Ghid/Protocol terapeutic in obezitatea primara

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OBEZITATE PRIMAR
EXAMEN CLINIC I DIAGNOSTIC
Anamneza: istori !ami"ia" #i $ersona" $ato"o%i #i &e o'ezitate(
in")si* tera$e)ti ( sti" &e *ia +( an,eta a"imentar+( e-eri i)
!izi( $ro!esie( 'o"i $si,ie( e-")&ere a)ze se)n&are:
me&iamente( 'o"i en&orine( !atori $si,osoia"i( stres( ren)n area
"a !)mat( &orin a $aient)")i
E-aminare !izi+: m+s)rarea %re)t+tii( CA ./ 01m "a !emei #i /
23 m "a '+r'a i4( a")"area IMC ./ 51 6%7m84( m+s)rarea TA(
$rezen a sti%mate"or &e sin&rom meta'o"i .,e$atome%a"ie(
aant,osis ni%rians4
EXAMEN DE LABORATOR: %"iemie( $ro!i"
"i$i&i( ai& )ri( $ro'e ,e$atie( rena"e( TS9(
ortizo"
EXAMINARE PARACLINIC: ECG( eo%ra!ie
a'&omina"+( e*ent)a" eo%ra!ie tiroi&ian+ #i ra&io%ra!ie &e
#a t)reas+
EXAMINRI DE SPECIALITATE
OP:IONAL: ar&io"o%i+(
en&orino"o%i+
DIET: ;n az)ri $reta'i"e "a &iet+ restriti*+ se $oate o$ta $entr) o &iet+ &e 011 <a" $e termen s)rt( &e ma-im = zi"e
E-em$") I
mi &e>)n .?11 <a"4: @ ia)rt &e%rest( @ o)
$rAnz .311 <a"4: @ $ie$t &e $)i "a %r+tar ) on&imente( @11 % i)$eri ) ? + ei &e )st)roi
ina .?11 <a"4: sa"at+ ) @ ro#ie( @ astra*ete( @ "in%)r+ )"ei #i ?11 % arne s"a'+( $e#te
Li,i&e e" $) in @BC "7zi
E-em$") II
mi &e>)n: @11 % 'rAnz+ s"a'+ &e *a+
%)stare: @ m+r .@11 %4
$rAnz: @11 % $ie$t &e $)i "a %r+tar ) on&imente( ?11 % "e%)me
ina: @11 % ia)rt
Li,i&e e" $) in @BC "7zi
MANAGEMENT
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Ati*itate !izi+:
se ;ne$e ) 51 min &e ati*itate !izi+ mo&erat+ &e 5DC
ori7s+$tB .)rat #i o'orAt s+ri"e4
Inter*en ie as)$ra t)"')r+ri"or om$ortamenta"e: onsi"iere
$si,o"o%i+ sa) $si,iatri+( &)$+ az
Pre*en ia #i tratament)" omor'i&it+ i"or: &ia'et za,arat(
&is"i$i&emie( 9TA( 'o"i ar&io*as)"are( 'o"i res$iratorii( 'o"i
re)matie( steato,e$atita nona"oo"i+( t)"')r+ri &e somn
Tratament me&iamentos:
Aar'oz+ .Or"istat4 &a+ IMC / 51 <%7m8 sa) &a+ IMC
/ ?= <%7m8 ) $rezen a !atori"or &e ris ar&io*as)"ari
S)$"imente *itaminie #i minera"e
Cost)ri
?@ zi"e i&ea" &)rata &e s$ita"izare ost)ri ,ote"iere
Tratament me&iamentos
Tratament ,ir)r%ia"
Materia"e sanitare( in%ri>ire $osto$eratorie &e s$eia"itate
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