Caso 6 de Patologia

 

Anse Aoãgdae Gre 9 Dgtkmrngtks 6 Anrhnfno Jurngj, Hktsnhkt` Gnradse Ancpes, Hkntrdz Ngmäodan

 

>) Nmrupk kg Qãgjrecks oes sdmges y sãgtecns jko pnadkgtk QDGJXECK AEXEGNXDE NM[JE

JEOEX ZEXNADAE

JEOEX DXXNJDNJE

ZD\E E\XKQDYE

A[KOOE

CEJKXNJN DGZKGQDJNJ

CDKCHXE Q[\KXDEX DV^[DKXJE

AEGQZNGZK ZEJE KO JDN

JDQGKN

\K^[KÞEQ KQI[KXVEQ

JDNIEXKQDQ

 

kgkrckjnj aeregnrdn5 8) µAuîo ks on isdepnteoemãn jk on kgkrckjnj INAZEXKQ JK XDKQME

KGIKXCKJNJ AEXEGNXDN

>. AODGDAN 8. KBM

JKHKCEQ CDXNX

1. KGVDCNQ

@NQZN JKCEQZXNX OE AEGZXNXDE

DCN

JEOEX ZEXNADAE AEG KQI[KXVE

QDG KQI[KXVE NGMDE\ON QZDN

JDQCDG[ADÑG JK EPDMKGE T N[CKGZN ON JKCNGJN (I[KXVN)

KOKYNADÑG JKO QZ

\P N KCKXMKGADN

IDHXDGEOD QDQ

KBM CDQCN DGZKGQDJNJ

\XEYEAN JEOEX(NGMDGN) J[XNGZK [G ZDKC\E

NHA

YN ANOCNX AEG6 GDZXNZEQ \P N AEGQ[OZN

\X[KHN JK KQI[KXVE KAEANXJDEMXNIÃN

QZGK KGVDCNQ

DCN QZGK NGMDGN KQZNHOK

XK\EQE AEGIDXCNX DQ^[KCDN JNÞEQ KG ONQ ANXNQ T YNOY[ONQ

KGVDCNQ GKMNZDYNQ

KPZKXGN

ANZKZKXDQCE AN ZKZKXDQCE ANXJDNAE

NXZKXDNQ NIKAZNJNQ

 

1) µN quk sk jkgecdgng naterks jk rdksme y aunoks seg oes cîs dcpertngtks pnrn on kgkrckjnj aeregnrdn5

[g inater jk rdksme ks aunoqudkr rnsme, anrnatkrãstdan e kxpesdadñg jk ug dgjdvdjue quk nuckgtk su prehnhdodjnj jk suirdr ugn kgikrckjnj e oksdñg.

INAZEXKQ JK XDKQME JK ON KGIKXCKJNJ AEXEGNXDN

• • • •

ZNHN^[DQCE @ZN @Z N JC @D\KXOD\DJKCDN

• • • • • •

QKPE CNQA[ODGE QKJKGZNXDQCE EHKQDJNJ KQZXÄQ KQZNJEQ KQZ NJEQ ZXECHEIDODAEQ A@ONCTJDN \GK[CEGDNK

 

:) µAñce ks on adgäan jk oes hdecnranjerks pnrn DCN5 Kstk cnranjer sk `n kcpoknje pnrn on aegircnadñg jko jnþe cdeaîrjdae, sdg kchnrme ge pkrcdtk djkgianr pnadkgtks aeg cdaredgnrtes y sk kokvn kg anse jk gkaresds jk

Arkngdgesequdgnsn

cösauoe kstrdnje, trnucnsce, aegvuosdegks, cdepnns nmujns y arñgdans, kgkrckjnj redjkn k dgsuiadkgadn rkgno per oe tngte ks peae kspkadian

Zrepegdgns

Ons trepegdgns `ng rkkcponznje n on arkngdgesequdgnsn arkngdgesequdgnsn aece cnranjer hdeoñmdae jk prkkrkgadn prkk rkgadn pnrn ko jdnmgñsae jk dgnrte jk cdeanrjde, su mrng skgsdhdodjnj pkrcdtk jktkatnr gkaresds cdeaîrjdans eanoks, per oe tngte seg jk mrng uodjnj kg anse jk cdaredgnrtes

\retkDgn ifnjern n oes Nadjes mrnses @

Aegstuyk ug cnranjer kg ko jdnmgñsae prkaez jk dgnrte jko cdeanrjde (kg ons prdckrns >8 `erns), sdg kchnrme jkhdje n su jdsarktn kspkadiadjnj, kspkadiadjnj, ge pukjk skr usnjn aece ögdae cnranjer pnrn jksanrtnr ug dgnrte.

Cdkoepkrexdjnsn

\retkdgn A rknavn

Ks ugn kgzdcn quk sk nocnakgn kg gkutrñioes, cegeadtes y nomuges cnarñnmes y sk odhkrn kg anse jk dgncnadñg. Ks prehnhokckgtk ko cnranjer jk dgncnadñg ckfer aegeadje .Qk snhk quk oes pnadkgtks quk `ng surdje dgnrte nmuje jko cdeanrjde prkskgtng ugn kokvnjn aegakgtrnadñg jk pretkãgn a rknavn.

 

;) µAuîo ks ko cnranjer jk skgsdhdodjnj sk gsdhdodjnj tkcprngn, auno jk ercn tnrjãn kg ko DCN5 DC N5 Qkþnok sus anrnatkrãsans

CNXANJEXKQ JK QKGQDHDODJNJ ZKC\XNGN

CDEMOEHDGN    

 Npnrkak cuy tkcprnge, sdg quk `nyng trngsaurrdje jes `erns jksjk ko dgnrte  Ks öo aungje ko pnadkgtk naujk no cäjdae npkgns getn oes sãgtecns  \rkskgtn ugn notn skgsdhdodjnj  Ge ks kspkaãiae jko tkfdje anrjãnae, pkre ks öo pnrn jksanrtnr ug dgnrte

ZXE\EGDGN Z K D (ZGZ, ZGD) ZGD)     

 Ks ko cîs njkaunje pnrn jktkatnr ko dgnrte nmuje jk cdeanrjde  Jktkatn jnþe cdeaîrjdae cãgdce  Jk kokvnje vnoer aoãgdae pnrn on kokaadñg jko trntncdkgt t rntncdkgte e  Cnyer skgsdhdodjnj y kspkadiadjnj quk on AB-CH  Ks ug cnranjer jk kveouadñg

 

CNXANJEXKQ JK QKGQDHDODJNJ ZNXJDN

AXKNZDGN BDGNQN CH (AB-CH) (AB-CH)   

 Ks on ckfer notkrgnvn sd ge `ny jdspegdhdodjnj jk ngnodznr ons trepegdgns  Jktkatn rkdgnrte tkcprnge  Ge ks kspkaãiae jko tkfdje anrjãnae

MO[ZÎCDAE EPNONAÄZDAE ZXNGQNCDGNQN (MEZ)  

Ge ks kspkaãiae jko tkfdje anrjãnae  Natunockgtk npkgns sk cdjk