{"id":239346,"date":"2026-11-05T23:13:01","date_gmt":"2026-11-05T22:13:01","guid":{"rendered":"https:\/\/cooperamalawi.org\/?p=239346"},"modified":"2026-11-06T13:07:06","modified_gmt":"2026-11-06T12:07:06","slug":"a-vegades-escoltar-canvia-el-diagnostic","status":"publish","type":"post","link":"https:\/\/cooperamalawi.org\/es\/a-vegades-escoltar-canvia-el-diagnostic\/","title":{"rendered":"A veces, escuchar cambia el diagn\u00f3stico"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Quan hem arribat a l\u2019hospital, hi havia poca gent esperant. Ahir hav\u00edem at\u00e8s 75 persones i no n\u2019hav\u00edem deixat cap sense visitar. Avui, per\u00f2, la situaci\u00f3 ha canviat r\u00e0pidament.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hem comen\u00e7at a les vuit del mat\u00ed. Cinc hores despr\u00e9s, ja hav\u00edem at\u00e8s com a m\u00ednim unes 130 persones. Hem vist pacients de pediatria, hipertensi\u00f3, fisioter\u00e0pia i casos amb diferents nivells de dificultat. Alguns han necessitat ingr\u00e9s hospitalari. Per una altra banda, la sessi\u00f3 divulgativa sobre prevenci\u00f3 de la hipertensi\u00f3 arterial ha estat encara m\u00e9s concorreguda que ahir i podem dir que est\u00e0 funcionant molt b\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per\u00f2 entre totes les visites d\u2019avui, n\u2019hi ha una que explica molt b\u00e9 qu\u00e8 vol dir treballar sobre el terreny.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sis mesos i una respiraci\u00f3 que deia alguna cosa m\u00e9s<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ha arribat un nad\u00f3 de nom\u00e9s sis mesos. La persona que l\u2019acompanyava deia que tenia problemes per respirar des del naixement. Tamb\u00e9 explicava que \u00faltimament menjava menys.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En explorar-lo, alguna cosa no encaixava.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El que al principi podia semblar un problema respiratori va apuntar cap a una altra direcci\u00f3. L\u2019equip li ha pogut fer una ecografia card\u00edaca. Han detectat una alteraci\u00f3 al cor, una comunicaci\u00f3 entre els ventricles.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El diagn\u00f2stic ha fet possible una cosa molt important. Avui mateix s'ha pogut comen\u00e7ar el tractament.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I aqu\u00ed tamb\u00e9 es veu una altra realitat de treballar a Malawi. No hi havia la presentaci\u00f3 pedi\u00e0trica habitual. L\u2019equip ha hagut d\u2019ajustar la medicaci\u00f3 disponible i explicar amb molta claredat com donar la dosi correcta. S\u2019ha donat tractament per als pr\u00f2xims quatre mesos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara ve una part igualment important. El seguiment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Caldr\u00e0 vigilar com canvia mentre creix. Tamb\u00e9 cal veure com respon al tractament i com avan\u00e7a aquesta alteraci\u00f3 card\u00edaca.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">I mentrestant, la jornada continuava<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La fisioter\u00e0pia tamb\u00e9 ha tingut molta feina. S\u2019ha at\u00e8s infants amb par\u00e0lisi i diverses persones amb seq\u00fceles d\u2019ictus, algunes d\u2019edat jove. En un dels casos, s\u2019ha preparat una f\u00e8rula per ajudar a corregir la posici\u00f3 d\u2019un peu afectat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I despr\u00e9s de les consultes, ve m\u00e9s feina. La sessi\u00f3 d\u2019educaci\u00f3 sanit\u00e0ria d\u2019avui ha reunit aproximadament el doble de persones que ahir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Atenci\u00f3 sanit\u00e0ria, diagn\u00f2stic, tractament, fisioter\u00e0pia, prevenci\u00f3 i educaci\u00f3. Aquests s\u00f3n justament els diferents \u00e0mbits que Coopera Malawi vol incloure en el seu projecte de salut comunit\u00e0ria.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Avui hem acabat molt m\u00e9s cansats que ahir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per\u00f2 potser la hist\u00f2ria d\u2019aquest petit explica millor que qualsevol xifra el sentit d\u2019un dia com el d\u2019avui:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mirar una mica m\u00e9s enll\u00e0, veure el problema i comen\u00e7ar a fer-hi alguna cosa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-4 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"769\" data-id=\"239354\" src=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140238000_iOS-1024x769.jpg\" alt=\"\" class=\"wp-image-239354\" style=\"aspect-ratio:1\" srcset=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140238000_iOS-980x551.jpg 980w, https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140238000_iOS-480x270.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"769\" data-id=\"239353\" src=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140241000_iOS-3-1024x769.jpg\" alt=\"\" class=\"wp-image-239353\" style=\"aspect-ratio:1\" srcset=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140241000_iOS-3-980x551.jpg 980w, https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_140241000_iOS-3-480x270.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, 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style=\"aspect-ratio:1\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"1024\" data-id=\"239360\" src=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_191843000_iOS-620x1024.jpg\" alt=\"\" class=\"wp-image-239360\" style=\"aspect-ratio:1\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"755\" height=\"1024\" data-id=\"239359\" src=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_193244000_iOS-755x1024.jpg\" alt=\"\" class=\"wp-image-239359\" style=\"aspect-ratio:1\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"461\" height=\"1024\" data-id=\"239361\" src=\"https:\/\/cooperamalawi.org\/wp-content\/uploads\/2026\/11\/20261105_191838000_iOS-461x1024.jpg\" alt=\"\" class=\"wp-image-239361\" style=\"aspect-ratio:1\"\/><\/figure>\n<\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>El d\u00eda hab\u00eda comenzado tranquilamente.<\/p>","protected":false},"author":1,"featured_media":239347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[61],"tags":[],"class_list":["post-239346","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-missio-benga-2026"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A vegades, escoltar canvia el diagn\u00f2stic - CooperaMalawi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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