PDF Makalah Anemia Tugas KMB II Dosen Ns Sudirman Efendiskepmkep
PDF Makalah Anemia Tugas KMB II Dosen Ns Sudirman Efendiskepmkep
PDF Makalah Anemia Tugas KMB II Dosen Ns Sudirman Efendiskepmkep
CMIMAM@ MLKCGM
Ikaocpoi U >
Ekrm Cktkio`y
Aglfm Rucmpmssma
Aklg Iosmpamwml
Lolsgmtm Rkewutu
2424/242=
gg
IMVM TKLJMLVMR
Tklyusul
gg
FMEVMR
FMEVMR GXG
GXG
M. Iksgcpuaml ....................................
.........................................................................
...............................................................=2
..........................=2
B. Xmrml ....................................
.........................................................................
.........................................................................=
....................................=2
2
FMEVMR
FMEVMR T[XV
T[XVMIM................
MIM.....................................................
..........................................................................
.............................................=8
........=8
gg
BMB G
TKLFM@[A[ML
M. Amtmr Bkamimlj
Tklymigt Mlkcgmmtmu iurmlj fmrm` mfmam` sumtu iolfgsg fg cmlm nucam` ska fmrm`
ckrm` (@kcojaobgl) fmamc ska fmrm` ckrm` bkrmfm fg bmwm` lorcma. @kcojaobglymlj
tkrimlfulj fg fmamc Xka fmrm` ckrm` bkrpkrml fmamc ckljmljiut oisgjkl fmrg pmru-
pmru fml ckljmltmrim
ckljmltmrimllym
llym ik skauru` bmjgml tubu`. Xkormlj pmsgkl fgimtmiml mlkcgm
mpmbga
mpmbgamm iol
iolskl
skltrm
trmsg
sg @k
@kcoj
cojaob
aobgl
gl (@b
(@b)) pmf
pmfmm am
amig-
ig-ami
amigg iur
iurmlj
mlj fmr
fmrgg =8,
=8,;
; J/F
J/FA
A fml
@kcmtoirgt iurmlj fmrg 6=%, Tmfm pkrkcpuml iolskltrmsg @kcojaobgl
@kcojaobgl iurmlj fmrg ==,;
J/FA mtmu @kcmtohrgt iurmlj fmrg 85%.
Mlkc
Mlkcgm
gm ( bm
bm`m
`msm
sm Wulmlg
Wulmlg)) mfm
mfmam
am`
` ikm
ikmfmm
fmml
l smm
smmtt nuc
nucam`
am` ska fmrm` ckrm`
ckrm` mtmu
nucam` `kcojaobgl
`kcojaobgl ( protkgl
protkgl pkcbmwm oisgjkl
oisgjkl)) fmamc ska fmrm` ckrm` bkrmfm fg bmwm`
lorcma
lorcma.Xk
.Xkaa fmr
fmrm`
m` ck
ckrm
rm`
` ck
ckljm
ljmlfu
lfulj
lj `kc
`kcoja
ojaobg
obgl
l yml
ymlj
j ckc
ckculj
uljig
iglim
liml
l ckr
ckrkim
kim
ckljmljiut oisgjkl fmrg pmru-pmru
fmrg pmru-pmru,, fml ckljmltmrimllym ik skauru` bmjgml tubu`.
Mlkcg
Mlkcgmm mfm
mfmam
am`
` iuc
iucpua
puaml
ml jkn
jknma
mamm yml
ymlj
j fgt
fgtmlf
mlfmg
mg fkl
fkljml
jml iua
iuagt
gt fml ckc
ckcbrm
brml
l
cuhos
cuhosmm puh
puhmt,
mt, fml pmf
pmfmm tks
tkstt amb
amborm
ormtor
torguc
guc fgf
fgfmpm
mpmtim
timl
l @gt
@gtulj
ulj @k
@kco
cojao
jaobgl
bgl(@
(@b),
b),
@kcmtoirgt(@c), fml krgtrosgt iurmlj fmrg lorcma. Rklfm`lym imfmr `kcojaobgl gtu
ckcpkljm
ckcpkljmru`g
ru`g ikcm
ikcmcpum
cpuml
l fmrm
fmrm`
` cklj
cklj`mltm
`mltmriml
riml oisg
oisgjkl
jkl ymlj fgbu
fgbutu`im
tu`iml
l ultu
ultui
i
cktmboagsckk tubu` ymlj optgcma.
cktmboagsc
Mlkcg
Mlkcgmm ck
cklyk
lykbmb
bmbiml
iml bkr
bkriur
iurmlj
mljlym
lym nuc
nucam
am`
` ska fmr
fmrm`
m` ck
ckrm`
rm` mt
mtmu
mu nuc
nucam`
am`
`kcojaob
`kcojaobgl
gl fmamc ska fmrm` ckrm`, sk`gljjm
sk`gljjm fmrm`
fmrm` tgfmi fmpmt ckljmljiut oisgjkl
gg
fmamc nucam` sksumg ymlj fgpkrauiml tubu` . ikmfmml glg skrglj cklykbmbiml klkrjg
fmamc tubu` cklnmfg cklurul sk`gljjm tkrnmfg ;A mtmu akcm`, aksu, akcms, auljamg, fml
aktg
aktg`.
`. Fm
Fmam
amc
c `m
`maa gl
glgg or
orml
mlj
j ym
ymlj
lj tk
tkri
rikl
klmm ml
mlkc
kcgm
gm mf
mfma
mam`
m` or
orml
mlj
j ym
ymlj
lj ck
cklf
lfkr
krgt
gtmm
ikiurmljml zmt bksg. Xkskormlj ymlj cklfkrgtm mlkcgm miml skrglj ckljmamcg ikmfmml
pusglj ymlj skfmlj `gljjm bkrmt fgimrklmiml Cklgljimtlym pklj`mlhurml ska fmrm`
B. VunumlTkluagsml
=. Vunuml [cuc
Cmcpu
Cmcp u ckcm
ckcm`mcg
`mcg skhmrm ucuc tkltmlj mlkcgm fml ckam
ckamisml
ismlmiml
miml msu`ml
ikbgfmlml ymlj iocprk`klsg
iocprk`klsge.
e.
2. Vunuml I`usus
Ckcm`mcg `ma-`ma ymlj bkrimgtml fkljml mlkcgm ymgtu >
m) Fkeglgsg
b) Iamsgsegim
Iamsgsegimsg
sg
h) Cm
Cmhm
hmc
c-c
-cmh
mhmc
mc
f) Ktgoaojg
k) Tmto
Tmtoeg
egsg
sgoa
oaoj
ojgg
e) Vmlfm
mlfm fmfml
l jk
jknm
nmam
am
j) Tkl
Tklmtm
mtmam
amism
ismlmm
lmml/T
l/Tklm
klmljm
ljmlml
lml
gg
BMB GG
TKCBM@MXML
M. Fkeglgsg Mlkcgm
Mlkcgm (fmamc bm`msm Wulmlg> Vmlpm fmrm`) mfmam` ikmfmml smmt nucam` ska fmrm`
ckrm` mtm
ckrm` mtmu
u nuc
nucam`
am` `kco
`kcojaobg
jaobgl
l (prot
(protkgl
kgl pkcbmwm oisgjkl)
oisgjkl) fmam
fmamc
c ska fmrm` ckrm
ckrm`
`
bkrmfm fg bmwm` lorcma. Xka fmrm` ckrm` ckljmlfulj `kcojaobgl ymlj
ckculjigliml ckrkim ckljmljiut oisgjkl fmrg pmru-pmru, fml ckljmltmrimllym ik
skauru` bmjgml tubu`. Mlkcgm cklykbmbiml bkriurmljlym nucam` ska fmrm` ckrm` mtmu
nucam` `kcojaobgl fmamc ska fmrm` ckrm`, sk`gljjm fmrm` tgfmi fmpmt ckljmljiut
oisgjkl fmamc nucam` sksumg ymlj fgpkrauiml tubu` (imcus bm`msm glfolksgm). Bkrgiut
pkljkrtgml mlkcgm
mlkcgm cklurut pmrm m`ag fgmltmrmlym
fgmltmrmlym >
Mlkcgm mfmam` jknmam fmrg iolfgsg ymlj cklfmsmrg, skpkrtg ik`gamljml iocpolkl
fmrm`, kakcml tgfmi mfkiumt mtmu iurmlj lutrgsg ymlj fgbutu`iml ultui pkcbkltuiml ska
fmrm`, ymlj ckljmigbmtiml pklurulml impmsgtms pkljmljiut oisgjkl fmrm` fml mfm
bmlymi tgpk mlkcgm
mlkcgm fkljml bkrmjmc
bkrmjmc pklykbmblym.
pklykbmblym. (Cmrgayl K,
K, Fokljks, Nmimrtm,
Nmimrtm, =777).
Mlkcgm fkeglgsg bksg mfmam` mlkcgm ymlj fgskbmbiml oak` iurmljlym cglkrma EK
skbmjmg
skbmjmg bm`m
bm`ml
l ymlj fgpk
fgpkrauim
rauiml
l ultui pkc
pkcmtmlj
mtmljml
ml krgt
krgtrosg
rosgtt (Mr
(Mrge
ge Cmls
Cmlsnokr
nokr,, Impg
Impgtm
tm
Xkakitm, Ngagf 2 kfgsg 8, Nmimrtm =777).
Mlkcgm
Mlkcgm skhm
skhmrm
rm ucuc mfmam` turullym
turullym imfm
imfmrr ska fmrm` ckrm
ckrm`
` mtmu `kcojaobgl
`kcojaobgl
fmamc
fmamc fmrm
fmrm`
` (Mlo
(Mlolgc
lgc).
). Mlkcgm fmpm
fmpmtt fgik
fgiktm`uu
tm`uugg fkljm
fkljml
l mfml
mfmlym
ym pkck
pkckrgsm
rgsmml
ml fmrm
fmrm`
`
akljimp ambormtorguc.
=. Lgamg @b lorcma
m) Tr
Trgm
gm > =8
=8.0
.0 - =:
=:.2
.2 jr
jrmc
mc/f/faa
b) Zmlgtm > =2.= ‘ =;.= jrmc/fa
jrmc/fa
2. Lgamg @b mlkcgm
m) Trg
Trgmm > 1=8
1=8.0
.0 ‘ =:.
=:.2
2 jrm
jrmc/
c/fa
fa
b) Zmlgtm > 1=2.= ‘ =;.= jrmc/fa
jrmc/fa
([email protected])
B. Ktgoaojg mlkcgm
=. Bkrfmsmriml uiurml ska fmrm` ckrm` ( Umrlky @,2445.9`.526)
@,2445.9`.5 26)
gg
2) Vmams
mamskcgm
kcgm (tgfmi
(tgfmi keki
kekitgel
tgelym
ym krgt
krgtropog
ropogksgs
ksgs fml ckl
cklgljim
gljimtlym
tlym `kcoagsgs
`kcoagsgs ymlj
ckljmigbmtiml
ckljmigbmtiml tgfmi mfk iumtlym imlfuljml `kcojaobgl)
8) Jmljuml `kcojaobgl
`kcojaobgl K (nklgs `kcojaobgl
`kcojaobgl jklktgi
jklktgi ymlj bmlymi fg
fg tkcuiml fg
Msgm Vkljjmrm)
6) Ikrmhumlml tgcm`
;) Tklymigt irolgs
irolgs (glekisg,
(glekisg, tucor)
b Mlkcgm lorcosgtgi
lorcosgtgi (uiurml
(uiurml ska fmrm` ckrm`
ckrm` lorcma)
lorcma)
(m) Tkly
Tklymigt
migt ska
ska smbgt `kcoj
`kcojaobg
aobgl
l ( sghiak hkaa fgskmsk
fgskmsk))
(b) Jmlj
Jmljjmum
jmuml
l H `kcojaob
`kcojaobgl
gl
(h) Xtkrohgtosgs
Xtkrohgtosgs bmlymi
bmlymi fg tkcuiml
tkcuiml fg kropm utmrm
utmrm
(f) Ikiu
Ikiurmlj
rmljml
ml J5TF
J5TF ( jauhosk-5-p`osp`mtk
jauhosk-5-p`osp`mtk fk`g-frojklmsk)
fk`g-frojklmsk)
(e) Mlkc
Mlkcgm
gm `kco
`kcoagsg
agsgss mutog
mutogcul
cul
8) Tklurulml profuisg
profuisg ska fmrm`
fmrm` ckrm`
6) Kipmlsg bkrakbg`ml
bkrakbg`ml voauck pamscm pmfm ik`mcgaml
ik`mcgaml fml `gfrmsg
`gfrmsg bkrakbg`ml
gg
h Mlkcgm cmirosgtgi
cmirosgtgi (pklgljimtml uiurml ska fmrm` ckrm`)
ckrm`)
=) Ik
Ikiur
iurmlj
mljml
ml vgt
vgtmcg
mcgl
l B=2
B=2
2) Ik
Ikiur
iurmlj
mljml
ml msm
msmc
c eoa
eoamt
mt
8) @gpo
pottgr
grog
ogf
f
6) Ik
Ikhm
hmlf
lfum
uml
l maio
maio`o
`oaa
;) Tkl
Tklymi
ymigt
gt `mtg
`mtg fml
fml jglnm
jglnmaa irolgs
irolgs
m) Mlk
Mlkcgm
cgm fke
fkegsg
gsgkls
klsgg bks
bksgg
h) Mlkc
Mlkcgm
gm pmfm pkrm
pkrmfmljm
fmljml
l mtmu
mtmu ikjm
ikjmlmsml
lmsml
f) Mlk
Mlkcgm
cgm ck
ckjma
jmaoba
obamst
mstgi
gi
k) Ml
Mlkc
kcgm
gm `kco
`kcoag
agtg
tgi
i
e) Ml
Mlkc
kcgm
gm mp
mpam
amst
stgi
gi
j) Ml
Mlkc
kcgm
gm @gpo
@gpopa
pams
mstg
tgi
i
H. Egsgoaojg/pmtoaojg
=. Egsg
Egsgoaoj
oaojgg fml pmtoaojg
pmtoaojg (Zgiln
(Zgilnosms
osmstro,
tro,2445,
2445,@ma
@ma.660-
.660-6;4)
6;4)
Xkamcm
Xkamcm ik`
ik`mc
mcgam
gaml
l tkr
tkrnm
nmfg
fg pkl
pklgl
gljim
jimtm
tml
l voa
voauck
uck fmr
fmrm`
m` (`y
(`ypkr
pkrvoa
voakcg
kcgm)
m)
ckrup
ckrupmim
miml
l `ms
`msga
ga fmr
fmrgg pkl
pklgl
gljim
jimtm
tml
l voa
voauc
uckk pam
pamscm
scm fml krg
krgtro
trosgt
sgt (sk
(skaa fmr
fmrm`
m`
ckrm`) ymlj bkrkfmr fmamc tubu`. Vktmpg pklgljimtml glg tgfmi skgcbmlj ymgtu
voauck
voauck pams
pamscm
cm pklg
pklgljimt
ljimtmllym
mllym nmu` akbg
akbg`
` bksm
bksmrr sk`g
sk`gljjm
ljjm cklb
cklbkrgim
krgiml
l keki
ymgtu iolskltrmsg @B bkriurmlj fmrg =2 cj/=4 ca.
Tklj
Tkljkl
klhk
hkrm
rml
l fmr
fmrm`
m` (@k
(@kco
cofg
fgau
ausg
sg)) pmfm
pmfm gb
gbu
u `mcg
`mcgaa skrg
skrglj
lj tk
tkrn
rnmf
mfgg fklj
fkljml
ml
pklgljimtml voauck pamscm 84%-64% pklgljimtml ska fmrm` ckrm` =0-84 %
fml `kcojaobgl =7 % skhmrm egsgoaojg `kcofgausg ultui ckljurmljg bkbml
ikrnm nmltulj. @kcofgausg tkrnmfg sknmi ik`mcgaml =4 cgljju fml cklhmpmg
gg
pulhmilym pmfm ik`mcgaml 82-85 cgljju. bgam `kcojaobgl gtu skbkauc skigtmr
== jr% cmim tkrnmfglym `kcofgausg miml ckljmigbmtiml mlkcgm egsgoaojg fml
@b miml cklnmfg 7,; smcpmg =4 jr%
F. Vml
mlfm
fm fml
fml Jkn
Jknmam
mam Ml
Mlkc
kcgm
gm
Tklykbmb Mlkcgm ymlj pmaglj skrglj mfmam` imrklm pkrfmrm`ml ymlj bkrakbg`ml,
rusmilym ska fmrm` ckrm` skhmrm bkrakbg`ml mtmu ymlj skrglj fgskbut fkljml @kcoagsgs
mtmu pkcbkltuiml ska fmrm` ckrm` / `kcmtopogksgs ymlj tgfmi kekitge, ikiurmljml zmt
bksg, pklfmrm`ml usus, ikiurmljml vgtmcgl B=2, ikimrmljml msmc eoamt, jmljjuml
euljsgg sucs
euljs sucsuc
uc tuam
tuamlj,
lj, Tklym
Tklymigt
igt irol
irolgs
gs tkrt
tkrtkltu
kltu,, holt
holto`lym
o`lym imlikr fml @GU
@GU/MGF
/MGFX.
X.
Fmpmt ckcpkljmru`g profuisg ska fmrm` ckrm`.
Mfmpul Tklykbmb ucuc fmrg mlkcgm, skpkrtg>
=. Tkrfmrm`ml @kbmt
Miut (cklfmfmi)
Ikhkamimml
Tkcbkfm`ml
Tkrsmaglml
Zmsgr (`kcorogf)
[aius pkptgiuc
Ikiurmljml vgtmcgl H
Tklymigt irolgi
gg
Tkcbksmrml agcpm
Ikrusmiml ckimlgi pmfm ska fmrm` ckrm`
Xekrosgtosgs `krkfgtkr
Kaagptosgt
Kaagptosgtosgs
osgs `krkfgtkr
Ikiurmljml J5TF
gg
Bgmsmlym pklfkrgtm mlkcgm skrglj ckljmamcg Cuma pmfm pmjg `mrg. `mcpgr smcm
skpk
skpkrt
rtgg tmlfm-tmlfm ik`mcgaml.
ik`mcgaml. cu
cuma
ma pm
pmfm
fm pm
pmjg
jg `m
`mrg
rg bg
bgms
msmm fg
fgsk
skbu
butt fk
fklj
ljml
ml
Corlglj sghilkss.
:. Xm
Xmig
igtt ikp
kpma
mamm
Xmam` smtu fmcpmi ikiurmljml ska fmrm` ckrm` ymgtu otmi cklnmfg ikiurmljml
Oisgjkl. sk`g
Oisgjkl. sk`gljjm
ljjm ckl
cklykbmb
ykbmbiml
iml lykr
lykrgg pmfm ikpm
ikpmam.
am. imrk
imrklm
lm glga
glgam`
m` pklfk
pklfkrgtm
rgtm
Mlkcgm skrglj ckljkau` smigt ikpmam.
0. Ik
Ikik
ikbm
bmam
aml
l tubu`
tubu` ckl
cklur
urul
ul
Ikikbmam
Ikikbmaml
l tubu
tubu`
` / sgst
sgstkc
kc pkrt
pkrtm`mlm
m`mlml
l tubu
tubu`
` tkr`
tkr`mfmp
mfmp pkly
pklymigt
migt cklurul fml
bgmsmlym pklfkrgtm mlkcgm smljmt cufm` tkriklm pklymigt amgl skbmjmg migbmt
ckakcm`lym gcul tubu`.
7. Xksmi lm
lmpms
Tklfkrgtm Mlkcgm skrglj imag ckrmsm sksmi lmems fml ckrmsm tkrkljm`-kljm`
iktgim ckamiuiml mitgvgtms, `ma glg tkrnmfg imrklm iurmljlym oisgjkl fgfmamc
Xkamgl
Xkamgl fmrg emit
emitor
or pkly
pklykbmb
kbmb mlkc
mlkcgm,
gm, pkly
pklymigt
migt iurm
iurmlj
lj fmrm
fmrm`
` nujm fgpk
fgpkljmru
ljmru`g
`g oak`
bkbkrmpm emitor
emitor rksgio amgl skpkrtg
skpkrtg >
= Emitor fmrg ikturulml
2 iurmljlym msupml zmt jgzg
5 pklymigt irolgs
irolgs skpkrtg pklymigt
skpkrtg pklymigt imlikr
imlikr ,
, fml jmjma jglnma
K. Iamsgegimsg Mlkcgm
=. Ml
Mlkcg
kcgmm fkeg
fkegsgk
sgklsg
lsg bks
bksgg (52,8
(52,8%)
%)
Mlkcgm nklgs glg bkrbkltui lorcosgtgi fml `gpoirocgi fg skbmbiml oak` iurmlj
jgzg (cmalutrgsg),
(cmalutrgsg), iurmlj zmt bksg fmamc fgkt, cmambsorpsg, ik`gamljml fmrm` ymlj
bmlymi (pkrsmaglml
(pkrsmaglml ymlj amau,
amau, `mgf, faa)
2. Ml
Mlkcg
kcgmm ck
ckjma
jmaoba
obamst
mstgi
gi (27
(27,4%
,4%))
gg
8. Ml
Mlkcg
kcgmm mlkcgm
mlkcgm `gp
`gpoba
obamst
mstgi
gi (0,4%
(0,4%))
Mlkcgm nklgs glg fg skbmbiml oak` `gpoeuljsg sucsuc tuamlj, ckcbkltui ska-
m) Fm
Fmrm
rm`
` tkp
tkpgg akl
aklji
jimp
mp
b) Tkckrgismm
Tkckrgismml
l euljsg stkrlm
h) Tkc
Tkckrg
krgism
ismml
ml rktg
rktgiua
iuaosg
osgt,
t, faa
faa
6. Ml
Mlkc
kcgm
gm `kc
`kcoa
oagt
gtgi
gi (4,:
(4,:%)
%)
Mlkcgm
Mlkcgm nklg
nklgss glg fg skbm
skbmbiml
biml pklj`mlhurml/
pklj`mlhurml/pkck
pkckhm`m
hm`ml
l ska fmrm` lkrm
lkrm`
` ymlj
E. Cmhmc-cmhmc Mlkcgm
=. Tkck
Tkckrgis
rgismml
mml fml pkljmwms
pkljmwmsml
ml @b fmpmt fgamiuim
fgamiuiml
l fkljml ckljjul
ckljjulmiml
miml mamt
mamt
sm`ag. @msga pkckrgismml @b fkljml sm`ag fmpmt fgjoaoljiml skbmjmg bkrgiut>
m) Vgfmi
Vgfmi mlkcg
mlkcgmm fkljml
fkljml @b
@b akbg`
akbg` fmrg
fmrg ==
==jr%
jr%
b) Mlkcgm rgljml
rgljml fkljml @b 7-=4jr%
7-=4jr%
h) Mlkcg
Mlkcgmm skfml
skfmlj
j fkljm
fkljml
l @b :-0
:-0jr%
jr%
f) Mlkc
Mlkcgm
gm bkrmt
bkrmt fkljm
fkljml
l @b iurm
iurmlj
lj fmrg
fmrg :jr%
:jr%
2. Bkr
Bkrfmsmr
fmsmriml
iml iamsgegi
iamsgegimsg
msg Z@O
Z@O imfmr `kcojao
`kcojaobgl
bgl pmfm wmlgtm
wmlgtm `mcga
`mcga fmpmt
fgbmjg 8 imtkjorg ymgtu (Cmlumbm, 2442)>
m) Mlk
Mlkcgm
cgm Rg
Rgljm
ljml
l > Imf
Imfmr
mr @b 7 ‘ == jr%
b) Mlkcgm Xkfmlj
Xkfmlj > Imfmr @b : ‘ 0 jr%
h) Mlk
Mlkcgm
cgm Bk
Bkrmt
rmt > Imf
Imfmr
mr @b 1 : jr%
J. pkck
pkckrgi
rgism
smml
ml Tk
Tklu
luln
lnml
mlj
j
=. Tkc
Tkckrg
krgism
ismml
ml amb
amborm
ormtor
torguc
guc
m) Vks pklymrg
pklymrglj,
lj, tks glg fgikrnm
fgikrnmiml
iml pmfm tm`mp
tm`mp mwma pmfm sktgmp
sktgmp imsus
imsus
mlkcgm.
mlkcgm. Fklj
Fkljml
ml pkck
pkckrgis
rgismml
mml glg, fmpm
fmpmtt fgpm
fgpmstgi
stgiml
ml mfml
mfmlym
ym mlkc
mlkcgm
gm
tkrsk
tkrskbut
but.. Tkc
Tkckrg
krgism
ismml
ml glg ck
ckagp
agputg
utg pkl
pkljim
jimng
ngml
ml pmf
pmfmm ioc
iocpol
polkl-
kl-
gg
iocpolkl
iocpolkl bkrg
bkrgiut
iut glg> imfm
imfmrr `kco
`kcojaobg
jaobgl,
l, glfk
glfkis
is krgt
krgtrosg
rosgt,
t, (CH
(CHU
U,
CHU, Fml CH@H).
b) Tkckrgismm
Tkckrgismml
l fmrm` skrg mlkcgm> `gtulj akuiosgt, trocbosgt,
trocbosgt, amnu klfmp
fmrm` (AKF), fml `gtulj rktgiuaosgt.
h) Tkck
Tkckrgis
rgismml
mml sucsuc
sucsuc tuamlj>
tuamlj> pkckrgismm
pkckrgismml
l glg ckcbkrgiml
ckcbkrgiml gleorcm
gleorcmsg
sg
kakitroeorksgs @b.
6) Mlkcgm pmfm akuikucgm miut bgmsmlym fgamiuiml
pkckrgismml
pkckrgismml sgtoigcgm.
2. Tkc
Tkckrg
krgism
ismml
ml amb
amborm
ormtor
torgu
guc
c lol
lol`kc
`kcmto
mtoaog
aogs>
s> em
emma
ma jgl
jglnma
nma,, em
emma
ma klf
klfoir
oirgl,
gl, msm
msmc
c
urmt, emma `mtg, bgmiml iucml.
8. Rmfgoaojg > tormi, bolk survky,
survky, [XJ, mtmu
mtmu aglemljgojrmeg
aglemljgojrmeg
6. Tkck
Tkckrgism
rgismml
ml sgto
sgtojklkt
jklktgi
gi
;. Tkc
Tkckrg
krgism
ismml
ml bgo
bgoaoj
aojgg coa
coakiu
kiuak
akrr (TH
(THR
R 3 poa
poayck
yckrms
rmskk h`m
h`mgl
gl rm
rmhtg
htgol,
ol, EGX
EGX@
@ 3
eauorkshklhk gl sgtu `ybrgfgzmtg
`ybrgfgzmtgol)
ol)
@. Tklmtmamismlmml/Tklmljmlml
=. Tklmljmlml
m) Bg
Bgam
am Mlfm
Mlfm ckr
ckrmsm
msmiml
iml jknmam
jknmam mlkcgm
mlkcgm fg mt
mtms
ms fml ormlj-
ormlj-orm
ormlj
lj fg ski
skikag
kagag
aglj
lj
Mlfm ckag`mt Mlfm tmcpmi puhmt fml akam`, skjkrmam` bkriolsuatmsg fkljml
foitkr
foitkr.. Fo
Foitk
itkrr mim
miml
l ckl
cklmly
mlymim
miml
l ikb
ikbgms
gmsmm
mml
l cm
cmiml
iml Mlfm fml obm
obmtt yml
ymlj
j
skfmlj
skfmlj Mlf
Mlfmm cg
cgluc
luc.. Mlf
Mlfmm ama
amau
u mim
miml
l ck
cklfm
lfmpmt
pmtiml
iml pkc
pkckrg
krgism
ismml
ml eg
egsgi
sgi,,
pkckrgismml fmrm` fml pkckrgismml pklulnmlj amgllym ultui cklkltuiml
mpmim` tkrfmpmt mlkcgm fml mpm pklykbmblym.
gg
ikiurm
ikiurmljm
ljml
l zmt bks
bksg,
g, foi
foitkr
tkr mim
miml
l ck
cklhm
lhmrg
rg tm
tm`u
`u fml ckl
ckljmt
jmtmsg
msg pkl
pklykb
ykbmb
mb
ikiurm
ikiurmljm
ljml
l tkr
tkrskb
skbut.
ut. Xup
Xupak
akckl
ckl zmt bks
bksgg fma
fmamc
mc bkl
bkltui
tui tm
tmbak
baktt mt
mtmu
mu sgr
sgrup
up
culjigl fgbkrgiml. (Bgam mlkcgm fgskbmbiml oak` cmsmam` pklykrmpml pmshm-
opkr
opkrms
msgg jmst
jmstrk
rkit
itoc
ocg,
g, pkcb
pkcbkr
krgm
gml
l supa
supakc
kckl
kl miml
miml fgbk
fgbkrg
rgim
iml
l skhm
skhmrm
rm
gltrmcusiuamrr mtmu gltrmvklma).
gltrmcusiuam
h) Tkcu
Tkcuag
ag`m
`ml
l bg
bgms
msml
mlym
ym bk
bkra
raml
mljs
jsul
uljj kl
klmc
mc `g`glj
ljjm
jm fk
fkam
ampm
pml
l cg
cglj
ljju
ju sk
sktk
tkam
am`
`
pklmljmlml. Xktkam` mlkcgm tkrtmljmlg, Mlfm cmsg` miml tkrus cklkrgcm
msupml supakckl zmt bksg `gljjm bkbkrmpm buaml ultui cklnmjm iolfgsg. Vglnm
Vglnm
Mlfm miml bkrwmrlm `gtmc skamcm pkrmwmtml.
f) Bg
Bgam
am ml
mlkc
kcgm
gm fg
fgsk
skbm
bmbi
biml
ml pk
pkly
lymi
migt
gt tk
tkrt
rtkl
kltu
tu,, sm
smtu
tu-s
-smt
mtul
ulym
ym so
soau
ausg
sg mf
mfma
mam`
m`
cklykcbu`iml pklymigtlym.
k) Mlk
Mlkcg
cgmm iro
irolgs
lgs ymlj fgtmlfm
fgtmlfmgg fkl
fkljml
jml jknmam
jknmam pmr
pmrm`
m` skpkrtg
skpkrtg fklyut
fklyut nml
nmltu
tulj
lj
hkpmt, lmems tkrskljma fml pgljsml culjigl `mrus skjkrm fgtmljmlg fkljml
trmlseusg fmrm`.
2. Tklm
Tklmtm
tmam
amis
isml
mlmm
mml l
m) Ckl
Ckljmt
jmtmsg
msg pkl
pklykb
ykbmb
mb pkr
pkrfmr
fmrm`m
m`ml
l iro
irolg
lgi,
i, cg
cgsma
smalym
lym pmf
pmfmm mli
mligao
gaosto
stocg
cgmsg
msgss
fgbkrgiml mltkacgltgi ymlj sksumg.
b) Tkcbkrgml prkpmrmt Ek> ekro suaemt 8 x 82; cj skhmrm orma fmamc ikmfmml
pkrut iosolj, fmpmt fgcuamg fkljml fosgs ymlj rklfm` fml fglmgiiml
bkrtm`mp. Tmfm pmsgkl
pmsgkl ymlj tgfmi
tgfmi iumt, fmpmt fgbkrgiml
fgbkrgiml bkrsmcm
bkrsmcm cmimlml.
Ekro jauiolmt 8 x 244 cj skhsrm orma sk`mbgs cmiml. Bgam tkrfmpmt gltoakrmlsg
tkr`mfmp pkcbkrgml prkpmrmt Ek orma mtmu jmljjuml pklhkrlmml sk`gljjm tgfmi fmpmt
fgbkrgiml orma, fmpmt fgbkrgiml skhmrm pkrkltkrma fkljml fosgs 2;4 cj Ek (8 cj/ij BB)
ultui tgmp j% pklurulml imfmr @b fgbmwm` lorcma.
Grol fkistrml ckljmlfulj Ek ;4 cj/ca, fgbkrgiml skhmrm gltrmcusiua
gltrmcusiuakr
kr cuam-cuam
;4 cj, ikcufgml =44-2;4 cj tgmp =-2 `mrg smcpmg fosgs totma sksumg pkr`gtuljml. Fmpmt
puam fgbkrgiml gltrmvklm, cuam-cuam 4,; ca skbmjmg fosgs pkrhobmml. Bgam fmamc 8-;
cklgt tgfmi cklgcbuaiml rkmisg, boak` fgbkrgiml 2;4-;44 cj.
gg
Msu`ml Ikpkrmwmtml
M. Tkljimngml
Tkljimngm
Tkljim ngml
l mfm
mfmam`
am` aml
amljim
jim`
` mwmwma
ma fml fms
fmsmr
mr fma
fmamc
mc pro
prosks
sks ikp
ikpkr
krmwm
mwmtm
tml
l skh
skhmrm
mrm
cklykauru(Bokfg`mrtolo
cklykauru (Bokfg`mrtolo,, =776).
Tkljimngml pmsgkl fkljml mlkcgm (Fokljks, =777) ckagputg >
=) Mi
Mitg
tgvg
vgtm
tmss / gstgr
gstgrm`
m`mt
mt
2) Xgriuamsg
8) Gl
Gltk
tkjr
jrgt
gtms
ms kj
kjo
o
gg
6) Kakcglmsg
;) Cm
Cmim
imlm
lml/
l/hm
hmgr
grml
ml
Jkn
knma
mamm > pkl klur
urul
ulmml cmsusuim
iml
l fgfgkkt, cmsusui
iml fgkt pro rottkg
kgl
l `kw kwmmlg
rklfm`/cmsuiml profui skrkma tgljjg (FB). Lykrg cuaut mtmu agfm`, iksuagtml
cklkaml
cklk aml (uai
(uaius
us pmfm emrg
emrglj).
lj). Cuma
Cuma/cul
/cultm`,
tm`, fyspk
fyspkpsgm
psgm,, mlor
mlorkisg
kisgm.m. Mfml
Mfmlymym
pklurulml bkrmt bmfml. Vgfmi pkrlm` pums ckljulym` mtmu pkim tkr`mfmp ks,
iotorml, tkpulj nmjulj, hmt, tmlm` agmt, fml skbmjmglym (FB).
Vmlf
mlfmm > agf
agfm`
m` tmc
tmcpmi
pmi ckr
ckrm`
m` fmj
fmjglj
glj/`m
/`maus
aus (MT
(MT99 fke
fkegsg
gsgkls
klsgg msm
msmcc eoa
eoamt
mt fml
vgtmcgl B=2). Ckcbrmlk cuiosm ikrglj, puhmt. Vurjor iuagt > burui, ikrglj,
tmcpmi igsut/`gamlj kamstgsgtms (FB). Xtocmtgtgs fml jaosgtgs (stmtus fkegsgklsg).
Bgbgr > skagtgs, cgsmalym gleamcmsg bgbgr fkljml sufut cuaut pkhm`. (FB).
5) Lk
Lkur
uros
oskl
klso
sorg
rg
Jknmam > smigt ikpmam, bkrfklyut, pusglj, vkrtgjo, tgllgtus, iktgfmi cmcpuml
bkriolskltrmsg. Glsoclgm, pklurulml pkljag`mtml, fml bmymljml pmfm cmtm.
bkriolskltrmsg.
Ikakcm`ml, ikskgcbmljml burui, imig joym` 9 pmrkstksgm tmljml/imig (MT) 9
iamufgimsg. Xklsmsg cmlnmfg fgljgl.
Vmlfm > pkim rmljsmlj, jkagsm`, fkprksg hklfkrulj tgfur, mpmtgs. Ckltma > tmi
cmcpu bkrkspols, amcbmt fml fmljima. Oetmacgi > `kcormjgs rktglm (mpamstgi,
MT).
MT ). Kp
Kpgt
gtmi
misg
sgss > pk
pkrf
rfmr
mrm`
m`ml
ml fmfmrg
rg au
aubm
bmlj
lj-a
-aub
ubml
mljj (m(mpa
pams
mstg
tgi)
i).. Jm
Jmlj
ljju
juml
ml
ioorfglmsg, mtmisgm, pklurulml rmsm jktmr, fml posgsg, tmlfm Rocbkrj posgtge,
pmrmaysgs (MT).
(MT).
:) Ly
Lykr
krg/
g/ik
ikly
lymc
mcml
mlml
ml
0) Tk
Tkrl
rlmmpm
pmsm
sml
l
Jknmam > rgwmymt VB, mbsks pmru. Lmpms pklfki pmfm gstgrm`mt fml mitgvgtms.
Vmlfm > tmigplkm, ortoplkm, fml fgsplkm.
7) Ikmcmlml
Jknmam > rgwmymt pkikrnmml tkrpmnml tkr`mfmp bm`ml igcgm,. Rgwmymt tkrpmnml
pmfm rmfgmsg9 bmgi tkr`mfmp pkljobmtml mtmu ikhkakimml. Rgwmymt imlikr
imlikr,,
tkrmpg
tkrmpg iml
imlikr
ikr.. Vg
Vgfmi
fmi toa
toakrm
krml
l tk
tkr`m
r`mfmp
fmp fgl
fgljgl
jgl fml pml
pmlms.
ms. Vrml
rmlseu
seusg
sg fmr
fmrm`
m`
skbkauclym. Jmljjuml pkljag`mtml, pklykcbu`ml auim burui, skrglj glekisg.
Vmlfm > fkcmc rklfm`, ckljjgjga, bkrikrgljmt cmamc, agcemfklopmtg ucuc.
Ttkigk fml kigcosgs (mpamstgi).
=4) Xkisu
Xkisumagt
magtms
ms
gg
=. Rgsgio
Rgsgio tgljjg
tgljjg tkr`mfmp
tkr`mfmp glekisg
glekisg bkr`ubuljm
bkr`ubuljmll fkljml tgfmi
tgfmi mfkiumtlym
mfkiumtlym pkrtm`mlml
pkrtm`mlml
skiulf
ski ulfkr
kr (pk
(pklur
lurulm
ulml
l `kc`kcoja
ojaobg
obgl
l ak
akuho
uhopkl
pklgm,
gm, mtm
mtmu
u pkl
pkluru
urulml
lml jrm
jrmlua
luaosg
osgtt
(rkspols gleamcmsg tkrtkiml).
2. Tkrubm`m
Tkrubm`mll lutrgsg
lutrgsg iurmlj fmrg
fmrg ikbutu`ml
ikbutu`ml tubu`
tubu` bkr`ubuljml
bkr`ubuljml fkljml
fkljml ikjmjmam
ikjmjmaml
l
ultui cklhkrlm mtmu iktgfmi cmcpuml cklhkrlm cmimlml /mbsorpsg lutrgklt
ymlj fgpkrauiml ultui pkcbkltuiml ska fmrm` ckrm`.
8. Gltoak
Gltoakrml
rmlsg
sg mit
mitgvg
gvgtms
tms bkr
bkr`ub
`ubulj
uljml
ml fkl
fkljml
jml ikt
iktgfm
gfmisk
iskgc
gcbml
bmljml
jml mlt
mltmrm
mrm sup
supamg
amg
oisgjkl (pkljgrgcml) fml ikbutu`ml.
6. Tkrubm`m
Tkrubm`mll pkreusg nmrglj
nmrgljml
ml bkr`ubuljml
bkr`ubuljml fkljml
fkljml pklurulml
pklurulml iocpolk
iocpolkl
l skauakr
ymlj fgpkrauiml ultui pkljgrgcml oisgjkl/lutrgklt ik ska.
;. Rgs
Rgsgio
gio tgljjg
tgljjg tkr`mfmp
tkr`mfmp ikrusmiml
ikrusmiml gltkjrgt
gltkjrgtms
ms iuagt bkr`ubul
bkr`ubuljml
jml fkljml
fkljml pkrubm`ml
pkrubm`ml
:. Iurml
Iurmlj j pkl
pkljkt
jktm`u
m`uml
ml sk`
sk`ubu
ubuljm
ljml
l fkl
fkljml
jml iur
iurmlj
mlj tkr
tkrpmn
pmnml/
ml/ckl
ckljgl
jgljmt
jmt 9 sma
smam`
m`
gltkrprktmsg gleorcmsg 9 tgfmi ckljklma sucbkr gleorcmsg.
H. Gltkrvklsg/Gcpakckltmsgg ikpkrmwmtml
Gltkrvklsg/Gcpakckltms
=) Rgsg
Rgsgio
io tg
tglj
ljjg
jg tk
tkr`
r`mf
mfmp
mp glglek
ekis
isgg bk
bkr`
r`ub
ubul
uljm
jml
l fk
fklj
ljml
ml tg
tgfm
fmi
i mf
mfki
kium
umtl
tlym
ym
pkrtm`mlml skiulfkr (pklurulml `kcojaobgl akuhopklgm, mtmu pklurulml
jrmluaosgt (rkspols gleamcmsg tkrtkiml)).
Vunuml > Glekisg tgfmi tkrnmfg.
Irgtkrgm `msga >
ckljgfklt
ckljgf kltge
gegim
gimsg
sg pkr
pkrgam
gamiu
iu ult
ultui
ui ck
cklhk
lhkjm`
jm`/c
/cklu
klurul
ruliml
iml rg
rgsgi
sgio
o
glekisg.
cklgljimtiml
cklgljimt iml pkly
pklykcbu
kcbu`ml
`ml auim
auim,, bkbm
bkbmss frmg
frmglmsk
lmsk purua
puruakl
kl mtmu
krgtkcm, fml fkcmc.
gg
GLVKRUKLXG RMXGOLMA
Bkrgiml
Bkrgiml pkr
pkrmw
mwmtm
mtml
l iua
iuagt,
gt,pkr
pkrgml
gmlma
ma Ckluruliml rksgio
fml orma fkljml hkrcmt. ioaolgsmsg/glekisg bmitkrg.
Glfgimtorr glek
Glfgimto glekisg
isg aoim
aoima.a. Hmtm
Hmtmtml
tml >
pkcbkltuiml pus culjigl tgfmi
mfm bgam jrmluaosgt tkrtkiml.
Ckcbkfm`iml mfmlym
glekisg.ckljgfkltgegimsg
glekisg.ckljgfkltgegimsg pmt`ojkl
i`usus fml ckcpkljmru`g puag`ml
pkljobmtml.
gg
2) Tkrubm`ml lutrgsg iurmlj fmrg ikbutu`ml tubu` bkr`ubuljml fkljml ikjmjmaml ultui
cklh
ck lhkr
krlm
lm mt
mtmu
mu ik
iktg
tgfm
fmi
i cm
cmcp
cpumuml
l ck
cklh
lhkr
krlm
lm cm
cmim
imlm
lml
l /m
/mbs
bsor
orps
psgg lu
lutr
trgk
gklt
lt ym
ymlj
lj
fgpkrauiml ultui pkcbkltuiml ska fmrm` ckrm`.
ºcklulunuiiml pklgljimtml/ckcpkrtm`mli
pklgljimtml/ckcpkrtm`mliml
ml bkrmt bmfml fkljml lgamg ambormtorguc
lorcma.
ºCklululn
ºCklululnuii
uiiml
ml pkr
pkrgam
gamiu,
iu, pkr
pkrubm
ubm`ml
`ml poa
poamm `gf
`gfup
up ult
ultui
ui ck
cklgl
lgljim
jimtim
timl
l fml mtm
mtmu
u
ckcpkrtm`mliml
ckcpkrtm`ml iml bkrmt bmfml ymlj sksumg.
GLVKRUKLXG RMXGOLMA
ºImng rgw
ºImng rgwmym
mymtt lut
lutrgs
rgsg,
g, tkr
tkrcm
cmsui
sui cmi
cmiml
ml ºckljgfkltgegimsg fkegsgklsg
ºckljgfkltgegimsg fkegsgklsg,, ckljmwmsg
ymlj fgsuimg. cmsuiiml imaorg mtmu iumagtms
ikiurmljml iolsucsg cmimlml.
ºObskrvmsg fml hmtmt cmsuiiml cmimlml ckcufm`iml gltkrvklsg
pmsgkl.
ºckljmwmsg pklurulml bkrmt bmfml mtmu
ºVgcbmlj bkrmt bmfml sktgmp `mrg kekitgvgtms gltkrvklsg lutrgsg.
gg
GLVKRUKLXG RMXGOLMA
ºObskrvms
ºObskr vmsgg tm
tmlfm
lfm-tm
-tmlfm
lfm vg
vgtma
tma sk
skbka
bkauc
uc fml ºcºcml
mlge
geks
kstm
tmsg
sg im
imrf
rfgo
gopu
puac
acol
olma
ma fm
fmrg
rg upupmy
mymm
sksufm` mitgvgtms. nmltulj fml pmru ultui ckcbmwm nucam`
oisgjkl mfkiumt ik nmrgljml.
ºBkrgim
iml
l agljiuljml tklmlj, bmtmsg
pkljulnulj, fml iurmljg sumrm bgsglj, ºckl ºcklglji
gljimtim
mtiml
l gstg
gstgrm`mt
rm`mt ultu
ultui
i ckl
ckluruli
uruliml
ml
pkrtm`mliml tgrm` bmrglj bgam fg ikbutu`ml oisgjkl tubu` fml ckluruliml
glfgimsgiml. rkjmljml nmltulj fml pmru.
ºJu
Julm
lmim
imll tki
kilg
lgii cklklj`
j`kc
kcmtmt klkr
klkrjjg, ºc
ºcklg
klglji
ljimti
mtiml
ml mit
mitgvg
gvgtm
tmss sk
skhmr
hmrmm bkr
bkrtm`
tm`mp
mp
mlnu
mlnuri
riml
ml pm
pmsg
sgkl
kl gs
gstg
tgrm
rm`m
`mtt bg
bgam
am tk
tkrn
rnmf
mfgg smc
smcpmg
pmg lor
lorcma
cma fml ck ckcp
cpkrb
krbmgi
mgigg to
tolus
lus
ikak
ikakam
am`m
`mll fmfmll ik
ikak
akccm`
m`ml
ml,, mlmlnu
nuri
riml
ml otot/stmcglm tmlpm ikakcm`ml.
pmsgkl ckamiuiml mitgvgtms skcmcpulym Ckgljimtiml `mrjm fgrg fml rmsm
gg
GLVKRUKLXG RMXGOLMA
º Mwm
wmsgsg tmlf
tmlfmm vg
vgtm
tmaa im
imng
ng pklj
pkljgs
gsgm
gml
lº ckcbkrgiml gleorcmsg tkltmlj
impgakr
impgakr,, wmrl
wmrlmm iuag
iuagt/ck
t/ckcbrm
cbrmlk
lk cuio
cuiosm,
sm, fkrmnmt/ikmfkiumtml pkreusg nmrgljml fml
fmsmr iuiu. ckcbmltu cklktuiml ikbutu`m
`ml
l
gltkrvklsg.
º Vgljjgiml
Vgljjgi ml ikpma
ikpmamm tkcp
tkcpmt
mt tgfu
tgfurr sksumg
sksumg
toakrmlsg. º cklgljimtiml kispmlsg pmru fml
ckc
kcmmis
isgc
gcmmaim
imll oisg
oi sgj
jkl
klms
msgg ult
ltui
ui
º Mwmsg upmy
upmymm pkrl
pkrlmpmsm
mpmsml
l 9 musi
musiuatm
uatmsg
sg ikbutu`ml skauakr. Hmtmtml >
bulyg lmpms pkr`mtgiml bulyg ioltrmglfgimsg
ioltrmglfgim sg bgam mfm `gpotklsg.
mfvkltgsgus.
º fgsplk
fgsplkm,
m, jkck
jk ckrgrghg
hgi
i cklu
ck lulu
luln
lnui
uiim
iml
l
º Xkagfgig ikau`ml lykrg fmfm/pmapgt
fmfm/pmapgtmsg.
msg. jmlj
jmljju
juml
ml nm
nmnl
nltu
tulj
lj imimrk
rklm
lm rk
rkjm
jmlj
ljml
ml
nmltulj amcm/pklg
amcm/pklgljimtml
ljimtml iocpklsmsg
º @glfmrg pkljjulmml botoa pklj`mljmt hurm` nmltulj.
mtmu botoa mgr pmlms. [iur su`u mgr cmlfg
fkljml t`krcocktkr. º gsikcgm skau
gsikcgm skauakr
akr ckcp
ckcpkljm
kljmru`g
ru`g nmrg
nmrgljml
ljml
cgoimrfgma/ potklsgma rgsgio glemri.
º Ioambormsg pkljmwmsml `msga
pkckrgismml
fmrm
fmrm`
` ckckrm ` ambormturg
rm` ambormturguc.
aklj
akljim uc.
imp/
p/pm
pmhiBkrgiml
hikf
kf prprofska
ui º
ofui tkrcorks
tkrcorkskpto
kptorr nmrgljm
nmrgljml
l fkrcma
fkrcma fmlji
fmljima
ma
imrklm jmljjuml oisgjkl.
fmrm` sksumg glfgimsg.
º ckljgfkltgegimsg fkegsgklsg fml
º Bkrg
Bk rgim
imll oi
oisg
sgjk
jkll tm
tmcb
cbm`
m`ml
ml sksu
sksumg
mg ikbutu`ml pkljobmtml /rkspols tkr`mfmp
glfgimsg. tkrmpg.
º ckcmisgc
ckcmi sgcma
maiml
iml trmlspo
trmlsport
rt ois
oisgjk
gjkl
l ik
nmrgljml.
gg
;) Rgsgio tgljjg
Rgsgio tgljjg tkr`mfm
tkr`mfmp
p ikrusmiml
ikrusmiml gltkj
gltkjrgtm
rgtmss iuagt bkr`u
bkr`ubuljm
buljml
l fkljml
fkljml pkrubm`ml
pkrubm`ml
sgriuamsg fml lkuroaojgst.
Vunuml > fmpmt ckcpkrtm`mliml gltkjrgtms iuagt.
Irgtkrgm `msga > ckljgfkltg
ckljgfkltgegimsg
egimsg emhtor rgsgio/pkrgamiu glfgvgfu ultui cklhkjm` hkfkrm
fkrcma.
GLVKRUKLXG RMXGOLMA
º Imng gltk
gltkjrgt
jrgtms
ms iuag
iuagt,
t, hmtm
hmtmtt pkru
pkrubm`m
bm`ml
lº iolfgsg iuagt fgpkljmru`g oak` sgriuamsg,
pmfm turjor
turjor,, jmljjuml wmrlm, `mljmt lutrg
lutrgsg
sg fml gcgcobg
obgag
agsms
smsg.
g. Nmr
Nmrglj
gljml
ml fmp
fmpmt
mt
aohma, krgtkcm, kisiorgmsg. ckln
ck lnmf
mfgg rm
rmpu
pu`
` fmfmll hkhklf
lfkr
krul
uljj ul
ultu
tui
i
glekisg fml rusmi.
º pkrcuimml
Rkpo
Rkposg
sgsg
sg tuamlj
skhm
sk hmrm
rm mpmbgam
pkrg
pkrgof
ofgh
ghpmsgkl
fml
fm l tgfmi
pgnm
pgnmtt º cklgljimtiml sgriuamsg ikskcum iuagt,
bkrjkrmi mtmu
mtmu fgtkcpmt tgfur
tgfur.. ckcbmtmsg gsikcgm
nmrgljml/ckcpkljmru`g
nmrgljml/ckcpkljmru`g `gpoisgm
`gpoisgm skauakr.
skauakr.
º Mlnuriml pkcu
Mlnuriml pkcuimml
imml iuag
iuagtt ikrg
ikrglj
lj fml
bkrsg`. Bmtmsg
Bmtmsg pkljjulmml smbul.
smbul. º mrkm akcbmb, tkrioltmcglmsg,
ckcb
ck cbkr
krgi
giml
ml ck
ckfg
fgmm ym
ymlj
lj sm
smlj
ljmtmt bm
bmgi
gi
º Bmltu ultui amtg`ml rkltmlj jkrmi. ultui pkrtucbu`ml orjmlgsck pmtojklgi.
Xmbul fmpmt cklj
ckljkrgl
krgljiml
jiml iuag
iuagtt skhm
skhmrm
rm
º Julmiml mamt pkaglfulj, cgsmalym iuagt bkrakbg`ml.
focbm, ikrmlnmlj, imsur tkimlml
ufmrm/mgr. Tkaglfulj tucgt/sgiu fml bmltma º cklglj
cklgljim
imti
timl
ml sgri
sgriua
uams
msgg nmrg
nmrglj
ljml
ml,,
sksumg glfgimsg. (ioambormsg) cklhkjm` stmsgs.
º cklj`glf
cklj`glfmrg
mrg ikr
ikrusm
usmiml
iml iua
iuagt
gt fkl
fkljml
jml
cklhkjm` /ckluruliml tkimlml tkr`mfmp
pkrcuimml iuagt.
iuagt.
gg
5) Iolstgpmsg
Iolstgpm sg mtmu
mtmu Fgmrk
Fgmrk bkr`ubulj
bkr`ubuljml
ml fkljml
fkljml pklurulml
pklurulml cmsuim
cmsuimll fgkt9 pkrub
pkrubm`ml
m`ml
prosks pklhkrlmml9
pklhkrlmml9 keki smcpglj
smcpglj tkrmpg obmt.
obmt.
Vunuml > ckcbumt/ikcbmag poam lorcma fmrg euljsg usus.
Irgtkrgm `msga > cklulnuiiml pkrubm`ml pkrgamiu/poam `gfup, ymlj fgpkrauiml skbmjmg
pklykbmb, emhtor
emhtor pkcbkrmt.
GLVKRUKLXG RMXGOLMA
gg
º Obskrvmsg
Obskrv msg wm
wmrlm
rlm eks
eksks,
ks, iol
iolsgs
sgstk
tklsg
lsg,, º ckckcbm
cbmltu
ltu ck
ckljg
ljgfkl
fkltg
tgeg
egims
imsgg pkl
pklykb
ykbmb
mb
erkiuklsg fml nucam`. /emhtor pkcbkrmt fml gltkrvklsg ymlj tkpmt.
º Ioambormsg m`ag jgzg ultui fgkt º cklhkjm` kisiorgmsg iuagt fml ikrusmiml.
sgkcbmlj fkljml tgljjg skrmt fml buai.
º skrmt cklm`m
skrmt cklm`mll klzgc
klzgc pklhkr
pklhkrlmm
lmmll fml
º Bkrg
Bkrgim
iml
l pkak
pkakcbcbki
ki eks
eksks
ks,, stgc
stgcua
uaml
mltt ckljmbsorpsg mgr fmamc magrmllym
rglj
rgljml
ml,, am
amis
ismt
mtge
ge pk
pkcb
cbkl
kltu
tui
i bu
buai
ai mt
mtmu
mu skpmln
skpmlnmlj
mlj trm
trmitu
ituss glt
gltkst
kstglm
glmaa fml fkl
fkljml
jml
klkcm sksumg glfgimsg. Tmltmu fkcgigml cklj`msgaiml
cklj`msgaiml buai, ymlj bkikrnm
ikkekitgeml.. (ioambormsg
ikkekitgeml (ioambormsg).
). skbmjmg pkrmljsmlj ultui fkekimsg.
º Bkrgim
Bkrg iml
l ob obmt
mt ml mltg
tgfg
fgmr
mrk,
k, cgs
gsma
maly
lymm º ckc
ckcpkrc
pkrcufm`
ufm` fkek
fkekimsg
imsg bgam iols
iolstgpm
tgpmsg
sg
Fke
kekklo
loxxga
gamt
mt @gf gfro
roia
iaor
orggfm fkl
kljm
jml
l tkrnmfg.
mtropglk (Aocotga) fml obmt
ckljmbsor
cklj mbsorpsg
psg mgr
mgr,, cgsm
cgsmalym
alym Cktm
Cktmcuhg
cuhga.
a. º Rm
Rmsgo
sgolma
lma > cklurul
ckluruliml
iml cotg
cotgagt
agtms
ms usus
usus
(ioambormsg). bgam fgmrk tkrnmfg.
tkrnmfg.
:) Iurmlj pkljktm
Iurmlj pkljktm`um
`umll sksk`ub
`ubulj
uljml
ml fkl
fkljml
jml iurmlj
iurmlj tktkrpm
rpmnml
nml/ck
/ckljg
ljgljm
ljmtt 9 sm
smam`
am`
gltkrprktmsg gleorcmsg 9 tgfmi ckljklma sucbkr gleorcmsg.
Vunuml > pmsgkl ckljkrtg fml ckcm`mcg tkltmlj pklymigt, proskfur fgmjlostgh fml
rklhmlm pkljobmtml.
Irgtkrgm `msga >
º pmsgkl ckly
pmsgkl cklymt
mtmim
miml
l pkcm`mc
pkcm`mcmll
mllym
ym prosk
proskss pklymig
pklymigtt fml pklmt
pklmtmam
mamism
ismlmm
lmml
l
pklymigt.
gg
º ckljgfkltgegimsg
ckljgfkltgegimsg emhtor pklykbmb.
GLVKRUKLXG RMXGOLMA
º Bkrgim
Bkrg imll gleo
gleorc
rcms
msgg tklt
tkltml
mlj
j mlkc
mlkcgm
gm º ckc
kcb
bkr
krggim
imll fmsm
fm smrr pkl
pkljk
jkttm`u
`umml
spksge
spk sgegi.
gi. Fg
Fgsiu
siusgi
sgiml
ml ikl
iklymt
ymtmml
mml bm`
bm`wm
wm sk`gljjm
sk`gljjm pmsg
pmsgklkl fmpm
fmpmtt ckc
ckcbumt
bumt pgag
pgag`ml
`ml
tkrmpg tkrjmltulj pmfm tgpk fml bkrmtlym ymlj
ymlj tk
tkpm
pmt.t. Ck
Cklu
luru
ruli
limlml ml
mlsg
sgkt
ktms
ms fmfmll
mlkcgm. fmpmt
fmpmt ck
cklgl
lgljim
jimti
timl
ml ikr
ikrnms
nmsmc
mcmm fmafmamc
mc
projrmc tkrmpg.
tkrmpg.
º Vgl
glnm
nmu
u tun
tunum
umll fml
fml pk pkrs
rsgm
gmpm
pml
l ult
ultui
ui
pkckrgismml fgmjlostgh.
fgmjlostgh. º mlsgktms/iktmiutml tkltmlj
iktg
iktgfm
fmit
itm`
m`um
uml
l cklg
ck lglj
ljim
imti
timl
ml strk
strkss
ss,,
º Imng tg
Imng tglji
ljimt
mt pkl
pkljkt
jktm`u
m`uml
ml iag
iagkl
kl fml skamlnutlym cklgljimtiml bkbml nmltulj.
ikaumrjm tkltmlj pklymigtlym. Tkljktm`uml ckluruliml mlsgktms.
F. Kvmaumsg
Kvmaumsg mfmam` pkrbmlfgljml ymlj sgstkcgi mtmu tkrklhmlm tkltmlj iksk`mtml pmsgkl
fkljml tunuml ymlj tkam` fgtktmpiml, fgamiuiml fkljml hmrm bkriksglmcbuljml, fkljml
ckagbm
cka gbmtim
timl
l pms
pmsgkl
gkl,, ika
ikaumr
umrjm
jm fml tkl
tklmjm
mjm iks
iksk`m
k`mtm
tml
l amg
amglly
llym.
m. (A
(Aylf
ylfmm Num
Numaa
aa Hm
Hmpkl
pklgt
gto,
o,
=777>20)
Kvmaumsg pmfm pmsgkl fkljml mlkcgm mfmam` >
=) Glekisg tgfmi tkrnmfg.
2) Ikbutu`ml lutrgsg tkrpklu`g.
gg
N. Tkcbm`msml Nurlma
Nurlma =
Tklkagtgml Vkltmlj > Emitor-Emitor Wmlj Bkr`ubuljml Fkljml Iknmfgml Mlkcgm
gg
Cmlmfo–
Emitor-emitor
Emitor-emitor ymlj bkr`ubuljml fkljml Mlkcgm
Mlkcgm smam` smtulym pmfm gbu `mcga. Mlkcgm
fmamc ik`mcgaml cmsg` ckrupmiml cmsmam` irolgi fg Glfolksgm tkrbuitg fmamc prkvmaklsg
pmfm wmlgtm `mcga pkrskltmsk cklhmpmg 58,;%. Vkrag`mt fmrg `msga pklkagtgml. @msga mlmagsgs
`ubuljml mltmrm
mltmrm pmrgtms fkljml tgljimt
tgljimt mlkcgm
mlkcgm fgpkroak` bm`wm prgcgpmrm
prgcgpmrm skbmlymi =:
(84%) ymlj tkrfgrg fmrg =; (2:%) ckljmamcg mlkcgm rgljml, = (2%) mlkcgm skfmlj fml =
(2%) mlkcgm bkrmt, cuatgpmrm skbmlymi 85 (56%) tkrfgrg fmrg 28 (6=%) mlkcgm rgljml, 0
(=6%) mlkcgm skfmlj, ; (7%) mlkcgm bkrmt, Jrmlfkcuatgpmrm skbmlymi 8 (5%) tkrfgrg fmrg
ckljmamcg mlkcgm
mlkcgm skfmlj. @msga ung stmtgstgi
stmtgstgi fgpkroak` mfm `ubuljml ymlj sgjlgegiml
sgjlgegiml mltmrm
pmrgtms fkljml
fkljml imfmr mlkcgm lgamg P² 3 =6.:5= fml p 3 4.44;
4.44; GI 7;% 3 4.445
4.445 ‘ 4.4=4.
@msga mlmagsgs
mlmagsgs `ubuljml
`ubuljml mltmrm
mltmrm [cur fkljml
fkljml tgljimt
tgljimt mlkcgm ucur ≦
mlkcgm fgpkroak` bm`wm ucur
24 skbmlymi == rkspolfkl ( 24 %) [cur bkrksgio ngim ucur gbu 1 24 fml < 8;, fml ymlj
tgfmi bkrksgio ngim ucur gbu 24 ‘ 86 tm`ul. Gbu `mcga trgckstkr GGG ymlj bkrucur 1 24 tm`ul
gg
squmrk
squmrk tmb
tmbka
ka sk`
sk`gl
gljjm
jjm fmp
fmpmt
mt fgs
fgsgc
gcpua
puaiml
iml bm`
bm`wm
wm mfm `ub
`ubulj
uljml
ml yml
ymlj
j sgj
sgjlge
lgegim
giml
l mlt
mltmr
mrmm
iolsucsg tmbakt zmt bksg gbu `mcga fkljml tgljimt mlkcgm.
Nurlma 2
‑Iknmfgml Mlkcgm pmfm Gbu @mcga Fgtglnmu fmrg Tmrgtms fml [sgm–
MGXWM@> N[RLMA GAC[ IKXK@MVML 2 (2) 24=:, =28 ‘ =84
Mlkcgm ckrupmiml cmsmam` iksk`mtml cmsymrmimt tkrbksmr fg fulgm tkrutmcm bmjg ikaocpoi
wmlgtm usgm rkprofuisg (Z[X). Cklurut Z@O skhmrm jaobma prkvmaklsg mlkcgm pmfm gbu
`mcga fg skauru` fulgm mfmam` skbksmr 6=, 0 %. Xmam` smtu pklykbmb mlkcgm pmfm ik`mcgaml
ymgtu pmrgtms fml ucur gbu. Fmpmt fg ag`mt fmrg nurlma = fg imtmimlm bm`wm Mlkcgm fmamc
ik`mcgaml cmsg` ckrupmiml cmsmam` irolgi fg Glfolksgm tkrbuitg fmamc prkvmaklsg pmfm
wmlgtm `mcga pkrskltmsk cklhmpmg 58,;%.
Vmbka = cklulnuiiml bm`wm fmrg 2:: rkspolfkl ymlj ckljmamcg iknmfgml mlkcgm pmfm
gbu `mcga skbmlymi ==0 rkspolfkl (62,5%) fml sgsmlym =;7 rkspolfkl (;:,6%) ymlj tgfmi
ckljmamcg iknmfgml mlkcgm pmfm gbu `mcga. Rkspolfkl fkljml pmrgtms bkrksgio skbmlymi
225 rks
rkspol
polfkl
fkl (0=
(0=,5%
,5%)) fml pmr
pmrgt
gtms
ms tg
tgfmi
fmi bkr
bkrksg
ksgio
io skb
skbmly
mlymi
mi ;= rks
rkspol
polfkl
fkl (=0
(=0,6%
,6%).
).
Rkspolfkl fkljml ucur bkrksgio skbmlymi =77 rkspolfkl (:=,0%) fml ucur tgfmi bkrksgio
skbmlymi :0 rkspolfkl (20,2%).
Vmbka 2. cklulnuiiml bm`wm ==0 rkspolfkl ymlj ckljmamcg iknmfgml mlkcgm pmfm gbu
`mcga fkljml pmrgtms bkrksgio bkrnucam` =46 rkspolfkl (65,4%) akbg` bksmr fgbmlfgljiml
rkspolfkl fkljml pmrgtms tgfmi bkrksgio ymgtu =6 rkspolfkl (2:,;%).
@msga
@msga ung stm
stmtgs
tgstg
tgi
i H`g
H`g-Xq
-Xqumr
umrkk fg fmp
fmpmti
mtiml
ml p vma
vmauk
uk 4,4
4,428
28 (p 1 4,4
4,4;).
;). Glg ck
cklul
lulnui
nuiiml
iml
cklulnuiiml mfm `ubuljml ymlj bkrcmilm mltmrm pmrgtms fkljml iknmfgml mlkcgm pmfm gbu
`mcga. Cmim `gpotksm ymlj cklymtmiml bm`wm mfm `ubuljml ymlj bkrcmilm mltmrm pmrgtms
fkljml iknmfgml mlkcgm pmfm gbu `mcga tkrbuitg.
Vmbka 8. cklulnuiiml bm`wm fmrg ==0 rkspolfkl ymlj ckljmamcg iknmfgml mlkcgm
fkljml
fkljml usgm bkrksgio
bkrksgio ymgt
ymgtu
u 76 rkspo
rkspolfkl
lfkl (6:,
(6:,2%)
2%) akbg
akbg`
` bks
bksmr
mr fgbm
fgbmlfglj
lfgljiml
iml rkspo
rkspolfkl
lfkl
fkljml usgm tgfmi bkrsgio ymgtu 26 rkspolfkl (84,0%). @msga ung stmtgstgi H`g-Xqumrk fg
fmpmti
fmpmtiml
ml p vma
vmauk
uk 4,4
4,4=0
=0 (p 1 4,4
4,4;).
;). Glg ck
cklul
lulnu
nuiim
iiml
l bm`
bm`wm
wm tk
tkrfm
rfmpmt
pmt `ub
`ubulj
uljml
ml yml
ymlj
j
gg
bkrcmilm mltmrm ucur fkljml iknmfgml mlkcgm pmfm gbu `mcga. Bkrfmsmrim
Bkrfmsmriml
l `msga mlmagsgs
cmim `gpotksm ymlj fgmnuiml fgtkrgcm, ymgtu tkrfmpmt `ubuljml ymlj bkrcmilm mltmrm ucur
fkljml iknmfgml mlkcgm pmfm gbu `mcga.
Ngim fg ag`mt fmrg `msga pklkagtgml mltmrm nurlma = fml 2 Wmlj cklnmfg pklykbmp mlkcgm
pmfm ik`mcgaml ymgtu pmrgtms fml ucur gbu. Tmrgtms ymlj tgljjg fmpmt cklykbmbiml iolfgsg
iksk`mtml
iksk`mtml gbu cklu
cklurul
rul fml skrg
skrglj
lj ckl
ckljmamc
jmamcgg iurm
iurmlj
lj fmrm
fmrm`
` sk`g
sk`gljjm
ljjm bkrp
bkrpkljm
kljmru`
ru`
burui pmfm ik`mcgaml skamlnutly
skamlnutlym.
m. fgiutgp oak` Mcgrufgl R fii (244:), cklymtmiml
cklymtmiml bm`wm
usgm gbu fmpmt ckcpkljmru`g tgcbualym mlkcgm, ymgtu skcmigl rklfm` usgm gbu `mcga cmim
skcmigl rklfm` imfmr `kcojaobgllym. [ltui gtu nurlma = fml 2 fmrg `msga pklkagtgml tkrskbut
fg Fg`mrmpiml tklmjm iksk`mtml i`ususlym pktujms iksk`mtml fmamc ckamiuiml procosg
iksk`mtml i`ususlym procosg pmfm gbu `mcga akbg` cklkimliml pmfm pkrubm`ml-pkrubm`ml
ymlj tkrnmfg pmfm gbu `mcga i`ususlym procosg mlkcgm gbu `mcga fml hmrm ckcgluc tmbakt
zmt bksg smam` smtulym fkljml sosgmagsmsg pkltgljlym iolsucsg tmbakt zmt bksg ymlj tkpmt,
cmiml
cmiml cm
cmiml
imlml
ml yml
ymlj
j ck
ckljm
ljmlfu
lfulj
lj suc
sucbkr
bkr zmt bks
bksg,
g, fml pkl
pkltg
tgljl
ljlym
ym vgt
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