Laporan Kasus Karies Juwita PDF

 

 Yhrmmfjhn Q oh jdf  Yhr jdfrr moc L bnss bnss H fjf jfk kor  (Yhrmfjfkor  (Yhrmfjfkor Hkprfvoc®)Anenj Qostfrnsh Anru ujtug Lhlh ]ubujl Pfstorhfr9 Bnpfrnj Gnsus 

KNGNBNE KNGNBN E BNPFQNJ GN]_] GNQHO]

Iuwhtn Qntjn Qnenyu >4031>>50008 

Cfsoj Pokahkahjl Pokahkahjl 9 Prfd. Cr. Nrbotto ]uzy Pu Puspn spn Porthwh, crl., ]p.GLN (G), K.]h

PQFLQNK POJCHCH PQFLQNK POJCHCHGNJ GNJ CFGSOQ LHLH ]PO]HNBH] HBK_ GOCFGSOQNJ LHLH NJNG DNG_BSN] DNG_BSN ] GOCFGSOQNJ LHLH _JHTOQ]HSN] _JHT OQ]HSN] PNCINC PNCINCINQNJ INQNJ ANJC_JL 1010  

 

 

CNDSNQ H]H

CNDSNQ CNDS NQ H]H ................................... ..................................................................... ..................................................................... ....................................... .... hh CNDSNQ LNKANQ ............................... .................................................................... ................................................................ ...........................hhh CNDSNQ SNAOB .............................. ................................................................... ...................................................................... .................................v 

ANA H POJCNE_B_NJ ................................................................... ....................................................................................... .....................> ANA HH SHJIN_NJ P_]SNGN .............................. ................................................................... .............................................. .........= 1.> Yhrmfjhn ............................. ................................................................... ....................................................................... ............................................ ........... = 1.1 Yhr mf mfjf jfk kor D Dn nkhby  .............................................................. ............................................................................................ .............................. ? 1.= ]hdnt Kognjhs Yhr  Yhrmf mfjf jfk kor D Dn nkh by ................................................................... ...................................................................< ANA HHH BNPFQNJ GN]_]  ............................................................... ................................................................................. .................. >0 =.> Gnsus > .............................. .................................................................... ....................................................................... ............................................ ........... >0 

=.1 Gnsus 1 .............................. .................................................................... ....................................................................... ............................................ ........... >4  =.= Gnsus = .............................. .................................................................... ....................................................................... ............................................ ........... 11  ANA HT POKANEN]NJ  .................................................................. ....................................................................................... ..................... 15 

ANA T ]HKP_BNJ  ..................................................................... ................................................................................................ ........................... =0  CNDSNQ P_]SNGN .............................. ................................................................... ................................................................ ...........................=> 

hh

 

 

CNDSNQ LNKANQ

Lnkanr 1.> Kognjhsko trnjsdfrknsh................................................................... ?

Lnkanr 1.1 Srnjsbusojsh  Srnjsbusojsh Yhrmfjfkor  Yhrmfjfkor Dnkhby Dnkhby  .................................. ..................................................... ................... < Lnkanr =.> Fcf  Fcfjtflrn jtflrnk k pncn pn cn pn pnshoj shoj ................................... ................................................................ .............................>> Lnkanr =.1 Dftf Hjtrn frnb ...... .......................................... ..................................................................... ........................................ .......>>

Lnkanr =.= Prf  Prfdhb dhb pfstur tuaue pnshoj pnsh oj ............................................................... ...............................................................>1 Lnkanr =.3 Yhr  Yhrmfjf mfjfkor kor Hkprfvo Hk prfvoc c ® ............................................................... ................................................................. .. >3

Lnkanr =.? Bnjlgne pojnkanbnj lhlh 3 Lnkanr =.4 Enshb pojnkanbnj cojlnj Yhrmfjfkor Hkprfvoc® .. ....... .......... .......... .......... .....>?

Lnkanr =. khjllu sotobne pojnkanbnj .......................................... >? Lnkanr =.5 Gfjtrfb > aubnj sotobne pojnkanbnj .............................................. >4

Lnkanr =.8 Fcf  Fcfjtflrn jtflrnk k pncn pn cn pn pnshoj shoj ................................... ................................................................ .............................>< Lnkanr =.>0 Dftf Hjtrnfrnb Hjtrn frnb ................ ................................................... ................................................................. ..............................>5 Lnkanr =.>> Prfdhb pfstur tuaue pnshoj............................................................. >5

Lnkanr =.>1 Bn  Bnjlgn jlgne e pojnk pojnkanbnj anbnj ............................... .................................................................... .....................................10 Lnkanr =.>= Enshb pojnkanbnj cojlnj Yhrmfjfkor Y hrmfjfkor Hkprfvoc ® ..... .......... .......... ......... ....10

Lnkanr =.>3 Gfjtrfb > khjllu sotobne pojnkanbnj ..................................................1>

hhh

 

 

Lnkanr =.>? Gfjtrfb > aubnj sotobne pojnkanbnj pojnkanbnj..... .......... .......... .......... .......... .......... ........... ........... ........ ...1>

Lnkanr =.>4 Fc  Fcfjtflrn fjtflrnk k pncn pn cn pnsh pnshoj oj ............................................ .............................................................. ..................1= Lnkanr =.>5 Dftf ogstrn ogstrnfrnb frnb ... ....................................... ..................................................................... ........................................ .......13 Lnkanr =.>8 Bn  Bnjlgn jlgne e pojnk pojnkanbnj anbnj ............................... .................................................................... .....................................14 Lnkanr =.10 Enshb tnkanbnj Yhrmfjfkor Hkprfvoc®........ Hkprfvo c®.............. ........... .......... ........... ............ ........ ..14

Lnkanr =.1> Gfjtrfb > khjllu sotobne pojnkanbnj ..... .......... ........... ........... .......... ........... ........... ........ ...1< Lnkanr =.11 Gfjtrfb > khjllu sotobne pojnkanbnj ..... .......... ........... ........... .......... ........... ........... ........ ...1<

hv

 

 

CNDSNQ SNAOB

Snaob =.> ]tntus gnrhos pncn pnshoj gnsus >........................................................ >0

Snaob =.1 ]tntus gnrhos pncn pnshoj gnsus 1........................................................ >< Snaob =.= ]tntus gnrhos pncn pnshoj gnsus =........................................................ 11

v

 

 

ANA H

POJCNE_B_NJ

Knsnbne gosoentnj lhlh cnj kubut ynjl torinch pncn njng-njng cnpnt kokpojlnrueh porgokanjlnj ukuk njng-njng, gosoentnj tuaue somnrn ukuk cnj iuln cnpnt aorcnkpng jolnthd torencnp gunbhtns ehcup. _kukjyn gorusngnj lhlh subujl cnpnt chsoanagnj fboe gnrhos ynjl buns, trnukn ntnu gomobngnnj cnj  aoaornpn pojynght ntnu gfjchsh bnhjjyn. >  Gnrhos lhlh ncnbne suntu pojynght ynjl kojyornjl inrhjlnj gorns lhlh ynhtu oknhb, cojthj, cnj sokojtuk. 1  Provnbojsh gnrhos kojurut Jnthfjnb Eonbte njc Jutrhthfj Oxnkhjnthfj ]urvoy cnrh tneuj 10>?-10>4 cojlnj njng ushn 1->8 tneuj ncnbne 3=,>%. = Gnrhos pncn lhlh coshcuh  aorncn pncn porhjlgnt >1, ynjl kokpojlnrueh ?00 iutn njng -njng pncn tneuj  pojobhthnj lbfanb tneuj 10>?. 3  Qostfrnsh lhlh chporbugnj ujtug kojlokanbhgnj  aojtug cnj dujlsh lhlh nsbh soehjlln kojmolne gorusngnj aortnkane pnrne cnj goehbnjlnj chjh lhlh subujl.. >  Qostfrnsh hconb enrus kokhbhgh shdnt-shdnt soporth goguntnj tognj ynjl ncogunt, gobnrutnj rojcne, thcng ncn goafmfrnj knrlhjnb, kojmolne gnrhos sogujcor. ]oing >580-nj, nknblnk lhlh korupngnj anenj rostfrnsh bflnk anjyng chphbhe fboe cfgtor lhlh, gnrojn kokhbhgh aoaornpn goujllubnjjyn soporth ahnyn ynjl boahe rojcne, knjhpubnsh ynjl kucne. Sotnph gogurnjlnjj gogurnjlnjjyn yn ostothgn ynjl  iobog, gurnjl gurnjljyn jyn nceosh pncn porkugnnj lhlh, cnj pftojsh anenyn gorn gornmujnj mujnj korgurh, torutnkn chlujngnj fboe njng-njng. ?,4  

>

 

 

Sorcnpnt

anenj

nbtorjnthvo

pojllnjth

nknblnk,

ynhtu

Yhrmfjfkor

Hkprfvoc®. Anenj hjh korupngnj gobns anru LHM rostfrnthd, cojlnj pojhjlgntnj goguntnj cnj cnyn tnenj. Yhrmfjfkor Hkprfvoc® kojujiuggnj goguntnj ynjl khrhp cojlnj nknblnk, soehjlln iuln chsoaut nknblnk puthe. Gnjcujlnj anenj hjh torcnpnt zhrmfjhn ynjl aordujlsh ujtug kokporgunt hjtolrhtns strugturnb, kokaorhgnj ostothgn ujtug rostfrnsh lhlh pfstorhfr, cnj torehjcnr cnrh anenyn korgurh, sortn kobopnsgnj dbufrhco boahe cnrh LHM gfjvojshfjnb, torutnkn cnbnk gnsus cojlnj rhshgf gnrhos thjllh. ?,<

 

 

ANA HH

SHJIN_NJ SHJIN_N J P_]SNGN

Cfgtor lhlh tobne bnkn kojmnrh anenj nbtorjnthd ujtug pojllnjth nknblnk, torutnkn ynjl eoknt ahnyn, knkpu kobopnsgnj dbufrhco, kucne chlujngnj tnjpn kojllujngnj pornbntnj ynjl rukht cnj ynjl kojnwnrgnj goguntnj sortn ostothgn ynjl anhg. Nbtorjnthd anenj anru cnrh nknblnk ynhtu Yhrmfjfkor  Dnkhby  Dnkhby.. (nknblnk nbtorjnthvo)

1.> Yhrmfjhn

Yhrmfjhn, korupngnj gornkhg aorgoguntnj thjllh, ynjl chporgojnbgnj nwnb >880-nj, soanlnh  soanlnh  pfst ojcfcfjthm, ojcfcfjthm, gokuchnj soanlnh nautkojt hkpbnj cnj  drnkowfrg mfros mf ros ujtug  ujtug knegftn cnj lhlh thrunj soanlhnj mognt. Yhrmfjhn kokhbhgh jhbnh ynjl thjllh cnbnk enb ostothgn cnj kokhbhgh aoaornpn goujllubnj, soporth  ahfgfkpnthahbhtns gnrojn aoans cnrh bflnk cnj kokhbhgh thjlgnt nceosh angtorh ynjl rojcne, goguntnj bojtur ynjl thjllh, cnj shdnt fpthg ynjl cnpnt chtorhkn. Pnrthgob zhrmfjhn kokhbhgh ugurnj cnj nchthd aoraocn, soporth htrhuk fgshcn cnj nbukhjn, ynjl cnpnt chchstrhaushgnj somnrn efkfloj ch soburue anenj ntnu gfjsojtrnsh ynjl boahe thjllh. Aorknmnk ugurnj pnrthgob kokpojlnrueh pfrfshtns ynjl chenshbgnj sortn trnjsbusojsh anenj. _gurnj kokhbhgh odog pncn goguntnj ynjl boahe thjllh, gotnjlluenj, gogornsnj thjllh, cnj gotnenjnj gfrfsh, cojlnj cokhghnj, gothgn somnrn pnrthgob efkfloj chknsuggnj go cnbnk lbnss cnbnk  lbnss mfkpfjoj mf kpfjojt  t ,

=

 

3

ngnj soknghj kokporgunt cnyn tnenj cnj tfbornjsh ynjl thjllh torencnp aoanj fgbusnb. Fboe gnrojn htu, ahfkntorhnb hjh kojinjihgnj gnrojn kojujiuggnj goguntnj ynjl anlus, cnyn tnenj, cnj porbhjcujlnj dbufrhco aorgobnjiutnj, soehjlln kojllnaujlgnj cnj kokportnenjgnj knjdnnt cnrh gocun anenj rostfrnsh ynjl pfpubor chlujngnj, ynhtu nknblnk cnj LH gfjvojshfjnb. 8  Yhrmfjhn (YrF1) ncnbne fgshcn grhstnb puthe zhrgfjhuk ynjl chtokugnj cnbnk khjornb zhrmfj. Yhrmfjhn torcnpnt cnbnk thln dnso9 dnso guahg ynjl stnahb ch ntns 1=>).

 

?

Lnkanr 1.> Kognjhsko trnjsdfrknsh

1.1 Yhr mf mfjf jfk kor D Dn nkhby

Yhrmfjfkor®   cnj Yhrmfjfkor Hkprfvoc® torknsug cnbnk Yhrmfjfkor Yhrmfjfkor®  Dnkhby.. Gocunjyn chporgojnbgnj go pnsnrnj soanlnh nknblnk puthe. Yhrmfjhn  Dnkhby korupngnj pojlhsh cnrh  lbnss mfkpfjojt  mfkpfj ojt   cnrh Yhrmfjfkor dnkhby cojlnj khgrfjhsnsh torgfjtrfb, kokaorhgnj gnrngtorhsthg cnj ugurnj pnrthgob ynjl fpthknb.?   Nsnk pfbhnbgojfnt cnj  lbnss mfkpfj mfkpfjojt  ojt   tobne chprfsos somnrn geusus ujtug kokaorhgnj goguntnj kognjhg ynjl anlus. Anenj hjh kojlnjcujl zhrgfjhuk fgshcn, auaug gnmn, nsnk tnrtnrnt (>->0%), nsnk pfbhngrhbnt (10-?0%), cnj cohfjhzoc wntor soanlnh mnhrnjjyn. Yhrgfjhuk fgshcn, gfkpfjoj auaug utnkn Yhrgfjfkor, enshb cnrh Anccoboyhto (YrF1) ynjl kojlnjcujl zhrgfjhn thjlgnt

thjllh

kubnh

cnrh

84,?

ehjlln

85,?%. 5  Yhrmfjfkor

Hkprfvoc

chgokanjlgnj soanlnh anenj tnkanb ynjl cnpnt chnjcnbgnj cnj tnenj bnkn, ujtug rostfrnsh aubg dhbb pfstorhfr torchrh cnrh pojlhsh zhrgfjhn aorugurnj jnjf ujtug kojhjlgntgnj shdnt ostothgn cnj gnrngtorhsthg enjcbhjl ynjl anhg. 5   Yhrmfjfkor® cnj Yhrmfjfkor Hkprfvoc® kokhbhgh goujtujlnj9

 

4

n) ]hdnt Kognjhg _jllub cojlnj goguntnj toph, ncnptnsh knrlhjnb, cnj gotnenjnj ynjl snjlnt anhg torencnp narnsh cnj orfsh,  a) ]obd nceoshvo lhlh nceoshvo lhlh soporth gfodhshoj torknb ogspnjsh.

m) Porbhjcujlnj dbufrhco aorgobnjiutnj, torutnkn cnbnk gnsus-gnsus cojlnj rhshgf gnrhos thjllh,

m) Gunbhtns pojmnkpurnj cnj pojnjlnjnj ynjl snjlnt anhg, c) Srnjspnrnjsh ynjl boahe thjllh, soehjlln khrhp cojlnj lhlh nsbh torutnkn Yhrmfjfkor Hkprfvoc, cnj o) Cnyn tnenj soporth nknblnk tnjpn anenyn korgurh. Yhrmfjfkor Hkprfvoc® ncnbne rostfrnsh ynjl hconb ujtug 59 n)  Gnvhtns gobns H cnj HH pncn lhlh subujl,  a)  Qostfrnsh Gobns H cnj HH pncn lhlh porknjoj, m)  Poranhgnj lhlh nknblnk ynjl chrostfrnsh gothgn snbne sntu rostfrnsh lhlh kojlnbnkh drngtur, c)  Gnvhtns ch sokun gobns pncn lhlh aorbuanjl ch knjn rnchfpnmhty rnchfpnmhty   chautuegnj o)  Mfro auhbc-up, cnj d)  Poranhgnj knrlhj knegftn. knegftn.  

 

<

Lnkanr 1.1 Srnjsbusojsh  Srnjsbusojsh Yhrmfjfkor  Yhrmfjfkor Dnkhby? 

1.= ]hdnt Kognjhs Yhr  Yhrmf mfjf jfk kor D Dn nkh by  

n. Gogornsnj, Gotnenjnj torencnp Narnsh, Goguntnj Sognj

]tuch toranru kojyhkpubgnj anewn pojllnaujlnj ? cnj >?% wt khmrfehcrfxynpntht    go cnbnk QKLH cnj Yhrmfjfkor kojhjlgntgnj goguntnj khmrfehcrfxynpntht   porkugnnj, totnph t otnph kojnkanegnj kojn kanegnj bboahe oahe cnrh > >?% ?% EN E N kojlen kojlenshbgnj shbgnj odog snkphjl. ]obnhj htu, pojllnaujlnj 1?% khmrfeycrfxynpnthto go cnbnk Yhrmfjfkor cnj QKLH kojurujgnj jhbnh gogornsnj chanjchjlgnj gobfkpfg tnjpn EN. Cnbnk  pojobhthnj hjh, kujlghj boahe aosnr ugurnj pnrthgob gnmn cnj boahe sochght gogfsfjlnj cnj rotngnj QKLH ynjl kojlenshbgnj jhbnh khmrfenrcjoss ynjl boahe thjllh. Gnrojn ugurnj pnrthgob EN / YrF1 boahe gomhb cnrh auaug gnmn, buns  porkugnnj inue inu e boahe aosnr chanjchjlgnj chanjchj lgnj cojlnj gnmn7 gnr gnrojn ojn htu, kuj kujlghj lghj porbu  iukbne mnhrnj ynjl boahe aosnr a osnr ujtug hjtorngsh. Jnkuj Jnkuj,, cnbnk p pojobhthnj ojobhthnj hjh, rnshf ynjl snkn cojlnj hjstrugsh pnarhg chlujngnj7 fboe gnrojn htu, jnkpngjyn iukbne ynjl thcng kokncnh pncn mnhrnj cnbnk mnkpurnj, soehjlln cnpnt kojluane shdnt kognjhg. Nbnsnj bnhj ujtug pojlurnjlnj gogornsnj porkugnnj snnt EN ynjl

 

5

chtnkanegnj pncn QKLH cnj Yhrmfjfkor kujlghj ncnbne pojurujnj gopncntnj sokoj ynjl torchrh cnrh EN, ynjl kojlnjcujl hfj gnbshuk. Hfj-hfj hjh aorongsh boahe cnrh gnthfj nbukhjhuk pncn lulus gnrafgshbnt cnbnk nsnk pfbhngrhbnt ynhtu cojlnj mnrn ynjl kojmhptngnj boahe sochght hgntnj shbnjl njtnrn nbukhjhuk cnj gnrafgshbnt cnj koboknegnj strugtur.5   ]oaune stuch kokanjchjlgnj goguntnj tognj sokoj hfjfkor gnmn ynjl chporgunt

zhrmfjhn

(wehto

nknblnk)

cojlnj

anenj

rostfrnthd

bnhjjyn

kojyhkpubgnj anewn sokoj hfjfkor gnmn ynjl chporgunt zhrgfjhn kokhbhgh goguntnj tognj torthjllh (>40,8> KPn) ch njtnrn sokun gobfkpfg ynjl chuih7 shbvor-rohjdfrmoc lbnss hfjfkor mokojt kokhbhgh jhbnh torthjllh gocun, cnj jhbnh goguntnj tognj pnbhjl gomhb torbhent cojlnj lbnss hfjfkor mokojt thpo HU-Oxtrn. Pojubhs pojobhthnj hjh kojlnhtgnj enb hjh gnrojn pojllnaujlnj zhrmfjhn khgrfshzo ynjl efkflojy cnbnk lbnss mfkpfjojt, ynjl soknghj kokporgunt anenj cojlnj goguntnj thjllh, cnyn tnenj anhg, cnj tfbornjsh thjllh torencnp tognjnj fgbusnb.

Pojubhs

bnhj

kojleuaujlgnj

hjh

cojlnj

shdnt

gotnjlluenj

trnjsdfrknshfjnb, ynjl korupngnj goknkpunj ujtug kojleojthgnj gorotngnj, cnj kokaorhgnj zhrgfjhn shdnt kognjhg ynjl ujhg. ?  

a. Goafmfrnj toph

Goafmfrnj khgrf nknblnk puthe (zhrmfjfkor), nknblnk, cnj gfkpfsht chpobninrh cnj chshkpubgnj anewn zhrmfjfkor kojujiuggnj goafmfrnj khgrf torthjllh chhguth fboe gfkpfsht cnj nknblnk (Lnkanr ?). Gnrojn htu nknblnk knshe toraugth kojinch snbne sntu anenj toranhg kojujiuggnj goafmfrnj khgrf

 

8

khjhknb. ]oaune stuch vhtrf kojhbnh goafmfrnj khgrf Yhrmfjfkor cnj kokanjchjlgnjjyn cojlnj GotnmSK ]hbvor (LHM Gfjvojshfjnb, =K O]PO, Iorknj), DhbtogSK Y?00 (Gfkpfsht, =K O]PO, Iorknj), cnj Chsporsnbbfy® (Nknblnk, COJS]PBX, Hjllrhs) cnj kojyhkpubgnj anewn9 Shcng sntu puj cnrh  anenj ynjl chuih aoan aoanss cnrh goafmfrnj g oafmfrnj khgrf, khg rf, rfjlln r fjlln ynj ynjl l chhsh cojlnj GotnmSK ]hbvor kojujiuggnj ynjl sgfr goafmfrnj khgrf torthjllh chhguth fboe Yhrmfjfkor cnj gfkpfsht, cnj Nknblnk kojujiuggnj sgfr goafmfrnj khgrf pnbhjl sochght. ?  

m. D bufrh co r obonso bonso cnj njthgn njthgnrhflojhg rhflojhg

]oaune pojobhthnj hj-vhtrf kokanjchjlgnj iukbne dbufr ynjl chbopnsgnj cnrh lbnss hfjfkor rohjdfrmoc lbnss hfjfkor mokojt (Yhrgfjfkor, ]EFD_ HJM, ehle cojshty lbnss hfjfkor mokojt (GotnmSK Kfbnr, =KSK O]POSK) cnj  pnmgnabo pfstorhfr lbnss hfjfkor rostfrnthvo kntorhnb (LM Duih HU LP) cnj chshkpubgnj

anewn

Yhrgfjfkor

kojujiuggnj

iukbne

pobopnsnj

dbufrhco

kngshknb.? Dbufr rhbhs fboe Yhrmfjfkor ncnbne gfjstnj cnrh >3 ink ehjlln >0 enrh cojlnj pojurujnj sotobnejyn.5   Pobopnsnj  dbufrhco  dbufrhco   ynjl aorgobnjiutnj, hgntnj ghkhn cojlnj strugtur lhlh, cnj ahfgfkpnthahbhtns ynjl anhg ncnbne hconb ujtug rostfrnsh pfstorhfr porknjoj pncn pnshoj cojlnj hjshcoj gnrhos thjllh sortn cnbnk gnsus mfro njc anso ynjl gunt chporbugnj. ? 

 

 

ANA HHH BNPFQNJ GN]_]

=.> Gnsus > n. Njnkjoshs cnj Pokorhgsnnj

Pnshoj porokpunj aorushn ? tneuj ? aubnj cntnjl aorsnkn haujyn go Q]LK DGL _JPNC Anjcujl. Pnshoj hjlhj kokorhgsngnj lhlhjyn. Pnshoj kojlngu sorhjl torsobhp kngnjnj pncn lhlh aobngnjl ghrh anwne. Pnshoj thcng  porjng kornsngnj snght, aojlgng cnj j jlhbu lhbu pncn lhlh torsoaut. tor soaut. ]othnp enrh pnshoj kojllfsfg lhlh > gnbh. Pnshoj hjlhj chbngugnj pornwntnj pncn lhlh torsoaut. Qhwnynt gosoentnj ukuk cnj lhlh thcng chtokugnj ncnjyn gobnhjnj. Porhjlgnt  porhbngu pnshoj soaobuk cnj sotobne chbngugnj pornwntnj ncnbne jolnthvo. Jhbnh  pbng cnrh njng torsoaut tor soaut ncnbne =.? (auru (aurug). g). Pncn pokorhgsnnj ogstrn f frnb rnb cn cnj j dhshg thcng kojujiugnj ncnjyn gobnhjnj. Pokorhgsnnj gbhjhs hjtrnfrnb kojujiuggnj ncnjyn gnrhos pncn lhlh ?>,?1,?=, 4>,41,4?, C3 (+) cojthj Gnrhos kojmnpnh ?1 C? (+) cojthj cnbnk Gnrhos kojmnpnh ?= C3 (+) cojthj

GOSOQNJLNJ

??

LHLH





?1 ?=