CUIDADO RESPIRATORIO DOMICILIARIO EN DISCINESIA CILIAR PRIMARIA: REPORTE DE CASO.
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| Title: | CUIDADO RESPIRATORIO DOMICILIARIO EN DISCINESIA CILIAR PRIMARIA: REPORTE DE CASO. |
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| Alternate Title: | HOME RESPIRATORY CARE IN PRIMARY CILIARY DYSKINESIA: CASE REPORT. |
| Authors: | ÁVILA, IVÓN JOHANA1, MOSQUERA, FREISER ECEOMO CRUZ1 freiser.cruz00@usc.edu.co, ARANGO, ANA CRISTINA ARANGO1, DURÁN, DIANA PATRICIA JIMÉNEZ2 |
| Source: | Revista Médica de Rosario. ene-abr2021, Vol. 87 Issue 1, p21-26. 6p. |
| Abstract (English): | Primary ciliary dyskinesia is a hereditary disease in which a dysfunction of the hair cells present in the respiratory system occurs. Its prevalence ranges from 1: 10,000 to 1: 20,000 live births and, as a result of its low frequency, it is generally underdiagnosed. Patients with primary ciliary dyskinesia experience abnormal mucociliary clearance, which leads to the recurrent presentation of respiratory disorders, therefore proper follow-up by health professionals is imperative. Currently there is no etiological treatment for this pathology, however home respiratory therapy can help reduce respiratory complications, improve symptoms and reduce the frequency of hospitalizations given that it allows a strict monitoring. Objective: to describe the case of a patient diagnosed with Primary Ciliary Dyskinesia, with follow-up by respiratory therapy at home. Case description: Female patient of 11 years of age with past history of esophageal atresia type III, operated on in the neonatal period; gastroesophageal reflux managed surgically, and respiratory failure at 2 year of age; throughout her childhood she developed recurrent episodes of mild dyspnea, productive cough and respiratory infections. At 10 years of age, through ultrastructure studies, she was diagnosed with primary ciliary dyskinesia, and home monitoring and intervention was initiated using respiratory therapy. Conclusion: Home respiratory care in patients with primary ciliary dyskinesia and the strict follow-up involved can contribute to improve respiratory symptoms and reduce the complications associated with this disease. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La discinecia ciliar primaria es una enfermedad de carácter hereditario en la que se produce una disfunción de las células ciliadas presentes en el sistema respiratorio. Su prevalencia oscila entre 1:10.000 y 1:20.000 nacidos vivos, y a raíz de su baja frecuencia generalmente es subdiagnosticada. Los sujetos con discinesia ciliar primaria experimentan un aclaramiento mucociliar anormal lo que conlleva a la presentación recurrente de alteraciones respiratorias, por lo tanto un seguimiento adecuado por parte delos profesionales de la salud resulta imperativo. Actualmente no existe un tratamiento etiológico para esta patología, sin embargo la terapia respiratoria domiciliaria puede contribuir a reducir las complicaciones respiratorias, mejorar los síntomas y disminuir la frecuencia de hospitalizaciones dado que permite realizar un seguimiento estricto. Objetivo: describir el caso de una paciente diagnosticada con Discinesia Ciliar Primaria, con seguimiento por terapia respiratoria en el domicilio. Presentación del caso: Paciente femenina de 11 años de edad con antecedente de atresia de esófago tipo III intervenida en el periodo neonatal, reflujo gastroesofágico manejado quirúrgicamente y falla respiratoria a los 2 años, que durante toda su infancia desarrolló episodios recurrentes de disnea leve, tos húmeda e infecciones respiratorias. A los 10 años, a través de estudios de ultraestructura es diagnosticada con discinecia ciliar primaria, por lo que se inicia seguimiento e intervención domiciliaria por medio de terapia respiratoria. Conclusión: El cuidado respiratorio domiciliario en los pacientes con discinesia ciliar primaria y el estricto seguimiento que implica puede contribuir a mejorar los síntomas respiratorios y reducir las complicaciones asociadas a esta enfermedad. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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