HRSDHO JCPC^H[HVHO PHFH Oy.

H FCOKHO GHRHIHD RERVCG

PCOBC^OHHO FE ^SHOK PC^H[HVHO NC^RHGH NHFHO
IHUHOHO SGSG FHC^HD ^SGHD RHJEV JMOH[C

MICD <

DHRGE

BE EORVEVSRE BE ^SGHD RHJEV

…………………………….. ……………………………..

EORVEVSV VCJOMIMKE FHO JCRCDHVHO HQEBCOOH

P^MK^HG RVSFE P^MACRE OC^R
JMOH[C
>085
 IHPM^HO

PCOFHDSISHO

KHRV^MCOVC^EVER

H. Fcaioisi

Khstrmcotcritis hjut (KCH) hfhihd pcoyhjit yhok fithofhi fcokho ncrthgnhdoyh

arcjucosi fcacjhsi icnid fhri nihshoyh (? 2 jhii/dhri) fiscrthi pcrunhdho jmosistcosi tiojh

(gcojhfi bhir), fcokho/thoph fhrhd fho/hthu icofir (Prma. Rufhryht, fr.RpHJ, >00;).

Khstrmcotcritis hthu fihrc gcruphjho suhtu jchfhho pcokciuhrho tiojh yhok tifhj

omrghi hthu tifhj scpcrti nihshoyh, figuihi fcokho pcoiokjhtho vmiugc, jccobcrho scrth

arcjucosi icnid fhri 2 jhii scdhri fho phfh ocmohtus icnid fhri 6 jhii scdhri fcokho hthu
thoph icofir fho fhrhd (Difhyht HHH, >001).

Khstrmcotcritis hfhihd rhfhok phfh ihgnuok fho usus yhok gcgncrijho kcjhih

fihrc, fcokho hthu thoph fiscrthi guothd, fho scriok jhii fiscrthi pcoiokjhtho

sudu tunud. Fihrc yhok fighjsufjho hfhihd nuhok hir ncshr ncrjhii-jhii (fcokho

jugihd yhok gcicnidi 6 jhii, fho ncotuj acscs yhok bhir, fhpht fiscrthi fcokho fhrhd hthu

icofir (Rurhtuo, >080).

Hjut hfhihd istiihd yhok fikuohjho uotuj gcokkhgnhrjho suhtu jmofisi hthu
pcoyhjit yhok tinh - tinh, fhihg whjtu rcihtia siokjht fho nihshoyh gcouojujjho

khokkuho yhok scrius.

N. Ctimimki

Ctimimki fihrc fhpht finhki fhihg ncncrhph ahbtmr, yhitu <

8. Ahjtmr ioacjsi

h. Eoacjsi cotcrohi yhitu ioacjsi shiurho pcobcrohho yhok gcruphjho pcoyhjit uthgh

fihrc. Eoacjsi cotcrohi ioi gciiputi <

 n. Eoacjsi nhjtcri < Qinrim, C. bmii, Rhigmociih, Rdikciih, Bhgpyimnhbtcr, Ucrsioih,

Hbrmgmohs fho scnhkhioyh.

b. Eoacjsi virus < Cotcrmmvirus ( Qirus CBDM, Bmxshbjic, Pmiimgyciitis ),

Hfcomvirus, ^mthvirus, Hstrmvirus fho ihio-ihio.

f. Eoacsthsi phrhsit < Bhbiok ( Hsbhris, Vribdiuris, Mxyuris, Rtrmokyimifcs ), Prmtmzmh

( Cothgmcnh distmiytibh, Kihrfih ihgniih, Vribdmgmohs dmgiois ),

Lhgur ( Bhofifh hinibhos )

c. Eoacjsi phrcotcrhi yhitu ioacjsi finhkiho tunud ihio fiiuhr hiht pcobcrohho, scpcrti

Mtitis gcfih hjut ( MGH ), Vmosiimahriokitis, Nrmojmpocuomgih, Coscahiitis, fho

scnhkhioyh. Jchfhho ioi tcruthgh tcrfhpht phfh nhyi fho hohj ncrusih finhwhd

usih > thduo.

>. Ahjtmr ghihnsmrnsi

h. Ghihnsmrnsi jhrnmdifrht < fishjhrifh ( iotmicrhosi ihjtmsh, ghitmsh fho sujrmsh ),

gmomshjhrifh (iotmicrhosi kiujmsh, arujtmsh fho khihjtmsh). Phfh nhyi fho hohj

yhok tcrpcotiok fho tcrscriok hfhihd iotmicrhosi ihjtmsh.

n. Ghihnsmrnsi icghj.

b. Ghihnsmrnsi prmtcio.

2. Ahjtmr ghjhoho < Ghjhoho nhsi, ncrhbuo, hicrki tcrdhfhp ghjhoho.

6. Ahjtmr psijjmimkis < rhsh thjut fho bcghs. [hihupuo jhrhok fhpht gcoignuijho fihrc

tcruthgh phfh dhi yhok icnid ncshr.

B. Phtmaisimimki

Khstrmcotcritis fithofhi fcokho fihrc fho phfh ncncrhph jhsus, guothd guothd,

yhok ncrhjinht jcdiihokho bhirho cicjtrmiit yhok gcoignuijho fcdifrhsi fho khokkuho

jcscignhokho cicjtrmiit. Pcoycnhn uthgh khstrmcotcritis hjut hfhihd virus (rmthvirus,

hfcomvirus cotcrib, virus Omrwhij, fho ihio ihio), nhjtcri hthu
tmjsiooyh
 (Bhgpyimnhbtcr, Rhigmociih, Rdikciih, Csbdcribdih bmii, Ucrsioih fho ihio ihio), scrth

phrhsit (Kihrfih ihgniih, Bryptmspmrifiug). Phtdmkco phtdmkco ioi gcoignuijho

pcoyhjit fcokho gcokioacjsi sci-sci, gcokdhsiijho cotcrmtmjsio hthu sitmtmjsio yhok

gcrushj sci. Hthu gcicjht phfh fiofiok usus. Phfh khstrmcotcritis hjut, usus dhius
hfhihd hiht pcobcrohho pcobcrohho yhok phiiok scriok tcrjcoh.

Rcnhkhi hjinht fihrc nhij hjut hjho tcrjhfi <

8. Jcdiihokho hir fho cicjtrmiit ( fcdifrhsi ) yhok gcokhjinhtjho tcrjhfioyh

khokkuho jcscignhokho hshg-nhsh ( hsifmsis, gcthnmiij, dipmjhricgih fho

scnhkhioyh ).

>. Khokkuho kizi scnhkhi hjinht jcihphrho ( iothjc ghjhoho jurhok, pcokciuhrhooyh

ncrthgnhd.

2. Dipmkiijcgih.

6. Khokkuho sirjuihsi fhrhd.

Khstrmcotcritis hjut fituihrjho gcihiui rutc acjhi-mrhi fhri mrhok jc mrhok hthu

gcihiui hir fho ghjhoho yhok tcrjmothgiohsi. Viokkhi fiahsiiiths fhy bhrc

jukh gcoiokjhtjho rcsijm khstrmcotcritis, scihio ncrpcrkiho jc ockhrh ncrjcgnhok.

Rcnhkiho

ncshr khstrmcotcritis fhpht scgnud scofiri fho prmkomsisoyh nhij fcokho

pcokmnhtho. hohj-hohj ghioutrisi fhpht gcofcrith ioacjsi yhok icnid ncrht fho icnid

gcgnutudjho whjtu yhok icnid ihgh uotuj scgnud (Nctz, >005).

icghj.
F. Phtdwhy KCH Hnsmrns
i

((iifJrhr
Ahj. Ghi t,nmd
p rmtcio)
 Ahj. ijmim
Ghjhoho A ki
(Ghjo. Nhsi, h (^hs
Ncrhbuo, j h
Hicrki . thjut
ghjhoho) &
P bcgh
s s)

Pcoycrh
pho
shri-shri
ghjhoh

o Rhi.
Pcobcro
hho
tifhj
hfcjuht

Esi rmokkh usus ncricnidho

Vcrfhphtoy
scrio
Khokkuho
hgg
kjk, scjrcsi
zhjth>oh
m, g ↘hjtiviths
o tfj fpt scjrcsi hir &
sistc
fi scrhp cicjtrmiit
osi
bhir
tcjhoho
msgmtij ↘ Gcokciuhrjh
o isioyh
^cnsmrnsi fi fig usus tcrkhokku

NHN Fiarc
 usus
gcoycrhp
↘ gmthiiths
usus ghjhoho

ncrjurhok Eoaihghsi shi.

Jcscgphtho
pcobcrohho

Vunud
G
Juiit fiscjithr ncrchjsi
↘scjr tcrdhfhp
hous icbct &
csi iovhsi
tcririthsi, guothd uhi
bhirho gijrmmrkhois
jcgcrhdho & khthi
& gc
cicjtr HoOmruc
Jcrusajao iotckritas
miit
julit ↘
trisi
Fcdifrh si
s juraok dari
jcnutudao
ud jsi
u

t
u
n
u
d
Dipcrtcr
gi
Fcvisit

vmlugc bairao & clcjtrmlit

Rugncr< Hria Gutthqio (>088),

Rurihfi (>080) &
Gmfiaijhsi
C. Ghoiacsthsi Jiiois

Guih-guih nhyi fho hohj gcojhfi bcokcok, kciishd, sudu tunud nihshoyh

gcoiokjht, ohasu ghjho ncrjurhok hthu tifhj hfh, jcgufiho tignui fihrc. Viojh bhir

fho guokjio fiscrthi icofir fho hthu fhrhd. [hroh tiojh ghjioihgh ghjio ncrunhd
jcdijhu-dijhuho jhrcoh tcrbhgpur fcokho bhirho cgpcfu. Hous fho fhcrhd scjithroyh

icbct fho jcgcrhdho jhrcoh scriokoyh fcacjhsi fho tiojh ghjio ihgh ghjio hshg

scnhkhi hjinht ghjio nhoyhjoyh hshg ihjtht, yhok nchshi fhri ihjtmsh yhok tifhj fhpht

fihnsmrnsi usus scihgh fihrc. Kcjhih guothd fhpht tcrjhfi scnciughthu scsufhd fihrc

fho fhpht fiscnhnjho micd ihgnuok yhok turut gcrhfhok hthu hjinht

khokkuho jcscignhokho hshg-nhsh fho cicjtrmiit. Niih pcofcrith tcihd jcdiihokho

nhoyhj bhirho fho cicjtrmiit, ghjh kcjhih fcdifrhsi guihi thgphj. Ncrht nhfho

turuo, turkmr juiit

ncrjurhok , ghth fho unuo-unuo ncshr gcojhfi bcjuok, scihput icofir ninir fho guiut

scrth juiit thgphj jcriok.

Ncrfhshrjho nhoyhjoyh bhirho yhok diihok fhpht finhki gcojhfi

fcdifrhsi riokho, scfhok fho ncrht, scfhokjho ncrfhshrjho tmoisiths pihshgh

fhpht finhki gcojhfi fcdifrhsi dipmtmoiij, ismtmoij fho dipcrtmoij.

A. Pcgcrijshho Pcouojhok

8. Pcgcrijshho ihnmrhtmriug.

>. Pcgcrijshho tiojh.

2. Pcgcrijshho khokkuho jcscignhokho hshg nhsh fhihg fhrhd

hstrup,niih gcguokjiojho fcokho gcocotujho PD jcscignhokho hohiish khs

fhrhd hthu hstrup,niih gcguokjiojho.

6. Pcgcrijshho jhfhr urcug fho brchtioio uotuj gcokcthdui puoksi kiojhi.

3. Pcgcrijshho cicjtrmiit iotunhsi fumfcoug (CKF) uotuj gcokcthdui jhshf

rcoij hthu phrhsit scbhrh juhotithtia,tcruthgh fiihjujho phfh pcofcrith fihrc
jrmoij.
 1. Pcgcrijshho rhfimimkis scpcrti sikgmifmsjmpi, jmimomsjmpi fho ihiooyh

nihshoyh tifhj gcgnhotu uotuj cvhiuhsi khstrmcotritis hjut (KCH) / fihrc hjut

ioacjsi.

K. Jmgpiijhsi

Hfh ncncrhph jmgpiijhsi yhok ihzig guobui phfh jiico fcokho khstrmcotcritis
gcourut Nctz (>005, dhi 850), hothrhoyh hfhihd <

8. Fcdifrhsi ncrht, jctifhjscignhokho cicjtrmiit

>. Rymj dipmvhicgij yhok tcrfcjmgpcoshsi (dipmtcosi, hsifmsis gcthnmiib,

pcrausi sistcgij nuruj)

2. Jcjhok fcghg

6. Nhjtcrigih.

D. Pcohthihjshohho

8. Vcrhpi Bhirho

Sotuj gcocotujho jugihd bhirho yhok pcriu fincrijho jcphfh pcofcrith

fihrc, dhrus fipcrdhtijho dhi-dhi scnhkhi ncrijut <

h. Lugihd bhirho < jugihd bhirho yhok dhrus fincrijho shgh fcokho

8) Lugihd bhirho yhok tcihd diihok gcihiui fihrc fho/guothd guothd

P[I (Prcvimus [htcr Imsscs) fithgnhd fcokho nhoyhjoyh bhirho yhok

diihok gcihiui jcriokht, urio fho pcrohahsho O[I (Omrghi [htcr Imsscs).

>) Bhirho yhok diihok gcihiui tiojh fho guothd yhok ghsid tcrus ncrihoksuok

B[I (Bmobmgithot whtcr imsscs) ([ibhjsmom, >088)

n. Hfh > jcois bhirho yhitu<

8) Bhirho ^cdifrhsi Mrhi (B^M) < Bhirho mrhiit yhok fihojurjho micd

[DM- M^R, tihp 8 iitcr gcokhofuok Msgmihiiths 222 gMsg/I, Jhrnmdifrht

>0 k/I,

Jhimri 43 bhi/I. Cicjtrmiit yhok fijhofuok gciiputi smfiug 50 gCq/I,

 pmthssiug >0 gCq/I, Bdimrifc 40 gCq/I, nijhrnmoht 20 gCq/I (Fipirm

ct.hi., >003).

b. Hfh ncncrhph bhirho rcdifrhsi mrhi<

8) Bhirho rcdifrhsi mrhi yhok gcokhofuok OhBi, JBI, OhDBM2 fho kiujmsh,
yhok fijcohi fcokho ohgh mrhiit.

>) Bhirho rcdifrhsi mrhi yhok tifhj gcokhofuok jmgpmoco-jmgpmoco fi

hths gishioyh< ihrutho kuih, hir thjio, bhirho-bhirho yhok tcrscfih fi rughd

fho ihio-ihio, fiscnut B^M tifhj icokjhp.

2) Bhirho ^cdifrhsi Phrcotcrhi (B^P) Bhirho ^iokcr Ihjtht scnhkhi

bhirho rcdifrhsi phrcotcrhi tuokkhi. Rcihgh pcgncriho bhirho phrcotcrhi ioi,

sctihp

jhg pcriu fiihjujho cvhiuhsi <

h. Lugihd bhirho yhok jciuhr ncrshgh tiojh fho guothd

n. Pcrunhdho thofh-thofh fcdifrhsi ([ibhjshoh, >088).

>. Hotinimtij

Pcgncriho hotinmtij scbhrh cgpiris jhrhok fiiofijhsijho phfh fihrc hjut

ioacjsi, jhrcoh 60% jhsus fihrc ioacjsi scgnud jurhok fhri 2 dhri thoph pcgncriho

hoti nimtij. Pcgncriho hotinimtij fi iofijhsijho phfh < Phsico fcokho kcjhih fho

thofh fihrc ioacjsi scpcrti fcghg, acscs ncrfhrhd,, icujmsit phfh acscs, gcokurhoki

cjsjrcsi fho jmothgiohsi iiokjuokho, pcrsistco hthu pcoycihghtho jiwh phfh fihrc

ioacjsi, fihrc phfh pcihobmok, fho phsico igguombmgprmgiscf. Bmotmd hotinimtib

uotuj fihrc Biprmaimjshsio 300gk mrhi (>x scdhri, 2 ‒ 3 dhri), Vctrhsijiio 300 gk

(mrhi 6x scdhri, 2 dhri), Fmjsisijiio 200gk (Mrhi, fmsis tuokkhi), Biprmaimjshbio

300gk, Gctrmoifhzmic >30-300 gk (6xscdhri, ;-86 dhri, ;-86 dhri mrhi hthuEQ).
2. Mnht Hoti Fihrc
Impcrhgif DBi scrth jmgniohsi fiacomjsiiht fho htrmpio suiaht (imgmtii). Pcokkuoh

fho imgmtii 3gk 2 ‒ 6 x scdhri. Cacj jcimgpmj mnht tcrscnut gciiput

pcokdhgnhtho prmpuisi, pcoiokjhtho hnsmrnsi bhirho scdiokkh fhpht gcgpcrnhi
Niih fincrijho fcokho bhrh yhok ncohr mnht ioi bujup hgho fho fhpht gcokurho
fho siofrmg fiscotri mnht ioi tifhj fihojurjho.
 JMORCP HRSDHO JCPC^H[HVHO KCH

PCOKJHLEHO

Efcotiths phsico < Gciiputi ohgh icokjhp, tcgpht tiokkhi, ugur, hshi suju nhoksh fho

pcjcrjhho mrhok tuh.

8. Jciudho uthgh

Nuhok hir ncshr icnid fhri 2 jhii scdhri fcokho arcjuosi scriok fho jmosistcosi cobcr.

>. ^iwhyht pcoyhjit scjhrhok

• Rudu nhfho guokjio gcoiokjht, ohasu ghjho ncrjurhok hthu tifhj hfh, fho

fihrc.

Acscs bhir, guokjio fiscrthi icofir hthu icofir fho fhrhd.

• Hous fho scjithroyh tignui icbct jhrcoh scriok fcacjhsi.

• Kcjhih guothd fhpht tcrjhfi scnciug fho scsufhd fihrc.

• Hphniih jiico tcihd nhoyhj jcdiihokho bhirho fho cicjtrmiit, ghjh kcjhih fcdifrhsi

guihi thgphj.

• Fiurcsis tcrjhfi miikurih.

2. ^iwhyht jcscdhtho gciiputi<

• ^iwhyht iguoishsi.

• ^iwhyht hicrki tcrdhfhp ghjhoho hthu mnht mnhtho

• ^iwhyht pcoyhjit yhok pcrohd fifcrith scnciugoyh.

6. ^iwhyht outrisi

• Hsupho ghjhoho

• Jciudho oycri hnfmgco.

• Fistcosi hnfmgco, guhi, guothd.

• Ncrht nhfho nihshoyh turuo.
3. Pmih ciigiohsi

• Arcjucosi fcacjhsi scriok.2 jhii scdhri

• Acscs bhir, gcokhofuok icofir fho fhrhd.

1. Pcgcrijshho aisij

• Jchfhho ugug< nhij, shfhr (thoph fcdifrhsi). Kciishd, (fcdifrhsi riokho

fho scfhok). Icsu, iuokjhi hthu tifhj shfhr, tifhj hfh urioc (fcdifrhsi ncrht).

• Ncrht nhfho< jiico fihrc fcokho fcdifrhsi nihshoyh gcokhihgi pcouruoho ncrht

nhfho< fcdifrhsi riokho< niih tcrjhfi pcouruoho ncrht nhfho 3%.

• Fcdifrhsi < scfhok niih tcrjhfi pcouruoho ncrht nhfho 3-80%. Fcdifrhsi ncrht niih

tcrjhfi pcouruoho ncrht nhfho 80-83%.

• Juiit < Sotuj gcokcthdui cihstisiths juiit, fhpht fiihjujho pcgcrijshho turkmr

juiit, iospcjsi juiit pcrihohi hphjhd tcrjhfi irithsi.

• Guiut/iifhd < Guiut fho iifhd nihshoyh thoph fcdifrhsi. Guiut fho iifhd jcriok

(fcdifrhsi riokho shgphi scfhok). Guiut fho iifhd shokht jcriok

(fcdifrhsi

ncrht).

• Hnfmgco < jcguokjioho gcokhihgi fistcosi, jrhg, oycri fho nisiok usus yhok

gcoiokjht.
FEHKOMRH JCPC^H[HVHO

Fihkomsh Jcpcrhwhtho yhok guokjio guobui jiico Khstrmcotcritis hfhihd

scnhkhi ncrijut <

8. Fihrc ncrdunuokho fcokho ioaihghsi, irithsi fho ghi hnsmrnsi usus.

>. Jurhok vmiugc bhirho ncrdunuokho fcokho mut put gcihiui rutc omrghi (fihrc

ncrht, guothd), sthtus dipcrgcthnmiij fho pcghsujho bhirho yhok tcrnhths.

2. Khokkuho outrisi jurhok fhri jcnutudho tunud ncrdunuokho fcokho

khokkuho hnsmrnsi outrico, sthtus dipcrgcthnmiij.
6.Oycri ncrdunuokho fcokho dipcrpcristhitij usus, fihrc ihgh, irithsi juiit, jhriokho.
3.Bcghs ncrdunuokho fcokho ahjsmt psijmimkis/rhokshokho sigphtit (prm

1.Jurhok pcokcthduho tcothok jmofisi, prmkomsis fho jcnutudho pcokmnh

ncrdunuokho fcokho jcshihdho iotcrprcsthsi ioamrghsi, jurhok gcokiokht fho ti
EOVC^QCORE
Om Jmfc (RFJE)/ ^cobhohJcpcrhwhtho
Fihkomsis Jcpcrhwhtho RIJE
8 (F.00;0) Oycri hjut, fithofhi fcokho < Rctcihd fiihjujho tiofhjho
scihgh
> x >6 jhg, fidhrhphjho<
Sthgh<
- Viokjht
oycri Vhgnhdho<
- Auoksi khstrmiotcstiohi
- Jmotrmi oycri
G m n i i ith s a i si j
- Pc o y c g n u d h o
i ujh
- Pcrausi gimjhrf
- Pcrausi pcriacr
- Pmih tifur
- Rthtus jcoyhghoho
> (F.00>0) Fihrc, fithofhi fcokho < Rctcihd fiihjujho tiofhjho Eotcrvcosi Sthgh <
jcpcrhwhtho scihgh 8 x >6
jhg fidhrhpjho fihrc tcrhthsi.
Iuhrho Sthgh <
- Ciigiohsi Acjhi
Iuhrho Vhgnhdho <
- Auoksi khstrmiotcstiohi
- Jcscignhokho bhirho
- Jcscignhokho cicjtrmiit
- Jmotiocosih Acjhi
- Rthtus bhirho
- Viokjht ioacjsi
- Viokjht oycri
REJE
Sthgh<
- Ghohjcgco oycri
- Pcgncriho hohikcsij
Pcofujuok<
- Fujuokho
pcokuokjhpho jcnutudho
- Cfujhsi cacj shgpiok mnht
g h ohjc gc o
- Cfujhsi pr m s c s p c o y
-
o y c ri
h j it
- Cfujhsi tcjoij ohphs
- Jmgprcs fiokio
- Jmgprcs phohs
- Jmosuithsi
- Ihtidho pcrohphsho
- Ghohjcgco cacj shgpiok mnht
- Ghohjcgco
jcoyhghoho iiokjuokho
- Ghohjcgco gcfijhsi
- Pcghothuho oycri
- Pcgncriho mnht
- Pcgncriho mnht iotrhvcoh
- Pcgncriho mnht mrhi
- Pcgncriho mnht tmpibhi
- Pcokhturho pmsisi
- Pcrhwhtho hgputhsi
- Pcrhwhtho jcoyhghoho
- Vcrhpi rcihjshsi
- Ghohjcgco Fihrc
- Pcghothuho Bhirho
Eotcrvcosi Pcofujuok<
- Fujuokho Pcrhwhtho Firi
< NHN/NHJ
- Fujuokho Jcphtudho Prmkrhg
Pcokmnhtho
- Cfujhsi Jcgmtcrhpi
- Jmosuithsi
- Erikhsi jmimstmgi
- Eoscrsi Eotrhvcoh
- Ghohjcgco bhirho
- Ghohjcgco cicjtrmiit
- Ghohjcgco ciigiohsi acjhi
- Ghohjcgco jcgmtcrhpi
- Ghohjcgco iiokjuokho
- Ghohjcgco gcfijhsi
- Ghohjcgco outrisi
- Ghohjcgco outrisi phrcotcrhi
- Pcghothuho cicjtrmiit
- Pcgncriho ghjhoho cotcrhi
- Pcgncriho mnht
- Pcgncriho mnht iotrhfcrghi
- Pcgncriho mnht iotrhvcoh
- Pcgncriho mnht mrhi
- Pcokmotrmiho ioacjsi
- Pcrhwhtho jhtctcr scotrhi pcriacr
- Pcrhwhtho pcriocug
Pcrhwhtho scihok khstrmiotcstiohi
Pcrhwhtho stmgh
Prmgmsi ncrht nhfho
^cfujsi hosicths
Vcrhpi iotrhvcoh

HRSDHO JCPC^H[HVHO PHFH Oy. H FCOKHO GHRHIHD RERVCG

PCOBC^OHHO FE ^SHOK EOVC^OH NHFHO IHUHOHO SGSG FHC^HD
^SGHD RHJEV JMOH[C

E. PCOKJHLEHO

H. Pcokugpuiho Fhth

8. Efcotiths

h. Phsico

➢ Ohgh < Oy. H

➢ Sgur < 12 tdo
➢ Lcois j cihgio < Pcrcgpuho
➢ Pcofifijho < RGP
➢ Pcjcrjhho < E^V
 ➢ Rthtus pcrjhwioho <
Jhwio
➢ Hkhgh < Esihg
➢ Ruju < Vmihji cihwu cb. mohwc
➢ Hihght < Fcsh J J
S
➢ Vhokkhi ghsuj < 28 Mjtmncr >085
➢ Vhokkhi pcokjhjiho < 8 Omvcgncr >085
➢ Rugncr ioamrghsi < Jciuhrkh
➢ Fihkomsh g hsuj < KCH
n. Pcohokkuok jhwhn
➢ Ohgh < Vo. D
➢ Dunuokho fcokho phsico < Jcgcohjho
>. Rthtus jcscdhtho
h. Rthtus jcscdhtho shht ioi

➢ Jciudho uthgh

Oycri cpikhstriug tcrhsh gciiiit shgphi fipiokkhok, guhi fho guothd

2 jhii

➢ Hihsho ghsuj ^ughd Rhjit fho pcrjhihoho pcoyhjit shht ioi

PHsico gcrhsh oycri yhok tifhj nish fithdho, tcrhsh oycri pcrut gciiiit

shgphi piokkhok.

➢ Sphyh yhok fiihjujho uotuj gcokhthsioyh

Fhthok jc NISF ^R Jmohwc uotuj gcofhphtjho pcokmnhtho

n. Rthtus jcscdhtho ghsh ihiu


Pcoyhjit yhok pcrohd fihihgi
Jiico gcokhthjho pcrohd gcofcrith hsgh

➢ Pcrohd firhwht

Jiico gcokhthjho pcrohd firhwht fcokho pcoyhjit hsgh

➢ ^iwhyht h icrki < Uh Vifhj
∜
 Jiico gcokciud
Jiico gcokhthjho tifhj hfh riwhyht hicrki

∜
➢ ^iwhyht tr hosausi < Uh Vifhj
➢ Jcnihshho

b. Gcrmjmj < Uh ∜ Vifhj

f. Gioug J mpi < ∜ Uh Vifhj

Arcjucosi < 8 x s cdhri

c. Pcokkuohho H ijmdmi < Uh Vifhj

a. Ihio-ihio < -

2. ^iwhyht Jciuhrkh

h. Kcomkrhg

T
T T T

T T T T T T T
T T

T T 12 10 3;

Kcomkrhg 2 kcocrhsi
Jctcrhokho <

< Ihji-Ihji
< Pcrcgpuho

< Jiico

x < Gcoiokkhi

Jctcrhokho <

KE < Ococj jiico pcrohd gcokhihgi pcoyhjit yhok shgh.

K EE < Jcfuh mrhok tuh jiico pcrohd gcokhihgi pcoyhjit yhok

shgh. K EEE < Jiico fcokho fihkomsh KCH

n. Pmih hjtiviths fho ihtidho

Jcghgpuho p crhwhtho f iri 0 8 > 2 6

Ghjho/gioug ∜
Ghofi ∜
Vmiictiok ∜
Ncrphjhiho ∜
Gmniiiths fi tcgpht tifur ∜
Ncrpiofhd ∜
Hgnuihosi ^M G ∜
0< ghofiri, 8< hiht nhotu, >< finhotu mrhok ihio, 2< finhotu mrhok ihio fho

hiht, 6< tcrkhotuok tmthi.

Mjsikcohsi < -

b. Pmih tifur fho

istirhdht Rcnciug

shjit <
- Jiico gcokhthjho scnciug shjit tifuroyh omrghi
 - Lugihd jhg tifur 4 jhg pcrdhri

Rhht shjit <

- Jiico gcokhthjho gufhd tcrnhokuo

- Lugihd jhg tifur 1 jhg (ghihg < 6 jhg, sihok >

jhg) f. Pmih jmkoitia-pcrscptuhi < -

c.Pmih pcrscpsi firi/jmscp firi

Jiico dhoyh ncrdhrhp hkhr sckcrh scgnud fho sckcrh puihok

a. Pmih scjsuhi fho prmfujsi

Jiico gcokhthjho gcgiiiji 6 mrhok hohj

k. Pmih pcrho-dunuokho

- Jiico scdhri-dhri hfhihd inu rughd thokkh fho nihsh gcgnhotu

suhgioyh ncrthoi, pmih dunuokho fcokho suhgi fho hohj shokht nhij

d. Pmih ghohjcgho jmpiok strcss

Jiico gcokhthjho tifhj gcrhsh strcss

i. Pmih jcyhjioho-oiihi

Jiico gcokhthjho scihiu ncrfmh hkhr sckcrh scgnud

6. Fihkomsh gcfis fho tdcrhpy

Fihkomsc < KCH

Vcrhpdy <
- ^I >0 tpg

- Mofhoscotrmo syrp/4 jhg

- Phrhbcthgmi ioa. Pcr 4 jg

- Mgcprhzmic 8 vihi/8> jhg

3. Pmih Auoksi Jcscdhtho
h. Pcgciidhrhho fho pcrscpsi tcrdhfhp jcscdhtho

Rcnciug shjit <

Jiico gcokhthjho ncruphyh gcojhkh jcscdhthooyh

Rhht shjit < Jiico ncruphyh hkhr gcojhkh pmih ghjho fho mnht hkhr bcpht

n. Outrisi /gcthnmiij

Rcnciug shjit <

- Jiico gcokhthjho arcjwcosi ghjho > jhii/dhri

- Pmrsi ghjho fidhnisjho

- Vifhj hfh ghjhoho

phothokho Rhht shjit <

- Jiico gcokhthjho hfh pcrunhdho

- Pmrsi ghjho tifhj fidhnisjho

b. Pmih ciigiohsi

Rcnciug shjit <

- NHN < Jiico gcokhthjho NHN 8 shgphi > jhii scdhri

- NHJ < jiico gcokhthjho NHJ 3-1 jhii

scdhri Rhht shjit <

- NHN < Jiico gcokhthjho NHN bhir 3 jhii

- NHJ < jiico gcokhthjho tifhj hfh pcrunhdho

1. ^iwhyht Jcscdhtho fho Pcgcrijshho Aisij

Jchfhho ugug < Nhij ∜ Rcfhok Icghd Jcshfhrho < BG

VVQ< VF < 820/;0 ggDk Ohfi< 44x/i Rudu < 2;MB ^^ < 84x/i

h. Juiit, rhgnut fho juju