{"id":8190,"date":"2014-04-10T11:25:07","date_gmt":"2014-04-10T11:25:07","guid":{"rendered":"http:\/\/ibecbarcelona.eu\/new\/los-sonidos-de-la-salud\/"},"modified":"2015-10-20T14:07:50","modified_gmt":"2015-10-20T14:07:50","slug":"los-sonidos-de-la-salud","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/es\/los-sonidos-de-la-salud\/","title":{"rendered":"Los sonidos de la salud"},"content":{"rendered":"
Imagen: Gr\u00e1fico que muestra la intensidad respiratoria en ambos lados del paciente con par\u00e1lisis unilateral, con el lado paralizado en la izquierda.<\/h6>\n

La par\u00e1lisis diafragm\u00e1tica consiste en el cese, total o parcial, de la actividad motora del diafragma. La principal causa de esta disfunci\u00f3n es el da\u00f1o del nervio fr\u00e9nico que inerva el diafragma, habitualmente debido a la presencia de tumores que oprimen el nervio o como consecuencia de intervenciones quir\u00fargicas tor\u00e1cicas (el 20% de las operaciones a coraz\u00f3n abierto).Los efectos de la par\u00e1lisis diafragm\u00e1tica son muy variables, seg\u00fan si el cese de la actividad motora es total o parcial y afecta a los dos o a un hemidiafragma. En cualquier caso, todos los pacientes presentan cierta limitaci\u00f3n de la capacidad respiratoria.<\/p>\n

Entre las t\u00e9cnicas tradicionales empleadas para el diagn\u00f3stico de la par\u00e1lisis diafragm\u00e1tica destacan la radiograf\u00eda tor\u00e1cica, la estimulaci\u00f3n del nervio fr\u00e9nico, la fluoroscopia y la ultrasonograf\u00eda. Pero estas t\u00e9cnicas dependen de la subjetividad del experto que las lleva a cabo y, algunas de ellas, son invasivas. Adem\u00e1s, ninguna de ellas aporta informaci\u00f3n sobre el estado de la funci\u00f3n pulmonar de los pacientes, lo que s\u00ed hace el an\u00e1lisis de los sonidos respiratorios.<\/p>\n

El flujo de aire respiratorio est\u00e1 correlacionado positivamente con la intensidad de los sonidos pulmonares; es decir que a mayor flujo de aire mayor intensidad de los sonidos. Esta condici\u00f3n no solamente se da en los sonidos respiratorios normales de los sujetos sanos sino tambi\u00e9n en el caso de los pacientes con par\u00e1lisis diafragm\u00e1tica unilateral. No obstante, en personas sanas la diferencia entre la intensidad de los sonidos del hemit\u00f3rax izquierdo y del derecho es m\u00ednima. Sin embargo, en pacientes con par\u00e1lisis diafragm\u00e1tica unilateral la diferencia es mucho mayor debido a la disminuci\u00f3n de la ventilaci\u00f3n en el lado afectado. Precisamente esa diferencia de intensidad de los sonidos respiratorios es la que se mide mediante unos micr\u00f3fonos de contacto colocados en la espalda del paciente.<\/p>\n

\u201cTradicionalmente se ha buscado la presencia de sonidos anormales, propios de patolog\u00edas obstructivas. Con este nuevo m\u00e9todo se propone un escenario alternativo: evaluar los sonidos respiratorios normales para valorar indirectamente la funci\u00f3n pulmonar\u201d explica Raimon Jan\u00e9, investigador principal del grupo de Procesamiento e Interpretaci\u00f3n de Se\u00f1ales Biom\u00e9dicas del IBEC. \u201cSi el diafragma no se activa adecuadamente, la intensidad de los sonidos respiratorios normales disminuir\u00e1\u201d.<\/p>\n

Este m\u00e9todo, en combinaci\u00f3n con la espirometr\u00eda convencional, proporciona una informaci\u00f3n complementaria y relevante para el diagn\u00f3stico de la par\u00e1lisis diafragm\u00e1tica unilateral, ya que cuanto menores son los par\u00e1metros espirom\u00e9tricos, mayor es la diferencia de intensidad de los sonidos respiratorios.<\/p>\n

\u201cEl an\u00e1lisis ac\u00fastico de la intensidad de los sonidos respiratorios proporciona una alternativa no invasiva para diagnosticar de una forma m\u00e1s precisa a estos pacientes\u201d comenta Raimon Jan\u00e9. \u201cSe trata de un an\u00e1lisis cuantificable (en decibelios) que permite valorar a estos pacientes de una forma mucho m\u00e1s objetiva. Adem\u00e1s, entre las principales aplicaciones de inter\u00e9s, est\u00e1 la monitorizaci\u00f3n de los pacientes para poder hacer un seguimiento a largo plazo, y evaluar el grado de mejora de la funci\u00f3n pulmonar tras la rehabilitaci\u00f3n.\u201d El an\u00e1lisis de la intensidad de los sonidos pulmonares representa un paso hacia adelante en el diagn\u00f3stico de las personas con par\u00e1lisis fr\u00e9nica unilateral ya que es una t\u00e9cnica no invasiva, m\u00e1s objetiva, sencilla y m\u00e1s econ\u00f3mica.<\/p>\n

 <\/p>\n

Referencia: <\/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":"

Se desarrolla un nuevo m\u00e9todo ac\u00fastico para un diagn\u00f3stico m\u00e1s preciso para los pacientes con par\u00e1lisis diafragm\u00e1tica<\/h3>\n

Investigadores de la Unidad mixta del Instituto de Bioingenier\u00eda de Catalu\u00f1a (IBEC) y la Fundaci\u00f3n Institut Germans Trias i Pujol (IGTP)y del Servicio de Pneumolog\u00eda del Hospital Universitario Germans Trias i Pujol han publicado un art\u00edculo en la revista PLOS ONE<\/em> en el que se propone el an\u00e1lisis ac\u00fastico de la intensidad de los sonidos pulmonares como m\u00e9todo para mejorar el diagn\u00f3stico de la par\u00e1lisis diafragm\u00e1tica unilateral.<\/p>\n","protected":false},"author":4,"featured_media":8185,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97],"tags":[],"post_formats":[],"class_list":["post-8190","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias-de-investigacion"],"yoast_head":"\nLos sonidos de la salud - Institute for Bioengineering of Catalonia<\/title>\n<meta name=\"robots\" content=\"index, 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