tecnicas de fisioterapia respiratoria

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  • 7/23/2019 Tecnicas de Fisioterapia Respiratoria

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    [@JAOJBZ K@ LOZOC[@]BYOB ]@ZYO]B[C]OB

    @z pa jcagpa{c k` {jaojbz mbzbkbz `a `h jcacjodo`a{c k` lozocyb{chcnb yphdcab}

    jpc cmg`{o|c `z y}`|`ao}( jp}b} c `z{bmohowb} hbz bh{`}bjoca`z rp` bl`j{ba bh zoz{`db

    {c}bjcyphdcab}!

    Cmg`{o|cz

    Y}`|`ao} hbz kozlpajoca`z }`zyo}b{c}obz d`koba{` hb dc|ohowbjoa k` hbz dpjczokbk`z

    yb}b `|o{b} hb zcm}`oal`jjoa }`zyo}b{c}ob lb|c}`j`} hb |`a{ohbjoa bh|`chb}!

    @kpjb} zoaj}caowb} hb |`a{ohbjoa yb}b bpd`a{b} `h |chpd`a jo}jpakba{` }`kpjo} hb

    l}`jp`ajob }`zyo}b{c}ob!

    ]`bkby{b} bh ybjo`a{` `h `g`}jojoc yb}b p{ohowb} d`gc} `h cun`ac( zoa bpd`a{b} `h

    jcazpdc( bz d`gc}b} hb jbhokbk k` |okb!

    Lb|c}`j`} {ckcz hcz lbj{c}`z rp` oaj}`d`a{ba hb lh`uomohokbk k` hb jbgb {c}jojb( joa{p}b

    `zjbyphb}( }brpoz jc}}`no} hcz k`l`j{cz `z{}pj{p}bh`z rp` hc odyokba!

    Hbz [jaojbz k` Lozoc{`}byob ]`zyo}b{c}ob dz p{ohowbkb zca7

    2! [jaojbz k` lozoc{`}byob }`zyo}b{c}obz k` y`}d`bmohokbk m}carpobh

    =! [jaojbz k` lozoc{`}byob }`zyo}b{c}ob rp` p{ohowba kozyczo{o|cz {jaojcz yb}b hb

    `hodoabjoa k` z`j}`joca`z!

    :! ]``kpjbjoa }`zyo}b{c}ob

    ;! @g`}jojocz k` `a{}`abdo`a{c dpzjphb} bh `zlp`}wc

    0! @kpjbjoa

    2 ![jaojbz k` y`}d`bmohokbk m}carpobh

    Zonpo`akc `h dck`hc k` jhbzolojbjoa k` hb Jcal`}`ajob k` Jcaz`azc k` Lozoc{`}byob

    ]`zyo}b{c}ob k` Hca `a 2??;( hbz jhbzolojbdcz z`na zp d`jbaozdc k` bjjoa `a7 [jaojbz rp` p{ohowba hb bjjoa k` hb n}b|`kbk!

    [jaojbz rp` p{ohowba hbz cakbz k` jecrp`!

    [jaojbz rp` p{ohowba hb jcdy}`zoa k`h nbz c lhpgc `zyo}b{c}oc!

    2!2! [jaojbz rp` p{ohowba hb bjjoa k` hb n}b|`kbk

    K}`abg` Ycz{p}bh

    P{ohowb hb bjjoa k` hb n}b|`kbk yb}b `h k}`abg` k` hbz z`j}`joca`z ycz{`}oc}

    `|bjpbjoa! @uoz{`a kol`}`a{`z ycz{p}bz k` k}`abg` k`y`ako`akc k`h hmphc c

    z`nd`a{c yphdcab} b k}`ab}! ]`rpo`}` pab bk`jpbkb }`chcnb k` hbz z`j}`joca`z!

    Zp`h` p{ohowb}z` jcdmoabkc b c{}bz {jaojbz jca|`ajocabh`z jcdc hbz Y`}jpzoca`z!

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    2!=! [jaojbz rp` p{ohowba hbz cakbz k` jecrp`

    Bj{ba {}bazdo{o`akc cakbz k` `a`}nb b hb |b b}`b( jca hb loabhokbk k` dckolojb} c

    bh{`}b} hbz y}cyo`kbk`z }`chnojbz k`h dcjc!

    Y`}jpzoa

    @z pab {jaojb ybzo|b zp`h` p{ohowb}z` jcdmoabkb bh k}`abg` ycz{p}bh! @z{

    jca{}boakojbkc `a jbzc k` a`pdc{}bu e`dcy{ozoz!

    \om}bjoa

    Dc|odo`a{cz czjohb{c}ocz byhojbkcz zcm}` hb yb}`k {c}jojb `a `h {o`dyc `zyo}b{c}oc!

    Yb}b rp` hb |om}bjoa {`anb `l`j{o|okbk zp l}`jp`ajob k`m` `z{b} `a{}` 2=20 Ew! Hb

    loabhokbk k` hb |om}bjoa `z dckolojb} hb |ozjc`hbz{ojokbk k`h dcjc lbjoho{b} zp

    `uy`j{c}bjoa!

    2!:! [jaojbz rp` p{ohowba hb jcdy}`zoa k`h nbz c `h lhpgc `zyo}b{c}oc!

    Y}`zoca`z Dbapbh`z [c}jojb

    ]`rpo`}` hb bj{pbjoa k`h lozoc{`}by`p{b rp` b {}b|z k` zpz dbacz dckphb bj{o|b c

    ybzo|bd`a{` h lhpgc `zyo}b{c}oc!

    [jaojb k` @zyo}bjoa Lc}wbkb %[@L/

    Jcazoz{` `a hb }`bhowbjoa k` `zyo}bjoca`z lc}wbkbz b bh{c( d`koc c mbgc |chpd`a

    yphdcab} b nhc{oz bmo`}{b!

    Jojhc bj{o|c k` [`}byob }`zyo}b{c}obz

    [jaojb rp` jcdmoab `h jca{}ch }`zyo}b{c}oc( hcz `g`}jojocz k` `uybazoa {c}jojb hbz

    {jaojbz k` zyo}bjoa lc}wbkb!

    K}`abg` Bp{n`ac

    @z pab {jaojb dp `hbmc}bkb( z` mbzb `a hb mzrp`kb k`h d`gc} lhpgc `zyo}b{c}oc yc}

    d`koc k` `zyo}bjoca`z jca{}chbkbz! Jcaz{b k` {}`z lbz`z7 k`zy`np`( b}}bz{}`

    `|bjpbjoa k` z`j}`joca`z!

    [cz Ko}onokbD`koba{` hb `kpjbjoa k` hb {cz Ko}onokb lbjoho{bdcz hb `|bjpbjoa k` hbz z`j}`joca`z

    bh u{`}oc}!

    Bpd`a{c k`h Lhpgc @zyo}b{c}oc %BL@/

    Jcazoz{` `a y}ckpjo} pa bpd`a{c bj{o|c( bj{o|cbzoz{okc c bj{o|c k` hb jc}}o`a{`

    `zyo}b{c}ob( `a hb rp` yck`dcz |b}ob} `h |chpd`a yphdcab}( hb }byok`w k`h lhpgc c hb

    kp}bjoa k` hb `zyo}bjoa!

    @zyo}bjoa h`a{b {c{bh jca nhc{oz bmo`}{b `a hb{`}bhowbjoa %@H[NCH/

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    Hb {jaojb jcazoz{` `a pab `zyo}bjoa h`a{b {c{bh b nhc{oz bmo`}{b jca `h yphda b {}b{b}

    `a yczojoa oal}bhb{`}bh( oaojobkb b jbybjokbk }`zokpbh lpajocabh z`npokb ebz{b

    |chpd`a }`zokpbh!

    @zyo}bjoa h`a{b y}chcanbkb %@HY}/

    @z pab {jaojb k` bpkb `zyo}b{c}ob byhojbkb b hcz }`joa abjokcz( z` cm{o`a` d`koba{`

    pab y}`zoa dbapbh `u{`}ab h`a{b( oaojobkb bh loabh k` pab `zyo}bjoa `zyca{a`b

    zonpo`akc b |chpd`a }`zokpbh!

    =! Kozyczo{o|cz {jaojcz

    =!2! Zoz{`dbz k` y}`zoa `zyo}b{c}ob yczo{o|b

    N`a`}ba pab y}`zoa yczo{o|b b ao|`h k` hb mcjb( kp}ba{` hb `zyo}bjoa bj{o|b k`h

    oako|okpc hb `zyo}bjoa l}`abkb yc} hb }`zoz{`ajob rp` y}ckpj`a `z{cz byb}b{cz j}`b

    `zb y}`zoa yczo{o|b rp` z` {}bazdo{` b hb |b b}`b!

    Y@Ydbzf

    Hb Y}`zoa yczo{o|b rp` z` y}ckpj` `a hbz |bz b}`bz `z jca{oapb kp}ba{` hb lbz`

    `zyo}b{c}ob k` hb y`}zcab!

    Lhp{{`}( Bjby`hhb Jc}a`{!

    Zca zoz{`dbz k` y}`zoa `zyo}b{c}ob yczo{o|b kozjca{oapb p czjohba{`( y}ckpj`a pab

    }`zoz{`ajob b hb `zyo}bjoa rp` ac `z jca{oapb( hb y}`zoa yczo{o|b rp` c}onoaba z`}

    |b}obmh`!

    =!=! @zyo}cd`{}b oaj`a{o|bkb oazyo}b{c}ob ko}onokb

    @z{b {jaojb {o`a` yc} cmg`{o|c `z{odphb} n}bjobz b pa l``kmbjf |ozpbh bh ybjo`a{` b

    }`bhowb} oazyo}bjoca`z duodbz zcz{`aokbz b pa |chpd`a b pa lhpgc k`{`}doabkc `a

    lpajoa k` hcz cmg`{o|cz mpzjbkcz!

    =!:! Zoz{`dbz k` y`}jpzoa

    Zoz{`dbz k` \`a{ohbjoa b Y`}jpzoa Oa{}byphdcab} %OY\/

    @z{cz kozyczo{o|cz ebj`a hh`nb} bh ybjo`a{` y`rp`cz |chd`a`z k` bo}` rp` mpzjba

    y}ckpjo} `a hbz |bz b}`bz pab |om}bjoa rp` k`zy}`akb hbz z`j}`joca`z( hc rp`

    lbjoho{b zp k`zy`np` {}bazyc}{`! Ac `z a`j`zb}ob hb jchbmc}bjoa k` hb y`}zcab b hbrp` z` h` byhojb!

    Zoz{`dbz k` Y`}jpzoa @u{}byphdcab} %\`z{/

    Zca dz p{ohowbkcz jcacjokcz `a Ac}{`bd}ojb! @z{cz zoz{`dbz y}ckpj`a pab

    jcdy}`zoa `a hb yb}`k {c}jojb k` hb y`}zcab rp` hc p{ohowb! Hbz jcdy}`zoca`z zca

    n`a`}bkbz b {}b|z k` pa jebh`jc rp` z` oalhb z` k`zoalhb b pab l}`jp`ajob dp bh{b!

    :! @g`}jojocz k` }``kpjbjoa }`zyo}b{c}ob

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    Z` p{ohowba7 @g`}jojocz k` ]`zyo}bjoa bmcdoac kobl}bnd{ojb( @g`}jojocz k` \`a{ohbjoa

    Ko}onokb( @g`}jojocz k` @uybazoa Jcz{bh Nhcmbh c Hcjbhowbkb!

    ; _ 0!@g`}jojocz k` lc}{bh`jodo`a{c dpzjphb}

    Ycz{obpu %=992/ koz{oanp` kcz n}pycz k` {jaojbz jpb{}c dckcz |`a{ohb{c}ocz k`

    mbz`7

    Y}od`} n}pyc %{jaojbz y}oajoybh`z/7 hbz {jaojbz `zyo}b{c}obz h`a{bz( hbz {jaojbz

    `zyo}b{c}obz lc}wbkbz( {jaojbz oazyo}b{c}obz h`a{bz hbz {jaojbz oazyo}b{c}obz lc}wbkbz!

    Z`npakc n}pyc %{jaojbz jcbkp|ba{`z/7 hb {jaojb ycz{p}bh( hb |`a{ohbjoa jca

    y}`zoa yczo{o|b `zyo}b{c}ob( hcz jcdyh`d`a{cz d`jaojcz( hbz |om}bjoca`z dbapbh`z `

    oaz{}pd`a{bh`z( `h hhba{c `h `g`}jojoc lzojc!

    B jca{oapbjoa k`zb}}chhb}`dcz hbz {jaojbz }`zyo}b{c}obz rp` z` `dyh`b}ba `a `z{`

    `z{pkoc7

    \om}bjoca`z

    \om}c`uybazoa

    Y`}jpzoa

    @zyo}bjoa h`a{b y}chcanbkb %@HY}/

    [cz y}c|cjbkb %[Y/

    K`zcmz{}pjjoa ]oaclb}an`b }`{}n}bkb %K]]/

    Bzyo}bjoa abzc{}brp`bh

    ;!?!2 \om}bjoa

    Zca dc|odo`a{cz czjohb{c}ocz byhojbkcz b hb yb}`k {c}jojb( {}bazdo{okcz yc} `h m}bwc

    k`h {`}by`p{b c byb}b{c |om}b{c}oc jca `h loa k` bh{`}b} hb |ozjc`hbz{ojokbk k`h dcjc'

    2

    Yczojoa k`h ybjo`a{`7k`y`ak`} k`h z`nd`a{c rp` ebb rp` k}`ab}!

    Yczojoa k`h lozoc{`}by`p{b7z` jchcjba hbz dbacz }`hbgbkbz zcm}` `h }`b k`h {}bu

    rp` z` rpo`}b {}b{b}( pzbakc `h y`zc k`h jp`}yc( `h lozoc{`}by`p{b y}ckpj` pab lp`}{`

    zbjpkokb kp}ba{` hb `zyo}bjoa!

    Cmg`{o|cz7 dc|ohowb} `h dcjc k`mokc b pa bpd`a{c k`h dc|odo`a{c k` hcz johocz

    |om}{oh`z!

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    Oakojbjoca`z7 yb{chcnbz z`j}`{ba{`z jca n}ba bpd`a{c k` hb |ozjczokbk k` hbz

    bke`}`ajobz k`h dcjc!

    ;!?!= Y`}jpzoa

    Nchy`{`c }{dojc lo}d` zcm}` hb yb}`k {c}jojb `a hb wcab rp` z` rpo`}b k}`ab}! Z`

    {}b{b k` pab {jaojb rp` }b}bd`a{` z` p{ohowb zchb( yp`z zp`h` jcdyh`d`a{b}z` jca

    c{}bz {jaojbz'=

    Yczojoa k`h ybjo`a{`7k`y`ak`} k`h z`nd`a{c rp` {`anb rp` k}`ab}z`!

    Yczojoa k`h lozoc{`}by`p{b7%Z`na `h K}! Bhl}`kc Jp`hhc( 2?>;/ Yp`k` z`} }`bhowbkb7

    b! B dbac ep`jb %Dbaocm}b k` Dc}{ca/! Hbz dbacz k`m`a `z{b} jca

    jcajb|okbk ybhdb} ebjob bmbgc hcz k`kcz gpa{cz! Hb y`}jpzoa eb k`

    }`bhowb}z` zodph{a`bd`a{` jca hcz k`kcz `h {bha k` hb dbac zcm}` hb wcab

    rp`

    }`jom` hcz rp` m`a`lojocz k`h k}`abg` ycz{p}bh!

    Hb dp`jb b k` lh`uocab}z`

    `u{`ak`}z` bh{`}ab{o|bd`a{`!

    m! B ypc j`}}bkc7 z` hc hh`|b b jbmc jca hb dbac j`}}bkb y`}jp{o`akc jca `h

    hbkc jpmo{bh! Bh hh`nb} hb dbac bhb zpy`}lojo` b {}b{b}( hcz dzjphcz k` hb dp`jb

    k`m`a }`hbgb}z`( yb}b `|o{b} pab jcaz`jp`ajob `uj`zo|bd`a{` kchc}czb c

    {}bpd{ojb! Z` pzb {bdmoa jcdc `h`d`a{c bdc}{onpbkc} pab ncdb `zypdb c

    hb c{}b dbac k`h Foa`zohcnc zcm}` hb wcab {c}jojb bl`j{bkb! Jpbakc z`

    oa{`}yca` hb dbac( `z{b k`m`

    }`jomo} hb y`}jpzoa zcm}` hcz

    k`kcz z` `ajp`a{}ba `u{`akokcz(

    bz z` `|o{b}ba z`azbjoca`z kchc}czbz

    yc} yb}{` k`h cy`}bkc}! @z y}`l`}omh`}`bhowb} `z{b {jaojb kp}ba{` `h bj{c

    `zyo}b{c}oc

    Cmg`{o|cz7dc|ohowb} hbz z`j}`joca`z yc} hb cakb k` jecrp` {}bazdozoa k` `a`}nb

    rp` bl`j{b hbz y}cyo`kbk`z }`chnojbz k`h dcjc!

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    Oakojbjoca`z7 eoy`}z`j}`{c}`z jca |ozjczokbk bpd`a{bkb( lom}czoz rpz{ojb(

    m}carpo`j{bzobz( `{j!

    Jca{}boakojbjoca`z7e`dcy{ozoz( cz{`cyc}czoz( {pm`}jphczoz yh`p}bh( m}cajc`zybzdc(

    l}bj{p}bz jcz{bh`z( e`dc{}bu!

    Y`}}c{b J! Jc %=995/ jcajhp`}ca rp` hb lozoc{`}byob jca {jaojbz k` |om}bjoa

    y`}jpzoa( ac kozdoap`a hb kp}bjoa k` hb `z{bajob eczyo{bhb}ob hb a`j`zokbk k`

    cun`ac( ao d`gc}b hb ypa{pbjoa jhaojb k` hb n}b|`kbk `a hcz aocz jca m}carpocho{oz

    bnpkb( y`}c y}cypzo`}ca rp` hb lozoc{`}byob }`zyo}b{c}ob yp`k` bpkb} b `hodoab} hbz

    z`j}`joca`z }`zyo}b{c}obz a hb m}carpocho{oz bnpkb!

    Mce Hohobab Jc %=99;/ jcajhp`}ca rp` hb lozoc{`}byob }`zyo}b{c}ob %k}`abg`(

    y`}jpzoa( |om}bjoa/ ac byc}{b m`a`lojocz `a zp pzc }p{oab}oc `a `h dba`gc k` hb

    m}carpocho{oz bnpkb ao bjc}{b hcz kbz k` eczyo{bhowbjoa!

    K` J}kcmb Hbawb L`}abakb Jc %=995/ jcajhp`}ca rp` hb |om}cjcdy}`zoa

    bzcjobkc b k}`abg` ycz{p}bh `a hbj{ba{`z eczyo{bhowbkcz yc} m}carpocho{oz y}ckpgc

    }`kpjjoa k` dch`z{obz }`zyo}b{c}obz( dbz `hodoabjoa k` hb z`j}`joa d`gc}b hb

    bpzjph{bjoa yphdcab}!

    ;!?!: \om}c`uybazoa

    @z pab {jaojb rp` jcdmoab hb |om}bjoa hb `uybazoa( z` hcn}b jpbakc `h

    lozoc{`}by`p{b bycb zpz dbacz zcm}` hb yb}`k {c}jojb hb{`}bh `a `h {o`dyc

    `zyo}b{c}oc y}ckpj` pab |om}bjoa( hp`nc dba{o`a` pab jcdy}`zoa k`h {}bu ebz{b hb

    do{bk k`h {o`dyc oazyo}b{c}oc k`gb k` jcdy}odo} `a lc}db oa{`dy`z{o|b! ':

    Yczojoa k`h ybjo`a{`7k`jmo{c hb{`}bh!

    Yczojoa k`h lozoc{`}by`p{b7pmojbkc k`{}z k`h ybjo`a{`( jca zpz dbacz bycbkbz

    zcm}` hb jbgb {c}jojb hb{`}bh oal`}oc}!

    Cmg`{o|cz7 @z{b jcdmoabjoa k` {jaojbz mpzjb `a pa y}od`}c dcd`a{c hb

    k`zcmz{}pjjoa m}carpobh hp`nc hb }` `uybazoa!

    ;!?!; @zyo}bjoa h`a{b y}chcanbkb

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    @z pab {jaojb ybzo|b k` bpkb `zyo}b{c}ob byhojbkb bh m`m( cm{`aokc yc} d`koc k`

    pab y}`zoa dbapbh {c}bjcbmkcdoabh h`a{b rp` oaojob bh loabh k` hb `zyo}bjoa

    `zyca{a`b jca{oapb ebz{b `h |chpd`a }`zokpbh!';

    Yczojoa k`h ybjo`a{`7k`jmo{c kc}zbh zcm}` pa yhbac z`dokp}c

    Yczojoa k`h lozoc{`}by`p{b7`g`}j` pab y}`zoa dbapbh jcagpa{b bmkcdoabh {c}jojb

    bh loabh k`h {o`dyc `zyo}b{c}oc `zyca{a`c jca{oab ebz{b `h |chpd`a }`zokpbh!

    @z{b y}`zoa `z h`a{b hh`nb b cyca`}z` b = c : oa{`a{cz oazyo}b{c}ocz! Ac yp`k`

    `g`}j`}z` aoanpab y}`zoa kp}ba{` hb y}od`}b yb}{` k` hb `zyo}bjoa! Pabz |om}bjoca`z

    yp`k`a bjcdybb} hb dbaocm}b!

    Cmg`{o|c7cm{`a`} pa |chpd`a `zyo}b{c}oc dbc} rp` `h k` pab `zyo}bjoa ac}dbh b hb

    rp` ac ebj` dz rp` y}chcanb} jcdyh`{b}!

    Oakojbjoca`z7ko}onokb b {ckb bjpdphbjoa k` z`j}`joca`z m}carpobh`z rp` bl`j{b bh

    m`m` k` d`acz k` =; d`z`z! Z` yp`k` byhojb} bh aoc dz dbc} ebz{b hcz 5 b 29

    bcz!

    Jca{}boakojbjoca`z7b{}`zob k` `zlbnc cy`}bkc( ]N@( dbhlc}dbjoca`z jb}kbjbz

    k` bl`jjoca`z a`p}chnojbz j`a{}bh`z c k` jpbhrpo`} zak}cd` bmkcdoabh ac

    ok`a{olojbkc! @h m}cajc`zybzdc ac jcaz{o{p` pab jca{}boakojbjoa zo |b y}`j`kokb k`

    pab b`}czch{`}byob m}cajckohb{bkc}b!

    ;!?!0 [cz y}c|cjbkb

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