{"id":4395,"date":"2023-11-23T12:00:28","date_gmt":"2023-11-23T15:00:28","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/gastroblog\/?p=4395"},"modified":"2024-06-06T15:26:36","modified_gmt":"2024-06-06T18:26:36","slug":"doenca-de-crohn-2","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroblog\/doencas\/doenca-de-crohn-2\/","title":{"rendered":"Doen\u00e7a de Crohn: sintomas e tratamento"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Uma das doen\u00e7as que geram sintomas gastrointestinais \u00e9 a de Crohn, que implica em um processo inflamat\u00f3rio em diferentes locais do intestino do paciente, criando uma s\u00e9rie de sintomas que podem ir desde um desconforto abdominal, at\u00e9 obstru\u00e7\u00f5es e outros de maior gravidade.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sendo assim, \u00e9 uma doen\u00e7a que necessita de um acompanhamento m\u00e9dico frequente para que o paciente consiga ter mais qualidade de vida e para que os sintomas possam ser controlados.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Para entender melhor sobre a doen\u00e7a de Crohn, conhecer as causas e os principais sintomas, acompanhe este conte\u00fado at\u00e9 o fim. Aproveite e veja tamb\u00e9m <\/span><span style=\"font-weight: 400;\">como \u00e9 feito o diagn\u00f3stico, o tratamento e quais alimentos evitar para diminuir as chances de uma crise aguda.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Boa leitura!<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Doen\u00e7a de Crohn: o que \u00e9?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A doen\u00e7a de Crohn \u00e9 caracterizada por uma inflama\u00e7\u00e3o<\/span> <span style=\"font-weight: 400;\">que pode aparecer ao longo do trato gastrointestinal, <\/span><span style=\"font-weight: 400;\">principalmente na regi\u00e3o inferior do \u00edleo (parte final do intestino delgado) e do c\u00f3lon (parte central do intestino grosso).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por\u00e9m, na grande parte dos casos a doen\u00e7a acaba atingindo todas as camadas do intestino, ao longo da sua progress\u00e3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ainda<\/span><span style=\"font-weight: 400;\">, trata-se de uma doen\u00e7a autoimune <\/span><span style=\"font-weight: 400;\">e <\/span><span style=\"font-weight: 400;\">cr\u00f4nica, que acompanha o paciente ao longo de sua vida. Entretanto, os sintomas podem ser controlados por meio de tratamento.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O nome da patologia foi originado por conta do nome de um dos autores, chamado Burril B. Crohn, que publicou um artigo descrevendo essa doen\u00e7a ainda no come\u00e7o do s\u00e9culo XX, mais precisamente em 1932.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">O que causa a doen\u00e7a de Crohn?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A doen\u00e7a de Crohn \u00e9 considerada autoimune, ou seja, <\/span><span style=\"font-weight: 400;\">acontece <\/span><span style=\"font-weight: 400;\">quando o corpo humano ataca o pr\u00f3prio organismo. At\u00e9 hoje, n\u00e3o h\u00e1 um consenso acerca do que desencadeia a doen\u00e7a, mas sabe-se que h\u00e1 um componente gen\u00e9tico de alta influ\u00eancia envolvido.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">No mais, ainda que a doen\u00e7a n\u00e3o seja causada diretamente pelo consumo de determinados alimentos e fatores emocionais, esses fatores contribuem para o desencadeamento de sintomas e crises.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Al\u00e9m disso, determinados h\u00e1bitos, como tabagismo e dietas com excesso de gordura, assim como o uso de determinados medicamentos podem aumentar os riscos de desenvolver esse problema.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Quais os sintomas?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Os sintomas de doen\u00e7a de<\/span><span style=\"font-weight: 400;\"> Crohn podem envolver <\/span><span style=\"font-weight: 400;\">causar<\/span><span style=\"font-weight: 400;\"> incha\u00e7o, vermelhid\u00e3o e \u00falceras (feridas) no intestino. Quando a patologia n\u00e3o est\u00e1 sob controle, essas \u00falceras podem chegar a perfurar a pare<\/span><span style=\"font-weight: 400;\">d<\/span><span style=\"font-weight: 400;\">e do intestino, causando infec\u00e7\u00f5es e hemorragias.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Outros sintomas s\u00e3o:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cansa\u00e7o;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarreia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dor ou c\u00f3licas abdominais, comumente do lado inferior esquerdo;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dor retal, acompanhada de evacua\u00e7\u00f5es;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Febre;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muco nas fezes;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perda de peso;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sangramento retal.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Al\u00e9m disso, as cicatrizes <\/span><span style=\"font-weight: 400;\">causadas pela doen\u00e7a <\/span><span style=\"font-weight: 400;\">tamb\u00e9m podem se tornar um problema quando chegam a bloquear a passagem do alimento ao longo do intestino.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por isso, \u00e9 extremamente importante manter um acompanhamento <\/span><span style=\"font-weight: 400;\">com o<\/span><span style=\"font-weight: 400;\"> m\u00e9dico e seguir todas as orienta\u00e7\u00f5es de medicamentos e alimenta\u00e7\u00e3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Se o quadro for evoluindo e se tornando cr\u00f4nico, mais sintomas podem surgir, como:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Desnutri\u00e7\u00e3o e anemia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cansa\u00e7o generalizado;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1lculo renal;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Artrite;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Febre inexplicada;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perda de apetite;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00e1usea;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Les\u00f5es musculoesquel\u00e9ticas, oculares e de pele;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obstru\u00e7\u00e3o do c\u00f3lon.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Como \u00e9 <\/span><span style=\"font-weight: 400;\">feito <\/span><span style=\"font-weight: 400;\">o diagn\u00f3stico?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">O diagn\u00f3stico da doen\u00e7a de Crohn<\/span> <span style=\"font-weight: 400;\">pode ser <\/span><span style=\"font-weight: 400;\">mais <\/span><span style=\"font-weight: 400;\">complexo em decorr\u00eancia das similaridades que <\/span><span style=\"font-weight: 400;\">os sintomas d<\/span><span style=\"font-weight: 400;\">a patologia possu<\/span><span style=\"font-weight: 400;\">em<\/span><span style=\"font-weight: 400;\"> com outras condi\u00e7\u00f5es.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nesse sentido<\/span><span style=\"font-weight: 400;\">, para realizar o diagn\u00f3stico o m\u00e9dico deve avaliar o hist\u00f3rico do paciente, realizar exames cl\u00ednicos, de imagem e testes laboratoriais.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A realiza\u00e7\u00e3o de exames \u00e9 essencial para auxiliar o m\u00e9dico a descartar outras condi\u00e7\u00f5es que poderiam justificar os sintomas. Al\u00e9m disso, eles s\u00e3o necess\u00e1rios para identificar eventuais defici\u00eancias de nutrientes que acontecem no quadro da doen\u00e7a de Crohn.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Importante: a intera\u00e7\u00e3o entre o <\/span><span style=\"font-weight: 400;\">m\u00e9dico <\/span><span style=\"font-weight: 400;\">e o paciente \u00e9 determinante para tra\u00e7ar o diagn\u00f3stico correto, por isso, \u00e9 fundamental que o paciente compartilhe todas as informa\u00e7\u00f5es que puder.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Os exames mais comumente realizados para identificar a doen\u00e7a de Crohn s\u00e3o:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colonoscopia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endoscopia digestiva alta;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enteroresson\u00e2ncia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enterotomografia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Histopatol\u00f3gico (bi\u00f3psia);<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hemograma para identificar uma poss\u00edvel anemia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PCR (marcador de inflama\u00e7\u00e3o no corpo);<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u00e2nsito de intestino delgado (com contraste de b\u00e1rio).<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Tratamento para a doen\u00e7a de Crohn<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">O tratamento da doen\u00e7a de Crohn envolve <\/span><span style=\"font-weight: 400;\">algumas <\/span><span style=\"font-weight: 400;\">etapas que devem ser seguidas \u00e0 risca pelo paciente.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">H\u00e1 <\/span><span style=\"font-weight: 400;\">um sistema que auxilia o m\u00e9dico a mensurar a atividade da doen\u00e7a para identificar em que n\u00edvel ela se encontra.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Esse sistema tem<\/span><span style=\"font-weight: 400;\"> com<\/span><span style=\"font-weight: 400;\">o<\/span><span style=\"font-weight: 400;\"> base informa\u00e7\u00f5es como:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intensidade da dor abdominal;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">n\u00famero de evacua\u00e7\u00f5es;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ocorr\u00eancia de f\u00edstulas;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">indisposi\u00e7\u00e3o geral;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">manifesta\u00e7\u00f5es patol\u00f3gicas.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dessa forma, o m\u00e9dico consegue <\/span><span style=\"font-weight: 400;\">identificar se a doen\u00e7a est\u00e1 em um n\u00edvel <\/span><span style=\"font-weight: 400;\">leve, <\/span><span style=\"font-weight: 400;\">moderado ou <\/span><span style=\"font-weight: 400;\">grave, <\/span><span style=\"font-weight: 400;\">a fim d<\/span><span style=\"font-weight: 400;\">e orientar o tratamento mais adequado.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Em todo o caso, \u00e9 importante destacar que o tratamento visa combater e prevenir o processo inflamat\u00f3rio. Isso \u00e9 feito por medicamentos e alimenta\u00e7\u00e3o controlada.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Os sintomas podem ser controlados com as medica\u00e7\u00f5es que existem atualmente, por\u00e9m a cura para essa doen\u00e7a tem uma incid\u00eancia baixa.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De forma geral, o paciente convive com a doen\u00e7a e, ao longo da vida, passa por momentos c\u00edclicos de melhora e piora.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Com o acompanhamento adequado o paciente consegue ter uma qualidade de vida melhor, fazendo o controle da evolu\u00e7\u00e3o da infec\u00e7\u00e3o para evitar as complica\u00e7\u00f5es de maior gravidade.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Quais alimentos devem ser evitados por quem tem a doen\u00e7a?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Alguns alimentos devem ser evitados para diminuir irrita\u00e7\u00f5es causadas ao trato gastrointestinal:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aveia;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bebidas alco\u00f3licas;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Biscoitos amanteigados e doces com massa folhada;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caf\u00e9, ch\u00e1-preto e refrigerantes com cafe\u00edna;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carne de porco e outras carnes gordurosas;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chocolate;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Creme de leite;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frituras, maionese, refei\u00e7\u00f5es industrializadas (congeladas), manteigas;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frutos secos, amendoim, nozes e am\u00eandoas;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mam\u00e3o, laranja e ameixa;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mel, a\u00e7\u00facar, sorbitol ou manitol;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sementes;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verduras cruas e frutas com casca.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Saiba mais sobre doen\u00e7a de Crohn no EndoBlog<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00c9 importante compreender a doen\u00e7a de Crohn e ter conhecimento acerca dos exames realizados para o diagn\u00f3stico da patologia, como o <\/span><a href=\"https:\/\/endoscopiaterapeutica.com.br\/pacientes\/endoscopia-digestiva-alta\/\"><span style=\"font-weight: 400;\">exame endoscopia<\/span><\/a><span style=\"font-weight: 400;\">. Voc\u00ea pode acessar diversos conte\u00fados sobre condi\u00e7\u00f5es do aparelho digestivo pelo EndoBlog.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pelo EndoBlog, voc\u00ea encontra v\u00e1rios artigos para se informar sobre doen\u00e7as e exames, todos elaborados e revisados pela equipe de m\u00e9dicos do portal Endoscopia Terap\u00eautica.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uma das doen\u00e7as que geram sintomas gastrointestinais \u00e9 a de Crohn, que implica em um processo inflamat\u00f3rio em diferentes locais do intestino do paciente, criando uma s\u00e9rie de sintomas que&hellip;<\/p>\n","protected":false},"author":1781,"featured_media":4397,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[202,443],"tags":[149,150,151,148],"ano":[],"tipo":[],"volume":[],"class_list":["post-4395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doencas","category-traducao","tag-doenca-de-crohn","tag-doencas","tag-sintomas-de-doenca-de-crohn","tag-tratamento-para-doenca-de-crohn"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - 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