{"id":29326,"date":"2026-01-10T09:15:04","date_gmt":"2026-01-10T12:15:04","guid":{"rendered":"https:\/\/oficialnoticias.com\/?p=29326"},"modified":"2026-01-10T09:15:06","modified_gmt":"2026-01-10T12:15:06","slug":"quais-devem-ser-feitos-e-quando","status":"publish","type":"post","link":"https:\/\/oficialnoticias.com\/?p=29326","title":{"rendered":"quais devem ser feitos e quando"},"content":{"rendered":"<p><\/p>\n<div>\n<p>In\u00edcio de ano \u00e9 \u00e9poca de renovar metas, reorganizar a vida para o novo ano e tamb\u00e9m de fazer o famoso check-up anual, com todos os exames necess\u00e1rios para acompanhar como est\u00e1 a sa\u00fade tanto dos adultos quando dos idosos.<\/p>\n<p>Segundo a geriatra Simone de Paula Pessoa Lima, n\u00e3o h\u00e1 uma lista fixa de pedidos laboratoriais, mas sim uma avalia\u00e7\u00e3o multidimensional. No geral, s\u00e3o solicitados o seguinte:<\/p>\n<ul>\n<li>o \u201cb\u00e1sico\u201d para todos: geralmente inclui hemograma (para avaliar anemias e infec\u00e7\u00f5es), glicemia, fun\u00e7\u00e3o renal e eletr\u00f3litos (s\u00f3dio e pot\u00e1ssio, muito afetados por medicamentos), perfil lip\u00eddico e fun\u00e7\u00e3o da tireoide (TSH). A dosagem de Vitamina B12 \u00e9 fundamental, pois sua defici\u00eancia simula quadros de dem\u00eancia. Vitamina D sempre deve ser pedida.<\/li>\n<li>rastreio de silenciosos (aquelas condi\u00e7\u00f5es\/doen\u00e7as que n\u00e3o tem muitos sintomas, mas que ficam mais comuns no envelhecimento): em destaque a Densitometria \u00d3ssea para preven\u00e7\u00e3o de fraturas (diagn\u00f3stico de osteopenia\/osteoporose) e, para pacientes com doen\u00e7as cr\u00f4nicas como hipertens\u00e3o e diabetes, o monitoramento rigoroso da hemoglobina glicada e da sa\u00fade cardiovascular (eletrocardiograma).<\/li>\n<li>rastreio de c\u00e2ncer: mamografia, ultrassom p\u00e9lvico e papanicolau devem ser solicitados com crit\u00e9rio, considerando a idade, a expectativa de vida e o benef\u00edcio real para aquele indiv\u00edduo.<\/li>\n<\/ul>\n<p>Tamb\u00e9m \u00e9 necess\u00e1rio avaliar a mem\u00f3ria e realizar uma avalia\u00e7\u00e3o de <bsp-link-enhancement><br \/>\n    <span class=\"LinkEnhancement\"><a class=\"Link\" href=\"https:\/\/www.itatiaia.com.br\/ciencia-e-tecnologia\/um-especialista-em-envelhecimento-a-perda-progressiva-de-massa-e-forca-muscular-e-o-que-realmente-nos-torna-idosos-o-musculo-e-o-orgao-da-longevidade\" title=\"&lt;b&gt;sarcopenia&lt;\/b&gt; \"><b>sarcopenia<\/b> <\/a><\/span><\/bsp-link-enhancement>(for\u00e7a e massa muscular).<\/p>\n<p>\u201cO mais importante \u00e9 a individualiza\u00e7\u00e3o. N\u00e3o faz sentido submeter um idoso em estado de fragilidade avan\u00e7ada (acamado, por exemplo) a exames invasivos ou preparos de colonoscopia extenuantes se o resultado n\u00e3o for mudar a conduta cl\u00ednica ou n\u00e3o trouxer qualidade de vida. O objetivo do check-up no idoso n\u00e3o \u00e9 apenas \u2018achar doen\u00e7a\u2019, \u00e9 preservar a autonomia e evitar a polifarm\u00e1cia\u201d, destacou a m\u00e9dica.<\/p>\n<p><bsp-list-loadmore class=\"PageListStandardG\" data-module=\"\" data-show-loadmore=\"true\" data-list-title-size=\"3\" data-list-description-size=\"3\"><\/p>\n<p>    <a class=\"AnchorLink\" title=\"leia-tambem\" name=\"leia-tambem\"\/><\/p>\n<p><\/bsp-list-loadmore><\/p>\n<h2>Pontos de aten\u00e7\u00e3o<\/h2>\n<p>No idoso, \u00e9 necess\u00e1rio prestar aten\u00e7\u00e3o em:<\/p>\n<ul>\n<li>perda de peso n\u00e3o intencional: no idoso, isso \u00e9 um marcador de fragilidade ou neoplasia e deve ser investigado prontamente.<\/li>\n<li>mudan\u00e7as no h\u00e1bito intestinal ou urin\u00e1rio como altern\u00e2ncia entre constipa\u00e7\u00e3o e diarreia ou incontin\u00eancia urin\u00e1ria: podem indicar desde desidrata\u00e7\u00e3o, infec\u00e7\u00e3o at\u00e9 tumores.<\/li>\n<li>altera\u00e7\u00f5es de mem\u00f3ria e comportamento: frequentemente negligenciadas como \u201ccoisa da idade\u201d, mas que exigem avalia\u00e7\u00e3o cognitiva formal.<\/li>\n<li>quedas recorrentes: para um idoso, uma queda \u00e9 um evento sentinela que exige revis\u00e3o de exames de vis\u00e3o, equil\u00edbrio e revis\u00e3o da lista de medicamentos (polifarm\u00e1cia).<\/li>\n<li>altera\u00e7\u00f5es laboratoriais s\u00fabitas: como uma queda na hemoglobina (anemia) ou uma altera\u00e7\u00e3o na creatinina, que em idosos pode indicar uma descompensa\u00e7\u00e3o r\u00e1pida da fun\u00e7\u00e3o renal.<\/li>\n<\/ul>\n<h2>Exames em adultos<\/h2>\n<p>J\u00e1 para os adultos, devem ser levados em conta os seguintes pilares:<\/p>\n<ul>\n<li>perfil metab\u00f3lico: glicemia de jejum e perfil lip\u00eddico (colesterol total e fra\u00e7\u00f5es e triglicer\u00eddeos) para identificar precocemente o risco de diabetes e aterosclerose.<\/li>\n<li>sa\u00fade da mulher: coleta de citologia onc\u00f3tica (Papanicolau) e, a partir dos 40 anos (ou antes, se houver hist\u00f3rico familiar), a mamografia anual ou bienal.<\/li>\n<li>sa\u00fade do homem: Avalia\u00e7\u00e3o urol\u00f3gica individualizada a partir dos 45-50 anos.<\/li>\n<li>preven\u00e7\u00e3o de c\u00e2ncer colorretal: A colonoscopia passou a ser recomendada por diversas sociedades a partir dos 45 anos, devido ao aumento da incid\u00eancia em adultos jovens.<\/li>\n<li>avalia\u00e7\u00e3o de press\u00e3o arterial: O rastreio cl\u00ednico da hipertens\u00e3o em toda consulta.<\/li>\n<\/ul><\/div>\n<p><script>\n  window.fbAsyncInit = function() {\n      FB.init({\n              appId : '1447052969554341',\n          xfbml : true,\n          version : 'v2.9'\n      });\n  };\n  (function(d, s, id){\n     var js, fjs = d.getElementsByTagName(s)[0];\n     if (d.getElementById(id)) {return;}\n     js = d.createElement(s); js.id = id;\n     js.src = \"https:\/\/connect.facebook.net\/en_US\/sdk.js\";\n     fjs.parentNode.insertBefore(js, fjs);\n   }(document, 'script', 'facebook-jssdk'));\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In\u00edcio de ano \u00e9 \u00e9poca de renovar metas, reorganizar a vida para o novo ano e tamb\u00e9m de fazer o famoso check-up anual, com todos os exames necess\u00e1rios para acompanhar como est\u00e1 a sa\u00fade tanto dos adultos quando dos idosos. Segundo a geriatra Simone de Paula Pessoa Lima, n\u00e3o h\u00e1 uma lista fixa de pedidos&#8230;<\/p>\n","protected":false},"author":2,"featured_media":29327,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-29326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sem-categoria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>quais devem ser feitos e quando -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/oficialnoticias.com\/?p=29326\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"quais devem ser feitos e quando -\" \/>\n<meta property=\"og:description\" content=\"In\u00edcio de ano \u00e9 \u00e9poca de renovar metas, reorganizar a vida para o novo ano e tamb\u00e9m de fazer o famoso check-up anual, com todos os exames necess\u00e1rios para acompanhar como est\u00e1 a sa\u00fade tanto dos adultos quando dos idosos. 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