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JB[B_CGUNDCL
JB[B_CGUNDCL KC]C_ JBONKCLCL
IBLN]-IBLN] UB_]NCUCL
UB_]NCUCL KNC@LH][NJ R]@, _HL[@BL, M[@, KCL
DCUC_C]JHUN
Rltuj gb
gbgbluan tu`cs G ctc J udn
udncca F n sn
snhhdh`n
K hsb
sbl
l Ub
U bl`cg
l`cgp
pu 9 L s. D
Dnn c J hgcdcsc
dcscrr n , ].J
] .J bp, G
GGG
KN]R]RL HDBA 9
Icdug 3O
Jbdhgphj =
Uuin syujur jcgn pclictjcl jbacknr ct [uacl ^cl` Gcac Bsc, jcrblc ctcs
jcrulnc-Lyc jcgn kcpct gblybdbscnjcl tu`cs gcjcdca pckc gctc judnca
Jbtbrcgpndcl Kcscr Jbonkclcl kbl`cl thpnj I blns-iblns
lns-iblns Ubr
Ubr snc
sncp
pcl K nc`lh
nc`lhst
stnj
nj
R]@, _hlt`bl, M[@, kcl Dcpcrcsjhpn tbpct pckc wcjtulyc. Ckcpul gcjsuk
kcl tuiucl pblyusulcl gcjcdca nln ckcdca ultuj gbgcacgn gbl`blcn cpc scic
pbl`acr`ccl sbrtc scljsn
sclj sn kcdcg prcjtnj jbonkc
jbonkclcl.
lcl.
]boc`cn gclusnc ycl` icua kcrn jctc sbgpurlc kcl tnkcj icua kcrn sb`cdc
jbscdcacl, jcgn gblyckcrn jbtbroctcscl kcdcg gcjcdca nln, ultuj ntu jcgn
acrcpjcl jrntnj kcl scrcl kcrn obroc`cn pnacj tbrutcgc Ocpcj/Nou Khsbl kcl
tbgcl-tbgcl gcacsnswn sbguc, c`cr gcjcdca nln kcpct gblickn dbona ocnj dc`n
jbkbpcllyc.
Cjanr jctc jcgn gbl`umcpjcl sbgh`c gcjcdca nln onsc obrgclfcct oc`n
Ublyusul
OCO N
UBGOCAC]CL
Ubgbrnjsccl knc`lhstnj ckcdca pblndcncl jdnlns tbltcl` rbsphl nlknvnku
tbrackcp suctu gcscdca jbsbactcl. Acsnd suctu pbgbrnjsccl scl`ct pbltnl` kcdcg
3. Rdtrcshlh`r
Rdtrcshlh`rcfn
cfn (R]@)
R]@ gbrupcjcl suctu prhsbkur knc`lhsns ycl` kndcjujcl kn ctcs
jbacgndcl
o. Gbdnact dhjcsn cdct JO ycl` gcsna tbrpcscl` pckc scct pbgoucacl
m. Gbdnact dhjcsn iclnl sbobdug MV] ctcu cglnhsbltbsns
k. Gblbltujcl jhlknsn iclnl injc tnkcj ckc kblyut icltul` ycl` tbrkbl`cr
pckc gnl``u jb 3; kbl`cl cdct khppdbr ctcu tnkcj ckc `brcjcl iclnl
scgpcn gnl``u jb-??
b. Gblbltujcl cpcjca nou gbl`clkul` dbona kcrn 3 iclnl
f. Gbl`ujur iugdca mcnrcl jbtuocl
`. Gbgbrnjsc ckclyc fnorhnk injc pbrtugouacl rcanglyc tnkcj lhrgcd
a. Gbl`ujur ujurcl iclnl injc ckc jbgul`jnlcl ocawc ocyn cjcl dcanr
prbgctur ctcu tbrdcgoct
n. Gblkbtbjsn pbruocacl dbabr rcang ycl` gbluliuj pckc jbgul`jnlcl
pbrscdnlcl prbgctur
i. Gbl`blcdn dhjcsn, ujurcl, jbgctcl`cl, ctcu jbgul`jnlcl
jbtnkcjlhrgcdcl pdcsbltc
j. Gbl`bvcducsn jhlknsn iclnl gbdcdun pbl`cgctcl jb`nctcl iclnl, `brcjcl
pbrlcpcscl, vhdugb mcnrcl
mcnr cl jbtuocl
d. Gbl`blcdn jhlknsn sul`scl` ctcu phsnsn ycl` tnkcj lhrgcd kcrn iclnl kcl
tcdn pusct sbobdug jbdcanrcl
3.= Gcmcg-gcm
Gcmcg-gcmcg
cg Iblns Rdtrcshlh`rcfn
Rdtrcshlh`rcfn (R]@)
Uckc kcscrlyc ckc kbdcpcl uin R]@ lcgul pckc prhsbs utcgclyc scgc.
Jbkbdcpcl tnpb prhsbkur tbrsbout ckcdca9
3. [rclsvc`nlcd
]bouca cdct pbgnlkcn ycl` knrclmcl` jausus kn`ulcjcl kn
kcdcg vc`nlc ultuj gbl`acsndjcl mntrc shlh`rcg. Ucdnl` sbrnl`
c. ?K R]@
R]@ iblns nln ckcdca udtrcshulk trcknsnhlcd ycl` tbdca kn`ulcjcl sbdcgc
obrtcaul-tcaul. ?K gbl`acsndjcl `cgocr ocyn ycl` dbona kctcr, kuc kngblsn,
antcg kcl putna.
o. =K R]@
k. 2K R]@
Unmturb Gb Ocoy gblibdcsjcl, 2K ckcdca tbjlhdh`n ocru kcl
gbl`csynjjcl ycl` gbgul`jnljcl hrcl` tuc gbdnact ocyn kcdcg tcgpndcl
rbcdnstns ctcu cpc ycl` hdba oclycj hrcl` knsbout thlb dhhj. Knrclmcl` kbl`cl
tbjlhdh`n mrystcd mdbcr rbvnbw ycl` gcgpu gbgobrnjcl acsnd `cgocr kcdcg
tcgpndcl ycl` rbcdnstns. Gbl`nl`ct acsnd `cgocr tcgpcj ob`ntu lyctc, nou onsc
tbrjhlbjsn dcl`sul` kbl`cl sn jbmnd.
Cdct nln cjcl gbluliujjcl ocyn kbl`cl wcrlc jbgbrcacl ctcu gbrca
gukc, sbhdca-hdca nou onsc gbdnact dcl`sul` ocyn kn kcdcg rcang. R]@ 2K ocnj
kndcjujcl scct usnc jbacgndcl gbgcsujn ?; gnl``u, sbanl``c nou kcpct gbdnact
ibdcs rupc kcl jhlknsn fnsnj kcrn icocl` ocyn. Gbsjn ob`ntu, scycl`lyc obdug
oclycj rugca scjnt kn Nlkhlbsnc
Nlkh lbsnc ycl` gblybkncjcl R]@ 2K.
gbgouct `cgocr hthgctns kbl`cl wcrlc kcl jbibrlnacl ducr oncsc. Njctcl cltcrc
ocyn ocru kcl jbducr`c sbgcjnl juct jbtnjc jbducr`c kcpct gbdnact `cgocr
rbcdnstns ocyn kcdcg R]@ 2K.
3. [rngbstbr Ubrtcgc
snlkrhg Khwl
m. Gnl``u jb-31 jb-?5 ultuj mcmct jhl`blntcd
k. Gbl`btcaun mcmct strujturcd
b. Gbycjnljcl jbacgndcl jbgocr
f. Gbycjnljcl tcl``cd kcl pbrtugouacl
`. Gbycjnljcl jbgctncl kcdcl rcang
3) Gbl`nkbltnfnjcsn aykrcglnhs ctcu hdn`haykrcglnhs ”
cnr jbtuocl ycl` jurcl` ctcu obrdbonacl
?) Gblbltujcl iblns jbdcgnl ocyn
=. [rngbstbr Jbtn`c
c. Gbl`nkbltnfnjcsn dhjcsn iclnl
o. Gbycjnljcl jbgctncl kcdcg rcang
m. Gbl`hosbrvcsn jbacknrcl iclnl
k. Gbl`hosbrvcsn `brcjcl iclnl
b. Gbl`nkbltnfnjcsn jbtnkcjlhrgcdcl pcl``ud kcl utbrnlb scl` nou
sbdcgc gcsc jbacgndcl.
?. _HL[@BL
?.3 Ubl`brtncl
_hlt`bl ctcu _hblt`bl (knsngohdjcl kbl`cl _) ckcdca sbouca
sctuclpbl`ujurcl rckncsn nhl kn ukcrc (obrupc snlcr Q ctcu snlcr `cggc), ycl`
knlcgcnsbsucn kbl`cl lcgc fnsnjcwcl Ibrgcl Pndabdg _hlt`bl. _hlt`bl ckcdca
iugdcarckncsn ycl` knoutuajcl ultuj gbl`acltcrjcl guctcl phsntnf kcl lb`ctnf
kcrn 3 sctuclbdbjtrhstctnj guctcl dnstrnj kcdcg 3 mg½ ukcrc pckc suau kcl tbjclcl
stclkcr. Nln sbtcrckbl`cl
s btcrckbl`cl upcyc ultuj gbl`acsndjcl sbjntcr ?.51Ð35\> pc
pcsc
scl`
l`
nhl.Kcdcg snstbg ]N, 3 _ 7 ?.21Ð35\∟; M/j`. Khsns 255 _ kcdcg 2 icg
obrocacycoc`n gclusnc. Kcdcg jbckccl ctghsfbr stclkcr (jbpckctcl ukcrc
~3.?>= j`/g½) kcl gbl``ulcjcl blbr`n nhlnscsn ukcrc =6.36 I/M, cjcl knkcpct 3
_ ≁ >.==5 g@y, ctcu 3@y ≁ 350.? _.
_hlt`bl kcl M[-]mcl ckcdca cdct pblkbtbjsn ycl` sukca tnkcj csnl` dc`n
knkulnc jbkhjtbrcl. [btcpn oc`n hrcl` cwcg ctcu ycl` obdug pbrlca gbl`blcd
cdct nlnoncsclyc ob`ntu gblkbl`cr dcl`sul` gbrcscjcl tcjut kcl jacwctnr.
Uckcacd cdct nlnscl`ct knpbrdujcl ultuj gblkbtbjsn pblycjnt ctcu jbdcnlcl pckc
knkbrntc pckc tuouajntc.
_hlt`bl obrcscd kcrn jctc _hblt`bl (Pndabdg _hblt`bl, sbhrcl`
khjtbrobrjbocl`sccl Ibrgcl) ycl` gblbgujcl suctu obltuj snlcr, hdba jcrblc
tnkc
tn kcj
j gbl`btcaun lcgclyc, gcjc nc gbgobrn lcgc snlcr Q, ycl` knjblcd kbl`cl
snlcr _hblt`bl. Lcgc snlcr rhblt`bl sblknrn, knusudjcl hdba sbhrcl`
clcthgnst ycl` tbrjblcdobrlcgc Jhddnjbr pckc tcaul 3>16. ]nlcr ycl` tnkcj
jbdnactcl nln gbgpulycnjbgcgpucl ultuj gblbgous sb`cdc gctbrncd ycl` kcpct
gblybrcp snlcr. ]nlcr _hblt`bl nln pbrtcgc jcdn knpbr`ulcjcl pckc kulnc
jbkhjtbrcl pckc tcl``cd
t cl``cd 1 Fborucrn31>6 kn sbouca
sbou ca jdnlnj kn jhtc Kcrtghuta,
Kcrt ghuta,
Gcsscmaussbts, Cgbrnjc ]brnjct.
]nfct oncsc snlcr Q obr`brcj dciu kcl durus. [nkcj ohdba Fhjus hdba jcltc
ctcu mbrgnl knpbshl` hdba gbkcl gc`lbt sbjntcr crca tbrtuiu ycl` kndcdunlyc.
]nfct jacs gblbgousn inrng pckct.
Jbscl onhdh`n snlcr Q obrtnlkcj kbl`cl tnsu ankup ycl` obrckc kcdcg
tuoua, pckc snlcr Q-rcy
Q-rc y kcpct gbdnltcsn hoybj ycl` rbdctnf tbocd tclpc
tclp c oclycj
knsbrcp ctcu tbrsbocr . Rltuj cdcscl nln snlcr-Q sbmcrc ducs kn`ulcjcl ultuj
`cgocr oc`ncl kcdcg hoybj vnsucd ourcg, icl`cl obrdbonacl kcdcg pbl``ulccl
snlcr Q pckc pbgbrnjsccl rhlt`bl.
=. MC_KN H[H
[H@_CUA
@_CUA ^ (M[
(M[@)
@)
=.3 Ubl`brtncl
Kndcjujcl ultuj gblndcn cpcjca ocyn gbrbsphl stngudus sbmcrc lhrgcd kcl
cpcjca ocyn gblbrngc mujup hjsn`bl. Rguglyc kndcjujcl pckc usnc jclkul`cl
Cdct Jcrknhthjh`rcfn (M[@) ctcu iu`c knsbout Fbtcd Ghlnthr ckcdca cdct ycl`
kn`ulcjcl ultuj gbgbrnjsc jhlknsn jbsbactcl iclnl. Ubgbrnjsccl uguglyc
kcpct kndcjujcl pckc usnc jbacgndcl 0-> oudcl kcl pckc scct pbrscdnlcl.
Ubgbrnjsccl M[@ knpbrhdba nlfhrgcsn obrupc sn`lcd nrcgc kblyut icltul` iclnl
(KII), `brcjcl iclnl kcl jhltrcjsn rcang. Ubgbrnjsccl kbl`cl M[@ scl`ct
Nou pbrhjhj.
Nou obrusnc dcliut.
Dcnl-dcnl 9 snmjdb mbdd, pblycjnt jhdc`bl, clbgnc, pblycjnt `nlicd,
pblycjnt pcru, pblycjnt
pbl ycjnt icltul`, kcl pblycjnt tnrhnk.
o. Iclnl
Ubrtugouacl iclnl tbracgoct (UI[)
@brcjcl iclnl obrjurcl`
]uspbj dndntcl tcdn pusct
Crntgnc, orcknjcrkn, ctcu tcjnjcrkn iclnl
Ankrhps fbtcdns
Jbdcnlcl prbsbltcsn, tbrgcsuj pcsmc vbrsn ducr.
Gbjhlbug kcdcg mcnrcl jbtuocl
_nwcyct dcanr gctn
Jbacgndcl `clkc
Kcl dcnl-dcnl
c. Urhsbkur 9
3) Ubrsbtuiucl tnlkcj gbknj (Nlfhrgbk Mhlsblt) 9 gblibdcsjcl nlknjcsn, mcrc
pbgbrnjsccl kcl jbgul`jnlcl
j bgul`jnlcl acsnd ycl` cjcl knkcpct. Ubrsbtuiucl tnlkcj
gbknj nln kndcjujcl hdba khjtbr pblcl``ul` icwco pcsnbl (mujup
pbrsbtuiucl dnscl).
?) Jhshl`jcl jclkul` jblmnl`.
=) Ubrnjsc jbsckcrcl kcl tclkc vntcd nou.
;) Nou tnkur tbrdbltcl`, ondc ckc tclkc-tclkc nlsufnsnblsn utbrh-pdcsbltbr ctcu
`cwct iclnl, nou tnkur gnrnl` jb jnrn kcl knobrn hjsn`bl ; dntbr / gblnt.
2) Dcjujcl pbgbrnjsccl Dbhphdk ultuj gblbltujcl dbtcj, prbsbltcsn kcl
puljtug gcjsngug KII.
6) Antul` KII sbdcgc sctu gblnt: ondc ckc ans, knantul` sbobdug kcl sb`brc
sbtbdca jhltrcjsn obrcjanr..
0) Ucscl` trclskusbr ultuj thjhgbtrn kn kcbrca fulkus utbrn kcl KII kn
kcbrca puljtug gcjsngug.
1) ]btbdca trclskusbr tbrpcscl` ocnj, obrn tcau nou ondc iclnl tbrcsc obr`brcj,
pblmbt obd ycl` tbdca knsbkncjcl kcl antul` obrcpc `brcjcl ocyn ycl`
knrcscjcl hdba nou sbdcgc pbrbjcgcl J[@.
>) Ankupjcl jhgputbr kcl Jcrknhthjh`rcf.
35) Dcgc pbrbjcgcl ckcdca =5 gblnt (tbr`cltul` jbckccl iclnl kcl acsnd
ycl` nl`nl knmcpcn).
33) Dcjujcl khjugbltcsn kctc pckc knsjbt jhgputbr (kctc ultuj rugca scjnt).
3?) Gctnjcl jhgputbr kcl gbsnl jcrknhthjh`rcf. Obrsnajcl kcl rcpnjcl
jbgocdn
3=) Obrn tcau pckc pcsnbl ocawc pbgbrnjsccl tbdca sbdbscn.
3;) Obrnjcl acsnd rbjcgcl J[@ jbpckc khjtbr pblcl``ul` icwco ctcu
pcrcgbknj gbgocltu gbgocmcjcl acsn nltbrprbtcsn jhgputbr sbmcrc
dbl`jcp jbpckc khjtbr.
32) Ucrcgbknj (onkcl) kndcrcl` gbgobrnjcl nltbrprbtcsn acsnd mt` jbpckc
pcsnbl.
;. DCUC_H]JHUN
;.3 Ubl`brtncl
Dcpcrcsjhpn ckcdca suctu tnlkcjcl obkca gnlngcd ycl` uguglyc
kntuiujcl ultuj gbl`urcl`n rbsnjh ycl` knkcpctjcl pckc hpbrcsn obscr. Urhsbs
pblybgouacl kbl`cl dcpcrhsjhpn icua dbona mbpct knoclknl`jcl kbl`cl hpbrcsn
obscr. Uckc jcsus jclkul`cl dcpcrhsjhpn kndcjujcl kbl`cl gbl``ulcjcl
tbrhphl` ycl` kngcsujjcl jbkcdcg dujc scyctcl jbmnd obrujurcl 5.2-3 mg kn
puscr kcl oc`ncl ocwca pbrut.
p brut.
Dcpcrhsjhpn ckcdca sbouca prhsbkur pbgobkcacl gnlngcddy nlvcsnvb
kbl`cl gbgcsujjcl `cs MH? jb kcdcg rhl``c pbrnthlbug ultuj gbgouct rucl`
cltcrc knlknl` kbpcl pbrut kcl hr`cl vnsmbrc, sbanl``c gbgobrnjcl cjsbs
blkhsjhpn jb kcdcg rhl``c pbrnthlbug tbrsbout.
Clbstbsn sbmcrc ugug crtnlyc suctu tnlkcjcl gbl`andcl`jcl rcsc scjnt
jbtnjc gbdcjujcl pbgobkcacl kcl obroc`cn prhsbkur dcnllyc ycl` gblngoudjcl
rcsc scjnt pckc tuoua.
c. Dcpcrhsjhpn Knc`lhstnj
Jbtnjc tbs dcnl tnkcj kcpct gblybkncjcl kctc ycl` mujup ultuj jboutuacl
knc`lhsns, dcpcrhsjhpn kcpct gblybkncjcl kctc ycl` knpbrdujcl kbl`cl rnlmn. [bs
nln iu`c kcpct kndcjujcl ultuj gbl`cgond onhpsn.
3. usus oultu
?. jclkul` bgpbku
=. actn
;. pcljrbcs
2. usus jbmnd kcl obscr
6. dngpc
0. pbrut
1. hr`cl pcl``ud ctcu rbprhkujsn
3. scjnt pbrut
?. gcssc pbrut ctcu tughr
=. mcnrcl kcdcg rhl``c pbrut
;. scjnt actn
2. bfbjtnvntcs pbl`hoctcl tbrtbltu
6. pbrjbgocl`cl jcljbr
jcljb r
_nsnjh nlfbjsn kcpct tbrickn. Clkc gul`jnl cjcl knobrnjcl cltnonhtnj ultuj
gblmb`ca jhgpdnjcsn tbrickn. Dcpcrhsjhpn knc`lhstnj gul`jnl kndcjujcl injc
usus Clkc gbgobl`jcj, tbrkcpct mcnrcl kn pbrut (csmntbs), ctcu Clkc pbrlca
gbdcjujcl hpbrcsn sbobduglyc.
Urhsbs
Khjtbr gul`jnl cjcl gbgnltc Clkc ultuj tnkcj gbl`hlsugsn cpc pul 1
icg sbobdug tbs. Khjtbr iu`c cjcl gbgnltc Clkc ultuj obrabltn gnlug hoct
tbrtbltu, tbrgcsuj hoct pbrbkc lybrn sbobdug tbs kndcjujcl. Clkc tnkcj ohdba
gbl``cltn ctcu gbl`hlsugsn hoct tclpc sbnznl khjtbr. Njutn scrcl kcrn khjtbr
kbl`cl oblcr.
Dcpcrhsjhpn knc`lhstnj kcpct kndcjujcl kn rugca scjnt ctcu pusct obkca ycl`
gbgndnjn pbrcdctcl gbgckcn. Urhsbkur nln gbgoutuajcl onus thtcd, ycl` obrcrtn
pcsnbl cjcl tbrtnkur kcl tnkcj
t nkcj gbrcscjcl scjnt sbdcgc
sbdc gc prhsbkur.
Clkc kcpct pudcl` pckc acrn ycl` scgc sbtbdca hpbrcsn. Khjtbr cjcl
gbgobrn tcau Clkc tbltcl` cpc acsnd dcpcrhsjhpn kcl gblknsjusnjcl pbl`hoctcl
ycl` tbpct ultuj Clkc. Clkc ohdba obrnstnrcact sbdcgc sctu scgpcn kuc acrn.
Clkc iu`c ohdba gbl`hlsugsn hoct pbrbkc rcsc scjnt injc Clkc
gbgoutuajcllyc. Hdcarc`c tbrctur cjcl gbgocltu Clkc jbgocdn gbdcjujcl
cjtnvntcs lhrgcd sb`brc. ]bobdug Clkc gudcn obrhdcarc`c, gnltcdca scrcl tng
jbsbactcl ctcu khjtbr.
;.? Jhgpdnjcsn
3. [brdbtcj kn puscr.
?. Jnrc-jnrc dbtcjlyc ?-; mg kcrn tudcl` kckc (cltcrc kckc kcl puscr)
sbdbocr 2-35 gg.
=. Knpcscl` kn pbrtbl`cacl trhmcr jbkuc c`cj jb sbobdca jclcl (kn
ocwca tudcl` n`c), sbdbocr
sbdboc r ?-= ctcu 2 gg.
;. Jbbgpct, ondcgclc knpbrdujcl, cjcl knpcscl` kn sbobdca jclcl
ocwca, sbdbocr 2 gg.
Gbdcdun trhmcr nlndca cdct-cdct, kngcsujjcl kcl kn`brcjjcl. [rhmcr
pbrtcgc obrful`sn sboc`cn ‑gctc„ khjtbr, ycntu tbgpct kngcsujjcllyc jcgbrc.
]bgbltcrc ntu, trhmcr jbkuc scgpcn jbbgpct gbrupcjcl trhmcr jbric.