{"id":18015,"date":"2022-08-05T19:35:05","date_gmt":"2022-08-05T19:35:05","guid":{"rendered":"https:\/\/test-southcoast-health-multi.southcoast-health.org\/news\/southcoast-stroke-treatment\/"},"modified":"2022-08-05T19:35:05","modified_gmt":"2022-08-05T19:35:05","slug":"southcoast-stroke-treatment","status":"publish","type":"news","link":"https:\/\/www.southcoast.org\/pt\/news\/southcoast-stroke-treatment\/","title":{"rendered":"Dr. Daniel Sacchetti lidera o programa de AVC da Southcoast Health"},"content":{"rendered":"

Cerca de tr\u00eas vezes por dia, um paciente \u00e9 trazido a um dos tr\u00eas centros de emerg\u00eancia da Southcoast Health com sintomas de derrame. O tempo j\u00e1 est\u00e1 a contar para esses pacientes, para os quais o tratamento deve come\u00e7ar rapidamente para limitar os danos que um AVC, por vezes chamado de \"ataque cerebral\", causa.<\/p>\n\n\n\n

Com um grande n\u00famero de idosos e elevadas taxas de tabagismo e obesidade, a regi\u00e3o da Costa Sul tem uma popula\u00e7\u00e3o com maior risco de doen\u00e7as cardiovasculares, incluindo o AVC. Em 2020, cerca de 900 pacientes com AVC foram tratados nos hospitais da Southcoast Health atrav\u00e9s do programa Centro do c\u00e9rebro e da coluna vertebral de Southcoast<\/a> sob a dire\u00e7\u00e3o de um neurocirurgi\u00e3o Dr. Matthew Philips<\/a>.<\/p>\n\n\n\n

Em setembro passado, a Dra. Philips recrutou o neurologista Dr. Daniel Sacchetti<\/a> para desempenhar as fun\u00e7\u00f5es de diretor do sistema de sa\u00fade para o AVC, coordenando os esfor\u00e7os dos neurologistas da Southcoast Health e dos prestadores de cuidados avan\u00e7ados que diagnosticam e tratam as v\u00edtimas de AVC. O Dr. Sacchetti trabalha a partir de Hospital St. Luke's<\/a> em New Bedford, coordenando os esfor\u00e7os de especialistas em Hospital Memorial de Charlton<\/a> e Hospital Tobey<\/a>.<\/p>\n\n\n\n

O Dr. Sacchetti disse que cerca de 87 por cento das v\u00edtimas de AVC sofrem AVC isqu\u00e9mico, que resulta do bloqueio de uma art\u00e9ria que leva sangue ao c\u00e9rebro por co\u00e1gulos sangu\u00edneos, resultando em sintomas que podem incluir vis\u00e3o turva, fraqueza ou dorm\u00eancia nos bra\u00e7os ou pernas, boca ca\u00edda, fala arrastada e confus\u00e3o mental. As restantes v\u00edtimas de AVC sofrem de AVC hemorr\u00e1gico - rutura de vasos sangu\u00edneos que causa hemorragia no c\u00e9rebro.<\/p>\n\n\n\n

Para prestar cuidados o mais rapidamente poss\u00edvel, os Southcoast Hospitals utilizam a telemedicina para fornecer consultas especializadas a pacientes que chegam ao departamento de emerg\u00eancia com sintomas de AVC. Essa tecnologia vem sendo usada h\u00e1 anos porque permite que os neurologistas observem os sintomas de um paciente e coordenem prontamente os cuidados com os m\u00e9dicos do pronto-socorro e especialistas em imagens.<\/p>\n\n\n\n

\"A telemedicina j\u00e1 existe h\u00e1 muito tempo, especificamente relacionada com os acidentes vasculares cerebrais\", afirmou. \"A neurologia e a psiquiatria est\u00e3o mais vocacionadas para a telemedicina\".<\/p>\n\n\n\n

Normalmente, os m\u00e9dicos pedem um exame de TC (tomografia computorizada) imediatamente ap\u00f3s a chegada do doente para determinar se este est\u00e1 a sofrer um AVC hemorr\u00e1gico. A maioria dos doentes com AVC hemorr\u00e1gico, bem como os que sofrem um bloqueio numa art\u00e9ria principal, ter\u00e3o de receber cuidados avan\u00e7ados extensivos.<\/p>\n\n\n\n

Se a TAC indicar que n\u00e3o h\u00e1 hemorragia no c\u00e9rebro, os doentes s\u00e3o avaliados para eventual tratamento.<\/p>\n\n\n\n

Ocasionalmente, os m\u00e9dicos podem administrar medicamentos que dissolvem os co\u00e1gulos sangu\u00edneos e, muitas vezes, restauram a fun\u00e7\u00e3o do paciente se o tratamento for iniciado dentro de quatro horas e meia ap\u00f3s o in\u00edcio dos sintomas. \"A isto chama-se terapia trombol\u00edtica<\/a>E \u00e9 altamente eficaz se esses medicamentos para desobstruir co\u00e1gulos forem administrados prontamente\", disse o Dr. Sacchetti. Se houver uma art\u00e9ria principal oclu\u00edda, os pacientes podem ser submetidos a uma interven\u00e7\u00e3o para remover a art\u00e9ria bloqueada. Esse procedimento pode, \u00e0s vezes, ser realizado at\u00e9 24 horas ap\u00f3s o in\u00edcio dos sintomas.<\/p>\n\n\n\n

\"Na verdade, o que importa \u00e9 o tempo decorrido. Quanto mais cedo for iniciado o tratamento, melhores s\u00e3o as hip\u00f3teses de o doente recuperar a fun\u00e7\u00e3o.\"<\/p>\n\n\n\n

Muitos doentes n\u00e3o reconhecem que est\u00e3o a ter um AVC e chegam ao hospital demasiado tarde para que a terapia trombol\u00edtica seja eficaz, pelo que muitos casos de AVC isqu\u00e9mico n\u00e3o podem ser tratados. As campanhas de educa\u00e7\u00e3o p\u00fablica sobre os sintomas do AVC s\u00e3o essenciais para melhorar a chegada atempada e o potencial tratamento do AVC.<\/p>\n\n\n\n

Ap\u00f3s a avalia\u00e7\u00e3o do potencial tratamento, os doentes ser\u00e3o admitidos no hospital e submetidos a um exame de diagn\u00f3stico para determinar a causa do AVC, uma vez que muitas doen\u00e7as diferentes podem provocar um AVC. Normalmente, os doentes fazem um exame de resson\u00e2ncia magn\u00e9tica (RMN), que utiliza \u00edmanes e ondas de r\u00e1dio para identificar o tecido cerebral danificado causado por um AVC isqu\u00e9mico. Outros exames comuns incluem monitoriza\u00e7\u00e3o card\u00edaca, um ecocardiograma para avaliar a fun\u00e7\u00e3o card\u00edaca e v\u00e1rias an\u00e1lises laboratoriais.<\/p>\n\n\n\n

Ap\u00f3s o tratamento agudo, os doentes s\u00e3o frequentemente medicados com estatinas e aspirina para prevenir futuros AVC. No entanto, o melhor tratamento preventivo \u00e9 a altera\u00e7\u00e3o dos h\u00e1bitos de vida: deixar de fumar, reduzir o peso, limitar o consumo de \u00e1lcool, adotar uma dieta mais saud\u00e1vel e praticar exerc\u00edcio f\u00edsico regular, afirmou o Dr. Sacchetti.<\/p>\n\n\n\n

\"Este tipo de mudan\u00e7as oferece a maior recompensa\", afirmou.<\/p>\n\n\n\n

O Dr. Sacchetti obteve o seu bacharelato no Boston College e o seu mestrado na Universidade de Boston. Obteve o grau de doutor em osteopatia no New England College of Osteopathic Medicine, no Maine, e completou uma resid\u00eancia em neurologia de adultos no Rhode Island Hospital\/Brown University. Concluiu uma bolsa de estudos em neurologia vascular no New York-Presbyterian Hospital\/Weill Cornell Medical College em Nova Iorque. Natural de Braintree, vive em Barrington, R.I., com a sua mulher e duas filhas.<\/p>","protected":false},"author":20,"featured_media":4431,"template":"","categories":[1233],"class_list":["post-18015","news","type-news","status-publish","has-post-thumbnail","hentry","category-awards-and-achievements"],"acf":[],"yoast_head":"\nDr. Daniel Sacchetti spearheading Southcoast Health\u2019s stroke treatment<\/title>\n<meta name=\"description\" content=\"Dr. Daniel Sacchetti aims to coordinate the efforts of neurologists and advanced care providers who diagnose and treat stroke victims.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/test-southcoast-health-multi.southcoast-health.org\/news\/southcoast-stroke-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr. Daniel 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