Παιδιατρική | Τόμος 65 • Τεύχος 2 • Μάρτιος - Απρίλιος 2002

MARCH-APRIL 2002

14-05-03

12:25

™ÂÏ›‰·116

¶·È‰È·ÙÚÈ΋ 2002;65:113-117

ÚfiˆÚÔ ÙÔÎÂÙfi, ÙËÓ ·Ó·ÁÓÒÚÈÛË ÙˆÓ Î˘‹ÛÂˆÓ ˘„ËÏÔ‡ ÎÈÓ‰‡ÓÔ˘ Î·È ÙËÓ ·Ó·˙‹ÙËÛË ÊÚÔÓÙ›‰·˜ Û ÂÚÈÁÂÓÓËÙÈο ΤÓÙÚ· Èηӿ Ó· ·ÓÙÈÌÂÙˆ›ÛÔ˘Ó ÙfiÛÔ ÙËÓ ¤ÁÎ˘Ô fiÛÔ Î·È ÙÔ ÚfiˆÚÔ ÓÂÔÁÓfi Ù˘ (4,9). ™ËÌ·ÓÙÈ΋ Â›Û˘ ıˆÚÂ›Ù·È Ë ÛÙÂϤ¯ˆÛË ÙˆÓ ªÔÓ¿‰ˆÓ ∂ÓÙ·ÙÈ΋˜ ¡ÔÛËÏ›·˜ ¡ÂÔÁÓÒÓ Ì ÂÍÂȉÈÎÂ˘Ì¤ÓÔ ÚÔÛˆÈÎfi Î·È Û‡Á¯ÚÔÓÔ Ù¯ÓÔÏÔÁÈÎfi ÂÍÔÏÈÛÌfi, ηıÒ˜ Î·È Ë ÔÚÁ¿ÓˆÛË ‰ÈÎÙ‡Ô˘ ÌÂÙ·ÊÔÚ¿˜ ÓÂÔÁÓÒÓ ÛÙÂϯˆÌ¤ÓÔ˘ Ì ¤ÌÂÈÚÔ˘˜ ÓÂÔÁÓÔÏfiÁÔ˘˜ Î·È Ì ۇÁ¯ÚÔÓÔ Ù¯ÓÔÏÔÁÈÎfi ÂÍÔÏÈÛÌfi, ÛÙÔÈ¯Â›Ô Ô˘ ‰ÂÓ ˘¿Ú¯ÂÈ Ì¤¯ÚÈ Û‹ÌÂÚ· ÛÙÔ ÓËÛ› Ì·˜. ªÂ ·˘ÙfiÓ ÙÔÓ ÙÚfiÔ ı· ÂÚÈÔÚÈÛÙ› ηٿ ÙÔ ‰˘Ó·ÙfiÓ Ë ÂÈ‚¿Ú˘ÓÛË Ô˘ ˘Ê›ÛÙ·Ù·È ÙÔ ÓÂÔÁÓfi, Î·È È‰È·›ÙÂÚ· ÙÔ ÌÈÎÚfi ÚfiˆÚÔ, ηٿ ÙË ÌÂÙ·ÊÔÚ¿ ÙÔ˘ ÛÙË ªÔÓ¿‰· ∂ÓÙ·ÙÈ΋˜ ¡ÔÛËÏ›·˜ ¡ÂÔÁÓÒÓ, Ô˘ fiˆ˜ Â›Ó·È ÁÓˆÛÙfi ¤¯ÂÈ Û¯ÂÙÈÛÙ› Ì ·˘ÍË̤ÓË ÓÔÛËÚfiÙËÙ· Î·È ıÓËÛÈÌfiÙËÙ· (17). ™ËÌ·ÓÙÈ΋ ·Ú·Ù‹ÚËÛË ·ÔÙÂÏ› ÙÔ ÁÂÁÔÓfi˜ fiÙÈ ·fi Ù· 6513 ÓÂÔÁÓ¿ Ô˘ ÁÂÓÓ‹ıËÎ·Ó ÛÙËÓ ∫Ú‹ÙË, Ù· 695 (ÔÛÔÛÙfi 10,67%) ÚÔ¤Ú¯ÔÓÙ·È ·fi ·ÏÏÔ‰·¤˜ ÔÈÎÔÁ¤ÓÂȘ, ΢ڛˆ˜ ÔÈÎÔÓÔÌÈÎÔ‡˜ ÚfiÛÊ˘Á˜ Ô˘ ¤¯Ô˘Ó ¤ÚıÂÈ Ù· ÙÂÏÂ˘Ù·›· ¯ÚfiÓÈ· ÛÙË ¯ÒÚ· Ì·˜ ÁÈ· ·Ó·˙‹ÙËÛË ÂÚÁ·Û›·˜ ΢ڛˆ˜ ·fi ÙËÓ ∞Ï‚·Ó›·, ÙË µÔ˘ÏÁ·Ú›· Î·È ·fi ¯ÒÚ˜ Ù˘ ÚÒËÓ ™Ô‚ÈÂÙÈ΋˜ ŒÓˆÛ˘. ªÂ ‚¿ÛË ÙÔ ÁÂÁÔÓfi˜ fiÙÈ ÙÔ 1995 Ô ·ÚÈıÌfi˜ ·˘Ùfi˜ ‹Ù·Ó ηٿ Ôχ ÌÈÎÚfiÙÂÚÔ˜, ÛËÌÂÈÒÓÂÙ·È Ì›· Û¯ÂÙÈ΋ Ì›ˆÛË ÛÙÔÓ ·ÚÈıÌfi ÙˆÓ ÓÂÔÁÓÒÓ Ô˘ ÁÂÓÓÈÔ‡ÓÙ·È ·fi ÂÏÏËÓÈΤ˜ ÔÈÎÔÁ¤ÓÂȘ. ∞fi ·˘Ù‹ ÙËÓ ·Ú·Ù‹ÚËÛË ˘ÔÛËÌ·›ÓÂÙ·È ÁÈ· ¿ÏÏË Ì›· ÊÔÚ¿ ÙÔ Úfi‚ÏËÌ· Ù˘ Ì›ˆÛ˘ ÙÔ˘ ·ÚÈıÌÔ‡ ÙˆÓ ÁÂÓÓ‹ÛÂˆÓ ÛÙËÓ ÂÏÏËÓÈ΋ ÔÈÎÔÁ¤ÓÂÈ·. ∞˘ÙÔ› ÔÈ ¿ÓıÚˆÔÈ, Û ·ÚÎÂÙ¤˜ ÂÚÈÙÒÛÂȘ, ˙Ô˘Ó ÛÂ Û˘Óı‹Î˜ οو ·fi Ù· fiÚÈ· Ù˘ ·ÓıÚÒÈÓ˘ ·ÍÈÔÚ¤ÂÈ·˜ Î·È ‰ÂÓ ¤¯Ô˘Ó ηÓÂÓfi˜ ›‰Ô˘˜ ÂÚÈÁÂÓÓËÙÈ΋ ÊÚÔÓÙ›‰· ·fi ÙȘ ˘ËÚÂۛ˜ ˘Á›·˜. ∏ ÚÔÛ¤ÁÁÈÛ‹ ÙÔ˘˜ ·fi ÙËÓ ÎÔÈÓˆÓÈ΋ ÚfiÓÔÈ· Î·È Ë Î·ıÔ‰‹ÁËÛ‹ ÙÔ˘˜ ÁÈ· ·Ó·˙‹ÙËÛË ·ÚÔ¯‹˜ ÂÚÈÁÂÓÓËÙÈ΋˜ ÊÚÔÓÙ›‰·˜ ·fi ÙȘ ˘ËÚÂۛ˜ ÙÔ˘ ∂ıÓÈÎÔ‡ ™˘ÛÙ‹Ì·ÙÔ˜ ÀÁ›·˜ ı· ÌÔÚÔ‡Û ‰˘ÓËÙÈο Ó· ‚ÔËı‹ÛÂÈ ÛÙËÓ Â›Ù¢ÍË ÙÔ˘ ÛÙfi¯Ô˘ Ì·˜ ÁÈ· ÂÚ·ÈÙ¤Úˆ Ì›ˆÛË Ù˘ ÂÚÈÁÂÓÓËÙÈ΋˜ ıÓËÛÈÌfiÙËÙ·˜. ™˘ÌÂÚ·ÛÌ·ÙÈο, Ë ÂÚÈÁÂÓÓËÙÈ΋ ıÓËÛÈÌfiÙËÙ· ÛÙË ∫Ú‹ÙË Ù· ÙÂÏÂ˘Ù·›· ¯ÚfiÓÈ· ¤¯ÂÈ ÌÂȈı› ÛËÌ·ÓÙÈο. ∏ Ì›ˆÛ‹ Ù˘ ·Ô‰›‰ÂÙ·È ÛÙË ‚ÂÏÙ›ˆÛË ÙˆÓ ·Ú¯fiÌÂÓˆÓ ˘ËÚÂÛÈÒÓ ˘Á›·˜ ÛÙËÓ ¤ÁÎ˘Ô ÌËÙ¤Ú· Î·È ÛÙÔ ÓÂÔÁÓfi Ù˘. À¿Ú¯Ô˘Ó fï˜ ·ÎfiÌ· ÂÚÈıÒÚÈ· ‚ÂÏÙ›ˆÛ˘. ™Ùfi¯Ô˜ Ì·˜ Â›Ó·È Ë ÂÚ·ÈÙ¤Úˆ ‚ÂÏÙ›ˆÛË ÙˆÓ ·Ú¯fiÌÂÓˆÓ ˘ËÚÂÛÈÒÓ ˘Á›·˜ fiÛÔÓ ·ÊÔÚ¿ ÛÙËÓ ÚfiÏË„Ë ÙÔ˘ ÚfiˆÚÔ˘ ÙÔÎÂÙÔ‡, ·ÏÏ¿ Î·È Û Â›Â‰Ô ‚ÂÏÙ›ˆÛ˘ Ù˘ ÏÂÈÙÔ˘ÚÁ›·˜ ÙˆÓ ªÔÓ¿‰ˆÓ ∂ÓÙ·ÙÈ΋˜ ¡ÔÛËÏ›·˜ ¡ÂÔÁÓÒÓ. ∂ÎÙfi˜ ·fi ÙȘ ÚÔÛ¿ıÂȘ ÙÔ˘ È·ÙÚÈÎÔ‡ Î·È ÓÔÛËÏ¢ÙÈÎÔ‡ ÚÔÛˆÈÎÔ‡, Ô˘

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