{"id":56307,"date":"2012-02-16T11:08:28","date_gmt":"2012-02-16T10:08:28","guid":{"rendered":"https:\/\/laindependent.cat\/qles-protesis-mamaries-pip-acabaran-amb-la-meva-vidaq\/"},"modified":"2012-02-16T11:08:28","modified_gmt":"2012-02-16T10:08:28","slug":"qles-protesis-mamaries-pip-acabaran-amb-la-meva-vidaq","status":"publish","type":"post","link":"https:\/\/laindependent.cat\/en\/qles-protesis-mamaries-pip-acabaran-amb-la-meva-vidaq\/","title":{"rendered":"“Les pr\u00f2tesis mam\u00e0ries PIP, acabaran amb la meva vida”"},"content":{"rendered":"

L’esc\u00e0ndol de les pr\u00f2tesis mam\u00e0ries defectuoses<\/strong> 
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“Si no em treuen aquests implants aviat em morir\u00e9, a les nits el dolor \u00e9s tan fort que sento com si m’estigu\u00e9s cremant, durant el dia em fa mal l’esquena com si carregu\u00e9s un bony, i el bra\u00e7 esquerre em fa tant de mal que gaireb\u00e9 no el puc moure “, diu Leonor<\/strong> referint-se al problema de salut que li ha causat la ruptura dels implants mamaris defectuosos PIP<\/span><\/p>\n

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Des de fa gaireb\u00e9 dos anys que escolto en els mitjans de comunicaci\u00f3 de Fran\u00e7a, Regne Unit, Alemanya, Espanya i Llatinoam\u00e8rica, que els implants mamaris fabricats per l’empresa Poly Implant Proth\u00e8se (PIP), creada el 1991 a Fran\u00e7a i tancada l’octubre de 2010 , van ser retirades del mercat per defectuoses. Encara es desconeix la composici\u00f3 exacta de les pr\u00f2tesis, s\u00ed es va detectar que mostraven major \u00edndex de ruptura que altres implants i que contenien una silicona inapropiada per a \u00fas m\u00e8dic a m\u00e9s d’altres additius per a carburants i subst\u00e0ncies utilitzades en la ind\u00fastria del cautx\u00fa (Silopren i Rhodorsil) . L’\u00fas de les pr\u00f2tesis mam\u00e0ries es va suspendre a Anglaterra, Fran\u00e7a i Espanya el 2010, per\u00f2 va ser a finals del 2011 quan van saltar les alarmes a tot el m\u00f3n i els governs van comen\u00e7ar a prendre cartes en l’assumpte.<\/span><\/p>\n

Prestava especial atenci\u00f3 al tema m\u00e9s que res, pels resultats en el temps que aix\u00f2 produiria, per les conseq\u00fc\u00e8ncies que tindria per a la salut dels que s’havien efectuat aquest tipus d’implants i perqu\u00e8, per culpa seva, s’havia generat una alerta d\u2019abast geogr\u00e0fic, considerant-se un problema de salut p\u00fablica potencialment amena\u00e7ada, que afectava a incomptables dones de tot el m\u00f3n, especialment a Llatinoam\u00e8rica on es creu que van ser enviades el 90% de les pr\u00f2tesis principalment a Vene\u00e7uela, Brasil, Argentina i Col\u00f2mbia<\/span><\/p>\n

De cap manera podria imaginar-me que l’esc\u00e0ndol dels implants defectuosos pogu\u00e9s afectar-me tan a prop, i que a una familiar, que s’havia realitzat fa alguns anys una operaci\u00f3 est\u00e8tica de mamopl\u00e0stia, li haguessin posat les tristament c\u00e8lebres pr\u00f2tesis mam\u00e0ries PIP.<\/span><\/p>\n

La Hist\u00f2ria<\/span><\/strong><\/p>\n

Leonor<\/strong> (nom fictici) de 47 anys, divorciada i mare de tres criatures avui encara menors, el novembre del 2003 es va sotmetre a un procediment de mamopl\u00e0stia en qu\u00e8 li van ser implantades les pr\u00f2tesis Poly Implant Proth\u00e8se (PIP). A mitjans del 2011, va comen\u00e7ar a sentir dolor, inflamaci\u00f3 i mol\u00e8sties en la sina esquerra, per la qual cosa va resoldre anar a la Liga Colombiana de Lucha contra el C\u00e1ncer, on va ser atesa per un metge que li va ordenar practicar una mamografia i una ecografia bilateral, donant com a resultat, “ruptura intracapsular de la pr\u00f2tesi mam\u00e0ria esquerra”. Aqu\u00ed comen\u00e7a un viacrucis que encara no ha acabat.<\/span><\/p>\n

Alarmada, va decidir contactar al cirurgi\u00e0 pl\u00e0stic que l’havia operat perqu\u00e8 la orient\u00e9s sobre el procediment que havia de seguir, per\u00f2 els resultats de localitzar el metge van ser infructuosos, pel que sembla el metge s’havia traslladat de ciutat i era impossible localitzar-lo.<\/span><\/p>\n

El 26 de desembre del 2011, Leonor <\/strong>tamb\u00e9 va anar a l\u2019 Instituto Nacional de Vigil\u00e0ncia de Medicamentos i Aliments -INVIMA- , m\u00e0xim agent sanitari que t\u00e9 entre els seus objectius el de la inspecci\u00f3, vigil\u00e0ncia i el control dels medicaments que ingressen al pa\u00eds, per informar sobre les anomalies que se li venien presentant amb les pr\u00f2tesis mam\u00e0ries PIP. El 27 de desembre el INVIMA, respon adduint que: “oportunament va avan\u00e7ar accions de vigil\u00e0ncia i control, entre elles la cancel\u00b7laci\u00f3 del Registre sanitari, la recollida de tot el producte del mercat nacional, que va aconseguir 9.497 unitats de pr\u00f2tesis mam\u00e0ries decomissades a Col\u00f2mbia. Aix\u00ed mateix el INVIMA va public\u00e0 dos alertes sanit\u00e0ries i un comunicat de premsa per informar tant de les actuacions de l\u2019 Institut, per tal de protegir la salut p\u00fablica potencialment amena\u00e7ada per aquesta situaci\u00f3 no previsible, com per prohibir al p\u00fablic i al personal m\u00e8dic la utilitzaci\u00f3 de les pr\u00f2tesis mam\u00e0ries PIP … “L’informe omet la data de cancel\u00b7laci\u00f3 del registre i la data de recollida de les pr\u00f2tesis.<\/span><\/p>\n

En la resposta de l’ens de vigil\u00e0ncia, concisa i una mica exeg\u00e8tica per cert, crida l’atenci\u00f3 que per cancel\u00b7lar el registre, INVIMA informa que es va basar en les investigacions de les autoritats franceses, per\u00f2 no diu res sobre la realitzaci\u00f3 d’alguna investigaci\u00f3 que hagin iniciat pel seu compte per detectar el contingut de les pr\u00f2tesis i, o quantes dones a Col\u00f2mbia estaven afectades pels implants.<\/span><\/p>\n

En l’informe tamb\u00e9 se cita el principi constitucional del dret a la vida, i les lleis que donen protecci\u00f3 a les dones cap de fam\u00edlia, aix\u00ed com els decrets reglamentaris dels serveis d’urg\u00e8ncia. Invoca que per tractar-se de la ruptura de les pr\u00f2tesis mam\u00e0ries, es considera un esdeveniment seri\u00f3s que compromet la salut i la vida, fent-se necessari que l’afectada, inici\u00ef les gestions pertinents davant la seva EPS, a m\u00e9s informa que traslladar\u00e0 el fet al Superintendent delegat per atenci\u00f3 en Salut i a la directora general de Qualitat i de Prestaci\u00f3 de Serveis de Salut, \u00e9s a dir moltes paraules i  res en concret que permeti solucionar el problema. I \u00e9s evident que van donar el cas per resolt, perqu\u00e8 d’aquella dta  fin ara, ning\u00fa s’ha interessat per la sort de Leonor<\/strong>.<\/span><\/p>\n

Despr\u00e9s de diverses consideracions a principis de gener, Leonor<\/strong> va acudir a un cirurgi\u00e0 pl\u00e0stic amic, ell li va recomanar la retirada immediata de les pr\u00f2tesis, es va dirigir llavors al seu EPS per a la valoraci\u00f3 d’un metge general, que davant la gravetat de l’assumpte remet a la pacient al cirurgi\u00e0 pl\u00e0stic Mart\u00edn Alberto G\u00f3mez Roda <\/strong>adscrit a l’EPS, aquest davant la urg\u00e8ncia, ordena donar prioritat a l’extracci\u00f3 de la pr\u00f2tesi bilateral esquerra per ruptura d’implant mamari i per trobar el pit infectat, per\u00f2 per a realitzar-se l’extracci\u00f3 s’ha d’adre\u00e7ar a l’administraci\u00f3 del servei de salut.<\/span><\/p>\n

Amb l’ordre m\u00e8dica de cirurgia en m\u00e0 Leonor<\/strong>, va a l’EPS Salud Total de Bucaramanga, Santander, on est\u00e0 afiliada, perqu\u00e8 li programin l’operaci\u00f3. L’endem\u00e0 passat l’EPS l’informa per escrit que: “Es denega el servei de salut, per no trobar-se dins del pla de beneficis que ha de subministrar l’entitat promotora de salut i el procediment ha de ser assumit per l’usuari”. Aquesta resposta la desmotiva, i la sumeix en un estat d’ansietat i depressi\u00f3.<\/span><\/p>\n

Com si tot l’anterior no fos suficient, ara Leonor<\/strong> perqu\u00e8 se li reconegui el dret a la prestaci\u00f3 del servei de salut i s’actu\u00ef amb urg\u00e8ncia, ha d’anar a l’Acci\u00f3n de Tutela, via legal r\u00e0pida que ha fet carrera a Col\u00f2mbia perqu\u00e8 les entitats prestadores de salut subministrin un servei a temps. Per\u00f2 la resoluci\u00f3 de la tutela, trigar\u00e0 alguns dies m\u00e9s, i mentrestant: Qu\u00e8 passa amb Leonor?, Ha de seguir esperant? Per quant de temps? Com ella mateixa diu: “Si no em treuen aquests implants aviat em morir\u00e9, a les nits el dolor \u00e9s tan fort que sento com si m’estigu\u00e9s cremant amb foc, durant el dia em fa mal l’esquena com si carregu\u00e9s un bony, i el bra\u00e7 esquerre em fa tant de mal que gaireb\u00e9 no el puc moure “.<\/span><\/p>\n

El problema a m\u00e9s de ser un fet real i evident, que demana atenci\u00f3 m\u00e8dica immediata de l’entitat prestadora del servei de salut, no sembla ser un tema que preocupi a les autoritats i molt menys als responsables de la vigil\u00e0ncia que aquests implants hagin entrat al pa\u00eds, tampoc \u00e9s un secret la precarietat en la prestaci\u00f3 dels serveis de salut. Mentre en altres pa\u00efsos, el tema \u00e9s considerat com un problema de salut p\u00fablica i els governs s’han comprom\u00e8s a retirar els implants de forma gratu\u00efta com a mesura preventiva, a Col\u00f2mbia a Leonor<\/strong> se li nega el dret a la vida i a la integritat f\u00edsica.<\/span><\/p>\n

Queda pendent la soluci\u00f3 al problema i seran objectivament responsables els fabricants dels implants, els \u00f2rgans de control i vigil\u00e0ncia de medicaments, els funcionaris encarregats de la vigil\u00e0ncia dels sistemes de salut, els importadors i comercialitzadors, pels resultats adversos que la neglig\u00e8ncia en el servei pugui causar en la salut de Leonor<\/strong> i de totes aquelles dones que de forma individual estiguin afectades.<\/span><\/p>\n


<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

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