por la Dra. Sneha Mantri, MD, MS, FAAN
kA 4=2DDlQA`Qmk^Am
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kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAbQm¿"Fé 6D =2 6?76C>6525 56 !2C<:?D@? Wt!Xnk^Am
kA 4=2DDlQAbQmk^Am
kA 4=2DDlQAaQm{2 t! 6D F? EC2DE@C?@ 46C63C2= AC@8C6D:G@ BF6 52ñ2 =2D ?6FC@?2D BF6 AC@5F46? 5@A2>:?2]k^Am
kA 4=2DDlQAaQmk^Am
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kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQm {@D 4:6?Eí7:4@D 4C66? BF6 F?2 4@>3:?24:ó? 56 724E@C6D 86?éE:4@D J 2>3:6?E2=6D 6D =2 42FD2]k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAbQmkDEC@?8m¿ró>@ AF656? =2D A6CD@?2D 4@? =2 6?76C>6525 56 !2C<:?D@? 5676?56C DFD ?646D:5256Dnk^DEC@?8mk^Am
kA 4=2DDlQAbQmk^Am
kA 4=2DDlQAaQm{2D 4:E2D >é5:42D C6=24:@?252D 4@? =2 t! AF656? C6DF=E2C 23CF>25@C2D] {2 !2C<:?D@?’D u@F?52E:@? @7C646 C64FCD@D A2C2 6>A@56C2C 2 =2D A6CD@?2D 4@? =2 t! A2C2 BF6 AF652? 6?7@42C DFD 4:E2D 6? =@ BF6 >áD =6D :>A@CE2ik^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQmkDEC@?8m!á8:?2 H63k^DEC@?8m 6? k2 9C67lQ9EEAi^^!2C<:?D@?]@C8^~AE:>:K2?5@pE6?4:@?Q C6=lQ?@@A6?6CQ E2C86ElQ03=2?<Qm!2C<:?D@?]@C8^~AE:>:K2?5@pE6?4:@?k^2mk^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQmkDEC@?8m{í?62 56 2JF52ik^DEC@?8m `\g__\c!s\x}u~ Wcfb \cebeX[ @A4:ó? b A2C2 6DA2ñ@=]k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQmkDEC@?8mw@;2 56 EC232;@ik^DEC@?8m “!2D@D A2C2 AC6A2C2CD6 A2C2 F?2 4:E2 56 !2C<:?D@?”[ 5:DA@?:3=6 6? 6= D:E:@ H63 56 =2 !2C<:?D@?’D u@F?52E:@? @ 6? 4@A:2 :>AC6D2] !F656 2JF52C=6 2 @C:6?E2C DF C67=6I:ó? D@3C6 AC6@4FA24:@?6D C6=24:@?252D 4@? =2 t! BF6 AF656? 2764E2C DF G:52[ EC232;@[ 72>:=:2[ A2D2E:6>A@D J D68FC:525]k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQmkDEC@?8m(63:?2C J A@542DEik^DEC@?8m %2>3:é? 5:DA@?:3=6D 6? 6= D:E:@ H63 56 =2 !2C<:?D@?’D u@F?52E:@?[ 92J @A4:@?6D A2C2 G6C J 6D4F492C] t= H63:?2C “$EC2E68:6D 7@C |62?:?87F= w62=E942C6 ':D:ED” J 6= A@542DE “|2<6 tG6CJ |:?FE6 r@F?E” AC6D6?E2? DF86C6?4:2D 56 6IA6CE@D D@3C6 =2 >6;@C >2?6C2 56 AC6A2C2CD6 2?E6D[ 5FC2?E6 J 56DAFéD 56 F?2 G:D:E2 4@? DF >é5:4@]k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQm{2 !2C<:?D@?’D u@F?52E:@? C64@?@46 EC6D 56D27í@D BF6 AF656? DFC8:C 5FC2?E6 =2D 4:E2D 56 2E6?4:ó? >é5:42 C6=24:@?252D 4@? =2 6?76C>6525 56 !2C<:?D@?ik^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQm`] {2 5FC24:ó? =:>:E252 56 =2 G:D:E2k^Am
kA 4=2DDlQAaQma] {2 72=E2 56 F? 6?7@BF6 4@>A2CE:5@ 4@? 6= 6BF:A@ 56 2E6?4:ó? >é5:42k^Am
kA 4=2DDlQAaQmb] {2 4@>A=6;:525 56 =2 2E6?4:ó? J 6= EC2E2>:6?E@ 56 =2 t!k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQm{2D A6CD@?2D BF6 G:G6? 4@? =2 t! AF656? @AE:>:K2C DF 2E6?4:ó? >65:42 A2C2 6= !2C<:?D@? J D6C F? 2=:25@ 24E:G@ 6? DF 2E6?4:ó? >65:2?E6 =2 2FE@6G2=F24:ó?[ =2 65F424:ó? J =2 5676?D2 56 DFD ?646D:5256D] pF?BF6 6= 6BF:A@ 56 2E6?4:ó? >é5:42 AF656 E6?6C >F49@D 2ñ@D 56 6IA6C:6?4:2 >é5:42[ 4252 A6CD@?2 2A@CE2 DFD AC@A:2D 6IA6C:6?4:2D 56 G:52 J ?646D:5256D ú?:42D]k^Am
kA 4=2DDlQAaQmk^Am
kA 4=2DDlQAaQm{2 !2C<:?D@?’D u@F?52E:@? @7C646 C64FCD@D A2C2 6>A@56C2C 2 =2D A6CD@?2D 4@? =2 t! 2 42>3:2C DF 6?7@BF6 246C42 56 =2 2E6?4:ó? 56 =2 t! >65:2?E6 A2D@D D6?4:==@D 2?E6D[ 5FC2?E6 J 6?EC6 =2D 4:E2D C6=24:@?252D 4@? =2 t!]k^Am
kA 4=2DDlQAaQmk^Am
kF=mk=:m{2 AC6A2C24:ó? 4@?D4:6?E6 J 24E:G2 A2C2 F?2 G:D:E2 4@? DF >é5:4@ 6D F? AC:>6C A2D@ A2C2 4@?G6CE:CD6 6? F? 2=:25@ 24E:G@ 6? DF 2E6?4:ó?]k^=:mk=:m#62=:46 F?2 2FE@6G2=F24:ó? :?E68C2= A2C2 :56?E:7:42C 4F2=BF:6C AC@3=6>2 C6=24:@?25@ 4@? 6= 3:6?6DE2C 6>@4:@?2= @ D@4:2=[ =2 4@8?:4:ó?[ =@D 56D27í@D 6? =2D E2C62D 5:2C:2D J =2 D68FC:525]k^=:mk=:msFC2?E6 =2 4:E2[ 2D68úC6D6 56 6IAC6D2C =@ BF6 >áD =6 :>A@CE2] {=6G6 F?2 =:DE2 56 DFD EC6D E6>2D AC:?4:A2=6D A2C2 =2 4:E2 2 4252 G:D:E2]k^=:mk=:m{=6G6 2 F?2 A6CD@?2 56 4@?7:2?K2] r@?D:56C6 BF:é? 6? DF G:52 A@5Cí2 56D6>A6ñ2C 6DE6 A2A6=[ >áD 2==á 56 F? 4ó?JF86 @ 4F:525@C] s6D56 E6?6C @EC@ A2C 56 @í5@D A2C2 =2 4@?G6CD24:ó? 92DE2 2JF52C 2 6IAC6D2C F?2 :?BF:6EF5 BF6 6D 5:7í4:= 56 >6?4:@?2C[ 6= 24@>A2ñ2?E6 AF656 E6?6C F? 8C2? :>A24E@ 6? =@D C6DF=E25@D 56 =2 G:D:E2]k^=:mk=:mt?EC6 G:D:E2D[ 4@?4é?EC6D6 6? =@ BF6 AF656 9246C A2C2 G:G:C 3:6? 4@? =2 t!] #6G:D6 =2D ?@E2D 56 =2 4:E2[ 9282 D68F:>:6?E@ 56 DF AC@8C6D@ J >2?Eé?82D6 24E:G@]k^=:mk=:m{2 sC2] |2?EC:[ |s[ |$[ upp} 6D =2 5:C64E@C2 >é5:42 6? ;676 56 =2 !2C<:?D@?’D u@F?52E:@?]k^=:mk^F=m
kA 4=2DDlQAaQm(@C5 r@F?E df`k^Am
kA 4=2DDlQAaQm k^Am
kA 4=2DDlQAaQm k^Am
k5:G 4=2DDlQ4=:4<\E@\EH66EQmk6>mkDA2? 4=2DDlQEH66E\3FEE@?Qmk2 9C67lQ9EEADi^^EH:EE6C]4@>^:?E6?E^EH66EnE6IEltI:DE6?Ta_A2D@DTa_D6?4:==@DTa_JTa_2=42?K23=6DTa_BF6Ta_=2DTa_A6CD@?2DTa_4@?Ta_=2Ta_6?76C>6525Ta_56Ta_!2C<:?D@?Ta_AF656?Ta_D68F:CTa_2?E6DTarTa_5FC2?E6Ta_JTa_6?EC6Ta_=2DTa_4:E2DTa_>TrbTph5:42DTa_A2C2Ta_@AE:>:K2CTa_=2Ta_2E6?4:TrbTqb?Ta_>TrbTph5:42Ta_6?Ta_4252Ta_G:D:E2TarTa_24@?D6;2Ta_=2Ta_sC2]Ta_$?692Ta_|2?EC:TarTa_5:C64E@C2Ta_>TrbTph5:42Ta_6?Ta_;676Ta_56Ta_=2Ta_!2U2>Aj@C:8:?2=0C676C6Cl9EEADi^^4=:4<E@EH66E]4@>U2>AjC6=2E65l4=:4<E@EH66EQ E2C86ElQ?6HQmk:>8 4=2DDlQEH:EE6C\3FEE@?Q DC4lQ9EEADi^^HHH]>J?6HDE@FD6]4@>^:>286D^4=:4<E@EH66E];A68Q 2=ElQQ 96:89ElQa_Q ^m k^2mk^DA2?mkDA2? 4=2DDlQ4@AJQmQtI:DE6? A2D@D D6?4:==@D J 2=42?K23=6D BF6 =2D A6CD@?2D 4@? =2 6?76C>6525 56 !2C<:?D@? AF656? D68F:C 2?E6D[ 5FC2?E6 J 6?EC6 =2D 4:E2D >é5:42D A2C2 @AE:>:K2C =2 2E6?4:ó? >é5:42 6? 4252 G:D:E2[ 24@?D6;2 =2 sC2] $?692 |2?EC:[ 5:C64E@C2 >é5:42 6? ;676 56 =2 !2Qk^DA2?mk^6>mk^5:Gm
kAmkDA2? 4=2DDlQ4@AJQm k^DA2?mk^Am
k5:G :5lQD3\4@?E2:?6C @?\=67EQ 4=2DDlQ}@?!C:?E23=6Qm k^5:Gm
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