G. Bab 3
July 12, 2022 | Author: Anonymous | Category: N/A
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94
GHG AAA LI[CKI PIOIJA[AHO
Litcki pioijataho hkhjhe kishao pioijataho yhod kaduohmho, mirhodmh mirbh pioijataho, pcpujhsa shlpij yhod hmho katijata, buljhe shlpij yhod kapirjumho, timoam shlpjaod yhod kaduohmho, fhrh liodakiotanamhsa
vhrahgij
kiodho
kinaoasa
cpirhsacohjoyh,
fhrh
piodulpujho khth, litcki hohjasas khth yhod kaduohmho, mitirghthsho pioijataho, kho oajha itamh pioijataho. H.
Whofhodho hthu Kishao Pioijataho
Girkhshrmho tubuho pioijataho, lhmh pioijataho aoa liodduohmho litcki quhsy ixpiraliot kiodho pcsttist kisado. Mijclpcm mcotrcj takhm kagiramho pirjhmumho tithpa tithp liokhphtmho piodcghtho hthu pijhyhoho misiehtho sisuha kiodho sthokhrt rulhe shmat, sikhodmho mijclpcm aotirviosa kajhmumho aotirviosa, tubuho kishao giotum quhsy ixpiraliot kiodho pcsttist kisado, girtubuho uotum lilgumtamho hkh
hthu
takhmoyh
piodhrue
riehgajathsa
bhotuod
nhsi
8
tirehkhp
mioyhlhoho mioyhlhoh o kho muhjaths eakup phsaio Hfuti Lycfhrkahj Aonhrftaco. Aonhrftaco. [hgij 6.8
Whofhodh Whofhodho o pio pioijataho ijataho quhsy Ixpiraliot kiodho pcst tist kisado piodhrue riehgajathsa bhotuod nhsi 8 tirehkhp mioyhlhoho kho muhjaths eakup phsaio Hfuti Lycfhrkahj Aonhrftaco ka ruhod APA WV Ghptas Mikara Vugbim Pirjhmuho Pcst [ist C8 A C88 C7 C77
94
95
Mitirhodho2 C8 C7 C88
2 2 2
C87
2
A -
2 2
Mijclpcm aotirviosa Mijclpcm mcotrcj Piodumurho mioyhlhoho kho muhjaths eakup sitijhe Aotirviosa phkh mijclpcm aotirviosa Piodumurho mioyhlhoho kho muhjaths eakup sitijhe liobhjhoa pirhwhtho phkh mijclpcm mcotrcj
Aotirviosa (riehgajathsa bhotuod nhsi 8) Hmtavaths piodcghtho sifhrh giohr
Wispcokio phkh pioijataho aoa hkhjhe phsaio yhod lilajama pioyhmat kiodho kahdocsh likas Hfuti Lycfhrkahj Aonhrftaco phkh sisukhe
aotirviosa
kajhmumho
piodumurho
mioyhlhoho
kiodho
liodduohmho muisacoir yhod sukhe ghmu yhatu VDFX kho muhjaths eakup LhfOiw XJLA Xuistacoohari kho sighdha aoncrlhsa phkh whmtu piodhlgajho khth sijhlh pijhmshohmho prcdrhl riehgajathsa bhotuod nhsi 8 phsaio hmho kaumur thokh-thokh vathj (timhoho khrhe, nrimuiosa ohka, nrimuiosa ohphs) kho kajhmumho budh lcoatcr dhlghrho IMD uotum lilhothu mcokasa phsaio shht kajhmumho taokhmho riehgajathsa bhotuod nhsi 8. G.
Pcpujhsa, Vhlpij, kho Vhlpjaod
8.
Pcpujhsa Pcpujhsa khjhl pioijataho hkhjhe sugbim (lashjoyh lhousah=
mjaio) yhod liliouea mratirah yhod tijhe katithpmho (Ourshjhl, 7086). Pcpujhsa pioijataho yhatu siluh piokirath HLA ka Wuhod APA Wulhe Vhmat Ghptas Mikara phkh gujho Ocpilgir 708>-Bhouhra 7084 sibuljhe 45 Phsaio.
91
7.
Vhlpij Vhlpij liruphmho ghdaho pcpujhsa yhod hmho katijata hthu
sighdaho buljhe khra mhrhmtirastam yhod kalajama cjie pcpujhsa (Eakhyht, 7087). Vhlpij pioijataho khjhl pioijataho aoa hkhjhe piokirath ka ruhod APA Wulhe Vhmat Ghptas Mikara yhod liliouea mratirah aomjusa. h.
Mratirah Aomjusa Mratirah aomjusa hkhjhe mhrhmtirastam ulul sugbim pioijataho khra
suhtu pcpujhsa thrdit yhod tirbhodmhu kho katijata (Ourshjhl, 7086). Mratirah aomjusa khjhl pioijataho aoa piokirath HLA kiodho mratirah2
8. Kaoyhthmho sthgaj cjie kcmtir khjhl whmtu 7;-;5 bhl sahp lijhmumho riehgajathsa bhotuod hthu takhm lioyhthmho oyira sitijhe whmtu 7; bhl 7. Girsikah liobhka rispcokio 6. Girusah laoalhj ;0 theuo ;. Mishkhrho mclpcliotas kho mccpirhtan g.
Mrarirah Imsjusa2 Mratirah imsmjusa liruphmho mratirah kalhoh sugbim pioijataho
takhm khpht liwhmaja shlpij mhrioh takhm liliouea syhrht sighdha shlpij pioijataho (Ourshjhl, 7086). Mratirah imsjusa khjhl pioijataho aoa piokirath HLA kiodho mratirah2 8. Liodhjhla dhdhj bhotuod 7. Eilckaohlamh takhm sthgaj
>0
6. Liodduohmh Liodduohmho o cght-cghtho pioiohod ;. Kioyut ohka phkh shht astarheht jigae khra 800 x/lioat, [imhoho khrhe jigae khra 8>0/800 llEd, Pirohphsho sishm 67x/lioat 9. IMD liodhjhla pirugheho (takhm saous) f.
Mratirah Krcp Cut . 8. Phsaio HLA yhod liodhjhla mijilheho shht kajhmumho riehgajathsa bhotuod nhsi 8 7. Phsaio yhod tagh-tagh liodijue dijhp lhth, migaoduodho, hthmsah, pufht, sahocsas, kyspoih, luhj, hthu aosunasaiosa sarmujhsa piranir shht kajhmumho riehgajathsa bhotuod nhsi 8 6. Phsaio yhod liodhjhla oyira shht kajhmumho jhtaeho ;. Hkhoyh pirugheho IMD yhod luofuj shht riehgajathsa girjhodsuod2
Lashjoyh
thmamhrkah,
V[
ijivhsa,
kiprisa,
viotramij thmamhrkah, H^ Gjcm, P^Fs. 9. Vhht kajhmumho jhtaeho phsaio liodhjhla miohamho timhoho khrhe kho ohka. (sastcjam ?770 hthu kahstcjam ?880 llEd, grhkamhrkah (piouruoho kioyut bhotuod jigae khra 80 mhja pirlioat) kiodho miohamho hthu takhm hkh pirugheho khjhl gigho mirbh). >. Phsaio HLA yhod takhm gash liodamuta sisa riehgajathsa bhotuod gham kahwhj, pirtiodheho lhupuo hmear.
>8
4. Liodhjhla dhdhj bhotuod sijhlh kagira aotirviosa 6.
Gishr Vhlpij Gishr shlpij hkhjhe ghoyhmoyh ghdaho pcpujhsa yhod kaduohmho
sighdha sugyim pioijataho. Vilhmao ghoyhm shlpij, lhmh ehsaj pioijataho hmho jigae riprisiothtan. (Ourshjhl, 7005). Girkhshrmho timoam piodhlgajho shlpjaod liodduohmho mucth shlpjaod , lhmh pioijata lioithpmho rispcokio khjhl pioijataho sighoyhm ;0 crhod. ;.
Vhlpjaod Vhlpjaod hkhjhe prcsis lioyijimsa pcrsa khra pcpujhsa uotum
khpht liwhmaja pcpujhsa. [imoam shlpjaod liruphmho fhrh-fhrh yhod katilpue khjhl piodhlgajho shlpij, hdhr lilpircjie shlpij yhod giohr-giohr sisuha kiodho misijurueho sugbim pioijataho (Ourshjhl, 7086). Vhlpjaod yhod kaduohmho khjhl pioijataho aoa hkhjhe mucth shlpjaod yhatu timoam pioiotuho shlpij khjhl mucth lioithpmho
sitahp strhth pcpujhsa girkhshrmho thokh-thokh yhod lilpuoyha piodhrue tirgishr vhrahgij yhod kasijakama. Mucth hrtaoyh pioithpho sugbim girkhshrmho mhphsaths hthu khyh thlpuod yhod kapirjumho khjhl pioijataho (Ourshjhl, 7086). F.
Jcmhsa kho Thmtu Pioijataho
Jcmhsa Pioijataho kajhmumho ka ruhod APA Wulhe Vhmat Ghptas Mikara yhod girhjhlhtmho ka Bhjho Gradbio Pcj. A.G.E. Prhptc (Bj. Lhuoa) Oc. 8-4 Mcth Mikara.
>7
K.
^hrahgij Pioijataho
^hrahgij hkhjhe mhrhmtirastam yhod kahlhta yhod lilpuoyha vhrahsa oajha kho liruphmho cpirhsacohjashsa khra suhtu mcosip hdhr khpht katijata sifhrh ilparas hthu katiotumho taodmhthooyh (Vitahka, 7004). ^hrahgij khjhl pioijataho aoa tirkara hths vhrahgij aokipiokio kho vhrahgij kipiokio. 8.
^hrahgij Aokipiokio ^hrahgij aokipiokio pioijataho aoa hkhjhe riehgajathsa bhotuod nhsi 8.
7.
^hrahgij Kipiokio ^hrahgij kipiokio pioijataho aoa hkhjhe mioyhlhoho kho muhjaths eakup.
>6
I.
Kinaoasa Cpirhsacohj
Kinaoasa cpirhsacohj hkhjhe kinaoasa girkhshrmho mhrhmtirastam yhod khpht kahlhta khra sisuhtu yhod kakinaoasamho tirsigut hdhr mipiotaodho hmurhsa, mcluoamhsa kho ripjamhsa khpht tirfhpha (Ourshjhl, 7005). [hgij 6.7 Kinaoasa cpirhsacohj piodhrue riehgajathsa bhotuod nhsi 8 tirehkhp mioyhlhoho kho muhjaths eakup phsaio Hfuti Lycfhrkahj Aonhrftaco ka ruhod APA WV Ghptas Mikara Oc. 8.
^hrahgij Aokipiokio2 Wiehgajathsa
Kinaoasa Cpirhsacohj Wiehgajathsa bhotuod kajhmshohmho sitijhe 7;-;5 bhl phsaio
Aokamhtcr 8. Pirohphsho 7. [imhoho khrhe
Hjht Ymur Fimjast lcoatcraod
bhotuod Nhsi 8
kaoyhthmho kcmtir oyira hthu phsaio sukhesthgaj takhmcjie liodijue phkh shht riehgajathsa bhotuod nhsi 8 kajhmumho siehra 7 mhja kiodho whmtu 80-89 lioat. Pirhshho oyhlho yhod kalajama phsaio kiodho HLA gireuguodho kiodho sioshsa tugue, mitiohodho pamarho, mioyhlhoho giraotirhmsa kho sioshsa oyhlho liobhjhoa piodcghtho yhod khpht kaoyhthmho miphkh pirhwht lhupuo miphkh mijuhrdh Visicrhod lioamlhta mipuhsho khjhl eakupoyhliobhjhoaoyh lismapuo sisicrhod liodhjhla piouruoho misiehtho.
6. IMD Ohka ;.
pijhmshohho jhtaeho Wiehgajathsa bhotuod nhsi 8.
7.
Kipiokio2 Mioyhlhoho
6
Kipiokio2 Muhjaths Eakup
8. Mioyhlhoho nasam 7. mioyhlhoho psamcsparatuhj 6. mioyhlhoho scsahj ;. mioyhloho jaodmuodho 8. Nasam 7. Ilcsacohj 6. Vcsahj
Vmhjh -
Vmcr -
Vecrt Dioirhj Fclncrt Xuistacoohari
Whsac
0-8;0 ?5; oyhlho :5; takhm oyhlho
LhfOiw Xuhjaty cn Jani Hntir Lycfhrkahj Aonhrftaco Xuistacoohari
Whsac
0-851 ?87> murhod : fumup :6 gham
>;
N.
Aostrulio Pioijataho
8.
Phokuho Jhtaeho riehgajathsa bhotuod kaguht pioijata girkhshrmho mcosip phokuho yhod katujas khjhl gumu kiodho Bukuj Fclprieiosavi Wiehgajathtaco Oursaod (Kirstaoi, (Kirstaoi, kho Ehrdrcvi,
7008) kho burohj kiodho bukuj ‚Prctcfcj-Duakik Pehsi 8 Fhrkahf Wiehgajathtaco ao Phtaiots wate V[-Ijivhtaco Lycfhrkahj Aonhrftaco ao H Wurhj Ecspathj“ (Ghgu Ghgu, it hj., 7080).
Phokuho jhtaeho riehgajathsa bhotuod khjhl giotum lckuj girasa2 h) Piodirtaho jhtaeho riehgajathsa bhotuod, g) [ubuho riehgajathsa bhotuod, f) Lhonhht jhtaeho riehgajathsa bhotuod, k) Mhpho jhtaeho riehgajathsa bhotuod kaeiotamho, i) Mhpho takhm gcjie jhtaeho
riehgajathsa bhotuod, n) Fhrh Liodumur timhoho khrhe, d) Fhrh liodeatuod ohka, kho e) Pituobum jhtaeho. 7.
Muisacoir yhod sukhe ghmu yhatu Vecrt Dioirhj Fclncrt Xuistacoohari (VDFX), kaduohmho liodumur mioyhlhoho phsaio
kiodho HLA sitijhe kajhmumho riehgajathsa bhotuod nhsi 8. Pioijataho aoa liodduohmho hjht umur mioyhlhoho kiodho VDFX 75 Atil kiodho smhjh jamirt, kiodho jalh thoddhpho (VDFX yhod hsja lilajama iohl thoddhpho tithpa pioijata liodeajhodmho shjhe shtu pajaeho bhwhgho yhatu Oitrhj, ehj aoa kajhmumho pioijata uotum liokhphtmho bhwhgho khra rispcokio yhod jigae hmurht) lujha khra shodht takhm situbu simhja shlpha situbu simhja.
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[hgij 6.6 Vchj phkh VDFX hkh ; kclhao psamcsparatuhj, scsahj kho jaodmuodh ja odmuodho. o. Kclhao Nasam
7, 1, 87, 86, 8>
Kclhao Psamcsparatuhj 6, ;, 9, >, 88, 89, 84, 70, 7;, 7>, 74, 75
Kclhao Vcsahj 8, 5, 80, 77, 76
yhatu
nasam,
Kclhao Jaodmuodho 4, 8;, 85, 81, 78, 79
Vmcr yhod jigae taodda liouobummho mioyhlhoho yhod jigae gham. Vmcraod khjhl pioijataho tirmhat VDFX girkhshrmho burohj yhod katujas (Whelhwhta, it hj., 708;) kamhtidcramho liobhka 7 yhatu oyhlho kho takhm oyhlho, kiodho pilghdaho kamhthmho takhm oyhlho bamh smcr murhod khra shlh kiodho 5; (khra oajha tcthj 8;0 kaghda kuh kho kamhja 80%) kho kamhthmho oyhlho bamh ? 5; kho takhm oyhlho bamh smcr :5;.
6.
LhfOiw XJLA kaduohmho uotum liodumur muhjaths eakup phsaio
kiodho HLA sitijhe kajhmumho aotirviosa. LhfOiw XJLA hkhjhe muisacoir girasa 74 atil kho kaghda liobhka 6 kclhao. [hgij 6.; Vchj phkh LhfOiw XJLA hkh 6 kclhao yhatu nasam, Ilcsacohj, kho Vcsahj. Kclhao Nasam
8, >, 1, 87, 8;, 8>, 84, 81, 70, 78, 7;, 79, 7>, 74
Kclhao Ilcsacohj
8, 7, 6, ;, 9 >, 4, 5, 80, 87, 86, 89, 85, 76
Kclhao Vcsahj
8, 88, 87, 86, 89, 84, 70, 78, 77, 76, 7;, 79, 7>
Vmcr lhmsalul uotum sitahp atil 4 (yhod gireuguodho kiodho muhjaths eakup yhod gurum khra mieakupho) kho laoalul 8 (yhod gireuguodho gireuguod ho kiodho muhjaths eakup yhod gham khra mieakupho). D.
Yba ^hjakaths kho Wijahgajaths
>>
Yba ^hjakaths hkhjhe mivhjakho hthu misheaeho suhtu aostrulio. Viguhe aostrulio kamhthmho vhjak hphgajh lhlpu liodumur hph yhod kaaodaomho (Hramuotc, 7080), sikhodmho Wijahgajaths hkhjhe aokims yhod lilpiodhruea sibhue lhoh suhtu hjht piodumur khpht kapirfhyh hthu khpht kahokhjmho. Ehj aoa girhrta liouobummho ehsaj piodumurho atu tithp mcosastio hthu tithp hshj gash kajhmumho piodumurho kuh mhja hthu jigae tirehkhp dibhjh yhod shlh, kiodho liodduohmho hjht umur yhod shlh (Hramuotc, 7080). Aostrulio yhod kaduohmho pioijata khjhl pioijataho aoa hkhjhe VDFX kho LhfOiw XJLA yhod mikuhoyh sukhe ghmu. VDFX kho LhfOiw XJLA hkhjhe aostrulio yhod girhshj khra juhr oidira,
girkhshrmho pioijataho kashoh tijhe kajhmumho uba vhjakaths kho rijahgajaths sigijuloyh. Pioijata sigijul lioduohmho 7 muisacoir aoa tirjigae kheuju pioijata lijhmumho hjae ghehsh mikhjhl ghehsh Aokcoisah kho kajhmumho uba vhjakaths kho rijahgajaths. Yba ^hjakaths kho Wijahgajaths kajhmshohmho phkh thoddhj 81 Hpraj-88 Lia 7084 ka Wuhod APA WV. Ghptas Mikara, kajhmumho phkh phsaio HLA kiodho buljhe shlpij 70 rispcokio. Aostrulio mioyhlhoho liodduohmho VDFX kho tijhe kajhmumho uba vhjakaths. Yotum liodeatuod mcrijhsa khra tahp pirthoyhho, timoam mcrijhsa yhod kaphmha ahjhe timoam mcrijhsa ‚ Prckuft Lcliot ‚‚. . Pireatuodho kajhmumho kiodho fhrh mcrijhsa hothrh lhsaod-lhsaod
>4
pirthoyhho kiodho smcr tcthj, uotum lijaeht oajha sadoanamhosa khra sitahp pirthoyhho lhmh khpht kajaeht khra thgij oajha prckuft lcliot . Hphgajh r-eatuod jigae gishr khra r-thgij lhmh pireatuodho thrhn sadoanamho liliouea syhrht kho piroyhthho atu kahoddhp vhjak uotum kaphmha sighdha hjht umur pioijataho. Ghths vhjakaths r-thgij prckuft lcliot uotum 70 rispcokio kiodho taodmht mipirfhyhho mipi rfhyhho 9% (θ0.5 yhod girhrta lilajama vhjakaths muht (Vudaycoc, 7004). Vijhobutoyh sitijhe lijhmumho uba vhjakaths pioijata lijhmumho
uba rijahgajaths yhod kaeatuod kiodho lijaeht r pireatuodho rijahgajaths muisacoir, Oajha r
8.8
8-8.
Vitijhe kajhmumho
jigae gishr khra oajha r
thgij, lhmh pirthoyhho tirsigut rijahgij hthu jhyhm uotum kaphmha sighdha hjhtumur pioijataho. Ghths rijahgajaths pioijataho aoa hkhjhe 0,;76. Ehsaj pireatuodho khra muisacoir VDFX ka khphtmho oajha r
8.8 <
0.4>6 lhmh khpht kasalpujmho ghewh siluh piroyhthho tirsigut rijahgij mhrioh r eatuod ? r thgij. Bamh kajaeht khra oajha r
8.8
yhatu 0.4>
girhrta phkh rithod 0.>-0.41 yhod girhrta Wijahgajaths katiralh (Vimhrho, 7000). Aostrulio muhjaths eakup liodduohmho LhfOiw XJLA yhod tijhe kajhmumho uba vhjakaths. Vhlh kiodho muisacoir VDFX, LhfOiw
>5
XJLA budh lioduohmho timoam mcrijhsa ‚Prckuft Lcliot ‚‚. . Ghths
vhjakaths r-thgij prckuft lcliot phkh LhfOiw XJLA budh budh shlh yhatu 0,;76. Kakhphtmho oajha r-eatuod jigae gishr khra r-thgij lhmh pirthoyhho tirsigut kahoddhp vhjak kho khpht kabhkamho hjht umur pioijataho. Lhsaod-lhsaod atil schj r-eatuod girhkh phkh mashrho 0.50.1 yhod girhrta lilajama vhjakaths shodht muht (Vudaycoc, 7004). Vijhobutoyh sitijhe lijhmumho uba vhjakaths pioijata lijhmumho uba rijahgajaths yhod kaeatuod kiodho lijaeht r
8-8.
Oajha r
8.8
jigae gishr
khra oajha r thgij, lhmh pirthoyhho tirsigut rijahgij hthu jhyhm uotum kaphmha sighdha hjhtumur pioijataho. Ehsaj pireatuodho khra muisacoir VDFX ka khphtmho oajha r
8.8
< 0.4>4 kaghokaodmho kiodho r thgij
(0.09) 70 rispcokio < 0.;76, lhmh khpht kasalpujmho ghewh siluh piroyhthho tirsigut rijahgij mhrioh r eatuod ? r thgij. Bamh kajaeht khra oajha r 8.8 yhatu 0.4> girhrta phkh rithod 0.>-0.41 yhod girhrta Wijahgajaths katiralh (Vimhrho (7001).
>1
E.
Fhrh Piodulpujho Khth
8.
Hjur Pioijataho Phsaio HLA Cgsirvhsa [K, Ohka, Kho IMD
Ehra mi 7 Vitijhe phsaio tirgighs khra Oyira hthu 7; bhl phsaio takhm oyira
Wiehgajathsa Bhotuod Cgsirvhsa [K, Ohka, Kho IMD Vecrt Dioirhj Fclncrt Xuitacoohri
Ehra mi > Vitijhe phsaio Lijhmumho riehgajathsa Bhotuod
LhfOiw XJLA
Ehra mi 8; Vitijhe phsaio Lijhmumho riehgajathsa Bhotuod
kahlgaj kapcjamjaoam
Dhlghr 6.8 Hjur Pioijataho Jhtaeho Wiehgajathsa Bhotuod Nhsi 8 phkh Phsaio kiodho Hfuti Lycfhrkahj Aonhrftaco uotum lijaeht Mioyhlhoho Mioyhlhoh o kho Muhjaths Eakup. 7.
Piodulpujho Piodulpu jho Khth Prcsis piodulpujho khth yhod kaduohmho khjhl pioijataho aoa
hkhjhe sighdha giramut2 h.
Prcsikur hklaoastrhtan Pioijataho aoa kajhmumho sitijhe liokhphtmho abao pijhmshohho pioijataho khra pilgalgaod, jujus itam cjie mclati itam nhmujths mikcmtirho kho ajlu misiehtho uoavirsaths luehllhkayhe ycdyhmhrth, sitijhe jujus uotum uba itm lhmh pioijata lilceco
40
surht yhod kaguht cjie prcka lhdastir mipirhwhtho yhod kathokh thodho cjie mituh prcdrhl stuka katubumho miphkh Karimtur WV WV. Ghptas Mikara. g.
Prcsikur [imoas 8)
Pioijata lijhmumho uba mcotio gumu lckuj phokuho jhtaeho riehgajathsa bhotuod miphkh phmhr sigijul kagiramho miphkh rispcokio pioijataho.
7)
Pioijata lijhmumho pirshlhho pirsipsa kiodho kuh hsastio pioijata yhod lilghotu pioijata liodumur mioyhlhoho kho muhjaths eakup phsaio , lijhmumho piodumurho timhoho khrhe, kho piodumurho ohkasirth lcoatcraod jilghr
cgsirvhsa rispcokio. 6)
Pioijata lijaeht rimhl likas phsaio HLA yhod ka rhwht ka APA WV. Ghptas Mikara lijhmumho mcosujthsa kiodho kcmtir spisahjas pioyhmat bhotuod WV. Ghptas Mikara uotum lioyijimsa piokirath HLA sthgaj yhod kathokha kiodho takhm hkhoyh oyira khkh, takhm sishm ohnhs phkh shht astarheht, kioyut ohka astarheht >0 ‖ 10 10 x/lioat kho ridujir sirth lioditheua hkhoyh mcotrh aokamhsa kajhmumho jhtaeho riehgajathsa bhotuod.
;)
Pioijata liokhthoda rispcokio ka APA WV. Ghptas Mikara. Pioijata lilpirmiohjmho kara miphkh fhjco rispcokio kho
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lijhmumho piodmhbaho miphkh phsaio uotum lioditheua mcokasa phsaio phkh lhsaod ‖ lhsaod phsaio. Pioijata lilgiramho piobijhsho miphkh phsaio lhupuo mijuhrdh liodioha pioijataho yhod kajhmumho lijaputa2 Piodirtaho, tubuho, prcsikur hthu pijhmshohho, whmtu, lhonhht, ehm ‖ ehm rispcokio kho risamc hmaght jhtaeho riehgajathsa bhotuod sirth lilgiramho piobijhsho ghewh rispcokio gcjie lioduokurmho kara bamh rispcokio lirhsh takhm oyhlho. Pioijata lilaoth pirsitubuho rispcokio kho mijuhrdh uotum liobhka rispcokio, kagumtamho kiodho piohokhthodhoho surht pirsitubuho liobhka rispcokio.
9)
Viluh rispcokio tithp liokhphtmho tirhpa nhrlhmcjcdas khra WV Ghptas Mikara. Vhlpij ;8 rispcokio
70 Wispcokio Mijclpcm Mcotrcj
78 Wispcokio Mijclpcm Aotirviosa 8Wispcokio Krcp Cut
70 Wispcokio Mijclpcm Aotirviosa Dhlghr 6.7
70 Wispcokio Mijclpcm Mcotrcj
Prcsis piod piodhlgajho hlgajho shl shlpij pij riehgajaths riehgajathsaa bhotuod nhsi 8 tirehkhp mioyhlhoho kho muhjaths eakup phkh phsaio Hfuti Lycfhrkahj Aonhrftaco.
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Buljhe shlpij kakhphtmho ;8 phsaio yhod liliouea mratirah aomjusa, yhod tirghda khjhl mijclpcm aotirviosa 78 crhod kho mijclpcm mcotrcj 70 crhod. Vhht prcsis pioijataho hkh 8 rispcokio mijclpcm aotirviosa yhod krcp cut . Wispcokio mijclpcm aotirviosa krcp cut kamhriohmho shtu rispcokio phkh ehra yhod mitadh kho mijalh
liocjhm uotum jhtaeho.
Wuhod Ghodshj Wuhod APA (Mcotrhm Thmtu)
E8
Piodasaho Muisacoir
E7
E6
E;
E9
E>
Jhtaeho riehgajathsa Bhotuod 7xsiehra phda2 ¸70 sahod2 ¸70
Dhlghr 6.6
>) Jhtaeho
riehgajathsa Bhotuod 4) 7xsiehra phda2 ¸70 sahod2 ¸70
Jhtaeho riehgajathsa Bhotuod 7xsiehra phda2 ¸70 sahod2 ¸70
Jhtaeho riehgajathsa Bhotuod 7xsiehra phda2 ¸70 sahod2 ¸70
Jhtaeho riehgajathsa Bhotuod 7xsiehra phda2 ¸70 sahod2 ¸70
Jhtaeho riehgajathsa Bhotuod 7xsiehra phda2 ¸70 sahod2 ¸70
Prcsis Piodhlgajho Khth Jhtaeho Wiehgajathsa Bhotuod nhsi 8 tirehkhp Mioyhlhoho kho Muhjaths Eakup phkh Phsaio Hfuti Lycfhrkahj Aonhrftaco phkh Mijclpcm Aotirviosa.
Piodhlgajho khth mijclpcm aotirviosa kajhmumho kiodho fhrh ehra pirthlh kajhmumho mcotrhm kho piodhlgajho khth yhatu jhtaeho riehgajathsa bhotuod nhsi 8 ehra pirthlh (7; bhl sitijhe phsaio rhwht aohp). Vijhobutoyh lijhmumho riehgajathsa bhotuod nhsi 8 sijhlh > mhja khjhl siehra 7 mhja yhatu phda kho scri. Vijhlh jhtaeho riehgajathsa
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bhotuod nhsi 8 phsaio kacgsirvhsa kiodho liodumur timhoho khrhe, nrimuiosa ohka, nrimuiosa ohphs, lcoatcraod IMD kho hkhoyh thokhthokh sipirta oyira, khkh, miraodht kaodao, pusaod, mijijheho, dijhp lhth, hthmsah, pufht, sahocsas, kyspoui kho luhj, ehj aoa kajhmumho sigijul kho sisukhe jhtaeho riehgajathsa bhotuod nhsi 8. Mijclpcm aotirviosa liokhphtmho piobijhsho tiothod jhtaeho riehgajathsa bhotuod kho kagiramho gumu phokuho Jhtaeho Wiehgajathsa Bhotuod. Vitijhe jhtaeho > ehra phkh ehra tirhmear kajhmumho piodasaho muisacoir mioyhlhoho kho phkh ehra mi 8; sijhlh 7 laoddu phsaio liodasa muisacoir muhjaths eakup kapcjamjaoam shht phsaio mcotrcj. Mijclpcm mcotrcj kahlgaj ehra pirthlh kajhmumho piodulpujho
Mcotrhm whmtu uotum ohotaoyh phkh ehra miiohl pioijata lilaoth phsaio uotum girsikah liodasa muisacoir mioyhlhoho yhod tijhe kasikahmho cjie pioijata kho phkh ehra mi 8; (7 laoddu) phsaio liodasa muisacoir muhjaths eakup kapcjamjaoam shht phsaio mcotrcj. Phsaio kacgsirvhsa kiodho liodumur timhoho khrhe, ohka, ohphs, lcoatcraod IMD kho hkhoyh thokh-thokh sipirta oyira, khkh, miraodht kaodao, pusaod, mijijheho, dijhp lhth, hthmsah, pufht, sahocsas, kyspoui kho luhj. Mijclpcm mcotrcj takhm liokhphtmho piobijhsho kahwhj mcotrhm tiothod jhtaeho riehgajathsa bhotuod kho takhm kagiramho gumu phokuho Jhtaeho riehgajathsa bhotuod, tithpa liokhphthmho piobijhsho kho gumu jhtaeho riehgajathsa bhotuod sitijhe phsaio liodasa muisacoir.
4;
A.
Hohjasas Khth
Hohjasas khth phkh pioijataho aoa lijaputa2 8.
Hohjasas uoavhraht Hohjasas uoavhraht uotum lilguht dhlghrho sifhrh sastilhtas khth yhod nhmtuhj kho hurht liodioha nhmth-nhmth sirth euguodho hothr nioclioh yhod katijata. Hohjasas uovhraht lijaputa liho, sthokhrt kivahsa, oajha tiriokhe, oajha tirtaodda kho fconakios aotirvhj khra khth ulul, mioyhlhoho kho muhjaths eakup.
7.
Hohjasas gavhraht Hohjasas gavhraht uotum lioditheua piodhrue jhtaeho riehgajathsa bhotuod tirehkhp mioyhlhoho kho muhjaths eakup phsaio HLA
sigijul kho sisukhe jhtaeho riehgajathsa bhotuod phkh rispcokio liodduohmho uba Aokipiokio Vhlpji [-[ist. Piodubaho sthtastam khjhl pioijataho liodduohmho mclputirashsa kiodho taodmht θ
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