Cardiopatias Congenicas Acianoticas

PCMZ@YTMGAG XAYWMDPKAY G@ DOMDKA]L JADPKWAG G@ F@GMDMCA @TDP@KA XYLJ@TMLCAK G@ F@GMDMCA OPFACA

 

G@XAYW G@X AYWAF@CWL AF@CWL ADAGÍFMDL G@ DM@CDMAT IÁ IÁTMDAT TMDAT

DAYGML XAWMA DLCE@CM DAYGMLX D LCE@CMW WAT ADMACLWMD ADMACLWMDAT AT

Akufcls2 

ELCRAK@T MCEA BPGMWO DLCTP@KL

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EP@ZAYA ATFAW ELCRAKL

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O@YCACG@R JMLY@CWMCM CA]AYA

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TACDO@R AKI@YDA GMACA

Dursl2 dmrueæa M

GLD@CW@2 GY. DAYYATDL FPCGADA BLYE@ KPMT

 

DAYGMLXAWMAT DAYGMLXA WMAT DLCE@CMWAT ADMACLWMDAT Kas dargmlpatæas dlceícmtas, dlcstmtuy`c g`j`dtls `strudturak`s y/l jucdmlcak`s g`k dlrazôc y kls eracg`s vasls, qu` s` prlgud`c guract` ka e`stadmôc l g`sarrlkkl `firmlcarml prmcdmpakf`ct` guract` `k prmf`r trmf`str`.

 

DKATMJMDADMLC 

 

Dlartadmôc aôrda

G`jmcmdmôc2 `str`do`z o`flgmcáfmdaf`ct` smecmjmdatmva g` ka alrta tlrádmda g`sd`cg`ct`, gmstak ak lrme`c g` ka art`rma suidkavma mzqum`rga glcg` s` lrmemca `k kmeaf`ctl art`rmlsl.

@pmg`fmlkleæa    

g` 8,9 a 8,: plr 1.888 r`dmíc cadmgls vmvls y r`pr`s`cta g` ka qumcta a ka ldtava jlrfa fás dlfòc g` dargmlpatæa dlceícmta. K`smôc amskaga, jr`du`ct` `c olfir`s qu` `c fub`r`s. dlartadmôc g` alrta aiglfmcak s` lis`rva uca faylr pr`plcg`racdma `c fub`r`s 10% a 4:% Tg. Wurc`r  Wurc`r 

 

 dausas fás dlfuc`s g` fu`rt` s` `cdu`ctrac2     

ka jakka dargæada ruptura g` alrta 9:% g`k 91% o`flrraema mctradrac`ak `c uc 48% `cgldargmtms iadt`rmaca uc 90% @k 98% g` padm`ct`s dlc dlartadmôc g` alrta slc asmctlfátmdls `c ka vmga agukta.

Aclfakæas asldmagas 

Kas fás jr`du`ct`s slc kas aclfakæas g` ka vákvuka aôrtmda 10% - ?0%  g`j`dtls s`ptak`s mct`rv`ctrmdukar`s `stác pr`s`ct`s `c `k 00%   Aclfakæas g` ka vákvuka vákvuka fmtrak  listruddmôc `c o`fmdargml mzqum`rgl 2 sæcgrlf` g` Tolc`

 

DKATMJMDADMLC Ilcc`t, r`akmza uca prmf`ra dkasmjmdadmôc g` dlartadmôc g` alrta, g`clfmcácglkas dlfl pr`gudtak l mcjactmk y plsgudtak l g`k aguktl,

G`sg` `k puctl g` vmsta qumròremdl2

1. Dlarta Dlartadmô dmôc c g` alrta alrta amska amskaga. ga. 9. Dlartadmô Dlartadmôc c g` alrta alrta y g`j`dtl g`j`dtl s`ptak s`ptak mct`rv`ctrmdukar. 4. Dlartadmô Dlartadmôc c g` alrta alrta y aclfak aclfakæas æas dlfpk`b dlfpk`bas as mctradargæadas.

 

Facmj`stadmlc`s dkæcmdas  

varæac g`k c`lcatl `c jakka dargæada ak cmñl dlc slpkl dargæadl ` omp`rt`csmôc art`rmak @c `k c`lcatl2- smecls g` jakka dargæada y dolqu` dargmleícmdl

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gmsdr`pacdma g` puksls y t`csmôc art`rmak smstôkmda `ctr` fm`firls sup`rmlr`s ` mcj`rmlr`s

dausas qu` pu`g`c lrmemcar gmjmduktag`s `c ka g`t`ddmôc g` gmsfmcudmôc g` puksls y eragm`ct` g` pr`smôc `ctr` `xtr`fmgag`s sup`rmlr`s ` mcj`rmlr`s kas duak`s slc2

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Eragm`ct` fæcmfl `c `k ár`a dlartaga

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Jakka dargæada y gmsfmcudmôc g`k eastl dargæadl.

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Gudtus art`rmlsl dlc dlrtldmrdumtl g` g`r`doa a mzqum`rga.

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Lrme`c acôfakl g` art`rma suidkavma g`r`doa gmsta

slpkl smstôkmdl `y`dtmvl s` lmrá `c `k ilrg` `st`rcak sup`rmlr mzqum`rgl  dmrdukadmôc dlkat`rak , s` pu`g` `sdudoar slpkl smstlgmastôkmdl `c ka r`emôc act`rmlr, act`rmlr, kat`rak y plst`rmlr g`k tôrax

 

Fítlgls g` gmaecôstmdl 

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@k`dtrldargmlerafa 

cl `s `sp`dæjmdl `c `k c`lcatl

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cmñls y aglk`sd`ct`s s` pu`g` lis`rvar omp`rtrljma v`ctrmdukar mzqum`rga.

Yagmlerajæa g` tôrax   

c`lcatls dlc jakka dargæada s` lis`rvará dargmlf`eakma @c ltras `gag`s pu`g` s`r clrfak l uc k`v` auf`ctl `c ka smku`ta dargæada. Ltrls oakkazels ragmlkôemdls `s `k smecl g`k 4 , smecl g` rl`sk`r 

 

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Y`slcacdma faecítmda 

utmkmzaga `c mfáe`c`s g` s`eumfm`ctl a kls padm`ct`s lp`ragls l a kls duak`s s` k`s r`akmzô acemlpkastma dlc iakôc. 

@dldargmlerafa 

utmkmzagl `c `k s`eumfm`ctl g` padm`ct`s a kls duak`s s` k`s oa dlrr`emgl ka dlartadmôc qumròremdaf`ct` l plr acemlpkastma dlc iakôc l st`ct

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Dat`t`rmsfl dargæadl

Kls lib`tmvls `sp`dæjmdls g`k dat`t`rmsfl gmaecôstmdl slc2  G`jmcmr acatlfæa, pr`s`cdma g` omplpkasma tuiukar l g`k ardl aôrtmdl tracsv`rsl, omplpkasma g`k mstfl aôrtmdl, aclfakæas g` vasls iraqumld`jákmdls. 

Glduf`ctar ka pr`s`cdma y s`v`rmgag g` k`smlc`s mctradargæadas asldmagas.

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Xr`vml a dat`t`rmsfl mct`rv`cdmlcmsta

 

Wratafm`ctl 

c`lcatl y kls kadtact`s dlc dlartadmôc g` alrta y jakka dargæada r`qum`r`c g` uc fac`bl fígmdl aer`smvl, r`dmim`cgl slplrt` mcltrôpmdl, gmurítmdl, slplrt` v`ctmkatlrml.

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Xrlstaekacgmca @1 `c `k c`lcatl para prlflv`r ka r`ap`rtura g`k gudtus art`rmlsl

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s` r`dlfm`cga acemlpkastma dlc iakôc `c c`lcatls l kadtact`s erav`f`ct` `cj`rfls

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@xmst`c gmj`r`ct`s tídcmdas g` dlrr`ddmôc qumròremda g` ka dlartadmôc g` alrta , adtuakf`ct` ka `k`ddmôc g` uca u ltra tídcmda s` iasa fás `c ka acatlfæa g`k ár`a dlartaga

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@c padm`ct`s dlc r`dlartadmôc plsqumròremda, ka acemlpkastma dlc iakôc `s `k tratafm`ctl g` `k`ddmôc adtuakf`ct` s` gmsplc` para `k tratafm`ctl g` kls padm`ct`s dlc dlartadmôc, kls st`ct `cglvasdukar`s

 

Dlfpkmdadmlc`s plsqumròremdas plsqumròremdas 

Y`dlartadmôc

Omp`rt`csmôc art`rmak

Xarapk`bma

Glklr aiglfmcak

Ac`urmsfas

Qumkltôrax s`ducgarml

 

Dlfpkmdadmlc`s g` ka acemlpkastma 

flrtakmgag

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 ac`urmsfas g` alrta

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 `v`ctls c`urlkôemdls

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 traufa art`rma j`flrak

 

 

@TW@CLTMT ALYWMDA @TW@CLTMT ZAKZPKAY ALYWMDA

@s uc g`j`dtl qu` dlcsmst` `c uca gmsfmcudmôc g` ka kuz g` ka vákvuka alrtmda.

Tu mcdmg`cdma `s aprlxmfagaf`ct` g` 4% a :%

- Kls padm`ct`s pu`g`c s`r smctlfátmdls guract` `k prmf`r añl g` vmga l tratars` g` uc Gx.dasuak. - @c ka `st`clsms alrtmda dlceícmta s` dlcsmg`ra 98%- fu`r`c `c kas prmf`ras gls gídagas g` ka vmga, :8% :8% oairá jakk`dmgl a kls kls 78 añls g` `gag.

 

Acatlfæa2 Oay `cerlsafm`ctl y rmemg`z g`k t`bmgl vakvukar dlc jusmôc g` kas dlfmsuras. @k lrmjmdml g` ap`rtura e`c`rakf`ct` `s `xdíctrmdl.

@c `stls dasls kas vakvas slc g` gmj`r`ct` tafañl y `xmst` uc raj` qu` dlrr`splcg` ak smtml glcg` g`i`ræa `star ka t`rd`ra vakva.

Duacgl `stác jusmlcagas kas tr`s vakvas s` vákvuka dlcstmtuy` kl qu` s` g`clfmca ucmdòspmg`, qu` e`c`rakf`ct` tm`c` uca ap`rtura d`ctrak

 

@tmlkleæa2 Ka `tmlkleæa g` ka `st`clsms aôrtmda s` g`sdlcld`

Akeucas t`lræas ka oac r`kadmlcagl dlc mcj`ddmlc`s vmrak`s mctraut`rmcas qu` prlgud`c akt`radmôc g` kas vakvas y su plst`rmlr jusmôc

@k dm`rr` pr`faturl g`k jlraf`c lvak s` prlplc` dlfl uc jadtlr qu` gmsfmcuy` `k eastl dargæadl mzqum`rgl y plgræa `star r`kadmlcagl dlc ka fakjlrfadmôc g` ka vákvuka.

 

Jmsmlpatlkleæa2 @k trastlrcl • `k eastl o`flgmcáfmdl dargmadl g`p`cg` g`k eragl tm`cg` a g` listruddmôc qu` dlcs`rvars` prlguzda ka vákvuka

•

Ka v`kldmgag jkubl g` sakmgag` g` ka sacer` tm`c` qu` s`r fudol faylr

E`c`rácgls` uca turiuk`cdma faylr prlplrdmlcak ak eragl g` listruddmôc. G`spuís g`k cadmfm`ctl `k v`ctrædukl mzq.`s mcdapaz g` fact`c`r ag`duagl eastl dargmadl

• Tmecls2

mcsujmdm`cdma dargmada, omplt`csmôc y dolqu` dargmleícmdl

@xd`sl g` traiabl2 `cerlsafm`ctl `cerlsafm` ctl g` ka par`g v`ctrmdukar mzq. — Msqu`fma sui`cgldargmda

C@LCAWL2 Mcdr`f`ctl JD, gmsfmcudmôc g`k tm`fpl kk`cagl v`ctrmdukar Faylr rm`sel g` msqu`fma fmldárgmda, smcdlp` y fu`rt` sòimta

 

Dkæcmda2

@c `k r`dmíc cadmgl y `c `k kadtact`2 mcsujmdm`cdma dargmada dlce`stmva y iabl eastl. Gmjmduktag r`spmratlrma Ac`fma, s`psms y c`uflcæa.

Fas g` kas 9/4 padm`ct`s2 taqumpc`a y gmsc`a. Gmjmduktag para ka suddmôc Dlce`stmôc v`clsa smstífmda dlc o`patl`spk`clf`eakma

4`ra part` g` padm`ct`s2 @xaf`c jæsmdl(slpkl dargmadl asldmagl a jr`fmtl)

@ctr` ka 7ta y ka ¶ padm`ct`s 2 dmaclsms s`ducgarma a ka dlce`stmlc y `g`fa pukflcar. Xakmg`z, taqumdargma, omplt`csmôc y r`targl `c `k kk`cagl dapmkar

Xadm`ct`s faylr`s2 % aktl qu` `s asmctlfátmdl `c ka mcjacdma, dr`d` y s` g`sarrlkka clrfak. Tlsp`doa mcmdmak2 `cdu`ctra slpkl `xaf`c g` rutmca Tæctlfas2 jatmea, gmsc`a dlc `k `b`rdmdml, glklr acemclsl y smcdlp`

 

@k`dtrldargmlerafa2 

Tmecl2 omp`rtrljma v`ctrmdukar mzq. (AQYT a ka mzqum`rga) -Lcga T prljucgas `c Z1 y Z0 -Y aktas `c GMM, aZJ, Z0 y Z: -G`pr`smôc g`k s`ef`ctl T-W

-Mcv`rsmôc g` ka lcga W `c pr`dlrgmak`s mzqum`rgas

 

Yagmlerajæa g` Wôrax

Y`dmíc cadmgls2  

Dargmlf`ea Dargmlf`eakma a erav` Auf`ctl g`kma ka flg`raga vasdukarmzadmôc pukflcar

Cmñls faylr`s y asmctlfátmdls2  Dargmlf`ea Dargmlf`eakma kma k`v` a flg`raga  Omp`rtrljma dlcdíctrmda v`ctrmdukar mzq.  Gmkatadmô Gmkatadmôc c plst`st`côtmda g` ka alrta asd`cg`ct`

 

@dldargmlerafa 2

@s `k fítlgl gmaeclstmdl fas s`csmik`

  

Ap`rtura g` ka vákvuka alrtmda `c glfl Zákvuka jmirlsa smc dakdmjmdadmlc`s X`rfmt` g`t`rfmca sm ka vákvuka `s imdòspmg`, trmdòspmg` l ucmduspmg`

 

Wratafm`ctl2 X`rmlgl c`lcatak2 mcmdmar ka r`dup`radmôc f`gmda g`k padm`ct`.  Ptmkmzar prlstaekacgmca @ 1, earactmza ka ka p`rf`aimkmgag `k gudtus art`rmlsus 

Dlfp`csagl `k padm`ct`, s` prld`g` dlc ka mct`rv`cdmôc2 gmkatadmôc p`rdutác`a

 

Dat`t`rmsfl dargmadl y vakvukltlfæa alrtmda dlc iakôc 

Zaklra `k eragl g` s`v`rmgag g` ka k`smôc

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Fmg` `k eragm`ct`

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G`sdarta k`smlc`s asldmagas

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X`rfmt` gmkatar ka vákvuka dlc uc iakôc

 

Wídcmda g` ka vakvuklpatma p`rdutác`a Ka vakvuklpatma s` r`akmza `c `k kailratlrm kailratlrml l ` dat`t`rmsfl dargmadl dargmadl dlc `k padm`ct` s`gagl •

T` utmkmza ka tídcmda p`rdutác`a dlc datít`r`s `ctr` 0 y 5 jr`cdo mctrlgudmgls plr ka A. j`flrak. • Daga padm`ct` s` actmdlaeuka dlc 08 a 188 ucmgag`s g` o`parmca

G`spuís g` oad`r acemlerajæa v`ctrmdukar mzq. ] alrtlerafa, s` utmkmza datít`r iakôc dlc uc gmáf`trl meuak a ?8 a 188% g`k acmkkl vakvukar aôrtmdl. •

@k iakôc s` mcjka dlc dlctrast` gmkumgl `c su mct`rmlr , dlc uca pr`smôc qu` lsdmk `ctr` 7 y : Atf.

 

Wratafm`ctl qumròremdl2 @st`clsms vakvukar alrtmda `c `k c`lcatl y `k mcjact` C`lcatl2 pr`s`ctac mcsujmdm`cdma dargmada l dlkapsl dmrdukatlrml s`ducgarml ak dm`rr` g`k gudtus art`rmlsus.

Kadtact`s2 padm`ct` `s smctlfátmdl l sm `k eragm`ct` `s308 ffOe.

Mfplrtact` `stugml `dl dargmlerájmdl

 

Ka vakvukltlfma aim`rta2 -Xrld`gmfm`ctl s`eurl -T` r`akmza `c dmrdukadmôc `xtradlrplr`a  -@c akeucls dasls sup`rmlr`s a ka vakvukltlfma vakvukltlf ma p`rdutác`a dlc iakôc

 

Dmrueæa g` Ylss 

T` oa pradtmdagl dlc íxmtl `c c`lcatls

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Xrld`gmfm`ctl2

-Wracskldadmôc g` ka vákvuka y `k trlcdl -Wracskldadmôc t rlcdl pukflcar oadma ka plsmdmôc alrtmda -Asldmagl ak mfpkact` g` uc pukflcar drmlpr`s`rvagl `c olflmcb`rtl ka plsmdmôc pukflcar

 

 

@TW@CLTMT XPKFLCAY 

@s uca jlrfa g` listruddmôc ak tradtl g` sakmga g`k ZG. Dkasmjmdadmôc2 

Zakvukar l supravakvukar Tuivakvukar

@st`clsms vakvukar pr`s`ct` `c ka `tapa c`lcatak y Ka qu` s` gmaeclstmda `c `k ` k cmñl faylr

 

@pmg`fmlklema2 Jmsmlpatlkleæa 

Dlcstmtuy` g`k ? ak 18% g` tlgas kas dargmlpatæas dlceícmtas

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Tu mcdmg`cdma `s f`clr `c `k erupl c`lcatak

 

@s jr`du`ct` `c erupls g` faylr `gag 90-48 % dursac dlc `st`clsms pukflcar

 

Facmj`stadmlc`s dkæcmdas 

T` pr`s`cta a pldls gæas g` oai`r cadmgl duacgl s` dm`rra `k gudtus art`rmlsl

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Kas pr`s`ctadmlc`s k`v`s a flg`ragas slc asmctlfátmdas

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Tæctlfas rarls `c ka cmñ`z

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Kls sæctlfas mcmdmak`s s` r`kadmlcac dlc gmsc`a y jatmea dlc `k `b`rdmdml

@st`clsms s`v`ra2  

Far`ls Tmcdlp`s



Glklr pr`dlrgmak

 

Fítlgls Gmaecôstmdls @k`dtrldargmlerafa

@dldargmlerafa

 

Wratafm`ctl

 

Wratafm`ctl qumròremdl ZAKZPKLXKATWMA DLC IAKLC

 

DLFPCMDADMÔC MCW@YAPYMDPKAY  Dlfucmdadmôc aclrfak `ctr` auræduka g`r`doa ` mzqum`rga, usuakf`ct` dlc dlrtldmrdumtl g` mzqum`rga a g`r`doa DMA WMXLT G@lvak G@J@DWL2 • Jlraf`c p`rf`aik` (98%), cl s` dlcsmg`ra uca v`rgag`ra dlfucmdadmôc • Lstmuf T`ducguf (fás dlfòc) • Lstmuf Xrmfuf (asldmagl a Tx) • T`cl Z`clsl (f`cls dlfòc)

 

JMTMLXAWLKLEÆA • @k kagl mzqum`rgl g`k dlrazôc, tm`c` pr`smlc`s fás aktas qu` `k g`r`dol. • Mcmdmakf`ct` ka sacer` `s mfpuksaga g` mzqum`rga a g`r`doa, plr faylr

gmst`csmimkmgag g`k v`ctrædukl g`r`dol @stl mcdr`f`cta `k jkubl pukflcar. • Ka prlkmj`radmôc g` ka æctmfa y ka omp`rtrljma g` ka f`gma g` ka art`rma

pukflcar g`sarrlkkagas dlc `k tm`fpl prlgud`c Omp`rt`csmôc Xukflcar. • Ka Omp`rt`csmôc Xukflcar pu`g` dausar jkubl g` g`r`doa a mzqum`rga. @stl

ldurr` `c `k 10% g` kas DMA.

 

 XY@T@CWADMÔC DKÆCMDA2 • Dlrtldmrdumtl MRQPM@YGA A G@Y@DOA2

Jatmea, mcj`ddmlc`s g` væas r`spmratlrmas aktas, gmsc`a g` `sju`rzl, aus`cdma g` dmaclsms. • Mcv`rsmôc g`k dlrtldmrdumtl2

Dmaclsms, jatmea jádmk, ompldratmsfl gmemtak , mcsujmdm`cdma dargmada s`v`ra. KA DLFPCMDADMÔC MCW@YAPYMDPKAY XP@G@ DPYTAY ATMCWLFÁWMDA GPYACW@ KAG@K MCJACDMA. DLCE@CMWA DLCE@ CMWA AGPK AGPKWL. WL. XLY @KKL T@ K@ DLCLD@ DLFL KA DAYGMLXAWMA TP XYMF@YA FACMJ@TWADMÔC DKÆCMDA XP@G@ T@Y KA MCTPJMDM@CDMA DAYGMADA G@Y@DOA.

 

@_AF@C JMTMDL2 • Tlpkl smstôkmdl `xpuksmvl `c jldl pukflcary

(plr omp`rjkubl) • G`sglikafm`ctl jmbl g`k T 9 • Mfpuksl para`st`rcak mzqum`rgl mcj`rmlr • Tlpkl g` mcsujmdm`cdma trmduspæg`a • Tmecls g` omp`rt`csmôc v`clsa smstífmda

 

@K@DWYLDAYGMLEYAFA2 • G`svmadmôc g`k `b` `kídtrmdl a ka g`r`doa • Iklqu`l g` rafa g`r`doa g`k oaz g` Oms `c 3 =8% g` kls k ls dasls.

 

YAGMLEYAJMA G@ WLYA_2 • Dr`dmfm`ctl aurmdukar g`r`dol • Dr`dmfm`ctl v`ctrmdukar g`r`dol • Gmkatadmôc g` art`rma pukflcar • Omp`rjkubl pukflcar • Omp`rt`csmôc art`rmak pukflcar

 

@dldargmlerafa flgl F y 9-G, Xrly`ddmôc suidlstak2 • • • •

G`j`dtl2 prmfuf, Flvmfm`ctl s`ptaks`ducguf, paragôbmdl`td Dr`dmfm`ctl g` davmgag`s g`r`doas Xr`smôc art`rmak pukflcary

• G`j`dtls asldmagls

Dlfpkmdadmlc`s2 • Arrmtfmas suprav`ctrmdukar`s • Mcsujmdm`cdma dargmada g`r`doa •

art`rmak pukflcar • Omp`rt`csmôc @cgldargmtms (fuy rara)  

WYAWAFM@CW L CL QPMYÒYEMDL

 

WYAW WYA WAFM@CWL QPMYPYEMDL2 QPMYPYEMDL 2 • Qumròremdl para pr`v`cmr ka mcsujmdm`cdma dargmada y ka omp`rt`csmôc pukflcar. • Ka r`kadmôc jkubl smstífmdl/pukflcar g`i`rá s`r 3921 • Tm kls sæctlfas cl slc s`v`rls, kls cmñls g`i`c g` s`r tratagls trat agls `c `gag pr`-`sdlkar (4 a

7 añls). • @c cmñls eracg`s y aguktls blv`c`s, ka dlrr`ddmôc g`i` oad`rs` act`s g` qu` s` s`

g`sarrlkk` omp`rt`csmôc pukflcar pukflcar.. • @st`rcltlfma f`gma l tlradltlfæa • Dlkldadmôc g` pardo` g` p`rmdargml l dm`rr` gmr`dtl dlc sutura • @k Iklqu`l AZ AZ `s ka dlfpkmdadmôc fás dlfòc `c `k dm`rr` g` g`j`dtls tmpl

lstmuf prmfuf.  

DLFPCMDADMÔC MCW@YZ@CWYMDPKAY T` r`jm`r` a ucl l fás lrmjmdmls `c ka par`g qu` s`para kls v`ctrædukls mzqum`rgl y g`r`dol g`k dlrazôc. @s ucl g` kls g`j`dtls dargæadls dlceícmtls (pr`s`ct`s ak cad`r) fás dlfuc`s y pu`g` ldurrmr slkl l dlc ltras `cj`rf`gag`s dlceícmtas. Dlc jr`du`cdma s` asldma a ltrls g`j`dtls `strudturak`s, dlfl ka t`trakleæa g` Jakklt y `k sæcgrlf` g` Glwc. Akeucls `stugmls oac flstragl qu` ka DMZ tm`c` uca pr`vak`cdma `ctr` `k 9-0% g` kls cadmfm`ctls y qu` `c `k ?8-=8% g` kls dasls s` dm`rra pldl g`spuís g`k cadmfm`ctl. Ka dlfucmdadmôc mct`rv`ctrmdukar pu`g` tafimíc jlrfars` pldls gæas g`spuís g` uc mcjartl g` fmldargml (ataqu` ak dlrazôc) plr `k g`searr` f`dácmdl g` ka par`g mct`rv`ctrmdukar act`s g` qu` s` jlrf` ka dmdatrmz daradt`ræstmda g` ka `cj`rf`gag guract` ka r`flg`kadmôc g`k t`bmgl fu`rtl plr fadrôjaels.

 

DKATMJMDADMÔC

  Ka dlfucmdadmôc mct`rv`ctrmdukar s` dkasmjmda g` adu`rgl dlc `k tafañl y ka kldakmzadmôc g`k aeub`rl. • DMZ f`firaclsa2 uc 50% l fás g` kls dasls s` `cdu`ctra `c ka plrdmôc sup`rmlr f`firaclsa

g`k taimqu`. • DMZ mcjucgmiukar2 s` kldakmza plr g`iabl g` ka vákvuka pukflcar. • DMZ fusdukar2 `k g`j`dtl s` `cdu`ctra `c ka plrdmôc mcj`rmlr fusdukar g`k taimqu`. T` pr`s`cta

`c oasta `k 98 plr dm`ctl g` tlgls kls dasls g` DMZ DMZ.. • DMZ Ls`l2 `k g`j`dtl s` `cdu`ctra `c kls tuítacls mctrav`clsls, dlc uca dapa g`keaga g`

fòsdukl.

 

 

DAPTAT

•

Act`s g` qu` uc i`ií cazda, kls v`ctrædukls mzqum`rgl y g`r`dol g` su dlrazôc cl `stác s`paragls. A f`gmga qu` `k j`tl dr`d`, s` jlrfa uca par`g para s`para `stls gls v`ctrædukls. Tm ka par`g cl s` jlrfa plr dlfpk`tl, qu`ga uc lrmjmdml, qu` s` dlcld` dlfl dlfucmdadmôc mct`rv`ctrmdukar l DMZ DMZ..

•

@c kls aguktls, kas dlfucmdadmlc`s mct`rv`ctrmdukar`s slc uca dlfpkmdadmôc rara  p`rl erav` g` ataqu`s dargæadls. @stls lrmjmdmls `stác r`kadmlcagls dlc ataqu`s ak dlrazôc y cl slc `k r`suktagl g` uc g`j`dtl g` cadmfm`ctl

 

Tæctlfas

Kls padm`ct`s pu`g`c cl pr`s`ctar sæctlfas. Tmc `fiarel, sm `k lrmjmdml `s eracg`, `k i`ií a f`cugl tm`c` sæctlfas r`kadmlcagls dlc mcsujmdm`cdma dargæada. Kls sæctlfas fás dlfuc`s aiardac2 • Gmjmduktag r`spmratlrma • Y`spmradmôc rápmga • • • • •

Y`spmradmôc jlrzaga Xakmg`z Mcsujmdm`cdma para auf`ctar g` p`sl Jr`du`cdma dargæada rápmga Tuglradmôc ak dlf`r

Mcj`ddmlc`s r`spmratlrmas jr`du`ct`s

 

XYP@IAT •

Ka ausduktadmôc dlc `k `st`tlsdlpml e`c`rakf`ct` r`v`ka uc slpkl dargæadl. @k vlkuf`c g` slcmgl g`k slpkl `stá r`kadmlcagl dlc `k tafañl g`k g`j`dtl y dlc ka dactmgag g` sacer` qu` pasa a travís g` íst`.

@_ÁF@C@T

• Dat`t`rmsfl dargæadl (rara v`z s` c`d`smta, a f`cls qu` oaya pr`ldupadmôc g` • • • •

pr`smôc art`rmak akta `c kls pukflc`s) Yagmlerajæa g` tôrax para lis`rvar sm oay uc dlrazôc eracg` dlc kæqumgl `c kls pukflc`s @DE qu` fu`stra smecls g` aeracgafm`ctl a eracgafm`ctl g`k v`ctrædukl mzqum`rgl @dldargmlerajæa utmkmzaga para oad`r uc gmaecôstmdl g`jmcmtmvl Y`slcacdma faecítmda g`k dlrazôc, `fpk`aga para av`rmeuar quí tacta sacer` `stá kk`eacgl a kls pukflc`s

 

WYAWAFM@CWL  • Tm `k g`j`dtl `s p`qu`ñl, e`c`rakf`ct` cl s` r`qum`r` tratafm`ctl. Kls i`iís dlc

dlfucmdadmlc`s mct`rv`ctrmdukar`s eracg`s qu` t`ceac sæctlfas r`kadmlcagls dlc mcsujmdm`cdma dargæada pu`g`c c`d`smtar f`gmdaf`ctls para dlctrlkar gmdols sæctlfas dmrueæa para d`rrar `k lrmjmdml. Kls f`gmdaf`ctls pu`g`c mcdkumr gmemtákmdlsy(gmelxmca) y gmurítmdls. • Tm kls sæctlfas dlctmcòac mcdkusl dlc kls f`gmdaf`ctls, s` r`qum`r` uca dmrueæa

 para d`rrar `k g`j`dtl dlc ucd`rrar pardo`dlc Elr`-t`x. Akeucls dasls g` dlfucmdadmôc mct`rv`ctrmdukar s` pu`g`c uc gmsplsmtmvl `sp`dmak guract` uc dat`t`rmsfl dargæadl, aucqu` `stl s` r`akmza dlc plda jr`du`cdma

 

DACAK AWYMLZ@CWYMDPKAY 

@k tírfmcl g`j`dtl s`ptak atrmlv`ctrmdukar (AZ) g`sdrmi` akt`radmlc`s `c ka jlrfadmôc g` kas vákvukas aurmduklv`ctrmdukar`s, s`ptuf mct`raurmdukar y s`ptuf dlfl r`suktagl g` uca jakka `c `k mct`rv`ctrmdukar g`sarrlkkl `firmlkôemdl g` kls dlbmc`s `cgldárgmdls

 

@XMG@FMLKLEMA

@k g`j`dtl s`ptak AZ dlrr`splcg` a uc 7-0% g` kas p`rslcas dlc `cj`rf`gag dargæada dlceícmta. Y`dm`ct`s `stugmls r`plrtac uca mcdmg`cdma g` 8,1= plr daga fmk cadmgls vmvls

 

DKATMJMDADMLC  Dacak AZ pardmak2

1. Dlfucmdadmôc mct`raurmdukar tmpl lstmuf prmfuf. 9. Dlfucmdadmôc mct`rv`ctrmdukar g`k tradtl g` `ctraga.  4. O`cgmgura g` ka vakva fmtrak act`rmlr.  7. O`cgmgura g` ka vakva s`ptak trmduspæg`a.

 

Dacak AZ dlfpk`tl2 @k dacak AZ dlfpk`tl tm`c` dlfl daradt`ræstmdas uc g`j`dtl s`ptak eracg`, qu` dlfprlf`t` mct`raurmdukar ` mct`rv`ctrmdukar, mct`rv`ctrmdukar,

uca vákvuka AZafils dlfòc qu` dlc`dta afias aurædukas dlc v`ctrædukls.   Wmpl I A   Wmpl Wmpl D

 

FACMJ@TWADMLC@T DKMCMDAT G`j`dtls pardmak`s (lstmuf prmfuf)  2

Duacgl s` adlfpañac g` uca r`euremtadmôc fmtrak, kme`ra l aus`ct`, kls `cj`rfls `vlkudmlcac `c jlrfa smfmkar a uca DMA lstmuf s`ducguf> asæ kls sæctlfas pu`g`c apar`d`r `c ka s`eucga gídaga g` ka vmga.

Duacgl ka mcsujmdm`cdma fmtrak `s s`v`ra, aerava ka g`rmvadmôc mzqum`rga a g`r`doa, apar`d` kmfmtadmôc para ka adtmvmgag jæsmda dlc mcj`ddmlc`s r`spmratlrmas jr`du`ct`s, taqumpc`a y gíjmdmt plcgl`staturak

 

@c ka `xpklradmôc jæsmda plg`fls `cdlctrar uc slpkl smstôkmdl `y`dtmvl `c jldl pukflcar, suav` ‗eragl MM-MMM/ZM‗, `c ilrg` `st`rcak mzqum`rgl, dlc uc prmf`r rumgl clrfak y uc s`eucgl rumgl g`sglikagl jmbl y pakpaik`.

Duacgl s` adlfpaña g` mcsujmdm`cdma fmtrak mfplrtact`, `sta prlgud` slir`darea vlkufítrmda g`k v`ctrædukl mzqum`rgl dlc mfpuksl pr`dlrgmak kldakmzagl `c `k ilrg` para`st`rcak mzqum`rgl a cmv`k g`k t`rd`r y duartl `spadml mct`rdlstak.

 

Dacak AZ dlfpk`tl pr`s`ctac s`v`ra jakka dargæada guract` `k prmf`r añl g` vmga dlc taqumpc`a, gmjmduktag `c ka akmf`ctadmôc, jakta g` dr`dmfm`ctl y `vmg`cdma g` plir` p`rjusmôc p`rmjírmda @c ka ausduktadmôc dargæada s` apr`dma uc prmf`r rumgl clrfak, uc slpkl pacsmstôkmdl MMM-MZ/ZM `c ilrg` para`st`rcak mzqum`rgl y uc s`eucgl rumgl dlc r`ju`rzl g`k dlfplc`ct` pukflcar

Xu`g` oai`r slpkl gmastôkmdl g` omp`rjkubl l trmduspæg`l. Tlc jr`du`ct`s kls t`rd`rls rumgls dargæadlsfmtrak y kls rmtfls g` elkp`

 

WYAWAFM@CWL   Ka mcgmdadmôc qumròremda `c padm`ct`s dlc g`j`dtl g`k s`ptuf AZ pardmak `s `k`dtmva, `c e`c`rak, `ctr` kls gls y kls duatrl añls g` `gag

@c `k dacak AZ pardmak, a travís g` uca `st`rcltlfæa f`gma, iypass dargmlpukflcar, omplt`rfma prljucga y dargmlpk`bma act`rôeraga dlc drmstaklmg`s, s` r`akmza dm`rr` g` ka dlfucmdadmôc mct`raurmdukar lstmuf prmfuc y sutura g` ka o`cgmgura fmtrak

  Ka tídcmda g`k pardo` òcmdl s` asldma dlc faylr mcsujmdm`cdma vakvukar plslp`ratlrma. Ka `xp`rm`cdma dlc glik` pardo` y kls iu`cls r`suktagls

lit`cmgls oac o`dol qu` `st` s`a `k fítlgl g` `k`ddmôc

 

F@WLGLT G@ GMAECLTWMDL 

YAGMLEYAJMA G@ WLYA_

 

@k`dtrldargmlerafa @dldargmlerafa Dat`t`rmsfl dargæadl 

 

Gudtus art`rmlsl p`rsmst`ct`

 

FACMJ@TWADMLC@T DKMCMDAT g`p`cg` g`k tafañl y g` ka r`smst`cdma vasdukar pukflcar, varmacgl g`sg` ka aus`cdma g` g` sæctlfas oasta ka kmfmtadmôc jæsmda s`v`ra asldmaga a dmaclsms. 

`c kls padm`ct`s dlc gudtus p`qu`ñls (tafañl mcj`rmlr a 1,0 ff), e`c`rakf`ct`, cl s` pr`s`ctac sæctlfas y `k òcmdl oakkazel `s ka pr`s`cdma g` uc slpkl smstôkmdl `y`dtmvl `c `k jldl pukflcar l `c ka r`emôc mcjradkavmdukar

mzqum`rga qu` jr`du`ct`f`ct` s` mrragma a ka r`emôc parav`rt`irak mzqum`rga.

 

@c kls padm`ct`s dlc gudtus g` flg`ragl dakmir` (9 ff `c ka kadtacdma oasta 4,0 ff `c ka `gag `sdlkar) s` pr`s`ctac smecls g` dlce`stmôc v`clsa pukflcar dlfl gmsc`a dlc adtmvmgag jæsmda k`v`, mcj`ddmlc`s r`spmratlrmas r`durr`ct`s y gmsfmcudmôc g` ka v`kldmgag g` dr`dmfm`ctl

@c `k `xaf`c jæsmdl s` `cdu`ctra uc slpkl smstlgmastôkmdl dlctmcul l `c faqumcarma a cmv`k g`k jldl pukflcar l g` ka r`emôc mcjradkavmdukar mzqum`rga> `k s`eucgl rumgl `stá kme`raf`ct` r`jlrzagl y kls puksls slc omp`rgmcáfmdls `c jlrfa gmjusa

Kls plrtaglr`s g` gudtus art`rmlsl p`rsmst`ct` eracg` (faylr`s g` 7 ff), `c ka mcjacdma pr`s`ctac gmsc`a y taqumdargma `c r`plsl, a su v`z, tm`c`c omstlrma g` mcj`ddmlc`s r`spmratlrmas r`durr`ct`s y dlfpkmdagas y g`scutrmdmôc drôcmda.   Ak `xafmcarkls fu`strac omp`rgmcafma pr`dlrgmak a `xp`csas g`k v`ctrædukl mzqum`rgl, puctl g`

fáxmfl mfpuksl oadma ka kæc`a axmkar act`rmlr mzqum`rga> slpkl smstôkmdl `y`dtmvl `c `k jldl pukflcar y slpkl gmastôkmdl `c jldl fmtrak dlc s`eucgl rumgl r`jlrzagl.

 

F@WLGLT G@ GMAECLTWMDL 

YAGMLEYAJMA G@ WLYA_

 

@k`dtrldargmlerafa @dldargmlerafa Dat`t`rmsfl dargæadl 

 

WYAWAFM@CWL