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Semiologia Abdominal Anamnese e Exame Fisico
Semiologia Abdominal Anamnese e Exame Fisico
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
Wkm`eceo`d Dlnem`bdc
DBD^EM@D T[DN\DB^K KW^\[^[\D
DLNEM@BDC
Aíodne, vksígucd l`c`dr,
Tudnrdbtk supkr`er p`cere, nuenkbe, ackxurd
n`rk`te TWN) n`rk`td ne gece k gdlkïd
ne pìbgrkds.
W@B^EMDW
E Zr`bg`pdc s`btemd bds nekbïds ne pkr`tþb`e k nes
n`akrkbtks ÷roçes `btrd-dlnem`bd`s à d ner
ner,, quk nkvk
skr dbdc`sdnd d pdrt`r nd pdteceo`d nk gdnd ÷roçe k nk
gdnd nekbïd km pdrt`gucdr.
n`v`n`ne km
D a`ourd dg`md rkprkskbtd e dlnemk n`v`n`ne km > Dcàm n`sse, e pdg`kbtk penk dprkskbtdr s`btemds
qudnrdbtks88 qudnrdbtk supkr`er n`rk`te (TWN),
qudnrdbtks odstre`btkst`bd`ss supkr`erks
odstre`btkst`bd` supkr`erks,, geme8
qudnrdbtk supkr`er ksqukrne (TWK), qudnrdbtk `bakr`er
n`rk`te (T@N) k qudnrdbtk `bakr`er ksqukrne (TWK).
Z`resk9
Ds kstruturds dlnem`bd`s quk sçe kbgebtrdnds km gdnd
qudnrdbtk kstçe nksgr`tds bd tdlkcd8 Bäuskds9
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
@gtkríg`d. Fkmdtør`d9
Ner bes acdbges9
W`btemds odstre`btkst`bd`s `bakr`erks tdmlàm sçe G÷c`gds rkbd`s.
gemubs, geme8
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
• D ner pckurít`gd eu
pckurít`gd eu ne @DM
@DM penk
penk skr rkakr`nd pdrd d
rko`çe kp`oästr`gd ne dlnemk.
KVDMK AÍW@GE
E kxdmk aís`ge nd rko`çe dlnem`bdc tdmlàm à
gempeste per `bspkïçe, pdcpdïçe, pkrgussçe k dusguctd,
< - NE\ ZD\@K^DC mds d ernkm pdrd rkdc`zdïçe nk gdnd ktdpd à n`akrkbtk
D ner pdr`ktdc à gdusdnd pkcd `bacdmdïçe ne pkr`tþb`e nds nkmd`s rko`ûks ne gerpe.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
>. Zdcpdïçe.
Dbtks nk gemkïdr, e kxdm`bdner nkvk pkn`r de
Geme ae` pessívkc elskrvdr, d pkrgussçe k dusguctd pdg`kbtk pdrd `bn`gdr ds rko`ûks gem ner, pdrd quk
(bermdcmkbtk ds øct`mds ktdpds nes kxdmks aís`ges), kstds rko`ûks skhdm kxdm`bdnds per øct`me.
nkvkm skr rkdc`zdnds ceoe dp÷s d `bspkïçe. Kssd
mundbïd à bkgkssär`d, pe`s, nurdbtk d pdcpdïçe
dlnem`bdc, d n`spes`ïçe nes ÷roçes, ne dr k nes acu`nes E kxdm`bdner nkvk dqukgkr ds mçes k e kstktesg÷p`e
de tegdr be pdg`kbtk.
prkskbtks bds gdv`ndnks penk skr men`a`gdnd, e quk
dctkrdr`d ds gdrdgtkríst`gds nes sebs `btkst`bd`s.
Nkvk-sk dlerndr e pdg`kbtk gem ldstdbtk gdcmd k
kv`tdr mev`mkbtes räp`nes k `bkspkrdnes.
4 - @BW
@BWZK
ZKÏÇ
ÏÇE
E Ds ubfds bçe penkm kstdr gumpr`nds, pdrd quk e
pdg`kbtk bçe skhd mdgfugdne k drrdbfdne.
E
G K
W < - D[
D[WG
WG[C
[C^D
^D Nkvk-sk v`sudc`zdr gdnd ÷roçe bd rko`çe kxdm`bdnd,
A M
elskrvdbne dtkbtdmkbtk d adgk ne pdg`kbtk, ê
K N pregurd nk s`bd`s nk ner eu nksgebaerte.
M
7 - ZK\
ZK\G[W
G[WWÇE
WÇE
V
K Gdse skhd bkgkssär`e, e kxdm`bdner penk n`strd`r e
pdg`kbtk gem gebvkrsd eu pkroubtds.
> - ZDC
ZDCZDÏ
ZDÏÇE
ÇE
Wk e pdg`kbtk kst`vkr mu`te dssustdne eu skbt`bne
g÷gkods, e kxdm`bdner penk gemkïdr d pdcpdïçe
gem d mçe per g`md nd ne pdg`kbtk k, nkpe`s nk
Z\KZD\DÏÇE NE ZDG@KB^K dcoum tkmpe, rkdc`zdr d pdcpdïçe n`rktd.
Dbtks nk `b`g`dr e kxdmk aís`ge, e kxdm`bdner nkvk
kxpc`gdr ds ktdpds ne kxdmk ne dlnemk de pdg`kbtk,
pregurdr um cegdc gem led `cum`bdïçe k prkstdr dtkbïçe 4 - @BWZKÏÇE
kspkg`dc km rksoudrndr e pdg`kbtk nurdbtk d kxpes`ïçe
ne dlnemk. D `bspkïçe nkvk skr rkdc`zdnd gem e pdg`kbtk km
nkgøl`te nersdc. E kxdm`bdner, ne cdne n`rk`te ne
D tdlkcd dld`xe c`std umd sàr`k nk n`gds pdrd e kxdmk pdg`kbtk, nkvk elskrvdr d supkraíg`k, es gebterbes k es
ne dlnemk8 mev`mkbtes ne dlnemk.
D a`ourd dld`xe rkprkskbtd d `bspkïçe nes gebterbes ne
N@GDW ZD\D KVDMK NE DLNEMK (C@Q\E
DLNEMK (C@Q\E LD^KW) dlnemk, v`sudc`zdnes tdbokbg`dcmkbtk.
Nurdbtk e kxdmk, e pdg`kbtk nkvk kstdr gem d lkx`od
vdz`d.
E pdg`kbtk nkvk kstdr gebaertävkc k rkcdxdne, km
nkgøl`te nersdc (es møsguces dlnem`bd`s nkvkm
kstdr rkcdxdnes pdrd mkcferdr tenes es dspkgtes ne
kxdmk, pr`bg`pdcmkbtk d pdcpdïçe).
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
• Qk`ds n`cdtdnds8
n`cdtdnds8 e kxdm`bdner nkvk elskrvdr d
• G`gdtr`zks8 nkvk-sk elskrvdr g`gdtr`zks prkskbtks be
G`gdtr`zks8 prkskbïd nk vk`ds n`cdtdnds. Dcoumds vk`ds nk
dlnemk k dbetdr sud aermd k cegdc`zdïçe. D pkqukbe gdc`lrk sçe bermdcmkbtk v`sívk`s, mds d
prkskbïd nk g`gdtr`zks penk `bn`gdr trdumds k prkskbïd dbermdc nk vk`ds n`cdtdnds penk suokr`r
g`ruro`ds pdssdnds, e quk penk gebtr`lu`r pdrd e f`pkrtkbsçe pertdc nk g`rresk (gdlkïd nk Mknusd)
n`dob÷st`ge gcíb`ge. eu elstruïçe nd vk`d gdvd `bakr`er.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
• Dlnemk rkt`a`gdne.
• Dlnemk drrknebndne.
• Dlnemk pretulkrdbtk8 d
pretulkrdbtk8 d gdusd md`s gemum pdrd
dlnemk pretulkrdbtk à e dgømuce nk tkg`ne
dn`pese. D oernurd dumkbtd d kspkssurd nd pdrknk
dlnem`bdc, ne mkskbtàr`e k ne emkbte. Eutrds
gdusds penkm skr8 n`stkbsçe odsesd, tumerks,
ordv`nkz k dsg`tk (dgømuce nk cíqu`ne bd gdv`ndnk
[ML@OE dlnem`bdc).
Nurdbtk d `bspkïçe, nkvk-sk elskrvdr e dspkgte ne
uml`oe. Elskrvd-sk e gebterbe k d cegdc`zdïçe, sk
dtkbtdbne d s`bd`s nk `bacdmdïçe eu pretusçe,
`bn`gdt`ves nk fàrb`d vkbtrdc.
• Dlnemk ksgdae`nk8
ksgdae`nk8 e dlnemk ksgdae`nk à um
dlnemk dgkbtudndmkbtk gþbgdve eu ksgdvdne.
E dlnemk ksgdae`nk per skr gebskquèbg`d nk
gdqukx`d, quk gebs`stk bd pkrnd nk pkse, mdssd
gerp÷rkd k tkg`ne dn`pese, penkbne kstdr
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
rkcdg`ebdnd d nekbïds grþb`gds, geme gìbgkr k Kbtrktdbte, e dumkbte nkssds pucsdïûks penk egerrkr
gdrn`epdt`ds. per dbkur`smd d÷rt`ge dlnem`bdc.
ZK\@W^DC^@WME
Ds ebnds pkr`stäct`gds penkm skr elskrvdnds km
pksseds mu`te mdords, skm quk fdhd umd gebn`ïçe
pdtec÷o`gd.
Zeràm, e dumkbte kxgkss`ve nkssds ebnds penk `bn`gdr
elstruïçe `btkst`bdc.
`btkst`bdc.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
D dusguctd nk
epkrdt÷r`e dlnem`bdc à pdrt`gucdrmkbtk
`btkrvkbïûks øt`c be p÷s-
g`røro`gds `btrdpkr`tebkd`s,
qudbne es mev`mkbtes pkr`stäct`ges gkssdm eu sk
dtkbudm per um tkmpe vdr`ävkc kbtrk <> k ?<f (ícke
Bd `mdokm dld`xe, penkmes rkckmlrdr d pes`ïçe
pdrdcít`ge). Km gdses nk `bakgïçe pkr`tebkdc eu
dbdtþm`gd nds drtàr`ds dertd dlnem`bdc, `cídgds k
nkskqu`cílr`e
nkskqu`cílr` e f`nrekcktrecít`ge, d nurdïçe nd dusèbg`d nk
akmerd`s.
pkr`stdct`sme à md`s precebodnd.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
D prkskbïd nk sepres gem gempebkbtks s`st÷c`ges k E tkrgk`re pdsse ne kxdmk aís`ge dlnem`bdc à d
n`dst÷c`ges bkssds drtàr`ds suokrkm turlucèbg`d ne acuxe
acuxe pkrgussçe. D pkrgussçe dux`c`d bd dvdc`dïçe ne vecumk
sdbouíbke per gdusd nk nekbïd drtkr`dc dtkresgckr÷t`gd
dtkresgckr÷t`gd.. k n`str`lu`ïçe nk odsks be dlnemk,
dlnemk, vísgkrds
vísgkrds k bds
mdssds (qukm
mdssds (qukm penkm skr s÷c`nds eu gfk`ds nk cíqu`ne).
Wk e pdg`kbtk aer f`pkrtkbse
f`pkrtkbse,, nkvk-sk dusguctdr e Dcàm n`sse, dux`c`d be n`mkbs`ebdmkbte ne tdmdbfe
kp`oästr`e k gdnd qudnrdbtk supkr`er ne dlnemk ê ne aíodne k ne ldïe.
pregurd nes sepres. Km umd adsk pestkr`er ne kxdmk,
qudbne e pdg`kbtk kst`vkr skbtdne, nkvk-sk dusguctdr Nurdbtk e kxdmk, nkvk-sk pkrgut`r es qudtre
tdmlàm es ìbouces gestevkrtklrd`s.
gestevkrtklrd`s. qudnrdbtks ne dlnemk pdrd nktkrm`bdr d n`str`lu`ïçe
ne t`mpdb`sme
t`mpdb`sme k
k nd mdg`gkz
mdg`gkz..
ELW
ELW.8.8 End
`bakr`er ìbouce gestevkrtklrdc
4<ª gestkcd à gebst`tuíne
k pkces pregksses pkcd lernd
trdbsvkrses nds
Ds vísgkrds mdg`ïds,
mdg`ïds, geme e aíodne k e ldïe, prenuzkm
vàrtklrds cemldrks supkr`erks.
sem mdg`ïe
sem mdg`ïe.. Hä ds vísgkrds quk gebtàm dr prenuzkm
D prkskbïd nk sepres gem gempebkbtks s`st÷c`ges k sem t`mpìb`ge.
t`mpìb`ge.
n`dst÷c`ges km umd nkssds rko`ûks (qudnrdbtks
supkr`erks eu ìbouce gestevkrtklrdc) à suokst`ve nk
kstkbesk nd drtàr`d rkbdc,
rkbdc, geme gdusd nd f`pkrtkbsçe WEM ^@MZÌB@GE WEM MDG@ÏE
drtkr`dc.
Bd `mdokm dld`xe, penkmes `nkbt`a`gdr e ìbouce
gestevkrtklrdc8 Qísgkrds quk Qísgkrds mdg`ïds,
gebtàm dr. geme e aíodne k e
ld e
7 - ZK\G[WWÇE
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
KWZDÏE NK ^\D[LK
E kspdïe nk ^rdulk gebs`stk
^rdulk gebs`stk km um kspdïe skm`cubdr
ne 1¸ de 44¸ kspdïe `btkrgestdc. Wkus c`m`tks sçe8
ordnkdne gestdc, ldïe, pìbgrkds, g÷ceb, r`m k kstþmdoe.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
Hä bkstd `mdokm, penkmes elskrvdr e kxdm`bdner cíqu`ne pdrd e cdne epeste ne dlnemk.
dlnemk . Gdse fdhd
pkrgut`bne d rko`çe dlnem`bdc n`rk`td, ê pregurd nd trdbsm`ssçe nd ebnd, e s`bdc à gebs`nkrdne pes`t`ve.
lernd `bakr`er ne aíodne8
Bd `mdokm dld`xe, penkmes elskrvdr e pdg`kbtk
pes`g`ebdbne d pdrtk cdtkrdc nd mçe bd c`bfd mkn`dbd8
Ä\KDW F@ZK\^@MZÌB@GDW
[m dlnemk pretulkrdbtk k tetdcmkbtk t`mpìb`ge t`mpìb`ge
suokrk elstruïçe `btkst`bdc eu ícke pdrdcít`ge.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
(kspkg`a`gdmkbtk bd dcturd nd cehd rkbdc, eu skhd, bd Bd pdcpdïçe supkra`g`dc, es nknes nkvkm kstdr hubtes
hubtes k
k
rko`çe nes acdbges).
acdbges). rktes selrk d supkraíg`k dlnem`bdc, k e dlnemk à
rktes
pdcpdne gem mev`mkbtes nksgkbnkbtks ckvks k sudvks.
> - ZDCZDÏÇE
E kxdm`bdner, de nkscegdr d mçe nk umd rko`çe pdrd
D øct`md ktdpd ne kxdmk aís`ge dlnem`bdc à d pdcpdïçe. eutrd, nkvk kckvä-cd um peuge dg`md nd pkck.
D pdcpdïçe à d mkcfer mdbk`rd nk dvdc`dr e kstdne nd ^enes es qudnrdbtks nkvkm skr pdcpdnes gem
pdrknk dlnem`bdc, rkgebfkgkr ds gebn`ïûks aís`gds nds mev`mkbtes sudvks k ub`aermks, ê pregurd nk ÷roçes
vísgkrds dlnem`bd`s k kxpcerdr d skbs`l`c`ndnk eu mdssds supkra`g`d`s k nk rko`ûks nk md`er
dlnem`bdc. skbs`l`c`ndnk k r`o`nkz ê pdcpdïçe.
D pdcpdïçe dlnem`bdc nkvk skr ak`td gem e pdg`kbtk km
nkgøl`te nersdc,
nersdc, gem d gdlkïd dpe`dnd km trdvkssk`re \KW@W^ÈBG@D Ê ZDCZDÏÇE W[ZK\@A@G@DC
ld`xe, gem es lrdïes k pkrbds kstkbn`nes k es møsguces Wk feuvkr rks`stèbg`d ê pdcpdïçe,
pdcpdïçe, à `mpertdbtk
dlnem`bd`s rkcdxdnes. n`akrkbg`dr d nkaksd vecubtär`d
vecubtär`d (gdusdnd per tkbsçe k
mkne ne pdg`kbtk ê skbsdïçe nk ner) nd r`o`nkz ne
kspdsme musgucdr `bvecubtär`e.
`bvecubtär`e.
↜ Nurdbtk d `bsp`rdïçe.
↜ Gr`dbïds9
↜ @neses9
gebt`bu`ndnk
gebt`bu`ndnk
`nkbt`a`gdïçe nknd pdrknk
dcoubs ÷roçesdlnem`bdc,
dlnem`bdc
eu mdssds, supkra`g`d`s.
dcàm nd.
supkra`g`d`s
↜
Nurdbtk d kxp`rdïçe.
^dmlàm skrvk pdrd trdbqu`c`zdr k rkcdxdr e pdg`kbtk quk
skbtk mkne nd skbsdïçe neceresd prevegdnd pkcd
pdcpdïçe.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
•
Zebte gíst`ge8
aermdne pkce erklerne
pebte gíst`ge
gestdc cegdc`zd-sk
n`rk`te, gembedìbouce
lernd
kxtkrbd ne møsguce rkte dlnem`bdc.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
E s`bdc nk Lcumlkro gebs`stk
Lcumlkro gebs`stk bd skbsdïçe neceresd
quk egerrk dp÷s d gemprkssçe ckbtd ne pebte
dpkbn`gucdr, skou`nd nk nksgemprkssçe lrusgd (d
ner egerrk pr`bg`pdcmkbtk be memkbte nd
nksgemprkssçe). D prkskbïd ne s`bdc `bn`gd
`bacdmdïçe ne pkr`tþb`e prevegdnd per dpkbn`g`tk
dound.
@bacdmdïçe ne pkr`tþb`e
pkr`tþb`e
nkv`ne ê dpkbn`g`tk
dpkbn`g`tk dound
dound (d
(d
• Zebtes urktkrd`s8 es pebtes urktkrd`s cegdc`zdm-sk Zebte Dpkbn`gucdr ner bkstk pebte à gfdmdnd
bd lernd kxtkrbd nes møsguces rktes dlnem`bd`s nk s`bdc nk Lcumlkro)
km ne`s bívk`s8 bd `btkrskïçe gem umd c`bfd
fer`zebtdc quk pdssd pkcd g`gdtr`z uml`c`gdc, k eutrd Gäcguce rkbdc
dbtkressupkr`erks.
quk c`od ds nuds ksp`bfds `cídgds dbtkressupkr`erks. Zebtes [rktkrd`s
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
Km gebn`ïûks
skou`btks d`bnd a`s`ec÷o`gds
÷roçes8 a`s`ec÷o`gds,, à pessívkc
pessívkc pdcpdr es
Z`cere
Gkge
G÷ceb trdbsvkrse
G÷ceb s`ome`nk
^enes es qudtre qudnrdbtks nkvkm skr pdcpdnes be
kxdmk. Ds mçes nuds mçes kspdcmdnds nkvkm skr Zece `bakr`er ne \`m n`rk`te
gecegdnds selrk d pdrknk dbtkr`er ne dlnemk, gem es (kspkg`dcmkbtk km mucfkrks)
nknes km c`ok`rd ackxçe, es qud`s sk mev`mkbtdm ê
mkn`nd quk sk dpreaubnd d pdcpdïçe. Dertd (km pdg`kbtks mdores)
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
KVDMK NE AÍODNE
Be kxdmk aís`ge dlnem`bdc, dcàm nd dvdc`dïçe ne
dlnemk geme um tene, dcoubs ÷roçes, geme e aíodne,
nkvkm skr dvdc`dnes `bn`v`nudcmk
`bn`v`nudcmkbtk.
btk.
ZK\G[WWÇE NE AÍODNE
Geme hä dlerndmes, d pkrgussçe ne aíodne à ut`c`zdnd
pdrd kst`mdr e tdmdbfe ne aíodne (fkpdt`mktr`d). Nkvk-sk sec`g`tdr de pdg`kbtk quk `bsp`rk
preaubndmkbtk. Nurdbtk d `bsp`rdïçe, e aíodne terbd-sk
pdcpävkc gkrgd nk 7 gm dld`xe ne rklerne gestdc n`rk`te,
bd c`bfd fkm`gcdv`gucdr. E kxdm`bdner nkvk skbt`r d
lernd ne aíodne kbqudbte kcd nksc`zd nk kbgebtre ês
pebtds nes nknes nd mçe.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
ZK\G[WWÇE NE LDÏE
Geme hä ae` dlerndne, d pkrgussçe ne ldïe penk
dux`c`dr bd nktkgïçe nd kspckbemkodc`
kspckbemkodc`d.
d.
L - W@BDC NK
D - ZK\G[WWÇE NE
ZK\G[WWÇE
^\D[LK
KWZDÏE NK ^\D[LK
KWZCÈB@GD
KWZCÈB@GD
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
ZDCZDÏÇE NE LDÏE
D
nkpdcpdïçe ne n`dob÷st`ge
dux`c`dr be ldïe penk skr
nkrkdc`zdnd geme umd
kspckbemkodc`d. aermd
Tudbne
e ldïe à pdcpävkc, d preldl`c`ndnk nk fdvkr
kspckbemkodc`d à 6 vkzks md`er.
D pdcpdïçe à rkdc`zdnd km nuds ktdpds8
ktdpds8 d pr`mk`rd, gem
e pdg`kbtk km nkgøl`te nersdc
nersdc k d skoubnd, gem e
pdg`kbtk km nkgøl`te cdtkrdc n`rk`te.
n`rk`te.
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
rklerne gestdc ksqukrne
gestdc ksqukrne k sk dtkbtdr ê skbsdïçe nk ner
ner KVDMK ND QKWÍG[CD L@C@D\
ne pdg`kbtk.
Km gebn`ïûks bermd`s, d vksígucd l`c`dr bçe à um ÷roçe
À `mpertdbtk quk d pdcpdïçe skhd ak`td km umd pes`ïçe pdcpävkc.
ld`xd e sua`g`kbtk pdrd pess`l`c`tdr d nktkgïçe ne ldïe
dumkbtdne nk tdmdbfe. [md pdcpdïçe mu`te dctd penk W`bdc nk Geurve`s`kr ^krr`kr8
^krr`kr8 e s`bdc nk Geurve`s`kr egerrk
`mpkn`r e kxdm`bdner nk pkrgklkr e dumkbte ne ÷roçe. qudbne d vksígucd l`c`dr sk terbd pdcpävkc km um
pdg`kbtk `gtàr`ge. E kxdm`bdner pkrgklk umd mdssd
evdcdnd k `bnecer bd rko`çe ne f`pegþbnr`e n`rk`te
n`rk`te,, quk
gerrkspebnk ê vksígucd l`c`dr n`stkbn`nd. E s`bdc nk
Geurve`s`kr pes`t`ve egerrk, pr`bg`pdcmkbtk, km gdses
nk gìbgkr nk gdlkïd nk pìbgrkds.
MDWWD EQDCDND BE
F@ZEGÞBN\@E N@\K@^E
@BNECE\
cdtkrdc n`rk`teackx`ebdnes bd
n`rk`te
n`sgrktdmkbtk mkmlres
k gem bdesdcturd
ackx`ebdnes `bakr`erks
`bakr`erks
nes qudnr`s k bes
hekcfes (gfdmdnd pes`ïçe nk Wfustkr).
Wfustkr).
Bkstd pes`ïçe, d ordv`ndnk nkscegd e ldïe pdrd arkbtk k W@BDC NK GE[\QE@W@K\ - ^K\\@K\
^K\\@K\
pdrd d n`rk`td, pdssdbne d egupdr umd cegdc`zdïçe
pdcpävkc.
W@BD@W NK ZK\@^EB@^K / DZKBN@G@^K
D pkr`teb`tk à umd `bacdmdïçe ne pkr`tþb`e. Okrdcmkbtk,
d `bacdmdïçe à rksuctdne nk umd `bakgïçe, rupturd eu
`bacdmdïçe nk ÷roçes ne dlnemk.
W@BDC NK W@BDC NE
LC[MLK\O
LC[MLK\O EL^[\DNE\
EL^[\DNE\
W@BDC NK \EQW@BO
\EQW@BO W@BDC NE ZWEDW
ZWEDW
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
W@BDC NE EL^[\DNE\
Zdrd dvdc`dïçe ne s`bdc ne elturdner, e kxdm`bdner
nkvk ackx`ebdr d gexd n`rk`td ne
n`rk`td ne pdg`kbtk bd dcturd ne
qudnr`c, gem es hekcfes nelrdnes,
qudnr`c, nelrdnes, kaktudbne retdïçe
`btkrbd nd gexd bd dcturd ne qudnr`c.
qudnr`c.
W@BDC NK \EQW@BO
Zdrd dvdc`dïçe ne s`bdc nk \evs`bo, e kxdm`bdner nkvk
pdcpdr e qudnrdbtk `bakr`er ksqukrne
pdcpdr ksqukrne ne dlnemk ne
pdg`kbtk. Wk nurdbtk d pdcpdïçe, e pdg`kbtk rkakr`r ner
be qudnrdbtk `bakr`er n`rk`te,
n`rk`te, e s`bdc à gebs`nkrdne
pes`t`ve..
pes`t`ve
Kssd tàgb`gd dvdc`d d prkskbïd nk `bacdmdïçe be
ELW.8 Kssk s`bdc tkm skbs`l`c`ndnk mu`te ld`xd pdrd
ELW.8 dpèbn`gk, pe`s prevegd d –ernkbfd” ne `btkst`be oresse,
n`dob÷st`ge. d pdrt`r ne gece s`ome`nk, km n`rkïçe de g÷ceb
Wkm`eceo`d ‗
Wkm`eceo`d ‗ Zreaksserd Dmdbnd Lrubd nk Ec`vk`rd L`gdcfe ‗ ADMKN V@@@
dsgkbnkbtk, trdbsvkrse k nksgkbnkbtk, ebnk e dgømuce E s`bdc ne Zseds tdmlàm penk skr `bvkst`odne gem e
nk odsks k akzks prkss`ebd d rko`çe ne dpèbn`gk, pdg`kbtk km nkgøl`te cdtkrdc ksqukrne. E kxdm`bdner
gdusdbne ner. nkvk kstkbnkr d gexd ne pdg`kbtk nk aermd aerïdnd,
v`sdbne kst`rdr ds a`lrds ne møsguce Zseds.
W@BDC NE ZWEDW
Zdrd dvdc`dïçe ne s`bdc ne Zseds, e kxdm`bdner (gem e
pdg`kbtk km nkgøl`te nersdc) nkvk pes`g`ebdr d mçe mçe
ceoe dg`md ne hekcfe n`rk`te ne pdg`kbtk k pkn`r quk kck
kckvk kssd gexd gebtrd sud mçe.
mçe.