{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/ro\/?page_id=89"},"modified":"2025-10-09T12:30:49","modified_gmt":"2025-10-09T12:30:49","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/ro\/vwd-and-denstistry\/","title":{"rendered":"VWD \u0218I STOMATOLOGIA"},"content":{"rendered":"
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Pacien\u021bii cu tulbur\u0103ri de s\u00e2ngerare, cum ar fi hemofilia sau Boala von Willebrand (VWD)<\/a> au un risc crescut de s\u00e2ngerare oral\u0103, inclusiv \u00een timpul \u00eengrijirii dentare de rutin\u0103.1,2<\/sup> S\u00e2ngerarea poate ap\u0103rea chiar \u0219i dup\u0103 periajul din\u021bilor sau dup\u0103 folosirea a\u021bei dentare, iar teama de s\u00e2ngerare poate \u00eempiedica pacien\u021bii s\u0103 men\u021bin\u0103 o bun\u0103 igien\u0103 oral\u0103 \u0219i s\u0103 viziteze \u00een mod regulat medicul stomatolog.2-4<\/sup> Chiar \u0219i pacien\u021bii care merg la stomatolog pot sim\u021bi team\u0103 \u00een leg\u0103tur\u0103 cu procedurile stomatologice din cauza experien\u021belor anterioare proaste sau a \u00eengrijor\u0103rilor c\u0103 s-ar putea lovi de refuzul de a fi trata\u021bi.4<\/sup> \u00cen plus, mul\u021bi pacien\u021bi cu VWD nu sunt diagnostica\u021bi \u015fi nu sunt con\u0219tien\u021bi de faptul c\u0103 s\u00e2ngerarea lor nu este normal\u0103.5<\/sup><\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
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Riscul de s\u00e2ngerare \u0219i anxietatea rezultat\u0103 contribuie la s\u0103n\u0103tatea dentar\u0103 precar\u0103 \u00een r\u00e2ndul copiilor \u0219i adolescen\u021bilor cu tulbur\u0103ri de s\u00e2ngerare.2<\/sup> F\u0103r\u0103 educa\u021bie \u0219i tratament corespunz\u0103toare, ace\u0219ti pacien\u021bi pot intra \u00eentr-un cerc vicios de s\u00e2nger\u0103ri gingivale frecvente, neglijare a \u00eengrijirii dentare \u0219i deteriorare a s\u0103n\u0103t\u0103\u021bii orale.3<\/sup> Pentru protejarea s\u0103n\u0103t\u0103\u021bii orale \u0219i a stilului de via\u021b\u0103, ace\u0219ti pacien\u021bi \u0219i familiile acestora depind \u00een mare m\u0103sur\u0103 de un furnizor de servicii stomatologice de \u00eencredere, care s\u0103 le ofere educa\u021bie cu privire la \u00eengrijirea preventiv\u0103 \u0219i s\u0103 le asigure controale regulate. <\/p>\n<\/div>\n\n

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Rolul furnizorilor de \u00eengrijire dentar\u0103 <\/h3>\n<\/div>\n\n
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\u00cen calitate de furnizor de servicii dentare, te afli \u00eentr-o pozi\u021bie unic\u0103 \u00een care po\u021bi ajuta la identificarea pacien\u021bilor care ar putea beneficia de o evaluare suplimentar\u0103 \u00een vederea diagnostic\u0103rii cu o tulburare de s\u00e2ngerare. Pentru mul\u021bi oameni, vizitele la dentist sunt singurul contact regulat cu sistemul lor local de asisten\u021b\u0103 medical\u0103.2<\/sup> \u00cen plus, pentru mul\u021bi pacien\u021bi, extrac\u021bia dentar\u0103 poate fi adesea prima interven\u021bie chirurgical\u0103 \u2013 \u0219i, prin urmare, prima provocare hemostatic\u0103 major\u0103. Prin urmare, s\u00e2ngerarea excesiv\u0103 \u00een timpul sau dup\u0103 o astfel de procedur\u0103 poate fi prima oportunitate pentru diagnosticarea unei tulbur\u0103ri de s\u00e2ngerare neidentificate anterior.<\/p>\n<\/div>\n\n

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Diagnosticarea VWD r\u0103m\u00e2ne o sarcin\u0103 dificil\u0103 din cauza lipsei de con\u0219tientizare \u0219i a complexit\u0103\u021bii procesului de diagnosticare.5<\/sup> Dac\u0103 ai observat recent o s\u00e2ngerare nea\u0219teptat\u0103 la unul dintre pacien\u021bii t\u0103i, recomandarea noastr\u0103 este s\u0103 \u00eei sugerezi s\u0103 face\u021bi \u00eempreun\u0103 testul nostru de s\u00e2ngerare<\/a>. Acest test te va ajuta s\u0103 iei o prim\u0103 decizie \u00een ceea ce prive\u0219te necesitatea efectu\u0103rii unor investiga\u021bii suplimentare \u0219i i-ar putea schimba via\u021ba pacientului t\u0103u!<\/p>\n<\/div>\n\n

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\u00centruc\u00e2t pacien\u021bii cu tulbur\u0103ri de s\u00e2ngerare pot evita controalele stomatologice din cauza fricii de s\u00e2ngerare, controalele regulate ar trebui \u00eencurajate pentru a proteja s\u0103n\u0103tatea oral\u0103 \u0219i calitatea vie\u021bii pacien\u021bilor.4<\/sup> Pentru medicii stomatologi care doresc s\u0103 trateze pacien\u021bii cu tulbur\u0103ri de s\u00e2ngerare, sunt disponibile recomand\u0103ri privind gestionarea acestor afec\u021biuni.3,6<\/sup> \u00cen general, managementul stomatologic al pacien\u021bilor cu VWD este similar cu cel al pacien\u021bilor cu hemofilie.3<\/sup> Majoritatea tratamentelor nechirurgicale de rutin\u0103 pot fi asigurate \u00een practica stomatologic\u0103 general\u0103 dup\u0103 consultarea unui hematolog, \u00een special la pacien\u021bii cu forme u\u0219oare de VWD.3<\/sup> Tratamentul ar trebui efectuat \u00eentr-o unitate spitaliceasc\u0103 sau urm\u0103rind un plan de tratament, doar \u00een cazul pacien\u021bilor cu forme moderate sau severe de VWD sau pentru proceduri dentare invazive.3,6<\/sup><\/p>\n<\/div>\n\n

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Vezi aici<\/a> care este cel mai apropiat centru de tratament<\/a>. De asemenea, website-ul VWDtest ofer\u0103 informa\u021bii suplimentare despre etiologia<\/a>, diagnosticarea<\/a> \u0219i gestionarea VWD<\/a>, precum \u0219i o perspectiv\u0103 \u00een ceea ce prive\u0219te parcursul specific<\/a> pacien\u021bilor cu VWD. <\/p>\n<\/div>\n\n

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Referin\u021be<\/h6>\n<\/div>\n\n
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  1. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
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  2. Brown MC et al. Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n
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  3. Anderson JAM et al. Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n
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  4. Kalsi H et al. Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n
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  5. Corrales-Medina FF et al. Blood Rev<\/em><\/a> <\/a><\/em>2023; 58:101018.<\/li>\n<\/div>\n\n
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  6. WFH guidelines for dental treatment of patients with inherited bleeding disorders; https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; data ultimei acces\u0103ri – Nov 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

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