tailieunhanh - Pulmonary rehabilitation in multi-drug resistant tuberculosis (TB MDR): a case report

In tuberculosis (Tb), the great inflammatory component causes major injuries that trigger fibroblastic reaction, fibrosis and chest wall retraction, compromising pulmonary expansion, which translates into a clinically and functionally moderate restrictive pattern and dyspnea during exercise. This favors lung disability, causing economic and social dependence upon the nuclear family. Measures to control the Tb disease are merely focused on healing; and this fact must be considered insufficient because the actions aimed to habilitation and rehabilitation could prevent or reduce the incidence of Tb by cardiopulmonary disability. The importance of pulmonary rehabilitation (PR) as a nonpharmacological treatment in patients with chronic respiratory disease and/or risk factors for. | Colombia Médica Vol. 40 N 4 2009 Octubre-Diciembre Pulmonary rehabilitation in multi-drug resistant tuberculosis TB MDR a case report Esther Cecilia Wilches pt1 Julián Andrés Rivera pt2 3 Ricardo Mosquera MD3 Liliana Loaiza to4 Lucely Obando Psicol5 summary Introduction In tuberculosis Tb the great inflammatory component causes major injuries that trigger fibroblastic reaction fibrosis and chest wall retraction compromising pulmonary expansion which translates into a clinically and functionally moderate restrictive pattern and dyspnea during exercise. This favors lung disability causing economic and social dependence upon the nuclear family. Measures to control the Tb disease are merely focused on healing and this fact must be considered insufficient because the actions aimed to habilitation and rehabilitation could prevent or reduce the incidence of Tb by cardiopulmonary disability. The importance of pulmonary rehabilitation PR as a nonpharmacological treatment in patients with chronic respiratory disease and or risk factors for acquiring such is documented in the literature and its application improves the physical condition of the patient and restores health-related quality of life HRQOL autonomy and social integration. Objective To describe the deterioration of the functionality of a patient with multi-drug resistant tuberculosis MDR-TB and that patient s recovery in a PR program. Results An increase of the distance covered in the six-minute walk test 6MWT from 240 m to 350 m was observed. Dyspnea score with the medical research council MRC improved from 4 to 1 and improved from 7 to 0 with the Borg scale. The upper and lower limb muscle strength increased from 3 to 4. Conclusion A period of PR of 8 to 10 weeks was enough to improve patient functionality. Keywords Pulmonary rehabilitation Multi-drug resistant tuberculosis Functionality. . Rehabilitationpulmonar en tuberculosis multirresistente TB-MDR Informe de un caso resumen Introducción En la tuberculosis TB

• Y học thường thức
• Health
• Technological Applications
• Probiotics in Aquaculture
• Kuwait – Current
• State and Prospect
• Applied Topics
• Public health
• Health behaviors
• Health promotion
• Perceived health competence
• Health education activities experience
• BMC Geriatrics
• Quality of Life
• Oral Health Impact Profile 14
• General health
• Oral health
• Wings Of Success
• Baby’s Health
• health document
• health ebook
• health specific study
• health research
• Health Tips
• Electronic health records
• Electronic medical record
• Health careers
• Personal health records
• Consumer driven health plans
• Networked personal health record
• Joint annual health review 2015
• Socio economic situation
• Strengthening primary health care
• Health coverage
• Grassroots health network
• Introduction to global health
• Global health
• Careers in Global Health
• Health Metrics
• Global health research
• Health financial burden
• Health care services of households
• Health expenditure
• Health insurance
• Basis health level
• Hospital fee
• Out of pocket
• Youth mental health first aid
• Public mental health recommendation for Vietnamese students
• Public mental health recommendation
• Mental health literacy
• Mental health first aid
• Social inequalities
• Health inequalities
• Child health
• Health seeking behaviour
• mental health
• mental disorders
• health sector
• Health Financing
• Deliver Services
• Health finance
• discrimination against
• Health Declaration
• health legislation
• health information
• health care
• European Region
• sustainable health
• Managing change
• health community
• Health priorities
• Human resources
• health services
• Health Association
• Global Health Environment
• Health Care Quality
• Health Disparities
• Immunization
• India
• Natural Hazards
• Severe Acute Respiratory Syndrome
• Social Determinants Of Health
• Vaccination
• Biological indicators of soil health
• Soil Microfauna as Bioindicators of Soil Health
• Biomonitoring of Soil Health by Plants
• Soil Microflora as Bioindicators of Soil Health
• Soil Microbial Biomas
• Thynes Dunn
• spirit journal
• namah body
• The world health report 2013
• Improve human health
• Research for universal health coverage
• Building research systems
• Disease outbreaks
• Health emergencies
• Collecting information effectively
• The public communication approach
• ABC of mental health
• Mental health assessment
• Managing distressed
• Challenging patients
• Mental health problems
• Mental health emergencies
• Mental health services
• Health education
• Community health workers
• Health education programs
• Health education on lipids
• Physical activity level
• Health information management
• Health care delivery systems
• Health information management professionals
• Health care settings
• The patient record
• Adolescent psychiatry
• Mental health literacy
• Mental Health outcome
• Health survey
• BMC Pediatrics
• Electronic health record
• Dental health
• Primary health care
• Well child visit