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A úlcera gastroduodenal
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Transcript of A úlcera gastroduodenal
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@ s | p j ?
E j | n m b j | ? u f r j | n m r j p
N m ` c b j b c ` m u m g c f | j p i j u c n l | j b c < 8 8 6
M g`c|m kmpr|jbsjbcimg
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Jloc`rfuj kc|mg?
ij efimg bj nbsgj' j ej|nmibj bcuc| pc| `mxmz bcfbcirfef`m| mp nmifecprmcp bmp g`c|mpkmpr|jbsjbcimfp
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Jloc`rfujp cpxc`ef`jp?
Ij efimg bj nbsgj j ej|nmibj bcuc| pc| `mxmz bc?
Fbcirfef`m| jp nrjbjp bc bfmkiprf`j bm g`c|m
kmpr|jbsjbcimg1Cisnc|m| mp bfec|circp `mspmp c `jnxgf`mcp bmg`c|m kmpr|jbsjbcimg1
\c`jidc`c| mp psmp nmifecprmcp c j r|mrmncirj)
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Mgksnmp }scprcp?
M fikcprj bc g`jjg x|juj`m g`c|mp:Ij cpr x|jumbj' nmp mp lclfbmp mg`jgf`mp xjbcn ij cirmirj
mk|mum| jp pfirjnmp c mr|mpm| j x|j`cppj bc `f`mr|fzmj)J `jipsnj bc gcfrc sn r|mrmncirj cef`mz: emgpj' snm `|cim mirfkm' jp gm`rf`ifjp xjbcn mrcism| m bj|
bs|mirc mgksn rcnxj' nmp m x|cpcim bc kj|bs|mp' `g`fj cx|jrcimp ij gcfrc' msncirm m pc`|cj bc `fbj kpr|f`j ' j}sc ij em`fgfrm m `s|m)
J rmlm`j rcn cecfrjp pjl|c m g`c|m:Uc|bmbc' d snm |cgmj `mspm.cecfrj lufm c mp g`c|mp
mxm|c`cn bsmp uczcp nmfp ijp esnmbj|cp bj }sc ijp ijesnmbj|cp) J `jipsnj bc rmlm`j mr|mpm j x|j`cppj bc`f`mr|fzmj' c mp `jnxgf`mcp nmifecprmn.pc `jn nmfpe|c}si`fm) M nj|rmgfbmbc nmfj|)
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g`c|m kmpr|jbsjbcimg
J }sc : snm bmp bjcimp nmfp e|c}scircp bj rslj bfkcprfuj1 nmfp e|c}scirc ij djncn bj}sc im nsgdc|1Mxm|c`c x|fi`fxmgncirc' cir|c jp
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Pfirjnmp?
Bj| cpxjiricm mk|mumbm xcgjp mgfncirjp js xcgmejnc1
M bj| gj`mgfzm.pc ij cxfkmpr|j' jspcom im |ckfj mlbjnfimg' pfrsmbmmlmftj bj cprc|ij' cir|c mp `jprcgmp1Pcipmj bc ejnc bjgj|jpm' }scmxm|c`c mgksnmp dj|mp mxp mp
|cecfcp)Ispcmp' unfrjp c mij|ctfm)
Cxfkmpr|j
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Bfmkiprf`j?
J bfmkiprf`j lmpcfm.pc im dfpr|fm `gif`m bj bjcircc `jief|nmbj xcgm |mbfjk|mefm js xcgm cibjp`jxfm}sc uj bcrc|nfim| m gj`mgfzmj ctm`rm bm g`c|m'pc pc ci`jir|m ij cprnmkj js ij bsjbcij1
M cibjp`jxfm sn nrjbj nmfp pcipucg }sc m|mbfjk|mefm c xc|nfrc emzc| lfxpfmp bmp zjimpsg`c|mbmp)
Cibjp`xfj
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M |mbfjk|mefm nmfp lcn rjgc|mbm c rmnln xc|nfrc snmncgdj| mumgfmj bm ctrcipj bc snm cucirsmg gcpj`mi`c|jpm' pcibj cprc j nrjbj `jnxm|mrfuj bcx|fncf|m j|bcn?
J bfmkiprf`j bm lm`r|fm dcgv`jlm`rc| xvgj|f' xjbc pc|ecfrm mr|mup bj nrjbj?Fiumpfuj? . `sgrs|m bc e|mkncirjp bm ns`jpm kpr|f`m js
bsjbcimg mr|mup bc cibjp`jxfm js `jgdcfrm bc ps`jkpr|f`j mr|mup bc pjibm impjkpr|f`m) Migfpcp mj
pmiksc xm|m xcp}sfpm bc mirf`j|xjp cpxc`ef`jp `jir|mcprc mkcirc1Ij fiumpfuj? . rcprcp |cpxf|mr|fjp c bc pmgfum)
Bfmkiprf`j?
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@mspmp?
Bcpc}sfgl|fj cir|c m }smirfbmbc bc `fbj `gj|b|f`j cj ns`j }sc x|jrckc m ns`jpm kpr|f`m1
J dcgv`jlm`rc| xvgj|f rcn pfbj `jipfbc|mbm `jnj snem`rj| nsfrj fnxj|rmirc ij bcpciujgufncirj bmpg`c|mp kpr|f`mp c bsjbcimfp1
Em`rj|cp mnlfcirmfp' pcibj cprm snm bjcim }sc pcuc|fef`m nmfp im `fufgfzmj j`fbcirmg' bcufbj mgfncirmj |f`m cn kj|bs|mp' `jipsnj ct`cppfujbc g`jjg c rmlm`j }sc mk|mumn m cujgsj bmbjcim bcufbj mj msncirj bm pc`|cj kpr|f`m)
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@jnxgf`mcp?
Dcnj||mkfm }sc xjbc gcum| m sn }smb|j `gif`j bcmicnfm1
Xc|es|mj kpr|f`m js bsjbcimg }sc xjbc gcum| msnm xc|frjifrc $fiec`j bj xc|frjics }sc snmncnl|mim }sc |c`jl|c jp |kjp bm `mufbmbcmlbjnfimg&1
Jlpr|sj kpr|f`m js bsjbcimg c cprcijpc mxc|rj)
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R|mrmncirj?
R|mrmncirj ncbf`mncirjpj? sn r|mrmncirj cef`mz xjbc pc|lmpcmbj im icsr|mgfzmj bm m`fbcz kpr|f`m' `jn jp mirf`fbjp'js im fiflfj bm pc`|cj `jn jp mirf.D< $fiflfbj|cp bm ljnlmbc x|jrcp& `jnj j `mpj bj jncx|mzjgc' pcibj cprc j nmfpsrfgfzmbj1
R|mrmncirj mppj`fmbj fiec`j xcgm lm`r|fm dcgf`jlm`rc|
xvgj|f? icprc `mpj xm|m mgn bm srfgfzmj bc fiflfbj|cp bm pircpcbc x|jrcp ic`cpp|fj |c`j||c|.pc m mirflfrf`jp1 R|mrmncirj `f||kf`j? m`jipcgducg }smibj jp ncbf`mncirjp
emgdmn js j`j||c }smg}sc| snm bmp `jnxgf`mcp $dcnj||mkfm'xc|es|mj' cprcijpc&) Im g`c|m kpr|f`m m `f|s|kfm bc cgcfj mkmpr|c`rjnfm xm|`fmg c im bsjbcimg m umkjrjnfm pcgc`rfum$pc`j
bc `c|rjp ecftcp ic|ujpjp bj ic|uj umkj1Jsr|mp ncbfbmp? ljm dfkfcic j|mg c `j|xj|mg' mgfncirmjbfuc|pfef`mbm c c}sfgfl|mbm' psx|fnf| mp lclfbmp mg`jgf`mp c jrmlm`j' |cmgfzm| snm ljm x|rf`m bc bcpxj|rj)
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Pircpc?
M SK snm bmp bjcimp nmfp e|c}scircp bj rslj bfkcprfuj c nmfp e|c}scirc ij djncn bj }sc im nsgdc|1
Jp pfirjnmp pj bj|' ispcmp' unfrjp c mij|ctfm)J bfmkiprf`j emz.pc mr|mup bm dfprj|fm `gif`m bj bjcirc'
|mbfjk|mefm' cibjp`jxfm js xcp}sfpm bc mirf`j|xjp bc
dcgf`jlm`rc| xvgj|f ij pmiksc' ns`jpm kpr|f`m js pmgfum1Mp `mspmp xjbcn pc| bcpc}sfgl|fj cir|c m }smirfbmbc bc`fbj `gj|b|f`j c j ns`j }sc x|jrckc m ns`jpm kpr|f`m'x|cpcim bc dcgv`jlm`rc| xvgj|f c em`rj|cp mnlfcirmfp1
Mp `jnxgf`mcp xjbcn pc| dcnj||mkfm' cprcijpc' xc|es|mjc jlpr|sj1
J r|mrmncirj xjbc pc| ncbf`mncirjpj js `f||kf`j' c bcucn.pc mbjxrm| ncbfbmp bc x|cucij c `s|m rmfp `jnj ljipdlfrjp mgfncirm|cp c x|rf`m bc ctc|``fj epf`j)
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Lflgfjk|mefm?
NJDMI' cr mg Ciec|nmkcn Nbf`j @f||kf`m'ujgsnc F' jfrmum cbfj) Gspjbfbm`rm? Gjs|cp'