NON COMMUNICABLE DISEASE Flashcards
disease that is not spread through contact
non communiccable disease
caused by how people live, conditions they are born with, or environmental hazards
non communicable disease
not spread through contact because most are not caused by germs. they are breakdown in body cells and tissues.
non communicable disease
cause further breakdown/ degeneration in body cells and tissues as they progress
degenerative diseases
present either continuously/ off and on over a long period of time.
chronic disease
may develop as aresult of person’s lifestyle behaviours/substances in person’s environment.
chronic diseases
2 diseases that is present at birth
genetic disorder & birth defect
body does not develop/function normally because of an inherited problem
genetic disorder
disorders of the developing & newborn baby, causes unknown
birth defect
NO CURE for genetic disorders & birth defects
certain characteristics that increase a person’s chances of developing the disease
risk factors
many diseases caused by hazards in environment.
chemicals, 2nd hand smoke, radon, asbestos,
diseases caused by environment
NCD’s overriding infectious diseases & double the burden of diseases in many developing countries.
epidemiological
tobacco use is increasing, diets are rapidly
changing, physical activity reduces, alcohol use increases,
obesity, hypertension are increasing in most parts of the
world, while undernutrition remains a severe issue
lifestyle
sudden onset, single cause, short natural history, cure is achieved, single disciple, short follow-up
communicable disease
gradual onset, multiple etiology, long natural history, care predominates, multidisciplinary, prolonged follow-up
non communicable disease
60% of global deaths are due to NCD’s
40% of cancer is preventable
80% of cardiovascular disease, stroke, diabetes is preventable
large part of chronic respiratory diseases is preventable
4 common risk factors responsible for majority of NCD’s
inactivity
unhealthy diet
tobacco
alcohol
major NCD’s have shared preventable risk factors:
tabacco use
unhealthy diet
physical inactivity
harmful use of alcohol
90% of Filipinos has 1/more prevalent risk factors
physical inactivity 60.5%
smoking 34.8%
hypertension 22.5%
hypercholesterolemia 8.5%
overweight 20%
obesity 4.9%
diabetes 4.6%
only 19% of national population eat fruit & vegetables more than 4 times a day
recommended standard serving
100% eating 5 servings DAILY
use of tobacco for both sexes:
22% (20% in 2003)
current use pf tobacco for boys:
34% (27% in 2003)
current use of tobacco for girls:
14% (13% in 2003)
11% filipinos 15-74 yrs old regulary drink alcoholic beverages
24% filipinos 15-18 yrs olf regulary drink alcoholic beverages
42% filipinos 15-27 yrs old are current drinkers
framework for NCD prevention & control actions:
causation pathway actions:
- environmental interventions
- lifestyle interventions
- clinical interventions
- advocacy
- research & surveeillance
- politocal & community leadership, intersectoral partnerships & community mobilization
- health systems strengthening
causation pathway:
UNDERLYING DETERMINANTS
- globalizations
- urbanization
- population ageing
causation pathway:
COMMON RISK FACTORS
- unhealthy diet
- physical inactivity
- tobacco & alcojol use
- age (non-modifiable)
- heredity (non-modifiable)
causation pathway:
INTERMEDIATE RISK FACTORS
- raised blood sugar
- raised blood pressure
- abnormal blood lipids
- overweight/obesity
causation pathway:
MAIN CHRONIC DISEASES
- heart disease
- cancer
- stroke
- chronic respiratory diseases
- diabetes
intervention pathway:
ENVIRONMENTAL INTERVENTIONS
macroeconomic & policy changes
- governance
- policy & legislation
- creating supportive built environments
intervention pathway:
LIFESTYLE INTERVENTIONS
- behavioral interventions
- improving the ‘built’ environment
- information & education
intervention pathway:
CLINICAL INTERVENTIONS
- clinical preventive services
- risk factor detection & control
- acute care
- chronic care & rehabilitation
- palliative care
1 killer of adults in US
any condition that lessens strength/ function of heart/blood vessels
cardiovascular diseases:
HEART DISEASE
any condition that lessens strength/ function of heart/blood vessels
cardiovascular diseases:
HEART DISEASE
arteries that supply heart muscles with blood
coronary arteries
condition which fatty substances in blood are deposited on walls of arteries
artherosclerosis
fatty substances that causes artherosclerosis, some are produced by body, certain foods also contain cholesterol
cholesterol
hardening of arteries. slows flow of blood & is a major cause of HBP
arteriosclerosis
force of blood on inside walls of blood vessels
blood pressure
typical blood pressure for teens is 110/70
when blood pressure is consistently higher than normal
hypertension (high blood pressure)
4 factors that increases your chances of having HBP:
- eating large amount of salt
- being overweight
- feeling extreme stress for long perios of time
- having a family history of HBP
called ‘the silent killer’
High Blood Pressure(heart disease)
risk factors of HBP:
not within a person’s control
- age
- gender
- race
- family history
risk factors of HBP:
within person’s control
- weight
- exercise
- diet
- tobacco
6 ways of treating heart disease
- heart transplant
- bypass surgery
- dissolving blood clots
- angioplasty
- medication
- changing lifestyle behaviours
replacing diseased heart with healthy heart from donor
heart transplant
removing a vein from leg and form detour around the blockage
bypass surgery
medications are used to dissolve the clots
dissolving blood clots
ways to prevent heart disease
- don’t smoke
- healthy diet
- stop/reduce alcohol intake
- exercuse
- avoid stress
- keep a health weight
key for prevention of Hypertension:
- encourage proper nutrition
- prevent becoming overweight/obese
- smoking cessation
- indentify people at risk & encourage regular check-up
heart disease caused by impaired coronary blood flow
also known as ‘ ischemic heart disease’
coronary artery disease
modifiable risk factors of CAD:
- high lipid & cholesterol level in blood = high LDL
- smoking
- obesity
- physical inactivity/sedentary lifestyle
- stress
non-modifiable risk factors of CAD:
- hereditary/family history
- gender
- age
loss/alteration of bodily function that results from insufficient supply of blood to some parts of brain.
cerebrovascular disease/stroke
3 types of stroke:
- thrombotic
- embolic
- hemorrhagic
stroke that usually occurs in atherosclerotic blood vessel commonly seen in older people.
thrombotic people
stoke caused by a moving blood clot
usually from a thrombus in the left heart that
becomes lodged in a small artery through which it
cannot pass
embolic stroke
most fatal type of stroke,
rupture of intracerebral blood vessel
hemorrhagic stroke
risk factors of stroke:
- increasing age
- sex-women
- hereditary & race
- hypertension
- cigarette smoking
- heart disease
- high RBC count- thicken blood and make clots
- season & climate
- socio-economic factors
- certain kinds of drug abuse
key areas for prevention of stroke:
- Treatment and control HPN
- Smoking cessation
- Limit alcohol consumption
- Avoid intravenous drug abuse
- Prevent all other risk factors of atherosclerosis
develops when cells in a part of the body begin to
grow out of control. continue to grow and
divide even when there is no need to do so. Instead of
dying they outlive normal cells and continue to form new
abnormal cells. They compete with normal cells for the
blood supply and nutrients
cancer
travel to other parts of the body where
they begin to grow and replace normal tissue
metastasis
causes of cancer
- Hereditary/family history
- Carcinogens
- Polycyclic hydrocarbon
agent capable of causing cancer, maybe
chemical, environmental agent, radiation
carcinogens
chemicals found in cigarette
smoke, industrial agents and in smoked foods
polycylic hydrocarbon
produced when meat and fish are
charcoal broiled or smoked, also produced when food is
fried in fat that has been reused repeatedly
benzopyrene
powerful carcinogens used as
preservatives in foods like tocino, longganisa bacon,
hotdogs
nitrosamines
UV rays from sunlight, x-rays
radiation
found in peanuts and peanut butter
Aflatoxin
2nd leading cause of death in adults in the US
cancer
group of abnormal cells
tumors
Benign Tumor - are not cancerous
Malignant Tumor - cancerous
cause of cancer:
- Factors that are inherited
- Lifestyle behaviors
- Carcinogens
diagnosing cancer:
- Routine Physical Examination
- Blood Tests
- Biopsy
7 warning signs of cancer
Change in bowel or bladder habits
A sore that does not heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere Indigestion or
Difficulty swallowing
Obvious change in a wart or mole
Nagging cough or hoarseness
treatment of cancer:
- Surgery
- Radiation
- chemotheraphy
Key areas for primary prevention of cancers:
- Smoking cessation
- Encourage proper nutrition
- Increase intake of dietary fibers
- Limit consumption if smoked, charcoal-broiled, salt
cured foods - Drink alcohol beverages in moderation
- Control obesity
- Early diagnosis and prompt treatment
Genetically and clinically heterogeneous group of metabolic
disorder characterized by glucose intolerance with
hyperglycemia present at time of diagnosis
diabetes mellitus
2 types of diabetes:
type I - insulin dependent diabetes mellitus (IDDM)
type II - non-insulin dependent diabetes mellitus (NIDDM)
- Characterized by absolute lack of insulin due to
damaged pancreas - Dependent of insulin injections
- Genetic, environment or maybe acquired
TYPE I
- More common, 90-95% of all person with diabetes
- More preventable because it is associated with
obesity and diet - Possible cause include impaired insulin secretion and
increased hepatic glucose production - Usually in older and overweight persons
type II
diabetes that develops during pregnancy and
may lead to Type II DM
gestational diabetes
risk factors of type II DM:
- Family history
- Overweight and obesity
- Sedentary lifestyle
- Hypertension
Key areas for prevention and control of diabetes:
- Encourage proper nutrition
- Maintain body weight and prevent obesity
- Promote regular exercise
- Smoking cessation – DM patients who smoke have
higher risk of heart attack and stroke
- Major cause of chronic morbidity and mortality worldwide –
4th leading cause of mortality. - It is a disease characterized by
airflow limitation that is not fully reversible.
chronic obstructive pulmonary disease
(COPD)
Causes and risk factors of COPD:
- Smoking (primary cause)
- chronic bronchitis and
emphysema - Age
used in nail polish remover
Acetone
used in vinegar
acetic acid
used in food and toilet cleaners
ammonia
used to make rat poison
arsenic
used in cigarette lighter fluid
Butane
used on rechargeable batteries
Cadmium
found in exhaust fumes
Carbon monoxide
used to preserve dead bodies
Formaldehyde
used in lighter fluid
Hexamine
used in gas chambers
Hydrogen cyanide
used like gasoline
Methane
used to make moth balls
Naphthalene
used in insecticides
Nicotine
used as gasoline additive
Nitrobenzene
used as disinfectants
Nitrous oxide
used as insecticide
Dieldrin
alcohol
Ethanol
alcohol
Ethanol
used in candle wax
Stearic acid
used as industrial solvent
Toluene
used to make PVC pipe
Vinyl chloride