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SÍNDROME ASCITIS

SÍNDROME ASCITIS

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Published by Eddy De Paz

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Published by: Eddy De Paz on Apr 20, 2010
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07/20/2013

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PÍFNSGMJ KP@E^EP
Jp zfk jfljsmjnkn njh ktks~g `es`zhk~gseg {zj tzjnj pjs njlefenk `gmg zfk k`zmzhg nj~skpznkngp {zj pj `ghj``egfkf jf hk `k|enkn `gstgskh u mëp `gf`sj~kmjf~j jf jh kcngmjf&K |j`jp kh`kfykf bskf |ghzmjf( klj`~kfng k hkp |íp`jskp kcngmefkhjp u tsgnz`ejfngajtk~gpep( jnjmk tzhmgfks u `gfbjp~eðf bjfjskh nj hk `kfkh&Jh fnsgmj nj kp`e~ep tsjpjf~k zf `zknsg `ksk`~jseykng tgs9 aensgtjse`ksneg(`ksnegmjbkhek( aetjs~sglek `ksník`k njsj`ak( `gfbjp~eðf `sðfe`k tkpe|k bjfjskheyknk(kzmjf~g nj hk tsjpeðf aensgp~ë~e`k |jfgpk( jnjmk tzhmgfks g lhzeng `gf ckik bsk|jnknjptj`íle`k& Agu jf ník pj pkcj {zj jh pífnsgmj nj kp`e~ep jp zf sjpzh~kng nj hk tsjpeðf njpjhj``eðf njp~efknk k gc~jfjs mëp `ksfj jf mjfgp ~ejmtg( hg {zj tsgnz`j zf njpj{zehecsegjf~sj hkp ~kpkp mj~kcðhe`kp u hk `ktk`enkn nj ktgs~j nj gqíbjfg njh pep~jmk`ksnegsjptesk~gseg( izf~g `gf lk`~gsjp kmcejf~khjp( fz~se`egfkhjp j eflj``egpgp&Jh tzf~g `jf~skh nj hk kp`e~ep jp hk aetgqek !njle`ejf`ek nj gqebjfg% {zj pj tsgnz`j tgs jhnjpj{zehecseg jf~sj hkp fj`jpenknjp nj hgp ~jiengp u hk `ktk`enkn sjptesk~gsek njh kfemkh&@zkh{zejs lk`~gs {zj tsjneptgfbk k hgp tghhgp k zfk pe~zk`eðf nj aetgqek( ~kh `gmg jhj|knkkh~e~zn( lkh~k nj |jf~ehk`eðf( ckikp ~jmtjsk~zskp kmcejf~khjp( mkhk `gmczp~eðf nj hkpjp~zlkp( kh~kp `gf`jf~sk`egfjp nj kmgfík`g( tsgchjmkp jf hk ef`zckngsk( nkûg jf jh ~jieng tzhmgfks tgs sjk``egfjp tgp~|k`zfkhjp( `kzpkp eflj``egpkp( g hjpegfjp `ksník`kp( tzjnjflk|gsj`js hk tsjpjf~k`eðf nj `zknsg nj kp`e~ep&Hk aetgqek tsgnz`j zfk aetgqjmek !sjnz``eðf nj hk ~jfpeðf nj gqebjfg jf hk pkfbsj%k`gmtkûknk nj zf ef`sjmjf~g jf hk tsjpeðf tks`ekh nj @G
3
& @gmg sjptzjp~k k jp~kaetgqjmek( hk agsmgfk jse~sgtguj~efk tsgmzj|j zf ef`sjmjf~g jf hk tsgnz``eðf njbhðczhgp sgigp( `gf hg {zj pj ef`sjmjf~k jh ajmk~g`se~g& Jp~k tghe`e~jmek kzmjf~k hk|ep`gpenkn nj hk pkfbsj( `gmthe`kfng jh `zknsg nj aetjs~jfpeðf&Jh `gskyðf nj hkp k|jp fg jp~ë nepjûkng tksk cgmcjks jp~k pkfbsj mëp jptjpk( tgs hg {zj pj tsgnz`j zf ef`sjmjf~g jf jh ~kmkûg njh `gskyðf njsj`ag& Jp~k kh~jsk`eðf tzjnj pjs g fg`gf~jmtgsëfjk nj zfk hjpeðf tzhmgfks( {zj chg{zjksík jh ~sëfpe~g nj pkfbsj& Pe jp~g pj tsgnz`j( pj jhj|k hk tsjpeðf pkfbzífjk jf hk ks~jsek tzhmgfks( emtenejfng jh knj`zkng`ejssj nj hkp |ëh|zhkp `ksník`kp( tgs hg {zj pj tsgnz`j zf sjlhzig nj pkfbsj&Jp~j sjlhzig tsgnz`j zf ef`sjmjf~g nj hk tsjpeðf jf ~gng jh pep~jmk |jfgpg( hgp ðsbkfgp pj`gfbjp~egfkf u( tksk sjnz`es hk tsjpeðf pkhj hí{zeng nj hgp ~jiengp( tsef`etkhmjf~j njhbkng u njh ef~jp~efg( tsgnz`ejfng pz k`zmzhk`f jf hk `k|enkn kcngmefkh& Jp~g`gf~seczuj k ef`sjmjf~ks hk tsjpeðf pgcsj hgp tzhmgfjp jmtjgskfng jh `zknsg&Jh pep~jmk sjptesk~gseg nj hkp k|jp nj jfbgsnj jp mzu pjfpechj k hkp mgnele`k`egfjp nj hkp`gfne`egfjp kmcejf~khjp njceng jf~sj g~skp `gpkp k hk jp`kpk jle`ejf`ek nj hgp mepmgp tkskjh ef~js`kmceg bkpjgpg& Jp~k mjfgs jle`ejf`ek pj njcj k {zj hk `ktk`enkn nj nelzpeðf nj G
3
jf hk ckssjsk ~epzhks kjsgajmë~e`k nj hgp tghhgp nj `ksfj jp zf 3:* mjfgs {zj hk njh bkhhgpeh|jp~sj( hk ckssjsk kjsgajmë~e`k jp mëp bszjpk uk {zj jh |ghzmjf tzhmgfks njh bkhhg
 
ngmåp~e`g jp zf 34* efljsegs kh njh bkhhg peh|jp~sj& Tgs jp~kp skygfjp( jh mkf~jfemejf~g njhk ef~jbsenkn njh ~jieng tzhmgfks jp lzfnkmjf~kh tksk sjnz`es hk ef`enjf`ek nj kp`e~ep&
Hgp lk`~gsjp sjhk`egfkngp `gf hk ktkse`eðf nj kp`e~ep pgf hgp pebzejf~jp9
\jhg`enkn nj `sj`emejf~g u `gmtgpe`eðf `gstgskh9 Ktksjf~jmjf~j( jp jh tjpgmj~kcðhe`g nj hgp tghhgp jh {zj ~ejfjf zfk mkugs ef`enjf`ek jf hk ktkse`eðf njkp`e~ep& Jp~g jqthe`k hk ktkse`eðf nj kp`e~ep k jnknjp jf hkp {zj fg pj ak kh`kfykng jh te`g nj `sj`emejf~g `gstgskh( tzjp jh mëqemg nj tjpg mj~kcðhe`g pj kh`kfyk kf~jp{zj jh nj tjpg |e|g& Njceng k hk tsgtgs`eðf sjhk~e|k nj kbzk jf hk `gmtgpe`eðf`gstgskh( mkugs jf hgp ~jiengp mkbsgp {zj jf hgp bskpgp( `zkf~g mëp bskpgp pgf hgp tghhgp( hk ef`enjf`ek jp mkugs&
Kh~e~zn9 Tgs ef`sjmjf~ks hk njmkfnk nj G
3
Mjneg kmcejf~j9 Sjhk`egfkng `gf hk ~jmtjsk~zsk nj `sekfyk u hgp fe|jhjp nj G
3
ukmgfík`g njh kesj&
Bjfå~e`g&
 Fz~se`egfkh&Hk tsjpjf~k`eðf nj jp~k jfljsmjnkn pj k`jf~ùk jf åtg`kp lsíkp( jf kmcejf~jp `gflefkngp ujf aëce~k~p {zj tzjnjf `sjks zfkp `gfne`egfjp nj jp`kpk gqebjfk`eðf( jf `zug `kpg fg jp tsj`epg akhhkspj jf pe~zk`egfjp nj kh~e~zn&
Tk~gbjfek
Hkp k|jp( tgs pz tsgtek kfk~gmík u lepeghgbík `es`zhk~gsek pgf mzu pzp`jt~echjp k ~sk~gsfgpmeg`ësne`gp g |kp`zhksjp& Hk `hk|j njh ~skp~gsfg sjpenj jf {zj hk aetgqek kmcejf~kh `gfnz`jk zfk `gfp~se``eðf ks~jsekh( jhj|k`eðf nj hk sjpep~jf`ek |kp`zhks u pgcsj`ksbk `ksník`k& Hkplgsmkp nj pgcsj`ksbk `ksník`k u |kp`zhks nj~jsmefkf zfk nep~jfpeðf njh |jf~sí`zhg njsj`ag(`gf aetjs~sðlek nj hgp bskfnjp |kpgp u nele`zh~knjp tksk hk `es`zhk`eðf nj sj~gsfg& Jp~kpe~zk`eðf k`kck jf zf kmzmjf~g nj hk tsjpeðf |jfgpk( `gfbjp~eðf njh pep~jmk tgs~k(aetjsjmek `sðfe`k u ~skpznk`eðf nj hí{zengp k hk `k|enkn `gstgskh& Hk tsjpjf`ek nj~skpznkngp k fe|jh nj hk `k|enkn `gstgskh g`kpegfk k pz |jy kh~jsk`egfjp ajtë~e`kp u sjfkhjpbjfjskhjp&
@zspg
Hk jfljsmjnkn `zspk nj lgsmk `sðfe`k( pejfng mzu |ksekchjp jf `knk `kpg hgp tgs`jf~kijpnj k|jp klj`~knkp& Hk jfljsmjnkn pj pzjhj efe`eks k |j`jp jf hgp tsemjsgp níkp nj |enk(j|ghz`egfkfng hjf~kmjf~j k mgng nj zf `ís`zhg |e`egpg ‐k mëp jnjmk u mëp efpzle`ejf`ek(mkugs tsjpeðf |jfgpk( mkugs ~skpznk`eðf u mëp kp`e~ep- akp~k hhjbks k pjs essj|jspechj&Píf~gmkp
 
Tsjpjf`ek nj zf kcngmjf kczh~kng( nele`zh~kn jf hk mks`ak( tgp~zsk njh tefbøefg u tkhenjyg `ekfgpep nj hk `sjp~k u ckscehhkp& K hk tkhtk`eðf( kcngmjf chkfng& Jf lkpjp k|kfyknkp(nepfjk mks`knk u `ekfgpep tsjkbðfe`k&
Hjpegfjp
Kh tsg`jnjs k hk ktjs~zsk nj hk `k|enkn `gstgskh nj hgp tghhgp kp`å~e`gp pj ktsj`ek zfkfg~kchj `ghj``eðf nj hí{zeng jf hk mepmk& Jh jqkmjf nj hgp ðsbkfgp tjsme~j ktsj`eks zfkpjsej nj kfgmkhíkp {zj tzjnjf |kseks jf lzf`eðf nj hk bsk|jnkn nj hkp kp`e~ep u pzkf~ebøjnkn&
Nekbfðp~e`g
Hk jfljsmjnkn pj sj`gfg`j tjslj`~kmjf~j tgs pz j|ghz`eðf u tgs hk fk~zskhjyk nj pzphjpegfjp& Pj tsjpjf~k nj lgsmk mzu njpebzkh jf hkp mkfknkp&
Tsgfðp~e`g
Jp njplk|gskchj njpnj jh tzf~g nj |ep~k j`gfðme`g( tzjp hk tsjpjf`ek nj jp~k klj``eðfnj~jsmefk zf czjf fùmjsg nj njp`khele`k`egfjp nj hkp `kfkhjp( u tgs tks~j( jh ~sk~kmejf~g jphjf~g j efpjbzsg( nknk hk |ksekcehenkn nj hkp `kzpkp {zj `gf`zssjf jf hk mepmk&
Tsj|jf`eðf
Njpnj jh tzf~g nj |ep~k nj hk tsj|jf`eðf nj hk kp`e~ep( hkp mjnenkp njcjf tkpks tgs j|e~ks jfhg tgpechj tsg`jpgp {zj tzjnkf nks `gmg `gfpj`zjf`ek zfk nepmefz`eðf nj hk `ktk`enkn tzhmgfks !sjnz``eðf nj hgp fe|jhjp nj kmgfík`g( tgh|g g azmjnkn( tsj|jf`eðf nj tsg`jpgpsjptesk~gsegp( jhemefk`eðf nj hk kptjsbehgpep( sjnz``eðf nj me`gthkpmkp( j~`&% g zfef`sjmjf~g jf hk njmkfnk nj G
3
!|ebehkf`ek nj hkp ~jmtjsk~zskp nj `sík( `gf~sgh njh`sj`emejf~g( pjhj``eðf nj jp~estjp( j~`&%& Njpnj jh tzf~g nj |ep~k nj hk fz~se`eðf( tksj`j {zjjh `gf~sgh nj hgp fe|jhjp nj Fk jp zfk nj hkp lgsmkp nj `gf~sgh nj jp~j tsg`jpg( kpí `gmg hkkne`eðf nj khbzfgp me`sgfz~sejf~jp( {zj jf jp~gp mgmjf~gp jpf jf lkpj njjqtjsemjf~k`eðfNjpbsk`eknkmjf~j( hk kp`e~ep( kh ebzkh {zj jh sjp~g nj hgp tsg`jpgp mj~kcðhe`gp pghg pj`gf~sghk nj zfk lgsmk sjkhmjf~j jle`ky mjnekf~j zf `kmceg bjfå~e`g( lzjsk nj fzjp~sgkh`kf`j( g nj pep~jmkp nj `gf~sgh nj `sj`emejf~g {zj( pgf tg`g ef~jsjpkf~jp njpnj jh tzf~gnj |ep~k j`gfðme`g&
IGPÅ EBFK@EG CKSSKBKF( ^sgr Fz~se~egf Jptkûk( Igsfknkp nj Tsgnz``eðf nj@ksfj( nj hk Sjkh Jp`zjhk nj K|e`zh~zsk( mkug 3444&
KHCJS^ BZSSE HHG\JSKP u `gh&( ‘Aebejfj u tk~ghgbík k|eksjp”( Sjkh Jp`zjhknj K|e`zh~zsk( ;55;&

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