Trombose pode acontecer até quatro semanas após recuperação da Covid-19

Unidade de Terapia Intensiva, UTI, Hospital, pacientes, tratamento, internação, equipamento hospitalar

Uma pesquisa da Sociedade Brasileira de Angiologia e de Cirurgia Vascular identificou que 39% dos profissionais da área atenderam pelo menos um caso de trombose venosa ou embolia em pacientes que testaram positivo para Covid-19 em 2020.

“Já foi estudado e comprovado que chega a ser três vezes maior a incidência de tromboembolismo venoso em pacientes com Covid-19 severo, mesmo quando comparado com outros pacientes graves em ambiente de UTI [unidade de terapia intensiva], mas que não possuem a doença infecciosa”, relata o cirurgião vascular Ivan Benaduce Casella, membro da Comissão de Tromboembolismo Venoso da entidade.

O especialista explica ainda que, principalmente em casos moderados e graves, há um grande processo inflamatório no organismo que, consequentemente, leva à formação de trombos (coagulações de sangue no interior do vaso sanguíneo).

Por isso, pessoas com pré-disposição à trombose, quando diagnosticadas com Covid-19, precisam de acompanhamento com angiologista ou cirurgião vascular, para evitar a coagulação excessiva durante a infecção. Segundo o médico, é importante que esses pacientes, durante o quadro do novo coronavírus, mantenham supervisão da especialidade mesmo após a sua recuperação. 

“Para quem teve Covid-19, particularmente nas formas mais severas, há uma tendência de risco de eventos de trombose venosa nas quatro semanas após o período de recuperação. Então, essas pessoas devem prestar atenção a edemas [inchaço] unilaterais – de uma única perna – ou sintomas súbitos ventilatórios, quando a pessoa sente falta de ar ou dor torácica. Esses são alguns dos sintomas de tromboembolismo venoso”, alerta Casella.

Alerta

O cirurgião vascular e responsável pela pesquisa sobre a relação entre os eventos trombóticos e a Covid-19, Marcelo Calil Burihan, completa que a trombose pode ocorrer pelo processo inflamatório causado pelo vírus. Ele afirma ainda que os casos de entupimento das artérias tiveram um grande aumento em decorrência da covid-19.

“Muitas obstruções arteriais de membros superiores [braços, antebraços e mãos] estão ocorrendo em maior proporção, assim como dos membros inferiores, que normalmente já são mais frequentes. Os sintomas mais comuns nesses casos agudos são dor lancinante [pontadas, fisgadas internas], frialdade e palidez da extremidade acometida”, explica. 

Fonte: Agência Brasil
Foto: Marcello Casal Jr./Agência Brasil

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