CKD On HD

 

MJ^OUJK ^AKIJHQMQJK CHUOKGC BGIKAW IGSAJSA (CBI) OK HAFOIGJMGSJ

Igsusuk Omah

Igsusuk Omah 0 Bamofpob :

:.  Sutrgfo 5.  Abj Fjgmgkj G 3.  Jgsjh Dgtrgjkg 9.  Yrg ^u`g Ujhjyu 1.  Mucgjkj U 4.  Qmdj Uohjyjtuk

^UOLUJF SYQIG ^UODASG KAUS SYGBAS JM-GUSWJI JM-GSMJFGWWJH CGMJCJ^ YJHQK JBJIAFGB 5>:8/5>:7

 

J.  LJLJM LGK@JM BUOKGS (C H U OK OK G C B G I K A W I G SA J S A  )

Ljljm lgk`jm brokgs jtju Chrokgc bgikay igsajsa (CBI) igiadgkgsgbjk saejljg bokigsg igfjkj lgk`jm fakljmjfg pakurukjk duklsg sacjrj mjfejt,  prolrasgd, grravarsgeam, ijk sjfjr (gksgigus) igfjkj bafjfpujk tueuh ljljm ijmjf fafpartjhjkbjk fatjeomgsfa, cjgrjk, ijk basagfejkljk amabtromgt, sahgkllj tar`jig urafgj jtju jzotafgj (Sfamtzar, 5>>7) CBI farupjbjk sujtu ljkllujk prolrasgd duklsg lgk`jm yjkl earsgdjt grravarsgema ijmjf grravarsgema  ijmjf bjsus fatjeomgsfa fjupuk ijmjf fak`jlj basagfejkljk cjgrjk ijk amabtromgt sartj ijpjt fakyaejebjk urafgj (Foam`oko, 5>:9). Chrokgc bgikay igsajsa (CBI) jtju pakyjbgt lgk`jm brokgs igiadgkgsgbjk saejljg barusjbjk lgk`jm uktub saigbgtkyj 3 eumjk iakljk jtju tjkpj  pakurukjk lmofarumus dgmtrjtgok rjta (LDU) (Kjhjs & Mavgk,5>:>) Mavgk,5>:>) Lrofarumjr dgmtrjtgok rjta (LDU)) (LDU)) jijmjh mj`u rjtj-rjtj pakyjrgkljk ijrjh yjkl tar`jig ig lmofarumus yjgtu sabgtjr 51% ijrg totjm  totjm  curjh `jktukl par `jktukl par fakgt º :,3>> fm .MDL iglukjbjk saejljg sjmjh sjtu gkigbjtor fakgmjg duklsg lgk`jm.Egjsjkyj

iglukjbjk

uktub

faklhgtukl earsghjk faklhgtukl 

brajtgkgk yjkl

samjk`utkyj igfjsubbjk baijmjf dorfumj. E.  AYGOMOLG LJLJM LGK@JM BUOKGS (C H U OK OK G C B G I K A W I G S A J S A  )

:.  Lmofarumokadrgtgs (rjijkl lgk`jm) 5.  Gkdabsg sjmurjk bafgh (pgamokadrgtgs brokgs) 3.  ^akyjbgt vjsbumar hgpartaksgd (kadrosbmarosgs, stakosgs jrtarg rakjmgs) 9.  Ljkllujk

`jrgkljk

pakyjfeukl

(mupus

argtafjtosus

sgstafgb,

 pomgjrtargtgs koiusj, sbmarosgs sgtafgb prolrasgd) 1.  ^akyjbgt boklakgtjm ijk haraigtar (pakyjbgt lgk`jm pomgbgstgb, jsgiosgs tueumus lgk`jm) 4.  ^akyjbgt fatjeomgb (IF, lout, hgparpjrjtgrogigsfa) >: 0 :997) jktjrj mjgk 0 hgpartaksg, (jbgejt rataksg cjgrjk ijk kjtrguf ijrg jbtgvgtjs sgsyaf rakgk jklgotaksgk  –   jmiostarok), ljljm `jktukl boklastgd ijk uiaf pumfokar (jbgejt cjgrjk earmaeghjk) ijk pargbjrigtgs (jbgejt grgotjsg pjij mjpgsjk  pargbjrigjm omah tobsgb, prurgtgs, jkorabsgj, fujm, fuktjh, ijk calubjk, baiutjk otot, ba`jkl, paruejhjk tgklbjt basjijrjk, tgijb fjfpu  earboksaktrjsg). 3)  Fjkgdastjsg bmgkgb fakurut Suyoko (5>>:) jijmjh saejljg eargbut0 j.  Sgstaf bjrigovjsbumar j)  Hgpartaksg  e)  ^gttgkl aiafj c)  Aiafj pargoregtjm i)  Aiafj pargoregtjm a)  Drgctgok sue pargcjrigjm  e.  Sgstaf ^umfokar j)  Brabam  e)   Kjdjs ijklbjm c)  Busfjumm i)  Sputuf baktjm ijk mgjt c.  Sgstaf ljstrogktastgkjm j)  Jkorabsgj, fujm ijk fuktjh

 

 e)  Jkorabsgj, fujm ijk fuktjh c)  Qmsarjsg ijk pjrijrjhjk fumut i)   Kjdjs eareju jfokgj i.  Sgstaf fuscumosbamatjm j)  Brjf otot  e)  Bahgmjkljk babaujtjk otot c)  Drjbtur tumjkl a.  Sgstaf Gktalufak j)  \jrkj bumgt jeu-jeu  e)  ^rurgtgs c)  Bumgt bargkl earsgsgb i)  Abgfosgs a)  Bumgt tgpgs ijk rjpuh d)  Ujfeut tgpgs ijk bjsjr d.  Sgstaf Gktalufak j)  Jfakor  e)  Jtrodg tastgs

 

I.  ^JYODGSGOMOL ^JYODGSGOMOLGG LJLJM LGK@JM BUOKGS (C H U OK OK G C B G I K A W I G S A J S A  )

LJLJM LGK@JM BUOKGS 

^akurukjk mj`u

^rotagkurgj

Dgmtrjsg lmofarumus

^akurukjk duklsg lgk`jm

Bjijr parotagk Lgk`jm tgijb fjfpu

ijmjf ijrjh turuk

faklakcarbjk urgka sacjrj fjbsgfjm

^akgklbjtjk bjijr brajtgkgk &

^roiubsg

EQK saruf

argtropogtgk ^akurukjk tabjkjk

fakuruk

Jsotafgj

^akurukjk

Sykirof

pafeaktubjk

urafgj

osfotgb  proiub urgka turuk ijk bapabjtjk urgka fakgklbjt

Cjgrjk bamujr ba abstrjsamumar

argtrosgt Orljk LG

Aiafj

Ljkllujk amgfgkjsg

Jkafgj  Fujm,

Qrgka Bamaeghjk vomufa Cjgrjk

Gktomarjksg

fuktjh 

jbtgvgtjs Baburjkljkkutr gsg burjkl ijrg baeutuhjk

A.  ^AFAUGBSJJK ^AKQK@JKLLJLJM LGK@JM BUOKGS ( C H U O K G C B G I K A W IG IG SA J S A  )

^afargbsjjk pakuk`jkl yjkl igeutuhbjk uktub fakaljbjk igjlkosj ljljm lgk`jm brokgb yjgtu (Eoulhfjk, 5>>> ijmjf (^rjeowo & Abj, 5>:9) 0   :.  Egobgfgj ^afargbsjjk utjfj ijrg jkjmgsj duklsg lgk`jm jijmjh urauf ijrg brajtgkgk  pmjsfj. Qktub hjsgm yjkl maegh jburjt uktub faklatjhug duklsg lgk`jm jijmjh iakljk jkjmgsj crajtgkgka cmajrjkca (bmgraks brajtgkgk). Samjgk

 

 pafargbsjjk duklsg lgk`jm, pafargbsjjk bjijr amabtromgt ijmjf tueuh saejljg bgkar`j lgk`jm. 5.  Qrgkjmgsgs igmjbubjk uktub fakapgs jij tgijbkyj gkdabsg pjij lgk`jm jtju jij tgijbkyj parijrjhjk jbtgd jbgejt gkdmjfjsg pjij `jrgkljk pjrakbgk lg`jm. 3.  Qmtrjsokolrjdg lgk`jm Ljfejrjk

ijrg

umtrjsokolrjdg

jbjk

fafeargbjk

gkdorfjsg

yjkl

fakiubukl uktub fakaljbjk igjlkosgs ljljm lgk`jm. ^jij bmgak ljljm lgk`jm egjsjkyj fakuk`ubjk jijkyj oestrubsg jtju `jrgkljk pjrut pjij lgk`jm. Samjgk gtu uburjk ijrg lgk`jm puk jbjk tarmghjt.

D.  BOF^MGBJSG LJLJM LGK@JM BUOKGS (C H U OK OK G C B G I K A W I G S A J S A  ) 

:.  Bamaeghjk Cjgrjk 5.  Hgparbjmafgj  3.  Fatjeomgb Jsgiosgs 9.  Ljkllujk Fgkarjm ijk Yumjkl 1.  Hgpartaksg 4.  Jkafgj > rpf) g)  Satamjh samjkl ijrjh ijk igjmyzar targsg safuj iakljk korfjm sjmgka, hjegsbjk cjgrjk korfjm saejkyjb 1>> cc  `)  Mjk`utbjk prgfgkl iakljk korfjm sjmgka saejkyjb :>>> cc. ^utjrmjh Ze ijk rpf b)  Sjfeuklbjk u`ukl samjkl ijrjh jrtarg ijk u`ukl samjkl ijrjh vakous m)  Safuj bmaf igeubj bacujmg bmaf hapjrgk f)  Satamjh prgfgkl, fasgk jbjk ba posgsg igjmysgs, stjrt mjyjr fakuk`ubbjk ”prapjrjtgok‖, jrtgkyj0 coksaktrjta ijk UO tamjh tarcjfpur

iakljk

famghjt

patuk`ub

cokiuctgvgty

tamjh

fakcjpjg (korfjm0 :3.8  –   :9.5) ^jij bajijjk ”prapjrjtgok‖, samjkl cokcaktrjta eomah igsjfeukl ba igjmyzar k)  Mjbubjk sgrbumjsg ijmjf. Cjrjkyj0 sjfeukl u`ukl emooi mgka jrtarg vakj o)  Ljktg cjgrjk korfjm sjmgka iakljk yjkl ejru 1>> cc  p)  Yabjk tofeom QDL 1>> ijk tgfa mgda :> fakgt q)  ^utjrmjh bacapjtjk jmgrjk ijrjh (pufp) 31> rpf

 

r)  Hgiupbjk tofeom QD ba posgsg ”ok‖ fasgk jbjk otofjtgs famjbubjk umtrjdgmtrjsg (cjgrjk korfjm sjmgka jbjk earburjkl saejkyjb 1>> cc ijmjf wjbtu :> fakgt s)  Satamjh QT fakcjpjg 1>> cc, jbjk fukcum pjij mjyjr ”QDL rajchai‖ jrtgkyj QDL suijh tarcjpjg  tarcjpjg   t)  ^afeargjk hapjrgk pjij samjkl jrtarg u)  Eargbjk hapjrgk saejkyjb :1>> ukgt sjfpjg 5>>> ukgt pjij samjkl jrtarg. Mjbubjk sgrbumjsg samjfj 1 fakgt jljr hapjrgk faklgsg ba samuruh samjkl ijrjh ijk igjmyzar, eargbjk bacapjtjk :>> rpf. 5.  Igjmyzar sgjp pjbjg ba pjsgak Sjfegm

fakukllu

pjsgak,

fjtgbjk

dmow

igjmgsjt

jljr

cokcaktrjta tgijb eoros. Cjtjtjk0 `gbj igjmyzar rausa, prgfgkl 1>> cc iakljk Ze :>> rpf sgrbumjsg uktub fafeujkl dorfjmgk (QDL0 1>>, tgfa mgda 5> fakgt iakljk Ze 31> rpf). Egmjsmjh samjkl ijrjh ijk igjmyzar iakljk korfjm sjmgka saejkyjb 5>>> cc 3.  ^ukbg Jbsas Tjsbumar j)  Yaktubjk tafpjt pukbsg jtju pargbsj tafpjt shukt  e)  Jmjsg iakljk parmjb bacgm ijk jtur posgsg c)  Ejwj jmjt-jmjt iabjt iakljk tafpjt tgiur pjsgak (jmjt-jmjt stargm igfjsubbjk ba ijmjf ejb stargm) i)  Cucg tjkljk, ejb stargm igeubj, fafjbjg hjkiscoak a)  Eargtjhu pjsgak egmj jbjk igmjbubjk pukbsg d)  ^jsjkl iub stargm, saeamufkyj iasgkdabsg ijarjh yjkl jbjk igpukbsg iakljk eatjigka ijk jmcohom l)  Jfegm dgstumj ijk pukctg outmat tarmaegh ijhumu. Egmj parmu mjbubjk jkastasg mobjm, bafuigjk iasgkdabsg h)  ^ukbsg gkmat iakljk cjrj yjkl sjfj, bafuigjk igdgbsjsg

 

9.  Fafumjg Hafoigjmgsj j)  Saeamuf igmjbubjk pukbsg ijk fafumjg hafoigjmgsj, ubur tjkij-tjkij vgtjm ijk earjt ejijk pra hafoigjmgsj  e)  Satamjh samasjg pukbsg, sgrbumjsg ighaktgbjk, pofpj igfjtgbjk, u`ukl JT emooi mgka igbmaf c)  Mjbubjk rasat ijtj uktub faklhjpus prolrjf yjkl tamjh igeujt, fasgk otofjtgs fakuk`ubbjk jklbj kom (>) pjij QT, QDU, QDL ijk tgfa madt i)  Yaktubjk prolrjf pjsgak iakljk faklhgtukl EE ijtjkl –  ijtjkl  –  EE  EE stjkijr + `ufmjh fjbjk sjjt hafoigjmgsj a)  Yabjk tofeom QDL 6 tjrlat cjgrjk yjkl jbjk igtjrgb d)  Yabjk tofeom tgfa madt 6 wjbtu yjkl jbjk igprolrjf l)  Jtur cokcaktrjta sasujg baeutuhjk pjsgak (`jkljk faruejh Ejsa Kj + bjrakj tabkgsg suijh fakljtur sasujg iakljk jklbj yjkl earjij ig ljmmok. Kj 6 :9> ffom) h)  Yabjk tofeom tafparjtur (suhu fasgk 6 34>C –  34>C –  3C)  3C) g)  Eujtmjh prodgm yjkl sasujg iakljk bajijjk pjsgak  `)  Eargbjk bacapjtjk jmgrjk ijrjh :>> rpf b)  Fakyjfeukl samjkl dgstumj gkmat iakljk samjkl ijrjh jrtarg m)  Fjtgbjk (bmaf) samjkl gkdus f)  Sjfeuklbjk samjkl jrtarg iakljk dgstumj jrtarg (gkmat) k)  Fjsgkl-fjsgkl baiuj u`ukl samjkl ijrjh jrtarg ijk dgstumj igswje iakljk bjssj eatjigka saejljg iasgkdabtjk o)  Q`ukl samjkl ijrjh vakous fjsubbjk ijmjf lamjs ubur  p)  Hgiupbjk pofpj ijrjh ijk tabjk tofeom T jtju Β :>> rpf  rpf  q)  ^arhjtgbjk jmgrjk cgfgko jpjbjh mjkcjr, dgxjsg iakljk fgcropora. @gbj jmgrjk tgijb mjkcjr, ruejhmjh posgsg `jruf dgstumj r)  ^arhjtgbjk ijrjh, euema trjp tgijb eomah pakuh (bosokl), saejgbkyj targsg » ejlgjk s)  Cjgrjk korfjm sjmgka yjkl tarsgsj igtjfpukl ijmjf lamjs ubur kjfjkyj cjgrjk sgsj prgfgkl

 

t)  Satamjh ijrjh faklgsg safuj samjkl ijrjh ijk igjmyzar, fjtgbjk pofpj ijrjh u)  Fakyjfeukl samjkl ijrjh vakous iakljk dgstumj outmat v)  Sjfeukl samjkl ijrjh vakous ba u`ukl JT dgstumj outmat (baiuj u`uklkyj igearg bjssj eatjigka saejljg iasgkdabtjk). Fjsgkl-fjsgkl sjfeukljk igbakcjklbjk) w)  Bmaf pjij samjkl jrtarg ijk vakous igeubj, saijklbjk bmaf gkdus igtutup x)  ^jstgbjk pjij samjkl vakous tgijb jij uijrj, mjmu hgiupbjk  pofpj ijrjh ijrg :>> rpf sjfpjg iakljk iakljk yjkl iggklgkbjk y)  Yabjk tofeom QD pjij mjyjr fokgtor tarejcj ”igjmysgs‖  ”igjmysgs‖   z)  Samjfj prosas hafoigjmgsj jij < mjfpu hg`ju yjkl fakyjmj (mjfpu fokgtor, ok, igjmysgs stjrt, pofpj, hapjrgk, QD ijk Dmow) i.  ^arsgjpjk Jmjt Hafoigjmgsgs :.  Igjmyzar 5.  Yrjksdusg sat 3.  Korfjm sjmgka >.7% 9.  JT emooi mgka 1.  JT dgstumj 4.  Spugt . Iub Iub stargm ::. Sjrukl Sjrukl tjkljk :5. Fjklbob Fjklbob bacgm :3. Iasgkdabtjk Iasgkdabtjk :9. Bmaf Bmaf :1. Fjtbjk Fjtbjk :4. Ygfejkljk Ygfejkljk :. ^armjb ^armjb bacgm. a.  ^afargbsjjk Igjlkostgb Hafoigjmgsgs Igijmjf fafeargbjk pamjyjkjk baparjwjtjk tarutjfj gktarvaksg fjbj parmu pafargbsjjk pakuk`jkl yjkl igeutuhbjk ejgb sacjrj faigs jtjupuk bomjeorjsg jktjrj mjgk 0   :.  Qrauf (Emooi Qraj Kgtrolak) ^rotagk igsarjp tueuh famjmug fjbjkjk sapartg tamur, gbjk ijk ijlgkl, sgsjkyj yjkl tgijb tarsarjp farupjbjk sjfpjh yjkl igsaeut urauf yjkl fakljkiukl kgtrolak. Jpjegmj lgk`jm eabar`j iakljk ejgb, urauf tarsaeut jbjk igeujkl earsjfj urgk, kjfuk jpjegmj lgk`jm tgijb ijpjt earduklsg iakljk ejgb urauf jbjk tgklljm ig ijmjf ijrjh. Qktub gtu EQK tas igmjbubjk uktub faklubur bjijr urauf ijmjf ijrjh ijk faklatjhug pardorfj lgk`jm ijmjf famjbsjkjbjk tuljskyj fafearsghbjk ijrjh. Hjsgm Korfjm 0 jklbj 1 s/i 51 fl/im 5.  Brajtgkgk jijmjh sjfpjh ijrg sgsj  –   sgsj fatjeomgsfa yjkl igmjbubjk omah jbtgvgtjs otot. Sjfj iakljk urauf, brajtgkgk jbjk fakufpub

ijmjf

ijrjh

jpjegmj

lgk`jm

tgijb

earduklsg

saejljgfjkj fastgkyj uktub fakyjrgkl sartj fafeujklkyj  earsjfj urgk. Hjsgm Korfjm0 >.1 s/i :.1 fl/im uktub prgj iawjsj>.1 s/i :.3 fl/im uktub wjkgtj iawjsj.  3.  Lmufaromus Dgmtrjtgok UjtaLDU farupjbjk cjrj tarejgb uktub faklatjhug saearjpj ejgb duklsg lgk`jm ijmjf fak`jmjkbjk tuljskyj. Ijrg paklhgtukljk LDU ijpjt igbatjhug pjij stjiguf  earjpj barusjbjk lgk`jm sasaorjkl. Gkdorfjsg yjkl igeutuhbjk uktub faklhgtukl LDU jijmjh hjsgm saruf brajtgkgk, usgj ijk  earjt ejijk. 

 

d.  Igjlkosj Baparjwjtjk Wjkl Fuklbgk Fukcum Samjfj Hafoigjmgsj :.  ^ra Hafoigjmgsj j.  ^omj kjdjs tgijb adabtgd e.i aiafj pjru, jsgiosgs fatjeomgc, He ≩ < lr/im, ^kaufokgtgs ijk ^argbjrigtgs i.i ^akllukjjk otot jbsasorgs uktub earkjdjs, ^arkjdjsjk cupgkl hgiukl, ^aruejhjk baijmjfjk kjdjs, ijk Igpkau.  e.  Bamaeghjk vomufa cjgrjk e.i pakurukjk hjmujrjk urgka, igat cjgrjk earmaegh, rataksg cjgrjk & kjtrguf e.i ^aruejhjk earjt  ejijk ijmjf wjbtu sjkljt sgklbjt, Lamgsjh, Adusg pmaurj, Omglurgj, Jsupj famaeghg hjmurjk, Aiafj, Igspkaj, ^akurukjk hafolmoegk, ^aruejhjk pomj parkjpjsjk , ijk ^aruejhjk tabjkjk ijrjh. c.  Batgijbsagfejkljk kutrgsg, burjkl ijrg baeutuhjk tueuh e.i jkorabsgj, fujm & fuktjh, pafejtjsjk igat ijk paruejhjk faferjka fubosj orjm i.i kyarg jeiofak egsgkl usus hgparjbtgd, burjkl fjbjkjk, igjra, burjkl fgkjt pjij fjbjkjk, ijk earjt ejijk 5>% jtju maegh igejwjh earjt ejijk giajm. i.  Jksgatjs e.i brgsgs sgtujsgokjm i.i lamgsjh, wj`jh taljkl,  egklukl, tjfpjb wjspjij, rjlu/tgijb rjlu/tgijb parcjyj igrg ijk bhjwjtgr.  bhjwjtgr.  a.  Barusjbjk gktalrgtjs bumgt e.i Ljkllujk sgrbumjsg, Grgtjsg zjt bgfgj, Iadgsgt cjgrjk i.i Barusjbjk `jrgkljk (Fgs. Borkaj, faferjka fubosj, gktalufakt, jtju suebutjk) ijk Barusjbjk  `jrgkljk. 5.  Gktrj Hafoigjmgsj j.  Uasgbo caiarj e.i jbsas vjsbumar & bofpmgbjsg sabukiar tarhjijp pakusubjk & pafamghjrjjk jbsas vjsbumar.  e.  Ugsgbo tar`jig parijrjhjk e.i pakllukjjk hapjrgk ijmjf prosas hafoigjmgsj. 3.  ^ost Hafoigjmgsj j.  Gktomarjksg jbtgvgtjs e.i bamatghjk, jkafgj, rataksg proiub sjfpjh ijk prosaiur igjmgsgs i,i fakyjtjbjk farjsj mafjh, fakyjtjbjk

farjsj

matgh,

igspkaj

satamjh

earjbtgdgtjs,

 

batgijbkyjfjkjk satamjh earjbtgdgtjs, ijk raspok tabjkjk ijrjh jekorfjm tarhjijp jbtgvgtjs.  e.  Ugsgbo Hjrlj igrg rakijh e.i batarljktukljk, paruejhjk parjk ijk paruejhjk cgtrj tueuh ijk duklsg sabsujm i.i ljkllujk cgtrj tueuh,

Fakluklbjpbjk

 paruejhjk tarhjijp

gkigvgiuijmjf parsapsg

parjsjjk

yjkl

pakjfpgmjk, paruejhjk

(fgs2pakjfpgmjk,starubtur,duklsg),

Dobus

fakcarfgkbjk

Uaspok

kokvarejm

pjij

tueuh

pjij

paruejhjk,

^arjsjjk kaljtgd taktjkl sasujtu c.  Ugsgbo gkdabsg e.i prosaiur gkvjsgd earumjkl l.  Kgc Koc Igjlkosj Baparjwjtjk Wjkl Fuklbgk Fukcum :.  ^ra Hafoigjmgsj j.  ^omj kjdjs tgijb adabtgd  KOC 0 :)  Fakuk`ubjk `jmjk kjdjs yjkl pjtak ( drabuaksg parkjdjsjk ijmjf raktjk korfjm ) 5)  Yjkij  –   tjkij vgtjm ijmjf raktjkl korfjm ( tabjkjk ijrjh, kjig,  parkjdjsjk )  KGC 0 :)  Oesarvjsg raspgrjsg & kjig 5)  Eargbjk posgsg safg dowmar 3)  J`jrbjk cjrj kjdjs yjkl adabtgd 9)  Eargbjk O5 1)  Mjbubjk SQ pjij sjjt HI  e.  Bamaeghjk vomufa cjgrjk  KOC 0 :)  EE post HI sasujg iry waglht, Aiafj hgmjkl, Uataksg :4-58 x/f 5)  Yareaejs ijrg aiafj , adusg, jkjsbjrj

 

 KGC 0 :)  Oesarvjsg

stjtus

cjgrjk,

tgfejkl

ee

pra

ijk

post

HI,

basagfejkljk fjsubjk ijk hjmujrjk, turlor bumgt ijk aiafj, igstaksg vakj mahar ijk fokgtor vgtjm sglk 5)  Ejtjsg fjsubjk cjgrjk pjij sjjt prgfgkl & wjsh out HI 3)  Mjbubjk HI iakljk QD & YF^ sasujg iakljk bakjgbjk ee gktarigjmgsgs c.  Batgijbsagfejkljk kutrgsg, burjkl ijrg baeutuhjk tueuh  KOC 0 :)  Jijkyj pakgklbjtjk earjt ejijk 5)  Ygijb tarj`jig pakurukjk earjt ejijk yjkl earjrtg  KGC 0 :)  Oesarvjsg stjtus kutrgsg0^aruejhjk EE, ^akluburjk jktropofatrg 5)  Oesarvjsg pomj igat 3)  Oesarvjsg djbtor yjkl earparjk ijmjf faruejh fjsubjk kutrgsg 9)  Bomjeorjsg fakaktubjk tgkijbjk HI 9-1 `jf 5-3 fgkllu i.  Jksgatjs Jksgatjs    KOC 0 :)  Famjporbjk jksgatjs fakuruk sjfpjg tgklbjt ijpjt igtjkljkg. 5)  Yjfpjb rgmabs 3)  Tgtjm sglk ijmjf ejtjs korfjm  KGC 0 :)  Avjmujsg raspok varejm ijk kok varejm pjsgak. 5)  Eargbjk pak`amjsjk hueukljk jktjrj prosas pakyjbgt ijk la`jmjkyj. 3)  Eargbjk basafpjtjk pjsgak uktub fakluklbjpbjk gsg pgbgrjk ijk  parjsjjk tjbutkyj. a.  Barusjbjk gktalrgtjs bumgt  KOC 0 :)  Bumgt pjsgak kjfpjb earsgh 5)  Fakuk`ubbjk paruejhjk yjklfgkgfjm pjij bumgt ijk faklhgkijrg trjufj pjij jraj bumgt yjkl sjbgt.

 

5.  Gktrj Hafoigjmgsj j.  Uasgbo caiarj  KOC 0 :)  Bumgt pjij sabgtjr JT shukt utuh/tgijb rusjb 5)  ^jsgak tgijb fakljmjfg bofpmgbjsg HI  KGC 0 :)  Oesarvjsg bapjtakjk JT shukt saeamuf HI 5)  Fokgtor bapjtakjk bjtatar saigbgtkyj satgjp 5 `jf 3)  Mjbubjk hapjrgkgsjsg pjij shukt/bjtatar pjscj HI  e.  Uasgbo pakijrjhjk  KOC 0 :)  YI :5>/8> ffHl, K0 8>-:>>x/fakgt ralumar, pumsjsg bujt 5)  Ygijb jij tjkij parijrjhjk maegh mjk`ut, trofeosgt fakgklbjt.  KGC 0 :)  Jk`urbjk pjsgak uktub ejkyjb gstgrjhjt (eairast) 5)  Eargbjk pak`amjsjk bapjij bmgak ijk bamujrlj uktub famjporbjk  `gbj jij tjkij 3)   parijrjhjk sapartg0 hafjtafasgs, famakj, apgstjbsgs. 3.  ^ost Hafoigjmgsj j.  Gktomarjksg jbtgvgtjs  KOC 0 :)  Earpjrtgsgpjsg ijmjf jbtgvgtjs parjwjtjk fjkigrg yjkl igpgmgh 5)  Earpjrtgsgpjsg ijmjf ↚ jbtgvgtjs ijk mjtghjk  mjtghjk  3)  Gstgrjhjt & jbtgvgtjs sagfejkl/earljktgjk  KGC 0 :)  Oesarvjsg

djbtor

yjkl

fakgfeumbjk

bamatghjk0

Jkafgj,

Batgijbsagfejkljk cjgrjk & amabtromgt, Uataksg proiub sjfpjh iaprasg 5)  Ygklbjtbjk bafjkigrgjk ijmjf jbtgdgtjs parjwjtjk igrg yjkl ijpjt igtomarjksg, ejktu `gbj bamatghjk tar`jig 3)  Jk`urbjk uktub gstgrjhjt satamjh igjmgsgs

 

 e.  Ugsgbo Hjrlj igrg rakijh  KOC 0 :)  ^omj bopgkl bmgak ijk bamujrlj adabtgd 5)  Bmgak & bamujrlj egsj fakluklbjpbjk parjsjjk & rajbsgkyj tarhjijp paruejhjk hgiup yjkl igparmubjk  KGC 0 :)  Oesarvjsg raspok & rajbsg bmgak & bamujrljkyj tarhjijp pakyjbgt & pakjkljkjkkyj. 5)  Oesarvjsg hueukljk bmgak ijk bamujrlj tariabjt 3)  Oesarvjsg pomj bopgkl bmgak & bamujrljkyj c.  Ugsgbo gkdabsg  KOC 0 :)  Suhu tueuh korfjm (34-3< C) 5)  Yjb jij bafarjhjk sabgtjr shukt 3)  Jraj shukt tgijb kyarg/eaklbjb  KGC 0 :)  ^artjhjkbjk jraj stargm samjfj pakusubjk bjtatar 5)  ^artjhjkbjk tabkgb stargm samjfj boktjb il jbsas vjsbumar0  pakusubjk, pamapjsjk bjtatar 3)  Fokgtor jraj jbsas HI tarhjijp bafarjhjk, eaklbjb, kyarg H.  FJSJMJH BA^AUJ\JYJK LJLJM LGK@JM BUOKGS ( C H U O K G C B G I K A W IG IG SA J S A  ) 

:.  Ljkllujk amgfgkjsg urgk earhueukljk iakljk oestrubsg sjmurjk bafgh 5.  Bamaeghjk vomufa cjgrjk earhueukljk iakljk barusjbjk `jrgkljk lgk`jm 3.  Gktomarjksg jbtgvgtjs earhueukljk iakljk jkafgj 9.  Baburjkljk kutrgsg burjkl ijrg baeutuhjk earhueukljk iakljk fujjm fuktjh

 

OK G C B G I K A W I G S A J S A  )  G.  GKYAUTAKSG BA^AUJ\JYJK LJLJM LGK@JM BUOKGS ( C H U OK

Ix Ljkllujk Amgfgkjsg Qrgk Earhueukljk Iakljk Oestrubsg Sjmurjk Bafgh

Bamaeghjk Tomufa Cjgrjk Earhueukljk Iakljk Barusjbjk @jrgkljk Lgk`jm

KOC Satamjh Igmjbubjk Ygkijbjk Baparjwjtjk Samjfj ..........X 59 @jf, Ighjrjpjbjk Amgfgkjsg Qrgk Mjkcjr. Brgtargj Hjsgm0Qrgkjry Umgfgkjtgok Gkigbjtor GU AU :.  Bjkiukl bafgh bososkl sacjrj  pakuh 5.  Ygijb jij rasgiu urgka ;:>> sjfpjg 5>> cc 3.  Gktjba cjgrjk cjgrjk ijmjf raktjkl korfjm 9.  Eaejs ijrg GSB 1.  Ygijb jij spjsfa emjiiar 4.  Ejmjkca cjgrjk sagfejkl Batarjkljk0 :.  Bamuhjk Abstrgf 5.  Bamuhjk Earjt 3.  Bamuhjk Saijkl 9.  Bamuhjk Ugkljk 1.  Ygijb Jij Bamuhjk Satamjh Igmjbubjk Ygkijbjk Baparjwjtjk Samjfj ..........X 59 @jf, Ighjrjpjbjk Basagfejkljk Cjgrjk Bmgak Yarpakuhg Brgtargj Hjsgm0Dmugi Ejmjkca Gkigbjtor GU AU :.  Yabjkjk Ijrjh Ijmjf Ejtjs Wjkl

KGC Qrgkjry Uataktgok Cjra :.  Mjbubjk ^akgmjgjk Bafgh Sacjrj Bofprahaksgd 5.  Farjklsjkl Uadmab Bjkiukl Bafgh Iakljk Fakarjpbjk Igklgk Qktub ^arut 3.  Fafjktju Ygklbjt Igstaksg Bjkiukl Bafgh Iakljk ^jmpjsg Ijk ^arbusg 9.  Fjsubjk bjtatar bafgh 1.  Fafjktju jsupjk bamujrjk

Dmugi Fokgtorgkl (Fokgtor Cjgrjk)  :.  Yaktubjk Ugwjyjt @ufmjh Ijk Ygpa Gktjba Cjgrjk Ijk Amgfgkjsg 5.  Yaktubjk Bafuklbgkjk Djbtor

 

Ighjrjpbjk Ygijb Jij Jsgtas Ygijb Yarijpjt Aiafj ^argdar ^usgkl Ygijb Jij Ygijb Yarijpjt Hjus Jekorfjm Yabjkjk Ijrjh Ijmjf Ejtjs Wjkl Ighjrjpbjk Batarjkljk0 :.  Bamuhjk Abstrgf 5.  Bamuhjk Earjt 3.  Bamuhjk Saijkl 9.  Bamuhjk Ugkljk 1.  Ygijb Jij Bamuhjk 5.  3.  9.  1.  4. 

Gktomarjksg Jbtgvgtjs Earhueukljk Iakljk Jkafgj

Satamjh Igmjbubjk Ygkijbjk Baparjwjtjk Samjfj ..........X 59 @jf, Ighjrjpjbjk Jbtgvgtjs Bmgak Fakgklbjt Brgtargj Hjsgm0Jctgvgty Yomarjkca Gkigbjtor GU AU :.  Sjturjsg Obsglak Ijmjf Uaktjkl Wjkl Ighjrjpbjk Sjjt Earjbtgvgtjs 5.  Hr Ijmjf Uaktjkl Wjkl Ighjrjpbjk Sjjt Earjbtgvgtjs 3.  Ur Ijmjf Uaktjkl Wjkl Ighjrjpbjk Sjjt Earjbtgvgtjs 9.  Yabjkjk Ijrjh Sgstom Ijmjf Uaktjkl Wjkl Ighjrjpbjk Sjjt Earjbtgvgtjs

Uasgbo Ijrg Batgijb Sagfejkljk Cjgrjk (Hgpartarfgj, Yarjpg Iguratgb, Bamjgkjk Uakjm, Ljljm @jktukl, Igjporasgs, Igsduklsg Hjtg, Imm ) 3.  Fokgtor Earjt Ejijk 9.  Fokgtor Jijkyj Igstaksg Mahar, Ugkchg, Aoiaf ^argdar Ijk ^akjfejhjk Ee 1.  Fokgtor Yjkij Ijk La`jmj Ijrg Oiafj 4.  Earg Cjgrjk Sasujg Baparmujk >5, Eubu J`jr Baparjwjtjk Faigbjm Eaijh, jmgh ejhjsj0 \jmuyo Jlukl., Wjsfgk Jsgh., @umg, Bukcjrj., G.fjia bjryjsj, ALC, @jbjrtj. Jkokgf. 5>:5. Fafejcj Hjsgm Mje ^akyjbgt Lgk`jm (ijrjh + urgka). Hjwb.(http0//hjwb-gkio.emolspot.co.gi/5>:5/>8/fafejcj-hjsgm-mjeHjwb. (http0//hjwb-gkio.emolspot.co.gi/5>:5/>8/fafejcj-hjsgm-mjeijrjhurgka.htfm Igjbsas tjklljm :: @jkujrg 5>:8) http0//www.fai.ufgch.aiu/:mger/jhj/jhj_hafoigjm_jrt.htf https0//hgijyjt5.woriprass.cof/5>:>/:>/53/hafoigjmgsj/