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By mid-2019, there will be several multidisciplinary multidisciplinary badessments of 200 patients from the ABC region – all registered in outpatient clinics. l & # 39; institution. The first took place on May 12 and received 20 patients. "This is a large study, by which we seek to know the profile of people with multiple sclerosis in the seven cities of ABC." The epidemiological and health aspects are badessed, as well as the routine treatment of these patients and the sequelae left by the epidemics that accompany the evolution of the disease, "says Margarete de Jesus Carvalho, professor of neurology and coordinator of the Ambulatory Clinic of Movement Disorders faculty
According to the specialist, in November 2017, the pilot project of the study was carried out, when six patients were invited to spend with the multiprofessional team at the Medicina Faculdade do ABC. "We wanted to have an idea of the l & # 39; acceptance of this project with the patients and also the time necessary to carry out the interviews and all the evaluations on the same day, both with the doctors and with the psychologists and the orthopho "explains Margarete
. In the third year of medicine, Camila Sando, in addition to the issue of care, research provides "a more comprehensive view of people, what they feel, not just the illness that they have . " The complete student: "You end up discovering the patient's fears, his concerns and what he still does not understand. We clearly see the trust in the professional, which is very good. I think humanization is the point that I love most in this work. Of course, the multidisciplinary problem of pathology is also very important. But this personal accompaniment, being close, intimate to the patient, is the greatest contribution to academics in this type of activity. "
ACCOMPANYING
Resident of São Bernardo, Ana Paula Tardelli, approved the initiative by participating in both the pilot project and the first joint effort." I found the idea of very interesting research. I was able to go with several specialists on the same day, which makes my task much easier because SUS (Unified Health System) consultations usually take time. In addition, if there was a problem, faculty staff has already done the referral. Thank goodness it was not my case and with me it was ok, "revealed the patient, highlighting the work of Speech Therapy, who provided pens with various smells to test the patients' sense of smell.
Ana Paula Tardelli was diagnosed with multiple sclerosis in July 2011. According to the patient, the first symptoms began in 2007, but the diagnosis occurred a few years later. "Today, I am doing much better, taking the right drugs, I was falling a lot and I did not know why, I had complications from the disease, but I am much better than before." "says the patient, who recounts another positive point of the treatment: meet the boyfriend at the ABC Medical School in the waiting room for neurology consultation. "Andre was also Dr. Margarete's patient and that's how we met, about three years ago, time pbaded and we lived together for two years."
Common
Considered the most prevalent neurological disease among young people in Europe and North America, multiple sclerosis affects about two million people around the world. It is more frequent in temperate countries and more frequently affects the female audience, at the rate of 2 women per man. The problem is more common in adults between the ages of 20 and 40, rarely reaching children and the elderly. The prevalence of the disease is 2 cases per 100 000 individuals in the tropical countries and up to 150 cases per 100 000 individuals in the Nordic countries.
Of unknown cause, multiple sclerosis is a chronic inflammatory disease that affects the central nervous system. Like lupus and diabetes, it is an autoimmune disease, characterized when the immune system stops recognizing the body and begins to fight not only enemies, such as bacteria and viruses, but also the tissues and healthy cells. In multiple sclerosis, the immune system attacks the myelin sheath – a layer that involves structures of neurons called axons. When the inflammatory lesion of the myelin sheath of the axon occurs, we have what is called an epidemic, whose symptoms last for at least 24 hours.
The disease affects different parts of the brain and spinal cord. The appearance of outbreaks is unpredictable. Among the main symptoms are double vision (diplopia) or sudden loss of vision, fatigue, dizziness, total or partial loss of muscle strength, tremors, lack of motor coordination, difficulty walking, speech, memory and changes in sensitivity [19659003] Although there is no cure, drug treatment is quite effective. The objectives are to reduce the number and severity of relapses, as well as the number and size of lesions, slow the progression of the disease and improve the patient's quality of life. In addition to a follow-up with a neurologist, the treatment must be multidisciplinary, with areas such as physiotherapy, occupational therapy, psychology and speech therapy, as well as nutritional and nutritional advice. other medical specialties such as urology, psychiatry and physiatry. s, id) {
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