Hanseníase: saiba como é feito o diagnóstico e o tratamento dessa doença

A hanseníase, conhecida oficialmente por este nome desde 1976, é uma das doenças mais antigas na história da medicina.

 

A hanseníase é causada pelo bacilo de Hansen, o Mycobacterium leprae: um parasita que ataca a pele e nervos periféricos, mas pode afetar outros órgãos como o fígado, os testículos e os olhos. Não é, portanto, hereditária.

Com período de incubação que varia entre três e cinco anos, sua primeira manifestação consiste no aparecimento de manchas dormentes, de cor avermelhada ou esbranquiçada, em qualquer região do corpo.

Placas, caroços, inchaço, fraqueza muscular e dor nas articulações podem ser outros sintomas.

Com o avanço da doença, o número de manchas ou o tamanho das já existentes aumenta e os nervos ficam comprometidos, podendo causar deformações em regiões, como nariz e dedos, e impedir determinados movimentos, como abrir e fechar as mãos.

Além disso, pode permitir que determinados acidentes ocorram em razão da falta de sensibilidade nessas regiões.

O diagnóstico consiste, principalmente, na avaliação clínica: aplicação de testes de sensibilidade, força motora e palpação dos nervos dos braços, pernas e olhos. Exames laboratoriais, como biópsia, podem ser necessários.

Esta doença é capaz de contaminar outras pessoas pelas vias respiratórias, caso o portador não esteja sendo tratado. Entretanto, segundo a Organização Mundial de Saúde, a maioria das pessoas é resistente ao bacilo e não a desenvolve.

Aproximadamente 95% dos parasitas são eliminados na primeira dose do tratamento, já sendo incapaz de transmiti-los a outras pessoas.

Este dura até aproximadamente um ano e o paciente pode ser completamente curado, desde que siga corretamente os cuidados necessários.

Assim, buscar auxílio médico é a melhor forma de evitar a evolução da doença e a contaminação de outras pessoas.

Com o avanço da doença, o número de manchas ou o tamanho das já existentes aumenta e os nervos ficam comprometidos, podendo causar deformações em regiões, como nariz e dedos, e impedir determinados movimentos, como abrir e fechar as mãos.

Além disso, pode permitir que determinados acidentes ocorram em razão da falta de sensibilidade nessas regiões.

O diagnóstico consiste, principalmente, na avaliação clínica: aplicação de testes de sensibilidade, força motora e palpação dos nervos dos braços, pernas e olhos. Exames laboratoriais, como biópsia, podem ser necessários.

Esta doença é capaz de contaminar outras pessoas pelas vias respiratórias, caso o portador não esteja sendo tratado. Entretanto, segundo a Organização Mundial de Saúde, a maioria das pessoas é resistente ao bacilo e não a desenvolve.

Aproximadamente 95% dos parasitas são eliminados na primeira dose do tratamento, já sendo incapaz de transmiti-los a outras pessoas. Este dura até aproximadamente um ano e o paciente pode ser completamente curado, desde que siga corretamente os cuidados necessários.

Assim, buscar auxílio médico é a melhor forma de evitar a evolução da doença e a contaminação de outras pessoas.

O tratamento e distribuição de remédios são gratuitos e, ao contrário do que muitas pessoas podem pensar, em face do estigma que esta doença tem, não é necessário o isolamento do paciente. Aliás, a presença de amigos e familiares é fundamental para sua cura.

Durante este tempo, o hanseniano pode desenvolver suas atividades normais, sem restrições. Entretanto, reações adversas ao medicamento podem ocorrer e, nestes casos, é necessário buscar auxílio médico.

Importante saber:

Segundo a OMS, nosso país é líder mundial em prevalência da hanseníase. Em 1991, foi assinado pelo governo brasileiro um termo de compromisso mundial, comprometendo-se a eliminar esta doença até 2010.

Entretanto, a cada ano, há mais de quarenta mil novos casos tendo, entre eles, vários indivíduos em situação de deformidade irreversível.

Nos dias 24, 26 e 27 de janeiro são comemorados, respectivamente, o Dia do Hanseniano, o Dia Mundial de Combate à Hanseníase e o Dia Estadual de Combate à Hanseníase.

“Lepra”, designação antiga desta doença, era o nome dado a doenças da pele em geral, como psoríase, eczema e a própria hanseníase.

Devido ao estigma dado a esta denominação e também ao fato de que hoje, com o avanço da medicina, há nomes apropriados para cada uma destas dermatoses, este termo deixou de ser utilizado (ou, pelo menos, deveria ter sido).

O MINISTÉRIO DA SAÚDE ADVERTE:

A automedicação pode ter efeitos indesejados e imprevistos, pois o remédio errado não só não cura como pode piorar a saúde.

Fonte: Brasil Escola

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