guía de quimioterapia, equipo de psicooncología del hospital general de agudos p. piñero
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8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero
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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
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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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8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero
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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/
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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~/
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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(/
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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/
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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~/
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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/
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10/24
jnb}h~ bo jh mlnh
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21/24
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8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero
22/24
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8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero
23/24
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8/3/2019 Gua de Quimioterapia, Equipo de Psicooncologa del Hospital General de Agudos P. Piero
24/24
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