{"id":3862,"date":"2025-08-04T14:34:42","date_gmt":"2025-08-04T14:34:42","guid":{"rendered":"https:\/\/cms.core-way.de\/?p=3862"},"modified":"2025-09-01T15:09:04","modified_gmt":"2025-09-01T15:09:04","slug":"abordagens-de-tratamento-da-doenca-de-crohn-baseadas-nas-diretrizes-s3","status":"publish","type":"post","link":"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/","title":{"rendered":"Abordagens terap\u00eauticas para a doen\u00e7a de Crohn com base nas diretrizes S3\u00a0"},"content":{"rendered":"<p>O tratamento da doen\u00e7a inflamat\u00f3ria cr\u00f3nica do intestino \u00e9 dif\u00edcil e depende de cada doente. <strong>Gravidade da doen\u00e7a<\/strong> de. Doen\u00e7a de Crohn e <a href=\"https:\/\/cms.core-way.de\/pt\/therapy-ulcerative-colitis\/\">Colite ulcerosa<\/a> s\u00e3o duas das doen\u00e7as inflamat\u00f3rias cr\u00f3nicas do intestino mais comuns. A doen\u00e7a de Crohn pode afetar todo o trato gastrointestinal, ou seja, pode come\u00e7ar no es\u00f3fago e estender-se at\u00e9 ao \u00e2nus. \u00c9 feita uma distin\u00e7\u00e3o entre os doentes em que a parte superior do trato gastrointestinal \u00e9 afetada e aqueles em que a parte inferior do sistema digestivo \u00e9 afetada. A zona superior inclui o es\u00f3fago at\u00e9 \u00e0 parte superior do intestino delgado. Na zona inferior, s\u00e3o afectados principalmente os intestinos delgado e grosso. Por conseguinte, as abordagens de tratamento da doen\u00e7a de Crohn t\u00eam de ser diferentes das de outras doen\u00e7as inflamat\u00f3rias cr\u00f3nicas do intestino (DII).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1024x683.jpeg\" alt=\"Um estetosc\u00f3pio deitado sobre um registo de ondas de ECG de cor azul. A imagem simboliza abordagens terap\u00eauticas para a doen\u00e7a de Crohn. O artigo trata de abordagens para o tratamento da doen\u00e7a de Crohn com base nas diretrizes S3.\" class=\"wp-image-1203\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1024x683.jpeg 1024w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-300x200.jpeg 300w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-768x512.jpeg 768w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1536x1024.jpeg 1536w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-2048x1365.jpeg 2048w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-540x360.jpeg 540w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1080x720.jpeg 1080w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1980x1320.jpeg 1980w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>O artigo aborda os v\u00e1rios graus de gravidade da doen\u00e7a e a forma como esta pode ser tratada. Centra-se nos <strong>Diretrizes S3 para a doen\u00e7a de Crohn<\/strong> apoiado. Todas as informa\u00e7\u00f5es podem ser consultadas com mais pormenor.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-198ee583\"><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndice<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieziele_bei_Morbus_Crohn\" >Objectivos terap\u00eauticos para a doen\u00e7a de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Schweregrade_der_Erkrankung_und_deren_Therapieansatze_bei_Morbus_Crohn\" >Gravidade da doen\u00e7a e abordagens de tratamento da doen\u00e7a de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_beeinflusst_deinen_individuelle_Morbus_Crohn_Therapie\" >Isto influencia o seu tratamento individual da doen\u00e7a de Crohn:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Milder_Krankheitsschub\" >Reca\u00edda ligeira<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieansatz_bei_Morbus_Crohn_mit_milden_bis_moderaten_Schuben\" >Abordagem terap\u00eautica da doen\u00e7a de Crohn com recidivas ligeiras a moderadas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Moderater_bis_hoher_Krankheitsschub\" >Gravidade da doen\u00e7a moderada a elevada<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_kannst_du_tun_bei_einem_Krankheitsschub_im_oberen_Magen-Darm-Trakt\" >O que pode fazer se tiver uma crise no trato gastrointestinal superior<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Moderater_bis_hoher_Krankheitsschub-2\" >Gravidade da doen\u00e7a moderada a elevada<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieansatze_bei_Morbus_Crohn_mit_Fistelbildung\" >Abordagens terap\u00eauticas para a doen\u00e7a de Crohn com forma\u00e7\u00e3o de f\u00edstula<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Remissionserhalt\" >Manuten\u00e7\u00e3o da remiss\u00e3o<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_beeinflusst_deine_Remission\" >Isto influencia a sua remiss\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#_Remissionserhalt\" >&nbsp;Manuten\u00e7\u00e3o da remiss\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Neue_Therapieansatze_bei_Morbus_Crohn\" >Novas abordagens terap\u00eauticas para a doen\u00e7a de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapiemoglichkeiten_in_der_Schwangerschaft\" >Op\u00e7\u00f5es terap\u00eauticas durante a gravidez<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Fazit_%E2%80%93_Was_bedeutet_das_fur_dich_als_Patient_in\" >Conclus\u00e3o - O que \u00e9 que isto significa para si enquanto doente?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#_FAQ_%E2%80%93_Haufige_Fragen_zur_MC-Therapie\" >&nbsp;FAQ - Perguntas frequentes sobre a terapia MC<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/cms.core-way.de\/pt\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Quellen\" >Fontes<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieziele_bei_Morbus_Crohn\"><\/span>Objectivos terap\u00eauticos para a doen\u00e7a de Crohn<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Tal como j\u00e1 estabelecido em 2015, o principal objetivo do tratamento para um diagn\u00f3stico de doen\u00e7a de Crohn \u00e9 a <strong>Cicatriza\u00e7\u00e3o da mucosa<\/strong>. A mucosa intestinal interna \u00e9 conhecida como mucosa. Esta apresenta-se sob a forma de sali\u00eancias. Na doen\u00e7a de Crohn, a mucosa \u00e9 danificada em v\u00e1rios pontos do trato gastrointestinal. Ao contr\u00e1rio da colite ulcerosa, n\u00e3o s\u00e3o apenas as camadas superiores que s\u00e3o danificadas, mas tamb\u00e9m<strong> camadas mais profundas<\/strong>O tecido conjuntivo e a camada muscular tamb\u00e9m s\u00e3o afectados.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"515\" height=\"297\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu.jpg\" alt=\"\" class=\"wp-image-3865\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu.jpg 515w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu-300x173.jpg 300w\" sizes=\"auto, (max-width: 515px) 100vw, 515px\" \/><\/figure>\n\n\n\n<p>A imagem mostra onde a mucosa intestinal fica inflamada na doen\u00e7a de Crohn. Fonte da imagem: W&amp;B\/J\u00f6rg Neisel<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"495\" height=\"309\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu.jpg\" alt=\"\" class=\"wp-image-3866\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu.jpg 495w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu-300x187.jpg 300w\" sizes=\"auto, (max-width: 495px) 100vw, 495px\" \/><\/figure>\n\n\n\n<p>A imagem mostra onde a inflama\u00e7\u00e3o na colite ulcerosa est\u00e1 localizada no intestino. Fonte da imagem: W&amp;B\/J\u00f6rg Neisel<\/p>\n\n\n\n<p>Outros objectivos da terapia da doen\u00e7a de Crohn s\u00e3o alcan\u00e7ar uma <strong>remiss\u00e3o sem ester\u00f3ides<\/strong> e a consequente melhoria das condi\u00e7\u00f5es de vida dos doentes. Al\u00e9m disso, a terapia direcionada tem como objetivo minimizar a necessidade de <strong>Hospitaliza\u00e7\u00e3o ou opera\u00e7\u00f5es <\/strong>ser reduzido. Outro objetivo \u00e9 alcan\u00e7ar e manter uma <strong>Remiss\u00e3o<\/strong> na doen\u00e7a de Crohn. A remiss\u00e3o \u00e9 o per\u00edodo da doen\u00e7a durante o qual h\u00e1 poucos ou nenhuns sintomas.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-39576e99\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Schweregrade_der_Erkrankung_und_deren_Therapieansatze_bei_Morbus_Crohn\"><\/span><strong>Gravidade da doen\u00e7a e sua terapia<\/strong>abordagens para a doen\u00e7a de Crohn<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>A doen\u00e7a de Crohn ocorre em v\u00e1rios graus de gravidade. \u00c9 feita uma distin\u00e7\u00e3o entre um surto ligeiro a moderado, um surto moderado a grave e a poss\u00edvel forma\u00e7\u00e3o de f\u00edstulas.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-fa1f66cf\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_beeinflusst_deinen_individuelle_Morbus_Crohn_Therapie\"><\/span><strong>Isto influencia o seu tratamento individual da doen\u00e7a de Crohn:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>A terapia a utilizar para um determinado doente depende de v\u00e1rios factores. Para al\u00e9m do padr\u00e3o de infesta\u00e7\u00e3o, estes incluem a presen\u00e7a de doen\u00e7as, o <strong>em rela\u00e7\u00e3o \u00e0 doen\u00e7a CED<\/strong> stand. No entanto, tamb\u00e9m s\u00e3o tidas em conta doen\u00e7as que n\u00e3o t\u00eam qualquer rela\u00e7\u00e3o com o diagn\u00f3stico de DII. Para al\u00e9m disso, o <strong>Idade<\/strong>a <strong><a href=\"https:\/\/cms.core-way.de\/pt\/diese-ernaehrung-wird-laut-ecco-leitlinien-2025-fuer-deine-ced-empfohlen\/\">Estado nutricional<\/a><\/strong> e os <strong>Defici\u00eancias<\/strong> par\u00e2metros importantes que influenciam a decis\u00e3o a favor de uma determinada forma de terapia.<\/p>\n\n\n\n<p>Vamos agora apresentar-lhe brevemente as v\u00e1rias terapias que podem ser utilizadas para tratar a doen\u00e7a de Crohn, dependendo da gravidade das crises. No entanto, fale sempre<strong> individual<\/strong> com o seu m\u00e9dico para saber qual <strong>Terapia para a progress\u00e3o da sua doen\u00e7a<\/strong> \u00e9 posta em causa. A vis\u00e3o geral das formas de terapia <strong>nenhum<\/strong> N\u00e3o se pretende ser exaustivo.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-b871fc47\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Milder_Krankheitsschub\"><\/span><strong>Reca\u00edda ligeira<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>De acordo com a diretriz S3, o ingrediente ativo mesalazina pode ser considerado para crises ligeiras. No entanto, dependendo do quadro cl\u00ednico individual, tamb\u00e9m \u00e9 poss\u00edvel que n\u00e3o seja prescrita qualquer medica\u00e7\u00e3o.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-c3946cc9\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieansatz_bei_Morbus_Crohn_mit_milden_bis_moderaten_Schuben\"><\/span><strong>Abordagem terap\u00eautica da doen\u00e7a de Crohn com recidivas ligeiras a moderadas <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Budesonide \u00e9 tamb\u00e9m utilizado para a doen\u00e7a de Crohn. \u00c9 utilizada para crises ligeiras a moderadas. A inflama\u00e7\u00e3o localiza-se principalmente na jun\u00e7\u00e3o entre o intestino delgado e o intestino grosso e no intestino grosso do lado direito.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-c53e6bcb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Moderater_bis_hoher_Krankheitsschub\"><\/span><strong>Gravidade da doen\u00e7a moderada a elevada<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>&nbsp;Para epis\u00f3dios moderados a graves da doen\u00e7a, a diretriz S3 descreve o tratamento com ester\u00f3ides sist\u00e9micos - especialmente se a inflama\u00e7\u00e3o estiver limitada \u00e0 \u00e1rea do c\u00f3lon direito.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-cfc9ffd6\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_kannst_du_tun_bei_einem_Krankheitsschub_im_oberen_Magen-Darm-Trakt\"><\/span><strong>O que pode fazer se tiver uma crise no trato gastrointestinal superior <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Se a doen\u00e7a de Crohn provocar uma inflama\u00e7\u00e3o na parte superior do trato gastrointestinal, ou seja, se o es\u00f3fago, o est\u00f4mago ou a parte superior do intestino delgado forem afectados, s\u00e3o utilizadas as seguintes subst\u00e2ncias activas para reduzir o surto e induzir a remiss\u00e3o.<\/p>\n\n\n\n<p>Uma destas subst\u00e2ncias activas s\u00e3o os ester\u00f3ides sist\u00e9micos. De acordo com as diretrizes S3, esta forma de terapia deve ser considerada se o trato gastrointestinal superior estiver afetado.  Numa fase posterior, pode ser considerado o tratamento com produtos biol\u00f3gicos ou inibidores do TNF-alfa. \u00c9 melhor falar com o seu m\u00e9dico sobre este assunto para <strong>S\u00edndrome do intestino curto<\/strong>m\u00e1 absor\u00e7\u00e3o dos alimentos no intestino (<strong>Malabsor\u00e7\u00e3o<\/strong>) ou opera\u00e7\u00f5es.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-100a76eb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Moderater_bis_hoher_Krankheitsschub-2\"><\/span><strong>Gravidade da doen\u00e7a moderada a elevada<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Se os ester\u00f3ides n\u00e3o funcionarem no tratamento de uma reca\u00edda moderada a grave e n\u00e3o ocorrer uma remiss\u00e3o no prazo de seis meses, trata-se de um curso refrat\u00e1rio aos ester\u00f3ides da doen\u00e7a de Crohn. De acordo com as diretrizes, a utiliza\u00e7\u00e3o de medicamentos biol\u00f3gicos, como os inibidores do TNF-alfa, pode ser considerada em cursos refract\u00e1rios. Fale com o seu m\u00e9dico para saber se esta forma de terapia \u00e9 adequada para si.   Os inibidores do TNF-alfa s\u00e3o utilizados nestes casos.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-31bd9885\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieansatze_bei_Morbus_Crohn_mit_Fistelbildung\"><\/span><strong>Abordagens terap\u00eauticas para a doen\u00e7a de Crohn com forma\u00e7\u00e3o de f\u00edstula<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Se ocorrer a forma\u00e7\u00e3o de uma f\u00edstula, existem v\u00e1rias op\u00e7\u00f5es terap\u00eauticas de acordo com a diretriz S3. Estas incluem, por exemplo, prepara\u00e7\u00f5es t\u00f3picas, como espumas ou suposit\u00f3rios rectais. O seu m\u00e9dico tamb\u00e9m poder\u00e1 escolher a prepara\u00e7\u00e3o adequada para si. Se ocorrer a forma\u00e7\u00e3o de uma f\u00edstula, podem ser utilizados v\u00e1rios rem\u00e9dios para a tratar. Estes podem ser espumas rectais, suposit\u00f3rios rectais ou clisteres.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-d858d559\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Remissionserhalt\"><\/span><strong>Manuten\u00e7\u00e3o da remiss\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Ap\u00f3s uma terapia de reca\u00edda bem sucedida, deve ser efectuado um tratamento de preserva\u00e7\u00e3o da remiss\u00e3o. Para o efeito, est\u00e3o dispon\u00edveis as seguintes op\u00e7\u00f5es de tratamento:<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-7830a757\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_beeinflusst_deine_Remission\"><\/span><strong>Isto influencia a sua remiss\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Os doentes fumadores devem ser encorajados a deixar de fumar, uma vez que, de acordo com a diretriz S3, este \u00e9 um <strong>Impacto positivo<\/strong> na manuten\u00e7\u00e3o da remiss\u00e3o. O tabagismo passivo tamb\u00e9m \u00e9 nocivo e pode prejudicar a manuten\u00e7\u00e3o da remiss\u00e3o. Por conseguinte, ambos devem ser evitados para manter a remiss\u00e3o durante mais tempo.<\/p>\n\n\n\n<p>A necessidade de tomar medicamentos tamb\u00e9m durante a remiss\u00e3o depende da gravidade das reca\u00eddas e tamb\u00e9m da <strong>Pr\u00e9-terapia<\/strong> off. No entanto, de acordo com a diretriz, o consenso \u00e9 que os medicamentos que induzem a remiss\u00e3o podem ser descontinuados ap\u00f3s um longo per\u00edodo de remiss\u00e3o clinicamente est\u00e1vel.&nbsp;<\/p>\n\n\n\n<p>No entanto, se houver uma evolu\u00e7\u00e3o dependente de ester\u00f3ides ou outro fator de risco, como a idade jovem do doente ou o envolvimento extenso do intestino delgado, recomenda-se a terap\u00eautica de preserva\u00e7\u00e3o da remiss\u00e3o, uma vez alcan\u00e7ada a remiss\u00e3o. De acordo com a diretriz S3, a terap\u00eautica combinada com infliximab e tiopurinas \u00e9 recomendada para doentes em risco.<\/p>\n\n\n\n<p>No caso dos doentes que t\u00eam uma evolu\u00e7\u00e3o dependente de ester\u00f3ides, a subst\u00e2ncia ativa azatioprina\/6-mercaptopurina, por exemplo, \u00e9 utilizada ap\u00f3s o in\u00edcio da remiss\u00e3o. Neste caso, a subst\u00e2ncia ativa est\u00e1 fortemente adaptada \u00e0 terapia anterior. Por isso, fale com o seu m\u00e9dico sobre qual a subst\u00e2ncia ativa que melhor se adapta ao seu plano terap\u00eautico individual para a sua DII.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Em resumo, isto significa o seguinte para os doentes diagnosticados com a doen\u00e7a de Crohn:<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-edc444d6\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"_Remissionserhalt\"><\/span><strong>&nbsp;Manuten\u00e7\u00e3o da remiss\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ap\u00f3s uma terapia de reca\u00edda bem sucedida, um <strong>Tratamento de preserva\u00e7\u00e3o da remiss\u00e3o<\/strong> recomendado, entre outros, com:<br>\n<ul class=\"wp-block-list\">\n<li>Azatioprina, 6-mercaptopurina, metotrexato (MTX)<br><\/li>\n\n\n\n<li>Biol\u00f3gicos: vedolizumab, ustekinumab, anticorpos contra o TNF-\u03b1<br><\/li>\n\n\n\n<li>Upadacitinib, Risankizumab (recentemente inclu\u00eddo nas diretrizes de 2024)<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-cf94a103\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Neue_Therapieansatze_bei_Morbus_Crohn\"><\/span><strong>Novas abordagens terap\u00eauticas para a doen\u00e7a de Crohn<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inibidores de JAK<\/strong> (upadacitinib): para cursos refract\u00e1rios ou intoler\u00e2ncia aos ester\u00f3ides<br><\/li>\n\n\n\n<li><strong>Anticorpos IL-23<\/strong> (Risankizumab): tamb\u00e9m recentemente inclu\u00eddo<br><\/li>\n\n\n\n<li><strong>Terapias do microbioma, terapia com c\u00e9lulas estaminais<\/strong>apenas em estudos<br><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-ccc631bb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapiemoglichkeiten_in_der_Schwangerschaft\"><\/span><strong>Op\u00e7\u00f5es terap\u00eauticas durante a gravidez<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>De acordo com a diretriz <strong>Anticorpos contra o TNF-\u03b1, vedolizumab e ustekinumab<\/strong> pode tamb\u00e9m ser utilizado durante a gravidez.<br><\/li>\n\n\n\n<li><strong>O upadacitinib e o metotrexato devem ser evitados<\/strong><strong><br><\/strong><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-11b442bf\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Fazit_%E2%80%93_Was_bedeutet_das_fur_dich_als_Patient_in\"><\/span><strong>Conclus\u00e3o - O que \u00e9 que isto significa para si enquanto doente?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Atualmente, a terap\u00eautica da doen\u00e7a de Crohn \u00e9 mais individualizada do que nunca. A moderna diretriz S3 d\u00e1 aos m\u00e9dicos recomenda\u00e7\u00f5es claras, mas tamb\u00e9m deixa espa\u00e7o para as necessidades pessoais, comorbilidades e experi\u00eancia de tratamento anterior. N\u00e3o deixe de falar com o seu especialista sobre qual das op\u00e7\u00f5es \u00e9 a mais adequada para si.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-0c585136\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"_FAQ_%E2%80%93_Haufige_Fragen_zur_MC-Therapie\"><\/span><strong>&nbsp;FAQ - Perguntas frequentes sobre a terapia MC<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p><strong>A doen\u00e7a de Crohn pode ser curada?<\/strong><strong><br><\/strong> N\u00e3o, de momento n\u00e3o. O objetivo \u00e9 conseguir uma aus\u00eancia de sintomas a longo prazo (remiss\u00e3o).<\/p>\n\n\n\n<p><strong>O que devo fazer se os meus medicamentos n\u00e3o ajudarem?<\/strong><strong><br><\/strong> Existem atualmente muitas subst\u00e2ncias activas - se n\u00e3o houver resposta, o tratamento pode ser personalizado.<\/p>\n\n\n\n<p><strong>Posso \"comer de forma saud\u00e1vel\"?<\/strong><strong><br><\/strong> Uma dieta anti-inflamat\u00f3ria pode ajudar - mas n\u00e3o substitui a terapia medicamentosa.<\/p>\n\n\n\n<p><strong>Qual a import\u00e2ncia da dete\u00e7\u00e3o precoce de reca\u00eddas?<\/strong><strong><br><\/strong> Muito importante! Quanto mais cedo for tratada, melhores ser\u00e3o as hip\u00f3teses de evitar complica\u00e7\u00f5es.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-f6f129bc\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Quellen\"><\/span>Fontes<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Sturm A, Atreya R, Bettenworth D, et al. Diretriz S3 actualizada \"Diagn\u00f3stico e tratamento da doen\u00e7a de Crohn\" da Sociedade Alem\u00e3 de Gastroenterologia, Doen\u00e7as Digestivas e Metab\u00f3licas (DGVS) - Vers\u00e3o 4.1. Z Gastroenterol 2024; 62: 1229-1318. DOI: 10.1055\/a-2309-6123.<\/p>\n\n\n\n<p>Lorenz P, Stallmach A, Sturm A, Lynen Jansen P. Relat\u00f3rio de orienta\u00e7\u00e3o da orienta\u00e7\u00e3o S3 actualizada \"Diagn\u00f3stico e terapia da doen\u00e7a de Crohn\" do DGVS. Z Gastroenterol 2024; 62: e531-e536. DOI: 10.1055\/a-2309-6204.<\/p>\n\n\n\n<p>DGVS (ed.). Material suplementar ao \"Guideline report of the updated S3 guideline Diagnostics and therapy of Crohn's disease\". Z Gastroenterol 2024; 62 (Suplemento): 1-35 DOI: 10.1055\/a-2309-6204 (Anexo 6).<\/p>","protected":false},"excerpt":{"rendered":"<p>O tratamento das doen\u00e7as inflamat\u00f3rias cr\u00f3nicas do intestino \u00e9 dif\u00edcil e depende da gravidade da doen\u00e7a. A doen\u00e7a de Crohn e a colite [...]<\/p>","protected":false},"author":10,"featured_media":1203,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"categories":[12,166,177],"tags":[19,55,181,173,179,54,180,163],"class_list":["post-3862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ced-wissen-forschung","category-deutsch","category-symptomaktivitaet","tag-ced","tag-colitis-ulcerosa","tag-darmschleimhautbeimorbuscrohn","tag-morbuscrohn","tag-s3leitlinienfuermorbuscrohn","tag-therapie","tag-therapiebeimorbuscrohn","tag-treatment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0 - coreway<\/title>\n<meta name=\"description\" content=\"Du hast die Diagnose Morbus Crohn bekommen? 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