberculoid type (BT/TT) leprosy patients show good recall of cellmediated immune (CMI) response and Th1 type of immune response, while lepromatous leprosy (LL) patients show defect in cell-mediated immunity to the causative agent and Th2 type of immune response. Due to distinct clinical and immunological spectra of the disease, leprosy attracted immunologists to consider an ideal model for the study of deregulations of various immune reactions. Recent studies show that Tregs, Th3 (TGF-ß, IL-10), IL-35 producing Treg immune response associated with the immune suppressive environment, survival of bugs. IL-17 producing Th17 immune response associated with tuberculoid leprosy and play protective role. γδ T cells also increased from tuberculoid to lepromatous pole of leprosy. In this review, we will discuss the role of various subtypes of T-cell and their cytokines in the pathogenesis of leprosy.


Asunto(s)
Lepra/inmunología , Linfocitos T/fisiología , Anticuerpos/química , Anticuerpos/metabolismo , Biomarcadores/metabolismo , Citocinas/metabolismo , Progresión de la Enfermedad , Descubrimiento de Drogas , Humanos , Inmunoterapia/métodos , Lepra/clasificación , Lepra/terapia , Mycobacterium leprae , Linfocitos T/patología , Linfocitos T Reguladores/fisiología , Células TH1/fisiología , Células Th2/fisiología
20.
Rev. gaúch. enferm ; 39: e20180045, 2018.
Artículo en Portugués | LILACS | ID: biblio-978492

RESUMEN

Resumo OBJETIVO Analisar as práticas de autocuidado em face, mãos e pés realizadas por pessoas atingidas pela hanseníase. METODOLOGIA Estudo qualitativo, realizado em unidades de referência para hanseníase em Pernambuco, entre maio de 2014 e abril de 2015, com 24 pessoas. Os dados foram coletados por meio da entrevista semiestruturada e realizada a análise de conteúdo. RESULTADOS Emergiram duas categorias: Conhecimento e realização de práticas de autocuidado em Hanseníase e Singularidades e desafios do autocuidado. O estudo apontou que os entrevistados conhecem as informações sobre os cuidados com a face, mãos e pés, mas relatam dificuldades como baixa renda para adquirir material para o autocuidado, falta de tempo, e alguns falta de interesse. A maior parte já apresentava grau de incapacidade. CONCLUSÕES É necessário a capacitação de profissionais que atuem no empoderamento das pessoas frente à doença e orientações sobre prevenção de incapacidades e acesso à insumos para realizar o autocuidado.


Resumen OBJETIVO Analizar las prácticas de autocuidado en cara, manos y pies realizadas por personas afectadas por la hanseniasis. METODOLOGÍA Estudio cualitativo, realizado en unidades de referencia para hanseniasis en Pernambuco, entre mayo de 2014 y abril de 2015, con 24 personas. Los datos fueron recolectados por medio de la entrevista semiestructurada y realizada el análisis de contenido. RESULTADOS emergieron dos categorías: Conocimiento y realización de prácticas de autocuidado en Hanseniasis y Singularidades y desafíos del autocuidado. El estudio apuntó que los entrevistados conocen las informaciones sobre los cuidados con la cara, manos y pies, pero relatan dificultades como bajas rentas para adquirir material para el autocuidado, falta de tiempo, y algunos falta de interés. La mayor parte ya presentaba grado de incapacidad. CONCLUSIONES Es necesario la capacitación de profesionales que actúen en el empoderamiento de las personas frente a la enfermedad y orientaciones sobre prevención de discapacidades y acceso a insumos para realizar el autocuidado.


ABSTRACT OBJECTIVE To analyze the self-care practices on the face, hands and feet carried out by people affected by Hansen's disease. METHODOLOGY A qualitative study, carried out in reference units for Hansen's disease in Pernambuco, between May 2014 and April 2015, with 24 people. Data was collected through the semi-structured interview and content analysis was carried out. RESULTS Two categories emerged: Knowledge and execution of self-care practices in Leprosy and Singularities and challenges for self-care. The study found that respondents are familiar with information about face, hand and foot care, but report difficulties such as low income to acquire material for self-care, lack of time, and some lack of interest. Most of them already presented a degree of incapacity. CONCLUSIONS The training of professionals who work on the empowerment of people facing the disease, guidelines on prevention of disabilities and access to inputs for carrying out self-care are necessary.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Anciano , Adulto Joven , Lepra/terapia , Autocuidado/métodos , Investigación Cualitativa , Cara , Alimentos , Mano , Persona de Mediana Edad
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