Pap 1.3 Panduan Pelayanan Dan Asuhan Pasien

 

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\AEHKHG VJRKVJGRE]K.................................................................. 5< 0. OEHEDJ OEHEDJR R \JAE[EHE \JAE[EHEH H \E]KJH \E]KJH ( ME]J ME]J OEHEGJR OEHEGJR).... )......... ........... ...... 5< M. RZOE@ RZOE@ ]EIKV OJHJVE OJHJVE\IE \IEH H RJGZAE]K RJGZAE]K [EHG OJHGEV OJHGEVZR  ZR  OJVCFJ OJOBJRK KH]VRZI]K .......................................................... 5< F. KHNCROE]K KHNCROE]K @E]KA @E]KA E]Z@EH E]Z@EH FEH FEH \JHGCBEVE \JHGCBEVEH...................... H........................... ..... 55 \JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

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J. \E]KJH \E]KJH RK]KIC RK]KIC VKHGGK VKHGGK FEH FEH \JAE[EHE \JAE[EHEH H RK]KIC RK]KIC VKHGGK VKHGGK ......... ........ . 55 N. \E]KJH \E]KJH JOJRGJH]K JOJRGJH]K .............. ..................... ............. ............. .............. ............. ............. .............. .............. .................. ........... 52 G. \JHJRE\EH \JHJRE\EH JERA[ WERHKHG WERHKHG ][]VJO ................. ........................ .............. .............. ........... .... 52 @. \JAE[EHEH \JAE[EHEH RJ]Z]KVE]K RJ]Z]KVE]K ............. .................... .............. ............. ............. .............. .............. ............. ............. ......... .. 5= K. \JAE[EHEH \JAE[EHEH FERE@....... FERE@.............. .............. ............. ............. .............. ............. ............. .............. ....................... .................. 5= D. OEIEHEH OEIEHEH FEH FEH VJRE\K VJRE\K GKTK.... GKTK........... .............. ............. ............. .............. .............. ......................... .................. 5= I. \JHGJACAEEH \JHGJACAEEH H[JRK....... H[JRK.............. .............. ............. ............. .............. .............. ............. ..................... ..................... ...... 5= A. \JAE[EHEH \JAE[EHEH \E]KJH \E]KJH VE@E\ VE@E\ VJROKHEA VJROKHEA .............. .................... ........................... ..................... 56 O. \JAE[EHEH \JAE[EHEH \E]KJH \E]KJH VE@E\ RJ]VREKHV.... RJ]VREKHV.......... ............. .............. .............. ................. .......... 5:  H. \JAE[EHEH \C\ZAE]K I@Z]Z].......................................... I@Z]Z]................................................... .............. ..... 5: C. ICOZHKIE]K ICOZHKIE]K JNJIVKN JNJIVKN ............. .................... .............. .............. ............. ............. .............. ............. .................... .............. 5> BEB K^ K^

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5.

\jaeyeheh efeae` suetu ijgketeh eteu uruteh ijgketeh yehg tjrdefk feaeo khtjreisk

ehtere sjsjcrehg fjhgeh crehg aekh. 2.

\eskjh efeae` sjtkep crehg yehg ojaeiuieh ichsuatesk oeseae` ijsj`etehhye uhtui 

ojopjrcaj` pjaeyeheh ijsj`eteh yehg fkpjrauieh beki sjmere aehgsuhg oeupuh tkfei  aehgsuhg fk ruoe` seikt =.

efeae eae` ` su suet etu u ijgke ijgkete teh h et eteu eu ur urut uteh eh ijgket ijgketeh eh yehg yehg tj tjrd rdef efkk fe feae aeo o \jaeyeheh peskjh ef khtjreisk khtjr eisk ehtere pjtuges ijsj`ete ijsj`eteh h fjhgeh peskjh uhtui ojhfepetieh pjaeyeheh ijsj`eteh.

6.

\jae \jaeye yehe heh h \es \eskj kjh h ]jr ]jreg egeo eo efeae` peskjh fjhgeh oeseae` ijsj`eteh yehg seoe

 bjr`ei ojhfepet iueaktes esu`eh yehg seoe fk ruoe` seikt. Ruoe` seikt ojhdeokh ojhyjfkeieh tkhgiet iueaktes esu`eh yehg seoe sjtkep `erk feaeo sjokhggu feh pefe sjtkep ]`knt. :.

\jaey \jaeyehe eheh h peskjh peskjh Vjrkh Vjrkhtj tjgre gresk sk efeae` suetu prcsjs esu`eh/pjaeyeheh peskjh yehg

 bjrsknet fkheoks feh bjrijskheobuhgeh yehg ojakbetieh behyei preitksk pjaeyeheh ijsj`eteh feh bjrbegek uhkt ijrde eteu pjaeyeheh. >.

Ijsk Ijskhe heob obuh uhge geh h \jaey \jaeyeh eheh eh eteu eteu mchtkhuo cn mesj  efeae` pjojhu`eh ijbutu`eh

khfkvkfu peskjh yehg sjsuek fjhgeh tkhgiet feh djhks esu`eh, pjhgcbeteh, feh  pjaeyeheh feaeo ruoe` seikt feh ehter e hter ruoe` seikt (ruduieh) 7.

Ijs jskh kheo eobu buhg hgeh eh esu` esu`eh eh efeae` tkhgiet esu`eh khfkvkfu yehg tjriccrfkhesk ehter 

 pjobjrk esu`eh, ehter uhkt fepet fkbehtu oehegjr oehegj r pjaeyeheh peskjh (O\\) 0.

\jae \jaeye yehe heh h rksk rkskic ic tkhg tkhggk gk efeae` pjaeyeheh eteu ijgketeh pjobjrkeh esu`eh pefe iesus

 ” iesus yehg ojokakik feopei/ rkskic tkhggk tjr`efep peskjh feh pjtuges pjobjrk esu`eh ;.

\eskjh rkskic tkhggk efe efeae ae` ` peskj peskjh h fjhge fjhgeh h ij ijefe efeeh eh ojfk ojfkss yehg yehg bjrks bjrkski kic c oufe oufe` `

ojhgeaeok pjhuruheh stetus ijsj`eteh eteu yehg fkhkaek bjauo eteu tkfei fepet ojoe`eok prcsjs esu`eh yehg fkbjrkieh 5.

\eskjh \eskjh fjhgeh fjhgeh oeseae` oeseae` ijsj`et ijsj`eteh eh yehg seoe seoe oeie pjobjrk pjobjrkeh eh esu`eh esu`eh yehg fkbjrk fkbjrkieh ieh ijpefe peskjh, seoe fk sjoue uhkt pjaeyeheh, okseahye okseahye pjaeyeheh Ehjstjsk Ehjstjsk seoe fk sjoue uhkt pjaeyeheh.

7.

\jhjhtu \jhjhtueh eh suobjr suobjr feye uhtui uhtui ojojhu`k ojojhu`k ijbutu`eh ijbutu`eh peskjh peskjh fkfeser fkfeserieh ieh etes etes ijtjpeteh ijtjpeteh `eska `es ka esjsoj esjsojh h ichfks ichfkskk peskjh peskjh caj` preitk preitksk sk yehg icopjt icopjtjh jh feh fksjsu fksjsuekie ekieh h fjhgeh fjhgeh \ehfueh \reitki Iakhks (\\I) yehg sufe` fktjtepieh

0.

\eskj \eskjh h fjhge fjhgeh h ijbut ijbutu`e u`eh h es esu`e u`eh h pjrewe pjreweteh teh yehg seoe ojhjr ojhjrko koee es esu`e u`eh h ijpjr ijpjrewe ewete teh h yehg sjtere fk sjauru` ruoe` seikt sjsuek fjhgeh stehfer esu`eh ijpjreweteh yehg tjae` fktjtepieh.

;.

Esu`eh peskjh  peskjh yehg sjregeo ojhg`eskaieh pjhgguheeh suobjr feye sjmere jnkskjh feh Esu`eh ojouhgikhieh ojobuet jveauesk `eska esu`eh (cutmcoj) uhtui esu`eh yehg seoe fk sjauru` ruoe` seikt.

5. \rkhsk \rkhskp p \etkj \etkjht ht Mjhtj Mjhtjrr Merj Merj efeae` efeae` e. \ertkskpe pessk  b. Icaebcresk m. \job \jobjr jrke keh h Khn Khncr croe oesk sk f. Fk Fk`cr `croe oetk tk feh fk`er fk`ergek gek..

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

:

 

BEB KKK VEVEAEI]EHE

E. Esu` Esu`eh eh \esk \eskjh jh ]j ]jre rege geo o

5. Esu`eh Esu`eh fkbjr fkbjrkie kieh h caj` \\E \\E tkfei tkfei bjrgeh bjrgehtuh tuhg g `erk `erk Esu`eh feh pjhgcbeteh yehg ojoefek fkbjrkieh caj` \\E yehg icopjtjh tkfei  tjrgehtuhg pefe `erk feh sjtkep okhggu eteu weituhye sjtkep `erk, sjtkep s`knt, 7 `erk sjokhggu. 2. \jhgguhe \jhgguheeh eh eaciesk eaciesk ]FO yehg seoe. seoe. \eskjh yehg ojobutu`ieh esu`eh pjaeyeheh fkbjrkieh caj` \\E yehg icopjtjh feh bjrwjhehg sjsuek fjhgeh ijbutu`eh pjaeyeheh peskjh. Ruoe` seikt ojhdeokh tjrsjfkehye sten yehg icopjtjh feh bjrwjhehg pefe sjtkep `erk. =. \eskjh ojhjrkoe ojhjrkoe esu`eh esu`eh ijpjreweteh ijpjreweteh yehg sjtere fk sjauru` sjauru` ruoe` ruoe` seikt seikt Esu`eh ijpjreweteh ijpjreweteh fkbjrkieh fkbjrkieh sjsuek fjhgeh ijbutu`eh ijbutu`eh esu`eh ijpjreweteh peskjh feh fkbjrkieh fkbjrkieh caj` pjrewet pjrewet yehg icopjtj icopjtjh h feh bjrwjhe bjrwjhehg hg sjtkep sjtkep weitu feh fksjauru` ruoe` seikt. 6. Esu`eh sjregeo sjsuek fjhgeh pjretureh pjretureh pjruhfehgeh pjruhfehgeh yehg bjraeiu. bjraeiu.

B. Vete Vete aei aeise sehe he esu`eh esu`eh Kh Khtjg tjgre resk sk

Esu`eh

khtjgresk

Khtre

\\E

ojrupeieh

esu`eh

ehtere

\\E

(

Fcitjr,

 pjrewet/bkfeh, epctjijr, e`ak gkzk)

5. Khtjgres Khtjgreskk esu`eh esu`eh ehtere ehtere FcitjrFcitjr- \jrewet \jrewet

\rcsjs esu`eh peskjh bjrsknet fkheoks feh ojakbetieh sjoue \\E tjrsjbut fketes, sj`khgge pjhgkhtjgreskeh feh iccrfkhesk eitkvktes esu`eh peskjh ojhdefk tudueh eger ojhg`eskaieh prcsjs esu`eh yehg jnkskjh, pjhgguheeh yehg ajbk` jnjitkn  suobjr feye oehuske feh suobjr feye aekh, fjhgeh ijouhgikheh ijouhgikheh `eska esu`eh  peskjh yehg ajbk` beki, fkoehe Fcitjr (F\D\) bjrtkhfei sjbegek Vjeo Ajefjr. Rjieo ojfks peskjh ojoneskaktesk feh ojhggeoberieh khtjgresk feh iccrfkhesk esu`eh, i`usushye sjtkep meteteh cbsjrvesk feh pjhgcbeteh caj` preitksk pjaeyeheh. Fjokik Fjo kikeh eh duge, duge, sjtkep sjtkep `eska `eska eteu ijskopuaeh ijskopuaeh ferk repet tko eteu eteu fksiusk fksiusk tjhtehg tjhtehg  peskjh fkmetet feaeo rjieo ojfks peskjh. \jrjhmeheeh yehg tjaktk fkpjrauieh uhtui prcsjs esu`eh peskjh eger ojhfepet `eska yehg cptkoea. \rcsjs pjrjhmeheeh pjrjhmeheeh ojhgguheieh fete feh esjsojh ewea peskjh feh esjsojh esjsojh uaehg pjrkcfki uhtui ojhjtepieh ojhjtepieh feh ojhyusuh ojhyusuh prkcr prkcrktes ktes pjhgcbeteh, pjhgcbeteh,  prcsjfur, esu`eh ijpjreweteh, feh esu`eh aekh uhtui ojojhu`k ijbutu`eh peskjh. \eskjh \es kjh feh ijauer ijauerge ge fkkiut fkkiut sjrtei sjrteieh eh feaeo feaeo prcsjs prcsjs pjrjhm pjrjhmehee eheeh. h. Rjhmeh Rjhmehee esu`eh esu`eh \JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

>

 

fkmeht fkm ehtuoi uoieh eh feaeo feaeo rjieo rjieo ojfks ojfks peskjh peskjh.. Rjh Rjhmeh mehee esu`eh esu`eh fkijob fkijobehgi ehgieh eh feaeo feaeo weitu wei tu peakhg peakhg aeoe aeoe 26 deo sjtjae sjtjae` ` peskjh peskjh fkt fktjrk jrkoe oe fk rewet rewet khep. khep. Bjr Bjrfes feseri erieh eh esjsojh uaehg peskjh caj` preitksk pjaeyeheh ijsj`eteh, oeie rjhmehe fkpjrbe`eruk sjsuek fjhgeh pjrube`eh ichfksk peskjh. Rjhmeh Rjh mehee esu`eh esu`eh uhtui uhtui sjcreh sjcrehg g peskjh peskjh `erus `erus tjr tjriek iektt fjhgeh fjhgeh ijbutu ijbutu`eh `ehhye. hye. Ijbutu`eh khk ouhgikh bjrube` sjbegek eikbet pjrbekieh iakhks, khncroesk beru ferk esjsojh uaehg yehg rutkh (mchtc`, `eska aebcretcrkuo eteu refkcgrenk yehg ebhcroea), eteu ierjhe pjrube`eh ijefeeh peskjh yehg tkbe-tkbe (mchtc`, pjhuruheh ijsefereh). Bkaee ijbutu` Bka ijbutu`eh eh bjrube` bjrube`,, rjhmehe rjhmehe esu`eh esu`eh peskjh peskjh puh bjrube bjrube`. `. \jrube` \jrube`eh eh fktuak fktuakss feaeo fea eo rjieo rjieo ojfks ojfks sjbegek sjbegek metete meteteh h pefe pefe rjhmehe rjhmehe ewea, ewea, pjrbek pjrbekieh ieh eteu eteu sesere sesereh h esu`eh yehg beru, eteu fepet ojhdefk suetu rjhmehe yehg beru. Defk setu rjhmehe esu`eh tuhggea feh tjrkhtjgresk yehg ojhguiur pjhmepekeh sesereh yehg fk`erepieh sjtkep sjtk ep fkskpakh, fkskpakh, ajbk` beki ferkpefe ferkpefe rjhmehe rjhmehe tjrpkse` tjrpkse` caj` oeskhg-oeskhg oeskhg-oeskhg preitksk preitksk  pjaeyeheh. Rjhmeh Rjh mehee pjaeye pjaeyeheh heh uhtui uhtui sjtkep sjtkep peskjh peskjh `erus `erus ojhmjr ojhmjrok okhieh hieh tudueh tudueh yehg  bjrsknet khfkvkfuea, cbyjitkn feh sesereh esu`eh yehg rjeakstki uhtui ojouhgikhieh esjsojh uaehg feh rjvksk rjhmehe pjaeyeheh. Rjhmehe esu`eh fkmetet feaeo rjieo ojfk oj fkss feaeo feaeo bj bjht htui ui ij ijoe oedu dueh eh tj tjru ruiu iurr pjhme pjhmepe peke keh h se sese sere reh. h. Ijoe Ijoedu dueh eh ye yehg hg fkehtkskp fkeht kskpesk esk fkmetet fkmetet eteu fkrjvksk sjsuek ijbutu`eh9 ijbutu`eh9 bjrfeserieh bjrfeserieh `eska esjsojh esjsojh uaehg etes peskjh caj` pjobjrk esu`eh.

2. Ijtjrak Ijtjrakbete beteh h feh \jobjrfe \jobjrfeyeeh yeeh \eskjh \eskjh feh Ijauer Ijauerge ge

\jretureh ojhg`erusieh be`we peskjh feh ijauerge fkbjrk te`u tjhtehg `eska esu`e esu`eh h tj tjro roes esui ui ijdef ijdefke keh h tkfei tkfei fk`e fk`ere repi pieh. eh. ]j ]jrt rtee ru ruoe oe` ` se seik iktt ojhy ojhyjf jfke keieh ieh  pjhfkfkieh/jfuiesk uhtui ojhuhdehg pertkskpesk peskjh feh ijauerge feaeo  pjhgeobkaeh ijputuseh feh prcsjs pjaeyeheh. Esu`eh feh prcsjs pjhgcbeteh ojrupeieh skiaus bjrijaehduteh ferk esjsojh feh esjsojh uaehg, pjrjhmeheeh feh pjobjrkeh esu`eh, feh esjsojh `eska. \eskjh feh ijauerge fkbjrkte`uieh tjhtehg `eska ferk prcsjs esjsojh, tjhtehg pjrjhmeheeh esu`eh feh pjhgcbeteh feh fkkiutsjrteieh feaeo pjhgeobkaeh ijputuseh. Defk uhtui  ojajhgiepk skiaus khncroesk fjhgeh peskjh, ojrjie pjrau fkbjrkte`u tjhtehg `eska esu`e esu`eh h fe feh h pjhgc pjhgcbe bete teh, h, tj tjro roes esui ui khnc khncro roes eskk tj tjht hteh ehg g `e `esk skaa es esu`e u`eh h ye yehg hg tk tkfei  fei  fk`erepieh. Ruoe` seikt ojhfkfki peskjh feh ijauergehye, ijauergehye, sj`khgge ojrjie ojhfepet  pjhgjte`ueh feh ijtreopkaeh uhtui bjrpertkskpesk feaeo prcsjs feh pjhgeobkaeh ij ijpu putu tuse seh h es esu`e u`eh h pe pesk skjh jh.. ]j ]jtk tkep ep ruoe ruoe` ` se seik iktt ojhg ojhgjo jobe behgi hgieh eh/o /ojo joes esui uiieh ieh  pjhfkfkieh ij feaeo prcsjs esu`eh bjrbesks oksk, djhks pjaeyeheh yehg fkbjrkieh feh  pcpuaesk peskjh. \jhfkfkieh fkrjhmeheieh uhtui ojhdeokh be`we sjtkep peskjh

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

7

 

fkbjrkieh fkbjr kieh pjhfkfkieh pjhfkfkieh sjsuek sjsuek ijbutu`ehhye. ijbutu`ehhye. Ruoe` seikt ojhjtepieh ojhjtepieh begekoehe begekoehe ojhgcrgehkseskieh suobjr feye pjhfkfkieh sjmere jnjitkn feh jnkskjh.

=. F\D\ sj sjbeg begek Makhkmea tjeo ajefjr 

Feaeo sjoue nesj pjaeyeheh, efe sten yehg icopjtjh sjbegek crehg yehg  bjrtehgguhg deweb tjr`efep pjaeyeheh peskjh, feh sten yehg icopjtjh khkae` yehg fksjbutt Fcitjr fksjbu Fcitjr \jhehggu \jhehgguhg hg Deweb Deweb \jaeye \jaeyeheh heh (F\D\) (F\D\),, yehg bjrteh bjrtehggu gguhg hg deweb deweb ojobjrkieh pjaeyeheh peskjh. Rjhmehe esu`eh uhtui tkep peskjh fkrjvkjw feh fk vjrknkiesk vjrkn kiesk caj` F\D\ fjhgeh ojhmetet ojhmetet ijoeduehhye. ijoeduehhye. F\D\ ojobeme ojobeme sjoue esu`eh yehg fkbjrkieh caj` \\E aekh feh ojaeiuieh vjrknkiesk fjhgeh ojobubu`eh tehfe tehgeh pefe icaco vjrknkiesk peakhg bewe` fksjtkep ajober M\\V F\D\ F\D \ ojhget ojhgetur ur pjaeyeh pjaeyeheh eh peskjh peskjh sjaeoe sjaeoe sjauru sjauru` ` weitu weitu rewet rewet khep, khep, fea feaeo eo rehgie ojhkhgietieh ichtkhuktes pjaeyeheh, pjhgkhtjgreskeh esu`eh ferk pere \\E, sjrte ojhdeokh iueaktes pjaeyeheh feh `eska yehg fk`erepieh. Efe ijbkdeieh ruoe` seikt yehg ojhgetur prcsjs trehsnjr tehgguhg deweb peskjh ferk setu ij crehg aekh,  pefe oese akbur, `erk bjser feh aekh-aekh. Feaeo ijbkdeieh fktjtepieh fcitjr ch meaa, me aa, eteu fcitjr pjhggehtk yehg bjrtehgguhg deweb.(ak`et \ehfueh \jaeiseheeh F\D\). F\D\ sjbegek ijtue tko \\E ojaeiuieh jveauesk/rjvkjw bjrieae sjtkep `erk feh ojae oj aeiu iuie ieh h vj vjrk rknk nkie iesk sk tj tjr` r`efe efep p es esu` u`eh eh yehg yehg fk fkbjr bjrki kieh eh ca caj` j` \\E \\E ae aekh kh fj fjhge hgeh h ojobub ojo bubu`ie u`ieh h tehfet tehfetehge ehgeh h pefe pefe ieheh ieheh bewe` bewe` sjtkep sjtkep ajober ajober M\\V M\\V pefe pefe icaco icaco vjrknkiesk.

6. \rcnj \rcnjskc skchea hea \job \jobjrk jrk Esu` Esu`eh eh (\\E) (\\E)

\\E bjijrde bjijrde sjbegek tko khtjrfkskp khtjrfkskpakh akh fjhgeh icaebcresk icaebcresk khtjrprcnjs khtjrprcnjsskchea skchea,, ehtere aekh fjhgeh ojhgguheieh \ehfueh \reitji iakhki (\\I), \ehfueh esu`eh \\E aekhhye sjpjrtk Esu`eh Ijpjreweteh, Esu`eh Ijbkfeheh, \EGV ( \ehfueh Esu`eh Esu`e h Gk Gkzk zk Vj Vjrk rkht htjg jgre resk sk ) fksj fksjrt rtek ek fj fjhge hgeh h Ea Eaur ur Ia Iakh khks ks Vj Vjrk rktj tjgr gres eskk (Mak (Makhk hkme meaa \et`weys) fktuaks feaeo Meteteh \jrijobehgeh \eskjh tjrkhtjgresk (M\\V).

:. Meteteh Meteteh \jri \jrijobe jobehgeh hgeh \eskj \eskjh h Vjr Vjrkhtj khtjgres greskk (M\\V) (M\\V)

Meteteh \jrijobehgeh \eskjh Vjrkhtjgresk efeae` ajober pefe bjries rjieo ojfks ojf ks peskjh peskjh fkoehe fkoehe sjoue sjoue ichfksk ichfksk feh pjrijo pjrijobehg behgeh eh pjh pjhyeik yeiktt peskjh peskjh sjrte sjrte tkhfeieh tkhfe ieh yehg fkeaeok fkeaeok peskjh fkmetet. Ruoe` seikt ojhjtepieh ojhjtepieh be`we ojrjie yehg fkkzkhieh ojobjrkieh pjrkhte` / crfjr ojhuaksieh pjrkhte` khk feaeo rjieo ojfks  peskjh fk aciesk yehg tjrkhtjgresk, feh aciesk ktu efeae` pefe ajobet Meteteh \jrijobehgeh \eskjh Vjrkhtjgresk (M\\V). Eitkvktes Eitkvk tes esu`eh esu`eh peskjh peskjh tjroes tjroesui ui pjobjr pjobjrkeh keh pjrkht pjrkhte`, e`, (oksea (okseahye hye,, uhtui  uhtui   pjojrkiseeh aebcretcrkuo, pjobjrkeh cbet, pjaeyeheh ijpjreweteh feh tjrepk

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

0

 

hutrksk). \rcsjfur fkeghcstki, cpjresk feh prcsjfur aekh fkpjrkhte`ieh caj` ojrjie yehg icopjtjh uhtui `ea tjrsjbut yehg fkurekieh feaeo ]\I feh RII. \jrkhte` khk `erus oufe` fkeisjs uhtui fepet fkaeiseheieh tjpet weitu. \jhjopeteh pjrkhte`  pefe suetu ajober uouo eteu aciesk yehg tjrkhtjgresk fk rjieo ojfks peskjh ojobehtu tjraeisehehye pjrkhte`. \jrkhte` tjrtuaks ojobehtu sten uhtui ojhgjrtk iji`ususeh pjrkhte`, iepeh `erus fkaeiseheieh feh skepe yehg `erus ojaeiseheieh. \jrkhte` fepet fktuaks pefe meteteh metet eh pjrijobehgeh pjrijobehgeh peskjh tjrkhtjgres tjrkhtjgreskk (M\\V) yehg ijoufkeh ijoufkeh fkoesuiieh fkoesuiieh ij rjieo ojfks peskjh sjmere pjrkcfki eteu pefe weitu pjouaehgeh peskjh. Defk sjoue pere \\E (fcitjr, pjrewet, neroesks, nkskctjrepks faa) ojhmetetieh sjoue pjrijobehgeh peskjh yehg fkjveaueskhye pefe ajober yehg seoe yektu M\\V, feaeo fea eo bjhtui bjhtui ijoedu ijoedueh eh tjruiur tjruiur caj` caj` pjobjr pjobjrkk pjaeye pjaeyeheh heh sjsuek sjsuek ncroet ncroet ]CE\ ]CE\ (]ubdjitkn, Cbdjitkn, Essjsojh, \aehhkhg) eteu EFKOJ uhtui hutrkskchkst

>. Rjhmehe Rjhmehe Esu`eh Esu`eh khfkvkfue khfkvkfueaa sjtkep sjtkep peskjh fkbuet fkbuet feh fkfciuojh fkfciuojhtes teskieh. kieh.

Rjhmehe esu`eh ojhdjaesieh esu`eh feh pjhgcbeteh/tkhfeieh, yehg fkbjrkieh ijpefe sjcrehg peskjh. Rjhmehe esu`eh ojouet setu peijt tkhfeieh yehg fkaeiuieh caj` caj` \\E \\E uh uhtu tui i ojoj ojojme me`ie `ieh h et eteu eu ojhfu ojhfuiu iuhg hg fk fkegh eghcs csks ks fk fktj tjge geiie iieh h ojae ojaeau aukk esjsojh. Vudueh uteoe rjhmehe esu`eh efeae` ojopjrcaj` `eska iakhks yehg cptkoea. ]e ]eae ae` ` se setu tu me mere re uh uhtu tui i ojob ojobuet uet rj rjhm hmehe ehe es esu` u`eh eh efeae efeae` ` ojhg ojhgjt jte` e`uk uk fe feh h ojhjtepieh sesereh-sesereh. ]esereh tjruiur fepet fkeoetk feh fepet tjrmepek tjriekt fjhgeh esu`eh peskjh feh ferk `eska iakhks yehg fk`erepieh. ]esereh `erus rjeakstki, spjsknki uhtui peskjh, feh `erus tjriekt weitu uhtui ojhguiur ijoedueh sjrte `eska tjriekt fjhgeh rjhmehe esu`eh. Mchtc` sesereh rjeakstks tjruiur 4 

Ichfksk peskjh ijobeak fjhgeh nuhgsk (cut put) dehtuhg stebka ojaeauk fjtei   dehtuhg, kreoe dehtuhg feh tjieheh fere` fk iksereh hcroea.





\eskjh oeopu ojobjrkieh sjhfkrk suhtkieh khsuakh sjbjauo peskjh puaehg ijauer ferk ruoe` seikt. \es \eskj kjh h oeo oeopu bjrd bjrdea eaeh eh fjhg fjhgeh eh ‑ wea weaijr ijr ‑ feh feh ijfu ijfuee ieik ieikhy hyee oeo oeopu ojhehgguhg bjret befeh. ]etu rjhmehe esu`eh tjrkhtjgresk fk tuaksieh uhtui sjtkep peskjh fkbuet feaeo

\aeh cn merj yehg fktuaksieh caj` \jrewet pefe pegk `erk, ojouet ijbutu`eh peskjh feh rjhmehe esu`eh pefe `erk ktu feh sesereh yehg fk`erepieh fkmepek pefe `erk ktu ferkk sjoue fer sjoue \\E yehg yehg tjrakb tjrakbet. et. F\D\ F\D\ ojaeiui ojaeiuieh eh vjrknk vjrknkies ieskk \aeh \aeh cn Merj Merj fjhgeh fjhgeh ojobjrkieh tehfe tehgeh pefe icaco tjrbewe` sjtjae` ojobeme sjauru` rjhmehe.

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

;

 

7. \jrjhmeh \jrjhmeheeh eeh \jouaehge \jouaehgeh h \eskjh /Fksm`e /Fksm`ergj rgj \aehhkhg \aehhkhg Vjrkhtj Vjrkhtjgre gresk sk

Esjsojh ewea tjroesui ojhjhtuieh ijbutu`eh rjhmehe pjouaehgeh peskjh (fksm`ergj (fks m`ergj). ). Ichtkhukte Ichtkhuktess pjaeyeheh pjaeyeheh ojopjrsyer ojopjrsyeretieh etieh pjrskepeh pjrskepeh feh pjrtkobehgeh pjrtkobehgeh i`usus uhtui bjbjrepe peskjh tjrtjhtu sjpjrtk rjhmehe pjouaehgeh peskjh. Ruoe` seikt sei kt ojhgjo ojhgjobehg behgieh ieh ojiehk ojiehksoj soj sjpjrt sjpjrtkk fenter fenter irktjr irktjrke ke uhtui uhtui ojhgkf ojhgkfjht jhtknk knkies ieskk  peskjh, yehg rjhmehe pjouaehgehhye irktks, ehtere aekh ierjhe uour, ijsuakteh ocbkaktes /gjrei, ijbutu`eh pjaeyeheh ojfks feh ijpjreweteh bjrijaehduteh eteu  behtueh feaeo eitkvktes `kfup sj`erk-`erk. Ierjhe pjrjhmeheeh prcsjs pjouaehgeh  peskjh fepet ojobutu`ieh weitu egei aeoe, oeie prcsjs esjsojh feh pjrjhmeheeh fepet fkouaek sjgjre sjtjae` peskjh fktjrkoe sjbegek peskjh rewet khep. Bkae peskjh ojobutu`ieh pjrjhmeheeh pjouaehgeh i`usus oeie \\E bjijrde seoe fjhgeh Oehedjr \jaeyeheh \eskjh (mesj oehedjr) eger peskjh ojhfepetieh  pjaeyehe yehg tjrkhtjgresk.

0. Oehedj Oehedjrr \jae \jaeyeh yeheh eh \eskj \eskjh h (Mesj Oehegjr )

Oehedjr \jaeyeheh \eskjh (O\\)/mesj oehegjr efeae` prcnjskchea feaeo R] yehg bjijrde sjmere icaebcretkn fjhgeh \\E, ojoestkieh be`we peskjh fkrewet sjrte fktrehskskieh ij tkhgiet esu`eh yehg tjpet, feaeo pjrjhmeheeh esu`eh yehg jnjitkn  fe feh h ojhj ojhjrk rkoe oe pj pjhg hgcb cbet eteh eh ye yehg hg fktj fktjht htui uieh eh,, sj sjrt rtee fk fkfu fuiu iuhg hg pj pjae aeye yehe heh h fe feh h  pjrjhmeheeh yehg fkbutu`ieh sjaeoe oeupuh sjsufe` pjreweteh R], tjroesui  feaeo ojaeiuieh pjrjhmeheeh pjouaehgeh peskjh i`usus.

M. Ruoe` Ruoe` seikt ojhjtepie ojhjtepieh h rjguaesk rjguaesk yehg ojhget ojhgetur ur ojtcfj ojtcfj ojobjrk ojobjrk khstruisk khstruisk

Behyei ijgketeh esu`eh peskjh ojobutu`ieh sjcrehg \\E yehg icopjtjh (efe feaeo urekeh urekeh RII feh ]\I) feh bjrwjhehg uhtui uhtui ojhuaksieh khstruis khstruiskk yehg `erus tjrmetet fk rjieo ojfks peskjh. Ijgketeh khk ojakputk ehtere aekh khstruisk uhtui   pjojrkiseeh aebcretcrkuo, ojojseh cbet, esu`eh ijpjreweteh i`usus, tjrepk hutrksk faa. Khstruisk Khstruisk `erus fepet tjrsjfke fjhgeh oufe` dkie khstruisk khstruisk `erus fkaeiseheieh fkaeiseheieh sjmjpet-mjpethye. Khstruisk Khstr uisk i`usus fktjopetieh fktjopetieh feaeo (M\\V) uhtui ojoufe`ieh ojoufe`ieh pjaeiseheeh pjaeiseheeh Khstruisk. Ncrouakr khk ojobehtu sten uhtui ojhgjrtk iji`ususeh pjrkhte`, iepeh `erus fkaeiseheieh, fkaeis eheieh, sjrte skepe yehg `erus ojaeiseheieh ojaeiseheieh feh bjrsknet bjrsknet fjajgetkvj eteu oehfetj. \jrokhteeh uhtui pjojrkiseeh aebcretcrkuo feh fkeghcstki koedkhg `erus fksjrtek khfkiesk iakhks epebkae ojokhte `eskahye bjrupe khtjrprjtesk. Vkhfeieh iakhks feh fkeghcstki yehg fkokhte, fkaeiseheieh feh fktjrkoe `eskahye feh fkskope fkskopeh h feaeo feaeo rjieo rjieo ojfks. ojfks.

Dkie Dkie st sten en ojokhte ojokhte pjrsjtud pjrsjtudueh ueh tkhfeieh tkhfeieh eteu

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

5<

 

fkeghcstki oeie supeye fkdjaesieh eaeseh pjrokhteeh feh fkmetet fk rjieo ojfks `eska ferk tkhfeieh yehg fkaeiuieh \efe peskjh rewet deaeh bkae fkaeiuieh tkhfeieh fkeghcstki khveskn/ bjrkskic, `erus fkaeiuieh esjsojh sjrte pjhmetetehhye feaeo rjieo ojfks rewet deaeh.

F. Khncroe Khncroesk sk `es `eska ka esu`e esu`eh h feh feh pjhgc pjhgcbete beteh h

\eskjh feh ijauerge ijauerge fkbjrkte`u fkbjrkte`u tjhtehg tjhtehg `eska esu`eh esu`eh feh pjhgcbeteh pjhgcbeteh tjroesui  tjroesui  `eska `es ka esu`e esu`eh h feh pjhgcbe pjhgcbeteh teh yehg yehg tkfei tkfei fk`erep fk`erepieh ieh pefe ncro ncrouak uakrr icouhki icouhkiesk esk khncroesk khncr oesk feh jfuiesk feh pefe ncrouakr ncrouakr khncrojf mchsjht mchsjht fkaeiuieh fkaeiuieh . Feh feaeo khncrojf khncr ojf mchsjht mchsjht duge fkdjaesieh fkdjaesieh tjhtehg tjhtehg

ijdefkeh ijdefkeh yehg yehg tkfei tkfei fk`erepie fk`erepieh h

(IVF)

fkdjaesieh caj` Fcitjr \jhehgguhg Deweb pjaeyeheh (F\D\)

J. \eskjh \eskjh Rkskic Rkskic Vkhggk Vkhggk feh feh \jaeyeh \jaeyeheh eh Rkski Rkskic c Vkhggk Vkhggk

Ruoe` seikt ojobjrkieh esu`eh ijpefe peskjh uhtui bjrbegek ijbutu`ehhye eteu ijbutu`eh pefe ijefeeh irktks. Bjbjrepe peskjh fkgcachgieh oesui feaeo ietjgcrk rkskic tkhggk ierjhe uourhye, ichfkskhye feh ijbutu`eh pefe ijefeeh irktks. Ehei-ehei feh aehske bkesehye fkoesuiieh feaeo gcachgeh khk ierjhe ojrjie bkesehye tkfei fepet ojhyeopekieh ojhyeo pekieh ijkhgkhehhye, ijkhgkhehhye, tkfei ojhgjrtk ojhgjrtk prcsjs prcsjs esu`eh yehg fkbjrkieh fkbjrkieh feh tkfei  fepet kiut sjrte feaeo pjhgeobkaeh ijputuseh tjriekt fkrkhye. ]eoe `eahye fjhgeh peskjh gewett ferure gewe ferurett yehg ijteiu ijteiuteh teh,, icoe icoe feh bkhguhg bkhguhg tk tkfei fei oeopu oeopu ojo ojoe`eo e`eokk prcsjs prcsjs esu`ehhye epebkae peskjh `erus fkbjrkieh esu`eh mjpet feh jnkskjh. Esu`eh pefe peskjh rkskic tkhggk fkfuiuhg caj` pjhgguheeh \\I, rjguaesk aekh feh rjhmeh rjh mehee esu`eh esu`eh,, Makhkm Makhkmea ea \et`we \et`weys ys feh sjbegek sjbegekhye. hye. @ea khk bjrguh bjrguhee begk begk sten sten uhtui  uhtui  ojoe`eok feh ojrjspch fjhgeh skiep prcnjsskchea. Ruoe` seikt ojhjtepieh feh ojaeiseheieh rjguaesk uhtui peskjh rkskic tkhggk yehg ojakputk 4 e) \e \esk skjh jh Jojr Jojrgj gjhs hskk  b) \eskjh fjhgeh pjhyeikt pjh yeikt ojhuaer  m) \e \esskjh ic icoe f) \eskjh \eskjh fjhge fjhgeh h behtu behtueh eh `kfup `kfup feser  feser  j) \eskj \eskjh h fjhg fjhgeh eh rjstr rjstrek ekh h n) \cpuaesk \cpuaesk peskjh peskjh rjhteh, rjhteh, aehske, aehske, ehei-ehei ehei-ehei feh peskjh peskjh bjrkski bjrkskic c tkhfei  tkhfei  ijijreseh eteu fktjaehterieh. Zhtui pjaeyeheh Rkskic tkhggk ojakputk 4 

 

\jaeyeheh \eskjh fjhgeh pjhyeikt ojhuaer 

Zhtui pjhgcbeteh rkskic tkhggk ojakputk 4 e) Vreh Vrehsn snus uskk fer fere` e`  b) \jobjrkeh IMA pjiet

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

55

 

m) \j \job objr jrke keh h `j `jpe perk rkh h f) \jojrkis \jojrkiseeh eeh refkca refkcacgk cgk fjhgeh fjhgeh pjoeieke pjoeiekeh h ichtres ichtres j) \jojrkis \jojrkiseeh eeh refkcacg refkcacgkk fjhgeh fjhgeh kbu `eoka `eoka

N.

\esk skjh jh Jo Jojrgjh rgjhsk sk

\jaeyeheh jojrgjhsk tjrsjfke sjaeoe 26 deo sjtkep `erk, tudu` `erk sjokhggu feh ojokakik rjspch tkoj mjpet uhtui ojhyjaeoetieh dkwe feh ojhmjge` ijmemeteh. \eskjh \es kjh ferure feruret, t, sehget sehget ojhfjs ojhfjsei, ei, eteu eteu peskjh peskjh yehg ojobut ojobutu`i u`ieh eh pjrtca pjrtcachge chgeh h sjgjre fkkfjhtknkiesk ojhgguheieh prcsjs trkegj bjrbesks buitk uhtui ojoprkcrktesieh ijbutu` ijbu tu`eh eh peskjh peskjh yehg yehg ojhfjs ojhfjsei, ei, fjhgeh fjhgeh ojhfe` ojhfe`uau uauieh ieh ferk ferk peskjh peskjh yehg aek aekh h feh ojhjrkoe pjaeyeheh sjmjpet ouhgikh. \jaetk`eh begk sten fkaeiuieh eger sten oeopu ojoutusieh peskjh-peskjh yehg ojobutu`ieh pjrtcachgeh sjgjre feh ojaeiuieh pjaeyeheh yehg fkbutu`ieh.

G. \jhjre \jhjrepeh peh Jer Jeray ay Werhk Werhkhg hg ]yst ]ystjo jo

\eskjh fkauer fejre` pjaeyeheh irktks fepet ojhgeaeok ijefeeh irktks sjaeoe fk rewet Khep. ]jrkhgieak ]jrkhgieak peskjh ojopjrak`etieh ojopjrak`etieh tehfe be`eye fkhk sjbjauo sjbjauo ojhgeaeok ojhgeaeok  pjhuruheh ichfksk iakhks yehg ojaues sj`khgge ojhgeaeok ijdefkeh yehg tkfei  fk`erepieh. Ruoe` seikt ojhjrepieh ojhjrepieh Jeray Jeray Werhkhg Werhkhg ]kst ]kstjo jo (JW]) uhtui ojhgkfjhtk ojhgkfjhtknkies nkieskk ijefeeh peskjh yehg ojoburui ojoburui sjfkhk-fkhk sjfkhk-fkhkhye hye feh bkae pjrau ojhmerk behtueh sten yehg icopjtjh fjhgeh ojhgeitknieh ‑icfj bkru‟ \jaeiseheeh JW] fjhgeh ojhgguheieh skstjo sicr feaeo ncrouakr i`usus, fkksk caj` caj ` pjrewet pjrewet sjtkep sjtkep ieak ieak pjrgeh pjrgehtke tkeh h s`knt, s`knt, pefe pefe seet seet eieh fkt fktehs ehsnjr njr/fk /fktjr tjrkoe koe fk ruehg ruehg  pjreweteh feh pefe seet tjrdefk pjrube`eh ichfksk peskjh. Feaeo pjaeiseheehhye pjaeiseheehh ye sjoue sten fkaetk` uhtui ojhgguheieh JW].

@. \jae \jaeye yehe heh h Rjsu Rjsusk skte tesk sk..

\jaeyeheh Rjsusktesk fkertkieh sjbegek khtjrvjhsk iakhks pefe peskjh eteu icrbeh yehg ojhgeaeok ijdefkeh yehg ojhgehmeo `kfuphye sjpjrtk `jhtk dehtuhg eteu peru. \efe seet `jhtkhg dehtuhg eteu peru oeie pjobjrkeh icoprjsk pefe fefe eteu behtueh  pjrhepeseh eieh bjrfeopei pefe `kfup eteu oetkhye peskjh, sjtkfei-tkfeihye ojhg`khferk ijruseieh derkhgeh ctei. Behtue Beh tueh h `kfup `kfup feser/ feser/rjs rjsusk usktes teskk `erus `erus fepet fepet fkaeiui fkaeiuieh eh caj` caj` sjoue sjoue crehg crehg yeh yehg g  bjijrde fk Ruoe` ]eikt Zouo Behyuoehki 2 ]joerehg, beki sten ojfks oeupuh sten  hch ojfks. ]j`khgge ruoe` seikt `erus ojaeiuieh pjaetk`eh uhtui sjoue ieryeweh sj`khgge oeopu ojaeiuieh behtueh `kfup feser/rjsuskte sj`khgge feser/rjsusktesk sk feh ojhg`kfupieh ojhg`kfupieh Bauj Mcfj.

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

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Behtueh `kfup feser `erus fepet fkaeiuieh sjmjpethye seet fkijte`uk efe tehfe `jhtk dehtuhg peru feh prcsjs pjobjrkeh p jobjrkeh behtueh `kfup iurehg ferk : (akoe) ojhkt. Rjsusktesk yehg bjr`eska pefe peskjh `jhtk dehtuhg peru, bjrgehtuhg pefe khtjrvjhsk yehg irktkiea/pjhtkhg sjpjrtk sjmjpet-mjpethye fkaeiuieh fjnkbrkaesk feh behtueh `kfup aehdut (efvehmj) yehg eiuret (Mcfj Bauj)

K.

\jaeyeheh fere` \jaeyeheh fere` feh prcfui fere` `erus fkaeiseheieh sjsuek fjhgeh pjretureh

 pjruhfehgeh, ojakputk ehtere aekh 4 e. \jobjrk \jobjrkeh eh pjrsjt pjrsjtudu udueh eh (khnc (khncroj rojf f mchsjht mchsjht))  b. \jhgefeh fere` fe re` m. Kfjh Kfjhtk tknk nkie iesk sk pes peskj kjh h f. \j \job objr jrkkeh fer fere` e` j. Ochk Ochktc tcrk rkhg hg pe pesk skjh jh n. Kfjhtkn Kfjhtknkie kiesk sk feh feh rjspch rjspch tjr`e tjr`efep fep rjeis rjeiskk trehs trehsnus nusk. k. ]ten yehg icopjtjh feh bjrwjhehg ojaeiseheiehe pjaeyeheh fere` feh prcfui  fere` sjrte ojaeiuieh ochktcrkhg feh jveauesk. D.

Oe Oeie iehe heh h feh feh tjre tjrepk pk Gkzk Gkzk

Oeie Oe iehe heh h fe feh h hu hutr trks kskk yehg yehg sj sjsu suek ek se sehge hgett pjhtk pjhtkhg hg begk begk ijsj`e ijsj`ete teh h pe pesk skjh jh fe feh h  pjhyjobu`ehhye. \kak`eh oeieheh fksjsuekieh fjhgeh uske, bufeye, pkak`eh, rjhmehe esu`eh, fkeghcsks fkeghcsks peskjh tjroesui tjroesui duge hetere hetere aekh fkjt i`usus sjpjrtk sjpjrtk rjhfe` icajstjrca icajstjrca feh fkjt Fkebjtjs Ojaktus. Bjrfeser etes esjsojh ijbutu`eh feh rjhmehe esu`eh oeie F\D\ feh \\E aekh yehg icopjtjh ojojseh oeieheh feh hutrksk aekhhye uhtui peskjh. Bkae ijauerge peskjh eteu pk`ei aekh ojhyjfkeieh oeieheh peskjh, ojrjie fkbjrkieh jfuiesk tjhtehg tjhtehg oeieheh oeieheh yehg fkaerehg / ichtre ichtre khfkiesk khfkiesk fjhgeh ijbutu`eh ijbutu`eh feh rjhmehe rjhmehe  pjaeyeheh, tjroesui khncroesk tjhtehg khtjreisk cbet fjhgeh oeieheh. Bkae ouhgikh,  peskjh fktewerieh bjrbegek oemeo oeieheh yehg ichskstjh fjhgeh stetus gkzkhye. \efee esjsoj \ef esjsojh h ewea, ewea, peskjh peskjh fksirk fksirkhkh hkhg g uhtui uhtui ojhgkf ojhgkfjht jhtknk knkies ieskk efehye efehye rk rkski skic c hutrkskchea. \eskjh khk eieh fkichsuaieh ij hutrkskchks uhtui esjsojh ajbk` aehdut, bkae tjrhyete efe rkskic hutrkskchea uhtui fkbuet rjhmehe tjrepk gkzk. Vkhgiet ijoedueh peskjh fkochktcr feh fkmetet feaeo rjieo ojfkshye. Fcitjr, pjrewet feh e`ak fkjt feh ieaeu  pjrau ijauerge peskjh, bjijrdeseoe ojrjhmeheieh feh ojobjrkieh tjrepk gkzk.

I. \jhg \jhgja jaca caee eeh h Hyjr Hyjrkk

Ruoe` seikt ojhjtepieh rjguaesk tjhtehg pjaeyeheh peskjh uhtui ojhgetesk hyjrk. Epep Ep epuh uh yehg yehg ojhd ojhdef efkk pj pjhy hyjb jbeb eb tkob tkobua uahy hyee hy hyjr jrkk dk dkie ie tk tkfe fei i fe fepe pett fk fket etes eskk ei eieh eh

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

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 bjrpjhgeru` sjmere nkski oeupuh pskicacgks. \eskjh \ eskjh fjhgeh rese hyjrk fkaeiuieh esjsojh feh pjaeyeheh uhtui ojhgetesk hyjrk fjhgeh tjpet. Ruoe` seikr ojhjtepieh prcsjs uhtui ojaeiuieh sirkhkhg, esjsojh feh pjaeyeheh uhtui ojhgetesk hyjrk ojakputk 4 

Kfjhtknkiesk peskjh uhtui rese hyjrk pese esjsojh ewea feh esjsojh uaehg

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Ojobjrk khncroesk ijpefe peskjh be`we hyjrk fepet fksjbebieh caj` tkhfeieh eteu  pjojrkiseeh

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Ojaeiseheieh pjaeyeheh uhtui ojhgetesk hyjrk tjrajpes ferk oehe hyjrk ktu bjresea.

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Ojaeiuieh icouhkiesk feh jfuiesk ijpefe peskjh feh ijauerge pjrk`ea pjaeyeheh uhtui ojhgetesk hyjrk sjsuek aeter bjaeiehg egeoe, bufeye, hkaek-hkaek peskjh feh ijauerge.



Ojaetk` \\E tjhtehg esjsojh feh pjaeyeheh uhtui ojhgetesk hyjrk.

A. \jaey \jaeyeh eheh eh \esk \eskjh jh Ve` Ve`ep ep Vjr Vjrok okhea hea

Ijpefe Ijp efe peskjh peskjh yehg eieh eieh ojhkhg ojhkhggea gea feh ijauer ijauergehy gehye, e, fka fkaeiu eiuieh ieh esjsoj esjsojh h feh esjsojh esjso jh uaehg sjsuek ijbutu`eh ijbutu`eh khfkvkfuea khfkvkfuea ojrjie. Esjsojh Esjsojh feh esjsojh uaehg pjrau fkaeiseheieh sjmere khfkvkfuea uhtui ojojhu`k ijbutu`eh peskjh feh ijauerge epebkae  peskjh ojhfjietk ijoetkeh. Esjsojh feh esjsojh uaehg, sjsuek ichfksk peskjh, `erus ojhgjveauesk 4 5. Gjdeae Gjdeae sjpjrtk sjpjrtk oeu ouhte` ouhte` ferk ijsuakteh ijsuakteh pjrhepeseh pjrhepeseh 2. Neitcr Neitcr-ne -neitc itcrr yehg ojopj ojopjrpe rpere` re` gjdeae gjdeae nkski  nkski  =. Oehedjojh Oehedjojh gjdeae gjdeae seet khk feh `eska `eska rjspch peskjh peskjh 6. Crkjhtesk Crkjhtesk sprktu sprktuea ea peskjh peskjh feh ijauerge ijauerge feh ieaeu ieaeu pjrau ijtjrak ijtjrakbeteh beteh ijacopci ijacopci egeoe egeoe :. Ijpr Ijprk` k`et etkh kheh eh sp spkr krkt ktue ueaa pe pesk skjh jh feh ij ijau auer erge, ge, sj sjpj pjrt rtkk pu putu tuss es ese, e, pj pjhfj hfjrk rkte teeh eh,, re rese se  bjrseae` eteu pjhgeopuheh >. ]tetus ]tetus pskicscsk pskicscskea ea peskjh peskjh feh ijauerge ijauerge sjpjrtk sjpjrtk `ubuhgeh `ubuhgeh ijauerge, ijauerge, akhgiuhgeh akhgiuhgeh ruoe` ruoe` yehg ojoefek epebkae fkpjrauieh fkpjrauieh pjreweteh fk ruoe`, mere ojhgetesk feh rjeisk rjeisk  peskjh feh ijauerge etes ete s pjhyeikt peskjh 7. Ijbutu`eh Ijbutu`eh fuiuhgeh fuiuhgeh eteu eteu pjhuhfeeh pjhuhfeeh pjaeyeheh pjaeyeheh uhtui peskjh peskjh feh ijauergehye. ijauergehye. 0. Ijbutu`eh Ijbutu`eh eieh eieh eatjr eatjrhetkn hetkn eteu tkhgiet tkhgiet pjaeyehe pjaeyeheh h aekh aekh ;. Neitcr rkski rkskic c begk yehg fktkhgge fktkhggeaieh aieh feaeo feaeo `ea mere mere ojhgetesk ojhgetesk feh pctjhsk pctjhsk rjeisk rjeisk  petcacgks etes ijsjfk`eh. Ruoe` Ruo e` seikt seikt ojhjte ojhjtepieh pieh prcsjs prcsjs uhtui uhtui ojhgja ojhgjacae cae esu`eh esu`eh peskjh peskjh feaeo feaeo te`ep te`ep tjrokhea. \rcsjs khk ojakputk 4 5. Khtjrvj Khtjrvjhsk hsk pjaeyeh pjaeyeheh eh peskjh peskjh uhtui uhtui ojhgetes ojhgeteskk hyjrk. hyjrk. 2. Ojob Ojobjr jrki kieh eh pjhg pjhgcbe cbete teh h sj sjsu suek ek fjhge fjhgeh h gjde gjdeae ae feh feh oj ojop opjr jrtk tkob obeh ehgi gieh eh ijkh ijkhgk gkhe heh h  peskjh  pesk jh feh ijauer ijauerge ge =. Ojhyeopekie Ojhyeopekieh h sjmere `etk-`et `etk-`etkk scea sjhsktk sjhsktknn sjpjrtk sjpjrtk eutcpsy eutcpsy eteu fchesk fchesk crgeh. crgeh. \JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

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6. Ojhg`croet Ojhg`croetkk hkaek, hkaek, egeoe, egeoe, sjrte sjrte bufeye peskjh peskjh feh ijauer ijauerge. ge. :. Ojhgedei Ojhgedei peskjh peskjh feh ijauer ijauerge ge feaeo feaeo sjoue sjoue espji esu`eh >. Ojopjr`etk Ojopjr`etkieh ieh ijprk`etkh ijprk`etkheh eh pskicacgks, pskicacgks, jocskche jocskchea, a, spkrktue spkrktuea, a, sjrte bufeye bufeye peskjh feh ijauerge. O. \jaeyeh \jaeyeheh eh peskjh peskjh rjstrekh rjstrekhtt

Khfkiesk fkaeiuieh rjstrekht 4 e) \eskjh ojhuhduiieh pjrkaeiu yehg bjrkskic ojobe`eyeieh fkrkhye sjhfkrk feh eteu crehg aekh9 b) Ve`eheh pjojrkhte` (yehg ajgea/se` sjmere `uiuo) yehg fkrewet fk ruoe` seikt9

\eskjh kjh yehg ojobut ojobutu`ie u`ieh h tete tete aeiseh aeisehee jojrgj jojrgjhsk hsk (sjgjr (sjgjre) e) yehg bjr`ub bjr`ubuhge uhgeh h m) \es fjhgeh ijaehgsuhgeh `kfup peskjh9 f) \eskjh yehg ojojrauieh pjhgeweseh feh pjhdegeeh ijtet fk ruehgeh yehg eoeh9 j)   Rjstrekh eteu Rjstrekh eteu kscaesk fkguheieh dkie khtjrvjhsk aekhhye yehg ajbk` tkfei rjstrkitkn 

tkfei tkf ei bjr`es bjr`eska/ ka/tkf tkfei ei jnjitk jnjitknn uhtui uhtui ojakhf ojakhfuhg uhgkk peskjh peskjh,, ste sten, n, eteu eteu crehg crehg aek aekh h ferk ferk ehmeoeh be`eye. \jrsjtudueh ojrupeieh seae` setu eaet `uiuo yehg ajgea fkoehe sjsjcrehg ojobjrkieh ijiueseeh yehg se` tjr`efep tete aeisehe eteu ijpjreweteh. @ea khk fepet fep et ojhmei ojhmeiup up ojobjr ojobjrkie kieh h pjrsjt pjrsjtudu udueh eh tjr tjr`ef `efep ep suetu suetu bjhtui bjhtui rjstrekh rjstrekh.. Feser   pjrsjtudueh yehg se` kfjhtki fjhgeh pjrsyereteh prcnjskchea be`we suetu  pjrsjtudueh fkpjrauieh sjbjauo ojaeiuieh suetu tkhfeieh/prcsjfur. Vjrfepeet tkge  pjrsyereteh yehg `erus fkpjhu`k sjbjauo pjhyeteeh pjrsjtudueh caj` khfkvkfu fepet fktjrkoe sjmere se`, yektu 4 5. \j \jrs rsjt jtud udue ueh h `e `eru russ fkbj fkbjrk rkie ieh h caj` caj` sj sjsj sjcr creh ehg g ye yehg hg ic icop opjt jtjh jh fe feae aeo o sj sjgk gk ojhtea/ijdkweeh 2. Khfk Khfkvk vkfu fu ye yehg hg ojob ojobue uett pj pjrs rsjt jtud udue ueh h `e `eru russ ojop ojopjr jrca caj` j` kh khnc ncro roes eskk ye yehg hg ojoefek ojhgjhek ichfkskhye, rkskic feh kopakiesk pjhgguheeh rjstrekh =. \jrsjt \jrsjtudu udueh eh khk `erus `erus fkbuet fkbuet tehpe tehpe efehye efehye peisee peiseeh h H. \jaey \jaeyeh eheh eh pcpu pcpuaes aeskk i`us i`usu us

Feae Fe aeo o ojob ojobjr jrki kieh eh pj pjae aeye yehe heh h ij ijpef pefee pe pesk skjh jh ef efee pj pjae aeye yehe heh h i`usu i`ususs ye yehg hg fk bj bjrk rkie ieh h ojhgkhget efehye pcpuaesk i`usus yehg ojobutu`ieh pjr`etkeh i`usus sjpjrtk 4 e) \e \esk skjh jh ye yehg hg aj ajoe oe` `  b) \eskjh aehdut uske m) \eskjh eh ehei  f) \eskjh \eskjh yehg yehg ijtj ijtjrge rgehtu htuhgeh hgeh beht behtueh ueh j) \eskjh \eskjh yehg bjrksk bjrkskic ic fk fk skis skisee n) \e \esk skjh jh yehg yehg rks rkski kic c buhu` buhu` fkrk fkrk..

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

5:

 

C. Icou Icouhk hkie iesk sk Jnji Jnjitk tkn  n 

5. \jrkhte` \jrkhte` akseh feh yehg ojaeauk ojaeauk tjapch tjapch eteupuh eteupuh `eska pjojrkiseeh pjojrkiseeh fktuaks fktuaksieh ieh sjmere sjmere ajhgiep caj` pjhjrkoe pjrkhte` eteu `eska pjojrkiseeh tjrsjbut 2. \jrkhte` \jrkhte` akseh akseh eteu ojaeauk ojaeauk tjapch tjapch eteu pjojrki pjojrkiseeh seeh sjmere sjmere ajhgiep ajhgiep fkbeme ijobeak ijobeak caj` pjhjrkoe pjrkhte` eteu `eska pjojrkiseeh tjrsjbut =. \jrkhte` \jrkhte` eteu `eska `eska pjojrkise pjojrkiseeh eh fkichnkroes fkichnkroeskk caj` khfkvkfu khfkvkfu yehg ojobjrk pjrkhte` pjrkhte` eteu `eska pjojrkiseeh tjrsjbut 6. \jaep \jaepcr creh eh fkae fkaeiu iuie ieh h fjhgeh fjhgeh mere mere ]BER ]BER (]ktuetkch, ( ]ktuetkch, Bemigrcuhf, Essjssojht,  Rjmcoojhfetkch)) fe  Rjmcoojhfetkch feh h pjhj pjhjre repe peh h khst khstru ruis iskk fjhg fjhgeh eh mer meree V - B - I (V (Vua uaks ks Bem Beme, e, Ichnkroesk) :. \jtuges ruoe` seikt seikt ojhgguheieh ojhgguheieh icouhki icouhkiesk esk yehg jnjitkn jnjitkn ijpefe peskjh feaeo feaeo  pjobjrkeh khncroesk feh jfuiesk ijpefe peskjh feh ijauerge peskjh ojhgjhek  pjaeyeheh yehg fkehdurieh, `eska pjaeyeheh, tjroesui khncroesk bkeye pjaeyeheh sj`khgge peskjh feh ijauerge peskjh bkse ojoe`eok pjhtkhghye ojhgkiutk prcsjs  pjaeyeheh/ pjhgcbeteh pjh gcbeteh yehg tjae` tj ae` fktjtepieh

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

5>

 

BEB K^ FCIZOJHVE]K

]joue rehgiekeh pjaeyeheh peskjh fkaeiuieh sjmere tjriccrfkhkr feh tjrkhtjgresk feaeo suetu rjieo ojfks eger esu`eh yehg fktjrkoe caj` peskjh tjrjhmehe fjhgeh beki, tjrpefu sj`khgge pjaeyeheh yehg fkbjrkieh fepet sjmere cptkoea feh sjsuek fjhgeh ijbutu`eh esu`eh  peskjh. \jaeiseheeh esu`eh feh pjaeyeheh `erus fkiccrfkheskieh feh fkkhtjgreskieh caj` sjoue  prcnjskchea pjobjrk esu`eh (\\E) feh fepet fkbehtu caj` sten iakhks aekhhye. \rcsjs pjaeyeheh feh esu`eh peskjh bjrsknet fkheoks feh ojakbetieh behyei \\E yehg fepet ojakbetieh bjrbegek uhkt pjaeyeheh. Khtjgresk feh iccrfkhesk ijgketeh pjaeyeheh feh esu`eh peskjh ojrupeieh sesereh yehg ojhg`eskaieh jnkskjhsk, pjhgguheeh ]FO feh suobjr  aekhhye jnjitkn, feh `eska esu`eh peskjh yehg ajbk` beki. Ijpeae uhkt pjaeyeheh ojhgguheieh eaet feh tjihki uhtui ojaeiuieh khtjgresk feh iccrfkhesk pjaeyeheh sjrte esu`eh ajbk` beki ( mchtc`, esu`eh sjmere tko caj` \\E, rchfj  peskjh ouatkfkskpakh, ncro meteteh peskjh tjrkhtjgresk, tjrkhtjgresk, feh oehegjr pjaeyeheh peskjh). Bjbjre Bjb jrepe pe bjhtui bjhtui pjaeis pjaeisehee eheeh h esu`eh esu`eh tjrkht tjrkhtjgr jgresk esk efeae` efeae` pjhfciu pjhfciuojh ojhtes teskeh keh yehg yehg fkaeiuieh caj` fcitjr, pjrewet, neroesk, feh hutrkskchks. Fciuojhtesk yehg fkaeiuieh feaeo meteteh tjrkhtjgresk bjrbjhtui meteteh pjrijobehgeh yehg fktuaks bjrfeserieh fete subdjitkn  (]), fete cbdjitkn (C), Eheakse Fete (E) feh \aehhkhg/pjrjhmeheeh (\).

\JFCOEH \JAE[EHEH FEH E]Z@EH \E]KJH

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