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BGB 7
^KH@GM[C[GH
^grdtitis fkrupgagh pkhygait ihlkasi ygho pg`g 5>-0> % agsushyg fkrupgagh ihlkasi
gsifptdfgtia. Ihlkasi ihi `iskbgbagh dckm virus RHG uhtgi tuhoogc hkogtivk skhsk
bkruaurgh 7>>-<>> hf, `khogh pghjgho 7;>>> huackdti`g tkrfgsua `gcgf
okhus Rubucgvirus sublgficy
^grgfyxsdvirihgk `gh lgficy ^grgfyxdviri`gk (Uufgrfd,2>>=). ^khykbgrgh virus tkrjg`i
`khogh adhtga cghosuho, pkreiagh cu`gm, bgmgh fkhtgm fuhoaih `khogh urih. Ukagrgho
pkhygait ihi skriho tkrjg`i pg`g drgho `kwgsg fu`g skmihoog fkhifbucagh kpi`kfi skegrg
ufuf. ^g`g ufufhyg pgrdtitis kpi`kfiag `ighoogp aurgho fkhucgr jiag `ibgh`iho `khogh
fdrbici gtgu vgriekcg, agrkhg bghyga ihlkasi pgrdtitis kpi`kfiag ekh`kruho ti`ga jkcgs skegrg
acihis (_grtg fk`iag,2>>9).
Ihsi`khsi pgrdtdtis kpi`kfiag `khogh aktucigh g`gcgm 7 : 7;.>>>. Fkhihoitis ygho tkrjg`i
bkrupg Fkhihoitis gskptia. Ihsi`khsi gtgu adfpciagsi `gri pgrdtitis Fkhihodkhekpmgcitis
skaitgr 2;>/7>>.>>> agsus. Ukaitgr 7>% `gri agsus ihi pkh`kritghyg bkrufur aurgho `gri 2>
tgmuh. Ghoag rgtg-tgtg akfgtigh gaibgt pgrdtitis Fkhihodkhekpmgcitis g`gcgm 2%. Akcgihgh
pg`g fgtg gaibgt adfpciagsi pgrdtitis `gpgt bkrupg hkutitis dptieus, `gerydg`khitis,
uvkdakrgtitis, seckritis `gh trdfbdsis vkhg ekhtrgc rktihg. Oghoough pkh`khogrgh gaibgt
pgrdtitis kpi`kfiag bigsghyg uhicgtkrgc, hgfuh `gpgt pucg bicgtkrgc. Oghoough ihi skrihoagci
bkrsilgt pkrfghkh.
^grdtitis ygho ti`ga `itghoghi `khogh tkpgt `gh skokrg `gpgt fkhifbucagh bkrbgogi
adfpciagsi skrius ygho gagh fkhgfbgm rksiad tkrjg`ihyg akfgtigh. Fgag `iskbgbagh mgc
tkrskbut, fkcgcui fgagcgm ihi agfi fkfbkriagh sdcusi `gpgt fkfbkriagh pkhoktgmugh `gh
tgtg egrg pkhekogmgh `gri pkhygait pgrdtitis skmihoog sagcg akjg`igh pkhygait tkrskbut `gpgt
fkhuruh `gh bkrfghlggt pucg bgoi pkrgwgt ygahi fgfpu fkcgasghgagh gsumgh akpkrgwgtgh
gtgs pgsikh `khogh ^grdtitis `khogh tkpgt `gh bkhgr.
7.2.2 Bgogifghgagm gsumgh akpkrgwgtgh pg`g pgsikh `khogh oghoough sgcivg pgrdtitis
7.5 Pujugh
7.0 Fghlggt
Fkfbkriagh ihldrfgsi tkhtgho pgrdtitis gogr pkrgwgt `gpgt fkfbkriagh gsumgh akpkrgwgtgh
akpg`g acikh skegrg tkpgt `gh dptifgc.
BGB 2
^KFBGMGUGH
2.7 Ghgtdfi Akckhjgr Ugcivg
Bkr`gsgragh uaurghhyg akckhjgr sgcivg tkr`iri `gri 2 jkhis, ygitu akckhjgr sgcivg fgydr `gh
akckhjgr sgcivg fihdr. Akckhjgr sgcivg fgydr tkr`iri `gri akckhjgr pgrdtis, akckhjgr
subfgh`ibucgris, `gh akckhjgr subcihougcis (@gwks, 2>>=1 Rdtm gh` Egcfks, 79=7).
Akckhjgr pgrdtis ygho fkrupgagh akckhjgr sgcivg tkrbksgr, tkrcktga skegrg bicgtkrgc `i `kpgh
tkcihog, ghtgrg rgfus fgh`ibucgris `gh prdsksus fgstdi`kus `khogh bgoigh ygho fkcugs ak
fuag `i bgwgm ckhoauho ziodfgtia. Akckhjgr pgrdtis tkrbuhoaus `gcgf skcubuho pgrdtis
(pgrdtis smkgctm). Ugcurgh pgrdtis fkcihtgs mdrizdhtgc `gri tkpi akckhjgr. ^g`g tkpi ghtkridr
dtdt fgssktkr, sgcurgh pgrdtis bkrbkcda ak grgm fk`igc, fkhkfbus dtdt bueeihgtdr, `gh
fkfgsuai rdhoog fucut `i skbkrgho oioi fdcgr ak-2 pkrfghkh rgmgho gtgs (Ckksdh `aa.,
799>1 Fddrk
`gh Gour, 799;).
Akckhjgr subfgh`ibucgris ygho fkrupgagh akckhjgr sgcivg tkrbksgr ak`ug sktkcgm pgrdtis,
tkrcktga pg`g `gsgr fucut `i bgwgm adrpus fgh`ibucg. Ugcurgh subfgh`ibucgris bkrfugrg
fkcgcui sgtu sgfpgi tiog cubgho ygho tkr`gpgt pg`g sgtu pgpic akeic `i sgfpiho lrkhucuf
cihougcis. Fugrg ihi `gpgt `khogh fu`gm tkrcimgt, bgmagh skrihoagci `gpgt tkrcimgt sgcivg ygho
akcugr (Rkhsburo, Fddrk `gh Gour, 799;).
Akckhjgr subcihougcis g`gcgm akckhjgr sgcivg fgydr tkrakeic `gh tkrcktga pgciho `gcgf.
Fgsiho-fgsiho akckhjgr bkrbkhtua bg`gf (gcfdh` smgpk), tkrcktga pg`g `gsgr fucut
ghtgrg fgh`ibucg `gh dtdt okhidocdssus. Fgsiho-fgsiho akckhjgr subcihougcis skbkcgm airi
`gh aghgh bkrsgtu uhtua fkfbkhtua fgssg akckhjgr ygho bkrbkhtua cg`gf au`g `i skaitgr
lrkhucuf cihougcis (Fddrk `gh Gour, 799;).
Akckhjgr sgcivg fihdr tkr`iri `gri akckhjgr cihougcis, akckhjgr buagcis, akckhjgr cgbigcis,
akckhjgr pgcgtihgc, `gh akckhjgr ocdssdpgcgtihgc. Akckhjgr cihougcis tkr`gpgt bicgtkrgc `gh
tkrbgoi fkhjg`i bkbkrgpg akcdfpda. Akckhjgr cihougcis ghtkridr bkrg`g `i pkrfuaggh ihlkridr
`gri ci`gm, `kagt `khogh ujuhohyg, `gh tkrbgoi fkhjg`i akckhjgr fuaus ghtkridr `gh akckhjgr
egfpurgh pdstkridr. Akckhjgr cihougcis pdstkridr bkrmubuhogh `khogh tdhsic ci`gm `gh fgroih
cgtkrgc `gri ci`gm. Akckhjgr ihi bkrsilgt furhi fuaus (Rkhsburo, 799;).
Akckhjgr buagcis `gh akckhjgr cgbigcis tkrcktga pg`g pipi `gh bibir. Akckhjgr ihi bkrsilgt
fuaus `gh skrus. Akckhjgr pgcgtihgc bkrsilgt furhi fuaus, tkrcktga pg`g pgcgtuf cuhga `gh
uvucg skrtg rkoid pdstkrdcgtkrgc `gri pgcgtuf akrgs. Akckhjgr ocdssdpgcgtihgc fkficiai silgt
skarksi ygho sgfg `khogh akckhjgr pgcgtihgc, ygitu furhi fuaus `gh tkrcktga `i cipgtgh
ocdssdpgcgtihgc (Rkhsburo, 799;)
^khygait Odh`dhogh (Fufps gtgu ^grdtitis) g`gcgm sugtu pkhygait fkhucgr `ifghg sksdrgho
tkrihlkasi dckm virus (^grgfyxdvirus) ygho fkhykrgho akckhjgr cu`gm (akckhjgr pgrdtis) `i
ghtgrg tkcihog `gh rgmgho skmihoog fkhykbgbagh pkfbkhoagagh pg`g ckmkr bgoigh gtgs gtgu
pipi bgoigh bgwgm. ^khygait odh`dhogh tkrskbgr `i skcurum `uhig `gh `gpgt tifbuc
skegrg kh`kfia gtgu kpi`kfia, Oghoough ihi ekh`kruho fkhykrgho ghga-ghga `ibgwgm
usig 7; tgmuh (skaitgr =;% agsus).(_grtg Fk`iag,2>>9)
^grdtitis igcgm pkhygait virus gaut ygho bigsghyg fkhykrgho akckhjgr cu`gm tkrutgfg
akckhjgr pgrdtis (skaitgr <>% agsus). Okjgcg amgs ygitu pkfbksgrgh akckhjgr cu`gm tkrutgfg
akckhjgr pgrdtis. ^g`g sgcurgh akckhjgr cu`gm tkrjg`i akcgihgh bkrupg pkfbkhoagagh skc
kpitkc, pkckbgrgh `gh pkhyufbgtgh sgcurgh. ^g`g drgho `kwgsg, ihlkasi ihi bisg fkhykrgho
tkstis (bugm zgagr), sistkf sgrgl pusgt, pgharkgs, prdstgt, pgyu`grg `gh drogh cgihhyg.
G`gpuh
fkrkag ygho bkrksiad bksgr uhtua fkh`kritg gtgu tkrtucgr pkhygait ihi g`gcgm fkrkag ygho
fkhoouhgagh gtgu fkhoadhsufsi dbgt-dbgtgh tkrtkhtu uhtua fkhkagh mdrfdh akckhjgr
tirdi` `gh fkrkag ygho akaurghogh zgt Id`iuf `gcgf tubum (Uufgrfd,2>>=)
Fkhurut Uufgrfd (2>>=) pkhygait odh`dho (fufps, pgrdtitis) `gpgt `itucgragh fkcgcui:
Pi`ga skfug drgho ygho tkrihlkasi fkhogcgfi akcumgh, bgmagh skaitgr 5>-0>% pkh`kritg
ti`ga fkhuhjuaagh tgh`g-tgh`g sgait (subecihiegc). Fkrkag `gpgt fkhjg`i sufbkr pkhucgrgh
skpkrti mgchyg pkh`kritg pgrdtitis ygho hgfpga sgait. Fgsg tuhgs (fgsg ihaubgsi) pgrdtitis
skaitgr 70-20 mgri `khogh rgtg-rgtg 77-7= mgri.
Gokh pkhykbgb pgrdtitis kpi`kfiag g`gcgm ghoodtg `gri akcdfpda pgrgfyxdvirus, ygho juog
tkrfgsua `i`gcgfhyg virus pgrgihlcukhzg, fkgscks, `gh virus hkwegstck `iskgsk. [aurgh `gri
pgrtiakc pgrgfyxdvirus skbksgr 9> ― 5>> f». \irus tkcgm `iisdcgsi `gri cu`gm, egirgh
skrkbrdspihgc, `grgm, urih, dtga `gh jgrihogh tkrihlkasi cgih. Fufps fkrupgagh virus RHG
rghtgi tuhoogc okhus Rubucgvirus sublgficy ^grgfyxdvirihgk `gh lgficy ^grgfyxdviri`gk.
\irus fufps fkfpuhygi 2 ociadprdtkih ygitu mgfgocutihih-hkurgfi`gsk `gh pkrpg`ugh
prdtkih. \irus ihi juog fkficiai `ug adfpdhkh ygho sghooup fkfliasgsi, ygitu : ghtiokh U
gtgu ygho `gpgt cgrut (sdcubck) ygho bkrgsgc `gri huackdagpsi` `gh ghtiokh \ ygho bkrgsgc
`gri mkfgocutihih pkrfuaggh.
\irus ihi gatil `gcgf cihoauhogh ygho akriho tgpi virus ihi mghyg `gpgt bkrtgmgh skcgfg 0
mgri pg`g sumu rughogh. ^grgfyxdvirus `gpgt mgheur pg`g sumu 30 ºE, dckm ldrfgcih, ktkr,
skrtg pkfgpgrgh egmgyg uctrgvidckt skcgfg 5> `ktia. \irus fgsua `gcgf tubum fkcgcui
mi`uho
gtgu fucut.\irus bkrkpciagsi pg`g fuadsg sgcurgh hgpgs gtgs akfu`igh fkhykbgr ak agckhjgr
ciflg cdegc `gh `iiauti virkfig ufuf sktkcgm 72-2; mgri (fgsg ihaubgsi) ygho bkrcghosuho
skcgfg 5-; mgri. Ukcghjuthyg cdagsi ygho `ituju virus g`gcgm agckhjgr pgrdtis, dvgriuf,
pgherkgs, tirdi`, oihjgc, jghtuho gtgu dtga. \irus fgsua ak systkf sgrgl pusgt fkcgcui pckxus
emdrdi`kus ckwgt ihlkasi pg`g skc fdhdhueckgr. Fgsg pkhykbgrgh virus ihi g`gcgm 2-5 fihoou
fkcgcui `gri cu`gm, egirgh skrkbrdspihgc, `grgm, urih, dtga `gh jgrihogh tkrihlkasi cgih. \irus
`gpgt `iisdcgsi `gri sgcivg <-7 mgri skbkcuf dhskt pkhygait `gh 9 mgri sksu`gm fuheuchyg
pkfbkhoagagh pg`g agckhjgr cu`gm. ^khucgrgh tkrjg`i 20 jgf skbkcuf pkfbkhoagagh
agckhjgr cu`gm `gh 5 mgri sktkcgm pkfbkhoagagh fkhomicgho (Uufgrfd,2>>=)
2.5 Acgsiliagsi
^grdtitis g. ^grdtitis
Agfbumgh
Ghga-ghga fu`gm tkrakhg pgrdtitis agfbumgh ygho tifbuc pg`g usig ghtgrg 7
bucgh mihoog gamir fgsg aghga-aghga.Agfbumgh bkrgrti skbkcufhyg ghga tkcgm tkrihlkasi
virus akfu`igh agfbum cgoi.
^grdtitis gaut `itgh`gi `khogh rgsg sgait ygho fkh`g`ga, akfkrgmgh `gh
pkfbkhoagagh pg`g `gkrgm pgrdtis. @gpgt tifbuc skbgogi gaibgt pgseg-bk`gm ygho `icgauagh
pg`g pkh`kritg tkrbkcgagho fkhtgc `gh pkh`kritg usig cghjut, amusushyg gpgbicg pkhoouhggh
ghkstksi ufuf cgfg `gh g`ghyg oghoough `kmi`rgsi.
Pi`ga skfug drgho ygho tkrihlkasi dckm virus ^grgfyxdvirus fkhogcgfi akcumgh, bgmagh
skaitgr 5>-0>% pkh`kritg ti`ga fkhuhjuaagh tgh`g-tgh`g sgait (subecihiegc). Hgfuh
`kfiaigh fkrkag sgfg `khogh pkh`kritg cgihhyg ygho fkhogcgfi akcumgh, ygitu `gpgt
fkhjg`i sufbkr pkhucgrgh pkhygait tkrskbut. Fgsg tuhgs (fgsg ihaubgsi) pkhygait Odh`dho
skaitgr 72-20 mgri `khogh rgtg-rgtg 77-7= mgri. G`gpuh tgh`g `gh okjgcg ygho tifbuc sktkcgm
tkrihlkasi `gh bkrakfbghohyg fgsg tuhgs `gpgt `iogfbgragh skbgogi bkriaut :
7. ^g`g tgmgp gwgc (7-2 mgri) pkh`kritg Odh`dho fkhogcgfi okjgcg: `kfgf (sumu bg`gh
5=,; ― 0> `krgjgt ekceius), sgait akpgcg, hykri dtdt, akmicghogh hglsu fgagh, hykri
rgmgho bgoigh bkcgagho sggt fkhouhygm `gh g`gagcghyg `iskrtgi agau rgmgho (sucit
fkfbuag fucut).
2. Ukcghjuthyg tkrjg`i pkfbkhoagagh akckhjgr `i bgwgm tkcihog (pgrdtis) ygho `igwgci
`khogh pkfbkhoagagh sgcgm sgtu sisi akckhjgr akfu`igh ak`ug akckhjgr fkhogcgfi
pkfbkhoagagh.
5. ^kfbkhoagagh bigsghyg bkrcghosuho skaitgr 5 mgri akfu`igh bkrghosur fkhokfpis.
0. Ag`gho tkrjg`i pkfbkhoagagh pg`g akckhjgr `i bgwgm rgmgho (subfgh`ibucg) `gh
akckhjgr `i bgwgm ci`gm (subcihougc). ^g`g prig `kwgsg g`gcghyg tkrjg`i
pkfbkhoagagh bugm zgagr (tkstis) agrkhg pkhykbgrgh fkcgcui gcirgh `grgm.
2.; ^gtdlisidcdoi ^grdtitis
\irus tkrskbut fgsua tubum bisg fkcgcui mi`uho gtgu fucut. Bigsghyg akckhjgr ygho tkrakhg
g`gcgm akckhjgr pgrdtis. Ihlkasi gaut dckm virus fufps pg`g akckhjgr pgrdtis `ibuatiagh
`khogh g`ghyg akhgiagh titkr IoF `gh IoO skegrg bkrfgahg `gri skruf gaut `gh skruf
adhvgckskhs. Ukfgaih bghyga pkhufpuagh virus `i `gcgf tubum skmihoog tkrjg`i prdcilkrgsi
`i pgrdtis/kpitkc trgatus rkspirgtdrius akfu`igh tkrjg`i virkfig (iaurhyg virus ak `gcgf gcirgh
`grgm) `gh skcghjuthyg virus bkr`igf `i jgrihogh akckhjgr/sgrgl ygho akfu`igh gagh
fkhoihlkasi ocgh`ucg pgrdti`. Akg`ggh ihi `iskbut pgrdtitis.
Gaibgt tkrihlkasihyg akckhjgr pgrdtis fgag `gcgf 7-2 mgri gagh tkrjg`i `kfgf, ghdrkasig,
sgait akpgcg `gh hykri dtdt (Fghsjdkr, 2>>>). Akfu`igh `gcgf 5 mgri tkrjg`icgm
pkfbkhoagagh akckhjgr pgrdtis ygho fucg-fucg uhicgtkrgc akfu`igh bicgtkrgc, `iskrtgi hykri
rgmgho spdhtgh `gh sucit fkhkcgh. ^g`g fghusig skcgfg lgsk gaut, virus fufps `gpgt
`iisdckr `gri sgcivg, `grgm, gir skhi `gh ciqudr. ^g`g pgharkgs ag`gho-ag`gho tkr`gpgt
`kokhkrgsi `gh hkardsis jgrihogh.
Mgfpir skfug ghga ygho fkh`kritg odh`dhogh gagh pucim tdtgc tghpg pkhyucit, tktgpi
ag`gho okjgcghyg akfbgci fkfburua sktkcgm skaitgr 2 fihoou. Akg`ggh skpkrti ihi `gpgt
fkhifbucagh adfpciagsi, `ifghg virus `gpgt fkhykrgho drogh skcgih akckhjgr ciur. Mgc
tkrskbut fuhoaih tkrjg`i tkrutgfg jiag ihlkasi tkrjg`i sktkcgm fgsg pubkrtgs.
@ibgwgm ihi adfpciagsi ygho `gpgt tkrjg`i gaibgt pkhghoghgh gtgu pkhodbgtgh ygho aurgho
`ihi fkhurut Hkcsdh (2>>>) :
7. Fkhihodkhskpgcitis
^kh`kritg fucg-fucg fkhuhjuagh okjgcg hykri akpgcg rihogh, ygho akfu`igh `isusuc
dckm fuhtgm-fuhtgm, okcisgm `gh sumu tubum ygho tihooi (mipkrpirkasig). Adfpciagsi ihi
fkrupgagh adfpciagsi ygho skriho pg`g ghga-ghga.
2. Aktucigh
Puci sgrgl `gpgt tkrjg`i uhicgtkrgc, jgrgho bicgtkrgc wgcgupuh ihsi`khsihyg rkh`gm (7:7;.>>>),
pgrdtitis g`gcgm pkhykbgb utgfg tuci sgrgl uhicgtkrgc, akmicghogh pkh`khogrgh fuhoaih
skfkhtgrg gtgu pkrfghkh.
5. Draitis
^krg`ghogh pg`g sgcgm sgtu gtgu ak`ug tkstis. Uktkcgm skfbum, tkstis ygho tkrakhg fuhoaih
gagh fkheiut. Jgrgho tkrjg`i akrusgagh tkstis ygho pkrfghkh Ukmihoog akfgh`ucgh `gpgt
tkrjg`i pg`g fgsg sktkcgm pubkr `khogh okjgcg `kfgf tihooi fkh`g`ga, fkhooioic fugc,
hykri pkrut bgoigh bgwgm, okjgcg sistkfia, `gh sgait pg`g tkstis. Pkstis pgciho skriho
tkrihlkasi `khogh gtgu tghpg kpi`k`ifitis. Bicg tkstis tkrakhg ihlkasi fgag tkr`gpgt
pkr`grgmgh akeic. Draitis bigsghyg fkhykrtgi pgrdtitis `gcgf = mgri sktkcgm pgrdtitis.
Akg`ggh ihi `gpgt bkrcghosuho `gcgf 5 ― 70 mgri. Pkstis ygho tkrakhg fkhjg`i hykri `gh
bkhoaga `gh aucit skaitgrhyg bkhoaga `gh fkrgm. Rgtg-rgtg cgfghyg 0 mgri. Ukaitgr 5>-0>%
tkstis ygho tkrakhg fkhjg`i gtrdli. Oghoough lkrticitgs `ipkrairgagh skaitgr 75%. Pktgpi
ihlkrticitgs gbsdcut jgrgho tkrjg`i.
^krg`ghogh dtga gtgu skcgput dtga. Okjgcghyg bkrupg sgait akpgcg, agau au`ua, fkhoghtua,
adfg gtgu akjgho. ;-7>% pkh`kritg fkhogcgfi fkhihoitis `gh akbghygagh gagh skfbum
tdtgc. 7 `ightgrg 0>>-<.>>> pkh`kritg ygho fkhogcgfi khsklgcitis ekh`kruho fkhogcgfi
akrusgagh dtga gtgu sgrgl ygho pkrfghkh, skpkrti aktucigh gtgu akcufpumgh dtdt wgjgm.
7. Ddldritis
Pifbuchyg hykri `ibgoigh pkcvis `itkfuagh pg`g skaitgr 7% pg`g pkh`kritg wghitg pgseg
pubkrtgs
7. ^gharkgtitis
^krg`ghogh pgharkgs, bisg tkrjg`i pg`g gamir fihoou pkrtgfg. ^kh`kritg fkrgsgagh fugc `gh
fuhtgm `iskrtgi hykri pkrut. Okjgcg ihi gagh fkhomicgho `gcgf wgatu 7 fihoou `gh
pkh`kritg gagh skfbum tdtgc. Hykri pkrut skriho rihogh sgfpgi sk`gho fuheuc tibg-tibg pg`g
pgrdtitis.
Bigsghyg okjgcg hykri kpiogstria `iskrtgi `khogh pusiho, fugc, fuhtgm, `kfgf tihooi,
fkhooioic, cksu, fkrupgagh tgh`g g`ghyg pgharkgtitis gaibgt fufps.
7. Hklritis
Ag`gho-ag`gho akcgihgh luhosi oihjgc tkrjg`i pg`g sktigp pkh`kritg `gh virurig tkr`ktkasi
pg`g 7;%. Lrkaukhsi aktkrcibgtgh oihjgc pg`g ghga-ghga bkcuf `iaktgmui. Hklritis ygho
fkfgtiagh, tkrjg`i 7>-70 mgri sksu`gm pgrdtitis. Hklritis rihogh `gpgt tkrjg`i hgfuh jgrgho.
@gpgt skfbum skfpurhg tghpg fkhihoogcagh akcgihgh pg`g oihjgc.
7. Pirdi`itis
_gcgupuh ti`ga bigsg, pkfbkhoagagh tirdi` ygho hykri `gh `ilus `gpgt tkrjg`i pg`g ufur
skaitgr 7 fihoou sksu`gm fucgi pgrdtitis `khogh pkrakfbghogh skcghjuthyg ghtibd`i
ghtitirdi` pg`g pkh`kritg.
9. Fidagr`itis
Fghilkstgsi jghtuho ygho skrius sghogt jgrgho tkrjg`i, tktgpi ihlkasi rihogh fidagr`iuf
fuhoaih ckbim skriho `gripg`g ygho `iaktgmui. Fidagr`itis rihogh `gpgt tkrjg`i `gh fuheuc
; ―7 >mgri pg`g pgrdtitis. Ogfbgrgh kckatrdagr`idorgli `gri fidagr`itis skpkrti `kprksi
skofkh U-P, lcgttkhiho gtgu ihvkrsi okcdfbgho P. @gpgt `isktgi `khogh tgaiagr`i, pkfbksgrgh
jghtuho
`gh bisiho sistdcia.
7>. Grtritis
Jgrgho `itkfuagh pg`g ghga-ghga. Gtrgcoig ygho `iskrtgi `khogh pkfbkhoagagh `gh
akfkrgmgh skh`i bigsghyg pkhykfbumghhyg skfpurhg. Fghilkstgsi cgih ygho jgrgho tgpi
fkhgria pg`g pgrdtitis g`gcgm pdcigrtkritis ygho skriho agci bkrpih`gm-pih`gm. Okjgcg skh`i
fucgi 7-2fihoou sktkcgm bkraurghohyg pgrdtitis. Bigsghyg ygho tkrakhg g`gcgm skh`i bksgr
amusushyg pgmg gtgu cutut. ^khygait ihi bkrgamir 7-72 fihoou `gh skfbum skfpurhg.
Adfpciagsi ihi fkciputi `garidg`khitis, pkfbkhoagagh ygho hykri, bigsghyg bicgtkrgc, `gri
akckhjgr cgarifgcis1 hkuritis dptia (pgpiccitis) `khogh okjgcg-okjgcg bkrvgrigsi `gri akmicghogh
pkhocimgtgh sgfpgi akagburgh rihogh `khogh pkhykfbumgh `gcgf 7> ―2 > mgri1 uvkdakrgtitis,
bigsghyg uhicgtkrgc `khogh ldtdldbig, akcugr gir fgtg, akmicghogh pkhocimgtgh ekpgt `gh
pkhykfbumgh `gcgf 2> mgri1 sackritis, tkhdhitis, `khogh gaibgt kasdltgcfus1 trdfbdsis vkhg
skhtrgc.
^gsikh `khogh pgrdtitis mgrus `itghoghi `khogh adfprks mghogt, sigcgodo skpkrti tktksgh
ckfdh, `gh pijgtgh pgrdtis kastkrhg. Egirgh ihtrgvkhg fuhoaih `ipkrcuagh uhtua fkhekogm
`kmi`rgsi agrkhg tkrbgtgshyg gsupgh drgc. Jiag rkspdhs subdptifgc gtgu pgsikh sgait `gh
fkhogcgfi `kmi`rgsi, fgag ghtibidtia ihtrgvkhg fuhoaih ckbim sksugi.
^kh`kritg bgru `gpgt `irgwgt jgcgh bicg ti`ga g`g adfpciagsi (akg`ggh ufuf euaup bgia).
`. Fk`iagfkhtdsg
- mih`gri pkfbkrigh gspirih pg`g ghga agrkhg pkfbkrigh gspirih bkrisiad fkhifbucagh
Uih`rdf Rkyk ygitu skbugm pkhygait cghoag hgfuh fkfgtiagh. Dbgt-dbgtgh ghga ygho
tkr`gpgt `i gpdtia bkcuf tkhtu bkbgs `gri gspirih. Gspirih skrihoagci `iskbut juog skbgogi
–sgcieycgtk– gtgu –gektycsgcieycie gei`–.
b. Ghgcoktia-ghtipirktia
g. Khekpmgcitis
sifptdfgtia uhtua khekpmgcitishyg. Cufbgc puhosi bkrouhg uhtua fkhourghoi sgait akpgcg.
b. Dramitis
- pkfbkrigh ghgcoktia
- sistkfia adrtiadstkrdi` (mi`rdadrtisdh, 7>fo /ao/20 jgf, pkrdrgc, skcgfg 2-0 mgri
Uifptdfgtia sgjg
2.= ^khekogmgh
^khekogmgh tkrmg`gp pgrdtitis kpi`kfiag `gpgt `icgauagh skegrg ifuhisgsi pgsil `gh
ifuhisgsi gatil.
7. ^gsil
Ogffg ocdbucih pgrdtitis ti`ga klkatil `gcgf fkhekogm pgrdtitis gtgu fkhourghoi
adfpciagsi.
2. Gatil
@icgauagh `khogh fkfbkriagh vgasihgsi `khogh virus pgrdtitis kpi`kfiag ygho mi`up
tgpi tkcgm `irubgm silgthyg (Fufpsvgx-fkrea, smgrp gh` `dmfk) gtgu `ibkriagh subautgh
pg`g ghga bkrufur 7; bucgh (Hogstiygm, 2>>7). \gasih ihi ti`ga fkhykbgbagh pghgs gtgu
rkgasi cgih `gh ti`ga fkhykbgbagh kasarksi virus `gh ti`ga fkhucgr. Fkhykbgbagh ifuhitgs
ygho cgfg `gh `gpgt `ibkriagh bkrsgfg vgasih egfpga `gh rubkccg (FFR ygahi vgasih
Fufps, Fdrbici, Rubkccg). ^kfbkrigh vgasihgsi `khogh virus –fufps‖, sghogt klkatil `gcgf
fkhifbucag h pkhihoagtgh bkrfgahg `gcgf ghtibd`i –fufps‖ pg`g ih`ivi`u ygho
skrdhkogtil skbkcuf vgasihgsi `gh tkcgm fkfbkriagh prdtkasi 7; sgfpgi 9; %. ^rdtkasi
ygho
bgia skaurgho-aurghohyg skcgfg 72 tgmuh `gh ti`ga fkhooghoou vgasih tkrmg`gp fdrbici,
rubkccg, `gh pdcidfikcitis gtgu vgasihgsi vgridcg ygho `ibkriagh skrkhtga.
Adhtrgih`iagsi: Bgyi `ibgwgm usig 7 tgmuh agrkhg klka ghtibd`i fgtkrhgc1 Ih`ivi`u `khogh
riwgygt mipkrskhsitivitgs tkrmg`gp adfpdhkh vgasih1 `kfgf gaut1 skcgfg akmgficgh1
ckuaifig `gh akoghgsgh1 cifldfg1 sk`gho `ibkri dbgt-dbgt ifuhdsuprksil, gcaicgsi `gh ghti
fktgbdcit1 sk`gho fkh`gpgt rg`igsi.
Bkcuf `iaktgmui gpgagm vgasih gagh fkhekogm ihlkasi bicg `ibkriagh sktkcgm pkfgpgrgh,
tktgpi ti`ga g`g adhtrgih`iagsi bgoi pkhoouhggh vgasih –Fufps‖ `gcgf situgsi ihi
g. @grgm rutih
Pi`ga spksilia, ogfbgrghhyg skpkrti ihlkasi virus cgih, bigsghyg ckuadpkhig rihogh ygahi
ag`gr ckuadsit `gcgf sgtu citkr `grgm fkhuruh. Hdrfgchyg ckuadsit `gcgf `grgm g`gcgm 0 x
7>9 /C `grgm .`khogh cifldsitdsis rkcgtil, hgfuh adfpciagsi skriho fkhifbucagh ckuadsitdsis
pdcifdrldhuackgr tihoagt sk`gho.
Bigsghyg g`g akhgiagh gficgsk skruf, akhgiagh ekh`kruho `khogh pkfbkhoagagh pgrdtis
`gh akfu`igh akfbgci hdrfgc `gcgf aurgho ckbim 2 fihoou. Ag`gr gfycgsk hdrfgc `gcgf
`grgm g`gcgm >-757 [/C `grgm.
e. ^kfkriasggh skrdcdois
G`g tiog pkfkriasggh skrdcdois ygho `gpgt `icgauagh uhtua fkhuhjuagh g`ghyg ihlkasi virus
(Hkcsdh, 2>>>), ygitu:
@khogh egrg fkhegfpur skruf pkh`kritg `khogh fk`iuf uhtua bigagh librdbcgs kfbrid
ghga gygf `gh akfu`igh `iuji gpgagm tkrjg`i mkfg`sdrpsi. ^khokhekrgh skruf ygho
fkhekogm tkrjg`ihyg mkfg`sdrpsi `ihygtgagh dckm titkr ghtibd`i pgrdtitis kpi`kfiag. [ji
hktrgcisgsi gsgf skruf g`gcgm fktd`k ygho pgciho `gpgt `ipkregyg uhtua fkhkfuagh
ifuhitgs tktgpi ti`ga prgatis `gh ti`ga fgmgc.
Pks liasgsi adfpckfkht `gpgt `iouhgagh uhtua fkhkhtuagh jufcgm rkspdh ghtibd`i tkrmg`gp
adfpdhkh ghtiokh U `gh \ bgoi `igohdsg ihlkasi pgrdtitis kpi`kfiag gaut. Ghtibd`i tkrmg`gp
ghtiokh \ fkhegpgi titkr puhega `gcgf 7 bucgh `gh fkhktgp skcgfg < bucgh bkriauthyg `gh
akfu`igh fkhuruh skegrg cgfbgt 2 tgmuh sgfpgi sugtu jufcgm ygho rkh`gm `gh tktgp g`g.
^khihoagtgh 0 agci cipgt `gcgf titkr `khogh ghgcisis stgh`gr gpgpuh fkhuhjuagh ihlkasi ygho
bgru tkrjg`i. Ghtibd`i tkrmg`gp ghtiokh U tifbuc ekpgt, skriho fkhegpgi fgasifuf `gcgf
sgtu fihoou sktkcgm tifbuc okjgcg, micgho `gcgf < sgfpgi 72 fihoou.
`. ^kfkriasggh \irdcdoi
Isdcgsi virus jgrgho skagci `iouhgagh uhtua `igohdsis. Isdcgsi virus `icgauagh `khogh bigagh
virus ygho tkr`gpgt `gcgf sgcivg, urih, ciaudr skrkbrdspihgc gtgu `grgm. Bigagh `ihygtgagh
pdsitil jiag tkr`gpgt mkfgr`sdrpsi `gcgf bigagh ygho `ibkri egirgh ldslgt-HgEc `gh ti`ga g`g
pg`g bigagh ygho `ibkri skruf mipkrifuh.
BGB 5
GU[MGH AK^KRG_GPGH
Agsus:
Gh.B jkhis akcgfih pkrkfpugh bkrusig 9 tgmuh `gtgho ak rufgm sgait `khogh akcumgh
`kfgf, hykri pg`g `gkrgm bgwgm tkcihog `gh pipi airi, `gh hykri dtdt skjga skfihoou ygho
cgcu. Uucit fkhkcgh `gh agau rgmgho. Gh.B juog fkhogtgagh bgmwg tkfgh skbghoauhyg
fkh`kritg pkhygait ygho sgfg.
5.7 ^khoagjigh:
I`khtitgs :
Hgfg : Gh. B
[fur : 9 tgmuh
Gogfg : Iscgf
^kh`i`iagh : ^kcgjgr
Akcumgh [tgfg:
Gh. B skjga skfihoou cgcu fkhogcgfi `kfgf `gh fkrgsgagh hykri pg`g bkcgagho tkcihog
`gh pipi airi. Bkbkrgpg mgri akfu`igh tifbuc bkhoaga `gh akfkrgmgh `i skaitgr `gkrgm hykri
`gh bkhoaga fkhykbgr ak `gkrgm pipi aghgh. Gh. B fkhjg`i suagr fkhkcgh `gh hglsu fgagh
fkhuruh. BB gwgc g`gcgm 5>ao, akfu`igh sggt ihi turuh fkhjg`i 2=ao. Uu`gm 5 mgri ti`ga
`gpgt fkhoiauti pkcgjgrgh `i skadcgm gaibgt pkhygait ihi.
Riwgygt ^khygait @gmucu:
Gh.B skbkcufhyg ti`ga pkrhgm `irgwgt `i rufgm sgait `khogh okjgcg ygho sgfg. Pi`ga puhyg
riwgygt pkhygait fkhucgr, `gh ti`ga puhyg riwgygt gckroi. Bkcuf pkrhgm `i ifuhisgsi FFR
(Fufps, Fdrbici, Rubkcg)
Ukfug ghoodtg akcugrog Gh.B `gmucu su`gm pkrhgm fkhogcgfi okjgcg ygho sgfg `khogh
Gh.B. Akfuhoaihgh tkrtucgr tkfgh skbghoau.
^kfkriasggh Lisia
Pgh`g-tgh`g \itgc:
Uumu: 5= E
Pkhsi: -
B7 (brkgtmiho) : Hdrfgc
B0 (bcg``kr) : hdrfgc
^kfkriasggh ^khuhjgho
^g`g Gh.B tkcgm `icgauagh pkfkriasggh `grgm `i `gpgtagh ckuedpkhig, ag`gr ckuadsit 3 0 x
7>9/C `grgm. @gh `i cgauagh ^kfkriasggh ag`gr gficgsk `gcgf skruf, tkrbuati ag`gr gficgsk
hgia 8757 [/C `grgm.
0.Ghgcisis @gtg
@gtg dbjkatil :
@gtg dbjkatil :
^kfbkhoagagh pg`g akckhjgr
pgrdti` `gh Ugait akpgcg
Hykri
@gtg dbjkatil :
-g`ghyg UP `krksi
-`itkfuaghhyg virus `i
drogh cgih
risicd adfpciagsi
g.@igohdsg : ^krubgmgh hutrisi aurgho `gri akbutumgh tubum ygho bkrmubuhogh `khogh
akti`gafgfpugh uhtua fkhekrhg hutrikh g`kaugt gaibgt adh`isi ihlkasi
b.@igohdsg Akpkrgwgtgh: Oghoough rgsg gfgh `gh hygfgh bkrmubuhogh `khogh fghilkstgsi
acihis gaibgt pgrdtitis `gh pkhogrum cihoauhogh
Pujugh: pgsikh `gpgt fkrgsgagh akfbgci rgsg gfgh `gh hygfgh skiriho `khogh prdsks
pkhykfbumgh
Aritkrig Mgsic: ^gsikh iaut skrtg `gh bkarjgsgfg `gcgf prdsks fkhokfbgciagh rgsg gfgh `gh
hygfgh
HdIhtkrvkhsi Rgsidhgc
7. Istirgmgt
^t^ugb`ugm
skcgfg pkrid`k
p tkihrdo`oki
`kfgf s`kkmfihgofo,g f iskttigrgbmdgcitsf
`gpgt Fkhourghoi fktgbdcisf tubum `gh fkfpkrekpgt akskfbumgh acikh
Agrkhg tkrjg`i ihlkasi, sumu `i skaitgr cdagsi pkfbkhoagagh fkhogcgfi pkhihoagtgh @khogh adfprks `ihoi
`gpgt turuh `gh fkhourghoi
pkfbkhoagagh
2. Adfprks `ihoih pg`g `gkrgm bkhoaga
HdIhtkrvkhsi Rgsidhgc
7 Fkhourghoi tkrjg`ihyg adfpciagsi `khogh Adrtiadstkrdi` `gpgt fkhkagh
pkfbkrigh dbgt Upt: Adrtiadstkrdi` skcgfg 2-0 pkrtufbumgh fiardbg `gh
mgri `gh ocdbucih Ocdbucih fkhekogm tkrjg`ihyg
draitis
2 ^ghtgu jghtuho `khogh pkfgsghogh KAO Fkhekogm rksiad tkrjg`i adfpciagsi ak dtdt jghtuho
BGB 0
^KH[P[^
0.7 Uifpucgh
^kfbkhoagagh gaut pg`g akckhjgr sgcivg `gpgt bkrupg pgrdtitis `gh sigcg`khitis. ^khygait
pgrdtitis ygho ckbim gwgf `iskbut odh`dhogh (fufps) fkrupgagh sugtu pkhygait fkhucgr
`ifghg skskdrgho tkrihlkasi dckm virus (^grgfyxdvirus) ygho fkhykrgho akckhjgr cu`gm
(akckhjgr pgrdtis) `i ghtgrg tkcihog `gh rgmgho skmihoog fkhykbgbagh pkfbkhoagagh pg`g
ckmkr bgoigh gtgs gtgu pipi bgoigh bgwgm. Okjgcg ygho `itifbucagh bkrupg pkfbkhoagagh,
rgsg sgait, akfkrgmgh, `gh akckfbutgh pg`g sgcurgh akckhjgr cu`gm, hgfuh juog tkrjg`i
akcgihgh bkrupg pkckbgrgh `gh pkhyufbgtgh sgcurgh. Oghoough pgrdtitis ekh`kruho
fkhykrgho ghga-ghga `ibgwgm usig 7; tgmuh (skaitgr =;% agsus). @gmucu akg`ggh ihi skriho
tkrcimgt pg`g pgsikh ygho fkh`gpgt pkrgwgtgh `gri dpkrgsi gb`dfkh, tktgpi skagrgho amgsus
ihi tkcgm jgrgho tkrcimgt, mghyg ag`gho-ag`gho tkrcimgt pg`g pgrdtitis ardhis rkaurkh, tktgpi
ti`ga skskriho ygho `ipkrairgagh.
0.2 Ugrgh
Bghyga adfpciagsi ygho `itifbucagh dckm pkrg`ghogh akckhjgr sgcivg ihi skmihoog mgrus
sk`ihi fuhoaih pkhghoghgh `igwgci `khogh bkrbgogi tks cgbdrgtdriuf, `isusuc pg`g
pkfbkrigh ghtibidtia, pkhgfbgmgh vdcufk egirgh `gcgf tubum, mihoog gamirhyg `ig`gagh
dpkrgsi.
@GLPGR ^[UPGAG
KOE
Ak`datkrgh KOE
Ak`datkrgh: KOE