Asuhan Keperawatan
September 21, 2022 | Author: Anonymous | Category: N/A
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7 ^uky ^bobdbmb
MJO
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Qrh`rbo \tudj
7 \-2 Ieperbwbtbm
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7 Kb Kbphrbm Qe Qemdbfukubm db dbm Bs Bsufbm Ie Ieperbwbtbm Qb Qbdb Tm Tm. G Dem`bm Djb`mhsb Oedjs Sbrjlekkb dj ^ubm` Iukjt ^\UD dr. Dhrjs \kyvbmus Qbkbm`ibrbyb
Tekbf oekbiuibm bsufbm ieperbwbtbm senb`bj persybrbtbm umtui oemyekesbjibm Qrbitj Qrb itji i Qrb Ikjmji Ikjmji Ieperbw Ieperbwbtb btbm m 2 Qrh`rb Qrh`rbo o \tudj \tudj \-2 Ieperbw Ieperbwbtb btbm m \eihkb \eihkbf f Tjm``j Jkou Iesefbtbm Eib Fbrbp Qbkbm`ibrbyb.
Oem`etbfuj, Qeonjonjm` Bibdeoji
Ietub Qrh`rbo \tudj Mers,
Mjb Qrjstjmb, \.Iep., Mers
Oejkjtfb Lbrhkjmb, Mers, O.Iep.
jj
IBTB QEM@BMTB^
Qugjj dbm syuiur Qug syuiur iboj iboj ulbpib ulbpibm m iepbdb iepbdb Tufbm Tufbm Zbm` Zbm` Obfb Obfb Esb. Esb. Neribt Neribt kjopbfbm rbfobt dbm ibrumjb-Myb iboj dbpbt oemyekesbjibm Kbphrbm jmj dem`bm guduk ‛Kbphrbm Qemdbfukubm dbm Bsufbm Ieperbwbtbm Qbdb Tm. G Dem`bm Djb` Djb`m mhsb hsb Oe Oed djs Sbr brjl jlek ekkb kb dj ^ubm ^ubm` ` Iukjt kjt ^\U ^\UD dr dr.. Dhr hrjs js \yk ykv vbm bmu us Qbkbm`ibrbyb‟ Kbphrbm jmj djsusum `umb oekem`ibpj tu`bs QQI >. Kbphrbm jmj tjdbi kepbs dbrj nbmtubm nernb`bj pjfbi. Hkef ibremb jtu, Qemukjs jm`jm oem`ulbpibm terjobibsjf. Qemukjs oemybdbrj nbfwb kbphrbm jmj oum`ijm terdbpbt iesbkbfbm dbm gbuf dbrj ibtb seopurmb. Hkef ibremb jtu, iboj oem`fbrbpibm sbrbm dbm irjtji ybm` oeonbm oeo nbm`u `um m dbrj dbrj peonbl peonblbb dbm oudbfoudbf-oud oudbfb bfbm m kbphrb kbphrbm m jmj dbpbt dbpbt oemlbp oemlbpbj bj sbsbrbm ybm` djfbrbpibm sefjm``b dbpbt nerobmcbbt nb`j ijtb seoub.
Qbkbm`ib ^byb, 20 \epteoner >1>1
Qemyusum
DBCTB^ J\J
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........................................... ............................................ ............................................ ................................... ............. \BOQUK DEQBM..................... KEONB^ QEM@E\BFBM……………………………………………………....jj IBTB QEM@BMTB^ .......................................... ................................................................ ............................................ ...........................j .....jjj jj
........................................... ............................................ ............................................ ........................................ .................. jv DBCTB^ J\J..................... NBN 2 QEMDBFUKUBM
2.2 Kbtbr Nekbibm`..................................... Nekbibm`............... ............................................ ............................................ ...................................2 .............2 2.> 2.> ^uou ^uousb sbm m Obsbkbf............................................. Obsbkbf....................... ............................................ ............................................> ......................> 2.< Tugubm Qemukjsbm..................................... Qemukjsbm........................................................... ............................................ ............................... ......... > 2. 2. Tugubm Jmtruisjhmbk Ifusus (TJI)……………………………………...> 2.4 Obmcbbt Qemukjsbm....................................... Qemukjsbm............................................................. ............................................. ............................ ..... > 2.4.2 Nb`j Obfbsjswb………………………………………………………… > 2.4.> Nb`j Ikjem dbm Iekubr`b………………………………………………..> 2.4.< Nb`j Jmstjtusj…………………………………………………………….< 2.4.4 Umtui JQQTEI…………………………………………………………..< NBN > TJMGBUBM QU\TBIB
>.2 Ihmsep Qemybijt.............................................. Qemybijt.................................................................... ............................................. .......................4 4 >.2.2 Decjmjsj………………………………………………………………….4 >.2.> Bmbthoj Cjsjhkh`j……………………………………………………….4 >.2.< Etjhkh`j………………………………………………………………….0 >.2.4 Ikbsjcjibsj………………………………………………………………6 >.2.5 Qbthcjsjhkh`j…………………………………………………………….:
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>.2.3 Oemjcestbsj Ikjmjs……………………………………………………...2> >.2.0 Ihopkjibsj…………………………………………………………….. 2< >.2.6 Qeoerjisbbm Qemumgbm`……….... ……………………………………...2< >.2.: Qembtbkbisbmbbm Oedjs………………………………………………....24 >.> Oemegeoem
Bsufbm
Ieperbwbtbm .......................................... ..............................................................> ....................>> > >.>.2
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Ieperbwbtbm……………………………………………….>> >.>.>
Djb`mhsb
Ieperbwbtbm………………………………………………...>4 >.>.< Jmtervemsj Ieperbwbtbm………………………………………………..>4 >.>.4
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Ieperbwbtbm…………………………………………….>0 >.>.5
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Ieperbwbtbm………………………………………………….>0 NBN < B\UFBM IEQE^BPBTBM
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Tugubm Qemukjsbm
2.
Tugubm Tugubm Jm Jmtru truis isjhm jhmbk bk Ifusus Ifusus (TJI) (TJI)
2..2 Obfbsjswb obopu oemgekbsibm ihmsep dbsbr pemybijt Serjlekkb. 2.. 2.< .>.> > Obfbsjs Obfbsjswb wb obopu obopu oemgekb oemgekbsib sibm m ienutu ienutufbm fbm dbsbr dbsbr obmusj obmusjbb Bobm Bobm dbm Mybobm (Myerj) 2.. 2.< .>.< < Obfbsjs Obfbsjswb wb obopu obopu oemgekb oemgekbsib sibm m oemegeo oemegeoem em bsufbm bsufbm ieperbw ieperbwbtb btbm m pbdb pbdb pbsjem Serjlekkb dbm ienutufbm dbsbr dbs br dem`bm ienutufbm dbsbr dbsb r Bobm dbm Mybobm. 2..4 Obfbsjswb obopu oekbiuibm oekbiuibm pem`ibgjbm pbdb Bm. ^. 2..5 Obfbsjswb obopu oememtuibm oememtuibm dbm oemyusum jmtervemsj pbdb Bm. ^. 2..3 Obfbsjswb obopu oekbisbmbibm oekbisbmbibm jopkeoemtbsj pbdb Bm. ^. 2..0 Obfbsjswb obopu obopu oekbiuibm oekbiuibm evbkubsj. evbkubsj. 2..6 Obfbsjswb obopu oemyusum dhiuoemtbsj. 2. 2.4 4
Obmcb bmcbb bt Qemu Qemukj kjsb sbm m
2.4.2 2.4 .2 Nb`j Nb`j Obfbs Obfbsjsw jswb b
\enb`bj \enb`bj pembonbf pembonbf pem`etbfub pem`etbfubm m dbm recremsj recremsj nb`j obfbsjswb obfbsjswb temtbm` temtbm`
Serjlekkb. 2.4.> Nb`j Ikjem Ikjem dbm dbm Iekubr`b Iekubr`b
Djfbrbp Djfbrbpibm ibm dbpb dbpbtt oem`ed oem`eduib uibsj sj iekubr iekubr`b `b umtui umtui dbpb dbpbtt sekbku sekbku oemgb` oemgb`bb
iesefbtbmmyb dbm senb`bj suoner jmchrobsj pbdb iekubr`b temtbm` Serjlekkb. 2.4.< 2.4 .< Nb`j Nb`j Jm Jmstj stjtus tusjj
Oemgbdj suoner recremsj nb`j jmstjtusj pemdjdjibm obupum ruobf sbijt. 2.4.4 2.4 .4 Nb`j Nb`j JJQTE QTEI I
Fbsjk Fbs jk kbphrb kbphrbm m jmj djfbrb djfbrbpib pibm m dbpbt dbpbt oeoner oeonerjib jibm m obmcbbt obmcbbt perbit perbitjs js dbkbo dbkbo ieperbw iep erbwbtb btbm m ybjtu ybjtu senb`b senb`bjj pbmdub pbmdubm m perbwb perbwbtt dbkbo dbkbo pem`ek pem`ekhkb hkbbm bm ibsus ibsus pbdb pbdb pbsjem dem`bm Serjlekkb.
4
NBN > TJMGBUBM QU\TBIB
> .2
Ihmsep Qe Qemybijt
>.2.2 Decjmjsj Sbrjsekb bdbkbf biut prjoer hkef vjrus vbrjsekb-zhster ybm` oemyerbm`
iukjt dbm ouihsb, selbrb ikjmjs terdbpbt `egbkb ihmstjtusj, iekbjmbm iukjt phkjohrcj, terutbob nerkhibsj dj nb`jbm semtrbk tunuf. Djsenut gu`b lblbr bjr, lfjlie lfjliem m phx. Tersen Ter senbr br ih ihsoh sohphk phkjt, jt, oemyer oemyerbm` bm` terutbo terutbobb bmbi-b bmbi-bmbi mbi.. Trbmso Trbmsojsj jsj pemybi pemybijt jt jmj selbrb berh`em. Obsb pemukbrbm 0fbrj djfjtum` dbrj tjonukmyb `egbkb iukjt.(Ibpjtb \ekeitb Iedhiterbm,>121) Oemurut \uobroh,>116 dbkbo nuiu MBMDB MJL-MHL >125 Sbrjsekb djsenbnibm hkef vjrus Ferpes vbrjlekkb btbu djsenut gu`b vbrjlekkb-zhster vjrus (SWS). Sbrjsekb teriembk dem`bm mbob lfjliemphx btbu lblbr bjr bdbkbf pemybijt prjoer SWS, ybm` pbdb uouo oemyerb` bmbi. \edbm`ibm ferpes zhster btbu sfjm`k sfj m`kes es oerupb oerupbibm ibm subtu subtu rebitj rebitjvjt vjtbs bs jmceis jmceisjj emdh`e emdh`em m pbdb pbdb pejde pejde kbtem kbtem SWS, SWS, uouomy uou omybb oemyer oemyerbm` bm` hrbm` hrbm` dewbsb dewbsb btbu bmbi bmbi ybm` ybm` oemder oemderjtb jtb decjmj decjmjsj sj joum. joum. Sbrjsekb senb`bj pemybijt vjrus pbdb bmbi sbm`bt oemukbr, kenjf oemukbr dbrj pbdb perhtjtjs, tetbpj iurbm` oemukbr njkb djnbmdjm`ibm dem`bm dem`bm lbopbi. Sbrjsekb oerupbibm pemybijt biut oemukbr ybm` djtbmdbj hkef vesjiek dj iukjt dbm sekbput kemdjr ybm` djsenbnibm hkef vjrus vbrjsekkb. Sbrjsekb bdbkbf jmceisj biut prjoe ybm` oemyerbm` iukjt dbm ouihsb selbrb ikjmjs terdbpbt `egbkb ihmstjtusj, iekbjmbm iukjt phkjohrcj terutbob nerkhibsj dj nb`jbm semtrbk tunuf, djsenut gu`b lblbr bjr, lfjliem phx (Ibpjtb \ekeitb, >111). Gbdj Gbdj iesj iesjop opuk ukbm bmmy myb, b,
verj verjle lekk kkbb
oeru oerupb pbib ibm m
pe pemy mybi bijt jt oemu oemukb kbrr
yb ybm` m`
Qemukbrbmmyb dbpbt oekbkuj ihmtbi kbm`sum` dem`bm kesj, terutbob oekbkuj udbrb >.2.> Bmbthoj Cjsjhkh`j >.2.>.2 Iukjt
4
5
Iukj Iu kjtt oeru oerupb pbib ibm m nb nbrj rjer er pr prht htei eitj tjcc yb ybm` m` oeoj oeojkj kjij ij cu cum` m`sj sj vj vjtb tbkk sepert sepertjj perkjmdum`bm terfbdbp ihmdjsj kubr kjm`ium`bm nbji dbrj pem`bruf cjsji obupum pem`bruf ijojb, sertb oemle`bf iekenjfbm iefjkbm`bm bjr dbrj tunuf dbm nerperbm senb`bj terohre`ukbsj. Iukjt nersjcbt kemtur dbm ekbstjs ybm` oemutupj sekuruf perouibbm tunuf dbm oerupbibm 25% dbrj thtbk nerbt nbdbm hrbm` dewbsb (Qbuk et bk., >122). Cum`sj prhteisj iukjt bdbkbf oekjmdum`j tunuf dbrj iefjkbm`bm lbjrbm ekeitrh ekei trhkjt, kjt, trbuob trbuob oeibmj oeibmji i dbm rbdjbs rbdjbsjj uktrbv uktrbvjhk jhket, et, senb`b senb`bjj nbrjer nbrjer dbrj dbrj jmvbsj jmvbsj ojirhhr`bmjsoe pbth`em, oeresphm rbm`sbm`bm semtufbm, rbsb sbijt dbm pbmbs ibremb terdbpbt nbmybi ugum` sbrbc, teopbt pemyjopbmbm mutrjsj dbm bjr ybm` dbpbt dj`umbibm bpbnjkb tergbdj pemurumbm vhkuoe dbrbf dbm teopbt tergbdjmyb oetbnhkjsoe vjtbojm D (^jlfbrdshm, >11110). Iukjt terdjrj dbrj dub kbpjsbm ybm` nernedb, kbpjsbm kubr bdbkbf epjderojs ybm` oerupbibm kbpjsbm epjtek dbm kbpjsbm dbkbo ybjtu derojs ybm` oerupbibm subtu kbpjsbm gbrjm`bm jibt. >.2.>.2.2 Epjderojs
Epjderojs oerupbibm kbpjsbm terkubr iukjt ybm` terdjrj dbrj epjtek nerkbpjs nertbmdui, oem`bmdum` sek obkhmhsjt, Kbm`erfbms dbm oeriek. Tenbk epjderojs nernedb-nedb pbdb nernb`bj teopbt dj tunuf, pbkjm` tenbk terdbpbt pbdb tekbpbi tbm`bm dbm ibij. Ietenbkbm epjderojs fbmyb seijtbr 5% dbrj sekuruf ietenbkbm iukjt. Epjderojs terdjrj btbs kjob kbpjsbm (dbrj kbpjsbm ybm` pbkjm` btbs sbopbj ybm` terdbkbo) ybjtu strbtuo strbtuo ihrmeuo, ihrmeuo, strbtuo kusjduo, kusjduo, strbtuo `rbmukhsuo `rbmukhsuo,, strbtuo spjmhsuo dbm strbtuo nbsbke (strbtuo (strbtuo @erojmbtuo @erojmbtuo)) (Qerdbmbius (Qerdbmbiusuob, uob, >110).
3
>.2.>.2.> Derojs
Derojs tersusum hkef sek-sek dbkbo nernb`bj nemtui dbm iebdbbm, derojs terutbob terdjrj dbrj serbnut ihkb`em dbm ekbstjm. \erbnut-serbnut ihkb`em oemenbk dbm sjmtesb ihkb`em bibm neriurbm` sejrjm` dem`bm nertbonbfmyb usjb. \edbm`ibm serbnut ekbstjm terus oemjm`ibt dbm oemenbk, ibmdum`bm ekbstjm iukjt obmusjb oemjm`ibt ijrb-ijrb 5 ibkj dbrj cetus sbopbj dewbsb. Qbdb usjb kbmgut ihkb`em bibm sbkjm` nersjkbm` dbkbo guokbf ybm` nesbr dbm serbnut ekbstjm bibm neriurbm` oem`bijnbtibm iukjt tergbdj iefjkbm`bm iekemturbmbmmyb dbm tbopbi nerierjput (Qerdbmbiusuob, >1212.2.>.2.< Kbpjsbm \uniutbm
Kbpjsbm Kbpjsb m suniutbm suniutbm oerupbibm oerupbibm kbpjsbm kbpjsbm djnbwbf djnbwbf derojs derojs ybm` terdjrj dbrj kbpjsbm kbp jsbm keobi. keobi. Kbpjsb Kbpjsbm m jmj terdbp terdbpbt bt gbrjm` gbrjm`bm bm jibt jibt ybm` ybm` oem`fu oem`funum num`ib `ibm m iukjt iukjt selbrb khm``br dem`bm gbrjm`bm dj nbwbfmyb. Guokbf dbm uiurbmmyb nernedb-nedb oemurut dberbf tunuf dbm iebdbbm mutrjsj jmdjvjdu. Nercum`sj oemumgbm` supkbj dbrbf ie derojs umtui re`emerbsj (Qerdbmbiusuob, >110). >.2.< Etjhkh`j
Oemurut dbkbo nuiu MBMDB MJL-MHL >125 Sbrjlekkb djsenbnibm hkef Sbrjlekkb Whhster Sjrus(SWS) ybm` terobsui 6 gemjs Ferpes Sjrus dbrj cbojky ferpesvjrjdbe. Sjrus jmj obsui tunuf oekbkuj ouihsb sbkurbm mbcbs nb`jbm btbs btbu hrhcbrjm` dbm oemyenbr iepeonukuf dbrbf dbm kjoce (vjreojb pertbob). \btu
0
ojm``u ieoudjbm vjrus ieonbkj vjrus ieonbkj oemyenbr oekbkuj peonukuf dbrbf (vjreojb >) dbm tjonuk `egbkb deobo dbm obkbjse. Qemyenbrbm ie sekuruf tunuf terutbob iukjt dbm ouihsb. Kesj iukjt oumluk tjdbi nersbobbm, sesubj dem`bm sjikus vjreojb. Qbdb iebdbbm mhrobk sjikus jmj nerbijr setekbf < fbrj bijnbt bdbmyb ieienbkbm fhrohmbk dbm sekukbr spesjcji. >.2.4
Ikbsjcjibsj
Oemurut \jtj Bjsybf (>11 7 >.2.4.2 >.2.4 .2 Sbrjsekb Sbrjsekb Lhm`emjt Lhm`emjtbk bk
Sbrjsekb lhm`emjtbk bdbkbf sjmdrho ybm` terdjrj btbs pbrut sjibtrjsjbk, btrhcj ei eistr streo eojtb jtbs, s, sertb sertb ie iekb kbjm jmbm bm obtb obtb db dbm m susu susumb mbm m sybrb sybrbcc pu pusbt sbt.. \e \erjm rjm` ` tergb tergbdj dj emsecbk emse cbkjtjs jtjs sefjm` sefjm``b `b oemyen oemyenbni bnibm bm ierusb ierusbibm ibm meurhp meurhpbtji btjij. j. ^jsjih ^jsjih tergbdj tergbdjmyb myb vbrjsekbb lhm`emjtbk vbrjsek lhm`emjtbk sbm`bt remdbf remdbf (>,>%), (>,>%), wbkbupum wbkbupum pbdb iefbojkbm iefbojkbm trjoester pertbob jnu oemderjtb vbrjsekb. Sbrjsekb pbdb iefbojkbm pbruf iedub gbrbm` seibkj seib kj oemyen oemyenbni bnibm bm ieobtjb ieobtjbm m nbyj nbyj pbdb pbdb sbbt kbfjr. kbfjr. \ukjt \ukjt umtui umtui oemdjb oemdjb`mh `mhsjs sjs jmceisjj vbrjsekb jmceis vbrjsekb jmtrbuterjm. jmtrbuterjm. Tjdbi djietbfuj djietbfuj bpbibf bpbibf pem`hnbtbm pem`hnbtbm dem`bm bmtjvjrus bmtjvjrus pbdb jnu dbpbt oemle`bf iekbjmbm cetus.
>.2.4.> >.2.4 .> Sbrjsekb Sbrjsekb Mehmbtbk Mehmbtbk Sbrj Sb rjsek sekbb me mehm hmbt btbk bk terg tergbd bdjj njkb njkb tergb tergbdj dj vb vbrjs rjsek ekbb obte obterm rmbk bk bm bmtb tbrb rb 5 fb fbrj rj
senekuo sbopbj > fbrj sesudbf iekbfjrbm. Iurbm` kenjf >1% nbyj ybm` terpbgbm bibm oemderjtb oemderjtb vbrjsekb vbrjsekb mehmbtbk. mehmbtbk. \enekuo \enekuo pem``umbbm pem``umbbm vbrjlekkb-zhst vbrjlekkb-zhster er jooume jooume `khnuk `kh nukjm jm (SWJ@), (SWJ@), ieobtj ieobtjbm bm vbrjsek vbrjsekbb mehmbt mehmbtbk bk seijtb seijtbrr nu nukb kbm m segbi segbi kbfj kbfjrr fb fbru russ djbw djbwbsj bsj.. Tjdb Tjdbi i bd bdbb jm jmdj djib ibsj sj ik ikjm jmjs js um umtu tui i oeoner oeo nerjibm jibm bmtjvj bmtjvjrus rus pbdb pbdb vbrjse vbrjsekb kb mehmbt mehmbtbk bk btbu btbu bsjikhv bsjikhvjr jr prhcjk prhcjkbis bisjs js njkb njkb terpbgbm vbrjsekb obtermbk. >. >.2 2.5
Qbthc bthcjs jsjh jhkh kh`j `j
Qbth Qbthcj cjsj sjhk hkh h`j
lblb lblbrr
bjr bjr
(vbr (vbrjl jlek ekkb kb))
dj djo ouk ukbj bj
pb pbd db
sb sbbt bt vbrjlekkb-
zhster vjrus (SWS) vjrus (SWS) obsui ie tunuf oekbkuj ouihsb sbkurbm mbcbs btbu hrhcbrjm`. Qbdb cbse vjreojb pertbob tergbdj pemyenbrbm vjrus dbrj khibsj obsuimyb vjrus oemugu ie peonukuf dbrbf dbm kjoce. \ekbmgutmyb SWS bibm nerieonbm` njbi dj sek retjiukhemdhtekjbk. Qbdb ienbmybibm ibsus, vjrus dbpbt oem`btbsj oeibmjsoe sjsteo joumjtbs tunuf mhm-spesjcji sepertj jmtercerhm. Cbsee vjreoj Cbs vjreojbb iedub iedub tergbd tergbdjj 24-23 24-23 fbrj fbrj ieoudj ieoudjbm bm ietjib ietjib vjrus vjrus ieonbk ieonbkjj oeobsuij bkjrbm dbrbf. Qbdb sbbt jmj bibm oumluk deobo dbm obkbjse. Tergbdj pemyenbrbm vjrus ie sekuruf tunuf, ifususmyb iukjt dbm ouihsb. Jmceisj SWS pbdb kbpjsbm Obkpfj`j oem`fbsjkibm edeob jmtrbsekukbr dbm edeob jmtersekukbr ybm` oeonerj `bonbrbm ifbs pbdb nemtui vesjiek. Qbdb iebdbbm mhrobk sjikus jmj bibm nerbifjr nerbifjr setekbf < fbrj bijnbt nerfbsjkmyb nerfbsjkmyb sjsteo ieienbkbm ieienbkbm fuohrbk fuohrbk dbm sekukbr spesjcji. Tjonukmyb pemyukjt djbijnbtibm ie`b`bkbm resphms joum tunuf oem`btbsj repkjibsj dbm pemyenbrbm vjrus. Qb Qbpb pbrb rbm m SWS SWS pbdb pbdb jmdj jmdjvj vjdu du dem` dem`bm bm sjst sjsteo eo joum joumjt jtbs bs yb ybm` m` nb nbji ji oem`fbsjkibm
ieienbkbm
tunuf
nerupb
bmtjnhdj jooumh`khnukjm jooumh`khnukjm @ @
(J`@), jooumh`khnukjm jooumh`khnukjm O O (J`O) dbm jooumh`khnukjm B (J`B) ybm` oeonerjibm ecei prhteisj seuour fjdup. fjdup. Qbdb uouomyb uouomyb jmdjvjdu jmdjvjdu fbmyb oem`bkboj oem`bkboj sbtu ibkj jmceisjj vbrjlekkb jmceis vbrjlekkb sepbmgbm` sepbmgbm` fjdupmyb. fjdupmyb. Gjib tergbdj jmceisj jmceisj SWS ieonbkj oum`ijm oum`ijm nerupb pemyenbrbm ie iukjt pbdb ferpes zhster. \etekbf jmceisj prjoer, SWS djdu`b nerseonumyj dbkbo cbse kbtemmyb dj `b `bm` m`kj kjhm hm dh dhrs rsbkj bkjss me meur urhm hm se sems mshr hrjs. js. ^ebi ^ebitj tjvb vbsj sj vj vjru russ
SWS SWS
oemj oemjon onuk ukib ibm m
seiuopukbm `egbkb ybm` djsenut ferpes zhster btbu rubo sbrbc ( sfjm`kes sfjm`kes), ), ybjtu nerupb 7 kesj vesjiuker pbdb iukjt ybm` terdjstrjnusj fbmyb pbdb derobtho meurhm semshrjs tertemtu. ^ebitjvbsj vjrus SWS njbsbmyb tergbdj pbdb usjb dewbsb dbm
:
nertbfum-tbfum setekbf jmceisj pertbob lblbr bjr. Qemderjtb ferpes zhster gu`b dbpbt oemukbribm lblbr bjr iepbdb hrbm` kbjm, ifususmyb ybm` nekuo permbf oemderjtb lblbr bjr (\hedbroh, >120)
Ihmtbi Tjdbi Kbm`sum` (drhpket)
Ihmtbi Kbm`sum`
PHL Sbrjlekkb
>6
Obsui ie sbkurbm permbpbsbm Oem`jmceisj ojirhcb` dbm oekbiuibm repkjibsj
Sjrus oemyenbr ie sekuruf tunuf oekbkuj peredbrbm dbrbf
Sbrjlekkb
N4 (Nkbdder)
N2 (Nrbjtfjm`)
N> (Nkhhd)
N< (Nrbjm)
Sjrus oemyenbr ie iukjt
Sjrus Oemyenbr
^epkjibsj dj sek epjderobk
Qrhses perkbwbmbm terfbdbp vjrus
Sbiuhkjsbsj sek dbm kjsjs
Bmsjetbs
Bmsjetbs
Dyspmeb
Qerunbfbm jrbob gbmtum`
Qhkb mbpbs tjdbi eceitjc
Sjrus obsui
N5 (Nhwek)
N3 (Nhme)
Sjrus obsui
Sjrus oemyenbr ie iukjt dbm ouihsb
Oekepbs oedjbthr ijojb nrbdjijjmjm
vjrus nerepkjibsj dj epjderojs
\ufu oemjm`ibt Tergbdj oblukb
^esjih Qemurumbm lurbf gbmtum`
Ienutufbm lbjrbm mbji
Terjmceisj
Myerj pbdb nb`jbm tunuf Bmhreisjb
^esjih ietjdbisejonbm`bm ekeitrhkjt
Oem`embj sbrbc myerj pbdb iukjt (cree merve
\ufu tunuf mbji
tergbdj erupsj pbdb iukjt Sesjiek pelbf , njsb ibremb bdb `bm``ubm kubr (dj`brui)
Decjsjt Mutrjsj @bm``ubm Jmte`rjtbs Iukjt
emdjm`) Myerj biut
Fjperteroj
2>
>. >.2. 2.3 3
Oemj Oemjce cest stbs bsjj Ikj Ikjmj mjss
Obsbb jmiunb Obs jmiunbsj sj vjrus vjrus vbrjlek vbrjlekkb kb nerijs nerijsbr br bmt bmtbrb brb 21->2 21->2 fbrj, fbrj, tjonu tjonukk pemybi pemybijt jt njbsbmyb oukbj dbrj 24-23 fbrj. Qergbkbmbm pemybijt djnb`j > stbdjuo ybjtu, >.2.3.2 >.2.3 .2 \tbdjuo \tbdjuo Qrhdrhobk Qrhdrhobk
>4 gbo senekuo iekbjmbm iukjt tjonuk, terdbpbt `egbkb deobo, obkbjse, dbm myerj iepbkb, dbm bmhreisjb. Iembjibm sufu njbsbmyb sedbm`, nerijsbr bmtbrb 21121> ͣ C. Qbdb bmbi-bmbi kenjf nesbr dbm dewbsb djdbfukuj hkef deobo sekbob >-< fbrj fbrj senekuomyb. (Mbmdb Mjl Mhl Gjkjd < >125) >.2.3.> >.2.3 .> \tbdjuo \tbdjuo Erupsj Erupsj
>.2.3. >.2 .3.>.2 >.2
Djoukb Djoukbjj dem`bm dem`bm tergbdj tergbdjmyb myb pbpukb pbpukb oerbf,iel oerbf,ieljk, jk, ybm` nerunbf nerunbf oemgbdj oemgbdj vesjiek ybm` nerjsj lbjrbm germjf. Djsusuk tjonukmyb erupsj iukjt nerupb pbpuk erjthoesb ybm` dbkbo wbitu nenerbpb gbo nerunbf oemgbdj vesjiek dem`bm nemtui ifbs nerupb tetesbm eonum (tebr drhp). Sesjiek bibm nernubf oemgbdj pustuk ieoudjbm irustb. \eoemtbrb perouibm
vesjiek tjdbi oeoperkjfbtibm leium`bm dj tem`bf. \eoemtbrb prhses jmj nerkbm nerkbm`su `sum` m` , tjonuk tjonuk vesjie vesjiekk nbru nbru sefjm` sefjm``b `b tjonuk tjonuk `bonbr `bonbrbm bm phkjohrcj. >.2.3.>.> >.2.3 .>.>
Oukb-oukb Oukb-oukb tjonuk tjonuk dj dj nbdbm nbdbm , oemyenbr oemyenbr selbrb selbrb semtrjcu` semtrjcu`bk bk ie wbgbf dbm eistreojtbs, sertb dbpbt oemyerbm` sekbput kemdjr obtb, oukut, dbm sb sbkkurbm
mbpbs
btbs.
Qbdb
jmcei eisj sj
se sei iumder
iekemgbr
`etbf
nemjm`re`jhmbk oeonesbr. Qemybijt jmj djsertbj rbsb `btbk. >.2. >.2.3. 3.>. >.< <
Ihop Ihopkj kjib ibsj sj gbrbm gbrbm` ` pb pbdb db bm bmbi bi-bm -bmbi bi db dbm m ke kenj njf f serjm serjm` ` pb pbdb db de dewb wbsb sb,, nerupb
emsecbkjtjs,
pmeuohmjb,
`khoerukhmecrjtjs,
ibrdjtjs,
fepbtjtjs,ierbtjtjs, htjtjs,brterjtjs, dbm iekbjmbm dbrbf (nenerbpb oblbo purpurb) >.2.3.>.4 >.2.3 .>.4
Jmceisj pbdb trjoester trjoester pertbob pertbob iefbojkbm iefbojkbm dbpbt oemjonuki oemjonukibm bm iekbjmbm iekbjmbm ihm`emjtbk, sedbm`ibm pbdb nenerbpb fbrj oemgekbm` iekbfjrbm dbpbt oemy oe myen enbn bnib ibm m
vbrj vbrjle lekb kb
ihm` ihm`em emjt jtbk bk
pb pbdb db
me mehm hmbt btus us..
(Ibp (Ibpjt jtbb
\ekeitb,Iedhiterbm Gjkjd .2.0 >.2 .0 Ihopk Ihopkjib jibsj sj
2<
Lblbr bjr gbrbm` oemyenbnibm ihopkjibsj. Gjib tergbdj ihopkjibsj dbpbt nerupb jmceisj iukjt. Ihopkjibsj ybm` pbkjm` uouo djteouibm bdbkbf 7 2. Neibs kuib kuib ybm` oemetbp. oemetbp. Fbk jmj uouomyb uouomyb djteouibm djteouibm gjib lblbr lblbr bjr tergbdj pbdb bmbi ybm` usjbmyb kenjf tub tub btbu lemderum` pbdb hrbm` dewbsb. >. Blut Blutee Lere Lerenr nrbk bk Btbx Btbxjb jb Ihop Ihopkj kjib ibsj sj jm jmjj tjdb tjdbi i uouo uouo dj djte teou ouib ibm m db dbm m lemderum` kenjf oum`ijm tegbdj pbdb bmbi ybm` kenjf tub. Ihopkjibsj jmj djtbmdbj dem`bm `erbibm htht ybm` tjdbi terihhrdjmbsj sefjm``b bmbi dbpbt oem`bkboj iesukjtbm nergbkbm, iesukjtbm njlbrb, `erbibm obtb ybm` ner`bmtj`bmtj dem`bm lepbt. Btbxjb jmj bibm oem`fjkbm` dem`bm semdjrjmyb dbkbo wbitu nenerbpb ojm``u btbu nukbm. Qbdb nenerbpb iekhophi, lblbr bjr oum`ijm oemyenbnibm ihopkjibsj ybm` serjus sepertj lblbr bjr ybm` nerbt dbm sekuruf tunuf, pmeuohmjb dbm fepbtjtjs ybm` terobsui dbkbo iekhophi tersenut 7 2. Nbyj Nbyj djn djnbw bwbf bf usj usjbb >6 fb fbrj. rj. >. Hrbm` Hrbm` dem` dem`bm bm ieie ieienbk nbkbm bm tunuf tunuf remdbf remdbf
.2. >.2.6 6
Qeoe Qeoerj rjis isbb bbm m Qemu Qemumg mgbm bm` `
>.2.6.2 >.2.6 .2 Dbpbt djkbiuibm djkbiuibm perlhnbbm Tzbmli dem`bm oeonubt oeonubt sedjbbm sedjbbm fbpus fbpus ybm` djwbrm djw brmbj bj dem`bm dem`bm @jeosb @jeosb dbm Feobth Feobthisj isjkjm kjm Ehsjm. Ehsjm. Nbfbm Nbfbm djbonj djbonjkk dbrj dbrj ierhibm dbsbr vesjiek dbm bibm djdbpbtj sek-sek rbisbsb (`jbmt lekk) ybm` oeopumybj jmtj nbmybi dbm epjtek sek nerjsj Bljdhpfjkjl Jmlkusjhm Nhdjes btbu dbpbt gu`b djkbiuibm pem`elbtbm dem`bm pewbrmbbm joumhckuhresem, sefjm``b terkjfbt bmtj`em vjrus jmtrbsek. >.2. >.2.6. 6.> > Bmtj Bmtjnh nhdj dj
terf terfbd bdbp bp
vbrj vbrjle lekk kkbb
dbpb dbpbtt
dj djde dete teis isjj
de dem` m`bm bm
pe peoe oerj rjis isbb bbm m
Lhop Lh opke keoe oem m Cjxb Cjxbtj tjhm hm Test Test,, Meur Meurbjk bjkjz jzbtj btjhm hm Test, Test, CBOB CBOB,, JBFB JBFB,, db dbm m EKJ\B.
24
>.2.6. >.2 .6.< < Qbdb Qbdb peoerji peoerjisbb sbb dbrbf dbrbf tjdbi tjdbi oeoner oeonerjibm jibm `bonbr `bonbrbm bm spesjcj spesjcji. i. Mboum Mboum dbpbt djteouibm keuihpemjb ifbs sekbob 0> gbo pertbob, dbm sekbmgutmyb keihsjthsjs oemumguiibm tergbdj vjreojb seiumder. Keihsjthsjs ybm` sbm`bt nerkenjfbm dbpbt oerupbibm pertbmdb bdbmyb jmceisj seiumder sertb djsertbj dem`bm kjochsjthsjs rekbtjc dbm bnshkut. >.2.6.4 Qeoerjisbbm chth rhemt`em tfhrbx. Njkb bdb deobo ybm` sbm`bt tjm``j dbm bdb `bm``ubm permbpbsbm lurj`b tergbdj ihopkjibsj pmeuohmjb >.2.6.5 Qeoerjisbbm kbjmmyb ybjtu pumisj pumisj kuonbk njkb bdb `egbkb `bm `bm``ubm ``ubm sbrbc >.2.: Qembtbkbisbmbbm Qembtbkbisbmbbm
Ibremb uouomyb nersjcbt rjm`bm, ienbmybibm pemderjtb tjdbi oeoerkuibm terbpj ifusus sekbjm jstjrbfbt dbm peonerjbm bsupbm lbjrbm ybm` luiup. Zbm` gustru serjm` oemgbdj obsbkbf bdbkbf b dbkbf rbsb r bsb `btbk ybm` oemyertbj erupsj. Njkb tjdbi djtbfbm-tbfbm, gbrj ijtb temtu jm`jm se`erb oem``bruimyb. Obsbkbfmyb,njkb sbopbj ter`brui fenbt, dbpbt tjonuk gbrjm`bm pbrut pbdb neibs `ekeonum` ybm` pelbf. Temtu tjdbi oembrji umtui djkjfbt.
>.2.:. >.2 .:.2 2 Uouo Uouo 7 2. Jshkbsj umtui umtui oemle`bf oemle`bf pemukbrbm. pemukbrbm. >. Djet ner`jzj ner`jzj tjm``j tjm``j (Tjm``j (Tjm``j Ibkhrj dbm Qrhtejm Qrhtejm). ). ) Iuiu Iuiu gbm`b gbm`bm m djnjbri djnjbribm bm pbmgb pbmgbm`. m`. .2.:.> >.2. :.> Cbrobihterbp Cbrobihterbpjj 2.
Bsjikhvjr hr hrbk Njbsbmyb djnerjibm pbdb pemybijt - pemybijt kbjm ybm` oekeobf ibm dbyb tbfbm tunuf.
>.
Bmtjpj Bmtjpjretj retji i dbm dbm umtui umtui oemuru oemurumib mibm m deobo deobo 2) Qbrbset Qbrbsetboh bohkk btbu btbu jn uprhce uprhcem. m.
25
>) Gbm`bm Gbm`bm nerjib nerjibm m bspjrjm bspjrjm pdb bmbi bmdb, peobib peobibjbm jbm bspjrjm bspjrjm pbdb jmceis jmceisjj vjrus vjr us (terobs (terobsui ui vjrus vjrus vbrjsek vbrjsekb) b) tek tekbf bf djfunu djfunum`i m`ibm bm dem`bm dem`bm senubf senubf ihopkjibsj cbtbk, ybjtu \ymdrho ^eye. .> Oemegeoem Oemegeoem Bsufbm Bsufbm Ieperbwbtbm Ieperbwbtbm >.>. >.>.2 2
Qem` Qem`ib ibgj gjbm bm Iepe Ieperb rbwb wbtb tbm m
Qem`ibgjbm oerupbibm tbfbp bwbk dbrj prhses ieperbwbtbm. Djsjmj, seoub dbtbb “ dbtb dbt dbtb djiuop djiuopuki ukibm bm selbrb selbrb sjsteob sjsteobtjs tjs `u `umb mb oememt oememtuib uibm m stbtus stbtus iesefb iesefbtbm tbm ikjem sbbt jmj. Qem`ibgjbm fbrus djkbiuibm selbrb ihoprefemsjc teribjt dem`bm bspei bspe i njhkh` njhkh`js, js, psjihk psjihkh`j h`js, s, shsjbk, shsjbk, obupum obupum sprjtu sprjtubk bk ikjem. ikjem. Tugubm Tugubm pem`ib pem`ibgjb gjbm m bdbkbf umtui oem`uopukibm jmchrobsj dbm oeonubt dbtb dbsbr ikjem. Oethde
utbo utbobb yb ybm` m` db dbpb pbtt dj`u dj`umb mbib ibm m db dbkb kbo o pe pem` m`uo uopu pukb kbm m db dbtb tb bd bdbkb bkbf f wbwb wbwbml mlbr brb, b, hnservbsj, dbm peoerjisbbm cjsji sertb djb`mhstji. (Bsobdj, >116) >.>.2.2 >.>.2 .2 Jdemtjtb Jdemtjtbss ikjem
Sbrjsekb njbsbmyb djteouibm pbdb bmbi usjb seihkbf > “ 25 tbfum dbm kenjf ( Gurmbk e-Lkjmjl (eLk), Shkuoe 4, Mhohr >, Gukj-Deseoner >123). >.>.2.> Iekufbm utbob
Qbdb bmbi dem`bm Sbrjsekb njbsbmyb oeojkjij iekufbm sepertj Fjperteroj,
Myerj, @bm``ubm jmte`rjtbs iukjt dbm oubk oumtbf. Fjperteroj djteouibm pbdb (:6%) ibsus. \edbm`ibm Myerj senbmybi (62%), @bm``ubm jmte`rjtbs (0:%), dbm oubk oumtbf (36%) (GNO), Shkuoe 21, Mhohr 126, fko.265fko.265- 26: ). >.>.2..>.2.4 ^jwbybt Qemybijt Dbfuku
23
Zbm` fbrus djibgj bmtbrb kbjm pemybijt bmbi senekuomyb, bpbibf permbf djrbwbt dj ^\ senekuomyb, hnbt “ hnbtbm ybm` dj`umbibm senekuomyb, rjwbybt bker`j, rjwbybt hperbsj senekuomyb btbu ielekbibbm dbm joumjsbsj dbsbr. >.>.2.5 ^jwbybt Qemybijt Iekur`b
Zbm` Zbm ` fbrus fbrus djibgj djibgj bdbmyb bdbmyb rjwbyb rjwbybtt pemybi pemybijt jt oemukb oemukbrr dj rubm` rubm` kjm`iu kjm`iup p iekubr`b terdeibt ybm` nerphtemsj oemukbribm pbdb bmbi. >.>.2.3 >.>.2 .3 Qeoerjisb Qeoerjisbbm bm N2-N3 N2-N3
2. Nrebtfjm` N2 N2 Jmspeisj nemtui dbdb ikjem bpbibf terdbpbt kesj pbdb dbdb, creiuemsj mbcbs dbm bpbibf bdb permbpbsbm lupjm` fjdum`, pbkpbsj vhlbk creojtus ibmbm dbm ijrj ikjem, ikjem, periusj periusj subrb shmhr ikjem, busiuktbsj busiuktbsj bpbibf terdbpbt subrb mbcbs tbonbfbm btbu tjdbi. >. Nkhhd N> Jmspei Jms peisj sj
bpbibf bpbibf terdbpb terdbpbtt kesj pbdb kefer kefer dbm wbgbf, wbgbf, bpbibf bpbibf terdbpbt terdbpbt
peonesbrbm vemb gu`ukbrjs, kbiuibm pbkpbsj pbdb ikjem umtui oem`etbfuj
jrbob mbdj, busiuktbsj numyj gbmtum` ijkem. .>.>
Djhb`mhsb
>.>.>.2 >.>.> .2 Fjperteroj Fjperteroj nerfunum` nerfunum`bm bm dem`bm dem`bm resphm tunuf terfbdbp vjrus djnuitjib djnuitjibm m sufu tunuf ybm` tjm``j. \DIJ (D.1264). >.>.>. >.> .>.> > Myerj Myerj biut biut nerfun nerfunum` um`bm bm dem`bm dem`bm kesj iukjt iukjt djnuit djnuitjib jibm m dem`bm dem`bm wbgbf wbgbf oerjm`js \DIJ (D.1100 7 Fbk 20>) >.>.>.< @bm``ubm jmte`rjtbs iukjt nerfunum`bm nerfunum`bm dem`bm bdbmyb bdbmyb ierusbibm gbrjm`bm, kesj. \DIJ (D.12>: 7 Fbk >6>) >.>.>.4 >.>.> .4 Qhkb mbpbs tjdbi eceitjc nerfunum`bm nerfunum`bm dem`bm bmsjetbs djnuitjibm djnuitjibm dem`bm dem`bm dyspmeb. \DIJ (D.1115 7 Fbk >3) >.>.>.5 >.>.> .5 ^esjih pemurumbm pemurumbm lurbf gbmtum` gbmtum` nerfunum`bm nerfunum`bm dem`bm perunbfbm jrbob gbmtum`. \DIJ (D.1122 7 Fbk 42) >.>.>. >.> .>.3 3 ^esjih ^esjih ietjdb ietjdbisej isejonb onbm`b m`bm m ekeitrh ekeitrhkjt kjt nerfun nerfunum` um`bm bm dem`bm dem`bm sufu sufu tunuf tunuf oemjm`ibt. \DIJ (D.11.>.>.0 >.>.> .0 Decjsjt mutrjsj nerfunum`bm nerfunum`bm dem`bm pekepbsbm oedjbthr ijojb nrbdjijmjm nrbdjijmjm djnuitjibm dem`bm bmhreisjb. \DIJ (D.112: 7 53) >..2
NBN < B\UFBM IEQE^BPBTBM Nerdbsbribm fbsjk pem`ibgjbm tbm``bk 25 \epteoner >1>1 puiuk 1:711 PJN djdbpbtibm fbsjk oemjt. .> ^jwbybt Qemybijt \eibrbm`
Tm. G usjb 41 tbfum dj rbwbt dj rubm` dbfkjb oem`ekuf nbdbmmyb terbsb myerj ternbibr, ternbibr, `btbk dbm pbmbs oukbj < fbrj ybm` kbku dbm oumluk oumluk njmtji-njmtji njmtji-njmtji oerbf dj seiugur tunuf dbm wbgbf. Tm. G oem`btbibm nbdbmmyb terbsb pbmbs dbm oem``j`jk senekuo iukjtmyb oekepuf. Fbsjk peoerjisbbm vjtbk sj`m TD7 221/61
>>
ooF` oo F`,, M7 61 61x/ x/O, O, \7 x/O. >>x/O. Dbrj Dbrj Fbsjk Fbsjk Qeoerj Qeoerjisbb isbbm m Cjsji Cjsji dj teouibm kesj nerupb vesjiukb nerjsj lbjrbm serhsb dj sekuruf tuonuf sbopbj ie wbgbf, kesj ybm` kbjm nerwbrmb kenjf `ekbp dbm oem`ekubribm lbjrbm wbrmb putjf nemjm` db mbdb ybm` wbrmb ieiumjm`bm. Dj dberbf iukjt kesj nerwbrmb oerbf dbm oerbdbm`. Tm. G dj djb`mhsjs Sbrjsekkb. .< ^jwbybt Qemybijt \enekuomyb
Ikjem oem`btbibm senekuomyb tjdbi permbf oem`bkboj iekufbm sepertj jmj dbm nekuo permbf dj rbwbt dj ruobf sbijt senekuomyb. .4 ^jwbybt Qemybijt Iekubr`b
Tjdbi bdb bm``htb iekubr`b ybm` oemderjtb pemybijt ybm` sbob dem`bm ikjem.
@emh`rbo 7
Ieterbm`bm 7
? Kbij-kbij
? Qereopubm
? Oemjm``bk
?
Funum`bm iekubr`b Oemjibf ? Qbsjem
1 yebrs hkd. Lbse7 Or. UO 3> yebrs hkd wjtf lhopkbjmts brjsjm` nunnkes cjkked wjtf wbter sjmle < dbys b`h tfbt brjsed jm tfe febd bmd cble hmky hm tfe rj`ft sjde wjtf b nurmjm` semsbtjhm. Hm pfysjlbk exbojmbtjhm chumd c humd nkhhd pressure 231/:1 oo F`. Khlbkjst stbtus jm tfe rj`ft teophrbk re`jhm, hlljpjtbk, obxjkkbry, mbsbk, bmd hrnjtbk hm tfe nbsjs bppebred oblukbrr erytfeobth oblukb erytfeobthus us sijm kemtjiuker kemtjiuker sjze, ojkjbry ouktjpke ouktjpke pbpukes, pbpukes, erhsjhm erhsjhm breb bs b resukt hc tfe nrhiem vesjlkes. Crho tfe resukts hc tfe fjsthry tbijm` bmd pfysjlbk exbojmbtjhm, pbtjemts djb`mhsed wjtf ferpes zhster Tfe obmb`eoemt hc tfe pbtjemt js tfe bdojmjstrbtjhm hc bmtjvjrbk blylkhvjr 5 x 611 o` hrbkky chr 0 dbys bmd , Mhohr 2, Gbmubrj >124
djsebses bre rjsi cblthrs chr tfe hllurremle hc ferpes zhster. YOedukb Umjkb.>1249>(2)) 7 24->2_ Umjkb.>1249>(2 Iey whrds7 Blylkhvjr, ferpes zhster, ekderky
Qemdbfukubm Jmceisj vjrus vbrjlekkb-zhster (SSW) ybm` oemyenbnibm vbrjsekb btbu lblbr bjr dbpbt oemyerbm` fbopjr setjbp jmdjvjdu dj sekuruf dumjb. \etekbf seonuf dbrj vbrjsekb, vbrjsek b, vjrus oemetbp kbtem pbdb `bm`kjb `bm`kjb rbdjis dhrsbkjs dhrsbkjs ybm` dbpbt oem`bkboj rebitjv rebi tjvbsj bsj oemgbd oemgbdjj ferpes ferpes zhster zhster (FW), (FW), btbu ybm` ybm` kenjf kenjf djiemb djiembkk dem`bm dem`bm mbob mbob sfjm`kes btbu dhoph. Ferpes zhster oerupbibm pemybijt iukjt ybm` nerljrjibm tjonukmyb rubo iukjt dem`bm djstrjnusj derobthobk dbm djsertbj rbsb myerj ybm` fenbt (Lfrjsth, >110).
Jmsjdem ferpes zhster tersenbr oerbtb dj sekuruf dumjb dbm dbpbt oumluk sepbmgb sepb mgbm` m` tbfum tbfum ibremb ibremb tjdbi tjdbi djpem` djpem`bru brufj fj hkef hkef ousjo ousjo.. Tjdbi Tjdbi bdb perned pernedbbm bbm dbkbo ohrnjdjtbs bmtbrb prjb dbm wbmjtb. Nerdbsbribm studj dj Erhpb dbm Boerjib Utbrb, djperijrbibm bdb seijtbr 2,5-< per 2111 hrbm` per tbfum pbdb se`bkb usjb dbm iegbdjbm oemjm`ibt tbgbo pbdb usjb kenjf dbrj 31 tbfum ybjtu seijtbr 0-22 per 21 2111 11 hrbm hrbm` ` pe perr tbfum tbfum (@mb (@mbmm mm db dbm m Pfjt Pfjtke key, y, >1 >11> 1>). ). Jm Jmsjd sjdem em fe ferp rpes es zh zhste ster r oemjm`ibt sejrjm` nertbonbfmyb usjb, dj obmb kenjf dbrj >/< ibsus tergbdj pbdb usjb kenjf dbrj 51 tbfum dbm iurbm` dbrj 21% dj nbwbf >1 tbfum (\lfobder & Hxobm,, >12>). Hxobm >12>). Oemjm`ibtm Oemjm`ibtmyb yb jmsjdemsj jmsjdemsj pbdb usjb kbmgut jmj neribjtbm dem`bm oemurummy oemuru mmybb resphm resphm joum joum djoedj djoedjbsj bsj sek ybm` ybm` dbpbt dbpbt pukb pukb tergbdj tergbdj pbdb pbdb pbsjem pbsjem joumhi jou mhihop hoprho rhobjs bjs sepertj sepertj pbsjem pbsjem FJS-BJ FJS-BJD\, D\, pbsjem pbsjem dem`bm dem`bm ie`bmb ie`bmbsbm sbm,, dbm pbsjem ybm` oemdbpbt hnbt joumhsupresj. Mboum, jmsjdemsjmyb pbdb pbsjem joumhihopetem pum nesbr. Ferpes zhster semdjrj oesijpum nuibm pemybijt ybm` kjce-tfrebtemjm` , mboum dbpbt oem``bm`u pbsjem senbn dbpbt tjonuk rbsb myerj. Kenjf kbmgut kb`j myerj ybm` djbkboj sbbt tjonuk kesj iukjt dbpbt nertbfbm kbob, fjm``b nernukbm-nukbm kbobmyb sefjm``b dbpbt oem``bm`u iubkjtbs fjdup pbsjem “ subtu iebdbbm ybm` djsenut dem`bm meurbk`jb pbsib ferpetjib (MQF) (Ghfmshm, (G hfmshm, >11:).
Tugubm utbob terbpj pbdb pbsjem ferpes zhster bdbkbf umtui oeonbtbsj nerieonbm`myb pemybijt, durbsj dbm pemjm`ibtbm rbsb sbijt dbm kesj dj derobtho prjoer, oemle`bf pemybijt dj teopbt kbjm, dbm oemle`bf MQF MQF (Qrbnfu, >11:) Ibsus Qbsjem Tm. UO neruour 3> tbfum sehrbm` pemsjumbm QM\ ybm` nerdhojsjkj dj Nbmdbr Kbopum` dbtbm` ie Qhkjikjmji Iukjt dbm Iekbojm ^\BO pbdb tbm``bk >< Gbmubrj >12< dem`bm iekufbm iekufbm tjonuk tjonuk `ekeonum` `ekeonum`-`ekeon -`ekeonum` um` nerjsj bjr segbi < fbrj ybm` kbku ybm` oumluk dj dberbf iepbkb dbm wbgbf fbmyb pbdb nb`jbm ibmbm. Bwbkmybb pbsjem oerbsb tjonuk njmtjk-njmtjk Bwbkmy njmtjk-njmtjk senesbr ugum` ugum` gbruo pemtuk pemtuk dj dberbf iepbkb senekbf ibmbm ybm` djsertbj rbsb nerdemyut nerdemyut oukbj dbrj btbs iepbkb senekbf ibmb ibmbm m fjm` fjm``b `b ie nb`j nb`jbm bm tekj tekjm` m`bb nb`j nb`jbm bm ne nekb kbib ibm` m`.. Njmt Njmtjk jk-n -njm jmtj tjkk te ters rsen enut ut neriekhophi dbm djsertbj rbsb pbmbs. > fbrj senekuomyb tjonuk ieoerbfbm ybm` djsertbj rbsb myerj pbdb dberbf wbgbf senekbf ibmbm dbm senekuomyb pbsjem gu`b oerbsb oer bsb nbdbmm nbdbmmyb yb terbsb terbsb fbm`bt fbm`bt,, dbm nbdbm nbdbm terbsb terbsb pe`bk pe`bk seneku senekuo o oumluk oumlukmyb myb `ekeonum`-`ekeonum` tersenut. Qbsjem tjdbi oem`ekufibm bdbmyb iekufbm iukjt dj nb`jbm kbjm, tjdbi oem`ekufibm `bm``ubm pem`kjfbtbm dbm pemdem`brbm, tjdbi terdbpbt iekeobfbm umtui oem``erbiibm bm``htb `erbimyb. \ekbmgutmyb, pbsjem oeoutusibm umtui nerhnbt ie nb`jbm sbrbc, ibremb pbsjem oerbsb nbfwb fbk jmj djsenbnibm ibremb teibmbm dbrbfmyb ybm` tjm``j dbm sbrbcmybb ybm` sbrbcmy ybm` ter`bm` ter`bm``u. `u. \bbt \bbt nerhnb nerhnbt, t, pbsjem pbsjem djibtbi djibtbibm bm oemder oemderjtb jtb meurbk` meurbk`jb jb trj`eojmbkjs kbku djnerj hnbt hkef dhiter spesjbkjs sbrbc. Dub fbrj setekbf nerhnbt ie dhiter pbsjem oerbsb iekufbm myerj sedjijt neriurbm` mboum ibremb wbrmb oerbf oer bf pbdb pbdb dberbf dberbf wbgbf wbgbf seobijm seobijm nbmybi nbmybi obib obib pbsjem pbsjem ieonbk ieonbkjj nerhnb nerhnbtt ie phkjijmji sbrbc dbm djihmsukibm ie dhiter bfkj pemybijt iukjt dbm iekbojm. \etekbf djkbiuibm peoerjisbbm dj nb`jbm iukjt dbm iekbojm, pbsjem djmybtbibm oemderjtb Ferpes zhster. Qbsjem nekuo permbf oemderjtb pemybijt sepertj jmj dbm dj dbkbo iekubr iek ubr`b `b gu`b gu`b tjdbi tjdbi bdb bm``ht bm``htbb iekubr iekubr`b `b ybm` ybm` oeojkj oeojkjij ij pemybi pemybijt jt ybm` ybm` sbob sbob dem`bm pbsjem. \enekuomyb pbsjem oem`biu nbfwb pbdb sbbt obsjf dudui dj nbm`iu \D pbsjem permbf teriemb lblbr bjr.
Qeoe Qeoerj rjis isbb bbm m cj cjsji sji pb pbsj sjem em pb pbdb db tb tbm` m``b `bkk >< Gb Gbmu mubrj brj >1 >12< 2>,5), teibmbm dbrbf 231/:1 231/:1 ooF`, ooF`, mbdj 6110)
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