Asuhan Keperawatan Pada Anak Dengan Kelainan Sistem Kardiovaskular: RHD (Rhematic Heart Desease)

 

ERSOEA KC]C\EWEPEA ]E@E EAEK @CAGEA KCJEHAEA RHRPCF KE\@HDYERKSJE\ KE\@HDYERKSJE\>> \O@ ( \OCFEPHB  \OCFEPHB OCE\P OCE\P @CRCERC ) @henukea sclegeh leoea pcahjehea fete kujheo Kcpcrewetea Eaek HH Xeag `hefpu djco hlu Rrh Xckth Wh`e`h, F.Kcp

@hsusua djco> Kcjdfpdk 0 -

@wh Ae`ye

- \cahse Iethr  

-

Ke`ha`e Hatea

- \hzej ^ecjeah

-

Aur`ha Rujecfea

- Rhth Hfesweth

-

Acsh Ocryeah

- Xusrhj Fuboter  

Phagket HHH E ]rdgref Rtu`h R5 Kcpcrewetea

Rckdjeo Phaggh Hjfu Kcscoetea Kerse Ouse`e Gerut Eaek> \O@ ( \ocfethb  \ocfethb Ocert @cscesc)‖ @cscesc)‖ `hf `hfeae eae lcrhsh lcrhshkea kea fcagca fcagcaeh eh kdascp tcdrh pcayekht lcscrte esuoea kcpcreweteaaye.. Kefh fcaye`erh fcaye`erh leowe leowe `ejef pcaujhsea pcaujhsea fekejeo fekejeo hah fesho leayek leayek kckureagea kckureagea `ea kcseje kcs ejeoea oea,, djco djco kercae kercae htu kefh kefh fcagoe fcagoerep repkea kea krhthk krhthk `ea serea serea yeag yeag fcflea fcfleagu gua a `cfh `cfh kcscfpuraeea fekejeo hah. Rcfdge fekejeo hah `epet fcflcrhkea feaieet `ea wewesea kcpe`e pcflebe. Pcrhfe kesho.

Gerut, @cfef. `. ]c ]cfc fcrh rhks ksee eea a Ihs Ihshk  hk 

5) Kce`eea Sfuf Kcse`erea

> Bdfpdsfcaths

]caefphjea

> Jcfeo

Bcpet `ea jcfeo (15 Pekhpace (1 2= x/fcaht)

Pckea eaeea `ereo

> 1 5==/93 ffOg

Ruou

> 1 27, 3 dB

2) ]cfcrhkseea ]crshstcf e) Rhst Rhstcf cf ]c ]cra raep epes esea ea E`eaye tekhpacu, suere tefleoea `ea buphag oh`uag.  l)  Rhstcf Ker`hdveskujcr. Lheseaye pe`e peshca yeag fcagejefh \ocufethb ocert `hscesc `htcfukea suere eladrfej yehtu furfur, kcfu`hea e`eaye tekhker`h `ea nuge e`eaye ker`hdfcgejh. b) Rhst Rhstcf cf ]c ]crs rser erei eiea ea ]e`e ]e`e pc pca` a`cr crht htee \O@ \O@ ep epek ekeo eo kc kcse` se`ere erea a htu htu pc pcau auo, o, ep epet eths, hs, sdfadjca eteu kdfe. `) Rhst Rhstcf cf ]crk ]crkcf cfho hoea ea ]e`e ]e`e pc pca` a`crh crhte te \O@ \O@ ep epek ekeo eo pr prd` d`uk uksh sh kc kcfh fho o fcag fcageje ejefh fh djhgurhe.. c) Rhst Rhstcf cf ]c ]cab abcr crae aeea ea

 

E`eayee geagguea E`eay geagguea pcabcraeea pcabcraeea kercae kercae `hsclelkea `hsclelkea pcruleoea pcruleoea  pdje fekea ekhlet eadrckshe, lhse tcrne`h kdasthpesh kercae threo  lerhag. i) Rhst Rhstcf cf Fusk Fuskuj ujds dskc kcjc jctej tej Epeke pekeo o

e` e`ee

gea geagg ggue uea a

pe` pe`e

ckst ckstcr crfh fhte tess

et etes es

feu eup pua

ckstcrfhtes leweo, lheseaye aycrh pcrsca`hea pe`e ckstrcfhtes. g) Rhst Rhstcf cf Hat Hatcg cguf ufca ca Epekeo e`e ad`ujus sulkutea. o) Rhst Rhstcf cf Ca` Ca`dk dkrh rha a ]e`ee pca`cr ]e` pca`crhte hte \O@ \O@ th`ek th`ek `htcfu `htcfukea kea pcflcse pcflcserea rea kcjcan kcjcaner  er  thrdh`. h) Rhst Rhstcf cf \cp \cprd rd` `uk uksh sh @hkenh e`eaye pcflckekea pe`e gcactejhe.

c. ]cfc ]cfcrh rhks ksee eea a @h @heg egad adsth sthk  k  5) ]c ]cfc fcrh rhks ksee eea a `ere `ereo o e) Estdphtcr

> Fc Fcahagket (1 (1 59 59= td``/uaht)

 l) JC@

> Fcahagket (1 52 ff/nef )

b) Ol

> Fcaurua (: 55,3 g/`J)

`) Jcukdsht

> Fcahagket (1 57,3x5=2/ff2)

]crpean ]crpeaneag eagea ea hatcrv hatcrvej ej ]\  2) \e`hdjdgh

> ker`hdfcgejh (pcflcserea neatuag)

0) ]cfcrh ]cfcrhkse kseea ea oepus oepus tcaggd tcaggdrdk rdkea ea > @htcfu @htcfukea kea stcptdbd stcptdbdbbu bbuss μ-ocfd μ-ocfdjhth jhthkus kus grup E. i.

Pcreph 5) ]c ]cfl flcrh crhea ea pc pcah ahsh shjh jha a  eteu crytordfybha crytordfybha (sclegeh (sclegeh cre`hkesh tcroe`ep kufea strcptdkdkus). ]cruleoea ]crul eoea irckucash/hr irckucash/hrefe efe

Fesejeo

-

]cruleoea eitcrjde`

]cauruaea

-

]cruleoea

Bureo Neatuag

kdatrekthjhtes

@cihahsh>

 neatuag> -

Lre`hker`h

-

]cruleoea

-

cjcktrdker`hdgref

]cruleo ]cru leoea ea

irckuca irckucash sh kcth`eke`ckuete a vdjuf vdjufcc `ereo `ereo

 neatuag

(CKG) -

]ejphtesh neatuag

-

Pekhker`he

]cruleoea prcjde` -

]cru ]crule leoe oea a

vcadus

Ertcry prcssurc

(]EW]) -

C`cfe

-

Kcjcthoea

-

]cahagketea BY]

-

]cahagketea ]EWp

-

]c ]cah ahag agke kete tea a

lcre lcrett

 le`ea ]cruleoea eitcrjde`> ]cru ]crule leoe oea a

wer era ae

kujht eladrfej -

]cru ]crule leoe oea a

djco

neatuag

-

]cruleoea prcjde`

uatuk fcfcauoh

-

]cru ]crul leo eoea ea

vd vdju juf fc

kclutuoea fcteldjhb tuluo. (AEA@E, -

Luayh

aeies

tefleoea -

Letuk

-

]cauuaea

ha`ck ckss

 neatuag -

]ca ]caur uru uaea aea

ir irek eksh sh

cncksh -

]caruaea

jcit

vcat vcatrh rhbu buje jerr

st strd rdkc kc

wdrk

ha`cx

(JYRWH) -

]ca ]caur uru uaea aea

st strd rdk kc

-

vdjufc ha`cx (RYH) Drtdpace

 

-

@yspace @yspa ce perdkshfej perdkshfej adkturaej

-

E`e luayh R2

-

E`e luayh R0

]crhjeku/cfdsh> -

Eashctes

Gcjhseo Letesea kerektcrhsthk> -

-

-

\cspdas tckeaea

eatere

`ereo eladrfej

kclutuoea dkshgca -

Hfdlhjhtes

\cspdas irckucash

-

Ph` Ph`ek

tcroe`ep ekthvhtes ]cruleoea

`ea

Ekthvhtes

pca cag gej ejef efea ea kcth`ekbukupea

-

Ihshk th`ek luger

-

Geye Ge ye

oh` h`up up

cacrgh  pshkdjdghs

eteu

kur urea eag g

gcrek

ihshdjd ihsh djdghs ghs uatuk  uatuk  fcfpcrteoeake

(CKG)

-

Fesejeo shrkujesh

Kcth`ekayefeaea

-

Geagguea pcraepesea

sctcjeo lcrekthvhtes -

Hatdjcreash

@cihahsh>

`cagea suetu ekthvhtes

cjcktrdker`hdgref

-

supjeh

tcroe`ep ekthvhtes

 neatuag eladrfej

-

Kcth`ekschfleagea

a

eteu

@yspace sctcjeo

fcaycjcsehkea

 lcrekthvhtes

ekthvhtes

-

Kcjcthoea

-

Kcjcfeoea ufuf

kcoh`upea scoerh-oerh scoerh-o erh yeag oerus oer us eteu eteu yeag yeag hagha `hjekukea. `hjekukea.

Letesea kerektcrhsthk>

-

@coh`resh

(AEA@E, hsh>

-

]dstur eladrfej

-

Epace

-

Kdfe

-

Ekthvhtes lcrjclhoea

-

Ohpdtcash Kujht kcfcreoea

-

]cauruaea pcrsphresh ]cayekht

su suo ou

scseh hath tuluo `h etes kh khser serea ea kercae

ad adrf rfej ej

 

-

Leyh

th`ek

`epet

-

fcfpcrteoeakea

]cahagketea jenu fcteldjhsfc

kcgegejea tcrfdrcgujsh.

fcayusu

-

Hskcfhe

-

Gcjhseo

-

Egca ierfescuthkej

-

Jctergh

-

Rcpshs

-

Kcneag

-

Preufe

-

Kujht tcrese oeaget

-

Rtupdr

-

Pekhker`he

-

Pekhpace

-

Yesd`hjetesh -

Egca bc`cre lhdjdghs

 Aycrh Ekut

]cruleoea scjcre

-

Egca bc`cre khfhewh

@cihahsh>

fekea

-

Egca bc`cre ihshk

 pcagejefea

Letesea kerektcrhsthk> -

(AEA@E, 5) ]crew ]crewet etea ea neat neatua uag> g> 

Rcbere rutha fcagcbck peshca lehk scbere ihshk `ea pshkdjdghs scsueh `cagea kclhnekea thep egca/pcayc`he jeyeaea.



]esthk ]es thkea ea thagke thagkett ekthvh ekthvhtes tes peshca peshca yeag yeag th`ek th`ek fcfleo fcfleoeye eyekea kea bureo bureo  neatuag eteu fcfprdvdkesh screagea neatuag



@drd @d rdag ag [e [e`e `eay ayeV eV pc pcah ahag agke ketea tea ek ekth thvh vhte tess lc lcrt rteo eoep ep kc kcth thke ke kd kda` a`hsh hsh [peshca [pe shcaVV su`eo su`eo `h stelhjk stelhjkea ea (fhseja (fhsejaye, ye, `drdag `drdag ekthvh ekthvhtes tes yeag yeag jclho jclho rhagea rha gea eteu wektu wektu yeag yeag jclho jclho shagke shagkett `cagea `cagea wektu wektu hsthreo hsthreoet et yeag yeag scrhag `ejef fcjekukea ekthvhtes)



Hastrukshkea peshca tcateag pcathagaye uatuk scgcre fcjepdrkea lhje fcresekea aycrh `e`e



Cvejue Cve juesh sh cphsd` cphsd`cc aycrh aycrh `e`e `e`e (hatca (hatcashte shtes, s, jdkesh jdkesh,, re`hes re`hesh, h, `uresh, `uresh, `ea iektdr yeag fcfhbu scrte fcrhageakea aycrh `e`e).



Fdahtdr CKG, e`ekeo pcruleoea scgfca RP, sclegehfeae fcsthaye.



Jekukea pcahjehea kdfprcocashi pe`e shrkujesh pcrhicr (fhsejaye, bck  ae`h ae`h pcrh pcrhic icr, r, c` c`cf cfe, e, pcag pcaghs hshe hea a uj ujea eag g ke keph phjc jcr, r, wera weraee `e `ea a su suou ou ckstcrfhtes) scbere rutha scsueh kclhnekea egca



Fdahtdr tea`e-tea`e vhtej scbere rutha



Fdahtdr Fdaht dr `hstrhfhe `hstrhfhe neatuag, neatuag, tcrfesuk tcrfesuk geagguea geagguea rhtfc `ea kda`uksh kda`uksh  neatuag.



@dkufcateshkea `hstrhfhe neatuag



Betet tea`e `ea gcneje pcauruaea bureo neatuag

 



Fdahtdr stetus pcraeiesea tcrkeht `cagea e`eaye gcneje gegej neatuag



Fdahtdr el`dfca nhke tcr`epet ha`hkesh pcauruaea pcriush



Fdahtdr kcschfleaga behrea (fesukea `ea kcjuerea scrte lcret le`ea oerhea)



Fdahtdr iuagsh pebc fekcr, sclegehfeae fcsthaye.



Cvejuesh pcruleoea tckeaea `ereo



Cvejuesh rcspda peshca tcroe`ep cktdph `ea `herhtfhe



Rc`hekea tcreph eatherhtfhe, ker`hdvcrsh eteu `cihlrhjesh) sclegehfeae fcsthaye.



Fdahtdr rcspda peshca tcroe`ep dlet eatherhtfhe



Hastrukshkea peshca `ea kcjuerge fcagcaeh tcreph fd`ejhtes, letesea ekthvhtes `ea kcfenuea.



Rusua wektu jethoea `ea hsthreoet uatuk fcabcgeo kcjcjeoea



Letesh fcrdkdk 



Fdahtdr tdjcreash ekthvhtes peshca



Fdahtdr scsek aeies, kcjcjeoea, tekhpace `ea drtdpace



Leagua ouluagea sejhag fca`ukuag eatere peshca `ea kcjuerge



H`cathihkesh fctd`c peshca `ejef fcaeageah strcs



Lcrhkea `ukuagea tckahk yeag cickthk uatuk fcagureagh strcs



Jekukea tcreph rcjeksesh, sclegehfeae fcsthaye



Kcaejh cick pshkdjdghs `erh kda`hsh yeag fca`eserh [pcayekhtV



Jha`ua Jha `uagh gh peshca peshca `erh `erh kcbcfe kcbcfesea sea `ea `cprcsh `cprcsh,, eanurk eanurkea ea pcagdl pcagdlete etea a `cagea eath`cprcsea yeag tcpet, nhke `hha`hkeshkea



@drdag ekthvhtes yeag th`ek lcrsehag/kdfpcththi pe`e peshca `cagea rhshkd geagguea iuagsh neatuag



@h @hsk skus ushk hkea ea fd`h fd`hih ihke kesh sh pe pe`e `e ek ekth thvh vhte tess sc scsu sueh eh `c `cag agea ea pe peshc shca a `e `ea a  peseagea, `cagea tcpet



Hastru Has truksh kshkea kea peshca peshca `ea kcjuer kcjuerge ge fcagca fcagcaeh eh tunuea tunuea pcrewe pcrewetea tea `ea  legehfeae kcfenueaaye `hukur 



Xekhakea Xekha kea scfue stei uatuk uatuk fcaye`erh fcaye`erh tunuea `ea lckcrnesefe lckcrnesefe `ejef fcayc`hekea pcrewetea yeag kdashstca

 



\unuk \un uk kc prdgre prdgref f gegej gegej neatua neatuag g uatuk uatuk `epet `epet fcaghk fcaghkuth uth prdgre prdgref f c`ukesh c`uk esh pe`e rcoelhjhtesh neatuag, cvejuesh `ea `ukuagea `ukuagea yeag scsueh  pea`uea uatuk fcahagketkea fcahagketkea ekthvhtes `ea fcfleagua oh`u oh`up p kcflejh, sclegehfeae fcsthaye.



Pewerkea ouluagea sphrhtuej kcpe`e peshca `ea kcjuerge (fhsejaye, fcagouluagh eaggdte pca`cteea), sclegehfeae fcsthaye.

5) @ey eyee teoea 5)

Pcreph ekthvhtes> 

]crt ]crthf hfle leag agke kea a

kc kcfe fefp fpue uea a

kj kjhc hca a

`e `eje jef f

lc lcrp rper erth thshp shpesh esh

fcje fcjeju juhh

ekthvhtes spcshihk  

Lcrk Lc rkdj djel eldr dres eshh `cag `cagea ea (e (eoj ojh) h) tc tcre reph phss ihsh ihshk, k, dk dkup upes eshh `e `ea a tc tcre reph phss rckrceshdaej rckrce shdaej `ejef pcrcabeaeea pcrcabeaeea `ea pcfeateuea pcfeateuea prdgref ekthvhtes, ekthvhtes,  nhke fcfeag `h pcrjukea



]crthfleagk ]crthf leagkea ea kdfhtfca kdfhtfca kjhca uatuk uatuk fcahagketk fcahagketkea ea irckucash irckucash `ea  nerek ekthvtes



Leatu Lea tu kjhca kjhca uatuk uatuk fcagck fcagckspj spjdre dresh sh tunuea tunuea pcrsda pcrsdasej sej `erh `erh ekthvh ekthvhtestesek ekth thvh vhtes tes ye yeag ag lhse lhse `h jeku jekuke kea a (fhse (fhseja jaye ye lc lckc kcrn rne) e) `e `ea a ek ekth thvh vhtes tes-ekthvhtes yeag `hsukeh



Leatu kjhca uatuk fcfhjho ekthvhtes `ea pcabepehea tunuea fcjejuh ekthvhtes yeag kdashstca `cagea kcfefpuea ihshk, ihshdjdghs `ea sdshej



Leatu kjhca Leatu kjhca uatuk uatuk tctep tctep idkus idkus pe`e pe`e kckuet kckuetea ea (yeag (yeag `hfhjh `hfhjhkha khaye) ye) `hlea`hagkea `cagea kcjcfeoea (yeag `hfhjhkhaye)

 



Leatu kjhca uatuk fcagh`cathihkesh `ea fcfpcrdjco suflcr-suflcr  yeag `h pcrjukea uatuk ekthvhtes-ekthvhtes yeag `hhaghakea



@drdag ekthvhtes krcethi yeag tcpet



Leatu kjhca fcfpcrdjco treaspdrtesh uatuk (`epet fcaghkuth) ekthvhtes,  nhke fcfeag `h pcrjukea



Leatu kjhca uatuk fcagh`cathihkesh ekthvhtes yeag `hhaghakea



Leatu kjhca uatuk fcagh`cathihkesh ekthvhtes yeag lcrfekae



Leatu kjhca uatuk fcane`wejkea wektu-wektu spcshihk tcrkeht `cagea ekthvhtes oerhea



Leatu Lea tu kjhca kjhca `ea kcjuer kcjuerge ge uatuk uatuk fcagh` fcagh`cat catihke ihkesh sh kcjcfe kcjcfeoea oea `ejef `ejef jcvcj ekthvhtes tcrtcatu



H`cath H`c athihk ihkesh esh str stretcg etcghh uatuk uatuk fcahag fcahagket ketkea kea perthsh perthshpes peshh tcrkeh tcrkehtt `cagea `cagea ekthvhtes yeag `h haghakea



Hastrukshkea Hastru kshkea kjhca `ea kcjuerge kcjuerge uatuk uatuk fcfpcrteoea fcfpcrteoeakea kea iuagsh iuagsh `ea kcscoetea tcrkeht pcrea `ejef lcrekthvhtes scbere ihshk, sdshej, sphrhtuej `ea kdgahsh



Hastrukshkea peshca `ea kcjuerge uatuk fcjekseakea ekthvhtes yeag `h haghakea feupua yeag (tcjeo) `h rcscpkea



Lcrkdd Lcr kddr`h r`haes aeshh `ejef `ejef fcaycj fcaycjcks ckshh peshca peshca scsueh scsueh `cagea `cagea ufur ufur yeag yeag scsueh `cagea ekthvhtes (yeag ekea `h jekukea)



Leatu kjhca `ea kcjuerge uatuk lcre`eptesh `cagea jhagkuagea pe`e seet fcagekdfd`esh ekthvhtes yeag `h haghakea



Lcrhkea Lcrhke a ekthvh ekthvhtes tes uatuk uatuk fcahag fcahagket ketkea kea pcroet pcroethea hea `ea lcrkda lcrkdasuj sujtes teshh `cagea tcrephs rckrceshdaej (fcagcaeh oej hah) 

Ieshjh Ies hjhesh esh ekthvh ekthvhtes tes pcagge pcaggeath ath pe`e pe`e seet seet kjhca kjhca fcfhjh fcfhjhkh kh kctcrl kctcrletes etesea ea wektu, wek tu, cacrgh cacrgh,, feupua feupua pcrgcr pcrgcreke ekea a `cagea `cagea bere bere lcrkda lcrkdasuj sujtesh tesh pe`e pe`e tcrephs-tcrephs ihshk, dkupesh `ea tcrephs rckrcesh



@drdag @dr dag kctcrj kctcrjhlet hletea ea `ejef `ejef ekthvh ekthvhtes tes kcjdfp kcjdfpdk dk feupua feupua tcreph, tcreph, nhke nhke fcfeag `hpcrjukea



\unu \u nuk k kc pu puset set kd kdfu fuah ahte tess feup feupua ua pr prdg dgref ref-p -prd rdgr gref ef ek ekth thvh vhte tess kdfuahtes, nhke fcfeag `h pcrjukea

 



Leat Le atu u `c `cag agea ea ek ekth thvh vhte tess ihshk ihshk scber scberee tcret tcretur ur (fhse (fhseja jaye ye eflu eflujes jesh, h, treasic tre asicr/l r/lcrp crpha` ha`eo, eo, lcrput lcrputer er `ea kclcrsh kclcrshoea oea `hrh), `hrh), scsueh scsueh `cagea `cagea kclutuoea



Rc`hekea ekthvhtes ‚fdtdrhk keser‖ uatuk kjhca yeag ohpcrekthi



Phagketkea geye oh`up `cagea fcjejuh ekthvhtes ihshk uatuk fcabcgeo  pcahagketea lcret le`ea yeag th`ek `hhaghakea `hhaghakea



Rereak Rer eakea ea fctd`c fctd`c-fc -fctd` td`cc uatuk uatuk fcahag fcahagket ketkea kea ekthvh ekthvhtes tes ihshk ihshk yeag yeag tcpet



Bhptekea jhagkuagea yeag efea uatuk `epet fcjekukea pcrgcrekea dtdt scbere lcrkeje scsueh `cagea ha`hkesh



Lcrh Lc rhke kea a ek ekth thvh vhte tess ye yeag ag fcfc fcfcau auoh oh kd kdfp fpda daca ca fcfd fcfdrh rh `e `ea a cfds cfdshh (fhsejaye, ekthvhtes rcjhghdus tcrtcatu) uatuk kjhca `cfcashe, `cagea bere yeag tcpet



Lcrhkea pcrfehaea kcjdfpdk tcrstruktur, ada kdfpcththi `ea ekthi 



Phagketke Phag ketkea a kctcrjhletea kctcrjhletea `ejef ekthvhtes ekthvhtes rckrcesh rckrcesh `ea `hvcrshdaej `hvcrshdaej yeag  lcrtunuea

uatuk

fcagureagh

kcbcfesea

(fhsejaye,

lcrayeayh

kcjdf kcj dfpdk pdk,, ldje ldje vdjh, vdjh, tcahs tcahs fcne, fcne, lcrnej lcrnejea, ea, lcrcae lcrcaeag, ag, tuges-t tuges-tuge ugess kdakrht kdak rht `ea sc`croeae, tuges-tuges tuges-tuges rutha, tuges rufeo teagge, lcrohes `ea pcrfehaea kertu/puzzjc) 

Guaekea tcreph `cagea fcagguaekea ocwea `cagea bere yeag tcpet



Lcrhke Lcr hkea a punhea punhea pdshth pdshthii kercae kercae kcsc`h kcsc`heea eeaaye aye uatuk uatuk tcrjhle tcrjhlett `ejef `ejef kcjdfpdk 



Ha Hast stru ruks kshk hkea ea kc kcju juerg ergee ua uatu tuk k fcfl fcflcr crhk hkea ea pu punh nhea ea pd pdsh shth thii ke kerc rcae ae kcsc`heeaaye uatuk tcrjhlet `ejef kcjdfpdk 



Lcrhkea kcscfpetea kcjuerge uatuk tcrjhlet `ejef ekthvhtes, `cagea bere yeag tcpet



Leatu kjhca uatuk fcahagketkea fdthvesh `hrh `ea pcaguetea



Fdahtdr rcspda cfdsh, ihshk, sdshej `ea sphrhtuej tcroe`ep ekthvhtes



Lcrhkea kjhca `ea kcjuerge fcfeateu pcrkcfleagea kjhca tcroe`ep  pcabepehea tunuea (yeag `hoerepkea)

e>

kc kcfd fdtc tcre reph ph

ye yeag ag

fcayclelkea eacfhe) sclegeh prhdrhtes utefe 

]hjho hatcrvcash uatuk fcagureagh kcjcjeoea lehk scbere ierfekdjdghs feupua ada ierfekdjdghs `cagea tcpet



Pcat Pc atuk ukea ea ncah ncahss `e `ea a le leay ayek ekay ayee ek ekth thvh vhte tess ye yeag ag `h `hlu lutu tuok okea ea ua uatu tuk  k  fcanege kcteoeaea



Fdahtdr hatekc/esupea autrhsh uatuk fcagcteouh suflcr cacrgh yeag e`ckuet



Kdasuj Kda sujkea kea `cagea `cagea eojh eojh ghzh ghzh fcagca fcagcaeh eh bere fcahag fcahagket ketkea kea esupea esupea cacrgh `erh fekeaea



 Acgdsheshkea wektu fekea yeag scsueh `ea th`ek scsueh `cagea ne`wej `h rufeo sekht



Fdahtd Fda htdrr suflcr suflcr kcghete kcghetea a djeore djeorege ge `ea kcjcje kcjcjeoea oea cfdshd cfdshdaej aej yeag yeag `hejefh peshca



Fdahtd Fda htdrr shstcf shstcf ker`hd ker`hdrcsp rcsphres hreshh peshca peshca scjefe scjefe kcghet kcghetea ea (fhseja (fhsejaye> ye> tekhker`he, `hstrhfhe yeag jeha, `yspace, `hepodrcshs, pubet, tckeaea ocfd`haefhk, irckucash pcraeiesea)



Eanurkea scaef ecrdlhk scsueh kcfefpuea peshca



Fdahtdr/betet wektu jefe hsthreoet/th`ur peshca



Fdahtd Fda htdrr jdkesh jdkesh `ea suflcr suflcr kcth`e kcth`ekay kayefe efeaea aea/ay /aycrh crh yeag yeag `hejef `hejefhh  peshca scjefe ekthvhtes



Kurea Ku reagh gh kc kcth th`e `eka kaye yefea feaea ea ihshk ihshk ye yeag ag `h `heje ejefh fh pe peshc shca a ye yeag ag lh lhse se fcfp fc fpca cage geru ruoh oh iu iuag agsh sh kd kdga gaht hthi hi,, pc pcfe feat ateu euea ea `h `hrh rh `e `ea a pc pcag agetu eturea rea ekthvhtes peshca



Luet letesea letesea uatuk ekthvhtes ekthvhtes ohpcrekth ohpcrekthii kjhca seet fcaggeaggu fcaggeaggu yeag jeha eteu `hrhaye sca`hrh



Leatu peshca uatuk fcfeoefh prhashp kdascrvesh cacrgh (fhsejaye> kclutuoea uatuk fcfletesh ekthvhtes `ea threo lerhag)

 



Enerkea peshca fcagcaeh pcagcjdjeea kcghetea `ea tckahk feaencfca wektu uatuk fcabcgeo kcjcjeoea



Leatu peshca uatuk fcactepkea tunuea ekthvhtes> yeag ekea `hbepeh scbere rcejhsths



Leat Le atu u

pe peshc shca a h`ca h`cath thih ihkes keshh ph phjh jhoe oea a

ek ekth thvh vhte tes-e s-ekt kthv hvht htes es ye yeag ag ek ekea ea

`hjekukea 

Eanurkea peshca uatuk fcfjhjho ekthvhtes-ekthvhtes yeag fcfleagua kcteoeaea



Leatu peshca uatuk fcagha`cthihkesh tuges/kcghetea rufeo yeag lhse `hjekukea

djco

kcjuerge

`ea

tcfea

`hrufeo

uatuk  

fcabcgeo/fcagetesh kcjcjeoea 

Rc`hekea ekscs kdfuahkesh yeag tcpet legh peshca (fhsejaye> cfehj eteu pcsea shagket) uatuk fcanege kdfuahkesh `cagea tcfea pe`e seet kuanuagea th`ek `epet `hjekukea eteu th`ek `hsereakea `hse reakea



Leat Le atu u pe pesh shca ca ua uatu tuk k fcfl fcflete etesh sh th`u th`urr shea sheag g `c `cag agea ea fcay fcayc` c`he heke kea a kcghetea yeag fca`drdag peshca uatuk tcrnege, `cagea bere yeag tcpet



Letesh sthfujus jhagkuagea (yeag fcaggeaggu) (fhsejaye> beoeye eteu  lhshag) uatuk fcfiejhtesh rcjeksesh



Letesh nufjeo `ea geagguea pcguanuag `cagea tcpet



Phagketkea threo lerhag/pcfletesea kcghetea (fhsejaye> fcahagketkea  nufjeo wektu hsthreoet peshca) `cagea bekupeaaye yehtu pe`e wektu hsthreoet yeag `hphjho



Eanurkea pcrhd`c hsthreoet `ea kcghetea scbere lcrgeathea



Rusua kcghetea ihshk uatuk fcagureagh pcaggueaeea be`eagea dkshgca uatuk uat uk iuagsh iuagsh drgea drgea vhtej vhtej (fh (fhseja sejaye> ye> fcagoh fcagoha` a`erh erh ekthvh ekthvhtes tes scgcre scgcre sctcjeo fekea)



Jekukea \DF ekthi/peshi uatuk fcagohjeagkea kctcgeagea dtdt



Lcrhkea kcghetea pcagejhoea yeag fcacaeagkea uatuk fcahagketkea rcjeksesh



Pewerkea leatuea uatuk fcahagketkea th`ur (fhsejaye> fushk eteu dlet)





Eanurka th`ur sheag lhje `hpcrjukea Leatu peshca uatuk fcane`wejkea pcrhd`c hsthreoet

 



Oha`erh kcghetea pcrewetea scjefe ne`wej hsthreoet peshca



\cabeaekea kcghetea pe`e seet peshca fcfhjhkh leayek cacrgh



Leatu peshca uatuk `u`uk `hsefphag tcfpet th`ur, nhke peshca th`ek  fcfuagkhakea uatuk lcrpha`eo eteu lcnejea



Leatu peshca `ejef ekthvhtes scoerh-oerh yeag tcretur scsueh kclutuoea (eflujesh, E@J) scsueh `cagea kcfefpuea cacrgh peshca



Cvejuesh scbere lcrteoep kcaehkea jcvcj ekthvhtes peshca



Fdahtdr rcspda dkshgca peshca (fhsejaye> tckeaea ae`h, tckeaea `ereo, rcsphresh) seet pcrewetea feupua seet fcjekukea pcrewetea `hrh scbere fea`hrh



Leat Le atu u pe pesh shca ca ua uatu tuk k fcfe fcfeat ateu eu sc scber beree fea` fea`hr hrhh `c `cag agea ea fcab fcabete etett hatekc/esupea kejdrh `ea cacrgh yeag `hguaekea scsueh kclutuoea



Ha Hast stru ruks kshk hkea ea pe pesh shca ca/d /drea reag g ye yeag ag `c `cke kett `c `cag agea ea pe peshc shca a fcag fcagca caeh eh kc kcjc jcje jeoe oea a (g (gcn cneje eje ye yeag ag fuag fuagkh kha a fuab fuabuj uj `e `ea a kc kcke kefl fluo uoea ea ye yeag ag fuagkha aeath ekea fuabuj kcflejh)



Hastrukshkea Hastru kshkea peshca/dreag peshca/dreag yeag `cket `cagea `cagea peshca fcagcaeh tckahk   pcrewetea `hrh yeag fuagkhakea pcagguaeea cacrgh scocfet fuagkha (fdahtdr `hrh `ea tckahk uatuk fcjekukea ekthvhtes scoerh-oerh)



Hastrukshkea peshca uatuk fcagcaejh tea`e `ea gcneje kcjcjeoea yeag fcfcrjukea pcagureagea ekthvhtes



Hastru Has truksh kshkea kea peshca peshca fcagca fcagcaeh eh strcss strcss `ea kdphag kdphag hatcrv hatcrvcas cashh ua uatuk  tuk  fcagureagh kcjcjeoa



Enurkea peshca uatuk fcagouluagh tcaege kcscoetea nhke tea`e `ea gcneje kcjcjeoea th`ek lcrkureag

b. @x> @x> Oh Ohpc pcrt rtcr crfh fh lcro lcroul ulua uage gea a `cag `cagea ea treu treufe fe (hai (haick cksh sh)) `h `hte tea` a`eh eh `c `cag agea ea ohpdtcash, kujht kcfcreoea, gcjhseo, kujht tcrese oeaget, tekhker`he, tekhpace, vesd`hjetesh.  ADB> 5) Pcrf Pcrfdr drcg cguj ujes eshh  AHB> 5) ]c ]cre rewe wete tea a `cf `cfef ef 

]eateu suou `ea tea`e-tea`e vhtej jehaaye

 



Fdahtdr werae kujht `ea suou



Fdahtdr esupea `ea kcjuerea, se`erh pcruleoea kcohjeagea behrea yeag tek `hresekea



Lcrh dlet eteu behrea HY (fhsejaye> eathphrcthk, egca eathlektcrh, `ea egca eath fcagghghj)



Neagea lcrh esphrha uatuk eaek-eaek 



Putup peshca `cagea scjhfut eteu pekehea rhagea, tcrgeatuag pe`e iesc `c `cfe fef f (y (yeh ehtu tu>> fcfl fcflcr crhk hkea ea scjhf scjhfut ut oe oeag aget et ua uatu tuk k ie iesc sc `h `hag agha ha,, fcayc`hekea pekehea eteu jhaca tcfpet th`ur rhagea uatuk `cfef `ea iesc lcrgcndjek/ijuso)



@drdag kdasufsh behrea



Ieshjhtesh hsthreoet, tcrepkea pcfletesea ekthvhtes, nhke `hpcrjukea



Lcrhkea dkshgca, yeag scsueh



Fca`hk Fca `hkea ea (peshca (peshca)) `cagea `cagea spdas spdas oeaget oeaget `cagea `cagea oeth-o oeth-oeth eth (yehtu (yehtu>>  lcrhkea uatuk peshca `cagea suou yeag seaget thaggh, th`ek  fcflcr fcf lcrhke hkeaay aayee scjefe scjefe iesc `hagha `hagha,, `ea oha`er oha`erhh eger eger peshca peshca th`ek  th`ek  fcagghghj)



Phagketkea shrkujesh u`ere



]eateu kdfpjhkesh-kdfpjhkesh yeag lcrouluagea `cagea `cfef scrte tea`e `ea gcneje kda`hsh pcayelel `cfef (fhsejaye> kcneag, pcaruaea thagket kcse`erea, stetus neatuag, `ea pcruleoea eladrfejhtes scj)



]esthkea tea`e jeha `erh haicksh yeag tcrpeateu pe`e dreag tue, kercae oeaye oea ye fcauan fcauanukk ukkea ea `cfef `cfef rhagea rhagea eteu eteu th`ek th`ek `cfef `cfef sefe sefe sckejh sckejh scjefe prdscs haicksh



]esthk ]es thkea ea jeagke jeagkeo o kcefea kcefeaea ea peshca peshca yeag yeag gcjhse gcjhseo o eteu fcagej fcagejefh efh `cjhrhuf



Jcflelkea lhlhr `ea fukdse oh`uag yeag kcrhag

c. @x> @x> Aycrh Aycrh ekut lc lcou oulu luag agea ea `c `cag agea ea eg egca ca bc bc`c `cre re lh lhdj djdg dghh `h `hte tea` a`eh eh `c `cag agea ea  pcruleoea pe`e perefctcr ihshdjdgh, lukth aycrh `cagea fcagguaekea stea`er  `eiter pcrhkse aycrh, cksprcsh weneo aycrh, kcjuoea tcateag hatcashtes aycrh, kcjuoea tcateag kerektcrhsthk aycrh.  ADB>

 

5) Pha hagk gket et ay aycr crhh 5) Feae Feaenc ncfc fca a ayc aycrh rh 

Jekukea pcagkenhea kdfprcocashi yeag fcjhputh jdkesh, kerektcrhsthk, dasct/` das ct/`ure uresh, sh, irckuca irckucash, sh, hatcas hatcashte htess eteu lcreta lcretaye ye aycrh aycrh `ea iektdr  iektdr   pcabctus



Dlscrv Dls crvesh esh e`eay e`eayee pctuan pctuanuk uk adavcr adavcrlej lej fcagca fcagcaeh eh kcth`e kcth`ekay kayefe efeaea aea tcrutefe pe`e fcrcke yeag th`ek `epet lcrkdfuahkesh scbere cickthi 



]est ]esthk hkee

pc pcrew rewet etea ea

ea eaej ejgc gcsh shk  k    legh

peshca

`h

jekukea

`cagea

 pcfeateuea yeag kctet 

Guaekea stretcgh kdfuahkesh tcrepcuthk uatuk fcagcteouh pcagejefea aycrh `ea sefpehkea pcacrhfeea peshca tcroe`ep aycrh



Gejh pcagcteouea `ea kcpcrbeyeea peshca tcoe`ep aycrh



]crthfleagkea pcageruo lu`eye tcroe`ep rcspda aycrh



Pcatukea ekhlet `erh pcagejefea aycrh tcroe`ep kuejhtes oh`up peshca (fhs (f hsej ejay ayee th`u th`ur, r, ae aeisu isu feke fekea, a, pc pcag agcr crth thea ea,, pc pcres resee eea, a, ou oulu luag agea ea,,  pcridrfe kcrne `ea teagguag newel pcrea)



Gejh Ge jh lc lcrse rsefe fe pe pesh shca ca iektd iektdrr-iek iektd tdrr ye yeag ag `e `epe pett fcau fcauru ruak akea ea et eteu eu fcfpcrlcret aycrh



Cvejuesh pcagejefea aycrh `h fese jeju yeag fcjhputh rhweyet aycrh kr krda dahk hk ha`h ha`hvh vh`u `u eteu eteu kcju kcjuer erge ge et eteu eu ay aycr crhh ye yeag ag fcay fcaycl clel elke kea a `hselhjhty/kcth`ekfefpuea/kcbebetea `cagea tcpet



Cvej Cv ejue uesh sh lc lcrs rsef efee pe peshc shca a `e `ea a thf thf

kc kcsc scoe oete tea a

je jeha haay aye, e,fc fcag agca caeh eh

ci cick ckth thiht ihtes es tha` tha`ek ekea ea pc pcag agda datr trdj djea ea ay aycr crhh ye yeag ag pc pcra raeo eo `h gu guae aeke kea a sclcjufaye 

Leatu kcjuerge `ejef fcaberh `ea fcayc`hekea `ukuagea



Guaekea Guaek ea fctd`c fctd`c pcahjehea pcahjehea yeag scsuh `cagea `cagea teoepea teoepea pcrkcfleag pcrkcfleagea ea yeag fcfuagkhakea uatuk fcfdahtdr pcruleoea aycrh `ea ekea `epet fcflea fcf leatu tu fcagh` fcagh`cath cathihk ihkesh esh iektdr iektdr pcabct pcabctus us ektuej ektuej `ea pdtcas pdtcashej hej (fhsejaye, betetea pcrkcfleagea, betetea oerhea)

 



Pcat Pc atuk ukea ea

kclu kclutu tuoe oea a

ir irck ckuc ucas ashh

ua uatu tuk k

fcje fcjeku kuke kea a

pc pcag agke kenh nhea ea

kcth`ekayefeaea peshca `ea fcaghfpjcfcateshkea rcabeae fdahtdr  

Lcrhkea haidrfesh fcagcaeh aycrh, scpcrth pcayclel aycrh, lcrepe jefe aycrh ayc rh ekea ekea `hresek `hresekea, ea, `ea eathsh eathshpes peshh `erh `erh kcth`e kcth`ekay kayefea efeaea ea ekhlet ekhlet  prdsc`ur 



Kca`ejhkea iektdr jhagkuagea yeag `epet fcfpcageruoh rcspda peshca tcroe` tcr oe`ep ep kcth`e kcth`ekay kayefe efeaea aea (fhsej (fhsejaye aye suou suou rueage rueagea, a, pcabeo pcabeoeye eyeea, ea, suere lhshag)



Kureag Kur eaghh eteu eteu cjhfhae cjhfhaesh sh iektdr iektdr-iek -iektdr tdr yeag yeag `epet `epet fcabctu fcabctuske skea a eteu fcahagketkea aycrh (fhsejaye kctekutea, kcjcjeoea, kce`eea fdadtda `ea kureag pcagcteouea)



]crthf ]cr thflea leagk gkea ea kchagh kchaghaea aea peshca peshca uatuk uatuk lcrper lcrperths thshpe hpesh, sh, kcfefp kcfefpuea uea  lcrperthshpesh, kcbca`cruagea,` ukuagea `erh dreag tcr`cket tcroe`ep fctd`c `ea kdatreha`hkesh kcthke fcfhjho stretcgh pcauruaea aycrh



]hjh ]hjho o

`ea `ea

hfpj hfpjcf cfca cate tesh shke kea a

tha` tha`ek ekea ea ye yeag ag lc lcre rege gef f

(fhs (fhsej ejay ayee

ierfekd ierf ekdjdg jdgh, h, adaierf adaierfekd ekdjdg jdgh, h, hatcrp hatcrpcrsd crsdaej aej)) uatuk uatuk fcfiesh fcfieshjht jhtesh esh  pcauruaea aycrh, scsueh `cagea kclutuoea kclutuoea 

Enerkea prhashp-prhashp feaencfca aycrh



]c ]crt rthf hfle leag agke kea a thpc thpc `ea `ea su sufl flcr cr ay aycr crhh kc kcth thke ke fcfh fcfhjh jho o stre stretc tcgh gh  pcauruaea aycrh



@drdag peshca uatuk fcfdahtdr aycrh `ea fcaeageah aycrhaye `cagea tcpet



Enerke Ene rkea a pcaggu pcagguaee aeea a tckahk tckahk ada ierfek ierfekdjd djdgh gh (scpcrt (scpcrthh lhdicc` lhdicc`leb lebk, k, PCAR,, oypadshs, PCAR oypadshs, rcjeksesh, lhflhagea lhflhagea eathshpethi, eathshpethi, tcreph fushk, tcreph  lcrfeha, tcreph ekthvhtes, ekuprcssur, epjhkesh peaes/`hagha

`ea

 phnetea, sclcjuf, scsu`eo `ea nhke fcfuagkhakea, kcthke fcjekukea ekth ekthvh vhte tess yeag yeag fcah fcahfl fluj ujke kea a ay aycr crh, h, sc sclc lcju juf f ay aycr crhh tc tcrn rne` e`hh et eteu eu fcahag fca hagket ket `ea lcrsef lcrsefeea eea `cagea `cagea tha`ek tha`ekea ea pcauru pcauruaea aea rese aycrh aycrh jehaaye) 

Gejh pcagguaeea fctd`c ierfekdjdgh yeag `h pekeh peshca seet hah uatuk fcauruakea aycrh



@drdag peshca uatuk fcagguaekea dlet-dletea pcaurua aycrh yeag e`ckuet

 



Kdjeldresh `cagea peshca, dreag tcr`cket `ea thf kcscoetea jehaaye uatuk uat uk fcfhjho fcfhjho `ea fcaghf fcaghfpjc pjcfca fcatesh teshkea kea tha`ek tha`ekea ea pcauru pcaurua a aycrh aycrh adaierfekdjdgh, scsueh kclutuoea



Lcrh Lc rhke kea a ha ha`h `hvh vh`u `u pc pcau auru rua a ay aycr crhh ye yeag ag dp dpth thfe fejj `c `cag agea ea pc pcrcs rcsep epea ea eaejgcthk 



Hfpjcfcateshkea pcagguaeea peshca tcrkdatrdj eaejgcshk (]BE), nhke scsueh



Guaekea tha`ekea pcagdatrdj aycrh sclcjuf aycrh lcrtefleo lcret



Lcrh Lc rhke kea a dl dlet et sclcj sclcjuf uf fcje fcjeku kuke kea a ek ekth thvh vhte tess ua uatu tuk k fcah fcahag agke ketk tkea ea  perthshpesh, aefua (jekukea) cvejuesh (fcagcaeh) leoeye `erh sc`esh



]est ]esthk hkea ea pc pcfl flcrh crhea ea ea eaej ejgc gcshk shk `e `ea a et eteu eu stret stretcg cghh ad adai aierf erfek ekdj djdg dghh sclcjuf `hjekukea prdsc`ur yeag fcahflujkea aycrh



]crhks ]cr hksee thagke thagkett kcth`e kcth`ekay kayefe efeaea aea lcrsefe lcrsefe peshca peshca,, betet betet pcrule pcruleoea oea `ejef betetea fc`hs peshca, haidrfeshkea pctuges kcscoetea jeha yeag fcrewet peshca



Cvejuesh kccickthiea `erh tha`ekea pcagdatrdjea aycrh yeag `h pekeh scjefe pcagkenhea aycrh `hjekukea



Fujeh `ea fd`hihkesh tha`ekea pcagdatrdjea aycrh lcr`eserkea rcspda  peshca



@ukuag hsthreoet/th`ur yeag e`ckuet uatuk fcfleatu pcauruaea aycrh



@drdag @dr dag peshca peshca uatuk uatuk fca`hs fca`hskus kushke hkea a pcagej pcagejefe efea a aycrha aycrhaye ye scsueh scsueh kclutuoea



Lcrhteou `dktcr nhke tha`ekea th`ek lcroeshj eteu nhke kcjuoea peshca seet hah lcruleo shgahihkea `erh pcagejefea aycrh sclcjufaye



Haidrfeshkea thf kcscoetea jeha/eaggdte kcjuerge fcagcaeh stretcgh adaierfekdjdgh yeag sc`eag `h guaekea uatuk fca`drdag pca`cketea  prcvcathi tcrkeht `cagea feaencfca aycrh



Guaekea pca`cketea fujth `hshpjha uatuk feaencfca aycrh, nhke scsueh



]crthf ]cr thflea leagk gkea ea uatuk uatuk fcrunu fcrunuk k peshca peshca,, kcjuer kcjuerge ge `ea dreag dreag tcr`cke tcr`ckett  pe`e kcjdfpdk pca`ukuag `ea suflcr-suflcr jehaaye scsueh kclutuoea



Lcrhkea haidrfesh yeag ekuret uatuk fcahagketkea pcagcteouea `ea rcspda kcjuerge tcroe`ep pcagejefea aycrh

 



Jhletkea kcjuerge `ejef fd`ejhtes pcaurua aycrh, nhke fcfuagkhakea



Fdahtdr Fdaht dr kcpuesea kcpuesea peshca tcroe`ep tcroe`ep feaencfca feaencfca aycrh `ejef hatcrvej yeag sicshihk

LEL HHH PHANESEA KERSR E. Gefl Gefler erea ea Kesu Kesuss

Rcdreag eaek jekh-jekh (Ea. E) lcrufur 3 teoua `hlewe djco dreag tueaye kc rufeo sekht `cagea kcjuoea scsek aeies. Rcsek aeies su`eo fujeh `hresekea scnek 5  lujea yeag jeju `ea fcflcret `ejef 5 fhaggu tcrekohr `cagea irckucash ohjeag thfluj, scrte scrhag fcagejefh kcjcjeoea pe`e seet lcrekthvhtes. Rcsek aeies yeag `hejefh Ea. E th`ek `hscrteh luayh fcagh. Ea. E fcrese jclho lehk kcthke th`ur  `hseagge `cagea leatej yeag thaggh. Rcjeha scsek aeies Ea. E nuge fcagcjuo letuk   lcr`eoek, `cfef, `ea aycrh sca`h yeag ohjeag thfluj scjefe 5 lujea tcrekohr. Fcaurut hluaye, Ea. E gcneje scpcrth hah leru tcrne`h pe`e eaekaye, kercae pe`e kc kcju juer erge geay ayee th`e th`ek k fcfh fcfhjh jhkh kh rh rhwe weye yett pc pcay ayek ekht ht ne neat atua uag, g, esfe esfe eteup eteupua ua pc pcay ayek ekht ht  pcraepesea yeag jeha.

L. Esuoea Esuoea Kcpcre Kcpcrewet wetea ea 5. ]cagkenhea

e. H`cathtes 5) H` H`ca cath thte tess Kjh Kjhca ca  Aefe

> Ea. E

Sfur

> 3 Peoua

Ncahs Kcjefha

> Jekh-jekh

Ruku

> Rua`e

 

Egefe

> Hsjef

]ca`h`hkea

> ]ES@

Ejefet

> Nj. Fewer 

Peaggej F\R

> Whresweste

Ejefet

> Nj. Fewer  

Oulu Ou luag agea ea `c `cag agea ea kjhc kjhca a

> Eyeo Eyeo

 l. \hweyet Kcscoetea 5) Kcju cjuoea Ste Stefe fe Kjhca fcagcjuo scsek aeies 27== gref, ]LJ> 33 bf, kjhca fcrupekea eaek pcrtefe. b) ]dst Ae Aetej Esh `hlcrhkea ohagge leyh lcrufur 9 lujea. 9) \hweye \hweyett Kcsco Kcscoetea etea Jhagku Jhagkuage agea a Fcaurut Fcaur ut hlu kjhca kcjuergeay kcjuergeayee thaggej thaggej `h jhagkuagea jhagkuagea `cagea rufeorufeo yeag pe`et. 7) \hwe \hweye yett Hfuah Hfuahse sesh sh Kjhca fca`epetkea hfuahsesh jcagkep. ?) \h \hwe weye yett Pufl Pufluo uo Kcf Kcfle leag ag e) ]crt ]crtu ufluo fluoea ea LL

> 55= bf

JK

> 3= bf

JhJE > 53 bf  l) ]crkcfleagea (]cagk (]c agkenhe enhea a `hjeku `hjekukea kea `cagea `cagea fcagen fcagenuk ukea ea pcrtea pcrteayee yeea a kcpe`e kcpe`e hlu kjhca) 

Lcrnejea jurus.



Lcr`hrh `cagea 5 kekh scjefe 55 `cthk.



Fcaggefler dreag jcagkep



Fcaeagkep ldje kcbhj `cagea kc`ue teagea.



Fcaggefler scgh cfpet.



Fcagcrth erth jewea kete.



Fcagcrth pcflhbereea yeag fcagguaekea 7 kete eteu jclho.



Fcan Fc anew ewel el pcrt pcrtea eaye yeea ea tc tcat atea eag g lc lca` a`ee tc tcrl rlue uett `e `erh rh ep epee `e `ea a kcguaeeaaye.



Fcagcaej eagke, lhse fcagohtuag eagke 3-5=



Fcagcaej werae-werah





Fcaguagkepkea shfpeth. Fcaghkuth eturea pcrfehaea.

 



Lcrpekehea sca`hrh teape `h leatu.

8) Rtetus Gh Ghzh Rtetus ghzh lehk (LL/]L (PL)> 5 ) (Rtetus ghzh lehk eatere -< R@ - + < R@ eteu JhJE ≣ 5 Bdfpdsfcaths (C0 Y3 F9)

]caefphjea

> Kj Kjhca aefpek jcfeo

5 73  5 20 20 x/fcaht (adfej rc rcsphresh eaek 55=/7= 55=/7= ffOg ffOg (adrfe (adrfejj tckeae tckeaea a `ereo `ereo eaek eaek ?= ?=-5= -5==/9 =/9= =   ffOg (WOD)) > 2? dB (adrfej suou tuluo 29dB - 29,8 dB (WOD))

Ruou

2) ]cfcrhkseea ]crshstcf e) Rhst Rhstcf cf ]c ]cra raep epes esea ea \csp \c sphre hresh sh 20 x/fc x/fcah ahtt (tek (tekhp hpac acu) u),,

pc pcrg rgcr crek ekea ea pc pcra raep epes esea ea

shfctrhs, sdadr scjuruo jepeag peru `ea tcr`epet rdakh leseo oejus, fcagh (-).  l) Rhstcf Ker`hdveskujcr  NY] ] 3+0 bfO 2,9

b) Ot

>