{"id":2181,"date":"2017-09-23T12:14:03","date_gmt":"2017-09-23T10:14:03","guid":{"rendered":"http:\/\/www.tonimartinmedic.com\/?page_id=2181\/"},"modified":"2020-06-22T10:57:18","modified_gmt":"2020-06-22T08:57:18","slug":"el-dolor-en-la-consulta-medica","status":"publish","type":"page","link":"https:\/\/www.tonimartinmedic.com\/ca\/el-dolor-en-la-consulta-medica\/","title":{"rendered":"El dolor en la consulta m\u00e8dica"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\"  style='background-color: rgba(255,255,255,0);background-position: left top;background-repeat: no-repeat;padding-top:60px;padding-right:0px;padding-bottom:100px;padding-left:0px;border-top-width:0px;border-bottom-width:0px;border-color:#eae9e9;border-top-style:solid;border-bottom-style:solid;'><div class=\"fusion-builder-row fusion-row \"><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_2_3 fusion-builder-column-0 fusion-two-third fusion-column-first 2_3\"  style='margin-top:0px;margin-bottom:30px;width:65.3333%; margin-right: 4%;'><div class=\"fusion-column-wrapper\" style=\"background-color:#ffffff;border:1px solid #dddddd;padding: 40px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"   data-bg-url=\"\"><div class=\"fusion-text\"><h2>El dolor en la consulta m\u00e8dica<\/h2>\n<\/div><div class=\"fusion-text\"><p><em>(Art\u00edcle extret d&#8217;una entrevista realitzada al doctor Daniel Samper, coordinador de la Cl\u00ednica del Dolor de l&#8217;Hospital Universitari Germans Trias i Pujol de Badalona, a La Vanguardia 02\/08\/2010)<\/em><\/p>\n<blockquote>\n<p><strong>El dolor \u00e9s el s\u00edmptoma m\u00e9s freq\u00fcent que porta a la primera visita en atenci\u00f3 prim\u00e0ria, arribant al voltant del 80% de les consultes m\u00e8diques.<\/strong><\/p>\n<\/blockquote>\n<p>El <strong>dolor<\/strong> s&#8217;ent\u00e9n com un s\u00edmptoma que mobilitza al pacient fins a la consulta del metge. Les mol\u00e8sties poden arribar a ser\u00a0incapacitants, aconseguint extrems que ho converteixen en un dolor insuportable.<\/p>\n<ul>\n<li>En aquests casos parlem d&#8217;un dolor que afecta la qualitat de vida de la persona, a les seves funcions f\u00edsiques, mentals i socials, fent que tot es torni negatiu.<\/li>\n<\/ul>\n<p>Segons una enquesta realitzada en 16 pa\u00efsos europeus sobre aquest tema al nostre pa\u00eds la prevalen\u00e7a del dolor cr\u00f2nic \u00e9s del <strong>12% de la poblaci\u00f3<\/strong>, unes xifres alguna cosa inferiors a les d&#8217;altres pa\u00efsos europeus com el Regne Unit (30%), It\u00e0lia (20%) o Noruega (30%).<\/p>\n<p>El <strong>tipus de dolor que m\u00e9s consultes genera \u00e9s el m\u00fascul-esquel\u00e8tic<\/strong>, \u00e9s a dir, el relacionat amb les zones lligamentoses, les parts musculars i les articulacions.<\/p>\n<ul>\n<li>De fet, un 60% dels pacients amb dolor cr\u00f2nic t\u00e9 un dolor d&#8217;aquest tipus, que es tradueix en ci\u00e0tica, reuma, artritis, lumb\u00e0lgies, etc.<\/li>\n<li>Una enquesta elaborada per la Societat Espanyola del Dolor indica que la prevalen\u00e7a del dolor cr\u00f2nic \u00e9s del 80%, \u00e9s a dir, que 8 de cada 10 pacient ho sofreixen.<\/li>\n<li>Les zones del cos on m\u00e9s incideix el dolor s\u00f3n l&#8217;esquena, el genoll i el maluc.<\/li>\n<li>En la poblaci\u00f3 general no hi ha difer\u00e8ncies d&#8217;afectaci\u00f3 per sexe, encara que en les unitats del dolor s\u00f3n dones en un 65%.<\/li>\n<li>Pel que es refereix a l&#8217;edat mitjana en qu\u00e8 les persones acudeixen a aquest tipus d&#8217;unitats se situa en els 59 anys, encara que cada d\u00e8cada ocupa un 20% dels pacients.<\/li>\n<\/ul>\n<blockquote>\n<p><strong>Si tenim en compte que el dolor va associat a estr\u00e8s, incapacitat funcional, insomni, etc., no \u00e9s dif\u00edcil imaginar que les \u00e0rees de la vida del pacient que queden afectades per les mol\u00e8sties s\u00f3n totes.<\/strong><\/p>\n<\/blockquote>\n<ul>\n<li>En la majoria de casos el malalt ha de deixar de treballar i tampoc pot realitzar una activitat f\u00edsica quotidiana de forma regular.<\/li>\n<li>Els pacients dormen malament i les repercussions en la seva qualitat de vida s\u00f3n immenses.<\/li>\n<li>Un 50% d&#8217;aquestes persones t\u00e9 limitada la vida laboral, un 70% veu disminu\u00efda la deambulaci\u00f3, un 30% pateix depressi\u00f3, el 80% t\u00e9 problemes de somni, i un 20% presenta disfuncions sexuals.<\/li>\n<\/ul>\n<p>Quant als costos econ\u00f2mics del tractament del dolor cr\u00f2nic, s&#8217;inverteix en aix\u00f2 un 2,5 del PIB del pa\u00eds, \u00e9s a dir, que uns 3.000 milions d&#8217;euros constitueixen la despesa anual en aquest tipus de pacients.<\/p>\n<ul>\n<li>Ja no nom\u00e9s s\u00f3n els procediments diagn\u00f2stics, f\u00e0rmacs, etc., sin\u00f3 que tamb\u00e9 cal recordar que s\u00f3n persones que deixen de treballar i per tant de produir.<\/li>\n<\/ul>\n<blockquote>\n<p><strong>Els pacients sol\u00b7liciten amb la m\u00e0xima urg\u00e8ncia que els llevin el dolor o almenys que l&#8217;hi redueixin.<\/strong><\/p>\n<\/blockquote>\n<ul>\n<li>Tamb\u00e9 sol\u00b7liciten una major agilitat en els tractaments i en la realitzaci\u00f3 de les proves diagn\u00f2stiques, ja que des de la primera visita fins que es determina la patologia poden transc\u00f3rrer mesos.<\/li>\n<li>D&#8217;altra banda es requereix que els f\u00e0rmacs es tolerin millor, a m\u00e9s que les proves diagn\u00f2stiques siguin m\u00e9s sensibles perqu\u00e8 detectin aspectes que avui dia segueixen passant-se per alt.<\/li>\n<\/ul>\n<p>Els TRACTAMENTS en medicina, tal com explica el doctor\u00a0Sampere, v\u00e9nen donats per una s\u00e8rie de protocols que estableixen uns grups de treball de les societats cient\u00edfiques que regeixen aquesta especialitat.<\/p>\n<ul>\n<li>Existeix una Associaci\u00f3 Mundial per al Dolor, que \u00e9s on es determinen quins s\u00f3n els tractaments per abordar el dolor.<\/li>\n<li>Tamb\u00e9 hi ha una associaci\u00f3 d&#8217;aquest tipus\u00a0en l&#8217;\u00e0mbit europeu\u00a0i espanyol, a m\u00e9s dels congressos i revistes cient\u00edfiques que col\u00b7laboren en el dictamen de les pautes per tractar el dolor.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_3 fusion-builder-column-1 fusion-one-third fusion-column-last 1_3\"  style='margin-top:0px;margin-bottom:30px;width:30.6666%'><div class=\"fusion-column-wrapper\" style=\"background-color:#ffffff;border:1px solid #dddddd;padding: 30px;background-position:left 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