{"id":25368,"date":"2023-07-03T09:42:05","date_gmt":"2023-07-03T12:42:05","guid":{"rendered":"https:\/\/portaldasaudenews.com\/?p=25368"},"modified":"2023-07-03T09:42:05","modified_gmt":"2023-07-03T12:42:05","slug":"autoteste-para-diagnostico-de-hpv-e-lancado-no-brasil","status":"publish","type":"post","link":"https:\/\/portaldasaudenews.com\/?p=25368","title":{"rendered":"Autoteste para diagn\u00f3stico de HPV \u00e9 lan\u00e7ado no Brasil"},"content":{"rendered":"

O lan\u00e7amento de um autoteste promete deixar o diagn\u00f3stico do HPV mais acess\u00edvel a mulheres e a homens transg\u00eaneros que mantiveram o \u00fatero, al\u00e9m de ajudar a expandir o acesso \u00e0 sa\u00fade no pa\u00eds.<\/span><\/p>\n

Nos pa\u00edses que j\u00e1 adotaram a modalidade, a paciente recebe do ginecologista o pedido m\u00e9dico e o kit de autocoleta e conserva\u00e7\u00e3o da amostra vaginal. Ela faz a coleta em casa e depois leva o material a um laborat\u00f3rio para investiga\u00e7\u00e3o. O processo \u00e9 menos invasivo e tem precis\u00e3o compar\u00e1vel ao procedimento realizado no consult\u00f3rio m\u00e9dico.<\/span><\/p>\n

A multinacional BD (Becton Dickinson Ind\u00fastrias Cir\u00fargicas Ltda), do ramo de tecnologia m\u00e9dica, comercializa no pa\u00eds tr\u00eas tipos de kits: o Rovers Evalyn Brush, da Rovers Medical Devices BV, o Copan FLOQSwabs e o Copan Self FloqSwabs (este tamb\u00e9m representado pela Roche), da empresa Copan It\u00e1lia SPA \u2014todos aprovados pela Anvisa (Ag\u00eancia Nacional de Vigil\u00e2ncia Sanit\u00e1ria).<\/span><\/p>\n

\u00a0<\/span>“A tecnologia foi criada como uma alternativa aos testes cl\u00ednicos tradicionais e torna o exame preventivo mais acess\u00edvel, mais conveniente e igualmente seguro ao m\u00e9todo realizado em cl\u00ednicas e laborat\u00f3rios. Pessoas que vivem em \u00e1reas remotas ou com acesso limitado aos cuidados de sa\u00fade podem ser testadas em um per\u00edodo de tempo menor”, afirma a ginecologista Neila Speck, professora da Unifesp (Universidade Federal de S\u00e3o Paulo) e presidente da Comiss\u00e3o Nacional Especializada no Trato Genital Inferior da Febrasgo (Federa\u00e7\u00e3o Brasileira das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia).<\/span><\/p>\n

Existem pa\u00edses que j\u00e1 utilizam a autocoleta como a primeira estrat\u00e9gia para rastreamento de c\u00e2ncer de colo de \u00fatero. “Na Austr\u00e1lia, a mulher n\u00e3o vai mais a um centro de sa\u00fade para fazer o papanicolau. Ela coleta o material em casa e encaminha a um servi\u00e7o de sa\u00fade. A paciente s\u00f3 ser\u00e1 convocada para ir ao centro de sa\u00fade se o resultado do teste for positivo para o HPV”, explica a especialista.<\/span><\/p>\n

“Na nossa \u00e1rea existe o estigma da mulher fazer anualmente o exame de papanicolau, que tem as suas limita\u00e7\u00f5es. S\u00f3 tem c\u00e2ncer de colo de \u00fatero quem tem HPV de alto risco. Ent\u00e3o, fazer o papanicolau em quem n\u00e3o foi exposta ao HPV \u00e9 desnecess\u00e1rio. Por outro lado, para a mulher exposta ao HPV o papanicolau tem uma sensibilidade baixa em diagn\u00f3stico e pode falhar”, afirma a m\u00e9dica.<\/span><\/p>\n

“O autoteste tem uma sensibilidade muito mais alta que o papanicolau, pode ser feito com intervalos mais longos, a cada cinco anos, e representa uma economia em sa\u00fade. Pensando em sa\u00fade p\u00fablica, ele \u00e9 muito melhor, d\u00e1 uma sensibilidade e seguran\u00e7a maior e gera economia a longo prazo. Claro que se a mulher tem dor, sangramento, corrimento ou outra queixa ela precisa ir ao m\u00e9dico”, diz a ginecologista.<\/span><\/p>\n

O Hospital S\u00edrio-Liban\u00eas, em S\u00e3o Paulo, come\u00e7ar\u00e1 a oferecer a nova tecnologia no segundo semestre deste ano. A institui\u00e7\u00e3o aguarda a entrega do dispositivo de autocoleta para realizar o treinamento das equipes assistenciais. A previs\u00e3o \u00e9 que a tecnologia esteja dispon\u00edvel a partir de agosto.<\/span><\/p>\n

A testagem ser\u00e1 realizada mediante solicita\u00e7\u00e3o m\u00e9dica. A paciente poder\u00e1 optar pela autocoleta, ap\u00f3s receber orienta\u00e7\u00f5es da equipe assistencial, ou pela convencional.<\/span><\/p>\n

De acordo com a assessoria de imprensa do S\u00edrio-Liban\u00eas, n\u00e3o \u00e9 um teste diferente do j\u00e1 oferecido. Ent\u00e3o, o pre\u00e7o n\u00e3o muda para as pacientes e os conv\u00eanios atendidos. O diferencial \u00e9 apenas a forma de coletar.<\/span><\/p>\n

\u00a0<\/span>Os testes para a valida\u00e7\u00e3o da nova modalidade foram feitos em parceria com a Unifesp, por meio da an\u00e1lise de cerca de 20 amostras colhidas das duas formas: convencional e pela autocoleta.<\/span><\/p>\n

\u00a0<\/span>“Os resultados foram equivalentes e seguros em rela\u00e7\u00e3o aos testes j\u00e1 existentes. A ideia \u00e9 ampliar o estudo e produzir um trabalho cient\u00edfico”, afirma o m\u00e9dico Leonardo Testagrossa, chefe do departamento de anatomia patol\u00f3gica e molecular da institui\u00e7\u00e3o.<\/span><\/p>\n

A autocoleta n\u00e3o faz parte do Rol de Procedimentos e Eventos em Sa\u00fade da ANS (Ag\u00eancia Nacional de Sa\u00fade Suplementar), e portanto n\u00e3o \u00e9 de cobertura obrigat\u00f3ria pelos planos de sa\u00fade. O Rol vigente contempla tr\u00eas tipos de exames para investiga\u00e7\u00e3o de HPV: tipagem por PCR, detec\u00e7\u00e3o do DNA por t\u00e9cnicas de hibridiza\u00e7\u00e3o e detec\u00e7\u00e3o por t\u00e9cnicas imuno-histoqu\u00edmicas, de acordo com a ag\u00eancia.<\/span><\/p>\n

\u00a0<\/span>O Minist\u00e9rio da Sa\u00fade afirmou que ainda n\u00e3o h\u00e1 pedido de avalia\u00e7\u00e3o na Conitec (Comiss\u00e3o Nacional de Incorpora\u00e7\u00e3o de Tecnologias no Sistema \u00danico de Sa\u00fade) para que a tecnologia seja oferecida pelo SUS.<\/span><\/p>\n

\u00a0<\/span>O \u00fanico exame coberto pelo SUS para a preven\u00e7\u00e3o do c\u00e2ncer de colo uterino \u00e9 o papanicolau. “Os meios cient\u00edfico e acad\u00eamico est\u00e3o numa luta grande para que o Minist\u00e9rio da Sa\u00fade comece a fazer o teste de DNA do v\u00edrus HPV como estrat\u00e9gia de rastreio do c\u00e2ncer de colo do \u00fatero, mesmo que a princ\u00edpio n\u00e3o seja por autocoleta”, diz Neila Speck.<\/span><\/p>\n

 <\/p>\n

*Por Folha Press via Bahia Not\u00edcias<\/span><\/p>\n

*Foto: Istock<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

O lan\u00e7amento de um autoteste promete deixar o diagn\u00f3stico do HPV mais acess\u00edvel a mulheres<\/p>\n","protected":false},"author":1,"featured_media":22480,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[48,28],"tags":[],"class_list":["post-25368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-brasil","category-saude-brasil"],"yoast_head":"\nAutoteste para diagn\u00f3stico de HPV \u00e9 lan\u00e7ado no Brasil - Portal da Sa\u00fade News<\/title>\n<meta name=\"description\" content=\"Nos pa\u00edses que j\u00e1 adotaram a modalidade, a paciente recebe o pedido m\u00e9dico e o kit de autocoleta e conserva\u00e7\u00e3o da amostra vaginal.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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