TEI - Avaliação de Riscos Para a Saúde / Valores de Referência (SPECIMEN)

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    XCO - XCPMQOM CBCPLXOIM OBXCLPMHMMvmkomd hc rosids pmrm m smhc - Umkdrcs hc rcecrbiom

    Qcsd Ohcmk

    Ldrhurm Idrpdrmk

    Qcricbmlcg hc ldrhurm idrpdrmk cg rckmd md pcsd dmk.

    M rchud hds bvcos cxicssovds hc ldrhurm idrpdrmk rchuz d rosid hc hccrgobmhms hdcbms c idgpkoimcs hc smhc,hcsolbmhmgcbc fopcrcbsd mrcromk, hdcbms imrhmims, hom`ccs c imbird.

    EDBXCY

    BOF / \FD @GO LSOHCKOBCY@dhy m rccrcbic iurvcs dr ifokhrcb mrlcch m @rotsf Gchoimk Jdurbmk (Hrme = MGQ, =? Jubc 0118 / Hr. Mbhrcw)

    Lmkkmlfcr H. c Mk. Mg. J. Ikob BSXP (0111

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    Ldrhurm Uosicrmk

    bhoic hc Gmssm Idrpdrmk (OGI)D prdicssd gmos utkozmhd pmrm hccrgobmr d cxicssd hc pcsd d ikiukd hd bhoic hc Gmssm Idrpdrmk (OGI). Csc ikiukd`mscomsc bm rckmd cbrc m mkurm c d pcsd.

    Bm Curdpm, ug OGI supcrodr m 03 idbsohcrmhd cxicssd hc pcsd c ug OGI supcrodr m 91 idbsohcrmhd d`csohmhc.

    0

    Xrmmsc hm ldrhurm (gmssm mhopdsm) quc sc miugukm bms imgmhms prdubhms hd m`hgcb, cbvdkvcbhd ds rlds obcrbdshcssm zdbm (idrmd, lmhd, csgmld, robs, obcstbds c pbircms). M ldrhurm vosicrmk cg pdr ubd prdclcr ds rldshd mpmrckfd holcstvd, pdrg, qumbhd d bvck hc hcpsod hcssm ldrhurm ukrmpmssm ds kogocs, f ko`crmd hc iohdsldrhds, fdrgdbms c prdcbms obffmgmroms, quc cg hcgmsom mcmg bclmtvmgcbc m impmiohmhc hc ubiodbmgcbdhds rlds vomos.

    Yc cg cxicssd hc ldrhurm vosicrmk, prdvvck quc cscjm idg ckcvmhd rosid hc hcscbvdkvcr hdcbms lrmvcs, ugm vcz

    quc csms idgpkoimcs pdcbiomg m rcsosbiom obsukobm (hom`ccs), mugcbmg d rosid hc mmqucs imrhmids du MUI,rchuzcg d `dg idkcscrdk (FHK), mugcbmg d gmu idkcscrdk (KHK) c mobhm m prcssd mrcromk (fopcrcbsd).

    Bd imsd hd scu bvck hc ldrhurm vosicrmk scr cxicssovd, dpdrubd quc guhc mklubs f`ods, dpmbhd bdgcmhmgcbcpdr ugm mkogcbmd gmos smuhvck c pckm prtim hc cxcriiod soid rclukmr.

    BDXM : Qmrm irombms cbrc ds 3 c ds =< mbds hc ohmhc, m ubohmhc obhoimr mpcbms d Qcsd, % hc Ldrhurm Idrpdrmk c OGI.

    Gmssm Gusiukmr

    Obhoim d pcsd hds gsiukds hd idrpd. M gmssm gusiukmr obikuo m csruurm gsiukdcsqucktim, ds gsiukds gdkcs(mos idgd ds gsiukds imrhmid c holcstvd) c m lum bckcs idbthm.

    Ds gsiukds hcscgpcbfmg ug ogpdrmbc pmpck, j quc ubiodbmg idgd ug gddr quc idbsdgc cbcrlom> mugcbmbhdm gmssm gusiukmr, d idbsugd hc cbcrlom mg`g mugcbmr, pdcbiombhd m rchud hds bvcos hc ldrhurm idrpdrmkc pdr idbscqucbc m pcrhm hc pcsd hc drgm smuhvck.

    Gmssm sscm

    Obhoim d pcsd hm csruurm sscm (hcbsohmhc gobcrmk sscm, ikiod c durds gobcrmos). Urods csuhds prdvmrmg qucd cxcriiod soid c d hcscbvdkvogcbd hds ciohds gusiukmrcs csd mssdiomhds m dssds gmos drcs c smuhvcos.

    D hcscbvdkvogcbd c m gmbucbd hc ugm csruurm sscm smuhvck rcqucr ugm hocm cquoko`rmhm c prmtim rclukmrhc cxcriiod soid.

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    Qrcssd Mrtcromk

    Ohmhc Gctm`koim

    Yc m sum Ohmhc Gcm`koim dr supcrodr sum ohmhc rcmk, solboim quc hcvc gckfdrmr d scu bhoic Gcm`koid @msmk (OG@).

    M prtim hc gmos mtvohmhc soim prdhuzor ciohds gusiukmrcs smuhvcos, rcsukmbhd bm gckfdrom hm sum ohmhc gcm`koim.

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    M cxprcssd prcssd mrcromk (QM) rccrcsc prcssd cxcriohm pckd smbluc idbrm m pmrchc hms mrroms. Mssog, hc imhmvcz quc d idrmd sc idbrmo (ssdkc), d smbluc cxpckohd mrmvs hm mrrom mdrm. M prcssd gxogm mtblohm hurmbcm cxpuksd hd smbluc m ifmgmhm prcssd soskoim (prcssd gxogm). Cg scluohm, m prcssd hcbrd hms mrroms vmohcsicbhd gchohm quc d idrmd sc rckmxm. M prcssd gmos `moxm mtblohm m ifmgmhm prcssd homskoim (prcssdgbogm).

    Ds vmkdrcs hm prcssd mrcromk hc imhm obhovhud sd hccrgobmhds pckm prcssd m quc d smbluc ioriukm bms mrromshd drlmbosgd, cg idbscqubiom hm md hc `dg`cmgcbd quc d idrmd ccium pdr puksmd, vmrombhd idbtbumgcbc,cg rcspdsm s hocrcbcs mtvohmhcs c cgdcs.

    M prcssd mrcromk `cg idgd m hc dhd d soscgm ioriukmrod cbidbrmsc bdrgmkgcbc ug pduid miogm hm prcssd

    mgdsroim, scbhd m hocrcbm hc prcsscs rcspdbsvck pdr gmbcr ms mrroms c hcgmos vmsds bd idkmpsmhds.

    M fopcrcbsd mrcromk (FXM) d prd`kcgm hc Ymhc Q`koim gmos ogpdrmbc cg Qdrulmk, scbhd rcspdbsvck pdr ckcvmhdbgcrd hc idgpkoimcs imrhodvmsiukmrcs.

    Oblcstd Imkroim Horom

    Idbsosc bm sdgm hms imkdroms bcicsroms pmrm ug gcm`dkosgd `msmk idg mtvohmhcs qudthombms (obikuobhd mrcmshdgstims) c m crgdlbcsc (hcscbvdkvogcbd hd imkdr bds scrcs vovds) prdhuzohm m pmrtr hc ug pmhrd mkogcbmr

    (m cbcrlom utkozmhm pmrm m holcsd, m`sdrd, gcm`dkosgd c durms mtvohmhcs hc burod)> ms imkdroms quc d drlmbosgdlmsm pdr hom hcpcbhcg hd pcsd, hd scxd, hm ohmhc, hm mtvohmhc soim c hd pmhrd mkogcbmr.

    ]umbhd sc prccbhc pcrhcr ldrhurm idrpdrmk hc drgm gmos micbumhm, midbsckfmhd mugcbmr d bgcrd hc gobudshcspcbhohds cg mtvohmhc soim cg hcrogcbd hc ugm gmodr rcsrod mkogcbmr, ugm vcz quc csm ktgm pdhcr imusmrpcrur`mcs hd idgpdrmgcbd mkogcbmr, kcvmbhd bcicssohmhc hc oblcror mkogcbds hc drgm hcsidbrdkmhm.

    M oblcsd horom hc imkdroms hcvcr csmr hc midrhd idg d d`jctvd quc sc prccbhc mkimbmr. Sgm oblcsd hc imkdromssupcrodr s mprcscbmhms obhuz d mugcbd hm ldrhurm idrpdrmk c mpcbms rcidgcbhmhm m pcssdms quc rcmkozcg gmodrvdkugc hc mtvohmhc soim.

    bhoic Gctm`koid @msmk (OG@ / @GP)

    D bhoic Gcm`koid @msmk (OG@) rccrcsc qumbthmhc imkroim horom bcicssrom pmrm quc d drlmbosgd gmbcbfmms ubcs soims vomos cg ubiodbmgcbd, qumbhd sc cbidbrm cg rcpdusd m`sdkud.

    Mprdxogmhmgcbc

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    Mbkosc hd Piod Iobturm / Mbim (PIM)

    M gchod hds pcrgcrds hm ioburm c hm mbim g sohd usmhds idgd mjuhm bd homlbstid hm d`csohmhc, ugm vcz qucm obvcstlmd mumk pcrgocbds sm`cr quc m lrmvohmhc hm D`csohmhc bd hcpcbhc mpcbms hd scu lrmu, gms mg`ghm drgm idgd m gmssm ldrhm sc hosro`uo.

    Yulcrcsc ugm hovosd cg hdos lrupds qumbd md tpd gdrdkloid hds obhovhuds, cbhd cg idbm ds pcrgcrdshm ioburm c hm mbim: m D`csohmhc Lobohc c m D`csohmhc Mbhrohc.

    D pmhrd hc hosro`uod hm ldrhurm, hc mid, d gckfdr obhoimhdr hd rosid hc gdr`okohmhc mssdiomhd d`csohmhc hdquc m qumbthmhc hc ldrhurm idrprmk cg crgds m`sdkuds (Pdss c idk., =??5).

    M gchod hd pcrgcrd hm ioburm durd gmrimhdr mkcrbmtvd hm ldrhurm vosicrmk> d cxicssd hc ciohd mhopdsdbm rclod hd rdbid ug ogpdrmbc mdr hc rosid hc hdcbms imrhodvmsiukmrcs, c mcm solboimtvmgcbc m cbsdmrcromk, cbrc durds.

    Bds obhovhuds hd scxd cgobobd, pcrgcrds hm ioburm supcrodrcs m 61 ig sd idbsohcrmhds idgd ug mdr hc rosidmircsiohd hc idgpkoimcs gcm`koims c miogm hds 66 ig idgd ug mdr hc rosid ckcvmhd> bds obhovhuds hd scxdgmsiukobd csscs vmkdrcs sd ?8 c =10 rcspctvmgcbc.

    Yc m hocrcbm cbrc m ioburm c m mbim dr supcrodr m =.11 pmrm ds fdgcbs c 1.63 pmrm ms gukfcrcs, prdvvck quc vcbfmm idbrmor hdcbms hd idrmd. Hcvc pdr ossd cr ug iuohmhd cxrm idg m hocm c d cstkd hc vohm.

    D`csohmhc Lobohc

    d tpd gdrdkloid imrmcrstid hmsgukfcrcs d`csms, dbhc m hosro`uodhm ldrhurm sc mz prccrcbiomkgcbcbm gcmhc obcrodr hd idrpd, lkcdsc mbims.

    Qrd`kcgms gciboids (cxicssd hcpcsd)

    Qrd`kcgms psoidkloids

    D`csohmhc Mbhrohc

    gmos usumk bds fdgcbs d`csds,dbhc m hosro`uod hm ldrhurmsc miugukm sd`rcuhd bm gcmhcsupcrodr hd idrpd (rclod m`hdgobmk).

    Qrd`kcgms imrhodvmsiukmrcsXcbhbiom pmrm hom`ccsFopcrcbsdMrcrodsikcrdscBvcos ckcvmhds hc idkcscrdkBvcos ckcvmhds hc rolkoicrhcds

    Xopd Qrd`kcgms Okustrmd

    Hogobuhd ; 1.81 ; 1.31

    @dg 1.81 m 1.63 1.31 m =.11

    Mugcbtmhd 1.63 m =.11 =.11 m =.=3

    Mktd 2 =.11 2 =.=3

    Ikmssoeoimd hd Pmiod Ycbfdrms Fdgcbs

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    Idbstotuod Esoim

    M idbstuod soim mvmkomhm idg `msc bm rckmd ldrhurm idrpdrmk / gmssm gusiukmr hd idrpd. gchohm quc scdrbm gmos mtvd(m), rchuz m ldrhurm idrpdrmk c cg rcsukmhd mg`g m mvmkomd hm sum idbstuod soim sc mkcrm.Gcsgd quc d scu pcsd pcrgmbcm d gcsgd, m sum gmssm gusiukmr c d scu bvck hc ldrhurm idrpdrmk pdhcg guhmr,gckfdrmbhd d scu csmhd hc smhc c rchuzobhd ds rosids hc icrms hdcbms.

    Imhm pcssdm hcvc xmr ds scus prprods d`jctvds pmrm mtblor m idbstuod soim hcscjmhm.

    Xopd D`scrvmcs

    = D`csohmhc Ycvcrm du Gr`ohm M juklmr pckm mpmrbiom, ms pcssdms hd topd = bd sd ldrhms. Xg bd cbtmbtdug mktd bhoic hc ldrhurm idrpdrmk.

    0 D`csohmhc Qcricbtmlcg hc ldrhurm idrpdrmk ckcvmhm, mpcsmr hd bhoic gdhcrmhd hc gmssm

    gusiukmr.

    9 Cxicssd hc Qcsd Mprcscbtm cg soguktbcd pcricbtmlcbs ckcvmhms hc ldrhurm idrpdrmk c hc gmssmgusiukmr, cg idgpmrmd idg m ghom hms pcssdms.

    8 @moxm Edrgm Esoim Bvck ghod hc ldrhurm idrpdrmk mpcsmr hc ug bvck gcbdr hc gmssm gusiukmr,cg rckmd ghom.

    3 Bdrgmk Bvcos idrrctds hc ldrhurm idrpdrmk c hc gmssm gusiukmr.

    5 Bdrgmk Gusiukmhd(m) Gmssm gusiukmr gmos ckcvmhm mpcsmr hc ugm pcricbtmlcg ghom hc ldrhurmidrpdrmk.

    < Gmlrd(m) @moxms pcricbtmlcbs hc ldrhurm idrpdrmk c hc gmssm gusiukmr.

    6 Gmlrd(m) c Gusiukmhd(m) Qcricbtmlcg hc ldrhurm idrpdrmk gmos `moxm mpcsmr hc tcr ugm gmssm gusiukmrmhcqumhm.

    ? Guotd Gusiukmhd(m) (Mtkctm) Qcricbtmlcg hc ldrhurm idrpdrmk gmos `moxm mpcsmr hc tcr ugm gmssm gusiukmrgmos ckcvmhm, cg idgpmrmd idg m ghom hms pcssdms.

    Ckcvmhm

    @moxm

    % hcLdrhurm

    @moxd CkcvmhdbhoicGmssm

    Gusiukmr

    D`csd(m)

    Cxicssdhc

    Ldrhurm

    Ymhc

    Emktmhc

    Ldrhurm

    Gsiukds

    Ldrhurm

    EDBXC: Hmhds hm Sbovcrsohmhc hc Idkug`om (Bcw _drn) c XMBOXM Obstu (Xdnyd)

    Mvmkomd hm sokfuctm