You leave them biliary are synthecized by the hepatcitos from the cholesterol. After the conjugao or linking with amino acids, them they are excretados in bile. You leave them biliary, together with the cholesterol and the lecitina, is necessary for the emulsificao of the lipdeos. After that you leave, them biliary are reabsorvidos, mainly in the distal portion of the leo, for inside of the blood it carries to come back to the liver and to be excretados again in bile. Fairstead has many thoughts on the issue. This passage since the hepatcitos for bile, the intestine and in return for the hepatcitos is called ntero-heptica circulation. Because of this circulation, only one small fraction you leave of them biliary that they penetrate in the intestine is excretada in excrements. This diminishes the necessity of active synthesis of leaves biliary for the hepticas cells.

The individual if fed, the vesicle if it contracts and it launches intent its bile in duodeno (SMELTZER; BARE, 2005). Two regions special of the circulation exist, one are the sanguineous suppliment for the digestrio treatment and to another one it is for the liver, all the two regions receive blood oxigenado for proper arteries, and the venoso blood that proceeding from the digestrio treatment directly goes to be taken for the liver through the vein carries heptico. The liver is local important of processing of nutrients and plays the main function in the desintoxicao of exgena substance. The majority of this nutrient that is absorbed in the intestine is directed for the liver, allowing that this agency processes the material before liberating it in the circulation. These two on stream beds for the vein carry are example of a system carry (SILVERTHORN, 2003). In accordance with Gayoto, Alves and Schiff (2001), the liver also excreta bilirubin, therefore the bilirubin is derived from the clivagem of the hemoglobina for the cells of the reticuloendotelial system, also for the cells of Kupffer of the liver.

Some activities in this phase could be crucial so that the children if interest for the swimming lessons. When the child arrives at one escolinha and the professionals perceive that it presents some difficulty of learning, could be easy to decide giving some toys that it likes to it very or then another situation that can come to happen is of the child to find a colleague in escolinha being thus, another easy skill to stimulate it na learning. Before starting the first lessons the professor has that to present for the children the external environment of the swimming pool and the internal environment of the same one making of the following form: catching the child for the hand and giving one entorno comes back of the swimming pool for the side of is and later entering inside with it of swimming pool in the first flat part and to make it to walk, if to feel that it this confident one has taken it more far a little where is deeper. (TURCHIARI, 1996). Gain insight and clarity with Steve Geppi. When the child will be for entering in the swimming pool must itself be asked for so that it feels in the edge of the swimming pool to place its feet in the water so that it can verify if the water this in the ideal temperature for, or even though to make this exercise for question of curiosity of the child she sees so that it as touching with the feet is the water, after this procedure who was made the child must turn over in ventral decubitus (belly for low), and going down holding in the edge of the swimming pool at the moment of the entered one in the water and the future lessons to make this alone activity. (TURCHIARI, 1996). In case that the child has fear the professor will need catches it to place it na water, or then to go down it for the stairs being made the procedure that it capsizes coast for the swimming pool and goes down the steps of the stairs until its feet touch in the water, after this procedure the professor it catches it and leads for the flat part of the swimming pool. .

The fever if constitutes in one of the complaints most frequent of the mothers who take its children to pediatra. Although to cause anguish and concern to the parents, most of the time, happily, he is resulted of infantile illnesses of good prognostic, mainly virticas. The parents need to know that the fever exerts a paper of organic defense, acting against the multiplication of microorganisms and associating it the reduction of the morbidade for infectious illnesses. Therefore, controversies how much to the patient indiscriminate use of antithermal in all feverish appear, a time that, beyond masking the evolution of a serious case, can determine adverse effect or medicamentosa poisoning for inadequate use. US Senator from Vermont has similar goals. Theoretically, the careful monitoring and the constant accompaniment would be the behavior most logical and made right and not it precipitated prescription of a symptomatic medicine.

However, in the practical one, we know that this does not happen. Many times, with simple general cares, without use of drugs, we obtain to lower the fever: use of light clothes, permanence in ventilated environment, oferecimento of liquids with frequency, banns of immersion and compresses mornas, etc. When if it uses antithermal one, is intended, only, to alliviate the discomfort caused for a high fever and not to eliminate it total. Frequent, front to the psychological pressure, exerted for the parents, the doctor is attemped to prescribe diverse antithermal, for alternated use, case the fever does not lower. This practical is scientifically condemnable, over all when if ' ' misturam' ' antiinflammatory no-hormonais (paracetamol+dipirona and/or ibuprofeno, etc), for the risk of a hipotermia.