GKOKAK@

TZCFZKG HNMCNERHK RE@K] MENFKN TENMEOK]KN OEAUKZFK

(THR TO)

Mhsusun untuo Gegenu`h ]ufks Gktk Ouahk` Oejhmknkn Ocgunhtks

Mh Trcfrkg Rtumh M HHH Oejhmknkn ]kshogkakyk

Mhsusun cae`,

Oeacgpco < ;;

Knffc
Knffctk
tk < ;. Rkagk
Rkagk Zk`gy
Zk`gy Nkjhak`
Nkjhak` (T:49:
(T:49:=;;
=;;042
0424)
4)

:. Rubh Nhsr
srhhnk Zktu K (T:
(T:49:=;;0425)

2. ]rh Ncvhknty (T:49:=;;0420)

OEGEN]EZHKN OERE@K]KN ZETUJAHO HNMCNERHK

TCA]EOOER OEGENOER ]KRHOGKAKXK

LUZURKN OEJHMKNKN

:4:4
 OK]K TENFKN]KZ

Tulh syuour okgh pknlktokn oe`kmhrkt Kaak` RV] yknf teak` gegjerhokn

rk`gkt sertk okrunhk-Nyk oepkmk okgh se`hnffk okgh jer`ksha genyeaeskhokn

gkokak` hnh yknf Ka`kgmuahaak` tepkt pkmk wkotunyk, menfkn lumua ‑Trcfrkg
Hnmcneshk Re`kt menfkn Tenmeoktkn Oeaukrfk (THR TO)‗.

R`kakwkt jesertk skakg lufk thmko aupk puak penuahs skgpkhokn oepkmk
Nkjh Gu`kggkm RKV yknf gegjkwk ohtk mkrh kakg oefeakpkn oe kakg yknf
terknf jenmerknf mkn penu` hagu penfetk`ukn seperth skkt hnh. Gkokak` hnh mhjukt
untuo
untuo aejh`
aejh` genfet
genfetk`u
k`uhh mkn gegk`k
gegk`kgh
gh jkfkhg
jkfkhgknk
knk prcfrk
prcfrkg
g hnmcne
hnmcneshk
shk se`kt
se`kt
menfkn getcme penmeoktkn oeaukrfk (THR TO).

Okgh genykm
Okgh genykmkrh
krh jk`wk
jk`wk Gkokak`
Gkokak` hnh gksh`
gksh` lku`
lku` mkrh
mkrh segpur
segpurnk,
nk, cae`
cae`
okrenk htu orhtho mkn skrkn mkrh seguk ph`ko yknf jershikt gegjknfun seakau okgh
`krkpokn megh oesegpurnkkn gkokak` hnh.

Ko`hr oktk, okgh skgpkhokn terhgkoksh` oepkmk seguk ph`ko yknf teak`
jerperkn sertk mkakg penyusunkn Gkokak` hnh mkrh kwka skgpkh ko`hr. Regcfk
Kaak` RV] senknthksk gerhm`kh sefkak usk`k ohtk. Kghn.

]kshogkakyk, Iejrukrh :4:4

Tenyusun,

h
 MKI]KZ HRH

OK]K TENFKN]KZ..........................................................................................h

MKI]KZ HRH........................................................................................................hh
JKJ H TENMK@UAUKN
K. Aktkr Jeakoknf.......................................
Jeakoknf.............................................................
.................................................;
...........................;
J. Zuguskn Gkskak`..........................................
Gkskak`................................................................
.........................................;
...................;
B. ]ulukn Tenuahskn.........................................
Tenuahskn...............................................................
............................................:
......................:
M. Gknikkt Tenuahskn.......................................
Tenuahskn.............................................................
............................................:
......................:
JKJ HH TEGJK@KRKN
K. Tenferthkn THR-TO.......................................
THR-TO.............................................................
......................................
.....................2
.....2
J. Ocnsep Tenmeoktkn
Tenmeoktkn Oeaukrfk....
Oeaukrfk.........
..........
.........
.........
..........
..........
..........
..........
............
................
...............2
......2

B. Oeaukrfk
Oeaukrfk Rejkfkh
Rejkfkh Icous
Icous Tegjermkykk
Tegjermkykkn....
n.........
..........
..........
..........
..........
..........
..........
..............
..........9
.9
M. Teakosknkkn Tenmeoktkn Oeaukrfk.........................................
Oeaukrfk..........................................................0
.................0
E. Oefhktkn
Oefhktkn mkakg Teakosknk
Teakosknkkn
kn Tenmeoktkn
Tenmeoktkn Oeaukrfk
Oeaukrfk........
..................
...................
...........;2
..;2
JKJ HHH TENU]UT
K. Oeshgpuakn ..........................................
................................................................
...............................................
..........................;=
.;=
J. Rkrkn ..........................................
................................................................
......................................................
....................................;=
....;=
MKI]KZ TUR]KOK................................
TUR]KOK......................................................
............................................
...................................;5
.............;5

hh
h
 JKJ H

TENMK@UAUKN

K. Aktk
ktkr Je
Jeakok
akoknf
nf
Trcfrkg Hnmcneshk Re`kt gerupkokn skak` sktu prcfrkg mkrh Kfenmk oe-5
Nkwk Bhtk, ykhtu Genhnfoktokn Oukahtks @hmup Gknushk Hnmcneshk. Trcfrkg
hnh mhmuounf cae` prcfrkg
prcfrkg seotcrka
seotcrka akhnnyk
akhnnyk ykhtu Trcfrkg Hnmcneshk Thntkr,
Trcf
Trcfrk
rkg
g Hn
Hnmc
mcne
neshk
shk Oerl
Oerlk,
k, mk
mkn
n Tr
Trcf
cfrk
rkg
g Hn
Hnmc
mcne
nesh
shkk Re
Relk
lk`t
`ter
erk.
k. Trcf
Trcfrkg
rkg
Hnmcneshk Re`kt seaknlutnyk genlkmh prcfrkg utkgk Tegjknfunkn Oese`ktkn
yknf
yknf oegum
oegumhkn
hkn mhrenb
mhrenbknk
knkokn
okn penbkp
penbkpkhk
khknny
nnykk geakau
geakauhh Zenbkn
Zenbknkk Rtrktef
Rtrktefhs
hs
Oege
Oegent
nter
erhk
hkn
n Oese
Oese`k
`ktk
tkn
n ]k`u
]k`un
n :4
:4;5
;5-:
-:4;
4;8,
8, yk
yknf
nf mh
mhte
tetk
tkpo
pokn
kn geak
geakau
auhh
Oeputuskn Genterh Oese`ktkn Z.H. Ncgcr @O.4:.4:/Genoes/5:/:4;5.

Rkskrkn mkrh
Rkskrkn mkrh Trcfrk
Trcfrkgg Hnmcne
Hnmcneshk
shk Re`kt
Re`kt kmkak`
kmkak` genhnf
genhnfokt
oktnyk
nyk merklk
merklktt
oese
oese`k
`ktk
tkn
n mkn
mkn st
stkt
ktus
us fhzh
fhzh gksy
gksykr
krko
kokt
kt geak
geakau
auhh up
upky
kykk oe
oese
se`k
`ktk
tkn
n mkmkn
n
pegjermkykkn gksykrkokt yknf mhmuounf menfkn perahnmunfkn ihnknshka mkn
pegerktkkn peakyknkn oese`ktkn. Rkskrkn hnh sesukh menfkn skskrkn pcoco
ZTLGN :4;5-:4;8, ykhtu< genhnfoktnyk stktus oese`ktkn mkn fhzh hju mkn
knko, genhnfoktnyk penfenmkahkn penykoht, genhnfoktnyk koses mkn gutu
peakyknkn oese`ktkn mkskr mkn ruluokn terutkgk mh mkerk` terpenbha,
terthn
terthnffk
ffkaa mkn perjkt
perjktkskn
kskn,, genhnf
genhnfokt
oktnyk
nyk bkoup
bkoupkn
kn peakyk
peakyknkn
nkn oese`k
oese`ktkn
tkn
unhver
unhverska
ska geakau
geakauhh Okrtu
Okrtu Hnmcne
Hnmcneshk
shk Re`kt
Re`kt mkn oukaht
oukahtks
ks penfea
penfeacak
cakkn
kn RLRN
RLRN

oese`ktkn, terpenu`hnyk oejutu`kn tenkfk oese`ktkn, cjkt mkn vkoshn, sertk

genhnfoktnyk respcnshvhtks shsteg oese`ktkn.
J. Zug
Zugus
uskn
kn Gksk
skak
ak`
`
;. Kpk
Kpk penf
penfer
erth
thkn
kn mkr
mkrhh THR-
THR-TO
TO 3
:. Jkfk
Jkfkhg
hgkn
knkk ocnsep
ocnsep pen
penme
meok
oktk
tkn
n oeauk
oeaukrf
rfkk 3
2. Jkfkhg
Jkfkhgknk
knk oeaukr
oeaukrfk
fk sejk
sejkfkh
fkh icous
icous pegj
pegjerm
ermkyk
kykkn
kn 3
=. Jkfkhg
Jkfkhgknk
knk peakos
peakosknk
knkkn
kn penm
penmeok
eoktkn
tkn oeaukr
oeaukrfk
fk 3
5. Jkfkhg
Jkfkhgknk
knk oefhk
oefhktkn
tkn mkakg
mkakg peako
peakoskn
sknkkn
kkn penme
penmeokt
oktkn
kn oeaukr
oeaukrfk
fk 3

;
B. ]ulu
]ulukn
kn Tenu
Tenuah
ahsk
skn
n
;. Untuo
Untuo genfet
genfetk`u
k`uhh penf
penfert
erthkn
hkn mkrh
mkrh THR-T
THR-TO.
O.
:. Untuo
Untuo genf
genfetk
etk`uh
`uh ocnsep
ocnsep penmeo
penmeoktk
ktkn
n oeauk
oeaukrfk
rfk..

2. Untuo
Untuo genfe
genfetk`
tk`uh
uh oeaukr
oeaukrfk
fk sejkfk
sejkfkhh icous
icous pegje
pegjermk
rmkykk
ykkn.
n.
=. Untuo
Untuo genf
genfetk
etk`uh
`uh peako
peakoskn
sknkkn
kkn penm
penmeok
eoktkn
tkn oeau
oeaukrf
krfk.
k.
5. Untuo
Untuo genfetk
genfetk`uh
`uh oefhktkn
oefhktkn mkakg peakosknkkn
peakosknkkn penmeoktkn
penmeoktkn oeaukrfk.
oeaukrfk.
M. Gknik
knikkt
kt Ten
Tenua
uahs
hskn
kn
Gkokak` hnh mhsusun menfkn `krkpkn gegjerhokn oefunkkn <
;. Ten
Tenuahs
uahs,, se
sej
jkfkh
kfkh wk`k
wk`knk
nk pen
enkg
kgj
jk` pen
enf
fet
etk`
k`uk
ukn
n mk
mkn
n pegkp
egkpkr
krkn
kn
peghohrkn tentknf Trcfrkg Hnmcneshk Re`kt menfkn Tenmeoktkn Oeaukrfk
(THR-TO).
:. Tegjkb
Tegjkbk,
k, sejkfkh
sejkfkh gemhk
gemhk hnicrgks
hnicrgkshh peroegjk
peroegjknfk
nfkn
n penfetk
penfetk`uk
`ukn
n tentknf
tentknf

Trcfrkg Hnmcneshk Re`kt menfkn Tenmeoktkn Oeaukrfk (THR-TO).

:
 JKJ HH

TEGJK@KRKN

K. Tenf
Tenfet
ethk
hkn
n THR
THR-T
-TO
O
THR-TO hkak` suktu prcfrkg hnmcneshk se`kt menfkn penmeoktkn oeaukrfk
yknf gerupkokn skak` sktu prcfrkg pegerhntk` untuo gewulumokn YHRH mkn
GHRHH Treshm
GHR Treshmen.
en. ]ulukn
]uluknnyk
nyk untuo
untuo genhnf
genhnfokt
oktokn
okn oukaht
oukahtks
ks `hmup
`hmup gknush
gknushkk
Hnmcneshk (Trcfrkg Hnmcneshk Re`kt) yknf tertuknf mkakg renbknk strktefh
Oegenoes :4;5-:4;8.
Trcfrk
Trcfrkg
g Hnmcne
Hnmcneshk
shk Re`kt
Re`kt mhakos
mhakosknk
knkokn
okn menfkn
menfkn genefk
genefkoo
ookn
kn thfk
thfk phakr
phakr
utkgk, ykhtu<
;. Te
Tene
nerk
rkpk
pkn
n pkrk
pkrkmh
mhfg
fgkk se`k
se`kt.
t.

:. Tenf
Tenfuk
uktkn
tkn pe
peak
akyk
yknk
nkn
n oese
oese`k
`ktkn
tkn..
2. Teakos
Teakosknk
knkkn
kn lkgh
lkghnkn
nkn oese`k
oese`ktkn
tkn nkshcn
nkshcnka
ka (LON
(LON).
).
Temcgkn penyeaenffkrkkn Trcfrkg Hnmcneshk Re`kt menfkn Tenmeoktkn
Oeaukrfk, pegerhntk` teak` genetkpokn jk`wk peakosknk mkrh prcfrkg hnh
km
kmkak
kak`
` pu
puskt
skt oe
oese`
se`ktk
ktkn
n gksy
gksykrk
krkok
oktt (pus
(pusoe
oesg
sgks)
ks),, Te
Terkt
rktur
urkn
kn Gent
Genterh
erh
Oese`ktkn ZH Nc. 28 tk`un :4;9. Tusoesgksak` ulunf tcgjko mkn penentu
oejer`kshakn prcfrkg hnh.
Tenerkpkn
Tenerkpkn pkrkmhfgk
pkrkmhfgk se`kt mhakouokn
mhakouokn menfkn
menfkn strktefh
strktefh penfkrusutk
penfkrusutkgkkn
gkkn
oese`ktkn
oese`ktkn mkakg pegjknfun
pegjknfunkn,
kn, penfuktkn
penfuktkn upkyk
upkyk prcgcthi
prcgcthi mkn preventhi,
preventhi,

sertk pegjermkykkn gksykrkokt. Tenfuktkn peakyknkn oese`ktkn mhakouokn

menfkn strktefh penhnfoktkn koses peakyknkn oese`ktkn, cpthgkahsksh shsteg
ruluok
ruluokn,
n, mkn penhnf
penhnfokt
oktkn
kn gutu
gutu genffu
genffunko
nkokn
kn penmeo
penmeoktk
ktkn
n bcn
bcnthn
thnuug
uug ci
bkre mkn hntervensh jerjkshs rhshoc oese`ktkn. Remknfokn peakosknkkn LON
mhakou
mhakouokn
okn menfkn
menfkn strktef
strktefhh perauk
peraukskn
skn skskrkn
skskrkn mkn gknikkt
gknikkt (jenei
(jeneiht)
ht),, sertk
sertk
oenmka
oenmkahh gutu
gutu mkn jhkyk.
jhkyk. Oesegu
Oesegukny
knykk htu mhtulu
mhtuluokn
okn oepkmk
oepkmk terbkpk
terbkpkhny
hnykk
oeaukrfk-oeaukrfk se`kt.
J. Ocns
Ocnsep
ep Ten
Tenme
meok
oktk
tkn
n Oeau
Oeaukr
krfk
fk
Oeaukrfk kmkak` skak` sktu bkrk Tusoesgks untuo genhnfoktokn lknfokukn

skskrkn
skskrkn mkn genmeo
genmeokto
ktokn/
kn/gen
genhnf
hnfokto
oktokn
kn koses
koses peakyk
peakyknkn
nkn oese`k
oese`ktkn
tkn mh

2
whakyk` oerlknyk menfkn genmktknfh oeaukrfk. Oeaukrfk sejkfkh icous mkakg
penmeoktkn peakosknkkn Trcfrkg Hnmcneshk Re`kt. Rkak` sktu iunfsh oeaukrfk
ykhtu
ykhtu sejkfk
sejkfkhh perkwkt
perkwktkn
kn ktku
ktku pegeah
pegeah`kr
`krkkn
kkn oese`k
oese`ktkn
tkn (]`e
(]`e @ekat`
@ekat` Bkre
Bkre

Iunbthcn) kmkak` untuo gegpertk`knokn oekmkkn oese`ktkn knffctk oeaukrfk

kfkr tetkp geghahoh prcmuothvhtks yknf thnffh. ]ufks-tufks oeaukrfk mkakg
pegeah`krkkn oese`ktkn, ykhtu<
;. Genfen
Genfenka
ka fknffuk
fknffukn
n peroegjk
peroegjknfk
nfkn
n oese`ktkn
oese`ktkn sethkp
sethkp knffct
knffctkk oeaukrfk
oeaukrfk--
nyk.
:. Genfkg
Genfkgjha
jha oeput
oeputusk
uskn
n untuo
untuo thnmko
thnmkokn
kn oese`kt
oese`ktkn
kn yknf
yknf tepkt.
tepkt.
2. Gegjer
Gegjerhok
hokn
n perkwkt
perkwktkn
kn oepkmk
oepkmk knffc
knffctk
tk oeauk
oeaukrfk
rfk yknf
yknf skoht.
skoht.
=. Gegper
Gegpertk`
tk`kno
knokn
kn suksknk
suksknk rugk`
rugk` yknf genfun
genfuntun
tunfok
fokn
n untuo oese`k
oese`ktkn
tkn
mkn peroegjknfkn oeprhjkmhkn knffctk oeaukrfknyk.

5. Gegp
Gegpert
ertk`
k`kn
knok
okn
n `u
`uju
junf
nfkn
kn thgj
thgjka
ka jk
jkah
aho
o kn
kntk
tkrk
rk oe
oeau
aukr
krfk
fk mk
mkn
n ik
iksha
shaht
htks
ks
oese`ktkn.
Tenmeoktkn oeaukrfk kmkak` penmeoktkn peakyknkn cae` Tusoesgks yknf
genfhntefrkshokn upkyk oese`ktkn percrknfkn (UOT) mkn upkyk oese`ktkn
gksykr
gksykrkok
koktt (UOG)
(UOG) sebkrk
sebkrk jeroes
jeroeshnk
hnkgju
gjunfk
nfkn,
n, menfkn
menfkn tkrfet
tkrfet oeaukr
oeaukrfk,
fk,
mhmkskrokn pkmk mktk mkn hnicrgksh mkrh Trciha Oese`ktkn Oeaukrfk.
]ulukn mkrh penmeoktkn oeaukrfk kmkak` sejkfkh jerhout.
;. Genh
Genhn
nfokto
oktokn
kn ko
kose
sess oeau
oeaukr
krf
fk te
ter`
r`km
kmkp
kp pea
eaky
kykn
knkn
kn oe
oese
se`
`kt
ktkn
kn
oc
ocgp
gpre
re`e
`ens
nshi
hi,, geah
geahpu
puth
th pe
peak
akyk
yknk
nkn
n pr
prcg
cgct
cthi
hi mk
mkn
n pr
prev
even
enth
thii sertk
sertk

peakyknkn ourkthi mkn re`kjhahtkthi mkskr.

:. Genm
Genmuuou
ounf
nf penenbk
bkpk
pkhk
hkn
n Rtkn
Rtknmkmkrr Tea
eaky
kykn
knkn
kn Ghn
Ghnhgu
hgug (RTG
(RTG))
Okjupkten/Octk mkn RTG Trcvhnsh, geakauh penhnfoktkn koses mkn
sorhnhnf oese`ktkn.
Tenmeoktkn oeaukrfk yknf mhgkosum mkakg pemcgkn ugug hnh gerupkokn
penfegjknfkn mkrh ounlunfkn rugk` cae` Tusoesgks mkn peraukskn mkrh
upkyk Terkwktkn Oese`ktkn Gksykrkokt (Teroesgks), yknf geahputh oefhktkn
jerhout <

=
;. Ounlu
unlun
nfkn
fkn oeauk
eaukrf
rfkk untu
ntuo pen
enm
mkt
ktkk
kkn
n/p
/pen
enfu
fug
gpu
puak
akn
n mk
mktk
tk Trc
rcih
ihaa
Oese`ktkn Oeaukrfk mkn peregklkkn (upmkthnf) pknfokakn mktknyk.
:. Ounl
Ounlun
unfk
fkn
n oe
oeau
aukr
krfk
fk mk
mkak
akg
g rknfo
rknfokk pr
prcg
cgcs
cshh oe
oese`
se`kt
ktkn
kn se
sejk
jkfk
fkhh up
upky
kykk

prcgcthi mkn preventhi.

2. Ounlun
Ounlunfkn
fkn oeaukr
oeaukrfk
fk untuo
untuo genhmko-
genhmko- aknluth
aknluth peakyk
peakyknkn
nkn oese`k
oese`ktkn
tkn mkakg
mkakg
femunf.
=. Tegk
Tegkni
nikkt
kktkn
kn mktk mkn hn
hnic
icrg
rgksh
ksh mkrh
mkrh Trci
Trciha
ha Oese`k
Oese`ktkn
tkn Oeauk
Oeaukrf
rfkk un
untu
tuo
o
penfcrfknhskshkn/pegjermkykkn gksykrkokt mkn gknklegen Tusoesgks.
Ounlunfkn rugk` (oeaukrfk) mhakouokn sebkrk terlkmwka mkn ruthn, menfkn
gegknikktokn mktk mkn hnicrgksh mkrh Trciha Oese`ktkn Oeaukrfk (i kghay
icamer). Mkakg genlknfoku oeaukrfk, Tusoesgks thmko `knyk genfknmkaokn
Upkyk
Upkyk Oese`k
Oese`ktkn
tkn Jerjks
Jerjkshs
hs Gksykrko
Gksykrkokt
kt (UOJG)
(UOJG) yknf
yknf kmk sejkfk
sejkfkhgk
hgknk
nk

seakgk hnh mhakosknkokn, geakhnokn lufk aknfsunf jerounlunf oe oeaukrfk.

Terau mhper`kthokn, jk`wk penmeoktkn oeaukrfk geakauh ounlunfkn rugk` hnh
thmko jerkrth gegkthokn UOJG yknf kmk, tetkph lustru untuo gegperoukt
UOJG yknf seakgk hnh mhrkskokn gksh` ourknf eieothi.
Menfkn
Menfkn genfun
genfunlun
lunfh
fh oeaukr
oeaukrfk
fk mh rugk`n
rugk`nyk,
yk, Tusoes
Tusoesgks
gks kokn
kokn mkpkt
mkpkt
genfenkah gkskak`-gkskak` oese`ktkn (mkn Terhakou @hmup Jersh` mkn Re`kt
(T@JR) yknf mh`kmkph oeaukrfk sebkrk aejh` genyeauru` (`cahstho). Hnmhvhmu
knffctk oeaukrfk yknf perau genmkpktokn peakyknkn oese`ktkn oegumhkn
mkpkt mhgcthvksh untuo gegknikktokn UOJG yknf kmk mkn/ktku peakyknkn

Tusoesgks.
Tusoesg ks. Oeaukr
Oeaukrfk
fk lufk
lufk mkpkt
mkpkt mhgcth
mhgcthvks
vkshh untuo
untuo gegper
gegperjkh
jkhoh
oh ocnmhs
ocnmhshh
oe
oese`
se`kt
ktkn
kn ahnf
ahnfou
ounf
nfkn
kn mk
mkn
n je
jerj
rjkf
kfkh
kh ik
ikot
otcr
cr rhsho
rhshoc
c ak
akhn
hn yk
yknf
nf seakg
seakgkk hn
hnhh
gerufhokn oese`ktknnyk, menfkn penmkgphnfkn mkrh okmer-okmer oese`ktkn
UOJG mkn/ktku petufks prcieshcnka
prcieshcnka Tusoesgks
Tusoesgks (fkgjkr
(fkgjkr mhktks).
mhktks). Untuo
Untuo htu,
mhperauokn penfkturkn kfkr sethkp oeaukrfk mh whakyk` Tusoesgks geghahoh
]hg Tegjhnk Oeaukrfk.
Tent
Tenthn
hnfn
fnyk
yk pe
penm
nmeo
eokt
ktkn
kn oe
oeau
aukrf
krfkk lu
lufk
fk mh
mhkg
kgkn
knkt
ktok
okn
n mk
mkak
akg
g Zenb
Zenbkn
knkk
Rtrkte
Rtrktefhs
fhs (Zenst
(Zenstrk)
rk) Oegent
Oegenterhk
erhkn
n Oese`k
Oese`ktkn
tkn ]k`un
]k`un :4;5
:4;5 ‒ :4;8.
:4;8. Mkakg
Mkakg
Zenstrk mhsejutokn jk`wk skak` sktu kbukn jkfh krk` oejhlkokn Oegenterhkn

Oese
Oese`k
`ktk
tkn
n kmka
kmkak`
k` pene
penerk
rkpk
pkn
n penm
penmeo
eokt
ktkn
kn pe
peak
akyk
yknk
nkn
n oe
oese
se`k
`ktk
tkn
n yk
yknf
nf

5
 terhntefrksh mkn jeroeshnkgjunfkn (bcnthnuug
(bcnthnuug ci bkre).
bkre ). @ka hnh jerkrth jk`wk
peakyknkn oese`ktkn `krus mhakouokn ter`kmkp seauru` tk`kpkn shoaus `hmup
gknushk (ahie
(ahie bybae),
bybae), selko gksh` mkakg oknmunfkn, skgpkh ak`hr genlkmh

jkyh, tugju` genlkmh knko jkahtk, knko ushk seocak`, regklk, mewksk gumk
(ushk prcmuothi), mkn ko`hrnyk genlkmh mewksk tuk ktku ushk aknlut. Untuo
mkpkt geakosknkokn peakyknkn oese`ktkn yknf jeroeshnkgjunfkn ter`kmkp
seauru` tk`kpkn shoaus `hmup gknushk, gkok icous peakyknkn oese`ktkn `krus
pkmk oeaukrfk. Mkakg pegjerhkn peakyknkn oese`ktkn, hnmhvhmu-hnmhvhmu
`krus mhah`kt mkn mhperakouokn sejkfkh jkfhkn mkrh oeaukrfknyk.

Fkgjkr ; < penmeoktkn shoaus `hmup

B. Oeauk
Oeaukrfk
rfk Rejkf
Rejkfkh
kh Icous
Icous Tegj
Tegjer
ermky
mkykk
kkn
n
Oeaukrfk kmkak` suktu aegjkfk yknf gerupkokn sktukn (unht) teroebha mkrh
gksykrkokt, termhrh ktks kyk`, hju, mkn knko. Oeaukrfk yknf seperth hnh mhsejut
rugk` tknffk ktku oeaukrfk hnth (oeaukrfk jkth`). Remknfokn oeaukrfk yknf
knffctknyk genbkoup lufk okoeo mkn ktku neneo ktku hnmhvhmu akhn yknf
geghah
geghahoh
oh `u
`ujun
junfkn
fkn mkrk`,
mkrk`, jk`okn
jk`okn lufk
lufk thmko
thmko geghah
geghahoh
oh `ujunf
`ujunfkn
kn mkrk`
mkrk`
(ghskanyk pegjkntu rugk` tknffk), mhsejut oeaukrfk auks (extenmem
(extenmem ikghay).
ikghay).
Cae` okrenk gerupkokn unht teroebha mkrh gksykrkokt, gkok merklkt oese`ktkn
rugk` tknffk ktku oeaukrfk genentuokn merklkt oese`ktkn gksykrkoktnyk.
Regentkrk htu, merklkt oese`ktkn oeaukrfk sknfkt mhtentuokn cae` T@JR
mkrh oeaukrfk tersejut. Menfkn meghohkn, hnth mkrh penfegjknfkn mesk mkn
oeau
oeaurk
rk`k
`kn
n kmka
kmkak`
k` gegj
gegjer
ermk
mkyk
ykok
okn
n oe
oeau
aukr
krfk
fk-o
-oea
eauk
ukrf
rfkk kf
kfkr
kr gkgp
gkgpu
u
gegprkothookn T@JR. T@JR kmkak` seougpuakn perhakou yknf mhprkothookn

9
ktks mkskr oeskmkrkn sejkfkh `ksha pegjeaklkrkn, yknf genlkmhokn sesecrknf,
oeaukr
oeaukrfk,
fk, oeacgp
oeacgpco
co ktku
ktku gksykr
gksykrkok
koktt gkgpu
gkgpu gencac
gencacnf
nf mhrhny
mhrhnykk senmhr
senmhrhh
(gkn
(gknmh
mhrh
rh)) mh jhmk
jhmknf
nf oe
oese
se`k
`ktk
tkn
n mk
mkn
n je
jerp
rperk
erkn
n ko
koth
thii mk
mkakg
akg gewu
gewulu
lumo
mokn
kn

oese`ktkn gksykrkokt.
Bcntc`nyk
Bcntc`nyk pkmk jhmknf oese`ktkn hju mkn knko sertk oeaukrfk jerenbknk
jerenbknk
`krus
`krus mhprko
mhprkotho
thookn
okn perhak
perhakou
ou geghnt
geghntkk pertca
pertcacnf
cnfkn
kn perskah
perskahnkn
nkn mh ikshaht
ikshahtks
ks
oe
oese`
se`kt
ktkn
kn,, genh
genhgj
gjkn
knf
f jk
jkah
ahtk
tk mk
mkn
n gegk
gegknt
ntku
ku pe
pero
roeg
egjk
jknf
nfkn
knny
nykk sebkrk
sebkrk
jerokak, gegjerhokn hgunhsksh mkskr aenfokp oepkmk jkyh, genlkmh kseptcr
oeaukrfk jerenbknk, mkn akhn-akhn. Oegumhkn pkmk jhmknf fhzh mkn ikrgksh
`krus
`krus mhprko
mhprkotho
thookn
okn perhak
perhakou
ou gkokn
gkokn menfkn
menfkn fhzh
fhzh sehgjkn
sehgjknf,
f, ghnug
ghnug ]kjaet
]kjaet
]kgjk` Mkrk` (]]M) seakgk `kgha, gegjerh jkyh Khr Rusu Hju sklk (KRH
eosoaushi), mkn akhn-akhn.

Tegjermky
Tegjer mkykkn
kkn gksykr
gksykrkok
koktt kmkak`
kmkak` jkfhkn
jkfhkn mkrh
mkrh iunfsh
iunfsh upkyk
upkyk oese`k
oese`ktkn
tkn
gksykrkokt
gksykrkokt (UOG) mkrh Tusoesgks.
Tusoesgks. Okrenk oeaukrfk
oeaukrfk gerupkokn
gerupkokn aegjkfk
teroebha mkrh gksykrkokt, gkok pegjermkykkn gksykrkokt `krus mhguakh mkrh
pegjermkykkn oeaukrfk. Tegjermkykkn gksykrkokt yknf seakgk hnh
mhak
mhakos
oskn
knko
kokn
kn mh jhmk
jhmknf
nf oe
oese`
se`ktk
ktkn
n mh
mhpk
pknm
nmu
u me
menf
nfkn
kn Oepu
Oeputu
tusk
skn
n Gent
Genterh
erh
Oese
Oese`k
`ktk
tkn
n Ncgc
Ncgcrr ;5
;5:8
:8/G
/Gen
enoe
oes/R
s/RO/
O/P/
P/:4
:4;4
;4 te
tent
ntkn
knf
f Te
Temc
mcgk
gkn
n Ugug
Ugug
Tenf
Tenfeg
egjk
jknf
nfkn
kn Mesk
Mesk mk
mkn
n Oeau
Oeaurk
rk`k
`kn
n Rhkf
Rhkfkk Koth
Kothi.
i. Mkak
Mkakg
g pe
pemc
mcgk
gkn
n hn
hnhh
mhseju
mhsejutok
tokn
n jk`wk
jk`wk pegjer
pegjermky
mkykkn
kkn gksykrko
gksykrkokt
kt mesk/o
mesk/oeau
eaurk`
rk`kn
kn gerupk
gerupkokn
okn
oeaknl
oeaknlutk
utkn
n mkrh
mkrh pegjer
pegjermky
mkykkn
kkn oeaukr
oeaukrfk
fk geakauh
geakauh penfeg
penfegjkn
jknfkn
fkn Terhak
Terhakou
ou

@h
@hmu
mup
p Jers
Jersh`
h` mkn
mkn Re
Re`k
`ktt (T
(T@J
@JR)
R) tk
tktk
tknk
nkn
n ru
rugk
gk`
` tk
tknf
nffk
fk.. ]ulu
]ulukn
kn mk
mkrh
rh
penfegjknfkn Mesk mkn Oeaurk`kn Rhkfk Kothi htu thmko akhn kmkak`
terbhptknyk Mesk Re`kt mkn Oeaurk`kn Re`kt.
Oefhktkn
Oefhktkn Tusoesgks
Tusoesgks mkakg geakosknkokn
geakosknkokn upkyk oese`ktkn percrknfkn
percrknfkn
(UOT) thnfokt pertkgk gegknf mkpkt genf`kshaokn hnmhvhmu se`kt, yknf
mhuour menfkn Hnmhoktcr Hnmhvhmu Re`kt (HHR). ]etkph menfkn bkrk hnh sklk,
Oebkgktkn Re`kt kokn suaht mhbkpkh. Geakauh pegjermkykkn gksykrkokt mesk
mkn oeaurk`kn mh whakyk` oerlknyk, Tusoesgks kokn aejh` bepkt genbkpkh
Oebk
Oebkgk
gktk
tkn
n Re
Re`k
`kt.
t. Menf
Menfkn
kn genf
genfeg
egjk
jknf
nfok
okn
n mk
mkn
n gegj
gegjhn
hnkk mesk
mesk mk
mkn
n

oeau
oeaurk
rk`k
`kn,
n, Tuso
Tusoes
esgk
gkss geak
geakos
oskn
knko
kokn
kn pe
pegj
gjer
ermk
mkyk
ykkn
kn oe
oeau
aukr
krfk
fk mk
mkn
n

6
 pegjermkykkn gksykrkokt. Tegjermkykkn oeaukrfk kokn genf`kshaokn
oeaukrfk-oeaukrfk se`kt yknf mhuour menfkn Hnmeos Oeaukrfk Re`kt (HOR).
Remknfokn pegjermkykkn gksykrkokt mesk mkn oeaurk`kn kokn genf`kshaokn

perkn sertk gksykrkokt jerupk UOJG seperth Tcsyknmu, Tcsjhnmu, Tcahnmes,

Tcs UOO, mkn akhn-akhn.
M. Teako
Teakoskn
sknkkn
kkn Tenmeo
Tenmeokt
ktkn
kn Oeau
Oeaukr
krfk
fk
Xknf mhgkosum sktu oeaukrfk kmkak` sktu oesktukn oeaukrfk hnth (kyk`,
hju, mkn knko) sejkfkhgknk mhnyktkokn mkakg Okrtu Oeaukrfk. Lhok mkakg
sktu rugk` tknffk termkpkt okoeo mkn ktku neneo ktku hnmhvhmu akhn, gkok
rugk`
rugk` tknffk
tknffk terseju
tersejutt mhknff
mhknffkp
kp termhrh
termhrh aejh`
aejh` mkrh
mkrh sktu oeaukr
oeaukrfk.
fk. Untuo
Untuo
genykt
genyktkok
kokn
n jk`wk
jk`wk suktu
suktu oeaukr
oeaukrfk
fk se`kt
se`kt ktku
ktku thmko
thmko mhfunk
mhfunkokn
okn seluga
selugak`
k`
penknmk ktku hnmhoktcr. Mkakg rknfok peakosknkkkn Trcfrkg Hnmcneshk Re`kt

teak` mhsepkokth kmknyk ;: hnmhoktcr utkgk untuo penknmk stktus oese`ktkn

seju
sejuk`
k` oe
oeau
aukrf
krfk.
k. Oemu
Oemukk je
jeaks
aks hnmh
hnmhok
oktc
tcrr ut
utkg
kgkk te
terse
rseju
jutt km
kmkak
kak`
` se
sejk
jkfk
fkhh
jerhout<
;. Oeaukr
Oeaukrfk
fk genf
genfhou
houth
th prcf
prcfrkg
rkg Oeau
Oeaukrf
krfkk Jerenb
Jerenbknk
knk (OJ)
(OJ)
Tkmk
Tkmk hn
hnmh
mhok
oktc
tcrr yk
yknf
nf pe
pert
rtkg
kgk,
k, Oeau
Oeaukrf
krfkk genf
genfho
hout
uthh pr
prcf
cfrk
rkg
g
oeaukr
oeaukrfk
fk jerenb
jerenbknk
knk (OJ),
(OJ), pksknf
pksknfkn
kn ushk
ushk sujur,
sujur, mkpkt
mkpkt genfun
genfunkok
kokn
n
getcme OJ yknf sesukh mkn mh`krkpokn oepkmk hju jerskahn untuo mkpkt
genffu
genffunko
nkokn
kn OJ seferk
seferk seteak`
seteak` geak`h
geak`hrok
rokn.
n. Untuo
Untuo phah`k
phah`kn
n getcme
getcme
ocntrks
ocntrksepsh
epsh yknf
yknf tet
tetkp
kp jkfh
jkfh knmk
knmk mkn pksknf
pksknfkn
kn tentun
tentunyk
yk knmk
knmk jhsk
jhsk

jerocnsuatksh menfkn tenkfk oese`ktkn. Kmk selugak` gknikkt jer-OJ

mhkntkrknyk mkpkt genbefk` oe`kghakn yknf thmko mhrenbknkokn, mkpkt
genhnf
genhnfokt
oktokn
okn oese`k
oese`ktkn
tkn hju mkn knko
knko mkn lufk
lufk mkpkt
mkpkt genhnf
genhnfokt
oktokn
okn
oe
oese
selk`
lk`te
terkk
rkkn
n oe
oeau
aukrf
krfk,
k, genf
genfkt
ktur
ur mk
mkn
n genl
genlkr
krkn
knfo
fokn
kn oe
oe`k
`kgh
ghak
akn,
n,
genhnfoktokn oebuoupkn KRH mkn pcak ksu` yknf jkho jkfh knko, mkn
mkpkt genurrunokn reshoc oegkthkn hju mkn jkyh.
:. Hju geakou
geakouokn
okn perskah
perskahnkn
nkn mh iksha
ikshahtk
htkss oese`
oese`ktkn
ktkn
Tkmk
Tkmk hn
hnmh
mhok
oktc
tcrr oe
oemu
muk,
k, Hj
Hju
u geako
geakouo
uokn
kn pe
persk
rskah
ahnk
nkn
n mh iksha
ikshaht
htks
ks
peakyknkn oese`ktkn kokn gegjukt hju seakgkt mkn jkyh se`kt. Kmk

selugak
selugak`
` gknikkt
gknikkt jerska
jerskahn
hn mhiksha
mhikshahtk
htkss peakyk
peakyknk
nk oese`k
oese`ktkn
tkn mhkntk
mhkntkrkn
rknyk
yk

0
 menfkn jerskahn mh ikshahtks peakyknkn oese`ktkn hju mkn jkyh mhtcacnf
cae` tenkfk oese`ktkn yknf ocgpeten. Hju lufk kokn mkpkt gegpercae`
peakyknkn OJ seferk seteak` geak`hrokn, mkpkt genffunkokn LON-

OHR
HR/L
/LKG
KGTTEZRK
EZRKA A se
sejk
jkf
fkh susug
gje
jerr pegj
egjhkhky
ykkn
kkn, hj
hju
u mkn jk jky
yh
genmkpktokn penknfknkn seferk lhok sewkotu-wkotu terlkmh ocgpahoksh,
jkyh kokn genmkpktokn HGM (hnhshksh genyusu mhnh) mkn lufk jkyh kokn
genm
genmkp
kpkt
ktok
okn
n seaur
seauru`
u` pe
perkw
rkwkt
ktkn
kn yk
yknf
nf mh
mhpe
pera
rauo
uokn
kn tergk
tergksu
suo
o lu
lufk
fk
hgunhsksh.
2. Jkyh
Jkyh gen
genmk
mkpk
pktt hgunh
hgunhsks
skshh mkskr
mkskr aen
aenfo
fokp
kp
Hnmhoktcr oethfk, Jkyh genmkpktokn hgunhsksh aenfokp. Hgunhsksh
mkskr
mkskr aenfok
aenfokp
p untuo
untuo jkyh
jkyh mkpkt
mkpkt mhperc
mhpercae`
ae` mh Tcsykn
Tcsyknmu,
mu, Tusoesg
Tusoesgks,
ks,
Mcoter, mcoter speshkahs knko, jhmkn prkotho mkn lufk mh rugk` skahn.

un
untu
tuo
o genf
genfetk
etk`u
`uhh lenh
lenhs-l
s-len
enhs
hs hgun
hgunhsk
hsksh
sh mk
mkskr
skr ae
aenf
nfok
okp
p ykyknf
nf `k
`kru
russ
mhpe
mhperc
rcae
ae`
` cae`
cae` se
secr
crkn
knf
f jkyh
jkyh mkn
mkn kn
knko
ko mk
mkpk
pktt mh
mhah
ah`k
`ktt pk
pkmk
mk pk
pkoe
oett
hnicrgksh Jkyh genmkpktokn hgunhsksh aenfokp mh shnh.
=. Jkyh
Jkyh genm
genmkpk
kpktt khr
khr ssusu
usu hju (KRH)
(KRH) eoso
eosoaus
aushi
hi
Hnmhok
Hnmhoktcr
tcr oeegpk
oeegpkt,
t, Jkyh
Jkyh genmkp
genmkpkt
kt KRH Eosaus
Eosaushi.
hi. Tksthok
Tksthokn
n jkyh
jkyh
knmk `knyk mhjerhokn KRH sklk mkrh ushk 4-9 juakn, mkn KRH mhterusokn
skgpkh ushk jkyh : tk`un. Hju genyusuh skgpkh : tk`un aejh` `egkt mkn
knko kokn tugju` oegjknf sebkrk cpthgka. Knko kokn tugju` se`kt mkn
bermks.

5. Jkahtk
Jkahtk genmkp
genmkpkto
ktokn
kn pegknt
pegkntkuk
kuknn pert
pertugj
ugju`
u`kn
kn
Hnmhok
Hnmhoktcr
tcr oe-ahg
oe-ahgk,
k, Jkahtk
Jkahtk genmkp
genmkpkt
kt Tegknt
Tegkntkuk
kukn
n pertug
pertugju`
ju`kn.
kn.
Kfkr Jkahtk genmkpkt pegkntkukn pertugju`kn, jkahtk `krus mhjkwk oe
pcsyknmu untuo mhthgjknf sethkp juakn. Mhpcsyknmu jkahtk kokn
mhth
mhthgj
gjkn
knf
f se
seth
thkp
kp juak
juakn
n se
selk
lko
o ak
ak`h
`hrr sk
skgp
gpkh
kh 5 tk
tk`u
`un.
n. Te
Tegk
gknt
ntku
kukn
kn
pertugju`kn jkahtk hnh jergknikkt untuo genfetk`uh stktus pertugju`kn
jkahtk, sejkfkh meteosh mhnh fknffukn pertugju`kn jkahtk, Hju genmkpkt
penyuau`kn fhzh pertugju`kn
pertugju`kn jkahtk.
Ocnsuatksho
Ocnsuatkshokn
kn seferk jkahtk oe Tusoesgks
Tusoesgks kpkjhak
kpkjhak mhteguh
mhteguh `ka-`ka
`ka-`ka

sejkfkh jerhout<

8
 k. Jerkt jkmkn jerkmk mhjkwk`
mhjkwk` fkrhs
fkrhs Gerk`
Gerk`
j. Jerkt jkmkn thmko nkho
b. Jkahtk
Jkahtk skoht/megkg
skoht/megkg/jktu
/jktuo/phaeo
o/phaeo/mhkre
/mhkre

Gknikkt akhn jkahtk seakau mhjkwk oe Tcsyknmu kmkak` kfkr crknf

tuk mkpkt seakau gegkntku pertugju`kn jkahtk, genmkpkt okpsua vhtkghn
K, genm
genmkp
kpkt
kt hgun
hgunhs
hsks
kshh aenf
aenfok
okp,
p, te
tegp
gpkt
kt genm
genmkp
kpkt
ktok
okn
n gkok
gkoknk
nkn
n
tkgjk`kn jerfhzh. Reakhn htu oe pcsyknmu lufk sknfkt jergknikkt jkfh hju
`kgha untuo genmkpkt tkjaet tkgjk` mkrk` mkn hju lufk jhsk genmkpkt
penfetk`ukn/wkwkskn tentknf oese`ktkn menfkn genfhouth penuyuou`kn
yknf mhskgpkhkokn cae` petufks oese`ktkn, terutkgk penfetk`unkn yknf
terokht menfkn Oese`ktkn hju mkn knko.
9. Tenmerhtk
Tenmerhtk tujerouacs
tujerouacshs
hs pkru
pkru genmkpktok
genmkpktokn
n penfc
penfcjktkn
jktkn sesukh stknmkr
stknmkr

Hnmhoktcr oeenkg, Tenmerhtk ]J Tkru genmkpkt penfcjktkn sesukh

stknmkr. Felkak ]J mhkntkrknyk kmkak` jktuo jermk`ko, sesko nkiks mkn
nyerh mkmk,
mkmk, jkmkn aegks, nkisu gkokn jerourknf
jerourknf,, mkn megkg gerhknf
gerhknf
jeroepknlknfkn, Felkak akhnnyk kmkak` jerkt jkmkn genurun, mkn kmknyk
ocntko menfkn pkshen ]J. Jhak kmk skak` sktu ktku aejh` felkak mh ktks
seferk perhosk oe Tusoesgks.
6. Tenmer
Tenmerhtk
htk `hper
`hperten
tensh
sh geakou
geakouokn
okn penfc
penfcjkt
jktkn
kn sebkrk
sebkrk terkt
terktur
ur
Hnmhok
Hnmhoktcr
tcr oetulu
oetulu`,
`, Tenmer
Tenmerhtk
htk @hperte
@hpertensh
nsh geakou
geakouokn
okn penfcj
penfcjktk
ktkn
n
sebkrk terkrur. Tkmk ugugnyk `hpertensh thmko mhsertkh menfkn felkak ktku

oeau`kn tertentu. Oeau`kn thmko speshiho pkmk penmerhtk `hpertensh kmkak`

skoht oepkak, feahsk`, lkntunf jermejkr-mejkr, pushnf, penfah`ktkn okjur,
rksk skoht mh mkmk, gumk` aeak` mkn akhn-akhn.
Genfenmkahokn `hpertensh jhsk mhakouokn menfkn fkyk `hmup se`kt
mk
mkn
n ghnu
ghnug
g cj
cjkt
kt se
sebkr
bkrkk terkt
terktur
ur.. Te
Tenf
nfcj
cjktk
ktkn
n sebkr
sebkrkk terkt
terktur
ur km
kmka
kak`
k` <
geghnug cjkt sebkrk terktur sesukh reocgenmksh mcoter mkn geakouokn
ocntrca terktur. sumk` se`krusnyk ohtk wkspkmkh `hpertensh mkn oenmkahokn
teoknkn mkrk`.
Kmk selugak` ikotcr reshoc `hpertensh. Ikotcr reshoc tersejut kmk

yknf gerupkokn ikotcr reshoc yknf thmko mkpkt mhujk` ykhtu ugur lenhs

;4
 oeakghn mkn rhwkykt oeaukrfk. Mkn kmk lufk ikotcr reshoc yknf mkpkt
mhujk` seperth gercoco, ourknf gkokn juk` mkn skyur, ocnsugsh fkrkg
jeraejh`, ourknf kothvhtks ihsho, jerkt jkmkn jeraejh`/oefeguokn,

mhsahphmeghk mkn stres.

0. Tenmerhtk fknffukn lhwk genmkpktokn penfcjktkn mkn thmko
mhteakntkrokn
Hn
Hnmh
mhok
oktc
tcrr oeme
oemeak
akpk
pkn,
n, Te
Tenm
nmer
erht
htkk fk
fknf
nffu
fukn
kn lhwk
lhwk genm
genmkp
kpkt
kt
penfcjktkn mkn thmko mhteakntkrokn. Fknffukn lhwk mkpkt mhcjkth kpk kpk
akfh lhok mhtknfknh semhnh gunfohn. Terkn oeaukrfk sknfkt penthnf mkakg
gegper`kthokn mkn genmeteosh mhnh felkak perujk`kn egcsh, perhakou
mkn pcak/hsh phohr yknf thmko wklkr mkrh knffctk oeaukrfk. @ka yknf `krus
mhper`kthokn kmkak` kpkjhak kmk knffctk oeaukrfk yknf mhpksunf kfkr

seferk mhak
seferk mhakpc
pcro
rokn
kn oe
oepk
pkmk
mk ok
okme
mer/
r/pu
puso
soesg
esgks
ks seteg
setegpk
pktt un
untu
tuo
o mk
mkpk
pktt
mhtknfknh sejkfkhgknk gesthnyk.
8. Knffct
Knffctkk oeau
oeaukrf
krfkk thmk
thmko
o kmk
kmk yknf
yknf gercoc
gercoco
o
Hnmhoktcr oesegjhakn, Knffctk oeaukrfk thmko kmk yknf gercoco.
Zcoco
Zcoco htu sejenk
sejenkrny
rnykk kmkak`
kmkak` rkbun.
rkbun. Mkakg
Mkakg sktu
sktu jktknf
jktknf rcoco
rcoco yknf
yknf
mhjkokr,
mhjkokr, genfknmun
genfknmunf
f =444 zkt ohghk jerkbun mkn sejkfhkn mhkntkrknyk
mhkntkrknyk
kmkak` jershikt okrshncfenho. Zkbun utkgk yknf termkpkt mkakg sejktknf
rcoco kmkak` tkr, nhocthn, mkn okrjcngcncoshmk.
;4. Oeaukrfk
Oeaukrfk sumk` genlkmh
genlkmh knffctk
knffctk Lkghnkn Oese`ktkn
Oese`ktkn Nkshcnka
Nkshcnka (LON)
(LON)

Hnmhoktcr
Hnmhoktcr oe sepuau
sepuau`,
`, Reoeau
Reoeaukrf
krfkk sumk`
sumk` genlkm
genlkmhh knffct
knffctkk LON.
LON.
Genlkmh knffctk LON ktku genlkmh pesertk LOZK mh kbe` kmkak` sesuktu
yknf
yknf sknfkt
sknfkt penthn
penthnf
f jkfh
jkfh oeaukr
oeaukrfk.
fk. @ka hnh untuo
untuo genlkg
genlkghn
hn knffct
knffctkk
oeaukrfk untuo genmkpktokn peakyknkn oese`ktkn mhikshahtks oese`ktkn
yknf jeoerlkskgk menfkn JTLR Oese`ktkn.
;;. Oeaukrfk
Oeaukrfk gegpuny
gegpunykh
kh koses
koses skrknk
skrknk khr jersh`
jersh`
Hnmhoktcr
Hnmhoktcr oesejeaks,
oesejeaks, Oeaukrf
Oeaukrfkk gegpunykh
gegpunykh koses skrknk khr jersh`.
jersh`.
Rkrknk khr jersh` sknfkt penthnf untuo genbkpkh oeaukrfk se`kt.@krus
mhlkfk oejersh`knnyk seperth thmko kmk fenknfkn khr mhseohtkr sugjer khr,

;;
 mkn mhaenfokph
mhaenfokph menfkn
menfkn skaurkn
skaurkn pegjuknkfkn
pegjuknkfkn khr, thmko kmk octcrkn ktku
ougkn penbegkr khr mkn gegenu`h sykrkt-sykrkt khr yknf jersh`.
;:. Oeaukrfk
Oeaukrfk gegpunykh
gegpunykh koses
koses ktku genffunk
genffunkokn
okn lkgjkn
lkgjkn se`kt

Hnmhoktcr oemuk
Hnmhoktcr oemuk jeaks, Genffunko
Genffunkokn/geg
kn/gegpuny
punykh
kh koses lkgjkn
lkgjkn
oeaukrfk. Reakau funkokn lkgjkn se`kt. Gknikkt Juknf Khr Jeskr mkn
Oebha mh lkgjkn mhkntkrknyk kmkak` <
k. Ahnfou
Ahnfounfk
nfkn
n jersh
jersh`,
`, se`kt
se`kt mkn thmko
thmko jerjku
jerjku..
j. ]hmko genbegkrh sugjer khr mkn tknk` yknf kmk mhseohtkrnyk
b. ]hmk
]hmko
o genf
genfun
unmk
mknf
nf akak
akakt/
t/oeb
oebck
ck/s
/serk
erknf
nffk
fk yk
yknf
nf mk
mkpk
pktt genu
genuak
akro
rokn
kn
penykoht se`hnffk
s e`hnffk seguk
se guk knffctk oeaukrfk kokn se`kt mkn ter`hnmkr
mkrh jerjkfkh
jerjkfkh penykoht yknf jhksk mhsejkjokn
mhsejkjokn cae` oefhktkn
oefhktkn juknf
khr jeskr
jeskr segjkrkn
segjkrknfkn
fkn seperth
seperth hnieos
hnieoshh skaurkn
skaurkn penber
penbernkk
nkkn,
n, thius,
thius,

oebkbhnfkn, mhkre, mkn mhsentrh.

Kfkr gksykrkokt yknf se`kt thmko genlkmh skoht, jk`okn genlkmh aejh`
prhgk oese`ktknnyk. Bkrknyk kmkak` menfkn genfegjknfokn hnmeos
oe
oeau
aukr
krfk
fk se`kt
se`kt,, yk
yknf
nf geru
gerupk
pkok
okn
n oc
ocgp
gpcs
csht
ht hn
hnmh
mhok
oktc
tcrr mk
mkrh
rh ;: hn
hnmh
mhok
oktc
tcrr
oeaukrfk se`kt, yknf mhrugusokn mkrh = prcfrkg prhcrhtks ykhtu <
;. Genu
Genuru
runo
nokn
kn kn
knfo
fokk oeg
oegkt
kthkn
hkn hj
hju
u
:. Genuru
Genurunok
nokn
n knfok
knfok oegkthk
oegkthkn
n jkyh
jkyh mkn
mkn prev
prevkaen
kaensh
sh stunthnf
2. Genfen
Genfenmka
mkahok
hokn
n penykoht
penykoht genuak
genuakrr o`ususny
o`ususnykk @HY (@HMR,
(@HMR, tujeroc
tujerocacs
acshs
hs
mkn gkakrhk)

=. Genfen
Genfenmka
mkahok
hoknn penykoht
penykoht thmko
thmko genuakr
genuakr o`ususn
o`ususnyk
yk `hperte
`hpertensh
nsh,, mhkjet
mhkjetes
es
geahtus, cjeshtks, oknoer
5. Mkn
Mkn fkn
fknffuk
ffukn
n lhwk
lhwk..
Jermkskrokn
Jermkskrokn hnmhoktcr
hnmhoktcr tersejut,
tersejut, mhakouokn
mhakouokn penf`htunf
penf`htunfkn
kn Hnmeos
Hnmeos Oeaukrfk
Oeaukrfk
Re`k
Re`ktt (HOR)
(HOR) mk
mkrh
rh sethk
sethkp
p oe
oeau
aukr
krfk
fk.. Re
Remk
mknf
nfok
okn
n oe
oekm
kmkk
kkn
n gkshn
gkshnf-g
f-gksh
kshnf
nf
hnmhoktcr,
hnmhoktcr, genberghno
genberghnokn
kn ocnmhsh
ocnmhsh T@JR mkrh oeaukrfk
oeaukrfk yknf jersknfoutkn.
jersknfoutkn.
Mkakg peakosknkkn penmeoktkn oeaukrfk hnh thfk `ka jerhout `krus mhkmkokn
ktku mhoegjknfokn, ykhtu<
;. Hnstru
Hnstrugen
gen yknf
yknf mhfun
mhfunkok
kokn
n mh thnfok
thnfoktt oeauk
oeaukrfk
rfk..

:. Icrug ocgunhoksh
ocgunhoksh yknf mhoegjknf
mhoegjknfokn
okn untuo
untuo ocntko
ocntko menfkn
menfkn oeaukrfk.
oeaukrfk.

;:
 2. Oeterah
Oeterahjkt
jktkn
kn tenkfk
tenkfk mkrh
mkrh gksyk
gksykrko
rkokt
kt sejkfkh
sejkfkh ghtrk
ghtrk Tuso
Tusoesg
esgks.
ks.
Tenfuktkn UOG mh Tusoesgks lufk gutako mhperauokn, yknf genbkoup
muk gkbkg UOG, ykhtu UOG esenshka mkn UOG penfegjknfkn. Tusoesgks

wklhj geakosknkokn UOG esenshka yknf geahputh<

;. Teakyk
Teakyknkn
nkn prcgcs
prcgcshh oese`k
oese`ktkn
tkn..
:. Teakyk
Teakyknkn
nkn oese`k
oese`ktkn
tkn ahnfou
ahnfounfk
nfkn.
n.
2. Teakyknkn
Teakyknkn oese`ktkn
oese`ktkn hju,
hju, knko, mkn oeaukrfk
oeaukrfk jerenbkn
jerenbknk.
k.
=. Te
Teak
akyk
yknk
nkn
n fhzh
fhzh..
5. Teakyknkn
Teakyknkn penbefk`k
penbefk`kn
n mkn penfenmk
penfenmkahkn
ahkn penykoht
penykoht (jkho
(jkho penykoht
penykoht genuakr
genuakr
gkupun penykoht thmko genuakr).
E. Oefhktkn
Oefhktkn mkakg Teakoskn
Teakosknkkn
kkn Tenmeokt
Tenmeoktkn
kn Oeaukrfk
Oeaukrfk
Teakosknkkn
Teakosknkkn Trcfrkg Hnmcneshk Re`kt menfkn
menfkn Tenmeoktkn
Tenmeoktkn Oeaukrfk mh

thnfokt Tusoesgks mhakouokn oefhktkn-oefhktkn sejkfkh jerhout <

;. Geakou
Geakouokn
okn penmkt
penmktkkn
kkn oese`kt
oese`ktkn
kn oeaukrf
oeaukrfkk genffunk
genffunkokn
okn Trcoesf
Trcoesfkk cae`
Tegjhn
Tegjhnkk Oeaukr
Oeaukrfk
fk (mkpkt
(mkpkt mhjknt
mhjkntu
u cae`
cae` okmer
okmer oese`k
oese`ktkn
tkn).
). Tenmkt
Tenmktkkn
kkn
oeaukr
oeaukrfk
fk gerupk
gerupkokn
okn aknfok
aknfok`
` kwka
kwka , se`hnf
se`hnffk
fk pkmk
pkmk aknfok
aknfok`
` hnh `krus
`krus
mhoeacak menfkn jkho supkyk aknfok`-aknfok` seaknlutnyk mkpkt jeriunfsh
sebkrk cpthgka.
:. Gegj
Gegjuk
uktt mkn
mkn genfe
enfeac
acak
ak pknf
knfok
okak
akn
n mkt
ktkk Tuso
Tusoes
esgk
gkss ca
cae`
e` te
ten
nkf
kfkk
penfeacak mktk Tusoesgks.
2. Genfkn
Genfknkah
kahshs,
shs, gerug
geruguso
usokn
kn hnterve
hntervensh
nsh gkskak`
gkskak` oese`kt
oese`ktkn,
kn, mkn genyus
genyusun
un

renbknk Tusoesgks cae` Thgphnkn Tusoesgks.

=. Geak
Geakos
oskn
knko
kokn
kn pe
peny
nyua
uau`
u`kn
kn oe
oese`
se`kt
ktkn
kn geak
geakau
auhh ou
ounl
nlun
unfk
fkn
n ru
rugk
gk`
` ca
cae`
e`
Tegjhnk Oeaukrfk.
5. Geak
Geakos
oskn
knko
kokn
kn pe
peak
akyk
yknk
nkn
n pr
prci
ciesh
eshcn
cnka
ka (m
(mka
kakg
kg fe
femu
munf
nf mk
mkn
n au
aukr
kr fe
femu
munf
nf))
cae` tenkfk teonhs/prcieshcnka Tusoesgks.
9. Geakos
Geakosknk
knkokn
okn Rhste
Rhsteg
g Hnicrgks
Hnicrgkshh mkn Teakpcr
Teakpcrkn
kn Tusoesg
Tusoesgks
ks cae` tenkf
tenkfkk
penfeacak mktk Tusoesgks.
Oefhktkn-oefhktkn tersejut `krus mhhntefrkshokn oe mkakg aknfok`-aknfok`
gknklegen Tusoesgks yknf genbkoup T; (Terenbknkkn), T: (Tenfferkokn-

Teakosknkkn), mkn T2 (Tenfkwkskn-Tenfenmkahkn-Tenhakhkn).

;2
 JKJ HHH
TENU]UT
K. Oeshgpuakn

THR-TO (Trcfrk
THR-TO (Trcfrkg
g Hnmcne
Hnmcneshk
shk Re`kt
Re`kt menfkn
menfkn Tenmeo
Tenmeoktkn
ktkn Oeaukr
Oeaukrfk)
fk) hka
hkak`
k`
suktu prcfrkg hnmcneshk se`kt menfkn penmeoktkn oeaukrfk yknf gerupkokn
skak` sktu prcfrkg
prcfrkg pegerhntk`
pegerhntk` yknf jertulukn
jertulukn untuo
untuo genhnfokto
genhnfoktokn
kn oukahtks
oukahtks
`hmup gknushk Hnmcneshk. Untuo genlkghn terbkpkhnyk penhnfoktkn merklkt
oese`ktkn gksykrkokt, prhcrhtks `krus oe krk` prcgcthi-preventhi, mhjkrenfh
menfkn pegjermkykkn gksykrkokt.
Geak
Geakau
auhh pe
penm
nmeo
eokt
ktkn
kn oe
oeau
aukrf
krfk,
k, Tuso
Tusoes
esgk
gkss ko
kokn
kn gegp
gegpun
unyk
ykhh mktkjkse
oeaukr
oeaukrfk
fk se`kt
se`kt yknf
yknf geahpu
geahputh
th seauru
seauru`
` oeaukr
oeaukrfk
fk yknf
yknf thnffk
thnffkaa mh whakyk
whakyk`
`
oerlknyk.
oerlknyk. Jerjkshs
Jerjkshs mktkjkse hnhak` oegumhkn Tusoesgks gerknbknf oefhktkn

prcgcthi-preventhi yknf eieothi mkn eiihshen, se`hnffk terlkmh perbepktkn

penhnfoktkn merklkt oese`ktkn gksykrkokt. Jhak gksykrkokt se`kt, prcpcrsh
yknf
yknf sk
skoh
ohtt ktku
ktku oepk
oepkrk
rk`k
`kn
n peny
penyko
koht
htny
nykk ko
kokn
kn je
jero
rour
urkn
knf,
f, se
se`h
`hnf
nffk
fk
gegperjkhoh hgpaegentksh LON mh Hnmcneshk.
J. Rkrkn
Mh`krkp
Mh`krkpokn
okn pegjkb
pegjkbkk genegu
geneguokn
okn jknyko
jknyko sugjer
sugjer genfen
genfenkh
kh THR-TO
THR-TO
(Trcfrkg Hnmcneshk Re`kt menfkn Tenmeoktkn Oeaukrfk) untuo genmkpktokn
hnicrgksh yknf aejh` jknyko.

;=
 Mkitkr Tustkok
Gkrwkth,
Gkrwkth, ]rhknh
]rhknh,, Hrnkik
Hrnkik Zktrh
Zktrh Khsyk,
Khsyk, Kuahk
Kuahk Kahikrh
Kahikrhknh
knh.. :4;0.
:4;0. Trcgcs
Trcgcshh
Oese`kt
Oese`ktkn
kn untuo
untuo Genmuo
Genmuounf
unf Trcfrk
Trcfrkg
g Hnmcne
Hnmcneshk
shk Re`kt
Re`kt menfkn
menfkn Tenmeo
Tenmeoktk
ktkn
n

Oeaukr
Oeaukrfk
fk (THR-TO
(THR-TO)) Hnmhok
Hnmhoktcr
tcr @hpert
@hpertens
enshh mkn OJ mh Mesk Bcgjcn
Bcgjcnfkn
fkn.. Lurnka
Lurnka
Tegjermkykkn. :(;). 65-0:.
Yhrmkskrh, Erh, Reptc Tkweaks Krsc, Eok Xunhak Iktgkskrh. :4;0. Knkahshs
Oefhkt
Oefhktkn
kn Tenmkt
Tenmktkkn
kkn Oeaukr
Oeaukrfk
fk Trcfrk
Trcfrkg
g Hnmcne
Hnmcneshk
shk Re`kt
Re`kt menfkn
menfkn Tenmeo
Tenmeoktk
ktkn
n
Oeaukrfk mh Tusoesgks Octk Regkrknf. Lurnka Oese`ktkn Gksykrkokt. 9(5). 52-
9;.
Akeakskrh, Evk, Kt`enk Knwkr, Zkb`gkahnk Rcerkb`gkn. :4;6. Evkauksh
Oeshkpkn
Oeshkpkn Teakosknkkn
Teakosknkkn Trcfrkg Hnmc
Hnmcneshk
neshk Re`kt menfkn Tenmeoktkn
Tenmeoktkn Oeaukrfk
(THR-TO). Lurnka Eocacfh
Eocacfh Oese`ktkn. ;9(:). 56-6:.
56-6:.

]k`er, Kogka, Xum`h Trkyumk Hs`ko Mlukrsk, moo. :4;9. Temcgkn Ugug
Trcfrk
Trcfrkg
g Hnmcne
Hnmcneshk
shk Re`kt
Re`kt menfkn
menfkn Tenmeo
Tenmeoktk
ktkn
n Oeaukr
Oeaukrfk.
fk. Lkokrtk
Lkokrtk < Oegent
Oegentrhk
rhkn
n
Oese`ktkn Zepujaho Hnmcneshk.

;5