LAPORAN PENDAHULUAN DAN ASUHAN KEPERAWATAN KWASHIORKOR

DMBMIMC

MZPCMA B@W@[M_MUMA WMEM MAMB B_MZCHF[BF[ Ehsusua uatub d`d`auch tuoms dmtm buihmc B`p`rmwmtma Mamb

Ehsusua fi`c >  Maoohc Zcuijcma Zcuijcma Xfom Busudm Busudm

W7?=;7==;755 W7?=;7==;755

Ewh [mtam _heymstuth _heymst uth

W7?=;7==;705

@llh Ducmrymth

W7?=;7==;700

L`krhmath @bm _uimaemrh

W7?=;7==;708 W7?=;7==;708

Wutrh Mprhihm [hmath

W7?=;7==;7?7 W7?=;7==;7?7

\haem Mstrh W`rdmtmsmrh W`rdmtmsmr h

W7?=;7==;737

B@D@AU@[HMA B@Z@CMUMA [@WPKIHB HAEFA@ZHM WFIU@BB@Z B@D@AB@Z XFOXMBM[UM NP[PZMA B@W@[M_MUMA ;7=:

IMWF[MA W@AEMCPIPMA B_MZCHF[BF[

 M. E`lhahsh Bwmschfrbfr memimc sumtu shaerfd bihahb ymao thdkui s`kmomh mbhkmt memaym b`burmaoma prft`ha ymao pmrmc ema p`dmsubma bmifrh ymao burmao emrh ymao ehkutucbma (K`crdma, [@. =885). Bwmschfrbfr memimc e`lhsh`ash prft`ha ymao ehs`rtmh e`lhsh`ash autrh`a imhaaym ymao khmsm ehnudpmh pmem kmyh dmsm ehsmphc ema mamb prms`bfimc (kmihtm) (Aomsthymc, ;770). W`aymbht bwmschfrbfr pmem ududaym t`rnmeh pmem mamb emrh b`iumrom e`aoma stmtus sfshmi `bfafdh ymao r`aemc bmr`am themb dmdpu d`ay`ehmbma dmbmama ymao jubup d`aomaeuao prft`ha c`wmah s`p`rth emohao, t`iur, cmth, susu ema s`kmomhaym. Dmbmama sudk`r prft`ha s`k`amraym empmt ehp`auch emrh prft`ha amkmth emimd bmjmao-bmjmaoma t`tmph bmr`am burmaoaym p`ao`tmcuma frmao tum, mamb empmt d`ae`rhtm e`lhsh`ash prft`ha.

K. @thfifoh Z`imha fi`c p`aomruc a`omthl lmbtfr sfshf-`bfafdh-kuemym ymao k`rp`rma t`rcmemp b`nmehma dmiautrhsh ududaym, b`s`hdkmaoma ahtrfo`a ymao a`omthl empmt puim ehs`kmkbma fi`c ehmr` brfahb, dmimksfrpsh prft`ha, chimaoaym prft`ha d`imiuh mhr b`dhc (shaerfd a`lrfthb), hal`bsh d`amcua, iubm kmbmr ema p`aymbht cmth.

J. Wmtflhshfifoh Wmem e`lhsh`ash prft`ha durah themb t`rnmeh bmtmkfihsd` nmrhaoma ymao smaomt k`ri`khcma bmr`am p`rs`ehmma `a`roh empmt ehp`auch fi`c  nudimc bmifrh emimd eh`taym. B`imhama ymao d`ajfifb memimc omaoouma d`tmkfihb ema p`rukmcma s`i ymao ehs`kmkbma `e`dm ema p`ri`dmbma cmth. Bmr`am b`burmaoma prft`ha emimd eh`t mbma t`rnmeh b`burmaoma k`rkmomh msmd mdhaf emimd s`rud ymao nudimcaym ymao suemc burmao t`rs`kut mbma ehsmiurbma b` nmrhaoma ftft, dmbha burmaoaym msmd mdhaf emimd s`rud hah mbma d`ay`kmkbma burmaoaym prfeubsh mikudha fi`c

c`pmr ymao b`duehma k`rmbhkmt thdkuiaym fe`dm. W`ri`dmbma cmth t `rnmeh bmr`am omaoouma p`dk`atubma k`tm ihprft`ha, s`chaoom trmaspfrt i`dmb emrh cmth b` e`pft t`romaoou e`aoma mbhkmt t`rnmehaym p`ahdkuama i`dmb emimd cmth.

E. Dmahl`stmsh Bihahs =. Z`jmrm udud mamb mamb tmdpmb s`dkmk, s`dkmk, i`tmrohb, j`ao`ao ema ema duemc t`rmaosmao, pmem tmcmp imanut mamb d`anmeh mpmths ema bfdm. ;. W`rtudkucma t`rimdkmt :. @e`dm 5. Mafr`bshm ema ehmr` 0. Nmrhaoma ftft d`ao`jhi, d`ao`jhi, tfaus d`aurua, nmrhaoma nmrhaoma sukbuts thphs ema i`dk`b =. W`rtudkucma t`romaoou (d`rupmbma o`nmim t`rp`athao). t`rp`athao) . Z`imha k`rmt kmema kmema nuom thaooh kmema burmao eh kmaehao mamb s`cmt ;. W`rukmcma d`atmi, khmsmaym pmsh`a j`ao`ao mtmu mpmths :. Eht`dubma fe`dm rhaoma dmupua k`rmt 5. U`rnmeh omaoouma omaoouma omstrfhat`sthami. omstrfhat`sthami. Mafr`bshm Mafr`bshm ymao c`kmt c`kmt chaoom jmrm p`dk`rhma dmbmaaym cmrus p`rsfae`, ehmr` ema duatmc bmr`am t`rnmehaym hatfi`rmash dmbmama 0. W`rukmcma rmdkut, tmdpmb tmdpmb busmd, b`rhao, b`rhao, cmius, nmrmao ema k`rukmc wmram

Bmemr mikudha s`rud r`aemc, bmemr oifkuiha afrdmi mtmu s`ehbht i`khc thaooh, bmemr bfi`st`rfi s`rud r`aemc =7. Cmdphr s`dum froma d`aomimdh p`rukmcma s`p`rth> e`o`a`rmsh ftft  nmatuao, fst`fpfrfshs fst`fpfrfshs tuimao ema s`kmomhaym. s`kmomhaym.

@. Bfdpihbmsh  Mamb e`aoma bwmschfrbfr mbma i`khc duemc uatub t`rb`am hal`bsh ehbmr`ambma i`dmcaym shst`d hdua. Uhaooh dmbshdmi ema b`dmdpuma pft`ashmi uatub tudkuc themb mbma p`ramc empmt ehjmpmh fi`c mamb e`aoma rhwmymt bwmschfrbfr. Kubth s`jmrm stmthsthb d`ao`dubmbma kmcwm bwmschfrbfr ymao t`rnmeh pmem mwmi b`cheupma (kmyh ema mamb-mamb) empmt d`auruabma H] s`jmrm p`rdma`a. Bfdpihbmsh imha ymao empmt ehthdkuibma emrh bwmschfrbfr memimc> =.

E`lhsh`ash zmt k`sh

;.

Chp`rphod`atmsh Chp`rphod`atmsh buiht

:.

@e`dm mamsmrbm.

L. Wrfoafshs E`aoma p`aofkmtma me`bumt, ehp`riubma wmbtu ;-: kuima uatub t`rjmpmhaym k`rmt kmema ymao he`i. W`rtudkucma lhshs cmaym t`rpmut s`ehbht e`aoma mamb s`kmymaym. Amdua p`rb`dkmaoma hat`i`btumiaym mbma d`aomimdh b`t`rimdkmtma ymao d`a`tmp, bcususaym b`imhama d`atmi ema e`lhsh`ash p`rs`psh. K`k`rmpm lmbtfr ymao d`dp`aomruch ymhtu > =. Pdur ;. Msupma ohzh mamb :. W`aofkmtma 5. Mem thembaym bfdpihbmsh bfdpihbms h

O. W`amtmimbsmamma Wrhashp p`aofkmtma bwmschfrbfr memimc> =. D`dk`rhbma dmbmama ymao d`aomaeuao kmaymb prft`ha k`rahimh khfifoh thaooh, thaooh bmifrh, jubup jmhrma, vhtmdha ema dha`rmi ;. Dmbmama cmrus duemc ehj`ram ema ehs`rmp :. Dmbmama ehk`rhbma s`jmrm k`rtmcmp, bmr`am tfi`rmash t`rcmemp dmbmama smaomt r`aemc 5. W`amaomama t`rcmemp p`aymbht p`ay`rtm 0. Uhaemb

imanut imanu t

k`rupm

p`dmatmuma p`dm atmuma

b`s`cmtma b`s`c mtma

p`ae`rhtm p`ae`rht m

ema

p`ayuiucma p`ayuiucma ohzh t`rcmemp t `rcmemp b`iumrom (M.C. Dmrbud, =88=).

W`dk`rhma t`rmph > =. Emimd

b`memma

e`chermsh e `chermsh

ema

mshefshs

p`efdma p`efdm a

p`dk`rhma

p`r`at`rmi memimc s`kmomh k`rhbut > m. Nudimc jmhrma memimc > ;77 di / boKK/ cmrh uatub bwmschfrbfr bwmschfrbfr mtmu dmrmsdus bwmschfrbf b wmschfrbfrr k. ;07 di/boKK/ cmrh uatub dmrmsdus j. Dmbmama thaooh bmifrh thaooh prfth`a :,7-0,7 o/boKK e. Bmifrh =07-;77 bbmi/ boKK/cmrh `. \htmdha ema dha`rmi, msmd lfimt p`rfrmi :x 0 do/cmrh pmem mamb k`smr l.

BJI frmi ?0-=07do ?0-=07do /boKK/cmrh. Khim chpfbshm chpfbshm k`rhbma BJI hatrmv`am :-5 do/BoKK/cmrh.

;. W`rkmhbh ehht> Lfrduim cmrus duemc ehj`ram, durmc, p`bmt bmifrh mtmu prft`ha> Dfehsjf H, HH, ema HHH d`d`auch symrmt-symrmt symrmt-symrmt t`rt`atu. Khim mem hatfi`rmash, duimhimc e`aoma susu sbhd ymao eh`aj`rbma (;,00-?,0) + oiubfsm 0%, ehsusui e`aoma dfehsjf dfehsjf ´. H, HH, HHH. :. \htmdha M =77.777-;77.777 =77.777-;77. 777 HP HD = bmih. \htmdha K bfdpi`b, J, M, E t`t`s p`r frmi. 5. Khim p`riu k`rh trmaslush s`i emrmc d`rmc pmemt (‑W[J‖) mtmu pimsdm. 0. W`aofkmtma p`aymbht p`ay`rtm/p`ay`kmk. Khim i`dmc, mem chpft`rdh, chp`rt`ash ema omaoouma p`dk`buma emrmc mem b`duaobhama hal`bsh

budma ormd a`omthl s`rtm `aeftfbs`dhm. [`shbf d`ahaobmt khim ehs`rtmh b`burmaoma vhtmdha M. Kmomhdmam Kmomhdmam mbthvhtms `ihdhamsh `ihdhamsh mivh ema dhbsh s`cmrh-cmrh, mpmbmc mem b`iucma, membmc ehmr`, k`rmpm imdm. j) Wfim mbthvhtms > B`khmsmma mbthvhtms b`ohmtma ymao ehimbubma s`cmrh-cmrh, mpmbmc mem omaoouma mbthvhtms s`t`imc smbht. e) Wfim hsthrmcmt ema theur theur > k`rmpm imdm mamb khmsm khmsm theur, mpmbmc mem omaoouma mtmu themb.

k. W`aobmnhma lhshb =) B`memma udud ymao d`ihputh> b`smemrma jfdpfsd`aths, i`dmc, r`w`i, b`k`rshcma burmao, k`rmt kmema, thaooh kmema, ameh, sucu ema p`rampmsma. ;) B`pmim> ihaobmr b`pmim, b`pmim, wmram rmdkut, PPK suemc suemc d`autup mtmu k`iud :) Dubm > s`dkmk bmr`am `e`dm, tmdpmb dffalmj` 5) Dmtm > mpmbmc mem hbt`rus, ma`dhm mtmupua hal`bsh pmem dmtm

0) U`ihaom > mpmbmc mem tmaem-tmaem tmaem-tm aem hal`bsh mpmbmc mem s`br`t, kmomhdmam p`rampmsmaaym, t`rpmsmao sfae` ?) Duiut > stfdmthths, stfdmthths, i`sh, i`sh, dubfsm khkhr, ohoh tudkuc 3) U`aoofrfbma > mpmbmc mpmbmc mem tmaem p`dk`smrma p`dk`smrma tfashi, tmaemtmaemtmaem p`rmemaoma. 8) I`c`r > mpmbmc mpmbmc mem p`dk`smrma p`dk`smrma b`i`anmr b`i`anmr thrfhe, bmbu bueub, bueub, p`dk`smrma b`i`anmr ihdl`. =7) Ufrmx

> mpmbmc mem ihaobmr emem, membmc tmrhbma ehaehao

emem, wc``zhao, rfajch. ==) Mkefd`a

> mpmbmc mem d`t`frhsdus, msht`s, khshao khshao usus,

mpmbmc mem p`dk`smrma c`pmr. =;) @xtr`dhtms @xtr`dhtms mtms> ihaobmr i`aoma mtms, mbrmi cmaomt, fe`dm =:) @xtr`dhtms kmwmc > `e`dm =5) Buiht > membmc jrmzy pmv`d`at e`rdmtfshs, e`rdmtfshs, b`memma turofr buiht, `e`dm.

j. W`d`rhbsmma W`auanmao =) Wmem p`d`rhbsmma imkfrmtfrhud, ma`dhm s`imiu eht`dubma t`rutmdm

n`ahs

afrdfshthb

afrdfbrfd

bmr`am

memaym

omaoouma shst`d `rhtrfpf`shs mbhkmt chpfpimshm brfahs sudsud tuimao eh smdphao bmr`am msupma zmt k`sh ymao burmao emimd dmbmama, b`rusmbma cmth ema omaoouma mksfrksh. Z`imha htu empmt eht`dubma bmemr mikudha s`rud ymao d`aurua. ;) W`d`rhbsmma W`d`rhbsm ma

rmehfifohs r mehfifohs

nuom

p`riu

ehimbubma

d`a`dubma memaym b`imhama pmem pmru. :) W`d`rhbsmma W`d`rhbsm ma urha W`d`rhbsmma urha d`ihputh urha i`aobmp ema buitur urha m) Pnh lmmi cmth k) @BO j) S lftf pmru e) Bfasui UCU > memaym fthths d`ehs d`ehs

uatub

Z`t`imc ehb`ifdpfbma

ehimbubma ymao

d`ihputh

p`aobmnhma, emtm

b`duehma

suky`bthl

ema

emtm

fky`bthl.

Z`imanutaym emtm ehmamihsm e`aoma d`aobmhtbma, d`aocukuaobma emtm ymao ehp`rfi`c e`aoma bfas`p, t`frh, prhashp ymao r`i`vma uatub

d`ao`tmcuh

dmsmimc

b`s`cmtma

pmsh`a.

Z`imanutaym

ehhe`athlhbmsh s`sumh e`aoma prhfrhtms dmsmimc-dmsmimc ymao d`aomajmd nhwm, d`rusmb shst`d nmrhaoma dmupua d`rusmb luaosh froma. ;. Ehmoafsm b`p`rmwmtma Ehmoafsm b`p`rmwmtma memimc p`raymtmma ymao n`ims, shaobmt ema pmsth t`atmao dmsmimc bih`a s`rtm p`ay`kmkaym ymao empmt ehp`jmcbma mtmu ehukmc d`imiuh thaembma b`p`rmwmtma. Ehmoafsm b`p`rmwmtma ymao duaobha empmt eht`dubma pmem mamb e`aoma Bwmschfrbfr memimc> m. W`rukmcma autrhsh aut rhsh burmao emrh e mrh b`kutucma tukuc tu kuc k/e msupma prft`ha ymao themb me`bumt, me`bumt, mafr`bshm ema ema ehmr`. k. B`burmaoma vfiud` jmhrma k/e p`auruama msupma p`rfrmi ema p`ahaobmtma b`chimaoma mbhkmt ehmr`. j. Omaoouma p`auruama k`rmt kmema k`rcukuaoma e`aoma msupma prft`ha ymao themb me`bumt. e. Omaoouma hat`orhtms hat`orhtms buiht k`rcukuaoma e`aoma e`lhsh`ash e`lhsh`ash prft`ha, e`chermsh ema pfshsh bih`a. :. Hat`rv`ash b`p`rmwmtma W`a`atuma mpm ymao mbma ehimbubma uatub d`dkmatu bih`a d`d`auch

b`kutucma

b`s`cmtmaaym

ema

d`aomtmsh

dmsmimc

b`p`rmwmtma ymao t`imc eht`atubma. [`ajmam hah ehsusua e`aoma d`ihkmtbma bih`a s`jmrm dmbshdmi ema e`aoma p`tuoms imha ymao d`imymah bih`a. Pasur tmcmp p`imymama mem 5, ymhtu> d`dprhfrhtmsbma dmsmimc, p`rudusma tunuma, p`a`atuma thaembma b`p`rmwmtma ema p`a`atuma brht`rhm `vmiumsh. m. W`rukmcma autrhsh burmao emrh b`kutucma b`kutuc ma tukuc k/e msupma ymao themb me`bumt, mafr`bshm ema ehmr`.

Uunuma> Bih`a mbma d`auanubbma p`ahao-bmtma stmtus ohzh. Brht`rhm cmshi> B`iumrom bih`a empmt d`an`imsbma p`ay`kmk omaoouma autrhsh ymao ehmimdh bih`a,b`kutucma autrhsh p`duihcma, susuama

d`au

ema

s`hdkmao.E`aoma

kmatuma

p`aofimcma p`rmwmt,

dmbmama

b`iumrom

s`cmt

bih`a

empmt

d`ae`dfastrmshbma p`dk`rhma eh`t (p`r sfae`/p`r frmi) s`sumh prformd eh`t`thb.

HAU@[\@AZH =. N`imsbma

b`pmem

[MZHFAMI b`iumrom =. D`ahaobmtbma D`ahaobmtb ma

p`dmcmdma

t`atmao p`ay`kmk dmiautrhsh,

b`iumrom t`atmao p`ay`kmk ema

b`kutucma autrhsh p`duihcma,

b`kutucma

susuama

p`duihcma bih`a s`chaoom empmt

d`au

ema

autrhsh

p`aofimcma dmbmama s`cmt

d`a`rusbma

s`hdkmao, tuanubbma jfatfc

eh`t`thb

 n`ahs

s`imdm cfsphtmihsmsh. cfsphtmihsmsh.

sudk`r

dmbmama

uatub

upmym

ymaot`imc

t`rmph ehk`rhbma

`bfafdhs s`sumh stmtus sfshmi `bfafdh bih`a. ;. Uuanubbma dmbmama

jmrm p`r

p`dk`rhma ;. D`ahaobmtbma sfae`,

k`rh

b`iumrom

pmrthshpmsh

emimd

p`d`aucma

b`s`dpmtma b`iumrom uatub

b`kutucma

autrhsh

bih`a,

d`imbubmaaym d`imbubmaaym s`aehrh.

d`dp`rt`oms p`rma b`iumrom emimd upmym p`duihcma stmtus autrhsh bih`a. :. [fkfrmas d`ahaobmtbma amlsu

:. Imbsmambma rfkfrmas

p`dk`rhma s`sumh

prformd

t`rmph.

dmbma, prfs`s mksfrksh ema d`d`auch

e`lhsht

ymao

d`ay`rtmh b`memma dmiautrhsh.

5. Uhdkmao k`rmt kmema, ubur 5. D`ahimh p`rb`dkmaoma p`rb`dkmaoma dmsmimc dmsmimc ihaobmr i`aoma mtmsema t`kmi ihpmtma buiht s`thmp pmoh.

bih`a.

k. B`burmaoma vfiud` jmhrma tukuc k/e p`auruama msupma p`rfrmi ema p`ahaobmtma b`chimaoma mbhkmt ehmr`. Uunuma> Bih`a mbma d`auanubbma b`memma chermsh ymao me`bumt. Brht`rhm cmshi> Msupma jmhrma me`bumt s`sumh b`kutucma ehtmdkmc e`lhsht ymao t`rnmeh.Uhemb mem tmaem/o`nmim t maem/o`nmim e`chermsh e`chermsh (tmaem-tmaem vhtmi emimd kmtms afrdmi, lr`bu`ash e`l`bmsh ≥= x/;5 nmd e`aoma bfashst`ash pmemt/s`dh pmemt).

HAU@[\@AZH =. Imbubma/fks`rvmsh Imbubma/fk s`rvmsh jmhrma

p`r

[MZHFAMI p`dk`rhma =. Ppmym

halus/sfae`/frmi

s`sumh prformd r`chermsh.

r`chermsh

p`riu

ehimbubma uatub d`aomtmsh dmsmimc b`burmaoma vfiud` jmhrma.

;. N`imsbma

b`pmem

b`iumrom ;. D`ahaobmtbma D`ahaobmtb ma

p`dmcmdma

t`atmao upmym r`chermsh ema

b`iumrom

pmrthshpmsh

r`chermsh ema p`rma b`iumrom

emrh

ymao

ehcmrmpbma

b`iumrom

emimd

p`d`ihcmrma pmt`ash p`dk`rhma

t`atmao

emimd

upmym

p`imbsmamma

t`rphr`chermsh.

halus/s`imao sfae`. :. Bmnh p`rb`dkmaoma b`memma :. D`ahimh e`chemrms hbih`a. 5. Chtuao kmimaj` jmhrma. kmimaj`  jmhrma.

p`rb`dkmaoma p`rb`dkmao ma

dmsmimc bih`a. 5. W`athao uatub d`a`tmpbma prformd

r`chermsh

s`imanutaym.

j. Omaoouma p`auruama k`rmt kmema k`rcukuaoma e`aoma msupma prft`ha ymao themb me`bumt. Uunuma> Bih`a mbma d`ajmpmh p`rtudkucma ema p`rb`dkmaoma s`sumh stmaemr ushm. Brht`rhm Cmshi > W`rtudkucma lhshb (uburma matrfpfd`trhb) s`sumh stmaemr ushm. W`rb`dkmaoma dftfrhb, kmcmsm/bfoahthl ema p`rsfami/sfshmi p`rsfami/sfshmi s`sumh stmaemr ushm.

HAU@[\@AZH =.

[MZHFAMI

Mnmrbma b`pmem frmao tum

=. D`ahaobmtbma p`ao`tmcuma

t`atmao stmaemr p`rtudkucma

b`iumrom

lhshb

b`t`rimdkmtma p`rtudkucma

ema

tuoms-tuoms

p`rb`dkmaoma s`sumh ushm

t`atmao

ema p`rb`dkmaoma mamb.

mamb. ;.

Imbubma

p`dk`rhma

dmbmama/dhaudma prformd

s`sumh

t`rmph

eh`t

p`duihcma.

;. Eh`t bcusus uatub p`duihcma dmiautrhsh s`jmrm

ehprformdbma k`rtmcmp

s`sumh

e`aoma b`kutucma mamb ema b`dmdpuma tfi`rmash shst`d p`aj`ramma.

:.

Imbubma

p`aouburma

matrfpfd`trhb

s`jmrm

:. D`ahimh

p`rb`dkmaoma p`rb`dkmaom a

dmsmimc bih`a.

k`rbmim. 5.

Imbubma

sthduimsh

p`rb`dkmaoma

thaobmt s`sumh

e`aoma ushm bih`a.

5. Zthduimsh ehp`riubma uatub d`ao`nmr

b`t`rimdkmtma

p`rb`dkmaoma mamb emimd msp`b dftfrhb, kmcmsm ema p`rsfami/sfshmi.

0.

Imbubma runubma b` i`dkmom p`aeubuao

sthduimsh

p`rtudkucma

ema

0. D`dp`rtmcmabma b`shamdkuaoma

prformd

sthduimsh p`rtudkucma ema

p`rb`dkmaoma

p`rb`dkmaoma mamb e`aoma

(Wusb`sdms/Wfsymaeu)

d`dk`remymbma

shst`d

p`aeubuao ymao mem.

e. Omaoouma hat`orhtms buiht k`rcukuaoma k`rcukuaoma e`aoma e`aoma e`lhsh`ash prft`ha, e`chermsh ema pfshsh bih`a. Uunuma> Hat`orhtms buiht b`dkmih afrdmi. Brht`rhm cmshi> Omtmi chimao/k`rburmao, chimao/k`rburmao, buiht b`dkmih b`dkmih cmius, b`aymi ema utuc.

HAU@[\@AZH =. Manurbma

[MZHFAMI

pmem

b`iumrom

=. D`aj`omc uibus e`bukhtus e`bukhtus

t`atmao p`athaoaym d`rukmc pfshsh s`s`rhao duaobha ;. Manurbma s`rhao

b`iumrom

d`aoomath

i`khc

;. D`aj`omc hrhtmsh buiht

pmbmhma

ema

d`aourmaoh omtmi

mamb khim kmsmc mtmu bftfr ema buiht mamb t`tmp b`rhao :. Manurbma

b`pmem

bih`a

dmbma

dmbmama

ymao

k`rohzh

bcususaym

ymao

:. Momr

b`kutucma

autrhsh

t`rp`auch

d`aomaeuao prft`ha

5. @vmiumsh Umcmp

`vmiumsh

emimd

prfs`s

b`p`rmwmtma

d`aymaobut

p`aoudpuima emtm fky`bthl ema suky`bthl ymao mbma d`auanubma mpmbmc tunuma p`imymama b`p`rmwmtma suemc ehjmpmh mtmu k`iud, dmsmimc mpm ymao suemc ehp`jmcbma ema mpm ymao p`riu ehbmnh, ehr`ajmambma, ehimbsmambma ema ehahimh b`dkmih. @vmiumsh ymao ehcmrmpbma emrh bmsus hah memimc> m. B`kutucma autrhsh t`rp`auch k. Ehmr` ema duatmc t`rmtmsh t`rmtmsh s`rtm me`bumtaym me`bumtaym dmsubma dmbmama ema jmhrma s`chaoom themb t`rnmeh b`burmaoma vfiud` jmhrma tukuc. j. B`kutucma prft`ha empmt t`rp`auch s`jmrm me`bumt s`chaoom themb d`aoomaoou p`rtudkucma ema p`rb`dkmaomaaym. e. Buiht b`dkmih cmius ema utuc s`rtm t`rk`kms emrh b`rusmbma hat`ormsh buiht.

EMLUM[ WPZUMBM

 M.C. Dmrbud, ebb. =88=. =88=. Hidu B`s`cmtma Mamb . Nmbmrtm> LBPH  Mrhsdma. ;7=7. Ohzh Emimd Emur B`cheupma. B`cheupma . Nmbmrtm> @OJ K`crdma, [@. ebb. =885. Hidu B`s`cmtma Mamb . Nmbmrtm> @OJ Enm`ah, ZM. ;7=7. Hidu Ohzh Patub Dmcmshswm Ema Wrfl`sh . Nmbmrtm> @OJ Aomsthymc. ;770. W`rmwmtma Mamb Zmbht. @ehsh ;. Nmbmrtm> ;.  Nmbmrtm> @OJ Zf`tnhahaoshc. Zf`tnhahaoshc. =883. Uudkuc B`dkmao Mamb . Nmbmrtm> @OJ Xuihmaah [htm & Zurhymeh. ;77 Zmouao Z`tf