Keperawatan Kritis

October 9, 2022 | Author: Anonymous | Category: N/A
Share Embed Donate


Short Description

Download Keperawatan Kritis...

Description

 

DKD N  RFEMKJVCVKE

 K.  Cktkr Dfckike`  Rksnfe irntns mfe`ke pfrkwktke mn ruke` NLV ( Netfesnvf ( Netfesnvf Lkrf Vent ) hfhncnin hgrdnmntks mke hgrtkcntks yke` tne``n.Hfe`fekcn lnrn-lnrn mfe`ke lfpkt mke pfektkckiskekke mnen yke` sfsukn pkmk pksnfe dfrfsnig irntns ktku pksnfe yke` dfrkmk mkckh ifkmkke irntns mkpkt hfhdketu hfelf`kj pfrduruike cfdnj ckeout mke hfhkisnhkcike pfcuke` uetui sfhduj (@wneeutt, 4221 mkckh Ofvge mke Fwfes, 422>). Lghprfjfesnvf Lrntnlkc Lkrf Mfpkrthfet ga Jfkctj-Ne``rns Jfkctj-Ne``rns hfrfighfemksnike uetui hfhdfrnike pfrkwktke irntns sfsukn ancgsgan pfrkwktke irntns tkepk dktks ( lrntnlkc lkrf wntjgut wkcc ), ), ykntu ifdutujke pksnfe irntns jkrus mnpfeujn mn hkekpue pksnfe tfrsfdut sflkrk ansni dfrkmk mn mkckh ruhkj skint (Ofvge mke Fwfes, 422>). Jkc nen mnpfrsfpsnike skhk gcfj tnh pfckykeke ifsfjktke dkjwk pksnfe irntns hfhfrcuike pfelktktke hfmns yke`  dfrifsnekhdue`ke mke hgentgrne` pfencknke sftnkp tnemkike yke` mnckiuike.Mfe`ke mfhninke pksnfe irntns frkt ikntkeeyk mfe`ke pfrkwktke netfesna gcfj ikrfek mfe`ke lfpkt mkpkt mnpketku pfrudkjke ansngcg`ns yke` tfrokmn ktku tfrokmneyk pfeurueke aue`sn gr`kegr`ke tuduj ckneeyk (Tkd, 4220). Dfrmkskrike pfrkturke hfetfrn ifsfjktke rfpudcnl Nemgefsnk eghgr ;2 tkjue42;6 tfetke` stkemkr stkemkr pfckykeke ifpfrkwk ifpfrkwktke tke ruhkj skint Rks kc 4 mnsfdutike dkj wk  Rf e` kt ur k e \t ke mk r Rf c k yk e ke I fp fr kw kt ke mn Tu h kj \ ki n t I ju su s   dfrtuouke uetui hfene`iktike hutu pfckykeke ifpfrkwktke mn ruhkj skint ijusus mke ruhkj skint uhuh yke` hfhncnin pfckykeke ifpfrkwktke ifijususke yke` mnsusue  dfrmks krike ighpftfesn  dfrmkskrike ighpftf esn mke ifwfeke`ke ifwfek e`ke pfrkwkt pfrkwk t mfe`ke hfhpfrjktni hfhpfr jktnike ke i f s f c k h k t k e , ifkhkeke, ifsfjktke, cne`iue`ke jnmup, pfrifhdke`ke nchupfe`ftkjuke mke tfiegcg`n, sfrtk pfe`kckhke, pfrifhdke`ke hksk inen mke hkskyke` kike mktke`. Mkckh hfene`iktike hutu ckykeke ruhkj skint tnmki dnsk mnokujike mkrn iftfrsfmnkke tfek`k ifsfjktke. \fsukn mfe`ke pfrkturke yke` hfeyktkike dkjwk sftnkp tfek`k ifsfjktke yke` dfifrok mn ruhkj skint jkrus dfifrok sfsukn mfe`kestkemkr prgafsn, stkemkr pfckykeke ruhkj skint, stkemkr prgsfmur gpfrksngekc yke`dfrckiu,

ftnik

prgafsn,

hfe`jgrhktn

jki

pksnfe

mke

hfe`utkhkike

ifsfckhktkepksnfe (pkskc ;< kykt, VV T\, tkjue 422>). Rfrkwkt sfdk`kn dk`nke mkrn tfek`k ifsfjktke pfrcu hfhdfrnike  p f c k y k e k e k s u j k e i f p f r k w k t k e m f e ` k e hfhpfrjktnike hfe`niutn pfrkturke

 

mke stkemkr yke` dfrckiu mn ruhkj skint.\kckj sktu dfetui pfckykeke yke` mndfrnike kmkckj pfckykeke netfesna, mnhkekpfckykeke netfesna yke` mnhkisum kmkckj pfckykeke ifpfrkwktke yke` mndfrnikepkmk pksnfe mkckh igemnsn irntns yke` hfhdutujike  pfeke`ke  pfek e`keke ke mke m ke pfhke p fhketku tkukenetfesna kenetfesna mn ruke` netfesnvf lkrf uent (NLV).

D.  Tuhuske Hkskck ;.  Kpk ntu Rfe`frtnke ifpfrkwktke irntns7  

4.  Dk`knhkek Tuke` cne`iup ifpfrkwktke irntns7   02-ke. \fdk`kn lgetgj, if`kwktke mn uent gpfrksn ikrmngvksiucfr, pfmnktrnl, mke uent efgektfs. Ifpfrkwktke `kwkt mkrurkt sflkrk ijusus dfrigesfetrksn pkmk rfspge hkeusnk pkmk hkskckj yke` hfe`kelkh jnmup sfpfrtn trkuhk ktku gpfrksn hkygr. Rfelf`kjke tfrjkmkp hkskckj ifsfjktke hfrupkike jkc pfetne` mkckh prkitni ifpfrkwktke `kwkt mkrurkt. (Jkrtsjgre ft kcc, ;>>0).

 

Vent pfrkwktke irntns ktku NLV kmkckj hfrupkike uent pfrkwktke ijusus yke` hfhdutujike ifkjcnke mkckh pfeyktuke neagrhksn, hfhdukt ifputuske mke mkckh hfhdukt prngrntks, ikrfek skkt pfeykint hfeyfrke` snstfh tuduj, snstfh yke` ckne tfrcndkt mkckh upkyk hfe`ktksn kmkeyk iftnmkisfnhdke`ke. Fsfesn ksujke ifpfrkwktke irntns tnmki dfrmkskrike ifpkmk cne`iue`ke yke` ijusus ktkupue kckt-kckt, tftkpn mkckh prgsfs  pfe`khdncke ifputuske yke` mnmkskrike pkmk pfhkjkhke yke` sue``uj-sue``uj tfetke` ansngcg`ni mke psnigcg`ni (Jumki & @kccg, 42;4 ).

Kmkpue dfdfrkpk irntfrnk pksnfe yke` hfhfrcuike pfrkwktke mn NLV kmkckj? ;.  Rksnfe dfrkt, irntns, pksnfe tnmki stkdnc yke` hfhfrcuike tfrkpn netfesna sfpfrtn  dketuke vfetncktgr, pfhdfrnke gdkt vksgkitna hfckcun neaus sflkrk tfrus hfefrus, lgetgj `k`kc ekaks dfrkt, sygi sfptni. 4.  Rksnfe yke` hfhfrcuike pfhketkuke netfesna nevksnvf ktku ege nevksnvf sfjne``k ighpcniksn dfrkt mkpkt mnjnemkrn ktku mniurke`n, lgetgj pksik dfmkj dfskr mke cuks,  pksnfe mfe`ke pfeykint oketue`, oketue`, pkru, `neokc, ktku ckneeyk. ).Cne`iup ( KKLE,;>:>).Cne`iup  prkitni ksujke ifpfrkwktke irntns mnmfanensnike mfe`ke netfrkisn pfrkwkt irntns, pksnfe mfe`ke pfeykint irntns, mke cne`iue`ke yke` hfhdfrnike suhdfr-suhdfr kmfiukt uetui  pfhdfrnke pfrkwktke.

 

Rksnfe yke` hksui if cne`iue`ke ifpfrkwktke irntns hfefrnhk ksujke ifpfrkwktke netfesna uetui dfrdk`kn hkskckj ifsfjktke.\frke`iknke `fokck hfhncnin rfetke` mkrn  pksnfe yke` hfhfrcuike pfhketkuke yke` sfrne` mke hfhdutujike sfmnint netfrvfesn skhpkn pksnfe mfe`ke if`k`kcke aue`sn huctnsnstfh yke` hfhfrcuike netfrvfesn uetui hfemuiue` aue`sn jnmup yke` hfemkskr.Rkmk uhuheyk cne`iue`ke yke` hfemuiue` rksng pfrdkemne`ke pfrkwkt  “   pksnfe ykntu ;?4 (tfr`ketue` mkrn ifdutujke pksnfe), sktu  pfrkwkt mkpkt hfrkwkt tn`k pksnfe mke, tfrikmke` sfgrke` pksnfe hfhfrcuike dketuke cfdnj mkrn sktu grke` pfrkwkt uetui mkpkt dfrtkjke jnmup.Muiue`ke mke pfe`gdktke tfrjkmkp pksnfe-pksnfe tfrsfdut hfhdutujike suktu cne`iue`ke yke` neagrhksneyk snkp tfrsfmnk mkrn dfrdk`kn suhdfr mke mnktur sfmfhninke rupk sfjne``k ifputuske mkpkt mnkhdnc mfe`ke lfpkt mke kiurkt. 

L.  Igesfp ifpfrkwktke irntns  ;.  ]uouke 

Vetui hfhpfrtkjkeike jnmup (hknetknene` (hknetknene` cnaf). cnaf).  4.  Rfe`ikonke Mnckiuike pkmk sfhuk snstfh tuduj uetui hfegpke` mke hfhpfrtkjkeike snstfh-snstfh tfrsfdut tftkp sfjkt mke tnmki tfrokmn if`k`kcke.Rfe`ikonke hfcnputn  prgsfs

pfe`uhpucke

mktk,

vkcnmksn

mktk,

hfe`netfrprftksnike

mktk

mke

hfhagrhucksnike hkskckj ktku mnk`egsk ifpfrkwktke sfsukn jksnc kekcnsk mktk. Rfe`ikonke kwkc mnmkckh ifpfrkwktke ntfesna skhk mfe`ke pfe`ikonke uhuheyk ykntu mfe`ke pfemfiktke systfh yke` hfcnputn kspfi dng-psnig-sgsnkc-iucturkcspnrntukc, ekhue iftnik icnfe yke` mnrkwkt tfckj hfe``uekike kckt-kckt kckt- kckt dketu hfikeni sfpfrtn Kckt Dketu Ekpks (KDE), jfhgmnkcnsk, pfe`ikonke ou`k mnkrkjike if jkc-jkc yke` cfdnj ijusus ykien tfriknt mfe`ke tfrkpn mke mkhpki mkrn pfe``uekke kckt-kckt tfrsfdut.  rke`ikn ifrok?   ;)  Rrfjgspntkc, hfcnputn pfrtgcge`ke pfrtkhk pkmk tfhpkt ifokmnke rfsusntksn lkrmnkl  puchgefr , pfe`gdktke `kwkt mkrurkt, tfieni uetui hfe`fvkcuksn, khkeeyk trkespgrtksn, kisfs tfcfpge if puskt.   4)  ]rnk`f ]rnk`f,, ykien sifekrng pfrtgcge`ke yke` kike mndfrnike sfsumkj aksf ifkmkke. Rksnfe-pksnfe yke` ske`kt tfrkelkh jnmupeyk jkrus mndfrn prngrntks utkhk.Rkmk  dfelkek kckh mnhkek tfrokmn sfouhckj iksus `kwkt mkrurkt sfikcn`us hkik sifekrng  pfe`ktkske ifkmkke irntns jkrus mnrkelke` sfmfhninke rupk sfjne``k pfrtgcge`ke hfhdfrnike jksnc sflkrk hkisnhkc mfe`ke hfhprngrntksike yke` pkcne` `kwkt mke jkrkpke jnmup yke` tne``n.  ).Cne` ( KKLE,;>:>).Cne`iup iup  prkitni ksujke ifpfrkwktke irntns mnmfanensnike mfe`ke netfrkisn pfrkwkt irntns, pksnfe mfe`ke pfeykint irntns, mke cne`iue`ke yke` hfhdfrnike suhdfr-suhdfr kmfiukt uetui  pfhdfrnke pfrkwktke. Rksnfe yke` hksui if cne`iue`ke ifpfrkwktke irntns hfefrnhk ksujke ifpfrkwktke netfesna uetui dfrdk`kn hkskckj ifsfjktke.\frke`iknke `fokck hfhncnin rfetke` mkrn  pksnfe yke` hfhfrcuike pfhketkuke yke` sfrne` mke hfhdutujike sfmnint netfrvfesn skhpkn pksnfe mfe`ke if`k`kcke aue`sn huctnsnstfh yke` hfhfrcuike netfrvfesn uetui hfemuiue` aue`sn jnmup yke` hfemkskr.Rkmk uhuheyk cne`iue`ke yke` hfemuiue` rksng pfrdkemne`ke pfrkwkt  “   pksnfe ykntu ;?4 (tfr`ketue` mkrn ifdutujke pksnfe), sktu  pfrkwkt mkpkt hfrkwkt tn`k pksnfe mke, tfrikmke` sfgrke` pksnfe hfhfrcuike dketuke cfdnj mkrn sktu grke` pfrkwkt uetui mkpkt dfrtkjke jnmup.Muiue`ke mke pfe`gdktke tfrjkmkp pksnfe-pksnfe tfrsfdut hfhdutujike suktu cne`iue`ke yke` neagrhksneyk snkp tfrsfmnk mkrn dfrdk`kn suhdfr mke mnktur sfmfhninke rupk sfjne``k ifputuske mkpkt mnkhdnc mfe`ke lfpkt mke kiurkt.

J.  Ighpftfes Ighpftfesnn spfsnkcns ifpfrkwktke irntns 

Ighpftfesn nkckj sfpfrke`ikt tnemkike lfrmks, pfeuj tke``ue` okwkd yke` mnhncnin sfsfgrke` sfdk`kn sykrkt uetui mnke``kp hkhpu gcfj hksykrkikt mkckh hfckiskekike tu`ks-tu`ks mndnmke` pfifrokke tfrtketu.Vetui hfe`fhdke`ike ighpftfesn sfsfgrke`  pfrkwkt spfsnkcns ifpfrkwktke irntns intk pfrcu hfe`ftkjun lnrn-lnrn mkrn tne`ikt spfsnkcns ifpfrkwktke irntns ntu sfemnrn. Ighpftfesn yke` jkrus mnlkpkn gcfj sfgrke` pfrkwkt irntns sfsukn \tkemkr Gpfrksngekc Rrgsfmur yke` mn ckiuike mn NLV Mfwksk  ;.  Rfeke`keke @ke``uke Okcke Ekaks ?   k.  Hfckiuike ]frkpn Gisn`fe 

 

 d.  Hfckiuike Drgeljnkkc Pksjne`  l.  Hfckiuike \ultnge  m.  Hfckiuike Netudksn  f.  Hfckiuike Fxtudksn /Pfkene`  4.  Hfe``uekike Qfetncktgr ?  k.  Hfhpfrsnkpike Qfetncktgr    d.  \ft Qfetncktgr   l.  Hfrkwkt hfsne Qfetncktgr   m.  Hfe`uiur Qgcuhf ]nmki   f.  Hfckiuike ]-Rnflf  a.  Hfhdfrnike gdkt Nejkcksn  `.  Hfe`khdnc skhpfc mkrkj krtfrn uei. K@M   >1) kmkckj ?  ;.  Hfe`fcgck pksnfe mfe`ke stkemkr nemustrn yke` igesntfe  4.  Jgrhkt tfrjkmkp sfokwkt mke ckneeyk   .  Hfhpfrcnjktike iftfrkhpncke ighueniksn yke` kitna   ;2. Hfhpfrcnjktike iftfrkhpncke pfe`ikonke tne`ikt tne``n   ;;. Netrfprftksnike sntuksn yke` ighpcfis  ;4. Dfrtnemki sfdk`kn iggrmnektgr pfrkwktke  \ftfckj hfe`ftkjun lnrn-lnrn mkrn ifpfrkwktke irntns spfsnkcns hkik intk cfdnj humkj mkckh hfruhusike ighpftfesn, fcfhfe mke uoui ifrok/pfekhpncke yke` mndutujike. 

O.  RFTKE RFTKPK] ITN]N\ 

Ifpfrkwktke irntns kmkckj suktu dnmke` yke` hfhfrcuike pfrkwktke pksnfe yke`  dfriukcntks tne``n mke ighprfjfesna. Vetui pksnfe pksnf e yke` irntns, irntns , wkitu kmkckj sfsuktu jkc yke` vntkc. Rrgsfs ifpfrkwktke hfhdfrnike suktu pfemfiktke yke` snstfhktns, mnhkek  pfrkwkt ifpfrkwktke irntns mkpkt hfe`fvkcuksn hkskckj pksnfe mfe`ke lfpkt (]kcdgt, ;>>0). NLV ktku netfesnvf lkrf uent  mnhuckn pfrtkhk ikcn pkmk tkjue ;>62-ke. If`kwkt mkrurktke mkckh ifpfrkwktke dfrifhdke` sfoki tkjue ;>02-ke. \fdk`kn lgetgj, if`kwktke mn uent gpfrksn ikrmngvksiucfr, pfmnktrnl, mke uent efgektfs. Ifpfrkwktke `kwkt mkrurkt sflkrk ijusus dfrigesfetrksn pkmk rfspge hkeusnk pkmk hkskckj yke` hfe`kelkh jnmup sfpfrtn trkuhk ktku gpfrksn hkygr. Rfelf`kjke tfrjkmkp hkskckj

 

ifsfjktke hfrupkike jkc pfetne` mkckh prkitni ifpfrkwktke `kwkt mkrurkt. (Jkrtsjgre ft kcc, ;>>0). Rfrke pfrkwkt irntns sfdk`kn dfrniut? ;.  Kmvgikt Rfrkwkt ou`k dfrpfrke sfdk`kn kmvgikt ktku pfcnemue` icnfe, ykntu hfhdketu hfhpfrtkjkeike cne`iue`ke yke` khke dk`n icnfe mke hfe`khdnc tnemkike uetui hfelf`kj tfrokmneyk iflfckikke mke hfcnemue`n icnfe mkrn fafi yke` tnmki mnne`neike yke` dfrkskc mkrn pfe`gdktke ktku tnemkike mnk`egstni tfrtfetu (Rgttfr mke Rfrry, 4226). 4.  Lkrf `nvfr   Rfrkwkt hfhdfrnike dketuke sflkrk cke`sue` pkmk icnfe mke ifcukr`k yke` hfe`kckhn hkskckj ifsfjktke (Qnliy, 42;2). >>). Hkekofr

iksus

hfckiuike

hgentgrne`

tfrjkmkp

ksujke

ifpfrkwktke

yke`

mnckiskekike gcfj tfek`k pfrkwkt mke ege ifpfrkwktke. \ftnkp pfrkwkt mntu`ksike uetui hfckyken sfcuruj ifdutujke pksnfe skkt nk mneks. Hftgmf pfeu`kske iksus dnksk mntfrkpike sktu pksnfe sktu pfrkwkt, mke jkc nen uhuheyk mnckiskekike uetui pfrkwkt prnvkt ktku uetui ifpfrkwktke ijusus sfpfrtn nsgcksn ,  , netfesnvf lkrf. Hftgmf nen dfrmkskrike pfemfiktke jgcnstni mkrn ancgsgan ifpfrkwktke. Rfrkwkt dfrtke``ue` okwkd tfrjkmkp ksujke mke gdsfrvksn  pkmk pksnfe tfrtfetu (Eurskckh, 4224). Igesfp mkskr hftgmf iksus mkckh ksujke ifpfrkwktke prgafssngekc kmkckj kmk tke``ue` okwkd mke tke``ue` `u`kt, `u`kt, gtgeghn, sfrtk iftfrtndke pksnfe mke ifcukr`k. ]u`ks pfrkwkt mkckh hftgmf iksus ykntu? Hfefrnhk pksnfe mke hfe`ikon ifdutujke pksnfe sflkrk ighprfjfesna ;.  Hfhdukt tuouke mke rfelkek ifpfrkwktke 4.  Hfckiskekike sfhuk rfelkek yke` tfckj mndukt sfckhk nen

 

>:). Ifuetue`ke

yke`

mnrkskike

kmkckj

pksnfe

hfrksk

mnhkeusnkwnike

ikrfek

tfrpfeujneyk ifdutujke sflkrk nemnvnmu. \fckne ntu ksujke mndfrnkike dfrhutut tne``n mke tfrlkpkn pfckykeke yke` fafitna tfrjkmkp pfe`gdktke, muiue`ke, prgtfisn, neagrhksn mke kmvgiksn sfjne``k pksnfe hfrksk puks. Mgitfr ou`k hfrkskike ifpukske ikrfek sfeketnksk hfemkpktike neagrhksn tfetke` igemnsn pksnfe yke` sfckcu mnpfrdkjkrun mke ighprfjfesna. \fckne ntu, hkskckj pksnfe mkpkt mnpkjkhn gcfj pfrkwkt mke ifpukske tu`ks sflkrk ifsfcurujke mkpkt mnlkpkn. \fmke`ike ifru`nkeeyk kmkckj iurke` fansnfe ikrfek hfhfrcuike pfrkwkt  prgafsngekc mfe`ke iftfrkhpncke tne``n mke nhdkcke yke` tne``n, sfmke`ike hksnj kmk  pfifrokke yke` mkpkt mnifrokike gcfj ksnstfe pfrkwkt. Dfdke ifrok tne``n tfrutkhk onik  ouhckj icnfe dkeyki sfjne``k tu`ks rutne yke` sfmfrjkek tfrcfwktike. Rfemfcf`ksnke  pfrkwktke icnfe jkeyk sfdk`nke sfckhk pfrkwkt pfek``ue` okwkd icnfe dfrtu`ks (Rrnjkrog,;>>6).

D.  RTG\F\ IFRFTKPK]KE ITN]N\  Rrgsfs ifpfrkwktke kmkckj susueke hftgmf pfhflkjke hkskckj yke` hfcnputn

 pfe`ikonke, kekcnsk, pfrfelkekke, nhpcfhfetksn, mke fvkcuksn. Ksujke Ifpfrkwktke Netfesna

kmkckj

if`nktke

prkitfi

ifpfrkwktke

netfesna

yke`

mndfrnike

pkmk

 pksnfe/ifcukr`k. Ksujke ifpfrkwktke mnckiuike mfe`ke hfe``uekike pfemfiktke prgsfs ifpfrkwktke yke` hfrupkike hftgmf nchnkj mke pkemuke mkckh hfhdfrnike ksujke

 

ifpfrkwktke yke` dfriukcntks `uek hfe`ktksn hkskckj pksnfe. Cke`ikj-cke`ikj yke` jkrus mnckiuike hfcnputn pfe`ikonke, hkskckj/mnk`egsf ifpfrkwktke, rfelkek tnemkike mke fvkcuksn (Mfpifs TN, 4221). ;.  Rfe`ikonke Rfe`ikonke hfrupkike cke`ikj kwkc prgsfs ifpfrkwktke yke` hfe`jkrusike  pfrkwkt hfefhuike mktk ifsfjktke icnfe sflkrk tfpkt. Rfe`ikonke kwkc mn mkckh ifpfrkwktke netfesna skhk mfe`ke pfe`ikonke uhuheyk ykntu mfe`ke pfemfiktke systfh yke` hfcnputn kspfi dng-psnig-sgsng-iucturkc-spnrntukc, ekhue iftnik icnfe yke` mnrkwkt tfckj hfe``uekike kckt dketu hfikeni sfpfrtn kckt dketu ekpks, jfhgmnkcnsk, pfe`ikonke ou`k mnkrkjike if jkc-jkc yke` cfdnj ijusus ykien tfriknt mfe`ke tfrkpn mke mkhpki mkrn pfe``uekke kckt-kckt tfrsfdut. 4.  Rfeftkpke Hkskckj/Mnk`egsk Ifpfrkwktke \ftfckj mktk mniuhpucike, mktk mnkekcnsk. Mkrn pfe`ikonke mktk mkskr, hkskckj yke` kitukc, pgtfesnkc mke dfrfsnig tne``n mnnmfetnaniksn mke mnurknike hfeurut prngrntks sfsukn mfe`ke ifdutujke ifpfrkwktke pksnfe irntns. Jkc nen hue`ine hfrupkike hkskckj yke` ighpcfis mnsfdkdike gcfj dfrkteyk igemnsn pksnfe. Rrngrntks pkcne` tne``n mndfrnike pkmk hkskckj yke` hfe`kelkh ifjnmupke, ckcu mkpkt mnckeoutike mfe`ke hfe`nmfetnaniksn kctfrektnvf mnk`egsf uetui hfene`iktike ifkhkeke, ifeykhkeke, mke mnk`egsf uetui hfelf`kj ighpcniksn. >0. Rfe`ikonke ;>>0. Rfe`ikonke Ifpfrkwktke Irntns Fmnsn? 4. 4. Okikrtk? F@L  Hgrtge, Rktrnlnk @gelf, mii. 42;;. Ifpfrkwktke 42;;. Ifpfrkwktke Irntns? Rfemfiktke Ksujke Jgcnstni . Okikrtk? F@L  ]kdrken. 4220. K`femk 4220. K`femk `kwkt mkrurkt mkrurkt (Lrntnlkc Lkrf). Lkrf). R. ] Kcuhen? Dkemue`   WWWWWW. 42;=. 42;=. Lrntnlkc Lkrf Eursne`.  Jttp?//www.fe.wninpfmnk.gr`/wnin/LrntnlkcWlkrfWeursne` (Mnkisfs tke``kc >/>/42;6) 

View more...

Comments

Copyright ©2017 KUPDF Inc.
SUPPORT KUPDF