{"id":19,"date":"2022-11-03T18:34:19","date_gmt":"2022-11-03T18:34:19","guid":{"rendered":"https:\/\/achdsehcp-dev-001.azurewebsites.net\/en-us\/achondroplasia\/?page_id=19"},"modified":"2024-04-24T14:16:30","modified_gmt":"2024-04-24T14:16:30","slug":"complicacoes","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/complicacoes\/","title":{"rendered":"Complica\u00e7\u00f5es"},"content":{"rendered":"<div id=\"overall-impact\" class=\"hero hero-no-overlay\">\n            <div class=\"hero-background-image hero-background-image-desktop\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/11\/impact_hero@2x-2000x800.jpg);\"><\/div>\n\t    <div class=\"hero-background-image hero-background-image-mobile\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/11\/impact_hero@2x-2000x800.jpg);\"><\/div>\n    \t<div class=\"overlay\"><\/div>\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"hero-content\">\n\t\t\t    \t\t\t\t\t\t\t\t\t\t\t\t    <h1>Complica\u00e7\u00f5es da acondroplasia\n<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t\t    <p>O crescimento \u00f3sseo endocondral comprometido pode resultar em complica\u00e7\u00f5es multissist\u00eamicas graves e progressivas<sup>1<\/sup><\/p>\n\t\t\t\t\t\t\t\t\n                <p class=\"inline-buttons\">\n                                                        <\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n<div id=\"Impacto-global\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994d2a\" class=\"block-wysiwyg\">\n            <h2>Conhe\u00e7a os sistemas afetados<\/h2>\n<p>A baixa estatura \u00e9 uma caracter\u00edstica mensur\u00e1vel da acondroplasia em que podem ocorrer complica\u00e7\u00f5es como resultado do comprometimento do crescimento \u00f3sseo. Isto inclui implica\u00e7\u00f5es mais amplas para a sa\u00fade, como atraso no desenvolvimento motor, otite m\u00e9dia cr\u00f4nica e dist\u00farbios respirat\u00f3rios do sono na inf\u00e2ncia, e estenose espinhal, dor cr\u00f4nica e problemas de mobilidade em adultos, apenas para citar alguns.<\/p>\n    <\/div>\n\n<figure id=\"acf-block-64255db994d42\">\n    <div class=\"image image-align-left\">\n                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2024\/04\/SISTEMAS_AFETADOS-1900x1126.png\" alt=\"\" \/>            <\/div>\n    <\/figure>\n\n<div id=\"acf-block-64255db994d57\" class=\"block-wysiwyg\">\n            <p>Apesar de n\u00e3o haver impacto na fun\u00e7\u00e3o cognitiva, as crian\u00e7as com acondroplasia usualmente apresentam complica\u00e7\u00f5es musculoesquel\u00e9ticas, otorrinolaringol\u00f3gicas, neurol\u00f3gicas e vertebrais, algumas das quais poder\u00e3o exigir cirurgia para serem corrigidas.<sup>1-3<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994d79\" class=\"block call-to-action\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\" style=\"\">\n\t\t\t\t<div class=\"overlay\"><\/div>\n\t\t\t\t<div class=\"cta-content\">\n\t\t\t\t    \t\t\t\t\t<div class=\"cta-content-main\">\n                        <div class=\"content-block\">\n\t\t\t\t\t        \t\t\t\t\t        \t\t\t\t\t\t        <h2 class=\"h3\">Certifique-se de que est\u00e1 preparado\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>O tratamento mais eficaz da acondroplasia significa tratar as complica\u00e7\u00f5es espec\u00edficas em cada fase do desenvolvimento.<\/p>\n\t\t\t\t\t\t    \t\t\t\t\t    <\/div>\n\t\t\t\t\t                                <div class=\"content-block\">\n                                <p><a class=\"button button-ghost button-arrow\" href=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/recursos\/\" target=\"_self\">Saiba mais<\/a><\/p>\n                            <\/div>\n\t\t\t\t\t                        <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"Cronologia-das-complica\u00e7\u00f5es\" class=\"block wrapped-content block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994da0\" class=\"block-wysiwyg\">\n            <h2>Podemos esperar complica\u00e7\u00f5es frequentes durante a vida de um paciente<br \/>\n<\/h2>\n<p>Tenha sempre estas complica\u00e7\u00f5es em mente para dar \u00e0s fam\u00edlias uma perspetiva hol\u00edstica daquilo a que devem estar atentas:<sup>2-9<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994db6\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994dca\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4> Apneia obstrutiva do sono\n<\/h4>\n        \n                                                                                                            <p>Afeta &gt; 50% das pessoas com acondroplasia<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994dde\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Geno varo (curvatura tibial)\n<\/h4>\n        \n                                                                                                            <p>Pode afetar a marcha e a corrida<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994df0\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Estenose espinhal sintom\u00e1tica\n<\/h4>\n        \n                                                                                                            <p>Pode levar \u00e0 fraqueza nas pernas, incontin\u00eancia e dor cr\u00f4nica<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e02\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994e15\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Dor cr\u00f4nica\n<\/h4>\n        \n                                                                                                            <p>Pode resultar em perda de mobilidade<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e27\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Hiperlordose lombar\n<\/h4>\n        \n                                                                                                            <p>Pode necessitar de fisioterapia<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e38\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Otite m\u00e9dia\n<\/h4>\n        \n                                                                                                            <p>Afeta cerca de 70% das crian\u00e7as<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e4a\" class=\"block cards cards-3-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-64255db994e5e\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Problemas Odontol\u00f3gicos\n<\/h4>\n        \n                                                                                                            <p>Apinhamento dos dentes e mand\u00edbula superior estreita podem levar \u00e0 mordida cruzada<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e70\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Rigidez dos cotovelos\n<\/h4>\n        \n                                                                                                            <p>Limita\u00e7\u00e3o da amplitude de movimento<\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994e82\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                            <h4>Obesidade\n<\/h4>\n        \n                                                                                                            <p>Pode levar \u00e0 press\u00e3o arterial alta ou doen\u00e7a card\u00edaca<\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"Beb\u00eas\" class=\"block wrapped-content block-tight-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994eb0\" class=\"block-wysiwyg\">\n            <h2>Complica\u00e7\u00f5es da acondroplasia ao longo da vida<\/h2>\n<p>Embora as complica\u00e7\u00f5es possam ser resolvidas com o tempo, o manejo antecipado pode ajudar a mitigar consequ\u00eancias s\u00e9rias e inesperadas para a sa\u00fade. Explore esta linha do tempo interativa para uma compreens\u00e3o mais profunda dos preparativos que podem ser feitos.<\/p>\n<h3>Lactentes<\/h3>\n<p>O crescimento \u00f3sseo comprometido afeta todo o corpo e seu efeito no tamanho e na forma do forame magno pode levar \u00e0 compress\u00e3o cervicomedular. Isso representa um risco de morte s\u00fabita para beb\u00eas, portanto, monitoramento regular, manejo e encaminhamento oportuno s\u00e3o essenciais.<sup>2,3,7,10-16<\/sup><\/p>\n<p><strong>\u00c9 importante estar atento \u00e0s complica\u00e7\u00f5es que podem progredir rapidamente de forma silenciosa.<\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994ee7\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/12\/infants_icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong> Apneia do sono<br \/>\n<\/strong>A apneia pode contribuir para atrasos no aprendizado e no desenvolvimento<\/li>\n<li><strong>Atrasos nos marcos de desenvolvimento<\/strong><br \/>\nAtrasos motores relacionados \u00e0 hipotonia e atrasos na fala devido \u00e0 otite m\u00e9dia aguda e cr\u00f4nica<\/li>\n<li><strong>Obstru\u00e7\u00e3o das vias a\u00e9reas superiores<\/strong><br \/>\nPodem aparecer em qualquer idade, mas \u00e9 mais frequente nas idades mais jovens.<\/li>\n<li><strong>Hipotonia<\/strong><br \/>\nPode atrasar as habilidades motoras<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nHipoplasia facial m\u00e9dia, trompas de Eust\u00e1quio estreitadas e faringe pequena podem contribuir para isso. Otite m\u00e9dia recorrente pode come\u00e7ar na inf\u00e2ncia e levar \u00e0 perda auditiva condutiva no primeiro ano<\/li>\n<li><strong>Estenose do forame magno<\/strong><br \/>\nA diminui\u00e7\u00e3o do tamanho da base do cr\u00e2nio pode levar a complica\u00e7\u00f5es s\u00fabitas e fatais (compress\u00e3o cervicomedular)<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"Crian\u00e7as-pequenas\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994f16\" class=\"block-wysiwyg\">\n            <h3>Crian\u00e7as na primeira inf\u00e2ncia<\/h3>\n<p>Al\u00e9m do risco de morte s\u00fabita devido \u00e0 compress\u00e3o cervicomedular, podem ocorrer atrasos no desenvolvimento e outras complica\u00e7\u00f5es que exigir\u00e3o o gerenciamento de expectativas familiares e poss\u00edvel interven\u00e7\u00e3o cir\u00fargica..<sup>2,5,7,11-14,17-20<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994f45\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/12\/toddlers_icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Obstru\u00e7\u00e3o das vias a\u00e9reas superiores<\/strong><br \/>\nPode aparecer em qualquer idade, mas \u00e9 mais frequente em idades mais jovens <\/li>\n<li><strong>Cifose<\/strong><br \/>\nCurvatura exagerada da coluna para tr\u00e1s; necess\u00e1rio aten\u00e7\u00e3o \u00e0 postura ao sentar<\/li>\n<li><strong>Genu varo<\/strong><br \/>\nO crescimento desproporcional da t\u00edbia e da f\u00edbula pode causar o arqueamento da t\u00edbia, que geralmente \u00e9 progressivo.<\/li>\n<li><strong>Dificuldades na fala<\/strong><br \/>\n \tA incid\u00eancia de atraso na fala e problemas de articula\u00e7\u00e3o em crian\u00e7as com acondroplasia \u00e9 de aproximadamente 20%.<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nHipoplasia da face m\u00e9dia, trompas de Eust\u00e1quio encurtadas e uma faringe pequena podem come\u00e7ar na inf\u00e2ncia e levar \u00e0 perda auditiva condutiva<\/li>\n<li><strong>Estenose do forame magno<\/strong><br \/>\n \tA diminui\u00e7\u00e3o do tamanho da base do cr\u00e2nio pode levar a complica\u00e7\u00f5es s\u00fabitas e fatais (compress\u00e3o cervicomedular)<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"Crian\u00e7as\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994f7d\" class=\"block-wysiwyg\">\n            <h3>Crian\u00e7as<\/h3>\n<p>Durante a inf\u00e2ncia, \u00e9 importante estar atento aos problemas de ouvido, nariz, garganta e ortopedia que podem atrasar os est\u00e1gios de desenvolvimento se n\u00e3o forem tratados. A capacidade intelectual n\u00e3o \u00e9 afetada<sup>2,7,13,19,20-24<\/sup><\/p>\n<p><strong>Nessa idade, o impacto psicossocial da acondroplasia (depress\u00e3o, ansiedade, isolamento) pode afetar o desempenho acad\u00eamico e a intera\u00e7\u00e3o social.<sup>20,25<\/sup><\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db994fb3\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/12\/Children_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impacto psicossocial<\/strong><\/li>\n<li><strong>Problemas ortod\u00f4nticos<\/strong><br \/>\nO crescimento diferencial da base do cr\u00e2nio pode levar \u00e0 m\u00e1 oclus\u00e3o dent\u00e1ria. Apinhamento dos dentes e mand\u00edbula superior estreita podem levar \u00e0 mordida cruzada.<\/li>\n<li><strong>Hiperlordosis lumbar<\/strong><br \/>\nA curvatura exagerada da parte superior da coluna pode aparecer antes dos 5 anos<\/li>\n<li><strong>Obesidade<\/strong><br \/>\nDiretamente relacionada \u00e0 apneia do sono e futuras doen\u00e7as cardiovasculares<\/li>\n<li><strong>Dificuldades funcionais<\/strong><br \/>\nSaiba mais sobre as dificuldades funcionais na acondroplasia<\/li>\n<li><strong>Genu varo<\/strong><br \/>\nO crescimento desproporcional da t\u00edbia e da f\u00edbula, que pode levar ao arqueamento tibial, \u00e9 frequentemente progressivo na inf\u00e2ncia, mas pode resolver-se com a maturidade esquel\u00e9tica. Frequentemente corrigido cirurgicamente na inf\u00e2ncia, mas at\u00e9 40% dos adultos com acondroplasia ainda podem apresentar arqueamento tibial significativo, o que pode contribuir para a dor.<\/li>\n<li><strong>Diminui\u00e7\u00e3o da for\u00e7a muscular<\/strong><br \/>\nPode diminuir acentuadamente nos extensores dorsais do punho, flexores do quadril, extensores do joelho e flexores dorsais do p\u00e9, o que pode causar um atrasos nos marcos do desenvolvimento, como atraso na habilidade motora.<\/li>\n<li><strong>Dist\u00farbios respirat\u00f3rios do sono<\/strong><br \/>\nA apneia obstrutiva do sono \u00e9 o dist\u00farbio respirat\u00f3rio mais comum em crian\u00e7as com acondroplasia.<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nPode come\u00e7ar na primeira inf\u00e2ncia e levar \u00e0 perda auditiva.<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"adolescentes\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db994fe6\" class=\"block-wysiwyg\">\n            <h3>Adolescentes<\/h3>\n<p>A adolesc\u00eancia \u00e9 um per\u00edodo de grandes mudan\u00e7as para todos e, embora certas complica\u00e7\u00f5es m\u00e9dicas possam persistir, as consequ\u00eancias funcionais e emocionais de viver com acondroplasia podem ser acentuadas. Trabalhar com pais, cuidadores e pacientes em uma abordagem hol\u00edstica dos problemas durante esse est\u00e1gio \u00e9 essencial para promover a independ\u00eancia e uma forte autoestima.<sup>2,5,7,25<\/sup><\/p>\n<p><strong>Gerenciar o impacto psicossocial e as dificuldades funcionais da acondroplasia pode facilitar a transi\u00e7\u00e3o para a idade adulta, bem como a busca pela continuidade da vida escolar (ou dos estudos) e o estabelecimento de c\u00edrculos sociais saud\u00e1veis.<\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995011\" class=\"block split-content equal-bias bottom-border\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/12\/Teenagers_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impacto psicossocial<\/strong><\/li>\n<li><strong>Estenose lombar<\/strong><br \/>\nA maioria das pessoas com acondroplasia ter\u00e1 estenose lombar em algum grau; interven\u00e7\u00e3o cir\u00fargica nem sempre \u00e9 necess\u00e1ria<\/li>\n<li><strong>Dor cr\u00f4nica<\/strong><br \/>\nPode limitar a participa\u00e7\u00e3o em atividades sociais, estudos e atividades da vida di\u00e1ria<\/li>\n<li><strong>Dificuldades funcionais<\/strong><\/li>\n<li><strong>Dificuldades na fala<\/strong><br \/>\nO atraso na fala e os problemas de articula\u00e7\u00e3o persistem at\u00e9 a adolesc\u00eancia<\/li>\n<li><strong>Defici\u00eancias auditivas<br \/>\n<\/strong>A incid\u00eancia de perda auditiva em crian\u00e7as \u203918 anos com acondroplasia \u00e9 de aproximadamente 25%<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"adultos\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-64255db99503c\" class=\"block-wysiwyg\">\n            <h3>Adultos<\/h3>\n<p>Quando uma pessoa com acondroplasia atinge a idade adulta, algumas complica\u00e7\u00f5es podem ser resolvidas; no entanto, outras podem evoluir para comorbidades mais graves e potencialmente fatais. Facilitar o relacionamento entre o paciente e outros especialistas da equipe de atendimento \u00e9 uma parte essencial do gerenciamento cont\u00ednuo. O gerenciamento preventivo dos efeitos pode ajudar a mitigar sua gravidade.<sup>2,3,7-9,17,26,27<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995065\" class=\"block split-content equal-bias block-zero-top block-tight-bottom\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2022\/12\/Adult_Icons.svg\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <ul>\n<li><strong>Impacto psicossocial<\/strong><\/li>\n<li><strong>Estenose lombar<\/strong><br \/>\nPode causar fraqueza nas pernas, incontin\u00eancia e dor cr\u00f4nica<\/li>\n<li><strong>Mortalidade<\/strong><br \/>\nCom o tempo, complica\u00e7\u00f5es cardiovasculares podem reduzir a expectativa de vida<\/li>\n<li><strong>Osteoporose <\/strong><br \/>\nA menor densidade mineral \u00f3ssea (fragilidade \u00f3ssea) pode resultar da diminui\u00e7\u00e3o da atividade f\u00edsica<\/li>\n<li><strong>Obesidade<\/strong><br \/>\nUm dos fatores mais prevalentes e cr\u00edticos na vida adulta \u00e9 a obesidade, que est\u00e1 diretamente relacionada \u00e0 apneia do sono e \u00e0s doen\u00e7as cardiovasculares.<\/li>\n<li><strong>Dor cr\u00f4nica<\/strong><br \/>\nExistem muitos fatores que influenciam a dor cr\u00f4nica, como o arqueamento tibial ou a estenose espinhal.<\/li>\n<li><strong>Dificuldades funcionais<\/strong><\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db9950be\" class=\"block split-content equal-bias bg-band block-tight-top block-tight-bottom\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <h2>O tratamento tamb\u00e9m deve considerar os desafios funcionais e o impacto psicossocial<\/h2>\n<p>Crian\u00e7as com acondroplasia podem ter dificuldades funcionais e psicossociais, especialmente ao entrar no col\u00e9gio e na puberdade. Definir expectativas ajudar\u00e1 os pais a entender melhor as necessidades de seu filho.<sup>2,18,20<\/sup><\/p>\n<ul>\n<li><strong>O desenvolvimento da comunica\u00e7\u00e3o<\/strong> (palavras, frases), a aprendizagem e o desenvolvimento acad\u00eamico podem ser afetados pelo atraso na fala devido \u00e0 perda auditiva (otite m\u00e9dia) ou pelo efeito progressivo da apneia do sono.<sup>3,16<\/sup><\/li>\n<li><strong>Os marcos do desenvolvimento<\/strong> motor grosso e fino podem ser afetados pelo comprimento dos dedos e pela m\u00e3o em formato de tridente<sup>3,30<\/sup><\/li>\n<li>A deteriora\u00e7\u00e3o funcional pode causar limita\u00e7\u00f5es na mobilidade e na independ\u00eancia, principalmente at\u00e9 os 6 anos de idade.<sup>18<\/sup><\/li>\n<li>Dificuldades f\u00edsicas para tomar banho, arrumar-se ou realizar outros cuidados pessoais<sup>18,20<\/sup><\/li>\n<li><strong>A participa\u00e7\u00e3o social<\/strong> pode ser dificultada pela ansiedade ou baixa autoestima, contribuindo para o isolamento<sup>25<\/sup><\/li>\n<li>Dificuldades funcionais s\u00e3o muitas vezes superadas por adapta\u00e7\u00f5es ambientais ou ferramentas especiais, como extensores de pedal de carro<sup>2<\/sup><\/li>\n<\/ul>\n<p>Na acondroplasia, n\u00e3o se acredita que as complica\u00e7\u00f5es afetem o desenvolvimento cognitivo<sup>13,21<\/sup><\/p>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2024\/04\/girl_swimming_pool_ptbr.jpg?v=0.122\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6565cfc0b4e87\" class=\"block split-content equal-bias content-align-top block-tight-top\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2024\/04\/promo3_ptbr.jpg?v=0.122\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <h2>Compreendendo uma vida inteira de gerenciamento<\/h2>\n<p>A acondroplasia pode sobrecarregar se n\u00e3o houver prepara\u00e7\u00e3o adequada para as complica\u00e7\u00f5es. \u00c9 importante coordenar os cuidados com uma equipe multidisciplinar de especialistas que gerencie proativamente as complica\u00e7\u00f5es para garantir melhores resultados para os pacientes e reduzir a carga do cuidador. <sup>2,4<\/sup><\/p>\n                                                                                                                                                                                                                                                                                                                                                                                                                                                                        <p><a class=\"button button-text button-arrow\" href=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/manejo-e-acompanhamento\/\" target=\"_self\">Manejo e acompanhamento<\/a><\/p>\n                                                                                                                        <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996cd3\" class=\"block boxed-content quiz block-tight-top block-tight-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"box\">\n\t\t\t\t<div class=\"quiz-question\">\n                    \t\t\t\t\t    <h2>Teste o seu conhecimento\n<\/h2>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t    <p>Provavelmente n\u00e3o \u00e9 necess\u00e1rio encaminhar os pacientes para um profissional que cuida da sa\u00fade mental antes da idade adulta. <\/p>\n\t\t\t\t\t\n                                            <div class=\"quiz-question-responses\">\n                                                                                                                                                            <a class=\"button button-ghost\" href=\"#\" data-correct-answer=\"false\">\n                                    Verdadeiro\n                                <\/a>\n                                                                                                                                                            <a class=\"button button-ghost\" href=\"#\" data-correct-answer=\"true\">\n                                    Falso\n                                <\/a>\n                                                    <\/div>\n\t\t\t\t\t\n                                            <div class=\"quiz-question-submit\">\n                            <p><a class=\"button\" href=\"#\">Enviar<\/a><\/p>\n                        <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"quiz-answer\" style=\"display:none;\">\n\t\t\t\t    \t\t\t\t        \t\t\t\t\t    <p class=\"quiz-answer-choice\">Voc\u00ea escolheu: %choice%\n<\/p>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t    <div class=\"split-content\">\n                            <div class=\"wrapper\">\n                                <div class=\"inner-wrapper\">\n                                    <div class=\"content-block\">\n                                                                                    <h2 class=\"correct\" style=\"display:none;\">Correto!\n<\/h2>\n                                        \n                                                                                    <h2 class=\"incorrect\" style=\"display:none;\">N\u00e3o est\u00e1 correto &#8211; a resposta correta \u00e9 %answer%\n<\/h2>\n                                        \n                                                                                    <p>Al\u00e9m de abordar as complica\u00e7\u00f5es f\u00edsicas, os pacientes devem ser encaminhados para profissionais que cuidem da sa\u00fade mental  conforme seja apropriado, em qualquer idade<sup>1,2<\/sup> <\/p>\n                                                                            <\/div>\n                                    <div class=\"content-block\">\n                                                                                    <figure>\n                                                <div class=\"image\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/pt-br\/achondroplasia\/wp-content\/uploads\/sites\/8\/2023\/03\/Screenshot_2023-03-30_at_10.55.52-removebg-preview.png?v=0.122\" alt=\"\" \/>                                                <\/div>\n                                            <\/figure>\n                                                                            <\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n\t\t\t\t\t\n\t\t\t\t\t                        <p class=\"references\">\n                            <a class=\"quiz-references-modal\" href=\"#quiz-references-modal\">Refer\u00eancias<\/a>\n                        <\/p>\n                        <div id=\"quiz-references-modal\" class=\"quiz-references white-popup-block mfp-hide\">\n                            <div class=\"box references\">\n                                <p><a class=\"modal-close\" href=\"#\">Close references<\/a><\/p>\n                                                                    <h2>Refer\u00eancias:\n<\/h2>\n                                                                <ol>\n                                                                                                                                                                                                        <li><span>Unger S, Bonaf\u00e9 L, Gouze E. Current Care and Investigational Therapies in Achondroplasia.\u202fCurr Osteoporos Rep. 2017;15(2):53-60. doi:10.1007\/s11914-017-0347-2. \n<\/span><\/li>\n                                                                                                                                                                                                                                                <li><span>Nishimura N, Hanaki K. Psychosocial profiles of children with achondroplasia in terms of their short stature-related stress: a nationwide survey in Japan.\u202fJ Clin Nurs. 2014;23(21-22):3045-3056. doi:10.1111\/jocn.12531. \n<\/span><\/li>\n                                                                                                            <\/ol>\n                            <\/div>\n                        <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996d79\" class=\"block references\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t    \t\t\t    <h4>Refer\u00eancias:\n<\/h4>\n\t\t\t\t\t\t                <ol>\n                                                                                                                        <li><span>Ireland PJ, Pacey V, Zankl A, Edwards P, Johnston LM, Savarirayan R. Optimal management of complications associated with achondroplasia. <em>Appl Clin Genet<\/em>. 2014;7:117-125. Published online June 24, 2014.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hoover-Fong J, Scott CI, Jones MC; Committee on Genetics. Health supervision for people with achondroplasia. <em>Pediatrics<\/em>. 2020;145(6):e20201010. \n<\/span><\/li>\n                                                                                                                                                <li><span>Pauli RM. Achondroplasia: a comprehensive clinical review. <em>Orphanet J Rare Dis<\/em>. 2019;14(1):1.  \n<\/span><\/li>\n                                                                                                                                                <li><span>Unger S, Bonaf\u00e9 L, Gouze E. Current care and investigational therapies in achondroplasia. <em>Curr Osteoporos Rep<\/em>. 2017;15(2):53-60.  \n<\/span><\/li>\n                                                                                                                                                <li><span>Shirley ED, Ain MC. Achondroplasia: manifestations and treatment. <em>J Am Acad Orthop Surg<\/em>. 2009;17(4):231-241. \n<\/span><\/li>\n                                                                                                                                                <li><span>Ain MC, Abdullah MA, Ting BL, <em>et al<\/em>. Progression of low back and lower extremity pain in a cohort of patients with achondroplasia. <em>J Neurosurg Spine<\/em>. 2010;13(3):335-340. \n<\/span><\/li>\n                                                                                                                                                <li><span>Hunter AG, Bankier A, Rogers JG, Sillence D, Scott CI Jr. Medical complications of achondroplasia: a multicentre patient review. <em>J Med Genet<\/em>. 1998;35(9):705-712.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hecht JT, Hood OJ, Schwartz RJ, Hennessey JC, Bernhardt BA, Horton WA. Obesity in achondroplasia. <em>Am J Med Genet<\/em>. 1988;31(3):597-602.\n<\/span><\/li>\n                                                                                                                                                <li><span>Fredwall SO, Maanum G, Johansen H, Snekkevik H, Savarirayan R, Lidal IB. Current knowledge of medical complications in adults with achondroplasia: a scoping review. Clin Genet. 2020;97(1):179-197. \n<\/span><\/li>\n                                                                                                                                                <li><span>Ednick M, Tinkle BT, Phromchairak J, Egelhoff J, Amin R, Simakajornboon N. Sleep-related respiratory abnormalities and arousal pattern in achondroplasia during early infancy. <em>J Pediatr<\/em>. 2009;155(4):510-515.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hecht JT, Horton WA, Reid CS, Pyeritz RE, Chakraborty R. Growth of the foramen magnum in achondroplasia. <em>Am J Med Genet<\/em>. 1989;32(4):528-535.\n<\/span><\/li>\n                                                                                                                                                <li><span>Julliand S, Boul\u00e9 M, Baujat G, <em>et al<\/em>. Lung function, diagnosis, and treatment of sleep-disordered breathing in children with achondroplasia. <em>Am J Med Genet A<\/em>. 2012;158A(8):1987-1993. \n<\/span><\/li>\n                                                                                                                                                <li><span>Brinkmann G, Schlitt H, Zorowka P, Spranger J. Cognitive skills in achondroplasia. <em>Am J Med Genet<\/em>. 1993;47(5):800-804.\n<\/span><\/li>\n                                                                                                                                                <li><span>Tunkel D, Alade Y, Kerbavaz R, Smith B, Rose-Hardison D, Hoover-Fong J. Hearing loss in skeletal dysplasia patients. <em>Am J Med Genet A<\/em>. 2012;158A(7):1551-1555.\n<\/span><\/li>\n                                                                                                                                                <li><span>Horton WA, Hall JG, Hecht JT. Achondroplasia. <em>Lancet<\/em>. 2007;370(9582):162-172.\n<\/span><\/li>\n                                                                                                                                                <li><span>Ireland PJ, Johnson S, Donaghey S, <em>et al<\/em>. Developmental milestones in infants and young Australasian children with achondroplasia. <em>J Dev Behav Pediatr<\/em>. 2010;31(1):41-47.\n<\/span><\/li>\n                                                                                                                                                <li><span>Hecht JT, Francomano CA, Horton WA, Annegers JF. Mortality in achondroplasia. <em>Am J Hum Genet<\/em>. 1987;41(3):454-464.\n<\/span><\/li>\n                                                                                                                                                <li><span>Ireland PJ, McGill J, Zankl A, <em>et al<\/em>. Functional performance in young Australian children with achondroplasia. <em>Dev Med Child Neurol<\/em>. 2011;53(10):944-950. \n<\/span><\/li>\n                                                                                                                                                <li><span>Stanley G, McLoughlin S, Beals RK. Observations on the cause of bowlegs in achondroplasia. <em>J Pediatr Orthop<\/em>. 2002;22(1):112-116. \n<\/span><\/li>\n                                                                                                                                                <li><span>Wright MJ, Irving MD. Clinical management of achondroplasia. <em>Arch Dis Child<\/em>. 2012;97(2):129-134. \n<\/span><\/li>\n                                                                                                                                                <li><span>Galasso C, Siracusano M, El Malhany N, Cerminara C, Pitzianti M, Terribili M. Cognitive phenotype and language skills in children with achondroplasia. <em>Minerva Pediatr<\/em>. 2019;71(4):343-348.\n<\/span><\/li>\n                                                                                                                                                <li><span>Afsharpaiman S, Saburi A, Waters KA. Respiratory difficulties and breathing disorders in achondroplasia. <em>Paediatr Respir Rev<\/em>. 2013;14(4):250-255.\n<\/span><\/li>\n                                                                                                                                                <li><span>Takken T, van Bergen MW, Sakkers RJ, Helders PJ, Engelbert RH. Cardiopulmonary exercise capacity, muscle strength, and physical activity in children and adolescents with achondroplasia. <em>J Pediatr<\/em>. 2007;150(1):26-30. \n<\/span><\/li>\n                                                                                                                                                <li><span>Lee ST, Song HR, Mahajan R, Makwana V, Suh SW, Lee SH. Development of genu varum in achondroplasia: relation to fibular overgrowth. <em>J Bone Joint Surg Br<\/em>. 2007;89(1):57-61.  \n<\/span><\/li>\n                                                                                                                                                <li><span>Thompson S, Shakespeare T, Wright MJ. Medical and social aspects of the life course for adults with a skeletal dysplasia: a review of current knowledge. <em>Disabil Rehabil<\/em>. 2008;30(1):1-12. \n<\/span><\/li>\n                                                                                                                                                <li><span>Wynn J, King TM, Gambello MJ, Waller DK, Hecht JT. Mortality in achondroplasia study: a 42-year follow-up. <em>Am J Med Genet A<\/em>. 2007;143A:2502-2511. \n<\/span><\/li>\n                                                                                                                                                <li><span>Ta\u015fo\u011flu \u00d6, \u015eahin Onat \u015e, Yenigu\u0308n D, Do\u011fan Aslan M, Nakipo\u011flu GF, Ozgirgin N. Low bone density in achondroplasia. <em>Clin Rheumatol<\/em>. 2014;33(5):733-735. \n<\/span><\/li>\n                                                                                                                                                <li><span>Vivanti AJ, Cordier AG, Baujat G, Benachi A. Abnormal pelvic morphology and high cervical length are responsible for high-risk pregnancies in women displaying achondroplasia. <em>Orphanet J Rare Dis<\/em>. 2016;11(1):166.\n<\/span><\/li>\n                                                                                                                                                <li><span>Allanson JE, Hall JG. Obstetric and gynecologic problems in women with chondrodystrophies. <em>Obstet Gynecol<\/em>. 1986;67(1):74-78. \n<\/span><\/li>\n                                                                                                                                                <li><span>Legare JM. Achondroplasia. In: Adam MP, Ardinger HH, Pagon RA, <em>et al<\/em>, eds. GeneReviews\u00ae [Internet]. Seattle: University of Washington, Seattle; 1993-2020. October 12, 1998 [Updated August 6, 2020]. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1152. \n<\/span><\/li>\n                                                            <\/ol>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db996f5e\" class=\"block print-page\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <p><a class=\"button button-print\" href=\"#\">Imprima esta p\u00e1gina<\/a><\/p>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Acondroplasia | 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