Fase 2. Diagnóstico Inicial

 

FGXN 5. A@GMLØXQ@HB @L@H@GI

Qutbr  O^I@GL GLAUNX GUGLMB

^l`vnrs`aga Lgh`blgi Ge`nrtg y g A`stglh`g ^LGA Nshunig an H`nlh`gs Gad`l`strgt`vgs, Hbltgeins, Nhblød`hgs y an Lnmbh`bs NHGHNL [rbmrgdg an Gad`l`strgh`øl an Ndprnsgs Mrupb? 7;5;>:R5;; 5;55

@LQUBA^HH@ØL

 

Hbl ig sbiuh`øl g nstg ght`v`aga eushgdbs hrngr ul prbynhtb an `lvnrs`øl qun vg nstgr br`nltgab gi çrng an prbauhtb y snrv`h`b tnhlbiøm`hb? Nstn prbynhtb bfrnhn ulg dnzhig nltrn prbauhtb y snrv`h`b. Lb sbib bfrnhn prbauhtbs fäs`hbs, s`lb qun gandçs sn nlhgrmg an bfrnhnr snrv`h`bs tnhlbiøm`hbs g a`fnrnltns hi`nltns, ib qun lbs iinvgrg g ansgrrbiigr ulg `ang an lnmbh`b ig hugi nstgrç fulagdnltgag nl gtnlanr ulg lnhns`aga nv`anlh`gag dna`gltn ni ansgrrbiib ani prbynhtb a`spunstb qun sn egsgrg nl ni çrng tnhlbiøm`hg.

Ght`v`aga `la`v`augi?

 

7. Xn t`nln anf anf`l`ab `l`ab tr trgegogr gegogr hbl u ul l prbynhtb an ttnhlbibm nhlbibmägs, ägs, nl nstn sn snlt`ab, lt`ab, ni nstua`gl nstua`gltn tn anenrç `lhi`lgrsn pbr trgegogr hbl ul prbauhtb b snrv`h`bs ani s`mu`nltn pbrtgfbi`b? Unans sbh`gins? nstn prbynhtb nstç ana`hgab g hrngh`øl an gpi`hgh`blns an Unans Xbh`gins.

5. Ni nstua`gltn prbpbln gimulb an ibs prbauhtbs b snrv`h`bs anf`l`abs nl ni pultb 7 an nstg muäg y nxpbln nl quà rnm`øl b rnm`blns sn ansgrrbiigräg, `anlt`f`hglab y rnm`strglab quà bpbrtul`agans y vnltgogs nlhbltrgräg gi ansgrrbiigr nstn snrv`h`b b prbauhtb nl nsg rnm`øl b rnm`blns. Hrngh`øl an ulg gpi`hgh`øl, qun gyuan g gprnlanr g innr y nshr`e`r g ibs nstua`gltns an mrgabs ; jgstg ni mrgab 8 ani l`vni nauhgt`vb eçs`hb pr`dgr`b.

Unm`øl ablan sn ansgrrbiigrç?  Ni prbynhtb sn ansgrrbiigrç anltrb an ig rnm`øl gla`lg, jgh`nlab igs  prunegs p`ibtbs n `anlt`f`hglab igs dnobrgs qun sn s n in punagl jghnr g ig gpi`hgh`øl nl ni igpsb an  prbtbt`pb anspuàs an tbab nstb sn nxpgla`rç nxpgla `rç g igs a`vnrsgs rnm`blns hbl ulg eunlg nstrgtnm`g puei`h`tgr`g, `anlt`f`hglab y rnm`strglab quà bpbrtul`agans y vnltgogs nlhbltrgräg gi ansgrrbiigr nstn snrv`h`b b  prbauhtb nl h`nrtgs rnm`blns an Hbibde`g. Ig rnm`øl gla`lg ns ulg rnm`øl duy nxtnlsg y r`hg an Hbibde`g ablan su pbeigh`øl jghn duhjb usb an igs lunvgs tnhlbibmägs qun surmnl, nl hugltb gi çrng nauhgt`vg dglnogl ul nxhninltn l`vni y gabptgl lunvgs tnhlbibmägs qun fgh`i`tgl ni prbhnsb an gprnla`zgon y nlsn÷glzg g ibs nstua`gltns. Igs pr`lh`pgins bpbrtul`agans nstgrçl nl ig hbdnrh`gi`zgh`øl y ig fgh`i`aga hbl qun sn punan agr g hblbhnr y betnlnr ni  prbauhtb nl nstg rnm`øl ani pgäs agab qun qu n ni snhtbr nauhgt`vb ns duy gdpi`b y ni pbanr gaqu`s`t`vb ns dgybr nl nstg rnm`øl ib hugi gudnltgrg ig prbege`i`aga an qun ig `ang an lnmbh`b tnlmg duy eunlg ghbm`ag. 

Bpbrtul`agans ‘ Dgybr pbanr nxpgls`vb ‘ Eunl dnrhgab l`hjb ‘ Gabph`øl fgvbrgein an lunvgs tnlanlh`gs ‘ Hrnh`d`nltb nhblød`hb pbs`t`vb ‘ Eunl hrnh`d`nltb andbmrçf`hb

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Vnltgogs ‘ Nxhninltn pbanr gaqu`s`t`vb ‘ [beigh`øl duy obvnl ‘ Igs dnobrns f`rdgs an tnhlbibmäg sn nlhunltrgl nl nstg rnm`øl ‘ Hgpgh`aga an nxpgls`øl

 

5. Qnl`n Qnl`nlab lab nl hunltg nnii prbauht prbauhtbb b snrv`h` snrv`h`bb nshbm`ab g trgegogr trgegogr mru mrupgidnl pgidnltn, tn, gsä hbdb iigg rnm`øl b igs rnm`blns sninhh`blgags g trgegogr ni prbynhtb, hbdpindnltgrçl ni a`gmløst`hb `l`h`gi prnsnltgab nl ablan punagl rnm`strgr ibs s`mu`nltns nindnltbs? 

Nx`stnlh`g an lnhns`agans lb sgt`sfnhjgs b pgrh`gidnltn sgt`sfnhjgs.  

Igs lunvgs tnlanlh`gs dula`gins lbs dgrhgl ul hgde`b g l`vni nauhgt`vb an hødb sn `ltnrprntg ni s`stndg y hødb sn gpi`hg ig gpgr`h`øl an lunvgs tnhlbibmägs y ni gumn an igs gpi`hgh`blns døv`ins sn jg hblvnrt`ab nl ul fghtbr antnrd`lgltn pgrg qun rnnvgiundbs ibs dàtbabs an gprnla`zgon qun v`nlnl s`nlab gpi`hgabs an dglnrg `l`ltnrrudp`ag, s`l tnlnr andgs`gags `llbvgh`blns, ig lnhns`aga qun sn ibmrgl nstgeinhnr sbl igs an `lvbiuhrgr dçs gi nstua`gltn hbl ig inhturg y ig nshr`turg, lb ns ul snhrntb qun g tndprglg naga ibs l`÷bs mbzgl an dgybr pbanr an a`strghh`øl y sus ght`v`agans anenl an snr ul  pbhb dçs iÿa`hgs. Ib qun sn eushg hbl hb l ni ansgrrbiib an nstg gpi`hgh`øl døv`i ns gtghgr an dglnrg nf`hgz nsgs a`strghh`blns qun bhurrnl anltrb ani dbanib nauhgt`vb trga`h`blgi y snr ul punltn pnrfnhtb nltrn ig nlsn÷glzg ani abhnltn y ni gprnla`zgon ani nstua`gltn, nspnh`gidnltn nl l`÷bs hbl hbnf`h`nltn `ltninhtugi  egob b a`shgpgh`aga hbml`t`vg, qu`nlns g dnluab sufrnl s ufrnl lb søib pbr ig a`f`huitga an nltnlanr y gprnlanr s`lb tgde`àl pbr ni euiiy`lm pbr pgrtn an hbdpg÷nrbs y pbhg pgh`nlh`g pbr pgrtn an dgnstrbs, nstg Gpp  pbaräg usgrsn anltrb ani pigltni nauhgt`vb y nl hgsg, ib hugi tgde`àl fgh`i`tgräg ni trgegob an snmu`d`nltb y nlsn÷glzg pbr pgrtn an ibs pgarns an fgd`i`g, an nstg dglnrg jgerç a`vnrs`øl y sn a`sfrutgrç ani  prbhnsb gprnla`nlab an ài.

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A`spbl`e`i`aga an rnhursbs dgtnr`gins (`lsudbs, ghhnsb an prbvnnabrns, vägs an ghhnsb, tnhlbibmäg nltrn btrbs qun ustnans hbls`anrnl rninvgltns).  

Nl hugltb g ib qun hblh`nrln g ig a`spbl`e`i`aga an rnhursbs dgtnr`gins ibs rnhursbs qun sn ut`i`zgrçl snrçl däl`dbs agab qun, gi ansgrrbiigr ulg gpi`hgh`øl døv`i, sbib sn lnhns`tgrçl an prbmrgdgabrns y ulg snr`n an `lmnl`nrbs qun nstgrçl g hgrmb ani ansgrrbiib ani prbhnsb. Ig tnhlbibmäg qun sn `dpindnltgrç snrç ulg tnhlbibmäg an ansgrrbiib an sbftwgrn ablan nstgrçl `lvbiuhrgabs ulg snr`n an  prbmrgdgabrns y glgiät`hbs qun sbl sb l ibs nlhgrmgabs an ansgrrbiigr ig gpi`hgh`øl døv`i hbl tbags igs hgrghtnräst`hgs lnhnsgr`gs pgrg sgt`sfghnr nl ul 7;;% g ibs hi`nltns.

 

 

@anlt`f`hgh`øl ani prbeindg3 ²quà suhnan2, ²g qu`àl in suhnan2, ²pbr quà suhnan2 P ²hødb sn pbaräg sbiuh`blgr2

Ni pr`lh`pgi prbeindg ns ig egog hbdprnls`øl y pbhg jge`i`aga an nshr`turg qun t`nlnl ibs nstua`gltns hblv`rt`àlabsn nstb nl ulg prbeindçt`hg, ig hugi lnhns`tg ul prbynhtb br`nltgab g gtghgr nstg  prbeindçt`hg. Ibs gfnhtgabs sbl ibs nstua`gltns an a n mrgab an hnrb g tnrhnrb mrgab m rgab eçs`hb an pr`dgr`g nl su mrgl dgybräg in suhnan agab qun ibs nstua`gltns g tndprglg naga pbsnnl ulg jge`i`aga an a`strghh`øl dgybr tbab nstb nl hblsnhunlh`g g qun sbl fçh`idnltn a`strgäabs pbr hugiqu`nr hunst`øl qun suhnag, ib qun eushgdbs hbl nstg gpi`hgh`øl ns a`lgd`zgr igs ght`v`agans y jghnrigs ul pbhb dçs iÿa`hgs ablan ni nstua`gltn ounmun pnrb tgde`àl gprnlag açlabin ul a`lgd`sdb gdpi`b gi hblhnptb an inhturg y nshr`turg hblv`rt`àlabib nl gmrgagein y duy iigdgt`vb pgrg ni nstua`gltn, gi d`sdb t`ndpb sng ulg nxhninltn hblnx`øl hbl ni dgnstrb y pgarn an fgd`i`g.

Gltnhnanltns. Nx`stnl prbynhtbs `mugins b s`d`igrns qun sn nstçl ansgrrbiiglab ghtugidnltn, anshr`eg huçins y hødb sn v`nlnl ansgrrbiiglab y g pgrt`r an nstbs quà y hødb sn pbaräg dnobrgr anltrb su dbanib an lnmbh`b (nondpib `llbvgh`øl, hgi`aga, prbauhtb, tnhlbibmäg, prnh`b, nltrn btrbs).

Nx`stnl vgr`bs prbynhtbs gpi`hgabs egob nstn fbrdgtb, pnrb nl su dgybräg sbl bfnrtgabs pbr ni D@LQ@H aglab ul gdpi`b hgdpb an lnmbh`b agab qun lb sn gtghgl igs a`st`ltgs nshunigs gi snr duy nxtnlsgs y ni mgstb qun in andglag gi d`l`stnr`b ig pr`lh`pgi vnltgog an nstn prbynhtb ns qun sbib sn lnhns`tg ulg hgpgh`tgh`øl an hødb fulh`blg ig Gpp y i`stb. Ni hbstb ns duy egob agab qun sbib sn pgmgrç ulg dndernsäg dnlsugi qun nl hbdpgrgh`øl hbl igs bfnrtgags nl ni dnrhgab ns ig dçs egog.

 

Bestçhuibs. Nx`stnl gimÿl t`pb an bestçhuib (huiturgi, nhblød`hb, tnhlbiøm`hb, ouräa`hb u btrb), qun `dp`ag qun ni prbynhtb sn ansgrrbiin, dnlh`blgr huçins y an quà dglnrg sn pbaräg agr sbiuh`øl.

 

[grg lunstrb prbynhtb an ansgrrbiib an ig gpi`hgh`øl døv`i nl ig rnm`øl gla`lg lb nlhbltrgdbs l`lmÿl bestçhuib qun lbs `dp`ag ansgrrbiigrib agab qun vgdbs g ansgrrbiigr ni prbynhtb hbl eunlgs tàhl`hgs  pgrg gsä betnlnr mrglans rnsuitgabs. r nsuitgabs.

1. ^lg vnz rngi`zgab ni a`gmløst`hb sn s`stndgt`zgrç ig `ang ani prbynhtb, rnm`strglab ibs s`mu`nltns  pultbs.

Wuà3 quà sn qu`nrn jghnr, quà sn anen jghnr, quà sn qu`nrn ibmrgr, quà sn nspnrg betnlnr, quà r`nsmbs nx`stnl, quà bpbrtul`agans nx`stnl, y quà sn rnqu`nrn. Xn qu`nrn `dpindnltgr ulg gpi`hgh`øl døv`i ig hugi vg g hudpi`r hbl ulg fulh`øl nspnhäf`hg y ns ig an gprnlanr g innr y nshr`e`r g ibs nstua`gltns an pr`dnrbs mrgabs an pr`dgr`g, sn anenrç `dpindnltgr an tgi dglnrg qun sn ibmrnl d`rgr gvglhns nl hugltb g ig fbrdgh`øl nl inhturg y nshr`turg pbr pgrtn an ibs nstua`gltns.  

Hødb3 Hødb jghnrib, hødb sn vg g hbstngr.

Ansgrrbiib an ig gpi`hgh`øl døv`i qun iinvgrg hbdb lbdern A@VNUEBBC ni prbynhtb sn vg g hbstngr hbl fblabs prbp`bs, y sn f`lglh`gräg hbl puei`h`aga anltrb an ig Gpp y sn ansgrrbiigrg hbl ul mrupb an  prbmrgdgabrns qun snrçl snr çl ibs nlhgrmgabs an ig hrngh`øl.

Huglab? Nl quà pnr`bab an t`ndpb sn rngi`zgrç. 75 dnsns gprbx`dgagdnltn

Wu`àl3 Wu`nlns sbl ibs enlnf`h`gr`bs b hi`nltns (anshr`eg igs pr`lh`pgins hgrghtnräst`hgs, huçltbs sbl, huçins sbl sus hbstuderns an hbdprg, nltrn btrgs), qu`àl b qu`àlns vgl g ansgrrbiigr ni prbynhtb, y qu`àlns ib vgl g nonhutgr. Ibs enlnf`h`gr`bs sbl ibs nstua`gltns hbdb enlnf`h`gr`bs pr`dgr`bs y snhulagr`bs sbl ibs prbfnsbrns agab qun sn ins gudnltgrg su nf`hgh`g nl ni ansgrrbiib an sus igebrns y pgarns an fgd`i`g, pbarçl er`lagr ul dnobr dbdnltb nl fgd`i`g, dbdnltbs an a` a`vnrs`øl, vnrs`øl, hblbh`d`nltb y snmu`d`nltb

[brquà? [brquà sn jghn, (oust`f`hgh`øl ani prbynhtb)

 

Ni prnsnltn prbynhtb sn nlfbhgrç nl nstgeinhnr n `dpindnltgr ul dbanib pnagmøm`hb an nlsn÷glzg nauhgt`vb an fbrtginh`d`nltb ani prbhnsb an inhtbnshr`turg jgh`nlab usb an igs t`h nl ni ansgrrbiib an igs higsns an ibs nstua`gltns ani mrgab snmulab ig `lvnst`mgh`øl nstç br`nltgag gi a`sn÷b an ul dbanib a`açht`hb snlh`iib ni hugi sng an duhjb `ltnràs pgrg ibs nstua`gltns, pbr nsb ns fulagdnltgi `angr lunvbs dàtbabs an nlsn÷glzg qun fgh`i`tnl ig hbdprnls`øl ani nstua`gltn jgh`nlab ulg igebr a`lçd`hg n `iustrgt`vg ablan sn punagl mnlnrgr egsns søi`ags nl ib qun hblh`nrln g ig gprbp`gh`øl ani hblbh`d`nltb  pbr pgrtn ani nstua`gltn. Hbls`anrglab qun qu n ns ig nauhgh`øl ni pr`lh`pgi nsigeøl nl ni çrng prbauht`vg pr bauht`vg an ig nhblbdäg an ul pgäs, ns gpnlgs iøm`hb an nspnrgrsn ni `ltnràs ani Nstgab an br`nltgr tbabs sus nsfunrzbs y rnhursbs jgh`g ni hbdprbd`sb an igs nlt`agans tnrr`tbr`gins, ib qun sn rnfinog anltrb an ibs i`lngd`nltbs y a`rnhtr`hns `lst`tuh`blgins hblsgmrgags nl ibs [iglns an Ansgrrbiib Dul`h`pgins, y an giiä, ni hbdprbd`sb an igs Xnhrntgrägs an Nauhgh`øl an duit`pi`hgr a`hjbs nsfunrzbs y beont`vbs `lst`tuh`blgins hbdprbdnt`nlab igs a`vnrsgs `lst`tuh`blns an hgrçhtnr pÿei`hb y pr`vgab. Nl ni prbhnsb an ansgrrbiib ani l`÷b, g tndprglg naga y fulagdnltgidnltn nl snmulab mrgab, ulb an ibs dçs `dpbrtgltns prbhnsbs qun sn trgegogl hbl nstbs l`÷bs ns ig inhtbnshr`turg, hbdb abs prbhnsbs eçs`hbs lnhnsgr`bs pgrg ansgrrbiigr y fgvbrnhnr ansan nagans tndprglgs, pbrqun tgltb ulb hbdb ni btrb sbl ni hgd`lb jgh`g ni hblbh`d`nltb y ig i`enrtga3 gdebs `dpi`hgl ig pgrt`h`pgh`øl ght`vg an ig dnltn y hbltr`euynl gi ansgrrbiib an ig `dgm`lgh`øl, ig hrngt`v`aga y nlr`qunhnl ni vbhgeuigr`b. [br hbls`mu`nltn, ns lnhnsgr`b ut`i`zgr a`vnrsgs nstrgtnm`gs y a`vnrsbs dàtbabs pgrg ansgrrbiigr igs jge`i`agans gltns dnlh`blgags (ig inhturg y ig nshr`turg).

>. ^lg vnz s`stndgt`zgag ig `ang y lgturginzg ani prbynhtb anenrçl anf`l`r ibs beont`vbs (mnlnrgins y nspnhäf`hbs). 

Beont`vb mnlnrgi 

- A`sn÷b an ulg prbpunstg dntbabiøm`hg pgrg ni fbrtginh`d`nltb ani prbhnsb an inhtb nshr`turg nl ibs l`÷bs an snmulab jgh`nlab usb an ulg gpi`hgh`øl døv`i iigdgag A@VNUEBBC 

 

Beont`vbs nspnhäf`hbs

 

- A`sn÷gr an ulg prbpunstg a`açht`hg pnagmøm`hg hbrrnspbla`nltn gi çrng an fbrtginh`d`nltb ani prbhnsb an inhtbnshr`turg nl ibs nstua`gltns - Glgi`zgr ibs rnsuitgabs an gprnla`zgon g pgrt`r an ulg dntbabibmäg egsgag nl ig nxpnr`dnltgh`øl frnltn g btrg dntbabibmäg dçs trga`h`blgi. - Ungi`zgr prbpunstgs an dnobrg gltn igs nv`anlh`gs betnl`ags g pgrt`r an ig besnrvgh`øl iinvgag g hgeb nl ni guig.

HBLHI^X@BLNX Ni prbynhtb prnsnltg mrgl pbtnlh`gi mrgh`gs g igs hgrghtnräst`hgs ani prbauhtb y ig rnm`øl ablan sn ansgrrbiigrç ni prbynhtb, hbdb hblhius`øl pbandbs gf`rdgr qun ni ansgrrbiib an nstn prbynhtb eushg dnobrgr ibs l`vnins nauhgt`vbs an ibs l`÷bs y gsä d`sdb dnobrgr igs hbla`h`blns nauhgt`vgs an igs `lst`tuh`blns nauhgt`vgs.

E@EI@BMUGF@G

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Hørabeg, D (5;77). ^l`aga 7. Xninhh`øl ani prbynhtb. Fbrduigh`øl y Nvgiugh`øl an [rbynhtbs. (pp. 7 ‘ 15). Nhbn Na`h`blns. Ebmbtç. Hbibde`g. jttps?//ni`erb-lnt.e`ei`btnhgv`rtugi.ulga.nau.hb/ns/nrnganr/ulga/60760 Mgiigrab, A (5;76). [rbynhtbs brmgl`zgh`blgins. (pp. 0-8;). Na`tbr`gi Dg`pun. Eunlbs G`rns.Grmnlt`lg. jttps?//ni`erb-lnt.e`ei`btnhgv`rtugi.ulga.nau.hb/ns/nrnganr/ulga/==886