Cuidado com a sua tosse
Autor: Shirlei Lima | Publicado: 2011-10-06T14:05:00-07:00

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 <![endif]-->  Por Shirlei Liberal Doença praticamente erradicada após a criação da vacina tríplice bacteriana nos anos 1930, a coqueluche tem voltado a atingir adultos e, principalmente, crianças. Em 2010, foram registrados 247 casos no País. Neste ano, só nos primeiros seis meses, esse número saltou para 374.
São Paulo, seguido do Rio Grande do Sul, concentra a maior quantidade de casos. Segundo a Secretaria de Estado da Saúde, os municípios paulistas já notificaram, neste ano, 183 diagnósticos da doença, o que ultrapassa os registros de 2010, com 176 casos, e 2009, com 133.
O resultado, por enquanto, só não é maior que 2008, considerado pior ano da doença no Estado, de acordo com a secretaria, quando foram contabilizados 258 casos. Para a secretaria, a coqueluche apresenta sazonalidade, ou seja, o número de casos cai durante alguns anos, e depois apresenta ligeira alta. E o aumento observado neste ano estaria dentro dessa sazonalidade.
Para a pediatra do Sindicato dos Motoristas de São Paulo, Tânia Maria Bonfim, também não se pode ainda falar de surto de coqueluche. Tânia atribui o aumento de casos também à melhora do diagnóstico da doença nos últimos anos. Mas a pediatra alerta que é preciso atenção à doença devido à sua periculosidade, especialmente em crianças com até quatro meses de idade – o maior grupo de risco.
Tosse seca é o principal sintoma&nbsp;
Conhecida como tosse comprida ou quintosa, a coqueluche tem como principal sintoma a tosse seca em acessos. São crises de tosse em que não se consegue respirar e quando consegue faz um barulho, um guincho. Nesses acessos a criança sofre muito, os olhos ficam congestionados, pode haver hemorragia facial e geralmente a tosse é seguida de vômitos.
A tosse prolongada é espasmódica: envolve todo o corpo da criança e causa uma sensação de sufocamento. A própria coqueluche pode evoluir para óbito, pois a criança pode se sufocar ou engasgar com secreções respiratórias, o que pode levar à parada respiratória em casos extremos, ressaltando que a doença ainda pode evoluir para quadros de pneumonia e alterações neurológicas.