{"id":182,"date":"2019-04-11T10:36:18","date_gmt":"2019-04-11T13:36:18","guid":{"rendered":"http:\/\/www.laboratoriosaosebastiao.com.br\/site\/?page_id=182"},"modified":"2021-10-28T21:53:32","modified_gmt":"2021-10-29T00:53:32","slug":"exames-reacoes","status":"publish","type":"page","link":"https:\/\/laboratoriosaosebastiao.com.br\/site\/exames-reacoes\/","title":{"rendered":"Exames &#8211; Rea\u00e7\u00f5es"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"182\" class=\"elementor elementor-182\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8868b99 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8868b99\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2426e64\" data-id=\"2426e64\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ccbb1e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0ccbb1e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bad11ba\" data-id=\"bad11ba\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab980c3 elementor-widget elementor-widget-heading\" data-id=\"ab980c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Rea\u00e7\u00f5es<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1b027c9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1b027c9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dce3bf0\" data-id=\"dce3bf0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0451af8 elementor-widget elementor-widget-toggle\" data-id=\"0451af8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4521\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-4521\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"elementor-toggle-icon-closed fa fa-caret-right\"><\/i>\n\t\t\t\t\t\t\t\t<i class=\"elementor-toggle-icon-opened fa fa-caret-up\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">PPD - Tuberculina purificada - Mantoux<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-4521\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-4521\"><p>\u00c9 um teste intrad\u00e9rmico utilizado para a avalia\u00e7\u00e3o da exposi\u00e7\u00e3o<br \/>ao Mycobacterium tuberculosis e da imunidade celular. Tamb\u00e9m pode<br \/>ser utilizado para avaliar a resposta \u00e0 vacina contra a tuberculose<br \/>(BCG), embora n\u00e3o seja indicada de forma indiscriminada para esse<br \/>fim. O PPD \u00e9 uma prote\u00edna purificada derivada. O uso da tuberculina<br \/>bruta (OT) e provas seriadas com dilui\u00e7\u00f5es n\u00e3o mais s\u00e3o indicadas.<br \/>A interpreta\u00e7\u00e3o do PPD baseia-se no di\u00e2metro do n\u00f3dulo ap\u00f3s 72h e<br \/>deve ser criteriosa. Um resultado positivo nunca deve ser considerado<br \/>diagn\u00f3stico de doen\u00e7a. Por outro lado, a rea\u00e7\u00e3o negativa n\u00e3o<br \/>afasta totalmente a possibilidade de infec\u00e7\u00e3o pelo M. tuberculosis.<br \/>Aproximadamente 10% das crian\u00e7as imunocompetentes com doen\u00e7a<br \/>documentada por cultura n\u00e3o reagem inicialmente ao PPD. Nas pessoas<br \/>vacinadas com BCG, temos dificuldades na sua interpreta\u00e7\u00e3o,<br \/>uma vez que a vacina pode positiv\u00e1-lo. A rea\u00e7\u00e3o cruzada com outras<br \/>micobact\u00e9rias pode determinar resultado falso-positivo. A repeti\u00e7\u00e3o<br \/>de testes em curto espa\u00e7o de tempo pode amplificar (efeito booster)<br \/>as rea\u00e7\u00f5es subseq\u00fcentes, transformando em reatores fortes os indiv\u00edduos<br \/>inicialmente pouco reatog\u00eanicos. Considera-se, assim, viragem<br \/>tubercul\u00ednica eleva\u00e7\u00f5es acima de 8 a 10 mm entre dois testes. Resultados<br \/>falso-negativos podem ocorrer em infec\u00e7\u00f5es iniciais (positiva-se<br \/>ap\u00f3s 10\u00aa semana de infec\u00e7\u00e3o), imunodepress\u00e3o (desnutri\u00e7\u00e3o, doen\u00e7a<br \/>grave, uso de cortic\u00f3ides e imunodepressores, vacinas de v\u00edrus vivos,<br \/>sar-coidose, blastomicose, SIDA, neoplasias, rub\u00e9ola, sarampo, escarlatina),<br \/>gravidez, senilidade, xerostomia e desidrata\u00e7\u00e3o. Nas formas<br \/>graves de tuberculose e na tuberculose pleural o PPD pode estar suprimido<br \/>e retornar ao normal ap\u00f3s in\u00edcio do tratamento. Alguns pacientes<br \/>podem apresentar queda e desaparecimento da rea\u00e7\u00e3o com o<br \/>decorrer do tempo.<br \/><br \/><br \/><br \/>Coment\u00e1rios<br \/><br \/><br \/><br \/>Faz-se a medida do maior diametro transversal do n\u00f3dulo palp\u00e1vel.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Rea\u00e7\u00f5es PPD &#8211; Tuberculina purificada &#8211; Mantoux \u00c9 um teste intrad\u00e9rmico utilizado para a avalia\u00e7\u00e3o da exposi\u00e7\u00e3oao Mycobacterium tuberculosis e da imunidade celular. Tamb\u00e9m podeser utilizado para avaliar a resposta \u00e0 vacina contra a tuberculose(BCG), embora n\u00e3o seja indicada de forma indiscriminada para essefim. O PPD \u00e9 uma prote\u00edna purificada derivada. O uso da tuberculinabruta [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":196,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_uag_custom_page_level_css":"","_joinchat":[],"footnotes":""},"class_list":["post-182","page","type-page","status-publish","has-post-thumbnail","hentry"],"featured_image_urls_v2":{"full":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"thumbnail":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-150x150.jpg",150,150,true],"medium":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-300x225.jpg",300,225,true],"medium_large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"1536x1536":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"2048x2048":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"econature-lite-homepage-thumb":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-1x1.jpg",1,1,true]},"post_excerpt_stackable_v2":"<p>Rea\u00e7\u00f5es PPD &#8211; Tuberculina purificada &#8211; Mantoux \u00c9 um teste intrad\u00e9rmico utilizado para a avalia\u00e7\u00e3o da exposi\u00e7\u00e3oao Mycobacterium tuberculosis e da imunidade celular. Tamb\u00e9m podeser utilizado para avaliar a resposta \u00e0 vacina contra a tuberculose(BCG), embora n\u00e3o seja indicada de forma indiscriminada para essefim. O PPD \u00e9 uma prote\u00edna purificada derivada. O uso da tuberculinabruta (OT) e provas seriadas com dilui\u00e7\u00f5es n\u00e3o mais s\u00e3o indicadas.A interpreta\u00e7\u00e3o do PPD baseia-se no di\u00e2metro do n\u00f3dulo ap\u00f3s 72h edeve ser criteriosa. Um resultado positivo nunca deve ser consideradodiagn\u00f3stico de doen\u00e7a. Por outro lado, a rea\u00e7\u00e3o negativa n\u00e3oafasta totalmente a possibilidade de infec\u00e7\u00e3o pelo&hellip;<\/p>\n","category_list_v2":"","author_info_v2":{"name":"josimar@cliquemenos.com.br","url":"https:\/\/laboratoriosaosebastiao.com.br\/site\/author\/josimarcliquemenos-com-br\/"},"comments_num_v2":"0 coment\u00e1rio","pbg_featured_image_src":{"full":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"thumbnail":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-150x150.jpg",150,150,true],"medium":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-300x225.jpg",300,225,true],"medium_large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"1536x1536":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"2048x2048":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"econature-lite-homepage-thumb":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-1x1.jpg",1,1,true]},"pbg_author_info":{"display_name":"josimar@cliquemenos.com.br","author_link":"https:\/\/laboratoriosaosebastiao.com.br\/site\/author\/josimarcliquemenos-com-br\/","author_img":"<img alt='josimar@cliquemenos.com.br' src='https:\/\/secure.gravatar.com\/avatar\/416d591d5530b02a30a39ead8c0ff0921a7fc8bf400f595cc7635de2611c7c71?s=128&#038;d=mm&#038;r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/416d591d5530b02a30a39ead8c0ff0921a7fc8bf400f595cc7635de2611c7c71?s=256&#038;d=mm&#038;r=g 2x' class='avatar avatar-128 photo' height='128' width='128' decoding='async'\/>"},"pbg_comment_info":" No Comments","pbg_excerpt":"Rea\u00e7\u00f5es PPD &#8211; Tuberculina purificada &#8211; Mantoux \u00c9 um teste intrad\u00e9rmico utilizado para a avalia\u00e7\u00e3o da exposi\u00e7\u00e3oao Mycobacterium tuberculosis e da imunidade celular. Tamb\u00e9m podeser utilizado para avaliar a resposta \u00e0 vacina contra a tuberculose(BCG), embora n\u00e3o seja indicada de forma indiscriminada para essefim. O PPD \u00e9 uma prote\u00edna purificada derivada. O uso da tuberculinabruta&hellip;","uagb_featured_image_src":{"full":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"thumbnail":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-150x150.jpg",150,150,true],"medium":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-300x225.jpg",300,225,true],"medium_large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"large":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"1536x1536":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"2048x2048":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es.jpg",400,300,false],"econature-lite-homepage-thumb":["https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-content\/uploads\/2019\/04\/exames-rea\u00e7\u00f5es-1x1.jpg",1,1,true]},"uagb_author_info":{"display_name":"josimar@cliquemenos.com.br","author_link":"https:\/\/laboratoriosaosebastiao.com.br\/site\/author\/josimarcliquemenos-com-br\/"},"uagb_comment_info":0,"uagb_excerpt":"Rea\u00e7\u00f5es PPD &#8211; Tuberculina purificada &#8211; Mantoux \u00c9 um teste intrad\u00e9rmico utilizado para a avalia\u00e7\u00e3o da exposi\u00e7\u00e3oao Mycobacterium tuberculosis e da imunidade celular. Tamb\u00e9m podeser utilizado para avaliar a resposta \u00e0 vacina contra a tuberculose(BCG), embora n\u00e3o seja indicada de forma indiscriminada para essefim. O PPD \u00e9 uma prote\u00edna purificada derivada. O uso da tuberculinabruta&hellip;","_links":{"self":[{"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/pages\/182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/comments?post=182"}],"version-history":[{"count":2,"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/pages\/182\/revisions"}],"predecessor-version":[{"id":186,"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/pages\/182\/revisions\/186"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/media\/196"}],"wp:attachment":[{"href":"https:\/\/laboratoriosaosebastiao.com.br\/site\/wp-json\/wp\/v2\/media?parent=182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}