Em reunião da CIB, municípios e Estado formalizam a pactuação regional da Rede Alyne, fortalecendo a cooperação e a implementação das ações conjuntas

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A 326ª Reunião Ordinária da Comissão Intergestores Bipartite (CIB), órgão colegiado responsável pelas decisões do Sistema Único de Saúde (SUS) estadual, composta de maneira paritária pela Secretaria de Estado de Saúde e por representantes dos Secretários Municipais de Saúde da Bahia, ocorreu nesta quinta-feira (24) no auditório da União dos Municípios da Bahia (UPB), em Salvador. Um dos principais temas discutidos no encontro foi a pactuação do Plano de Ação Regional da Rede Alyne, iniciativa do Ministério da Saúde que visa diminuir a mortalidade materna e infantil, além de promover a equidade no o à saúde para mulheres negras e indígenas.

Foto: Luiz Teles – Ascom/Saúde GovBA

Durante o encontro, Roberta Silva de Carvalho Santana, secretária de Estado de Saúde da Bahia, destacou a relevância da colaboração entre a pasta e os municípios para o êxito do Plano. “A redução da mortalidade materna e infantil é uma pauta de extrema importância para o Governo do Estado, com um olhar especial do governador Jerônimo Rodrigues e da Sesab (Secretaria de Estado de Saúde da Bahia). É nosso dever melhorar o atendimento de Saúde à população, em especial às mães baianas”, disse Roberta Santana, em fala para um auditório lotado por secretários de Saúde dos municípios baianos.

A Rede Alyne, é uma estratégia de reestruturação da antiga Rede Cegonha, lançada pelo Governo Federal, através do Ministério da Saúde, em setembro de 2024, com objetivo de reduzir a mortalidade materna em 25% até 2027 e em 50% entre mulheres negras no mesmo período, além de expandir as ações voltadas para Saúde Materno Infantil. Com investimento de R$ 400 milhões em 2024 e R$ 1 bilhão este ano, a iniciativa que homenageia a jovem negra Alyne Pimentel, que morreu aos 28 anos, gestante e vítima de negligência médica – episódio que levou o Brasil a ser o primeiro país condenado por morte materna pelo Sistema Global de Direitos Humanos em todo o mundo – está organizado em seis componentes fundamentais: Pré-Natal; Parto e Nascimento; Puerpério e Atenção Integral à Saúde da Criança; Sistema Logístico; Sistema de Apoio; e Sistema de Governança.

Antes mesmo da formalização acordada na reunião, a Secretaria de Estado de Saúde da Bahia realizou, entre 25 de março e 15 de abril, Oficinas em todas as nove Macrorregiões de Saúde do Estado . O objetivo dessas Oficinas foi apresentar e debater o modelo da Rede Alyne, além de qualificar e validar as diretrizes, objetivos, metas e indicadores relacionados à Atenção Materna e Infantil no Estado.

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Programa Mãe Bahia – O Futuro da Gente

Imbuído em reduzir a mortalidade materna e infantil na Bahia, o Governo do Estado, através da Secretaria de Estado de Saúde da Bahia,  também montou seu próprio Programa de Incentivo para qualificar a Assistência às Gestantes e ampliar a eficiência do Sistema Único de Saúde.

Com mais de R$ 860 milhões em investimentos, o ‘Mãe Bahia – o Futuro da Gente’, considerado o maior Programa de Incentivo às Maternidades Municipais do país, prevê construções de novas Maternidades, Centros de Parto Normal e Ambulatórios de Alto Risco nas Policlínicas Regionais, ampliando o o a um parto seguro para as mulheres baianas, reduzindo desigualdades raciais e territoriais e garantindo acolhimento digno e humanizado às gestantes em situação de vulnerabilidade.

O ‘Mãe Bahia – o Futuro da Gente’’ integra o Pacto Bahia pela Saúde, uma estratégia articulada do Governo do Estado para qualificar a Assistência na Bahia e ampliar a eficiência do Sistema Único de Saúde (SUS), com investimento total de R$ 2,2 bilhões.

* COM INFORMAÇÕES DA ASSESSORIA DE COMUNICAÇÃO SOCIAL DA SECRETARIA DE ESTADO DE SAÚDE DA BAHIA

Foto: Luiz Teles – Ascom/Saúde GovBA

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    slowly by your liver versus immediately being absorbed.

    As with any complement, researching and considering
    personal fitness objectives is essential earlier than starting a prohormone cycle.
    As the curtains close on our complete exploration of SARMs and prohormones, we find that each brings its distinctive set of strengths and vulnerabilities to the desk of bodybuilding supplements.
    The informed decision to incorporate either into a
    health regimen hinges upon a cautious analysis of their pros and cons.
    SARMs, with their improved safety profile, hold attraction for these trying to reduce danger, yet they might lag behind in anabolic efficiency when juxtaposed with prohormones
    and anabolic steroids. As the authorized panorama for
    anabolic steroids becomes extra restrictive, athletes and bodybuilders typically flip
    to SARMs and prohormones as authorized alternatives.
    Nonetheless, the difficulty of market availability is advanced, given the
    numerous authorized standing of those substances across totally different jurisdictions.

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  9. Often missed, the thyroid gland plays a pivotal function in a woman’s
    hormonal ecosystem. Thyroid hormones regulate metabolism, coronary heart fee, temperature, and energy levels.
    When thyroid function is off balance—either too gradual (hypothyroidism) or
    too fast (hyperthyroidism)—the complete hormonal system is affected.
    Being Pregnant also offers distinctive perception into how hormones shape long-term health.
    Some women with autoimmune diseases like rheumatoid arthritis find their signs disappear during pregnancy, only to return postpartum.
    Others may develop gestational diabetes or thyroid issues, revealing latent vulnerabilities triggered by hormonal stress.
    Urine tests are accomplished to examine for
    breakdown merchandise of anabolic steroids.
    Nonetheless, the approximate half-lives which may
    be identified for all our generally used anabolic steroids present a stable base to
    plan your cycles on. Anavar and Winstrol are the most typical
    steroids utilized by female s. You can discover steroids on the market
    from the top reputable steroids website or respected pharmaceutical firms.
    If you want some other recommendation from our teaching specialists,
    don’t hesitate, us anytime.
    Whereas these side effects can vary from person to person, it’s important to bear in mind of them, especially when contemplating
    the impact on women’s well being. In this text I will explain the frequent unwanted side
    effects of prednisone in women and provide some insights on the method to manage them with a free gift on the
    end. It’s important to note that a person’s genetic
    makeup significantly influences the risk of experiencing virilization symptoms.
    Some ladies would possibly tolerate incorrect or extended use of steroids properly,
    whereas others might face points even with small doses of milder compounds.

    No, Anavar is controlled in the majority of countries and must
    be legally prescribed. It is generally solely authorized for therapeutic use, corresponding to for muscle-wasting illness.
    These in search of options can use legal over-the-counter medicines corresponding to Anvarol, which mimics the impact of Anavar however without the medical and authorized risks.
    The half-life of Anavar is 9-10 hours, and thus, dosing twice every day shall be
    necessary to achieve stable blood levels for optimum effects.

    These side effects don’t occur to everyone, but they have a tendency to worsen the upper the
    dose you’re taking and the longer you are taking it.
    Prednisone is known to trigger swelling of the
    face, along with redistribution of fat to your face. It can even trigger fat deposits at
    the back of the neck; when this occurs, it’s sometimes known as a “buffalo hump.”
    These adjustments are primarily because of fluid retention but additionally
    as a outcome of prednisone can enhance your
    urge for food. These rare however severe unwanted effects
    require hospitalization, and the infections require antibiotics.

    Whether this displays change inside individuals with age or a survival benefit just isn’t
    known. This examine aimed to discover out the steadiness
    of circulating sex steroids and SHBG over time in individual ladies aged
    70+. Serotonergic synapses are regulated by
    estrogen at different ranges, together with the promotion of serotonin synthesis by
    way of an increase in tryptophan hydroxylase enzyme levels (79).
    Additionally, estrogen will increase serotonin receptor ranges by way of
    gene expression (82), and is reported to induce the rise of serotonin binding with the 5-HT receptor (69).
    The incontrovertible reality that serotonergic transmission in limbic areas and emotional capabilities is potentiated by estrogen, strongly suggests a role of the latter in temper and
    emotional states in women (83). Finally, estrogen increases dopamine synthesis and reduces its
    degradation, reuptake, and recapture.
    As information are lacking on muscle efficiency in adult ladies with CAH, no
    agency conclusions could be drawn from these data in youngsters.
    Nevertheless; the findings from these childhood
    studies do suggest that if this greater muscle energy is maintained
    throughout transition to adult-hood, this might presumably translate into improvements in physical efficiency.
    One Other mechanism by which androgens may
    improve train capacity and endurance is by selling erythropoiesis.
    Certainly, a latest examine demonstrated a optimistic affiliation between serum androgen ranges and
    hematocrit in ladies with CAH (Karunasena et al., 2017).
    Moreover, the drugs which are used to deal with CAH (in explicit glucocorticoids) may also negatively impact physical efficiency
    due to their catabolic effects on skeletal muscle (Angoorani et
    al., 2012). Indeed, in a prospective examine of adult patients with classic
    CAH who were on glucocorticoid alternative, each
    feminine and male patients demonstrated lowered muscle mass (Bechtold et al., 2014).

    Corticosteroids also can intrude with many different bodily processes, out of your bones to
    your blood pressure. Facet effects are extra likely if corticosteroids
    are taken at a excessive dose over a long period of time.
    We’ll explore how this essential class of medicine is
    used to treat a extensive range of well being conditions,
    what types corticosteroids take, and potential unwanted side effects.

    Yes, extended istration or further Anavar is even recognized to
    induce irreversible masculinization like deepened voice,
    body and facial hair improvement, and sexual well being alterations.
    Anvarol is an OTC supplement with a great rating that mirrors the motion of Anavar without the risks of steroid winnie use.
    It helps ladies achieve lean muscle, burn fats, and improve endurance in a protected and authorized course of.
    There is some debate round how testosterone levels affect female sex
    drive.
    This would not allow estrogen to act through its classical and
    non-classical pathways (14). Thus, throughout a crucial period
    following the cessation of ovarian operate, the presence
    or absence of estrogen permanently alters the CNS. The finish result’s
    that the presence of estrogen during the critical interval has beneficial results on mind function, and decreases the chance of neurodegeneration and cognitive impairment
    (140, 144). Additional research are needed so as to elucidate the consequences of
    LNG, istered as emergency contraception, on temper in ladies.

    These studies should think about the phase of the cycle, and the number of
    doses ingested. Estrogen ranges will start to rise, but won’t be sufficient to induce a luteinizing hormone (LH)
    rise and ovulation.

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