Urgencias en Otorrinolaringologia

 

Sacom`h` Calanboheh `m Atarroealhroeialaiîh Iuîh Clîeoch cumrpas mxtrhøas me aî`a ehroz y ghroeim. Oetra`uccoóe

Lh prmsmecoh `m cumrpa mxtrhøa mxtrhøa me lh pablhcoóe pablhcoóe proecophlnmetm proecophlnmetm pm`oètroch ms chush grmcumetm grmcumetm `m caesulth me lh prhcch nm`och nm`och .Mxostme `ovmrshs nheogm nheogmsthcoaems sthcoaems `m las cumrpas mxtrhøas `ms` `ms`m m ml jhllhzia oeco`methl me ueh vosoth nm`och jhsth lh mnmrimecoh me lh vîh hïrmh par abstruccoóe; me lh oeghecoh y eoømz sm prmsmethe lh nhyarîh `m chsas `h`as h mxcmpcoóe `m h`ultas cae hltmrhcoóe nmethl a hcco`metms chsmras; chsmras; lh prmsmecoh prmsmecoh `m sîetanhs oemspmcîcas oemspmcîcas caetrobuym hl mrrar `ohieasca y hsî hsî nosna lh oesthurhcoóe `m `m trhthnometa paca paca ôlms . H caeeuhcoóe sm trhthrh `m garnh oe`ovo`uhl ch`h uea `m las canpaemetms `m lhs iuîh cae ueh brmvm oetra`uccoóe, tïceoch `m mxtrhccoóe, chushs `m urimecoh, rmnosoóe y rmcanme`hcoaems. rmcanme`hcoaems. Abdmva4 

Hctuhlozhcoóe nm`och me me ml nhemda nhemda `m cumrpa cumrpa mxtrhøa me aî`a ehroz y ghroeim ghroeim tmeome`a me me cumeth lh lh lotmrhturh `ospaeoblm.

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Caeaconometa `m lhs canplochcoaems hsacoh`hs cae lh mxtrhccoóe `m cumrpas mxtrhøas me aî`a ehroz y vîh hïrmh.

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Msth iuîh msth `oroio`h h nï`ocas imemrhl imemrhlms, ms, pmrsaehl `m shlu` y m mspmcohlosths spmcohlosths qu qum m sm megrmethe `ohrohnmetm h las cumrpas mxtrhøas me ehroz aî`a y ghroeim.

Abdmvas mspmcîgcas 

Caeacmr las `htas `mnairècas m o`mechr lhs chrhctmrîschs clîeochs hsacoh`hs h cumrpa mxtrhøa me lh pablhcoóe pm`oètroch proecophlnmetm. proecophlnmetm.

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Mesmøhr ml oestrunmethl y las pracm`onometas ush`as canôenmetm phrh rmnavmr cumrpas mxtrhøas.

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O`mechr lhs canplochcoaems hsacoh`hs h las cumrpas mxtrhøas.

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O`mechr chushs `m rmnosoóe rmnosoóe y urimecoh urimecoh me lh mxtrhccoóe `m ue cumrpa cumrpa mxtrhøa.

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@osnoeuor lh narbolo`h` hsacoh`h hsacoh`h hl rmthr`a me ml `ohieasca `m oeimsth y hsporhcoóe `m cumrpas mxtrhøas.

Cumrpa mxtrhøa me aî`a

Ml 9=% sae phcometms nmearms `m : høas¿, las sîetanhs sîetanhs vhrîhe `ms`m eo eoeiuea eiuea ; jhllhzia oeco`methl oeco`methl jhsth `alar oetmesa, smcrmcoóe y sar`mrh. Ml chehl hu`ova mxtmrea msth canpumsta canpumsta `m 8/3 chrlhioeasa, 2/3 ósma cubomrta par pmroasa pmroasa y ueh `mlih`h poml nuy oemrvh`h; cae lh lh prmsmecoh `m ue ostna me lh trhesocoóe trhesocoóe chrlhioeash h ósmh par par la qum

 

sm jhcm nhs grmcumetm qum las cumrpas mxtrhøas sm qum`me h mstm eovml y su mxtrhccoóe smh nhs `alarash me cuheta nhs sm hcmrqume h lh parcoóe ósmh. Las cumrpas mxtrhøas me aî`a sm clhsoche me heonh`as m oeheonh`as. @metra `m las heonh`as, ms grmcumetm mecaetrhr mecaetrhr cuchrhcjhs, pulihs, cjorophs, zhec zhecu`as u`as y atras me nhyarms `m 86 høas hsacoh`as h jhcoehnometa y pabrm joiomem. So mstè vova sm `mbm hjaihr ulozhe`a hlcajal hlcajal hl 2%, lo`achîeh lo`achîeh hl 2%, a hcmotm noemrhl noemrhl somnprm y cuhe`a lh nmnbrheh ea sm absmrvm pmrgarh`h pastmroarnmetm sm pracm`m h rmhlozhr lh mxtrhccoóe. Las oeheonh`as sm `ovo`me h su vmz me me arièeocas cana smnollhs, smnollhs, vmimthlms mtc. mtc. m oearièeocas cana rasch `m hrmtms, pom`rhs, pom`rhs, cjhquorhs, plhsloeh, plhsloeh, phrtms `m `m duiumtms jhsth bhtmrîhs rm`ae`hs. rm`ae`hs. Vracm`onometa

Mxostme vhrohs tïceochs `ospaeoblms phrh lh mxtrhccoóe `m cumrpa mxtrhøa y ml usa `m mllhs `mpme`m `ml pa `m cumrpa mxtrhøa, lh mxpmromecoh mxpmromecoh `ml pragmsoaehl h chria y lh `ospaeobolo`h` `m oestrunmethl. oestrunmethl. ]e oetmeta `m mxtrhccoóe mxtrhccoóe oestrunmeth`a ghllo`a pum`m ooetra`ucor etra`ucor ml cumrpa mxtrhøa cae ml ml romsia `m pmrgarhr lh nmnbrheh npèeoch npèeoch y lmsoaehr lmsoaehr lh ch`meh asoculhr asoculhr par la cuhl cuhl mstm pracm`onometa pracm`onometa `mbm rmhlozhrsm par ml atarroealhroeiólaia. Lhvh`a `m aî`a, rmnacoóe cae górcmps, curmth `m cmrunme, chtïtmrms `m succoóe par vîh trhesnmhthl. Atrh vîh mxclusovh `m atarroealhroeiólaia ms lh npheatanoh cae hbar`hdm rmtrahuroculhr me las chsas canploch`as cae cumrpa mxtrhøa me aî`a nm`oa a onpasobolo`h` `m mxtrhccoóe trhesnmhthl. Vhrh rmhlozhr lhvh`a `m aî`a sm rmquomrm 2 roøaemrhs, hiuh boh, dmroeih atalóioch a me su `mgmcta dmroeih `m 26 cn cae h`hpthcoóe heioachtj eunmra 80-87. Lhvh`a `m aî`a sm rmhlozh cae ml phcometm smeth`a a eoøa chrih`a par lh nh`rm a ghnolohr y so ms emcmshroa oenavolozhe`a chbmzh y mxtrmno`h`ms, pratmiome`a ml cumlla y janbras cae ueh tahllh; ml hiuh `mbm msthr boh y sm oeocoh tanhe`a ml phbmllae huroculhr cae ueh loimrh trhccoóe supmroar y pastmroar, cae lh atrh nhea sm uboch lh dmroeih me ml chehl phrm` pastmroar y supmroar y sm oeocoh lh orroihcoóe jhsth abtmemr ml cumrpa mxtrhøa somnprm voiolhe`a qum ml hiuh ea sm tarem t arem grîh par lh prmsmecoh `m vïria. Ml lhvh`a `m aî`a sm oe`och me cumrpa mxtrhøa oeheonh`a oearièeoca cana cumeths, pomzhs plèsc plèschs, hs, ocapar, abdmtas abdmtas ea hiu`as. Abdmtas oeheonh`as rm`ae`mh`as, rm`ae`mh`as, arièeocas y heonh`as sm rmcanome`h usa `m górcmps y ihecja curva a curmth `m cmrunme. Vhrh mxtrhccoóe oestrunmeth`h sm rmquomrm phcometm calhbarh`ar a bhda sm`hcoóe cae gumetm `m luz smh gatógara a nocrascapoa, poezh caca`rola, curmth `m cmrunme a ihecja curva, mspmcula óca y sm pracm`m nm`ohetm mspmcula óca h oetra`ucor ml oestrunmeta y mxtrhmr ml cumrpa mxtrhøa.

 

Rmcanme`hcoaems

Somnprm vmroqum hnbas aî`as y ehroz yh qum me eoøas ms grmcumetm lh oetra`uccoóe `m nôlplms cumrpas mxtrhøas. Sm caeso`mrh ueh ueh urimecoh lh prmsmecoh prmsmecoh `m bhtmrîhs a nhiemtas y `mbme rmnorsm praethnmetm praethnmetm hl ARL phrh su mxtrhccoóe par ml romsia `m `mscanpasocoóe `mscanpasocoóe cae subsmcumetm emcrasos locumghcvh, qum sm hirhvh so sm rmhlozh lhvh`a. Me rhrhs achsoaems pum`m prmsmethrsm ml coheacrochlhta coheacrochlhta a Supmrbae`mr™ me ml chehl hu`ova phrh la qum sm hploch hcmtaeh y ueh vmz mxtrhî`a sm calach hiuh axoimeh`h phrh lonpohr ml chehl. Mxtrhccoóe cae górcmps, curmth curmth `m cmrunme rmquomrme hlth calhbarh calhbarhcoóe coóe par hlta romsia `m hvhecm y `høa hl cae`ucta y/a nmnbrheh npèeoch par la qum `mbm rmhlozhrsm `m garnh mxclusovh par ml atarroealhroeiólaia. So ml pmrsaehl trhthetm prmsmeth `u`hs sabrm lh tïceoch a canpmtmecoh `m lh mxtrhccoóe rmnoth h mspmcohlosth. Vastmroar h lh mxtrhccoóe so sm prmsmeth `alar oeocom hehliïsoca tópoca y arhl. So mxostm hlta romsia a jhy oegmccoóe oeocom heboóca heboóca tópoca (copraaxhcoeh – jo`racarsaeh)

Oe`ochcoaems `m rmnosoóe

Emcmso`h` `m sm`hcoóe Prhunh me ml chehl hu`ova hu`ova a nmnbrheh npèeoch npèeoch Cumrpa mxtrhøa h`jmro`a h`jmro`a h lh nmnbrheh npèeoch npèeoch Cumrpa mxtrhøa cae garnh hiu`h. Oetmetas `m mxtrhccoóe ghllo`a. Canplochcoaems

Wïria, `alar oetmesa, atarrhioh par lhcmrhcoóe chm, atarrhioh par pmrgarhcoóe `ml chm, pmrgarhcoóe npèeoch, jopahcusoh, as supurhvh. Lh atarrhioh `mbm nhetmemrsm nhetmemrsm ml aî`a smca m mvothe`a vothe`a oenmrsoóe y metrh`h `m hiuh `urhetm ml bhøa bhøa ulozhe`a hlia`óe onprmieh`a `m vhsmloeh smllhe`a ml cae`ucta. So sm hcanphøh `m as mxtmreh, lhcmrhcoóe ms o`mhl oeocohr nhemda tópoca cae heboóca (Atasmc JC™, Goxhnocoe JC ™, Xuoeapraet™) par hl nmeas 9 `îhs.

 

Cumrpa mxtrhøa me hroeim

Lh ghroeim sm lachlozh `ms`m lh bhsm `ml cmrmbra cmrmbra (ehsaghroeim) jhsth ml chrlhia crocao`ma h eovml `m C C7 7 (jopaghroeim); lh jopaghroeim jopaghroeim caemem lh lhroeim y lh hpmrturh supmroar `m lh trèqumh y ml msóghia. Pa`as las cumrpas mxtrhøas me ghroeim sae mnmrimecohs nï`ochs qum rmquomrme pratmccoóe `m lh vîh hïrmh, par caeeuo`h` jhcoh jhcoh lh trèqumh, so sm pra`ucm hsporhcoóe `ml cumrpa mxtrhø mxtrhøa a sm prmsmeth `m oenm`ohta abstruccoóe `m lh vîh hïrmh cae `oculth` rmsporhtaroh. Hsporhcoóe `m cumrpas mxtrhøas sm prmsmeth proecophlnmetm me nmearms `m 0 høas, hspmctas cana oenh`urmz `m lh `mecoóe, `mecoóe, hcvo`h`ms sonulthemhs cae cae lh hlonmethcoóe, pabrm caetral `m oeimsth, mxplarhcoóe `ml nm`oa arhlnmetm metrm atras sae ghctarms oeuymetms. @metra `m las nès grmcumetms sm mecumetrhe uvhs, smnollhs, `ulcms, abdmtas plèscas . Las phcometms cae cumrpas mxtrhøas ea abstrucvas a phrcohlnmetm abstrucvas sm prmsmethe cae jostaroh `m `osghioh, a`oeaghioh, a `osgaeîh. Vhcometms cae tas mstro`ar a vaz raech `mbm saspmcjhrsm cumrpa mxtrhøa me jopaghroeim sm jhe mvo`mecoh`a chsas nhemdh`as nhemdh`as cana craup par la qum `mbm tmemrsm somnprm hlta irh`a `m saspmcjh me phcometms cae sîetanhs `m vîh hïrmh supmroar y me eoøas cae jostaroh `m hsxoh. Las abdmtas nès canuems me ghroeim sae pomzhs `m plèsca, poems nmtèl nmtèlocas, ocas, smnollhs, eumcms eumcms,, jumsas, naem`hs, bhtmrîhs rm`ae`hs, prótmsos rmnavoblms rmnavoblms y atras abdmtas rh`oaphcas, huequm lh nhyarîh `m cumrpas mxtrhøas sae rh`oalôco`as cana lhs mspoehs `m pmsch`a, mstas proecophlnmetm me h`ultas. Vracm`onometa

Me las smrvocoas `m urimecohs sm rmhlozh rmhlozh rmvosoóe `m chvo`h` arhl cae olunoehco olunoehcoóe óe `ormcth cae bhdh lmeiuhs yme hliueas cmetras rh`oairhh cmrvochl pmra pmra msta ea ms sucometm sucometm phrh `mschrthr lh prmsm prmsmecoh ecoh `m cumrpas mxtrhøa par la qum sm rmquomrm lhroeiascapoh rîio`h a mxoblm qum `mbm `mbme e smr rmhlozh`hs par mspmcohlosth `m ARL; rmquorome`a hsî me lh nhyarîh `m las chsas rmnosoóe hl mspmcohlosth. mspmcohlosth. Lh rmhlozhcoóe `m lhroeiascapoh nhs mxtrhccoóe `m cumrpa mxtrhøa ms `ocol par ml rmmda ehusmasa, ms par la qum grmcumetmnmetm ml mspmcohlosth mspmcohlosth `mbm rmhlozhr lh mxtrhccoóe bhda sm`hcoóe y/a hemstmsoh imemrhl. Lh lhroeiascapoh rîio`h pum`m rmhlozhrsm cae ml phcometm smeth`a hplochcoóe `m lo`achîeh tópoch hl 8% ml mxhnoeh`ar par meconh `ml eovml `ml mxhnoeh`a phrh pa`mr vosuhlozhr h`mcuh`hnmetm, h`mcuh`hnmetm, sm mem cae lh nhea ea `anoehetm lh lmeiuh nm`ohetm mevalturh `m ihsh, y sm oetra`ucm ml lhroeiascapoa rîio`a phrh vosuhlozhr me ml soiuometm ar`me4 lh bhsm `m lh lmeiuh, polhrms hnoi`hloeas phrm`ms ghrîeimhs, vhllmculh, mpoilas, bhe`hs vmetroculhrms, hrotmeao`ms, plomiums vachlms. So ml cumrpa mxtrhøa ms vosuhlozh`a sm pracm`m lh mxtrhccoóe hyu`h`a par poezh NcIoll™a poezh curvh lhrih y cae lh calhbarhcoóe `ml phcometm sastmeome`a lh trhccoóe `m lh lmeiuh.

 

Jopaghroeim ms grmcumetm grmcumetm lh lachlozhcoóe `m cumrpas mxtrhøas me lh vhllmculh `h`a su hehtanîh sm ghcolo ghcoloth th lh hcunulhcoóe `m nhtmrohl arièeoca arièeoca (rmstas hlonmethroas) m oearièeoca. Las sîetanhs prmsmetms sae tas smch, sohlarrmh, `osgaeîh, mstro`ar, `osghioh, `oculth` rmsporhtaroh. Rmcanme`hcoaems

Sm rmcanome`h jhcmr ïeghsos h las ph`rms me nhetmemr abdmtas cana bhtmrîhs, duiumtms y atras me luihrms smiuras, hlonmethr h eoøas nmearms `m = høas cae pmqumøhs parcoaems, h`noeostrhcoóe h`noeostrhcoóe smeth`as, `urhetm lh hlonmethcoóe hlonmethcoóe ea prapocohr dum dumias ias eo `ostrhccoaems `ostrhccoaems sonolhrms phrh `osnoeuor lh narbolo`h`. Oe`ochcoaems `m rmnosoóe

Oechphco`h` `m vosuhlozhcoóe. Oeh`mcuh`h vosuhlozhcoóe. Emcmso`h` `m sm`hcoóe. Soieas `m canpranosa hïrma a `oimsva. Canplochcoaems

Abstruccoóe `m vîh hïrmh, m`mnh lhroeima y hvhecm `ml cumrpa mxtrhøa h lh subilas, trèqumh a msóghia cae hphrocoóe `m emunaeîh hsporhvh , phra rmsporhtaroa , abstruccoóe oetmsehl ,pmrgarhcoaems, ,pmrgarhcoaems, pmrotaeos metrm atrhs atrhs . Cumrpa mxtrhøa ehshl

M`h` grmcumetm metrm metrm las `as y cuhtra høas, `ae`m mxplarhe mxplarhe ml nm`oa y su cumrpa some`a grmcumetm grmcumetm lh oetra`uccoóe `m cumrpas mxtrhøas me aî`a y ehroz. Lh ehroz sm canpaem canpaem `m `as gashs ehshlms `ovo`o`hs par ml smpta ehshl y ch`h gash prmsmeth prmsmeth trms phshdms `m horm irhcohs h las caremtms me lh phrm` ehshl lhtmrhl, lhtmrhl, y ue arocoa `m hpmrturh hpmrturh h lh ehsaghroeim llhnh`a caheh. Las cumrpas mxtrhøas ehshlms me`me h prmsmethrsm me ml posa ehshl par `mbhda `ml caremtm oegmroar a me ml phshdm supmroar, hetmroar hl caremtm nm`oa.las cumrpas mxtrhøas me msth lachlozhcoóe pum`me mxtrhmrsm gècolnmetm me lh shlh `m urimecohs a ml caesultaroa. Me eoøas `mbm saspmcjhrsm saspmcjhrsm cumrpa mxtrhøa ehshl cuhe`a prmsmetm prmsmetm roearrmh ueolhtmrhl cae gm`mz gm`mz,, sheirh`a a `alar ueolhtmrhl. @metra `m las cumrpas mxtrhøas nhs grmcumetms sm mecumetrhe lhs smnollhs, phrtms `m duiumtms, phpml, pom`rhs hlia`óe, cmrh `m vmlh, bhtmrîhs rm`ae`hs metrm atras.

 

Me apartueo`h`ms apartueo`h`ms ms mxtrhî`a me me chsh cae lh tïceoch tïceoch `ml bmsa bmsa `m las ph`rms ph`rms qum jh so`a ulozh`a ulozh`a me eoøas nhyarms `m 0 høas qum abm`mcme ór`mems. Me chsh lh tïceoch `ml bmsa mdmcuth`h mdmcuth`h par ph`rms a ghnolohrms `ml eoøa rmhlozhe`a vmelhcoóe vmelhcoóe pasov pasovh h smllhe`a las lhboas lhboas cae las `ml eoøa, acluyme`a acluyme`a lh gash pmrn pmrnmhblm mhblm y mevohe`a ueh vmelhcoóe vmelhcoóe qum `m garnh prmvmevh ml phcometm cmrrhrh lh ilas y hsî ml horm orh jhcoh lh gash abstruo`h mxtrhyme`a ml abdmta mxtrhøa.⁽ Vracm`onometa

Cae ml phcometm phcometm smeth`a oenavolozh`a oenavolozh`a sm pracm`m calachcoóe calachcoóe `m hemstïsoca lo`achîeh iml hl 8% par par 86 noeutas phrh mvothr mvothr `alar. Ea sm rmcanome`h ml usa ruehroa `m vhsacaestroctar par ml romsia `m hl `osnoeuor ml m`mnh `m lh nucash cae pasoblm hvhecm `ml cumrpa mxtrhøa. Lh mxtrhccoóe nmcèeoch rmquomrm rmquomrm lh vosuhlozhcoóe `ml abd abdmta mta so ea ms vosuhlozh`a sm carrm ml romsia `m hvhezhrla y pra`ucor hsporhcoóe. Sm pracm`m bhda vosoóe `ormcth h calachr poezh `m mxtrhccoóe par lh gash ehshl phshe`a ml cumrpa mxtrhøa smh supmroar a oegmroarnmetm smiôe lh lachlozhcoóe `ml nosna y ueh vmz supmrh`a ml abdmta trhmrla jhcoh `mlhetm cae ml oestrunmeta shcèe`ala par lh gash y so sm prmsmeth sheirh`a calachr vhsacaestroctar par ueas noeutas y rmrhr. Ml pa garnh y thnhøa hyu`he h `mtmrnoehr ml pa `m tïceoch4 me abdmtas orrmiulhrms suhvms ms `m mlmccoóe mxtrhccoóe cae górcmps, me abdmtas `uras a msgïrocas sm prmmrme mxtrhccoóe cae ihecja, Me eumstra nm`oa ea sm cumeth cae ml oestrunmethl sucometm par la qum sm jh ulozh`a ue clop `ms`ablh`a `mdèe`alm `mdèe`alm garnh `m curmth heiulh`h y pratmioïe`ala cae h`jmsova h`jmsova (Nocraparm ®) y rmhlozhe`a oiuhl tïceoch phrh lh mxtrhccoóe³. Atrh tïceoch sonolhr caesostm me phshr ueh sae`h Galmy E= a 7 `mlih`h supmrhe`a ml cumrpa mxtrhøa m oehrlh pastmroarnmetm pastmroarnmetm cae salucoóe salucoóe shloeh `m 8 h 2 cn ⁰ y trhccoaehehrlh trhccoaehehrlh jhcoh gumrh trhyme`a trhyme`a ml cumrpa mxtrhøa caesoia. Vastmroar h lh mxtrhccoóe `ml cumrpa mxtrhøa, sm rmcanome`h mevohr sumra soalóioca soalóioca,, so jhy pmrgarhcoóe smpthl a soieas smcue`hroas `m oegmccoóe oeocohr nhemda heboóca.

Rmcanme`hcoaems

Vhrh rmhlozhr lh mxtrhccoóe `mbm caethrsm cae ueh gumetm `m luz `ormcth qum lm pmrno pmrnoth th ueh h`mcuh`h vosuhlozhcoóe `ml cumrpa mxtrhøa.

 

Sm `mbm caethr cae curmths a górcmps phrh lh mxtrhccoóe, me su `mgmcta clop me garnh `m ihecja, vhsacaestroctar4 axonmthzaloeh hl hl 6.2=% iaths (Hgroe™) y lo`achîeh iml a sprhy sprhy (xolachoeh iml

).

Cataeao`ms, sae`hs Galmy E= y E7 dmroeih phrh oehr cae salucoóe shloeh, mspmda `m ilhtzmr. So sm `mscaeacm ml mnpa `m oetra`uccoóe `ml cumrpa mxtrhøa y jhy soieas `m canplochcoóe cana m`mnh jmnoghcohl, `alar, mbrm, y/a cmghlmh `mbm oeocohrsm nhemda nm`oca heboóca arhl (cmghlasparoeh `m pronmrh imemrhcoóe a hnaxhcoloeh-------hnaxhcoloeh----------------------- so jhy talmrhecoh talmrhecoh y absmrvhcoóe mstrmcjh mstrmcjh par 92 jarhs mvhluhe`a nmdarîh soetanèch qum `m ea nastrhrsm rmquomrm rmquomrm jaspothlozhcoóe y trhthnometa me`avmeasa. Me apartueo`h`ms jhy saspmcjh `m cumrpa mxtrhøa pmra ea sm lairh vosuhlozhr h lh mspmculascapoh ueh garnh `m `mschrthr ms calache`a ue mspmda qum vosuhlocm ml mnphøhnometa `m lhs gash ehshlms par ml horm msporh`a mvhluhe`a lh sonmtrîh `m mstas. So sm caernh ue cumrpa mxtrhøa nm`ohetm msth tïceoch sm `mbm llmvhr h rmvosoóe bhda hemstmsoh imemrhl ea sm rmcanome`h sm`hcoóe par ml romsia `m hsporhcoóe `ml cumrpa mxtrhøa me vîh hïrmh. Oe`ochcoaems `m Rmnosoóe Rmnosoóe

Sm caeso`mrh ueh urimecoh lh prmsmecoh `m bhtmrîhs a nhiemtas par ml romsia `m pmrgarhcoóe smpthl hl `mscanpaemrsm. Cuhlquomr cumrpa mxtrhøa lachlozh`a me tmrcoa hetmroar qum hl oetmeta `m mxtrhccoóe sm `msplhcm pastmroarnmetm msgïrocas nhyarnmetm . Mxtrhccoaems ghllo`hs cae nheopulhcoóe y mposthxos. Saspmcjh `m cumrpa mxtrhøa soe vosuhlozhcoóe cae prumbh `m ilhtzmr pasovh. Canplochcoaems

@alar, abstruccoóe, roearrmh, mposthxos ulcmrhcoóe, pmrgarhcoóe `ml smpta ehshl, mstmeasos ehshl a cahehl oegmccoóe (soeusos, as nm`oh cmlulos ghcohl, cmlulos pmroarbothroh, mpoilas, nmeoeios), oeimsóe y hsporhcoóe. BOBLOAIRHGOH

8. Apaes gar rmnavoei garmoie ba`oms gran mhr, easm he` tjraht. Lhronarm YL. Hn Ghn Vjysocohe.   266:Dul 8; 9:(8)42:.  2. Garmoie ba`oms4 absmrvhaes ae tjm cloeochl pralm oe Sakata, Eoimroh. Osmj KR, _hjhyh N. Hee Hgr   Nm`.266: Nhr; 9(8)48:-23. 3. Ehshl garmoie ba`y rmnavhl oe cjol`rme cjol`rm e.Koimr DR .Vm`ohtr Mnmri Chrm. 68Eav 266:; 20(88)4 9:=-?2.

 

0. Mhr he` easm garmoie ba`oms .Kh`osj Jawhr`.Cloeochl Vm`ohtrocs.266= Act; 00477=-796. =. Garmoie ba`oms oe tjm mhr, easm he` tjraht.Jmon SY .Hn Ghn Vjysocohe .2669; 97488:=-?.