A assistência às mulheres em idade fértil na Equipe de Saúde da Família Santo Antônio de Inhapim: importância do perfil epidemiológico e da busca ativa

Abstract

Cancer of the cervix and breast are the neoplasms of the highest incidence in the area of women's health. Such picture is aggravated, lots of times, by performing no effective control and prevention actions that do not change the epidemiological profile of the target. This done, because they are slow progression disease, with nonspecific symptoms, we believe that an approach through periodic physical examination must be emphasized for detecting preneoplastic lesions and neoplasia increasing the chance of cure. The timely diagnosis of such pathologies, through an active tracking, can be determinant so that the basic assistance to women minimize the high rates of incidence of the discussed cancer in the population and increase the chances of cure. In this line, the actions of control over such pathologies will be divided in promotional activities, early detection/ tracking and treatment. In health promotion, in general, the educational actions (operating groups and appointments) must guarantee the women access to information and encourage the adoption of healthy habits for life. Early detection of cervix cancer will be done through citopathologic cervical-vaginal examination for its simplicity, security and high power of detecting changes of cervix before the onset of cancer. In the case of breast cancer, the tracking of the asymptomatic population shows to be relevant measure for detecting suggestive lesions of cancer that must be investigated and treated. The Ministry of Health encourages self-examination, associated with the professional clinical examination, recommended for all women. The treatment, third control action, is more effective with the early detection and diagnosis, and will pass through the management of specific techniques for precursor lesions of the mentioned neoplasms. The theoretical foundation results from the review literature of articles from the basis of LILACS, SCIELO, PUBMED and publications of the Ministry of Health, by descriptors: Health Systems, Women's Health, Cervix Cancer, Breast Cancer and Intervention Proposal. Through this review and the situational diagnosis of the ESF Santo Antônio of Inhapim, we elaborated the intervention proposal for health care of women of childbearing age, based on the epidemiological profile and in active pursuit of women, with individual and collective actions guided by principles of promotion, prevention, early diagnosis, treatment and rehabilitation, through the planning, implementation and monitoring of these actions. The elaborated Plan of Action can be applied to other health units, for the improvement of women's health care in the municipality of Inhapim.