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HEE@++F E

 3
GENNAIO-NOVEMBRE 2017
Poste italiane S.p.A. - D.L. 353/2003
(convertito in Legge 27/02/2004 n. 40)
Art. 1 comma 1 - Catania
CENTRO CLINICO DIAGNOSTICO “G.B. MORGAGNI” CASA DI CURA
VIA DEL BOSCO, 105 - 95125 CATANIA

G<EDH8@:HMMH*NE<;@M@*HG<2MH:@EEH
Prevenzione e salute
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ceR^eYhah^hbbSgdchaf_ebbhccgYgcP

Mf]ae[eVgedh^hbbf`fb\chgdXfccgdedag_Ugh^h`ebe_egdYebZg[hdce
_ed`f]hYebh^hb`gdZebeW[f`e]afcc\ccegdchaYhdcgeaZfdg_g

-\h`cg^hYedeh``hah[h``ggdfcce^fbbf_e[\dgcP]ha]ah`haYfah
be`cfce^g`fb\ch^gc\ccgWbf`fbYfZ\fa^gf^hZbgf[Tghdcgdfc\afbghfaR

  cgXg_gfbgW bf ]ah`haYfVgedh ^hbbh ag`ea`h ^hbbf 8haaf


 <`ha_gcfah gb
_edcaebbe^hZbghXXhccg_Uh^hagYfde^fbaf]]eace\e[eRf[Tghdchh
fcc\fahgdchaYhdcg[gafcgf^gd^\aah_f[Tgf[hdcgdhb`gdZebehdhbbf



Dott.ssa Antonina Amodeo
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gdYh`chc\ccgZbgf`]hccgWXg`g_gh]`g_Ug_gW^hbbf]ha`edfhgd^g_fWfb^g
SPEC. GINECOLOGIA E OSTETRICIA bP^hbbSf``hdVf^g]fcebeZghW\de`cfce^gThdh``hahZbeTfbh
OWSOV9VQWX WX URRWSRUX UQQUX OUQJRWX OJUX WX MWVX LPTLPVX BUKVQVUPV;X CU
SPEC. ENDOCRINO-CHIRURGIA Mf]ae[eVgedh^hbbf`fb\chUff``\dce\d`gZdgXg_fce]gAf[]ge MTSSUXPVWONWXOWKLPWXMVXLV&XUMXULLUGUPWXVQX9VOTGSTXSTSXOTQTXMV
_Uh Yf ebcah h ded `ebe bf ]ahYhdVgedh ^hbbh ]fcebeZghW _Uh OUQJRWXKUXUSN:WX/JWQQTXMVX9WSWOOWPWXLOVNT2BVOVNTXURRPUDWPOTXGQV
La salute, secondo la definizione data
dfc\afb[hdch^hYh_edcgd\fahf^h``hah]ha`hZ\gcfW[f^hYhg^hdR ORPJKWSRVXMWQQUXLPWDWS@VTSW;
dall’Organizzazione Mondiale della Sa-
nità (O.M.S.), è: "uno stato di completo cgXg_fa`gfd_Uh_edbf]ae[eVgedh^hbThdh``hahfccafYha`e_eaahccg NbPJTQTXMVXKJQRVRUOVSG hMVXNUPWGVDWP fbbSgdchade^hbbfXf[gZbgfW
benessere fisico, mentale e sociale e `cgbg^gYgcf
`ecce]edZedebf^eddff^\d[fZZgeah_fag_e^gbfYeae

non la semplice assenza dello stato $ gd O\h`cf eccg_f _Uh bS@4D J@aZfdgVVfVgedh 4ed^gfbh ^hbbf Mf ^eddf ^f `h[]ahW ]ha bSg`cgdce dfc\afbh ^hbbf [fchadgcPW `f
di malattia o infermità". DfdgcPKW gd _edcgd\gcP _ed \d ]ha_ea`e gdgVgfce fbbf Xgdh ^fZbg fddg ]ahd^ha`g_\af^hZbgfbcag
NdeZdgXf[gZbgf`ebgcf[hdchQbSh`]hacf^b
Per l’individuo “Stare in salute” si- 1LWUfbfd_gfceWdhbZhddfge>LL WbfDcafchZgf*beTfbh]habf^ghcfW `fb\chW`g]ecahTTh^hXgdgahgb7]ag[e]ah`g^ge`fdgcfage6dhg_f`g]gA
gnifica essere protagonista e responsabile bSfccgYgcPXg`g_fhbf`fb\chW`ebbh_gcfd^egb_egdYebZg[hdce^hgZeYhadg
del proprio grado di salute, attivamente `h[]bg_g
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^hb[ed^egd\dffVgedh_eea^gdfcf]habf`fbYfZ\fa^gf^hbbf`fb\ch ^g`gdXhccfdcgW[fQfd_UhgdZaf^e^gaf``g_\afahW]aechZZhahh^fah
coinvolto nel processo di miglioramento, h^hbThdh``hah^gc\ccgZbgfTgcfdcg^hb]gfdhcf8haafgd_edcaf`cefb
promozione e mantenimento. \d`e`chZde]`g_ebeZg_ef_Ug`eXXah

Xhde[hde^hbbSeTh`gcP
Mf _ed^gVgedh ^hbbf ^eddf Yh^h fd_eaf \df `gc\fVgedh ^g ded
Le finalità di questo magazine, indi-
rizzato alla donna che vuole stare in ]ghdf ]fagcP ^g ^gagccg h e]]eac\dgcPW _g9 gdXb\hdVf dhZfcgYf[hdch
salute, sono: 6ICCIX7IC0>EXICX%E?E77E=E fd_Uhbe`cfce^gThdh``hah]`g_eXg`g_e^hbbf_e[]edhdchXh[[gdgbh
– offrire uno strumento aggiornato e Nb_ed_hcce^g`fb\ch`gQ_e`cfdch[hdch[e^gXg_fcedhbch[]eWf`R dhbbf`e_ghcP

di facile consultazione per il mante- `\[hd^eeZZg\d`gZdgXg_fce[ebce]gAf[]geWded`ebef``hdVf^g


nimento dello stato di salute e be- ]fcebeZghThd`"\de`cfce^gThdh``hahZbeTfbh^hbbf]ha`edf

nessere nelle varie età della vita (don-


La salute femminile è un “bene prezioso”
na giovane, donna adulta e donna La salute e il benessere della donna valgono il doppio o il per tutti.
matura); Quindi maggiore salute e benessere
triplo o ancor di più per la ricaduta “benefica” sulla famiglia.
– offrire una sintesi delle patologie più
frequenti legate all’apparato ripro-
Con un’azione di sensibilizzazione alla prevenzione sulla per la donna.
donna si ottiene di fatto anche prevenzione sull’intero
duttivo,corredate da consigli tera-
peutici e “stili di vita” più adeguati nucleo di appartenenza.
La donna che adotta una alimentazione corretta e adeguati Gha[fdchahahbf`fb\che__eaahhYgcfahg_e[]eacf[hdcgdhZfcgYg
G c b b c gc g c cg cg g
alla loro prevenzione;
stili di vita riesce, quasi sempre, a farli adottare ai propri _Uhbf]e``ede_e[]ae[hcchahB
– focalizzare l’attenzione sulla preven-
familiari. / 8H0H*ND4@
zione e la cura dei tumori femminili,
con un approccio” life-course” che La promozione alla salute alle donne consente di contribuire / H0)D@:N:2@*?<<HM;@@M
guarda a tutte le fasi della vita fem- al miglioramento dello stato di salute di tutta la popolazione. / ;@4G@28H4<E8ND<DD)HMNH2ND;?N@
minile. Far comprendere l’importanza / NEH88NCN8 &NDN;H
dei controlli di prevenzione (chek- / :ND8)20N<H0)D@HMN4<E8H2N

MEGLIO A PIEDI O IN BICI


up, screening) per la salute eseguiti
con costanza; NTg`eZdg^g`fb\chh^gThdh``hah^hbbf^eddf`ede_f[Tgfcgdhb
– affrontare le tematiche con lo stru- _ea`e^hbbS\bcg[e^h_hddgeWbh[ecgYfVgedg]gAg[]eacfdcg`edeB
mento del “counseling”, con la con-
sapevolezza delle scelte per il man-
tenimento della salute e del benessere
MANGIA BENE, MANGIA SANO
e la “compliance”, cioè l’aderenza ai :gh_g `ede bh `Xg^h Xed^f[hdcfbgW `cfTgbgch ^fbbS@aZfdgVVfVgedh
trattamenti. 4ed^gfbh ^hbbf DfdgcPW ^f afZZg\dZhahW caf gb >LI3 h gb >L L ]ha
Il “counseling”, che significa “facili- Zfafdcgahbf`fb\ch^hbbh^eddh^gc\ccegb[ed^e

tazione” e non “consiglio”, è un processo Nb 4gdg`chae ^hbbf Dfb\ch J>>,L ,>LI3KW gd e__f`gedh ^hbbf I
relazionale di tipo “professionale” tra il Zgeadfcf`\bbfc\chbf^hbbf`fb\ch^hbbf^eddf_hbhTafcfgdde[h^g
medico e la persona che ha bisogno di 2gcfMhYg4edcfb_gdgWagTf^g`_hgd^gh_g]\dcgbSg[]eacfdVf^gc\chbfah
acquisire la consapevolezza a risolvere bf`fb\ch^hbbh^eddhB
un problema o a prendere una decisione.
È uno strumento indispensabile quando I
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si affrontano argomenti come la pro- ]hagb_edcaf`cefbbh]fcebeZgh_aedg_Uhdedcaf`[g``gTgbgWhfcR
mozione della salute e la prevenzione chdVgedh fbbf ag_ha_f `_ghdcgXg_f [gafcf `]h_gXg_f[hdch fbbh
di malattie. h`gZhdVhh]h_\bgfagcP^hbbh^eddhF
In sintesi si vuole parlare di salute e >
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di benessere e offrire anche gli strumenti ^hbbh^eddh`\bbhch[fcg_Uh^g`fb\chW]ha`(h]habf`\fXf[gR
per operare le scelte di vita corrette, ZbgfF
aiutando la persona a raggiungere una
visione più oggettiva e completa del
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problema e a trovare risorse e soluzioni fccafYha`ebf]ahYhdVgedh^hbbhgdXhVgedg`h``\fb[hdchcaf`[h``h
proprie. hbfc\chbf^hbbfXhacgbgcPWXfYeahd^e\df]ae_ahfVgedhah`]ed`fTgbh
Ogni individuo ha dentro di sé delle h_ed`f]hYebhh`e`chdhd^ebf`fb\ch[fchadfhdhedfcfbhF
risorse (“skills”) che bisogna aiutare a
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tirare fuori, sollecitando le energie e la 74E=I?,IX6HX1H>IX6ECCIX6A??I _h]g[hdceW]haXfYeagah\dfdf`_gcf`fdfF
forza della persona (in inglese“empo-
werment). Mf`]hafdVf^gYgcffbbfdf`_gcfQ^g.=
L]habh^eddhh.L
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Questo processo di crescita serve al- ]haZbg\e[gdg
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l’incremento della stima di sé, dell’au- _ah[hdce ]gA XfYeahYebh ]ha Zbg \e[gdgW gb YfdcfZZge Xh[[gdgbh `_ahhdgdZ^g]aeYfcfhXXg_f_gfF
toefficacia e dell’autodeterminazione. ag[fdh fd_eaf `gZdgXg_fcgYeW ]f``fd^e ^f = fddg ^g ^g`cfdVf dhb 3
c\chbf^hbbf`fb\ch[hdcfbh^hbbf^eddfh_edcaf`cefbbh_ed^gVgedg
Affrontare al meglio tutte le scelte, >LILf
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nel nostro caso quelle che garantiscono fTTgffd_eaf\dSf`]hccfcgYf^gYgcf^g>>
_edcaegI.
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il benessere e il mantenimento dello \e[e^g]faghcPJ 
fddgK
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stato di salute, fornendo alla donna la HXNUK9VUKWSRVXOTNVUQV<XNJQRJPUQVXWMXWNTSTKVNV<XN:WX:USSTXPV2 _ed`hZ\hdch]ahYhdVgedh^hg^g`c\aTg^hb_e[]eacf[hdcefbgR
consapevolezza delle sue risorse.
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La giovane donna e la sua salute


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XBTQQVNTQUPW) Ed è la loro ombra soltanto
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!XTDJQURTPVT) Che trema nella notte


XQJRWUQW) Stimolando la rabbia dei passanti
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Essi sono altrove molto più lontano della notte
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OCCHIO NEL MIRINO. TRA ANALISI E STORIA

Algoritmo per la valutazione del rischio di progressione del danno


funzionale e la programmazione del follow-up clinico del
glaucoma

ECM Unità Funzionale di Oculistica


Policlinico “G.B. Morgagni” Presidio di Catania

Il Team Oftalmologico del Policlinico “Morgagni” Case di Cura, è attivo dal


1972. Primo responsabile fu il dott. Sergio Borellini, al tempo aiuto Clinica
Universitaria.
Attualmente oltre agli specialisti senior consultants prof. Alfredo Reibaldi, già
direttore della Clinica Universitaria, dott. Antonello Rapisarda, già primario
ospedaliero e dott. Salvatore Randazzo, il dipartimento oculistico si avvale
delle prestigiose firme di 20 professionisti che dotati delle tecnologie adeguate
affrontano giornalmente la patologia oculare nei suoi diversi aspetti.
Il polo oculistico opera nel blocco edilizio di ultima generazione dotato di 3 sale
operatorie e 20 p.l. in D.H.

La media annua degli interventi, malgrado il tetto di spesa imposto


dal S.S.N., si attesta su 3000 casi tra cui molti i trapianti corneali
grazie all’utenza assistita da assicurazioni.
Recentemente l’Azienda si è dotata di Femtolaser, strumento che
consente di aumentare il livello di sicurezza nella chirurgia della
cataratta.
Il più recente evento di aggiornamento clinico scientifico in ECM è
dell’8 novembre 2017 “Algoritmo per la valutazione del rischio di progressione
del danno funzionale e la programmazione del Follow-up clinico.
Per i non addetti ai lavori: un algoritmo è una procedura semplice che tenta di
risolvere un determinato problema applicando un certo numero di passi
elementari.

L’algoritmo viene generalmente descritto come “procedimento di risoluzione


di un problema”. I problemi sono caratterizzati da dati di ingresso (input)
variabili, su cui l’algoritmo stesso opererà per giungere fino alla soluzione.
Algoritmo è un termine che deriva dal nome matematico persiano Al-
Khwarizmi che è considerato uno dei primi
autori a fare riferimento a questo concetto.
Organizzato dalla Dott.ssa Rita Ghirlanda nell’aula “Moscati” del Policlinico
Morgagni, coordinato dal Dr. Antonello Rapisarda (Morgagni), cinque
specialisti: Giancarlo Bannò (Catania), Piero Biondi (Morgagni), Francesco
Castiglione (Morgagni), Francesco Lanzafame (Morgagni), Alfonso Spinello
(Morgagni) hanno presentato e discusso con colleghi operatori in altre sedi
della Sicilia orientale sui criteri che regolano il follow up della patologia
glaucomatosa utilizzando l’algoritmo dello studio.
Glaucoma: una malattia grave e diffusa
Il glaucoma è una grave e progressiva atrofia del nervo ottico. Se diagnosticato
in tempo è curabile tenendo bassa la pressione endoculare. La prevalenza
(percentuale di soggetti affetti) raggiunge il 6% della popolazione dopo i 70
anni. Purtroppo, come mostra la foto che vi proponiamo, solo 1 persona
(cerchio rosso) su 3 (cerchio giallo) sa di esserne affetto: per questo risulta la
seconda causa di cecità in Europa dopo le maculopatie.
Dal 1978 la Società Europea per lo studio del Glaucoma analizzando le
risultanze di studi basati sulla medicina dell’evidenza ha elaborato, e
continuamente aggiornato, delle linee guida per la diagnosi e la terapia del
Glaucoma in modo da garantire degli standard di trattamento omogenei e di
alto livello a tutti i pazienti.

Ottimizzare i tempi
Il Glaucoma è una patologia cronica che accompagna il paziente per tutta la sua
vita. E’ necessaria pertanto una ottimizzazione delle visite: quali esami
effettuare? Con quale periodicità rivedere il paziente?

La Società Italiana per il Glaucoma (SIGLA) ha dato mandato ad alcuni


autorevoli studiosi (prof. Galdolfi, dr. A. Rapisarda) di elaborare una flow-chart
che consenta di
valutare il rischio di progressione della malattia in tempi brevissimi.

L’algoritmo proposto, come rappresentato nella Tavola 1 valuta il ruolo dei


fattori di rischio (noti allo specialista) rapportato alla pressione endoculare
correlandoli alla velocità di progressione della malattia glaucomatosa.

Nella Tavola 2 viene suggerita la programmazione delle frequenze dei controlli


secondo gravità.

Timing per i controlli del paziente a seconda della gravità della malattia
Gli ambulatori di Oftalmologia che adottano le linee guida della Società
Europea del Glaucoma, e organizzano le visite e i controlli secondo la flow-
chart della Società Italiana del Glaucoma offrono quindi al paziente:
• la garanzia di diagnosi condotte con le tecnologie più moderne ed efficaci;
• la certezza di trattamenti all’avanguardia
• il rispetto di una periodicità nei controlli che tenga conto dello stadio di
gravità che la patologia ha raggiunto nel singolo ammalato e della sua peculiare
compliance

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