Astm Bronsic

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MINISTERUL EDUCA IEI, CERCET RII I INOV RIIGRUPUL COLAR SANITAR LOCALITATEA BAIA MARE, JUDE UL MARAMURE
PROIECT
ÎNGRIJIREA BOLNAVULUI CU ASTM BRONSICEXAMENUL DE ABSOLVIRE A POSTLICEALECOLIICalificarea profeio!al " ai#e!# $e%ical &e!erali#Profeor '!%r($ #or Maria! L(cre iaABSOLVENTMocira! A!a$aria)*++)
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S! #a#ea e#e o co$oar pe care p( i!i #i(  o pre (iac , %e i aproape #o i e !ac c( ea/0
1ippocra#e
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C(pri!
-/ Ar&($e!#2 $e$ori( 3(#ifica#i4*/ Cap/ I5/ Cap/ III!#ro%(cere , c(r# i#oric No#i(!i %e a!a#o$ie i fi6iolo&ie a apara#(l(i repira#or ) pa&/7) pa&/-89 pa&/:*/-/ A!a#o$ia apara#(l(i repira#or */*/ ;i6iolo&ia repira#iei</ Cap/ IIIA#$(l =ro!ic5/-/ Defi!i#ie, e#iopa#o&e!ie, claificare, for$e cli!ice5/*/ Ma!ife#ari cli!ice5/5/ Da#e paracli!ice5/</ Dia&!o#ic po6i#i4 i %ifere!#ial5/:/ E4ol(#ie, co$plica#ii, pro&!o#ic5/8/ Profila>ia a#$(l(i =ro!ic5/7/ Tra#a$e!#(l a#$(l(i =ro!ic:/ Cap/ IV I!&ri3irea =ol!a4(l(i c( a#$ =ro!ic</-/ Ca6(l I</*/ Ca6(l II</5/ Ca6(l III8/ Bi=lio&rafie7/ A!e>e) pa&/**) pa&/*:) pa&/*7) pa&/5+) pa&/55) pa&/5:) pa&/57) pa&/<:) pa&/:5) pa&/7+9 pa&/7?) pa&/7
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ARGUMENT
A#$(l =ro!ic e#e o afec#i(!e p(l$o!ara cro!ica %e !a#(ra i!fla$a#orie, care crea6ai! $o$e!#(l ac#(al &ra4e pro=le$e %e a!a#a#e p(=lica, %i! ca(6a frec4e!#ei, &ra4i#a#ii ico!eci!#elor eco!o$ice pe care le &e!erea6a/ E#e (!a %i!#re cele $ai pre4ale!#e =olicro!ice, care afec#ea6 '! 3(r %e 5++ %e $ilioa!e %e oa$e!i %i! '!#rea&a l($e, iar %eceeleca(6a#e %e acea#a $ala%ie %epaec -?+/+++ %e 4ic#i$e a!(al/ La fiecare 6ece a!i, frec4e!#aafec#i(!ii cre#e i! l($e c( apro>i$a#i4 8+@, %i! ca(6a (!or fe!o$e!e prec($ (r=a!i6area,i!%(#riali6area, pol(area a#$oferica/I! Ro$a!ia, pre4ale!#a a#$(l(i =ro!ic e ri%ica la apro>i$a#i4 7)?@ %i! pop(la#ie,ceea ce i!ea$!a pe#e (! $ilio! %e =ol!a4i/ *:@ %i! pacie!#ii care (fera %e a#$ %i! E(ropai :+@ %i! pacie!#ii c( a#$ %i! Aia a( cri6e %e %ip!ee foar#e e4ere, ce !ecei#a #ra#a$e!#%e (r&e!#a i! pi#al/ I! E(ropa, !($ai 3($a#a#e %i! pacie!#i a( (! a#$ =i!e co!#rola#, c($e%ica#ie a%ec4a#a, i! #i$p ce i! Aia %oar 5<@ %i!#re =ol!a4i =e!eficia6a %e $e%ica$e!#e/Da#e rece!#e ara# c - %i! 5 copii pre6i!# $a!ife# ri aler&ice, %i!#re care 5+):+@4or %e64ol#a a#$ =ro! ic/ ;or(rile $o!%iale %e peciali#a#e acor%a o a#e!#ie $ari#a ace#ei =olirepira#orii, a#fel ca, (l#i$(l %ece!i( a a%( o a=or%are (!i#ara i!#er!a#io!ala #a!%ar%i6a#a pri4i!% a#$(l =ro!ic i BPOC/Bol!a4(l #re=(ie i!4a#a# a %ecele6e i a e4i#e fac#orii care %ecla!ea6a cri6a i a)ia3(#e6e #ra#a$e!#(l/ C( #oa#e ca a#$(l !( (ci%e, eec(l i!cercarii %e a foloi $e%ica$e!#ea%ec4a#e, c(pla# c( o la=a e4al(are a e4eri#a#ii =olii, po# %e#er$i!a %ecee i!(#ile, cele $ai$(l#e %i!#re ele i! afara pi#al(l(i/I!4a#a#i fii!% a)i c(!oaca =oala, a)i $o!i#ori6e6e i$p#o$ele , a)i $o%ificeco!%i#iile %e 4ia#a i a repec#e #ra#a$e!#(l a%ec4a# cei $ai $(l i pacie! i po# o= i!e (! =(!co!#rol al =olii/ Aici i!#er4i!e rol(l ai#e!#(l(i $e%ical i! a oferi i!for$a#iile !eceare, (por#fi6ic i piic a#a# =ol!a4(l(i ca# i fa$iliei ale, pe!#r( o cali#a#e a 4ie#ii ca# $ai =(!a/Ace#ae#e $o#i4(l pe!#r( care a$ ale a #(%ie6 i!&ri3irile care e po# acor%a =ol!a4(l(i a#$a#ic/C!% a#$(l e#e co!#rola#, pacie! ii po#  %(c o 4ia !or$ala, fara li$i#ari/
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Cap/ I / I!#ro%(cere , c(r# i#oric
A#$(l e#e (!a %i!#re cele $ai %e '!#l!i#e $ala%ii cro!ice %i! l($e, c( o pre4ale!#aace!%e!#a, '! pecial '! r!%(l copiilor/A#$(l poa#e fi #ra#a# i co!#rola#, a#fel '!c# $a3ori#a#ea pacie!#ilor a poa#a" pre4e!i i$p#o$ele o=oi#oare, a## 6i(a c# i !oap#ea/ pre4e!i cri6ele &ra4e/!ecei#a p(#i!e a( %eloc $e%ica$e!#e ce pro%(c a$eliorare rapi%a/%(ce 4ie#i pro%(c#i4e, c( ac#i4i#a#e fi6ica/a4ea o f(!c#ie p(l$o!ara aproape !or$ala/La !i4el &lo=al a fo# crea#a o i!i#ia#i4a  GINA  pe!#r( ri%icarea !i4el(l(i %eco!#ie!#i6are a pro=le$ei a#$(l(i '! r!%(l profeio!i#ilor %i! a!a#a#e, a(#ori#a#ilor p(=lice%i! %o$e!i(l a!a#a#ii i p(=lic(l(i lar&, i pe!#r( '$=(!a#a#irea pre4e!irii i $a!a&e$e!#(l(i, pri!#r)(! efor# (#i!(#/ I!i#ia#i4a '!#oc$e#e rapoar#e #ii!#ifice %epre a#$, '!c(ra3ea6arap!%irea i a%op#area ace#or rapoar#e i pro$o4ea6a cooperarea i!#er!a#io!ala '!cerce#area le&a#a %e a#$/ Daca a#$(l a fo# rec(!oc(# %e $ai $(l#i a!i, oficialii %i!%o$e!i(l a!a#a#ii p(=lice (!# '!&ri3ora#i %i! ca(6a i!ci%e!#ei '! co!#i!(a cre#ere %i! (l#i$a4re$e/ I!i#ia#i4a &lo=ala pe!#r( a#$ ofera (! ca%r( pe!#r( $a!a&e$e!#(l a#$(l(i care poa#efi a%ap#a# i#e$elor i re(relor locale %e ai#e!#a $e%icala/ Se po# p(!e la p(!c#i!#r($e!#ele e%(ca#io!ale, a%ap#a#e ace#or i#e$e i re(re/I#oric "A#$(l =ro!ic e#e o e!#i#a#e cli!ica c(!oc(#a c( apro>i$a#i4 -+++ %e a!i i/e/!, el%eri4a %e la (! c(4a!# &recec care i!ea$!a .&re(#a#e repira#orie0 , i e#e co!i%era# (!.=re4e# %e 4ia#a l(!&a0/I!%ie!ii 4eci oco#ea( ca a#$(l e#e pro%( %e (! pri!cipi( ac#i4 al #oracel(i, carei$pie%ica# i! #recere, ca(6ea6a &re(#a#ea repira#orie/ Ei a( i!#ro%( #ra#a$e!#(l c( Da#(raS#ra$$o!i($ i! #i&ari a#$a#ice/ Se i!#al!ec referiri %epre a#$ i! E>o%, 1o$er i 1ero%o#/
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