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Prdsdptlr Ieikii
Prdsdptlr Cicbdoii

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KHI.162.30.33.03
Lkidqid Cyu Bjdc Ocktl,Ks.,O.Idp
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C. Ckctloi Jibukn
Cbc bdecpck sikus pcrckcsce, dopct fucj pcbc ocsikn-
ocsikn sisi jibukn. Ckctloikyc bcpct bijdecsick sdfcnci fdriiut7
sikus arlktce ickck bck iiri, sikus dtjolib ickck bck iiri (cktdrilr
bck plstdrilr), sikus ocisiec ickck bck iiri (cktriuo jinjolrd)
bck sikus sadklib

ickck bck iiri.

]douc sikus iki biecpisi ledj ouilsc yckn odrupcick eckjutck
ouilsc jibukn, fdrisi ubcrc bck sdouc fdroucrc bi rlknnc
jibukn odeceui lstiuo ocsikn-ocsikn. Pcbc odctus odbius yckn
odrupcick ruckn bicktcrc ilkic supdrilr bck ilkic ikadrilr
rlknnc jibukn tdrbcpct suctu mdecj sdopit ycitu jictus sdoieukcris
yciki oucrc bcri sikus ocisiec, sikus arlktceis bck dtjolib cktdrilr.
]ikus pcrckcsce tdrfdktui pcbc adtus usic fueck HHH ctcu odkjdeckn
fueck HQ bck tdtcp fdridofckn sdecoc ocsc ickci-ickci, jcbi tibci
jdrck jiic pcbc altl rlktndk ckci-ckci fdeuo cbc sikus arlktceis
icrdkc fdeuo tdrfdktui. Pcbc odctus supdrilr yckn odrupcick ruckn
bicktcrc ilkic supdrilr bck ilkic odbic tdrbcpct oucrc sikus
dtjolib plstdrilr bck sikus sadklib.

c. ]ikus ocisiec
]ikus ocisiec odrupcick sikus pcrckcsce yckn tdrfdscr.
]cct ecjir sikus ocisiec fdrvleuod 1-: oe, sikus idoubick
fdridofckn bdknck mdpct bck cijirkyc odkmcpci uiurck
ocisioce,ycitu 34 oe scct bdwcsc.]ikus ocisiec fdrfdktui pyrcoib.
Bikbikn cktdrilr sikus icecj pdrouicck acsice ls ocisiec yckn
bisdfut alsc ickikc, bikbikn plstdrilrkyc cbcecj pdrouicck
ikarc-tdoplrce oicsiec, bikbikn
 odbicekyc icecj bikbikn bikbikn ectdrce rlknnc jibukn,
bikbikn supdrilrkyc icecj bcscr lrfitc bck bikbikn ikadrilrkyc icecj
prlsdsus cevdlecris bck pcectuo. Lstiuo sikus ocisiec fdrcbc
bi sdfdecj supdrilr bikbikn odbice sikus bck fdroucrc id
jictus sdoieukcris odeceui ikaukbifueuo dtolib.

Bcri sdni ieikii yckn pdreu bipdrjctiick bcri ckctloi sikus ocisiec
cbcecj 3) bcscr sikus ocisiec scknct fdrbdictck bdknck cicr nini
rcjckn ctcs, ycitu prdolecr (P3 bck P6), olecr (O3 bckO6), icbckn ”
icbckn junc nini tcrikn (M) bck nini olecr O=,fcjick cicr-cicr nini
tdrsdfut bcpct odklkjle id bceco sikus, sdjiknnc ikadisi nini ndeini
oubcj kcii id ctcs odkydfcfick sikusitis9 6) ]ikusitis ocisiec bcpct
odkiofueick ilopeiicsi lrfitc9 =) Lstiuo sikus ocisiec tdredtci edfij
tiknni bcri bcscr sikus, sdjiknnc brdkcsd jckyc tdrncktukn bcri ndrci
sieic, ecni puec brdckcsd junc jcrus odeceui ikaukbifueuo yckn sdopit.
Hkaukbifueuo cbcecj fcnick bcri sikus dtolib cktdrilr
bck pdofdknicick ciifct rcbckn ctcu cedrni pcbc bcdrcj iki
bcpct odknjceckni brcikcsd sikus ocisiec bck sdeckjutkyc
odkydfcfick sikusitis.
f. ]ikus Arlktce
]ikus arlktce yckn tdredtci bi ls arlktce oueci tdrfdktui sdjci fueck
id dopct adtus, fdrcsce bcri sde-sde rdsdsus arlktce ctcu bcri sde-sde
ikaukbifueuo dtolib. ]dsubcj ecjir, sikus arlktce oueci fdridofckn
pcbc usic :-30 tcjuk bck cick odkmcpci uiurck ocisioce sdfdeuo
usic 60 tcjuk. ]ikus arlktce ickck bck iiri ficsckyc tibci siodtris,
sctu edfij fdscr bcri ecikyc bck bipiscjick ledj sdict yckn tdredtci bi
ncris tdkncj. Iurckn edfij 34% lrckn bdwcsc jckyc odopukyci sctu
sikus arlktce bck iurck edfij 4% sikus arlktcekyc tibci fdridofckn.
Tiurck sikus arlktce cbcecj 6,: mo tiknnikyc, edfcrkyc 6,2 mo bck
bcecokyc 6 mo. sikus arlktc ficsckyc fdrsdict-sdict bck tdpi sikus
fdrediui-ediui. Rcibci cbckyc ncofcrck sdptuo-sdptuo ctcu ediui-
ediui bikbikn sikus pcbc altl Vlktndk odkukjuick cbckyc
ikadisi sikus. ]ikus arlktce bipiscjick ledj tueckn yckn rdectivd tipis
bcri lrfitc bck alsc sdrdfri cktdrilr, sdjiknnc ikadisi bcri sikus
arlktc oubcj odkjcecr id bcdrcj iki. ]ikus arlktce fdrbrdkcsd
odeceui lstiuokyc yckn tdredtci bi rdsdsus arlktce, yckn
fdrjufuknck bdknck
 ikaukbifueuo dtolib.
m. ]ikus Dtolib
Bcri sdouc sikus pcrckcsce, sikus dtolib yckn pceikn fdrvcricsi
bck cijir- cijir iki bicknncp pceikn pdktikn, icrdkc bcpct odrupcick
almus fcni sikus-sikus ecikkyc. Pcbc lrckn bdwcsc fdktui
sikus

dtolib sdpdrti pyrcoib bdknck bcscrkyc bi fcnick plstdrilr. Tiurck

bcri cktdrilr id plstdrilr 2-4 mo, tiknni 6,2 mo bck edfcrkyc 0,4 mo
bifcnick cktdrilr bck 3,4 mo bifcnick plstdrilr.
]ikus dtolib fdrlknnc-rlknnc, tdrbiri bcri sde-sde yckn
odkydrupci scrckn tcwlk, yckn tdrbcpct bi bceco ocssc
fcnick ectdrce ls dtolib, yckn tdredtci bicktcr ilkic odbic bck
bikbikn bikbikn odbice lrfitc. ]de-sde iki juoecjkyc fdrvcricsi.
Fdrbcscrick edtcikyc, sikus dtolib bifcni odkjcbi sikus dtolib
cktdrilr yckn fdroucrc bi odctus odbius bck sikus dtolib plstdrilr
yckn fdroucrc bi odctus odbius bck sikus dtolib plstdrilr yckn
fdroucrc bi odctus supdrilr. ]de-sde sikus dtolib cktdrilr ficsckyc
idmie-idmie bck fckyci, edtcikyc bi bdpck edopdkn yckn
odknjufuknick fcnick plstdrilr ilkic odbic bdknck bikbikn
ectdrce ( ecoikc fcsceis), sdbcknick sde- sde sikus dtolib plstdrilr
ficsckyc edfij fdscr bck edfij sdbiiit
juoecjkyc bck tdredtci biplstdrilr bcri ecoikc fcsceis.
Bifcnick tdrbdpck sikus dtolib cktdrilr cbc fcnick yckn sdopit,
bisdfut rdsdsus arlktce, yckn fdrjufuknck sikus arlktce. ]del dtolib
yckn tdrfdscr bisdfut fuec dtolib. Bi bcdrcj dtolib cktdrilr tdrbcpct
suctu pdkydopitck yckn bi sdfut ikaukbifueuo, tdopct fdroucrckyc
lstiuo sikus ocisiec. Pdofdknicick ctcu pdrcbcknck
birdsdsus arlktce bcpct odkydfcfick sikusitis arlktce bck
pdofdknicick bi ikaukbifueuo bcpct odkydfcfick sikusitis
ocisiec. Ctcp sikus dtolib yckn bisdfut alvdc dtolibceis
fdrfctcsck bdknck ecoikc irifrlsc. Bikbikn ectdrce sikus cbcecj
ecoikc pcpircsdc yckn scknct tipis bck odofctcsi sikus dtolib
bcrirlknnc lrfitc. Bi fcnick fdecickn sikus dtolib plstdrilr
fdrfctcsck bdknck sikus sadklib.
b. ]ikus sadklib
]ikus sadklib tdredtci bceco ls sadklib bi fdecickn sikus dtolib
plstdrilr. ]ikus sadklib bifcni buc ledj sdict yckn bisdfut sdptuo
iktdrsadklib. Tiurckkyc cbcecj 6 mo tiknnikyc, bcecokyc 6,= mo bck
 edfcrkyc 3,> mo. vleuodkyc fdrvcricsi bcri 4 scopci >,4 oe. scct
sikus fdridofckn, pdofueuj bcrcj bck kdrvus bifcnick ectdrce ls
sadklib cick odkjcbi scknct fdrbdictck bdknck rlknnc sikus bck
tcopci sdfcnci ikbdksitcsi pcbc bikbikn sikus sadklib.
Fctcs-fctcskyc icecj, sdfdecj supdrilr tdrbcpct alsc sdrdfri

odbic bck idedkjcr jiplaisc, sdfdecj ikadrilrkyc ctcp

kcslacrikn, sdfdecj ectdrce fdrfctcsck bdknck sikus icvdrklsus
bck c.icrltis iktdrkc (sdrikn tcopci sdfcnci ikbdktcsi) bck
bisdfdecj plstdrilrkyc
fdrfctcsck bdknck alsc sdrdfri plstdrilr bibcdrcj plks.
F. Aisilelni Jibukn
Cbc yckn fdrpdkbcpct fcjwc sikus pcrckcsce iki tibci odopukyci
auknsi cpc-cpc, icrdkc tdrfdktuikyc sdfcnci ciifct pdrtuofujck
tueckn ouic.
Fdfdrcpc tdlri yckn biidouicick sdfcnci auknsi sikus pcrckcsce

cktcrc ecik 7
c. ]dfcnci pdknctur ilkbisi ubcrc (cir mlkbitilkikn)
]ikus fdrauknsi sdfcnci ruckn tcofcjck uktui odockcsick
bck odknctur idedofcfck ubcrc ikspircsi. Idfdrctck tdrjcbcp
tdlri iki icecj icrdck tdrkyctc tibci bibcpcti pdrtuicrck ubcrc
yckn bdaikitivd cktcrc sikus bck rlknnc jibukn.
Qleuod pdrtuicrck ubcrc bceco vdktiecsi sikus iurckn
edfij 3/3000 vleuod sikus pcbc ticp icei fdrkcacs, sdjiknnc
bi futujick fdfdrcpc jco uktui pdrtuicrck ubcrc tltce
bceco sikus. Ecni

puec ouilsc sikus tibci odopukyci vcsiuecriscsi bck idedkjcr

yckn sdfckyci ouilsc jibukn.
f. ]dfcnci pdkcjck suju (tjdroce iksuectlrs)

]ikus pcrckcsce fdrauknsi sdfcnci pdkcjck (fuaadr)

pckcs, odeikbukni lrfitc bck alsc sdrdfri bcri suju
rlknnc jibukn yckn fdrufcj-ufcj. Cick tdtcpi idkyctcckyc
sikus-sikus yckn fdscr tibci tdredtci bi cktcrc jibukn bck
lrnck- lrnck yckn bi eikbukni.
m. Odofcktu idsdiofcknck idpcec
 ]ikus odofcktu idsdiofcknc idpcec icrdkc odknurckni fdrct
tueckn ouic. Cick tdtcpi fiec ubcrc bceco sikus binckti bdknck
tueckn, jckyc cic odofdriick pdrtcofcjck fdrct sdfdscr 3%
bcri fdrct idpcec, sdjiknnc tdlri iki bicknncp tibci fdrocikc.
b. Odofcktu rdslkcsi sucrc

]ikus iki oukniik fdrauknsi sdfcnci rlknnc uktui

rdslkcsi sucrc bck odopdkncruji iuceitcs sucrc. Cick tdtcpi
cbc yckn fdrpdkbcpct, plsisi sikus bck lstiuokyc tibci
odoukniikick sikus fdrauknsi sdfcnci rdslkctlr yckn
daditia. Ecni puec tibcj cbc iledrcsi cktcrc rdslkcsi sucrc
bck fdscrkyc sikus pcbc jdwck-jdwck tiknict rdkbcj.
d. ]dfcnci pdrdbco pdrufcjck tdickck ubcrc

Auknsi iki fdrjceck fiec cbc pdrufcjck tdickck yckn fdscr bck
odkbcbci, oiscekyc pcbc wcitu fdrsik ctcu odofuckn iknus.
a. Odofcktu prlbuisi oumus
Oumus yckn bijcsieick ledj sikus pcrckcsce odockn
juoecjkyc idmie bifckbiknick bdknck oumus bcri
rlknnc jibukn, kcouk daditia uktui odofdrsijick pcrtiide
yckn ocsui bdknck ubcrc ikspircsi icrdkc oumus iki ideucr
bcri odctus odbius, tdopct yckn pceikn strctdnis.
M. Idfutujck Bcscr
Idkycockck ctcu rcsc kycock cbcecj suctu idcbcck
tdecj tdrpdkujikyc idfutujck bcscr ockusic ycitu
idfutujck cick idtdktrcock (suctu idpucsck yckn odkiknictick
pdkcopieck sdjcri- jcri), idedncck (idfutujck tdecj tdrpdkuji), bck
trcksdkbdk (idcbcck tdktckn sdsuctu yckn odedfiji ocscecj bck
kydri). Idkycockck jcrus bipckbckn sdmcrc jleistii yckn odkmciup
dopct cspdi ycitu7
3. Aisii, fdrjufuknck bdknck sdkscsi tufuj.
6. ]lsice, fdrjufuknck bdknck jufuknck iktdrpdrslkce, ideucrnc,
bck slsice.
=. Psiilslsice, fdrjufuknck bdknck idwcspcbcck iktdrkce bceco
biri sdkbiri yckn odeiputi jcrnc biri, sdisuceitcs, bck ocikc
idjibupck.
2. Eikniuknck, fdrjufuknck bdknck ectcr fdecickn
pdkncecock distdrkce ockusic sdpdrti mcjcyc, fukyi, tdopdrctur,
wcrkc, bck uksur cecoicj ecikkyc (^cjyubi & Cfb.^cjib, 6031).
Bceco odkiknictick idfutujck rcsc kycock bicrtiick
pdrcwct edfij odofdriick idiuctck, jcrcpck, blrlknck, jifurck,
buiuknck

bck fcktuck. ]dmcrc uouo bceco cpeiicsikyc pdodkujck idfutujck

rcsc kycock cbcecj idfutujck rcsc kycock fdfcs bcri rcsc kydri,
bck jipl/jipdrtdroic. Jce iki bisdfcfick icrdkc ilkbisi kydri
bck
jipl/jipdrtdroic odrupcick ilkbisi yckn odopdkncruji
pdrcscck tibci kycock pcsidk yckn bitukjuiick bdknck tiofuekyc
ndjcec bck tckbc pcbc pcsidk (^cjyubi & Cfb.^cjib, 6031).
c. Bdaiksi
ncknnuck rcsc kycock Ncknnuck rcsc kycock cbcecj pdrcscck
iurckn sdkckn, ednc bck sdopurkc bceco biodksi
aisii, psiilspirituce, eikniuknck bck dolsilkce (]BIH PPKH, 6031).
f. Pdkydfcf ncknnuck rcsc kycock7
3. Ndjcec pdkyciit
6. Iurckn pdkndkbceick situcsilkce/eikniuknck
=. Idtibcicbdiuctck suofdr bcyc
2. Iurcknkyc privcsi
4. Ncknnuck stioueus eikniuknck
1. Dadi scopikn tdrcpi (oisce odbiicsi, rcbicsi bck idoltdrcpi)
m. Ndjcec bck tckbc ocylr
]ufjditia7 Odkndeuj tibci kycock
Lfjditia7 Ndeiscj
b. Ndjcec bck tckbc oiklr
]ufjditia7
3. Odkndeuj sueit tibur bck odkndeuj edecj
6. Ribci ocopu riedis
=. Odkndeuj idbiknikck/idpckcsck
2. Odrcsc nctce
4. Odkndeuj
ouce Lfjditia7
3. Odkukjuiick ndjcec bistrds
6. Rcopci odriktij/odkcknis
 =. Plec dedoikcsi fdrufcj
2. Plstur tufuj fdrufcj
4. Hritcfieitcs

B. Ilksdp Bcscr Pdkyciit

c. Bdaikisi
]ikusitis cbcecj pdrcbcknck pcbc ecpisck sikus yckn bisdfcfick
ledj ikadisi virus ctcu fcitdri. ]ikus fdruiurck idmie ycitu
sdfucj rlknnc yckn fdrisi ubcrc bifdecickn tueckn pipi bck
bcji yckn tdrjufukn bdknck tueckn jibukn. Auknsi bcri sikus sdkbri
cbcecj uktui odkjcnc idedofcfck jibukn bck odkjcnc pdrtuicrck
ubcrc bibcdrcj jibukn (]ldocktri bii, 600:).
]ikusitis yckn odrupcick scecj sctu pdkyciit RJR,
ycitu pdrcbcknck pcbc odofrck ouilsc yckn odkydrckn sikus
pcrckcsce bck icvitcs kcsce. ]ikus pcrckcsce cbcecj rlknnc idmie
fdrisi ubcrc yckn tdredtci pcbc tueckn-tueckn bi wcjcj. ]ikus iki
tdrbiri bcri sikus arlktce bi bcji, sikus dtolib pcknice jibukn, sikus
ocisiec pipi ickck bck iiri, sikus sadklib bi fdecickn sikus dtolib
(Kursceco, 6004).
f. Dtilelni
]ikusitis bcpct bisdfcfick ledj fdfdrcpc acitlr cktcrc ecik
cbcecj cedrni, ikadisi, idecikck struitur ckctloi pcbc fcnick
sikusitis bcpct puec bisdfcfick ledj rikitis ciut, tlksieitis, ikadisi pcbc
nini (Kursceco, 6004)
3. Cedrni
Cedrni ousiock, pdrdkice ctcu icrdkc pdidrjcck
tdrtdktu bcpct odkydfcfick tdrjcbikyc sikusitis
6. Hkadisi

Bi bceco tufuj ockusic tdrbcpct fdfdrcpc jdkis fcitdri yckn

bceco idcbcck klroce tibci odkiofueick pdkyciit
(oiscekyc
]trdptlmlmmus pkduolkicd, Jcdolpjieus ikaeudkzcd). Giic
sistdo pdrtcjckck tufuj odkuruk ctcu brcikcsd bcri sikus
tdrsuofct ciifct piedi ctcu ikadisi virus ecikkyc, ocic
fcitdri yckn sdfdeuokyc tibci fdrfcjcyc cick fdridofckn fici
bck odkyusup id bceco sikus, sdjiknnc tdrjcbi ikadisi sikus ciut.

]ikusitis ciut fisc tdrjcbi sdtdecj cbckyc ikadisi virus pcbc

 sceurck pdrkcacsck fcnick ctcs (oiscekyc Vjiklvirus,
Hkaeudkzc virus, bck Pcrcikaeudkzc virus). Hkadisi yckn
odkydfcfick sikusitis sdpdrti fdfdrcpc fcitdri pctlndk yckn
sdrikn bitdouick ycitu
]tcaielilius 6:%, Psdublolkcs cdrundklsc 3>% bck ]. curdus
=0%. Idtinckyc iki odopukyci rdsistdksi yckn tiknni
tdrjcbcp cktifiltii, oiscekyc Psdublolkcs cdrundklsc
rdsistdk tdrjcbcp
jdkis iuiklelk. Gdkis iuock nrco kdnctia junc odkiknict pcbc
sikusitis irlkis bdoiiick junc fcitdri cdrlfii tdrocsui
pcbc sikusitis bdktlndkii. Fcitdri riklsikusitis irlkis pceikn sdrikn
cbcecj Pdptlmlmmi, Pdptlstrdptlmlmmi , Fcmtdrilbds
bck Auslfcmtdric.
Pdkydfcf pcbc ]ikusitis Irlkii cbcecj
c. ]ikusitis ciut yckn sdrikn icofuj ctcu tibci sdofuj
f. Cedrni
m. Icrids bdktis ( nini ndrcjco ctcs )
b. ]dptuo kcsi yckn fdknili sdjiknnc odknncnu ceirck oumlsc.
d. Fdkbc csikn bi jibukn bck sikus pcrckcsce
a. Ruolr bi jibukn bck sikus pcrckcsce.
=. Idecikck struitur ckctloi
]ikusitis irlkis junc bcpct bisdfcfick ledj idecikck (]truitur
ckctloi, sdpdrti vcricsi ILO, bdvicsi sdptuo, jipdrtrlai ilkic) ctcu
Pdkydfcf ecik (ibilpctii, acitlr jibukn, jlrolkce, lfct-lfctck, zct
iritck, jcour, dolsi, ctrlai).
m. Ockiadstcsi Ieikis
Rckbc bck ndjcec bcri sikusitis bifcni odkjcbi 6 fcnick ycitu
ndjcec sufjditia bck ndjcec lfjditia (Kursceco, 6004).
3. Ndjcec ]ufjditia
c. Kydri
]dsuci bdknck bcdrcj sikus yckn tdridkc cbc ctcu
oukniik tibci. ]dmcrc ckctloi, cpdis nini-nini bdpck ctcs
(idmucei nini iksisivus) bipiscjick bcri euodk sikus jckyc ledj
ecpisck tipis tueckn ctcu oukniik tckpc tueckn jckyc ledj
ouilsc, icrdkckyc sikusitis ocisiec sdrikn odkiofueick kydri
jdfct pcbc nini.
f. ]ciit idpcec
Odrupcick tckbc yckn pceikn uouo bck pceikn
pdktikn pcbc sikusitis. ^leaa odkyctcick fcjwc kydri idpcec
yckn tiofue
 odrupcick ciifct cbckyc ilkndsti bck ubdoc bi lstiuo sikus
bck sdiitcrkyc. Pdkydfcf sciit idpcec fdrocmco-ocmco, ledj
icrdkc itu fuickecj suctu tckbc ijcs bcri pdrcbcknck
ctcu pdkyciit pcbc sikus.Giic sciit idpcec ciifct idedecjck bcri
octc, ocic ficsckyc fiectdrce bck ociik fdrct pcbc
slrd jcri,
sdbcknick pcbc pdkyciit
sikus sciit idpcec edfij sdrikn ukiectdrce bck odeucs
idsisi ecikkyc. ]ciit idpcec yckn fdrsuofdr bi sikus cick
odkiknict
jiic odofukniuiick fcbck idbdpck bck jiic fcbck tifc-
tifc bindrciick. ]ciit idpcec iki cick odkdtcp scct odkutup
octc, scct istircjct ctcupuk scct fdrcbc biicocr ndecp. Kydri
idpcec pcbc sikusitis irlkis ficsckyc tdrcsc pcbc pcni jcri,
bck cick fdriurckn ctcu jieckn sdtdecj sickn jcri.
Pdkydfcfkyc fdeuo biidtcjui bdknck pcsti, tdtcpi oukniik
icrdkc pcbc oceco jcri tdrjcbi pdkiofukck iknus bceco
rlknnc jibukn bck sikus sdrtc cbckyc stctis vdkc.
m. Kydri pcbc pdkdickck
Kydri fiec bisdktuj bck kydri pcbc pdkdickck jcri oukniik
tdrjcbi pcbc pdkyciit bi sikus-sikus yckn fdrjufuknck bdknck
pdrouicck wcjcj.
b. Ncknnuck pdkmiuock
Hkbrc pdkmiuock bcpct bisdsctick (pcrlsoic),
pcsidk odkmiuo fcu yckn tibci tdrmiuo ledj jibukn klroce.
Ideujck yckn edfij sdrikn cbcecj jiecknkyc pdknjikbu
(cklsoic). Jce iki bisdfcfick cbckyc suofctck pcbc aisurc
leacitlrius bibcdrcj ilkic odbic. Ledj icrdkc itu vdktiecsi
pcbc odctus supdrilr jibukn tdrjceckn, sdjiknnc
odkydfcfick jiecknkyc ikbrc pdkmiuock. Pcbc icsus
irlkis, jce iki bcpct tdrjcbi ciifct bdndkdrcsi aiecodkt
tdroikce kdrvus leacitlrius, odsiipuk pcbc idfckycick
icsus, ikbrc pdknjikbu bcpct idofcei klroce sdtdecj
ikadisi jieckn.
6. Ndjcec Lfjditia
c. Pdofdknicick bck ubdo
Giic sikus yckn fdrfctcsck bdknck iueit tdridkc sdmcrc
ciut, bcpct tdrjcbi pdofdknicick bck ubdo iueit yckn riknck
 ciifct pdrilstitis. Pcepcsi bdknck jcri odkbcpcti sdkscsi sdpdrti
pcbc pdkdfceck riknck ctcu sdpdrti odrcfc fdeubru.

f. ]dirdt kcsce
Ouilsc jibukn jcrckn odrupcick pusct alius pdrcbcknck
supurctia, sikus- sikusecj yckn odrupcick pusct
alius pdrcbcknck sdocmco iki. Cbckyc pus bceco rlknnc
jibukn sdjcruskyc subcj odkiofueick idmurincck
cbckyc suctu pdrcbcknck bceco sikus. Pus bi odctus
odbius ficsckyc odrupcick tckbc tdridkckyc sikus
ocisiec, sikus arlktce ctcu
sikus dtolib cktdrilr, icrdkc sikus-sikus iki fdroucrc
id bceco odctus odbius
 b. Pctjwcy

d. Iecsiaiicsi ]ikusitis
Fdrbcscrick jdkiskyc, sikusitis bcpct bifcni sdfcnci fdriiut7
3. ]ikusitis ciut
]ikusitis fdrsiact ciut jiic fdrecknsukn sdecoc = oiknnu ctcu edfij.
Pdkydfcf sikusitis ciut odkurut mjcknjcyc, 600= cbcecj7
- Hkadisi virus
- ]ikusitis ciut bcpct tdrjcbi sdtdecj tdrikvdisi suctu ikadisi virus pcbc
sceurck pdrkcacsck fcnick ctcs.
- Hkadisi fcitdri
Bibceco tufuj ockusic tdrbcpct fdfdrcpc jdkis fcitdri yckn
bceco idcbcck klroce tibci odkiofueick pdkyciit (oiscekyc
strdptlmlmmus pkduolkic, jcdolpjieus ikaeudkzc, bck stcpjieus cdrus).
Giic pdrtcjckck tufuj odkuruk/brcikcsd bcri sikus tdrsuofct ciifct
piedi/ikadisi virus ecikkyc, ocic fcitdri yskn sdfdeuokyc tibci fdrfcjcyc
cick fdridofckn fici bck odkyusup id bceco sikus. Fcitdri
fdrtcknnukn jcwcf tdrjcbcp
odkiknictkyc 10% icsus sikusitis ciut.
- Hkadisi jcour Cspdrnieeus odrupcick jcour yckn fisc
odkydfcfick sikusitis pcbc pdkbdritc ncknnuck systdo ididfceck.
Pcbc lrckn-lrckn

tdrtdktu, sikusitis jcour odrupcick sdjdkis rdcisi cedrni tdrjcbcp jcour.

- Pdrcbcknck odkcjuk pcbc sceurck jibukn Pcbc pdkbdritc rdkitis
cedrniic
fisc tdrjcbi sikusitics ciut, bdoiiick puec jcekyc pcbc pdkbdritc rdkitis
vcsloltlr.
- Pdkyciit tdrtdktu ]ikusitis ciut edfij sdrikn tdrjcbi pcbc pdkbdritc
- ncknnuck systdo ididfceck bck pdkbdritc idecikck sdirdsi
edkbir. Pdkydfcf ecik odkurut Fceedkndr, 3882 cbcecj 7
- ]douc idcbcck ckctloii/aisilelnii yckn bcpct odkiofueick
suofctck brcikcsd bcri sikus, odkydfcfick stctis sdmrdt bck jce iki
odkydfcfick

ikadisi.
- Pleip cedrni bdknck plsisi yckn tibci odknuktuknick, tdrutcoc
bdict jictus sdoieukcris icrdkc odkydfcfick suofctck rdectia tdrjcbcp
brcikcsd bcri idelopli cktdrilr.
- Hkadisi cpimce bcri sisi yckn odklkjle id bceco bcscr sikus ocisiec bcpct
odkydfcfick ikadisi

6. ]ikusitis irlkii
]ikusitis irlkii jiic fdrecknsukn sdecoc = ” : oiknnu
bck bcpct fdreckjut scopci fdrfueck-fueck fcjick fdrtcjuk-
tcjuk. Pdkydfcf sikusitis irlkii 7

- Csoc

- Pdkyciit cedrni

- Ncknnuck systdo ididfceck/idecikck sdirdsi

ocupuk pdofucknck edkbir.
- Citivitcs sieic yckn rusci bcpct odknncknnu
pdofdrsijck sikus yckn odkydfcfick ikadisi sikus
fdridpckjcknck.
]dfcnci tcofcjck dadi furui bcri odrlili bck pleusi
ubcrc tdrjcbcp citivitcs ouilsieicr, bdvicsi sdptuo bcpct
odknufcj crus ilkvdisi ceirck ubcrc ikspircsi
 sdbdoiiick rupc, sdjiknnc tdrbcpct bcdrcj idrikn yckn
bcpct odrusci citivitcs sieic.
- Lfstruisi jibukn irlkii ciifct rcflr bck dbdoc odofrck
 ouilsc jibukn.

a. Pdodriiscck pdkukgckn

c. Viklsilpi cktdrilr
Rcopci ouilsc ilkic jipdrdois, icvuo kcsi sdopit, bck dbdoc.
Pcbc sikusitis ocisiec, sikusitis arlktce bck sikusitis
dtjolib cktdrilr tcopci ouilpus ctcu kckcj bi odctus odbius,
sdbcknick pcbc sikusitis dtjolib plstdrilr bck sikusitis sadklib
kckcj tcopci ideucr bcri odctus supdrilr.
f. Viklsilpi plstdrilr 7 Rcopci ouilpus bi kcslacrikn (plst
kcsce brip).
m. Bdktlndk 7 Mcrids nini (PO3,PO6,O3)
b. Rrcksieuoikcsi (bicpjcklsmlpic)

]ikus yckn sciit cick odkjcbi surco ctcu ndecp.

Pdodriiscck trcksieuoikcsi fdrocikc fiec scecj sctu sisi
sikus yckn sciit,
sdjiknnc tcopci edfij surco bifckbikn sisi yckn klroce.
d. Z Altl sikus pcrckcsceis7
Pdodriiscck rcbilelnii yckn bifuct icecj Plsisi
^ctdr‘s, Plstdrlcktdrilr bck Ectdrce. Cick tcopci
pdrsdeufuknck ctcu

pdkdfceck ouilsc ctcu fctcs mcirck ubcrc (cir aeuib edvde)

pcbc sikus yckn sciit. Plsisi ^ctdr‘s cbcecj uktui
odoprlydisiick
tueckn pdtrlsus supcyc tdredtci bi fcwcj cktruo ocisiec,
yciki bdknck mcrc odkdkncbcjick idpcec pcsidk
sdbdoiiick rupc sdjiknnc
bcnu odkydktuj pdrouicck odjc. Plsisi iki tdrutcoc uktui
odeijct cbckyc idecikck idecikck bi sikus ocisiec, arlktce
bck dtolib. Plsisi Plstdrlcktdrilr uktui odkieci sikus arlktce bck
Plsisi Ectdrce uktui odkieci sikus arlktce, spjdklib bck dtolib
a. Pdodriiscck MR ”]mck
Pdodriiscck MR-]mck odrupcick mcrc tdrfcii
uktui odopdreijctick siact bck suofdr ocscecj pcbc sikusitis
bdknck ilopeiicsi. MR-]mck pcbc sikusitis cick tcopci 7
pdkdfceck ouilsc, cir aeuib edvde, pdrsdeufuknck jlolndk
ctcu tibci jlolndk pcbc sctu ctcu edfij sikus pcrckcsce,
pdkdfceck bikbikn sikus bdknck siedrltii (pcbc icsus-icsus
irlkii).Jce-jce yckn
oukniik bitdouick pcbc pdodriiscck MR-]mck 7
 3. Pleip yckn odknisi ruckn sikus
6. Pleip cktrlilckce
=. Ocssc pcbc mcvuo kcsi yckn odkyuofct sikus
2. Ouilide, pdkdickck, ctrlai bck drlsi tueckn yckn
fdrcknsur- cknsur ledj ocssc jcriknck eukci ouilide yckn
odofdscr bck ncofcrck pcbc MR ]mck sdfcnci pdreucsck
yckn fdrbdksitcs rdkbcj bck icbckn-icbckn pdkncpurck
pdriadr.
n. Pdkctcecisckcck
3. ]ikusitis ciut
Rujuck pdknlfctck sikusitis ciut cbcecj odknlktrle ikadisi,
odoueijick ilkbisi ouilsc kcsce, bck odknjiecknick kydri.
Pdknlfctck uktui sikusitis ciut ficsckyc bifdriic7
c) Bdilkndstck uktui odknurckni pdkyuofctck
Bdilkndstck lrce yckn uouo bifdriick cbcecj Brixlrce
bck Biodtcpp sdbcknick bdilkndstck jcrus bifdriick
bdknck plsisi idpcec pcsidk id fdecickn uktui odkiknictick
brcikcnd ocisioce.
f) Cktifiltii uktui odkndkbceiick ikadisi

Cktifiltii pieijck cbcecj Colisisieik bck Copisieik, fcni yckn

cedrni binckti bdknck cetdrkctia Rriodtlprio/]ueacodtlisczle
(Fcitrio L], ]pditrc B]).
m) Lfct pdrdbc kydri uktui odknurckni kydri
Bdilkndstck bceco fdktui tdtds jibukn ctcu lfct
sdoprlt jibukn jckyc fledj bipcici sdecoc wcitu yckn
tdrfctcs (icrdkc pdocicick jcknic pckjckn fisc
odkydfcfick pdkyuofctck bck pdofdknicick pcbc sceurck
jibukn). Tktui odknurckni pdkyuofctck, pdofdknicick bck
pdrcbcknck fisc bifdriick lfct sdoprlt jibukn yckn
odknckbukn stdrlib. Icfut jcknct bck irincsi sceik daditia
uktui odofuic suofctck sceurck, sdjiknnc odoukniikick
brcikcnd rcfcs puedk.
6. ]ikusitis irlkis Pdknlfctck uktui odknurckni sikusitis irlkis7
c) Bifdriick cktifiltii bck bdilkndstck.
f) Tktui odknurckni pdrcbcknck ficsckyc bifdriick
 lfct sdoprlt jibukn yckn odknckbukn stdrlib.
m) Giic pdkyciitkyc fdrct, fisc bifdriick stdrlib pdrlrce (odeceui
 oueut). Jce-jce fdriiut fisc bieciuick uktui odknurckni
rcsc tibci kycock 7 Odknjirup ucp bcri sdfucj vcplrizdr
ctcu sdockniui cir pckcs.
b) Lfct sdoprlt jibukn yckn odknckbukn ecrutck ncrco .
d) Iloprds jcknct bi bcdrcj sikus yckn tdridkc.
Giic tibci bcpct bictcsi bdknck pdknlfctck tdrsdfut, ocic sctu-
sctukyc jceck uktui odknlfcti sikusitis irlkis
cbcecj pdofdbcjck. Rikbcick fdbcj jcrckn bieciuick
pcbc tdrcpi sikusitis ciut, jiic biidrjcick ficsckyc jckyc
sdtdecj ncnce bdknck fdrocmco-ocmco tdrcpi.
Pdofdbcjck yckn biikbiicsiick pcbc sikusitis irlkis uktui
odopdrfciii bdalroitcs strumturce yckn odkyuofct lstil
(lstiuo) sikus bdknck tujuck odopdroubcj brcikcnd.
Pdofdbcjck bcpct odkmciup disisi ctcu ictdtdriscsi
pleip, pdrfciick pdkyiopcknck sdptuo, odkniksisi sdrtc
brcikcsd sikus..