Caso Clínico Semana 4

 

ICYH IAÎKDIH YMNCKC 6 CIVDWDFCF 6 MWDFMKIDC ?

Icsh: Imric fm su icsc mstãk trcocjckfh mk ihkstruiidùk, uk fîc phr ac tcrfm sm sdmktm uk caohrhth mk ac vîc púoadic, scam y mkiumktrc qum ukc pmrshkc fm acs qum trcocjc mk ac horc, icyù fma iucrth pdsh, fmidfm cyufcr y prmstcr ahs prdnmrhs cuxdadhs.

 Ca cimricrsm ca amsdhkcfh dfmktdgdic qum sm mkiumktrc ohic crrdoc, ihksidmktm, hrdmktcfh, rmgdmrm uk gumrtm fhahr mk acs mxtrmndfcfms dkgmrdhrms y tdmkm ukc `mrdfc codmrtc mk ac pcrtm grhktca fm su icomzc, ihk sckbrcfh nhfmrcfh, fmidfm dkdidcr ac ctmkidùk.

Fm ciumrfh ca icsh cktmrdhr ckcadim y ihktmstm acs sdbudmktms prmbuktcs.

3. ¸Iuãams ¸Iuãams shk acs prdnmrc prdnmrcs s ciidhkms ciidhkms qum sm fmom fmom rmcadzcr rmcadzcr mk ac msimkc8 msimkc8 Ihnh sm trctc fm prdnmrhs cuxdadhs dknmfdcths dknmfdcths mk ac msimkc fma ciidfmktm, ciidfmktm, fm nckmrc tca, qum kh sm iumktc ihk ahs dnpamnmkths nîkdnhs qum sm rmqudmrmk, sm dnprhvdsc vmrdgdickfh ac msimkc fmodfh c qum ms vîc púoadic5 shadidth c acs pmrshkcs prmsmktms qum sm rmtdrmk pcrc fcr ukc nmjhr vmktdacidùk y ctmkidùk ca amsdhkcfh. Csî ndsnh, `cbh ma aacncfh c ac aîkmc fm mnmrbmkidc y ca mstcr mstm ihksidmktm, nm dfmktdgdih ihnh prdnmr  rmsphkfdmktm, ordkfãkfham trckqudadfcf y smburdfcf.

?. ¸Iùn ¸Iùnh h ihktr ihktrha hacrî crîc c ac `mnh `mnhrr rrcbd cbdc c y iùnh iùnh dn dnprh prhvd vdscr scrîc îc ac dknh dknhvd vdad adzci zcidù dùk k fma fma pcidmktm8 \crc ihktrhacr ac `mnhrrcbdc mk ac pcrtm grhktca fm ac icomzc, nm ihahih bucktms h utdadzh uk pcóumah (ah qum mstä ca caickim), fm nckmrc qum kh mktrm mk ihktcith fdrmit fdr mith h ihk ihk ac sc sckbr kbrm m fma fma am amsd sdhkc hkcfh fh,, mv mvdt dtck ckfh fh tcno tcnodä däk k ihkt ihktcn cndk dkcr cr ac `m `mrd rdfc fc.. Mjmridmkfh prmsdùk shorm mstc pcrc fmtmkmr ma sckbrcfh, adnpdh ihk ukc bcsc y ihktdkúh mjmridmkfh prmsdùk. Mamvh ac icomzc pcrc trctcr fm fdsndkudr ac `mnhrrcbdc. Fm ah ihkt ihktrc rcrdh rdh,, sd ms kmim kmimsc scrd rdh, h, fmsd fmsdkg kgmit mith h ac `mrd `mrdfc fc ihk ihk cktd cktdsäp säptd tdih ihs s , cbuc cbuc hxdbmkcfc y caih`ha.

 

Fmodfh c su fhahr mk ahs ndmnorhs dkgmrdhrms, prhimfh c rmcadzcr ac dknhvdadzcidùk dnprhvdscrîc ihk ukcs tcoacs y ihk rhpc fma amsdhkcfh rmcadzh ma vmkfcjm cadkmckfh acs mxtrmndfcfms sucvmnmktm, rmtdrh ma icazcfh y sd shorck mspcidhs, rmaamkh ma `umih mktrm cnocs pdmrkcs y acs gdjh fm nckmrc qum acs corcimk.