DISFUNKCIONALNO DISANJE KOD DECE SA ASTMOM
DOI:
https://doi.org/10.46793/PP170210007JKljučne reči:
disfunkcionalno disanje, Nijmegen upitnik, astma, decaApstrakt
Poremećaji disanja kod dece mogu biti posledica funkcionalnih poremećaja disanja sa jedne, i organskih respiratornih bolesti sa druge strane. Simptomi organskih respiratornih bolesti i psihogeni aspekt mogu se preplitati. Jedna od najčešćih hroničnih organskih respiratornih bolesti, na globalnom nivou je astma. Procenjuje se da ovu dijagnozu ima oko 300 miliona ljudi širom sveta i više od 10% pedijatrijske populacije. Iako su razvijene brojne savremene terapjske opcije za lečenje astme, izvestan procenat pacijenata, uključujući i decu, ima loš odgovor na primenjenu terapiju. U grupi ovih pacijenta lekari bi trebalo da razmotre mogućnost postojanja alternativnih dijagnoza, te da prepoznaju eventualno pridružene ili skrivene poremećaje, koji vode lošoj kontroli simptoma bolesti. U tom smislu, primenom više modaliteta kliničkog ispitivanja, kao i rezultata dobijenog Nijmegen upitnikom, moguće je potvrditi prisustvo simptoma disfunkcionalnog disanja i razmotriti da li prisutni simptomi koegzistiraju sa astmom ili predstavljaju nezavisan entitet. Na taj način kroz adekvatne terapijske procedure, ostvarila bi se bolja kontrola simptoma bolesti, izbegla primena nepotrebnih i potencijalno štetnih terapijskih procedura i omogućilo vraćanje uobičajenim životnim navikama, te postiglo poboljšanje opšteg kvaliteta života dece poremećajima disanja.
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