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PDF Preeclampsia Monografia - Compress
PDF Preeclampsia Monografia - Compress
MF[Y@KQGGM@F
Astl krloìgl y ldlrolfta afharoaklk ragmia su f`oira kad crmac` —radìoplc`‟ ` —ir`tlr
vm`daftloafta‟, gulkr` axtraolkloafta crlva qua puaka prasaftlrsa kurlfta ad aoilrlz`, ad
trliln` ka plrt`, y af `glsm`fas af ad p`stplrt`.
Ad plpmr` ka Bljuf (Uatrma), qua kltl ka ldrakak`r ka <:15 lü`s l.G, plraga jliar g`ftafmk`
gmartl kasgrmpgm÷f ka dl afharoaklk, gulfk` gmtl uf lrgud` ka H. D. Crmtj (Irmsj Oakmgld
N`urfld, <:=7) qumaf mftarpratlil kmgj` plpmr` ka dl smcumafta olfarl> —plrl pravafmr l ufl ounar
ka o`rkarsa su dafcul uf kïl kaspuís kad plrt`…‟. Ka lguark` g`f Gjasday, d`s crmac`s g`f`gïlf
yl ka dl axmstafgml ka dl praagdlopsml, olftafmafk` qua Jmp÷grltas (;85-733 l.G) asgrmim÷ af sus
lh`rmso`s lgargl kad gulkr`. Wmf aoilrc`, Lklos7, af su trlkuggm÷f kmga> —rasudtl hltld plrl ufl
ounar af astlk` ka castlgm÷f sm addl g`fvudsm`fl g`f guldqumar afharoaklk lcukl‟, d` guld lopdïl
su radlgm÷f f` s`d` l dl agdlopsml. W`safa tloimíf Gjasday, qua Cldaf`, af ad smcd` MM k. G., astlil
ka lguark` g`f Jmp÷grltas y g`oaftlil qua dl apmdapsml, lp`pdanïl, g`fvudsm`fas y títlf`s, arlf
tloimíf o`rtldas. Dl dmtarlturl s`ira dl Agdlopsml (A) g`omafzl raldoafta g`f ad lkvafmomaft` ka
dls oltr`fls vlr`fas af Hrlfgml (smcd` ZXMM). Dl praagdlopsml (UA) f` hua kmharafgmlkl ka dl
apmdap
apmdapsml
sml jls
jlstl
tl <37=
<37= p`r Wluva
Wluvacas
cas.. Kao
Kaolfa
lfat,
t, af <3=3,
<3=3, afg`f
afg`ftr÷
tr÷ lfl
lflslr
slrgl
gl af 8 plg
plgmaf
maftas
tas
agdìop
agdìopgl
gls.
s. Dav
Davar
ar y Wmops`
Wmops`f
f af <:;7
<:;7 afg`f
afg`ftrl
trlr`f
r`f pr`
pr`tam
tamfur
furml
ml af plg
plgma
mafta
ftass agd
agdìop
ìopgl
glss
(kaslplragïl af ad p`splrt`). Aftra <:73-<:83 dl o`rtldmklk oltarfl p`r asl glusl arl kad 75%, y
l fldas kad smcd` ZMZ sa uimglil af 9;% (ahagt` ka d`s lfastísmg`s y dl saklgm÷f g`f flrg÷g`s).
UYAAGDLOUWML
KAHMFMGM@FAW>
L oafuk` f` jly sïft`ols y qua puakaf sar rag`cmk`s af sus gmtls prafltldas ka rufl gulfk` sa
afa su prasm÷f lrtarmld y sa pruail ka `rmfl. U`r astl rlz÷f, sa da pmka qua trlmcl ufl ouastrl ka
`rmfl plrl sus gmtls.
F` axmsta ufl pruail aspagïgl plrl su kmlcf÷sg`, y asta sa ilsl af dl kmlkl gdïfmgl ka>
l) jmpa
jmpartafs
rtafsm÷f
m÷f lrtarmld
lrtarmld (J[L)
(J[L) (6 <;5 ooJc
ooJc ka smst÷dmgl
smst÷dmgl ` 6 =5 ooJc ka km
kmlst÷d
lst÷dmgl,
mgl, t`o
t`olkl
lkl
af p`smgm÷f saftlkl) i) pr`tamfurml (6 5.7 cr. af 9; j`rls). Dl UA sa gdlsmgl af o`karlkl `
crlva, af ilsa l dl savarmklk ka dl J[L y pr`tamfurml, y dl prasafgml ka sïft`ols y smcf`s
qua olfmastaf g`opr`oms` ka `tr`s ÷rclf`s. Af dl UA o`karlkl, dl prasm÷f lrtarmld f`
s`iraplsl d`s <85/<<5 ooJc, dl pr`tamfurml as oaf`r l 1 cr af 9; j`rls, dl kmurasms
oly`r l 155 gg af 9; j`rls, y puaka ls`gmlrsa l akaol cafarldmzlk` o`karlk`, par` smf
g`opr`oms` ka dl g`lcudlgm÷f, japìg` fm faur`d÷cmg`. G`o` g`ftrlplrkl, af dl UA
savarl, d`s vld`ras ka prasm÷f lrtarmld y pr`tamfurml s`f suparm`ras, dl kmurasms af 9; j`rls
oaf`r l 155 gg, jly akaol cafarldmzlk`, qua puaka ddaclr l lflslrgl y akaol pudo`flr,
y puaka ls`gmlrsa l tr`oi`gmt`pafml, adavlgm÷f ka afzmols japìgls ` olfmhastlgm`fas
ka g`opr`oms` kad smstaol farvm`s` gaftrld. Astls þdols g`rrasp`fkaf ld gulkr` gdïfmg`
9 kad sïfkr`oa ka jmparparhusm÷f afgahìdmgl, y s`f prmfgmpldoafta> gahldal, ldtarlgm`fas
vmsuldas (h`shaf`s, kmsomfugm÷f ka lcukazl vmsuld, atg.) y ldtarlgm÷f ka g`fgmafgml. Gulfk`
astìf prasaftas sa jlidl ka smcf`s prao`fmt`rm`s ` ka agdlopsml mfomfafta.
i) Wma
Wmafk`
fk` dl UA uf trlst`rf`
trlst`rf` oudsmstíom
oudsmstíomg`,
g`, dls g`opdmgl
g`opdmglgm`f
gm`fas
as oltarfls
oltarfls s`f kmvar
kmvarsls.
sls. Dls
prmfgmpldas s`f> kasprafkmomaft` praoltur` ka pdlgaftl f`ro`mfsartl, akaol pudo`flr,
mfsugmafgml glrkmlgl, mfsugmafgml rafld, klü` japlt`gadudlr, g`lcudlgm÷f mftrlvlsgudlr
kmsaomflkl, sïfkr`oa ka jmparparhusm÷f afgahìdmgl y ouarta. Wa asol qua dl agdlopsml
as dl glusl kad <5% ka dls ouartas oltarfls af plïsas kaslrr`ddlk`s.
AUMKAOM@D@CML
Dl praagdlopsml as g`oþf y lhagtl l aftra k`s y `gj` ka glkl <55 ounaras kurlfta ad
aoilrlz`.
Dl praagdlopsml savarl puaka sar o`rtld plrl dl olkra y ad iaií.
Lpr`xm
Lpr`xmolk
olkloa
loafta
fta ufl
ufl ka glkl
glkl 955 ounara
ounarass (5,
(5,1%)
1%) kas
kaslrr
lrr`dd
`ddlf
lf praag
praagdlo
dlopsm
psmll crl
crlva
va
kurlfta ad aoilrlz`.
D`s sïft`ols afkaf l `gurrmr oìs tlrka af ad aoilrlz`, par` tloimíf puakaf `gurrmr
p`r prmoarl vaz s`dloafta kaspuís kad flgmomaft`.
L fmvad oufkmld, dl mfgmkafgml ka praagdlopsml `sgmdl aftra 9-<5% ka d`s aoilrlz`s, dl guld
as pragurs`r ka dl agdlopsml y vlrïl af t`k` ad oufk`.
Dl @rclfmzlgm÷f Oufkmld ka dl Wlduk (@OW) asol qua dl mfgmkafgml ka praagdlopsml as
smata vagas oly`r af d`s plïsas af kaslrr`dd` qua af d`s kaslrr`ddlk`s (9,:% y 5,;% ka d`s
flgmk`s vmv`s raspagvloafta).
raspagvloafta).
Dl mfgmkafgml ka agdlopsml af d`s plïsas kaslrr`ddlk`s ka F`rtaloírmgl y Aur`pl as smomdlr
y sa asol ldrakak`r ka 1 l 3 gls`s p`r glkl <5.555 plrt`s, omaftrls qua af plïsas af
kaslrr`dd` as vlrmlida, `sgmdlfk` aftra < gls` p`r glkl <55 aoilrlz`s l < p`r glkl <.355
aoilrlz`s.
Dls tlsls ka d`s plïsas lhrmglf`s g`o` Wukìhrmgl, Acmpt`, [lfzlfml y A`pïl vlrïlf ka <,:%
l 3,<% y af Fmcarml, dl pravldafgml `sgmdl aftra 9% l <8,3%.
D`s hlgt`ras s`gmldas mfuyaf af dl praagdlopsml g`f 93% ka dls ouartas oltarfls y as
mop`rtlfta luoaftlr dl g`fgmafgml af dls ounaras s`ira dl fagasmklk ka ragmimr ltafgm÷f
ka aoarcafgml, sm surcaf g`opdmglgm`fas kurlfta ad plrt`, plrl lsacurlr dl mftarvafgm÷f
oíkmgl rìpmkl, aglz a mfgraoaftlr dl pr`ilimdmklk ka íxmt` tarlpíug` (<- 7). [`kl dl
g`oufm
g`oufmklk
klk kai
kaiaa sar gl
glplg
plgmtl
mtlkl
kl plrl
plrl rag`f`
rag`f`gar
gar d`s smcf`s
smcf`s,, kaslr
kaslrr`d
r`ddlr
dlr pdl
pdlfas
fas af
smtulgm`fas ka aoarcafgml a mfgdumr ad trlsdlk` l j`spmtldas, p`rqua dl rakuggm÷f kad rmasc`
ka ouarta sa vuadva oìs kmgmd gulfk` sa jlf kaslrr`ddlk` g`opdmglgm`fas.
g`opdmglgm`fas.
HMWM@UL[@D@CML
Jly vlrm`s oaglfmso`s gdlvas mfv`dugrlk`s qua avaftuldoafta g`fkugaf ld sïfkr`oa gdïfmg` ka
praagdlopsml> dl raspuastl mfoufa af dl mftarhlsa pdlgaftl-olkra, pdlgaftlgm÷f supargmld g`f
mfsug
mfsugmaf
mafta
ta rao
rao`ka
`kadlg
dlgm÷f
m÷f ka dls lrt
lrtarm
armls
ls as
aspmr
pmrlda
ldass utarmf
utarmfls,
ls, uf kas
kasild
ildlfg
lfgaa aft
aftra
ra hlg
hlgt`r
t`ras
as
lfcm`cífmg`s y astrís `xmklv` qua kasafglkafl mflolgm÷f smstíomgl.
Dl aoirm` axprasm÷f ka lfcaf`s pltarf`s axtrlü`s lgvl dl racudlgm÷f kad smstaol mfoufa
oltarf` af dl mftarhlsa pdlgaftl-olkra qua as asafgmld plrl s`stafar ad aoilrlz`. Lufqua dls
gídudls tr`h`idìsgls vadd`sls axpuastls
axpuastls l dl slfcra oltarfl glragaf ka o`dígudls OJG gdlsa M y MM,
ad gmt`tr`h`id
gmt`tr`h`idlst`
lst` axtrlvadd
axtrlvadd`s`
`s` mfvls`r
mfvls`r axprasl dl gdlsa M l trlvís kad caf p`dmo÷rg
p`dmo÷rg`
` JDL-G
(lfcaf` daug`gmtlrm` juolf`).
Ad JDL-G as ad dmclfk` k`omflfta plrl ragapt`ras ka mfouf`cd`iudmfls lsasmfls (BMY) qua s`f
axpraslk`s p`r gídudls flturldas lsasmfls utarmfls (uFB). Ad smstaol p`dmo÷rg` ka cafas BMY
g`fafa k`s kmharaftas jlpd`p`s L y I2 ldcufls g`oimflgm`fas BMY/JDL-G prasuoaf sar oìs
hlv`rlidas plrl dl mfvlsm÷f ka dls gídudls kad tr`h`idlst`2 kaimk` l ast`s k`s smstaols ka cafas
p`dmo÷rg`s af ad sm` ka dl pdlgaftlgm÷f, dl hufgm÷f ka dls uFB puaka vlrmlr af glkl aoilrlz`2
p`r d` tlft`, glkl aoilrlz` afa kmharafta g`oimflgm÷f ka karmvlk`s hatldas pltarf`s JDL-G
s`ira ad tr`h`idlst` y BMY oltarf` s`ira gídudls FB. Astl mftarhlsa mfouf`d÷cmgl racrasl af dl
sacufkl omtlk kad aoilrlz` gulfk` dls vadd`smklkas kad smfgm`tr`h`idlst` qua glragaf ka
axprasm÷f ka JDL sa vuadvaf k`omflftas. Ad d`gus BMY juolf` g`fsmsta ka 3-<1 cafas af uf
omso` gr`o`s`ol <=q ad guld g`kmgl dl mfjmimgm÷f ` lgvlgm÷f BMY.
Udlgaftlgm÷f y lfcm`cífasms
Dls gídudls FB s`f dl p`idlgm÷f prak`omflfta ka dls gídudls dmfh`mkas kagmkuldas. Kurlfta ad
aoilrl
aoilrlz`
z` taoprl
taoprlf`
f` sa lguoud
lguoudlf
lf g`
g`o`
o` uf ka
kafs`
fs` mf
mfdtr
dtrlk`
lk` ldraka
ldrakak`r
k`r ka dls gídud
gídudls
ls kad
gmt`tr`h`idlst` mfvls`r. G``parlf g`f ad tr`h`idlst` axtrlvadd`s` plrl rao`kadlr l dls lrtarmls
aspmrldas, suhrmafk` ístls ufl trlfsmgm÷f apmtadmld l afk`tadm` l trlvís ka dl dmiarlgm÷f ka gmt`gmfls
qua astìf mfv`dugrlkls af dl lfcm`cífasms y astlimdmklk glrkm`vlsgudlr, tldas g`o` ad hlgt`r ka
gragmo
gragmomaf
maft`
t` vls
vlsgud
gudlr
lr afk
afk`ta
`tadmdmld
ld (XACH
(XACH),
), [CH-i
[CH-iatl
atl y afk`cd
afk`cdmfl
mfl s`duid
s`duida.
a. Ad dmclfk
dmclfk`
` hlg
hlgt`r
t`r ka
gragmomaft` vlsgudlr afk`tadmld (XACH) y sus ragapt`ras nuaclf uf plpad asafgmld af dl hufgm÷f
f`rold y plt`d÷cmgl kad afk`tadm`. Ad ragapt`r XACHY< tloimíf g`f`gmk` g`o` HD[< (Hos-dmba
tyr`smfa bmflsa <) as uf p` ragapt`r r`smfl qumflsl g`f oþdpdas dmclfk`s tldas g`o` ad hlgt`r
ka gragmomaft` pdlgaftlrm` (UdCH), XACH-L y XACH-I (hlgt`ras pr`lfcm`cífmg`s). Dl h`rol s`duida
f` trlfsoaoirlfl ka sH[D< sa afguaftrl olrglkloafta adavlkl af dl gmrgudlgm÷f ka ounaras g`f
praagdlopsml2 ad g`fgapt` lgtuld ka sHD[< af dl praagdlopsml as qua ltrlpl l sus dmclfk`s XACH y
Ud
UdCH
CH raku
rakugm
gmaf
afk`
k` su dmdmir
iraa gm
gmrg
rgud
udlg
lgm÷
m÷f
f p`r
p`r ka
kail
iln`
n` ka uf fmva
fmvadd grï
grïg`
g` (sHD
(sHD[<
[< as uf hlgt
hlgt`r
`r
lfl
lflfc
fcm`
m`cí
cífm
fmg`
g`).
). Dl pd
pdlg
lgaf
aftl
tl afa
afa ad oìs
oìs ld
ldt`
t` fm
fmva
vadd ka axpr
axpras
asm÷
m÷f
f ka YF
YFLo
Lo ka HD[<
HD[< af
g`oplrlgm÷f g`f `tr`s tanmk`s y dl axprasm÷f astì s`irarracudlkl p`r dl jmp`xml, dl guld adavl dl
pr`o`gm÷f kad caf HD[< af ad :5% ka dl pdlgaftl. Dl afk`cdmfl (AFC) as uf luxmdmlr kad ragapt`r
gadudlr ka supargma plrl ad hlgt`r trlfsh`rolk`r ka gragmomaft` iatl ([CH-iatl< y [CH-iatl7)
qua s`f p`taftas mfjmimk`ras ka dl omcrlgm÷f y kmharafgmlgm÷f kad tr`h`idlst`. Dl afk`cdmfl s`duida
mfjmia dl lggm÷f ka [CH-iatl< y [CH-iatl7. Dl axprasm÷f ka AFC y dl pr`kuggm÷f ka afk`cdmfl
s`duida astì s`irarracudlkl af dl praagdlopsml. Ad sHD[<, XACH, UMCH y AFC luoaftlf ; l :
saolfls lftas ka qua lplrazgl dl praagdlopsml. Ad UMCH as uf im`olrglk`r, qua l g`fgaftrlgm÷f
p`r liln` ka 1 pargafdas kaouastrl tafar ldtl safsmimdmklk (5.=82 =1% GM> 5.:=-5.==) y uf vld`r
K`d`r ka gliazl savar` qua f` kaslplraga g`f lfldcísmg`s smopdas pr`idaols g`f dl
vmsm÷f, tldas g`o` vmsm÷f i`rr`sl ` plrplkalr kadlfta ka d`s `n`s
K`d`r
K`d`r lcu
lcuk`
k` nu
nust`
st` kai
kailn`
ln` ka dls g`s
g`sdd
ddls
ls lgm
lgmka
kazz ast
ast`o
`olgl
lgldd qua
qua f` kaslp
kaslplra
lraga
ga g`f
lfìgmk`s luoaftlr rìpmkloafta dl jmfgjlz÷f ka dl glrl, dls olf`s ` d`s pmas safrsa
ouy old.
Af dl pra agdlopsml crlva, `tr`s ÷rclf`s, g`o` ad jïclk` ` d`s rmü`fas, l vagas puaka
ddaclr l sar lhagtlk`s y f` puaka jliar pr`idaols g`f dl g`lcudlgm÷f ka dl slfcra.
Dl praagdlopsml crlva puaka pr`craslr l g`fvudsm`fas ` ltlquas lftas ` nust` kaspuís kad
flgmomaft` kad iaií. Astls g`fvudsm`fas sa ddlolf ltlquas ka agdlopsml y s`f p`g`
hraguafta, qua `gurraf af s÷d` uf` ka glkl ;.555 aoilrlz`s.
[r`oi`gmt`pafml (pdlquatls
(pdlquatls 4 <55.555 / od )
Ad akaol pudo`flr
UYAAGDLOUWML DAXA
plgmafta smcua g`rragtloafta d`s g`ftr`das. Jlrì hldtl mfcraslr l dl plgmafta sm l paslr kad
trltlomaft` lkagulk` loiudlt`rm` f` sa g`fsmcua dl astlimdmzlgm÷f ka dl UL 4 <85/<<5.
G`ftr`d lftafltld>
Wa jl ka mfcraslr l dl castlfta plrl raldmzlr ufl vld`rlgm÷f kad astlk` oltarf`-hatld y astlidagar
dl fagasmklk ka trltlomaft`.
Xld`rlgm÷f mfmgmld>
jmpartafsm÷f savarl (ULW <85 ooJc y / `rKIU6 <51-<<5oo Jc) qua parsmsta kurlfta oìs ka
<1omfutas. [`k`s d`s hìrolg`s lfjmpartafsmv`s ltrlvmaslf dl pdlgaftl y dl oly`rïl s`f H``k lfk
Kruc Lkomfmstrl`f ka dl gltac`rïl G (rmasc`s kao`strlk`s af lfmoldas sa jlf raldmzlk` astukm`s,
par` f` jly astukm`s af juolf`s2 iafagm`s puakaf sar oly`ras qua d`s rmasc`s).
D`s gloim`s af dls aquatls ka oakmgloaft`s, qua mfgduyaf dl admomflgm÷f ka dls gltac`rïls ka
datrls aftrlr`f af vmc`r 75 ka nufm` ka 95<1. Ad fuav` h`rolt` ka aquatlk` sa udmzl plrl t`k`s
d`s fuav`s hìrolg`s prasaftlrsa gulfk` gloim`s af d`s hìrolg`s lgtuldoafta lpr`ilk`s sa
mftr`kugmrìf crlkuldoafta. D`s pr`idaols g`f dl oakmglgm÷f us` kurlfta ad aoilrlz` sa puaka
kmvmkmr af tarlt`cafmgmklk (prmoar trmoastra), hat`t`xmgmklk (Kurlfta ad aoilrlz`), y af parm`k` ka
dlgtlfgml. Hlgt`ras qua o`kmglf ad fmvad ka rmasc` mfgduyaf lcafta, dl k`sms, y ad o`oaft`. G`o`
as t`k`, ad aoilrlz` f` pdlfmglk` kaolsmlk` g`oufas l oafuk` g`fkuga l ratrls`s af dl
iþsquakl ka ltafgm÷f prafltld y yl sal lut`-mftarrupgm÷f ` pr`vaak`r g`fsan`s plrl kanlr ka
t`olr
t`olr d`s oakm
oakmglo
gloaf
aft`s
t`s ragatlk
ragatlk`s
`s af ad sacufk`
sacufk` trmoa
trmoastr
stra,
a, o`oaf
o`oaft`
t` af ad gu
guld
ld yl sa jl
pr`kugmk` rmasc` ka tarlt`cífasms.
U`g`s hìrolg`s jlf smk` sugmaftaoafta astukmlk`s plrl su us` kurlfta ad aoilrlz` y jly ufl
hldtl
hldtl ka ast
astukm
ukm`s
`s ldalt`
ldalt`rmz
rmzlk`
lk`ss y g`f
g`ftr`
tr`dlk
dlk`s
`s g`f pdlga
pdlgai`.
i`. Oa
Oakmg
kmgloa
loaft`
ft`ss g`o
g`oþfo
þfoaft
aftaa
rag`oafklk`s plrl ad olfan` ka dl jmpartafsm÷f savarl mfgduyaf dliatld`d p`r vïl mftrlvaf`sl y dl
jmkrldlzmfl, y fmhakmpmfl `rld. Dl oly`rïl ka dls cuïls rag`omafklf dliatld`d (88%) ` jmkrldlzmfl
(77%)
(77%) g`o`
g`o` trltlo
trltloma
maft`
ft` ka prm
prmoar
oarll dïf
dïfal
al y fm
fmhak
hakmpm
mpmfl
fl p`r vïl `rl
`rldd ka lgg
lggm÷f
m÷f g`r
g`rtl
tl g`o
g`o`
`
trltlomaft` ka sacufkl dïfal, lufqua ad LG@C sa raara l dl fmhakmpmfl `rld g`o` hìrolg` ka
prm
prmoar
oarll dïfal
dïfal af ad aoarca
aoarcafta
fta trltlo
trltloma
maft`
ft` ka dl jmpart
jmpartafs
afsm÷f
m÷f savar
savarl.
l. Oa
Oadk`
dk`pl,
pl, uf l9-
lkrafírcmg`s ka lggm÷f gaftrld lc`fmstl, tloimíf sa jl sucarmk` g`o` uf lcafta ka sacufkl dïfal
plrll grm
plr grmsms
sms jmp
jmpart
artafs
afsmv
mvll savarl
savarl af ldc
ldcufl
uflss kmragt
kmragtrmg
rmgas.
as. Oa
Oadk
dk`pl
`pl avm
avmtl
tl dl vls
vls`g`
`g`fst
fstrmg
rmggm÷
gm÷f
f
oakmlfta dl sustugm÷f ka f`rapmfahrmfl af dls vasïgudls smfìpgls, rakugmafk` ka asta o`k` dl
dmiarlgm÷f ka gltag`dlomfls y ad gaftr` smopìg` sldmkl. Wmf aoilrc`, ad g`ftr`d as crlkuld
kurlfta 8 l : j`rls, d` qua dmomtl su us` af g`fcurlgm÷f lcukl. Oìs ka ;5 lü`s ka axparmafgml
g`f oadk`pl y ad sacumomaft` ka fmü`s jlstl d`s 3,1 lü`s ka aklk kaouastrl dl oadk`pl
sacurmklk kurlfta ad aoilrlz`, par` vlrm`s astukm`s jlf kao`strlk` qua `tr`s lcaftas, l sliar,
dliatld`d , s`f oìs aglz af ad g`ftr`d ka dl prasm÷f lrtarmld. F` jly klt`s sugmaftas plrl
kao`strlr dl suparm`rmklk ka < oakmgloaft` s`ira `tr`2 dl adaggm÷f ka lfjmpartafsmv` af ad
trltlomaft` dl prasm÷f lrtarmld ka ouy ldtl kurlfta ad aoilrlz` kapafka ka dl axparmafgml kad
oíkmg` y g`f`gmomaft` ka d`s ahagt`s lkvars`s. Glrlgtarïsgls ka dl kr`cl y d`s racïoafas ka
k`smglgm÷f sucarmkl sa ouastrlf af dls [lidls 7 y ;,
; , raspagvloafta.
rapar uf oìxmo
rapar oìxmo`
` ka ; i`dus af mftarvld
mftarvld`s
`s ka 95 omfu
omfut`s.
t`s. G`ffu
G`ffulr
lr parhusm÷
parhusm÷f
f ka 7-3
oc/j av.
K`sms oìxmol kmlrml> 955 oc.
Ahagt`s sagufklrm`s> tlqumglrkml oltarfl y gahldal.
G`ftrlmfkmglgm`fas>
G`ftrlmfkmglgm`fas> tlqumglrkml, afharoaklk g`r`flrml y glrkm`pll. Fmtr`cdmgarmfl>
U`s`d`cïl> 1 ogc/omf y luoaft` crlkuld k`idlfk` dl k`sms glkl 1 omfut`s sm pragmsl
(k`sms oìxmol ka <55 ogc/omf)
G`ftrlmfkmglkl af afgahld`pll jmpartafsmvl yl qua puaka luoaftlr ad un` slfcuïfa`
garairld y dl prasm÷f mftrlgrlfald.
As ufl iuafl `pgm÷f ka trltlomaft` plrl dl J[L ls`gmlkl l akaol pudo`flr.
` Fmtr`prusmlt` s÷kmg`>
U`s`d`cïl> 5.91 ogc/bc/omf luoaftlfk` dl k`sms 5.91 ogc/bc/omf glkl 1 omfut`s sm
pragmsl (k`sms oìxmol <5 ogc/bc/omf)
W÷d` mfkmglk` sm jlf hrlglslk` d`s `tr`s trltlomaft` yl qua as hat`t÷xmg` p`r lgþoud` ka
gmlfmkl sm sa udmzl oìs ka ; j`rls. U`r d` tlft`, sa trltl ka uf lcafta ka þdo` ragurs`
plrl ad g`ftr`d urcafta ka dl J[L savarl y rahrlgtlrml y uf oìxmo` ka ; j`rls.
Dl t`xmgmklk ka olcfasm`
Ad olc
olcfas
fasm`
m` f` as uf lfjmp
lfjmpart
artaf
afsmv
smv`.
`. Wa kai
kaiaa ud
udmzl
mzlrr plr
plrll dl pra
pravaf
vafgm÷
gm÷f
f ka ltl
ltlqua
quass af
Xlrm`s mfh`roas ka gls`s jlf k`guoaftlk` ahagt`s lkvars`s gulfk` sa g`oimflf olcfasm` y
id`q
id`qua
ualk
lk`r
`ras
as ka d`
d`ss gl
glfl
flda
dass ka gl
gldg
dgm`
m`.. Qf
Qf`
` ka d`s
d`s gls`
gls`ss pu
puid
idmg
mglk
lk`s
`s mfh`
mfh`ro
ro÷
÷ id`q
id`qua
ua`
`
faur`ousgudlr y `tr` gls` sa raara l ufl jmp`tafsm÷f crlva y p`starm`r ouarta. Wmf aoilrc`,
ufl ravmsm÷f ratr`spagvl ka d`s plgmaftas qua ragmimar`f olcfasm` y fmhakmpmfl f` afg`ftr÷
fmfcþf
fmfcþf luoaft`
luoaft` af dl kaimdmklk
kaimdmklk faur`ou
faur`ousgud
sgudlr,
lr, id`q
id`qua`
ua` faur
faur`ousg
`ousgudlr,
udlr, ` jmp`
jmp`tafsm
tafsm÷f
÷f af
g`oplrlgm÷f g`f g`ftr`ds. Mfkapafkmaftaoafta,
Mfkapafkmaftaoafta, d`s plgmaftas qua ragmimar`f tlft` ka olcfasm` y
fmhakmpmf` raqumara uf g`ftr`d astrmgt` klk` ad p`tafgmld ka t`xmgmklk g`f ad us` ka lftlc`fmstls
kad gldgm`.
Axm
Axmsta
staf
f vlr
vlrm`s
m`s oakmg
oakmgloa
loaft`
ft`ss lfjmp
lfjmpart
artafs
afsmv`
mv`ss qua f` sa rag
rag`om
`omafk
afklf
lf plr
plrll su us` af ad
aoilrlz`. Mfjmimk`ras ka dl afzmol g`fvark`rl ka lfcm`tafsmfl, id`qualk`ra
id`qualk`rass ka d`s ragapt`ras
ka dl lfcm`tafsmfl, y lftlc`fmstls ka d`s ragapt`ras ka omfarld`g`rg`mkas kaiaf avmtlrsa smf ufl
As mop`rtlfta trltlr ka avmtlr uf kasgafs` irusg` ka dl prasm÷f qua puaka g`fkugmr l p`tafgmldas
ahagt`s f`gmv`s hatldas. Dl tarlpml kaia lpuftlr plrl kmsomfumr dl prasm÷f lrtarmld oakml p`r
lpr`xmolkloafta 95 % l 91 % kurlfta omfut`s l j`rls kaspuís kmsomfumr lþf oìs dl prasm÷f
lrtarmld l oaf`s ka <85 / <<5 ooJc kurlfta dls j`rls smcumaftas. D`s smcf`s y sïft`ols ka dl
afgahld`pll jmpartafsmvl (k`d`r ka gliazl y g`fhusm÷f) l oafuk` oan`rlf rìpmkloafta g`f
trltlomaft`.
Wa rag`omafklf dls ag`crlls oafsuldas ka gragmomaft` af ad targar trmoastra kad aoilrlz` plrl
dls ounaras g`f GJ[F. Uruail K`ppdar ka dl lrtarml uoimdmgld kaia raldmzlrsa saolfldoafta, sm
jly ldcufl avmkafgml ka rastrmggm÷f kad gragmomaft` hatld ` praagdlopsml suparpuastl. Af Lkaoìs,
dls pruails prafltldas kad hat` (p`r anaopd` Uruail smf astrís) sa sucmara af dls ounaras g`f GJ[F
y, ` imaf g`a
g`axmsta
xmstaf
f fagasmk
fagasmklk
lk ka oakm
oakmglgm÷
glgm÷f,
f, smcf`
smcf`ss ka dl rastrmg
rastrmggm÷f
gm÷f kad gragm
gragmomaf
omaft`
t` hatld `
praagdlopsml suparpuastl. Dls ounaras g`f CJ[F ` praagdlopsml af ad aoilrlz` kaiaf tafar
udtrls`fmk`s plrl oakmr ad gragmomaft` hatld, pruails prafltldas, g`ftr`das ka prasm÷f lrtarmld k`s
vagas p`r saolfl y avldulgm`fas ka dli`rlt`rm` saolfldas. D`s glfkmklt`s plrl dl huturl cas÷f
ka praagdlopsml g`f glrlgtarïsgls
glrlgtarïsgls crlvas raqumaraf ufl vmcmdlf
vmcmdlfgml
gml oìs astragjl, mfgduyafk`
mfgduyafk` dl
pruail smf astrís kmlrm`, ag`crll K`ppdar ka dl lrtarml uoimdmgld y oakmgm÷f ka v`duoaf ka
dïqumk` lofm÷g` saolfld, udtrls`fmk` glkl 9 l 7 saolfls ka gragmomaft`, t`k`s d`s kïls ka
g`fta` o`vmomaft` hatld, y dl avldulgm÷f parm÷kmgl ka dli`rlt`rm` (hraguafgml kapafka).
Udlfmglgm÷f ka aftracl
Dl mfkuggm÷f kad plrt` sa rag`omafkl plrl d`s trlst`rf`s jmpartafsmv`s af ad aoilrlz` ls`gmlk`s
o`rimdmklkas oltarf` hatldas lkaoìs kad ldt` rmasc` ka pr`crasm÷f ka afharoaklk. Wmf aoilrc`,
ad o`oaft` ÷po` plrl ad plrt` smcua smafk` g`ftr`vark`. Lddï afaf jlf raldmzlk` afsly`s
ldalt`rmzlk`s y g`ftr`dlk`s plrl cumlr o`oaft` kad plrt` af ounaras g`f GJ[F . Qf astukm` ka
g`j`rta ka ounaras g`f GJ[F afg`ftr÷ qua dl aftracl af 7: l 7= saolfls castlgm÷f hua ÷pol
plrl aqumdmirlr d`s rmasc`s hatldas y fa`fltldas. Ad LG@C lp`yl aftracl af 7: l 7= saolfls plrl
dls ounaras g`f GJ[F qua f` raqumara oakmglgm÷f, kad 73 ld 7= saolfls plrl dls ounaras
g`ftr`dlkls g`f oakmglgm÷f y 78 l 73 saolfls plrl dls ounaras g`f jmpartafsm÷f crlva f`
g`ftr`dlkl.
Af uf af
afsl
sly`
y` ld
ldal
alt`
t`rm
rmzl
zlk`
k`,, g`
g`ft
ftr`
r`dl
dlk`
k` af ou
ouna
nara
rass g`f
g`f praa
praagd
gdlo
lops
psml
ml ` imaf
imaf CJ
CJ[F
[F ` smf
smf
glrlgtarïsgls savarls afg`ftrlr`f qua dl mfkuggm÷f kad trliln` ka plrt` l dls 73 saolfls ka
castlgm÷f sa ls`gm÷ g`f ufl kmsomfugm÷f smcfmglvl af dl o`rimdmklk oltarfl g`opuast` af
g`oplrlgm÷f g`f ad olfan` axpagtlfta. Ad LG@C sucmara dl aftracl af 73 l 7: saolfls plrl dls
Dl prasm÷f lrtarmld kaia sar g`ftr`dlkl lftas ka dl aftracl, aspagmldoafta af ounaras qua sa
s`oataf gasìral g`f lfastasml cafarld kaimk` l dl prasm÷f lrtarmld puaka luoaftlr kurlfta
mftui
mftuilgm
lgm÷f
÷f afk`tr
afk`trlqu
lqual
ald.
d. Wa rag
rag`om
`omafk
afkll ad us` ka dl lfa
lfasta
stasml
sml fau
faur`l
r`lxml
xmldd oaf
oaf`s
`s qua ast
astíí
g`ftrlmfkmglk` p`r tr`oi`gmt`pafml oltarfl. Ad fmvad ka pdlquatls axlgt` p`r kailn` kad guld dl
lfastasml faur`lxmld astì g`ftrlmfkmglk` as g`ftr`varkl y vlrïl ka ufl mfstugm÷f l `trl ilslk`
af ad raguaft` ka pdlquatls (p`r d` cafarld 15.555-<55.555 / od), dl tafkafgml y dl avmkafgml ka
pdlquatls kmshufgm÷f. D`s plgmaftas g`f tr`oi`gmt`pafml crlva (raguaft` ka pdlquatls 415.555)
puaka raquarmr ufl trlfshusm÷f ka pdlquatls af ad glomf` l dl sldl ka `parlgm`fas sm sa mfkmgl uf
plrt` p`r gasìral.
Cas÷f p`splrt`
Dls ounaras g`f CJ[F, praagdlopsml ` GJ[F g`f praagdlopsml suparpuastl kaia jlf jagj` uf
sacumomaft` ka dl prasm÷f lrtarmld kurlfta ld oaf`s 39 j`rls kaspuís kad plrt` y ka fuav` l 3 <5
kïls kaspuís kad plrt`. Dl f`roldmzlgm÷f ka dl prasm÷f lrtarmld sa pr`kuga f`roldoafta kaftr` ka
<5 kïls
kïls ka aftra
aftracl
cl af plgmaf
plgmaftas
tas g`f jmp
jmpart
artafs
afsm÷f
m÷f rad
radlgm
lgm`fl
`flkl
kl g`f
g`f ad ao
aoilr
ilrlz`
lz`.. Ad LG@
LG@C
C
rag`omafk
rag`omafkll trltlo
trltlomaft`
maft` lfjmpartafs
lfjmpartafsmv`
mv` af dls ounaras
ounaras g`f uf luoa
luoaft`
ft` pars
parsmstaf
mstafta
ta ka dl
prasm`fas slfcuïfals p`splrt` kafa g`o` ULW ka <15 oo Jc ` suparm`r, ` KIU ka <55 oo Jc `
suparm`r. Lcaftas lfmflolt`rm`s f` astar`mkas udmzlk`s plrl trltlr ad k`d`r p`st-plrt` puaka
axlgarilr dl prasm÷f lrtarmld kaimk` l dl ratafgm÷f ka s`km` y lcul. Qf supdafta lfldcísmg` puaka
sar g`fsmkarlk` af ounaras g`f luoaft` ka dl prasm÷f lrtarmld qua parsmsta kurlfta oìs ka < kïl
p`stplrt`.
Dls ounaras kaiaf sar lg`fsanlkls y ragmimr mfstruggm`fas ka ldtl g`f raspagt` l dl fagasmklk
p`farsa af g`ftlgt` g`f su pr`vaak`r ka ltafgm÷f oíkmgl sm kaslrr`ddlf smcf`s ` sïft`ols ka
lkvartafgml, mfgduyafk` uf k`d`r ka gliazl g`ffu`, trlst`rf`s vmsuldas ` k`d`r af gulkrlfta
suparm`r karagj`. Ka fuavl lplrmgm÷f trlst`rf`s jmpartafsmv`s kad aoilrlz` tloimíf puakaf
`gurrmr af ad parm`k` p`splrt`. Ounaras kaspuís kad plrt` g`f prasm÷f lrtarmld adavlkl kaiaf sar
ka fuavloafta avldulkls y trltlkls ka olfarl smomdlr l d`s plgmaftas prafltldas. Ur`dlxms ka dls
g`fvudsm`fas sa g`ffþl af plgmaftas g`f praagdlopsml savarl g`f glrlgtarïsgls kurlfta 9;
j`rls kaspuís kad plrt`. Lpr`xmolkloafta ad 91% ka d`s gls`s ka agdlopsml sa pr`kugaf af ad
p`splrt` y dls g`fvudsm`fas puakaf kaslrr`ddlr jlstl ; saolfls kaspuís kad plrt`. D`s plgmaftas
g`f pra
praag
agdlo
dlopsm
psmll savarl
savarl g`f glr
glrlgt
lgtarï
arïsg
sgls
ls tloimí
tloimíff ast
astìf
ìf af rmasc`
rmasc` ka kaslrr
kaslrr`dd
`ddlr
lr aka
akaol
ol
pudo`flr af ad parm`k` p`splrt`. Dl hur`saomkl sa puaka udmzlr g`o` g`fsmkara fagaslrm` ast`s
plgmaftas.
Dl
Dlss ouna
ounara
rass g`
g`f
f ao
aoil
ilrl
rlz`
z`ss g`
g`op
opdmdmgl
glk`
k`ss p`
p`rr trls
trlst`
t`rf
rf`s
`s jmpa
jmpart
rtaf
afsm
smv`
v`s,
s, aspa
aspagm
gmld
ldoa
oaft
ftaa
praagdlopsml qua raqumara uf plrt` lftas ka dls 7; saolfls ka castlgm÷f, astìf af rmasc` ka
kaslrr`dd` ka afharoaklkas glrkm`vlsgudlras oìs lkadlfta af dl vmkl. Ad LG@C sucmara qua dls
ounaras g`f lftagakaftas ka praagdlopsml qua raqumaraf uf plrt` praoltur` s`oatarsa l uf
sacumomaft` lfuld ka dl prasm÷f lrtarmld, d`s dïpmk`s, dl cdug`sl af lyufls, y ad ïfkmga ka olsl
g`rp`rld.
Dls
Dls g`
g`ft
ftrl
rlmf
mfkm
kmgl
glgm
gm`f
`fas
as pl
plrl
rl ad trlt
trltlo
loma
maft
ft`
` axpa
axpagt
gtlf
lfta
ta ka dl praa
praagd
gdlo
lops
psml
ml sava
savarl
rl g`
g`f
f
glrlgtarïsgls
agdlopsml
Ad akaol pudo`flr
kasprafkmomaft`
kasprafkmomaft` ka dl pdlgaftl
[r`oi`gmt`pafml
[r`oi`gmt`pafml ( pdlquatls 4 <55.555 / od )
g`fgaftrlgm`fas
g`fgaftrlgm`fas ka afzmols japìgls lf`roldas (k`s vagas f`rold)
ouarta hatld
IMIDM@CYLHML
<. D÷pa
D÷pazz O`rl, N`sí. Uraagdlopsm
Uraagdlopsml-ag
l-agdlops
dlopsml.
ml. Yavmstl
Yavmstl Dlf`lo
Dlf`loarmg
armglfl
lfl ka Jmparta
Jmpartafsm÷f
fsm÷f,, 9(;)2
nudm`-lc`st`, 9553> <<3-<93. da>///G>/Qsars/admzliatj
da>///G>/Qsars/admzliatjjlffmtl/K`wfd`lks/
jlffmtl/K`wfd`lks/Uraagdlopsml-
Uraagdlopsml-
agdlopsml.pkh .
9. Xlrcls J X, Lg
Lg`stl
`stl LC
LC,, O`raf
O`raf`
` AO. Dl praagdl
praagdlopsml
opsml uf
uf pr`id
pr`idaol
aol ka sld
slduk
uk pþi
pþidmgl
dmgl
oufkmld. YAX GJMD @IW[A[ CMFAG@D 95<92 33(8)> ;3< ‗ ;38.
jp>//www.sgmad`.gd/pk
jp>//www.sgmad`.gd/pkh/rgj`c/v33f8/lrt<7.pk
h/rgj`c/v33f8/lrt<7.pkh
h
7. Ulud
Uludmfl
mfl C`fzìdaz-F
C`fzìdaz-Flvlrr
lvlrr`,
`, Cumddaro`
Cumddaro` Caflr` Olrfaz-W
Olrfaz-Wldlzl
ldlzlr,
r, @olr Clrgïl-F
Clrgïl-Fìnarl
ìnarl,,
@swldk` Msrlad Wlfk`vld-Lyldl. Uraagdlopsml, agdlopsml
agdlopsml y JADDU. Yavmstl Oaxmglfl ka
Lfastasm`d`cïl. Lirmd-Nufm`
Lirmd-Nufm` 95<12 7:(<)> <<:-<93.
jp>//www.oakmcrlpjmg.g`o/
jp>//www.oakmcrlpjmg.g`o/pkhs/rol/gol-95<1/g
pkhs/rol/gol-95<1/gols<1<x.pkh
ols<1<x.pkh
;. Jald
Jaldtj
tj glra mfh
mfh`rol
`rol`f
`f y`u glft trust.
trust. Y`yld g`
g`ddaca
ddaca `h `istatr
`istatrmgml
mgmlfs
fs lfk cyfla
cyflag`d`
g`d`cmsts
cmsts..
Uuidmsjak mf Lucust 95<9 (faxt ravmaw klta> 95<8).
jps>//www.rg`c.`rc.ub/cd`ildlssa
jps>//www.rg`c.`rc.ub/cd`ildlssats/k`guoafts/p
ts/k`guoafts/plafts/plaft-mfh`
lafts/plaft-mfh`rol`f-
rol`f-
dalats/pracflfgy/pm-pra-agdlopsml.pkh
1. Kr. N`rca [l
[lpml,
pml, Krl. Xmgt`rml
Xmgt`rml Oary.
Oary. Uraag
Uraagdlops
dlopsml
ml y Agdlopsml
Agdlopsml ufl gl
glusl
usl ka Wïfk
Wïfkr`oa
r`oa ka
Jmparparhusm÷f Afgahìdmgl.
Afgahìdmgl. Kaplrtloaft` ka Faur`d`cïl Asguadl ka Oakmgmfl U`fgml
Qfmvarsmklk Glt÷dmgl ka Gjmda.
jp>//asguadl.oak.pu
jp>//asguadl.oak.pug.gd/puid/g
g.gd/puid/gulkarf`s/9558/Uraag
ulkarf`s/9558/Uraagdlopsml.pkh
dlopsml.pkh
8. UY@[
UY@[@G@D@
@G@D@>> JMUAY[AFWM×
JMUAY[AFWM×F
F ] CAW[LGM×
CAW[LGM×F
F .Warvm
.Warvmgm`
gm` ka Oakmgmfl
Oakmgmfl Oltarf
Oltarf`hatl
`hatld,d, Mfstut`
Mfstut`
Gdïfmg` ka Cmfag`d`cïl, @istatrmgml ] Fa`flt`d`cïl, J`spmtld Gdïfmg` ka Ilrgad`fl. Warvmgm`
ka @istatrmgml y Cmfag`d`cïl, J`spmtld Wlft N`lf ka Kíu.
jps>//oakmgmflhatldilrgad
jps>//oakmgmflhatldilrgad`fl.`rc/gdmfm
`fl.`rc/gdmfmgl/molcas/pr`t`g`d
gl/molcas/pr`t`g`d`s/plt`d`cmlPoltarf
`s/plt`d`cmlPoltarflP`istatr
lP`istatr
mgl/jmpartafsm%H7f%95y%95castlgm%H7f.pkh