Author/Editor     Rotar-Pavlič, Danica
Title     Obravnava bolnika s presnovnim sindromom v ambulanti družinske medicine (praktična izhodišča, osnovana na podlagi finskih smernic za delo družinskega zdravnika)
Translated title     Management of patients with metabolic syndrome by family medicine practitioners (practical starting points)
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 45, št. Suppl 1
Publication year     2006
Volume     str. 71-5
Language     slo
Abstract     Metabolic syndrome is a set of health risks that increase a person's chances of developing cardiovascular diseases: central obesity, diabetes or impaired glucose tolerance, high blood pressure and lipidogram problems. Up to one fifth of the population in western countries have this set of risk factors. The syndrome is more frequently seen in the elderly and is diagnosed in one half of the population aged from 60 to 69 years. For years, individual risk factors have been detected and treated independently. However, increasingly more often they need to be evaluated as an integral and complex system. Family medicine practitioners are experts active in the broadest population environment. Therefore, they need to be familiar with the frequency and characteristics of metabolic syndrome and should treat patients with several risk factors. They must also be acquainted with the methods for promoting lifestyle changes and the importance of nonpharmacological measures.
Summary     Presnovni sindrom je skupek dejavnikov tveganja za srčno-žilne bolezni: centralne debelosti, sladkorne bolezni ali motene tolerance za glukozo, visokega krvnega tlaka in motenj v lipidogramu. V zahodnih državah ima to skupek dejavnikov približno petina prebivalcev. Pri starejših ljudeh je sindrom še pogostejši, saj ga ugotavljajo pri polovici populacije, stare od 60 do 69 let. Doslej smo odkrivali in zdravili posamezne dejavnike tveganja samostojno; vse pogosteje pa ugotavljamo, da jih je treba vrednotiti kot celovit in prepleten sistem. Zdravnik družinske medicine je strokovnjak, ki deluje v najširšem populacijskem okolju, zato mora poznati pojavnost in značilnosti presnovnega sindroma ter vodenje bolnika z več dejavniki tveganja. Prav tako mora poznati postopke motivacije za spremembo življenjskega sloga in pomen nefarmakoloških ukrepov.
Descriptors     INSULIN RESISTANCE
HYPERTENSION
OBESITY
HYPERLIPIDEMIA
FAMILY PRACTICE