Tabagism

Notiuni generale despre tabagism si interventiile pentru obtinerea sevrajului tabagic

T UTUNUL ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: Favre-Trosson JP, Le Tabagisme, 1993,33 http://fr.encyclopedia.yahoo.com/articles/cl/cl_2224_p0.html#cl_2224 .25

ANTICHITATE - 1492 ,[object Object],[object Object],[object Object]

1493 – 1600 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],S ursa : Lemaire JF. Que sais-je n° 1859, 1986. Encyclopédie du tabac et des fumeurs, 1970 .

1601-1700 ,[object Object],[object Object],[object Object],http://www.jti.com/english/tobacco_corner/tobacco_history/1601.aspx http://www.gallaher-group.com/products/history.asp http://www.lib.ncsu.edu/archives/exhibits/tobacco/tculture.html

1801-1900 ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.jti.com/english/tobacco_corner/tobacco_history/1601.aspx http://www.gallaher-group.com/products/history.asp http://www.lib.ncsu.edu/archives/exhibits/tobacco/tculture.html

1901- PRESENT http://www.jti.com/english/tobacco_corner/tobacco_history/1601.aspx http://www.gallaher-group.com/products/history.asp http://www.lib.ncsu.edu/archives/exhibits/tobacco/tculture.html ,[object Object],[object Object],[object Object],[object Object],[object Object]

DESCHIZATORII DE DRUMURI ,[object Object],[object Object],[object Object],[object Object],[object Object]

Compozi ţia fumului de tutun ,[object Object],[object Object],[object Object]

PREVALENŢA FUMATULUI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DE CE NE PREOCUPA FUMATORII ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tabagismul - morbiditate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tabagismul - morbiditate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fumatul şi sănătatea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fumatul ş i aparatul respirator ,[object Object],[object Object],[object Object],[object Object]

Aparatul respirator ,[object Object],[object Object],[object Object],[object Object]

Adapted from Fletcher and Peto, Burrows

CBP – 2 studii de referin ţă Fumatul determină apariţia cancerului E.L. Wynder, E.A. Graham, JAMA 1950; 143 :329-346 R. Doll, A.B. Hill, Br Med J 1952; 2 :1271-1286

CBP ş i durata fumatului 38.8 34.3 25.1 17.0 10.0 41-70 25.3 26.5 19.2 19.2 7.9 31-40 18.9 18.4 13.6 6.7 2.9 21-30 > 30 21-30 20 11-19 1-10 Durata fumatului (ani) Num ărul de ţigarete fumate / zi L. Garfinkel, Cancer Res 1988; 48 :6951-6955

Diverse forme de cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infec ţii ale tractului respirator mai frecvente ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Boli cardio-vasculare

Fumatul şi osteoporoza ,[object Object],[object Object],[object Object]

Influenţe ale fumatului asupra vieţii sexuale : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fumatul pasiv ,[object Object],[object Object],[object Object]

Sevra jul Tabagi c - u n b eneficiu sigur !! ,[object Object],[object Object],[object Object]

ROLUL CADRELOR MEDICALE ,[object Object],[object Object],[object Object],[object Object]

Tabagismul si medicii : o poveste de dragoste tragica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DEPENDENTA ,[object Object],[object Object]

DE CE FUMEAZA OAMENII? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DEPENDENTA TABAGICA O BOALA INREGISTRATA ,[object Object],[object Object],[object Object],[object Object],[object Object]

ADDICTIA SI FUMATUL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FACTORI SOCIALI, PSIHOLOGICI SI CULTURALI CONTRIBUIE LA DEPENDENTA TABAGICA ,[object Object],[object Object],[object Object],[object Object],[object Object]

DEPENDENTA ,[object Object],[object Object],[object Object],[object Object],[object Object]

RENUNTAREA LA FUMAT SEVRAJ TABAGIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3 – 6 saptamini

FALS SD.DE SEVRAJ ,[object Object],[object Object],[object Object]

ASOCIERI SDR. DE SEVRAJ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Abstinenta fizica - Severitate ,[object Object],[object Object],[object Object],[object Object],[object Object]

Modificarile fizice determinate de renuntarea la fumat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Renuntarea este foarte dificila! ,[object Object],[object Object]

Interventii medicale in vederea renuntarii la fumat .

T ipuri de intervenţii ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Referinte: USDHHS (1994). Tobacco and the Clinician: Interventions for Medical and Dental Practice: Monograph 5.. Hollis, J.F et al. (1991). . Preventive Medicine , 20:497-507. Janz, et al. (1987).. American Journal of Public Health , 77:805-809. Folsom, A.R. & Grimm, R.H. (1987). American Journal of Public Health , 77:849-850. Kottke, T.E., et al. (1990).. Journal of the American Medical Association , 259:2882-2889 .

Ce repre zintă sfatul antifumat? ,[object Object],[object Object],[object Object],[object Object]

Cine poate oferi sfatul antifumat? ,[object Object]

Contraindicatii ale tratamentului farmacologic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evalue aza ris curile de esec ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Terapia farmacologica a dependentei de nicotina

Clasificare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamentul cu substituienti nicotinici (TSN) ,[object Object],[object Object],[object Object],[object Object],[object Object]

TSN - Repere generale ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Aide au Sevrage Tabagique Méthodes médicamenteuses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Portofoliul produselor NRT Guma NRT Patch NRT

Portofoliul produselor NRT NRT inhalator NRT spray nazal NRT tablete

Clonidina ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nortriptilina ,[object Object],[object Object],[object Object],[object Object]

Mecamylamina ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acetat de argint ,[object Object],[object Object],[object Object]

Glucoza ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alte terapii farmacologice ,[object Object],[object Object],[object Object],[object Object]

BUPROPION (1997) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VARENICLINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Noi abordari ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ALTE TERAPII ,[object Object],[object Object],[object Object],[object Object]

Rolul reducerii fumatului ,[object Object],[object Object],[object Object]

Reducerea Nocivitat ii (Harm reduction) ,[object Object],[object Object]

Tabagism

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Tabagism