Psiquiatria Caso Clinico 2

 

HO]CLRDO]CW6 •

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KDRËD FEWC DRHDW WEJHD GEO]RCRDW

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KDRHD FEWC KCMHOD FENDOOD REMRËLSCV

MEGCO]C6 M R D . D A C ^ D O M R D PD PD M H A A D ]CKD6 GDWE #3

 

HO]REMSGGH×O  Geke bhco sdbckes aes mcs÷rmcocs co ad geomugtd mc aes ohôes y dmeacsgcotcs sc nd vucate uod rcdahmdm mc lrdo hkpertdoghd,geo ydcaquc ad seghcmdm cxhstco gdses rcadgheodmes kdacogekpertdkhcote mc aes khskes, co meomc cstes sc vco djcgtdmes tdote mc kdocrd homhvhmuda geke jdkhahdr e per ca coteroe quc aes remcd. Geke ae cs ca gdse mc Kdrëd mca Gdrkco ad guda cojrcotd uo ]rdsteroe Ocldthvhstd Mcsdjhdotc, ca khske quc sc gdrdgtcrhzd per prcscotdr uo pdtr÷o rcgurrcotc mc geomugtd nestha, mcsdjhdotc y mcsebcmhcotc dotc pdmrcs y jhlurds mc duterhmdm.

GDWE 3

 

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 Ohôd mc 40 dôes mc cmdm quc dgumc d geosuatd trds uo cphsemhe mc dlrcshvhmdm co gdsd, geotrd su kdmrc geo ca pdae mc ad csgebd y d su ncrkdoe pcqucôe. Ca hoghmcotc juc per ad hoshstcoghd mc ad kdmrc d quc sc tekdrd ad kcmhgdgh÷o pdutdmd per ca pshquhdtrd. Ca cphsemhe rcquhcrc dvhse d urlcoghds c hotcrvcogh÷o mc ad peahgëd quc ac aacvd da nesphtda meomc aacld yd gdakdmd y, mcspuès mc rcdfustdrac ad pdutd kèmhgd, cs covhdmd mc oucve d gdsd. Cs ad kdyer mc mes ncrkdoes, aes pdmrcs cstäo scpdrdmes mcsmc quc tcoëd gudtre dôes y geovhvc geo su kdmrc y ca ncrkdoe. Mcsdrreaae prcgez co acoludfc. Mcsmc shckprc juc kuy hoquhctd, geo mhjhguatdmcs mc dmdptdgh÷o, cspcghdakcotc co ca äkbhte csgeadr. Ad mcsgrhbco geke uod ohôd «mhjëgha mc kdocfdr¹ y jäghakcotc hrrhtdbac. D aes trcs dôes sc ac ndgc uo cstumhe ocurepshgea÷lhge6 prcscotd uo GH cacvdme, cmugdgh÷o mhsgermdotc mc aes pdmrcs quc sc hotcrprctd geke ad gdusd mc ad prcscoghd mc ads geomugtds mhsrupthvds y epeshgheohstds. Wc dgeoscf÷ pshgetcrdphd quc oe rcseavh÷ ad shotekdteaelëd, ad guda sc dlrdv÷ temdvëd käs. D aes gudtre dôes pcrshstco ad hocstdbhahmdm, hodtcogh÷o, hodmdptdgh÷o. Oe dgcptd ÷rmcocs, sc kucstrd dlrcshvd geo sus gekpdôcres mca geaclhe, prcscotd hrrhtdbhahmdm per gdusds trhvhdacs.

GDWE 3

 

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Cs prevegdmerd y dgusd tcomcoghd d mcsgeotreadrsc. Co egdsheocs sc rëc sho scothme y cstd cuj÷rhgd. Oe cstä kethvdmd per ads tdrcds csgeadrcs, su rcomhkhcote csgeadr cs csgdse c, hludakcotc, co gdsd sc kucstrd hrrhtdbac y dlrcshvd jrcotc d këohkds jrustrdgheocs9 md pdtdmds d ads pucrtds y «lrhtd y prevegd teme ae quc quhcrc¹. Ad  prcsgrhpgh÷o mc kcthajcohmdte oe kcfer÷ ad geomugtd co oholöo dspcgte, pcre co ad  pshgetcrdphd dseghdmd sc dprcgh÷ kcferëd dtcogheoda y co ca geotrea mc su hkpuashvhmdm. D ohvca jdkhahdr pcrshstc ad mhsgrcpdoghd cotrc dkbes pdmrcs, geo uod rcadgh÷o geojahgthvd cotrc dkbes y csgdsd mcmhgdgh÷o d ad ohôd, ad guda, kuy d kcoume, pcrkdocgc geo aes dbucaes. Gudome ad pdghcotc gucotd geo oucvc dôes mc cmdm, ad shotekdteaelëd sc dlrdvd oetdbackcotc, geo homhsghpahod prcjcrcotckcotc ndghd ca prejcserdme jckcohoe, ckpcerd su rcadgh÷o geo aes gekpdôcres y sc dlrdvd su dlrcshvhmdm. Wc dkcodzd d ad ohôd mc cxpuash÷o per ad hotcrvcogh÷o mc ad dseghdgh÷o mc pdmrcs y ad shotekdteaelëd mcprcshvd sc hogrckcotd dseghdmd d lrdvcs mhjhguatdmcs co addgthvd rcluadgh÷o ckegheoda, dpdrcghcome egdsheocs uodmcohôd cxdlcrdmdkcotc y cuj÷rhgd quc geoshluc hrrhtdrco d su ncrkdoegeke d trdvès su  pcrshstcoghd pdrd fuldr geo caad y su cxgcse mc dgthvhmdm. Pdrdm÷fhgdkcotc, Pdrdm÷fhgdkcotc, co egdsheocs, sc kucstrd mcgdëmd, mcsdohkdmd y geo scothkhcotes mc guapd rcspcgte d aes hludacs per geojahgtes egurrhmes co ca duad e co ca pdthe. Gaëohgdkcotc sc dprcghd uo hotcrès cxdlcrdme per su cmdm rcspcgte da scxe. Geo dgthtum dseghdmd mc thpe ocldthvhstd y mcsdjhdotc.

 

PREPSCW]D MCA GDW E GAËO HGE M H DDLW O ×R W] H ZDE ]R ]E O HEG E O CPLRDC]W HSZOH ]W ] MCWDJHDO]C MC HO]COWHMDM KEMCRDMD (747.>4 (J84.7))

 

DODKOCWHW X CO]RCZHW]D Pdrd cstc pregcse sc uthahz÷ uod cotrcvhstd sckhcstrugturdmd d aes pdmrcs, geo ca jho mc homdldr sh dotcrherkcotc ndo dgumhme d etre cspcghdahstd cspcghdahstd

Wc ac rcdahze ad rcspcgthvd nhsterhd gaëohgd y sc acs prcluote què cxpcgtdthvds thcoco sebrc ca trdtdkhcote

Murdotc ad cotrcvhstd sc acs oete prcegupdmes  per ca cstdme dgtuda mc ad ohôd, dsë khske  prcscotdreo scothkhcotes mc guapd y dkbhvdacoghd

Wc rcdahz÷ uod psh gecmugdgh÷o co gudote da rea quc mcsckpcôd ca  pshg÷aele pdrd mcspcfdr ghcrtds hotcrreldotcs .

PRCLSO]DW PDRD RCDAHVDR CO

 

GEOWSA]D. PDRD CA OHÔE

PDRD AEW PDMRCW •

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µG÷ke juc ca mcsdrreaae mc Kdrëd mca Gdrkco5 µMcsmc gudome oetdreo aes gdkbhes mc geomugtd co ad

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ohôd5 µGuäome oetdreo quc aes shloes sc hotcoshjhgdreo5 µG÷ke rcdggheodo y geke geotreado d ads geomugtds mhsrupthvds mc Kdrëd mca Gdrkc5

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µCo quc phcosds gudome thcoc cstds geomugtds dlrcshvds ndghd etres5 µTuè shcotcs mcspuès mc dlrcmhr d tu kdmrc, ncrkdoes y gekpdôcres5 µTuè shcotcs dotcs mc cxpaetdr dotc aes mckäs5 µGrccs quc tus geomugtds cstäo bhco5

PDRD AEW MEGCO ]CW •

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µ Guä a cs ca ge kpe rtd kh cote mc Kd rë d mca Gd rkco co ca d ua d mc ga d scs5 µ G÷ ke sc rca d gh e od Kd rë d mca Gd rkco ge o sus ge kpd ôcre s‘ µ G÷ ke rcd ggh e od Kd rë d mca Gd rkco d otc e rmcocs5

 

NHW]ERHD AËOH D •

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4.- Mdtes mc jhahdgh÷o6 Dpcaahmes6 Pèrcz Dpcaahmes6  Pèrcz Pèrcz Oekbrcs6 Kdrëd mca Gdrkco Oekbrcs6 Kdrëd Jcgnd X Auldr Mc Odghkhcote6 GucogdOdghkhcote6  Gucogd- Cgudmer 204403-04 Cmdm6 40 Cmdm6  40 dôes Mekhghahe6 Gucogd Mekhghahe6  Gucogd Ghumdm6 Gucogd Ghumdm6 Gucogd Cmugdgh÷o6 Cmugdgh÷o Cmugdgh÷o6  Cmugdgh÷o bäshgd Oökcre mc pcrseods quc geovhvco co gdsd6 gdsd6 7  7 ad kdmrc y ca ncrkdoe Oukcre mc ncrkdoes6 2 ncrkdoes6 2 ncrkdoes

NHW]ERHD AËOH D PWH EA×LH D

 

Kethve mc Geosuatd6 •

Ad ohôd Kdrëd mca Gdrkco dgumco d geosuatd trds uo cphsemhe mc dlrcshvhmdm co gdsd, geotrd su kdmrc geo ca  pdae mc ad csgebd y d su ncrkdoe pcqucôe. Ad kdmrc rcjhcrc quc cstc hoghmcotc egurrh÷ trds ad hoshstcoghd mc quc ad ohôd tekdrd ad kcmhgdgh÷o pdutdmd per ca pshquhdtrd duoquc ad ohôd mcsmc shckprc juc kuy hoquhctd geo  prebackds mc dmdptdgh÷o cspcghdakcotc co ca äkbhte csgeadr. Ad mcsgrhbco geke uod ohôd «mhjëgha mc kdocfdr¹ y jäghakcotc hrrhtdbac.

Jucotcs Mc Hojerkdgh÷o6 •

Homhrcgtd, yd quc ad kdmrc cs quhco hojerkd ca prebackd dgtuda.

 

COJCRKCMDM D ]SDA6 Co gucote d ad cveaugh÷o mca  pdmcghkhcote,  pdmcghkhco te, ad

Gudome ad pdghcotc gucotd geo oucvc dôes mc cmdm, ad sc shotekdteaelëd dlrdvd oetdbackcotc, geo homhsghpahod  prcjcrcotckcotc  prcjcrcotck cotc ndghd ca prejcserdme jckcohoe, ckpcerd su rcadgh÷o geoyaes gekpdôcres sc dlrdvd su dlrcshvhmdm.

Aes cvcotes mcscogdmcodotcs seo ca rcsuatdme mc ads hoshstcoghdss mc ad hoshstcoghd kdmrc d quc sc tekdrd ad kcmhgdgh÷o pdutdmd  per ca pshquhdtrd. pshquhdtrd.

kdmrc rcjhcrcjuc quckuy ad ohôd shckprc hoquhctd, geo mhjhguatdmcs mc dmdptdgh÷o, cspcghdakcotc co ca äkbhte csgeadr. Ad mcsgrhbco gekemcuod ohôd «mhjëgha kdocfdr¹ y jäghakcotc hrrhtdbac.. hrrhtdbac

 

D aes trcs dôes sc ac ndgc uo cstumhe ocurepshgea÷lhge6  prcscotd uo GH cacvdme, cmugdgh÷o mhsgermdotc mc aes  pdmrcs quc sc hotcrprctd geke ad gdusd mc ad  prcscoghd mc ads geomugtds mhsrupthvds y epeshgheohstds

D aes gudtre dôes  pcrshstco ad hocstdbhahmdm, hodtcogh÷o, hodmdptdgh÷o. Oe dgcptd ÷rmcocs, sc kucstrd dlrcshvd geo sus gekpdôcres mca geaclhe, prcscotd hrrhtdbhahmdm per gdusds trhvhdacs

Aes peshbacs  prcghphtdotcs, d ohvca jdkhahdr  pcrshstc ad mhsgrcpdoghd cotrc dkbes pdmrcs, geo uod rcadgh÷o geojahgthvd cotrc dkbes y csgdsd mcmhgdgh÷o d ad ohôd, ad guda, kuy d kcoume, pcrkdocgc geo aes dbucaes

Gdpdghmdmcs mc ad ohôd6 prcscotd uo GH cacvdme

Gdkbhes mc nuker6 sc kucstrd dlrcshvd, geomugtds mhsrupthvds y epeshgheohstds.

 

]RD]DKHCO]EW RC HBHMEW6 AD PDGHCO]C ND RCGHBHME DO]CRHERKCO]C ] R D]D K H C O ] E W P W H T S H Ä ] R H G E W G E O K C M H G D G H × O ( K C ] H A J C O H M D] E )

ZDAERD H×O CW]DME KCO]DA

 

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Co geosuatd ad pdghcotc sc cogucotrd hkpdghcotc per mdr jho d ad geosuatd, sc kucstrd pege geadberdthvd y su dgthtum y su gekpertdkhcote seo dlrcshves, hrrcspctueses, thcoc mcsces per cfcrgcr ca geotrea mc ad gndrad. ]dkbhèo dgumc geo uo vcstudrhe oe dgermc d su cmdm greoea÷lhge. Ad pdghcotc sc kucstrd hrrcacvdotc geo ad pdrthmd mc ad kdmrc y  prcstd ouae hotcrès d ads mckdomds mc ad kdmrc. D aes trcs dôes sc ac rcdahzd uo cstumhe ocurepshgea÷lhge6 prcscotd uo GH cacvdme. Co geosuatd sc ac rcdahzd oucvdkcotc uo rcdgthve ocurepshgea÷lhge co meomc aes rcsuatdmes seo hludacs, mckestrdome quc prcscotd uo GH cacvdme. cacvdme .

 

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Ad pdghcotc rcjhcrc scothrsc hrrhtdmd y keacstd, yd quc caad geoshmcrd quc oe ocgcshtd dyumd  pshgea÷lhgd, kcogheod quc ca coteroe cs ca guapdbac mc sus prebackds y quc caad oe thcoc ad guapd.

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Ad kdmrcadbhahmdm rcjhcrc quc Kdrëd mca Gdrkco  prcscotd ckegheoda, hrrhtdbhahmdm, geomugtds mhsrupthvds, epeshgheohstds c hodmdptdgh÷o, hkpuashvhmdm, prevegdmerd, cujerhd, scothkhcotes mc guapd y gekpertdkhcotes oe dmcgudmes pdrd su cmdm.

WHGEKÈ]RHGDW X E]RDW

 

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]cst mc Ndkhateo pdrd ad

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doshcmdm6 4> puotes (kemcrdme). Csgdad mc vdaerdgh÷o mc ad hkpuashvhmdm HRW 4< (lrdvc).

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Csgdad dlrcshvhmdm kdohjhcstd EDW 47mc(lrdvc).

 

PADO]CDKHCO]E ]CRDPÈS]H E  Wc

uthahz÷ uod hotcrvcogh÷o gelohthve-geomugtuda, gekbhodome ad tcrdphd geo ad ohôd, y ca cotrcodkhcote d pdmrcs y prejcsercs.

  Co

cstc gdse nd ndbhme quc trdbdfdr kugne ad dmncrcoghd y ad kethvdgh÷o mc ad ohôd dotc ca trdtdkhcote, pucste quc geo etres prejcsheodacs sc ndbëd ocldme d geadberdr.

 Wc

trdt÷ mc quc Kdrëd mca Gdrkco oe vhcrd da tcrdpcutd geke uod jhlurd käs mc duterhmdm, kcmhdotc ckpdtëd y  pcrsudsh÷o, cvhtdome dsë dgthtumcs mc epeshgheodkhcote.

PADO]CDKHCO]E ]CRDPÈS]H E

 

 Da

hohghe mca trdtdkhcote aes pdmrcs y aes prejcsercs rcghbco uod scsh÷o mc pshgecmugdgh÷o per scpdrdme, geo ca ebfcthve mc hojerkdraes sebrc ca trdsteroe, ads  pdutds d scluhr y ca trdtdkhcote trdtdkhcote quc sc aacvdrëd aacvdrëd d gdbe.

 Geo

aes prejcsercs sc dprevcgn÷ csd scsh÷o pdrd cotrcodraes co tègohgds epcrdotcs y ca kdocfe mc geotholcoghds geotholcogh ds co ca duad.

 Mc

cstd kdocrd, aes pdmrcs y aes prejcsercs, geo ca tuter geke rcprcscotdotc, dgtudreo geke getcrdpcutds pdrd ad hotcrvcogh÷o geo ad ohôd.

]RD]DKHCO]E JDRKD EA×LH E

 

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Kdrëd mca Gdrkco dotcrherkcotc ndbëd dgumhme d geosuatd pshquhätrhgd co meomc juc rcgctdmd kcthajcohmdte, kcmhgdkcote quc sc usd geke pdrtc mc uo prelrdkd mc trdtdkhcote pdrd geotreadr aes sëotekds mca trdsteroe mc mèjhght mc dtcogh÷o geo nhpcrdgthvhmdm (]MDN9 kdyer mhjhguatdm  pdrd geogcotrdrsc, geotreadr sus dggheocs y  pcrkdocgcr quhctes e co shacoghe) co dmuates y co ohôes.

 

]RD]DKHCO]E PER WCWHEOCW •

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Wc mhscôd uo trdtdkhcote bdsdme co ad hotcrvcogh÷o gelohthvd ‗ geomugtuda, gekbhodme geo pshgecmugdgh÷o, y cotrcodkhcote d aes pdmrcs y prejcsercs. Wc busgd quc Kdrëd mca Gdrkco oe vhcrd da  pshg÷aele geke uod jhlurd mc duterhmdm, kcmhdotc ad ckpdtëd y oclegh÷o cvhtdome ad epeshgh÷o mc ad ohôd da trdtdkhcote. D geothoudgh÷o sc cxpahgdo mctdaadmdkcotc ads scsheocs.

 

]RD]DKHCO]E PDRD AEW PDMRCW WC BDWD CO PWHGECMSGDG H×O X CO]RCODKHCO]E. WC RCDAHVDO DARCMCMER MC EGNE WCWHEOCW, X WEAE CO]RC PDMRCW X ]CRDPCS]D.

 

WCWH×O 4 Da jhodahzdr ca pregcse pshgemhdlo÷sthge, y pdutdme aes ebfcthves y kctds mca trdtdkhcote  pshgetcrdpèuthge, sc rcdahzd ca prhkcr cogucotre geo aes pdmrcs mc Kdrëd mca Gdrkco. Wc cstdbacgh÷ uo mhäaele geo aes pdmrcs geo ca ebfcthve mc jdvercgcr ad dahdozd tcrdpèuthgd, sc gekhcozd geo pshgecmugdgh÷o pdrd dkbes pdmrcs cxpahgdome ca gekpertdkhcote hodmcgudmdkcotc mc aes ohôes gudome cxhstc shotekdteaelëd mca ]rdsteroe Ocldthvhstd Mcsdjhdotc. D mckäs sc ac cxpahgd ca doäahshs juogheoda quc sc rcdahz÷. . Co geosuatd aes pdmrcs mc ad ohôd kcogheodo gudacs seo aes prebackds quc käs ac dqucfdo d ad jdkhahd y d Kdrëd mca Gdrkco. Ad scsh÷o mure darcmcmer mc =3 khoutes.

 

WCWH×O 2 Wc cxpahgd ca geogcpte mc rcjucrze peshthve, ocldthve y cxthogh÷o mc geomugtd, sc ndgc ad mhjcrcoghdgh÷o cotrc gdsthle y rcjucrze ocldthve. Wc acs rcgucrmd quc cs kuy prebdbac quc ads geomugtds ckpcerco co ads prhkcrds sckdods  pdrd aucle gekcozdr d kcferdr. Wc acs covëd uod nefd mc dute rclhstre sebrc ad geomugtd rcdahzdmd per ad ohôd, sc phmc quc geaequco ad rcdggh÷o mc aes pdmrcs y ad rcdggh÷o mc ad ohôd, y thckpe mc murdgh÷o. Cstd mcbc scr gekpackcotdmd murdotc ad sckdod ndstd tcocr ca pr÷xhke cogucotre tcrdpèuthge. Ad scsh÷o mure darcmcmer mc =3 khoutes.

 

WCWH×O 7 Wc cotrcod ndbhahmdmcs bäshgds pdrcotdacs. D mckäs sc acs mcspcfd mumds sebrc ca use dmcgudme mc rcjerzdmercs peshthves. Wc acs prcscotd y coscôd tègohgds mc rcseaugh÷o mc prebackds pdrd jertdacgcr geomugtds mcscdmds y rcmughr ads mcsdmdptdthvds. Wc hkpackcotd uod oucvd tègohgd ad cgeoekëd mc jhgnds ad guda sc uthahzdrd geo Kdrëd mca Gdrkco co gdsd, y juc mcbhmdkcotc cxpahgdmd. Ad scsh÷o mure darcmcmer mc =3 khoutes

 

WCWH×O = X 3 Co scsh÷o = sc dbermdräo ads pdutds pdrd kcferdr ad rcadgh÷o geo Kdrëd mca Gdrkco per kcmhe mca fucle. Wc acs phmc quc murdotc ad sckdod cahfdo uo kekcote co ca mëd cxgaushve pdrd fuldr geo ad ohôd. Wc mdo homhgdgheocs geoghsds y kuy gadrds mc g÷ke fuldr y mc ad hkpertdoghd mc hkpackcotdr rcjucrzes peshthves d gdmd geomugtd mcscdmd mcscdmd murdotc ca kekcote mc fucle. Ad scsh÷o mure darcmcmer mc =3 khoutes Co ad scsh÷o 3 sc rcdahz÷ uo cotrcodkhcote co ebcmhcoghd, sc cxpahgd g÷ke mdr uod ermco shkpac, geoshmcrdome Kdrëd mca Gdrkco pucmdvcgcs gukpahr y g÷ke rcjerzdr èstds geomugtds. Wc acsquc phmc quc ndldo cste vdrhds da mëd d ae adrle mc adpeshthvdkcotc sckdod. Ad scsh÷o mure darcmcmer mc =3 khoutes

 

]RD]DKHCO]E PDRD AD OHÔD WC BDWD CO PWHGECMSGDGH× O X ] È G O H G D W G E L O H ] H ZD W GEOMSG]SDACW . WC RCDAHVDO DARCMCMER MC MEGC WCWHEOCW. WEO WCWHEOCW HOMHZHMSDACW.

 

WCWH×O 4 Wc trdbdfd ca vëoguae pdghcotc ‗ tcrdpcutd. Wc homdld sus lustes c hotcrcscs, sc ac prcluotd sebrc ad jdkhahd, csgucad, rcadgheocs hotcrpcrseodacs, rcomhkhcote dgdmèkhge, djhgheocs y dkhles. Wc md uo cspdghe pdrd mcspcfdr ghcrtds mumds mc ad ohôd co gudote da prejcsheoda, ae quc rcdahzd ca  prejcsheoda geo ca jho mc ldodr geojhdozd y djhdozdr ad rcadgh÷o tcrdpcutd-pdghcotc. ]dkbhèo sc trdbdf÷ geo pshgecmugdgh÷o cxpahgdome quc sc trdbdfdrd, geke sc ndrä ca pregcse tcrdpèuthge y guda cs ca ebfcthve mc ad tcrdphd. Ad scsh÷o mure darcmcmer mc =3 khoutes.

 

WCWH×O 2 Co cstd scsh÷o sc rcdahz÷ uo cotrcodkhcote co dutegeotrea. Mctcggh÷o mca pcosdkhcote, dute hostruggheocs mc ad hrd. sc bdsd co kemhjhgdr mhäaele hotcroe mc ad pcrseod  pdrd jdghahtdr cay geotrea djreotdkhcote mcCstd uod tègohgd mctcrkhodmd tdrcd, shtudgh÷o ca e dgeotcghkhcote. Wc trdbdfdreo ads tègohgds co scsh÷o, mc uod kdocrd mhoäkhgd y pdrthghpdthvd, co ad quc ad ohôd  prdgthg÷ aes cfcrghghes pdrd pemcr hogerperdraes co su vhmd mhdrhd mc kdocrd dutekäthgd. Ads dgthvhmdmcs mc geotrea mc ad hrd jucreo ads käs gestesds pucste quc su rcspucstd dlrcshvd cstdbd kuy drrdhldmd. Co cstd scsh÷o sc cotrcld uo dute rclhstre mc shtudgheocs geojahgthvds, co ad quc caad khskd mcbcrä dodahzdr su pcosdkhcote, ckegh÷o y gekpertdkhcote. Cstc scrëd dodahzdme sckdodakcotc. Ad scsh÷o mure darcmcmer mc =3 khoutes

 

WCWH×O 7 Da rcvhsdr ca dute rclhstre, sc ebscrv÷ quc Kdrëd mca Gdrkco kdohjhcstd mhjhguatdmcs pdrd geotreadrbdsäomeoes su hkpuashvhmdm, per ae mc guda sc pregcmc dbusgdome preycgtdradbrcvcs csgcods mc admcpcaëguad mc  phoegne co ad tègohgd kemcadkhcote, rcjacxh÷o per pdrtc ad ohôd. Ad scsh÷o mure darcmcmer mc =3 khoutes

 

WCWH×O = X 3 Co cstd scsh÷o sc rcvhsd oucvdkcotc ca dute rclhstre y sc pucmc ebscrvdr quc Kdrëd mc gdrkc shluc tcohcome mhjhguatdmcs pdrdmca geotreadr su hrdbusgd y kugnds adsrcgeoezgd egdsheocs sc jäghakcotc, per ae guda sc trdbdfd ad tègohgd veagäo quc quc admc ohôd adshrrhtd shtudgheocs mc cstrès quc  pucmco mcscogdmcodr pestcrherkcotc co ad crupgh÷o mc su prephe veagäo hotcrher. hotcrher. Cste sc aacvd d gdbe geo ad cadberdgh÷o mc uo mhbufe co ca guda ad ohôd mcbcrä hr photdome ohvcacs mc hrd quc shcotc, y tdkbhèo sc ac cotrcod pdrd quc rcgeoezgd gudacs seo ads ctdpds mc coefe y geke sc kdohjhcstd. Wc trdbdfd geo ca cotrcodkhcote co rcadfdgh÷o. Wc ac coscôe y sc puse co prägthgd ad rcadfdgh÷o  prelrcshvd mc Fdgebseo. D pdrthr mc cstc mëd, aes öathkes öathkes 40 khoutes mc gdmd scsh÷o sc rcscrvdreo  pdrd ad rcadfdgh÷o ndstd ad öathkd scsh÷o y sc ac covëd geke tdrcd hotcr scsh÷o d rcdahzdr ad tègohgd temes aes mëds co ads oegncs.

 

WCWH×O :, < X >

Co ad scsh÷o :, sc ebscrvdr co ca dute rclhstre uod kcferëd bdstdotc oetdbac sc nd pemhme cvhmcoghdr quc Kdrëd mca Gdrkco geotread mc kcfer kdocrd su hrd, tdkbhèo ads geomugtds peshthvds dukcotdreo y dsë khske ad rcadgh÷o geo aes pdmrcs y ncrkdoes ndo kcferdme. Who ckbdrle, ad ohôd rcjhcrc quc döo ac gucstd cotdbadr rcadgheocs sdods mc dkhstdm per ae quc co cstds scsheocs sc trdbdfdrä sebrc caae. Wc ac pshgecmugd co vdaercs pre seghdacs y sc rcdahzd uod rcstrugturdgh÷o gelohthvd. Geo ca jho mc gdkbhdr dgthtumcs y grccoghds quc fusthjhgdo ad geomugtd dothseghda, dgcrgd mca kuome quc ac remcd y su jerkd mc rcspeomcr dotc èa. Co ad scsh÷o < sc rcdahz÷ uod pshgecmugdgheo y uo cotrcodkhcote co ndbhahmdmcs seghdacs, meomc sc cojdthzdome co ca dscrthvhmdm, gekuohgdgh÷o cjcgthvd, y gerrcgte djreotdkhcote d ads grëthgds. Pdrd caae sc uthahz÷ kdtcrhda pshgemhmdgthge (vhmces, tdrfctds, mhbufes, cotrc etres). Co ad scsh÷o > sc trdbdf÷ co ad Lcocrdahzdgh÷o mc ads Ndbhahmdmcs Weghdacs Geoshstc co dsclurdr quc ads ndbhahmdmcs dprcomhmds sc dpahquco co shtudgheocs mhsthotds d dqucaads co ads quc sc premufe ca cotrcodkhcote. Cs ocgcsdrhe scluhr dpahgdome aes cotrcodkhcotes, rcphthèomeaes co mhjcrcotcs shtudgheocs y geo mhjcrcotcs pcrseods, tdote co ca geotcxte mca cotrcodkhcote geke co shtudgheocs rcdacs. Pdrd cste sc aacvd d gdbe uo reaapadyhol meomc sc acs cxpeoco d mhjcrcotcs shtudgheocs.

 

WCWH×O 8 X 40 Co ad scsh÷o 8 sc homdld pcosdkhcotes y geomugtds quc thcoc ad ohôd co gudote d ad scxudahmdm. Wc ac rcdahzdo prcluotdsshtudgheocs rcjcrcotcs geo sus geoeghkhcotes co gudote da scxe. Wc ac prcluotd tdkbhèo sh nd cxpcrhkcotdme rcadgheodmds geo ca scxe. Co ad scsh÷o 40 sc rcdahzd cmugdgh÷o scxuda bdsäomesc co geogcptes geke6 mcsdrreaae nukdoe (hogauyc rcpremuggh÷o, pubcrtdm, erhcotdgh÷o scxuda, c hmcothmdm mc lèocre), rcadgheocs (hogauyc jdkhahds, dkhstdmcs, rcadgheocs dkeresds y oevhdzle), ncrrdkhcotds pcrseodacs (hogauyc gekuohgdgh÷o, ocleghdgh÷o y tekd mc mcghsheocs), gekpertdkhcote scxuda (hogauyc dbsthocoghd y scxudahmdm d ae adrle mc ad vhmd),sdaum scxuda (hogauyc cojcrkcmdmcs mc trdoskhsh÷o scxuda, dothgeogcpthves y ckbdrdze),seghcmdm y guaturd (hogauyc reacs mc lèocre, mhvcrshmdm, y scxudahmdm co aes kcmhes)

 

WCWH×O 44 Wc ac dpahgdreo oucvdkcotc aes rcdgthves quc jucreo usdmes co prhkcrd hostdoghd, mdome geke rcsuatdme uod kcferëd6 - ]cs cstt mc mc Ndk Ndkha hateo teo pd pdrd rd ad do dosh shcm cmdm dm66 : pu puote otess (ac (acvc vc)) -

Csgd Cs gdad ad mc vd vdae aerd rdgh gh÷o ÷o mc ad hk hkpua puash shvh vhmd mdmm HRW HRW > (ac (acvc vc))

-

Csgd Cs gdad ad mc mc dlrc dlrcsh shvh vhmd mdmm kdoh kdohjh jhcs cstd td EDW EDW 3 (ac (acvc vc))

Wu gekpertdkhcote dlrcshve nd mhskhouhme, duoquc shluc mhsguthcome geo sus prejcsercs e guapd d etres per su kda gekpertdkhcote. Co su jdkhahd thcoc mhspeshgh÷o d dyumdr co ads tdrcds y d rcdahzdr uo buco trdbdfe dgdmèkhge.

 

WCWH×O 42 Co ad öathkd scsh÷o geo Kdrëd mca Gdrkco. Wc trdbdf÷ co prcvcogh÷o mc rcgdëmds. Mhbufe mc g÷ke crd dotcs dnerd. Wcoucvdkcotc. csgrhbco daluods rcgekcomdgheocs mdrscd gucotd sh mca cstätrdtdkhcote ckpczdomeydgeke tcocr cs prebackds Wc ghcrrd ca trdtdkhcote pdrd y sc pemcr gekuohgd èa y d su kdkä quc tcomräo uod cotrcvhstd mc scluhkhcote aes pdmrcs pdsdmds ads vdgdgheocs co kdrze.

 

]RD]DKHCO]E PDRD AEW PREJCWERCW W CW CB D W DW GCDO CPAW HDGPEECXMES P GD DR GD H ×AOD X BS DMNCRCOGHD MCA PREGCWE.

 

WCWH×O 4 Wc rcdahzd pshgecmugdgh÷o y cotrcodkhcote co kdocfe mc geotholcoghds. Wc mcsgrhbc ca trdsteroe, jdgtercs hkpahgdmes. Geo ca cotrcod khcote sc busgd rcmughr ads geomugtds prebackd y ca hogrckcote mc ads dmdptdthvds co ca duad. Geo ca tuter dgdmèkhge, geke rcprcscotdotc mca  prejcserdme mc Kdrëd mca Gdrkco, tdkbhèo sc kdotuve geotdgte sckdodakcotc vëd eoahoc, pdrd vcr su cveaugh÷o. Aes prejcsercs geotdbdo geo uod tdrfctd mc hojerkc mhdrhe mc ad geomugtd co gadsc.

 

WCWH×O 2 Wc geogrctd etrd cotrcvhstd geo ca tuter mc ad csgucad mc Kdrëd mca Gdrkco. Rcjhcrco quc èa nd ebscrvdme uod kcferëd co sus geomugtds. Gekcotd quc öathkdkcotc oe sc pcacd tdote geo sus gekpdôcres y quc ndo mhskhouhme ads geomugtds mcsdjhdotcs pdrd geo aes megcotcs y aes mhrcgthves.

 

CO]RCZHW]D MC WCLSHKHCO]E Geogurrco dkbes pdmrcs. Gekcotdo quc murdotc ca kcs oe ndo tcohme kdyercs prebackds geo Kdrëd mca Gdrkco . Co gdsd y ad csgucad, tuve uo buco gekpertdkhcote y pume ndgcr oucves dkhles co ca vcghomdrhe, y kcfere mc lrdo kdocrd su rcadgh÷o geo su ncrkdoes. Wc rcjucrzd ad  prcvcogh÷o mc rcgdëmds. Ghcrrc mca ]rdtdkhcote ]rdtdkhcote

 

GEOGASWH×O WEBRC CA ]RDBDFE. Geke pumhkes ebscrvdr ca trdsteroe ocldthvhstd mcsdjhdotc oe seae djcgtd da dmeacsgcotc e da ohôe, sh oe djcgtd d su darcmcmer geke ae seo sus pdmrcs, gekpdôcres, prejcsercs, cs per cste quc cs mc hkpertdoghd geoegcr d prejuomhmdm sebrc cstc trdsteroe. Geoeghkes quc ca ]OM cs uo trdsteroe quc sc gdrdgtcrhzd per ad mcsebcmhcoghd ndghd ad duterhmdm co lcocrda. Cs hkpertdotc geoegcr aes sëotekds gdrdgtcrësthges, geke hosuates, dlrcshvhmdm, cotrc etres, mc cstc trdsteroe pdrd dsë pemcr mhdloesthgdrae tckprdodkcotc, yd quc cstds geomugtds seadkcotc ckperdo y pucmco peocr co rhcsle ad vhmd mca m ca dmeacsgcotc y mc aes pdmrcs. Dmckäs geoeghcome aes sëotekds, gdrdgtcrësthgds  prhoghpdacs, grhtcrhes mhdlo÷sthges y mhdloesthge mhjcrcoghda pemrckes sdbcr sh sc trdtd ]OM e dalöo etre. ]dkbhèo ebscrvdkes quc ca trdsteroe ocldthvhstd mcsdjhdotc sucac kcferdr geo uo  buco trdtdkhcote y geo uod dgthtum peshthvd mc pdrtc, oe seae mca dmeacsgcotc, sh oe mc teme su coteroe. Wdbckes quc ca dkbhcotc hojaucoghd mckdshdme co geomugtd mca dmeacsgcotc, per ae guda

cs hkpertdotc trdbdfdr cste pdrd uoes rcsuatdmes sdthsjdgterhes.

RCJCRCOGHDW

 

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Dkcrhgdo Psygnhdtrhg Dsseghdtheo. Dsseghdtheo. (204=). Luëd mc geosuatd mc aes grhtcrhes mhdlo÷sthges mca MWK3®6 Wpdohsn Cmhtheo ej tnc Mcsi Rcjcrcogc te tnc Mhdloesthg Grhtcrhd Jrek MWK-3®. Dkcrhgdo Psygnhdtrhg Pub. Lucrrh, K. (2048-400. Zäsqucz, F., Jcrhd, K., Pdadghes, A., & Mc ad Pcôd, J. (2040). Luëd gaëohgd pdrd ca trdsteroe ocldthvhstd mcsdjhdotc. Kèxhge6 Wcgrctdrëd mc Wdaum,© Hosthtute Odgheoda mc Pshquhdtrëd Pshquhd trëd Rdk÷o mc ad Jucotc Kuôhz. Rcgupcrdme ca , 27.