{"id":23534,"date":"2022-04-29T18:41:36","date_gmt":"2022-04-29T18:41:36","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=23534"},"modified":"2022-04-29T18:41:36","modified_gmt":"2022-04-29T18:41:36","slug":"cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa\/","title":{"rendered":"CEM COVID AMB. Nota informativa sobre s\u00edndrome de Covid-19 longa."},"content":{"rendered":"<p>O Comit\u00ea Extraordin\u00e1rio de Monitoramento Covid-19 da Associa\u00e7\u00e3o M\u00e9dica Brasileira (CEM COVID_AMB) vem a p\u00fablico compartilhar informa\u00e7\u00f5es sobre a import\u00e2ncia da identifica\u00e7\u00e3o, investiga\u00e7\u00e3o e tratamento dos portadores da S\u00edndrome de Covid-19 longa.<\/p>\n<p>Apresentamos abaixo alguns pontos sobre a s\u00edndrome, com o objetivo de auxiliar na divulga\u00e7\u00e3o desta condi\u00e7\u00e3o cl\u00ednica, que pode acometer pacientes que apresentaram desde formas leves a graves da Covid-19.<\/p>\n<p>De acordo com a Organiza\u00e7\u00e3o Mundial da Sa\u00fade (OMS) e com base nos dados atuais, a terminologia \u201ccondi\u00e7\u00f5es p\u00f3s-Covid\u201d foi adotada pelo Minist\u00e9rio da Sa\u00fade para descrever novas manifesta\u00e7\u00f5es cl\u00ednicas, recorrentes ou persistentes presentes ap\u00f3s a infec\u00e7\u00e3o aguda por SARS-CoV-2. Na literatura, as manifesta\u00e7\u00f5es cl\u00ednicas tamb\u00e9m s\u00e3o descritas como Covid longa, Covid-19 p\u00f3s-aguda, s\u00edndrome p\u00f3s-Covid, efeitos de longo prazo da Covid, s\u00edndrome Covid p\u00f3s-aguda e Covid cr\u00f4nica. Embora n\u00e3o haja um consenso sobre as defini\u00e7\u00f5es de caso, as condi\u00e7\u00f5es p\u00f3s-Covid podem ser consideradas como as manifesta\u00e7\u00f5es cl\u00ednicas que implicam em n\u00e3o restabelecimento do estado pr\u00e9vio de sa\u00fade do indiv\u00edduo ap\u00f3s a fase aguda da doen\u00e7a e que n\u00e3o sejam atribu\u00eddas a outras causas.<\/p>\n<p>Defini\u00e7\u00e3o: sinais e sintomas que se desenvolvem durante ou ap\u00f3s o diagn\u00f3stico de Covid-19, que persistem por mais de 12 semanas e n\u00e3o s\u00e3o explicados por diagn\u00f3stico alternativo. \u00c9 um grupo de sintomas, muitas vezes sobrepostos, que pode flutuar com o tempo e afetar qualquer sistema do corpo. O diagn\u00f3stico da s\u00edndrome pode ser considerado antes de 12 semanas ap\u00f3s o quadro agudo, enquanto a possibilidade de diagn\u00f3stico alternativo est\u00e1 em investiga\u00e7\u00e3o.<\/p>\n<p>Os sintomas da Covid-19 longa s\u00e3o comuns em outras doen\u00e7as potencialmente graves, portanto, o diagn\u00f3stico desta s\u00edndrome deve ser estabelecido somente ap\u00f3s a exclus\u00e3o de diagn\u00f3sticos poss\u00edveis, para garantir a seguran\u00e7a do paciente. <br \/>Embora ocorra principalmente em indiv\u00edduos recuperados de casos graves e muito graves, o quadro tamb\u00e9m pode ocorrer naqueles que tiveram doen\u00e7a leve, que n\u00e3o foram hospitalizados e at\u00e9 em assintom\u00e1ticos. A influ\u00eancia do sexo, g\u00eanero, idade, ra\u00e7a, comorbidades e carga viral na s\u00edndrome n\u00e3o est\u00e1 estabelecida.<\/p>\n<p>A preval\u00eancia dos sintomas \u00e9 vari\u00e1vel e depende do tempo de avalia\u00e7\u00e3o ap\u00f3s a fase aguda da doen\u00e7a. At\u00e9 80% dos indiv\u00edduos com diagn\u00f3stico confirmado de Covid-19 continuam apresentando pelo menos um sintoma duas semanas ap\u00f3s a infec\u00e7\u00e3o aguda. Foram identificadas at\u00e9 55 manifesta\u00e7\u00f5es, sendo que as mais comuns s\u00e3o fadiga, altera\u00e7\u00f5es pulmonares cl\u00ednicas, funcionais e\/ou radiol\u00f3gicas, anosmia e dist\u00farbios neurol\u00f3gicos. Entre tr\u00eas e seis meses, mais de 35% dos indiv\u00edduos recuperados mant\u00e9m pelo menos um sintoma. Importante frisar que alguns sintomas de Covid-19 longa n\u00e3o est\u00e3o presentes na fase aguda da doen\u00e7a. A s\u00edndrome ocorre dentre 10% a 30% de indiv\u00edduos acometidos pela doen\u00e7a, sendo que geralmente at\u00e9 um ter\u00e7o destes pacientes estavam inicialmente assintom\u00e1ticos.<\/p>\n<p>Os sintomas est\u00e3o associados ao comprometimento de diferentes sistemas:<\/p>\n<ul>\n<li>Respirat\u00f3rio: fadiga, dispneia, tosse e dor de garganta.<\/li>\n<li>Neurocognitivo e psicol\u00f3gico: \u201cbrain fog\u201d (confus\u00e3o, esquecimento, distra\u00e7\u00e3o, dificuldade de concentra\u00e7\u00e3o), tontura, disgeusia, anosmia, transtorno de estresse p\u00f3s-traum\u00e1tico, ansiedade, depress\u00e3o e ins\u00f4nia.<\/li>\n<li>Cardiovascular: dor tor\u00e1cica, taquicardia e palpita\u00e7\u00f5es. <br \/>Gastrointestinal: diarreia, dor abdominal, v\u00f4mitos e m\u00fasculo esquel\u00e9tico.<\/li>\n<li>Osteoarticular e muscular: mialgias e artralgias. <br \/>Cut\u00e2neo: perda de cabelo (efl\u00favio tel\u00f3geno) e erup\u00e7\u00f5es cut\u00e2neas.<\/li>\n<\/ul>\n<p>Os pacientes devem ser esclarecidos sobre os poss\u00edveis sintomas da Covid-19 longa e uma consulta de seguimento deve ocorrer seis semanas ap\u00f3s a alta hospitalar, para identificar os pacientes que necessitam de investiga\u00e7\u00e3o adicional.<\/p>\n<p>O planejamento do atendimento a estes pacientes deve envolver os gestores em todos os n\u00edveis de aten\u00e7\u00e3o \u00e0 sa\u00fade, os profissionais de sa\u00fade, os pesquisadores e os educadores, para permitir o reconhecimento dos sintomas de Covid-19 longa e estabelecimento da investiga\u00e7\u00e3o e tratamento necess\u00e1rios.<\/p>\n<p>Recomenda-se manejo pragm\u00e1tico, com \u00eanfase em suporte abrangente, evitando investiga\u00e7\u00f5es excessivas. O cuidado integral de um paciente com S\u00edndrome de Covid-19 longa deve abordar:<\/p>\n<ul>\n<li>Avalia\u00e7\u00e3o e manejo de comorbidades descompensadas, como diabetes e hipertens\u00e3o, DPOC, asma, cardiopatia isqu\u00eamica, entre outras.<\/li>\n<li>Aten\u00e7\u00e3o e cuidados gerais de sa\u00fade, relativos \u00e0 alimenta\u00e7\u00e3o adequada, preven\u00e7\u00e3o e tratamento do tabagismo e uso de \u00e1lcool, promo\u00e7\u00e3o da qualidade do sono.<\/li>\n<li>Avalia\u00e7\u00e3o funcional, envolvendo sintomas musculoesquel\u00e9ticos, cognitivos, neurol\u00f3gicos e a fadiga.<\/li>\n<li>Evitar a instala\u00e7\u00e3o de novas incapacidades secund\u00e1rias.<br \/>Estabelecer equipe de sa\u00fade treinada para reconhecer e tratar estes sintomas de forma adequada.<\/li>\n<li>Orienta\u00e7\u00e3o e acompanhamento para aumento gradual de exerc\u00edcio f\u00edsico, se tolerado, e retorno \u00e0s atividades habituais.<br \/>Aten\u00e7\u00e3o \u00e0 sa\u00fade mental por meio da escuta com empatia, avalia\u00e7\u00e3o e tratamento de problemas, pactua\u00e7\u00e3o de metas fact\u00edveis, entre outras abordagens.<\/li>\n<\/ul>\n<p>S\u00e3o Paulo, 25 de abril de 2022.<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p><a href=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2022\/04\/Boletim-012.2022_Nota-Informativa-sobre-a-S\u00ecndrome-de-Covid-Longa.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-23536\" src=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2022\/04\/cem_covid_012_2022.png\" alt=\"\" width=\"500\" height=\"311\" srcset=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2022\/04\/cem_covid_012_2022.png 500w, https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2022\/04\/cem_covid_012_2022-300x187.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n<p>\u00a0<\/p>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>O Comit\u00ea Extraordin\u00e1rio de Monitoramento Covid-19 da Associa\u00e7\u00e3o M\u00e9dica Brasileira (CEM COVID_AMB) vem a p\u00fablico compartilhar informa\u00e7\u00f5es sobre a import\u00e2ncia da identifica\u00e7\u00e3o, investiga\u00e7\u00e3o e tratamento dos portadores da S\u00edndrome de Covid-19 longa. Apresentamos abaixo alguns pontos sobre a s\u00edndrome, com o objetivo de auxiliar na divulga\u00e7\u00e3o desta condi\u00e7\u00e3o cl\u00ednica, que pode acometer pacientes que apresentaram [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":2,"featured_media":19637,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[1051],"class_list":["post-23534","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-cem-covid_amb"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CEM COVID AMB. Nota informativa sobre s\u00edndrome de Covid-19 longa. - sbpt.org.br<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sbpt.org.br\/portal\/cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CEM COVID AMB. Nota informativa sobre s\u00edndrome de Covid-19 longa. - sbpt.org.br\" \/>\n<meta property=\"og:description\" content=\"O Comit\u00ea Extraordin\u00e1rio de Monitoramento Covid-19 da Associa\u00e7\u00e3o M\u00e9dica Brasileira (CEM COVID_AMB) vem a p\u00fablico compartilhar informa\u00e7\u00f5es sobre a import\u00e2ncia da identifica\u00e7\u00e3o, investiga\u00e7\u00e3o e tratamento dos portadores da S\u00edndrome de Covid-19 longa. Apresentamos abaixo alguns pontos sobre a s\u00edndrome, com o objetivo de auxiliar na divulga\u00e7\u00e3o desta condi\u00e7\u00e3o cl\u00ednica, que pode acometer pacientes que apresentaram [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sbpt.org.br\/portal\/cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa\/\" \/>\n<meta property=\"og:site_name\" content=\"sbpt.org.br\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pneumosbpt\" \/>\n<meta property=\"article:published_time\" content=\"2022-04-29T18:41:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sbpt.org.br\/portal\/wp-content\/uploads\/2021\/05\/cem-covid-variantes.png\" \/>\n\t<meta property=\"og:image:width\" content=\"350\" \/>\n\t<meta property=\"og:image:height\" content=\"255\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Paulo Campos\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pneumosbpt\" \/>\n<meta name=\"twitter:site\" content=\"@pneumosbpt\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Paulo Campos\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/sbpt.org.br\\\/portal\\\/cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sbpt.org.br\\\/portal\\\/cem-covid-amb-nota-informativa-sobre-sindrome-de-covid-19-longa\\\/\"},\"author\":{\"name\":\"Paulo Campos\",\"@id\":\"https:\\\/\\\/sbpt.org.br\\\/portal\\\/#\\\/schema\\\/person\\\/25d1c6e4a25f0333d9e675d8043837f6\"},\"headline\":\"CEM COVID AMB. 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