{"id":7686,"date":"2023-04-04T11:22:57","date_gmt":"2023-04-04T15:22:57","guid":{"rendered":"https:\/\/telemedhub.org\/2023\/04\/04\/enfoque-multidisciplinario-para-obtener-mejores-resultados\/"},"modified":"2023-12-11T16:31:39","modified_gmt":"2023-12-11T21:31:39","slug":"enfoque-multidisciplinario-para-obtener-mejores-resultados","status":"publish","type":"post","link":"https:\/\/telemedhub.org\/es\/2023\/04\/04\/enfoque-multidisciplinario-para-obtener-mejores-resultados\/","title":{"rendered":"Enfoque multidisciplinario para obtener mejores resultados"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"7686\" class=\"elementor elementor-7686 elementor-3667\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-5cc0fec5 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5cc0fec5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b1e2e62\" data-id=\"3b1e2e62\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-435c6040 elementor-widget elementor-widget-heading\" data-id=\"435c6040\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Enfoque multidisciplinario para obtener mejores resultados<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cde43e elementor-widget elementor-widget-spacer\" data-id=\"cde43e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40dfacd9 elementor-widget elementor-widget-heading\" data-id=\"40dfacd9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">En Yemen, una ni\u00f1a peque\u00f1a, con un peso por debajo de lo normal, lleg\u00f3 con s\u00edntomas graves. <\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a72628b elementor-widget elementor-widget-text-editor\" data-id=\"3a72628b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">Una ni\u00f1a de tres a\u00f1os, peligrosamente por debajo del peso adecuado (6.2 kg cuando el peso normal para su edad es de 14 kg), lleg\u00f3 a la cl\u00ednica de MSF, en Yemen, con m\u00faltiples lesiones cut\u00e1neas, estaba en coma y en estado de shock. Se inform\u00f3 de un breve episodio de diarrea, v\u00f3mitos e incapacidad para alimentarse. Asimismo, sus padres notaron que su peque\u00f1a no hab\u00eda desarrollado la capacidad de hablar o caminar hasta el momento.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">La ni\u00f1a fue admitida de inmediato en la unidad de cuidados intensivos y comenz\u00f3 a recibir antibi\u00f3ticos, l\u00edquidos intravenosos y apoyo nutricional, a lo que respondi\u00f3 bien; sin embargo, su debilidad, disminuida lucidez mental e hinchaz\u00f3n de extremidades persist\u00edan.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">El caso fue remitido a la plataforma de telemedicina, donde lo recibi\u00f3 la Dra. Alexia Knapp, dermat\u00f3loga ubicada en los Estados Unidos, quien observ\u00f3 descamaci\u00f3n de la piel en el pecho y en las extremidades superiores e inferiores, as\u00ed como edema, y confirm\u00f3 el diagn\u00f3stico de kwashiorkor mar\u00e1smico, que es una forma grave de desnutrici\u00f3n caracterizada por una marcada deficiencia proteica e insuficiencia cal\u00f3rica.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">La Dra. Knapp recomend\u00f3 apoyo nutricional, como suplementos de micronutrientes, para ayudar a tratar las manchas cut\u00e1neas provocadas por las deficiencias de minerales y vitaminas. Adem\u00e1s, aconsej\u00f3 estar atentos a cualquier s\u00edntoma que indicase una infecci\u00f3n cut\u00e1nea bacteriana posterior.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Como es usual en los casos pedi\u00e1tricos enviados al servicio de telemedicina, tambi\u00e9n se asign\u00f3 un pediatra a este caso. La doctora Maria-Claudia Senatore Soares, pediatra en Brasil, sugiri\u00f3 tratar con urgencia un posible desequilibrio de electrolitos, que, a menudo, se observa en ni\u00f1os desnutridos. Ella dio varias recomendaciones para tratar el desequilibrio de electrolitos en la ni\u00f1a, lo que orient\u00f3 la estrategia de atenci\u00f3n del equipo m\u00e9dico del proyecto. Debido a la anemia que presentaba, la ni\u00f1a tambi\u00e9n recibi\u00f3 transfusi\u00f3n de sangre.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Luego de recibir todos estos tratamientos, la condici\u00f3n de la ni\u00f1a mejor\u00f3 significativamente. Su lucidez se restableci\u00f3 completamente, se redujo el edema de sus piernas y diez d\u00edas despu\u00e9s se le dio de alta.<\/span><\/p><p><span data-contrast=\"auto\"><br><\/span><\/p>\n<p><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">La desnutrici\u00f3n grave es un problema serio en Yemen, que se exacerba con la guerra. Cerca de la mitad de los ni\u00f1os en Yemen sufren de desnutrici\u00f3n cr\u00f3nica. La buena noticia es que, si el tratamiento se empieza pronto, los ni\u00f1os desnutridos generalmente se recuperan bien, tal como lo demuestra esta ni\u00f1a de tres a\u00f1os, quien recibi\u00f3 tratamiento profesional del equipo m\u00e9dico local y de nuestros especialistas en telemedicina.<\/span><span data-ccp-props=\"{\" 201341983\":0,\"335551550\":6,\"335551620\":6,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\n<figure class=\"wp-block-image size-full\"><\/figure>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-3668\" src=\"https:\/\/dev-telemed.pantheonsite.io\/wp-content\/uploads\/2023\/04\/image-e1686326084924-167x300.png\" alt=\"\" width=\"167\" height=\"300\" srcset=\"https:\/\/telemedhub.org\/wp-content\/uploads\/2023\/04\/image-e1686326084924-167x300.png 167w, https:\/\/telemedhub.org\/wp-content\/uploads\/2023\/04\/image-e1686326084924.png 275w\" sizes=\"(max-width: 167px) 100vw, 167px\" \/><\/p><p><br><\/p>\n<p><em><span class=\"TextRun SCXW253763781 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW253763781 BCX0\">Por: Dra. Nilza Angmo y Dr. Ahmed<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW253763781 BCX0\">Igbin<\/span><\/span><\/em><span class=\"EOP SCXW253763781 BCX0\" data-ccp-props=\"{\" 201341983\":0,\"335559739\":0,\"335559740\":240}\"=\"\"> <\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>En Yemen, una ni\u00f1a peque\u00f1a, con un peso por debajo de lo normal, lleg\u00f3 con s\u00edntomas graves.<\/p>\n","protected":false},"author":9,"featured_media":7572,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[39],"tags":[],"_links":{"self":[{"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/posts\/7686"}],"collection":[{"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/comments?post=7686"}],"version-history":[{"count":4,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/posts\/7686\/revisions"}],"predecessor-version":[{"id":7691,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/posts\/7686\/revisions\/7691"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/media\/7572"}],"wp:attachment":[{"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/media?parent=7686"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/categories?post=7686"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/telemedhub.org\/es\/wp-json\/wp\/v2\/tags?post=7686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}