El Servicio de Medicina Transfusional Del H.P.G.D.R

 

Vku> Dmo' B`ughgik Nhuhamddk J' DHEKUHYKUM_YH ODMGMOK IV_' @G A@IMOMGH YUHG_BP_MKGH YUHG_BP_MKGHD D U@_VKG_HED@ Y@OGMOK I@D _@URMRMK I@ A@IMOMGH YUHG_BP_MKGHD I@D C'V'J'I'U  syy`uhvmhFckyahmd'`s

 

AM_MKG —Eumgihu

hy`gomÿg okg dh Y`uhvmh Yuhgsbpsmkghd `g ehs` h dh `gyu`jh i` okavkg`gy`s shgjpág`ks spbmom`gy`s$ s`jpuks$ i` hdyh ohdmihi$ } kvkuypgks$ vhuh shymsbho`u dh i`ahgih i` dh vkedhomÿg } vukrmgomh$ smg oksyk hdjpgk } i` bkuah `bmom`gy` h ykiks dks vhom`gy vhom`gy`s `s xp` dk u`xpm`uhg$

vhuh dk ophd okgyhaks okg okg y`ogkdkjáh i` vpgyh$ u`opuskvu`cpahgk ohvhomyhik } okavuka`ymik$ `d em`g`syhu i`d psphumk } vksy yuhgsbpgimik$ hi`aès s` `b`oyþh iko`gomh } ohvhomyhomÿg i`d u`opusk u`opusk cpahgk g`o`shumk vhuh opavdmu sp amsmÿg‑'

Vku> B`ughgik Nhuhamddk J'

5

 

RM_MKG s`urmomk i` A`imomgh YYuhgsbpsmkghd uhgsbpsmkghd i`d Cksvmyhd J`g`uhd J`g`uhd Iko`gy` i` Umkehaeh$ s`uè pgh kuj kujhgm~homÿg hgm~homÿg aki`ugh$ ehshih `g dh om`gomh } dh y`ogkdkjáh$ vhuh vhuh dkjuhu pgh y`u y`uhvmh hvmh yuhgsbpsmkghd vukb`smkghd$ hoo`smed`$ hoo`smed`$ kvkuypgh$ i` ohdmihi } ohdmi`~ okg `d psphumk ipu ipuhgy` hgy` dhs 59 ckuhs i`d iáh } `syh dheku dk chuè spsy`gyhik okg dks hrhgo`s i` dh A`imomgh Yuhgsbpsmkghd aki`ugh‑' —@d

Vku> B`ughgik Nhuhamddk J'

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EHGOK I@ _HGJU@

I@VK_MYK I@ _HGJU@

_@URMOMK I@ A@IMOMGH YUHG_BP_MKGHD

Vku> B`ughgik Nhuhamddk J'

9

 

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Vhuh ahgy`g`u k u`syhpuhu pg rkdpa`g hi`ophik okg `d bmg i`  vu`r`gmu k okaehymu `d ockxp` cmvkrkdíamok'



Vhuh ahgy`g`u } u`syhpuhu dh ohvhomihi i` yuhgsvkuy` i` 

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káj`gk' Vhuh u`vkg`u okavkg`gy`s `sv`oábmoks op}k iíbmomy vukipo`  hdy`uhomkg`s odágmohs'

Vku> B`ughgik Nhuhamddk J'

0

 

GKUAH_ VUKO@IMAM@GYK_ H _@U OPAVDMIK_ HGY@_ HGY@_ ] PGH IPUHGY@ YUHG_BP_MßG Vku> B`ughgik Nhuhamddk J'

2

 

YKIH YUHG_BP_MßG I@E@ _@U MGIMOHIH OPHGIK DK_ E@G@BMOMK_ _PV@UHG      

ODHUHA@GY@ DK_ VK_MED@_ UM@_JK_' Vksmemdmihi i` yuhgsamsmÿg i` mgb`oomkg`s$ Hiamgmsyuhomÿg i` shgju` mgokavhymed` Vksmemdmihi skeu`ohujh @vksmomÿgi` h vukipomu hgyáj`gks `yuhøks$omuopdhykumh xp` rhg h ihu dpjhu h dh s`gsmemdm~homÿg i`d vhom`gy` } h okavuka`y`u `d u`spdyhik i` yuhgsbpsmkg`s bpypuhs'

Vku> B`ughgik Nhuhamddk J'

:

 

8'! OKG_@GYMAM@GYK OKG_@GYMAM@GYK MGBKUAHIK I@D V VHOM@GY@ HOM@GY@ 

  

Vhom`gy` Bhamdmhu`s k Ypyku A`imok

@sy` bkuapdhumk i`e`uè `syhu hinpgyk h dh cmsykumh odágmoh okuu`svkgim`gy` okuu`svkgim`gy`' '  Vku> B`ughgik Nhuhamddk J'

3

 

5'!_KDMOMYPI I@ YUHG_BP_MKG  CK_VMYHD VUKRMGOMHD J@G@UHD IKO@GY@ I@ UMKEHAEH _@URMOMK _@URMO MK I@ A@IMOMGH YUHG_BP_MKGHD YUHG _BP_MKGHD ! _ KDMOMYPI KDMOMYPI I@ YUHG_B_PM YUHG_ B_PMKG KG HV@D D MIK VHY@UG K

@IHI

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IHYK_VI@D HV@D D MIK AHY@UG K _@JPG IK G KAEU@ UMA@U@O@VYKU U GKAEU@ #P_PHUMKA

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HDM_YHU

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IMHJGK_YMOK+OUMY@UMK IMHJGK_YMOK+OUMY@ UMK ODMGM ODMGMOK OK

YMVK I@

IHYK_ I@ DHEKUHYKUMK

OHGYMIHI

C@AKOKAVKG@GY@_ OJU GKUAHD@_

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OJU D@POKUU@IPOMIK_

C@AHYKOUMYK

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YM@AVK I@ VUKYUKAEMGH

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YM@AVK I@ YUKAEKVDH_YMGH HOYMRH KYUK_

OUMKVU@OMVMYHIK_ O' VDHXP@YH_ KYUK_

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Vku> B`ughgik Nhuhamddk J'

B@OCH I@ _KD MOMYPI

_KDMOMYPI DD@GHIH VKU>

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?'! AP@_YUH I@ _HGJU@ 

Vku> B`ughgik Nhuhamddk J'

86

 

9'! YUHG_VKUY@ I@ C@AKOKAVKG@GY@_ 

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Vdhsahs skg i`sokgj`dhiks #59 ckuhsc kuhsDhs pgmihi`s s` `gyu`jhg pgh vku pgh OC' ?6 amgpyks smg okgs`urhomÿg' Ohnhs Yíuamohs #Y9Vku> B`ughgik Nhuhamddk J'

88

 

  OKG_@URHOMKG ] OHI@GH I@ BUMK

 

_M_Y@AH I@ OKG_@UR OKG_@URHOMßG HOMßG ] YUHG_VKUY@ I@ DH _HGJU@+I@UMRHIK_

Vku> B`ughgik Nhuhamddk J'

8?

 

Vku> B`ughgik Nhuhamddk J'

89

 

Vku> B`ughgik Nhuhamddk J'

80

 

Vku> B`ughgik Nhuhamddk J'

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_KDMOMYPI I@ _HGJU@ ] I@UMRHIK_

 

U@XPM_MYK_ _kdmomypi k v`imik i` Yuhgsbpsmÿg ipvdmoh ipvdmohik ik

k

Ap`syuh i` shgju`> ypek yhvh dmdh #okavhymemdmihik

Okgs`gymam`gyk mgbkuahik

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Pgmihi`s Hdmsyhihs> vku 93 ckuhs #okgsmi`uhu hdy`ughymrhs yuhgsbpsmkghd`sk

Vku> B`ughgik Nhuhamddk J'

83

 

HIAMGM_YUHOMKG I@ C@AKOKAVKG@GY@_

MI@GYMBMOHOMKG I@D VHOM@GY@ GKAEU@_ ‟ OHAH ‟ COD MGIMOHOMKG@_ YMVK ] GPA@UK I@ OKAVKG@GY@_

U@HOOMKG@_ YUHG_BP_MKGHD@_

Vku> B`ughgik Nhuhamddk J'

8=

 

YM@AVK I@ HIAMGM_YUHOMKG

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_'A'Y>> `gyu`jhuh _'A'Y pg okavkg`gy` h dh r`~

,

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‥

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Okgs`urhomÿg ! ohi`gh i` bbumk umk Ou`omam`gyk ehoy`umhgk'

Pgh r`~ `gyu`jhiks gk spv`uhu dks ?6 amgpyks h y`av`uhypuh haem`gy`' Hiamgmsyuhomÿg aèmak `g iks ckuhs

Vku> B`ughgik Nhuhamddk J'

56

 

BMDYUK_ VHUH DH HIAMGM_YUHOMKG I@ _HGJU@

‥

‥ ‥ ‥

‥

OJU OJUDU VBO OUMK_

O' VDHXP@YH_ VDHXP@YH_

VKUK_ 8:6 h 566 amouhs ‥ ‥

U`y`gomÿg i` okèjpdks C`euhs i` bmeumgh

‥

D@POKUU@IPOOMKG

58  

OHD@GYHIKU@_ I@ _HGJU@

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Juhgi`s ohgymihi`s i` OC buáks> huumyamhs }+6 vhuk ohuimhoks hskomhik hd `gbumham`gyk i` okgipoomÿg ohuimhoh'

‥

Xpmuÿbhgks vhuh pgh a`nku mgbpsmÿg h

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r`dkomihi`s i` 866 ad+amgpyk' Vhom`gy`s okg oumk hjdpymgmghs

Vku> B`ughgik Nhuhamddk J'

55

 

VU@VHUHOMKG VU@VHUHOMKG VU@YUHG_BP_MKGHD I@D VHOM@GY@

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U`hdm~hu u`svmuhykumh pgh ykah okgsyhgy`s> y`av`uhypuh$ bu`op`gomh u`svmuh ykumh $i` vu`smÿg shgjpág`h$ vpdsk' @s u`oka`gihed` xp` `d vhom`gy` `sy` h b`eumd' Gk

s` u`okam`gih vu`a`imohu> vhuho`yhakd k hgymcmsyhaágmoks ‟ `gahsohuhg u`hoomkg`s' Hiamgmsyuhomÿg

vukbmdèoymoh okg okuymokmi`s h vhom`gy`s okg cmsykumhd U  ‟ H u`v`ymihs OJUDU #dhrhiks-

Vku> B`ughgik Nhuhamddk J'

5?

 

AKGMYKU@K IPUHGY@ ] I@_VP@_ I@ DH YUHG_BP_MKG

Okgyukdhuh

ap} i` o`uoh `g dks vuma`uks 80 amgpyks ‟ UCM' Hd

`rmi`gomhu smjgks } ságykahs mgy`uupavmu dh yuhgsbpsmÿg } `rhdphu dh u`hoomÿg' Ykih

u`hoomÿg i`e` s`u okapgmohih hd o`gyuk k s`urmomk Yuhgsbpsmkghd' @grmhu

pgh ap`syuh i` shgju` i`d vhom`gy` , pgmihi } `d `xpmvk i` yuhgsbpsmÿg' @rhdp @rhdphu hu dh vksmed`s

ohpshs i` dh u`hoomÿg'

Vku> B`ughgik Nhuhamddk J'  

I@_OUMVOMKG ] _@D@OOMKG I@ DK_ OKAVKG@GY@_ _HGJPMG@K_

59

Vku> B`ughgik Nhuhamddk J'

50

 

DK_ VUKIPOYK_ _HGJPÁG@K_ I@E@G OKG_MI@UHU_@ OKAK OPHDXPM@U KYUH A@IMOHOMKG $ PYMDM^HU_@ OPHGIK _KDK _@H G@O@_HUMK

 ‟

OKG DH AMGMAH

IK_M_ @B@OYMR @B@OYMRH H

52  

Dh shgju` ykyhd hoyphda`gy` sÿdk s` pymdm~h okak ahy`umh vumah vhuh dh key`gomÿg i` dks c`akokavkg`gy`s'   c`akokavkg`gy`s'

_` ch i`aksyuhik `d `avd`k i` _hgju` Ykyhd gk xp` e`g`bmomh h dks vhom`gy`s$ }h xp` okg `ddh skdk s` u`hdm~h pg speyuhyham`gyk } s` ih pg psk mghi`ophik ` mgg`o`shumk h pg em`g yhg vu`omhik

906 ad #_Y- , 2? ad #OVIH8- 1 08? ad 8 Ce k ?% Cyk

_HGJU@ YKYHD

Vku> B`ughgik Nhuhamddk J'

 

OKGO@GYUHIK I@ JDKEPDK_ UKNK_ GKUAHD@_    

Rmj`gomh> ?0 iáhs' Okgs`urhomÿg i` 5 h 2 ¶o 506 ad h ?66 ad Okgym`g` D`pokomyks , vdhxp`yhs , u`syk vdhsaèymok'

U`hoomÿg hdíujmoh

?ad+lj vku #Ce i`s`hih ‟ Ce hoyphd-

5:

Vku> B`ughgik Nhuhamddk J'  

OKGO@GYUHIK I@ JDKEPDK_ D@POKUU@IPOMIK_ 

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Rmj`gomh i` 95 iáhs' Gk okgym`g` D`pokomyks$ vdhxp`yhs gm vdhsah' _` okaemgh OVI , _HJ AHGMYKD' @o`d`gy` okavkg`gy` vhuh dh hdy`ughymrh Yuhgsbpsmkghd' Rkdpa`g 536 h ?06 ad

53

Vku> B`ughgik Nhuhamddk J'  

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Vku> B`ughgik Nhuhamddk J'

?6

 

Ho> _msy`ah HEK JE , Vdhx #E'O-

k k

Hj> _M_Y@AH_ I@ JUPVK_ _HGJPÁG@K_

D`pokomyks Vdhxp`yhs

Vku> B`ughgik Nhuhamddk J'

?8

 

Okuu`oomÿg i` dh hg`amh smgykaèymoh k okg smjgks i` cmvkmh ymspdhu 1 : j+ iM i` c`akjdkemgh k 58 % $ s` u`okam`gih xp` ohih vhom`gy` s`h `rhdphik i` hop`uik okg sp vhykdkjáh i` ehs` } sps okgimomkg`s odágmohs odágmohs vhuymopdhu`s'

Okuu`oomÿg i` dh hg`amh ouÿgmoh smgykaèymoh xp` gk ch u`svkgimik hi`ophiha`gy` h sp y`uhvmh `sv`oábmoh$ s` u`okam`gih ahgy`g`u Ce 7 : j+id sm `d vhom`gy` `syè odágmoha`gy` `syhed`$ ÿ 7 86 j+ id sm `d vhom`gy` ym`g` hskomhih `gb`ua`ihi`s ohuimkrhsopdhu`s$ u`svmuhykumhs$ skg hgomhgks k ym`g`g hdjþg kyuk vuko`sk xp` okgdd`r` h pg hpa`gyk i` dh i`ahgih i` káj`gk-' Okuu`oomÿg i` dh hg`amh hjpih s`opgihumh h víuimih i` shgju` ah}ku hd 56% i`d rkdpa`g shgjpág`k ykyhd$ dp`jk i` dh okuu`oomÿg i` dh rkd`amh okg oumsyhdkmi`s k okdkmi`s } `g dhs Hg`amhs C`akdáymohs okg `rkdpomÿg hjpih'

Vku> B`ughgik Nhuhamddk J'

?5

 

Dh yuhgsbpsmÿg h pg vhom`gy` hgíamok xp` rh h s`u ska`ymik h pgh hg`sy`smh j`g`uhd k h pgh mgy`ur`gomÿg xpmuþujmoh i`e`uè ehshus` `g `d ymvk i` hg`amh$ dh r`dkomihi okg xp` ch `rkdpomkghik dh amsah } `g dh `rhdphomÿg i` sps `b`oyks skeu` `d vukgÿsymok' @g `syks vhom`gy`s sm`avu` xp` gk ch}h okgyuhmgimohomÿg } s`h vksmed` s` u`okam`gi u`okam`gihh vksy`ujhu dh omupjáh'

@g hdjpghs okgimomkg`s okak c`akjdkemgkvhyáhs #hg`amh i` oídpdhs bhdombkua`s } yhdhs`amh- vp`i`g `syhu mgimohihs dhs yuhgsbpsmkg`s u`v`ymihs$ `g `sv`omhd sm ch} oumsms i` s`op`syuk'

Vku> B`ughgik Nhuhamddk J'

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OKGO@GYUHIK I@ JDKEPDK_ UKNK_ GKUAHD@_ ] I@_D@POKOMYHIK_ Jky`k

d`gyk

dks

vuma`uks

80

‥

A`gku rkdpa`g'

‥

A`gku um`sjk i` skeu`ohujh

amgpyks$ dp`jk h 26 jkyhs vku

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Um`sjk i` skeu`ohujh i` rkdpa`g }

amgpyk k s`jþg oumy`umk aíimok }

i` cm`uuk `g psk vukdkgjhik' vukdkgjhik'

okgimomÿg odágmoh i`d vhom`gy`'

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Hpa`gyk i` rmsoksmihi Hdk s`gsmemdm~homÿg okgyuh hgyáj`gks CDH } @umyukomyhumks

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‥

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Jky`k uèvmik `g c`akuuhjmhs' Vhuh imdpmu pshu skdpomÿg shdmgh `syíumd'

Vku> B`ughgik Nhuhamddk J'

?9

 

VDH_AH BU@_OK OKGJ@DHIK Vdhsah Bu`sok Okgj`dhik s` dk keym`g` hd vuko`shu pgh shgju` ykyhd `g a`gks i` kock ckuhs i` key`gmih } okgym`g` ykiks dks bhoyku`s i` dh okhjpdhomÿg> dèemd`s `syhed`s #MM$ RMM$ MS$ S-'#RMMM$ SMMM$ BrZ$ bmeukg`oymgh- }

‥ ‥ ‥ ‥ ‥

Rmj`gomh 8 høk Okgs`urhomÿg i` 4 56 ¶O' I`sokgj`dh h ?:¶O' Rkdpa`g i` 566 h 506 ad Rmj`gomh 59 ckuhs

86 ! 56 ad+lj ohih 3$ 85 k 59 ckuhs I`v`gi` i` `ymkdkjáh k mgy`gsmihi i`d shgjuhik

Vku> B`ughgik Nhuhamddk J'

?0

 

MGIMOHOMKG@_> 

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Vhuh u`okgsymypmu _hgju` Ykyhd' Okuu`oomÿg i` i`bmom`gomhs okgkomihs i` bhoyku`s i` dh okhjpdhomÿg #MM$ R$ MS$ S$ SMophgik gk s` op`gyh okg dh y`uhvmh `sv`oábmoh #dmkbmdm~hiks-' Ahg`nk i` c`akuuhjmhs i` dh amoukokhjpdhomÿg amoukokhjpdhomÿg okg okg gmr`d`s i` vukyukaemgh #YV} ym`avk vhuomhd i` yukaekvdhsymgh #YYV- spv`umku`s h 8$0 r`o`s `d okgyukd gkuahd' Okuu`oomÿg i` c`akuuhjmhs i` dh amoukomuopdhomÿg amoukomuopdhomÿg hskomhihs h yuhgsbpsmÿg ahsmrh #ah}ku h pg rkdpa`g shgjpág`k `g 85 ckuhs- } okg hdy`uhomÿg i` dhs vup`ehs i` okhjpdhomÿg' _myphomkg`s odágmohsk okg iíbmomy i` Rmyhamgh L$ xp` gk vp`i`g `sv`uhu u`svp`syh h sp hiamgmsyuhomÿg gk u`svkgi`g hi`ophiha`gy`' Ahg`nk i` vþuvpuh yukaekomykvígmoh yukaekomykvígmoh yukaeÿymoh `g `syks s` u`okam`gih mi`hda`gy` vdhsah ohu`gy` i` bhoyku`s oumkvu`omvmyhed`s'

Vku> B`ughgik Nhuhamddk J'

?2

 

P_K_ MGI@EMIK_ I@D VDH_AH

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Okak u`vksmomÿg `g ohsks i` shgjuáhs `g vhom`gy`s vkdmjdkeþdmoks' vkdmjdkeþdmoks' Okak `vhgsku`s i` rkdpa`g' Vhuh dh u`opv`uhomÿg k ahgy`gmam`gyk i` dh Vu`smÿg Kgoÿymoh' Okak hvkuy` gpyumomkghd$ i` Mj J k Hdeþamgh' Okak vhuy` mgy`juhgy` i` u`vksmomÿg vu`i`y`uamghih #8 vdhsah vku ohih ? vhxp`y`s jdkepdhu`s-'

Vku> B`ughgik Nhuhamddk J'  

VDH_AH U@BUMJ@UHIK

   

Rmj`gomh 0 høks Okgy`gmik i` hdepamgh' Okgs`urhomÿg i` 4 56 ¶O' I`sokgj`dh h ?:¶O'

86 ! 56 ad+lj ohih 3$ 85 k 59 ckuhs I`v`gi` i` `ymkdkjáh k mgy`gsmihi i`d shgjuhik

?:

Vku> B`ughgik Nhuhamddk J'  

OUMKVU@OMVMYHIK'   

Rmj`gomh 8 høk Okgs`urhomÿg Okgs`u rhomÿg 4 56 ¶O' U`hoomkg`s hdíujmohs'

8 pgmihi +86lj ohih 85 k 59 ckuhs' I`v`gi` i` `ymkdkjáh k mgy`gsmihi i`d shgjuhik'

?3

Vku> B`ughgik Nhuhamddk J'  

MGIMOHOMKG@_>  ‥

Ahg`nk i` vhom`gy`s c`akbádmoks ymvk H$ `g hps`gomh i` okgo`gyuhiks dmkbmdm~hiks i` Bhoyku RMMM'

‥

Yuhyham`gyk i` smyphomkg`s c`akuuèjmohs$ vukbmdèoymohs xpmuþujmohs } vuko`imam`gyks aíimoks #mgrhsmrks-'

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Vukbmdhms v`umkv`uhykumh } v`umvhuyk } yuhyham`gyk i` c`akuuhjmhs$ `g vhom`gy`s vkuyhiku`s i` iíbmomy i` bmeumgÿj`gk } imsbmeumgkj`g`amhs< `gb`ua`ihi`ss i` rkg Zmdd`euhgi' `gb`ua`ihi`

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Okuu`oomÿg i` dh c`akuuhjmh i` dh amoukomuopdhomÿg `g yuhgsbpsmÿg ahsmrh$ ophgik `d bmeumgÿj`gk `s mgb`umku mgb`umku h 866aj+ id k gk vp`i` s`u ophgymbmohik' ophgymbmohik'

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Y`uhvmh i` u``avdh~k `g vhom`gy`s okg iíbmomy i` Bhoyku SMMM'

?=

Vku> B`ughgik Nhuhamddk J'

96

 

OKGO@GYUHIK VDHXP@YHUMK    

Rmj`gomh ? iáhs k 0 iáhs Okgs`urhomÿg i` y`av`uhypuh haem`gy` } `g ukyhomÿg' U`hoomkg`s hdíujmohs' Rkdpa`g i` 06 h :6 ad

Dh yuhgsbpsmÿg i` pgh pgmihi i` OV vp`i` hpa`gyhu `d okgy`k `g hvukmahiha`gy` 0666 !86 KKK+ad `g pg hipdyk vuka`imk'

8 pgmihi+86lj

Vku> B`ughgik Nhuhamddk J'

98

 

MGIMOHOMKG@_> 

Dhs mgimohomkg`s odágmohs i` dhs yuhgsbpsmkg`s yuhgsbpsmkg`s i` vdhxp`yhs skg okgyukr`uymihs' okgyukr`uymihs' Dh i`omsmÿg i`v`gi` i` dh ohpsh i` dh c`akuuhjmh$ `d `syhik odágmo odágmok k i`d vhom`gy` } `d gþa`uk } bpgomÿg i` dhs vdhxp`yhs omuopdhgy`s' omuopdhgy`s' Dh yuhgsbpsmÿg i` vdhxp`yhs `syè mgimohih vhuh okuu`jmu pgh i`bmom`gomh ophgymyhymrh k ophdmyhymrh i` vdhxp`yhs `g vu`s`gomh i` c`akuuhjmh hoymrh k ophgik ch}h juhr` um`sjk i` xp` s` vukip~oh ísyh$ okak okgs`op`gomh i` dh i`bmom`gomh i`pg vdhxp`yhs'

Vku> B`ughgik Nhuhamddk J'  

U@OKA@GIHOMßG> 

k k

Vuma`u okgyhn` h dks 8659ckuhs amgpy amgpyks ks h pgh ckuh' ckuh' _`jpgik okgyhn` h dhs

#u`op`gyk vdhxp`yhumk vksyuhgsbpsmÿg ! u`op`gyk vdhxp`yhumk vu`yuhgsbpsmÿg-  _O #a5-  MUO hd ohek i` pgh ckuh 1  

Gþa`uk i` pgmihi`s #okgo`gyuhiks vdhxp`yhumks- yuhgsbpgimihs 

Pg MUO spv`umku h 9'666 h 0'666+ pd spjm`u` u`svp`syh hi`ophih h dh yuhgsbpsmÿg 

95

Vku> B`ughgik Nhuhamddk J'

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B@U@_M_ HB@U@_M_

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Vku> B`ughgik Nhuhamddk J'

99

 

B@U@_M_

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HB@U@_M_

1

Vku> B`ughgik Nhuhamddk J'

90

 

OJUDU ! V@ V@IMH IMHYUMOK_ YUMOK_

  

OJUDU' :6 AD 95 iáhs i` rmj`gomh'

Vku> B`ughgik Nhuhamddk J'  

C@AKRMJMDHGOMH

92

Vku> B`ughgik Nhuhamddk J'

9:

 

Dh C`akrmjmdhgomh `s pg smsy`ah i` rmjmdhgomh k hd`uyh kujhgm~hik

U`okd`oomÿg$ i` ihyks vukr`gm`gy`s i`d akgmyku`k i` pg vhom`gy` yuhgsbpgimik$ k i` dh okgskdmihomÿg i` pgh dmsyh i` `b`oyks hir`usks #hoomi`gy`s } `uuku`s- sksv`ocksks k okgbmuahiks hskomhiks hokavkg`gy`s' dh yuhgsbpsmÿg amsah i` shgju` } sps

Vku> B`ughgik Nhuhamddk J'  

_MJGK I@ C@AKDM_M_•; 

93

Vku> B`ughgik Nhuhamddk J'  

R@UMBMOHU HGY@_ I@ YUHG_BPGIMU

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YUHG_BP_MKGHD@_ Vku> B`ughgik Nhuhamddk J'

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_M_Y@AH I@ JUPVK _HGJPÁG@K HEK

Hgyáj`gks `umyukomyhumks 

Hgymop`uvks síumoks 

Jupvk H

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hgym!e 

Jupvk

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hgym!h 

Jupvk HE 

H } E 

gmgjpgk 

Jupvk K 

gmgjpgk 

hgym!h } hgym!e

_PE JUPVK_ I@D H ] I@D E> H8$ H5$ H?< E8$ E5$ E?< H8E5$ H?E8 ••••' 

Vku> B`ughgik Nhuhamddk J'

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_M_Y@AH I@ JUPVK _HGJPÁG@K UC

BM_C@U ! UHO@

I$ O$ @

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OKAVD@NK

HGYMJ@GK_

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BHOYKU@_ BH OYKU@_

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Uck$ cu ”$ cu”” 

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cu ”$ uc”” 

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Vku> B`ughgik Nhuhamddk J'  

Ij> Hg`amh C`akdáymoh >hdkhgymop`uvks MjA ! HEK

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Vku> B`ughgik Nhuhamddk J'  

Ho> hgym ! e

Hj> VHOM@GY@> JUPVK_ H8 BHOYKU Uc Io@

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Vku> B`ughgik Nhuhamddk J'

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Vku> B`ughgik Nhuhamddk J'

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_MG HGYMOP@UVK_

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Vku> B`ughgik Nhuhamddk J'  

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Vku> B`ughgik Nhuhamddk J'  

Vku> B`ughgik Nhuhamddk J'  

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