15/03/2021 20h29
Pacientes com comorbidades j? devem providenciar documentos para vacina??o
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Em virtude da vacinação contra a Covid-19, a Secretaria Municipal de Saúde de João Monlevade recomenda que as pessoas acometidas por comorbidades já providenciem os relatórios médicos que comprovem a doença, para serem vacinados logo que começar esta etapa da imunização. A intenção é evitar filas nos consultórios médicos.<br style="text-shadow: none !important; box-shadow: none !important;" />
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O Plano Nacional de Operacionalização da Vacinação Contra a Covid-19 prevê a vacinação dos pacientes com comorbidades logo após a vacinação dos idosos com mais de 60 anos. Porém, o Governo Federal e o Governo Estadual ainda não definiram a data e o cronograma para a vacinação desses pacientes.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Pacientes com comorbidades com mais de 60 anos, serão vacinados dentro da sua faixa etária, conforme a ordem definida pelo Plano de Operacionalização da Vacinação Contra a Covid-19. A ordem de vacinação descrita no plano nacional prevê a vacinação de idosos na seguinte ordem: idosos de 80 a 89; idosos de 75 a 79 anos; idosos de 70 a 74 anos; idosos de 65 a 69 anos; idosos de 60 a 64 anos.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">A Prefeitura de João Monlevade está vacinando os idosos com 80 a 89 anos e em breve deve iniciar a vacinação dos idosos com idade de 75 a 79 anos.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Confira a lista das comorbidades</b></font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Diabetes melitus</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Qualquer indivíduo com diabetes</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Pneumopatias crônicas graves</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Indivíduos com pneumopatias graves incluindo doença pulmonar obstrutiva crônica, fibrose cística, fibroses pulmonares, pneumoconioses, displasia broncopulmonar e asma grave (uso recorrente de corticoides sistêmicos, internação prévia por crise asmática).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Hipertensão Arterial Resistente (HAR)</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Quando a pressão arterial (PA) permanece acima das metas recomendadas com o uso de três ou mais anti-hipertensivos de diferentes classes, em doses máximas preconizadas e toleradas, administradas com frequência, dosagem apropriada e comprovada adesão ou PA controlada em uso de quatro ou mais fármacos anti-hipertensivos.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Hipertensão arterial estágio 3 </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- PA sistólica ≥180mmHg e/ou diastólica ≥110mmHg independente da presença de lesão em órgão-alvo (LOA) ou comorbidade.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Hipertensão arterial estágios 1 e 2 com LOA e/ou comorbidade</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - PA sistólica entre 140 e 179mmHg e/ou diastólica entre 90 e 109mmHg na presença de lesão em órgão- alvo (LOA) e/ou comorbidade.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Insuficiência cardíaca (IC) - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">IC com fração de ejeção reduzida, intermediária ou preservada; em estágios B, C ou D, independente de classe funcional da New York Heart Association.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Cor-pulmonale e Hipertensão pulmonar</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Cor-pulmonale crônico, hipertensão pulmonar primária ou secundária</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Cardiopatia hipertensiva - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Cardiopatia hipertensiva (hipertrofia ventricular esquerda ou dilatação, sobrecarga atrial e ventricular, disfunção diastólica e/ou sistólica, lesões em outros órgãos-alvo).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Síndromes coronarianas</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Síndromes coronarianas crônicas (Angina Pectoris estável, cardiopatia isquêmica, pós Infarto Agudo do Miocárdio, outras).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Valvopatias</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Lesões valvares com repercussão hemodinâmica ou sintomática ou com comprometimento miocárdico (estenose ou insuficiência aórtica; estenose ou insuficiência mitral; estenose ou insuficiência pulmonar; estenose ou insuficiência tricúspide, e outras).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Miocardiopatias e Pericardiopatias - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Miocardiopatias de quaisquer etiologias ou fenótipos; pericardite crônica; cardiopatia reumática</font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">.</b></font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Doenças da Aorta, dos Grandes Vasos e Fístulas arteriovenosas - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Aneurismas, dissecções, hematomas da aorta e demais grandes vasos.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Arritmias cardíacas - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Arritmias cardíacas com importância clínica e/ou cardiopatia associada (fibrilação e flutter atriais; e outras).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Cardiopatias congênitas no adulto</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Cardiopatias congênitas com repercussão hemodinâmica, crises hipoxêmicas; insuficiência cardíaca; arritmias; comprometimento miocárdico.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Próteses valvares e Dispositivos cardíacos implantados</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Portadores de próteses valvares biológicas ou mecânicas; e dispositivos cardíacos implantados (marca </font></font><font face="Cambria Math, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">â€</font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> passos, cardiodesfibriladores, ressincronizadores, assistência circulatória de média e longapermanência).</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Doença cerebrovascular</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Acidente vascular cerebral isquêmico ou hemorrágico; ataque isquêmico transitório; demência vascular.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Doença renal crônica</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Doença renal crônica estágio 3 ou mais (taxa de filtração glomerular < 60 ml/min/1,73 m2) e síndrome nefrótica.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Imunossuprimidos</b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"> - Indivíduos transplantados de órgão sólido ou de medula óssea; pessoas vivendo com HIV e CD4 <350 células/mm3; doenças reumáticas imunomediadas sistêmicas em atividade e em uso de dose de prednisona ou equivalente > 10 mg/dia ou recebendo pulsoterapia com corticóide e/ou ciclofosfamida; demais indivíduos em uso de imunossupressores ou com imunodeficiências primárias; pacientes oncológicos que realizaram tratamento quimioterápico ou radioterápico nos últimos 6 meses; neoplasias hematológicas.</font></font></p>
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<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Anemia falciforme - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Anemia falciforme</font></font></p>
<p align="justify" class="gmail-western" style="background: none 0% 0% repeat scroll transparent; margin-top: 0.49cm; margin-bottom: 0.49cm; line-height: 22px; font-family: Calibri, serif; font-size: 11pt; direction: ltr; color: rgb(0, 0, 0); text-shadow: none !important; box-shadow: none !important;">
<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">- Obesidade mórbida - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Índice de massa corpórea (IMC) ≥ 40</font></font></p>
<p class="gmail-western" style="background: none 0% 0% repeat scroll transparent; margin-top: 0.49cm; margin-bottom: 0.49cm; line-height: 22px; font-family: Calibri, serif; font-size: 11pt; direction: ltr; color: rgb(0, 0, 0); text-shadow: none !important; box-shadow: none !important;">
<font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">- </font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;"><b style="text-shadow: none !important; box-shadow: none !important;">Síndrome de down - </b></font></font><font face="Times New Roman, serif" style="text-shadow: none !important; box-shadow: none !important;"><font style="text-shadow: none !important; box-shadow: none !important; font-size: 12pt;">Trissomia do cromossomo 21</font></font></p>