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Quatro coisas que os pacientes devem saber" fetchpriority="high" sizes="100vw" srcSet="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 480w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 640w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 750w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 828w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 1080w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 1200w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 1920w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 2048w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500 3840w" src="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/fattyliver.jpg?mw=500" decoding="async" data-nimg="fill" loading="eager" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent"/></div></a><div class="FeaturedArticlesWidget_textContainer__Fic__"><a class="FeaturedArticlesWidget_featuredHeader__HUDwt false" tabindex="0" href="/pt/casa/news/editorial/2024/05/02/13/43/what-is-fatty-liver?sccamp=sccamp">O que é fígado gorduroso? Quatro coisas que os pacientes devem saber</a><div class="FeaturedArticlesWidget_featuredDetails__qDps9"><a class="FeaturedArticlesWidget_contentDate__TYO7F false" tabindex="-1" href="/pt/casa/news/editorial/2024/05/02/13/43/what-is-fatty-liver?sccamp=sccamp">02/05/24</a></div><div class="FeaturedArticlesWidget_featuredDescription__7eT2z"><div>Há muitos problemas de saúde por aí com nomes médicos obscuros e difíceis de pronunciar. E depois, temos o fígado gorduroso, um termo inquietante que assusta muitos pacientes. O fígado gorduroso...</div></div><div class="FeaturedArticlesWidget_featuredLink__TR0nJ"><a tabindex="0" class="false" href="/pt/casa/news/editorial/2024/05/02/13/43/what-is-fatty-liver?sccamp=sccamp">Ler todos</a></div></div></div></div><div class="carousel-item"><div data-testid="FeaturedArticledWidget" class=" FeaturedArticlesWidget_articleContainer__amoj2 FeaturedArticlesWidget_backgroundWhite__SFkZL" id="4eec8fe9-876e-47ba-acc4-abb96c3a0de9"><a data-testid="imageLink" dir="ltr" class="FeaturedArticlesWidget_imageContainer__8kiPQ false" tabindex="0" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp"><div><img alt="Gastroenterite por norovírus" sizes="100vw" srcSet="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 480w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 640w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 750w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 828w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 1080w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 1200w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 1920w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 2048w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500 3840w" src="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/norovirus_carousel.jpg?mw=500" decoding="async" data-nimg="fill" loading="lazy" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent"/></div></a><div class="FeaturedArticlesWidget_textContainer__Fic__"><a class="FeaturedArticlesWidget_featuredHeader__HUDwt false" tabindex="0" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp">Gastroenterite por norovírus</a><div class="FeaturedArticlesWidget_featuredDetails__qDps9"><div class="FeaturedArticlesWidget_authorsDetailsTopic__N4bJh"><a data-testid="authorLink" class="FeaturedArticlesWidget_authorNameTopicInternal__wVTNh false" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp">Jonathan Gotfried</a><br/><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp">MD</a><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp">, Lewis Katz School of Medicine at Temple University</a><span class="FeaturedArticlesWidget_authorDetailsSeparator__KtBEV">;</span></div></div><div class="FeaturedArticlesWidget_featuredDescription__7eT2z"><div>A gastroenterite é uma inflamação do revestimento gástrico e dos intestinos grosso e delgado. Ela pode ser causada pelo norovírus. O norovírus é muito contagioso e é transmitido por contato...</div></div><div class="FeaturedArticlesWidget_featuredLink__TR0nJ"><a tabindex="0" class="false" href="/pt/casa/dist%C3%BArbios-digestivos/gastroenterite/gastroenterite-por-norov%C3%ADrus?sccamp=sccamp">Ler todos</a></div></div></div></div><div class="carousel-item"><div data-testid="FeaturedArticledWidget" class=" FeaturedArticlesWidget_articleContainer__amoj2 FeaturedArticlesWidget_backgroundWhite__SFkZL" id="8fc41eec-767c-4381-b914-3d6feb9f83dd"><a data-testid="imageLink" dir="ltr" class="FeaturedArticlesWidget_imageContainer__8kiPQ false" tabindex="0" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp"><div><img alt="Exame e prevenção do câncer de colo de útero" sizes="100vw" srcSet="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 480w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 640w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 750w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 828w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 1080w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 1200w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 1920w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 2048w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500 3840w" src="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/cervical_cancer_carousel.jpg?mw=500" decoding="async" data-nimg="fill" loading="lazy" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent"/></div></a><div class="FeaturedArticlesWidget_textContainer__Fic__"><a class="FeaturedArticlesWidget_featuredHeader__HUDwt false" tabindex="0" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">Exame e prevenção do câncer de colo de útero</a><div class="FeaturedArticlesWidget_featuredDetails__qDps9"><div class="FeaturedArticlesWidget_authorsDetailsTopic__N4bJh"><a data-testid="authorLink" class="FeaturedArticlesWidget_authorNameTopicInternal__wVTNh false" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">Pedro T. Ramirez</a><br/><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">MD</a><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">, Houston Methodist Hospital</a><span class="FeaturedArticlesWidget_authorDetailsSeparator__KtBEV">;</span></div><div class="FeaturedArticlesWidget_authorsDetailsTopic__N4bJh"><a data-testid="authorLink" class="FeaturedArticlesWidget_authorNameTopicInternal__wVTNh false" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">Gloria Salvo</a><br/><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">MD</a><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">, MD Anderson Cancer Center</a><span class="FeaturedArticlesWidget_authorDetailsSeparator__KtBEV">;</span></div></div><div class="FeaturedArticlesWidget_featuredDescription__7eT2z"><div>O câncer do colo do útero se desenvolve no colo do útero (a parte inferior do útero). A maioria dos tipos de câncer do colo do útero é causada por uma infecção pelo papilomavírus humano (HPV)...</div></div><div class="FeaturedArticlesWidget_featuredLink__TR0nJ"><a tabindex="0" class="false" href="/pt/casa/problemas-de-sa%C3%BAde-feminina/c%C3%A2nceres-do-sistema-reprodutor-feminino/exame-e-preven%C3%A7%C3%A3o-do-c%C3%A2ncer-de-colo-de-%C3%BAtero?sccamp=sccamp">Ler todos</a></div></div></div></div><div class="carousel-item"><div data-testid="FeaturedArticledWidget" class=" FeaturedArticlesWidget_articleContainer__amoj2 FeaturedArticlesWidget_backgroundWhite__SFkZL" id="857bde11-1797-4fe7-a267-1dd8149e45e7"><a data-testid="imageLink" dir="ltr" class="FeaturedArticlesWidget_imageContainer__8kiPQ false" tabindex="0" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp"><div><img alt="Afogamento" sizes="100vw" srcSet="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 480w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 640w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 750w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 828w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 1080w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 1200w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 1920w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 2048w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500 3840w" src="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/manual/hero_images/drowning.jpg?mw=500" decoding="async" data-nimg="fill" loading="lazy" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent"/></div></a><div class="FeaturedArticlesWidget_textContainer__Fic__"><a class="FeaturedArticlesWidget_featuredHeader__HUDwt false" tabindex="0" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp">Afogamento</a><div class="FeaturedArticlesWidget_featuredDetails__qDps9"><div class="FeaturedArticlesWidget_authorsDetailsTopic__N4bJh"><a data-testid="authorLink" class="FeaturedArticlesWidget_authorNameTopicInternal__wVTNh false" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp">David Richards</a><br/><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp">MD</a><a class="FeaturedArticlesWidget_authorTopicDetails__QsRIr false" tabindex="-1" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp">, University of Colorado School of Medicine</a><span class="FeaturedArticlesWidget_authorDetailsSeparator__KtBEV">;</span></div></div><div class="FeaturedArticlesWidget_featuredDescription__7eT2z"><div>O afogamento ocorre quando a submersão em líquido causa asfixia ou interfere na respiração. Durante o afogamento, o corpo fica privado de oxigênio, o que pode danificar os órgãos, particularmente...</div></div><div class="FeaturedArticlesWidget_featuredLink__TR0nJ"><a tabindex="0" class="false" href="/pt/casa/les%C3%B5es-e-envenenamentos/afogamento/afogamento?sccamp=sccamp">Ler todos</a></div></div></div></div></div><a class="carousel-control-prev" role="button" tabindex="0" href="#"><span aria-hidden="true" class="carousel-control-prev-icon"></span><span class="visually-hidden">Previous</span></a><a class="carousel-control-next" role="button" tabindex="0" href="#"><span aria-hidden="true" class="carousel-control-next-icon"></span><span class="visually-hidden">Next</span></a></div></div></div></div><div dir="ltr" class="LeftpanelContainer_rightcolumn__Txshs"><div data-testid="QuickLinks" class="QuickLinks_quicklinks__FNkT1"><div class="QuickLinks_boxheaderDesktop__W0pW1"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div 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src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27326%27%20height=%2790%27/%3e"/></span><img useMap="#mobileD47D1C0D32B44D399163CB974F97495C" alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img useMap="#mobileD47D1C0D32B44D399163CB974F97495C" alt="" srcSet="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=384&q=75 1x, /_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=750&q=75 2x" src="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=750&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" loading="lazy"/></noscript></span><map name="mobileD47D1C0D32B44D399163CB974F97495C"><area shape="RECT" coords="202,51,297,80" href="https://play.google.com/store/apps/details?id=com.msd.professionalPortugese&referrer=utm_source%3DMMWeb%26utm_medium%3Dbanner%26utm_content%3DTopic1Vertical%26utm_campaign%3DWebAppAds" target="_blank" alt="ANDROID" /> <area shape="RECT" coords="176,79,90,53" href="https://apps.apple.com/app/vers%C3%A3o-para-profissionais-de-sa%C3%BAde-do-manual-msd/id1206883910" target="_blank" alt="iOS" /></map></div><div class="MarketingBlock_marketingBlockTablet__WAnsP MarketingBlock_MarginTopTablet__a_zCb"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27326%27%20height=%2790%27/%3e"/></span><img useMap="#tabletD47D1C0D32B44D399163CB974F97495C" alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img useMap="#tabletD47D1C0D32B44D399163CB974F97495C" alt="" srcSet="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=384&q=75 1x, /_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=750&q=75 2x" src="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_pro_326.gif&w=750&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" loading="lazy"/></noscript></span><map name="tabletD47D1C0D32B44D399163CB974F97495C"><area shape="RECT" coords="202,51,297,80" href="https://play.google.com/store/apps/details?id=com.msd.professionalPortugese&referrer=utm_source%3DMMWeb%26utm_medium%3Dbanner%26utm_content%3DTopic1Vertical%26utm_campaign%3DWebAppAds" target="_blank" alt="ANDROID" /> <area shape="RECT" coords="176,79,90,53" href="https://apps.apple.com/app/vers%C3%A3o-para-profissionais-de-sa%C3%BAde-do-manual-msd/id1206883910" target="_blank" alt="iOS" /></map></div><div class="undefined MarketingBlock_MarginTopDesktop__AuOaa"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27326%27%20height=%2790%27/%3e"/></span><img useMap="#desktopD47D1C0D32B44D399163CB974F97495C" alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img useMap="#desktopD47D1C0D32B44D399163CB974F97495C" alt="" srcSet="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_qr_pro_326.gif&w=384&q=75 1x, /_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_qr_pro_326.gif&w=750&q=75 2x" src="/_next/image?url=https%3A%2F%2Fedge.sitecorecloud.io%2Fmmanual-ssq1ci05%2Fmedia%2Fmanual%2Fmarketing%2Fmobileqr%2Fpt_msd_mobile_qr_pro_326.gif&w=750&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" loading="lazy"/></noscript></span><map name="desktopD47D1C0D32B44D399163CB974F97495C"><area shape="RECT" coords="202,51,297,80" href="https://play.google.com/store/apps/details?id=com.msd.professionalPortugese&referrer=utm_source%3DMMWeb%26utm_medium%3Dbanner%26utm_content%3DTopic1Vertical%26utm_campaign%3DWebAppAds" target="_blank" alt="ANDROID" /> <area shape="RECT" coords="176,79,90,53" href="https://apps.apple.com/app/vers%C3%A3o-para-profissionais-de-sa%C3%BAde-do-manual-msd/id1206883910" target="_blank" alt="iOS" /></map></div></div></div></div></div></div><div class="LeftpanelContainer_leftsidecontainer__P_e9W"><div class="LeftpanelContainer_leftcolumn__vvJGO"><div class=" TwoColumnContainer_twoColumnContainer__naqJB false false false TwoColumnContainer_homeTwoColumnContainer__YFjbB false"><div class="TwoColumnContainer_twoColumnLeftContainer___qdim"><div class=" undefined false FeaturedMediaWidget_homeMedia__MzN7_ " data-testid="featuredMediaWidget"><div class="FeaturedMediaWidget_FeaturedMedia__DZ8_2"><div class="FeaturedMediaWidget_displayDesktop__PWqob"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"></div><a class="TitleViewAll_viewAll__oHb5Z" href="/pt/casa/pages-with-widgets/vídeos" aria-label="Visualizar tudo Vídeo">Visualizar tudo</a></div></div><div data-testid="MultiMediaWidget"><div data-testid="ArticleWidget" class="FeaturedMediaWidget_articleTitleMobile___6oPW"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"></div><a class="TitleViewAll_viewAll__oHb5Z" href="/pt/casa/pages-with-widgets/vídeos" aria-label="Visualizar tudo">Visualizar tudo</a></div></div><div data-testid="ThumbnailClick"><div class="Thumbnail_Thumbnail__DPkVU"><div class="Thumbnail_featuredWidget__NRWxf Thumbnail_featuredWidgetColor__yvciI undefined "><div class="Thumbnail_widget__iUCXb Thumbnail_homepagewidget__eS6A7 false"><div class="Thumbnail_feature__6dzIi" style="height:300px" tabindex="0" role="button" aria-label=" Vídeo" aria-expanded="false"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" sizes="100vw" srcSet="https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 480w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 640w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 750w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 828w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 1080w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 1200w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 1920w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 2048w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500 3840w" src="https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/8666f032-28c8-4b76-b1f5-d8f8d006d5a4/28919b6d-0bde-4429-a9af-862a9eb25a82/1280x720/match/image.jpg?mw=500" decoding="async" data-nimg="fill" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/></span><div class="Thumbnail_icon__OYKmo" data-testid="setShow"> </div></div><div class="Thumbnail_featuredMediaOverlay__qdHnp"><div class="Thumbnail_featuredMediaPlayButton__k2_Sz Thumbnail_playHome__4t8Jl"></div></div><div class="Thumbnail_tag__r0NT3"></div></div></div></div></div></div></div></div><div class=" undefined false FeaturedMediaWidget_homeMedia__MzN7_ " data-testid="featuredMediaWidget"><div class="FeaturedMediaWidget_FeaturedMedia__DZ8_2"><div class="FeaturedMediaWidget_displayDesktop__PWqob"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><a class="TitleViewAll_viewAllEnd__meZWG" href="/pt/casa/pages-with-widgets/vídeos" aria-label="Visualizar tudo Vídeo">Visualizar tudo</a></div></div><div data-testid="MultiMediaWidget"><div data-testid="ArticleWidget" class="FeaturedMediaWidget_articleTitleMobile___6oPW"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"></div><a class="TitleViewAll_viewAll__oHb5Z" href="/pt/casa/pages-with-widgets/vídeos" aria-label="Visualizar tudo">Visualizar tudo</a></div></div><div data-testid="ThumbnailClick"><div class="Thumbnail_Thumbnail__DPkVU"><div class="Thumbnail_featuredWidget__NRWxf Thumbnail_featuredWidgetColor__yvciI undefined "><div class="Thumbnail_widget__iUCXb Thumbnail_homepagewidget__eS6A7 false"><div class="Thumbnail_feature__6dzIi" style="height:300px" tabindex="0" role="button" aria-label=" Vídeo" aria-expanded="false"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" sizes="100vw" srcSet="https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 480w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 640w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 750w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 828w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 1080w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 1200w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 1920w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 2048w, https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500 3840w" src="https://cf-images.us-east-1.prod.boltdns.net/v1/static/3850378299001/094038db-6631-413f-b16f-b287e8cad9b9/5528d888-9fc2-4a35-aa09-a248044849f1/1280x720/match/image.jpg?mw=500" decoding="async" data-nimg="fill" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/></span><div class="Thumbnail_icon__OYKmo" data-testid="setShow"> </div></div><div class="Thumbnail_featuredMediaOverlay__qdHnp"><div class="Thumbnail_featuredMediaPlayButton__k2_Sz Thumbnail_playHome__4t8Jl"></div></div><div class="Thumbnail_tag__r0NT3"></div></div></div></div></div></div></div></div></div><div class="TwoColumnContainer_twoColumnRightContainer__lJdo2"><div class=" undefined false FeaturedMediaWidget_homeMedia__MzN7_ " data-testid="featuredMediaWidget"><div class="FeaturedMediaWidget_FeaturedMedia__DZ8_2"><div class="FeaturedMediaWidget_displayDesktop__PWqob"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"></div><a class="TitleViewAll_viewAll__oHb5Z" href="/pt/casa/pages-with-widgets/modelos-3d" aria-label="Visualizar tudo Modelos 3D">Visualizar tudo</a></div></div><div data-testid="IFrameComponent"><div data-testid="ArticleWidget" class="FeaturedMediaWidget_articleTitleMobile___6oPW"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"></div><a class="TitleViewAll_viewAll__oHb5Z" href="/pt/casa/pages-with-widgets/modelos-3d" aria-label="Visualizar tudo">Visualizar tudo</a></div></div><div data-testid="ThumbnailClick"><div class="Thumbnail_Thumbnail__DPkVU"><div class="Thumbnail_featuredWidget__NRWxf Thumbnail_featuredWidgetColor__yvciI undefined "><div class="Thumbnail_widget__iUCXb Thumbnail_homepagewidget__eS6A7 false"><div class="Thumbnail_feature__6dzIi" style="height:300px" tabindex="0" role="button" aria-label=" MODELO 3D" aria-expanded="false"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="biodigital-male-digestive-new-cv-sized_pt" sizes="100vw" srcSet="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 480w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 640w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 750w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 828w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 1080w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 1200w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 1920w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 2048w, https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500 3840w" src="https://edge.sitecorecloud.io/mmanual-ssq1ci05/media/home/images/b/i/o/biodigital-male-digestive-new-cv-sized_pt.jpg?sc_lang=pt&mw=500" decoding="async" data-nimg="fill" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/></span><div class="Thumbnail_icon__OYKmo" data-testid="setShow"> </div></div><div class="Thumbnail_tag__r0NT3"></div></div><div dir="ltr" class="Thumbnail_divHeading__7bbME Thumbnail_descriptionheight__C5THj Thumbnail_descriptionPaddingHome__qJPKJ "><div role="button" class="false"><div class="Thumbnail_heading__uykI2 false consumer false" tabindex="0">Sistema digestivo</div></div><div><span class="Thumbnail_description__3rVL_ false"></span></div></div></div></div></div></div></div></div></div></div></div><div dir="ltr" class="LeftpanelContainer_rightcolumn__Txshs"><div data-testid="quiz" class="quiz_quizWrap__2f5_P false quiz_consumer__JlT_C } "><div class="quiz_boxHeader__RmAzr"><div class="quiz_headerText__JOy9V">Teste os seus conhecimentos</div><a class="quiz_boxViewAll__f0rJ6" href="/pt/casa/pages-with-widgets/testes">Visualizar tudo</a></div><div class="quiz_boxContent__Hwdty"><div class="quiz_quizContainer__vTko8"><div class="quiz_quizBulb__g5X3e"></div><div class="quiz_contentBody__sqWgc"><div class="quiz_quizHeader__PZKmm">Perda visual súbita</div><div class="quiz_quizBox__R64yS"><div class="quiz_quizQuestion__MX0Ad">Os médicos classificam cegueira quando:</div><ol class="quiz_quizAnswers__B56Ew"><li class="quiz_quizAnswer__5A_FB"><input class="quiz_quizCheckbox__GVxsX quiz_ltr__BusGR" type="radio" name="quizzChoices" id="options-0" aria-label="Acuidade visual é 20/200 ou pior no melhor olho, mesmo depois de corrigida" data-testid="quizzChoices" value="35654"/><span>Acuidade visual é 20/200 ou pior no melhor olho, mesmo depois de corrigida</span></li><li class="quiz_quizAnswer__5A_FB"><input class="quiz_quizCheckbox__GVxsX quiz_ltr__BusGR" type="radio" name="quizzChoices" id="options-1" aria-label="O paciente não consegue distinguir formas ou sombras" data-testid="quizzChoices" value="35655"/><span>O paciente não consegue distinguir formas ou sombras</span></li><li class="quiz_quizAnswer__5A_FB"><input class="quiz_quizCheckbox__GVxsX quiz_ltr__BusGR" type="radio" name="quizzChoices" id="options-2" aria-label="Campo visual varia de 20º a 40º no melhor olho" data-testid="quizzChoices" value="35656"/><span>Campo visual varia de 20º a 40º no melhor olho</span></li><li class="quiz_quizAnswer__5A_FB"><input class="quiz_quizCheckbox__GVxsX quiz_ltr__BusGR" type="radio" name="quizzChoices" id="options-3" aria-label="Acuidade visual é 20/100 ou pior em ambos os olhos, mesmo depois de corrigida" data-testid="quizzChoices" value="35657"/><span>Acuidade visual é 20/100 ou pior em ambos os olhos, mesmo depois de corrigida</span></li></ol></div></div><button type="button" data-testid="handleClick" class="quiz_quizSubmit__i5g_V false btn btn-primary">Estou certo(a)?</button></div></div></div></div></div><div class="LeftpanelContainer_leftsidecontainer__P_e9W"><div class="LeftpanelContainer_leftcolumn__vvJGO"><div data-testid="disclaimer" class="Disclaimer_disclaimerWrap__th9Ss themeLight" id="disclaimer"><div><div class="Disclaimer_article__M92Hc"><h2 class="Disclaimer_title__mAtw5">Isenção de Responsabilidade</h2><div><strong>Importante:</strong>os autores, revisores e editores deste material tomaram medidas abrangentes para garantir a exatidão das informações sobre tratamentos, medicamentos e discussões sobre práticas médicas e seu cumprimento às normas aceitas na época de sua publicação. Contudo, alterações constantes nas informações, resultantes de pesquisa contínua e experiência clínica, diferenças plausíveis nas opiniões entre autoridades, aspectos únicos de situações clínicas individuais e a possibilidade de erro humano em preparar um texto tão extenso significam que outras fontes de informações médicas podem diferir das informações neste site. As informações neste site não têm a intenção de ser aconselhamento profissional nem têm a intenção de substituir uma consulta pessoal com um médico, farmacêutico ou outro profissional de saúde qualificados. O leitor não deve desconsiderar aconselhamento médico nem adiar a busca por aconselhamento médico devido a alguma informação encontrada neste site.</div></div></div></div></div><div dir="ltr" class="LeftpanelContainer_rightcolumn__Txshs"><section class="EveryDayWidget_didYouKnowPearlOfTheDayContainer__s4N7P" data-testid="everydaywidget"><div class="EveryDayWidget_displayDesktop__ERgjl"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"> VOCÊ SABIA...</div></div></div><div class="EveryDayWidget_didYouKnowPearlOfTheDayBox__uRIq4 EveryDayWidget_ThemeLight__i2cPe"><div class="EveryDayWidget_displayMobile__rouYf"><div class="TitleViewAll_titleViewAll__dG_1f" data-testid="TitleViewAll"><div class="TitleViewAll_title__7fVZ_"> VOCÊ SABIA...</div></div></div><div class="EveryDayWidget_didYouKnowPearlOfTheDayBorderBox__3zuMm false"><div class="EveryDayWidget_borderedBoxContent__4eht8"><div class="EveryDayWidget_borderedBox__u5X2E"><h3 class="EveryDayWidget_boxTitle__Mpn0_" data-testid="everydaywidge-boxTitle">Infecção pelo vírus da imunodeficiência humana (HIV) em crianças e adolescentes</h3><table class="EveryDayWidget_boxDescription__5vuTO" data-testid="everydaywidge-boxDesc" tabindex="0"><tbody><tr data-testid="TopicTableBodyView"><td data-testid="TopicTableCellView" rowspan="" colSpan="" class="TopicTableCellView_tableData__4S8fd TopicTableCellView_notinpopup__ogY8m"><ul class="TopicList_topicList__IirPO undefined TopicList_tableListView__LDSQy" data-testid="topiclistList"><li data-testid="topicListItem"><p class="TopicPara_topicGHeadSectionWithoutScroll__gglfx readable TopicPara_topicPara__U9gFm para" id="v55305869_pt" data-testid="topicPara"><span data-testid="topicText" class="TopicPara_topicText__CUB0d">Nos Estados Unidos, a transmissão do HIV de uma mãe infectada para o filho diminuiu de aproximadamente 25% em 1991 para menor ou igual a 1% em 2019.</span></p></li></ul></td></tr></tbody></table></div><div 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Quatro coisas que os pacientes devem saber","summary":"Há muitos problemas de saúde por aí com nomes médicos obscuros e difíceis de pronunciar. E depois, temos o fígado gorduroso, um termo inquietante que assusta muitos pacientes. O fígado gorduroso...","body":"Há muitos problemas de saúde por aí com nomes médicos obscuros e difíceis de pronunciar. E depois, temos o fígado gorduroso, um termo inquietante que assusta muitos pacientes. O fígado gorduroso inclui um amplo espectro de quadros clínicos classificados por um acúmulo anormal de certas gorduras (triglicerídeos) dentro das células hepáticas. É, de fato, um quadro clínico grave e pode ter consequências significativas para a saúde se não for tratado adequadamente. Mas com a abordagem certa, é possível controlar e até mesmo reverter os efeitos do fígado gorduroso. Isso começa com a compreensão do quadro clínico, suas causas, quem está em risco e as medidas que as pessoas podem tomar para reduzir seu possível impacto. Aqui estão quatro coisas que os pacientes devem saber sobre fígado gorduroso. Os médicos não o chamam mais de fígado gordurosoToda a preocupação com o termo fígado gorduroso logo será coisa do passado. Em 2023, a Associação Americana para o Estudo da Doença Hepática (American Association for the Study of Liver Disease, AASLD) atualizou a nomenclatura em torno da doença esteatótica hepática e do fígado gorduroso. As alterações incluem renomear e recategorizar diferentes formas de doença esteatótica hepática. Fígado gorduroso devido a qualquer condição, exceto o consumo de grandes quantidades de álcool, geralmente era chamado de doença hepática gordurosa não alcoólica (DHGNA). No entanto, termos como “gordura” e o foco no álcool podem ser estigmatizantes e, em alguns casos, podem impedir que os pacientes busquem tratamento. Então, a AASLD atualizou o nome. A categoria geral do fígado gorduroso agora é reclassificada como doença hepática esteatótica (DHE) e fígado gorduroso associado ao metabolismo (anteriormente conhecido como fígado gorduroso não alcoólico ou FGNA) agora é conhecido como doença hepática esteatótica associada à disfunção metabólica (DHEADM). Outras alterações incluem renomear a inflamação do fígado devido à DHGNA por esteato-hepatite não alcoólica (anteriormente EHNA) para esteato-hepatite associada à disfunção metabólica (EHADM). Embora algumas pessoas ainda possam utilizar fígado gorduroso e termos mais antigos para falar sobre esses quadros clínicos, há um esforço no sentido de utilizar uma linguagem mais precisa e menos estigmatizante. Existem diferentes causas para fígado gordurosoO fígado gorduroso, agora chamado de doença hepática esteatótica, tem muitas causas diferentes. Como a atualização do nome sugere, o consumo de grandes quantidades de álcool é uma causa comum. Esse quadro clínico é chamado de doença hepática associada ao álcool (relacionada ao álcool). Por outro lado, a DHEADM inclui pelo menos um dos componentes da síndrome metabólica, como excesso de peso corporal, níveis elevados de gordura no sangue (triglicerídeos e colesterol) e resistência à insulina. A epidemia de obesidade na América está impulsionando um aumento na DHEADM. A triagem para a doença é recomendada para alguns pacientes, incluindo indivíduos com obesidade, síndrome metabólica, diabetes tipo2, histórico significativo de uso de álcool e histórico familiar de fígado gorduroso. Em alguns casos, uma combinação de fatores metabólicos e consumo de álcoolelevado podem contribuir para o fígado gorduroso. Esse quadro clínico hoje é conhecido como “DHEADM e ingestão de álcool elevada”, que é comumente chamada “DHAeM”. É importante que os pacientes entendam que até mesmo o consumo social de álcool pode ter um efeito negativo, e que não são apenas as bebidas destiladas que podem contribuir para o fígado gorduroso. Cerveja e vinho podem ter os mesmos efeitos. O fígado gorduroso é frequentemente reversívelA boa notícia é que, com a abordagem certa e mudanças no estilo de vida, os pacientes podem realmente melhorar ou resolver completamente os efeitos das doenças hepáticas gordurosas. Isso começa com a manutenção de um peso saudável com uma dieta saudável, rica em folhas verdes e pobre em açúcar e alimentos processados. Exercícios físicos regulares, limitação (ou eliminação) do consumo de álcool e controle de coisas, como pressão arterial e colesterol, também são importantes. Esses passos também podem ter uma ampla variedade de outros benefícios para a saúde. É importante começar a abordar as doenças hepáticas gordurosas, pois as alterações inflamatórias da esteato-hepatite associada à disfunção metabólica (EHADM) podem progredir para cirrose, que pode não ser reversível.Uma conversa honesta com o seu médico é o melhor lugar para começarPara indivíduos preocupados com fígado gorduroso, o melhor primeiro passo é ter uma conversa aberta com o seu médico. Seja honesto sobre o seu estilo de vida e hábitos de consumo de bebidas. Com base nessa conversa, o médico recomendará quaisquer alterações necessárias ao estilo de vida e, potencialmente, encaminhará você a um especialista gastrointestinal ou em hepatologia (fígado) para uma triagem ou para outras próximas etapas. Os médicos provavelmente orientarão que você evite limpezas do fígado ou outras desintoxicações, que podem ter efeitos colaterais prejudiciais. No final das contas, o poder está nas mãos do paciente para tomar medidas proativas para reduzir o risco de fígado gorduroso ou evitar que a doença se agrave. A melhor coisa a fazer é vir preparado para uma conversa com o seu médico sobre a doença e como melhor abordá-la. 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