{"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":"2024-04-11T08:16:54","modified_gmt":"2024-04-11T08:16:54","slug":"impacto","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/impacto\/","title":{"rendered":"Impact"},"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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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>Embora as complica\u00e7\u00f5es possam ser resolvidas com o tempo, o manejo antecipado pode ajudar a mitigar consequ\u00eancias graves para a sa\u00fade, que de outra forma seriam inesperadas. Explore as poss\u00edveis implica\u00e7\u00f5es da acondroplasia abaixo.<\/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=\"overall-impact\" 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 e 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\u00f3nica e dist\u00farbios respirat\u00f3rios do sono na inf\u00e2ncia, e estenose espinhal, dor cr\u00f3nica 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2023\/09\/Group-248-1900x860.png\" alt=\"Measurable characteristic of achondroplasia\" \/>            <\/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 s\u00e3o confrontadas com complica\u00e7\u00f5es musculosquel\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\">Assegure-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 antecipar 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-pt\/achondroplasia\/recursos\/\" target=\"_self\">Ou\u00e7a os especialistas<\/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=\"complications\" 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 doente<\/h2>\n<p>Tenha sempre estas complica\u00e7\u00f5es em mente para poder 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>Pernas arqueadas (arqueamento da t\u00edbia)\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 originar fraqueza das pernas, incontin\u00eancia e dor cr\u00f3nica<\/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\u00f3nica\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>Poder\u00e1 exigir 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 at\u00e9 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 dent\u00e1rios\n<\/h4>\n        \n                                                                                                            <p>Dentes apinhados e um maxilar superior estreito podem dar origem a 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 a 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 originar tens\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=\"infants\" 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 graves para a sa\u00fade, que de outra forma seriam inesperadas. Explore os preparativos abaixo que podem ser feitos para combater os efeitos da acondroplasia.<\/p>\n<h3>Beb\u00e9s<\/h3>\n<p>Um desenvolvimento \u00f3sseo comprometido afeta o corpo inteiro, e o seu impacto no tamanho e na forma do foramen magnum pode resultar em compress\u00e3o cervicomedular. Esta situa\u00e7\u00e3o pode p\u00f4r os beb\u00e9s em risco de morte s\u00fabita, o que torna crucial, nesta fase, uma monitoriza\u00e7\u00e3o e controlo regulares e referencia\u00e7\u00f5es atempadas.<sup>2,3,7,10-16<\/sup><\/p>\n<p><strong>\u00c9 importante estar atento \u00e0s complica\u00e7\u00f5es que podem progredir r\u00e1pida e discretamente.<\/strong><\/p>\n<p><a href=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2024\/03\/Complicacoes-da-acondroplasia-por-faixa-etaria.pdf?v=0.57\" target=\"_blank\" rel=\"noopener\">Descargue o recurso de cronograma de complica\u00e7\u00f5es<\/a><\/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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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 central do sono<br \/>\n<\/strong>Pode contribuir para atrasos na aprendizagem e no desenvolvimento<\/li>\n<li><strong>Atrasos nos marcos do desenvolvimento<\/strong><br \/>\nFlagrantes atrasos motores relacionados com hipotonia e atrasos da fala devido a otite m\u00e9dia aguda e cr\u00f3nica<\/li>\n<li><strong>Obstru\u00e7\u00e3o das vias a\u00e9reas superiores<\/strong><br \/>\nUm ter\u00e7o das crian\u00e7as poder\u00e3o precisar de interven\u00e7\u00e3o cir\u00fargica<\/li>\n<li><strong>Hipotonia<\/strong><br \/>\nPode atrasar as capacidades motoras<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nA hipoplasia do ter\u00e7o m\u00e9dio da face, trompas de Eust\u00e1quio mais curtas e uma faringe pequena podem come\u00e7ar na inf\u00e2ncia e levar a perda auditiva condutiva no primeiro ano<\/li>\n<li><strong>Estenose do foramen magnum<\/strong><br \/>\nO tamanho reduzido da base craniana com a resultante compress\u00e3o do tronco cerebral inferior\/medula espinhal cervical superior pode originar 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=\"toddlers\" 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 pequenas<\/h3>\n<p>Al\u00e9m do risco continuado de morte s\u00fabita devido a compress\u00e3o cervicomedular, as crian\u00e7as pequenas podem sofrer atrasos no desenvolvimento e outras complica\u00e7\u00f5es que exigir\u00e3o a defini\u00e7\u00e3o das expectativas junto da fam\u00edlia e eventual 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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 \/>\nUm ter\u00e7o das crian\u00e7as poder\u00e3o precisar de interven\u00e7\u00e3o cir\u00fargica<\/li>\n<li><strong>Cifose<\/strong><br \/>\nEncurvamento exagerado da coluna vertebral para fora\u2014exige aten\u00e7\u00e3o especial \u00e0 postura sentada<\/li>\n<li><strong>Pernas arqueadas<\/strong><br \/>\nUm crescimento desproporcional da t\u00edbia e do per\u00f3nio pode originar arqueamento da t\u00edbia, o qual \u00e9 frequentemente progressivo<\/li>\n<li><strong>Dificuldades na fala<br \/>\n<\/strong>A incid\u00eancia de atraso na fala e de problemas da fala \u00e9 de 20% e 11% das crian\u00e7as com acondroplasia, respetivamente<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nA hipoplasia do ter\u00e7o m\u00e9dio da face, trompas de Eust\u00e1quio mais curtas e uma faringe pequena podem come\u00e7ar na inf\u00e2ncia e levar a perda auditiva condutiva<\/li>\n<li><strong>Estenose do foramen magnum<br \/>\n<\/strong>O tamanho reduzido da base craniana\u2014e a resultante compress\u00e3o do tronco cerebral inferior\/medula espinhal cervical superior\u2014pode originar 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=\"children\" 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 a problemas otorrinolaringol\u00f3gicos, respirat\u00f3rios e ortop\u00e9dicos que possam atrasar os marcos do desenvolvimento se n\u00e3o forem tratados. A cogni\u00e7\u00e3o n\u00e3o \u00e9 afetada.<sup>2,7,13,19,20-24<\/sup><\/p>\n<p><strong>Nestas idades, o impacto psicossocial da acondroplasia (depress\u00e3o, ansiedade, isolamento) pode come\u00e7ar a afetar o desempenho escolar 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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><br \/>\nSaiba mais sobre o impacto emocional da acondroplasia<\/li>\n<li><strong>Problemas ortod\u00f4nticos<\/strong><br \/>\nO crescimento diferencial da base craniana pode dar origem a maloclus\u00e3o. Dentes apinhados e um maxilar superior estreito podem dar origem a mordida cruzada<\/li>\n<li><strong>Hiperlordose lombar<\/strong><br \/>\nPode aparecer um encurvamento exagerado na parte superior da coluna vertebral antes dos 5 anos<\/li>\n<li><strong>Obesidade<\/strong><br \/>\nDiretamente associada a apneia do sono e doen\u00e7a cardiovascular mais tarde<\/li>\n<li><strong>Desafios funcionais<\/strong><br \/>\nSaiba mais sobre os desafios funcionais da acondroplasia<\/li>\n<li><strong>Pernas arqueadas<\/strong><br \/>\nUm crescimento desproporcional da t\u00edbia e do per\u00f3nio, que pode originar arqueamento da t\u00edbia, \u00e9 frequentemente progressivo na inf\u00e2ncia, mas pode resolver-se com a maturidade esquel\u00e9tica. Frequentemente corrigido por cirurgia na inf\u00e2ncia, mas 40% dos adultos com acondroplasia poder\u00e3o ainda ter um arqueamento da t\u00edbia significativo, o que pode contribuir para a exist\u00eancia de dor.<\/li>\n<li><strong>For\u00e7a muscular diminu\u00edda<\/strong><br \/>\nPode ser bastante diminu\u00edda nos extensores dorsais do pulso, nos flexores da anca, nos extensores do joelho e nos flexores dorsais do p\u00e9<\/li>\n<li><strong>Apneia obstrutiva do sono<\/strong><br \/>\nA apneia obstrutiva do sono \u00e9 a perturba\u00e7\u00e3o respirat\u00f3ria mais frequente nas crian\u00e7as com acondroplasia<\/li>\n<li><strong>Otite m\u00e9dia recorrente<\/strong><br \/>\nA hipoplasia do ter\u00e7o m\u00e9dio da face, trompas de Eust\u00e1quio mais curtas e uma faringe pequena podem come\u00e7ar na inf\u00e2ncia e levar a perda auditiva condutiva<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"teenagers\" 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>Os anos da adolesc\u00eancia s\u00e3o um per\u00edodo de grande transi\u00e7\u00e3o para todas as pessoas e, enquanto determinadas complica\u00e7\u00f5es m\u00e9dicas poder\u00e3o persistir, as implica\u00e7\u00f5es funcionais e emocionais de viver com acondroplasia poder\u00e3o acentuar-se. Trabalhar com os pais, cuidadores e doentes no sentido de abordar todos os desafios de uma forma hol\u00edstica durante este per\u00edodo \u00e9 essencial para promover a independ\u00eancia e uma forte autoestima.<sup>2,5,7,25<\/sup><\/p>\n<p><strong>Gerir tanto o impacto psicossocial como os desafios funcionais da acondroplasia pode contribuir para uma transi\u00e7\u00e3o tranquila para a idade adulta, incluindo a procura de estudos superiores e o estabelecimento de redes 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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><br \/>\nSaiba mais sobre o impacto emocional da acondroplasia<\/li>\n<li><strong>Estenose da coluna lombar<\/strong><br \/>\nA maioria das pessoas com acondroplasia lidam com esta situa\u00e7\u00e3o de uma forma ou de outra\u2014a interven\u00e7\u00e3o cir\u00fargica nem sempre \u00e9 necess\u00e1ria<\/li>\n<li><strong>Dor cr\u00f3nica<\/strong><br \/>\nPode limitar a participa\u00e7\u00e3o em atividades sociais, nos estudos continuados e nas atividades do quotidiano<\/li>\n<li><strong>Dificuldades na fala<\/strong><br \/>\nO atraso na fala e os problemas com a articula\u00e7\u00e3o continuam constantes durante a adolesc\u00eancia<\/li>\n<li><strong>D\u00e9fices auditivos<\/strong><br \/>\nA incid\u00eancia de perda auditiva nas crian\u00e7as com &lt; 18 anos de idade com acondroplasia \u00e9 de ~25%<\/li>\n<li><strong>Desafios funcionais<br \/>\n<\/strong>Saiba mais sobre os desafios funcionais da acondroplasia<\/li>\n<\/ul>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"adults\" 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 chega \u00e0 idade adulta, algumas complica\u00e7\u00f5es m\u00e9dicas poder\u00e3o resolver-se, mas muitas progridem, desenvolvendo-se em comorbilidades mais graves e potencialmente fatais. Facilitar a rela\u00e7\u00e3o entre o seu doente e os outros especialistas que integram a equipa de cuidados m\u00e9dicos do seu doente \u00e9 uma parte crucial de um controlo cont\u00ednuo. O controlo antecipat\u00f3rio deste impacto vital\u00edcio ajuda a mitigar a 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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><br \/>\nSaiba mais sobre o impacto emocional da acondroplasia<\/li>\n<li><strong>Estenose da coluna lombar<\/strong><br \/>\nA maioria das pessoas com acondroplasia lidam com esta situa\u00e7\u00e3o de uma forma ou de outra\u2014a interven\u00e7\u00e3o cir\u00fargica nem sempre \u00e9 necess\u00e1ria<\/li>\n<li><strong>Mortalidade<\/strong><br \/>\nCom o tempo, as complica\u00e7\u00f5es cardiovasculares podem reduzir a esperan\u00e7a de vida<\/li>\n<li><strong>Osteoporose<\/strong><br \/>\nUma participa\u00e7\u00e3o limitada em atividades recreativas pode contribuir para uma baixa densidade \u00f3ssea<\/li>\n<li><strong>Obesidade<\/strong><br \/>\nUm dos fatores mais prevalentes e cr\u00edticos da idade adulta \u00e9 a obesidade, que est\u00e1 diretamente associada a apneia do sono e doen\u00e7a cardiovascular<\/li>\n<li><strong>Desafios funcionais<br \/>\n<\/strong>Saiba mais sobre os desafios funcionais da acondroplasia<\/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-zero-top block-zero-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 hol\u00edstico tamb\u00e9m deve contemplar os desafios funcionais e o impacto psicossocial<\/h2>\n<p>As crian\u00e7as com acondroplasia podem enfrentar desafios tanto funcionais como psicossociais, sobretudo quando come\u00e7am a escola e entram na puberdade. Ao definir as expectativas para os pais est\u00e1 a prepar\u00e1-los melhor para apoiarem as necessidades do seu filho.<sup>2,18,20<\/sup><\/p>\n<ul>\n<li><strong>Os marcos da comunica\u00e7\u00e3o<\/strong> (palavras, frases), a aprendizagem e o desempenho na escola podem ser afetados por atrasos na fala devido a perda auditiva (otite m\u00e9dia) ou pelo impacto progressivo da apneia do sono<sup>3,16<\/sup><\/li>\n<li><strong>Os marcos do desenvolvimento<\/strong> no que toca \u00e0s capacidades motoras grossas e finas podem ser afetados pelo comprimento dos dedos e pela forma em tridente das m\u00e3os<sup>3,30<\/sup><\/li>\n<li><strong>O compromisso funcional<\/strong> pode resultar em mobilidade e independ\u00eancia limitadas, sobretudo at\u00e9 aos 6 anos de idade<sup>18<\/sup><\/li>\n<li><strong>Acesso limitado<\/strong> <strong>ao pr\u00f3prio corpo<\/strong> para tomar banho, fazer a higiene e outros cuidados pessoais<sup>18,20<\/sup><\/li>\n<li><strong>A participa\u00e7\u00e3o social<\/strong> pode ser prejudicada pela ansiedade ou pouca autoestima, podendo contribuir para o isolamento<sup>25<\/sup><\/li>\n<li><strong>Os desafios funcionais<\/strong> s\u00e3o muitas vezes superados atrav\u00e9s de adapta\u00e7\u00f5es ambientais ou ferramentas especiais, como os extensores de pedais para conduzir<sup>2<\/sup><\/li>\n<\/ul>\n<p>Na acondroplasia, n\u00e3o se considera que as complica\u00e7\u00f5es afetam a cogni\u00e7\u00e3o<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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2022\/11\/kid-doing-homework.png?v=0.122\" alt=\"A young boy with Achondroplasia sitting at a table doing homework\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-64255db9950eb\" 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\">Compreender uma vida inteira de controlo\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>A acondroplasia pode ser avassaladora se n\u00e3o se planear adequadamente para lidar com as complica\u00e7\u00f5es previs\u00edveis. Um controlo proativo das complica\u00e7\u00f5es \u00e9 importante para assegurar os melhores cuidados \u00e0s pessoas com acondroplasia.<sup>2,4<\/sup><\/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-download\" href=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2024\/03\/Cuidados-abrangentes-da-acondroplasia.pdf?v=0.57\" target=\"_blank\">Descarregue o modelo de equipa de atendimento<\/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=\"acf-block-64255db995101\" class=\"block cards cards-2-col\">\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-64255db99511b\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2022\/11\/mother-with-child.jpg?v=0.122\" alt=\"mother sat reading with child with Achodroplasia\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Gest\u00e3o dos cuidados de sa\u00fade da acondroplasia\n<\/h4>\n        \n                                                                                                            <p class=\"p1\">Os especialistas de cl\u00ednica geral podem ajudar a coordenar uma abordagem multidisciplinar aos cuidados a receber<\/p>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-text button-arrow\" href=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/controlo\/\" target=\"_self\">Saiba mais sobre o tratamento da acondroplasia<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-64255db995137\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2024\/03\/Worksheet_Card-PT.png?v=0.122\" alt=\"\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Descarregue o modelo de equipa de atendimento\n<\/h4>\n        \n                                                                                                            <p>\u00c9 importante coordenar o cuidado com uma equipa multidisciplinar de especialistas que gerencia proativamente as complica\u00e7\u00f5es<sup>2,4<\/sup><\/p>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-text\" href=\"https:\/\/hcp.biomarin.com\/pt-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/2024\/03\/Cuidados-abrangentes-da-acondroplasia.pdf?v=0.57\" target=\"_blank\">Descarregue o modelo de equipa de atendimento<\/a><\/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-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 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 de 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                                    Verdadeira\n                                <\/a>\n                                                                                                                                                            <a class=\"button button-ghost\" href=\"#\" data-correct-answer=\"true\">\n                                    Falsa\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;\">Isso mesmo!\n<\/h2>\n                                        \n                                                                                    <h2 class=\"incorrect\" style=\"display:none;\">N\u00e3o \u00e9 isso \u2013 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 de sa\u00fade mental conforme 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-pt\/achondroplasia\/wp-content\/uploads\/sites\/11\/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\">Bibliograf\u00eda<\/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=\"#\">Fechar refer\u00eancias<\/a><\/p>\n                                                                    <h2>Bibliograf\u00eda:\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>Bibliograf\u00eda:\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>Complica\u00e7\u00f5es da Acondroplasia 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