{"id":6243,"date":"2023-05-19T09:00:44","date_gmt":"2023-05-19T12:00:44","guid":{"rendered":"https:\/\/www.panvel.com\/blog\/?p=6243"},"modified":"2023-11-22T16:13:58","modified_gmt":"2023-11-22T19:13:58","slug":"herpes-zoster-pode-gerar-complicacoes-a-longo-prazo","status":"publish","type":"post","link":"https:\/\/www.panvel.com\/blog\/dicas-de-saude\/herpes-zoster-pode-gerar-complicacoes-a-longo-prazo\/","title":{"rendered":"Muito al\u00e9m da dor: herpes zoster pode gerar manifesta\u00e7\u00f5es e complica\u00e7\u00f5es a longo prazo"},"content":{"rendered":"\n<p>Quando falamos em <strong>herpes zoster<\/strong> \u00e9 comum relacionarmos a doen\u00e7a a erup\u00e7\u00f5es dolorosas no corpo. Afinal, a dor intensa \u00e9 uma das principais caracter\u00edsticas relatadas por quem j\u00e1 sofreu com a doen\u00e7a. Ainda que a apari\u00e7\u00e3o das les\u00f5es, dor de cabe\u00e7a e mal-estar geral sejam algumas das primeiras ocorr\u00eancias, o <strong>herpes zoster<\/strong> pode ter complica\u00e7\u00f5es ainda mais s\u00e9rias e prolongadas, como a <strong>neuralgia p\u00f3s-herp\u00e9tica<\/strong>.<sup>1,2<\/sup> Voc\u00ea j\u00e1 ouviu falar sobre essa condi\u00e7\u00e3o?<\/p>\n\n\n\n<p>A <strong>neuralgia p\u00f3s-herp\u00e9tica<\/strong> \u00e9 uma dor aguda nos nervos que pode persistir por anos e afetar at\u00e9 30% das pessoas com a doen\u00e7a.<sup>1,3<\/sup> Trata-se de uma condi\u00e7\u00e3o cr\u00f4nica e debilitante, definida como dor de caracter\u00edstica neurop\u00e1tica (queima\u00e7\u00e3o, ard\u00eancia, agulhada ou choque), que persiste por mais de tr\u00eas meses ap\u00f3s o in\u00edcio da erup\u00e7\u00e3o cut\u00e2nea do <strong>herpes zoster<\/strong>. \u00c9 mais comum em pessoas com mais de 60 anos, mas pode surgir em qualquer idade da vida adulta.<sup>1<\/sup><\/p>\n\n\n\n<h1 class=\"wp-block-heading\"><strong>Sintomas<\/strong><\/h1>\n\n\n\n<p><strong>Conhe\u00e7a os sintomas da neuralgia p\u00f3s-herp\u00e9tica:<sup>1<\/sup><\/strong><\/p>\n\n\n\n<ul>\n<li>Dor parecida com uma queima\u00e7\u00e3o que dura por tr\u00eas meses ou mais;<\/li>\n\n\n\n<li>Extrema sensibilidade ao toque;<\/li>\n\n\n\n<li>Sensa\u00e7\u00e3o de coceira ou de formigamento.<\/li>\n<\/ul>\n\n\n\n<p>Os sintomas da <strong>neuralgia p\u00f3s-herp\u00e9tica<\/strong> costumam aparecer na mesma regi\u00e3o da pele afetada por les\u00f5es do <strong>herpes zoster<\/strong>. \u00c9 mais comum que ocorra no tronco e apenas em um lado do corpo.<sup>1,2<\/sup><\/p>\n\n\n\n<p>A sensa\u00e7\u00e3o de queima\u00e7\u00e3o na pele pode aparecer ainda antes das les\u00f5es, e algumas pessoas tamb\u00e9m sentem uma dor parecida a pontadas.<sup>1,2 <\/sup><sup><\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Outras manifesta\u00e7\u00f5es do herpes zoster<\/strong><strong><\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Al\u00e9m da dor, o <strong>herpes zoster<\/strong> pode provocar:<\/h3>\n\n\n\n<ul>\n<li><strong>herpes zoster oft\u00e1lmico (HZO)<\/strong>: ocorrer quando a reativa\u00e7\u00e3o do v\u00edrus varicela zoster (VVZ) atinge o ramo oft\u00e1lmico do nervo trig\u00eameo, podendo ser precedido pelas erup\u00e7\u00f5es vesiculares no nariz. O HZO \u00e9 uma manifesta\u00e7\u00e3o que causa dor, pode causar cicatrizes no rosto e, em casos raros, at\u00e9 perda de vis\u00e3o.<sup>1<\/sup><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Impacto do herpes zoster<\/strong><strong><\/strong><\/h2>\n\n\n\n<p>Cerca de 94,2% dos brasileiros adultos podem estar infectados com o v\u00edrus causador do <strong>herpes zoster<\/strong>.<sup>4,5<\/sup> Segundo o Centers for Disease Control and Prevention (CDC), metade das pessoas com herpes zoster ou neuralgia p\u00f3s-herp\u00e9tica reportam a dor como \u201chorr\u00edvel\u201d ou \u201cextrema\u201d.<sup>1<\/sup><sup><\/sup><\/p>\n\n\n\n<p>Em alguns casos, a dor do herpes zoster \u00e9 descrita como pior do que a dor do parto.<sup>6 <\/sup>Essa dor continua e debilitante \u00e9 capaz de afetar a qualidade de vida podendo causar ins\u00f4nia, diminui\u00e7\u00e3o da produtividade ou aus\u00eancia no trabalho, altera\u00e7\u00f5es de humor, entre outros.<sup>1 <\/sup><sup><\/sup><\/p>\n\n\n\n<p>Al\u00e9m disso, trata-se de uma doen\u00e7a imprevis\u00edvel: nunca se sabe quando e quem ser\u00e1 afetado pelo <strong>herpes zoster<\/strong>. A doen\u00e7a \u00e9 mais frequente em pessoas com mais de 50 anos e adultos com o sistema imunol\u00f3gico debilitado. Conforme envelhecemos, nossa imunidade enfraquece, o que nos torna mais suscet\u00edveis a infec\u00e7\u00f5es virais e, consequentemente, a reativa\u00e7\u00e3o do v\u00edrus varicela zoster, causando o <strong>herpes zoster<\/strong>.<sup>1<\/sup><sup><\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tratamento e preven\u00e7\u00e3o do herpes zoster<\/strong><\/h2>\n\n\n\n<p>Mesmo pessoas saud\u00e1veis podem se prevenir contra o v\u00edrus causador do <strong>herpes zoster.<\/strong><sup>2<\/sup><\/p>\n\n\n\n<p>Por isso, se voc\u00ea tem mais de 50 anos ou tem 18 anos ou mais e possui o sistema imune debilitado, procure conversar com o seu m\u00e9dico sobre o tratamento e a preven\u00e7\u00e3o do herpes zoster.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left\"><strong>Refer\u00eancias<\/strong>:<\/h2>\n\n\n\n<p class=\"has-text-align-left\"><strong>1. <\/strong>CENTERS FOR DISEASE CONTROL AND PREVENTION. Prevention of herpes zoster: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR, 57(RR-5): 1-30, 2008.<\/p>\n\n\n\n<p><strong>2.<\/strong> MINIST\u00c9RIO DA SA\u00daDE. Herpes (cobreiro). Dispon\u00edvel em: Herpes (Cobreiro) \u2014 Minist\u00e9rio da Sa\u00fade (www.gov.br). Acesso em: 10 mar 2023.<\/p>\n\n\n\n<p><strong>3.<\/strong> KAWAI, K. Et al. Risk Factors for Herpes Zoster: A Systematic Review and Meta-analysis. Mayo Clin Proc, 92: 1806\u20131821, 2017.<\/p>\n\n\n\n<p><strong>4.<\/strong> REIS, Alexanda Dias; et al. Preval\u00eancia de anticorpos para o v\u00edrus da varicela-zoster em adultos jovens de diferentes regi\u00f5es clim\u00e1ticas brasileiras. Revista da Sociedade Brasileira de Medicina Tropical, 36: 317-320, 2003.<\/p>\n\n\n\n<p><strong>5.<\/strong> CLEMENS, S.A. et al. Soroepidemiology of Varicella in Brazil - results of a prospective cross-sectional study. J Pediatria, 75(6):433-41, 1999.<br><strong>6<\/strong>. KATZ, J.; MELZACK, R. Pain control in the peroperative period, measurement of pain. Surg Clin North Am, v. 79, n. 2, p. 231-52, 1999.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Material de responsabilidade exclusiva da Panvel com apoio GSK. Material dirigido ao p\u00fablico leigo. Por favor, consulte o seu m\u00e9dico.<\/strong> <\/p>\n\n\n\n<p>NP-BR-HZU-OGM-230005 \u2013 ABRIL\/2023<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Saiba mais sobre a Herpes Zoster doen\u00e7a pode provocar dor aguda e cr\u00f4nica, al\u00e9m de manifesta\u00e7\u00f5es e complica\u00e7\u00f5es s\u00e9rias e prolongadas.<\/p>\n","protected":false},"author":3,"featured_media":6366,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[179,1103,423,424,725,639,1063,20],"sponsor":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Al\u00e9m da dor: Herpes zoster pode gerar complica\u00e7\u00f5es a longo prazo<\/title>\n<meta name=\"description\" content=\"Saiba mais sobre a Herpes Zoster doen\u00e7a pode provocar dor aguda e cr\u00f4nica, al\u00e9m de manifesta\u00e7\u00f5es e 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