Guía de Quimioterapia, Equipo de Psicooncología del Hospital General de Agudos P. Piñero

8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero

1/24

Codl}koglwb* uh}ncu~ hnthkbowb gb wr w}hwhkcbowl/

Ghwb jh lul}wrocghg gb nlolnb} jh~ gc~owh~ dl}kh~

gb hd}lowh} b~wb ub}lgl uh}nrjh} gb wr tcgh/

^b}tcncl gb Lonljl`h^b}tcncl gb Lonljl`h^b}tcncl gb Lonljl`h^b}tcncl gb Lonljl`h

Al~ucwhj @bob}hj gb H`rgl~ Uh}kbocl Ucb}lAl~ucwhj @bob}hj gb H`rgl~ Uh}kbocl Ucb}lAl~ucwhj @bob}hj gb H`rgl~ Uh}kbocl Ucb}lAl~ucwhj @bob}hj gb H`rgl~ Uh}kbocl Ucb}l

Ht/ Th}bjh 8>58

Uhmbjjo CC Ujhowh Mhfh

N/U/ N8754BJH

Djl}b~* Ncrghg Hrwolkh gb Mrbol~ Hc}b~]bumjcnh H}`bowcoh/

Wbjdlol6 74>8 8714 l 74>8 252> +Cowb}ol 8=48+

~b}tcnclgblonljl`ch/mjl`~ulw/nlk~b}tcnclgblonljl`ch/mjl`~ulw/nlk~b}tcnclgblonljl`ch/mjl`~ulw/nlk~b}tcnclgblonljl`ch/mjl`~ulw/nlk

xrckclwb}huch///

Gb xr ~b w}hwh=

Hnnbg h k~ codl}khnco bo orb~w}l mjl`

awwu6,,~b}tcnclgblonljl`ch/mjl`~ulw/nlk

Dhnbmlli6 Lonljl`h+Ucb}l

8


3/24

Bfb}ncncl~ uh}h bod}bowh} jh~ wbo~clob~ nlwcgchoh~

=/ Hdjlfh}jh nhmbvh

2/ Djbqcloh}jl~ m}hvl~

7/ @c}h} bj w}lonl

3/ ]lwh}jl~ wlmcjjl~

1/ Djbqcloh} jh~ucb}oh~ s bjlo`h}

>/ ]bhjcvh}b~wc}hkcbowl~

4/ Bqwbogb} m}hvl~s ucb}oh~

0/ Kltb}jl~ alkm}l~

85/ Mhjhonbh}ucb}oh~ s m}hvl~

88/ Bqwbogb}jl~ nlgl~

8=/ ]bhjcvh} }b~uc+}hnclob~ u}ldrogh~

8/ Kltb} jl~ ucb~

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4/24

Jh ulnh codl}khnco nlo jh xrb nlow~ bo bj klkbowl gb nlkbovh} bj w}hwh+kcbowl gb xrckclwb}huch frowl nlo jl~ ~bowckcbowl~ gb w}c~wbvh* h`lmcl* gb~+`hol* m}lonh s nlodr~co xrb ~rbjbo huh}bnb}* wb gbfho ~co bob}`h uh}h hd}lo+wh} b~wb orbtl w}hkl gb wr bodb}kbghg/

Orb~w}h cgbh b~ u}lul}ncloh}wb codl}khnco hgbnrhgh uh}h xrb hnjh}b~wr~ grgh~ h~ nlkl whkmco gc~wcowl~ w}rnl~ uh}h bod}bowh} jl~ ul~cmjb~bdbnwl~ ~bnrogh}cl~ xrb huh}bvnho/ Gb b~wh dl}kh ulg}~ l}`hocvh} wr tcgh~co gbfh} gb nrkujc} nlo wr~ lmjc`hnclob~ s ujhnb}b~/

Ulurjh}kbowb jh xrckclwb}huch urbgb ~b} bowbogcgh nlkl hj`l khjl* xrbwb ahnb ghl* nlkl jh ubl} hjwb}ohwcth ul} jh xrb wbo~ xrb uh~h}/ ^c mcbo b~wbw}hwhkcbowl ckujcnh ro ub}lgl gcdncj* ol b~ ncb}wl xrb ~bh khjl* oc mrbol9 ol

~b w}hwh gb b~l* ~col gb jl xrb b~ k~ hgbnrhgl s nlotbocbowb ahnb}/ Jl ckul}+

whowb b~ ~hmb} nkl hd}lowh}jl/

Bkubnbkl~ ul} ~hmb} xr b~/Jh xrckclwb}huch b~ jh klghjcghg wb}hurwcnh k~ bkujbhgh s bdcnhv uh}hbj w}hwhkcbowl gbj nonb}/

Bj w}kcol xrckclwb}huch ~b rwcjcvh uh}h }bdb}c}~b h roh ~b}cb gb d}khnl~xrb hnwho ckucgcbogl jh }bu}lgrnnco gb jh~ njrjh~ nhonb}l~h~* ~cbogl ~rdcohjcghg jh gb~w}rnnco gb b~wh~ njrjh~ ul} gctb}~l~ kbnhoc~kl~ gb hnnco/

Gbmcgl h ~r cob~ubncdcncghg hdbnwh h lw}h~ njrjh~ s wbfcgl~ ~hol~ gbj l}`hoc~+kl* ul} b~l b~ ahmcwrhj xrb huh}bvnho ~owlkh~ w}ho~cwl}cl~ xrb ~lo jl~ jjhkh+gl~ bdbnwl~ ~bnrogh}cl~ xrb ~b}o bqujcnhgl~ bo gbwhjjb* k~ hgbjhowb+/

Jh hgkcoc~w}hnco b~ ul} ncnjl~ !ul} jl `bob}hj gb =1 gh~ l nhgh ~bkhoh#* hj+wb}ohogl ub}lgl~ gb w}hwhkcbowl nlo ub}lgl~ gb gb~nho~l/ B~wb jwckl b~droghkbowhj uh}h gh}jb h jh~ njrjh~ ~hoh~ gbj l}`hoc~kl bj wcbkul obnb~h}cluh}h }bnrub}h}~b gbj ghl u}ltlnhgl ul} jl~ kbgcnhkbowl~ bkujbhgl~/

Jh~ dl}kh~ gb ~rkcoc~w}h}wb xrckclwb}huch urbgbo ~b}6 ul} th l}hj !bo dl}khgb nlku}ckcgl~#9 ul} th ~rmnrwobh !roh cosbnnco xrb ~b urbgb hujcnh} rol

kc~kl#* l ul} th cow}htbol~h* kwlgl bo bj nrhj bj d}khnl ~b cow}lgrnb bo bjl}`hoc~kl h w}ht~ gb roh cosbnnco bo tboh* `bob}hjkbowb bo bj m}hvl/ ~wh b~jh khob}h gb hujcnhnco k~ d}bnrbowb s b~ obnb~h}cl xrb hnrgh~ hj al~ucwhjuh}h b~l/

B~ ckul}whowb ahnb} }bdb}bonch hj abnal gb xrb bqc~wb roh kbfl} }b~urb~wh hjw}hwhkcbowl nrhogl xrcbo jl }bncmb u}b~bowh ro hgbnrhgl b~whgl orw}cnclohj/Ul} jl whowl b~ obnb~h}cl xrb wr gcbwh ~bh bxrcjcm}hgh/

>


5/24

Nlo }b~ubnwl h b~wb wbkh ahs hj`rol~ ghwl~ xrb ~b}h mrbol xrb ~buh~* ul}bfbkujl xrb bj nlo~rkl gb mbmcgh~ hjnlajcnh~ gbmb} ~b} hrwl}cvhgl ul} bjkgcnl sh xrb urbgb cowb}db}c} bo bj w}hwhkcbowl* l xrb nrhogl ol ~cbowh~ `hoh~gb nlkb}* b~ub}b~ h ~bowc}wb ro ulnl kbfl} s }bnco bo b~b klkbowl bkucbnb~nlkcbogl ubxrbh~ nhowcghgb~/

Bj ~b}tcncl nrbowh nlo roh orw}cncloc~wh b~ubnchjcvhgh xrb wb bqujcnh} wlgl jl}bdb}bowb h jl~ hjckbowl~* nrjb~ ~lo jl~ kbfl}b~ s nkl nlo~rkc}jl~/

@bob}hjkbowb* kcbow}h~ gr}h jh xrckclwb}huch l hj dcohjcvh} ro ncnjl* wr lonjl+`l wb ~ljcncwh} roh ~b}cb gb b~wrgcl~ uh}h nlolnb} bj b~whgl hnwrhj gbj wrkl}/

^jl h w}ht~ gb b~wl~ }b~rjwhgl~ b~ ul~cmjb ~hmb} nlkl ah }b~ulogcgl bj l}`h+oc~kl hj w}hwhkcbowl/ Jl~ bdbnwl~ nr}hwctl~ ol b~wo bo }bjhnco nlo jl~ bdbn+wl~ ~bnrogh}cl~* b~wl xrcb}b gbnc} xrb b~ ul~cmjb xrb wb ~cbowh~ khj s olwb~ ro

bkubl}hkcbowl `bob}hj gb jh ~hjrg* ub}l b~wl ol ~c`ocdcnh xrb jh xrckclwb}huchol b~w }b~rjwhogl ul~cwcth uh}h nlkmhwc} jh bodb}kbghg/

Jrb`l gb ahnb}wb jl~ b~wrgcl~* bj kgcnl wb gc} nrjb~ ~lo jl~ }b~rjwhgl~ s jl~uh~l~ h ~b`rc}/

Hal}h ol~ gbgcnh}bkl~ h bqujcnh}wb wlgl hnb}nh gb jl~ bdbnwl~ ~bnrogh}cl~/

Nlkl sh abkl~ nlkbowhgl howb~* jl~ kbgcnhkbowl~ jjb`ho h u}nwcnhkbowb hwlgl~ jl~ wbfcgl~ gbj l}`hoc~kl* s ha b~ glogb bfb}nbo ~r hnnco* whowl ~lm}bjh~ njrjh~ hwucnh~ nlkl h~ whkmco ~lm}b jh~ ~hoh~/ Gbmcgl h b~wl* urbgbohuh}bnb} roh ~b}cb gb ~owlkh~ xrb ~lo w}ho~cwl}cl~ s ~b nlolnbo nlkl bdbnwl~~bnrogh}cl~/

Urbgbo u}b~bowh}~b gb~gb roh~ al}h~ ah~wh th}ch~ ~bkhoh~ gb~ur~ gb jh hgkc+

oc~w}hnco gb jl~ d}khnl~/ ^co bkmh}`l* b~wl~ ~owlkh~ gb~h`}hghmjb~ gb~huh+}bnbo }ucghkbowb w}h~ dcohjcvh} jh xrckclwb}huch/

Jh kbfl} dl}kh gb nlow}ljh}jl~ b~ wr hnwcwrg/ Nrhowl kbfl} b~w~ hokcnhkbowbs b~uc}cwrhjkbowb* k~ jjbthgb}l ~b} bj w}hwhkcbowl/ Jh hnwcwrg ub}~lohj s bdc+nhv whkmco ~b urbgb jl`}h} h ub~h} gb b~wh} w}c~wb l mhflobhgl* nhgh rol wbog}xrb gb~nrm}c} nkl jl`}h}jh/ H nlowcorhnco* wb gc}bkl~ nrjb~ ~lo jl~ ~owl+kh~ k~ d}bnrbowb~ s hj`rol~ w}rnl~ uh}h nlkmhwc}jl~/

Ol wcbobo ul} xr huh}bnb} wlgl~ jl~ ~owlkh~ xrb thkl~ hgb~n}cmc}9 b~ k~* ol ~cbku}b huh}bnbo bdbnwl~ ~bnrogh}cl~

l* nrhogl huh}bnbo* ~lo wljb}hmjb~/ Hgbk~ ~c b~ obnb~h}cl*

wr kgcnl lonjl`l wb }bnbwh} hj`rol~ kbgcnhkbowl~ uh}hu}btboc}jl~/

7


6/24

or~bh~ s tkcwl~

Jh~ or~bh~ s jl~ tkcwl~* hgbk~ gb ~b} jl~ bdbnwl~ ~bnrogh}cl~ k~ d}bnrbowb~gb jh xrckclwb}huch* ~rbjbo ~b} jl~ k~ wbkcgl~/

Urbgbo huh}bnb} wbku}hohkbowb !8 = al}h~ gb~ur~ gb jh hgkcoc~w}hnco# lwh}ghkbowb !=7 al}h~ gb~ur~ gbj ncnjl#/ @bob}hjkbowb gb~huh}bnbo bo rol l gl~gh~/

Ub}~loh~ xrb aho bqub}ckbowhgl or~bh~ s tkcwl~ gb~ur~ gb jh jwckh xrckcl+wb}huch* s xrb hgbk~ wcbobo ro hjwl octbj gb ho~cbghg* urbgbo u}b~bowh} tkcwl~howcncuhwl}cl~/ B~wb nrhg}l huh}bnb ul} h~lnchnco gb b~wkrjl~ gbj hkmcbowb gc~+wcowl~ h jh xrckclwb}huch nlo jh u}luch xrckclwb}huch/ Ul} bfbkujl* h~lncho bj ljl}gbj al~ucwhj hj w}hwhkcbowl* ul} jl xrb nrhogl bow}ho bo bj nbow}l ~hocwh}cl ~b gb~+bonhgboho jl~ tkcwl~/

Wr lonjl`l ~hmb xr d}khnl~ ~lo jl~ xrb nlo khsl} d}bnrbonch u}ltlnho b~wl~~owlkh~/ ^c bj w}hwhkcbowl xrb th h hgkcoc~w}h}wb conjrsb hj`rol gb bjjl~* u}lmh+mjbkbowb cocncb* hj kc~kl wcbkul xrb jh xrckclwb}huch* ro w}hwhkcbowl nlo hj`od}khnl howcbkwcnl !kbgcnhkbowl nrsh dcohjcghg b~ ahnb} gc~kcorc} l gb~huh}b+nb} jh~ or~bh~ s tkcwl~#/

Jh~ kbgcgh~ xrb wb }bnlkboghkl~ ~lo6

]buh}wc} jh nlkcgh bo ubxrbh~ nhowcghgb~/

Btcwh} ljl}b~ gb~h`}hghmjb~/

Xrb lw}h ub}~loh ~b bonh}`rb gb nlncoh} !hu}ltbna uh}h gb~nho~h} roulnl gb whowl nlncoh}(#/

U}bdb}bowbkbowb u}buh}h} nlkcgh~ d}h~ l h wbkub}hwr}h hkmcbowb sh xrbgb~ucgbo kbol~ ljl}/

Nlkb} gb~uhncl* kh~wcnhogl mcbo jl~ hjckbowl~ s nlo }luh alj`hgh/

Btcwh} nlkcgh~ }cnh~ bo `}h~h~/

Nlkb} hnlkuhhgl* wbocbogl roh nlotb}~hnco h`}hghmjb/

Gb~nho~h} gb~ur~ gb nhgh nlkcgh* hj kbol~ gr}howb roh al}h* u}bdb}bowb+kbowb ~bowhgl/

Bofrh`h}~b jh mlnh uh}h ~hnh}~b bj `r~wl kbwjcnl xrb urgcb}h wbob} bj r~lgb jl~ kbgcnhkbowl~/ S* ~c b~wb ub}~c~wb* }bbkujhvh} jl~ nrmcb}wl~ kbwjc+nl~ ul} rol~ gb uj~wcnl/

D}bowb h nrhjxrcb} grgh nlo~rjw nlo orb~w}l Bxrcul gb U~cnllonljl`h/B~whkl~ uh}h hsrgh}wb(/

2


7/24

gch}}bh

Nrhogl jh xrckclwb}huch hdbnwh h jh~ njrjh~ xrb }bnrm}bo bj cowb~wcol* bj droncloh+kcbowl gbj kc~kl urbgb hjwb}h~b/ Nlkl nlo~bnrbonch* bj cowb~wcol ucb}gb jh nhuh+ncghg gb hm~l}mb} bj h`rh s jl~ gc~wcowl~ orw}cbowb~* ghogl jr`h} h jh gch}}bh/

Bo lnh~clob~* b~wh gch}}bh urbgb ~b} ckul}whowb* whowl ul} ~r gr}hnco* nlkl ul}bj okb}l gb gbul~cnclob~ hj gh/ Bo b~l~ nh~l~* uh}h btcwh} jh gb~acg}hwhnco b~u}bnc~l xrb ahmjb~ nlo wr kgcnl uh}h xrb gbncgh bj w}hwhkcbowl k~ hgbnrhgl/

Hgbk~ gbj w}hwhkcbowl kgcnl wb urbgbo }b~rjwh} wcjb~ ~b`rc} b~wl~ nlo~bfl~6

Bo jh~ u}ckb}h~ al}h~ b~ u}bdb}cmjb xrb }bhjcnb~ roh gcbwh jctchoh* gb whjdl}kh xrb bj cowb~wcol gb~nho~b/

Uh~hgh~ = l > al}h~* nlkbov h co`b}c} jbowhkbowb jxrcgl~* u}bdb}cmjbkbo+wb wlkhgl~ bo ubxrbl~ ~l}ml~ nhgh 2 l 85 kcorwl~* h jl jh}`l gbj gh/

Btcwh} wlkh} jnwbl~ s gb}cthgl~/

Nrhogl jh gch}}bh nlkcbonb h kbfl}h} ulg~ conl}ul}h} hjckbowl~ bo ub+xrbh~ nhowcghgb~* gb~`}h~hgl~ s dncjb~ gb gc`b}c} !khovhoh h~hgh* h}}lv*ub~nhgl l uljjl ab}tcgl~ l hj thul}* bwn/#/

U}buh}h} jl~ hjckbowl~ nlncgl~ l h jh ujhonah/

Btcwh} nlkcgh~ nlo krnah dcm}h xrb urbgho dhtl}bnb} jh bjckcohnco gbabnb~ !d}rwh* tb}gr}h~* al}whjcvh~ l nb}bhjb~ cowb`}hjb~#/

Bjckcoh} gb wr gcbwh jh~ mbmcgh~ c}}cwhowb~ nlkl bj nhd l jh~ mbmcgh~ hj+nlajcnh~/

Btcwh} hjckbowl~ xrb u}lgrvnho djhwrjbonch~ nlkl jh~ jb`rkm}b~* bj }bul+jjl* bj nljcdjl}* jh b~ucohnh s lw}l~/

D}bowb hj u}ckb} ~owlkh gb gch}}bh ol ljtcgb~ codl}kh} h wr kgcnl gbcokbgchwl/

4


8/24

b~w}bckcbowl

Hj`rol~ d}khnl~ urbgbo gc~kcorc} jl~ kltckcbowl~ cowb~wcohjb~ dhtl}b+ncbogl jh hm~l}nco gb jxrcgl gb jh~ abnb~* ul} jl xrb ~wh~ ~b trbjtbo ~bnh~s gr}h~* ghogl nlkl }b~rjwhgl ro nrhg}l gb b~w}bckcbowl/

~wb urbgb tb}~b con}bkbowhgl ul} jl~ nhkmcl~ bo jh hjckbowhnco s jh gc~+kcornco gb jh hnwctcghg d~cnh* nlkl nlo~bnrbonch gbj khjb~wh} u}ltlnhglul} jh xrckclwb}huch/

B~ ckul}whowb xrb w}hwb~ gb klgcdcnh} wr hjckbowhnco b con}bkbowh} jh hnwc+tcghg d~cnh uh}h dhtl}bnb} bj w}o~cwl cowb~wcohj/

Jl~ ~c`rcbowb~ nlo~bfl~ urbgbo ~b}tc}wb uh}h hjctch} bj b~w}bckcbowl6

Wlkh} hjckbowl~ }cnl~ bo dcm}h nlkl jh~ tb}gr}h~* jh~ d}rwh~* jl~ d}r+wl~ ~bnl~* bj h}}lv l bj uho cowb`}hjb~* bwn/* sh xrb dhtl}bnbo bj w}o~c+wl cowb~wcohj/

Jh~ jb`rkm}b~ ~lo hjckbowl~ krs }cnl~ bo dcm}h/ B~ hnlo~bfhmjb xrbnlo~rkh~ th}ch~ tbnb~ h jh ~bkhoh/

Mbmb} jxrcgl~ hmroghowb~ h jl jh}`l gbj gh/

Ahnb} bfb}ncncl ~rhtb wlgl~ jl~ gh~/ Bj k~ hgbnrhgl b~ nhkcoh}/

B~ mrbol wbob} ro al}h}cl dcfl uh}h c} hj nrh}wl gb mhl/ Ol c`ol}b~ jhobnb~cghg gb bthnrh} wr cowb~wcol/

Ol r~b~ jhqhowb~ ~co nlo~rjwh} howb~ nlo wr kgcnl* sh xrb ~c mcbouh}bnbo coldbo~ctl~ ~rbjbo ~b} }cb~`l~l~/

hjwb}hnclob~ bo ob}tcl~ s k~nrjl~

H tbnb~ urbgb ahmb} roh ~bo~hnco gb al}kc`rbl s h}gl} bo khol~ s ucb~/Whkmco ulgb~ ~bowc} jh khol gl}kcgh/ Wlgl~ b~wl~ bdbnwl~ ~lo wbkul}h}cl~/

0


9/24

nhgh gbj nhmbjjl

B~ rol gb jl~ k~ nlkrob~ ul}xrb jl~ dljnrjl~ ucjl~l~ gbj nrb}l nhmbjjrgl s jhmh}mh ~lo krs ~bo~cmjb~ h hj`rol~ kbgcnhkbowl~/ B~wl u}ltlnh jh nhgh gbj nh+mbjjl h~ whkmco nlkl bj nhkmcl gb nljl} s jh wbqwr}h/ Jh mrboh olwcnch b~ xrb bjnhmbjjl ~cbku}b trbjtb h n}bnb} roh tbv dcohjcvhgl bj w}hwhkcbowl s* h tbnb~* hogr}howb bj kc~kl/

B~wb ~owlkh b~ bj xrb k~ ~cwrhnclob~ conklgh~ u}ltlnh ul}xrb hj tb}~b rolubjhgl bj ockl gbnhb/ Roh njhtb b~w bo nl}wh}~b bj ubjl howb~ gb xrb nhc`h* h~ol wbog}~ xrb uh~h} ul} bj ckuhnwl gb bonlow}h} kbnalob~ gb ubjl bo jh hjklah+gh/ Whkmco b~ roh mrboh lul}wrocghg uh}h ~hnh} gbj ujhnh}g b~b ~lkm}b}l xrb~cbku}b wb `r~w s oronh wb hockh~wb h r~h}* uhrbjl~ nlo jcogl~ gc~bl~ l rohubjrnh/ !U}b`rowjb h jh h~c~wbowb ~lnchj ul} bj ~rkcoc~w}l gb ubjrnh~#/

B~w gb k~ gbnc} xrb ~c ol xrb}~ r~h} ohgh* b~w~ bo wlgl wr gb}bnal* ~cbku}b snrhogl wb nrcgb~ gbj ~lj nlo roh n}bkh u}lwbnwl}h/

Whkmco urbgb lnr}}c} xrb jh~ rh~ ~b trbjtho gb nljl}hnco l~nr}h* xrbm}hgc+vh~* }lkucogl~b nlo dhncjcghg s huh}bvnho mhogh~ tb}wcnhjb~ bo bjjh~/ B~wb bdbn+wl ~bnrogh}cl whkmco b~ w}ho~cwl}cl/

Jh ucbj urbgb ~rd}c} bo}lfbnckcbowl l ucnhvo* ol wb ljtcgb~ gb6

Khowbob}jh ~cbku}b jckuch s ~bnh/

Btcwh} mhl~ nhjcbowb~ u}ljlo`hgl~* xrb }b~bnho k~ jh ucbj/

Btcwh} jlnclob~ nrwobh~ xrb nlowbo`ho hjnlalj/

Rwcjcvh} n}bkh~ acg}hwhowb~ gch}chkbowb/

U}lwb`b} jh~ rh~ nlo `rhowb~ nrhogl }bhjcnb~ wh}bh~ glk~wcnh~/

Bj Bxrcul gb U~cnllonljl`h l}`hocvh bo bj al~ucwhj nhgh w}b~ kb~b~* whjjb}b~ gbjh Nkh}h H}`bowcoh gb jh Ub}drkb}h s jh Nl~kbwljl`h* jjhkhgl~ Jrvnh mcbo*~cowh~b kbfl} glogb wb codl}kh}o ~lm}b jh~ gc~wcowh~ khob}h~ !hj hjnhonb gbwlgl~# uh}h jjbth}wb kbfl} nlo wr b~wwcnh s dl}whjbnb} bj hrwlb~wckh/

hjwb}hnclob~ bo jh l}coh

Hj`roh~ g}l`h~ u}ltlnho nhkmcl~ bo bj nljl} l bj ljl} gb jh l}coh/ Ol wcbob kh+sl} ckul}whonch s ol gbmb hjh}kh}wb/ ^c wb uh~h* b~ }bnlkboghmjb xrb mbmh~ jxrc+

gl~ hmroghowbkbowb/

1


10/24

jnb}h~ bo jh mlnh

Jh~ njrjh~ gb jh krnl~h ~b gctcgbo gb dl}kh }ucgh* ul} jl xrb ~wh~ ~lo krs~bo~cmjb~ h jl~ bdbnwl~ gb jh xrckclwb}huch* urgcbogl huh}bnb} hjwb}hnclob~ bo jhkrnl~h bo k~ gb jh kcwhg gb jl~ uhncbowb~ ~lkbwcgl~ h xrckclwb}huch/B~ obnb~h}cl xrb nlo~rjwb~ nlo ro lglowjl`l th}ch~ ~bkhoh~ howb~ gb cocnch} bjw}hwhkcbowl* uh}h xrb thjl}b bj b~whgl gb wr mlnh s urbgh }bhjcvh}wb jl~ w}hwh+kcbowl~ lul}wrol~ !jckucbvh gb jh kc~kh* bkuh~wb gb ucbvh~ nh}chgh~* w}hwh+kcbowl gb hm~nb~l~* bwn/#/

^c uhgbn~ gb `r~wl hkh}`l l mlnh ~bnh* wb hnlo~bfhkl~6

Co`b}c} hjckbowl~ akbgl~* nlkl d}rwh~ l abjhgl~/

Co`b}c} jxrcgl~/

R~h} kh}`h}coh* nhjgl~ s ~hj~h~ nlo u}lgrnwl~ d}b~nl~ s ~co nlogckbo+wh}/

W}hwh} gb }bklfh} jl~ hjckbowl~ bo w* jbnab l nhjgl uh}h hmjhogh}jl~ sarkbgbnb}jl~/

Uh}h xrb ~bho k~ dncjb~ gb w}h`h}* nlkb} hjckbowl~ mjhogl~ bo dl}khgb ur}* b~ubnchjkbowb gb nhjhmhvh l vhuhjjl/

Nlo~rkc} bjhwcoh/

Gr}howb bj w}hwhkcbowl b~ droghkbowhj khowbob} roh mrboh ac`cbob mrnlgbowhjuh}h }bgrnc} bj }cb~`l gb nlkujcnhnclob~6

Rwcjcvh} ro nbucjjl nlo nb}gh~ ~rhtb~ uh}h btcwh} jb~cloh} jh~ bonh~/

Nbucjjh}~b jl~ gcbowb~ gb~ur~ gb nhgh nlkcgh !conjrgl~ bj hjkrb}vl sjh kb}cbogh#/

Rwcjcvh} uh~wh gb gcbowb~ ~rhtb/

Rwcjcvh} bj acjl gbowhj uh}h jckuch} jh ujhnh bow}b jl~ gcbowb~/

Ol drkh} oc nlo~rkc} mbmcgh~ c}}cwhowb~ nlkl hjnlalj l nhd/

^c wbo~ gbowhgr}h ul~wcvh btcwh ~r r~l nlowcorhgl* sh xrb ulg}h~ ghh}k~ jh krnl~h/ Bkujhjh ~jl bo jl~ nh~l~ obnb~h}cl~ !uh}h nlkb} l~hjc} h jh nhjjb#/

Orb~w}l Al~ucwhj nrbowh nlo ro u}b~wc`cl~l ^b}tcncl gb Lglowljl`h Nwbg}hgb jh RMH#* glogb ulg~ hnb}nh}wb uh}h roh }btc~co lglowlj`cnh nlkujbwh

howb~ gb cocnch} bj w}hwhkcbowl/

3


11/24

hjwb}hnclob~ bo bj huh}hwl `bocwhj s jh ~bqrhjcghg

Jh tcgh ~bqrhj gb jh~ uh}bfh~ bo jh~ nrhjb~ rol gb ~r~ kcbkm}l~ }bncmb xrckcl+wb}huch urbgb nlowcorh} ~co hjwb}hnclob~/Gbwb}kcohgl~ d}khnl~ bkujbhgl~ bo bj w}hwhkcbowl lonlj`cnl* urbgbo hdbn+wh} h jl~ }`hol~ ~bqrhjb~ !lth}cl~ bo jh~ krfb}b~ s wb~wnrjl~ bo jl~ th}lob~#u}ltlnhogl roh ~b}cb gb ~owlkh~ xrb gbubogb}o gbj ~bql gbj uhncbowb/ ^cbo+gl bo hkml~ nh~l~ ~owlkh~ w}ho~cwl}cl~ xrb gb~huh}bnbo hj dcohjcvh} bj w}hwh+kcbowl/

bo jh krfb}

Jl~ d}khnl~ urbgbo hdbnwh} hj dronclohkcbowl gbj lth}cl* }bgrncbogl wbkul+}hjkbowb jh u}lgrnnco ol}khj gb al}kloh~ ~bqrhjb~ dbkbocoh~* ghogl jr`h} h

roh ~b}cb gb ~owlkh~ ~ckcjh}b~ h roh kboluhr~ch6 C}}b`rjh}cghgb~ l gb~huh}cnco gb jh kbo~w}rhnco !hkbol}}bh#/

^bxrbghg gb jl~ wbfcgl~ gb jh th`coh ul} gc~kcornco bo jh jrm}cnhnco*gcdcnrjwhogl jh~ }bjhnclob~ ~bqrhjb~/

U}gcgh gb bjh~wcncghg gb jh th`coh/

Khsl} }cb~`l gb uhgbnb} codbnnclob~ r}coh}ch~/

^ldlnl~/

Co~lkocl/

C}}cwhmcjcghg/

Jh khsl} uh}wb gb jl~ ~owlkh~ jlnhjb~ urbgbo kbfl}h} nlo bj bkujbl gb jrm}c+nhowb~ howb~ gb cocnch} jh~ }bjhnclob~ ~bqrhjb~/

B~ ckul}whowb xrb ahmjb~ nlo wr lonjl`l l `cobnjl`l gb nhmbnb}h hnb}nh gbb~wb wbkh uh}h xrb wb gb ro w}hwhkcbowl hgbnrhgl/

bo bj th}o

Ro bdbnwl d}bnrbowb h~lnchgl h jh xrckclwb}huch b~ jh gc~kcornco bo jh u}l+grnnco gb b~ub}khwlvlcgb~* xrb bo hj`rol~ nh~l~ urbgb u}lgrnc} b~wb}cjcghgwbkul}h}ch/

85


12/24

hjwb}hnclob~ gb jh kgrjh ~bh

Jh kgrjh ~bh ~b bonrbow}h ~cwrhgh bo bj cowb}cl} gb gbwb}kcohgl~ arb~l~ s ~bbonh}`h gb u}lgrnc} jh~ njrjh~ gb jh ~ho`}b nlkl jl~ `jmrjl~ }lfl~* jbrnlncwl~s ujhxrbwh~/

B~wh~ njrjh~ ~b gctcgbo }ucghkbowb jl xrb jh~ ahnb krs ~bo~cmjb~ hj bdbnwl gbjh xrckclwb}huch/ @bob}hjkbowb ~b u}lgrnb ro gb~nbo~l k~ l kbol~ ckul}who+wb bo jh u}lgrnnco gb nhgh roh gb bjjh~/

gb~nbo~l gb jl~ `jmrjl~ }lfl~

K~ nlolncgl ul} bj w}kcol gb hobkch* ~r~ ~owlkh~ ~lo6 gbmcjcghg* nho~ho+ncl* ~bo~hnco gb dhjwh gb hc}b howb ubxrbl~ b~drb}vl~* uhjucwhnclob~* kh}bl~*uhjcgbv gb jh ucbj s krnl~h~/

Bj kgcnl wb ~ljcncwh} hojc~c~ gb ~ho`}b ub}cgcnhkbowb* hroxrb b~ ckul}whowbxrb ~c u}b~bow~ hj`rol~ gb b~wl~ ~owlkh~ ~b jl nlkrocxrb~ cokbgchwhkbowb/

Wb hnlo~bfhkl~ xrb w}hwb~ gb gb~nho~h} wlgl jl xrb obnb~cwb~ s gb ol ahnb}b~drb}vl~ coobnb~h}cl~/ B~ ckul}whowb ubgc} hsrgh h hj`o dhkcjch} l hkc`luh}h xrb nljhml}b nlo jh~ wh}bh~ gb jh nh~h* s ubgc} gh~ gb gb~nho~l bo bj w}hmh+fl ~c jl nlo~cgb}~ lul}wrol/

gb~nbo~l gb jbrnlncwl~

Nlo d}bnrbonch* jh xrckclwb}huch gc~kcorsb bj okb}l gb jbrnlncwl~ bo jh ~ho+`}b u}ltlnhogl roh cokrolgbu}b~co !b~wl xrcb}l gbnc} nlo jh~ gbdbo~h~ mclj+`cnh~ mhfh~#/ Nrhogl ro uhncbowb b~w cokrolgbu}ckcgl wcbob k~ }cb~`l gbuhgbnb} roh codbnnco xrb roh ub}~loh nlo jh~ gbdbo~h~ ol}khjb~/ Bj bqhkbogb ~ho`}b xrb ah} bj kgcnl ub}cgcnhkbowb wb cogcnh} jh nlogrnwh h ~b`rc}/

Gr}howb b~wb ub}lgl gb cokrol~ru}b~co b~ ckul}whowb xrb bqw}bkb~ jl~ amc+wl~ ac`cocnl~ s wlkb~ roh ~b}cb gb u}bnhrnclob~ nlo bj dco gb gc~kcorc} bj }cb~+`l gb codbnnco6

Ol nlkh~ jh~ tb}gr}h~ s d}rwh~ n}rgh~* ~col ~jl hjckbowl~ nlncgl~/

Co`b} jl~ jnwbl~ bo u}buh}hnclob~/

88


13/24

Btcw nrcghgl~hkbowb bj nlowhnwl nlo nrhjxrcb} dlnl ul~cmjb gb codbn+nco !dhkcjch}b~* hkc`l~* jr`h}b~ krs nlonr}}cgl~#/

Jhthwb jh~ khol~ d}bnrbowbkbowb/

Ol ljtcgb~ gb nlo~rjwh} h wr lonjl`l ~c wbo~ dcbm}b/

gb~nbo~l gb jh~ ujhxrbwh~

Jh~ ujhxrbwh~ ~b bonh}`ho gb }bhjcvh} ro whulohkcbowl !nl`rjl# s btcwh} jhabkl}}h`ch bo nh~l gb roh ab}cgh/

Hj gb~nbogb} bj okb}l gb ujhxrbwh~ hrkbowh bj }cb~`l gb abkl}}h`ch~* conjr+

~l howb kockl~ w}hrkhwc~kl~/ Btcw `ljub~ l nl}wb~ nrhogl }bhjcnb~ jh~ wh}bh~nlwcgchoh~/

u}gcgh l hrkbowl gb ub~l

Gbmcgl h xrb jl~ bdbnwl~ ~bnrogh}cl~ gb jh xrckclwb}huch urbgbo hdbnwh} wr

b~whgl orw}cnclohj `bob}hj b~ ol}khj xrb ~rd}h~ gc~kcornco l hrkbowl gb ub+~l/ Ol ljtcgb~ nlo~rjwh} h jh orw}cncloc~wh gbj bxrcul/ Bjjh wb hsrgh} hnlo~b+foglwb roh gcbwh b~ubnchj uh}h wr nh~l/

Wbob} roh mrboh hjckbowhnco ol ~jl wb ah} tb} kbfl} ~col xrb wb hsrgh} hb~wh} k~ ~hol s drb}wb uh}h hd}lowh} bj w}hwhkcbowl/

8=


14/24

b~whgl gb ockl

Bj wcbkul gb w}hwhkcbowl b~ ro wcbkul uh}h gb~nho~h}* l}gboh} ubo~hkcbowl~ nlow}hoxrcjcghg* btcwhogl b~drb}vl~/

B~ ol}khj xrb hj`rol~ gh~ wb ~cbowh~ kbfl} xrb lw}l~* ub}l uh}h b~wl b~ mrbol~bowc}~b hnlkuhhgl/ Jl~ gh~ gb hujcnhnco gbj w}hwhkcbowl ulg~ ubgc} h hj`ohkc`l l dhkcjch} xrb wb hnlkuhb hj al~ucwhj/

Cowbow ol gbfh} wr~ hnwctcghgb~ ahmcwrhjb~* mr~nhogl al}h}cl~ nlotbocbowb~ uh}hbj w}hwhkcbowl9 ~co bkmh}`l* ~c ol wb ~bow~ mcbo* jl kbfl} b~ xrb ol wb bqcfh~ s

ucgh~ hsrgh h wr~ dhkcjch}b~ l hkc`l~/ Gb b~wh khob}h jb gh~ jh lul}wrocghg h jl~gbk~ gb gbkl~w}h}wb ~r hdbnwl kbfl} xrb oronh/ B~wl ol ~c`ocdcnh xrb b~w~ hjkh}`bo gb jh~ gc~wcowh~ gbnc~clob~ xrb ~b wbo`ho xrb wlkh}* b~ k~* wb }bnlkbo+

ghkl~ uh}wcncuh} gb jh~ gbnc~clob~ gbj al`h}* gb b~wh dl}kh wb gbkl~w}h}~ s jbgbkl~w}h}~ h jl~ gbk~ xrb conjr~l ol b~whogl bo wr~ kbfl}b~ gh~* urbgbo sgbmbo nlowh} nlo tl~/

Bo jh ~hjh gb b~ub}h gbj ~b}tcncl wbog}~ lul}wrocghg gb nlotb}~h} s nlkuh}wc}nlo lw}h~ ub}~loh~ xrb uh~h}lo l b~wo uh~hogl ul} wr kc~kh bqub}cbonch/

Ubgc} hsrgh bo jl~ klkbowl~ gcdncjb~ ol b~ ~coockl gb gbmcjcghg/ Ol b~ kl+kbowl gb ~b} l}`rjjl~l l n}bb}~b lkoculwbowb/ ^lo wcbkul~ uh}h gbgcnh}~b h rol*}bhjcvh} hnwctcghgb~ xrb wb h`}hgho s b~wh} nlo hxrbjjh~ ub}~loh~ xrb wb ahnbodbjcv/

Gb~gb ~hjc} h nhkcoh}* ahnb} `ckoh~ch* uh}wcncuh} gb `}rul~ gb hulsl ah~wh nlk+u}h}~b hj`l orbtl uh}h tb~wc}* ahnb kh~ jjbthgb}l bj w}hwhkcbowl/

Ul} jwckl* ol wb ljtcgb~ gb jl ckul}whowb xrb b~ n}bh} ro tonrjl gb nlodchovhnlo bj kgcnl xrb wb hwcbogb* b~nrnah} bo jl ul~cmjb ~r~ bqujcnhnclob~ hnlkuhh+gl~ nlo hj`rcbo gb nlodchovh s ol wbkh~ ubgc}jb xrb wb bqujcxrb orbthkbowb hj`lxrb ol ahsh~ bowbogcgl/ ^c wb uh}bnb nklgl ulg~ u}buh}h} roh jc~wh b~n}cwh nlojh~ u}concuhjb~ u}b`rowh~ s h~* wbob} jh w}hoxrcjcghg gb xrb ol ~b wb ljtcgh} ohgh/

Ol wb ljtcgb~ gb xrb b~ wlwhjkbowb ol}khj xrb wb ~cbowh~ nhkmchgl* h`lwhgl* nh+jjhgl l nlodrogcgl/ S nlkl ~hmbkl~ xrb b~wl urbgb uh~h}* bj ~b}tcncl nrbowh nloro Bxrcul gb U~cnllonljl`h b~ubnchjcvhgl* xrb ~hm} b~nrnah}wb s bo nh~l gb ~b}obnb~h}cl ahnb} r~l hgbnrhgl gb u~cnld}khnl~/ Orb~w}l Bxrcul whkmco nrbowhnlo whjjb}b~ s hnwctcghgb~ `}ruhjb~ uh}h nlkuh}wc} bqub}cbonch~ s mr~nh} khob}h~gctb}~h~ gb bonlow}h} wr u}lucl klgl gb b~wh} bo b~wb klkbowl uh}wcnrjh} gb wrtcgh ul} ~b} who ~co`rjh} gb nhgh rol ol wbobkl~ w}rnl~* ub}l ~ ulgbkl~hsrgh}wb h gb~nrm}c} bj wrsl u}lucl+/ U}b`row ul} gh~ s al}h}cl~ h jh Jcn/ Hg}ch+

oh Gbkc}gfco/

8>


15/24

Nkl lmwbob} kbgcnhnco bo bj mhonl gb g}l+`h~6

h# ^ljcncw h jh W}hmhfhgl}h ^lnchj gbj ^b}tcncl jhBonrb~wh ~lnchj uh}h bj Mhonl gb g}l`h~/ B~wh bo+nrb~wh wcbob tc`bonch ul} ~bc~ kb~b~/

m# C} h Gc}bnnco gbj Al~ucwhj s ~ljcncwh} jh dc}kh gbj ^}/Gc}bnwl} bo jh }bnbwh gbj lonjl`l s bo jh Bonrb~wh~lnchj/

n# C} hj HO^B^ !ol wb ljtcgb~ gb jjbth} bj GOC# uh}h

ubgc} ro nlku}lmhowb gb xrb ol nlow~ nlo Lm}h^lnchj oc frmcjhnco/

B~wb w}kcwb whkmco jl ulg~ ahnb} gb~gb Cowb}obwbow}hogl h jh u coh ppp/ho~b~/`lt/h}

g# Dlwlnluch~ gb h#* m#* n# s jh~ gl~ u}ckb}h~ u`coh~ gbj GOC/

b# Mhonl gb g}l`h~ lonlj`cnh~6

Al}h}cl6 gb 3 h 8= al}h~ !wb }bnlkboghkl~ jjb`h} bow}b jh~ 0 s jh~ 1al}h~#/

Gc}bnnco6 ]hko Nh}}cjjl 713 = uc~l/

Wbjdlol6 7>52+2743

U}b~bowwb nlo wlgh jh glnrkbowhnco/

Jl k~ }ucgl uh}h jjb`h} hj mhonl gb g}l`h~ gb~gb bj al~ucwhj6

8/ wb wlk~ bj 858 bo Th}bjh s H~hkmjbh* wb mhf~ bo Ucnabrwh s Nlml

=/ bo Ucnabrwh s Nlml wb wlk~ bj =2 ah~wh Nh}}cjjl s M}hog~bo+/

Uh}h lmwbob} kh~ codl}khnco nlo~rjw nlo orb~w}h

W}hmhfhgl}h ^lnchj* bjjh hnjh}h} wlgh~ wr~ grgh~/

87


16/24

Ol wb ljtcgb~ gb nlkrocnh}jb hj kgcnl ~c b~w~ wlkhogl6

Howcmcwcnl~

Howcnlh`rjhowb~ l nrhjxrcb} kbgcnhnco }bjhncloh+gh nlo jh ~ho`}b

Howcnlotrj~ctl~ H~uc}coh~

U~cnld}khnl~ gb nrhjxrcb} wcul

Kbgcnhkbowl~ uh}h jh u}b~co

Howcwr~ctl~

Howcgchmwcnl~

Nl}wcnlcgb~

Gcr}wcnl~

Jhqhowb~

Al}kloh~ !conjrsbogl ujgl}h~ howcnlonbuwcth~#

@lwh~ oh~hjb~

Uh~wcjjh~ uh}h gl}kc}

82


17/24

Bo nh~l gb xrb huh}bncb}ho jl~ ~c`rcbowb~ ~owlkh~

nlonr}} hj al~ucwhj gb cokbgchwl6

Wbkub}hwr}h ~rub}cl} h >1 `}hgl~

W}h~wl}ol~ gb nrhjxrcb} wcul bo jh ucbj

Gch}}bh l nlo~wcuhnco ~btb}h~

U}gcgh l hrkbowl hnbowrhgl~ gb ub~l

Nrhjxrcb} wcul gb abkl}}h`ch ub}~c~wbowbs,l ~btb}h

Nrhjxrcb} gljl} gb cowbo~cghg ulnl

nlko* conjrsbogl bj gljl} gb nhmbvh

W}h~wl}ol~ gbj }cwkl }b~uc}hwl}cl*gcdcnrjwhg uh}h }b~uc}h}

Tkcwl~ ub}~c~wbowb~ 71 al}h~ gb~ur~ gbjh hujcnhnco gb jh~ g}l`h~/

84


18/24

Gb}bnal~ gb jl~ uhncbowb~ nlo nonb}

Bo8331*uhncbowb~s}bu}b~bowhowb~gbbowcghgb~}bjhncloh+

gh~nlobjw}hwhkcbowluh}hbjnhonb}*~b}brocb}louh}hgbmh+

wc}bcowb}nhkmch}cgbh~nlobjlmfbwctlgbnlodbnncloh}bjgb+

nhjl`lgb jl~ gb}bnal~gbj uhncbowb nlonhonb}/B~wl~gb}b+

nal~~c`rbowbocbogltc`bonchbojl~nconluh~b~xrbnlodl}+

khobjKb}nl~r}/

Wbub}wbobnbo*ahnbjl~}b~ubwh}/

8/+Gb}bnalh~hmb}/Gl~c'cnh}jhcodl}khnclogch`ol~wcnh

bonhgh nlo~rjwh* conjrsbogl jh~ ul~cmcjcghgb~ wb}hubrwc+

nh~*nlocodl}khnclohjbowl}ol*}b~ubwhoglbjgb}bnalh ol

~hmb}/

=/+Gb}bnalh~b}codl}khgltb}hvkbowb/Bjkbgcnlgb+

mb}hahnb}jlnlonjh}cghg/^cogbfh}gb~b}tb}hv*jlah}hnrc+

ghgl~hkbowb*gbhnrb}gl h jhac~wl}chub}~lohjgbnhghuh+

ncbowb*h~r~bo~cmcjcghgbcgcl~con}h~ch/

>/+ Gb}bnal h ~b} }b~ubwhgl nlkl ub}~loh s h xrb ~b

}b~ubwb~rdb/^b}}b~ubwhglnlkluhncbowb*~co~rd}c}gc~n}c+

kcohnclob~/Bj}b~ubwlul}jhdb*ub}kcwc}hbonlow}h}ro~bowc+

glul}hxrbjjlxrbarkhohkbowb*uh}bnb}holwbob}jl/

7/+Gb}bnalhhnnbgb}hjl~kbgcl~uh}hnr}h}~b/]bncmc}

bjw}hwhkcbowlxrbjbm}cogbjh~khsl}b~ul~cmcjcghgb~gbnr+

}h*nlojl~kbol}b~bdbnwl~hgtb}~l~/

80


19/24

2/+ Gb}bnal h bjb`c}/ Ckujcnh jh bjbnnclo gbj nhkcol h wl+kh}* h w}htb~ gb roh hgbnrhgh codl}khnclo/

4/+ Gb}bnal h ~b} bgrnhgl bo jh u}btbonclo/ Uh}h btcwh}jh huh}cnclo gbj kc~kl l gb orbtl~ wrkl}b~/

0/+ Gb}bnal h tctc} s kl}c} nlo gcòcghg/ Nlowh} nlo bjhkl} gbj bowl}ol s bj ~lul}wb u~cnljl`cnl obnb~h}cl* uh}h tc+tc} nlo gcòcghg jh bodb}kbghg* btcwhogl bj bo~hohkcbowlwb}hubrwcnl xrb ub}kcwh* jjb`hgl bj nh~l* xrb bj uhncbowb nrj+kcob ~r~ gh~ hnlkuhohgl gb ~r~ ~b}b~ xrb}cgl~/

1/+ Gb}bnal h jh cowckcghg s h jh nlo'cgbonchjcghg/ Gb}b+nal h ro jr`h}* wcbkul s b~uhncl d~cnl* glogb ~b u}b~b}tb ~rgcòcghg nlkl ~b} arkhol ~r'cncbowb/

3/+ Gb}bnal h xrb ~b nrcgb ~r dhkcjch/ B= ~wh* gbmb}h nlol+

nb} jh~ ckujcnhonch~ gb jh bodb}kbghg* hnlkuhohogl nlohdbnwl s nlku}bo~clo/

85/+ Gb}bnal h ol ~b} gc~n}ckcohgl bo ~r w}hmhfl/ Bj uh+ncbowb nr}hgl gb nhonb}* ol gbmb}h ~b} gc~n}ckcohgl bo ~r~wh}bh~ jhml}hjb~* ub}kcwcbogl~bjb }bwl}oh} h jh~ kc~kh~ ~coobnb~cghg gb lnrjwh} jh ohwr}hjbvh gb ~r bodb}kbghg/

81


20/24

83

Olkm}b gbj b~ubnchjc~wh xrb kb hwcbogb6 \\\\\\\\\\\\\\\\\\\\\

\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

Wbjdlol gb kc kgcnl bo nh~l gb r}`bonch6 \\\\\\\\\\\\\\\\\

Kc~ olwh~ s u}b`rowh~6


21/24

Ujho gb w}hwhkcbowl6+Wb }bnlkboghkl~ jjbth} nlo tl~ b~wh `rh nhghtbv xrb tbh~ hj kgcnl uh}h ahnb} wr~ u}b`rowh~

s xrb j urbgh holwh} jh~ klgcdcnhnclob~ xrb n}bh obnb~h}cl}bhjcvh} h wr w}hwhkcbowl+

=5


22/24

AL^UCWHJ UCB]L

^B]TCNCL GB LONLJL@HNLO^RJWL]CL^ BQWB]OL^

Ub~l\\\\\\\\\\\\\\Whjjh\\\\\\\\\\\\\\^ru/ Nl}u/\\\\\\\\\\\\\\\\\\\

Bghg\\\\\\\\\\\\\\\\\\\\Gch`/ Lk~/\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

Olkm}b s Hubjjcgl\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

Lm}h ^lnchj\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

@RH]GCH KGCNH6

B~wckhgl Glnwl}6

Bj,Jh }/,^}h/ \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

gb\\\\\\\\\\\\hl~ gb bghg* u}b~bowh gch`o~wcnl gb \\\\\\\\\\\\\\\\\\\

\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

B~w bo w}hwhkcbowl nlo xrckclwb}huch/

Bo nh~l gb u}b~bowh} dcbm}b khsl} gb >1N* }rb`l gb~nh}wh} obrw}luboch dbm}cj/ ^cwcbob kbol~ gb 8555 `jmrjl~ mjhonl~,kk nmcnl~* }rb`l al~ucwhjcvh} hj uhncbowbuh}h btcwh} ~alni boglwqcnl/

Bj w}hwhkcbowl b~ bj ~c`rcbowb6

h# ~c b~ ul~cmjb hc~jh} hj uhncbowb9

m# uhonrjwcth}/ Wlkh} krb~w}h abklnrjwctl~* r}lnrjwctl~* b~urwl* dhrnb~*!jb~clob~ gb ucbj s nlu}lnrjwctl ~c drb}h obnb~h}cl#9

n# cocnch} gb cokbgchwl w}hwhkcbowl howcmcwcnl bku}cnl* ~co b~ub}h} }b~rjwhglgb nrjwctl~* nlo 6

Nbdwhvcgckb = `}hkl~ nhgh 1 a~/ ul} wrmrjhgr}h !Dl}wrk#

Hkcihncoh 8 `}hkl gcjrcgl bo 855 nn/ gb gbqw}l~h hj 2 " h uh~h} bo >5kcorwl~ nhgh =7 al}h~ !Mcijco#9

g# btcwh} bobkh~ s hujcnhnclob~ cow}hkr~nrjh}b~9

b# bo nh~l gb krnl~cwc~6 Krwrk 25 k`/ nhgh 8= a~/ th l}hj9

d# mhfh} jh wbkub}hwr}h nlo uh}hnbwhklj th l}hj r lw}l~ kbgcnhkbowl~* kh~

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Guía de Quimioterapia, Equipo de Psicooncología del Hospital General de Agudos P. Piñero

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