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Rosnący wskaźnik otyłości w społeczeństwie oznacza więcej przypadków trudno gojących się ran

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Do 2060 r. skutki ekonomiczne otyłości wzrosną średnio do 3,6 proc. PKB – alarmują naukowcy w badaniu opublikowanym w czasopiśmie BJM Global Health. Otyłość niejednokrotnie jest przyczyną powstawania m.in. odleżyn, wyprzenia skóry czy rogowacenia ciemnego. Wzrost wskaźnika występowania otyłości w społeczeństwie może więc oznaczać większą liczbę trudno gojących się ran.

Naukowcy zwracają uwagę, że w latach 1975-2016 liczba przypadków otyłości wzrosła w każdym kraju na świecie. Schorzenie to jest przyczyną 5 milionów zgonów. Otyłość wiąże się z kosztami społecznymi i ekonomicznymi. Leczenie tej choroby jest obciążeniem dla systemów opieki zdrowotnej, przyczyną obniżenia jakości życia chorych, a także utraty produktywności.

Koszty związane z otyłością będą rosły we wszystkich miejscach na świecie

Naukowcy oszacowali ekonomiczny oraz społeczny wpływ otyłości na budżety poszczególnych państw. Koszty leczenia choroby obejmowały m.in kwestie związane z opieką nad pacjentami, straty finansowe spowodowane przedwczesną śmiercią i utratą produktywności. Z obliczeń wynika, że przy obecnym tempie życia, w ciągu najbliższych 40 lat całkowity koszt leczenia otyłości podwoi się w Hiszpanii, a w Indiach wzrośnie 19-krotnie. Badacze wykazali również, że w 2019 r. całkowity koszt otyłości na jednego mieszkańca wahał się od 17 dolarów w Indiach do 940 dolarów w Australii.

– Nasze odkrycia sugerują, że otyłość ma ogromny wpływ na ekonomię, niezależnie od położenia geograficznego lub poziomu dochodów danego kraju. Oczywiście istnieją duże różnice pomiędzy państwami, jeśli chodzi o poziom i skutki otyłości, ale historyczne i obecne trendy pokazują, że koszty gospodarcze będą z czasem rosły w wszystkich miejscach na świecie – wskazują naukowcy.

Według szacunków badaczy, jeżeli udałoby się zmniejszyć częstość występowania tej choroby o 5 proc. w odniesieniu do przewidywanych trendów lub zatrzymać przyrost tego wskaźnika na poziomie z 2019 r., to roczna redukcja kosztów wyniosłaby odpowiednio 5 lub 13 proc.

Badacze podkreślają, że ich odkrycia pokazują konieczność podnoszenia krajowych wysiłków na rzecz zwalczania globalnego wzrostu częstości występowania otyłości. Zdaniem ekspertów również istniejąca bierność polityczna utrudnia postęp we wdrażaniu odpowiedniej profilaktyki zdrowotnej w odniesieniu do tego schorzenia.

Jakie rany związane są z otyłością?

Wzrost przypadków otyłości wiąże się również ze zwiększoną liczbą występowania ran trudno gojących się. Zwiększenie ilości magazynowanej tkanki tłuszczowej prowadzi do rozwoju wielu schorzeń o podłożu dermatologicznym, np. wysuszenia skóry i wydłużenia procesów jej regeneracji czy powstawania zmian trądzikowych. Poważne uszkodzenia skóry generuje również zwiększona potliwość, która związana jest z otyłością. Z kolei utrzymująca się wilgoć, tarcie pomiędzy fałdami skóry, jej niewystarczające dotlenienie i zaburzony przepływ krwi prowadzi do przerwania ciągłości skóry i opóźnienia procesów leczenia. Ze względu na niewydolność żylną otyłość może prowadzić do owrzodzeń żylnych. Otyłości często towarzyszy również cukrzyca, która może prowadzić do zmian w obrębie stóp i utrudniać proces gojenia ran.

Ponadto otyłość może prowadzić do powstawania:

  • wyprzenia – schorzenie o charakterze zapalnym, rozwijające się w obrębie ocierających się o siebie fałd skórnych. Naskórek ulega maceracji, może dojść do zakażenia bakteryjnego lub grzybiczego. Objawy wyprzenia dotyczą: świądu, łuszczenia się skóry, nadżerek, strupów i wysięków;
  • rogowacenia ciemnego – objawia się hiperkeratotyczną, brodawkującą i nadmiernie napigmentowaną skórą (o brązowej barwie) z towarzyszącym świądem. Zmiany pojawiają się najczęściej w okolicy pach, łokci, kolan, szyi i dłoni;
  • hiperkeratozy – nadmierne rogowacenie naskórka. Zmiany obejmują skórę, naskórek i tkankę łączną. Schorzenie objawia się: złogami, brodawkami, odciskami, pęknięciami i stanami zapalnymi. Naskórek przyjmuje żółtą lub brunatnoszarą barwę, może ulegać pęknięciom czy łuszczeniu;
  • odleżyn – dochodzi do nich w wyniku niewystarczającego ukrwienia i natlenienia tkanek, zwiększonej potliwości oraz ograniczonej mobilności ruchowej. U pacjentów z otyłością duży nacisk wywierany jest na znaczną powierzchnię ciała, a odleżyny rozwijają się np. na całych pośladkach lub w bruździe pośladkowej;
  • łupieżu rumieniowego – pojawia się w fałdach skóry i objawia się ciemnymi plamami, które mogą ulegać łuszczeniu. Zmiany nie sprawiają dolegliwości bólowych i nie swędzą, ale mogą się powiększać.

Źródła: PAP, Forum Leczenia Ran

 

Przeczytaj także: Jak zapobiegać powstawaniu ran u pacjentów z otyłością?

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Chirurgia Plastyczna i Oparzenia”:

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