REHABILITATION OF A PATIENT AFTER STAGE-BY-STAGE SURGICAL TREATMENT OF DESTRUCTIVE PULMONARY TUBERCULOSIS: CLINICAL EXAMPLE

DOI: https://doi.org/10.29296/25877305-2024-05-08
Issue: 
5
Year: 
2024

E. Krasnikova(1), MD; D. Gorlov(4); R. Tarasov(1 , 2), Candidate of Medical Sciences; M. Chushkin(1), MD; B. Petrov(4); M. Bagirov(1, 3), MD
1-Central Tuberculosis Research Institute, Moscow
2-Moscow Medical University "Reaviz"
3-Russian Medical Academy of Continuous Professional Education, Ministry
of Health of Russia, Moscow
4-Sanatorium "Lesnoye", Ministry of Health of Russia, Togliatti

The presented clinical case demonstrates the possibilities of a multidisciplinary approach to medical rehabilitation of a patient who underwent staged surgical treatment for widespread destructive pulmonary tuberculosis. Particular attention is paid to the possibilities of interdisciplinary interaction for the restoration of cardiorespiratory function of the body, correction of disorders of the musculoskeletal system, psycho-social adaptation and improvement of the quality of life of a patient who has undergone several extensive surgical interventions on the lungs.
Keywords: 
pulmonary tuberculosis
stage surgical treatment
lung resection
thoracomyoplasty
rehabilitation.

References: 
  1. Архипова Н.В., Помешкина С.А., Иноземцева А.А. и др. Физическая реабилитация пациентов с нарушенной функцией плечевого сустава после коронарного шунтирования. Физиотерапия, бальнеология и реабилитация. 2018; 17 (4):172–7 [Arkhipova N.V., Pomeshkina S.A., Inozemtseva A.A. et al. Physical rehabilitation of patients with shoulder joint dysfunction after coronary artery bypass surgery. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2018; 17 (4):172–7 (in Russ.)]. DOI: 10.18821/1681-3456-2018-17-4-172-177
  2. Гудкова Т.И. Методы улучшения дренажной функции бронхов при заболеваниях органов дыхания. Медицинская сестра. 2009; 1: 29–30 [Gudkova T.I. Methods for improving bronchial draining function in respiratory diseases. Meditsinskaya sestra. 2009; 1: 29–30 (in Russ.)].
  3. Корпусенко И.В., Савенков Ю.Ф. Результаты лечения больных двусторонним деструктивным туберкулезом легких с использованием мини-инвазивных оперативных вмешательств. Медичні перспективи. 2020; 25 (1): 193–203 [3. Korpusenko I.V., Savenkov Yu.F. Results of treatment of bilateral destructive pulmonary tuberculosis patients using mini-invasive surgical interventions. Medicni perspektivi. 2020; 25(1): 193–203 (in Russ.)]. DOI: 10.26641/2307-0404.2020.1.200420.
  4. Лазаренко Н.Н., Супова М.В. Реабилитация больных с использованием поляризованного полихроматического некогерентного света. Физиотерапия, бальнеология и реабилитация. 2019; 5: 316–55 [Lazarenko N.N., Supova M.V. Rehabilitation of patients using polarized polychromatic incoherent light. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2019; 18 (5): 316–55 (in Russ.)]. DOI: 10.17816/1681-3456-2020-18-5-316-355
  5. Мелкумова К.А. Когнитивно-поведенческая психотерапия при лечении хронической боли. Неврология, нейропсихиатрия, психосоматика. 2010; 1: 9–13 [Melkumova K.A. Cognitive behavioral psychotherapy in the treatment of chronic pain. Neurology, Neuropsychiatry, Psychosomatics. 2010; 1: 9–13 (in Russ.)].
  6. Нефедов А.В., Кузьмин О.В., Колмаков Н.М. Хирургическое лечение туберкулеза легких на современном этапе. Мат-лы научно-практической конференции «Актуальные вопросы современной клинической медицины». Подольск, 2001; с. 176–7 [Nefedov A.V., Kuzmin O.V., Kolmakov N.M. Surgical treatment of pulmonary tuberculosis at the present stage. Materials of the scientific-practical conference "Topical issues of modern clinical medicine". Podolsk, 2001; pp. 176–7 (in Russ.)].
  7. Петрова М.В., Харченко В.П. Защита онкологического больного от респираторных послеоперационных осложнений. Эффективная фармакотерапия. 2015; 12: 18–21 [Petrova M.V., Kharchenko V.P. Protection of oncology patients from respiratory postoperative complications. Effective pharmacotherapy. 2015; 12: 18–21 (in Russ.)].
  8. Чучалин А.Г., Авдеев С.Н., Айсанов З.Р. и др. Хроническая обструктивная болезнь легких: федеральные клинические рекомендации по диагностике и лечению. Пульмонология. 2022; 32 (3): 356–92 [Chuchalin A.G., Avdeev S.N., Aisanov Z.R. et al. Federal guidelines on diagnosis and treatment of chronic obstructive pulmonary disease. PULMONOLOGIYA. 2022; 32 (3): 356–92 (in Russ.)]. DOI: 10.18093/0869-0189-2022-32-3-356-392
  9. Guell Rous M.R., Diaz Lobato S., Rodriguez Trigo G. et al. Pulmonary rehabilitation. Sociedad Española de Neumologia y Cirugia Torácica (SEPAR). Arch Bronconeumol. 2014; 50: 332–44. DOI: 10.1016/j.arbres.2014.02.014
  10. Hartvigsen J., Hancock M.J., Kongsted A. et al. What low back pain is and why we need to pay attention. Lancet. 2018; 391 (10137): 2356–67. DOI: 10.1016/S0140-6736(18)30480-X
  11. Merry A.F., Cooper J.B., Soyannwo O. et al. International standards for a safe of anesthesia 2010. Can J Anaesth. 2010; 57 (11): 1027–34. DOI: 10.1007/s12630-010-9381-6
  12. Saito H., Hatakeyama K., Konno H. et al. Impact of pulmonary rehabilitation on postoperative complications in patients with lung cancer and chronic obstructive pulmonary disease. Thorac Cancer. 2017; 8 (5): 451–60. DOI: 10.1111/1759-7714.12466
  13. Spruit M.A., Singh S.J., Garvey C. et al. An official American Thoracic Society. European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013; 188 (8): e13-e64. DOI: 10.1164/rccm.201309-1634ST