{"id":28041,"date":"2023-06-13T12:26:00","date_gmt":"2023-06-13T09:26:00","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28041"},"modified":"2023-06-13T12:22:03","modified_gmt":"2023-06-13T09:22:03","slug":"lajmska-bolest-lechenie-s-antibiotitsi","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/pt\/zdrave\/lajmska-bolest-lechenie-s-antibiotitsi\/","title":{"rendered":"Doen\u00e7a de Lyme - tratamento com antibi\u00f3ticos"},"content":{"rendered":"

A doen\u00e7a de Lyme \u00e9 geralmente tratada com antibi\u00f3ticos. Os tipos de antibi\u00f3ticos mais eficazes neste caso visam a bact\u00e9ria que causa a infec\u00e7\u00e3o, chamada Borrelia burgdorferi. A escolha dos antibi\u00f3ticos<\/a><\/strong> e a dura\u00e7\u00e3o do tratamento dependem do est\u00e1gio da doen\u00e7a de Lyme, da gravidade dos sintomas e de quaisquer poss\u00edveis complica\u00e7\u00f5es. As instru\u00e7\u00f5es abaixo s\u00e3o apenas para fins informativos e n\u00e3o devem ser usadas para automedica\u00e7\u00e3o. Os antibi\u00f3ticos s\u00e3o prescritos por um m\u00e9dico com instru\u00e7\u00f5es para a dose exata e a dura\u00e7\u00e3o do tratamento.<\/p>\n\n\n\n

Sintomas e diagn\u00f3stico da doen\u00e7a de Lyme<\/h2>\n\n\n\n

A doen\u00e7a de Lyme \u00e9 diagnosticada por meio de uma combina\u00e7\u00e3o de avalia\u00e7\u00e3o cl\u00ednica, hist\u00f3rico do paciente e exames laboratoriais. Aqui est\u00e1 uma vis\u00e3o geral do processo de diagn\u00f3stico:<\/p>\n\n\n\n

A caracter\u00edstica sintoma da doen\u00e7a de Lyme<\/a><\/strong> \u00e9 uma erup\u00e7\u00e3o cut\u00e2nea circular conhecida como eritema migrat\u00f3rio (foto abaixo), mas nem todas as pessoas desenvolvem esta erup\u00e7\u00e3o cut\u00e2nea. Outros sintomas podem incluir febre, fadiga, dor de cabe\u00e7a, dores musculares e articulares e g\u00e2nglios linf\u00e1ticos inchados.<\/p>\n\n\n\n

\"\u043b\u0430\u0439\u043c\u0441\u043a\u0430<\/a><\/figure>\n\n\n\n

Pesquisas de laborat\u00f3rio:<\/h3>\n\n\n\n

Testes sorol\u00f3gicos: os exames de sangue geralmente s\u00e3o usados para detectar anticorpos produzidos pelo sistema imunol\u00f3gico em resposta \u00e0 Borrelia burgdorferi, a bact\u00e9ria que causa a doen\u00e7a de Lyme. Os dois principais tipos de testes sorol\u00f3gicos s\u00e3o imunoensaio enzim\u00e1tico (EIA) e Western blot. Esses testes s\u00e3o realizados para confirmar a presen\u00e7a de anticorpos contra Borrelia burgdorferi.<\/p>\n\n\n\n

Rea\u00e7\u00e3o em cadeia da polimerase (PCR): Em certos casos, um teste de PCR pode ser usado para detectar DNA de Borrelia burgdorferi no sangue, fluido articular ou amostras de tecido. O teste de PCR \u00e9 mais \u00fatil nos est\u00e1gios iniciais da doen\u00e7a, quando a bact\u00e9ria pode estar presente na corrente sangu\u00ednea.<\/p>\n\n\n\n

\u00c9 importante observar que a precis\u00e3o dos testes diagn\u00f3sticos pode variar dependendo do est\u00e1gio da doen\u00e7a. Nos est\u00e1gios iniciais, a probabilidade de obter um resultado de teste positivo \u00e9 menor por causa do tempo que leva sistema imunol\u00f3gico<\/a><\/strong> para produzir n\u00edveis detect\u00e1veis de anticorpos. Por esse motivo, a avalia\u00e7\u00e3o cl\u00ednica e a hist\u00f3ria s\u00e3o cruciais para o diagn\u00f3stico.<\/p>\n\n\n\n

Por outro lado, voc\u00ea n\u00e3o deve atrasar a consulta m\u00e9dica, mesmo que n\u00e3o tenha sintomas muito pronunciados. A detec\u00e7\u00e3o precoce e o tratamento s\u00e3o importantes para um tratamento eficaz.<\/p>\n\n\n\n

\"\u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u044f<\/a><\/figure>\n\n\n\n

Quais antibi\u00f3ticos s\u00e3o os tratamentos mais eficazes para a doen\u00e7a de Lyme<\/h2>\n\n\n\n

Aqui est\u00e3o alguns antibi\u00f3ticos comumente prescritos para a doen\u00e7a de Lyme \u2013 eles s\u00e3o vendidos sob diferentes marcas nas farm\u00e1cias:<\/p>\n\n\n\n

Doxiciclina<\/strong>: este \u00e9 o antibi\u00f3tico mais comumente prescrito para a doen\u00e7a de Lyme em est\u00e1gio inicial. \u00c9 eficaz contra Borrelia burgdorferi e geralmente \u00e9 tomado por via oral por 10 a 21 dias. A doxiciclina n\u00e3o \u00e9 recomendada para uso em mulheres gr\u00e1vidas e crian\u00e7as pequenas.<\/p>\n\n\n\n

Amoxicilina, cefuroxima ou ceftriaxona<\/strong>: esses antibi\u00f3ticos s\u00e3o frequentemente prescritos para pacientes que n\u00e3o podem tomar doxiciclina, como mulheres gr\u00e1vidas e crian\u00e7as pequenas. Estes s\u00e3o geralmente usados para a doen\u00e7a de Lyme em est\u00e1gio inicial e podem ser tomados por via oral ou administrados por via intravenosa em casos mais graves.<\/p>\n\n\n\n

Ceftriaxona<\/strong>: este antibi\u00f3tico \u00e9 frequentemente usado no tratamento da doen\u00e7a de Lyme em est\u00e1gio avan\u00e7ado ou disseminada, em que a infec\u00e7\u00e3o se espalhou para v\u00e1rios \u00f3rg\u00e3os ou para o sistema nervoso. \u00c9 administrado por via intravenosa por um per\u00edodo de 14 a 28 dias.<\/p>\n\n\n\n

\u00c9 importante observar que essas s\u00e3o diretrizes gerais e os planos de tratamento devem ser adaptados \u00e0s necessidades individuais de cada paciente. Se voc\u00ea suspeitar que tem ou foi diagnosticado com a doen\u00e7a de Lyme, consulte um m\u00e9dico.<\/p>\n\n\n\n

Quanto tempo dura o tratamento com antibi\u00f3ticos para a doen\u00e7a de Lyme?<\/strong><\/h2>\n\n\n\n
\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430<\/a><\/figure>\n\n\n\n

A dura\u00e7\u00e3o do tratamento com antibi\u00f3ticos para a doen\u00e7a de Lyme pode variar dependendo de v\u00e1rios fatores, incluindo o est\u00e1gio da doen\u00e7a e a gravidade dos sintomas. Geralmente, a dura\u00e7\u00e3o recomendada do tratamento para a doen\u00e7a de Lyme \u00e9 a seguinte:<\/p>\n\n\n\n

Doen\u00e7a de Lyme localizada precocemente (como uma erup\u00e7\u00e3o localizada conhecida como eritema migrat\u00f3rio): o tratamento padr\u00e3o geralmente \u00e9 um curso de antibi\u00f3ticos orais por 10 a 21 dias. Durante esta fase, geralmente s\u00e3o prescritos doxiciclina, amoxicilina ou cefuroxima axetil.<\/p>\n\n\n\n

Doen\u00e7a de Lyme disseminada precocemente (quando a infec\u00e7\u00e3o se espalhou para al\u00e9m do local da mordida de carrapato<\/a><\/strong>, mas ainda n\u00e3o afetou o sistema nervoso central): O tratamento geralmente envolve antibi\u00f3ticos orais por 14 a 21 dias. Doxiciclina, amoxicilina ou cefuroxima axetil podem ser prescritos.<\/p>\n\n\n\n

Doen\u00e7a de Lyme em est\u00e1gio avan\u00e7ado (quando a infec\u00e7\u00e3o se espalhou para o sistema nervoso central, articula\u00e7\u00f5es ou outros \u00f3rg\u00e3os): antibi\u00f3ticos intravenosos (IV) s\u00e3o frequentemente usados por um per\u00edodo mais longo, geralmente variando de 14 a 28 dias. A ceftriaxona geralmente \u00e9 administrada por via intravenosa para esse est\u00e1gio.<\/p>\n\n\n\n

\u00c9 importante lembrar que essas s\u00e3o diretrizes gerais e as decis\u00f5es de tratamento devem ser tomadas por um profissional de sa\u00fade com base em fatores individuais do paciente. A dura\u00e7\u00e3o do tratamento com antibi\u00f3ticos pode ser ajustada dependendo da resposta do paciente ao tratamento. Tamb\u00e9m depende da presen\u00e7a de complica\u00e7\u00f5es ou infec\u00e7\u00f5es concomitantes. O acompanhamento regular com um profissional de sa\u00fade \u00e9 essencial para garantir o tratamento adequado da doen\u00e7a de Lyme.<\/p>\n\n\n\n

A doen\u00e7a de Lyme pode ser completamente curada com antibi\u00f3ticos?<\/strong><\/h2>\n\n\n\n
\"\u0442\u043e\u043f\u044a\u043b<\/a><\/figure>\n\n\n\n

Em geral, a doen\u00e7a de Lyme pode ser efetivamente tratada com antibioticoterapia apropriada, especialmente se diagnosticada e tratada precocemente. A maioria das pessoas com doen\u00e7a de Lyme se recupera completamente ou experimenta uma melhora significativa ap\u00f3s completar o curso recomendado de antibi\u00f3ticos. No entanto, em alguns casos, a recupera\u00e7\u00e3o completa pode demorar mais. Especialmente quando a doen\u00e7a progrediu para os est\u00e1gios posteriores ou quando h\u00e1 complica\u00e7\u00f5es. Alguns sintomas podem persistir mesmo ap\u00f3s o tratamento.<\/p>\n\n\n\n

\u00c9 importante observar que h\u00e1 uma pequena porcentagem de pessoas que podem apresentar o que \u00e9 conhecido como s\u00edndrome da doen\u00e7a de Lyme p\u00f3s-tratamento (PTLDS). PTLDS refere-se \u00e0 persist\u00eancia dos sintomas. Estes s\u00e3o fadiga, dores musculares e articulares e dificuldade de concentra\u00e7\u00e3o, apesar da conclus\u00e3o do tratamento antibi\u00f3tico adequado. A causa exata do PTLDS ainda n\u00e3o \u00e9 totalmente compreendida. Acredita-se que envolva uma combina\u00e7\u00e3o de fatores \u2013 inflama\u00e7\u00e3o persistente e respostas do sistema imunol\u00f3gico.<\/p>\n\n\n\n

Se voc\u00ea foi tratado para a doen\u00e7a de Lyme, mas continua a apresentar sintomas persistentes ou recorrentes, consulte um m\u00e9dico. Ele ir\u00e1 recomendar testes e tratamento.<\/p>\n\n\n\n

A detec\u00e7\u00e3o precoce, o tratamento imediato e o cumprimento do esquema antibi\u00f3tico prescrito s\u00e3o essenciais para aumentar as chances de uma recupera\u00e7\u00e3o completa da doen\u00e7a de Lyme.<\/p>\n\n\n\n

Autora Ina Dimitrova<\/p>","protected":false},"excerpt":{"rendered":"

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