Silabo I. Ginecología y Obstetricia Upao 2021

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

YKJMHL FEJ KCVEXCMFL FE DKCEILJLDÀM LHYVEVXKIKM  LHYVEVXKIKM  MÝL MIMFE@KIL 878= K. DECEXMJKFMFEY  DECEXMJKFMFEY 

=.= CL@HXE

1 Kctercmfl @ëfkil Xltmtlrkl fe Dkceiljldà Dkceiljldàmm y Lhstetrkikm

=.8 E^KDECIKM MIMFË@KIM =.9 IKIJL =.6 IÙFKDL

1 Mprlhmikùc fe jms mskdcmturms fej K mj ^KK Ikijl. 1 ^KKK 1 @ENU-8?; (KCVEXCMFL FE DKCEILJLDÀM [ LHYVEVXKIKM) 1 75 Ye`mcms 1 =57 Nlrms `ecsumjes 9? nlrms se`mcmjes (= se`mcm) 1 74 Irëfktls 1 Illrfkcmflres y/l Vutlres Aeoe fe Fepmrtm`ectl l Yervkikl fej Nlspktmj

=.5 FUXMIKÙC =.? E^VECYKLC NLXMXKM =.4 IXËFKVLY =.> XEYWLCYMHJEY KK. YU@KJJM1

Ec ej Kctercmfl @ëfkil ej efuimcfl mfqukere il`petecikms, prkcikpmj`ecte ec jm `lfmjkfmf fe príitkim preprloesklcmj, fe cmturmjezm príitkim jl que je per`kte iilcsljkfmr lcsljkfmr y mpjkimr jls ilclik`kectls y experkecikms mfqukrkfls ec jms mskdcmturms mcterklres. Wrepmrm mj efuimcfl pmrm jm mtecikùc fej e`hmrmzl, pmrtl y puerperkl, resljver jls prlhje`ms fe jls pmikectes mtecfkfls ec ej servkikl fe Dkceiljldàm y lhstetrkikm ec jms fkoerectes sktumiklces1 príitkim nlspktmjmrkm, prkvmfm y ec jm il`uckfmf ec ej `mril fe jm ilctkcdecikm smcktmrkm plr jm IL_KF-=;. KKK. LHAEVK_LY1 m.  m.  Lptk`kzmr ej mprecfkzmae `efkmcte jm kctedrmikùc fe jms mitkvkfmfes mimfë`kims y mskstecikmjes. h.  Ilclier jms duàms fe príitkim ijàckim fe mtecikùc fe jm smjuf fe jm `uaer, fej e`hmrmzl, pmrtl y puerperkl y fe jms ec ecoer`efmfes oer`efmfes dkceiljùdkims y lhstëtrkims `ís oreiuectes mfe`ís ec ej `mril fe jm e`erdecikm smcktmrkm plr jm IL_KF-=;. i. i.   Mpjkimr `efkfms fe hklsedurkfmf y ojuals fe ikriujmikùc ec jms írems Cl Ilvkf fe miuerfl ilc jms clr`ms vkdectes plr ej @KCYM f.  f.  Mfqukrkr jms tëickims y `ëtlfls usmfls ec ej eaerikikl `ëfkil m ckvej presecikmj y vkrtumj. e.  e.  Mfqukrkr jm impmikfmf fe prldrm`mr y fesmrrljjmr prldrm`ms prevectkvls prl`liklcmjes rejmiklcmfls ilc jm smjuf fe jm `uaer.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

o. o.   Mpjkimr jms clr`ms ëtkims rejmiklcmfms ilc ej mitl `ëfkil y fe`ís mitkvkfmfes rejmiklcmfms. =.  IL@WEVECIKMY M. M.  IL@WEVECIKM DECEXMJ1 Hrkcfm mtecikùc kctedrmj fe sm smjuf juf fe jm `uaer y ej vmrùc furmcte jm etmpm reprlfuitkvm, ilc ëcomsks ec `etlfljldàms mctkilcieptkvms, msà il`l furmcte ej ilctrlj e`hmrmzl, pmrtl y pu puerperkl erperkl c clr`mj lr`mj y ec jm rresljuikùc esljuikùc fe jms pmtljldàms dkceiljùdkims y lhstëtrkims fesfe sus mspeitls fe prl`likùc, prevecikùc, prliefk`kectls fkmdcùstkils y termpëutkils y renmhkjktmikùc sedñc jm `efkikcm hmsmfm ec jm evkfecikm, duàms ijàckims ec ej ilctextl fe jm e`erdecikm e`erdecikm smcktmrkm, ilc imjkfmf, ëtkim y respetl m jm cmturmjezm nu`mcm y iujturmj. H.  H.  IL@WEVECIKMY EYWEIÀOKIMY1 m.  m.  Hrkcfm mtecikùc estmcfmrkzmfm fe jm `uaer y ej vmrùc furmcte jm etmpm reprlfuitkvm, ilc ëcomsks ec `etlfljldàms ` etlfljldàms mctkilcieptkvms, msà il`l furmcte ej ilctrlj e`hmrmzl, pmrtl y puerperkl clr`mj, sedñc jm `efkikcm hmsmfm ec jm evkfecikm y duàms ijàckims, ilc imjkfmf, ëtkim y respetl m jm cmturmjezm nu`mcm y iujturmj. h.  h.  Hrkcfm mtecikùc estmcfmrkzmfm m pmikectes que presectmc prkcikpmjes pmtljldàms dkceiljùdkims y lhstëtrkims, sedñc jm `efkikcm hmsmfm ec jm evkfecikm, duàms ijàckims ec ej ilctextl fe jm e`erdecikm smcktmrkm, ilc imjkfmf, ëtkim y respetl m jm j m cmturmjezm nu`mcm y iujturmj. i.  i.  Hrkcfm mtecikùc estmcfmrkzmfm kckikmj m jm `uaer ilc pmtljldàms dkceiljùdkims y lhstëtrkims fe e`erdecikm, hmal supervkskùc fe jls `ëfkils espeikmjkstms fej equkpl fe dumrfkm, sedñc jm `efkikcm hmsmfm ec jm evkfecikm, duàms ijàckims ec ej ilctextl fe jm e`erdecikm smcktmrkm, ilc imjkfmf, ëtkim y respetl m jm cmturmjezm nu`mcm y iujturmj. f.  f.  Eoeitñm ilrreitm`ecte prliefk`kectls ijàckils `ís oreiuectes ec jm mtecikùc fe jm `uaer y vmrùc fe miuerfl ilc jms kcfkimiklces, `ëtlfls mctkilcieptkvls, sedñc duàms ijàckims ec ej ilctextl fe jm e`erdecikm smcktmrkm ilc imjkfmf, ëtkim y respetl m jm cmturmjezm nu`mcm y iujturmj. e. e.   Wmrtkikpm fe jms prestmiklces fe smjuf remjkzmfms plr ej `ëfkil mskstecte `efkmcte jm mpjkimikùc fe jms fkoerectes mitkvkfmfes fe Veje`efkikcm1 Vejelrkectmikùc, teje`lcktlrel, tejeilcsujtm, Vejekcterilcsujtm.

 

 

 

ILCVECKFLY ILCIEWVUMJEY

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

 

ILCVECKFLY WXLIEFK@ECVMJEY

ILCVECKFLY MIVKVUFKCMJEY Lrkectm m jm `uaer y vmrùc ec ej usl Msu`e ilc

Ymjuf reprlfuitkvm1 Wjmckokimikùc fe `ëtlfls mctkilcieptkvls. Om`kjkmr il`l Om`kjkmr  il`l Feter`kcmcte fe jm Ymjuf Kcfkvkfumj y Il`ucktmrkm.  Il`ucktmrkm. 

resplcsmhkjkfmf, eokikecikm y imjkfez ec jm vmjlrmikùc fej pmikecte qukrñrdkil.

Mpjkim ilrreitm`ecte `ëtlfls cmturmjes (Ldnkcl, Hkjjkcds), `ëtlfl fe jmitmcikm m`eclrrem, FKU, mctkilcieptkvls nlr`lcmjes (lrmjes e kcyeitmhjes).

Fe`uestrm respetl m jm perslcmjkfmf, fkdckfmf e kctk`kfmf fej pmikecte.

Ilctrlj fej E`hmrmzl

@mctkece reservm fe jm kcolr`mikùc rejmiklcmfm Xemjkzm y vmjlrm jm mtecikùc precmtmj, ilc ej mitl `ëfkil y jm il`l estrmtedkm pmrm kfectkokimr y nkstlrkm ijàckim fej

Exm`ec oàskil @efkikùc fe jm Wreskùc Ilctrlj fej Wesl @efkikùc mjturm uterkcm Wlskikùc fej oetl Ykdcls fe mjertm1 Okehre, ne`lrrmdkm, seireikùc vmdkcmj, efe`m ec `ke`hrls kcoerklres.

`lfkokimr querepresectmr se puefmc kcterveckr,ilcfkiklces que puefmc rkesdls pmrm jm smjuf reprlfuitkvm fe jm `uaer, pmrm jm smjuf `mtercm y perkcmtmj.   perkcmtmj. Kfectkokim skdcls skdcls fe mjertm y feteitm fe destmctes ilc mjtl rkesdl lhstëtrkil.   lhstëtrkil.

pmikecte qukrñrdkil.

Xkesdl Lhstëtrkil l reprlfuitkvl, mtecikùc fe pmrtl fkstùikil.

Fe`uestrm il`uckimikùc msertkvm ilc jls pmikectes, Xeilclie y `mceam kckikmj`ecte jls om`kjkmres y perslcmj fe prlhje`ms furmcte jm destmikùc1 smjuf.

@ëtlfls mctkilcieptkvls @ëtlfls cmturmjes (Ldnkcl, Hkjjkcds), `ëtlfl fe jmitmcikm m`eclrrem, FKU, mctkilcieptkvls nlr`lcmjes (lrmjes e kcyeitmhjes).

Mtecikùc fej pmrtl eutùikil1 Exm`ec pëjvkil hk`mcumj pmrm kfectkokimr jls im`hkls mslikmfls m jm jmhlr fe pmrtl y presectmikùc oetmj. Mtecikùc fe pmrtl eutùikil  eutùikil   Mtecikùc fej puerperkl Wuerperkl kc`efkmtl Wuerperkl `efkmtl Jmitmcikm `mtercm

Mce`km, KVU, Mu`ectl mclr`mj fe Wesl. Mtkecfe ej pmrtl eutùikil ec smjm fe pmrtls. @mceal mitkvl fe jm terierm omse fej pmrtl. @lcktlrel fe jm jmhlr fe pmrtl (usl fe dríokim fe pmrtldrm`m). Extrmiikùc `mcumj fe jm pjmiectm. Hrkcfm mtecikùc estmcfmrkzmfm furmcte ej puerperkl clr`mj

Wmrtkikpm fej trmhmal ec equkpl ilc ltrls prloesklcmjes fe jm smjuf y ilc sus il`pmýerls.

@uestrm il`plrtm`kectl ëtkil ilc jls pmikectes y om`kjkmres.   om`kjkmres.

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

 

Ykdcls fe mjmr`m

Kfectkokim skdcls fe mjmr`m y lrkectm m jm `mfre puërperm

Ecoer`efmfes furmcte ej e`hmrmzl, pmrtl y puerperkl

Fkmdcùstkim ilrreitm`ecte1 M`ecmzm fe mhlrtl, Kckikl fe jmhlr fe pmrtl, Yàcfrl`e ne`lrrídkil, Yàcfrl`e nkpertecskvl, pmrtl lhstrukfl.

M`ecmzm fe mhlrtl, nkperë`esks drmvàfkim, Kckikl fe jmhlr fe pmrtl pre`mturl, sàcfrl`e ne`lrrídkil, pjmiectm prevkm, sàcfrl`e nkpertecskvl, pmrtl lhstrukfl.

 

Mpjkim `efkfms fe hklsedurkfmf estrkitms sedñc clr`mtkvkfmf fej @kcksterkls fe Ymjuf.

Wmrtkikpm fe jm prestmikùc fe servkikls nmikecfl usl fe jm teje`efkikcm. Wrlhje`ms ec ej Mpmrmtl

Xemjkzm

Xeprlfuitlr. _ujvm l _mdkcm1 _ujvktks, vmdkcktks, ecoer`efmf fe jm djícfujm fe Hmrtnljkcl, Kcoeiikùc plr pmpkjl`m vkrus, nerpes vkrus, eitlpmrísktls plr ptnkrus puhks, tu`lres. Iërvkx1 Eitrlpkùc (everskùc fej epktejkl ilju`cms), iervkiktks purujectm hmiterkmcm, iervkiktks, kcespeiàokim, pùjkpls iervkimjes,

kfectkokimikùc skcirùckim, ej resplcsmhkjkfmf, eokikecikm fkmdcùstkil fkoerecikmj y ej `mceal fe y imjkfez ec jm vmjlrmikùc jls pmtljldàms dkceiljùdkims y fej pmikecte qukrñrdkil. lhstëtrkims. Fe`uestrm respetl m jm Mpjkim `efkfms fe hklsedurkfmf perslcmjkfmf, fkdckfmf e estrkitms sedñc clr`mtkvkfmf fej kctk`kfmf fej pmikecte. @kcksterkls fe Ymjuf. @mctkece reservm fe jm Wmrtkikpm fe jm prestmikùc fe kcolr`mikùc rejmiklcmfm servkikls nmikecfl usl fe jm ilc ej mitl `ëfkil y jm teje`efkikcm. nkstlrkm ijàckim fej

kcoeiikùc plr pmpkjl`m vkrus, nerpes vkrus, fkspjmskms, iícier fe iërvkx. Ñterl1 Jekl`kl`ms, mfecl`klsks, nkperpjmskm ecfl`etrkmj, iícier fe ecfl`etrkl.  ecfl`etrkl.  Lvmrkl y trl`pms fe Omjlpkl1 Kcoeiikùc, ecfl`etrklsks, tu`lres (qukstes, sùjkfls y `kxtls) heckdcls, tu`lres (qukstes, sùjkfls y `kxtls) `mjkdcls.

ej

exm`ec

ijàckil,

jm Msu`e ilc

pmikecte qukrñrdkil. Wmrtkikpm fej trmhmal ec equkpl ilc ltrls prloesklcmjes fe jm smjuf y ilc sus il`pmýerls. Fe`uestrm il`uckimikùc msertkvm ilc jls pmikectes, om`kjkmres y perslcmj fe smjuf.

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

Ecoer`efmfes l sàcfrl`e que il`prl`etec `ñjtkpjes ùrdmcls l etkljldàms1 Ecfl`etrklsks, fks`eclrrem, ne`lrrmdkm uterkcm fksouciklcmj, kcoertkjkfmf, fkstlpkm decktmj. @m`ms1 Dmjmitlrrem, tu`lres, mclr`mjkfmfes fej pezùc.  pezùc.  Wrlhje`ms fe e`erdecikm1 Dkceiljldàm1 Mhfl`ec mdufl dkceiljùdkil1 ]ukste fe lvmrkl m pefàiujl tlrikfl, e`hmrmzl ecoer`efmf kcojm`mtlrkm pëjvkim, ne`lrrmdkm dkceiljùdkim mclr`mj, mhlrtl.

 

@uestrm il`plrtm`kectl ëtkil ilc jls pmikectes y om`kjkmres.

Xemjkzm ej `mceal ilrreitl kckikmj fe jms pmtljldàms ec e`erdecikms dkceil-lhstëtrkim fe miuerfl m jls prltliljls estmhjeikfls

Mpjkim `efkfms fe hklsedurkfmf estrkitms sedñc clr`mtkvkfmf fej @kcksterkls fe Ymjuf. Lhstetrkikm1 Wmrtkikpm fe jm prestmikùc fe Il`pjkimiklces fej e`hmrmzl, servkikls nmikecfl usl fe jm pmrtl y puerperkl1 Yàcfrl`e teje`efkikcm. ne`lrrídkil, sàcfrl`e nkpertecskvl, sàcfrl`e oehrkj, pmrtl lhstrukfl.  lhstrukfl. 

Msu`e ilc resplcsmhkjkfmf, eokikecikm y imjkfez ec jm vmjlrmikùc fej pmikecte qukrñrdkil. Fe`uestrm respetl m jm perslcmjkfmf, fkdckfmf e kctk`kfmf fej pmikecte. @mctkece reservm fe jm kcolr`mikùc rejmiklcmfm ilc ej mitl `ëfkil y jm nkstlrkm ijàckim fej pmikecte qukrñrdkil. Wmrtkikpm fej trmhmal ec equkpl ilc ltrls prloesklcmjes fe jm smjuf y ilc sus il`pmýerls. Fe`uestrm il`uckimikùc msertkvm ilc jls pmikectes, om`kjkmres y perslcmj fe smjuf. @uestrm il`plrtm`kectl ëtkil ilc jls pmikectes y om`kjkmres.

Ejmhlrmikùc fe nkstlrkms ijàckims

Ejmhlrm Nkstlrkm Ijàckim @mtercl perkcmtmj fe miuerfl ilc olr`mtl estmhjeikfl pmrm ej reikëc cmikfl y jm `mfre.

Msu`e ilc resplcsmhkjkfmf, eokikecikm y imjkfez ec jm vmjlrmikùc fej pmikecte qukrñrdkil.

 

 

Wresirkpikùc fe `efkim`ectls

Fereinls fe jls pmikectes

Mspeitls ëtkils y jedmjes fej eaerikikl prloesklcmj.

Irkterkls pmrm jm reoerecikm r eoerecikm fe jls pmikectes  pmikectes 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

Ejmhlrm jm nkstlrkm ijàckim il`pjetm1 Okjkmikùc, mcm`cesks, mcteiefectes perslcmjes y om`kjkmres, exm`ec oàskil, k`preskùc fkmdcùstkim, fkmdcùstkil fkoerecikmj y pjmc fkmdcùstkil y termpëutkil. Wmrtkikpm fe jm presirkpikùc fe `efkim`ectls ilcskdcmcfl iumcfl iumcf l ` e c l s , jm Fecl`kcm Fecl`kcmikùc ikùc Il`ñc Kctercmiklcmj (FIK), jm olr`m omr`miëutkim, jm plsljldàm, jm flsks y ej peràlfl fe mf`kckstrmikùc fej `efkim`ectl. Expjkim mj pmikecte ec olr`m il`precskhje y il`pjetm ej fkmdcùstkil, jm evljuikùc y prlcùstkil fe su ecoer`efmf msà il`l jms mjtercmtkvms termpëutkims Expjkim mj pmikecte ec olr`m il`precskhje y il`pjetm jls rkesdls, ilctrmkcfkimiklces, mfvertecikms, remiiklces mfversms e kctermiiklces fe jls `efkim`ectls que je presirkhec msà il`l jms preimuiklces que fehec tl`mr pmrm su usl ilrreitl y sedurl. Expjkim jls prliefk`kectls presirktls plr jms clr`ms pmrm preservmr jls fereinls fej pmikecte mctes fe prliefer m eoeitumr iumjquker prliefk`kectl `ëfkil l qukrñrdkil. Mpjkim jls prkcikpkls ëtkils y felctljùdkils y jls mspeitls jedmjes fej eaerikikl prloesklcmj fe jm `efkikcm. Wmrtkikpm ec jm mpjkimikùc fe jls irkterkls fe reoerecikm y sljkiktm jm kctervecikùc fej espeikmjkstm ec imsl fe ecoer`efmfes `lfermfms y severms l iumcfl jm cmturmjezm fej prlhje`m superm sus il`petecikms.

 

Fe`uestrm respetl m jm perslcmjkfmf, fkdckfmf e kctk`kfmf fej pmikecte. @mctkece reservm fe jm kcolr`mikùc rejmiklcmfm ilc ej mitl `ëfkil y jm nkstlrkm ijàckim fej pmikecte qukrñrdkil.

Wmrtkikpm fej trmhmal ec equkpl ilc ltrls prloesklcmjes fe jm smjuf y ilc sus il`pmýerls. Fe`uestrm il`uckimikùc msertkvm ilc jls pmikectes, om`kjkmres y perslcmj fe smjuf. @uestrm il`plrtm`kectl ëtkil ilc jls pmikectes y om`kjkmres.

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

Clr`ms y prliefk`kectls prevectkvls y termpëutkils ec jm mtecikùc fe jls prlhje`ms fe k`plrtmcikm ec jm smjuf pñhjkim.

Mpjkim jls esque`ms prevectkvls y termpëutkils feokckfls plr jls Wrldrm`ms fe Ymjuf fej @kcksterkl fe Ymjuf. Kfectkokim y cltkokim jms ecoer`efmfes fe cltkokimikùc lhjkdmtlrkm y ejmhlrm ilrreitm`ecte jls kcolr`es ilrresplcfkectes. Mpjkim `efkfms fe hklsedurkfmf furmcte jm iljlimikùc y retkrl fe equkpls fe prlteiikùc perslcmj (EWWs) ec fls m`hkectes fkoerecikmfls. Mpjkim prltliljls fe ojuals kctercls y extercls fej fepmrtm`ectl l servkikl fe Dkceiljldàm y Lhstetrkikm. Wmrtkikpm fej prltliljl pmrm jm reiepikùc, lrdmckzmikùc y fkstrkhuikùc fe jls trmsjmfls fe jls pmikectes Dkceil-Lhstëtrkils ilcokr`mfls l slspeinlsls skctl`ítkils fe IL_KF-=; hmal supervkskùc. Kcterpretm ilrreitm`ecte jls kcfkimflres fe smjuf. Kcterpretm ilrreitm`ecte ej resujtmfl fe1 Wucikùc ju`hmr, Wucikùc pjeurmj, Ejeitrlimrfkldrm`m, feter`kcmikùc fe djuilsm ec smcdre, feter`kcmikùc fe djuilsm ec lrkcm, `uestrms fe seireiklces fe `uestrm WMW, tl`m fe dmses mrterkmjes. Wmrtkikpm fe jm ejmhlrmikùc ilrreitm fe iertkokimfls fe feoucikùc.

Wrkcikpmjes prliefk`kectls ijàckils dkceil-lhstëtrkils

Ilctrljm plrilrreitm`ecte fkstkctls `ëtlfls kcterpretmc jls e

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

skdcls vktmjes1 Wreskùc mrterkmj, Oreiuecikm imrfkmim, Ve`permturm, Oreiuecikm respkrmtlrkm. Mpjkim ilrreitm`ecte `efkim`ectls plr vàm kctrm`usiujmr, suhiutícem y ecflveclsm y iljlimikùc fe veclijksks sedñc prltliljl y `efkfms fe hklsedrukfmf. Wmrtkikpm fe jm lhtecikùc fe `uestrms fe smcdre, `uestrm fe seireiklces vmdkcmjes y iervkimjes y su mcíjksks mj `kirlsilpkl Mpjkim fe trmcsousklces fe smcdre y suerls, frecmae, mspkrmikùc y lhtecikùc fe `uestrm fej mpmrmtl dmstrlkctestkcmj. Wmrtkikpm fe prliefk`kectls ijàckils il`l es1 Iljlimikùc fe slcfm cmsldístrkim, veskimj sedñc prltliljl y `efkfms fe hklsedurkfmf. Eoeitñm ec olr`m ilrreitm prliefk`kectls ijàckils fe miuerfl ilc jms kcfkimiklces y `ëtlfls mieptmfls, msà il`l Xemck`mikùc imrfklpuj`lcmr hískim, Xemck`mikùc imrfklpuj`lcmr mvmczmfm, jmvmfl dístrkil ectre ltrls sedñc prltliljl, hmal suprevkskùc. Fe`uestrm ej exm`ec ilc espëiujl vmdkcmj y tl`m fe `uestrm fe WMW hmal supervkskùc. Wmrtkikpm fe jm revkskùc `mcumj fe jm imvkfmf uterkcm y revkskùc fe jm vmdkcm y iervkz plst mju`hrm`kectl sedñc prltliljl. Xemjkzm `msmae uterkcl hk`mcumj hmal supervkskùc. Xemjkzm epkskltl`àm y repmrmikùc fe jmiermiklces fej perkcë y vmdkcm hmal supervkskùc.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

8. 8.   MIVK_KFMFEY M1 MVECIKÙC FEJ WMIKECVE NLYWKVMJKQMFL Ej Kctercl fe `efkikcm kctedrmfl mj equkpl fe Fliecte Mskstecikmj fej estmhjeik`kectl Nlspktmjmrkl, feherí plcer ec príitkim sus ilclik`kectls, nmhkjkfmfes y festrezms mfqukrkfms pmrm pmrm iljmhlrm iljmhlrmrr ec ej fkmdcùstkil trmtm`kectl fe jls prlhje`ms fe smjuf fe imfm ucm fe jms j ms espeikmjkfmfes hmal supervkskùc tutlrkmj. Mitkvkfmfes que fehe remjkzmr1 =. =.   Ilcoeiiklcm jm Nkstlrkm Ijàckim `mtercl perkcmtmj fej pmikecte fectrl fe jms 86 nlrms fe jm mf`kskùc. 8. 8.   Xemjkzm iljlimikùc y retkrl fe jls equkpls fe prlteiikùc perslcmj (EWWs) ec m`hkectes fkoerecikmfls fe miuerfl ilc prliefk`kectl estmhjeikfl plr ej 9. 9.   6. 6.  

5. 5.   ?. ?.   4. 4.  

@KCYM y clr`ms fe hklsedurkfmf. Xemjkzm jmvmfl fe `mcls ijàckil estrkitm`ecte imfm vez fe mtecfer m uc pmikecte, fe remjkzmr uc prliefk`kectl. Wmsm vksktm fkmrkm`ecte m jls pmikectes que je slc mskdcmfls, liupícflse fe jls prliefk`kectls usumjes rejmiklcmfls ilc jm vksktm il`l jm ejmhlrmikùc fe reietms, pmpejetms fe mjtm e kcfkimiklces fe mjtm, iktms pmrm ilctrlj eti., hmal supervkskùc. Fkmdclstkim ilrreitm`ecte jls prlhje`ms fe smjuf l ecoer`efmf fej pmikecte. Wmrtkikpm fe jm mtecikùc fej pmrtl y puerperkl. Yljkiktm jls exí`eces muxkjkmres pertkcectes pmrm jm ilcokr`mikùc fe jm nkpùtesks fkmdcùstkim y redkstrmrjls ec jm nkstlrkm ijàckim.

  >. Xeijm`m lplrtucm`ecte jls exí`eces muxkjkmres sljkiktmfls. ;. ;.   Olr`ujm ilc prlpkefmf jms `efkfms termpëutkims y prevectkvms que ej imsl jl requkere. =7.   Evljuiklcm m jls pmikectes fkmrkm`ecte l ilc jm oreiuecikm que ej imsl m`erkte, =7. feamcfl redkstrmfl ec jm nkstlrkm ijàckim. ==.   Wmrtkikpm il`l myufmcte ec jm mtecikùc fe pmrtls fkstùikils. ==. =8.   Mtkecfe ilc rmpkfez y eokikecikm =8. eokikecik m jls imsls fe e`erdecikm l fe iukfmfls kctecskvls hmal supervkskùc. =9.   Yljkiktm y vkmhkjkzm jms kcterilcsujtms pertkcectes m jls espeikmjkstms sedñc ej imsl =9. m`erkte, jms `ks`ms que puefec ser presecikmjes l vkrtumjes. =6.   Efuim mj pmikecte y/l om`kjkmres ec jl ilcierckecte m jls prlhje`ms fe smjuf l =6. ecoer`efmfes fe jm `uaer ec efmf oërtkj.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

=5.  Ilcoeiiklcm jm Epkirksks 86 nlrms mcte ej mjtmr fej pmikecte. =5.  =?.   @mctkece huecms rejmiklces perslcmjes ilc ej perslcmj `ëfkil, fe ecoer`eràm y =?. tëickil. =4.   Ilcsujtm per`mcecte`ecte ilc ej `ëfkil reskfecte, tutlr l `ëfkil mskstecte l =4. fliecte. =>.   Xemjkzm prliefk`kectls e kcterveciklces `ëfkil- qukrñrdkims fe miuerfl ilc su =>. ckvej fe il`petecikm y hmal mseslrm`kectl y supervkskùc fej `ëfkil mskstecte y/ l fliecte. =;.   Wmrtkikpm fe jls prliefk`kectls fe myufm mj fkmdcùstkil m jls que semc sl`etkfls =;. jls pmikectes. 87.   Eaeiutm jms iurmiklces fe jls pmikectes nlspktmjkzmfls que jes kcfkque ej `ëfkil 87. mskstecte. 8=.   Ltrms mitkvkfmfes prldrm`mfms plr ej fepmrtm`ectl l servkikl. 8=. H1 MVECIKÙC FEJ WMIKECVE EC E@EXDECIKM Ej kctercl fe `efkikcm hmal jm supervkskùc fej tutlr, l fej `ëfkil reskfecte, l fej `ëfkil fe dumrfkm resljverí jls prlhje`ms fe smjuf fe jls pmikectes ec e`erdecikm ec imfm ucl. Mitkvkfmfes que fehe remjkzmr1 =. =.   Xemjkzmr ec e`erdecikm turcls fe seks nlrms ec jms `mýmcms l ec jms tmrfes sedñc prldrm`mikùc fej Fepmrtm`ectl. 8. 8.   Xemjkzm iljlimikùc y retkrl fe jls equkpls fe prlteiikùc perslcmj (EWWs) ec m`hkectes fkoerecikmfls fe miuerfl ilc prliefk`kectl estmhjeikfl plr ej @KCYM y clr`ms fe hklsedurkfmf. 9. 9.   Xemjkzm jmvmfl fe `mcls ijàckil estrkitm`ecte imfm vez fe mtecfer m uc pmikecte, fe remjkzmr uc prliefk`kectl. 6. 6.   Mpjkim prltliljl pmrm jm reiepikùc, lrdmckzmikùc y fkstrkhuikùc fe jls trmsjmfls fe jls pmikectes dkceil- lhstëtrkils ilcokr`mfls l slspeinlsls skctl`ítkils fe IL_KF-=; hmal supervkskùc. 5. 5.   Ejmhlrm jm nkstlrkm ijàckim fej pmikecte ec estmfl fe e`erdecikm y ec ej servkikl fe lhservmikùc. ?. ?.   Kfectkokim jls prlhje`ms fe e`erdecikm fej pmikecte y pjmctemr jms nkpùtesks Fkmdcùstkims pertkcectes. 4. 4.   Olr`ujm jms `efkfms termpëutkims kc`efkmtms y mfeiumfms.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

>. >.   Yljkiktm jls exí`eces muxkjkmres fe e`erdecikm requerkfls, redkstrmrjls ec jm nkstlrkm ijàckim, msà il`l reilder jls `ks`ls ec olr`m lplrtucm. ;. ;.   Xemjkzm ec nkstlrkm ijàckim jms cltms fe evljuikùc y il`ectmrkls fej estmfl fej pmikecte furmcte ej perklfl fe lhservmikùc. =7.  Yljkiktm y vkmhkjkzm jms kcterilcsujtms pertkcectes m jls espeikmjkstms sedñc ej imsl =7. m`erkte. ==.  Kcolr`m mj `ëfkil Xeskfecte y Mskstecte fe jl mitumfl ilc jls pmikectes m su ==. imrdl. =8.  Xemjkzm prliefk`kectls e kcterveciklces =8. kcterveciklces `ëfkil qukrñrdkil f fee miuerfl ilc su ckvej fe il`petecikm y hmal mseslrm`kectl y supervkskùc fej `ëfkil mskstecte y/ l fliecte. =9.  Wmrtkikpm fej replrte mj equkpl fe dumrfkm que jl ree`pjmzm fe jm sktumikùc ec =9. que quefmc jls pmikectes ilc prlhje`ms fe e`erdecikms dkceil-lhstëtrkims ec lhservmikùc y fe tlfl neinl fe k`plrtmcikm que liurrkerm furmcte su per`mcecikm ec e`erdecikm. =6. Ltrms mitkvkfmfes prldrm`mfms plr ej fepmrtm`ectl l servkikl. I1 MVECIKÙC FEJ WMIKECVE EC ILCYUJVLXKLY E^VEXCLY Ej Kctercl fe `efkikcm iljmhlrmrí ilc ej prloesklcmj `ëfkil ec jms miiklces que fe`mcfec su mplyl, fehkecfl ec tlfl `l`ectl lhservmr jms fksplskiklces que slhre imfm ucl fe jls servkikls ej nlspktmj nm Kcstktuiklcmjkzmfl ec ej `mril fe jm e`erdecikm smcktmrkm plr jm IL_KF-=;. Ectre jms mitkvkfmfes que se fehe remjkzmr tece`ls1 =.  Mil`pmým mj `ëfkil mskstecikmj m remjkzmr jms mitkvkfmfes plr teje`efkikcm ec jls ilcsujtlrkls vkrtumjes pmrm jm prestmikùc fe smjuf plr teje`lcktlrel. 8. 8.   Wmrtkikpm ec jm utkjkzmikùc fe jm pjmtmolr`m YKYDMJECWJUY u ltrm pjmtmolr`m que utkjkie ej nlspktmj pmrm jm mtecikùc fej pmikecte ec jm ilcsujtm extercm vkrtumj.   9. 9.   Ejmhlrm jm nkstlrkm ijàckim vkrtumj fej pmikecte que sljkikte ucm prestmikùc fe smjuf vàm tejeoùckim.  6. 6.   Wmrtkikpmr fe jm presirkpikùc fe jms j ms `efkfms termpëutkims y prevectkvms pertkcectes.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

F1 MIVK_KFMFEY MIMFE@KIMY _KXVUMJEY Ye fesmrrljjmrí sedñc prldrm`mikùc que ejmhlre ej Fepmrtm`ectl y/l Yervkikl1 Fej Nlspktmj1 =. =.   Ec ej Yervkikl l Fepmrtm`ectl plr tutlres1 -  Ve`ms vkrtumjes fe imfm suhespeikmjkfmf plr ej `ëfkil mskstecte y/l tutlr resplcsmhje -  Wresectmikùc fe imsls ijàckils `efkmcte sesklces Qll` plr ej `ëfkil reskfecte, mskstecte y/l tutlr resplcsmhje. 8. 8.   Lokikcm fe Fliecikm- Kcvestkdmikùc- Impmiktmikùc Impmiktmikùc mj Kckikl fej Kctercmfl `efkmcte Yesklces _krtumjes usmcfl _krtumjes  usmcfl jm pjmtmolr`m Qll`, ilc ëcomsks ec jls skdukectes te`ms1 -  @kskùc y _kskùc fej Estmhjeik`kectl Nlspktmjmrkl -  Lrdmckzmikùc Nlspktmjmrkm -  Feheres y fereinls fe jls kctercls -  IL_KF-=;- Decermjkfmfes, Epkfe`kljldàm, Fkmdcùstkil, Vrmtm`kectl y `efkfms fe Wrevecikùc Wrk`mrkm y seiucfmrkm. -  Hklsedurkfmf- Usl fe EWW-Ojuals Impmiktmikùc ec servkikl ec1 Hklsedurkfmf ’  Usl  Usl fe EWW- Ojuals ilc drupls pequeýls plr fepmrtm`ectl. Fe jm Uckverskfmf1 =. =.   Wlr Fliectes y tutlres fe jm Uckverskfmf1 Il`pje`ectmikùc plr imfm te`m fe jm espeikmjkfmf fe Dkceiljldàm y Lhstetrkikm `efkmcte sesklces vkrtumjes utkjkzmcfl pjmtmolr`m zll`. _K. E_MJUMIKÙC M. M.  IXKVEXKLY FE E_MJUMIKÙC1 Imfm kctercl ilctmrí  ilctmrí  ilc ucm okinm fe evmjumikùc pmrm imfm Uckfmf Mimfë`kim ilc jls skdukectes pmrí`etrls y plcfermikùc1 M.  M.  H.  H.  I.  I.  F. F.  

Ilclik`kectls `ëfkils Nmhkjkfmfes y festrezms Mskstecikm y puctumjkfmf Xesplcsmhkjkfmf

67% 87% =7% =7%

E. 

Xejmikùc kcterperslcmjes y trmhmal ec equkpl

=7%

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

O.  O. Iu`pjk`kectl fe prkcikpkls ëtkils y Felctljldàm=7%

Jm evmjumikùc mimfë`kim y mf`kckstrmtkvm fe jls kctercls, serí per`mcecte, olr`mtkvm y su`mtkvm, dmrmctkzmcfl ej iu`pjk`kectl fe jls lhaetkvls prlpuestls ec imfm ec imfm ucl fe jls fl`kckls ildclsiktkvl, pskil`ltlr y moeitkvl. Ec jm evmjumikùc fe jms mitkvkfmfes que iu`pje ej kctercl, se utkjkzmrí jm esimjm vkdesk`mj (fe 7 m 87). Jm cltm mprlhmtlrkm serí fe lcie (==) y tlfm ormiikùc ec jm lhtecikùc fej prl`efkl kdumj l superklr m 7.5 se ilcskferm il`l ikorm ecterm kc`efkmtm superklr. Jm evmjumikùc serí eoeitumfm mj okcmj fe jm rltmikùc plr ej illrfkcmflr l tutlr fe imfm rltmikùc y plr ej aeoe fej Fepmrtm`ectl l Yervkikl. Jms Okinms fe evmjumikùc okcmj fehkfm`ecte imjkokimfms, seríc okr`mfms y re`ktkfms mj Il`ktë Iectrmj fe Kctercmfl, plr ej Illrfkcmflr pmrm su prliesm`kectl nmstm ucm se`mcm fespuës fe ilcijukfl ej ikijl fej kctercmfl, ej Illrfkcmflr Decermj fej Kctercmfl re`ktkrí jms cltms m jm Fkreiikùc fe Esiuejm fe @efkikcm Nu`mcm. Jls kctercls que cl lhtecdmc jm cltm mprlhmtlrkm mj tër`kcl fej ilrresplcfkecte ikijl, repetkríc jm(s) rltmikùc(es) ec ej prùxk`l mýl mimfë`kil, skc fereinl mj estkpecfkl reikhkfl, fehkecfl presectmr su sljkiktuf mj Il`ktë fe Kctercmfl fe jm Esiuejm fe @efkikcm Nu`mcm fe jm UWML pmrm su ilrresplcfkecte i lrresplcfkecte prldrm`mikùc. prldrm`mikùc.

Mskstecikm1 Jms kcmskstecikms kcaustkokimfms superklr mj 97% fej tltmj fe fàms que furm ucm rltmikùc, se ilcskferm il`l fesmprlhmikùc fej estufkmcte y repetkrí fkinm rltmikùc mj tër`kcl fej mýl mimfë`kil skc dlie fe mskdcmikùc peiumrkm. Jms kcmskstecikms kcaustkokimfms m uc (7=) fàm fe dumrfkm, sem ëstm ec fàms jmhlrmhjes, oerkmfls, fl`kcdls l oeinms fe milcteik`kectls espeikmjes, se il`putmrí il`l 9 (9) fàms fe kcmskstecikm. Ye plfrí sljkiktmr jkiecikm plr rmzlces fe smjuf l ouerzm `mylr fehkfm`ecte austkokimfms nmstm uc `íxk`l fej =7% fej tke`pl que fure jm rltmikùc.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

 

H.  H.  KCYVXU@ECVLY FE E_MJUMIKÙC Kcstru`ectls Jkstm fe Ilteal

@l`ectl fe mpjkimikùc Vëickim fe mpjkimikùc Furmcte jm eaeiuikùc fe Jm lhservmikùc ucm mitkvkfmf l skste`ítkim prliefk`kectl

Esimjm vmjlrmtkvm

Furmcte tlfl ej prliesl Jm lhservmikùc fe olr`mikùc skste`ítkim

Wruehms Lrmjes

Furmcte tlfl ej prliesl Kcterrldmtlrkl fe olr`mikùc

Wruehms esirktms

Mj okcmjkzmr imfm rltmikùc

Eciuestms fe smtksomiikùc fej kctercmfl

Wreductms plr esirktl

Mj okcmjkzmr imfm rltmikùc

Iuestklcmrkl

_KK.VUVLXÀM [ ILCYEAEXKM1 Fkinm mitkvkfmf serí remjkzmfm jls fàms síhmfls fe =8177 m =9177 nlrms. _KK.NLXMXKL FE VXMHMAL1 Ej mýl jeitkvl 878=1 Kckikm ej =/5/878= y ter`kcm ej 8>/8/8788. 8>/8/8788 . Ec ej `mril fe jls jkcem`kectls pmrm ej kckikl fej kctercmfl `ëfkil 8778= jm furmikùc pmrm jm rltmikùc fe Dkceiljldàm y Lhstetrkikm serí fe 75 se`mcms (7= `es y 7= se`mcm), nmikecfl uc tltmj =>? nlrms mskdcmfls pmrm ej kctercmfl ec ëstm rltmikùc. Jm prldrm`mikùc y fesmrrljjl fe jms mitkvkfmfes fej kctercmfl es m fefkimikùc exijuskvm, plr jl tmctl, cl plfrí remjkzmr mitkvkfmfes fkoerectes m jms estmhjeikfms pmrm ej kctercmfl. Ej nlrmrkl fe trmhmal fe jls Kctercls es presecikmj ilc ucm furmikùc fe =57 nlrms `ecsumjes, ilc 7? nlrms fe trmhmal trmhmal fe juces m síhmfl fe 4177 m`. =9177 p` l fe =9177 p` m =;177 p`.  p`. 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

K^.MXEMY FE XLVMIKLCEY =. =.   8. 8.   9. 9.   6. 6.   5. 5.  

Nlspktmjkzmikùc Iectrl lhstëtrkil Iectrl ]ukrñrdkil E`erdecikm Dkceil-Lhstëtrkim Ilcsujtlrkl Extercl fe Dkceiljldàm _krtumj

^.HKHJKLDXMOKM HKHJKLDXÍOKM HMYKIM =. =.   Mjjer A, Wmdës D. Lhstetrkikm @lfercm 9rm Efkikùc, Efktlrkmj @iDXMT- NKJJ KCVEXM@EXKIMCM. 87=8. 8. 8.   Herb y Clvmb. Dkceiljldàm =5mvm. Efkikùc, Efktlrkmj @iDXMT-NKJJ [email protected]=9. 9. 9.   Hltejjm A y ilj1 Vrmtmfl fe Lhstetrkikm y Dkceiljldàm (Vl`ls K y KK). Efkt.Ikect. @ef. Hmriejlcm =;>8.

HKHJKLDXMOÀM IL@WJE@ECVMXKM1 =. =.   Hejktzby X. y ilj. Veicl Veicljldàms jldàms Werkcmtm Werkcmtmjes, jes, Wuhjkimikùc ikectàokim IJMW C· =855, @lctevkfel =;;8. 8. 8.   Yerrm H, @mjjmorë1 Wrltliljl fe Lhstetrkikm y `efkikcm Werkcmtmj fej Kcstktutl Fexeus. Ejsevker @msslc. Hmriejlcm 87=6. 9. 9.   Ikouectes X1 Lhstetrkikm fe Mjtl Xkesdl. Efkikùc Nlspktmj Uckversktmrkl fej vmjje. 4 `m. Efkikùc., Imjk-Iljl`hkm 87=9. 6. 6.   Juf`kr D.M.1 Dkceiljldàm y Lhstetrkikm1 Wrevecikùc, fkmdclstkim y trmtm`kectl. ILCI[VEI. Jk`m ’  Werñ  Werñ =;;?. 5. 5.   Yinwmrtz X. y ilj.1 Mtecikùc Wrecmtmj y fej Wmrtl f fee hmal Xkesdl, Wuhjkim Wuhjkimikùc ikùc Ikectàokim IJMW C· =98=.7=.

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM

OMIUJVMF FE @EFKIKCM NU@MCM OKINM FE E_MJUMIKÙC

OLVL KCVEXCL

1

XLVMIKÙC

1

E_MJUMIKÙC

1

IXKVEXKLY

CLVM (7 m 87)

M. M.   ILCLIK@KECVLY

1 ………………….. 

 

1 …………………..

H. NMHKJKFMFEY [ FEYVXEQMY I. I.   MYKYVECIKM [ WUCVUMJKFMF

  1 …………………….

F. F.   XEYWLCYMHKJKFMF

1 ……………………

E. E.   XEJMIKLCEY KCVEXWEXYLCMJEY

1 …………………..

O.  O.  IU@WJK@KECVL FE WXKCIKWKLY

1…………………..

 

 

 

[ VXMHMAL EC E]UKWL

 

ËVKILY [ FELCVLJÙDKILY

CLVM OKCMJ1 (M x 7.6) + (H x 7.8) + (I x 7.=) + (F x 7=) + (E x 7.=) x (O x 7.=) 1…………………..

OEINM1 ………………………………………. 

……………………………………… 

ILLXFKCMFLX/VUVLX

……………………………………… 

AEOE FE FEWMXVM@ECVL

 

 

 

 

UCK_EXYKFMF WXK_MFM MCVECLX LXXXEDL OMIUJVMF FE @EFKIKCM NU@MCM  NU@MCM  EYIUEJM WXLOEYKLCMJ FE @EFKIKCM NU@MCM