članak: 1 od 1  
Medicinski pregled
2001, vol. 54, br. 5-6, str. 241-244
jezik rada: srpski
pregledni članak
Gojaznost i poremećaji respiratornog trakta
Klinički centar, Institut za interne bolesti, Klinika za endokrinologiju, dijabetes i bolesti metabolizma, Novi Sad

Sažetak

Vrlo česti poremećaji respiratornog trakta u senci su metaboličkih i kardiovaskularnih komplikacija, sreću se pretežno u ekstremnoj gojaznosti (BMI>40kg/m2), češće u ginoidnom tipu. Praktično se mogu svrstati u četiri grupe: 1. poremećaji disajne funkcije bez alveolarne hipoventilacije, 2. Pickwickov sindrom, 3. sindrom opstruktivne apneje u spavanju (Sleep Apnea Syndrome), i 4. rizik za vreme hirurških intervencija. U radu se detaljno raspravlja o mehanizmima nastanka, patofiziološkim karakteristikama i kliničkim znacima svakog od ovih poremećaja, da bi na kraju bio dat pregled njihovog lečenja.

Ključne reči

Gojaznost; Bolesti respiratornog trakta + terapija

Reference

Basdevant, A., Laville, M., Ziegler, O. (1998) Practice guideline for the diagnosis, prevention, treatment of obesity in France: Groupe de Travail charge de la mise au point des 'Recommandations pour le diagnostic, la prévention et le traitement des Obésités en France'. Diabetes Metab, 24 Suppl 2: 10-42
Bickelmann, A.G., Burwell, C.S., Robin, E.D., Whaley, R.D. (1956) Extreme obesity associated with alveolar hypoventilation; a Pickwickian syndrome. Am J Med, 21(5): 811-8
Deegan, P.C., Mcnicholas, W.T. (1995) Pathophysiology of obstructive sleep apnoea. Eur Respir J, 8(7): 1161-78
Feiss, P. (1987) Obesite et chirurgie. Gaz Med, 94, str. 35-9
Heitmann, J., Schneider, H., Grote, L., Peter, J.H. (1993) Schlafapnoe und Adipositas. Adipositas, 5, str. 12-8
Hoffstein, V., Mateika, S. (1994) Cardiac arrhythmias: snoring, and sleep apnea. Chest, 106, str. 466-71
Ivković-Lazar, T.A. (1992) Gojaznost. Beograd: Medicinska knjiga
Kazancioglu, R., Tetikkurt, C., Ozbey, N., Teko, S. (1996) Respiratory function in obesity. Int J Obesity, 20, str. 147-52
Leitlinien der Deutschen Adipositas (1998) Geselschaft zur Therapie der Adipositas. Adipositas, 8, str. 6-23
Lepšanović, L. (1993) Gojaznost kao faktor rizika u odraslih osoba. Specijalni zavod Zlatibor, 61-6
Millman, R.P., Carlisle, C.C., Mcgarvey, S.T., Eveloff, S.E., Levinson, P.D. (1995) Body fat distribution and sleep apnea severity in women. Chest, 107(2): 362-6
Opert, J.M., Laaban, J.P., Frija, E., Hira, M. (1996) Hypercapnia and sleep apnea syndrome in morbidly obese patients. Int J Obesity, 20, str. 150-4
Pépin, J.L., Leger, P., Veale, D., Langevin, B., Robert, D., Lévy, P. (1995) Side effects of nasal continuous positive airway pressure in sleep apnea syndrome: Study of 193 patients in two French sleep centers. Chest, 107(2): 375-81
Pi-Sunyer, F.X. (1993) Medical hazards of obesity. Ann Intern Med, 119(7 Pt 2): 655-60
Rennotte, M.T., Baele, P., Aubert, G., Rodenstein, D.O. (1995) Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest, 107(2): 367-74
Richman, R.M., Elliott, L.M., Burns, C.M., Bearpark, H.M., Steinbeck, K.S., Caterson, I.D. (1994) The prevalence of obstructive sleep apnoea in an obese female population. Int J Obes Relat Metab Disord, 18(3): 173-7
Shepard, J.W. (1992) Hypertension, cardiac arrhythmias, myocardial infarction, and stroke in relation to obstructive sleep apnea. Clin Chest Med, 13(3): 437-58
Song, T.M.K., Malina, R.M., Bouchard, C. (1994) Relationship between somatotype and pulmonary functions in adults. J Obesity, 18, str. 133-6
Stokić, E.J. (1997) Uticaj specifične distribucije masnog tkiva na razvoj metaboličkih komplikacija gojaznosti. Novi Sad: Medicinski fakultet, Doktorska disertacija
Tabori, Đ. (1993) Uticaj gojaznosti na disajne organe. Pneumon, 31: 177-82
Unterberg, W. (1971) Das Pickwick-Syndrom. Deutsches Arzteball, 68(14), str. 1009-12
World Health Organization (1998) Obesity: Preventing and managing the global epidemic. u: Report of a WHO Consultation on Obesity, Geneva