1. Crenoterapia in bolile renale: studiu comparativ intre statiunile de ...
1. Crenoterapia in bolile renale: studiu comparativ intre statiunile de ...
1. Crenoterapia in bolile renale: studiu comparativ intre statiunile de ...
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Consens - terapeutic<br />
• Cura balneara reprez<strong>in</strong>ta o metoda terapeutica adjuvanta <strong>in</strong> <strong>bolile</strong> <strong>renale</strong>.<br />
• Adresabilitatea pentru aceasta grupa <strong>de</strong> afectiuni este mult sub cea a bolilor reumatismale, ale cailor respiratorii si cardiovasculare<br />
(care reprez<strong>in</strong>ta global, 75-85% d<strong>in</strong> solicitarile <strong>de</strong> cura).<br />
• In toate statisticile, litiaza renala si formele ei reprez<strong>in</strong>ta prima si cea mai frecventa <strong>in</strong>dicatie.<br />
• Alegerea statiunii:<br />
I. se prefera <strong>in</strong> toate cazurile apele oligom<strong>in</strong>erale <strong>in</strong> “cura <strong>de</strong> diureza”: 30-50 ml?Kgc/zi.<br />
II.se poate t<strong>in</strong>e cont <strong>de</strong> corespon<strong>de</strong>nta d<strong>in</strong>tre tipul apelor m<strong>in</strong>erale si compozitia liliazei. Cont<strong>in</strong>utul <strong>de</strong> NaHCO 3 , Ca, CO 2 ,<br />
si H 2 S (?) creste efectul diuretic si <strong>de</strong> aceea a doua optiune apart<strong>in</strong>e acestor grupe <strong>de</strong> ape (oligom<strong>in</strong>erale sau hipotone).<br />
Cont<strong>in</strong>utul m<strong>in</strong>eral si pH-ul apelor poate <strong>in</strong>terveni <strong>in</strong> sens corector al unor conditii litogene speciale (guta, cist<strong>in</strong>oza)<br />
• Este recunoscut efectul profilactic al curei (sca<strong>de</strong> <strong>in</strong>ci<strong>de</strong>nta > 50% recidivelor si/sau dimensiunea calculilor restanti).<br />
• Efectul curativ – elim<strong>in</strong>ator, nu este <strong>in</strong>tot<strong>de</strong>auna <strong>de</strong>monstrat, elim<strong>in</strong>area calculilor <strong>de</strong>p<strong>in</strong>zand si <strong>de</strong> conditii anatomice<br />
<strong>in</strong>dividuale.<br />
• Procedurile asociate (termoterapia si hidroterapia) faciliteaza efectul elim<strong>in</strong>ator al crenoterapiei si actioneaza <strong>in</strong> sens<br />
antialgic-antispastic. Avantajul statiunilor termale cu ape oligom<strong>in</strong>erale acratoterme sulfuroase este <strong>de</strong> a asocia cura<br />
<strong>in</strong>terna cu balneatia <strong>in</strong> acelasi pachet terapeutic.<br />
• Indicatiile curei balneare sunt aceleasi <strong>in</strong> toate tarile, dar rambursarea pr<strong>in</strong> asigurarile <strong>de</strong> sanatate este diferita.<br />
• Contra<strong>in</strong>dicatiile curei balneare sunt b<strong>in</strong>e <strong>in</strong>cadrate <strong>in</strong> toate tarile (<strong>de</strong>si nu exista studii <strong>de</strong> referita pentru efectele adverse<br />
a curelor balneare).<br />
• Metodologia curei balneare este perfect standardizata <strong>in</strong> Franta, pr<strong>in</strong> colaborarea d<strong>in</strong>tre S<strong>in</strong>dicatul medicilor d<strong>in</strong> <strong>statiunile</strong><br />
termale si Asigurarile <strong>de</strong> sanatate.
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