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Mklfmr`m cb
Qlcljleàm
[motimel Eû`bz Lrtiz
[motimel Eû`bz Fmku
Fmkuocl
ocl
Glsé @moubj Lemjjm ^lcràeubz
Motloil Gbs÷s Wmjmkmào Vikuým
©BCIKIÛO
MKLFM^@M CI[S^INRKIÛO [.M.
[. M.
©CI^BKKIÛO Y KLL^CIOMKIÛO
Bcemr Mnmrkm Jmkhéo
©MRSL^B[
Bcemr Mnmrkm Jmkhéo
[mrm Mpmrikil Emrkàm
Frmokiskl ^uiz Elozíjbz
©CI[BÝL Y @M]RBSMKIÛO
[breierák
M[I[SBOKI M SÉKOIKM
M[I[SBOKIM
M Kmr`bo Nmu, Cirbktlrm
Cirbk tlrm Sékoikm cb Mklfmr`m
QVF7 ;1₪
"]ubcm rieurlsm`botb prlhinicm, sio jm mutlrizmkiûo cbj titujmr cbj Klpyrieht, nmgl
jms smokilobs bstmnjbkicms
bstmnjb kicms plr jby, jm rbprlcukkiûo pmrkimj l tltmj cb bstm lnrm plr
kumjquibr `bcil l prlkbci`ibotl, kl`prbocicls jm rbprlermfàm y bj trmtm`ibotl
ioflr`ítikl y jm cistrinukiûo cb bgb`pjmrbs cb bjjm `bcimotb mjquijbr l préstm`l
p÷njikls."
© jls mutlrbs
© Mklfmr`m Cistrinukiûo [.M.
K/Jjlnrbemt, >1. Qlje. [motm @mremritm
18>>; Sbrrmssm (Nmrkbjlom)
Sbj. 9; 5;6 11 88
3
Mutlrbs
MRSL^B[
Qrlfbslr kljmnlrmclr
Roivbrsicmc cb @ístbr y Qlstermcl cbj Cbpmrtm`botl
cb Nmrkbjlom. Cbpmr tm`botl cb plcljleàm.
Clktlr bo plcljleàm.
Clktlr bo plcljleàm.
2
6
Àocikb
Qrbsbotmkiûo ........................................................................................................9
Qrûjlel .............................................................................................................. =;
Iotrlcukki
Iotrlc ukkiûo
ûo ....................................................................................................... =5
Flr`ms fmr`mkéutikms
fm r`mkéutikms bo flr`ujmkiûo plcljûeikm ......
............
............
............
............
............
............>=
......>=
Jm flr`ujmkiûo
flr `ujmkiûo `meistrmj bo bj
b j í`nitl plcljûeikl
p lcljûeikl ......
............
............
............
............
............
............32
......32
Fûr`ujmss `meistr
Fûr`ujm `meistrmjbs
mjbs bo loikl
loiklkriptl
kriptlsis
sis .........................................................=1=
......................................................... =1=
5
Fûr`ujms `meistrmjbs pmrm cbr`mtl`iklsis hipbrqubrmtûsikms
hipbrqubr mtûsikms ................
....................
.... >=
>=;;
Fûr`ujms `meistrmjbs
`meistrm jbs pmrm pslrimsis cbj pib ......
............
............
............
............
............
............
............
........
..>29
>29
Fûr`ujms `meistrmjbs
`meistrmjb s pmrm
pm rm loikl`iklsis cistrûkms
cistrûk ms ......
............
............
............
............
............
........ ;=
;=;;
Fûr`ujmss `meistr
Fûr`ujm `meistrmjbs
mjbs pmrm ÷jkb
÷jkbrms
rms ................................................................ ;>=
Fûr`ujmss `meistr
Fûr`ujm `meistrmjbs
mjbs hb`ls
hb`lstítik
títikms
ms ..............................................................
..............................................................;32
;32
Ninjilermfàm .......................................................................................................;6;
8
Qrbsbotmkiûo
=1
Qrbsbotmkiûo
Jm flr`ujmkiûo
kubokim, `meistrmj
jl bs tm`niéo pmrmbsbjvitmj pmrm uo ermo
fmr `mkéutikl,
fmr`mkéutikl, o÷`brl
kuym `isiûocbbspmkibotbs y, kl`l klosb-
jm cb prlplrkilomr m bsls
pmkibotbs bj rb`bcil `ís icûobl pmrm jm pmtljleàm qub hm cimeolstikmcl bj `écikl.
Bo bstb sboticl, krbl qub bs klovboibotb cbstmkmr qub bj fmr`mkéutikl cbnb `irmr
mj futurl sio ljvicmr sus lràebobs, pbrl ol cbscb
cbsc b uom mktituc sboti`botmj siol cbscb
uom obkbsicmc smoitmrim tltmj`botb viebotb.
Qmrm jjbvmr m kmnl bstm tmrbm bstí kjmrl qub cbnbrb`ls tbobr jls klolki`ibotls y
`bcils obkbsmrils. Cbotrl cb jls `bcils, eurmo cb flr`m rbjbvmotb jls priokipils
mktivls, qub cbnbo bstmr m oubstrm cisplsikiûo klo jms emrmotàms
emr motàms cb purbzm y klosbr-
vmkiûo qub `mrkm jm jby, klokbptls qub slo tboicls bo kubotm cb flr`m prilritmrim
plr MKLFM^@M, b`prbsm cb y pmrm jls fmr`mkéutikls bo jm qub pri`m bj kritbril
smoitmril frbotb m kumjquibr ltrl y bo jm qub sus nbobkils rbvibrtbo cb flr`m cirbktm
b iocirbktm bo jm lkiom cb fmr`mkim.
Qmrm tbr`iomr,
tbr`iomr, vljvbr m cmr jms ermkims m bstls kl`pmýbrls qub klo su trmnmgl cb
rbklpijmkiûo y bxpbribokim pbrslomj hmo bjmnlrmcl bstb jinrl, fmkijitíoclols m jls
cb`ís oubstrl trmnmgl cimril.
==
Qrûjlel
Hly tbob`ls bj pjmkbr cb prljlemr uom `meoàkm lnrm, frutl cbj trmnmgl y cbj
klotioul bstucil cb sus mutlrbs, klolkbclrbs bo prlfuocicmc cb jm plcljleàm4
Bs plr bjjl qub bstm kloguokiûo ol pubcb cmr juemr `ís qub m bstb `mrmvijjlsl
jinrl, "@moumj cb flr`ujmkiûo cb `bcikm`botls
`bcikm `botls iocivicumjizmcls bo plcljleàm",
plcljleàm",
y bstm`ls sbeurls cb qub sbrí cb ermo utijicmc tmotl pmrm jls plcûjlels kl`l
pmrm jls prlpils fmr`mkéutikls.
Y bstl bs bo jl qub ols boklotrm`ls klo bstb jinrl, klo jm plsinijicmc cb cisplobr
cb bstb `bcikm`botl qub bs frutl cb jm flr`ujmkiûo `meistrmj.
=3
Qrûjlel
=2
Iotrlcukkiûo
Bj ;1 cb cikib`nrb cb >119 sb mprubnm jm Jby >8/>119 qub `lcikm jm cbj >6
cb guoil cb >116 cb emrmotàms y usl rmkilomj cb `bcikm`botls, mutlrizmocl mj
plcûjlel jm prbskripkiûo cb `bcikm`botls sugbtls m rbkbtm `écikm bo su í`nitl
prlfbsilomj.
=8
Iotrlcukkiûo
Jls mutlrbs
=9
Flr`ms
fmr`mkéutikms bo
flr`ujmkiûo
plcljûeikm
Jm cboikiûo kjísikm cb flr`m fmr`mkéutikm bs jm "`mobrm kl`l uo cbtbr`iomcl
priokipil mktivl
mk tivl (Q.M.)
(Q.M.) l priokipils
priokip ils mktivls bs l slo mklocikilomcls
mklocik ilomcls bo uo vbhàkujl
klokrbtl bo fuokiûo cbj usl tbrmpéutikl y bj `lcl cb mpjikmkiûo qub quibrb
círsbjb".
• Kl`pri`icls
• Ioybktmnjbs
• [uplsitlrils
• Ebj tûpikl
Qlr ltrm pmrtb, bstío jls bxkipibotbs l tm`niéo jjm`mcls vbhàkujls. Vljvibocl
mj bgb`pjl motbrilr boklotrmràm`ls7
• Jls kl`pri`icls tibobo kl`l bxkipibotb uom `bzkjm cb jmktlsm klo
k lo
mj`iclobs.
• Bj bxkipibotb cb jls ioybktmnjbs slo uom sljukiûo mkulsm klo mjklhlj
nbokàjikl.
• Jls suplsitlrils sb bjmnlrmo klo `bzkjms cb triejikéricls cb cifbrbotbs
íkicls ermsls.
• Bj bxkipibotb cbj ebj klotibob meum purifikmcm, vmsbjiom jàquicm y ebjifikmotb
ebjifikm otb
cb lriebo kbjujûsikl, botrb ltrls prlcuktls.
>>
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Kbotríoclols bo bj í`nitl cb jm plcljleàm y bo bj í`nitl cb jm flr`ujmkiûo
`meistrmj, jms flr`ms fmr`mkéutikms qub hb`ls utijizmcl jms plcb`ls merupmr
cb jm flr`m sieuibotb7
• [lnrbs.
• [ljukilobs tûpikms7 mkulsms, mjklhûjikms l hicrlmjklhûjikms cbpbocibocl
cb jm klokbotrmkiûo cb btmolj qub klotboemo.
• [b`isûjicls bo ebj7 mkulsls, mjklhûjikls l hicrlmjklhûjikls cbpbocibocl
cb jm klokbotrmkiûo cb btmolj qub klotboemo.
• [b`isûjicls bo b`ujsiûo7 krb`m nmsb Nbbjbr Nbb jbr,, krb`m nmsb Jmobttb,
uoeúbotl hicrûfijl, bxkipibotb
bxkipibotb b`ljibotb, jioi`botl ûjbl-kmjkírbl cbpbo-
cibocl cb jm prlplrkiûo ermsm qub klotboemo.
• [b`isûjicls bo pl`mcms (nmsb cb mnslrkiûo)7 vmsbjiom, vmsbjiom
`lcifikmcm.
• [uspbosilobs cb kljlcilobs y jmkm cb uýms.
• [b`isûjicls bo flr`m cb pmstm7 pmstm ljblsm (pmstm Jmssmr) l mkulsm
>;
FL^@M[ FM^@MKÉRSIKM[ CB R[L SÛQIKL
BO FL^@RJMKIÛO @MEI[S^MJ QLCLJÛEIK
QLCLJÛEIKMM
[lnrbs
[lo flr`ms fmr`mkéutikms sûjicms klosistbotbs bo uol l `ís priokipils mktivls
bovmsmcls cb `mobrm uoitmrim bo uo slplrtb qub pubcb sbr cb tipl kbjujûsikl
(pmpbj) l pjístikl (nljsitms). Jm vàm cb mc`ioistrmkiûo pubcb sbr lrmj l tûpikm4 bo
plcljleàm sb subjb utijizmr sûjl jm vàm tûpikm.
Mklocikil
Mkloc ikilom`i
om`ibotl
botl [b rbkl`ibocm
klo bovmsmr
tmpûo prbkiotmcl jls rbseumrcmrjls
pmrm slnrbs bo uo tmrrl
cb jm
hu`bcmc.
Qriokipils mktivls `ís Olr`mj`botb motiséptikls cb usl tûpikl.
frbkubotbs bo plcljleàm
Qriokipil/s mktivl/s bo CKI, btk., btk., btk., btk., btk.., btk., btk., btk.
erm`ls plr slnrb
Qmrm uo slnrb o.· X (X0Kmoticmc tltmj cb slnrbs)
s lnrbs)
>3
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Kl`l plr bgb`pjl7
Qbr`moemom
Qbr`m oemomtl
tl pltí
pltísikl
sikl 1,==%
1,
Qmrm = slnrb o.· >1
[ljukilobs tûpikms
Jms sljukilobs cb mpjikmkiûo
m pjikmkiûo tûpikm slo sljukilobs vbrcmcbrms, bs cbkir, mqubjjms
mqubjjms bo
jms qub jls priokipils mktivls (Q.M.) sb `bzkjmo hl`leéobm`botb bo jls sljvbotbs
pmrm cmr uo mspbktl jà`picl y trmospmrbotb.
Bo kmcm uom cb jms fûr`ujms prlpubstms sb hmo bstmnjbkicl jms sljunijicmcbs cb jls
Q.M. qub mpmrbkbo. Mj omj cb bstb kmpàtujl boklotrmrí uom tmnjm ioflr`mtivm klo jm
sljunijicmc cb jls Q.M. qub sbrío cbsmrrljjmcls bo bstm euàm.
Jjm`m`ls prbsbotb
bokubotrm klokbotrmkiûo cb Q.M.
plr uoicmc cbbo uom sljukiûo
sljukiûo, m jm kmoticmc
olr`mj`botb bo `jcb bstbJms
l kk. Q.M. qub sb
uoicmcbs
bo qub pubcbo bxprbsmrsb slo vmrims7 plrkbotmgb, `ljmricmc, bquivmjbotbs, btk.
>2
Cb flr`m príktikm y cb mkubrcl klo jls cisljvbotbs utijizmcls jms sljukilobs sb
kjmsikmo bo mkulsms, mjklhûjikms,
m jklhûjikms, hicrlmjklhûjikms, ljblsms, bxtrmktivms, btk.
Cbscb bj puotl cb vistm cb jm plcljleàm jms `ís i`plrtmotbs slo7
[ljukilobs mkulsms
Meum puri
p urifik
fikmcm.
mcm. Bs uo cisljvb
ci sljvbotb
otb cb mjtm
m jtm
Vbhàkujl
Vbhàku jl pljmricmc y, plr tmotl, `uy sbosinjb m qub
jls priokipils mktivls sb lxicbo, hicrljikbo l
sufrmo prlkbsls cb cbermcmkiûo.
Mklociki
Mkloc ikilom`
lom`ibo
ibotl
tl [b rbkl`ibocm bovmsmr frmskls tlpmkils
kbrrmcls hbr`étikm`botb.
[ljukilobs hicrlmjklhûjikms
@bzkjms cb btmolj y meum. ^bklrcb`ls
qub jms sljukilobs mjklhûjikms (btmolj 96±)
slo `uy sbkmotbs cb jm pibj, jl qub pubcb
Vbhàkujl
Vbhàku jl lnstmkujizmrr jm mnslrkiûo cb `ukhls
lnstmkujizm `uk hls Q.M.
Q.M.
SSm`ni
m`niéo
éo hmy
hm y qub cbstm
c bstmkmr
kmr qub
qu b bj btmolj
bt molj cb
51± tibob `mylr plcbr cb cbsiofbkkiûo qub
bj cb 96±.
Mklociki
Mklo cikilom
lom`ibo
`ibotl
tl [b rbkl`ibocm bovmsmr frmskls tlpmkils
kbrrmcls hbr`étikm`botb.
>6
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Jm prbskripkiûo icbmj cb uom fûr`ujm `meistrmj bo sljukiûo cbnbràm rbbgmr bj tipl
cb sljvbotb cb jm `is`m, sibocl uom sljukiûo mkulsm,
mkulsm , mjklhûjikm l hicrlmjklhûjikm
(rbbgmocl jm klokbotrmkiûo cb meum y/ y/l
l mjklhlj). Hmy qub pbosmr qub bj meum
fmkijitm jm hicrmtmkiûo cb jm pibj y bj btmolj su cbshicrmtmkiûo (sbkmr).
Qlr tmotl, jls ebjbs ol tibobo omcm bo kl`÷o klo ltrls sb`isûjicls qub slo
nmsbs klo jàpicls l `bzkjms bstmnjbs (b`ujsilobs) cb jàpicls y meum, rmzûo plr
jm qub prbsbotmo vbotmgms b ioklovboibotbs rbspbktl m jls cb`ís sb`isûjicls.
>5
Jls ioklovboibotbs bstío bo7
• Sbocbokim mj rbsbkm`ibotl
rbsbk m`ibotl kl`l klosbkubokim cb su omturmjbzm iotbrom
si`ijmr m jms sljukilobs. Ltrls sb`isûjicls kl`l jms b`ujsilobs, klo
klotboicl ermsl, sbrío bo priokipil `ís mcbkumcms pmrm hicrmtmr. [io
b`nmrel,
hu`bktmotbs`ukhls ebjifikmotbs
y kibrtms clsis cbmktumjbs pbr`itboklo
mktivls ermsls, jm ioklrplrmkiûo cb
jl qub bj rbsbkm-
`ibotl bs iofbrilr
iofbr ilr..
• Qrbsbokim frbkubotb cb iokl`pmtinijicmcbs. Ol sûjl botrb jls priokipils
mktivls iokjuicls bo jm flr`ujmkiûo (ieumj qub bo jms sljukilobs) siol botrb
jls priokipils mktivls y jls ebjifikmotbs.
• Kl`pmríocljl klo jms b`ujsilobs, plr jl ebobrmj pubcbo klotbobr uo
o÷`brl `bolr cb priokipils mktivls y jms klokbotrmkilobs cb jls `is`ls
mjel `bolr
`bo lr..
n) Mkkiûo tbrmpéutikm7
• Mkulsls.
• Hicrlmjklhûjikl.
k) Klosistbokim7
• Fjuicm.
• Klosistbotb.
Qmrm jm flr`ujmkiûo `meistrmj plcljûeikm, jls qub prbsbotmo `mylr iotbrés slo jls
ebjbs klosistbotbs hicrlmjklhûjikls cb lriebo sb`isiotétikl (fuocm`botmj`botb
cb kmrnlplj) y jls ebjbs klosistbotbs mkulsls cb lriebo siotétikl (fuocm`botmj-
`botb mkràjikls tipl [bpiebj).
>8
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Ebj klosistbotb hicrlmjklhûjikl cb lriebo siotétikl
Vbhàkujl
Vbhàku jl Ebj klosistbotb olr`mj`botb ol trmosj÷kicl.
Mklociki
Mklo cikilom
lom`ibo
`ibotl
tl [b rbkl`ibocm bovmsmr tunls kbrrmcls
hbr`étikm`botb.
Mklociki
Mklo cikilom`
lom`ibotl
ibotl [b rbkl`ibocm bovmsmr tunls kbrrmcls
hbr`étikm`botb.
Qriokipils mktivls `ís Olr`mj`botb motiiofbkkilsls.
frbkubotbs bo plcljleàm
>9
Qmrm qub sb prlcuzkm bstm iotbrplsikiûo bstmnjb cb uom fmsb bo jm ltrm slo
i`prbskiocinjbs vmrils fmktlrbs7
• Mpjikmkiûo
Mpjikmkiû o cb bobreàm.
bob reàm. Bstm sbrí `bkíoikm l `moumj sbe÷o
sb e÷o jms obkbsi-
ob kbsi-
cmcbs cbj kmsl.
• Qrbsbokim cb b`ujebotbs (tbosilmktivls). Bstls slo prlcuktls klo mfioi-
cmc plr jms cls fmsbs y qub situmcls bo jm iotbrfmsb,
iotbrfms b, botrb meum y mkbitb,
cis`iouybo jm tbosiûo iotbrfmkimj, pbr`itibocl jm iotbrplsikiûo cb m`nms
y bstmnijizmocl cikhm iotbrplsikiûo.
• Mcbkumcm sbjbkkiûo
sbjb kkiûo cb kl`plobotbs cb jms fmsbs
fm sbs ljblsm y mkulsm,
mkulsm , msà
kl`l cbj b`ujebotb klrrbsplocibotb y bj `étlcl cb trmnmgl m mpjikmr.
Qlr jl tmotl, sbrí bj b`ujebotb utijizmcl cb mkubrcl klo uom prlplrkiûo cb jms
fmsbs mcbkumcms bj qub cbtbr`iomrí qub jm b`ujsiûo rbstmotb sbm L/U l U/L.
B`ujsilobs U/L
Olr`mj`botb slo b`ujsilobs klo uo mjtl klotboicl bo fmsb ermsm qub mpjikmcms
slnrb jm pibj prlcukbo uom sbosmkiûo cb prlcuktl ermsl. Cbscb bj puotl cb vistm
plcljûeikl prbsbotmo plkl iotbrés tbrmpéutikl plrqub, muo kumocl bs vbrcmc
qub flr`mo uom pbjàkujm jipàcikm uoiflr`b hicrlrrbpbjbotb, ol prbsbotmo `ukhl
`ís plcbr hicrmtmotb qub jms b`ujsilobs L/U kls`étikm`botb `ís mermcmnjbs.
Vbhàkujl
Vbhàk ujl Jioi`botl ûjbl-kmjkírbl
Qlcb`ls boklotrmrjl cbskritl bo cifbrbotbs
flr`ujmrils. Olsltrls mklosbgm`ls jms
Bjmnlrmkiûo flr`ujmkilobs qub ol utijikbo bj mkbitb cb jiomzm
(plsinijicmc cb bormokimrsb) y sà utijikbo bj íkicl
ljbikl kl`l tbosilmktivls.
Klotrlj prlcuktl fiomj Klotrljmr qub jm b`ujsiûo flr`mcm bs bstmnjb.
Mklociki
Mklo cikilom`
lom`ibotl
ibotl [b rbkl`ibocm bovmsmr frmskls kbrrmcls
hbr`étikm`botb.
Qriokipils mktivls `ís Olr`mj`botb prlcuktls sbkmotbs, motiniûtikls,
frbkubotbs bo plcljleàm motif÷oeikls y klrtiklicbs.
;1
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
B`ujsilobs L/U
Jms b`ujsilobs L/U slo jls sb`isûjicls `ís m`pjim`botb prbskritls. Sibobo
uo klotboicl ermsl `lcbrmcl y uo klotboicl mkulsl `mylritmril.
`mylritmril. Klobrbo uom
sbosmkiûo cb frbsklr qub jms hmkb `ís mcbkumcms
mcbkumcm s bo pmtljleàms rbmktivms y slo
kls`étikm`botb `ukhl `ís mermcmnjbs qub jms b`ujsilobs U/L.
Jms b`ujsilobs L/U
L/ U sb kjmsikmo bo fuokiûo cbj tipl cb b`ujebotb qub jms flr`m7
• B`ujsilobs moiûoikms7 jlkiûo Jmobttb, krb`m nmsb Nbbjbr, krb`m Nritish
Qhmr`mklpbm, krb`m nmsb Jmobttb, uoeúbotl hicrûfijl, btk.
• B`ujsilobs ol iûoikms7 jlkiûo Oblpkj, krb`m Oblpkj, krb`m nmsb =1==,
=1==, btk.
• B`ujsilobs ejukàcikms l si`ijmrbs.
Hmy qub mcvbrtir, sio b`nmrel, qub bxistb uom ermo m`pjituc cb b`ujsilobs L/U
L/ U
klo uo klotboicl ermsl qub cibrb `ukhl cb uoms m ltrms y qub bob o su kloguotl
lfrbkbo uo ermo mnmoikl cb lpkilobs tbrmpéutikms.
Qlr oubstrm bxpbribokim, jms b`ujsilobs `ís iotbrésmotbs y bkmkbs bo
b o bj í`nitl
plcljûeikl slo7
Jlkiûo Jmobttb
Vbhàkujl
Vbhàku jl Jlkiûo Jmobttb L/U.
Qrbsbotm uom klosistbokim cb b`ujsiûo fjuicm cmcl
Bjmnlrmkiûo su plkl klotboicl bo `mtbrim ermsm (2-=1%
(2-=1%).). Bs
icûobm pmrm bj trmtm`ibotl cb ermocbs supbrfikibs l
zloms ji`itmcms `mkbrmcms.
Klotrlj prlcuktl fiomj Klotrljmr qub jm b`ujsiûo flr`mcm bs bstmnjb.
Mklociki
Mklo cikilom`
lom`ibotl
ibotl [b rbkl`ibocm bovmsmr frmskl l tunls kbrrmcls
hbr`étikm`botb.
Qriokipils mktivls `ís Olr`mj`botb prlcuktls mstrioebotbs, hicrmtmotbs,
frbkubotbs bo plcljleàm motiiofbkkilsls y klrtiklicbs.
Nmsb Jmobttb
Vbhàkujl
Vbhàku jl Krb`m nmsb Jmobttb L/U
Qrbsbotm uom klosistbokim cb b`ujsiûo klosistbotb
Bjmnlrmkiûo cmcl su klotboicl bob o `mtbrim ermsm `bcil (;2-31%)
(;2 -31%)..
Bs icûobm pmrm bj trmtm`ibotl cb pmtljleàms sbkms.
Klotrlj prlcuktl fiomj Klotrljmr qub jm b`ujsiûo flr`mcm bs bstmnjb.
Mklocikil
Mkloc ikilom`i
om`ibotl
botl [b rbkl`ibocm bovmsmr frmskls l tunls kbrrmcls
hbr`étikm`botb.
Qriokipils mktivls `ís Olr`mj`botb prlcuktls hicrmtmotbs, motiniûtikls,
frbkubotbs bo plcljleàm motif÷oeikls, klrtiklicbs, qubrmtljàtikls,
motipslriísikls, btk.
;=
Bxkipibotb b`ljibotb
Vbhàkujl
Vbhàku jl Bxkipibotb b`ljibotb
Mklocikil
Mkloc ikilom`i
om`ibotl
botl [b rbkl`ibocm bovmsmr frmskls l tunls kbrrmcls
hbr`étikm`botb.
Roeúbotl hicrûjl
Vbhàkujl
Vbhàku jl Roeúbotl hicrûfijl
B`ujsiûo L/U klo uo klotboicl ermsl cbj
Bjmnlrmkiûo 21-22% icûobm pmrm pmtljleàms `uy sbkms
y zloms pmj`lpjmotmrbs.
Klotrlj prlcuktl fiomj Klotrljmr qub jm b`ujsiûo flr`mcm bs bstmnjb.
Mklociki
Mklo cikilom
lom`ibo
`ibotl
tl [b rbkl`ibocm bovmsmr frmskl l tunls
kbrrmcls hbr`étikm`botb.
;>
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
• Junrikicmc. Bj mplrtb jipàcikl flr`m uom pbjàkujm qub rbcukb mspbrbzms,
ruelsicmcbs, btk.
• ^ípicm kbsiûo cb priokipils
pr iokipils mktivls hicrûfijls.
hicrûfijls. Kl`l bs bj kmsl cb jls
motiniûtikls tûpikls l jls motif÷oeikls tûpikls.
Vbhàkujl
Vbhàku jl Vmsbjiom
Vmsbji om fijmotb
fi jmotb
Mklociki
Mklo cikilom`
lom`ibo
ibotl
tl [b rbkl`ibocm bovmsmr frmskls l tunls
hbr`étikm`botb kbrrmcls.
[uspbosilobs
Botbocb`ls plr
tm`mýl cb pmrtàkujm
pmr suspbosiûo
tàkujm supbrilr uom
1,=sljukiûo
m 1,= `ikrms) ol
sb vbrcmcbrm
vbrcmcb rm bo
bokubotrmo jm qub
suspb jls sljutls
suspbocicls
ocicls (cb
bo bj slj-
vbotb plr jm mkkiûo cb klsljvbotbs l sustmokims fmvlrbkbclrms cb jm suspbosiûo.
suspb osiûo.
;;
Bstb prlcuktl mpjikmcl rbpbticm`botb slnrb jm jí`iom uoeubmj pbr`itb uom mjtm
klokbotrmkiûo cb priokipils
pr iokipils mktivls (qub ol plcàm klosbeuirsb klo jm utijizmkiûo
kjísikm cb b`ujsilobs), cb flr`m qub sb klosieub uom pbobtrmkiûo prlerbsivm y
slstboicm cb jls priokipils mktivls bo jm jí`iom uoeubmj.
Vbhàkujl
Vbhàku jl Jmkm uoeubmj
Bs uo vbhàkujl `uy bstmnjb flr`mcl
plr `bzkjms cb cisljvbotbs lreíoikls y
Bjmnlrmkiûo pjmstifikmotbs. Jls Q.M. pubcbo boklotrmrsb
cisubjtls l suspbocicls klo uom mnslrkiûo
klotioum y slstboicm.
Klotrlj prlcuktl fiomj Klotrlj cb hl`lebobicmc.
[b rbkl`ibocm bovmsmr frmskls cb kristmj
Mklociki
Mkloc ikilom`
lom`ibo
ibotl
tl klo mpjikmclr tipl piokbj hbr`étikm`botb
kbrrmcls.
Qriokipils mktivls `ís Olr`mj`botbb motif÷oeikls y klrtiklicbs.
Olr`mj`bot klr tiklicbs.
frbkubotbs bo plcljleàm
Sm`niéo sb hm usmcl
usmc l kl`l vbhàkujl pmrm jm mc`ioistrmkiûo cb fír`mkls kumocl
kum ocl
sb rbquibrb uom mkkiûo jlkmj prljloemcm,
prljloemc m, ym qub lrieiom uom pbjàkujm qub `motibob
bo klotmktl curmotb nmstmotb tib`pl jls priokipils mktivls klo jm pibj, pbr`i-
tibocl jm mnslrkiûo cb jls `is`ls.
frbkubotbs
Qriokipils bo
mktivls
plcljleàm
`ís Olr`mj`botb qubrmtljàtikls,
vbsikmotbs. kitlstítikls,
;3
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Jls sb`isûjicls qub sb utijizmo pmrm flr`mr jms pmstms tibobo klosistbokims `uy
civbrsms (cbscb jlkilobs m pl`mcms kl`pmktms), pbrl tibobo bo kl`÷o qub mpjikmcms
slnrb jm pibj, mcb`ís cbj bfbktl
bfbk tl prlpil cbj sb`isûjicl, cbgmo uom pbjàkujm cb `mtbrimj
pujvbrujbotl qub bgbrkb uom fuokiûo prltbktlrm l nibo sbkmotb slnrb jm supbrkib
mpjikmcm.
Jm flr`ujmkiûo `ís kjísikm cb jms pmstms ljblsms bs jm pmstm Jmssmr. Vbhàkujl qub
tibob uo mjtl
vbhàkujl ermslklotboicl
jm mkkiûo cb ûxiclcbj
sbkmotb cb ûxicl
kiok, mýmcibocl
cb kiok. msà m jm mkkiûo prltbktlrm cbj
Bo jms pmstms mkulsms bj vbhàkujl qub olr`mj`botb sb utijizm bs uom sljukiûo cb meum
y pljiljbs qub fmkijitmo rbjmtivm`botb jm bxtbosiûo cb jm `mtbrim pujvbrujbotm, rbfrbskm
y cbsmpmrbkb klo rmpicbz.
Jm
cb pmstm mj meum
bstb erupl cbyvbhàkujls.
jm jlkiûo cb
Jmkmjm`iom
pmstm mj slo
meumjlstibob
rbprbsbotmotbs
uo klotboicl`ís
cbkmrmktbràstikls
ûxicl cb kiok
mj >2% y cb tmjkl mj >2% mkl`pmýmcl cb uom sljukiûo m pmrtbs ieumjbs cb meum y
ejikbriom. Bo km`nil, jm jlkiûo cb kmjm`iom bs `bols sbkmotb
sbk motb plrqub sûjl ioklrplrm
uo >1-;1% cb ûxicl cb kiok y kiok kmrnlomtl nísikl.
;2
Vbhàku
Vbhàkujl
jl Qmstm cb mz÷kmr
Bs uo vbhàkujl sb`isûjicl `uy bstmnjb klo uom
flr`ujmkiûo `mrkl kl`l bstm7
[mkmrlsm 66,6%
6 6,6%
Bjmnlrmkiûo Qljibtijboejiklj 311 ;;,;%
[ubjb ioklrplrmrsb meum lxiebomcm mj ;1% bo
klokbotrmkilobs
klokbotrmki lobs cbj 1,2-
1,2-==% kl`l klosbrvmotb.
klosb rvmotb.
Jls Q.M.
Q.M. pubcbo boklotrmrsb
b oklotrmrsb cispbrsls
cis pbrsls bo bj
sb`isûjicl.
Klotrlj prlcuktl fiomj Klotrlj cb hl`lebobicmc.
Mklociki
Mklo cikilom`
lom`ibo
ibotl
tl [b rbkl`ibocm bovmsmr bo tmrrl lpmkl klo
tmpûo prbkiotl.
Qriokipils mktivls `ís Olr`mj`botb motiniûtikls.
frbkubotbs bo plcljleàm
2-Fjulrlurmkijl - - Ci`btijsujfûxicl
(fjulrlurmkijl)
Mkbi tb cb pmrmfi
Mkbitb pm rmfiom
om
(pmrmfiom jàquicm, - - Mkbitbs
vmsbjiom jàquicm)
Mkbi tb cb sijik
Mkbitb si jiklom
lom - - Mkbitbs
(ci`btiklom ;21)
Mkbtlomm
Mkbtlo - +
Mkbtûo icl
Mkbtûoicl - ++
trim`kioljlom
Mbrlsijij (sàjikb
Mbrls (sà jikb kljl
kljlicmj
icmj)) - -
Íkicl mkéti
mkétikl
kl ++ +
(íkicl mkétikl ejmkimj)
;6
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Íkicl mkéti
mkétikl
kl ejmkim
ej mkimjj ++ +
(íkicl mkétikl)
Íkicl nûri
nûrikl
kl - ++
Íkicll féoikl
Íkic féoi kl (fbolj
(fb olj)) + ++
Íkicl jíkti
jíktikl
kl ++ ++
Íkicl smji
smjikàj
kàjikl
ikl - ++
Íkicl rbtiolikl - ++
(trbtiolàom)
Meum lxiebomcm
(pbrûxicl cb ++ +
hicrûebol)
Mjmotlàom ++ -
Mjlb vbrm ++ +
Mju`nrb kmjkiomcl
(mju`nrb pltísikl, -- +
mju`nrb pljvl)
Mju`nrb pljvl
(mju`nrb kmjkiomcl, -- +
mju`nrb pltísikl)
Mju`nrb pltísikl
(mju`nrb pljvl, -- +
mju`nrb kmjkiomcl)
;5
Qriokipil mktivl/ [ljunjb bo [ljunjb bo [ljunijicmc bo ltrls
Bxkipibotb meum purifikmcm mjklhlj btàjikl cisljvbotbs
Mju`ioikl pltísikl
sujfmtl
(mju`nrb pltísikl) -- +
M`loil jmktmtl + ++
(jmktmtl m`ûoikl)
Motrmjiom (citrmolj) - +
Mz÷kmr ejms
(mz÷kmr ejmsé, + --
smkmrlsm pujvbrizmcm)
Mz÷kmr ejmsé
(mz÷kmr ejms, smkmrlsm + --
pujvbrizmcm)
Nikmrnlomtl sûcikl ++ --
(slcil nikmrnlomtl)
Nis`utl sunoitrmtl -- +
(sunoitrmtl cb nis`utl)
Nrbm cb hujjm
smploiomcm - - Mkbitbs
(klmjtmr smploiomcl)
Kmjm`iom pljvl - +
(kmrnlomtl cb kiok)
Kmotmriciom -- - Mkbtlom
Kmrnm`icm (urbm) ++ --
Kmrnlomtl cb kiok -- +
(kmjm`iom pljvl)
Kikjlpirlx -- +
(kikjlpirlx ljm`iom)
Kikjlpirlx ljm`iom -- +
(kikjlpirlx)
;8
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
Kiok ûxicl -- +
(ûxicl cb kiok)
Kiok sujfmtl ++ -
(sujfmtl cb kiok)
Kjlnbtmslj
(ciprlpilomtl cb -- ++
kjlnbtmslj)
Kjlrm`iom S ++ --
(tlsijkjlrm`iom sûcikm)
Kjltri`mzlj -- ++
Kjlrurl cb mju`ioil
(kjlrurl cb mju`ioil ++ --
hbxmhicrmtmcl)
Kjlrurl cb mju`ioil
hbxmhicrmtmcl ++ --
(kjlrurl cb mju`ioil)
Klmjtmr smploiomcl
(nrbm cb hujjm - +
smploiomcm)
Klnrb sujfmtl ++ --
(sujfmtl cb klnrb)
Kjlrhicrûxicl cb - +
mju`ioil
Ciprlpilomtl cb -- ++
kjlnbtmslj (kjlnbtmslj)
Citrmolj (motrmjiom) - +
;9
Qriokipil mktivl/ [ljunjb bo [ljunjb bo [ljunijicmc bo ltrls
Bxkipibotb meum purifikmcm mjklhlj btàjikl cisljvbotbs
Cbxpmotbolj
(pmotbolj,N=2)
prlvitm`iom + +
Blsiom + ++
Fjulrlurmkijl -- -- Ci`btijsujfûxicl
(2-ulrlurmkijl)
Fuksiom nísikm + +
Ebotm`ikiom ++ --
(sujfmtl cb ebotm`ikiom)
Ejutmrmjcbhàcl ++ -
Dbtlklomzlj -- ++
Hicrlklrtislom -- +
Hicrûxicl pltísikl ++ -
(pltmsil hicrûxicl)
Ilcl (ylcl) -- +
Ilcurl pltísikl ++ --
(ylcurl pltísikl)
Jmktmtl sûcikl ++ +
(slcil jmktmtl)
Jmktmtl m`ûoikl ++ -
(m`loil jmktmtl)
@mkrlelj 311 + -
(pljibtijboejiklj 311)
31
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
@botlj -- ++
@btrloicmzlj - +
@iklomzlj -- ++
Oitrmtl cb pjmtm ++ --
Ûxicl cb kiok -- +
(kiok ûxicl)
Qmotbolj (cbxpmotbolj, + +
Qrlvitm`iom N=2)
Qmrmom jàquicm
(mkbitb cb pmrmom,
vmsbjiom jàquicm) -- -- Mkbitbs
Qmrmom njmocm
(vmsbjiom, vmsbjiom -- -- Mkbitbs
jmotb)
Qbrûxicl cb hicrûebol ++ -
(meum lxiebomcm)
Qlcljiol -- +
(rbsiom cb plcljiol)
Qbr`moemomtl
pltísikl (pltmsil ++ --
pbr`moemomtl)
Qljibtijboejiklj 311 + -
(@mkrlelj 311)
Qljislrnmtl 81 + +
(twbbo 81)
Qltmsil pbr`moemomtl
(pbr`moemomtl ++ --
pltísikl)
Qltmsil hicrûxicl ++ --
(hicrûxicl pltísikl)
3=
Qriokipil mktivl/ [ljunjb bo [ljunjb bo [ljunijicmc bo ltrls
Bxkipibotb meum purifikmcm mjklhlj btàjikl cisljvbotbs
Qrlpijboejiklj + +
Qrlvitm`iom N=2
(cbxpmotbolj, + +
pmotbolj)
^bsiom cb plcljiol - +
(plcljiol)
^bslrkiom (rbslrkiolj) ++ -
^bslrkiolj (rbslrkiom) ++ -
[mkmrlsm pujvbrizmcm
(mz÷kmr ejms, mz÷kmr + -
ejmsé)
[ljukiûo mkbtmtl cb + +
pjl`l
[ljukiûo cb
mkbtltmrmtl cb ++ -
mju`ioil
[ljukiûo kjlrurl
férrikl (sljukiûo cb ++ -
pbrkjlrurl cb hibrrl)
[ljukiûo
cb pbrkjlrurl
hibrrl (sljukiûo cb ++ -
kjlrurl férrikl)
[unoitrmtl cb nis`utl -- +
(nis`utl sunoitrmtl)
[ujfmtl mju`àoikl
pltísikl
(mju`nrb pltísikl, + -
mju`nrb pljvl,
mju`nrb kmjkiomcl)
[ujfmtl cb klnrb ++ -
(klnrb sujfmtl)
3>
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
[ujfmtl cb kiok ++ -
(kiok sujfmtl)
[ujfmtl cb ebotm`ikiom ++ --
(ebotm`ikiom)
SSmjkl
mjkl -- --
Si`lj - +
SSlsijkjlrm`iom
lsijkjlrm`iom sûcikm ++ -
(kjlrm`iom S)
Srbtiolàom
Srbtiolàom -- ++
(íkicl rbtiolikl)
Srim`kioljlom
Srim`kioljlom
mkbtûoicl (mkétloicl -- ++
cb trim`kioljlom)
Swbbo 81
Swbbo + +
(pljislrnmtl 81)
Rrbm (kmrnm`icm) ++ --
Vmsbjiom jàquicm
(pmrmom jàquicm, -- -- Mkbitbs
mkbitb cb pmrmom)
Vmsbjiomvmsbjiom
(vmsbjiom, jmotb -- -- Mkbitbs
njmocm)
Vmsbjiom
(vmsbjiom jmotb, -- -- Mkbitbs
vmsbjiom njmocm)
Vbrcb nrijjmotb + +
Ylcl
Ylcl (ilcl) - +
Ylcurl pltísikl
Ylcurl ++ -
(ilcurl pltísikl)
3;
Jm flr`ujmkiûo
¼]ué bs jmbopibj
`meistrmj bj
sbosinjb<
í`nitl plcljûeikl
Jm jby >9/>116, cb >6 cb gujil, cb emrmotàms y usl rmkilomj cb jls `bcikm`botls
y prlcuktls smoitmrils, bo su mrtàkujl 5, cbob jms fûr`ujms `meistrmjbs kl`l
"`bcikm`botls jbemj`botb rbklolkicls guotl m jms bspbkimjicmcbs fmr`mkéutikms
cb usl hu`mol y vbtbriomril bjmnlrmcms
b jmnlrmcms iocustrimj`botb"
iocus trimj`botb"..
Bj ^C =52/>11=
=52/>11= slnrb Olr`ms cb Klrrbktm
Klrrbk tm Bjmnlrmkiûo y Klotrlj cb Kmjicmc cb
jms Fûr`ujms @meistrmjbs y Qrbpmrmcls Lkiomjbs tibob kl`l lngbtl pbr`itir mj
fmr`mkéutikl emrmotizmr jm kmjicmc cb sus prbpmrmkilobs. Bo éj sb bstmnjbkb jms
klocikilobs ebobrmjbs `àoi`ms qub cbnb rbuoir bj pbrslomj, jls jlkmjbs, bj utijjmgb,
jm clku`botmkiûo, jms `mtbrims pri`ms utijizmcms, jls `mtbrimjbs cb mklocikil-
om`ibotl,
`meistrmjbsjmybjmnlrmkiûo,
prbpmrmclsbjlkiomjbs.
klotrlj cb kmjicmc, y jm cispbosmkiûo
cispbo smkiûo cb jms fûr`ujms
Bo bj `is`l ^bmj Cbkrbtl sb klotb`pjmo tlcls jls mspbktls qub iouybo cirbktm
l iocirbktm`botb bo jm kmjicmc cb jms prbpmrmkilobs qub sb rbmjizmo tmotl bo jms
lkioms cb fmr`mkim kl`l bo jls sbrvikils cb fmr`mkim hlspitmjmrim.
hlspitmjmr im. Msà `is`l, sb
bstmnjbkb qub kumocl jms lkioms cb fmr`mkim y sbrvikil cb fmr`mkim hlspitmjmrim
ol cisploemo cb jls `bcils obkbsmrils plcrío sljikitmr m ltrm boticmc, jbemj-
`botb mutlrizmcm pmrm tmj o plr jm mc`ioistrmkiûo smoitmrim kl`pbtbotb (fmr`mkim,
sbrvikil cb fmr`mkim u ltrms boticmcbs jbemj`botb mutlrizmcms), jm rbmjizmkiûo
cb uom l vmrims fmsbs cb jm bjmnlrmkiûo y/l klotrlj cb jms fûr`ujms `meistrmjbs.
Qlr tmotl, uom fûr`ujm `meistrmj tibob qub ku`pjir jms sieuibotbs prb`isms7
• @bcikm`botl cbstiomcl m uo pmkibotb iocivicumjizmcl.
• [ugbtl m rbkbtm `écikm.
• Bjmnlrmcl plr uo fmr`mkéutikl l nmgl su klotrlj.
• Bjmnlrmcl bo uom lfikiom cb fmr`mkim, sbrvikil cb fmr`mkim hlspitmjmrim
l uom boticmc mutlrizmcm bxprbsm`botb pmrm bjjl plr su mc`ioistrmkiûo
smoitmrim kl`pbtbotb.
• Ku`pjir klo jms olr`ms cb klrrbkt
klrrbktmm bjmnlrmkiûo ^C =52/>11=
=52/>11=..
• Ku`pjir klo jls klotrljbs
klotrljb s cb kmjicmc
km jicmc cbj ^C =52/>11=
=52/>11=..
• Klotbobr uo prlspbktl cb ioflr`mkiûo mj pmkibotb.
36
Jm flr`ujmkiûo `meistrmj
bo bj í`nitl plcljûeikl
• Bstmr klrrbktm`botb btiqubtmcl7 ol`nrb cbj pmkibotb y prbskriptlr, kl`-
plsikiûo, fbkhm cb bjmnlrmkiûo y kmcukicmc,
km cukicmc, vàm cb mc`ioistrmkiûo, cmtls
cb jm fmr`mkim cispbosmclrm.
• [br cispbosmcl bo uom lfikiom cb fmr`mkim l sbrvikil cb fmr`mkim
hlspitmjmrim.
M pmrtir
pmr tir cb bstms klosicbrmkilobs
k losicbrmkilobs plcb`ls klokjuir qub uom fûr`ujm `meistrmj
bs uo `bcikm`botl iocivicumjizmcl klo icéotikm sbeuricmc, bkmkim, klotrljbs cb
kmjicmc b ioflr`mkiûo mj pmkibotb kl`l kumjquibr ltrm bspbkimjicmc fmr`mkéutikm.
]ué cucm kmnb qub mktumj`botb slo `ukhms jms bspbkimjicmcbs fmr`mkéutikms
qub pubcb utijizmr bj plcûjlel y qub kunrbo
kunrb o jm `mylràm cb pmtljleàms klo jms qub
sb pubcb boklotrmr. Muo msà, jm fûr`ujm `meistrmj pubcb klostituir uo pijmr `uy
vmjilsl bo jm tbrmpim fmr`mkljûeikm plcljûeikm cimrim.
Jm flr`ujmkiûo `meistrmj tibob kl`l lngbtivl bsbokimj smjvmr jms jmeuoms tbrmpéu-
tikms cb jm iocustrim fmr`mkéutikm,
fmr`mkéutikm , iocivicumjizmocl jls trmtm`ibotls fmr`mkljûei-
kls. Botrb ltrls puotls cb iotbrés cb jm fûr`ujm
fûr `ujm `meistrmj sbýmjm`ls7
• Mcmptmkiûo cb jls bxkipibotbs m jm jbsiûo.
• Mslkimkiûo cb priokipils mktivls.
• Iotrlcukkiûo cb oubvls priokipils mktivls ol kl`brkimjizmcls.
• Kunrir jmeuoms tbrmpéutikms.
• Iocivicumjizmkiûo cb jls trmtm`ibotls.
• Qrbstieil cbj mktl prlfbsilomj.
35
M càm cb hly, jls priok
priokipils
ipils mktivls klo jls
j ls qub jbemj`
jbemj`botb
botb sb
s b pubcb
pub cb flr`ujmr
fl r`ujmr
slo mqubjjls qub prbsbotmo uom mkkiûo b iocikmkiûo rbklolkicm plr jm Mebokim
Bspmýljm cbj @bcikm`botl y Qrlcuktls [moitmrils (MB@Q[) pmrm jm pmtljleàm
qub sb cbsbm trmtmr.
Motb kumjqui
kumjquibr
br jbsiûo
jbsiûo cér`ikm hmy uols fmktlrbs qub tmotl bj plcûjl
plcûjlel
el prbskript
prbskriptlr
lr
kl`l bj fmr`mkéutikl bjmnlrmclr cbnbo klosicbrmr bo bj `l`botl cb flr`ujmr
uo `bcikm`botl7
• Bjbkkiûo cbj priokipil mktivl mcbkumcl.
• Bjbkkiûo cb jm flr`m fmr`mkéutikm klrrbktm.
• Bjbkkiûo cbj bxkipibotb mcbkumcl.
• Vmjlrmkiûo cb jls bfbktls kls`étikls y cbr`mtljûeikls
c br`mtljûeikls cbj bxkipibotb.
• Cbj klolki`ibotl y cbsmrrljjl cb kmcm uol cb bstls pmrí`btrls cbrivmrí
bj éxitl cbj trmtm`ibotl.
trmtm `ibotl.
Qljvls Bxkipibotb7
[ljukilobs hicrlmjklhûjikms @bols ermsl
[ljukilobs mkulsms @bolr lkjusiûo
Ebj hicrlmjklhûjikl Qmrm jbsilobs bxucmtivms
Ebj mkulsl
Krb`m ebj
Krb`m nmsb Nbbjbr
Krb`m nmsb Jmobttb Bxkipibotb7
Roeúbotl hicrûjl @ís ermsl
Vmsbjiom `lcikmcm @mylr lkjusiûo
Vmsbjiom Qmrm jbsilobs sbkms
Kljlcilobs
Jmkm cb uýms
38
Jm flr`ujmkiûo `meistrmj
bo bj í`nitl plcljûeikl
Bo lkmsilobs bj frmkmsl tbrmpéutikl rmcikm `ís bo uom `mjm bjbkkiûo cbj bxkipibotb
qub bo jm cb jls priokipils mktivls utijizmcls. Bs plr bjjl qub bo plcljleàm,
plcljleàm , mj ieumj
qub bo cbr`mtljleàm, kmcm tipl cb jbsiûo (meucm, sunmeucm, krûoikm, xbrûsikm, btk.)btk.)
prbkism uo vbhàkujl y/l
y/l uom flr`m fmr`mkéutikm bspbkàkm
b spbkàkm mslkimcm m uo priokipil
mktivl icûobl bo fuokiûo cb jm btiljleàm cb jm jbsiûo cimeolstikmcm. Cbj klolki`ibotl
y cbsmrrljjl cb m`nls pmrí`btrls cbrivmrí bj éxitl l frmkmsl cbj trmtm`ibotl.
Kl`l olr`m ebobrmj, plcràm`ls bstmnjbkbr jms klrrbjmkilobs botrb jls tipls cb
jbsilobs `ís kl`uobs bo plcljleàm y jms flr`ms fmr`mkéutikms
fmr `mkéutikms y/l vbhàkujls
vbhàkujls
qub cbnbràmo utijizmrsb7
39
Jm prbskripkiûo cb uom fûr`ujm `meistrmj hm cb bstmr olr`mjizmcm y sbr prbkism
m o cb bvitmr klofusilobs y prlnjb`ms m jm hlrm cb su bjmnlrmkiûo. Qlr bjjl
cbtmjjm`ls mjeuoms prb`isms y klosicbrmkilobs ebobrmjbs bsbokimjbs.
• Jls priokipils mktivls cb jms fûr`ujms `meistrmjbs hmo cb bskrinirsb bo
CKI (Cbol`iomkiûo
kitmcls bo bstm euàm Kl`÷o
ku`pjboIotbromkilomj).
bstm prb`ism.Slcls jls priokipils mktivls
• Jls priokipils mktivls pubcbo bxprbsmrsb bo vmjlrbs mnsljutls (`e,
e, `j, `ke, btk.) l bo vmjlrbs plrkbotumjbs (%, =/=111, =/=1.111). Bs
mklosbgmnjb, `ís sbeurl y bvitm klofusilobs flr`ujmr sib`prb bo vmjlrbs
plrkbotumjbs.
• [i sb `lcifikm jm kmoticmc tltmj fiomj cb uom fûr`ujm `meistrmj bxprb-
smcm bo vmjlrbs plrkbotumjbs ol vmràm jm klokbotrmkiûo cb sus priokipils
mktivls.
21
Jm flr`ujmkiûo `meistrmj
bo bj í`nitl plcljûeikl
pmrm = kípsujm
kíp sujm o.· 61
2=
• Bo jm euàm mpmrbkbo fûr`ujms `meistrmjbs klo bxkipibotbs eboérikls (plr
bgb`pjl bxkipibotb krb`m L/U, bxkipibotb ebj, bo bstls kmsls sbrí bj
fmr`mkéutikl bo fuokiûo cb pmrí`btrls emjéoikls bj qub bjigm bj tipl cb
krb`m (krb`m nmsb Nbbjbr, krb`m nmsb Jmobttb,
Jmobt tb, btk.)
btk.) l cb ebj (kbjujûsikl,
hicrlmjklhûjikl, sijikûoikl, btk.)
btk.)..
• Jms kmoticmcbs fiomjbs
fiomjb s cb jms fûr`ujms qub sb cbtmjjmo slo lribotmtivms y
bs bj plcûjlel bo fuokiûo cb jm bxtbosiûo cb jms jbsilobs y curmkiûo cbj
trmtm`ibotl quibo jms cbtbr`iob.
• Jm fûr`ujm `meistrmj bs uo fír`mkl pltbokimj`botb mnibrtl y bj plcûjlel
p lcûjlel
bo fuokiûo cb jms obkbsicmcbs tbrmpéutikms, kmrmktbràstikms cb jm jbsiûo
y cbj pmkibotb, uoicl m sus klolki`ibotls fmr`mkltbrmpéutikls, plcrí
iokjuir l bxkjuir priokipils mktivls, msà kl`l `lcifikmr jms klokbotrmkilobs
klokb otrmkilobs
cb jls `is`ls.
2>
Flr`ujmkilobs
¼]ué bs jm pibj
`meistrmjbs bo
sbosinjb<
plcljleàm
Fûr`ujms
`meistrmjbs
Ltljleàm
motiséptikms
Jm pibj bs uo ûremol qub, plr sbr frlotbrm klo bj `uocl bxtbrilr, prbsbotm uom rikm
lrm nmktbrimom y f÷oeikm smprûtm, cbol`iomcm lrm rbsicumj pbr`mobotb, qub
bstí bo pbrfbktl
pb rfbktl bquijinril bkljûeikl. Bstm lrm guotl klo bj pH jiebrm`botb íkicl
cb jm pibj (`motl íkicl ermsl kutíobl) mkt÷mo kl`l `bkmois`ls cb cbfbosm
pmrm klotrljmr bj krbki`ibotl cb `ikrllremois`ls pltbokimj`botb pmtûebols y
su plsinjb iovmsiûo hmkim ltrms pmrtbs cb jm pibj y cbj kubrpl.
Jls cbsiofbktmotbs slo sustmokims quà`ikms qub bgbrkbo cikhm mkkiûo slnrb
supbrkibs u lngbtls iomoi`mcls.
Bo ebobrmj, jms `is`ms sustmokims pubcbo sbr usmcms kl`l motiséptikls l cbs-
iofbktmotbs, ym qub jm mkkiûo ebr`ikicm l ebr`istítikm ol vmràm sbe÷o jm supbrkib
cb mpjikmkiûo. Qlr tmotl, uo cbsiofbktmotb sb usmrí kl`l motiséptikl si ol bs
irritmotb pmrm jls tbgicls, ol bs iomktivmcl plr jm `mtbrim lreíoikm y ol prlcukb
tlxikicmc sbkuocmrim plr mnslrkiûo sisté`ikm.
26
Fûr`ujms `meistrmjbs
motiséptikms
kum ocl
Bo hbricms krûoikms hmy mutlrbs qub mvmjmo jm utijizmkiûo cb motiséptikls kumocl
hmy bjbvmcm klokbotrmkiûo nmktbrimom kmusmotb cb iofbkkiûo. M pbsmr cb bjjl,
bxistb uom ermo klotrlvbrsim
klotrlvbrsim bo bstb
b stb tb`m. Klosicbrm`ls cb iotbrés jms cirbk-
trikbs cbj Burlpbmo Qrbssurb Rjkbr Mcvislr y Qmobj (BQRMQ)7 "Ol sb cbnbràm
utijizmr cb `mobrm rutiomrim motiséptikls pmrm ji`pimr jms hbricms, muoqub sb
pubcb klosicbrmr su usl kumocl jm kmrem nmktbrimom obkbsitm sbr klotrljmcm.
Cb uom `mobrm icbmj jls motiséptikls cbnbràmo sbr utijizmcls curmotb uo pbrilcl
cb tib`pl ji`itmcl hmstm qub jm hbricm bsté ji`pim y jm iom`mkiûo cbj tbgicl
pbri÷jkbrmjj rbcukicm".
pbri÷jkbrm rbcukicm".
25
MJKLHLJ 51· YLCMCL
YLCMCL
Kl`plsikiûo
Ylcl =->%
Ylcurl pltí
pltísikl
sikl >,2%
Mjklhlj cb 51± ksp 21`j
[ioûoi`ls
Mjklhlj 51± ilcmcl mj = l >%. Mjklhlj 51±
51± ylcmcl mj = l >%.
>%.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Mslkimkiûo cb motiséptikls klo bfbktl sioéreikl. [lo mktivls frbotb m nmktbrims,
hloels, prltlzlls y virus. Bj prbpmrmcl prbsbotm uom pltbokim `mylr qub jm
plviclom ilcmcm klo uom mkkiûo `ís rípicm pbrl `bols slstboicm, sibocl mjel
`ís irritmotb.
Kmrmktbràstikms lremoljéptikms
Jàquicl trmospmrbotb cb kljlr `mrrûo iotbosl y ljlr kmrmktbràstikl. Jm pibj prb-
sbotm uom kljlrmkiûo pmrcm cb flr`m trmositlrim cbspués cb su mpjikmkiûo.
Iocikmkilobs
Cbsiofbkkiûo cb hbricms trmu`ítikms, quir÷reikms y pbqubýms brlsilobs. Cbsio-
fbkkiûo cb pibj iotmktm prbquir÷reikm. Srmtm`ibotl klmcyuvmotb cb jms cbr`mtl-
`iklsis meucms y bxucmtivms slnrbiofbktmcms.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj ylcl l cbrivmcls. Jms pbrsloms qub prbsbotbo prlnjb`ms
tirlicbls hmo cb bvitmr bj usl krûoikl prljloemcl cbj prbpmrmcl.
Jls cbtbrebotbs m`loils kumtbromrils y jls `brkurimjbs bstío klotrmiocikmcls
klo jls cbrivmcls ylcmcls. Bj ylcl sb iomktivm bo pmrtb pmr tb plr jm prbsbokim cb
`mtbrim lreíoikm (cbtritus, pus, bxucmcls, btk.).
[i hmy ltrm mjtbromtivm bkmz, ol utijizmr bo oiýls rbkiéo oíkicls.
28
Fûr`ujms `meistrmjbs
motiséptikms
^bmkkilobs mcvbrsms
Kumocl sb mpjikm bo ermocbs zloms y curmotb tib`pl prljloemcl pubcb mnslr-
nbrsb sisté`ikm`botb y prlcukir trmstlrols tirlicbls. Bo jms klokbotrmkilobs
iocikmcms (=->%
(=->%)) rmrm`botb pubcb prbsbotmr
p rbsbotmr irritmkiûo
irr itmkiûo kutíobm. Bo kmsl
km sl cb mpm-
rbkbr rbmkkilobs mjéreikms (urtikmrim, rbmkkilobs bxmotb`ítikms, btk.) suspbocbr
bj trmtm`ibotl y klosujtb klo su plcûjlel. Bs irritmotb pmrm lgls y `uklsms.
Vmjlrmkiûo
Bj mjklhlj 51± ylcmcl mj = l >% bs uo bxkbjbotb y sbeurl motiséptikl pljivmjbotb,
cb ermo iotbrés bo bj km`pl prb y plstlpbrmtlril, y bo jms fmsbs meucms y bxu-
cmtivms cb jms cbr`mtl`iklsis.
29
Flr`ms fmr`mkéutikms bo
flr`ujmkiûo plcljûeikm
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
SSmnjm
mnjm cb kíjkujls
@mtbrim Kmoticmc % Kmrmktbràstikms
pri`m
Qriokipils Qbsl Kmoticmc fisiklquà`ikms Qrlpibcmcbs
mktivls Vlju`boo rbmj pbsmcm
Vlju`b Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
Ylcurl
Ylcurl Qljvl kristmjiol Moti séptikl
Motisépti kl cénij.
cé nij.
pltísikl >,2% =,>2e `uy sljunjb Fmkijitm jm cisljukiûo
bo meum. cbj ylcl.
Mjk lhlj
Mjklhlj Moti séptikl.
Motisépti kl. Qltbokim
Qltbok im
cb 51· k s p 21 ` j k s p 21 ` j jm mkkiûo motiséptikm
cbj ylcl.
SLSMJ
SLSMJ 21`j 21`j
@lcus lpbrmoci
QM[L = Qbsmr tlcls jls kl`plobotbs.
QM[L > Bo uo `lrtbrl,
`lrtbrl, cbplsitmr bj ylcl
ylcl y bj ylcurl pltísikl. Klo jm myucm
myucm
cb uo pistijl pujvbrizmr bj ylcl flr`mocl uom `msm kl`pmktm klo bj
ylcurl pltísikl cb kljlr `mrrûo
`mr rûo iotbosl. Ioklrplrmr jm ermo `mylràm
cbj mjklhlj cb 51· pmujmtiom`botb flr`mocl jm sljukiûo cbsbmcm.
QM[L ; Bo uom prlnbtm l bo bj bovmsb omj
omj si bstí ermcumcl, bormsm
bormsmrr hmstm bj
vlju`bo omj cbsbmcl.
QM[L 3 Bovmsmr bo uo frmskl cb kristmj tlpmkil klo kubotmeltms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb kljlr `mrrûo `uy iotbosl, sio prbkipitmcls.
61
Fûr`ujms `meistrmjbs
motiséptikms
[LJRKIÛO CB JRELJ @LCIFIKMCM
Kl`plsikiûo
Ylcl >%
Ylcurl pltí
pltísikl
sikl >,2%
Meum cbstijmcm ksp 21`j
[ioûoi`ls
[ljukiûo ylcl ylcurmcm `lcikmcm. [ljukiûo ilcl ilcurmcm `lcikmcm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj ylcl bs uo motiséptikl cb m`pjil bspbktrl mktivl frbotb m nmktbrims, hloels
prltlzllss y virus. Bj prbpmrmcl prbsbotm uom pltbokim `mylr qub jm plviclom
prltlzll
ilcmcm klo uom mkkiûo `ís rípicm pbrl `bols slstboicm, sibocl mjel `ís irri-
tmotb. Bj ylcurl pltísikl fmkijitm jm cisljukiûo mkulsm cbj ylcl, flr`mocl uo
kl`pjbgl cb ylcl ylcurmcl. Jm musbokim cb mjklhlj jb klobrb mj prbpmrmcl
pr bpmrmcl uo
`bolr plcbr motiséptikl, pbrl tm`niéo uo `bolr plcbr irritmotb.
Kmrmktbràstikms lremoljéptikms
Jàquicl trmospmrbotb cb kljlr `mrrûo iotbosl y ljlr kmrmktbràstikl. Jm pibj prb-
prb -
sbotm uom kljlrmkiûo pmrcm cb flr`m trmositlrim cbspués cb su mpjikmkiûo.
Iocikmkilobs
Cbsiofbkkiûo cb hbricms trmu`ítikms, quir÷reikms y pbqubýms brlsilobs. Srm-
tm`ibotl klmcyuvmotb
klmcyuvmotb cb jms cbr`mtlsis meucms iokjuicms jms cbr`mtl`iklsi
cbr`mtl`iklsiss
bxucmtivms slnrbiofbktmcms.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj ylcl l cbrivmcls. Jms pbrsloms qub prbsbotbo prlnjb`ms
tirlicbls hmo cb bvitmr bj usl krûoikl prljloemcl cbj prbpmrmcl.
Jls cbtbrebotbs m`loils kumtbromrils y jls `brkurimjbs bstío klotrmiocikmcls
klo jls cbrivmcls ylcmcls. Bj ylcl sb iomktivm bo pmrtb pmr tb plr jm prbsbokim cb
`mtbrim lreíoikm (cbtritus, pus, bxucmcls, btk.).
[i hmy ltrm mjtbromtivm bkmz, ol utijizmr bo oiýls rbkiéo oíkicls.
6=
^bmkkilobs mcvbrsms
Kumocl sb mpjikm bo ermocbs zloms y curmotb tib`pl prljloemcl pubcb mnslr-
nbrsb sisté`ikm`botb y prlcukir trmstlrols tirlicbls. Bo jm klokbotrmkiûo
klokbotrm kiûo iocikmcm
(>%) y plr jm musbokim cb mjklhlj rmrm`botb pubcb prbsbotmr irritmkiûo kutíobm. Bo
kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, rbmkkilobs bxmotb`ítikms, btk.)
suspbocbr bjb j trmtm`ibotl y klosujtb klo su plcûjlel. Ol utijizmr slnrb `uklsms
oi zlom pbrilkujmr.
pbrilkujm r.
Vmjlrmkiûo
Jm sljukiûo mkulsm cb ylcl mj >% bs uo nubo y sbeurl motiséptikl pljivmjbotb,
klo bfbktls mstrioebotbs y motiiom`mtlrils cb ermo iotbrés bo jms fmsbs meucms y
bxucmtivms cb jms cbr`mtl`iklsis l cbr`mtlsis bo ebobrmj iofbktmcms.
6>
Fûr`ujms `meistrmjbs
motiséptikms
Ylcurl
Ylcurl Qljvl kristmjiol `uy Motiséptik
Moti séptikll cénij.
cén ij.
pltísikl >,2% =,>2e sljunjb bo meum. Fmkijitm jm
cisljukiûo cbj ylcl.
Meum k s p 21 ` j k s p 21 ` j
purifikmcm
SLSMJ
SLSMJ 21`j 21`j
@lcus lpbrmoci
QM[L = Qbsmr tlcls jls kl`plobotbs.
QM[L > Bo uo
uo `lrtbrl,
`lrtbrl, cbplsitmr bj ylcl
ylcl y bj ylcurl
ylcurl pltísikl. Klo jm myucm
myucm cb
uo pistijl pujvbrizmr bj ylcl flr`mocl uom `msm kl`pmktm klo bj ylcurl
pltísikl cb kljlr `mrrûo iotbosl. Ioklrplrmr jm ermo `mylrà
`mylràmm cbj meum
purikmcm pmujmtiom`botb flr`mocl jm sljukiûo cbsbmcm.
QM[L ; Bo uom
uom prlnbtm l bo bj bovmsb
bovmsb omj
omj si bstí ermcumcl,
ermcumcl, bormsmr hmstm bj
vlju`bo omj cbsbmcl.
QM[L 3 Bovmsmr bo uo frmskl cb kristmj tlpmkil klo kubotmeltms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb kljlr `mrrûo `uy iotbosl. Qubcbo mpmrbkbr jiebrls prbki-
pitmcls cb ylcl.
6;
MERM NL^IKMCM
Kl`plsikiûo
Íkicl nûrikl >-2%
>-2%
Meum cbstijmcm ksp >21`j
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Motiséptikl cénij mktivl frbotb m hloels y nmktbrims. Sibob tm`niéo prlpibcmcb
prlpibcmcbss
mstrioebotbs, motikloebstivms y jiebrm`botb motiiom`mtlrims. Qrbsbotm uom ermo
sbosinijicmc frbotb m Qsbucl`loms mbrueiolsm.
Kmrmktbràstikms lremoljéptikms
Jàquicl trmospmrbotb iokljlrl b iolclrl.
Iocikmkilobs
Ji`pibzm cb hbricms supbrkimjbs
supbr kimjbs y qub`mcurms jiebrms. Qlr su plcbr mstrioebotb
pubcb utijizmrsb kl`l trmtm`ibotl klmcyuvmotb bo jbsilobs bxucmtivms y klo-
ebstivms kl`l bo7 qub`mcurms sljmrbs bo pibs, cbr`mtitis cb klotmktl y ltrls
bkzb`ms, cbr`mtl`iklsis meucms, btk.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl nûrikl l cbrivmcls. Ol utijizmr bo oiýls `bolrbs cb
; mýls. Bvitmr trmtm`ibotls prljloemcls y bo zloms `uy bxtbosms cb jm pibj plr
ribsel cb mnslrkiûo sisté`ikm.
^bmkkilobs mcvbrsms
Kumocl sb mpjikm bo ermocbs
ermo cbs zloms y curmotb tib`pl prljloemcl, bo zloms klo
hbricms l brlsilobs bxtbosms, bj prbpmrmcl pubcb mnslrnbrsb sisté`ikm`botb
sisté`ikm`botb
y prlcukb vû`itls, cimrrbm, cljlr mncl`iomj y brupkilobs bo pibj y `uklsms.
^mrm`botb pubcb prbsbotmr irritmkiûo kutíobm. Bo kmsl cb mpmrbkbr rbmkkilobs
mjéreikms (urtikmrim, rbmkkilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y
klosujtb klo su plcûjlel.
63
Fûr`ujms `meistrmjbs
motiséptikms
Olr`ms pmrm jm klrrbktm mc`ioistrm
mc`ioistrmkiûo
kiûo
• Mpjikmr cirbktm`botb
cirbktm`b otb slnrb jm jbsiûo l `bcimotb kl`prbsms h÷`bcms.
• Mpjikmrr plstbrilr`bo
Mpjikm plstb rilr`botb
tb bj trmtm`ibotl
t rmtm`ibotl cb nmsb
nms b bo fuokiûo
f uokiûo cb jm btiljleàm
cb jm jbsiûo.
• Bj prbpmrmcl hm cb prltbebrsb cb jm juz y jm tb`pbrmturm bjbvmcm.
Vmjlrmkiûo
Bj meum nlrikmcm prbsbotm uom bxkbjbotb tljbrmokim bo jm pibj iotmktm. Qlr su
nmgl plcbr mstrioebotb y motiséptikl
m otiséptikl tibob uom utijizmkiûo ji`itmcm
ji`itmcm bo bj
b j km`pl
plcljûeikl, mj hmnbr mjtbromtivms `ís bkmkbs.
62
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
Qmrm rbmjizmr jls kíjkujls utijizmrb`ls jm klokbotrmkiûo `mylr, sibocl bxtrmpl-
jmnjbcb m kumjquibr ltrm.
@mtbrim Kmoticmc % Kmoticmc Kmrmktbràstikms
pri`m Qbsl fisiklquà`ikms Qrlpibcmcbs
Qriokipils Vlju`bo
Vlju`b o rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Roicmcbs pbsmcm rbjbvmotb
Bxkipibotbs
Moti séptikl
Motisépti kl klo
kl o
Íkicl Qljvl njmokl mkkiûo nmktbrilstítikm
n ûr i k l >% 2e pmrkimj`botb sljunjb y fuoeistítikms
bo meum, mjklhlj Qrbsbotm mkkilobs
y ejikbriom. motiiofjm`mtlrims y
motikloebstivms.
purifikmcm
Meum >21`j
ksp >21`j
ksp
SLSMJ
SLSMJ >21`j >21`j
@lcus lpbrmoci
QM[L = Qbsmr bj íkicl nûrikl bo uo vmsl cb prbkipitmcls.
QM[L > Ioklrplrm r bo bj vmsl cb prbkipitmcls motbrilr bj 91% cb jm kmoticmc
Ioklrplrmr
tltmj cb meum purikmcm. Klo jm myucm cb uo meitmclr `meoétikl, `bz-
kjmr hmstm jm kl`pjbtm cisljukiûo cbj íkicl nûrikl. Qubcb mkbjbrmrsb
bj prlkbsl mpjikmocl kmjlr.
QM[L ; Bo uom prlnbtm l bo bj bovmsb omj si bstí ermcumcl, bormsmr hmstm bj
vlju`bo omj cbsbmcl.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo QBS tlpmkil klo tmpûo clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb, iokljlrm b iolclrm.
66
Fûr`ujms `meistrmjbs
motiséptikms
[LN^B[ CB KJL^M@IOM S
Kl`plsikiûo
Slsijkjlrm`iom sûcikm >,2e
pmrm = slnrb o.· =2
[ioûoi`ls
Kjlrm`iom7 kjlrm`iom-S, kjlrm`icm, tlsijkjlrm`icm sûcikm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Motiséptikl y cbsiofbktmotb
cbsiofbkt motb cb m`pjil bspbktrl. Qrbsbotm uom mkkiûo `ís jbotm
pbrl `bols irritmotb pmrm jm pibj qub jls hiplkjlritls. Mcb`ís prbsbotm mkkiûo
mstrioebotb, motiiom`mtlrim y jiebrm`botb cbsnricmotb.
Kmrmktbràstikms lremoljéptikms
Qljvl njmokl klo jiebrl ljlr m hiplkjlritl sûcikl (jbgàm).
Iocikmkilobs
Cbsiofbkkiûo cb jm pibj. Ji`pibzm cb pbqubýms hbricms, qub`mcurms supbrkimjbs
y ÷jkbrms. Srmtm`ibotl klmcyuvmotb cb jbsilobs bkzb`mtlsms meucms,
meucm s, bxucmtivms,
kloebstivms y slnrbiofbktmcms.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj kjlrl l cbrivmcls. Ol utijizmr si`ujtíobm`botb klo meum
lxiebomcm l mjklhlj. Ol utijizmr bo oiýls rbkiéo oíkicls.
^bmkkilobs mcvbrsms
Bo kmsls `uy bxkbpkilomjbs pubcb prlcukir jiebrm irritmkiûo tb`plrmj. Bo trm-
tm`ibotls krûoikls, muoqub rmrm`botb, pubcb prbsbotmr sbqubcmc kutíobm. Bo
kmsl cb mpmrbkbr
mpmrbk br rbmkkilobs mjéreikms (urtikmrim, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtb klo su plcûjlel.
65
Olr`ms pmrm jm klrrbktm mc`ioistrmki
mc`ioistrmkiûo
ûo
• Jm sljukiûo sb prbpmrmrm bo uo rbkipibotb ji`pil. Meitmocl bj pljvl y
cbgíocljl rbplsmr > `ioutls.
Jm sljukiûo sbbompjikmrí
• cirbktm`botb slnrb
jm sljukiûo bj írbm
í rbmmktumr
cbgmocl mfbktmcm.
botrbJls
;-2 pibs sb su`breirío
`ioutls. Frikkilomr
y mkjmrmr klo uom emsm bstérij. Bstm lpbrmkiûo sb pubcb rbpbtir > l ;
vbkbs mj càm.
• Jm sljukiûo pubcb sbr utijizmcm tm`niéo bo flr`m cb kl`prbsms h÷`b-
cms. Mpjikíoclsb slnrb jm jbsiûo >-; vbkbs mj càm curmotb uo pbrilcl cb
=1-=22 `ioutls.
=1-= `iou tls.
• Jm sljukiûo bs `ís bfikmz y rípicm bo kmjibotb qub bo fràl.
• Jm sljukiûo cbnbrí prbpmrmrsb kumocl sb vmym m utijizmr, cbsbkhíocljm
cbspués cb su utijizmkiûo.
Vmjlrmkiûo
Jm kjlrm`iom prbsbotm uom bkmkim cb`lstrmcm y sbeurm (tmotl bo nmýls kl`l
bo kl`prbsms h÷`bcms) plr sus bfbktls mstrioebotbs, motiséptikls, cbsnricmotbs
bo jm ji`pibzm cb jbsilobs iofbkkilsms meucms bxucmtivms.
68
Fûr`ujms `meistrmjbs
motiséptikms
@lcus lpbrmoci
QM[L = Qbsmr jm kmoticmc tltmj
tltmj cb tlsijkjlrm`iom sûcikm bo uo `lrtbrl y puj-
vbrizmr hmstm lntbobr uo tm`mýl cb pmrtàkujms uoiflr`bs.
QM[L > Muo kumocl sb pubcbo utijizmr
utijizmr pmpbjijjls kl`l hmkb mýls, rbkl`bo-
cm`ls utijizmr slnrbs njmokls cb kbjujlsm cb uom `bcicm mprlxi`mcm
m 31x52``.
QM[L ; Qbsmr >,2e bo kmcm slnrb y kbrrmrjls clnjmocl
clnjmocl jm pmrtb supbrilr
supbrilr
cls vbkbs y boemokhíocljls klo uom kiotm mchbsivm tipl "kbjl"
"kbjl"
jmtbrmj`botb.
QM[L 3 Bovmsmr prbfbrinjb`botb tlcls jls slnrbs bo uo tmrrl mokhl klo tmpm
prbkiotl.
Sm`niéo sb pubcbo utijizmr nljsm pbqubýms cb pjístikl klo kibrrb tipl "zipp"
"zipp" (jms
`is`ms qub sb utijizmo pmrm
pmr m kloebjmr mji`botls).
Klotrlj cb kmjicmc
[lnrbs njmokls cb kbjujlsm
kbjuj lsm cb pbsl ieumj, pucibocl
pucibo cl cbsvimrsb cbj vmjlr rbmj uo =%.
69
[LJRKIÛO CB KJL^M@IOM S
Kl`plsikiûo
Slsijkjlrm`iom sûcikm
Si`lj 1,>%
1,=%
Íkicl nûrikl =%
Nikmrnlomtl sûcikl 1,2%
Meum cbstijmcm ksp 211`j
[ioûoi`ls
Kjlrm`iom7 kjlrm`iom-S, kjlrm`icm, tlsijkjlrm`iom sûcikm.
Si`lj7 íkicl tà`ikl.
Nikmrnlomtl sûcikl7 smj cb Vikhy.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Mslkimkilobs
Mslkim kilobs cb motiséptik
mo tiséptikls
ls y cbsiofbk
cb siofbktmotbs
tmotbs cb m`pjil
m`p jil bspbktrl
bsp bktrl klo jiebrms
jieb rms
mkkilobs mstrioebotbs y motiiom`mtlrims.
Jm kjlrm`iom prbsbotm uom mkkiûo `ís jbotm pbrlp brl `bols irritmotb pmrm jm pibj qub
jls hiplkjlritls y tm`niéo prbsbotm mkkiûo mstrioebotb y motiiom`mtlrim.
Bj ti`lj bs uo motiséptikl fboûjikl klo mktivicmc motinmktbrimom y moti`ikûtikms,
sibocl `ís mktivl qub bj fbolj, muoqub su usl bs `ís ji`itmcl plr su nmgm
sljunijicmc bo meum.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb
cbnicl m jm cbti`lj.
cisljukiûo cbj ljlr kmrmktbràstikl y klo jiebrms jmeuoms mkbitlsms
Iocikmkilobs
Cbsiofbkkiûo cb jm pibj. Ji`pibzm
Ji`pibzm cb pbqubýms hbricms y qub`mcurms supbrkim-
supb rkim-
jbs. Srmtm`ibotl klmcyuvmotb cb jbsilobs bxucmtivms, kloebstivms, slnrbiofbk-
tmcms. Qubcb mslkimrsb
mslkimrs b m trmtm`ibotls cb nmsb klo bj priokipil mktivl mcbkumcl
bo fuokiûo cb su btiljleàm (klrtiklicb, moti`ikûtikl, motiniûtikl, btk.).
btk.).
51
Fûr`ujms `meistrmjbs
motiséptikms
Klotrmiocikmkilobs
Hipbrsbosinijicmc
Hipbrsbosinijicmc mj kjlrl l cbrivmcls. Hipbrsbosinijicmc m kumjquibrm cb jls ltrls
kl`plobotbs cb jm fûr`ujm. Qlr su iokl`pmtinijicmc ol utijizmr si`ujtíobm`botb
klo meum lxiebomcm, mjklhlj, ylcl l íjkmjis.
íjkm jis.
^bmkkilobs mcvbrsms
Bo kmsls `uy bxkbpkilomjbs pubcb prlcukir jiebrm irritmkiûo tb`plrmj. ^mrm-
`botb pubcb prbsbotmr sbqubcmc kutíobm bo trmtm`ibotls krûoikls. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Jm sljukiûo cb kjlrm`iom prbsbotm uom bkmkim cb`lstrmcm y sbeurm (tmotl bo
nmýls kl`l bo kl`prbsms h÷`bcms) plr sus bfbktls mstrioebotbs y motiséptikls
pltbokimcls plr jm mkkiûo cbj fbolj y íkicl nûrikl bo jm ji`pibzm cb jbsilobs
iofbkkilsms meucms bxucmtivms.
5=
5=
Motisépti
Moti séptikl
kl fboûji
fbo ûjikl
kl klo
kl o
Qljvl `uy mktivicmc motinmktbrimom
motif÷oeikm, sibocl `ísy
Si`ljj
Si`l 1,==%
1, 1,12e kristmjiol cb ljlr mktivl qub bj fbolj, muoqub
kmrmktbràstikl su usl bs `ís ji`itmcl
sljunjb bo mjklhlj. plr su nmgm sljunijicmc
bo meum.
Fûr`ujms `meistrmjbs
motiséptikms
@lcus lpbrmoci
QM[L = Qbsmr bj ti`lj bo uo vmsl cb prbkipitmcls y cisljvbrjl bo jm `àoi`m
`àoi`m
kmoticmc cb mjklhlj.
QM[L > Qbsmr bo uo vmsl cb prbkipitmcls7 tlsijkjlrm`iom sûcikm, íkicl nûrikl
y nikmrnlomtl sûcikl. Cisljvbrjls bo uo 91% cbj meum purikmcm tltmj
klo jm myucm cb uo meitmclr `meoétikl. [i mpjikm`ls kmjlr plcb`ls
rbcukir bj tib`pl cb jm cisljukiûo.
QM[L ; Ioklrplrmr jm sljukiûo cb pmsl = slnrb jmjm sljukiûo cbj pmsl > sio cbgmr
cb meitmr. @motbobr jm meitmkiûo hmstm jm kl`pjbtm cisljukiûo cb tlcls
jls mktivls.
QM[L 3 Bo uom prlnbtm l bo bj bovmsb omj si bstí ermcumcl, bormsmr hmstm bj
vlju`bo omj cbsbmcl klo bj meum purikmcm rbstmotb.
QM[L 2 Bovmsmr bo uo frmskl lpmkl l QBS tlpmkil klo tmpûo clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb, iokljlrm y cb ljlr kmrmktbràstikl m ti`lj.
Kl`plsikiûo
Qbr`moemomtl
Meum cbstijmcm pltísikl 1,
1,=11e
=11e
ksp =.111`j
=.111`j
[ioûoi`ls
[ljukiûo mkulsm cb pbr`moemomtl
pbr` moemomtl pltísikl =/=1.111.
=/=1.111.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj pbr`moemomtl pltísikl bs uo nmktbrikicm y fuoeikicm cénij y jbotl. [b iomk-
tivm rípicm`botb bo prbsbokim cb `mtbrim lreíoikm, plr jl qub su plcbr kl`l
motiséptikl bs `uy bskmsl. Sibob mkkilobs mstrioebotbs, motibcb`mtlsms y
motiiom`mtlrims.
Bj rmoel tbrmpéutikl lskijm botrb =/=111 y =/>1111 bo sljukiûo mkulsm. [b klo-
sicbrm qub jm klokbotrmkiûo
k lokbotrmkiûo prlpubstm (=/=1.111)
(=/=1.111) bs jm `ís bvmjumcm, bkmz y
sbeurm bo bj í`nitl plcljûeikl.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb cb kljlr viljbtm iotbosl. Kumocl sb lxicm prbsbotm uom
kljlrmkiûo pmrcm y bs tltmj`botb iomktivl.
Iocikmkilobs
Cbsiofbkkiûo cb jm pibj. Ji`pibzm cb ÷jkbrms (vmskujmrbs, plr cbk÷nitl, cimnétikms,
btk.) y mnskbsls. Srmtm`ibotl
Srmtm`ibotl klmcyuvmotb cb jbsilobs meucms, bcb`mtlsms,
b cb`mtlsms, klo-
ebstivms,(cbr`mtl`iklsis
f÷oeikm bxucmtivms cb btiljleàm mjéreikm
bxucmtivms, (cbr`mtitis
btk.) meucms,
l nmktbrimom bkzb`mssbkuocmrim
(cbr`mtitis h÷`bcls),
meucm, bkzb`m cbshicrûtikl slnrbiofbktmcl,
slnrbiofbktmc l, btk.).
btk.). Qubcb mslkimrsb m trmtm`ibotls
tr mtm`ibotls
cb nmsb klo bj priokipil mktivl mcbkumcl bo fuokiûo cb jm btiljleàm cb jm jbsiûo
(klrtiklicb, moti`ikûtikl, motiniûtikl, bozi`ms prltbioljàtikms, btk.).
Klotrmiocikmkilobs
Hipbrsbosinijicmc
Hipbrsbosinijicm
klolkbo c mj pbr`moemomtl pltísikl l cbrivmcls. Hmstm jm fbkhm ol sb
ltrms klotrmiocikmkilobs.
53
Fûr`ujms `meistrmjbs
motiséptikms
^bmkkilobs mcvbrsms
Jls pmkibotbs klo jbsilobs bxtbosms y ÷jkbrmcms trmtmcls klo pbr`moemomtl y
qub pmcbzkmo iosukibokim rbomj klrrbo
k lrrbo ribsel cb obfrltlxikicmc plr jm plsinijicmc
cb mnslrkiûo cbj fír`mkl.
fír`mk l. Bj usl klotioumcl y m klokbotrmkilobs mjtms
mjtm s cbj prbpm-
rmcl pubcb
pubcb prlvlkmr
prbsbotmr irritmkiûo
sbqub
sbqubcmc jlkmj b iokjusl
cmc kutíobm. [b hmo jiebrms
cbskritlqub`mcurms.
qub`mcur
kmsls boms. @uy rmrm`botb
trmtm`ibotls krû-
oikls. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Jm sljukiûo mkulsm cb pbr`moemotl pltísikl prbsbotm uom bkmkim cb`lstrmcm
y sbeurm (tmotl bo nmýls kl`l bo kl`prbsms h÷`bcms) plr sus bfbktls mstrio-
ebotbs, motiiom`mtlrils y jiebrm`botb motiséptikls, y bs bkmz kl`l trmtm`ibotl
klmcyuvmotb cb jbsilobs bxucmtivms b iom`mtlrims cb civbrsm btiljleàm. [u bstm-
nijicmc bs `uy rbcukicm
rbcuk icm (`íxi`l =2 càms cbscb su prbpmrmkiûo).
prbpmr mkiûo).
52
@lcus lpbrmoci
QM[L = Qbsmr bj pbr`moemomtl pltísikl bo uo vmsl cb prbkipitmcls l bo uo
`mtrmz mflrmcl.
QM[L > Bo bj vmsl cb prbkipitmcls l bj `mtrmz ioklrplrmr bj 91%
91% cb meum y
cisljvbr `bcimotb uom jiebrm meitmkiûo.
QM[L ; Vbrtbr bj jàquicl
jàquicl cb vmsl
vmsl cb prbkipitmcls
prbkipitmcls bo uom
uom prlnbtm
prlnbtm y bormsmr
klo bj rbstl cb meum purikmcm, l bormsmr cirbktm`botb bo bj `mtrmz
mflrmcl.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo frmskl lpmkl
lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb kljlr viljbtm iotbosl sio prbkipitmcls.
Fûr`ujms `meistrmjbs
motiséptikms
[LN^B[ QB^@MOEMOMSL
QB^@ MOEMOMSL QLSÍ[IKL
QLSÍ[IKL
Kl`plsikiûo
Qbr`m
Qbr`moemom
pmrm = oemomtl
slnrb tl
o.·pltís
pltísikl
=2 ikl 1,=e
1,=e
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj pbr`moemomtl pltísikl bs uo nmktbrikicm y fuoeikicm cénij y jbotl
jbotl.. [b iomk-
tivm rípicm`botb bo prbsbokim cb `mtbrim lreíoikm, plr jl qub su plcbr kl`l
motiséptikl bs `uy bskmsl. Sibob mkkilobs mstrioebotbs, motikloebstivms y
motiiom`mtlrims.
Kmrmktbràstikms lremoljéptikms
[lnrbs cb kbjujlsm
vbz cisubjtl sb krbmqub
uomklotibobo
k sljukiûo
lotibobo uo pljvl kristmjiol
trmospmrbotb cb kljlr
cb kljlr oberl
viljbtm vbrclsl.
iotbosl. Rom
Kumocl
jm sljukiûo sb lxicm prbsbotm uom kljlrmkiûo pmrcm y bs tltmj`botb iomktivl.
Iocikmkilobs
Cbsiofbkkiûo cb jm pibj. Ji`pibzm cb ÷jkbrms (vmskujmrbs, plr cbk÷nitl, cimnétikms,
btk.) y mnskbsls. Srmtm`ibotl
Srmtm`ibotl klmcyuvmotb cb jbsilobs meucms, bcb`mtlsms,
b cb`mtlsms, klo-
ebstivms, bxucmtivms cb btiljleàm mjéreikm (cbr`mtitis meucms, bkzb`ms h÷`bcls),
f÷oeikm (cbr`mtl`iklsis bxucmtivms, btk.) l nmktbrimom (cbr`mtitis sbkuocmrim
meucm, bkzb`m cbshicrûtikl slnrbiofbktmcl,
slnrbiofbktm cl, btk.).
btk.). Qubcb mslkimrsb m trmtm`ibotls
cb nmsb klo bj priokipil mktivl mcbkumcl bo fuokiûo cb jm btiljleàm cb jm jbsiûo
(klrtiklicb tûpikl, motif÷oeikl, motiniûtikl, bozi`ms prltbljàtikms,
pr ltbljàtikms, btk.).
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj pbr`moemomtl pltísikl l cbrivmcls. Hmstm jm fbkhm ol sb
klolkbo ltrms klotrmiocikmkilobs.
55
^bmkkilobs mcvbrsms
Jls pmkibotbs klo jbsilobs bxtbosms y ÷jkbrmcms trmtmcls klo pbr`moemomtl y
qub pmcbzkmo iosukibokim rbomj klrrbo bj ribsel cb obfrltlxikicmc plr jm plsi-
nijicmc cb mnslrkiûo cbj fír`mkl. Bo `uy rmrms lkmsilobs, bj usl klotioumcl
cbj prbpmrmcl
`uy pubcbpubcb
rmrms lkmsilobs prlvlkmr irritmkiûo
prbsbotmr jlkmj bciokjusl
sbqubcm
sbqubcmc jiebrms
kutíobm. qub`mcurms.
[b hmo Bo
cbskritl kmsls
bo trmtm`ibotls krûoikls. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
britb`m, rbmkkilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr
klo su plcûjlel.
Vmjlrmkiûo
Jm sljukiûo mkulsm cb pbr`moemomtl pltísikl lntboicm
lntboicm m pmrtir cb jls slnrbs cb
jm fûr`ujm bxpubstm prbsbotm uom bkmkim cb`lstrmcm y sbeurm (tmotl bo nmýls
kl`l bo kl`prbsms h÷`bcms) plr sus bfbktls mstrioebotbs, motiiom`mtlrils y
jiebrm`botb motiséptikls, qub slo bkmkbs kl`l trmtm`ibotl klmcyuvmotb cb
jbsilobs bxucmtivms b iom`mtlrims cb civbrsm btiljleàm. Jm bstmnijicmc cb jls
slnrbshlrms.
>3-38 bs mjtm (vmrils `bsbs), pbrl uom vbz prbpmrmcm
prbpmr mcm jm sljukiûo sb rbcukb m
58
Fûr`ujms `meistrmjbs
motiséptikms
@lcus lpbrmoci
QM[L = Qbsmr jm
jm kmoticmc tltmj
tltmj cb pbr`moem
pbr`moemomtl
omtl pltísikl bo uo `lrtbrl y
pujvbrizmr hmstm lntbobr uo tm`mýl cb pmrtàkujms uoiflr`bs.
QM[L > Muo kumocl sb pubcbo utijizmr
utijizmr pmpbjijjls kl`l hmkb mýls, rbkl`bo-
cm`ls utijizmr slnrbs njmokls cb kbjujlsm cb uom `bcicm mprlxi`mcm
m 31x52``.
QM[L ; Qbsmr 1,
1,=e bo kmcm slnrb y kbrrmrjls clnjmocl jm pmrtb supbrilr
cls vbkbs y boemokhíocljls klo uom kiotm mchbsivm tipl "kbjl"
"kbjl"
jmtbrmj`botb.
QM[L 3 Bovmsmr prbfbrinjb`botb tlcls jls slnrbs bo uo tmrrl mokhl klo tmpm
prbkiotl.
Sm`niéo sb pubcbo
pubcb o utijizmr nljsms pbqubýms cb pjístikl klo kibrrb
kibr rb tipl "zipp"
"zipp"
(jms `is`ms qub sb utijizmo pmrm kloebjmr mji`botls).
Klotrlj cb kmjicmc
[lnrbs njmokls cb kbjujlsm
kbjuj lsm cb pbsl ieumj, pucibocl
pucibo cl cbsvimrsb cbj vmjlr rbmj uo =%.
Jms pmtljleàms plcljûeikms qub slo suskbptinjbs cb sbr trmtmcms klo mstrioebotbs
slo7
• Jbsilobs bzkb`mtlsms meucms l sunmeucms h÷`bcms.
• Cbr`mtl`iklsis iotbrtrieiolsm h÷`bcm l vbrsàkujl-m`pljjlsm.
• Jbsilobs ujkbrmtivms vmskujmrbs, trmu`ítikms l sbkuocmrims m qub`mcurms.
• Loiklkriptlsis.
• Hipbrhicrlsis y nrl`hicrlsis pjmotmr.
• Fjbnitis.
• Srmtm`ibotls hb`lstítikls.
hb`lstí tikls.
Fûr`ujms `meistrmjbs
mstrioebotbs
MERM CB ELRJM^C
Kl`plsikiûo
[ljukiûo cb sunmkbtmtl cb pjl`l =%
Mjklhlj btàjikl >,>%
Meum cbstijmcm ksp >21`j
[ioûoi`ls
Meum njmokm. Meum vbebtl`iobrmj.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj sunmkbtmtl cb pjl`l tibob prlpibcmcbs mstrioebotbs pltbotbs y motiséptikms
jiebrms. Jms smjbs cb pjl`l prbsbotmo uo mjtl àocikb cb klotrmiocikmkilobs y
rbmkkilobs mcvbrsms.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo uom jiebrm tlomjicmc njmokm y uo jiebrl ljlr m íkicl
mkétikl (viomerb).
Iocikmkilobs
Jbsilobs qub obkbsitbo trmtm`ibotl mstrioebotb. [b rbkl`ibocm ji`itmr su usl
plr su mjtl àocikb cb tlxikicmc y sustituir bj trmtm`ibotl plr ltrls mstrioebotbs
ms trioebotbs
`ís sbeurls. M pbsmr cb bjjl, m càm cb hly, bs `uy utijizmcl bo urljleàm bo bj
trmtm`ibotl klmcyuvmotb cbj nmjmois`l.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj pjl`l, l cbrivmcls. Bstí klotrmiocikmcl bo oiýls, b`nmrm-
zmcms y `ugbrbs bo pbrilcl cb jmktmokim. Ol utijizmr bo hbricms mnibrtms, pibj ol
iotmktm, zloms bxtbosms oi klo vbocmgbs lkjusivls.
8;
^bmkkilobs mcvbrsms
^bmkkilobs cb hipbrsbosinijicmc l cbr`mtitis cb klotmktl plr jm prbsbokim cb
pjl`l bo bj prbpmrmcl. Rom mpjikmkiûo iomcbkumcm cb bstm fûr`ujm (zloms
bxtbosm, trmtm`ibotls prljloemcls, pibj cbsoucm, hbricms mnibrtms, btk.) pubcb
prbsbotmr mnslrkiûo
klolkicl sisté`ikm.. Bstm mnslrkiûo prlvlkm uo kumcrl cb iotlxikmkiûo
kl`l "smturois`l".
"smturois`l"
Vmjlrmkiûo
Qlr su klotboicl bo pjl`l y su mjtl àocikb cb klotrmiocikmkilobs y rbmkkilobs
mcvbrsms bs rbkl`bocmnjb ol utijizmr bstb prbpmrmcl bo plcljleàm, hmnibocl
mjtbromtivms `ís sbeurms y bkmkbs kl`l slo jms smjbs cb mju`ioil.
83
Fûr`ujms `meistrmjbs
mstrioebotbs
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
Qriokipils Qbsl rbmj siklquà`ikms Qrlpibcmcbs
mktivls Vlju`bo pbsmcm Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
Bj sunmkbtmtl cb pjl`l
[ljukiûo tibob prlpibcmcbs
[ljukiûo cb njmoqubkiom qub mstrioebotbs pltbotbs
sunmkbtmtl =% >,2`j pubcb tbobr l y motiséptikms jiebrms.
cb pjl`l ol prbsbokim cb Jms smjbs cb pjl`l
prbkipitmcls. prbsbotmo uo mjtl àocikb
cb klotrmiocikmkilobs
y rbmkkilobs mcvbrsms.
Mjklhlj
btàjikl >,>% 2,2`j Motiséptikl
m`pjil cb
bspbktrl.
Meum ksp ksp
purikmcm >21`j >21`j
SLSMJ
SLSMJ >21`j >21`j
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr jls `j obkbsmrils cb jm sljukiûo cb
pjl`l y bj mjklhlj btàjikl.
QM[L > Ioklrplrmr bj 91% cbj meum purikmcm obkbsmrim y `bcimotb jm myucm cb
uom vmrijjm cb vicril l uo meitmclr `meoétikl `bzkjmrjls vielrlsm`botb
hmstm su kl`pjbtm cisljukiûo.
QM[L ; Bo uom prlnbtm l bo uo bovmsb omj
omj ermcumcl bormsmr klo bj rbstl cb meum
purikmcm.
QM[L 3 Bovmsmr prbfbrinjb`botb bo frmskl lpmkl l QBS tlpmkil klo tmpûo clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo klo uom jiebrm obnjiom njmokm, pbrl kmrbotb cb prbkipitmcls.
Kl`plsikiûo
Mju`nrb pltísikl =%
[ljukiûo cb sunmkbtmtl cb pjl`l 2%
Meum cbstijmcm ksp >21kk
[ioûoi`ls
Mju`nrb pltísikl7
pltísikl7 sujfmtl mju`àoikl pltísikl, mju`nrb pljvl, mju`nrb kmjkiomcl.
meum cb Nurlw klo prbkipitmcl7 meum cb Nurlw cb jm @bcikm`botm. Ioklrrbktm-
`botb sb hm cbol`iomcl si`pjb`botb meum cb Nurlw.
Mkkiûo
Bj fmr`mkljûe
fmr`mkljûeikm
sunmkbtmtl ikm tibob prlpibcmcbs mstrioebotbs pltbotbs y motiséptikms
cb pjl`l
sumvbs. Jms smjbs cb pjl`l prbsbotmo uo mjtl àocikb cb klotrmiocikmkilobs y
rbmkkilobs mcvbrsms.
Bj mju`nrb tibob prlpibcmcbs mstrioebotbs pltbotbs, motibcb`mtlsms y motisép-
tikms cénijbs.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo uo prbkipitmcl njmokl y klo jiebrl ljlr m íkicl mkétikl
(viomerb). Cbspués cb su meitmkiûo prbsbotm uo mspbktl njmokl jbkhlsl.
Iocikmkilobs
Jbsilobs qub obkbsitbo trmtm`ibotl mstrioebotb. Loiklkriptlsis. [b rbkl`ibocm
ji`itmr su usl plr su plsinjb tlxikicmc y sustituir bj trmtm`ibotl plr ltrls mstrio-
ebotbs `ís sbeurls.
Fûr`ujms `meistrmjbs
mstrioebotbs
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj pjl`l l cbrivmcls. Hipbrsbosinijicmc mj mju`nrb l cbrivmcls.
Bstí klotrmiocikmcl bo oiýls, b`nmrmzmcms y `ugbrbs bo pbrilcl cb jmktmokim.
Ol utijizmr bo hbricms mnibrtms, zloms bxtbosms oi klo vbocmgbs lkjusivls.
^bmkkilobs mcvbrsms
^bmkkilobs cb hipbrsbosinijicmc y cbr`mtitis cb klotmktl klo britb`ms, rbmkkil-
obs bxmotb`ítikms. Rom mpjikmkiûo iomcbkumcm cb bstm fûr`ujm (zloms bxtbosms,
trmtm`ibotls prljloemcls, pibj cbsoucm, hbricms mnibrtms, btk.) pubcb prbsbotmr
mnslrkiûo sisté`ikm. Bstm mnslrkiûo prlvlkm uo kumcrl cb iotlxikmkiûo klolkicl
kl`l "smturois`l".
Vmjlrmkiûo
Qlr su klotboicl bo pjl`l y su mjtl àocikb cb rbmkkilobs mcvbrsms
mcvbrsm s sb rbkl`ibocm
ji`itmr bj usl cb bstb prbpmrmcl
prbpmr mcl bo plcljleàm y sustituirjl bo jl plsinjb plr ltrls
mstrioebotbs `ís sbeurls kl`l slo jms smjbs cb mju`ioil.
85
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr jm kmoticmc cbj mju`nrb (sujfmtl
mju`àoikl pltísikl) y cisljvbrjl bo bj 91% cb meum purikmcm.
Klotrlj cb kmjicmc
[ljukiûo bo cls fmsbs, klo uo ol prbkipitmcl bo bj flocl. Mj meitmrsb prbsbotm
uo mspbktl njmokl jbkhlsl.
Fûr`ujms `meistrmjbs
mstrioebotbs
MERM CB NR^LU (R[Qh XIV)
Kl`plsikiûo
[ljukiûo cb mkbtltmrtrm
mkbtltmrtrmtl
tl cb mju`ioil =1%
=1%
Meum cbstijmcm ksp >21kk
s
[ioûoi`ls
[ljukiûo cb mkbtltmrtrmtl cb mju`ioil7 ioklrrbktm`botb sb jb jjm`m "meum cb
Nurlw" y ol pubcb utijizmrsb cirbktm`botb plr prbsbotmr uo mjtl plcbr irritmotb,
cbnbràm sib`prb cijuirsb.
b
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj mkbtltmrtrmtl cb mju`ioil bs uo motiséptikl cénij y uo bxkbjbotb mstrioebotb
l
yrbcukibocl
motiiom`mtlril. Mkt÷mjmcis`iouybocl
jls bcb`ms, bxucmkiûo y jmjmkloebstiûo,
pbr`bmnijicmc
y plrkmpijmr cb jms bjkéjujms,
tmotl rbcukb cljlr,
jm iom`mkiûo, cis`iouybocl jls bcb`ms. Sibob jiebrls bfbktls vmslklostriktlrbs.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo jiebrl ljlr m íkicl mkétikl (viomerb).
Iocikmkilobs
Jmvmcl cb hbricms, jbsilobs ujkbrmtivms slnrbiofbktmcms (vmskujmrbs, plr cbk÷-
nitl, cimnétikms, btk.),
btk.), qub`mcurms y tlcm mqubjjm jbsiûo bxucmtivm iofbktmcm.
Srmtm`ibotl klmcyuvmotb cb jbsilobs meucms, bcb`mtlsms, kloebstivms, bxu-
cmtivms cb btiljleàm mjéreikm (cbr`mtitis meucms, bkzb`ms h÷`bcls), f÷oeikm
(cbr`mtl`iklsis bxucmtivms, btk.) l nmktbrimom (cbr`mtitis sbkuocmrim meucm,
bkzb`m cbshicrûtikl slnrbiofbktmcl, btk.). Srmtm`ibotl
Srmtm`ibotl cb pmtljleàms vmskujmrbs
pbriférikms (bnitis, trl`nlbnitis, ÷jkbrms vmskujmrbs, btk.).
Bj meum cb Nurlw sib`prb bs uo trmtm`ibotl klmcyuvmotb qub hm cb kl`pjb`bo-
tmrsb klo bj trmtm`ibotl btiljûeikl bo fuokiûo cb jm jbsiûo m trmtmr (cbr`mtlklr-
tiklicb, motiniûtikl, moti`ikûtikl, bozi`m prltbioljàtikm, vmslcijmtmclr pbriférikl,
hbpmrioms, btk.)
btk.)..
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj mju`ioil, l cbrivmcls. Hmstm jm fbkhm ol sb klolkbo ltrms
klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb prb-
sbotmr kibrtm irritmkiûo y sbqubcmc kutíobm bo
b o trmtm`ibotls prljloemcls.
prljloemcls. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.),, suspbocbr bj trmtm`ibotl y klosujtmr klo
btk.) k lo su plcûjlel.
Vmjlrmkiûo
Jms flr`ujmkilobs mstrioebotbs klo smjbs cb mju`ioil slo sbeurms, prbsbotmo uom
bkmkim cb`lstrmcm bo jbsilobs meucms, kloebstivms cb civbrsm btiljleàm y klos-
tituybo bj trmtm`ibotl cb bjbkkiûo frbotb m jls motieuls prbpmrmcls klo pjl`l.
91
Fûr`ujms `meistrmjbs
mstrioebotbs
Bj mkbtltmrtrmtl cb
mju`ioil bs uo motiséptikl
cénij y uo bxkbjbotb
[ljukiûo mstrioebotb y
trmospmrbotb motiiofjm`mtlril.
[ljukiûo cb klo uom jiebrm Mkt÷m cis`i
cis`iouyb
ouybocl
ocl
mkbtltmrtrmtl =1% >2e kljlrmkiûo jm pbr`bmnijicmc kmpijmr
cb mju`ioil m`mrijjl- cb jms kéjujms, rbcukibocl
vbrclsm cb ljlr jls bcb`ms, jm bxucmkiûo
mviomermcl. y jm kloebstiûo, y plr
tmotl
y jmrbcukb bj cljlr
iofjm`mkiûo.
Sibob
Sib ob jiebrl
ji ebrlss bfbktls
bfbktl s
vmslklostriktlrbs.
Meum ksp ksp
purifikmcm >21`j >21`j
SLSMJ
SLSMJ >21`j >21`j
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr jm kmoticmc cb sljukiûo cb mkbtl-
tmrtrmtl cb mju`ioil.
QM[L > Ioklrplrmr bj 91% cbj meum purikmcm obkbsmrim y klo jm myucm cb uom
vmrijjm cb vicril l uo meitmclr `meoétikl `bzkjmrjls vielrlsm`botb hmstm
su kl`pjbtm cisljukiûo.
QM[L ; Bo uom prlnbtm l bo uo bovmsb omj
omj ermcumcl bormsmr klo bj rbstl cb meum
purikmcm.
QM[L 3 Bovmsmr prbfbrinjb`botb bo frmskl QBS tlpmkil klo tmpûo clsikmclr.
Oltm
[i ol sb cisplob cb jm sljukiûo cb mkbtltmrtrmtl cb mju`ioil kl`l prbpmrmcl iotbr-
`bcil sb pubcb bjmnlrmr cb jm flr`m sieuibotb7
9=
Fûr`ujms `meistrmjbs
mstrioebotbs
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls `bzkjmr jm kmoticmc sujfmtl cb mju`ioil
klo jm `itmc cbj meum purikmcm `bcimotb jm myucm cb uo meitmclr
`meoétikl klo kmjlr.
km jlr.
QM[L > Bo ltrl vmsl cb prbkipitm
prbkipitmcls
cls `motbobr bo meitmkiûo klotioum bj kmr-
nlomtl kíjkikl klo jm ltrm `itmc cbj meum. Ol sb jjbem cb cisljvbr pbrl
sb `motibob suspbocicl.
QM[L ; Ioklrplrmr jm `bzkjm cbj pmsl uol slnrb jm `bzkjm cbj pmsl cls `uy
plkl m plkl plrqub prlvlkm ermo bfbrvbskbokim.
bfbrvbskbokim . Kmjkujmr qub pubcb
jjbemr m kumcrupjikmr bj vlju`bo cb jm su`m cb jls cls jàquicls.
QM[L 3 Ioklrplrmr bj íkicl mkétikl plkl m plkl vieijmocl cb oubvl jm bfbrvbs-
kbokim. Cbgmr rbplsmr >-; càms.
QM[L 2 Fijtrmr jm sljukiûo jbkhlsm lntboicm.
lntboicm. Bj rboci`ibotl qub sb lntibob bs
, cb uo 21% cbj vlju`bo ioikimj mprlxi`mcm`botb.
QM[L 6 [ljunijizmr bj íkicl tmrt
tmrtírikl
írikl bo jm sljukiûo lntboicm bo bj pmsl motbrilr.
motbrilr.
QM[L 5 Bovmsmr prbfbrinjb`b
prbfbrinjb`botb
otb bo frmskl lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb ljlr kmrmktbràstikl.
Kl`plsikiûo
[ioûoi`ls
[ljukiûo cb mkbtltmrtrmtl cb mju`ioil7 ioklrrbktm`botb sb jb jjm`m "meum cb
Nurlw", ol pubcb utijizmrsb cirbktm`botb plr prbsbotmr uo mjtl plcbr irritmotb.
[ib`prb hm cb cijuirsb.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Jm sljukiûo cb mkbtltmrtrmtl
m kbtltmrtrmtl cb mju`ioil bs uo motiséptikl cénij, uo bxkbjbotb
y sbeurl mstrioebotb y motiiom`mtlril. Mkt÷m cis`iouybocl jm pbr`bmnijicmc
kmpijmr cb jms kéjujms, rbcukibocl jls bcb`ms, jm bxucmkiûo y jm kloebstiûo, y plr
tmotl rbcukb bj cljlr y jm iom`mkiûo. Sibob jiebrls bfbktls vmslklostriktlrbs.
Bj íkicl nûrikl y bj íkicl mkétikl pltbokimo jms mkkilobs motiséptikms cbj prbpm-
rmcl, sibocl m`nls `uy mktivls frbotb m Qsbucl`loms mbrueiolsm.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo ljlr m íkicl mkétikl (viomerb).
Iocikmkilobs
Jmvmcl cb hbricms, ji`pibzm cb ÷jkbrms vmskujmrbs, plr cbk÷nitl, cimnétikms,
qub`mcurms, btk. y tlcm mqubjjm jbsiûo bxucmtivm iofbktmcm.
Srmtm`ibotl klmcyuvmotb cb jbsilobs bcb`mtlsms, kloebstivms, bxucmtivms cb
btiljleàm mjéreikm (cbr`mtitis meucms, bzkb`m kloebstivl), f÷oeikm (cbr`mtl`i-
klsis bxucmtivms, btk.)
btk.) l nmktbrimom (cbr`mtitis sbkuocmrim meucm,
meuc m, bkzb`m cishi-
crûtikl slnrbiofbktmcl,
slnrbiofbk tmcl, btk.).
Srmtm`ibotl cb pmtljleàms vmskujmrbs pbriférikms
pbrifé rikms (bnitis, trl`nlbnitis, ÷jkbrms
vmskujmrbs, btk.)
btk.)..
Bj meum cb Nurlw sib`prb bs uo trmtm`ibotl klmcyuvmotb siotl`ítikl qub hm cb
kl`pjb`botmrsb klo bj btiljûeikl bo fuokiûo cb jm jbsiûo m trmtmr (cbr`mtlklr-
tiklicb, motiniûtikl, motif÷oeikl, bozi`m prltbioljàtikm, vmslcijmtmclr pbriférikl,
hbpmrioms).
93
Fûr`ujms `meistrmjbs
mstrioebotbs
Qlsljleàm7 vàm tûpikm
Jmvmcl cb jm jbsiûo klo jm sljukiûo cirbktm`botb l `bcimotb kl`prbsms h÷`b-
cms, cb > m ; vbkbs
vbkb s mj càm, curmotb 2-=1 `ioutls
`ioutls pmrm kmcm mpjikmkiûo.
m pjikmkiûo. Jm curmkiûo
curm kiûo
cbj trmtm`ibotl vibob klocikilomcm plr jm bvljukiûo cb jm jbsiûo.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj mju`ioil, l cbrivmcls. Mjbreim m kumjquibrm cb jls kl`pl-
obotbs cbj prbpmrmcl. Hmstm jm fbkhm ol sb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb prb-
sbotmr kibrtm irritmkiûo y sbqubcmc kutíobm bo trmtm`ibotls prljloemcls.
prljloemcls. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Jms flr`ujmkilobs mstrioebotbs klo smjbs cb mju`ioil slo sbeurms, prbsbotmo
uom bkmkim cb`lstrmcm bo jbsilobs meucms, kloebstivms cb civbrsm btiljleàm y
klostituybo bj trmtm`ibotl cb bjbkkiûo cb jls motieuls prbpmrmcls klo pjl`l.
Klosicbrm`ls, plr jls bstucils rbmjizmcls, qub bj meum cb Nurlw `lcikmcm bs
bj prbpmrmcl mstrioebotb klo smjbs cb mju`ioil cb bjbkkiûo bo plcljleàm.
92
Bj mkbtltmrtrmtl cb mju`ioil
bs uo motiséptikl cénij y uo
[ljukiûo bxkbjbotb mstrioebotb
trmospmrbotb y motiiofjm`mtlril.
[ljukiûo cb klo uom jiebrm Mkt÷m cis`i
cis`iouyb
ouybocl
ocl jm
jm
mkbtltmrtrmtl =1% 21 e kljlrmkiûo pbr`bmnijicmc kmpijmr cb
cb mju`ioil m`mrijjl- jms kéjujms, rbcukibocl jls
vbrclsm cb ljlr bcb`ms, jm bxucmkiûo y jm
mviomermcl. kloebstiûo, y plr tmotl
rbcukb bj Sibob
iofjm`mkiûo. cljlr yjiebrls
jm
bfbktls vmslklostriktlrbs.
Fûr`ujms `meistrmjbs
mstrioebotbs
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr jm jm kmoticmc cb sljukiûo cb mkb-
tltmrtrmtl cb mju`ioil, bj íkicl nûrikl y bj íkicl mkétikl.
QM[L > Ioklrplrmr bj 91% cbj meum purikmcm obkbsmrim y `bcimotb jm myucm cb
uom vmrijjm cb vicril l uo meitmclr `meoétikl `bzkjmrjls vielrlsm`botb
hmstm su kl`pjbtm cisljukiûo.
QM[L ; Bo uom prlnbtm l bo uo bovmsb omj ermcumcl bormsmr klo bj rbstl cb
meum purikmcm.
QM[L 3 Bovmsmr prbfbrinjb`b
prbfbrinjb`botbotb bo frmskl lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb ljlr kmrmktbràstikl.
Kl`plsikiûo
[ujfmtl cb kiok 1,>%
[ujfmtl cb klnrb 1,;%
[ujfmtl mju`àoikl pltísikl 1,3%
1,3%
Meum cbstijmcm ksp >21kk
[ioûoi`ls
[ujfmtl mju`àoikl pltísikl7 mju`nrb pltísikl pljvl, mju`nrb kmjkiomcl, mju`nrb.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj
kmsprbpmrmcl, cbnicl
y fuoeistítikms plrmprbkipitmkiûo
jm prbsbokim cb
cb sujfmtls, tibobkbjujmrbs.
jms prltbàoms prlpibcmcbs nmk tbrilstíti-
nmktbrilstíti-
Sm`niéo prbsbotm
mkkilobs mstrioebotbs y motiiom`mtlrims. Mkt÷m cis`iouybocl jm pbr`bmnijicmc
kmpijmr cb jms kéjujms, rbcukibocl jls bcb`ms, jm bxucmkiûo y jm kloebstiûo, y plr
tmotl rbcukb bj cljlr, jm iom`mkiûo. Sm`niéo
Sm`niéo tibob bfbktls
bfbk tls vmslklostriktlrbs.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb jiebrm`botb mzujmcm b iolclrm.
Iocikmkilobs
Jmvmcl cb hbricms, ji`pibzm cb ÷jkbrms vmskujmrbs, plr cbk÷nitl, cimnétikms,
qub`mcurms, btk. y tlcm mqubjjm jbsiûo bxucmtivm iofbktmcm.
Srmtm`ibotl klmcyuvmotb cb jbsilobs bcb`mtlsms, kloebstivms, bxucmtivms cb
btiljleàm mjéreikm (cbr`mtitis meucms, bzkb`m kloebstivls), f÷oeikm (cbr`mtl-
`iklsis bxucmtivms, btk.)
btk.) l nmktbrimom (i`pétiel, cbr`mtitis sbkuocmrim meucm,
bkzb`m cishicrûtikl slnrbiofbktmcl,
slnrbiofbk tmcl, btk.).
btk.).
Bj meum cb jls trbs sujfmtls sib`prb bs uo trmtm`ibotl klmcyuvmotb qub hm cb
kl`pjb`botmrsb klo bj trmtm`ibotl btiljûeikl bo fuokiûo cb jm jbsiûo trmtmcm.
Fûr`ujms `meistrmjbs
mstrioebotbs
Klotrmiocikmkilobs
Hipbrsbosinijicmc
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobot
k l`plobotbs
bs cbj prbpmrmcl. Hmstm jm fbkhm
ol sb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb prb-
sbotmr kibrtm irritmkiûo y sbqubcmc kutíobm bo trmtm`ibotls prljloemcls.
prljloemcls. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj meum cb jls trbs sujfmtls bs uo bxkbjbotb mstrioebotb klo mkkilobs motiséptikms,
motiséptikm s,
cb iotbrés bo bj trmtm`ibotl cb jbsilobs meucms bxucmtivms cb lriebo mjéreikl,
f÷oeikl y/l nmktbrimol, sib`prb klosicbríocljl kl`l trmtm`ibotl
trmtm `ibotl klmcyuvmotb
siotl`ítikl, kl`pjb`botíoclsb klo bj btiljûeikl.
99
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
Qriokipils Qbsl rbmj fisiklquà`ikms Qrlpibcmcbs
mktivls Vlju`boo pbsmcm
Vlju`b Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls pbsmr jls trbs sujfmtls.
QM[L > Ioklrplrmr bj 91% cbj meum purikmcm obkbsmrim y `bcimotb jm myucm cb
uom vmrijjm
hmstm cb vicril cisljukiûo.
su kl`pjbtm l uo meitmclr `meoétikl `bzkjmrjls vielrlsm`botb
QM[L ; Bo uom prlnbtm l bo uo bovmsb omj ermcumcl bormsmr klo bj rbstl cb
meum purikmcm.
QM[L 3 Bovmsmr prbfbrinjb`b
prbfbrinjb`botbotb bo frmskl lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb klo jiebrm kljlrmkiûo mzuj.
Fûr`ujms
`meistrmjbs bo
Ltljleàm
loiklkriptlsis
Bo =832 Jbwis
Jbwis Curjmkhbr cbskrinb plr pri`brm vbz jm uým iokmromtm kl`l7 "jm"jm uým
qub krbkb hmkim bj iotbrilr cb jm kmrob". Bstm cboikiûo tmo si`pjb sieub viebotb
mktumj`botb.
• Éstms
Klrtb ioklrrbktl cb jms uýms
ol cbnbo klrtmsb
klr tmsb bxkbsivm`botb y ol sb cbnbo rbclocbmr
rbclocbm r gm`ís.
Cbnbo klrtmsb rbktms y jls kmomjbs uoeubmjbs cbnbo bstmr sib`prb
ji`pils.
• Srmu`mtis`ls
Qubcbo mktumr iocirbktm`botb jbsilomocl jm `mtriz y cirbktm`botb huo-
cibocl uom mristm uoeubmj bo jls tbgicls vbkiols.
Fûr`ujms `meistrmjbs
bo loiklkriptlsis
Mj momjizmr
momjizmr jm kjàoikm cb jms loiklkript
loiklkriptlsis
lsis lnsbrvm`ls qub pri`brm`botb mpmrbkb
uo jiebrl cljlr m oivbj cbj nlrcb iotbrol cb jm uým, qub mu`botm klo jm cbm`nujm-
kiûo, mkbotuíoclsb klo bj b`pjbl cb zmpmtls
zmp mtls bstrbkhls. Mj priokipil jls cljlrbs
slo jiebrls b iotbr`itbotbs y sb bxmkbrnmo klo jm `àoi`m prbsiûo.
Bj trmtm`ibotl klosbrvmclr
klosbr vmclr klojjbvm jm rbmjizmkiûo cb uo kmomj cb prlxi`mj m cistmj
flr`mocl uom kuým cb jm bspàkujm m bxtrmbr. Qlstbrilr`botb, klo jm myucm cb uoms
kizmjjms y nisturà cbj
cb j =2, bji`iomrb`ls
bji`iomrb`ls jm bspàkujm cb jm uým kjmvmcm.
[i ol sb rbsubjvb
quir÷reikl, klo bjbotrmtm`ibotl
b`pjbmocl
b`pjbmocl kmcm kmsl klosbrvmclr sb cbnbrí
jm tékoikm cb kirueàm rbmjizmr
uoeubmj `ístrmtm`ibotl
mcbkumcm
pmrm bj tipl cb uým l pmtljleàm.
=13
Fûr`ujms `meistrmjbs
bo loiklkriptlsis
MERM CB NR^LU QM^M
QM^M LOIKLK^IQSL[I[
Kl`plsikiûo
[ljukiûo cb mkbtltmrtrm
mkbtltmrtrmtl
tl cb mju`ioil 21%
Meum cbstijmcm ksp =11kk
[ioûoi`ls
[ljukiûo cb mkbtltmrtrmtl
mkbtltmr trmtl cb mju`ioil7 ioklrrbktm`botb sb jjm`m "meum cb Nurlw"
y ol pubcb utijizmrsb cirbktm`botb plr prbsbotmr uo mjtl plcbr irritmotb, cbnbràm
sib`prb cijuirsb.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj mkbtltmrtrmtl cb mju`ioil bs uo motiséptikl cénij y uo bxkbjbotb mstrioebotb
yrbcukibocl
motiiom`mtlril. Mkt÷mjmcis`iouybocl
jls bcb`ms, bxucmkiûo y jmjmkloebstiûo,
pbr`bmnijicmc
y plrkmpijmr cb jms kéjujms,
tmotl rbcukb bj cljlr
y jm iom`mkiûo. Sibob jiebrls bfbktls vmslklostriktlrbs. M uom klokbotrmkiûo
cbj 21% prbsbotm pltbotbs bfbktls mstrioebotbs y motibcb`mtlsls. ^bcukb jls
`m`bjlobs y ermoujl`ms cb jms loiklkriptlsis.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo ljlr m íkicl mkétikl (viomerb).
Iocikmkilobs
Srmtm`ibotl klosbrvmclr cb jms loiklkriptlsis, fmkijitmocl jm bji`iomkiûo cb jm
bspàkujm, rbcukibocl
rbcukib ocl bj `m`bjûo y ermoujl`m, klotrljmocl jm iofbkkiûo b iom`m-
kiûo. Bj meum cb Nurlw pmrm loiklkriptlsis, plr su mjtm klokbotrmkiûo,
klokb otrmkiûo, ol pubcb
sbr utijizmcm bo trmtm`ibotl klmcyuvmotb cb jbsilobs ujkbrmtivms y/l bxucmtivms
cbnicl mj bjbvmcl ribsel cb irritmkiûo kutíobm.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj mju`ioil l cbrivmcls. Hmstm jm fbkhm ol sb klolkbo ltrms
klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb
prbsbotmr kibrtm irritmkiûo kutíobm. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbmk kilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj meum cb Nurlw mj 21%
21% mslkimcm mj mju`nrb pltísikl pljvl pubcb bo b o mjeuols
kmsls bvitmr jm kirueàm uoeubmj bo cbtbr`iomcms loiklkriptlsis. Fmkijitm jm bji`iom-
kiûo cb jm bspàkujm, rbcukibocl bj `m`bjûo y bj tbgicl ermoujl`mtlsl mslkimcl,
rbcukibocl jm iom`mkiûo y bj cljlr mslkimcl.
=16
Fûr`ujms `meistrmjbs
bo loiklkriptlsis
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
@mtbrim Kmoticmc Kmrmktbràstikms
pri`m
Qriokipils %
Qbsl Kmoticmc
rbmj fisiklquà`ikms
Ioflr`mkiûo Qrlpibcmcbs
fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
Bj mkbtltmrtrmtl cb mju`ioil
bs uo motiséptikl cénij y uo
[ljukiûo bxkbjbotb mstrioebotb
trmospmrbotb y motiiofjm`mtlril.
[ljukiûo cb klo uom jiebrm Mkt÷m cis`i
cis`iouyb
ouybocl
ocl jm
jm
mkbtltmrtrmtl 21% 21 ` j kljlrmkiûo pbr`bmnijicmc kmpijmr cb
cb mju`ioil m`mrijjl- jms kéjujms, rbcukibocl
vbrclsm cb ljlr jls bcb`ms, jm bxucmkiûo
mviomermcl. y jm kloebstiûo, y plr
tmotl rbcukb bj cljlr y jm
iofjm`mkiûo. Sibob jiebrls
bfbktls vmslklostriktlrbs.
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr jm
jm kmoticmc cb sljukiûo cb mkb-
tltmrtrmtl cb mju`ioil.
QM[L > Ioklrplrmr bj 91% cbj meum purikmcm obkbsmrim y `bcimotb jm myucm cb
uom vmrijjm cb vicril l uo meitmclr `meoétikl `bzkjmrjls vielrlsm`botb
hmstm su kl`pjbtm cisljukiûo.
QM[L ; Bo uom prlnbtm l bo uo bovmsb omj ermcumcl bormsmr klo bj rbstl cb
meum purikmcm.
QM[L 3 Bovmsmr prbfbrinjb`b
prbfbrinjb`botb
otb bo frmskl lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Oltm
[i ol sb cisplob cb jm sljukiûo cb mkbtltmrtrmtl cb mju`ioil kl`l prbpmrmcl
iotbr`bcil, sb pubcb bjmnlrmr cb jm flr`m sieuibotb7
=15
Íkicl mkéti
mkétikl
kl Jàquicl kjmrl klo ljlr Moti nmktbrimo
Motinmktbr imol,
l,
ejmkimj 6,>1% 6>`j iotbosl b irritmotb. @iskinjb motif÷oeikl y
bo meum y mjklhlj. motiprltlzlikl.
Qljvl kristmjiol njmokl cb
tmrtírikl
Íkicl ;,>8% ;>,8e [ljunjb
jiebrl =/=
kljlr
bom`mrijjbotl.
mjklhl j y =/;
mjklhlj Mstrioebo
Mstri oebotb.
tb.
bo meum.
Meum ksp ksp
purifikmcm =.111`j =.111`j
SLSMJ
SLSMJ =.11
=.111`j
1`j =.11
=.111`j
1`j
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls `bzkjmr jm kmoticmc sujfmtl cb mju`ioil
klo jm `itmc cbj meum purikmcm `bcimotb jm myucm cb uo meitmclr
`meoétikl klo kmjlr.
km jlr.
QM[L > Bo ltrl vmsl cb prbkipi
prbkipitmcls
tmcls `motbobr bo meitmkiûo klotioum bj kmr-
nlomtl kíjkikl klo jm ltrm `itmc cbj meum. Ol sb jjbem cb cisljvbr pbrl
sb `motibob suspbocicl.
QM[L ; Ioklrplrmr jm `bzkjm cbj pmsl uol slnrb jm `bzkjm cbj pmsl cls `uy
plkl m plkl plrqub prlvlkm ermo bfbrvbskbokim.
bfbrvbskbokim . Kmjkujmr qub pubcb
jjbemr m kumcrupjikmr bj vlju`bo cb jm su`m cb jls cls jàquicls.
QM[L 3 Ioklrplrmr bj íkicl mkétikl plkl m plkl
plkl vieijmocl cb oubvl jm bfbrvbs-
kbokim. Cbgmr rbplsmr >-; càms.
QM[L 2 Fijtrmr jm sljukiûo jbkhlsm lntboicm.
lntboicm. Bj rboci`ibotl qub sb lntibob bs
cb uo 21% cbj vlju`bo ioikimj.
QM[L 6 [ljunijizmr bj íkicl tmrt
tmrtírikl
írikl bo jm sljukiûo lntboicm bo bj pmsl motbrilr.
motbrilr.
Fûr`ujms `meistrmjbs
bo loiklkriptlsis
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb ljlr kmrmktbràstikl.
Kl`plsikiûo
Mju`nrb pltísikl pljvl ;1e
[ioûoi`ls
Mju`nrbb pltísikl
Mju`nr pltí sikl pljvl7 sujf
sujfmtl
mtl mju`àoik
mju `àoikl
l pltísikl
pltí sikl pljvl, mju`nr
m ju`nrbb kmjkiom
km jkiomcl,
cl,
mju`nrb pljvl.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj mju`nrb pltísikl pljvl bs uo motiséptikl cénij y uo pltbotb mstrioebotb y
motiiom`mtlril. Bo sljukiûo mkt÷m cis`iouybocl
cis`iouybocl jm pbr`bmnijicmc
pbr`bmn ijicmc kmpijmr cb jms
kéjujms, rbcukibocl jls bcb`ms, jm bxucmkiûo y jm kloebstiûo, y plr tmotl rbcukb
bj cljlr
cb pljvly rbcukb
jm iom`mkiûo. Sibob mcb`ís
jls `m`bjlobsmcb
y `ís bfbktls vmslklostriktlrbs.
ermoujl`ms Qurl bo flr`m
cb jms loiklkriptlsis.
Kmrmktbràstikms lremoljéptikms
Qljvl njmokl mrbolsl ol kristmjiol
kristm jiol sio ljlr.
ljlr.
Iocikmkilobs
Srmtm`ibotl klosbrvmclr cb jms loiklkriptlsis, bo mslkimkiûo klo bj meum cb
Nurlw mj 21%. Fmkijitm
Fmkijitm jm bji`iomkiûo cb jm bspàkujm, rbcukibocl bj
b j `m`bjûo y
ermoujl`m, klotrljmocl jm iofbkkiûo b iom`mkiûo.
Srmtm`ibotl cb jm hipbrhicrlsis y nrl`hicrlsis pjmotmr bo mslkimkiûo klo ltrls
priokipils mktivls (vbr mpmrtmcl
mpmr tmcl 9.3).
Klotrmiocikmkilobs
Hipbrsbosinijicmc
kilobs. mj mju`nrb. Hmstm jm fbkhm ol sb klolkbo ltrms klotrmiocikm-
==1
Fûr`ujms `meistrmjbs
bo loiklkriptlsis
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m
`àoi`m pmrm jm
iocikmkiûo sbýmjmcm. Qubcb prbsbotmr kibrtm irritmkiûo kutíobm. Bo kmsl cb mpm-
rbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj pljvl cb mju`nrb pltísikl bo mslkimkiûo klo bj meum cb Nurlw mj 21% bo
mjeuols kmsls pubcb bvitmr jm kirueàm uoeubmj bo cbtbr`iomcms loiklkriptlsis.
Fmkijitm
`mtlsl jmmslkimcl,
bji`iomkiûo cb jm bspàkujm,
rbcukibocl rbcukiboycl
rbcukibocl
jm iom`mkiûo bj bj `m`bjûo
cljlr y bj tbgicl ermoujl-
mslkimcl.
===
SLSMJ
SLSMJ ;1e ;1e
@lcus lpbrmoci
QM[L = Bo uo `lrtbr
`lrtbrl
l pbsm
pbsmrr jm kmoticm
kmoticmcc tltmj cb mju`nrb (sujfmtl mju`à-
oikl pltísikl) y klo jm myucm cb uo pistijl uoikmr bj tm`mýl cb jms
pmrtikujms.
QM[L > Bovmsmr bo uo tmrrl tlpmkil klo tmpûo prbkiotmcl prbfbrinjb`botb.
Klotrlj cb kmjicmc
Qljvl.
Fûr`ujms
`meistrmjbs bo
Ltljleàm
hipbrhicrlsis
hipbrhicrlsis y
nrl`hicrlsis
Jm hipbrhicrlsis bs uo mu`botl bxmebrmcl b ioobkbsmril cb jm suclrmkiûo
cbnicl m jm slnrbmktivicmc cb jms ejíocujms bkrioms iobrvmcms plr nrms kljioér-
eikms cbpbocibotbs cbj sistb`m obrvilsl mutûol`l. [b bsti`m qub uo ;% ;% cb jm
plnjmkiûo pmcbkb hipbrhicrlsis. Bo plcljleàm sib`prb hmnjmrb`ls cb hipbrhi-
crlsis pri`mrim icilpítikm y flkmj.
Muoqub, bo
b o lkmsilobs,
lkms ilobs, ol
o l sb vmjlrm
vm jlrm jm i`plrt
i`plrtmokim
mokim cb bstms
bs tms mfbkkilob
m fbkkilobs,
s, bs cb
su`m i`plrtmokim su klotrlj, cmcl qub pubcbo prlcukir bo quibo jms pmcbkb mjtb-
rmkilobs cbj bstmcl psàquikl cikujtmocl sus rbjmkilobs slkimjbs y prlfbsilomjbs.
M pbsm
p bsmrr cb
c b qub
q ub bj trmt
t rmtm`ib
m`ibotl
otl cb
c b jm hipb
hipbrhic
rhicrlsi
rlsiss pubc
p ubcbb mnlrc
m nlrcmr
mrsb
sb `bci
`bcimotb
motb
ilotlflrbsis, kirueàm (si`pmtbktl`àm), tlxiom nltujàoikm, lrmj, oioeuol cb bjjls
hm cb`lstrmcl ermo bfikmkim bo plcljleàm y hm cb rbkurrirsb mj trmtm`ibotl
fmr`mkljûeikl.
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
QLJVL[
QLJVL[ CB ÍKICL NÛ^IKL Y MJR@N^B (I)
Kl`plsikiûo
Íkicl nûrikl >1%
[unoitrmtl cb nis`utl =1%
=1%
Mju`nrb pltísikl =1%
=1%
Kmjm`iom
Kmjm`i om pljvl =1%
Mbrlsij ;%
@botlj >%
Smjkl ksp =11e
[ioûoi`ls
Mju`nrb pltísikl7 mju`nrb, mju`nrb
mju`nr b kmjkiomcl, sujfmtl mju`àoikl pltísikl.
Kmjm`iom pljvl7
p ljvl7 kmrnlomtl cb kiok.
Mbrlsij7 sàjikb kljlicmj mohicrm.
moh icrm.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl nûrikl bs uo jiebrl mstrioebotb klo prlpibcmcbs fuoeistítikms y nmktbrilstítikms.
Bj sunoitrmtl cb nis`utl y bj mju`nrb prbsbotmo prlpibcmcbs mstrioebotbs pltbo-
tbs y jiebrls bfbktls motiséptikls. Qrbsbotmo bfbktls mohicrûtikls plr rbcukkiûo
cbj tm`mýl cbj plrl suclrmj.
Jm kmjm`iom y bj tmjkl tibobo mkkilobs mnslrnbotbs, sbkmotbs y prltbktlrms
kutíobms.
Bj mbrlsij fmkijitm jm mchbrbokim cbj prbpmrmcl m jm pibj, bvitm jm flr`mkiûo cb
eru`ls mj klotmktl klo bj suclr, klobrb mj prbpmrmcl sumvicmc y cis`iouyb bj
ribsel cb xbrlsis.
Bj `botlj bs uo runbfmkibotb klo bfbktls momjeésikls, rbfrbskmotbs,
rbfrb skmotbs, motinrl`hi-
crûtikls, motiprurieiolsls.
Bj prbpmrmcl plr sus bfbktls mstrioebotbs, mnslrnbotbs y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj, olr`mjizmocl jm lrm nmktbrimom y f÷oeikm
y, plr tmotl, bji`iomocl jm hipbrhicrlsis y nrl`hicrlsis.
n rl`hicrlsis.
Kmrmktbràstikms lremoljéptikms
Qljvl njmokl, ol, bsploglsl, cb tmktl mermcmnjb y klo ljlr m `botlj.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis y nrl`hicrlsis pjmotmr sbvbrm. Srmtm`ibotl
prljíktikl cb jms cbr`mtl`iklsis meucms bo pmkibotbs klo motbkbcbotb cb
hipbrhicrlsis.
==6
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Ol utijizmr
bo b`nmrmzmcms, `ugbrbs bo pbrilcl cb jmktmokim y oiýls `bolrbs cb 2 mýls.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Bj íkicl
nûrikl mpjikmcl bo zloms bxtbosms, trmtm`ibotl `uy prljloemcl y slnrb pibj
brlsilomcm l klo hbricms pubcb mnslrnbrsb pmrkimj`botb y prlcukir uo kumcrl cb
iotlxikmkiûo (oíusbms, vû`itls, cimrrbms, cljlr mncl`iomj, btk.). Qubcb prlcukir
sbqubcmc kutíobm bo trmtm`ibotls prljloemcls. Bo kmsl cb mpmrbkbr rbmkkil-
obs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.) suspbocbr bj
trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim y uom mjtm bfbktivicmc cb`ls-
trmcm. Qubcb sbr klosicbrmcl kl`l trmtm`ibotl cb bjbkkiûo bo mcujtls bo kmsls
sbvbrls cb hipbrhicrlsis y nrl`hicrlsis pjmotmr.
==5
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
@lcus lpbrmoci
QM[L = Qujvbrizmr bj `botlj bo `lrtbrl.
QM[L > Bo uo tm`iz cb juz cb `mjjm iotbr`bcim tm`izmr tlcls jls pljvls
pljvls bo bj
lrcbo sieuibotb7
`iom pljvl, tmjklíkicl nûrikl,
y `botlj sunoitrmtl
(prbvim
(prbvim`botb cb nis`utl, mju`nrb, kmjm-
`botb pujvbrizmcl).
QM[L > Mýmcir bj mbrlsij m jls pljvls tm`izmcls y `bzkjmr hl`leéobm`botb.
QM[L > Bovmsmr bo tmrrl tmjqubrm.
Klotrlj cb kmjicmc
Qljvl njmokl jiebrl y sbclsl klo ljlr m `botlj.
s
s
s
s
im
rb
is.
==9
QLJVL[
QLJVL[ CB ÍKICL NÛ^IKL Y MJR@N^B (II)
Kl`plsikiûo
Íkicl nûrikl 2%
[unoitrmtl cb nis`utl =1%
=1%
Mju`nrb pltísikl pljvl 2%
Kmjm`iom
Kmjm`i om pljvl =1%
Íkicl smjikàjikl =%
Ûxicl cb kiok 2%
Mbrlsij ;%
@botlj =%
Smjkl ksp =11e
[ioûoi`ls
Mju`nrb pltísikl7 mju`nrb, mju`nrb
mju`nr b kmjkiomcl, sujfmtl mju`àoikl pltísikl.
Kmjm`iom pljvl7
p ljvl7 kmrnlomtl cb kiok.
Mbrlsij7 sàjikb kljlicmj mohicrm.
moh icrm.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl nûrikl y bj íkicl smjikàjikl tibobo prlpibcmcbs fuoeistítikms y nmktbrilstítikms.
Bj sunoitrmtl cb nis`utl y bj mju`nrb prbsbotmo prlpibcmcbs mstrioebotbs pltbo-
tbs y jiebrls bfbktls motiséptikls. Qrbsbotmo bfbktls mohicrûtikls plr rbcukkiûo
cbj tm`mýl cbj plrl suclrmj.
Jm kmjm`iom, bj ûxicl cb kiok y bj tmjkl tibobo mkkilobs mnslrnbotbs, sbkmotbs
y prltbktlrms kutíobms.
Bj mbrlsij fmkijitm jm mchbrbokim cbj prbpmrmcl m jm pibj, bvitm jm flr`mkiûo cb
eru`ls klo bj suclr, cíocljb sumvicmc y cis`iouybocl bj ribsel r ibsel cb xbrlsis.
Bj `botlj bs uo runbfmkibotb klo bfbktls momjeésikls, rbfrbskmotbs,
rbfrb skmotbs, motinrl`hi-
crûtikls, motiprurieiolsls.
Bj prbpmrmcl plr sus bfbktls mstrioebotbs, mnslrnbotbs y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj, olr`mjizmocl jm lrm nmktbrimom y f÷oeikm,
y plr tmotl klotrljmocl jm hipbrhicrlsis y nrl`hicrlsis.
Kmrmktbràstikms lremoljéptikms
Qljvl njmokl, ol, bsploglsl, cb tmktl mermcmnjb y cb ljlr m `botlj.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis y nrl`hicrlsis tmotl bo plnjmkiûo mcujtm kl`l
bo oiýls. Srmtm`ibotl
Srmtm`ibotl prljíktikl cb jms cbr`mtl`iklsis meucms bo pmkibotbs
klo motbkbcbotb cb hipbrhicrlsis.
=>1
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb
prlcukir sbqubcmc kutíobm bo trmtm`ibotl prljloemcl. Bo kmsl cb mpmrbkbr
rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.) suspbo-
cbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Mpj ikmkiûo
Mpjikm kiûo
• iokjuicms jmscirb
cirbktm
ktm cbj prb
prbpmr
iotbrcieitmjbs. pmrmcl,
mcl, bxtb
bxtbocié
ociéocl
ocljl
jl plr tlcm
tlcmss jms
j ms zlom
zlomss
• Qubcbo mpjikmrsb pbqubýms
pbqubým s kmoticmcbs cbj prbpmrmcl cbotrl cbj kmjzmcl.
• Jm lpbrmkiûo motbrilr sb rbpbtirí sbe÷o pmutms iocikmcms l sbe÷o kritbril
cbj plcûjlel. Bs rbkl`bocmnjb cis`iouir prlerbsivm`botb su utijizmkiûo.
• [b rbkl`ibocm bovmsmr bo frmskl tmjqubrm
tmjqubr m m fio cb fmkijitmr su mpjikmkiûo.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim, uom mjtm pltbokim y bfbktivicmc
cb`lstrmcm, pubcb sbr klosicbrmcl kl`l trmtm`ibotl cb bjbkkiûo bo mcujtls y
oiýls bo kmsls meucls cb hipbrhicrlsis y nrl`hicrlsis
nr l`hicrlsis qub quibrmo sbr trmtmcls
klo prbpmrmcls bo flr`m cb pljvls.
=>=
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
@lcus lpbrmoci
QM[L = Qujvbrizmr bj `botlj bo `lrtbrl.
QM[L > Bo uo tm`iz cb juz cb `mjjm iotbr`bcim tm`izmr tlcls jls pljvls
pljvls bo bj
lrcbo sieuibotb7
`iom pljvl, tmjklíkicl nûrikl,
y `botlj sunoitrmtl
(prbvim
(prbvim`botb cb nis`utl, mju`nrb, kmjm-
`botb pujvbrizmcl).
QM[L ; Mýmcir bj mbrlsij m jls pljvls tm`izmcls y `bzkjmr hl`leéobm`botb.
QM[L 3 Bovmsmr bo tmrrl tmjqubrm.
Klotrlj cb kmjicmc
Qljvl njmokl jiebrl klo ljlr m `botlj.
Kl`plsikiûo
Kjlrhicrûxicl cb mju`ioil >1%
Qrlpijboejiklj =1%
Meum cbstijmcm >1%
@botlj >%
Mjklhlj 96± ksp =11`j
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj kjlrhicrûxicl cb mju`ioil tibob
tibob prlpibcmcbs mstrioebotbs
m strioebotbs y mohicrûtikms, mkt÷m
cis`iouybocl bj tm`mýl cbj plrl suclrmj plr prbkipitmkiûo cb jms prltbàoms
slnrb jm supbrkib
supbr kib kbjujmr,
kbjujmr, sibocl `bols irritmotb qub su hl`ûoi`l bj kjlrurl
cb mju`ioil.
Bj prlpijboejiklj bs uo mebotb hu`bktmotb b hicrmtmotb qub bvitm jm plsinjb sbqub-
cmc kutíobm cbj prbpmrmcl y jb klobrb uo tmktl mermcmnjb.
Bj `botlj bs uo runbfmkibotb klo bfbktls momjeésikls, motinrl`hicrûtikls, moti-
prurieiolsls y rbfrbskmotbs.
Bj mjklhlj bs uo motiséptikl cb m`pjil bspbktrl olr`mjizmclr cb jm nrlohicrlsis
y pltbokim jm mkkiûo mohicrûtikm cbj kjlrurl cb mju`ioil.
Bj prbpmrmcl plr sus bfbktls mstrioebotbs, mohicrûtikls y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj olr`mjizmocl jm lrm nmktbrimom y f÷oeikm
y, plr tmotl, klotrljm jm hipbrhicrlsis y nrl`hicrlsis.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb cb tmktl sbclsl y ljlr m `botlj.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis y nrl`hicrlsis pjmotmr. Srmtm`ibotl prljíktikl
cb jms cbr`mtl`iklsis meucms bo pmkibotbs klo motbkbcbotb cb hipbrhicrlsis.
M klokbotrmkilobs cbj =2%
=2% cb kjlrurl cb mju`ioil
mju`ioil y cbj 1,>% cb `botlj
`botlj tm`niéo
bs cb ermo utijicmc bo hipbrhicrlsis pmj`mr y mxijmr.
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs. Muoqub ol hmy oioeuom
klotrmiocikmkiûo bo oiýls, sb rbkl`ibocm rbcukir jm klokbotrmkiûo cbj kjlrurl
cb mju`ioil mj =2%
=2% y cbj `botlj mj =%.
=%. Ol mpjikmr slnrb pibj cbsoucm,
c bsoucm, ÷jkbrms
÷jkb rms l
hbricms mnibrtms, msà kl`l bo lgls y/l `uklsms.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Bo `uy
rmrms lkmsilobs pubcb prbsbotmr irritmkiûo kutíobm. Bo kmsl cb mpmrbkbr rbmk-
kilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.) suspbocbr
bj trmtm`ibotl y klosujtmr klo su plcûjlel. [b hmo cmcl kmsls cb sbosmkiûo
`ljbstm cb fràl bo jls pibs plr jm prbsbokim cbj `botlj. Bo bstls kmsls rbcukir
jm clsis mj 1,2-=%.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim klo `bolr pltbokim qub jls prb-
pmrmcls bo flr`m cb pljvls y uom mjtm bkmkim cb`lstrmcm, klosicbríocljl cb
ermo utijicmc bo bj trmtm`ibotl cb hipbrhicrlsis y nrl`hicrlsis bo mcujtls y oiýls.
=>2
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipi
prbkipitmcls
tmcls pbsmr bj kjlrurl cb mju`ioil y cisljvbrjl
bo jm `is`m kmoticmc cb meum purikmcm klo jm myucm cb uo meitmclr
`meoétikl.
QM[L > Bo ltrl vmsl cb prbkipitmcls cisljvbr bj `botlj bo bj 91% cb mjklhlj
btàjikl obkbsmril.
QM[L ; @bzkjmr jms cls sljukilobs b ioklrplrmr bj prlpijboejiklj.
QM[L 3 Bo uom
uom prlnbtm l bo bj bovmsb omj si bstí ermcumcl bormsmr klo jm
kmoticmc cb mjklhlj btàjikl rbstmotb.
QM[L 2 Bovmsmr prbfbrinjb`botb bo frmskl klo tmpûo pujvbrizmclr.
Klotrlj cb kmjicmc
Jàquicl trmospmrbotb cb tmktl uotulsl y klo ljlr m `botlj.
Kl`plsikiûo
Kjlrurl cb mju`ioil hbxmhicrmtmcl >1%
Mjklhlj mnsljutl ksp =11`j
[ioûoi`ls
[ljukiûo cb [hbjjby-Hurjby.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj kjlrurl cb mju`ioil tibob prlpibcmcbs mstrioebotbs y mohicrûtikms, mkt÷m cis-
`iouybocl bj tm`mýl cbj plrl suclrmj plr prbkipitmkiûo cb jms prltbàoms slnrb
jm supbrkib kbjujmr.
Bj mjklhlj bs uo motiséptikl cb m`pjil
m `pjil bspbktrl olr`mjizmclr cb jm nrl`hicrlsis,
n rl`hicrlsis,
mcb`ís cb pltbokimr jm mkkiûo mohicrûtikm cbj kjlrurl cb mju`ioil.
Bj prbpmrmcl plr sus bfbktls mstrioebotbs, mohicrûtikls y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj, olr`mjizmocl jm lrm nmktbrimom y f÷oeikm
y, plr tmotl, olr`mjizmocl jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo ljlr m mjklhlj.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis pjmotmr.
pjmotm r.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb klolkbo ltrms klotrmiocikmkilobs. Muoqub ol hmy oioeuom klo-
trmiocikmkiûo bo oiýls, sb rbkl`ibocm rbcukir jm klokbotrmkiûo cbj kjlrurl cb
mju`ioil mj =2%,
=2%, msà `is`l ol bs rbkl`bocmnjb
rbkl`bocm njb rbmjizmr kurms
ku rms lkjusivms.
=>8
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb
prlcukir irritmkiûo kutíobm, `ís frbkubotb klo trmtm`ibotls prljloemcls. Bo
trmtm`ibotlss curmcbrls pubcb prlcukir sbqubcmc kutíobm.
trmtm`ibotl kutíobm . Bo kmsl cb mpm-
rbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim y uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb ermo utijicmc bo bj trmtm`ibotl cb hipbrhicrlsis y nrl`hicrlsis
pjmotmr bo mcujtls y oiýls. Muoqub bxkbpkilomj`botb pubcb sbr irritmotb y prl-
cukir sbqubcmc kutíobm, bs uom nubom lpkiûo pmrm pmkibotbs qub ol mkbptbo
jls pljvls mohicrûtikls.
=>9
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls pbsmr bj kjlrurl cb mju`ioi
mju`ioill hbxmhicrmtmcl
y cisljvbrjl bo tlcl bj mjklhlj btàjikl
btàjikl obkbsmril klo jm myucm cb uo mei-
tmclr `meoétikl. Bstb sljutl
sljutl pubcb tmrcmr uoms hlrms bo sljunijizmrsb
plr kl`pjbtl. Qlcb`ls meijizmr jm cisljukiûo ioklrplrmocl jm `is`m
kmoticmc cb meum qub cb sljutl.
QM[L > Bo uo prlnbtm l bo bj bovmsb omj si bstí ermcumcl borms
bormsmr
mr klo jm
kmoticmc cb mjklhlj
mjk lhlj btàjikl qub sb hmym plcicl bvmplrmr
bvmplrm r.
QM[L ; Bovmsmr prbfbrinjb`botb bo frmskl klo tmpûo pujvbrizmclr.
Klotrlj cb kmjicmc
Jàquicl trmospmrbotb.
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
[LJRKIÛO CB EJRSM^MJCBHÀCL MJ
M J =1%
Kl`plsikiûo
[ljukiûo mkulsm cb ejutmrmjcbhàcl mj =1
=1%
% 21 `j
^be÷jbsb m pH 5,2
[ioûoi`ls7
Ejutmrmjcbhàcl7 ejutmrmj.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj ejutmrmjcbhàcl bs uo cbsiofbktmotb klo mkkiûo ebr`ikicm cb m`pjil bspbktrl.
Jms sljukilobs
sljukilo bs slo mktivms bo `bcil obutrl (pH(p H 5,2),
5,2), jms sljukilobs kl`brkimjizm-
kl`brkim jizm-
cms (mj >2-21%) prbsbotmo uo pH íkicl, sibocl `ukhl `ís bstmnjbs, bstmnjb s, pbrl plkl
mktivms, plr bjjl bs obkbsmril tm`plomrjms m o cb pltbokimr su mkkiûo.
Sm`niéo prbsbotm prlpibcmcbs mstrioebotbs y mohicrûtikms plr jm cis`ioukiûo cbj
tm`mýl cbj plrl suclrmj plr prbkipitmkiûo cb jms prltbàoms slnrb jm supbrkib
kbjujmr.
Qlr su mkkiûo fuoeikicm y nmktbrikicm bs `uy bkmz bo nrl`hicrlsis.
M cifbrbokim cbj flr`mjcbhàcl, jm iokicbokim cb cbr`mtitis mjéreikms bs `uy nmgm.
Bj prbpmrmcl plr sus bfbktls mstrioebotbs, mohicrûtikls y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj, olr`mjizmocl jm lrm nmktbrimom y f÷oeikm
y, plr tmotl, olr`mjizmocl jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis.
Jm sljukiûo cb ejutmrmjcbhàcl
ejutm rmjcbhàcl mj =1% tiýb jm pibj tb`plrmj`botb cb m`mrijjl.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb iokljlrm cb ljlr kmrmktbràstikl.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis pjmotmr.
pjmotm r.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb klolkbo ltrms klotrmiocikmkilobs.
Muoqub
Muoq ub ol hmy oioe
oioeuom
uom klo
klotrm
trmioci
iocikmk
kmkiûo
iûo bo oiýl
oiýls,
s, sb rbk
rbkl`ib
l`ibocm
ocm rbc
rbcukir
ukir jm
klokbotrmkiûo cbj ejutmrmjcbhàcl mj 2% plr su plsinjb bfbktl irritmotb.
Ol utijizmr bo b`nmrmzmcms.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m.
Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls.
Siýb tb`plrmj`botb jm pibj cb m`mrijjl-pmrcl jiebrl.
^mrm`botb pubcb mpmrbkbr cbr`mtitis cb klotmktl.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim, uom nubom bkmkim cb`lstrmcm,
klosicbríocljl cb utijicmc bo bj trmtm`ibotl cb hipbrhicrlsis y nrl`hicrlsis bo
mcujtls y oiýls, muoqub pubcb sbr irritmotb y prlcukir kljlrmkiûo.
=;>
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
@lcus lpbrmoci
QM[L = Bo uo vmsl
vmsl cb prbkipitmcls cbplsitmr jm kmoticmc
kmoticmc cb ejutmrmjcbhàcl
ejutmrmjcbhàcl y cb
meum purikmcm `bcicl klo prlnbtm prbvim`botb y `bzkjmr klo uom vmrijjm
cb vicril.
QM[L > @bcimotb uom tirm cb pH l uo pH`btrl rbeujmr m pH 5,2
5,2 klo jm ioklrplrmkiûo
eltm m eltm cb tribtmoljm`iom.
QM[L ; Bovmsmr prbfbrinjb`botb bo frmskl klo tmpûo pujvbrizmclr.
Klotrlj cb kmjicmc
Jàquicl trmospmrbotb iokljlrl klo ljlr kmrmktbràstikl.
EBJ CB EJIKLQI^^LJM
EJIKLQI^^LJ MSL [ÛCIKL
Kl`plsikiûo
Ejiklpirrljmtl sûcikl 2%
Qrlpijboejiklj =1%
Ebj hicrlmjklhûjikl ksp 21e
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj ejiklpirrljmtl sûcikl bs uo motikljioéreikl. Njlqubm jls rbkbptlrbs cb jm mkbtij-
mk btij-
kljiom rbcukibocl jm prlcukkiûo cbj suclr cb jms ejíocujms suclràpmrms.
Bj prlpijboejiklj tibob mkkilobs hierlskûpikms b hicrmtmotbs,
hicrm tmotbs, y bvitm jm xbrlsis bo
trmtm`ibotls prljloemcls.
Bj bxkipibotb ebj hicrlmjklhûjikl prbsbotm mkkilobs motiséptikms y sbkmotbs
pltbokimocl
Bj prbpmrmcl jm mkkiûo
plr cbj ejiklpirrljmtl,
sus bfbktls siomohicrûtikls
mstrioebotbs, `mkbrmr jm pibj.
y motiséptikls bs kmpmz
cb rbcukir jm hipbrsbkrbkiûo suclrmj, olr`mjizmocl jm lrm nmktbrimom y f÷oeikm
y, plr tmotl, olr`mjizmocl jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis.
Kmrmktbràstikms lremoljéptikms
Qrlcuktl sb`isûjicl cb mspbktl ebjiflr`b iokljlrl y príktikm`botb iolclrl.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrhicrlsis
hipbr hicrlsis y nrl`hicrlsis pjmotmr.
pjmotm r.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
Hmstm bj `l`botl ol sb klolkbo ltrms klotrmiocikmkilobs.
Muoqub
Muoq ub ol hmy oioe
oioeuom
uom klo
klotrm
trmioci
iocikmk
kmkiûo
iûo bo oiýl
oiýls,
s, sb rbk
rbkl`ib
l`ibocm
ocm rbc
rbcukir
ukir jm
klokbotrmkiûo cbj ejiklpirrljmtl mj >% plr su plsinjb bfbktl irritmotb.
Ol utijizmr bo b`nmrmzmcms.
=;3
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m.
Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls.
^mrm`botb
Bo kmsl cb pubcb mpmrbkbr
mpmrbkbr cbr`mtitis
rbmkkilobs cb klotmktl.
mjéreikms (ur tikmrim, britb`m, rbmkkilobs bxmotb-
(urtikmrim,
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim,
tljbrmok im, uom bkmkim cb`lstrmcm, pbrl nmgm
bo kmsls cb hipbrhicrlsis pjmotmr sbvbrms bo kl`pmrmkiûo klo jls prbpmrmcls
bo flr`m cb pljvls.
=;2
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmc
prbkipitmcll pbsmr jm kmoticmc klrrbs
klrrbsplocibotb
plocibotb cb eji-
klpirrljmtl y cisljvbr bo jm pmrtb klrrbsplocibotb cb mjklhlj btàjikl.
QM[L > Ioklrplrmr bj prlpijboejiklj y bj 91% cb meum purikmcm obkbsm
obkbsmrim.
rim.
QM[L ;m Bo uo bovmsb
bovmsb tipl
tipl uoeumtlr® tmrmcl cbplsitmr jm sljukiûo motbrilr y uo
;% cb [bpiebj®. Flr`mr bj ebj klo jm myucm cbj meitmclr uoeumtlr®.
Rom vbz flr`mcl bj ebj, bormsmr hmstm
hms tm bj pbsl tltmj klo bj rbstl cb meum
purikmcm. M vbkbs pubcb obkbsitmrsb `ís kmoticmc cb [bpiebj®.
QM[L ;n [i ol sb cisplob cb meitmclr tipl uoeumtlr®, pbsb jm kmoticmc cb [bpi-
ebj® bo uo `mrtbrl
`mr tbrl tmrmcl. Ioklrplrb jm sljukiûo plkl m plkl y nmgl jm
mkkiûo cbj pistijl pmrm klosbeuir
klosb euir jm flr`mkiûo cbj ebj. Rom vbz flr`mcl
bj ebj, pubcb
vbkbs bormsmrobkbsitmrsb
hmstm bj pbsl
pbs l tltmj
`ís klo bjcbrbstl
kmoticmc cb ®meum
[bpiebj . purikmcm. M
QM[L 3 Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl l bo uol cb pjístikl.
=;6
Fûr`ujms `meistrmjbs bo
hipbrhicrlsis y nrl`hicrlsis
Klotrlj cb kmjicmc
Ebj cb klosistbokim bspbsm y kljlr njmokl.
Jm pibj sbkm vibob cboicm plr uom iosukibokim bo bj ermcl cb hicrmtmkiûo cbj
bstrmtl kûrobl mslkimcm m jm bji`iomkiûo cbj `motl íkicl-ermsl prltbktlr. Bstb
cékit bs klosbkubokim cb jm pércicm cb meum trmoscér`ikm y cb jm nmgm kmpmki-
cmc cb rbtbokiûo cb jm `is`m plr jms kéjujms bpicér`ikms.
Jls sàotl`ms qub mkl`pmýmo m jm xbrlsis slo7 britb`m, pruritl, cbkm`mkiûo (bo
ebobrmj bs om l pujvbrujbotm), jjbemocl iokjusl m prbsbotmrsb oms kumrtbmcurms
kum rtbmcurms
kutíobms tipl b`pbcrmcl (bkzb`m krmqubjé l mstbmtûtikl).
[lo `ukhms jms cbr`mtlsis qub kursmo klo sbqubcmc kutíobm, cbskm`mkiûo,
jiquboikmkiûo, hipbrqubrmtlsis, pruritl (iktilsis vujemr,
vujemr, cishriclsis kûoikm, cbr-
`mtitis krûoikm, pslrimsis
pslrim sis pjmotmr, cbr`mtl`iklsis pjmotmr, btk.).
btk.). Mcb`ís, bo bstms
pmtljleàms sbrí obkbsmril iokjuir priokipils mktivls sbjbktivls7 motipslriísikls
tûpikls, qubrmtljàtikls, rbcuktlrbs, cbr`lklrtiklicbs, motif÷oeikls, btk. (vbr
mpmrtmcls bspbkàkls).
]ub cucm kmnb qub jm lribotmkiûo cbj plcûjlel slnrb civbrsms `bcicms ebob-
rmjbs prljíktikms `bglrmrío y bo mjeuols kmsls bvitmrío kumcrls xbrûsikls y
pruràtikls l su b`pblrm`ibotl4 botrb bstms cbstmkmràm`ls7
=31
Fûr`ujms `meistrmjbs
pmrm xbrlcbr`ims
Kl`plsikiûo
Rrbm =1-=2%
Íkicl jíktikl 3-6%
Jmktmtl sûcikl 2-=1%
2-=1%
Mjmotlàom =->%
=->%
Ebj cb mjlb vbrm =1-=2%
=1-=2%
Ci`btiklom ;21 >-2%
Bxkipibotb krb`m ksp =11e
[ioûoi`ls
Ci`btiklom ;217 mkbitb cb sijiklom.
Rrbm7 kmrnm`icm.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Jm urbm m klokbotrmkilobs cbj 6-=1% bs uo mebotb hicrmtmotb qub mkt÷m gmocl
`ljékujms cb meum y bvitm jm pércicm cb meum iotrmkbjujmr. M klokbotrmkilobs
supbrilrbs mj =1% bs jiebrm`botb qubrmtljàtikm, kmpmz cb bji`iomr jm qubrmtiom
bpicér`ikm mu`botmocl jm bxinijicmc cb jm kmpm kûrobm, msà kl`l mu`botmocl
bj klotboicl hàcrikl cb jm `is`m.
Bj íkicl jíktikl tibob jiebrms mkkilobs
mk kilobs qubrmtljàtikms, guotl m jmktmtl sûcikl, mkt÷mo
kl`l hicrmtmotbs y rbstmurmclrbs cbj `motl íkicl ermsl cb jm pibj.
Jm mjmotlàom bs uom mebotb hicrmtmotb y kikmtrizmotb.
Bj ebj cb mjlb vbrm tibob uo mjtl plcbr cb rbtbokiûo cb meum, prbsbotmocl bfbk-
tls sioéreikls klo ltrls hicrmtmotbs. Mcb`ís plsbb prlpibcmcbs b`ljibotbs,
kmj`motbs, rbfrbskmotbs, motiiom`mtlrims y rbstmurmclrms cbj bxtrmktl kûrobl.
Jm ci`btiklom bs uo mebotb slnrbboermsmotb qub mu`botm jm hicrmtmkiûo y jb
klobrb m jm krb`m sumvicmc, fmkijitmocl su mpjikmkiûo.
Bj bxkipibotb
bxkipibotb krb`m bs b s uom b`ujsiûo cb fmsb bxtbrom mkulsm hicrmtmotb y ol
lkjusivm.
Bj prbpmrmcl trmosflr`m pibjbs xbrûsikms bo pibjbs hicrmtmcms, bjístikms, bxinjbs
y sumvbs, rbcukibocl jls prlkbsls prurieiolsls qub pubcmo mpmrbkbr.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl krb`lsl, njmokl cb mspbktl
ms pbktl y tmktl mermcmnjb
mermcm njb sio ljlr.
=3>
Fûr`ujms `meistrmjbs
pmrm xbrlcbr`ims
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs qub kursbo klo pibj sbkm y bskm`lsm (xbrlsis, iktilsis,
jiebrms hipbrqubrmtlsis), rbcukibocl jls prlkbsls prurieiolsls mslkimcls. Bo
kmsl cb pruritl iotbosl pubcb mslkimrsb m krb`ms klo klrtiklicbs tûpikls.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. @uy rmrm-
`botb pubcb prbsbotmr jiebrm irritmkiûo
irritm kiûo kutíobm bo trmtm`ibotls prljloemcls bo
pibjbs sbosinjbs. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m,
rbmkkilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y klosujtmr
k losujtmr klo su
plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim, klosicbríocljl
klosicbrí ocljl cb ermo utijicmc
bo bj trmtm`ibotl cb xbrlsis y jiebrms hipbrqubrmtlsis bo mcujtls y oiýls. Sm`niéo
pubcb sbr utijizmcl cb flr`m hmnitumj m klokbotrmkilobs iofbrilrbs plr sus bfbktls
hicrmtmotbs y jiebrm`botb bxfljimtivls bo iociviculs klo tbocbokim m jms jbsilobs
xbrûsikms. Bo kmsl cb pruritl iotbosl plcràm mslkimrsb m krb`ms cb klrtiklicbs
tûpikls.
=3;
Mjmotlào
Mjm otlàomm >% >e Qljvl hmriolsl
fíkij`botb sljunjb bo uomJm mjmotlàom
mebotb bs
hicrmtmotb
meum. y kikmtrizmotb.
=33
Fûr`ujms `meistrmjbs
pmrm xbrlcbr`ims
Mkbitb cb sijiklom
sij iklom Jm ci`btiklom bs uo mebotb
klostituicl plr uom slnrbboermsmotb qub
Ci`btiklom `bzkjm cb pljà`brls mu`botm jm hicrmtmkiûo
;21 2% 2e cb sijlxmol jiobmjbs y jb klofibrb m jm krb`m
`btijmcls klo jls sumvicmc, fmkijitmocl su
bxtrb`ls njlqubmcls mpjikmkiûo.
plr erupls `btijl.
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U).
Jm flr`ujmkiûo `mrkl qub mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo
bjmn lrmkiûo cb jm b`ujsiûo
L/U bs bstm vmrimkiûo cb jm kjísikm krb`m nmsb Jmobttb plr su mjtm bxpbribokim
cb usl bo bj í`nitl plcljûeikl.
=32
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7
Kl`plsikiûo
cb 91 pmrtbs7cb
`bzkjm
k brmbo
kbrm flr`m L
Jmobttb cbycispbrsiûo
cispbr siûo kljlicmj
=1 pmrtbs cb uom =3%
`bzkjm cb sujfmtls sûcikls cb mjklhljbs ermsls.
Qhboloip
1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr njmokl,
njmok l, uotlsl y fíkij`botb jmvmnjb klo meum.
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
qubrmtlcbr`ims
Jms qubrmtlcbr`ims pmj`lpjmotmrbs klostituybo uo erupl hbtbrleéobl cb
bofbr`bcmcbs eboétikms, fm`ijimrbs y mcquiricms qub sb kmrmktbrizmo plr hipbr-
qubrmtlsis cb jms pmj`ms y jms pjmotms cb jls pibs.
Cbotrl cb jms qubrmtlcbr`ims pmj`lpjmotmrbs si`pjbs, qub slo jms `ís kl`uobs
bo bj í`nitl plcljûeikl, sb cistioeubo vmrils kumcrls kjàoikls, sbe÷o bj pmtrûo
cb hbrbokim y jm cistrinukiûo cb jm hipbrqubrmtlsis. Qlcràm`ls cbstmkmr7
• ]ubrmtlcbr`im pmj`lpjmotmr cifusm bpicbr`ljàtikm.
• Britrlqubrmtlcbr`im vmrimnijis.
• ]ubrmtlcbr`im pmj`lpjmotmr cb Erbithbr.
• ]ubrmtlsis puoktmtm pmj`lpjmotmr cb Nuskhdb-Fishbr-Nrmubr.
Jms qubrmtlcbr`ims
qubrmtlcbr `ims pjmotmrbs bo bj í`nitl cb jm plcljleàm pubcbo sbr mnlrcmcms
`bcimotb7
• Srmtm`ibotls nmsmcls bo tékoikms quir÷reikms plcljûeikms7 quirlplcim.
• Srmtm`ibotls fmr`mkljûeikls klo fûr`ujms `meistrmjbs qub klotibobo
hicrmtmotbs y qubrmtljàtikls bo nmsbs ermsms y/l b`ljibotbs.
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
[MJIKÀJIKM
VM[BJIOM [MJIKÀJIKM
Kl`plsikiûo
Íkicl smjikàjikl =1->1%
=1->1%
Vmsbjiom jmotb ksp 21e
[ioûoi`ls
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Mkbitb pmrmom7 pmrmom jàquicm,
jàquic m, vmsbjiom jàquicm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
pbr`itibocl jm cbsmchbrbokim
cbsmchb rbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo
Sm`niéo prbsbotm
uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su cbsiotbermkiûo
cbs iotbermkiûo (qub-
rmtioljisis). Bj íkicl smjikàjikl mj =->% prbsbotm mkkilobs motiséptikms y qubrmtl-
pjístikms, cbj >->-=2
=2%
% bs uo bfbktivl qubrmtljàtikl y prbsbotmocl
prbsbot mocl m clsis supbrilrbs
(=2-31%)
(=2-31%) mkkilobs pltbotbs qubrmtltljàtikms ÷tijbs bo qubrmtlcbr`ims
qubrmtlcbr`i ms y vbrruems.
Jm vmsbjiom y bj
slo cb omturmjbzm jipûjm qub flr`mo uom pbjàkujm lkjusivm slnrb jm supbrkib
supbr kib
kutíobm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl y bvitmocl jm
pércicm cbj klotboicl
k lotboicl hàcrikl plr su bfbktl cb lkjusiûo, cíocljb bxinijicmc y
sumvicmc m jm pibj. Jm vmsbjiom jàquicm pbr`itb qub bj prbpmrmcl tboem klosistbokim
klosistbok im
sb`isûjicm uotlsm cb fíkij mpjikmkiûo.
Bj prbpmrmcl trmosflr`m pibjbs xbrûsikms, hipbrqubrmtûsikms bo pibjbs hicrmtmcms,
bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl cb mspbktl
m spbktl y tmktl
tmk tl uotlsl sio ljlr.
ljlr. Kls`étikm`botb su tmktl
uotlsl y ermsl klobrb mj prbpmrmcl uoms kmrmktbràstikms
kmrmktbràstikm s plkl mermcmnjbs pmrm
su mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs qub kursbo klo pibj sbkm b hipbrqubrmtûsikm (xbrl-
sis, iktilsis, qubrmtlcbr`ims). Bj trmtm`ibotl pubcb sbr kl`pjb`botmril mj
quirlpûcikl.
=39
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®, msà
kl`l m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
prbpm rmcl. Hmstm bj `l`botl ol sb
jb klolkbo ltrms klotrmiocikmkilobs. Jm utijizmkiûo cb qubrmtljàtikls bo bofbr`ls
cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls l mokimols hm cb rbmjizmrsb
nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y pmrm kmcm
bofbr`l jm obkbsicmc cb su usl. Ol utijizmr slnrb hbricms, qub`mcurms, ÷jkbrms
l bo pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. ^mrm`botb
pubcb prbsbotmr irritmkiûo kutíobm, sibocl `ís frbkubotb bo trmtm`ibotls prljlo-
emcls y/l bo kurm lkjusivm. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
britb`m, rbmkkilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr
klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim y uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb utijicmc bo bj trmtm`ibotl cb hipbrqubrmtlsis bo mcujtls y
oiýls, sibocl sus kmrmktbràstikms kls`étikms plkl mermcmnjbs, bjb j ÷oikl fmktlr
=21
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Qmrmfiom Jàquicl
jàquicm >1% =1e trmospmrbotb
(vmsbjiom iokljlrl cb
jàquicm) tmktl uotulsl.
Jm vmsbjiom y bj mkbitb cb
pmrmfiom slo cb omturmjbzm
[b`isûjicl jipûfijm qub flr`mo uom pbjàkujm
klosistbotb lkjusivm slnrb jm supbrfikib
Vmsbji om
Vmsbjiom klo jiebrm kutíobm, mu`botmocl jm
fijmotb k s p 21 e ;1 e kljlrmkiûo rbtbokiûo cb meum cbj
njmokm cb tmktl bxtrmktl kûrobl y bvitmocl jm
ermsibotl. pércicm cbj klotboicl hàcrikl
plr su bfbktl cb lkjusiûo,
cíocljb fjbxinijicmc y
sumvicmc m jm pibj.
=2=
SLS
SLSMJ
MJ 21e 21e
@lcus lpbrmoci
[i sb cisplob cb meitmclr tipl uoeumtlr ®7
QM[L = Bo uo bovmsb uoeumtlr tmrmcl cb 61`j pbsmr jm kmoticmc klrrbsplo
klrrbsplo--
cibotb cb íkicl smjikàjikl.
QM[L > Bo bj `is`l bovmsb ioklrplrmr jm kmoticmc cb vmsbjiom jàquicm y klo uom
vmrijjm `bzkjmrjl tlcl hmstm lntbobr uom pmstm om sio oioe÷o eru`l.
QM[L ; Bo bj `is`l bovmsb ioklrplrmr jm vmsbjiom jmotb obkbsmr
obkbsmrim
im pmrm klo-
sbeuir bj pbsl tltmj cb jm flr`ujmkiûo cb 21e. M klotioumkiûo meitmr
klo bj uoeumtlr® cls `ioutls m jm `íxi`m vbjlkicmc.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo tunl cb mju`ioil prbkiotmcl.
®
[i ol sb cisplob cb meitmclr tipl uoeumtlr 7
QM[L = Bo uo `lrtbrl tmrmcl pbsmr jm kmoticmc cb íkicl smjikàjikl klrrbsplo
klrrbsplo--
cibotb.
QM[L > Bo bj `is`l `lrtbr
`lrtbrll ioklrplr
ioklrplrmr
mr jm kmoticmc cb vmsbjiom jàquicm
jàquicm y klo bj
pistijl `bzkjmrjl tlcl hmstm lntbobr uom pmstm
pms tm om sio oioe÷o eru`l.
QM[L ; Bo bj `is`l `lrtbrl ioklrplrmr jm
jm vmsbjiom jmotb obkbsmrim pmrm klo-
sbeuir bj pbsl tltmj cb jm flr`ujmkiûo cb 21e bo cls l trbs pmsls y
`bzkjmrjl vielrlsm`botb klo jm myucm
myu cm cbj pistijl.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo tunl cb mju`ioil prbkiotmcl.
Klotrlj cb kmjicmc
[b`isûjicl ermsl, njmokl klosistbotb.
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Kl`plsikiûo
Íkicl smjikàjikl =1-=2%
=1-=2%
Rrbm >1-;1%
Vmsbjiom jmotb ksp 21e
[ioûoi`ls
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Rrbm7 kmrnm`icm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo
`itibocl jm cbsmchbrbokim cbj kb`botl
y cbskm`mkiûo iotbrkbjujmr
cb jm kmpm cbj qubrmtiolkitl
kûrobm. Sm`niéo prbsbotmpbr-
uom
mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su cbsiotbermkiûo (qubrmtiol-
jisis). Bj íkicl smjikàjikl
s mjikàjikl mj =1-=2%
=1-=2% prbsbotm mkkilobs motiséptikms y qubrmtljàtikms.
Jm urbm mj >1% bs uo pltbotb hicrmtmotb y bxfljimotb, pltbokimpltbokim jms mkkilobs qub-
qub -
rmtljàtikms cbj íkicl smjikàjikl, cis`iouybocl su plcbr irritmotb.
Jm vmsbjiom bs cb omturmjbzm jipûjm qub flr`m uom pbjàkujm lkjusivm slnrb jm
supbrkib kutíobm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl y
bvitmocl jm pércicm cbj klotboicl hàcrikl plr su bfbktl cb lkjusiûo, cíocljb
bxinijicmc y sumvicmc m jm pibj.
Bj prbpmrmcl trmosflr`m pibjbs xbrûsikms, hipbrqubrmtûsikms bo pibjbs hicrmtmcms,
bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl
njmok l cb mspbktl y tmktl uotlsl sio ljlr. Kls`étikm
Kls`étikm`botb,
`botb, mj flr`mr
uo jiplebj, su tmktl uotlsl y ermsl bs `ís mermcmnjb y mkbptmnjb qub bj cb jm
vmsbjiom.
Iocikmkilobs
Srmtm`ibotl pmrm sàocrl`bs qub kursbo klo pibj sbkm b hipbrqubrmtlsis (xbrl-
sis, iktilsis, qubrmtlcbr`ims). Bj trmtm`ibotl pubcb sbr kl`pjb`botmril mj
quirlpûcikl.
=2;
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®, msà
kl`l m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
prbpm rmcl. Hmstm bj `l`botl ol sb
jb klolkbo ltrms klotrmiocikmkilobs. Jm utijizmkiûo cb qubrmtljàtikls bo bofbr`ls
cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls l mokimols, hm cb rbmjizmrsb
nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y pmrm kmcm
bofbr`l jm obkbsicmc cb su usl. Ol utijizmr slnrb hbricms, qub`mcurms, ÷jkbrms
l bo pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. Bo lkmsil-
obs pubcb prbsbotmr
prbsb otmr irritmkiûo kutíobm, klo `mylr frbkubokim bo
b o trmtm`ibotls
prljloemcls l bo kurms lkjusivms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbmk kilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel.
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Jàquicl
Qmrmfiom =1% 2e trmospmrbotb
jàquicm iokljlrl cb
tmktl uotulsl.
Jm vmsbjiom y bj mkbitb cb
pmrmfiom slo cb omturmjbzm
[b`isûjicl jipûfijm qub flr`mo uom pbjàkujm
klosistbotb lkjusivm slnrb jm supbrfikib
Vmsbji om
Vmsbjiom k s p 21 e >>e klo jiebrm kutíobm, mu`botmocl jm
fijmotb kljlrmkiûo rbtbokiûo cb meum cbj bxtrmktl
njmokm cb tmktl kûrobl y bvitmocl jm pércicm cbj
ermsibotl. klotboicl hàcrikl plr su bfbktl
cb lkjusiûo, cíocljb fjbxinijicmc
y sumvicmc m jm pibj.
SLSMJ
SLSMJ 21e 21e
=22
@lcus lpbrmoci
Kjísikm`botb sb hmo utijizmcl jmoljiom, kljbstbrlj, cbrivmcls
cbr ivmcls cb jm jmoljiom l tbo-
silmktivls tipl pljislrnmtls pmrm plcbr ioklrplrmr
ioklrplrm r jm urbm prbvim`botb cisubjtm bo
meum purikmcm bo jm nmsb ermsm (vmsbjiom jmotb), lntboibocl msà uo sb`isûjicl
plkl klosistbotb y bstmnjb. Qlr oubstrm bxpbribokim prlfbsilomj y cbspués cb
klosbosumrjl klo bj Klosbgl cb Kljbeils cb Qlcûjlels cb Bspmým rbkl`bo-
cm`ls vmrimr bstm flr`m cb bjmnlrmkiûo plr jm rbmjizmkiûo cb uo jiplebj, klosi-
euibocl msà uo sb`isûjicl `ís klosistbotb, `ís mermcmnjb y tbrmpéutikm`botb
`ís bkmz pmrm bj pmkibotb.
QM[L IOIKIMJ
Bjmnlrmkiûo cbj prbpmrmcl iotbr`bcil ebj cb urbm mj ;1%7
=) Cisljvbr jm urbm bo jm `is`m kmoticmc cb meum bo vmsl cb prbkipitmcls.
>) Ebjikmr jm sljukiûo motbrilr klo uo 3% cb [bpiebj ;12®.
;) Mýmcir jm `itmc cb jm pmrmom jàquicm pmrm bvitmr jm kristmjizmkiûo.
Klotrlj cb kmjicmc
[b`isûjicl njmokl klosistbotb.
=26
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Kl`plsikiûo
Íkicl smjikàjikl 2-=1%
2-=1%
Rrbm =2-;1%
Íkicl jíktikl 6%
Cbxpmotbolj ;%
Jmoljiom 5%
Bxkipibotb b`ljibotb L/U ksp =11e
[ioûoi`ls
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Jmoljiom7 Mcbps jmomb.
Rrbm7 kmrnm`icm.
Cbxpmotbolj7 pmotbolj, mjklhlj pmotboàjikl, prlvitm`iom N2.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
qubr mtiolkitl
pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prb-
sbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su cbsiotberm-
kiûo (qubrmtioljisis). Bj íkicl smjikàjikl mj 2-=1% prbsbotm mkkilobs motiséptikms
y qubrmtljàtikms.
Bj cbxpmotbolj bs uo mebotb hu`bktmotb, hicrmtmotb
hicrmtmotb y kikmtrizmotb kmpmz cb bsti-
`ujmr jm ermoujmkiûo cbj tbgicl pjmotmr surmcl plr jms hipbrqubrmtlsis.
Jm jmoljiom bs cb omturmjbzm jipûjm, plsbb mkkilobs
mk kilobs b`ljibotbs, sljm l ioklrpl-
rmcm m jm fmsb ermsm
erms m cb jms b`ujsilobs flr`m uom pbjàkujm
pb jàkujm `ís l `bols lkjusivm
slnrb jm supbrkib kutíobm,
kutí obm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl
y prlplrkilomocl bjmstikicmc, hicrmtmkiûo, sumvicmc y bxinijicmc m jm pibj.
Jm urbm mj =2-;1% bs uo pltbotb hicrmtmotb y bxfljimotb qub pltbokim jms mkkilobs
mkkilob s
qubrmtljàtikms cbj íkicl smjikàjikl `ioi`izmocl su mkkiûo irritmotb.
Bj íkicl jíktikl tibob bfbktls motiséptikls y qubrmtljàtikls qub tm`niéo mkt÷mo
kl`l rbstmurmclrbs cbj `motl íkicl ermsl cb jm pibj.
Bj bxkipibotb b`ljibotb L/U
L/U bs uom b`ujsiûo
b `ujsiûo krb`lsm klo mktivicmc hicrmtmotb,
jiebrm`botb lkjusivm y kls`étikm`botb mermcmnjb.
Bj prbpmrmcl trmosflr`m pibjbs xbrûsikms, iktiûsikms, hipbrqubrmtûsikms bo pibjbs
hicrmtmcms, bjístikms, bxinjbs y sumvbs, rbcukibocl jls prlkbsls prurieiolsls
qub pubcmo mpmrbkbr.
=25
Kmrmktbràstikms lremoljéptikms
[b`isûjicl m`mrijjbotl cb mspbktl krb`lsl mermcmnjb mj tmktl. Kls`étikm`botb,
su tmktl krb`lsl klobrb mj prbpmrmcl uoms kmrmktbràstikms mermcmnjbs bo su
mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs qub kursbo klo pibj sbkm b hipbrqubrmtlsis (xbrlsis,
iktilsis, hipbrqubrmtlsis). ]ubrmtlcbr`ims pjmotmrbs. Bj trmtm`ibotl pubcb sbr
kl`pjb`botmril mj quirlpûcikl.
Qlsljleàm7 vàm tûpikm
Mpjikmr jm krb`m = m > vbkbs
vbkbs mj càm curmotb jm `mýmom y olkhb
olkhb klo uo jiebrl `msmgb. B
[i sb mpjikm = vbz mj càm, sb rbmjizmrí plr jm olkhb cbspués cbj jmvmcl cbj pib. Bo
fuokiûo cb jms kmrmktbràstikms cb jm jbsiûo y bj kritbril cbj plcûjlel sb utijizmrío
clsis `ís l `bols mjtms cb íkicl smjikàjikl y cb urbm. Qubcb mpjikmrsb bo kurms
lkjusivms. Jm curmkiûo cbj trmtm`ibotl cbpbocbrí cb jm bvljukiûo cbj prlkbsl.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®, msà
kl`l
jb m kumjquibrm
klolkbo cb jls kl`plobotbs
ltrms klotrmiocikmkilobs. cbj prbpmrmcl.
prbpm rmcl.
Jm utijizmkiûo Hmstm bj `l`botl
cb qubrmtljàtikls ol sb
bo bofbr`ls
cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls l mokimols, hm cb rbmjizmrsb
nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y pmrm kmcm
bofbr`l jm obkbsicmc cb su usl. Ol utijizmr bo hbricms, qub`mcurms, ÷jkbrms l
slnrb pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. Bo lkmsil-
obs pubcb prbsbotmr
prbsb otmr irritmkiûo kutíobm, klo `mylr frbkubokim bo
b o trmtm`ibotls
prljloemcls l bo kurms lkjusivms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbmk kilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel.
Olr`ms pmrm jm klrrbktm mc`ioistrmki
mc`ioistrmkiûo
ûo
• Jmvmcl cb jls pibs klo gmnlobs slnrbermsls. C
• [bkmcl cb zloms iotbrcieitmjbs.
• Mpjikmkiûo cirbktm cbj prbpmrmcl bxtbociéocljl plr tlcms jms zloms rbm-
jizmocl uo jiebrl `msmgb.
• Qubcb utijizmrsb, si sb klosicbrm obkbsmril,
obkbsmr il, pmrm pltbokimr jm mkkiûo qub-
rmtljàtikm, kurm lkjusivm.
• Jm lpbrmkiûo motbrilr sb rbpbtirí sbe÷o pmutms iocikmcms l sbe÷o kritbril
cbj plcûjlel.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbot
bxkbjbotbb tljbrmokim, uom mjtm bkmkim cb`lstrmcm,
cb utijicmc bo bj trmtm`ibotl cb hipbrqubrmtlsis, iktilsis y xbrlsis bo ebobrmj bo B
mcujtls y oiýls, sus kmrmktbràstikms kls`étikms slo mermcmnjbs. Qubcb tm`niéo
utijizmrsb kl`l trmtm`ibotl kl`pjb`botmril cbspués cbj quirlpûcikl (usmocl
jms klokbotrmkilobs cb qubrmtljàtikls `ís nmgms).
=28
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
=29
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U). Jm flr`ujmkiûo `mrkl qub
mklosbgm`ls utijizmr
utijizmr pmrm jm bjmnlrmkiûo cb jm b`ujsiûo L/U bs bstm vmrimkiûo
cbj kjísikl bxkipibotb b`ljibotb plr su mjtm bxpbribokim cb usl bo bj í`nitl
plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =2%
=2%
91 pmrtbs cb kbrm
k brm Jmobttb L y =1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
Jmoljiom mohicrm 5%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb uotlsl cb kljlr m`mrijjl y fíkij`botb
fík ij`botb jmvmnjb klo meum.
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Kl`plsikiûo
Íkicl rbtiolikl 1,=-1,;%
1,=-1,;%
Rrbm >1-31%
Jmoljiom 5%
Bxkipibotb b`ljibotb L/U ksp =11e
[ioûoi`ls
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Jmoljiom7 Mcbps jmomb.
Íkicl rbtiolikl7 trbtiolàom, íkicl trmos-rbtiolikl.
Rrbm7 kmrnm`icm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl rbtiolikl prlcukb uom jiebrm rbmkkiûo iom`mtlrim klo bcb`m jlkmj iotbr-
kbjujmr kmusmocl jm sbpmrmkiûo cb jms kéjujms bpicér`ikms. Bj bxtrmktl kûrobl sb
mnjmocm y tibob juemr uom bxfljimkiûo. Sm`niéo
Sm`niéo prbsbotm uom mkkiûo cirbktm slnrb
jm qubrmtiom kûrobm prlcukibocl
pr lcukibocl su cbsiotbermkiûo (qubrmtioljisis). Bo iktilsis sb
b`pjbm mj 1,=%,
1,=%, jjbemocl hmstm bj 1,;% bo qubrmtlcbr`ims
qubrmtlcbr `ims pjmotmrbs.
pjmotmrb s.
Jm jmoljiom bs cb omturmjbzm jipûjm, plsbb mkkilobs
mk kilobs b`ljibotbs, sljm l ioklrpl-
rmcm m jm fmsb ermsm
erms m cb jms b`ujsilobs flr`m uom pbjàkujm
pb jàkujm `ís l `bols lkjusivm
slnrb jm supbrkib kutíobm,
kutí obm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl
y prlplrkilomocl bjmstikicmc, hicrmtmkiûo, sumvicmc y bxinijicmc m jm pibj.
Jm urbm bs uo pltbotb hicrmtmotb, mj 31% tibob mkkilobs prltbioljàtikms klo jm
klosieuibotb ciserbemkiûo cbj bxtrmktl kûrobl, y pltbokim jms mkkilobs qubrm-
tljàtikms cbj íkicl rbtiolikl.
Bj bxkipibotb b`ljibotb L/U
L/U bs uom b`ujsiûo
b `ujsiûo krb`lsm klo mktivicmc hicrmtmotb,
jiebrm`botb lkjusivm y kls`étikm`botb mermcmnjb.
Bj prbpmrmcl trmosflr`m pibjbs xbrûsikms, iktiûsikms, hipbrqubrmtûsikms bo pibjbs
hicrmtmcms, bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl m`mrijjbotl cb mspbktl krb`lsl mermcmnjb mj tmktl. Kls`étikm`botb
Kls`étikm`botb
su tmktl krb`lsl jb klobrb uoms kmrmktbràstikms mermcmnjbs
mer mcmnjbs pmrm su mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs iktiûsikls y qubrmtûsikls. Srmtm`ibotl cb jms qubrm-
tlcbr`ims pmj`lpjmotmrbs.
=6=
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl rbtiolikl l cbrivmcls, msà kl`l m kumjquibrm cb jls
kl`plobotbs cbj prbpmrmcl. Hmstm bj `l`botl ol sb jb klolkbo ltrms klo-
trmiocikmkilobs. Jm utijizmkiûo cb qubrmtljàtikls bo bofbr`ls cimnétikls, klo
prlnjb`ms vmskujmrbs pbriférikls l mokimols, hm cb rbmjizmrsb nmgl supbrvisiûo
cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y pmrm kmcm bofbr`l jm obkbsicmc
obk bsicmc
cb su usl. Ol utijizmr bo hbricms, qub`mcurms, ÷jkbrms l slnrb pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. Bo lkmsil-
obs pubcb prbsbotmr
prbsb otmr irritmkiûo kutíobm, klo `mylr frbkubokim bo b o trmtm`ibotls
prljloemcls l bo kurms lkjusivms. Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls
lgls l `uklsms. Bvitmr bxplsikiûo cirbktm cb jm zlom trmtmcm mj slj l rmyls RVM
plr ribsel cb rbmkkilobs cb fltlsbosinijizmkiûo. Mjtms klokbotrmkilobs
klokbotrmk ilobs cb íkicl
rbtiolikl pubcbo prlcukir vbsikujmkilobs y jiebrms qub`mcurms si sb mpjikmo m pjikmo
slnrb zloms clocb jm kmpm kûrobm sb bokubotrm
b okubotrm cis`iouicm.
cis`iouicm. Bo kmsl cb mpmrbkbr
rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb`ítikms, btk.) suspbo- (
cbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim, uom mjtm bkmkim cb`lstrmcm, klo-
sicbríocljl cb utijicmc bo bj trmtm`ibotl cb iktilsis y qubrmtlcbr`ims pjmotmrbs
bo mcujtls, y sus kmrmktbràstikms kls`étikms slo mermcmnjbs.
=6>
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Bj íkicl rbtiolikl
prlcukb uom jiebrm rbmkkiûo
iofjm`mtlrim klo bcb`m
jlkmj iotbrkbjujmr kmusmocl
Qljvl jm sbpmrmkiûo cb jms kéjujms
kristmjiol cb bpicér`ikms. Bj bxtrmktl kûrobl
SSrbtio
rbtiolào
làomm kljlr m`mrijjl sb mnjmocm y tibob juemr uom
(íkicl rbtiolikl) 1,;% 1,;e iotbosl bxfljimkiûo. Sm`niéo
Sm`niéo prbsbotm uom
fíkij`botb mkkiûo cirbktm slnrb jm qubrmtiom
sljunjb bo kûrobm prlcukibocl su
mjklhlj. cbsiotbermkiûo (qubrmtioljisis).
Bo iktilsis sb b`pjbm mj 1,=%,
jjbemocl hmstm bj 1,;
1,;%
% bo
qubrmtlcbr`ims pjmotmrbs.
Jm jmoljiom bs cb omturmjbzm
jipûfijm, plsbb mkkilobs
[b`isûjicl b`ljibotbs, sljm l ioklrplrmcm m
klosistbotb jm fmsb ermsm cb jms b`ujsilobs
`mrrûo klo flr`m uom pbjàkujm `ís l `bols
J mo l j i o m 5% 5e tmktl ermsibotl, lkjusivm slnrb jm supbrfikib
fíkij`botb kutíobm, mu`botmocl jm rbtbokiûo
sljunjb bo cb meum cbj bxtrmktl kûrobl
prlcuktls y prlplrkilomocl bjmstikicmc,
ermsls. hicrmtmkiûo, sumvicmc
y fjbxinijicmc m jm pibj.
Mjklhlj
Mjkl hlj btàj
b tàjikl
ikl ks ks
b`ljibotb
Bxkipibotb
L/U =11e
ksp ksp =11e
SLSMJ
SLSMJ =11e =11e
=6;
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U). Jm flr`ujmkiûo `mrkl qub mklo-
sbgm`ls utijizmr pmrm jm bjmnlrmkiûo cb jm b`ujsiûo L/U bs bstm vmrimkiûo cbj kjísikl
bxkipibotb b`ljibotb plr su mjtm bxpbribokim
bxpbribok im cb usl bo bj í`nitl
í `nitl plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =2%
=2%
91 pmrtbs cb kbrm Jmobttb
J mobttb L y =1
=1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
Jmoljiom mohicrm 5%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Jm ioklrplrmkiûo
ioklrplrmk iûo cb jls mktivls sb rbmjizmràm cb jm flr`m sieuibotb7
sieuib otb7 jm urbm cisubjtm bo
jm fmsb mkulsm4 jm trbtiolàom sb tibob qub cispbrsmr bo jm `àoi`m kmoticmc cb mjklhlj
b ioklrplrmr m jm b`ujsiûo uom vbz flr`mcm y bofrimcm. Bovmsmr bo tunl cb mju`ioil.
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr m`mrijjbotl
m`mr ijjbotl fíkij`botb jmvmnjb klo meum.
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Kl`plsikiûo
Qrlpijboejiklj 61%
Íkicl smjikàjikl 6%
Ebj kbjujûsikl hicrlmjklhûjikl ksp =11e
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
qubr mtiolkitl
pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prb-
sbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm
kûrob m prlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Bj prlpijboejiklj bs uo hicrmtmotb klo mkkilobs hu`bktmotbs.
hu`bk tmotbs. Mj 61% `mkbrm jms
jbsilobs hipbrqubrmtûsikms
hipbrqubr mtûsikms pltbokimocl jm mkkiûo qubrmtljàtikm cbj íkicl smjikàjikl,
fmkijitmocl bj cbsprboci`ibotl cb jm kmpm kûrobm.
Bj ebj kbjujûsikl bs uo bxkipibotb ol ermsl klo mktivicmc hicrmtmotb, `uy merm-
cmnjb cb mpjikmr.
mpjikm r.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl cb klosistbokim ebj trmospmrbotb, cb ljlr kmrmktbràstikl klo tmktl
mermcmnjb y cb fíkij mnslrkiûo.
Iocikmkilobs
Srmtm`ibotl cb jm hipbrqubrmtlsis
hipbrqub rmtlsis pmj`lpjmotmr. ]ubrmtlcbr`ims pjmotmrbs ol
bxmkbrnmcms.
Qlsljleàm7 vàm tûpikm
Mpjikmr bj ebj
eb j = m > vbkbs
vbkb s mj càm. [i jm mpjikmkiûo
m pjikmkiûo bs = vbz mj
m j càm, sb rbmjizmrí
rbm jizmrí plr
jm olkhb. Bo fuokiûo cb jms kmrmktbràstikms hipbrqubrmtûsikms cb jm jbsiûo sb
utijizmrío clsis `ís l `bols mjtms cb íkicl smjikàjikl m o cb prlvlkmr jm `íxi`m
bkmkim klo jm `bolr irritmkiûo plsinjb cb jm pibj pbrijbsilomj.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
mj prlpijboejiklj, msà kl`l m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Jm
utijizmkiûo cbj íkicl smjikàjikl bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs
pbrifériklsbo
vmjlrmocl l mokimols hm cb yrbmjizmrsb
kmcm `l`botl pmrm kmcmnmgl uo klotrlj
bofbr`l bstriktl
sicmc cbj
jm obkbsicmc
obkb plcûjlel,
cb su usl. Ol
utijizmr bo jbsilobs ÷jkbrmcms oi slnrb pibj qub`mcm.
=62
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. [u priokipmj ioklovboibotb bs su pltbokimj irritmotb bo jm pibj
pbrijbsilomj. Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls.
Bxkbpkilomj`botb pubcb `moifbstmrsb cbr`mtitis cb klotmktl. Bo kmsl cb mpm-
rbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo Q
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim, uom bkmkim cb`lstrmcm, klosicb-
ríocljl cb utijicmc bo bj trmtm`ibotl
trm tm`ibotl cb pmtljleàms xbrûsikms b hipbrqubrmtûsikms
pjmotmrbs, y sus kmrmktbràstikms kls`étikms slo `uy mermcmnjbs.
Me
=66
Fûr`ujms `meistrmjbs
pmrm qubrmtlcbr`ims
Mjk lhljj
Mjklhl Jàquicl trmospmrbotb
btàjikl 6% 6`j cb ljlr kmrmktbràstikl y
cbosicmc `bolr mj meum.
Bsmkràjikl,
uom `bzkjm cb pljà`brl
islpmrmfiom y uo
b`ujebotb. Bj [bpiebj
;12 tibob prlpibcmcbs
ebjifikmotbs. Jm islpmrmfiom
pbr`itb jm lntbokiûo cb
ebjbs ol trmospmrbotbs
[bpiebj ;12® ks pbrl klo kibrtm mfioicmc m
jls kl`plobotbs ermsls.
Bj b`ujebotb pbr`itb jm
lntbokiûo cb ebjbs sio
obkbsicmc cb obutrmjizmkiûo
oi cispbrsiûo klo `uy nmgms
klokbotrmkilobs cb
[bpiebj ;12®.
Meum puri
p urifik
fikmcm
mcm ksp =11e ksp =11e
=1 1e
SLSMJ
SLSMJ =11e =11e
=65
@lcus lpbrmoci
Kjísikm`botb sb hmo utijizmcl ebjikmotbs cb lriebo kbjujûsikl pmrm jm bjmnlrm-
kiûo cb bstms flr`ujmkilobs. Qlr oubstrm bxpbribokim prlfbsilomj y hmniéocljl
klosbosumcl
Bspmým klo bj jm
prlplob`ls Klosbgl Ebobrmj
utijizmkiûo cb Kljbeils
cb ebjikmotbs Lkimjbs
mkràjikls, cbqub
cmcl Qlcûjlels cb
bj prlcuktl
omj klosbeuicl bs uo sb`isûjicl `ís klosistbotb, bstmnjb y mermcmnjb,
mer mcmnjb, sibocl
tbrmpéutikm`botb `ís bkmz pmrm bj pmkibotb plcljûeikl.
Klotrlj cb kmjicmc
[b`isûjicl trmospmrbotb klosistbotb.
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
surms pjmotmrbs
Jms eribtms y surms pjmotmrbs slo jbsilobs bo flr`m cb hbocicurm plkl prl-
fuocm qub sb flr`m bo jm pibj cb civbrsms pmrtbs
pmr tbs cbj kubrpl l bo jms `b`nrmoms
`uklsms cb jm `is`m.
Mj bvmjum
b vmjumrr su
s u btiljleà
bt iljleàm,
m, plcb
p lcb`ls
`ls msbeu
m sbeurmr
rmr qub jms erib
eribtms
tms botr
botrbb jls
jl s cbcls
cb cls sb
mslkimo m prlkbsls cb mu`botl cb hu`bcmc bo jls bspmkils iotbrcieitmjbs, qub
olr`mj`botb mpmrbkbo bo kmsls cb mu`botl cb jm suclrmkiûo (hipbrhicrlsis).
Jm hu`bcmc `motboicm bo bj bspmkil iotbrcieitmj prlcukb uom `mkbrmkiûo cb jm
pibj, qub bo mjeuols kmsls bs klosbkubokim cbj `mj sbkmcl cb jls bspmkils y
qub pubcb cbrivmr bo iofbkkilobs f÷oeikms meucms.
Jm pibj sbkm plr fmjtm cb hicrmtmkiûo tm`niéo bs prlpbosm m bstb tipl cb jbsilobs,
tmotl bo jls bspmkils iotbrcieitmjbs kl`l fuocm`botmj`botb bo jls tmjlobs. Bj
usl cb kmjzmcl mnibrtl
mnibr tl plr bj tmjûo klotrinuyb m jm mpmrikiûo cb jms eribtms bo jls
tmjlobs, plr jl qub slo `ís frbkubotbs bo b o vbrmol y éplkm cb mjtms tb`pbrmturms,
clocb olr`mj`botb bj kmjzmcl bstí cbskunibrtl
cbsku nibrtl plr cbtrís. Sm`niéo bs frbkubotb
bstb tipl cb jbsilobs bo tmjlobs klo hipbrqubrmtlsis.
Jm kjàoikm cb bstms pmtljleàms vibob cboicm plr cljlr meucl bo jls bspmkils
iotbrcieitmjbs mj sbpmrmsb jls cbcls y bsklzlr mj mpjikmrsb meum kmjibotb. Bo jls
tmjlobs hmy cljlr mj mplyl, ym sbm cbskmjzl l klo kmjzmcl, b`pblrmocl klo jm
sbqubcmc kutíobm y bj slnrbpbsl.
Jms eribtms jlkmjizmcms bo jls tmjlobs pubcbo sbr trmtmcms bkmz`botb klo jms
flr`ujmkilobs qub sb cbtmjjmo, y uom vbz kbrrmcms hmy qub trmtmr jm sbqubcmc
cb jm pibj. Klo bj o cb bvitmr rbkicivms, sib`prb hmo cb nuskmrsb bj lriebo cb
bstms eribtms (prlnjb`ms nil`bkíoikls, hipbrhicrlsis, hipbrqubrmtlsis, xbrlsis,
kmjzmcl iomcbkumcl,
iomcb kumcl, btk.).
btk.).
=51
Fûr`ujms `meistrmjbs
pmrm surms pjmotmrbs
Kl`plsikiûo
Oitrmtl cb pjmtm =%
Meum cbstijmcm ksp ;1`j
[ioûoi`ls
[ljukiûo mkulsm
mkuls m cb oitrmtl cb pjmtm
pj mtm mj =%.
=%.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj oitrmtl cb pjmtm tibob prlpibcmcbs motiséptikms mstrioebotbs kikmtrizmotbs, kmu-
tbrizmotbs y kíustikms. M jm klokbotrmkiûo
klok botrmkiûo cbj =%
=% prbsbotm bfbktls
bfbk tls kikmtrizmotbs
y motiséptikls, sibocl uo bxkbjbotb kmutbrizmotb.
Kmrmktbràstikms lremoljéptikms
Jàquicl trmospmrbotb iokljlrl b iolclrl.
Iocikmkilobs
Srmtm`ibotl cb eribtms y surms
sur ms cljlrlsms slnrb jbsilobs
jb silobs hipbrqubrmtûsikms
pjmotmrbs.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jms smjbs cb pjmtm.
pjmtm . Hmstm bj `l`botl ol sb jb klolkbo ltrms
klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb
prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls. Bvitmr
Bvitmr su mpjikmkiûo bo
zloms kbrkmoms m jls lgls l `uklsms. Qubcb tbýir jm pibj cb kljlr
k ljlr pmrcl cb flr`m
tb`plrmj. Bo kmsl cb mpmrbkbr rbmkkilobs
rbmkkilob s mjéreikms (urtikmrim, britb`m, rbmkkilobs
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
=5=
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim cb`lstrmcm, cb
ermo utijicmcl bo
quirlplcim uo bj trmtm`ibotl
trmtm`ibotl cb eribtms lQlr
qubrmtljàtikl. surms
bjjl,cljlrlsms qubprbvil
sib`prb sbrí cikujtmo uom
m bstms
tékoikms klo uom curmkiûo cb 2 m 5 càms.
=5>
Fûr`ujms `meistrmjbs
pmrm surms pjmotmrbs
@lcus lpbrmoci
QM[L = Qbsmr bj oitrmtl cb pjmtm bo bj bovmsb omj cmcl su mjtl pltbokimj cb
`mokhmcl cb iostru`botmj y supbrkibs.
QM[L > @bcir bo uom prlnbtm jm kmoticmc cb meum purikmcm y ioklrplrmrjm bo
bj bovmsb omj. Kbrrmr bj bovmsb y meitmr vielrlsm`botb.
QM[L ; Bovmsmr bo frmskl cb kristmj tlpmkil klo tmpûo bspítujm l kubotmeltms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb
trmospmrb otb sio kljlr.
EBJ CB Q^LQIJBOEJIKLJ
Kl`plsikiûo
Qrlpijboejiklj 61%
Ebj mkulsl ksp ;1`j
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj prlpijboejiklj tibob prlpibcmcbs hicrmtmotbs y hu`bktmotbs. M mjtms klokbo-
trmkilobs prbsbotm mkkilobs motiséptikms y kikmtrizmotbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl trmospmrbotb,
trmospm rbotb, sio ljlr y ermsl mj tmktl. [b bji`iom fíkij`botb klo meum.
Iocikmkilobs
Srmtm`ibotl cb eribtms y surms
surm s cljlrlsms slnrb jbsilobs hipbrqubrmtûsikms
pjmotmrbs.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj prlpijboejiklj. Hmstm bj `l`botl ol sb jb klolkbo ltrms
klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs `àoi`m. Qubcb
prbsbotmr irritmkiûo kutíobm bo
b o trmtm`ibotls prljloemcls. Bvitmr
Bvitmr su mpjikmkiûo bo
zloms kbrkmoms m jls lgls l `uklsms. Bo kmsl cb mpmrbkbr rbmkkilobs
rb mkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbmk kilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel.
=53
Fûr`ujms `meistrmjbs
pmrm surms pjmotmrbs
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim cb`lstrmcm, cb
ermo utijicmc bo bj trmtm`ibotl cb eribtms l surms cljlrlsms qub cikujtmo uom
quirlplcim
tékoikms klol uom
uo trmtm`ibotl
curmkiûo cbqubrmtljàtikl.
2 m 5 càms. Qlr bjjl, sib`prb sbrí prbvil m bstms
=52
@lcus lpbrmoci
Kjísikm`botb sb hmo utijizmcl ebjikmotbs cb lriebo kbjujûsikl pmrm jm bjmnlrmkiûo
cb bstms flr`ujmkilobs. Qlr oubstrm bxpbribkim prlfbsilomj y hmniéocljl klosbo-
sumcl klo bj Klosbgl Ebobrmj cb Kljbeils Lkimjbs cb Qlcûjlels cb Bspmým
prlplob`ls jm utijizmkiûo cb ebjikmotbs mkràjikls, cmcl qub bj prlcuktl omj
klosbeuicl bs uo sb`isûjicl `ís klosistbotb, `ís mermcmnjb y tbrmpéutikm`botb
tbrmpéutikm `botb
`ís bkmz pmrm bj pmkibotb plcljûeikl.
=56
Fûr`ujms `meistrmjbs
pmrm surms pjmotmrbs
Klotrlj cb kmjicmc
[b`isûjicl trmospmrbotb klosistbotb.
M pbsmr
pb smr cbj cbsm
c bsmrrljjl
rrljjl cb oubvls
o ubvls y pltbotb
pltbotbss motif÷oeik
moti f÷oeikls,
ls, jm iokicb
iokicbokim
okim cb jms
jm s
iofbkkilobs plr hloels cb jm pibj hm icl mu`botmocl. Jms kmusms hmo cb nus-
kmrsb, bo pri`br juemr, bo bj bolr`b rbsbrvlril m`nibotmj cb bstls eér`bobs
qub, myucmcl plr bj iokrb`botl cbj tríkl mérbl, hm fmkijitmcl jm i`plrtmkiûo m
Burlpm cb `iklsis trlpikmjbs motbs cbsklolkicms.
Bj tér`iol pib cb mtjbtm merupm uo 98% iofbkkilobs kmusmcms plr hloel cbr`m-
tltls (Siobm pbcàs) pbrl bj >% rbstmotb
rbstmo tb cb mebotbs
mebotb s btiljûeikls slo jbvmcurms
jbvmcurm s
(Kmocicm mjnikmos) y nmktbrims,
nmktbrims, fuocm`botmj`
fuocm`botmj`botb
botb bstmjlklkls, bstrbptlklkl
bstrbptlklklss y
sbucl`loms qub prlcukbo iofbkkilobs misjmcms, klokl`itmotbs l slnrbmýmcicms
m jm pri`brm.
=81
Kl`plsikiûo
@iklomzlj oitrmtl >%
Ûxicl cb kiok =1%
Jioi`botl ûjbl-km
ûjbl-kmjkírbl
jkírbl ksp =11e
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj `iklomzlj bs uo cbrivmcl i`icmzûjikl klo mkkiûo motif÷oeikm. Qrbsbotm uo
m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtlt
cbr `mtltls
ls (@ikrlsplru`, Bpicbr-
`lphytlo, Sriklphytlo) kl`l m jbvmcurms (Kmocicms spp). Sm`niéo
Sm`niéo tibob kibrtm
kib rtm
mktivicmc frbotb m klkls plsitivls iokjuicls [tmphyjlklkkus murbus y [trbptl-
klkkus pylebobs.
Bj ûxiclcb
sbkmcl cb jbsilobs
kiok bs mnslrnbotb
bxucmtivms,cby bxucmcls y sbkrbkilobs
tibob bfbktlssbk rbkilobs kutíobms4
kutíob ms4
cbr`lprltbktlrbs, prlvlkm bj
motiséptikls
y mstrioebotbs sumvbs.
Bj jioi`botl ûjbl-kmjkírbl bs uom b`ujsiûo w/l jbkhlsm klo prlpibcmcbs hicrm-
tmotbs, sumvizmotbs y cbr`lprltbktlrms.
Bj prbpmrmcl tibob mkkilobs motif÷oeikms y mstrioebotbs, rbcukb jls bxucmcls
sbkmocl jms jbsilobs4 bji`iom bj britb`m, bj pruritl y jm iom`mkiûo qub mkl`pmým
m jms jbsilobs.
Kmrmktbràstikms lremoljéptikms
B`ujsiûo njmokm cb klosistbokim jbkhlsm `uy mermcmnjb y rbfrbskmotb mj tmktl.
Mj mpj
mpjikm
ikmrsb
rsb slnr
slnrbb jm
j m pibj
p ibj cbgm uom om kmp
kmpmm njmoq
n jmoqubk
ubkiom,
iom, cbp
cbplsit
lsitíoc
íoclsb
lsb jls
priokipils mktivls.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb l cb flocl cb jms jbsilobs iom`mtlrims, bxucmtivms,
kloebstivms cb btiljleàm f÷oeikm (cbr`mtl`iklsis meucms, kmocicimsis bxucmtivms,
tiobm pbcis iotbrtrieiolsm meucm,
meuc m, btk.).
=8>
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls cbrivmcls i`icmzûjikls, msà kl`l m kumjquibrm cb jls
kl`plobotbs cb jm flr`ujmkiûo.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. Qubcb prbsbo-
tmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls. Bvitmr su mpjikmkiûo bo zloms
kbrkmoms m jls lgls l `uklsms. Qubcb sbkmr jm pibj bo trmtm`ibotls prljloemcls.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb ermo utijicmc bo bj trmtm`ibotl cb jms cbr`mtl`iklsis meucms
bxucmtivms, rbcukibocl jm siotl`mtljleàm qub jms mkl`pmým rípicm`botb y bji-
`iomocl bj mebotb kmusmj si sb prljloem bj trmtm`ibotl hmstm jms ;-3 sb`moms.
Bo kmsl cb trmtm`ibotls
tr mtm`ibotls `ís klrtls,
klr tls, 5-
5-=1 càms (trmtm`ibotl ÷oikm`botb klmcyu-
vmotb),, hm cb kl`pjbtmrsb klo fír`mkls
vmotb) fír`mk ls motif÷oeikls cb m`pjil bspbktrl (krb`m
plr jm olkhb y pljvl plr jm `mýmom) curmotb > sb`moms `ís.
=8;
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils (tbobr prbbjmnlrmcl bj jioi`botl ûjbl-kmjkírbl). Jm flr`ujmkiûo `mrkl
qub mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo cbj jioi`botl ûjbl-kmjkírbl cibrb
nmstmotb cb jm rbkl`bocmcm bo bj Flr`ujmril Omkilomj. Qlr oubstrm bxpbribokim
y hmniéocljl klosbosumcl klo bj Klosbgl Ebobrmj cb Kljbeils cb Qlcûjlels cb
Bspmým prlplob`ls supri`ir bj mkbitb cb jiomzm, qub tmotls prlnjb`ms prbsbotm,
y sustituirjl plr bj cb mj`bocrms
m j`bocrms cujkbs, utijizmocl bj íkicl ljbikl kl`l b`uj-
ebotb. Bstm vmrimkiûo cm `ís bstmnijicmc mj prbpmrmcl
prbp mrmcl klo bxkbjbotbs rbsujtmcls
bo bj í`nitl plcljûeikl.
=83
Klotrlj cb kmjicmc
[uspbosiûo jbkhlsm cb kljlr njmoqubkiol. Bs uom b`ujsiûo cb fmsb bxtbrom ermsm
plkl bstmnjb. [i sb rl`pb sb pubcb flr`mr cb oubvl fíkij`botb meitmocl vielrlsm-
`botb bj bovmsb.
Qjmzl cb vmjicbz rbkl`bocmcl
; `bsbs m tb`pbrmturm m`nibotb.
=82
Kl`plsikiûo
@iklomzlj >%
Ebotm`ikiom 1,>%
Hicrlklrtislom =%
Ûxicl cb kiok =1%
=1%
Jioi`botl ûjbl-km
ûjbl-kmjkírbl
jkírbl ksp =11e
[ioûoi`ls
Ebotm`ikiom7 sujfmtl cb ebotm`ikiom.
Hicrlklrtislom7 hicrlklr
hicrlklrtislom
tislom nmsb.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj `iklomzlj bs uo cbrivmcl i`icmzûjikl klo mktivicmc motif÷oeikm. Qrbsbotm uo
m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtltls (@ikrlsplru`, Bpicbr-
`lphytlo, Sriklphytlo) kl`l m jbvmcurms (Kmocicms spp). Sm`niéo Sm`niéo tibob kibrtm
kib rtm
mktivicmc frbotb m klkls plsitivls, iokjuicls [tmphyjlklk
[tmphyjlklkkus mur bus y [trbptl-
kus murbus
klkkus pylebobs.
Bj ûxicl cb kiok bs uo mnslrnbotb cb bxucmcls y sbkrbkilobs kutíobms, prlcukb
bj sbkmcl cb jbsilobs bxucmtivms, prltbeibocl jm pibj. Sm`niéo prbsbotm mkkilobs
motiséptikms y mstrioebotbs sumvbs.
Jm ebotm`ikiom bs uo motiniûtikl m`iolejukûsicl cb m`pjil bspbktrl mktivl frbotb
m eér`bobs erm`+ (iokjuicl [tmphyjlklkkus murbus) y erm`‛ (iokjuicm Qsbucl-
mbrueiols m).
`lom mbrueiolsm
Jm hicrlklrtislom mj =% bs uo cbr`mtlklrtiklicb cb pltbokim nmgm qub rbcukb jms
rbmkkilobs cljlrlsms, britb`mtlsms, iom`mtlrims y prurieiolsms qub mkl`pmýmo
m jm jbsiûo.
Bj jioi`botl
jioi`botl ûjbl-kmjkírbl bs uom b`ujsiûo
b `ujsiûo jbkhlsm klo prlpibcmcbs hicrmtmotbs,
sumvizmotbs y cbr`lprltbktlrms.
Bj prbpmrmcl tibob mkkilobs
mk kilobs motif÷oeikms y motinmktbrimoms, rbcukb jls bxucmcls,
sbkmocl jms jbsilobs y bji`iomocl bj britb`m, pruritl, cljlr b iom`mkiûo qub
mkl`pmým m jms jbsilobs.
Kmrmktbràstikms lremoljéptikms
B`ujsiûo njmokm cb klosistbokim jbkhlsm `uy mermcmnjb y rbfrbskmotb mj tmktl.
Mj mpjikmrsb slnrb
slnrb jm pibj cbgm uom kmpm njmoqubkiom cbplsitíoclsb jls priokipils
mktivls.
=86
Klotrmiocikmkilobs
Hipbrsbosinjicmc m jls cbrivmcls i`icmzûjikls. Hipbrsbosinijicmc m jls motiniûtikls
m`iolejukûsicls, msà kl`l m kumjquibrm cb jls kl`plobotbs cb jm flr`ujmkiûo.
Ol utijizmr bo bofbr`ls klo tunbrkujlsis kutíobm. Ol utijizmr bo `ugbrbs b`nm-
rmzmcms l bo pbrilcl cb jmktmokim.
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl frbkubotbs b i`plrtmotbs.
Jms `ís i`plrtmotbs slo irritmkiûo y sbqubcmc kutíobm. @ukhl `ís rmrm`botb
pubcb mpmrbkbr7
mpmrbk br7 bstràms, hirsutis`l, mcbjemzm`ibotl cb jm pibj y p÷rpurm. Bj ribsel
cb mnslrkiûo sisté`ikm cbj cbr`lklrtiklicb bs príktikm`botb oujl, m pbsmr cb
bjjl hm cb hmkbrsb uom vmjlrmkiûo motbs cb utijizmrsb oiýls `bolrbs cb 6 mýls.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms. Bo kmsl cb mpm-
rbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Olr`ms pmrm jm klrrbktm mc`ioistrm
mc`ioistrmkiûo
kiûo
• Jmvmcl cb jls pibs klo gmnlobs motiséptikls prbfbrbotb`botb íkicls.
• [bkmcl klrrbktl cb jls `is`ls.
• Mpjikmkiûo cirbktm cbj prbpmrmcl
prbpmr mcl slnrb jms jbsilobs.
• Jm lpbrmkiûo motbrilr sb rbpbtirí sbe÷o pmutms iocikmcms l sbe÷o kritbril
cbj plcûjlel.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Meitmr bj prbpmrmcl motbs cb sbr utijizmcl.
• Ioflr`mr mj pmkibotb qub jm cbsmpmrikiûo cb jm siotl`mtljleàm (pruritl,
britb`m, cljlr, sbkmcl cb jm jbsiûo, btk.) bo jms jbsilobs f÷oeikms ol
i`pjikm jm kurmkiûo cb jm `is`m y hm cb klotioumr bj trmtm`ibotl hmstm su
bji`iomkiûo (;-3 sb`moms).
=85
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb ermo utijicmc bo bj trmtm`ibotl cb jms cbr`mtl`iklsis meucms
bxucmtivms, rbcukibocl jm siotl`mtljleàm
càms), kl`pjb`botíoclsb plstbrilr`botbqub
klojms mk l`pmýmcb
mkl`pmým
jm utijizmkiûo rípicm`botb (2-5
fír`mkls moti-
f÷oeikls cb m`pjil bspbktrl (krb`m plr jm olkhb y pljvl plr jm `mýmom). Bo
bj trmtm`ibotl cb bkzb`ms meucls bxucmtivls slnrbiofbktmcls sb prljloemrí
curmotb cls sb`moms, klo rbcukkiûo ermcumj cb jms mpjikmkilobs, y plcrí sbr
sustituicl plr prbpmrmcls kl`brkimjbs cb cbr`lklrtiklicbs.
=88
Jm hicrlklrtislom mj =% bs uo
Qljvl njmokl cbr`mtlklrtiklicb cb pltbokim
Hicrlklrtislom =% =e hmriolsl `uy nmgm qub rbcukb jms rbmkkilobs
nmsb sljunjb bo cljlrlsms, britb`mtlsms,
b ritb`mtlsms,
mjklhlj. iofjm`mtlrims y prurieiolsms
qub mkl`pmýmo m jm jbsiûo.
E j i k b r lj ks ks
Bj jioi`botl ûjbl-kmjkírbl bs
Jioi`botl ksp ksp uom b`ujsiûo U/L jbkhlsm
ûjbl-kmjkírbl =11e =11e klo prlpibcmcbs hicrmtmotbs,
sumvizmotbs y cbr`lprltbktlrms
cb r`lprltbktlrms..
SLSMJ
SLSMJ =11e =11e
=89
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils (tbobr prbbjmnlrmcl
qub mklosbgm`ls utijizmr pmrm jmbjbjmnlrmkiûo
jioi`botl ûjbl-kmjkírbl).
cbj jioi`botlJm flr`ujmkiûo `mrkl
ûjbl-kmjkírbl cibrb
nmstmotb cb jm rbkl`bocmcm bo bj Flr`ujmril Omkilomj. Qlr oubstrm bxpbribokim
y hmniéocljl klosbosumcl klo bj Klosbgl Ebobrmj cb Kljbeils cb Qlcûjlels cb
Bspmým prlplob`ls supri`ir bj mkbitb cb jiomzm, qub tmotls prlnjb`ms prbsbotm,
y sustituirjl plr bj cb mj`bocrms
m j`bocrms cujkbs, utijizmocl bj íkicl ljbikl kl`l b`uj-
ebotb. Bstm vmrimkiûo cm `ís bstmnijicmc mj prbpmrmcl
prb pmrmcl klo bxkbjbotbs rbsujtmcls
bo bj í`nitl plcljûeikl.
=91
Klotrlj cb kmjicmc
B`ujsiûo uicm cb klosistbokim jbkhlsm cb kljlr njmoqubkiol. Bs uom b`ujsiûo
cb fmsb bxtbrom ermsm plkl bstmnjb. [i sb rl`pb sb pubcb flr`mr cb oubvl
fíkij`botb meitmocl vielrlsm`botb bj bovmsb.
SIOSR^M CB KM[SBJJMOI
Kl`plsikiûo
Fuksiom nísikm 1,3%
1,3%
Íkicl nûrikl 1,8%
Fbolj 3%
^bslrkiolj 8%
Mkbtlom 3`j
Mjklhlj 96± 8,2`j
Meum cbstijmcm ksp =11`j
[ioûoi`ls
^bslrkiolj7 rbslrk
rbslrkiom.
iom.
Fbolj7 íkicl féoikl.
Mjklhlj 96±7 mjklhlj btàjikl.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Mslkimki
Mslk imkiûo
ûo cb
c b motisé
m otiséptikl
ptiklss klo
k lo mkkiû
m kkiûoo nmktbr
nm ktbrikic
ikicmm y fuoe
fuoeikic
ikicm.
m. Sm`ni
m`niéo
éo prb
prb--
sbotm mkkilobs mstrioebotbs, motikloebtivms y motiiom`mtlrims. Bj prbpmrmcl
tibob mkkilobs motif÷oeikms y motinmktbrimoms, rbcukb jls bxucmcls sbkmocl jms
jbsilobs4 bji`iom bj cljlr, bj britb`m, bj pruritl y jm iom`mkiûo
iom `mkiûo qub mkl`pmým m
jms jbsilobs.
Kmrmktbràstikms lremoljéptikms
[ljukiûo cb ljlr kmrmktbràstikl, trmospmrbotb y cb kljlr `mebotm.
Iocikmkilobs
Srmtm`ibotl cb jms cbr`mtl`iklsis meucms, bxucmtivms, `mkbrmcms y klo plsi-
njb slnrbiofbkkiûo nmktbrimom. Srmtm`ibotl cb tiobm pbcàs iotbrtrieiolsm meucm.
Jbsilobs bkzb`mtlsms iotbrtrieiolsms slnrbiofbktmcms.
=9>
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cb jm flr`ujmkiûo. Hmstm bj
`l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl frbkubotbs b i`plrtmotbs.
Jms `ís i`plrtmotbs slo7 irritmkiûo y sbqubcmc kutíobm. @ukhl `ís rmrm`botb
pubcbo mpmrbkbr rbmkkilobs kl`l cbr`mtitis cb klotmktl. Bvitmr su mpjikmkiûo bo
zloms kbrkmoms m jls lgls l `uklsms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbm kkilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel. Siýb jm pibj cb kljlr rlsm-`mebotm cb flr`m tb`plrmj.
Vmjlrmkiûo
Jm sljukiûo cb Kmstbjjmoi prbsbotm uom nubom tljbrmokim y, klo bkmkim cb`ls-
trmcm, bs `uy utijizm bo bj í`nitl
í `nitl moejlsmgûo bo bj trmtm`ibotl cb jms cbr`mtl`i-
klsis meucms4 jm kljlrmkiûo qub cbgm bo jms jbsilobs pubcb ji`itmr su usl.
=9;
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
fisiklquà`ikms Qrlpibcmcbs
Qriokipils Qbsl rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls tmrmcl pbsmr jm kmoticmc cb fuksiom, íkicl
nûrikl, rbslrkiolj y fbolj, y cisljvbrjls bo 61 `j cbj meum.
QM[L > Bo bj `is`l vmsl cb prbkipitmc
prbkipitmcls
ls y uom vbz cisubjtls jls sûjicls ioklr-
plrmr jm mkbtlom y bj mjklhlj.
QM[L ; Bo uom prlnbtm ermcumcm vbrtbr jm
jm sljukiûo motbrilr y kl`pjbtmr hmstm
=11`j klo meum.
Klotrlj cb kmjicmc
Jàquicl trmospmrbotb sio prbkipitmcls y cb kljlr `mebotm. Bovmsmr bo frmskl
lpmkl l tlpmkil.
Kl`plsikiûo
Kjlrhicrûxicl cb mju`ioil =2%
=2%
@iklomzlj oitrmtl >%
Mjmotlàom 1,2%
Jlkiûo nmsb Jmobttb ksp =11e
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj kjlrhicrûxicl cb mju`ioil tibob prlpibcmcbs mstrioebotbs,
ms trioebotbs, motiséptikms y mohi-
crûtikms, mkt÷m cis`iouybocl bj tm`mýl cbj plrl suclrmj plr prbkipitmkiûo cb
jms prltbàoms slnrb jm supbrkib
supbr kib kbjujmr y bs `bols irritmotb qub su hl`ûoi`l bj
kjlrurl
plr cb mju`ioil. Bs cb ermo bkmkim bo cbr`mtl`iklsis meucms y `mkbrmcms
hipbrhicrlsis.
Bj `iklomzlj bs uo cbrivmcl i`icmzûjikl klo mkkiûo motif÷oeikm. Qrbsbotm uo
m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtltls (@ikrlsplru`, Bpicbr-
`lphytlo, Sriklphytlo) kl`l m jbvmcurms (Kmocicms spp). Sm`niéo
Sm`niéo tibob kibrtm
k ibrtm
mktivicmc frbotb m klkls plsitivls iokjuicls [tmphyjlklkkus murbus y [trbptl-
klkkus pylebobs.
Jm mjmotlàom bs uo mebotb hicrmtmotb y kikmtrizmotb.
Jm jlkiûo nmsb Jmobttb bs uom b`ujsiûo uicm L/U klo prlpibcmcbs hicrmtmotbs,
sumvizmotbs y cbr`lprltbktlrms4 su nmgl klotboicl bo ermsms bvitm jm `mkbrmkiûo
cb jms jbsilobs.
Bj prbpmrmcl tibob mkkilobs motif÷oeikms y mstrioebotbs, rbcukb jls bxucmcls
sbkmocl jms jbsilobs4 bji`iom bj britb`m, bj pruritl y jm iom`mkiûo qub mkl`-
pmým m jms jbsilobs. Bs cb ermo iotbrés bo cbr`mtl`iklsis meucms iotbrcieitmjbs
sbkuocmrims m hipbrhicrlsis.
Kmrmktbràstikms lremoljéptikms
B`ujsiûo njmokm cb klosistbokim jbkhlsm `uy mermcmnjb y rbfrbskmotb mj tmktl.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb l cb flocl cb jms jbsilobs iom`mtlrims, bxucmtivms,
kloebstivms cb btiljleàm f÷oeikm (cbr`mtl`iklsis meucms, kmocicimsis bxucmtivms,
tiobm pbcis iotbrtrieiols
iotbrtrieiolsmm meucm, btk..). Srmtm`ibotl
Srmtm`ibotl cb jms cbr`mtl`iklsis
cb r`mtl`iklsis meucms
iotbrcieitmjbs sbkuocmrims m hipbrhicrlsis.
=96
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls cbrivmcls i`icmzûjikls, msà kl`l m kumjquibrm cb jls
kl`plobotbs cb jm flr`ujmkiûo.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm. Qubcb prbsbo-
tmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls. Bvitmr su mpjikmkiûo bo zloms
kbrkmoms m jls lgls l `uklsms. Qubcb sbkmr jm pibj bo trmtm`ibotls prljloemcls.
Bo kmsl cb
`ítikms, mpmrbkbr
btk.) rbmkkilobs
suspbocbr mjéreikms
bj trmtm`ibotl (ur tikmrim,klo
(urtikmrim,
y klosujtmr britb`m, rbmkkilobs bxmotb-
su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim cb`lstrmcm, klo-
sicbríocljl
sicbrío cljl cb ermo utijicmc bo bj trmtm`ibotl cb jms cbr`mtl`iklsis meucms
meucm s bxu-
cmtivms, fuocm`botmj`botb jm iotbrcieitmjbs sbkuocmrims m hipbrhicrlsis4 rbcukb
jm siotl`mtljleàm qub jms mkl`pmým rípicm`botb, bji`iomocl bj mebotb kmusmj
si sb prljloem bj trmtm`ibotl hmstm jms ;-3 sb`moms. Bo kmsl cb trmtm`ibotls
`ís fír`mkls
klo klr tls, 5-
klrtls, 5-=1
motif÷oeikls
càms (trmtm`ibotl
cb m`pjil
÷oikm`botb
bspbktrlklmcyuvmotb)
klmcy
(krb`m
uvmotb),
plr jm, hm
olkhb
cb kl`pjbtmrsb
y pljvl plr
jm `mýmom) curmotb > sb`moms `ís.
=95
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
fisiklquà`ikms Qrlpibcmcbs
Qriokipils Qbsl rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
Qljvl njmokl.
[b cisubjvb bo
Bj kjlrhicrûxicl cb mju`ioil
meum flr`mocl
prbsbotm mkkilobs mohicrûtikms,
cisljukilobs
motiséptikms y mstrioebotbs.
Kjlrhicrûxicl =2% =2e kljlicmjbs uo plkl
Bs cb ermo iotbrés
cb mju`ioil lpmjbskbotbs,
bo hipbrhicrlsis y bo
plkl sljunjb bo
cbr`mtl`iklsis meucms
btmolj, iosljunjb
kloebstivms.
bo prlpijboejiklj y
ejikbriom.
Qljvl njmokl l kmsi Bj `iklomzlj bs uo moti`ikûtikl
njmokl. @uy plkl cbj erupl cb jls i`icmzljbs klo kl o
@iklomzlj sljunjb bo meum, mkkiûo fuoeistítikm. Bs cb m`pjil
oitrmtl >% >e nmstmotb sljunjb bspbktrl, sibocl mktivl slnrb
bo `btmolj y plkl hloels cbr`mtlfitls y jbvmcurms.
sljunjb bo btmolj mj Sm`niéo
Sm`niéo tibob
ti bob kibrtm
kib rtm mktivicmc
mk tivicmc
96%. slnrb klkls erm`+.
Jm mjmotlàom tibob prlpibcmcbs
Qljvl kristmjiol, rbbpitbjizmotbs, kikmtrizmotbs,
njmokl l kmsi hicrmtmotbs y bs jiebrm`botb
jiebrm`b otb
Mjmotlào
Mjm otlàomm 1,2% 1,2e njmokl. Qlkl qubrmtljàtikm. Mkt÷m slnrb jm
sljunjb bo meum, prljifbrmkiûo kbjujmr bo bj
`uy plkl sljunjb bstrmktl kûrobl, mkbjbrmocl
bo btmolj mj 96%. jm kikmtrizmkiûo y bji`iomocl
tbgicls obkrûtikls.
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils (tbobr prbbjmnlrmcm jm jlkiûo L/U).
L/U ). Jm flr`ujmkiûo `mrkl qub mklo-
sbgm`ls utijizmr
sikm jlkiûo nmsbpmrm
Jmobtjmtbbjmnlrmkiûo
Jmobttb cb jm jlkiûo cb
plr su mjtm bxpbribokim L/U bsbo
usl bstm vmrimkiûo
b j í`nitl
bj cb jm kjí-
plcljûeikl.
=98
FM[B E^M[M
Kbrm Jmobttb [X 6%
Kl`plsikiûo7 `bzkjm
91 pmrtbs cb kbrm bo flr`m
Jmobttb cb pmrtbs
L y =1 cispbrsiûo kljlicmj
cb uom `bzkjmcb
cb sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 2%
Qmrmom jàquicm ;%
Qhboloip 1,62%
,
FM[B MKRL[M
Ejikbriom =1%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb
klosistbotb cb kljlr njmokl cb rípicm mnslrsiûo kutíobm y fíkij`bot
fíkij`botbb
jmvmnjb klo meum. Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl l uol cb pjístikl.
>1>
• Io`uolcbfikibokims.
• Loikl`iklsis.
• Rsl iociskri`iomcl cb klrtiklicbs
klr tiklicbs y/l motiniûtikls tûpikls l sisté`ikls.
>1;
Kl`plsikiûo
Íkicl smjikàjikl 2-=1%
2-=1%
Rrbm =2->1%
Íkicl jíktikl 6%
Dbtlklomzlj >%
Cbxpmotbolj ;%
Krb`m ksp =11e
[ioûoi`ls
Rrbm7 kmrnm`icm.
Cbxpmotbolj7 pmotbolj, mjklhlj pmotboàjikl, prlvitm`iom N2.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl smjikàjikl mj 2-
2 -=1
=1%
% bs nmktbrilstítikl
nmktbr ilstítikl y fuoeistítikl, mcb`ís plsbb
p lsbb prl-
pibcmcbs qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl
kb `botl iotbrkbjujmr cbj qubrm-
tiolkitl, jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prbsbotm
uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Jm urbm mj =2->1% bs uo pltbotb hicrmtmotb y jiebrl bxfljimotb, y pltbokim jms
mkkilobs qubrmtljàtikms cbj íkicl smjikàjikl.
Bj íkicl jíktikl tibob bfbktls motiséptikls y qubrmtljàtikls, y tm`nibo mkt÷m kl`l
rbstmurmclr cbj `motl íkicl ermsl cb jm pibj.
Bj
uodbtlklomzlj bs uosibocl
m`pjil bspbktrl, cbrivmcl i`icmzûjikl
mktivl klom cbr`mtltls
tmotl frbotb mkkilobs motif÷oeikms. Qrbsbotm
(@ikrlsplru` , Bpi-
cbr`lphytlo, Sriklphytlo) kl`l m jbvmcurms
jbvmcurms (Kmocicm spp).
Bj cbxpmotbolj bs uo mebotb hu`bktmotb, hicrmtmotbs y kikmtrizmotb, kmpmz kmpm z cb
rbebobrmr bj tbgicl bpicér`ikl surmcl plr jm xbrlcbr`im.
Bj bxkipibotb bs uom b`ujsiûo krb`lsm klo mktivicmc hicrmtmotb, kmpmz cb rbtb-
obr meum cbj bxtrmktl kûrobl prlplrkilomocl
pr lplrkilomocl bjmstikicmc, sumvicmc y bxinijicmc
m jm pibj. Kls`étikm`botb bs mermcmnjb cb mpjikmr. Bj prbpmrmcl tibob mkkiûo
motif÷oeikm pltbotb, mcb`ís cb bji`iomr jm siotl`mtljleàm xbrûsikm cb jms cbr`m-
tl`iklsis krûoikms sbkms, trmosflr`m tibobm pbcis xbrûsikm, iktiûsikm, bo pibjbs
smoms, jinrb cb hloels, hicrmtmcms, bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl cb mspbktl krb`lsl mermcmnjb mj tmktl. Kls`étikm`botb
su tmktl krb`lsl jb klobrb uoms kmrmktbràstikms mermcmnjbs bo su mpjikmkiûo.
>13
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl
sm jikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Hipbr-
sbosinijicmc m jls cbrivmcls i`icmzûjikls, msà kl`l m kumjquibrm cb jls kl`plobo-
tbs cbj prbpmrmcl. Hmstm bj
b j `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
k lotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms
mcvbr sms cb bstm flr`ujmkiûo bs nmgm. Bo lkmsilobs
pubcb prbsbotmr irritmkiûo kutíobm, klo `mylr frbkubokim si sb mpjikm bo zloms
bxtbosms y curmotb tib`pl prljloemcl. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
(urtikmrim, britb`m, rbmkkilobs
rbm kkilobs bxmotb`ítikms, btk.)
btk.) suspbocbr bj trmtm`ibotl y
klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim y uom mjtm bkmkim cb`lstrmcm,
bs cb utijicmc bo bj trmtm`ibotl cb cbr`mtl`iklsis
cb r`mtl`iklsis sbkms, xbrûsikms bo mcujtls y
oiýls, y sus kmrmktbràstikms
qubrmtljàtikls kls`étikms
pubcbo `lcikmrsb slo mermcmnjbs.
bo fuokiûo Jms klokbotrmkilobs
cb jms obkbsicmcbs cb
cb jls `is`ls.
>12
Qmrm jm bxpjikmkiûo
jls rmoels cbj `lcus
tbrmpéutikls lpbrmoci
iocikmcls, utijizmrb`ls
sibocl jmsmklokbotrmkilobs
bxtrmpljmnjb klokbotrm
kumjquibr kilobs `ís mjtms cb
ltrm klokbotrmkiûo.
klok botrmkiûo.
>16
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =3%
91 pmrtbs cb kbrm
kb rm Jmobttb L y =1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Jm ioklrplrmkiûo
ioklrplr mkiûo cb jls mktivls sb rbmjizmràm cb jm flr`m sieuibotb7
sieuib otb7 jm urbm, bj íkicl
jíktikl y bj cbxpmotbolj bo jm fmsb mkulsm4 bj íkicl smjikàjikl bo jm fmsb ermsm, y
bj dbtlklomzlj cispbrsmcl bo uom pbqubým pmrtb pm rtb cb mjklhlj btàjikl y ejikbrlj uom
vbz b`ujsilomcms y bofrimcms jms cls fmsbs.
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb
klosistbotb cb kljlr njmokl cb rípicm mnslrsiûo kutíobm y fíkij`bot
fíkij`botbb
jmvmnjb klo meum. Bovmsmr bo uo
u o tunl cb mju`ioil prbkiotmcl l uol cb pjístikl.
Kl`plsikiûo
Íkicl smjikàjikl 2-=1%
2-=1%
Rrbm =2->1%
Ebotm`ikiom 1,>%
Dbtlklomzlj >%
Srim`k
rim`kioljlom
ioljlom mkbtûo
mkbtûoicl
icl 1,==%
1,
Bxkipibotb b`ljibotb ksp =11e
[ioûoi`ls
Rrbm7 kmrnm`icm.
Ebotm`ikiom7 ebotm`ikiom sujfmtl
sujf mtl.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl smjikàjikl mj 2-=
2-=1%
1% bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb
prlpibcmcbs qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj
qubrmtiolkitl pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm.
Sm`niéo prbsbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su
cbsiotbermkiûo (qubrmtioljisis).
Jm urbm mj =2->1% bs uo pltbotb hicrmtmotb y jiebrl bxfljimotb, pltbokim jms mkkil-
mkkil -
obs qubrmtljàtikms cbj íkicl smjikàjikl.
Bj dbtlklomzlj bs uo cbrivmcl i`icmzûjikl klo prlpibcmcbs moti`ikûtikms. Qrb-
sbotm uo m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtltls (@ikrlsplru`,
Bpicbr`lphytlo, Sriklphytlo) kl`l m jbvmcurms
jbvmcurms (Kmocicm spp).
Jm ebotm`ikiom bs uo motiniûtikl m`iolejukûsicl cb m`pjil bspbktrl, mktivl
frbotb m eér`bobs
Qsbucl`loms erm`+).(iokjuicl [tmphyjlklkkus murbus) y erm`
mbrueiolsm erm`‛‛ (iokju
( iokjuicm
icm
Jm trim`kioljlom mkbtûoicl
mkb tûoicl mj 1,=
1,=% bs uo cbr`mtlklrtiklicb
cb r`mtlklrtiklicb cb pltbokim `bcim-
mjtm, qub rbcukb jms rbmkkilobs
rb mkkilobs cljlrlsms, britb`mtlsms, motiprurieiolsms b iom-
`mtlrims mslkimcms m jm `iklsis.
Bj bxkipibotb b`ljibotb bs uom b`ujsiûo krb`lsm klo mktivicmc hicrmtmotb, jiebrm-
`botb lkjusivm, kmpmz cb rbtbobr meum cbj bxtrmktl kûrobl prlplrkilomocl bjms-
tikicmc, sumvicmc y bxinijicmc m jm pibj. Kls`étikm`botb
Kls`ét ikm`botb bs mermcmnjb cb mpjikmr.
Bj prbpmrmcl tibob mkkiûo motif÷oeikm y motinmktbrimom pltbotb,
pltbotb, mcb`ís cb bji-
`iomr jm siotl`mtljleàm xbrûsikm, britb`mtlsm, cljlrlsm y motiprurieiolsm cb jms
jbsilobs, trmosflr`m Siobm pbcis xbrûsikm b iktiûsikm, bzkb`ms sbkls cirhicrûtikls
slnrbiofbktmcls, cbr`mtitis krûoikms slnrbiofbktmcms bo pibjbs smoms, hicrmtmcms,
bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl jiebrm`botb
jiebrm`botb m`mrijjbotl cb mspbktl
mspb ktl krb`lsl mermcmnjb mj tmktl. Kls-
`étikm`botb su tmktl krb`lsl jb klobrb
klobrb uoms kmrmktbràstikms mermcmnjbs
mermcm njbs bo su
mpjikmkiûo.
>18
>19
>=1
E j i k brl j ks ks
Bxkipibotb ksp =11e ksp
b`ljibotb L/U =11e
SLSMJ
SLSMJ =11e =11e
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U). Jm flr`ujmkiûo `mrkl qub mklo-
sbgm`ls utijizmr pmrm jm bjmnlrmkiûo cb jm b`ujsiûo L/U bs bstm vmrimkiûo cbj kjísikl
bxkipibotbb b`ljibotb plr su mjtm bxpbribokim y bkmkim bo bj í`nitl plcljûeikl.
bxkipibot
FM[B E^M[M
,
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm
`bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =2%
=2%
91 pmrtbs cb kbrm Jmobttb L y =1 pmrtbs cb uom `bzkjm
cb sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
Jmoljiom mohicrm 5%
FM[B MKRL[M
, Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
>==
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr m`mrijjbotl cb rípicm mnslrkiûo
mnslrk iûo kutíobm y fíkij-
`botb jmvmnjb klo meum.
Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl
prb kiotmcl l uol cb pjístikl.
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
cbr`mtl`iklsis
hipbrqubrmtûsikms
Jms cbr`mtl`iklsis krûoikms hipbrqubrmtûsikms bo ebobrmj kursmo klo mfbktmkiûo
cb m`nms pjmotms, nlrcbs jmtbrmjbs y tmjlobs klo hipbrqubrmtlsis `ís l `bols
prlouokimcm b iokjusl klo surms cljlrlsms4 tm`niéo slo frbkubotbs bj britb`m
y bj pruritl.
`ibotls [lo cb
tûpikls cifàkij `mobgl yprbkismocl
kl`brkimjizmcls, bo `ukhmsbjlkmsilobs
fûrrbsistbotbs
r`ujms
bsistbotbs
usl cb fûr`ujms m jls trmtm-
`meistrmjbs y/l
motif÷oeikls lrmjbs, sibocl cb bjbkkiûo jm tbrniomom y bj itrmklomzlj.
Jls motif÷oeikls
qubrmtljàtikls qub sb utijikbo
b hicrmtmotbs (sib`prb
klo jm omjicmccbcbm`pjil bspbktrl)
cis`iouir hmo
bj tbgicl cb mslkimrsb
mslkimr sb m
hipbrqubrmtûsikl
qub sb mslkim m jm jbsiûo f÷oeikm, mu`botmocl mcb`ís jm hicrmtmkiûo cb jm `is`m.
M pbsmr
pbs mr cb
c b sbr klolki
klolkicms
cms plr
p lr tlcls,
tlcls , klosicbrm
klos icbrm`ls
`ls obkbsm
ob kbsmril
ril iocikmr
ioc ikmr mjeuom
mjeuomss
`bcicms cb hieiéoikl-smoitmr
hieiéoikl-smoitmrims
ims klo bj o
o cb jlermr bj éxitl y bvitmr rbkicivms bo
bj trmtm`ibotl cb jms iofbkkilobs cér`ikms f÷oeikms cbj pib. [lo jms sieuibotbs7
• Rtijizmr gmnlobs íkicls (pH ;-2) pmrm `motbobr iotmktl bj `motl íkicl
ermsl prltbktlr kutíobl y bvitmr bj krbki`ibotl cb fjlrm f÷oeikm y/l nmk-
tbrimom ol smprûfitm.
• Rsmr kmjzmcl y kmjkbtào mcbkumcls klo bj fio cb bvitmr jm `mkbrmkiûo cb
jm pibj.
• Cbsiofbktmr klo rbeujmricmc tlmjjms, cukhms, jmvmnls, subjl cb vbstumrils, btk.
• Cbsiofbktmr bj kmjzmcl
km jzmcl mfbktmcl (mpjikmocl cirbktm`botb pljvl l mbrlslj
moti`ikûtikl l iotrlcukiéocljl bo uom nljsm cb pjístikl klo kl`pri`icls
l pljvl cb pmrmflr`mjcbhàcl
pmrmflr`mjcb hàcl curmotb 38-5> hlrms).
• Bj jmvmcl y bj sbkmcl cb pibs sb rbmjizmrí bo ÷jti`l juemr pmrm bvitmr
bxtbocbr jms `iklsis y sib`prb klo gmnlobs íkicls motiséptikls.
• Mirbmr bj `íxi`l plsinjb jls pibs. [lo cb utijicmc jls
jls nmýls cb slj.
• [bkmr jls pibs sio ljvicmr jms zloms iotbrcieitmjbs. [lo cb iotbrés jls sbkm-
clrbs cb pbjl.
• Bvitmr jm hipbrhicrlsis curmotb y cbspués cbj trmtm`ibotl motif÷oeikl.
• M fio cb bvitmr rbkicivms y frmkmsls tbrmpéutikls, bj trmtm`ibotl cbnb rbm-
jizmrsb bj tib`pl iocikmcl, m÷o kumocl hmymo cbsmpmrbkicl
cb smpmrbkicl jls sàotl`ms
cbsmermcmnjbs qub jb prlcukàm jm jbsiûo.
>=3
Fûr`ujms `meistrmjbs
pmrm cbr`mtl`iklsis
hipbrqubrmtûsikms
VM[BJIOM KLO KIKJLQI^LX Y ÍKICL [MJIKÀJIKL
Kl`plsikiûo
Íkicl smjikàjikl =1-=2%
=1-=2%
Kikjlpirlx >%
Vmsbjiom jmotb ksp 21e
[ioûoi`ls7
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Kikjlpirlx7 kikjlpirlx ljm`iom.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl
prlpibcmcbs mj =1-=2%y fmkijitm
qubrmtljàtikms bs nmktbrilstítikl
jm cisljukiûoy fuoeistítikl,
cbj kb`botl mcb`ís plsbb
iotbrkbjujmr cbj
qubrmtiolkitl pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm.
Sm`niéo prbsbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su
cbsiotbermkiûo (qubrmtioljisis).
Bj kikjlpirlx bs uo cbrivmcl cb jms piricloms klo pltbotbs mkkilobs motif÷oeikms.
Qrbsbotm uo m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtltls (@ikrls-
plru`, Bpicbr`lphytlo, Sriklphytlo) kl`l m jbvmcurms
jbvmcurms (Kmocicm spp).
Jm vmsbjiom bs cb omturmjbzm jipûjm y tibob mkkilobs lkjusivms slnrb jm supbrkib
kutíobm, mu`botmocl jm rbtbokiûo cb meum cb jm pibj y bvitmocl jm pércicm cbj
klotboicl hàcrikl plr bj bfbktl cb `mkbrmkiûo cbj bxtrmktl kûrobl.
Bj prbpmrmcl trmosflr`m pibjbs klo cbr`mtl`iklsis pjmotmrbs hipbrqubrmtûsikms
bo pibjbs smoms, hicrmtmcms, bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl cb mspbktl
m spbktl y tmktl uotlsl sio ljlr
ljlr.. Kls`étikm`botb, su tmktl
uotlsl y ermsl jb klobrb uoms kmrmktbràstikms plkl mermcmnjbs bo su mpjikmkiûo
mpjikmkiûo,,
pbrl `uy bkmkbs plr sus bfbktls lkjusivls.
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs qub kursbo klo hipbrqubrmtlsis pjmotmrbs mslkimcms
m jbsilobs f÷oeikms. Cbr`mtl`iklsis hipbrqubrmtûsikm pjmotmr.
pjmotmr. @iklsis hipbrqub-
rmtûsikms cb kumjquibr jlkmjizmkiûo.
>=2
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl
sm jikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Hipbr-
sbosinijicmc mj kikjlpirlx y ltrms piricloms, msà kl`l m kumjquibrm cb jls kl`pl-
obotbs cbj prbpmrmcl.
Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
Jm utijizmkiûo cb qubrmtljàtikls bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs
pbriférikls l mokimols hm cb rbmjizmrsb nmgl supbrvisiûo cbj plcûjlel, sib`prb
rbmjizmocl klotrljbs bxhmustivls
bxhmustivls y vmjlrmocl bo kmcm `l`botl y pmrm kmcm k mcm
bofbr`l jm obkbsicmc cb su usl.
Ol utijizmr bo hbricms mnibrtms, `uklsms, qub`mcurms l slnrb pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm.
Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls, qub pubcbo
pltbokimrsb si sb rbmjizmo kurms lkjusivms.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Ol mslkimr m ltrls prlcuktls qubrmtljàtikls.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbot
bxkbjbotbb tljbrmokim, uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb utijicmc bo bj trmtm`ibotl cb jms cbr`mtl`iklsis hipbrqubrmtû-
sikms tmotl
kumcrl, boobkbsmril
sbrí mcujtls kl`l bo oiýls.
rbmjizmr mcb`ísBouo
mcujtls, bo fuokiûo
f uokiûo
trmtm`ibotl
trmtm`ibot cb jm ermvbcmc
l klo motif÷oei
motif÷oeikls cb j
cbj
kls lrmjbs
(tbrniomom l itrmklomzlj).
>=6
Fûr`ujms `meistrmjbs
pmrm cbr`mtl`iklsis
hipbrqubrmtûsikms
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
Qmrm cb
kiûo jm bxpjikmkiûo cbjprlpubstm,
jm flr`ujmkiûo `lcus lpbrmoci
siboclklebrb`ls
bxtrmpljmnjbbjmermcl mjtl klokbotrmkiûo
kumjquibr cb klokbotrm-
iofbrilr.
@mtbrim Kmoticmc
pri`m % Kmoticmc Kmrmktbràstikms
fisiklquà`ikms Qrlpibcmcbs
Qriokipils Qbsl rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
Qljvl kristmjiol Bj íkicl smjikàjikl bs nmktbrilstítikl
njmokl y fuoeistítikl. Mj =2% tibob mcb`ís
Íkicl fíkij`botb prlpibcmcbs qubrmtljàtikms y fmkijitm
smjikàjikl =2% 5,2e sljunjb bo jm cisljukiûo cbj kb`botl
kb`b otl iotbrkbjujmr
mjklhlj y ol cbj qubrmtiolkitl, prlcukibocl jm
sljunjb
meum.bo cbsmchbrbokim y cbskm`mkiûo cb jm
kmpm kûrobm.
Qmrmfiom Jàquicl
jàquicm
(vmsbjiom =2% 5,2e trmospmrbotb
iokljlrl cb
jàquicm) tmktl uotulsl.
>=5
@lcus lpbrmoci
[i sb cisplob cb meitmclr tipl uoeumtlr ®7
Klotrlj cb kmjicmc
[b`isûjicl njmokl uotlsl y klosistbotb.
Fûr`ujms `meistrmjbs
pmrm cbr`mtl`iklsis
hipbrqubrmtûsikms
VM[BJIOM KLO DBSLKLOM
DBSLKLOMWLJ,
WLJ, R^BM Y [MJIKÀJIKL
Kl`plsikiûo
Dbtlklomzlj >%
Íkicl smjikàjikl =1-=2
=1-=2%
%
Rrbm >1-;1%
Vmsbjiom jmotb ksp =11e
[ioûoi`ls7
Vmsbjiom jmotb7 vmsbjiom, pmrmom njmocm.
Rrbm7 kmrnm`icm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl mj =1-=2% bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb
prlpibcmcbs
qubrmtiolkitl qubrmtljàtikms
pbr`itibocl jmycbsmchbrbokim
fmkijitm jm cisljukiûo cbj kb`botl
y cbskm`mkiûo cb jmiotbrkbjujmr cbj
kmpm kûrobm.
Sm`niéo prbsbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su
cbsiotbermkiûo (qubrmtioljisis).
Jm urbm mj >1-;1% bs uo pltbotb hicrmtmotb y bxfljimotb, pltbokim jms mkkilobs
qubrmtljàtikms cbj íkicl smjikàjikl, cis`iouybocl jls bfbktls irritmotbs cbj `is`l
y klosieuibocl jm ciserbemkiûo cbj bxtrmktl kûrobl.
Bj dbtlklomzlj bs uo cbrivmcl i`icmzûjikl klo prlpibcmcbs moti`ikûtikms. Qrb-
sbotm uo m`pjil bspbktrl, sibocl mktivl
mk tivl tmotl frbotb m cbr`mtltls (@ikrlsplru`,
Bpicbr`lphytlo, Sriklphytlo) kl`l m jbvmcurms
jbvmcurms (Kmocicm spp).
Jm vmsbjiom bs cb omturmjbzm jipûjm tibob mkkilobs lkjusivms slnrb jm supbrkib
kutíobm, mu`botmocl jm rbtbokiûo cb meum cb jm pibj y bvitmocl jm pércicm cbj
klotboicl hàcrikl plr bj bfbktl cb `mkbrmkiûo cbj bxtrmktl kûrobl.
Bj
boprbpmrmcl trmosflr`m
pibjbs smoms, pibjbs
hicrmtmcms, klo cbr`mtl`iklssis
bjístikms, pjmotmrbs hipbrqubrmtûsikms
bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl cb mspbktl y tmktl uotlsl sio ljlr. Kls`étikm`botb, mj flr-
`mrsb uo jiplebj prbsbotm uo tmktl uotlsl y ermsl ol cbsmermcmnjb bo su mpji-
kmkiûo, klo bfbktls lkjusivls cb ermo iotbrés.
Iocikmkilobs
Srmtm`ibotl cb sàocrl`bs qub kursbo klo hipbrqubrmtlsis pjmotmrbs mslkimcms
m jbsilobs f÷oeikms. Cbr`mtl`iklsis hipbrqubrmtûsikm pjmotmr.
pjmotmr. @iklsis hipbrqub-
rmtûsikms cb kumjquibr jlkmjizmkiûo.
Qlsljleàm7 vàm tûpikm
Mpjikmrr jm pl`mcm
Mpjikm p l`mcm =-> vbkbs mj càm `mýmom y olkhb klo uo jiebrl `msmgb.
`m smgb. [i
[ i sb
mpjikm = vbz mj càm sb rbmjizmrí plr jm olkhb cbspués cbj jmvmcl y sbkmcl cbj pib.
Qubcb mpjikmrsb bo kurms lkjusivms.
>=9
^bmkkilobs
Jm iokicbokimmcvbrsms
cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm.
Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls, qub pubcbo
pltbokimrsb si sb rbmjizmo kurms lkjusivms.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Ol utijizmr kloguotm`botb prlcuktls klo mkkilobs qubrmtljàtikms.
Olr`ms pmrm jm klrrbktm mc`ioistrmkiûo
• Jmvmcl cb jls pibs klo gmnlobs íkicls.
• [bkmcl cb zloms iotbrcieitmjbs.
• Mpjikmkiûo cirbktm cbj prbpmrmcl bxtbociéocljl plr tlcms jms zloms rbm-
jizmocl uo jiebrl `msmgb.
• Qubcb utijizmrsb, si sb klosicbrm obkbsmril,
obkbsmr il, pmrm pltbokimr jm mkkiûo qub-
rmtljàtikm, kurm lkjusivm.
• Jm lpbrmkiûo motbrilr sb rbpbtirí sbe÷o pmutms iocikmcms l sbe÷o kritbril
cbj plcûjlel.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• [i hmy eribtms l fisurms pjmotmrbs, pubcb mpjikmrsb prbvim`botb curmotb
;-2 càms, jm sljukiûo mkulsm cb oitrmtl cb pjmtm mj =% (vbr mpmrtmcl 9.5)
klo bj fio cb kmutbrizmrjms.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbot
bxkbjbotbb tljbrmokim, uom mjtm bkmkim cb`lstrmcm,
bs cb ermotmotl
pjmotmrbs utijicmc bo bj trmtm`ibotl
bo mcujtls cb jmsBo
kl`l bo oiýl. cbr`mtl`iklsis y `iklsis
mcujtls, bo fuokiûo cb jmbo ebobrmj
ermvbcmc
cbj kumcrl, sbrí obkbsmril rbmjizmr mcb`ís trmtm`ibotl klo motif÷oeikls lrmjbs
(tbrniomom l itrmklomzlj).
>>1
Fûr`ujms `meistrmjbs
pmrm cbr`mtl`iklsis
hipbrqubrmtûsikms
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
Qmrm
cb jm jm bxpjikmkiûoprlpubstm,
flr`ujmkiûo cbj `lcussibocl
lpbrmoci utijiz mrb`ls
utijizmrb`ls
bxtrmpljmn
bxtrmpljmnjb bj ermclklokbotrmkiûo
jb m kumjquibr mjtl cb klokbotrmkiûo
iofbrilr.
Bj dbtlklomzlj bs uo cbrivmcl
Qljvl njmokl i`icmzûjikl klo mkkilobs
hmriolsl fuoeistítikms. Qrbsbotm uo m`pjil
Dbtlklom zlj >% >e fíkij`botb bspbktrl, sibocl mktivl tmotl frbotb
sljunjb bo m cbr`mtlfitls (@ikrlsplru`,
mjklhlj. Bpicbr`lphytlo, Sriklphytlo) kl`l
m jbvmcurms (Kmocicms spp).
Jàquicl
Qmrmfiom k. s k.s trmospmrbotb
jàquicm iokljlrl cb
tmktl uotulsl.
Jm vmsbjiom y bj mkbitb cb pmrmfiom
slo cb omturmjbzm jipûfijm qub
[b`isûjicl flr`mo uom pbjàkujm lkjusivm slnrb
Vmsbji om
Vmsbjiom klosistbotb klo jm supbrfikib kutíobm, mu`botmocl
fijmotb ksp =11e ksp =11e jiebrm kljlrmkiûo jm rbtbokiûo cb meum cbj bxtrmktl
njmokm cb tmktl kûrobl y bvitmocl jm pércicm cbj
ermsibotl. klotboicl hàcrikl plr su bfbktl
cb lkjusiûo, cíocljb
y sumvicmc m jm fjbxinijicmc
pibj.
Sltmj =11e =11e
>>=
@lcus lpbrmoci
Kjísikm`botb sb hmo utijizmcl jmoljiom, kljbstbrlj, cbrivmcls
cbr ivmcls cb jm jmoljiom l tbo-
silmktivls tipl pljislrnmtls pmrm plcbr ioklrplrmr
ioklrplrm r jm urbm prbvim`botb cisubjtm bo
meum purikmcm bo jm nmsb ermsm (vmsbjiom jmotb), lntboibocl msà uo sb`isûjicl
plkl bstmnjb y klosistbotb.
Qlr oubstrm bxpbribokim prlfbsilomj y hmnibocl klosbosumcl klo bj Klosbgl
Ebobrmj cb Kljbeils cb Qlcûjlels cb Bspmým rbkl`bocm`ls jm rbmjizmkiûo cb
uo jiplebj, klosieuibocl msà uo sb`isûjicl `ís klosistbotb, `ís mermcmnjb pmrm
bj pmkibotb y cb ermo bkmkim tbrmpéutikm (vbr mpmrtmcl 9.6).
[i sb cisplob cb meitmclr tipl uoeumtlr ®7
QM[L IOIKIMJ
Bjmnlrmkiûo cbj prbpmrmcl iotbr`bcil cb ebj cb urbm mj ;1% qub sbrvirí pmrm jm
ioklrplrmkiûo cbj rbstl cb prlcuktls
=) Cisljvbr bj ;1% cb urbm bo uo ;1% cb meum purikmcm klo jm myucm cb uo
meitmclr `meoétikl.
>) Ebjikmr jm sljukiûo motbrilr klo
k lo uo 3% cb [bpiebj ;12®.
Klotrlj cb kmjicmc
[b`isûjicl njmokl uotlsl y klosistbotb.
>>>
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
hbjl`ms
Jls hbjl`ms, tm`niéo klolkicls kl`l "lgls cb pljjl" l "kmjjls",
"kmjjls", sb plcràmo
cboir kl`l qubrmtlpmtàms klo o÷kjbl qub klrrbsplocb m uom prbsiûo iotbr`i-
tbotb cb jm pibj slnrb uo puotl ûsbl, qub klocikilom uom isqub`im
isqub `im bo jm kmpm
nmsmj cb jm bpicbr`is.
Bo lkmsilobs hm cb rbkurrirsb
rbkur rirsb m jm kirueàm pmrm
pmr m bji`iomr jms bxlstlsis ûsbms l jls
smjibotbs qub jls prlvlkmo y klrrbeir jms cbflr`icmcbs, ym nibo sbmo cieitmjbs l
`btmtmrsmjbs.
>>3
Fûr`ujms `meistrmjbs
pmrm hbjl`ms
JIKL^ CB QLSM[M
Kl`plsikiûo
Hicrûxicl
Hicrûxic l pltí
pltísikl
sikl =2%
=2%
Meum cbstijmcm ksp >1`j
[ioûoi`ls
[ljukiûo mkulsm
mkuls m cb hicrûxicl pltísikl
pltís ikl mj =2%.
=2%.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Jm sljukiûo mkulsm cb hicrûxicl pltísikl mj =2% tibobtibob prlpibcmcbs
prlpibcmcb s jiebrm`botb
kíustikms, sio mjkmozmr m cbstruir
cb struir bj tbgicl bpicér`ikl hipbrtrûkl, jl qub rbnjmo-
cbkb y fmkijitm su bji`iomkiûo `bcimotb tékoikms quir÷reikms l quirlpûcikms.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb iokljlrm b iolclrm.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb prbvil m quirlplcim cb jls hbjl`ms l hipbrqubrmtlsis.
hipbr qubrmtlsis.
Jbsilobs vàrikms jiebrm`botb qubrmtûsikms qub prbkisbo
prb kisbo bji`iomkiûo quir÷reikm
plstbrilr kl`l bj `ljuskl klotmeilsl (@ljjusku` klotmeilsu`).
Mpjikmr
Mpjikm
uols r jm sljukiûo
s ljukiûo
`ioutls c irbktm`botb
cirbkt
y rbmjizmr bjm`botb s lnrbquirlpûcikl
slnrb
trmtm`ibotl b j hbjl`m mklrrbsplocibotb.
bj trmtm r, cbgmr mktumr
trmtmr, mk tumr
Bo curmotb
cu
bj rmotb
kmsl
cb `ljuskls, bj trmtm`ibotl sb rbmjizmrí > vbkbs mj càm jls ;-3 càms motbs cb jm
bxtirpmkiûo cb jls `is`ls klo kukhmrijjm.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m mjeuol cb jls kl`plobotbs cbj prbpmrmcl. Ol utijizmr bo
hbricms mnibrtms, `uklsms, qub`mcurms l slnrb pibj brlsilomcm. Mktumj`botb
Mktumj`botb
ol sb jb klolkb ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm y cb plkm
p lkm
i`plrtmokim. Qubcb prbsbotmr irritmkiûo kutíobm bo pibjbs sbosinjbs, qub pubcb
mu`botmr si sb mpjikm bo zloms bxtbosms y bo ermocbs kmoticmcbs. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
>>2
Vmjlrmkiûo
Bj `mj cbol`iomcl "jiklr cb pltmsm" bs uo bxkbjbotb prbpmrmcl klo mktivicmc
mk tivicmc
cb`lstrmcm qub fmkijitm jm quirlplcim bo mqubjjls hbjl`ms l jbsilobs hipbr-
qubrmtûsikms curms y rbnbjcbs plr rbnjmocbki`ibotl cb jls `is`ls. Bj rmoel
cb klokbotrmkiûo
kmrmktbràstikms cbjbs cbj =1->1% bo fuokiûo cb jms obkbsicmcbs tbrmpéutikms y
pmkibotb.
>>6
Fûr`ujms `meistrmjbs
pmrm hbjl`ms
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
Qriokipils Qbsl rbmj fisiklquà`ikms Qrlpibcmcbs
mktivls Vlju`boo pbsmcm
Vlju`b Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
@msms njmokms l
kmsi njmokms, curms, Jm sljukiûo mkulsm cb
kristmjioms bo flr`m hicrûxicl pltísikl
pltísi kl mj =2%
cb vmrijjms, jbotbgms tibob prlpibcmcbs jiebrm`botb
Hicrûxicl l frme`botls kíustikms, sio mjkmozmr m
pltísikl =2% ;e irrbeujmrbs, cbstruir bj tbgicl bpicér`ikl
cbjikubskbotbs, hipbrtrûfikl, jl rbnjmocbkb y
hierlskûpikls. @uy fmkijitm su bji`iomkiûo `bcimotb
sljunjb bo meum, tékoikms quir÷reikms l
fíkij`botb sljunjb bo quirlpûcikms.
btmolj mj 96%.
@lcus lpbrmoci
QM[L = Qbsmr bj hicrûxicl pltísikl bo uo vmsl cb prbkipitmcls.
QM[L > Ioklrplrmr bo bj vmsl cb prbkipitmcls motbrilr
motbrilr bj 91% cb jm kmoti-
cmc tltmj cb meum purikmcm.
purikmcm . Klo jm myucm cb uo meitmclr `meoétikl,
`bzkjmr hmstm jm kl`pjbtm cisljukiûo cbj sljutl. Qubcb mkbjbrmrsb bj
prlkbsl mpjikmocl kmjlr.
QM[L ; Bo uom prlnbtm l bo bj bovmsb omj, si bstí ermcumcl,
ermcumcl, bormsmr hmstm bj
vlju`bo omj cbsbmcl.
QM[L 3 Bovmsmr prbfbrinjb`botb bo frmskl cb kristmj tlpmkil klo piokbj, vmrijjm
mpjikmclrm l kubotmelmtms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb iokljlrm b iolclrm.
Qjmzl cb vmjicbz rbkl`bocmcl
6 `bsbs m tb`pbrmturm m`nibotb.
>>5
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
vbrruems
Jms vbrruems slo tu`lrmkilobs nboieoms kirkuoskritms m jm pibj, prlcukicms plr
virus COM Qmplvmvirus, cb jls kumjbs bj ÷oikl pmtûebol pmrm bj hl`nrb y rbs-
plosmnjb cb jms vbrruems bs bj klolkicl kl`l virus cbj pmpijl`m hu`mol (VQH),
cbj kumjbjbxistbo
rbkinb ol`nrb`ís
cb cb >11 sbrltipls.
pmpijl`m. Kumocl jm
Smotl vbrruems mfbktmkiûo
kl`l bs bosbtbgicl
pmpijl`ms `uklsl
kjmsikmo bo
fuokiûo cbj tipl cb VQH y cb jm jlkmjizmkiûo cb jm iofbkkiûo.
Jms vbrruems vujemrbs l kl`uobs, pubcbo sbr ÷oikms ÷oik ms l `÷jtipjbs. [lo pípujms
r`bs cb supbrkib ruelsm y qubrmtûsikm. [u tm`mýl vmràm botrb =`` y =k`.
Krbkbo ermcumj`botb, mj priokipil slo cbj tm`mýl cb uom kmnbzm cb mjjbr, klo
hipbrqubrmtlsis ciskrbtm, jism, nrijjmotb y trmosj÷kicms. Bo bj kursl cb sb`moms l
`bsbs mjkmozmo bj tm`mýl cb uom jbotbgm y sb hmkbo erubsms,
erub sms, pmpijmrbs, cb kljlr
oberl erisíkbl l pmrcl sukil, bstmocl pbrfbktm`botb cbji`itmcms.
Jms vbrruems pjmoms mfbktmo priokipmj`botb m oiýls y gûvbobs, klo `bolr prb-
vmjbokim m mcujtls. Mpmrbkbo pbqubýms pípujms `uy pjmoms cb botrb =-3``
rbclocms y lvmjmcms, y klo `bolr frbkubokim pljielomjbs cb kljlr m`mrijjl eri-
síkbl l m`mrijjl m`mrrûomcl. [u supbrkib bstí
b stí jiebrm`botb qubrmtioizmcm. M jm
pmjpmkiûo subjbo sbr
bj borlgbki`ibotl cb jm
iocikm k losistbokim
klosistbokim
rbmkkiûo cbsûjicm. [ucbj
rbkhm zl
rbkhmzl bvljukiûo hmkim
lremois`l jm iom`mkiûo
frbotb mj pmpijl`my
virus, y bs rípicm`botb sbeuicm cb su rbsljukiûo sio cbgmr kikmtriz, muoqub tlcl
bjjl pubcb lkurrir bo bj trmoskursl cb vmrils `bsbs l mýls.
>;1
Fûr`ujms `meistrmjbs
pmrm vbrruems
Jm ltrm flr`m kjàoikm slo jms vbrruems bxlfàtikms supbrkimjbs, m `boucl `÷j-
tipjbs, slo plkl cljlrlsms y nmstmotb rbsistbotbs m jms tbrmpims hmnitumjbs klo
tbocbokim m rbkicivmr
rbk icivmr..
Kumocl jms vbrruems slo `uy ou`brlsms klmjbskbo bo pjmkms cb `mylr tm`mýl,
cmocl juemr m jms vbrruems bo `lsmikl.
Botrb uo 31
2 `bsbs, y uo
éstm 21%
bs jm cb vbrruems
bxpjikmkiûo cbsmpmrbkbo
cbj plsinjb éxitl cbbsplotíobm`botb motbs cb jls
mjeuoms tbrmpims (hl`blpmtàm,
(hl`blpm tàm,
kurmocbris`l, krbbokims psbuclrrbjieilsms).
Jl icbmj y hmkim clocb km`iomo jms tbrmpims m÷o iokipibotbs bs m qub bj sistb`m
io`uoitmril jl rbmjikb klo jm `àoi`m mfbktmkiûo cb jls tbgicls smols mslkimcls.
>;=
Kl`plsikiûo
[ljukiûo mkulsm cb ejutmrmjcbhàcl mj >2
>2%
% >1 kk
^beujmr m pH 5,2.
[ioûoi`ls
Ejutmrjcbhàcl7 ejutmrmj.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj ejutmrmjcbhàcl bs uo cbsiofbktmotb klo mkkiûo ebr`ikicm cb m`pjil bspbktrl.
Jms sljukilobs slo mktivms bo `bcil obutrl (pH 5,2), jms sljukilobs kl`brkim-
jizmcms (mj >2-21%) prbsbotmo uo pH íkicl, sibocl `ukhl `ís bstmnjbs pbrl
plkl mktivms, plr bjjl bs obkbsmril tm`plomrjms m pH obutrl m o cb pltbokimr su
mkkiûo. Jm sljukiûo cb ejutmrmjcbhàcl mj >2% bs mktivm frbotb mj VQH iokjuicls jls
suntipls kmusmotbs cb jms vbrruems pjmotmrbs y pbriuoeubmjbs.
pbr iuoeubmjbs. Sm`niéo
Sm`niéo prbsbotm
bfbktls kíustikls sumvbs.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb iokljlrm cb ljlr kmrmktbràstikl pikmotb.
Iocikmkilobs
Srmtm`ibotl cb vbrruems pbriuoeubmjbs.
p briuoeubmjbs. Srmtm`ibotl cb vbrruems pjmotmrbs bo
bo
`lsmikl. Srmtm`ibotl cb vbrruems pjmotmrbs l vujemrbs.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls motiséptikls tipl mjcbhàcl iokjuicl bj flr`lj. Hmstm bj
`l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs. Hm cb rbmjizmrsb uo klotrlj
k lotrlj
bspbkimj bo mokimols, oiýls, bofbr`ls cimnétikls, klo vmskujlpmtàm pbriférikm l cb
kumjquibr ltrl tipl qub pubcm klojjbvmr ribsel bj trmtm`ibotl kíustikl bstmnjbkicl.
>;>
Fûr`ujms `meistrmjbs
pmrm vbrruems
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms
mcvbr sms cb bstm flr`ujmkiûo bs nmgm si sb mpjikm cb
flr`m klrrbktm. Qubcb prbsbotmr
prb sbotmr irritmkiûo kutíobm bo trmtm`ibotl prljloemcl
l bo zloms kirkuocmotbs m jm jbsiûo si ol slo prltbeicms. Siýb tb`plrmj`botb
jm jbsiûo cb kljlr m`mrijjl-pmrcl. M cifbrbokim cb su hl`ûjlel bj flr`mjcbhàcl,
klo ejutmrmjcbhàcl rmrm`botb pubcb mpmrbkbr cbr`mtitis
cb r`mtitis cb klotmktl.
klotmktl. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim, uom nubom bkmkim cb`lstrmcm,
klosicbríocljl cb utijicmc bo bj trmtm`ibotl cb vbrruems bo `lsmikl pjmotmrbs
l pbriuoeubmjbs plr su rbjmtivm`botb nmgm merbsivicmc.
>;;
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
Qriokipils Qbsl rbmj fisiklquà`ikms Qrlpibcmcbs
mktivls Vlju`boo pbsmcm
Vlju`b Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
Bj ejutmrmjcbhàcl bs uo cbsiofbktmotb
klo mkkiûo ebr`ikicm cb m`pjil
bspbktrl. Jms sljukilobs slo mktivms
bo `bcil
`bci l obutrl (pH
( pH 5,2),
5,2), jms
sljukilobs kl`brkimjizmcms
(mj >2-21%) prbsbotmo uo pH íkicl,
sibocl `ukhl `ís bstmnjbs pbrl
[ljukiûo cb Jàquicl cb ljlr
plkl mktivms, plr bjjl bs obkbsmril
ejutmrmjcbhàcl >2% =1`j kmrmktbràstikl
tm`plomrjms m fio cb pltbokimr
y jiebrl kljlr
mj 21% `mrrûolsl. su mkkiûo. Sm`niéo prbsbotm
prlpibcmcbs mstrioebotbs y
mohicrûtikms plr jm cis`ioukiûo
cbj tm`mýl cbj plrl suclrmj cbnicl
m jm prbkipitmkiûo cb jms prltbàoms
slnrb jm supbrfikib kbjujmr. Qlr su
mkkiûo fuoeikicm y nmktbrikicm bs
`uy bfikmz bo nrl`hicrlsis.
nrl`hicrlsis.
Jàquicl
trmospmrbotb
Sribtmoljm
Sribtmo ljm`io
`iomm ks ks `ís cbosl qub ^beujmclr cbj pH.
bj meum.
Meum k s p >1 ` j k s p >1 ` j
purifikmcm
SLSMJ
SLSMJ >1`j >1`j
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls cbplsitmr jm kmoticmc cb ejutmrmjcbhàcl y
cb meum purikmcm `bcicl klo prlnbtm prbvim`botb y `bzkjmr klo
uom vmrijjm cb vicril.
QM[L > @bcimotb uom tirm cb pH l uo pH`btrl rbeujmr m pH 5,2 5,2 klo jm ioklr-
ioklr-
plrmkiûo eltm m eltm cb tribtmoljm`iom.
QM[L ; Bovmsmr prbfbrinjb`botb bo frmskl cb kristmj tlpmkil klo vmrijjm mpjikmclrm.
Klotrlj cb kmjicmc
Jàquicl trmospmrbotb klo jiebrm kljlrmkiûo m`mrijjbotm.
Qjmzl cb vmjicbz rbkl`bocmcl
6 `bsbs m tb`pbrmturm m`nibotb.
>;3
Fûr`ujms `meistrmjbs
pmrm vbrruems
KLJLCIÛO CB ÍKICL [MJIKÀJIKL, JÍKSIKL Y MKÉSIKL
Kl`plsikiûo
Íkicl smjikàjikl >1->2%
>1->2%
Íkicl jíktikl >1->2%
>1->2%
Íkicl mkétikl =1->1%
=1->1%
Kljlciûo bjístikl ksp >2e
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
Íkicl mkétikl7 íkicl mkétikl ejmkimj.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj
Bj íkicl
íkicl smjikàjikl mj >1->2
>1 ->2%,
mkétikl prbsbotm %, mj ieumj
mcb`ís qub bj jíktikl,
mkkilobs slo pltbotbs
jiebrm`botb kíustikmsqubrmtljàtikls.
qub rmtljàtikls.
y vbsikmotbs.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Klo bj o cb `mrkmr jm zlom cb mpjikmkiûo cbj prbpmrmcl, pubcb mýmcàrsbjb m jm
flr`ujmkiûo blsiom mj 1,2% kl`l kljlrmotb. Bo bstb kmsl bj kljlciûo tbocrí uo
kljlr omrmogm ulrbskbotb.
Bj prbpmrmcl, plr sus bfbktls qubrmtljàtikls y kíustikls, ciserbem y cbstruyb bj
tbgicl hipbrqubrmtûsikl, y bj virus cbj pmpijl`m bji`iom jbotm`botb jms jbsilobs
vbrruelsms.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms) klo ljlr m étbr, trmospmrbotb b iokljlrm. Jm
sljukiûo sbrí omrmogm ulrbskbotb si sb jb mýmcb uo 1,2% cb blsiom.
Iocikmkilobs
Srmtm`ibotl cl`ikijimril cb vbrruems cb kumjquibr jlkmjizmkiûo iokjuicms jms pjmotm-
rbs (ol bo pmpijl`m eboitmj). Qubcb utijizmrsb kl`l tbrmpim ÷oikm l kl`pjb`botm-
rim mj trmtm`ibotl
trmtm `ibotl kíustikl (klo íkicl oàtrikl, fbolj, trikjlrlmkétikl, btk.) rbmjizmcl
bo jm klosujtm plcljûeikm.
>;2
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl
sm jikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Hipbr-
sbosinijicmc m kumjquibrm cb jls kl`plobotbs
k l`plobotbs cbj prbpmrmcl.
prbpmrmc l. Hmstm bj `l`botl
ol sb jb klolkbo ltrms klotrmiocikmkilobs. Hm cb rbmjizmrsb uo klotrlj bspbkimj bo
mokimols, oiýls, bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls l cb
kumjquibr ltrl tipl qub pubcm klojjbvmr ribsel bj trmtm`ibotl kíustikl bstmnjbkicl.
^bmkkilobs mcvbrsms Q
Jm iokicbokim cb rbmkkilobs mcvbrsms
mcvbr sms cb bstm flr`ujmkiûo bs nmgm si sb utijizm cb B
flr`m klrrbktm. Qubcb prbsbotmr irritmkiûo
irritmk iûo kutíobm bo trmtm`ibotls prljloemcls
y jiebrms qub`mcurms bo zloms kirkuocmotbs m jm cb su mpjikmkiûo si ol slo
prltbeicms. ^mrm`botb pubcb `moifbstmrsb cbr`mtitis cb klotmktl. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y sbeuricmc, klo bkmkim cb`ls-
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y sbeuricmc, klo bkmkim cb`ls
trmcm, sibocl cb utijicmc bo bj trmtm`ibotl cb vbrruems, iokjuicms jms pjmotmrbs.
Qlr su rbjmtivm`botb nmgm merbsivicmc pubcb sbr ÷tij bo pmkibotbs cb ribsel. [i sb
bstmnjbkb uo trmtm`ibotl kíustikl prbvil bo jm klosujtm, bspbrmr
bspbr mr uols càms motbs
cb ioikimr bj trmtm`ibotl cl`ikijimril klo bj prbpmrmcl.
>;6
Fûr`ujms `meistrmjbs
pmrm vbrruems
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
Qmrm jm bxpjikmkiûo cbj `lcus lpbrmoci
lpbrm oci utijizmrb`ls bj rmoel `mylr cb jm klokbo-
trmkiûo cb jm flr`ujmkiûo prlpubstm, sibocl bxtrmpljmnjb m kumjquibr
kum jquibr ltrm iofbrilr.
>;5
@lcus lpbrmoci
QM[L = Bo uo `lrtbrl tmrmcl pbsmr jm kmoticmc cb íkicl smjikàjikl klrrbsplo
klrrbsplo--
cibotb.
sb pbsmràm
[i jmguotl
flr`ujmkiûo
mj íkicl smjikàjikl.
klotuvibrm blsiom kl`l kljlrmotb, tm`niéo
QM[L > Bo bj `is`l `lrtbrl ioklrplrmr jm kmoticmc cb íkicl jíktikl y íkicl
mkétikl. Klo uo pistijl `bzkjmrjl tlcl
tlcl hmstm lntbobr uom pmstm om sio
oioe÷o eru`l.
QM[L ; Bo bj `is`l `lrtbrl ioklrplrmr bj kljlciûo obkbsmr
obkbsmrilil pmrm klosbeuir
bj pbsl tltmj cb jm flr`ujmkiûo cb >2e bo cls l trbs pmsls y `bzkjmrjl
vielrlsm`botb klo jm myucm cbjc bj pistijl.
QM[L 3 Bovmsmr bo uo frmskl cb kristmj tlpmkil klo tmpûo bspítujm.
Oltm
Qmrm plcbr jmvmr bj `lrtbrl cb uom flr`m rípicm y bkmz sb rbkl`ibocm qub uom
vbz mkmnmcm jm flr`ujmkiûo sb rbjjbob klo meum. Qmsmcms uoms hlrms sb flr`m
uom pbjàkujm njmokm qub sb rbtirm klo fmkijicmc.
Klotrlj cb kmjicmc
Jàquicl visklsl (mspbktl cb jmkm cb uýms) trmospmrbotb cb ljlr `uy kmrmktbràstikl.
kmr mktbràstikl.
Bo bj kmsl cb klotbobr blsiom, bj kljlr sbrí omrmogm ulrbskbotb.
Fûr`ujms `meistrmjbs
pmrm vbrruems
KLJLCIÛO CB ÍKICL [MJIKÀJIKL, JÍKSIKL Y BL[IOM
Kl`plsikiûo
Íkicl smjikàjikl >2%
>2%
Íkicl jíktikl >2%
>2%
Blsiom 1,2%
Kljlciûo bjístikl ksp >2e
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl mj >2%, mj ieumj qub bj jíktikl, slo pltbotbs qubrmtljàtikls klo
jiebrls bfbktls km÷stikls.
Jm blsiom bs uo motiséptikl cénij klo bfbktls kikmtrizmotbs. Bo bj prbpmrmcl y
m bstm klokbotrmkiûo mkt÷m kl`l kljlrmotb, pbr`itibocl utijizmr cb flr`m `ís
sbeurm bj prbpmrmcl mj kljlrbmr cb omrmogm jm zlom clocb sb mpjikm.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Bj prbpmrmcl plr sus bfbktls qubrmtljàtikls y kíustikls ciserbem, cbstruyb bj
tbgicl hipbrqubrmtûsikl vbrruelsl, mj virus cbj pmpijl`m, bji`iomocl jbotm`botb
jms jbsilobs pmpijl`mtlsms.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms)
uým s) klo ljlr m étbr,
étbr, trmospmrbotb
trmospmrbo tb y cb kljlr rlgl-mom-
rmogmcl ulrbskbotb.
Iocikmkilobs
Srmtm`ibotl cl`ikijimril cb vbrruems cb kumjquibr
k umjquibr jlkmjizmkiûo, iokjuicm jms pjmo-
pjmo -
tmrbs (ol bo pmpijl`m eboitmj). Qubcb utijizmrsb kl`l tbrmpim ÷oikm l plstbrilr mj
trmtm`ibotl kíustikl (klo íkicl oàtrikl, fbolj, trikjlrlmkétikl, btk.) rbmjizmcl bo
jm klosujtm plcljûeikm.
Qlsljleàm7 vàm tûpikm
Mpjikmr
jm jbsiûokmcm
pmrm>3 hlrms, rbmjizmocl
mu`botmr bj bfbktl uom kurm lkjusiv
lkjusivm
tbrmpéutikl m i`pbr`bmnjb
cbj prbpmrmcl. m o
Motbs cbcbhmkbr
`mkbrmr
`mkbrmr
uom
oubvm mpjikmkiûo, bji`iomr `bcimotb rmspmcl bj tbgicl vbrruelsl cbstruicl. Jm
curmkiûo cbj trmtm`ibotl cbpbocbrí cb jm bvljukiûo cbj prlkbsl.
>;9
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl
sm jikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Hipbr-
sbosinijicmc m kumjquibrm cb jls kl`plobotbs
k l`plobotbs cbj prbpmrmcl.
prbpmrmc l. Hmstm bj `l`botl
ol sb jb klolkbo ltrms klotrmiocikmkilobs. Hm cb rbmjizmrsb uo klotrlj bspbkimj
bo mokimols, oiýls, bofbr`ls cimnétikls, klo pmtljleàm vmskujmr pbriférikm l cb
kumjquibr ltrl tipl qub pubcm klojjbvmr ribsel bj trmtm`ibotl kíustikl bstmnjbkicl.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
cb flr`m klrrbktm. Qubcb prbsbotmr
prb sbotmr irritmkiûo kutíobm bo trmtm`ibotls prljlo-
emcls y jiebrms qub`mcurms bo zloms kirkuocmotbs m jm cb su mpjikmkiûo si ol
slo prltbeicms. ^mrm`botb pubcb prbsbotmr
prbsb otmr cbr`mtitis cb klotmktl. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y sbeuricmc klo bkmkim cb`lstrmcm,
sibocl cb utijicmc bo bj
b j trmtm`ibotl cb vbrruems, iokjuicms jms pjmotmrbs. Qlr
su rbjmtivm`botb
bstmnjbkb nmgm merbsivicmc
uo trmtm`ibotl slo cbboiotbrés
kíustikl prbvil bo plnjmkiûo
jm klosujtm, bspbr mr cb
bspbrmr ribsel.
uols [i sb
càms motbs
cb ioikimr bj trmtm`ibotl cl`ikijimril klo bj prbpmrmcl.
>31
Fûr`ujms `meistrmjbs
pmrm vbrruems
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
@mtbrim
pri`m Kmoticmc
% Kmoticmc Kmrmktbràstikms
Qriokipils Qbsl rbmj fisiklquà`ikms Qrlpibcmcbs
mktivls Vlju`boo
Vlju`b pbsmcm Ioflr`mkiûo fmr`mkljûeikms
Bxkipibotbs Roicmcbs rbjbvmotb
Qljvl kristmjiol
njmokl
Íkicl fíkij`botb Qltbotb qubrmtljàtikl
smjikàjikl >2% 6,>2e sljunjb bo klo jiebrms mkkilobs
mjklhlj y ol kíustikms.
sljunjb bo
meum.
Bj íkicl jíktikl bs uo
mjfm-hicrlxiíkicl.
Qrbsbotm prlpibcmcbs
Jàquicl hicrmtmotbs y rbstmurmclrms
Íkicl siruplsl, cbj `motl íkicl kutíobl,
jíktikl >2% 6,>2`j iokljlrl l sibocl ÷tij bo iktilsis, xbrlsis
jiebrm`botb b hipbrqubrmtlsis
m`mrijjbotl. Mj >2% mkt÷m kl`l
qubrmtljàtikl, pltbokimocl
jm mkkiûo cbj íkicl smjikàjikl.
Jm blsiom bs uo kljlrmotb
motiséptikl. M klokbotrmkilobs
`mylrbs (>%) sb utijizm kl`l
Qljvl kristmjiol motiséptikl y kikmtrizmotb cb
cb kljlr
Blsiom 1,2% 1,=>2e `mrrûo-rlgizl. ÷jkbrms kutíobms
trmu`ítikl, cb lriebo
vmskujmr l plr
[ljunjb bo cbk÷nitl. Sm`niéo bo britb`m
meum y bo cb pmýmj. Bo bstm flr`ujmkiûo
btmolj. sb usm kl`l kljlrmotb m fio
cb cbfioir jm zlom cb mpjikmkiûo
mp jikmkiûo
cbj kljlciûo.
SLSMJ
SLSMJ >2e >2e
>3=
@lcus lpbrmoci
QM[L = Bo uo `lrtbrl tmrmcl pbsmr jm kmoticmc cb íkicl smjikàjikl y blsiom
klrrbsplocibotb.
QM[L > Bo bj `is`l `lrtbrl ioklrplrmr jm kmoticmc cb íkicl jíktikl. Klo uo
pistijl `bzkjmrjl tlcl hmstm lntbobr uom pmstm
pms tm om sio oioe÷o eru`l.
QM[L ; Bo bj `is`l `lrtbrl ioklrplrmr bj kljlciûo obkbsmr
obkbsmrilil pmrm klosbeuir
bj pbsl tltmj cb jm flr`ujmkiûo cb >2e bo cls l trbs pmsls y `bzkjmrjl
vielrlsm`botb klo jm myucm cbjc bj pistijl.
QM[L 3 Bovmsmr bo frmskl cb kristmj tlpmkil klo tmpûo bspítujm,
Oltm
Qmrm plcbr jmvmr bj `lrtbrl cb uom flr`m rípicm y bkmz sb rbkl`ibocm qub uom
vbz mkmnmcm jm flr`ujmkiûo sb rbjjbob klo meum. Qmsmcms uoms hlrms sb flr`m
uom pbjàkujm njmokm qub sb rbtirm klo fmkijicmc.
Klotrlj cb kmjicmc
Jàquicl visklsl (mspbktl cb jmkm cb uýms) trmospmrbotb
trmospmrb otb cb ljlr `uy kmrmktbr
kmrmktbràstikl
àstikl
y cb kljlr omrmogm ulrbskbotb.
Fûr`ujms `meistrmjbs
pmrm vbrruems
KLJLCIÛO CB ÍKICL [MJIKÀJIKL, JÍKSIKL Y QLCLFIJIOL
Kl`plsikiûo
Íkicl smjikàjikl >1->2%
>1->2%
Íkicl jíktikl >1->2%
>1->2%
Qlcljiol 2-=1%
Kljlciûo bjístikl ksp >2e
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
Qlcljiol7 rbsiom cb plcljiol
plcljio l.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl mj >1->2%, mj ieumj qub bj jíktikl, slo pltbotbs qubrmtljàtikls.
Jm plcljltlxiom, priokipil mktivl cb jm rbsiom cb plclfàjiol, tibob mktivicmc moti`i-
tûtikm y motivàrikm, plr jl qub mkt÷m cirbktm`botb slnrb bj virus cbj pmpijl`m iohi-
nibocl su rbpjikmkiûo. Sm`niéo prbsbotm mkkilobs irritmotbs jiebrm`botb kíustikms.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Bj prbpmrmcl plr sus bfbktls qubrmtljàtikls y kíustikls ciserbem y cbstruyb bj
tbgicl hipbrqubrmtûsikl, bji`iomocl jbotm`botb jms jbsilobs pmpijl`mtlsms. Bstls
bfbktls sb kl`pjb`botmo
kl`pjb`botm o klo jm mkkiûo moti`itûtikm cbj plcljiol.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms) klo ljlr m étbr y rbemjiz trmospmrbotb cb kljlr
m`nmr-`mrrûo.
Iocikmkilobs
Srmtm`ibotl cb vbrruems vujemrbs. Srmtm`ibotl cb vbrruems pjmotmrbs. Qubcb uti-
jizmrsb kl`l tbrmpim ÷oikm l plstbrilr mj trmtm`ibotl kíustikl (klo íkicl oàtrikl,
fbolj, trikjlrlmkétikl, btk.) rbmjizmcl bo jm klosujtm plcljûeikm.
>3;
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbr-
eim m kumjquibrm cbj rbstl cb kl`plobotbs cbj prbpmrmcl. Hm cb rbmjizmrsb uo
klotrlj bspbkimj plr pmrtb cbj plcûjlel bo mokimols, bofbr`ls cimnétikls, klo
pmtljleàm vmskujmr pbriférikm l cb kumjquibr ltrl tipl qub pubcm klojjbvmr ribsel bj
trmtm`ibotl kíustikl bstmnjbkicl. Ol utijizmr bo b`nmrmzmcms, `ugbrbs bo pbrilcl
cb jmktmokim y bo oiýls.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
cb flr`m klrrbktm. Qubcb prbsbotmr
prb sbotmr irritmkiûo kutíobm bo trmtm`ibotls prljlo-
emcls y jiebrms qub`mcurms bo zloms kirkuocmotbs m jm cb su mpjikmkiûo si ol
slo prltbeicms. ^mrm`botb pubcb prbsbotmr
prbsb otmr cbr`mtitis cb klotmktl. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y bkmkim cb`lstrmcm, klosicbrío-
cljl cb utijicmc bo bj trmtm`ibotl cb vbrruems misjmcms pjmotmrbs plr su rbjmti-
vm`botb nmgm merbsivicmc. [i sb uo bstmnjbkb uo trmtm`ibotl kíustikl prbvil bo
jm klosujtm, bspbrmr uols càms motbs cb ioikimr bj trmtm`ibotl cl`ikijimril klo bj
prbpmrmcl.
>33
Fûr`ujms `meistrmjbs
pmrm vbrruems
Qmrm jm bxpjikmkiûo
jm flr`ujmkiûo cbj `lcus
prlpubstm, lpbrmoci
sibocl utijizmrb`ls
bxtrmpljmnjb jm `mylr
m kumjquibr ltrm.klokbotrmkiûo cb
>32
@lcus lpbrmoci
QM[L = Bo uo `lrtbrl tmrmcl pbsmr jm kmoticmc cb íkicl smjikàjikl y plcljiol
klrrbsplocibotb.
QM[L > Bo bj `is`l `lrtbrl ioklrplrmr jm kmoticmc cb íkicl jíktikl. Klo uo
pistijl `bzkjmrjl tlcl hmstm lntbobr uom pmstm
pms tm om sio oioe÷o eru`l.
[i bs obkbsmril sb pubcb
pub cb ir ioklrplrmocl uoms eltms cb mjklhlj btàjikl
pmrm uicikmr
uicikm r.
QM[L ; Bo bj `is`l `lrtbrl ioklrplrmr bj kljlciûo obkbsmr
obkbsmrilil pmrm klosbeuir
bj pbsl tltmj cb jm flr`ujmkiûo cb >2e bo cls l trbs pmsls y `bzkjmrjl
vielrlsm`botb klo jm myucm cbjc bj pistijl.
QM[L 3 Bovmsmr bo uo frmskl cb kristmj tlpmkil klo tmpûo bspítujm.
Oltm
Qmrm plcbr jmvmr bj `lrtbrl cb uom flr`m rípicm y bkmz sb rbkl`ibocm qub uom
vbz mkmnmcm jm flr`ujmkiûo sb rbjjbob klo meum. Qmsmcms uoms hlrms sb flr`m
uom pbjàkujm njmokm qub sb rbtirm klo fmkijicmc.
Klotrlj cb kmjicmc
Jàquicl visklsl (mspbktl jmkm cb uýms) trmospmrbotb cb kljlr `mrrûo iotbosl y
cb ljlr m étbr `uy kmrmktbràstikl.
Fûr`ujms `meistrmjbs
pmrm vbrruems
KLJLCIÛO CB ÍKICL [MJIKÀJIKL, JÍKSIKL Y 2-FJRL^LR^MKIJL
2-FJRL^LR^ MKIJL
Kl`plsikiûo
Íkicl smjikàjikl >1->2%
Íkicl jíktikl >1->2%
2-Fjulrlurmkijl 2%
Kljlciûo bjístikl ksp >2e
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
2-Fjulrlurmkijl7 ulrlurmkijl.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl mj >1->2%, mj ieumj qub bj jíktikl, slo pltbotbs qubrmtljàtikls
klo jiebrms mkkilobs kíustikms.
Bj 2-ulrlurmkijl bs uo kitlstítikl y motivàrikl kmpmz cb iohinir jm cupjikmkiûo kbju-
jmr cbj VQH. Mkt÷m njlqubmocl jm sàotbsis cbj íkicl
ík icl ti`icàoikl y plr klosieuibotb
jm cbj COM.
COM . Sm`niéo
Sm`niéo prlcukb irritmkiûo
irr itmkiûo kutíobm, bxfljimkiûo, jiebrm ÷jkbrmkiûo,
obkrlsis y rbbpitbjizmkiûo. Bj 2-ulrlurmkijl bs uo fír`mkl
fír`mk l `uy bvmjumcl y sbeurl
plr vàm tûpikm, ol sb hmo oltikmcl bfbktls mcvbrsls
mcvbr sls plr mnslrkiûo sisté`ikm bo
jls trmtm`ibotls cér`ikls bstmnjbkicls.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Bj prbpmrmcl
tbgicl plr sus bfbktls
hipbrqubrmtûsikl, qubrmtljàtikls
bji`iomocl jbotm`botby jms
kíustikls
jbsilobsciserbem y cbstruyb
pmpijl`mtlsms. Bstlsbj
bfbktls sb kl`pjb`botmo klo jm mkkiûo
mk kiûo virikicm y kitlstítikm cbj 2-ulrlurmkijl.
2-ulrlurm kijl.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms) klo ljlr m étbr y cb kljlr njmoqubkiol.
Iocikmkilobs
Srmtm`ibotl cl`ikijimril cb vbrruems pjmotmrbs.
>35
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
m kumjquibrm cb jls kl`plobotbs
k l`plobotbs cbj prbpmrmcl. Hmstm bj `l`botl ol sb jb
klolkbo ltrms klotrmiocikmkilobs. Hm cb rbmjizmrsb uo klotrlj bspbkimj plr pmrtb pmr tb
cbj plcûjlel bo mokimols, bofbr`ls cimnétikls, klo pmtljleàm vmskujmr pbrifé-
rikm l cb kumjquibr ltrl tipl qub pubcm klojjbvmr ribsel bj trmtm`ibotl kíustikl
bstmnjbkicl. Ol utijizmr
utijizmr bo b`nmrmzmcms,
b`nmrm zmcms, `ugbrbs bo pbrilcl cb jmktmokim y bo
oiýls `bolrbs cb =6 mýls. Ol utijizmr bo vbrruems pbriuoeubmjbs plr ribsel cb
loikûjisis.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
cb flr`m klrrbktm. Qubcb prbsbotmr
prb sbotmr irritmkiûo kutíobm bo trmtm`ibotls prljlo-
emcls y jiebrms qub`mcurms bo zloms kirkuocmotbs m jm cb su mpjikmkiûo si ol
slo prltbeicms. ^mrm`botb pubcb prlcukir cbr`mtitis cb klotmktl. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr
si sb utijizm bj
botrmtm`ibotl y klosujtmr klo su plcûjlel. Hmy ribsel cb loikûjisis
vbrruems pbriuoeubmjbs.
•• ^bpbtir
Kunrir jmjmjbsiûo
lpbrmkiûo bo fuokiûo
klo mpûsitl cb jm ol
lkjusivl bvljukiûo y kritbril cbj plcûjlel.
trmospirmnjb.
2
• [b rbkl`ibocm bovmsmr bo frmskl tlpmkil cb kristmj prbfbrbotb`botb klo
piokbj l bspítujm mpjikmclrm.
• Bvitmr bj klotmktl cbj prlcuktl klo `uklsms l pibj ol mfbktmcm.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Bstmnijicmc `íxi`m > `bsbs.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom bkmkim cb`lstrmcm, klo-
sicbríocljl cb utijicmc bo bj trmtm`ibotl cb vbrruems misjmcms pjmotmrbs plr su
rbjmtivm`bot
rbjmtivm`botb
b nmgmcb
bo oiýls `bolrbs merbsivicmc.
=6 mýls. Ol utijizmr curmotb bj b`nmrmzl, jm jmktmokim oi
>38
Fûr`ujms `meistrmjbs
pmrm vbrruems
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
Qmrm jm bxpjikmkiûo cbj `lcus lpbrmoci utijizmrb`ls jm `mylr klokbotrmkiûo cb
jm flr`ujmkiûo prlpubstm, sibocl bxtrmpljmnjb m kumjquibr ltrm `bolr.
@mtbrim Kmoticmc Kmrmktbràstikms
pri`m % Kmoticmc fisiklquà`ikms Qrlpibcmcbs
Qriokipils Qbsl rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
Bj íkicl smjikàjikl m bstm klokbotrmkiûo
klokb otrmkiûo
bs uo pltbotb qubrmtljàtikl, klo
Qljvl kristmjiol jiebrms mkkilobs kíustikms. Fmkijitm jm
njmokl fíkij`botb cisljukiûo cbj kb`botl
kb`b otl iotbrkbjujmr
iotbrkbjujmr
Íki cl
Íkicl >2% 6,>2e sljunjb bo mjklhlj cbj qubrmtiolkitl pbr`itibocl jm
smjikàjikl cbsmchbrbokim y cbskm`mkiûo cb
y ol sljunjb bo
jm kmpm kûrobm.
kû robm. Sm`niéo prbsbotm
meum. uom mkkiûo cirbktm slnrb jm qubrmtiom
kûrobm prlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Bj íkicl jíktikl bs uo
mjfm-hicrlxiíkicl.. Qrbsbotm
mjfm-hicrlxiíkicl
Jàquicl siruplsl, prlpibcmcbs hicrmtmotbs y
Íkicl
Íki cl >2% 6,>2`j iokljlrl l rbstmurmclrms cbj `motl íkicl
jíktikl jiebrm`botb kutíobl, sibocl ÷tij bo iktilsis,
m`mrijjbotl. xbrlsis b hipbrqubrmtlsis. Mj >2%
mkt÷m kl`l qubrmtljàtikl, pltbokimocl
jm mkkiûo cbj íkicl smjikàjikl.
smjikàjik l.
Motioblp jísikl b
Motioblpjísikl
Qljvl kristmjiol io`uolsuprbslr moíjlel cb jm
njmokl l kmsi
njmokl. Nmstmotb piri`iciom,
cbj urmkijl mkt÷m kl`l moti`btmnljitl
njlqubmocl jm sàotbsis cbj
2 - F j u l rl u r mk i j l 2% =,>2e sljunjb bo meum, ^OM y COM. Sûpikm`botb bs ÷tij bo
plkl sljunjb qubrmtlsis mktàoikms y kmrkiol`ms
bo btmolj mj supbrfikimjbs. Sm`niéo mslkimcl m
96%, sljunjb bo qubrmtljàtikls
qubrmtljàtikls bs cb ermo
ci`btijsujfûxicl. iotbrés bo vbrruems pjmotmrbs.
Mjklhl
Mjk lhljj btàjik
btà jikll ks ks
Jàquicl Bxkipibotb klo mkkilobs prltbktlrms.
cbosl, kjmrl, Cb mpjikmkiûo bo zloms rbcukicms
Kljlciûo trmospmrbotb, jlkmjizmcms. Qbr`itb uom mkkiûo
ksp >2e ksp >2e klo ljlr btérbl. prljloemcm plr jm flr`mkiûo cb uom
bjístikl
Iosljunjb bo meum, pbjàkujm slnrb jm jbsiûo, jl qub plsinijitm
`iskinjb klo jm kbsiûo klotioum cb jls priokipils
mjklhlj y étbr. mktivls.
SLSMJ
SLSMJ >2e >2e
>39
@lcus lpbrmoci
Mjeuoms ninjilermfàms rbkl`ibocmo cisljvbr bj 2-ulrlurmkijl bo ci`btijsujfûxicl
(C@[L). Bo bj í`nitl cb jm plcljleàm, oubstrm bxpbribokim rbkl`ibocm ol hmkbrjl.
Klo jm cispbrsiûo qub vm`ls m prlplobr rbcuki`ls jls plsinjbs bfbktls mcvbrsls
cb jm flr`ujmkiûo, `bglrmocl su mpjikmkiûo y lntboibocl bxkbjbotbs rbsujtmcls
tbrmpéutikls.
Oltm
Qmrm plcbr jmvmr bj `lrtbrl cb uom flr`m rípicm y bkmz sb rbkl`ibocm qub uom
vbz mkmnmcm jm flr`ujmkiûo sb rbjjbob klo meum. Qmsmcms uoms hlrms sb flr`m
uom pbjàkujm njmokm qub sb rbtirm klo fmkijicmc.
Klotrlj cb kmjicmc
Jàquicl visklsl (cb mspbktl cb jmkm cb uýms) trmosj÷kicl cb kljlr njmokl y cb
ljlr m étbr `uy kmrmktbràstikl.
Fûr`ujms `meistrmjbs
pmrm vbrruems
KLJLCIÛO CB KMOSM^ICIOM
Kl`plsikiûo
Kmotmriciom =%
Vbrcb nrijjmotb 1,12%
Mkbtlom =`j
Kljlciûo bjístikl ksp ;`j
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Jm kmotmriciom
kmotmricm b s uo
bs
y m clsis pljvl
nmgm
nmgmss bscbsbkmcl
uo pltbotblntboicl cbj kljbûptbrl
runbfmkibotb Jyttm
b irritmotb. Mj =% vbsikmtlrim l
tibob prlpib-
tibob
cmcbs vbsikmotbs. Mpjikmcm slnrb uom vbrruem prlcukb uom vbsàkujm qub boejlnm
mj pmpijl`m y tbgicl vbrruelsl mslkimcl, ebobrmj`botb klo = m ; mpjikmkilobs sb
cbsprbocb bsplotíobm`botb klo jm kurm l klo myucm cb nisturà, qubcmocl uom
pbqubým jbsiûo ÷jkbrmtivm.
Bj vbrcb nrijjmotb bs uo kljlrmotb qub fmkijitm jm utijizmkiûo cbj prbpmrmcl, `mr-
kmocl plr su kljlrmkiûo vbrcb mzujmcm bj juemr clocb sb mpjikm.
Jm mkbtlom pbr`itb jm klrrbktm cisljukiûo cb jm kmotmriciom.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms) trmospmrbotb cb kljlr vbrcb mzujmcl
mzujmc l y klo ljlr
m étbr.
Iocikmkilobs
Srmtm`ibotl bo klosujtm cb vbrruems vujemrbs rbkmjkitrmotbs. Srmtm`ibotl bo
klosujtm cb vbrruems pjmotmrbs
pjmotmrb s y pbriuoeubmjbs rbkmjkitrmotbs.
rb kmjkitrmotbs. Srmtm`ibotl
Srmtm`ibotl cb
`ljuskl klotmeilsl (@ljjusku` klotmeilsu`).
>2=
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb klolkbo ltrms klotrmiocikmkilobs. Hm cb rbmjizmrsb uo klotrlj
bspbkimj bo mokimols
m okimols
cb ÷jkbrmkilobs plr ribsel
y plsinjbs mj trmtm`ibotl
iofbkkilobs kíustikl
cb cifàkij bstmnjbkicl.
klotrlj rbkQlr bj ribsel
ol bs rbkl`bocmnjb
l`bocmnjb
su utijizmkiûo bo cimnétikls y pmkibotbs klo pmtljleàms vmskujmrbs pbriférikms b
io`uolcbpri`icls. Ol utijizmr
utijizmr bo b`nmrmzmcms,
b`nmrm zmcms, `ugbrbs bo pbrilcl cb jmktmokim
y bo oiýls `bolrbs cb 2 mýls, mj ol tbobr cmtls cb su sbeuricmc.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs mkbptmnjb si sb
utijizm cb flr`m klrrbktm. Qubcb prbsbotmr irritmkiûo kutíobm, jiebrms qub`mcurms
y ÷jkbrmkilobs bo zlom cb mpjikmkiûo y zloms kirkuocmotbs m jm cb su mpjikmkiûo
si ol slo prltbeicms. Bs frbkubotb qub mpmrbzkmo kumcrls cb cljlr cb iotbosicmc
vmrimnjb curmotb bj trmtm`ibotl. ^mrm`botb pubcb prlcukir cbr`mtitis
cbr `mtitis cb klotmktl.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms
mjéreikm s (urtikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Olr`ms pmrm jm klrrbktm mc`ioistrmk
mc`ioistrmkiûo iûo
• Cbkmpmcl cb jm vbrruem klo bji`iomkiûo cbj `íxi`l tbgicl hipbrqubrm-
tûsikl vbrruelsl plsinjb.
• Qrltbebr bj tbgicl kirkuocmotb mj pmpijl`m m fio cb bvitmr plsinjbs qub-
`mcurms (uom nubom tékoikm bs usmr jmkm cb uýms obutrm l Vbrji` ;®).
• Mpjikmkiûo cbj prbpmrmcl
prbpmrmc l slnrb jm jbsiûo.
• Kurm lkjusivm pjístikm mcbkumcm curmotb 5>h.
• [i fubsb obkbsmril,
obkbs mril, rbpbtir jm lpbrmkiûo prbvim bji`iomkiûo cbj tbgicl hipbr-
qubrmtûsikl pmpijl`mtlsl cbstruicl.
• Bji`iomkiûo bsplotíobm l klo nisturà cb jm vbgiem qub boejlnmràm
boejlnm ràm bj pmpi-
jl`m y bj tbgicl vbrruelsl mslkimcl.
• Kurm cb jm qub`mcurm-÷jkbrmkiûo prlcukicm klo motiniûtikls + bozi`ms
prltbljàtikms.
• [b rbkl`ibocm bovmsmr bo frmskl tlpmkil cb kristmj prbfbrbotb`botb klo
piokbj l bspítujm mpjikmclrm.
• Bvitmr bj klotmktl cbj prlcuktl klo `uklsms l pibj ol mfbktmcm.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Bstmnijicmc `íxi`m > `bsbs.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bkmkim cb`lstrmcm, klosicbríocljl cb utijicmc bo bj
trmtm`ibotl cb vbrruems misjmcms pjmotmrbs rbkmjkitrmotbs. Jms `ljbstims cbj trm-
tm`ibotl (fuocm`botmj`botb cljlr b iom`mkiûo) slo cifbrbotbs cb uo pmkibotb m
ltrl, klotrljíoclsb klo momjeésikls y/l MIOB kjísikls (pmrmkbtm`lj, `btm`izlj,
inuprlfbol, cbxdbtlprlfbol,
cbxdbtlprlfbol, btk.).
btk.). Bo ebobrmj jm tljbrmokim bs nubom. Bs obkbsmril
o bkbsmril
qub jls trmtm`ibotls klo kmotmriciom sb rbmjikbo y klotrljbo bo jm klosujtm plr bj
plcûjlel.
>2>
Fûr`ujms `meistrmjbs
pmrm vbrruems
Qljvl kristmjiol
cb kljlr vbrcb Kljlrmotb cbrivmcl cbj
Vbrcb 1,12% 1,11>e klo rbfjbgls trifboij`btmol. [b utijizm kl`l
nrijjmotb `btíjikls. kljlrmotb bo `ikrlsklpàm y pmrm
[ljunjb bo meum `bcils cb kujtivl.
y bo btmolj.
Jàquicl cb
Mkbtlomm
Mkbtlo =`j =`j mspbktl Cisljvbotb.
mkulsl y ljlr
kmrmktbràstikl.
Jm blsiom bs uo kljlrmotb
motiséptikl. M klokbotrmkilobs
Qljvl `mylrbs (>%(>%)) sb utijizm kl`l
kristmjiol cb motiséptikl y kikmtrizmotb cb
kljlr `mrrûo ÷jkbrms kutíobms cb lriebo
K l j l c i ûo b j í s ti k l ; `j ; `j rlgizl. trmu`ítikl, vmskujmr l plr
[ljunjb bo meum cbk÷nitl. Sm`niéo
Sm`niéo bo
b o britb`m
y bo btmolj. cb pmýmj. Bo bstm flr`ujmkiûo
sb usm kl`l kljlrmotb m fio cb
cbfioir jm zlom cb mpjikmkiûo cbj
kljlciûo.
SLSMJ
SLSMJ 3`j 3`j
>2;
@lcus lpbrmoci
QM[L = Bo bj frmskl cb kristmj clocb sb vmym m cispbosmr jm fûr`ujm pbsmr jm
kmotmriciom.
QM[L > Bo bj `is`l frmskl ioklrplrmr =`j cb mkbtlom y meitmr vielrlsm`botb.
[b pubcb meijizmr jm cisljukiûo kmjbotmocl bj vmsl klo meum kmjibotb l
hmkibocl uo nmýl @mràm. Ol rbkl`bocm`ls utijizmr bj meitmclr `me-
oétikl plrqub jm mkbtlom sb bvmplrm `uy rípicl.
QM[L ; Bo bj `is`l frmskl ioklrplrmr jm kmoticmc cb vbrcb
vbrcb nrijjmotb
nrijjmotb y `bzkjmr
`bzkjmr..
QM[L 3 Ioklrplrmr bj kljlciûo obkbsmril pmrm klosbeuir bj vlju`bo tltmj cb jm
flr`ujmkiûo cb 3`j y `bzkjmr.
QM[L 2 Bovmsmr prbfbrinjb`botb bo uo frmskl jl jl `ís pbqubýl plsinjb. [b
pubcbo utijizmr bj frmskl cb kristmj cb 2 `j pmrm nilpsims.
Klotrlj cb kmjicmc
Jàquicl visklsl trmospmrbotb cb kljlr vbrcb iotbosl y cb ljlr `uy kmrmktbràstikl
m étbr.
Fûr`ujms `meistrmjbs
pmrm vbrruems
QLC LFIJIOL
KLJLCIÛO CB KMOSM^ICIOM, ÍKICL [MJIKÀJIKL Y QLCLFIJIOL
Kl`plsikiûo
Kmotmriciom =%
Íkicl smjikàjikl ;1%
Qlcljiol 2%
Kljlciûo bjístikl ksp ;`j
[ioûoi`ls
Kljlciûo bjístikl7 kljlciûo bxinjb.
Qlcljiol7 rbsiom cb plcljiol.
plcljio l.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Jm kmotmriciom bs uo pljvl cbsbkmcl lntboicl cbj kljbûptbrl Jyttm vbsikmtlrim
l `lskm kmotíricm y m clsis nmgms bs uo pltbotb runbfmkibotb b irritmotb. Mj =%
tibob prlpibcmcbs vbsikmotbs. Mpjikmcm slnrb uom vbrruem prlcukb uom vbsàkujm
qub boejlnm mj pmpijl`m y tbgicl vbrruelsl mslkimcl, ebobrmj`botb klo = m ;
mpjikmkilobs sb cbsprbocb bsplotíobm`botb
bsplotíobm `botb klo jm kurm l klo myucm cb nisturà,
qubcmocl uom pbqubým jbsiûo ÷jkbrmtivm.
Bj íkicl smjikàjikl mj ;1% bs uo pltbotb qubrmtljàtikl klo jiebrms mkkilobs kíustikms.
Jm plcljltlxiom, priokipil mktivl cb jm rbsiom cb plcljiol,
p lcljiol, tibob
tibob mktivicmc moti-
`itûtikm y motivàrikm, plr jl qub mkt÷m slnrb bj virus cbj pmpijl`m iohinibocl su
rbpjikmkiûo. Sm`niéo prbsbotm mkkilobs irritmotbs jiebrm`botb kíustikms.
Bj kljlciûo bjístikl bs uo bxkipibotb qub prbsbotm klosistbokim
klo sistbokim cb jmkm cb uýms
qub, mj mpjikmrsb slnrb jm pibj y bvmplrmrsb bj étbr y mjklhlj cb su kl`plsikiûo,
cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb bxinjb y lkjusivm qub pbr`itb ir kbcibocl
jls priokipils mktivls kíustikls y qubrmtljàtikls jbotm`botb cb flr`m klostmotb
y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cb jls `is`ls.
Bj prbpmrmcl plr sus bfbktls vbsikmotbs, qubrmtljàtikls
qubrmtljàtikls y kíustikls ciserbem y
cbstruyb bj tbgicl hipbrqubrmtûsikl, bji`iomocl rmpicm`botb jms vbrruems y tbgicls
mslkimcls.
Kmrmktbràstikms lremoljéptikms
[ljukiûo visklsm (tipl jmkm uýms) trmospmrbotb cb kljlr `mrrûo y ljlr m étbr.
Iocikmkilobs
Srmtm`ibotl bo klosujtm cb vbrruems
vbrr uems vujemrbs rbkicivmotbs.
rb kicivmotbs. Srmtm`ibotl
Srmtm`ibotl bo klo-
sujtm cb vbrruems rbkicivmotbs pjmotmrbs y plcmjbs bo ebobrmj.
Qlsljleàm7 vàm tûpikm
Rtijizmkiûo sib`prb bo jm klosujtm plcljûeikm. Mpjikmkiûo ÷oikm bo klosujtm, rbm-
rb m-
jizmocl uom kurm lkjusivm i`pbr`bmnjb m o cb `mkbrmr jm jbsiûo pmrm mu`botmr
bj bfbktl tbrmpéutikl cbj prbpmrmcl.
prb pmrmcl. @motbobr jm kurm curmotb
curm otb 5>h. Jm mpjikmkiûo
pubcb rbpbtirsb = l > vbkbs `ís pmrm lntbobr jls rbsujtmcls cbsbmcls. Motbs
M otbs cb
hmkbr uom oubvm mpjikmkiûo rbmjizmr uom ji`pibzm cbj tbgicl mfbktmcl.
>22
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
m kumjquibrm cb jls ltrls kl`plobotbs cbj prbpmrmcl. Hmstm bj `l`botl ol sb jb
klolkbo ltrms klotrmiocikmkilobs.
ols plr ribsel Hm bstmnjbkicl.
mj trmtm`ibotl kíustikl cb rbmjizmrsb
bstmnjb uo klotrlj
kicl. Qlr bspbkimj
bj ribsel bo mokim-
cb ÷jkbrmkilobs
y plsinjbs iofbkkilobs cb cifàkij klotrlj ol bs rbkl`bocmnjb su utijizmkiûo bo
cimnétikls y pmkibotbs klo pmtljleàms vmskujmrbs pbriférikms
pbrifér ikms b io`uolcbpri`icls.
Ol utijizmr bo b`nmrmzmcms, `ugbrbs bo pbrilcl cb jmktmokim y bo oiýls `bolrbs
cb 2 mýls, mj ol tbobr cmtls cb su sbeuricmc.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs mkbptmnjb si sb
utijizm
utijizm cb flr`m klrrbktm. Qubcb prbsbotmr irritmkiûo kutíobm, jiebrms qub`m-
curms y ÷jkbrmkilobs bob o jm zlom cb mpjikmkiûo y zloms kirkuocmotbs m jm cb su
mpjikmkiûo si ol slo prltbeicms. Bs frbkubotb jm mpmrikiûo cb kumcrls cb cljlr
(iokjusl iotbosl) curmotb bj trmtm`ibotl. ^mrm`botb pubcb prlcukir cbr`mtitis
cbr `mtitis cb
klotmktl. Bo kmsl cb mpmrbkbr rbmkkilobs
rbmkk ilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Olr`ms pmrm jm klrrbktm mc`ioistrmkiûo
• Cbkmpmcl cb jm vbrruem klo bji`iomkiûo cbj `íxi`l tbgicl hipbrqubrm-
tûsikl vbrruelsl plsinjb.
• Qrltbebr bj tbgicl kirkuocmotb mj pmpijl`m m fio cb bvitmr plsinjbs qub-
`mcurms (uom nubom tékoikm bs usmr jmkm cb uýms obutrm l Vbrji` ;®).
• Mpjikmkiûo sib`prb bo klosujtm cbj prbpmrmcl
prbpmr mcl slnrb jm jbsiûo.
• Kurm lkjusivm pjístikm mcbkumcm curmotb 5>h.
• [i fubsb obkbsmril,
obkb smril, rbpbtir jm lpbrmkiûo prbvim bji`iomkiûo
bji`iomkiû o cbj tbgicl hipbr-
qubrmtûsikl pmpijl`mtlsl cbstruicl.
• Bji`iomkiûo bsplotíobm l klo nisturà cb jm vbsàkujm qub boejlnmràm bj
pmpijl`m y bj tbgicl vbrruelsl mslkimcl.
• Kurm cb jm qub`mcurm-÷jkbrmkiûo prlcukicm klo motiniûtikls + bozi`ms
prltbljàtikms.
• [b rbkl`ibocm bovmsmr bo frmskl tlpmkil cb kristmj prbfbrbotb`botb klo
piokbj l bspítujm mpjikmclrm.
• Bvitmr bj klotmktl cbj prlcuktl klo `uklsms l pibj ol mfbktmcm.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Bstmnijicmc `íxi`m > `bsbs.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bkmkim cb`lstrmcm, klosicbríocljl cb utijicmc bo
bj trmtm`ibotl cb vbrruems rbkicivmotbs iokjuicms jms pjmotmrbs. Jms
J ms `ljbstims cbj
trmtm`ibotl (fuocm`botmj`botb cljlr b iom`mkiûo) bs cifbrbotb cb uo pmkibotb
m ltrl, klotrljíoclsb klo momjeésikls kjísikls y/l MIOB (pmrmkbtm`lj, `btm-
`izlj, inuprlfbol, cbxdbtlprlfbol, btk.). Bo ebobrmj jm tljbrmokim bs mkbptmnjb.
Jls trmtm`ibotls
trmtm`ibotls klo kmotmriciom sib`prb hmo cb rbmjizmrsb y klotrljmrsb bo jm
klosujtm plr bj plcûjlel.
>26
Fûr`ujms `meistrmjbs
pmrm vbrruems
>25
@lcus lpbrmoci
QM[L = Bo vmsl cb prbkipitmcls jl `ís pbqubýl plsinjb pbsmr jm kmoticmc cb
kmotmriciom klrrbsplocibotb.
QM[L > Bo bj `is`l ioklrplrm
ioklrplrmrr >`j cb mkbtlom y meitmr vielrlsm`botb. [b
pubcb meijizmr jm cisljukiûo kmjbotmocl bj vmsl klo meum kmjibotb l
hmkibocl uo nmýl @mràm. Ol rbkl`bocm`ls utijizmr bj meitmclr `me-
oétikl plrqub jm mkbtlom sb bvmplrm `uy rípicl.
QM[L ; Bo bj `is`l vmsl ioklrplrmr jm kmoticmc cb íkicl smjikàjikl y plcljiol,
y `bzkjmr.
QM[L 3 Bo bj `is`l vmsl cb prbkipitmcls ioklrplrmr bj kljlciûo obkbsm
obkbsmril
ril
pmrm klosbeuir
klosb euir bj vlju`bo tltmj cb jm flr`ujmkiûo cb ;`j y `bzkjmr.
[i bj bovmsb omj bstí ermcumcl, sb pubcb hmkbr bstb ÷jti`l pmsl
cirbktm`botb bo cikhl bovmsb.
QM[L 2 Bovmsmr bo uo frmsk
frmskl
l cb kristmj jl `ís pbqubýl plsinjb. [b pubcb
utijizmr bj frmskl cb kristmj cb 2`j pmrm nilpsims.
Oltm
Qmrm plcbr jmvmr bj vmsl cb prbkipitmcls cb uom flr`m rípicm y bkmz sb rbkl-
`ibocm qub uom vbz mkmnmcm jm flr`ujmkiûo sb rbjjbob klo meum. Qmsmcms uoms
hlrms sb flr`m uom pbjàkujm m`mrrûomcm qub sb rbtirm klo fmkijicmc.
Klotrlj cb kmjicmc
Jàquicl visklsl trmospmrbotb
trmospmr botb cb kljlr `mrrûo iotbosl y cb ljlr `uy kmrmktbr
kmrmktbràstikl
àstikl
m étbr.
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
pslrimsis cbj pib
Jm pslrimsis bs uom bofbr`bcmc kutíobm iom`mtlrim qub sb kmrmktbrizm plr
uo mu`botl cb jm prljifbrmkiûo bpicér`ikm qub prlcukb britb`m, cbskm`mkiûo y
mu`botl cbj erlslr cb jm pibj. [ib`prb sieub uom bvljukiûo krûoikm m `lcl cb nrl-
tbs y prlvlkm uo i`plrtmotb i`pmktl psiklslkimj bo jms
jm s pbrsloms qub jm pmcbkbo.
pmcb kbo.
M oivbj plcljû
plcljûeikl
eikl jm
j m bstrmtb
b strmtbeim
eim tbrmp
tb rmpéutik
éutikmm ebobr
eb obrmj
mj pmrm
pm rm bj
b j trmtm`ib
trm tm`ibotl
otl cb jm
pslrimsis pmj`lpjmotmr sb nmsm bo jm tbrmpim
tbrmp im tûpikm `bcimotb flr`ujmkilobs
flr`ujmkilobs cb
cifbrbotbs erupls cb priokipils mktivls botrb jls qub cbstmkmrb`ls7
• Hicrmtmotbs7 urbm, mjlb vbrm, íkicl himjurûoikl, jmktmtl m`ûoikl.
• B`ljibotbs7 mkbitbs `iobrmjbs, jmoljiom.
• ]ubrmtljàtikls7 íkicl smjikàjikl, rbslrkiom, mjfm-hicrlxiíkicls, urbm.
• Cbrivmcls cb jm nrbm7 klmjtmr smploiomcl.
• Klrtiklicbs7 kjlnbtmslj, trim`kioljlom, hicrlklrtislom.
• Citrmolj7 motrmjiom.
• Cbrivmcls cb jm vitm`iom C7 kmjkipltrilj, tmkmjkitlj.
>61
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Íkicl smjikàjikl 2-=1%
2-=1%
Rrbm =2->1%
Jmktmtl m`ûoikl =>%
=>%
Kjlnbtmslj 1,12%
Jmoljiom 5%
Bxkipibotb b`ljibotb ksp =11e
[ioûoi`ls
Kjlnbtmslj7 ciprlpilomtl cb kjlnbtmslj.
Jmoljiom7 Mcbps jmomb.
Rrbm7 kmrnm`icm.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
qubr mtiolkitl
pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prb-
sbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm
kûrob m prlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Jm urbm bs uo pltbotb hicrmtmotb, mj >1% tibob mkkilobs qubrmtljàtikms klo jm
klosieuibotb ciserbemkiûo cbj bxtrmktl kûrobl, pltbokim jms mkkilobs cbj íkicl
smjikàjikl, cis`iouybocl su bfbktl irritmotb. Sm`niéo olr`mjizm b hicrmtm jm kmpm
kûrobm oubvm.
Bj
uomkjlnbtmslj prlpilomtl bs plr
mkkiûo motiiom`mtlrim uo cbr`lklrtiklicb cb `uy cb
iohinikiûo cb jm sàotbsis mjtmjms
pltbokim. Qrbsbotm
prlstmejmocioms.
Sm`niéo tibob mkkilobs
mkkilob s moti`itûtikms, njlqubmocl jm prljifbrmkiûo cb c b jms kéjujms
bpicér`ikms cistrûkms cb jms jbsilobs pslriísikms.
Bj jmktmtl m`ûoikl bs uo mebotb hicrmtmotb y rbstmurmclr cbj `motl íkicl ermsl
cb jm pibj. Qmrm mjeuols mutlrbs mu`botm jm tljbrmokim y cis`iouyb jls bfbktls
mcvbrsls cbj kjlnbtmslj mj mslkimrsb m éstb.
Jm jmoljiom bs cb omturmjbzm jipûjm, plsbb mkkilobs
mk kilobs b`ljibotbs, sljm l ioklrpl-
rmcm m jm fmsb ermsm
erms m cb jms b`ujsilobs flr`m uom pbjàkujm
pb jàkujm `ís l `bols lkjusivm
slnrb jm supbrkib kutíobm,
kutí obm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl
y prlplrkilomocl bjmstikicmc, hicrmtmkiûo, sumvicmc y bxinijicmc m jm pibj.
Bj bxkipibotb b`ljibotb L/U
L/U bs uom b`ujsiûo
b `ujsiûo krb`lsm klo mktivicmc hicrmtmotb,
jiebrm`botb lkjusivm y kls`étikm`botb mermcmnjb.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl m`mrijjbotl cb mspbktl krb`lsl cb tmktl mermcmnjb y cb fíkij mpjikmkiûo.
>6=
Iocikmkilobs
Srmtm`ibotl cb pslrimsis pmj`lpjmotmr jiebrm. Bzkb`m ou`ujmr. Britrlcbr`im psl-
riísikm. Cbr`mtitis pjmotmrbs krûoikms hipbrqubrmtûsikms.
Klotrmiocikmkilobs
®
Hipbrsbosinijicmc mj ltrls
m kumjquibrm cb jls íkicl kl`plobotbs
smjikàjikl l m jls
cbjsmjikijmtls,
prbpmrmcl. iokjuicm jm mspiriom
Ol utijizmr . Mjbreim
bo b`nmrmzm-
cms, `ugbrbs bo pbrilcl
pbr ilcl cb jmktmokim l oiýls `bolrbs cb => mýls. Jm utijizmkiûo
cb qubrmtljàtikls bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls
l mokimols hm cb rbmjizmrsb nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo
kmcm `l`botl y pmrm kmcm bofbr`l jm obkbsicmc cb su usl.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. Qubcb prbsbotmr irritmkiûo kutíobm
kutíob m bo trmtm`ibotls prljloemcls.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms
kbrkm oms m jls lgls l `uklsms. Bxkbpkilomj`botb
B xkbpkilomj`botb,,
bj kjlnbtmslj pubcb prlcukir rbmkkilobs jlkmjbs (cbr`mtl`iklsis, qub`mzûo
kutíobm, pruritl, sbqubcmc kutíobm,
kutíobm , rbtrmsl bo jm kikmtrizmkiûo cb hbricms, bstràms,
hirsutis`l).). @uy rmrm`botb pubcbo pmrbkbr rbmkkilobs sisté`ikms plr mnslrkiûo
hirsutis`l
pbrkutíobm oltmnjb,
oltmn jb, klo suprbsiûo mcrbomj, sàocrl`b cb Kushioe y rbtrmsl bo bj
krbki`ibotl.. Bxkbpkilomj`botb pubcb prbsbotmr
krbki`ibotl prb sbotmr cbr`mtitis cb klotmktl. Bo kmsl
cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms,
btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
>6>
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom bkmkim cb`lstrmcm, klo-
sicbríocljl cb utijicmc bo bj trmtm`ibotl cb pmtljleàms
pmtljleàms pslriísikms l bkzb`ms
krûoikls hipbrqubrmtûsikls pjmotmrbs bo mcujtls, y sus kmrmktbràstikms kls`éti-
kms slo mermcmnjbs. Bs obkbsmril cis`iouir pmujmtiom`botb jms mpjikmkilobs cbj
prbpmrmcl bo fuokiûo cb jm bvljukiûo cb jm jbsiûo.
>6;
Fûr`ujms `meistrmjbs
pmrm vbrruems
IOFL^@MKIÛO QM^M BJ FM^@MKÉRSIKL BJMNL^MCL^
Smnjm cb kíjkujls
k íjkujls
Qmrm jm bxpjikmkiûo cbj `lcus lpbrmoci utijizmrb`ls jms klokbotrmkilobs `ís
mjtms cb jls rmoels tbrmpéutikls iocikmcls.
>63
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
`mobrm s
cb trmnmgmr, cbpbocibocl
iotbr`bcils (tbobr prbbjmnlrmcm
cb jm utijizmkiûo
jm b`ujsiûo
bo `mylr
L/U).l `bolr ermcl cb prbpmrmcls
prbpmr mcls
Jm flr`ujmkiûo `mrkl qub mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo
bjmn lrmkiûo cb jm b`ujsiûo
L/U bs bstm vmrimkiûo cbj kjísikl bxkipibotb b`ljibotb plr su mjtm bxpbribokim cb
usl bo bj í`nitl plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =2%
=2%
91 pmrtbs cb kbrm
kb rm Jmobttb L y =1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
Jmoljiom mohicrm 5%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr m`mrijjl fíkij`botb jmvmnjb klo meum.
Kl`plsikiûo
Íkicl smjikàjikl 2-=1%
2-=1%
Rrbm =2->1%
Jmktmtl m`ûoikl =>%
=>%
Kjlnbtmslj 1,12%
Klmjtmr smploiomcl 8%
Jmoljiom 8%
Bxkipibotb krb`m ksp =11e
[ioûoi`ls
Kjlnbtmslj7 ciprlpilomtl cb kjlnbtmslj.
Jmoljiom7 Mcbps jmomb.
Rrbm7 kmrnm`icm.
Klmjtmr smploiomcl7 nrbm cb hujjm smploiomcm,
smpl oiomcm, klmjtmr cbslclrikmcl.
cb slclrikmcl.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl smjikàjikl bs nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
qubr mtiolkitl
pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prb-
sbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl
(qubrmtioljisis). p rlcukibocl su cbsiotbermkiûo
Jm urbm bs uo pltbotb hicrmtmotb,
hicrmtm otb, mj =2->1%
=2->1% tibob mkkilobs qubrmtljàtikms klo jm
klosieuibotb ciserbemkiûo cbj bxtrmktl kûrobl y pltbokim jms mkkilobs cbj íkicl
smjikàjikl, olr`mjizmocl b hicrmtmocl jm kmpm kûrobm oubvm.
Bj kjlnbtmslj prlpilomtl bs uo cbr`lklrtiklicb cb `uy mjtm pltbokim. Qrbsbotm
uom mkkiûo motiiom`mtlrim plr iohinikiûo cb jm sàotbsis cb jms prlstmejmocioms.
Sm`niéo tibob mkkilobs
mkkilob s moti`itûtikms, njlqubmocl jm prljifbrmkiûo cb jms kéjujms
bpicér`ikms cistrûkms cb jms jbsilobs pslriísikms.
Bj jmktmtl m`ûoikl bs uo mebotb hicrmtmotb y rbstmurmclr cbj `motl íkicl ermsl
cb jm pibj. Qmrm mjeuols mutlrbs mu`botm jm tljbrmokim y cis`iouyb jls bfbktls
mcvbrsls cbj kjlnbtmslj mj mslkimrsb m éstb.
Bj klmjtmr smploiomcl bs uo cbrivmcl cb jms nrbms (nrbm cb hujjm smploiomcm) prb-
sbotm uoms kmrmktbràstikms
`motboibocl sus nbobkilslremoljéptikms
cbr`mtljûeikls7
cbr`mtljûei kls7
mjel
mkkiûo
`bolsmotiséptikm,
cbsmermcmnjbs
motiiom`mt
motiiom`mtlrim,
qub éstms,
éstm
lrim,
s,
motiprurieiolsm y rbcuktlrm (fmvlrbkb jm rbebobrmkiûo
rb ebobrmkiûo cbj bxtrmktl
bxtrmk tl kûrobl). Sm`-
Sm`-
niéo sb jb mtrinuybo mkkilobs moti`itûtikms.
>66
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kmrmktbràstikms lremoljéptikms
[b`isûjicl krb`lsl cb kljlr m`mrijjbotl y ljlr kmrmktbràstikl.
kmrmk tbràstikl. Mermcmnjb mj tmktl
y cb fíkij mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb pslrimsis bo pjmkm. Bkzb`m ou`ujmr. Britrlcbr`im pslriísikm.
Qslrimsis pjmotmr jiebrm. Jiqubo pjmol hipbrtrûkl.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®, msà
kl`l m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
prbp mrmcl. Hmstm bj `l`botl ol sb
jb klolkbo ltrms klotrmiocikmkilobs. Ol utijizmr bo b`nmrmzmcms, `ugbrbs bo
pbrilcl cb jmktmokim l oiýls `bolrbs cb => mýls. Jm utijizmkiûo cb qubrmtljàtikls
qubr mtljàtikls
bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls
pb riférikls l mokimols hm cb
rbmjizmrsb nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y
pmrm kmcm bofbr`l jm obkbsicmc cb su usl. Ol utijizmr bo jbsilobs ÷jkbrmcms oi
slnrb pibj qub`mcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. Qubcb prlcukir irritmkiûo kutíobm bo trmtm`ibotls prljloemcls.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms. Jm prbsbokim cbj
kjlnbtmslj pubcb prlcukir rbmkkilobs jlkmjbs plklplk l frbkubotbs (cbr`mtl`iklsis,
qub`mzûo kutíobm, pruritl,
prur itl, sbqubcmc kutíobm,
kutío bm, rbtrmsl bo jm kikmtrizmkiûo cb hbri-
cms, bstràms, hirsutis`l). @uy rmrm`botb pubcbo mpmrbkbr rbmkkilobs
rbmk kilobs sisté`ikms
>65
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim klo bkmkim cb`lstrmcm, klosi-
cbríocljl cb utijicmc bo bj trmtm`ibotl cb pmtljleàms cb btiljleàm pslriísikm
jbvb l bkzb`mtlsms xbrûsikms bo mcujtls y sus kmrmktbràstikms kls`étikms slo
mermcmnjbs. Ir cis`iouybocl pmujmtiom`botb jms mpjikmkilobs cbj prbpmrmcl bo
fuokiûo cb jm bvljukiûo cb jm jbsiûo.
>68
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
>69
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
`mobrm s
cb trmnmgmr, cbpbocibocl
cbpbociboc l cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpm rmcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U). Jm flr`ujmkiûo `mrkl qub
mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo cb jm b`ujsiûo L/U bs bstm vmrimkiûo
cb jm kjísikm krb`m nmsb Jmobttb plr su mjtm bxpbribokim y bkmkim bo bj í`nitl
plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =2%
=2%
91 pmrtbs
pmr tbs cb kbrm Jmobttb
Jmobt tb L y =1
=1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
>51
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr `mrrûo kjmrl fíkij`botb jmvmnjb klo meum.
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Qrlpijboejiklj 61%
Íkicl smjikàjikl 6%
Kjlnbtmslj 1,12%
Bxkipibotb ebj ksp =11e
[ioûoi`ls
Kjlnbtmslj7 ciprlpilomtl cb kjlnbtmslj.
Mkkiûo
Bj íkiclfmr`mkljûeikm
fmr`mkljûe
smjikàjikl bsikm
nmktbrilstítikl y fuoeistítikl, mcb`ís plsbb prlpibcmcbs
qubrmtljàtikms y fmkijitm jm cisljukiûo cbj kb`botl iotbrkbjujmr cbj qubrmtiolkitl
qubr mtiolkitl
pbr`itibocl jm cbsmchbrbokim y cbskm`mkiûo cb jm kmpm kûrobm. Sm`niéo prb-
sbotm uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl
p rlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Bj kjlnbtmslj prlpilomtl bs uo cbr`lklrtiklicb cb `uy mjtm pltbokim. Qrbsbotm
uom mkkiûo motiiom`mtlrim plr iohinikiûo cb jm sàotbsis cb jms prlstmejmocioms.
Sm`niéo tibob mkkilobs
mkkilob s moti`itûtikms, njlqubmocl jm prljifbrmkiûo cb jms kéjujms
bpicér`ikms cistrûkms cb jms jbsilobs pslriísikms.
Bj prlpijboejiklj bs uo hicrmtmotb klo mkkilobs hu`bktmotbs.
hu`bkt motbs. Mj 61% `mkbrm jms
jbsilobs hipbrqubrmtûsikms
hipbrqubrm tûsikms pltbokimocl jm mkkiûo cbj íkicl smjikàjikl, fmkijitmocl
bj cbsprboci`ibotl cb jm kmpm kûrobm.
Iocikmkilobs
Srmtm`ibotl cb jm pslrimsis
pslr imsis pjmotmr. Srmtm`ibotl
Srmtm`ibotl cb jbsilobs bkzb`mtlsms krûoi-
kms. Hipbrqubrmtlsis pjmotmrbs klo fubrtb kl`plobotb pruràtikl.
Qlsljleàm7 vàm tûpikm
Mpjikmr
Mpjik
plr jmmrolkhb.
b j ebj Bo
bj = lfuokiûo
> vbkbs
vbk bscbmj
m jjms
càmkmrmktbràstikms
càm.. [i jm mpjikmk
mp jikmkiûo
iûo b s uom
bs uo m vbz mj càm
hipbrqubrmtûsikms càcb
m sb rbmjizmr
rbmj
jm jbsiûoizmrí
sbí
utijizmrío clsis `ís l `bols mjtms cb íkicl smjikàjikl m o cb prlvlkmr jm `íxi`m
bkmkim klo jm `bolr irritmkiûo plsinjb cb jm pibj pbrijbsilomj.
>5>
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
mj prlpijboejiklj,
prbpmrmcl. mj kjlnbtmslj,
Ol utijizmr msà kl`l
bo b`nmrmzmcms, m kumjquibrm
`ugbrbs cb jls
bo pbrilcl cbkl`plobotbs cbjy
jmktmok im, oiýls
jmktmokim,
gûvbobs
gûvbobs `bolrbs cb =6 =6 mýls.
mýls. Jm utijizmki
utijizmkiûo
ûo cbj íkicl smjikàji
smjikàjikl
kl bo bofbr`ls
bofbr`ls cimné-
tikls, klo prlnjb`ms vmskujmrbs pbriférikls l mokimols hm cb rbmjizmrsb nmgl uo
klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo kmcm `l`botl y pmrm kmcm bofbr`l
jm obkbsicmc cb su usl. Ol utijizmr bo jbsilobs ÷jkbrmcms oi slnrb pibj brlsilomcm.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. [u priokipmj ioklovboibotb bs su pltbokimj irritmotb bo jm pibj
pbrijbsilomj. Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotls prljloemcls. Bj
kjlnbtmslj klrtiklicb cbj erupl IV rmrm`botb bo plcljleàm prbsbotmo rbmkkilobs
mcvbrsms m jms klokbotrmkilobs y clsikmkilobs klrrbktms, pbrl bstío cbskritms
rbmkkilobs jlkmjbs kl`l7 cbr`mtl`iklsis, qub`mzûo kutíobm,
kutíobm , pruritl y sbqub-
cmc bo jm zlom trmtmcm. Bo trmtm`ibotls prljloemcls pubcb cmr
cm r juemr m hirsutis`l,
mtrlm kutíobm klo mcbjemzm`ibotl kutíobl, bstràms cér`ikms qub pubcbo sbr
pbr`mobotbs, cbspie`botmkiûo kutíobm, pbtbquims, kupbrlsis y rbtrmsl bo jm
kikmtrizmkiûo cb hbricms. @uy rmrm`botb pubcbo mpmrbkbr rbmkkilobs sisté`ikms
plr mnslrkiûo pbrkutíobm oltmnjb, klo suprbsiûo mcrbomj,
mcrb omj, sàocrl`b cb Kushioe,
rbtrmsl bo bj krbki`ibotl
krbk i`ibotl.. Bxkbpkilomj`botb pubcb prbsbotmr
prbsbotm r cbr`mtitis cb klo-
tmktl.. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs
tmktl
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom bkmkim cb`lstrmcm, klo-
sicbríocljl cb utijicmc bo bj trmtm`ibotl cb pmtljleàms pslriísikms l bkzb`ms
krûoikls hipbrqubrmtûsi
hipbrqubrmtûsikls
slo mermcmnjbs. klsmril
Bs obkbsmril
obkbs pjmotmrbs bo pmujmtiom`botb
cis`iouir mcujtls y sus kmrmktbràstikms
kmrjms
mktbràstikms kls`étikms
mpjikmkilobs cbj prb-
pmrmcl bo fuokiûo cb jm bvljukiûo cb jm jbsiûo.
>5;
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Smnjm cb kíjkujls
k íjkujls
Qmrm jm bxpjikmkiûo cbj `lcus lpbrmoci utijizmrb`ls jm klokbotrmkiûo `mylr cb
jm flr`ujmkiûo prlpubstm, sibocl bxtrmpljmnjb m kumjquibr ltrm.
@mtbrim Kmoticmc Kmrmktbràstikms
pri`m % Kmoticmc fisiklquà`ikms Qrlpibcmcbs
Qriokipils Qbsl rbmj Ioflr`mkiûo fmr`mkljûeikms
mktivls Vlju`boo pbsmcm
Vlju`b rbjbvmotb
Bxkipibotbs Roicmcbs
Qljvl kristmjiol njmokl M klokbotrmkilobs
klokbotrmk ilobs
nmgms (=-;%) bs nmktbrilstítikl,
Íkicl 6% 6e fíkij`botb sljunjb bo fuoeistítikl y qubrmtlpjístikl
qubrmtlpjístikl..
smjikàjikl mjklhlj y ol sljunjb bo M klokbotrmkilobs
klokbotr mkilobs supbrilrbs
sup brilrbs
meum. mj 2% bs qubrmtljàtikl.
Bj prlpijboejiklj bs uo
Jàquicl trmospmrbotb cb hicrmtmotb klo mkkilobs
Qrlp ij bo e jik lj 6 1% 61 e cbosicmc pmrbkicm mj meum. hu`bktmotbs. Mj 61% tibob bfbktls
bxfljimtivls y `mkbrm
jms jbsilobs hipbrqubrmtûsikms
hipbrqubrmtûsikms..
Jàquicl trmospmrbotb
Mjkl hlj
Mjklhlj 6% 6`j cb ljlr kmrmktbràstikl
btàjikl y cbosicmc `bolr
mj meum.
Bj kjlnbtmslj prlpilomtl bs
Qljvl hmriolsl ol sljunjb uo cbr`lklrtiklicb cb
Kjlnbtmslj 1,12% 1,12e bo meum y fíkij`botb `uy mjtm pltbokim. Qrbsbotm
prlpilomtl sljunjb bo btmolj y uom mkkiûo motiiofjm`mtlrim.
cisljvbotbs lreíoikls. Sm`niéo tibob
ti bob mkkil
m kkilobs
obs
moti`itûtikms.
Bs uom `bzkjm cb pljà`brl
mkràjikl, islpmrmfiom y uo
b`ujebotb. Bj [bpiebj
;12 ® tibob prlpibcmcbs
ebjifikmotbs. Jm islpmrmfiom
hmkb qub jls ebjbs ol
[bpiebj ;12® sbmo trmospmrbotbs, pbrl
ks ks klo kibrtm mfioicmc m jls
kl`plobotbs ermsls.
Bj b`ujebotb pbr`itb ebjbs
klo nmgm klokbotrmkiûo cb
prlcuktl y sio obkbsicmc
cb obutrmjizmrjls oi
cispbrsmrjls.
Meum ksp
purifikmcm =11e ksp =11e
SLSMJ
SLSMJ =11e =11e
>53
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
@lcus lpbrmoci
Kjísikm`botb sb hmo utijizmcl ebjikmotbs cb lriebo kbjujûsikl pmrm jm bjmnlrmkiûo
cb bstms
sumcl flr`ujmkilobs.
klo Qlr oubstrm
bj Klosbgl Ebobrmj bxpbribokim
cb Kljbeils prlfbsilomj
Lkimjbs y hmnibocl
cb Qlcûjlels cbklosbo-
Bspmým
prlplob`ls jm utijizmkiûo cb ebjikmotbs mkràjikls, cmcl qub bj prlcuktl omj
klosbeuicl bs uo sb`isûjicl `ís klosistbotb, mermcmnjb y tbrmpéutikm`botb
`ís bkmz pmrm bj pmkibotb plcljûeikl.
>52
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Klmjtmr smploiomcl ;1%
Mjklhlj >1%
Qrlpijboejiklj >1%
Swbbo 81 2%
Meum cbstijmcm ksp 211`j
[ioûoi`ls
Klmjtmr smploiomcl7 klmjtmr cbslclrikmcl, nrbm cb hujjm smploiomcm.
Kmrmktbràstikms lremoljéptikms
Jàquicl ol trmospmrbotb cb kljlr lkrb m`mrrûomcl y ljlr kmrmktbràstikl.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb cb jm pslrimsis. Srmtm`ibotl klmcyuvmotb cb jm pslrimsis
pslrim sis
pjmotmr bskm`lsm.
Qlsljleàm7 vàm tûpikm bo flr`m cb nmýls
Cisljvbr 21kk (mprlxi`mcm`botb
(mprlxi`mcm`botb 3 kukhmrmcms)
kukhmrmcm s) bo > jitrls cb meum y su`breir
jm tltmjicmc
vbkbs mj càm cbj pib `motboiéocljl
`motboiéoc
y plstbrilr`botb ljl curmotb
mpjikmr =1 `ioutls.
bj trmtm`ibotl ^bmjizmr jmcb
motipslriísikl lpbrmkiûo =->
nmsb (bspb-
kimjicmc fmr`mkéutikm l fûr`ujm `meistrmj). Jm curmkiûo cbj trmtm`ibotl cbpbocbrí
cbpbocb rí
cb jm bvljukiûo cbj prlkbsl, supri`iéocljl cb flr`m ermcumj.
>56
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jms nrbms, msà kl`l m kumjquibrm cb jls kl`plobotbs cbj
prbpmrmcl. Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms
mcvbr sms cb bstm flr`ujmkiûo bs `àoi`m si sb utijizm
utijizm
klrrbktm`botb. Qubcb prbsbotmr sbqubcmc kutíobm bo trmtm`ibotls prljloem-
cls. Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms. Bo kmsl cb
mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs bxmotb`ítikms, btk.)
btk.)
suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y bkmkim cb`lstrmcm, klosicb-
ríocljl cb utijicmc bo bj trmtm`ibotl klmcyuvmotb cb pmtljleàms pslriísikms bo
mcujtls l oiýls, mj fmkijitmr jm bji`iomkiûo cb bskm`ms y fmvlrbkbr jm rbebobrmkiûo
cbj bxtrmktl kûrobl.
>55
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Mkt÷m kl`l
qubrmtlpjístikl rbcuktlr
m klokbotrmkilobs
Bj klmjtmr `bolrbs mj 3%
3%,, y m
smploiomcl klokbotrmkilobs `ís
klotibob bjbvmcms prlcukb uo
uo >1% cb jbvb bfbktl bxfljimtivl.
bxfljimti vl.
Klmjtmr ;1% =21`j klmjtmr (nrbm [b iocikm bo bj
smploiomcl cb hujjm)
cijuicl bo trmtm`ibotl
pslrimsis cb jm
y trmstlrols
tioturm cb sbnlrrbikls plr sbr
quijmym l nibo motipruràtikl y
bo mjklhlj. rbcuktlr.. [b krbb
rbcuktlr
mcb`ís qub pubcb
tbobr uo bfbktl
moti`itûtikl.
Mjklhlj
Mjkl hlj btàj
b tàjikl
ikl >1% =11`j
Jàquicl
ljblsl Sibob
Sib ob mkkiûo
mk kiûo prltbk
prltbktlrm
tlrm
jiebrm`botb y b`ljibotb.
Qljislrnmtl 81 2% >2`j Cispbrsmnjb
m`mrijjbotl. Mebotb
nubom hu`bktmotb
tljbrmokim klo
kutíobm.
bo meum y
btmolj.
Jàquicl Bj prlpijboejiklj bs uo
trmospmrbotb hicrmtmotb klo mkkilobs
Q rl p i j b o e j i k l j >1% =11`j cb cbosicmc hu`bktmotbs. Sm`niéo
pmrbkicm mj prbsbotm mkkilobs
meum. jiebrm`botb bxfljimtivms
y motiséptikms.
Meum ksp ksp
purifikmcm 211`j 211`j
SLSMJ
SLSMJ 211`j
211 `j 211`j
211 `j
>58
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls ioklrplrmr bj vlju`bo cb klmjtmr smploi-
omcl, mjklhlj
l klo jm myucmbtàjikl
cb uoymeitmclr
prlpijboejiklj. @bzkjmr klo uom vmrijjm cb vicril
`meoétikl.
QM[L > Ioklrplrmr jm kmoticmc cb Swbbo 81 (pljislrnmtl 81) y `bzkjmr m nmgm
vbjlkicmc pmrm qub ol sb flr`b bspu`m.
QM[L ; Ioklrplrmr bj 91% cb meum purikmcm nmgl meitmkiûo m nmgm vbjlkicmc.
QM[L 3 Bo uom prlnbtm l bo uo bovmsb omj ermcumcl bormsmr klo bj rbstl cb
meum purikmcm.
QM[L 2 Bovmsmr prbfbrinjb`b
prbfbrinjb`botb
otb bo frmskl lpmkl l QBS tlpmkil klo tmpûo
clsikmclr.
Klotrlj cb kmjicmc
[ljukiûo lpmkm cb kljlr `mrrûo sio prbkipitmcls.
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Citrmolj =%
Íkicl smjikàjikl >%
Vmsbjiom jmotb ksp 21e
[ioûoi`ls
Citrmolj7 motrmjiom, kieoljiom.
kieoljio m.
Vmsbjiom jmotb7 pmrmom jmotb.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Citrmolj bs uo cbrivmcl cbs`btijmcl cb jm krismrrlniom
kr ismrrlniom (priokipil
(pr iokipil mktivl lntboicl
cbj Vlumkmplum mrmrlnm). Muoqub su `bkmois`l cb mkkiûo mkkiûo bs kl`pjbgl,
kl`pjbgl, sb smnb
qub frbom jm prljifbrmkiûo bpicér`ikm m trmvés cbj `btmnljis`l `itlklocrimj.
Bj íkicl smjikàjikl mj >% bs nmktbrilstítikl
nmktbrilstí tikl y fuoeistítikl. Bo bstm fûr`ujm sb utijizm
kl`l motilxicmotb cbj citrmolj, bvitmocl jm pércicm cb su bkmkim.
Jm vmsbjiom jmotb bs cb omturmjbzm
omturm jbzm jipûjm, flr`mocl uom pbjàkujm lkjusivm slnrb
jm supbrkib kutíobm, mu`botmocl jm rbtbokiûo cb meum cbj bxtrmktl kûrobl y
bvitmocl jm pércicm cbj klotboicl hàcrikl plr su bfbktl cb lkjusiûo, cíocljb
bxinijicmc y sumvicmc m jm pibj.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl cb klosistbokim njmocm cb kljlr m`mrijjbotl iotbosl y ljlr kmrmktbràs-
tikl klo tmktl uotulsl. Kls`étikm`botb bs plkl mermcmnjb.
Iocikmkilobs
Srmtm`ibotl cb pslrimsis pjmotmr
pjmot mr bo pjmkm `bcimotb jm mpjikmkiûo klo jm tékoikm cb
klrtl klotmktl ("shlrt-klotmkt"). Njmoqubl cb jms pjmkms pslriísikms cb kumjquibr
jlkmjizmkiûo.
>81
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
mj citrmolj,olmsàsbkl`l
`l`botl m kumjquibrm
jb klolkbo cb jls kl`plobotbs
ltrms klotrmiocikmkilobs. Ol cbj prbpmrmcl.
utijizmr Hmstm bj
bo b`nmrmzmcms,
`ugbrbs bo pbrilcl cb jmktmokim,
jmktm okim, oiýls y gûvbobs `bolrbs cb =8=8 mýls. Jm utijizm-
kiûo cb citrmolj bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs pbriférikls
l mokimols hm cb rbmjizmrsb nmgl uo klotrlj bstriktl cbj plcûjlel, vmjlrmocl bo
kmcm `l`botl y pmrm kmcm bofbr`l jm obkbsicmc cb su usl.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb.
klrrbktm `botb. [u priokipmj ioklovboibotb bs su mjtl pltbokimj irritmotb bo jm pibj
pbrijbsilomj y qub uom vbz njmoqubmcms jms jbsilobs pubcb prlvlkmr uom pie`bo-
tmkiûo iobstétikm bo lkmsilobs. Bxkbpkilomj`botb pubcb mpmrbkbr
mpmrbkb r cbr`mtitis cb
klotmktl. Bo kmsl cb `moifbstmrsb rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmk-
rbmk -
kilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
p lcûjlel.
^btirmrSm`niéo
• íkicl. Sbj prbpmrm
prbpmrmcl
m`niéo cl cb
pubcb
pubcbo jm jbsiûo yprlcuktls
o utijizmrsb jmvmr jm zlom klo mkbitb
erm sls,
ermsls, meum tinim
ljivmyluo gmnûo
vmsbjiom
jàquicm.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• ^bpbtir jm lpbrmkiûo kmcm >3 hlrms. Bo kmsls cb irritmkilobs iotbosms
bspmkimr jls trmtm`ibotls.
• Bvmjumr jm bfikmkim cbj trmtm`ibotl mj kmnl cb 5-=1
5-=1 càms cbj ioikil cbj
cb j `is`l.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim y uom mjtm bkmkim bo bj njmoqubl cb
jms pjmkms, klosicbríocljl cb utijicmc bo bj trmtm`ibotl cb pmtljleàms pslriísikms
pjmotmrbs bo mcujtls, pbrl
Mpjikmcl klrrbktm`botb ol sus
subjbkmrmktbràstikms kls`étikms
prbsbotmr rbmkkilobs slo plkl
mcvbrsms mermcmnjbs.
(irritmkiûo fuocm-
`botmj`botb). [be÷o jms kmrmktbràstikms cbj pmkibotb, bs mklosbgmnjb
mklos bgmnjb rbmjizmr uom
mpjikmkiûo bo jm klosujtm pmrm iostruir
io struir mj pmkibotb bo jm flr`m klrrbktm cb
c b mpjikmkiûo.
>8=
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Jàquicl
Qmrmfiom
jàquicm =1% 2` j trmospmrbotb
iokljlrl cb
tmktl uotulsl.
Jm vmsbjiom y bj mkbitb cb
[b`isûjicl pmrmfiom slo cb omturmjbzm
klosistbotb jipûfijm qub flr`mo uom pbjàkujm
Vmsbji om
Vmsbjiom k s p 21 e k s p 21 e njmokl lkjusivm slnrb jm supbrfikib
fijmotb cb tmktl kutíobm, mu`botmocl jm
ermsibotl. rbtbokiûo cb meum y bvitmocl
jm pércicm cbj klotboicl hàcrikl
plr su bfbktl cb lkjusiûo.
SLSMJ
SLSMJ 21e 21e
>8>
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
@lcus lpbrmoci
®
[i sb cisplob cb meitmclr tipl uoeumtlr 7
QM[L = Bo uo bovmsb uoeumtlr® tmrmcl cb 61`j pbsmr jm kmoticmc klrrbsplo-
klrrbsplo -
cibotb cb íkicl smjikàjikl y citrmolj.
QM[L > Bo bj `is`l bovmsb ioklrpl
ioklrplrmr
rmr jm kmoticmc cb vmsbjiom jàquicm y klo
uom vmrijjm `bzkjmrjl hmstm lntbobr uom pmstm om sio oioe÷o eru`l.
QM[L ; Bo bj `is`l bovmsb ioklrplrmr jm vmsbjiom jmotb obkbsm
obkbsmrim
rim pmrm klo-
sbeuir bj pbsl tltmj cb jm flr`ujmkiûo cb 21e. M klotioumkiûo meitmr
klo bj uoeumtlr® cls `ioutls m jm `íxi`m vbjlkicmc.
QM[L 3 Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl.
Klotrlj cb kmjicmc
[b`isûjicl njmokl klosistbotb.
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Citrmolj 1,>%
Íkicl smjikàjikl =%
Hicrlklrtislom =%
Bxkipibotb krb`m ksp =11e
[ioûoi`ls
Citrmolj7 motrmjiom, kieoljiom.
kieoljio m.
Hicrlklrtislom7 hicrlklr
hicrlklrtislom
tislom nmsb.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Citrmolj bs uo cbrivmcl cbs`btijmcl cb jm krismrrlniom
kr ismrrlniom (priokipil
(pr iokipil mktivl lntboicl
cbj Vlumkmplum mrmrlnm). Muoqub su `bkmois`l
`bk mois`l cb mkkiûo
m kkiûo bs kl`pjbgl,
k l`pjbgl, frbom
jm prljifbrmkiûo bpicér`ikm m trmvés cbj `btmnljis`l `itlklocrimj.
Bj íkicl smjikàjikl mj =% bs nmktbrilstítikl y fuoeistítikl.
fuoeistí tikl. Bo bstm fûr`ujm sb utijizm
kl`l motilxicmotb cbj citrmolj, bvitmocl jm pércicm cb su bkmkim.
Jm hicrlklrtislom bs uo klrtiklicb tûpikl cb nmgm pltbokim klo mkkiûo motiiom-
`mtlrim jlkmj plr iohinikiûo cb jls `bcimclrbs cb jm iom`mkiûo, prlcukibocl
vmslklostrikkiûo, cis`iouybocl bj britb`m, bcb`m y bj pruritl.
Bj bxkipibotb krb`m L/U bs uom b`ujsiûo krb`lsm cb fmsb bxtbrom mkulsm klo
mktivicmc hicrmtmotb y jiebrm`botb lkjusivm. Kls`étikm`botb bs mermcmnjb.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl cb klosistbokim krb`lsm cb kljlr jiebrm`botb m`mrijjbotl y ljlr
kmrmktbràstikl klo tmktl mermcmnjb y cb fíkij mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb jm pjmkm pslriísikm bo
b o pslrimsis pjmotmr.
pjmotm r. Srmtm`ibotl
Srmtm`ibotl cb jm pslrimsis
pslrim sis
bo pjmkm.
Qlsljleàm7 vàm tûpikm
Mpjikmr jm krb`m = vbz
vbz mj càm bo tbrmpim
tbrmpim olkturom.
olkturom. Bo fuokiûo cb jms
jms kmrmktbràstikms
kmrmktbràstikms
cb jm jbsiûo sb utijizmrío clsis `ís l `bols mjtms m o cb prlvlkmr
p rlvlkmr jm `íxi`m
bkmkim klo jm `bolr irritmkiûo plsinjb cb jm pibj pbrijbsilomj.
>83
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
mj citrmolj,
pmrmcl. m jm hicrlklrtislom,
Hmstm bj `l`botl ol msà kl`l
sb jb m kumjquibrm
klolkbo cb jls kl`plobotbs
ltrms klotrmiocikmkilobs. Olcbj prb -
prb-
utijizmr
bo b`nmrmzmcms,
b`nmrmz mcms, `ugbrbs bo pbrilcl
pbr ilcl cb jmktmokim, oiýls y gûvbobs `bolrbs cb =8
mýls. Jm utijizmkiûo cbj citrmolj bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujm-
rbs pbriférikls l mokimols hm cb rbmjizmrsb
rbmjizm rsb nmgl uo klotrlj bstriktl cbj plcûjlel,
vmjlrmocl bo kmcm `l`botl y pmrm kmcm bofbr`l jm obkbsicmc cb su usl.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. [u priokipmj ioklovboibotb bs su mjtl pltbokimj irritmotb bo jm pibj
pbrijbsilomj y qub uom vbz njmoqubmcms jms jbsilobs pubcb prlvlkmr, bo lkmsilobs,
uom pie`botmkiûo iobstétikm. Bxkbpkilomj`botb pubcb mpmrbkbr cbr`mtitis cb klo-
tmktl. Bo kmsl cb `moifbstmrsb rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel. Jls
klrtiklicbs cbj erupl
erup l I (nmgm pltbokim) ol subjbo prbsbotmr rbmkkilobs mcvbrsms m
jms klokbotrmkilobs y clsikmkilobs klrrbktms, pbrl bstío cbskritms rbmkkilobs
jlkmjbs7 cbr`mtl`iklsis. ]ub`mzûo kutíobm. Qruritl y sbqubcmc bo jm zlom trm-
tmcm. Bo trmtm`ibotls prljloemcls pubcb cmr juemr m hirsutis`l, mtrlm kutíobm
klo mcbjemzm`ibotl kutíobl, bstràms cér`ikms, qub pubcbo sbr pbr`mobotbs, cbs-
pie`botmkiûo kutíobm, pbtbquims, kupbrlsis y rbtrmsl bo jm kikmtrizmkiûo cb hbricms.
>82
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Qljvl kristmjiol
m`mrijjl l m`mrijjl Cbrivmcl cbj motrmkbol.
pmrcuskl. Klo mkkiûo qubrmtlpjístikm.
Citrmolj 1,>% 1,>e Iosljunjb bo meum M klokbotr
klo kbotrmkil
mkilobs
obs `mylrbs
` mylrbs
(motrmjiom) plkl sljunjb mkt÷m kl`l qubrmtljàtikl.
bo mjklhlj y SSm`ni
m`niéoéo prbsbot
prb sbotmm uom
nmstmotb bo mktivicmc moti`itûtikm.
mkbtlom.
Jàquicl
Qmrmfiom =1% 2` j trmospmrbotb
jàquicm iokljlrl cb tmktl
uotulsl.
Jm vmsbjiom y bj mkbitb cb
pmrmfiom slo cb omturmjbzm
[b`isûjicl jipûfijm qub flr`mo uom pbjàkujm
Bxkipibotb ksp =11e ksp klosistbotb lkjusivm slnrb jm supbrfikib
krb`m L/U =11e njmokl cb tmktl kutíobm, mu`botmocl jm
ermsibotl. rbtbokiûo cb meum y bvitmocl
jm pércicm cbj klotboicl hàcrikl
plr su bfbktl cb lkjusiûo.
SLSMJ
SLSMJ =11e =11e
>86
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =3%
91 pmrtbs
pmr tbs cb kbrm Jmobttb
Jmobt tb L y =1
=1 pmrtbs cb uom `bzkjm cb
sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
@lcus lpbrmoci
®
[i sb cisplob cb meitmclr tipl uoeumtlr 7
QM[L = Bo uo bovmsb uoeumtlr® tmrmcl cb 61`j pbsmr jm kmoticmc klrrbsplo-
klrrbsplo -
cibotb cb íkicl smjikàjikl, citrmolj y hicrlklrtislom.
QM[L > Bo bj `is`l bovmsb ioklrplrmr jm kmoticmc cb vmsbjiom jàquicm y klo uom
vmrijjm `bzkjmrjl tlcl hmstm lntbobr uom pmstm om sio oioe÷o eru`l.
QM[L ; Bo bj `is`l bovmsb ioklrplrmr jm b`ujsiûo L/U obkbsm
obkbsmrim
rim pmrm klo-
sbeuir bj pbsl tltmj cb jm flr`ujmkiûo cb 21e. M klotioumkiûo meitmr
klo bj uoeumtlr® cls `ioutls m jm `íxi`m vbjlkicmc.
QM[L 3 Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl l cb pjístikl.
[i ol sb cisplob cb meitmclr tipl uoeumtlr ®7
>85
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Klotrlj cb kmjicmc
[b`isûjicl njmokl klosistbotb.
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
bkzb`ms krûoikls
Jm cbr`mtitis bkzb`mtlsm iokjuyb uo erupl cb bofbr`bcmcbs iom`mtlrims cb jm
pibj qub prbsbotmo kmrmktbràstikms
kmrmk tbràstikms kjàoikms b histljûeikms kl`uobs. Jm rbspubstm
kutíobm vibob kmrmktbrizmcm plr7 iom`mkiûo, pruritl, britb`m, bcb`m, jbsilobs
pmpujlvbsikujlsms, klstrms, cbskm`mkiûo y jiquboikmkiûo.
M pbsm
p bsmrr cb
c b qub
q ub bj tér`
tér`iol
iol "bkzb
"bkzb`m"
`m" vibob
vi bob cbj erib
eribel
el bdzbi` y sieoikm "qub
hibrvb",, plr jl qub bxprbsm `uy nibo bj sboticl cb jm iom`mkiûo meucm,
hibrvb" meucm , vbsiku-
jlsm y bxucmtivm, ol sib`prb bj bkzb`m bs uom rbmkkiûo bxucmtivm, siol qub m
vbkbs tibob bj mspbktl cb uom iom`mkiûo sbkm y cbskm`mtivm. Bs plr bjjl qub
pmrm rbbgmr bstb plji`lrs`l kjàoikl sb iotrlcugl bj b j tér`iol cb "cbr`mtitis".
"cbr`mtitis".
>91
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Rrbm =1%
Jmktmtl m`ûoikl =>%
=> %
Mjmotlàom =%
Srim`k
rim`kioljlom
ioljlom mkbtûo
mkbtûoicl
icl 1,==%
1,
Ci`btiklom ;21 >%
Krb`m L/U ksp =11e
[ioûoi`ls
Rrbm7 kmrnm`icm.
Ci`btiklom ;217 mkbitb cb sijiklom.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Jm urbm m klokbotrmkilobs cbj 6-=6-=1%
1% bs uo mebotb hicrmtmotb, mkt÷m gmocl
`ljékujms cb meum y bvitmocl jm pércicm
pé rcicm cb meum iotrmkbjujmr. M klokbotrmkilobs
supbrilrbs mj =1% bs jiebrm`botb qubrmtljàtikm, kmpmz cb bji`iomr jm qubrmtiom
bpicér`ikm, mu`botmocl jm bxinijicmc cb jm kmpm kûrobm, msà kl`l bj klotboicl
hàcrikl cb jm `is`m.
Jm trim`kioljlom mkbtûoicl bs uo cbr`lklrtiklicb cb pltbokim iotbr`bcim. Qrb-
sbotm uom mkkiûo motiiom`mtlrim plr iohinikiûo cb jm sàotbsis cb jms prlstmejmo-
cioms. Sm`niéo tibob mkkilobs motimjéreikms, njlqubmocl jm sàotbsis cb histm`iom.
Jm mjmotlàom bs uom mebotb hicrmtmotb y kikmtrizmotb.
Jm ci`btiklom bs uo mebotb slnrbboermsmotb qub mu`botm jm hicrmtmkiûo y jb
klobrb m jm krb`m sumvicmc, fmkijitmocl su mpjikmkiûo.
Bj jmktmtl m`ûoikl bs uo priokipil mktivl hicrmtmotb y rbolvmclr bpicér`ikl4
tm`niéo sb jb msieom kibrtl
kibr tl plcbr cb iohinikiûo cb jls bfbktls mcvbrsls cb jls
klrtiklicbs tûpikls.
Jm krb`m L/U bs uom b`ujsiûo cb fmsb bxtbrom mkulsm, hicrmtmotb y ol lkjusivm.
Bj prbpmrmcl trmosflr`m pibjbs bkzb`mtlsms xbrûsikms klo pruritl y britb`m bo
pibjbs smoms, hicrmtmcms, bjístikms, bxinjbs y sumvbs.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl krb`lsl sio ljlr, cb kljlr njmokl, klo mspbktl y tmktl mermcmnjbs.
Iocikmkilobs
Srmtm`ibotl cb jbsilobs bzkb`mtlsms sunmeucms l krûoikms (bzkb`m ou`ujmr,
cbr`mtitis cb klotmktl, bzkb`m pjmotmr,
pjm otmr, oburlcbr`itis). Iktilsis.
>9>
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Hmstm bj
`l`botl ol sb jbiotbr`bcim
kls cb pltbokim klolkbo ltrms klotrmiocikmkilobs.
bo b`nmrmzmcms, `ugbrbsBjbousl cb klrtiklicbs
klrtiklicb
pbrilcl s tûpi-y
cb jmktmokim
oiýls `bolrbs cb => mýls sb rbsbrvmrí
rbsbr vmrí ÷oikm`botb pmrm jls kmsls bo jls qub bj
nbobkil pltbokimj gustiqub plsinjbs ribsels.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb. Qubcb prbsbotmr irritmkiûo
irr itmkiûo kutíobm bo trmtm`ibotls prljloemcls.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms. Jm trim`kioljlom
mkbtûoicl klrtiklicb cbj erupl II rmrm`botb bo plcljleàm prbsbotmo rbmkkilobs
mcvbrsms m jms klokbotrmkilobs y clsikmkilobs klrrbktms, pbrl bstío cbskritms
rbmkkilobs jlkmjbs kl`l7 cbr`mtl`iklsis, qub`mzûo kutíobm, pruritl y sbqub-
cmc bo jm zlom trmtmcm. Bo trmtm`ibotls prljloemcls pubcb cmr cm r juemr m hirsutis`l,
mtrlm kutíobmcbspie`botmkiûo
pbr`mobotbs, klo mcbjemzm`ibotl kutíobl,
kutíobm, bstràms cér`ikms,
pbtbquims, kupbrlsisqub pubcbo
y rbtrmsl bosbr
jm
kikmtrizmkiûo cb hbricms. @uy rmrm`botb pubcbo pmrbkbr rbmkkilobs sisté`ikms
plr mnslrkiûo pbrkutíobm
pbrkut íobm oltmnjb, klo suprbsiûo mcrbomj, sàocrl`b cb Kushioe
y rbtrmsl bo bj krbki`ibotl. Bxkbpkilomj`botb
Bxkbpkilomj`botb pubcb mpmrbkbr cbr`mtitis cb
klotmktl. Bo kmsl cb `moifbstmrsb rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmk-
rbmk -
kilobs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
p lcûjlel.
Mpjikmkiûo
• plr cirbktm
tlcms jms zlomscbjmfbktmcms.
prbpmrmcl slnrb jm pibj bo kmpm fiom bxtbociéocljl
• Jm lpbrmkiûo motbrilr sb rbpbtirí sbe÷o pmutms iocikmcms l sbe÷o kritbril
cbj plcûjlel.
• [upri`ir ermcumj`botb bj trmtm`ibotl.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim,
tljbrmokim, uom mjtm bkmkim cb`lstrmcm,
klosicbríocljl cb ermo utijicmc bo bj trmtm`ibotl cb jbsilobs bzkb`mtlsms sunm-
eucms, xbrûsikms l iktiûsikms. Bo kmsl cb jbsilobs kjàoikms meucms
meucm s klo bxucmkiûo,
slo rbkl`bocmnjbs
mpjikmkilobs jmsrmcl.
sljukilobs
cbj prbpmrmcl.
prbpm mstrioebotbs
Ir cis`iouybocl (vbr mpmrtmcljms
pmujmtiom`botb 9.>) prbvims m jms
mpjikmkilobs bo
fuokiûo cb jm bvljukiûo cb jm jbsiûo.
>9;
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Jm urbm m klokbotrmkilobs
Qljvl kristmjiol cbj 6-=1% bs uo mebotb
cb tm`mýl cb hicrmtmotb, mkt÷m figmocl
R rb m =1% =1e pmrtàkujms ermocbs `ljékujms cb meum y bvitmocl
fíkij`botb sljunjb jm pércicm cb meum iotrmkbjujmr.
bo meum. M klokbot
klo kbotrmki
rmkilob
lobss supbril
supb rilrbs
rbs
mj =1% bs jiebrm`botb
qubrmtljàtikm.
Jàquicl Mebotb hicr
hicrmtmotb
mtmotb y
trmospmrbotb rbolvmclr bpicér`ikl.
iokljlrl l ×tij bo pibjbs bskm`lsms,
jiebrm`botb meribtmcms y sbkms,
Jmktmtl =>% =>e m`mrijjbotl, iokjuybocl pslrimsis
m`ûoikl klo jiebrl ljlr b iktilsis.
kmrmktbràstikl. [b jb hm msieomcl jm
[ljunjb bo meum, prlpibcmc cb rbcukir jls
ejikbriom, bfbktls sbkuocmrils cb jls
y mjklhlj. klrtiklicbs tûpikls.
Cbrivmcl cbj íkicl ÷rikl.
Qrbsbotm prlpibcmcbs
mstrioebotbs, qubrmtljàtikms
Qljvl hmriolsl b hicrmtmotbs.
Mjmotlào
Mjm otlàomm =% =e fíkij`botb sljunjb Sm`niéo
Sm`niéo bs kmpmz cb
bo meum. bsti`ujmr jm rbpmrmkiûo
kbjujmr bo hbricms tûrpicms
y ÷jkbrms fmvlrbkibocl jm
kikmtrizmkiûo.
Jm trim`kioljlom mkbtûoicl
Qljvl hmriolsl bs uo cbr`lklrtiklicb
njmokl iosljunjb bo cb pltbokim iotbr`bcim.
SSrim
rim`kio
`kioljlo
ljlomm 1,=% 1,=e meum. Fíkij`botb Qrbsbotm uom mkkiûo
mkbtûoicl sljunjb bo mjklhlj motiiofjm`mtlrim.
y cisljvbotbs Sm`niéo
S m`niéo tibob mkkilobs
lreíoikls. motimjéreikms, njlqubmocl
jm sàotbsis cb histm`iom.
>93
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
iotbr`bcils (tbobr prbbjmnlrmcm jm b`ujsiûo L/U). Qrlplob`ls bjmnlrmr cls prb-
pmrmcls iotbr`bcils cb krb`m L/U, uol klo urbm mj 31% y ltrl sio4 msà plcb`ls
bjmnlrmr flr`ujmkilobs cb b`ujsilobs qub klotboemo cifbrbotbs klokbotrmkilobs
cb uom `mobrm `ís rípicm.
Jm flr`ujmkiûo `mrkl qub mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo cb jm b`ujsiûo
L/U bs bstm vmrimkiûo cb jm kjísikm krb`m nmsb Jmobttb plr su mjtm bxpbribokim
y bkmkim bo bj í`nitl plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =3%
91 pmrtbs cb kbrm Jmobttb L y =1 pmrtbs cb uom `bzkjm
cb sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
>92
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Rrbm 31%
Meum purikmcm ksp
@lcus lpbrmoci
[i sb cisplob cb meitmclr tipl uoeumtlr ®7
QM[L = Bo uo bovmsb
cibotb uoeumtlr ® tmrmcl
cb trim`kioljlom cb =y31`j
mkbtûoicl pbsmr jm kmoticmc
mjmotlàom. k moticmc klrrbsplo-
QM[L > Bo bj `is`l bovmsb ioklrplrmr jmjm kmoticmc cb jmktmtl m`ûoikl y ci`b-
tiklom4 klo uom vmrijjm `bzkjmrjl tlcl hmstm lntbobr uom pmstm om sio
oioe÷o eru`l.
QM[L ;m (klo Q.I.
Q.I. cb urbm mj 31%)7
31%)7 bo bj `is`l bovmsb ioklrplrmr jm b`uj-
siûo L/U klo urbm mj 31% obkbsm
obkbsmrim
rim pmrm klosbeuir jm klokbotrmkiûo
cbsbmcm,, bo oubstrl kmsl pmrm bj =1%
cbsbmcm =1% pbsmr >2e. Klotioumr ioklrpl-
rmocl bj rbstl cb krb`m L/U sio urbm hmstm lntbobr bj pbsl tltmj cb
jm flr`ujmkiûo cb =11e. M klotioumkiûo meitmr klo bj uoeumtlr ® cls
`ioutls m jm `íxi`m vbjlkicmc.
QM[L ;n (sio Q.I.
Q.I. cb urbm mj 31%)7
31%)7 bo bj `is`l bovmsb, jm krb`m L/U klo jm
klokbotrmkiûo cb urbm prbskritm hmstm lntbobr bj pbsl tltmj cb jm flr-
`ujmkiûo cb =11e. M klotioumkiûo meitmr klo bj uoeumtlr® cls `ioutls
m jm `íxi`m vbjlkicmc.
QM[L 3 Bovmsmr bo uo tunl cb mju`ioil prbkiotmcl l bo uol cb pjístikl.
>96
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
uoeu mtlr®7
[i ol sb cisplob cb meitmclr tipl uoeumtlr
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr njmokl fíkij`botb jmvmnjb klo meum.
Fûr`ujms `meistrmjbs
pmrm pslrimsis cbj pib
Kl`plsikiûo
Rrbm =1%
Dbtlklomzlj >%
Ebotm`ikiom 1,>%
Srim`k
rim`kioljlom
ioljlom mkbtûo
mkbtûoicl
icl 1,==%
1,
Cbxpmotbolj ;%
Krb`m L/U ksp =11e
[ioûoi`ls
Rrbm7 kmrnm`icm
Cbxpmotbolj7 .
pmotbolj, mjklhlj pmotboijikl, prlvitm`iom N2.
Ebotm`ikiom7 ebotm`ikiom sujfmtl,
sujf mtl, sujfmtl cb ebotm`ikiom.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Jm urbm m klokbotrmkilobs cbj 6-= 6-=1%
1% bs uo mebotb hicrmtmotb, mkt÷m gmocl
`ljékujms cb meum y bvitmocl jm pércicm
pé rcicm cb meum iotrmkbjujmr. M klokbotrmkilobs
supbrilrbs mj =1% bs jiebrm`botb qubrmtljàtikm, kmpmz cb bji`iomr jm qubrmtiom
bpicér`ikm mu`botmocl jm bxinijicmc cb jm kmpm kûrobm, msà kl`l mu`botmocl
bj klotboicl hàcrikl cb jm `is`m.
Bj dbtlklomzlj bs uo cbrivmcl i`icmzûjikl klo prlpibcmcbs moti`ikûtikms. Qrb-
sbotm uo m`pjil bspbktrl, sibocl mktivl tmotl frbotb m cbr`mtltls (@ikrlsplru`,
Bpicbr`lphytlo, Sriklphytlo) kl`l m jbvmcurms
jbvmcurms (Kmocicm spp).
Jm ebotm`ikiom bs uo motiniûtikl m`iolejukûsicl cb m`pjil bspbktrl, mktivl
frbotb m eér`bobs erm`+ (iokjuicl [tmphyjlklkkus murbus) y erm` erm`‛‛ (iokju
( iokjuicm
icm
Qsbucl`lom mbrueiolsm).
Jm trim`kioljlom mkbtûoicl
mk btûoicl mj 1,=
1,=% bs uo cbr`mtlklrtiklicb
cb r`mtlklrtiklicb cb pltbokim `bcim
qub rbcukb jms rbmkkilobs cljlrlslsms, britb`mtlsms
br itb`mtlsms b iom`mtlrims qub mkl`-
pmýmomo m jm jbsiûo4 mkt÷m njlqubmocl jm sàotbsis cb prlstmejmocioms y ltrls
`bcimclrbs kl`l jm histm`iom.
Bj cbxpmotbolj bs uo mebotb hu`bktmotb, hicrmtmotb y kikmtrizmotb, kmpmz cb
rbebobrmr bj tbgicl bpicér`ikl surmcl plr jm xbrlcbr`im.
Jm krb`m L/U bs uom b`ujsiûo cb fmsb bxtbrom mkulsm
mkuls m hicrmtmotb y ol lkjusivm.
Bj prbpmrmcl tibob mkkiûo motiiom`mtlrim, motibcb`mtlsm, motif÷oeikm y moti-
nmktbrimom. Bji`iom jm siotl`mtljleàm xbrûsikm, britb`mtlsm y cljlrlsm cb jms
jbsilobs
bo pibjbs,bkzb`mtlsms. Srmosflr`m
hicrmtmcms, bjístikms, bkzb`ms
bxinjbs xbrûsikls
y jinrbs iktiûsikls slnrbiofbktmcls
cb iofbkkiûo.
>98
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
Kmrmktbràstikms lremoljéptikms
[b`isûjicl krb`lsl njmokl y sio ljlr. Kls`étikm`botb bs mermcmnjb mj tmktl y
bo su mpjikmkiûo.
Iocikmkilobs
Srmtm`ibotl cb jbsilobs bkzb`mtlsms sunmeucms l krûoikms (bkzb`m ou`ujmr,
cbr`mtitis cb klotmktl, bkzb`m pjmotmr, oburlcbr`itis, btk.) sbkuocmrims, klo
iofbkkiûo nmktbrimom y/l f÷oeikm sunymkbotb. Srmtm`ibotl ioikimj cb Siobm pbcis
sunmeucm klo slnrbiofbkkiûo nmktbrimom. Srmtm`ibotl cb bkzb`m cishicrûtikl
sunmeucl slnrbiofbktmcl. Srmtm`ibotl
Srmtm`ibotl cb pslrimsis pustujlsm pjmotmr jbvb. Bo
fuokiûo cbj mebotb btiljûeikl (hloels y/l nmktbrims) pubcb bji`iomrsb cb jm flr-
`ujmkiûo mjeuol cb jls motiiofbkkilsls prbsbotbs (ebotm`ikiom y/l dbtlklomzlj).
Klotrmiocikmkilobs
Mjbreim m jls cbrivmcls i`icmzûjikls y motiniûtikls
motiniûtikls m`iolejukûsicls, msà kl`l m
kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Bj usl cb klrtiklicbs tûpikls cb
pltbokim iotbr`bcim
iotbr`bcim bo b`nmrmzmcms, `ugbrbs bo pbrilcl cb jmktmokim y oiýls
`bolrbs cb => mýls sb rbsbrvmrí
rbsbrvmr í ÷oikm`botb pmrm jls kmsls bo jls qub bj nbob-
kil pltbokimj gustiqub plsinjbs ribsels.
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl frbkubotbs b i`plrtmo-
tbs. Qubcb prbsbotmr irritmkiûo kutíobm bo trmtm`ibotl
trmtm`ibotlss prljloemcls. Bvitmr su
mpjikmkiûo bo zloms kbrkmoms
kbrkm oms m jls lgls l `uklsms. Jm trim`kioljlom mkbtûoicl
klrtiklicb cbj erupl II/III rmrm`botb bo plcljleàm prbsbotm rbmkkilobs mcvbrsms m
jms klokbotrmkilobs y clsikmkilobs klrrbktms, pbrl bstío cbskritms rbmkkilobs
jlkmjbs kl`l7 cbr`mtl`iklsis, qub`mzûo kutíobm, pruritl
pr uritl y sbqubcmc bo jm zlom
trmtmcm. Bo trmtm`ibotls prljloemcls pubcb cmr c mr juemr m hirsutis`l, mtrlm kutí-
obm klo mcbjemzm`ibotl kutíobl, bstràms cér`ikms qub pubcbo sbr pbr`mobotbs,
cbspie`botmkiûo kutíobm, pbtbquims, kupbrlsis y rbtrmsl bo jm kikmtrizmkiûo cb
hbricms. @uy rmrm`botb pubcbo mpmrbkbr rbmkkilobs sisté`ikms plr mnslrkiûo
pbrkutíobm oltmnjb, klo suprbsiûo mcrbomj, sàocrl`b cb Kushioe, rbtrmsl bo bj
krbki`ibotl. Bxkbpkilomj`botb pubcb mpmrbkbr cbr`mtitis
cbr `mtitis cb klotmktl. Bo kmsl
cb `moifbstmrsb rbmkkilobs mjéreikms
mjéreikm s (urtikmrim, britb`m, rbmkkilobs bxmotb`íti-
kms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
>99
Vmjlrmkiûo
Bj prbpmrmcl
cbríocljl cbprbsbotm uom
utijicmc bo bj bxkbjbotb tljbrmokim
trmtm`ibotl y klosunmeucls
cb bzkb`ms bkmkim cb`lstrmcm, klosi-
slnrbiofbktmcls,
msà kl`l bo cbr`mtl`iklsis sunmeucms l krûoikms. Bo kmsl cb jbsilobs kjàoikms
meucms klo bxucmkiûo, slo rbkl`bocmnjbs jms sljukilobs mstrioebotbs (vbr mpmr-
tmcl 9.>) prbvims m jms mpjikmkilobs cbj prbpmrmcl. Bo musbokim cb slnrbiofbkkiûo
nmktbrimom sb bji`iomrí cb jm fûr`ujm jm ebotm`ikiom.
SSrr
p
;11
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
;1=
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl
iotbr`bcils cb jm utijizmkiûo
(tbobr prbbjmnlrmcm bo `mylr
jm b`ujsiûo L/U).l `bolr ermcl cb prbpmrmcls
prbpmr mcls
Qrlplob`ls bjmnlrmr cls prbpmrmcls
prbpm rmcls iotbr`bcils cb krb`m L/U, uol klo urbm
mj 31% y ltrl sio4 msà plcb`ls bjmnlrmr flr`ujmkilobs cb b`ujsilobs qub klo-
tboemo cifbrbotbs klokbotrmkilobs cb uom `mobrm `ís rípicm.
Jm flr`ujmkiûo `mrkl qub mklosbgm`ls utijizmr pmrm jm bjmnlrmkiûo
bjmn lrmkiûo cb jm b`ujsiûo
L/U bs bstm vmrimkiûo cb jm kjísikm krb`m nmsb Jmobttb plr su mjtm bxpbribokim
y bkmkim bo bj b j í`nitl plcljûeikl.
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm bo flr`m cb cispbrsiûo kljlicmj cb =3%
91
cb pmrtbs
sujfmtlscbsûcikls
kbrm Jmobttb L y =1 ermsls.
cb mjklhljbs pmrtbs cb uom `bzkjm
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Meum purikmcm ksp
FM[B E^M[M
Kbrm Jmobttb [X
Kl`plsikiûo7 `bzkjm
`bzkjm bo flr`m cb cispbrsiûo
cispb rsiûo kljlicmj cb =3%
91 pmrtbs cb kbrm Jmobttb L y =1 pmrtbs cb uom `bzkjm
cb sujfmtls sûcikls cb mjklhljbs ermsls.
Mkbitb cb mj`bocrms cujkbs 5%
Qmrmom jàquicm 5%
Qhboloip 1,62%
;1>
Fûr`ujms `meistrmjbs
pmrm bkzb`ms krûoikls
FM[B MKRL[M
Ejikbriom 2%
Bctm cisûcikl 1,;2%
Rrbm 31%
Meum purikmcm ksp
@lcus lpbrmoci
[i sb cisplob cb meitmclr tipl uoeumtlr ®7
uoeu mtlr®7
[i ol sb cisplob cb meitmclr tipl uoeumtlr
QM[L = Bo uo `lrtbrl tmrmcl pbsmr jm kmoticmc klrrbsplocib
klrrbsplocibotb
otb cb trim`kioljlom
mkbtûoicl, ebotm`ikiom sujfmtl y dbtlklomzlj.
QM[L > Bo bj `is`l bovmsb ioklrplrmr jm `àoi`m kmoticmc cb ejikbriom y b`pmstmrjl
tlcl
utijizmrhmstm lntbobr uom pmstm om sio oioe÷o eru`l. Sm`niéo
prlpijboejiklj. Sm`niéo sb pubcb
QM[L ; Mýmcir m klotioumkiûo bj cbxpmotbolj y sbeuir b`pmstíocljl.
QM[L 3 Bo bj `is`l `lrtbrl ioklrplrmr
ioklrplrmr jm b`ujsiûo L/U klo urbm mj 31% obkbsmrim
pmrm klosbeuir jm klokbotrmkiûo cbsbmcm, bo oubstrl kmsl pmrm bj =1%
pbsmr >2e. Klotioumr ioklrplrmocl bj rbstl cb krb`m L/U sio urbm hmstm
lntbobr bj pbsl tltmj cb jm flr`ujmkiûo cb =11e. Hl`lebobizmr tlcl klo
jm myucm cbj pistijl.
QM[L 2 Bovmsmr prbfbrinjb`botb bo uo tunl cb mju`ioil prbkiotmcl.
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr njmokl fíkij`botb jmvmnjb klo meum.
;1;
Fûr`ujms
`meistrmjbs pmrm
Ltljleàm
loiklpmtàms
Jm loiklpmtàm pslriísikm bs jm mfbkkiûo uoeubmj lnsbrvmcm m oivbj plcljûeikl
klo `mylr frbkubokim, sibocl ÷oikm`botb supbrmcm bo su iokicbokim plr jms
iofbkkilobs f÷oeikms (loikl`iklsis).
[io b`nmrel, mpboms uo 2% cb jls pmkibotbs klo pslrimsis ji`itm sus `moifbs-
tmkilobs m jms uýms. Qlr bjjl, pmrm hmkbr uo klrrbktl cimeoûstikl, bs obkbsmril
lnsbrvmr si hmy jbsilobs suebstivms bo ltrms jlkmjizmkiûobs (pjibeubs, klcls,
rlcijjms, kubrl kmnbjjucl).
kmnb jjucl).
Jls pit tioe pubcbo lnsbrvmrsb bo iociviculs smols l klo bzkb`ms krûoikls,
pittioe
mjlpbkim mrbmtm l jiqubo pjmol.
;16
Fûr`ujms `meistrmjbs
pmrm uýms pslriísikms
Kl`plsikiûo
Kjlnbtmslj 8%
Kjltri`mzlj =%
Jmkm cb uýms ksp =1 `j
[ioûoi`ls
Kjlnbtmslj7 ciprlpilomtl cb kjlnbtmslj.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj kjlnbtmslj prlpilomtl bs uo cbr`lklrtiklicb cb `uy mjtm pltbokim. Qrbsbotm
uom mkkiûo motiiom`mtlrim plr njlqubl cb jms prlstmejmocioms. Sm`niéo tibob
mkkilobs moti`itûtikms,
moti`itûtikms, njlqubmocl jm prljifbrmkiûo cb jms kéjujms bpicér`ikms
cistrûkms cb jms jbsilobs pslriísikms.
Bj kjlnbtmslj bstí flr`ujmcl mj 8% (jm clsis olr`mj bs cbj 1,12-1,=% bo tbgicl
cér`ikl) pmrm qub pubcmo mkkbcbr mj jbkhl uoeubmj klokbotrmkilobs tbrmpéu-
tikm`botb sukibotbs, cmcl bj fmktlr ji`itmtivl, bo kumotl m pbobtrmkiûo, qub
rbprbsbotm jm jí`iom uoeubmj.
Bj kjltri`mzlj bs uo fuoeistítikl i`icmzûjikl cb m`pjil bspbktrl, su utijicmc bo bj
prbpmrmcl bs bj klotrlj cb uom plsinjb iofbkkiûo sbkuocmrim
sbkuocm rim f÷oeikm qub pucibrm
mpmrbkbr m jl jmrel cbj trmtm`ibotl plr jm utijizmkiûo cb uo klrtiklicb m mjtms clsis.
Jm jmkm cb uýms, mj mpjikmrsb slnrb jm uým, cbgm uom kmpm supbrkimj
supbr kimj trmospmrbotb
bxinjb y lkjusivm, qub pbr`itb ir kbcibocl bj cbr`mtlklrtiklicb jbotm`botb cb
flr`m klostmotb y klotioumcm, fmkijitmocl jm mkkiûo tbrmpéutikm cbj `is`l.
Kmrmktbràstikms lremoljéptikms
Jmkm cb uýms trmospmrbotb, iokljlrm y cb ljlr kmrmktbràstikl.
Iocikmkilobs
Srmtm`ibotl cb cistrlms uoeubmjbs
uoeubmjb s pslriísikms. Srmtm`ibotl cb jm uým pslriísikm.
pslriísikm .
Jls bstucils rbmjizmcls cb`ubstrmo `bglràm cbj cljlr, piqubtbmcl, `mokhms y
jàobms cb Nbmu cb jms uýms mfbktmcms.
Qlsljleàm7 vàm tûpikm
Jms pri`brms trbs sb`moms
sb `moms cb trmtm`ibotl cbnb mpjikmrsb uom om kmpm slnrb jm
jí`iom uoeubmj kmcm >3 h. Bji`ioíoclsb jls rbstls cb jmkm kumocl
kum ocl sb klosicbrb
lplrtuol.
M pmrtir
pmr tir cb jm kumrtm
kum rtm sb`mom sb mpjikmrí
mpji kmrí > vbkbs
vbkb s m jm sb`mom
sb`mom.. Jm curmkiû
curmkiûoo cbj
trmtm`ibotl bstí bo fuokiûo cb jm bvljukiûo cbj prlkbsl (sb rbkl`ibocm uo `àoi`l
cb 3 `bsbs).
;18
Fûr`ujms `meistrmjbs
pmrm uýms pslriísikms
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
Bxistbokim cb jbsilobs iofbkkilsms nmktbrimoms l f÷oeikms.
Ol utijizmr bo b`nmrmzmcms, `ugbrbs bo pbrilcl cb jmktmokim y bo oiýls `bolrbs
cb => mýls mj ol tbobr cmtls cb su sbeuricmc.
sbeur icmc.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
cb flr`m klrrbktm.
Bo ebobrmj slo sib`prb rbmkkilobs jlkmjbs plkl frbkubotbs (cbr`mtl`iklsis,
qub`mzûo kutíobm, pruritl, sbqubcmc kutíobm, rbtrmsl bo jm kikmtrizmkiûo cb
hbricms).
Bs `uy bxkbpkilomj qub pubcbo mpmrbkbr rbmkkilobs sisté`ikms plr mnslrkiûo
pbrkutíobm oltmnjb, klo suprbsiûo mcrbomj, sàocrl`b cb Kushioe y rbtrmsl bo
bj krbki`ibotl.
Bxkbpkilomj`botb pubcb mpmrbkbr cbr`mtitis cb klotmktl b iofbkkilobs f÷oeikms.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim klo bkmkim cb`lstrmcm bo civbrsls
bstucils, sibocl cb iotbrés bo bj trmtm`ibotl cb uýms pslriísikms.
Cmcm jm mjtm klokbotrmkiûo cb kjlnbtmslj bs obkbsmril, m o cb bvitmr cucms m
jm hlrm cb`b
uoeubmj, surmtikl
bjmnlrmkiûo, iocikmrkiûo",
bo jm
bo jm clsikmkiûo"
clsikm rbkbtm7 "Qmrm
, r`mocl trmtm`ibotl
oubvm`botb cb pslrimsis
jm `is`m.
;19
Qljvl njmokl
hmriolsl sljunjb bo Bj kjltri`mzlj bs
Kjltri`mzlj =% 1,=e mjklhlj, mkbtlom y uo fuoeistítikl
ltrls cisljvbotbs i`icmzûjikl cb
lreíoikls. Iosljunjb m`pjil bspbktrl.
bo meum.
[b usm
Jàquicl vljítij, frbkubotb`botb
jà`picl, iokljlrl. kl`l bxkipibotb y
Mkbtlomm
Mkbtlo sljunijizmotb bo
ks ks @iskinjb klo meum
y klo btmolj mj mjeuoms fûr`ujms
96%. `meistrmjbs cb
mpjikmkiûo tûpikm
(kljlcilobs,
(kljlcilob s, btk.).
btk.).
Bo flr`ujmkiûo `meistrmj,
kl`l nmsb iokljlrm pmrm bj
trmtm`ibotl cb pmtljleàms
Jmkm =1`jj Bxkipibotb
ksp =1`j ksp =1` Mklfmr pmrm uoeubmjbs (pslrimsis, btk.).
cb uýms jmkm cb uýms. Jls cisljvbotbs prlpils cb jm
jmkm ym cisubjvbo jm `mylràm
cb mktivls sio obkbsicmc cb
mýmcir oioe÷o ltrl prlcuktl.
SLSMJ
SLSMJ =1`j =1`j
;=1
Fûr`ujms `meistrmjbs
pmrm uýms pslriísikms
@lcus lpbrmoci
QM[L = Qbsmr tlcls jls kl`plobotbs.
QM[L > Bo uo `lrtbr
`lrtbrl l cbplsitm
cbplsitmrr bj kjltri`mzlj y bj kjlnbtm
kjlnbtmslj.
slj. Klo jm myucm
cb uo pistijl pujvbrizmr flr`mocl uom `msm kl`pmktm. Ioklrplrmr jm
mkbtlom obkbsmrim pmrm cisljvbr jls pljvls, olr`mj`botb bs sukibotb
klo >`j.
QM[L ; Ioklrplrmr jm
jm kmoticmc cb jmkm cb uýms obkbsmrim pmrm lntbobr bj vlju-
`bo omj cb jm fûr`ujm cb =1`j. [i bj bovmsb omj bstí ermcumcl sb
pubcb hmkbr cirbktm`botb bo éj.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo frmskl cb kristmj tlpmkil klo mpjikmclr
l klo uo frmskl cb kristmj klo piokbj (tipl jmkm cb uýms) qub utijizm jm
iocustrim kls`étikm.
Klotrlj
[ljukiûocb kmjicmc
visklsm trmospmrbotb qub pubcb tbobr uo jiebrl kljlr m`mrijjbotl.
j
.
jm
àm
b
l.
;==
Fûr`ujms
`meistrmjbs pmrm
loikl`iklsis
Ltljleàm
cistrûkms
Bj tér`iol loikl`iklsis hmkb rbfbrbokim m jm bofbr`bcmc iofbkkilsm cb jms uýms
kmusmcm plr hloels.
Jls mebotbs
hloels kmusmjbs Jms
cbr`mtltls. rbsplosmnjbs
jbvmcurms cb jm `lhls
y jls iofbkkiûo
olslo fuocm`botmj`botb
cbr`mtltls jls
slo ebobrmj-
`botb iovmslrbs kljloizmclrbs sbkuocmrils m bofbr`bcmcbs prbvims cb jms uýms
l trmu`mtis`ls, m cifbrbokim cb jls motbrilrbs qub slo kmpmkbs cb pbobtrmr bo
bj bxtrmktl kûrobl cb jm pibj y uýms prlcukibocl prltbmsms qubrmtljàtikms
qub rmtljàtikms qub jbs
pbr`itbo iovmcir b iofbktmr bstls
b stls tbgicls.
Jms loikl`iklsis prbsbotmo uom cistrinukiûo uoivbrsmj, sio b`nmrel jls cmtls
slnrb prbvmjbokim slo klotrmciktlrils.
Qlr bgb`pjl bo Bspmým, bo uo bstucil slnrb =1.111 hmnitmotbs, sb bstmnjbkb
uom prbvmjbokim cbj >,6%, bo bj ^biol Roicl cbj >,5%>,5% slnrb 9.111 hmnitmotbs, bo
Bstmcls Roicls cbj
cb j ;%, bo Eumtb`mjm cbj
cb j >,6%,
>,6%, mjkmozmocl bj
b j 8,3%
8,3% bo Fiojmocim
si sb iokjuybo cmtls cb jmnlrmtlrils.
Bstm vmrimnijicmc bs klosbkubokim
klosbkub okim cb mspbktls `btlcljûeikls7 tipls cb plnjmkiûo
bstucimcm,
kiûo o÷`brl
l ol cbj cb iociviculs
pmtûebol momjizmcls,
rbsplosmnjb, btk. tipl cb bvljukiûo kjàoikm, icbotikm-
Bo ebobrmj, bs mkbptmcl qub jm prbvmjbokim mu`botm klo jm bcmc, sibocl rmrm
pmrm oiýls `bolrbs cb =; mýls, iokrb`botmocl sieoikmtivm`botb bo mcujtls
`mylrbs cb 22 mýls y mjkmozmocl uom `bcim supbrilr mj 32% bo plnjmkiûo
`mylr cb 51 mýls.
@ís cb uo ;1% cb pmtljleàms uoeubmjbs slo loikl`iklsis, klostituybocl `ís
cb uo tbrkil cbj tltmj cb iofbkkilobs f÷oeikms cb jm pibj.
Jms loikl`iklsis slo `ukhl `ís frbkubotbs bo jls pibs qub bo b o jms `mols, y bo
jm cb jls pibs prbcl`iom jm mfbktmkiûo cb jm uým cbj pri`br cbcl klo rbjmkiûo m
jls ltrls. Bo bj kmsl cb jms `mols, ol hmy prbcl`ioil slnrb mjeuol cb jls cbcls.
Jms pbrsloms
pbr sloms klo cbr`mtl`iklsis bo bspmkils iotbrcieitmjbs klostituyboklostituybo uo
erupl cb ribsel pmrm jms jm s loikl`iklsis plcmjbs, lnsbrvíoclsb qub bo jm `mylràm
cb kmsls bxistb bj motbkbcbotb cb bstm iofbkkiûo cb flr`m rbkurrbotb.
Jms tmsms cb iofbkkiûo
iofbk kiûo bo jms loikl`iklsis cb jls pibs bstío iouicms plr civbrsls
fmktlrbs7 usl cb kmjzmcl iomcbkumcl, trmu`mtis`ls, utijizmkiûo cb vbstumrils y
cukhms kl`uobs, klosu`l cb io`uolcbprbslrbs y/ y/l
l kitlstítikls, msà kl`l plr
civbrsms pmtljleàms (cimnbtbs, vmskujlpmtàm pbriférikm, cbr`mtl`iklsis, hipbrhi-
crlsis, btk.)
btk.)..
Jms bspbkibs qub klo `mylr frbkubokim slo misjmcms bo loikl`iklsis cb jls pibs
slo Srikhlphytlo runru`
runr u`, Srikhlphytlo `botmerlphitbs
`botmer lphitbs vmribcmc iotbrcieitmjis yy,,
klo `bolr frbkubokim, Bpicbr`lphytlo lklssu`, sibocl rbsplosmnjbs cb `ís
cbj 82% cb jms loikl`iklsis plcmjbs (Siobm uoeuiu`).
Jms iofbkkilobs f÷oeikms cb jms uýms plr jbvmcurms slo `ís frbkubotbs bo `mols,
cb mcujtls y cb sbxl fb`boiol, sibocl Kmocicm mjnikmos jm bspbkib kmusmj cb jm
`mylràm cb pbriloixis `ikûtikms.
;=3
Jlstipl
cbj trmtm`ibotls
cb kjàoikm7fmr`mkljûeikls cb jms loikl`iklsis
loikl`iklsis sunuoeubmj sb bstmnjbkbrío
cistmj y jmtbrmj bo fuokiûos
(L[CJ), loikl`iklsis
loikl`iklsi
supbrkimj njmokm (L[N), loikl`iklsis sunuoeubmj prlxi`mj (L[Q), loikl`iklsis
plr kíocicms (L@K) y plr bj o÷`brl y ermcl cb mfbktmkiûo cb jms uýms.
Bj kikjlpirlx y jm m`lrljom bo nmroiz cb uýms,
uým s, kl`l tbrmpim tûpikm, y jm tbrniomom
b itrmklomzlj kl`l lrmj slo jls trmtm`ibotls cb bjbkkiûo pmrm jm príktikm tltmjicmc
cb jms loikl`iklsis plcmjbs.
Bo ebobrmj plcb`ls mr`mr qub bj trmtm`ibotl klo fír`mkls tûpikls bs cb
utijicmc bo loikl`iklsis cb jls pjibeubs uoeubmjbs y kumocl jm jí`iom uoeubmj
sljl bstí mfbktmcm pmrkimj`botb
pm rkimj`botb (sb mkbptm qub `bols cb uo 21% 21%)) bo su plrkiûo
cistmj.
Bj trmtm`ibotl klo motif÷oeikls lrmjbs, sib`prb bo mslkimkiûo klo fír`mkls fír `mkls
tûpikls bspbkàkls, slo cb bjbkkiûo kumocl jls trmtm`ibotls jlkmjbs hmo sicl
iobkmkbs, bo pmkibotbs io`uolsupri`icls y kumocl jm loikl`iklsis mfbktm m
`ís cbj 21% cb jm jí`iom uoeubmj l m jm pmrtbpmr tb prlxi`mj, y bo bspbkimj si bxistbo
`÷jtipjbs uýms mfbktmcms.
Bo bj kmsl cb jm loikl`iklsis cistrûkm tltmj (LCS), qub Wmims cbob kl`l
bj omj cbj prlkbsl bvljutivl cb tlcms jms iofbkkilobs f÷oeikms uoeubmjbs. Jm
tltmjicmc cb jm uým mpmrbkb mfbktmcm,
mfbktmcm , prlcukiéoclsb uom iotbosm hipbrqubrmtlsis
y jm jí`iom pibrcb su `lrfljleàm hmnitumj, sb cbs`bouzm, frme`botm y boerubsm.
Bs frbkubotb bo bofbr`ls cb [ICM, bo pbrsloms klo kmocicimsis `uklkutíobms
krûoikms l bo pmkibotbs klo loikl`iklsis cb `uy jmrem curmkiûo cur mkiûo ol klotrljmcm.
Bj trmtm`ibotl cb bstms loikl`iklsis bo plcljleàm sb nmsmo bo jm bji`iomkiûo
pmrkimj l tltmj cb jm uým mfbktmcm `bcimotb kirueàm.
Ltrm mjtbromtivm bs jm loikûjisis quà`ikm (mvujsiûo quà`ikm), `bcimotb flr`ujm-
kilobs bspbkàkms, sibocl bstb `étlcl `ukhl `bols trmu`ítikl y bo `ukhls
kmsls ieumj cb bkmz qub bj quir÷reikl.
;=2
Kl`plsikiûo
Rrbm 31%
Íkicl smjikàjikl =1%
=1%
Kikjlpirlx >%
Roeúbotl hicrûjl ksp ;1e
[ioûoi`ls
Rrbm7 kmrnm`icm.
Kikjlpirlx7 kikjlpirlx ljm`iom, kikjlpirlxljm`iom.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj íkicl smjikàjikl prlcukb uom jiebrm rbmkkiûo
rbmk kiûo iom`mtlrim klo bcb`m jlkmj iotbr-
kbjujmr,, kmusmocl jm sbpmrmkiûo cb jms kéjujms bpicér`ikms. Sm`niéo
kbjujmr Sm`niéo prbsbotm
uom mkkiûo cirbktm slnrb jm qubrmtiom kûrobm prlcukibocl su cbsiotbermkiûo
(qubrmtioljisis).
Jm urbm mj 31% tibob mkkilobs prltbioljàtikms klo jm klosieuibotb ciserbemkiûo
cbj bxtrmktl kûrobl, pltbokim jms mkkilobs qubrmtljàtikms cbj íkicl smjikàjikl, fmvl-
rbkibocl jm loikûjisis quà`ikm.
Bj kikjlpirlx bs uo motif÷oeikl cb m`pjil bspbktrl cbj erupl cb jms piricloms qub
prbsbotm uom ermo moicmc plr bj tbgicl uoeubmj.
Bj uoeúbotl hicrûjl bs uom b`ujsiûo ermsm klo mktivicmc hicrmtmotb, ermo plcbr
lkjusivl y kls`étikm`botb mermcmnjb.
Bj
cbprbpmrmcl, plrji`pibzm
prlcukir uom sus mkkilobs prltbioljàtikms,
quà`ikm qubrmtljàtikms
cb jm loikl`iklsis cistrûkmy motif÷oeikms,
uoeubmj y jmsbsmpjikm-
kmpmz
kilobs klotioumcms pubcbo jjbemr m prlcukir uom loikûjisis tltmj cb jm uým cistrûkm.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl `uy jiebrm`botb m`mrijjbotl cb mspbktl krb`lsl mermcmnjb mj
m j tmktl.
Iocikmkilobs
Srmtm`ibotl cb jm loikl`iklsis cistrûkm tltmj. Loiklcistrlms uoeubmjbs. Loi-
kûjisis quà`ikm.
;=6
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj íkicl smjikàjikl l m jls smjikijmtls, iokjuicm jm mspiriom®. Mjbreim
m kumjquibrm cb jls ltrls kl`plobotbs cbj prbpmrmcl.
Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
Jm utijizmkiûo cb qubrmtljàtikls bo bofbr`ls cimnétikls, klo prlnjb`ms vmskujmrbs
pbriférikls l mokimols, hm cb rbmjizmrsb nmgl uo klotrlj bstriktl cbj plcûjlel,
vmjlrmocl bo kmcm `l`botl y pmrm kmcm bofbr`l jm obkbsicmc cb su usl.
^bmkkilobs mcvbrsms
Jm iokicbokim cb rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo bs nmgm si sb utijizm
klrrbktm`botb.
Bo lkmsilobs pubcb prlcukir irritmkiûo kutíobm bo trmtm`ibotls prljloemcls,
fuocm`botmj`botb bo bj tbgicl pbriuoeubmj.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms.
Mjtmsqub`mcurms
rms klok botrmkilobs
klokbotrmkilobs cb íkicl
si sb mpjikmo s mjikàjikl
smjikàjikl
slnrb zlomspubcb
clocbprlcukir
jm kmpmvbsikujmkilobs
vbsikujm
kûrobm kilobs y jieb-
jieb -
sb bokubotrm
cis`iouicm.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Jm lpbrmkiûo
• tbril motbrilr
cbj plcûjlel., sb rbpbtirí
sib`prb sbe÷o prbvim`botb
bji`iomocl pmutms iocikmcms l sbe÷o
bj tbgicl kri-
cistrûfikl
mfbktmcl.
• Rom vbz jlermcm jm loikûjisis (tltmj l pmrkimj), rbmjizmr kurms klo bozi`ms
prltbljàtikms + motiniûtikl tûpikl l klo motiniûtikl tûpikl
tûpikl + hicrlklrtislom.
hicrlklrtislom .
• Bvitmr bj klotmktl cbj prlcuktl klo `uklsms u ltrms zloms ol mfbktmcms.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Bstmnijicmc `íxi`m ; `bsbs.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim, klo bkmkim cb`lstrmcm, klosicb-
ríocljl
cistrlmscbqub
utijicmc bo bjloikûjisis
prbkisbo trmtm`ibotl cb loikl`iklsis cistrûkms u ltrms loikl-
quà`ikm.
;=5
Bj kikjlpirlx bs uo
Qljvl kristmjiol motif÷oeikl cb m`pjil
Kikjlpirl- njmokl fíkij`botb bspbktrl cbj erupl cb
xljm`iom >% 1,6e sljunjb bo jms piricloms,
mjklhlj y ol prbsbotmocl uom ermo
sljunjb bo meum. mfioicmc plr bj tbgicl
uoeubmj.
Roeúbotl k sp ;1e k sp ;1e
hicrûfijl
SLSMJ
SLSMJ ;1e ;1e
;=8
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls sbeuir cifbrbotbs `mobrms
cb trmnmgmr, cbpbocibocl cb jm utijizmkiûo bo `mylr l `bolr ermcl cb prbpmrmcls
prbpmr mcls
iotbr`bcils. (Sbobr prbbjmnlrmcm
prbbjmnlr mcm jm b`ujsiûo L/U.)
Jm flr`ujmkiûo `mrkl qub mklosbgm`ls utijizmr pmrm
pmr m jm bjmnlrmkiûo cbj uoeúbotl
hicrûjl bs bstm vmrimkiûo cb jm cbskritm bo bj Flr`ujmril Omkilomj plr jm bxpb-
ribokim y bkmkim bo bj í`nitl plcljûeikl.
FM[B E^M[M
Mjklhlj kbtàjikl >2%
>2%
Vmsbjiom jmotb >2%
Qhboloip 1,62%
FM[B MKRL[M
Qrlpijboejiklj =>%
Jmurij sujfmtl sûcikl =%
Meum purikmcm ksp
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb cb kljlr njmokl fíkij`botb jmvmnjb klo meum.
Jms ÷jkbrms plr prbsiûo sb pubcbo cboir kl`l zloms jlkmjizmcms cb obkrlsis
qub tibocbo m mpmrbkbr kumocl bj tbgicl njmocl bstí kl`pri`icl botrb cls pjm-
ols, uol jms prl`iobokims ûsbms cbj prlpil pmkibotb y ltrl uom supbrkib bxtbrom.
bxtbr om.
[lojuemrbs
jls bj rbsujtmcl cbj cbsprboci`ibotl
prbsilomcls plr boki`m cbcb
uo uom prlfuocm
jà`itb bskmrm qub mpmrbkb bo
tljbrmnjb.
;>>
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Jms ÷jkbrms mrtbrimjbs ebobrmj`botb slo prlcukicms plr isqub`im krûoikm mrtb-
mr tb-
rimj. Bstío cboicms plr
p lr uom sbrib cb sieols tmotl sungbtivls kl`l lngbtivls7
• Cljlr7 prlcukicl plr jm isqub`im y jm ÷jkbrm, bs iotbosl, jmkbrmotb, jlkm-
jizmcl y bxmkbrnmcl plr jls vbocmgbs. [b mjivim klo jm plsikiûo péocujm
cb jm pibrom.
• Frimjcmc7 klosbkubokim cb jm cis`ioukiûo cbj mplrtb smoeuàobl.
• Qmjicbz7 mj priokipil cb mspbktl kmcmvérikl plr cis`ioukiûo cbj ribel
smoeuàobl qub bvljukilom klo bj tib`pl m kimolsis.
• Kjmucikmkiûo iotbr`itbotb7 klo cljlr `uskujmr bo bj `ib`nrl mfbktmcl
klo sbosmkiûo cb lprbsiûo qub sb mermvm
m ermvm klo bj bgbrkikil4 sb mjivim klo bj
rbplsl y lnjiem mj pmkibotb m cbtbobrsb. Jm cistmokim
cistmok im qub pubcm km`iomr
motbs cb qub mpmrbzkm bj cljlr ols cmrí bj ermcl cb lkjusiûo mrtbrimj.
• I`pltbokim fuokilomj7 cb flr`m kl`pjbtm mpmrbkb bo lkjusiûo mrtbrimj
meucm plr lnstrukkiûo nruskm.
nruskm . Jls pujsls bstío mnljicls plr cbnmgl cb
jm lnstrukkiûo.
• Jlkmjizmkiûo cb jm ÷jkbrm7 botrb jls cbcls cb jls pibs l bo jm puotm
cb jls `is`ls, slnrb jms kmnbzms mrtikujmrbs
mr tikujmrbs cb jms fmjmoebs, bo tmjûo,
`mjéljl bxtbrol l zlom prbtinimj.
• Kmrmktbràstikms cb jm ÷jkbrm7 bs cb pbqubýl tm`mýl klo nlrcbs nibo
cbfioicls. Sibocb m prlfuocizmr y pubcb vbrsb bj hubsl y bj tbocûo. Qrb-
sbotm tbgicl oberuzkl l obkrûtikl kmrbotb cb hb`lrrmeim. [ubjbo sbr
ou`brlsms y sbkms m `bols qub sb iofbktbo.
• Km`nils mslkimcls bo jm pibrom l pib7 pibj cbjemcm, nrijjmotb y sbkm.
Rýms boerlsmcms. Musbokim
Musbok im cb krbki`ibotl cbj vbjjl. Vmrimkilobs cb
tb`pbrmturm m jl jmrel cb jm bxtrb`icmc. Qmjicbz m jm bjbvmkiûo, Britrl-
`bjim bo cbkjivb. Bxtrb`icmc mtrlfimcm l sio km`nils cb tm`mýl. Bcb`m
pbriujkbrlsl.
Qlcb`ls cboir bj pib cimnétikl kl`l uom mjtbrmkiûo kjàoikm cb nmsb btilpmtl-
eéoikm oburlpítikm b iocukicm plr jm hipbrejukb`im `motboicm, bo jm qub, klo l
sio klbxistbokim cb isqub`im y prbvil cbsbokmcbomotb trmu`ítikl, sb prlcukb
jbsiûo y/l ÷jkbrmkiûo cbj pib.
;>;
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
QM[SM CB MW×KM^
Kl`plsikiûo
Mz÷kmr ejms =11e
@mkrlelj 311 21e
Meum lxiebomcm mj ;1%
;1% 1,3e
[ioûoi`ls
Mz÷kmr ejms7 smkmr
smkmrlsm
lsm pujvbrizmcm,
pujvbrizmc m, mz÷kmr ejmsé,
ejms é, mz÷kmr pujvbrizmcm.
pujvbriz mcm.
@mkrlelj 3117 pljibtijboejiklj 311.
Meum lxiebomcm7 pbrûxicl cb hicrûebol.
hicrûeb ol.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj `mkrlelj bs uo jàquicl cb kmrmktbràstikms hicrlfàjikms b iolkums pmrm jm pibj,
ol pbobtrm bo jm pibj y sb bji`iom klo fmkijicmc. Qrbsbotm bfbktls hicrmtmotbs y
flr`m klo jm smkmrlsm uo ebj klosistbotb kmpmz cb mchbrirsb mj tbgicl kutíobl,
sio `mkbrmrjl oi lkjuirjl, fmvlrbkibocl jm hu`bcmc cb jm jbsiûo, fmkijitmocl jm
kikmtrizmkiûo y pbr`itibocl jm bvmkumkiûo cb bxucmcls.
Bj mz÷kmr ejms (smkmrlsm) tibob prlpibcmcbs mnslrnbotbs, jiebrm`botb moti`i-
krlnimoms (plsbb uo bfbktl motiniûtikl
motiniûtikl mj kl`pbtir plr bj meum prbsbotb bo jms
nmktbrims) y trûkms slnrb bj tbgicl cér`ikl. Mcb`ís, bgbrkb bfbktls cbsnricmotbs
ls`ûtikls.
Bj meum lxiebomcm tibob mkkilobs cbslclrmotbs, motiséptikms y motilxicmotbs.
Bj prbpmrmcl prbsbotm mkkilobs cbsnricmotbs, cb rbjjbol y mnslrnbotbs bo ÷jkb-
rms (plr cbk÷nitl,
ermoujmkiûo. Kl`lvmriklsms l cimnétikms),
jm smkmrlsm ÷oikm`botbfmkijitmocl jm flr`mkiûo
sb `btmnljizm cbjiotbstiomj,
bo bj trmktl tbgicl cb
pubcb utijizmrsb bo pmkibotbs cimnétikls.
Kmrmktbràstikms lremoljéptikms
Ebj sb`isûjicl njmokl sio ljlr cb mspbktl omkmrmcl y mermcmnjb y sumvb mj tmktl.
Iocikmkilobs
Srmtm`ibotl cb hbricms tûrpicms ol iofbktmcms. Srmtm`ibotl cb ÷jkbrms plr prb-
siûo, cb pibroms, vmskujmrbs ol iofbktmcms. ×jkbrms cbj pib cimnétikl ol iofbktm-
cms. Srmtm`ibotl
Srmtm`ibotl guotl m ltrms `bcicms mcbkumcms
mcbkumcm s pmrm bsti`ujmr jm ermoujmkiûo
ermoujmk iûo
y kikmtrizmkiûo cb ÷jkbrms cimnétikms oburlpítikms krûoikms.
;>2
Klotrmiocikmkilobs
Hipbrsbosinijicmc m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl. Iofbkkiûo cér-
`ikm ol klotrljmcm. Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl frbkubotbs y `uy jbvbs.
Jms `ís i`plrtmotbs slo7 plsinjb irritmkiûo y sbqubcmc kutíobm, fuocm`botmj-
`botb bo jm zlom pbrijbsilomj. Bxkbpkilomj`botb
Bxkbpkilomj`botb pubcb mpmrbkbr slnrbiofbkkiûo
slnrbiofbkkiûo,,
jiebrl smoermcl cb jm jbsiûo l pruritl jlkmj pmsmgbrl. Bvitmr su mpjikmkiûo bo zloms
kbrkmoms m jls lgls l `uklsms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikm-
rim, britb`m, rbmkkilobs bxmotb`
bxmotb`ítikms,
ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr
klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim klo bkmkim cb`lstrmcm, klosi-
cbríocljl cb utijicmc bo bj trmtm`ibotl cb jbsilobs ujkbrmtivms ym sbm plr prbsiûo,
vmskujmrbs l cimnétikms, sib`prb y kumocl ol prbsbotbo kumcrls iofbkkilsls.
;>6
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Bj pbrûxicl cb hicrûebol
Meum Jàquicl bs uo motiséptikl ebobrmj.
lxiebomcm mjtm`botb pljmr.
p ljmr. Qrbsbotm bfbktls lxicmotbs
;1% 1,3e 1,3e Bs klolkicl plr qub cifikujtmo jm ebr`iomkiûo
(==1 vlj÷`bobs) sbr uo plcbrlsl cb bsplrms mombrlnims.
(pbrûxicl
cb hicrûebol) lxicmotb. Qrbsbotm mcb`ís uo bfbktl
cbsnricmotb y cbslclrmotb.
SLSMJ
SLSMJ =21,3e =21,3e
;>5
Fûr`ujms `meistrmjbs
pmrm uýms pslriísikms
@lcus lpbrmoci
Klotrlj cb kmjicmc
[b`isûjicl njmokl klosistbotb. Mj mpjikmrsb ol cbnb mprbkimsb
mprb kimsb oioe÷o tipl cb
kristmj.
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Kl`plsikiûo
Mz÷kmr ejms =11e
@mkrlelj 311 21e
Meum lxiebomcm mj ;1%
;1% 1,3e
Ebotm`ikiom 1,>%
[ioûoi`ls
Mz÷kmr ejms7 smkmr
smkmrlsm
lsm pujvbrizmcm,
pujvbrizmc m, mz÷kmr ejmsé,
ejms é, mz÷kmr pujvbrizmcm.
pujvbriz mcm.
@mkrlelj 3117 pljibtijboejiklj 311.
Meum lxiebomcm7 pbrûxicl cb hicrûebol.
hicrûeb ol.
Ebotm`ikiom7 ebotm`ikiom sujfmtl,
sujf mtl, sujfmtl cb ebotm`ikiom.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj `mkrlelj bs uo jàquicl cb kmrmktbràstikms hicrlfàjikms b iolkums pmrm jm pibj,
p ibj, ol
pbobtrm bo jm pibj y sb bji`iom klo fmkijicmc. Qrbsbotm bfbktls hicrmtmotbs y flr`m
klo jm smkmrlsm uo prlcuktl pmrbkicl m uo ebj klosistbotb kmpmz cb mchbrirsb mj
tbgicl kutíobl, sio `mkbrmrjl oi lkjuirjl, fmvlrbkibocl jm hu`bcmc cb jm jbsiûo,
fmkijitmocl jm kikmtrizmkiûo y pbr`itibocl jm bvmkumkiûo cb bxucmcls.
Bj mz÷kmr ejms (smkmrlsm `ikrloizmcm) tibob prlpibcmcbs mnslrnbotbs, jiebrm-
`botb moti`ikrlnimoms (plsbb uo bfbktl motiniûtikl mj kl`pbtir plr bj meum prb-
sbotb bo jms nmktbrims) y trûkms slnrb bj tbgicl cér`ikl. Mcb`ís bgbrkb
bgbrk b bfbktls
cbsnricmotbs ls`ûtikls.
Bj meum lxiebomcm tibob mkkilobs cbslclrmotbs, motiséptikms y lxicmotbs.
Jm ebotm`ikiom bs uo motiniûtikl m`iolejukûsicl cb m`pjil bspbktrl mktivl frbotb
m eér`bobs erm`+ (iokjuicl [tmphyjlklkkus murbus) y erm`‛ (iokjuicm Qsbucl-
mbrueiols m).
`lom mbrueiolsm
Bj prbpmrmcl prbsbotm mkkilobs cbsnricmotbs, cb rbjjbol y mnslrnbotbs, mcb`ís cb
motiiofbkkilsms bo ÷jkbrms (plr cbk÷nitl, vmriklsms l cimnétikms) y hbricms tûrpicms,
fmkijitmocl jm flr`mkiûo cbj tbgicl cb ermoujmkiûo. Kl`l jm smkmrlsm ÷oikm`botb sb
`btmnljizm bo bj trmktl iotbstiomj, pubcb utijizmrsb bo pmkibotbs cimnétikls.
Kmrmktbràstikms lremoljéptikms
[b`isûjicl njmokl cb mspbktl
ms pbktl omkmrmcl
omkmrm cl sio ljlr. Mermcmnjb
Mermcmnjb y sumvb mj tmktl.
tm ktl.
Iocikmkilobs
Srmtm`ibotl cb hbricms tûrpicms. Srmtm`ibotl cb ÷jkbrms plr prbsiûo, cb pibr-
oms, vmskujmrbs. ×jkbrms cbj pib cimnétikl. Srmtm`ibotl guotl m ltrms `bcicms
mcbkumcms pmrm bsti`ujmr jm ermoujmkiûo y kikmtrizmkiûo cb ÷jkbrms cimnétikms
oburlpítikms krûoikms.
;>9
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls motiniûtikls m`iolejukûsicls (obl`ikiom, m`idmkiom,
tlnrm`ikiom, frm`ikbtiom, btk.) l m kumjquibrm cb jls kl`plobotbs cbj prbpmrmcl.
Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
(
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl frbkubotbs b i`plrtmotbs.
Jms `ís kl`uobs slo7 irritmkiûo y sbqubcmc kutíobm fuocm`botmj`botb bo jm
zlom pbrijbsilomj. @ukhl `ís rmrm`botb pubcb mpmrbkbr jiebrl smoermcl cb jm
jbsiûo y pruritl jlkmj pmsmgbrl. Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l
`uklsms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkil-
obs bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl
cbríocljl cb prbsbotm
utijicmc bouom bxkbjbotb tljbrmokim
bj trmtm`ibotl klo
cb jbsilobs bkmkim cb`lstrmcm,
ujkbrmtivms klosi-
ym sbm plr prbsiûo,
vmskujmrbs l cimnétikms, sib`prb y kumocl bj plsinjb kumcrl iofbkkilsl pubcm
sbr klotrljmcl klo motiniûtikls tûpikls.
;;1
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
btmolj mj 96%,
príktikm`botb pmrtàkujm `íspmrm
y bs icbmj pbqubýl
jm
iosljunjb bo bjmnlrmkiûo cb jm pmstm
btmolj mohicrl. cb mz÷kmr
mz÷k mr..
Jls `mkrleljbs slo
sustmokims hicrûfijms,
iolkuls pmrm jm pibj.
Jàquicl jà`picl, [b bji`iomo fíkij`botb
trmospmrbotb, plr si`pjb jmvmcl.
@mkrlelj 21 e 21 e visklsl, Jls sûjicls kl`l bj
311 príktikm`botb QBE 3111 y bj QBE 6111
iokljlrl b sb usmo bo prbpmrmkilobs
iolclrl. tûpikms, mgustmocl jm
klosistbokim klo jls
jàquicls kl`l
bj QBE 311.
Meum Bj pbrûxicl cb hicrûebol bs uo
lxiebomcm
Jàquicl motiséptikl ebobrmj. Qrbsbotm
;1%
mjtm`botb pljmr. bfbktls lxicmotbs qub cifikujtmo jm
(==1
(==1 vlj÷`bobs)
vlj ÷`bobs)
1,3e 1,3e Bs klolkicl plr ebr`iomkiûo cb bsplrms mombrlnims.
(pbrûxicl cb
sbr uo plcbrlsl Qrbsbotm mcb`ís bfbktl
hicrûebol)
lxicmotb. cbsnricmotb y cbslclrmotb.
Jm ebotm`ikiom bs uo motiniûtikl
Qljvl njmokl m`iolejukûsicl cb m`pjil
l kmsi njmokl, bspbktrl mktivl frbotb m eér`bobs
hierlskûpikl. erm`+ (iokjuicl [tmphyjlklkkus
Ebotm`ikiom 1,>% 1,;=e Fíkij`botb murbus ) y erm`‛ (iokjuicm
(iokju icm
sujfmtl sljunjb bo meum, Qsbucl`lom mbrueiolsm.
príktikm`botb Mcb`ís sb jb hmo mtrinuicl
mtrinu icl
iosljunjb bo mkkilobs motiiofjm`mtlrims
btmolj mj 96%. Jm clsis tûpikm bo plcljleàm
vmràm cbj 1,>% hmstm
hmst m bj 3%.
SLSMJ
SLSMJ =21,3e =21,3e
;;=
@lcus lpbrmoci
Klotrlj cb kmjicmc
[b`isûjicl njmokl klosistbotb. Mj mpjikmrsb slnrb jm pibj ol cbnb
cbn b oltmrsb oioe÷o
kristmj.
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
E BOSM@IKIOM
[LJRKIÛO MKRL[M CB EBOS M@IKIOM
Kl`plsikiûo
Ebotm`ikiom sujfmtl 3%
Meum nicbstijmcm ksp 21`j
[ioûoi`ls
Meum nicbstijmcm7 meum cbstijmcm éstbrij,
éstbr ij, meum bstbrijizmcm.
Ebotm`ikiom7 ebotm`ikiom sujfmtl,
sujf mtl, sujfmtl cb ebotm`ikiom.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Jm ebotm`ikiom bs uo motiniûtikl m`iolejukûsicl cb m`pjil bspbktrl mktivl frbotb
m eér`bobs erm`+ (iokjuicl [tmphyjlklkkus murbus) y erm`‛ (iokjuicm Qsbucl-
mbrueiols m).
`lom mbrueiolsm
Jm sljukiûo mkulsm fmkijitm, `bcimotb irriemkilobs, jm mpjikmkiûo cbj prbpmrmcl.
Bj prbpmrmcl prbsbotm mkkilobs motiiofbkkilsms
motiiofbkkils ms cb ji`pibzm bo ÷jkbrms y hbricms
tûrpicms. Sm`niéo
Sm`niéo sb jb hm mtrinuicl
m trinuicl mkkilobs motiiom`mtlrims.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb iokljlrm b iolclrm.
Iocikmkilobs
Srmtm`ibotl
cb klmcyuvmotb
pibroms, vmskujmrbs. cb hbricmscb
Irriemkilobs tûrpicms.
÷jkbrms Ji`pibzm cb ÷jkbrms
cbj pib cimnétikl plr prbsiûo,
y oburlpítikms
krûoikms. Srmtm`ibotl klmcyuvmotb guotl m ltrms `bcicms mcbkumcms pmrm klo-
trljmr jm iofbkkiûo y bsti`ujmr jm ermoujmkiûo, y kikmtrizmkiûo cb ÷jkbrms cimnétikms
oburlpítikms krûoikms.
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls motiniûtikls m`iolejukûsicls (obl`ikiom, m`idmkiom,
tlnrm`ikiom, frm`ikbtiom, btk.). Hmstm bj `l`botl ol sb jb klolkbo ltrms
klotrmiocikmkilobs.
;;;
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms
mcvbr sms cb bstm flr`ujmkiûo slo bo ebobrmj jbvbs, trmositlrims y
plkl frbkubotbs. Jms `ís kl`uobs
k l`uobs slo mjtbrmkilobs cbr`mtljûeikms7 cbr`mtitis
cb klotmktl, pruritl, cljlr, irritmkiûo y sbqubcmc kutíobm fuocm`botmj`botb bo
jm zlom pbrijbsilomj. Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom nubom tljbrmokim klo bkmkim cb`lstrmcm, klosicb-
ríocljl cb utijicmc bo bj trmtm`ibotl klmcyuvmotb `bcimotb irriemkiûo cb jbsilobs
ujkbrmtivms ym sbm plr prbsiûo, vmskujmrbs, cimnétikms l oburlpítikms.
;;3
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
@lcus lpbrmoci
QM[L = Qbsmr jm ebotm`ikiom sujfmtl bo uo vmsl cb prbkipitmcls.
QM[L > Ioklrplrmr jm jm ermo `mylràm cbj meum nicbstijmcm y `bzkjmr
`bzkjmr klo uom
vmrijjm l jm myucm cb uo meitmclr `meoétikl.
QM[L ; Bo uom prlnbtm l bo bj bovmsb omj ermcumcl, bormsmr hmstm bj vlju`bo
omj cbsbmcl.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo frmskl cb kristmj tipl vimj.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb qub pubcb tbobr uo jiebrl kljlr m`mrijjbotl. Ol pubcb
klotbobr oioe÷o tipl cb prbkipitmcls.
Qjmzl cb vmjicbz rbkl`bocmcl
= `bs bo obvbrm.
;;2
EBJ CB @BS^LOICMWLJ
Kl`plsikiûo
@btrloicmzlj =%
Qrlpijboejiklj =1%
Bxkipibotb ebj ksp 21e
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj prlpijboejiklj bs uo hu`bktmotb qub i`picb jm cbsbkmkiûo
cbsb kmkiûo bxkbsivm cb jm kmpm
kûrobm kutíobm. Qrbsbotm prlpibcmcbs nmktbrikicms y fuoeikicms jiebrms.
Bj `btrloicmzlj bs uo motiiofbkkilsl cbj erupl cb jls oitrli`icmzljbs klo mkkiûo
nmktbrikicm, trikl`loikicm y m`bnikicm. Mkt÷m mjtbrmocl bj COM nmktbrimol i`pi-
cibocl su sàotbsis. Bs mktivl frbotb m jm `mylràm cb nmktbrims mombrlnims y nmktbrli-
nmktbrli -
cbs. Bj `btrloicmzlj tibob tm`niéo prlpibcmcbs motiiom`mtlrims y cbslclrmotbs
klo `bkmois`l cbsklolkicl slnrb tbgicl ujkbrmcl.
Bj ebj obutrl bs uo bxkipibotb qub pbr`itb `motbobr uo hínitmt h÷`bcl slnrb jms
jbsilobs ÷jkbrmcms,
÷jkbrmcm s, plsinijitmocl jm bji`iomkiûo cb bxucmcls, ol `mkbríocljm y
fmkijitmocl su kikmtrizmkiûo.
Kmrmktbràstikms lremoljéptikms
Ebj sb`isûjicl jiebrm`botb m`mrijjbotl cb mspbktl trmospmrbotb mermcmnjb mj
tmktl y sio ljlr.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb cb ÷jkbrms plr prbsiûo, cb pibroms, vmskujmrbs l cim-
nétikms iofbktmcms y `mjljibotbs. ×jkbrms cbj pib cimnétikl. Srmtm`ibotl guotl m
ltrms `bcicms l tbrmpims mcbkumcms pmrm bsti`ujmr jm ermoujmkiûo y kikmtrizmkiûo
cb ÷jkbrms cimnétikms oburlpítikms krûoikms.
Klotrmiocikmkilobs
Hipbrsbosinijicmc
Hipbrsbos inijicmc m jls cbrivmcls i`icmzûjikls l m kumjquibrm cb jls kl`plobotbs
cbj prbpmrmcl. Hmstm bj `l`botl ol sb jb klolkbo ltrms klotrmiocikmkilobs.
;;6
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl i`plrtmotbs y klo uom
frbkubokim `uy nmgm. Jms `ís frbkubotbs slo7 plsinjb irritmkiûo y cbskm`mkiûo
kutíobm. @ukhl `ís rmrm`botb pubcb mpmrbkbr jiebrl smoermcl cb jm jbsiûo y
pruritl jlkmj pmsmgbrl. Bvitmr su mpjikmkiûo bo zloms kbrkmoms
kbrkmom s m jls lgls l `ukl-
sms. Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim, britb`m, rbmkkilobs
bxmotb`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim, klosicbríocljl
klosicbr íocljl cb utijicmc bo bj
trmtm`ibotl cb jbsilobs ujkbrmtivms `mjljibotbs ym sbm plr prbsiûo, vmskujmrbs l
cimnétikms, plr sus bfbktls moti`ikrlnimols, kikmtrizmotbs y cbslclrmotbs. [i hmy
kumcrl iofbkkilsl meucl, hm cb vmjlrmrsb jm obkbsicmc
obkb sicmc cb trmtm`ibotl motiniûtikl
lrmj.
;;5
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls utijizmr cifbrbotbs ebjikmo-
tbs. Jls `ís lplrtuols pmrm bj trmtm`ibotl cb ÷jkbrms slo jls cbrivmcls kbjujûsi-
kls. Qlr oubstrm bxpbribokim prlfbsilomj y hmniéocljl klosbosumcl klo bj Klosbgl
Ebobrmj cb Kljbeils cb Qlcûjlels cb Bspmým mklosbgm`ls bj Kmrnlplj 931.
Jm flr`ujmkiûo `mrkl qub prlplob`ls utijizmr pmrm jm bjmnlrmkiûo cbj ebj kbju-
jûsikl bs bstm, plr su fmkijicmc cb prbpmrmkiûo.
;;8
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
@lcus lpbrmoci
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb trmosj÷kicl fíkij`botb jmvmnjb klo meum.
Qjmzl cb vmjicbz rbkl`bocmcl
; `bsbs m tb`pbrmturm m`nibotb.
;;9
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
EBJ CB @BS^LOICMWLJ
@BS^L OICMWLJ KLO QB^ÛXICL CB NBOWLÀJL
Kl`plsikiûo
@btrloicmzlj =%
Qbrûxicl cb nbozlàjl 2%
Bxkipibotb ebj ksp 21e
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj prlpijboejiklj bs uo hu`bktmotb qub i`picb jm cbsbkmkiûo
cbsb kmkiûo bxkbsivm cb jm kmpm
kûrobm kutíobm. Qrbsbotm prlpibcmcbs nmktbrikicms y fuoeikicms jiebrms.
Bj pbrûxicl cb nbozlàjl bs uo pltbotb motiséptikl klo mkkilobs lxicmotbs, irritmo-
tbs y qubrmtljàtikms. Qrbsbotm mkkilobs rbebobrmtivms bo jbsilobs ujkbrmtivms mj
bsti`ujmr jm flr`mkiûo cbj tbgicl cb ermoujmkiûo. [u mktivicmc nmktbrimom
nmk tbrimom bs m`pjim
klo ermo sbjbktivicmc slnrb lrm obemtivm (iokjuicm Qsbucl`lom mbrueiolsm) y
nmktbrlicbs.
Bj `btrloicmzlj bs uo motiiofbkkilsl cbj erupl cb jls oitrli`icmzljbs klo mkkiûo
nmktbrikicm, trikl`loikicm y m`bnikicm. Mkt÷m mjtbrmocl bj COM nmktbrimol
i`picibocl su sàotbsis. Bs mktivl frbotb m jm `mylràm cb nmktbrims mombrlnims y
nmktbrlicbs.
Bj `btrloicmzlj tm`niéo tibob prlpibcmcbs motiiom`mtlrims y cbslclrmotbs klo
`bkmois`l cbsklolkicl slnrb tbgicl ujkbrmcl.
Bj ebj obutrl bs uo bxkipibotb qub pbr`itb `motbobr uo hínitmt h÷`bcl slnrb jms
jbsilobs ujkbrmcms, pbr`itibocl jm bji`iomkiûo cb bxucmcls, ol `mkbríocljm y
fmkijitmocl su kikmtrizmkiûo.
Kmrmktbràstikms lremoljéptikms
Ebj sb`isûjicl jiebrm`botb m`mrijjbotl cb mspbktl trmospmrbotb mermcmnjb mj
tmktl y sio ljlr.
Iocikmkilobs
Srmtm`ibotl klmcyuvmotb cb ÷jkbrms plr prbsiûo, cb pibroms, vmskujmrbs l cim-
nétikms iofbktmcms y `mjljibotbs. ×jkbrms cbj pib cimnétikl. Srmtm`ibotl guotl m
ltrms `bcicms l tbrmpims mcbkumcms pmrm bsti`ujmr jm ermoujmkiûo y kikmtrizmkiûo
cb ÷jkbrms cimnétikms oburlpítikms krûoikms.
;31
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Klotrmiocikmkilobs
Hipbrsbosinijicmc m jls cbrivmcls i`icmzûjikls l mj erupl pbrûxicl, msà kl`l
m kumjquibrm cb jls kl`plobotbs
k l`plobotbs cbj prbpmrmcl. Hmstm bj `l`botl ol sb jb
klolkbo ltrms klotrmiocikmkilobs.
^bmkkilobs mcvbrsms
Jms rbmkkilobs mcvbrsms cb bstm flr`ujmkiûo slo plkl i`plrtmotbs y klo uom
frbkubokim `uy nmgm.
Jms `ís frbkubotbs slo7 plsinjb irritmkiûo y cbskm`mkiûo kutíobm.
@ukhl `ís rmrm`botb pubcb mpmrbkbr jiebrl smoermcl cb jm jbsiûo y pruritl
jlkmj pmsmgbrl.
Bvitmr su mpjikmkiûo bo zloms kbrkmoms m jls lgls l `uklsms.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Vmjlrmkiûo
Bj prbpmrmcl prbsbotm uom bxkbjbotb tljbrmokim, klosicbríocljl
klosicbr íocljl cb utijicmc bo bj
trmtm`ibotl cb jbsilobs ujkbrmtivms `mjljibotbs ym sbm plr prbsiûo, vmskujmrbs l
cimnétikms, plr sus bfbktls moti`ikrlnimols, kikmtrizmotbs y cbslclrmotbs. [i hmy
kumcrl iofbkkilsl meucl, hm cb vmjlrmsb jm obkbsicmc cb trmtm`ibotl motiniûtikl
lrmj.
;3=
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
@lcus lpbrmoci
Qmrm jm bjmnlrmkiûo cb bstm fûr`ujm `meistrmj plcb`ls utijizmr cifbrbotbs ebjikmo-
tbs. Jls `ís lplrtuols pmrm bj trmtm`ibotl cb ÷jkbrms slo jls cbrivmcls kbjujûsikls
l mkràjikls. Qlr oubstrm bxpbribokim prlfbsilomj y hmniéocljl klosbosumcl klo bj
;3>
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
QM[L 3 Bo uo jm
plrmr `lrtbrl
`àoi`mtmrmcl prbvim`botb
kmoticmc pbsmrobkbsmrim
cb kjlrlflr`l bj pbrûxicl cb jm
pmrm nbozlàjl. Ioklr-
flr`mkiûo cb
uom pmstm om. ^ípicm`botb,
^ípicm `botb, pmrm bvitmr jm bvmplrmkiûo cbj kjlrlflr`l,
ioklrplrmr uom jiebrm pmrtb cb pljislrnmtl 81.
QM[L 2 Ioklrplrmr m jm `bzkjm motbrilr bj ebj prbvim`botb flr`mcl. Ioklrplrmr
r meum plkl m plkl hmstm lntbobr bj pbsl tltmj cb jm flr`ujmkiûo.
uoeu mtlr®7
[i ol sb cisplob cb meitmclr tipl uoeumtlr
Klotrlj cb kmjicmc
[b`isûjicl klosistbotb trmosj÷kicl fíkij`botb jmvmnjb klo meum.
;3;
Fûr`ujms
`meistrmjbs
Ltljleàm
hb`lstítikms
Jm klmeujmkiûo bs uo `bkmois`l klo cls fuokilobs qub sb hmo cb `motbobr bo
bquijinril. Bo kmsl qub hmym uom jbsiûo bo bj sistb`m vmskujmr sb plob bo fuokil-
om`ibotl jls `bkmois`ls cb jm hb`lstmsim, tm`niéo klolkicm
klolkic m kl`l kmskmcm cb
jm klmeujmkiûo qub klojjbvm jm mpmrikiûo cb uo klmeujl
k lmeujl bo bj iotbrilr cbj sistb`m
vmskujmr bvitmocl uom hb`lrrmeim.
Qbrl bs obkbsmril qub jls klíeujls flr`mcls sio omjicmc rbpmrmclrm pubcmo
pubcm o sbr
cbstruicls (prlkbsl cb nrioûjisis) y ol krbbo lnstrukkiûo (b`nljim) qub i`picm
jm kirkujmkiûo cb jm klrribotb smoeuàobm bo uo `l`botl cbtbr`iomcl.
y Km iûoikl,
`lcl fmktlr bsbokimj
jms pjmqubtms bo tm`niéo
mktivmcms jm kmskmcm cb klmeujmkiûo.
sufrbo Cbj `is`l
trmosflr`mkilobs bo su
`b`nrmom cb `mobrm qub prbsbotm uom supbrfikib `ís ruelsm qub prl-
`ubvb jm klmeujmkiûo.
;. Fmsb cb klmeujmkiûo7 vibob cbtbr`iomcm plr jm trmosflr`mkiûo cbj finri-
oûebol sljunjb bo finriom iosljunjb kmpmz cb plji`brizmrsb y botrbkru-
zmrsb flr`mocl bj klmeujl sbkuocmril bstmnjb b iosljunjb.
Bo kirueàm ebobrmj, ciebstivm l trmu`mtljûeikm sb hmo vboicl usmocl klo cifbrbo-
tbs ermcls cb éxitl jls mebotbs hb`lstítikls tûpikls7 kbjujlsm lxicmcm, bsplogms
bs plogms
cb ebjmtiom mnslrninjb, kljíebol `ikrlnrijmr, sbjjmotbs cb nriom.
;36
Fûr`ujms `meistrmjbs
hb`lstítikms
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Kl`plsikiûo
[ljukiûo cb kjlrurl férrikl =1->2%
=1->2%
Meum cbstijmcm ksp 21 `j
[ioûoi`ls
[ljukiûo kjlrurl férrikl7 sljukiûo cb pbrkjlrurl
pbrk jlrurl cb hibrrl.
hibrr l.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Bj pbrkjlrurl cb hibrrl prbsbotm mkkilobs
mk kilobs mstrioebotbs pltbotbs, klmeujmocl jms
prltbàoms
sb trmcukbslnrb jm mkkiûo
bo uom supbrkib kbjujmr, prlvlkmocl
hb`lstítikm iotbosm, msàuo bfbktl
kl`l vmslklostriktlr qub
kmutbrizmotb.
Klokbotrmkilobs cbj ;1% l `mylrbs slo `uy irritmotbs pmrm jls tbgicls kutíobls
b iokjusl jiebrm`botb kíustikms.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo ljlr `btíjikl kmrmktbràstikl y cb kljlrmkiûo m`mrijjbotm-lkrb.
Iocikmkilobs
Srmtm`ibotls hb`lstítikls tûpikls y kmutbrizmkiûo cb pbqubýms
pbqu býms hbricms quir÷r-
eikms. Srmtm`ibotls hb`lstítikls bo quirlplcim.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj hibrrl l cbrivmcls.
Hmstm jm fbkhm ol sb klolkbo ltrms klotrmiocikmkilobs.
Hmo cb bxtrb`mrsb jms prbkmukilobs bo jls bofbr`ls cimnétikls l klo pmtljleàms
vmskujmrbs pbriférikms utijizmocl sib`prb jms klokbotrmkilobs bkmkbs `bolrbs.
^bmkkilobs mcvbrsms
Qubcb prbsbotmr irritmkiûo jlkmj qub bo ebobrmj bs pmsmgbrm y sib`prb
s ib`prb clsis-cbpbocibotb.
clsis-cbpbocibotb.
Siýb jm pibj cb pmrcl cb flr`m pmsmgbrm.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(urtikm rim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
;38
Fûr`ujms `meistrmjbs
hb`lstítikms
Jm uo
• cb sljukiûo sb mpjikmrí
nmstlokijjl slnrb bj írbm mfbktmcm cirbktm`botb klo myucm
klo mjelcûo.
• [i ol hmy rbspubstm sufikibotb jm lpbrmkiûo pubcb rbpbtirsb.
• Ol supbrmr jm klokbotrmkiûo
k lokbotrmkiûo cbj >2%.
• Eumrcmr bo juemr sbkl y frbskl, prltbeicl cb jm juz.
• Bvitmr bj klotmktl klo lgls y `uklsms.
Vmjlrmkiûo
Jm sljukiûo mkulsm cb pbrkjlrurl
pbrk jlrurl cb hibrrl bs uo bxkbjbotb hb`lstítikl, m klo-
kbotrmkilobs cbj =1->2% bs plkl irritmotb klo uom bxkbjbotb tljbrmokim.
;39
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
@lcus lpbrmoci
QM[L = Bo uom prlnbtm `bcir jls 3=,
=,65
65 `j cb jm sljukiûo cb pbrkjlrurl cb hibrrl
mj ;1%.
QM[L > Ioklrplrmr jm kmoticmc obkbsmrim cb meum purikmcm pmrm bormsmr hmstm
21`j.
QM[L ; Ol bs obkbsm
obkbsmril
ril `bzkjmrjl bo uo vmsl cb prbkipitmcls plrqub slo `uy
`iskinjbs. [b pubcb meitmr bo bj bovmsb omj.
QM[L 3 Bovmsmr prbfbrbotb`b
prbfbrbotb`botb
otb bo frmskl cb kristmj tlpmkil klo kubotmeltms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb cb kljlr `mrrûo `uy iotbosl sio prbkipitmcls.
;21
Fûr`ujms `meistrmjbs
hb`lstítikms
Kl`plsikiûo
Kjlrurl cb mju`ioil ;1%
Meum cbstijmcm ksp 21 `j
[ioûoi`ls
Kjlrurl cb mju`ioil7 kjlrurl cb mju`ioil hbxmhicrmtmcl.
Mkkiûo fmr`mkljûeikm
fmr`mkljû eikm
Bj kjlrurl cb mju`ioil tibob prlpibcmcbs mstrioebotbs pltbotbs. Klmeujm jms prl-
tbàoms slnrb jm supbrkib
supbr kib kbjujmr, plsbb mcb`ís bfbktls vmslklostriktlrbs. Slcl
bjjl sb trmcukb bo uo bfbktl hb`lstítikl iotbosl.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb iolclrm b iokljlrm.
Iocikmkilobs
Srmtm`ibotls hb`lstítikls tûpikls y kmutbrizmkiûo cb pbqubýms
pbqu býms hbricms quir÷r-
quir÷ r-
eikms. Srmtm`ibotls hb`lstítikls bo quirlplcim.
Klotrmiocikmkilobs
Hipbrsbosinijicmc mj mju`ioil l cbrivmcls.
Hmstm jm fbkhm ol sb klolkbo ltrms klotrmiocikmkilobs.
Hmo cb bxtrb`mrsb jms prbkmukilobs bo jls bofbr`ls cimnétikls l klo pmtljle
pmtljleàms
àms
vmskujmrbs pbriférikms.
^bmkkilobs mcvbrsms
Qubcb prbsbotmr irritmkiûo jlkmj qub bo ebobrmj bs pmsmgbrm y sib`prb clsis-cbpbocibotb.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
;2=
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Jm uo
• cb sljukiûo sb mpjikmrí
nmstlokijjl slnrb bj írbm mfbktmcm cirbktm`botb klo myucm
klo mjelcûo.
• [i ol hmy rbspubstm sufikibotb jm lpbrmkiûo pubcb rbpbtirsb.
• Eumrcmr bo juemr sbkl y frbskl.
• Bvitmr bj klotmktl klo lgls y `uklsms.
Vmjlrmkiûo
Jm sljukiûo mkulsm cb kjlrurl cb mju`ioil mj ;1% bs uo nubo hb`lstítikl y
plkl irritmotb.
;2>
Fûr`ujms `meistrmjbs
hb`lstítikms
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmcls pbsmr jm kmoticmc cb kjlrurl cb mju`ioil
hbxmhicrmtmcl obkbsmrim.
QM[L > Ioklrpl rmr jm `mylràm cb meum purikm
Ioklrplrmr purikmcm
cm y `bzkjmr klo uom vmrijjm l
`bcimotb jm myucm cb uo meitmclr `meoétikl.
QM[L ; Rom vbz cisubjtl tlcl bj kjlrurl cb mju`ioil bormsmr klo uom prlnbtm
hmstm jls 21`j cb sljukiûo omj cbsbmcm.
QM[L 3 Bovmsmr prbfbrinjb`botb bo uo frmskl cb kristmj tlpmkil klo kubotmeltms.
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb iokljlrm sio prbpitmcls.
Qjmzl cb vmjicbz rbkl`bocmcl
6 `bsbs m tb`pbrmturm m`nibotb.
;2;
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
[LJRKIÛO CB @LO[BJ
Kl`plsikiûo
Mju`ioil hicrlxikjlrurl ;2e
Kjlrurl férrikl hbxmhicrmtmcl 6=,6e
6=,6e
Meum cbstijmcm 21 `j
Mjklhlj btàjikl 21 `j
[ioûoi`ls
Mju`ioil hicrlxikjlrurl7 kjlrhicrûxicl cb mju`ioil.
Mjklhlj btàjikl7 mjklhlj 96·.
Mkkiûo fmr`mkljûeikm
fmr`mkljûe ikm
Smotl bj kjlrurl férrikl kl`l bj kjlrurl cb mju`ioil prbsbotmo mkkilobs mstrio-
ebotbs pltbotbs. Klmeujmo jms prltbàoms slnrb jm supbrkib
supbr kib kbjujmr, prlvlkmocl
prlvlkmocl
uo bfbktl vmslklostriktlr qub sb trmcukb bo uom mkkiûo hb`lstítikm iotbosm, msà
kl`l kmutbrizmotb.
Kmrmktbràstikms lremoljéptikms
[ljukiûo trmospmrbotb klo ljlr `btíjikl kmrmktbràstikl y cb kljlrmkiûo m`mrijjbo-
tm-lkrb.
Iocikmkilobs
Srmtm`ibotls hb`lstítikls tûpikls y kmutbrizmkiûo cb pbqubýms
pbqu býms hbricms quir÷r-
eikms. Srmtm`ibotls hb`lstítikls bo quirlplcim.
;23
Fûr`ujms `meistrmjbs
hb`lstítikms
^bmkkilobs mcvbrsms
Qubcb prbsbotmr irritmkiûo jlkmj qub bo ebobrmj bs pmsmgbrm y sib`prb clsis-cbpbocibotb.
clsis-cbpbocibotb.
Siýb jm pibj cb pmrcl cb flr`m pmsmgbrm.
Bo kmsl cb mpmrbkbr rbmkkilobs mjéreikms (urtikmrim,
(ur tikmrim, britb`m, rbmkkilobs bxmotb-
`ítikms, btk.) suspbocbr bj trmtm`ibotl y klosujtmr klo su plcûjlel.
Fûr`ujms `meistrmjbs
pmrm ÷jkbrms
Kjlrurl cb hibrrl
(III). @msm kristmjiom Qltbotb mstrioebotb.
l kristmjbs m`mrijjl- Qubcb prlcukir
Kjlrurl férrikl 6=,6e 6=,6e momrmogmcl l cbkljlrmkiûo
hbxmhicrmtmcl m`mrijjl-pmrcuskl, pbr`mobotb cb
`uy hierlskûpikls. jm pibj.
@uy sljunjb bo meum
y bo btmolj.
Mjklhlj
Mjk lhlj btàj
btàjikl
ikl 21`j 21`j
Meum puri
p urifik
fikmcm
mcm 21`j 21`j
SLSMJ
SLSMJ =11`j =11`j
@lcus lpbrmoci
QM[L = Bo uo vmsl cb prbkipitmc
prbkipitmcls
ls pbsmr jm kmoticmc cb kjlrurl férrik
férrikll hbxmhi-
crmtmcl y plobrjl m cisljvbr klo bj meum purikmcm.
QM[L > Bo ltrl vmsl cb prbkipitmcls plobr m cisljvbr bj kjlrhicrûxicl cb mju-
`ioil klo bj mjklhlj btàjikl.
QM[L ; Rom vbz cisubjtms jms cls smjbs motbrilrbs
motbrilrbs uoikmr
uoikmr bo uo ÷oikl vmsl cb
prbkipitmcls y `bzkjmr.
QM[L 3 Bovmsmr prbfbrbotb`botb bo frmskl cb kristmj tlpmkil klo kubotmeltms
Klotrlj cb kmjicmc
[ljukiûo trmospmrbotb, sio prbkipitmcls cb kljlr `mrrûo kjmrl y ljlr `btíjikl
kmrmktbràstikl.
Qjmzl cb vmjicbz rbkl`bocmcl
6 `bsbs m tb`pbrmturm m`nibotb.
;26
s
.
Àocikb mjfmnétikl
¼]ué bs jm pibj
cbsbosinjb<
fûr`ujms
Ltljleàm
`meistrmjbs
Meum nlrikmcm 63, 62
Meum cb Nurlw klo prbkipitmcl 86
`lcikmcm 93, 92
Meum cb Nurlw `lcikmcm
Meum cb Nurlw pmrm loiklkriptlsis =12
Meum cb Nurlw (R[Qh XIV) 89
Meum cb Elujmrc 8;
Meum cb jls trbs sujfmtls 98, 99
Mjklhlj 51± ylcmcl 28, 29
Kljlciûo cb kmotmriciom >2 >2==
Kljlciûo cb kmotmriciom, smjikàjikl y plcljiol >22
Kljlciûo cb smjikàjikl, jíktikl y 2-ulrlurmkijl >3
>35
5
Kljlciûo cb smjikàjikl, jíktikl y mkétikl >;2
Kljlciûo cb smjikàjikl, jíktikl y blsiom >;9
Kljlciûo cb smjikàjikl, jíktikl y plcljiol >3;
Krb`m klo kjlnbtmslj, smjikàjikl y klmjtmr >66
Krb`m klo citrmolj b hicrlklrtislom >83
Krb`m klo dbtlklomzlj, ebotm`ikiom, urbm y smjikàjikl >18
Krb`m klo dbtlklomzlj, smjikàjikl y urbm >13
Krb`m klo trim`kioljlom, urbm, ebotm`ikiom y dbtlklomzlj >98
Krb`m klo trim`kioljlom y urbm >9>
Krb`m klo urbm, jíktikl y mjmotlàom =3>
Krb`m b`ljibotb klo kjlnbtmslj, urbm y smjikàjikl >6=
Krb`m b`ljibotb klo urbm y smjikàjikl =2 =25
5
Ebj cb ejiklpirrljmtl sûcikl =;3
Ebj cb `btrloicmzlj ;;6
Ebj cb `btrloicmzlj y pbrûxicl cb nbozlàjl ;31
Ebj cb prlpijboejiklj =53
Ebj cb prlpijboejiklj klo smjikàjikl =62
Jmkm cb uýms klo kjlnbtmslj y kjltri`mzlj ;18
Jiklr cb pltmsm >>2, >>6
Jioi`botl ûjbl-kmjkírbl klo `iklomzlj =8>
Jioi`botl ûjbl kmjkírbl klo `iklomzlj =8>
Jioi`botl ûjbl-kmjkírbl klo `iklomzlj y ebotm`ikiom =86
Jlkiûo cb kjlrhicrûxicl cb mju`ioil y `iklomzlj =96
Qmstm cb mz÷kmr ;>2, ;>6
Qmstm cb mz÷kmr klo ebotm`ikiom ;>9
Qljvl cb íkicl nûrikl, mju`nrb I ==6
Qljvl cb íkicl nûrikl, mju`nrb II =>1
Qljvl cb mju`nrb pltísikl ==1, ===
;28
Àocikb mjfmnétikl cb
fûr`ujms `meistrmjbs
;6>
Àocikb mjfmnétikl cb
priokipils mktivls
Kjlnbtmslj ;9, >6=, >63, >66, >69, >5 >5>>, >5
>533, ;18, ;=;=11. Vémsb tm`niéo Ciprlpilomtl cb kjlnbtmslj
Kjlrm`iom S ;9, 65, 51. Vémsb tm`niéo Slsijkjlrm`iom sûcikm
Kjlrhicrûxicl cb mju`ioil => =>33, =>6, =9
=96 6, =9
=988, =99, ;23, ;26
Kjlrurl cb mju`ioil ;9, =>3, =>2, =>6, =>5, =>8, =;1, =9 =966, ;3
;355, ;2=, ;2>, ;2;, ;23. Vémsb tm`niéo Kjlrurl
;2=
cb mju`ioil hbxmhicrmtmcl
Kjlrurl cb mju`ioil hbxmhicrmtmcl ;9, => =>8
8, =;1, ;2;2==, ;2;, ;29. Vémsb tm`niéo Kjlrurl cb mju`ioil
Kjltri`mzlj ;18, ;=
;=11, ;=
;===
Klmjtmr smploiomcl ;8, >61, >66, >5 >5==, >5
>566, >5
>58 8, >59. Vémsb tm`niéo Nrbm cb hujjm smploiomcm
Klnrb sujfmtl ;9. Vémsb tm`niéo [ujfmtl cb klnrb
Kljlciûo bjístikl ;3, ;9, >;2, >;9, >3;, >32, >3 >355, >2
>2=
=, >2;, >22, >2 5. Vémsb tm`niéo Kljlciûo bxinjb
>25
Kljlciûo bxinjb ;9, >;2, >;9, >3;, >3 >355, >2
>2==, >22. Vémsb tm`niéo Kljlciûo bjístikl
Cbxpmotbolj 31, =2=255, =29, >13, >16, >98, ;1=. Vémsb tm`niéo Qmotbolj y Qrlvitm`iom N=2
Ciprlpilomtl cb kjlnbtmslj ;9, >6=, >66, >5 >5> >, ;18. Vémsb tm`niéo Kjlnbtmslj
Citrmolj ;9, >61, >81, >8>, >83, >86. Vémsb tm`niéo Motrmjiom
Blsiom >;2, >;8, >;9, >3 >3==, >3>, >2;
Btmolj >;, >6, >5, =9
=93
3, =9
=988, >16, >>
>>5 5, >;
>;55, >3
>3==, >39, >2;, >2>255, >63, >69, >5
>53
3, >5
>58
8, ;1=, ;=
;=1
1, ;=
;=9
9, ;>
;>5
5, ;;
;;=
=,
;;2, ;;8, ;3>, ;2;, ;26. Vémsb tm`niéo Mjklhlj btàjikl
Fbolj ;5, 51, 5=, 5>, =9
=933, =9
=922, >;2, >;9, >3;. Vémsb tm`niéo Íkicl féoikl
Fjulrlurmkijl ;6, 31, >3
>355, >21, ;16, ;28
Fuksiom nísikm 31, =9=9>>
Ebotm`ikiom 31, 3;, =8=86 6, =89, =9
=91 1, =9
=9==, >18, >19, >= >=11, >=
>=>>, >6>, >6
>655, >98, >99, ;11, ;1=, ;1;, ;>9, ;;=,
;;>, ;;;, ;;2. Vémsb tm`niéo [ujfmtl cb ebotm`ikiom
Ejutmrmjcbhàcl 31, =;=, >;>
Hicrlklrtislom 31, =86, =8 =899, >83
Hicrûxicl pltísikl 33==, >>2, >> >>55. Vémsb tm`niéo Qltmsil hicrûxicl
Ilcl 3;, 6=. Vémsb tm`niéo Ylcl
Ilcurl pltísikl 31. Vémsb tm`niéo Ylcurl pltísikl
Dbtlklomzlj >13, >16, >1 >155, >18, >=>=11, >=
>=>>, >=
>=9 9, >>
>>==, >>>, >6>, >65, >98, >99, ;1=, ;1;
Jmktmtl m`ûoikl ;8, >61, >6=, >62, >66, >5 >5==, >9>, >96, >9 >955. Vémsb tm`niéo M`loil jmktmtl
Jmktmtl sûcikl =31, =3>, =36, =29, >16. Vémsb tm`niéo [lcil jmktmtl
Jmoljiom ;>, ;5, =26, =2=255, =2
=299, =6
=6==, =6
=6;;, >=
>===, >>>, >61, >6=, >63, >65, >69, >5 >5==. Vémsb tm`niéo Mcbps
jmomb
@mkrlelj 311 31, 33==, ;>2, ;>9. Vémsb tm`niéo Qljibtijboejiklj 311
@botlj ==2, ==6, ==8, ==9, => =>11, =>>, =>;, =>3, =>2, =>6, =>5
@btrloicmzlj ;;6, ;;8, ;;9, ;31, ;3>, ;3;
@iklomzlj =8>, =8=83
3, =82, =86, =89, =91, =9
=9=
=, =9
=96
6, =9
=98
8, =9
=99
9
Oitrmtl cb pjmtm =5=, =5;, >=
>=66, >>1
Ûxicl cb kiok ;1, ;2, ;9, ==2, =>1, =>=>>
>, =8
=8>
>, =83, =8
=82
2, =8
=86
6, =89, =91, =9=. Vémsb tm`niéo Kiok ûxicl
=9=
Qmotbolj 31, 3>, =2 5, >13, >98. Vémsb tm`niéo Cbxpmotbolj y Qrlvitm`iom N=2
=25
Qmrmom njmocm =39, =2;, =2 =25
5, =6
=6=
=, >=
>=2
2, >=9. Vémsb tm`niéo Vmsbjiom y Vmsbjiom jmotb
>=9
Qmrmom jàquicm
pmrmom 3=, jàquicm
3=
y Vmsbjiom =36, =61, =63, =9
=63 9, >1
=99 5, >=
>15 >===, >62, >51, >8
>51 5, >92, >96, ;1>. Vémsb tm`niéo Mkbitb cb
>85
Qbr`moemomtl pltísikl >2, 33==, 25, 53, 56, 55, 58, 59. Vémsb tm`niéo Qltmsil pbr`moemomtl
Qbrûxicl cb nbozlàjl ;31, ;3>, ;3;. Vémsb tm`niéo Nbozlàjl pbrûxicl
Qbrûxicl cb hicrûebol ;5, ;>2, ;> ;>5
5, ;>9, ;;
;;==. Vémsb tm`niéo Meum lxiebomcm
;6;
Qlcljiol 33==, 3>, >3;, >32, >36, >22, >2 5, >28. Vémsb tm`niéo ^bsiom cb plcljiol
>25
Qljibtijboejiklj
Qljibtijboejiklj 311 ;6, 33==. Vémsb tm`niéo @mkrlelj 311
Qljislrnmtl 81 3;, >5 6, >59, ;3;. Vémsb tm`niéo Swbbo 81
>56
Qltmsil hicrûxicl 31, 33==. Vémsb tm`niéo Hicrûxicl pltísikl
Qltmsil pbr`moemomtl
pbr `moemomtl 3=. Vémsb tm`niéo Qbr`moemomtl pltísikl
Qrlpijboejiklj =>3, =>
=>6
6, =>5, =;
=;3
3, =;6, =6
=62
2, =6
=65
5, =6
=68
8, =53, =56, =55, =9
=98
8, >=
>=>
>, >5
>5>
>, >5
>5;
;, >5
>53
3, >5
>52
2, >5
>56
6,
>58
>58, >5
>59
9, >9
>95
5, ;1;, ;=
;=9
9, ;;6, ;;9, ;31, ;3;, ;26
Qrlvitm`iom N=2 31. Vémsb tm`niéo Cbxpmotbolj4 Vémsb tm`niéo Qmotbolj
^bsiom cb plcljiol 33==, >3;, >22. Vémsb tm`niéo Qlcljiol
^bslrkiom 3>, =9 >, >61. Vémsb tm`niéo ^bslrkiolj
=9>
^bslrkiolj 3>, =9
=922. Vémsb tm`niéo ^bslrkiom
[mkmrlsm pujvbrizmcm ;8, ;>2, ;>9. Vémsb tm`niéo Mz÷kmr ejms y Mz÷kmr ejmsé
[àjikb kljlicmj ;6, ==6, =>1, =>>. Vémsb tm`niéo Mbrlsij
[lcil nikmrnlomtl ;8. Vémsb tm`niéo Nikmrnlomtl sûcikl
[lcil jmktmtl 31. Vémsb tm`niéo Jmktmtl sûcikl
[ljukiûo mkbtmtl cb pjl`l 3>
[ljukiûo kjlrurl férrikl 3>, ;38. Vémsb tm`niéo [ljukiûo cb pbrkjlrurl cb hibrrl
[ljukiûo cb mkbtltmrmtl cb mju`ioil 3>
[ljukiûo cb pbrkjlrurl cb hibrrl 3>, ;38, ;21, ;22. Vémsb tm`niéo [ljukiûo kjlrurl férrikl
[unoitrmtl cb nis`utl ;8, ==2, ==6, ==8, ==9, =>=>11, =>>, =>;. Vémsb tm`niéo Nis`utl sunoitrmtl
[ujfmtl mju`àoikl pltísikl 86, 88, ==1, ==>, ==6, =>1, =>>. Vémsb tm`niéo Mju`nrb pltísikl, Mju`nr
Mju`nrbb
pljvl y Mju`nrb kmjkiomcl
[ujfmtl cb kiok ;9, =1 1. Vémsb tm`niéo Kiok sujfmtl
=11
[ujfmtl cb klnrb ;9, =11. Vémsb tm`niéo Klnrb sujfmtl
[ujfmtl cb ebotm`ikiom 31, =8 6, >98, ;>9, ;;;. Vémsb tm`niéo Ebotm`ikiom
=86
Smjkl ;1, ;2, ==2, ==6, ==8, ==9, =>1, =>
=>>
>, =>
=>;
;
Si`lj 3;, 51, 5>
;63
¼]ué bs jm pibj
Ninjilermfàm
sbosinjb<
Dboobt M. Mroct. @moumj cb tbrmpéutikm cbr`mtljûeikm. (;.ª bc.). Nmrkbjlom7 Bci-
tlrimj @écikm Qmom`brikmom4 =982.
Vijjm Juis, bt mj. @bci`bku` euàm cb tbrmpim fmr`mkljûeikm >1=;. @mcric7 Mcis
@bcijleik [J.4 >1=;.
R`nbr t Q,
R`nbrt Q, Jjm`ni
Jjm`n i F.
F. Jm flr`ujmkiûo bo
b o jm cbr`mtljleàm cbj >1=1. Nmrkbjlom7 Mkl-
fmr`m Cistrinukiûo [M4 >118.
;66
Ninjilermfàm
Flr`ujmirb Shbrmpbutiqub @meistrmj. =.ª bc. [brvikb Qunjik Fécérmj [moté Qunji-
qub, [bkurité cb jm Khmiob Mji`botmirb bt Bovirloob`bot, Cirbktiûo Eéoérmjb cb
jm Qrltbktilo cb jm [moté Qunjiqub7 @écikm`bots. Néjeiqub4
Né jeiqub4 >11;.
^lsmjbs Wmnmj G@, @uýlz Nbjtrío GK. Flr`ujmkiûo `meistrmj bo mtbokiûo fmr`m-
kéutikm. @bcikiom cb Fm`ijim >11=4 >72;-8.
>72;-8.
Jjlpis Kjmvigl
Vmjbokim7 G@, Kic4
Bcitlrimj Nmixmuji
>11=.V. Flr`ujmril nísikl cb `bcikm`botls `meistrmjbs.
Hirlsb ^, Hlri @, [huduwmt bt mj. Slpikmj trbmt`bot lf rbsistmot wmrts with eju-
tmrjcbhycb. G Cbr`mtlj7 =993(3)7 >38-2;
Einns [, Hmrvby I, [tbrjioe GK, [tmr ^. Srmtm`ibotls jlkmjbs pmrm vbrruems kutí-
obms. ^bvisiûo Klkhrmob. JmJ m Ninjiltbkm Klkhrmob
Klkhrm ob Qjus (Lxflrc), >116(=
>116 (=)7)7=-22.
=-22.
;65
@lbc J, [hwmycbr SM, Khmoe @U. Kmothmricio rbvisitbc. Mrkh Cbr`mt >11=4
=;57=;25-61.