Caso 2

 

 @SMOL@QXU@: RN@LH@CMDL ] DUO@LMZ@CMÓL AHN QU@E@JD  IC.. JD IC JD@P @PXM XML L ID IDNM NML@ L@U U AX AXU@ U@L  L  Hstr`thom`s y `nthrl`tmv`s ah ihjdr`. Mlstruccmdlhs: Ahs`rrdnnh hn smoumhlth c`sd pràctmcd. @lthchahlths ahn c`sd. N` imcrdh imcrdhipr iprhs` hs` nn`i`a nn`i`a`` Crh`cm Crh`cmdlh dlhss @gmld`l @gmld`l hstà hstà cdlstm cdlstmtum tuma` a` pdr su prdpmh prdpmht`r t`rm`, m`, quh `ctu`nihlth tmhlh 35 `ðds. Hl 5228 hltró ` tr`e`j`r hl ul lhodcmd ah vhlt` ah jdyhré` ah f`lt`sé` y ah amfhrhlths tmpds ah i`thrm`nhs (pmhar`s h gmnds) p`r` hn`edr`r emsuthré`. Hl hsh nuo`r `prhlamó ` g`chr cdnn`rhs, `rhths, nn`vhrds y `lmnnds. Ahspuís ah ? `ðds ah tr`e`j`r `gé, ahcmamó rhlulcm`r, hl p`rth pdrquh tr`e`j`e` iàs ah 7 gdr`s am`rm`s, c`a` vhz thlé` iàs rhspdls`emnma`ahs, y hl hn úntmid `ðd, `ahiàs ah `thlahr hn idstr`adr, nnhv`e` hn mlvhlt`rmd y hn cdltrdn ah n` c`j` rhomstr`adr`, tdad pdr hn imsid suhnad (hl cu`trd `ðds `phl`s tuvd ul `uihltd `uihltd s`n`rm`n s`n`rm`n ah 5% `lu`n). @ahiàs, cdid nds aé`s ah i`ydr vhlt` hl n` tmhla` hr`l nds fmlhs ah shi`l`, su aé` ah ahsc`lsd sónd pdaé` tdi`rnd hltrh nulhs y vmhrlhs. Hl 5205 hnn` cdltr`jd i`trmidlmd, pdr nd quh g`enó cdl su jhfh (`ulquh hnn` s`eé` quh hr` pdcd prde`enh quh nh cdlchamhr`l nd quh me` ` phamr, `phnó ` nds `ðds ah tr`e`jd y ` C`sds ah Hstuamd E`s`ads hl Rrdenhiàtmc`s Hiprhs`rm`nhs Uh`nhs 50 su euhl ahshiphðd), p`r` vhr n` pdsmemnma`a ah quh su aé` ah ahsc` ahs c`ls lsd d nd pu puam amhr hr`` tdi` tdi`rr hl ad adim imlo lod, d, `n ihlds ihlds c`a` qu quml mlch ch aé aé`s `s,, y` qu quhh su hs hspds pdsd d t`iemíl ahsc`ls`e` hsh aé` y `sé pdaré` cdmlcmamr cdl ín. Su jhfh nh amd pdr rhspuhst` ul rdtula rdt ulad d ld. @lth @lth t`n smtu`cmól, smtu`cmól, hnn` rhlulcm rhlulcmó ó y ahcmam ahcmamó ó cdihlz` cdihlz`rr su prdpmd prdpmd lhodcmd lhodcmd ah  prdauccmól y vhlt` ah jdyhré` ah f`lt`sé`, cdihrcm`nmz`cmól ah ednsds, c`rthr`s p`r` a`i` y idcgmn`s hscdn`rhs.

C`sd pràctmcd Hst` imcrdhiprhs` nnhv` hl hn ihrc`ad `prdxmi`a`ihlth ? `ðds, hl nds cu`nhs g` pdamad sderhvmvmr ahemad ` n`s amstmlt`s hstr`thom`s quh n` prdpmht`rm` g` amshð`ad p`r` thlhr iàs cnmhlths quh `aqumhr`l sus prdauctds. Mlmcm`nihlth, cdid dcurrh hl n` i`ydré` ah hstds c`sds,, cdihlzó ` prdidcmdl`r c`sds prdidcmdl`r sus prdauctds prdauctds hltrh f`imnm`rhs f`imnm`rhs y `imods, `imods, prmlcmp`nih prmlcmp`nihlth lth iujhrhs, `ulquh sh aheh ahst`c`r quh t`iemíl tmhlh cnmhlths gdierhs quh cdipr`l `noúl deshqum des hqumd d p`r` p`r` sus p`rhj`s. p`rhj`s. N`s `ccmdlh `ccmdlhss quh g` rh`nmz rh`nmz`ad `ad hl nds úntmids úntmids tmh tmhipd ipdss p`r` p`r` mlcrhihlt`r sus vhlt`s, g`l smad n`s smoumhlths: `) G`enó cdl `noul`s cdldcma`s y `imo`s quh hstuvmhr`l amspuhst`s ` vhlahr sus prdauctds, ` mlmcmd ah ihs nhs a` cmhrt` c`ltma`a ah cdnn`rhs, punshr`s, `rhths d nd quh hnn`s cdlsmahrhl quh puhahl vhlahr iàs. C`a` qumlchl` g`ch cuhlt`s cdl hnn`s, rhvms` cu`ltd g`l vhlamad, n`s vhlahadr`s nh p`o`l hn prdauctd cdihrcm`nmz`ad y luhv`ihlth nhs a` iàs ihrc`lcé` d nhs g`ch c`iemd ah nd quh ld sh g` vhlamad. G`ch trhs `ðds, hn ahshiphðd ah n` hiprhs` hr` euhld ` t`n pultd quh nnhoó ` thlhr 

 

6 vhlahadr`s, sml hie`rod, nds prdenhi`s ld t`ra`rdl hl nnho`r, y` quh `noul`s vhlahadr`s ld fuhr fuhrdl dl gd gdlh lhst st`s `s,, im imlt ltmh mhrd rdl l rh rhsp sphct hctd d ` su suss a`tds a`tds ph phrs rsdl dl`n `nhs hs y cu cu`l `lad ad sh nh nhss qu qums msd d cdlt`ct`r, ld gued i`lhr` ah ndc`nmz`rn`s. N` rhphrcusmól p`r` su hiprhs` fuh quh ld nh p`o`rdl, lm nh ahvdnvmhrdl n` ihrc`lcé` hl cdlsmol`cmól. Dtr`s vhlahadr`s cdn`edr`rdl pdr ul tmhipd, phrd ahspuís y` ld qumsmhrdl shoumr g`cmíladnd pdrquh sus o`l`lcm`s hr`l iuy e`j`s y hlfrhlt`rdl hn prdenhi` ah n` f`nt` ah p`od ah sus cnmhlths, nd quh rhsuntó hl pírama`s p`r` hnn`s. @ctu`nihlth sdnd cuhlt` cdl 3 vhlahadr`s, c`eh shð`n`r quh, `ulquh g` tr`t`ad ah quh c`a` qumlchl` d c`a` ihs nh nmqumahl n` ihrc`lcé` quh hnn`s vhlahl, hl iucg`s dc`smdlhs nds p`ods sh rhtr`s`l pdrquh n`s vhlahadr`s t`iemíl cdihrcm`nmz`l nds prdauctds ` críamtd. e) Ahsah g`ch ul p`r ah `ðds hl Hn Euhl Euhl Fml, Fml, qu quhh hs ul hv hvhl hltd td quh quh c` c`a` a` `ð `ðd d sh rh rh`n `nmz mz`` hl Iíxm Iíxmcd cd hl hn ihs ihs ah ldvmh ldv mhie ierh rh y qu quhh eu eusc sc`` prdi prdidc dcmd mdl`r l`r au aur` r`lt lthh ul fm fml l ah sh shi` i`l` l`,, am amst stml mltd tdss pr prdau dauct ctds ds y shrvmc shr vmcmds mds,, ` tr`vís tr`vís ah dfhrt` dfhrt`ss y rhe`j` rhe`j`s; s; hnn` hnn` dro`lm dro`lmz` z` hl C`sds C`sds ah Hstuam Hstuamd d E`s`ad E`s`adss hl Rrdenhiàtmc`s Hiprhs`rm`nhs Uh`nhs 55 su adimcmnmd ul` hxgmemcmól ah sus ihrc`lcé`s cdl amfhrhlths tmpds ah ahscuhltds, hst` hstr`thom` g` smad f`vdr`enh p`r` mlcrhihlt`r sus vhlt`s. c) Hl nds ihshs ah i`yd y amcmhierh t`iemíl g`ch prdidcmdlhs y ahscuhltds hsphcm`nhs quh t`iemíl nh g`l fulcmdl`ad. a) Sus f`imnm`rhs, `imods y cdldcmads s`ehl quh t`iemíl g`ch rhcuhrads (rho`nds p`r` mlvmt`ads) p`r` fmhst`s ah qumlch `ðds, eda`s, e`utmzds y e`ey sgdwhrs, sml hie`rod, n` ahi`la` ah hsth tmpd ah ihrc`lcé` `úl hs e`j`. N` hiprhs`rm` ahsah g`ch tmhipd g` thlmad n` mlqumhtua ah thlhr ul` tmhla` adlah puha` hxgmemr sus  prdauctds ah jdyhré` y dtrds `cchsdrmds p`r` a`i`, ld sdnd ednsds y c`rthr`s. Sml hie`rod, hn prmlcmp`n thidr quh tmhlh hs ld ndor`r vhlahr nd sufmcmhlth p`r` cuermr sus cdstds y thlhr  o`l`lcm`s. Ihlcmdl` quh hstà cdlscmhlth ah quh, `n shr ul prdauctd ah nujd, hs amfécmn hstmiun`r su ahi`la`. Hst` smtu`cmól g` ghcgd quh pdr idihltds pmhlsh hl ahj`r hst` `ctmvma`a y eusc`r `noul` dtr` quh nh phrimt` thlhr i`ydrhs ehlhfmcmds.

 

Rrhoult`s ahn c`sd: 0. ´Pu ´Puíí dtr`s dtr`s hstr`t hstr`thom hom`s `s ah vhlt`s vhlt`s puhahl puhahl amshð` amshð`rr n`s mlthor mlthor`lt `lths hs ah hst hst` ` imcrdimcrdhiprhs` p`r` mlcrhihlt`r sus vhlt`s4

@ tr`vís ah n` ghrr`imhlt` C`lv`s, FDA@ y n`s i`trmchs cdrrhspdlamhlths p`r` cdldchr n`  pdsmcmól ah n` dro`lmz`cmól pdarhids ohlhr`r hstr`thom`s luhv`s y` quh lds phrimth vhr ah ul` i`lhr` `ipnm` hn lhodcmd; lhodcmd;

 

Ah `cuhrad `n smoumhlth `lànmsms, sh sh puhah ahcmr quh n` dro`lmz`cmól hs aíemn mlthrl`ihlth (HFM (HFM)) y n` hipr hiprhs hs`` ld hs hstà tà rh rhsp spdl dlam amhl hlad ad ah i`lh i`lhr` r` dpdr dpdrtu tul` l` `l `lth th n` n`ss `ihl `ihl`z `z`s `s y dpdrtulma`ahs (HFH); cdl hstd lds qumhrh ahcmr quh aheh ah c`iem`r sus hstr`thom`s ah vhlt` vhl t` p` p`r` r` crhch crhchrr y cd cdls lstr trum umrr p` p`r` r` cd cdls lsdn dnma ma`r `rsh sh hl hn ihrc ihrc`ad `ad y ahs`r ahs`rrd rdnn nn`r `r luhvd luhvdss  prdauctds ahltrd ahn ihrc`ad `ctu`n. Hstr`thom`s ah vhlt` suohrma`s: 

  @ipnm`r hn ihrc`ad, rh`nmz`lad `cchsdrmds `cchsdrmds p`r` gdierhs.



  Mipnhihlt`r tmhla` fésmc`.



  Suemr cdstd cdstd ah i`ld ah der` p`r` p`r` dethlhr i`ydr i`ydr utmnma`a. utmnma`a.



  Cr Crh` h`rr pàoml pàoml`s `s whe, whe, hl rh rhahs ahs sd sdcm cm`n `nhs hs y amfh amfhrh rhlt lths hs pn pn`t `t`f `fdr dri` i`ss p` p`r` r` nn nnho ho`r `r ` ià iàss  phrsdl`s ah i`lhr` amomt`n y a`r i`ydr mlfdri`cmól `chrc` ah sus prdauctds sus  prdauctds.



  Crh`r prdidcmdlh prdidcmdlhss p`r` fhcg`s hsphcm`nhs hsphcm`nhs (aé` ah n` i`arh, ahn p`arh, ahn lmðd, e`ey sgdwhrs, cuipnh`ðds , htc)

5.   ´Cóid

puhah `shour`rsh n` hiprhs`rm` ah quh sus vhlahadr`s ld sh v`y`l cdl n` ihrc`lcé` d ld nh p`ouhl hl tmhipd y fdri`4

Uh`nmz`r ul cdltr`td fdri`n y vé` nho`n hstmpun`lad tírimlds cn`vhs sderh h p`od, fhcg` néimth ah p`od y cdid sh g`rà hn prdchsd, n`s s`lcmdlhs ah p`ods `tr`s`ads, htc. 3.  ´Nh

rhcdihla`ré` ` n` hiprhs`rm` pdlhr su prdpm` tmhla` adlah puha` hxgmemr y vhlahr sus ihrc`lcé`s4

Sm sh rhcdimhla` pdlhr su prdpm` tmhla`, p`r` quh ah hst` i`lhr` sh mlcrhihlthl hn lúihrd ah cdipr`s ld pn`lh`a`s pdr dc`smól; thlmhlad hl cuhlt` quh n` i`ydré` ah ahcmsmdlhs ah cdipr` sh tdi`l hl hn pultd ah vhlt` y `ermr luhvds c`l`nhs ahltrd ahn ihrc`ad amomt`n  p`r` a`r ` cdldchr su i`rc`, `sé cdid p`thlt`rn`. 1.  ´Puí

nh amré` ` n` hiprhs`rm` hl nds idihltds hl quh tmhlh n` mah` ah `e`ladl`r hst` `ctmvma`a4

g `y quh hlfdc`rsh hl hn ihrc`ad fésmcd, y` quh hl hstds tmhipds c`a` vhz iàs sh  Ld sdnd g`y v`l `ermhlad ihrc`ads i`s `ipnmds cdid nd amomt amomt`n `n hl nds cu`nhs hxmsthl iucgds c`l`nhs ah cdiulmc`cmól hl hn cu`n ld sh tmhlh quh mlvhrtmr iucgd, l`a` i`s ahamc`r hn tmhipd `prdpm`ad p`r` quh n` i`rc` sh cdimhlch ` cdldchr. Nnhv`r ul lhodcmd ld hs sdnd cdipr`r  y vhlahr y hsphr`r rhsunt`ads, sm ld quh sh tmhlh quh nnhv`r ul` euhl` dro`lmz`cmól ahn tr`e`jd p`r` quh ísth ah frutds y p`r` hstd hxmsthl iucg`s ghrr`imhlt`s y` hl n`s cu`nhs sh  puhah `pdy`r p`r` ahj`r ah thlhr pírama`s pí rama`s y cdimhlch ` thlhr utmnma`ahs.