Condutas em gestantes hiv e sífilis positivas 2

CONDUTAS EM GESTANTES HIV E SÍFILIS POSITIVAS RENATO LUIZ SBALQUEIRO DEP. DE TOCOGINECOLOGIA UFPR 2011

AGENTE ETIOLÓGICO ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

HIV - características ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

FORMAS DE TRANSMISSÃO ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Sexual ,[object Object],[object Object],[object Object],R.L.S-UFPR

SANGUÍNEA ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

PERINATAL ,[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

OCUPACIONAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

OUTRAS FORMAS DE TRANSMISSÃO ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

FASES DA INFECÇÃO PELO HIV ,[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

EXAMES LABORATORIAIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],[object Object],[object Object],R.L.S-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR HIV – Conduta prática no pré-natal

[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR Conduta prática no pré-natal

Patogênese da Transmissão Vertical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

Lembrar que : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],R.L.S-UFPR

Conduta prática no pré-natal ,[object Object],RLS-UFPR

Conduta prática no pré-natal ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Na internação ,[object Object],[object Object],R.L.S-UFPR

No internamento ,[object Object],R.L.S-UFPR

Conduta prática no parto ,[object Object],[object Object],R.L.S-UFPR

Conduta prática no parto ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no puerpério ,[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

Conduta prática no puerpério ,[object Object],[object Object],[object Object],RLS-UFPR

Conduta prática no puerpério ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R.L.S-UFPR

SÍFILIS CONGÊNITA ,[object Object],[object Object],RLS-UFPR

Sífilis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],TRANSMISSÃO RLS-UFPR

Fatores importantes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],INFECÇÃO PRIMÁRIA RLS-UFPR

QUADRO EVOLUTIVO RLS-UFPR Infecção Primária (incubação em torno de 21 dias) Latência (Anos) Latência ( 2 meses a 1 ano) Resolução espontânea sem cicatriz (3-8 semanas) Secundarismo (pleomorfismo) Terciarismo ( Lesões gomosas Neurolues, Cardite, etc.)

NO TRATAMENTO ,[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],Sífilis primária RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],RLS-UFPR

Diagnóstico Laboratorial: Pesquisa direta em campo escuro Imunofluorescência direta Provas não treponêmicas (VDRL;RPR) Provas treponêmicas (FTA-Abs; MHA-Tp; TPI) RLS-UFPR

Sífilis ,[object Object],CDC RLS-UFPR Estágio Primária Secundá-ria Latente Tardia VDRL 59-87 100 73-91 37-94 FTA-Abs 86-100 99-100 96-99 96-100

[object Object],[object Object],RLS-UFPR

Importante ,[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

[object Object],[object Object],[object Object],[object Object],RLS-UFPR

Sífilis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RLS-UFPR

Condutas em gestantes hiv e sífilis positivas 2

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