OMS diz que hepatite atinge 400 milhões de pessoas em todo o planeta

Repórter Capixaba Brasil 367

O Dia Mundial da Luta contra as Hepatites Virais (28 de julho) foi criado para informar sobre a doença e aumentar o acesso aos testes e tratamento da hepatite, inflamação no fígado que pode ser causada pelos vírus A, B, C, D e E.

Considerada um problema mundial de saúde pública, a hepatite pode levar a problemas hepáticos graves causando a morte. A estimativa da Sociedade Brasileira de Infectologia (SBI) é de que no país há entre 1,5 milhão e 2 milhões de pessoas com hepatite, mas só cerca de 300 mil sabem que têm a doença.

A Organização Mundial da Saúde (OMS) estima que – em todo o planeta – 400 milhões de pessoas estejam infectadas pelos vírus da hepatite B e C, número dez vezes maior que o de pessoas contaminadas pelo HIV, mas a maior parte dos portadores sequer sabe que está doente. Segundo a OMS, apenas uma em cada 20 pessoas com hepatite viral sabe que está doente e só uma em cada 100 com a doença está recebendo tratamento.

No Brasil, a situação não é diferente. Segundo o Ministério da Saúde, milhões de brasileiros são portadores do vírus B e C e não sabem. Além do risco que correm se a doença evoluir e causar danos irreversíveis ao fígado, como cirrose e câncer, os infectados também podem transmitir a doença para outras pessoas.

O diretor de Comunicação da SBI, infectologista David Urbaez, explicou que as hepatites costumam ser silenciosas e a falta de sintomas pode retardar a busca por tratamento, o que agrava o quadro da doença. “O modelo de doença faz com que a pessoa não fique sabendo e não procure ajuda médica, pois não apresenta sintomas. A maior parte dos diagnósticos ocorre já na cirrose, aí se faz redução de danos, mas é irreversível”.

Urbaez também alertou para a necessidade de os médicos se habituarem a pedir o exame com maior freqüência. Ele esclareceu que, em poucos casos, as pessoas ficam com os olhos e pele amareladas, sintoma comumente atribuído à doença.

“Isso só ocorre em casos de hepatite aguda sintomática, que acomete um percentual muito pequeno de pacientes”, disse. Quando aparecem, os sintomas podem incluir urina escura, fezes claras, dor abdominal, tontura, enjôo, vômito, cansaço, febre e mal-estar.

Teste gratuito

A rede pública de saúde de diversos municípios, entre eles Brasília, São Paulo, Fortaleza, Vitória, está fazendo campanhas neste mês, batizado de “julho amarelo”, com a disponibilização de testes rápidos para os tipos mais comuns da doença em locais de grande circulação.

A orientação da SBI é que todos os adultos façam o teste da doença, especialmente o tipo C, disponível gratuitamente na rede pública de saúde de todo o país. “A gente enfatiza a hepatite C porque, no momento, ela é a que a gente acredita ser a que tem o maior número de pessoas que desconhecem que são portadoras”, explicou.

O infectologista informou, ainda, que o tratamento para a hepatite C dura até 12 semanas e é gratuito pelo Sistema Único de Saúde (SUS). Segundo ele, o índice de cura é acima de 90%.

David Urbaez disse que, “via de regra, as hepatites virais regridem sozinhas”. Mas caso isso não ocorra, quanto antes for diagnosticada, mais eficiente será o tratamento. No caso da hepatite C, a deterioração do fígado vai acontecendo ao longo de décadas, de forma bem gradual, e, quando surge a manifestação clínica, o fígado já está muito deteriorado e pode ter entrado em cirrose, um processo que, de forma progressiva, altera a “arquitetura do fígado” de forma irreversível.

Hepatites virais

A hepatite é a inflamação do fígado. Pode ser causada por doenças auto-imunes, metabólicas e genéticas ou pelo uso de remédios, álcool e outras drogas, mas os tipos mais comuns são causados pelos vírus A, B, C, D e E.

O Ministério da Saúde orienta que as pessoas observem se já se expuseram a situações que apresentam risco de contágio, e, assim, saber se há a necessidade de fazer exames. Viver em situações precárias de saneamento básico, água e higiene pessoal e de alimentos leva ao risco do contágio fecal-oral, que transmite as hepatites A e E. Quem tem hepatite A ou E pode se curar, eliminando o vírus do organismo.

Praticar sexo sem proteção, compartilhar seringas, agulhas, lâminas de barbear, alicates de unha e outros objetos que furam ou cortam pode causar contaminação pelos vírus B,C e D, transmitidos pelo sangue. Esses tipos também podem passar da mãe para o filho durante a gravidez, o parto e a amamentação.

As hepatites B, C e D podem apresentar tanto formas agudas quanto crônicas de infecção quando a doença persiste no organismo por mais de seis meses. O Ministério da Saúde informa que, no caso das hepatites B e C, é preciso um intervalo de 60 dias para que os anticorpos sejam detectados no exame de sangue.

Vacinação

A vacina de hepatite A foi introduzida no calendário infantil em 2014, para crianças de 1 a 2 anos de idade. O Sistema Único de Saúde disponibiliza gratuitamente a vacina contra a hepatite B em qualquer posto de saúde para pessoas de até 49 anos.

A imunização é feita em três doses, e só é efetiva quando a vacina é tomada com intervalo de um mês entre a primeira e a segunda dose e de seis meses entre a primeira e a terceira dose. Não existe vacina contra a hepatite C.

A hepatite D depende da hepatite B para ocorrer, portanto, vacinar contra o tipo B previne o tipo D. A hepatite E tem ocorrência rara no Brasil e não há vacina disponível para a doença.

Fonte: Agência Brasil

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  231. Almanya’nın en çok tercih edilen medyumu haluk yıldız hoca olarak bilinmektedir, 40 yıllık tecrübesi ile sizlere en iyi bağlama işlemini yapan ilk medyum hocadır.

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