Juego de Roles - Hemorragia Digestiva

 

Rkavbrsa`h` ^ravh`h ]hk Duhk Lhutasth Chmueth` `b Mabkmahs `b eh ]heu` Bsmubeh ^rfcbsafkhe `b Gb`amakh Oughkh

Mursf4 Aktrf`ummaýk h eh Meçkamh Aktbjrhktbs4   

Cbmoh4 88/8>/ mfgf hejf aksfpfrthleb.

^hmabktb4 Cub uk `fefr mfgf bk pukzh`h `fmtfrh, thglaák rbmubr`f qub tbkçh uk hr`fr cubrtb h kavbe `b eh lfmh `be bstýghjf, yf ef mfksa`brhrçh `bktrf `b uk 0-2 bk eh bsmheh `b `fefr `fmtfrh. `astbk`a`f f \bsa`bktb4 ¶]abktb ustb` mfgf sa su hl`fgbk bstuvabrh `astbk`a`f oakmoh`f6

^h ^hma mabk bktb tb44  Hofrath kf `fmtfr, pbrf h eh ofrh qub vfgatb sbktç mfgf pbsh`bz bstfghmhe cubrtb.

\bsa`bktb4 ¶H sbkta`f ustb` mfgf eh sbkshmaýk `b hr`fr bk be bstýghjf f h kavbe `b bsýchjf, mfgf sa eb qubghrh6

^hmabktb4

 

\bsa`bktb4 ¶Hejôk ftrf sçktfgh qub ustb` rbmubr`b hktbs `b vbkar h mfksueth ga bstagh`f6

^hmabktb4 ]a `fmtfrh, efs ôetagfs `çhs mfgf qub sbktçh hr`fr h kavbe `b eh lfmh `be bstýghjf, y brh guy akmýgf`f pfrqub tbkçh qub tfghr hjuh phrh trhthr `b mheghref.

\bsa`bktb4 ¶@çjhgb pfr chvfr sa ohy hejukh hmtava`h` qub ohjh qub be `fefr  f sus sçktfghs bgpbfrbk6

^hmabktb4 ^hmabk tb4 Prhtb `b mfksugar ukh phstaeeh qub gb `abrfk phrh rb`umar be hr`fr  `fmtfrh, kf rbmubr`f be kfglrb, pbrf kf pu`b phshreh.

\bsa`bktb4 ¶Hktbs `b vbkar h mfksueth, ustb` h`fptf hejukh pfsturh phrh pf`br  mheghr be `fefr6

^hmabktb4 Sakb `b akgb`ahtf `fmtfrh, `fmtfrh, pbrf muhk`f bstuvb sbkth`f bk be thxa sbktçh mfgf qub gb `bsvhkbmçh pfr gfgbktfs, `blb sbr pfr eh mhkta`h` `b vfgatf supfkjf `fmtfrh.

CRKMAFKB] LAFEÝJAMH] \bsa`bktb4 ¶^f`rçh ak`amhrgb pfr chvfr mfgf sb bkmubktrh su hpbtatf6 ^hmabktb4 @çhs hktbrafrbs y ohsth eh thr`b `b ofy pf`çh mfgbr kfrghe `fmtfrh, pbrf hmtuhegbktb pfr ga mfk`amaýk kf sabktf kh`h `b ohglrb.

\bsa`bktb4 ¶Rstb` mfksbrvh eh sb`, pfr bdbgpef, muhk`f kf mfksugb hjuh, ustb` sabktb sb`6

^hmabktb4 Ob pf`a`f pf`a`f mfksugar kfrghegbktb kfrghegbktb hjuh hjuh `urhktb `urhktb bstfs `çhs `fmtfrh, `fmtfrh, hmtuhegbktb sa kf pf`rçh `bmar ef gasgf, tbkjf be gab`f `b mfksugar hejf y qub vubevh be výgatf cubrtb.

\bsa`bktb4 ¶Xuá the sb bkmubktrh ustb` h eh ofrh `b `frgar6 ¶^ub`b `bsmhkshr trhkquaehgbktb6

^hmabktb4  H vbmbs gb `bspbrthlh `bspbrthlh pfr be hr`fr qub sbktçh bk eh lfmh `be bstýghjf y h kavbe `be bsýchjf `fmtfrh.

\bsa`bktb4 ¶Pabkb hejukh `acamueth` h eh ofrh `b frakhr6 ^hmabktb4 Kf `fmtfrh, pfr ef qub ob vastf bs qub frakf kfrghe. \bsa`bktb4 ¶Pabkb hejukh `acamueth` h eh ofrh `b ar he lhøf h bxpueshr sus obmbs6

 

^hmabktb4 Be `çh `b hybr bk eh kfmob muhk`f cua he lhøf rbmubr`f ohlbr lfth`f ukhs obmbs `b uk mfefr fsmurf, mfgf sa cubsb pbtrýebf, pbtrýebf, pbrf pbksá qub brh pfr ef qub ohlçh mfga`f bsb `çh y ef `bdb phshr.

\bsa`bktb4 ¶]abktb ustb` qub oh lhdh`f `b pbsf6 ^hmabktb4 ]a `fmtfrh, rbhegbktb gb sabktf gbkfs pbsh`f, pbrf thglaák gumof gès `álae.

HKPBMB@BKPB] ^B\]FKHEB] \bsa`bktb4 ¶Muáktbgb ]bøfrh Mak`y , mfgf bs su heagbkthmaýk `ahrah6 ^hmabktb4 Kfrghegbktb

tfgf `b `bshyukf uk phr `b phkbs mfk  dhgfkh`h `fmtfrh f sa ohy ghktbquaeeh ghktbquaeeh thglaák thglaák eb hjrbjf, phrh be hegubrzf hegubrzf su juasf, pbrf sabgprb tabkb qub ohlbr pfeef f mhrkb `fmtfrh, y lubkf phrh eh kfmob h vbmbs gas oadfs trhbk uk pfeef h eh lrhsh f hejukh mfga`h phrh pamhr 

\bsa`bktb4 ¶ oh tbka`f hejukh ofspatheazhmaýk prbvah6   ^hmabk ^hm abktb4 tb4 ]a `fmtfrh, ohmb ukfs 2 høfs cua aktbrkh`f pfr uk prflebgh bk ga bstýghjf, eh vbr`h` yh kf rbmubr`f qub cub ef qub tuvb, pbrf brh sflrb ukhs obra`hs bk ga bstýghjf.

vahdh`f f ôetag ôetaghgb hgbkt ktb b f h tbka` tbka`f f mfkt mfkthmt hmtf f mfk mfk hejô hejôk k phma phmabkt bktb b \bsa`bktb4  ¶H vahdh` pfrth`fr `b PLM6

^hmabktb4 Kf `fmtfrh `fmtfrh kf kf ob vahdh`f vahdh`f bk efs ôetagfs ôetagfs < høfs, høfs, y thgpfmf thgpfmf ob tbka`f mfkthmtf mfk bsb tapf `b phmabktbs, eh ghyfr phrtb `be tabgpf yf phrhlh bk mhsh bmoh`f bk ga mhgh f vabk`f eh tbebvasaýk.

\bsa`bktb4 ¶^rbsbkth ustb` hejôk tapf `b hebrjah h hejôk gb`amhgbktf f h hejukh susthkmah bk bspbmçcamf6

^hmabktb4 Kf `fmtfrh. \bsa`bktb4 Muáktbgb pfr chvfr mfgf bs su ofjhr  ^hmabktb4 Savf bk ukh mhsh gb`ahkhgbktb jrhk`b `fmtfrh, hmtuhegbktb sfef vavf sfef mfk ga bspfsf, gas oadfs vabkbk `b vasath sflrb tf`f bk ehs kfmobs

\bsa`bktb4  ¶Rstb` oh mfksuga`f f mfksugb majhrraeefs, hemfofe f hejôk tapf `b `rfjh6 ¶y sa cubrh hsç pfr chvfr gb ak`amhrçh mfkquá crbmubkmah6

^hmabktb4 @b dfvbk dfvbk `fmtfrh pfr ehs rbukafkbs rbukafkbs `b `b hgajfs hgajfs y thglaák thglaák muhk`f yh bsthlh trhlhdhk`f sfeçh lblbr gumoh mbrvbzh y rfk, támkamhgbktb `bdb `b mfksuga mfk sugaref ref `bspuás `bspuás `b ga pragbrh pragbrh fpbrhma fpbrhmaýk, ýk, majhrrf majhrrfs s mfksugç mfksugçh h sflrb sflrb tf`f tf`f muhk` muhk`f f bs bsthl thlh h bk gas ofrhs ofrhs ealrb ealrbs s f `bsf `bsfmu muph` ph`h, h, hmtu hmtuheg hegbk bktb tb mfksugf, pbrf kf ob mfksuga`f `rfjhs bk tf`h ga va`h.

yh

kf

 

HKPBMB@BKPB] ^HPFEÝJAMF] \bsa`bktb44 ¶ Hofrh kbmbsatf \bsa`bktb kbmbsatf qub gb mubktb pfr chvfr sa ustb` ph`bmaý hejukh bkcbrgb`h` bk su s u akchkmah ak chkmah f ph`bmb hejukh bkcbrgb`h` mrýkamh hmtuhegbktb, pfr bdbgpef, sa sucrb Oapbrtbksaýk, @ahlbtbs Gbeeatus, Hsgh, hejôk tapf `b mèkmbr f sa ph`bmb `b hejukh bkcbrgb`h` hmtuhe qub ustb` gb pub`h mfkthr6

^hmabktb4 ]a `fmtfrh, yf tbkjf `ahjkýstamf `b jhstratas `bs`b ohmb ukfs8> høfs hprfxagh`hgbktb, gb rbmbthrfk hprfxagh`hgbktb, rbmbthrfk hejukhs phstaeehs, phstaeehs, pbrf pbrf eh vbr`h` vbr`h` kukmh kukmh efjrb mfksugarehs y phsb `b beehs, eubjf ohmb ukfs 2høfs gb `ahjkfstamhrfk oçjh`f jrhsf y hejf hsç mfgf uk `høf bk ga oçjh`f prfvfmh`f prfvfmh`f pfr be hemfofe, pbrf yh kf rbmubr`f su kfglrb eh vbr`h`, `b kaøh sfef ph`bmç `b vhrambeh, kf ob tbka`f kakjukh ftrh akcbmmaýk ohsth ga ôetagh ofspatheazhmaýk.

HKPBMB@BKPB] CHGAEAH\B]4 \bsa`bktb4  ¶^ ¶^f`r f`rçh çh mfkthr mfkthrgb gb pfr pfr chvf chvfrr sa sus sus ph`r ph`rbs bs f sus sus chgaea chgaeahrb hrbs s gès mbrmhkfs sucrbk f sucrabrfk `b hejukh bkcbrgb`h` bk bspbmahe6 ¶y mýgf bs qub sb bkmubktrhk beefs6

^hmabk tb4 Ga gh`rb cheebmaý h efs ?1 høfs, cub pfr gubrtb khturhe, ga ph`rb ^hmabktb4 rbmubr`f qub cheebmaý pfr uk prflebgh bstfghmhe, y qub sb eb mfgpeamf bk mèkmbr  `fmtfrh, gas obrghkfs sa kf sb kh`h `b beefs, yh vhrafs høfs qub kf efs vbf. pf`rçh trhthr trhthr `b ak`amhrgb ak`amhrgb sa sa tuvf ftrf tapf `b trhthgabktf trhthgabktf \bsa`bktb4 ¶^fr chvfr pf`rçh mfk hktbraf hktbrafra` ra`h`6, h`6, hktaakcehghtfrafs.

pfr

bdbgpef, bdbgpef, sa

mfksugaý mfksugaý hejôk hejôk tapf `b phstaee phstaeeh h mfgf

^hmabktb4 \bm \bmubr ubr`f `f qub `b `b dfvbk dfvbk gb `feçh `feçh gumof gumof eh rf`aee rf`aeeh h pfr uk j jfepb fepb

qub tuvb trhlhdhk`f, trhlhdhk`f, kf gb trhtb bsb `fefr, pbrf gb rbmfgbk`hrfk rbmfgbk`hrfk ukfs chgaeahr chga eahrbs bs qub tfgb tfgb `amefcb `amefcbkhmf khmf,, ef tfgb pfr mhsa mhsa uk høf `fmtf `fmtfr, r, aktbrmh aktbrmhehk ehk`f `f ukfs muhktfs `çhs.

\bsa`bktb4  Eas Eastf tf `fmt `fmtfrh frh tbrgak tbrgaká á mfk mfk eh hkhgk hkhgkbsa bsas s y hktbm hktbmb` b`bkt bktbs bs pub` pub`b b mfktakuhr mfk be bxhgbk cçsamf.

 

B_HGBK CÇ]AMF JBKB\HE Gá`amf4 hofrh vhgfs h prfmb`br h bvheuhr hejukhs cukmafkbs vathebs suyhs y h bxpefrhref, ¶pfr chvfr gb pf`rçh `hr su hutfrazhmaýk phrh pf`br prfmb`br6

^hmabktb4 ^fr supubstf `fmtfrh, ustb` gb ak`amh qub tbkjf qub ohmbr.   ]ajkfs Sathebs

B_HGBK CÇ]AMF ^\BCB\BKMAHE

 

@AHJKF]PAMF] ]AK@\FGAMF]

 

B_ÈGBKB] HR_AEAH\B] B]PR@AF] @B EHLF\HPF\AF

^hmabktb4 ¶@fmtfr qub pub`f tbkbr6 Gá`amf4 ]bøfrath, `b hmubr`f h efs bstu`afs, ustb` bsth tbkabk`f uk muh`rf mfgpeamh`f `b vhrafs sastbghs, efs muhebs sb ohk hjefgbrh`f y ohk jbkbrh`f su hmtuhe saktfghtfefjçh, phrh pf`br trhthref `b eh ghkbrh ghs ýptagh bs kbmbshraf qub ustb` sb qub`b aktbrkh`f, kf sb prbfmuph ohrbgfs tf`f ef kbmbshraf phrh qub pub`hs rbmupbrhrtb bk be gbkfr tabgpf pfsaleb.