PRIKAZ PATOLOŠKIH STANJA VENSKE CIRKULACIJE U ZAPOSLENE POPULACIJE
Kuralić S, Hadžigrahić N.

Klinika za kožne i spolne bolesti UKC Tuzla, Tuzla, Bosna i Hercegovina

Prikaz morbiditeta zbog smetnji venske cirkulacije donjih ekstremiteta u zaposlene populacije nije realan.
CILJ: Cilj rada je utvrditi povezanost zanimanja i poremećaja venske cirkulacije po C.E.A.P. klasifikaciji (C-kliničke manifestacije; E-etiologija; A- anatomske promjene; P- perforatori).

ISPITANICI I METODE: Istraživanjem je obuhvaćeno 98 bolesnika (42 žene i 56 muškaraca), izabranih metodom slučajnog izbora.

REZULTATI: Među bolesnicima ženskog spola bilo je najviše ekonomskih tehničara i drugih službenica- 21 od 42 (50%), zatim prosvjetnih radnica- 7 od 42 (16,6%), trgovaca - 5 od 42 (11,9%), frizera -4 od 42 (9,5%), medicinskih sestara -2 od 42 (4,7%) i ostalih zanimanja - 3 od 42 (5,3%). U grupi bolesnika muškog spola bio je najveći broj rudara -28 od 56 (50%), vozača -11 od 56 (19,6%), stolara -5 od 56 (8,9%), molera -3 od 56 (5,3%), prosvjetnih radnika -3 od 56 (5,3%) i ostalih zanimanja - 6 od 56 (10,7%). Od svih zanimanja izdvojene su dvije najbrojnije grupe: grupa službenica i grupa rudara. Prema C.E. A. P. klasifikaciji, najveći broj službenica (11 od 21) imale su edeme (C3), 7 od 21 aktivne venozne ulkuse (C6), dok je varikse (C2) imalo njih 13 od 21. Što se tiče etiologije, njih 14 od 21 negiralo je postojanje istog oboljenja u porodici. U grupi od 28 rudara, njih 13 imalo je aktivne venozne ulkuse (C6), 7 je imalo kožne promjene bez ulkusa (C4), dok su 4 rudara imala edeme (C3). Poremećaje venske cirkulacije u porodici negiralo je 16 od 28 rudara. Uočeno je da se bolesnici javljaju ljekaru relativno kasno, kada su već prisutne aktivne venozne ulceracije.

ZAKLJUČAK: Na osnovu dobijenih rezultata zaključili smo da je broj muškaraca s poremećajima venske cirkulacije u porastu. Najveći broj oboljelih bio je u grupama zanimanja koja su vezana za sjedenje i težak fizički rad. Medicinsku prevenciju treba započeti još u fazi profesionalne orjentacije, a liječenje što ranije, dok se nisu razvile ireverzibilne promjene na koži.

FINDINGS OF PATHOLOGICAL STATUS OF VEIN -CIRCULATION WITH EMPLOYED POPULATION
Kuralic S, Hađžigrahic N.

Department of Dermatology Diseases, University Clinical Center, Tuzla, Bosnia and Herzegovina

AIM: Status of morbidity due to vein- circulation disorders of the lower extremities of professionals is not realistic. The focus of the experiment is to confirm the connection between various professions and disorder of vein circulation according to C.E.A.P. classification (C- clinical manifestations; E - etiology; A - anatomy changes; P - perforations).

SUBJECTS AND METHODS: The experiment was based on 98 patients (42 women and 56 men) chosen by a method of accidental selection.

RESULTS: Among the female patients there were mostly economics technicians and other office workers -21/42 (50.0%), then teachers-7/42 (16.6%), salespersons -5/42 (11.9%), hairdressers -4/42 (9.5%), 2/42 (4.7%) nurses and other professions -3/42 (5.3%). The group of male patients consisted mainly of miners -28/56 (50.0%), drivers -11/56 (19.6%), carpenters -5/56 (8.9%), painters -3/56 (5.3%), teachers - 3/56 (5.3%) and other professions -6/56 (10.7%). Out of all the professions, two groups were separated: group of office workers and group of miners. According to C.E.A.P. classification, the majority of office workers (11/21) had oedemas (C3), 7/21 active vein ulcers (C6), whilst 13 out of 21 had varicose veins (C2). As far as etyology is concerned, 14 out of 21confirmed, that there no family history of the same illness. In the group of 28 miners, 13 of them had active vein- ulcers (C6), 7 had dermatological changes of ulcers (C4), while 4 miners had oedemas (C3). 16 out of 28 miners confirmed no family history of vein- circulation disorders. It was established that patients reported to a doctor relatively late when they already had active vein ulcers.

CONCLUSION: Based on the given results, it was concluded that the number of males with vein -circulation disorders was in increase. The largest number of diseased was in the groups of sedentary professions and the ones connected with heavy physical work. Medical prevention is to be done during the period of professional orientation, and treatment early, when there is no irreversible of changes on the skin.

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