{"id":134082,"date":"2024-07-29T14:14:24","date_gmt":"2024-07-29T17:14:24","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/saude\/?p=134082"},"modified":"2024-08-19T10:10:28","modified_gmt":"2024-08-19T13:10:28","slug":"tuberculose-adesao-tratamento-completo-cura","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/saude\/2024\/07\/29\/tuberculose-adesao-tratamento-completo-cura\/","title":{"rendered":"Tuberculose: ades\u00e3o ao tratamento completo \u00e9 essencial para cura"},"content":{"rendered":"<p style=\"text-align: center\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-133851\" src=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/Topo-600x131.png\" alt=\"\" width=\"775\" height=\"169\" srcset=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/Topo-600x131.png 600w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/Topo-768x167.png 768w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/Topo.png 775w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-134091\" src=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-600x450.jpeg\" alt=\"\" width=\"775\" height=\"581\" srcset=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-600x450.jpeg 600w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-1200x900.jpeg 1200w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-768x576.jpeg 768w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-1536x1152.jpeg 1536w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.25.13-2048x1536.jpeg 2048w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><em>Pacientes que n\u00e3o seguem as orienta\u00e7\u00f5es m\u00e9dicas podem voltar a ter sintomas e a transmitir a doen\u00e7a (Foto: B\u00e1rbara Danth\u00e9ias)<\/em><\/p>\n<p>Apesar de a <strong>tuberculose<\/strong> ter <strong>preven\u00e7\u00e3o, diagn\u00f3stico, acompanhamento<\/strong> e <strong>medicamentos dispon\u00edveis de forma gratuita na rede p\u00fablica de sa\u00fade<\/strong>, a doen\u00e7a ainda \u00e9 transmitida e a <strong>taxa de abandono do tratamento<\/strong> \u00e9 considerada alta. De acordo com o \u00faltimo boletim epidemiol\u00f3gico divulgado pela <strong>Secretaria da Sa\u00fade do Cear\u00e1 (Sesa)<\/strong>, cerca de 11% das pessoas diagnosticadas com tuberculose no estado n\u00e3o conseguem concluir o tratamento.<\/p>\n<p>O secret\u00e1rio executivo de Aten\u00e7\u00e3o \u00e0 Sa\u00fade e Desenvolvimento Regional da Sesa e m\u00e9dico infectologista, Lauro Perdig\u00e3o, explica que as causas do abandono s\u00e3o diversas. \u201cAs pessoas, por v\u00e1rios motivos, muitas vezes n\u00e3o concluem os seis meses de tratamento, o que \u00e9 um risco. Por exemplo, <strong>\u00e0s vezes o paciente melhora, acha que est\u00e1 curado e para o tratamento<\/strong>\u201d.<\/p>\n<p>Ele chama ainda a aten\u00e7\u00e3o para o fato de que os pacientes que n\u00e3o seguem as orienta\u00e7\u00f5es m\u00e9dicas at\u00e9 a cura da tuberculose colocam em risco n\u00e3o s\u00f3 a si mesmos, mas tamb\u00e9m as pessoas pr\u00f3ximas a eles. Isso porque <strong>a doen\u00e7a sem a aten\u00e7\u00e3o adequada pode voltar a ser transmitida<\/strong>, aumentando, assim, a incid\u00eancia de novos casos.<\/p>\n<p>\u201cO<strong> tratamento da tuberculose<\/strong> precisa ter seu tempo respeitado, porque esse abandono gera tanto a <strong>recidiva da infec\u00e7\u00e3o<\/strong> (a pessoa vai <strong>voltar a ter sintomas<\/strong>, vai voltar a transmitir) como tamb\u00e9m aumenta o risco de ela ficar resistente aos antibi\u00f3ticos. O paciente passa a ter que tomar uma outra linha de tratamento e muitas dessas terapias s\u00e3o injet\u00e1veis, o que dificulta a ades\u00e3o at\u00e9 o final\u201d, pontua.<\/p>\n<p>O secret\u00e1rio pontua que a tuberculose afeta, mais comumente, os pulm\u00f5es, mas tamb\u00e9m atinge outras partes do corpo como os ossos, a laringe e o sistema nervoso central. Em qualquer situa\u00e7\u00e3o, o paciente com <strong>suspeita da doen\u00e7a<\/strong> deve ir a uma <strong>unidade b\u00e1sica de sa\u00fade<\/strong>. O m\u00e9dico da aten\u00e7\u00e3o prim\u00e1ria ir\u00e1 avaliar a situa\u00e7\u00e3o, realizar a <strong>notifica\u00e7\u00e3o do caso<\/strong> e acompanhar o paciente at\u00e9 o fim do tratamento. \u201cToda unidade b\u00e1sica de sa\u00fade \u00e9 capaz de fazer esse atendimento, suspeitar, solicitar os exames e acompanhar esse paciente\u201d, pontua.<\/p>\n<p>Os <strong>sintomas principais<\/strong> da tuberculose pulmonar s\u00e3o: tosse por tr\u00eas semanas ou mais, febre vespertina, sudorese noturna e emagrecimento. Causada pela bact\u00e9ria Mycobacterium tuberculosis, a tuberculose \u00e9 transmitida por aeross\u00f3is, ou seja, pequenas part\u00edculas que ficam suspensas no ar e que podem ser emitidas, por exemplo, atrav\u00e9s da fala, do espirro e da tosse.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-134092\" src=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.24.32-600x894.jpeg\" alt=\"\" width=\"775\" height=\"1155\" srcset=\"https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.24.32-600x894.jpeg 600w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.24.32-768x1145.jpeg 768w, https:\/\/ww16.ce.gov.br\/saude\/wp-content\/uploads\/sites\/64\/2024\/07\/WhatsApp-Image-2024-07-29-at-12.24.32.jpeg 775w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><\/p>\n<h3>Cen\u00e1rio epidemiol\u00f3gico<\/h3>\n<p>De acordo com o m\u00e9dico Carlos Garcia, orientador da C\u00e9lula de Vigil\u00e2ncia e Preven\u00e7\u00e3o de Doen\u00e7as Transmiss\u00edveis e n\u00e3o Transmiss\u00edveis (Cevep) da Sesa, o <strong>cen\u00e1rio epidemiol\u00f3gico<\/strong> no territ\u00f3rio cearense nos \u00faltimos anos \u00e9 considerado est\u00e1vel. \u201cOcorre que essa \u00e9 uma doen\u00e7a j\u00e1 antiga, bem conhecida, que tem diagn\u00f3stico e tratamento pelo SUS e preocupa ter essa transmiss\u00e3o sustentada, a manuten\u00e7\u00e3o de uma incid\u00eancia ainda considerada alta\u201d, comenta.<\/p>\n<p>De janeiro a julho deste ano, o Cear\u00e1 registrou 1.879 notifica\u00e7\u00f5es de novos casos de tuberculose. O dado consta na Planilha de Notifica\u00e7\u00e3o Semanal (PNS) divulgada pela Sesa. O mais recente boletim epidemiol\u00f3gico, publicado em mar\u00e7o deste ano, mostra que a m\u00e9dia de novos casos no estado foi de 3.600 por ano, considerando o per\u00edodo entre 2010 e 2022.<\/p>\n<p>O orientador da Cevep refor\u00e7a a meta da Organiza\u00e7\u00e3o Mundial da Sa\u00fade (OMS) de elimina\u00e7\u00e3o da tuberculose como problema de sa\u00fade p\u00fablica at\u00e9 2035. \u201cA proposta da OMS \u00e9 reduzir em 95% a mortalidade da doen\u00e7a at\u00e9 2035. Ent\u00e3o, por exemplo, no caso do Brasil, a mortalidade hoje \u00e9 de 4.500 \u00f3bitos por ano e a\u00ed, at\u00e9 2035, o Brasil todo teria que ter, no m\u00e1ximo, 330 \u00f3bitos por ano\u201d, comenta.<\/p>\n<h3>Preven\u00e7\u00e3o, diagn\u00f3stico e tratamento<\/h3>\n<p>Carlos Garcia explica que a preven\u00e7\u00e3o aplicada para a tuberculose no Brasil come\u00e7a na inf\u00e2ncia, atrav\u00e9s de vacina dispon\u00edvel no Sistema \u00danico de Sa\u00fade (SUS). \u201cHoje, no Brasil, a gente tem uma vacina j\u00e1 usada h\u00e1 muito tempo, a BCG. Essa vacina \u00e9 usada em crian\u00e7as e ela protege contra as formas mais graves no in\u00edcio da vida, mas ela n\u00e3o vai conferir uma prote\u00e7\u00e3o ao longo de toda a vida. Na verdade, ela \u00e9 uma vacina que tem como foco proteger as crian\u00e7as antes dos cinco anos, mais especificamente as crian\u00e7as antes dos dois anos, que podem ter formas muito graves e um desfecho bem complicado. Para as outras faixas et\u00e1rias, temos diagn\u00f3stico precoce e tratamento eficaz. Tudo isso pelo SUS, tudo isso de forma gratuita\u201d, finaliza.<\/p>\n<p><strong>LEIA TAMB\u00c9M:<\/strong><a href=\"https:\/\/ww16.ce.gov.br\/saude\/2024\/07\/22\/sesa-leitos-pacientes-tuberculose-casa-cuidados-ceara\/\"> Sesa abre 20 leitos para pacientes com tuberculose na Casa de Cuidados do Cear\u00e1<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacientes que n\u00e3o seguem as orienta\u00e7\u00f5es m\u00e9dicas podem voltar a ter sintomas e a transmitir a doen\u00e7a (Foto: B\u00e1rbara Danth\u00e9ias) Apesar de a tuberculose ter preven\u00e7\u00e3o, diagn\u00f3stico, acompanhamento e medicamentos dispon\u00edveis de forma gratuita na rede p\u00fablica de sa\u00fade, a doen\u00e7a ainda \u00e9 transmitida e a taxa de abandono do tratamento \u00e9 considerada alta. De [&hellip;]<\/p>\n","protected":false},"author":767,"featured_media":134091,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[24],"tags":[236,220,339,4465],"class_list":["post-134082","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cuidados-em-saude","tag-prevencao","tag-tratamento","tag-tuberculose","tag-tuberculose-tem-cura"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tuberculose: ades\u00e3o ao tratamento completo \u00e9 essencial para cura<\/title>\n<meta name=\"description\" content=\"Apesar de a tuberculose ter tratamento dispon\u00edvel na rede p\u00fablica de sa\u00fade, a taxa de abandono ainda chega a 11%. 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