Tarea 5 Imagenologia Pediatrica

Iotecrlr
Plrel 5; Lprdpiljiúo Uoi`l` :
Crupd <50><5T0
^reseotl`d pdr;
Ciool ^ldhl Cúfez Zlotlol
Júìcd; <<>>919>23
^reseotl`d l;
Lhex Lrturd Jiaueotes
@irejtdr èh Jursd
Uoiversi`l` Oljidolh Lbiertl y l @istlojil UOL@
^rdcrlfl eo Rlìdhdcæl e Ifìceoes @ilcoústijls
Iflceodhdcæl êììtrijl <50><5
Esjuehl è Jieojils è hl Zlhu`
JEL@ Bujlrlflocl
JEL@
2: è flyd è 2>2<

@eslrrdhhd è hl ljtivi`l`.
@esjribir hls sicuieotes pltdhdcæls;
• Flhadrfljiúo è Jmilri; es uo plèjifieotd eo eh que eh teki`d jerebrlh se ìspersl mljil eh
jlolh espiolh, estd sujeè julo`d uol plrte èh jrìoed es lodrflhfeote fìs pequeüd d
hhecl l ser èadrfe, jdfprifieo`d eh jerebrd y dbhicìo`dhd l tdflr eh rufbd mljil lblkd.
• Flhadrfljiúo è @lo`y Slhger e mipdphlsil jerebehdsl; se èodfiol jdfd uol mipdphlsil
ioestlbhe èh verfis jerebehdsd jdo d sio iojrefeotd è hl adsl pdsteridr y sio vlhdrljiúo èh
teotdrid. Zdo èadrfi`lès jdocéoitls èh sistefl oervidsd jeotrlh è exteosl ioestlbihi`l`
que iojdrpdrl lodrflhi`lès eo hl adsl pdsteridr, tlhes jdfd; ìhltljiúo quæstijl èh julrtd
veotræjuhd lsdjil`l l ouferdsds crl`ds è lhterljiúo eo verfix jerebehdsd e mi`rdjealhil
suprlteotdrilh.
• Lhterljidoes ioahlfltdrils è feoioces y jerebrd (Jitdfeclhdvirus, Pdxdphlsfdsis, merpes
sifphe y feoiocitis oedoltlh);
d
Jitdfeclhdvirus; es eh prifdrìlh driceo virlh è eoaerfe`l` oeurdhúcijl jdocéoitl, eo
jdotrlste l hl sdspejml èh sistefl oervidsd jeotrlh eo jrejifieotd, od es uol lfeolzl
exjhusivl plrl eh jerebrd flùrd, l feods que eo jirjuostlojils è iofuodsupresiúo.
d Pdxdphlsfdsis; es uol eoaerfe`l` que se jrel d se reprdùje jdfd resuhtl`d è uo
jdotlcid d ioaejjiúo pdr eh plrìsitd ‘Pdxdphlsfl cdoìi‖, eh julh es uod è hds plrìsitds
fìs jdfuoes eo td`d eh fuo`d.

d Merpes sifphe; pueè ser prdùji`l pdr eh virus èh merpes sifphe tipd < d 2 y eh feìd
è ioaejjiúo odrflhfeote es pdr hl iotrlplrtd úsel que djurre ùrlote eh plrtd, pdr tdjlr
d pdr jdotljtd evièote èh aetd jdo sejrejidoes flterols jdotlfiol`ls eo eh jlolh èh
plrtd, dtrds feìds è ioaejjiúo pueèo ser;

se r; hl iotrluteriol que pueè resuhtlr pdr
ioaejjiúo esjlrpl`d èsè eh juehhd èh ûterd d pdr trlosfisiúo trlosphljeotlril, y hl
pdstoltlh d èspués èh oljifieotd èh bebe, que pueè

pu eè jdosecuirse pdr rdje
rd je lfbieotlh
èh bebé jdo merpes drd hlbilh.
d Feoiocitis oedoltlh; es uol bljteril oedoltlh quiere èjir que es hl ioahlfljiúo è hls
feoioces sejuo`lril l uol iovlsiúo bljterilol y hds sicods sdo hds è sepsis y/d
irritljiúo èh sistefl oervidsd jeotrlh.
@ebeo estlbhejer hl rutl jdfphetl è lteojiúo eo servijids è PJ y RF, eo rehljiúo l jl`l
pltdhdcæl, peosl`l plrl pljieotes è : feses, 2 lüds, 5 lüds y <> lüds. Eo hl julh èb
èbeo
eo lbdr`lr
(Ze`ljiúo, phloeljiúo eo PJ y RF, mlhhlzcds iflceodhúcijds, trltlfieotd ljtulh y prdodstijd).
Jl`l pltdhdcæl èbe estlr sdpdrtl`l eo ifìceoes jdo su respejtivl èsjripjiúo sefidhúcijl.
IO@IJLJIDOEZ Jitdfeclhdvirus.
^RE^LRLJIDO @EH ^LJIEOPE @ebe lsistir uo lùhtd respdoslbhe eo

•
jdfplüæl èh feodr.
@ebe lsistir jdo previl èprivljiúo è sueüd.

•
@ebe lsistir jdo eh resuhtl`d è jreltioiol jdo

•
<5 `æls è viceojil.

Od jdosufir lhifeotds oi bebi`ls previd lh

•
exlfeo.
Hhevlr estuìds previds rehljidol`ds si

•
existeo.
Airflr eh jdoseotifieotd lèjul`d plrl eh

•
previd exlfeo.
^DZIJI O Y DRIEOPLJI O Eh pljieote se ubijl eo èjûbitd supiod,
@EH ^LJIEOPE slhieo`d èh clotry.
^HLO
^HLODZ
DZ @E RE
REJD
JDOZP
OZPRU
RUJJ
JJII O Jdrte lxilh y jdrdolh.
ZJDUP QIES Hlterlh.
OIQEH @E JDRPE Ze tdfl èsè blse è jrìoed mlstl vertex eo
seoti`d jlu`djrloelh d è pd`ìhijd l jeaìhijd.
LOCU
LOCUHL
HLJI
JI O @
@EH
EH C
CLO
LOPR
PRY
Y Eo equipd sejueojilh; ^lrlhehd l hl blse è
jrìoed y tejmd è hls úrbitls.
Eo equipd fuhtijdrte; plrlhehd lh plhl`lr ùrd
PEJOIJL @E E]LFEO Equipd sejueojilh; jdrte l jdrte.
Equipd fuhtijdrte; vdhufétrijd.

CRDZDR E IOPERQLHD @E Equipd sejueojilh; èsè blse è jrìoed l adsl
JDRPE feìl d teotdrid è 5ff/5ff, suprlteotdrilh l
vertex è <>ff/<>ff.
Equipd fuhtijdrte; Qdhufeo crdsdr è jdrte è
>.5ff/>.5ff lxilhes :ff/5ff èsè blse è
jrìoed mlstl adsl feìl y è =ff/=ff èsè

adsl feìl mlstl vertex. Eo jdrdolhes;
0ff/0ff td`d. Eo slcitlhes 0ff/0ff td`d.
PÉJO
PÉJOIJ
IJL
L@@E
E E]^D
E]^DZI
ZIJI
JI O <<> gv :>>fL.
ADQ 2<>ff l 25> ff ‘F‖.
JLOLHEZ Pd`ds hds jlolhes.
LHCDRIPFD @E Peki`d bhlo`d d plréoquifl jerebrlh.
REJDOZPRUJJIÚO
FLPRI[ 52> * 52>.
LÔEL REZÎRLPDRIL Od es oejeslrid.
UZD @E FE@ID @E JDOPRLZPE Eo eh oedoltd y hljtlote pequeüd sdhefds
utihizlr : fh.
ZJLO @EHLY D PIEF^D @E Zejueojilh; < fioutd jdo ioijid è ioyejjiúo.
REPLR@D Fuhtijdrte; < fioutd jdo ioijid è ioyejjiúo.
LOJMD Y OIQEH @E QEOPLOL Ioarlteotdrilhes S <2> H0>.
Zuprlteotdrilhes S=> H 0> Úsel S<5>> H25> l
5>>.
ZE@LJI O Es oejeslril plrl ìsfiouir hl tlsl fetlbúhijl

jerebrlh è dxæceod.
IFLCEO

Ioaejjiúo preoltlh pdr jitdfeclhdvirus. (2><>). WIh ustrljiúo.V

ustrljiúo.V.. mttps;//www-feìjlplolferijlol-
jdf.bibhidtejlvirtulh.uol`.eù.jd/QisdrEbd
jdf.bibhidtejlvirtulh.uol`.eù.jd/QisdrEbddgQ2/Ebddg/93=
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MLHHL
MLHHL[C
[CDZ
DZ IFLC
IFLCEOD
EODH
H CIJD
CIJDZZ @estljlo hls jlhjiaijljidoes periveotrijuhlres y
è clochids blslhes, hl veotrijuhdfeclhil, hls
lodflhæls ficrljidolhes jdfd esquiseojealhil,
pdhifijrdciril y hl mipdphlsil jerebrlh.
PRLPLFIEOPD LJPULH Hds feìjlfeotds lotivirlhes sdo eh tipd è
trltlfieotd fìs jdfûo. ûeèo retrlslr hl
reprdùjjiúo èh virus, perd od pueèo
ehifiolrhd. Hds iovesticl`dres estuìlo ouevds
feìjlfeotds y vljuols plrl trltlr y preveoir

eh jitdfeclhdvirus.
^RDODZPIJD Hds oiüds que jdotrleo uol ioaejjiúo è
jitdfeclhdvirus lh oljer, pueèo èslrrdhhlr
uol sdrèrl d retrlsd feotlh.
IO@IJLJIDOEZ Pdxdphlsfdsis.
^RE^LRLJIDO @EH ^LJIEOPE • @ebe lsistir uo lùhtd respdoslbhe eo
• ^reseotlr exìfeoes è hlbdrltdrid è rutiol
jdo odrflhi`l`.
• Airflr jdoseotifieotd è prdjeìfieotd y
eoteoèr eh prdjesd que se hhevlrl l jlbd.

Od jdosufir lhifeotds y bebi`ls previd lh

•
exlfeo.
Lh terfiolr eh exlfeo tdflr suaijieote lcul

•
plrl expuhslr eh jdotrlste.
^HLO
^HLODZ
DZ @E RE
REJD
JDOZP
OZPRU
RUJJ
JJII O Jdrte lxilh.
ZJDUP QIES Hlterlh.
LOCU
LOCUHL
HLJI
JI O @
@EH
EH C
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PÉJO
PÉJOIJ
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ZIJI
JI O <<> gv :>>fL.
ADQ 2<>ff l 25> ff ‘F‖.
REJDOZPRUJJIÚO
FLPRI[ 52> * 52>.
utihizlr : fh.
5>>.
IFLCEO
Pdxdphlsfdsis
Pdxdphlsfdsis jdocéoitls. (2><>). WIhustrljiúoV
WIhustrljiúoV.. mttps;//www-feìjlplolferijlol-
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MLHHL
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DZ IFLC
IFLCEOD
EODH
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CIJDZZ @estljlo hls jlhjiaijljidoes ìausls, hl
mi`rdjealhil hl julh surce pdr esteodsis èh
ljueùjtd è Zihvid y hls ìrels è
eojealhdflhljil y hheclo l ser rlrls hls
lodflhæls ficrljidolhes.
PRLPLFIEOPD LJPULH Eh trltlfieotd fìs exitdsd es hl jdfbioljiúo
pirifetlfiol-suhalìlziol, ìji`d adhæoijd. Zi
existe iotdherlojil l hls suhals, hl priferl
lhteroltivl è trltlfieotd jdotrl hl
tdxdphlsfdsis eojeaìhijl es hl jdfbioljiúo
pirifetlfiol + jhio`lfijiol y ìji`d adhæoijd.
Relhizlr quifidprdaihlxis sejuo`lril plrl
tdxdphlsfdsis eo adrfl perfloeote plrl evitlr
rejiìvls.
^RDODZPIJD ^lrl este tipd è laejjiúo eo hds pljieotes
èpeoè fujmd è uo ìlcoústijd prejdz y uo
trltlfieotd eaijlz.
IO@IJLJIDOEZ Merpes sifphe oedoltlh.
^RE^LRLJIDO @EH ^LJIEOPE • @ebe lsistir uo lùhtd respdoslbhe eo
• ^reseotlr exìfeoes è jreltioiol.

Airflr jdoseotifieotd è prdjeìfieotd y

•
eoteoèr eh prdjesd que se hhevlrl l jlbd.
Od jdosufir lhifeotds y bebi`ls previd lh

•
exlfeo.
^reseotlr estuìds loteridres si tieoe.

•
^HLO
^HLODZ
DZ @E RE
REJD
JDOZP
OZPRU
RUJJ
JJII O Jdrte lxilh.
ZJDUP QIES Hlterlh.
LOCU
LOCUHL
HLJI
JI O @
@EH
EH C
CLO
LOPR
PRY


PÉJO
PÉJOIJ
IJL
L@@E
E E]^D
E]^DZI
ZIJI
JI O <<> gv :>>fL.
ADQ 2<>ff l 25> ff ‘F‖.
REJDOZPRUJJIÚO
FLPRI[ 52> * 52>.
utihizlr : fh.
5>>.

IFLCEO

Eojealhitis merétijl oedoltlh. (2><>). WIhustrljiúo.V. Aicurl <23 ‚ 25.

25. mttps;//www-feìjlplolferijlol-
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CIJDZZ Existeo zdols è mipdèosi`l` ìausl PJ,
mipdioteosls d miperteosls eo RF, jdo
jlrljteræstijls eo restrijjiúo e miperseülh eo
ìausiúo y evlhuljiúo l jlhjiaijljidoes y
eojealhdflhljil.
PRLPLFIEOPD LJPULH Eh ljijhdvir se èbe ioijilr è iofeìltd y
presufibhefeote eo hds jlsds sdspejmdsds

sdspejm dsds l hl
esperl è pruebls ìlcoústijls jdoairfltdrils.
Hds hljtlotes jdo eoaerfe`l` ìsefiol`l d èh

sistefl oervidsd jeotrlh rejibeo 2> fc/gc IQ
jl`l = m ùrlote 2< `æls. @espués è este
récifeo, hds hljtlotes jdo eoaerfe`l` èh
sistefl oervidsd jeotrlh rejibeo ljijhdvir drlh
:>> fc/f2 : vejes lh `æl ùrlote 1 feses7 este
récifeo l hlrcd phlzd fekdrl hds resuhtl`ds èh
èslrrdhhd oeurdhúcijd lh lüd è e`l`, perd
pueè jluslr oeutrdpeoil.
^RDODZPIJD Hl fuerte es ioarejueote eo rejiéo olji`ds jdo
eoaerfe`l` hdjlh hifitl`l l pieh, dkds d bdjl.
Zio efblrcd, è od feìlr trltlfieotd, fujmds
è estds rejiéo olji`ds prdcreslrìo l

eoaerfe`l` ìsefiol`l d èh sistefl oervidsd
jeotrlh que pueè od ser rejdodji`l.
IO@IJLJIDOEZ Feoiocitis oedoltlh.

^RE^LRLJIDO @EH ^LJIEOPE ^reseotlr jdo eh exlfeo è jreltioiol eo sus
•
vlhdres odrflhes.
Eh pljieote se èbe preseotlr eo lyuols plrl

•
hl relhizljiúo èh exlfeo.
@ebe ir ljdfplül`d è uo lùhtd respdoslbhe.

•
Exphijlr lh ljdfplülote eh prdtdjdhd l secuir.

•
Peoer airfl`d hl cuæl `doè ioìjl que ljeptl

•
hds térfiods èh prdjesd.
^HLO
^HLODZ
DZ @E RE
REJD
JDOZP
OZPRU
RUJJ
JJII O Jdrte lxilh.
ZJDUP QIES Hlterlh.
LOCU
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PRY

P JOIJL @E
@E E]
E]^DZIJI O <<> gv :>>fL.
ADQ 2<>ff l 25> ff ‘F‖.
REJDOZPRUJJIÚO
FLPRI[ 52> * 52>.

utihizlr : fh.
5>>.

IFLCEO
Mi`rdjealhil tlbijl`l pdsveotrijuhitis. (2><>). WIhustrljiúo.V. Aicurl <23 ‚ 23.

23. mttps;//www-feìjlplolferijlol-
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CIJDZZ Hl ejdcrlaæl jerebrlh fuestrl lufeotd è
ejdceoiji`l` è hds surjds jerebrlhes, è
heptdfeoioces lrljodiìtis y è hl plre`
veotrijuhlr veotrijuhitis, jdo ejdceoiji`l`
lodrflh èh plréoquifl jerebrlh eo jlsd è
jerebritis d ioalrtd. Hl preseojil è lbsjesds d
ioalrtds jdo evdhujiúo fuy rìpi`l sdo
jlrljteræstijds è ioaejjidoes pdr Jitrdbljter d
Eoterdbljter y eo eh estuìd è RF preseotl uo

jdoteoi`d tæpijlfeote miperioteosd eo ìausiúo
d piúceod.
PRLPLFIEOPD LJPULH Eh trltlfieotd ioijilh rejdfeo`l`d eo hl
feoiocitis pdr ECB eo rejiéo olji`ds 8 <
seflol è e`l` es peoijihiol C eo `dsis è
<>>.>>> uoi`lès/gc IQ jl`l 1 m d lfpijihiol

<>> fc/gc IQ jl`l = m plrl hds hljtlotes ≠ 3
`æls d 35 fc/gc jl`l 1 m plrl hljtlotes ? 3 `æls.
^RDODZPIJD Jdo trltlfieotd, eh prdoústijd èpeoè èh pesd
è oljifieotd, eh fijrddrcloisfd y hl crlve`l`
jhæoijl. ^lrl hds fijrddrcloisfds que jluslo
vlsjuhitis d lbsjesd jerebrlh (feoiocitis
oejrdslote). Ze dbservlo sejuehls oeurdhúcijls
(p. ek., mi`rdjealhil, mipdljusil, ìsjlplji`l`
iotehejtulh) eo hds rejiéo olji`ds que
sdbreviveo, jdo pedr prdoústijd julo`d hds
lceotes etidhúcijds sdo bljihds eotérijds
crlfoecltivds.

Reaereojils bibhidcrìaijls.
• Q.A.-Ì.I.R.-F.R.C.-H.J.R.-L.I.F.-F. (2><:). Zæo`rdfe è @lo`y-Slhger. Lrjm Oeurdjieo
(Fex) Qdh. <=, Od. 2; 92 ‚ 9=7

9=7 2><:.
2><:. mttps;//www.feìcrlpmij.jdf/pàs/lrjoeu/loe-
2><:/loe<:2e.pà
• Huisl Fìrquez. (2>>=). Ioaejjidoes jdocéoitls èh sistefl oervidsd jeotrlh. Ljtl Oeurdh
Jdhdfbil. mttps;//www.ljoweb.drc/ljtl/2>>=T20T<sT=.pà
Jdhdfbil.
• @eh Jukl, K., ê`rlzl, Z. y Clyete, L. (2><>). Rlìdhdcæl eseojilh. Fl`ri`, EZ; Eìtdrilh
feìjl ^lolferijlol. Jlpætuhd <23. Rejuperl`d è

è mttps;//www-feìjlplolferijlol-
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Tarea 5 Imagenologia Pediatrica

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Plrel 5; Lprdpiljiúo Uoi`l` :

Ciool ^ldhl Cúfez Zlotlol

Lhex Lrturd Jiaueotes

@irejtdr `eh Jursd

Uoiversi`l` Oljidolh Lbiertl y l @istlojil UOL@

^rdcrlfl eo Rl`idhdcæl e Ifìceoes @ilcoústijls

Iflceodhdcæl ^e`iìtrijl <50><5

Esjuehl `e Jieojils `e hl Zlhu`

@esjribir hls sicuieotes pltdhdcæls;

• Flhadrfljiúo è Jmilri; es uo plèjifieotd eo eh que eh teki`d jerebrlh se ìspersl mljil eh

• Flhadrfljiúo `e @lo`y Slhger e mipdphlsil jerebehdsl; se `eodfiol jdfd uol mipdphlsil

• Lhterljidoes ioahlfltdrils `e feoioces y jerebrd (Jitdfeclhdvirus, Pdxdphlsfdsis, merpes

sifphe y feoiocitis oedoltlh);

exjhusivl plrl eh jerebrd fl`urd, l feods que eo jirjuostlojils `e iofuodsupresiúo.

d Pdxdphlsfdsis; es uol eoaerfe`l` que se jrel d se reprd`uje jdfd resuhtl`d `e uo

fìs jdfuoes eo td`d eh fuo`d.

plrtd, dtrds feìds è ioaejjiúo pueèo ser;

ioaejjiúo esjlrpl`d èsè eh juehhd èh ûterd d pdr trlosfisiúo trlosphljeotlril, y hl

pdstoltlh d èspués èh oljifieotd èh bebe, que pueè

`eh bebé jdo merpes drd hlbilh.

irritljiúo `eh sistefl oervidsd jeotrlh.

@ebeo estlbhejer hl rutl jdfphetl `e lteojiúo eo servijids `e PJ y RF, eo rehljiúo l jl`l

(Ze`ljiúo, phloeljiúo eo PJ y RF, mlhhlzcds iflceodhúcijds, trltlfieotd ljtulh y prdodstijd).

^RE^LRLJIDO @EH ^LJIEOPE @ebe lsistir uo l`uhtd respdoslbhe eo

jdfplüæl `eh feodr.

@ebe lsistir jdo previl `eprivljiúo `e sueüd.

@ebe lsistir jdo eh resuhtl`d `e jreltioiol jdo

<5 `æls `e viceojil.

Od jdosufir lhifeotds oi bebi`ls previd lh

Hhevlr estu`ids previds rehljidol`ds si

Airflr eh jdoseotifieotd l`ejul`d plrl eh

^DZIJI O Y DRIEOPLJI O Eh pljieote se ubijl eo `ejûbitd supiod,

@EH ^LJIEOPE slhieo`d `eh clotry.

ZJDUP QIES Hlterlh.

OIQEH @E JDRPE Ze tdfl èsè blse è jrìoed mlstl vertex eo

seoti`d jlu`djrloelh d `e pd`ìhijd l jeaìhijd.

jrìoed y tejmd `e hls úrbitls.

Eo equipd fuhtijdrte; plrlhehd lh plhl`lr `urd

PEJOIJL @E E]LFEO Equipd sejueojilh; jdrte l jdrte.

Equipd fuhtijdrte; vdhufétrijd.

JDRPE fe`il d teotdrid `e 5ff/5ff, suprlteotdrilh l

Equipd fuhtijdrte; Qdhufeo crdsdr `e jdrte `e

>.5ff/>.5ff lxilhes :ff/5ff èsè blse è

jrìoed mlstl adsl feìl y è =ff/=ff èsè

adsl fe`il mlstl vertex. Eo jdrdolhes;

0ff/0ff td`d. Eo slcitlhes 0ff/0ff td`d.

ADQ 2<>ff l 25> ff ‘F‖.

JLOLHEZ Pd`ds hds jlolhes.

LHCDRIPFD @E Peki`d bhlo`d d plréoquifl jerebrlh.

FLPRI[ 52> * 52>.

L^OEL REZ^IRLPDRIL Od es oejeslrid.

UZD @E FE@ID @E JDOPRLZPE Eo eh oedoltd y hljtlote pequeüd sdhefds

ZJLO @EHLY D PIEF^D @E Zejueojilh; < fioutd jdo ioijid `e ioyejjiúo.

REPLR@D Fuhtijdrte; < fioutd jdo ioijid `e ioyejjiúo.

LOJMD Y OIQEH @E QEOPLOL Ioarlteotdrilhes S <2> H0>.

Zuprlteotdrilhes S=> H 0> Úsel S<5>> H25> l

ZE@LJI O Es oejeslril plrl `isfiouir hl tlsl fetlbúhijl

Ioaejjiúo preoltlh pdr jitdfeclhdvirus. (2><>). WIh ustrljiúo.V

`e clochids blslhes, hl veotrijuhdfeclhil, hls

lodflhæls ficrljidolhes jdfd esquiseojealhil,

pdhifijrdciril y hl mipdphlsil jerebrlh.

PRLPLFIEOPD LJPULH Hds fe`ijlfeotds lotivirlhes sdo eh tipd `e

trltlfieotd fìs jdfûo. ^ue`eo retrlslr hl

reprdùjjiúo èh virus, perd od pueèo