{"id":12797,"date":"2019-01-16T11:49:40","date_gmt":"2019-01-16T11:49:40","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=12797"},"modified":"2025-04-22T15:25:09","modified_gmt":"2025-04-22T15:25:09","slug":"a-ferropenia-e-quase-sempre-detetada-tarde-demais-medica-alerta-para-a-importancia-do-diagnostico","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/a-ferropenia-e-quase-sempre-detetada-tarde-demais-medica-alerta-para-a-importancia-do-diagnostico\/","title":{"rendered":"A ferrop\u00e9nia \u00e9 quase sempre detetada tarde demais. M\u00e9dica alerta para a import\u00e2ncia do diagn\u00f3stico"},"content":{"rendered":"<style type=\"text\/css\"><\/style>[cmsmasters_row data_width=&#8221;boxed&#8221; data_padding_left=&#8221;3&#8243; data_padding_right=&#8221;3&#8243; data_top_style=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_color=&#8221;default&#8221; data_bg_position=&#8221;top center&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_size=&#8221;cover&#8221; data_bg_parallax_ratio=&#8221;0.5&#8243; data_padding_top=&#8221;0&#8243; data_padding_bottom=&#8221;50&#8243;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;]<\/p>\n<p><strong>A ferrop\u00e9nia consiste no d\u00e9fice de ferro no sangue e \u00e9 um problema de sa\u00fade p\u00fablica constituindo a principal causa de anemia a n\u00edvel mundial e a defici\u00eancia nutricional mais prevalente. A m\u00e9dica Helena Br\u00edzido, especialista em Patologia Cl\u00ednica, ajuda-nos a perceber esta doen\u00e7a.<\/strong><\/p>\n<p>O d\u00e9fice de ferro manifesta-se atrav\u00e9s de sinais e sintomas inespec\u00edficos e na maioria dos casos cl\u00ednicos s\u00f3 \u00e9 diagnosticado quando se estuda a sua manifesta\u00e7\u00e3o final: a anemia. Nos grupos de risco, como as gestantes, os doentes renais cr\u00f3nicos ou com doen\u00e7as inflamat\u00f3rias intestinais ou com insufici\u00eancia card\u00edaca, est\u00e1 associada a pior progn\u00f3stico, com aumento das necessidades de internamento e redu\u00e7\u00e3o da qualidade e da esperan\u00e7a de vida.<\/p>\n<h4><strong>Qual a diferen\u00e7a entre ferrop\u00e9nia, anemia e d\u00e9fice de ferro?<\/strong><\/h4>\n<p>A ferrop\u00e9nia designa a condi\u00e7\u00e3o de d\u00e9fice de ferro ou ferro baixo (valores de ferritina abaixo de 30ng\/mL) sendo por isso sin\u00f3nimo de d\u00e9fice de ferro. A anemia designa a condi\u00e7\u00e3o de diminui\u00e7\u00e3o da hemoglobina (Hb&lt;12 g\/dL na mulher e Hb&lt;13 g\/dL no homem), sendo que pode ter diversas causas para al\u00e9m do d\u00e9fice de ferro (ou ferrop\u00e9nia), como por exemplo, d\u00e9fice de \u00e1cido f\u00f3lico e de vitamina B12, perdas de sangue, presen\u00e7a de anticorpos anti-gl\u00f3bulo vermelho, altera\u00e7\u00f5es gen\u00e9ticas da hemoglobina (anemia de c\u00e9lulas falciformes\/drepanocitose, p.e.), etc.<\/p>\n<p>A anemia ferrop\u00e9nica \u00e9 a anemia cuja causa \u00e9 o d\u00e9fice de ferro e \u00e9 a consequ\u00eancia final deste d\u00e9fice quando n\u00e3o diagnosticado e\/ou tratado.<\/p>\n<blockquote><p>PARA EVITAR OU COMBATER O D\u00c9FICE DE FERRO DEVEMOS INGERIR ALIMENTOS RICOS NESTE NUTRIENTE COMO POR EXEMPLO V\u00cdSCERAS<\/p><\/blockquote>\n<h4><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-12805 alignleft\" src=\"https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-300x169.jpeg\" alt=\"\" width=\"441\" height=\"248\" srcset=\"https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-300x169.jpeg 300w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-440x248.jpeg 440w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-768x432.jpeg 768w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-1024x576.jpeg 1024w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-580x326.jpeg 580w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-860x484.jpeg 860w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-1160x653.jpeg 1160w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido-1440x810.jpeg 1440w, https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Dra.-Helena-Brizido.jpeg 1500w\" sizes=\"(max-width: 441px) 100vw, 441px\" \/><\/h4>\n<h4><strong>Por que \u00e9 que a ferrop\u00e9nia \u00e9 um problema de sa\u00fade p\u00fablica?<\/strong><\/h4>\n<p>A ferrop\u00e9nia \u00e9 a principal causa de anemia a n\u00edvel mundial e \u00e9 a defici\u00eancia nutricional mais prevalente. \u00c9 um problema de sa\u00fade p\u00fablica, transversal a g\u00e9nero e idade, e est\u00e1 identificado como tal pela Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) desde 1977. Desde ent\u00e3o t\u00eam sido criados v\u00e1rios grupos de estudo sobre este tema e em 2016 a publica\u00e7\u00e3o do estudo Empire concretizou a dimens\u00e3o deste problema em Portugal.<strong>\u00a0<\/strong><\/p>\n<h4><strong>Por que motivo existem\u00a0muitas pessoas com d\u00e9fice de ferro no sangue?<\/strong><\/h4>\n<p>Em Portugal, e \u00e0 semelhan\u00e7a de outros pa\u00edses desenvolvidos, a ferrop\u00e9nia pode ter v\u00e1rias causas, nomeadamente, insufici\u00eancia de aporte na dieta (dieta vegetariana, alcoolismo), diminui\u00e7\u00e3o da absor\u00e7\u00e3o (medica\u00e7\u00e3o), aumento das necessidades (crescimento, menstrua\u00e7\u00e3o, gravidez, lacta\u00e7\u00e3o) ou aumento das perdas (perdas ginecol\u00f3gicas, hemorragias gastrointestinais) e d\u00e9fice de absor\u00e7\u00e3o de ferro (por exemplo, na doen\u00e7a cel\u00edaca e nas doen\u00e7as inflamat\u00f3rias intestinais).<\/p>\n<h4><strong>Quais s\u00e3o as consequ\u00eancias a longo prazo da anemia?<\/strong><\/h4>\n<p>A anemia \u00e9 caracterizada pela diminui\u00e7\u00e3o do n\u00famero de gl\u00f3bulos vermelhos no sangue e s\u00e3o estes os respons\u00e1veis pelo aporte de oxig\u00e9nio\u00a0a todos os \u00f3rg\u00e3os do corpo humano. Assim sendo, uma anemia n\u00e3o diagnosticada e n\u00e3o tratada implica uma oxigena\u00e7\u00e3o deficiente de todos os tecidos e \u00f3rg\u00e3os do nosso corpo o que se traduz a curto e m\u00e9dio prazo em sinais e sintomas inespec\u00edficos (cansa\u00e7o, diminui\u00e7\u00e3o das capacidades cognitivas e f\u00edsicas, queda de cabelo, unhas fr\u00e1geis e quebradi\u00e7as), podendo mesmo levar a longo prazo ao agravamento de patologias pr\u00e9-existentes e \u00e0 morte.<\/p>\n<h4><strong>Quais s\u00e3o os grupos de risco?<\/strong><\/h4>\n<p>Os principais grupos de risco para o d\u00e9fice de ferro s\u00e3o: mulheres em idade f\u00e9rtil, gr\u00e1vidas, doentes renais cr\u00f3nicos, doentes com doen\u00e7as inflamat\u00f3rias intestinais e doentes com insufici\u00eancia card\u00edaca. Nestes principais grupos de risco a ferrop\u00e9nia est\u00e1 associada a pior progn\u00f3stico, com aumento das necessidades de internamento e redu\u00e7\u00e3o da qualidade e esperan\u00e7a de vida.<\/p>\n<h4><strong>Com que regularidade se deve rastrear a defici\u00eancia de ferro?<\/strong><\/h4>\n<p>N\u00e3o existe propriamente uma frequ\u00eancia para este rastreio. O rastreio da ferrop\u00e9nia est\u00e1 recomendado nos chamados grupos de risco e sempre que haja suspeita cl\u00ednica (sinais e sintomas) e\/ou laboratorial (anemia).<\/p>\n<h4><strong>Que alimentos se devem privilegiar para combater esta patologia?<\/strong><\/h4>\n<p>Para evitar ou combater o d\u00e9fice de ferro devemos ingerir alimentos ricos neste nutriente como por exemplo v\u00edsceras, carnes vermelhas, peixe, ovos (gema), leguminosas (feij\u00e3o, gr\u00e3o, ervilhas), cereais, frutos secos, beterraba e legumes de folha verde (agri\u00e3o, espinafre, couve, br\u00f3colos).<\/p>\n<p>[\/cmsmasters_text][\/cmsmasters_column][\/cmsmasters_row]\n","protected":false},"excerpt":{"rendered":"<p>[cmsmasters_row data_width=&#8221;boxed&#8221; data_padding_left=&#8221;3&#8243; data_padding_right=&#8221;3&#8243; data_top_style=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_color=&#8221;default&#8221; data_bg_position=&#8221;top center&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_size=&#8221;cover&#8221; data_bg_parallax_ratio=&#8221;0.5&#8243; data_padding_top=&#8221;0&#8243; data_padding_bottom=&#8221;50&#8243;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] A ferrop\u00e9nia consiste no d\u00e9fice de ferro no sangue e \u00e9 um problema de sa\u00fade p\u00fablica constituindo a principal causa de anemia a n\u00edvel mundial e a defici\u00eancia nutricional mais prevalente. A m\u00e9dica Helena Br\u00edzido, especialista em Patologia&#8230;<\/p>\n","protected":false},"author":1,"featured_media":12804,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[333,62,71],"tags":[85,65,82,81,86],"class_list":["post-12797","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-arquivo","category-imprensa","category-online","tag-acido-folico","tag-empire","tag-falta-de-ferro","tag-ferropenia","tag-vitamina-b12"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A ferrop\u00e9nia \u00e9 quase sempre detetada tarde demais. M\u00e9dica alerta para a import\u00e2ncia do diagn\u00f3stico - AWGP - Testes<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A ferrop\u00e9nia \u00e9 quase sempre detetada tarde demais. M\u00e9dica alerta para a import\u00e2ncia do diagn\u00f3stico - AWGP - Testes\" \/>\n<meta property=\"og:description\" content=\"[cmsmasters_row data_width=&#8221;boxed&#8221; data_padding_left=&#8221;3&#8243; data_padding_right=&#8221;3&#8243; data_top_style=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_color=&#8221;default&#8221; data_bg_position=&#8221;top center&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_size=&#8221;cover&#8221; data_bg_parallax_ratio=&#8221;0.5&#8243; data_padding_top=&#8221;0&#8243; data_padding_bottom=&#8221;50&#8243;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] A ferrop\u00e9nia consiste no d\u00e9fice de ferro no sangue e \u00e9 um problema de sa\u00fade p\u00fablica constituindo a principal causa de anemia a n\u00edvel mundial e a defici\u00eancia nutricional mais prevalente. A m\u00e9dica Helena Br\u00edzido, especialista em Patologia...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging.awgp.pt\/testes\/a-ferropenia-e-quase-sempre-detetada-tarde-demais-medica-alerta-para-a-importancia-do-diagnostico\/\" \/>\n<meta property=\"og:site_name\" content=\"AWGP - Testes\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/anemiawgp\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-01-16T11:49:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-22T15:25:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/07\/Eritro\u0301citos_03.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1550\" \/>\n\t<meta property=\"og:image:height\" content=\"930\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/staging.awgp.pt\\\/testes\\\/a-ferropenia-e-quase-sempre-detetada-tarde-demais-medica-alerta-para-a-importancia-do-diagnostico\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/staging.awgp.pt\\\/testes\\\/a-ferropenia-e-quase-sempre-detetada-tarde-demais-medica-alerta-para-a-importancia-do-diagnostico\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/staging.awgp.pt\\\/testes\\\/#\\\/schema\\\/person\\\/692d74175ec69da279706f08b0c063ee\"},\"headline\":\"A ferrop\u00e9nia \u00e9 quase sempre detetada tarde demais. 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M\u00e9dica alerta para a import\u00e2ncia do diagn\u00f3stico - AWGP - Testes","og_description":"[cmsmasters_row data_width=&#8221;boxed&#8221; data_padding_left=&#8221;3&#8243; data_padding_right=&#8221;3&#8243; data_top_style=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_color=&#8221;default&#8221; data_bg_position=&#8221;top center&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_size=&#8221;cover&#8221; data_bg_parallax_ratio=&#8221;0.5&#8243; data_padding_top=&#8221;0&#8243; data_padding_bottom=&#8221;50&#8243;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] A ferrop\u00e9nia consiste no d\u00e9fice de ferro no sangue e \u00e9 um problema de sa\u00fade p\u00fablica constituindo a principal causa de anemia a n\u00edvel mundial e a defici\u00eancia nutricional mais prevalente. 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