6 Oclusao e Odontopediatria I e II - 113 140
April 9, 2023 | Author: Anonymous | Category: N/A
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Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkeg clg fhkimftl e lbtemëãl ne glnehls eg lnlmtlhlkif
Imtrlnuëãl Glhnfkems? Trlcenigemtls chçmicls eg que se utihizfg gfterifis e técmicfs fprlprifnfs clg l lboetivl ne se lbter ls glhnes nls frcls nemtfis: L fhkimftl é ug gfterifh phæsticl e bfstfmte versætih utihizfnl mf chçmicf lnlmtlhókicf segpre: F glhnfkeg é utihizfnf eg niversfs ærefs fhég nf lnlmtlhlkif: Afz-se f glhnfkeg pfrf se lbter ugf cópif l gfis aieh plssçveh, e issl nepemne nf qufhinfne nl gfterifh utihizfnl, pfrf reprlnuzir ls frcls nemtfis nl pfciemte: Vufmnl se glhnf, glhnf fhég nl nemte, glhnf-se tfgbég ls tecinls glhes, clgl f guscuhfturf, areil hfbifh, brinfs... Se alr afzer glhnfkeg pfrf estunfr fpemfs f nemtiëãl plne-se ter ugf glhnfkeg que fprlaumne gemls ml aumnl ne vestçbuhl, gfs se alr afzer ugf glhnfkeg pfrf prótese tltfh lu pfrf prótese reglvçveh que l pfciemte perneu guitls nemtes, teg-se que ter ugf glhnfkeg que se estemnf bfstfmte pfrf l aumnl ne vestçbuhl pfrf que tfgbég se clpie tecinl glhe, oæ que essfs estruturfs vãl imteraerir mf fnfptfëãl nf prótese.
Glhnes? Sãl reprlnuëões eg mekftivl nfs superaçcies nfs frcfnfs:
Glnehls? Sãl reprlnuëões eg kessl lu resimf, nfs superaçcies glhnfnfs. Slbre l glhne (mekftivl) se lbtég l glnehl (plsitivl): Hlkl sfi ne ugf situfëãl imtrfbucfh pfrf se ter ugf situfëãl clmaeccilmfnf eg glnehl ne kessl pfrf fssig estunfr e afzer phfmeofgemtl.s
Requisitls nls gfterifis ne glhnfkeg (sihiclme ne fniëãl, sihiclme ne clmnemsfëãl, pfstf zimcl-emóhicf, fhkimftl...) Neveg clpifr clg exftinãl tlnls ls nemtes nl frcl beg clgl ls tecinls glhes e fcinemtes fmftþgicls pfrf que se plssf ter ug glnehl clgphetl e aieh: Ls gfterifis neveg fpresemtfr ug emnurecigemtl clgphetl mf blcf mug tegpl rfzlæveh: Neveg fpresemtfr ugf ahuinez (cfpfcinfne ne esclfgemtl) lu clmsistïmcif fnequfnf ä técmicf egprekfnf: Neveg ter ugf estfbihinfne nigemsilmfh nurfmte e fpós l emnurecigemtl cfpfcinfne nl gfterifh ne pergfmecer mf gesgf nigemsãl, seg fhterfëãl pfrf gfis meg pfrf gemls, pfrf que se tem`f ugf cópif aieh. L fhkimftl mãl é ug blg blg gfterifh eg rehfëãl f eestfbihinfne stfbihinfne nigemsilmfh, ehe tfmtl perne ækuf clg afcihinfne qufmtl kfm`f ækuf clg afcihinfne: Neveg ter ugf phfsticinfne suaiciemte pfrf ugf aieh reprlnuëãl mf glhnfkeg e qufmnl mecessærils sereg terglphæsticls f ugf tegperfturf clgpftçveh clg ls tecinls bucfis Estæ-se afhfmnl ne gfterifis que
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkems e lbtemëãl ne glnehls eg lnlmtlhlkif DResuglnlmtlhlkif DResuglnlmt lhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 6
precisfg ser fquecinls clgl é l cfsl nf klnivf, cerf... Emtãl terglphæsticl é ug gfterifh que se fquece e neplis vlhtf f emnurecer: Neveg ser ehæsticls l suaiciemte pfrf afcihitfr f glhnfkeg ne superaçcies retemtivfs: Mãl neveg ser tóxicls, irritfmtes lu fnerir fls tecinls bucfis, hlkl ls gfterifis neveg ser bilclgpftçveis: Neveg ser imsçpinls lu ter sfblr fkrfnæveh, afcihitfmnl l prlcessl ne lbtemëãl nf glhnfkeg Neveg ter ug fnequfnl tegpl ne trfbfh`l, fnequfnl f peraeitf execuëãl nf técmicf:
Gfterifis ne glhnfkeg? Rçkinls? Kessl Slhÿveh: Tfstf _imcl-Emóhicf: ^erglphæsticls Gfterifis que precisfg ser fquecinls pfrf gunfr l estfnl nehes: Klnivf: Cerf Ehæsticls Clpifg ærefs retemtivfs Sihiclmes? clmnemsfëãl e fniëãl: Gercfptfmfs: Tlhiéster: @inrlclhóines? reversçveis e irreversçveis (fhkimftl):
Fhkimftl?
@istóricl? gfri m`fs Aimfh nl sécuhl PIP mf Escócif nesclbre-se ug exunftl guclsl prlnuzinl plr certfs fhkfs gfrim`fs gfrrlms nemlgimfnl fhkimf: Nurfmte f 2ª Kuerrf Gumnifh teg-se f escfssez ne Fkfr (prlnutlr Ofpãl). Mecessinfne ne ug substitutl: Surkigemtl nls Fhkimftls pfrf glhnfkeg: Gisturfnl clg ækuf pfssf nl estfnl slh pfrf keh nevinl ä refëãl quçgicf: Fhkimftl `ynrlkug 5 Tlne-se aicfr 5 nifs seg vfzfr l kessl:
Imnicfëões? Glnehls ne estunl e ne trfbfh`l: Glnehls pfrf lrtlnlmtif: Glhnfkeg prehigimfr lu fmftþgicf pfrf Trótese ^ltfh: Glhnfkeg pfrf Trótese Tfrcifh Reglvçveh: R eglvçveh: Glhnfkeg ne @egifrcfnf: Nuphicfëãl ne glnehls: Clmaecëãl ne glhneirfs pfrf chfrefgemtl: Glhnfkems ne frcfnf fmtfkþmicf (prótese), hlkl f frcfnf que vfi ser executfnl l trfbfh`l ne prótese aixf é glhnfnf clg sihiclmf e f frcfnf lplstf (fmtfkþmicf) clg l fhkimftl.
Qfmtfkems? Aæcih gfmipuhfëãl: Bfixl custl: Ser `inrlaçhicl mãl teg mem`ug prlbhegf clg ækuf/sfhivf: Aæcih higpezf:
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkems e lbtemëãl ne glnehls eg lnlmtlhlkif DResuglnlmtlhlkif DResuglnlmt lhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 2
Mãl gfmc`f: Aæcih clmtrlhe nl tegpl ne trfbfh`l plne vfrifr clg f tegperfturf nf ækuf:
Nesvfmtfkems? Bfixf estfbihinfne nigemsilmfh ehe se fhterf clg afcihinfne tfmtl kfm`fmnl ækuf qufmtl pernemnl ækuf: Qerter kessl igeniftfgemte ftl ne clmaeccilmfr l glnehl:
Tlssçveis fhterfëões nigemsilmfis nls `inrlclhóines? Evfplrfëãl? Ternf ne ækuf (plr vfplr): Simérese? pernf ne ækuf (ne alrgf hçquinf) e exsunftls sfhimls, é clgl se l gfterifh estivesse ‘sufmnl‗: Egbebiëãl? fbslrëãl ne ækuf nl geil pfrf l imterilr, hlkl é l kfm`l ne ækuf: æku f:
Tfssl f pfssl? Imstruëões fl pfciemte clgl fkir nurfmte f glhnfkeg: Tlsicilmfr l pfciemte ne alrgf clrretf l gæxigl clg f cfneirf pfrf aremte, clhlcfr l bfbfnlr clg l fuxçhil nl ‘ofcfré‗: Trepfrfr l pfciemte pfrf f glhnfkeg: Tlsiëãl gfis eretf 6. 6. Trlvf nf Glhneirf Se f fhturf nf glhneirf alr guitl bfixf, plne fcfbfr mãl clpifmnl l aumnl nl vestçbuhl, fssig, pekf-se ugf hâgimf ne cerf, clrtf-se ugf tirf e vfi fugemtfmnl f fhturf nf glhneirf pfrf aicfr geh`lr f fhturf e fssig clpifr l aumnl nl vestçbuhl: F prigeirf clisf que se afz fmtes ne Espftuhfr l fhkimftl é afzer f prlvf nf glhneirf ml pfciemte, pfrf fssig sfber se f glhneirf esclh`inf vfi se fnequfr ä blcf nl pfciemte: Glhneirf neve aicfr clg l cfbl fhim`fnl clg f him`f génif nl pfciemte, e f him`f génif mãl é f him`f génif nl nemte, é f him`f génif nf afce: 2. 2. Gfmipuhfëãl? Fkitfr l sfcl – Nesclgpfctfr l pó:
Clhlcfr prigeirfgemte f ækuf eg ugf cubf: Emc`er f clh`er ne geninf, reglver excessl clg f espætuhf (6 clh`er ne pó pfrf 6 geninf ne ækuf), clhlcfr eg lutrf cubf l fhkimftl: fh kimftl: Neve-se olkfr l pó mf ækuf Espftuhfr viklrlsfgemte, fhtermfmnl ls glvigemtls pfrf hiberfr plssçveis blh`fs ne fr: ^egpl ne gfmipuhfëãl? >5 sekumnls ä 6 gimutl: Keheiaicfëãl? 2 f 3 gimutls fpós espftuhfëãl: Clhlcfr l fhkimftl espftuhfnl mf glhneirf previfgemte sehecilmfnf, e fmtes ne suf imserëãl mf blcf nl pfciemte, pfssfr fhkimftl mf superaçcie lchusfh e espfëls imterprlxigfis nls nemtes f sereg glhnfnls, clg l fuxçhil nl nenl imnicfnlr:
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkems e lbtemëãl ne glnehls eg lnlmtlhlkif DResuglnlmtlhlkif DResuglnlmt lhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 3
Trlplrëões Usufis? Gfxihf? 3 clh`eres ne pó: 3 geninfs ne ækuf: l l Gfmnçbuhf? 2 clh`eres ne pó: 2 geninfs ne ækuf: 3. 3. Reglver l glhne ne ugf vez só ml semtinl nl hlmkl eixl nl nemte pfrf evitfr nistlrëãl: >. >. Hfvfr l glhne eg ækuf clrremte e blrriafr `iplchlritl ne sónil plis teg bfctérifs mf cfvinfne bucfh, fssig ehigimfmnl-fs:
LBS.? ‘Hçmkuf ne fhkimftl‗? mf frcfnf imaerilr teg l espfël nf hçmkuf, se alr vfzfr l kessl clg f
glhneirf ml alrgftl que ehf teg pfrecinl clg aerrfnurf, l glnehl aicf arfcl, emtãl precisf afzer clg l que l glnehl imaerilr aique gfis resistemte clgl l superilr, pfrf issl utihizf-se ugf plrëãl ne pó e ugf plrëãl ne ækuf e preemc`e l espfël lmne aicf f hçmkuf: 5. 5. Qerter l kessl igeniftfgemte respeitfmnl f rehfëãl ækuf e pó. Qfzfr l glhne clg kessl tipl IQ mf rekiãl nls nemtes e kemkivfs: 1. 1. Afzer retemëões ml kessl: ;. ;. Qfzfr l kessl penrf tipl III pfrf afzer f bfse: 0. 0. ^egpl ne sepfrfëãl glhne/glnehl? >5 f 14 gimutls. Tlne-se tirfr qufmnl l kessl estiver aril e secl:
Kessl? Utihizfëãl eg Lnlmtlhlkif? Clmstruëãl ne glnehls ne frquivl, estunl e trfbfh`l: Clmstruëãl ne trlqueis – glnehls umitærils:
Glhnfkeg pfrf clmaeccilmfr próteses tltfis (slhÿveh): Gfterifh fcessóril (preemc`igemtl): Glmtfkeg ne glnehls eg frticuhfnlres. Kessl tipl I? Mãl neveg ser usfnls pfrf execuëãl ne trfbfh`ls hhfblrftlrifis: fblrftlrifis: Clgplstls ne kessl Tfris, fl qufh alrfg fnicilmfnls glniaicfnlres pfrf rekuhfr l tegpl ne presf e f expfmsãl ne presf: pri mcipfhgemte pfrf preemc`er f guahf mf clmstruëãl ne nemtfnurfs, qufmnl f Kessl tipl II? Usfnl primcipfhgemte expfmsãl ne presf mãl é crçticf e f resistïmcif é fnequfnf: Kessl tipl III? Imnicfnl pfrf f clmstruëãl ne glnehls, mf clmaecëãl ne próteses tltfis que mecessitfg se foustfr fls tecinls glhes. Fpresemtfg ugf resistïmcif fnequfnf pfrf este prlpósitl e pergiteg ugf aæcih reglëãl nf prótese fpós suf clmchusãl: Kessl-Tenrf ne Fhtf Resistïmcif tipl IQ? imnicfnl pfrf trlqueh plr suf resistïmcif, nurezf e ug gçmigl ne expfmsãl ne presf.
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkems e lbtemëãl ne glnehls eg lnlmtlhlkif DResuglnlmtlhlkif DResuglnlmt lhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf >
Afh`fs mf glhnfkeg? ^ITL 6. 6. Superaçcie nl glhne æsperf e irrekuhfr irrek uhfr
2. 2. Blh`fs ne fr mfs superaçcies nemtærif 3. 3. Rfskfgemtl
>. >. Gfterifh Krfmuhlsl
5. 5. Nistlrëãl
Afh`fs ml glnehl (vfzfgemtl nl kessl) ^ITL
CFUSF - Keheiaicfëãl imclgphetf cfusfnf pehf reglëãl pregfturf: - Trlplrëãl imclrretf: - Óhel lu lutrl gfterifh lrkâmicl slbre ls nemtes - Keheiaicfëãl excessivfgemte ræpinf igpenimnl l esclfgemtl nl gfterifh: -- Imclrplrfëãl nl fr nurfmte plis f gfmipuhfëãl Espessurf imfnequfnf, sehecilmlu ugf glhneirf errfnf lu clhlclu plucl gfterifh: - Clmtfgimfëãl pehf uginfne: - Reglëãl pregfturf nf blcf: - Espftuhfëãl prlhlmkfnf - Espftuhfëãl igpróprif lu prlhlmkfnf: - Rehfëãl ækuf/pó guitl bfixf (errfnf). - Afhtf ne fnerïmcif nl gfterifh ä glhneirf: - Glhneirf seg rikinez: - Neglrf excessivf pfrf vfzfr l glhne: - Glvigemtfëãl nf glhneirf nurfmte f keheiaicfëãl: - Reglëãl pregfturf lu imclrretf nf blcf: - Qlhuge excessivl nl gfterifh.
2. 2. Blh`fs mekftivfs e/lu plsitivfs mfs superaçcies nl glnehl
CFUSFS - Higpezf imfnequfnf nl glhne: - Excessl ne ækuf slbre fs superaçcies nl glhne: - Reglëãl pregfturf nl glnehl: - Gfmipuhfëãl imclrretf nl kessl lu prlplrëãl ækuf/pó imclrretf. - Fhterfëãl ne presf: - Esclfgemtl imclrretl nl gfterifh:
3. 3. Fusïmcif ne umiãl emtre ls tipls ne kessl
-- Qibrfëãl fusemte/imclrretf: Imclrplrfëãl nl fr nurfmte f gfmipuhfëãl. - Afhtf ne retemëões: - Qfzfgemtl imclrretl.
6. 6. Glnehl eg kessl ruklsl lu puhveruhemtl (fspectl ne pó)
Lchusãl – 5¿ Segestre – 6ª Uminfne – Fuhf 6 – Glhnfkems e lbtemëãl ne glnehls eg lnlmtlhlkif DResuglnlmtlhlkif DResuglnlmt lhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 5
Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Lnlmtlpeniftrif 6 – 1¿ Segestre6ª Uminfne – Fuhf 2 – Lnlmtlkïmese (TFR^E 6)
Lnlmtlkïmse? É f alrgfëãl, lrikeg nl nemte: Ls tecinls que alrgfg l nemte sãl? NEM^IMF, ESGFH^E e TLHTF:
lbservfnl l alrgftl nemte, f alrgf nl nemte:nf clrlf nl
LBS.? F alrgfëãl nl nemte clgeëf
eg plmtf ne cÿspine:
Trlcessl ne nesemvlhvigemtl nl nemte? Ml terël imaerilr nf afce mf rekiãl nf cfvinfne lrfh prigitivf (estlglneu) vfi-se ter ug espessfgemtl nl n l epitéhil. Qãl surkir nufs rekiões ne epitéhil? epitéhil lrfh prigitivl, ne lmne vfi se nesemvlhver l kerge nemtæril. Epitéhil lrfh prigitivl? l Esse epitéhil vfi se prlhiaerfr, vfi imvfnir l ectlgesïmquigf, só que esses nlis tecinls mãl vãl se gisturfr, segpre vfi sfber lmne é epitéhil e ectlgesïmquigf: l Esse epitéhil é l tecinl que vfi revestir f cfvinfne lrfh prigitivf: l F pfrtir nesse epitéhil vãl lclrrer fhkugfs fhterfëões, clgl f prlhiaerfëãl ml semtinl nl EC^LGESÏMVUIGF (tecinl clmoumtivl egbrilmæril nf rekiãl nf cfbeëf que estæ fbfixl nl epitéhil lrfh prigitivl).
L
epitéhil lrfh prigitivl vfi pemetrfmnl, imvfnimnl f rekiãl nl ectlgesïmquigf: Qãl lclrremnl fhkugfs trfmsalrgfëões que veg vimnl nf rekiãl nl epitéhil lrfh prigitivl, neplis fs trfmsalrgfëões fimnf... Qfi se mltfr que eg netergimfnf afse vfi ser l
F clrlf nl nemte se alrgf prigeirl,
neplis veg f alrgfëãl nf rfiz: Nemtrl nl prlcessl ne nesemvlhvigemtl crâmil afcifh, mfs nufs rekiões nl prlcessl gfxihfr e nl prlcessl gfmnibuhfr vfi surkir l espessfgemtl ne epitéhil lnlmtlkïmicl. L prlcessl gfxihfr e l prlcessl gfmnibuhfr vãl se aumnir pfrf alrgfr gfxihf e gfmnçbuhf e messf rekiãl ne gfxihf e gfmnçbuhf que vfi lclrrer l prlcessl ne lnlmtlkïmese, plis f lnlmtlkïmese é f alrgfëãl nls nemtes e ls nemtes estãl fhlofnls mf gfxihf e mf gfmnçbuhf: Clg 30 nifs ne vinf imtrfuterimf, oæ se teg ls prlcessl gfxihfres e mfsfis hfterfh/genifh aumninls, que se aumniu mf rekiãl genifh, rekiãl fmterilr e alrglu essf rekiãl ne gfxihf e gfmnçbuhf gfis fbfixl, f pfrtir nf ausãl nls nlis prlcessls gfmnibuhfres mf rekiãl genifh:
Lnlmtlpeniftrif – 1ª 1ª Segestre – 6ª 6ª Uminfne – Fuhf Fuhf 2 – Lnlmtlkïmse Lnlmtlkïmse – TFR^E 6 - DResuglnlmtlhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 6
L epitéhil lnlmtlkïmicl vfi estæ slbre
essf rekiãl tfmtl mf gfxihf qufmtl mf gfmnçbuhf. Blcf prigitivf? Revestinf plr epitéhil lrfh prigitivl: É ug espfël, é ugf cfvinfne, hlkl mf hâgimf inemtiaicf clgl brfmcl: L epitéhil lrfh prigitivl se prlhiaerf e
alrgf f? epitehifh prigærif. Messe plmtl Bfmnf existe ugf qufmtinfne gfilr ne céhuhfs epitehifis e essf rekiãl ne prlhiaerfëãl recebe l mlge ne? bfmnf epitehifh prigærif: Tfrf ser imicifnl l prlcessl ne alrgfëãl nl nemte vfi lclrrer prlhiaerfëãl nesse epitéhil, clgeëf-se f ter f prlhiaerfëãl cehuhfr clm`ecinf clgl bfmnf epitehifh prigærif, messf rekiãl clgeëf f ter gfis cfgfnfs nl epitéhil, se fmtes tim`f 5
F prlhiaerfëãl cehuhfr hevf ä alrgfëãl ne crescigemtls epitehifis pfrf nemtrl nl ectlgesïmquigf mls hlcfis nls auturls nemtes necçnuls (nemte ne heite): pfrtir nesses imstfmte, l F nesemvlhvigemtl nls nemtes prlssekue mls estækils ne? BL^ÃL, CFTU_, CFGTÂMUHF, e RFI_: LBS.? ^fmtl ls nemtes CLRLF necçnuls clgl ls nemtes pergfmemtes vãl pfssfr pehfs etfpfs que irãl ser estunfnfs, plrég afhf-se prigeirl nls necçnuls plis ehes sãl alrgfnls prigeirl.
cfgfnfs, mfquehf rekiãl clgeëf f ter 0, 64 cfgfnfs: Fpós 3; nifs ne nesemvlhvigemtl? Ugf bfmnf clmtçmuf ne epitéhil espessfnl se alrgf fl renlr nf blcf mfs auturfs gfxihfs e gfmnçbuhf? Trlhiaerfëãl nl epitéhil lrfh prigitivl: Alrgftl ne aerrfnurf: Tlsicilmfgemtl clrresplmnemte fls auturls frcls nemtærils superilr e imaerilr.
Bfmnf epitehifh F pfrtir nf prigærif? bfmnf epitehifh prigærif vãl ser lrikimfnfs nufs rekiões? Hâgimf Nemtærif? se alrgf prigeirl e vfi lrikimfr l nemte: Hâgimf Qestibuhfr? se alrgf hlkl neplis e plsicilmfnf eg aremte ä hâgimf nemtærif. Ehf vfi lrikimfr f rekiãl nl vestçbuhl. 6. HÂGIMF NEM^ÆRIF? F hâgimf nemtærif lrikimf l kerge nemtæril e esse se nesemvlhve pfrf
alrgfr ls nemtes: É resplmsæveh pehf alrgfëãl nls nemtes: Lnlmtlpeniftrif – 1ª 1ª Segestre – 6ª 6ª Uminfne – Fuhf Fuhf 2 – Lnlmtlkïmse Lnlmtlkïmse – TFR^E 6 - DResuglnlmtlhlkif Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tækimf 2
2. HÂGIMF QES^IBUHFR?
F bfmnf epitehifh prigærif slare nekemerfëãl nfs céhuhfs cemtrfis, nfmnl hukfr f ugf aemnf, que é l vestçbuhl: Alrgfræ l auturl aumnl ne sfcl nl suhcl vestibuhfr (hlcfhizfnl emtre f blc`ec`f/hæbils e ls frcls nemtærils): Suhcl vestibuhfr 7 vestçbuhl: F rekiãl nl vestçbuhl aicf niretfgemte rehfcilmfnf clg fs frcfnfs:
6. Hâgimf vestibuhfr eg alrgfëãl: 2. Kerge nemtæril mf afse ne bltãl (6ª afse nf lnlmtlkïmse): 3. Hâgimf nemtærif prigærif
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 3 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
(Clmtimufëãl...) Afses nf Lnlmtlkïmese?
6. AFSE NE BL^ÃL?
É f prigeirf afse nf lnlmtlkïmese: F hâgimf nemtærif pfssf fpresemtfr,
L
ectlgesïmquigf subofcemte fpresemtf ugf niscretf clmnemsfëãl ne céhuhfs eg tlrml nf pfrte gfis prlaumnf nl bltãl epitehifh: L bltãl é ne lrikeg epitehifh, fssig clgl f hâgimf nemtærif tfgbég é ne lrikeg epitehifh: F rekiãl que estæ gfis pertl nl aumnl nl bltãl é l ectlgesïmquigf, que vfi imteressfr pfrf mós, plis gfis tfrne essf rekiãl vfi se alrgfr f pfpihf nemtærif (resplmsæveh pehf alrgfëãl nf nemtimf e plhpf) e l bltãl nemtæril vfi evlhuir pfrf gfis tfrne alrgfr l órkãl nl esgfhte (vfi alrgfr l esgfhte): Lbs.? Niaeremëf emtre BL^ÃL e CFTU_? L bltãl é gfis frrenlmnfnl e f afse ne cfpuz clgeëf-se f ter ugf rekiãl ne clmcfvinfne.
eg fhkums hlcfis, ftivinfnes gitóticfs niaeremcifis. F prlhiaerfëãl vfi imvfnimnl l ectlgesïmquigf: F pfrtir nf 0ª segfmf ne vinf imtrfuterimf? eg cfnf frcl, lrikimfgse nez pequemfs esaéruhfs (sãl ls kerges nls necçnuls) que imvfneg l ectlgesïmquigf – imçcil imçcil nf alrgfëãl nls KERGES NECÇNULS. Essfs esaéruhfs sãl rekiões nf hâgimf nemtærif:
se teg ugteg kerge Emqufmtl eg ugf afse, oæ se lutrlnemtæril kerge nemtæril eg lutrf afse.
kege nemtæril vfi nfr lrikeg f ug L nemte, plrég tlnls mãl vãl estæ mf gesgf afse nf lnlmtlkïmese plis ls nemtes mãl nesemvlhveg-se tlnls fl gesgl tegpl, gesgl semnl l gesgl prlcessl ne alrgfëãl, teg-se perçlnls niaeremtes: Fs céhuhfs epitehifis fpresemtfg plucf lu mem`ugf fhterfëãl (sãl imniaeremcifnfs) mf alrgf lu aumëãl, hlkl estfs céhuhfs estãl eg fhtf ftivinfne prlhiaerftivf, pfssfmnl plr
sucessivfs gitlses, imniaeremcifnfs:
sãl
céhuhfs
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf > Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Bltãl epitehifh? teg ugf imtemsf e
F rekiãl ne lrikeg epitehifh, que
ftivf prlhiaerfëãl: Clmnemsfëãl ne céhuhfs ectlgesemquigfis? aisicfgemte resplmsæveh pehf clmcfvinfne nl cfpuz, plis clgl estãl clmcemtrfnfs egbfixl nl bltãl e este quer crescer, vfi ter que crescer pfrf fs
fmtes c`fgfvf ne bltãl vfi evlhuir, clmtimufr prlhiaerfmnl, só que vfi ter ug fc`ftfgemtl mf rekiãl ne bfixl, alrgfmnl ugf clmcfvinfne: 2. AFSE NE CFTU_? Clmtimufëãl
nf
prlhiaerfëãl
epitehifh? l nesikufh, bltãl fpresemtf ug crescigemtl fnltfmnl ugf alrgf ne blmé lu cfpuz: Mãl vfi ser gfis renlmnl clgl erf mf afse ne bltãl, vfi fpresemtfr ugf rekiãl ne clmcfvinfne, fc`ftfgemtl nf pfrte gfis prlaumnf nl bltãl: Fugemtl nf nemsinfne cehuhfr igeniftfgemte fnofcemte fl epitéhil eg crescigemtl – clmnemsfëãl nl ectlgesïmquigf :
hfterfis:
Crescigemtl
gfilr nf blrnf nl bltãl epitehifh, nfmnl lrikeg ä cfvinfne:
ÓRKÃL NL ESGFH^E?
céhuhfs mf ectlgesemquigfis Essfs imeaicfzes prlnuëãl sãl ne substâmcif aumnfgemtfh, plr issl mãl se sepfrfg: F rekiãl ectlgesemquigfh vfi clmtimufr mf suf prlhiaerfëãl: Se teg que crescer e pehf rekiãl ne bfixl mãl nf, vfi-se crescer pehls hfnls/hfterfis: Mf afse ne cfpuz fs céhuhfs fimnf sãl IMNIAEREMCIFNFS:
L órkãl nl esgfhte é nivininl eg trïs
pfrtes? F. Epitéhil imterml: B. Epitéhil exterml: C. Retçcuhl estrehfnl:
F plrëãl epitehifh que pfrece ug
cfpuz é c`fgfnf ne ÓRKÃL NL ESGFH^E:
Hlkl c`fgf-se cfpuz ne órkãl nl
esgfhte:
L
órkãl nl esgfhte alrgfræ l ESGFH^E nl nemte, que é f cfgfnf gimerfhizfnf superaicifh emclmtrfnf slgemte mf clrlf nls nemtes:
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 5 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Esse órkãl nl esgfhte vfi ter epitéhil
imterml nl órkãl nl esgfhte e vfi ter tfgbég epitéhil exterml l órkãl nl esgfhte?
prltelkhicfmfs, hlkl fs céhuhfs estãl gfis fafstfnfs ugf nfs lutrfs: Fs céhuhfs vãl se sepfrfmnl ug nfs lutrfs nevinl fl GFILR QLHUGE NE HÇVUINL nemtrl nl órkãl nl esgfhte: Céhuhfs clg alrgf ES^REHFNF, clg værils prlhlmkfgemtls que estfbeheceg clmtftl emtre si ftrfvés ne nesglsslgfs. Hlkl, se fafstfg, plr issl ehfsessfs aicfgcéhuhfs clg esses prlhlmkfgemtls, plrég ehfs mãl se sepfrfg, emtãl gfmtég l clmtftl ftrfvés ne oumëões imtercehuhfres (nesglsslgfs).
TFTIHF NEM^ÆRIF? Situfnf fbfixl nl órkãl nl esgfhte: Estæ próxigf fl epitéhil imterml nl órkãl nl esgfhte:
Epitéhil IM^ERML nl órkãl nl esgfhte?
céhuhfs hlcfhizfnfs mf clmcfvinfne fnofcemte ä clmnemsfëãl ectlgesemquigfh: Epitéhil EP^ERML nl órkãl nl esgfhte? céhuhfs hlcfhizfnfs mf clmvexinfne extermf nl cfpuz.
pehfs céhuhfs Alrgfnf ectlgesemquigfis clmnemsfnfs: Qfi næ lrikeg f nufs estruturfs nl
nemte? NEM^IMF e TLHTF:
RE^ÇCUHL ES^REHFNL Céhuhfs nf rekiãl cemtrfh nl órkãl nl esgfhte, emtre l epitéhil imterml e exterml:
Epitéhil Lrfh Trigitivl
Órkãl
nl
Esgfhte ESGFH^E: Ectlgesemquigf
Emtre fs céhuhfs `æ gfilr qufmtinfne
Tfpihf Nemtærif NEM^IMF e TLHTF
ne SUBS^ÂMCIF AUMNFGEM^FH ricf eg Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 1 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Hlkl l alhçcuhl nemtæril e l epitéhil
exterml teg ugf rehfëãl:
ALHÇCUHL NEM^ÆRIL? Céhuhfs ectlgesemquigfis clmnemsfnfs? alrgfg ugf cæpsuhf que higitf f pfpihf nemtærif e emcfpsuhfg l órkãl nl esgfhte:
Qfi mutrir l órkãl nl esgfhte.
Qfi estæ fl renlr nl kerge k erge nemtæril: Qfi higitfr lmne é pfpihf nemtærif,
nfmnl ug higite lmne vfi ser pfpihf
nemtærif: ter clmtftl clg l epitéhil exterml nl órkãl nl esgfhte: ^ergimf nl lutrl hfnl nl epitéhil exterml: Qfi nfr lrikeg fl TERILNLM^L NE IMSERËÃL : Terilnlmtl ne imserëãl? clmoumtl ne estruturfs que vfi ser resplmsæveh pehf sustemtfëãl nl nemte tfmtl mf gfxihf qufmtl mf gfmnçbuhf. Fs estruturfs nl clmoumtl sãl?
Qfi
MÓ NE ESGFH^E? Estæ hlcfhizfnl ml epitéhil imterml nl órkãl nl esgfhte: Sãl krupl ne céhuhfs epitehifis visçveis eg kerges ne nemtes GLHFRES (nemtes plsterilres): Messf rekiãl nl mó nl esgfhte vfi ser lrkfmizfnf f alrgfëãl nf auturf cÿspine: Cÿspine Tlmtfs, cuges, picls nf clrlf nls nemtes: Mf afse ne cfpuz, lbservf-se que l glhfr teg gfis ne ugf cÿspine: Mf afse ne cfpuz vfi emclmtrfr fpemfs ug mó. Tlsterilrgemte vãl ser alrgfnls
F. Cegemtl: B. Hikfgemtl Terilnlmtfh: C. Lssl Fhvelhfr: Ml alhçcuhl nemtæril vfi se emclmtrfr cfpihfres, esses cfpihfres pemetrfg l alhçcuhl nemtæril, primcipfhgemte mf rekiãl nl epitéhil exterml nl órkãl nl esgfhte: F MU^RIËÃL nf plrëãl epitehifh nl kerge nemtæril prlvég nf QFSCUHFRINFNE nl alhçcuhl nemtæril:
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf ; Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
lutrls mós ne esgfhte (secumnærils) mfs plmtfs nfs auturfs cÿspines eg glhfres.
Kerge nemtæril mf afse ne CFTU_? ^eg-se 3 clgplmemtes primcipfis? f. Órkãl nl Esgfhte:
C. Reticuhl estrehfnl
EPTHICFËÃL IGFKEG? Afse ne cfgpâmuhf. Kerge nemtæril circumnfnl plr trfbécuhfs óssefs nl prlcessl fhvelhfr eg alrgfëãl
L que vfi-se afhfr f pfrtir ne fklrf é
ectlgesïmquigf (tecinl clmoumtivl egbrilmæril):
b. Tfpihf c. AlhçcuhlNemtærif: Nemtæril:
3. AFSE NE CFGTÂMUHF lu SIML: Nigimuiëãl nf prlhiaerfëãl nfs céhuhfs epitehifis, lu seof, nl crescigemtl nl órkãl nl esgfhte: F superaçcie imtermf nl órkãl nl esgfhte se fprlaumnf nfmnl fl órkãl f ALRGF NE SIML: L órkãl nl esgfhte fpresemtf alrgf ne siml, clg suf clmcfvinfne gfis
fcemtufnf: L órkãl nl esgfhte é nivinl eg pfrtes? F. Epitéhil exterml nl esgfhte: B. Epitéhil imterml nl esgfhte:
F rekiãl que vfi aicfr próxigf fl
epitéhil imterml nl órkãl nl esgfhte, só que mãl é epitéhil, é ectlgesïmquigf, c`fgf-se TFTIHF NEM^ÆRIF: L alhçcuhl vfi estæ gfis beg netergimfnl mf afse ne cfgpâmuhf, vfi estæ gfis mçtinl: L alhçcuhl fcfbf próxigl f pfrene extermf nl órkãl nl esgfhte: L alhçcuhl nemtæril vfi mutrir f plrëãl epitehifh: Tlne ter keges nemtærils mf gesgf
afse, e plne ter kerges nemtærils eg afses niaeremtes: Estækil ne cfpuz mf gfxihf e estækil ne cfgpâmuhf mf gfmnçbuhf? issl é ug exegphl ne que ls nemtes imaerilres estãl semnl alrgfnls fmtes nls superilres. Sfbe-se issl, fl lbservfr f afse eg que se emclmtrf: Glralniaeremcifëãl? Niaeremcifëãl nf alrgf: Nurfmte esse estækil f clrlf nemtærif fssugf suf alrgf aimfh: Fklrf vfi-se clmsekuir lbservfr ugf fpfrïmcif ne nemte: Mf afse ne cfpuz mãl se lbservf issl, plis l prlcessl ne niaeremcifëãl nf alrgf clgeëf mf afse ne cfgpâmuhf: @istlniaeremcifëãl? Fs céhuhfs que irãl prlnuzir ls tecinls nurls nf clrlf se niaeremcifg: NEM^IMF e ESGFH^E
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 0 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Tfrf se prlnuzir nemtimf e esgfhte precisf-se ne CÉHUHFS NIAEREMCIFNFS, hlkl, céhuhfs especçaicfs pfrf f prlnuëãl ne nemtimf e esgfhte, este é l prlcessl ne `istlniaerecifëãl: Céhuhfs que se precisf ter pfrf alrgfr f nemtimf LNLM^ LNLM^LBHFS^LS: LBHFS^LS:
FHËF CERQICFH?
se precisf pfrf ter pfrf Céhuhfs esgfhte alrgfr lque FGEHLBHFS^LS: ^im`f-se lbservfnl nesne f afse ne
cfpuz que ls epitéhils exterml e imterml sãl estruturfs clmtçmufs? Epitéhil Exterml REKIÃL CLMQEPF: Epitéhil Imterml REKIÃL CÞMCFQF Epitéhil exterml nl esgfhte? Céhuhfs clg alrgf cublinfh bfixf (gfis fc`ftfnfs).
imterml nl esgfhte? Epitéhil Céhuhfs clg alrgf cihçmnricf
Ml aimfh nf afse ne clrlf fs céhuhfs nl
epitéhil exterml e imterml irãl se prlhiaerfr pfrf alrgfr f bfim`f rfnicuhfr ne @ER^[IK que imnuz f
bfixf (gfis fhlmkfnfs) clg fhtl clmteÿnl ne khiclkïmil. L retçcuhl estrehfnl clmtimuf f crescer eg vlhuge – gfilr qufmtinfne ne ækuf e prltelkhicfmfs: Fugemtl nf nistâmcif emtre fs céhuhfs e seus prlhlmkfgemtls: Ls epitéhils IM^ERML e EP^ERML nl esgfhte sãl clmtçmuls: Epitéhil imterml? clgeëf ml plmtl
lmne extermlnemtrl se nlbrf alrgfrlfepitéhil clmcfvinfne nl pfrf qufh fs céhuhfs nf pfpihf nemtærif se fcuguhfg: Emclmtrl nl epitéhil imterml e exterml FHËF CERQICFH:
LBS.? L que vfi fclmtecer ne guitf mlvinfne vfi ser mf rekiãl nl epitéhil imterml nl órkãl nl esgfhte:
alrgfëãl nf rfiz nl nemte:
ES^RF^L IM^ERGENIÆRIL?
l epitéhil imterml e l Surke retçcuhlemtre estrehfnl:
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 9 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
É alrgfnl plr nufs lu trïs cfgfnfs
ne céhuhfs pfvigemtlsfs: Qfi pfrticipfr oumtfgemte clg l epitéhil imterml nf alrgfëãl nl ESGFH^E:
TFTIHF NEM^ÆRIF? F pfpihf nemtærif é sepfrfnf nl órkãl nl esgfhte plr ugf hâgimf bfsfh que egite ug clmoumtl ne nehkfnfs aibrihfs pfrf nemtrl nf zlmf fcehuhfr* * É ug espfël que imicifhgemte vfi emclmtrfr mf afse ne cfgpâmuhf,
Uhtrf-estruturf nl órkãl nl esgfhte ml
estækil ne cfgpâmuhf imicifh: L órkãl nl esgfhte é suplrtfnl pehf HÂGIMF BFSFH fl renlr nf periaerif:
F HÂGIMF BFSFH rlneif l órkãl nl
esgfhte ml seu clmtlrml tltfh, sepfrfmnl fs céhuhfs nl ETI^ÉHIL
EP^ERML nl ALHÇCUHL NEM^ÆRIL, e fs céhuhfs nl ETI^ÉHIL IM^ERML nf TFTIHF NEM^ÆRIF: Fs céhuhfs eg alrgf ne estrehf nl retçcuhl estrehfnl sãl hikfnfs ugfs äs lutrfs, äs céhuhfs nl epitéhil exterml ne esgfhte e fl estrftl imtergeniæril plr NESGLSSLSGLS : Fs céhuhfs nl estrftl imtergeniæril sãl hikfnfs ugfs fs lutrfs e fs céhuhfs nl reticuhl estrehfnl e epitéhil imterml nl esgfhte tfgbég plr nesglsslsgl:
plrég esse espfël neplis nesfpfrece: Emtre l epitéhil e l ectlgesïmquigf existe hâgimf bfsfh: Qfi lclrrer ugf rehfëãl emtre epitéhil e ectlgesïmquigf pfrf que lclrrf f alrgfëãl nl nemte, emtãl ftrfvés nf hâgimf bfsfh é que vfi lclrrer essf clgumicfëãl pfrf que lclrrf f imterfëãl emtre epitéhil e ectlgesïmquigf: Fs céhuhfs ectlgesemquigfis fpresemtfg-se imniaeremcifnfs mf suf rekiãl cemtrfh, clg aimfs aibrihfs clhækemfs lcupfmnl f gftriz extrfcehuhfr, oumtl fls clgplmemtes mãl clhækemls clgl prltelkhicfmfs, khiclsfgimlkhicfmfs e khiclprlteçmfs: Ls CFTIHFRES imicifhgemte presemtes ml alhçcuhl nemtæril clgeëfg tfgbég f pemetrfr f pfpihf nemtærif fpfrecemnl eg krfmne mÿgerl emtre fs céhuhfs: Ls cfpihfres fmtes só estfvfg mf rekiãl nlf alhçcuhl, fklrf nesses vfi se clgeëfr lbservfr gfs f presemëf cfpihfres nemtrl nf pfpihf nemtærif: É igplrtfmte que essf pfpihf seof vfscuhfrizfnf, plis f pfpihf nemtærif vfi alrgfr f nemtimf e f plhpf. F primcipfh cfrfcterçsticf nf plhpf nemtærif é ser ug tecinl glhe, fhtfgemte vfscuhfrizfnl, emtãl issl fqui gfis tfrne vfi se trfmsalrgfr eg plhpf, emtãl f pfrtir nessf pfpihf nemtærif vfi-se ter céhuhfs que vãl se tlrmfr pfrf alrgfr f nemtimf,lnlmtlbhfstls e vfi ter que alrgfr tfgbég
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 64 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
f plhpf nemtærif, essf plhpf nemtærif vfi se nesemvlhvemnl f pfrtir nissl fqui:
ALHICUHL NEM^ÆRIL? L alhçcuhl nemtæril
é
afcihgemte
nistimkuinl nf pfpihf nemtærif, plis mugerlsfs aibrihfs clhækemfs lcupfg ls espfëls extrfcehuhfres emtre ls aibrlbhfstls alhicuhfres: Essf rekiãl nl alhçcuhl que fmtes só mãl se lbservfvf guitl beg, fklrf estæ beg chfrf mf afse ne cfgpâmuhf, emtãl é l gesgl clgplmemte nfquehf éplcf, só que fklrf estæ gfis evinemte: Ls aibrlbhfstls alhicuhfres (céhuhfs) estãl circuhfrgemte lriemtfnls fl
renlr nl órkãl nemtæril e nf pfpihf nemtærif: Ehe veg eg clmtftl clg l epitéhil exterml nl órkãl nl esgfhte, nf l higite nf pfpihf e tergimf nl hfnl lplstl, clgl se alsse ugf cæpsuhf: L alhçcuhl nemtæril se tlrmf gfis evinemte, plis ehe pfssf f emvlhver tltfhgemte l kerge: Existe ugf estruturf fl renlr nl kerge nemtæril que é gimerfhizfnf, teg clgl se alsse ug trfbecuhfnl óssel.
ne esgfhte, plis l nemte teg gfis ne ugf cÿspine: F plrëãl nf hâgimf nemtærif, emtre l órkãl nl esgfhte e l epitéhil bucfh se nesimtekrf: L nemte clmtimuf semnl nesemvlhvigemtl sepfrfnl nl epitéhil lrfh: Hlkl vfi ser clrtfnf essf rekiãl emtre
f hâgimf nemtærif e l órkãl nl esgfhte e l kerge vfi clmtimufr seu nesemvlhvigemtl imnepemnemte nl epitéhil lrfh: Arfkgemtfëãl nf hâgimf nemtærif? alrgfëãl ne fkrupfgemtls ne céhuhfs epitehifis que mlrgfhgemte se nekemerfg, gfs fhkugfs nehfs plneg persistir: Mf rekiãl ne nesimtekrfëãl fs céhuhfs epitehifis plneg sugir, nesfpfrecer, só que fhkugfs plneg persistir, emtãl vfi ser lrikimfnf f TÉRLHF ETI^EHIFH, que plneg aicfr imftivfs, plrég ehfs plneg alrgfr pequemls cistls (fhterfëões), se alreg ftivfnfs, Fhég nissl næ lrikeg f lnlmtlgf e nemtes suprfmugeræril:
Qeg clgl se alsse ugf lmnf, fl renlr nl kerge nemtæril, ehf vfi vir ne ug hfnl e ne lutrl tfgbég: tfgbég : Mf afse ne cfpuz clgemtlu se slbre f presemëf nl MÓ NL ESGFH^E, mf rekiãl nl epitéhil imterml nl órkãl nl esgfhte. Esses mós ne esgfhte vãl lrikimfr fs cÿspines, plmtf ne cÿspine: Ls nemtes plsterilres mãl teg ugf cÿspine ÿmicf, mãl é ugf só, emtãl mf afse ne cfpuz, qufmnl oæ estæ gemls nesemvlhvinl, vfi-se ter ug mó ne
TÉRLHFS ETI^EHIFIS? Tlneg alrgfr pequeml cistls (cistls
ne erupëãl):
Tlneg nfr f lrikeg f lnlmtlgf: Tlneg ser ftivfnls pfrf nfr lrikeg f
esgfhte slgemte. Só que mf afse mós ne cfgpâmuhf vãl fpfrecer lutrls
nemtes suprfmugerærils: Cistl ne Erupëãl plneg ftrfsfr f erupëãl ne nemtes pergfmemtes: Lnlmtlgf pftlhlkif que pfrece gimi nemtes, gimi nemtçcuhls: Nemte suprfmugeræril nemte que veg fhég nl mÿgerl mlrgfh nf frcfnf nemtærif: Mf afse ne cfgpâmuhf, l lssl nl prlcessl
fhvelhfr
eg
alrgfëãl
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 66 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
kerfhgemte fcfbf rlnefmnl clgphetfgemte l alhçcuhl nemtæril, clmstituimnl f criptf óssef: Emtãl vfi ter ugf estruturf óssef fbfixl nesse kerge nemtæril: ^eg ugf bfse nl lssl fhvelhfr, esse kerge nemtæril ehe se neshikf nl epitéhil lrfh e essf estruturf ne ug
hfnl e nl lutrl que teg l alrgftl ne lmnf vfi clmtlrmfr esse kerge nemtæril. Emtãl l kerge nemtæril vfi aicfr tlnl rlnefnl plr estruturf nf criptf óssef:
TRLCESSL NE GLRALNIAEREMCIF G LRALNIAEREMCIFËÃL? ËÃL? L prlcessl ne glralniaeremcifëãl é f lrikeg nf alrgf, mãl quer nizer que f clrlf vfi estfr prlmtf, plis clrlf vfi ser mf afse ne clrlf: L lboetivl mf afse ne cfgpâmuhf é
F prlhiaerfëãl cehuhfr hevf l epitéhil
imterml f se tlrcer e alrgfr l clmtlrml nf cÿspine, lcfsilmfmnl alrëf ml epitéhil imterml eg nireëãl fls plmtls lmne mãl `æ gfis nivisãl cehuhfr: Emtãl l aftl ne ugf pfrte mãl ter nivisãl, e f lutrf pfrte clmtimufr nivinimnl vfi alrgfr nlbrfs ml epitéhil imterml, que vfi netergimfr f alrgf nf clrlf nl nemte, emtãl ug plmtl mãl nivine gfis e fl renlr nivine. Surke lutrl plmtl que é l mó secumnæril: sec umnæril: Emtãl oæ lclrrerfg nlbrfs, ne alrgf que ali lrikimfnl esse alrgftl nl nemte aimfh:
TRLCESSL NE @IS^LNIAEREMC @IS^LNIAEREMCIFËÃL? IFËÃL?
nfr l alrgftl nf clrlf e lrikimfr fs céhuhfs que vãl lrikimfr ls tecinls nurl nf clrlf: Emtãl glralniaeremcifëãl é fhterfëãl mf alrgf nl epitéhil imterml pfrf que l nemte tem`f l seu alrgftl aimfh, plrég é só l alrgftl, plis pfrf f clrlf estæ clgphetfgemte alrgfnf precisf-se alrgfr ls tecinls nurls nf clrlf, que é ugf cfrfcterçsticf nf afse ne clrlf, que é f próxigf afse: Emqufmtl l kerge nemtæril cresce
É ml epitéhil imterml que vfi lclrrer
nurfmte f trfmsiëãl cfpuzcfgpâmuhf, f nivisãl cehuhfr lclrre plr tlnl l epitéhil imterml nl esgfhte: esgfhte : Eg ug plmtl pfrticuhfr f nivisãl cehuhfr é imterrlgpinf plrque fs céhuhfs estãl clgeëfmnl f se niaeremcifr eg fgehlbhfstls* essf æref represemtf l hlcfh nf auturf cÿspine: * Alrgf l esgfhte. L fgehlbhfstl fpfrece mf rekiãl nl epitéhil imterml nl órkãl nl esgfhte, gfs fimnf mãl
c`eklu eg fgehlbhfstls, vfi clgeëfr f se niaeremcifr eg fgehlbhfstl:
tlnl l prlcessl: Fs céhuhfs nl epitéhil imterml hlcfhizfnfs mls vértices nfs cÿspines, fté emtãl cihçmnricf bfixfs clg mÿchel próxigl ä hâgimf bfsfh, tlrmfg-se cihçmnricfs fhtfs (hlkl f céhuhf cresceu, teve fhterfëãl ml seu alrgftl): L seu mÿchel pfssf f se hlcfhizfr nl hfnl lplstl ä pfpihf nemtærif imversãl ne plhfrinfne: Essfs céhuhfs se trfmsalrgfg eg préfgehlbhfstls: Fs céhuhfs estfvfg clmnemsfnfs e lrikimfrfg fs pfpihfs nemtærifs: F hâgimf bfsfh é f estruturf que vfi estfr emtre ehfs: Qfi ter imterfëãl emtre fs nufs céhuhfs: L mÿchel subiu, ehe slareu ug prlcessl ne imversãl ne plhfrinfne, estæ gfis
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 62 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
próxigl nl retçcuhl nl estrftl imtergeniæril: Mf pfpihf nemtærif fnofcemte, fs céhuhfs ectlgesemquigfis nf rekiãl periaéricf, slb imahuïmcif nls préfgehlbhfstls, pfrfg ne se nivinir, fugemtfg ne tfgfm`l e clgeëfg suf niaeremcifëãl eg lnlmtlbhfstls:
F rekiãl nl epitéhil imterml pfsslu plr
nlis prlcessls, fugemtlu ne tfgfm`l e slareu f imversãl ne plhfrinfne, se tlrmlu ug pré-fgehlbhfstl, fç neu ug tlque pfrf fs céhuhfs nf periaerif nf pfpihf nemtærif clgeëfr l seu s eu prlcessl ne niaeremcifëãl. Emtãl essfs céhuhfs nf periaerif nf pfpihf nemtærif
Tlr ug prlcessl ne imnuëãl essfs
céhuhfs vãl estiguhfr fs céhuhfs nf periaerif nf pfpihf nemtærif f tfgbég clgeëfr l seu prlcessl ne niaeremcifëãl eg lnlmtlbhfstls, plis pfpihf nemtærif alrgf f nemtimf, esses lnlmtlbhfstls vãl alrgfr f nemtimf nf clrlf: Niaeremcifëãl nls lnlmtlbhfstls: Mf periaerif nf pfpihf nemtærif, mf blrnf nf pfpihf nemtærif se teg lnlmtlbhfstls eg niaeremcifëãl:
Ugf céhuhf cublinfh bfixf mãl é ug
pré-fgehlbhfstl, pfrf ser préfgehlbhfstl teg que fclmtecer nufs clisfs bæsicfs? fugemtl ne tfgfm`l e f imversãl ne plhfrinfne: L pré fgehlbhfstl que vfi imnuzir f niaeremcifëãl nfs céhuhfs nf periaerif nf plhpf: Fpós f niaeremcifëãl nfs céhuhfs nf pfpihf nemtærif, ls lnlmtlbhfstls fugemtfg ne tfgfm`l e ehigimfg f zlmf fcehuhfr emtre f pfpihf nemtærif e
l epitéhil imterml nl esgfhte:
Hlkl esse espfël "zlmf fcehuhfr",
neplis mãl vfi gfis ser vistl:
NEM^IMF NL GFM^L? Ls lnlmtlbhfstls fimnf eg niaeremcifëãl ehes pfssfg f secretfr f prigeirf cfgfnf ne gftriz ne nemtimf c`fgfnf ne NEM^IMF NL GFM^L: É f prigeirf cfgfnf ne nemtimf alrgfnf: Seu clmstituimte gfis fbumnfmte é l
clhækeml nl tipl 6:
fnifmtfrfg l prlcessl ne niaeremcifëãl e se tlrmfrfg lnlmtlbhfstls, ugf vez que ehes sãl lnlmtlbhfstls ehes prlnuzeg nemtimf, essf nemtimf é c`fgfnf ne nemtimf nl gfmtl: Clg f presemëf nf prigeirf cfgfnf ne nemtimf, clgphetf-se f niaeremcifëãl nls pré -fgehlbhfstls eg fgehlbhfstls: Emtãl é ug prlcessl c`fgfnl ne imnuëãl recçprlcf - f céhuhf nl epitéhil
imterml nl órkãl nl esgfhte clgeëf l seu prlcessl ne niaeremcifëãl cehuhfr, se tlrmf pré-fgehlbhfstls, imnuz f céhuhf nf periaerif nf pfpihf f clgeëfr l seu prlcessl ne niaeremcifëãl que se tlrmf lnlmtlbhfstl. L lnlmtlbhfstl vfi prlnuzir f nemtimf nl gfmtl. Essf prigeirf cfgfnf ne nemtimf eg clmtftl clg l pré-fgehlbhfstl tlrmf essf céhuhf fgehlbhfstl, emtãl imnuëãl recçprlcf, plis ug imnuz l lutrl: Esses evemtls (prlcessl ne
`istlniaeremcifëãl) clgeëfg mls hlcfis clrresplmnemtes äs auturfs cÿspines nl nemte e prlkrineg, nescemnl pehfs vertemtes nfs cÿspines fté f rekiãl nf fhëf cervicfh: Mf rekiãl nl MÓ NL ESGFH^E clgeëfg ls evemtls ne `istlniaeremcifëãl, só que esse prlcessl vfi nescemnl fté rekiãl ne fhëf cervicfh, pfrf alrgfr f clrlf tlnf, alrgfr f clrlf plr clgphetf:
Lbservfëãl? esgfhte mãl vfi ser alrgfnl mf afse ne cfgpâmuhf, nls tecinls nurls
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 63 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
nf clrlf emtre ehes, vfi ser alrgfnl mf afse ne cfgpâmuhf l clgecim`l nf nemtimf (nemtimf nl gfmtl) que mf vernfne é neplsitfnf clgl ugf gftriz lrkâmicf imicifhgemte, que neplis vfi slarer l prlcessl ne gimerfhizfëãl: Ls lnlmtlbhfstls vïg nf rekiãl nf
pfpihf nemtærif (nf periaerif nf pfpihf nemtærif): Ls fgehlbhfstls vïg nl epitéhil lrfh imterml nl órkãl nl esgfhte: L esgfhte teg lrikeg epitehifh, plis l órkãl nl esgfhte alrgf l esgfhte, e l órkãl nl esgfhte veg f pfrtir nl epitéhil lrfh, emtãl l epitéhil lrfh prlhiaerlu e alrglu ugf hâgimf, que prlhiaerlu gfis e alrglu l bltãl, que prlhiaerlu gfis fimnf e alrglu cfpuz e que esse órkãl nl esgfhte vfi slarer l prlcessl ne niaeremcifëãl pfrf alrgfr fgehlbhfstls pfrf prlnuzir esgfhte: Fs céhuhfs nf periaerif nf pfpihf nemtærif vãl se niaeremcifr eg lnlmtlbhfstls pfrf plner alrgfr nemtimf. Issl é ne lrikeg ectlgesemquigfh, emtãl é ne lrikeg ne tecinl clmoumtivl: L nemte clgeëf f suf alrgfëãl mf rekiãl gfis clrlmærif plssçveh 7 REKIÃL NE TLM^F NE CßSTINE:
Reaerïmcifs Bibhilkræaicfs? JF^CBURIFM, Enufrnl. @istlhlkif e egbrilhlkif lrfh? textl, fthfs, clrrehfëões chçmicfs. 3. en. rev. e ftufh. Ril ne Ofmeirl? Kufmfbfrf Jllkfm, 2462. MFMCI, Fmtlmil. ^em Cfte `istlhlkif lrfh? nesemvlhvigemtl, estruturf e aumëãl. 0. en. Ril ne Ofmeirl? Ehsevier, 2463.
Lnlmtlpeniftrif 6 – 1ª Segestre – 6ª Uminfne – Fuhf 2 – Lnlmtlkïmse TFR^E 6 - DResuglnlmtlhlkif Tækimf 6> Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne Fuhf 2 – ^erfpif Genicfgemtlsf eg Lnlmtlpeniftrif – Tfrte 6
^erfpif Genicfgemtlsf G enicfgemtlsf Clm`ecer prlaumnfgemte ls aærgfcls? Fmtibióticls: Fmfhkésicl: Fmtipiréticls: Fmti-imahfgftórils: Fmtivirfh: Clrticlines: Bemzlnifzepçmicls.
F FMFGMESE FMFGMESE neve ser beg aeitf, pfrf emtemner clgl é fquehe pfciemte aisilhlkicfgemte e se l gesgl mãl plssuf mem`ugf nlemëf? Nifbéticls: Neaiciïmcif ne clfkuhfëãl lu fmegif: Cfrnilpftifs: Tfciemtes especifis: Mutriëãl:
Slhuëãl? Slhuëãl? l F genicfëãl oæ veg prlmtf, e kerfhgemte veg ug geninlr eg alrgf ne clpim`l lu serimkf.
Ls fmti-imahfgftórils tfgbég plssueg l eaeitl fmfhkésicl. Mlrgfhgemte mf lnlmtlpeniftrif lptf-se pehl fmfhkésicl lu fmti-imahfgftóril nepemnemnl nf krfvinfne nf situfëãl, se alr lptfr plr ug preaere-se l fmti-imahfgftóril, plis ehe tfgbég teg eaeitl fmfhkésicl.
Receitf?
Suspemsãl P Slhuëãl? Suspemsãl Suspemsãl?? l É mecessæril nihuir l pó eg ækuf, lmne ml arfscl nl genicfgemtl teg-se ugf gfrcfëãl, fté lmne f ækuf plne c`ekfr: l Fl aimfh nf gisturf f slhuëãl neve estæ ml hlcfh gfrcfnl clg f setf:
Clmtrlhe nf Nlr e Aebre: FMFHKÉSICLS E FM^ITIRÉ^ICLS?
Mlrgfhgemte ls fmfhkésicls tfgbég sãl fmtipiréticls: Fmtes ne prescrever precisf-se clm`ecer f lrikeg nf nlr e f imtemsinfne nf nlr, lu ‘se l pfciemte vfi prlvlcfr nlr‗, ne
fclrnl clg l ftemnigemtl nfquehf crifmëf: Tfrf prescrever l fmfhkésicl teg que `fver ug blg semsl e sfber f mecessinfne nl pfciemte lu mãl: Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf 6 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Clmcemtrfëãl? 544 gk/gH (KL^FS (KL^FS)) 65 gk/Jk: Tlslhlkif? > eg > `lrfs lu 41 eg 41 `lrfs `lrfs 6/2 kltf pfrf cfnf Jk ne pesl clrplrfh (qufmnl teg f aumëãl ne fmfhkésicl) ne > eg > `lrfs:
6. Nipirlmf Sónicf?
l
fpresemtfëãl? Tlssui trïs alrgfs ne fpresemtfëãl? 54 gk/gh (slhuëãl): (slhuëãl): 344 gk (suplsitóril): (suplsitóril): 544 gk/gh (kltfs): (kltfs): l Geh`lr fmfhkésicl e fmtipiréticl, só que fpresemtf ug pltemcifh fherkïmicl guitl krfmne: krfmne: l Terkumtfr fl ‘pfciemte ‗/pfis se f crifmëf teg fherkif fl nipirlmf lu se ehe oæ tlglu l nipirlmf, plis se mumcf tlglu f nipirlmf fclmseh`f-se f mãl
6 kltf pfrf cfnf Jk ne pesl clrplrfh (qufmnl teg f aumëãl ne fmtipiréticl) ne > eg > `lrfs: Higite gæxigl? >4 kltfs ^frtrfzimf (clrfmte fgfrehlhigãl) pltemcifh fherkïmicl eg pfciemtes clg semsibihinfne fl FSS,, hlkl, pfciemte clg fherkif fl FSS FFS mãl prescreve nipirlmf kltfs, messe cfsl plne prescrever f slhuëãl nipirlmf, plis f
pfssfr f nipirlmf e sig ug pfrfcetfglh clgl fmfhkésicl, plis mumcf sfbe se l pfciemte vfi nesemvlhver fherkif mfquehe glgemtl e fs clmsequïmcifs nf fherkif fl nipirlmf sãl guitl krfves clgl l c`lque fmfaihæticl e fté l pfciemte vir f óbitl: óbitl: l Clmcemtrfëãl? 54 gk/gH (SLHUËÃL (SLHUËÃL)) 65 gk/Jk lu ^FBEHF: Tlslhlkif? 41 eg 41 `lrfs:
semsibihinfne é fl clrfmte e mãl ä slhuëãl nipirlmf.
l
^fbehf fbfixl NITIRLMF
slgemte pfrf slgemte
Clmcemtrfëãl? 344 gk (SUTLSI^ÓRIL) (SUTLSI^ÓRIL) Lbservfëãl? Tlne ser utihizfnl eg crifmëf fcigf ne 4> fmls lu clg gfis ne 61 Jk, 6 suplsitóril: F guclsf retfh é extregfgemte vfscuhfrizfnf, hlkl l eaeitl é guitl blg: Utihizfnl qufmnl limkerir pfciemtel mãl clmsekue genicfgemtl e fcfbf vlgitfmnl, lu qufmnl l pfciemte teg niaicuhnfne ne imkerir f genicfëãl: l Refëões Fnversfs? Fmfaihæticls? prurinl (clceirf), urticærif, frnlr, imc`fël, quenf nf Tressãl Frterifh: Evitfr l usl eg pfciemtes clg `istórif ne fsgf, plis f resplstf fmfaihæticf é krfmne, gfs se l l
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf 2 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
pfciemte oæ tlglu e mãl teve prlbhegf clg f genicfëãl, mãl teg prlbhegf afzer l usl nl genicfgemtl: Se l pfciemte tiver ug c`lque fmfaihæticl, mlrgfhgemte, f nepemner nl krfu, emtrf-se clg clrticline terfpif: 2. Æcinl Fcetihsfhicçhicl (FFS)? l Nlses? 644 gk | 544 gk: l 644 f 625 gk/jk ne pesl clrplrfh/nif: l Tlslhlkif? > eg > `lrfs lu 1 eg 1 `lrfs: l Cuinfnl (mãl é reclgemnfnl)? Tfciemtes clg prlbhegfs `epæticls krfve: krfve: Tfciemtes `eglaçhicls: `eglaçhicls:
3. Tfrfcetfglh? l 64 f 65 gk/Jk ne pesl clrplrfh/nlse (SLHUËÃL SLHUËÃL))
Tfciemtes clg neaiciïmcif ne vitfgimf J e N: N: Fpós extrfëãl nemtærif, plr ehe ser ug fmti-fkrekfmte phfquetæril: phfquetæril: l Refëões Fnversfs? Fnversfs? Nesclmalrtl fbnlgimfh: fbnlgimfh: Mæusefs e vþgitls: vþgitls: l Lbservfëãl? Lbservfëãl? Mlrgfhgemte mãl prescreve ehe, aicf-se gfis emtre esclh`er ugf nipirlmf lu pfrfcetfglh: pfrfcetfglh: Cæhcuhl? Cæhcuhl?
l
l
Tlslhlkif? > eg > `lrfs lu 1 eg 1 `lrfs: l Crifmëf? 614gk/5gh (32 gk/gh) gk/gh) l Bebï? 644 gk/gh gk/gh l Trigeirl perkumtf fls pfis qufh nls nlis fcigf teg eg cfsf, pfrf mãl ser mecessæril clgprfr ug mlvl genicfgemtl: l É gfis nlce, hlkl é geh`lr pfrf prescrever nl que f kltf que
kerfhgemte teg ug klstl fgfrkl: Fs slhuëões fpresemtfg ugf qufmtinfne krfmne ne fëÿcfr, hlkl neve ser emaftizfnl que fpós l usl nf genicfëãl l pfciemte neve esclvfr ls nemtes: l Nesne que se cfhcuhe, plne-se prescrever l pfrfcetfglh ne bebï pfrf ugf crifmëf. l
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf 3 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
>. Memï nemte – Keh?
Fëãl cfhgfmte e fmfhkésicf: l Mãl estæ semnl guitl utihizfnl, plis l
ehe teg fmestésicl, hlkl l inefh é mãl prescrever. 5. Cfglgihimf C?
Trescrever esse regénil fl imvés nl memï nemte: l Nisslhve eg ækuf, clhlcf eg ugf serimkf e fngimistrf pfrf l bebï: l ^rïs vezes fl nif pfrf l bebï: l ^eg aumëãl fmfhkésicf e fmtiimahfgftórif: l Substâmcifs presemte? Cfglgihf? fëãl senftivf e fmtiespfsgónicfs: Fhcfëuz? prlprienfne fmtiimahfgftórif sufve: Cæhcil e aósalrl? gimerfhizfëãl óssef e nemtærif. l
- Fpresemtfëãl (KL^F (KL^F)? )? 6 kltf/jK clrplrfh
l
ne
pesl
Lbservfëãl kerfh? Imstruir l pfciemte que fpós l usl nf genicfëãl l pfciemte neve esclvfr ls nemtes, plis f clmcemtrfëãl ne fëÿcfr é krfmne:
l
FMQISF netergimlu? l ^lnl genicfgemtl que clmtem`f nichlaemfcl ne sónil lu pltæssil é clmtrf imnicfnl eg crifmëfs gemlr que 6> fmls:
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf > Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Hlkl mãl mãl plne plne fngimistrfr meg l nichlaemfcl ne sónil lu pltæssil eg kltf eg kltf eg crifmëfs:
l
2445 – fhertf nl hfblrftóril nf migesuhinf? l Nesfclmseh`f seu usl eg crifmëfs gemlr que 62 fmls, fté gesgl gemlr migesuhinf eg kltf mãl plne ser prescritl. LBSERQFËÃL
Mfs receitfs ne fmfhkésicls que alrfg aeitfs, clhlclu-se 2 nifs ne prescriëãl, plis mlrgfhgemte 2 nifs oæ sãl suaiciemtes pfrf l pfciemte mãl estæ semtimnl nlr, se pfsslu esses nlis nifs e l pfciemte fimnf clmtimuf semtimnl nlr, sikmiaicf nizer que estæ `fvemnl ug prlcessl imahfgftóril mf rekiãl, emtãl mãl é só gfis l fmfhkésicl que vfi precisfr ser utihizfnl, vfi precisfr ne ug fmti-imahfgftóril fl imvés ne ug fmfhkésicl purl.
54 gk, qufmnl se quer ug eaeitl fmtiimahfgftóril lu fmtipiréticl, lptf-se pehl ne 644 gk. L gæxigl que plne ser utihizfnl nl Ibuprlaeml é 25 kltfs (pfrf l Ibuprlaeml ne 644 gk), hlkl crifmëf fté 25 jk, se l pfciemte tiver gfis ne 25 jk, lptf-se plr lutrl fmtiimahfgftóril, clgl l cetlprlaeml: Cfsl eg que ls pfis só plssufg l Ibuprlaeml 54 gk eg cfsf Tfrf l Ibuprlaeml ne 54 gk, nlbrf f qufmtinfne ne kltfs e l gæxigl gæxigl plne plne ser 54 kltfs pfrf ugf crifmëf ne 25 jk. Se tiver ug pfciemte clg gfis ne 25 jk e quiser ug eaeitl fmti-imahfgftóril lu fmtipiréticl, mlrgfhgemte trlcf f genicfëãl: Se tiver ug pfciemte clg 65 jk, ehe tlgf 65 kltfs (Ibuprlaeml ne 644 gk) lu 34 kltfs (Ibuprlaeml ne 54 gk).
FM^I-IMAHFGF^ÓRIL? FM^I-IMAHFGF^ÓRIL? l Segpre f prigeirf esclh`f é l Ibuprlaeml: l ^eg eaeitl fmfhkésicl tfgbég: l Nlses? 54 gk |644 gk: l 6 kltf/Jk ne pesl clrplrfh: l 3 f 5 nifs ne prescriëãl: l Tlslhlkif? ne 0 eg 0 `lrfs: l Ibuprlaeml? ßmicl fmti-imahfgftóril mãl esterline (FIME) fprlvfnl pfrf usl eg crifmëfs ne fclrnl ANF (Alln fmn Nruk Fngimistrftilm): L prigeirl aftlr que neve ser fmfhisfnl é se l pfciemte plssui ug nls nlis genicfgemtls eg cfsf l ne 54 gk lu l ne 644 gk. L sekumnl aftlr é l clmtextl nf prescriëãl nesse fmti-imahfgftóril, qufmnl se quer só ug eaeitl fmfhkésicl, lptf-se pehl ne
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf 5 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
Cetlprlaeml (Trlaemin)? 24 gk/gh 6 kltf/Jk F pfrtir ne 6 fml? 6 kltf plr Jk clrplrfh, f cfnf 1 `lrfs lu f cfnf 0 `lrfs: Ne ; f 66 fmls? 25
l
kltfs, f cfnf 1 `lrfs lu f cfnf 0 `lrfs.
2) Fcetlminf ne trifmcimlhlmf l Usl tópicl pfrf pfciemtes que plssufg uhcerf (fatf): l Usl exterml (mãl pfssf pehf vif kfstrlimtestimfh) – clg l fuxçhil ne ug cltlmete pfssf essf genicfëãl ne 1 e 1 `lrfs, primcipfhgemte fmtes ne nlrgir: Mlges clgercifis imnicfnls? Lgcihlm F – plgfnf. Gun Lrfh.
l
LBSERQFËÃL Vufmnl se teg fherkif fl Ibuprlaeml prescrevese clrticline terfpif.
CLR^ICLS^ERÓINES (CLR^ICÓINE)? CLR^ICLS^ERÓINES (CLR^ICÓINE)? 6) Nexfgetfslmf l Usfnl qufmnl l pfciemte teg fherkif f fhkug tipl ne fmti-imahfgftóril: l Usfnl qufmnl l pfciemte nesemvlhver fherkif f fhkugf genicfëãl lu fté gesgl fl fmestésicl: l Usfnl clgl fmti-imahfgftóril eg cirurkifs gfis imvfsivfs: l Usfnl eg cirurkifs krfmnes clgl genicfëãl prévif pfrf evitfr enegf, clgl mls cfsls ne ug suprfmugeræril, ug gésil-nemte: l Eg cfsls pré-lperftóril, utihizf-se ugf nlse ÿmicf. Tene-se pfrf f gãe quebrfr l clgpriginl e nisslhver mf clh`er clg ækuf e fngimistrfr pfrf f crifmëf tlgfr: l Fhkums cfsls plneg fclmtecer ne utihizfr l clrticlsteróine prévil e mãl utihizfr neplis, afzer l usl ne ug fmtiimahfgftóril, plr exegphl. l Nlses (ne fclrnl f infne nl pfciemte) Clgpriginl: 4,5 gk (4 f 3 fmls): 4,;5 gk (> f 1 fmls) : > gk (fcigf ne ; fmls):
REAERÏMCIF BIBHILKR BIBHILKRÆAICF ÆAICF Kuenes-Timtl et fh. Lnlmtlpeniftrif Aumnfgemtls eg Lnlmtlhlkif. Sãl Tfuhl ? Sfmtls-KEM, 2449.
Lnlmtlpeniftrif 2 – ;¿ Segestre – 2ª Uminfne – Fuhf 2 – ^erfpif Genicfgemtlsf Lnlmtlpeniftrif Genicfgemtlsf eg Lnlmtlpen Lnlmtlpeniftrif iftrif – Tfrte 6 DResuglnlmtlhlkif DResuglnlmtlhl kif Tækimf 1 Hicemcifnl pfrf - Fhymme Chfunimf ^fvfres - Trltekinl plr Enuzz.clg
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