{"id":3619,"date":"2021-02-22T13:06:05","date_gmt":"2021-02-22T16:06:05","guid":{"rendered":"https:\/\/acrisure.com.br\/insights\/?p=3619"},"modified":"2026-03-17T10:20:40","modified_gmt":"2026-03-17T13:20:40","slug":"sifilis","status":"publish","type":"post","link":"https:\/\/acrisure.com.br\/insights\/sifilis\/","title":{"rendered":"S\u00edfilis: sintomas, est\u00e1gios, como tratar e prevenir"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”Post” _builder_version=”4.20.0″ custom_padding=”0px||0px||false|false” global_colors_info=”{}”][et_pb_row admin_label=”Post” _builder_version=”4.19.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”100%” custom_padding=”0px||0px||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Conte\u00fado” _builder_version=”4.27.3″ _module_preset=”default” text_letter_spacing=”1px” custom_margin=”||||false|false” global_colors_info=”{}”]<\/p>\n

S\u00edfilis \u00e9 uma doen\u00e7a de f\u00e1cil e r\u00e1pida transmiss\u00e3o, que pode levar \u00e0 morte se n\u00e3o tratada a tempo. Ela afeta diversos \u00f3rg\u00e3os do corpo humano, sendo especialmente perigosa se a pessoa infectada estiver gr\u00e1vida.<\/p>\n

Quais as formas de transmiss\u00e3o da s\u00edfilis?<\/h4>\n

As principais vias de transmiss\u00e3o da s\u00edfilis s\u00e3o: rela\u00e7\u00e3o sexual desprotegida (oral, vaginal, anal) e da m\u00e3e para o beb\u00ea, durante a gesta\u00e7\u00e3o. Outros meios de cont\u00e1gio, mais raros, s\u00e3o por transfus\u00e3o de sangue e contato direto com sangue contaminado.<\/p>\n

Sinais e sintomas da s\u00edfilis<\/h4>\n

A s\u00edfilis se manifesta em est\u00e1gios diferentes:<\/p>\n

S\u00edfilis prim\u00e1ria:<\/strong> ferida, geralmente \u00fanica, indolor e sem secre\u00e7\u00e3o, que aparece entre 10 e 90 dias ap\u00f3s o cont\u00e1gio e cicatriza espontaneamente em algumas semanas. Esta les\u00e3o nem sempre \u00e9 detectada, uma vez que pode estar localizada em locais pouco vis\u00edveis como vulva, vagina, \u00e2nus, l\u00edngua e garganta.<\/p>\n

S\u00edfilis secund\u00e1ria:<\/strong> acontece entre seis semanas e seis meses ap\u00f3s o aparecimento e cicatriza\u00e7\u00e3o da primeira ferida. Sua carater\u00edstica principal s\u00e3o manchas no corpo, inclusive nas palmas das m\u00e3os e plantas dos p\u00e9s. Pode ocorrer febre, dor de cabe\u00e7a, dores no corpo e aumento dos g\u00e2nglios.<\/p>\n

S\u00edfilis latente:<\/strong> \u00e9 um per\u00edodo assintom\u00e1tico entre os dois primeiros est\u00e1gios da infec\u00e7\u00e3o e sua terceira fase. Este intervalo pode durar anos ou d\u00e9cadas e s\u00f3 \u00e9 poss\u00edvel identifica-lo com exames laboratoriais.<\/p>\n

S\u00edfilis terci\u00e1ria:<\/strong> pode surgir de dois a 40 anos ap\u00f3s o in\u00edcio da infec\u00e7\u00e3o. Costuma apresentar sinais no sistema nervoso (perda visual, dem\u00eancia, d\u00e9ficit neurol\u00f3gico, incontin\u00eancia urinaria e impot\u00eancia), al\u00e9m de causar deformidade nos ossos, dor cr\u00f4nica e dilata\u00e7\u00e3o dos vasos sangu\u00edneos, podendo levar \u00e0 morte.<\/p>\n

Quais s\u00e3o os sintomas da s\u00edfilis cong\u00eanita?<\/h4>\n

S\u00edfilis cong\u00eanita \u00e9 a doen\u00e7a transmitida para a crian\u00e7a durante sua gesta\u00e7\u00e3o. Pode se manifestar logo ap\u00f3s o nascimento, durante ou depois dos primeiros dois anos de vida. Costuma gerar complica\u00e7\u00f5es como m\u00e1-forma\u00e7\u00e3o do feto, surdez, cegueira e defici\u00eancia mental.<\/p>\n

Ainda, no decorrer da gravidez, a s\u00edfilis pode causar morte do beb\u00ea ao nascer ou mesmo aborto espont\u00e2neo. Por isso, \u00e9 t\u00e3o importante fazer o teste para detecta-la no pr\u00e9-natal.<\/p>\n

Quando a gestante<\/a> \u00e9 tratada a tempo, com comprova\u00e7\u00e3o de resposta ao tratamento, \u00e9 considerado que o rec\u00e9m-nascido foi exposto a s\u00edfilis, mas n\u00e3o possui a doen\u00e7a cong\u00eanita.<\/p>\n

Como confirmar o diagn\u00f3stico?<\/h4>\n

O teste r\u00e1pido de s\u00edfilis \u00e9 pr\u00e1tico e de f\u00e1cil execu\u00e7\u00e3o, com leitura do resultado em, no m\u00e1ximo, 30 minutos.\u00a0No caso de resultado positivo, uma amostra de sangue \u00e9 coletada e encaminhada para realiza\u00e7\u00e3o de um teste laboratorial (n\u00e3o trepon\u00eamico) para confirma\u00e7\u00e3o do diagn\u00f3stico.<\/p>\n

Em gestantes, devido ao risco de transmiss\u00e3o ao feto, o tratamento deve ser iniciado com apenas um teste positivo, sem precisar aguardar o resultado do segundo exame.<\/p>\n

Devido ao aumento da quantidade de casos no pa\u00eds, a recomenda\u00e7\u00e3o de tratamento imediato antes do resultado do segundo exame<\/strong> se estendeu para outras circunst\u00e2ncias: v\u00edtimas de viol\u00eancia sexual; pessoas com sintomas de s\u00edfilis prim\u00e1ria ou secund\u00e1ria; pessoas sem diagn\u00f3stico pr\u00e9vio de s\u00edfilis e pessoas com grande chance de n\u00e3o retornar ao servi\u00e7o de sa\u00fade para verificar o resultado do segundo teste.<\/p>\n

Qual o tratamento para s\u00edfilis?<\/h4>\n

A penicilina benzatina \u00e9 o tratamento mais indicado para s\u00edfilis e, quando realizado adequadamente, garante a cura. A parceria sexual tamb\u00e9m dever\u00e1 ser testada e tratada para evitar a reinfec\u00e7\u00e3o.<\/strong><\/p>\n

A doxiciclina \u00e9 um medicamento alternativo, que poder\u00e1 ser utilizado em pacientes al\u00e9rgicos \u00e0 penicilina. Por\u00e9m, possui menores taxas de cura e n\u00e3o \u00e9 recomendado para gestantes.<\/p>\n

Como a s\u00edfilis pode ser evitada?<\/h4>\n

O uso correto e regular da camisinha feminina ou masculina \u00e9 uma medida importante de preven\u00e7\u00e3o da s\u00edfilis. O acompanhamento das gestantes e parceiros sexuais, durante o pr\u00e9-natal, contribui para o controle da s\u00edfilis cong\u00eanita.<\/p>\n

\n

Leia tamb\u00e9m:<\/strong><\/p>\n

Como incentivar a preven\u00e7\u00e3o das IST no trabalho?<\/a><\/p>\n

HPV: quem pode tomar a vacina?<\/a><\/p>\n<\/blockquote>\n

\n\t\t\t\t\t
Refer\u00eancias: Medscape<\/a>, OMS<\/a>, Minist\u00e9rio da Sa\u00fade<\/a><\/div><\/div>\n

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S\u00edfilis \u00e9 uma doen\u00e7a de f\u00e1cil e r\u00e1pida transmiss\u00e3o, que pode levar \u00e0 morte se n\u00e3o tratada a tempo.<\/p>\n","protected":false},"author":1,"featured_media":3621,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[77],"tags":[20],"class_list":["post-3619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prevencao-e-cuidados","tag-bem-estar"],"yoast_head":"\nS\u00edfilis: sintomas, est\u00e1gios, como tratar e prevenir - Insights \/ Acrisure<\/title>\n<meta name=\"description\" content=\"S\u00edfilis: conhe\u00e7a formas de transmiss\u00e3o, sintomas, diagn\u00f3stico e tratamento. 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