14 IATPIKH THE AGAHEHE 1. AEKHEH KAI OPMONEE 1. YnoBahayuxés opyoves 2, Opubves me undquane 3, Ouposiués opyores 4. Opwve tou nayxpéarog ‘5. Opwve tov enveppBion 6. ‘Aes opubves HH NEOPIKH AEITOYPTIA KAI AEKHEH (@. METABONIEMOE KAI AEKHEH |. @EPMOPPYOMIH KAI AEKHEH K. AMYWA TOY OPFANIEMOY KAI AEKHEH A. TENIKA H onpaoia tng doxnons yia thy uyela tou avOpe- Tou, SnAadA Toso oTHY MpdANWN Siagdopav voona- Twv 600 Kal om Bepancia opiopévev naGoroyiKov KaTaotacewy éxel Katavon@ei and dkoug ofEpa. Autég eival Kal 0 onpavtikotepo¢ Adyog mou OSnyel OhO Kal Meploddtepouc avEpa@noug va oUpPeTEXoUV 0& KAGE ei50¢ PuoIKhg SpaotnpIoTntag. H GoKnon Oua@s anotedel Eva 1oxUPd PUdIOAOYIK6 «stress» yi Tov opyavioyd. O1 o§eieg anavtijaeic Kat ot xpdvieq npodapuovés tov Sic@opev cuoTnUATaY oT «stress» QUTO Tig Meploddtep|es Popes OSNYOUV OE Biohoyuct) teAeionoinon tou avépdnou Kat emiSpouv ‘euvOIKd OTOV TpONO Zwri¢ Tou. QotddO oywe eival Bu- Vato To «stress» Tn¢ Goxnonc va OSnytoe! o& HOP- @ohoyikés fh AettoupyiKé¢ avaparie, Otav Sev Aqp- Bavovtat ta anapairnta pétpa, H va anoKadWel ma- BohoyiKés Katactaoec, nou Bev exdnAdvovta Kata THY npepic. H ocuppetoxh Aoindv oe éva npdypayya puoixnic Spaotnpidtntas yia va eival TehiKa oxpeAyin aAAa Kar xapic KivSdvouc, 8a npénet va eivar CO@e- YM] He oplovévoug Kavéves. O1 Kavovec auto Ge yevi- x Ypauuts eivat ot ec: 1. Mpocextikos latpiKog EhEyXOC oe OAa Ta ato- ua nou eni6ypodv va aBAnBouv. 2. Aokisagia KoTwONS Kal evSexouévic, aMeg Mapakhivixés efetaoei¢ ota Gtoya MoU and Tov 1aTpI- KO éheyXo SiamiotWOnKe Kano Wiaitepo MPSBANHA uyeiag, Kupias oto Kapdiayyeraxd ovoTHUG. Zoupa~ va He inv Auepixavixi Eraipela ABAnTIaTpIKTC CE 5o- xiyaola Kon@on¢ 6a Npénet va uNOBaAAOVTal OAa Ta Gtoua NAikiag peyaAUTepNe tev 35 etdv mou emBu- Houy va evtaxBouv o& KaroIo NpdypapuG oUoTHHaTE Aig Goxnang, EneiBh Quiag Kat téxo10 mpaxKd elvat TOAU SUoKOAO va EapLOoTei, n SoKWagia KoNwONS emaAAetai va yiverat ota atoua tng NAiKiag auTig 1600 Stav amid Tov 1aTpIKO EAeyXO Stamotoveral Ka- Rolo NpOBANHa, 660 Kal Stav cuvuMpyouy Napayo vteg augnuévou Kw5uvou yia thy eupavion oxaWAIKC KapSiondGerag (orig Kanvioua, riaxuapKia, caKya- dbn¢ GraBiymne, uNepAmBamia, unéptacn, emiBapu- Evo KANpOVOUIKG 1OTOPIKG K.4.). 3. To Mpoypauyia te quaKiig Spaotmpistntag a npénei va éyet optopéva yapaxtnpiotiKa yia va el- var @péhyo Kat axivuvo yia To dtu. “Ero! apxiKa 6a npénei va efaTopuxevetai to npsypayya avéhoya e To GtoHo, eve Ba npénet va AayBavovrat ooBapa Un! ym Kat ot nepiBaAAovTokoyiKés oUvEriKEC FOU enikpatouv kata Tv oKnon, O TUTIO¢ Kai n dGpKEIa ‘Tne Goknonc 6a npénel va antoakonouv om BEATioon ‘Tov Aertoupyixév xapaKmnpionkav Tav pwudv, oT, Bektioon tg KataoKeutig TOU cUVOAIKOU odpATOG, omy Kalutépeucn Tav Aertoupyiov Siagdpav opya- vay, Ka8dg Kat om BeAtiocn Tou OujIKOU Kat yeviKG omy evioxuon mg wuxokoyiag tou atéyou. Or BeAtt- Goeig auté¢ ve ouvdUAOHO LE opIouevoUG AAAOUG nxavioyods nou evepyonoiobvtat we th ouoTHUATIKA Goxnon Kar ot onoio! 8a avayepSowv extevéotepa om ouvéxera, naiZouv KaBopiotiK6 Poko oTnY NPOAN- Wn Kat artoxardotaon Stagdpav voonyaTav. ApKetol epeunrég éxouv avapepBel atous xapaKTiipes mou Npénel va éxe1 n cvoTnHaTuc} GoKnon dote va oBnyei ue nodAEg mBavdtntes omnY NPAANYN voonHaTaV Kal \iaitepa tn¢ oTEgaviciag vég0U. O1 nepIoDdtEpO! ouLgavouy oti évtaon TE doKnong Ba Npénel va toobuvauel ne 7,5 Keal/min (nou avtiatoxel nepinou ‘9e KapdlaKh| GUXvoTNTa KaTd THY doKnon 120-130 ‘ow/min), va StapKei rouAaxiotov 30 min kai va ena vahauBaverai Kae SeUtepn nuépa. 4. H doxnon @a npénet va anayopedetar A va Siaxdnteral obupava Le opIouEveC avtevseiEErG NOU ‘avagépovrai oroug Mivakeg 1 Kat 2.EMIAPAEH AEKHEHE ETON OPTANIEMO TINAKAE 1. Avrevéeiger via m oupweroxh) of axon, 1, Ofeia A xpova eundpem Kardoraon, 2. Kpion Booyxmo Go8pat0¢ 1} ofeia¢ Fpoyxtn- ‘ac A napokuven xpdvIag Baoyxtnibac, 3. ZoBapéc Siarapayés tc \opponiag Tou vEpOO al Tav MeKTpOAUTOY CTO opyaMION (NX. Biappo, appUEOTOG caNKapeEnC GiaBirING KAN). 4, ZoBapi KapSioné8e1a, yopic ratpect Bera Kat oBnvies. 5. Eagwinh, couviéiom A aveffimntn aBiaBeoia rou arouou. 6. Moveg o10 B@paKa, enon Kegarakyia Kat ‘onjiavric aignon ts apmpvaxic nieong (Eu- ‘orohic} > 160 mm Hg, Aiaorohh > 100 mm Ha 7. Ofeieg pheynovaders KaraoraceiG apBpdoe- cv, wav #| AMov opyévev. 8 A‘iWn opionevay pagpéxay (angpaimnta iatpl- és oBnyies) H in oxohaowich tipnon tay napandva oBnyov ‘T600 and Tou i5iOUg TOU ABAOULEVOUS, dco Kal aM ‘ToUug Mponovntés H yuLWaoTés Rope: va OBNyHGe! oF ‘coBapés Biatapaxés mg vyelag tay npStev. H Mo Tpayixih Bratapaxh eivar aowpahig 0 arpvidioc @dva- Tog KaTd TH BidpKeIa H aHEowE Herd T AAEN Hag gu ainiig Spaotnpbmras. Gq npénei eniong va Karavondel Oui ta ogéAn Tou nipoKUntouv and thy évragn ge npoypayuata ou- ‘oTmjctints quoIKne SpaotnpIoMrac evoc avepmriou elvat notAanhGota and to KOotoG rou anarteiral yia THY E@aPHOVA TOUS Kat Bev A~POPOLY HOvO TO i810 TO Gropo (énwg ewoikés enimtdoeig ong ouvhBeres Biarpogic, otov tpéno Zag, oTMY CUUNEPIPOPA KOI omy uyeia Tou), oAA& Kat Thy o'KovoHa (KaAGTEpN, and3oon omy epyavia, Atyotepa npoBAhwara vyeiag TOV EpYAZOUEVOV K.d.) KaL Kuplag TO [610 TO KpATOS, (edarraon KooToUG uyEIOvOUIKC NepIBahynC, BeAti- ‘eon anéSoorig othy epyacia, ekértaon tev KpoU- oudTav avrxoiweowcs ouumepipopa, BeAri@on Te ‘andSoon¢ tou otparou K.4.). Nootod avawepBei n ofeia Kar xpévid eniSpaon ‘TMG Goknang ora Biépopa oueTi ara TOU opyavIoHON xpiOnke oxériyo va unevOuHiorouv opiopEvor Kara EVO Kal ErloUEWWC YEVIKA GTIOBEKTO! OpIOUOI: 1. @uouh Spaompiomra: Kase Kivnon tou OG arog nou eiva anotéhequa pike Spaotne\eTntag kat oBnyei oe Sandvn evépyetag 2, Wuxayayuxh Spaompléenra: H npoaipe nit 15 FINAKAE 2. Euunrayara nou enigéAouv my 6ueon Biaxom me doRnons. Euipavion unepBohute wuxenc egisewonc. Eupavion évromng axpomtac, waitepa oro poor, 3. Eugpavion @aparKod novou. ‘Evrovo aio@nja naka. 5. Eupavion aveBtynins Svonvo1as, Evtom Kegahahyia, Zin, von ya AmoGu- a. 7. Avefiiynto aloGra aBiaBecias, odyxuons puouk Spaomprdmnta eve¢ aTeyou, Kata Tov EdEU- 8ep0 xpévo t0u. 8. ‘Aonnon Kat npondvnon: ‘AoKron civat Kae ope wuxaywviane SpaotnpromMrac. Npondvnen el- val n cuoTmyatKh enavérnyn Tov aoxAceav, via XpOvKe SidoTMHa TOMY eBSOHATOV A uNVEV, HE oxond tm Betiaon me quoiKg Katdotaon¢ H Kal Tov Aettoupyiav Tou opyavioyo. 4, Exawue A tooperpuch doxnon: Elva to eidog ng Goknong Katé thy onoia avarrtéccerat wavou Ba®yoU SuvauN HE UKE A KABOAOU LeETABOAA TOU inkoug tev uudv 1 ueTaxivnon Tov apepdoewv. Eu- vwijéag yi my extéteon me domong ounetéxouv MiKpEg ondBeg Hudv. 5. Auvayixh f teotovuch GoKnon: Eivai to eidog ‘ng doxnong Kara Thy onoia MpoKaAobvTaL PUBLIKES OucTohEs Heyahov ouviBaG ondBaY Hudy, GARG ava tOoveTat piKpod ovo BaBuo! Sivaun. Xopatnr ‘ouiK6 Tou TUnIOU aUTOU Tc doxnon¢ elvan HETABOAA ‘OU LfkoUG TV HUY KaIn UeTaKivnon Tay apepooE- ov. 6. Aepofxt doxnon: Eivat to ei50g mg doxn- ‘ong omy onoia n evépyeia nou anarreital napéyerat ue my xenowortoinen ofuyevou and tov e1onveouevo aépa, 7. AvaepopiKh Goxnon: Eivat to el60¢ mc ‘oknong omy onola n evépyeia nou anarrettar napé- XeTaI Ue OFeiSaTIKOUG UNKavIOOUG Kal Siepyaciec ‘avaepopiou uetaBohiouod. 8, NpoBépyaven; Eivain nepiodog me uOKTC Spaomardtntag nou nponyeirat tne KUpI«aG doKNON.. Eivat anapaintn via thy npoodeuix Bpaompronol- TON TOU KUKAOpOPIKOU, avaMVEUCTIKOD Ka! LUOOKE- AetwKO! oUoTIaToG date © opyavioNds va avrare~ EENBeI Ue TOY KaAUTEpO Kal aogaAEoTEPO TPOTIO OTIC ‘anarjoeis tg doxnons. 9, AnoBepaneia: Ewvai n nepiodo¢ te @uaIKAE Spaampiétnrac nou axohouBel my Kupia¢ Goxnon. Kata my nepiogo auri 0: Bidpopes AerToupyieg TOV16 ‘opyavav emiotpégouv MpoodeuTKd oToUG pUBLOUG Trou eixav @uotoAoyiKA Malv and thy évapEn tou NpO- Ypdnuaros doxnong Tou arépoU. 10. @uoixs, endpxera: H wcavétnta via tkavonor ius} extéeon evd¢ owpatixod Epyou. 11. Yyeia: Eivai n ouveytig Kardotaon eves av- Spariou and puoKKTic, KOIWNIKTIC KA WuxoAOVIRIC anowne, 12, Noonpomra Kat @nrétera: Noonpémnra et- vain Biarapaxh tng uyeiag, rou reoKaheirat and my exéiiAson evdg vooratos Tou opyavIgHOd. @vnts- ‘mtd elvain ouxvomra Karavoung Gavétiov KaTé MAL ia kat @UAo. 18. KAnpovouwxérnra: H uetapood and tous Voveic ota maibid evéc f epiocotépav napayovtaw, ou eneuBalvouv om SiouOpqwx0n HopoOROYIKGV Kal AettoupyKGv yopaKTNpIETKGY TOU opyavioUOU Kal emiBpoiv ouyva omy uyeia tou avOpénou. 14, Tpbnos Zane: Elvat to oiveho tm¢ ouunept- ‘Popag, Tov paFEay Kai tov ouNBEIAv Evd¢ aToLOU, Tou unopei va ennpedoe! ty uysia Tou. 15. MepiBadAov: Eivat to oivoho Ta @uoKov Kat KOWAMIKGY YapaKMnpIoTIKGY TOU enNpeatouV tH ‘uoiKh SpaomHpIéTHTa, TH PUOK KAI PUDIOOYIKT enépkeia Kal thy uyela evdg arouou. ne 5. Kopbt: Efurepic noun, IATPIKH THE AGAHEHE B. KAPAIAITEIAKO EYETHMA KAI AZKHEH H guotohoyuat Aetroupyia kat ot kavahAnAeg wop- oRoyiKEs npooapHOVES TOU KapBIayyEIaKOU CUT Hato anotekowv Bacik npoUnéBeon Kard tv Goxnon. H extiunon Suag tng Aeitoupyixis waver ‘Tag Kal TE avarouiKtig EndpKE.ag Tou ovoTHUaTOC utod oF éva cuoTMaTIKA G@AoduEVO 6a npéne! va Viverai apou AdBe: Kavelg uTdWn Tou TOU XapaKTH- ee TOU aBARYATOS HE To oMfoIo Goxodeital. “Erot, n kap5i4 evdg Ohuumovixn a®Anth me Muyuaxas Ga npénei va Beapeirar «we guotohoyikt Srav euwpavizer conpaveus uneptpogia Tou yuoKapSiou Kat KopSic- Ka} ouxvomna evéc HapadvodpouoU HeydAay emiBS- ‘ceav 6a npéret va extdrat os KavowiRt| 6TaV KUO! verat and 30-40 og/min ony npeuia, Eto apedeov To WORE TaV HOPGOAOYIKOY Kat AEITOUDYIKOY LeTo Bohav nou eupavige n KapdId evdg aBANT} To nepie- ‘Ypapay ag «abvSpoyo aBAntiKG KapSISG. Ta xapa- KmpiowKd yapiouata tou ouvBpouou autod, 6po¢ nou oxedév éxet eyKaraAerpeei ofepa, eival n na pousia @AeBoKOUBKN Hh KOUBIKtIE BpaBuKapBIaG Ka- 4 Tay npenia, tpitou Kat retaprou KapSiaKod Tovou KaBGC Kal OUOTORIKY QUOMaTOY KATE THY KAWOK e€TaOM, evahoKapDiag Kara Tov aKTIVOROYIKO EREV= XO Kal, Ték0G, Siawpopeov aviowaAav oro NAEKTpOKAP- Bioypaenue. © oKonds tng Aettoupyiag Tou KuKAowpopIKOU oU- omiparos eivar amiéc: sivat n wetagopé Ue To ciya al n npoo@opa oroUs BkEwopOUG IoTOUG OfUYSvOU kat OpentKeV oUoTaNKOY, MoU eivar anopaitnra oroxeia via m Aettoupyia tous KaBAG Kai n aNOLG- Xouvon amid autouG Tav dxpnoTeV npolovtay TOU Ue TaRokiouod, n ueTa‘popA BEpLETHTAG, n HETa—OPA K Wav, Ortag Tou Mgt, K+, Na+, Ca‘ K.€., avayKaioy Yyla tn Aettoupyia Tov opyéve kat yia th PUBHLON te ofeoBaontig wopponiac, n weTapopa opHOVaV Kal GMa ousidy Ka8A¢ Kal n iathonan me UBaTIKg ‘oppentiag. ‘Ooo anhg ous Kat av @palveral 0 oKO- nog THg AetTOUPYIAG TOU KUKAo@OPIKOL CUCTHUGTOC, ‘@ot600 elvat Zoic onbagIac, H Srarhpnor} TOU hot TOV Ge Kann AetToupyia aroTeAe| np@TapKIKo HEANHO Yla Tov dv8pano. H owarh Kat ouotnaTIKr GoKnon éxe1 Bianiotw8ei dr. npoaonizer anorekeopaTKd 10 ouomnpa auré and mv eypavion opKerov Siatapa- xav. Tipotod nepiypagowv o1 ofeleg Kat xpdvies Hera Bodés Tou KapSiayyeiaKov ouoTi|NaTOG HE Thy GoKN- ‘on, KpiGNKE OKOMIO va UNeveULICBOUY oploLEva oToxeia and ty avaTouK Kar QuciOAoyia.