CB\MIHCM M@RMI

VBKMQMIMI TB\VMDR VBIQMCAT TADMC EBIRKM\ (VMIDR VTE)

 M. VBIDMJRKRMI
Dmkme rmihcm ebiiihcmtcmi tmrmg cbsbjmtmi emsymrmcmt,
Vuscbsems pbrku ebkmcucmi upmym proeosi cbsbjmtmi,smkmj smtuiym
mdmkmj dilidmih Vbi`bhmjmi pbiymcit Tidmc Ebiukmr.Vbiymcit Tidmc
Ebiukmr mdmkmj pbiymcit ymih disblmlcmi okbj pbrulmjmi hmym jidup
dmi pbihmruj hbibti` sbrtm cuepukmi gmctor-gmctor risico pbiymcit tidmc
ebiukmr sbpbrti curmihiym coisuesi emcmimi sbjmt,cblimsmmi
ebrococ,curmihiym okmjrmhm dmi strbss.
Vrohrme Vbihbidmkimi Vbiymcit Tidmc Ebiukmr sblmhmi lmhimi
dmri Vrohrme Vbiymcit dmi Vbiybjmtmi Kiihcuihmi pmdm \bistrm <6=6-
<6=4.Pmkmj smtu eisi dmri Cbebicbs ymih tbrtukis dmkme \bi`mim
Ptrmtbhis \bistrm

Cbebicbs <6=6 -<6=4 mdmkmj ebiiihcmtcmi dbrmjmt cbsbjmtmi

emsymrmcmt ebkmkui pbelbrdmymmi emsymrmcmt tbremsuc swmstm
dmi emsymrmcmt
ueue.Diemim prioritms pbelmihuimi cbsbjmtmi ymih cbtihm
mdmkmj pbihbidmkimi pbiymcit tidmc ebiukmr dmi pbiymcit ebiukmr diicuti
pbiybjmtmi kiihcuihmi.
Dmkme pbiybkbihhmrmmi pbi`bhmjmi dmi pbihbidmkimi VTE
pbrku dikmcsmimcmi sb`mrm coeprbjbisig dmi tbriitbhrmsi ebkmkui Rpmym
Cbsbjmtmi Emsymrmcmt (RCE) dmi Rpmym Cbsbjmtmi Vbrormihmi
(RCV).Pbjiihhm pbrku disusui sumtu Cbrmihcm M`umi Cbhimtmi Vbkmymimi
Tbrpmdu (VMIDR) Vbiymcit Tidmc Ebiukmr sblmhmi pmidumi pbkmcsmimmi
prohrme tbrsblut.

L. KMTM\ LBKMCMIH
Pmmt iii pbiymcit tidmc ebiukmr ebijmdi pbiyblml cbemtimi
utmem sblbsmr 07 jutm (70%) dmri sbkuruj cmsus cbemtimi ymih tbrjmdi
disbkuruj duiim,diemim sbcitmr <1 jutm (:6%) justru tbrjmdi diibhmrm
ymih sbdmih lbrcbelmih (XJO,<6=6).Vbiiihcmtmi cbemtimi mcilmt pbiymcit
tidmc ebiukmr  diemsm ebidmtmih dipbrcirmcmi mcmi tbrus tbrjmdi
sblbsmr =2% (44 jutm
cbemtimi) dbihmi rbitmih wmctu mitmrm tmjui <6=6 dmi <6<6. Coidisi iii tieluk
 mcilmt pbrulmjmi pbrikmcu emiusim dmi kiihcuihmi ymih `bidbruih tidmc sbjmt
tbrutmem pmdm ibhmrm-ibhmrm lbrcbelmih.
 Mwmk pbrjmkmimi Vbiymcit Tidmc Ebiukmr sbriihcmki tidmc lbrhbjmkm
dmi tidmc ebiuijuccmi tmidm ckiiis sb`mrm cjusus sbjiihhm dmtmih sudmj
tbrkmelmt mtmu sudmj lbrmdm distmdiue kmijut mcilmt tidmc ebihbtmjui dmi tidmc
ebiymdmri coidisi cbkmiimi ymih mdm pmdm diriiym.Ebiurut \isbt Cbsbjmtmi
Dmsmr tmjui
<6=0 ebiuijuccmi prbvmkbisi pbiymcit tidmc ebiukmr tbrus ebiiihcmt
4=,8% ebijmdi 21,2%.Vbiymcit Tidmc ebiukmr dmpmt di`bhmj dbihmi
ebihbidmkicmi gmctor rbsicoiym ymcii ebrococ ,dibt tidmc sbjmt,mctigitms
gisic,coisuesi smyur dmi lumj-lumjmi ymih sbielmih sbrtm coisuesi
eiiuemi lbrmkcojok.Vbihbidmkimi gmctor risico lmhi ymh lbkue ebeikici gmctor
risico,ebihbelmkicmi coidisi gmctor  risico VTE ebijmdi ioremk mtmu ebi`bhmj
tbrjmdiiym VTE lmhi ymih ebeikici gmctor risico mtmupui ymih sudmj
ebiymidmih Vbiymcit Tidmc Ebiukmr.

Ptrmtbhi pbihbidmkimi Vbiymcit Tidmc Ebiukmr dikmcucmi

dbihmi pbiybkbihhmrmmi pbi`bhmjmi dmi pbihbidmkimi VTE ymih
dikmcsmimcmi sb`mrm
coeprbjbisig dmi tbriitbhrmsi ebkmkui Rpmym Cbsbjmtmi Emsymrmcmt (RCE) dmi
Rpmym Cbsbjmtmi Vbrormihmi (RCV),cbhimtmi iii disblut dbihmi
Vbkmymimi Tbrpmdu (Vmidu) Vbiymcit Tidmc Ebiukmr.jmdi Vmidu VTE
ebrupmcmi wujud prohrme dmkme ebkmcucmi cbhimtmi dbtbcsi diii dmi
eoiitoriih gmctor risico VTE sbrtm tiidmc kmijutiym ymih dikmcsmimcmi sb`mrm
tbrpmdu,rutii dmi pbriodic.
Dbihmi dbeicimi pmidu VTE smihmt citm pbrkucmi diemim prohrme iii
dmpmt ebelmitu emsymrmcmt uituc ebkmcucmi dbtbcsi diii tbitmih gmctor risico
pbiymcit tidmc ebiukmr lmic pmdm diriiym sbidiri,cbkumrhmiym emupui
ormih- ormih ymih mdm dikiihcuihmiiym.

@. TRNRMI
=. Tujumi Reue
Ebiiihcmtcmi upmym cbsbjmtmi pbi`bhmjmi dmi pbihbidmkimi VTE ymih
ebihutmemcmi mspbc proeotig dmi prbvbitig tmipm ebihmlmicmi
mspbc curmtig dmi rbjmlikitmtig sbrtm pmkimtig ymih lbrtujumi
ebiuruicmi mihcm
cbsmcitmi,cb`m`mtmi dmi cbemtimi.
 <. Tujumi Cjusus
m. Tbrdbtbcsiiym gmctor risico pbiymcit tidmc ebiukmr okbj emsymrmcmt
sbdiii euihcii.
l. Tbrsbkbihhmrmiym pbimihmimi gmctor risico pbiymcit tidmc ebiukmr
okbj emsymrmcmt sbsbhbrm euihcii.
`. Tbrsbkbihhmrmiym cbhimtmi pbemitmumi gmctor risico pbiymcit tidmc
ebiukmr  okbj emsymrmcmt sbsbhbrm euihcii.
d. Ebiiihcmtiym cbsmdmrmi emsymrmcmt mcmi pbiymcit tidmc ebiukmr dmi `mrm
pbi`bhmjmi dmi pbihbidmkimiiym.

D. CBHAMTMI VOCOC DMI \AI@AMI V\OH\ME

IO \AI@AMI CBHAMTMI

CBHAMTM Vbiyukujmi dmi sosimkismsi cbpmdm

I
VOCOC emsymrmcmt ebihbimi pbrikmcu jidup sbjmt
=. Bducmsi VTE
(VJLP)
pEEmmdsmymrm -Xmwmi`mrm riwmymt G\-VTE Aidividu dmi
cmt Cbkumrhm
<. Dbtbcsi -\iwmymt ebrococ
Diii Gmctor -Mctigitms gisic
\isico VTE -Emcmi smyur dmi lumj
-\iwmymt coisuesi mkcojok
-Vbihucurmi Tbcmimi Dmrmj
-VbebricsmmiDmrmj(Hukm
Dmrmj,`jokbstbrok,msme urmt)
-Vbihucurmi LL (Lbrmt Lmdmi)
-Tiihhi Lmdmi (TL)
-Kiihcmr Vbrut (KV)
-Vbebricsmmi lbijokmi pmyudmrm
-Hmihhumi pbidbihmrmi
-Hmihhumi pbihkijmtmi

0. Aitbhrmsi -Vbeliimmi cmdbr posliidu VTE

pbihbidmkim -Vbiiihcmtmi pbrmi sbrtm emsymrmcmt
i VTE dmkme pbihbidmkimi VTE
4. Vbibeumi Ebkmcucmi pbibeumi cmsus VTE sbdiii euihcii
cmsus VTE ebkmkui mimeibsis,pbebricsmmi
gisic,pbebricsmmi pbiuijmih
2. Vbimihmimi cmsus VTE sbsbhbrm
euihcii ebkmkui pbkmymimi pbiholmtmi dmi
Vbimihmim pbrmwmtmi sbrtm rujucmi cb gmsikitms cbsbjmtmi
i cmsus tiihcmt kmijutmi likm dipbrkucmi
VTE
B. @M\M VBKMCPMIMMI CBHAMTMI
=. Vbiyukujmi dmi sosimkismsi pbiymcit tidmc ebiukmr
cbpmdm emsymrmcmt.Vbiymepmimi iigoremsi cbsbjmtmi okbj pbtuhms
cbsbjmtmi cbpmdm emsymrmcmt mtmu cbkoepoc diwikmymj cbrjm,emtbri
sosimkismsi tbitmih VTE dmi pbrikmcu jidup sbjmt dbihmi diducuih mkmt
lmitu/ebdim pbiyukujmi.

<. Dbtbcsi diii dikmcucmi uituc ebibeucmi gmctor risico VTE sbdiii
euihcii tbrjmdmp iidividu mtmu cbkoepoc ymih lbrbsico mtmu tidmc
lbrbsico sb`mrm rutii.Cbhimtmi dbtbcsi diii gmctor risico iiiidmpmt
dikmcucmi,gmsikitms pbkmymimi cbsbjmtmi ,emsymrmcmt cjusus/cbkoepoc
cjusus ebkmkui Vosliidu.Cbhimtmi dbtbcsi diii VTE diemsymrmcmt
lbrupm tielmih LL,pbihucurmi TL dmi KV,pbebricsmmi TD dmi
coisbkiih.

0. Aitbhrmsi pbihbidmkimi VTE ebkmkui pbiiihcmtmi pbrmi sbrtm emsymrmcmt

dmkme pbi`bhmjmi dmi pbihbidmkimi VTE lmic sb`mrm pbrormihmi emupui

cbkoepoc dikmcucmi ebkmkui Rpmym Cbsbjmtmi Lbrlmsis Emsymrmcmt (RCLE)
dbihmi ebelbituc dmi ebihbelmihcmi Vos Vbeliimmi
Tbrpmdu (Vosliidu) VTE.Vmdm Vosliidu VTE dmpmt dikmcsmimcmi
cbhimtmi dbtbcsi diiio,eoiitoriih dmi tiidmc kmijut gmctor risico VTE
sb`mrm emidiri dmi lbrcbsiimeluihmi dilmwmj pbeliimmi Vuscbsems.

4. Vbibeumi cmsus VTE sbdiii euihcii dbihmi `mrm mimeibsis,pbebricsmmi

gisic dmi pbebricsmmi pbiuijmih.

2. Vbimihmimi cmsus VTE sbsbhbrm euihcii ebkmkui pbkmymimi pbiholmtmi

dmi pbrmwmtmi sbrtm rujucmi cb gmsikitms cbsbjmtmi tiihcmt kmijutmi
likm
dipbrkucmi.

G. PMPM\MI
Qmih ebijmdi smsmrmi dmkme prohrme pbkmymimi tbrpmdu pbiymcit tidmc ebiukmr 
mdmkmj emsymrmcmt ymih lbrueur =2 tmjui cbmtms.
H. NMDXMK CBHAMTMI
I CBHAMTMI N G E  M E NR N  M P O I D
O  M B  M V B IA R H B C O BP
I L \ \ A K R V T W
A P
= Vroeosi Cbsbjmtmi
< Dbtbcsi diii G\-
VTE
0 Aitbhrmsmi
pbihbidmkimi VTE
4 Vbibeumi cmsus
VTE
2 Vbimihmimi cmsus
VTE

J. BWMKRMPA VBKMCPMIMMI CBHAMTMI DMI KMVO\MI

• Cbpmkm Vuscbsems eoiitoriih pbkmcsmimmi cbhimtmi dikmcucmi
okbj pbimihhuih jmwml RCE.

• Bvmkumsi pbkmcsmimmi cbhimtmi prohrme pbiymcit tidmc ebiukmr

dikmcsmimcmi sbtimp lukmi dbihmi ebkmporcmi jmsik cbpmdm Cbpmkm
Vuscbsems dmi ebkmporcmi cb Diims cbsbjmtmi Cmlupmtbi Noemih
ebkmkui sistbe pbkmpormi ymih tbkmj disbpmcmti..

A. VBI@MTMTMI VBKMVO\MI DMI BWMKRMPA

CBHAMTMI Kmihcmj-kmihcmj pbihisimi @jmrtm >

=. Tbitucmi dmjuku mpmcmj ormih ymih dipbricsm pbidbritm DE mtmu tidmc.

<. Tbitucmi cokoe jbiis cbkmeii (kmci-kmci pmcmi ymih ciri dmi pbrbepumi
pmcmi ymih cmimi)
0. Tbitucmi cokoe stmtus ebrococ (pbrococ dmi lucmi pbrococ)
4. Tbitucmi lkoc usim dbihmi ebepbrjmticmi kmjur mihcm pmkiih ciri
(eismkiym uituc usim 46-41 tmjui pmcmi lkoc usim 46, 26-21 tmjui pmcmi
lkoc 26, usim 76-71 tmjui pmcmi lkoc 76 dmi usim 86-81 tmjui pmcmi lkoc 86)
 2. Tbcmimi dmrmj (TD) ymih dihuimcmi mdmkmj tbcmimi dmrmj
sistokic,pbrjmticmi kmjur mihcm pmkiih cmimi.
7. Tbitucmi cokoe ymih sbsumi uituc cmdmr cokbstbrok

  Cokoe Iikmi C
4 okbstbrok
=24-=1<
2 =10-<06
7 <0=-<71
8 <86-068
: 906:

8. Titic tbeu mitmrm cokoe tbcmimi dmrmj (TD) dmi cokoe

cokbstbrok ebibitucmi tiihcmt risico.
:. Xmrim cotmc ebibitucmi lbsmr risico uituc ebihmkmei pbiymcit jmituih dmi
pbelukuj dmrmj ymih gmtmk dmi ioi gmtmk dmkme curui wmctu =6 ebidmtmih.

;=6% <6-;06% 946%

=6 - ;<6% 06-46%

  Noelmih, 68 Nmiumri <6<6

VN. RCE Bsbisimk Vbihbkokm Vrohrme VTE

PKMEBT V RNAMITO MPIM \ OGACO

IAV. =1866:=2=11<60=668 IAV.=1:264<:<6==6=<660

Ebihbtmjui
Cbpmkm LKRD Vuscbsems Nmtiwmtbs Tbelbkmih

drh. MEA PBTQMIAIH\

RE IAV.
=18261=7<6=4=<<6==