{"id":5698,"date":"2020-03-30T12:34:10","date_gmt":"2020-03-30T10:34:10","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=5698"},"modified":"2020-04-29T09:15:49","modified_gmt":"2020-04-29T07:15:49","slug":"ziua-mondiala-de-lupta-impotriva-tuberculozei","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=5698","title":{"rendered":"Ziua Mondial\u0103 de lupt\u0103 \u00eempotriva tuberculozei"},"content":{"rendered":"<p>Mult timp s-a crezut c\u0103 tuberculoza a fost eradicat\u0103, datorit\u0103 medicamentelor moderne, a serviciilor de s\u0103n\u0103tate \u00eembun\u0103t\u0103\u0163ite \u015fi a condi\u0163iilor de igien\u0103. Acest lucru se \u00eent\u00e2mpl\u0103 \u00een numeroase \u0163\u0103ri dezvoltate, \u00eens\u0103, \u0219i ca urmare a mobilit\u0103\u0163ii \u00een cre\u015ftere a popula\u0163iei, \u00een multe \u021b\u0103ri s-a constatat reapari\u0163ia tuberculozei.<\/p>\n<p>\u00cen Africa, Europa de Est \u015fi \u00een Asia Central\u0103, ea a devenit una dintre cele mai stringente probleme medicale. Este o boal\u0103 infec\u021bioas\u0103 transmis\u0103 prin bacterii, iar aspectul cel mai alarmant este c\u0103 numeroase tulpini de bacterii au devenit rezistente la antibiotice.<\/p>\n<p><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc.png\"><img class=\"alignleft size-medium wp-image-5682\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc-300x95.png\" alt=\"tbc\" width=\"300\" height=\"95\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc-300x95.png 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc.png 672w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>Tocmai acesta este \u0219i aspectul cel mai dramatic pentru pacien\u0163i &#8211; rezisten\u0163a pe care tulpinile de bacterii au dezvoltat-o la antibiotice \u015fi la medicamentele clasice \u00eenseamn\u0103 mai pu\u021bine op\u021biuni efective de tratament. O astfel de tulpin\u0103, cunoscut\u0103 \u00een termeni de specialitate ca tuberculoz\u0103 multirezistent\u0103 la medicamente (MDR-Tb), a fost depistat\u0103 \u00een peste 100 de \u0163\u0103ri, inclusiv \u00een Europa de Vest \u015fi \u00een America de Nord. Aceste tulpini apar atunci c\u00e2nd pacien\u0163ii sisteaz\u0103 tratamentul prea devreme.<\/p>\n<p>Cifrele \u00eenaintate de Organiza\u0163ia Mondial\u0103 a S\u0103n\u0103t\u0103\u0163ii sunt \u00eengrijor\u0103toare: aproximativ o treime din popula\u0163ia globului este infectat\u0103. Un pacient infectat poate r\u0103sp\u00e2ndi boala altor 15 persoane \u00een decurs de numai un an. Iar, la nivel mondial, se \u00eenregistreaz\u0103 un deces provocat de tuberculoz\u0103 la fiecare 20 de secunde.<\/p>\n<p>Tuberculoza r\u0103m\u00e2ne, a\u0219adar, o boal\u0103 sever\u0103, de\u0219i este vindecabil\u0103. Principala problem\u0103 este aceea c\u0103 ea necesit\u0103 un tratament sus\u021binut, de lung\u0103 durat\u0103 \u0219i cu multiple reac\u021bii adverse.<\/p>\n<p>Pe de alt\u0103 parte, este o boal\u0103 complicat\u0103 \u0219i costisitoare, pacien\u021bii cu tuberculoz\u0103 \u0219i familiile lor confrunt\u00e2ndu-se cu probleme complexe, \u00een care componentele de sus\u021binere psihologic\u0103 \u0219i social\u0103 joac\u0103 un rol esen\u021bial.<\/p>\n<p>\u00cen Rom\u00e2nia, al\u0103turi de alte boli infec\u021bioase precum rujeola, tuberculoza r\u0103m\u00e2ne o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103. De\u0219i num\u0103rul cazurilor de TBC a sc\u0103zut \u00een ultimii ani, el continu\u0103 s\u0103 fie cel mai ridicat din UE (cu aproximativ 13.000 de cazuri \u00een 2017).<\/p>\n<p>Pentru a sus\u021bine eforturile de control al tuberculozei, Rom\u00e2nia va primi o noua finan\u021bare de la Fondul Global de peste 3,5 milioane de euro. Aceasta va sprijini sistemul de s\u0103n\u0103tate \u0219i va preg\u0103ti tranzi\u021bia la finan\u021barea na\u021bional\u0103 integral\u0103 a modelelor \u0219i serviciilor dezvoltate pentru controlul tuberculozei.<\/p>\n<p><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc2.jpg\"><img class=\"alignleft size-medium wp-image-5683\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc2-300x168.jpg\" alt=\"tbc2\" width=\"300\" height=\"168\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc2-300x168.jpg 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2020\/03\/tbc2.jpg 728w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>Finan\u021barea sus\u021bine primordial tratamentul pentru persoanele vulnerabile, cu acces limitat la serviciile medicale \u0219i cu risc mare de boal\u0103. \u00cen plus, urm\u0103re\u0219te \u00eent\u0103rirea angajamentului comunit\u0103\u021bilor \u00een controlul tuberculozei, prin implicarea organiza\u021biilor societ\u0103\u021bii civile pentru a r\u0103spunde mai bine nevoilor popula\u021biei vulnerabile.<\/p>\n<p>Principalele activit\u0103\u021bi pe care le va sprijini redefinirea modelului de \u00eengrijire a pacien\u021bilor cu tuberculoz\u0103 au \u00een vedere mutarea centrului de greutate al \u00eengrijirilor de la spitale la serviciile ambulatorii \u0219i cele din comunitate.<\/p>\n<p>Totodat\u0103, ea urm\u0103re\u0219te dezvoltarea unui cadru eficient de monitorizare \u0219i evaluare \u00een domeniul tuberculozei \u0219i al programelor na\u021bionale de s\u0103n\u0103tate.<\/p>\n<p>O alt\u0103 direc\u021bie de ac\u021biune este realizarea unei leg\u0103turi func\u021bionale \u00eentre entit\u0103\u021bile publice \u0219i ONG-urile active \u00een domeniul s\u0103n\u0103t\u0103\u021bii publice, dezvoltarea de legisla\u021bie suport \u0219i de proceduri opera\u021bionale pentru asigurarea accesului real al grupurilor vulnerabile la servicii de prevenire \u0219i tratament.<\/p>\n<p>\u00cen fapt, toate acestea demonstreaz\u0103 faptul c\u0103 solu\u021bia cea mai viabil\u0103 pentru rezolvarea problemei tuberculozei \u00een Rom\u00e2nia este dezvoltarea unui model integrat de servicii la nivel comunitar \u0219i realizarea de interven\u021bii care se bazeaz\u0103 pe \u00eent\u0103rirea r\u0103spunsului acestora la tuberculoz\u0103 \u0219i TB-HIV, prin angajarea ONG-urilor \u0219i a autorit\u0103\u021bilor locale. Iar aici asisten\u021ba medical\u0103 primar\u0103 \u0219i cea comunitar\u0103 pot juca un rol determinant.<\/p>\n<p>&nbsp;<\/p>\n<p>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/p>\n<p>&nbsp;<\/p>\n<p>Surse de documentare:<\/p>\n<p>State of Health in the EU Rom\u00e2nia Profilul de \u021bar\u0103 din 2019 \u00een\u00a0ceea\u00a0ce\u00a0prive\u0219te s\u0103n\u0103tatea &#8211; https:\/\/ec.europa.eu\/health\/sites\/health\/files\/state\/docs\/2019_chp_romania_romanian.pdf (sursa foto 1)<\/p>\n<p>www.who.int\/news-room\/campaigns\/world-tb-day\/world-tb-day-2020<\/p>\n<p>https:\/\/www.alphega-farmacie.ro\/noutati-medicale\/tuberculoza-flagelul-care-amenin-din-nou-lumea-590\/<\/p>\n<p>https:\/\/sgg.gov.ro\/new\/wp-content\/uploads\/2019\/01\/MEMO-5.pdf<\/p>\n<p>www.realitatea.net (sursa foto 2)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mult timp s-a crezut c\u0103 tuberculoza a fost eradicat\u0103, datorit\u0103 medicamentelor moderne, a serviciilor de s\u0103n\u0103tate \u00eembun\u0103t\u0103\u0163ite \u015fi a condi\u0163iilor de igien\u0103. Acest lucru se \u00eent\u00e2mpl\u0103 \u00een numeroase \u0163\u0103ri dezvoltate, \u00eens\u0103, \u0219i ca urmare a mobilit\u0103\u0163ii \u00een cre\u015ftere a popula\u0163iei, \u00een multe \u021b\u0103ri s-a constatat reapari\u0163ia tuberculozei. \u00cen Africa, Europa de Est \u015fi \u00een Asia [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":5683,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,6],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5698"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5698"}],"version-history":[{"count":2,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5698\/revisions"}],"predecessor-version":[{"id":5700,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5698\/revisions\/5700"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/5683"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}