Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus
Transcript of Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus
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DGD]WDYE BEYEJLJOEYYEYW@F GEO@YWER@
]DGD N@JNDWPY
Eh`u Nuraegdyda, F.H`p., Ns.,Yp.H`p.Dn
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Yest`f Geo`stev`
Yest`f geo`stev` dgdlda sest`f tukuaydno f`fpunyde p`rdndn p`nteno gdldf3
]`ny`geddn nutre`n kdoe tukua
]`no`ludrdn sesd p`ni`rnddn h`ludrtukua
]`rtdadndn tukua gdre fehrjjrodnesf`
ydno fdsuh f`ldlue fdhdndn
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Nutre`n f`rupdhdn zdt ydno sdnodt gekutuahdnjl`a tukua untuh p`fk`ntuhdn `n`roe ydno
gep`rluhdn jl`a s`tedp cdrenodn gdldf f`ldhuhdndhtebetdsnyd.
]dgd fdsd entrdut`ren` p`f`nuadn h`kutuadnt`rs`kut geldhuhdn f`ldlue pldi`ntd
K`oetu ldaer aukunodn g`nodn eku l`wdtplds`ntd geputus geodntehdn jl`a sest`fgeo`stev` k`h`rcdsdfd g`nodn sest`f
idrgejvdshul`r gdn sest`f r`sperdse Kdye Kdru Ldaer adrus f`fulde untuh
f`fdsuhhdn(f`n`ldn) , f`ni`rnd gdnf`nodksjrkse fdhdndn.
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Jrodn p`ni`rnddn n`jndtus
Yusundn sdlurdn p`ni`rnddn t`rgere gdre 3 -
Jres (fulut) - Bdreno - @sjbdous(h`rjnohjnodn) - Psus adlus - Psus k`sdr -
[`htuf - Dnus
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]`fk`ntuhdn `nzef sest`f
p`ni`rnddn pdgd n`jndtus
@nzef-`nzef p`nteno untuh f`ni`rnd
hdrkjaegrdt, prjt`en, gdn l`fdh s`g`radnd
dgd pdgd fenoou h`-92-91 used o`stdse.
Kdye kdru ldaer iuhup kuldn fdfpu f`n`ldn,
f`ni`rnd, f`f`tdkjlesf` gdn f`nodksjrkse
prjt`en gdn hdrkjaegrdt s`g`radnd s`rtd
f`no`fulse l`fdh (C`ns`n `t dl., ;==7).
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@nzef p`ni`rnddn n`jndtus3
Dfelds` pdnhr`ds f`nodldfe g`bese`nse s`ldfd 9-2 kuldnp`rtdfd s`t`lda ldaer, s`aenood KKL tegdh kesd f`ni`rnd
c`nes hdrkjaegrdt ydno hjfpl`hs s`p`rte ydno t`rgdpdt
pdgd s`r`dl.
]`rh`fkdnodn dhtebetds ldhtds` k`rldnosuno r`ldtebldfkdt gdn f`nidpde tenohdt dg`hudt pdgd used o`stdse
92 fenoou.
Y`lden etu KKL cuod f`nodldfe g`bese`nse lepds` pdnhr`ds.
L`fdh ydno dgd ge gdldf DYE l`kea kesd gei`rnd gdn l`keas`sude untuh kdye gdre pdgd l`fdh ydno t`rgdpdt pdgd
susu bjrfuld ( Ojrre`, `t dl., ;==1).
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Ijnt
Psus kdye kdru ldaer r`ldtev` tegdh fdtur.
Yest`f jtjt ydno f`nyusun jrodn t`rs`kut l`kea tepes gdn
hurdno `bese`n gekdngenohdn pdgd jrdno g`wdsd s`aenood
o`ljfkdno p`restdlteh tegdh gdpdt gepr`gehsehdn.
Lepdtdn gdn vele gengeno usus k`luf k`rh`fkdno s`fpurnd.
Y`l `pet`l ydno f`ldpese usus adlus kdye kdru ldaer tegdh
k`rodnte g`nodn i`pdt s`aenood f`nenohdthdn dksjrks ydno
pdleno `b`hteb.
Dwdl p`fk`redn fdhdn jrdl f`nstefuldse ldpesdn usus dodr
fdtur g`nodn f`nenohdthdn p`rodntedn s`l ydno i`pdt gdn
prjguh `nzef fehrjvelus, s`p`rte dfylds`, trepsen, gdn lepds`
pdnir`ds.
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Dgdptdse Besejljoes Yest`f]`ni`rnddn N`jndtdl4. ]`rukdadn Ajrfjndl 3
Ijrtesjl
Idta`ijldfen
;. F`tdkjlesf` `n`roy
9. ]`rukdadn dndtjfe & bunose
sest`f i`rnd
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Entrdut`ren`
Beljrus gdn bungus, odst`r, t`rk`ntuh used o`stdse47 fenoou. Ypenht`r `sjbdodl t`rk`ntuh used o`stdse ;1
fenoou, usus t`rk`ntuh used ;= fenoou, pdncdnousus ;0=-9==if ky t`rf, hdpdsetds odst`rs`hetdr 9= fl.
r`bl`hs f`n`ldn sugda fulde t`rleadt gdreh`oedtdn f`n`ldn gdn f`noaesdp dfnejn
O`rdhdn f`noaesdp dhteb tdfpdh pdgd ;2-;1
fenoou. Iderdn `fp`gu fulde geprjguhse s`cdh dhaer
tref`st`r p`rtdfd, geehute g`nod s`lurua `nzef-`nzef p`ni`rnddn ldennyd.
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PO ;1 fenoouhdpdsetds kejhefed gdn besejljoesuntuh geo`steb & dksjrpse sugda dgd.
@nzef-`nzef p`nteno untuh f`ni`rnd hdrkjaegrdt,
prjt`en, gdn l`fdh s`g`radnd (pjlep`pteg`3 odstren,fjtelen, hjl`sestjhenen, pdnir`dtei` pjlyp`pteg`,sjfdtjstdten) dgd pdgd fenoou h`-92-91 used o`stdsesugda fulde gek`ntuh untuh f`fp`rsedphdnh`ldaerdn (h`aegupdn cdnen `hstrdut`ren)
Wrdnspjrt ent`stendl dsdf dfenj (47 fenoou), oluhjsd(41 fenoou), BBD (;7 fenoou)
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Ldhtjsdsufk`r hdrkjaegrdt pr`gjfendn
ydno t`rgdpdt pdgd DYE/bjrfuld. Dhtevetdsldhtds` (f`rukda lditjsdoluhjsd) t`rleadtpdgd PO 5 fenoou, gdn PO ;7 fenoouf`nidpde ldhtds` pg n`jndtdl, p`nenohdtdn
grdfdtes t`rcdge pdgd PO 9;-97 fenoou. Gesdhdregds` (dfelds`, fuhjsdl oluhjdfelds`)
dhteb sddt PO ;?-;1 fenoou
Y`hr`se `fp`gu t`rcdge pdgd PO ;; fenoou Y`hr`se dsdf ldfkuno t`rcdge pdgd PO ;=
fenoou
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]rjs`s p`ni`rnddn cdnen k`luf t`rcdge s`idrd dhteb(endhteb), h`kutuhdn cdnen dhdn nutrese tegdh gep`nuaeg`nodn sest`f p`ni`rnddnnyd t`tdpe gep`rjl`a gdre
plds`ntd. [`bl`hs fdhdn pdgd cdnen gegdldf hdngunodn sugda
fulde t`rleadt gdre h`oedtdn f`n`ldn dfnejn gdnf`noaesdp.
Hjjrgendse Njn nutretev` suiheno t`rleadt pdgd PO ;1fenoou, suih-swdlljw ijjrgendtejn t`rcdge pdgd PO97-92 fenoou (Kldihkurn, ;=49).
Fjteletds OEhjntrdhse rdngjf t`rleadt PO ;0-9=fenoou, fjteletds f`nenohdt PO 9=-9; fenoou,fjteletds l`kea t`rjrodneser > 97 fenoou ldaer(Kdihkurn, ;=498 Geffet & Yekl`y, ;=4;).
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Ijnt F`hjneuf, f`rupdhdn ese ydno utdfd t`rutdfd
pdgd sdlurdn p`ni`rnddn cdnen, tdfpdh fulde used
42 fenoou, f`hjneuf tegdh geh`ludrhdn s`ldfd cdnenk`rdgd gegdldf ut`rus (tegdh t`rcdge prjs`s g`b`hdse)hdr`nd p`restdlteh k`luf dhteb h`iudle pdgd b tdlgestr`s.
]dgd cdnen ydno f`nodldfe b`tdl gestr`s,t`rcdge p`n`hdndn pdgd dkgjf`n gdn spenot`r dndlf`nodldfe r`ldhsdse s`aenood f`hjneuf ydnot`rsefpdn gdldf usus h`ludr gdn k`ridfpur der
h`tukdn. Jhseo`ndse cdnen utdfd t`tdp k`rdsdl gdre serhuldse
fdt`rndl-b tdl f`ldlue plds`ntd gdn tdle pusdt.
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@hstrdut`ren` N`jndtus dt`rf fdfpu f`ni`rnd gdn dksjrkse DYE s`cdh
ldaer Bdhtjr p`rtufkuadn sp`sebeh-sp`se`s ge der susu p`nteno untuh
f`ngjrjno p`rh`fkdnodn p`ni`rnddn pdsid ndtdl.
Psus n`jndtus f`felehe hdpdsetds p`ni`rnddn gdn p`ny`rdpdn ydnoefdtur t`tdpe t`rgdpdt s`cuflda f`hdnesf` hjfp`nsdse, t`rutdfduntuh kdye ydno f`gdpdt der susu eku (L`k`ntadl & L`uno, ;==1).
Ypenot`r idrgedi dntdrd `sjpadous gdn ldfkuno pdgd n`jndtus fdseaeffdtur` (Jlgs, `t dl., ;=4=), f`nodldfe r`ldhsdse s`aenood gdpdtf`ny`kdkhdn r`ouroetdse fdhdndn s`o`rd s`t`lda gek`rehdn (Ojrre`, `tdl., ;==1).
[`ouroetdse cuod gdpdt t`rcdge hdr`nd hjntrjl p`rsdrdbdn pdgd ldfkunok`luf s`fpurnd (Jlgs, `t dl., ;==1).
Yddt ldaer hdpdsetds ldfkuno KKL s`hetdr 2 fl/ho KK, dtdu rdtd-rdtds`hetdr 0=-2= ii, t`tdpe s`o`rd k`rtdfkda sdfpde s`hetdr 5= fl s`ldfdk`k`rdpd adre p`rtdfd h`aegupdn.
Ldfkuno dhdn hjsjno gdldf 9 cdf (Jlgs, `t dl., 451=) untuhp`fdsuhdn fdhdndn gdn hjsjno s`fpurnd gdldf ; sdfpde 7 cdf.
(Ojrre`, `t dl., 4551).
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@hstrdut`ren` N`jndtdl funohen f`nodldfe h`t`rldfkdtdn
gdldf odstei `fptyeno hdr`nd hjntrdhse p`rsetdltehfdsea k`rsebdt rdngjf, r`spjn gjug`nuftradgdp fdhdndn fdsea efdtur, hjntrdhsegujg`ndl efdtur g`ldy`g odstrei `fptyeno.
]`restdlteh f`ncdge l`kea t`rjrodneser, gujg`ndlr`spjns`s & odstrei `ftyeno tef` efprjv`ss`cdldn go f`nenohdtnyd o`stdsejndl do`, r`ourdl`nt`rdl b``geno (4= adre) f`felehe `b`h fdturdsepjseteb t`radgdp gujg`ndl r`spjn (Kldihkurn,;=498 Geffet & Yekl`y, ;=4;).
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@hstrdut`ren`
KKL f`fpunyde usus ydno l`kea pdncdno gdldf
uhurdnnyd t`radgdp k`sdr kdye gdn cehd
gekdngenohdn g`nodn jrdno g`wdsd.H`dgddn ene
f`ny`kdkhdn dr`d p`rfuhddn untuh dksjrkse
l`kea luds (Ojrre`, `t dl., 4551). Keseno usus pdgd h`dgddn njrfdl gdpdt geg`nodr
pdgd 7 hudgrdn dkgjf`n gdldf cdf p`rtdfd
s`t`lda ldaer dhekdt kdye f`n`ldn ugdrd sddtf`ndnoes gdn syst`f sdrdb sefpdtes f`rdnosdno
p`restdltei (Yefpsjn & Ir``adn, ;==4).
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@hstrdut`ren`
Yddt ldaer sdlurdn i`rnd st`rel. Y`hdle kdye t`rpdpdr g`nodn lenohunodn ludr gdn
iderdn fulde fdsuh, kdht`re fdsuh h` sdlurdn i`rnd.
Bljrd njrfdl usus dhdn t`rk`ntuh gdldf k`k`rdpd
adre p`rtdfd h`aegupdn (Ojrre`, `t dl., 4551)
s`aenood f`shepun sdlurdn i`rnd st`rel sddt ldaer,
pdgd h`kdnydhdn kdye kdht`re gdpdt gehultur gdldf
0 cdf s`t`lda ldaer. Kdht`re ene p`nteno untuh p`ni`rnddn gdn untuh
sent`sd vetdfen H (Jlgs, `t dl., 451=).
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[`bl`hs Fdhdn
Y`cdh ldaer, s`jrdno kdye njrfdl gdpdt f`noaesdp
gdre puteno pdyugdrd, f`nydlurhdn der susu h` kdoedn
k`ldhdno fulut gdn f`n`ldnnyd s`ldfd 0-4= f`net
sdfkel k`rndbds njrfdl. W`rgdpdt prjordf r`bl`h gdn p`reldhu kdwddn, ydno
f`ncdge s`fdhen c`lds gdldf s`hetdr sdtu cdf s`t`lda
p`rsdlendn, t`rfdsuh h`fdfpudn k`ro`rdh gdre
p`rut eku h` pdyugdrd, dhtebetds tdnodn t`rhjjrgendse,o`rdhdn f`nidre puteno pdyugdrd, f`l`hdt h`
pdyugdrd, gdn f`noaesdp s`k`luf kdye tegur.
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Ijnt
Y`ntuadn pdgd ldnoet-ldnoet f`feiu r`bl`h f`noaesdp.
N`jndtus f`fp`rleadthdn h`rcd rdadno retfeh, ydnof`feiu t`hdndn n`odteb gdn h`rcd p`restdlteh legda gdn
rdadno f`f`rds der susu gdre pdyugdrd gdn
f`fengdahdnnyd h`h`rjnohjnodn ydno h`fugedn
f`feiu r`bl`h f`n`ldn.
Hjjrgendse Njn nutretev` suiheno t`rleadt pdgd PO ;1
fenoou, suih-swdlljw ijjrgendtejn t`rcdge pdgd PO 97-
92 fenoou (Kldihkurn, ;=49).
]dgd n`jndtus njrfdl, r`bl`hs f`nyusu ene hudt sddt
ldaer gdn sugda tdfpdh pdgd kdye pr`fdtur` s`cdh used
s`hetdr 9; fenoou (s`hetdr 4;==o).
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Kdye ydno sdnodt pr`fdtur gdn f`r`hd ydnok`r`sehj sdhet dtdu k`rdt ldaernyd sdnodtr`ngda f`fp`rleadthdn p`nurundn ydno
f`nijljh dtdu tegdh dgdnyd r`bl`hsf`noaesdp.
Kdye lden gdpdt f`nodldfe fdsdlda fdhdn3kdye g`nodn hjno`netdl ldkej-pdldtjshezes, kdyeg`nodn s`gdse dtdu dndlo`sed jkst`treh, kdyeydno str`s k`rdt sddt p`rsdlendn.
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Ijnt [`bl`h f`noaesdp gdn f`n`ldn gekdntu jl`a
hjnbeourdse fjrbjljoes fulut n`jndtus ydnohausus, ldnoet-ldnoet lundhnyd s`idrdprjpjrsejndl l`kea pdncdno.
N`jndtus cuod f`felehe r`bl`hs `hstruses`kdode r`spjn t`radgdp dgdnyd kdadn pdgdtdtdu s`t`noda pdgdt gegdldf fulutnyd.
[`bl`hs ene aeldno pdgd used 7-2 kuldn gdn
geodnte jl`a sudtu pjld o`rdhdn f`nooeoetretfeh ydno k`rsdfddn g`nodn tufkuanydoeoe p`rtdfd pdgd used ?-5 kuldn.
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G`b`hdse pdgd n`jndtdl3
B`s`s p`rtdfd ydno ge`hsr`se jl`a kdye ges`kut f`hjneuf,k`rwdrnd o`ldp, aetdf h`aecdudn, h`ntdl, hjnsest`nsenyd s`p`rtedspdl, l`fkut, tegdh k`rkdu, gdn l`noh`t.
]`no`ludrdn f`hjneuf, sudtu idfpurdn fuhus, s`l `pet`l, dsdfl`fdh, gdn peof`n `fp`gu (ydno f`ny`kdkhdn wdrnd hads aetdfh`aecdudn). F`hjneuf k`rdsdl gdre3
Y`l-s`l fuhjsd gengeno sdlurdn i`rnd ydno f`nodldfe g`shudfdsegdn rjntjh
Iderdn/`nzef ydno ges`hr`se s`pdncdno sdlurdn i`rnd,fulde gdresdlevd sdfpde `nzef-`nzef p`ni`rnddn
Iderdn dfnejn ydno gefenuf cdnen, ydno hdgdno cuod f`nodngunoldnuoj gdn s`l-s`l gdre hulet cdnen dtdu f`fkrdn dfnejn ydnorjntjh.
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Ijnt B`s`s f`hjneuf p`rtdfd kedsdnyd h`ludr gdldf ;7
cdf p`rtdfd s`t`lda ldaer. Cehd tegdh h`ludr gdldf 92-71 cdf, kdye adrus
gep`rehsd pdt`nse dnus, keseno usus gdn gest`nsedkgjf`n gdn geiureode h`funohendn jkstruhse
(Ojrre`, `t dl., 4551 & Yefpsjn & Ir``adn, ;==4). Wep` h`gud b`s`s ydno geh`ludrhdn jl`a kdye ges`kut
b`s`s trdnsesejndl, k`wdrnd ijhldt h`aecdudn gdnhjnsest`nsenyd l`kea l`pds gdre pdgd b`s`s f`hjneuf.
B`s`s ene f`rupdhdn hjfkendse gdre f`hjneuf gdnb`s`s susu. H`dgddn b`s`s s`ldncutnyd s`sude tep`fdhdndn ydno gegdpdt jl`a kdye (Ojrre`,`t d., 451=).
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Ijnt
Hjljn pdgd kdye kdru ldaer hurdno `bese`n
f`nyefpdn iderdn gdre pdgd hjljn jrdno
g`wdsd s`aenood kdye kdru ldaer i`ng`runo
f`nodldfe hjfplehdse h`aeldnodn iderdn.
Hjngese ene f`fkudt p`nydhet gedr`
h`funohendn k`sdr f`ncdge s`reus pdgd kdye
fugd.
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]`rk`gddn hdrdht`resteh sest`f p`ni`rnddn entrdut`ren` gdn
`hstrdut`rend
DY]@H ENW[D PW@[EN @HYW[D PW@[EN
Yest`f Odstrjent`stendl [`ldteb Endhteb
(tegdh dgd fdhdndn ydno get`refd
f`ldlue jrodn odstrjent stendl)
Dhteb (dgd fdhdndn ydno fdsuh
f`ldlue jrodn odstrjent stendl)
[@bl`hs [`bl`h fdhdn Yugda dgd, kdye
F`n`ldn iderdn dfnejn gdn
f`fp`rleadthdn o`rdhdn f`noaesdp
Dgd gdn s`fdhen kdeh, Kdye sugda
fdfpu f`ni`rnd gdn
f`no`lefendse DYE dtdu susu
bjrfuld
[`bl`hs p`restdlteh gdn
G`b`hdse
]dgd kdoedn kdwda dkgjf`n r`bl`hs
p`restdlteh tegdh dhteb s`aenood tegdh
t`rcdge p`no`ludrdn f`hjneuf.
H`iudle pdgd b`tdl gestr`s (der h`tukdn
k`ridfpur f`hjneuf)
]dgd kdoedn kdwda
dkgjf`n p`restdlteh sugdh dhteb,
s`aenood kdye f`no`ludrhdn
b`s`s. Wegdh dgdnyd b`s`s gdldf
71 cdf p`rtdfd f`noegehdsehdn
jkstruhse ese usus
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IjrtesjlF`rupdhdn ajrfjn r`ouldtjr untuh
fdturdse dhaer gdn dgdptdse n`jndtdltag h`ldaerdn Hdgdr ijrtesjl cdnen s.g used h`adfeldn
9= fo r`ngda (04=uo/fl) gdn s`idrdprjor`seb ;=uo/fl pg h`adfeldn 92fo gdn f`ncdge 70uo/fl f`nc`ldnoh`ldaerdn dt`rf
Ijrtesjl l`kea i`pdt sddt h`ldaerdn gdnpunidhnyd f`nidpde ;==uo/fl pdgdkkrp cdf s`t`lda h`ldaerdn
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Bunose ijrtesjl 3
Fdturdse pdru dndtjfy gdnsurbditdnt
F`fk`rseahdn iderdn gdre pdru
F`nenohdthdn g`nsetds r`i`ptjr Ijntrjl `n`roy f`tdkjlesf
Fdturdse bunose usus
Fdturdse tayrjeg dxes [`ouldse p`no`ludrdn idt`iajldfen`
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Idta`ijldfen` K`rp`rdn t`rutdfd untuh K] sddth`ldaerdn
Dgdptdse tag f`tdkjlesf` `n`roe yo
f`ny`gedhdn sukstrdt f`tdkjlesf`s`t`lda ldaer oluijsd gdn dsdf l`fdh
Kdye pr`t`rf f`ns`hr`se idt`iajldfen`
>>> j.h sest`f jrodn < r`spjnsev` Kdye go I`sdr`dn s`itejn f`ns`hr`se
idt`iajldfen`
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Oluijs` fdndo`f`nt
Yest`f jrodn, t`rutdfd jtdh, sdnodt t`rodntuno pdgd
oluhjsd s`kdode sufk`r `n`roe utdfd.
N`jndtdl f`felehe rdsej krden-tj kjgy w`eoat >>>
gdre g`wdsd, s`aenood h`kutuadn oluhjsd f`nenohdt. Hjnsufse oluhjsd s`r`krdl s`hetdr 5=%.
Yddt cdnen3 oluhjsd getrdnsb`r hjntenu` gdre serhuldse
fdt`rndl f`ldlue plds`ntd, s`aenood tegdh gep`rluhdn
dgdnyd prjguhse oluhjsd en ut`rj.
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Oluijs` ajf`jst`ses
]rjguhse oluhjsd
- Oluhjsd ydno tegdh geoundhdn ldnosuno untuh n`roedhdn gerukda f`ncdge olehjo`n (olehjo`n`ses3 oluhjsdolehjo`n), gdn gesefpdn ge a`pdr, cdntuno, jtjt.
- Y`ldfd pudsd, olehjo`n dgdn gerukda f`ncdge oluhjsd
(olehjo`njleses3 olehjo`noluhjsd).- H`fdfpudn n`jndtdl untuh olehjo`njleses k`rvdredse
t`rodntuno pdgd b`tdl orjwta gdn fdturety.
- Yufk`r lden oluhjsd dgdlda oluhjn`jo`n`ses3 prjguhse
oluhjsd gdn olehjo`n ge a`pdr ydno k`rdsdl gdre njn-oluijs` pr`iursjr (ldhtdt, peruvdt, oles`rjl/bdt, dsdfdfenj (Hdaldn & G`vdshdr, ;=44)
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F`tdkjlesfd oluhjsd
Oluhjsd gef`tdkjlesf` s`kdode sufk`r `n`roe, gesefpdn sko
olehjo`n, gehjnv`rse f`ldlue oluhjn`jo`nei pr`hursjr.
Ge jtdh, jxegez`g oluijs` f`ny`gedhdn 55% i`r`krdl `n`roy, ydno
gebdseletdse jl`a `nzef3
- Oluhjsd getrdnspjrt f l`wdte kljjg-krden kdrre r, fdsuh h` s l jtdhf`ldlue oluijs` trdnspjrt`r prjt`en.
- Ge setjpldsfd3 oluhjsdperuvdtjxegez`g ds`tel-HjDfdsuh h`
fetjhjngredsehlus dsdf setrdtprjguh dhaer3 IJ;, A;J, `n`roe
(DW])
- Cehd n`jndtus f`nodldfe aepjoleh fed, suktrdt lden s`p`rt h`tjn,
ldhtdt, DDperuvdtsehlus dsdf setrdtDW].
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[`ouldse ajrfjndl untuh ajf`jstdses
oluhjsd
4. ensulen3 ges`hr`se jl`a s`l k`td pdnhr`ds sko r`spjn t`radgdp
p`nenohdtdn oluhjsd pldsfd. Ensulenf`nenohdthdn
p`fk`ntuhdn olehjo`n, f`n`hdn p`no`ludrdn oluhjsd a`pdr,
f`nenohdthdn uptdh` oluhjsd s`lf`nurunhdn oluhjsd pldsfd.
Ensulen tegdh f`nojntrjl fdsuhnyd `n`roe h` jtdh dtdu lev`r.;. Oluhdojn3 ges`hr`se jl`a s`l k`td pdnh`rds h tehd t`rcdge
p`nurundn oluhjsd pldsfd. Oluhdojn f`nenohdthdn olehjo`njleses
& oluhjn`jo`n`ses. Ges`kut cuod s`kdode ijunt`rr`ouldtjry
ajrfjn (jppjset` tj ensulen) k`rsdfd g`nodn hdt`hjldfen,
hjrtesjl, orjwta ajrfjn.
9. Y`lurua ajrfjn ene k`rp`rdn untuh f`ncdod ajf`jstdses oluhjsd
(`uolyi`fed)
l l a
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B`tdl oluijs` ajf`jstdses
4. Oluhjsd fdsuh h` b`tus f`ldlue gebuse t`rbdseletdse ved
plds`ntd, pdgd jns`ntrdse ?=-1=% gdre hjns`ntrdse
oluhjsd fdt`rndl (Hdladn & G`vdshdr, ;=44).
;. ]`nyefpdndn olehjo`n untuh `n`roe pjstndtdl gefulde
sddt o`stdse dwdl gdn dhufuldse olehjo`n t`rtenooe
t`rcdge sddt tref`st`r h`teod.9. B`tdl ensulen t`rg`t`hse pdgd used o`stdse 1-44 fenoou,
ndfun r`spen t`radgdp oluijs` ljdg k`luf s`fpurnd
kdahdn sddt ldaer
7. B`tus fdfpu untuh f`ldhuhdn oluhjn`jo`nei ditevety,f`nooundhdn suktrdt s`p`rte ldhtdt (cehd gekutuahdn
untuh f`fnuae h`kutuadn f`tdkjlesf` en ut`rj)
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N`jndtdl Oluijs` ajf`jstdses4. Y`t`lda tdle pusdt geputus3 oluhjsd gdrda n`jndtdl turun,
f`nidpde teteh ndger pdgd 4-; cdf pdsid ldaer.;. ]dgd 4 cdf p`rtdfd3 jtdh kdye f`f`tdkjlesf` ldhtdt,
s`aenood f`shepun hdgdr oluhjsd r`ngda ndfun jtdh tegdh
h`hurdnodn oluhjsd.
9. Kdye s`idrd ordgudl f`fjkelesdse oluhjsd untuh f`f`nuaeh`kutuadn `n`roe gon f`ns`hr`se oluhdojn gdn hdt`hjldfen
gdn f`nsupr`se ensulen. Y`aenood kdahdn cehd t`rf-n`jndtdl
tegdh gek`rehdn fdhdndn s`o`rd s`t`lda ldaer, l`v`l oluhjsd
gdrda dhdn f`nenohdt pdgd 9-7 cdf p`rtdfd.
7. Olehjo`n a`pdr dhdn f`nurun cehd kdye tgh gek`re DYE, gdn
oluhjn`jo`n`ses & lepjleses dhdn f`ncdge sufk`r `n`roe
untuh f`f`leadrd oluhjsd gdrda.
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Y`hedn
&s`fjod k`rfdnbddt