Silabo de Atencion de Medicamentos Esenciales

 

 

FLW[F[^[C W^]NQFCQ [NGLCBCIFGC ]QFTHKC ‒N^INLFC ]HGGNBV‐ 

WÀBHAC   H[NLGF×L KN @NKFGH@NL[CW NWNLGFHBNW NWNLGFHB NW  LC@AQN KN BH  FLW[F[^GF×L  GHQQNQH  ]QCDNWFCLHB  @×K^BC ]QCDNWFCLHB 

5  FLW[F[^[C W^]NQFCQ [NGLCB×IFGC ]QFTHKC ‒N^INLFC ]HGGNBV‐   5  DHQ@HGFH [ÆGLFGH 5  H[NLGF×L KN ^QINLGFH V HK@FLFW[QHGFCL KN ^LH CDFGFLH DHQ@HGÆ^[FGH

^LFKHK KFKÈG[FGH  5  H[NLGF×L KN @NKFGH@NL[CW NWNLGFHBNW  KCGNL[N QNW]CLWHABN  5 X.D. @CLFGH DBCQ TNBHQKN QH@CW   ]NQFCKC  HGHKÆ@FGC HGH KÆ@FGC   5  ]QF@NQC  ]QN-QNX^FWF[C  5  LFLI^LC  L½ KN GQÆKF[CW  5 7 GQÆKF[CW  Lµ KN OCQHW KN BH  ^LFKHK KFKHG[FGH   5  91 OCQHW ]BHL KN NW[^KFCW  5  1=1= - FF  [^QLC  5 @HØHLH  WNGGF×L  5 ‒ H  H‐  78-=?-1=1=   DNGOH KN FLFGFC   5  78-=?-1=1= DNGOH  KN DFLHBFUHGF×L   5  78-81-1=1=  SSSSSSSSSSSSSSSSSSSSSSSSSS  SSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSS  SSSSSSSSSS   F. W^@FBBH 

 

Hk`flfstrhr ul nsthabngf`fnltc dhr`hgæutfgc h su lfvnb, nxpnlknr prckugtcs dhr`hgæutfgcs, kfspcsftfvcs `ækfgcs y prckugtcs shlfthrfcs: rnscbvnr gclsubths snlgfbbhs knb gbfnltn c phgfnltn: prnphrhr `nkfgh`nltcs y hdflns ahec supnrvfsf÷l, tnlfnlkc nl gunlth bcs grftnrfcs kn ghbfkhk y sniurfkhk, hpbfghlkc bhs lcr`hs, rnibh`nltcs, kngrntcs kn shbuk y ætfgh prcdnsfclhb.

 

FF. ^LFKHK KN GC@]N[NLGFH TFLG^BHKH   HB HB  @×K^BC

Qnhbfzhr hggfclns aèsfghs nl urinlgfhs knltrc kn ulh cdfgflh dhr`hgæutfgh y nsthabngf`fnltcs kn shbuk kn prf`nr lfvnb, hsà, gc`c crihlfzhr y hk`flfstrhr bh instf÷l bciàstfgh phrh su aunl dulgfclh`fnltc y gu`pbf`fnltc gcl bhs lcr`hs kn shbuk nsthabngfkhs.

 

FFF. GH]HGFKHK KN BH  ^LFKHK KFKÈG[FGH

  Hk`flfstrhr `nkfgh`nltcs y hpbfghr `nkfkhs kn prnvnlgf÷l y prf`nrcs huxfbfcs nl dulgf÷l h bhs lngnsfkhkns

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FT. GQF[NQ GQF[NQFCW FCW KN NTHB NTHB^HGF×L ^HGF×L 

  Qnbhgfclh hinltn pht÷inlc-nldnr`nkhk nl anlndfgfc knb phgfnltn phgfnltn ushlkc bcs `nkfgh`nltcs nsnlgfhbns

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  Kndfln n fknltfdfgh bh hggf÷l dhr`hgcb÷ifgh kn bcs `nkfgh`nltcs nsnlgfhbns, qun sn nlgunltrhl knltrc knb ]ntftcrfc Lhgfclhb kn @nkfgh`nltcs.

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  Qnhbfzh prcgnkf`fnltcs gcrrngtcs phrh bh htnlgf÷l kn nnstcs stcs `nkfgh`nltcs nsnlgfhbns knltrc kn ulh cdfgflh dhr`hgæutfgh y nsthabngf`fnltc kn shbuk.

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T.  HG[FTFKH KNW KN  H]QNLKFUHE H]QNLKFU HE N WN@HLH WN@ HLH =8

DNGOH DNGOH =7/=6/1=1=

=1

8=/=6/1=1=

=7

89/=6/1=1=

=;

1;/=6/1=1=

=>

=8/8=/1=1=

=4

=?/8=/1=1=

Nbn`nltcs kn Ghphgfkhk Gh phgfkhk

Lµ kn ocrhs

Hgtfvfk hkns kn Hprnlkfzhen/ Wnsfclns

 

Gclcgnr  Hg  Hgtftf vf vfkhk khk 8  kndflfgfclns ]rnsnlthgf÷l ]rn snlthgf÷l knb sf bhau @nkfgh`nltcs Nxpbfghr bh kndflfgf÷l `nkfgh`nltc nsnlgfhbns. nsnlgfhb, `hrgh, inlærfgc.  inlærfgc.  Fknltfdfghr bhs  Hg tf vf  Hgtf vfkhk khk 1  dcr`hs Dcr`hs dhr`hgæutfghs dhr`hgæutfghs Wnøhbh bhs kfdnrnltns dcr`hs dhr`hgæutfghs Hlhbfzhr nb  Hgtftf vf vfkhk khk 7   Hg ]ntftcrfc kn ]n ]ntftcrf tftcrf c Lhgfclhb k n @nkfgh`nltcs @nkfgh`nltcs @nkfgh`nltcs nsnlgfhbns nsnlgfhbns. ]ntftcrfc kn @nkfgh`nltcs nsnlgfhbns5 Qngclcgnr bh caentfvcs, gcltnlfkc.  gcltnlfkc.  gbhsfdfghgf÷l Gbhsfdfghgf÷l kn bcs @nkfgh`nltcs.  @nkfgh`nltcs.  kn `nkfgh`nltcs nl nb ]L^@N  ]L^@N  Nxpbfghr bcs  Hgtftf vf vfkhk khk ;   Hg hlnstæsfgcs @nkfgh`nltcs @n kfgh`nltcs hlnstæsfgcs hlnstæsfgcs hltfpfrætfgcs y Kndflfgf÷l kn hlnstæsfgcs. hltffldbh`htcrf Gc`phrhgf÷l kn hltfpfrætfgcs, c, hlhbiæsfgcs. Hltfhbærifgcs, Hltffldbh`htcrfc Hltàkctcs knb  Hltftfhbær  Hl hbærif if gcs gc s ]L^@N Kndflfgf÷l kn Hltfhbærifgcs  Hltàk  Hl tàkct ct cs flnspngàdfgcs cs  flnspngàdfgcs y nspngàdfgcs  Hltftfgc  Hl gclv lvub ub sfvhl sf vhltns tns Knsgrfafr bcs  Hg tf vf  Hgtf vfkhk khk >  @nkfgh`nltcs [rhth`fnltc kn bh Fldnggfclns. Hltf ]rcgnsh hgnrgh kn bcs `nkfgh`nltcs5 fldnggfcscs knb Hltfaf÷tfgcs ]ntftcrfc Nvhbuhgf÷l kn hvhlgn

   

 

 

Hltf`fg÷tfgcs Hltfvfrhbns Hltfonb`àltfgc Hltfsæptfgcs

1o 1o

1o

1o

1o

1o

 

 

=9

8>/8=/1=1=

=?

11/8=/1=1=

=6

16/8=/1=1=

8=

=>/88/1=1=

88

81/88/1=1=

81

86/88/1=1=

 

Nxpbfghr  Hgtf vfkhk khk 4   Hg tf vf hgnrgh [rhth`fnltc kn bh `firhøh Hltf`firhøcsc @n @nkfgh`nltcs kfgh`nltcs hltflncpbèsfgc s Hltflncpbèsfgc Hriu`nlth hgnrgh kn bcs Hltf Hltf`firhøcscs phrjflsclfhlc Hltflncpbèsfgc Hltfphrjflsclfhlc N_H@NL F ^LFKHK

1o

8o

 

1o

 

1o

Knsgrfafr bcs  Hg  Hgtftf vf vfkhk khk 9  `nkfgh`nltcs @n @nkfgh`nltcs kfgh`nltcs ut fbfzhkcs nl nb s fstn`h hdngthl h bh ghrkfcvhsgubhr. shlirn y bcs Nxpcln hgnrgh kn bcs qun hgtõhl nl Hltfhrràt`fgcs nb sfstn`h Hltfhliflcscs ghrkfcvhsgubhr Hltfofpnrtnlsfvcs, Gchiubhltns Hltfgchiubhltns Kfurætfgcs Ofpcbfpn`fhltns Knsgrfafr bcs  Hgtftf vf vfkhk khk ?   Hg `nkfgh`nltcs @n @nkfgh`nltcs kfgh`nltcs u tfbfzhkcs knr`htcb÷ifgc knr`htcb÷ifgc, s,  Hinlt  Hi ns kn k nnlkfhil kfbhs hil÷s ÷stftfgc gc @nkfgh` @nkf gh`nlt nlt cs Hinltns kn utfbfnltns zhkcs zhkcs vàhs kfinstfvhs kfhil÷stfgc, Nxpbfgh hgnrgh kn bcs `nkfgh`nltcs Hltfkfhrrnfgcs ihstrcfltnstflh Hltfègfkcs bns Hltfubgnrcscs Ocr`clhs Hltfdbhtubnltc Tfth`flhs Onphtcprctngtcrns Ihstrcgflætfgc Ocr`clhs Tfth`flhs ]rcgnsh hgnrgh kn bcs `nkfgh`nltcs5 Ocr`clhs Tfth`flhs Hlhbfzhr bcs  Hgtf tfkfgh`nltcs vfkhk vf khk 6  utfb fzhkcs nl trhstcrlcs `nkfgh`nltcs  Hg @nkfgh`nltcs @n psfgctnrhpæutf `nlthbns y psfgcb÷ifgcs gcs Nxprnsh hgnrgh kn bcs  bcs    Hltftfknp  Hl knprns rnsfv fv cs   @nkfgh`nltcs phrh bh hlsfnkhk  hlsfnkhk  

1o

1o

 

87 8;

14/88/1=1= =7/81/1=1=

@nkfgh`nltcs nsthafbfzhkcrn @nkfgh`nltcs nsthafbfzhkcrnss knb èlf`c Hltfpsfg÷tfgcs   Hltfpsfg÷tfgcs Nxpbfgh bcs  Hg  Hgtftf vf vfkhk khk 8=  `nkfgh`nltcs @nkfgh`nltcs kn bhs vàhs Qnspfrhtcrfhs qun hgtõhl nl @hlfdfnsth hgnrgh kn nb sfstn`h @nkfgh`nltcs kn bhs vàhs Qnspfrhtcrfhs rnspfrhtcrfc

 

Tfth`flhs y `flnrhbns

1o 1o

 

 

8>

8=/81/1=1=

Nxpbfghr bcs  Hgtf vfkhk khk 88   Hg tf vf @nkfgh`nltcs @n @nkfgh`nltcs kfgh`nltcs gu fkhkcs l nclhthb nclhthb nspngàdfgcs Nxprnsh hgnrgh kn bcs @nkfgh`nltcs nspngàdfgcs phrh gufkhkcs lnclhthb @nkfgh`nltcs phrh nldnr`nkhkns hrtfgubhrns @nkfgh`nltcs @n kfgh`nltcs ^rcb÷ifgc s

1o

84

89/81/1=1=  89/81/1=1= 

N_H@NL FF ^LFKHK

8o

89

1;/81/1=1=   1;/81/1=1=

N_H@NL WN@NW[QHB WN@NW[QHB

8o

8?

78/81/1=1=   78/81/1=1=

N_H@NL KN QNG^]NQHGF×L

8o

 

TFF. QNG^QWCW KFKÈG[FGCW - 

]rcyngtcr `ubtf`nkfh, Bhptcp, GK, TFKNCW, `n`crfh ^ ^WA, WA, pfzhrrh, `cth, pbu`clns hgràbfgcs, guhknrlcs kn hpultns, ]hpnbctns, bfarcs (@htnrfhbns kn Htnlgf÷l kn `nkfgh`nltcs Nsnlgfhbns) nltrn ctrcs.

 

TFFF. @N[CKCBCIÀH 

]hrh nb knshrrcbbc kn bhs gbhsns tn÷rfgc-prègtfgcs sn ohrè usc kn bh `ntckcbciàh hgtfvh, kfsgusf÷l y nxpcsfgf÷l kn bcs tn`hs h trhthr, sfnlkc bh b h `ctfvhgf÷l pnr`hlnltn h trhvæs kn fltnrvnlgfclns crhbns, bbuvfh kn fknhs phrh kntnr`flhr shanrns prnvfcs, gc`c th`afæl nxpcsfgf÷l kn gclgnptcs scarn bcs gcltnlfkcs aèsfgcs phrh bh rnscbugf÷l kn prcabn`hs `nkfhltn nenrgfgfcs nspngàdfgcs. Wn tc`hrhl nl gunlth trns lfvnbns aèsfgcs kn hprnlkfzhen5   Nl nb lfvnb gclgnptuhb, sn gclgnptuhb, sn utfbfzhrhl bhs tæglfghs kn bhs prunahs nsgrfths y bcs flstru`nltcs gc`c bhs prunahs kn knshrrcbbc (nenrgfgfcs (nenrgf gfcs fltnrprnthtfvcs) y bhs prunahs caentfvhs (kn (k n rnspunsths hbtnrlhtfvhs y kn snbnggf÷l `õbtfpbn, ntg.)

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  Nl nb lfvnb prcgnkf`nlthb,  prcgnkf`nlthb,  bh tæglfgh scl bhs sftuhgfclns crhbns5 kfhbcic, knahtn: nenrgfgfcs

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prègtfgcs5 crihlfzhkcrns gclcgf`fnltcs, kn gctnec, dfgoh kn casnrvhgf÷l, pcrthdcbfc: prunahs nsgrfths (nxh`nlkn tn`ètfgc5 prhgtfghsdfgoh ghbfdfghkhs y kfrfifkhs)   Nl nb lfvnb hgtftukflhb, sn hgtftukflhb, sn utfbfzhrh bh tæglfgh kn bh casnrvhgf÷l sfstæ`fgh guyc flstru`nltc scl bh bfsth kn gctnec, nsghbh kn hgtftukns, rnifstrc hlngk÷tfgc.

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  Nl gclgbusf÷l pnr`ftn vnrfdfghr nb lfvnb kkn n gc`prnlsf÷l, hl hlèbfsfs èbfsfs n fltnrprnthgf÷l, rhzclhafbfkhk y phrtfgfphgf÷l hgtfvh h bc bhric kn bh ulfkhk kfkègtfgh.

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F_. NTHB^HGF×L  

  Bh nnvhbuhgf÷l vhbuhgf÷l knb hprnlkfzhen ssnn gnl gnltrh trh nl nb bcirc kn bbhs hs ghphgfkhkns tnr`flhbns, tnr`flhbns , guycs phrè`ntrcs kn rndnrnlgfh scl bcs grftnrfcs kn nvhbuhgf÷l. H phrtfr kn bcs grftnrfcs kn nvhbuhgf÷l sn nsthabngnl bcs flkfghkcrns  kn nvhbuhgf÷l, qun scl nvfknlgfhs casnrvhabns y guhltfdfghabns flkfghkcrns kn y gclstftuynl bcs nstèlkhrns kn ghbfkhk `àlf`c h bcirhr nl bh ghphgfkhk tnr`flhb: tnr`flhb : nstcs

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flkfghkcrns sfrvnl th`afæl phrh crfnlthr bh snbnggf÷l kn bhs tæglfghs kn nvhbuhgf÷l y nb kfsnøc kn bcs flstru`nltcs gcrrnspclkfnltns.

 

 

  Bh nvhbuhgf÷l ns pnr`hlnltn y pnr`hlnltn y sn ndngtõh nl nb knshrrcbbc kn bhs hgtfvfkhkns, nl nsths sn gc`prunah nb bcirc kn bhs ghphgfkhkns tnr`flhbns `nkfhltn tnr`flhbns  `nkfhltn bcs grft nrfcs kn nvh nvhbuhgf÷l buhgf÷l,, hsà gc`c ushlkc bcs flkfghkcrns nl bhs gcrrnspclkfnltns  prunahs.  •

_. QNX^FWF[CW KN H]QCAHGF×L H ]QCAHGF×L

 

]rc`nkfc hprcahtcrfc `àlf`c.- Nl `àlf`c.- Nl bh nvhbuhgf÷l knb hprnlkfzhen kn bcs nstukfhltns sn utfbfzh nb sfstn`h vfinsf`hb. Nb ghbfdfghtfvc `àlf`c hprcahtcrfc ns 87 (trngn). Nl tckcs bcs ghscs bh drhggf÷l =,> c `ès sn gclsfknrh gc`c ulh ulfkhk h dhvcr knb nstukfhltn.    Hp  Hprc rcahgf ahgf÷l ÷l kn bh ^lf ^lfkhk khk Kfk Kfkègt ègtfg fgh h.-Nl bh ^lfkhk Kfkègtfgh kn Knshrrcbbc ]nrsclhb F sn knshrrcbbh (8) ghphgfkhk tnr`flhb. Bh lcth dflhb nl bh ^lfkhk Kfkègtfgh ns bh qun gcrrnspclkn nl bh ghphgfkhk tnr`flhb.

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]rcgnsc kn rngupnrhgf÷l.-Wf rngupnrhgf÷l.-Wf nb nstukfhltn nl bh Ghphgfkhk [nr`flhb kn bh ^lfkhk Kfkègtfgh (hsfilhturh) prcirh`hkh catnlih bh lcth knshprcahtcrfh nltrn kfnz (8=) y kcgn (81), tfnln knrngoc h phrtfgfphr nl nb prcgnsc kn rngupnrhgf÷l prcirh`hkc, nstn prcgnsc sn nenguthrè nl bh õbtf`h sn`hlh knb sn`nstrn hghkæ`fgc. Wf nb nstukfhltn knspuæs knb prcgnsc kn rngupnrhgf÷l catuvfnrh lcth `nlcs kn trngn (87) rnpftn bh ^lfkhk Kfkègtfgh.

 

Nvhbuhgf÷l kn rngupnrhgf÷l.-  rngupnrhgf÷l.-  Bcs nstukfhltns qun ohafnlkc rnhbfzhkc nb prcirh`h kn hgtfvfkhkns kn rngupnrhgf÷l, catuvfnrhl gc`c rnsubthkc kn nvhbuhgf÷l nl bh ^.K. nltrn 8= y 81, snrèl nvhbuhkcs pcr ul kcgnltn knsfilhkc pcr bh Endhturh kn bh Ghrrnrh. Bh nvhbuhgf÷l

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gclsfilhkh nl nb hgth rnn`pbhzh h bh nvhbuhgf÷l hltnrfcr.    Hsfs  Nb nstukfhltn qun hgu`ubhrh flhsfstnlgfhs fleustfdfghkhs nl lõ`nrc fiuhb c `hycr  Hs fstnl tnlgf gfh.h.- Nb hb 7=% knb tcthb kn ocrhs prcirh`hkhs nl bh ^.K. snrè knshprcahkc nl dcr`h hutc`ètfgh, hlctèlkcsn nl nb rnifstrc hgth bh lcth ==, y nl casnrvhgfclns gcbcghr K]F (knshprcahkc pcr flhsfstnlgfh). Wf nb nstukfhltn kneh kn hsfstfr pcr ul pnrfckc kn 1= kàhs oèafbns gclsngutfvcs, sfl scbfgfthr pnr`fsc, pnrknrè bh gclkfgf÷l kn nstukfhltn, y phrh snr hgnpthkc nl nb Flstftutc knanrè pcstubhr y hprcahr nb prcgnsc kn hk`fsf÷l

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Eustfdfghgf÷l kn flhsfstnlgfh. - Nl ghscs nxgnpgfclhbns gcl bh cpflf÷l dhvcrhabn kn bh Gccrkflhgf÷l kn bh Ghrrnrh y knb kcgnltn h ghric kn bh ^.K. ]ckrè eustfdfghr phrtn kn bhs flhsfstnlgfhs, prnvfh scbfgftuk knb nstukfhltn knafkh`nltn dulkh`nlthkh y kcgu`nlthkh.  kcgu`nlthkh.  

 

Nltrnih kn fldcr`ns y prègtfghs kfrfifkhs. - Wn rngfafrèl bcs fldcr`ns `clcirèdfgcs, prègtfghs kfrfifkhs kn ghkh ulc kn bhs hgtfvfkhkns hgtfv fkhkns u ctrcs kcgu`nltcs qun sn bns scbfgfth nl bhs

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dngohs prcirh`hkhs: lc sfnlkc pcsfabn su nltrnih nl nl dngohs pcstnrfcrns. Bh eustfdfghgf÷l kn flhsfstnlgfh lc bn kh knrngoc h prnsnlthr sus fldcr`ns ctrh dngoh.  

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Nxpcsfgf÷l kn hgtfvfkhkns.- Bcs nstukfhltns sustnlthrhl sus fldcr`ns nl dcr`h flkfvfkuhb c nl nqufpcs kn trhahec, phrh nbbc hltns kn bh nxpcsfgf÷l c nb kfsgursc sn scrtnhrh nl crknl kn prnsnlthgf÷l. Nb hbu`lc qun lc sn prnsnlth nl nb crknl nsthabngfkc pfnrkn tckh pcsfafbf pcsfafbfkhk khk kn nxpcsfgf÷l. ]règtfg ]rè gtfgh h kn vhbcrns flstf flstftugfclhbns.tugfclhbns.- Wn tnlkrè nl gunlth nl nb gcltnlfkc hgtftukflhb, prnvfh hpbfghgf÷l kn ul flstru`nltc kn nvhbuhgf÷l. Nb ]rc`nkfc Dflhb kn bh ulfkhk kfkègtfgh sn catnlkrè hsà5 ]D0 8hL] + 1hL]

 

1

 

 

_F. QNG^QWCW AFA  AFABFCIQÈDFGCW BFCIQÈDFGCW55  

-  -  -  -  - 

]N[F[CQFC LHGFCLHB ^LFGC KN @NKFGH@NL[CW, 1=86, Bf`h  ‗]nrõ DCQ@^BHQFC LHGFCLHB KN @NKFGH@NL[CW NWNLGFHBNW, 1=88, Bf`h  ‗]nrõ ]B@ KFGGFCLHQFC KN NW]NGFHBFKHKNW DHQ@HGÆ^[FG DHQ@HGÆ^[FGHW HW 1=8>, ]nrõ L^NTC @HL^HB KN @NQGJ, @WK CGNHLC. ottps5//ausqunkhs.nbpnruhlc.pn/lcr`hsbnihbns/hprunahl-nb-kcgu`nltc-tnglfgc-pntftcrfclhgfclhb-ulfgc-kn-`-rnscbugfcl-`flfstnrfhb-lc-8748-1=8?`flsh-8919>=>-8/. Q@ Lµ 87481=8?/@FLWH. WN QNW^NBTN5 Hrtàgubc 8.- Hprcahr nb Kcgu`nltc   [æglfgc-]ntftcrfc Lhgfclhb Õlfgc kn @nkfgh`nltcs Nsnlgfhbns phrh nb Wngtcr Whbuk, nb `fs`c qun dcr`h phrtn fltnirhltn kn bh prnsnltn Qnscbugf÷l @flfstnrfhb.1? kfg. 1=8?

 SSSSSSSSSS  SSSSS SSSSSSSSSS SSSSSSSSSS SSSSSSSSSS SSSSS KCGNL[N X.D. @CLFGH D. TNBHQKN QH@CW

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