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Vodnje bolnika z okvaro srčnih zaklopk v ambulanti družinske medicine = Management of a patient with valvular heart disease - what can a general practitioner do?
Golob-Gulič, Tatjana ; Bombek, Mirko ; Podlesnikar, Tomaž
Družinski zdravnik v svoji ambulanti pogosto sreča bolnike z napakami srčnih zaklopk (NSZ); te so lahko prirojene ali pridobljene. Pomembno je, da pomisli na to možnost in bolnika ustrezno usmeri na ...dodatne preiskave, ki diagnozo potrdijo ali ovržejo. Praviloma bolnike s težko NSZ vodijo specialisti kardiologi, lahko jih usmerijo v invazivno, operativno zdravljenje ali zdravijo konzervativno, medikamentno, torej z zdravili. Bolniki pred ali po operaciji, kakor tudi bolniki, ki so zdravljeni konzervativno, se vračajo k družinskemu zdravniku zaradi pridruženih bolezni in zapletov, ki so vezani na NSZ. Pomembno je, da le-ta zna oceniti, kdaj so težave povezane z boleznijo NSZ, kdaj pomislimo na poslabšanje znane bolezni, kdaj simptomi in znaki govorijo za nastanek pridružene srčne bolezni. Pomembno je, da zna oceniti, kdaj je napotitev k specialistu nujna, prednostna in kdaj lahko s prilagoditvijo medikamentnega zdravljenja prepreči nadaljnje poslabšanje sam ali se posvetuje z lečečim kardiologom.
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