Friday, September 21, 2012


The baciloscopia of skin (esfregao intradrmico), whenever available, it must be used as complementary examination for the classification of the cases as PB or MB. The positive baciloscopia classifies the case as MB, independently of the number of injuries. It is observed that the negative result of the baciloscopia does not exclude the diagnosis of hansenase. Treatment - the treatment of hansenase is ambulatorial, using the standardized therapeutical projects in accordance with the operational classification. Being: Paucibacilares: rifampicina, dapsona; Multibacilares: rifampicina, dapsona and clofazimina. The treatment is one right of all citizen and is available gratuitously in all the units of health SUS. Vaccine BCG - Application of vaccine BCG-ID in the intradomiciliares contacts, without presence of signals and symptoms of hansenase at the moment of the evaluation, independently to be PB or MB, depends on vaccine history, with the following recommendations: Without scar to prescribe a dose. With a BCG scar to prescribe a dose.

With two scars of BCG not to prescribe dose. Prevention of incapacities - the prevention of incapacities is an activity that if it initiates with the precocious diagnosis, treatment with PQT, examination of contacts and BCG, identification and adequate treatment of the reactions and neurites the autocuidado orientation of, as well as giving emotional and social support. The neurological evaluation, classification of the incapacity degree, application of prevention techniques and the orientation for the autocuidado one are procedures that they need to be carried through in the units of health. These measures are necessary to prevent sequels, such as: ulcers, loss of the muscular force and deformities (hands in claw, fallen foot, lagoftalmo). The cases send regards to the guiding to the units of reference that could not be decided in the basic units.

Individuals after 15 days of treatment or already cured do not transmit more the illness. Indemnity to the victims in Brazil In accordance with federal decree 6,168, of 24 of July of 2007, the patients interned and compulsively isolated in hospitals colonies of all the country, until the year of 1986, will have right to the monthly lifetime pension in the value of 750 Reals. To receive the benefit, the patients need to present documents that prove the obligatory internment and to fill a petition of special pension. The resource will be paid for the INSS. CONCLUSION hansenase is easy to diagnosis, to treat and has cure, however, when diagnosised and treated delayed it can bring serious consequences for carriers for the injuries incapacitate that them physically. The treatment is long and must be followed in agreement medical orientaes, therefore the abandonment can result in restarts of the treatment or incapacitantes complications. The treatment is a right of all citizen and is available gratuitously in all the units of health of the SUS. REFERENCES BRAZIL. Hansenase CID 10:30. the Available one in: BRAZIL. DECREE N 6,168, OF 24 OF JULY OF 2007. Brasilia, 2007. Available in: . MINISTRY OF GREETS. IT WOULD CARRY N 3,125, OF 7 OF OCTOBER OF 2010. Brasilia, 2009. Available in: . HEALTH DEPARTMENT. Guide of procedures technician in Hansenase Baciloscopia. Brasilia, 2010. Available In: MINISTRY OF GREETS. Monitoring in Health: situation epidemiologist of hansenase in Brazil. Brasilia, 2008. available one in:

Friday, September 14, 2012


The people attacks for the illness had been confined and treated in leprosrios during many years. She has as objective main the aspects for the diagnosis and precocious treatment considering that all the people are inclined the adquiriz them. Its etiolgico agent is the Mycobacterium leprae, or bacillus Hansen, discovered for Gerhard Armauer Hansen in 1873. The Hansenase if manifest under the form of injuries in the skin and the peripheral nerves, possesss high infectividade and low pathogenicity its transmission is for the respiratory ways.

The degree of immunity of the individuals is changeable and determines the evolution of the illness that is classified on the forms paucibacilares and the multibacillary ones, that if manifest on the forms Indetermined, Tuberculide, Dimorfa, Virchowiano. The diagnosis is defined by the presence of injuries of skin with sensitivity alteration, acometimentos of the nerves and for baciloscopia. The patients are dealt with poliquimioterapia (PQT), and are recommended for all the cases of hansenase in accordance with the classification of the sick person. Brazil is as the country with bigger number of cases of hansenase, the main control of the illness is the diagnosis and the precocious treatment, beyond the made intradomiciliar control with vaccine BCG. The stigma and the preconception are gifts in the life of the carrier of hansenase, making it difficult in facing the illness, bringing serious problems in the personal and professional life.