MHTIVHE TJEBH@ZMZHE GH\RVIJ\ICHGJHM

VJCMZP BA\JH\J BA VZHEG AEHT WHMJR FHWH@

V\Z HEZRHTZVH THMZ

OZ@MA\ V OAZ,
\.Njp 64814<64:2

LA MH@HE LA AE\RARZ\A

Bahe Hba Wabah Fjebh, \.Njp., Es Asohwhta, \.Njp., Es., O.\l

Eap. 811<88646481406448 Ean. 64884148480

\JNIMH@ RAEGGA AMOZ NJ\J@HRHE WABQH EZ\HERHVH THMZ

TVIGVHO \RZBA TVICJ\A EJV\
6464
H. Niesjp
Rjiratas 8.
Bjcaeasa
GJVB (Ghstrijsichgjhm Vjcmux Basjhsj) hbhmh` suhtu pjeyhnat yheg
khrheg tjrbahgeisas imj` bintjr ba Aebiejsah nhrjeh famh fjmuo ojeaofumnhe
njmu`he yheg fjrht sjpjrta rjcmuns jsichgatas bintjr fjmuo fash

ojebahgeish.Vjcmuns ghstrijsichgus hbhmh` ohsuneyh asa mhofueg nj bhmho

jsichgus yheg tjrkhba sjlhrh aetjroatje phbh irheg, tjruthoh sjtjmh` ohnhe
(Hsrijm, 6482).
Tjeyhnat rjcmuns ghstrijsichgjhm (Ghstrijsip`hgjhm Vjcmux
Basjhsj/GJVB) babjcaeasanhe sjfhgha suhtu njhbhhe phtimigas sjfhgha hnafht
rjcmuns nhebueghe mhofueg nj bhmho jsichgus yheg ojeaofumnhe fjrfhgha
gjkhmh yheg ojeggheggu (triufmjsioj) ba jsichgus ohupue jnstrh jsichgus bhe
hthu niopmanhsa (\usheti, 648<).
Thbh irheg eirohm, rjcmuns aea tjrkhba phbh pisasa tjghn sjwhntu `hfas

ohnhe.Nhrjeh sanhp pisasa tjghn thba bafhetu imj` hbheyh nietrhnsa pjrasthmtan
praojr, asa mhofueg yheg ojeghmar ohsun nj jsichgus sjgjrh banjofhmanhe
nj mhofueg.Vjcmuns sjkjehn aea tabhn ojrushn ounish jsichgus bhe
tabhn ojeaofumnhe njmu`he hthu gjkhmh.Imj` nhrjeh
atu, baehohnhe rjcmuns casaimigas.Njhbhhe aea fhru banhthnhe
phtimigas,
famh rjcmuns tjrkhba fjrumheg-umheg yheg ojeyjfhfnhe jsichgus basthm tjrnjeh
pjeghru` asa mhofueg uetun whntu yheg mhoh.Astamh` jsichgatas rjcmuns fjrhrta
njrushnhe jsichgus hnafht rjcmuns lharhe mhofueg, sjpjrta jrisa bhe umsjrhsa jpatjm
snuhoish jsichgus. Khba, GJVB ojruphnhe suhtu njhbhhe phtimigas hnafht

ohnsuneyh asa mhofueg nj jsichgus yheg fahsh tjrkhba sjtjmh` ohnhe bhe bhpht
tjrkhba phbh pisasa tjghn imj` hbheyh niestrhnsa pjrasthmtan praojr mhofueg.
(\usheti, 648<).
6. Hehtioa Casaimiga

h. Jsichgus
Fhgaheshmurhe pjeljrehhe aea ojruphnhe thfueg itit yheg fjrcuegsa
ojeyhmurnhe ohnhehe bhra oumut nj mhofueg.Jsichgus basjmhputa imj` jpatjm
fjrmhpas gjpjeg theph thebun. Thbhmhpashe sufounish tjrbhpht
njmiopinhe njmjekhr-njmjekhr jsichgjh yheg ojesjnrjsanhe ounus.Thbh
fhgahe ukueg basthmjsichgus, mhpashe itit `heyh tjrbara sjm-sjm
ititpimis, phbh fhgahe tjegh`,lhopurhe sjm-sjm itit muran bhe pimis, bhe
phbh ukueg prinsaohm, `heyh sjm-sjm itit muran.

f. Mhofueg
Mhofueg ojruphnhe sjgoje shmurhe pjeljrehhe yheg ojmjfhr, yheg
cuegsa uthoheyh hbhmh` ojehopueg ohnhehe yheg tjmh`
baohnhe, ojegufh`eyh ojekhba fufur yheg maht yheg
baehohnhe naous
 (l`yoj).Tjrounhhe mhofueg bathebha imj` hbheyh pjeaeggahe hthu maphthe
yheg baehohnhe rughj. Aevhgaehsa jpatjm pjofhths maphthe-maphthe tjrsjfut
ojejofus mhoaeh priprah, ojofjetun hmuroanrisnipan yheg baehohnhe
ghstral pats hthu civjimhj ghstralhj.\jkuomh` njmjekhr-njmjekhr njlam,
yheg tjrmjthn ba bhmho mhoaeh priprah, fjrouhrh nj bhmho bhshr ghstral
pats aea.

Jpatjm pjofhths njtagh fhgahe aea tjrbara bhra sjm-sjm tirhns yheg ojesjnrjsa
ounus. Mhofueg sjlhrh struntur `astimigas bhpht bafjbhnhe ojekhba; nhrbah,
nirpus, cuebus, bhe pymirus. (Qusuc, 648:)
<. Jtaimiga
Fjfjrhph pjeyjfhf tjrkhbaeyh GJVB ojmaputa;
 Ojeurueeyh tieus MJ\ (Miwjr Jsip`hgjhm \p`aeltjr)
 Fjrsa`he hsho bhra muoje jsichgus ojeurue
 Njth`hehe jpatjm jsichgus ojeurue
 Fh`he rjcmunsht ojegjeha baebaeg jsichgus yhatu T` =6, hbheyh pjpsae, ghrho

jopjbu, @LM
 Njmhaehe phbh mhofueg
 Aecjnsa @. Tymira bjeghe lirpus prjbioaehe ghstratas
 Eie hlab rjcmuns (rjcmuns ghs) ojeyjfhfnhe `apjrsjesatavaths
 Hmjrga ohnhehe hthu tabhn fash ojejraoh ohnhehe kugh ojofuht rjcmuns
 Ojegniesuosa ohnhehe fjrhsho, linmht, oaeuohe fjrnhcjae bhe
fjrnhrfieht, hmni`im, ojrinin, bhe ifht-ifhthe yheg fjrtjetheghe
bjeghe cuegsa jsip`hgjhm sp`aeltjr fhgahe fhwh` tjrohsun yheg
ojoamana jcjn hetanimaejrgan (sjpjrta fjfjrhph heta`asthoae), pjeg`hofht
shmurhe nhmsauo,

prigjstjrie, bhe eatrht

 Njmhahehe hehtioa, sjpjrta pjeyjopathe njriegnieghe (Qusuc, 648:)
2. Thticasaimiga
Niebasa pjeyhnat rjcmuns ghstrijsichgus hthu GJVB (ghstrijsip`hgjhm rjcmux
basjhsj) basjfhfnhe hmarhe fhman (rjcmuns) asa mhofueg nj bhmho jsip`hgus.GJVB
sjraeg nhma basjfut (`jhrtfure) nhrjeh eyjra yheg tjrkhba njtanh lharhe hsho
yheg eirohmeyh `heyh hbh ba mhofueg, ohsun bhe ojegarathsa hthu
ojeaofumnhe rhsh

sjpjrta tjrfhnhr ba jsip`hgus.

Vjcmuns ghstrijsichgus fahsheyh tjrkhba sjtjmh` ohnhe bhe
basjfhfnhe ojmjoh`eyh tieus scaegtjr jsip`hgus hthu tjnhehe ba bhmho
mhofueg yheg mjfa` taegga bhra jsip`hgus.Bjeghe njbuh ojnheasoj aea, asa
mhofueg yheg fjrsacht hsho fjrgjrhn ohsun nj bhmho jsip`hgus.
Asa mhofueg bhmho njhbhhe eirohm tabhn bhpht ohsun nj jsichgus
nhrjeh hbheyh nietrhnsa scaegtjr jsichgus (scaegtjr jsichgus funhemh` scaegtjr
sjkhta, tjthpa suhtu hrjh yheg tieus ititeyh ojeaegnht). \caegtjr aea
eirohmeyh `heyh tjrfunh kanh gjmiofheg pjrasthmtan ojeyhmurnhe fimus
ohnhehe nj fhwh`

jsichgus. Hphfamh `hm aea tjrkhba, itit pimis scaegtjr ojmjohs bhe ohnhehe ohsun
nj bhmho mhofueg. \caegtjr jsichgus sj`hruseyh tjthp bhmho njhbhhe
tjrtutup
njluhma phbh shht aea, nhrjeh fheyhn irghe yheg fjrhbh bhmho rieggh hfbioje,
ojeyjfhfnhe tjnhehe hfbioje mjfa` fjshr bhraphbh tjnhehe tirhns. Bjeghe
bjoanahe, hbh njljebjrueghe asa mhofueg tjrbirieg nj bhmho jsichgus.
Hnhe tjthpa, kanh scaegtjr ojmjoh` hthu aeniopjtje, scaegtjr tabhn bhpht
oeutup mhofueg. Vjcmuns hnhe tjrkhba bhra bhjrh` fjrtjnhehe taegga (mhofueg)
nj bhjrh`
fjrtjnhehe rjebh` (jsichgus). Jpasibj rjcmuns yheg fjrumheg bhpht ojopjrfurun
niebasa nhrjeh ojeyjfhfnhe aecmhohsa bhe khraeghe phrut ba hrjh fhwh` jsichgus.

Thbh fjfjrhph njhbhhe, ojsnapue tieus scaegtjr bhmh njhbhhe eirohm, rjcmuns
bhpht tjrkhba kanh tjrbhpht grhbaje tjnheheyheg sheght taegga ba scaegtjr. Rjnhehe
hfbioje yheg taegga ljebjrueg ojebirieg scaegtjr jsichgus nj rieggh tirhns.
@hm aea ojopjrfjshr grhbaje tjnhehe hethrh jsichgus bhe rieggh hfbioje. Tisasa
fjrfhraeg, tjruthoh sjtjmh` ohnhe kugh bhpht ojeghnafhtnhe rjcmuns. Vjcmuns asa
mhofueg ojegarathsa jsichgus nhrjeh taeggaeyh nhebueghe hsho bhmho
asa mhofueg. Whmhupue jsichgus ojoamana sjm pjeg`hsam ounus, ehoue sjm-
sjm tjrsjfut tabhn sjfheyhn hthu sjhntac sjm yheg hbh ba mhofueg (Lirwae, 6441)
:. Tht`why Njpjrhwhthe
3. Oheacjsthsa Nmaean

 Vhsh phehs/ tjfhnhr phbh jsichgus (parisas)

 Oueth`

 Eyjra ba fjmhnheg tumheg phyubhrh hthu pjrsas ba fhwh`eyh, fh`nhe

ojekhmhr nj mj`jr, tjeggirinhe, bhe whkh`, fahsheyh taofum sjtjmh` ohnhe
hthu njtanh

fjrfhraeg
 Njsumathe ojejmhe ohnhehe (isaeichgah) nhrjeh hbheyh
pjeyjopathe (stralturj) phbh njriegnieghe bhra rjcmux.

 Runhn jsichgjhm pjptan yhatu munh tjrfunh phbh mhpashe njriegnieghe,

fash ba`hsamnhe bhra rjcmuns fjrumheg. Fash ojeyjfhfnhe eyjra yheg
fahsheyh
fjrminhsa ba fjmhnheg tumheg phyubhrh hthu pjrsas ba fhwh`eyh, oarap bjeghe
minhsa phehs bhmho pjrut.

 Ehchs yheg pjebjn bhe fjrfueya ojegan nhrjeh hbh pjeyjopathe phbh shmurhe
ubhrh

 \uhrh phrhu
 Mubh` fjrmjfa`he (whtjr frhs`)

 Vhsh fjegnhn phbh tjeggirinhe (rhsh gmifus)

 Rjrkhba pjrhbheghe phbh saeus (saeusatas)

 Gjkhmh mhae ; pjrtuofu`he yheg furun, njkheg, eyjra tjmaegh (phbh hehn)

 Tjrhbheghe phbh njriegnieghe (jsip`hgatas) fash ojeyjfhfnhe

pjebhrh`he yheg fahsheyh raeghe tjthpa fash khba fjshr. Bhrh` njouegnaehe
baoueth`nhe hthu njmuhr ojmhmua shmurhe pjeljrehhe, ojeg`hsamnhe nitirhe
fjrwhreh gjmhp, nitirhe fjrwhreh tjr (ojmjeh) hthu bhrh` ojrh` tjrheg, kanh
pjebhrh`he lunup
fjrht.

 Bjeghe arathsa mhoh phbh fhgahe fhwh` njriegnieghe bhra rjcmuns

fjrumheg, mhpashe sjm phbh njriegnieghe fash fjrufh` (ojeg`hsamnhe
sjfuh` niebasa yheg basjfut njriegnieghe Fhrrjtt). Tjrufh`he fash
tjrkhba fh`nhe phbh gjkhmh-gjkhmh yheg tabhn hbh. Njmhaehe sjm aea hbhmh`
sjfjmuo nhenjr bhe
fjrnjofheg ojekhba nhenjr phbh fjfjrhph irheg. (Hsrijm, 6482).
7. Tjojranshhe Tjeuekheg
h. Jebisnipa
Tjojranshhe jebisnipa shmurhe ljreh fhgahe hths ojruphnhe sthebhr fhnu
uetun bahgeisas GJVB bjeghe batjounheeyh oulishm frjhn ba jsip`hgus
 (jsichgatas rjcmuns). Kanh tabhn batjounhe oulishm frjhn phbh
pjojranshhe jebisnipa shmurhe ljreh fhgahe hths phbh phsaje bjeghe
gjkhmh n`hs GJVB, njhbhhe aea basjfut eie-jrisavj rjcmux basjhsj (EJVB).
f. Jsichgigrhca bjeghe fhrauo
Bafhebaegnhe bjeghe jebisnipa, pjojranshhe aea nurheg pjnh bhe sjraegnhma

tabhn ojeuekunnhe njmhaehe, tjruthoh phbh nhsus jsichgatas raeghe. Thbh

njhbhhe yheg mjfa` fjrht, ghofhr rhbaimigy bhpht fjruph pjejfhmhe baebaeg
bhe maphthe ounish, umnus, hthu pjeyjopathe muoje.
l. Oieatiraeg p@ 62 kho
Jpasibj rjcmuns ghstrijsichgjhm ojeaofumnhe hsabacanhsa fhgahe basthm
jsip`hgus. Jpasibj aea bhpht baoieatir bhe barjnho bjeghe
ojejophtnhe oanrijmjntribh p@ phbh fhgahe basthm jsip`hgus.
Tjegunurhe p@ phbh jsip`hgus fhgahe basthm bhpht ojohstanhe
hbh tabhneyh rjcmuns ghstrijsichgjhm. p@ bafhwh` 2 phbh khrhn : lo
ba hths MJ\ bahegghp

bahgeistan uetun rjcmuns ghstrijsichgjhm. (Qusuc 648:)

0. Tjehthmhnshehhe
Thbh fjrfhgha pjejmatahe tjrfunta fh`wh rjspies pjrfhanhe gjkhmh
ojehebhnhe hbheyh rjspies pjrfhanhe mjsa irgheaneyh (pjrfhanhe
jsichgataseyh).@hm aea thophneyh mjfa` prhntas fhga phsaje bhe lunup jcjntac
bhmho ojeghthsa gjkhmh
phbh ththmhnsheh GJVB.Fjranut hbhmh` ifht-ifhthe yheg bhpht baguehnhe bhmho
tjrhpa ojbanhojetish GJVB;
- Hethsab. Gimieghe ifht aea lunup jcjntac bhe hohe bhmho ojeg`amhegnhe
gjkhmh GJVB tjthpa tabhn ojeyjofu`nhe mjsa jsichgatas. \jmhae sjfhgha fuccjr

tjr`hbhp @Lm, ifht aea bhpht ojopjrnuht tjnhehe scaegtjr jsip`hgus fhgahe
fhwh`. Njmjoh`he ifht gimieghe aea hbhmh` rhsheyh nurheg
ojeyjehegnhe, bhpht ojeaofumnhe bahrj tjruthoh yheg ojeghebueg
ohgejsauo sjrth niestaphsa tjruthoh hethsab yheg ojeghebueg
hmuoaeauo, pjegguehheeyh sheght tjrfhths phbh phsaje bjeghe ghegguhe
cuegsa gaekhm.
- Hethgieas rjsjptir @6. Qheg tjrohsun bhmho gimieghe ifht aea hbhmh`
saojtabae, rheatabaej, choitabae, bhe eazhtabae. \jfhgha pjejnhe sjnrjsa hsho,
gimieghe ifht aea jcjntac bhmho pjegifhthe pjeyhnat rjcmuns ghstrijsichgjhm
kanh bafjranhe bisas 6 nhma mjfa` taegga bhe bisas uetun tjrhpa umnus. Gimieghe

ifht aea `heyh jcjntac phbh pjegifhthe jsichgatas bjrhkht raeghe shopha sjbheg
sjrth theph niopmanhsa.
- Ifht-ifhthe prinaejtan. \jlhrh tjiratas, ifht aea phmaeg sjsuha uetun
pjegifhthe GJVB nhrjeh pjeyhnat aea mjfa` liebieg njhrh` ghegguhe
oitamaths. Ehoue, phbh prhntjneyh, pjegifhthe GJVB sheght fjrghetueg
phbh pjejnhehe sjnrjsa hsho.
- Ojtinmiprhoab. Ifht aea fjnjrkh sjfhgha hethgieas rjsjptir biphoaej.

Jcjntavathseyh rjebh` bhmho ojegurhega gjkhmh sjrth tabhn fjrpjrhe bhmho

pjeyjofu`he mjsa ba jsip`hgus njluhma bhmho niofaehsa bjeghe
hethgieas rjsjptir @6 hthu pjeg`hofht pioph pritie. Nhrjeh ojmhmua shwhr
bhrh` ithn, ohnh bhpht taofum jcjn tjr`hbhp susuehe shrhc pusht fjruph
ojeghetun,
pusaeg, hgathsa, trjoir, bhe basnaejsah.
- Biopjrabie. Gimieghe ifht aea hbhmh` hethgieas rjsjptir biphoaej
bjeghe jcjn shopaeg yheg mjfa` khrheg basfhebaeg ojtinmiprhoab
nhrjeh tabhn ojmhmua shwhr bhrh` ithn.Whmhupue jcjntavathseyh bhmho
ojegurhega njmu`he bhe pjeyjofu`he mjsa jsip`hgjhm fjmuo fheyhn
bamhpirnhe, gimieghe ifht aea

banjth`ua bhpht ojeaegnhtnhe tieus MJ\ sjrth ojopjrljpht pjegisieghe

mhofueg.
- Lashprabj. \jfhgha suhtu hethgieas rjsjptir : @R2, ifht aea bhpht
ojopjrljpht pjegisieghe mhofueg sjrth ojeaegnhtnhe tjnhehe tieus
MJ\. Jcjntavathseyh bhmho ojeg`amhegnhe gjkhmh sjrth pjeyjofu`he mjsa
jsip`hgus mjfa` fhan bafhebaegnhe bjeghe biopjrabie.
- \unrhmcht (Hmuoaeauo `abrinsabh + sunrish inthsumcht). Fjrfjbh bjeghe
hethsab bhe pjejnhe sjnrjsa hsho, ifht aea tabhn ojoamana jcjn mhegsueg
tjr`hbhp hsho mhofueg. Ifht aea fjnjrkh bjeghe lhrh ojeaegnhtnhe

pjrth`hehe ounish jsip`hgus, sjfhgha fuccjr tjr`hbhp @Lm ba jjsichgus sjrth

bhpht ojeganht pjpsae bhe ghrho jopjbu. Gimieghe ifht aea lunup hohe
bafjranhe nhrjeh fjnjrkh sjlhrh tipanhm (satipritjnsa).
- Tjeg`hofht pioph pritie (Tritie Tuop Ae``afatir/TTA). Gimieghe ifht
aea ojruphnhe brug ic l`ialj bhmho pjegifhthe GJVB. Gimieghe ifht-
ifhthe aea fjnjrkh mhegsueg phbh pioph pritie sjm phra jthm bjeghe
ojopjeghru`a jezao @, N HRT-hsj yheg bahegghp sjfhgha th`hp hn`ar
prisjs pjofjetunhe hsho mhofueg.
Ifht-ifhthe aea sheght jcjntac bhmho ojeg`amhegnhe njmu`he sjrth

pjeyjofu`he mjsa jsip`hgus, fh`nhe phbh jsichgatas jrisavj bjrhkht fjrht

sjrth yheg rjcrhntjr bjeghe gimieghe hethgieas rjsjptir @6.Zouoeyh
 pjegifhthe bafjranhe sjmhoh 3-0 oaeggu (tjrhpa aeasahm) yheg bhpht
bamhekutnhe bjeghe bisas pjojma`hrhhe (ohaetjehelj t`jrhpy) sjmhoh 2 fumhe
hthu ie-bjoheb t`jrhpy, tjrghetueg bhra bjrhkht jsichgataseyh.
(Fjsthra, Ou`hoohb Fjghwhe. 648:)
1. Niopmanhsa


Fhtun bhe hsoh
 Jrisac jsip`hgus

 Jsichgus Fhrrjt, yhatu pjrufh`he jpatjm snuhoish ojekhba nimuoejr

ojthpmhstan

 Jsichgatas umsjrhtac

 Tjrbhrh`he shmurhe ljreh hnafht arathsa

 \trantur jsip`hgus / Tjrhbheghe jsip`hgus

 Hsparhsa

 Runhn njriegnieghe (\ukiei, @hba. 6482)

F. Niesjp Bhshr Njpjrhwhthe
8. Tjegnhkahe
h. Bhth sufkjntac
Bhth yheg ouegnae ouelum

- Nmaje ojeghthnhe ”ojeghmhoa ouhm oueth`‟

- Nmaje ojeghthnhe ”tabhn ehcsu ohnhe‟
- Nmaje ojeghthnhe ”sush` ojejmhe‟
- Nmaje ojeghthnhe ”hbh rhsh ph`at ba mabh`‟
- Nmaje ojeghthnhe ”eyjra phbh pjrut‟
f. Bhth Ifkjntac
Bhth yheg ouegnae ouelum.
- Nmaje thophn tabhn ojohnhe ohnhehe yheg basjbahnhe
- Nmaje thophn ojraegas njshnathe

- Nmaje thophn ojojgheg fhgahe yheg eyjra

- Rjnhehe bhrh` nmaje ojeaegnht
- Nmaje thophn gjmash`
6. Bahgeish Njpjrhwhthe yheg Ouegnae Ouelum
8. Eyjra hnut fjr`ufueghe bjeghe hgje ljbjrh bathebha bjeghe ojmhpirnhe eyjra
sjlhrh vjrfhm
6. Vasani hsparhsa fjr`ufueghe bjeghe `hofhthe ojejmhe, pjeuruehe rjcmjns
mhraeg bhe gmitas tjr`hbhp lharhe rjcmuns.
<. Ghegguhe Ojejmhe fjr`ufueghe bjeghe pjeyjopathe/stranturj phbh jsip`hgus

hnafht ghstrijsip`jghm rjcmux basjhsj bathebha bjeghe nmaje thophn sush` uetun
ojejmhe.
2. Fjrsa`he khmhe ehchs tabhn jcjntac fjr`ufueghe bjeghe pjeuopunnhe sjnrjt bhe
fhtun thn jcjntac bathebha bjeghe hbheyh fhtun thnjcjntac, njtabhnohopuhe uetun
ojegjmuhrnhe sjnrjsa khmhe ehchs, hbheyh ojega, crjnujessa, arhoh bhe
njbhmhohe ehphs hfeirohm.
:. Njtabhnsjaofheghe eutrasa nurheg bhra njfutu`he tufu` fjr`ufueghe bjeghe
heirjnsah, ouhm oueth` bathebha bjeghe pjeuruehe ehcsu ohnhe, hsuphe
ohnhehe tabhn hbjnuht nurheg bhra yheg bahekurnhe, pjeuruehe FF 84% bhra

fjrht fhbhe abjhm uetun taegga bhe njrhegnh tufu`.

 3. Ouhm fjr`ufueghe bjeghe; Tjegifhthe; arathsa ghstjr, bastjesa ghstjr,
ifht njoitjrhpa, tinsae Faicasanh; ghegguhe fainaoah (NHB, Zrjoah), eyjra
khetueg, tuoir aetrh hfbioaehm, pjeyhnat ijsichgus / phenrjhs. \
atuhsaiehm; chntir
psanimigas sjpjrta eyjra, thnut, ljohs. (Khyus 648:)

<. Aetjrvjesa
E
Bahgeish Rukuhe Aetjrvjesa Vhsaiehm
i
8. Eyjra hnut f.b
\jtjmh` bamhnunhe 8. Nurhega chntir 8. Bjeghe
hgjes ljbjrh
taebhnhe njpjrhwhthe prjsapathsa eyjra fjrnurhegeyh
sjmhoh ......x 62 chntir pjeljtus
kho, phsaje tabhn eyjra ohnh phsaje
ojeghmhoa eyjra, tabhn tjrmhmu
bjeghe nratjrah ojrhshnhe
`hsam; aetjesaths eyjra.
Ohopu ojegietrim 6. Raegnhtnhe 6. Ojeuruenhe
eyjra (th`u astarh`ht tjgheghe hfbioje
pjeyjfhf bhe
eyjra, ohopu ojeaegnhtnhe rhsh
ojegguehnhe tj`ean <. Fjranhe nietrim.
eiechrohnimigauetun aecirohsa tjetheg <. Tjofjrahe
ojegurhega eyjra, eyjra aecirohsa yheg
ojelhra fhetuhe) sjpjrta pjeyjfhf fjrumheg bhpht
Ojmhpirnhe fh`wh eyjra, fjrhph mhoh ojegurhega rhsh
eyjra fjrnurheg
eyjra hnhe njljohshe phsaje
bjeghe ojegguehnhe fjrnurheg, bhe tjr`hbhp rhsh
ohehkjoje eyjra hetasaphsa eyjraeyh.
Rhebh vathm bhmho njtabhneyhohehe
rjetheg eirohm prisjbur.

2. Hkhrnhe tjetheg
tjnean
eiechrohnimiga 2.

sjpjrta tjnean Ojeaegnhtnhe

rjmhnshsa,
 rjmhnshsa ehchs ojocinusnhe
bhmho, bastrhnsa njofhma pjr`htahe
bhe nioprjs bhe
`heght/baegae. ojeaegnhtnhe
:. Fjranhe hehmgjsan njohopuhe
nipaeg.

uetun
ojegurhega eyjra :. Tjrmu
pjeheghehe ifht
uetun
ojoubh`nhe
astarh`ht hbjnuht

6 Vasani \jtjmh` bamhnunhe 8. Oieatir taegnht bhe pjeyjofu`he

hsparhsa taebhnhe njpjrhwhthe njshbhrhe, rjcmjn 8. Ojeaegnhtnhe

fj r`u fu egh e sjmhoh ...x 62 kho fhtun bhe jnsphesa phru

ohnsaohm bhe hmht
bjeghe ohshmh` hsparhsa phbh njohopuhe
`hofhthe nmaje bhpht bahthsa ojejmhe. pjofjrsa`he khmhe
ojejmhe, bjeghe nratjrah `hsam; 6. Ehannhe njphmh <4- ehphs.

pj eu ru ehe \thtus `hsam; 2: bjrhkht sjtjmh` 6. Ojeaegnhtnhe

rjcm jns mhraeg Nmaje bhpht fjrehchs ohnhe. pjegasahe ubhrh

bhe gmitas bjeghe oubh`, tabhn sjmuru` sjgoje

tjr`hbhp lharhe arhoh, crjnujesa phru, ojoifamashsa

rjcmuns pjrehchshe bhe ojegjmuhrnhe

eirohmsnhmh 2 Thsaje <. Titieg sjnrjt.

ohnhehe njlam <. Ojeg`aebhra

ohopu ojejmhe,
ojegueyh` theph tjrkhbaeyh rasani
njlam.
tjrkhba hsparhsa, bhe hsparhsa yheg

ohopuojmhnunhe tjrmhmu taegga.

irhm `ygajej snhmh 2 2. @aebhra ohnhe 2. Bhpht

Khmhe ehchs phtje, nhmhu rjsabu ohsa` ojofhthsa

oubh` fjrehchs, fheyhn jnsphesa

tabhn ojrhsh tjrljnan ghstrijsichgus

bhe tabhn hbh suhrh

ehchs hfeirohm snhmh

 2

< Ghegguhe \jtjmh` bamhnunhe 8. Fhetu phsaje 8. Ojejtrhmnhe

Ojejmhe taebhnhe njpjrhwhthe bjeghe ojegietrim `apjrjnstjesa ,
fj r`u fu egh e sjmhoh .....x 62 kho njphmh

bjeghe ohnh ghegguhe 6. Mjthnnhe phsaje

pj eyj opa the /s ojejmhe phbh nmaje phbh pisasa 6. ojofhetu
tranturj phbh bhpht bahthsa bjeghe bubun/tjghn ojeljgh` hsparhsa
jsip`hgus nratjrah `hsam; \thtus sjmhoh bhe sjtjmh` bhe ojeaegnhtnhe
hnafht `hsam; Nmaje bhpht ohnhe. njohopuhe uetun
ghstrijsip`jg ojejmhe ohnhehe <. Fjranhe ohnhe ojejmhe.
hm rjcmux bjeghe sjopureh pjrmh`he phbh <. Thsaje bhpht
basjhsj snhmh 2 maegnueghe yheg fjrniesjetrhsa
tjeheg phbh ojnheasoj

ohnhe theph
hbeyh ghegguhe
bastrhnsa bhra muhr
2 Fjrsa`he khmhe \jtjmh` bamhnunhe 8. Tisasanhe phsaje 8. Tjeaeggahe njphmh
ehchs tabhn taebhnhe njpjrhwhthe uetun tjopht tabur
jcjntac fjr`ufu sjmhoh ......x 62 kho ojohnsaohmnhe ojopjroubh`
eghe bjeghe nmaje bhpht vjetamhsa cuegsa pjrehphshe
rjcmuns lharhe nj ojeuekunnhe nratjrah bjeghe
mhraeg bhe `hsam; \thtus `hsam; ojegguehnhe

tjeggirinhe khmhe ehchs yheg grhvathsa.

phtje (tabhn tjrljnan, 6. Mhnunhe casaitjrhpa 6. Casaitjrhpa bhbh
arhoh ehchs bhe pimh bhbh kanh pjrmu bhpht
ehchs bhmho rjetheg ojegjmuhrnhe sash
eirohm) snhmh 2 sjnrjt yheg ohsa`
<. Htur aethnj uetun tjrtaegghm.
lharhe <. Njsjaofheghe
ojegiptaohmnhe hnhe sthfam hphfamh
njsjaofheghe. hethrh pjohsunhe

bhe pjegjmuhrhe
 bahtur
: Njtabhnsjaofhe \jtjmh` bamhnunhe 8. Basnusanhe phbh 8. Bjeghe ojoama`
ghe eutrasa taebhnhe njpjrhwhthe phsaje ohnhehe ohnhehe yheg
nurheg bhra sjmhoh .....x 62 kho, yheg basunhaeyh basunha phsaje
njfutu`he eutrasa phbh nmaje bhe ohnhehe yheg ohnh sjmjrh ohnhe

tufu` bhpht bahthsa bjeghe tabhn sa phsaje hnhe

fjr`ufueghe nratjrah `hsam; basunhaeyh. fjrthofh` bhe

bjeghe aethnj bhpht ojegurhega

nurheg hnafht \thtus `hsam; rhsh ouhm bhe
ouhm bhe Tjeaegnhthe fjrht oueth`.
oueth`. fhbhe sjsuha bjeghe 6. Fuht khbwhm . \jtjmh` taebhnhe
tukuhe snhmh 2 Rabhn ohsunhe tahp kho. pjofhgahe,
Bjcaeasa; aethnj hbh thebh-thebh Hekurnhe ojegunur nhphsaths ghstjr
eutrasa tabhn ohmeutrasa snhmh 2 lharhe/ohnhehe bhe ojeurue nurheg
lunup uetun oaeuo sjbanat bjoa bhra :4 om,
Rabhn hbh pjeuruehe
njpjrmuhe fjrht fhbhe yheg sjbanat hthu ohnhe sj`aeggh pjrmu
ojthfimasoj fjrhrta snhmh 2 sjlhrh pjrmh`he. ohnhe
tufu` Ojegabjetacanhsa <. Fjrath`u phsaje sjbanat/sjraeg.

snhmh eutrasa snhmh 2 uetun bubun shht

\thoaeh bhe jejrga ohnhe/oaeuo.

hbh snhmh 2 2. Rjnhenhe . Ojeuruenhe

pjetaegeyh njouegnaehe
ojeyhbhra njeyheg hsparhsa.
bhe ojeg`jetanhe
. Ohnhe fjrmjfa`he
ohsunhe. bhpht
:. Raofheg fjrht ojeghnafhtnhe
fhbhe tahp `hra. ouhm bhe oueth`
Fuht khbwhm tjrhtur
sjtjmh` pumheg.
3. Nimhfirhsa bjeghe :. Tjeghwhshe
h`ma gaza nj`amheghe bhe
hmht pjegnhkahe

njfutu`he eutrasa
 . Perlu bantuan
dalam perencanaan
diet yang
memenuhi

kebutuhan nutrisi
6 Mual Setelah dilakukan 1. Lakukan pengkajian 1 Mengidentifikasi
tindakan lengkap rasa mual keefektifan
berhubungan
keperawatan selama termasuk frekuensi, intervensi yang
dengan: ......x 24 jam, pasien durasi, tingkat mual, diberikan
tidak mengalami dan faktor yang 2 Mengidentifikasi
Pengobatan:
mual, dengan kriteria menyebabkan pasien pengaruh mual
iritasi gaster, hasil: Melaporkan mual. terhadap
bebas dari mual, 2. Evaluasi efek mual kualitas hidup
distensi gaster,
Mengidentifikasi terhadap nafsu pasien.
obat kemoterapi, hal-hal yang makan pasien, 3 Memenuhi
mengurangi semua, aktivitas sehari-hari, kebutuhan
toksin Biofisika: dan pola tidur
Nutrisi adekuat nutrisi pasien
gangguan Status hidrasi: pasien dan menegah
3 . Ajnurkan makan mual
biokimia (KAD, hidrasi kulit sedikit tapi sering 4 Untuk
Uremia), nyeri membran dan dalam keadaan menghindari
hangat terjadinya mual
jantung, tumor mukosa Anjurkan pasien 5 Untuk
intra abdominal, baik, tidak mengurangi jumlah menghindari efek
makanan yang bisa mual
penyakit ada
menimbulkan mual. 6 Membantu
oesofagus / rasa haus 5. Berikan istirahat dan mengurangi efek
tidur yang adekuat mual dan
pankreas. yang
untuk mengurangi menegah muntah
Situasional: abnormal, mual 7 Menurangi mual
d . Lakukan akupresure dengan aksi
faktor psikologis panas, urin
ppint P6 3 jari semementara
seperti nyeri, output dibawah pergelangan
tangan pasien.
takut, cemas normal, TD,
Lakukan selama 2-3
HCT normal menit setiap 2 jam
selama kemoterapi.
7. Kolaborasi
pemberian antiemetik
ondansentron 4 mg
IV jika mual
 BHCRHV TZ\RHNH

Hsrijm, 6482. Tjeyhnat rjcmuns ghstrijsichgus. Z\Z bagathm mafrhry

Fjsthra, Ou`hoohb Fjghwhe. 648:. Tjehthmhnshehhe Ghstrijsichgjhm Vjcmux Basjhsj

(GJVB). Bavasa Ghstrijetjri-@jphtimiga, Bjphrtjoje Amou Tjeyhnat Bhmho Chnumths

Njbintjrhe Zeavjrsaths Thbkhbkhrhe / V\ Br. @hshe \hbanae Fhebueg LBN 800 / vim.
26 ei. 7 / Eivjofjr 648:.
Lirwae, 6441. Funu shnu phticasaimiga. JGL. Khnhrth.
Khyus 648:.`ttps;//www.slrafb.lio/biluojet/63<<47<8</\thebhrt-Hsu`he-Njpjrhwhthe-
(Ba hnsjs tgm 64 Cjfruhra 6480).

\ukiei, @hba. 6482. Ghstrijetjrimiga Jbasa SAA. Fhebueg; Tjejrfat TR Hmuoea.

\usheti, 648<. Ghofhrhe nmaeas bhe jebisnipa pjeyhnat rjcmuns ghstrijsichgus phbh phsaje
hsoh pjrsastje sjbheg ba V\ Tjrsh`hfhthe. Khnhrth. Kurehm Vjsparimiga.

Qusuc, Asoham. 648:. Bahgeisas Ghstrijsip`hgjhm Vjcmux Basjhsj (GJVB) \jlhrh

Nmaeas.TTB\ Amou Tjeyhnat Bhmho CNZA/V\LO Sim. 66, Ei.<, Jbataie \
jptjofjr -
Eivjofjr 648<.