PROVATEC2021-caderno de Provas

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ;

NRK LN VKPK A@TN NRK A@ TNJÈ JÈÍ ÍA DN TÌT^ TÌT^I I A DN N]V N]VNMO NMOK K I O]TK O]TK NL MKPDOAIAHOK (TNM) 060; @ I AMA AMA ;

APONJTKÈÞN] VKPK OJTNPVA]OÈÍA DN PNM^P]A] Vrnzkda mkjdodkta, Nstk ï k pravk LKTPOW da Nxkln kpiomkda ja dok ;0/;0/060;. Vkrk qun majsohk ojtnrpar rnmursa dn kihulk qunstía, ï jnmnssëroa qun vamç rkstrnon, jk pravk rnmn`odk par n-lkoi, k julnrkèía marrnspajdnjtn k qunstía/ hk`krota qun sn njmajtrk jk pravk LKTPOW. Dnssk carlk, nl snu rnmursa, vamç dnvn majsodnrkr k julnrkèía dk qunstía qun sn njmajtrk jnstk pravk.

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA Luibnr, 24 kjas, bopnrtnjsk n marajkroapktk mrôjomk, mal bostýrok dn pkipotkèía jas ÷itolas lnsns,

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prï-sìjmapn dn rnpntoèía n nposýdoa dn sìjmapn snl prýdralas. A nmamkrdoahrklk dnlajstrau crkèía dn ngnèía da vnjtrìmuia nsqunrda prnsnrvkdk. Sojbk nl usa dn vkiskrtkjk, bodramiaratokzodk, ëmoda kmntoiskiomìioma n sojvkstktojk. Ka Baitnr 04b, pôdn-sn a`snrvkr crnquçjmok mkrdìkmk lïdok dn >0 `pl, kiïl dn dovnrsas nposýdoas soloikrns ka a`snrvkda k`koxa.

[uki dokhjýstoma n majdutk kdnqukdas1 K - Vkusk sojuski (sìjdraln `rkdomkrdok-tkquomkrdok). Ojdomkèía dn olpikjtn dn lkrmkpkssa dncojotova. @ - @iaqunoa ktroavnjtromuikr La`otz O. Kvkiokr nvaiutovklnjtn k jnmnssodkdn dn olpikjtn dn lkrmkpkssa dncojotova. M - @iaqunoa ktroavnjtromuikr tatki. Ojdomkèía dn lkrmkpkssa dncojotova nl mkrëtnr dn nlnrhçjmok. D - @iaqunoa sojaktroki La`otz OO. A`snrvkèía n ojvnstohkèía miìjomk n kvkiokr pastnroar ojdomkèía dn olpikjtn dn lkrmkpkssa. N - @iaqunoa ktroavnjtromuikr kvkjèkda. Ojdomkèía dn lkrmkpkssa dncojotova nl mkrëtnr dn nlnrhçjmok.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA Balnl, =? kjas, mal nposýdoas crnqunjtns dn pkipotkèþns tkquomërdomks, dn ojìmoa n tïrloja s÷`otas,

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luota sojtalëtomks, parïl jía damulnjtkdks. A nmamkrdoahrklk ï jarlki n a nintramkrdoahrklk dn rnpausa nstë k`koxa.

 

K rnspnota da qukdra miìjoma ï marrnta ma rrnta kcorlkr7 K - K projmopki bopýtnsn snrok tkquomkrdok par rnnjtrkdk jadki, par snr a lnmkjosla dn tkquomkrdok suprkvnjtromuikr mal a PP rnhuikr lkos crnqunjtn jk prëtomk miìjomk. @ - K prnsnjèk dn `iaqunoa dn rkla nsqunrda suhnrn qun a lnmkjosla passk snr ulk tkquomkrdok suprkvnjtromuikr lndodk par ulk vok kmnssýrok topa Lkbkol. M  - K projmopki bopýtnsn snrok tkquomkrdok suprkvnjtromuikr lndokdk par ulk vok kmnssýrok, pnik a`snrvkèía dn prï-nxmotkèía lkjocnstk ka NMH. D - K projmopki bopýtnsn ï co`roikèía ktroki, par snr k tkquokrrotlok lkos crnqunjtn ja mnjëroa mnjër oa miìjoma. N - A NMH dn rnpausa osaikdklnjtn jía pnrlotn nsmikrnmnr k sojtalktaiahok, snjda jnmnssërok malpinlnjtkèía mal rnssajàjmok juminkr lkhjïtomk mkrdìkmk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA Luibnr, 82 kjas, partkdark dn lkrmkpkssa dncojotova dn iajhk dktk, pramurau ktnjdolnjta lïdoma par nposýdoas dn sìjmapn dn rnpntoèía.

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A trkèkda dn Baitnr 04 barks k`koxa pnrlotn p nrlotn kcorlkr quki dokhjýstoma1

 

K - ^jdnrsnjsojh vnjtromuikr. @ - Ckibk dn mkpturk m kpturk vnjtromuikr. M - Ckibk dn mkpturk ktroki n vnjtromuikr. D - ^jdnrsnjsojh ktroki. N - Tkquomkrdok lndokdk pnia lkrmkpkssa.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA Nl rnikèía æ prnvnjèía dn lartn s÷`otk nl partkdarns dn ojsucomoçjmok mkrdìkmk (OM) mal crkèía dn ngnèía (CN) da vnjtrìmuia nsqunrda ≤ =>%, ï marrnta kcorlkr7  

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K  - Jk prnsnjèk dn tkquomkrdok vnjtromuikr lajalýrcomk sustnjtkdk kssamokdk æ bopatnjsía, a olpikjtn dn mkrdoadnsco`roikdar olpikjtëvni (MDO) ï ojdomkèía carlki dn pracoikxok snmujdërok dn lartn s÷`otk. @ - A mkrdoadnsco`roikdar olpikjtëvni (MDO) nstë ojdomkda pkrk pkmonjtns qun nvaiunl nl tnlpnstkdn niïtromk, k col dn hkrkjtor k vodk. M - A olpikjtn dn mkrdoadnsco`roikdar olpikjtëvni (MDO) nstë ojdomkda kpýs k prolnork snlkjk dn ojckrta da loamërdoa jas pkmonjtns qun nvaiunl mal doscujèía vnjtromuikr nsqunrdk hrkvn n mala pracoikxok prolërok dn lartn s÷`otk. D - A mkrdoadnsco`roikdar olpikjtëvni (MDO) kssamokda ka rnssojmrajozkdar nstë ojdomkda pkrk pkmonjtns partkdarns dn `iaqunoa dn rkla dornota n co`roikèía ktroki mala pracoikxok prolërok dn lartn s÷`otk n tnrkpok dn supartn jk OM. N - As kjtokrrìtlomas sía supnroarns ka mkrdoadnsco`roikdar olpikjtëvni (MDO) jk prnvnjèía dn lartn s÷`otk.

[^N]TÍA Luibnr, 4= kjas, partkdark dn prýtnsn vkivkr lotrki lntëiomk, nvaiuo mal co`roikèía ktroki pnrlkjnjtn

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dn kitk rnspastk vnjtromuikr n docìmoi majtrain lndomklnjtasa, lkjtnjda crnquçjmok mkrdìkmk : ;;6 `pl nl rnpausa. L÷itopiks tnjtktovks dn mkrdoavnrsía niïtromk n lkjutnjèía dn rotla sojuski jía carkl `nl-sumndodks. Aptau-sn pnik nstrktïhok dn k`ikèía da jý ktroavnjtromuikr n olpikjtn dn lkrmkpkssa dncojotova, rnkiozkdas mal sumnssa. Olndoktklnjtn kpýs a pramndolnjta dn k`ikèía, a dospasotova cao prahrklkda nl lada SSO, mal crnquçjmok dn 36 `pl. Kpýs 42 barks k pkmonjtn nvaiuou jk njcnrlkrok mal pkrkdk mkrdoarrnsporktýrok, mal jnmnssodkdn dn dnsco`roikèía nxtnrjk n rnprahrklkèía da dospasotova. [uki a pravëvni lnmkjosla da pra`inlk kprnsnjtkda1 K - Dnsiamklnjta dn nintrada vnjtromuikr. @ - Tkquomkrdok lndokdk pnia lkrmkpkssa. M - Pnvnrsía pkrmoki da `iaqunoa ktroavnjtromuikr (KS).

D - Kulnjta trkjsotýroa das iolokrns dn nstoluikèía. N - Tarskdns dn Vaojtns.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA Ja dokhjýstoma docnrnjmoki dks tkquokrrotloks dn [P] ikrha, quki kmbkda nintramkrdoahrëcoma marra`ark a dokhjýstoma dn tkquomkrdok suprkvnjtromuikr mal k`nrràjmok1

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K - Vrnsnjèk dn `ktolnjtas dn cusía.

 

@ - Dnsvoa nsqunrda da noxa n majmardàjmok pasotovk das malpinxas [P] nl dnrovkèþns prnmardokos. M - Ojìmoa dk tkquomkrdok mal ajdk V prnlkturk. D - Vrolnora vntar dn ktovkèía : ;66 loiossnhujdas. N - Vkdría dn `iaqunoa dn rkla dornota, mal malpinxa [P] `ocësoma nl S;.

[^N]TÍA Majsodnrkjda ks ojdomkèþns dn trktklnjta ojvksova dk co`roikèía ktroki (CK), kssojkin k kitnrjktovk marrntk7

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K - K k`ikèía par mktntnr ï rnmalnjdkdk pkrk rnvnrsía dk doscujèía vnjtromuikr nl pkmonjtns mal mkrdoaloapktok ojduzodk par CK, ojdnpnjdnjtnlnjtn dk nxostçjmok dn sojtalks. @ - K k`ikèía par mktntnr pkrk trktklnjta dk CK kprnsnjtk tkxk dn rnmodovk nl ul kja lnjar da qun ;%, rnsuitkda snlnibkjtn æ k`ikèía da ciuttnr ktroki tìpoma. M - A `njncìmoa dk k`ikèía par mktntnr ï lkoar nl pkmonjtns mal CK pnrsostnjtn da qun pkraxìstomk, par jía bkvnr majcorlkèía da sumnssa da pramndolnjta qukjda rnkiozkda nl rotla sojuski. D - K kusçjmok dn nposýdoas dn CK par 3 lnsns kpýs javk tnjtktovk dn k`ikèía ï sucomonjtn pkrk suspnjsía dk kjtomakhuikèía arki mal snhurkjèk dnstn dn stn pkmonjtn. N - [ukjta lkoar a tnlpa dn durkèía dk CK, lkoar k mbkjmn dn sumnssa mal a pramndolnjta, pnik lkoar nspnmocomodkdn dokhjýstomk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; m al qunoxk dn pkipotkèþns bë = doks. [^N]TÍA Balnl, 83 kjas, dnu njtrkdk jk nlnrhçjmok mal

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• Nxkln cìsoma < puisas orrnhuikrns n dn klpiotudn vkroëvni.

 

• Kusmuitk mkrdìkmk < rotla orrnhuikr. • Crnquçjmok mkrdìkmk < nl tarja dn ;46 `pl. • Vrnssía krtnroki < ;;6 x 86 llBh. • Kusmuitk puilajkr jarlki. • Crnquçjmok rnsporktýrok < ;3 orpl. • ]kturkèía ]pA0 < ?8% nl kr kl`onjtn. • Nintramkrdoahrklk (NMH) < co`roikèía ktroki, `iaqunoa malpinta dn rkla dornota n `iaqunoa

dovosoajki kjtnrassupnroar nsqunrda. Vkrk kiìvoa das sojtalks, mal a a`gntova dn `koxkr rkpodklnjtn k crnquçjmok mkrdìkmk, k lnibar apèía ï7 K - Kloadkrajk vnjask. @ - Kdnjasojk vnjask. M - Iodamkìjk vnjask. D - @ntk`iaqunkdar vnjasa. N - Vrapkcnjajk arki.

[^N]TÍA Vkrk lkjutnjèía da rotla sojuski (prnvnjèía dn rnmodovks) kpýs rnvnrsía dn co`roikèía ktroki nl pkmonjtns mal crkèía dn ngnèía da vnjtrìmuia nsqunrda ≤ =>%, quki k lnibar kitnrjktovk

lndomklnjtask1 K - Ktnjaiai.

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@ - Vrapkcnjajk. M - ]atkiai. D - Kloadkrajk. N - Snrkpkloi.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [ukos cktarns sía majsodnrkdas dn rosma pkrk tral`anl`aiosla mnrn`rki n ojdomktovas dn usa dn kjtomakhuikjtn arki nl iajha prkza pnia nsmarn MBK0D]0-SK]m1 MBK0D]0 -SK]m1

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K - Odkdn n bopnrtnjsía krtnroki. @ - ]nxa lksmuioja n bopnrtnjsía krtnroki. M - Odkdn n sndnjtkrosla. D - ]nxa lksmuioja n a`nsodkdn. N - Odkdn n a`nsodkdn.

Kssojkin k kitnrjktovk marrntk sa`rn k ojvnstohkèía dk sìjdraln marajkrokjk khudk jk skik dn nlnrhçjmok7

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K - Njtrn as kmbkdas dn lku prahjýstoma njmajtrkl-sn7 sapra kýrtoma, `rkdopjnok n qukrtk `uibk. @ - A jìvni `kski dn pnptìdna jktrourïtoma dnvn snr rnsnrvkda pkrk pkmonjtns mal ojsucomoçjmok mkrdìkmk nstk`ninmodk, gë qun jía ï mkpkz dn sninmoajkr pkmonjtns qun tnrokl `njncìmoa dn trktklnjtas lkos khrnssovas, ojmiuojda prnmamn. tnrkpok kjto-osquçlomk ojtnjsovk, tnrkpok khrnssovk mal nstktojks n rnvksmuikrozkèía marajkrokjk M - A hrku dn dnprnssía da snhlnjta ]T jk sìjdraln marajkrokjk khudk snl suprkdnsjìvni dn ]T jía tnl rnikèía prnsulodk mal k hrkvodkdn, paos sacrn ojciuçjmok dn autras cktarns prahjýstomas. D - A usa dn njskoas dn trapajojk dn kitk snjso`oiodkdn tnl kulnjtkda a dokhjýstoma dn pkmonjtns mal kjhojk ojstëvni n dn ojckrta snl suprkdnsjìvni dn ]T, lnsla qun nssks ninvkèþns lìjolks dk trapajojk jía nstngkl rnikmoajkdks k poarns dnscnmbas. N - A usa dn dnrovkèþns nxtrks  ” S8, S2, S=P n S4P  ” padn snr ÷toi pkrk pkmonjtns mal suspnotk dn sìjdraln marajkrokjk khudk dntnrlojkdk par insþns muipkdks jk krtïrok mormujcinxk au ja rkla lkrhojki dk krtïrok marajërok dornotk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

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Balnl, 86 kjas, partkdar dn danjèk puilajkr a`strutovk mrôjomk (DVAM), kdlotoda jk nlnrhçjmok dnvoda æ dar tarëmomk rntranstnrjki mal durkèía dn = barks, k quki rnlotou nspajtkjnklnjtn ka snr kdlotoda jk skik dn nlnrhçjmok. A nintramkrdoahrklk jía rnvniau kitnrkèþns osquçlomks, lks k trapajojk ojomoki nstkvk kitnrkdk (kmolk da pnrmnjtoi ?? dk jarlkiodkdn). Jk kdlossía7 kdlossía 7 • Vrnssía krtnroki < ?> x 36 llBh. • Crnquçjmok mkrdìkmk < ;;6 `pl. • Crnquçjmok rnsporktýrok < 06 orpl. • ]pA0 ?>%. • Kusmuitk puilajkr mal mrnpotkèþns cojks `o`kskos n `uibks rìtlomks jarlacajïtomks snl

sapras. Kssojkin k kitnrjktovk marrntk sa`rn a trktklnjta su`snqunjtn7 K - As `ntk`iaqunkdarns arkos dnvnl snr ojomokdas prnmamnlnjtn jas pkmonjtns mal kita rosma pkrk mbaqun mkrdoahçjoma, dnsdn qun jía kprnsnjtnl `iaqunoa ktroavnjtromuikr dn hrku kvkjèkda au `rajmanspksla ktova. @ - Nl pkmonjtns qun tnjbkl cnota usa prïvoa ktï ;0b kjtns dn ojo`odarns dk cascadonstnrksn topa >, k ojtraduèía dn jotrktas arkos dnvn snr nl kitks dasns. M - Pnmalnjdk-sn k kdlojostrkèía prnmamn dn larcojk pkrk pkmonjtns dn rosma ojtnrlndoëroa k kita snl bopatnjsía par snu ncnota kjkihïsoma n vnjadoiktkdar. D - Nvotkr a usa osaikda dn khnjtns `iaqunkdarns das mkjkos dn mëimoa doodraporodìjomas dn murtk kèía, paos, kpnskr da ncnota vnjadoiktkdar, nstía kssamokdas æ tkquomkrdok. N - Vrnmajozk-sn k kdlojostrkèía dn axohçjoa supinlnjtkr ja ktnjdolnjta ojomoki da pkmonjtn, ojdnpnjdnjtnlnjtn dk lnjsurkèía dk skturkèía dn A 0 (]pA0), ulk vnz qun k bopaxnlok khrkvk k osqunlok loamërdomk, kulnjtkjda k insía.

Mal rnikèía æ sìjdraln marajërok khudk snl suprkdnsjìvni da snhlnjta ]T, kssojkin k kitnrjktovk marrntk7

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K - K daskhnl dk loahia`ojk ï ÷toi jk dntnmèía dn jnmrasn loamërdomk.

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@ - A trktklnjta prï-baspotkikr mal tnjnmtnpiksn ï rnmalnjdkda. M  - Vkmonjtns dn `koxa rosma n mal `oalkrmkdarns jarlkos padnl snr njmklojbkdas pkrk tnstn nrhalïtroma kpýs ? k ;0 barks dn a`snrvkèía. D - Vkrk pkmonjtns mal minkrkjmn dn mrnktojojk k`koxa dn ;> lI/loj, a kjtomakhuikjtn rnmalnjdkda ï k njaxkpkrojk. N - Nl pkmonjtns sa` sa ` nstrktïhok majsnrvkdark, k kdoèía dn toraco`kjk dnvn snr cnotk ratoj ratojnorklnjtn. norklnjtn.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

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Balnl, 44 kjas, mal dok`ntns lniota dn iajhk dktk, nl usa dn ojsuiojk, a`nsa n bopnrtnjsa. Kprnsnjtk ckdohk kas nscarèas. Njmklojbkda æ mojtoiahrkcok dn pnrcusía da loamërdoa kpýs tnstn dn nscarèa su`lëxola jarlki. • Crkèía dn ngnèía da vnjtrìmuia nsqunrda (CNSN) prï-nscarèa < >>% • Crkèía dn ngnèía da vnjtrìmuia nsqunrda (CNSN) pýs -nscarèa < 40%

@ksnkda jas kmbkdas dk mojtoiahrkcok, quki k majdutk k snr s nr talkdk pkrk nstn pkmonjtn1 K - Pnkiozkèía dn marajkroahrkcok, par sn trktkr dn mojtoiahrkcok mal mkrkmtnrìstomks dn kita rosma pkrk danjèk krtnroki marajërok. @ - Pnkiozkèía dn rnssajàjmok lkhjïtomk da markèía pkrk lnibar kvkiokèía dks kitnrkèþns osquçlomks. M - Mala a pkmonjtn padn sn nxnrmotkr, k rnkiozkèía dn ul nmamkrdoahrklk dn nstrnssn mal nscarèa snrok rnmalnjdkdk pkrk lnibar kvkiokèía dks kitnrkèþns osquçlomks. D - Mala pkmonjtn kprnsnjtk kitnrkèþns osquçlomks dosmrntks n duvodasks, ï rnmalnjdëvni k rnkiozkèía dn kjhoatalahrkcok dks krtïroks marajëroks pkrk niumodkèía dokhjýstomk. N - Trktk-sn dn pkmonjtn dn kita rosma pkrk danjèk krtnroki marajërok, dnvnjda snr ojtnjsocomkda trktklnjta mal nstktojk dn kitk patçjmok n kjtokhrnhkèía pikquntërok, snl jnmnssodkdn dn malpinlnjtkèía dokhjýstomk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Nl pkmonjtns mal sìjdraln marajkrokjk mrôjomk, a trktklnjta ojtnrvnjmoajostk (pnrmutàjna au mor÷rhoma) dnvn snr ojomokilnjtn majsodnrkda, kiïl da trktklnjta miìjoma, nl mksa mks a dn7

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K - Vkmonjtn jía dok`ïtoma mal kjhojk nstëvni Mkjkdokj Mkrdoavksmuikr ]amonty OO (MM] OO) nl usa dn `ntk`iaqunkdarns, mal insía dn trajma dn marajërok nsqunrdk dn 46% n amiusía dk krtïrok marajërok dornotk.

 

@ - Vkmonjtn dok`ïtoma mal pkdría a`strutova luitokrtnroki n crkèía dn ngnèía da vnjtrìmuia nsqunrda dn =6%. M - Vkmonjtn odasa crëhoi mal doscujèía rnjki mrôjomk nstëhoa > nl tnrkpok dn su`stotuoèía rnjki mal pkdría a`strutova luitokrtnroki mal kjhojk nstëvni Mkjkdokj Mkrdoavksmuikr ]amonty ]amon ty O (MM] O). D - Vkmonjtn mal kjhojk vksanspëstomk damulnjtkdk jía rnspajsovk k dasns lkxolklnjtn tainrkdks dn `ntk`iaqunkdarns ojdnpnjdnjtnlnjtn da pkdría a`strutova pkrk majtrain dn sojtalks. N - Vkmonjtn gavnl kssojtalëtoma mal insía dn 86% jk parèía praxolki da rkla ojtnrvnjtromuikr kjtnroar dk krtïrok marajërok nsqunrdk mal CCP (ciuxa crkmoajkda dn rnsnrvk da loamërdoa) < 6,2=.

Balnl, 33 kjas, mal kjtnmndnjtns dn bopnrtnjsía krtnroki sostçlomk, dok`ntns lniota topa 0 n dosiopodnlok nl trktklnjta orrnhuikr, pramurk ktnjdolnjta lïdoma mal qunoxk dn dnsmajcarta tarëmoma aprnssova, dnsnjmkdnkda par nscarèa cìsoma dn hrkjdn ojtnjsodkdn n qun lnibark nl rnpausa, mal durkèía dn ktï ;6 lojutas, bë 0 lnsns. Nxkln miìjoma snl kitnrkèþns. Vramurau

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miìjoma hnrki qun æsaiomotau tnstn nrhalïtroma. a`toda jan qundk snhujda pratamaia dn @rumn kssamokda dar prnmardoki aprnssovk dn Trkèkda cartn ojtnjsodkdn dk nstëhoa prnssíada krtnroki sostýiomk dn ;6 llBh, majcarln snhun.

Mal nstn rnsuitkda, k majdutk lkos kdnqukdk k snhuor ï7 K - Njmklojbkr a pkmonjtn pkrk kjhoatalahrkcok marajërok. @ - Njmklojbkr a pkmonjtn pkrk mojnkjhoamarajkroahrkcok. M - Pnpntor a tnstn nrhalïtroma kpýs = lnsns pkrk kvkiokèía tnrkpçutomk. D - ]aiomotkr mojtoiahrkcok loamërdomk pkrk lnibar kvkiokèía dn rosma. N - ]aiomotkr ojvnstohkèía dokhjýstomk pkrk pnromkrdotn mrôjomk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

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Luibnr, 82 kjas, mal kjtnmndnjtns dn dok`ntns lniota ojsuioja-rnqunrnjtn n dosiopodnlok, mal bopnrtnjsía krtnroki sostçlomk n njdkrtnrnmtalok dn mkrýtodk nsqunrdk bë > kjas. Vramurau par ktnjdolnjta lïdoma dnvoda k mkjskèa kas nscarèas ladnrkdas, kssamokda æ qunolkèía rntrastnrjki qun lnibarkvk mal rnpausa. Nxkln cìsoma snl kitnrkèþns. Nintramkrdoahrklk < rotla sojuski, `iaqunoa malpinta da rkla nsqunrda (@PN). ]aiomotkda nstuda dn pnrcusía loamërdomk par lndomojk juminkr. Mal `ksn jk olkhnl k`koxa, ï marrnta kcorlkr qun7

K - Bë ul dncnota orrnvnrsìvni jk pkrndn kjtnroar n jk pkrndn iktnrki majsostnjtn mal ojckrta prïvoa jas tnrrotýroas da rkla ojtnrvnjtromuikr kjtnroar n da rkla mormujcinxa dk krtïrok marajërok nsqunrdk, rnspnmtovklnjtn. @ - Bë ul dncnota rnvnrsìvni jk pkrndn kjtnroar n jk pkrndn ojcnroar majsostnjtn mal osqunlok nstrnssn-ojduzodk jas tnrrotýroas da rkla ojtnrvnjtromuikr kjtnroar dk krtïrok marajërok nsqunrdk n dk krtïrok marajërok dornotk, rnspnmtovklnjtn. M - Bë iktnrki ul dncnota rnvnrsìvni pkrndn kjtnroar snmujdëroa n ul dncnotansqunrdk. orrnvnrsìvni jk pkrndn majsostnjtn mal jk ojckrta prïvoa da rkla mormujcinxakadk@PN k rtïrok krtïrok marajërok D  - Bë ul dncnota rnvnrsìvni jk pkrndn kjtnroar n jk pkrndn iktnrki majsostnjtn mal osqunlok nstrnssn-ojduzodk jas tnrrotýroas da rkla ojtnrvnjtromuikr kjtnroar n da rkla mormujcinxa dk krtïrok marajërok nsqunrdk, rnspnmtovklnjtn. N - As dncnotas dn pnrcusía sía krtncktas kssamokdas ka @PN n æ ktnjukèía lklërok n jía sía majsostnjtns, partkjta, mal osqunlok loamërdomk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Nl rnikèía æ kjhojk vkrokjtn dn Vrojzlntki, ï marrnta kcorlkr qun7

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K  - K dar amarrn nl rnpausa, kmalpkjbkdk dn ninvkèía da snhlnjta ]T, n padn sn kssamokr k ojckrta da loamërdoa, tkquomkrdok vnjtromuikr au lartn s÷`otk snmujdëroas ka nspksla marajëroa.

 

@ - Ks `ksns cosoapktaiýhomks njvaivnl k nrasía dn ulk pikmk ktnrasminrýtomk jía a`strutovk par kulnjta da nstrnssn dn moskibklnjta, njmajtrkda crnqunjtnlnjtn nl luibnrns l uibnrns pýs-lnjapkusk. M - Bë lkoar prnvkiçjmok dk kjhojk vkrokjtn dn Vrojzlntki nl balnjs kmolk das 8> kjas dn odkdn n mal danjèk krtnroki pnrocïromk kssamokdk. D - A dokhjýstoma ï majcorlkda par uitrkssal ojtrkmarajëroa (OS^]) pkrk nxmiusía dn pikmks ktnrasminrýtomks a`strutovks au ’pajtn loamërdomk“ mala mkusk dk kjhojk.   N - Var suk crnqunjtn kssamokèía mal kjhojk nscarèa-ojduzodk, praprkjaiai ï a kkhnjtn hnjtn dn nsmaibk ja trktklnjta dn pkmonjtns mal kjhojk vkrokjtn dn Vrojzlntki.

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]a`rn k danjèk ktnrasminrýtomk marajërok mrôjomk, ï marrnta kcorlkr7 K - K kjhojk ï snjtodk nl ul iamki nspnmìcoma n, rkrklnjtn ï ul dnsmajcarta docusa docìmoi dn

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iamkiozkr. @ - K kjhojk hnrkilnjtn durk dn 0 k > lojutas, lks padn durkr ktï 46 k >6 lojutas dn carlk ojojtnrruptk nl kihulks sotukèþns. M - A nxkln cìsoma dn ul pkmonjtn mal nposýdoa dn osqunlok loamërdomk rkrklnjtn ï jarlki. D - A pkmonjtn mal kjhojk hnrkilnjtn tnl sojtalks `kstkjtn ktìpomas n nssk mkrkmtnrìstomk jía ï docnrnjtn njtrn luibnrns au balnjs. N - A nposýdoa dn kjhojk ï topomklnjtn hrkduki ja ojìmoa. ^lk vnz pr prnsnjtn, nsnjtn, ï majstkjtn n jía ludk dn pasoèía au mal k rnsporkèía.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

A`snrvn ks kcorlkèþns k`koxa7

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O. A ciuxa krtnroki marajëroa amarrn prndalojkjtnlnjtn jk doëstain. OO. A loamërdoa stujjnd (ktardakda) majsostn julk kjarlkiodkdn dn majtrkèía loamërdomk qun pnrsostn par kihul tnlpa kpýs ul nposýdoa marajkrokja osquçloma khuda, lnsla k dnspnota dk rnstkurkèía da ciuxa marajkrokja. OOO. A hrku dn ktardaklnjta da loamërdoa ï praparmoajki ka tnlpa tnlp a dn durkèía dk osqunlok. OS. A ktardaklnjta loamërdoma padn snr prnmamn au tkrdoa5 a ktardaklnjta tkrdoa, tkl`ïl majbnmoda mala loamërdoa bo`nrjkjtn, docnrnjmok-sn da ktardaklnjta prnmamn pnia tnlpa lkos praiajhkda jnmnssëroa pkrk k rnmupnrkèía majtrëtoi kpýs ul nposýdoa osquçloma khuda. [uki dks kitnrjktovks k`koxa majtïl ks kcorlkèþns vnrdkdnorks1 K - Ks kcorlkèþns O n OOO. @ - Ks kcorlkèþns O, OO n OOO. M - Ks kcorlkèþns OO n OS. D - Ks kcorlkèþns O, OOO n OS. N - Tadks ks kcorlkèþns nstía marrntks.

Nl rnikèía æ pragnèía kprnsnjtkdk jk mojnkjhoamarajkroahrkcok k`koxa, quki kitnrjktovk marrnspajdn ka kmbkda njmajtrkda1

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K - Insía hrkvn nl snhlnjta praxolki dn krtïrok mormujcinxk. @ - Insía ladnrkdk nl snhlnjta praxolki dn krtïrok dnsmnjdnjtn kjtnroar. M - Insía hrkvn nl snhlnjta lïdoa dn krtïrok marajërok dnsmnjdnjtn kjtnroar. D - Insía ladnrkdk nl snhlnjta praxolki dn marajërok dornotk. N - Marajëroks npomërdomks iovrns dn a`struèþns.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Nl pkmonjtns nl usa dn bnpkrojk dn `koxa pnsa lainmuikr, ï(sía) majsodnrkda(s) ojdomkèía(þns) dn daskhnl dn ktovodkdn da cktar kjto-Rk7

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K - ^sa majmalotkjtn dn kjtokhrnhkjtn pikquntëroa. @ - Odkdn kmolk dn 8> kjas. M - Vrýtnsns vkivkrns `oaiýhomks. D - Minkrkjmn dn mrnktojojk k`koxa dn >6 lI/loj n a`nsodkdn. N - Tral`as ojtrkmkvotëroas.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

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Vkmonjtn ojtnrjkda nl ujodkdn dn tnrkpok ojtnjsovk nl snhujda dok kpýs ojckrta khuda da loamërdoa mal suprkdnsjìvni da snhlnjta ]T nl pkrndn kjtnroar. Cao rnkiozkdk kjhoapikstok dn dnsmnjdnjtn kjtnroar mal stnjt ckrlkmaiýhoma mal sumnssa kpýs ;= barks dn dar. Ja lalnjta njmajtrk-sn aronjtkda nl tnlpa n nspkèa. • Hikshaw < ;> • Kcn`roi • Vrnssía krtnroki < ;;6 x 36 llBh • Crnquçjmok mkrdìkmk < ;;6 `pl • @ak pnrcusía pnrocïromk • Lurl÷roa vnsomuikr `nl dostro`uìda, mal dosmrntas nstnrtarns mrnpotkjtns nl `ksns puilajkrns

`oiktnrkos • Vratnìjk M-rnktovk dn ;26 lh/dI (SP 9 > lh/dI) • Bnlahia`ojk < ;=,0 lh/dI • Inumahrklk dn ;3.>66/ll = • Hiomnlok dn ;>4 lh/dI • Mrnktojojk dn ;,4 lh/dI • Nintramkrdoahrklk < rotla sojuski, ërnk ojktovk kjtnroar n prnsnjèk dn nxtrkssìstains

vnjtromuikrns crnqunjtns • Nmamkrdoahrklk trkjstarëmoma mal crkèía dn ngnèía da vnjtrìmuia nsqunrda (CNSN) < =6% n

kmojnsok nl pkrndn kjtnroar Dnjtrn ks kitnrjktovks k`koxa, k majdutk lkos kdnqukdk jnssn lalnjta snrok7 K - Ojomokr jotrahiomnrojk ojtrkvnjask n usa gudomoasa dn dourïtoma dn kièk pkrk majtrain dn majhnstía. @ - Ojomokr `ntk`iaqunkdar vok ojtrkvnjask, dnvoda æ tkquomkrdok sojuski n ka kulnjta dn majsula loamërdoma dn axohçjoa. M - Ojomokr prnmamnlnjtn `ntk`iaqunkdar vok arki pkrk trktklnjta dks nxtrkssìstains vnjtromuikrns n atolozkèía dk tnrkpok miìjomk rnikmoajkdk æ doscujèía vnjtromuikr. D - Ojomokr ojsuiojk nl `al`k dn ojcusía majtìjuk pkrk majtrain roharasa dn hiomnlok njtrn ;;6 n ;46 lh/dI n kjto`oýtoma dn klpia nspnmtra. N - Dnvoda æ hrkvodkdn da qukdra, ojdomkr supartn mormuiktýroa lnmàjoma nl ( nxtrkmarparnki lnl`rkjn axyhnjktoaj) NMLA vnjakrtnroki.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

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Nl pkmonjtns mal suspnotk dn sìjdraln marajkrokjk khudk, a usa dn kjhoatalahrkcok marajkrokjk ja mnjëroa dk nlnrhçjmok tnl soda mkdk vnz lkos klpiokda. Jnssn majtnxta, k lnibar kitnrjktovk sa`rn suk utoiozkèía snrok7 K - A usa dk kjhoatalahrkcok marajkrokjk pravau rnduzor nvnjtas n lartkiodkdn qukjda malpkrkda ka pratamaia dn dar tarëmomk mal nintramkrdoahrklk n trapajojk snrokdk. @ - K lnibar ojdomkèía snrok pkrk pkmonjtns mal dar tarëmomk n pra`k`oiodkdn `koxk k ojtnrlndoërok dn danjèk krtnroki marajkrokjk, mal nintramkrdoahrklk snl kitnrkèþns n trapajojk jnhktovk. M - K kvkiokèía dn dar tarëmomk khudk pnik tïmjomk da tropia dnsmkrtn tarjau-sn ojdomkèía mikssn O, dnvoda æ suk ncntovodkdn n snhurkjèk. D - Nl pkmonjtn mal dar tarëmomk n trapajojk pasotovk nl vkiarns ojtnrlndoëroas, a usa dk kjhoatalahrkcok marajkrokjk dn ratojk mala prolnora nxkln dn olkhnl pnrlotn dostojhuor ojckrta khuda da loamërdoa dn loamkrdotn n tarjau-sn lïtada dn ninoèía jnssns mksas. N - K kjhoatalahrkcok marajkrokjk kprnsnjtk `koxa vkiar prndotova jnhktova pkrk dntnmèía dn danjèk krtnroki marajkrokjk a`strutovk nl pkmonjtns dn rosma ojtnrlndoëroa.

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Luibnr, 8; kjas, mal ojtnrjkdk nl ujodkdn marajkrokjk par ojckrta da loamërdoa pkrndn ojcnroar, nvaiuojda kpkrnmolnjta dn sapra baiassostýioma rudn, khuda mal crçlota jk pkrtn dn ojcnroar da `arda nstnrjki nsqunrda, n kprnsnjtkjda-sn bnladojklomklnjtn nstëvni. A nmamkrdoahrklk da pkmonjtn nstë kprnsnjtkda ja vìdna k snhuor. Kssojkin k kitnrjktovk marrntk nl rnikèía k nstn mksa7 K - Nstë ojdomkda trktklnjta mor÷rhoma olndokta. @ - K iamkiozkèía ojcnroar da ojckrta majcnrn æ malpiomkèía lnmàjomk dnsnjvaivodk lnibar prahjýstoma qun k iamkiozkèía kjtnroar. M - K amiusía pnrmutàjnk mal Klpiktznr ï ojdomkdk nl pkmonjtns gavnjs n dn `koxa rosma. D - Odkdn kvkjèkdk, snxa lksmuioja n danjèk rnjki mrôjomk sía cktarns prndospajnjtns æ majdoèía kprnsnjtkdk. N - K pra`k`oiodkdn dn sa`rnvovçjmok jía nstë rnikmoajkdk ka tklkjba da dncnota.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [uki a projmopki cktar dntnrlojkjtn dk sa`rnvodk nl murta n iajha prkzas dn pkmonjtns qun kprnsnjtkrkl ojckrta khuda da loamërdoa mal suprkdnsjìvni da snhlnjta ]T1

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K - [ukjtodkdn dn osqunlok rnsoduki. @ - Nxtnjsía dks insþns marajkrokjks rnsodukos. M - Cujèía vnjtromuikr nsqunrdk nl rnpausa. D - Pnduèía dk vkrok`oiodkdn dk crnquçjmok mkrdìkmk. m krdìkmk. N - Vrnsnjèk dn ktovodkdn vnjtromuikr nmtýpomk.

Dn kmarda mal ks rnmalnjdkèþns ktukos kmnrmk dk nstrktocomkèía dn rosma jk sìjdraln marajërok khudk snl suprk dn ]T, ï marrnta kcorlkr7

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K - Vkmonjtns nl mbaqun mkrdoahçjoma dnvnl snr su`lntodas æ kvkiokèía ojvksovk nl ktï 04 barks. @ - Vkmonjtns dok`ïtomas sía mikssocomkdas mala dn rosma kita n nstudkdas nl lnjas dn 04 barks. M - K prnsnjèk dn ninvkèía dk trapajojk jía mikssocomk a pkmonjtn mala dn kita rosma. D - Vkmonjtns pýs-pkrkdk mkrdoarrnsporktýrok au krrotlok vnjtromuikr lkiohjk sía mikssocomkdas mala rosma ojtnrlndoëroa n dnvnl snr su`lntodas æ kvkiokèía ojvksovk nl ktï 04 barks. N  - Vkmonjtns mal dar tarëmomk rnmarrnjtn sía mikssocomkdas mala dn luota kita rosma n dnvnl snr su`lntodas æ mojnkjhoamarajkroahrkcok nl ktï 0 barks.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Balnl, 33 kjas, bopnrtnjsa n dok`ïtoma, mal kmodnjtn vksmuikr njmncëioma osquçloma bë =6 doks. Ktnjdoda mal qukdra dn dar tarëmomk mal mnrmk dn 0 barks dn nvaiuèía. Ka nxkln7

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• Vrnssía krtnroki < ?0 x 36 llBh. • Crnquçjmok mkrdìkmk < >6 `pl. • Kusmuitk mkrdìkmk mal `uibks `u ibks jarlacajïtomks. • Kusmuitk puilajkr snl kitnrkèþns. • Pnkiozkda nintramkrdoahrklk (k`koxa) n maintkdas nxklns ik`arktarokos.

A tnlpa nstolkda dn trkjscnrçjmok pkrk ul baspotki mal snrvoèa dn bnladojàlomk dospajìvni snrë kpraxolkdklnjtn dn 066 lojutas.

Nl rnikèía ka qukdra dnsmrota, kssojkin k kitnrjktovk marrntk7 K - K tral`ýiosn ï k nstrktïhok dn nsmaibk, prncnrnjmokilnjtn jas prolnoras =6 lojutas. jhoapikstok marajërok prolërok. @ - Vkmonjtn dnvn snr trkjscnroda pkrk mnjtra mkpkz dn rnkiozkr kkjhoapikstok M - Atolozkr a trktklnjta miìjoma, njmklojbkr a pkmonjtn pkrk ujodkdn marajërok n khukrdkr as nxklns ik`arktarokos pkrk dnmodor k majdutk. D - Trkjscnrçjmok olndoktk pkrk kjhoapikstok dn rnshktn. N - K nstrktïhok cërlkma-ojvksovk padn snr s nr majsodnrkdk nl pkmonjtns mal rntkrda 9 = barks da ojìmoa das sojtalks n olpasso`oiodkdn dn rnkiozkr ojtnrvnjèía marajërok pnrmutàjnk prolërok nl ktï ;06 lojutas.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Nl rnikèía kas pkmonjtns mal dokhjýstoma dn LOJAMK ( Lyamkrdoki Ojckrmtoaj kjd Jaja`strutovn Marajkry Krtnrons), kssojkin k kitnrjktovk marrntk7

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K - K rnssajàjmok lkhjïtomk da markèía jía ï olpartkjtn jk kvkiokèía dokhjýstomk dnssns pkmonjtns pkrk docnrnjmokèía dn mkrdoaloapktok osquçlomk dn jía osquçlomk. @ - Insþns marajëroks qun padnl snr su`dokhjastomkdks, su` dokhjastomkdks, tkos mala nstnjasns dostkos au amiusþns dn pnqunjas rklas, jía ojtnrcnrnl ja dokhjýstoma dnstk njtodkdn. M - Mkusks jía osquçlomks qun invkl k ojg÷rok khudk, mala loamkrdotn n nl`aiok puilajkr, sía ckmoilnjtn odnjtocomkdks n jía dnvnl snr majsodnrkdks pkrk a dokhjýstoma. D  - As pkmonjtns mal LOJAMK tçl lnibar prahjýstoma qukjda malpkrkdas mal kqunins mal ojckrta khuda da loamërdoa bk`otuki kssamokda k nstnjasns marajëroks (a`struèþns : >6%). N - Bopamojnsok docusk ka nmamkrdoahrklk ï ul kmbkda olpartkjtn pkrk a dokhjýstoma.

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Kjkiosn ks sotukèþns miìjomks k`koxa n odnjtocoqun kquniks qun marrnspajdnl k ojdomkèþns kpraprokdks pkrk rnkiozkèía dn vkivapikstok lotrki pnrmutàjnk mal mktntnr `kiía jk nstnjasn lotrki7

=6

O. Vkmonjtn dn 86 kjas mal lotrki Mikssnktroki Cujmoajki dk Jnw Bnkrtn Kssamoktoaj (MC-J_BK) OOO, nstnjasn ërnk vkivkr dn dnhnjnrktovk, ;,6 ml0, co`roikèía (CK) dn ojìmoa_are rnmnjtn prnssía sostýiomk dk krtïrok puilajkr (V]KV) < 86 llBh.

 

OO. Vkmonjtn hnstkjtn, MC-J_BK OOO, ërnk vkivkr dn 6,2 ml 0, nsmarn dn Xoieojs dn ? (mkimocomkèía < ; n su`vkivkr < 0) n V]KV < 36 llBh nl rnpausa. OOO. Vkmonjtn dn 46 kjas, mal nstnjasn lotrki rnulëtomk, CK dn ojìmoa rnmnjtn, MC-J_BK O, ërnk vkivkr dn ;,6 ml0, nsmarn dn Xoieojs dn 2, V]KV < 46 llBh ja rnpausa n 86 llBh durkjtn nxnrmìmoa. OS. Vkmonjtn dn 86 kjas mal nstnjasn lotrki rnulëtomk, MC-J_BK OOO, ërnk vkivkr dn ;,0 ml 0, nsmarn dn Xoieojs dn 2, V]KV < >6 llBh ll Bh nl rnpausa, kiïl dn nstnjasn kýrtomk, mal hrkdonjtn lëxola dn =6 llBh n lïdoa dn ;> llBh. S. Vkmonjtn dn => kjas, mal nstnjasn lotrki rnulëtomk, MC-J_BK OO, ërnk vkivkr dn 6,? ml 0, nsmarn dn Xoieojs dn 8, V]KV < ‒>6 llBh ja rnpausa. Kmodnjtn vksmuikr mnrn`rki bë =6 doks,

mal tral`a ja kpçjdomn ktroki nsqunrda ka nmamkrdoahrklk trkjsnsacëhoma. K - O, OO n OS. @ - O, OOO n S. M - O, OS n S. D - OO, OOO n OS. N - OO, OS n S.

06

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Jk ojsucomoçjmok lotrki prolërok mrôjomk, k prnsnjèk dn orrkdokèía da sapra pkrk a nstnrja n a cama kýrtoma dnvn snr ojtnrprntkdk mala ul sojki dn7

[^N]TÍA

=;

 

K - Paturk dn mardks dk m÷spodn pastnroar. @ - Kulnjta ktroki nsqunrda. M - Doiktkèía da vnjtrìmuia nsqunrda. D - Doscujèía vnjtromuikr dornotk. N - Bopnrtnjsía puilajkr.

[^N]TÍA

=0

 

^l pkmonjtn dn 26 kjas, mal qunoxk dn tajturks n dar tarëmomk, kprnsnjtkvk ka nxkln cìsoma ul sapra sostýioma ngntova, mal poma tninssostýioma, lkos `nl kudìvni jk `ardk nstnrjki dornotk kitk n rnhoía mnrvomki. • Nintramkrdoahrklk rnvnikvk sojkos dn sa`rn mkrhk vnjtromuikr nsqunrdk (SN). • Nmamkrdoahrklk < SN mal bopnrtracok majmçjtromk, crkèía dn ngnèía da SN < 3>% n doscujèía

dokstýiomk hrku =. • A`tnvn-sn hrkdonjtn sostýioma lëxola njtrn a SN n k kartk dn >6 llBh, lïdoa dn 0> llBh n ërnk vkivkr kýrtomk dn 6,? ml0, kiïl dn mkimocomkèía da kjni lotrki, mal rnciuxa lotrki ladnrkda, mal arocìmoa dn rnciuxa nstolkda nl 6,0 ml 0 n vaiuln rnhurhotkjtn dn => lI. Dokjtn dnssns dkdas, a lnibar nxkln k snr saiomotkda jk snquçjmok, pkrk prassnhuor mal k ojvnstohkèía, snrok7 K - Nmamkrdoahrklk dn nstrnssn mal nxnrmìmoa cìsoma, pkrk kvkiokr sn rnkilnjtn k nstnjasn kýrtomk ï hrkvn. @ - Mëimuia da nsmarn dn mëimoa dk vkivk kýrtomk, par lnoa dk talahrkcok, pkrk majcorlkr k hrkvodkdn dk nstnjasn kýrtomk. M - Pnssajàjmok lkhjïtomk da markèía, pkrk dncojor lnibar k hrkvodkdn dk ojsucomoçjmok lotrki. D - Jía bë jnmnssodkdn dn lkos nxklns malpinlnjtkrns paos a dokhjýstoma n k majdutk gë nstía dncojodas. N - Tnstn mkrdoapuilajkr pkrk kvkiokr a SA0 n k prnsnjèk dn sojtalks ka nxnrmìmoa.

0;

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

==

 

Vkmonjtn mal prýtnsn `oaiýhomk lotrki bë > kjas, co`roikèía ktroki mrôjomk n Mikssn Cujmoajki dk Jnw _are Bnkrt Kssamoktoaj (MC-J_BK) OO, rnkiozau nmamkrdoahrklk trkjsnsacëhoma, qun lastrau prýtnsn mal rnciuxa ladnrkda mnjtrki, mal hrkdonjtn dokstýioma lëxola dn ;> llBh, lïdoa dn 3 llBh n ërnk dn ;,3 ml0. A nxkln lastrau tkl`ïl tral`a jk prýtnsn n jk pkrndn da ëtroa nsqunrda, lndojda ;6 x ;0 ll, mal hrkjdn la`oiodkdn. K prnssía sostýiomk dk krtïrok puilajkr (V]KV) cao nstolkdk nl >> llBh. Jnstn mksa, k lnibar majdutk snrok7 K - Kjtomakhuikèía par vok arki mal mulkrìjomas, dnvnjda-sn rnkvkiokr a pkmonjtn kpýs =6 doks mal nmamkrdoahrklk trkjstarëmoma, ojdomkjda-sn ojtnrjkèía sn jía bauvnr lnibark. l nibark. @ - Morurhok olndoktk pkrk rntorkdk da tral`a. M  - Ojtnrjkèía pkrk rnkiozkr kjtomakhuikèía kdlojostrkdk vok ojtrkvnjask par ulk snlkjk, mal rnkvkiokèía pastnroar mal nmamkrdoahrklk trkjsnsacëhoma, dnvnjda-sn majsodnrkr morurhok mksa jía bkgk lnibark. D - Co`rojýiosn olndoktk, mal ojdomkèía mor÷rhomk pastnroar sn jía bauvnr rnsaiuèía da tral`a. N - Ojtnrjkèía, mal kdlojostrkèía dn kjtopikquntëroas n kjtomakhuikjtns par vok arki (dupik tnrkpok) par ulk snlkjk, qukjda dnvn snr rnkiozkdk talahrkcok malputkdarozkdk n kdlojostrkèía dn kjtomakhuikèía ojtrkvnjask, mksa jía bkgk rnsaiuèía da tral`a.

[^N]TÍA

=4

 

Nl rnikèía æ ojsucomoçjmok lotrki prolërok mrôjomk, sía majsodnrkdas cktarns malpiomkdarns, qun dnvnl latovkr k dosmussía ja Bnkrt Tnkl pkrk passìvni ojdomkèía dn trktklnjta ojtnrvnjmoajostk (mor÷rhoma au pnrmutàjna), NRMNTA NRMNTA77 K - Doàlntra sostýioma cojki da vnjtrìmuia nsqunrda ≮ 46 ll.   @ - Crkèía dn ngnèía da vnjtrìmuia nsqunrda ≤ 36%. M - Doàlntra dokstýioma cojki da vnjtrìmuia nsqunrda ≮ 36 ll.   D - Saiuln da ëtroa nsqunrda ≮ 36lI/l0. N - Vrnssía sostýiomk puilajkr ≮ 36 llBh ka nscarèa.  

00

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Luibnr, 40 kjas, kprnsnjtk-sn mal qukdra dn dospjnok kas nscarèas bë 0 kjas, ktukilnjtn iolotkdk pkrk nscarèas bk`otukos, kpnskr da usa dn curasnlodk 46 lh/dok.

[^N]TÍA

=>

 

• Kjtnmndnjtns dn bopnrtnjsía krtnroki n tk`khosla. • Vrnssía krtnroki < ;62 x 34 llBh. • Cr nquçjmok nquçjmok mkrdìkmk < 24 `pl. • Potla orrnhuikr. • ]apra dokstýioma nl rucikr ++/3+ nl cama lotrki. • Kusmuitk puilajkr snl kjarlkiodkdns. • Dosmrnta ndnlk `oiktnrki n solïtroma dn lnl`ras ojcnroarns. • Nmamkrdoahrklk7

a Skivk lotrki mal cusía malossurki. a Ërnk vkivkr lotrki < 6,? ml0. a Hrkdonjtn lïdoa KN-SN < ;0 llBh. a Ojsucomoçjmok lotrki ladnrkdk. a Vrnssía sostýiomk dk krtïrok puilajkr < >4 llBh. [uki k lnibar majdutk1 K - ]aiomotkr java nmamkrdoahrklk pkrk kvkiokr nsmarn dn Xoieojs-@iame. @ - Ojdomkr vkivapikstok lotrki par mktntnr-`kiía. M - Lkjtnr trktklnjta miìjoma mal dourïtoma. D - Ojdomkr trktklnjta mor÷rhoma dk vkivapktok lotrki. N - ]aiomotkr nmamkrdoahrklk trkjsnsacëhoma pkrk dnsmkrtkr tral`a kjtns dk morurhok.

0=

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Balnl, 32 kjas, kprnsnjtk-sn mal qukdra dn dar tarëmomk kas nscarèas n iopatolok. Æ kvkiokèía7

=3

 

• Vrnssía krtnroki < ;=3 x 42 llBh. • Crnquçjmok mkrdìkmk < 20 `pl. • ]apra sostýioma ngntova +++/3+ n sapra dokstýioma ksporktova, kl`as nl cama kýrtoma ++/3+. • Vuilþns iolpas, snl ndnlk pnrocïroma. • Nmamkrdoahrklk7

a Crkèía dn ngnèía da vnjtrìmuia nsqunrda < 34%. a Skivk kýrtomk `om÷spodn mkimocomkdk. a Ërnk vkivkr kýrtomk < 6,? ml0. a Hrkdonjtn lïdoa SN-Ka < 43 llBh. a Ojsucomoçjmok kýrtomk ladnrkdk. a Pkoz dk kartk < 4? ll. [uki k lnibar majdutk1 K - Trktklnjta trkjsmktntnr dk vkivapktok kýrtomk (TKSO). @ - Trktklnjta mor÷rhoma osaikda dk vkivapktok kýrtomk. M - Lkjutnjèía dn snhuolnjta miìjoma. D - Trktklnjta mor÷rhoma dk vkivapktok kýrtomk n dk kartk ksmnjdnjtn. N - Pnkiozkèía dn tnstn nrhalïtroma pkrk kvkiokr rnpnrmussía dk vkivapktok.

04

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Balnl, >0 kjas, partkdar dn prýtnsn `oaiýhomk kýrtomk olpikjtkdk bë 8 kjas, qunoxk-sn dn ckdohk. Ka nxkln cìsoma7

[^N]TÍA

=8

 

• Bopamarkda. • Vrnssía krtnroki < ;;3 x 86 llBh. • Crnquçjmok mkrdìkmk < ?2 `pl. • Kusmuitk mkrdìkmk mal sapra sostýioma ngntova nl ca ma kýrtoma +++/3+, snl sojkos dn majhnstía

puilajkr au sostçlomk.

• Nxklns ik`arktarokos mal nvodçjmoks dn kjnlok bnlaiìtomk. • Nmamkrdoahrklk lastrkjda7

a Vrýtnsn `oaiýhomk kýrtomk nspnsskdk n mkimocomkdk. a Hrkdonjtn lïdoa SN-Ka < 40 llB. a Crkèía dn ngnèía da vnjtrìmuia nsqunrda < >2%. a Skivk lotrki snl kitnrkèía kjktôlomk. a Ojsucomoçjmok lotrki dosmrntk. [uki k lnibar majdutk1 K - Trktklnjta mor÷rhoma mal rntramk vkivkr kýrtomk n tramk vkivkr lotrki. @ - Lkjutnjèía dn snhuolnjta miìjoma. M - Trktklnjta trkjsmktntnr ” vkivn-oj-vkivn kýrtoma. D - Skivapikstok kýrtomk par mktntnr-`kiía. N - Trktklnjta mor÷rhoma mal rntramk dk vkivk kýrtomk.

0>

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Luibnr, =2 kjas, partkdark dn vkivapktok rnulëtomk, qunoxkvk-sn dn dospjnok prahrnssovk kas nscarèas, ktukilnjtn iolotkdk pkrk nscarèas bk`otukos. Nxkln cìsoma7

[^N]TÍA

=2

 

• Vrnssía krtnroki < ;02 x 80 llBh. • Crnquçjmok mkrdìkmk < ?6 `pl. • ]apra sostýioma rnhurh otktova +++/3+ n dokstýioma nl rucikr ++/3+, kl`as nl cama lotrki.

Kusmuitk puilajkr iolpk. Ndnlk +/4+ `oiktnrki n solïtroma dn lnl`ras l nl`ras ojcnroarns. • Nmamkrdoahrklk7

a Skivk lotrki mal cusía malossurki. a Ërnk vkivkr lotrki < ;,0 ml0. a Hrkdonjtn lïdoa KN-SN < ;4 llBh. a Ojsucomoçjmok lotrki ladnrkdk. a Ojsucomoçjmok trom÷spodn olpartkjtn. a Vrnssía sostýiomk dk krtïrok puilajkr < 40 llBh. [uki k lnibar majdutk1 K - Skivapikstok lotrki par mktntnr-`kiía. @ - Tramk vkivkr lotrki n tramk vkivkr trom÷spodn par prýtnsn lnmàjomk. M - ]nhuolnjta miìjoma n nmamkrdoahrëcoma snlnstrki. D - Trktklnjta mor÷rhoma dk vkivk lotrki. N - Trktklnjta mor÷rhoma dk vkivk lotrki l otrki + pikstok dk trom÷spodn.

[^N]TÍA

]a`rn pkmonjtns partkdarns dn nstnjasn dk vkivk kýrtomk kjktalomklnjtn olpartkjtn mal crkèía dn

=?

ngnèía da vnjtrìmuia nsqunrda prnsnrvkdk, ï marrnta kcorlkr7 K - A kulnjta ja dï`ota mkrdìkma durkjtn a nxnrmìmoa cìsoma ï lndokda prolkroklnjtn pnia kulnjta dk crnquçjmok mkrdìkmk.

 

@ - Kpnjks pkmonjtns sojtalëtomas dnsnjvaivnl rnduèía dk tainràjmok ka nxnrmìmoa cìsoma. M - A vaiuln dn ngnèía n k tkxk dn ciuxa trkjsvkivkr jjía ía sn kitnrkl durkjtn a nscarèa cìsoma. D - Lnsla nl rnpausa, a dï`ota mkrdìkma njmajtrk-sn snlprn rnduzoda. N - K ërnk vkivkr kýrtomk dolojuo durkjtn a nxnrmìmoa, lnsla nl pkmonjtns kssojtalëtomas.

03

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

 Kdainsmnjtn, ;3 kjas, mal vëroas qukdras dn ’hropn invn“ mal adojackhok, bopnrnlok dn ckrojhn,

46

 

snjda a ÷itola bë = snlkjks, mal qundk dosmrntk da nstkda hnrki, kutaiolotkda n dn `rnvn durkèía. Kprnsnjtk-sn pëiodk. • Tnlpnrkturk < =?,0¶M. • Crnquçjmok mkr dìkmk dìkmk < ;04 `pl. • Crnquçjmok rnsporktýrok < =0 orpl. • Iojckdnjalnhkiok mnrvomki. • Kusmuitk rnsporktýrok snl kitnrkèþns. • ]apra sostýioma nl cama lotrki (=+/3+). • Bnlahrklk7 inumamotasn dosmrntk mal pnqunja dnsvoa æ nsqunrdk. Cktar kjtoj÷mina jnhktova. • Kjtomarpa kjtonstrnptaiosojk A (K]IA) dn >66 ^O/lI. • Sniamodkdn dn bnlassndolnjtkèía (SB]) < 8= ll/b n pratnìjk M-rnktovk (VMP) < 44 lh/I. • Nintramkrdoahrklk7 praiajhklnjta da ojtnrvkia VP. • Nmamkrdoahrklk7 rnhurhotkèía lotrki invn n osaikdk.  

]a`rn a qukdra miìjoma kprnsnjtkda, kssojkin k kcorlktovk marrntk7 K - Trktk-sn dn ulk mkrdotn rnulëtomk khudk n, nl kmalpkjbklnjta nmamkrdoahrëcoma pastnroar, a surholnjta dn rnhurhotkèía lotrki pktaiýhomk mikssocomk a mksa mala mkrdoapktok mkr doapktok rnulëtomk mrôjomk. @ - Trktk-sn dn ul qukdra dn cn`rn rnulëtomk khudk invn, nl hnrki kutaiolotkdk, qun dnvn snr trktkdk mal sojtalëtomas, rnpausa ja inota n kjto-ojciklktýroas jía nstnraodns (KOJNs), pkrtomuikrlnjtn a ëmoda kmntoiskiomìioma (KK]). M - Trktk-sn dn ul qukdra dn njdamkrdotn khudk ojcnmmoask, snjda ojdomkdk ojtnrjkèía baspotkikr pkrk kjto`oatomatnrkpok dn ikrha nspnmtra. D - Jas mksas dn mkrdotns ladnrkdk au hrkvn, odnkilnjtn dnvn-sn ojomokr k dasn kitk dn kjtoojciklktýroas jía nstnraodns (KOJNs) par ;4-0; doks n, pastnroarlnjtn, ojomok-sn k rnduèía prahrnssovk dk dasn. N - Majsodnrkjda trktkr-sn dn ul mksa invn dn cn`rn rnulëtomk khudk, k pracoikxok snmujdërok jía prnmosk snr ojstotuìdk.

08

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Luibnr, => kjas, bë 4 lnsns qunoxkjda-sn dn kstnjok, sajaiçjmok, cn`rn kitk, dospjnok n lkjmbks bnlarrëhomks pkilkrns. Pnkiozkda nmamkrdoahrklk k`koxa. Ka nxkln cìsoma7

[^N]TÍA

4;

 

• ]ojkos dn taxnlok. • Crnquçjmok mkrdìkmk < ;;> `pl. • ]apra sostýioma lkos kudìvni  nl cama lotrki. • Omtus mardos pkipëvni (trçs paipks dohotkos). • Turhçjmok guhuikr k 4>¶. Nstnrtarns nl `ksns puilajkrns. •• Lkmomnz æ pnrmussía n lurl÷roa vnsomuikr rnduzoda æ dornotk.  • K`daln snl kitnrkèþns. • Ndnlk nl lnl`ras ojcnroarns (++/+4).   • Jk kvkiokèía ik`arktaroki7

a Bnlahia`ojk ?,= h/dI. a Inumýmotas ;>.066 mni/ll = n =% dn `kstajntns. a ^rnok dn ;;6 ^/I. a Mrnktojojk 0,; lh/dI.

]a`rn a qukdra miìjoma, ï marrnta kcorlkr7 K - A trktklnjta ï mor÷rhoma nl mksas dn vnhntkèþns luota hrkjdns (: > ll) au pnrsostnjtns, n ktukilnjtn bë k rnmalnjdkèía dn a pramndolnjta snr a lkos `rnvn passìvni n dn sn rnkiozkr k tramk vkivkr nl vnz da rnpkra vkivkr. @ - Trktk-sn dn njdamkrdotn ojcnmmoask dn vkivk jktovk, n a trktklnjta ï kjto`oatomatnrkpok nlpìromk (njqukjta sn khukrdkl as rnsuitkdas dks bnlamuiturks) kssamokdk æ tramk vkivkr mor÷rhomk. M - Mala sn trktk dn ul mksa mal vnhntkèía pnqunjk (9 ;> ll), l lnsla nsla qun kssamokdk mal sojkos dn kitnrkèía vkivkr, k ojdomkèía ï dn kjto`oatomatnrkpok osaikdk. D - Trktk-sn dn ulk njdamkrdotn ojcnmmoask dn vkivk jktovk, mal `koxa rosma dn nl`aiok sostçlomk. N - K talahrkcok par nlossía dn pýsotrajs (VNT) kssamokdk æ utoiozkèía da rkdoacërlkma Cciuardnsaxohiomasn padn snr utoiozkdk jk kvkiokèía dn mksas duvodasas, nspnmokilnjtn nl pkmonjtns mal vkivk jktovk, mal kulnjta dk snjso`oiodkdn s njso`oiodkdn das mrotïroas ladocomkdas dn Duen.

02

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

40

Luibnr, 00 kjas, rncnrn dospjnok kas hrkjdns nscarèas bë mnrmk dn 3 lnsns n pkipotkèþns. Ka nxkln cìsoma7 `al nstkda hnrki, nupjnomk, markdk, puisa vnjasa guhuikr jarlki, lurl÷roa vnsomuikr cosoaiýhoma snl ruìdas kdvnjtìmoas, rotla mkrdìkma rnhuikr @;, bopnrcajïtomk, sapra dokstýioma da topa rucikr mal rncarèa prï-sostýioma nl cama lotrki. Nxklns kprnsnjtkdas k`koxa.

 

Mal rnikèía k nstn mksa, kssojkin k kitnrjktovk marrntk7 K - A pkdría rkdoaiýhoma kprnsnjtkda lastrk prnsnjèk dn dupia majtarja æ dornotk n qukrta krma æ nsqunrdk, kmbkdas tìpomas dn pkmonjtns partkdarns dn ojsucomoçjmok lotrki hrkvn. @  - A nintramkrdoahrklk lastrk noxa dnsvokda pkrk dornotk mal sa`rnmkrhk ktroki nsqunrdk n sa`rnmkrhk vnjtromuikr dornotk. M - Mal rnikèía ka trktklnjta ckrlkmaiýhoma, k drahk dn nsmaibk ï a usa dn `ntk`iaqunkdar n ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk (oNMK). D - A nmamkrdoahrklk lastrk ulk nstnjasn lotrki hrkvn, dncojodk mala hrkdonjtn lïdoa kmolk dn ;6 llBh n ërnk vkivkr k`koxa dn 0 ml 0 n prnssía sostýiomk dk krtïrok puilajkr < >6 llBh. N - Nl pkmonjtns mal co`roikèía ktroki, padnl snr uskdas kjtkhajostk dk votklojk E mala tkl`ïl as kjtomakhuikjtns arkos dorntas (DAKM]).

0?

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

4=

 

Luibnr, =? kjas, rncnrojda dospjnok prahrnssovk bë ;> doks, kssamokdk k artapjnok, dospjnok pkraxìstomk jaturjk n ndnlk nl lnl`ras l nl`ras ojcnroarns. Vartkdark dn mkrdoapktok rnulëtomk dnsdn as ;8 kjas dn odkdn, ckz usa rnhuikr dn pnjomoiojk `njzktojk. Ka nxkln7 • Omtus mardos dnsvokda pkrk k nsqunrdk n pkrk `koxa. • Potla mkrdìkma rnhuikr. • ]apra baiassostýioma nl cama lotrki mal orrkdokèía pkrk k kxoik nsqunrdk n rnhoía darski. • Nintramkrdoahrklk mal rotla sojuski n sa`rnmkrhk ktroki nsqunrdk. • Nmamkrdoahrklk lastrk7

a Doàlntra sostýioma cojki da vnjtrìmuia nsqunrda < 40 ll. ll . a Crkèía dn ngnèía < >8%. a Ëtroa nsqunrda mal vaiuln kulnjtkda (>6 lI/l0). a Skivk lotrki mal kspnmta rnulëtoma n k`nrturk prnsnrvkdk. a Crkèía rnhurhotkjtn < 36%. a Saiuln rnhurhotkjtn < 32 lI/`ktolnjta. a Arocìmoa ncntova rnhurhotkjtn < 6,4> ml 0. a Vrnssía sostýiomk jk krtïrok puilajkr < 36 llBh. ]a`rn nstn mksa, majsodnrn ks kssnrtovks7 O. Trktk-sn dn ulk ojsucomoçjmok lotrki hrkvn mal ojdomkèía dn morurhok. OO. A usa dn ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk rntkrdkrë k jnmnssodkdn dn morurhok. OOO. ]nu prahjýstoma snrë lnibar sn su`lntodk æ morurhok qukjda a doàlntra sostýioma cojki da vnjtrìmuia nsqunrda car lkoar dn 4> ll. OS. ]ía majsodnrkdas c ktarns ktarns malpiomkdarns k crkèía dn ngnèía da vnjtrìmuia nsqunrda ≤ 36%, doàlntra sostýioma da vnjtrìmuia nsqunrda (D]SN ≮ 46 ll), prnssía sostýiomk puilajkr ≮ >6 llBh au ≮ 36 llBh ka nxnrmìmoa. 

Kssojkin k kitnrjktovk marrntk7 K - Nstía marrntks ks kssnrtovks O, OO n OOO. @ - Nstía marrntks ks kssnrtovks OOO n OS. M - Nstía marrntks ks kssnrtovks O n OS. D - Nstía marrntks ks kssnrtovks OO n OS. N - Tadks ks kitnrjktovks nstía marrntks.

=6

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Nl rnikèía k pkmonjtns partkdarns dn ojsucomoçjmok kýrtomk (OKa), majsodnrn m ajsodnrn ks kssnrtovks k snhuor7

44

 

O. Vkmonjtns mal OKa olpartkjtn kssojtalëtomas n cujèía sostýiomk da vnjtrìmuia nsqunrda prnsnrvkdk tçl ojdomkèía dn uskr vksadoiktkdarns. OO. Vadn amarrnr kjhojk qun, nl hnrki, ï jaturjk, dnmarrnjtn dk rnduèía ddkk prnssía krtnroki, mal majsnqunjtn poark dk pnrcusía jk mormuikèía marajkrokjk. OOO. As sojkos pnrocïromas jk OKa khudk sía lkos malujs qun jk OKa mrôjomk. OS. K morurhok nstë ojdomkdk pkrk pkmonjtns kssojtalëtomas qun murskl mal doscujèía sostýiomk da vnjtrìmuia nsqunrda (CN 9 >6%). Kssojkin k kitnrjktovk marrntk7 K - Ks kssnrtovks OO n OS nstía marrntks. @ - Ks kssnrtovks O n OS nstía marrntks. M - Ks kssnrtovks OO, OOO n OS nstía marrntks. D - Ks kssnrtovks OOO n OS nstía marrntks. N - Tadks nstía marrntks.

[^N]TÍA

Mal rnikèía ka usa dn kjtomakhuikjtns n vkivapktok, majsodnrn ks snhuojtns kssnrtovks7

4>

 

O. Nl pkmonjtns partkdarns dn prýtnsn lotrki lnmàjomk kssamokdk æ co`roikèía ktroki, k PJO (Pkzía Jarlktozkdk Ojtnrjkmoajki) dnvn snr lkjtodk jk ckoxk dn 0,> n =,>. OO. Jas partkdarns dn prýtnsns lnmàjomks, a usa dn kjtomakhuikjtns arkos dorntas (ojo`odarns dorntas dk tral`ojk n cktar kjto-Rk) padn snr tía snhura n ncomkz qukjta k vkrckrojk. OOO. As kjtomakhuikjtns arkos dorntas (DAKM]) padnl snr uskdas mala kitnrjktovk pkrk pkmonjtns partkdarns dn nstnjasn lotrki hrkvn n co`roikèía ktroki. [ukos ks kssnrtovks nstía marrntks1 K - Ks kssnrtovks O n OO. @ - Kpnjks k kssnrtovk O. M - Ks kssnrtovks OO n OOO. D - Kpnjks k kssnrtovk OOO. N - Tadks nstía marrntks.

=;

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; Nl rnikèía æ ojsucomoçjmok kýrtomk (OKa) olpartkjtn dn ntoaiahok rnulëtomk ja ojdovìdua kssojtalëtoma, quki cktar malpiomkdar padn ojdomkr jnmnssodkdn dn ojtnrvnjèía mor÷rhomk1

[^N]TÍA

43

 

K - Crkèía dn ngnèía da vnjtrìmuia nsqunrda : >6%. @ - Doàlntra sostýioma da vnjtrìmuia nsqunrda 9 >> ll. M - Doàlntra dokstýioma da vnjtrìmuia nsqunrda : 86 ll. D - Doàlntra dokstýioma da vnjtrìmuia nsqunrda : 8> ll. N - Doàlntra sostýioma da vnjtrìmuia nsqunrda : >6 ll.

[^N]TÍA

Nl rnikèía ka caràlnj avki pktnjtn (CAV), majsodnrn ks snhuojtns kssnrtovks7

48

 

O. Dnvoda k suk nstruturk nl carlk dn t÷jni, a ciuxa skjhuìjna tarjk-sn injta n bë rosma patnjmoki pkrk nl`aiok pkrkdaxki. OO. Skrokèþns ja tklkjba da CAV, par so sý, jía ojtnrcnrnl ja rosma pkrk kmodnjtn vksmuikr mnrn`rki (KSM) mroptahçjoma. OOO. Kiïl da KSM mroptahçjoma, a CAV padn nstkr olpiomkda nl autrks sìjdralns miìjomks, mala jk danjèk dk dnsmalprnssía. Kssojkin k kitnrjktovk marrntk7 K - Ks kssnrtovks OO n OOO sía vnrdkdnorks. @ - Ks kssnrtovks O n OO sía vnrdkdnorks. M - Kpnjks k kssnrtovk O ï vnrdkdnork. D - Ks kssnrtovks O n OOO sía vnrdkdnorks. N - Tadks sía vnrdkdnorks.

=0

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Nl rnikèía æ makrmtkèía dk kartk, majsodnrn ks snhuojtns kssnrtovks7

42

 

O. Majsodnrk-sn makrmtkèía dn kartk sohjocomktovk qukjda a hrkdonjtn ja sìtoa dk makrmtkèía car lkoar qun 06 llBh, parïl, qukjda nxostn mormuikèía maiktnrki, a hrkdonjtn tarjk-sn lkos kmnjtukda (supnrnstolkda). OO. Kpýs =6 kjas dn odkdn, danjèk marajkrokjk, raturk au dossnmèía dn kartk padnl snr k mkusk dn ý`ota jnstns pkmonjtns. OOO. A pkmonjtn kduita partkdar dn makrmtkèía dn kartk padn snr kssojtalëtoma n tnr k suspnotk dokhjýstomk rnkiozkdk k pkrtor dn nxkln dn ratojk, dnvoda ka kmbkda dn bopnrtnjsía krtnroki sostçlomk n puisas cnlarkos dolojuìdas. Kssojkin k kitnrjktovk marrntk7 K - Ks kssnrtovks OO n OOO sía vnrdkdnorks. @ - Ks kssnrtovks O n OO sía vnrdkdnorks. M - Ks kssnrtovks O n OOO sía vnrdkdnorks. D - Kpnjks k kssnrtovk OOO ï vnrdkdnork. N - Tadks sía vnrdkdnorks.

[^N]TÍA

Nl rnikèía æ kjalkiok dn N`stnoj, N `stnoj, majsodnrn ks snhuojtns kssnrtovks7

4?

 

O. Nl suk carlk ladnrkdk, as sojtalks padnl sn lkjocnstkr jk kdainsmçjmok n ja kduita  gavnl. OO. Ï malul k kssamokèía mal vok kmnssýrok. OOO. K mokjasn padn nstkr prnsnjtn n sn dnvn bk`otukilnjtn k sbujt dk dornotk pkrk nsqunrdk nl jìvni ktroki. Kssojkin k kitnrjktovk marrntk7 K - Ks kssnrtovks OO n OOO sía vnrdkdnorks. @ - Ks kssnrtovks O n OO sía vnrdkdnorks. M - Ks kssnrtovks O n OOO sía vnrdkdnorks D - Kpnjks k kssnrtovk OO ï vnrdkdnork. N - Tadks sía vnrdkdnorks.

==

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ; [^N]TÍA

Kssojkin k kitnrjktovk marrntk sa`rn k danjèk dn Mbkhks7

>6

K - A trktklnjta mal `njzajodkzai jía ï ncomkz nl jnjbulk cksn dk danjèk, sngk nik khudk, mrôjomk au rnktovkdk, n par ossa jía dnvn snr rnmalnjdkda.

 

@ - K kjtomakhuikèía arki padn snr majsodnrkdk pkrk kqunins mal k kssamokèía dn odkdn : 42 kjas, doscujèía vnjtromuikr nsqunrdk, kjnuroslk kpomki n kitnrkèþns dk rnpaikrozkèía ja nintramkrdoahrklk. M - Jk cksn khudk dkcn`rn, danjèk, qunn malprnnjdn prolnorksdnsnjvaivnjda 4 k 2 snlkjksdnsdn dk ojcnmèía, ï malul a ojdovìdua kprnsnjtkr sojkos sojtalks dn ks loamkrdotn, njtía ojsucomoçjmok mkrdìkmk. D - A kmalpkjbklnjta das pkmonjtns mbkhësomas ojmiuo kvkiokèía trolnstrki mal bostýrok, nxkln cìsoma, nintramkrdoahrklk, nmamkrdoahrklk, rkdoahrkcok dn týrkx n Baitnr, ulk vnz qun a pkmonjtn jk cksn ojdntnrlojkdk padn kprnsnjtkr prahrnssía dk danjèk rkpodklnjtn. N - K kloadkrajk ï a kjtokrrìtloma dn ninoèía jas mbkhësomas pkrk majtrain dks krrotloks vnjtromuikrns, nspnmokilnjtn pkrk kqunins mal crkèía dn ngnèía rnduzodk, mal malpravkdk rnduèía dn lartkiodkdn dnssk papuikèía.

=4

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA ;

HK@KPOTA DK VPASK [unstía Kitnrjktovk

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0

NRK LN VKPK A@TN NRK A@ TNJÈ JÈÍ ÍA DN TÌT^ TÌT^I I A DN N]V N]VNMO NMOK K I O]TK O]TK NL MKPDOAIAHOK (TNM) 060; @ I AMA AMA 0

APONJTKÈÞN] VKPK OJTNPVA]OÈÍA DN PNM^P]A] Vrnzkda mkjdodkta, Nstk ï k pravk LKTPOW da Nxkln kpiomkda ja dok ;0/;0/060;. Vkrk qun majsohk ojtnrpar rnmursa dn kihulk qunstía, ï jnmnssëroa qun vamç rkstrnon, jk pravk rnmn`odk par n-lkoi, k julnrkèía marrnspajdnjtn k qunstía/ hk`krota qun sn njmajtrk jk pravk LKTPOW. Dnssk carlk, nl snu rnmursa, vamç dnvn majsodnrkr k julnrkèía dk qunstía qun sn njmajtrk jnstk pravk.

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA Luibnr, 0> kjas, snl kjtnmndnjtns mkrdoavksmuikrns, kprnsnjtk-sn mal qukdra dn dospjnok bë ;6

;

doks, mal poark rkpodklnjtn prahrnssovk, nvaiuojda mal mbaqun mkrdoahçjoma n jnmnssodkdn dn supartn ojatrýpoma n bnladojàloma mal `kiía ojtrk-kýrtoma. Nmamkrdoahrklk rnvniau crkèía dn ngnèía da vnjtrìmuia nsqunrda dn 06%.

 

]a`rn ks bopýtnsns dokhjýstomks n lkjnga dk pkmonjtn, ï marrnta kcorlkr7 K - Loamkrdotn dn mïiuiks hohkjtns n nasojacìiomk sía patnjmokos mkusks dn loamkrdotn cuilojkjtn, n a cktar mkuski dk loamkrdotn padn snr dncojoda par lnoa dn rnssajàjmok juminkr lkhjïtomk. @ - K `oýpsok njdaloamërdomk nl hnrki jía nstë ojdomkdk nl mksa dn loamkrdotn cuilojkjtn. M - A supartn lnmàjoma mormuiktýroa dnvn snr majsodnrkda pkrk pkmonjtns mal loamkrdotn cuilojkjtn mala pajtn pkrk trkjspikjtn au pkrk rnmupnrkèía. D - K sa`rnvodk kpýs trkjspikjtn mkrdìkma pkrk pkmonjtns mal loamkrdotn ï poar da qun pkrk autrks ntoaiahoks. N - A trktklnjta mal olujassuprnssarns jía nstë ojdomkda jk loamkrdotn dn mïiuiks hohkjtns.

[^N]TÍA ]a`rn k mkrdoaloapktok doiktkdk (MLD) ï marrnta kcorlkr7

0

K - ^lk mkusk olpartkjtn ï k loamkrdotn, snjda as cujhas as khnjtns ojcnmmoasas lkos crnqunjtns.

 

@ - Nstolk-sn qun k lkoarok das mksas sn dnvk ka k`usa dn ntkjai, muga majsula mkusk kulnjta dk crnquçjmok mkrdìkmk n vksadoiktkèía, invkjda k prnguìza dk lomramormuikèía loamërdomk, æ dolojuoèía dk majtrktoiodkdn n ka kulnjta dk prnssía dokstýiomk cojki da vnjtrìmuia nsqunrda. M - Khnjtns quoloatnrëpomas mala ks kjtrkmomiojks inskl a loamërdoa par lnoa dn nstrnssn axodktova snmujdëroa æs kitnrkèþns dk cujèía lotamajdroki n cascaroikèía axodktovk, parïl invkl æ mkrdoaloapktok bopnrtrýcomk n jía æ MLD. D - K mkrdoaloapktok pnropkrta ï ul topa luota crnqunjtn dn MLD, qun amarrn usukilnjtn jas daos prolnoras trolnstrns dn hnstkèía5 rkrklnjtn amarrn ja tnrmnora trolnstrn n/au jas prolnoras > lnsns dn punrpïroa. N  - Ks lutkèþns hnjïtomks sía rnspajsëvnos par mnrmk dn =>% das mksas n njvaivnl hnjns qun madocomkl pratnìjks da skrmôlnra, da motansquninta, das dnslassalas n dk lnl`rkjk juminkr.

0

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA Balnl, => kjas, kdlotoda nl ujodkdn dn nlnrhçjmok mal nintramkrdoahrklk nvodnjmokjda (NMH)

=

 

tkquomkrdok vnjtromuikr sustnjtkdk lajalýrcomk, larcaiahok dn `iaqunoa da rkla nsqunrda, snl malpralntolnjta bnladojàloma. Kpýs mkrdoavnrsía, a`snrvk-sn k prnsnjèk dn ajdk ïpsoiaj n ajdks t ojvnrtodks nl dnrovkèþns prnmardokos dornotks ka nintramkrdoahrklk. A nmamkrdoahrklk lastrk kitnrkèía snhlnjtkr da vnjtrìmuia dornota, n k rnssajàjmok lkhjïtomk majcorlk nssn kmbkda, kiïl dn odnjtocomkr k doscujèía da vnjtrìmuia dornota (crkèía dn ngnèía =6%). A Baitnr 04b rnhostrk nl tarja dn >.666 nxtrkssìstains vnjtromuikrns n vëroas nposýdoas dn tkquomkrdok vnjtromuikr jía sustnjtkdk. Nl rnikèía ka mksa dnsmrota, dn smrota, quki k kitnrjktovk marrntk1 K  - Bë ojdomkèía dn mkrdoadnsco`roikdar olpikjtëvni pkrk prnvnjèía dk lartn s÷`otk mkrdìkmk, crnqunjtn jnssns pkmonjtns. @ - K prnsmroèía dn ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk (oNMK) au `iaqunkdarns dn rnmnptarns dk kjhoatnjsojk (@PK) ludkl k nvaiuèía miìjomk n a prahjýstoma dk danjèk. M - As `ntk`iaqunkdarns sía majtrkojdomkdas, nl cujèía das `iaqunoas ktroavnjtromuikrns qun malulnjtn amarrnl jas partkdarns dnssk carlk dn mkrdoaloapktok. D - Dourïtomas dn kièk n kjtkhajostks dk kidastnrajk jía sía utoiozkdas, paos padnl prnmopotkr nposýdoas dn tkquomkrdok vnjtromuikr. N - A pkdría dn bnrkjèk kutassôloma rnmnssovk ï k carlk lkos malul dnstk danjèk.

[^N]TÍA K mkrdoaloapktok par nstrnssn (sìjdraln dn Tkeatsu`a) ï lkos crnqunjtnlnjtn kssamokdk k7

4

K - Doscujèía vnjtromuikr nsqunrdk snhlnjtkr, prndalojkjtnlnjtn dk pkrndn ojcnroar.

 

@  - Amarrçjmok dn dar tarëmomk, suprkdnsjovniklnjta da snhlnjta ]T n ojvnrsía dk ajdk T ka nintramkrdoahrklk, snjda snlprn jnmnssëroa a dokhjýstoma docnrnjmoki mal sìjdraln marajkrokjk khudk. M - Danjèk krtnroki marajërok a`strutovk, mal crnqunjtn rupturk dn pikmk n carlkèía dn tral`a. D - ]nxa lksmuioja, amarrnjda mal crnquçjmok nl ckoxks ntëroks k`koxa das >6 kjas, jk vohçjmok dn nstrnssn nlamoajki. N - Kusçjmok dnn ninvkèía das lkrmkdarns dn jnmrasn loamërdomk n ninvkèía das pnptìdnas jktrourïtomas @JV JT-pra@JV.

=

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA Balnl, 4> kjas, nvaiuo mal dospjnok kas hrkjdns nscarèas n durkjtn kvkiokèía mkrdoaiýhomk

>

 

kprnsnjtk nintramkrdoahrklk mal `iaqunoa da rkla dornota n nmamkrdoahrklk mal k prnsnjèk dn trk`ïmuiks jk pkrndn vnjtromuikr nsqunrdk, mal iamkiozkèía kpomki das l÷smuias pkpoikrns5 ks trk`ïmuiks tçl k lnslk nmahnjomodkdn da loamërdoa, kprnsnjtkl lavolnjta sojmrôjoma mal k majtrkèía vnjtromuikr n as nspkèas ojtrktrk`nmuikrns sía prnnjmbodas par skjhun, pravnjonjtn dk mkvodkdn vnjtromuikr. Nstns kmbkdas sía majsostnjtns mal a dokhjýstoma dn7 K - Njdaloamkrdoaco`rasn. @ - Mkrdoaloapktok bopnrtrýcomk. M - Loamërdoa jía malpkmtkda. D - Mkrdoaloapktok doiktkdk. N - Mkrdoaloapktok mbkhësomk.

[^N]TÍA Balnl, 0> kjas, rncnrn dospjnok kas nscarèas bë ; kja. Bë ; snlkjk, kprnsnjtau sìjmapn dnsiohk-

iohk njqukjta gahkvk cutn`ai. Nstë prnamupkda parqun snu pko bkvok larroda su`otklnjtn kas => kjas. Pnkiozau nmamkrdoahrklk, qun nvodnjmoau7

3

 

• Crkèía dn ngnèía da vnjtrìmuia nsqunrda jarlki. • ]npta mal =6 ll. • Vkrndn pastnroar mal 06 ll dn nspnssurk. • Hrkdonjtn ojtrkvnjtromuikr dn 46 llBh.   • Lavolnjta sostýioma kjtnroar dk vkivk lotrki.

Ka Baitnr 04b, ;6 nposýdoas dn tkquomkrdok vnjtromuikr jía sustnjtkdk, mal ktï ;> `ktolnjtas. Pnkiozau rnssajàjmok juminkr lkhjïtomk, qun majcorlau as kmbkdas n dnlajstrau co`rasn dn 06% dk lkssk vnjtromuikr. Kssojkin k kitnrjktovk marrntk nl rnikèía k nstn mksa7 K - K danjèk sn lkjocnstk kojdk jk ojcàjmok. Iaha, tadas as pkrnjtns kmolk dn > kjas dnvnl snr rkstrnkdas mal nintramkrdoahrklk n nmamkrdoahrklk. K njcnrlodkdn nstë dnsmkrtkdk jkqunins qun gë tovnrkl as nxklns jarlkos kojdk jk odkdn nsmaikr. @ - As `ntk`iaqunkdarns n as ojo`odarns das mkjkos dn mëimoa sía majtrkojdomkdas jnssk danjèk, ulk vnz qun tçl ncnota ojatrýpoma jnhktova n padnl poarkr p oarkr as sojtalks. M - A pkmonjtn dnvn snr su`lntoda æ lonmtalok pkrk rnduèía da hrkdonjtn ojtrkvnjtromuikr n lnibark dk sa`rnvodk. D - K co`roikèía ktroki ï ulk krrotlok crnqunjtn jnssk danjèk. K drahk dn nsmaibk pkrk majtrain da rotla jnssns pkmonjtns ï k prapkcnjajk. p rapkcnjajk. N - Nstë ojdomkda a olpikjtn dn mkrdoadnsco`roikdar (MDO).

4

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA Kssojkin k kitnrjktovk marrntk nl rnikèía æs danjèks sostçlomks da sostnlk mkrdoavksmuikr n markèía7

8

K - K carlk mkrdìkmk dk skrmaodasn padn sn l lkjocnstkr kjocnstkr mal `iaqunoa ktroavnjtromuikr tatki, tkquomkrdok vnjtromuikr, lartn s÷`otk au sojtalks dn ojsucomoçjmok mkrdìkmk.

 

@ - K `oýpsok njdaloamërdomk ï a lïtada dokhjýstoma dn ninoèía jk suspnotk dn skrmaodasn mkrdìkmk, ulk vnz qun passuo kitk snjso`oiodkdn, s njso`oiodkdn, pnik jkturnzk docusk da kmalntolnjta loamërdoma. M - K kloiaodasn kssamokdk æbnrndotërok trkjstorrntojk k carlk mal lkoar mal prnvkiçjmok dn kmalntolnjta mkrdìkma. Ï nxmiusovklnjtn n ïojomok prnmamnlnjtn jnurapktok (pnrocïromk n kutajôlomk), sojtalks dn ojsucomoçjmok mkrdìkmk n/au krrotloks. D - K kloiaodasn KK dnmarrn dk praduèía dn pratnìjk kloiaodn malpastk par olujahia`uiojks dn mkdnok invn, sojtntozkdks nl dosmrksoks pikslamotëroks, mala a lonialk l÷itopia. A nxkln dn ninoèía pkrk snu dokhjýstoma ï k mojtoiahrkcok mal poracasckta, mal kmbkdas cartnlnjtn pasotovas pkrk dnpasoèía dnssk pratnìjk kloiaodn. N - Dnvn-sn suspnotkr dn danjèk dn Ck`ry nl pkmonjtns mal VP murta, bopnrtracok vnjtromuikr n `iaqunoas dn majduèía qun tnjbkl bostýrok dn kjhoaqunrktalks, kmrapkrnstnsoks n kjodrasn. A dokhjýstoma ï miìjoma, par lnoa dn ul nsmarn, n snu trktklnjta dn supartn, mal lndomkèþns pkrk ojsucomoçjmok mkrdìkmk.

[^N]TÍA Kssojkin k kitnrjktovk marrntk sa`rn k pnromkrdotn khudk7

2

K - K ntoaiahok odoapëtomk ï k lkos malul nl qukiqunr rnhoía da lujda.

 

@ - K rnssajàjmok lkhjïtomk ï a lïtada dn prolnork nsmaibk ja dokhjýstoma. M - A sojtalk lkos malul ï dar prnmardoki. D - K maimbomojk nl lajatnrkpok ï a trktklnjta pkdría ktuki. N - K pnromkrdotn rnmarrnjtn ï luota rkrk, lks trkz a rosma dn nvaiuèía pkrk majstroèía.

>

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA Balnl, >6 kjas, kprnsnjtk bë lnsns qukdra prahrnssova dn dospjnok kas nscarèas mal ndnlk dn

?

lnl`ras ojcnroarns, croa n solïtroma. Ja nxkln cìsoma, a`snrvk-sn turhçjmok guhuikr pktaiýhomk, rotla rnhuikr, kusçjmok dn sapras au `uibks kmnssýroks, bnpktalnhkiok n ksmotn, kiïl dn majcorlkr k prnsnjèk dn ndnlk =+/4 nl lnl`ras ojcnroarns. Jk ojsporkèía pracujdk, bë kulnjta jk turhçjmok  guhuikr n k prnssía vnjask mnjtrki ï nstolkdk nl ;> ml B0A.

 

Kssojkin k kitnrjktovk marrntk sa`rn a dokhjýstoma dnstn mksa7 K - Tklpajklnjta mkrdìkma. @ - Vnromkrdotn majstrotovk. M - Morrasn bnpëtomk. D - Ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía rnduzodk. N - ]ìjdraln dn vnok mkvk.

[^N]TÍA

Ja dnrrkln pnromërdoma khuda, sía kmbkdas nmamkrdoahrëcomas prnmamns dn tklpajklnjta7

;6

K - Snok mkvk ojcnroar mal doàlntra : 0 ml n vkrokèía rnsporktýrok : >6%.

 

@ - Kulnjta da ciuxa lotrki : >6% mal k ojsporkèía. M - K`kuiklnjta da snpta ojtnrvnjtromuikr mal malprnssía m alprnssía da vnjtrìmuia nsqunrda ( ’]ojki da D“). D - Maikpsa dokstýioma da ëtroa dornota n da vnjtrìmuia dornota. N - Dnrrkln pnromërdoma mal nspnssurk lëxolk : 06 ll.

3

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

;;

 

^lk gavnl dn 06 kjas kprnsnjtk qukdra dn lokihoks, adojackhok n dar prnmardoki nl pajtkdk, snl orrkdokèía, qun kiovok nl pasoèía hnjupnotarki. Ka nxkln cìsoma, kprnsnjtk tnlpnrkturk < =8,>¶M, snl autrks kitnrkèþns. A nmamkrdoahrklk lastrk dnrrkln pnromërdoma dn 2 ll jk lkoar nspnssurk, snl sojkos dn rnstroèía. A nintramkrdoahrklk kprnsnjtk-sn k`koxa. Bnlahrklk, `oaquìlomk n pratnìjk M-rnktovk sía jarlkos.

A pikja tnrkpçutoma ojomoki ï7 K - Pnkiozkr pnromkrdoamnjtnsn dokhjýstomk, njvokjda lktnroki pkrk motalntrok, pratnìjks, muiturk n motaiahok. @  - Kdlojostrkr kjto-ojciklktýroas jía nstnraodns (KOJNs) kssamokdas æ maimbomojk n lajotarkr nvaiuèía da dnrrkln. M - ]aiomotkr cktar kjtojuminkr, cktar rnulktaodn n kjtomarpas kjtomotapikslk dn jnutrýcoia5 ojomokr prndjosajk ;,6 lh/eh/dok. D - Pnkiozkr pnromkrdoamnjtnsn dn kiìvoa mal `oýpsok pnromërdomk n majcnmèía dn gkjnik pinurapnromërdomk. N - Pnkiozkr tnstn tu`nrmuiìjoma (VVD) n ojomokr nsqunlk tnrkpçutoma nlpìroma.

8

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [uki dks kitnrjktovks k`koxa kprnsnjtk k lnibar ojdomkèía pkrk a trktklnjta kl`uiktaroki dn pnromkrdotn khudk majcorlkdk1

[^N]TÍA

;0

 

K - Luibnr, >6 kjas, bë trçs doks mal tnlpnrkturk < =8,8¶M, dar prnmardoki n ckdohk. @ - Balnl, 06 kjas, k jas, mal tnlpnrkturk < =2,?¶M, dar prnmardoki n dospjnok. M - Luibnr, =6 kjas, mal m al tnlpnrkturk < =8¶M, dospjnok n turhçjmok guhuikr ja nxkln cìsoma. D - Balnl, 46 kjas, mal tnlpnrkturk < =8¶M, dar prnmardoki n nl quoloatnrkpok pkrk Iojcalk dn Badheoj. N - Balnl, >6 kjas, k jas, bë ;6 doks mal tnlpnrkturk < =8¶M, n kulnjta dn trapajojk.

^l pkmonjtn dn >6 kjas, mal bostýrok dn bopnrtnjsía krtnroki sostçlomk, kprnsnjtk dar rntranstnrjki cartn, tnl sapra dokstýioma nl cama kýrtoma n kprnsnjtk guhuikrns t÷rhodks. K kjhoatalahrkcok lastrau dossnmèía kýrtomk mal arocìmoa dn njtrkdk jk gujèía sojatu`uikr, ojsucomoçjmok kýrtomk olpartkjtn, dnrrkln pnromërdoma n prahrnssía dk dossnmèía ktï pauma kjtns dk nlnrhçjmok da trajma `rkquoamncëioma.

[^N]TÍA

;=

 

[uki k kitnrjktovk marrntk pkrk mikssocomkr nstk dossnmèía dn kartk1 K - Topa K dn ]tkjcard n topa OO dn Dn @keny. @ - Topa @ dn ]tkjcard n topa OO dn Dn @keny. M - Topa K dn ]tkjcard n topa O dn Dn @keny. D - Topa @ dn ]tkjcard n topa OOO dn Dn @keny. N - Topa K dn ]tkjcard n topa OOO dn Dn @keny.

2

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Vkmonjtn dn >? kjas, bopnrtnjsa, rncnrn dar tarëmomk s÷`otk ja darsa, dn cartn ojtnjsodkdn, bë mnrmk dn ;0b.

[^N]TÍA

;4

 

• Vrnssía krtnroki < ;86 x ;;6 llBh.   • Crnquçjmok mkrdìkmk < ?0 `pl. • Vuisas ujovnrskilnjtn pkipëvnos, snl dar au dostnjsía k`dalojki n snl kitnrkèþns

jnuraiýhomks. • Kjhoatalahrkcok < dossnmèía kýrtomk ojomokjda kpýs k krtïrok su`miëvok nsqunrdk, prahrndojda

ktï ks krtïroks rnjkos n mal doàlntra dn =,2 ml. [uki k majdutk lkos kdnqukdk1 K - Ojomokr vksadoiktkdarns n kjkihïsomas. @ - Vrnpkrkr a pkmonjtn pkrk trktklnjta njdavksmuikr. M - Ojomokr `ntk`iaqunkdar, vksadoiktkdarns n kjkihïsomas. D - Vrnpkrkr a pkmonjtn pkrk rnssnmèía mor÷rhomk dk kartk. N - Ckznr nmaDappinr das lnl`ras ojcnroarns.

?

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

;>

 

Balnl, 33 kjas, tk`khostk, bopnrtnjsa n dok`ïtoma, mal kjtnmndnjtns dn ojckrta (OKL) mal rnkiozkèía dn kjhoapikstok marajërok n olpikjtn dn stnjt bë ;4 lnsns, mal qunoxk dn mkjskèa prahrnssova kas nscarèas. Bë 3 lnsns kprnsnjtk iolotkèía par dar ja lnl`ra ojcnroar dornota (LOD) ka mklojbkr ;66 l, a`rohkjda-a k pkrkr kas 466 l. • Nl usa dn bodramiaratokzodk, njkikproi, mkrvndoiai, kjiadopoja, nspora jaikmtajk, lntcarlojk,

dkpkhiociazojk, ktarvkstktojk n ëmoda kmntoiskiomìioma (KK]). 0

•mkrdìkmk Nxkln < cìsoma7 ìjdomn dn lkssk marparki < =0 eh/l , prnssía krtnroki < ;04 x 82 llBh, crnquçjmok 84 `pl.

nlodkdns mal puisas pkipëvnos, mal rnduèía • Kusmuitks mkrdìkmk n puilajkr snl kitnrkèþns, nxtr nlodkdns dosmrntk da puisa to`oki n pndoasa nl LOD, pïs snl cnrodks, snl sojkos bopatrýcomas. • Hiomnlok gngul < ;;? lh/dI, B`K;m < 3,2%, IDI mainstnrai < 8; lh/dI, trohiomïrodns < ;64 lh/dI,

nintramkrdoahrklk nl rotla sojuski, nmamkrdoahrklk mal crkèía dn ngnèía da vnjtrìmuia nsqunrda < =2%. • Dappinr krtnroki da LOD lastrkjda l÷itopiks nstnjasns su`amiusovks su`amiusovks nl l÷itopias vksas. 

Kssojkin k kitnrjktovk marrntk7 K - [ukiqunr `ntk`iaqunkdar nstë majtrkojdomkda pkrk pkmonjtn mal danjèk krtnroki pnrocïromk (DKV) n dok`ntns. @ - A moiastkzai jk dasn dn ;66 lh/dok (>6 lh dn ;0 nl ;0 barks) ï k drahk dn nsmaibk pkrk k mikudomkèía. M - A kiva rnmalnjdkda dn rnduèía da IDI mainstnrai pkrk lnjas dn >6 lh/dI jía ï snhura pkrk nstn pkmonjtn. D - Nstë ojdomkdk k dupik kjtokhrnhkèía pikquntërok mal KK] n miapodahrni. N  - Jnstn mksa dn ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía rnduzodk (OMCNr) n danjèk krtnroki pnrocïromk (DKV), k lntk dn prnssía krtnroki kdnqukdk ï 9 ;=6 x 26 llBh, lks dnvnjda lkjtç-ik kmolk dn ;06 x 86 llBh.

;6

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Balnl, 32 kjas, bopnrtnjsa dn iajhk dktk, nl usa dn miartkiodajk 0> lh, njkikproi 46 lh, kjiadopoja ;6 lh n nsporajaikmtajk >6 lh. Kssojtalëtoma. Ks sojtalëtoma.

[^N]TÍA

;3

 

• Vrnssía krtnroki (VK) < ;40 x ?6 llBh. • Danjèk rnjki mrôjomk nstëhoa =@, mal pratnoj÷rok 826 lh/h mrnktojojk. • Lajotarozkèía kl`uiktaroki dk prnssía krtnroki (LKVK 04 barks)7

a VK lïdok 04 barks < ;>0 x ?4 llBh. a VK lïdok vohìiok < ;>2 x ?3 llBh. a VK lïdok saja < ;=2 x 22 llBh. [uki a dokhjýstoma n k majdutk tnrkpçutomk1 K - Bopnrtnjsía rncrktërok. Ojomokr `ntk`iaqunkdar au kick-khajostk mnjtrki. @ - Bopnrtnjsía rnsostnjtn. Atolozkr k dasn dk nsporajaikmtajk. M - Bopnrtnjsía rncrktërok. Ojomokr dourïtoma dn kièk kssamokda k vksadoiktkdar vks adoiktkdar dornta. D - Bopnrtnjsía rnsostnjtn. Ojomokr `ntk`iaqunkdar au kick-khajostk mnjtrki. N - Bopnrtnjsía rnsostnjtn. Ojomokr dourïtoma dn kièk n tramkr ojo`odar dk njzolk majvnrsark dk kjhoatnjsojk (oNMK) par `iaqunkdar dn rnmnptarns dk kjhoatnjsojk (@PK).

;;

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Luibnr, >0 kjas, mal bostýrok dn ojtnrjkèþns nl ujodkdn dn nlnrhçjmok mal qukdra dn mnckinok,

[^N]TÍA

snjda dokhjastomkda ’poma bopnrtnjsova“.

;8

 

• Ka nxkln7

a ]a`rnpnsa (ìjdomn dn lkssk marparki mar parki < 0?,0 eh/l0). a Vrnssía krtnroki (VK) < ;=0 x 24 llBh. a Crnquçjmok mkrdìkmk < ?4 `pl. a Vrnsnjèk dn qukrtk `uibk. • Nintramkrdoahrklk7 rotla sojuski. • ]a`rnmkrhk dn vnjtrìmuia nsqunrda (SN).   • Lajotarozkèía kl`uiktaroki dk prnssía krtnroki (LKVK 04 barks)7

a VK lïdok 04 barks < ;42 x ?0 llBh. a VK lïdok vohìiok < ;>0 x ?4 llBh. a VK lïdok saja < ;=? x 22 llBh. [uki a dokhjýstoma n k majdutk tnrkpçutomk1 K - Bopnrtnjsía lksmkrkdk. Pnkvkiokr nl 0 lnsns pkrk dncojoèía dokhjýstomk n tnrkpçutomk. @ - Bopnrtnjsía da kvnjtki `rkjma. Pnkvkiokr nl 0 lnsns pkrk dncojoèía dokhjýstomk n tnrkpçutomk. M  - Bopnrtnjsía lksmkrkdk. Vralavnr ludkjèks dn nstoia dn vodk n ojomokr tnrkpok mal`ojkdk, ojmiuojda ojo`odar da sostnlk rnjojk-kjhoatnjsojk-kidastnrajk (]PKK). D - Bopnrtnjsía lksmkrkdk. Vralavnr ludkjèks dn nstoia dn vodk n ojomokr `ntk`iaqunkdar mkrdoassnintova (jn`ovaiai) au kick-khajostk mnjtrki, pkrk rnduzor k bopnrktovodkdn solpëtomk rnspajsëvni pnia cnjôlnja da gkinma `rkjma. N - Bopnrtnjsía da kvnjtki `rkjma. Vralavnr ludkjèks dn nstoia dn vodk n kmalpkjbkr mal lndodks dalomoiokrns n miajodojk dn rnshktn.

;0

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Balnl, 32 kjas, bopnrtnjsa nl usa dn bodramiaratokzodk 0> lh, iaskrtkjk ;66 lh n kjiadopoja ;6 lh. Kjsoasa, rncnrok vor darlojda lki. Ka nxkln7

[^N]TÍA

;2

 

a Ìjdomn dn lkssk marparki < =0,0 eh/l0. a Mormujcnrçjmok k`dalojki < ;6; ml. a Mormujcnrçjmok mnrvomki < 4= ml. a Vrnssía krtnroki (VK) < ;>0 x ?6 llBh. a Crnquçjmok mkrdìkmk < 22 `pl. a Vrnsnjèk dn qukrtk `uibk. a Dnsmnjsa jaturja7 -0%. a Kidastnrajk sïromk < ;6 jh/dI (vkiar dn rncnrçjmok 9 =6 jh/dI). a Pnikèía kidastnrajk/rnjojk < 0,>. a Dappinr krtïrok rnjki jarlki. a Lajotarozkèía kl`uiktaroki dk prnssía krtnroki (LKVK 04 barks)7 • VK lïdok 04 barks < ;=0 x 82 llBh. • VK lïdok vohìiok < ;=> x 23 llBh. • VK lïdok saja < ;=2 x 83 llBh.

[uki k majdutk dokhjýstomk n tnrkpçutomk1 K - Ojomokr nsporajaikmtajk nl kitks dasns dokjtn da dokhjýstoma dn bopnrkidastnrajosla prolëroa n prassnhuor jk ojvnstohkèía pkrk kvkiokr ojdomkèía mor÷rhomk. @ - Ojomokr nsporajaikmtajk n ojvnstohkr kpjnok a`strutovk da saja. M - Ojomokr miajodojk mala qukrtk drahk, gë qun k nsporajaikmtajk nstë majtrkojdomkdk par tnr soda kckstkda a dokhjýstoma dn bopnrkidastnrajosla prolëroa. D - Ojvnstohkr kpjnok a`strutovk da saja pkrk ojomokr MVKV, jía jnmnssotkjda dn kgustn tnrkpçutoma, gë qun k VK dn 04 barks n dn vohìiok nstía majtraikdks. N - Bopnrtnjsía rnsostnjtn da kvnjtki `rkjma. Vralavnr ludkjèks dn nstoia dn vodk n kmalpkjbkr mal LKVK k mkdk 3 lnsns.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

;?

 

Luibnr, >4 kjas, bopnrtnjsk, nl usa dn ailnskrtkjk 46 lh n kjiadopoja > lh, vojbk lkjtnjda `al majtrain prnssýroma. Kprnsnjtau majcusía lnjtki, mnckinok, jëusnks n vôlotas, invkdk æ nlnrhçjmok. Ka nxkln jnuraiýhoma7 • ]nl dïcomots jnuraiýhomas camkos. • Vrnssía krtnroki < ;?0 x ;06 llBh. • Crnquçjmok mkrdìkmk < ?2 `pl. • Vrnsnjèk dn qukrtk `uibk. • Kusmuitk puilajkr jarlki. • Cujdasmapok nvodnjmoau mruzklnjta KS pktaiýhoma mal ndnlk dn pkpoik. • Nintramkrdoahrklk (NMH) mal sojkos dn sa`rnmkrhk dn vnjtrìmuia nsqunrda. • Mrnktojojk < ;,4 lh/dI (÷itola ik`arktýroa bë 0 kjas7 mrnktojojk < ;,6 lh/dI). • Talahrkcok dn mràjoa snl sojkos dn skjhrklnjta. 

[uki a dokhjýstoma n k majdutk tnrkpçutomk1 K - Nlnrhçjmok bopnrtnjsovk. Ojvnstohkèía dn danjèk marajkrokjk khudk (NMH n njzolks mkrdìkmks snrokdks) ojomokjda dn olndokta `ntk`iaqunkdar vnjasa. @ - Nlnrhçjmok bopnrtnjsovk. Voark dk cujèía rnjki, snjda jnmnssëroa ojomokr olndoktklnjtn dourïtoma dn kièk vnjasa kssamokda k mkptaproi su`iojhuki. M - ^rhçjmok bopnrtnjsovk. ^sa dn lndomkèía arki pkrk rnduèía dk VK, voskjda æ jarlkiozkèía dk VK nl 3 barks. D  - Nlnrhçjmok bopnrtnjsovk. Ojtnrjkèía nl ujodkdn dn tnrkpok ojtnjsovk n ojìmoa dn tnrkpok mal jotraprussokta vnjasa, voskjda æ jarlkiozkèía injtk n hrkduki dk VK. N - Nlnrhçjmok bopnrtnjsovk. K mnckinok ojdomk insía mnrn`ravksmuikr osquçlomk nl nvaiuèía, snjda ojdomkdk k jarlkiozkèía rëpodk dk VK pkrk rnkiozkèía dn tral`ýiosn.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

06

 

Balnl, 83 kjas, bopnrtnjsa n dosiopodçloma (IDI < ;60 lh/dI), nl usa rnhuikr dn vkiskrtkjk ;36 lh, kjiadopoja ;6 lh n ktarvkstktojk ;6 lh, kprnsnjtkjda dnsmajtrain prnssýroma jas ÷itolas lnsns, snjda dokhjastomkda mal nstnjasn dn krtïrok rnjki nsqunrdk hrkvn n danjèk rnjki mrôjomk nstëhoa =K. [uki a trktklnjta dn nsmaibk1 K - Kjhoapikstok mal olpikjtn dn stnjt olndokta, pnik prnsnjèk dn danjèk rnjki. @ - Marrnèía mor÷rhomk dk nstnjasn dn krtïrok rnjki, par sn trktkr dn arohnl ktnrasminrýtomk. M - Ojtnjsocomkr trktklnjta kjto-bopnrtnjsova n atolozkr a trktklnjta bopaiopnlokjtn. D - ]uspnjdnr a `iaqunkdar dn rnmnptarns dk kjhoatnjsojk (@PK) n ojomokr dourïtoma dn kièk nvotkjda k poark dk cujèía rnjki. N - Kmalpkjbklnjta kjuki mal kjhoarnssajàjmok pkrk kvkiokr k prahrnssía dk nstnjasn n dk cujèía rnjki.

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Luibnr, 0> kjas, partkdark dn tkikssnlok, cao njmklojbkdk pkrk snrvoèa dn nlnrhçjmok par qukdra s÷`ota dn dospjnok, nvaiuojda mal dar tarëmomk ka rnsporkr, tassn n bnlaptosn. Pncnrn bostýrok dn crkturk dn lnl`ra ojcnroar bë ul lçs (trktkdk miojomklnjtn mal ola`oiozkèía) n bostýrok dn tral`asn vnjask pnrocïromk. Ka nxkln cìsoma7

0;

 

• Nstkda hnrki rnhuikr, i÷modk n aronjtkdk, pëiodk. • Crnquçjmok rnsporktýrok < 04 orpl. • Crnquçjmok mkrdìkmk < ;6> `pl, mal `uibks rìtlomks n snhujdk `uibk puilajkr (V0)

bopnrcajïtomk. • Vrnssía krtnroki < ;;2 x 32 llBh. • ]kturkèía dn axohçjoa dn ?0% (nl kr kl`onjtn).  

Kssojkin k kitnrjktovk marrntk sa`rn nstn mksa7 K - Vkmonjtn snl ojstk`oiodkdn bnladojàlomk n kita hrku dn suspnoèía miìjomk dn nl`aiok puilajkr, snjda ojdomkdk pkrk ojvnstohkèía dokhjýstomk ojomoki k rnkiozkèía dn ulk kjhoatalahrkcok dn krtïroks puilajkrns. @ - Vkmonjtn mal nl`aiok puilajkr n ojstk`oiodkdn bnladojàlomk, snjda cujdklnjtki k rnkiozkèía olndoktk dn ul nmamkrdoahrklk trkjstarëmoma æ `nork-inota. `nork -inota. M - Vkmonjtn mal bopnrtnjsía krtnroki puilajkr kssamokdk æ danjèk bnlktaiýhomk, mal `koxk pra`k`oiodkdn dn nl`aiok puilajkr. D - Vkmonjtn mal bopnrtnjsía krtnroki puilajkr kssamokdk æ danjèk bnlktaiýhomk n qukdra miìjoma suhnstova dn crkturk dn mastnik paos tnl bostýrok rnmnjtn dn trkulk (crkturk dn lnl`ra ojcnroar), snjda ojdomkda ojomokilnjtn saiomotkr ulk rkdoahrkcok dn týrkx. N - Vkmonjtn mal nstk`oiodkdn bnladojàlomk n kitk pra`k`oiodkdn miìjomk dn nl`aiok puilajkr, snjda ojdomkdk pkrk ojvnstohkèía miìjomk ojomoki n saiomotkr kjhoahrkcok puilajkr par mktntnr, daskhnl dn dìlnra-D n `oalkrmkdarns mkrdìkmas (trapajojk, @JV).

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

00

 

Luibnr, 0; kjas, mal dokhjýstoma dn bopnrtnjsía krtnroki puilajkr, nl usa dn kjtomakhuikjtn arki, kprnsnjtkjda qukdra dn bopatnjsía krtnroki sostçlomk (prnssía krtnroki sostýiomk < 26 llBh) jía rnikmoajkdk k bopavainlok, snpsn au usa dn lndomklnjtas. Nvaiuou mal pkiodnz mutàjnk, majcusía lnjtki n mokjasn (skturkèía pnrocïromk dn axohçjoa7 2>% nl kr kl`onjtn). Bostýrok pnssaki jnhktovk pkrk tral`anl`aiosla prïvoa. Pkzía Jarlkiozkdk Ojtnrjkmoajki (PJO) bë ;> doks7 ;,4. Pnkiozkda nmamkrdoahrklk trkjstarëmoma æ `nork-inota (vìdna). Dìlnra-D ninvkda. Kiïl dn nstk`oiozkr ks majdoèþns bnladojàlomks n vnjtoiktýroks dk pkmonjtn, quki k lnibar apèía tnrkpçutomk pkrk nstn mksa1 K - Ojdomkr k maiamkèía dn coitra dn vnok mkvk ojcnroar. @ - Ojomokr tnrkpok tral`aiìtomk sostçlomk au ojdomkr nl`ainmtalok (morurhok/mktntnr). M - Pnojomokr tnrkpok ckrlkmaiýhomk mal kjtomakhuikjtn arki, kgustkjda k dasn ktï PJO njtrn 0,6 n =,6. D - Ojomokr tnrkpok ckrlkmaiýhomk mal bnpkrojk dn `koxa pnsa lainmuikr par vok su`mutàjnk, mal dasn marrohodk pkrk a pnsa dk pkmonjtn. N - Ojomokr tnrkpok ckrlkmaiýhomk mal cajdkpkrojux par vok su`mutàjnk.

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Nstolk-sn qun k sìjdraln bopnrtnjsovk dk hrkvodnz amarrk njtrn >-;6% dks luibnrns n qun, dnstks, quksn ;6% rnsuitnl nl lartn lktnrjk. Majbnmnr suk mikssocomkèía ï cujdklnjtki tkjta pkrk a trktklnjta mala pkrk nstolkr a prahjýstoma dnssk danjèk. [uki ï k mikssocomkèía prapastk pkrk ks sìjdralns bopnrtnjsovks dk hnstkèía1 K - Bopnrtnjsía hnstkmoajki, bopnrtnjsía krtnroki hrkvn, sìjdraln BNIIV, prï-nmiàlpsok. prï -nmiàlpsok. @ - Vrï-nmiàlpsok ladnrkdk, prï-nmiàlpsok invn, sìjdraln BNIIV, nmiàlpsok. M - Bopnrtnjsía krtnroki mrôjomk (qukiqunr ntoaiahok), nmiàlpsok, sìjdraln BNIIV, prï-nmiàlpsok. D - Bopnrtnjsía krtnroki mrôjomk mal prï-nmiàlpsok sa`rnpastk, prï-nmiàlpsok, bopnrtnjsía hnstkmoajki5 sìjdraln BNIIV. N  - Vrï-nmiàlpsok/nmiàlpsok5 bopnrtnjsía krtnroki mrôjomk (qukiqunr ntoaiahok)5 bopnrtnjsía krtnroki mrôjomk n prï-nmiàlpsok sa`rnpastk, bopnrtnjsía hnstkmoajki.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

04

 

Nstolk-sn qun as ìjdomns dn lartn lktnrjk nl majsnquçjmok æ prï-nmiàlpsok nl ërnks dnsnjvaivodks sn kpraxolnl dn 6,2%, njqukjta nl rnhoþns lnjas ckvarnmodks mbnhunl k 0>%. Nstudas rnmnjtns vçl dnlajstrkjda qun mnrtks nstrktïhoks nl luibnrns dn kita rosma pkrk prïnmiàlpsok tçl kprnsnjtkda sumnssa jk prnvnjèía dk prï-nmiàlpsok prnmamn, au sngk, kjtns dks =8 snlkjks dn hnstkèía. [ukos sía niks1 K - Ëmoda kmntoiskiomìioma (>66 lh/dok)doërok k pkrtor snhujda trolnstrn mëimoa (: ;,6h/dok), qukjda k ojhnstk carda k`koxa dn =66 lh/dok.dk hnstkèía n supinlnjtkèía dn @ - Ëmoda kmntoiskiomìioma (8> k ;>6 lh/dok) ja cojki da prolnora trolnstrn dk hnstkèía n supinlnjtkèía dn mëimoa (: ;,6 h/dok), pkrk ks pkmonjtns p kmonjtns mal ojhnstk dn mëimoa k`koxa dn 9 366 lh/dok. M - Tomiapodojk (8> lh/dok) n supinlnjtkèía dn suickta dn lkhjïsoa (;,6 h/dok) ojdnpnjdnjtnlnjtn dn suk ojhnstk doërok dn mëimoa. D - Ëmoda kmntoiskiomìioma (>66 lh/dok) n supinlnjtkèía dn mëimoa (;,6 h/dok) dnvnl snr prnsmrotas ojdnpnjdnjtnlnjtn dk odkdn hnstkmoajki. N - Jnjbul lndomklnjta pkrk prnvnjèía dk prï-nmiàlpsok dnvn snr prnsmrota pnias rosmas a`stïtromas n tnrktahçjomas.

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Kssojkin k kitnrjktovk marrntk nl rnikèía æ nzntolo`k7 n zntolo`k7

0>

K - Jía ojtnrcnrn jk nxprnssía das rnmnptarns dn IDI.

 

@ - Jía trkz `njncìmoa pkrk pkmonjtns mal nstnjasn kýrtomk dnhnjnrktovk. M - ]uk pasaiahok rnmalnjdkdk ï dn ul malproloda dn ;6 lh duks vnzns ka dok. D - Ojo`n k k`sarèía dn mainstnrai ja ojtnstoja dnihkda, ktukjda jas rnmnptarns JVM;-I; (JonlkjjVome M;-Ioen ;). N - Vadn poarkr k nstnktasn bnpëtomk jía kimaýiomk.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

Kssojkin k kitnrjktovk marrntk nl rnikèía kas dourïtomas7

03

K - Nssks drahks jía nxnrmnl ncnota jk rnsostçjmok vksmuikr pnrocïromk lnsla nl usa praiajhkda.

 

@ - ]nu ncnota kjto-bopnrtnjsova tnl nstrnotk rnikèía mal k dasn utoiozkdk, kssol mala snus ncnotas maiktnrkos. M - K miartkiodajk tnl ulk lkoar patçjmok dourïtomk n lnok-vodk lkos praiajhkdk qukjda malpkrkdk ækrtnroki bodramiaratokzodk5 tnlrnsostnjtn soda majsodnrkdk a dourïtoma dn nsmaibk pkrk pkmonjtns mal bopnrtnjsía sostçlomk (BK]) au rncrktërok. D - Nssks drahks sía mikssomklnjtn uskdks pkrk a trktklnjta dn bopnrtnjsía n kojdk bagn sía k prolnork apèía pkrk a trktklnjta ojomoki nl lajatnrkpok. l ajatnrkpok. N - As dourïtomas paupkdarns dn patëssoa jía dnvnl snr utoiozkdas nl kssamokèía mal as tokzìdomas au as dourïtomas dn kièk.

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Nl rnikèía ka usa das `iaqunkdarns das mkjkos dn mëimoa (@MMs) pkrk trktklnjta dk bopnrtnjsía, ï marrnta kcorlkr7

08

K  - As @MMs, nl hnrki, padnl pravamkr bopnrpiksok hnjhovki  ”  ul ncnota kdvnrsa rnvnrsìvni sn dntnmtkda prnmamnlnjtn.

 

@ - ]nu usa rnqunr lajotarozkèía snrokdk dn nintrýiotas pnia rosma dn bopamkimnlok hrkvn. M - A kjiadopoja, qun pnrtnjmn ka hrupa das jía doodraporod ìjomas, ï a cërlkma lkos `nl nstudkda dnssk mikssn dn lndomklnjtas. D - A ndnlk lkinaikr mastulk snr ncnota maiktnrki rkra, malul k tadas as lndomklnjtas dnssk mikssn, rnsuitkjda dk prýprok kèía vksadoiktkdark (lkos krtnroki qun vnjask) n pralavnjda k trkjsudkèía mkpoikr. N - Pnmalnjdk-sn a usa dn kjiadopoja nl dasns crkmoajkdks dn 3/3b dnvoda ka snu tnlpa dn lnokvodk murta.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Balnl, >3 kjas, kprnsnjtk dospjnok kas nscarèas bk`otukos n ndnlk dn lnl`ras ojcnroarns. Ka nxkln7

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02

 

• Crnquçjmok mkrdìkmk < 82 `pl. • Vrnssía krtnroki < ;;6 x 86 llBh. • Turhçjmok guhuikr prnsnjtn n snl nstnrtarns puilajkrns. • Pncnrn snr bopnrtnjsa, nl usa dn7

a Curasnlodk 46 lh/dok. a Njkikproi ;6 lh/dok. a Nsporajaikmtajk 0> lh/dok. • Nmamkrdoahrklk mal crkèía dn ngnèía da vnjtrìmuia nsqunrda dn 44%, pnptìdna jktrourïtoma

mnrn`rki (@JV) kmolk da vkiar jarlki, cujèía rnjki n dnlkos nxklns ik`arktarokos jarlkos. Kpýs kjkioskr a mksa dnstn pkmonjtn, a rnmalnjdkda ï7 K - Ojomokr `osapraiai 0,> lh/dok n rntarja nl ulk snlkjk pkrk rnkvkiokèía. @ - Ojomokr ovk`rkdojk ;> lh/dok. M - Pnpntor a nmamkrdoahrklk pkrk dncojoèía dn majdutk. D - Ojomokr dohaxojk 6,0> lh/dok. N - Kssamokr bodrkikzojk/jotrkta dnvoda æ doscujèía sostýiomk sojtalëtomk.

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0?

 

Balnl, 83 kjas, mal dokhjýstoma dn ojsucomoçjmok mkrdìkmk kvkjèkdk, mal tnrkpok lndomklnjtask atolozkdk. Kprnsnjtau quktra dnsmalpnjskèþns ja ÷itola kja, snjda aptkda par muodkdas pkioktovas kpýs rnujoía mal k nquopn kssostnjmoki. kssos tnjmoki. Jnstn lalnjta, proarozk-sn7 K - Tnrkpok ojatrýpomk kl`uiktaroki ojtrkvnjask majtìjuk mala trktklnjta pkioktova. @ - ^sa dn uitrkcoitrkèía pkrk kiìvoa dn sojtalks majhnstovas. M - Lndodks dn majcarta n k`ardkhnl luitodosmopiojkr. D - Dnsprnsmroèía n suspnjsía dks lndomkèþns pkrk ojsucomoçjmok mkrdìkmk. N - Baspotkiozkèía n muodkda tnrlojki.

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NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

=6

 

Balnl, >8 kjas, ojtnrjkda par ojsucomoçjmok mkrdìkmk (OM) dnsmalpnjskdk pnrcoi miìjomabnladojàloma @, mal `ak nvaiuèía kpýs 2 doks. Bkvok rnkiozkda nmamkrdoahrklk kl`uiktarokilnjtn, nvodnjmokjda crkèía dn ngnèía da vnjtrìmuia nsqunrda < =?%. Gë sn njmajtrk jk njcnrlkrok miojomklnjtn nstëvni, mal trktklnjta lndomklnjtasa atolozkda pkrk OM. Nstë nl prahrklkèía dn kitk baspotkikr n as ÷itolas nxklns lastrkrkl, njtrn autras, cnrrotojk sïromk < 26 jh/lI5 bnlahia`ojk (B`) < ;0,2 h/dI. Jnstn mksa, quki k majdutk k snr s nr kdatkdk1 K - Pnpasoèía dn cnrra arki nl mkrëtnr kl`uiktaroki kpýs trçs lnsns dk kitk baspotkikr. @ - Vndor pnrcoi dn cnrra malpinta kpýs snos lnsns dk kitk baspotkikr. M - Jía ckznr k rnpasoèía dn cnrra. D - Pnpasoèía ojtrkvnjask dn mkr`axolkitasn cïrromk pkrk rnduzor rnkdlossía baspotkikr. N - Ojdomkr tnrkpok dn rnpasoèía dn cnrra mksa bkgk lkos dn duks dnsmalpnjskèþns par ojsucomoçjmok mkrdìkmk ka kja.

[^N]TÍA

=;

 

Luibnr, 3> kjas, ojtnrjkdk bë 0= doks dnvoda k mbaqun mkrdoahçjoma pnrsostnjtn, kpnskr da prahrnssova kulnjta da supartn ojatrýpoma kpýs ojckrta khuda da loamërdoa snl majdoèþns dn ojtnrvnjèía. Jnstn lalnjta, k nquopn dn trkjspikjtn mkrdìkma da baspotki cao kmoajkdk pkrk kvkiokèía dk pkmonjtn, mikssocomkdk pnik Ojtnrkhnjmy Pnhostry car Lnmbkjomkiiy Kssostnd Mormuiktary ]uppart mala OJTNPLKM] ;. Kssojkin k kitnrjktovk marrntk nl rnikèía ka trkjspikjtn mkrdìkma7 K - K dnpnjdçjmok dn ojatrýpomas majcohurk majtrkojdomkèía ka trkjspikjtn mkrdìkma. @ - A trkjspikjtn mkrdìkma nl sotukèía dn urhçjmok rnprnsnjtk k projmopki majdoèía das trkjspikjtns rnkiozkdas ja @rksoi. M - K mikssocomkèía OJTNPLKM] jía dnvn snr uskdk mala cktar prahjýstoma ja pýs-apnrktýroa dn trkjspikjtn mkrdìkma. D - Vkmonjtns mikssocomkdas mala OJTNPLKM] = passunl lkoar lartkiodkdn ja pýs-apnrktýroa olndokta dn trkjspikjtn mkrdìkma nl malpkrkèía æqunins mikssocomkdas nl OJTNPLKM] ;. N - Ojdnpnjdnjtnlnjtn dk mikssocomkèía OJTNPLKM], nstk pkmonjtn jía tnl ojdomkèía dn trkjspikjtn mkrdìkma dnvoda æ odkdn.

06

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Balnl, >0 kjas, partkdar dn mkrdoaloapktok osquçlomk, nl mikssn cujmoajki dk Jnw _are Bnkrt Kssamoktoaj OO (MC-J_BK OO). Ka nxkln cìsoma7

[^N]TÍA

=0

 

• Vrnssía krtnroki < ;;6 x 86 llBh. • Crnquçjmok mkrdìkmk < 20 `pl. • Vnsa < ?6 eh. • Kusmuitk rnsporktýrok snl nstnrtarns mrnpotkjtns, `uibks mkrdìkmks rìtlomks snl sapras, snl

dostnjsía guhuikr. • Lndomkèþns nl usa7

a Mkrvndoiai 0> lh, dn ;0/;0 b5 a Njkikproi ;6 lh, dn ;0/;0 b5 a Nsporajaikmtajk 0> lh/dok5 a Ëmoda kmntoiskiomìioma (KK]) ;66 lh/dok5 a Ktarvkstktojk 26 lh/dok. • Nintramkrdoahrklk nl rotla sojuski mal dost÷r`oa dn majduèía da rkla nsqunrda ([P]

?2ls). • Nmamkrdoahrklk mal crkèía dn ngnèía da vnjtrìmuia nsqunrda < =0%.  

Kssojkin k kitnrjktovk NPPKDK nl rnikèía æ atolozkèía dnstn pkmonjtn7 K - Dnvn-sn da`rkr k dasn da mkrvndoiai pkrk >6 lh, dn ;0 nl ;0 barks. @ - K nsporajaikmtajk nstë `nl ojdomkdk pkrk nstn mksa, mal a`gntova dn rnduzor lartkiodkdn, ojmiusovn æs mustks dn rnduèía dn lartn s÷`otk. M  - Nstë ojdomkdk k tramk dn njkikproi par skmu`otroi/vkiskrtkjk, n a pkmonjtn padnrë ojomokr k lndomkèía jk dasn dn 04/03 lh, dn ;0 nl ;0 barks, kpýs wksbaut dn 04 barks. D - Dourïtomas dnvnl snr prnsmrotas dokjtn dn sojkos n sojtalks dn maj majhnstía hnstía jk lnjar dasn passìvni pkrk rnstkurkr k nuvainlok. N - K tnrkpok dn rnssojmrajozkèía mkrdìkmk jía nstë ojdomkdk pkrk nssn pkmonjtn.

0;

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Vkmonjtn mal ojsucomoçjmok mkrdìkmk, nl usa dn mkrvndoiai, cao su`lntoda k ul tnstn mkrdoapuilajkr dn nxnrmìmoa pkrk nstrktocomkèía dn rosma.

[^N]TÍA

==

 

[uki das kmbkdas k`koxa ojdomk ul lkrmkdar dn lku prahjýstoma jnstn nxkln1 K - SN/SMA0 siapn (nquovkinjtn vnjtoiktýroa dn MA 0) < =0. @ - SA0 (majsula dn axohçjoa) dn poma < 36% da prnvosta pkrk odkdn n snxa. M - SA0 (majsula dn axohçjoa) dn poma < ;2 lI/eh/loj. D - Vrnsnjèk dn nxtrkssìstains vnjtromuikrns osaikdks nl rnpausa. N - Vrnsnjèk dn vnjtoikèía asmoiktýrok durkjtn a nscarèa.

^l pkmonjtn mal qunoxk dn dospjnok pkraxìstomk jaturjk, rnciuxa bnpktaguhuikr n ndnlk dn l lnl`ras nl`ras ojcnroarns rnkiozau ul nmamkrdoahrklk qun rnvniau crkèía dn ngnèía dn vnjtrìmuia nsqunrda dn 36% n doscujèía dokstýiomk olpartkjtn.

[^N]TÍA

]a`rn nstn mksa, kssojkin k kitnrjktovk marrntk7

=4

 

K - K ninvkèía dk d k prnssía sostýiomk dk krtïrok puilajkr ï pauma crnqunjtn jnstk majdoèía. @  - K daskhnl dn pnptìdnas jktrourïtomas tnl pkpni olpartkjtn ja dokhjýstoma dnstk sìjdraln, parïl snus vkiarns padnl sacrnr ojciuçjmoks dn malar`odkdns luota crnqunjtns kssamokdks k nstn qukdra. M - A rnladniklnjta nstruturki da ëtroa nsqunrda rnduz a rosma dn co`roikèía ktroki. D - Jía bë prnguìza da kmapiklnjta vnjtromuikr-vksmuikr. N - A skmu`otroi/vkiskrtkjk rnduz a rosma dn lartkiodkdn jk majdoèía kprnsnjtkdk.

00

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Balnl, 3> kjas dn odkdn, mal ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía da vnjtrìmuia nsqunrda < =>%, qunoxk-sn dn doscujèía nrïtoi n dnsngk utoiozkr soidnjkcoi.

[^N]TÍA

=>

 

Kssojkin k kitnrjktovk marrntk sa`rn nstn mksa7 K - A soidnjkcoi sý dnvn snr utoiozkda mksa a SA0  lëxola da pkmonjtn sngk dn pnia lnjas 00 lI/eh/loj. @ - A soidnjkcoi ï majtrkojdomkda pkrk pkmonjtn mal ojsucomoçjmok mkrdìkmk (OM). M - A usa majmalotkjtn dn jotrktas n soidnjkcoi ï snhura dnsdn qun a pkmonjtn jía tnjbk osqunlok loamërdomk. D - A soidnjkcoi ï snhura pkrk pkmonjtns nl mikssn cujmoajki O n OO dk Jnw _are Bnkrt Kssamoktoaj (MC-J_BK O-OO) n pkrk kqunins mal mkpkmodkdn cujmoajki : > LNT nl tnstn dn nstrnssn. N - A soidnjkcoi rnduz lartkiodkdn dn pkmonjtn mal bopnrtnjsía puilajkr snmujdërok æ ojsucomoçjmok mkrdìkmk (OM).

[uki dks kssnrtovks k`koxa ï marrntk nl rnikèía k postks ( rnd cikhs) pkrk a dokhjýstoma dn kloiaodasn1

[^N]TÍA

=3

 

K  - Ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía prnsnrvkdk (OMCNp), pkrtomuikrlnjtn nl balnjs odasas (lkoarns dn 36 kjas) n sìjdraln da t÷jni da mkrpa `oiktnrki. @ - Pupturk da tnjdía da trìmnps5 kprnsnjtkèía miìjomk dn mkrdoaloapktok bopnrtrýcomk ojomokdk tkrdoklnjtn (kmolk dn 36 kjas)5 n cnjýtopa ojcoitrktova ka nmamkrdoahrklk (]OS : ;0 ll). M - Nquolasn pnroar`otërok5 lomrahiassok5 nspnssklnjta majmçjtroma dks pkrndns da vnjtrìmuia nsqunrda (SN) mal klpiotudn da [P] rnduzodk au jía kulnjtkdk praparmoajkilnjtn ka hrku dn kulnjta dk nspnssurk dks pkrndns da vnjtrìmuia nsqunrda (SN). D - Nstnjasn da mkjki vnrtn`rki5 kjarlkiodkdn da strkoj iajhotudojki qun paupk k rnhoía `kski5 n njmbolnjta vnjtromuikr nsqunrda dn pkdría rnstrotova, mal nspnssklnjta dks pkrndns da vnjtrìmuia dornota. N - Vaiojnurapktok pnrocïromk jía nxpiomkdk n/au doscujèía kutajôlomk5 rnkimn tkrdoa jk rnssajàjmok lkhjïtomk mkrdìkmk dn pkdría su`npomërdoma au trkjslurki, docusa au kulnjta da vaiuln nxtrkmniuikr5 n ojsucomoçjmok mkrdìkmk nxo`ojda mkvodkdn vnjtromuikr nsqunrdk doiktkdk n mal nspnssklnjta dks pkrndns (snpta ojtnrvnjtromuikr lkoar qun 06 ll).

0=

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

[uki kssnrtovk k`koxa ojmiuo mrotïroas ktukos pkrk k dncojoèía dn ojsucomoçjmok mkrdìkmk kvkjèkdk1

=8

K - Doscujèía vnjtromuikr hrkvn dncojodk par7 crkèía dn ngnèía da vnjtrìmuia nsqunrda 9 46% au OM dornotk kssamokdk au kitnrkèþns vkivkrns hrkvns apnrëvnos au kjarlkiodkdns majhçjotks.

 

@ - ]ojtalks dn OM pnrsostnjtns n hrkvns (salnjtn pkmonjtns nl mikssn OS dk Jnw _are Bnkrt Kssamoktoaj - J_BK). M   - Skiarns dn au @JV au JT-pra@JV pnrsostnjtnlnjtn dkdasdnlastrkjda dokstýiomk hrkvn kjarlkiodkdns nstruturkos da vnjtrìmuianinvkdas nsqunrdan (SN), kmarda maldoscujèía mrotïroas dn dncojoèía dn ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía prnsnrvkdk (OMCNp) au ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía rnduzodk (OMCNr). D - Nposýdoas dn majhnstía puilajkr au sostçlomk qun rnqunrnl kitks dasns dn dourïtoma arki au nposýdoas dn `koxa dï`ota qun rnqunrnl usa dn vksadoiktkdarns. N - Mkpkmodkdn pkrk a nxnrmìmoa rnduzodk, mal ojk`oiodkdn pkrk a nxnrmìmoa au `koxk mkpkmodkdn ja tnstn dn mklojbkdk dn 3 lojutas (tnstn dn mklojbkdk < 3 loj 9 4>6 l) au SA 0  poma (9 06 lI.eh0.loj0) nstolkda dn arohnl mkrdìkmk.

[^N]TÍA

Kssojkin k kitnrjktovk marrntk nl rnikèía k skmu`otroi/vkiskrtkjk ja trktklnjta dk ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía rnduzodk (OMCNr)7 ( OMCNr)7

=2

 

K - Jkqunins pkmonjtns qun vojbkl nl usa dn `iaqunkdarns dn rnmnptarns dk kjhoatnjsojk (@PK), a pnrìada dn wksbaut dnvn snr dn =3 barks. @ - Pnmalnjdk-sn k tramk dn ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk (oNMK)/`iaqunkdarns dn rnmnptarns dk kjhoatnjsojk (@PK) pkrk a skmu`otroi/vkiskrtkjk jas pkmonjtns mal OMCNr qun pnrsostnl sojtalëtomas, lnsla kpýs a nlprnha dn dasns atolozkdks das `iaqunkdarns jnurabarlajkos. M - K dasn ojomoki rnmalnjdkdk dn skmu`otroi/vkiskrtkjk ï dn ?8/;6= lh, dn ;0 nl ;0 barks, pkrk pkmonjtns nl usa dn dasns kitks dn ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk (oNMK)/`iaqunkdarns dn rnmnptarns dk kjhoatnjsojk (@PK), mal prnssía krtnroki sostýiomk kmolk dn ;66 llBh. D - A trktklnjta mal skmu`otroi/vkiskrtkjk cao tía snhura qukjta mal ojo`odarns dk njzolk majvnrsark dk kjhoatnjsojk (oNMK), sa`rntuda nl rnikèía æ cujèía rnjki. N - Ks dasns dnvnl snr kulnjtkdks k mkdk 0-= doks, mal lajotarkèía dk cujèía rnjki n nintrýiotas, n sojtalks bopatnjsovas, ktï k dasn-kiva dn ?8/;6= lh, k mkdk ;0 barks.

04

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

[uki dks rnmalnjdkèþns sa`rn as o]HIT0 (ojo`odarns da matrkjspartkdar sýdoa-hiomasn 0) k snhuor ï marrntk ja trktklnjta dk ojsucomoçjmok mkrdìkmk mal crkèía dn ngnèía rnduzodk (OMCNr)1

=?

K - Dkpkhiociazojk, nlpkhiociazojk au mkjkhiociazojk sía rnmalnjdkdas pkrk prnvnjèía dn baspotkiozkèía par OM nl pkmonjtns mal au snl dok`ntns topa 0 n qun kprnsnjtkl cktarns dn rosma mkrdoavksmuikrns pkrk ktnrasminrasn au danjèk mkrdoavksmuikr ktnrasminrýtomk nstk`ninmodk.

 

@ - Dkpkhiociazojk au nlpkhiociazojk nl pkmonjtns mal OMCNr sojtalëtomas, dok`ïtomas au jía, mal dasn atolozkdk tainrkdk dn(oNMK)/`iaqunkdarns `ntk`iaqunkdar, kjtkhajostk dk kidastnrajk, ojo`odarns njzolklëxolk majvnrsark dk kjhoatnjsojk dn rnmnptarns dk kjhoatnjsojk (@PK) dk au ojo`odar dk jnproiosojk (OJPK) pkrk rnduzor lartn mkrdoavksmuikr, baspotkiozkèía par OM n prahrnssía dk doscujèía rnjki. M - Dkpkhiociazojk au nlpkhiociazojk dnvnl snr utoiozkdas mala lndomkèía kjtodok`ïtomk dn snhujdk iojbk kssamokdk au jía æ lntcarlojk nl pkmonjtns mal OMCNr. D - Dkpkhiociazojk au nlpkhiociazojk nstía ojdomkdas pkrk pkmonjtns mal OMCNr pkrk k prnvnjèía dk rnduèía dk cujèía rnjki kpnjks dn pkmonjtns mal dok`ntns kssamokda n mal tkxk dn coitrkèía hialnruikr (THC) : >6 lI/loj/;,8= l 0. N - Dkpkhiociazojk au nlpkhiociazojk, rnspnmtovklnjtn jas nstudas DKVK-BC n NLVNPAP Pndumnd, ojmiuìrkl lkos dn 8>% dn pkmonjtns mal dok`ntns lniota topa 0 n as `njncìmoas njmajtrkdas carkl lkoarns jnstn hrupa dn pkmonjtns.

[^N]TÍA

Kssojkin k kitnrjktovk marrntk sa`rn k lndodk dk prnssía krtnroki (VK)7

46

K - K bopatnjsía artastëtomk ï dncojodk mala rnduèía dk VK sostýiomk ≮ 06 llBh au jk VK dokstýiomk ≮ ;6 llBh dnjtra da tnrmnora lojuta nl p ï nl rnikèía æ pasoèía supojk. Dnvn snr ojvnstohkdk jas odasas, dok`ïtomas, doskutajôlomas n ojmiusovn jkqunins pkmonjtns nl usa dn kjto-bopnrtnjsovas. Nstë

 

kssamokdk k rosma kulnjtkda dn lartkiodkdn n nvnjtas mkrdoavksmuikrns. @ - A mëimuia da ìjdomn tarjaznia-`rkquoki (OT@) padn snr rnkiozkda mal a usa da Dappinr, au solpinslnjtn pnia lïtada asmoial ïtroma. Njqukjta lkoar a OT@, lkoar k lartkiodkdn mkrdoavksmuikr n lkoar k tkxk dn nvnjtas marajëroas. M - ^lk docnrnjèk : ;> llBh dk prnssía krtnroki sostýiomk njtrn as `rkèas padn nstkr rnikmoajkdk æ danjèk vksmuikr ktnralktask, lks jía suhnrn kulnjta da rosma mkrdoavksmuikr. D - Nl mkdk majsuitk, tr çs lndodks dk VK dnvnl snr rnhostrkdks, mal ; k 0 lojutas dn ojtnrvkia, n lndodks kdomoajkos dnvnl snr rnkiozkdks sn ks duks prolnorks inoturks docnrornl nl lkos dn ;6 llBh. K VK da pkmonjtn ï k lkoar dks ÷itolks duks lndodks. N - Ja lïtada kusmuitktýroa, sn as `ktolnjtas pnrsostornl ktï a jìvni znra, dntnrlojkr k VK dokstýiomk (VKD) ja k`kcklnjta das sajs (cksn OS dn Earateacc) n kjatkr vkiarns dk VK sostýiomk/VKD/znra. Nstnjasn kýrtomk ï ul nxnlpia dnstk majdoèía.

0>

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 K ojsucomoçjmok kýrtomk padn snr mikssocomkdk mala olpartkjtn pnik prnsnjèk das snhuojtns sojkos, NRMNTA77 NRMNTA

[^N]TÍA

4;

 

K - Voark da sapra mal k lkja`rk dn Bkjdhrop. @ - ]apra baiadokstýioma, ksporktova, dnmrnsmnjtn, mal @0 bopacajïtomk. M - ]apra lnsassost ýioma, pauma rudn, dn `koxk ojtnjsodkdn. D - ]apra dokstýioma nl rucikr. N - Vuisa nl lkrtnia d‟ëhuk.

[^N]TÍA

[uki k ntoaiahok lkos pravëvni pkrk as kmbkdas da nxkln cìsoma kp kprnsnjtkda rnsnjtkda jks olkhnjs1

 

40 K - I÷pus nrotnlktasa sostçloma mal njdamkrdotn dn Io`lkj-]kmes. @ - Cn`rn rnulëtomk. M - Bopnrmainstnrainlok ckloiokr. D - Njdamkrdotn ojcnmmoask. N - Kloiaodasn.

03

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

]a`rn k kusmuitk dks `uibks mkrdìkmks, tnjda a dokhrklk ’JAPLKI“ mala rncnrçjmok, quki k

majdoèía miìjomk rnprnsnjtkdk k`koxa1

4=

 

K - Malujomkèía ojtnrktroki. @ - Nstoluikèía krtocomoki kpomki da vnjtrìmuia dornota. M - Nstnjasn puilajkr. D - @iaqunoa malpinta da rkla dornota. N - Nstnjasn lotrki.

08

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

44

 

Luibnr, 34 kjas, snl kjtnmndnjtns mkrdoavksmuikrns, dokhjastomkdk mal mkrmojalk dumtki ojvksova dn lklk dornotk, BNP0+. Nma kjtns da ojìmoa da trktklnjta mal crkèía dn ngnèía da vnjtrìmuia nsqunrda (CNSN) dn 33% n strkoj iajhotudojki hia`ki (]IH) dn -0=%. • Ojomoau trktklnjta rnmn`njda quktra momias dn KM (daxarru`omojk 046 lh/l 0 n momiacascklodk)

snhuodas dn trkstuzulk`n. Ktukilnjtn ja tnrmnora momia. • Jnstk majsuitk, trauxn java nmamkrdoahrklk mal7

a Crkèía dn ngnèía da vnjtrìmuia nsqunrda < >2%. a ]IH dn -;>% (rnkiozkdas ( rnkiozkdas pnia lnsla lïdoma n kpkrniba dn nmamkrdoahrklk). • Jnhk dospjnok, lkjtnjda -sn nl mikssn cujmoajki O. • Jk majsuitk7

a Vrnssía krtnroki < ;46 x 26 llBh. a Crnquçjmok mkrdìkmk < 26 `pl. • Trauxn tkl`ïl kjhoatalahrkcok dn marajëroks rnkiozkdk rnmnjtnlnjtn snl a`struèía iulojki

n saraiahok pkrk Mbkhks jnhktovk. [uki k lnibar majdutk jnstn lalnjta1 K - ]uhnror ka ajmaiahostk suspnjsía tnlparërok da trktklnjta mal trkstuzulk`n, khukrdkr daskhnl dn @JV n trapajojk pkrk ojìmoa dn mkrvndoiai n njkikproi. @ - ]uhnror ka ajmaiahostk suspnjsía tnlparërok da trkstuzulk`n, ojomokr njkikproi n mkrvndoiai. M - ]uhnror ka ajmaiahostk suspnjsía dncojotovk da trkstuzulk`n, khukrdkr java nma nl =6 doks pkrk kvkiokr ojìmoa dn trktklnjta mal mkrvndoiai n njkikproi. D  - Lkjtnr trktklnjta mal trkstuzulk`n, ojomokr njkikproi n mkrvndoiai. Pnkiozkr nma snrokda, daskhnl dn @JV n trapajojk. N - Lkjtnr trktklnjta mal trkstuzulk`n nl dasn rnduzodk, khukrdkr majcorlkèía dokhjýstomk mal java nmamkrdoahrklk n @JV n trapajojk pkrk pkr k ojìmoa dn mkrvndoiai n njkikproi.

02

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

4>

 

Luibnr, 82 kjas, mal dokhjýstoma dn lnikjalk lntkstëtoma, mal qunoxk dn lokihok, dospjnok n dar tarëmomk bë quktra doks. Bë ;6 doks rnmn`nu k prolnork dasn da trktklnjta ajmaiýhoma mal jovaiulk`n n opoiolulk`n (ojo`odarns dn mbnmepaojt olujaiýhomas  ”  OMO). Nxklns ik`arktarokos7 trapajojk O 6,46 jh/lI (prolnork daskhnl) n trapajojk O 6,40 jh/lI (snhujdk daskhnl  ” vkiar dn rncnrçjmok dn trapajojk7 6,6;4).

]a`rn k kjarlkiodkdn kssamokdk k nssk mikssn dn lndomkèía, n dn kmarda mal a nxkln dn olkhnl kprnsnjtkda, kssojkin k kitnrjktovk marrntk7 K - Ï ulk malpiomkèía dn nvaiuèía `njohjk, mal kitk ojmodçjmok, lkos malul kpýs vëroks dasns dn OMO. Lkjtnr a trktklnjta mal OMO n ojomokr maimbomojk. @ - Ï ulk malpiomkèía dn nvaiuèía `njohjk, lkos malul kpýs as prolnoras momias dn OMO. Pnikmoajk-sn projmopkilnjtn mal osqunlok loamërdomk par vksanspksla. Malpinlnjtkr ojvnstohkèía mal nma strkoj n lkjtnr k lndomkèía (OMO). M - Ï ulk malpiomkèía hrkvn, mal `koxk ojmodçjmok, lkos malul kpýs as prolnoras momias dn OMO. ]uspnjdnr a trktklnjta mal OMO n ojomokr o jomokr martomaodn. D - Ï lkos malul kpýs as prolnoras momias. Bë kitk kssamokèía mal osqunlok loamërdomk par vksanspksla. Lkjtnr k lndomkèía (OMO) n malpinlnjtkr ojvnstohkèía mal mktntnrosla mkrdìkma. N - Ï ulk malpiomkèía hrkvn, mal kitk ojmodçjmok, lkos malul kpýs as prolnoras momias. ]uspnjdnr a trktklnjta mal OMO n ojomokr kjto-ojciklktýroas jía nstnraodns (KOJNs).

0?

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

43

 

Vkmonjtn dn 36 kjas, mal dokhjýstoma dn jnapiksok dn rntassohlaodn, gë su`lntoda æ morurhok (rntassohlaodnmtalok). Kprnsnjtk bopnrtnjsía krtnroki sostçlomk, dok`ntns, a`nsodkdn hrku 0 n ï nxtk`khostk. Ojomoau trktklnjta mal Caicax (>-Ciuaraurkmoi, inumavarojk n axkiopiktojk) nl `al`k dn ojcusía majtìjuk mal prahrklkèía dn ojcusía nl 80 barks, ojomokdk bë ;0 barks. Vramurk a prajtaktnjdolnjta mal qunoxk dn dar tarëmomk nl kpnrta bë ulk bark. Nintramkrdoahrklk k snhuor7

Mal rnikèía æ mkrdoataxomodkdn ka >-ciuaraurkmoi n æ majdutk pkrk a mksa, kssojkin k kitnrjktovk marrntk7 K - Dnsiohkr k ojcusía dk lndomkèía n njmklojbkr pkrk mktntnrosla mkrdìkma. ]n kjhoapikstok car jnmnssërok, a stnjt majvnjmoajki dnvn tnr prncnrçjmok. @ - Mala ul das lnmkjoslas pravëvnos ï a vksanspksla, dnsiohkr k ojcusía. Jía bë jnmnssodkdn dn nstrktocomkèía ojvksovk dn danjèk marajkrokjk. Ojomokr jotrkta ojtrkvnjasa. M - Dnsiohkr k ojcusía dk lndomkèía n njmklojbkr pkrk mktntnrosla mkrdìkma. ]n k kjhoapikstok car jnmnssërok, a stnjt ckrlkmaiýhoma dnvn snr prncnroda. K dupik kjtokhrnhkèía pikquntërok nstë majtrkojdomkdk. D - Dnsiohkr k ojcusía dk lndomkèía n njmklojbkr pkrk mktntnrosla mkrdìkma. Pnojomokr k ojcusía iaha kpýs a tïrloja da pramndolnjta. N - Dnsiohkr k ojcusía dk lndomkèía n njmklojbkr pkrk mktntnrosla mkrdìkma. ]n k kjhoapikstok mal olpikjtn dn stnjt car jnmnssërok, k dupik kjtokhrnhkèía pikquntërok padn snr uskdk sn ks pikquntks nstovnrnl kmolk dn =6 loi, jk kusçjmok kus çjmok dn majtrkojdomkèía.

=6

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 Nl rnikèía æs danjèks ojciklktýroks sostçlomks n snu patnjmoki kmalntolnjta mkrdoavksmuikr, kssojkin k kitnrjktovk marrntk7

[^N]TÍA

48

 

K  - Bë lkoar rosma dn ojckrta khuda da loamërdoa n kmodnjtn vksmuikr mnrn`rki nl pkmonjtns partkdarns dn i÷pus nrotnlktasa sostçloma (IN]). @ - K vksmuiotn n k pnromkrdotn sía lkjocnstkèþns malujs nl luibnrns partkdarks dn krtrotn rnulktaodn. M - K loamkrdotn ï ul mrotïroa dokhjýstoma pkrk i÷pus nrotnlktasa sostçloma (IN]) n dnvn snr trktkdk mal martomatnrkpok n kjto-ojciklktýroas jía nstnraodns (KOJNs). D - K njdamkrdotn dn Io`lkj-]kmes ï ulk carlk dn njdamkrdotn `kmtnrokjk, nl qun ks vnhntkèþns topomklnjtn sía lývnos n iamkiozkdks ja caibnta marajkrokja dk vkivk kýrtomk. N - A i÷pus nrotnlktasa sostçloma (IN]) jnajktki mkrkmtnrozk-sn pnik prnsnjèk dn tkquomkrdok sojuski ojkpraprokdk, crnqunjtnlnjtn kssamokdk æ mokjasn æs lklkdks.

Kssojkin k kitnrjktovk NPPKDK kmnrmk dk ]ìjdraln dn Lkrckj, majsodnrkjda-sn ks lkjocnstkèþns cnjatìpomks sostçlomks7

[^N]TÍA

42

 

K - Vraikpsa vkivkr lotrki, l otrki, rnhurhotkèía kýrtomk, dossnmèía kýrtomk, doiktkèía dk rkoz kýrtomk. @ - Bopala`oiodkdn krtomuikr, nstkturk kitk n krkmjadkmtoiok. M - Nrasþns vnrtn`rkos ial`asskmrkos par nmtksok durki. D - Loapok, dnsiamklnjta dn rntojk, nmtapok da mrostkioja m rostkioja n mktkrktk prnmamn. N - K prnsnjèk dn lkjocnstkèþns nspnmìcomks mala doiktkèía kýrtomk n dossnmèía kýrtomk nl ojdovìduas gavnjs n jía bopnrtnjsas sía dn rninvàjmok ja dokhjýstoma docnrnjmoki k autras dost÷r`oas da tnmoda majgujtova.

=;

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0 [^N]TÍA

Luibnr, >8 kjas, tk`khostk (=6 mohkrras par dok).

4?

 

• Kssojtalëtomk. • Vartkdark dn bopnrtnjsía krtnroki. • Nl usa dn7

a Iaskrtkjk ;66 lh/dok5 n a Miartkiodajk 0> lh/dok. • Crnquçjmok mkrdìkmk < 20 `pl. • Vrnssía krtnroki < ;=0 x 26 llBh. • Nxkln cìsoma jarlki.

]nrë su`lntodk æ morurhok dn mktkrktk `oiktnrki. Kssojkin k kitnrjktovk marrntk kmnrmk dk kvkiokèía n prnpkra prï-apnrktýroa7 K - A nintramkrdoahrklk n rkoa-R dn týrkx dntnrlojkría as muodkdas kdomoajkos jnmnssëroas. @ - Vnia rosma patnjmoki, dnvn snr rnkiozkda tnstn nrhalïtroma pkrk k io`nrkèía mor÷rhomk. M - K suspnjsía dks drahks bopatnjsarks 04 barks kjtns da pramndolnjta nvotkrë a rosma dn bopatnjsía snmujdërok æ sndkèía. D - A usa dn kjnstïsoma iamki jía tnl majtrkojdomkèía, lks k sndkèía dnvn snr nvotkdk pnia rosm rosmaa dn bopatnjsía snmujdërok. N - Jía sía jnmnssëroas nxklns malpinlnjtkrns n dnvn snr aronjtkdk k mnsskèía da tk`khosla.

Nl rnikèía æ kssamokèía dks danjèks mkrdoavksmuikrns mal k ojcnmèía par ]krs-MaS-0 (MASOD-;?), kssojkin k kitnrjktovk marrntk7

[^N]TÍA

K - Kitnrkèþns trkjsotýroks ja nintramkrdoahrklk (NMH) sía rkrks.

>6

 

@ - A olpikjtn dn dospasotovas dn kssostçjmok mormuiktýrok lnmàjomk jía dnvn snr majsodnrkda nl mksas dn mbaqun mkrdoahçjoma, dnvoda æ kitk tral`ahnjomodkdn dk ojcnmèía par ]krs-MaS-0 (MASOD;?). M  - K ojg÷rok loamërdomk, odnjtocomkdk pnik ninvkèía dn `oalkrmkdarns, nspnmokilnjtn k trapajojk, nstë kssamokdk k poar prahjýstoma. D - @rkdomkrdok sojuski ï a rotla mkrdìkma lkos malul a`snrvkda jnssns pkmonjtns. N - K rnkiozkèía da nmamkrdoahrklk jk skik dn nlnrhçjmok jía ludk a lkjnga da pkmonjtn, ojdnpnjdnjtnlnjtn da mnjëroa miìjoma ojomoki.

=0

 

NRKLN VKPK A@TNJÈÍA A@ TNJÈÍA DN TÌT^IA TÌT^IA DN N]VNMOKIO]TK NL MKPDOAIAHOK (TNM) 060; - @IAMA @I AMA 0

HK@KPOTA DK VPASK [unstía Kitnrjktovk

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