Author/Editor		Kopčavar-Guček, Nena
Title		KOPB kot multikomponentna bolezen
Translated title		COPB as a multicomponent disease
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 45, št. Suppl 1
Publication year		2006
Volume		str. 127-31
Language		slo
Abstract		COPD is a very frequent cause of death (4th) and this trend is on the increase in the world. The goal of treatment of COPD is to decrease its symptoms, prevent complications, slow down the deterioration of pulmonary function and increase the duration as well as quality of life. Early diagnosis, adequate treatment, close follow-up and sufficient rehabilitation are essential for good results. This complex treatment regimen requires close cooperation of experts from different fields, as COPD causes not only local inflammation but also extensive systemic damage. The muscular agility diminishes, there is a greater tendency towards cardiovascular events because blood clotting is increased and osteoporosis is more likely. Therefore, dietetic counselling is mandatory due to muscle and body mass decrease, nicotine dependence and depression which requires psychiatric treatment. The family physician plays the role of a coordinator in the treatment of this progressive chronic disease, which - in our environment has yet to attract wider public interest.
Summary		Namen zdravljenja KOPB, ki v svetu kot vzrok smrti narašča, je zmanjšanje simptomov, preprečevanje poslabšanj, upočasnitev upada pljučne funkcije in podaljšanje preživetja. Za čimboljšo kvaliteto življenja bolnikov s KOPB je ključna tako preventiva kot zgodnje prepoznavanje, diagnosticiranje, zdravljenje, spremljanje bolezni in rehabilitacija. Tako kompleksna obravnava terja sodelovanje strokovnjakov iz različnih področij, saj tudi vnetna bolezen dihalnih poti posredno prizadene tudi druge organske sisteme. Upade mišična moč, zniža se kostna gostota, poveča se koagulabilnost krvi, zveča se tveganje za srčno-žilne bolezni, pokaže se potreba po obravnavi odvisnosti od nikotina in depresije, zaradi naraščajoče šibkosti pa je potrebno tudi dietetično svetovanje. Družinski zdravnik deluje kot koordinator pri vodenju te hude in progresivne kronične bolezni, za katero v našem okolju trenutno ni posebno velikega javnozdravstvenega interesa.
Descriptors		LUNG DISEASES, OBSTRUCTIVE FAMILY PRACTICE