Aprender con mi cuerpo: entrevista a Mariana de Haro

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Un problema de salud la llevó a formarse para entender que ocurría en su cuerpo. Para Mariana, el mayor riesgo a la salud es la normalización de los malestares.

Mariana de Haro se especializa en piso pelviano hace años. Foto: Bruno Raza.

Mariana de Haro llegó a la Villa de Merlo hace 18 años, y hoy es una respetada kinesióloga del norte puntano. Hace años trabaja en la escuela especial C.E.E Mirlo, aunque sus lazos con la discapacidad y la infancia se remontan a sus inicios como profesional.

Nacida en Junín, cursó sus estudios en la Universidad Nacional de Buenos Aires. 30 años después de recibirse, resalta el valor y la excelencia de la casa de estudios que la formó, y se considera una agradecida a la educación pública.

Quien escribe estas líneas la conoce como una fanática del estudio: Mariana vive entre posgrados, cursos y talleres. Para ella el trabajo en equipo, la revisión de las prácticas y la capacitación constante son fundamentales para mejorar la calidad de vida de sus pacientes.

Los ámbitos laborales donde transcurrió su trayectoria como kinesióloga le enseñaron que siempre hay algo para mejorar. Ahí donde nadie ve una posibilidad, ella ve trabajo por delante.

Tuvimos la oportunidad de conversar con ella. La entrevista se reproduce a continuación:

–¿Hace cuanto ejerces tu profesión?

-Hace 30 años: el 21 de diciembre de 1990 me recibí como kinesióloga.

–¿Se hablaba de piso pélvico en esa época?

-No. En esa época no recuerdo que hubiera un área tan específica de abordaje. En el año 90 el piso pélvico no entraba como área temática en la facultad si quiera. Siempre fui una estudiante fanática: estudiaba más de lo que hacía falta. La cursada de anatomía me encantó, y no recuerdo que hayamos trabajado en esa zona del piso pelviano. Aunque si lo conocíamos, no tenía ni la entidad ni la importancia que se le da desde hace algunas décadas.

–¿Qué recordás de tu primera experiencia profesional?

-Hubo un par de cosas que me marcaron. La primera, y fundamental, creo que es la que me posicionó en relación a como pensar a ese otro que está delante mío: el paciente.

Fue un episodio ocurrido en un hospital público, en la periferia de Buenos Aires, muy humilde. Recuerdo que estábamos en la sala con un profesor y colega a quien admiro mucho. En ese momento nos reunió a todos y nos consultó cuales eran las 3 primeras cosas que hay que hacer con un paciente.

Me acuerdo que estábamos a un costado de la sala, donde había varios pacientes internados, cuando nos preguntó: ¿Qué es lo primero que harían?

Todos empezamos a proponer ideas más de manual, tales como «Leer la historia clínica». El nos escuchó un rato y nos dijo que lo primero que había que hacer con un paciente era conocer su nombre, para nombrarlo adecuadamente.

Lo segundo a hacer era vestirlo, para devolverle su privacidad y su dignidad. El profesor incluso nos mostró como hacerles una ropa con las mismas sábanas, porque es muy frecuente que dejen desnudos a los pacientes. El nos enseñó que nunca se rehabilita a un paciente desnudo.

La tercer cosa a hacer, si las condiciones se daban, era ponerlo de pie: es lo que le devuelve al paciente su humanidad, su condición de humano.

Nombrarlo, vestirlo y ponerlo de pie: las tres primeras acciones que teníamos que hacer estando con otra persona. Todo lo otro viene después.

Para mí fue tan fuerte y me marcó tanto porque fue pensar en el otro más allá que como un objeto de estudio. Fue una lección de humanidad enorme y la recuerdo todos los días. Cuando viene un paciente a consultarnos, es esencial devolverle ese respeto y esa confianza que nos brinda.

–Imagino que fue una lección muy fuerte para vos. ¿Cómo te hace sentir que tu profesión implique trabajar en la calidad de vida de otras personas? ¿Qué significa para vos?

-A mi me apasiona. Podría hacer un montón de cosas, pero esto es algo que me encanta y me hace sentir útil. Tiene mucho valor devolver la calidad de vida a una persona, o al menos brindarle herramientas y estrategias para eso. Me genera mucha esperanza que un paciente venga a consultar, porque desde nuestro rol siempre hay algo que podemos mejorar. Muchas veces se habla de mejorar en términos de cura, y no se trata de curar, sino de tratar. A veces mejorar la calidad de vida del paciente, así sea poquito para nosotros, para esa persona es un montón.

Esta es una profesión que me parece maravillosa, porque apela a la resiliencia de los pacientes y a la capacidad de rescatar cosas, incluso donde parece que no hay más nada para hacer.

–La pregunta que se me ocurre es: ¿Cómo decidiste especializarte en piso pélvico?

-Fue a partir de una dolencia: una búsqueda personal. Estaba atravesando un momento donde no sabíamos que me pasaba, aunque tenía que ver con piso pélvico. Sufría infecciones urinarias frecuentes y la recuerdo como una etapa muy angustiosa de mi vida porque me sentía incomprendida.

Yo sabía y confiaba que lo que había en mi cuerpo tenía una causa que había que descubrir para estar mejor. Entonces hice algo que siempre le comento a mis pacientes: empecé a probar algunos métodos como paciente. Siempre les digo a todos que he sido paciente de los métodos que empleo. He pasado por mi cuerpo los métodos que trabajo con mis pacientes.

Esto que me pasaba intenté pensarlo como una situación más. Hablé con una compañera de la facultad que se había ido a estudiar sobre piso pélvico a otro lado, porque en el noventa era un área poco desarrollada en el país. La contacté y fui a hacer un curso, donde pedí que me evaluaran. Ahí descubrí cosas que yo desconocía para ir conduciendo mi tratamiento.

Al empezar a formarme sobre las cosas que me pasaban encontré que era algo muy frecuente. Gran parte de la población tenía estos síntomas, aunque se desconocen y se normalizan. Me pareció buenísimo poder ayudar a otras personas en este área.

–Excelente. ¿Podrías comentarme que perfil de pacientes llegan a tratar su piso pélvico?

-Es algo muy frecuente. El promedio de edad ronda entre los 30 y los 60 años: de ahí vienen la mayoría de las consultas. Esto no quiere decir que pacientes más jóvenes o personas mayores no consulten: todas las edades pueden tener afecciones en la zona. La adultez es el periodo donde empiezan a hacerse más notorios los síntomas de piso pélvico. En mujeres tiene mucha relación con el embarazo y los cambios hormonales de la menopausia.

Generalmente, la entrevista con estos pacientes suele arrojar que presentan los síntomas hace tiempo: hay una línea de tiempo en la sintomatología, que se va agravando con el paso del tiempo.

Cuando hablamos de estos síntomas, es importante marcar que no presentan riesgos para la vida, aunque si merman la calidad con la que viven los pacientes.

–Bien, me gustaría detenerme en la parte de los síntomas. ¿Cuáles son, de forma resumida, los síntomas más comunes que tienen los pacientes que llegan a consulta?

-Los más frecuentes son los de incontinencia, ya sea urinaria o fecal. También hay muchos casos de prolapso de órganos pélvicos y cuadros de tipo doloroso. El dolor es una entidad bastante amplia, que afecta a hombres y mujeres. En los varones los cuadros son generalmente de dolor pélvico crónico o secuelas de tratamientos quirúrgicos en la próstata.

El entrenamiento de la zona es esencial en los tiempos que corren.

–Y en relación al estilo de vida, ¿Qué influencia tiene la forma en que vivimos en la aparición de estas dificultades?

-Muchísima. El estilo de vida actual impacta mucho en la zona: uno pasa mucho tiempo sentado, tiende al sedentarismo y la falta de actividad física, se alimenta mal o consume tabaco. También inciden el estrés y las desregulaciones autonómicas. Todos estos elementos atentan contra el piso pelviano, porque producen un desajuste postural importante y una falta de condición física, que van a influir en como gestionamos presiones y fuerzas.

Hoy en día se advierte que la virtualidad y el uso de las pantallas afecta enormemente a niños y adolescentes, que comienzan a presentar sintomatología urinaria e intestinal. El uso de las pantallas y la perdida de la noción del tiempo generan el hábito de posponer ir al baño. Los síntomas resultantes están siendo motivo de consulta.

En lo cultural, el modo de vida occidental actual impacta en la zona, porque cada vez nos movemos menos.

–Excelente respuesta, muy completa. Para cerrar quisiera que nos des algunos consejos sencillos para poder cuidar esta zona tan esencial, y un mensaje para quienes lean esta nota y sufran afecciones en el piso pélvico.

-Como sugerencia general recomiendo revisar nuestros hábitos. Hay que ingerir una cantidad adecuada de líquido, llevar una alimentación saludable, mantener un ritmo intestinal regular, hacer actividad física acorde a cada etapa de la vida y reducir el consumo de tabaco.

Mi mensaje es no normalizar. Que algo sea frecuente no lo hace normal.

Guido Raza

Decidí que lo mío era la Comunicación a los 15 años. Soy alumno de la Facultad de Comunicación en la UNC y me especializo en Comunicación Institucional. Elegí La Voz Puntana como el lugar para informarme e informarlos.
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    Monitoring blood pressure and levels of cholesterol can help you counteract the condition. It causes gynecomastia as well, which is the event of breast tissues in males, which is once more achievable via increased estrogen ranges. Prolonged use of D-bol can cause the liver to undergo harm or dysfunction. Get your liver perform checks done if you’ve been utilizing this anabolic steroid for greater than three months now. D-bol predisposes you to cardiovascular issues, which embody hypertension and levels of cholesterol. It disturbs your general heart well being, keeping you at danger of having a coronary heart attack.
    Consequently, these dosages are considered average to excessive and are designed for a seasoned consumer. This is considered one of the most successful Dianabol stacks we’ve noticed in regard to gaining muscle with out excessive toxicity. You ought to take the first tablets round 45 minutes after doing the exercise. This historical herbal ingredient is added to D-Bal as a result of it reduces cortisol ranges.
    This ingredient also helps to burn physique fat and increase power by minimizing the effects of stress on the muscles. L-Isoleucine is usually present in meals with high protein content, corresponding to meat, fish, eggs, cheese, lentils, and nuts. This ingredient promotes healthy muscle metabolism, builds muscle, bolsters immunity, increases blood cell rely, and regulates power. The timeframe of 1–2 months being the effective range of CS injections is backed up by numerous authors [14, 15]. The included research additionally showed that CS injections supplied some pain relief at intervals previous 2 months, to a lesser extent and is backed up by additional research [57, 58]. Osteoarthritis (OA) is the commonest degenerative joint disease and a number one reason for incapacity, characterised by chronic pain and articular cartilage injury [1, 2].
    When using D-Bal, it could be very important follow the really helpful exercise period of two months on and 1.5 weeks off. It is also price mentioning that D-Bal just isn’t recommended for use by pregnant or breastfeeding ladies or people underneath 18. This is according to the producer’s recommendation and is based on the fact that the complement has not been examined on these groups of individuals. If you’ve got ever skilled muscle soreness during or after a exercise, you perceive how uncomfortable it might be. With faster restoration instances, you’ll get back to your workouts sooner and avoid missing any training days. Subsequently, an effectivity of whey protein within the method isn’t in whey itself, but rather within the distinctive combination with the results of different ingredients.
    It isn’t exhausting to see why Crazy Bulk is beloved by health fanatics everywhere in the globe, with all their merchandise providing worldwide shipping. However it’s often present in smaller amounts, the place it’s used to maintain bones robust and sexual operate healthy. Sure, as long as you maintain a regular coaching program and observe an applicable food plan and meal plan, you should be in a position to retain all of your positive aspects.
    This highly effective anabolic steroid can have some critical consequences if not taken properly. Although presently a managed substance within the US and the UK, it nonetheless stays popular amongst bodybuilders. Hormones are linked to psychological wellbeing and so they assist maintain a balance of sanity within the mind.
    It offers a protected formulation with 12 clinically proven ingredients requiring no prescription. TestoPrime is manufactured in USA & United Kingdom facilities which would possibly be FDA-approved. If you’re on the fence about attempting out this supplement, Crazy Bulk provides a 60-day money-back guarantee. To get the most out of each bottle, take three capsules daily with a full glass of water roughly 45 minutes after your exercise. Anyone trying to construct a unbelievable physique and acquire strength ought to contemplate taking D-Bal. It is especially helpful to anyone struggling to push previous their plateaus.

  506. In accordance with my observation, after a in foreclosure home is marketed at an auction, it is common for any borrower to still have a remaining unpaid debt on the financial loan. There are many lenders who try and have all service fees and liens paid off by the subsequent buyer. Nonetheless, depending on certain programs, rules, and state legal guidelines there may be many loans that are not easily resolved through the transfer of personal loans. Therefore, the obligation still remains on the debtor that has acquired his or her property in foreclosure process. Many thanks sharing your opinions on this web site.

  550. You actually make it seem so easy with your presentation but I find this matter to be actually something that I think I would never understand. It seems too complicated and very broad for me. I’m looking forward for your next post, I?ll try to get the hang of it!

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