sábado, dezembro 08, 2007

As infecções respiratórias nas crianças - Parte II

Como causa de infecções respiratórias das crianças e jovens podemos falar nas alergias respiratórias, em especial a asma e a rinite, que podem acometer crianças e adultos, essencialmente no Inverno.


A incidência da asma nas crianças aumentou 23% nos últimos anos, sendo o ozono um dos factores que mais contribuiu para esta situação (é o poluente que mais contribui para o aumento do risco de morte por doença respiratória).

A incidência da rinite, por outro lado, aumentou 20% nas crianças entre os 6-7 anos, 29% nos jovens entre os 13-14 anos, 40% nos jovens entre os 15 aos 25 anos e de 26% acima dos 25 anos, segundo o Observatório Nacional das Doenças Respiratórias (ONDR).

«A qualidade do ar tem vindo a tornar-se um assunto cada vez mais preocupante uma vez que os problemas ambientais multiplicam-se um pouco por todo o mundo, mas a ameaça do ar que nos rodeia provocou mudanças climáticas que mais do que pôr em risco todo o ecossistema causam marcadas implicações na saúde das populações, nomeadamente ao nível das doenças respiratórias. As crianças e os jovens são um dos grupos mais afectados», explica um responsável por este observatório

As doenças alérgicas estão em acentuado crescimento e atingem todas as idades com grande incidência nas crianças e jovens, atingindo globalmente um terço da população portuguesa. O mesmo responsável afirma que «Portugal tem condições de grande exposição solar na maior parte dos dias e zonas urbanas e industriais com importantes concentrações de poluentes (partículas, radicais de azoto e hidrocarbonetos). Estão assim criadas as condições para a produção do ozono e em 10 a 15% dos dias são atingidos níveis superiores aos considerados seguros».

Outros factores, além do ozono e das condições climáticas, que contribuem para a incidência das doenças respiratórias são:

- Menor tempo ao ar livre e maior permanência em lugares fechados;
- Uso de edredons, cobertores e agasalhos guardados por longo tempo;
.- A asma e a rinite tendem a piorar nos meses frios do inverno (são doenças sanzonais), não só pela maior húmidade e predominância de ácaros, como também pelo efeito directo do ar frio que, em algumas pessoas, torna os brônquios e a mucosa nasal mais reactivos.

O que é a asma?

A asma é uma inflamação dos brônquios devido à acção de diversos estímulos, alergeneos ou irritantes, que causam um súbito aperto de maior ou menor intensidade, mas habitualmente temporário. A dificuldade respiratória deve-se ao bloqueio do ar, preso nos pulmões, que não pode sair normalmente. Se a doença não é tratada adequadamente, a inflamação instala-se, tornando-se permanente.

Como se manifesta a asma?


A Asma também conhecida por Bronquite Alérgica ou Bronquite Asmática, pode ocorrer tanto em adultos como em crianças ou jovens, com sintomas que variam entre formas leves, moderadas ou graves (estas últimas podem tornar a pessoa que acometem incapacitada). As crises leves na asma podem ser fracas e passar desapercebidas e, por vezes, a tosse é o único sintoma. As crises moderadas, com sintomas mais visíveis, acompanham-se de pieira (os vulgares gatinhos), dificuldade em respirar (deve-se ao bloqueio do ar, preso nos pulmões, que não pode sair normalmente). Durante a crise de asma, a criança revela-se ansiosa e sente que a sua respiração tem limitações, tosse e perturbações do sono e das actividades da escola e lazer.
As crises fortes acompanham-se de mal-estar, tosse, fervores intensos, sensação de respiração forçada, prejudicando a criança ou jovem quando tenta falar (pode mesmo ter a sensação de sufocação) ou até caminhar.

Se o seu filho tiver algum destes sintomas,mesmo que seja muito ligeiro, não se descuide, porque o tratamento precoce é muito importante para se conseguir um controlo adequado da asma.


Como prevenir a asma?

Sabendo que as crises de asma podem ser desencadeadas ou agravadas por estímulos específicos (alergeneos) ou inespecíficos, devemos estar alertas em relação aos mesmos. Assim sendo:
Específicos: São substâncias que podem originar sintomas nas crianças alérgicas e não causam sintomas nas não-alérgicas. Alergeneos - São importantes desencadeadores de asma:
• Ácaros do pó da casa (no quarto de dormir,nas roupas de cama, nas alcatifas e nos colchões);

• Pêlos de animais(cão. gato...)
,
• Pólens de algumas plantas(pinheiros,ciprestes,...;

• Bolores
;
• Baratas;

• Alguns alimentos (leite, chocolate,...).

Inespecíficos: Podem desencadear ou agravar os sintomas de asma, tanto nas crianças alérgicas como nas não-alérgicas ;
• Infecções víricas;
• Irritantes (cheiros activos, perfumes, vernizes, tintas,vapores de cozinhados; outros químicos como pó de talco; poluentes atmosféricos);
• Fumo de tabaco - tem sido descrito um aumento da incidência da asma em crianças de mães fumadoras;

• Variações climáticas (alterações da temperatura, de pressão, humidade, assim como ventos fortes );
Exercício – Uma grande percentagem de crianças asmáticas alérgicas tem sintomas de asma após esforços. As corridas de fundo (esforços de longa duração) são as que mais provocam a asma, ao contrário da natação;
• Refluxo gastroesofágico - é comum em crianças ou jovens com asma; os sintomas predominam durante a noite e podem agravar-se.
• Sinusite

O controlo da asma na criança é conseguido com base no diagnóstico e numa orientação adequada (feita por especialiatas), no que se refere às medidas de evicção (prevenção) e orientação terapêutica (a terapêutica utilizada depende do diagnóstico e podem ser preventivos (anti-inflamatórios), sintomáticos (broncodilatadores) ou imunoterápicos (são vacinas específicas ou anti-alérgicas, que se destinam a modificar a resposta do organismo da criança ao agente causador da doença. Apenas devem ser prescritas por especialistas)., dependendo em grande parte da entreajuda dos familiares com os profissionais de saúde. A asma não pode ser curada, mas pode e deve ser controlada.
As crianças asmáticas podem ter uma vida normal.


Uma iniciativa de louvar:

Desde há 15 anos que um grupo de aproximadamente 40 crianças asmáticas participa num campo de férias, que se tem realizado em Gouveia nas férias da Páscoa, iniciativa promovida pelo Hospital de Dona Estefânia, de Lisboa.

Nesta actividade "As Semanas Mais Alegres" (ASMA) (no ano de 2006 perfez a 15ª edição), participaram crianças com idades entre os oito e os dez anos, de diversos estratos sociais e provenientes de várias regiões do país, mediante uma selecção feita com base "em critérios clínicos, definidos pelos médicos assistentes"


No próximo post falarei na rinite alérgica mais pormenorizadamente...

Este post somente foi possível pela colaboração além atlântico da EXCELENTE Equipa de Profissionais de Saúde do Blog da Alergia

A eles o meu MUITO OBRIGADO!



142 Comments:

At 12:26 da manhã, Blogger Grilinha said...

Belo e esclarecedor artigo.

Se puderes coloca um link para
http://necessidadesespeciais.blogs.sapo.pt.

Precisamos de apoiar estas iniciativas e pelos vistos têm poucas inscrições. Um beijinho

 
At 1:41 da manhã, Blogger Nuno Silva said...

Excelente blog...
Adiconei-te ao meu blogroll, por isso fico sempre "a par" das tuas actualizações e sempre que se verificam... passo por cá!

Continuação de bons "posts" e já agora Bom Natal e Feliz 2008.

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At 9:45 da tarde, Blogger Vera Carvalho said...

Rosa mais uma vez obrigada pela nomeação... e mais uma vez vez obrigada pelos excelentes temas com que nos brindas no teu blog! Parabéns e beijinhos

Vera e Sergio do Cogitare

 
At 10:06 da tarde, Blogger Dreamaster said...

Eu tenho sinusite e constipo-me de 5 em 5 anos ou mais :D mas se não tenho cuidado, qd apanho uma é de caixao a... pois

Btw nova sugestão musical no blog. Atreve-te ;)


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D.

 
At 8:35 da tarde, Blogger Rosa Silvestre said...

Olá Grilinha, seja bem vinda. Já tenho o link à direita para esse endereço.
Um beijinho para ti também.

 
At 8:37 da tarde, Blogger Rosa Silvestre said...

Olá Nuno, o seu blog também é excelente.
Bom Natal e Feliz 2008 para ti e para os teus.

Obrigada pela visita. Volta sempre!

 
At 8:39 da tarde, Blogger Rosa Silvestre said...

Olá Sérgio e Vera, últimamente não tenho tido muito tempo para navegar pelo Cogitare...No entanto, quando posso vou até lá e verifico que continua excelente como sempre. Parabéns aos dois!

 
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At 1:18 da tarde, Blogger Rosa Silvestre said...

Olá D. não tenho tido muito tempo para navegar pelas outras páginas, quando puder vou até lá. Bjs.

Bom fim-de-semana para o Profeta também e continuação de bons poemas.....

 
At 6:58 da tarde, Anonymous kaska said...

Uma visitinha para desejar um bom domingo e uma óptima semana.
E continuação de um óptimo trabalho.
Este post está muito bom.

 
At 4:55 da tarde, Blogger Dreamaster said...

Brrr q frio. Bom Domingo

Bjs
D.

 
At 9:59 da manhã, Blogger O Profeta said...

Passei para te desejar


Uma semana cheia de luz


Doce beijo

 
At 4:44 da manhã, Anonymous Paulo Mestre said...

Olá Rosa, mais um excelente post daqueles a que nos vens habituando. Parabéns!

 
At 11:55 da tarde, Blogger Cristiane Fetter said...

Fantástico este tema Rosa. Somos brasileiros e moramos em New Jersey nos Estados Unidos, em uma área estremamente fria e temos um filho de quase 4 anos.
Pois então, aqui descobrimos que ele tem alergia ao ácaro, depois de muito penar com médicos.
É um sofrimento a cada estação fria, vê-lo sofrendo, dormindo mal, tossindo bastante.
Já fizemos de tudo para minimizar a situação. Hoje as crises de rinite são bem menores, mas não menos dolorosas.
O jeito esta estação é fugir para o clima tropical do Brasil.
Por isso foi tão oportundo o teu post.
Abraços

 
At 12:26 da manhã, Blogger Lusófona said...

Olá Rosa! Eu já tinha vindo aqui... engraçado,pensei que tivesse deixado um comentário. Eu até entrei no blog da alergia para obter mais informações.

Eu tenho rinite e sofro muito, mas o que mais causa-me estragos é o tabaco :(

Beijinhos querida

 
At 10:37 da manhã, OpenID enfermped said...

Olá Rosa, excelente post. Fui espreitar o Blog da Alergia e é um excelente blog para quem quer saber de doenças do foro respiratório e alérgico. A minha sobrinha de dez anos tem rinite alérgica desde os cinco anos....
Obrigada pela partilha!
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At 7:28 da tarde, Anonymous Anónimo said...

Olá Rosa, este tema está muito bem concebido.Parabéns!
Umas Boas Festas para ti e para a tua família.
Jinhos.Felipe Vasconcelos.

 
At 3:41 da tarde, Blogger Rosa Silvestre said...

Olá Paulo, obrigada pelo comentário e um BOM ANO DE 2008!

 
At 3:44 da tarde, Blogger Rosa Silvestre said...

Olá cristianne ainda bem que gostou do tema que ainda tem continuação, pois ainda não terminou...segue dentro de momentos.
As crises de rinite são desconfortavéis para os adultos e então para as crianças nem se fala...
Linkei o seu blog que gostei.
Volte sempre. RS.
Abraços

 
At 3:46 da tarde, Blogger Rosa Silvestre said...

Olá lusofóna, obrigada pelo comentário e pela sua visita.
Volte sempre e UM ANO DE 2008 EXCELENTE!
RS.

 
At 3:47 da tarde, Blogger Rosa Silvestre said...

Olá Margarida vistes o e-mail que te mandei?
Espero que sim.
jinhos muitos!RS.

 
At 1:07 da manhã, Anonymous Fátima said...

Olá Rosa: vim visitar seu blog com atraso pois estive viajando e fiquei muito feliz com sua carinhosa citação ao nosso Blob. Um grande abraço além mar e votos de um feliz 2008 à você e todos os seus.Fátima Emerson

 
At 10:10 da tarde, Blogger Rosa Silvestre said...

Um excelente ano de 2008 para vocês todos, incluindo a Dr.ª Fátima Emerson, e suas famílias aí no Brasil.
Retribuio um grande abraço além mar!

 
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