EKTIMA (Impetigo Ulserative)

 

ONE@NM @CHW AG[GBNTNM AWC@T & AGCNH@M

_GIG_NT

INAWCTN[ AGDJATG_NM

HN_GT ?6>2

WM@YG_[@TN[ BNCW JCGJ

GAT@HN

Jcgb< Hnc`itbn Dw` N`m`, [.Agd

Vgho`ho`me < dr. Bl. _jbnmmn [nr` [un`o, [p.AA 

D@ONUNANM DNCNH _NMEAN TWEN[ AGVNM@TG_NNM AC@M@A  ONE@NM @CHW AG[GBNTNM AWC@T AGCNH@M _[WD ONBTG_NHN[/INAWCTN[ ONBTG_NHN[/INAWCTN[ AGDJATG_NM WM@YG_[@TN[ BNCW JCGJ AGMDN_@ ?6>2

 

GAT@HN  Hnc`itbn Dw` N`m`, N`m`, _jbnmn [nr` [un`o [un`o

@. VGMDNBWCWNM

Gat`hn Gat `hn hgrupn hgrupnanm anm ucaus ucaus supgri` supgri`s`nc s`nc dgmenm dgmenm arustn arustn d`ntnsm d`ntnsmyn yn ynme ynme d`sgonoanm anrgmn `migas` jcgb [trgptjkjkkus [trgptjkjkkus.. Gat`hn tnhpna sgonen` arustn tgonc ogrwnrmn aum`me dnm o`nsnmyn ogrcjans` d` tumean` onwnb, yn`tu tghpnt ynme rgcnt`i onmyna hgmdnpnt trnuhn. L`an arustn d`nmeant tnhpna cgant dnm hgh`c`a` ucaus ynme dnmeanc.> V`jdgr V`j dgrhn hn `nc `ncnb nb pgmyna pgmyna`t `t auc`t auc`t ynme ynme d`sgon d`sgonoan oanm m jcgb jcgb [tnpbycjkjkkus, [trgptjkjkkus,, [trgptjkjkkus [tnpbycjk [tnp bycjkjkkus jkkus

ntnu ntnu agdu agdunn-ag agdu dunm nmyn yn.. nurgus nurgus 

dnm dn

Vg Vgmy mygo gono nomy mynn

[trgptjkjkk [trgpt jkjkkus us

N

yn ynme me ut utnh nhnn ogtn

`n `ncn cnb b

bghjcyt`ku bghjcyt`kuss.>

[tnpbycjkjkkus nurgus  nurgus  hgrupn hgrupnanm anm pgmygo pgmygono no tgronmy tgronmyna na dnnr` dnnr` pyjdgr pyjdgrhn hn supgri` sup gri`k`n k`nc, c, tgt tgtnp` np` [trgptjkjkkus erjup N  N  pgmygono pnc`me sgr`me d` mgenrn hnlu. V`jdgrhn hgrupnanm `migas` pndn gp`dgrh`s, tgpnt d`onwnb strntuh ajrm ajrmgu guh h ntnu ntnu pndn pndn ij ijc` c`ag agcc rn rnho hout ut.. L`an L`an t`dn t`dna a d` d`jo jont nt`, `, p` p`jd jdgr grhn hn o` o`sn sn hgme`migas` dgrh`s dnm hgmena`ontanm ijrhns` iurumagc dnm gat`hn.?  Gat`hn o`nsn tgrlnd` anrgmn `hpgt`ej ynme t`dna d`jont` na`ont tgrtutup` ncns ana` ntnu pnan`nm, ynme o`nsn tgrlnd` pndn tumnw`shn ntnu pndn tgmtnrn ynme d`tuensanm d` dngrnb `ac`h cghono dnm pnmns. Cgs` gat`hn luen sgr`me tgrc`bnt tgrc`b nt pndn gatrgh`tns onwnb nmna-nmna, nmna-nmna, cnms`n ynme tgrnon`anm, tgrnon`anm, ntnu jrnme dgmenm pgmyna`t d`nogtgs. B`e`gm`tns ynme ourua dnm tgrnon`anm hgrupnanm aumk` aum k` dnr` dnr` pntjeg pntjegmgs mgs`s `s gat`hn gat`hn..?  Cgs` Cgs` yn ynme me tg tgrl rlnd nd`` pn pndn dn ga gat` t`hn hn o` o`nsn nsnmy mynn d`sgonoanm anrgmn trnuhn pndn auc`t h`sncmyn e`e`tnm sgrnmeen ntnu trnuhn h`mjr. Vntjegmgs`s dnm tgrnp` dnr` gat`hn snhn dgmenm `hpgt`ej. ; L`an tgrnp` t`dna ndgaunt, cgs` gat`hn nanm ograghonme hgmlnd` `migas` auc`t dnm lnr`menm cumna ynme cgo`b dncnh. Ajhpc`ans` Ajhpc`ans` mjmsuppu mjmsuppurnt`i rnt`i `migas` [trgptjkjkkus N hgc`put` psjr`ns`s euttntg, sknrcgt igvgr dnm ecjhgrucjmgpbr`t`s. Gat`hn o`sn

 

sghoub

dgmenm

lnr` r`m menm

pnrut.

@migas`

[tnpbycjkj [tnpb ycjkjkkus kkus

nurgus nurgus

dnm

[trgptjkjkkus N dnpnt N dnpnt tgrlnd` ogrucnme ynme d`sgonoanm jcgb anrgmn agenencnm dncnh hghonsh` pntbjegm dgmenm ajcjm`sns`. 4 @@ @@.. GV@D GV@DGH GH@J @JCJ CJE@ E@

@m @ms` s`dg dgms ms`` ga gat` t`hn hn d` dum` dum`nn hns` hns`b b og ogcu cuh h d` d`ag agtn tnbu bu`, `, tg tgtn tnp` p` nm nmea eann aglnd`nmmyn hns`b cgo`b aurnme d`onmd`meanm dgmenm `hpgt`ej. Gat`hn dnpnt tgrl tgrlnd nd`` pn pndn dn sghun sghun ej ejcj cjme menm nm rn rnss ntnu ntnupu pum m gtm`s. gtm`s. In Inat atjr jr pr prgd gd`s `spj pjs`s s`s`m `myn yn hgc`put` pnmns, agcghonpnm, agogrs`bnm ynme ourua, dnm aurnme e`z`. Vgmyna`t `m` cgo`b cgo`b sgr`me sgr`me tgrlnd tgrlnd`` pndn pndn nmna-nm nmna-nmna, na, jrnme jrnme tun, tun, pgmdgr pgmdgr`tn `tn d`nogt d`nogtgs gs dnm `hhumjsupprgs`i (tgr`migas` B@Y). [gcnhn pgrnme Y`gtmnh d`cnpjranm onbwn gat`hn gat `hn strgptj strgptjaja ajaaus aus pndn pndn ana` ana` ndncnb ndncnb `migas` `migas` onatgr onatgr`` auc`t auc`t ynme ynme onmyna  onmyna  tgrlnd` pndn hnsn `tu.7

@@@.INATJ_ V_GD@[VJ[@[@ V_GD@[VJ[@[@

Gat`hnn dnpnt d`c`bnt pndn dngrnb ynme hgmencnh` agrusnanm lnr`men Gat`h lnr`menm. m. H`sncm H`s ncmyn yn gasjr` gasjr`ns`, ns`, e`e`tn e`e`tnm m sgrnmee sgrnmeen, n, ntnu dgrhnt dgrhnt`t`s `t`s.. Gat`hn Gat`hn luen luen dnpnt dnpnt d`tghuanm d`tgh uanm pndn pgmdgr`tn dgmenm dgmenm enmeeunm enmeeunm `humutns `humutns (h`sncmyn (h`sncmyn pgmdgr`tn pgmdgr`tn d`nogtgs, mgutrjpgm`n, `migas` B@Y). Inatjr-inatjr ynme pgmt`me ynme ogrpgrnm dncnh t`houcmyn gat`hn nmtnrn cn`m <  9 >. Tghpgrnturg Tghpgrnturg dnm agcgho agcghonpnm npnm ynme ynme t`mee` t`mee` dnm dngrnb dngrnb trjp`s trjp`s ?. Ajmd`s Ajmd`s`` c`me c`meaum aumenm enm ynme ynme ajtj ajtjr  r  ;. Bye` Bye`gm gmgg ynme ynme ouru ourua  a 

@hpgt`ej @hpgt `ej ynme t`dna d`jont` dgmenm on`a nanm ograghonme ograghonme hgmlnd` hgmlnd` gat`hn o`nsnmyn sgr`me pndn pgmdgr`tn dgmenm bye`gmg ynme ourua.9

@Y. GT@JCJE@ GT@JCJE@

 

[trgptjkjkk [trgpt jkjkkus us erjup N  N   dnpnt dnpnt hgmygo hgmygonoa noanm nm gat`hn gat`hn pndn pndn auc`t auc`t ynme ynme mjrhnc dnm luen hgrusna auc`t cgo`b dncnh na`ont trnuhn ntnu dgrhnt`t`s. [gcn [gcn`m `m `tu, `tu, pn pnc` c`me me sgr`m sgr`me e hgmy hgmygrn grnme me pn pns` s`gm gm dg dgme menm nm `hhumjkjhprjh`zgd  (B@Y, mgutrjpgm`n), d`nogtgs dnm wnonb d` h`c`tgr. Bnc `m` luen sgr`me tgrlnd` d` c`meaumenm dgmenm agcghonpnm t`mee` dnm bye`gmg ynme ourua. Inr`me`t`s jcgb anrgmn [. pyjegmgs luen pyjegmgs luen cgo`b rgmtnm tgragmn pgmyna`t ogrucnme.5

Y. D@NE D@NEMJ MJ[@ [@[ [

Vgmgen Vgm genanm anm D`nemj D`nemjs`s s`s pndn pndn Gat`hn Gat`hn dnpnt dnpnt d`cnau d`cnauanm anm dgmenm dgmenm tghunm tghunm ac`m`s dnm d`ajmi`rhns` hgcncu` auctur.4 >. Hnm` Hnm`ig igst stns ns`` ac`m ac`m`s `s Tnhpna Tnh pna sgonen sgonen`` arustn arustn tgonc tgonc ogrwnr ogrwnrmn mn aum`me aum`me,, o`nsnm o`nsnmyn yn ogrcja ogrcjans` ns` d`tumean` d`tume an` onwnb, onwnb, yn`tu yn`tu tghpnt tghpnt ynme ynme rgcnt` rgcnt`ii hgmdnp hgmdnpnt nt onmyna onmyna trnuhn trnuhn.. L`an L`an > arustn d`nmeant tgrmyntn cgant dnm tnhpna ucaus ynme dnmeanc.  Eglncn d`nwnc` dg dgme menm nm vg vgs`a s`agc gc ntnu ntnu vg vgs` s`aj ajpu pustu stucc yn ynme me ag aghu hud` d`nm nm hgho hghogsn gsnrr dn dnm m dn dncn cnh h  ogogrnpn bnr` ograghonme hgmlnd` arustn. [nnt arustn hgmeb`cnme aghud`nm nanm tnhpna ucaus supgri`k`nc ogrogmtua p`r`menm dgmenm dnsnr dnmeanc dnm tgp` ynme hgm`mee`.5  Cgs` gat`hn dnpnt ograghonme dnr` p`jdgrhn pr`hgr,  pgmyna`t auc`t, ntnu trnuhn ynme sudnb ndn sgogcuhmyn [gdnmeanm gat`hn en enme mergm rgmjs jsuh uh hgru hgrupn pnan anm m cu cuan an au autn tnmg mgus us yn ynme me d` d`sgo sgono noan anm m  Vsgudjhjmns ngrue`mjsn dnm ngrue`mjsn  dnm h`r`p dgmenm gat`hn [tnpbycjkjkkus [tnpbycjkjkkus ntnu  ntnu [trgptjkjkkus [trgptjkjkkus..?

Enhonr >. Tnhpna ucaus dgmenm arustn ynme tgonc d` dngrnb ana` tumnw`shn ynme t`dna hgcgpns sgpntu ojtmyn sgcnhn ogrh`meeu-h`meeu. Arustn hgcgant dnm tnhpna ogrdnrnb.4

 

Enhonr ?. Gat`hn (tnhpna ouccn agk`c dnm pustucg dgmenm dnsnr gr`tgh d`sgrtn` arustn dnm gxudntg ynme hgmegr`me.2

Enhonr ;. Gat`hn (tnhpna arustn hgmeb`cnme d`enmt`anm dgmenm ucaus supgri`k`nc ogrogmtua p`r`menm dgmenm dnsnr dnmeanc dnm tgp` ynme hgm`mee`). 5

Enhonr 4. Gat`hn pndn pns`gm d`nogtgs dnm enenc e`mlnc. Tnhpna ucaus

–pumkbgd jut cgs`jm‘ dgmenm arustn ogrwnrmn aum`me agnounm dnm purucgmt.?

 

?. Vghg Vghgr` r`as asnn nnm m pgm pgmum umln lnme me Vndn pgwnrmnnm ernh dnm auctur, cgs` gat`hn hgmumluaanm enhonrnm  onatgr` kjkkus ern ernh h pjs`t` pjs`t`ii dnr` dnr` onatgr` onatgr`  strgptjkjkkus erup N dgmenm ntnu tnmpn  stnpbycjkjkkus nurgus nurgus.. @mig iga as` [tr [trgpt gptjkj jkjkku kkuss erjup erjup N sgogcuhmyn dnpnt d`dgtgas` dgmenm pgmeul`nm ogtn nmt`-DMnsg.9 b`ssV b`ssVnd ndnn

pg pghg hgr` r`as asnn nnm m

b`stj b`stjpn pntj tjcj cje` e`

cg cgs` s`

ga gat` t`hn hn

hgmu hgmuml mlua uaan anm m

enhonrnm mgarjs`s dnm rndnme pndn auc`t. @mi`ctrnt pgr`vnskucnr ernmucjhntjsn  one`nm dncnh dnm supgri`s`nc tgrlnd` ogrsnhnnm dgmenm gdghn gmdjtgc. g mdjtgc. Arustn tgonc hgmutup` pgrhuannm ucaus pndn gat`hn. 9 Y@. D@IG_GM[@NC D@NEMJ[@[

>. @hpg @hpgt` t`ej ej aru arust stjs jsnn @hpgt` @hp gt`ej ej ndncnb ndncnb p`jdgr p`jdgrhn hn supgri` supgri`k`nc k`nc`s `s (tgront (tgrontns ns pndn pndn gp`dgr gp`dgrh`s h`s). ). Vgrsnhnnmmyn, agdun-dunmyn ograrustn ogrwnrmn aum`me. Vgrogdnnmmyn, `hpgt`ej arustjsn tgrdnpnt pndn nmna ogrcjans` d` wnlnb, dnm dnsnrmyn `ncnb `ncn b grjs`. grjs`. [gonc` [gonc`amy amynn pndn pndn gat`hn gat`hn tgrdnpn tgrdnpntt on`a on`a pndn pndn nmna nmna hnupum hnupum dgwnsn dnm tghpnt prgd`cgas`myn d` tumean` onwnb dnm dnsnrmyn `ncnb ucaus.>

Enhonr 7. Grjs` arustn gr`tghntjsn hgmlnd` ajmicugm pndn b`dume, p`p`, o`o`r  dnm dneu nmna na`ont [.nurgus [.nurgus..4

?. Vyjd Vyjdgrh grhnn enm enmer ergm gmjs jsuh uh

 

Vyjdgr Vyj dgrhn hn enmerg enmergmjs mjsuh uh ndncnb ndncnb dgrhnt dgrhntjs` js`ss mgutrj mgutrjpb` pb`cc mjm-`m mjm-`miga igas` s` ynme lnrnme tgrlnd` dnm pndn uhuhmyn tgran`t dgmenm pgmyna`t s`stgh`a  ynme hgmdnsnr`. D`nemjs`s d`dnsnranm pndn eglncn ac`m`s ynme abns dnm t`dna ndn pgmyna`t ucsgrnt`i autnmgjus ynme cn`m. Eglncn ac`m`s ynme abns  ogrupn pnpuc, pcna ntnu pustucg d`sgrtn` ucaus ynme mygr` dgmenm tgp` ynme t`dna ogrnturnm. Dnpnt tgrc`bnt lnr`menm ernmucns`, mgarjs`s, ntnu gasudnt ynme purucgm d`dnsnr ucaus. Tgrdnpnt Tgrdnpnt cgs` sjc`tgr ntnu huct`pcg huct`pcg dnm pnc`me pnc`me sgr`me tgrlnd` pndn ana` yn`tu 56% ansus, mnhum luen dnpnt tgragmn pndn tuoub hnupum ncnt agcnh`m dnm huajsn. O`nsnmyn pndn insg pgmyghoubnm nanm tnhpna ogans cuan kr`or`ijrh ntrji`a. Eglncn cn`m hgc`put` dghnh, hncn`sg, hynce`n dnm nrtrnce`n.2

Enhonr 9. Vyjdgrhn enmergmjsuh acns`a.2

;. Gat` Gat`hn hn en enme megrg grgmj mjsu suh h Hgrupnanm vnr`nm ynme cnmean dnr` `migas` mgarjt`a lnr`menm cumna  ynme ynme d`sg d`sgon onoa oanm nm jcgb jcgb  V. ngrue`mjsn. ngrue`mjsn. [g [gknr knrnn ac ac`m `m`s `s d` d`tn tnmd mdn` n` dg dgme menm nm nd ndnm nmyn ynmy mynn ij ijau auss `min `minra ra d`sgr d`sgrtn tn`` gr gr`t `tgh gh d` sgagc sgagc`c `c`m `mem emyn yn,, dn dnm m dn dnpn pntt  ograghonme dgmenm kgpnt.l`an t`dna d`cnauanm pgmejontnm ynme gigat`i. D` D`str str`o `ous us`` yn ynme me pn pnc` c`me me sgr`m sgr`me e d` dn dngrn grnb b nx nx`c `cn, n, sgcnm sgcnmea eanm nmne nenm nm,, nt ntnu nu  pgr`mguh. Vrjemjs`s tgrenmtume pndn agtgpntnm d`nemjs`s, pgmejontnm,  ogsnrmyn pnlnmnm dnr` bjst, o`nsnmyn ajrgas` mgutrjpgm`n.4

 

Enhonr 5. Gat`hn enmergmjsuh pndn cna`-cna` us`n ;6 tnbum ynme hgmdgr`tn B@Y. (N) tnhpna dngrnb ynme mygr` dnm tgrdnpnt nrgn `minra  dgmenm gr`tgh d`sga`tnrmyn sglna 7 bnr`. @migas` autnmgjus pr`hgr `m` d`an`tanm dgmenm onatgrgh`n. (O) dun h`meeu aghud`nm, cgs` tgrsgout hgmencnh` prjergs` naut dnm pns`gm pns`g m hgm`meenc ; oucnm aghud`nm.4

Y@@.VGMNTNCNA[NMNNM

Vgmntnc Vgm ntncnas nasnmn nmnnm nm pndn pndn gat`hn gat`hn snhn snhn dgmenm dgmenm tnt tntnncn nncnasn asnmn mn `hpgt`e `hpgt`ej. j.? Agogrs`bnm dnm mutr`s`, pgrnwntnm aud`s dnm pgmyna`t ynme hgmdnsnr` snment  pgmt`me umtua d`pgrbnt`anm. Nmt`o`jt`a ynme d`p`c`b bnrus nat`i hgcnwnm  strgptjkjkkus pyjegmgs, pyjegmgs,  stnpbycjkjkkus nurgus  nurgus  dn dnm  psgudjhjmns.  psgudjhjmns.   @migas` arustn ynme hgcgant sgbnrusmyn d`cumnaanm dgmenm hgmeeumnanm d`s`migatnm dnm d`ogr` ar`h pgcghonp umtua hgcghoutanm. Nmt`o`jt`a tjp`anc sgpgrt` nsnh ius`dntt dnm hup`rjk`m ius`dn hup`rjk`m dnpnt d`ogr`anm d`ogr`anm dun anc` sgbnr` umtua cgs` cjanc. cjanc. Tgrnp` Tgrnp` tjp`knc on`a dgmenm pghogr`nm sucajmnzjc dnm h`kjmnzjc dnpnt hghogrs`banm cgs` dncnh > h`meeu. Nmt`o`jt`a jrnc dnpnt d`ogr`anm pndn cgs` huct`pcg dnm  pgmdgr`tn `hhumjkjhprjh`sgd sgcnhn >-? h`meeu. Vgm`s`c`m luen dnpnt d`eu `eumna mnanm

sg sgon one en` negm negm tgrn tgrnp p`.

L` L`a an

pg pgmy mygo gono no

ona natg tgr` r` ogr grns nsnc nc dn dnr` r`

 stnpbycjkjkknc   hnan hnan gr`trj gr`trjh`s h`s`m, `m, ac`md ac`mdnh` nh`s`m s`m dnm djas`s` djas`s`ac` ac`m m luen luen dnpnt dnpnt d`eu d`eumn mnan anm. m. Tgrnp Tgrnp`` p`pg p`pgrnk rnk`c` `c`m, m, eg egmt mtnh nh`s `s`m `m,, nh`a nh`ans` ns`m, m, k`prj k`prjic icjx jxnk nk`m `m dn dnm m jicj jicjxn xnk` k`m m `m `mtr trnv nvgm gmnn lu luen en dn dnpn pntt d`eu d`eumn mnan anm m sg sgon onen en`` p` p`c` c`bn bnm m tg tgrn rnp` p` ga gat` t`hn hn enmergmjsuh.2 

 

>. Nmt` Nmt`o` o`jt jt`a `a jr jrnc nc Ogogrnpn Ogogrn pn ansus `hpgt`ej `hpgt`ej hgh`c`a` `migas` knhpurnm knhpurnm  stnpbycjkjkkus dnm strgptjkjkkus dnm  strgptjkjkkus.. Nmt`o`jt`a jrnc bnrus d`pgrt`honmeanm umtua pns`gm dgmenm `hpgt`ej ynme hgh`c`a` eglncn pgmyna`t ntnu s`stgh`a ynme cuns. Nmt`o`jt`a  jrnc dnpnt d`ogr`anm sgcnhn 7->6 bnr` umtua hgmknpn` pgmyghoubnm dgmenm dgmenm kgpnt. Tgrnp` nwnc dgmenm kgpbncgx`m dnpnt d`ogr`anm pndn pns`gm ynme ncgre` tgrbnd tgr bndnp np jont jont mjm-pg mjm-pgm`s m`s`c` `c`m. m. Vns`gm Vns`gm dgmenm dgmenm ncgre` ncgre` pgm`s` pgm`s`c`m c`m pndn pndn nwncmy nwncmynn d`jont` dgmenm ac`mdnh`s`m jrnc ntnu djas`s`ac`m (tgrenmtume us`n). O`cn auctur  dnm ul` sgms`t`v`tns tgrsgd`n, nmt`o`jt`a d`sgsun`anm npno`cn tgrlnd` rgs`stgms` nmt` nmt`o` o`j jt`a t`a

dnm dnm

tnm tnmdn-t dn-tnm nmd dn

`mig `miga as`

tg tgru russ

ogr grcn cnm mlu lut. t.

Vgm` Vgm`s` s`c` c`m m

jrn rnc, c,

nhjas`s`c`m nhja s`s`c`m,onk`t ,onk`trnk`m rnk`m tjp`anc, tjp`anc, dnm mgjh`s`m mgjh`s`m t`dna d`nmluranm d`nmluranm.. Dgs`migatnm Dgs`migatnm tjp`anc sgpgrt` bydrjegm pgrjx`dg luen t`dna dnpnt d`eumnanm.0

?. Nmt` Nmt`o` o`jt jt`a `a tjp` tjp`an ancc Hup`rjk`m (Onktrjonm). Hup`rjk`m sncgp ntnu ar`h ndncnb nmt`o`jt`a   pgrtnhn ynme d`sgtulu` umtua pgmejontnm `hpgt`ej. Jont `m` nat`i hgcnwnm tgrhnsua a ynme rgs`stgm tgrbndnp hgb`k`c`m hgb`k`c`m dnm  strgptjkjkkus  stnpbycjkjkkus tgrhnsu  strgptjkjkkus.. Jontt `m` t`dna Jon t`dna nat`i nat`i hgcnwnm hgcnwnm gmtgrjonktgr`nkgng gmtgrjonktgr`nkgng,,  psgudjhjmns ngrue`mjsn ntnu ntn u lnhur. lnhur. Jont Jont `m` snhn snhn gigat` gigat`imy imynn dgmenm dgmenm nmt`o` nmt`o`jt` jt`a a jrnc jrnc dgmenm dgmenm giga  snhp`me ynme sgd`a`t. Vndn `migas` auc`t supgi`s`nc ynme t`dna hgcuns, sncgp hup`rjk`m hup` rjk`m hgh`c`a` agcgo agcgo`bnm. `bnm. Hup`rjk`m snment nat`i hgcnwnm pntbjegm pntbjegm auc`t ynme pnc`me sgr`me onbanm ynme rgs`stgm tgrbndnp nmt`o`jt`a cn`mmyn. Dnm  pghogr`nm sgknrn tjp`anc dnpnt sgknrn cnmesume d`ogr`anm ag tghpnt `migas`. Hup`rjk`m d`jcgsanm ;x sgbnr` snhpn` sghun cgs` sghoub. L`an pgmejontnm tjp`anc d`ogr`anm, pgrcu d`cnauanm pghogrs`bnm pndn nrgn cgs` >-? anc` sgbnr` dgmenm cnrutnm nmt`onatgr` sgpgrt` b`o`kcgms ntnu ogtnd`mg. Dgmenm pghogr`nm cnrutn cnr utnm m dgs`mig dgs`migatn atnm m dnpnt dnpnt hgmkge hgmkgenb nb aganho aganhoub ubnm nm pndn pndn tghpnt tghpnt ynme ynme cn` cn`m. m. Arustn bnrus d`b`cnmeanm anrgmn dnpnt hgmebnhont pgmgtrns` ar`h nmt`onatgr`. Wmtua hghudnbanm pgmenmeantnm dnpnt d`ogr`anm pgcghonp ntnu ajhprgs dgmenm an`m onsnb.0

 

_gtnpnhuc`m _gtnp nhuc`m (Nctnonx). _gtnpnhuc`m _gtnpnhuc`m tjp`anc tjp`anc dnpnt d`ogr`anm umtua   pgmejontnm `migas` auc`t supgi`s`nc ynme d`sgonoanm jcgb [.nurgus (t`dna  tgrhnsua tgrhnsu a [.nurgus rgs`stgm tgrbndnp hgtb`k`cc`m hgtb`k`cc`m (H_[N) dnm  strgptjkjkkus  pyjegmgs pndn ps`gm ynme ogrus`n d`ntns 0 oucnm. Npc`ans` sncgp rgtnpnhgtnc  pyjegmgs pndn >% ?x sgbnr` sgcnhn 7 bnr` gigat`i umtua `hpgt`ej mnhum gi`ans` ograurnme  pndn pns`gm dgmenm `migas` H_[N ntnu nosgs.0

Enhonr 2. Vgmntncnasnmnnm @hpgt`ej.?

Enhonr 0. V`c`bnm tgrnp` pndn gat`hn. 2

 

Enhonr >6. Tgrnp` nmt`o`jt`a pndn `hpgt`ej dnm `migas` auc`t dnm lnr`menm cumna.0 Y@@@. Y@@ @. VGMKGENB VGMKGENBNM NM

Hgml Hg mlne nenn

agog agogrs rs`b `bnm nm sn snme ment nt pg pgmt mt`m `me e

um umtu tua a

hgmk hgmkge gena na ga gat` t`hn hn..

Vgme Vgmeeu eumn mnnm nm cj cjt` t`jm jm nm nmt` t` sgrnm sgrnmee eenn um umtu tua a hgmk hgmkge genb nb e` e`e` e`tn tnm m lu luen en dn dnpn pntt d`eumnanm umtua hgmurumanm prgvncgms` gat`hn. >6 Hnmd` t`np bnr`. [noum ontnme Ogmzjyc Vgrjxydg. Hgmegkga tnmdn dnm eglncn @hpgt`ej @hpgt`ej d` sgcurub sgcurub nmeejtn nmeejtn agcunren. agcunren. Gtbnmjc ntnu @sjprjpb` @sjprjpb`cc egc umtua tnmenm dnm ntnu one`nm ynme tgrhnsua tg rhnsua d`dncnhmyn. 9 @R. AJHVC@AN AJHVC@AN[@ [@

Gat`hn Gat `hn lnrnme lnrnme hgh`c` hgh`c`a` a` eglncn eglncn s`stgh` s`stgh`a. a. Ajhpc` Ajhpc`ans ans`` `mvns`i `mvns`i pndn pndn `m `miga igas` s` au auc` c`tt na na`o `ont nt  strgptjkjkkus  strgptjkjkkus   hgc`put` hgc`put` sgcuc`t` sgcuc`t`s, s, grys`pgcn grys`pgcns, s, enmergm enmergmg, g, c`hi c`hind ndgm gm`t `t`s `s

supu supurn rnt` t`i, i,

ours ours`t `t`s `s,,

pmgu pmguhj hjm` m`nn

cj cjon onr` r`s, s,

dn dnm m

on onkt ktgr grgh gh`n `n..

Ajhpc`ans` Ajhp c`ans` mjm suppurnt`vg suppurnt`vg pndn `migas` auc`t na`ont  strgptjkjkkus  strgptjkjkkus   hgc`put` dg dghn hnh h

sk sknrc nrcgt gt dn dnm m ecjh ecjhgru grucj cjmg mgpb pbr`t r`t`s `s na naut ut.. Tgtnp Tgtnp`` tg tgrnp rnp`` nm nmt` t`o` o`jt jt`a  `a 

tnhp tnhpna namy mynn t`dn t`dna a hgmu hgmuru ruma manm nm nm nmea eann ag agln lnd` d`nm nm ec ecjh jhgr gruc ucjm jmgp gpbr br`t` `t`ss pj pjst st strgptjkjkknc.>6

 

R. V_JE V_JEMJ MJ[@ [@[ [

Vgmygh Vgm yghoub oubnm nm cgs` gat`hn gat`hn kuaup kuaup cnhont cnhont,, tgt tgtnp` np` dgmenm dgmenm pghogr pghogr`nm `nm nmt`o` nmt `o`jt` jt`a a dnm pgrnwn pgrnwntnm tnm cuan cuan ynme ynme tgpnt tgpnt hnan hnan prjemj prjemjs`sm s`smyn yn dnpnt dnpnt on`a. on`a. Gat`hnn lnrnme Gat`h lnrnme hgmygo hgmygonoa noanm nm eglncn eglncn s`stgh` s`stgh`a a ntnu ntnu onatgr onatgrgh`n gh`n.. Cgs` Cgs` snment snment mygr` dnm dnpnt hgmygonoanm c`hindgmjpnt`, c`hinme`t`s sgaumdgr dnm sgcuc`t`s sgrtn pjst strgptjkjkknc ecjhgrucjmgpbr`t`s. >>

 

DNITN_ VW[TNAN

>. Lunm Lunmdn dn N. V`jd V`jdgr grhn hn.. @m @m7. p. 5>-54 ?. Kr Krni nitt M, Cgg VA, \`pjc \`pjc`` HT, HT, Ug`mog Ug`mogre re NM, [wnrt [wnrtzz HM, HM, Ljbmsj Ljbmsjm m _N. _N. [upg [u pgri ri`k` `k`nc nc nm nmd d Kutn Kutnmg mgju juss @m @mig igkt kt`j `jms ms nm nmd d Vyjd Vyjdgr grhn hns. s. @m @m