+ All Categories
Home > Documents > 53681950-Sebenta-de-metabolica

53681950-Sebenta-de-metabolica

Date post: 19-Jul-2015
Category:
Upload: tiago-ferreira
View: 43 times
Download: 0 times
Share this document with a friend
66
                                          
Transcript
Page 1: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 1/66

!%&&%#@

0134

3:974 .438890 34 .43:394 /0 103O20348 1J8.48 6:J2.48 1J8.46:J2.48 0 184O.48 6:0 80

 5,88,234390747 /447,3824 020/,39048 6:,8089070.0-00:9,482,907,814730./485048

,2039486:008430.088E7485,7,,1472,402,3:9034/,8:,2,9F7,;;,05,7,,70,,4

/,8,.9;/,/0857O57,86:07/,;/,;009,9;,6:07/,;/,/,70,40/497,-,4

20394:970390

,20394F94/,,8:-893.,6:0F:9,/,5,7,3:977447,3824

 :970390.43889034.43899:390,2039,75,7,3:977447,3824

,881.,4/483:9703908

83:970390854/02807.,881.,/48

":,3948:,1:34

0307F9.48,6:0086:084209,-4,/485,7,14730.070307,

 5E89.48,6:0086:084:9,/485,7,803907,7023447,3824

70 :,/4708,6:0086:0/0802503,2:25,50,/:;,39002295,870,.08

":,39488:,8.,7,.907J89.,8570/423,390203901J8.46:J2.,8

0307F9.48J5/480573.5,20390J./48

 5E89.48,234E./480E./4847/4808803.,870 :,/4708;9,23,82307,801-7,8

09,

0134

 09,.4388903,6:,39/,/0/0,203948.438:2/483472,203904:6:080/080,,/23897,7.42:2

12/090723,/430890.,8407,20390/0893,/,,570;037/403,84:,,.9:,7.424907,5H:9.,,.9;,

4:,/:;,39002/4039084:02.43;,08.0390890724/09,54/0831.,7,6:,39/,/0/0,2039486:084307/48547:2,50884,4:,5.,780 6:,39/,/0/03:9703908/48,20394870,.43,/48

.42,830.088/,/083/;/:,8

#07,8/00,-47,4/0:2,/09,

08/,,2039,47,.43,/0   8.:/0746:,/,/06:,39/,/0,7243,,/06:,4

Page 2: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 2/66

E.:4/,830.088/,/080307F9.,8

.438:24/00307,/0503/0/0;E7481,.947083420,/,20390

  09,-4824 ,8,     # 4: #  0307, 6:0 4 47,3824 30.0889, /0 .438:27 5,7, 4

1:3.43,20394/48O748088902,8/0O748

 .4 /32., 0850.J1., /48 ,203948 $     F , 0307, 6:0 4 47,3824 ,89, 5,7, 80

209,-4,7#05708039,.07.,/0/4209,-4824-,8,

 .9;/,/0 1J8.,

% 02507,9 :7,,2-039025479,390025,J808.427,3/08,259:/089F72.,8

E.:4/4209,-4824-,8,

O72:,2,8,39,.,!084

O72:,/0,778030/.94202!0849:7,/,/0

2:07!0849:7,/,/0

89,8 1O72:,8 5072902 /090723,7 4 .438:24 /0 0307, 34 209,-4824 -,8, 903/4 02 .439,

1,.947089,8.4245084,9:7,/,/0804

E.:4/,,.9;/,/0

1O72:,2,882508/0.,.:,7F

 .9;/,/007,/4209,-4824-,8,

 .9;/,/024/07,/,/4209,-4824-,8,

 .9;/,/039038,/4209,-4824-,8,

,472097,

.,472097, F, .H3., 6:0 80 4.:5, 50, 574/:4 /0 .,47 5048 80708;;48,;4807 /, 4

4F34F,14390/094/,,.42-:8940F44F344573.J54-E8.4/,.,472097,47,3824

.43;0790,203948 02 .,47 803/4 00 6:0 /090723,, 6:,39/,/0 /0.,47 .438:2/,8902 /48

9548/0.,472097,

 ,472097,/70.9,70,9;,574/:4/0.,4700307,A,2,80,.9,803/42,8/1J./0

/090723,7,6:,39/,/0/0.,47574/:/,5043/;J/:4

 ,472097,3/70.9,70,9;,,4.438:24/0,8083.4397,8070,.43,/,.42,-079,4/0

/O/4/0.,7-4340.438:24/04F34803/45488J;0/090723,7,0307,.438:2/,,97,;F8/,

1O72:,   . '    L

Page 3: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 3/66

!%&'%   $

43909489O7.4

 ,;,02/0',8.4/,,2,.07.,/02,7307482477,2/0;/4,:2,/403, 574;4.,/,

 50,1,9,/0,2039481708.48

2,.6:08,79073494:6:0,;,:2,0897,3,/403,6:0,10.9,;,482,73074804/0

-70:02 .,24:02, /0:,3/, ,2083//08.4-7:6:0 48 .97348 07,2 .,5,08/0

.:7,7 482,730748 /08.4-7: 4 08.47-:94 /08.70;03/4 089,5,944, .424 .43806:H3., /4 /F1.0

;9,2J3.42%,,7/08.4-704F7-F73,,72,/,,54308,803/4.:7,/,50,/09,7.,02

.0;,/,0,77454/42:30$::784,24573.J54,.9;4/4,77454/40.,2,20

,23,;9,;9,23,

01348;9,23,8843:9703908473.486:08030.0889,202506:03,86:,39/,/085,7,/;078,81:308

 -46:J2.,8 0 6:0 02 07, 34 80 .4380:02 83909,7 34 47,3824 504 6:0 80 70.0-02 5048

,203948

8;9,23,88484;0802E:,4:02J5/48574570/,/06:0F:9,/,5,7,,8:,.,881.,4

8 ;9,23,8 /74884;08 24F.:,8 /741J.,8 0 54,708 147,2 /083,/,8 .424 ;9,23,8 /4

.42504 0.0594 , ;9,23, 0,8 ;9,23,8 54884;08 24F.:,8 /741O-.,8 0 ,54,708

70.0-07,2/083,08,1,-F9.,8

44,8;9,23,884

$:-893.,8473.,8

3/85038E;08,41:3.43,20394/447,3824

 48483909,/,85044202

$430.088E7,802506:03,6:,39/,/0

%H2.,7E.90770:,/473025E89.43020307F9.4

706:039020390.4032,8

7J9.,8/0134/0;9,23,

 4.O4308902-,.9F7,8.,5,08/083909,702;9,23,

 ,500447,3824:2,34F.,5,/083909,7;9,23,

,:8H3.,4:/01.H3.,70,9;,/0;9,23,83,/09,.43/:,089,/48.,7,.907J89.48547/010944:

/403, /01.H3., /0 :2, 3., ;9,23, F 7,7, :2, ;0 6:0 ,8 /09,8 54-708 3472,20390

Page 4: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 4/66

.43/:02089,/48/01.03908295482,8488J3/742,8/013/4884.,7,.907J89.48/0/01.H3.,8/0

;9,23,80850.J1.,8

3970,8;9,23,8/74884;08.430.0280,880:3908/403,8

 F7-F7/01.H3.,/09,23,

":0480  4898 80-477 0,1  494 1  4-7 0/01.H3.,/07-41,;3,

 ! 0,  7,/01.H3.,/03,.3,

  0:798507 1  F7.,/01.H3.,/057/43,

 302,20  ,4-E89.,,./7,209 2,O3.,,302,107 3.48,/01.H3.,/0.4-,,23,

 302,20  ,4-E89.,/01.H3.,/0E./41O.4

   8.47-:94/01.H3.,/0E./4,8.O7-.4

'9,23,8/74884;08

8 ;9,23,8 /74884;08 84 7,5/,20390 0.709,/,8 6:,3/4 , 8:, .43.0397,4 :97,5,88, ,

.,5,./,/0 703, 504 6:0 ,8 394.,08 84 7,7,8 8 /01.H3.,8 /089,8 ;9,23,8 4.4770270,9;,20390 7E5/4 3:2, /09, 3,/06:,/, &2,;0 6:0,8 ;9,23,8 /74884;0884 .4032,8

 5,7, , 2,47, /,8 70,.08 2,8 .42:38 F 5488J;0 20/7 , 6:,39/,/0 /0 ;9,23, 20/3/4 ,

,.9;/,/0 /0 :2, 4: 2,8 032,8 02 .F:,8 8,3:J30,8 84,/,8 2,47, /089,8 ;9,23,8 84

.43;079/,8 02 .4032,8 ,8 6:,8 84 :9,/,8 6:07 02 ;,8 /0 574/:4 /0 0307, 6:07 02

02,94540802,47,/089,8;9,23,8F/04702;009,

01.H3.,8 3,8 ;9,23,8 6:0 -079,2 0307, 574/:02 :2, 7,3/0 6:,39/,/0 /0 83942,8 6:0

,5,70.02440290./48/0.708.203947E5/4

,025,790/,8;9,23,8/74884;08 ' 9,23,8/4.42504

% ,23,  

 #-4 1  ,;3,  

  ,.3, E./43.49J 3.43.493,2/, 

  ./4 ! ,3949F3.4  

' 9,23,  57/43,57/4,57/4,23,

 493,

  ./4 O.4

' 9,23,  .4-,,23,

' 9,23,

0;/48:,84:-/,/03,E:,40.0884/089,8;9,23,8F0.709,/43,:73,5046:07,7,2039080

,.:2:,202.43.0397,089O.,880:,72,03,20394F29,/40.0594,;9,23,002

.43806:H3.,/0;028070.0-07.4270:,7/,/0

Page 5: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 5/66

8;9,23,8/4.425048494/,8.4032,800,-47,/,8547;009,8.420.054/,;9,23,

6:0 34 F ,72,03,/, 34 47,3824 8 ;9,23,8 /4 .42504 54/02 807 -079,/47,8 /0

0307,3,20//,6:0,7-41,;3,1,5,790/4 ,3,.493,2/,/4,57/43,F.41,.947

/0 ;E7,8 70,.08 0 4 E./4 5,3949F3.4 F 4 ,.094 8902 ;9,23,8 /4 .42504 6:0 84

;9,23,802,9454F9.,8;9,23,86:03907;H23,1472,4/,8.F:,88,3:J30,83420,/,20390

4E./41O.40,;9,23,

%,23,;9,23,

9,23,F:2.4254894473.46:0F3472,20390:2,,23,4388903:2,572/3,8:-899:J/,

 547:2,54390/0209034,:29,48:-899:J/49,23,902/0807148147,/,5,7,809473,7,.9;,

 50,9,23,/1481,9,806:0F:2,032,/0503/0390/0%!6:08003.4397,34.F70-740341J,/4

0F7085438E;050,148147,4/,9,23,029,23,,.9;,

/1481,94 /0 9,23,  9,23, 574 1  48 1  ,94 807;0 .424 .4032, 02 70,.08 6:0 97,3810702 :2,

:3/,/0,/0J/4,.9;,/,A7085438E;0547/489548/070,.08

 0 8.,7-4,44/,9;,/ 0-.094E./48  #0,.0 8 / 0 97,3 8.09,4 .438890 3, 97,38107H3., /0 :2 ,/0J/4 5,7, 4:974 50, ,.4 /,

97,38.09,80

%4/,8089,870,.08843-/,850,/01.H3.,/09,23,

2.,/,.,844/1481,94/09,23,574547.43,:2.,7-43470,.9;4349,46:01472,:2.,7-434

46:,F-079,/42,89,7/05,7,80,70,7,47:54.,7-434/05470025457:;,94$0:/,20390

4.4254894,70,/4/08.,7-4,80023,3/44 89,70,.44.47703:2.42504032E9.4

.430./4.424.4250457:;,94/08/7403,80

/08.,7-4,4 4/,9;, /4-.094:9,7,94 , 8:..34 0

F.,9,8,/, 547 :2 .42504

032E9.4 2:94 8020,390 3, 8:, 0897:9:7, 57:;,94 /08/7403,80 4;,20390 4 /1481,94 /0

9,23,574547.43,:2.,7-434089E;05,7,70,7.424.,7-434-/4-.094:9,7,94

&2, /08.,7-4,4 4/,9;,8020,390/0/07;,/48/4E./4-.094.,7-4J.4/0,234E./48/0

.,/0, 7,21.,/, :9, /1481,94 /0 9,23, .424 .4032, /0 70,.08 /0 97,38.094,808 F 2:94

8020,390,4/08.794,390747203905,7,70,.084/,9;,8

%$

9,23, F574/:/, 50,85,39,854 /0.0;,/,,774 24A :3;078,3,85,39,854/03/480

03.4397,702,32,88.070,8347013,/480,.,73084-4,8143908

$#@

9,23,F1,.20390,-847;/,54797,385479082508/1:8434F,72,03,/,0 F0.709,/,50,

:73,

Page 6: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 6/66

@$#$%

 ,/01.H3.,/09,23,8:8503/0280,870,.086:0/0,/0503/024:6:01.,229,/,8/01472,

25479,390 .,:8,3/4 , ,.:2:,4 /0 8:-897,948 9,8 .424 57:;,94 50394808 /07;,/48 -

.094.,7-4,948/48,234E./487,21.,/480:.3,840:.3,0;,3,

/F1.0 /0 9,23, 574;4., F7-F7  6:0 F :2, /403, 708:9,390 /0 /09,8 7.,8 02 /7,948 /0

.,7-43454-708029,23,9,8.424,774/08.,8.,/4,:.,71,73,-7,3.,883942,8/089,/403,

8430:745,9,80849,203948,3470,6:00;,2,0/02,8/00307,4.,7/4;,8.:,730:74O.,02:8.:,7

  3.01,45,9, /0 073.0 F :2089,/4 6:0 80 70,.43, .42 /01.H3., /0 9,23, 3.439,780

1706:03902039002,.4O.48.7O3.486:0 .438420254:.48 ,203948 :38 5008 .7:85488:02

:2,032,90724E-9,23,806:0/0897O,9,23,

#-41,;3,;9,23,

7-41,;3,.4388903:2,30/084,4,.3,09074.J..4,/07/4,4,.O4/4,:.,77-94A:2

 520394 1:4708.0390 .47,/4 70,9;,20390 90724089E;0 0 /0.425080 3, 570803, /, : ;8J;0

1494E-

7-41,;3,,.9;,F424343:.0O9/4/0 1,;3,      04/3:.0O9/4/01,;3,0,/033,

    

      1472,80,5,797/,1,;3,547148147,4%!/0503/0390036:,3946:04     83909,80

 547:2,70,.4,/.43,.42%!43/0, 17,.4! /4%!F97,38107/,,404

,.9:,2.4247:54857490.48/0032,84770/:9,808 1,;457490J3,8472,20390487:548

 57489F9.48 03,,280 34 .4;,039020390 8 ,5457490J3,8 ,08 17,.,8 :9,8 1,;457490J3,8

.439H2 :2 4: 2,8 209,8 .424 .41,.94708 08803.,8 24-/F34 10774 803/4 /083,/,8 547

209,41,;457490J3,8

8 032,8 1,;457490J3.,8 84 02 7,3/0 32074 803/4 705708039,/,8 547;E7,8 4770/:9,808 9,8

.424

-,234E./44/,803,/08,23,4/0,234E./48

 ,393,4/,803,/07,/,4/05:73,8

 8:..3,94/ 0 8/74  03,803,/07,/,4/0,/0J/48

  .074 1  48 1  ,94/ 0 8/74  03,8034..4/4E./4.J97.4 ,. 4 0 1  ,;4 5749 0J 3,97,385479,/47,/0 0 3,4/,4/0E./4847/48

//74 54 / 0 8/74  03,803,/08.,7-4,44/,9;,/057:;,940-.094:9,7,94

   / 0 8/74  03,803,.,/0,70857,9O7,3,294.3/7,

%4/48 08908 88902,8 032E9.48 84 ,10.9,/48 507,390 4 /F1.0 /0 7-41,;3, $03/4 .4032,8 ,8

1,;457490J3,8 5,88,3 547 :2, 70/:4 70;078J;0 /4 ,30 /0 84,4,.3, 5,7, 473,7 ,8 1472,8

70/:/,8        0

     

Page 7: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 7/66

%$

7-41,;3,F83909,/,02;009,802.7447,382482,834022,2J107480;0/:7,1J,/40

7284-4,8143908/089,;9,23,

$#@

7-41,;3, F ,-847;/, 547 97,3854790 5,88;4 34 3908934 547 :2, 806:H3.,/0 148147,4 5,7,

1472,77-4 1  ,;3,1  48 1  ,944:   0/08148147,43,2:.48,390893,

@$#$#'

.,7H3., /0 7-41,;3, .,:8, :2 8J3/742, 07, /0 /01.H3., 34 2479, 4-807;,3/480 ;E748

83942,89,8.42408942,990,3:,76:0480489880-4770,0149414-,

47243,8 9,8.424,47243,974/0, 0,%20/.,203948 9,8 .4245742,.3,6:0 F:2

3-/47.425099;401,.947083:97.43,8,10.9,2,.43;0784/,7-41,;3,88:,81472,8,.9;,8

0;/4 8:, 8038-/,/0 : 54/0 473,780 /01.H3., /0 7-41,;3, 02 ,.9,3908 .42

507-77:-F2,6:08097,9,.421494907,5,

,.3,;9,23,

3,.3,F4342003F7.45,7,4 E./43.49J3.44:3.493,2/,6:054/02,.9:,7:24:4:974

.42414390/,;9,23,3,/09,E./43.49J3.4F:2/07;,/42434.,7-4J.4/057/3,

3,.3,,.9;,F4/3:.0O9/4/03.493,2/,,/033,   041481,94/03.493,2/,,/033,

/3:.0O9/4   !

3.493,94F,1472,/03,.3,6:0706:075,7,,8J39080/0

0!

032,857080390834.9484 /, 2,47, /,8 .F:,8 882 6:,6:07 3.493,2/, /09F9., 5,88, 547 :2, 70,.4 /0

/08,23,45,7,807.43;079/,,3.493,944.948443.493,94F.43;079/4,/08,234  

70,3/4 572074 .42  574 1  489,94 / 0  1  48 1  47-484   !  # !!   80:/4 /0 :2, ,/03,4 %!

/0503/0390 7:54 ,2/, /0 :9,23, .4397-: 5,7, 1472,7 , .4032,  6:0 54/0 807

148147,/,5489074720390,!

%$

3,.3,F574/:/,50,85,39,8,5,797/4975941,34:9,3/47,3/086:,39/,/08/0;9,23,

3.4397,8002.070,8074347013,/480900;009,8

$#@

7-41,;3,F,-847;/,34390893400.709,/,3,:73,4807,-847;/,30.0889,/0:2,806:H3.,

/0148147,4

;, ,9073,9;, /0 .438890 3, .43;0784 /0 975941,34 02  02 6:0 .,/, 2 /0

975941,34473,2/03,.3,

Page 8: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 8/66

@$#$

0.0884 /09F9.4 /0 0:.3, 54/0 .,:8,7 , /01.H3., /0 3,.3, 547 3-4 /, 6:43,94

 1481477-4897,38107,80 032, .,;03, .43;0784/0975941,3402 1481,94/0 57/4,

1472,,.9;,/,;9,23,3907;F2.424.41,.9473,;,/08J39080/0 ,5,797/4975941,34

44480:/F1.054/07E574;4.,7:2/F1.0/03,.3,

:9748089,/486:0.43/:02,83942,8/0 50,7,84,,/23897,4/0/090723,/481E72,.489,8

.424,8439,./,4 8J3/742,/4.,7.342,2,3443/04209,-4824/4975941,3480/08;,5,7,,

 574/:4/080749433,0,/403,/0 ,797 : 543/0E,907,43,,-8474/0975941,34

E./43.49J3.414:9,/45,7,,907,5H:9.,70,9;,70/:4/0.40890745,82E9.446:080

97,/:,:2-46:04/03490./4,/54846:070/:,1472,4/,8545749F3,8'0

97,385479,/47,8/0.4089074

./4!,3949F3.4;9,23,

E./45,3949F3.41472,8054770.42-3,4/4E./45,39O.4.42 .,,33,

E./45,3949F3.4,.9;4F,.4032, 4 09,2-F2,57490J3,97,385479,/47,/0,.48 !

,..,7707574903

E./45,3949F3.4F,-847;/4.421,./,/050439089340F5489074720390148147,/4504%!

 5,7,1472,7  148145,39090J3,6:0F47:5457489F9.4/,40/,!

4.439F2:23:.0O9/4/0,/033,;894807:2,.4032,44,148145,39090J3,F,/03,/,

 547%!5,7,1472,7/0814814 4 

148147,413,4.4770.421481,94570.0/0390/0%!,7,/4,47:544/744/,17,.4

7-4805,7,473,74

 7 : 5494 ,.9:,.4245479,/47/07,/.,8,.4024,0!.49445,79.5,3,8

70,.08/4..4/4E./4.J97.43,4/,4/48E./4847/4803,8J39080/0.40890740897:9:7,

;70/041472,70/:/,F705708039,/,5474$43/0803.:47:5470,.9;4$!

 5478:,;05,79.5,0270,.08/08J39080/48E./4847/48

%$

E./45,3949F3.403.4397,8002.070,80:208090./48,32,8

$#@

E./4 5,3949F3.4 F ,-847;/4 34 3908934 0 148147,/4 504 %! 572,7,20390 , E./4

148145,3949F3.40/0548024

@$#$!%%A

/01.H3., /0 E./4 5,3949F3.4 F 7,7, /0;/4 8:, ,25, /897-:4 348 ,203948 803/4

 5,79.:,720390,-:3/,3900290./48,32,8.070,83907,800:208

Page 9: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 9/66

 8J3/742, /4  5F  6:02,390 ,97-:80 /01.H3., /0 5,394903,94 02 578430748 /0 :077, 0

,.425,3,,:2,70/:43,.,5,./,/0/0,.09,4

'9,23,

;9,23, F .43899:J/, 547 97H8 /07;,/48 /0 57/3, 089709,20390 70,.43,/48  57/43,

 57/4,  57/4,23,04880:81481,948.47708543/03908$4507.:784708/4 1481,94/0 57/4, 6:0F

,1472,,.9;,0,573.5,97,385479,/47,5,82E9.,/,;9,23,

%4/,8,8 1472,8 /0 ;9,23, 84 ,-847;/,8 34 3908934 ,;03/4 /:7,390, /0894 :2, .079,

/7O80/0F890708/01481,942,47,/4890./485488::2,032, 57/4, .3,807085438E;0

6:0 .,9,8, , 148147,4 %!/0503/0390 /,8 1472,8 /08148147,/,8 /, ;9,23,,48 80:8 F890708 0

1481,94870850.9;48508,7/41481,94/057/4,807,573.5,1472,,.9;,/089,;9,23,9,2-F24

 1481,94/0 57/4,23,54/0,.9:,7.424.4032,,.9;,

1481,94/057/4,F:2,.4032,/0;E7,8032,83907;030390834209,-4824/0,234E./48

3420,/,2039070,.08/097,38,23,497,3107H3.,/0:27:54,23,/0:2,234E./45,7,:2

.094E./46:08097,381472,34,234E./4.47708543/03900/08.,7-4,4

1481,94/057/4,1472,:2,-,80/0$.1103970480:7:54,/0J/4047,/.,,234/0:2

-,234E./41,.9,3/4,8 974.,8/,897H8,08702,308.03908/4.,7-434-,2345,7,507297,

97,38,23,4/08.,7-4,44:,,.9;/,/0/,,/4,8070850.9;,20390

1481,94/0 57/4, ,.9:,3, .403O80 ;894 6:0 F :2, .4032, 3907,390 34 20.,3824 /0

,.4 /, 148147,80 032, 7085438E;0 50, /07,/,4 /4 .4F34 089, 70,.4 9,2-F2 80

1472, :2, -,80 /0 $.11 3., .42 :2 7:54 ,234 /0 :2 708J/:4 /0 83, /, 032, 6:0

 5072,30.039,.9,,97,;F8/,148147O80/,,4.48J/., F 5,7,1472,7  :.4801481,94 148147,802: 8.:,7 :9,/,;9,23,.47547,949,

#08:2/,20390,81:308/,;9,23,84

$J39080/4020,.9;,,.3,

$J39080/40975941,34

$J39080/48,234E./480480:.,9,-48245,7,,574/:4/030:7497,382884708

$J39080/008134J5/489,8.424,203,

%$

;9,23,03.4397,8002;009,8748802039080904;481J,/4500.,73004;48

$#@

;9,23,F1,.20390,-847;/,3439089340148147,/,4.945,82,,503,841481,94/0

 57/4,041481,94/057/4,23,84,.9;48

Page 10: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 10/66

@$#$'%

/01.H3.,/0;9,23,54/07E80;071.,7348507J4/48/0,.9,4,.4482403,907,5H:9.,/0

843,./,

/01.H3.,84,/,/0F7,7,/09,2,307,6:0480:/F1.025.,:2/F1.007,/,8;9,23,8

/4.42504

 48 ,.903908 ,2,2039,/48 54/080 ;071.,7 :2, /01.H3., 6:,3/4 ,8 208 E 0849,7,2 ,8 8:,8

70807;,8/0;9,23,8/0;/4,4:8457443,/4/0,39.43.05.43,847,88,.4O.489,2-F254/07E,;07:2/F1.0/089,;9,23,/0;/4,4209,-4824/409,34,,.09,/0J/446:00892:,,/7O80

/41481,94/,.4032, 843,./, F :220/.,20394,399:-07.:4846:0 :8,/4 .42 1706:H3.,

 54/07E3/:7,/01.H3.,/0;9,23,5,7,1472,7:2,/7,43,.42457/4,

493,

-493,F:2,;9,23,6:03430.0889,/0807148147,/,5,7,809473,7,.9;,-493,.438890

3:2 /07;,/4 2/,O.4 /897:-:J/4 02 ;E748 ,203948 3,9:7,8 -493, F :2, .4032, /,

.,7-4,80 1:3.43,3/4.424 :2.425430390/0032,82:98:-:39E7,80850.J1.,8 7085438E;08

 547.,7-4,08&24.,7-4,94,80,:2    /,-493,1472,3/4:2390720/E74,.9;46:0

F, .,7-4-493,032,8905,884706:074.438:24/0

  %!      0,.094.424

010.947 ,489F7.4 0890 24/4 47:54 .,7-44 ,.9;,/4 F 97,38107/4 5,7,4 8:-897,94/,70,.4

.42454700254457:;,94

-493,5,79.5,0270,.08/0.,7-4,4803/4.4032,/0032,89,8.424

 ! 7 :;,94.,7-4,80  .09 4 .,7-4,80  ! 74 543 4 .,7-4,80

%$

7,3/0507.039,02/0-493,F4-9/,547;,839F9.,/0-,.9F7,8390893,854/03/408979,2-F2

02295,8143908,2039,7089,8.42484,02,0942,90

$#@

-493,F,-847;/,00.709,/,54797,38547905,88;4

@$#$%

.438:24 /0 4;48 .7:8 54/0 .,:8,7 , /01.H3., /0 -493, ;894 6:0 , .,7, /0 4;4 .439F2 :2,

 57490J3,90724E- 8038J;0,4 .,47,;/3,6:080.42-3,/01472,.438890390.42,-493,

250/3/4 , 8:, ,-8474 0 /0803.,/0,3/4 , 8:, /01.H3., 8 83942,8 3.:02 /0570884

,:.3,08/47082:8.:,7080/072,9908

Page 11: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 11/66

,:8H3.,/,032,44.,7-4,80 83909,806:0,/070,-493,,4708J/:4/083,/,8,54032,8

/0.,7-4,8089,2-F254/07E574;4.,783942,8/0/01.H3.,/,-493,3.:3/4,,.:2:,4/0

8:-897,948 /,8 032,8 6:0 /0503/02 /089, .4032, 0 6:0 80 54/02 03.4397,7 3, :73, %,8

8:-897,94854/0748074,.9,94 .209.74943,94 .74574543,9404 ./74-:97,94

'9,23,.4-,,23,

;9,23,F,3.,;9,23,/4.425046:0F,72,03,/,3447,3824,348341J,/4

.4-,,23, ;9,23, 902 :2, 0897:9:7, .J.., .4250, ,30 /0 .4773, 8020,390 8

 547173,86:,80,:24.4-,94,4,/43480:.039744:80, F:2.42548949097,577O.434

 5471J7.4,8543908089,-00./,884/1070390803970 8,4.4397E74/489097,577O.485471J7.48.:,8

 543908089,-00./,8 848020,3908039708%0248 ;,70/,/08/0.4-,,23,.4384,39046:0089E

,/4,4,303420,/,20390

 # .,34.4-,,23,

 #/74.4-,,23,

 # /084,/0348 ,/0348.4-,,23,

 # 209.4-,,23,

81472,8,.9;,8/089,;9,23,84, 209.4-,,23,0,/084,/0348.4-,,23,.4-,,23,0

,/74.4-,,23,84,503,81472,8/097,38487:5484:,/48,4E9424/0.4-,94

/0;028078:-899:J/48547:27,/.,2094:547:2708J/:4,/03485,7,.43899:9/:,8.4032,8

,.9;,8 , 209 .4-,,23,0 , / 0 84,/ 0348 .4-,,23, 0548 /4 80: 97,3854790 504 8,3:0 ,

.4-,,23,;700397,5,7,4.9484/,8.F:,8.424/74.4-,,23,

;9,23,84170:2.43:394/0574.088489,8.424 5O8,8:,30894,;9,23,.0,.,;/,/0E897.,43/080,,4 1,.947 #1472,3/4:2

.425046:0,574900/,,.4/,,./0E897.,

 4 0892,4 574/:80 5,7, ,F2 /0 E./4 .47J/7.4 4  1,.947  397J380.4 /0  ,890        6:0

3907;F2 34 574.0884 /0 ,-8474 /089, ;9,23, 5749003/4, /, ,.4 /,8 -,.9F7,8 /, 147,

390893,

80.7045,3.70E9.,F7.,039704:97,8.48,802 57490,80#6:0507290805,7,741,.947#/,

;9,23,6:05489074720390,3J;0/:4/03,,80,41,.947397J380.4

 4 J043 90723, 03.4397,280 70.0594708 6:070.430.02, ,884.,4 ;9507293/4 ,

,-8474/,;9,23,

5O8807,-847;/,,8097,38.4-,,23, 6:0,97,385479,,9F,41J,/443/0F,72,03,/,

;9,23,F:9,/,3,8.F:,85,7,70,.08294.43/7,80.945,82E9.,8

%4/,8089,870,.088074,-47/,/,82,854720347,/,2039030890.,5J9:4

Page 12: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 12/66

%$

;9,23,F0.:8;,2039083909,/,5472.7447,38248803/44-9/,348574/:948,32,80

803/4,72,03,/,341J,/4A83909,/,.4207.,2039084-,1472,/0.,34.4-,,23,

$#@

;9,23,54/0807,-847;/,80:3/4/4820.,382483420,/,20390

%7,38547905,88;46:0/0.4770,4434/,2:.48,390893,2,88OF;E/46:,3/4E6:,39/,/08.438/07E;08/0;9,23,34203390893,4:80,,503,8/,;9,23,F,-847;/,/089,

2,307,

2.43.0397,08184O.,83472,8,;9,23,,4.0,7.,;/,/0E897.,,80,4

 1  ,.947  #57490J3,574/:/,50,83/:,88,;,7081472,3/4:2.425046:0,574900/,,./0

E897.,0,48,7/40892,40,43J;0/,5474/4/:4/034,97,;F8/,  5749 0,80 #,;9,23,

805,7,80/41,.947#0.42-3,80.424 1  ,.947 397J 3 80.4.457490J3,83909,/,50,8.F:,8

4..J59.,81,.94708806:080.42-3,.4224F.:,8/0;9,23,1472,3/4:2.425046:0,

 574900 /, /07,/,4 547 5,790/,8 032,8 390893,8 0 /,,.4 /,8 -,.9F7,8 390893,8 803/4 4

.4250470.430./454770.05947080850.J1.4889:,/483,547490723,/4J043;9,23,F

-079,/,/0890.42504504  #0,83   ,.947 570803903,.F:,390893,503097,3/43403907O.94

 547/1:841,.9,/,,-,3/43,3/441,.947397J380.46:01.,34203390893,2-47,,805,7,4

/0890.4250480,7E5/,,,-8474/089,;9,23,F039,/0247,3/4,:2,847,8,9F5,88,75,7,

,;0,5479,5O8,805,7,4/41,.947397J380.4,;9,23,.42-3,80.42, 97,38.4-,,23,

  6:097,385479,,;9,23,,9F8.F:,8/41J,/4805,7,3/480/0,,97,;F8/,,.4/0848842,8

/03974 /,8 .F:,8 507293/4 , 709034 /, ;9,23, 3,8 .F:,8 05E9.,8 ,8 .F:,8 05E9.,8 ,

;9,23,F,72,03,/,34.945,82,,884.,3/48097,38.4-,,23, 

 4.9484.43;07908002209.4-,,23,4:0397,3,8294.3/7,85,7,1472,7

 /084,/0348.4-,,23,89,.4032,/084,/0348.4-,,23, 5,79.5,3,.43;0784 /0

209 2,43 4 , 8:..3 4 70,.425479,3903,;,209,-O.,5476:097,381472,4574543,94

3:2.4254894/4..4/070-889,F:2,70,.4.7J9.,/4..4/070-83,;,/0.43;0784/0

 574543,94 3:2 .4254894 /4 ..4 /4 E./4 .J97.4 44 902 254793., 34 574.0884 /0

304:.4F3080 A 2:94 25479,390 348 7:23,3908 E 6:0 4 574543,94 F 4 574/:94 573.5, /,

1072039,42.74-,3,3487:23,3908

209.4-,,23, 1472, .948O., /, .4-,,23, F :2, .4032, 6:0 3907;F2 3, .43;0784

.42-3,/,/0424.89 0J 3,,209433,02099 097,/74 1  4,94,9 097,/74 1  4,94089,70,.447:54

2094:3/4.4-,,23,F97,38107/45,7,,424.890J3,5,7,1472,7209433,/0548,.4-,,23,

7024;0 4 7:54 2094 /0    2099097,/7414,94 5,7, 1472,7 9097,/7414,94 8 -0301J.48

209,-O.48/089, 70,.4 .43889023,.43807;,4/,870807;,8/0 209433, 03, /8543-/,/0/0

9097,/7414,94/024/4,1.,702/8543J;085,7,,8J39080/05:73,8572/3,80E./483:.0.48

209.4-,,23,507290,45,79.5,73,70,.4/48:..34:39,20390.42,.3,473,7

:2  7 :54020

Page 13: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 13/66

 , 294.3/7,E 97,381472,4 /0209 2,43  4  02 $ :..3  4  70,.4 .,9,,/, 547 :2,

2:9,80803/4,.4032,/089,70,.4,;9,23,84-,1472,/0,/0348.4-,,23,

 , .F:, 4.4770 5479,394 :2, 84207,4 0 :2, 97,381472,4 .,9,,/, 50, 209 2,43  4 

2:9,80803/4,/ 0 84,/ 0348 .4-,,23,,1472,/,;9,23,6:0.43/.43,088,97,381472,4

97,38.4-,,23, F:2,57490J3,7085438E;050,0.704/,;9,23,-J8F,573.5,

1472, /0 0.704 /, ;9,23, 803/4 /, ;9,23, 0.709,/, 50,8 ;,8 -,708 803/4

70,-847;/4850,2:.48,/4J043047089,390023,/4

@$#$

&23/;J/:46:034903,0892,434.4380:0,-847;07;9,23,E6:0,8.F:,80590,8

/40892,4574/:0241,.947397J380.408803.,5,7,,,-8474/,;9,23,0890.,8430.9,80

.,34.4-,,23, 1472, .4207., /, ;9,23, !0884,8 , 6:02 147,27024;/,8 , 92, 5,790 /4

3908934J0434:/40892,49H2/070.0-072038,20390;9,23,397,;0348,

":,3/4E:2-46:04.,:8,/450,.,7H3.,/41,.947397J380.44089,/4F.430./4.424,302,

 5073.48,8;009,7,3485488:02:2,/01.H3.,/09F9.,70,:2,;06:0,;9,23,,503,8

8003.4397,02,203948/04702,32,

/01.H3., /0 ;9,23, .43/: ,907,4 /, 70,.4 .,9,,/, 50, 209433, 83909,80

 574;4.,3/4,302, ,302,20,4-E89., /0;080,4 97,3894734 3, 8J39080 /0 ,10.9,3/4 ,

1472,4/43.04020797O.94834;484:80,,/23:43,8J39080/05:73,0572/3,.,:8,/,

 504 /F1.0 /0 9097,/7414,94 /0;/4 ,4 1,.94 /0 4 14,94 1.,7 ,57843,/4 84- , 1472, /0

2099097,/7414,94 %,2-F2 4.4770 424.8937, 0 2092,O3.4 ,./7, 97,3894734

30:74O.46:0,.425,3,4/F1.0/0;9,23,54/080780.:3/E74,:2/F1.0/0209433,

47,2 /08.7948 6:,974 97,38947348 070/9E748 /4 209,-4824 /, .4-,,23, 48 /008 ,10.9,2

,503,8 , 8J39080 /0 /084,/0348.4-,,23, 348 4:9748 /48 E :2, 3.,5,./,/0 3, 8J39080 /0

/084,/0348.4-,,23,4:209.4-,,23,

./41O.414,94

 14,.3,F4342003F7.46:0034-,4E./41O.408:-893.,870,.43,/,86:09H2,,.9;/,/0

 -46:J2.,/4E./41O.4E./41O.4708:9,/,:34/097H8 .42548948 5907/3, !E./4

 5,7,234-03O.4 0 E./4  :92.4573.5,1472,02.7.:,4/4E./41O.4F,8:,1472,

2434209,/,026:04E./41O.470.0-0:27:5420943472,2039089:,/43,5484 E./4

  2099097,/741O.4  9097,/7414,94  8 /07;,/48 /4 14,94 14730./48 50, /09, 84

/07,/,/48547032,80850.J1.,8/,-47/,/:7,0208.4;,3420,/,20390,.43 : ,806:0/07,/,48

/07;,/48/014,94, 14,94/02434 :9,246:070/:80,9 097,/74 1  4,94,97,;F8/,032, 14,94

70/ :9,806:0:9,4!.424/,/47/006:;,0390870/:94708A574;E;06:04854:9,2,948

/09097,/7414,9480,2.4032,81:3.43,8/4890./48573.5,203901J,/4020/:,O880,43/0

84 83909,/48 48 0797O.948 E 34 47,3824 4 E./4 1O.4 F 20/,9,20390 70/:/4 , E./4

Page 14: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 14/66

//741O.4,5O8841707:2,/:5,70/:40/0548F34;,2039070/:/4,E./49097,/741O.402

/:,870,.08.,9,8,/,850, 14,9470/ :9,80050,//7414,9470/ :9,80

9097,/7414,94F:297,385479,/47/0.4754802

  :3/,/08/0:2.,7-43402;E748089E/48/0

4/,4 0 3907.43;079J;08 209 209034 20903 1472 1472234 4-903/4 .47548 02

  /,

8073,14722340:9,2,948073,97,381070/01472,70;078J;07:548209034,49097,/7414,94

 5,7,1472,7.3,0  1  4,949 097,/74209 034     08803.,5,7,4209,-4824/0.4754802

   1  4,949 097,/74209 034     54/0 70/:780 ,  1  4,949 097,/74209   

6:0

44 54/0 841707 :2, /7,9,4 5,88,3/4 ,  1  4,949 097,/74 1  47 2    4: ,

 1  4,949 097,/74 1  47 2     1472234 :9,2,94:2.,9,-O94/089/3,97,381070480:7:54

1472234,49097,/7414,945,7,1472,7  1  4,949 097,/74 1  47 2234  

9097,/7414,94:9,48.4754802

  573.5,203905,7,,8J39080/0-,80857.,80209433,

 573.5, /4 E./4 1O.4 0890390 02 .7.:,4 F , 8:, 1472, 2434209,/, 02 6:0 4 E./4 1O.4

70.0-0 :2 7:54 209489:,/43, 54841472,3/4 4E./4  1  O.49 097,/74209    89,F

:2, 1472, 2434:92., /4 E./4 1O.4 6:0 54/0 1,.20390 .7.:,7 03970 ,8 .F:,8 803/4 089,8

3.,5,08/0470907

8 1472,8 397,.0:,708 /4E./4 1O.4 84 ,8 1472,8 /0/741O.,8 0 9097,/741O.,8":,3/4 0397,

/03974/,8.F:,8,97,;F8/0:297,385479,/474 E./4  1  O.49 097,/74209    F97,381472,/402

E./49097,/741O.4,97,;F8/,70244/47:54 209    3:2,70,.4;9,23,/0503/0390

6:0 5489074720390 F .43:,/4 5,88,3/4 5,7, :2, 1472, 54:92., .43:,80 .42 :2 E./4

 54:92.41.,3/4709/43,.F:,:38.43:,/4834203.43;0790254:9,2,948,2434

0/:9,2,948 803/4 ,-847;/48 34 0:34 5742, !479,3944E./4 1O.4 0890 3,.7.:,43,

1472,2434:92.,803/43089,1472,6:03907,0.42470.05947

%$

14,94 03.4397,80 02 ,203948 9,8 .424 84, ;07/:7,8 43/0 0890 3, 1472, /0 .43:,/4

 54:92.41J,/443/008903, 1472,/0.43:,/45039,:9,24803/4307/43,1472,/0

8,8/014,94

$#@

14,94F,-847;/4,3J;0343908934/0,/4340:345742,803/4,72,03,/4341J,/448

 574.08848/0,-8474E147,2,39074720390/08.7948A023,/40.:8;,2039050,-J801008

@$#$

/F1.0 /0 E./4 1O.4 54/0 0;,7 ,302, 20,4-E89., ;894 6:0 4

 1  4,949 097,/74209 034     14730.04 7:54 20945,7,, 1472,4/0 92/,94 507.:7847

30.088E74 5,7, , 8J39080 /0 0 5,7, , 1472,4 /0 0797O.948 43.429,390 .42 , 70/:4/0

Page 15: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 15/66

209034,7:54209449097,/7414,944/,80,/0/7414,946:0/054870.43;07908034;,20390

, 9097,/7414,94 5,7, :84 54890747 44 ,8 .F:,8 6:0 83909,2 92/,94 84 5,79.:,720390

;:307E;08,3-/4708/,14,9470/:9,809,8.42442094970,94

44507,4;9,2J3.,;9,23,E./41O.4

.4250/,/0 /,8 3907,.08 03970 , ;9,23, 0 4 14,94 84 :2, .43806:H3., /, 8:,

 5,79.5,4.42:23,70,.4/08J39080/0209433,44/F1.08/0;9,23,84.425038,/48

 547/09,87.,80214,94

!!'%

.4-,,23,2,8.43.709,20390, 209.4-,,23,;,14730.07424.890J3,:27:542095,7,

 574/:7209433,497,38107747:54209,.4-,,23,;,-:8.E4,42099097,/7414,945,7,

,8J39080/034;4/0209.4-,,23,/024/4,,;07:2 544 /09097,/7414,94":,3/4344.4770

089,70,.44209,-4824/414,941.,570:/.,/497,/:3/480547:2/010943,8J39080/00

, :2, 2,9:7,4 20,4-E89., 02 5,.03908 .42 /F1.0 /0 .4-,,23, !07,390 , /01.H3., /0

.4-,,23, 4  1  4,949 097,/74209    34 .43:,/4 0 70.039020390 7097,/4 /, .7.:,4

8,3:J30, 34 F .43;079/4 02 4:97,8 1472,8 /0 9097,/7414,94 890 574.0884 F /083,/4 547

,72,/, /4 14,94  1  4,9  97, 5 890 574.0884 05.,5476:0F6:0 4,72,03,2039490./:,7 /4

14,94 507,390 4 /F1.0 /0 .4-,,23, F 8:-89,3.,20390 70/:/4 ,;03/4 :2, 70/:4

/08574547.43,/,3,.43:,46:,3/4.425,7,/48.424814,94834.43:,/48

!479,394,.4-,,23,F08803.,5,7,,700307,4/02099097,/7414,94,9097,/7414,94

!!

E./41O.45488::2,1:3408803.,6:0F497,3854790/0.4754802

  3420,/,203907:548

209 84- , 1472, /02099097,/7414,94 14390 /48 .47548 02

  F 3472,203904,234E./4

8073,6:070,0.4249097,/7414,945,7,1472,7.3,0  1  4,949 097,/74209      &2,

,9073,9;,F4E./41472234:92.4390720/E74/4209,-4824/,89/3,6:014730.0480:

7:54 1472234 ,4 9097,/7414,94 5,7, 1472,7 4,94097,/74 1   1  47 22349    0 E./4 :92.4

8908/07;,/48.43899:02:2544/,/473907.43;079J;0/0/07;,/48/09097,/7414,946:00;,2;E7,8 24F.:,8 .42 .,7-434 8 .43899:3908/0890 544 54/02 14730.07 ,8 8:,8 24F.:,8 /0

.,7-434 , :2, ,.09,/47 ,57457,/4 5,7, 1472,7 390720/E748 209,-O.48 6:0 84 13,20390

.43;079/4802-4.48.43897:94708:8,/483,8J39080/02,.7424F.:,8-4O.,8&2,3.,0.054

F,70,.4/08J39080/092/,943,6:,4//7414,94F4574/:94803/430.088E7480770/:/4,

9097,/7414,94 50, 032,/0/7414,94 70/:9,80 ,3908 /054/07 700397,7 34 544 /,/47 8 7:548

   0    54/02.0/077:548,.9;,/48803/4.,5,08/097,385479,77:548209

!479,3944E./41O.4F08803.,5,7,497,3854790/0.4754802

  3420,/,203907:548209

Page 16: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 16/66

$%

8-,8948O-:48;072048/07,3/08/20380884708:9,/4/,/01.H3.,/,8J39080/0

480797O.94834841707029,39,8/;8086:,394/0;07,21472,3/48007974-,8948!,7,,.43;0784

/0 /084:7/,94 , /08492/,94 6:0 F 08803., 5,7, , 8J39080 /0 802 00 34 54/0

4.47707 088, 8J39080 !,7, 6:0 5488, 4.47707 089, .43;0784 F 30.088E74 6:0 ,,

 1  4,949 097,/74209      !,7, 9, 902 6:0 ,;07 :2, .43;0784 /0 9097,/7414,94 02

 1  4,949 097,/74209     

A .42:2 ,;07 4 /F1.0 82:9304 /0 .4-,,23, 0 E./4 1O.4 084 -46:J2., 708:9, 3,

2,9:7,4 20,4-E89., /,8 .F:,8 O880,8 0 .,:8, ,3/, ,3472,/,/08 0897:9:7,8 0 1:3.43,8 3,

7E5/,574107,4/0.F:,80590,8/,2:.48,390893, /F1.0,.039:,/4/0:2,;9,23,54/0

0;,72E,-8474/04:97,

!#$

.,:8,2,8.42:2 /0/01.H3.,/0;9,23,F, ,302,5073.48, 43/0,80.704/4 1,.947

397J380.4.088,,9F,4,97414/,2:.48,E897.,!47;00840892,4574/:1,.947397J380.4,3472,

4:20824303:246:00;,:,20390/01.H3.,/0.4-,,23,89,,302,708:9,/,574/:4

/0,39.47548,39,;03/4/F1.0/014,948

'9,23,E./4,8.O7-.4

;9,23, 5488: :2, 0897:9:7, 8020,390 ,4 /, .480 /0 43/0 /07;, 02 7,3/0 5,790 /48

2,2J1074844-89,390,,:8H3.,/,032,  :434,.943,4/,803447,3824250/0,8J39080

/0;9,23,0897:9:7,/,;9,23,F457O574E./4,8.O7-.4.:,573.5,1:34.43889002/4,706:;,0390870/:947084/,3/480, E./4/08/74,8.O7-.46:054782082454/0,.9:,7.424

14390/,;9,23,

E./4 ,8.O7-.4F:2 ,0390 70/:947 .42:254903., /0/74F34 ' 4 6:0 0 507290

70/:7.42548948 .42444F34 240.:,7397,94 0.94.74248, 0. 820.,38248 /0,.4/0

2:9,8/,8,.9;/,/08/4E./4,8.O7-.484039702:948

/74,4/,5743,3,8J39080/0.4,F34

 ,/07,/,4/,97483,,4/,4/0 5/7410357 :;,94,4240398,94706:07;9,23,

6:0 54/0 .43807;,7 4 089,/4 70/:/4 /4 .4-70 30.088E74 5,7, , ,.9;/,/0 2E2, 5,88480:390.,9,8,8050, 4240398,94/403,80 6:0 F:2,032,6:0706:07 10774 3,1472,

107748,0;9,23,

 ,8J39080/0,/703,3,,5,797/097483,345,884/0/45,23, ./74,80

 ,1472,4/0E./4-,7/:7,3904574.08843.,/0-/74,80

A30.088E7434 .O7908:57, 703, 3420,/,2039034824203948 /00892:,4 /,3/:,50,

47243,8:57,7034.479.497O5.,,97,;F8/,8J39080/0;E7,8085F.0870/:947,8

 ,,-8474/01077446:000;,.438/07,;020390,.43.0397,4/0;9,23,3447,3824

Page 17: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 17/66

!4/0 ,.9:,7 .424 ,394/,390 /74884;0 07, 54/03/4 3-7 , 1472,4 /0 39748,23,8

/:7,390,/0894

:/, , ;9,23, 0 3, 4/,4 5476:0 9,2-F2 807;0 /0 $.,;,307 3, .,59,4 /0 7,/.,8

;708

40397,7 3, 1472,4 /4 9097,/7414,94902:2, ,.4,394/,3900 9,2-F2 3, 1472,4/0

89,23,,882.4243,1,4.9480

%$

;9,23,03.4397,8002,2039489,8.424;07/:7,80.97348

$#@

E./4 ,8.O7-.4F,-847;/4 02 6:,80 94/,8,8 54708/4 3908934 /0,/4 /0 :2, 1472,7E5/,

/897-:3/480 2,8 4: 20348 547 94/4 4 47,3824 2,8 .43.0397,80 2,8 3, 8:57,703, 3,:38

4.,8/4209,-4824/,97483,;8946:0;,807.41,.947/02:9,8/,870,.08

%0248.42400254,8J39080/06:,8094/,8,847243,8/4.O7908:57,703,9,8.4244.479840,

,/4890743,

@$#$$#

/F1.0/0;9,23,54/00;,7,4 08.47-:946:08070,.43,.42,8J39080,3472,/0.4,F34

0;,3/4, 02477,,88:-.:930,8/0-/,/0 2:8.:,73.,4/0E70,8-7,3/,80,174:,20394/48

/03908:7,80504.438:24/017:9,80;009,81708.48

'9,23,854884;08

8 ;9,23,8 54884;08 84 24F.:,8 /741O-.,8 ,54,708 6:0 /07;,2 /4 8457034 8:,

,-8474/0503/0/,,-8474/48J5/48&2,;0348,3:08497,385479,/,8,97,;F8/05457490J3,8

4:57490J3,897,385479,/47,80850.J1.,88;9,23,854884;089H21:308;,7,/,89,8.424

' 9,23, ;84

' 9,23, 209,-482414814.E.4

' 9,23,  ,394/,390

' 9,23, .4,:,48,3:J30,308940.088;,/0;9,23,854884;0854/00;,7,:2,394.,4

'9,23,

;9,23, F :2 .43:394 /0 24F.:,8 6:0 ,5708039,2 ;E7,8 1472,8 70934  E./4 7093O.4 0

7093, $494/488O207481:3.43,82,8,1472,2,8.42:2F470934

Page 18: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 18/66

7 0934  F:2 54845703O/0 6:0 .439F2:2 ,30 ..40034 0:2, 1:34 ,.O4 7093, 04

E./47093O.4,5708039,2,2082,1472,/1073/4,503,8347:541:3.43,;9,23,902.424

 573.5,81:308

'84

#0574/:4

$0.704/02:.4

708.20394

10703.,40590,

 ..,749034 F :2, 57O;9,23, 0890390 348 ;009,8 803/4 :2 520394 ,2,704,,7,3,/4

.43899:J/4 547 /:,8 24F.:,8/07093, :3/,8 3, 09702/,/0 ,/0J/4 /,88:,8.,/0,8 .,7-43,/,8

$03/4, 573.5, 14390 /,;9,23, 34 9:-4 /089;4 F 8:-209/4 ,.4/,/403,80,.9;,/,

 5048 8,8 -,708 6:0:9, 4F34 .;,3/4, 24F.:, ..,749 034 02 /:,824F.:,8 /0 7093,

:3/,8547:2,5439049:-4/089;490248,3/,:2, 70/ :9,806:0.43;0790/47093,

02709340:2,4/,806:0.43;0790/47093,,E./47093O.4

;9,23,F5479,39457,9.,20390,-847;/,84-,1472,/07093470934F/054897,385479,/4

 5,88;,203905,7,43908934/0,/4803/4089071.,/484-,1472,/0J5/43420,/,2039002E./4

 5,2J9.4E./447/4 38,9:7,/4803/4,72,03,/,84-, 1472,/0F890708/070934 70934E./4

 5,2J9.4

$02570 6:0 F30.088E74 70934 341J,/448 F890708/0 70934 84 /884;/483, 47/:7,/, /09,0

/85078,280 02 49,8 /0 -J8 0 /74,280 34 203 390893, 80:/48 /0,-8474 /70.9, 34

059F4390893,470934F97,385479,/4,9F,41J,/4,97,;F8/486:42.743870934708:9,390

,80 !54709343/!7490,80:2,,-:23,6:04

97,385479,,:2,.F:,,;4,.F:,,;46:054/0:9,74897H89548/0;9,23,47093454/0

807.43;079/4,E./47 093O.470,.4770;078J;04:, 7 093,   50,7093,/0J/470/ :9,806:0:9,

 ! 

Page 19: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 19/66

E./4 7093O.4 :2, ;0 1472,/4 34 54/0 807 70.43;079/4 70934 4: , 7093,0802503,:2

 5,5025479,39002

 , 8J39080 /0 .457490J3,8 397,.0:,708 8:, 1472, 148147,/, ,80 , 97,385479,/4708 /0

4488,.E7/48 ,97,;F8 /,8 202-7,3,8 4: 4488,.E7/48 6:0 84 :9,/48 3, 8J39080 /0

.457490J3,8#! 0:,7#0934../3/3!74903507290,24-,4/4E./4

7093O.45,7,43.04/024/4,507297,8J39080/0.457490J3,8

 4.708.203940/10703.,4.0:,7:/,3,1472,4/0 2 #  70:,3/4,#54207,80

     5/072. 743 ,.947 F :2 1,.947 /0 .708.20394 6:0 0892:, ,8 .F:,8 ,

/10703.,70280803/49,3942,801.,6:,3942,870.05947084:;07020;,3/4/10703.,4

.0:,7

70934 /0802503,:25,5025479,3903,70574/:43420,/,203903,085072,94F30800,

.F:, 43/0 80 , #!  0:,7 #0934 3/3 !74903 803/4 97,385479,/4 ,9F ,4 3.04

0892:,3/4 , 574/:4 /0 .079,8 .F:,8 70:,3/4 ,882 , 0570884 /0 .07948 0308 0802503,

,882:25,5025479,390,3J;047243,.425479,3/480.42447243,08907O/0

7093,  /0802503, :2 5,50 25479,390 3, ;84 5O8 4 70934 807 .43;079/4 , 7093, 089, F

,72,03,/,3,8.F:,8/48.4308/0-,89430908/,7093,7093,5488:/488O20748

4 ,97,387093,  0 4 .87093,  .87093, .42-3,80 .42 :2 520394 4583,

1472,3/480 , 74/4583, 520394 570/423,390 348 -,89430908 74/4583, /0.425080

7,5/,2039084-,,.4/,:84,7024583,0,97,387093,74/4583,6:,3/480/0.4250

1472,.4254303908.,8.,9,/0149497,38/:4903/4.4241:34,,-079:7,/0.,3,8/0  , 0

0.9,7 ,8 90723,08 307;48,8O59.,8 1472,3/4 :2 25:84 6:0 .7, :2 089J2:4 34 307;4 O59.4

97,38293/4,8038,4/0.47:507293/4:2,.079,;8:,,43408.:74

Page 20: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 20/66

8902;E7489548/074/4583,8.42;E7489548/0,-84708874/4583,8,.9;,884-,,.4/,

:84,7,3,2/10703908.431472,08

%$

;9,23, 03.4397,80 02 ,203948 9,8 .424 ;009,8 3420,/,20390 .034:7, 03970 4:9748

3.4397,809,2-F202,203948,32,884-,1472,/0F890708/070934

$#@

,-8474F109, , 3J;0 /4 203 390893,803/4,72,03,/, 34 1J,/4 84- , 1472,/0 F890708/0

70934086:02,,-,4705708039,/424897,3:2,;8407,4574.0884/0,-8474/,;9,23,

@$#$'%/F1.0/0;9,23,574;4., .0 :07,34.9 :73,6:04.47706:,3/4,870807;,805E9.,808946:,80

0849,/,8/0897:4/4890./48.0:,708 07419,2,574;4.,.0:07,!4/00;,7/81:34/0

/;0784820.,38248 .0:,708&2,2,47/050.4.43/:6:07,93,4/4890./480590,8/4

44 5:2080;,8 ,8974390893,8,.45,/,, :2, 70/:4/,80.704 /02:.48, /F1.0/089,

;9,23,708:9,/0:2,/09,54-7002;009,8

'9,23,

;9,23, F:2, 57O47243, 08907O/0 A 4-9/, 547 149O80 :97,;409, 4: 547 30894 84-,

1472,/0074.,.1074;9,23,1472,80,5,797/057O;9,23,83420,/,20390 07489074 0

/08/74.4089074  20/,390 , ,.4 /, : 84,7 89,8 /:,8 57O;9,23,8 /10702 34 1,.94 /0 4

07489074 5488:7 :2, .,/0, ,907, 38,9:7,/, 0 :2 7:54 2094 097, 8 7,48 :; /, : 84,7

3./0284-4,30/0,2-4848.425489481472,3/4803,5004 .40.,.1074 ;9,23,   4:

3,85,39,84074.,.1074 ;9,23,   2-,8,8;9,23,85488:02:,549H3.,/,3/4,2-,8

4702, .,.974 

   ;9,23, /0;07, 807 .438/07,/, :2, 47243, ;894 6:0

,.9:,.4249,!488:1:3089,8.424 #0:,4/4209,-482414814.E.4

#0:,4/,!%

#0:,4/,48904.,.F2,

%$

;9,23,03.4397,8002,2039489,8.4248,248,7/3,1J,/402,/04;40902,390,

Page 21: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 21/66

$#@

2,47, /, ;92,23, F 574/:/, 3, 23, /0 ,5 3, 05/0720 , 5,797 /0

/0/74.4089074547,.4/,:84,7&297,385479,/470850.J1.457490J3,,390/,;9,23,6:0F

3472,20390:2,4-:3,4-:3,  97,385479,,57F;9,23,/,5004:/4390893443/0F

,-847;/,3,82.0,85,7,4 1J,/443/0F/74,/,3,548470,.46:04.477034709J.:4

03/45,82E9.43:2,70,.4026:03907;F24! 0:21,.947.945,82E9.450,032,

/74,80472,80,8824     /74.40.,.1074   0397, 02 .7.:,4 573.5,

1472,/,;9,23,803/497,385479,/,,9F,4873848738F24/1.,/4841703/4:2,/74,4

,3J;0 /4572074.,7-434 70,.4 6:0 4.4770 3,8 294.3/7,8/48 9-:48 .439473,/48 5742,8

 50,032,

-/74,804:/74

  /74,801472,3/480- //74 

   .,.974  

  54/09,2-F2807/74,/43,5484547:2,032,6:04.43;0790,

//74   1472,54:.4,.9;,6:054/0807.43;079/,,.,.974

@$#$'%

/F1.002;9,23,574;4.,7,6:98240489042,,.,6:0708:9,/,54:.,05484:84,7

4:3089438:1.0390/,;9,23,

'9,23,

A705708039,/, 547:2, 1,2J, /094.O8 8:-899 :J/48 3420,/,20390-       .         /09,

 09,   0 09,    81472,82,81706:0390884,8-3420,/,203904-94.41074 

4:   9720994.4 94.41074574;F2/4704/,:34/05,,;7,894483,8.20394.42

50307 .43.0-0748,32,88:5074708089,;9,23,F08803.,5,7,,1079/,/089,;9,23,

 5488: :2, 00;,/, ,13/,/0 5,7, ,8 202-7,3,8 -4O.,8 3420,/,20390 202-7,3,8 /,8

294.3/7,8709J.:403/45,82E9.40202-7,3,5,82E9.,

0802503,/:,825479,39081:308

 394/,390 , ;9,23, F 4 2,8 25479,390 ,394/,390 3,9:7, /0103/03/4 4 47,3824

.4397,, 5074/,4 /48 E./48 47/48 5438,9:7,/48 .439/48 348 14814J5/48 /,8 202-7,3,8

.945,82E9.,80 8:-.0:,708 894.4107O8,.9:,2 .424,394/,3908 3907742503/4 70,.08/0 .,/0,8 .42 7,/.,8 ;708 .424 708:9,/4 /, 8:, .,5,./,/0 5,7, 97,381077 :2 /74F34

103O.4,:27,/.,507O4;70/0:2E./447/45438,9:7,/45074/,/4

44 % 4. # % 4.  # F

 # % 4. #  4 F  574/ :941  3, ;7 0

Page 22: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 22/66

&27,/., ;7034F2,86:0:2,24F.:,.42:24:2,800.9708/08025,70,/48903/H3.,

 5,7,,77,3.,74800.97086:01,9,25,7,,/6:77089,-/,/09473,43:2.42548947,/4,.9;4%4/,8

,8085F.086:070,02.4244F34847,/.,8;708

7,/., ;70 1472,/4 54/0 70,7 .42 , ;9,23, /0 24/4 , 700307,7 4 94.41074 4: 54/0

.42-3,780 .42 :2 4:974 7,/., ;70 /0 9, 24/4 6:0 4-94.41074 34 80 ,.45, 1,.20390 ,

4/,0870;078J;08,30.742,340,.,/0,,907,4/,2803:2574/:9434 ;70890574/:94

/04/,4.43:,80.424E./4:.47O3.454739072F/4/47:544/74803/40.709,/43,-J8$070,7/09,1472,494.4107434F70..,/4,5O84/08025034/,8:,1:34903/4/0

4.47707 94/, , 8:, 8:-899:4 80:3/4 ,8 70,.08 ,.2, 705708039,/,8 4 .4397E74 /,8 4:97,8

;9,23,8494.4107434F34;,20390:9E;0,5O870,,7,88:,81:308/0;03/480770.:507,/4

949,20390/024/4,.4393:,7480:5,503,.F:,5,50/0,394/,390/494.41074F01.,5,7,

00;,/,8.43.0397,08/04F34903/03/4,.43.0397,7803,80897:9:7,85J/.,86:0089405489,8

,57088085,7.,8/0 2,800;,/,8.42454700254,8202-7,3,8/480797O.9480,8.F:,8/,

E7;470870857,9O7,

  09,-4824 /4 80F34 ,   :9,94 5074/,80 /, 6:, 1, 5,790 4 80F34 574547.43, :2,

80:3/, 3, /0 /0108, .4397, 507O/48 ,3908 6:0 80 5488,2 5745,,7 02 70,.08 02.,/0,

0843,3/4 202-7,3,8 0 4:9748 .4254303908 .0:,708 882 4 94.41074 0 4 80F34 70/:02 4

706:0720394/0:20/04:9744:70147,2.,/,:2,8,.08/44:974.4397,507O/48/0J5/48

80F34F,3/,30.088E745,7,,1:345,3.70E9.,3472,6:05478:,;0F30.088E7,5,7,,

/0894 0 ,-8474 /0 J5/48 3.:3/4 , ;9,23, 0 1472, 3;078, , ;9,23, 70/: ,8

30.088/,/08/080F34,4250/7,8:,507/,.47547,4:547.43807;,4/,8:,1472,,.9;,

;9,23, F 9,2-F2 /0802503, 4:97,8 1:308 9,8 .424 3, 089,-,4 /, 4 3, 70857,4

.0:,734,:20394/,8J39080/4020,:2039,3/4,,.9;/,/0/,,83909,800/,,/08/7,9,80

03907;F202/;078,870,.08807;3/4.424.4032,

%$

;9,23,03.4397,80573.5,2039034,77400240,348,8

$

#@

;9,23,F,-847;/,547/1:845,88;,34/:4/0340:343,/0503/H3.,/,,-8474/0J5/48

0F,72,03,/,3490./4,/5484

89,;9,23,F97,385479,/,348,3:0547545749F3,85720745473.47547,43486:42.7438

6:0/897-:02,;9,23,,4890./486:0.439H25457490J3,8 5,805,7,41J,/4026:42.7438

Page 23: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 23/66

702,308.039080,3/,5,7,,8070,4, 5,797/41J,/4/05457490J3,8/02:94-,,/038/,/0

'   

@$#$'%

/F1.0/0;9,23,54/00;,7,,302,3420,/,20390027E;,8.43806:03902039048,.9,3908

/0;/4 574/:4 08.,88, /0 0244-3, 0 :2 03.:79,20394 /4 90254 /0 ;/, /4 0797O.94

17,,3/44 ,-8474 /01.0390 /0 J5/48 54/0 0;,7 ,4 /F1.0 /, ;9,23, 54/03/4 .,:8,7 97,38947348

30:74O.48!4/0,3/,0;,7,08907/,/0/89741,2:8.:,70,907,08/4$

'9,23,

;9,23,F705708039,/,547:2.43:394/024F.:,86:0507903.02.,880/,83,1946:343,8

3420,/,20390 146:343,     0203,6:343,     203,/43,    

;9,23, F ,72,03,/, 34 1J,/4 902547,7,20390 46:2.,20390 34 1J,/4 3/: ,

.,7-4,4 F .4032, /0 ;E7,8 70,.08 903/4 0850., ,13/,/0 5,7, 4 E./4   :92.4

.,7-4,3/4,.,7-4 :9,2,94:2,234E./41:3/,2039,5,7,,.,7-4,4/0;E7,857490J3,8

08903908 02 .7.:,4 3420,/,20390 1  ,.947 0 8 / 0 .4,  :,4 ' 1,.94708 6:0 84

/0503/03908 0 7.48 02 E./4 :92.4 1,.947 57O9742-3, .439F2 708J/:48 /0 E./4

:92.446:0507290,6:0,4/4.E.43:2,3907,.457490J3,.E.414814J5/40850.J1.,

;9,23,0397,341J,/484-,1472,/06:343,803/4.43;079/,,/74 6:343,1472,,.9;,

6:080/10703.4,8002 05O/41,.20390.43;079/4,6:343,803/4:2..4/:7E;0/:7,390

..48

%$

146:343,    03.4397,8057080390348;009,89,8.42440,348,80;07/:7,8, 203,6:343,

   03.4397,8002,203948,32,80F83909,/,50,8-,.9F7,8/43908934 0203,/43,

   F

:2,;9,23,/08J39080

Page 24: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 24/66

$#@

,-8474/0;9,23,706:07,,-8474/0J5/488/07;,/48/,;9,23,3,9:7,8,-847;0280

,503,83,570803,/08,8-,7089,.42448J5/48803/4/897-:J/483,.7.:,4;,31E9.,02

6:42.7438203,/43,

   F,-847;/,3,,:8H3.,/08,8-,7085,88,3/4/70.9,20390;0,

 5479,05E9.,2-47,3.,2039080,.:2:0341J,/4,.43.0397,405E9.,/,;9,23,/0.3,

.427,5/0803/4480:,72,03,2039429,/44709J.:403/45,82E9.405E9.408904..4/,

;9,23,43/04574/:94708:9,390/,.,7-4,405O/4F.43;079/450,

05470/ :9,80 3, 1472, 6:343, :9,3/4 :2 70/:947 /94 70/:4 /, 6:343,,

/746:343,547!.42509,4..4700307,3/4,1472,,.9;,/,;9,23,;071:7,,.2,

@$#$'%

A.42:2348,.9,390870.F23,8./486:084;:307E;08,4/F1.0/,;9,23,;8946:0,5,.039,

34507290,5,88,02/,;9,23,,41094.4201.H3.,04390893431,39F089F7,43,8.20394

/F1.0/0;9,23,54/0/0;07802E,-8474/0J5/48,6:,8054/0,.425,3,7,/81:34

 5,3.70E9.,/403,-,7,9741,/,2:.48,390893,039704:9748

Page 25: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 25/66

!%&     $%

0134

 0894 F 4 574.0884 504 6:, 48 ,203948 307/48 84- , 1472, /0 ,748 54J20748 84

97,381472,/4802:3/,/080897:9:7,8/01472,,6:05488,2807,-847;/485,7,,.47703908,3:J30,

'8407,

":,3/44,203940397,349:-4/089;43.,20390;,80703;4;/45472:.40032,89,8.424

, ,2,80 8,;,7 0 , 5,80 3:, 6:0 34 ,.9:,2, 3J;0 /, /0894 57490., 8 ,203948 84

979:7,/480424030,/483,.,;/,/047,/0:9/481472,3/44-44,2039,76:0F97,385479,/4

,9F,408O1,46:05478:,;0.43/:48,203948,9F,40892,4A84-709:/4/40892,46:080/E

,/089457490.,803/44O7443/048,203948846:010948%02:2,.,5,./,/0/0,

 573.5, 1:34 /4 0892,4 F , 574/:4 /0 E./4 .47J/7.4 0 57490,808 4 9:-4 /089;4 90248

,3/,,4:9748O748.,/,:2.42:2,1:340850.J1.,

 53.70,8574/:,,2,805,3.70E9.,5,805,3.70E9.,57O5059/,800-.,7-43,94

;08J.:,-,7.43.0397,40,72,03,20394/,-J8

1J,/4574/:8,8-,708

3908934/0,/4/0894/48,2039480,-8474/03:9703908000.97O948

390893474884,-8474/0E:,000.97O948

8573.5,809,5,8/,/089484 424030,420.3.,/48,20394808:,289:7,.42488:.48/089;48

80.704/0032,8/089;,8

80.704/000.97O9485,7,.7,7:25O5924032E9.4

80.704/0E./48-,7085,7,,84:-,4J5/.,

/7O808:5071J.0390893,/04O207480/J20748

97,3854790/48574/:948/0/0894000.97O948,97,;F8/,8.F:,8390893,8

!4/0248.,881.,797H81,803,/0894

 1,80.01E.,44/47045038,20394/48,2039480,5,7H3.,8;07-,8/0803.,/0,2,574/:4/0

547,.4/,,.9.43,%,2-F2F574/:/489,23,

 1,80 E897.,,570803,/0,20394834.03974E897.41,.426:0,,,574/:4/050,

,.4/,,.09.43,,8973,089,23,

 1,80/ :4/03, ,-8474

 8:.4 E897.4F08803.,20390.43899:J/4E:,2:.3,88,8473.480032,8/089;,8

Page 26: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 26/66

8944,/40892,4

0892,4F1472,/4039704:97,80897:9:7,850, .E7/,504.47540504,3974.E7/,F1472,/,

 50,8  3/ :,8 .E7/.,8 6:0 80.709,2 2:.4 .4754 F .43899:J/4 50,8  3/ :,8 4J39.,8 4:

 5,709,86:05488:026:,9749548/0.F:,8

.F :,8 573.5,8574/:02505834F34

.F :,8 5,709,8574/:020

.F :,803907403/O.73,8574/:0247243,89,8.424,8973,089,23,

.F :,8 80.70947,8/02:.4

,3974F.43899:J/450,8 3/ :,8,397,86:05488:02/489548/0.F:,8

.F :,8 574/:02,8973,

.F :,8 574/:02842,9489,93,

!74/:4/0./447J/7.4

E./4.47J/7.4F574/:/450,8.F:,85,709,8/40892,480:3/497H8089J2:48 ,.09.43,5488::270.05947

  

89,23,5488::270.05947

  

 ,8973, 5488::270.05947

0 94/48 48 089J2:48 , 89,23, F 4 2,8 25479,390 8 97H8 089J2:48 84 .3F7.48 ,.9:,3/4

.43:39,20390 3, .F:, 5,709, 574/:4 /0 89,23, F 54903.,/, 5048 4:9748 /48 089J2:48

,.09.43, 0 ,8973, 4 6:0 1, .42 6:0 , 89,23,80, 574/:/,02 2,47 6:,39/,/0 803/4

 5479,3942,8 25479,3905,7,, .F:,5,709,890220.,3824/0100/-,.30890 .,84100/-,.

30,9;4894F,574/:4/01,.426:045/23:,2:947,5/,203900892:,3/4,8.F:,8

/4,3974.F:,8,574/:7842,9489,93,6:07,3-7,574/:4/0,8973,3,8.F:,84.,8

/23:3/4,574/:4/0

Page 27: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 27/66

5488:;E7,81:3089,8.424

A7085438E;050,08907,4/48,20394800;9,,.443,4E897.,547-,.9F7,8

!488::25,501:3/,2039,3,/089457490.,

!488::25,501:3/,2039,3,,-8474/0/;07848.42543039089,8.4244107740;9,23, .9:,84-4505834F34

$%#$&@

  89,23,

 .09.43,0 ,8973,

Page 28: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 28/66

89,23, :9, :2 80:3/4 2038,074 89,23, 5488: :2, 0897:9:7, 5059J/., .42 97H8

8:-:3/,/08

,.09.43,,.9:,,3J;0/4870.05947086:054/02807/0/489548

 #0.0594708  /0-,,,13/,/01,02.426:080,-7,248.,3,8/,202-7,3,507293/4,

0397,/,/0.E.45,7,/03974/,.F:,

 #0.0594708  /0 ,9, ,13/,/0 0;,2 24-,4 /,8 57490J3,80 .43806:039020390 ,

,.9;,4 /,  148145,80   6:0 , 5,797 /4 1481,9/34894 971481,94 574/: /48 9548 /0

2038,0748 /,..074  0 34894  971489,94 34894 971481,94 0397, 34 709J.:4

03/45,82E9.4 ,97,;F8 /0 70.0594708 0850.J1.48 3/:3/4 , ,-079:7, /48 .,3,8 /0 .E.4 /4

709J.:4.E.47E,.9;,7,.,24/ :3,.3,806:07E148147,7,-42-,/0574908

,8973,.425479,80/,2082,2,307,6:0,,.09.43,803/4,3.,/10703,4954/070.0594708

3,,8973,9024870.0594708

8 97H8 47243,8 89,23, ,.09.43, 0 ,8973, ,.,-, 94/,8 34 20824 574.0884 6:0 F ,

148147,4/,-42-,/0574908

Page 29: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 29/66

5,797/,/8543-/,/0/0E:,089,5475749O8054/0807/0.425489,34880:8.43899:390808

  0 574908    4

  .42-3,80 7,5/,20390 .42 4 /O/4 /0 .,7-434 574;030390 /4

209,-4824.0:,70547,.4/,,3/7,80.,7-O3., 1472,804 4-.,7-43,946:0F 97,385479,/4

 547/1:841,.9,/,954,3954790:39,20390.424.4746:00397,3,.F:,

202-7,3, ,5., 5488: :2, -42-, 6:0 5488: /:,8 8:-:3/,/08 0 8:-:3/,/0 F ,

/423,39001:3.43,036:,3946:0,8:-:3/,/0807;05,7,.43107708906:42097,0089,-/,/0,4

.43:3946:0089E,/4202-7,3,4-0.9;4/089,0897:9:7,57490.,-424-,F1,07.426:04

 57494 574/:/4 34 390747 /, .F:, 80, ,3,/4 34 203 02 974., .42 4 549E884 6:0 0397, 34

390747/,.F:,89,-42-, 5749O3., ,5708039, :27,3/0 .438:24/00307, 9473,3/480 ,.9;,

6:,3/4, 8:-:3/,/0F148147,/,89,-42-,.7, :27,/0390 00.9746:J2.4 6:0 F ,574;09,/4

 504.4745,7,8,7 /,.F:, .43/ :93.,/0 147, 07,/47,E0250340892,44.474:39,80

.42457494    /,3/44702,4E./4.47J/7.4890F7085438E;05045E897.4039700

$$$

!,7,5749007,8.F:,8E897.,8/,34.;/,/0/4E./4.47J/7.4,8.F:,8E897.,8/0803;4;07,2

20.,38248/0/0108,8:,8:5071J.01472,3/4:2,-,7707,,.,3,.4397,,,.4/4E./4.47J/7.4

250/3/4,882,/0897:4/,8.F:,8

20.,3824

 ,83/:,805E897.,808902:2.43:394/0.F:,8574/:947,8/0-.,7-43,94

20.,3824

Page 30: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 30/66

8902.457490J3,8574/:/,8547 .F:,8 80.70947,8 /02:.4 4:80, 8:5071J.0 /,8.F:,8/4

0892,40890:2,-,7707,,.,3,.43899:J/,5472:.40-.,7-43,94250/3/44.439,.94/70.94

039704E./4.47J/7.40,8.F:,8

20.,3824

!74/:4, 5,797 /48 14814J5/48 /,8 202-7,3,8 /,8.F:,8E897.,8 /0E./4,7,6:/O3.4E./4

47/4 5438,9:7,/46:020/,390:2.43:394/0506:03,897,381472,08032E9.,8 574/::2.4254894  57489,,3/3,    6:0 F :2 .4254894 1:3/,2039, 5,7,,8 .F:,8E897.,8 ;894 6:0

0892:, 34 8O , 574/:4 /0 2:.4 0 -.,7-43,94 2,8 9,2-F2 0892:, 4 9:734;07 .0:,7

;,8.:,7,404,54790/04F348.F:,8E897.,8

0894/,857490J3,8

/0894/,85749F3,83.,80340892,48.F:,8E897.,83420,/,20390,8.F:,8573.5,8

 574/:02:2,032,3,.9;,/,1,2J,/4824F348 505834F34/08./,/45,-,4/0

1,.426:04505834F34.4200,807.;,/4507/03/45,790/,24F.:,803/4088,5,790507//,

806:03.,203906:,3/445,930;,4708,-,4/043/0E2,8574/:4/050583,547.;,02

03970 48 708J/:48 0 /4 505834F34 882 4 505834F34 97,381472,80 02 50583, :2,

032,,.9;,50583,,8826:0F1472,/,.43899:0,57O57,:2089J2:45,7,,/10703.,4/4505834F34

0250583,,:94.,9E803,570803,/0

E./4 .47J/7.4 5488: :2, 574570/,/0 6:0 .438890 02 /083,9:7,7,8 57490J3,8 6:0-7,3/4 , 8:,

0897:9:7,907.E7,1,03/4.426:0,857490J3,8507.,2480:0374,20394,/6:73/4:2,850.94/0

.,/0,545059J/.,5,7,6:0032,89,8.424,50583,5488,2,.9:,730,8

":,394.;,02/0:2,57490J3,,8032,854/0280.,881.,702/489548

045059/,806:,3/4.;,:2,57490J3,3,8:,09702/,/0

Page 31: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 31/66

03/45059/,806:,3/4.;,:2,57490J3,3,8:,548439072F/,

50583, 0850.1.,20390 F :2, 03/4 5059/,80 .;,3/4 57490J3,8 3, 8:, 5484 39072F/,

473,3/45F59/48/0506:03,8/203808

8574/:948 /, /0894 57490.,,4 8,J702 /4 0892,4 5,88,2 5,7,,57207,5474 /4 /:4/034

43/0 45 F ,.,34 ,50583, F 3,.9;,/, ,57207, 5474 /4 3908934 /0,/408902 :2,8

3/:,8  3/ :,8/ 0 7 :2207 0 0-07 6:080.709,2039704:97,8.48,8/:,8032,8 80.7093,

0.40.8946:33,6:084032,86:00892:,2,574/:4/48:.45,3.70E9.453.70,8708543/0/02,307,/107039080.7093,0.40.8946:33,80.7093,5,70.00892:,74

 53.70,8,574/:7E:,000.97O948036:,3946:0, .40.8946:33,5,70.0 0892:,7, 574/:4/0

032,8/089;,8

8 ,203948 6:010948 34 0892,4 50, ,.4 /4 E./4 .47J/7.4 84 30:97,,/48 50, E:, 0

00.97O948574/:/4850453.70,85O59245,7,,574/:4/,8032,8/453.70,8F03970

%4/,8,8032,8/453.70,803.4397,2803,.9;,884-,1472,/024F348,.9;,43.,F

109, 547 :2, 032, 574/:/,50,8 .F :,8 / 0 7 :2207  6:3,80 390893,  6:0 ,4 148147,7 4

975834F340;,8:,17,2039,497,381472,3/440297583,89,8/:,8032,89,2-F2841702

103O30248 /0 ,:94.,9E80 97583, 7E ,.9;,7 ,8 7089,3908 032,8 /4 53.70,8 8 032,8

 5,3.70E9.,8 03.4397,280 70;089/,8 547 .457490J3,8 6:0 ,8 574900 /, ,.4 /0 57490,808 0 /0

/09070390830890.,84E./48-,708

       $ !#   $        @ !# &%$

% 7583,   3/4 5059/,80 .;, ,8   ,0 8 39 07 3,8 /48

7 0 8J/ :48 / 0 83, 0 ,7   33, .;, 4:97,8

 574032,85,3.7 0E9.,8

  4 5F 59/48

":2497583,   3/4 5059/,80 .;, ,8   ,0 8 0397 0

,234E./48 ,742E9.48 4: ,234E./4830:9748

  4 5F 59/48

  ,89,80   3/4 5059/,80 .;, ,8   ,0 8 0397 0

,234E./48, 1  E9.48

  4 5F 59/48

 ,7-45059/,80    4 5059/,80 .;, ,8 0 97 02/,/ 0 8 .,7-4 

02,234E./48,742E9.48

  4 5F 59/48

 ,7-45059/,80    4 5059/,80 .;, ,8 0 97 02/,/ 0 8 .,7-4 

6:,3/4 8097,9,/,,7   33,0/,83,

  4 5F 59/48

 ,202-7,3,/4 /:4/0340890 :2,0850.,,4-47/,/ :7,0208.4;,6:0F7.,02032,8

25479,39083,/0894/,857490J3,8088,8032,8/,24843420/0  5059/,80 8/,-47/,/ :7,02

Page 32: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 32/66

0 8.4;, 803/4,8 2,8 25479,3908 ,8,234445059/,808 6:0.;,2 ,234E./48 ,23490723,

/48445F59/48/,3/44702,,234E./480506:03485F59/48/5F59/488,.08/,8032,8

/, -47/,/:7, 02 08.4;, /4 4702 1:3/,2039,20390 , 97H8 574/:948 ,234E./48  /5F59/48 0

975F59/48 89,8 84 ,8 1472,8 6:0 4 47,3824 ,-847;0 903/4 4 47,3824 2,8 ,13/,/0 5,7,

,-847;07/5F59/48 /0548 48 ,234E./48 0 13,2039048 975F59/48 8975F59/48 84/07,/,/48

6:07343907476:0734090747/,.F:,036:,3946:0489097,5F59/4884/07,/,/48147,/,.F:,

       $  #   &#     $'        @ !# &%$

 234445059/,808  504203489548 

 ;, ,234E./48 3, 0 97 02/,/ 0

.,7-4 / 05F 59/48/ 0,234E./48

 234E./48

  5F 59/48

 2345059/,80  ;,/ 5F 59/48.42,234E./48E./48

3,0 97 02/,/ 0,2349 07 23, 

 234E./48

 5059/,80  ;,/ 5F 59/486:0.439H2209433,  234E./48 5059/,80  ;,/ 5F 59/486:0.439H2  .3,  234E./48

 5059/  ,2345059/,80

 '

 ;,5F 59/48/ 05743,.42:2  7 :54

-,234;7 0

 ! F 59/48

 234E./48 ,7-45059/,80!  ;, 5F 59/48 / 0 5743, .42 4   7 :54

.,7-4 9 07 23, ;7 0

 ! F 59/48

 234E./48

  :9,2 97,385059/,80  ;,   ,0 8    :9,2  0 97,3 8 107 0

   :9,23,5,7,:2,234E./44:5F 59/47 0.05947 

   :9,2 

,234E./4 ! F 59/48

  4,94 43 : ,80  ;,59 074 54   :9,2,948  434   :9,2,948

 ! 059/,808.945,82E9.,8

 5059/,808 ;E7489548   ;,,2,47,/48/ 5F 59/48  234E./48

 234975059/,80  ;,,2,47,/4897 5F 59/48  234E./48

 ! 743,/5059/,80  ;,/ 5F 59/48.425743,  234E./48

 ! 743,

97,3854790/48,234E./48F 1094 3472,2039054797,3854790 1,.9,/4803/4/0:2 24/4 07,

8O/4 /0503/0390 , 0307, 5,7, 4 97,3854790 /48 ,234E./48 /07;, /70.9,20390 /4 7,/0390

00.9746:J2.4 /0 8O/4 0 3/70.9,20390 /4 %! 02 6:0 034-, :2 88902, /, 202-7,3, /,

 -47/,/:7, 02 08.4;, 0 /, 202-7,3, -,84,907, 4 88902, /, 202-7,3, /, -47/,/:7, 02 08.4;,

08902;E74888902,8,234E./48-E8.480E./4803, 202-7,3,-,84,907,089026:,9749548

/097,3854790$

97,385479,/475488:0850.,,13/,/05,7,48/5F59/480850.,203906:,3/4 48,234E./4808943,1472,5F59/,

08902,234E./4830:97483485F59/48

08902,234E./48/0.,/0,43,3485F59/48

%#$!#%      % 

 $&$%#%

Page 33: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 33/66

  02-7,3,/,-47/,/ :7,0208.4;,

 234E./4830:9748  !         .

 234E./4830:9748

 03,,33,0209433,

 234E./4805743,

 .,,33,

 234E./48-E8.48

 83,.89 0J 3,,234E./48-E8.48

 234E./48E./48   :9,2,94,8 5,79,94

  02-7,3,,84,907, 

   $ 

$ 0 0.9;4$ 0 0.9;4

 234E./48 30:9748,,33, 8073,.89 0J 3,

 :9,23,89/3,,8 5,7,  3,

8,234E./48 84 0394 ,-847;/48 , 3J;0 /4 3908934 34 0:34 0 5,88,2 5,7, 4 88902, 5479,

0397,3/402.7.:,4803/44/0893441J,/443/0;4807197,/48;8946:041J,/4F:24.,/0

8J390800/07,/,441J,/448,234E./4854/02907;E748/089348

$0702:.4F3.48507.:784708/,.4803,304:.4F3080

$07;702/0507.:784708/4.4F343,.4F3080

397,70234..4/070-8

$0702.094F3.4814730.0/4708/0,.094

:38,234E./48;45,7,4828.:4843/084170297,38,23,497,38107H3.,/0:27:54,23,

/0:2,234E./45,7,4-.094E./4.47708543/0390,97,;F8/0:2,97,38,23,806:0:9, 57/4,

 1481,94.424.41,.947E,234E./486:0348497,38,23,/483420,/,20390,83,970433,0

,234E./48.J..485743,0/745743,A:2574.088470;078J;0-.094E./414730.047:54

,234,4  :9,2,946:08097,381472,02  :9,23,6:0F:297,385479,/47/0,2O3,41J,/4,

:9,23, -079, 4 7:54 ,23, 6:0 F 5489074720390 /748,/, 50,  :9,23,80 02   :9,2,94 0

,2O3,,2O3,0397,548907472039034..4/,:70,803/4:9,/,5,7,,8J39080/,2082,1472,

/00.704/4,243J,.46:0F9O.4:70,1472,/,F97,385479,/,,9F,48738803/40.709,/,3,

:73,8,234E./48307/48020.08843484,72,03,/48803/4/07,/,/48

0894/48J./48

8573.5,8./48570803908348,20394884

 2/41472,/450,,2450.93,6:0.439F2,08.48J/.,8 -0-050,,2480

6:0.439F2,08.48J/.,8-

 $ ,.,74801472,/,547  :.4800 17 :9480,/,8547:2,,4-48J/.,

  ,94801472,/,547/:,824F.:,8/0.480,4-

Page 34: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 34/66

 ,.9480 1472,/,547:2, .4800:2, ,,.9480,4 .

  :.480

 ,,.9480

  7 :9480

8 243488,.E7/48 .480 17:9480 0 ,,.9480 34 30.0889,2 /0 807 /748,/48 5,7, 80702

,-847;/48 8 /88,.E7/48 048 5488,.E7/48 30.0889,2 /0 807 /748,/48 5,7,80702 ,-847;/48

3420,/,2039050,8/88,.,7/,/080,2,805,3.70E9.,70850.9;,20390

/0894/48J./483.,803,.,;/,/0-:.,50,,.4/, -,2,80574/:/,50,83/:,8

 5,7O9/,8-,2,80 8,;,7 F:2,03/488,.,7/,806:0,.9:,08803.,203900254J20748/0.480

9,8.4244,2/46:0.43899:J/450,,24806:05488:,0830,708 -050,,2450.93,

6:05488:,0830,708-07,21.,/,8-,.4/089,032,F708979,/0;/4,490254

/0.439,.94.424,2039408:,0397,/,340892,443/0/08.045O5924/089,032,$O.;,

,08 - 803/4 48 574/:948 708:9,3908 2,9480 /88,.E7/4 2,9497480 9788,.E7/4 0

4488,.E7/48/0.,/0,7,21.,/,-9,8.42448-/097348

 40892,4,,2,808,;,7F3,.9;,/,344.47703/46:,6:0770,.430890 4.,/0894/48

J./48 574880:0 34 0:34 43/0 ;, 4.47707 , /7O80 13, /48 /88,.E7/48 0 5488,.E7/48 02

243488,.E7/48,97,;F8/0032,84.,,/,83,8:5071J.0/,8506:03,8.F:,80590,8/43908934

       $  #   &#     $'           $!             $&$%#% !# &%$

  :.4,2,80 -.48/,80 

   ,0 8- . .

 2480  :.480

   842,9,80 - .48/,80 

   ,0 8

-  . .

   842,9480

-/ 0 97348

 :.480

  ,9,80 -.48/,80 

   ,0 8

- . .  ,9480

  ,9497480

 :.480

 $ ,.,7,80  842,9,80    ,0 8

- .$ ,.,7480  :.480

  7 :9480

- -% 70,,80    ,0 8

- .% 7 0,480  :.480

 ..48/,80    ,0 8

 . .

.48 .07,2/,  :.480

 07,2/, ,.9,80  .,,.948/,80     ,0 8

 .,  ,.9480  :.480

,,.9480

8.F:,8/,-47/,/:7,0208.4;,847.,802/88,.,7/,808

84488,.,7/,808840488,.,7/,8086:07024;02243488,.E7/483,09702/,/03470/:947,/4

4488,.E7/48-.48/,8085488:02:2,.,5,./,/03472,203902:942,476:0,30.088E7,

 E, .,,.948/,80,.9,805488::2,,.429,390%02489,2-F2,-,2,80 5,3.70E9.,6:0

 5488: 0850.,,13/,/05,7, ,8 ,08 7,21.,/,8-.;,3/4,8A:2,84032,/,,2,80

Page 35: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 35/66

8,;,7803/42,80850.J1.,548F574/:/,022,476:,39/,/05488:2,890254/0.439,.94.42

48,2039486:0-7,:,20390,08-2,89,2-F2-

8/88,.E7/484488,.E7/4805488,.E7/486:03484/748,/4850, -,2,804:5474:97,8

032,8 570803908 8:5071J.0 /4 059F4 390893, 34 54/02 807,-847;/48 5479,394 ,.,3,2 ,

 5474 310747/439089346:0, 5,797/,5,79013,/4 J043.439H2-,.9F7,88-,.9F7,854/02

:9,72:948/48/7,948/0.,7-4347089,3908;8945488:7022:9,88,.,7/,8088243488,.E7/48

708:9,3908 /, ,.4 /,8 032,8 -,.907,3,8 84 570/423,39020390 209,-4,/48 ,3,074-.,20390 50,857O57,8-,.9F7,8708:9,3/402574/:948/0/07,/,4 3420,/,20390E./4847/48/0.,/0,

.:79,,.9,94/74F34209,340/O/4/0.,7-434%4/4808908.4254894854/020;,780.704/0

1:J/48,:20394/,249/,/0390893,0.O.,8/0;/4,4,:20394/,570884482O9.,397,:23,0

/89034 /4 3908934 4: 547 :2 01094 779,390 /70.94 708:9,390 /48 574/:948 /0 /07,/,4 /,8

 -,.9F7,8 8 ,08  .48J/.,8 /,  ,,.9480 03.4397,280 3, .431:7,4 -  0 8O 54/02 807

/748,/,8 547 032,8 -,.907,3,8 ,:.,7 2,8 82508 /089, 1,2J, F , 7,13480 970,480

30.0889,/0:2,/88,.,7/,800850.J1.,970,,80

8 243488,.E7/48 84 ,-847;/48 547 :2 97,3854790 20/,/4 547 :2 97,385479,/47 2,47, /48

243488,.E7/48 708:9,3908 /, /0894 /48 ./48 84 , :.480 ,,.9480 0 17:.9480 ,-8474

/08908 243488,.E7/48 F :2 574.0884 20/,/4 547 :2 97,385479,/47 E 504 20348 /48 9548 /0

97,385479,/4708/0243488,.E7/486:097,385479,2348/42025,7,,.F:,

 497,385479,/47    , 243488,.E7/4$   %  9020850.,,13/,/05,7,497,3854790,.45,/4

/0:.4804:,,.9480.42   , 0.,9,8,,,-8474,.9;,/0,:.,708

% 7,385479,/47    , 3/0503/0390   &%  5488:0850.,,13/,/05,7,497,38547901,.9,/4

/017:9480 % 7,35479,/47 /0243488,.E7/48

  , 3/0503/0390    &%   97,385479,6:,6:07:2/4897H8

243488,.E7/48%4/484897,385479,/4708&%20/0,241:4/08,.45,/4/0.480,1,;47/4

80:7,/0390/0.43.0397,4

 ;07 1    :7,/ 0;355

0894/48J5/48

48J5/48/,/09,.07.,/084705708039,/48504897.F7/486:084.43899:J/48547E./48

47/480:2E.440504814814J5/48.4089074F890708/0.4089074039704:97488J5/48

84/013/4850,8:,-4,84:-/,/00284;03908473.480,8:,54:.,303:2,84:-/,/002

84:08,6:48,80;/4,08901,.94008903/0280,,70,78034803/41,.20390,-847;J;08

890574-02,F8:507,/4,97,;F8/0

 :203943,E7 0,/ 039 07  1  ,801  ,80,6:48, 1  ,80 5J/., $ 4 :- ,4/48J  5/48,97,;F8/ 0/ 09 07   039 0 8  8,8-,7 0 8/08945J/.,54/0807708:2/,3,880:39081,808

Page 36: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 36/66

  /7O80/4897,.   .07O802E./48  47/4802434,.   .07O8

$ 4 :- ,45048E./48-,708097,3 8 5479 0/420339 0 893, 5,7,, 8:507  1  J .0.0 :,7 

 , 59,4 / 0 E./48   47/48 ;7 0 8 0 2434,.   .07O8 5,7, / 03974 /, .F :, 0 7 0 8J 39 0 80 /48

97,.   .07O8

  25,.49,20394 /48 97,.   .07O8 839 09 ,/48/ 034;4 02  O-:48 0 8 50.,8 7.4802 J  5/48

6:42.7,

   4.9480/486:42.7,5,7,,8.F :,80, 8:,-079,43,3 1  ,

3.,2039048J5/48841702,,.4/, 5,803 :, 574/:/,50,8  3/ :,8 8,;,7 0 8/ 0  -307 

5,803:,5488:0850.,,13/,/05,7,,5484/4897.F7/48/0.,/0,.:79,903/4:2,

,.429,/,/0;/4,4.:79490254/0.439,.94.4248,203948

 4 0892,4 90248, 5,80 E897., 6:0 902 0850., ,13/,/05,7,, 5484 /4897.F7/48 F

7085438E;050,1472,4/0:2,17,.,02:841472,/,54714814J5/48/,,2039,4":,3/48,02

/40892,41472,80:2,39071,80, 09 0E  :,34/:4/0341472,3/4:2,02:8484:-,4

/,847/:7,803;4;/,8547:2,.,2,/,/08,8-,708

5,80 5,3.70E9.,F:2,032,0850.J1.,5,7,F8907083,5484-/4.0745701073/454808

/097.F7/48/0.,/0,43,.422,8/0.,7-43488574/:948708:9,390884E./4847/48

0 2434.F7/48 1472, 5:71.,/, /, 5,80 F 1479020390 3-/, 5048 E./48 -,708 6:0 80

03.4397,2 34 /:4/034 /:7,390 , /0894 5J/., 890 574-02, F 8:507,/4 ,97,;F8 /, .45,80

574/:/, 06:24,7203900270,4 5,80803/47085438E;050,.4770.9,.44.,4085,.,/,

5,80,882.42450,8:,,.9;,4.45,80F80.709,/,50453.70,8.424:2,57O.45,80803/4

30.088E74 .;,7 :2 /0.,5F59/4 4.,,/4 3, 5484 90723, 5,7, 80 9473,7 ,.9;, 8:.4

 5,3.70E9.4 80.709, 9,2-F2 02 08907,80 20348 0850.J1., 6:0 ,.9:, 84- F890708 /0 .4089074 0

2434.F7/4889,08907,80 148145,80

  30.0889,/08,8-,70897583,0.E.45,7,809473,7

,.9;,5,805,3.70E9.,.;,,08/4954036:,3946:0,148145,80

  .;,,08954

803/44814814J5/48,-847;/485,88;,20390 .4089074 08907,80.;,4.408907402E./447/40

.074

80.704-,7F7.,02E:,.4089074E./48-,708-77:-3,E./4847/48089071.,/484:

340574/:948/00.7047,3/04-0.9;4/,;08J.:,-,7F.43.0397,70,.:2:,7,-J8

$#$

8 E./48 -,708 84 /090703908 -4O.48 83909,/48 50,8 .F:,8 05E9.,8 0 80.709,/48 .424

.43:,/48/, .3,4: 9,:73,.42,-J834/:4/0348E./48-,7088483909,/48,5,797/4

.408907454/03/480724/1.,/4850,8-,.9F7,8390893,88 E./48-,708 572E748844E./4

.O.4   04E./4/084.O.4  4/:4/03448E./48-,708841702,,.4/,8032,8

 -,.907,3,86:07024;0247:543,5484 1472,3/480E./4/084.O.4 ,5,797/4

E./4.O.40E./494.O.4 574/:/402203476:,39/,/0,5,797/4E./4/084.O.48

Page 37: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 37/66

E./48 -,708 572E748 0 80.:3/E748 84 70,-847;/48 504 3908934 5,7, 4 8,3:0 5479, 803/4

80.709,/4834;,203903,-J8 4 1J,/4 48E./48 -,708 84 .43:,/48 .42, 9,:73, 4: .3,

,97,;F8/0,08445059J/.,8

 488J39080/0-77 :-3,

020403,80 3, 570803, /0 ! 0 .;, ,54390-209034 /4 020 6:0 , 48 /48

708J/:48577O.48.,7-434-209034F.43;079/4,243O/4/0.,7-434.:,506:03,5474F

0.709,/, 34 97,94 70857,9O74 020403,80 :9, 0394 4 020 .424 8:-897,94 .42 ,

 5,79.5,45488J;0/4107743420.,3824/0.;,02089,70,.4708:9,49097,5774

-;07/3, 6:0F70/:/,, -77 :-3, -50,-77 :-3,70/ :9,80-77:-3,574;F2348O

/48 O-:48 ;072048 2,8 9,2-F2 /48 .94.74248 803/4 :2 24/4 /0 9:734;07 /48 O-:48

;072048 -77:-3, F 54:.4 84;0 02 84:08 ,6:48,8 0 02 ;,4708 /0 5 184O.4 A

97,385479,/,345,82,,/,,-:23, 8F7.,,-77:-3,54/08079O.,6:,3/43.47547,/,3,8

202-7,3,8-4O.,8-77:-3,F039497,385479,/,5,7,41J,/443/034805,9O.948 ,80,

;E7,857490J3,8.948O.,8.424,,3/3,8.,/0,8,907,8574543/,-77:-3,84.43:,/,8

1472,3/4 :2 / :.:743J/04 089, 70,.4 :9,80 , :7/3, /14814 :.:743,94 /07;,/4 /,

4/,4 /, :7/3, /14814.480 :7/3, /14814:.:743,94 14730.0 4 :.:743,94 5,7, ,

 -77:-3,, -J8 4 /:.:743J/04 F , 573.5, 1472, /0 -77:-3, 0.709,/, 803/4 2:94 2,8

/74884;06:0,-77:-3,;70

-77:-3,/:.:743J/04902:2,17,.,,-8474,3J;0/439089348708J/:48:.:743J/.4884

-079,/4834J04390723,034390893474884547/74,808-,.907,3,8-77:-3,;70708:9,390

F70/:/,,9097,577O8:7-34F3486:054/028074/,/48,:7-3,86:0840.709,/,83,8

1008 &2, 506:03, 17,.4 /4 :7-34F34 54/0 807 70,-847;/, 34 J043 90723, 0 34 3908934

748845,7,807027024;/,850,8.F:,805E9.,8034;,2039080.709,/483,-J8

-77:-3,.43:,/,54/08071,.20390,.45,/,, 8,8/0/,O3470,.4/0',3/0307

 -77:-3,34 .43:,/, F ,/,34 .4;,039020390 ,-:23, 3470,3/4,9F 807 -079,/,50,

,/4 /0 :2 84;0390 473.4 .424 4 09,34 -77:-3, 34 .43:,/, ,80 1479020390

,-:23,344.47703/4,8:,;70/1:84345,82,0;9,3/4,00;,4/0-77:-3,3,:73,

-77:-3,.43:,/,F70,9;,20390/74884;00480:,:2039454/0.,:8,7:2,.43.0397,4

:73E7,,9,1J,/4F.,7,.907,/450,8:,.,5,./,/0/0.43:,7024-,7,-77:-3,6:054/084170797H8574.08848

 ,59,4/0-77 :-3, 50,8.F :,8 5,7036:2,948,805E9.,8,-77:-3,F54:.484;03,

E:,0345,82,089,3/430890,884.,/,,-:23,,-:23,5488::24.,/0-,,,13/,/0

04:974/0,9,,13/,/05,7,,-77:-3,41J,/4F805,7,/,/,-77:-3,803/4089,.,59,/,547

97,385479,/47085708039088:5071J.0/4805,9O.948803/4 97,385479,/,5,7,4 390747/,8.F:,8

 547/1:841,.9,/,

Page 38: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 38/66

 43 : ,4/,-77 :-3,34709J.:403/45,82E9.484 ,97,;F8/,,/4/07:54854,708

 -77:-3,4 1J,/4.43;0790,3:2, 1472,/74884;0,-77 :-3,/ :.:743J/04-77:-3,

.43:,/,54/03/480780.709,/,3,-J8;07086:02,/070,.08

 $ 0.704 /, -77 :-3, 3, -J8  , 80.704 /0 -77:-3, 3, -J8 4.4770547 97,3854790 ,.9;4

803/4:2,09,5,29,39080:97,3854790F3/:/4547034-O9.4807.,/0/,-77:-3,

80.709,/,3,-J803.4397,80.43:,/,

":,3/4,-77:-3,.43:,/,,930,547490723,/4J0430/439089347488448:.:743J/048

847024;/48547032,8-,.907,3,80850.J1.,8 . :.:743/,80804520394F70/:/450,147,

10., , :2 7:54 /0 .42548948 9097,577O.48 3.44708 :74-34F348 424 E 14 70107/4 3,

 547490723,/4J0430/4390893474884:2,506:03,17,.4/48:74-34F3488470,-847;/48

0 0.079,/48 /0 34;4 3, -J8 .43899:3/4 4 ..4 397,05E9.4 /4 :74-34F34 472,20390 ,

2,475,790/48:7-34F348844/,/48,:74-3,86:0840.709,/,83,81008

 7.:,403907405E9.,,70,-8474/48E./48-,708F30.088E7,5,7,.43807;,7480:544

2,47,/,.,59,44.4770547/1:845,88;,,4434/43908934413,/4J0430890:288902,

.497,3854790 /0   , E./4 -,7 5,7, :2, 70.,59,4 5,7, .43.0397,7 , -J8 882 ,5O8 :2,

70104 E , -079,4 /0 E./48 -,708 , .40.8946:33, 0 ,  80.7093, 0;,2 .4397,.4 /,

;08J.:, -,7 0,470,,20394 /4 081J3907/0 -43 34 203/4 3908934 /0,/4 5,88,2 .42 4

6:24 ,4 434 /4 203 /4 3908934 84 70,-847;/48 504 059F43, 5474 90723, /4 3908934

/0,/45,7,48,3:05479,013,2039084097,J/48/48,3:05479,50,8.F:,8/45,7H36:2,

05E9.4

8J39080/0E./48-,708,5,797/4.408907454/0807708:2/,3,880:39081,808

84207,4-02  

08,5,70.20394/0:2,/:5,,434,30 .

25:9,404/,4/,.,/0,,907,

/74,43,54840

8E./48-,70884,315E9.48803/4/0;/4,089,574570/,/06:0.4380:0202:81.,748J5/48

 54,7083420,/,2039014814J5/48 0 2434.F7/48 6:0;4 1472,72.0,8 289,8 .42:2,77,34.J3/7.4

8E./48-,708903/02,1472,7,70,/48 2.0,8089,3/40206:J-74.4248E./48;70802

84:4&288902,/0,3F81:3//481472,2, 5474/741J.,6:0089E02.439,.94.42,E:,0

4808.,7-4,9408:143,9407:5481472,2,  5474/741O-.,82.0,8/0E./48-,708

847085438E;0850,84:-,4/4814814J5/480E./4847/48:7,390,/0894/4897.F7/48

E./4847/48 ;708 0 2434.F7/48 48E./48 -,708 84 -079,/48 3, 8:5071J.0 /,8 49J.:,8 /,

02:84/0 47/:7,!479,39448574/:948/0/7O80 /48 97.F7/4884.4393:,2039097,38107/48

Page 39: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 39/66

/,849J.:,8/002:845,7,,82.0,882.0,8/48E./48-,708844573.5,;0J.:45,7,,

/084.,4 /0 J5/48/4203 390893,5,7,, 8:5071.J0.0:,743/04.4770,-8474 ,-8474

01.0390/48J5/48/0503/0/,570803,/0E./48-,708026:,39/,/08:1.03905,7,84:-,748

J5/48307/480/748,/48022.0,8

8 J5/4884 ,-847;/485,88;,20390,97,;F8 /,202-7,3,5,82E9., /08934/48E./48 47/48

/0503/0/4.425720394/,8:,.,/0,

  ./48 47/48 /0 .,/0,2F/,   .,7-4348  5,88,2 /4 3908934 5,7, 4 8,3:0 5479, 8026:,6:0724/1.,4

  ./48 47/48/0.,/0,43, 2,8/0.,7-4348 ,280,:2,57490J3,0810.J1.,!

,9 ./ 3/3 !74903 803/4 97,385479,/48 5,7, 4 709J.:4 03/45,82E9.4 43/0 84

.43;079/48 34;,20390 02 97.F7/48 .074 6:0 3907;F2 3089, 8J39080 /0 34;4 F 4

2434,..074 6:014,/847;/454/03/4574;7/,.480897.F7/4870.F283909,/48

1472,2 O-:48 5J/.48,486:,884 ,/847;/48 14814J5/48 ,.9;,/48 0 ,545457490J3,88

O-:485J/.4827,25,7,/03974/0;08J.:,8/029,/,8547202-7,3,,97,;F8/4.42504

/045,7,,202-7,3,-,84,907,3,2039084-079,/4834085,43907.0:,75471:84/,8

;08J.:,8 .42 , 202-7,3, -,84,907, 08808 O-:48 5J/.48 /,248 4 3420 /0 6:42.7,

5:7,/06:42J.743 8,545457490J3,854/02 807/0;E748 9548 803/4,8

7085438E;08 50, -079,4 /48 6:42.7, 5048 03907O.948 8 6:42.7, 84 -079,/48 348

31E9.48803/4/0548/703,/485,7,,87,3/08;0,8

% 73 :4/0#0/307 0 $ .4  708:9, /,84-705484 /,507.039,02/014814J5/48.4089074 0

8,8-,708":,3/40206:J-7454/0801472,7.E.:48.789,8/0.4089074

Page 40: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 40/66

!%&#  $

$8902,8-073F9.48

.-073F9.,14:2.43.094:9,/4547!,94#0,.43,/,.42,,790/0.43/:714:290724

2:94/0803;4;/43,:077,2:3/,547,0

.-073F9.,.4388903,.H3.,6:0 089:/,4888902,8,:94.43974,/48 6:0 2,39H2480:06:J-743/0503/039020390 /0 ,;0702 089J2:48 3907348 4: 0907348 3.4397,280 02 ;E748 4.,8 0 02

.439094/4.4754:2,3444-0.9;4F2,3907,902507,9:7,.47547,0447,3824,:94.43974,780

2,47,/4888902,8184O.481:3.43,.42488902,8.-073F9.486:054/02807

/0 /48 3J;08 4  8095439  5488: :2 3907;,4 /0 4-0.9;4 34 902 :2 4-0.9;4 14

1:3.43,3/4 547 .425,7,4 4: 80, .425,7, 4 4-0.9;4 .42 , 31472,4 6:0 0 .0, /4

88902,488902,.-073F9.4,41:3.43,7547.425,7,480,31472,4147:,,48095439

0890 5072,30.0 06:-7,/4 .,84.4397E74 84170 :2,70974,.4 30,9;, 4:5489;,8 88902,8

.-073F9.48 3472,20390 /08,280507,390:2,,.4 30,9;, 88902, .-073F9.4 70.0-0,31472,454770974.43974430,9;4

/0 97H8 3J;08  F 4 00254 /48 048 47243,8 34 47,3824 :2,34 E :2, 97,38107H3.,

03/O.73, 6:0 5488:02 8:-893.,8 6:0 0;,2 , 31472,4 83/:,803/O.73,884;E7,8

3420,/,203904549E,245O18097O/05,7,97O/08:57,703,53.70,84;E74809089J.:48

Page 41: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 41/66

3/:, ,;4 3, 1:7, 70,,:2 100/-,. 30,9;4 /0 24/4 , 507297 , 2,3:9034/,8:,

.43.0397,4 /03974 /48 80:8 ;,4708 3472,8 6:0 /10703., , 3/:, ,;4 F , 089H3., /0

70.05947086:0507290,,447243,/0803.,/0,3/4:2,,.4

42:3.,40:,7

.42:3.,4 708:9, /, /;078/,/0 0 .708.0390 0850.,,4 %0248 6:,974 9548 /0 .42:.,4

.0:,7

.42:3.,4 30:7O.73, 4.4770 03970 ,8 .F:,8 307;48,8 A ,6:0, 02 6:0 089E 03;4;/4 ,8

.F:,8307;48,8890:2,83,580,;03/4,-079,4/030:7497,382884708

.42:3.,4,:9O.73,,.F:,-079,8:-893.,86:0,.9:,230,57O57,24/1.,3/4,

.42:3.,4 5,7E.73,:2,/090723,/,.F:,574/::25F59/46:03907,03:2,.F:,,;4

3,8:,;3,3,

.42:3.,403/O.73,F,880:7,/454747243,86:00397,202.7.:,43/4,.9:,73:2,

3/:,,;4

%7,38/:447243,

847243,8.,881.,28002/489548

  47243,808907O/08

08974F3048.4.479.O/082307,4.479.O/08,3/74F304809.6:08447243,8/07;,/,8/4

.40890740.0594,847243,8974/0,806:080,884.,2,57490J3,897,385479,/47,8;89480702

54884;08903/4:2,802;/,.:79,!488:02:220.,3824/097,/:4.42509,20390/1070390

/,8 47243,8 57490.,8 8 47243,8 08907O/08 5488:02 97,385479,/4708 6:0 ,8 97,385479,2 3,

.7.:,4 8 573.5,8 97,385479,/4708 84

    479.489074/ 3/3  4-:3  5488::2,00;,/,,13/,/05,7,4.479840-,,5,7,,

,/40890743,

 $     $ 0   472430 3/3  4-:3   ,80 ,48 ,3/74F3048 90894890743, ,:2039, 48

3J;08 /089, 4-:3, ,4 .4397E74 /4  .0897,/4

   !    3/7403 3/3  ! 74903  

4 .0,702 8 .F:,8 ,8 47243,8 /08,280 /4 80: 97,385479,/47 /1:3/0280 ,97,;F8 /,

202-7,3, ;894 80702 54884;08 007.02 , 8:, ,.4,97,;F8 /0 70.0594708 3:.0,708 5,7, ,8

47243,8974/0,80 70.0594708.945,82E9.486:05072902,0570884/,47243,57490023,

/4.,9,-4824.0:,7097,385479,23,,9F,43.043908/0.0,7,43.04470.05947/08,80

/, 47243,0089, 0397, 34 3.04 ,97,;F8 /48 54748 3:.0,708 3/4,.9:,73, .742,93, , 3J;0 /48

03083, #  0020394/07085489,47243,803/4089,806:H3.,03O2.,6:080,47243,

472,804#297,/:4/4002039401472,4/,857490J3,8

Page 42: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 42/66

  47243,8 57490.,8

8 47243,8 57490.,8 5488:02 :2 70.05947 ,4 3J;0 /, 202-7,3, .0:,7 6:0 902 547 4-0.9;4

97,38297,2038,02

 $ 8902,/,,/03..,80 847243,857490.,830.0889,2/0:297,38/:947 ! 7490J3, :2

010.9470:22038,07457490J3,F:2,57490J3,.428:-:3/,/08 .-05488:%!

,884.,/48:-:3/,/0-57490J3,97,38/:947/470.05947/,202-7,3,,470.0-07,2038,02

84170:2,2:/,3,.431472,.43,-079,3/480,8:-:3/,/0-/,87089,39088:-:3/,/0088,6:0

7E3907,7.42,,/03..,80,.9;,3/44:3-3/4480:.03974.,9,J9.4/024/4,6:04%!

F .43;079/4 02.

    !  ! F 700307,/4 ;49,3/4 , 57490J3, 5,7, 4 80: 089,/4 473,

 14814/08907,80F7085438E;050,24-,4/4.

    ! 

 $ 8902, /,  57490J3, 6:3,80 .    !  ;, ,.9;,7 ,  57490J3, 6:3,80 6:0 902 /:,8

8:-:3/,/08 .,9,J9.,8 0 /:,8 8:-:3/,/0 # 70:,/47,8 6:0 7E 148147,7 57490J3,8

9473,3/4,8,.9;,8

 #  $"&   %&  '!#%    "&$    #  $   @# 5O180,390747%$ 4J.:4974/0:  F:,/00/4754904   $ F:,/0$07944J.:44;,7,34 % O790,/703, ! F59/48 5O/08 $ '! #2 !   02-7,3,5,6:09E7,  470530173,    530173, #0.05947 .

 $ 8902, /, 148145,80   , 57490J3, ,.9;, , 148145,80 7085438E;0 50, /07,/,4 /4

1481,9/34894/1481,94 02/4880:3/482038,0748 6:0 844 /,..074 04 34894

971481,94 34894 971481,94/1:3/080,9F ,4.945,82, ,3/480 , :2 70.05947 46:0

/0803.,/0,,-079,4/008.E.4504709J.:403/45,82E9.4,:2039,3/4,8:,.43.0397,4

.945,82E9.,808.E.48408803.,85,7,4574.0884/004.9480-079,4/4873:48

34894 F 5489074720390 148147,/4 700307,3/4 4 1481,9/34894 /,..074 ,.9;, ,

 57490J3, 6:3,80   6:0 F .E.4/0503/0390 F ,.9;,/, 547 :2, .42-3,4 /0 /,..074

.E.4 1481,9/8073, %02 .424 1:34 148147,7 57490J3,8 0850.J1.,8 /4 .945,82, 0 /,202-7,3,5,82E9.,

 #  $"&   %&  '  $   !$    #  $   @%# 5O180,390747 3 # 5O180,390747 '! 5O180,390747%$ 4J.:4974/0: 3490383,     O790,/703,   530173, !,6:09,

Page 43: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 43/66

47243,8/4549E,2405O180

47243,8/4549E,24

39704549E,240,5O1800890:220.,3824/0100/-,.549E,248O574/:47243,86:0

0892:,2,5O1800.054/,47243,/4.708.20394$46:,8094/,80892:,/47,8

 #  $  !%      

 #  $'   !   $   

 #  $   $    &$ '

 3 # 47243, 0892:,/47, /0 43,/497413,8 

   

  $   

 ! 74  0 89 0743,

 3/74  F3048 0   89 074  F3048

# 47243, 0892:,/47, /0.479.497413,8 

 %  !     $    0

03/47  1  3,8

  /74.479843,

%# 47243, 0892:,/47, /097497413,8 

% $     !  #  % 

 $ 42,9489,93, 47243, 3-/47, /097497413,8 

% $   

  !  #  % 

  # 4:$   47243,3-/47,/0    

   % $    $    %  

  % 

 !# 4:!   47243, 3-/47, /0 574,.93, /45,23,0  !

 !  # 

  0:7447 243,8

47243,8/,5O180

5O1803.,480:/0803;4;2039402-743E743,802,3,4,/:94, 5O18003.4397,803,

.0, 9:7., 803/4 1472,/, 547 /:,8 54708 :2, ,390747 ,/0345O180 0 4:97, 54890747

30:745O180 89, 92, F 4 4., 43/080,.:2:,247243,8574/:/,8504 $ E:2,

5O180390720/E7,2,8F;089,344202

47243,8/,/0345O180

,/0345O180 03.4397,80 ,/, ,4 549E,24 ,;03/4 :2 04 549E,245O180 02 6:0 ,

5O18080 03.4397,,/,,4549E,24 547 :2 88902,5479, ,7907, 890 88902, F:288902, /0

,46:0 807;0 5,7, ,880:7,7,847243,8 574/:/,8504 549E,24 6:0 0892:,2, 5O180 ,

 574/:747243,8847243,85418E7,8845479,394574/:/,8547089J2:48549,2.48

 ,,/0345O18084574/:/,897H87,3/087:548/047243,8

  47243,8 57490.,8   47243,/4.708.203940 !#574,.93,

Page 44: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 44/66

  47243,8 /07;,/,8 /, !   ! 7OO5420,34.4793,   % ,/7034.479.497413,   $

47243,0892:,390/4820,3O.948 % 47243,5497O1.,003/4713,8

  47243,8  .457490.,8    $  47243, 14.:4 0892:,390   47243, :90J3., %$

47243,974/40892:,390

  47243,8! 7490.,8

47243, /4 .708.20394 .438890 3:2, 0897:9:7, 57490., 8020,390 ,4 /,57O38:3, .42 :2

708J/:4975941,34,234E./48/:,8543908/88:1943907.,903E7,80:25084240.:,7/0

,A83909,/,348 842,94974548A,6:0F574/:/,022,476:,39/,/0!488:3207,81:308

3420,/,20390

 708.203940/10703.,4.0 :,7 

  09,-4824390720/E74 ,.08/70.9,8 

01094,39,  O3.4/,3 8:3,,47243,/4.70.2039457424;0,507.F2,6:0F/0;/4

/23:4 /, :9,4 5071F7., /0 :.480 0 :2 ,:20394 /, 304:.4F3080 54/03/4

0;,7,4,5,70.20394/0/,-0908209:8

 5O80 0892:,, 5O803490./4,/5484,:2039,3/4, .43.0397,4 /0E./4847/480

.0742.,84/05438:3F2,54/07E4.47707:2,:20394/,.094F3080

 8J 39 0 805749 0., 57424;0,0397,/,/0,234E./483,8.F:,82:8.:,708,882.424,8J39080

 57490.,46:00;,,:2,/23:4/483J;085,82E9.480:73E748/0,234E./480:70,

  09,-4824 O8804 0 2307,   ,.4 3/70.9,  34 1J,/4 , 3/: , 574/:4 /0

842,9420/3,8 8 6:0 0397,2 02 .7.:,4 007.03/4, 8:, ,.4 34 209,-4824 O8804 0

2307,0;,709034/0.E.401481,94,882.4244.708.20394/,8.,79,038/0.43:,4

0/05484/08:1,94/,82082,8

70:,4/,80.704/0F109,573.5,20390547

 #924.7.,/,3470:,4/480:209,-4824/:7,390,847,84:80,902:25.4547

;49,/,847,8

  ,.94708.-073F9.48F.43974,/,50483J;08/084902,234E./4804047243,8549,2.,8

  54.F2,2,7.,/,

 #010087.,802 57490J3,8

   07.J.4

 733,

:2,85,944,870,.43,/,8.42089,47243,8443,3824,398240,.7420,,

Page 45: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 45/66

!74,.93,

!488::2,0897:9:7,8020,390 /,!488:,234E./48:25084240.:,7/0, 0

.07., /097H8543908 3907.,903E7,8A 0,-47,/,547 .F:,8,./O1,8/, 5O180,.949745488:,

 573.5,1:34.4388903,3.,402,3:9034/,,.9,43,7,;/0.4397-:3/49,2-F25,7,,

2,3:9034/4.475490480:80:3/42038,074F/08.430./4

:2,8 5,944,8 70,.43,/,8 .42 089, 47243, 84 , 2034770, ,,.94770, 30.42,89, 0

2549H3.,

  47243,8 .457490.,8

$494/,8.43899:J/,85476:,9748:-:3/,/08/:,8 .0/:,8-803/4,88:-:3/,/08-6:0.439H2

/48 .4250484488,.E7/48,/48 ,85,7,3, .42:2 , 94/,8 0,8 .6:0.439H2:2,4:/:,8

.,/0,84488,.E7/,8,/,8,85,7,3,0850.J1.,8/0.,/,:2,8:-:3/,/0-F7085438E;050,

,4,470.05947036:,3946:0, .F7085438E;050,,.4

!488::25084240.:,7.07.,/0,.9:,3,8.F:,8/4.47549043,2:0703,8.F:,8

/0 0/ 34 4202 &9, .424 80:3/4 2038,074 4.    !  , 2:07 0892:,, 4;:,4

2,39F2 4 .4754 904 0 0892:, , 574/:4 /0 5740890743, 4 4202 0892:, , 574/:4 /0

90894890743, 4/0803;4;20394 /48 .,7,.9070880:,880.:3/E748 0,2,3:9034 /48474880:,8

80.:3/E748

$

!488:9,2-F25084240.:,7.07.,/0,.9:,3,8.F:,814.:,708/44;E7403,8.F:,8

/0$07949089.:,708%02.42480:3/42038,0744.

    !  892:,4.708.2039414.:,75705,7,

414J.:45,7,,,.44;:,9O7,/,442020892:,,8J39080/0!25479,3903497,3854790

/090894890743,4.708.203949089.:,70/489-:488023J107483J.4/,085072,94F3080 $0

84,2-,847243,843,/497O1.,85488:3/4,2-,8:25.48020,3903,4;:,4

%$

!488: 5084 240.:,7 .07., /0 , !488: /:,8 8:-:3/,/08 :2, . 0 :2,- ,80 , :2

70.05947/0202-7,3,,.9;,3/4,,/3..,80E:2.43806:0390,:20394/0.    !  /0803.,/0,3/4,

8J39080/047243,8974/0,8!,7,,F2/0,:2039,7,-488J39080/089,847243,8,:2039,9,2-F2,

8J3908057490.,/014814J5/48/0E./483:.0.48032074/0.F:,8974/0,8

Page 46: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 46/66

  47243,8/07;,/,8/,!  

!F:25F59/4/000;,/45084240.:,76:020/,390:2089J2:447243,17,2039,80

/,3/44702,47243,8!F.43899:J/,547,234E./4880:030F057088434O-:4

,390747039072F/4/,5O180803/4,547490723,,2,825479,390

%

A:25F59/4574/:/434 O-:439072F/4A .43899:J/,547,234E./485488:3/4:2704.43807;,/,3485720748,234E./4808803.,85,7,,8:,,.9;/,/0-4O.,A7085438E;050,

70:,40.708.20394/4.O7908:57,703,,97,;F8/4,:20394/0#2057490J3,8,882.424

,:2039,,574/:4/008907O/08,:2039,3/4,.43;0784/4.4089074,570303443,%,4

807.;,/,/E4702-   $ 708J/:480! 5F59/48020,390.479.497413,574;F2/48

708J/:48

-$

3907;F2 3, /850784 /, 20,33, 348 ,31J-48 3, ,5703/,02 0 .425479,20394 80:, 34

.708.2039401:34/,8.F:,89089.:,708/0$0794

 .!

3907;F2 3, 5O80 0 24-,4 /48 E./48 47/48!488: ,234E./48 0 6:,3/4 F .;,/, /E

4702 .  3/4713,  !  0 .   $ 3.4397,8084203903,5O180548 F 507.:847, /04:97,8

47243,83420,/,20390, .3/4713,

 .3/4713,

!488::2708J/:4.,7-490723,.42,234E./48/, .!3907;F202;,7,/48574.088489,8

.424,,3,08,.425479,20394.420702440,5703/,0270:,4/,902507,9:7,0570884

8,3:J30,0.4397,.4/497,942:8.:,770574/:9;4

47243,8/,0:745O180

5O18054890747574/:47243,870,.43,/,8.424-,,34/0E:,3447,38240-079,4/0

090 3,8 3/:,8 2,2E7,8 0,2 5O180 54890747 ,97,;F8 /0 57490J3,8 97,385479,/47,8 30:74183,85,7,,4.94.3,0  5,7,,8/:,847243,8574/:/,884343,5F59/48.42

24F.:,8/0.890J3,3,8548080,/,8547543/08/88:194

4:',84570883,

A:2,47243,,39/:7F9.,;8946:057424;0,70,-8474/,E:,3489-:48.439473,/48/89,80

9:-48.40.94708:2039, , 50720,-,/,/0/,8 .F:,8 E:,507293/4 406:J-74 482O9.4/,

:73,/489-:48.40.94708.424390789J.46:0F5079O3.4!488:70.05947083,202-7,3,2:.48,

Page 47: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 47/66

/,8.F:,80590,8":,3/480,, 008E574/:4/0,/03..,806:07E,:2039,7483J;08/0

.    !  803/4 0890 420/,/47 /48 010948/, &2 ,:20394 /483J;08 /0 .E.4 34 204 3-0,

,.4/,5473-4/,,/03..,8046:054/07E0;,7,;4:2080.088;48/0:73,

.94.3,

A574/:/,507,390089J2:48/482,248089J2:48572E748/89034;,3,0:9073,089J2:48

80.:3/E748A9,2-F20892:,/450,574,.93,008974F3048803/43-/,50,5740890743,

89, 47243, .,:8, .4397,.4 /4 9074 0892:, 4 /0803;4;20394 /,8 3/:,8 2,2E7,8 8

/07;,/48 /0 5740890743, 84 2:94 :9,/48 5,7, 3-7 , ,.9,4 5O85,794 4.94.3, 0 ,

30:74183,84574/:/,83484;E74843/0,4.94.3,F3-/47,/,574/:4/0089074F3048

47243,8/,%7O/0

97O/0.420,480:/0803;4;2039403-743E74,5,797/,802,3,05,70.01472,780,5,797/0

:2 57443,20394 .,3, 9744884 /4 3908934 5729;4 1472,3/480 , 3/:, 974/0,

.43899:J/,547/484-480:28924$9:,805,7,/,39005,7,-,4/,92,.,79,02/,,730

5708039,:2, 47,3,4 894O., .42:2,574570/,/0473., 3.,5708039,14J.:486:0

 5488:02:25,790.0397, .4O/00:2, 5,7905071F7.,.42.F:,8 .:-O/083970 .,/,14J.:4

03.4397,80 90./4 .43:39;4 43/0 08902 .F:,8 5,7,14.:,708 43/0 80 574/: .,.9433,

3/:,974/0,0,8.F:,814.:,7085488:02,574570/,/0/0.43.0397,70244/4

8 47243,8 974/0,8 84 ,%  974/497433, 0

%  9097,4/497433, 803/4

7085438E;0850,70:,4/4209,-482407,/0803;4;203940/10703.,4/4890./48

Page 48: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 48/66

9744-:3,F:2,.457490J3,.42/:,88:-:3/,/08.42708J/:48/097483,A47,31.,/,

34.4O/007.,/0/44/43,9744-3,089E3,1472,/0507.:7847083,.9;48   % 24344/4

97483,0  % /4/497483,089,3/4487089,39083,1472,/0%  0

%  890924574/:8002

203476:,39/,/01:3.43,.4241472,/070807;,803/4,1472,%  570/423,39020390,.9;,

9744-3,F83909,/,3,5474-,8,/,.F:,43/0F,72,03,/,34.4O/0097,.0:,7A:2,

24F.:, 97,385479,/47, 5O8 807 0892:,/, 50, %$ , %- F 97,38107/, 547 534.9480 0397,3,

.F:,43/0801:3/0.4248848842,86:0,3,2032,89,8.424 4/497433,86:0;4/748,7

,%--079,3/4%  0

%  02.7.:,4F57,9.,2039094/,.43;079/,02

%  50,/04/3,80

.43;07845071F7.,/0%  %04%.43899:0225479,390870807;,9O748/04/4,4.4397E74

/44/4574;030390/48,3:06:,39/,/0/04/46:00397,3,97O/0F:,6:08,/44/4F

.43;079/402 %  0%  036:,3946:084,574;09,/48

97O/0 F .,5, /0 .43.0397,7 4 4/4 .4397, 4 7,/0390 00.9746:J2.4 ,97,;F8 /0 :2, %!,80

8O/4549E884/0503/0390.:,,.9;/,/0F70:,/,50,%$,;03/4:2,506:03,5474/04/4

6:0 0397,547 /1:84 1.,3/4 3, 1472, ;70 34F 3.47547,/4 34 %302 %20.,3824 /097,3854790F3-/4547 507.47,946:0.425090.4244/4,3J;0/497,385479,/47803/4.43.0397,/4

3,97O/0094.,3,94.4250909,2-F2.4244/42,834F.43.0397,/43,97O/089083-/4708

250/02497,38547900.43.0397,4/44/43,97O/0

 ,97O/04.4770,3/,,4/,4/44/470,.4.,9,8,/,547:2, 5074/,806:0.439F2:27:54

0204.47703/43,8:5071J.0:23,/,.F:,14.:,7 9745074/,80F:2,57490J3,9097,2F7.,

903/4.424,03904/,3904507O/4/0/74F34574/:/4547:2,032,!/0503/0390

4/,4/,97483,.4388903,70,.4/44/44/,/4.4248708J/:48/097483,3,9744-:3,

 5484/4,30,742E9.4F4/,/,572074,54841472,3/480%0%70850.9;,20390

97483,;7054/08074/,/,2,834F3.47547,/,0257490J3,8;8946:04#3470.430.0

,4/0/:,824F.:,8/0%1472,4%  036:,3946:0:2,24F.:,/0%.42:2,/0%

1472, 4%  4.47703/4 089,8 70,.08 3, 9744-3, 8 47243,8 974/0,8 5072,30.02 3,

9744-:3,5,7,548907472039080702/07,/,/48/07,/,4088,0892:,/,50,%$6:0F3-/,

 5044/4

07., /0 /0 %  0/0%  03.4397,280 147, /, 97O/0 .7.:,3/4 ,/,8 %  %743 33

4-:34:%!%7433/3!7F-:23%5488:.07.,/0;0082,8,13/,/0 5,7,,

%  0

%  6:0,%!,3/480,6:,8094/4848

%  0

%  5,82E9.48803/4,506:03,17,.4

;707085438E;050,,.9;/,/0-4O.,%F83909,/,341J,/4803/4,8:,8J39080,:2039,/,

.42,574/:4/008974F3048

847243,8974/0,85488:02;,7,/,81:3083420,/,20390

!,5008803.,34/0803;4;20394/4$

.9:,202295484.,8

!488:0270.059470802;E7484.,89,8.424,202-7,3,.945,82,03.04

Page 49: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 49/66

!7424;02 4 .708.20394 0 /10703.,4 .0:,7 ,:2039,3/4 , 97,38.74 /48 0308 0 8J39080

 57490.,

3/:02,90724F3080574/:4/0.,47

:2039,2,9,,209,-O.,.0:,7

892:,2,574/:4/0%!,97,;F8/070.0594708294.43/7,8

:2039,2,,.9;/,/0/,8-42-,8%!E8.,8

!,944,870,.43,/,8.424,97O/084454974/824507974/824-O.4

47243,8/,3/:,8:57, 703,

3/:, 8:57,703, F .43899:J/, 547 :2, 5474 5071F7., .O790  8: 57,703,  6:0 /07;, /,

2084/0720709745079430,0:2,54742,839073,20/ :, 8: 57,703, 6:0/07;,/,8.F:,8

/,.789,30:7,454394/0;89,,3,9O2.4,2-,8,854708.40890220/:,8:57,703,F:2,

.4393:/,/0/488902,307;484036:,3946:04.O7908:57,703,F:2,039/,/0,:9O342,

47243,8/4O7908:57,703,

.O7908:57,703,5488:97H843,8894O.,8

  43, 4207 :,7 43/084574/:/48482307,4.479.O/08,/4890743,

  43, 1,8..:,7 43/084574/:/48.4.479.O/08.479840,3/74F304890894890743,

  43,709.:,7 43/084574/:/48.4.479.O/08.479840,3/74F304890894890743,

8 47243,8 /4 .O790 8:57,703, 84 47243,8 08907O/08 6:0 /07;,2 /4 .4089074 6:0 F :2

..45039,34507/74103,397034 4: 80, :2 .4254894 .42 .,7-4348 /74209-:9 :3   4 

70/ :9,80F0892:,/,50,%,:2039,3/4,8J39080/0.408907489454739072F/4/080:3/48

2038,0748026:04.4770,/7O80/0F890708/0.40890741.,3/4.4089074;70

8  .4.479.O/08 84 47243,8 08907O/08 .42 .,7-4348 .:, 573.5, 1:34 F 0892:,7 ,

:.4304F3080 .47984  F 4 .4.479.O/0 570/423,390 34 4202 803/4 83909,/4 3, 43,

1,8..:,7

8 2307,4.479.O/08 84 47243,8 08907O/08 9,2-F2 .42 .,7-4348 .:, 573.5, 1:34 F

 57424;07 , 709034 /0 8O/4 0 , 0.704 /0 549E884 0 /74F34 348 738 ,/4890743, F 4

2307,4.479.O/0570/423,390344202803/483909,/,3,43,4207:,7

8 ,3/74F3048 84 47243,8 08907O/08 .42 .,7-4348 8 43,8 1,8..:,7 0 709.:,783909,2

/0/7405,3/74890743,507.:7847,3/74F3.40,3/74890343,17,.4,3/74F304

424E1470107/4,847243,8/4.O7908:57,703,8483909,/,8,5,797/4.40890746:03,8:,

2,47,8003.4397,089071.,/4":,3/44.O790F0892:,/450,%/E80,,.9;,4/0:2,

032,08907,806:07024;047:54F8907/4.4089074.4089074;701472,/4F97,385479,/4

 5,7,,294.3/7,43/0:2,032,.94.7424!.;,,.,/0,,907,/4.4089074.;,02

/, .,/0, ,907, /0;080, :2 .43:394 /0 /74,08 , 3J;0 /48 .,7-4348   0

  1.,3/4 4

Page 50: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 50/66

.,7-434 ;70 88,8 /74,08 84 .,9,8,/,8 547 :2 .42504 032E9.4 /0824,80 4:

 

  /74,80472,800394:208907O/0.42.,7-4348 570303443,

%4/,8,8 47243,8 08907O/08 /4 .O790 84 /07;,/,8 /4 .4089074 ;, 570303443, .:,8 70,.08

 54/024.477073,294.3/7,4:34709J.:403/45,82E9.4

  47243,82307,4.479.O/08

424 8,-0248 48 2307,4.479.O/08 84 83909,/48 3, 43, 4207:,7 089, 43, 34 0890 ,

032, -/74,80

/4890743,

$06:H3.,/070,.08/08J39080/,,/4890743,

43;0784 /, 570303443, 02 5740890743, ,97,;F8 /0 /:,8 032,8  .4/08/7403,80 0

84207,80

/74,4/,5740890743,02/084.479.4890743,

50,032,/74,80

/74,4/,/084.479.4890743,02.479.4890743,50,032, ./74,80

/74,4/,.479.4890743,50,/74,80

472,4/,,/4890743,

-488J39080/,,/4890743,F3.,20390/H39.,/4.47984803/4,/74,800850.J1.,/,8:,

;,45488:,803/484-709:/4,-:23,6:080,803/497,385479,/,5470,A9,2-F2

209,-4,/,341J,/40023,/,3,:73,

8902/4820.,38248573.5,8/070:,4/08J39080/0,/4890743,

 $ 8902, 7033,,3490383, 88902, 03;4;/4 3, 70:,4 /, 570884 8,3:J30, 0 34209,-4824000.97O948089J2:43.,/089088902,.420,3472890902:2,039/,/0

,3,9O2.,,5,704:89,4207:,743/0F83909,/,, 7033,6:0F574/:/,6:,3/4E:2,

/23:4/0197,4703,7033,;,,.9:,73:2,57490J3,574/:/,341J,/4.:,8J39080F

0892:,/,547.4.479.O/08008974F3048 ,34903834F34.;,3/44803/4.43;079/4,

,3490383, /0.,5F59/46:0;,5,7,485:20843/0,97,;F8/,.43;079,80 5:243,7 6:0

7024;0 /48 ,234E./48 F .43;079/, , ,349038,   6:0 5488: /;078,8 ,.08

3,8:57,703, ;, 0892:,7, 574/:4/0,/4890743, 89, 0397,3, .F:,/49:-4 .439473,/4

/89,/73/480,43.0443/03/:,574/:4/0 50720,806:097,385479,8O/4/,:73,5,7,

, .F:, ,;03/4 , 8:, 70,-8474 /0 :2, 57490J3, 8254790 6:0 57424;0 4 .497,3854790 /0

 549E8840/74F34 0/0:2, %! ,80,4574/:7%!0892:,,8-42-,8/08O/4549E884

":,3/4 4 8O/4 F 70,-847;/4 ,:2039, , 4824,7/,/0 5,82E9., 3/4 , ,.9:,7 84- 48

9-:48 ,:2039,3/4 , 8:, 50720,-/,/0 E:, ,:2039,3/4 , 6:,39/,/0 /0 8O/4 0 E:, 3,

.7.:,4 0 .43806:039020390 ,:2039, 4 ;4:20 .7.:,9O74 ,882 .424 , 5071:84 703,

;,84.438974 /4 72 0 90./48 5071F7.48 ,:2039,3/4 , 70889H3., ;,8.:,7

;,84.438974 /, ,7907J4, 01070390

Page 51: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 51/66

2,:2,8085F.08,,3490383,F.43;079/,02 ,3490383, 50,,2345059/,80":07

,,3490383,6:07,,3490383,843,.9;,/,850,8 ,3490383,808%,394,,3490383,

.424,54/0280,7,:270.059

 ! 49E884,80.704/0,/4890743,574;4.,:2,:203943,.43.0397,4/0549E8848010948/4

 549E884 84 /0503/03908 /4 8O/4 4 80: 0.0884 708:9, /0 89:,08 /0 507.F2, &2,

54.,F2, 57443,/,54/0 574;4.,7:2, 5079741, 4207:,7 ,:2039,3/4 , 8038-/,/0 /,8

.F:,84207:,708,4549E884

  47243,8 .479.O/08

424E1470107/448.4.479.O/088483909,/483,843,81,8..:,70709.:,7

47984

A83909,/43,43,1,8..:,7

$06:H3.,/070,.08/08J39080/0.47984

/74,4 /, 570303443, 02 /74570303443, 50, 032,  -/74,80 032,

14790203900892:,/,50,%

$:-899:4 /4 7:54 E.44 /, /74570303443, 504 7:54 .0943, .43;07903/480 02

/745740890743,6:0F384;002E:,/0;/41:34.0943,70,.4.,9,8,/,50,

032,  .4/08/7403,800

84207,80 6:050,,/:5, ,4/4,30 5,88,3/4 ,4

,30

/74,4/,/745740890743,02/084.47984  50,032,/74,80

/74,4/4/74.4798402.47984  50,032,/74,80

.47984F:2,47243,08907O/03484;0345,82,903/4:2,57490J3,97,385479,/47, 

F574/:/,341J,/4803/4,8:,8J390800892:,/,54708974F3048.47984902:2,802

;/,43,803/4209,-4,/4341J,/40023,/43,:73,.47984902:27924.7.,/,34903/4

:25.42,93,47,8/,2,30/054820,3490454394/0;89,70:,/47902:2

20.,3824/0100/-,.6:0.43974,,574/:4/0%089,,.9:,34.O7908:57,703,0892:,3/4

,574/:4/0.47984%4/4420.,3824/0100/-,.089E84-31:H3.,/488902,J2-.4

8.4.479.O/085488:02;E7,81:3083420,/,20390 3J;0/4209,-4824390720/E74,:2039,2,574/:4/0.480,:2039,3/4, 6:,39/,/0

/0,234E./48;04./,/0/,304:.4F3080,:2039,2,/05484/4.4F3457424;02,

5O8057424;024209,-4824/,857490J3,80#

3J;0/4820.,38248/0/0108,2:34O.48

:34.,7/4;,8.:,7

09,-4824/7400.974J9.4

09,-4824/4.E.4

Page 52: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 52/66

708.203940/0803;4;20394/490./4.43:39;4O880402:8.:,7

#085489,,70884

.47984 F :2 ,3,-O94 .0397, 0 .,9,-O94 5071F7.4 4: 80, 0892:, , 8J39080 /0 .4F34

83909,80!74;4.,507.F2,,97,;F8/,304:.4F3080

  47243,83/74F3.,8

,3/74F304570/423,39002,825479,390344202F,/08/7405,3/74890743,        

08/7405,3/74890743,

F83909,/,;,570303443,803/4:2,506:03,17,.483909,/,547:2,;,4/,9;,

$06:H3.,/070,.08/08J39080/0

/74,4/,570303443,02/74570303443,50,032, -/74,80

#0244 /0 :2, .,/0, ,907, /0 /48 E94248 /0 .,7-434 /, /74570303443, 50,

  ,80032,570803903,8:57,703,0O3,/,81472,3/480,/08/7405,3/74890743,

574/:4/0,3/74F3048,:2039,6:,3/4E:2,/23:4/,8J39080/0.4.479.O/082,47

 5,790 /, F 7,5/,20390 24/1.,/, 50, ,/4 /0 :2 7:54 8:1,94 472,80 :2 .4254894

3,.9;4 8:1,94 /0 84170 ,8 ,.08 /,8 032,8  .4/08/7403,80 0

84207,80.43;07903/48002,3/74890343,6:05488::2,,.42,85490390,3/74890343,54/0

807 70/:/, , 3J;0 /4 .,7-434 708:9,3/4 3, 1472,4 /0 90894890743, 574/:/, 02 506:03,8

6:,39/,/08 34.O790/,8:57,703, 8,3/74F304884 0.709,/48 3:2, 1472, .09O3.,1J,/4

.43;0790.07.,/0/,90894890743,02,3/74890743,0094.4,3443,.094.42548948

47243,8/,0/:,8:57,703,

88902, 825E9.4 8:57,703, F .43899:J/4 504 88902, 307;484 5,7,825E9.4 5048 307;48

.43F7.4857F05O8,343,708050,20/:,8:57,703,20/:,8:57,703,34F2,86:0:2,

090384/488902,307;484825E9.4;8946:0,81-7,857F,343,708/4307;4085F3.490723,2

3,20/:,8:57,703,43/00307;,2,8 .F :,8.742,138.F:,86:05488:0273:486:0.47,2/0

;07204 6:,3/4 0548948 ,4 /.742,94 /0 549E884 6:0 80.709,2 .,90.4,23,8 /45,23,

3470530173, 0 0530173, 8 .,90.4,23,8 , 3J;0 .070-7, 34 .4380:02 ,97,;088,7 , -,7707,

02,9403.01E.,903/4/080783909,/,8/45,23,3470530173,00530173,8483909,/,83,8.F:,8.742,13,5,797/,103,,33,

0530173, F , 573.5, 47243, 574/:/, 50, 20/:, 8:57,703, 705708039, .07., /0 /,8

.,90.4,23,8

$06:H3.,/070,.08/08J39080/0.,90.4,23,8

103,,33, 574;030390 /4 8,3:0 F .43;079/, , 97483, 50, 032, 103,,33,

/74,80

Page 53: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 53/66

97483,84170:2,/74,450,032,97483,/74,80032,29,390/,;04./,/0

/0 8J39080 /,8 .,90.4,23,8 803/4 3-/, 547 /07;,/48 /, 97483, .424 , -20/97483,

97,381472,3/48002  45,//74103,,33,

45, 84170 :2, /08.,7-4,4 50, 032, /45, /08.,7-4,80 032, .948O., 6:0

30.0889,/0 57/4, 1481,94.424 1,.947803/4 3-/,50,209/45,0.42548948 ,403,/48

1472,3/480, 45,23,

/45,23,5478:,;084170:2,/74,450,032,  45,23, ./74,8030.0889,/0

,8.47-,94 5,7, /4,7 00.9708 .4-70 5,7, 4 80: .03974 ,.9;4 0 1:2,7,94 .424 24/:,/47

1472,3/480,  470530173,

3,20390 , 3470530173, F .43;079/, 02 0530173, 50,  !   %  10309,34,23,

 20997,38107,80.:,,.4F 31:0.,/,50,8 47243,8.4.479.O/0870,.46:04.477034

.945,82,

8J39080/0.,90.4,23,8F70:,/,54725:848307;4848803/44549E,244.0397470:,/47

8J39080/03470530173,,:2039,,5O8:2,89:,4/0897088,:/4,:2039,3/49,2-F2,,.9;/,/0/,

97483, /74,80 8 032,8 3907;0303908 34 574.0884 /0 -488J39080 /,8 .,90.4,23,8 84

70:,/,85471,.9470830:743,8003/O.7348

8.F:,8.742,138 ,72,03,2,8 47243,802 73:48,8.,90.4,23,80397,2 348 73:48547

97,3854790/0503/0390/0%!":,3/4,20/:,8:57,703,70.0-0:2089J2:430:743,/0803.,/0,,

1:84/4873:48.42,202-7,3,-079,3/4800530173,03470530173,890574.0884/004.9480

/0503/0 /,8 .43.0397,08 /0 .E.4 803/4 0892:,/4 547 ,03908 .43F7.48 0 .,/703F7.48 0

3-/4547,03908-,/703F7.48A30.088E74:2574.0884/070,-8474/,8.,90.4,23,8/024/4

, ,;07 , 8:, .43807;,4 2,8 , 20/:, 8:57,703, 34 5488: :2 20.,3824 /0 70,-8474 0

,72,03,20394 /,8 .,90.4,23,8 !47 00254, 0530173, -079,/, ;, 5,7, 4 1J,/4 0 28.:48

086:0F9.4843/0 ;,807209,-4,/, 8 .,90.4,23,8.7.:,2,884.,/,8 ,-:23,05488:02

:2,802;/,.:79,

0530173, F :2, .,90.4,23, 54:.4 0.709E;0 2,47, /,8 .,90.4,23,8 84 7,5/,20390

209,-4,/,8 841703/4 , ,.4 /0 032,8 9,8 .424 , .,90.420997,38107,80   %   0

2434,2344/,80     803/4.43;079/,8021472,83,.9;,8

  %F:2,032,5708039034.94840.,9,8,:2,70,.4026:0F,/.43,/4:27:54209

3,5484/4,30-03O.489,032,30.0889,/0 $ ,/0348209433,.42414390/47:54209089,70,.4708:9,3472,20390E./4424;,J3.4347209,30173,0209,3173,

   F:2,4770/:9,806:03907;F20270,.08/0/08,23,4/02434,23,8A,-:3/,39034

1J,/4738039089348902/:,884032,8    7085438E;050,/08,23,4/,80749433,

0530173, 0 34705307173, 0      7085438E;0 50, /08,23,4 /, -10309,,23, 0

 -03,23,/45,23,0,97,23,84209,-4,/,8547,2-,8,8032,8

8209,30173,8 842094/07;,/48/,0530173,03470530173, 036:,394 6:0 4'    E./4;,3

2,3/F.4F:2.4254894209,/40/08,23,/49,2-F2/07;,/4/,0530173,0/,3470530173,

Page 54: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 54/66

8.,90.4,23,8,.9:,2547204/0/489548/070.0594708,/703F7.486:084-- . .8

47243,86:080,2,70.0594708 .0 .,.9;,2,,/03..,80903/4.42480:3/42038,0744

.    !  036:,3946:070.0594708-3-02,,/03..,80/23:3/4,882,86:,39/,/08/0.    ! 

870.594708-03.4397,280,/48,:288902,6:0,907,,.43.0397,4/0.E.4397,.0:,74:

24/1.,24209,-4824/41481,9/348943-3/4,574/:4/034894971481,940/,..074

47243,8/4!3.70,8

53.70,8F.43899:J/4547/:,854708:2,0O.73,5474,.3,704:97,03/O.73,F : 8/0

 ,307,388 F:8 /0 ,307,38 574/:02,8 47243,8 5,3.70E9.,8 3420,/,20390 , 38:3,

:.,O3842,9489,93,0545F59.45,3.70E9.4

38:3,

4, 57207,57490J3, , 807089:/,/,A:2, 57490J3,907,2F7.,.43899:J/,547 /:,8 8:-:3/,/08

.,/, .,/0, 5488: ,234E./48 0 /:,8 8:-:3/,/08 .,/, .,/0,5488: ,234E./48,/,8547/:,8543908/88:1943907.,903E7,86:0,2   ,4   0   ,

  890:2,907.07,

 54390/88:1942,8397,.,903E7,,3J;0/48708J/:48,/,.,/0,

89027008/,38:3,6:0802,39H2.43807;,/,83420,/,20390

 ! 480 8/,897H85439 0 8/88:  1  94

 #0 8J/ :48/74 1  O-.48/4  9 07 23, /,.,/ 0, 70403;4;/,34574.0884/0/207,4/,

38:3,

#008090723,/,.,/0,

 $ J390800  09,-4824

38:3,F83909,/,.424:2, 57F57O38:3,.425084240.:,7.07.,/0,890:2,

 806:H3., J/07 .42 ,234E./48/741O-.487085438E;0 50, 70244/,24F.:,/,8 .89073,8

/4709J.:403/45,82E9.4894708:9,3,1472,4/0:2,24F.:, 57O38:3,57O38:3,F

:2,57490J3,/0,F83909,/,504##,;03/4, 70244/,806:H3.,J/071472,4/,8

 543908/88:1940 025,.49,2039424F.:,/057O38:3,F97,385479,/,5,7,4,5,704/04

43/0803.,,57490O800025,.49,2039434390747/4873:4880.709470807.,/0/,57O

38:3, F .43;079/, , 38:3, 708:9,3/4 3, 574/:4 02 6:,39/,/08 06:24,708 /0 38:3, 0

 5F59/4   802 ,.9;/,/0 -4O., 6:0 84 -079,/48 547 04.9480 8 57O38:3,8 ;,7,2 /0

9,2,344.47703/4,;,7,43,09702/,/090723,!4/01472,7020748.4243.40902

20348/0,.9;/,/0.425,7,9;,2039038:3,:2,57O38:3,F-079,/,.42,38:3,

903/4:2,802;/,2,476:0,/,38:3,

53.70,880.709,.07.,/0:3/,/08/038:3,/047243,,72,03,/,80.704

706:074.438:24/00307,03;4;03/4482.749-:48/,8.F:,8/,849,8

Page 55: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 55/66

38:3,345488:97,385479,/475,82E9.45488:3/4:2,802;/,.:79,07.,/0/038:3,

F7024;/,5041J,/48902 /:,8032,8.,;07085438E;08 504209,-4824/,38:3,:2,

 57490,80 0 :2,  :9,943,38:3, 97,38/7403,80 05E9., 032, 7085438E;0 50, 70/:4 /,8

 543908/88:194803/4,8.,/0,807,5/,20390/07,/,/,8

/,-0908 209:80, 507.F2,708:9,2/0:2,/23:4/,0397,/,0/0.4803,8.F:,8

/23:4/,:9,4/,.4805048;E74890./480,:20394/,574/:4/0.480341J,/4

38:3,3457424;0,/1:84/,.480,3J;005E9.42,8902:2,,.43/70.9,34,:20394/, 8:, 0397,/, .43;07903/4 , .480 , .4801481,94 148147,4 50,  .46:3,80 032,

3/:/,50, 38:3,46:0 507290 2,390748 3J;08/0.4801,;470.03/4 , 0397,/, 547 /1:84

82508,1,;47/47,/0390/0.43.0397,4

38:3, 1,;470.09,2-F2,0397,/,/0,234E./483,8.F:,850424;20394/0.E.4549E884

3:.0O8/4801481,943473.438:3,5488::270.05947  .457490.4.42/:,88:-:3/,/08-0

 .,/,8547543908/88:19403970-0 .803/48:-:3/,/08.48,/,80,70244/0E./40

,,.9480/23:02,,40,.4.42,38:3,8:-:3/,/0-F097,.0:,7,3/48038:3,

,97,;F8 /0 :2, .890J3, 036:,394 6:0 , 8:-:3/,/0 . F 97,38202-7,3E7, 903/4 :2, ,.9;/,/0 /0

97483,6:3,800:24.,,:94148147E;070.05947F83909,/4.424:25F59/4/0.,/0,.:79,34

##0.48,/434,5,704/042.,848/0,9483J;08/038:3,432074/070.0594708

/23:70.05947,4,78038:3,F,:94148147,/470,.4/,7085438,-/,/0/,8:-:3/,/0 .

6:0902,,.4/0:2,57490J3,6:3,80

!038,806:0, 38:3,5488: 2038,0748 3420,/,20390, 57O57, 47243, .E.4.    !  5F59/48

/07;,/4814814J5/48202-7,3E748.,9082434;,0390897483,6:3,80

   10948

38:3, 3907;F2 3, :9,4 397,.0:,7 /0 .480 , ;E748 3J;08 .O80 :.4F3080

54F308007., /0 209,/0/,.480F .43;079/, 020307,,97,;F8/,.O80 6:0 /0.708.0 3,

,:8H3.,/038:3,803/447089,390.43;079/40247/:7,4:.4F34

38:3, ,:2039,, .O80 , 3J;0 05E9.4 504,:20394 /, ,.9;/,/0 0 6:,39/,/0/0032,8

.,;0 .46:3,80 1481417:946:3,80 57:;,94 6:3,80 4 6:0 708:9, 34 ,:20394 /, :9,4 /0

:.48047243,/23:,,.9;/,/0/,032,.4801481,9,8005E9.,,.4/,38:3,34

F2,86:0,709034/,.480,3J;005E9.4 38:3, 9,2-F2 0892:, , 54F3080 34 90./4 ,/5484 ,97,;F8 /0 ,.094 ! 3J;08

3472,8/0.094.,7-4,80/8543-/,/0/0.074

47243, 3907;F2 9,2-F2 34 209,-4824 5J/.4 903/4 :25,50 3-/47 3, 5O80 341J,/4

,97,;F8/,/23:4/483J;08/0.

    !  3-4/,5,80,97,;F8/,032,1481,9,80

2 70,4 ,4 209,-4824 57490.4 , 47243, 0892:, , 8J39080 57490., 0 709,7/, , /07,/,4

 57490., 3907;F2 ,3/, 3, 574107,4 .0:,7 0892:,3/4 , 574/:4 /0 !

 57489,,3/3,8 ;,84570883, 0.    !  3, 97,/:4 /4 #2 3907;3/4 3, ,.9;/,/0 /0 .079,8

Page 56: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 56/66

 57490J3,80 3,0570884/0.079480308,10.9,3/4574.088483:.0,708 0850.J1.48,574107,4

.0:,7,38:3,3907,0.42481,.94708/0.708.20394573.5,203909097,/J20748020,390

38:3,0545F59/4.42,903/4,38:3,:2,,.42,85490390

38:3,5488::201094 3-9O74 3,304:.4F3080 3-3/4;,86:05,7902 /0507.:78470834

.,7-4/7,9,/48 0 9,2-F2 , 1481403457:;,94 .,7-4,80 7085438E;0 50, .43;0784 /0 4,,94 ,

1481403457:;,94

,.44-,/,38:3,.43889002/23:7,.43.0397,4/0:.4808,3:J30,

 #0 :,4

38:3,F70:,/,547;E74820.,38248

.480:2,:20394/,.480348,3:0/0803.,/0,,80.704/038:3,0890.,84,.480

,80,:270.05947/,202-7,3,/,.F:,6:0,.9;,420.,3824/0-079,4/038:3,4:

0394 209,-O948 397,.0:,708 4: ;04./,/0 /4 1:4 /0 :2 209,-O.4 3:2, ;, .424 , /,8

 50394808..4/,:70,4:.O80089403;4;/483089020.,3824

,.94708 47243,8 3420,/,20390 ,4389,8 -,/703F7.48 .424 , 0530173, 6:0 3-02 ,

-079,4 /0 38:3, 20824 6:,3/4 0892:,/, 50, .480 ,4389,8  .,/703F7.48 6:0

0892:,2,80.704/038:3,504,:20394/0      !  :97,847243,8.424,.47984

08974F304805740890743,,:2039,29,2-F2,80.704/038:3,

E72,.482:9,8/74,80892:,2,80.704/038:3,

 ! ,944,

/F1.0/038:3,574;4.,,/,-0908209:8E:2, /,-090209 

: 838:34/0503/0390

 954

  0

/,-090209 : 838:343/0503/0390 954  

:.,43

!488: :2, ,.4 ,39,O3., /, 38:3, A 83909,/4 573.5,20390 3,8 .F:,8 /48 F:8 /0

,307,38A574/:/43,1472,/0 57O :.,435084240.:,7/0,5O880780.709,/4

.7.:,345,82,3, 1472,;70903/4:2,802;/,.:79,548345488:97,385479,/47A 3,.9;4

341J,/4;8946:00890:2,032,6:07024;0/48,234E./483,09702/,/090723,3J;0

/0:.,43F2,473,;0,5479,.4803907;F23,80.704/0:.,43,882.424,234E./48E./4847/4830:7497,382884708

047243,8,8974390893,8

8573.5,8,.08/4:.,4384

892:,,.403O80

892:,,5O80

Page 57: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 57/66

 4 1J,/4 ,80 , 70.0594708 5,82E9.48 /4 05,9O.94 ,.9;,3/4 , ,/03,94 ..,80  

    ! 

1472,/4 ,.9;, , 148147,80 6:0 ,:2039, , ;04./,/0 /0 /0,/,4 /4 .4F34 0 3-0 ,

 .4F34 83909,80,:2039,3/4,1472,4/0.4F34

:2039, 483J;08 /0 

    !  0892:,3/4 , .43;0784 /0 ,234E./48 02 .480 3907;3/4 3,

,.4/0.079,8032,8,:2039,3/4,;04./,/0/097,38.74/4#2

:2039,,.4805,82E9.,

$42,9489,93,

A9,2-F283909,/,.424 57O47243,.42 5084240.:,7, 3,8.F:,8/48F:8 /0

,307,38A572074.;,/45,7,:25F59/4/0,234E./48054890747203905,7,:2,24F.:,

.42 ,234E./48 05084 240.:,7 ,%02 :2 01094 3-9O74 3, 80.704 /, 3,

80.704/0:.,430497,3854790/03:97039083,.7.:,4

!45F59/4!,3.70E9.4

A :2 5F59/4 .42 ,234E./48 0 5084 240.:,7 , 8:, 80.704 ,:2039, ,5O8 :2,

7010457490.,0:2007.J.4054.F2,0/23:.42,80.704/0842,9489,93,0.480

397,;0348,

47243,8/4%7,.94,8974390893,

8573.5,847243,8,8974390893,80894705708039,/,83,9,-0,,80:7705708039,/,

 #  $ @

 ,8973, $ 0.7 04/ 0E./4  E897.40505 83, 40.8946:33,

$ 0.7 04/ 0,2,805,3.7 0E9.,

 $ 0.7093,

$ 0.7 04/ 0-.,7-43,945,3.7 0E9.4

 $ 42,9489,93,    109483-/47 0 8

47243,8$0:,8

'07,5439,203948/4574108847

Page 58: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 58/66

!%&!!#%    $

70;07/0894/48J5/48

&2,;0,-847;/4848J5/488497,385479,/485475457490J3,886:42.7,97,385479,248J5/48

/43908934036:,3946:0,8'  97,385479,2J5/48/41J,/45,7,807024/,/4834:974890./48

&2,5457490J3,34F2,86:0:2,57490J3,.43:,/,.42J5/48,315E9.48%02486:,9747:548

 573.5,8/05457490J3,86:084

":42.7,/07;,/48/,,-8474390893,/097.F7/48

'  /07;,/48/41J,/4/097.F7/48-079,/48

   705708039,24089E/413,/4.,9,-4824/,8'

    03.4397,28003;4;/,834209,-4824/,8'06:42.7,

97,..074F570/423,3903486:42.7,03,8'036:,3946:04.408907404814814J5/48

84570/423,39083,80&2,5457490J3,5488:/:,8547081:3.43,8

&2,  5474 5J/., .43899:J/, 547 J5/48 ,54,708 97,..07O8 0 F890708 /0 .4089074.7.:3/,/48547J5/4854,70814814J5/480.4089074

&2, 5474 57490., .43899:J/, 547 ,545457490J3, 705708039, .07., /0 348 6:42.7,

803/4089,86:0.,7,.907,2:2,5457490J3,,545457490J3,/,8F,  54,/,80

'F,  54   036:,3946:0,8/486:42.7,F,  54

  2,8506:03,6:0,54   0F

83909,/,343908934036:,3946:0,54   F83909,/,341J,/48,545457490J3,8  

   

 

0  

  84545F59/48/02034708/20380897,38107/4803970,85457490J3,8

8,545457490J3,85488:02;,7,/,81:3083420,/,20390

$4.41,.94708032E9.48

!4/02,.9:,7.42457490J3,897,385479,/47,8/0J5/48

.9:,2.424,3/485,7,,3907,.4.4270.0594708/05457490J3,857080390834890./48

":42.7,

$4 7085438E;08 504 97,3854790 /0 97.F7/48 8 6:42.7, 1472,280 34 0:34 803/4 48 80:8

J5/48.43899:3908574;0303908 573.5,20390 /48 8,8 -,708080.7008 390893,8 A .43899:J/4 50, 5457490J3,   6:0 F 83909,/, 34 ## 0 20//, 6:0 80 ;, 1472,3/4 ;,

3.47547,3/403;4;03/4 48 97.F7/48 6:0 147,2 83909,/48 9,2,34 /, 54   /0503/0 /,

6:,39/,/0 /097.F7/48034-,/488 6:42.7,8480.709,/48/,.F:,390893,547 534.9480

70;078, 5,88,3/4 5,7, 4 88902, 31E9.4 0 /0548 5,7, , .7.:,4 !489074720390 4 6:42.743

3,8.0390F.43899:J/454754

  54097.F7/48,.7.:,446:42.7435,88,547:2,

8F70/070,.0843/0;,,2,/:70.076:42.743;,-079,7,545,7,,1472,4/,8

89,8 547 8:, ;0 ;, 14730.07 ,4 6:42.743 54 0 54 

  1472,3/480 0394 4 6:42.743

Page 59: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 59/66

2,/ :74,8446:42.7433470.0-07,54 

  /,800;,/70.9,203905,7,41J,/4802

807209,-4,/4,843470.0-,,5446:42.7431.,02.7.:,4.42480:9:734;075476:0

3454/00397,73,.F:,05E9.,

54   ;,807;7/0.41,.9475,7,, !5457490J3,5,806:0;,,.9:,7346:42.743!

03.4397,803403/49F4.,5,73/4.;,7, 5457490J3,30890.,844 6:42.7433/4/07,/,748

97.F7/48-079,/481472,3/480E./4847/480.0748E./4847/48,280,-:23,3/4

 5,7,90./48097,05E9.48036:,3946:04.074;,807;7.42414390/00307,!479,394/,,.4

/,!708:9,,507/,/0.07.,/4897.F7/48/486:42.7,0,507/,/,54 

  6:0707088,

8472,805479,3946:42.743702,308.03908.4297.F7/48.408907454054  

803/42,87.402F890708/0.40890740.4089074/46:097.F7/4886:42.7,702,308.03908

84.,59,/485041J,/4,97,;F8/0:270.059476:070.430.0, 54803/448F890708/0.40890740

97.F7/48/74,/480209,-4,/48807;3/45,7,,1472,4/,8'

'  !488:02 :2, 0897:9:7, 8020,390 /486:42.7, 2,8 02 ;0 /054   5488:02  54

  $4

2,8/038,86:0,86:42.7,01472,2803,8.F:,805E9.,8%7,385479,297.F7/48/41J,/4

 5,7,4890./48097,05E9.488'8480.709,/,8547534.9480/41J,/45,7,4085,4/0880

0 5489074720390 5,7, 48 .,5,708 83:8O/08 05E9.48 8 '   3,8.03908 5488:02 54   0

97.F7/48 803/4 , 54   83909,/, /, 2082, 2,307, 6:0 , 54

  54   03;4;0 48

97.F7/48 0 , ' 3,8.0390 ,4 .4397E74 /,8 6:42.7, 3,8.0390 34 5488: 54 8,3/4 /4

1J,/4 0 0397,3/4 /70.9,20390 3, .4770390 8,3:J30, 4 ;, 5,7, 48 31E9.48 548 , 54

  F

8:1.039020390 84;0 4 8,3:0 ,8 ' ;4 ,2,/:70.07 '  2,/ :7,8 70.0-03/4 54 0

54   /,8841703/4 :,20390,,.4/,8!6:0/748,4897.F7/4802E./4847/48

6:0 ;4 5,7, 48 90./48 097,05E9.48 0 .074 6:0 14730.0 0307, 472,80 0394 ,8 '  

702,308.03908.4297.F7/48.408907454054   6:054/02907/48/089348

    '702,308.03908,8,97,;F8/,540397,341J,/4;89480770.430./,547

70.0594708 05E9.48 ,;03/4 , /7O80 /48 97.F7/48 02 .40890740 E./48 47/48 6:0 84

-079,/48

    1472,2806:,3/4,8-079,2,54097.F7/4854/03/4,8907/48/089348

4: 209,/0 ;, 5,7, 4 1J,/4 ,97,;F8 /0 70.0594708 4: 0394 ;4 807 /07,/,/,8 348

90./48097,05E9.4802848842,8

870.0594708   08902348O341J,/4 2,8 9,2-F2 34:974890./4846:05072904 9:734;07/4

.4089074

Page 60: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 60/66

    

A,.,8805457490.,2,8542O71.,8.439H220348J5/4802,857490J3,8803/4547884

2,8/038,8

88483909,/,800.709,/,85041J,/40390893483,8.03908.439H2,503,8  54  

  0

  54  

  803/4,540, 5483909,/,8341J,/40 548907472039097,38107/,86:,3/480

03.4397,345,82,573.5,1:34/,8F807;702/070807;,/05405408803.,85,7,

4209,-4824/,8'06:42.7,8845479,3941472,/,854754    54    54  

 

54 0 14814J5/48 803/4 /0;/4 , 08908 6:0 ,8 ,5708039,2 /:,8 .,2,/,8 /8.O/08 803/4

9,2-F2 .43899:J/,8 547.4089074 ;70 54 

  0, % 0.934089074.%7,38107,80

,280%F,.9;,/,50,54 

  6:0F.41,.9475,50/,%F507,390:2,

.,9E80 97,381077 0.93, 14814J5/4 0 E./48 47/48 5,7, 4 .4089074 089071.,3/44 ,;03/4 ,

1472,4/0.4089074089071.,/40840.93,8F890708/0.40890748497,38107/485,7,4390747

/7O14-4 /, -.,2,/, 148145J/., 0 , 840.93, F 97,38107/, 5,7, , ,-:23, 5,82E9., 89,

70,.4;,80.4393:,3/4,9F801472,7,    2,/ :7,6:05488:1472,081F7.,0F.4-079,547:2, 50J.:,8:5071.,/0J5/48.4089074089071.,/454/080797,38107/45,7,486:42.7,' 0

,97,;F8 /,  54  97,38107,80 6:0 F 4:97, .425430390 /, 44 4 88902, % 089E

03;4;/43,70244/40.0884/0.408907434089071.,/4/,85457490J3,80/4890./481J,/4

0439089348448 5488J;08/08934813,8 /,8,545457490J3,8 /,82,/:7,8O5488:

54803/4.,59,/,5041J,/4;,70.05947

Page 61: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 61/66

!%&   $%$   

0134

02489,80F:2574.0884.425045046:,447,3824,880:7,025072,3H3.,570;034/0

02477,,808543930,80,5,7,02/,802477,,8708:9,3908/084:08/0.4393:/,/0;,8.:,788902,/,02489,80;8,034-,7/:,81:308

439074097,;,8,20394/48,3:0/0:2;,84

'8,34807,.9;,/46:,3/434E30.088/,/04:80,;;00206:J-74/32.406:,3/434

0890303:2089J2:434F,.9;,/4.,84.4397E74807E

890 88902, F .43899:J/4 547 29548 0 ;,7,/48 1,.94708 803/4 ,.9;,/4 6:,3/4 30.088E74 A

.43899:J/454700203948,.9;,/47080002039483-/4708

0548/080/,7:2,;,84.438974,5O8,02477,,,.9470104/488902,307;484,02489,80

 5488:97H81,808573.5,8  02489,80 572E7,

 4, :,4 8,3 :J30, 4:02489,80 80.:3/E7,

  -73O80 4:02489,809 07 .E7,

89,897H81,8080890202806:H3.,574.0884F/32.4.40893/494/,8,81,8083.,3/480,4

2082490254903/494/,8;79:,20390420824089J2:48.F :,803/49 0,8 8:-893.,8-079,/,8

09 0./4.43:39;48408803.,83,02489,808573.5,81,.947086:05,79.5,23,02489,8084

481,.947089 0./ :,7 0 8 5,6:09E7480 5,82E9.48

85,6:09,884.F:,8,3:.0,/,8.42.94086:00947.405488:023480:3907472954873:48

.42 29548 .4254303908 2483, ,.93, 9742-489 033,    !  1  ,.947  0 89,- ,/47  /, 1  -73,

 1  ,.947 / 0.7 0 8.20394%02:2,/:7,42F/,/0;/,.07.,/0/,8348,3:0

02489,80572E7,

4388903,1472,4 /0:29,254 5,6:09E74;E7,8 .,2,/,8/0.F:,85,6:09E7,84-0.9;4

/089,57207,1,80F574/:7:29742-4/05,6:09,8A/;//,0297H81,808

 /084 5,6:09E7,.4388903:2,2434.,2,/,/05,6:09,86:0801472,34;,840843,/489,,/084F/0;/,05484/,81-7,8/0.4,F34/,8.F:,803/490,80843,/,84:20824/,

 5,70/0;,8.:,7 .4,F3408806:0F 0548945471:4 9:7-:0394803/4,8 5,6:09,8,97,J/,8547

001472,3/4,882:2,2434.,2,/,,/0845,6:09E7,F:220.,3824/0/:5,,3.47,02

6:0 54/0 807 109, /0 /:,8 1472,8

,/0843/70.9,026:0,5,6:09,,/070,4;,84547:2,54390 1,.947 /0' 43 0-7,3/ 

6:0 80 , 5,6:09, ,97,;F8 /0 :2 70.05947 57490.4 70.05947   -

,/084 /70.9, ,4 /70.9, /, 5,6:09, ,4 .4,F34 ,97,;F8 /0 :2, .457490J3,  ,  ,

Page 62: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 62/66

2-484870.0594708-0,,5,88,2547:2574.0884/0,.9;,4036:,3946:0,85,6:09,86:0

,/0702/70.9,203905488:0270.0594708

 -079,4/0 1,.94708 5,6:09E7480548/,5,6:09,,/077,4;,84E:283,097,.0:,76:0

7E,.9;,7470.059476:0,97,;F8/0:2,57490J3,97,38/:947, 57490J3, 97,38290,2038,02

803/4 83909,/, :2, 032,  148145,80

  6:0 , 5,797 /4  1481,9/34894  507.:847 /E

4702 ,4 2038,074 4 34894  971481,94 0 4 /,..074  34894 971481,94 ,80 ,4

709J.:403/45,82E9.457424;03/4:2,14790-079,4/0.E.4,.9;,3/4,.,24/ :3,.3,80

6:0148147,,8/:,8.,/0,80;08/02483,6:080,2,.93,1472,3/4.4250486:01,02

.42 6:0 ,, 24;20394 /4 .94086:0094  5,6:09,  89. 50,48, .4397,.4 /4

.94086:0094 F 7085438E;0 50, -079,4 /0 73:48 50, 5,6:09, /,..074 ,80

 57490J3,6:3,806:0;, 148147,7,7-45473,6:01,.42 6:048 73:48 80742502 803/4

-079,/4 4 80: .4390/4 8 73:48 54/02 807 /0 97H8 9548  73:48 /03848 .42 .E .4

 80749433,   !   73:48 848842,8 .42 03/4  .48/,80 8 0 05,73,80 0 73:48 - .42

 1  ,.947  / 0 ' 43   0-7,3/ 1  -7430.93, 9742-48 543/3,  !   0 1    ,.947   '  8 73:48 84

,72,03,/48 3,5,6:09, 3, 1,80 3,.9;,$4 .43899:J/48 547;E7,8 8:-893.,83420,/,20390

 1  ,.947  / 0 ' 43   0-7,3/  1  -734  F34 1  ,.947   , 9742-4,34

  0   !  ":,3/4 , 5,6:09, F

,.9;,/,-079,4873:48,;03/4/4820.,38248

 #00,83 84-079,/4894/4848.4254303908/4873:48

 #00,83    E :2, /087,3:,4 ,-:3/,390 /0 !

6:,3/4

  70,4 5,6:09E7, 3, ;3,3, /,8 5,6:09,8 ,85,6:09,8 ;3,8 ,2808 5,6:09,8

,.9;,/,8,97,;F8 /4 9742-4,34

 

573.5,7085438E;0 50, ,4 /,8 5,6:09,8,/07/,8 8 5,6:09,802.7.:,4-079,4/0   ! 1,.426:094/,8,85,6:09,86:00397,202.439,.94

.4208908417,2:2,2:/,3,9,.424,05484 .457490J3, -  ,85,6:09,8:30280

:2,884:97,8,97,;F8/41-734F34:9,3/470.0594708-,

 $ 3,8089039083, 5,6:09,

83,,34389,81479089,8.4244.4,F34 9742-3, 9742-4,34

  0!  /0803.,/0,2:2,

97,38/:483,0,-079,4/073:48

83,6:,3/41472,/,,2434.,2,/,5,6:09E7,5,7,34,;07,,.9;,4.439J3:,5,6:09E7,,8

.F:,803/490,8-079,28:-893.,8 83,8/03-49,8.424

 !  

 !   # 894,.4390.0

6:,3/40890:2,54.,2,/,/0.F:,85,6:09E7,885,6:09,8.7.:,39085488:02:270.059476:0

80,

 !   /0;/4,4,:20394/0.

    !  34390747/,5,6:09,3,.9;,3/4,882,85,6:09,802

.7.:,43/45,7,7,,.9;/,/05,6:09E7,

% 742-4,34

  F 574/:/4 50, 5,6:09, 6:,3/4 0, F 5489, 02 .439,.94 .42 8:-893.,8

0892:,/47,89,8.4244   ! 6:0F.,5,/080,7,:270.059475,6:09E7470.05947 /0,4389,8

 17,.4808902,3/,70.0594708/0,4389,8 147908070.0594708/03-/47085O8,4389,817,.48

Page 63: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 63/66

9,8 .424 4 ! 80 ,702 ,48 80:8 70.0594708 E,.9;,4 /, 148145,80

  6:0 .;, 4 E./4

,7,6:/O3.4 3, 5484 6:0 70,0 .42 :2, 24F.:, /0 4F34 70,.4 .,9,8,/, 547 :2,

..4403,801472,3/48049742-4,34

 

 !      1,.947/0.70.203946:00892:,4 .708.203940 27,4/0 1-74-,8948028.:4 84/,

 5,70/0;,8.:,7A:2574.0884705,7,9;4

4,:,48,3:J30,02489,8080.:3/E7,.4,:,48,3:J30,97,/:80547:288902,/0,251.,4-4O.4.4244-0.9;4/,574/:4

/0 1-73,4:80,574/:80:2,70/0/01-73,6:0;,03;4;0749742-45,6:09E7454.,2,/,

 5,6:09E7, F 03;4;/, 50, 70/0 /0 1-73, .:4 4-0.9;4 F 84/1.,7 890 574.0884 /0503/0 /,

089H3.,/0 1,.94708/0.4, :,46:08457490J3,824F3.,84:80,9H2/0807.;,/,85,7,80

9473,702,.9;,8

.,8.,9,/0.4, :,4F:2,806:H3.,/00;03948026:0E:2,8F70/0,.9;,083,.9;,08/0

 57490J3,8.4244-0.9;413,/0574/:4/01-73,.,8.,9,/0.4,:,40,02489,80572E7,3.,280,4208249025481,.94708/0.4,:,48457490J3,8574/:/,8504 1J,/4

   %#   $     &   

  -734F34

  !7O9742-3,

  ,.94790./:,

 ' E.4

' !7O,.0073,1,.947E-,.007,/47.4-:3,.' !74.43;0793,$!,.007,/478F7.4/,57O9742-3,.49742-45,93,

' 1,.947 021J.4 1,.947 ,390241J.4 1,.947

,390241J.4

  !%.4254303905,82E9.41,.947/07892,81,.947,390241J.4

  ,.947/0$9:,79

  !%,390.0/03905,82E9.4/,9742-45,893,1,.947,390241J.4

  ,.947/0,02,3

  ,.947089,-,390/,1-73,

8902/:,8;,8/0.4,:,48,3:J30,6:090723,23:2,;,13,.42:2E:2, ;,397J380.,

0:2,;,097J380.,

Page 64: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 64/66

' ,397J380.,

89,;,F,.9;,/,50,05484/4.4,F340547:2.425046:0801472,8:5071J.0/4;,84

0843,/,,882.42450, 57F.,.70J3,06:334F34/000;,/45084240.:,7890874,.9;,7

41,.94702,472,80.,.70J3,/0;/457O57,,.9;,4/41,.947,041,.947,7E

.43;0790741,.94702,

;9,23,3907;03039002.,7-4,08F:2,;9,23,3/85038E;08 1,.94708 /0503/03908

3420,/,20390'5488:0294/48,09702/,/090723,7.,02E./4.,7-4:9,2,946:0 ;, 807 .,7-4,/4 1472,3/480 .,7-4 :9,2,94 8:5071J.0 /, 5,6:09, 48 14814J5/48

 5,6:09E748F43/080 ,248 1,.94708/0503/03908803/44 3.J4/,70,.4, ,.9;,4/41,.947

.:, 09702/,/0 .42 4 E./4.,7-4:9,2,94 F .;,/, 1472,3/480 4 1,.947, 81,.94708

/0503/03908 84 :3/48 8:5071J.0 /, 5,6:09, ,97,;F8 /4 .E.4 803/4 547 884 6:0 48 1,.94708

 5488:0214790.,7,30,9;,803/45478846:09H26:0807.,7-4,/48/,J,254793.,/,;9,23,

;9,23,F.41,.947/0:2,032,.,7-4 :9,2,806:0.43;07904E./4:92.402

.,7-4:9,2,94

1,.947,,97,;F8/41,.947', 1,.947 0507 ;,548.43,7.4770.9,2039041,.9476:0.424F

:2,24F.:,/07,3/08/20380830.0889,/0807.;,/4

' ,097J380.,

89, ;, F ,.9;,/, 547 :2, 5457490J3, 148147,/, 6:0 F 05489, ,5O8 :2, 084 /4 ;,84  1,.947

90./ :, 4:9742-45,893,90./ :,  6:0F1472,/4547 14814J5/48/,8202-7,3,8/4890./480:2,

032,574904J9.,,.9;,4/41,.947'F109,,97,;F8/,1,48:5071J.0/41,.94790./:,

6:04;,.43;0790702',890924,97,;F8/4208241,.94790./:,7E,:/,73,1472,4/4

1,.947,

Page 65: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 65/66

;,13,.42:23.,805041,.947,890.43;079041,.94702,4: 9742-3,9742-3,F

1,8:5071J.0/,5,6:09,547 543908/0.E.4 30.0889,3/4/04:974 1,.947 0507 6:0F4',

 5749742-3, 1,.947 34 F .;,/, .424 48 4:9748 1,.94708 A .43899:J/, 547 ;E7,8 806:H3.,8

3420,/,20390:2,.,/0,90723,7.,02.,7-4:9,2,94

 ,57207,.;,02490723,/,5749742-3,6:0F:2,

- 4-:3,1472,/,341J,/4507/0

801.,3/480.42:2,57F9742-3,6:0F5489074720390.;,/,3,54841472,3/4800394,

9742-3,A30.088E74.E.45,7,,1472,4/089,

 1-734F34F,.9;,/450,9742-3,894F,9742-3,902:2,,.4574904J9.,341-734F34

7024;03/4 6:,9745F59/48/0-,4 5084 240.:,7 /0 .,/, 24F.:,/01-734F341-734F34

.4254894547:2,.,/0,,907,4-:,70/:,8.,/0,8,907,81,203948,8!488:808.,/0,8/4954

-  . 0 .,7, 30,9;, 9742-3, ;, 7024;07 5F59/48 /, 5474 .0397, /4 1-734F34

7024;03/4 97483,9748:1,9497,381472,3/4803:2,24F.:,.42:2,5,790.0397,30,9;,0:2,

09702/,/05489;,

472,80:2,70/00F.97.,54:.4089E;0.42,08.7:,/,8547:21,.947, 1,.947 0507 

1,.94708806:0801472,,97,;F8/,9742-3,.47702,08.7:,/,803970,:9,23,0,83,/,8

24F.:,8 /0 1-73, 1472,3/480 :2, 70/0 /0 1-73, 6:0 03;4;0 ,8 5,6:09,8 472,80 0394 4

.4E:4,81,808 3.,848 243O20748/01-73,03.4397,280:3/48547 ,0817,.,8803/44

.4E:4 708:9,390 17E !,7, 70147,7 4 .4E:4 ,8 5,6:09,8 /4 .4E:4 -079,2 :2  1,.947

089,-,/47 /, 1-73,8901,.94730.0889,/0807,.9;,/4,.9;,4088,7085438E;050,9742-3,1,.947F7085438E;0504089,-00.20394/0,08.4;,039080397048243O20748/01-73,,882

.424,08.7:,/,8,:2039,3/4,147,97/203843,/,2,,/01-73,97,38 :9,23,80 F

7085438E;050,,40397048243O20748/01-73,

Page 66: 53681950-Sebenta-de-metabolica

5/16/2018 53681950-Sebenta-de-metabolica - slidepdf.com

http://slidepdf.com/reader/full/53681950-sebenta-de-metabolica 66/66

-73O8002489,80907.E7,

438890 3,/0897:4 /4 .4E:4 .,84 .4397E74 ,;07, :2, 1472,4 .439J3:, /0 .4E:4 4 6:0

 574;4.,7, :2 039:520394 890 :2, 57490J3,  5,823, 6:0 574;F2 /, .;,02 /4

 5,8234F34 890 924 F :2, 57490J3, 6:0 ,-9:,20390 80 03.4397, /03974 /, 70/0 /0 1-73,

.4E:46:080/10703.,025,823,57:2,,.9;,/4706:0/0897O,1-73,3-3/4481,.94708/0

.4,:,4'0,.9;,4/,5,823,F/0;/,,.F:,803/490,85,823,F:2,57490J3,

 574904J9.,8020,39097583,5,823,6:00397,02.7.:,4F7,5/,203903,.9;,/,50480:

3-/475457490J3,

-

8902 1,.94708 03/490,8 9,8 .424 , 9742-424/:3, 6:0 80 , 9742-3, 709,7/,3/4 ,

.4,:,4 0 4 .42504 9742-424/:3,9742-3, 0;,2 ,.9;,4 /, 57490J3,   4:974 1,.947

,39.4,:,3906:0F:21,.9476:03-0481,.94708/0.4,:,4',0',  57490J3,$ F.41,.947

/,57490J3,6:0,9473,,.9;,0;,3/43-4/481,.94708/0.4,:,4E70107/48857490J3,8

0$9,2-F284/0503/039085489,2-F25488:02,09702/,/0.42E./4.,7-4:9,2,94

,399742-3, 4:9741,.947,39.4,:,390902.4244-0.9;4:37809742-3,;8946:05488::2, 00;,/, ,13/,/0 5,7, 089, 0 3,.9;E, A .,5, /0 3,.9;,7 94/48 48 1,.94708 /0 .4,:,4

0.059441,.947'!4/080,7,:24:974,39.4,:,390 05,73,89,,884.,4,:2039,.07.,

/0;008,01.E.,/,,399742-3,3,70244/,9742-3,

8908.42548948 8448573.5,8 3-/4708/,.4,:,4 8,3:J30, 54/03/40897 9,2-F2 4:9748

9,8.424,

-  4-:3,


Recommended