{"id":8189,"date":"2014-04-10T11:25:07","date_gmt":"2014-04-10T11:25:07","guid":{"rendered":"http:\/\/ibecbarcelona.eu\/new\/els-sons-de-la-salut\/"},"modified":"2015-10-20T14:08:05","modified_gmt":"2015-10-20T14:08:05","slug":"els-sons-de-la-salut","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/ca\/els-sons-de-la-salut\/","title":{"rendered":"Els sons de la salut"},"content":{"rendered":"
Imatge: Gr\u00e0fic que mostra la intensitat respiratoria als dos costats del pacient amb par\u00e0lisis unilateral, amb el costat paralitzat a l’esquerra.<\/h6>\n

La par\u00e0lisi diafragm\u00e0tica consisteix en el cessament, total o parcial, de l\u2019activitat motora del diafragma. La principal causa d\u2019aquesta disfunci\u00f3 \u00e9s el dany del nervi fr\u00e8nic que innerva el diafragma, habitualment degut a la presencia de tumors que oprimeixen el nervi o com a conseq\u00fc\u00e8ncia d\u2019intervencions quir\u00fargiques tor\u00e0ciques (el 20% de les operacions a cor obert). Els efectes de la par\u00e0lisi diafragm\u00e0tica s\u00f3n molt variables, segons si el cessament de l\u2019activitat motora \u00e9s total o parcial i afecta als dos o a un hemidiafragma. En qualsevol cas, tots els pacients presenten certa limitaci\u00f3 de la capacitat respirat\u00f2ria.<\/p>\n

Entre les t\u00e8cniques tradicionals emprades pel diagn\u00f2stic de la par\u00e0lisis diafragm\u00e0tica destaquen la radiografia tor\u00e0cica, l\u2019estimulaci\u00f3 del nervi fr\u00e8nic, la fluorosc\u00f2pia i la ultrasonograf\u00eda. Per\u00f2 aquestes t\u00e8cniques depenen de la subjectivitat de l\u2019expert que les du a terme i, algunes d\u2019elles, s\u00f3n invasives. A m\u00e9s a m\u00e9s cap d\u2019aquestes t\u00e8cniques aporta informaci\u00f3 sobre l\u2019estat de la funci\u00f3 pulmonar dels pacients, cosa que si fa l\u2019an\u00e0lisi dels sons respiratoris.<\/p>\n

El flux d\u2019aire respiratori est\u00e0 correlacionat positivament amb la intensitat dels sons pulmonars; \u00e9s a dir que a major flux d\u2019aire major intensitat dels sons. Aquesta condici\u00f3 no solament es dona en els sons respiratoris normals de les persones sanes sin\u00f3 tamb\u00e9 en el cas dels pacients amb par\u00e0lisi diafragm\u00e0tica unilateral. No obstant, en persones sanes la difer\u00e8ncia entre la intensitat dels sons del hemitorax esquerre i el dret \u00e9s m\u00ednima. D\u2019altra banda, en pacients amb par\u00e0lisi diafragm\u00e0tica unilateral la difer\u00e8ncia \u00e9s molt m\u00e9s gran degut a la disminuci\u00f3 de la ventilaci\u00f3 en el costat afectat. Precisament aquesta difer\u00e8ncia d\u2019intensitat dels sons respiratoris \u00e9s la que es mesura mitjan\u00e7ant uns micr\u00f2fons de contacte col\u2022locats a l\u2019esquena del pacient.<\/p>\n

\u201cTradicionalment s\u2019ha buscat la pres\u00e8ncia de sons anormals, propis de patologies obstructives (asma, EPOC..). Amb aquest nou m\u00e8tode es proposa un escenari alternatiu: avaluar els sons respiratoris normals per valorar indirectament la funci\u00f3 pulmonar\u201d explica en Raim\u00f3n Jan\u00e9, investigador principal del grup de Processament i Interpretaci\u00f3 se Senyals Biom\u00e8diques del IBEC. \u201cSI el diafragma no s\u2019activa adequadament la intensitat dels sons respiratoris normals disminuir\u00e0\u201d.<\/p>\n

Aquest m\u00e8tode, en combinaci\u00f3 amb l\u2019espirometr\u00eda convencional, proporciona una informaci\u00f3 complementaria i rellevant pel diagn\u00f2stic de la par\u00e0lisis diafragm\u00e0tica unilateral, ja que quant menors s\u00f3n els par\u00e0metres espirom\u00e8trics major \u00e9s la difer\u00e8ncia d\u2019intensitat dels sons respiratoris.<\/p>\n

\u201cL\u2019an\u00e0lisi ac\u00fastic de la intensitat dels sons respiratoris proporciona una alternativa no invasiva per diagnosticar d\u2019una manera m\u00e9s precisa a aquests pacients\u201d comenta en Raimon Jan\u00e9. \u201cEs tracta d\u2019un an\u00e0lisi quantificable (en decibels) que permet valorar aquests pacients de forma molt m\u00e9s objectiva. A m\u00e9s a m\u00e9s, entre les principals aplicacions d\u2019inter\u00e8s, est\u00e0 la monitoritzaci\u00f3 dels pacients per poder fer un seguiment a llarg termini i avaluar el grau de millora de la funci\u00f3 pulmonar despr\u00e9s de la rehabilitaci\u00f3.\u201d L\u2019an\u00e0lisi de la intensitat dels sons pulmonars representa un pas cap a endavant en el diagn\u00f2stic de les persones amb par\u00e0lisi fr\u00e8nica unilateral ja que \u00e9s una t\u00e8cnica no invasiva, m\u00e9s objectiva, senzilla i m\u00e9s econ\u00f2mica.<\/p>\n

 <\/p>\n

Refer\u00e8ncia: <\/strong>Fiz, J.A., Jan\u00e9, R., Lozano, M., G\u00f3mez, R., Ruiz, J. (2014). Detecting Unilateral Phrenic Paralysis by Acoustic Respiratory Analysis<\/a>. PLoS ONE<\/em> 9(4): e93595<\/p>\n","protected":false},"excerpt":{"rendered":"

Es desenvolupa un nou m\u00e8tode ac\u00fastic per a un diagn\u00f2stic m\u00e9s prec\u00eds per als pacients amb par\u00e0lisi diafragm\u00e0tica<\/h3>\n

Investigadors de la Unitat mixta del Institut de Bioenginyeria de Catalunya (IBEC) i la Fundaci\u00f3 Institut Germans Trias i Pujol (IGTP)i del Servei de Pneumologia del Hospital Universitari Germans Trias i Pujol han publicat un article a la revista PLOS ONE<\/em> en el que es proposa l\u2019an\u00e0lisi ac\u00fastic de la intensitat dels sons pulmonars com m\u00e8tode per millorar el diagn\u00f2stic de la par\u00e0lisi diafragm\u00e0tica unilateral.<\/p>\n","protected":false},"author":4,"featured_media":8185,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"post_formats":[],"class_list":["post-8189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticies-de-recerca"],"yoast_head":"\nEls sons de la salut - Institute for Bioengineering of Catalonia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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