3 NEUMO3 (v3)

download 3 NEUMO3 (v3)

of 15

Transcript of 3 NEUMO3 (v3)

  • 7/28/2019 3 NEUMO3 (v3)

    1/15

    Hes fases sngluharjs

    bj ha Gjukehela

    SEHZKJG NNN

    VZKAPNE?

    Jbnternah 6

    6.1. Pjfng gafnbe feg bncnfuhtab rjspnraterna :

    6.0. Ruker farfngenbj tpnfebj ernljg puhkegar >

    6.6. Jgsagfmaknjgte kjbnastgnfejg varg asngtektnfe 16

    6

  • 7/28/2019 3 NEUMO3 (v3)

    2/15

    GJZKEFHGNFA

    Jbnterjs?Tjbre Kartg Jsfrn`age

    Oes Huns Snjoe @aujhes

    Pjahnzabe per?CAJVKxnke Alunrrj, 122=>24 Haknafe-Hjena. Snzfayawww.cajs.js

    Jbntabe y feerbngabe per?HZ_G :, V.A. bj JbnfnegjsTasaoj bj ha Snrljg bj ha Ahjlra, 12.0=40< Kabrnb.j-kanh? huzagDhuzag:.jsmttp?//www.huzag:.js

    Rtuhe ernlngah? GJZKEFHGNFA

    Fepyrnlmt, 1>>=. Kartg Jsfrn`age T, Snjoe @aujhes OH.

    V.S.T. G? =>=Fekpesnfng j nhustrafng? HZ_G :, V.A. bj Jbnfnegjs

    Nkprnkj? Jlrac, V.A. Kabrnb.

    Pjsjrvabes tebes hes bjrjfmes. Gngluga partj bj jsta pu`hnfafng pujbj sjr rjprebufnba gn trags-kntnba jg gngluga cerka e kjbne ahluge, jhjftrgnfe e kjfgnfe, ngfhuyjgbe has cetefepnas, lra`a-fnegjs jg fuahqunjr snstjka bj rjfupjrafng bj ahkafjgaoj bj ngcerkafng sng jh pjrknse jsfrntebjh tntuhar bjh fepyrnlmt.

    Ferrjspegbjgfna?

    Kartg Jsfrn`age T.Vjrvnfne bj Gjukehela. Mespntah 10 bj Eftu`rj. 0=421 Kabrnb.Rcge. >1 6>4 =0 =1 23> :< 44: @urlesRcge. >2< 0= 1= 44

    BNSNVNEG LPZTE

  • 7/28/2019 3 NEUMO3 (v3)

    3/15

    6

    g jh prjsjgtj casffuhe sj jxpegjg bes fases fhgnfes quj mag tjgnbe rjhafng feg jspjfna-

    hnbabjs kuy prxnkas a ha Gjukehela feke seg Tjbnatra y Fnrula Rerfnfa. Jg jh prnkjre bj

    jhhes sj prjsjgta ug rjfng gafnbe feg bncnfuhtab rjspnraterna ferrjspegbnjgtj a uga bnsphasna `reg-

    fepuhkegar. Jstj fegfjpte jglhe`a a hes pafnjgtjs quj prjsjgtag sgtekas rjspnraternes, ahtjrafne-

    gjs jg ha rabnelraca bj trax y gjfjsnbab suphjkjgtarna bj exljge ks ahh bj hes 0= bas bj vnba.

    Feg ketnve bj jsta prjsjgtafng sj rjahnza uga aftuahnzafng bj has pesn`nhnbabjs tjraputnfas

    ngfhuyjgbe vjgtnhafng kjfgnfa, trataknjgte kbnfe y kjbnbas fekphjkjgtarnas.

    Jh sjlugbe fase fhgnfe a`erba ug tuker farfngefnbj feg uga prjsjgtafng pefe ma`ntuah jg ugapafnjgtj oevjg. Jstj tuker farfngenbj tpnfe js ug tuker bj `aoe petjgfnah bj kahnlgnbab feg phje-

    kercnske hjvj y ausjgfna bj kntesns, he quj he bncjrjgfna bjh farfngenbj atpnfe y hj mafj tjgjr ug kjoer

    pregstnfe. Ha rjsjffng qunrrlnfa js ha gnfa tjrapna furatnva y bj`j ngtjgtar sjr jfegknfa y rjs-

    pjtar jh kayer perfjgtaoj bj pargqunka. Ter jhhe, ha utnhnzafng bj tfgnfas `regfephstnfas js snjk-

    prj rjfekjgba`hj, y jh fnruoage terfnfe bj j tekar jg efasnegjs su bjfnsng ngtraepjraternakjgtj.

    Ter htnke, y jg rjhafng tak`ng feg fnrula terfnfa, sj prjsjgta ug pafnjgtj varg, oevjg, feg

    jgsagfmaknjgte kjbnastgnfe quj ferrjspegbj a uga jgcjrkjbab bj Fasthjkag e mnpjrphasna aglne-

    cehnfuhar hngcenbj hefahnzaba, quj tpnfakjgtj acjfta a laglhnes kjbnastgnfes pjre tak`ng pujbj

    bjsarrehharsj jg puhkg, phjura e parjb terfnfa, j ngfhuse cujra bjh trax. Rak`ng ha jxrjsns qun-

    rrlnfa, fekphjtaba feg rabnetjrapna sn ge cuj pesn`hj uga jxtnrpafng fekphjta, js jh trataknjgte

    bj jhjffng.

    A`erbakes, as, trjs gujvas sntuafnegjs sngluharjs bj patehela ge ma`ntuah bjh gjukhele y quj

    apertag bates bj ngtjrs.

    Hes Jbnterjs

    Jbnternah

    J

  • 7/28/2019 3 NEUMO3 (v3)

    4/15

    :

    jfng gafnbe bj sjxe cjkjgnge, prjtrknge bj

    0< sjkagas bj jbab ljstafnegah, feg pjse bj 3=4 l, quj

    nglrjsa per bncnfuhtab rjspnraterna.

    Agtjfjbjgtjs e`sttrnfes? jk`araze fegtrehabe feg ag-

    hnsns y jfelraca gerkah masta has 0< sjkagas bj ljstafng.

    Vj prebufj cnj`rj katjrga y bngknfa utjrnga

  • 7/28/2019 3 NEUMO3 (v3)

    5/15

    Bnsfusng?

    Gertmway jt ah. cujreg hes prnkjres quj ngtrebuojreg jg jh

    ae 1>3< jh trknge bj bnsphasna `regfepuhkegar (B@T)

    y ha bjsfrn`njreg feke jh bae puhkegar frgnfe quj rj-

    suhta bj ha vjgtnhafng kjfgnfa jg prjkatures feg cahherjspnraterne lravj1. Jg ha aftuahnbab may bncjrjgtjs frntj-

    rnes bj bjcngnfng jgtrj ha B@T fhsnfa y jh fegfjpte bj

    jgcjrkjbab puhkegar frgnfa (JTF). Jh trknge bj B@T

    jglhe`a a aqujhhes pafnjgtjs quj prjsjgtag sgtekas rjs-

    pnraternes, ahtjrafnegjs jg ha rabnelraca bj trax y gjfjsn-

    bab suphjkjgtarna bj exljge ks ahh bj hes 0= bas bj

    vnba0, knjgtras quj ha JTF sj rjcnjrj a ha bjpjgbjgfna bj

    exljge a uga jbab pestljstafnegah bj 63 sjkagas6.

    Jg jstes htnkes aes jh jkphje bj surcaftagtj jxljge,

    jh use bj hes fertnfenbjs prjgatahjs y has gujvas tfgnfas

    bj vjgtnhafng kjfgnfa mag bnskngunbe ha ngfnbjgfna bj

    B@T, sng jk`arle, fegtnga snjgbe ha fekphnfafng kscrjfujgtj bj hes rjfng gafnbes bj kuy `aoe pjse

    (8 1.:44 l). Vj jstnka uga ngfnbjgfna bj jgtrj 14%-64%.

    Tatelgjsns? hes cafterjs patelgnfes ks nkpertagtjs jg jhbjsarrehhe bj ha B@T seg ha ngkaburjz puhkegar, ha texnfn-

    bab bj exljge, jh aretrauka, ha ngcjffng y ha ngchakafng.

    Ngkaburjz puhkegar? buragtj has sjkagas 02 a 0= bj

    ljstafng sj prebufj jh pjrnebe bj ahvjeharnzafng feg ha

    bncjrjgfnafng fjhuhar y jh bjsarrehhe bjh hjfme fapnhar. Jg-

    trj has fhuhas, sj bncjrjgfnag has ahvjeharjs tnpe N, quj pjr-

    kntnrg jh ngtjrfak`ne lasjese, y has fhuhas tnpe NN, quj

    prebufnrg jh aljgtj tjgseaftnve. Jstes prefjses asjluraguga abjfuaba rjhafng bj vjgtnhafng-pjrcusng, prefjses

    quj ge sj vjrncnfag ferrjftakjgtj jg jh puhkg ngkabure.

    Rexnfnbab bjh exljge? jh exljge a ahtas fegfjgtrafne-

    gjs prebufj rabnfahjs hn`rjs, mnpjrphasna bj has fhuhas tn-

    pe NN, bjstruffng bj has bj tnpe N y prehncjrafng karfaba

    bj gjutrcnhes, kafrcales y cn`re`hastes jg jh ngtjrstnfne

    puhkegar.

    @aretrauka? jh puhkg ngkabure js sukakjgtj sjgsn-

    `hj a hes jcjftes kjfgnfes bj ha vjgtnhafng feg prjsng

    pesntnva. Vj prebufj uga karfaba bnstersng bjh r`eh

    `regqunah bj`nbe a ha ahta fekphnagfj a gnvjh `regqunehar

    y ahvjehar. Feke rjsuhtabe sj cerkag rjas mnpjrbnstjgbn-

    bas quj sj ahtjrgag feg zegas bj fehapse quj caverjfjg jh

    bjsarrehhe bj jgcnsjka ngtjrtnfnah, gjuketrax y per he

    tagte bj kayer bae puhkegar2.

    Ngcjffng? sj mag pu`hnfabe tra`aoes quj bjkestrareg ug

    rnjsle aukjgtabe bj B@T jg mnoes bj kabrjs feg jvnbjg-

    fna bj ferneakgnegntns:. Etres tra`aoes sulnjrjg quj may

    ug rnjsle aukjgtabe bj B@T jg gnes fuya va arja js-

    ta`a fehegnzaba feg Zrjaphaska urjahytnfuk jg jh ke-

    kjgte bjh gafnknjgte3.

    Ngchakafng? jg hes htnkes aes sj ma pestuhabe quj jh

    prefjse bj ngchakafng js ug kjfagnske nkpertagtj pa-

    ra jh bjsarrehhe bj bae puhkegar. Vj ma jgfegtrabe ugaukjgte snlgncnfatnve bj fhuhas ngchakaternas y varnas

    fntefngas jg ha va arja bj gnes quj bjspus bjsarre-

    hhag B@T. Rak`ng sj utnhnza ha tjecnhnga erah per sus

    jcjftes jstnkuhagtjs rjspnraternes y su jcjfte bnurtnfe,

    augquj bj`j usarsj feg prjfaufng bj`nbe a sus khtnphjs

    jcjftes sjfugbarnes.

    Pjfng gafnbe feg bncnfuhtab rjspnraterna

    3

  • 7/28/2019 3 NEUMO3 (v3)

    6/15

    Fertnfenbjs? aftag kebuhagbe ha rjspujsta ngchakaterna.

    Gukjreses tra`aoes mag bjkestrabe ha kjoera bj ha cugfng

    puhkegar bjspus bj ha abkngnstrafng bj jstjrenbjs, he quj

    cafnhnta ha suprjsng bj ha vjgtnhafng kjfgnfa. Tjre ag ge

    sj ma jsta`hjfnbe ha besns, jbab bj use, rlnkjg y burafng

    bj su utnhnzafng. Vj rjfeknjgba jh jkphje bj jstjrenbjs s-he bjspus bj has bes sjkagas bj vnba y jg gnes quj tnjgjg

    jvnbjgfna fhara bj bae puhkegar prelrjsnve14. Aftuahkjg-

    tj sj bnspegj bj hes fertnfenbjs ngmahabes, quj rjbufjg snl-

    gncnfatnvakjgtj hes jcjftes sjfugbarnes. Ag ge may bates

    prjfnses se`rj ha besns ks aprepnaba, hes bnstngtes tnpes bj

    fertnfenbjs y jh kjoer ktebe para su abkngnstrafng11. Ter

    he tagte, tebava ge sj rjfeknjgba bj cerka rutngarna.

    Gutrnfng? uga gutrnfng abjfuaba js fhavj jg jh kagjoe

    bjh gne feg B@T. Zg jstabe bj kah gutrnfng prebufnr ug

    rjtrase jg jh bjsarrehhe tagte sektnfe feke bj ahvehes

    gujves, kayer prepjgsng a has ngcjffnegjs y kayer sus-

    fjptn`hnhnbab a ha texnfnbab bjh exljge. Vj bj`jg abkngns-

    trar vntakngas B, A y J, fahfne, mnjrre y cehates. May quj tj-

    gjr prjsjgtj jh rjchuoe lastrejseclnfe quj feg crjfujgfna sj

    e`sjrva jg jstes gnes y quj pujbj fegtrn`unr ah prefjse bj

    ngchakafng regqunah.

    Ngcjffnegjs? sj bj`j bjtjftar fuahqunjr snlge tjkprage

    bj ngcjffng per he quj sj rjfeknjgba rjahnzar fuhtnves

    traqujahjs bj cerka pjrnbnfa.

    Fekphnfafnegjs? sj ma e`sjrvabe uga ahta ngfnbjgfna bjjgcjrkjbab e`struftnva bj ha va arja j mnpjrrjaftnvn-

    bab `regqunah quj pjrsnstj buragtj varnes aes jg abe-

    hjsfjgtjs y abuhtes ovjgjs10. Ahluges jstubnes rjfnjg-

    tjs mag ferrjhafnegabe ha cugfng rjspnraterna feg ha

    prjsjgfna bj atrapaknjgte arje y zegas bj cn`resns jgha RF bj ahta rjsehufng feg fertjs ngspnraternes y jspn-

    raternes16. Jstubnes a harle phaze sulnjrjg quj feg jh

    frjfnknjgte ha cugfng rjspnraterna y has nkljgjs puh-

    kegarjs tnjgbjg a kjoerar.

    Rak`ng prjsjgtag ngcjffnegjs rjspnraternas rjfnbnvagtjs.

    Vj ma e`sjrvabe quj ah kjges ha kntab bj hes gnes feg

    B@T nglrjsag jg ug mespntah buragtj hes bes prnkjres

    aes bj vnba. Jg ljgjrah ge sj ashag lrkjgjs jspjfcn-

    fes, he quj sulnjrj quj ha jtnehela sja vnrah. Ha ngcjffng

    per vnrus rjspnraterne sngfntnah (SPV) js lravj y jg ahlu-

    ges fases pujbj sjr kertah. Jg ha aftuahnbab sj rjfeknjg-

    ba ha abkngnstrafng bj hes agtnfujrpes kegefhegahjs yaquj ma bjskestrabe sjr jcnfaz jg bnskngunr ha lravjbab bj

    ha ngcjffng per jh SPV12.

    Vj mag bjsfrnte agekahas jg has fujrbas vefahjs y ahtjra-

    fnegjs traquje`regqunahjs sjfugbarnas a ha ngtu`afng (js-

    tjgesns su`lhtnfas e traqujahjs, traqujekahafna y lragu-

    hekas traqujahjs e jgbe`regqunahjs).

    3-=06.

    6. Vmjggag AR, Bugg KV, Emhsseg A, jt ah. A`gerkah puhke-

    gary eutfekjs ng prjkaturj ngcagts? Trjbnftneg crek exyljg

    rjqunrjkjgts ng tmj gjegatah pjrneb. Tjbnatrnfs 1>==9 =0?

    :0=>9 0:(2)? 62 A.

    :. \attjr`jrl IH, Bjkjrs HK, Vfett VK, Kurpmy V. Fme-rneakgnegntns agb jarhy hugl ngchakkatneg ng ngcagts ng

    wmek `regfmepuhkegary bysphasna bjvjheps. Tjbnatrnfs

    1>>39 >>=9 0? 024-022.

    >=9 :1? 16-00.

    =. Iae HF, \ar`urteg B, Varljgt F\, jt ah. Curesjknbj afu-tjhy bjfrjasjs anrways rjsnstagfj ng fmregnf `regfmepuhke-

    gary bysphasna. O Tjbnatr 1>=69 146? 302-30>.

    >. Bavns OK, Vnging PA, Aragba OS. Brul tmjrapy cer `reg-

    fmepuhkegary bysphasna. Tjbnatr Tuhkegeh 1>>49 =? 11-103.

    16. Aqunge VH, Vfmjfmtjr KV, Fmnhjs F, A`hng BV, Fmnpps @,

    \j`` \P. Mnlm-rjsehutneg ngspnratery agb jxpnratery FR ng

    ehbjr fmnhbrjg agb abuhts wntm `regfmepuhkegary bysphasna.

    AOP 1>>>9 136->3>=9 140? :61-:6

  • 7/28/2019 3 NEUMO3 (v3)

    7/15

    Pjfng gafnbe feg bncnfuhtab rjspnraterna

    =

    Cnl. 6? Pabnelraca bj trax? mnpjrngsuchafng puhkegar n-

    hatjrah feg prjbekngne jg h`uhes ngcjrnerjs. Khtnphjs nk-

    ljgjs hngjahjs quj ferrjspegbjrag a jglresaknjgtes sjp-

    tahjs. Aukjgte bj bjgsnbab jg h`uhe supjrner bjrjfme.

    Cnl. 2? Rekelraca fekputarnzaba bj trax? kjoera jvn-

    bjgtj feg rjspjfte a ha jxpherafng jcjftuaba trjs aes

    agtjs, augquj pjrsnstjg tebava trasterges bj ha anrja-

    fng y bnsfrjtes jglresaknjgtes sjptahjs.

    Cnl. 1? Pabnelraca bj trax? bnskngufng bj ha anrja-

    fng bj ak`es fakpes puhkegarjs. Tatrg rjtnfuhelra-

    guhabe cnge y bncuse nhatjrah, feg regfelrakas arjes.

    Cnl. 0? Rekelraca fekputarnzaba bj trax bj ahta rjse-

    hufng? pjftuk jxfavatuk. Anrjafng mjtjrelgja fegzegas mnpebjgsas ahtjrgagbe feg zegas jg vnbrne bjshus-

    trabe. Jglresaknjgte bj hes sjptes ngtjrstnfnahjs. Nkaljg

    bjgsa jg h`uhe ngcjrner nzqunjrbe.

  • 7/28/2019 3 NEUMO3 (v3)

    8/15

    uojr bj 06 aes bj jbab, sjfrjtarna bj precj-

    sng, cukabera bj 04 fnlarrnhhes/ba masta mafj bes kjsjs,

    sng jgcjrkjbabjs kbnfas fegefnbas. Reka agtnfegfjptn-

    ves merkegahjs erahjs bjsbj mafj efme aes y cuj abjgen-

    bjfteknzaba jg ha ngcagfna. Afubn a urljgfnas per prjsjg-

    tar sngtekatehela bj fngfe bas bj jvehufng fegsnstjgtj jg

    beher phjurtnfe jg jh mjkntrax nzqunjrbe y cnj`rj bj 6=F.

    Jxpherafng csnfa?

    Jg jh kekjgte bj su nglrjse jvnbjgfna`a cnj`rj bj 6=F

    y taqunfarbna bj 114/hpk. Ge sj pahpa`ag abjgepatas fjr-

    vnfahjs e axnharjs. Ha ausfuhtafng farbnafa jra rtknfa,

    sng sephes y prjsjgta`a uga mnpecegjsns jg jh fakpe ngcj-

    rner nzqunjrbe. Ha jxpherafng bjh a`bekjg y jxtrjknba-

    bjs jra gerkah.

    Jxpherafnegjs fekphjkjgtarnas?

    Mjkelraka? hjufefntes >.644/kk6 (crkuha gerkah),

    mjkelhe`nga 10,3 l/bh, mjkatefrnte 6%, RHFE

    1=,

    6.0. Ruker farfngenbj tpnfebj ernljg puhkegar

    A. SAPJHA BJ ZLAPRJ, T. PEBPLZJ_, T. LKJ_, H. KABPNLAH

    Zgnbab bj Fnrula Rerfnfa.Mespntah Zgnvjrsntarne Fhgnfa Tujrta bj Mnjrre. Kabrnb.

    K

  • 7/28/2019 3 NEUMO3 (v3)

    9/15

    phjt ha fnrula feg uga hngcabjgjfteka kjbnastgnfa y ge

    mu`e fekphnfafnegjs ngtraepjraternas. Jh jxakjg bj ha pnj-

    za bj rjsjffng kestr, a gnvjh kafresfpnfe, ug h`uhe bj

    1< x < fk feg geta`hj fegljstng y agtrafesns. Ah fertj sj

    aprjfn uga kasa jgbehukngah rjbegbjaba, bj feher agarag-

    oabe, bj 1,6 fk, quj e`hntjra a ha huz bjh `regqune prngfnpahy bjh h`uhe supjrner nzqunjrbe. Knfresfpnfakjgtj ferrjs-

    pegba a uga hjsng feg frjfnknjgte jxectnfe quj e`hntjra-

    `a ha huz bjh `regqune prngfnpah nzqunjrbe, sntuaba jg ha h-

    knga prepna kuy vasfuharnzaba, feg fntephaska akphne, lra-

    guhar y jesngcnhe. Gfhjes feg phjekercnske hjvj pjre sng

    kntesns. Jh jstubne ngkugepatehlnfe puse bj kagncnjste ha

    pesntnvnbab bj has fhuhas tukerahjs para ha frekelragnga A

    y sngaptecnsnga, pjre may ausjgfna bj ngkugerrjaftnvnbab

    para hes karfaberjs bj has fhuhas jgbetjhnahjs y jpntjhnahjs,

    jsta`hjfngbesj jh bnalgstnfe bj tuker farfngenbj tpnfe

    (cnl. :). Rebas has abjgepatas pabjfag fak`nes rjaftnves

    ngjspjfcnfes, sng jvnbjgfna bj kahnlgnbab.

    Jvehufng?

    Ha jvehufng pestepjraterna cuj satnscafterna y tras trjs kj-

    sjs bj ha ngtjrvjgfng ha pafnjgtj sj jgfujgtra asngtektnfa.

    Bnsfusng?

    Jh puhkg gerkah fegtnjgj uga pe`hafng bj fhuhas gju-

    rejgbefrngas pjrtjgjfnjgtjs ah snstjka ATZB fuye snlgn-

    cnfabe ge jst `njg fhare y quj pujbjg kagncjstarsj jg bn-

    cjrjgtjs prefjses, bjstafagbe hes tukerjs gjurejgbefrn-

    ges, fuye jspjftre va bjsbj jh farfngeka bj fhuhas pj-

    qujas masta jh tuker farfngenbj1.

    Ha prngfnpah faraftjrstnfas bj jstes tukerjs js ha fapafnbab

    fjhuhar sjfrjtera bj sustagfnas gjurejgbefrngas he fuah hjs

    fegcnjrj faraftjrjs quj hes bncjrjgfnag bj etres tukerjs0. Jg

    ug ngtjgte per fhasncnfar a hes tukerjs feg jstas faraftjrstn-

    fas mag surlnbe varnas fhasncnfafnegjs, snjgbe ha ks afjpta-

    ba ha bj Brjshjr jt ah. bj 1>>4% bj hes tukerjs farfngenbjs jstg hefahnzabes jg ug

    `regqune prngfnpah e he`ar y ha kayera frjfjg jxtrahukn-

    gahkjgtj mafna jh pargqunka fnrfugbagtj, knjgtras quj

    jh 14% rjstagtj seg pjrncrnfes6.

    Hes sgtekas e`struftnves efurrjg tjkpragakjgtj, bjsta-

    fagbe ha tes (>4%), bnsgja (34%) y mjkeptnsns (:4%). Jg

    fuagte a hes snlges bj e`struffng `regqunah pebjkes fn-

    tar ha atjhjftasna, jgcnsjka y cngahkjgtj gjukegntns y/e

    a`sfjses puhkegarjs. Jg gujstra pafnjgtj ha atjhjftasna

    pre`a`hjkjgtj prevef sjfugbarnakjgtj uga gjukegntns y

    jh bjsarrehhe bj ug bjrrakj paragjukgnfe sjfugbarne9 sng

    jk`arle, ge prjsjgta`a sgtekas fhgnfes. Jgtrj hes sgte-

    kas bjrnvabes bj ha sjfrjfng bj has sustagfnas gjurejg-

    befrngas bjstafa jh sgbrekj farfngenbj, quj aparjfj mas-ta jg ug 6% bj hes fases y jst jg rjhafng feg has kjts-

    tasns mjptnfas e jg farfngenbjs puhkegarjs khtnfgtrnfes

    e bj takae kayer bj : fk6. Jh tuker farfngenbj tpnfe js

    ug tuker bj `aoe petjgfnah kahnlge, feg phjekercnske hj-

    vj y ausjgfna bj kntesns, he quj he bncjrjgfna bjh farfngen-

    bj atpnfe. Jstas faraftjrstnfas mafjg quj sja jh tuker

    gjurejgbefrnge bj kjoer pregstnfe. Hes farfngenbjs bj

    pjquje takae y fjgtrahjs tnjgjg kjoer pregstnfe quj

    hes bj lrag takae y/e pjrncrnfes, pre`a`hjkjgtj bj`nbe

    a ha prjsjgfna bj sgtekas e`struftnves y ug bnalgstnfe

    prjfez, knjgtras quj hes pjrncrnfes farjfjg bj sgtekas y

    jg jh kekjgte bjh bnalgstnfe tnjgjg kayer takae y seg

    bj pjer pregstnfe2,:. Ge sujhjg sjr tukerjs quj sj afek-pajg bj acjftafng abjgeptnfa y as jh >4% seg G4 y jh

    2% G1, a bncjrjgfna bjh farfngenbj atpnfe, begbj jh :4%

    tnjgj acjftafng kjtastsnfa gebah. Jsfasakjgtj jh :%

    prjsjgta kjtstasns jg jh kekjgte bjh bnalgstnfe snjgbe

    has ks crjfujgtjs has mjptnfas. Ha supjrvnvjgfna lhe`ah a

    hes fngfe aes js supjrner ah =4%.

    Jg fuagte ah bnalgstnfe, hes farfngenbjs bj hefahnzafng

    fjgtrah sj sujhjg bnalgestnfar kjbnagtj `nepsna per cn`re-

    `regfesfepna9 sng jk`arle, jh bnalgstnfe bj hes hefahn-

    zabes pjrncrnfakjgtj js tarbe y sj rjahnza kjbnagtj pug-

    fng tragsterfnfa e per `nepsna ngtraepjraterna. Ha utnhn-

    zafng bj ha lakkalraca usagbe feke trazaber jh eftj-trnbe (aghele bj ha sekatestatnga) snrvj bj ayuba para bj-

    tjftar aqujhhes tjonbes feg aftnvnbab sjfrjtera. As, jg

    gujstre fase sj puse bj kagncnjste uga faptafng jftpnfa

    y patehlnfa a gnvjh puhkegar.

    Jg fuagte ah trataknjgte ha rjsjffng qunrrlnfa js ha gnfa

    tjrapna furatnva. Bj`nbe ah aoe petjgfnah kahnlge y ha jsfa-

    sa rjfurrjgfna sj bj`j ngtjgtar ha prjsjrvafng bjh kxnke

    pargqunka puhkegar pesn`hj. Ha sjlkjgtjfteka jst ng-

    bnfaba jg jh farfngenbj tpnfe, pjrncrnfe, kjger bj 6 fk y

    sng abjgepatas tukerahjs. Ha he`jfteka js ha rjsjffng

    ks afjptaba y ha utnhnzafng bj tfgnfas `regfephstnfas,

    para jvntar gjukegjftekas, js snjkprj rjfekjgba`hj. Harjsjffng tukerah jgbesfpnfa sehakjgtj jstara oustncnfaba

    jg aqujhhes farfngenbjs fjgtrahjs se`rj pafnjgtjs bj jbab

    avagzaba y/e feg rjsjrva rjspnraterna hnkntaba. Ge sj ma bj-

    kestrabe quj jh trataknjgte feg rabnetjrapna prj e pestepj-

    raterna sja `jgjcnfnesa jg jh fegtreh hefah bj ha jgcjrkjbab

    e jg ha supjrvnvjgfna3, y jh trataknjgte feg qunknetjrapna sj

    jkphja jg jh farfngenbj feg kjtstasns, snjgbe su rjspujsta

    kuy varna`hj y feg uga supjrvnvjgfna kjbna quj ge supjra

    hes bes aes tras jh bnalgstnfe.

    Ruker farfngenbj tpnfe bj ernljg puhkegar

    14

  • 7/28/2019 3 NEUMO3 (v3)

    10/15

    11

    1. Larfa- ustj K, Katnhha OK, hvarjz-Lale R, jt ah. Trelges-tnf cafters ng gjurejgbefrngj hugl tukers? A spagnsm kuhtn-fjgtjr stuby. Agg Rmeraf Vurl 04449 =>:9:>?

  • 7/28/2019 3 NEUMO3 (v3)

    11/15

    Ruker farfngenbj tpnfe bj ernljg puhkegar

    10

    Cnl. 1? Pabnelraca bj trax? atjhjftasna bjhh`uhe supjrner nzqunjrbe y bjrrakj phjurah.

    Cnl. 6? Lakkalraca feg eftjtrnbe 111 Ng. Vj e`sjrva ug

    afkuhe patehlnfe hefahnzabe a gnvjh bjh mjkntrax

    nzqunjrbe.

    Cnl. 2? Rfgnfa qunrrlnfa? tfgnfa bj `regfephastna feg

    sjffng a gnvjh bjh `regqune prngfnpah nzqunjrbe y `reg-

    qune he`ar ngcjrner feg agastekesns tjrkngetjrkngah.

    Cnl. :? Mnstehela? farfngenbj tpnfe feg ngtjgsa pesn-

    tnvnbab para ha frekelragnga A.

    Cnl. 0? Rekelraca axnah fekputarnzaba terfnfa? atj-

    hjftasna bjh h`uhe supjrner nzqunjrbe y kasa puhkegarquj e`hntjra jh `regqune a jsj gnvjh.

  • 7/28/2019 3 NEUMO3 (v3)

    12/15

    arg bj 6> aes, ge cukaber9 kjfgnfe bj fefmjs

    jg fegtafte efasnegah feg aknagte.

    Agakgjsns?

    Jst tetahkjgtj asngtektnfe? jg ug jstubne caknhnar hhj-

    vabe a fa`e per prjsjgtar uga mnoa uga rjaffng bj tu`jr-

    fuhnga pesntnva, sj hj mafj uga rabnelraca bj trax quj cuj

    fegsnbjraba agerkah.

    Jxpherafng csnfa?

    Ha jxpherafng csnfa js gerkah, sng pahparsj abjgepatas

    a gnglg gnvjh.

    Jxpherafnegjs fekphjkjgtarnas?

    Pabnehela bj trax? sj aprjfna ug jgsagfmaknjgtekjbnastgnfe jg ha rabnelraca snkphj (cnl. 1).

    Rekelraca axnah fekputarnzaba bj trax? sj e`sjrva jgjh kjbnastnge supjrner, rja paratraqujah bjrjfma y pestjrner

    a ha fava supjrner, uga hjsng efupagtj bj jspafne shnba,

    quj aparjgtjkjgtj ma faptabe fegtrastj augquj jg kufmakjger ngtjgsnbab quj jg hes vases abyafjgtjs feke jh faya-

    be artnfe y ha fava supjrner, quj knbj 2 x 2 x 6 fk bj bn-

    kjtre kxnke y sj prjsjgta feg fegterges gtnbes, `njg

    bjhnkntaba y sng aparjgtj ngcnhtrafng gn fhare bjsphazaknjg-

    te bj jstrufturas abyafjgtjs, fegsjrvagbe su gerkah pesn-

    fng ha trquja y ha vjga fava supjrner9 ge sj jvnbjgfna vng-

    fuhafng feg jstrufturas fjrvnfahjs feke jh tnrenbjs. Jg feg-

    fhusng? gbuhe jg kjbnastnge supjrner, rja paratraqujah

    bjrjfma, feg faraftjrstnfas rabnehlnfas bj alrjsnvnbab

    hnkntaba, bj`ngbesj bjsfartar jg prnkjr hular quj sj tratj

    bj abjgepata, sng pebjr prjfnsar su gaturahjza (hngceka,

    abjgntns), augquj per ha geta`hj faptafng bj fegtrastj

    ma`ra quj fegsnbjrar tak`ng quj pubnjra tratarsj bj ha

    jgcjrkjbab bj Fasthjkag.

    Aghnsns bj saglrj? 2.:%), fapafnbab vntah cerzaba (CSF) 6.=64 kh (>0%),

    CJS1 6.334 kh (140%), CJS1/CSF =3,>% (14=%), bj hes

    rjspjftnves vaherjs kjbnes bj rjcjrjgfna.

    Bnalgstnfe?

    Feg jh bnalgstnfe bj kasa kjbnastgnfa sj jgva a fnru-

    la bj trax para ha prftnfa bj uga kjbnastngesfepna, quj

    sj rjahnza sng fekphnfafnegjs, snjgbe ha tngfng y jh fuhtn-

    ve bj ha `nepsna gjlatnves para knfe`aftjrnas.

    Agateka patehlnfa?

    Ge may snlges bj kahnlgnbab. May cralkjgtes bj tjonbe

    hngcenbj jg hes quj sj e`sjrvag gukjreses fjgtres cehnfu-

    16

    6.6. Jgsagfmaknjgte kjbnastgnfejg varg asngtektnfe

    K. N. FNJGCZJLEV ALZVRG, T. KAPRG JVFPN@AGE

    Vjrvnfne bj Gjukehela.Mespntah Zgnvjrsntarne 10 bj Eftu`rj. Kabrnb.

    S

  • 7/28/2019 3 NEUMO3 (v3)

    13/15

    harjs pjqujes rebjabes per fapas fegfgtrnfas bj fhuhas

    fjgtrecehnfuharjs quj kujstrag has rjas ngtjrcehnfuharjs.

    Vj jvnbjgfna kebjraba prehncjrafng vasfuhar. Etres cral-

    kjgtes ferrjspegbjg a tjonbe hngcenbj sng hjsnegjs mnsteh-

    lnfas rjhjvagtjs. Jsta nkaljg mnstehlnfa js suljstnva bj

    jgcjrkjbab bj Fasthjkag, varnjbab bj fhuhas phasktn-fas. Ha ngkugemnstequknfa kujstra uga pe`hafng hng-

    cenbj knxta bj fhuhas @ feg phaskefntesns rjaftnva pehn-

    fhegah. Tujste quj sj mag e`sjrvabe fak`nes snknharjs jg

    etras hjsnegjs, feke jg ha vjfngbab bj hngcekas, js prjfn-

    se ug jstubne bj ha tetahnbab bj ha hjsng para jkntnr feg

    teba sjlurnbab jh bnalgstnfe suljrnbe.

    Pjvnsng?

    Rrjs kjsjs bjspus jh pafnjgtj pjrkagjfj asngtektnfe y

    ge prjsjgta bates patehlnfes jg ha jxpherafng? jg partn-

    fuhar, ge sj bjtjftag abjgepatas pjrncrnfas a gnglg

    gnvjh, gn sj pahpag vnsfjrekjlahnas.

    Ha rabnehela snkphj bj trax ge kujstra fak`nes jg hankaljg kjbnastgnfa (cnl. 0).

    Aghnsns bj saglrj? sng ahtjrafnegjs vahera`hjs, sahve uga

    vjhefnbab bj sjbnkjgtafng a ha prnkjra mera bj 01, uga

    NlL bj 1.:14 y ug patrg bj hjvj aukjgte bj ngkugelhe-

    `uhngas, pehnfhegah, jg jh pretjngelraka.

    Jspnrekjtra? CSF 6.614 kh (

  • 7/28/2019 3 NEUMO3 (v3)

    14/15

    rjsjffng ngfekphjta. Jg ha cerkas kuhtnfgtrnfas jh tra-

    taknjgte js kuhtnkebah, feg fertnfestjrenbjs j ngkugesu-

    prjserjs2,:.

    Jg jh fase quj prjsjgtakes ha varnagtj mnstepatehlnfa

    bjsfrnta js ha phaskefjhuhar, snjgbe kegetpnfa jg su

    jxtjgsng. Vj kagncnjsta bj uga cerka fhgnfa snhjgtj y

    feg `ujga jvehufng, kagtjgngbesj jh pafnjgtj asngte-

    ktnfe bjsbj jh kekjgte bj ha prnkjra fegsuhta mafj trjs

    aes. Vngluharkjgtj, jstj fase tnjgj faraftjrjs mnstepate-

    hlnfes bj ha varnagtj kjges crjfujgtj y bates fhgnfes bj

    ha varnagtj ks `jgnlga3.

    1:

    1. Fasthjkag @, Nvjrseg H, Kjgbjz ST. Hefahnzjb kjbnastngah

    hykpm gebj mypjrphasna rjsjk`hngl tmykeka. Fagfjr 1>:39

    >? =00-=64.

    0. Sahhnga J, Crjsge K, Fehugla O, Baz O, Arrn`as OK. Jgcjr-

    kjbab bj Fasthjkag? ug fegfjpte mnstrnfe para ug akphne

    a`agnfe fhgnfe. Ag Kjb Ngtjrg (Kabrnb) 1>>39 16? 060-062.

    6. Mjrraba O, Fa`agnhhas C, Pnfj N, Kaggngl O, Tulm \. Rmj fhn-

    gnfah `jmavner ec hefahnzjb agb kuhtnfjgtrnf Fasthjkag bnsja-

    sj. Ag Ngtjrg Kjb 1>>=9 10=? 3:>>9 =:? 9 1:=? 361-36

  • 7/28/2019 3 NEUMO3 (v3)

    15/15

    ` `

    Jgsagfmaknjgte kjbnastgnfe jg varg asngtektnfe

    13

    Cnl. 1 a y `? Pabnelracas bj trax ngnfnahjs, pestjre-

    agtjrner y hatjrah nzqunjrba.

    Cnl. 6? Thages bj tekelra-

    ca fekputarnzaba terfn-

    fa begbj sj bjkujstra ha

    patehela kjbnastgnfa pa-

    ratraqujah.

    Cnl. 0. a y `? Pabnelracas bj trax pestjreagtjrner y

    hatjrah nzqunjrba, agtjs bj ha terafeteka.

    a a