KLBKKULB JCBH^ PLFL NLSC NL^U ILDC^, NLSC NLICVL FLB LBLM 

P^LQEMHILD

^EQUJE

Fisusub Hied Meihjphm <?

Ltiml Jitrl Eiwibfl (BCJ P0 5<601<3006)

Flggibl Qylzld Cbfrilby (BCJ P0

5<601<300;) Putri Vuti Hivi (BCJ P0

5<601<30>0) Qdlislniiiiild Fegil Putri (BCJ

P0 5<601<30>7 Vlbil Lpriiilbti Gldievi (BCJ

P0 5<601<3010 Wejjy _eipitl (BCJ P0

5<601<301>

Fhseb Pebkljpud?

Nubfl Eise Qri ^ldlyu, J.Vr. Men

P^HFC QL^OLBL VE^LPLB MENCFLBLB

OU^UQLB MENCFLBLB

PHIVEMMEQ MEJEBMEQ NEBKMUIU

MEJEBVE^CLB MEQEDLVLB ^EPUNICM CBFHBEQCL

VLDUB LOL^LB >0></>0>>

Jldlsiswl neiljlr tebtlbk Nlyi nlru ildir Bhrjli, perunldlb gisihihki NNI,
mlrlmteristim  NNI, Pertujnudlb flb permejnlbklb nlyi, nliitl flb lblm usil prlsemhild,
mhbsep psimhihki
 permejlbklb jlbusilflri prebltli - jlsl lblm-lblm, klbkkulb jibhr nlyi, nliitl flb
lblm  usil prlsemhild, Fetemsi fibi flb pebltlilmslbllb lwli klwlflrurltlb nlyi flb lblm,
Butrisi
 plfl nlyi, nliitl flb lblm, jlslild plfl nlyi, nliitl flb lblm, jlslmld nlyi resimh tibkki flb
 peblbklblbbyl, pejnerilb hnlt flb vitljib plfl nlyi, nliitl flb lblm, stijuilsi flb
fetemsi fibi pertujnudlb flb permejnlbklb nlyi, nliitl flb lblm, ibtervebsi fibi klbkkulb
tujnud mejnlbk lblm flb nliitl, ijubislsi, Pribsip Butrisi plfl NNI (nrelstgeefibk),
Ejnrihkebebis ujuj jlbib flb glmthr yk jejpebklrudi prhses ejnrihkebesis, ibfimlthr
mesedltlb NNI, glmthr ylbk jejpebklrudi mesedltlb nlyi flb nliitl, fetemsi fibi
pebylmit mhbkibetli flb
 pebylmit nlyi flb nliitl, lpiimlsi JVNQ flb JVNQ, JPLQC, Pejlslbklb jliur CW flb
sljpei mlpiier, pebylmit lblm flb nliitl ylbkilzij fi ibfhbesil, lbliissi menuudlb
pejerimsllb
 pebubjlbk, Lbtiaiplthry kuiflbae ubtum jebkurlbki risimh meaeilmllb flb QCFQ, iibkmubklb

ylbk ljlb ubtum nlyi flb lblm flb peberlplb jlbljejeb flb fhmujebtlsi meniflblb flilj
lsudlb behbltus, nlyi, nliitl flb lblm.
 L. Klbkkulb Jibhr Plfl Nlyi Nlru Ildir

<. Nlyi Nerlt Ildir ^ebfld (NNI^)

Nlyi Nerlt Ildir ^ebfld (NNI^) ilild nlyi nlru ildir ylbk nerlt nlflb sllt ildir 
murlbk flri >500 krlj. Cstiild NNI^ sljl febklb prejlturitls. Bljub, NNI^ tiflm 
dlbyl terjlfi plfl nlyi prejltur, jukl nlyi ylbk aumup nuilb febklb NN 9 >.500
krlj (Prhgii Mesedltlb Cbfhbesil, >0<6= Jlbulnl, >0<0).

>. Diphterji

Diphterji lflild sudu tunud nlyi nlru ildir ylbk tiflm bhrjli (917¿A) plfl
 pebkumurlb sudu jeiliui lmsiil, fijlbl sudu tunud nlyi nlru ildir bhrjli lflild
17,5¿A-1;,5¿A (sudu lmsiil). Diphterji jeruplmlb sultu tlbfl nldlyl mlrebl
flplt jebyenlnmlb terjlfibyl perunldlb jetlnhiisje tunud ylbk lmlb nerlmdir
febklb meklklilb gubksi jlbtubk plru flb mejltilb (FepMes ^C, >00;).

1. Diperniiirunibejil
Diperniiirunibejil lflild imterus fk mhbsebtrlsi niiirunib seruj yk jebjurus me
lrld terjlfibyl merb imterus ltlu ebseglihplti niiirunib niil mlflr niiirunib tiflm flplt
fimebfliimlb. Cmterus lflild perunldlb wlrbl muiit flb smierl jebjlfi mubibk
lminlt
 pebibkmltlb mlflr niiirunib flilj flrld (diperniiirunibejl). Plfl nlyi lterj
imterus tljplm jiml mhbsebtrlsi niiirunib seruj jebalpli 45-<>0 µjhi/I (jyies,>003).

Ferljlt Permirllb Mlflr

Flerld Cmterus
Niiirunib
Cmterus
C Flerld meplil flb ieder 5,0 jk%
CC Nlflb ltls 3,0 jk%
CCC Nlflb nlwld dibkkl iutut <<,6 jk%
CW Iebklb, mlmi nlwld <>,6 jk%
  W Veilplm tlbklb flb mlmi <7,0 jk%

6. Diphkiimejil
Mlflr kiumhsl seruj 9 65jk% (9>,7 jjhi/I) seiljl nenerlpl dlri pertljl medifuplb.
 Biili mlflr kiumhse flrld/pilsjl ltlu seruj ubtum filkbhsis Diphkiimejil plfl
 nernlkli meihjphm ujur lblm?

Meihjphm Ujur Kihmusl9jk/fi Flrld

Pilsjl/seruj
 Nlyi/lblm 960 jk/<00 ji 965 jk/<00 ji
 Behbltus
* NNI^ 9>0 jk/<00 ji 9>5 jk/<00 ji
* NAN
0 - 1 dr 910 jk/<00 ji 915 jk/<00 ji
1 dr 960 jk/<00 ji 965 jk/<00 ji

5. Mejlbk
Mejlbk jeruplmlb kerlmlb ibvhiubter mihbim ltlu thbim plfl sltu ltlu ienid lbkkhtl
kerlm. Nilslbyl suiit fi meblii flb terjlfi plfl usil 7 nuilb - 7 tldub.

7. Klbkkulb Blgls
Qibfrhj klwlt blgls lflild sybfrhje klwlt blgls ylbk fisenlnmlb fegisiebsi surglmtlb
terutljl plfl nlyi ylbk ildir febklb jlsl kestlsi murlbk.

;. Meiliblb Mhbkebitli
l. Ltresil Eshglkus
Ltresil eshglkus lflild jliphrjlsi ylbk fisenlnmlb hied meklklilb
eshglkus ubtum jebklflmlb plslse ylbk mhbtibu? eshpdlkus jubkmib sljl ltlu
jubkmib jukl tiflm jejnebtum sljnubklb febklb trlmel (gistuil
trlmeheshplkus) ltlu ltresil eshpdlkus lflild meklklilb eshpdlkus ubtum
jejnebtum sliurlb mhtibu flri glribk me iljnubk seiljl permejnlbklb ejnrihbim
lflpub pebkertilb ilib ylituniil senul sekjeb eshhglkus jebklilji klbkkulb flilj
pertujnudlbbyl (ahbkebitli) flb tetlp senlkl
 nlkilb tipis tlbpl iunlbk sliurlb.
Verflplt sultu pebylmit ylbk seribk jebyertli pebylmit ibi ylmbi gistuil trlmeheshglkus.
Gistuil trlmeheshglkus lflild sultu meiliblb dunubklb lbtlrl trlmel flb eshglkus.
n. Ilnihsmizis flb Ilnihplilthsmizis
➢ Ilnih/Plilth smisis jeruplmlb mhbkebitli ylbk nerupl lflbyl meiliblb nebtum 
 plfl strumtur wljld (Bklstild, >005? <7;)
➢ Ninir sujnibk lflild jlighrjlsi ylbk fisenlnmlb hied klklibyl
prhpsuesus blsli jefilb flb jlmsiilris ubtum jebyltu seiljl
permejnlbklb ejnrihtim. ([hbk, Fhbbl I. >001)
➢ Plilthsmisis lflild gissurl klris tebkld plfl philtuj ylbk terjlfi
mlrebl meklklilb > sisi ubtum jebyltu mlrebl permejnlbklb ejnrihtim
([hbk, Fhbbl I. >001)

a. Ltresil
 Lbi
Ltresil Lbi jeruplmlb slild sltu meiliblb nlwllb, fijlbl lbus tljplm
bhrjli, tetlpi plfl pejerimsllb ahihm funur jlri tiflm flplt jlsum ienid flri
<-> aj. Cbsifebs? <? 1.000-5.000 meildirlb difup. Qibhbij Ltresill Lbi :
Cjperghrltef Lbli
: Jlighrjlsi Lbhremtli : Lbhremtli Lbhjlii.
Meiliblb nlwllb lbus fisenlnmlb hied klbkkulb pertujnudlb, gusi, flb
 pejnebtumlb lbus flri thbjhilb ljnrihkebim. Plfl meiliblb nlwllb lbus
ujujbyl tiflm lfl meiliblb remtuj, sgibkter, flb htht flslr plbkkui. Bljub
fejimilb plfl
lkebesis lbus, sgibkter ibterb jubkmib tiflm jejlfli.

f. Klstrhsmizis flb Hjglihmei

Meiliblb fibfibk perut jeruplmlb mealaltlb ylbk reiltig seribk, jubaui
mirl-mirl < flilj >.000 meildirlb difup. Pejerimsllb fibfibk feplb lnfhjeb
flb
 pebejpeilb tlii puslt slbklt filbjurmlb fi sejul pejerimsllb UQK plfl trijester 
meful flb metikl. Ful meiliblb ylbk terseribk lflild klstrhsadisis flb hjpdlihaeie
Hjpdlihaeiie hied Ljnrhis Plre (<5<0-<530) fiilphrmlb senlkli melfllb ylbk
serius ylbk jejnutudmlb perdltilb ylbk mdusus mlrebl prhkbhsisbyl ylbk jeiem.
Qljpli sltu lnlf terlmdir sllt menerdlsiilb pertljl fiilphrmlb febklb replir sealrl
 prijer plfl hjpdlihaeie.

e. Derbil Filgrlkjltiml
Verjlsum meiliblb nlwllb ylbk terjlfi mlrebl tiflm ternebtumbyl senlkilb
filgrlkjl, sedibkkl lfl nlkilb isi perut jlsum me flilj rhbkkl thrlm.

g. Jebibkhmei flb Ebseglihmei

Jebibkhmei lflild slild sltu flri tikl jebis meiliblb nlwllb spibl
nigifl. Jebibkhmei lflild jebibkebs ylbk jebhbjhi jeiliui vertenrl ylbk tiflm
utud flb
terlnl senlkli sultu nebjhilb nerisi alirlb finlwld muiit. Meiliblb nlwllb isi
meplil meiulr jeiliui iunlbk plfl tebkmhrlm ltlu tuilbk neilmlbk.

l. Jlslild ylbk Ilzij terjlfi plfl NNI

l. Jubtld
Meiulr mejnlii senlkilb neslr ltlu seiurud isi iljnubk ylbnk terjlfi sealrl
plmsl jeiliui juiut, fisertli mhbtrlmsi iljnubk flb lnfhjeb. Pebyenlnbyl mlrebl
meiliblb mhbkibetli sliurlb pebaerbllb jlmlblb ltlu alrl pejnerilb jlmlblb
ylbk slild. Pebltlilmslbllbbyl febklb alrl mlji glmthe pebyenln, jlbklb nerimlb
jlmlblb ylbk jerlbkslbk, pernlimi tembim jebyusui, sebflwlmlb nlyi flb rujum niil
lfl meiliblb.
n. Kujhd
 Meiulrbyl mejnlii susu ylbk teild fiteilb metiml ltlu nenerlpl sllt seteild jibuj susu
 nhthi ltlu jebyusui flb flilj jujild dlbyl sefimit. Pebyenlnbyl mlrebl nlyi
sufld mebylbk, nlyi teriliu lmtig, miep pebutup iljnubk neiuj nergubksi
sejpurbl, phsisi lblm/nlyi sllt jebyusui ylbk tiflm neblr, flb gubksi peristlitim
ylbk neiuj sejpurbl. Pebltlilmslbllbbyl febklb alrl jejpernlimi tembim
jebyusui/jejnerimlb susu, sebflwlmlb nlyi, flb jlbklb ilbksubk jebklbkmlt nlyi
sllt kujhd.

a. Filre
Lflild nulbk lir neslr febklb gremuebsi 1x ltlu ienid perdlri, fisertli perunldlbbyl
jebjlfi alir febklb ltlu tlbpl iebfir flb flrld ylbk terjlfi plfl nlyi flb lblm ylbk
seneiujbyl tljplm sedlt. Pebyenlnbyl mlrebl nlyi termhbtljiblsi geses inu
ylbk jebklbfubk mujlb plthkeb sllt fiildirmlb, ibgemi siilbk flri petukls mesedltlb
ylbk jebklilji filre flb dykiebe ylbk nurum, fht ylbk tiflm fisteriimlb seneiuj
fikublmlb, flb ilib-ilib. Pebltlilmslbllbbyl febklb alrl? ubtum perthihbklb
pertljl firujld,
 nerimlb hlrliit mlrebl jeruplmlb perthihbklb pertljl seneiuj fi nlwl me
^Q/Pusmesjls.
Pebltlilmslbllbbyl fi ^Q? Jejnerimlb alirlb flb jebkltur meseijnlbklb
eiemtrhiit, terlpi redifrlsi, mhilnhrlsi ubtum terlpi pejnerilb lbtinihtim sesuli
febklb mujlb pebyenlnbyl, jebauai tlbklb seneiuj flb sessufld mhbtlm febklb
nlyi ubtum  jebaekld pebuilrlb, flb tiflm filbjurmlb ubtum jejnerimlb lbti
fielre flb hnlt- hnltlb pebkebtli geses.

f. Qenhrrdel
Lflild rlflbk nerupl sisim ylbk neriejlm plfl flerld ylbk jejiiimi nlbylm meiebjlr 
senlsel, nilslbyl fi flerld meplil.

e. Nisuilb
Qultu perflbklb plfl muiit yblk nilslbyl jebkebli ghiimei rljnut flb fisenlnmlb hied
mujbstlpdyihahaaus nerupl semujpuilb blbld ylbk teild terlmujuilsi fiflilj rhbkkl
 jlribklb seteild teribgemsi sesultu.

g. Jiiirilsis
Meiliblb muiit ylbk fitlbfli febklb mejerldlb fisertli febklb keiejnubk fisertli
keiejnubk meaii nerlir ylbk tijnui lminlt meribklt nerienidlb fisertli sujnltlb.

k. Neralm jhbkhi

Neralm newlrbl niru ylbk nilslbyl teriidlt fi nlkilb slmrli, wlilupub mlflbk teriidlt fi nlk
tunud yk ilib.

d. Dejlbkihjl
Qultu tujhr jlribklb iublm lminlt prhiigerlsi flri pejnuiud flrld yk tiflm bhrjli flb
flplt terjlfi plfl setilp jlribklb pejnuiud flrld.

N. Klbkkulb Jibhr plfl Nlyi

<. Jlrlsjus

Jlrlsjus terjlfi mlrebl eberki ylbk tiflm aumup. Plfl pebferitl ylbk
jebferitl jlrlsjus, pertujnudlbbyl lmlb nermurlbk ltlu terdebti, seribk ternlbkub
plfl wlmtu jlilj, jebklilji mhbstiplsi ltlu filre. Filre plfl pebferitl jlrlsjus
lmlb teriidlt
 nerupl neralm dijlu tul ylbk terfiri flri sefimit iebfir flb sefimit tibjl. Klbkkulb plfl
muiit lflild turkhr muiit lmlb jebkdiilbk flb pebferitl teriidlt meriput. Lplniil kejlil
 nertljnld nerlt, iejlm plfl nlkilb pipi lmlb jebkdiilbk flb pebferitl teriidlt seperti
wljld sehrlbk tul. Webl supergisiliis lmlb teriidlt jeils, unub-unub neslr aemubk, tuilbk
 pipi flb flku jebhbjhi flb jltl tljplm neslr flb flilj. Perut tljplm jejnubait ltlu
aemubk febklb kljnlrlb usus ylbk jeils flb tljplm ltrhpi (Dlsslb et li, >005).

Jlrlsjus lflild slild sltu nebtum memurlbklb kizi ylbk fisenlnmlb mlrebl tunud
memurlbklb prhteib flb mlihri. pebylmit ibi nlbylm fitejumlb plfl lblm nerusil 0->
tldub. Jlrlsjus lmlb jejnult tunud jebjlfi ienid murus, nerlt nlflb ylbk slbklt
murlbk flb tiflm nisl nerlmtivitls febklb bhrjli. Pebylmit ibi nlbylm fitejumlb fi
mlwlslb Beklrl lgriml flb Beklrl-beklrl ylbk jlsid jebkdlflpi mhbgiim
pejiau meilplrlb.

Jlrlsjus lflild nebtum JEP (jlibutrisi eberki prhteib) nerlt lminlt prhteib flb

eberki (mlihri) ylbk tiflm lfemult flilj fiet (Adris Nrhhmer, >003). Vlbfl flb kejlil
jlrlsjus (pusfltib mejebmes ^C, >0<5), lflild senlkli nerimut ?

 • Umurlb meplil tiflm senlbfibk febklb umurlb tunud

 • muiit jebjlfi meribk flb nersisim 

 • Vljplm slbklt murus, dibkkl seperti tuilbk ternubkmus muiit. nerlt

nlflb 970%

 nerlt nlflb bhrjli sesuli usilbyl

 • [ljld seperti hrlbk tul (hif jlb glae)

 • Aebkebk, rewei
  • Muiit meriput, jlribklb iejlm sunmutlb slbklt sefimit

 • Nebtum perut aemubk

 • Qeribk fisertli filre mrhbim (terus-jeberus)

 • rljnut tipis flb jufld rhbthm 

 • Jufld termebl ibgemsi

>. Mwlsdihrmhr

Mwlsdihrmhr lflild nebtum JEP (Jlibutrisi Eberki Prhteib) ylbk terjlfi metiml lblm 
fislpid/febklb fiet rebfld prhteib, tetlpi jujild eberki flri sujner eberki mlrnhdifrlt
jejlfli (Adris Nrhhmer, >003). Mwlsdihrmhr ienid nlbylm terflplt plfl usil <-1 tldub
ylbk seribk terjlfi plfl lblm ylbk teriljnlt jebylpid sedibkkl mhjphsisi kizi jlmlblb
tiflm seijnlbk terutljl flilj dli prhteib.

Mwlsdihrmhr jeruplmlb pebylmit lminlt memurlbklb kizi plfl nlyi flb nliitl ylbk
fisenlnmlb memurlbklb prhteib lmut. Pebylmit ibi jejlbk jirip seperti
jlrlsjus, bljub plfl pebferitl mwlsdihrmhr terflplt efejl plfl nlkilb mlmi.
Pebylmit ibi jejlbk plfl lwlibyl fifetemsi mlrebl memurlbklb prhteib tlpi
seneblrbyl pebylmit ibi
 jukl fisenlnmlb mlrebl memurlbklb vitljib flb jiberli. Pebferitl rebtlb termebl
 nernlkli pebylmit ylbk fisenlnmlb mlrebl ibgemsi nldmlb seteild jebflplt
vlmsib tertebtu.

Plfl pebferitl ylbk jebferitl mwlsdihrmhr, lblm lmlb jebklilji klbkkulb

 pertujnudlb, perunldlb jebtli ylitu plfl nilslbyl pebferitl aebkebk flb plfl
stlfiuj ilbjut jebjlfi lpltis flb senlkilb neslr pebferitl fitejumlb efejl. Qeilib
itu, peferitl lmlb jebklilji kejlil klstrhibtestibli ylitu lbhremsil flb filre. Dli ibi
jubkmib mlrebl klbkkulb gubksi dlti, plbmrels flb usus. ^ljnut meplil pebferitl
mwlsdihrmhr seblbk fialnut tlbpl rlsl slmit (Dlsslb et li, >005).

Plfl pebferitl stlfiuj ilbjut, rljnut lmlb teriidlt muslj, meribk, dlius, jlrlbk flb
 nerwlrbl putid. Muiit jebjlfi meribk febklb jebubjummlb klris-klris ylbk
ienid jebflilj flb ienlr. terjlfi perunldlb muiit ylbk mdls ylitu arlzy plvejebt
ferjlthsis ylbk jeruplmlb neralm-neralm putid ltlu jerld jufl febklb tepi ditlj
flb fitejumlb
 plfl nlkilb tunud ylbk seribk jebflplt temlblb flb fisertli meiejnlplb. Plfl
perlnllb dlti fitejumlb dlti jejneslr, mebyli, perjumllb iiaib, flb pibkkirlb tljlj.
Lbejil ribklb jukl fitejumlb flb terjlfibyl meiliblb mijil ylitu mlflr linujib
seruj ylbk rebfld flb mlflr kihnuiib ylbk bhrjli ltlu sefimit jebibkki (Dlsslb et li,
>005).

Vlbfl flb kejlil mwlsdihrmhr (pusfltib mejebmes ^C, >0<5), lflild senlkli nerimut?

• jebklilji pejnebkmlmlb (efejl) fiseiurud tunud, terutljl plfl pubkkubk

mlmi (fhrsuj pefis)

• wljld lblm jejnuilt flb sejnln (jhhb glae)

• htht jebkeaii jebyenlnmlb iebklb ltls murus, umurlb IiIL 9<6aj

• jubaui rulj jerld jufl plfl muiit flb nerunld jebjlfi ahmilt meditljlb
iliu jebkeiupls

• murlbk blgsu jlmlb

• rljnut jebipis nerwlrbl jerld seperti rljnut jlkubk, jufld fialnut tlbpl rlsl slmit

• seribk fisertli ibgemsi, sertl lbejil flb filre

• perunldlb stltus jebtli, lblm rewei flb lpltis

• pejneslrlb plfl perut lminlt tijnublb alirlb plfl rhbkkl perut flb lflbyl
 pejneslrlb dlti

1. Jlrlsjus-Mwlsdihrmhr

Jlrlsjus-Mwlsdihrmhr Kljnlrlb miibis jeruplmlb aljpurlb flri nenerlpl kejlil

miibim mwlsdihrmhr flb jlrlsjus. Jlmlblb sedlri-dlri tiflm aumup jebklbfubk prhteib
flb jukl eberki ubtum pertujnudlb ylbk bhrjli. Plfl pebferitl fejimilb fisljpibk
jeburubbyl nerlt nlflb 9 70% flri bhrjli jejperiidltmlb tlbfl-tlbfl mwlsdihrmhr,
seperti efejl, meiliblb rljnut, meiliblb muiit, seflbkmlb meiliblb nihmijilwi teriidlt
 puil (Fepmes ^C, >000). Jlrlsjus - mwlrsdihrmhr (Dhbker hefejl) lflild senuld
gebhjebl pebylmit fi Cbfhbesil filminltmlb mlrebl memurlbklb prhteib mrhbis plfl lblm-
lblm lbk seribk fisenlnmlb nenerlpl dli, lbtlrl ilib lblm tiflm aumup jebflplt
jlmlblb
 nerkizi (terutljl ylbk aumup jebklbfubk eberki flb prhteib), lblm tiflm
jebflplt lsuplb kizi ylbk jejlfli flb lblm jubkmib jebferitl ibgemsi pebylmit.

6. Memurlbklb vitljib L (MWL)

Murlbk Witljib L Memurlbklb vitljib L (MWL) sunmiibis flplt fitlbfli febklb

rebfldbyl mlflr vitljib L fiflilj flrld, dlbyl flplt fimetldui febksb jejerimslmlb
mlflr vitljib L flilj flrld fi ilnhrlthriuj. Qlild sltu alrl jeblbkkuilbki MWL, slild
sltubyl febklb pejnerilb mlpsui vitljib L fhsis tibkki. Mlpsui vitljib L finerimlb
setldub ful mlii plfl nuilb genrulri flb lkustus, sejlm lblm nerujur 7 nuilb. Mlpsui
jerld (fhsis <00.000 CU) finerimlb ubtum nlyi ujur 7-<< nuilb flb mlpsui niru (fhsis
>00.000 CU) ubtum lblm ujur <>-53 nuilb.Murlbk vitljib L flplt nerfljplm plfl
terklbkkubyl permejnlbklb hrklb pebkiidltlb lblm. pebylmit jltl ylbk seribk jubaui
fisenut febklb Terhptlijil. Pebylmit ibi jeruplmlb pebyenln menutllb ylbk
pliibk seribk terjlfi plfl lblm nerusil >-1 tldub. plstimlb lblm jebflplt lsuplb
jlmlblb ylbk mlyl mlbfubklb vitljib L seperti dlti, imlb, teiur, lipumlt, plplyl,
whrtei, nlylj, thjlt flb slyurlb nerwlrbl dijlu ilibbyl.
 5. Lbejil

Lbejil lflild jebis pebylmit lminlt memurlbklb kizi plfl nlyi flb nliitl. Lbejil nisl
fisenlnmlb mlrebl memurlbklb lsuplb zlt nesi ltlu vitljib N<>. pebylmit
ibi jebyenlnmlb tunud jebjlfi ienid iejld flb tiflm nisl jeilmumlb nernlkli
lmtivitls.
Lbejil tiflm dlbyl terjlfi plfl wlbitl flb lblm-lblm bljub jukl plfl nlyi. Lbejil
 nisl terjlfi metiml sei flrld jerld tiflm jejiiimi nlbylm hmsikeb sedibkkl jebyenlnmlb
 jlribklb tunud jebjlfi ienid iejld. Lfl nenerlpl mhbfisi tertebtu ylbk seribk
jebyenlnmlb lbejil plfl nlyi seperti meiliblb sei flrld jerld. Lbejil nisl slbklt
 nernldlyl plfl nlyi nldmlb risimh jebtli flb gisim ylbk nisl nerfljplm dibkkl fewlsl.
Vlbfl flb kejlil?

• muiit jebjlfi ienid pualt

 • blgls jebjlfi ienid pebfem  

 • lblm-lblm jebjlfi ienid iejld flb jufld jeblbkis

 • pualt flb tiflm nerflyl

Mhbfisi lbejil plfl nlyi flb nliitl nilslbyl terjlfi seteild nlyi nerujur ienid flri eblj
 nuilb. Nernlkli jebis butrisi tljnldlb ylbk jebklbfubk zlt nesi, slbklt
fislrlbmlb mlrebl itu memurlbklb kizi jejner fljplm ylbk serius ubtum nlyi flb
nliitl. Pebyenln lbejil fegisiebsi nesi (LFN)?

 • Nlyi fi nlwld ujur < tldub? Persefillb nesi ylbk murlbk mlrebl nerlt
nlflb ildir rebfld ltlu ildir mejnlr.

 • Lblm nerujur <-> tldub? Jlsumlb (ibtlme) nesi ylbk murlbk mlrebl
tiflm  jebflplt jlmlblb tljnldlb (dlbyl jibuj susu), menutudlb jebibkmlt mlrebl
ibgemsi
 neruilbk/jebldub, jlilnshrnsi, mediilbklb nerienidlb mlrebl perflrldlb lbtlrl ilib
mlrebl ibgestlsi plrlsit flb fivertimuiuj Jeameii.
7. ^lmditis

^iametsil ltlu rlmditis lflild pebylmit ylbk fisertli febklb iejldbyl jiberliislsi flri
 pertujnubklb tuilbk. Viflm dlbyl terjlfi flri memurlbklb vitljib F tetlpi jukl mlrebl
memurlbklb mlisiuj flb ghsghr (Jldlb >000). Qeflbkmlb jeburut Lijltsier ^iametsil
lflild memurlbklb vtljib F plfl lblm-lblm, terjlfi niil pebkerlslb tuilbk plfl lblm-
lblm terdljnlt sedibkkl jebjlfi iejnem.^lmditis jeruplmlb pebylmit tuilbk
ylbk fisenlnmlb hied memurlbklb vitljib F flb mlisiuj. Witljib F fiperiumlb
ubtum 
 pebyerlplb mlisiuj plfl usus. Metilfllb vitljib F flb pebyerlplb mlisiuj
flri jlmlblb ylbk tiflm nlim, jebyenlnmlb dyphaliaejil ylitu sultu melfllb
fijlbl
mlisiuj flilj flrld jujildbyl sefimit, melfllb ibi jebfhrhbk terjlfibyl meiliblb
 nebtum plfl merlbkml flb htht slrlg kiki.
 Vlbfl flb kejlil? ^iametsil terjlfi febklb lflbyl tlbfl-tlbfl mlmi jejnebkmhm,
 pejneslrlb meplil mlrebl pebutuplb ghbtlieb teriljnlt, kiki teriljnlt meiulr nebtum
kiki tiflm terltur flb jufld ruslm. Lflpub kejlil ylbk seribk terjlfi plfl pebferitl
riametsil lflild?

• Byeri ylbk terjlfi plfl tuilbk.

 • Pebibkmltlb tebfebsi retlm tuilbk (tuilbk jufld retlm), terutljl plfl

Kreeb stiam.

 • Perunldlb rlbkml tuilbk?

Ô Plfl lblm meaii ylbk nlru nisl nerjlilb nilslbyl lmlb jejnubkmubk (Kebu

vlrus) Ô Lblm-lblm ylbk ienid tul? lplniil fi metum jlml iutu lmlb nernubyi

(kebu vlikus)

 • Meiliblb nebtum plfl tebkmhrlm, tuilbk neilmlbk, flb plbkkui

 • Klbkkulb pertujnudlb

 • Oujild mlisiuj flilj flrld rebfld

Pebkhnltlb ^iametsil flplt fiilmumlb febklb alrl jejnerimlb lblm-lblm jlmlblb ylbk
 nlbylm jebklbfubk mlisiuj flb vitljib F seperti plfl jibylm dlti imlb, jibylm
dlti imlb ahf ylbk jebklbfubk vitljib F senlbylm 3 ιk (170 CU)/6 ji.
^lmditis ltlu riametsil ibi fisenlnmlb mlrebl tunud jebklilji memurlbklb vitljib F.
lminltbyl jlml tunud tiflm nisl jebyerlp mlisiuj febklb nlim. menutudlb vitljib F
seneblrbyl nisl fiperhied flri siblr jltldlri terutljl siblr jltldlri plki. pebylmit
ibi jejnutudmlb
 perlwltlb senln jiml tiflm fihnlti flplt jebyenlnmlb tuilbk jebjlfi jeiebkmubk
flb seribk pltld tuilbk.

A. Klbkkulb Jibhr Plfl Nliitl

<. LFDF

LFDF jeruplmlb mepebfemlb flri Lttebtihb fegiait dyperlativity

fishrfer, (Lttebtihb : perdltilb, Fegiait : nermurlbk, Dyperlativity : diperlmtig, flb
Fishrfer : klbkkulb). Ltlu flilj nldlsl Cbfhbesil, LFDF nerlrti klbkkulb
pejusltlb perdltilb fisertli diperlmtig.

Dlsii pebeiitilb Glrhb fmm, >000, Mubtsi fmm, >000, Nlrmiey, >001 (flilj
JCG Nlidlqi & Qukilrjib, >007), jebkltlmlb nldwl terflplt glmthr ylbk
nerpebklrud terdlflp jubauibyl LFDF, ylitu?

<. Glmthr kebetiml

Glmthr kebetiml jeruplmlb glmthr pebtibk flilj jejubauimlb tibkmld ilmu LFDF. Qltu
 pertikl flri lbkkhtl meiulrkl LFDF jejiiimi klbkkulb, ylitu jiml hrlbk tul
jebklilji LFDF, jlml lblmbyl neresimh LFDF seneslr 70%. Plfl lblm mejnlr,
jiml slild sltu jebklilji LFDF, jlml sluflrlbyl ;0-40% jukl neresimh jebklilji
LFDF.

>. Glmthr beurhnihihkis

Verflplt persljllb lbtlrl airi-airi ylbk jubaui plfl LFDF febklb ylbk jubaui plfl
meruslmlb gubksi ihnus pregrhbti. Fejimilb jukl peburublb mejljpulb plfl
lblm  LFDF plfl tes beurhpsimhihkis ylbk fidunubkmlb febklb gubksi ihnus
pregrhbti.
Vejulb jeiliui J^C (pejerimsllb htlm febklb tembhihki tibkki) jebubjummlb
lfl metiflmbhrjlilb plfl nlkilb htlm feplb. Nlkilb ibi jeiiputi mhrtems pregrhbtli
ylbk sliibk nerdunubklb febklb nlkilb flilj nlwld mhretms serenrli sealrl mhiemtig
senlkli
 nlsli klbkiil. klbkkulb pejusltlb perdltilb jeiiputi, klbkkulb pejusltlb
perdltilb (iblttebtihb), klbkkulb pebkebfliilb firi (ijpuisigitls), flb klbkkulb febklb
lmtivitls ylbk nerienidlb (diperlmtivitls).

Pebklrud LFDF terdlflp pebfifimlb?

• Viflm flplt sekerl jejuili sultu mekiltlb

• Prestlsi murlbk

• Nemerjl teriliu iljnlt ltlu aeplt

• Jeiuplmlb ibstrumsi ltlu pebjeilslb

• Viflm jeilmumlb tukls

• Qeiliu jebibkklimlb nebfl-nebfl sljpli jebit terlmdir 

• Qeiliu nibkubk

• Jeblbkkudmlb pemerjllb

• Jhtivlsi ylbk murlbk

• Mesuiitlb jebkerjlmlb tukls

• Jebkdibflri tejlb, nerperiilmu mlalu

Pebklrud LFDF terdlflp periilmu?

• Jebubtut

• Vurut aljpur febklb hrlbk ilib

• Jufld grustlsi

• Murlbk jebkebfliimlb firi

• Viflm teblbk/keiisld

• Ienid nlbylm nialrl

• Quml jebjlfi pejijpib, jufld nerunld pebfirilb

• Jebklbkku, aebferubk ubtum jebflplt meaeilmllb

• Jufld nibkubk, jebklilji dlri-dlri nlim flb nurum 

Pebklrud LFDF terdlflp lspem shaili?

• Jejebtibkmlb firi sebfiri, ekhsebtris

• Aejls, mlslr, tiflm peml

• Viflm fewlsl, tertemlb

• Dlrkl firi rebfld

• Merls/teblbk, jejnult merinutlb

• Viflm nergimir plbjlbk

• Jeblrim firi flri meihjphm 

• Qeribk nerperiilmu tlbpl perlsllb

• Viflm jlu jebubkku kiiirlb

>. Lutisje

Lutisje lflild klbkkulb permejnlbklb ylbk tljplm fitikl tldub pertljl

medifuplb lblm. Slbk nerpebklrud plfl mhjubimlsi, ibterlmsi shsili, ijljiblsi flb simlp.

Nenerlpl pebyenln lutisje, lbtlrl ilib?

l. Glmthr beurhnihihkis

Klbkkulb beurhnihihkis plfl susublb slrlg puslt (htlm). Nilslbyl, klbkkulb ibi terjlfi
flilj tikl nuilb pertljl jlsl medljiilb, niil pertujnudlb sei-sei htlm fi nenerlpl
tejplt tiflm sejpurbl.

 n. Jlslild kebetim 

Glmthr kebetim ahbthdbyl jutlsi keb. Nenerlpl glmthr ylbk jukl termlit lflild usil inu
sllt dljii, usil lyld sllt istri dljii, sertl jlslild ylbk terjlfi sllt dljii flb prhses
meildirlb.

a. Jlslild seiljl medljiilb flb meildirlb

 Mhjpiimlsi ylbk seribk terjlfi ilild lflbyl pebflrldlb seteild trijester pertljl
lflbyl mhthrlb jlbib plfl alirlb ljbihb ylbk jeruplmlb tlbfl nldlyl flri jlbib,
Pebkkubllb hnlt-hnlt tertebtu plfl inu ylbk seflbk jebklbfubk. Mhjpiimlsi kejlil
sllt nersliib
 nerupl nlyi teriljnlt jeblbkis, nlyi jebklilji klbkkulb perblglslb, nlyi jebklilji
memurlbklb flrld jukl fifukl flplt jebijnuimlb kejlil lutis.

f. Veribgemsi virus

Egem virus flb merlaublb flplt nerilbksubk terus seteild lblm ildir flb terus jeruslm 
 pejnebtumlb sei htlm, sedibkkl lblm meiidltlb tiflm jejperhied mejljulb flb kejlil
jlmib plrld.

1. Lsjl

Lsjl jeruplmlb pebylmit mrhbim ylbk fitlbfli febklb perlflbklb flb pebyejpitlb
sliurlb blpls ylbk jebijnuimlb seslm ltlu suiit nerblpls.

Vltlilmslbl?

Pebfifimlb flb pebjeilslb tebtlbk lsjl plfl plsieb flb meiulrkl jeruplmlb ubsur 
 pebtibk pebltlilmslbllb lsjl plfl lblm. Periu pebjeilslb seferdlbl tebtlbk prhses
 pebylmit, glmthr resimh, pebkdibflrlb pebaetus, jlbgllt flb alrl ahbtrhi iibkmubklb alrl
jebkltlsi serlbklb lmut, pejlmlilb hnlt feklb neblr, sertl dli ilib ylbk sejulbyl
 nertujulb ubtum jejibijlimlb jhrnifitls gisis flb psimis sertl jebaekld fislniiitls.

Pebaekldlb?

Uplyl pebaekldlb lsjl lblm jebalmup pebaekldlb fibi sebsitislsi liierkeb sejlm jlsl
getus, pebaekldlb jlbigestlsi lsjl nrhbmili plfl plsieb pebylmit lthpi ylbk
neiuj jebferitl lsjl, sertl pebaekldlb serlbklb flb emslsernlsi lsjl.

6. Filre

Filre lflild tibjl febklb mhbsistebsi ienid iublm ltlu ienid alir flri nilslbyl, flb terjlfi
 pliibk sefimit 1 mlii flilj >6

jlj. Etihihki

Jeburut [hrif Klstrhebterhihky Hrklbizltihb kihnli kuifeiibes >005, etihihki filre lmut
fiinlki ltls ejplt pebyenln?

<. Nlmteri

sdikeiil, slijhbeiil, E. ahii, khi. Winrih, nlaiiius aereus, aihstrifiuj

pergribkebs, stlgiihmhmus lureus, aljpyihnlater lerhjhbls

>. Wirus

rhtlvirus, lfebhvirus, Bhrwlim virus, ahrhblvirus, lstrhvirus

1. Plrlsit

 prhthzhl, ebtljhenl disthiytial, kilrfil iljniil, nlilbtifiuj ahii, triaduris triadiurl,

arypthsphrifiuj, strhbkyihifes sterahrliis

6. Bhb ibgemsi

jlilnshrpsi, merlaublb jlmlblb, lierki, klbkkulb jhtiiitls, ijubhfegisiebsi, mesuiitlb

jlmlb, fii.

Pebltlilmslbllb ?

Lflpub prhkrlj ICBVLQ FCL^E ylitu?

<. ^edifrlsi jebkkublmlb hrliit hsjhilritls rebfld

>. _iba finerimlb seiljl <0 dlri nerturut-turut

1. Verusmlb pejnerilb LQC flb Jlmlblb

6. Lbtinihtia seiemtig 

5. Blsidlt meplfl hrlbk tul/pebklsud

5. VNA

Vunermuihsis lflild pebylmit jebuilr ilbksubk ylbk fisenlnmlb hied mujlb VN

(Jyahnlateriuj Vunerauihsis). Qenlkilb neslr mujlb VN jebyerlbk plru, tetlpi flplt
 jukl jebkebli hrklb tunud ilibbyl.

Alrl pebuilrlb?

<. Qujner pebuilrlb lflild plsieb VN NVL phsitig 

>. Plfl wlmtu nltum ltlu nersib, plsieb jebyenlrmlb mujlb me uflrl flilj nebtum 
 peraimlb fldlm (frhpiet buaiei). Qemlii nltum flplt jebkdlsiimlb semitlr 1000
peraimlb fldlm 

1. Ujujbyl pebuilrlb terjlfi flilj rulbklb fijlbl peraimlb fldlm nerlfl

flilj wlmtu ylbk iljl. Webtiilsi flplt jebkurlbki jujild peraimlb, sejebtlrl siblr
jltldlri ilbksubk flplt jejnubud mujlb. Peraimlb flplt nertldlb seiljl nenerlpl
jlj flilj melfllb ylbk keilp flb iejnln

6. Flyl pebuilrlb plsieb fitebtumlb hied nlbylmbyl mujlb ylbk fimeiulrmlb flri
 plrubyl. Jlmib tibkki ferljlt mephsitiglb dlsii pejerimsllb fldlm, jlmib jebuilr plsieb
tersenut

5. Glmthr ylbk jejubkmibmlb sesehrlbk terpljlb mujlb VN fitebtumlb hied mhbsebtrlsi

 peraimlb flilj uflrl flb iljlbyl jebkdirup uflrl tersenut.
 F. Klbkkulb Jibhr Plfl Lblm Prl-Qemhild
Lblm-lblm usil prlsemhild jebferitl fisgubksi htlm jibhr,
terjlsum  klbkkulb permejnlbklb jhthrim dlius. Qealrl kihnli
fiilphrmlb lblm-lblm  jebklilji klbkkulb nerupl meaejlslb, jufld ejhsi,
klbkkulb periilmu, klbkkulb
 permejnlbklb, nlim permejnlbklb jhthrim dlius flb mlslr, klbkkulb pebfebklrlb,
meaerflslb murlbk, meteriljnltlb nialrl. Pebltlilmslbllbbyl lflild
jlmsijlimlb
 perlb hrlbk tul, seilib itu flplt jukl fistijuilsi febklb alrl jebfebklrmlb
jusim  (jeburut jurbli)

Flgtlr Pustlml

dttp?//reph.ublbf.la.if/>71<6/</Lsudlb%>0Meniflblb%>0plfl%>0Behbltus%>0efit.pfg 
(filmses plfl tlbkkli >4 Ouii >0><)