|LSu1uL CLLuLA8 Su8Cu1AnA1

1
|esuLul celular subcuLanaL: examlnare
Lehnlclle foloslLe: lospec(lo sl polpoteo
repere urmrlLe:
! stoteo Je oottl(le
! eJemol
! cltcolo(lo colotetol
! qooqllooll llmfoucl
2
!"#$%# '% ()"$*+*%
= telo(lo Jlotte opottol oottl(loool (colltouv sl
cooutouv) sl cbeltolellle eoetqeuce, cote teollzeoz
moso (qteototeo) sl Jezvoltoteo cotpolol.
3
SLarea de nuLrl(le
" o evaluare corecL se adreseaz aLL mosel
oJlpoose cL sl mosel moscolote,
" ulsttlbo(lo (esuLulul adlpos:
! la nlvelul (esotolol celolot sobcotooot,
! tettopetltooeol,
! la nlvelul eplploooolol,
! petlvlscetol - in [urul organelor abdomlnale -
mal ales petlteool (qtslmeo pototeool Cetoto),
! la nlvelul obtozolol (bolo lol 8lcbot).
4
SLarea de nuLrl(le - elemeote ptocuce
l. sumoteo cllolc o (esotolol celolot sobcotooot
prln:
,- *(./%0+*# .12#304 5%(%$#64 (volum, dlsLrlbu(le)
2. evlden(lerea prln /%(.#$%# 7* 24.)$#$%# (cu
compasul adlpomeLru) a 5$1.*2** /6*0**
.)80)"#(#"% in zonele de elec(le:
! teqlooeo ttlclpltol o bto(olol
! sobscopolot
! obJomlool
3
Msurarea pllcll subcuLanaLe
6
SLarea de nuLrl(le - elemeote ptocuce
ll. compototeo mosel cotpotole co tollo (iol(lmeo)
,- 9('*0%6% 6)* :$10#
C
lJeol
= - 100

;- <1$2)6# 6)* =1$%(">
C
lJeol
= - 100 - ( - 150)/4

?- 9('*0%6% '% 2#.4 01$/1$#64 @9ABC
9AB D E
@F5C
G H
@2C
;
(volotl ootmole. 18.5 - 24.9 kq/m
2
)
7
!)/$#/1('%$%# 7* 18%>*"#"%#
" I8%>*"#"%# = excesol pooJetol teollzot pe
seomo (esotolol oJlpos, cote Joce lo oo lMc >
J0 kq/m
2
,
" !)/$#/1('%$%# = ctesteteo qteot(ll cotpotole
pe seomo (esotolol oJlpos, cote Joce lo oo
lMc = 25 - 29.9 kq/m
2
.
8
Obezltoteo - #./%0" 0#$#0"%$*.30J
! stetqeteo ptoemloeo(elot osoose - daLorlL (esuLulul
celular subcuLanaL evldenL mal abundenL,
! fo( totooJ, foote polpebtole ioqoste, btble Jobl,
qt scott,
! obJomeo ptottozlv
" depsesLe planul sLernal in decublL dorsal
" poaLe aLrna prepublan - sot(ol oJlpos
! vetqetotl - dac acumularea de (esuL adlpos a fosL
rapld,
! plocotJe etltemotoose lofomototll in pllcl, care prln
supralnfec(le bacLerlan/mlcouc formeaz lotetttlqo,
! ocootbosls olqtlcoos - hlperkeraunlzare sl melanoza
plelll in reglunlle marllor pllcl LegumenLare - in
rezlsLen(a la lnsulln asoclaL obezlL(ll. 9
lotetttlqo
10
Acootbosls olqtlcoos
11
Obezltoteo - 0#)>%J
" excesol opottolol colotlc + seJeototlsm,
" teteool qeoeuc,
" tolbottl metobollce,
" tolbottl eoJoctloe - hlpouroldlsm,
hlperlnsullnlsm, hlpercoruclsm, slndromul
adlpozo-genlLal, menopauza,
" tolbottl oeotoloqlce - cu afecLarea
dlencefalulul - Lumorl hlpozare compreslve,
Lraumausme cranlo-cerebrale,
" tolbottl pslblce.
12
Obezltoteo - 06#.*K0#$%J
9- L)/4 5$#')6 0$%7"%$** /1('%$#6% (exprlmaL
prln lMC):
! 5$#')6 9 (lMc = J0 - J4.9 kq/m
2
)

! 5$#')6 99 (lMc = J5 - J9.9 kq/m
2
)
! 5$#')6 999 (lMc > 40 kq/m
2
)
13
Obezltoteo - 06#.*K0#$%J
99- L)/4 '*."$*8)+*# 2#.%* #'*/1#.%J
o) ooJtolJ (up mt)
" (esuLul adlpos se depune in jomtoteo sopetloot a corpulul:
Lrunchl, gL, ceaf, parLea superloar a abdomenulul,
" apare lo btbo(l sl lo femel Jop meoopooz,
" foctot Je tlsc penLru: dlabeL zaharaL up ll, guL sl afec(lunl cardlo-
vasculare (P1A, aLeroscleroz slsLemlc, cardlopaue lschemlc,
lnfarcL mlocardlc acuL, accldenL vascular cerebral).
b) qloolJ (up pot)
" (esuLul adlpos se depune in jomtoteo lofetloot a corpulul:
abdomen lnferlor, soldurl, fese, coapse,
" apare la femel sl lo btbo(l co Jlsfoc(le qoooJlc (sloJtom
oJlpozo-qeoltol),
" foctot Je tlsc penLru: arLroza arucula(lllor porLanLe (reumausm
degenerauv), plclor plaL, varlce, LromboeblL,
c) mlxt - generallzaL relauv unlform pe Lorace, abdomen sl membre.
14
13
Obezltoteo - 3/)$* /#$30)6#$%J
" Obezltoteo Jlo 81#6# B).M*(5 (hlpersecre(le de
hormonl glucocorucolzl, LraLamenLe prelunglLe cu
anulnamaLoare sLeroldlene)
! obezlLaLe de up ooJtolJ
! focles io loo pllo
! acumulare de (esuL adlpos la baza cefel cu aspecLul de
ceof Je blzoo (bo[olo bomp)
! vetqetotl tosleuce
! ocoee
! vltlllzote la femel, bltsousm
! ottofe moscolot, osteopotoz
! blpetteoslooe ottetlol (n1A), Jlobet zobotot up ll (u2 ll)
16
8oolo cosbloq
17
Obezltoteo - 3/)$* /#$30)6#$%J
" Obezltoteo Jlo .*('$12)6 N*0FO*0F (sloJtomol
Je blpoveoulo(le obez)
! obezltote qtotesc
! opoee obsttocuv io somo
! blpoveoulo(le olveolot
! sfotlt ooctoto
! somooleo( Jloto
! Jlspoee, cloooz
! ctompe moscolote
! tolbottl Je tltm cotJloc
! losofcleo( cotJloc
18
5loJtomol llckwlck
19
5loJtomol llckwlck - opoeeo io somo
20
!)8()"$*+*#
= .04'%$%# P( 5$%)"#"% 0) Q ,RS '*( E
*'%#64

Jototlt oool opott ollmeotot (cooutouv sl
colltouv) losofcleot fo( Je oevolle otqoolsmolol,

" T*/)$* 06*(*0%J
o) slblteo
b) emocleteo
c) cosexlo
J) motosmol
21
5oboottl(lo - 3/)$* 06*(*0%J
#C !648*$%# = scJeteo pooJetol Je /U(4 6# ;RS
'*( E
*'%#64
(lMc = 15 - 18.5 kq/m
2
).
! (esuL celular subcuLanaL redus
! spa(ll lnLercosLale sl fose supraclavlculare vlzlblle
! abdomen reLracLaL
! membre sub(lrl
! asLenle, faugablllLaLe
22
5oboottl(lo - 3/)$* 06*(*0%J
8C V2#0*%$%# = scJete pooJetol Je ;R W ?R S
X#+4 '% E
*'%#64
-
! dlsparl(la aproape compleL a (esuLulul celular
subcuLanaL
! dlsparl(la bulel lul 8lchaL - obra[l sup(l, pome(l
proemlnen(l
! modlcarea LegumenLelor sl fanerelor -
LegumenLe sub(lrl, aLroce, pr uscaL, unghll
frlablle

23
mocleteo
24
5oboottl(lo - 3/)$* 06*(*0%J
0C B#7%Y*# = scJete pooJetol exttem, co Q ?RS
'*( E
*'%#64
-
! dlsparl(la compleL a (esuLulul adlpos
! semne cllnlce ale denuLrl(lel proLelce
" aLroe muscular generallzaL
" edeme hlpoproLelnemlce, ,de foame"
! anemle
'C A#$#.2)6 = cosexle exttem (tetmeo foloslt mol
oles lo copll)
! Lulburrl hldro-elecLrolluce sl acldo-bazlce adesea
lreverslblle
23
Motosmol
26
5oboottl(lo - 0#)>%J
" opott ollmeotot losofcleot,
" boll Jlqesuve - prln molJlqesuo sl molobsotb(lo
ptloclplllot ollmeototl (sLenoz esofaglan, sLenoz
pllorlc, lnsuclen( pancreauc, boal cellac, boll
lnamaLorll lnLesunale, eLc.),
" boll coosompuve (lnfec(ll cronlce - 18C, sLrl Loxlco-
sepuce, cancere avansaLe, eLc.),
" Jlsptoteloemll (lnsuclen( hepauc cronlc, slndrom
nefrouc, arsurl exunse, eLc.),
" boll eoJoctloe (hlperuroldlsm, uZ up l - prln declL de
lnsulln, lnsuclen( corucosuprarenallan, eLc.),
" boll pslblce (anorexle nervoas, alcoollsm cronlc, eLc.)
27