{"id":130845,"date":"2024-04-29T16:48:20","date_gmt":"2024-04-29T19:48:20","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/saude\/?p=130845"},"modified":"2024-04-30T09:21:46","modified_gmt":"2024-04-30T12:21:46","slug":"hgf-lupus","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/saude\/2024\/04\/29\/hgf-lupus\/","title":{"rendered":"L\u00fapus: doen\u00e7a autoimune ainda gera desafios para diagn\u00f3stico, explica especialista do HGF"},"content":{"rendered":"

\"\"HGF \u00e9 o maior servi\u00e7o de refer\u00eancia em atendimento ao l\u00fapus no Cear\u00e1. Mensalmente, cerca de 100 pacientes s\u00e3o atendidos nos ambulat\u00f3rios da unidade<\/em><\/p>\n

O L\u00fapus Eritematoso Sist\u00eamico (LES)<\/strong>, ou apenas l\u00fapus, como \u00e9 mais conhecido, \u00e9 uma doen\u00e7a inflamat\u00f3ria cr\u00f4nica de origem autoimune. A patologia se manifesta em dois tipos principais: o cut\u00e2neo, que costuma se expressar por meio de manchas avermelhadas em regi\u00f5es expostas ao sol (rosto, colo e bra\u00e7os); e o sist\u00eamico, que acomete um ou mais \u00f3rg\u00e3os internos.<\/p>\n

Apesar da clareza das defini\u00e7\u00f5es cient\u00edficas, o diagn\u00f3stico do l\u00fapus ainda \u00e9 um desafio para especialistas. \u201cPor ser uma doen\u00e7a com v\u00e1rias formas de acometimento, \u00e9 preciso ter um tempo maior para analisar os sintomas e fechar um diagn\u00f3stico\u201d, explica a reumatologista do Hospital Geral de Fortaleza (HGF)<\/strong> Lysiane Ramos. \u201cUm paciente pode ter uma manifesta\u00e7\u00e3o mais de pele, outro nas articula\u00e7\u00f5es, outro nos rins, e at\u00e9 no sistema nervoso central. \u00c9 bastante individual\u201d, acrescenta a especialista do equipamento da Secretaria da Sa\u00fade do Cear\u00e1 (Sesa)<\/strong>.<\/p>\n

Em 2017, Casimiro Freire, \u00e0 \u00e9poca com 20 anos, passou tr\u00eas meses internado no HGF at\u00e9 receber o diagn\u00f3stico de LES. \u201cTive uma chikungunya, que acabou desencadeando no l\u00fapus. Foi bem dif\u00edcil de in\u00edcio. Tive ba\u00e7o crescido, n\u00f3dulo na tireoide e cheguei a vomitar sangue\u201d, conta. \u201cHoje, sou acompanhado pelo ambulat\u00f3rio de l\u00fapus aqui do HGF e me sinto bem; pratico atividades normais, academia, futebol. Mas mantendo os rem\u00e9dios pra ficar sempre com a sa\u00fade em dia\u201d, complementa.<\/p>\n

\"\"Hoje, aos 27 anos, o barbeiro Camisiro Freire afirma levar uma vida normal com l\u00fapus<\/em><\/p>\n

A causa do l\u00fapus ainda \u00e9 desconhecida, mas a ci\u00eancia j\u00e1 aponta alguns fatores gen\u00e9ticos, hormonais e ambientais como gatilhos para o desenvolvimento da doen\u00e7a. \u201cS\u00e3o pessoas que nascem com susceptibilidade gen\u00e9tica para o LES e, em algum momento, ap\u00f3s uma intera\u00e7\u00e3o com fatores ambientais (irradia\u00e7\u00e3o solar, infec\u00e7\u00f5es virais ou por outros micro-organismos), passam a produzir anticorpos que reagem com prote\u00ednas do pr\u00f3prio organismo, causando inflama\u00e7\u00e3o em diversas \u00e1reas, como pele, mucosas, articula\u00e7\u00f5es, pulm\u00f5es e rins\u201d, ressalta Andr\u00e9 Xenofonte, reumatologista do HGF.<\/p>\n

Quando buscar ajuda<\/h3>\n

Apesar da individualidade dos sintomas, alguns sinais do l\u00fapus se expressam de forma mais geral nos pacientes. Febre, emagrecimento, perda de apetite, fraqueza e des\u00e2nimo s\u00e3o alguns deles. Mais espec\u00edficos de cada \u00f3rg\u00e3o, Xenofonte destaca dor nas juntas, manchas na pele, inflama\u00e7\u00e3o da pleura, hipertens\u00e3o e problemas nos rins. \u201cAo identificar esses sintomas, \u00e9 preciso procurar um m\u00e9dico para que haja um encaminhamento correto\u201d, enfatiza o m\u00e9dico.<\/p>\n

O l\u00fapus ainda n\u00e3o tem cura, mas \u00e9 poss\u00edvel manter a qualidade de vida com uma boa ader\u00eancia ao tratamento. \u201cA pessoa com LES pode necessitar de um, dois ou mais medicamentos em uma fase mais ativa da doen\u00e7a, e poucos ou nenhum medicamento em outras fases de remiss\u00e3o\u201d, pontua Andr\u00e9. Outro cuidado importante citado pelo especialista \u00e9 o uso cont\u00ednuo de protetor solar. \u201cUma das caracter\u00edsticas do LES \u00e9 a sensibilidade desproporcional \u00e0 luz, o que leva o paciente n\u00e3o apenas \u00e0s manchas (no formato cl\u00e1ssico de borboleta) quando exposto ao sol, mas tamb\u00e9m a sintomas gerais como febre e cansa\u00e7o\u201d, explica.<\/p>\n

Dia Mundial do L\u00fapus<\/h3>\n

Para celebrar os avan\u00e7os no tratamento da doen\u00e7a, o servi\u00e7o de Reumatologia do HGF realiza, na pr\u00f3xima sexta-feira (3), uma programa\u00e7\u00e3o especial com atividades de orienta\u00e7\u00f5es sobre cuidados gerais para pacientes. A a\u00e7\u00e3o faz men\u00e7\u00e3o ao Dia Mundial do L\u00fapus (a ser celebrado em 10 de maio).<\/p>\n

A data \u00e9 uma iniciativa da Federa\u00e7\u00e3o Mundial de L\u00fapus, que re\u00fane organiza\u00e7\u00f5es de pacientes l\u00fapicos de todos os continentes, para chamar a aten\u00e7\u00e3o para o impacto da doen\u00e7a sobre a popula\u00e7\u00e3o acometida e a necessidade em diagnostic\u00e1-la e trat\u00e1-la precocemente, al\u00e9m de incentivar o aumento de pesquisas sobre suas causas e cura.<\/p>\n","protected":false},"excerpt":{"rendered":"

HGF \u00e9 o maior servi\u00e7o de refer\u00eancia em atendimento ao l\u00fapus no Cear\u00e1. Mensalmente, cerca de 100 pacientes s\u00e3o atendidos nos ambulat\u00f3rios da unidade O L\u00fapus Eritematoso Sist\u00eamico (LES), ou apenas l\u00fapus, como \u00e9 mais conhecido, \u00e9 uma doen\u00e7a inflamat\u00f3ria cr\u00f4nica de origem autoimune. A patologia se manifesta em dois tipos principais: o cut\u00e2neo, que […]<\/p>\n","protected":false},"author":767,"featured_media":130850,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[496],"tags":[130,3260,4282],"class_list":["post-130845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hgf","tag-hgf","tag-lupus","tag-reumatologia"],"acf":[],"yoast_head":"\nL\u00fapus: doen\u00e7a autoimune ainda gera desafios para diagn\u00f3stico<\/title>\n<meta name=\"description\" content=\"Doen\u00e7a inflamat\u00f3ria cr\u00f4nica de origem autoimune ainda gera desafios para diagn\u00f3stico, explica especialista do HGF.\" \/>\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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