{"id":1127,"date":"2026-05-19T05:00:00","date_gmt":"2026-05-19T08:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1127"},"modified":"2026-05-19T05:00:00","modified_gmt":"2026-05-19T08:00:00","slug":"rss-ambulatorio-doencas-autoimunes-lupus-ar-em-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/rss-ambulatorio-doencas-autoimunes-lupus-ar-em-rss\/","title":{"rendered":"RSS doen\u00e7as autoimunes \u2014 lupus, AR, esclerose m\u00faltipla"},"content":{"rendered":"<h2>Por que autoimunes tem perfil espec\u00edfico<\/h2>\n<p>Ambulat\u00f3rio de doen\u00e7as autoimunes atende <strong>l\u00fapus eritematoso sist\u00eamico (LES)<\/strong> + <strong>artrite reumatoide (AR)<\/strong> + <strong>esclerose m\u00faltipla (EM)<\/strong> + <strong>espondilite anquilosante<\/strong> + <strong>psor\u00edase grave<\/strong> + <strong>doen\u00e7a inflamat\u00f3ria intestinal<\/strong>. Combina <strong>imunobiol\u00f3gicos (anti-TNF, anti-IL6, anti-CD20)<\/strong> + <strong>DMARD sint\u00e9tico (metotrexate, leflunomida)<\/strong> + <strong>corticoide pulsoterapia<\/strong> + <strong>plasmaf\u00e9rese eventual<\/strong>. Opera sob RDC 222 + RDC 220 + RDC 6 alta complexidade + Portaria SAES.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frasco anti-TNF (adalimumab, infliximab)<\/td>\n<td>B (alta complexidade)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco metotrexate vencido<\/td>\n<td>B (citost\u00e1tico baixa dose)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Equipo IV pulsoterapia metilprednisolona<\/td>\n<td>A1 risco aumentado<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco rituximab (anti-CD20) vencido<\/td>\n<td>B (anti-neopl\u00e1sico)<\/td>\n<td>0,2-0,8 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI infus\u00e3o com luva nitr\u00edlica<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>4-12 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo metotrexate baixa dose<\/h2>\n<p>Metotrexate em AR (7,5-25mg\/semana) \u00e9 <strong>citost\u00e1tico em baixa dose<\/strong>, mas mant\u00e9m risco:<\/p>\n<ul>\n<li>Manuseio com luva nitr\u00edlica (n\u00e3o l\u00e1tex)<\/li>\n<li>Gestante ou tentativa de gesta\u00e7\u00e3o proibido manusear<\/li>\n<li>Sobra do frasco = Grupo B (anti-neopl\u00e1sico)<\/li>\n<li>Spill kit por sala obrigat\u00f3rio<\/li>\n<li>Treinamento NR-32 refor\u00e7ado equipe infus\u00e3o<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio reumato\/neuro autoimune:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro infus\u00e3o imunobiol\u00f3gicos (3-5 macas):<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (rituximab + plasmaf\u00e9rese + pulso):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco adalimumab no Grupo D \u2014 \u00e9 Grupo B alta complexidade<\/li>\n<li>Equipo pulsoterapia em saco simples \u2014 \u00e9 A1 RA<\/li>\n<li>Sem spill kit metotrexate \u2014 descumpre RDC 220<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o ambulat\u00f3rio autoimunes<\/a><\/strong> \u2014 cap\u00edtulo imunobiol\u00f3gicos + metotrexate + pulsoterapia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de ambulat\u00f3rio autoimunes: lupus, artrite reumatoide, esclerose m\u00faltipla. Imunobiol\u00f3gicos, MTX, anti-TNF.<\/p>\n","protected":false},"author":3,"featured_media":1126,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2088,2086,2087,22],"class_list":["post-1127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-anti-tnf","tag-doencas-autoimunes","tag-imunobiologicos","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1127"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1127\/revisions"}],"predecessor-version":[{"id":3813,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1127\/revisions\/3813"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1126"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1127"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}