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FB: C_pbgmjmeg_ Rgejm WWI Cmnwpgefr z 2016 R_rmpg Cmlrglssk Os jgqfgle Smbmq mq bgpcgrmq pcqcpt_bmq. Evacrm amldmpkc ncpkgrgbm ncj_ TR Cmnwpgefr Aar, bc 1976, lclfsk_ n_prc bcqr_ ns jga_ m nmbc qcp pcnpmbsxgbm, bgqrpg sâbm, ms rp_lqkgrgbm ck os_joscp dmpk_ ms nmp os_joscp kcgm, ms _pk_xcl_b_ lsk_ _qc bc b_bmq ms qgqrck_ bc pcasncp_ m, qck m amlqclrgkclrm npàtgm bm cbgrmp. R_rmpg Cmlrglssk Os jgqfgle 1810 E R_f_p_ Atc. Rsgrc 1507 _q Uce_q, MU 89104 Iknpcqqm lmq Eqr_bmq Tlgbmq b_ Akàpga_ Bfp iYfjbo QbosfÓl Car Yqfsl Eqrc L_ls_j Opmtgbcp à sk qcptg m cbsa_rgtm dmplcagbm ncj_ R_rmpg Cmlrglssk Os jgqfgle. N sqm bcqrc qcptg m à pcegbm ncjmq rcpkmq c amlbg écq npctgqrmq _ _gvm. Omp d_tmp, jcg_ _q glqrps écq _ _gvm asgb_bmq_kclrc _lrcq bc _acqq_p ms sq_p m qcptg m. Am _acqq_p ms srgjgx_p cqrc qcptg m, tmaá amlampb_ ck dga_p tglasj_bm nmp rmbmq mq rcpkmq c amlbg écq _osg bcqapgr_q. N k_rcpg_j amlrgbm lcqrc L_ls_j Opmtgbcp l m amlràk lmpk_q osc qc bcqrgl_k _ qcp _njga_bmq bc dmpk_ pâegb_ c cvnjgagr_kclrc qcesgb_q ck rmbmq mq a_qmq. A bcagq m bc sk npmdgqqgml_j bc q_êbc bctc ncpk_lcacp aclrp_j n_p_ _ qcjc m bc rcqrcq bc bg_elãqrgam c mn écq bc rp_r_kclrm bc amlbg m kàbga_ bc sk n_agclrc cqncaâdgam. Ek êjrgk_ _lÍjgqc, rmb_ _ pcqnmlq_ gjgb_bc _qqmag_b_ amk _ srgjgx_ m bc os_joscp gldmpk_ m _osg _npcqclr_b_ à cvajsqgt_ c amknjcr_kclrc amk m npcqr_bmp bc asgb_bmq bc q_êbc srgjgx_lbm m qcptg m. tcpq m 2.016,01 FB: C_pbgmjmeg_ Rgejm WWI GkqolarÓÍl Yl >AJQ- - - - - - - 4GkqolarÓÍl Yl >AJQ- - - - - - - 4 > YsYifYÓÍl fkf fYi- - - - - - - 5> YsYifYÓÍl fkf fYi- - - - - - - 5 Qrmloqb ab sfaY ZÉpf l - - - - - - - 6Qrmloqb ab sfaY ZÉpf l - - - - - - - 6 Ilgag_lbm _ C_bcg_ bc Rm pctgtálag_ - 7 2015 B R Npgclr_ m Cf_lecq - 8, 2010 B R Npgclr_ m Cf_lecq - 9 B R n_p_ Absjrmq - 10 Nlc-Qcqascp Absjrm B R / COQ Sum-Qcqascp Absjrm B R / COQ Absjrm Uclrgj_ m Absjrm tclrgj_ m amk mjq_-kÍqa_p_ bc ma_-_-L_qi ck Sum-Qcqascp COQ Asrm-At_jg_ m n_p_ B R - 16 Qrmloqb ab TfaY AYoaàY l >sYkÓYal- - - - - - - 07Qrmloqb ab TfaY AYoaàY l >sYkÓYal- - - - - - - 07 Mmpk_j Cmp_ m Al_rmkg_ c Fgqgmjmeg_ - 18 A Ocqosgq_ AC R (ABCD) - 19 Agpu_w L_l_eckclr - 20 BÍqgam Agpu_w Abhslrmq Íqga_ Agpu_w ràalga_ _t_l _b_ Agpu_w Abhslrmq Ug_q bc Aacqqm - 24 Ilrp_tclmq_ Qmsrc tg_ glrp_-ãqqc_ Fcpp_kclr_q d_pk_amjãega_q - 25 bc _srm-_t_jg_ m n_p_ AC R - 26 Nofk àmflp ab abpcfZofiYÓÍl mob l b- - - - - - - 16Nofk àmflp ab abpcfZofiYÓÍl mob l b- - - - - - - 16 Cf_tcq n_p_ Tq_lbm sk Dcqdg pgj_bmp Evrcplm AsrmkÍrgam - 28 Cpgràpgmq n_p_ _njga_p AED Nncp_ m AED BÍqgam QfpqbjYp ab rfaYalp- - - - - - - 2/QfpqbjYp ab rfaYalp- - - - - - - 2/ Qcqqsqagr_ m C_pbgmnsjkml_p - 31 Ilgag_lbm _ a_bcg_ bc qm pctgtálag_ Omqr-C_pbg_a Appcqr Csgb_bmq - 32 A fgnmrcpkg_ rcp_násrga_ Nrgkgx_ m bc HckmbglÓkga_ c tclrgj_ m ampmlÍpg_ ncpasrÓlc_ Ilrcptcl m Mcspmjãega_q Csgb_bmq Râlbpmkc Cmpml_pg_l_ Aesb_ - 33 Lcr_q bc ACR rp_r_kclrm AUC _esbm - 34 Lcr_q bc gqosákgam _esbm AUC asgb_bmq A pcqqsqagr_ m Sc_k - 35 Ebsa_ m, Iknjckclr_ m, cosgncq - 36 Asrm-At_jg_ m bc qgqrck_q bc asgb_bmq - 37 C_nârsjm 1 C_nârsjm 1 2 3 4 5 6 KCQ> bm AMLRCÃBMKCQ> bm AMLRCÃBMKCQ> bm AMLRCÃBM FB: C_pbgmjmeg_ Rgejm WWI >AJQ AYplp- - - - - - - 27>AJQ AYplp- - - - - - - 27 O_p_b_ pcqngp_rãpg_ - 38 Fg pgj_ m tclrpgasj_p c r_osga_pbg_ tclrpgasj_p qck nsjqm - 42 Argtgb_bc Ejàrpga_ Rck Osjqm c _qqgqrmjg_ - Csgb_bmq Dcrcl m 44 Oãq-C_pbâ_am - 48 Rsnmprc bc npcqq m _prcpg_j c U_qmnpcqqmpcq Hgnmrcpkg_ Bp_bga_pbg_ qglrmkÍrga_ - 51 S_osga_pbg_ - 54 S_osga_pbg_ qglrmkÍrgam amk dpcoíálag_ a_pbâ_a_ _agk_ bc 100 BOL S_osga_pbg_ cqrÍtcj c glqrÍtcj Râlbpmkc Cmpml_pg_l_ Aesb_ - 58 Smosc Aesbm - 60 Asrm-At_jg_ m n_p_ C_qmq AC R - 64 >AJQ CppbkqfYip- - - - - - - 56>AJQ CppbkqfYip- - - - - - - 56 DbooYjbkqYp Yaf flkYfp- - - - - - - 57DbooYjbkqYp Yaf flkYfp- - - - - - - 57 LcbgCmbc - 68 CcprAjcpr + - 68 >AJQ Orbpqãbp ab PbsfpÍl- - - - - - - 58>AJQ Orbpqãbp ab PbsfpÍl- - - - - - - 58 C_nârsjm 7 C_nârsjm 7 8 9 10 KCQ> bm AMLRCÃBMKCQ> bm AMLRCÃBMKCQ> bm AMLRCÃBM FB: C_pbgmjmeg_ Rgejm WWI N m hcrgtm bm C_pbgmt_qasj_p Rsnmprc At_l _bm bc Ugb_ (RAU) à _ja_l _p m kcjfmp pcqsjr_bm nmqqâtcj n_p_ mq glbgtâbsmq osc cqr m cvncpgkclr_lbm sk ctclrm amk pgqam bc tgb_. AC R à sk_ qàpgc bc pcqnmqr_q _qc_b_q ck ctgbálag_q qgknjcq m qsdgagclrc n_p_ qcp m amknpmkgqqm bc kckãpg_ c pcampbms qm kmkclrmq bc qrpcqq. Eqrcq npmrmamjmq bm AC R dmp_k bcqcltmjtgbmq _rp_tàq bc ncqosgq_, cqrsbmq bc a_qm bc n_agclrcq, cqrsbmq ajâlgamq, c mnglgécq bc cqncag_jgqr_q l_ Ípc_. N n_bp m-mspm lmq Eqr_bmq Tlgbmq c ck msrpmq n_âqcq à m asppâasjm bm aspqm ns jga_bm ncj_ Akcpga_l Hc_pr Aqqmag_rgml (AHA). Alrcpgmpkclrc, _ AHA j_l _bm _rs_jgx_ écq ncpgãbga_q Ê qs_ Qcqqsqagr_ m C_pbgm Osjkml_p (QCO) c Ekcpeálag_ C_pbgmt_qasj_p C_pc (ECC) mpgclr_ écq qm pc sk agajm bc aglam _lmq, amk _ _rs_jgx_ m k_gq pcaclrc ns jga_b_ ck 2015. At_l _lbm, _ AHA l m t_g k_gq cqncp_p aglam _lmq clrpc _rs_jgx_ écq; ck tcx bc, cjc t_g k_lrcp _ k_gmpg_ bc pcamkclb_ écq sn-rm-b_rc ml-jglc ck ECCesgbcjglcq.fc_pr.mpe. npcqr_bmpcq bc asgb_bmq bc q_êbc q m pcamkclb_bmq n_p_ amknjckclr_p mq k_rcpg_gq _npcqclr_bmq lcqrc k_ls_j amk _q bgpcrpgxcq ns jga_b_q ncj_ AHA c pcdcpck-qc Êq glrcptcl écq c dslb_kclrmq k_gq _rs_gq ck rmbm m qcs cqrsbm bc AC R. Cmlqsjrc m L_ls_j bm Fmplcacbmp bc Rsnmprc BÍqgam bc Ugb_ (B R), r_k àk _npcqclr_bm ncj_ R_tc _ Ilgag_rgt_ tgb_, n_p_ sk_ _lÍjgqc k_gq _ p_leclrc b_ Ocqosgq_ B R. Eqrc k_ls_j _ p_lec cqncagdga_kclrc AC R _jempgrkmq c bcqapctc _ncl_q pctckclrc B R. Smbmq mq npmtcbmpcq bc AC R q m npcqskgbmq a_n_x bc pc_jgx_p B R amppcr_kclrc. Elos_lrm cqrc k_ls_j _ p_lec amlacgrmq Íqgamq bc RBU, à cqqclag_j osc mq dmplcacbmpcq bc AC R qcp npmdgagclrc ck B R npgkcgpm. Elos_lrm dmplcacbmpcq bc AC R bctc qcp qcknpc amlqagclrc bc nmlrs_jgb_bc, à gknmpr_lrc n_p_ dmplcacp _ glrcptcl m osc qc cla_gv_ k_gq _bcos_b_kclrc _q lcacqqgb_bcq bm glbgtâbsm. srgjgx_ m _bcos_b_ bmq AC R pcoscp sk_ _t_jg_ m pÍngb_ c npcagq_ b_ amlbg m bm glbgtâbsm. Iqrm l m qã qc _njga_ _ _t_jg_ m glgag_j bm npmtcbmp bc sk glbgtâbsm ck qmdpgkclrm, k_q r_k àk n_p_ _ pc_t_jg_ m bsp_lrc rmbm m aspqm bm rp_r_kclrm amk AC R. npmrmamjmq bc AC R _qqskgp osc m npmtcbmp nmbc l m rcp rmb_q _q gldmpk_ écq lcacqqÍpg_q _ n_prgp bm glbgtâbsm ms rmbmq mq pcaspqmq lcacqqÍpgmq n_p_ sq_p amppcr_kclrc AC R ck rmbmq mq a_qmq. Omp cvcknjm, qc sk dmplcacbmp cqrÍ srgjgx_lbm AC R lm j_bm b_ cqrp_b_, cjcq l m rák _acqqm _ bgqnmqgrgtmq qmdgqrga_bmq n_p_ kcbgp _ pcqngp_ m ms _ npcqq m _prcpg_j. Mm clr_lrm, ck r_gq qgrs_ écq, mq npmtcbmpcq bc AC R rck _ cqrpsrsp_ n_p_ dmplcacp m kcjfmp asgb_bm nmqqâtcj l_q agpaslqrÓlag_q b_b_q. _jempgrkmq AC R q m _qc_bmq ck bcqcknclfmq n_qq_bmq úúc pcqsjr_p ck a_qmq bc pgqam bc tgb_ qckcjf_lrcq c rák _ glrcl m bc _ja_l _p m kcjfmp pcqsjr_bm nmqqâtcj n_p_ m glbgtâbsm bsp_lrc ckcpeálag_q. A dslb_ m bc rmbmq mq _jempgrkmq cltmjtc _ _ mpb_eck qgqrckÍrga_ b_ Ocqosgq_ B R c b_ Ocqosgq_ AC R (sq_lbm n_qqmq ABCD) osc tmaá t_g clamlrp_p k_gq r_pbc lcqrc k_ls_j. 4 GLRPMBS zM >M >AJQ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ Smkc lmr_ FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ 5 AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_5 AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ > YsYifYÓÍl fkf fYi Dcrcpkgl_p qc sk glbgtâbsm à amlqagclrc ms glamlqagclrc nmbc qcp dcgrm ksgrm p_ngb_kclrc. Rc tmaá ncpac cp _jesàk ck ncpgem, bcgr_bm ck sk jse_p nê jgam, ms nmqqgtcjkclrc dcpgbm, af_kÍ-jmq. Ccprgdgosc-qc bc osc _ acl_ à qcesp_ _lrcq bc qc _npmvgk_p m glbgtâbsm c amlbsxgp m B R ms cv_kc AC R. Am clamlrp_p sk glbgtâbsm osc cqrÍ ück _gvm , _ npgkcgp_ _t_jg_ m osc d_xcp à qc cjcq cqr m amlqagclrcq ms glamlqagclrcq. Rc m glbgtâbsm cqrgtcp glamlqagclrc, ck qcesgb_, amkc _p amk m Ilosàpgrm B R c qcesgp ck dpclrc amk _ Ocqosgq_ AC R. Rc cjcq cqr m amlqagclrcq, ck qcesgb_, amkc _p amk _ Ocqosgq_ bc AC R. > > Mcvr: Rsnmprc BÍqgam bc Ugb_ FB: C_pbgmjmeg_ Rgejm WWI A AHA _ars_jgx_ m aspqm RsnmprcYoaàY lp Yasboplp 'K>AC( AMKNJGA> CQ >AQ qoYqYo 'TD+ TR+ AFMOSC( FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_23 >TA Ydral Nq pcqsjr_bmq n_p_ mq glbgtâbsmq amk _agbclrc t_qasj_p acpc p_j rák kcjfmp_bm qgelgdga_rgt_kclrc bctgbm Ê gknjckclr_ m bm Rgqrck_ bc AUC _esbm b_ C_pc. A amkslgb_bc cqrÍ kcjfmp cosgn_bm n_p_ pcamlfcacp _agbclrc t_qasj_p acpc p_j amkm sk ü_r_osc acpc p_j , c fÍ sk_ k_gmp amlqagálag_ b_ gknmprÓlag_ bc asgb_bmq kàbgamq bclrpm bc sk_ fmp_ bc glâagm bmq qglrmk_q. D_ kcqk_ dmpk_, mq qgqrck_q ELR dmp_k kcjfmp_b_q n_p_ m rp_lqnmprc bc ncqqm_q n_p_ aclrpmq bc asgb_bmq bc _agbclrc t_qasj_p acpc p_j pcegml_gq cosgn_b_q n_p_ _bkglgqrp_p dg pglmjârgamq. AYabfY ab Y fabkqb sYp riYo bobZoYi ab QlZobsfsÚk fY NBJESIUNR DA gqosákga_q _esb_q CTQRN CTIDADNR N m hcrgtm ecp_j bm AUC asgb_bmq à kglgkgx_p _ jcq m acpc p_j c mrgkgx_p _ pcasncp_ m bm glbgtâbsm. rp_lqnmprc npcdcpclag_j n_p_ aclrpmq bc _agbclrc t_qasj_p acpc p_j amk a_n_agb_bc bckmlqrpms kcjfmp_p mq pcqsjr_bmq. aclrpmq bc AUC q m cosgn_bmq amk pcaspqmq ksgr_q tcxcq l m bgqnmlâtcgq ck ncosclmq fmqngr_gq amkslgrÍpgmq. A npcqcl _ bc cqncag_jgqr_q, glajsglbm lcspmjmegqr_q c cqncag_jgqr_q ck asgb_bmq bc _agbclrc t_qasj_p acpc p_j, cosgncq ksjrgbgqagnjgl_pcq amk cvncpgálag_ ck asgb_bmq bc _agbclrc t_qasj_p acpc p_j, kmb_jgb_bcq bc gk_eck _t_l _b_q, c msrp_q mn écq rcp_násrga_q rmpl_p m rp_lqnmprc n_p_ mq aclrpmq bc rcknmq _ mn m k_gq _bcos_b_. N m hcrgtm b_ cosgnc bc _agbclrc t_qasj_p acpc p_j, kàbgam bc ckcpeálag_, ms msrpmq cqncag_jgqr_q bctc qcp _t_jg_p m glbgtâbsm amk qsqncgr_ bc AUC bclrpm bc bcx kglsrmq. A 8 D'q bc rp_r_kclrm bm AUC (S_ cj_ 2) bcqr_a_p _q npglagn_gq cr_n_q bc bg_elãqrgam c rp_r_kclrm bc _agbclrc t_qasj_p acpc p_j c nmlrmq-af_tc ck osc mq _rp_qmq nmbck mamppcp. > 7 B&p ab qoYqYjbkql al >TA > > Rcesglrc: A cosgnc bc pcqqsqagr_ m Fgesp_ 17 OS>JGB>BC máp,>TA ASGB>BM ASPQM BC MPGCLR> zM ?>QC>BM ASGB>BM RP>LQNMPRC RM b klqfcf Yo ASPQM PCQNMQR> CKQ MNMPRSLM Pb lkeb bo lp pfkqljYp b YqfsYo CKQ kcq_ 2 BCRCA zM pcamlfcagkclrm pÍngbm bc qgqrck_q bc AUC BCQN>AFM _argt_ m npcamac c cvncbg m bc ELR nmp 911 CLRPCE> ELR pÍngb_ gbclrgdga_ m, ecqr m c rp_lqnmprc NMPR> Sp_lqnmprc n_p_ m aclrpm _agbclrc t_qasj_p acpc p_j B>BMQ rpg_eck pÍngb_, _t_jg_ m c ecqr m bc ED BCAGQzM ncpâag_ _agbclrc t_qasj_p acpc p_j c qcjca m rcp_ng_ BPME> A rcp_ng_ dg pglmjârga_, cqrp_ràeg_q glrp_-_prcpg_gq BGQNMQG zM _bkgqq m pÍngb_ n_p_ _ slgb_bc bc _agbclrc t_qasj_p acpc p_j ms slgb_bc bc asgb_bmq glrclqgtmq FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ QfpqbjYp ab rfaYalp AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 24AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 24 > bnrfmb ab obpprp fqYÓÍl Aq bgpcrpgxcq b_ AHA n_p_ AC R bcqr_a_p _ gknmprÓlag_ b_ bglÓkga_ b_ cosgnc cdga_xcq bsp_lrc _ pcqqsqagr_ m. M_ amkslgb_bc (dmp_ bc sk_ slgb_bc bc q_êbc), m npgkcgpm qmamppgqr_ l_ acl_ nmbc cqr_p cvcasr_lbm COQ qmxglfm. Mm clr_lrm, sk aãbgem _xsj ck sk fmqngr_j nmbc rp_xcp bcxcl_q bc pcqnmlbcbmpcq / npcqr_bmpcq bc os_prm bc sk n_agclrc.  gknmpr_lrc mpe_lgx_p bc dmpk_ pÍngb_ c cdgagclrc mq kck pmq b_ cosgnc _ n_prgagn_p cdcrgt_kclrc b_q AC R. A AHA qsecpc sk_ cqrpsrsp_ cosgn_ amk a_b_ dmplcacbmp _qqskglbm sk n_ncj cqncaâdgam bsp_lrc _ pcqqsqagr_ m; cqrc amlqgqrc bc sk jâbcp bc cosgnc c tÍpgmq kck pmq b_ cosgnc tcp ( RYZbiY 2( -bsp_lrc _ pcqqsqagr_ m; cqrc amlqgqrc bc sk jâbcp bc cosgnc c tÍpgmq kck pmq b_ cosgnc tcp ( RYZbiY 2( -bsp_lrc _ pcqqsqagr_ m; cqrc amlqgqrc bc sk jâbcp bc cosgnc c tÍpgmq kck pmq b_ cosgnc tcp ( RYZbiY 2( -bsp_lrc _ pcqqsqagr_ m; cqrc amlqgqrc bc sk jâbcp bc cosgnc c tÍpgmq kck pmq b_ cosgnc tcp ( RYZbiY 2( - gkn_p _ amkslga_ m clrpc mq jâbcpcq bc cosgnc c kck pmq b_ cosgnc à cqqclag_j.  gknmpr_lrc q_ cp qs_q npãnpg_q jgkgr_ écq ajâlga_q. Qcqqsqagr_ m à m kmkclrm n_p_ _ gknjckclr_ m bc amkncrálag_q _bosgpgb_q, l m rclr_lbm lmtmq. Rã _qqskgp r_pcd_q osc nmbck qcp cvcasr_b_q amk qsacqqm. Cj_p_kclrc os_lbm tmaá npcagq_p bc _hsb_ c ncbgp _hsb_ lm glâagm bm rp_r_kclrm bm glbgtâbsm. bck_lb_q bc pc_lgk_ m pcqncgrm kêrsm, n_prgjf_ bc amlfcagkclrmq, apârga_q amlqrpsrgt_q, c _amkn_lf_kclrm bc bgqasqq m (bc pgcdgle) _nãq m ctclrm. > > Rcesglrc: Ebsa_ m, gknjckclr_ m, Sc_kq S_ cj_ 3 Fgesp_ 18 õ ModYkfwYo l dorml õ jlkfqlo ab abpbjmbkel õ Qbo YmYw ab obYifwYo qlaYp Yp eYZfifaYabp õ jbjZolp aY bnrfmb afobqlp õ Dlokb bo oàqf Y al abpbjmbkel al dorml Ymáp l bpcloÓl ab obYkfjYÓÍl õ Aljmobbkabo l pbr mYmbi õ CpqbgY afpmlpql+ YmYw b nrYifcf Yal mYoY abpbjmbkeYo l mYmbi õ Aljmobbkabo Yp pbnéÚk fYp N>JQ õ CpqYo ljmoljbqfalp lj l pr bppl aY bnrfmb KCK?PM B> COSGN>JGBCP BM RGKC COSGNC iàabo aÉ Y abpfdkYÓÍl iYoY N>P> KCK?PM B> COSGN> J BCP B> COSGNC CQASR> BC AMLDGPK> zM KCK?PM B> COSGN> obpmlkab lj TMX C l lkqYql ab liel KCK?PM B> COSGN> ab obiYqáoflp nrYkal R>QI ljmibqY b obmloqY l obpriqYal FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_25 CBSA> zM+ fjmibjbkqYÓÍl+ Yp bnrfmbp Ancl_q acpa_ bc 20% bmq glbgtâbsmq osc rák sk_ n_p_b_ a_pbâ_a_ bclrpm bc sk fmqngr_j t_g qm pctgtcp. Eqr_ cqr_râqrga_ jctms _m bcqcltmjtgkclrm bc sk Rgqrck_ bc O_p_b_ C_pbâ_a_ b_ C_pc. Ps_rpm ck a_b_ aglam glbgtâbsmq amk n_p_b_ a_pbgmppcqngp_rãpg_ rák _jrcp_ écq lmq qgl_gq tgr_gq _lrcq b_ npgq m. Ompr_lrm, _ k_gmpg_ bmq glbgtâbsmq osc ctclrs_jkclrc rák sk_ n_p_b_ a_pbâ_a_ kmqrpms qgl_gq bc n_p_b_ a_pbâ_a_ gkglclrc. A r_v_ bc qm pctgtálag_ nmbc qcp kcjfmp_b_ qc mq glbgtâbsmq q m gbclrgdga_bmq c rp_r_bmq amk npmrmamjmq RAUC k_gq acbm. Npgegl_jkclrc, epsnmq cqncag_jgx_bmq bc pcqnmlbcbmpcq bclrpm bc sk fmqngr_j, af_k_bm bc cosgncq n_p_b_ a_pbâ_a_, _qqgqrgs _ sk n_agclrc amk n_p_b_ a_pbâ_a_ pcamlfcagbm. Eqq_q cosgncq pcqnmlbcp_k _ sk aãbgem _xsj bcnmgq osc _jesàk npcqskgtcjkclrc pcamlfcacs sk_ n_p_b_ a_pbâ_a_ _rgt_ c npmaspms _hsb_. Lsgr_q cosgncq n_p_b_ a_pbâ_a_ _apcbgr_t_k osc gpg_k kcjfmp_p _q r_v_q bc qm pctgtálag_, k_q mq pcqsjr_bmq dmp_k bcacnagml_lrcq. Eqrsbmq kmqrp_k osc _q r_v_q bc qm pctgtálag_ dmp_k mq kcqkmq ck fmqngr_gq amk cosgncq bc n_p_b_ a_pbâ_a_ amkm l_oscjcq qck sk_ cosgnc. Cmkm pcqsjr_bm, mq fmqngr_gq cqr m qs qrgrsglbm Sc_kq n_p_b_ a_pbâ_a_ amk Q_ngb Qcqnmlqc Sc_kq (QQSR) ms cosgn_q kàbga_q bc ckcpeálag_ (LESq). Am gltàq bc cqncp_p ncj_ ncpb_ bc amlqagálag_ c n_p_b_ a_pbgmppcqngp_rãpg_ amknjcrm, QQSR / LESq _amkn_lf_p bc ncprm mq n_agclrcq, _ dgk bc rp_rÍ-jmq _lrcq osc mampp_ _ n_p_b_ a_pbâ_a_. Eqq_q cosgncq amk gl_p mq cqdmp mq bc cldcpkcgpmq, kàbgamq c kck pmq b_ d_kâjg_ n_p_ bcrcar_p sk_ n_p_b_ a_pbâ_a_ gkglclrc. APGR PGMQ BC >JCPR> PPR . KCR Ps_lbm fmqngr_gq gknjckclr_p QQSR / LESq, fÍ kclmq n_p_b_q a_pbâ_a_q, kclmq rp_lqdcpálag_q bc TSI, kcjfmp_ b_ qm pctgb_ c kclmp rcknm bc ncpk_lálag_ fmqngr_j_p. > > Rcesglrc: Asrm-_t_jg_ m bc qgqrck_q bc asgb_bmq Fgesp_ 19 >fotYv YjbYÓYalp lr obpmfoYÓÍl lcbdYkqb ?oYaf YoafY ';3/ ?NK( lr qYnrf YoafY 'Q CQR>BM KCLR>J >JRCP>BM >NPCCLQzM BfjfkrfÓÍl pçZfqY b ab doYkab molarÓÍl ab rofkY FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 26AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 26 1. N osc à _ k_gq jmle_ bc sk qmamppgqr_ bctc n_sq_p n_p_ tcpgdga_p qc fÍ sk nsjqm? sk_. 20 qceslbmq . 10 qceslbmq a. 5 qceslbmq b. Lclmq bc 2 qceslbmq 2. Rcjcagmlc m ckn_pcjf_kclrm _bcos_b_ qm pc COQ: 2. Rcjcagmlc m ckn_pcjf_kclrm _bcos_b_ qm pc COQ: sk_. amknpcqqécq bc 60 _ 80 / kglsrm; 2 nmjce_b_q bc npmdslbgb_bc . Ocgrm amknpcqqécq bc 80 / kglsrm; 1,5 nmjce_b_q bc npmdslbgb_bc a. Cfcqr 100 amknpcqqécq / kglsrm; 3 nmjce_b_q bc npmdslbgb_bc b. amknpcqq m rmpÍaga_ 100 rm120 nmp kglsrm; 2 _ 2,4 nmjce_b_q bc npmdslbgb_bc 3. Ps_j à m n_ncj bm qceslbm qmamppgqr_ bsp_lrc sk aclÍpgm bc n_p_b_ a_pbâ_a_? sk_. Ocbgp _hsb_. . Qcasncp_p AED. a. Evcasrc tclrgj_ écq. b. Ssbm _agk_ PCQNMQR>Q 1. B afcoscq bc nsjqm cqr m jgkgr_bmq _ l m k_gq bc 10 qceslbmq. Rctmaá l m rck acprcx_ qc sk nsjqm cqrgtcp npcqclrc, glgagc _ QCO. 2. D Cmknpgkgp m ncgrm _bsjrm bs_q nmjce_b_q _ sk_ r_v_ bc ncjm kclmq 100 nmp kglsrm. 3. D Sgp_p t_lr_eck bc os_joscp cqncar_bmp c _jgqr_p qs_ _hsb_ amk _qc ck qcs lâtcj bc f_ gjgb_bc. > > C_qmq AC R: Mcvr >SRM,>T>JG> zM BC QGQRCK>Q BC ASGB>BMQ FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ N>P>B> PCQNGP>RÁPG> Ilbgtâbsmq amk n_bpécq pcqngp_rãpgmq glcdga_xcq q m amlqgbcp_bmq ck n_p_b_ pcqngp_rãpg_ c cvgeck _rcl m gkcbg_r_. Evgqrck ksgr_q a_sq_q bc n_p_b_ pcqngp_rãpg_, glajsglbm k_q l m jgkgr_bm _ n_p_b_ a_pbâ_a_ c afmosc a_pbgmeálgam. Qcqqsqagr_p glbgtâbsmq ck n_p_eck pcqngp_rãpg_ _n_pclrc sq_lbm m B R ms _ Ocqosgq_ bc AC R. n_p_eck pcqngp_rãpg_ à sk_ amlbg m ckcpeclrc ck osc m glbgtâbsm à, ms l m cqrÍ _ pcqngp_p ms pcqngp_ m glcdgagclrc. > > Rcesglrc: ct_lr_kclrm B R AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_27 A>QMQ >AJQ FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 28AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 28 A>QMQ >AJQ JbsYkqYjbkql ?JQ > > Rcesglrc: ct_lr_kclrm AC R Fgesp_ 20 Tbofcf Yo l mripl YaY 1 jfk rjY obpmfoYÓÍl Y YaY 4 Y 5 pbdrkalp lr 0/ Y 01 PbpmfoYÓãbp mlo KGL fkf fYo l Pbp rb obpmfoYÓÍl fkf fYo l Pbp rb PCQNGP> zM BCQDG?PGJ> zM õ Qb kbkerj mripl+ sbofcfnrb pb eÉ ofqjl mYppàsbi ab elnrb lj >CB õ Qb ofqjl ab elnrb+ pqYka elnrbp nrYkal bkqobdYo iYoYp õ Dlokb bo ANP bkqob elnrbp+ ljbÓYkal lj ljmobppãbp qloÉ f Yp TCPGDGA> zM BC PCQNMQR> õ >sYifYo mripl aroYkqb 4 Y 0/ pbdrkalp 'Tbo qYZbiY YZYful( AF>K>B> CKQ % ECR >CB õ AeYjYaY mYoY pbosfÓlp jÕaf lp ab bjbodÚk fY 'CKQ( õ MZqbo rj abpcfZofieYalo YrqljÉqf l buqbokl '>CB( õ Qb sl Ú Õ l molsbalo pá+ YqfsYo CKQ b lZqbo >CB 1TCPGDGA> zM BC PCQNMQR> õ Robjbo b dofqYo9 óTl Ú bpqÉ Zbj ô õ Tbofcfnrb pb eÉ obpmfoYÓÍl mYoY kÍl jYfp ab 0/ pbdrkalp õ Qb kÍl bpqfsbo obpmfoYkal lr fkprcf fbkqbjbkqb obpmfoYkal+ lkqfkrb Y mbpnrfpY 0 32 NSJQM Nbil jbklp 0// AMKNPCQQ CQ Nlo jfk 2/ ljmobppãbp mlo 1 obpmfoYÓãbp NPMDSLBGB>BC aY ljmobppÍl mbil jbklp 1 PCQNGP> zM fkf fYo l Pbp rb GL AGM ANP LM NSJQC FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_3/ JbsYkqYjbkql >AJQ RGNMQ BC TCLRGJ> zM > > Opãvgkm: Sgnmq bc Uclrgj_ m Fgesp_ 21 r_ cj_ 4 õ Gabkqfcf Yo b qoYqYo YrpYp obsbopàsbfp õ ofqjl YoaàY l b efpqáof l al mY fbkqb pÍl Yp eYsbp mYoY l afYdkápqf l afcbobk fYi õ >sYifYo nrYkal el Yo lkqoY jbaf Yo õ >sYifYo l ofqjl b mripl õ BbpcfZofiYÓÍl . YoaflsbopÍl õ MZqbo Y bppl GT . GM õ BÚ jbaf Yjbkqlp bpmb àcf lp ab ofqjl õ BÚ cirfalp GT . GM+ pb kb bppÉofl õ BÚ lufdÚkfl Y 0//" õ >sYifYo Y sbkqfiYÓÍl bcf Yw lj clojY ab lkaY ab YmkldoYcfY nrYkqfqYqfsY õ LÍl jYfp ab sbkqfiYo õ KYkqbo YZboqYp Yp sfYp kl mY fbkqb fk lkp fbkqb õ Alkpfabob sfY YÕobY YsYkÓYaY õ KlkfqloYo sfY YÕobY YsYkÓYaY pb lil Yal lj YmkldoYcfY lkaY nrYkqfqYqfsY >?AB >BT>LACB RS?C al bpâcYdl,qoYnrbYi CRR qrZl iYoàkdbl lj JK> ?>QGA ?l Y,Y,Zl Y . L>PGX TbkqfiYÓÍl lj ZlipY,K>QI MN> LN> FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ M_ S_ cj_ 4, _q tg_q _àpc_q jgqr_bmq l_ amjsl_ b_ cqoscpb_ q m amlqgbcp_b_q tg_q _àpc_q _t_l _b_q, clos_lrm _oscjcq l_ amjsl_ b_ bgpcgr_ q m Íqgamq tg_q _àpc_q. Ek mp_ NOAq c MOAq q m amlqgbcp_b_q tg_q _àpc_q Íqga_q, cjcq cvgeck _ amjma_ m _bcos_b_ nmp sk dmplcacbmp cvncpgclrc. glqcp m tg_ _àpc_ _t_l _b_ pcoscp rpcgl_kclrm cqncag_jgx_bm n_p_ _jàk bm Ók grm b_ acprgdga_ m AC R. Ek mp_ _ amjma_ m bc tg_q _àpc_q _t_l _b_q pcoscp dmpk_ m cqncag_jgx_b_, rmbmq mq npmtcbmpcq bc AC R bctc q_ cp m sqm _bcos_bm b_q tg_q _àpc_q _t_l _b_q, sk_ tcx osc q m amjma_bmq. Ilbcnclbclrckclrc bm rgnm bc tg_ _àpc_, ecqr m b_q tg_q pcqngp_rãpg_q _bcos_b_ à sk_ n_prc gknmpr_lrc bm AC R. COQ à pc_jgx_b_ amk m glbgtâbsm bcgr_bm qm pc qs_q amqr_q; ep_tgb_bc d_pÍ amk osc _ k_lbâ sj_, _ jâles_, c mq rcagbmq b_ e_pe_lr_ n_p_ tmjr_p _ a_gp c m qrpsgp _q tg_q _àpc_q. Aq tg_q _àpc_q p_p_kclrc ncpk_lcac _ cpr_ ck sk glbgtâbsm glamlqagclrc qck _nmgm cvrcplm. N npgkcgpm n_qqm n_p_ os_joscp glrcptcl m b_q tg_q _àpc_q à _ pgp _q tg_q _àpc_q. Iqrm à amlqcesgbm jct_lr_lbm m oscgvm n_p_ agk_, clos_lrm _ glajgl_ m n_p_ rpÍq b_ rcqr_ ( > DfdroY 11( N m hcrgtm à apg_p sk a_kglfm pcrm _ n_prgp bm l_pgx n_p_ rpÍq b_ rcqr_ ( > DfdroY 11( N m hcrgtm à apg_p sk a_kglfm pcrm _ n_prgp bm l_pgx n_p_ rpÍq b_ rcqr_ ( > DfdroY 11( N m hcrgtm à apg_p sk a_kglfm pcrm _ n_prgp bm l_pgx n_p_ rpÍq b_ rcqr_ ( > DfdroY 11( N m hcrgtm à apg_p sk a_kglfm pcrm _ n_prgp bm l_pgx _rà _ rp_osàg_. Ek glbgtâbsmq amk jcq m lm ncqam m qsqncgr_, _ amjsl_ acptga_j bctc qcp npmrcegbm c sk_ k_lbâ sj_ cknspp_bm qmxglfm à sq_bm n_p_ _ pgp _q tg_q _àpc_q ( > DfdroY 12( - Ek mp_ _ npÍrga_ n_bp m ck sk_ jcq m lm ncqam m tg_q _àpc_q ( > DfdroY 12( - Ek mp_ _ npÍrga_ n_bp m ck sk_ jcq m lm ncqam m tg_q _àpc_q ( > DfdroY 12( - Ek mp_ _ npÍrga_ n_bp m ck sk_ jcq m lm ncqam m tg_q _àpc_q ( > DfdroY 12( - Ek mp_ _ npÍrga_ n_bp m ck sk_ jcq m lm ncqam m tg_q _àpc_q ( > DfdroY 12( - Ek mp_ _ npÍrga_ n_bp m ck sk_ jcq m lm ncqam m qsqncgr_ à amjma_p sk amj_p acptga_j, gqqm l m bctc qcp dcgrm ck RBU ms RAUC. amj_pcq acptga_gq nmbc amknpgkgp _q tg_q _àpc_q c glrcpdcpgp amk mq cqdmp mq bc pcqqsqagr_ m. N dmplcacbmp bctc e_p_lrgp sk_ tg_ _àpc_ _ cpr_ glbcnclbclrckclrc b_ tg_ _àpc_ Íqga_ srgjgx_b_. N dmplcacbmp à m pge_bm _ cqr_ gjgx_p _ a_ c _ ms ncbgp _hsb_, k_lrclbm m amlrpmjc b_q tg_q _àpc_q. M m k_gq bc tclrgj_p (ms qch_, b_p ksgr_q pcqngp_ écq nmp kglsrm ms bck_qg_bm ep_lbc tmjskc nmp pcqngp_ m). Ak mq nmbck _skclr_p _ npcqq m glrp_rmpÍaga_, bgkglsgp m pcrmplm tclmqm n_p_ m amp_ m, bgkglsg m bà grm a_pbâ_am, _qqgk amkm glbgtâbsmq npcbgqnéck _ tçkgrmq c _qngp_ m bm amlrcêbm e_qrpmglrcqrgl_j. > > Rcesglrc: Fg pgj_ m Uclrpgasj_p c qck nsjqm S_osga_pbg_ Uclrpgasj_p AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 30AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 30 A>QMQ >AJQ Fgesp_ 22 Fgesp_ 23 FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_31 DfZofiYÓÍl sbkqof riYo b qYnrf YoafY sbkqof riYo pbj mripl dg pgj_ m tclrpgasj_p (FU) c r_osga_pbg_ tclrpgasj_p qck nsjqm (US) q m pgrkmq a_pbâ_amq nmrclag_jkclrc d_r_gq osc pcqsjr_k ck amlrp_ écq tclrpgasj_pcq glcdga_xcq. UF ( > DfdroY 13( à sk pÍngbm rpckmp b_q n_pcbcq tclrpgasj_pcq osc mq gkncbc bc mk c_kclrm. N kmtgkclrm tclrpgasj_pcq glcdga_xcq. UF ( > DfdroY 13( à sk pÍngbm rpckmp b_q n_pcbcq tclrpgasj_pcq osc mq gkncbc bc mk c_kclrm. N kmtgkclrm tclrpgasj_pcq glcdga_xcq. UF ( > DfdroY 13( à sk pÍngbm rpckmp b_q n_pcbcq tclrpgasj_pcq osc mq gkncbc bc mk c_kclrm. N kmtgkclrm tclrpgasj_pcq glcdga_xcq. UF ( > DfdroY 13( à sk pÍngbm rpckmp b_q n_pcbcq tclrpgasj_pcq osc mq gkncbc bc mk c_kclrm. N kmtgkclrm tclrpgasj_p bc UF l m cqrÍ qglapmlgx_bm amk amlrp_ écq _rpg_gq. US ( > DfdroY 14( à sk_ amlbg m l_ os_j mq tclrpâasjmq qc amlrp_ck k_gq bm tclrpgasj_p bc UF l m cqrÍ qglapmlgx_bm amk amlrp_ écq _rpg_gq. US ( > DfdroY 14( à sk_ amlbg m l_ os_j mq tclrpâasjmq qc amlrp_ck k_gq bm tclrpgasj_p bc UF l m cqrÍ qglapmlgx_bm amk amlrp_ écq _rpg_gq. US ( > DfdroY 14( à sk_ amlbg m l_ os_j mq tclrpâasjmq qc amlrp_ck k_gq bm tclrpgasj_p bc UF l m cqrÍ qglapmlgx_bm amk amlrp_ écq _rpg_gq. US ( > DfdroY 14( à sk_ amlbg m l_ os_j mq tclrpâasjmq qc amlrp_ck k_gq bm osc 100 tcxcq nmp kglsrm. A amlbg m bc ckcpeálag_, SU qck nsjqm, mamppc os_lbm _ amlrp_ m tclrpgasj_p à r m pÍngb_ osc l m fÍ rcknm n_p_ m amp_ m n_p_ pc_ _qrcacp, pcqsjr_lbm ck nsjqm glbcrcarÍtcj. Ek _k mq mq a_qmq, mq glbgtâbsmq l m cqrÍ _ pcac cp m djsvm bc q_lesc qsdgagclrc n_p_ mq rcagbmq. Ancq_p bc qcp bgdcpclrcq dclçkclmq n_rmjãegamq c amk bgdcpclrcq pgrkmq bc ECG, _ ecqr m AC R bc UF c US q m cqqclag_jkclrc mq kcqkmq. Qcqqsqagr_ m n_p_ UF c qck nsjqm US amkc _ amk _ Ocqosgq_ bc B R. Tk AED já c _l_jgq_ m pgrkm c bcrcpkgl_ qc sk afmosc à lcacqqÍpgm. A AED cqrÍ npmep_k_bm n_p_ qmjgagr_p qmkclrc m sqsÍpgm n_p_ afma_p UF c pgrkmq bc US. A kÍosgl_ l m q_ c qc m glbgtâbsm rcksk nsjqm ms l m. Eqr_ à _ npglagn_j p_x m osc tmaá l m bctc sq_p sk AED ck _jesàk amk sk nsjqm n_jnÍtcj. AC R pcqnmqr_q _ UF c SU qck nsjqm bclrpm bc sk fmqngr_j npmt_tcjkclrc qcpÍ amlbsxgb_ sq_lbm sk kmlgrmp a_pbâ_am c sk bcqdg pgj_bmp k_ls_j. Aqqgk, m npmtcbmp bc AC R bctc jcp c _l_jgq_p m pgrkm. Cfmoscq qã bctc qcp clrpcesc n_p_ UF c qck nsjqm US. D_ kcqk_ dmpk_, nmbck qcp srgjgx_bmq dÍpk_amq _lrg_ppârkgamq c bpme_q n_p_ qsnmpr_p _ npcqq m _prcpg_j. PCEP>Q N>P> cfZofiYÓÍl sbkqof riYo 'DT( > > Rcesglrc: Qcep_q n_p_ S_osga_pbg_ Uclrpgasj_p r_ cj_ 5 Fgesp_ 24 DNM PCESJ>PGB>BC M m fÍ dmpk_ bc pcesj_pgb_bc bm amknjcvm PQR, nmposc rmb_ _ _rgtgb_bc cjàrpga_ à bcqmpe_lgx_bm. R>V> A r_v_ n_pcac pÍngb_, k_q _ _argtgb_bc cjàarpga_ bcqmpe_lgx_bm gkncbc m amp_ m bc mk c_p. N U>TC M m fÍ mlb_q O npcqclrc. NP GLRCPT>JM M m fÍ glrcpt_jmq OQ npcqclrc. ljmibul OPQ N amknjcvm tclrpâasjm t_pg_ FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 32AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 32 A>QMQ >AJQ QEGQAR OAQA SAPTICAQDIA UEMSQICT AQ (S_osga_pbg_ QEGT AQ / QAOID VIDE CNLO EWN) QEGQAR OAQA Smpq_bcq bc nmglrcq (S_osga_pbg_ CNLO EWN DE IQQEGT AQ AQGN) UF c qck nsjqm US q m _k mq Qgrkmq bc afmosc. A DEA l m nmbc bgxcp qc m glbgtâbsm rck sk nsjqm ms l m. > > Rcesglrc: _rgtgb_bc cjàrpga_ qck nsjqm c _qqgqrmjg_ r_ cj_ 6 r_ cj_ 7 Fgesp_ 26 Fgesp_ 25 DNM DNM PCESJ>PGB>BC glrcpt_jmq QQ q m ecp_jkclrc, k_q lck qcknpc, pcesj_p. R>V> A r_v_ bc dg pgj_ m l m nmbc qcp bcrcpkgl_b_. r_v_ tclrpgasj_p à ecp_jkclrc clrpc 150 c 250 _rgkclrmq nmp kglsrm. N U>TC amknjcvmq PQR l m q m npcacbgbmq nmp mlb_q O. Evgqrck ma_qgml_jkclrc mlb_q O l_ rgp_, k_q osc l m cqr m _qqmag_bmq amk m pgrkm tclrpgasj_p. NP GLRCPT>JM glrcpt_jm OQ l m à kcbgbm sk_ tcx osc cqrc à sk pgrkm tclrpgasj_p. ljmibul OPQ kcbgb_q amknjcvmq PQR k_gq bm osc 0,12 qceslbmq. N PQR lmpk_jkclrc qcpÍ _knj_ c gx_pp_.  ecp_jkclrc bgdâagj bc tcp sk_ qcn_p_ m clrpc m amknjcvm PQR c _ mlb_ S. PCESJ>PGB>BC M m fÍ pcesj_pgb_bc. R>V> A r_v_ bc dg pgj_ m l m nmbc qcp bcrcpkgl_b_. r_v_ tclrpgasj_p à ecp_jkclrc clrpc 150 c 250 _rgkclrmq nmp kglsrm. N U>TC M m fÍ mlb_q O npcqclrc. NP GLRCPT>JM M m fÍ glrcpt_jmq OQ npcqclrc. ljmibul OPQ N amknjcvm tclrpâasjm t_pg_. FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_33 >qfsfaYab biÕqof Y pbj mripl b YppfpqlifY _rgtgb_bc qck nsjqm cjàrpgam (OEA) c _qqgqrmjg_ cqr m pcj_agml_bmq pgrkmq a_pbâ_amq ck osc _k mq cqr m amk pgqam bc tgb_ c slqfmai_ jc. Aqqâqrmjc à sk_ jglf_ nj_l_ ECG ( > DfdroY 16( - Ombc f_tcp kmtgkclrm qs rgj bc bgqrÓlag_ b_ jglf_ bc _qc (osc bcpgt_ b_ jglf_ nj_l_), k_q l m fÍ Aqqâqrmjc à sk_ jglf_ nj_l_ ECG ( > DfdroY 16( - Ombc f_tcp kmtgkclrm qs rgj bc bgqrÓlag_ b_ jglf_ bc _qc (osc bcpgt_ b_ jglf_ nj_l_), k_q l m fÍ Aqqâqrmjc à sk_ jglf_ nj_l_ ECG ( > DfdroY 16( - Ombc f_tcp kmtgkclrm qs rgj bc bgqrÓlag_ b_ jglf_ bc _qc (osc bcpgt_ b_ jglf_ nj_l_), k_q l m fÍ Aqqâqrmjc à sk_ jglf_ nj_l_ ECG ( > DfdroY 16( - Ombc f_tcp kmtgkclrm qs rgj bc bgqrÓlag_ b_ jglf_ bc _qc (osc bcpgt_ b_ jglf_ nj_l_), k_q l m fÍ Aqqâqrmjc à sk_ jglf_ nj_l_ ECG ( > DfdroY 16( - Ombc f_tcp kmtgkclrm qs rgj bc bgqrÓlag_ b_ jglf_ bc _qc (osc bcpgt_ b_ jglf_ nj_l_), k_q l m fÍ lclfsk_ _argtgb_bc cjàarpga_ a_pbâ_a_ ncpacnrâtcj. Rcknpc e_p_lrgp osc sk_ jcgrsp_ bc _qqgqrmjg_ l m à sk sqsÍpgm ms cppm ràalgam. Ccprgdgosc-qc bc k_laf_q rák sk mk amlr_rm amk m glbgtâbsm, cqrgtcpck amlcar_bmq, m e_lfm à bcdglgbm bc dmpk_ _bcos_b_, c _ _jgkclr_ m cqrÍ jge_b_. OEA à sk_ b_q ksgr_q dmpk_q bc mlb_ bc ECG (glajsglbm m pgrkm qglsq_j) qck sk nsjqm bcrcarÍtcj. OEA nmbc glajsgp os_joscp dmpk_ bc mlb_ qck nsjqm amk _ cvacn m bc UF, US, ms _qqgqrmjc. Hgnmtmjckg_ c fgnãvg_ q m _q bs_q a_sq_q k_gq amkslq bc OEA. Ejcq r_k àk q m mq k_gq d_agjkclrc pctcpqâtcj c bctc cqr_p lm rmnm bc os_joscp bg_elãqrgam bgdcpclag_j. Rc m glbgtâbsm rck pcrmplm b_ agpasj_ m cqnmlrÓlc_ (QNRC), npmacbcp _ asgb_bmq bc npgq m nãq-a_pbâ_a_. Arpmngl_ l m à k_gq pcamkclb_bm ck a_qmq bc OEA ms _qqgqrmjg_. QEGQAR OAQA OEA c _qqgqrmjg_ > > C_sq_q pctcpqâtcgq: Mcvr Ps_bpm 8 Fgesp_ 27 PCESJ>PGB>BC N pgrkm qcpÍ sk_ jglf_ os_qc nj_l_. R>V> M m fÍ r_v_. N U>TC M m fÍ mlb_q O npcqclrc. NP GLRCPT>JM glrcpt_jm OQ à gla_n_x bc qcp kcbgbm bctgbm Ê d_jr_ bc mlb_q O cqr_p npcqclrc. ljmibul OPQ M m fÍ amknjcvmq PQR npcqclrcq. FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 34AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 34 A>QMQ >AJQ a_sq_q pctcpqâtcgq Rcknpc tcpgdgosc qc sk_ jcgrsp_ bc _qqgqrmjg_ l m à d_jf_ bm cosgn_kclrm. Ccprgdgosc-qc bc k_laf_q d_xcp sk mk amlr_rm amk m glbgtâbsm, rmbmq mq a_ mq cqr m amlcar_bmq, m e_lfm à bcdglgbm bc dmpk_ _bcos_b_, c _ _jgkclr_ m cqrÍ jge_b_. Hgnmtmjckg_ c fgnãvg_ q m d_agjkclrc pctcprgb_ c q m _q bs_q a_sq_q k_gq amkslq bc OEA. MN ASQNOIMA DTQAMSE cptgjf_ ms _qqgqrmjg_ Ek mp_ l m f_h_ lclfsk_ ctgbálag_ bc osc _ _rpmngl_ rck sk cdcgrm npchsbgag_j bsp_lrc _ n_p_b_ a_pbâ_a_ p_bwa_p_bga ms _qqgqrmjg_, m sqm pmrglcgpm bc _rpmnpglc bsp_lrc OEA ms _qqgqrmjg_ l m dmg kmqrp_bm n_p_ rcp sk clcdâagm rcp_násrgam. Ompr_lrm, _ AHA pckmtcs _rpmngl_ b_q bgpcrpgxcq bc n_p_b_ a_pbâ_a_. Dmqc n_bp m bc _bpcl_jgl_ à t_qmnpcqqmp DE ERCN HA Eqrsbmq npcjgkgl_pcq qsecpck osc _ _bpcl_jgl_ ck bmqcq k_gq cjct_b_q nmbck npmbsxgp kcjfmpcq pcqsjr_bmq ck pc_lgk_ m. Mm clr_lrm, sk_ ncqosgq_ pc_jgx_b_ _nãq _ ns jga_ m 2010 bgpcrpgxcq d_jfms ck kmqrp_p os_joscp clcdâagm _m jmlem bmqc n_bp m bc 1 ke bc cnglcdpgl_. D_ kcqk_ dmpk_, _q mpgclr_ écq b_ AHA 2010 mdcpcagbm sk t_qmnpcqqmp _jrcpl_rgt_, af_k_b_ t_qmnpcqqgl_, osc nmbcpg_ qcp sq_bm ck tcx bc ms _nãq _ npgkcgp_ bmqc bc cnglcdpgl_. A gltcqrge_ m qs qcosclrc kmqrpms osc _ t_qmnpcqqgl_ l m mdcpcacs lclfsk_ t_lr_eck qm pc cnglcdpgl_ bmqc n_bp m. Rck sk_ bckmlqrp_ m bc qsncpgmpgb_bc, r_lrm bc _jr_ bmqc bc cnglcdpgl_ c t_qmnpcqqgl_ dmp_k pckmtgbmq, m osc qgknjgdga_ m _jempgrkm RAUC. > > Rcesglrc: Ajempgrkm _bsjrm _npcclq m C_pbg_a r_ cj_ 9 Fgesp_ 28 AYrpYp obsbopàsbfp ab mYoYaY YoaàY Y B> F BM R fgnmtmjckg_ Olcskmrãp_v fgncprclqgtm fgnãvg_ r_knml_kclrm H + (_agbmqc) rmvgl_q Hwnm / Hgncpnmr_qqckg_ Spmk mqc (ampmlÍpg_) Hgnmejgackg_ Spmk mqc (nsjkml_p) Hgnmrcpkg_ Sp_sk_ (l m pcamlfcagbm) FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_35 >ariql AYoafY >oobpq >idlofqej > > Rcesglrc: _bsjrm _npcclq m C_pbg_a Ajempgrkm Cmlrgls_ m õ Qb eÉ pfkYfp ab PMQA+ sÉ mYoY l mYppl 0/ lr 00 õ Qb lp pfkYfp ab PMQA+ fo mYoY ArfaYalp BbqbkÓÍl Nlpq,AYoaàY l TÉ mYoY Y bqYmY 4 lr 6 ofqjl ab elnrb ANP BMGQ KGLSRMQ õ RoYqb YrpYp obsbopàsbfp Pfqjl ab elnrb ANP mlo alfp jfkrqlp õ > bmfkbcofkY Y YaY 2 Y 4 jfkrqlp õ Alkpfabob sfY YÕobY YsYkÓYaY b YmkldoYcfY >ppfpqlifY . NC> ANP mlo alfp jfkrqlp õ YjflaYolkY õ RoYqYo Yp YrpYp obsbopàsbfp >BKGLGQRP>P AFMOSC el Ésbfp ííPGRKM ANP mlo alfp jfkrqlp õ > bmfkbcofkY Y YaY 2 Y 4 jfkrqlp õ Alkpfabob sfY YÕobY YsYkÓYaY b YmkldoYcfY >BKGLGQRP>P AFMOSC el Ésbfp ííPGRKM ANP mlo alfp jfkrqlp õ Y bppl GT . GM pbj fkqboormÓÍl kl ANP >BKGLGQRP>P AFMOSC TD . TR Pfqjl ab elnrb GL AGM ANP õ BÚ lufdÚkfl õ >kbuYo jlkfqlo . abpcfZofiYalo >RGT>P BC CKCPE°LAG> 0 1 2 3 4 5 6 7 8 0/ 00 Fgesp_ 29 QGK LzM LzM QGK FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 36AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 36 A>QMQ >AJQ ADT SN OAQADA CAQDÇACA A GNQISLN CNMSIMTAÁºN OrYifaYab ANP Eknspp_p amk dmp _ ( 2 nmjce_b_q) c pÍngbm ( 100 nk) c ncpkgrgp m pcasm ncgrmEknspp_p amk dmp _ ( 2 nmjce_b_q) c pÍngbm ( 100 nk) c ncpkgrgp m pcasm ncgrmEknspp_p amk dmp _ ( 2 nmjce_b_q) c pÍngbm ( 100 nk) c ncpkgrgp m pcasm ncgrmEknspp_p amk dmp _ ( 2 nmjce_b_q) c pÍngbm ( 100 nk) c ncpkgrgp m pcasm ncgrmEknspp_p amk dmp _ ( 2 nmjce_b_q) c pÍngbm ( 100 nk) c ncpkgrgp m pcasm ncgrm kglgkgx_p _q glrcppsn écq M m k_gq bc tclrgj_p Rclclfsk_ tg_ _àpc_ _prgdgag_j, 30: 2 _ amknpcqq m pcj_ m tclrgj_ m a_nlmep_dg_ mlb_ os_lrgr_rgt_ - Rc ESCN2 fotYv YsYkÓYaY tg_ _àpc_ _prgdgag_j qsnp_ejmrrga ms ES glrs _ m Fmpk_ bc mlb_ bc a_nlmep_dg_ n_p_ amldgpk_p c kmlgrmp_p m nmqgagml_kclrm bm rs m ES 8 _ 10 pcqngp_ écq nmp kglsrm amk amknpcqqécq amlrâls_q Bord ReboYmv A cnglcdpgl_ IU / IN b_ bmqc: 1 ke _ a_b_ 3 _ 5 kglsrmq A _kgmb_pml_ IU / IN Dmqc: npgkcgp_ bmqc bc 300 ke bc mjsq, _ qceslb_ bmqc à bc 150 ke AYrpYp obsbopàsbfp fgnmtmjckg_ A fgnãvg_ H + (_agbmqc) Hgnmrcpkg_ Hgnm / fwncpi_jckg_ S_knml_kclrm, a_pbâ_am Smvgl_q Olcskmrãp_v fgncprclqgtm Spmk mqc, nsjkml_p ms ampmlÍpg_ > > Mcvr: Csgb_bmq Dcrcl m Omqr-C_pbâ_am QGK FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_37 ASGB>BMQ NPGQzM BC NÁQ,A>PB >A> Rc sk glbgtâbsm rck sk pcrmplm b_ agpasj_ m cqnmlrÓlc_ (QNRC), amkc _p _ asgb_p npgq m nãq-a_pbâ_a_ gkcbg_r_kclrc. Nq npmacqqmq glgag_gq B R / AC R q m bcqrgl_b_q _ q_jt_p _ tgb_ bc sk glbgtâbsm, clos_lrm asgb_bm npgq m nãq-a_pbâ_a_ npcrclbc mrgkgx_p _ tclrgj_ m c agpasj_ m, npcqcpt_p amp_ m c aàpc pm rcagbm / dsl m, c k_lrcp mq lâtcgq bc ejgamqc lm q_lesc pcamkclb_b_q. RAMGTE DE AONIN E t_qmnpcqqmpcq OQERRºN Cmlqgbcpc m _nmgm b_ npcqq m _prcpg_j bc os_joscp glbgtâbsm amk npcqq m q_lesâlc_ qgqrãjga_ gldcpgmp _ 90 kkHe ms _ npcqq m _prcpg_j kàbg_ (LAO) _ kclmq bc 65. A l m qcp amlrp_-glbga_b_, bc 1 _ 2 jgrpmq bc qmjs m q_jgl_ glrp_tclmq_ ms j_ar_rm bc Qglecp, à _ npgkcgp_ glrcptcl m. Ps_lbm _ npcqq m _prcpg_j à ksgrm _gv_, amlqgbcpc t_qmnpcqqmpcq (amkskclrc pcdcpgbm amkm üamknpcqqmpcq ): Rc lclfsk_ tg_ _àpc_ _prgdgag_j, 30: 2 _ amknpcqq m pcj_ m tclrgj_ m - A cnglcdpgl_ à m npcqqmp bc cqamjf_ n_p_ mq glbgtâbsmq osc l m cqr m ck n_p_b_ a_pbâ_a_. - Dmn_kgl_, dclgjcdpgl_ c kcrmv_kgl_ q m _jrcpl_rgt_q n_p_ cnglcdpgl_. - Mmp_bpcl_jgl_ à ecp_jkclrc pcqcpt_b_ n_p_ fgnmrclq m ep_tc ms amkm sk _eclrc bc êjrgk_ jglf_. Sgrsj_-qc _ r_v_ bc ncpdsq m n_p_ k_lrcp _ npcqq m q_lesâlc_ bcqch_bm. HIONSEQLIA A fgnmrcpkg_ à _ êlga_ glrcptcl m bmaskclr_bm osc kcjfmp_ / _skclr_ _ pcasncp_ m bm aàpc pm _nãq _ n_p_b_ a_pbâ_a_. Ej_ nmbc qcp pc_jgx_b_ ck glbgtâbsmq osc l m pcqnmlbck (gqrm à, ck cqr_bm bc amk_) c bctc qcp amlrgls_b_ bsp_lrc ncjm kclmq 24 fmp_q. N m hcargtm b_ fgnmrcpkg_ glbsxgb_ à n_p_ k_lrcp sk_ rckncp_rsp_ ampnmp_j clrpc 89,6 _ 93,2 ep_sq F (32 _ 36 ep_sq C). d_ pga_lrcq bc bgqnmqgrgtmq bcqcltmjtcp_k tÍpg_q rcalmjmeg_q glmt_bmp_q osc kcjfmp_k _ a_n_agb_bc bc _dcr_p c amlrpmj_p _ fgnmrcpkg_ lm glbgtâbsm nãq-npgq m. Hgnmrcpkg_ bctc qcp glbsxgb_ c kmlgrmp_b_q nmp npmdgqqgml_gq rpcgl_bmq. fgnmrcpkg_ glbsxgb_ l m bctc _dcr_p _ bcagq m bc pc_jgx_p _ glrcptcl m ampmlÍpg_ ncpasrÓlc_ (OCI), nmgq OCI amlamppclrc c fgnmrcpkg_ q m pcj_r_bmq n_p_ qcp tgÍtcj c qcesp_. > > Ajempgrkm Csgb_bmq _bsjrm _npcclq m gkcbg_rm nãq-C_pbâ_am: Mcvr FB: C_pbgmjmeg_ Rgejm WWI ASGB>BMQ AP RGAMQ >BT>LACB AMPMLyPG>Q obmbocrpÍl QRCKG lr Yiql QSQNCGR> BC >KG AMLQGBCP>P efmlqbojfY fkarwfaY >ariql fjbafYql máp,AYoafY >oobpq >idlofqjl ArfaYalp QfdY lp ljYkalp M qoYqYjbkql aY efmlqbkpÍl 'Q?N ;8/ jjFd( õ GT . GM ab Zlirp cirfal õ fkcrpÍl sYplmobpplo õ Alkpfabob YrpYp qoYqÉsbfp õ >sYifYo CAE ab 01 abofsYÓãbp lqfjfwYo Y sbkqfiYÓÍl b lufdbkYÓÍl õ jYkqbo Y pYqroYÓÍl ab M1 ü 83"M1 ü 83"M1 ü 83" õ Alkpfabob sfY YÕobY YsYkÓYaY b YmkldoYcfY clojY ab lkaY õ LÍl efmbosbkqfiYo TCLRGJ> zM . MVGECL> zM9 CsfqYo sbkqfiYÓÍl bu bppfsY- Gkf fYo bj 0/ Y 01 obpmfoYÓãbp mlo jfkrql b Y qfqriYÓÍl mYoY pbdjbkqYo NCRAM1 ab 24 Y 3/ jj Fd- BMQCQ . BCR>JFCQ Zlirp GT9 0 Y 1 ifqolp ab plirÓÍl pYifkY klojYi lr iY qYql ab Pfkdbo- Qb fkarwfkal efmlqbojfY+ cirfal lk fabo 3 x A- CmfkbcofkY GT Gkcrpflk9 /+0 Y /+4 j d . Id mlo jfkrql fkcrpÍl ab almYjfkY GT9 ab 4 Y 0/ j d . hd mlo jfkrql LlobmfkbcofkY fkcrpÍl GT9 /+0 Y /+4 j d . hd mlo YrpYp obsbopàsbfp eloY9 õ efmlslibjfY õ efmáufY õ F ) 'Y falpb( õ FfmlqbojfY õ Ffml . evmbohYibjfY õ RYjmlkYjbkql+ YoaàY l õ RlufkYp õ NkbrjlqáoYu efmboqbkpfsl õ RoljZlpb+ mrijlkYo AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 38AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 38 A>QMQ >AJQ > > Rcesglrc: qglrmkÍrgam Bp_bga_pbg_ Fgesp_ 30 Pbqlokl aY fo riYÓÍl bpmlkqÊkbY QGKLzM QGK LzM FB: C_pbgmjmeg_ Rgejm WWI PCESJ>PGB>BC Rc fmstcp sk_ pcj_ m bc amlbs m amlqgqrclrc, clr m m glrcpt_jm QQ qcpÍ pcesj_p. Rc _ pcj_ m bc amlbs m l m à amlqr_lrc, m glrcpt_jm QQ qcpÍ gppcesj_p. R>V> A r_v_ bc dg pgj_ m à lmpk_j. N pgrkm tclrpgasj_p à k_gq jclr_, lmpk_jkclrc bc 1/2 _ 1/3, k_gq jclr_ bm osc _ r_v_ bc dg pgj_ m. N U>TC mlb_q O cqr m l_ nmqg m tcprga_j c slgdmpkc. M m fÍ sk PQR qcesglrc a_b_ mlb_ O. NP GLRCPT>JM glrcpt_jm OQ qã nmbc qcp kcbgbm ck _rgkclrmq cdcars_bmq, c à lmpk_j- _jg_bm amlqr_lrc _m jmlem b_ rgp_. Ombc ms l m nmbc qcp k_gmp osc sk glrcpt_jm OQ lmpk_j (0,12 qceslbmq). ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq.ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq. PCESJ>PGB>BC glrcpt_jmq QQ q m pcesj_pcq, ck ecp_j PCESJ>PGB>BC glrcpt_jmq QQ q m pcesj_pcq, ck ecp_j pgrkm à pcesj_p. R>V> A r_v_ bcnclbc bm pgrkm qs h_aclrc. N U>TC HÍ sk_ mlb_ O ck dpclrc bc a_b_ PQR. Aq mlb_q O _n_pcacp slgdmpkc. NP GLRCPT>JM Lcbc k_gq bc 0,20 qceslbmq NP GLRCPT>JM Lcbc k_gq bc 0,20 qceslbmq ck bsp_ m. glrcpt_jm OQ à amcpclrc. ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq.ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq. PCESJ>PGB>BC glrcpt_jmq QQ q m pcesj_pcq, ck ecp_j PCESJ>PGB>BC glrcpt_jmq QQ q m pcesj_pcq, ck ecp_j pgrkm à pcesj_p. R>V> A r_v_ à bc kclmq bc 60 _rgkclrmq nmp kglsrm, k_q ecp_jkclrc k_gq bc 40 _rgkclrmq nmp kglsrm. N U>TC HÍ sk_ mlb_ O ck dpclrc bc a_b_ PQR. Aq mlb_q O _n_pcacp slgdmpkc. NP GLRCPT>JM Lcbgb_q clrpc 0,12 c NP GLRCPT>JM Lcbgb_q clrpc 0,12 c 0,20 qceslbmq bc bsp_ m. OQI à amlqgqrclrc. ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq.ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq. AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_4/ QEGQAR OAQA p_bga_pbg_ qglsq_j MNQLAR DE OQILEIQN GQAT QEGQAR OAQA SION 2ª ep_s I Bjmoscgm AU (Vclic _af) QEGQAR OAQA 2ª ep_s SION II jmoscgm AU (Lm grx II) Fgesp_ 31 Fgesp_ 32 Fgesp_ 33 Fgesp_ 34 S_ cj_ 10 & 11 S_ cj_ 12 & 13 > > Rcesglrc: Qcep_q n_p_ 3pb Dcepcc jmoscgm AU PCESJ>PGB>BC glrcpt_jm QQ à gppcesj_p, k_q ecp_jkclrc fÍ sk n_bp m n_p_ cjc. N glrcpt_jm QQ dga_ k_gq jmlem osc m glrcpt_jm OQ dga_ k_gq jmlem. R>V> A r_v_ tclrpgasj_p à ecp_jkclrc jgecgp_kclrc k_gq cjct_b_ bm osc _ r_v_ _rpg_j bctgbm _ _jesk_q _rgb_q _rpg_gq l m qclbm amlbsxgb_q. A r_v_ bc dg pgj_ m à ecp_jkclrc lmpk_j. N U>TC mlb_q O cqr m l_ nmqg m tcprga_j c slgdmpkc. A k_gmpg_ bmq amknjcvmq rcpÍ sk_ mlb_ O ck dpclrc bcjcq; lm clr_lrm, f_tcpÍ _jeslq osc l m rák sk_ mlb_ O. NP GLRCPT>JM glrcpt_jm OQ qc rmpl_ npmepcqqgt_kclrc NP GLRCPT>JM glrcpt_jm OQ qc rmpl_ npmepcqqgt_kclrc k_gq _rà osc f_h_ sk amknjcvm PQR a_gs. ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq.ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq. FB: C_pbgmjmeg_ Rgejm WWI ZoYaf YoafY pfkqljÉqf Y Bp_bga_pbg_ à bcdglgb_ amkm sk pgrkm a_pbâ_am gldcpgmp _ 60 _rgkclrmq nmp kglsrm. Ekmp_ os_joscp dpcosálag_ a_pbâ_a_ gldcpgmp _ 60 _rgkclrmq nmp kglsrm à amlqgbcp_b_ p_bga_pbg_, lck rmbmq mq glbgtâbsmq amk p_bga_pbg_ à qglrmkÍrgam ms rcp sk ctclrm n_rmjãegam. Ilbgtâbsmq ck cvacjclrc dmpk_ dâqga_, ksgr_q tcxcq rák p_bga_pbg_ qglsq_j. p_bga_pbg_ qglrmkÍrgamq nmbck a_sq_p sk acprm lêkcpm bc qgl_gq c qglrmk_q, glajsglbm npcqq m _prcpg_j _gv_, cbck_ nsjkml_p c m amlecqrgml_kclrm, m pgrkm _lmpk_j, bcqamldmprm lm ncgrm, d_jr_ bc _p, rmlrsp_q, c / ms amldsq m. p_bga_pbg_ qglrmkÍrga_ bctc qcp rp_r_b_ amk _ Ocqosgq_ bc AC R. Rc p_bga_pbg_ à _qqglrmkÍrga_, k_q mamppc amk sk_ _ppgrkg_ jgqr_bmq _ _gvm, m rcp sk_ amlqsjr_ _ n_prgp bc sk a_pbgmjmegqr_ cvncpgclrc lm rp_r_kclrm bc bgqrêp gmq bm pgrkm. Rglrmk_q bc p_bga_pbg_ F_jr_ bc _p Eqr_bm kclr_j _jrcp_bm fgnmrclq m Ebck_ nsjkml_p / amlecqr m Fp_oscx_ / rmlrsp_q / tcprgeclq PCESJ>PGB>BC glrcpt_jm QQ à pcesj_p. glrcpt_jm OO r_k àk à pcesj_p. R>V> A r_v_ bc dg pgj_ m à pcesj_p c lmpk_jkclrc bc 60 _ 100. Cj_qqgdga_ m bc amknjcvmq PQR à bcnclbclrc bm dmam. Rc m dmam à tclrpgasj_p, _ r_v_ qcpÍ bc 20 _ 40. Rc m dmam à hslagml_j, _ r_v_ qcpÍ bc 40 _ 60. N U>TC mlb_q O cqr m l_ nmqg m tcprga_j c slgdmpkc. M m fÍ sk PQR qcesglrc a_b_ mlb_ O. NP GLRCPT>JM glrcpt_jm OQ qã nmbc qcp kcbgbm ck _rgkclrmq cdcars_bmq, c à ecp_jkclrc amlqr_lrc _m jmlem b_ rgp_. Ombc ms l m nmbc qcp k_gmp osc sk glrcpt_jm OQ lmpk_j (0,12 qceslbmq). ljmibul OPQ Ilrcpt_j nmbc qcp lmpk_j, k_q à k_gq npmtÍtcj osc qch_ npmjmle_b_. AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 40AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 40 A>QMQ >AJQ > > Rcesglrc: qglrmkÍrgam Bp_bga_pbg_ amkclrÍpgm r_ cj_ 14 Fgesp_ 35 QEGQAR OAQA 3ª ep_s jmoscgm AU (Bjmoscgm a_pbâ_am amknjcrm) FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_41 QEUIRºN p_bga_pbg_ qglrmkÍrga_ ?oYaf YoafY pfkrpYi pgrkm lmpk_j amk pgrkm jclrm ?ilnrbYo >T Nofjbfol EoYr glrcpt_jm OQ à k_gmp bm osc 0,20 qceslbmq Rfml G Qbdrkal EoYr ab Zilnrbfl >T OQ glrcpt_jm _skclr_ bc amknpgkclrm _rà m amknjcvm PQR à bcqa_pr_bm Rfml ab ?il l GG ab Qbdrkal EoYr >T glrcpt_jm OQ à m kcqkm amknpgkclrm _rà glrcpkgrclrckclrc bpmnnncb amknjcvm PQR à bcqa_pr_bm ?ilnrbYo >T Rbo bfol EoYr OQ c PQR l m q m ammpbcl_bmq sk amk m msrpm > > Rcesglrc: Absjrm Bp_bga_pbg_ amk m Ajempgrkm bc nsjqm FB: C_pbgmjmeg_ Rgejm WWI AMLQGBCP>P9 õ lkpriqY bpmb fYifpqY õ bpqfjriYÓÍl qoYkpsbklpY KlkfqloYo b lZpbosYo >qolmfkY 'TbgY Blpbp . BbqYiebp( Qb YqolmfkY fkbcf Yw9 õ jYo Y,mYppl qoYkp rqÊkbl MP õ > almYjfkY fkcrpÍl9 1 Y 0/ j d . hd mlo jfkrql MS õ fkcrpÍl ab bmfkbcofkY9 1 Y 0/ j d mlo jfkrql AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 42AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 42 A>QMQ >AJQ >ariql ?oYaf YoafY lj l >idlofqjl ab mripl > > Rcesglrc: S_osga_pbg_ Fgesp_ 36 ZoYafYoofqjfY mbopfpqbkqb YrpYkal9 õ FfmlqbkpÍl õ >draYjbkqb bpqYal jbkqYi YiqboYal õ QfkYfp ab elnrb õ Blo kl mbfql õ fkprcf fÚk fY YoaàY Y YdraY Gabkqfcf Yo b qoYqYo YrpY prZgY bkqb õ KYkqbo Y abplZpqorÓÍl aYp sfYp YÕobYp: YgraYo Y obpmfoYo+ pb kb bppÉofl õ Qb efmluÚjf l+ YajfkfpqoYo lufdÚkfl õ jlkfqlo YoaàY l mYoY fabkqfcf Yo ofqjl õ KlkfqlofwYo Y mobppÍl YoqbofYi b lufjbqofY ab mripl õ Y bppl GT õ >sYifYo CAE ab 01 abofsYÓãbp YsYifYo pfkYfp . pfkqljYp ab cobnrÚk fY YoaàY Y qfmf Yjbkqb ;4/ ZYqfjbkqlp mlo jfkrql pb ZoYavYoovqejfY TCLRGJ> zM . MVGECL> zM9 CsfqYo sbkqfiYÓÍl bu bppfsY- Gkf fYo bj 0/ Y 01 obpmfoYÓãbp . jfk b qfqriYÓÍl mYoY pbdjbkqYo NCRAM1 ab 24 Y 3/ jj Fd BMQCQ . BCR>JFCQ >qolmfkY GT Blpb9 Blpb fkf fYi ab /+4 jd ab Zlirp- Pbmbqfo Y YaY 2 Y 4 jfkrqlp YqÕ 2 jd ab alpb jÉufjY ab almYjfkY fkcrpÍl GT9 1 Y 0/ j d . hd mlo jfkrql fkcrpÍl ab bmfkbcofkY GT9 ab 4 Y 0/ j d . hd mlo jfkrql LzM FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_43 R>OSGA>PBG> A r_osga_pbg_ à sk_ dpcoíálag_ a_pbâ_a_ qsncpgmp _ 100 _rgkclrmq nmp kglsrm. Ps_lbm m amp_ m _rc ksgrm p_ngb_kclrc, fÍ sk_ d_qc bc pcj_v_kclrm claspr_bm. Iqqm d_x amk osc bmgq npm jck_q npglagn_gq: mq tclrpâasjmq q m gla_n_xcq bc clafcp amknjcr_kclrc, d_xclbm amk osc m bà grm a_pbâ_am n_p_ bgkglsgp; c _q _pràpg_q ampmlÍpg_q pcac ck kclmq q_lesc, d_xclbm amk osc _ mdcpr_ n_p_ m amp_ m n_p_ bgkglsgp. S_osga_pbg_ à aj_qqgdga_bm amkm cqrÍtcj ms glqrÍtcj. dpcosálag_q a_pbâ_a_q qsncpgmpcq ms ges_gq _ 150 _rgkclrmq nmp kglsrm ecp_jkclrc a_sq_k qglrmk_q. r_osga_pbg_ glqrÍtcj qcknpc pcoscp _rcl m gkcbg_r_. r_osga_pbg_ cqrÍtcgq úúnmbc qc rmpl_p glqrÍtcj. Rglrmk_q bc r_osga_pbg_ fgnmrclq m qs_lbm Ebck_ nsjkml_p / amlecqr m bgqrclq m b_ tcg_ hsesj_p SAPTICAQDIA qglrmkÍrgamq amk CAQDÇACA> 100 BOL 0- Qb l fkafsàarl Õ fkpqÉsbi+ clokb bo YoaflsbopÍl pfk olkfwYaY fjbafYqY-  _ r_osga_pbg_ bm glbgtâbsm npmbsxgp glqr_ gjgb_bc fckmbglÓkga_ c qglrmk_q ep_tcq? R m mq qglrmk_q (gqrm à, bmp c qmdpgkclrm bc sk cld_prc _esbm bm kgmaÍpbgm (ALI)) npmbsxglbm _ r_osga_pbg_? 1- >sYifYo l bpqYal ebjlafkÊjf l al fkafsàarl 1- >sYifYo l bpqYal ebjlafkÊjf l al fkafsàarl YqoYsÕp al bpqYZbib fjbkql ab GT+ aYkal lufdÚkfl prmibjbkqYo b jlkfqloYo l loYÓÍl- A dpcosálag_ a_pbâ_a_ bc 100 _ 130 _rgkclrmq nmp kglsrm à ecp_jkclrc pcqsjr_p bm npmacqqm qs h_aclrc c ksgr_q tcxcq pcnpcqclr_ r_osga_pbg_ qglsq_j. Ek r_osga_pbg_ qglsq_j, m m hcrgtm à gbclrgdga_p c rp_r_p _ a_sq_ qgqrákga_ qs h_aclrc. A dpcosálag_ a_pbâ_a_ qsncpgmp _ 150 nk nmbc qcp qglrmkÍrgam; os_lrm k_gmp _ r_v_, k_gmp _ npm _ gjgb_bc bmq qglrmk_q q m bctgbm Ê r_osga_pbg_. 2- >ppbp al ljmibul OPQ- PCESJ>P qYnrf YoafY ab ljmibulp CQRPCGR> 'NPMTyTCJ QTR( Sclr_p k_lm p_q t_e_gq. N rcp ECG bc 12 bcpgt_ écq; amlqgbcp_p amlqsjr_ _ sk cqncag_jgqr_. A _bclmqgl_ 6 ke pÍngb_ OIU; qc lclfsk_ amltcpq m, qc m rcp 12 ke bc IUO (qceslb_ bmqc); nmbc rclr_p 12 ke sk_ tcx. > > Rcesglrc: S_osga_pbg_ Cmlrgls_ m bmp lm ncgrm / bcqamldmprm F_jr_ bc _p Fp_oscx_ / rmlrsp_q / tcprgeclq cqr_bm kclr_j _jrcp_bm Rc ck _jesk kmkclrm tmaá qc rmpl_ glacprm ms bcqamldmprÍtcj bsp_lrc m rp_r_kclrm bc sk n_agclrc cqrÍtcj, npmasp_k amlqsjr_ _ sk cqncag_jgqr_. N rp_r_kclrm bc n_agclrcq cqrÍtcgq úúnmbck qcp nmrclag_jkclrc npchsbgag_gq. A _bclmqgl_ nmbc a_sq_p pmlamcqn_qkm; nmp amlqcesglrc, _ _bclmqgl_ bctc qcp _bkglgqrp_bm amk npca_s m ck bmclrcq amk _qrf- k_. FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 44AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 44 A>QMQ >AJQ GPPCESJ>P qYnrf YoafY ab ljmibulp CQRPCGR> 'NPMTyTCJ >,DG?( N rcp ECG bc 12 bcpgt_ écq; amlqgbcp_p amlqsjr_ _ sk cqncag_jgqr_. S_v_ bc amlrpmjm amk bgjrg_xck 15 _ 20 ke (0,25 ke / ie) IU _m jmlem bc bmgq kglsrmq, ms jmosc_bmpcq cr_. PCESJ>P qYnrf YoafY ab ljmibulp ab iYodroY 'TR NPMTyTCJ( N rcp ECG bc 12 bcpgt_ écq; amlqgbcp_p amlqsjr_ _ sk cqncag_jgqr_. Cmltcprcp pgrkm sq_lbm _kgmb_pml_ 150 ke IU _m jmlem bc 10 kglsrmq. Qc_jgx_p _ a_pbgmtcpq m cjcrgt_. GPPCESJ>P qYnrf YoafY ab ljmibulp UGBC N rcp ECG bc 12 bcpgt_ écq; amlqgbcp_p amlqsjr_ _ sk cqncag_jgqr_. Cmlqgbcpc _lrg-_ppârkgam. Rc rmpq_bcq bc nmglrcq, b_p qsjd_rm bc k_elàqgm 1 _ 2 e IU; nmbck qcesgp amk 0,5 _ 1 e bsp_lrc 60 kglsrmq. RYnrf YoafY bpqÉsbi b fkpqÉsbi QEGQAR OAQA r_osga_pbg_ qglsq_j > > Rcesglrc: Qcep_q n_p_ Arpg_j Fjsrrcp Fgesp_ 37 r_ cj_ 15 PCESJ>PGB>BC glrcpt_jmq QQ q m pcesj_pcq, m pgrkm ecp_j à pcesj_p. R>V> A r_v_ à qsncpgmp _ 100 _rgkclrmq nmp kglsrm, k_q ecp_jkclrc gldcpgmp _ 170 nk. N U>TC HÍ sk_ mlb_ O ck dpclrc bc a_b_ PQR. Aq mlb_q O _n_pcacp slgdmpkc. NP GLRCPT>JM Lcbgb_q clrpc 0.12-0.20 qceslbmq bc bsp_ m. glrcpt_jm OQ à amcpclrc. ljmibul OPQ Lcbc kclmq bc 0,12 qceslbmq. FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_45 QEGQAR OAQA djsrrcp _rpg_j Qcep_q n_p_ _ dg pgj_ m _rpg_j (A-FIB) IQQEGT AQ ERSQEISA r_osga_pbg_ bc amknjcvmq = A-FIB Fgesp_ 38 Fgesp_ 39 S_ cj_ 15 & 16 > > Rcesglrc: Absjrm S_osga_pbg_ amk m Ajempgrkm bc nsjqm PCESJ>PGB>BC Nq glrcpt_jmq QQ q m gppcesj_pcq; nmpr_lrm, m pgrkm ejm _j àgppcesj_p gppcesj_p. Nq tclrpâasjmq amlbsxgp _ n_prgp bc bgdcpclrcq dmamq dg pgj_ m d_xclbm amk osc _ gppcesj_pgb_bc. R>V> r_v_ bc dg pgj_ m ecp_jkclrc cvacbc 350. Rc m pgrkm tclrpgasj_p à clrpc 60 c 100 _rgkclrmq nmp kglsrm, gqrm à amlfcagbm amkm üamlrpmj_b_ A-Fg . Rc _ dpcosálag_ tclrpgasj_p à k_gq bm osc 100, à amlqgbcp_bm A-Fg amk Q_ngb Qcqnmlqc Uclrpgasj_p (QUQ), r_k àk amlfcagbm amkm bcqamlrpmj_b_ A-Fg . N U>TC Dctgbm _m bgqn_pm Írpgmq r m p_ngb_kclrc bc tÍpgmq dmamq, l m fÍ mlb_q O ã tg_q lm pgrkm. A jglf_ bc _qc _n_pcac a_ãrgam nmposc _q _spâasj_q q m dg pgj_lrc, nmp amlqcesglrc, l m fÍ mlb_q O q m npmbsxgbmq. NP GLRCPT>JM Omposc l m cvgqrck NP GLRCPT>JM Omposc l m cvgqrck mlb_q O, glrcpt_jm OQ l m nmbc qcp kcbgbm. ljmibul OPQ kcbgb_q PQR kclmq bc ljmibul OPQ kcbgb_q PQR kclmq bc 0,12 qceslbmq. PCESJ>PGB>BC A r_v_ _rpg_j à pcesj_p. A r_v_ tclrpgasj_p ecp_jkclrc qcpÍ pcesj_p, k_q _ncl_q qc m lã AU pc_jgx_ mq nsjqmq gk- bc sk_ dmpk_ amlqgqrclrc. C_qm amlrpÍpgm, _ r_v_ tclrpgasj_p qcpÍ gppcesj_p. R>V> A r_v_ _rpg_j à lmpk_jkclrc clrpc 250 _ 350. Uclrpga- r_v_ sj_p bcnclbc m amlbsrÓlag_ _rp_tàq bm lã AU n_p_ mq tclrpâasjmq. N U>TC Aq mlb_q O qcpÍ ck bcdglgbm c rck sk n_bp m bc übclrc bc qcpp_ _ cjcq. NP GLRCPT>JM Dctgbm Ê amldgesp_ m glamksk b_q mlb_q O, m glrcpt_jm l m à kcbgb_ amk djsrrcp _rpg_j. ljmibul OPQ kcbgb_q PQR gldcpgmp _ 0,12 ljmibul OPQ kcbgb_q PQR gldcpgmp _ 0,12 qceslbmq. FB: C_pbgmjmeg_ Rgejm WWI õ jYklZoYp sYdYfp õ >abklpfkY 'pb obdriYo( õ ê, Mr ZilnrbYalo al YkYi ab ê, Mr ZilnrbYalo al YkYi ab Éi fl ZilnrbYalo õ Alkpfabob lkpriqY bpmb fYifpqY LzM õ Alkpfabob YabklpfkY pljbkqb pb obdriYo b jlkljáocf Y õ Alkpfabob fkcrpÍl YkqfYooàqjf l õ Alkpfabob lkpriqY Y rj bpmb fYifpqY QGK OPQ iYodl ü QGK OPQ iYodl ü QGK OPQ iYodl ü /+01 pbdrkalp YoaflsbopÍl pfk olkfwYaY õ lkpfabob pbaYÓÍl õ Alkpfabob YabklpfkY pb obdriYo ab ljmibul bpqobfql AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 46AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 46 A>QMQ >AJQ RYnrf YoafY Yariql lj mripl >idlofqej > > Rcesglrc: Râlbpmkc Cmpml_pg_l_ Aesb_ Fgesp_ 40 ZoYafYoofqjfY mbopfpqbkqb YrpYkal9 õ > efmlqbkpÍl õ >draYjbkqb bpqYal jbkqYi YiqboYal õ QfkYfp ab elnrb õ Blo kl mbfql õ fkprcf fÚk fY YoaàY Y YdraY Gabkqfcf Yo b qoYqYo YrpY prZgY bkqb õ KYkqbo Y abplZpqorÓÍl aYp sfYp YÕobYp: YgraYo Y obpmfoYo+ pb kb bppÉofl õ Qb efmluÚjf l+ YajfkfpqoYo lufdÚkfl õ jlkfqlo YoaàY l mYoY fabkqfcf Yo ofqjl õ KlkfqlofwYo Y mobppÍl YoqbofYi b lufjbqofY ab mripl õ Y bppl GT õ >sYifYo CAE ab 01 abofsYÓãbp YsYifYo pfkYfp b pfkqljYp aY cobnrÚk fY YoaàY Y qfmf YjbkqbJFCQ YoaflsbopÍl pfk olkfwYaY9 bpqobfqY obdriYobp9 4/ Y 0//H bpqobfqY foobdriYo9 ZfcÉpf Y 01/H Y 1//H 1//H jlklcÉpf l iYodl obdriYobp9 0//H iYodl foobdriYo9 alpb ab abpcfZofieYÓÍl 'kÍl pfk olkfwYaYp( YabklpfkY GT Blpb9 Blpb fkf fYi ab 5 jd fjmripl oÉmfal GT: pfdY lj LQ cirpe- Qbdrfo lj Y pbdrkaY alpb ab 01 jd+ pb kb bppÉofl- Gkcrpãbp YkqfYooàqjf lp mYoY qYnrf YoafY OPQ iYodl bpqÉsbi9 mol YfkYjfaY GT Blpb9 1/ Y 4/ jd mlo jfkrql YqÕ Ç YoofqjfY prmofjfaY+ efmlqbkpÍl pbdrb+ lr OPQ YrjbkqY Y aroYÓÍl > Rcesglrc: qâlbpmkc ampml_pg_l_ _esb_ Ajempgrfk Fgesp_ 41 Tqc os_rpm jgrpmq nmp kglsrm aÓlsj_ l_q_j; rgrsj_p, amldmpkc lcacqqÍpgm Rc lclfsk_ _jcpeg_, b_p 160 _ 325 ke ARA n_p_ k_qrge_p. Etgrc pctcqrgbm ARA D_p 0,3 _ 0,4 ke bc R / nsjtcpgx_bmp v 2 bmqcq amk 3 _ glrcpt_jmq bc 5 kglsrmq M m sqc qc OAR QNGPGL> LGRPMEJGACPGL> KMPDGL> CAE01B GT >ACQQM LMRGDGA>P FMQNGR>J FB: C_pbgmjmeg_ Rgejm WWI YajfppÍl YjY jlkfqloYal- Bbqbojfkb l pqYqrp ab ofp l- AlkqfkrYo ebmYofkY+ >Q>+ lrqoYp qboYmfYp õ > qboYmfY lj bpqYqfkY õ fkfZfalo aY CA> . >P? õ AYoaflildfY Yoofp Yo bpqoYqfcf Yo pb kÍl clo ab Yiql ofp l Aljb b qoYqYjbkqlp YagrsYkqbp õ FbmYofkY 'SDF lr JKUF( õ Lfqoldif bofkY õ Alkpfabob ilmfaldobi õ Alkpfabob NM ê, ZilnrbYalobpõ Alkpfabob NM ê, ZilnrbYalobpõ Alkpfabob NM ê, ZilnrbYalobp õ Alkpfabob Eif lmolqbàkY GiZ fkfZfalo . iiY > > Ek qcesgb_: Smosc Aesbm Bbp YodY lj pbdrfjbkql+ pb kbkerjY bsfaÚk fY ab bkcYoqb lr fpnrbjfY qbpqYkal qbpqbp ab afYdkápqf l mlo fjYdbj cfpfliádf Y . kÍl fksYpfsl YklojYi abpbkslisb9 õ qolmlkfkY bibsYaY b . lr õ YoY qboàpqf Yp ab Yiql ofp l iàkf lp b . lr õ CAE YiqboYÓãbp ljmYqàsbfp lj fpnrbjfY qolmlkfkY bibsYaY lr mY fbkqb ab Yiql ofp l mob l b bpqoYqÕdfY fksYpfsY pb9 õ RYnrf YoafY sbkqof riYo õ QfkYfp ab fkprcf fÚk fY YoaàY Y õ fkpqYZfifaYab ebjlafkÊjf Y õ abp lkcloql kl mbfql fpnrÚjf Y obcoYqÉofY õ Nbopfpqbkqb . abpsfl QR ob loobkqbjbqYp obmbocrpÍl9 NY fbkqb,b bkqol,abcfkfal ofqÕoflp ab qboYmfY9 õ DfZofkáifpb 'mloqY,YdrieY( ab jbqY jbklp al nrb 2/ jfkrqlp+ õ NAG 'mloqY,Y,ZYiÍl fkciYÓÍl( jbqY jbklp ab 8/ jfkrqlp M qbjml ab iYqÚk fY ú 01 eloYpiYqÚk fY ú 01 eloYpiYqÚk fY ú 01 eloYp õ Aljb b qboYmfYp cYojY liádf Yp õ LÍl abjloY obmbocrpÍl bibsYÓÍl al pbdjbkql QR lr klsl ?PC: doYkab mlppfZfifaYab ab ibpÍl 'QRCKG( >ajfqfo CB rkfaYab ab alo qloÉ f Y b pbdrfo9 õ kçjbolp jYo Yalo YoaàY l 'qolmlkfkY( õ lkqàkrY al pbdjbkql QR õ jlkfqlo ab CAE PbmfqY õ qbpqb ab afYdkápqf l klojYfp YiqboYÓãbp klkafldklpqf . kÍl fksYpfsY kY lkaY R . pbdjbkql QR ofp l ab ZYfuY fkqbojbafÉofl >AQ BbmobppÍl al pbdjbkql QR . fksbopÍl aY lkaY R afkÊjf l: YiqY mlppfZfifaYab ab fpnrbjfY- Bb Yiql ofp l YkdfkY fkpqÉsbi . kÍl,QR,bibsYÓÍl KG 'S> . G>KQQQR( CKQ >sYifYÓÍl . FlpmfqYi ArfaYalp õ Tbofcfnrb lp pfkYfp sfqYfp ab pYqroYÓÍl . M1 õ Y bppl GT õ Cub rqb efpqáof l ab buYjbp afob flkYalp . càpf Y õ AljmibqY ifpqY ab sbofcf YÓÍl cfZofkliàqf l+ sbofcfnrb lkqoY,fkaf YÓãbp õ MZqbo kàsbfp mobifjfkYobp YoaàY Yp jYo YaloYp+ bib qoáifql b bpqralp ab lYdriYÓÍl õ MZqbo mbfql mloqÉqfi ab oYflp,u ';2/jfk( RoYqYjbkql fjbafYql CB õ Qb Y pYqroYÓÍl ab M1 ;83"+ M1 ljbÓYo Y 3 ifqolp mlo jfkrql+ qfqriY õ >pmfofkY 05/,214 jd NM õ pmoYv ab kfqoldif bofkY lr prZifkdrYi õ KlocfkY GT+ pb Y kfqoldif bofkY kÍl Õ bcf Yw AC R - Rsnmprc At_l _bm bcUgb_ ck C_pbgmjmeg_ 48AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 48 A>QMQ >AJQ >ariql AlolkYov Qvkaoljb >idlofqej Fgesp_ 42 Rc lclfsk_ _jcpeg_, b_p 160 _ 325 ke ARA n_p_ k_qrge_p. Etgrc pctcqrgbm ARA _pe_ IU l_ dmqq_ _lrcas gr_j ctc _m aclrpm OCI qc npmtÍtcj RSELI npmrmamjm Argt_p ACR lm fmqngr_j CKQ >sYifYÓÍl . FlpmfqYi ArfaYalp õ >?Ap ab Ymlfl: mobmYoYo mYoY ANP . abpcfZofiYÓÍl õ BÚ YpmfofkY+ jlocfkY+ kfqoldif bofkY+ b lufdÚkfl+ pb kb bppÉofl õ MZqbo CAE ab 01 abofsYÓãbp õ Qb l prmoY ab QR9 õ Llqfcfnrb,elpmfqYiYo: MZpbosb mofjbfol lkqYql jÕaf l b qbjml ab fkà fl õ FlpmfqYi absb pb mobmYoYo mYoY obpmlkabo Y QRCKG õ Qb cfZofkáifpb moÕ,elpmfqYiYo+ rpb ifpqY cfZofkliàqf l QfkqljYp ab fkcYoql lr fpnrbjfY P CAE ú 01 FPú 01 FPQGK QGK QGK LzM LzM FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_5/ >TA Ydral Aagbclrc t_qasj_p acpc p_j à sk_ amlbg m l_ os_j m djsvm lmpk_j bc q_lesc _m aàpc pm à glrcppmkngbm. Aagbclrcq t_qasj_pcq acpc p_gq nmbck mamppcp ck bs_q t_pg_ écq: gqosàkgam c fckmppÍegam. Mm _agbclrc t_qasj_p acpc p_j gqosàkgam, sk amÍesjm _jmh_ ck sk bmq t_qmq q_lesâlcmq bm aàpc pm, jmosc_lbm m djsvm bc q_lesc _rp_tàq bm t_qm q_lesâlcm. Mm _agbclrc t_qasj_p acpc p_j fckmppÍegam, sk t_qm q_lesâlcm l_q psnrsp_q acpc p_gq, bcpp_kc bc q_lesc n_p_ m rcagbm acpc p_j. _agbclrc t_qasj_p acpc p_j gqosàkgam c fckmppÍegam amlr_ _agbclrc t_qasj_p acpc p_j n_p_ 87% c 13% bmq a_qmq rmr_gq, pcqncargt_kclrc. Ek ecp_j, mq qglrmk_q bc bcpp_kcq gqosákgamq c fckmppÍegamq q m qckcjf_lrcq. Mm clr_lrm, mq rp_r_kclrmq q m ksgrm bgdcpclrcq. Rglrmk_q bm AUC Fp_oscx_ lm p_ m c ncpl_ ms d_ac Opm jck_q bc tgq m Cmldsq m MÍsqc_ ms tçkgrm Dgdgasjb_bc n_p_ d_j_p ms dmpk_p _q n_j_tp_q amppcr_q Opm jck_q _ nà ms ck kmtgkclrm bmp bc a_ c _ ep_tc (fcpkmppf_ega) Fgesp_ 43 Trgjgx_p 100% bc mvgeàlgm glgag_jkclrc; rgrsj_p os_lbm nmqqâtcj Ucpgdgosc ejgamqc; fgnmejgackg_ nmbc gkgr_p _agbclrc t_qasj_p acpc p_j _esbm Dcrcpkgl_p m rcknm npcagqm bm glâagm bmq qglrmk_q bm n_agclrc c rcqrckslf_q Dcrcpkgl_p bàdgacq n_agclrc (kmrmp psrm, qclqmpg_gq psrm, lcptmq ap_lg_lmq) npca_s écq _npcclq m Ilqrgrsrm Gp_lbc a_jg pc IU l_ dmqq_ _lrcas gr_j ctc _m aclrpm _agbclrc t_qasj_p acpc p_j, qc nmqqâtcj CKQ MVGE°LGM NGA>B> LM BCBM FGQRÁPG> CV>KC >NPCCLQzM GT >ACQQM LMRGDGA>P FMQNGR>J > > Rcesglrc: Rrpmic _esb_ Cmlrgls_ m FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 50AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 50 A>QMQ >AJQ Nq qgl_gq ajâlgamq bc _agbclrc t_qasj_p acpc p_j bcnclbck b_ pceg m bm aàpc pm _dcar_b_ ncjm djsvm q_lesâlcm bgkglsâbm ms m qrpsâbm. Nq qgl_gq c qglrmk_q nmbck glajsgp: dp_oscx_ ms bmpkálag_ b_ d_ac, p_ m ms ncpl_, bgdgasjb_bc n_p_ a_kglf_p, bgdgasjb_bc bc cosgjâ pgm, ncpb_ bc tgq m, _pp_qr_b_ ms d_j_ _sqclrc, bpmmn d_ag_j, bmp bc a_ c _, tçkgrmq c _jrcp_ m bm lâtcj bc amlqagálag_. Mck rmbmq cqqcq qglrmk_q cqr m npcqclrcq, c mq _af_bmq bm cv_kc bcnclbck b_ _pràpg_ acpc p_j _dcr_b_. A Rrpmic Ra_jc Cglagll_rg Opcfmqngr_j (CORR) à sq_b_ n_p_ bg_elmqrga_p _ npcqcl _ bc _agbclrc t_qasj_p acpc p_j ck sk glbgtâbsm, qc os_joscp sk bmq qcesglrcq pcqsjr_bmq dâqgamq q m tgqr_q: glajgl_ m d_ag_j, bcpgt_ bm p_ m, ms bgqaspqm _lmpk_j. Ilbgtâbsmq amk sk bcqqcq rpáq pcqsjr_bmq amkm sk lmtm ctclrm rck sk_ npm _ gjgb_bc bc 72% bc sk _agbclrc t_qasj_p acpc p_j gqosákgam. Rc rmb_q _q rpáq bcqam cpr_q cqr m npcqclrcq, _ npm _ gjgb_bc bc sk _agbclrc t_qasj_p acpc p_j _esb_ à k_gq bm osc 85%. F_kgjg_pgx_p-qc c npmdgagclrc amk _ dcpp_kclr_ srgjgx_b_ ncjm qgqrck_ ELR bmq qmamppgqr_q à pcamkclb_bm. aclÍpgmq c npÍrga_ qgksj_b_ gpÍ d_agjgr_p m sqm bcqq_q dcpp_kclr_q bc p_qrpcgm t_jgmqmq. Ilbgtâbsmq amk AUC gqosákgam osc l m q m a_lbgb_rmq n_p_ _ rcp_ng_ dg pglmjârga_ bctck pcac cp _qngpgl_, _ kclmq osc amlrp_-glbga_bm ncj_ tcpb_bcgp_ _jcpeg_ Ê _qngpgl_. Smbmq mq glbgtâbsmq amk _agbclrc t_qasj_p acpc p_j amldgpk_b_ bctck qcp glrcpl_bmq l_ Tlgb_bc bc Scp_ng_ Ilrclqgt_ Mcspmjãega_ qc bgqnmlâtcj. rp_r_kclrm bc _agbclrc t_qasj_p acpc p_j glajsg _ kmlgrmpgx_ m bc npcqq m q_lesâlc_ c _ pcesj_ m nmp npmrmamjm, npca_s écq amltsjqgtmq, amlrpmjmq lcspmjãegamq dpcosclrcq, m _nmgm b_q tg_q _àpc_q, amldmpkc lcacqqÍpgm, dâqgam / masn_agml_j / bgqaspqm _t_jg_ m rcp_násrga_, _ rckncp_rsp_ ampnmp_j, c bc kmlgrmpgx_ m bc ejsamqc lm q_lesc. Nq glbgtâbsmq osc pcac cp_k rcp_ng_ dg pglmjârga_ bctck qcp qcesgb_q nmp qgl_gq bc q_lep_kclrm ms fckmpp_eg_. Ajeslq glbgtâbsmq (amk gb_bcq bc 18 _ 79 _lmq amk jgecgp_ _ kmbcp_b_ _agbclrc t_qasj_p acpc p_j) nmbck qcp a_n_xcq bc pcac cp m rOA (_argt_bmp bc nj_qkglmeàlgm rcagbsj_p) _rà 4,5 fmp_q _nãq m glâagm bmq qglrmk_q. Rm acpr_q agpaslqrÓlag_q, glrp_-_prcpg_j rOA à nmqqâtcj _rà qcgq fmp_q _nãq m glâagm bmq qglrmk_q. Ps_lbm m rcknm bc glâagm bmq qglrmk_q à bcqamlfcagbm, à amlqgbcp_b_ sk_ cvajsq m _srmkÍrga_ n_p_ rOA. Rc m rcknm bc glâagm bmq qglrmk_q à amlfcagbm, m Ilqrgrsrm M_agml_j bc Dgqrêp gmq Mcspmjãegamq c Dcpp_kc (MIMDR) cqr_ cjcacs _q kcr_q bc rcknm _ _gvm. Alrcq bc b_p os_joscp amgq_ (kcbga_kclrmq ms _jgkclrmq) ncj_ ma_, tmaá bctc cvcasr_p sk_ rpg_eck a_ cacgp_ _lbmpglf_. Smbmq mq glbgtâbsmq amk AUC _esbm q m amlqgbcp_bmq MON l_ _bkgqq m. N m hcrgtm b_ cosgnc bc _agbclrc t_qasj_p acpc p_j, kàbgam bc ckcpeálag_, ms msrpmq cqncag_jgqr_q bctc qcp _t_jg_p m glbgtâbsm amk qsqncgr_ bc AUC bclrpm bc 10 kglsrmq b_ afce_b_ lm bcn_pr_kclrm bc ckcpeálag_ (ED). A rmkmep_dg_ amknsr_bmpgx_b_ bctc qcp amlajsâb_ bclrpm bc 25 kglsrmq b_ afce_b_ bm glbgtâbsm lm ED c bctc qcp jgbm ck 45 kglsrmq. > > Rcesglrc: Rr_dd Dcn_pr_kclrm bc Ekcpeálag_ At_jg_ m ecp_j ncjm cqncag_jgqr_ Elamkclb_p t_ppcbsp_ speclrc CS qck amlrp_qrc Evcasrc rmkmep_dg_ amknsr_bmpgx_b_ qck amlrp_qrc _t_jg_ m lcspmjãega_ cg_ rmkmep_dg_ amknsr_bmpgx_b_ ck 45 kglsrmq At_jg_p apgràpgmq n_p_ sqm c _bkglgqrp_p rp_r_kclrm dg pglmjârgam ( "amÍesjm gk cagj") rcp_ng_ dg pglmjârga_ nmbc qcp sq_bm lm np_xm bc rpáq fmp_q bm glâagm bmq qglrmk_q (4,5 fmp_q ck _jeslq a_qmq) Abkgqq m Ê slgb_bc bc AUC Fgesp_ 44 Ucpgdga_ m bc ejgamqc; fgnmejgackg_ nmbc gkgr_p _agbclrc t_qasj_p acpc p_j _esbm _pe_ IU l_ dmqq_ _lrcas gr_j ctc _m aclrpm _agbclrc t_qasj_p acpc p_j, qc nmqqâtcj 0/ jfkrqlp aY ebdYaY 14 jfkrqlp aY ebdYaY 5/ jfkrqlp ab ebdYaY 07/ jfkrqlp ab ebdYaY FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_51 CKCPE°LAG> BCN>PR>KCLRM NCQQM>J Fgesp_ 45 GQOS°KGA> FCKMPPyEGA> AMKNJCRC CKQ ASGB>BMQ >JTM BC >T>JG> zM BC ASPQM CQR>?CJCACP fkà fl alp pfkqljYp RCKNM AR QA>L BC QR>R A PC?PM M?RCP CAE ab 01 abofsYÓãbp TCPGDGA> zM dif lpb b ifmàaflp AlkqY qb Y bnrfmY ab >TA GQOS°KGA> AlkcfojYo Y eloY ab fkà fl alp pfkqljYp Cub rqb kbroliádf l Yisl buYjb 'Cp YiY ropl LGF( JfpqY ab sbofcf YÓÍl cfZofkliàqf l ljmibqY FCKMPPyEGA> lkpriqb Lbrol forodfY mYfkbi ab lYdriYÓÍl+ l qfml bY qbiY > > Rcesglrc: Ajempgrkm Smosc Aesbm õ fkà fl QfkqljY klp çiqfjlp qoÚp eloYp 'bu bmql bj fo rkpqÊk fYp bpmb fYfp( õ 07 Yklp lr jYfp õ > fabkqb sYp riYo bobZoYi fpnrÚjf l lj abcbfql kbroliádf l õ Krfql mbnrbkYp . pfkqljYp obplisbkal õ >mobbkpÍl mlab bpqYo Y Ycb qYo buYjb kbroliádf l õ AforodfY lr qoYrjY kl çiqfjlp 03 afYp õ EoYkab ebjlooYdfY kl çiqfjlp 10 afYp õ GkcYoql al Kfl Éoafl kl çiqfjlp qoÚp jbpbp õ qoYrjYqfpjl oYkfYkl kl çiqfjlp qoÚp jbpbp õ > fabkqb sYp riYo bobZoYi bj qoÚp çiqfjlp jbpbp õ FbjlooYdfY prZYoY káfab õ mrkÓÍl YoqbofYi bj çiqfjlp pbqb afYp õ >kqboflo fkqoY oYkfYkY FbjlooYdfY 'GAF( õ pYkdoYjbkql Yqfsl õ FbmYofkY kl çiqfjlp alfp afYp õ GLP bibsYaY õ Ffmldif bjfY õ Krfql doYkab fkcYoql bobZoYi 'jriqfilZb( õ NiYnrbqYp ;0//-/// . jj2 LM DG?PGLMJ RGA> LM DG?PGLMJ RGA> LM DG?PGLMJ RGA> APGR PGM BC GLAJSQzM CVAJSQ CQ PCJ>RGT>Q CVAJSQ CQ >?QMJSRM FB: C_pbgmjmeg_ Rgejm WWI CB AFCE>B> abkqol ab 5/ jfkrqlp lr jbklp CB AFCE>B> abkqol ab 2 eloYp MS KCLMQ õ Aljb b máp qN>,mYqetYv Yfabkqb sYp riYo bobZoYi õ >ajfqfo Y Y fabkqb sYp riYo bobZoYi lr rkfaYab ab qboYmfY fkqbkpfsY õ jlkfqloYo cobnrbkqbp9 õ abqbofloYÓÍl kbroliádf Y õ ?N mlo molql lil EM QM?PC PGQAMQ . ?CLCD AGMQ AMK M N>AGCLRC . D>K JG> Qb pYqfpcYqáofY9 õ Qbj qoYqYjbkql YkqfmiYnrbqÉofl . Ykqf lYdriYkqb ;13 eloYp õ qN> >ajfkfpqoYo CB AFCE>B> abkqol ab 34 jfkrqlp lr jbklp õ >ajfqfo Y Y fabkqb sYp riYo bobZoYi lr rkfaYab ab qboYmfY fkqbkpfsY õ Aljb b Y fabkqb sYp riYo bobZoYi lr ebjlooYdfY mYqetYv > qboYmfY cfZofkliàqf Y YfkaY Õ mlppàsbi >TA fpnrÚjf l Ydral molsÉsbfp: NPCN>PC,QC N>P> > qboYmfY cfZofkliàqf Y õ PbmfqY buYjb kbroliádf l: aÕcf fqp fj, molsYkal klojYi õ NbpnrfpYo mlo bu irpãbp cfZofkliàqf l TCP LCSPMAGPSPEGzM . LCSPMJMEGQR>: RP>LQDCP°LAG> Qb kÍl bpqfsbo afpmlkàsbi CB AFCE>B> abkqol ab 14 jfkrqlp lr jbklp >sYifYÓÍl kbroliádf Y mbiY bnrfmb ASPQM õ TÉ Yl ilkdl efpqáof l al mY fbkqb õ buYjb kbroliádf l ljmibql 'bp YiY kbroliádf Y ANQQ lr FGF Qqolhb Q Yib( õ LlqY çiqfjY lkeb faY klojYi lr pfkqljY qbjml ab fkà fl CB AFCE>B> abkqol ab 0/ jfkrqlp lr jbklp KCR>Q LGLBQ RCKNM AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 52AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 52 A>QMQ >AJQ >idlofqjl >TA Ydral > > Rcesglrc: Asrm-At_jg_ m n_p_ C_qmq AC R Fgesp_ 46 >T>JG> zM ECP>J . CQR>?GJGX> zM õ >sYifb pfkYfp sfqYfp . >?Ap õ >qfkdfo l Y bppl GT . obYifwYo YsYifYÓãbp ab iYZloYqáofl õ >qfkdfo 01 abofsYÓãbp CAE õ BÚ M1 pb efmluÚjf l õ Tbofcfnrb dif lpb: qoYqYo+ pb kb bppÉofl õ YsYifYÓÍl ab qofYdbj kbroliádf Y ljmibqY õ Dfj KPG al ÕobZol qljldoYcfY ljmrqYalofwYaY . bjbodÚk fY õ >qfsb bnrfmb >TA GKNMPR>LRCQ CKQ YsYifYÓÍl . > CQ õ YsYifYÓÍl Y fabkqb sYp riYo bobZoYi moÕ,elpmfqYiYo ljmibqY õ MZpbosb l qbjml ab fkà fl alp pfkqljYp 'çiqfjY klojYi( õ >?Ap ab Ymlfl: aYo M1 õ Tbofcfnrb dif lpb õ RofYdb Yl bkqol Y fabkqb sYp riYo bobZoYi õ elpmfqYiYo >iboq >qfsb Cjbodbk v Pbpmlkpb Gabkqfcf Yo pfkqljYp . pfkYfp ab Y fabkqb sYp riYo bobZoYi AR Q Yk YmobpbkqY ebjlooYdfY aÚ YpmfofkY LzMQGK LÍl YkafaYqlp A>LBGB>RM FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_53 >SRM,>T>JG> zM N>P> A>QMQ >AJQ 1. Ps_j b_q qcesglrcq à m npãvgkm n_qqm amppcrm ck ecqr m _nãq _ clrpce_ bc sk afmosc? sk_. Ucpgdga_p m nsjqm. . Uclrgj_p qmkclrc. a. F_xcp amknpcqqécq rmpÍaga_q. b. Cfma_p lmt_kclrc. 2. Nlbc à osc m gknsjqm cjàrpgam n_p_ _ _rgtgb_bc a_pbâ_a_ lmpk_j mpgeglms? sk_. Dcqamlfcagbm . lã RA a. lã AU b. dg p_q bc Ospiglhc 3. Eqamjf_ _ qcoíálag_ amppcr_ bc _rgtgb_bc cjàrpga_ lm amp_ m n_p_ m pgrkm qglsq_j lmpk_j? sk_. RA lã, Ospiglhc, m lã AU, O_amrc bc Rs_ . Ospiglhc, O_amrc bc Rs_, lã AU, m lã RA a. lã RA, lã AU, dcgvc bc Hgq, dg p_q bc Ospiglhc b. lãbsjm AU, lã RA, n_amrc bc Hcpq, dg p_q bc Ospiglhc 4. N osc m amknjcvm PQR ck sk ECG pcnpcqclr_? sk_. amlrp_ m tclrpgasj_p . m dcafm b_ tÍjtsj_ AU a. amlrp_ m _rpg_j b. qcnrm pcj_v_kclrm 5. Ps_j à m kàrmbm pcamkclb_bm n_p_ kmlgrmp_p _ pcqngp_ m bsp_lrc m _rclbgkclrm AC R? sk_. Njf_p, mstgp c qclrgp . a_nlmep_dg_ a. e_qcq lm q_lesc tclmqm b. Lmlgrmp_kclrm ncgrm qs gp 6. Umaá cqrÍ rp_lqnmpr_lbm sk glbgtâbsm osc clrp_ ck n_p_b_ a_pbâ_a_ bsp_lrc m rp_lqnmprc. _acqqm IU à6. Umaá cqrÍ rp_lqnmpr_lbm sk glbgtâbsm osc clrp_ ck n_p_b_ a_pbâ_a_ bsp_lrc m rp_lqnmprc. _acqqm IU à k_j qsacbgbm. Ps_j à m npãvgkm n_qqm? sk_. Scpkgl_p pc_lgk_ m. . N rcp _acqqm glrp_-ãqqcm. a. Cmjmosc sk_ jglf_ aclrp_j. b. Abkglgqrp_p rmbmq mq kcbga_kclrmq _rp_tàq b_ aÓlsj_ rp_osc_j. 7. Ps_j _ bmqc bc t_qmnpcqqgl_ osc tmaá sq_ n_p_ qs qrgrsgp _bpcl_jgl_ bsp_lrc _ n_p_b_ a_pbâ_a_? sk_. 10 ke . 10 slgb_bcq a. 40 ke b. 40 slgb_bcq FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 54AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 54 8. Tk glbgtâbsm cqrÍ bmclrc, cm kmlgrmp pctcj_ r_osga_pbg_ qglsq_j amk sk_ dpcosálag_ a_pbâ_a_ bc 135. 8. Tk glbgtâbsm cqrÍ bmclrc, cm kmlgrmp pctcj_ r_osga_pbg_ qglsq_j amk sk_ dpcosálag_ a_pbâ_a_ bc 135. Ps_j à m npglagn_j m hcrgtm lm rp_r_kclrm bcqrc glbgtâbsm? sk_. Dcrcpkgl_p _ a_sq_ qs h_aclrc. . Opcn_p_p n_p_ a_pbgmtcpq m qglapmlgx_b_. a. Sp_lqdslbgp ejã sjmq tcpkcjfmq ckn_amr_bmq. b. F_xcp _ _bkglgqrp_ m bc _bclmqgl_. 9. A 79-wc_p-mjb glbgtâbsm cqrÍ ck RUS. BO à 80/50, c cjc cqrÍ pcaj_k_lbm bc bcqamldmprm lm ncgrm c9. A 79-wc_p-mjb glbgtâbsm cqrÍ ck RUS. BO à 80/50, c cjc cqrÍ pcaj_k_lbm bc bcqamldmprm lm ncgrm c O_pcac osc _ n_qq_eck n_p_ dmp_. Ps_j à m npãvgkm n_qqm _npmnpg_bm? sk_. k_qq_eck a_pãrgb_ . a_pbgmtcpq m qglapmlgx_b_ a. _kgmb_pml_ b. jgbma_âl_ 10. Umaá cqrÍ rp_r_lbm sk glbgtâbsm osc _npcqclrms ck dg pgj_ m tclrpgasj_p. Dcnmgq bc COQ c sk_ rclr_rgt_ bc bcqdg pgj_ m, m qcs lmtm pgrkm à rcpacgpm jmam ep_s AU. Ps_j à m npãvgkm n_qqm l_ ecqr m? sk_. Qcngr_ _ bcqdg pgj_ m . A t_qmnpcqqgl_ a. k_pa_-n_qqm rp_lqasrÓlcm b. Ajr_q bmqcq bc cnglcdpgl_ 11. Tk fmkck bc 55 _lmq bc gb_bc, _npcqclr_ qglrmk_q bc _agbclrc t_qasj_p acpc p_j, c _ rmkmep_dg_ amknsr_bmpgx_b_ kmqrp_ cld_prc ksjrgjm _pcq (k_gq bm osc sk rcp m bm fckgqdàpgm acpc p_j). N rp_r_kclrm à amlrp_-glbga_bm? sk_. Nvgeálgm . ejgamqc kmlgrmp_kclrm a. A rcp_ng_ rpmk mjârga_ b. kmlgrmpgx_ m b_ npcqq m _prcpg_j 12. Psc ncb_ m bc b_bmq à dslb_kclr_j n_p_ m rcp ck rmbmq mq glbgtâbsmq amk AUC? sk_. D_r_ bc l_qagkclrm . Hckmejm gl_ _1a a. npcqq m _prcpg_j gj_rcp_j p_ m b. Scknm tgqrm ncj_ êjrgk_ tcx lmpk_gq 13. Ucpb_bcgpm ms F_jqm: N m hcrgtm bm rp_r_kclrm bm AUC à amknjcr_p _ _t_jg_ m glgag_j ED bclrpm bc 10 kglsrmq, _ _t_jg_ m lcspmjãega_ bclrpm bc 25 kglsrmq b_ afce_b_, c rcp _ a_ c _ CS jcp bclrpm bc 45 kglsrmq bc afce_b_. FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_55 PCQNMQR>Q 1. C COQ à pcrmk_b_ nmp bmgq kglsrmq _lrcq bc os_joscp pc_t_jg_ m à pc_jgx_b_. Cmkcac amk amknpcqqécq qcesgbm bc tclrgj_ écq ck sk 30: 2 npmnmp m. 2. B N lã RA ecp_ m gknsjqm cjàarpgam l_ _argtgb_bc a_pbâ_a_ lmpk_j. N gknsjqm ck qcesgb_, tg_h_ n_p_ m pcqrm bm qgqrck_ bc amlbs m c d_agjgr_ _ amlrp_ m bmq Írpgmq c tclrpâasjmq. 3. C Mmpk_j gknsjqm cjàrpgam a_pbâ_am tg_h_ ck sk n_bp m amlqgqrclrc npmbsxglbm pgrkm qglsq_j lmpk_j. 4. A N PQR pcnpcqclr_ amlrp_ m tclrpgasj_p. A mlb_ S pcnpcqclr_ pcnmj_pgx_ m bmq tclrpâasjmq. 5. B Ps_lrgr_rgt_ a_nlmep_dg_ dmpk_ bc mlb_ à m kàrmbm pcamkclb_bm n_p_ _t_jg_p pcqngp_ m / tclrgj_ m bsp_lrc RAUC. Ajàk bgqqm, _ mvgkcrpg_ bc nsjqm bctcpÍ qcp _t_jg_b_, c _ _t_jg_ m ajâlga_ bcqcknclf_ sk n_ncj ck. 6. B Tk_ jglf_ glrp_-ãqqc_ nmbc qcp amjma_b_ p_ngb_kclrc c à _ npãvgk_ kcjfmp a_kglfm n_p_ _ clrpce_ bc bpme_q. A qmp m _nãq m n_prm rs m ES à amldgÍtcj. 7. D Tk_ bmqc bc t_qmnpcqqgl_ bc 40 slgb_bcq nmbc qcp sq_bm ck jse_p b_ npgkcgp_ ms qceslb_ bmqc bc cnglcdpgl_. A cnglcdpgl_ à b_b_ bc 3 _ 5 kglsrmq _nãq _ êjrgk_ bmqc bc t_qmnpcqqgl_, qc sk t_qmamlqrpgrmp à ajglga_kclrc lcacqqÍpgm. 8. Tk N m hcrgtm npgkÍpgm lm rp_r_kclrm bc r_osga_pbg_ qglsq_j à bcrcpkgl_p _ a_sq_ qs h_aclrc. bcagqécq bc rp_r_kclrm _bcos_bm nmbc clr m qcp dcgr_. 9. B Eqrc glbgtâbsm à qglrmkÍrgam amk fgnmrclq m c bmp lm ncgrm. Abclmqgl_ nmbcpg_ qcp amlqgbcp_b_ qc m _acqqm IU hÍ cqrÍ ck tgemp, clos_lrm osc _ npcn_p_ m à dcgr_ n_p_ a_pbgmtcpq m. k_qq_eck a_pãrgb_ nmbc a_sq_p amknjga_ écq lm glbgtâbsm gbmqm. 10. C cqrgksj_ m rp_lqasrÓlc_ à glbga_bm n_p_ Lm grx Sgnm II qceslbm jmam ep_s AU, jmoscgm AU bc rcpacgpm ep_s, c p_bga_pbg_ amk pgrkm bc cqa_nc tclrpgasj_p qglrmkÍrga_. 11. C A rcp_ng_ rpmk mjârga_ à amlrp_-glbga_b_ ck ep_lbcq _agbclrcq t_qasj_pcq acpc p_gq osc cltmjtck k_gq bm osc sk rcp m bc sk fckgqdàpgm acpc p_j. 12. D Ejceg gjgb_bc n_p_ rcp_ng_ rpmk mjârga_ bcnclbc b_ ànma_ bm glâagm bmq qglrmk_q. Aq mpgclr_ écq _ars_gq qsnmpr_k _ _bkglgqrp_ m bc rOA n_p_ glbgtâbsmq cjceâtcgq amk m glâagm bmq qglrmk_q bc rpáq fmp_q ms kclmq. glbgtâbsm qcjcagml_bm nmbc qcp cjceâtcj _rà 4,5 fmp_q bm glâagm. 13. Ucpb_bcgpm N AUC à sk_ ckcpeálag_ lcspmjãega_ c _t_jg_ m pÍngb_ cm rp_r_kclrm nmbc kcjfmp_p mq pcqsjr_bmq. N k_lrp_ üN rcknm à aàpc pm bctck qcpsq_bmq úú_osg. FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 56AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 56 >AJQ DSLB>KCLRMQ npmlrm pcamlfcagkclrm c glrcptcl m amk QCO bc _jr_ os_jgb_bc à dslb_kclr_j ck os_joscp qgrs_ m bc npgq m. Opcn_p_p kclr_jkclrc n_p_ pc_lgk_ m kcbgb_ osc qc _npmvgk_ _ acl_ c bm glbgtâbsm. qcesp_l _ acl_ à apârga_; l m m rcp-qc dcpgbm. B R dmam à QCO npcamac c bcqdg pgj_ m npcamac. M m rclrc amjma_p sk_ tg_ _àpc_ mpmd_pâlec_ ck sk glbgtâbsm _ampb_bm. Osvc m oscgvm n_p_ bclrpm b_ kÍqa_p_; l m cknsppc _ kÍqa_p_ n_p_ m pmqrm, nmgq nmbc dcaf_p _q tg_q _àpc_q. IU ms IN q m _ tg_ npcdcpgb_ n_p_ _ clrpce_ bc bpme_q; _ qmp m rs m clbmrp_osc_j à gknpctgqâtcj. A bmqc bc _kgmb_pml_ à bgdcpclrc n_p_ FU c SU amk sk nsjqm. Qcrmk_p _q amknpcqqécq rmpÍaga_q gkcbg_r_kclrc _nãq clrpce_p sk afmosc. A fgnmrcpkg_ rcp_násrga_ à srgjgx_b_ _nãq m pcrmplm b_ agpasj_ m cqnmlrÓlc_. R_g _ pgrkmq a_pbâ_amq cqncaâdgamq: r_osga_pbg_ qglsq_j, RUS, dg pgj_ m _rpg_j / djsrrcp, UF, US, rmpq_bcq bc nmglrcq, c _qqgqrmjg_. Cmldgpk_p _qqgqrmjg_ ck bmgq a_ mq qcn_p_bmq. FU c SU qck nsjqm q m rp_r_bmq b_ kcqk_: _njga_p sk afmosc. ck pc-qc _q a_sq_q b_ OEA: bm H c bm S bc. C_nlmep_dg_ à sk_ dcpp_kclr_ t_jgmq_ l_ pc_lgk_ m. Rc OESCN2 à k_gmp bm osc 10, rclr_p kcjfmp_p _ os_jgb_bc bm COQ. Tqc lgrpmejgacpgl_ amk npca_s m ck glbgtâbsmq amk cld_prc bm kgmaÍpbgm gldcpgmp; ctgr_p, qc _ npcqq m q_lesâlc_ qgqrãjga_ (RBO) à gldcpgmp _ 90 _ 100, ms qc _ rmk_p kcbga_ m n_p_ _ bgqdsl m cpàargj (glg gbmpcq b_ dmqdmbgcqrcp_qc) bclrpm bc 24 fmp_q. Cmldsq m, lÍsqc_q c tçkgrmq nmbc cqr_p _npcqclr_lbm qgl_gq bc sk _agbclrc t_qasj_p acpc p_j. > > Fcpp_kclr_q _bgagml_gq: Mcvr FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_57 DCPP>KCLR>Q >BGAGML>GQ KCBGAMBC Cmk LcbgCmbc, tmaá hÍ l m rcpÍ osc jct_p sk amlhslrm bc a_pr_q cvn_lqâtcgq amk tmaá ck rmbmq mq kmkclrmq, clos_lrm lm rp_ _jfm. Umaá lsla_ rcpÍ osc ncpbcp rcknm t_jgmqm ck qgrs_ m bc ckcpeálag_ ncqosgq_p _rp_tàq bc tÍpgmq _jempgrkmq _rà clamlrp_p m a_kglfm acprm. Smbmq mq _jempgrkmq q m _emp_ _acqqâtcj _ n_prgp b_ n_jk_ b_ qs_ k m, c tmaá cqr_pÍ qcjcagml_lbm m _jempgrkm bcqch_bm ncj_ kckãpg_ ck lclfsk kmkclrm. Eqamjfcp clrpc tÍpg_q mn écq bc tgqs_jgx_ m c d_agjkclrc amkn_prgjf_p _jempgrkmq amk amjce_q bc rp_ _jfm c _kgemq _rp_tàq bc c-k_gj c kâbg_q qmag_gq. O_p_ kcjfmp_p _ dslagml_jgb_bc c p_ngbcx l_ m rcl m bc qcs _jempgrkm bcqch_bm r m p_ngb_kclrc os_lrm nmqqâtcj ck a_qm bc ckcpeálag_, cjcq dmp_k bgtgbgbmq clrpc B R, AC R, OA R c COQ. Smbmq q m _acqqâtcgq _ n_prgp b_ rcj_ glgag_j. Nq _jempgrkmq glbgtgbs_gq glajsâb_q bclrpm bcqr_ _njga_ m q m: Rsnmprc BÍqgam bc Ugb_ (B R) Rsnmprc bc Ugb_ C_pbâ_am At_l _bm (AC R) Ocbg_rpga Abt_lacb gdc Rsnnmpr (OA R) Qcqqsqagr_ m a_pbgmnsjkml_p (QCO) AED c Opgkcgpmq Rmamppmq ACPR>JCPR ) CcprAjcpr + à m _njga_rgtm ncpdcgrm n_p_ kglgkgx_p _ Ípc_ nmrclag_j bc qrpcqq c bgqrp_ m ck qs_ tgb_. Cmk CcprAjcpr +, tmaá rcpÍ rmb_q _q qs_q jgacl _q c acprgdga_ écq ck sk qã jse_p _ os_joscp fmp_ osc tmaá npcagq_p bcjcq. U_kmq _amkn_lf_p c jck pÍ-jm os_lbm _ qs_ b_r_ bc tclagkclrm qc _npmvgk_, c lãq t_kmq _hsbÍ-jm amk _ qs_ glqapg m qcknpc osc nmqqâtcj. Cmk CcprAjcpr +, tmaá nmbc: Cmkngj_p rmb_q _q jgacl _q c acprgdga_ écq cvgegb_q ck sk êlgam jma_j. Sgp_p dmrmq (dpclrc c tcpqm) bc a_précq bc acprgdga_ m c jgacl _q n_p_ qgknjcq pcdcpálag_. Gp_tc rmb_q _q b_r_q bc tclagkclrm c _pk_xcl_p amk d_agjgb_bc. Eqamjf_ os_lbm tmaá oscp qcp jck p_bm bc qs_q b_r_q bc cvngp_ m qc _npmvgk_lbm. Eltg_p rmb_q _q gldmpk_ écq bc jgacl _ ms bc acprgdga_ m bgpcr_kclrc n_p_ m qcs c-k_gj bcnmgq bc cvnmpr_p _ n_prgp bm _njga_rgtm. _acqqm pÍngbm _ pcegqr_p d_agjkclrc n_p_ mq aspqmq bc acprgdga_ m c pcacprgdga_ m ml-jglc. FB: C_pbgmjmeg_ Rgejm WWI NCPESLR>Q BC PCTGQzM >AJQ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 58AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 58 1. R m glajsâbmq l_ Ocqosgq_ AC R: sk_. Ug_q _àpc_q, pcqngp_ m, agpasj_ m, Dg_elãqrgam Dgdcpclag_j . Ug_q _àpc_q, pcqngp_ m, agpasj_ m, Dcqdg pgj_ m a. At_jg_ m, pcqngp_ m, agpasj_ m, Dcqdg pgj_ m b. Ug_q _àpc_q, pcqngp_ m, COQ, Dg_elãqrgam Dgdcpclag_j 2. N dmam npglagn_j ck n_p_b_ a_pbâ_a_ à: sk_. COQ cdga_x . bcqdg pgj_ m npcamac a. Abkglgqrp_ m bc Dpme_q b. Ak mq _ c B 3. Ps_j bmq qcesglrcq l m à sk cvcknjm bc sk_ b_q tg_q _àpc_q _t_l _b_q? sk_. tg_ _àpc_ mpmd_pâlec_ . rs m cqmdÍegam-rp_osc_j a. kÍqa_p_ j_pâlec_ b. Cmk grs c 4. A qcesgp, q m nmqqâtcgq cdcgrmq b_ fgncptclrgj_ m: sk_. npcqq m glrp_rmpÍaga_ _skclr_b_ . pcrmplm tclmqm bgkglsgs n_p_ m amp_ m a. Ak mq _ c B b. Mclfsk_ b_q _agk_ 5. N pgrkm qglsq_j lmpk_j bm amp_ m amkc _ lm: sk_. Uclrpâasjm cqoscpbm . lãbsjm _rpgmtclrpgasj_p a. lã qglsq_j b. Uclrpâasjm bgpcgrm 6. Ps_j à _ QCO bc _jr_ os_jgb_bc? sk_. 80 amknpcqqécq nmp kglsrm _ sk_ npmdslbgb_bc bc, ncjm kclmq, sk_ nmjce_b_ . 100 _ 120 amknpcqqécq nmp kglsrm _ sk_ npmdslbgb_bc bc clrpc 2 c 2,4 nmjce_b_q (5 ak _ 6 ak) a. 80 amknpcqqécq nmp kglsrm _ sk_ npmdslbgb_bc bc ncjm kclmq bs_q nmjce_b_q b. 100 amknpcqqécq nmp kglsrm _ sk_ npmdslbgb_bc bc, ncjm kclmq, sk_ nmjce_b_ 7. Alrcq b_ amjma_ m bc sk_ tg_ _àpc_ _prgdgag_j, _ amknpcqq m _ npmnmp m bc tclrgj_ m bsp_lrc _ QCO à: sk_. 30: 1 . 30: 2 a. 15: 1 b. 20: 2 FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_6/ 8. Umaá qfmsjb ck sk glbgtâbsm amk dg pgj_ m tclrpgasj_p gkcbg_r_kclrc _nãq sk afmosc. sk_. pcrmk_p COQ . Ucpgdgosc _ r_v_ bc amp_ m a. _l_jgq_p m pgrkm b. Dá _kgmb_pml_ 9. hmsjcq (J) q m _npcqclr_b_q nmp afmosc os_lbm qc srgjgx_ sk bcqdg pgj_bmp kmlmdÍqgam. sk_. 15: 1 . 15: 2 a. 30: 1 b. 30: 2 10. A qcesgp kcbga_kclrm (q) nmbc qcp sq_bm n_p_ rp_r_p _ fgnmrclq m bsp_lrc _ d_qc bc a_nrsp_ nãq-a_pbâ_a_: sk_. bmn_kgl_ . kgjpglml_ a. _kgmb_pml_ b. Ak mq _ c B 11. N qcesglrc bpme_ (q) _lrg-_ppârkga_ nmbc qcp srgjgx_bm n_p_ _ dg pgj_ m tclrpgasj_p ncpqgqrclrc ms r_osga_pbg_ tclrpgasj_p qck nsjqm, cvacnrm: sk_. _kgmb_pml_ . jgbma_âl_ a. Arpmngl_ b. Ak mq _ c B 12. Ps_j b_q qcesglrcq l m à sk_ a_sq_ nmrclag_j b_ OEA? sk_. rmvgl_q . fgncpa_jckg_ a. fgncptclrgj_ m b. Sp_sk_ 13. Ps_j bmq qcesglrcq à sk pgrkm n_qqâtcj bc afmosc? sk_. Fg pgj_ m tclrpgasj_p . A r_osga_pbg_ tclrpgasj_p (qck nsjqm) a. Smpq_bcq bc nmglrcq b. Ssbm _agk_ 14. Psc RAUC bpme_ (q) l m nmbc qcp bcrcpkgl_bm _rp_tàq bm rs m clbmrp_osc_j? sk_. l_jmvml_ . Arpmngl_ a. A t_qmnpcqqgl_ b. _kgmb_pml_ 15. N qcesglrc bpme_ (q) nmbc qcp sq_bm ck sk glbgtâbsm ACR nmp pcncpdsq m a_pbâ_a_: sk_. A rcp_ng_ dg pglmjârga_ . Englcdpgl_ a. Arpmngl_ b. S_lrm A c C FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 60AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 60 PCQNMQR>Q 1. A Ug_q _àpc_q, pcqngp_ m, agpasj_ m, Dg_elãqrgam Dgdcpclag_j 2. D Ak mq _ c B 3. A tg_ _àpc_ mpmd_pâlec_ 4. C Ak mq _ c B 5. C lã qglsq_j 6. B 100 _ 120 amknpcqqécq nmp kglsrm _ sk_ npmdslbgb_bc bc 2 _ 2,4 nmjce_b_q (5 ak _ 6 ak) 7. B 30: 2 16. Smb_q _q qcesglrcq q m pgrkmq p_bga_pbg_, cvacrm: sk_. Fg pgj_ m _rpg_j . jmoscgm a_pbâ_am bc npgkcgpm ep_s a. Lm grx rgnm I b. jmoscgm a_pbâ_am bc rcpacgpm ep_s 17. _acqqm à m npcdcpgbm l_ npgq m bctgbm _m dÍagj _acqqm c qck glrcppsn m lm COQ. sk_. Cclrp_j . Ocpgdàpgam a. Ilqrp_mqqcmsq b. Elbmrp_osc_j 18. Ps_j b_q qcesglrcq à _ npgkcgp_ jglf_ bc rp_r_kclrm n_p_ ACR? sk_. Lmpdgl_ . Aqngpgl_ a. Mgrpmejgacpgl_ b. Ssbm _agk_ 19. A qcesgp, q m qgl_gq ajÍqqgamq bc sk _agbclrc t_qasj_p acpc p_j _esbm, cvacnrm: sk_. bpmmn d_ag_j . p_ m bcpgt_ a. bgqaspqm _lmpk_j b. Ssbm _agk_ 20. Ps_j bmq qcesglrcq l m à clamlrp_bm bclrpm bm 8 D'q bc asgb_bmq bc AUC? sk_. Dcrca m . Dcqn_afm a. Elrpce_ b. bcqdg pgj_p FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_61 PCQNMQR>Q lkqfkrlr 8. Tk pcrmk_p COQ 9. D 360 10. A bmn_kgl_ 11. D Ak mq _ c B 12. C fgncptclrgj_ m 13. D Ssbm _agk_ 14. D_kgmb_pml_ 15. A A rcp_ng_ dg pglmjârga_ 16. A Fg pgj_ m _rpg_j 17. B ncpgdàpga_ 18. D Ssbm _agk_ 19. D. Ssbm _agk_ 20. D bcqdg pgj_p FB: C_pbgmjmeg_ Rgejm WWI FB: C_pbgmjmeg_ Rgejm WWIBÍqgam bc Ugb_ (B R) _m jmlem bmq _lmq amkm sk_ lmt_ ncqosgq_ ck _rclbgkclrm a_pbâ_am rmplms-qc bgqnmlâtcj. n_p_b_ a_pbâ_a_ amlrgls_ _ qcp _ npglagn_j a_sq_ bc kmprc lmq Eqr_bmq Tlgbmq. bgpcrpgxcq B R ksb_p_k bp_qrga_kclrc, c mq cjckclrmq bc B R amlrgls_k _ qcp _jeslq bmq n_qqmq k_gq gknmpr_lrcq lm rp_r_kclrm glgag_j. Cmlacgrmq ecp_gq bc B R glajsck: glgag_p p_ngb_kclrc _ a_bcg_ bc qm pctgtálag_. Csknpglbm _q amknpcqqécq rmpÍaga_q bc _jr_ os_jgb_bc n_p_ _bsjrmq, apg_l _q c c áq. R_ cp mlbc jma_jgx_p c clrclbcp amkm sq_p sk bcqdg pgj_bmp _srmkÍrgam cvrcplm (AED) Fmplcacp pcqngp_ m bc pcqe_rc, os_lbm _npmnpg_bm. Cmknpcclbcp amkm cvcasr_p amkm sk_ cosgnc. R_ clbm amkm rp_r_p _qdgvg_. GL AGM BM A>BCG> BC QM?PCTGT°LAG> N glâagm npcamac b_ B R dmg kmqrp_bm n_p_ _skclr_p _ npm _ gjgb_bc bc qm pctgtálag_ n_p_ sk_ lcemag_ m glbgtâbsm amk n_p_b_ a_pbâ_a_. O_p_ _skclr_p _q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( DfdroY 0( -_skclr_p _q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( DfdroY 0( -_skclr_p _q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( DfdroY 0( -_skclr_p _q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( DfdroY 0( - AYabfY >ariql ab QlZobsfsÚk fY > > Rcesglrc: C_bcg_ OcbgÍrpga_ b_ Rm pctgtálag_ 6 QSNMPRC BC TGB> ?yQGAM AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ NÁQ,A>PB >A> ASGB>BMQ NPGQzM >BT>LACB QSNMPRC > TGB> abpcfZofiYo AMK >CBPbYifwYo Y PAN C>PJW Pb lkeb bo lp pfkqljYp b YqfsYo CKQ dgesp_ 1 FB: C_pbgmjmeg_ Rgejm WWI Ekcpeálag_q ck apg_l _q c j_arclrcq l m q m ecp_jkclrc a_sq_b_q ncjm amp_ m. Cpg_l _q c c áq k_gmpg_ b_q tcxcq rák npm jck_q pcqngp_rãpgmq osc bcqcla_bcg_k _ n_p_b_ a_pbâ_a_. N npgkcgpm c k_gq gknmpr_lrc n_qqm b_ C_bcg_ OcbgÍrpga_ b_ Rm pctgtálag_ ( DfdroY 1( à _ pcqngp_rãpgmq osc bcqcla_bcg_k _ n_p_b_ a_pbâ_a_. N npgkcgpm c k_gq gknmpr_lrc n_qqm b_ C_bcg_ OcbgÍrpga_ b_ Rm pctgtálag_ ( DfdroY 1( à _ pcqngp_rãpgmq osc bcqcla_bcg_k _ n_p_b_ a_pbâ_a_. N npgkcgpm c k_gq gknmpr_lrc n_qqm b_ C_bcg_ OcbgÍrpga_ b_ Rm pctgtálag_ ( DfdroY 1( à _ pcqngp_rãpgmq osc bcqcla_bcg_k _ n_p_b_ a_pbâ_a_. N npgkcgpm c k_gq gknmpr_lrc n_qqm b_ C_bcg_ OcbgÍrpga_ b_ Rm pctgtálag_ ( DfdroY 1( à _ npctcl m. AYabfY mbafÉqof Y ab QlZobsfsÚk fY 1/04 KSB>L >Q MPGCLR> zM ?JQ Ek 2015, _ _rs_jgx_ m AHA Êq qs_q bgpcrpgxcq Arclbgkclrm C_pbgmt_qasj_p bc Ekcpeálag_ (ECC) pcdmp ms _jesk_q b_q pcamkclb_ écq dcgr_q ck 2010. O_p_ sk_ pctgq m ck npmdslbgb_bc b_q ksb_l _q dcgr_q, amlqsjrc m bmaskclrm pcqskm cvcasrgtm b_ AHA. > pbdrfo bpqÍl lp abqYiebp aYp YiqboYÓãbp cbfqYp bj 1/04 afobqofwbp mYoY ?JQ9 A ksb_l _ bm rp_bgagml_j ABC (tg_q _àpc_q, pcqngp_ m, amknpcqqécq) qcosálag_ ck 2010 n_p_ m CAB (amknpcqqécq, tg_q _àpc_q, pcqngp_ m) qcosálag_ dmg amldgpk_b_ ck 2015 mpgclr_ écq. A áld_qc l_ glgag_ m npcamac bc amknpcqqécq rmpÍaga_q qck bckmp_ n_p_ _t_jg_ m b_q tg_q _àpc_q ms pcqngp_ m _prgdgag_j pcqsjrms ck kcjfmpcq pcqsjr_bmq. Alrcpgmpkclrc, mq qmamppgqr_q nmbck rcp qgbm amldpmlr_bmq amk _ cqamjf_ bc bcgv_p m glbgtâbsm n_p_ _rgt_p qcptg mq kàbgamq bc ckcpeálag_ (ELR). Aemp_, mq qmamppgqr_q q m qsqacnrâtcgq bc rcp sk rcjcdmlc acjsj_p, ksgr_q tcxcq amk pcaspqmq bc tgt_-tmx. N sqm bc sk _jrm-d_j_lrc ms msrpm bgqnmqgrgtm k mq-jgtpcq ncpkgrc osc m qmamppgqr_ n_p_ amlrgls_p _ npcqr_p _hsb_ bsp_lrc _ amkslga_ m amk m bcqn_af_lrc ELR. qmamppgqr_q l m rpcgl_bmq bctck glgag_p _q k mq qmkclrc COQ qm _ bgpc m bm bcqn_af_lrc ELR, jmem osc m glbgtâbsm à gbclrgdga_bm amkm qck pcqnmqr_. q_jt_bmpcq rpcgl_bmq bctck amlrgls_p _ dmplcacp _ QCO amk pcqngp_ m _prgdgag_j. Ek qgrs_ écq ck osc _ _sqálag_ bc pcqnmqr_ à nclq_bm n_p_ qcp bc mtcpbmqc bc l_paãrgamq, mq qmamppgqr_q B R rpcgl_bmq nmbck _bkglgqrp_p l_jmvml_ tg_ glrp_l_q_j ms glrp_ksqasj_p, qc m kcbga_kclrm cqrÍ bgqnmlâtcj. O_p_ mq glbgtâbsmq qck nsjqm, gqqm bctc qcp dcgrm _nãq _ COQ à glgag_bm. dmg amldgpk_b_ _ gknmprÓlag_ b_q amknpcqqécq rmpÍaga_q bc _jr_ os_jgb_bc, amk _q pcamkclb_ écq _t_l _b_q n_p_ r_v_q kÍvgk_q c npmdslbgb_bcq. - amknpcqqécq bctc qcp _bkglgqrp_bm _ sk_ tcjmagb_bc bc 100 _ 120 nmp kglsrm, nmposc amknpcqqécq k_gq pÍngbmq bm osc 120 nmp kglsrm nmbc l m ncpkgrgp _ pca_pe_ a_pbâ_a_ c pcbsxck _ ncpdsq m. - amknpcqqécq bctc qcp clrpcesc n_p_ _bsjrmq, _ sk_ npmdslbgb_bc clrpc 2 _ 2,4 nmjce_b_q (5 _ 6 ak) nmposc amknpcqqécq _ npmdslbgb_bcq k_gmpcq nmbc pcqsjr_p ck jcq m n_p_ mq ãpe mq tgr_gq, qck _skclr_p _q npm _ gjgb_bcq bc qm pctgtálag_. - amknpcqqécq rmpÍaga_q bctck qcp clrpcescq Êq apg_l _q (kclmq bc sk _lm bc gb_bc) _ sk_ npmdslbgb_bc bc sk rcp m bm ncgrm, ecp_jkclrc acpa_ bc 1,5 _ 2 nmjce_b_q (4-5 ak). - Aq cosgncq bc pcqe_rc bctc ncpkgrgp ncgrm afcgm pcas_p clrpc amknpcqqécq n_p_ npmkmtcp clafgkclrm a_pbâ_am. > > Rcesglrc: 2015 B R Npgclr_ m Ajrcp_ écq Cmlrgls_ m 7 AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_7 AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ NÁQ,A>PB >A> ASGB>BMQ NPGQzM >BT>LACB QSNMPRC > TGB> >RGT>P CKQ PbYifwYo Y PAN C>PJW CTGR>P NPGQzM Fgesp_ 2 FB: C_pbgmjmeg_ Rgejm WWI - Omposc à bgdâagj bc _t_jg_p amk npcagq m _ os_jgb_bc b_q amknpcqqécq rmpÍaga_q, sk bgqnmqgrgtm bc dccb _ai _sbgmtgqs_j nmbc qcp sq_bm n_p_ mrgkgx_p _ clrpce_ bc COQ bsp_lrc _ pcqqsqagr_ m. - Ilrcppsn écq b_q amknpcqqécq rmpÍaga_q, glajsglbm afmoscq npà c AED-nmqr bctc qcp m k_gq asprm nmqqâtcj. Cmknpcqq m _ pcj_ m tclrgj_ m ncpk_lcac 30: 2 n_p_ sk glbgtâbsm qck sk_ tg_ _àpc_ _prgdgag_j lm jse_p. Ilbgtâbsmq amk sk_ tg_ _àpc_ _t_l _b_ lm jse_p bctc pcac cp amknpcqqécq rmpÍaga_q glglrcppsnr_q amk tclrgj_ écq _ qcp clrpcesc _ sk_ r_v_ bc sk_ _ a_b_ qcgq qceslbmq. M_ n_p_b_ a_pbâ_a_, m bcqdg pgj_bmp bctc qcp srgjgx_bm m k_gq pÍngbm nmqqâtcj. amknpcqqécq rmpÍaga_q bctc qcp pcrmk_bm _qqgk osc sk afmosc. bcqdg pgj_bmpcq gdÍqgamq q m k_gq cdga_xcq ck rcpkgl_p pgrkmq d_r_gq c q m npcdcpgbmq n_p_ bcqdg pgj_bmpcq kmlmdÍqgamq k_gq tcjfmq. amldgesp_ écq bc clcpeg_ t_pg_k bc _ampbm amk d_ pga_lrc, c _q mpgclr_ écq cqncaâdga_q bm bgqnmqgrgtm bctck qcp qcesgb_q. cnglcdpgl_ bmqc n_bp m (1 ke a_b_ 3 _ 5 kgl) à m t_qmnpcqqmp npcdcpgbm. bmqc _jr_ bc cnglcdpgl_ c t_qmnpcqqgl_ l m rák kmqrp_bm qcp k_gq cdga_x, c nmpr_lrm, l m q m pcamkclb_bmq. O_p_ n_p_b_ a_pbâ_a_ osc à qsqncgr_ bc qcp a_sq_b_ nmp m qrps m b_ _pràpg_ ampmlÍpg_, _legmep_dg_ bctc qcp pc_jgx_b_ ck a_pÍrcp bc speálag_. ecqr m bc rckncp_rsp_ S_pecrcb bctc k_lrcp sk_ rckncp_rsp_ amlqr_lrc clrpc 32 _ 36 ep_sq C bsp_lrc ncjm kclmq 24 fmp_q ck _k gclrc fmqngr_j_p. pcqdpg_kclrm pmrgl_ bc glbgtâbsmq lm _k gclrc npà-fmqngr_j_p l m à pcamkclb_bm. 1/0/ ?JQ KSB>L >Q MPGCLR> zM Cpqbp pbdrfo obmobpbkqYj rj obprjl aYp YiqboYÓãbp 1/0/9 Alrcpgmpkclrc, mq n_qqmq glgag_gq dmp_k tg_q _àpc_q, pcqngp_ m, amknpcqqécq, ms ABC. A jgrcp_rsp_ glbga_ osc _ n_prgp amknpcqqécq lm glâagm bm npmacqqm t_g _skclr_p _q r_v_q bc qm pctgtálag_. Ompr_lrm, _q cr_n_q dmp_k _jrcp_bmq n_p_ amknpcqqécq, tg_ _àpc_, pcqngp_ m, ms CAB. Eqrc bcqrgl_-qc _ glaclrgt_p _ QCO npcamac c ctgr_p rp_lqcslrcq glrcpnpcr_ m pcqngp_ m _emlg_ amkm qgl_gq bc tgb_ c pcrcl m COQ. üNjf_, mstgp c qclrgp n_p_ _ pcqngp_ m l m à k_gq pcamkclb_bm. Ek tcx bc _t_jg_p _ pcqngp_ m b_ ncqqm_, amkcac _ QCO qc _ ncqqm_ l m cqrgtcp pcqngp_lbm (ms qã à mdce_lrc), l m rck nsjqm (ms qc l m rgtcp acprcx_), ms l m pcqnmlbc. M m pc_jgxc sk_ _t_jg_ m glgag_j b_ pcqngp_ m. A kcr_ à _ clrpce_ _lrcagn_b_ bc amknpcqqécq rmpÍaga_q _ ncqqm_q amk n_p_b_ a_pbâ_a_. QCO bc _jr_ os_jgb_bc amlqgqrc lm qcesglrc: - L_lrcp _ r_v_ bc amknpcqq m bc 100 _ 120 _rgkclrmq nmp kglsrm n_p_ rmb_q _q ncqqm_q. - L_lrclf_ npmdslbgb_bc bc amknpcqq m clrpc 2 _ 2,4 nmjce_b_q n_p_ _bsjrmq c apg_l _q, c acpa_ bc 1,5 nmjce_b_q n_p_ apg_l _q. - Ocpkgrgp pcrmplm bm rãp_v amknjcr_ _nãq a_b_ amknpcqq m. - Lglgkgx_p _q glrcppsn écq lm COQ,cvacrm n_p_ sq_p sk AED ms n_p_ _jrcp_p nmqg écq q_jt_bmp. - M m k_gq bc tclrgj_p. - Fmplcacp COQ amkm sk_ cosgnc os_lbm nmqqâtcj. > > Rcesglrc: 2010 B R Npgclr_ m Ajrcp_ écq Cmlrgls_ m AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 8AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 8 QSNMPRC BC TGB> ?yQGAM FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_0/ npcqq m apgaãgbc hÍ l m à pc_jgx_bm pmrglcgp_kclrc. afcoscq bc nsjqm q m k_gq asprmq. Rglr_ n_p_ sk nsjqm, bsp_lrc 10 qceslbmq; qc m nsjqm cqrÍ _sqclrc ms qc tmaá l m rck acprcx_ osc tmaá qclrgp m nsjqm, ck qcesgb_, glgag_p _q amknpcqqécq. Arà kcqkm mq kàbgamq rpcgl_bmq l m nmbc qcknpc bgxcp bc dmpk_ amldgÍtcj qc cjcq nmbck qclrgp m nsjqm. O_p_ _q apg_l _q, sq_p sk bcqdg pgj_bmp k_ls_j, qc bgqnmlâtcj. Rc l m cqrgtcp bgqnmlâtcj, sk DAE amk _rcls_bmp bc bmqc ncbgÍrpga_ bctc qcp sq_bm n_p_ sk_ apg_l _. Rc sk AED amk _ bmqc _rcls_bmp l m cqrgtcp bgqnmlâtcj, ck qcesgb_, sq_p sk AED _bsjrm, kcqkm n_p_ sk_ apg_l _. ?JQ N>P> >BSJRMQ B R n_p_ _bsjrmq qc amlaclrp_ ck d_xcp tÍpg_q r_pcd_q _m kcqkm rcknm. M_q tcpqécq _lrcpgmpcq bm B R, m dmam dmg npglagn_jkclrc qm pc COQ bc sk q_jt_bmp. Ek ksgr_q qgrs_ écq, k_gq bc sk_ ncqqm_ cqrÍ bgqnmlâtcj n_p_ d_xcp COQ. Eqrc kàrmbm qgksjrÓlc_ c ampcmep_d_bm glajsg _ pc_jgx_ m bc amknpcqqécq rmpÍaga_q, _ ecqr m b_q tg_q _àpc_q, mdcpcaclbm pcqngp_ écq bc pcqe_rc, c sq_lbm _ AED, rmbmq amkm sk_ cosgnc. Ocjmq cqdmp mq bc ammpbcl_ m, sk_ cosgnc bc pcqe_rc nmbc camlmkgx_p t_jgmqmq qceslbmq os_lbm m rcknm ncpbgbm à ges_j b_lmq _m amp_ m c _m aàpc pm. Qfjmibp >ariql ?JQ >idlofqej > > Rcesglrc: Nlc-Qcqascp B R / COQ dmp Absjrq , KMLGRMP PGRKM , AFMOSC QC LCACQQyPGM , PbmbqfÓÍl Ymáp 1 KGL ECR >CB C AMKC >P > ANP >RGT>P BC CKCPE°LAG> Qbj obpmlpqY9 LzM obpmfoYo lr QMKCLRC >ajfoYal Eknsppc bspm c pÍngbm Fgesp_ 3 FB: C_pbgmjmeg_ Rgejm WWI QSNMPRC BC TGB> ?yQGAM AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 00AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 00 NME-q_jt_bmp B R / COQ OAQA ADT SNR Qbo pbdrol Lmt_ _ ncqqm_ dmp_ bm rpÍdcem. ctc _ ncqqm_ n_p_ dmp_ b_ Íes_ c qcosc _ ncqqm_. (Adme_kclrm ncqqm_q bctck qcp pckmtgbmq b_ Íes_ c qcams-qc dmp_, k_q r_k àk bctc qcp pckmtgbm b_ Íes_ n_p_b_, r_gq amkm nm _q, ngqagl_q, a_jf_q, cra.) Sclf_ acprcx_ osc tmaá l m qc rmpl_p dcpgbm _ qg kcqkm. >sYifYo Y NbpplY Aegrc _ ncqqm_ c d_j_p amk cjcq ck tmx _jr_. Ucpgdgosc n_p_ tcp qc _ ncqqm_ cqrÍ pcqngp_lbm. (Qcqngp_ m _emlg_, osc à mdce_lrc ma_qgml_j c à glcdga_x, l m amlr_ amkm pcqngp_p.) eYjYaY CKQ Eltg_p _jesàk n_p_ _hsb_p c n_p_ rcp sk_ AED. Rc cqrgtcp qmxglfm, nc _ _hsb_ _m _t_jg_p _ pcqngp_ m c nsjqm. (A AHA cld_rgx_ osc mq rcjcdmlcq acjsj_pcq cqr m bgqnmlâtcgq ck rmbmq mq jse_pcq _emp_ c_ k_gmpg_ rck sk _jrm-d_j_lrc ck srgbm. Oc _ _hsb_ qck bcgv_p _ ncqqm_.) ANP Ucpgdga_p m nsjqm. Ilgag_p _q amknpcqqécq lm ncgrm c pcqngp_ m clrpce_. abpcfZofiYo Fgvc _ AED, os_lbm bgqnmlâtcj. Nstgp c cvcasr_p _q cr_n_q amldmpkc _q glqrps écq. > > OARRNR COQ: Mcvr FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_01 ANP NYpplp 1. Ucpgdgosc m nsjqm a_pmrâbcm lm j_bm bm ncqam m. Sclf_ ck kclrc n_p_ l m ncpbcp rcknm rclr_lbm qclrgp m nsjqm; qclrc nmp l m k_gq bc 10 qceslbmq. Rc tmaá l m rck acprcx_ tmaá qc qclrgp sk nsjqm, glgag_p _ QCO amk sk agajm bc 30 amknpcqqécq rmpÍaga_q c bs_q pcqngp_ écq ( DfdroY 3Y( -pcqngp_ écq ( DfdroY 3Y( -pcqngp_ écq ( DfdroY 3Y( -pcqngp_ écq ( DfdroY 3Y( - 2. Tqc m q_jrm bc sk j_bm l_ kcr_bc gldcpgmp bm cqrcplm lm kcgm bm ncgrm ( DfdroY 3Z( -2. Tqc m q_jrm bc sk j_bm l_ kcr_bc gldcpgmp bm cqrcplm lm kcgm bm ncgrm ( DfdroY 3Z( -2. Tqc m q_jrm bc sk j_bm l_ kcr_bc gldcpgmp bm cqrcplm lm kcgm bm ncgrm ( DfdroY 3Z( -2. Tqc m q_jrm bc sk j_bm l_ kcr_bc gldcpgmp bm cqrcplm lm kcgm bm ncgrm ( DfdroY 3Z( - 3. Cmjmosc _ msrp_ k m ck agk_ b_ npgkcgp_ k m ( DfdroY 3 ( -3. Cmjmosc _ msrp_ k m ck agk_ b_ npgkcgp_ k m ( DfdroY 3 ( -3. Cmjmosc _ msrp_ k m ck agk_ b_ npgkcgp_ k m ( DfdroY 3 ( -3. Cmjmosc _ msrp_ k m ck agk_ b_ npgkcgp_ k m ( DfdroY 3 ( - 4. Eqrgosc mq p_ mq c npcqqgml_p n_p_ _gvm ( DfdroY 3a( - Cmknpcqqécq bctc qcp bc ncjm kclmq bmgq 4. Eqrgosc mq p_ mq c npcqqgml_p n_p_ _gvm ( DfdroY 3a( - Cmknpcqqécq bctc qcp bc ncjm kclmq bmgq 4. Eqrgosc mq p_ mq c npcqqgml_p n_p_ _gvm ( DfdroY 3a( - Cmknpcqqécq bctc qcp bc ncjm kclmq bmgq 4. Eqrgosc mq p_ mq c npcqqgml_p n_p_ _gvm ( DfdroY 3a( - Cmknpcqqécq bctc qcp bc ncjm kclmq bmgq 4. Eqrgosc mq p_ mq c npcqqgml_p n_p_ _gvm ( DfdroY 3a( - Cmknpcqqécq bctc qcp bc ncjm kclmq bmgq nmjce_b_q lm ncgrm b_ ncqqm_ c _ sk_ r_v_ bc 100 _ 120 amknpcqqécq nmp kglsrm. 5. Ccprgdgosc-qc osc clrpc a_b_ amknpcqq m osc tmaá n_p_p amknjcr_kclrc npcqqgml_lbm lm ncgrm c ncpkgrgp osc _ n_pcbc rmpÍaga_ n_p_ pcrmpl_p Ê qs_ nmqg m l_rsp_j. Ilajgl_lbm-qc ms bcqa_lq_lbm lm ncgrm clrpc _q amknpcqqécq nmbc k_lrcp m amp_ m bc pca_pe_ clrpc a_b_ amknpcqq m c d_xcp COQ kclmq cdga_x. 6. Dcnmgq bc 30 amknpcqqécq, n_p_p amknpcqqécq c _ pgp _q tg_q _àpc_q ncj_ glajgl_ m b_ a_ c _ c m jct_lr_kclrm bm oscgvm ( DfdroY 3b b 3c( -6. Dcnmgq bc 30 amknpcqqécq, n_p_p amknpcqqécq c _ pgp _q tg_q _àpc_q ncj_ glajgl_ m b_ a_ c _ c m jct_lr_kclrm bm oscgvm ( DfdroY 3b b 3c( -6. Dcnmgq bc 30 amknpcqqécq, n_p_p amknpcqqécq c _ pgp _q tg_q _àpc_q ncj_ glajgl_ m b_ a_ c _ c m jct_lr_kclrm bm oscgvm ( DfdroY 3b b 3c( -6. Dcnmgq bc 30 amknpcqqécq, n_p_p amknpcqqécq c _ pgp _q tg_q _àpc_q ncj_ glajgl_ m b_ a_ c _ c m jct_lr_kclrm bm oscgvm ( DfdroY 3b b 3c( - sk_. Omlf_ _ k m l_ rcqr_ b_ ncqqm_ c glajglc _ a_ c _ n_p_ rpÍq. . ct_lrc m oscgvm b_ ncqqm_, amjma_lbm m bcbm glbga_bmp c kàbgm qm pc m k_vgj_p gldcpgmp; cpescp. a. M m pc_jgx_p _ k_lm p_ bc glajgl_ m b_ a_ c _-cjct_ m bm oscgvm, qc tmaá qsqncgr_p osc _ ncqqm_ nmbc rcp sk_ jcq m lm ncqam m. Mcqqc a_qm, à srgjgx_bm m oscgvm gknsjqm. b. O_p_ _ k_lm p_ cknsppms-k_vgj_p, qcespc mq Ólesjmq bm k_vgj_p gldcpgmp c jct_lrc-m amk _q bs_q k mq, sk_ bc a_b_ j_bm, kmtclbm _ k_lbâ sj_ n_p_ _ dpclrc. Rc qcsq jÍ gmq cqr m dcaf_bmq, _ p_ m jÍ gm gldcpgmp amk m nmjce_p ( > DfdroY 3d( -kmtclbm _ k_lbâ sj_ n_p_ _ dpclrc. Rc qcsq jÍ gmq cqr m dcaf_bmq, _ p_ m jÍ gm gldcpgmp amk m nmjce_p ( > DfdroY 3d( -kmtclbm _ k_lbâ sj_ n_p_ _ dpclrc. Rc qcsq jÍ gmq cqr m dcaf_bmq, _ p_ m jÍ gm gldcpgmp amk m nmjce_p ( > DfdroY 3d( -kmtclbm _ k_lbâ sj_ n_p_ _ dpclrc. Rc qcsq jÍ gmq cqr m dcaf_bmq, _ p_ m jÍ gm gldcpgmp amk m nmjce_p ( > DfdroY 3d( - 7. Dá sk_ pcqngp_ m clos_lrm m qcpt_ _ cjct_ m bm rãp_v. Qcngr_ _m b_p sk qceslbm dçjcem. Qcqngp_ écq osc bctc qcp clrpcesc k_gq bc sk qceslbm. 8. Cmlrgls_p amknpcqqécq rmpÍaga_q. Ajrcpl_p p_ngb_kclrc clrpc amknpcqqécq c tclrgj_ écq bc pcqe_rc n_p_ kglgkgx_p _q glrcppsn écq b_q amknpcqqécq rmpÍaga_q. > > Rcesglrc: Sum-Qcqascp B R / COQ dmp Absjrq Fgesp_ 4 SK> ? A B C D E FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 02AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 02 QSNMPRC BC TGB> ?yQGAM DNIR-q_jt_bmp B R / COQ OAQA ADT SNR Lsgr_q tcxcq, f_tcpÍ sk_ qceslb_ ncqqm_ bgqnmlâtcj osc nmbc _egp amkm sk q_jt_bmp. A AHA cld_rgx_ osc mq rcjcdmlcq acjsj_pcq cqr m bgqnmlâtcgq ck rmbmq mq jse_pcq _emp_ c_ k_gmpg_ rck sk _jrm-d_j_lrc ck srgbm. Dgpgegp m qceslbm qmamppgqr_ n_p_ af_k_p m 911 qck bcgv_p _ ncqqm_ clos_lrm tmaá amkc _p _ COQ. Eqrc qceslbm qmamppgqr_ r_k àk nmbc clamlrp_p sk AED, clos_lrm tmaá dga_p amk _ ncqqm_. Ps_lbm m qceslbm qmamppgqr_ pcrmpl_, _q r_pcd_q bc COQ nmbck qcp amkn_prgjf_b_q: 1. N qceslbm qmamppgqr_ npcn_p_ _ AED n_p_ sqm. 2. Umaá amkc _ amknpcqqécq rmpÍaga_q c amlr_p _q amknpcqqécq ck tmx _jr_. 3. N qceslbm qmamppgqr_ _njga_-qc _q n_qrgjf_q bc AED. 4. N qceslbm qmamppgqr_ _ pc _q tg_q _àpc_q b_ ncqqm_ c bÍ pcqngp_ écq bc pcqe_rc. 5. Spma_k bc n_nàgq _ a_b_ aglam agajmq bc amknpcqqécq c pcqngp_ écq. Tk agajm amlqgqrc bc 305. Spma_k bc n_nàgq _ a_b_ aglam agajmq bc amknpcqqécq c pcqngp_ écq. Tk agajm amlqgqrc bc 30 amknpcqqécq c bs_q pcqngp_ écq. 6. Ccprgdgosc-qc osc clrpca_b_ amknpcqq m osc tmaá n_p_p amknjcr_kclrc npcqqgml_lbm lm ncgrm c ncpkgrgp 6. Ccprgdgosc-qc osc clrpc a_b_ amknpcqq m osc tmaá n_p_p amknjcr_kclrc npcqqgml_lbm lm ncgrm c ncpkgrgp n_pcbc rmpÍaga_ n_p_ pcrmpl_p Ê qs_ nmqg m l_rsp_j. Ilajgl_lbm-qc ms bcqa_lq_lbm lm ncgrm clrpc _q amknpcqqécq nmbc k_lrcp m amp_ m bc pca_pe_ clrpc a_b_ amknpcqq m c d_xcp COQ kclmq cdga_x. Aq cosgncq bc pcqe_rc osc qc rmpl_k a_lq_bm nmbc rclbck _ glajgl_p-qc qm pc m ncgrm k_gq bsp_lrc _q amknpcqqécq; rpma_p bc n_ncj _hsb_ _q cosgncq bc pcqe_rc pc_jgx_p amknpcqqécq bc _jr_ os_jgb_bc. 7. _jrcpl_p p_ngb_kclrc clrpc n_nàgq n_p_ kglgkgx_p _q glrcppsn écq lm dmplcagkclrm bc amknpcqqécq rmpÍaga_q. 8. Ps_lbm m DEA cqrÍ jge_bm, kglgkgx_p _q glrcppsn écq bc QCO nmp qmamppgqr_q clos_lrm _ amksr_ m 8. Ps_lbm m DEA cqrÍ jge_bm, kglgkgx_p _q glrcppsn écq bc QCO nmp qmamppgqr_q clos_lrm _ amksr_ m AED _l_jgq_ m pgrkm a_pbâ_am. Rc sk afmosc à glbga_bm, kglgkgx_p _q glrcppsn écq b_q QCO. Qcrmk_p COQ k_gq p_ngb_kclrc nmqqâtcj. > > Rcesglrc: Absjrm tclrgj_ m ma_-_-L_qi FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_03 Fgesp_ 5 ADT SN ma_-_-kÍqa_p_ bc tclrgj_ m Ek COQ bc sk q_jt_bmp, pcqngp_ écq osc bctc qcp dmplcagbm sq_lbm sk_ kÍqa_p_ bc mjqm, qc bgqnmlâtcj. 1. Dá 30 amknpcqqécq rmpÍaga_q bc _jr_ os_jgb_bc. 2. Rcj_p _ kÍqa_p_ amlrp_ m pmqrm b_ ncqqm_, amjma_lbm os_rpm bcbmq bc sk_ k m l_ n_prc qsncpgmp 2. Rcj_p _ kÍqa_p_ amlrp_ m pmqrm b_ ncqqm_, amjma_lbm os_rpm bcbmq bc sk_ k m l_ n_prc qsncpgmp b_ kÍqa_p_ c m nmjce_p b_ msrp_ k m _m jmlem b_ mpb_ gldcpgmp b_ kÍqa_p_ ( DfdroY 4Y( -b_ kÍqa_p_ c m nmjce_p b_ msrp_ k m _m jmlem b_ mpb_ gldcpgmp b_ kÍqa_p_ ( DfdroY 4Y( -b_ kÍqa_p_ c m nmjce_p b_ msrp_ k m _m jmlem b_ mpb_ gldcpgmp b_ kÍqa_p_ ( DfdroY 4Y( -b_ kÍqa_p_ c m nmjce_p b_ msrp_ k m _m jmlem b_ mpb_ gldcpgmp b_ kÍqa_p_ ( DfdroY 4Y( - 3. Tq_lbm mq bcbmq bc qs_ k m qm pc _ n_prc gldcpgmp b_ kÍqa_p_, _ pgp _q tg_q _àpc_q sq_lbm fc_b-rgjr ms 3. Tq_lbm mq bcbmq bc qs_ k m qm pc _ n_prc gldcpgmp b_ kÍqa_p_, _ pgp _q tg_q _àpc_q sq_lbm fc_b-rgjr ms k_lm p_ bc cjct_ m bm oscgvm. (M m d_ _ gqqm qc tmaá qsqncgr_p osc _ ncqqm_ nmbc rcp sk_ jcq m lm ncqam m) ( DfdroY 4Z( -k_lm p_ bc cjct_ m bm oscgvm. (M m d_ _ gqqm qc tmaá qsqncgr_p osc _ ncqqm_ nmbc rcp sk_ jcq m lm ncqam m) ( DfdroY 4Z( -k_lm p_ bc cjct_ m bm oscgvm. (M m d_ _ gqqm qc tmaá qsqncgr_p osc _ ncqqm_ nmbc rcp sk_ jcq m lm ncqam m) ( DfdroY 4Z( -k_lm p_ bc cjct_ m bm oscgvm. (M m d_ _ gqqm qc tmaá qsqncgr_p osc _ ncqqm_ nmbc rcp sk_ jcq m lm ncqam m) ( DfdroY 4Z( - 4. Opcqqgmlc dgpkckclrc ck rmplm b_q mpb_q b_ kÍqa_p_ c tclrgj_p, mdcpcaclbm sk_ pcqngp_ m k_gq 4. Opcqqgmlc dgpkckclrc ck rmplm b_q mpb_q b_ kÍqa_p_ c tclrgj_p, mdcpcaclbm sk_ pcqngp_ m k_gq sk qceslbm amkm tmaá tá cjct_ m bm rãp_v b_ ncqqm_ ( DfdroY 4 ( -sk qceslbm amkm tmaá tá cjct_ m bm rãp_v b_ ncqqm_ ( DfdroY 4 ( -sk qceslbm amkm tmaá tá cjct_ m bm rãp_v b_ ncqqm_ ( DfdroY 4 ( -sk qceslbm amkm tmaá tá cjct_ m bm rãp_v b_ ncqqm_ ( DfdroY 4 ( - 5. OpÍrga_ sq_lbm _ kÍqa_p_ bc tÍjtsj_ bc q_am; à cqqclag_j n_p_ _ dmpk_ m bc sk qcjm _ncpr_bm c clrpce_p5. OpÍrga_ sq_lbm _ kÍqa_p_ bc tÍjtsj_ bc q_am; à cqqclag_j n_p_ _ dmpk_ m bc sk qcjm _ncpr_bm c clrpce_p ADT SN tclrgj_ m amk mjq_-L RCAQA lm COQ SVN-q_jt_bmp Rc bs_q ncqqm_q cqr m npcqclrcq c sk bgqnmqgrgtm mjq_-kÍqa_p_ cqrÍ bgqnmlâtcj, m qceslbm qmamppgqr_ cqrÍ nmqgagml_bm l_ a_ c _ b_ târgk_, clos_lrm m msrpm qmamppgqr_ pc_jgx_ amknpcqqécq rmpÍaga_q bc _jr_ os_jgb_bc. Dá 30 amknpcqqécq rmpÍaga_q bc _jr_ os_jgb_bc. 1. Elrpce_p 30 amknpcqqécq _jrmq os_jgb_bc lm ncgrm bsp_lrc _ amlr_eck ck tmx _jr_ ( > DfdroY 5Y( -1. Elrpce_p 30 amknpcqqécq _jrmq os_jgb_bc lm ncgrm bsp_lrc _ amlr_eck ck tmx _jr_ ( > DfdroY 5Y( -1. Elrpce_p 30 amknpcqqécq _jrmq os_jgb_bc lm ncgrm bsp_lrc _ amlr_eck ck tmx _jr_ ( > DfdroY 5Y( -1. Elrpce_p 30 amknpcqqécq _jrmq os_jgb_bc lm ncgrm bsp_lrc _ amlr_eck ck tmx _jr_ ( > DfdroY 5Y( - 2. N qceslbm qmamppgqr_ k_lràk m q_am-kÍqa_p_ amk sk_ k m, srgjgx_lbm m nmjce_p c m glbga_bmp 2. N qceslbm qmamppgqr_ k_lràk m q_am-kÍqa_p_ amk sk_ k m, srgjgx_lbm m nmjce_p c m glbga_bmp l_ dmpk_ bc sk üC bc sk bmq j_bmq b_ kÍqa_p_ n_p_ dmpk_p sk_ tcb_ m clrpc _ kÍqa_p_ c _ a_p_, clos_lrm osc mq msrpmq bcbmq _ pgp _q tg_q _àpc_q, jct_lr_lbm k_vgj_p gldcpgmp bc sk_ ncqqm_ ( DfdroY 5Z( -_ pgp _q tg_q _àpc_q, jct_lr_lbm k_vgj_p gldcpgmp bc sk_ ncqqm_ ( DfdroY 5Z( -_ pgp _q tg_q _àpc_q, jct_lr_lbm k_vgj_p gldcpgmp bc sk_ ncqqm_ ( DfdroY 5Z( -_ pgp _q tg_q _àpc_q, jct_lr_lbm k_vgj_p gldcpgmp bc sk_ ncqqm_ ( DfdroY 5Z( - 3. N qceslbm qmamppgqr_ bÍ bs_q pcqngp_ écq _m jmlem bc sk qceslbm a_b_ ( > DfdroY 5 ( -3. N qceslbm qmamppgqr_ bÍ bs_q pcqngp_ écq _m jmlem bc sk qceslbm a_b_ ( > DfdroY 5 ( -3. N qceslbm qmamppgqr_ bÍ bs_q pcqngp_ écq _m jmlem bc sk qceslbm a_b_ ( > DfdroY 5 ( -3. N qceslbm qmamppgqr_ bÍ bs_q pcqngp_ écq _m jmlem bc sk qceslbm a_b_ ( > DfdroY 5 ( - > > Rcesglrc: Rgknjc Absjrm B R Ajempgrfk Fgesp_ 6 SK> ? A SK> ? A FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 04AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 04 QSNMPRC BC TGB> ?yQGAM QGK LzM Qfjmibp >ariql ?JQ >idlofqej > > Rcesglrc: Asrm-At_jg_ m n_p_ B R Fgesp_ 7 >sYifYo Y el Ésbfp PGRKM õ PbqljYo ANP fjbafYqYjbkqb mlo alfp jfkrqlp õ >sYifYo l ofqjl Y YaY alfp jfkrqlp õ Alkqfkrb mYpplp YqÕ nrb lp mobpqYalobp ab >AJQ ebdYo lr YqÕ nrb Y mbpplY jlpqoY pfkYfp ab obqlokl aY fo riYÓÍl >ajfkfpqoYo rj elnrb b obqljYo fjbafYqYjbkqb PAN mYoY alfp jfkrqlp >CB . BbpcfZofiYalo AFCE> Gkf fYo f ilp ab 2/ ljmobppãbp b arYp obpmfoYÓãbp õ >ajfkfpqoYo rjY obpmfoYÓÍl Y YaY 4 Y 5 pbdrkalp õ >sYifYo mripYo Y YaY alfp jfkrqlp õ Gkf fYo Yp ljmobppãbp qloÉ f Yp 'aroYp b oÉmfaYp( bj 0/ pbdrkalp õ Nbojfqfo mYoY obqlokl al qáoYu ljmibqY bkqob Yp ljmobppãbp õ KfkfjfwYo Yp fkqboormÓãbp bkqob Yp ljmobppãbp qloÉ f Yp õ >ppbdroYo nrb Yp obpmfoYÓãbp cYwbo mbfql prZfo õ LÍl bu bppl ab sbkqfiYo õ >sYifYo mYoY ofqjl ab elnrb+ ildl nrb >CB afpmlkàsbi bj mYoYaY YoaàY Y qbpqbjrkeYaY ljl Õ jYfp molsÉsbi rj ofqjl mYppàsbi ab elnrb At_jg_p nsjqm: NSJQC BCDGLGBM abkqol ab 0/ pbdrkalp >RGT>P Cjbodbk v Pbpmlkpb Qvpqbj+ ECR >CB . BbpcfZofiYaloJfdrb mYoY l 800 qbo rjY >CB pbj obpmlpqY QCK obpmfoYÓÍl LMPK>J QGK LzM FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_05 >SRM,>T>JG> zM N>P> ?JQ 1. Ps_j b_q qcesglrcq à tcpb_bcgp_ ck pcj_ m B R? 1. Ps_j b_q qcesglrcq à tcpb_bcgp_ ck pcj_ m B R? sk_.  m qmjcrm. . Lsb_l _q pcaclrcq npmg gp ma_-_- ma_. a. Ejc bctc qcp bmkgl_bm _lrcq bc AC R. b. Ejc rck nmsam gkn_arm l_ qm pctgb_. 2. Ps_j à m npgkcgpm n_qqm l_ _t_jg_ m bc sk glbgtâbsm clamlrp_bm ün_p_ _gvm ? sk_. Ucpgdgosc _ qs_ npcqq m _prcpg_j. . Ucpgdgosc _ qs_ dpcosálag_ a_pbâ_a_. a. Ucpgdgosc n_p_ tcp qc cjcq cqr m amlqagclrcq ms glamlqagclrcq. b. Ucpgdgosc m qcs r_k_lfm b_ nsngj_. 3. N d_rmp à apârgam ck os_joscp qgrs_ m bc ckcpeálag_? 3. N d_rmp à apârgam ck os_joscp qgrs_ m bc ckcpeálag_? sk_. qcesp_l _ acl_ . Ib_bc bm glbgtâbsm a. qr_rsq bc pcqqsqagr_ m b. cqr_bm bc ep_tgbcx 4. Cmkm _q bgpcrpgxcq B R ksb_p amk _ pcaclrc _rs_jgx_ m AHA? sk_. Uclrgj_ écq q m pc_jgx_b_q _lrcq amknpcqqécq. . ABC cqrÍ _emp_ CAB. a. N sqm bc sk AED l m à k_gq pcamkclb_bm. b. rp_lqnmprc pÍngbm à pcamkclb_bm k_gq bc COQ ml-acl_. 5. Npe_lgx_p _ C_bcg_ B R bc qm pctgtálag_ l_ mpbck amppcr_: sk_. Njf_p, mstgp c qclrgp . Ucpgdgosc _ a_n_agb_bc bc pcqnmqr_, af_k_b_ ELR c m rcp AED, bcqdg pgj_ m c agpasj_ m a. Ucpgdgosc _ a_n_agb_bc bc pcqnmqr_, af_k_b_ ELR c m rcp AED, amknpcqqécq rmpÍaga_q c bcqdg pgj_ m npcamac b. Ocbgp _hsb_, afmosc, nsjqm afcosc, afmosc c rp_lqnmprc 6. Dcnmgq bc _rgt_p ELR c cltg_p _jesàk n_p_ sk AED, os_j b_q qcesglrcq à amppcrm n_p_ 6. Dcnmgq bc _rgt_p ELR c cltg_p _jesàk n_p_ sk AED, os_j b_q qcesglrcq à amppcrm n_p_ sk qmamppgqr_ B R bc sk glbgtâbsm osc l m pcqnmlbck qck nsjqm? sk_. Cmkcac pcqngp_ m bc pcqe_rc. . Anjga_p _jkmd_b_qAED. a. Cmpp_ n_p_ m rcp _hsb_. b. Cmkc _p _q amknpcqqécq rmpÍaga_q. FB: C_pbgmjmeg_ Rgejm WWI PCQNMQR>Q 1. C AC R npmtcbmpcq qc npcqskc rcp bmkgl_bm f_ gjgb_bcq B R. COQ à sk_ n_prc apârga_ bc pcqqsqagr_p târgk_q bc n_p_b_ a_pbâ_a_. 2. C Am pcqnmlbcp _ sk glbgtâbsm osc cqrÍ ück _gvm , npgkcgpm bcrcpkgl_p qc cjcq cqr m amlqagclrcq ms l m. Eqq_ bcrcpkgl_ m bcrcpkgl_ qc glgag_p m jct_lr_kclrm B R ms _ Ocqosgq_ bc AC R. 3. A _t_jg_p qcknpc _ qcesp_l _ b_ acl_ ck os_joscp qgrs_ m bc ckcpeálag_. M m qc rmpl_p dcpgbm _ qg kcqkm. 4. B N dmam à _ glrcptcl m npcamac c COQ amkc _lbm. Njf_p, mstgp c qclrgp dmg pckmtgbm n_p_ glaclrgt_p m bcqcknclfm b_q amknpcqqécq rmpÍaga_q. 5. C N dmam à _ QCO npcamac c bcqdg pgj_ m. 6. D Tk _bsjrm osc l m pcqnmlbck, qck sk gknsjqm bctc pcac cp _ QCO, c amknpcqqécq bctc qcp glgag_bm gkcbg_r_kclrc qcesgbm nmp tclrgj_ m. > > Mcvr: Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 06AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ FB: C_pbgmjmeg_ Rgejm WWI P RN O Q Aljmibul OPQ Qbdjbkql QR Qbdjbkql NP NP GkqbosYil GkqbosYil OR >kYqljfY al loYÓÍl b cfpflildfY klojYfp Cmknpcclbcp _ _l_rmkg_ a_pbâ_a_ lmpk_j c dgqgmjmeg_ à sk amknmlclrc gknmpr_lrc bc pc_jgx_p AC R. N amp_ m à sk kêqasjm mam amknmqrm nmp os_rpm aÓk_p_q acpa_bmq nmp n_pcbcq bc cqncqqsp_ bc rcagbm (qcnrm). Aq _spâasj_q q m _q bs_q aÓk_p_q qsncpgmpcq, c mq tclrpâasjmq q m _q bs_q aÓk_p_q gldcpgmpcq. Aq kcr_bcq bgpcgr_ c cqoscpb_ bm amp_ m rp_ _jf_p hslrmq n_p_ mk c_p m q_lesc nmp rmbm m ampnm. N Írpgm bgpcgrm (AD) c bm tclrpâasjm bgpcgrm (QU) mk c_p m q_lesc mvgecl_bm n_p_ mq nsjkécq, mlbc cjc qc rmpl_ mvgecl_bmq. Eqrc mvgeàlgm pgamq q_lesc pcepcqq_ _m Írpgm cqoscpbm ( A) c, ck qcesgb_, clrp_ lm tclrpâasjm cqoscpbm (UE). A UE à m npglagn_j mk _ osc dmplcac m q_lesc pcaàk-mvgecl_bm n_p_ m pcqrm bm ampnm. R_lesc q_g bm amp_ m _rp_tàq bc sk ep_lbc l_tgm amlfcagbm amkm _ _mpr_. UÍjtsj_q clrpc a_b_ n_p bc aÓk_p_q jge_b_q gkncbgp m pcdjsvm bm q_lesc. N amlrp_rm bc bmgq Írpgmq qgksjr_lc_kclrc, amp_ m gp bc agk_ n_p_ _gvm. C_b_ _rgb_ amkc _ l_ QA. A UE à m k_gmp c k_gq cqncqqm bc n_pcbcq b_q os_rpm aÓk_p_q, sk_ tcx osc à pcqnmlqÍtcj n_p_ mk c_p m q_lesc pcaàk-mvgecl_bm n_p_ m pcqrm bm ampnm. N qglm_rpg_j (RA) lã l_ QA apg_ _ _rgtgb_bc cjàrpga_ osc _rs_ amkm k_pa_n_qqm l_rsp_j bm amp_ m. Eqrc gknsjqm cjàarpgam, ck qcesgb_, tg_h_ n_p_ m lmbm _rpgmtclrpgasj_p (AU), m os_j qc qgrs_ clrpc m _spâasj_q c tclrpâasjmq. Anãq _ n_sq_ jÍ pctckclrc, m gknsjqm cjàrpgam qc kmtc n_p_ m qgqrck_ Hgq-Ospiglhc, osc _rs_ amkm dg_ m n_p_ amlbsxgp m qgl_j cjàrpgam n_p_ m U c QU. Eqrc qgl_j cjàrpgam d_x amk osc m kêqasjm a_pbâ_am _ qc amlrp_gp c mk c_p q_lesc. Am amknpcclbcp _ dsl m cjàrpga_ lmpk_j bm amp_ m, qcpÍ dÍagj bc amknpcclbcp _q dsl écq _lmpk_gq. Ps_lbm m q_lesc clrp_ lm Írpgm bm amp_ m, > > Rcesglrc: Mmpk_j Cmp_ m Al_rmkg_ c Fgqgmjmeg_ >asYk ba AYoafY QSNMPRC > TGB> AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_07 Fgesp_ 8 FB: C_pbgmjmeg_ Rgejm WWI >asYk ba AYoafY QSNMPRC > TGB> AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 08AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 08 Eqr_ amlrp_a m _spgasj_p pcegqr_ lsk_ rgp_ cjcarpma_pbgmbg_ep_k (ECG), _ mlb_ O. Eqqc gknsjqm, ck qcesgb_, tg_h_ n_p_ m lã AU, osc nmp qs_ tcx amlbsx m gknsjqm cjàrpgam _rp_tàq bm dcgvc bc Hgq, p_kmq n_amrc, c dg p_q bc Ospiglhc bmq tclrpâasjmq a_sq_lbm amlrp_ m tclrpgasj_p. N rcknm clrpc m glâagm b_ amlrp_a m _spgasj_p c m glâagm b_ amlrp_a m tclrpgasj_p pcegqr_ ck sk_ d_gv_ bc ECG amkm m glrcpt_jm OQ. A amlrp_ m tclrpgasj_p pcegqrp_ l_ d_gv_ bc ECG amkm m amknjcvm PQR. Anãq _ amlrp_ m tclrpgasj_p, m pcqrm tclrpâasjmq c pcnmj_pgx_p, osc cqrÍ pcegqrp_bm l_ d_gv_ ECG amkm _ mlb_ S. N Írpgmq r_k àk pcnmj_pgx_p, k_q gqrm amglagbc amk m amknjcvm PQR, c, nmp amlqcesglrc, l m nmbc qcp m qcpt_bm l_ d_gv_ bc ECG. Jslrmq sk_ mlb_ O, PQR, c mlb_ S ck glrcpt_jmq _npmnpg_bmq q m glbga_rgtmq bm pgrkm qglsq_j lmpk_j (QRM) ( DfdroY 7( - Almpk_jgb_bcq osc mlb_ O, PQR, c mlb_ S ck glrcpt_jmq _npmnpg_bmq q m glbga_rgtmq bm pgrkm qglsq_j lmpk_j (QRM) ( DfdroY 7( - Almpk_jgb_bcq osc mlb_ O, PQR, c mlb_ S ck glrcpt_jmq _npmnpg_bmq q m glbga_rgtmq bm pgrkm qglsq_j lmpk_j (QRM) ( DfdroY 7( - Almpk_jgb_bcq osc mlb_ O, PQR, c mlb_ S ck glrcpt_jmq _npmnpg_bmq q m glbga_rgtmq bm pgrkm qglsq_j lmpk_j (QRM) ( DfdroY 7( - Almpk_jgb_bcq osc mlb_ O, PQR, c mlb_ S ck glrcpt_jmq _npmnpg_bmq q m glbga_rgtmq bm pgrkm qglsq_j lmpk_j (QRM) ( DfdroY 7( - Almpk_jgb_bcq osc cqr m lm qgqrck_ bc amlbs m nmbc a_sq_p _rp_qmq l_ rp_lqkgqq m bm gknsjqm cjàrpgam c q m bcrcar_bmq lm ECG. Eqrcq bcqtgmq bc amlbs m lmpk_j nmbc pcqsjr_p ck _ppgrkg_q, r_gq amkm jmamq bc amp_ m, n_sq_q, r_osga_pbg_q c p_bga_pbg_q, jmamq, c bcgvms a_gp _rgb_q. Eqrcq bgqrêp gmq bm pgrkm qcp m _ mpb_bmq amk k_gq bcr_jfcq _glb_ lm k_ls_j. GLOS PGRM >AJQ '>?AB( TG> > PC> Lmlgrmp_p c k_lrcp _q tg_q pcqngp_rãpg_q _ cpr_q ck rmbmq mq kmkclrmq. N npmtcbmp bctc bcagbgp qc m clcdâagm b_ _bg m bc sk_ tg_ _àpc_ _t_l _b_ qsncp_ m pgqam bc glrcppmkncp _ QCO. Rc m rãp_v bm glbgtâbsm cqrÍ qs glbm qck srgjgx_p sk_ tg_ _àpc_ _t_l _b_, amlrglsc b_lbm COQ qck n_sq_. Mm clr_lrm, qc tmaá cqrÍ ck sk fmqngr_j ms ncprm bc npmdgqqgml_gq rpcgl_bmq, osc nmbc cdgagclrckclrc glqcpgp c sq_p _q tg_q _àpc_q, amlqgbcpc n_p_lbm COQ. PCQNGP> zM M_ n_p_b_ a_pbâ_a_, _bkglgqrp_p mvgeálgm _ 100%. L_lrcp q_lesc q_rsp_ m bc N2 (RASq) k_gmp bm osc ms ges_j _ 94 nmp aclrm, amkm kcbgb_ nmp sk mvâkcrpm bc nsjqm. Tqc a_nlmep_dg_ mlb_ os_lrgr_rgt_ os_lbm nmqqâtcj. npcqq m n_pag_j lmpk_j bc CN2 qgrs_-qc clrpc 35 rm40 kkHe. QCO bc _jr_ os_jgb_bc bctc npmbsxgp sk_ CN2 clrpc 10 _ 20 kkHe. Rc _ jcgrsp_ ESCN2 à gldcpgmp _ 10 kkHe _nãq 20 kglsrmq bc QCO n_p_ sk glbgtâbsm clrs _bm, clr m tmaá nmbc amlqgbcp_p n_p_p rclr_rgt_q bc pc_lgk_ m. AGPASJ> zM N rcp (IU) m _acqqm glrp_tclmqm, os_lbm nmqqâtcj; tg_ glrp_-ãqqc_ (IN) à r_k àk _acgrÍtcj. Lmlgrmp npcqq m _prcpg_j amk sk_ p_ _bcgp_ bc npcqq m q_lesâlc_ ms _ jglf_ glrp_-_prcpg_j, qc bgqnmlâtcj. Lmlgrmpgx_p m pgrkm a_pbâ_am sq_lbm _jkmd_b_q c sk kmlgrmp a_pbâ_am. Ps_lbm qc srgjgx_ sk DEA, qcesgp _q glbga_ écq (gqrm à, afma_p sk pgrkm bc afmosc). Dá djsgbmq os_lbm _npmnpg_bm. Tq_p kcbga_kclrmq a_pbgmt_qasj_pcq, os_lbm glbga_bm. BG>ELÁQRGAM BGDCPCLAG>J Cmkcac amk _ a_sq_ k_gq npmtÍtcj b_ bcrcl m c, ck qcesgb_, _t_jg_p _ a_sq_q kclmq npmtÍtcgq. Sp_r_p a_sq_q pctcpqâtcgq c amlrgls_p COQ amkm tmaá apg_p sk bg_elãqrgam bgdcpclag_j. O_p_p _ncl_q pctckclrc n_p_ amldgpk_p sk bg_elãqrgam ms n_p_ rp_r_p a_sq_q pctcpqâtcgq. Lglgkgx_lbm glrcppsn écq l_ ncpdsq m à dslb_kclr_j. > > Rcesglrc: Gcqr m Agpu_w Fgesp_ 9 õ Gabkqfcf Yo b qoYqYo YrpYp obsbopàsbfp õ ofqjl YoaàY l b efpqáof l al mY fbkqb pÍl Yp eYsbp mYoY l afYdkápqf l afcbobk fYi õ >sYifYo nrYkal el Yo lkqoY jbaf Yo õ >sYifYo l ofqjl b mripl õ BbpcfZofiYÓÍl . YoaflsbopÍl õ MZqbo Y bppl GT . GM õ BÚ jbaf Yjbkqlp bpmb àcf lp ab ofqjl õ BÚ cirfalp GT . GM+ pb kb bppÉofl õ BÚ lufdÚkfl Y 0//" õ >sYifYo Y sbkqfiYÓÍl bcf Yw lj YmkldoYcfY lkaY nrYkqfqYqfsY õ LÍl bu bppl ab sbkqfiYo õ KYkqbo YZboqYp Yp sfYp kl mY fbkqb fk lkp fbkqb õ Alkpfabob sfY YÕobY YsYkÓYaY õ KlkfqloYo sfY YÕobY YsYkÓYaY pb lil Yal lj YmkldoYcfY lkaY nrYkqfqYqfsY >?AB FB: C_pbgmjmeg_ Rgejm WWI jYkbgl aYp sfYp YÕobYp Rc _ tclrgj_ m q_am-kÍqa_p_ à _bcos_b_, dmplcacbmpcq nmbck bgdcpgp glqcp m bc sk_ tg_ _àpc_ _prgdgag_j. Nq npmdgqqgml_gq bc q_êbc bctck rmk_p _ bcagq m os_lrm Ê _bcos_ m bc amjma_p sk_ tg_ _àpc_ _t_l _b_ bsp_lrc m jct_lr_kclrm AC R. N t_jmp b_ dgv_ m b_q tg_q pcqngp_rãpg_q bctck qcp cosgjg p_b_q amlrp_ _ lcacqqgb_bc bc kglgkgx_p _ glrcppsn m b_ ncpdsq m osc pcqsjr_ ck rp_t_p _ QCO bsp_lrc _ amjma_ m b_q tg_q _àpc_q. Eosgn_kclrm bc tg_q _àpc_q bc _qc glajsg _ tg_ _àpc_ mpmd_pâlec_ (NOA) c _ tg_ _àpc_ b_ l_qmd_pglec (MOA). A bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpcsk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA bgdcpcl _ npglagn_j clrpc sk_ NOA ( > DfdroY 0/Y( c sk_ MOA ( DfdroY 0/Z( osc à sk_ NOA à amjma_bm l_ ma_ ( DfdroY 00 b 00a( clos_lrm sk_ MOA à glqcpgbm _rp_tàq bm l_pgx. Ak mq cosgn_kclrm b_q tg_q _àpc_q rcpkgl_p l_ d_pglec. A npglagn_j t_lr_eck bc sk AMO qm pc sk NOA à osc cjc nmbc qcp srgjgx_bm ck glbgtâbsmq amlqagclrcq ms glamlqagclrcq, nmposc m bgqnmqgrgtm l m cqrgksj_ m pcdjcvm bc tãkgrm. cosgn_kclrm bc tg_ _àpc_ _prgdgag_j glajsg _q tg_q _àpc_q kÍqa_p_ j_pâlec_, rs m bc j_pglec, rs m cqmdÍegam-rp_osc_j, c rs m clbmrp_osc_j. Dgdcpclrcq cqrgjmq bc cqr_q tg_q _àpc_q qsnp_ejãrga_ cqr m bgqnmlâtcgq. Rc dmp bclrpm bm qcs Ók grm bc npÍrga_, tmaá nmbc sq_p cosgn_kclrmq bc tg_ _àpc_ _t_l _b_, os_lbm _npmnpg_bm c bgqnmlâtcj. > > Rcesglrc: Abhslrmq Agpu_w Íqga_q AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_1/ Fgesp_ 10 SK> ? A B FB: C_pbgmjmeg_ Rgejm WWI >asYk ba AYoafY QSNMPRC > TGB> AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 10AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 10 Abhslrmq UIAR QEROIQASÉQIAR B RICNR TfY YÕobY lolcYoàkdbY 'MN>( A NOA à sk bgqnmqgrgtm ck dmpk_ bc J osc qc cla_gv_ qm pc _ jâles_ n_p_ pc_jgx_p _q cqrpsrsp_q fgnmd_pglec kmjcq c _ jâles_ n_p_ jmlec b_ n_pcbc nmqrcpgmp b_ d_pglec. NOA à srgjgx_b_ ck glbgtâbsmq osc cqr m ck pgqam n_p_ m bcqcltmjtgkclrm bc m qrps m b_q tg_q _àpc_q _ n_prgp b_ jâles_ ms b_ ksqasj_rsp_ b_q tg_q _àpc_q qsncpgmpcq pcj_v_bm. Tk r_k_lfm _bcos_bm c glqcpgbmq pcqsjr_bmq NOA ck _jglf_kclrm _bcos_bm amk _ _ cprsp_ b_ ejmrc. Rc mq cqdmp mq n_p_ _ pgp _q tg_q _àpc_q l m amlqcesck dmplcacp c k_lrcp sk_ tg_ _àpc_ bcqm qrpsâb_, clr m sqc _ NOA ck ncqqm_q glamlqagclrcq. Tk_ NOA l m bctc qcp srgjgx_bm ck sk glbgtâbsmq amlqagclrcq ms qckgamlqagclrcq, nmposc nmbc cqrgksj_p cle_qemq, tçkgrmq, c, nmqqgtcjkclrc, _qngp_ m. A _t_jg_ m af_tc n_p_ bcrcpkgl_p qc sk_ NOA nmbc qcp amjma_bm à tcpgdga_p qc m glbgtâbsm rck sk_ rmqqc c e_e pcdjcv glr_ar_. Rc _qqgk dmp, l m sqc sk_ NOA. TG>Q > PC>Q L>QMNF>PWLCEC>J 'LN>( N AMO à sk rs m qck _jmlcrc mpp_af_ k_ag_ ms bc njÍqrgam osc npmnmpagml_ sk_ amlbsr_ n_p_ m djsvm bc _p clrpc _q l_pgl_q c b_ d_pglec. Ejc à sq_bm amkm sk_ _jrcpl_rgt_ _ sk_ NOA ck glbgtâbsmq osc lcacqqgr_k bc sk amknjckclrm Íqgam bc ecpclag_kclrm bc tg_q _àpc_q. Am amlrpÍpgm b_ tg_ _àpc_ mp_j, MOA nmbc qcp srgjgx_bm ck glbgtâbsmq amlqagclrcq ms qckgamlqagclrcq (glbgtâbsmq amk rmqqc glr_arm c bm pcdjcvm bc tãkgrm). N AMO à glbga_bm os_lbm _ glqcp m bc sk_ NOA à rcalga_kclrc bgdâagj ms ncpgemqm. amjma_ m MOA nmbc qcp d_agjgr_b_ ncj_ srgjgx_ m bc sk js pgdga_lrc. Msla_ dmpac _ amjma_ m bm MOA amkm nmbc mamppcp fckmpp_eg_q l_q_gq ep_tcq. Rc cjc l m qc cla_gv_ ck sk l_pc, rclrc m msrpm j_bm. Sclf_ asgb_bm ms ctgr_p amjma_p MOAq ck glbgtâbsmq amk dp_rsp_q d_ag_gq ã tg_q. YpmfoYÓÍl A _qngp_ m à sk amknmlclrc cqqclag_j bc k_lsrcl m b_ dsl m pcqngp_rãpg_. Fmplcacbmpcq bctc _qngp_p _q tg_q pcqngp_rãpg_q gkcbg_r_kclrc qc fmstcp qcapc m _ slb_lrc, q_lesc ms tãkgrm. Aq rclr_rgt_q bc qsa m l m bctc qcp qsncpgmp _ 10 qceslbmq. O_p_ ctgr_p fgnmvckg_, qge_ _qngp_ m rclr_rgt_q amk sk asprm ncpâmbm bc _bkglgqrp_ m bc mvgeàlgm _ 100%. Lmlgrmp bc dpcoíálag_ bm glbgtâbsm a_pbâ_a_, q_rsp_ m bc mvgeálgm, c _n_pálag_ ajâlga_ bsp_lrc _ _qngp_ m. Rc sk_ _jrcp_ m lmq n_pÓkcrpmq bc kmlgrmpgx_ m à tgqrm, glrcppmkncp _ _qngp_ m c _bkglgqrp_p mvgeàlgm _rà m pgrkm a_pbâ_am tmjrc _m lmpk_j c _rà osc _ amlbg m ajâlga_ kcjfmp_. Asvgjg_p bc tclrgj_ m r_j amkm e_p_lrgbm. Trgjgxc _ncl_q sk_ NOA ck glbgtâbsmq osc l m pcqnmlbck amk MN rmqqc ms pcdjcvm bc tçkgrm. C_qm amlrpÍpgm, sk_ NOA nmbc cqrgksj_p tãkgrmq, cqn_qkmq b_ j_pglec, ms _qngp_ m. Tk MOA nmbc qcp srgjgx_bm ck glbgtâbsmq amlqagclrcq amk rmqqc glr_arm c bm pcdjcvm bc tãkgrm. Mm clr_lrm, sq_p asgb_bmq_kclrc ck glbgtâbsmq amk rp_sk_ d_ag_j bctgbm _m pgqam bc bcqjma_kclrm. Sclf_ ck kclrc osc m glbgtâbsm l m cqrÍ pcac clbm mvgeálgm _ 100%, clos_lrm _ _qngp_ m. Ilrcppmkncp _ _qngp_ m c _bkglgqrp_p mvgeàlgm qc os_joscp bcrcpgmp_ m ck os_bpm ajâlgam à m qcpt_bm bsp_lrc _ _qngp_ m. > > Rcesglrc: Sàalga_ Agpu_w BÍqgam Smkc lmr_ FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ SÂCMICA DAR UIAR QEROIQASÉQIAR BARIC Gkpbofkal rjY MN> N>QQM 09 gkn_p _ ma_ bc q_lesc c qcapc écq amk qsa m, qc nmqqâtcj. N>QQM 09 gkn_p _ ma_ bc q_lesc c qcapc écq amk qsa m, qc nmqqâtcj. N>QQM 19 Rcjcagmlc sk bgqnmqgrgtm bc tg_ _àpc_ osc à m r_k_lfm amppcrm n_p_ _ ncqqm_. N>QQM 19 Rcjcagmlc sk bgqnmqgrgtm bc tg_ _àpc_ osc à m r_k_lfm amppcrm n_p_ _ ncqqm_. Dck_qg_bm ep_lbc bc sk bgqnmqgrgtm n_p_ tg_q pcqngp_rg_q nmbc b_lgdga_p _ e_pe_lr_. Lsgrm ncosclm bc sk bgqnmqgrgtm bc tg_q _àpc_q nmbc npcqqgml_p _ jâles_ n_p_ _ tg_ _àpc_. CR>N> 29 Cmjmosc m bgqnmqgrgtm l_ n_prc j_rcp_j bm pmqrm b_ ncqqm_. Eqamjf_ bm bgqnmqgrgtm osc qc cqrclbc _ n_prgp b_CR>N> 29 Cmjmosc m bgqnmqgrgtm l_ n_prc j_rcp_j bm pmqrm b_ ncqqm_. Eqamjf_ bm bgqnmqgrgtm osc qc cqrclbc _ n_prgp b_ a_lrm b_ ma_ _rà m jã sjm b_ mpcjf_. N>QQM 39 Ilqcpgp m bgqnmqgrgtm n_p_ bclrpm b_ ma_ bc kmbm osc m nmlrm à n_p_ m aàs b_ ma_, ms ck n_p_jcjm amk N>QQM 39 Ilqcpgp m bgqnmqgrgtm n_p_ bclrpm b_ ma_ bc kmbm osc m nmlrm à n_p_ m aàs b_ ma_, ms ck n_p_jcjm amk mq bclrcq. M m npcqqgmlc _ jâles_ bc tmjr_ n_p_ _ e_pe_lr_. N>QQM 49 Tk_ tcx osc m bgqnmqgrgtm cqrÍ os_qc rmr_jkclrc glqcpgbm, rp_lqdmpkÍ-jm _rà osc _ jâles_ à qcespms ncjm glrcpgmp N>QQM 49 Tk_ tcx osc m bgqnmqgrgtm cqrÍ os_qc rmr_jkclrc glqcpgbm, rp_lqdmpkÍ-jm _rà osc _ jâles_ à qcespms ncjm glrcpgmp aspt_ bm bgqnmqgrgtm. GLQCPGP > LN> N>QQM 09 Rcjcagmlc sk bgqnmqgrgtm bc tg_ _àpc_ osc à m r_k_lfm amppcrm n_p_ _ ncqqm_. N>QQM 09 Rcjcagmlc sk bgqnmqgrgtm bc tg_ _àpc_ osc à m r_k_lfm amppcrm n_p_ _ ncqqm_. N>QQM 19 Cmjmosc m bgqnmqgrgtm l_ n_prc j_rcp_j bm pmqrm b_ ncqqm_. Eqamjf_ bm bgqnmqgrgtm osc qc cqrclbc _ n_prgp b_ nmlr_N>QQM 19 Cmjmosc m bgqnmqgrgtm l_ n_prc j_rcp_j bm pmqrm b_ ncqqm_. Eqamjf_ bm bgqnmqgrgtm osc qc cqrclbc _ n_prgp b_ nmlr_ bm l_pgx n_p_ m jã sjm b_ mpcjf_. Tqc m k_gmp bgqnmqgrgtm bc bgÓkcrpm osc t_g a_ cp. CR>N> 29 s pgdga_p _q tg_q _àpc_q amk sk js pgdga_lrc qmjêtcj ck Íes_ ms ecjcg_ _lcqràqga_. CR>N> 29 s pgdga_p _q tg_q _àpc_q amk sk js pgdga_lrc qmjêtcj ck Íes_ ms ecjcg_ _lcqràqga_. N>QQM 39 Ilqgp_ m bgqnmqgrgtm jclr_kclrc, kmtclbm-qc ck jglf_ pcr_ lm pmqrm (l m n_p_ m aàpc pm). N>QQM 39 Ilqgp_ m bgqnmqgrgtm jclr_kclrc, kmtclbm-qc ck jglf_ pcr_ lm pmqrm (l m n_p_ m aàpc pm). N>QQM 49 Ejc bctc qc qclrgp amldmprÍtcj; l m dmp _p m bgqnmqgrgtm l_ l_pgl_. Rc cjc qc qclrc npcqm, pckmt_-m c rclrcN>QQM 49 Ejc bctc qc qclrgp amldmprÍtcj; l m dmp _p m bgqnmqgrgtm l_ l_pgl_. Rc cjc qc qclrc npcqm, pckmt_-m c rclrc _ msrp_ l_pgl_. DICAR RNBQE _qngp_ m Ps_lbm _ _qngp_ m b_ mpmd_pglec, l m glqcpgp m a_rcrcp ksgrm npmdslb_kclrc. Eqrclbcp m a_rcrcp _rà _ npmdslbgb_bc kÍvgk_ bc qcesp_l _ c bc qsa m amkm tmaá pcrgp_p. Ps_lbm _ _qngp_ m bc sk rs m clbmrp_osc_j (ES),rclf_ ck kclrc m rs m cqrÍ bclrpm b_ rp_osàg_ c osc tmaá nmbc qcp _ _qngp_ m ncprm b_ pçlosgmq ms nsjk m. Ompr_lrm, sk_ ràalga_ cqràpgj bctc qcp sq_bm. C_b_ rclr_rgt_ bc qsa m bctc qcp n_p_ l m k_gq bc 10 qceslbmq. ck pc-qc bc osc _ ncqqm_ l m rcpÍ mvgeálgm bsp_lrc _ _qngp_ m. Lmlgrmp_p mq qgl_gq tgr_gq bsp_lrc _ _qngp_ m c n_p_p _ _qngp_ m gkcbg_r_kclrc qc _ ncqqm_ cvncpgkclr_ fgnmvckg_ (RASq bc mvgeálgm gldcpgmp _ 94%), rck sk_ lmt_ _ppgrkg_, ms rmpl_-qc ag_lãrga_. NOAq ksgrm ep_lbc ms ksgrm ncosclm, nmbc m qrpsgp _q tg_q _àpc_q. MOAq bgkclqgml_b_ glamppcr_kclrc nmbc clrp_p lm cqçd_em. Rcknpc tÍ n_p_ pcqngp_ m cqnmlrÓlc_ _nãq _ glqcp m bc sk ms msrpm bgqnmqgrgtm. > > Rcesglrc: Agpu_w Abhslrmq _t_l _b_q AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_11 FB: C_pbgmjmeg_ Rgejm WWI >asYk ba AYoafY QSNMPRC > TGB> AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 12AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 12 AUAMÁADAR UIAR QEROIQASÉQIAR _bhslrmq RS?M CLBMRP>OSC>J N rs m clbmrp_osc_j (ES) à sk_ _jrcpl_rgt_ tg_ _àpc_ _prgdgag_j.  sk rgnm cqncaâdgam bc rs m rp_osc_j osc à glqcpgbm _rp_tàq b_ ma_ ms l_pgx.  _ tg_ _àpc_ rcalga_kclrc k_gq bgdâacgq bc jse_p; lm clr_lrm, à _ tg_ _àpc_ k_gq qcesp_ bgqnmlâtcj. Ancl_q npmdgqqgml_gq cvncpgclrcq bctck pc_jgx_p ES glrs _ m. Eqr_ ràalga_ pcoscp m sqm bc sk j_pglemqaãngm. Fg p_ ãnrga_ j_pglemqaãngmq nmprÍrcgq rák sk_ rcj_ bc tâbcm, kcjfmp_p m qsacqqm, c cqr m e_lf_lbm nmnsj_pgb_bc n_p_ sqm ck a_knm. JYoàkdbY K>QI A kÍqa_p_ j_pâlec_ ( LA) à sk_ _jrcpl_rgt_ tg_ _àpc_ _prgdgag_j n_p_ ES glrs _ m c dmplcac tclrgj_ m amkn_pÍtcj.  _acgrÍtcj _ srgjgx_ m bm LA amkm sk_ _jrcpl_rgt_ _ sk rs m cqmdÍegam-rp_osc_j n_p_ _ ecqr m b_q tg_q _àpc_q ck n_p_eck a_pbâ_a_. A cvncpgálag_ t_g ncpkgrgp sk_ pÍngb_ amjma_ m bm bgqnmqgrgtm LA nmp sk npmtcbmp bc AC R. qrZl iYoàkdbl lj Aq t_lr_eclq bm rs m bc j_pglec q m qckcjf_lrcq _mq bm rs m cqmdÍegam-rp_osc_j; lm clr_lrm, m rs m bc j_pglec à k_gq amkn_arm c kclmq amknjga_b_ n_p_ glqcpgp. Eqrc rs m rck _ncl_q sk k_gmp bm _j m n_p_ gldj_p c nmbc qcp glqcpgbm ace_kclrc. RrZl bplcÉdf l,qoYnrbYi N rs m cqmdÍegam-rp_osc_j (nmp tcxcq pcdcpgbm amkm sk Cmk grs c) à sk_ _jrcpl_rgt_ tg_ _àpc_ _prgdgag_j n_p_ ES glrs _ m. Eqrc bgqnmqgrgtm npmnmpagml_ sk_ tclrgj_ m _bcos_b_ amkn_pÍtcj _ sk rs m clbmrp_osc_j. N Cmk grs c rck bmgq _jécq qcn_p_bmq osc bctck qcp gldj_bmq c bs_q nmpr_q qcn_p_b_q. N npmtcbmp bctc bcrcpkgl_p amppcr_kclrc os_j _ nmpr_ n_p_ tclrgj_p _rp_tàq bc npmnmpagml_p mvgecl_ m _bcos_b_. Dsp_lrc _ QCO, _ amknpcqq m ncgrm _ r_v_ bc tclrgj_ m à bc 30: 2. Rc tg_ _àpc_ _t_l _b_ à amjma_b_, l m glrcppmkncp _q amknpcqqécq rmpÍaga_q n_p_ pcqngp_ écq. Dá sk_ pcqngp_ m _ a_b_ 6 _ 8 qceslbmq. > > Rcesglrc: Ug_q bc Aacqqm Smkc lmr_ FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ TG>Q BC >ACQQM Hgqrmpga_kclrc ck RAUC, npcqr_bmpcq bc rcp _bkglgqrp_bm bpme_q _rp_tàq b_ tg_ glrp_tclmq_ (IU) ms m ncpaspqm ES. ES _ qmp m bc bpme_q à nm pc, c _ bmq_eck b_ bpme_ gbc_j à bcqamlfcagbm. Ompr_lrm, _ tg_ glrp_-ãqqc_ (IN) à _emp_ npcdcpgb_, os_lbm m _acqqm IU l m cqrÍ bgqnmlâtcj. A _gvm q m _q npgmpgb_bcq n_p_ m _acqqm t_qasj_p. tg_ glrp_tclmq_ A IU ncpgdàpgam à npcdcpgbm n_p_ _bkglgqrp_ m bc kcbga_kclrmq c bc djsgbm, _ kclmq osc bc _acqqm Ê jglf_ aclrp_j, hÍ cqrÍ bgqnmlâtcj. _acqqm Ê jglf_ aclrp_j l m à lcacqqÍpgm bsp_lrc _ k_gmpg_ b_q rclr_rgt_q bc pc_lgk_ m, nmgq nmbc a_sq_p glrcppsn écq lm COQ c amknjga_ écq bsp_lrc _ glqcp m. Cmjma_p sk_ jglf_ ncpgdàpga_ l m pcoscp glrcppsn m COQ. Qb rj cÉojY l Õ YajfkfpqoYal mlo sfY mbofcÕof Y ab YajfkfpqoYÓÍl+ cYÓY l pbdrfkqb9 1. cknspp_p Ilrp_tclmq_kclrc glhca m bc mjsq (_ kclmq osc glbga_bm bc msrp_ dmpk_). 2. _tc amk 20 kj bc djsgbm ms qmjs m q_jgl_. 3. cvrpckgb_bc _skclrm n_p_ 10 _ 20 qceslbmq n_p_ _skclr_p _ jg cpr_ m bc dÍpk_am n_p_ _ agpasj_ m. glrp_ãqqc_q QNTSE Dpme_q c djsgbmq nmbck qcp clrpcescq bc dmpk_ qcesp_ c cdga_x bsp_lrc _ pc_lgk_ m nmp tg_ IN qc m _acqqm IU l m cqrÍ bgqnmlâtcj. IN _acqqm nmbc qcp srgjgx_bm n_p_ rmbmq mq epsnmq crÍpgmq, nmbc qcp amjma_b_ ck kclmq bm osc sk kglsrm, c rck sk_ _ qmp m k_gq npctgqâtcj bm osc _ pmr_ bc ES. Ps_lbm qc srgjgx_ tg_ IU ncpgdàpgam bc _bkglgqrp_ m, mq dÍpk_amq nmbck rcp _rà bmgq kglsrmq ms k_gq n_p_ _rglegp _ agpasj_ m aclrp_j. N cdcgrm bc kcbga_kclrmq b_bmq l m nmbck qcp tgqrmq _rà kcqkm k_gq. QCO bc _jr_ os_jgb_bc _hsb_ _ agpasj_p cqq_q bpme_q c à sk_ n_prc gknmpr_lrc b_ pcqqsqagr_ m. Ps_joscp bpme_ RAUC ms jâosgbm osc nmbc qcp _bkglgqrp_bm nmp tg_ glrp_tclmq_, r_k àk nmbck qcp b_b_q glrp_mqqcmsqjw. > > Fcpp_kclr_q d_pk_amjãega_q: Mcvr AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_13 FB: C_pbgmjmeg_ Rgejm WWI >asYk ba AYoafY QSNMPRC > TGB> AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 14AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 14 cbooYjbkqYp cYojY liádf Yp Tqm bc os_joscp kcbga_ m A CR l_ S_ cj_ 1 bctc qcp dcgrm bclrpm bm qcs Ók grm bc npÍrga_ c, _nãq cqrsbm _npmdslb_bm b_q _ écq c cdcgrmq amj_rcp_gq. Eqr_ r_ cj_ dmplcac _ncl_q sk pctc jck pcrc n_p_ _oscjcq osc hÍ cqr m d_kgjg_pgx_bmq amk m sqm bcqqcq kcbga_kclrmq. Ajàk bgqqm, m Ps_bpm 1 amlràk _ncl_q _q bmqcq n_p_ _bsjrmq, glbga_ m, c tg_q bc _bkglgqrp_ m n_p_ mq kcbga_kclrmq RAUC k_gq amkslq. Blpbp+ olqYp b Splp ab BoldYp Aljrj > > Rcesglrc: Asrm-At_jg_ m n_p_ AC R r_ cj_ 1 BPME> NPGLAGN>J >AJQ SQC BMQC . PMSRC LMR>Q YabklpfkY SORU M_ppmu / RUS r_afw PQR j_pem - ctgr_p _bclmqgl_ ck PQR j_pem gppcesj_p 6 ke IU bc mjsq, nmbc pcncrgp amk 12 ke ck 1 _ 2 kgl. IU gknsjqm pÍngbm ncprm bm as m, qcesgbm bc sk mjsq bc qmjs m q_jgl_ kmlgrmpgx_ m a_pbâ_a_ amlrâls_ bsp_lrc _ _bkglgqrp_ m F_x amk osc m ps mp c ncgrm ncqm YjflaYolkY FU / r_osga_pbg_ tclrpgasj_p qck nsjqm US amk nsjqm amlrpmjc b_ r_v_ bc S_afw FU / SU: 300 ke bgjsgp ck 20 _ 30 kj, nmbc pcncrgp 150 ke ck 3 _ 5 kgl Alrcagn_p fgnmrclq m, p_bga_pbg_, c rmvgagb_bc e_qrpmglrcqrgl_j kmlgrmpgx_ m a_pbâ_a_ amlrâls_ kcg_ tgb_ ksgrm jmle_ (_rà 40 bg_q) M m srgjgx_p ck jmam bc 2ª ms 3ª ep_s amp_ m M m _bkglgqrp_p nmp tg_ rs m ES >qolmfkY p_bga_pbg_ qglrmkÍrgamq IU 0,5 ke / ES _ a_b_ 3 _ 5 kglsrmq A bmqc kÍvgk_: 3 ke A kmlgrmpgx_ m a_pbâ_a_ c BO M m srgjgx_p ck ej_samk_ ms r_osg_ppgrkg_q A bmqc bc 0,5 ke Lâlgk_rmvgl_q cqncaâdga_q / qm pcbmq_eck (nmp cvcknjm mpe_lmdmqd_rmq) 2 _ 4 ke IU / ES nmbc qcp lcacqqÍpgm almYjfkY Cfmosc / CHF 2 _ 20 kae / ie / kgl Sgrsj_-qc _ npcqq m _prcpg_j bcqch_bm pcqqsqagr_ m Fjsgb npgkcgpm A kmlgrmpgx_ m a_pbâ_a_ c BO CmfkbcofkY O_p_b_ a_pbâ_a_ Ilgag_j: 1,0 ke (1: 10000) IU ms bc 2 _ 2,5 ke (1: 1000) ESS a_b_ 3 _ 5 kgl L_lrcp: / ie / kgl Sgrsj_p bcqch_p _ npcqq m q_lesâlc_ 0,1 c 0,5 kae kmlgrmpgx_ m a_pbâ_a_ amlrâls_ Mmr_: Dgqrglesgp clrpc 1: 1000 c 1: 10000 amlaclrp_ écq Dá _rp_tàq b_ jglf_ aclrp_j, os_lbm nmqqâtcj Al_dgj_vg_ 500 kae IL Qcngr_ _ a_b_ aglam kglsrmq, amldmpkc lcacqqÍpgm p_bga_pbg_ qglrmkÍrga_ / Cfmosc 2 _ 10 kae / kgl bc gldsq m Sgrsj_p _ pcqnmqr_ ifal YàkY ( gbma_âl_ à pcamkclb_bm os_lbm _ _kgmb_pml_ l m à _acqqâtcj) O_p_b_ C_pbâ_a_ (UF / US) Ilgag_j: 1 _ 1,5 ke / ie IU a_ppce_kclrm Rceslb_: Lcr_bc b_ npgkcgp_ bmqc bc 5 _ 10 kgl L_lrcp: 1 _ 4 ke / kgl A kmlgrmpgx_ m a_pbâ_a_ c BO mjsq pgbm nmbc a_sq_p fgnmrclq m c p_bga_pbg_ Tqc amk asgb_bm l_ glqsdgagálag_ pcl_j ajmpcrm bc aÍjagm nmbc gltcprcp Hgncpk_elcqckg_ r_osga_pbg_ Gp_lbc amknjcvm amk nsjqm glgag_j: 0,5 _ 1,5 ke / ie, IU Rceslb_: Lcr_bc b_ npgkcgp_ bmqc bc 5 _ 10 kgl L_lrcp: 1 _ 4 ke / kgl QricYql ab jYdkÕpfl n_p_b_ a_pbâ_a_ / rmpq_bcq qck nsjqm C_pbg_a Appcqr: 1 _ 2 e bgjsâbmq ck 10 k bc D5V OIU A kmlgrmpgx_ m a_pbâ_a_ c BO mjsq pgbm nmbc a_sq_p fgnmrclq m c p_bga_pbg_ Tqc amk asgb_bm l_ glqsdgagálag_ pcl_j N ajmpcrm bc aÍjagm nmbc gltcprcp RELIA fwncpk_elc- Smpq_bcq bc nmglrcq amk nsjqm Rc l m n_p_eck a_pbâ_a_: 1 _ 2 e IU _m jmlem bc 5 _ 60 kgl L_lrcp: 0,5 _ 1 e / f IU mol YfkYjfaY PQR j_pem r_osga_pbg_ Opcdcpgbmq n_p_ US amk nsjqm (cqrÍtcj) 20 _ 50 ke / kgl, _ràIU pgrkm kcjfmp_, fgnmrclq m mamppc, PQR _j_pe_-qc ck 50% ms bmqc LAW à b_b_ bmqc kÍv: 17 ke / ie Gmrch_kclrm: 1 _ 2 e ck 250 _ 500 kj bc 1 _ 4 ke / kgl A kmlgrmpgx_ m a_pbâ_a_ c BO Csgb_bm amk gld_prm _esbm bm kgmaÍpbgm Ombc pcbsxgp _ bmqc amk glqsdgagálag_ pcl_j M m bá amk _kgmb_pml_ M m srgjgx_p ck PS npmjmle_bm ms CHF plqYili r_osg_ppgrkg_ SU kmlmkãpdga_ 3 jglf_ _lrg-_ppârkgam 100 ke (1,5 ke / ie) IU bsp_lrc 5 kgl M m srgjgx_p ck PS npmjmle_bm FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_15 >SRM,>T>JG> zM N>P> >AJQ 1. Tk glbgtâbsm qc _npcqclr_ amk p_bga_pbg_ qglrmkÍrga_. Rs_ dpcoíálag_ a_pbâ_a_ à 32. Ps_j bmq1. Tk glbgtâbsm qc _npcqclr_ amk p_bga_pbg_ qglrmkÍrga_. Rs_ dpcoíálag_ a_pbâ_a_ à 32. Ps_j bmq Rcesck-qc _q mn écq rcp_násrga_q _acgrÍtcgq? sk_. Arpmngl_ . Englcdpgl_ a. bmn_kgl_ b. Ssbm _agk_ 2. A amj_nqmq _jamãjga_q amlfcagb_q c à clamlrp_bm n_p_ qcp ck rmpq_bcq bc nmglrcq. N osc _ glrcptcl m à2. A amj_nqmq _jamãjga_q amlfcagb_q c à clamlrp_bm n_p_ qcp ck rmpq_bcq bc nmglrcq. N osc _ glrcptcl m à k_gq npmtÍtcj n_p_ amppgegp m npm jck_ qs h_aclrc? sk_. Qc_oscacp m glbgtâbsm n_p_ amppgegp _ fgnmrcpkg_. . Abkglgqrp_p qsjd_rm bc k_elàqgm 1 _ 2 e IU bgjs_ ck 10 k bc D5V n_p_ amppgegp _gvm k_elàqgm. a. Abkglgqrp_p ejgamqc n_p_ amppgegp _ fgnmejgackg_. b. Abkglgqrp_p l_jmvml_ n_p_ amppgegp mtcpbmqc bc l_paãrgamq. 3. Umaá _a_ ms _bkglgqrp_b_ sk_ bpme_ n_p_ sk glbgtâbsm l_ r_osga_pbg_ qsnp_tclrpgasj_p (RUS). 3. Umaá _a_ ms _bkglgqrp_b_ sk_ bpme_ n_p_ sk glbgtâbsm l_ r_osga_pbg_ qsnp_tclrpgasj_p (RUS). Ej_ qc oscgv_ bc ps mp c qclq_ m bc ncqm lm ncgrm. Psc bpme_ à _ a_sq_ k_gq npmtÍtcj? sk_. Aqngpgl_ . _bclmqgl_ a. _kgmb_pml_ b. _kgrpgnrgjgl_ PCQNMQR>Q 1. D Arpmngl_ à m rp_r_kclrm glgag_j n_p_ p_bga_pbg_ qglrmkÍrga_. Rc l m pcqnmlbcp, IU bmn_kgl_ ms cnglcdpgl_ à m npãvgkm n_qqm. O_agle nmbc qcp cdga_x qc msrp_q kcbgb_q dmpck glqsdgagclrcq n_p_ kcjfmp_p _ r_v_. 2. B A fgnmk_elcqckg_ ms Le ++ _gvm à ecp_jkclrc a_sq_b_ nmp _jammjgqkm c bcqlsrpg m. A _bkglgqrp_ m bc k_elàqgm IU nmbck gkncbgp ms rcpkgl_p _ rmpq_bcq bc nmglrcq. 3. B A _bclmqgl_ à _ cqamjf_ amppcar_ n_p_ m rp_r_kclrm bc RUS c pcqsjr_ dpcosclrckclrc ck pc_a écq r_gq amkm ps mp, bgqnlcg_, npcqq m lm ncgrm, c rmlrsp_. > > Opãvgk_: Opglaângmq bc bcqdg pgj_ m npcamac FB: C_pbgmjmeg_ Rgejm WWI AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 16AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 16 NPGLA NGMQ B> C>PJW BCQDG?PGJ> zM Ps_lrm k_gq acbm _ bcqdg pgj_ m mamppc, os_lrm k_gmp _ r_v_ bc qm pctgtálag_. Ps_lbm sk_ _ppgrkg_ d_r_j cqrÍ npcqclrc, COQ nmbc dmplcacp sk_ ncoscl_ os_lrgb_bc bc djsvm bc q_lesc n_p_ m amp_ m cm aàpc pm, k_q l m nmbc pcqr_sp_p bgpcr_kclrc sk pgrkm mpe_lgx_bm. A npm _ gjgb_bc bc pcqr_sp_p sk pgrkm bc ncpdsq m à mnrgkgx_bm amk QCO gkcbg_r_ c bcqdg pgj_ m. N m hcrgtm b_ bcqdg pgj_ m à glrcppmkncp sk pgrkm a_ãrgam c ncpkgrgp n_ack_icpq lmpk_gq bm amp_ m n_p_ pcrmk_p _ _rgtgb_bc cjàrpga_ cdga_x. A bmqc bc clcpeg_ _bcos_bm à bcrcpkgl_b_ ncj_ amlacn m bm bcqdg pgj_bmp-kmlmdÍqgam ms gdÍqgam. Rc tmaá cqrgtcp sq_lbm sk bcqdg pgj_bmp kmlmdÍqgam, b_p sk êlgam 360 J afmosc. Tqc _ kcqk_ bmqc bc clcpeg_ ck afmoscq qs qcoíclrcq. bcqdg pgj_bmpcq gdÍqgamq srgjgx_p sk_ t_pgcb_bc bc dmpk_q bc mlb_ c rcp qgbm kmqrp_bm n_p_ qcp k_gq cdga_x n_p_ rcpkgl_p sk_ _ppgrkg_ d_r_j. Am sq_p bcqdg pgj_bmpcq gdÍqgamq, mq dmplcacbmpcq bctck sq_p bmqc bc clcpeg_ pcamkclb_bm ncjm d_ pga_lrc. Lsgrmq d_ pga_lrcq bc bcqdg pgj_bmpcq gdÍqgamq cvg gp m glrcpt_jm bc bmqc cdga_x bc clcpeg_ l_ d_ac bm bgqnmqgrgtm. Rc m npgkcgpm afmosc l m rcpkgl_p _ _ppgrkg_, nmbc qcp p_xmÍtcj n_p_ cqa_j_p _ clcpeg_ clrpcesc qc m bcqdg pgj_bmp ncpkgrc. O_p_ kglgkgx_p _q glrcppsn écq b_q amknpcqqécq rmpÍaga_q bsp_lrc _ QCO, amlrgls_p COQ clos_lrm m bcqdg pgj_bmp cqrÍ _ a_ppce_p. Ccprgdgosc-qc bc jgkn_p m glbgtâbsm, e_p_lrglbm osc m mvgeálgm à pckmtgbm c lglesàk cqrÍ rma_lbm m glbgtâbsm _lrcq bc clrpce_p m afmosc. Ikcbg_r_kclrc _nãq m afmosc, pcglgag_ _ QCO, amkc _lbm amk amknpcqqécq. Dá COQ nmp bmgq kglsrmq (_npmvgk_b_kclrc aglam agajmq). Tk agajm amlqgqrc bc 30 amknpcqqécq qcesgb_q nmp bs_q pcqngp_ écq n_p_ sk glbgtâbsm qck sk_ tg_ _àpc_ _prgdgag_j. Aoscjcq glbgtâbsmq amk sk bgqnmqgrgtm bc tg_ _àpc_ _prgdgag_j lm jma_j nmbc qcp tclrgj_bm _ sk_ r_v_ bc sk_ pcqngp_ m _ a_b_ 5 _ 6 qceslbmq (ms 10 _ 12 pcqngp_ écq nmp kglsrm). > > Rcesglrc: Cf_tcq n_p_ Tq_lbm sk AED FB: C_pbgmjmeg_ Rgejm WWI AF>TCQ Y rpYo rj abpcfZofiYalo YrqljÉqf l CVRCPLM Rc tmaá mjf_p ck rmplm bmq jma_gq nê jgamq osc tmaá tgqgr_, tmaá à npmtÍtcj clamlrp_p sk bcqdg pgj_bmp _srmkÍrgam cvrcplm (AED). Tk AED à _m kcqkm rcknm qmdgqrga_bm c dÍagj bc sq_p, dmplcaclbm clcpeg_ n_p_ q_jt_p tgb_q ck sk bgqnmqgrgtm sqcp-dpgclbjw osc m rmpl_ êrgj n_p_ ncqqm_q osc lsla_ mncpms sk c n_p_ os_joscp sk ck aclÍpgmq bc cqrpcqqc. Mm clr_lrm, m sqm _bcos_bm bc sk AED à ksgrm gknmpr_lrc. Opclb_ _q _jkmd_b_q n_p_ m j_bm qsncpgmp bgpcgrm c gldcpgmp cqoscpbm bm ncgrm bm glbgtâbsm ( > DfdroY 00( - Tk_ tcx osc _q _jkmd_b_q gldcpgmp cqoscpbm bm ncgrm bm glbgtâbsm ( > DfdroY 00( - Tk_ tcx osc _q _jkmd_b_q gldcpgmp cqoscpbm bm ncgrm bm glbgtâbsm ( > DfdroY 00( - Tk_ tcx osc _q _jkmd_b_q gldcpgmp cqoscpbm bm ncgrm bm glbgtâbsm ( > DfdroY 00( - Tk_ tcx osc _q _jkmd_b_q gldcpgmp cqoscpbm bm ncgrm bm glbgtâbsm ( > DfdroY 00( - Tk_ tcx osc _q _jkmd_b_q cqr m amlcar_bmq amppcr_kclrc, m bgqnmqgrgtm gpÍ jcp m pgrkm bm amp_ m. Rc _q _jkmd_b_q l m cqr m jge_bmq bc dmpk_ _bcos_b_, m bgqnmqgrgtm gpÍ glbga_p _qqgk amk _tgqmq. Tk_ tcx osc m pgrkm à _l_jgq_bm, m bgqnmqgrgtm gpÍ bgpcagmlÍ-jm n_p_ afma_p m glbgtâbsm qc sk afmosc à glbga_bm. Tk afmosc bcqnmj_pgx_ rmb_q _q aàjsj_q bm kêqasjm a_pbâ_am _m kcqkm rcknm, rclr_p mpe_lgx_p qs_ _rgtgb_bc cjàrpga_. Ek msrp_q n_j_tp_q, m afmosc qc bcqrgl_ _ pcnmp _rgtgb_bc cjàrpga_ _lmpk_j bm amp_ m ck sk pgrkm lmpk_j. Nlkqlp, eYsb >CB > > Rcesglrc: Cpgràpgmq n_p_ _njga_p AED >ppbdroYo l lufdÚkfl kÍl bpqÉ cirfkal YqoYsÕp al mY fbkqb ab mbfql nrYkal bkqobdYo elnrb LÍl mYob ab ljmobppãbp qloÉ f Yp mlo jYfp ab 0/ pbdrkalp nrYkal pb YsYifY l ofqjl KYkqbkeY,pb YcYpqYal aY mY fbkqb nrYkal Y bkqobdY ab elnrb >sYifYo mripl Ymáp lp mofjbfolp alfp jfkrqlp ab PAN Qb l AM1 qfaYi cfkYi Õ fkcboflo Y 0/ jjFd aroYkqb Y PAN+ lkpfabob Y YafÓÍl ab rj sYplmobpplo b jbieloYo ljmobppãbp qloÉ f Yp AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_17 DNM Fgesp_ 12 Fgesp_ 11 FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ CQISÂQINR OAQA AO ICAQ AED Umaá bctc sq_p sk DEA qc: N glbgtâbsm l m pcqnmlbc _mq epgr_lbm ms q_asbglbm mq mk pmq. N glbgtâbsm l m à pcqngp_ m ms _ pcqngp_p bc dmpk_ glcdga_x. A nsjq_ m b_ _pràpg_ a_pãrgb_ l m nmbc qcp bcrcar_bm. BARIC AED NOEQAÁºN O_p_ sq_p sk AED, d_ _ m qcesglrc: 1. gesc m AED. 2. Eqamjf_ _bsjrm ms _jkmd_b_q ncbgÍrpgamq. 3. Opclb_ _q _jkmd_b_q bc ncgrm ls (l m k_gq k_laf_q kcbga_ m) c d_xcp qc mq a_ mq cqr m 3. Opclb_ _q _jkmd_b_q bc ncgrm ls (l m k_gq k_laf_q kcbga_ m) c d_xcp qc mq a_ mq cqr m amlcar_bm. (Rcosc m ncgrm, qc lcacqqÍpgm.) 4. Cmjmosc sk_ _jkmd_b_ lm j_bm qsncpgmp bgpcgrm c msrpm lm ncgrm _jesk_q nmjce_b_q _ _gvm b_ 4. Cmjmosc sk_ _jkmd_b_ lm j_bm qsncpgmp bgpcgrm c msrpm lm ncgrm _jesk_q nmjce_b_q _ _gvm b_ p_ m cqoscpbm. 5. gkn_p _ Ípc_ n_p_ ncpkgrgp AED n_p_ jcp pgrkm, m osc nmbc bckmp_p _rà 15 qceslbmq. 6. Rc l m fmstcp lclfsk pgrkm ck 15 qceslbmq, pcglgagc COQ. 7. Rc _ AED glbga_ sk afmosc à lcacqqÍpgm, jgkn_p m glbgtâbsm, acprgdga_lbm-qc bc osc lglesàk cqrch_ rma_lbm cjcq c osc m mvgeálgm dmg pckmtgbm. G_p_lrgp tgqs_jkclrc osc m glbgtâbsm à aj_p_ c epgr_p üC EAQ! 8. Opcqqgmlc m mr m üRfmai . 9. pcrmk_p gkcbg_r_kclrc QCO amkc _lbm amk amknpcqqécq. 10. Dcnmgq bc bmgq kglsrmq bc QCO, _l_jgq_p m pgrkm amk _ AED. 11. Cmlrglsc _ qcesgp _q glqrps écq AED. Rc _ AED l m cqrÍ dslagml_lbm amppcr_kclrc, amlrglsc COQ. M m ncpa_ rcknm cvacqqgtm qmjs m bc npm jck_q b_ AED. COQ qcknpc tck ck npgkcgpm jse_p, c DAE q m qsnjckclr_pcq. M m sqc_ AED ck Íes_. AED l m cqrÍ amlrp_-glbga_b_ ck glbgtâbsmq amk gknj_lr_bm bcqdg pgj_bmp / k_pa_n_qqm; lm clr_lrm, l m amjmosc n_b bgpcr_kclrc qm pc m bgqnmqgrgtm. > > Opãvgk_: Rgqrck_q bc Csgb_bmq AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 18AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 18 NPGLA NGMQ B> C>PJW BCQDG?PGJ> zM FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_2/ QfpqbjYp ab rfaYalp Fgesp_ 13 DNM Aq bgpcrpgxcq b_ AHA bcqapctcp qgqrck_q bc asgb_bmq amkm sk_ n_prc qcn_p_b_ c gknmpr_lrc bm rpcgl_kclrm npmtcbmp bc AC R. Eqrcq qgqrck_q bc asgb_bmq bcqapctcp _ mpe_lgx_ m bc npmdgqqgml_gq lcacqqÍpgmq n_p_ _ja_l _p m kcjfmp pcqsjr_bm nmqqâtcj n_p_ _q agpaslqrÓlag_q bc sk bcrcpkgl_bm glbgtâbsm. Ejcq glajsck sk_ tgq m ecp_j b_q k_lcgp_q glrcptcl écq osc q_jt_k tgb_q bctck qcp mpe_lgx_bmq n_p_ e_p_lrgp osc cjcq q m clrpcescq bc dmpk_ cdgagclrc c cdga_x. Hmqngr_gq, dslagmlÍpgmq ELR c amkslgb_bcq osc qcesck Rgqrck_q _ p_leclrc bc asgb_bmq bckmlqrp_k kcjfmpcq pcqsjr_bmq n_p_ qcsq n_agclrcq bm osc _oscjcq osc l m m d_xck. Gcqr m bc ckcpeálag_q amk pgqam bc tgb_ pcoscp _ glrcep_ m bc sk_ cosgnc ksjrgbgqagnjgl_p osc nmbc cltmjtcp cosgncq bc pcqnmqr_ pÍngb_ (QQSR), cosgncq bc n_p_b_ a_pbâ_a_ c cqncag_jgqr_q ck asgb_bmq glrclqgtmq n_p_ _skclr_p _q r_v_q bc qm pctgtálag_. 2015 bgpcrpgxcq _rs_jgx_ m pcdjcrc ncqosgq_ osc kmqrp_ osc QQSq kcjfmp_p mq pcqsjr_bmq. > > Rcesglrc: pcqqsqagr_ m a_pbgmnsjkml_p Cnrfmb ab PbpmlpqY PÉmfaY 'PPR( Cnrfmb áafdl ArfaYalp fkqbkpfslp Cnrfmb mY fbkqb fkpqÉsbi FB: C_pbgmjmeg_ Rgejm WWI PCQQSQAGR> zM A>PBGMNSJKML>P Rsacqqm pcqqsqagr_ m a_pbgmnsjkml_p (COQ) pcoscp m sqm bcjc amkm n_prc bc sk qgqrck_ bc asgb_bmq bc af_k_b_ b_ C_bcg_ bc Rm pctgtálag_ ( > Rsacqqm pcqqsqagr_ m a_pbgmnsjkml_p (COQ) pcoscp m sqm bcjc amkm n_prc bc sk qgqrck_ bc asgb_bmq bc af_k_b_ b_ C_bcg_ bc Rm pctgtálag_ ( > Rsacqqm pcqqsqagr_ m a_pbgmnsjkml_p (COQ) pcoscp m sqm bcjc amkm n_prc bc sk qgqrck_ bc asgb_bmq bc af_k_b_ b_ C_bcg_ bc Rm pctgtálag_ ( > DfdroY 03( - Cmkm _amlrcac amk os_joscp a_bcg_, à r m dmprc os_lrm qcs cjm k_gq dp_am. Aqqgk, rmbmq bctck qc cqdmp _p n_p_ qc acprgdga_p bc a_b_ DfdroY 03( - Cmkm _amlrcac amk os_joscp a_bcg_, à r m dmprc os_lrm qcs cjm k_gq dp_am. Aqqgk, rmbmq bctck qc cqdmp _p n_p_ qc acprgdga_p bc a_b_ DfdroY 03( - Cmkm _amlrcac amk os_joscp a_bcg_, à r m dmprc os_lrm qcs cjm k_gq dp_am. Aqqgk, rmbmq bctck qc cqdmp _p n_p_ qc acprgdga_p bc a_b_ jge_ m à dmprc. Omp cvcknjm, mq jâbcpcq b_ amkslgb_bc nmbck rp_ _jf_p n_p_ _skclr_p _ amlqagclrgx_ m qm pc mq qgl_gq c qglrmk_q bc n_p_b_ a_pbâ_a_ c d_xcp DAE bgqnmlâtcj ck jma_gq nê jgamq. cosgncq bc ELR bctc dga_p _ n_p b_q _rs_jgx_ écq c glmt_ écq ck pc_lgk_ m c _npgkmp_p _q f_ gjgb_bcq lcacqqÍpg_q n_p_ clrpce_p COQ dmpk_ pÍngb_ c cdga_x. Hmqngr_gq bctck cqr_p npmlr_q n_p_ pcac cp n_agclrcq ck n_p_b_ a_pbâ_a_ c dmplcacp cvacjclrc _rclbgkclrm. aclrpmq bc asgb_bmq c pcncpdsq m apârga_q bctcpÍ qcp amknmqrm nmp cqncag_jgqr_q c cosgn_bm amk _ rcalmjmeg_ k_gq pcaclrc. AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 20AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 20 QfpqbjYp ab rfaYalp IMÇCIN DN CADEIA DE RNBQEUIUÃMCIA N glâagm npcamac b_ B R dmg kmqrp_bm n_p_ _skclr_p _ npm _ gjgb_bc bc qm pctgtálag_ bc sk_ ncqqm_ jgb_p amk n_p_b_ a_pbâ_a_. O_p_ _skclr_p _q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( > DfdroY 03( -_q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( > DfdroY 03( -_q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( > DfdroY 03( -_q af_lacq bc qm pctgtcp _ sk ctclrm a_pbâ_am, m qmamppgqr_ bctc qcesgp _q cr_n_q b_ a_bcg_ Absjrm bc Rm pctgtálag_ ( > DfdroY 03( - AYabfY >ariql ab QlZobsfsÚk fY > > Mcvr: Csgb_bmq Dcrcl m Omqr-C_pbâ_am NÁQ,A>PB >A> ASGB>BMQ NPGQzM >BT>LACB QSNMPRC > TGB> abpcfZofiYo AMK >CBPbYifwYo Y PAN C>PJW Pb lkeb bo lp pfkqljYp b YqfsYo CKQ Fgesp_ 14 FB: C_pbgmjmeg_ Rgejm WWI Smkc lmr_ AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_21 ASGB>BMQ NPGQzM BC NÁQ,A>PB >A> asgb_bmq glrcep_bmq npgq m nãq-a_pbâ_a_ à m êjrgkm cjm b_ a_bcg_ Absjrm bc qm pctgtálag_. A os_jgb_bc bcqrc _rclbgkclrm à dslb_kclr_j n_p_ npmnmpagml_p glbgtâbsmq pc_lgk_bmq amk mq kcjfmpcq pcqsjr_bmq nmqqâtcgq. Ps_lbm _q glrcptcl écq q m dmplcagbmq _ _gvm, fÍ sk _skclrm b_ npm _ gjgb_bc bc qm pctgtálag_. Aq bgpcrpgxcq _rs_jgx_ m 2015 pcamkclb_ sk bc pgcdgle dma_bm b_q cosgncq bc pcqe_rc / npcqr_bmpcq amk _ dgl_jgb_bc bc kcjfmpg_ bm bcqcknclfm. fgnmrcpkg_ rcp_násrga_ Qcamkclb_bm n_p_ ncqqm_q ck amk_, amk pcrmplm b_ agpasj_ m cqnmlrÓlc_ _nãq sk ctclrm bc n_p_b_ a_pbâ_a_. Nq glbgtâbsmq bctck qcp _ppcdcagb_ n_p_ 89,6 _ 93,2 ep_sq F (32 _ 36 ep_sq C) bsp_lrc ncjm kclmq 24 fmp_q. NSILIXAÁºN bc fckmbglÓkga_ c Uclrgj_ m 100% bc mvgeàlgm à _acgrÍtcj n_p_ _ glrcptcl m npcamac k_q l m n_p_ ncpâmbmq bc rcknm npmjmle_bmq. Nvgeàlgm bctc qcp rgrsj_b_, bc kmbm osc _ mvgkcrpg_ bc nsjqm bm glbgtâbsm à qsncpgmp _ 94% n_p_ ctgr_p _ rmvgagb_bc bc mvgeàlgm. M m k_gq bc tclrgj_p n_p_ ctgr_p nmrclag_gq cdcgrmq fckmbglÓkgamq _btcpqmq. Aq r_v_q bc tclrgj_ m bc 10 _ 12 pcqngp_ écq nmp kglsrm n_p_ _rglegp ESCN2 ck 35 _ 40 kkHe. IU djsgbmq c kcbga_kclrmq t_qm_argtmq bctc qcp rgrsj_b_ n_p_ _ cqr_ gjgb_bc fckmbglÓkga_. IMSEQUEMÁºN CNQNM QIA OEQCTS MEA glrcptcl m ampmlÍpg_ ncpasrÓlc_ (OCI) à npcdcpgbm ck pcj_ m rpmk mjârgamq. Ilbgtâbsm bctc qcp rmk_bm nmp ELR bgpcr_kclrc n_p_ sk fmqngr_j osc pc_jgx_ OCI. Rc m glbgtâbsm à clrpcesc _ sk aclrpm osc mdcpcac _ncl_q rpmk mjârgamq, cjcq bctck qcp rp_lqdcpgbmq n_p_ sk aclrpm osc mdcpcac OCI qc m rcknm ncpkgrgp. _qqgqrálag_ lcspmjãega_ _t_jg_ m lcspmjãega_ à dslb_kclr_j, cqncag_jkclrc os_lbm b_ pcrgp_b_ bc asgb_bmq (ms qch_, _ kmprc acpc p_j) n_p_ bgkglsgp r_v_q bc d_jqmq nmqgrgtmq. amlqsjr_ bc cqncag_jgb_bc bctc qcp m rgbm n_p_ kmlgrmp_p qgl_gq c qglrmk_q lcspmjãegamq bsp_lrc rmbm m ncpâmbm nãq-pcqqsqagr_ m. > > Rcesglrc: Râlbpmkc Cmpml_pg_l_ Aesb_ FB: C_pbgmjmeg_ Rgejm WWI QfpqbjYp ab rfaYalp AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 22AC R - Rsnmprc At_l _bm bc Ugb_ ck C_pbgmjmeg_ 22 Qàkaoljb lolkYofYkY YdraY O_p_ mq glbgtâbsmq amk qâlbpmkc ampml_pg_l_ _esb_ (RCA), mk _rclbgkclrm amkc _ bsp_lrc _ af_k_b_ n_p_ ELR. Rmamppgqr_q bctck cqr_p amlqagclrcq c npmasp_p qgl_gq bc ACR. bg_elãqrgam c rp_r_kclrm pÍngbm bcs _ kcjfmp af_lac bc npcqcpt_p m rcagbm q_sbÍtcj bm amp_ m.  ksgrm gknmpr_lrc osc mq npcqr_bmpcq bc asgb_bmq bc q_êbc pcamlfcacp glbgtâbsmq amk nmrclag_j bc ACR, _ dgk bc glgag_p _ _t_jg_ m, rpg_eck _npmnpg_b_, c ecqr m mnmprsl_. QRCKGAeYfk lc QrosfsYi NBJESIUNR DA ACR SQASALEMSN amkslga_ m ELR acbm ncpkgrc _ npcn_p_ m bc ncqqm_j bm bcn_pr_kclrm bc ckcpeálag_ c j_ mp_rãpgm bc a_rcrcpgqkm a_pbâ_am c dslagmlÍpgmq. Tk_ tcx osc m n_agclrc ACR afce_ Ê glqr_j_ m bc pcacn m, npmrmamjmq cqr_ cjcagbmq bctc bgpgegp asgb_bm. Ps_lrm k_gq asprm m rcknm _rà Ê pcncpdsq m à, os_lrm k_gmp _ os_lrgb_bc bc rcagbm bm amp_ m osc nmbc qcp q_jt_, c m k_gq ãnrgk_ m pcqsjr_bm ejm _j. Etclrmq a_pbâ_amq _btcpqmq (LACE) glajsg _ kmprc c m cld_prc bm kgmaÍpbgm l m d_r_j. amknjga_ écq d_r_gq bc ACR glajsck dg pgj_ m tclrpgasj_p, r_osga_pbg_ tclrpgasj_p qck nsjqm, p_bg_ppgrkg_q, afmosc a_pbgmeálgam, c cbck_ nsjkml_p. ELR bctc rcp _ a_n_agb_bc bc pc_jgx_p ECGq l_ acl_ c lm a_kglfm n_p_ m fmqngr_j. N fmqngr_j pcacn m bctck cqr_p agclrcq bc ACR nmqqâtcj, cqncag_jkclrc cjct_ m RS cld_prc bm kgmaÍpbgm cjct_ m (IAL) c cld_prc bm kgmaÍpbgm l m-RS-cjct_ m (IALRRRS). > > Ek qcesgb_: Smosc Aesbm OrYifaYab máp,KG ASGB>BMQ PbmbocrpÍl lj NAG lr cfZofkliàqf lp ASGB>BMQ AMK ?>QC BC NPMT>Q CKQ , ECQRzM moÕ,elpmfqYiYo Pb lkeb bo lp pfkqljYp b YqfsYo CKQ Fgesp_ 15 Fgesp_ 16 PCBSXGP kb olpb jfl Éoaf Y N>P> NPCQCPT>P AMP> zM DSL zM Nobsbkfo lp bsbkqlp
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- Decisões envolvem avaliação quantitativa: estoques adicionais só são justificados se economias em compras superarem o custo de capital imobilizado....
- tricotei 3 h A fronteira do Brasil com a Venezuela está fechada na manhã deste sábado (3). Segundo a Polícia Federal, houve alterações no movimento na
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- estudos disciplinares
- confiabilidade e manutenção industrial
