{"id":137616,"date":"2023-09-27T20:08:04","date_gmt":"2023-09-27T20:08:04","guid":{"rendered":"https:\/\/raed.academy\/?p=137616"},"modified":"2023-09-29T10:01:59","modified_gmt":"2023-09-29T10:01:59","slug":"la-fragilitat-de-la-gent-gran","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/la-fragilitat-de-la-gent-gran\/","title":{"rendered":"La fragilitat de la gent gran"},"content":{"rendered":"
\"August

Dr. August Corominas<\/p><\/div>\n

August Corominas<\/strong><\/em><\/a>, professor de Fisiologia Humana de la Universitat de M\u00farcia<\/strong> i de la Universitat Aut\u00f2noma de Barcelona<\/strong> i acad\u00e8mic em\u00e8rit i membre del Senat<\/strong> de la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914<\/strong> (RAED), comparteix amb la comunitat acad\u00e8mica l’article “El paper vital dels avis a l’estructura familiar”<\/strong>, en qu\u00e8 aborda l’enriquiment intergeneracional. L’acad\u00e8mic ha compartit recentment en aquesta publicaci\u00f3 els articles “Els quatre genets de l’apocalipsi gerontol\u00f2gic: solitud, silenci, dolor i nocturnitat”<\/strong><\/a>, “Reflexi\u00f3 antropol\u00f2gica de l’edat centen\u00e0ria”<\/strong><\/a>, “D’avis a n\u00e9ts”<\/strong><\/a>, “\u00c9s possible arribar als cent anys o fins i tot m\u00e9s enll\u00e0?”<\/strong><\/a>, “Mecanismes de tanatoqu\u00edmica i tanatof\u00edcs en el proc\u00e9s de la mort”<\/strong><\/a>, “Gen\u00e8tica i envelliment. Prog\u00e8ria i s\u00edndromes progeroides”<\/strong><\/a>, “Els grans beneficis de l’aquagym per a la salut integral”<\/strong><\/a>, “La bondat i la maldat”<\/strong><\/a> i “El paper vital dels avis”<\/strong><\/a>. A m\u00e9s \u00e9s autor d’un dels cap\u00edtols del llibre “Vitalidad al envejecer. Si lo deseas, puedes vivir m\u00e1s a\u00f1os con salud”<\/strong>, editat per la Reial Corporaci\u00f3 amb el suport de Vichy Catal\u00e1n<\/strong>.<\/p>\n

La fragilitat de la gent gran<\/h3>\n

La fragilitat de la gent gran, la seva vulnerabilitat, predictora de discapacitat, caigudes, immobilitat… \u00e9s una desregulaci\u00f3 de sistemes. La fragilitat \u00e9s un proc\u00e9s de decad\u00e8ncia fisiol\u00f2gica, amb alguns s\u00edmptomes cl\u00ednics. \u00c9s un conjunt de vulnerabilitat i desregulacions de m\u00faltiples sistemes fisiol\u00f2gics. \u00c9s fonamental la sensaci\u00f3 d’impot\u00e8ncia fisiol\u00f2gica i decad\u00e8ncia de molts s\u00edmptomes o alguns. Si practiquem an\u00e0lisis hematol\u00f2giques s’observa valors justos o m\u00ednims de la s\u00e8rie vermella i molts factors bioqu\u00edmics com glucosa, prote\u00efnes… \u00c9s freq\u00fcent l’afirmaci\u00f3, entre homes o dones, “el cos no em funciona”, “estic acabat”, “la pot\u00e8ncia que tenia fa uns anys i avui no puc”, “no s\u00e9 qu\u00e8 tinc”, “no em fa mal res, per\u00f2 em falta al\u00e8”, “nom\u00e9s puc veure la televisi\u00f3 assegut a la meva butaca”, “no tinc for\u00e7a”, “estic enfonsat psicol\u00f2gicament”, “s\u00f3c una persona enfonsada i deprimida…<\/p>\n

\"\"Fer el diagn\u00f2stic de fragilitat no \u00e9s gens f\u00e0cil. Cal assegurar que no es converteixi en una malaltia cr\u00f2nica. Interessa descartar algun tipus de c\u00e0ncer o les freq\u00fcents s\u00edndromes geri\u00e0triques: immobilitat, caigudes, incontin\u00e8ncies, dem\u00e8ncia senil o inici d’Alzheimer, malnutrici\u00f3, crisi de p\u00e0nic o f\u00f2bies socials. Cal intentar fer una valoraci\u00f3 geri\u00e0trica integrada. Es tracta d’una exploraci\u00f3 profunda i treballosa, per\u00f2 cal descartar origen del cansament i del deca\u00efment. \u00c9s dif\u00edcil arribar a un diagn\u00f2stic prec\u00eds de fragilitat, per a aix\u00f2 es requereix una valoraci\u00f3 cl\u00ednica, funcional, ambiental i social.<\/p>\n

Des del punt de vista fisiol\u00f2gic cal considerar factors tant hol\u00edstics com psicosocials, ambientals, familiars. El “Cardiovascular Health Study”<\/strong> basa el diagn\u00f2stic de vulnerabilitat en els criteris seg\u00fcents: p\u00e8rdua de pes, feble for\u00e7a muscular, dificultar per col\u00b7laborar en treballs dom\u00e8stics, esgotament, escassa activitat f\u00edsica, velocitat de la marxa… \u00c9s important descartar l’alt risc de salut. Un dels s\u00edmptomes f\u00e0cilment detectable \u00e9s un gran problema, el de la solitud. Milers de persones a Barcelona, a Espanya i al m\u00f3n pateixen aquest mal, un a\u00efllacionisme no desitjat. En resum, cal valorar i estudiar cadascun dels sistemes de regulaci\u00f3 bioqu\u00edmics i fisiol\u00f2gics com ara el sistema nervi\u00f3s, l’endocr\u00ed, el muscular, el din\u00e0mic, el digestiu i el genitourinari. Cal intentar que el pacient tanqui un protocol controlat de practicar tota mena d’activitats per aconseguir una regulaci\u00f3 fisiol\u00f2gica normal per a la seva edat.<\/p>\n","protected":false},"excerpt":{"rendered":"

August Corominas comparteix amb la comunitat acad\u00e8mica l’article “La fragilitat de la gent gran”<\/p>\n","protected":false},"author":12,"featured_media":120961,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[332,455],"tags":[],"class_list":["post-137616","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biologia-ca","category-ciencies-de-la-salut","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nLa fragilitat de la gent gran - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" content=\"August Corominas comparteix amb la comunitat acad\u00e8mica l'article "La fragilitat de la gent gran"\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/raed.academy\/ca\/la-fragilitat-de-la-gent-gran\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La fragilitat de la gent gran - 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