0,41 CME

Prise en charge des maladies chroniques : présentation de cas

Conférencier: Dr Bhola Nath

Professeur et chef de département Département de médecine communautaire et familiale AIIMS Raebareli

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Description

Managing chronic conditions requires a proactive and holistic approach to maintain optimal health and quality of life. Effective management of chronic conditions involves a combination of medical treatment, lifestyle modifications, and self-care strategies. Regular communication and collaboration with healthcare professionals are crucial for developing a personalized management plan. Understanding and educating oneself about the condition, its symptoms, and potential complications are fundamental to successful management. Adherence to prescribed medications, therapies, and treatment regimens is essential in controlling chronic conditions. Lifestyle modifications such as adopting a healthy diet, regular exercise, and stress management techniques can significantly improve outcomes. Effective management often requires making informed choices about balancing activity levels, rest, and stress reduction techniques. Developing coping mechanisms and resilience skills can help individuals navigate the challenges and emotional impact of living with a chronic condition.

Résumé

  • Chronic diseases, also known as non-communicable diseases (NCDs), are long-lasting conditions that are not transmitted from person to person. These diseases, such as diabetes, cardiovascular diseases, cancers, and chronic respiratory diseases, persist over time and can lead to residual disability, requiring special training and supervision for the affected individuals. Unlike communicable diseases, NCDs have a slow, gradual onset, are caused by multiple factors, and require long-term management.
  • The impact of NCDs is significant, accounting for a large proportion of global deaths each year, with a disproportionate burden in low- and middle-income countries. Cardiovascular diseases and cancer are the leading causes of death among NCDs, highlighting the importance of addressing these specific conditions. In India, NCDs constitute a substantial percentage of total deaths, with cardiovascular diseases being a major contributor. Urban areas and individuals with lower socioeconomic status are particularly vulnerable to NCDs due to factors such as lifestyle and access to resources.
  • Various transitions, including demographic, economic, social, nutritional, and epidemiological, contribute to the increasing prevalence of NCDs. Demographic shifts towards aging populations, economic changes leading to sedentary lifestyles, social changes related to urbanization, and a shift towards processed foods have all played a role. The epidemiological transition reflects a shift from infectious diseases to NCDs as the dominant cause of mortality.
  • Risk factors for NCDs are categorized as non-modifiable (e.g., age, sex, family history) and modifiable (e.g., smoking, alcohol consumption, diet). Addressing modifiable risk factors is crucial for prevention and management. Surveillance systems, such as the WHO's STEPwise approach, are used to monitor NCD risk factors and enable early intervention.
  • Cardiovascular diseases encompass conditions like ischemic heart disease, hypertension, and stroke, with coronary heart disease being a major concern. Stroke, defined as brain dysfunction lasting more than 24 hours, can result from stenosis, occlusion, or rupture of blood vessels. Cancer, another major NCD, presents with varied clinical features depending on the site of origin.
  • Diabetes, characterized by elevated blood sugar levels, is another prevalent NCD. Obesity, increasingly affecting children, is a significant risk factor for various NCDs. Blindness, often preventable, can be caused by factors like cataracts, refractive errors, and glaucoma. National programs aim to prevent and control blindness by addressing avoidable causes.
  • Management of NCDs involves both treatment and prevention strategies. Prevention focuses on reducing smoking, promoting physical activity, improving nutrition, and reducing harmful alcohol use. Health promotion activities, such as adopting a healthy diet and engaging in physical activity, are essential for managing NCDs. National efforts, aligned with Sustainable Development Goals (SDGs), aim to reduce premature mortality and address key risk factors through specific targets to be achieved by 2025.

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