Cuidado com o uso de anti-inflamatórios

anti inflamatoriosOs anti-inflamatórios estão entre os medicamentos mais prescritos e consumidos indiscriminadamente para dores musculares de maneira geral, não sendo diferente para as queixas de dores nas costas. Porém, como qualquer medicação, devem ter o uso controlado e administração somente com indicação médica.

A automedicação

Grande parte das pessoas, principalmente no Brasil, possuem o hábito de tomar remédios por conta própria e de uma forma indiscriminada, se automedicando. Muitos justificam tal ato pela dificuldade de acesso ao médico, pela demora nos atendimentos, pelo custo de consultas e/ou medicações, ou mesmo se referindo que “um remédiozinho não fará mal e é mais fácil. Se não resolver, procuro um médico; mesmo porque eles sempre prescrevem a mesma coisa”.

Porém, o uso abusivo de medicamentos, principalmente na idade avançada, pode ser mais prejudicial do que benéfico e muitos estudos já demonstraram a grande quantidade de casos de intoxicação por excesso ou incompatibilidade medicamentosa, levando até à morte.

O mau uso das medicações não só leva a sérios problemas de saúde, como também pode piorar o quadro inicial, prejudicando a evolução positiva da patologia.

O consumo inadequado e seus efeitos

O uso de medicamentos para alívio da dor é sempre um problema por causa dos efeitos colaterais. Estudos comprovam casos de insuficiência renal, problemas hepáticos (hepatite), cardiológicos, alteração da mucosa gástrica, úlcera, hemorragias pulmonares, comprometimento no sistema nervoso central e periférico.

O uso prolongado de anti-inflamatórios e outros fármacos, além de todos os efeitos adversos que lhes são peculiares, pode ainda aumentar a chamada permeabilidade intestinal, favorecendo a absorção de substâncias indesejáveis pelo intestino e que passam à corrente sanguínea, intoxicando todo o organismo.

Recomendações

Recomenda-se hoje fortemente a ingestão de uma menor quantidade de   remédios, principalmente pelas crianças e idosos, apesar da propaganda maciça em sentido contrário e evitar praticar a automedicação, procurando utilizar os anti-inflamatórios sempre com cautela, com prescrição e acompanhamento médico.

Siga corretamente as orientações médicas. Observe os efeitos colaterais durante o tratamento e informe imediatamente seu médico. São medicamentos aparentemente inofensivos, mas que podem lesar a muito a saúde.

Emagrecer rápido pode comprometer a saúde da coluna

Estima-se que um quinto da população esteja com excesso de peso e a tendência é que esse número aumente nas próximas décadas. Confrontando com esses dados, o sonho do corpo ideal é algo que influencia a cabeça de inúmeras pessoas, principalmente as mulheres.

Emagrecimento milagroso
São inúmeras as formas de emagrecimento e dietas milagrosas para a obtenção do dito corpo perfeito. Desde dietas hipocalóricas, medicações e até intervenções cirúrgicas como a bariátrica são utilizadas como ferramentas na eliminação rápida de peso.

Porém, estudos já apontaram que o emagrecimento rápido, sem a prática regular de exercícios físicos, pode levar a uma perda da massa muscular ao invés da gordura, trazendo inúmeros prejuízos à saúde.

A perda de peso e suas consequências
Com a eliminação da massa muscular, há gradativa redução da força, inclusive nos músculos ao redor da coluna, que perdem a capacidade de sustentação. Isso gera uma maior sobrecarga, o que pode acarretar em uma protrusão ou hérnia de disco, entre outros problemas.

A perda de massa magra atinge diretamente os músculos esqueléticos, que sustentam a coluna vertebral. Isso pode gerar dor.

Os diversos fatores envolvidos no emagrecimento
O emagrecimento depende de diversos fatores, tais como: idade, peso inicial, taxa metabólica, nível de estresse, atividade profissional e prática esportiva. O que faz que a mesma dieta e exercício físico repercuta de maneira diferente de pessoa para pessoa.

É importante ressaltar que além da perda de massa muscular rápida, outros nutrientes importantes para o organismos podem entrar em carência, como o cálcio e o magnésio, o que contribui para o enfraquecimento ósseo e a perda de sua densidade.

Fique no controle!
Com o emagrecimento rápido, a musculatura fica flácida e perde seu tônus de maneira generalizada. Por isso, durante a perda de peso é necessária a prática de exercícios de fortalecimento para a musculatura. Com a diminuição do tônus e redução de sua ativação, essa musculatura perde a consistência e se retrai, dificultando o alongamento muscular e a movimentação funcional. Esse desequilíbrio pode gerar a dor.

Por isso, é importante conciliar uma dieta adequada, acompanhada por um profissional qualificado, juntamente com a prática de exercícios físicos regulares, com controle das atividades, para também se evitar excessos.

Dor nas costas em criança

Mochila pesada, muitas horas no sofá em frente à TV, má postura na carteira da escola. O resultado não poderia ser diferente: seu filho reclama de dor nas costas. O problema, assim como outros que fazem parte da vida moderna, já não é mais exclusividade dos adultos – e a incidência entre os pequenos só aumenta. “Antigamente a dor nas costas era sinal de algo mais grave, como alguma infecção, e costumava deixar os pediatras preocupados”, diz a reumatologista Margarida Fernandes Carvalho, presidente do Departamento de Reumatologia da Sociedade Brasileira de Pediatria. “Hoje, a reclamação é mais comum, mas sabemos que a maioria é de origem muscular. As crianças, principalmente as de centros urbanos, têm rotina de gente grande: passam mais tempo sentadas, são sedentárias e até obesas. Isso prejudica a musculatura abdominal e das costas”, explica. Não é à toa que estudos realizados em diferentes países nos últimos anos mostram que até 70% das crianças e adolescentes já se queixaram um dia de dor nas costas (nos adultos com até 50 anos, a incidência é de 80%).

A solução seria, então, investir em atividades físicas? Nem tanto. Como tudo o que é demais faz mal, se o seu filho pratica diversos esportes também pode sofrer com o sintoma. O mesmo acontece se tiver a agenda cheia. Isso porque o excesso de exercícios físicos e o estresse sobrecarregam a musculatura, provocando a dor nas costas. A boa notícia é que, em geral, na infância, o problema é mais fácil de tratar e, principalmente, de evitar. Veja como encontrar esse equilíbrio a seguir.

A causa da dor

A distensão e a tensão dos músculos são os motivos mais frequentes para a queixa do seu filho. Ele pode reclamar de dor tanto depois de um dia intenso de brincadeiras como após uma longa partida de videogame. A obesidade também é um fator de risco, pois o acúmulo de gordura na região lombar influencia a postura, além de sobrecarregar a coluna. E a mochila é uma das grandes vilãs (veja quadro na página a seguir). Outros fatores menos comuns são infecções (nos rins, pulmões ou vértebras), anormalidades da coluna, como escoliose (desvio à direita ou à esquerda) ou espondiolise (malformação da última vértebra lombar), artrite juvenil (inflamação nas articulações) e tumores.

O peso da idade

A não ser em caso de certas doenças, antes dos 5 anos é raro a criança reclamar de dor nas costas, pois as articulações e a musculatura ainda não sofreram qualquer desgaste. Por isso, é importante prestar atenção também à postura infantil. Nas fases em que ocorrem os chamados estirões de crescimento (aos 2, 7 e 14 anos), alterações como a escoliose, que nem sempre causam dor, ficam mais evidentes.

Ir ao médico nem sempre é preciso

Antes de marcar uma consulta com o pediatra, tente lembrar como foi o dia do seu filho: ele correu muito? Machucou-se enquanto jogava futebol? Ficou muitas horas em frente à TV? Nesses casos, é provável que a dor desapareça sozinha. Mas, se a queixa for constante, avise o médico. Ele vai fazer uma análise física e, se achar necessário, solicitar exames de imagem, como radiografias, ou de sangue. É importante ficar atento também se aparecerem outros sintomas, como febre e apatia, que podem indicar algo mais grave e, por isso, devem ser investigados com urgência

Caso de família

Sim, há evidências que mostram que certos tipos de doenças relacionadas à coluna e que causam dor são hereditárias. Uma pesquisa realizada com gêmeos adultos pela Universidade de Tel Aviv, em Israel, sugere que os não idênticos (que compartilham apenas metade do código genético) têm três vezes mais chance de sofrer dessa dor se o irmão também sofre. No caso dos idênticos, o risco aumenta para seis (saiba mais sobre doenças genéticas na reportagem especial de capa). Apesar de o estudo ter sido feito com adultos, se houver histórico de problemas de coluna na sua família é preciso avisar o pediatra.

Trava no pescoço

O torcicolo provocado por “mau jeito”, como acontece com os adultos, é raro na infância porque as crianças são mais flexíveis (no entanto, existe um tipo que é congênito: uma malformação muscular que “entorta” o pescoço para um dos lados e pode ser corrigida com fisioterapia desde os primeiros meses de vida ou cirurgia). Vale lembrar que o uso de travesseiro só é recomendado a partir do primeiro ano de vida por causa do risco de sufocamento. E, independentemente do material com que for fabricado, o ideal é que ele mantenha coluna, pescoço e cabeça alinhados quando a criança estiver deitada de lado.

Alívio para os sintomas

Quando a dor nas costas do seu filho for de causa muscular, o pediatra pode indicar compressas quentes, relaxantes musculares e analgésicos. Ele também vai dar orientações sobre a postura correta e indicar exercícios para alongar e fortalecer os músculos, que podem ser acompanhados por um fisioterapeuta ou professor de Educação Física. Já as dores causadas por doença mais graves, que vão de infecções a alterações na coluna, vão ser tratadas com antibióticos, anti-inflamatórios ou cirurgias corretivas, de acordo com a origem do problema.

Como proteger seu filho

Desde os primeiros anos de vida, a criança tem de aprender a cuidar da postura. Ao pegar algo no chão, por exemplo, ensine-a a dobrar os joelhos e não as costas. Para sentar, seja no sofá, na cadeira ou na carteira da escola, a coluna tem de ficar reta e as coxas, paralelas ao chão. Compromissos demais além da escola podem “roubar” o tempo que o seu filho tem para brincar – e descansar também. Isso sem falar na pressão que uma agenda de adulto pode trazer. O hábito de praticar esportes tem de começar na infância. Um estudo dinamarquês feito com crianças de 9 anos mostrou que aquelas que praticavam atividades físicas regularmente tinham menos chance de sofrer de dores nas costas aos 12.

Fonte: Revista Crescer

Dor na coluna cervical: Causas e tratamento

É muito comum encontrarmos pessoas que sofrem ou já sofreram com dores no pescoço. Em maior ou menor intensidade, a maior parte da população é afetada pela cervicalgia ou, simplesmente, dor cervical. Em grande parte dos casos, a dor surge e desaparece espontaneamente. A rigidez no pescoço, normalmente, acompanha a dor, que pode irradiar para os braços ou para a região dos ombros.

Mas em outros casos, a dor cervical pode estar associada a doenças degenerativas da coluna.

Entendendo a coluna cervical

Graças a grande flexibilidade da coluna cervical, a cabeça consegue ter uma boa mobilidade em movimentos de girar, estender para trás ou flexionar para frente, por exemplo. A realização desses movimentos é possível, sobretudo, em decorrência do trabalho das articulações da coluna, que também auxiliam na proteção do conteúdo interno – a medula espinhal. Uma estrutura mais flexível, denominada disco intervertebral, localiza-se entre as vértebras, auxiliando na mobilidade e atuando como uma espécie de “amortecedor” do conjunto de vértebras. Mas com o passar dos anos, o disco pode sofrer graus variáveis de degeneração, ficando mais fino ou até mesmo se deslocando do seu local natural entre as vértebras. O resultado desse fenômeno pode ser a causa da dor na coluna cervical.

Doenças que causam dor na coluna cervical

As doenças que, comumente, causam dor na coluna cervical, são: torcicolo (dor que se limita aos músculos ao redor do pescoço), estenose cervical (formação de osteófitos, mais conhecidos como “bicos de papagaio”, que ocupam espaço e acabam comprimindo áreas onde estão presentes estruturas nervosas, causando dor, formigamentos, dormência e fraqueza), hérnia de disco cervical (ruptura na parte externa do disco intervertebral, o ânulo fibroso, com consequente deslocamento do material interno, o núcleo pulposo, que acaba comprimindo alguma raiz cervical), traumatismos, neoplasias, artrose, etc.

Além dessas doenças, outros fatores também podem contribuir para o surgimento ou agravamento da dor na coluna cervical.

 Lesões e acidentes;

 Movimentos repetitivos;

 Má postura por muitas horas;

– Estresse ou tensões emocionais.

Como a dor na coluna cervical pode ser tratada

A maior parte das condições dolorosas pode ser solucionada com o tratamento clínico. A Reconstrução Músculo-Articular da Coluna Vertebral (RMA da Coluna Vertebral) é um método não-cirúrgico, desenvolvido pelo ITC Vertebral para tratar diferentes tipos de lesões na coluna, como a cervicalgia (dor na coluna cervical). O programa fisioterapêutico utiliza técnicas de Fisioterapia Manual, Mesa de Tração Eletrônica, Mesa de Descompressão Dinâmica, Estabilização Vertebral e exercícios de Musculação ou Pilates.

Veja os detalhes sobre cada etapa do Tratamento

The rest of the batting may be Kohli

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