LP Bronkitis Ayu
August 3, 2022 | Author: Anonymous | Category: N/A
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Bebthim Gmsmhchlm
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PMEOBTBE QTZPBKB B. Bebthim Gmsmhchlm Zmstdi Qdrebgbsbe
Zmstdi rdspmrbsm b`bcbf smstdi ybel idimcmkm guelsm utbib uetuk idcbkukbe rdspmrbsm `mibeb rdspmrbsm idrupbkbe prhsds ideluipuckbe hksmlde `be ideldcubrkbe kbrnhe`mhksm`b. Guelsm utbib smstdi rdspmrbsm b`bcbf uetuk idibstmkbe nbfwb tunuf ideldkstrbk hksmlde `bcbi ouicbf ybel jukup uetuk idtbnhcmsid sdc `be idcdpbskbe kbrnhe`mhksm`b. Zmstdi rdspmrbsm tdrnblm ideob`m smstdi pdrebgbsbe btbs `be smstdi pdrebgbsbe nbwbf. Zmstdi pdrebgbsbe btbs tdr`mrm `brm fm`uel, gbrmel `be cbrmel. Zd`belkbe smstdi pdrebgbsbe nbwbf tdr`mrm `brm trbkdb, nrhekus `be pbru-pbru (Qdbtd be` Ebmr, >122).
b. Fm`uel Ibsukeyb u`brb ndriucb `brm fm`uel. Fm`uel idrupbkbe hrlbe pdrtbib `bcbi smstdi rdspmrbsm ybel tdr`mrm `brm nblmbe dkstdrebc (tdrcmfbt) `be nblmbe metdrebc. @m fm`uel nblmbe dkstdrebc tdr`bpbt rbelkb pdeueobel ndrupb tucbel `be fybcmed kbrtmcblh ybel tdrnuelkus hcdf htht `be kucmt. Ztruktur metdrmhr `brm nblmbe dkstdrebc fm`uel idimcmkm tmlb guelsm ? 2. Idelfbelbtkbe, idcdinbnkbe, `be ideybrmel u`brb ybel ibsuk >. Ide`dtdksm stmiucbsm hcgbkthrm (me`rb pdinbu) :. Ih`mgmkbsm ldtbrbe subrb ybel idcbcum nmcmk rdshebesm ybel ndsbr `be ndrldib.
^hellb fm`uel sdnblbm nblmbe metdrebc `mlbinbrkbe sdnblbm rubel ybel ndsbr pb`b betdrmhr tdelkhrbk (megdrmhr pb`b tucbel fm`uel; supdrmhr pb`b rhellb iucut); rhellb fm`uel `mnbtbsm `delbe htht `be idinrbed iukhsb (Phrthrrb be` @drrmjkshe, >120) n. Gbrmel Gbrmel btbu tdellhrhkbe, b`bcbf sbcurbe ndrndetuk jhrhel `delbe pbeobel 2: ji. @me`mel gbrmel `msusue hcdf htht rbelkb `be `mnbtbsm hcdf idinrbed iukhsb. Htht rbelkb ybel tdrdcbksbsm idinubt gbrmel `bcbi phsmsm tdtbp sd`belkbe bpbnmcb htht rbelkb khetrbksm ibkb sd`bel tdrob`m prhsds idedcbe. Guelsm gbrmel b`bcbf sdnblbm sbcurbe uetuk u`brb `be ibkbebe, ideyd`mbkbe rubel rdshebesm uetuk subrb sbbt ndrnmjbrb, `be tdipbt nblm thesmc (ndrpdrbe pb`b rdbksm miue tdrfb`bp nde`b bsmel) (Phrthrrb (Phrthrrb be` @drrmjkshe, >120)
j. Cbrmel Cbrmel tdrsusue btbs = nblmbe obrmelbe kbrtmcblh, : nblmbe tuellbc `be : nblmbe ndrpbsbelbe. : nblmbe ybel ndrpbsbelbe b`bcbf kbrtmcblh brytdehm`, juedmghri, `be jhremjucbtd. Brytdehm` b`bcbf nblmbe ybel pbcmel smlemgmkbe `mibeb obrmelbe mem idipdelbrufm pdrldrbkbe idinrbed iukhsb (cmpbtbe vhkbc sdndebreyb) uetuk idelfbsmckbe subrb. : nblmbe cbme ybel idrupbkbe nblmbe tuellbc b`bcbf tmrhm`, dpmlchtms, `be jrmjhm`. Pmrhm` `be jrmjhm` kd`ubeyb ndrguelsm idcme`uelm pmtb subrb. Dpmlchtms idcme`uelm sbcurbe u`brb `be idelbcmfkbe ibkbebe `be imeuibe blbr idcdwbtm dshgblus (Qdbtd be` Ebmr, >122). `. Prbkdb Prbkdb btbu nbtbel tdellhrhkbe idrupbkbe sbcurbe tunucdr ybel `mcdwbtm u`brb `brm cbrmel ideuou pbru-pbru. Prbkdb oulb `mcbpmsm hcdf dpmtdc khcuiebr ndrsmcmb sdfmellb `bpbt ideodnbk zbt sdcbme u`brb ybel ibsuk cbcu bkbe `m`hrhel kdbtbs idcdwbtm dshgblus uetuk `mtdcbe btbu `mkdcubrkbe cdwbt `bfbk. Prbkdb `be nrhekus oulb idimcmkm rdsdpthr mrmtbe ybel idestmiucbsm nbtuk, idibksb pbrtmkdc ndsbr ybel ibsuk kdinbcm kdbtbs (Qdbtd be` Ebmr, >122).
d. Qbru Qbru-pbru idimcmkm ukurbe ybel ndrnd`b, nblmbe tdrsdnut `msdnut `delbe chnus. Qbru-pbru kbebe ybel cdnmf ndsbr idimcmkm : chnus, sd`belkbe pbru pbru sdndcbf kmrm fbeyb idimcmkm > chnus. 2. Qcdurb Qcdurb b`bcbf idinrbe sdrhsb ybel idrupbkbe cbpmsbe tdrcubr pbru-pbru. Qcdurb tdr`mrm `brm `ub cbpms ybmtu pcdurb pbrmdtbc btbu nblmbe cubr `be pcdurb vmsdrbc btbu nblmbe `bcbi. Kd`ub pcdurb mem `mpmsbfkbe hcdf rhellb tmpms ybel `msdnut `delbe rhellb pcdurb. Qcdurb idimcmkm guelsm uetuk idelfbsmckbe jbmrbe pcdurb ybel b`b `bcbi rhellb pcdurb. Jbmrbe mem ndrguelsm uetuk idinbetu kdrob pcdurb blbr `bpbt ndrldrbk `delbe sdidstmeyb. Jbmrbe mem oulb ndrguelsm uetuk idcme`uelm pbru-pbru blbr tm`bk tdrcukb idskmpue fbrus ndrkhetrbksm btbu idelbinbel sbbt prhsds pdrebpbsbe ndrcbelsuel. >. Nrhekus Nrhekus b`bcbf nblmbe pbru-pbru ybel bkbe `mtdium pdrtbib kbcm sdtdcbf trbkdb btbu tdellhrhkbe. Nrhekus idimcmkm ndetuk ndrjbnbel `be tdrfunuel kd ibsmel-ibsmel pbru-pbru kbebe `be kmrm. Pm`bk tdrob`m pdrtukbrbe u`brb pb`b nrhekus, tdtbpm nrhekus idrupbkbe obcbe kdcur `be ibsukeyb u`brb ideuou kd pbru-pbru. Nrhekus idimcmkm ndndrbpb guelsm sdpdrtm idelbtur nbeybkeyb u`brb ybel ibsuk `be kdcubr pbru-pbru, idcme`uelm pbru-pbru `brm pbrtmkdc bsmel `be idejdlbf megdksm, sdrtb idiprh`uksm `bfbk ybel `bpbt idcme`uelm nrhekus `brm pdrb`belbe.
:. Nrhekmhcus Nrhekmhcus btbu nrhekmhcm b`bcbf jbnbel `brm nrhekus. Pulbs `brm nrhekmhcus b`bcbf uetuk ideybcurkbe u`brb kd bcvdhcm btbu bcvdhcus. Nrhekmhcus idimcmkm `me`mel ybel cdnmf tmpms `brm nrhekus `be oulb tm`bk idimcmkm tucbel rbwbe `be tm`bk b`b kdcdeobr pb`b iukhsbeyb. Jbnbel nrhekmhcus pb`b pbru-pbru kbebe ndrnd`b, ouicbfeyb sbib sdpdrtm chnus pb`b pbru-pbru, ybmtu : jbnbel `m sdndcbf kbebe `be fbeyb > jbnbel `m nblmbe kmrm. 0. Bcvdhcus Bcvdhcus btbu bcvdhcm (ndetuk obibk) b`bcbf nblmbe tdrkdjmc `brm pbru pbru. Nblmbe pbru-pbru ybel sbtu mem idrupbkbe tdipbt tdrob`meyb pdrtukbrbe hksmlde `be kbrnhe `mhksm`b `bcbi pbru-pbru. Cdtbk bcvdhcus bc vdhcus ndrb`b `m uouel nrhekmhcus. nrhekmhcus. (Qdrfmipuebe @hktdr Qbru Me`hedsmb, >126)
N. @dgmemsm Nrhekmtms Nrhekmtms b`bcbf rb`bel sdcbput nrhekmbc btbu pdrb`belbe ybel tdrob`m pb`b nrhekus. Qdeydnbn nrhekmtms bkut uiuieyb b`bcbf megdksm vmrus pb`b smstdi pdrebpbsbe. pdrebpbsb e. Ldobcbeyb Ldobcbeyb `mtbe`bm `delbe ndetuk ndr`bfbk `be sdsbk ebpbs. Khe`msm ybel sbtu mem tm`bk tdrcbcu ndrnbfbyb `be `bpbt idinbmk `bcbi fmtuelbe fbrm. Nrhejfmtms uiuieyb `msdnbnkbe hcdf vmrus sdpdrtm ^fmehvmrus , ^ZW, vmrus megcudezb , vmrus pbrbmegcudezb, b`dehvmrus, vmrus rundhcb, `be pbrbiyxhvmrus `be nrhejfmtms kbrdeb nbktdrm nmbsbeyb `mkbmtkbe `delbe iyjhpcbsi iyjhpcbsibb peduihemb, nhr`dtdccb pdrtussms, btbu jhryednbjtdrmui jhryednbjtdrmui `mpftfdrmb (Qdrfmipuebe @hktdr Qbru Me`hedsmb, >12=) Nrhekmtms krhemk b`bcbf subtu lbellube kcmems ybel `mtbe`bm hcdf pdindetukbe iukus ybel ndrcdnmfbe `bcbi nrhekus `be ndribemgdstbsm sdnblbm nbtuk krhemk `be pdindetukbe sputui sdcbib sd`mkmteyb : nucbe `bcbi > tbfue, ndrturut turut pdindetukbe ( Qbjmgmj Qbjmgmj Fdbrt, Fdbrt, Cuel be` Nchh` Mestmtutd >127) Nrhekmtms Bkut b`bcbf pdrb`belbe pb`b nrhekus `msdnbnkbe hcdf megdksm sbcurbe ebgbs ybel `mtbe`bm `delbe nbtuk (ndr`bfbk ibupue tm`bk ndr`bfbk) . `mtbe`bm `delbe bwmtbe ldobcb ybel ide`b`bk `be ndrcbelsuel cdnmf smelkbt , ybel ndrcbelsuel fmellb fmellb : imellu. Zdnblmbe ndsbr nrhekmtms bkut `msdnbnkbe hcdf megdksm megdksm vmrus `be `bpbt sdinuf `delbe sde`mrmeyb, sdfmellb tm`bk ididrcukbe betmnmhtmj. Qdrb`belbe nrhekus nmbsbeyb `msdnbnkbe vmrus btbu nbktdrm `be khe`msmeyb `mpdrpbrbf hcdf pdibpbrbe tdrfb`bp mrmtbe , sdpdrtm bsbp rhkhk , u`brb khthr , `dnu , bsbp kmimbwm ( Qbjmgmj Fdbrt, Fdbrt, Cuel be` Nchh` Mestmtutd, Mestmtutd, >127)
J. Dpm`dimhchlm
Nrhekmtms bkut idrupbkbe pdeybkmt ybel jukup sdrmel tdrob`m `be idrupbkbe sbcbf sbtu `brm 4 pdeybkmt tdrsdrmel pdeydnbn pbsmde `btbel kd pdcbybebe kdsdfbtbe. Nrhekmtms bkut sdrmel kbcm tdrob`m pb`b iusmi fuobe btbu iusmi `melme `be iusmi lulur. Pdr`bpbt sdkmtbr 4% phpucbsm `dwbsb `m `uemb `mcbphrkbe idelbcbim nrhekmtms bkut sdtmbp tbfueeyb (Gbyybz, >12=). Belkb kdob`mbe nrhekmtms `m Me`hedsmb sbipbm sbbt mem ndcui `mkdtbfum sdjbrb pbstm. Ebiue, nrhekmtms idrupbkbe sbcbf sbtu nblmbe `brm pdeybkmt pbru hnstruktmg krhemk ybel tdr`mrm `brm nrhekmtms krhemk `be digmsdib/lbnuelbe `brm kd`ubeyb. @m Me`hedsmb `mpdrkmrbkbe tdr`bpbt 0,6 outb pbsmde QQHK `delbe prdvbcdesm 4,7%. Belkb tdrsdnut nmsb tdrus ebmk sdmrmel nbeybkeyb ouicbf pdrhkhk kbrdeb =1% pbsmde QQHK b`bcbf pdrhkhk/ibetbe pdrhkhk. (Kdidetrmbe Kdsdfbtbe ^M, >12:). @. Dtmhchlm
Ideurut Ebtmhe Ideurut Ebtmhebc bc Fdbctf Fdbctf Zdrvmjd Zdrvmjd (>12=), pdeydnbn nrhejfmtms betbrb cbme ? 2. Megdksm nrhekmtms `bpbt `msdnbnkbe hcdf vmrus btbu nbktdrm @bcbi kdnbeybkbe kbsus, nrhekmtms `msdnbnkbe hcdf vmrus ybel sbib ybel ideydnbnkbe pmcdk btbu gcu. Wmrus mem tdrkbe`uel `bcbi outbbe tdtdsbe kdjmc ybel kdcubr `brm fm`uel `be iucut kdtmkb nbtuk btbu ndrsme. Nrhejfmtms hcdf vmrus sdpdrtm vmrus sdpdrtm ^fmehvmrus , ^ZW , vmrus megcudezb , vmrus pbrbmegcudezb , b`dehvmrus, b`dehvmrus, vmrus rundhcb, `be pbrbiyxhvmrus. pbrbiyxhvmrus. Nrhejfmtms kbrdeb nbktdrm nmbsbeyb `mkbmtkbe `delbe iyjhpcbsib peduihemb, nhr`dtdccb pdrtussms `be jhryednbjtdrmui `mpftfdrmb >. Idelfmrup zbt mrmtbe Nrhekmtms oulb `bpbt `mpmju hcdf idelfmrup zbt mrmtbe, sdpdrtm kbnut bsbp, nbfbe kmimb `bcbi prh`uk ruibf tbellb btbu bsbp tdinbkbu. Idrhkhk b`bcbf pdeydnbn utbib nrhekmtms obelkb pbeobel (krhems), `be `bpbt ididelbrufm hrbel pdrhkhk bktmg ibupue pdrhkhk pbsmg
:. Qbpbrbe kdrob Zdrmel tdrpbpbr tdrfb`bp nbfbe ybel `bpbt idrusbk pbru-pbru, sdpdrtm? - nutmrbe `dnu
- tdkstmc (sdrbt kbme) - biihemb - bsbi kubt - kchrme Mem kb`bel-kb`bel `msdnut sdnblbm "nrhekmtms bkmnbt kdrob", `be nmbsbeyb idrd`b sdtdcbf tm`bk cblm tdrpbpbr zbt mrmtbe. D. Kcbsmgmkbsm
Kcbsmgmkbsm nrhejfmtms ideurut Qbjmgmj ideurut Qbjmgmj Fdbrt, Cuel be` Nchh` Mestmtutd (>127) Mestmtutd (>127) b`b > ybmtu ? 2. Nrhekmtms bkut Nrhekmtms bkut nmbsbeyb ndrcbelsuel sbtu fmellb tmlb imellu, `be ndrkdinbel sdtdcbf megdksm sdpdrtm gcu. Megdksm ndrpme`bf kd phfhe nrhekmbc - obrmelbe struktur pdrebpbsbe ybel tdrcdtbk `m betbrb pbru-pbru `be trbkdb - ybel idelbkmnbtkbe nbtuk pdrdtbsbe, tdrkb`bel `delbe `bfbk fmobu. Zdkmtbr =1 pdrsde kbsus `msdnbnkbe hcdf vmrus, `delbe smsbeyb 21 pdrsde `mpmju hcdf megdksm nbktdrm. >. Nrhejfmtms Krhemk Nrhekmtms krhems ndrcbelsuel tmlb nucbe btbu cdnmf pdr tbfue sdcbib `ub tbfue ndrturut-turut omkb tm`bk b`b pdeydnbn nbtuk sdkue`dr. Qdeybkmt mem jde`druel tdrob`m sdcbib iusmi `melme, `be `bpbt idemelkbt btbu idinuruk sdcbib wbktu ybel ndrnd`b `bcbi sdtbfue. Nbtuk cdnmf pbrbf `m pblm fbrm `be `m jubjb cdinbn. Fbipmr =1 pdrsde kbsus nrhekmtms krhems `be pdeybkmt pbru hnstruktmg krhems `msdnbnkbe hcdf idrhkhk. Idrhkhk idimcmkm ndndrbpb dgdk nuruk pb`b pbru-pbru. Imsbceyb, idrhkhk `bpbt ideydnbnkbe sdc-sdc `m kdcdeobr cde`mr ybel idesdkrdsm `brm iukhsb sbcurbe u`brb ndsbr ybel tdrnubt `brm tucbel rbwbe idindsbr (fmpdrtrhgm) `be sdjbrb tm`bk ehribc ndrtbinbf ouicbfeyb (fmpdrpcbsmb). Nrhekmtms
krhems oulb `bpbt `msdnbnkbe hcdf pbpbrbe phcusm u`brb, bsbp kmimb, `dnu, `be lbs ndrbjue uetuk wbktu ybel cbib.
G. Qbthgmsmhchlm Qbthgmsmhchlm b`bcbf mciu ybel idipdcbobrm lbellube guelsm pb`b
hrlbemsid ybel sbkmt idcmputm bsbc pdeybkmt, pdriucbbe pdrobcbebe `be bkmnbt. Nrhekmtms ybel ideydrbel `mkbcbelbe pdtbem `msdnbnkbe hcdf pbpbrbe u`brb btbupue `dnu pb`b cbfbe pdrtbembe tdrutbib hcdf pbpbrbe pdstmsm`b kbrdeb pdtbem tm`bk idibkbm bcbt pdcme`uel `mrm sdpdrtm ibskdr pb`b sbbt idcbkukbe bktmvmtbs pdeydiprhtbe `m cbfbe pdrtbembe. Zdcbme gbkthr pbpbrbe lbs hcdf pdstmsm`b, kdnmbsbbe pdtbem cbkm-cbkm ybel idrhkhk rdsmkh bkbe cdnmf tmellm. _bt ‚ zbt kmimb `bpbt oulb ideydnbnkbe nrhejfmtms b`bcbf zbt ‚ zbt pdrd`uksm sdpdrtm H>, zbt ‚ zbt zbt pdelhksm`b sdpdrtm E >H, fm`rhkbrnhe, Qhcusm u`brb ybel `msdnbnkbe kbrdeb pdstmsm`b ideydnbnkbe sbcurbe pdrebgbsbe tdrmrmtbsm. B`beyb mrmtbsm ideydnbnkbe fmpdrtrhpm `brm kdcdeobr iukhsb nrhejfus `be pdemelkbtbe sdouicbf sdc lhncdt, guelsm smcmb ideurue ideurue `msdrtbm `delbe `delbe megmctrbsm sdc rb`bel `be mem idelbkmnbtkbe idelbkmnbtkbe ldobcb kfbs ybmtu nbtuk prh`uktmg. Bkmnbteyb tdrob`m pdeydipmtbe `be pdeyuinbtbe pb`b nrhekmhcus. Bcvdhcm ybel cdtbkeyb ndr`dkbtbe `delbe nrhekmhcus `bpbt ideob`m rusbk `be idindetuk gmnrhsms, sdfmellb bkbe tdrob`m pdrunbfbe guelsm ibkrhgbl bcvdhcbr. Ibkrhgbl bcvdhcbr idipueybm pdrbe pdetmel `bcbi pdrtbfbebe uetuk idelbfbejurkbe pbrtmkdc-pbrtmkdc bsmel tdribsuk nbktdrm. Gbkthr dtmhchlm utbib b`bcbf idrhkhk `be phcusm u`brb ybel `msdnbnkbe hcdf pdstmsm`b ybel `msdiprhtkbe hcdf pdtbem. Qhcusm tdrsdnut `bpbt idipdrcbinbt bktmgmtbs smcmb `be pblhsmthsms, sdfmellb tminuebe iukus idemelkbt sd`belkbe idkbemsid pdrtbfbebeeyb sde`mrm idcdibf. Iukus ybel ndrcdnmfbe tdrob`m bkmnbt `mspcbsmb. Zdc ‚ sdc pdelfbsmc iukus `m nrhekfus. Zdcbme mtu, smcmb ybel idcbpmsm nrhekus idelbcbim kdcuipufbe btbu `msguelsmhebc sdrtb idtbpcbsmb. Qdrunbfbe ‚ pdrunbfbe pb`b sdc ‚ sdc pdelfbsmc iukus `be sdc ‚ sdc smcmb mem idellbellu smstdi dskbcbthr
iukhsmcmbrms `be ideydnbnkbe pdeuipukbe iukus `bcbi ouicbf ndsbr ybel sucmt `mkdcubrkbe `brm sbcurbe ebgbs
L. Ibemgdstbsm Ibemgdstbsm Kcmems Ideurut Qbjmgmj Ideurut Qbjmgmj Fdbrt, Cuel be` Nchh` Mestmtutd >127, Mestmtutd >127, tbe`b ldobcb
nrhejfmtms betbrb cbme ? 2. Ldobcb nrhekmtms bkut - Qdrb`belbe pb`b nrhekus - Nbtuk - Zbkmt tdellhrhkbe - @dibi - Nbtuk `delbe prh`uksm `bfbk ndemel, putmf, kuemel, bnu-bnu, btbu fmobu - Kheldstm `b`b, sbkmt btbu tm`bk eybibe - Ebpbs pde`dk, tdrutbib sbbt bktmvmtbs. - \fdzzmel - Qbebs `melme - Qdlbc-pdlbc - Fm`uel tdrsuinbt (tdrsuinbt btbu pmcdk) - Kdcdcbfbe >. Ldobcb nrhekmtms krhems - Nbtuk `be prh`uksm `bfbk sdtmbp fbrm sdcbib imemibc : nucbe - Zdsbk ebpbs - \fdzzmel - Kdcdcbfbe - Zbkmt tdellhrhkbe - Eydrm htht - Fm`uel tdrsuinbt (tdrsuinbt btbu pmcdk) - Zbkmt kdpbcb - Eydrm `b`b kbrdeb nbtuk pbrbf
- Zmbehsms (wbreb kucmt kdnmrube / kdbnu-bnube) (pb`b pbsmde `delbe JHQ@ cbeout) - @dibi (kbrdeb megdksm pbru-pbru vmrus btbu nbktdrm sdkue`dr) F. Qdidrmksbbe pdeueobel
Ideurut Gbyybz (>12=), pdidrmksbbe pdeueobel pb`b pbsmde nrhejfmtms b`bcbf ? 2. Fmtuel `brbf cdelkbp (JNJ) `delbe `mgdrdesmbc >. Pmelkbt prhkbcsmtheme (uetuk idind`bkbe nbktdrm `brm megdksm ehenbktdrm) :. Zmthchlm `bfbk (omkb nbtukeyb idedtbp) 0. Kuctur `brbf (omkb `mjurmlbm supdrmegdksm nbktdrm) 4. ^b`mhlrbgm thrbks (omkb pbsmde ndrusmb cbeout btbu tdiube gmsmk ideueoukkbe peduihemb) 7. Nrhekhskhpm (uetuk ideldjubcmkbe bspmrbsm nde`b bsmel, PNJ, tuihr, `be pdeybkmt krhems cbmeeyb) 12=) b. Qdedkbe nbtuk sdetrbc (imsbceyb, kh`dme `be `dkstrhidthrgbe) Qdelfmcbel ldobcb nbtuk obelkb pde`dk pb`b nrhekmtms bkut `be krhems n. Nrhekh`mcbthr (ims., Mprbtrhpmui nrhim`d `be tfdhpfmcme) - Khetrhc nrhekhspbsid, `mspedb, `be nbtuk krhems pb`b pbsmde stbnmc `delbe nrhekmtms krhems; ndtb-blhems chel-bjtmel `mtbinbf khrtmkhstdrhm` mefbcbsm oulb `bpbt `mluebkbe `m luebkbe uetuk idelde`bcmkbe nbtuk krhems j. Hnbt betmmegcbibsm ehestdrhm` (EZBM@) - Qdelhnbtbe ldobcb khestmtusmhebc nrhekmtms bkut, tdribsuk eydrm rmelbe fmellb sd`bel `. Betmtusmg / dkspdkthrbe (imsbceyb, lubmgdedsme) - Qdelhnbtbe nbtuk, `mspedb, `be idelm
d. Iujhcytmjs - Ibebodide JHQ@ sd`bel fmellb ndrbt, tdrutbib `m iusmi `melme >. Qdebtbcbksbebbe Ehe-Gbribkhchlms ( Ebtmhebf Ebtmhebf Fdbctf Zdrvmjd, Zdrvmjd, >12=) b. Ndrfdetm idrhkhk n. Mstmrbfbt ybel jukup j. Imeui nbeybk jbmrbe - mem idinbetu idejdlbf `dfm`rbsm `be idempmskbe cde`mr `m pbru-pbru, sdfmellb cdnmf iu`bf nbtuk
Khesdp Bsufbe Kdpdrbwbtbe B. Qdelkbombe
2. M`detmtbs pbsmde idcmputm ? ebib, uiur, odems kdcbime, `be pdkdrobbe. >. ^mwbybt Kdsdfbtbe b. Kdcufbe utbib Zbbt `mkbom nmbsbeyb pde`drmtb nrhejfmtms bkbe ideldcuf sdsbk ebgbs, `msdrtbm nbtuk idelbe`uel sdkrdt ybel tm`bk nmsb kdcubr. n. ^mwbybt pdeybkmt sdkbrbel Qdeybkmt nrhejfmtms iucbm `mrbsbkbe sbbt pde`drmtb idelbcbim nbtuk idedtbp `delbe prh`uksm sputui sdtmbp fbrm tdrutbib pb`b sbbt nbelue pblm sdcbib imemiui : nucbe ndrturut-turut tmbp tbfue sd`mkmteyb > tbfue prh`uksm sputui (fmobu, putmf / kuemel) `be nbeybk sdkbcm. Qde`drmtb nmbsbeyb idelluebkbe htht nbetu pdrebgbsbe, `b`b tdrcmfbt fmpdrmegcbsm `delbe pdemellmbe `mbidtdr BQ, nueym ebgbs jrbjkcds, wbreb kucmt pujbt `delbe smbehsms nmnmr, `bsbr kuku. j.
^mwbybt pdeybkmt `bfucu Nmbsbeyb pde`drmtb nrhejfmtms sdndcuieyb ndcui pdrebf ide`drmtb kbsus ybel sbib tdtbpm idrdkb idipueybm rmwbybt pdeybkmt ybel `bpbt idimju tdrob`meyb nrhejfmtms ybmtu rmwbybt idrhkhk, tdrpbbe phcusm kmimb `bcbi obelkb pbeobel imsbceyb `dnu / bsbp.
`.
^mwbybt pdeybkmt kdcubrlb Nmbsbeyb pdeybkmt nrhejfmtms `bcbi kdcubrlb nukbe idrupbkbe gbkthr kdturuebe tdtbpm kdnmbsbbe btbu phcb ybel tm`bk sdfbt sdpdrtm kdnmbsbbe idrhkhk.
:. Qhcb guelsm kdsdfbtbe b. Qhcb pdrsdpsm `be pdidcmfbrbbe kdsdfbtbe B`beyb
tme`bkbe
id`ms
`be
pdrbwbtbe
`m
ruibf
sbkmt
idipdelbrufm pdrunbfbe pdrsdpsm tdetbel kdsdfbtbe. Kdiuelkmebe b`beyb rmwbybt kdnmbsbbe idrhkhk, imeui bcjhfhc, `be pdelluebbe hnbt-hnbtbe nmsb ideob`m gbkthr prd`msphsmsm tminuceyb t minuceyb pdey pdeybkmt. bkmt.
n. Qhcb eutrmsm `be idtbnhcmj Qhcb eutrmsm pbsmde `delbe nrhejfmtms pdrcu `mkbom sdndcui `be sdcbib `m ruibf sbkmt kbrdeb sdjbrb uiui pbsmde `delbe nrhejfmts bkbe idelbcbim pdeuruebe ndrbt nb`be sdjbrb smlemgmjbet. j. Qhcb dcmimebsm Qb`b phcb dcmimebsm pdrcu `mkbom b`beyb kdcufbe pbsmde `bcbi idideufm kdnutufbe `bcbi ndrdcmimebsm nbmk phcb dcmimebsm NBN ibupue NBK. `. Qhcb bktmvmtbs `be cbtmfbe Qhcb bktmvmtbs pbsmde pdrcu `mkbom kbrdeb pbsmde `delbe nrhejfmtms bkbe idelbcbim
lbellube
bkmnbt
b`beyb
sdsbk
ybel
`msdnbnkbe
pdemelkbtbe sputui. d. Qhcb mstmrbfbt `be tm`ur Qhcb mstmrbfbt `be tm`ur pb`b pbsmde `delbe nrhejfmtms bkbe idelbcbim lbellube bkmnbt sdsbk `be kdjdibsbe ybel `mbcbim. g. Qhcb pdrsdpsm sdeshrm `be khlemtmg Qdrcu `mkbom b`beyb lbellube pdrsdpsm `be sdeshrm bkmnbt b`beyb prhsds pdeybkmt. l. Qhcb funuelbe `delbe hrbel cbme Ldobcb
nrhejfmtms
sbelbt
idinbtbsm
pbsmde
uetuk
ideobcbekbe
kdfm`upbeeyb ssdjbrb ehribc. Qbsmde pdrcu ideydsubmkbe khe`msmeyb ndrfunuelbe `delbe hrbel cbme. f. Qhcb rdprh`uksm `be sdksubc ^dprh`uksm
sdksubc
idrupbkbe
kdnutufbe
`bsbr
ibeusmb,
nmcb
kdnutufbe mem tm`bk tdrpdeufm bkbe tdrob`m ibsbcbf `bcbi kdfm`upbe pbsmde. Ibsbcbf mem bkbe ideob`m strdsshr ybel bkbe idemelkbtkbe kdiuelkmebe tdrob`meyb subtu pdeybkmt. pde ybkmt. m. Qhcb pdrsdpsm `mrm `be khesdp `mrm Qdrcu `mkbom tdetbel pbsmde tdrfb`bp pdeybkmteyb. Qdrsdpsm ybel sbcbf `bpbt idelfbinbt rdsphe khhpdrbtmg pb`b `mrm pbsmde. Jbrb idibe`bel `mrm ybel sbcbf oulb bkbe ideob`m strdsshr `bcbi kdfm`upbe pbsmde.
o. Qhcb idkbemsid `be khpmel Ztrdss `be kdtdlbelbe dihsmhebc idrupbkbe gbkthr mestrmesmk pdejdtus pdeybkmt nrhejfmtms, ibkb pdrcu `mkbom pdeydnbn tdrob`meyb strdss. Grdkudesm `be pdelbruf tdrfb`bp kdfm`upbe pbsmde sdrtb jbrb pdebellucbelbe tdrfb`bp strdsshr. k. Qhcb emcbm kdpdrjbybbe kdpdrjb ybbe `be kdybkmebe Kd`dkbtbe pbsmde pb`b sdsubtu ybel `mybkmem `m `uemb `mpdrjbybm `bpbt idemelkbtkbe kdkubtbe omwb pbsmde. Kdybkmebe pbsmde tdrfb`bp Pufbe ]bel Ibfb Dsb sdrtb pde`dkbtbe `mrm pb`b-Eyb idrupbkbe idth`d pdebellucbelbe strdss ybel khestruktmg. 0. Qdidrmksbbe Gmsmk Kdb`bbe uiui
? ibcbmsd,ldcmsbf
Kdsb`brbe
? jhiphs idetms
LJZ
? 20
P@
? 2:1/61
Zufu
? 01 1 J
^^
? >6 x/idemt
Eb`m
? 61 x/idemt
NN sdndcui sbkmt
? 41 kl
NN sdcbib sbkmt
? 06 kl
Eydrm
?2
Qdelkbombe Gmsmk ( Mespdksm, Qbcpbsm, Qdrkusm, Buskuctbsm) 2) Kdpbcb Kdpbcb smidtrms, rbinut ndrldchinbel, rbinut fmtbi, tm`bk b`b kdthind, rbinut tm`bk rhethk, tm`bk b`b cdsm, tm`bk b`b eydrm tdkbe >) Ibtb Zkcdrb tm`bk mktdrmk, kheueltmvb tm`bk bedims, pupmc mshkhr :) Pdcmelb
Nblmbe cubr tdcmelb kbebe `be kmrm ndrsmf tm`bk b`b sdruide, tm`bk tdr`bpbt tbe`b-tbe`b megcbibsm, ndetuk tdcmelb kbebe `be kmrm smidtrms 0) Fm`uel Pm`bk tdr`bpbt kdcbmebe ndetuk, pdrebgbsbe nueym jupmel fm`uel, tm`bk b`b pdindelkbkbe, rdbksm bcdrlm ndrsme nmcb ndr`dnu 4) Iucut Kdndrsmfbe `bdrbf iucut kurbel `mkbrdebkbe sbkmt 7) Lmlm Khe`msm lmlm tm`bk b`b ybel ndrcunbel 22) Bn`hide (M) Mespdksm ? wbreb kucmt pdrut sbib `delbe bellhtb tunuf tunuf cbme
(B) Buskuctbsm ? nueym pdrmstbctmj :0 x/ idemt (Q) Qdrkusm
? nueym tmipbem
(Q) Qbcpbsm
? tm`bk b`b eydrm tdkbe btbu ybel cbme
2>) Dkstrdimtbs Dkstrdimtbs btbs tm`bk b`b lbellube, tbelbe kbebe `be kmrm `bpbt ndrldrbk ndnbs Dkstrdimtbs nbwbf Pm`bk b`b lbellube, kbkm kbebe `be mrm `bpbt `mtdkuk `be `mcuruskbe N. @mblehsb Kdpdrbwbtbe Kdpdrbwbtbe
2. Ndrsmfbe obcbe ebpbs tm`bk dgdktmg ndrfunuelbe `delbe megcbibsm pb`b nrhejfus, pdemelkbtbe prh`uksm prh`uksm sputui, pdindetukbe d`dib.
>. Qhcb ebpbs tm`bk dgdktmg ndrfunuelbe `delbe prhsds megcbibsm `bcbi bcvdhcm :. Lbellube pdrtukbrbe lbs ndrfunuelbe `delbe lbellube kbpbsmtbs pdinbwb hksmlde `brbf, lbellube lbellube pdedrmibbe hksmlde. 0. Lbellube phcb mstmrbfbt tm`ur ndrfunuelbe `delbe sdsbk ebpbs `be nbtuk sdrtb stmiucus cmelkuelbe 4. Methcdrbesm bktmvmtbs ndrfunuelbe `delbe mesugmsmdesm hksmlde uetuk bktmvmtbs `be kdcdtmfbe 7. ^dsmkh
kdtm`bksdminbelbe
eutrmsm
kurbel
`brm
kdnutufbe
tunuf
ndrfunuelbe `delbe behrdxmb sdkue`dr bkmnbt `yspedb, kdcdibfbe, dgdk sbipmel hnbt, prh`uksm sputui, iubc/iuetbf
B. MEPD^WDEZM KDQD^B\BPBE
Eh 2
@mblehsb Kdpdrbwbtbe
Puoube `be Krmtdrmb Fbsmc
Metdrvdesm
Ndrsmfbe obcbe ebgbs tm`bk dgdktmg n.` EHJ ? EMJ ? b. ^dspmrbthry stbtus ? Wdetmcbtmhe pdemelkbtbe prh`uksm sputui Bmrwby sujtmhe n. ^dspmrbthry stbtus ? Bmrwby b. Qbstmkbe kdnutufbe hrbc / trbjfdbc pbtdejy sujtmhemel j. Bspmrbtmhe Jhetrhc n. Buskuctbsm subrb ebgbs sdndcui `be sdsu`bf sujtmhemel. Krmtdrmb Fbsmc ? j. Meghribsmkbe pb`b kcmde `be kdcubrlb b. Ide`dihestrbsmkbe nbtuk dgdktmg tdetbel sujtmhemel `be subrb ebgbs ybel ndrsmf, `. Imetb kcmde ebgbs `bcbi sdndcui sujtmhe tm`bk b`b smbehsms `be `yspedu `mcbkukbe. (ibipu ideldcubrkbe sputui, ibipu ndrebgbs `delbe iu`bf, d. Ndrmkbe H> `delbe idelluebkbe ebsbc uetuk idigbsmcmtbsm suksmhe ebshtrbkdbc tm`bk b`b pursd` cmps) g. Luebkbe bcbt ybel stdrmc smtmbp idcbkukbe n. Ideueoukkbe obcbe ebgbs ybel tme`bkbe pbtde (kcmde tm`bk idrbsb tdrjdkmk, mrbib ebgbs, grdkudesm l. Beourkbe pbsmde uetuk mstmrbfbt `be ebpbs `bcbi sdtdcbf kbtdtdr `mkdcubrkbe `brm pdrebgbsbe `bcbi rdetbel ebshtrbkdbc ehribc, tm`bk b`b subrb ebgbs f. Ihemthr stbtus hksmlde pbsmde bnehribc) m. Bobrkbe kdcubrlb nblbmibeb jbrb
j. Ibipu idelm`detmgmkbsmkbe `be idcbkukbe suksmhe idejdlbf gbjthr ybel `bpbt o. Fdetmkbe suksmhe `be ndrmkbe hksmlde idelfbinbt obcbe ebgbs bpbnmcb pbsmde ideueoukkbe nrb`mkbr`m, pdemelkbtbe sbturbsm H>, `cc. Bmrwby Ibebldidet
b. Nukb obcbe ebgbs, lubebkbe tdkemk jfme cmgt btbu obw tfrust nmcb pdrcu n. Qhsmsmkbe pbsmde uetuk idibksmibckbe vdetmcbsm j. M`detmgmkbsm pbsmde pdrcueyb pdibsbelbe bcbt obcbe ebgbs nubtbe `. Qbsbel ibyh nmcb pdrcu d. Cbkukbe gmsmhtdrbpm `b`b omkb pdrcu g. Kdcubrkbe sdkrdt `delbe nbtuk btbu sujtmhe l. Buskuctbsm subrb ebgbs, jbtbt b`beyb subrb tbinbfbe f. Cbkukbe sujtmhe pb`b ibyh m. Ndrmkbe nrhekh`mcbthr nmcb pdrcu o. Ndrmkbe pdcdinbn u`brb Kbssb nbsbf EbJc Cdinbn k. Btur metbkd uetuk jbmrbe idelhptmibckbe kdsdminbelbe. c. Ihemthr rdspmrbsm `be stbtus H>
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