Traumato unguéale 2015-2016

8/20/2019 Traumato unguéale 2015-2016

1/95

F‟jppjrhof udeuïjf Jdjtbioh - [mysobfbeoh

[rosh hd amjreh nhs trjuijtosihs

Nr Q.Ajriís

Ahdtrh nh fj ijod

Afodoquh nhs Hjux Afjorhs

\JA Ibunbde Qun - @joh Ijmjuft

Eujnhfbuph


2/95

F‟jppjrhof udeuïjf

Jppjrhof jdjtbioquh prbprh

Jdjtbioh, pmysobfbeoh ht pmysobpjtmbfbeohnoggïrhdths ht odnïphdnjdths nu rhsth nu

nboet

F‟bdefh hst ud provofíeh prbprh jux mbiihsht jux proijths supïrohurs

Of trjnuot f‟jnjptjtobd ë nhs ehsths prïaosht nïfoajts


3/95

F‟jppjrhof udeuïjf

Jppjrhof jdjtbioquh prbprh


4/95

Hstmïtoquhs ht utofhs

Pþfh n‟ïamjdehur tmhrioquh [rbtíeh f‟hxtrïiotï nbrsjfh nu nboet

Qhrt ë sh erjtthr ht ë sh nïghdnrh

Qurtbut< of jueihdth fj shdso`ofotï pufpjorh


5/95

[jrtoaufjrotïs jdjtbioquhsht gbdatobddhffhs

Qhuf ïfïihdt roeonh ju-nhfë nh fj pmjfjdeh nostjfhphriht nh stjòfoshr fj pufph nostjfh

! Abdtrþfh fj nïgbrijòfotï pufpjorh

Fj tj`fhtth j ud hgght nh abdtrh-prhssobd quophriht n‟jueihdthr fj shdsoòfotï pufpjorh.

! [jrtoaoph ë fj prïaosobd nhs ehsths


6/95

Jdjtbioh nh f‟jppjrhof udeuïjf

F‟jppjrhof udeuïjf a‟hst<

- Xd suppbrt bstïb-foejihdtjorh

- Nhs tossus spïaoquhs 9 fh pïrobdyamoui

- Xdh tj`fhtth quo rhabuvrh f‟hdshi`fh


7/95

Fh suppbrt bstïb-foejihdtjorh

Fj pmjfjdeh nostjfh - @jsh jrtoaufjorh

- Nojpmysh jffbdeïh - [bodth jpfjtoh hd « ghr ë amhvjf ³

Fhs foejihdts

Njds fh pfjd fbdeotunodjf<

- Foejihdt odthr-bsshuxfjtïrjf nh Gfodt

- Foejihdt mypbdyamojf


8/95

Njds fh pfjd trjdsvhrsjf


9/95

Fhs struaturhs foejihdtjorhs

Gbrihdt ud vïrotj`fh dőun `rhux prbxoijf

Nbdt fhs `rhs prbvohddhdt nhs hxpjdsobds nhsthdnbds hxthdshur, ffïamosshur ht nhs foejihdtsabffjtïrjux


10/95

Fj tj`fhtth

Hst prbnuoth pjr fj ijtroah udeuïjfh hxafusovhihdt +++

Abdefbiïrjt nh ahffufhs abrdïhs nospbsïhs hd strjths

• Qtruaturh cïrjtodoquh pjrtohffhihdt trjdsfuaonh • Qurgjah fossh ht `roffjdth • Gjah prbgbdnh stroïh nh rjodurhs fbdeotunodjfhs quo

abdtro`uhdt ë f‟jijrrhr ju fot udeuïjf sbus-ljahdt

• Fj foioth nostjfh nh ahtth zbdh n‟jnmïrhdah hstf‟mypbdyamoui


11/95

Hffh j udh gbrih ̀ o-abdajvh njds fhs shds fbdeotunodjf httrjdsvhrsjf! ïpbush fh nbs nu nboet

Abipbsïh nh 1 abuamhs nostodaths

F‟hdshi`fh ihsurh ;,8 ii n‟ïpjosshurht hst abipbsïh nh 0;% n‟hju

Qtruaturh trís sbupfh ! sbuvhdt odtjathfbrs nh trjuijtosihs jfbrs quh fhs struaturhs

sbus-ljahdths phuvhdt ìtrh fïsïhs

Qj gbrih nïphdn nhs struaturhs sbus-ljahdths ht nh f‟odtïerotï nhs rhpfos


12/95

Fh pïrobdyamoui hst abipbsï nh 1struaturhs sotuïhs njds ud iìih pfjd

Fj ijtroah

Fh fot nh f‟bdefh

F‟mypbdyamoui

Ijtroah

Ofs s‟jeot nh struaturhs

mjuthihdt spïaojfosïhs


13/95

Fj ijtroah

Xdoquh struaturh ajpj`fh nh prbnuorh nh fj tj`fhtth

• Qotuïh ju-nhssbus nh f‟Hpbdyamoui (bu rhpfo prbxoijf) • Abdtburdh fj `jsh nh f‟bdefh pbur pjrtoaophr ë fj

gbrijtobd nh fj abuamh suphraohffh

• [rbnuot nh f‟bdefh hd jlbutjdt nh dbuvhffhs abuamhsahffufjorhs ë f‟bdefh nïlë gbriï, hd f‟ïpjossossjdt.

• F‟ïpjosshur nh fj tj`fhtth nïphdn nh fj fbdeuhur nh fj

ijtroah


14/95

Fj ijtroah< 0 abuamhs nostodaths

- Quphraohffh

Ju-nhssus nh fj tj`fhtth 9 pjrtoh prbgbdnh nu rhpfo prbxoijf [rbnuot fj pbrtobd nbrsjfh nh fj tj`fhtth ! jsphat `roffjdt

- [rbgbdnh

Ju-nhssbus nh fj tj`fhtthNbdt fj pjrtoh nostjfh hst pjrgbos voso`fh pjr trjdspjrhdah jutrjvhrs nh fj tj`fhtth, a‟hst fj « fudufh ³ Abdstjdth udoquhihdt ju dovhju nu pbuah.

Hffh prbnuot fj pfus erjdnhpjrtoh nh fj tj`fhtth<

sbot fhs 0/1 nh sj pbrtobdprbgbdnh.


15/95

^j`fhtth trís phu jnmïrhdth ë fj ijtroah! Q‟hd nïsbfonjrosh trís gjaofhihdt fbrs nh fj

abdstotutobd nh abffhatobds (Mïijtbihs, pjdjros)

Fudufhs voso`fhs ë amjquh nboet


16/95

Fh fot nh f‟bdefh

Qtruaturh spïaojfosïh rhspbdsj`fh nh f‟jnmïrhdah

nh fj tj`fhtth ht nh sj gbrih

[rïshdth nhs arïdhfurhs fbdeotunodjfhsajrjatïrostoquhs quo rïpbdnhdt hxjathihdt ë

ahffhs quo sbdt sotuïhs ë fj gjah prbgbdnh nh fj tj`fhtth

[hut, hxahptobddhffhihdt, ìtrhrhipfjaïh pjr ud jutrh tossu


17/95

F‟mypbdyamoui

Qotuïh ë f‟hxtrïiotï nostjfh nh f‟jppjrhof udeuïjf

fë bÿ fj tj`fhtth phrn sbd jnmïrhdah

Pþfh nh `jrroírh iïajdoquh

Gbdatobd oiiudbfbeoquh< roamhssh fbajfh hd [D

Qtruaturh trís spïaojfosïh sur fh pfjd mostbfbeoquh

! hd ajs nh phrth bu fïsobd, rosquh n‟jnmïrhdahnbufburhush nh fj tj`fhtth

Mypbdyamoui


18/95

Jnmïrhdah nostjfh

nh fj tj`fhtth


19/95

Fh pjrbdyamoui bu rhpfos udeuïjux

Fh rhpfo prbxoijf

- Hdshrrh fj tj`fhtth ë sj pjrtoh

prbxoijfh, pjrtoaoph ë fuo nbddhr sjgbrih - Hipìamh fj arbossjdah hd

ïpjosshur nh fj tj`fhtth ht f‟b`foeh ë

ioerhr hd nostjfotï.- Ghriï pjr fj autoaufh 9vïrotj`fh lbodt n‟ïtjdamïotï


20/95

Fhs rhpfos fjtïrjux

- Hdshrrhdt fj tj`fhtth- [jrtoaophdt ë fuo nbddhrsj gbrih ht sj norhatobd

Hd ijduauroh fhs rhpfos sbdt rhpbussïs Fïsobds nhs rhpfos amhz ud pjtohdt

bdyambpmjeh


21/95

Fj vjsaufjrosjtobd nh f‟jppjrhof

udeuïjf

Qbus nïphdnjdah nhs `rjdamhs thriodjfhs nhsjrtírhs abffjtïrjfhs pjfijorhs

Xdohs hdtrh hffhs pjr nhs jrajnhs jdjstbibtoquhsnbrsjfhs sotuïhs ju abdtjat nu pfjd bsshux


22/95

Gfodt < 1 jrajnhs jdjstbibtoquhs nbrsjfhs

- Jrajnh prbxoijfh< shrtoh njds fh soffbd prbxoijf

- Jrajnh nostjfh< ë mjuthur nh fj fudufh

Ahs 0 jrajnhs sbdt jfoihdtïhs pjr udh udoquh `r.abffjtïrjfh ossuh nh f‟jrt. abffjt. pjfijorh.


23/95

- Jrajnh suphraohffh< Hd rhejrn nh fj `jsh nh [1

Nbu`fh jppbrt vjsaufjorh ossu nh fj `r. Abffjt.[jfijorh <

* Pjihju ë mjuthur nh [0, arbosh nbrsjfhihdt f‟O[N * Pjihju ju dovhju nh f‟O[N

Ahs rjihjux s‟jdjstbibshdt hd : jrajnh suphraohffh

Quphraojf jrthry


24/95

Phtbur vhodhux ht oddhrvjtobd

- Phtbur vhodhux trís roamh< systíih n‟jrajnhs ë fjpjrtoh prbxoijfh nh f‟jppjrhof udeuïjf - Oddhrvjtobd ïejfhihdt trís roamh< rïshju abipfhxh nhphtots rjihjux ossus nhs dhrgs abffjtïrjux noeotjux


25/95

[mysobfbeoh udeuïjfh

- ̂ j`fhtth prbnuoth pjr fj ijtroah - Arbossjdah dbrijfh< hd ibyhddh ;,1 ii pjr lbur

Abdsïquhdahs afodoquhs<

- 0 ibos pbur quh fj tj`fhtth sbrth nu rhpfo prbxoijf - 7 ibos pbur b`thdor udh tj`fhtth abipfíth- :hr bdefh tbulburs orrïeufohr, ibods `roffjdt

! Pïsuftjts ë jpprïaohr ë : jd.

^rís phu abdduh, ah quh f‟bd sjot<


26/95

Fj arbossjdah udeuïjfh

Gjathurs nh arbossjdah rjponh

• Qur fhs nboets fbdes

• Jprís udh jvufsobdudeuïjfh

• Nurjdt fj erbsshssh

• Amhz fhs bdyambpmjehs

• Njds fhs pjys amjuns

Gjathurs nh arbossjdah fhdth

• Jprís 0; jds • Nurjdt fj duot • Amhz fhs pjtohdts

oiib`ofosïs, nïdutros • Ju nïaburs n‟udh

odghatobd


27/95

Ju nïaburs n‟ud trjuijtosih

Fj prbnuatobd udeuïjfh s‟jrrìth nurjdt 0: lburs

" fj pjrtoh prbxoijfh nh fj tj`fhtth s‟ïpjossot

[uos fj arbossjdah s‟jaaïfírh nurjdt 8; lburs

" fj tj`fhtth s‟jiodaot

[uos fj arbossjdah rjfhdtot ë dbuvhju nurjdt 1;lburs

r̂juijtosih udeuïjf ! trbu`fhs nh arbossjdahnurjdt :;; lburs, sbot hdvorbd 1 ibos.


28/95

Foedh nh @hju Ioarb-trjuijtosihs

otïrjtogs bu rhgbufhihdt

ijdojquh nh fj autoaufh 2

Phpbussh nh tj`fhtth junïaburs n‟udh jvufsobd


29/95

Oijehroh hd trjuijtbfbeoh udeuïjfh

Px sbuvhdt dïefoeïhs ^rjuijtosihs trbp sbuvhdt jggu`fïs

nu qujfoajtog «`b`bfbeoh³

Afjssoquhs

grjaturhs

Cysth ïponhribânh

^uihur nhs pjrtohs ibffhs<

ajfaoajtobd nhs tossus ibus njds ud abdthxth

n‟myphrpjrjtmyrbânoh shabdnjorh


30/95

- Pjnoberjpmohs stjdnjrns


31/95

Hponïiobfbeoh hd trjuijtb nh f‟bdefh

r̂juijtosihs udeuïjux grïquhdts- Phprïshdthdt hdvorbd =% nhs urehdahs nh fj ijod

- Fïsobds fh pfus sbuvhdt `ïdoedhs - Xdh prosh hd amjreh odotojfh odjnjptïh ! sïquhffhs

hstmïtoquhs ht gbdatobddhffhs pjrgbos trís odvjfonjdths

[hu n‟ïtunhs ïponïiobfbeoquhs, 0 pu`foajtobds 4 :8 jds njds fh « Mjdn Afodoas ³

N‟jprís udh ïtunh abdahrdjdt :=5 nbssohrs, ïamhfbddïh sur 0 jds (0;;=-0;:;)3 Q.Ajriís - AMX GNG


32/95

- Qhx rjtob< 1/> n‟mbiihs lhudhs (`roabfjeh, J^) - Jeh ibyhd mbiihs 9 1=,>8 jds, ghiihs 9 >7,:> jds

- Fïsobd nu aþtï dbd nbiodjdt njds 78% nhs ajs

- [rïnbiodjdah nh f‟jtthodth nu pbuah (1;%) - Jtthodth nu Ijlhur njds 01% nhs ajs

- Njds 8% nhs ajs< pfusohurs nboets jtthodts, njds ah

ajs tbulburs fh OOO



33/95

Fïsobds jssbaoïhs

- [fjoh nh fj pufph< 05%

- Grjaturh nh mbupph< :8%

- [fjoh nh fj pufph + grjaturh< 07%

- Jutrh fïsobd n‟ud nboet bu nh fj ijod< :0%

Ju ibods : fïsobd jssbaoïh njds 5;% nhs ajs Qur fh iìih nboet njds 5;% nhs ajs



34/95


- Iïajdosih prïnbiodjdt 9 ïarjshihdt

«

Nboet nh pbrth

³ bu ïquovjfhdt

- J^ njds >>% nhs ajs

- 8;% nhs fïsobds soíehdt njds fj ibotoïnostjfh nh f‟jppjrhof udeuïjf

- Xdh rïpjrjtobd amorureoajfh ju ibodshst dïahssjorh njds 78% nhs ajs


35/95

[rodaophs nh amorureoh pbur fjrïpjrjtobd nh f‟jppjrhof udeuïjf

Amorureoh ji`ufjtborh

@bddh jdhstmïsoh gbdnjihdtjfh ajramorureoh trís nbufburhush

Phabiijdnjtobds jatuhffhs pbur fjamorureoh nh f‟bdefh < `fba odtrj-tmïajf

ë fj Fonbajâdh!

Hgajaotï pjrgjoth htqujso-oiiïnojth


36/95

Ejrrbt nh nboet pjrgjothihdt suppbrtï sbus JFP

Ijtïrohf rhabiijdnï<

- Fbuphs< erbssosshihdt bptoquh 0,8], dïahssjorh htsugsjdt

- Gofs ds < [NQ ht Woaryf rjponh >/; ë 7/;

- [htoth `bäth nh amorureoh nh fj ijod


37/95

> aa nh ]yfbajâdh* (jnrïdjfodïh bu dbd) dïahssjorhs ht sugsjdtsamhz f‟jnufth

- Odlhatobd njds fj ejodh nhs ffïamosshurs- Hgajaotï tbtjfh qujso-oiiïnojth - [js nh rosquh n‟osamïioh sbus prhssobd

- Nurïh nh fj sïnjtobd vjroj`fh< hd ibyhddh

>5 iod.

Jdhstmïsoh fbab-rïeobdjfh pburamorureoh udeuïjfh


38/95

Fj ibrpmbfbeoh nh fj ijtroah, nu fot, ht nbda nh fj

tj`fhtth, rhpbsh norhathihdt sur fj ibrpmbfbeoh nh [1

^but nïgjut nh rïnuatobd ht/bu tbut spoaufh bsshuxjdbrijfhihdt sjoffjdt ! nïgbrijtobd nh fj ijtroah ht/bu nu fot puos nh fj tj`fhtth.

Hxhipfh< nïgbrijtobd hd podahnhs tj`fhtths sur jrtmrbsh O[N

Fhs prodaophs nh ahtth amorureoh rhpbshdt

sur nhs abddjossjdahs jdjtbioquhs


39/95

F‟jnmïrhdah bptoijfh nh fj tj`fhtth d‟hst pbsso`fh quh

so fh fot hst odtíerh " rhabdstruorh fh fot udeuïjf nh

ijdoírh jdjtbioquh amjquh gbos quh pbsso`fh +++


40/95

Xdh fïsobd bu udh aoajtroah nh fj ijtroah hst udh zbdh quodh phut pfus prbnuorh nh tj`fhtth ! ssurh nh fj tj`fhtth,vborh sïpjrjtobd hd nhux

Fbrsquh fj aoajtroah abdahrdh jusso fh rhpfo prbxoijf, bdb`shrvh ud ptïryeobd

Ju-nhfë nh 0-1 ii nh phrth nh su`stjdah nhs sïquhffhssbdt tbulburs b`shrvïhs

[tïryeobd


41/95

[rosh hd amjreh nhstrjuijtosihs nh f‟bdefh

! Juaudh ïvjaujtobd spbdtjdïh ajr fhs `hrehs nh fj pfjohrhsthdt jnmïrhdths ë fj tj`fhtth

! Nïvhfbpphihdt nh fj abffhatobd njds fj zbdh nh ibodnrhjnmïrhdah

! Nbufhurs pjrgbos odthdshs, pufsjtofhs, odsbidojdths

^rjnuot ud

sjoedhihdt nu fot ht/bu nh fj ijtroah

: - Mïijtbih sbus-udeuïjf


42/95

Qo fj surgjah nh f‟mïijtbih 6 08%nh fj surgjah nh fj tj`fhtth

Jttotunh afjssoquh


43/95

- [bur ahrtjods< nrjodjeh soipfh

[hrahr ë f‟joeuoffh bu ë f‟jonh n‟udtrbi`bdh amjuggï ë `fjda. ̂ bulbursrïjfoshr 0 broahs hd rhejrn nh fj fudufh

- [bur n‟jutrhs< j`fjtobd nh fj tj`fhtth

! vïrohr f‟odtïerotï nu fot ht fh rïpjrhrïvhdtuhffhihdt.

Qo fj surgjah nh f‟mïijtbih 4 08%nh fj surgjah nh fj tj`fhtth

[fusohurs jttotunhs sh nosauthdt


44/95

Jprís jvbor phraï fj tj`fhtth

- Hvjauhr f‟mïijtbih pjr prhssobd nbuah- Fj xhr ïvhdtuhffhihdt ë f‟jonh nh «Qtïro strops³ - [rïvhdor fh pjtohdt nh sj amuth prbamjodh(Qhfbd nh f‟oipbrtjdah nu nïabffhihdt nh fj tj`fhtth pjr f‟mïijtbih)


45/95

J`fjtobd nh fj tj`fhtth ht nïabuvhrthn‟udh pfjoh ë fj lbdatobd fot - ijtroah


46/95

- Jdtjfeoquhs < tbulburs + surïfïvjtobd nh fj ijod

- Jdto`obtoquhs odutofhs

- [jdshihdt ë ïvothr ! rjonhur O[N / O[[ pjrgbos !

- [rïvhdor fh pjtohdt nhs suoths prïvoso`fhs< Qo fhnïabffhihdt hst oipbrtjdt, fj tj`fhtth d‟ïtjdt pfussugsjiihdt jnmïrhdth dorj pjr tbi`hr

- Pïsuftjts hxahffhdts

- Amhz f‟hdgjdt < tj`fhtth pfus sbupfh, ajrtofjehs nh

arbossjdah ! fïsobds sïquhffjorhs trís grïquhdths

Odgbrijtobds ju pjtohdt

ht prhsaroptobds nh sbrtoh


47/95

0 - Abrps ïtrjdehr sbus-udeuïjf

- Fh pfus soipfh< jiodaor prberhssovhihdt fj tj`fhtth ë

f‟jonh n‟udh fjih nh `ostburo lusqu‟ë sjosor fh AH,odabdvïdohdt< nïfj`rjdt !

- [jrgbos sbufhvhr/hdfhvhr fj tj`fhtth pbur sjosor fh AH.

- Qh iïhr nhs ïamjrnhs nh `bos< thdnjdah ë fj

putrïgjatobd ! fhs hdfhvhr j`sbfuihdt + J^@ ht abdtrþfh

ë >=m


48/95

1 - Jvufsobd soipfh nh fj tj`fhtth

Fh pfus sbuvhdt jssbaoïh ë udh fïsobd nu fot

Abdshrvhr fj tj`fhtth amjquh gbos quh pbsso`fh ht fj

rh-pbsotobddhr jvha ud phtot ghdìtrjeh ahdtrjf

Qu`stotut udeuïjf hd ajs nh phrth nh fj tj`fhtth, tbut hdsjamjdt quh fj cïrjtodosjtobd soipfh nu fot phriht fh pfus sbuvhdt fj rhpbusshudeuïjfh


49/95

Amjquh gbos quh pbsso`fh<rhihttrh hd pfjah fj tj`fhtth jvufsïh

bu fj rhipfjahr pjr ud su`stotut

! «

Ibufh

³ fj gjah nbrsjfh nu nboet

! [rbtíeh fj rïpjrjtobd

! Hipìamh fj ghrihturh nh fj autoaufh

! $ fhs nbufhurs fbrs nhs pjdshihdts

! jiïfobrh fj shdso`ofotï pufpjorh

Iïtmbnh


50/95

- [jrjeh so dïahssjorh puos fjvjeh nh fj tj`fhtth (sïrui

pmysobfbeoquh)

- Pïpjrjtobd nu fot

- [uos fj efosshr sbus fhs rhpfos

- Fj xhr hdsuoth pjr ud pbodt hd «]³ bu ud pbodt hdajnrh (fhs strops sh nïabffhdt jvha fj sunjtobd !

Iïtmbnh<


51/95

Zuhf su`stotut udeuïjf hd ajs nh phrth nh fj tj`fhtth 2 Queehstobds<

- [oíeh ë ùffhs n‟udh tuùfurh nh phrgusobd

- Ghuoffh nh sofoabdh

- Bdefh jrtoaohf …

⤆

Aburùrh onïjfh,prbamh nh ahffh nh fj

tj`fhtth

Hvothr fh grjeihdt nh Px !

ï


52/95

>-: Fh «nboet nh pbrth³ bu ïquovjfhdt

Hxtrìih grïquhdah

[fusohurs stjnhs nh erjvotï

Píefhs nh prosh hd amjreh

- Jdhstmïsoh pjrgjoth rhquosh

- Nïpbshr hdtoírhihdt fj tj`fhtth - Fj fjvhr sboedhushihdt

- [jrhr ^BX^ ah quo nbot f‟ìtrh + fjvjeh

- +/- Pïnuorh ht xhr udh grjaturh nh [1

- +/- Quturhr fj ijtroah ht/bu fh fot- Phpbshr fj tj`fhtth bu sbd su`stotut


53/95

^rjvjof sbus ejrrbt

Erbssosshihdt bptoquh (0,8]), dïahssjorh ht sugsjdt

Nïabffhr fj tj`fhtth rhstjdth jvha prïajutobd ht fj dhttbyhr ju

sïrui pmysobfbeoquh, so grjeihdtïh< hdfhvhr ^BXQ fhs grjeihdts

Qo pjrjeh nhs `hrehs dïahssjorh< nbot fh pfus ïabdbih pbsso`fh

Quturh nh fj ijtroah ht nu fot ju [NQ 7/; odabfbrh

[bodts sïpjrïs bu surlht phu shrrï sugsjdts

^j`fhtth bu su`stotut rh-pbsotobddïh jprís ghdìtrjeh


Pí fhs nh prosh hd amjr h


54/95

^j`fhtth goxïh jvha nh f‟Htmofbd 1/; bu ud Woaryfrjponh >/; pjr ud pbodt hd « ] ³ bu ud pbodt hd ajnrh

[jdshihdt tuffh erjs, Ihpothf*, dbd jnmïrhdt, fjossjdtfo`rh f‟O[[ +++

Ju `hsbod phtoth jtthffh

prbvosborh oiib`ofosjdt f‟O[N (ëtotrh jdtjfeoquh) nurjdt >=m;;




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- Pïghatobd nu pjdshihdt ë L0 bu L1

! vïrogoh f‟j`shdah n‟mïijtbih sbus-udeuïjf ht/bun‟odghatobd prïabah

! Abdtrþfh nbufhur

- J`fjtobd nu pbodt nh pfjajeh nh fj tj`fhtth ë L0:

! tj`fhtth prberhssovhihdt rhipfjaïh pjr fjrhpbussh nh fj dbuvhffh tj`fhtth

- Pïsuftjts < bdefhs dbrijux 4 ?;% nhs ajs fbrsqu‟ofs‟jeot nh fïsobds soipfhs nh fj ijtroah bu nu fot udeuïjf



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>-0 Fhs fïsobds abdtushs nu fot udeuïjf

[rodaophs nh rïpjrjtobd< onhdtoquhs

- [jrjeh nhs tossus (fh pfus ïabdbih pbsso`fh)

- Fjvjeh j`bdnjdt ju sïrui pmysobfbeoquh

- Quturhs n‟jpprbxoijtobd ju [NQ 7/;

Wjsaufjrosjtobd nh qujfotï ! pjs n‟osamïioh

Fhs tossus dh efosshdt pjs< jvjdtjeh +++

Pïsuftjts pfus jfïjtborhs


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Fïsobd odotojfh Jprís j`fjtobd nh fjtj`fhtth ht fjvjeh

Jprís suturh pufph ht fot

Jprís iosh hd pfjah n‟udh

prbtmísh nh tj`fhtth

Jprís amuth nh fj prbtmísh

nh tj`fhtth

Pïsuftjt ë 1 shijodhs


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>-1 Fhs fïsobds jssbaoïhs ë udh grjaturh nh [1

Hdvorbd :8% nhs fïsobds nu fot jssbaoïhs ë udh grjaturhnh fj pmjfjdeh nostjfh, fh pfus sbuvhdt dbd nïpfjaïh

(Njds ahrtjodhs sïrohs< lusqu‟ë 8;% nh grjaturh jssbaoïh ë udh fïsobd nu fot)

Fj rhpbsh nh fj tj`fhtth sugt fh pfus sbuvhdt ëstj`ofoshr f‟hdshi`fh, ijos pjs tbulburs !

Bd phut ambosor rïnuorh ht xhr udh


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[futþt 0 `rbamhs! Hvoth fhs trbu`fhs

rbtjtborhs ! Ijodtohd n‟ud sbafh

sbfonh ht stj`fh

^rua pbur gjorh pïdïtrhr fj `rbamhnjds fh `bd jxh< pbodt n‟hdtrïh lusthsbus fj tj`fhtth, jtthdtobd ë f‟b`foquotï

nh fj pmjfjdeh !

pgrjaturh nostjfh, mbupph bu nojpmysh nh [1

so ahfj pjrjot dïahssjorh


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Jtthdtobd !

Jrtmrbnísh ! rjonhur Posquh pbur fh GN[

Posquh odghatohux

Zuon nu rosquh odghatohux hd ajs nhxjtobd ë f‟jonh n‟udh joeuoffh 2


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Ajs pjrtoaufohr<Grjaturh trjdsvhrsjfh nh [1 ht nh fj tj`fhtth

Jrtoah nh Gbuamhr


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Ajs pjrtoaufohr<

Grjaturh trjdsvhrsjfh [1 + tj`fhtth

Jutrh iïtmbnh nh xjtobd nh fj grjaturh

Bd phut jusso xhr fj grjaturh pjrbstïbsydtmísh ë f‟jonh n‟udh joeuoffhvhrth (OI) bu n‟udh phtoth `rbamh.

Qo udh joeuoffh hst utofosïh< abuphr fhijdambd ht rhabur`hr fj pjrtoh nostjfhjd nh gjaofothr fhs pjdshihdts ht

n‟jiïfobrhr fh abdgbrt.


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Jutrh ajs pjrtoaufohr<

[fjoh fbdeotunodjfh nh fj

tj`fhtth ht ë gbrtobro nu fot

udeuïjf

Jrtoah nh Gbuamhr «ibnoï³ bu jnjptï


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>-> [hrth nh su`stjdah osbfïh nu fot

Fh nïtjamhr nh gjåbd sboedhush ht fhsuturhr sur fh pïrobsth nh [1

Q‟of hst hdtoírhihdt sur fj tj`fhtthrhpfjahr f‟hdshi`fh jprís pjrjeh ïabdbih

Ajs bÿ fh fot rhsth sbfonjorh nh fj tj`fhtth

- Fjvjeh ht nï`ronhihdt nu fot 6 : ii

- puos rh-pbsotobd nh f‟hdshi`fh ht xjtobd sbfonh

- Fïsobd rjrhihdt osbfïh +++

- Q‟jssbaoh vbfbdtohrs ë nhs fïsobds pufpjorhs /udeuïjfhs / bsshushs

^buths fhs fïsobds nbovhdt ìtrh trjotïhs hd : thips



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Njds tbus fhs ajs< rhpbshr fj tj`fhtth (bu ud su`stotut)pbur ibufhr fj erhggh ht fj prbtïehr fbrs nhs pjdshihdts

Qo fh grjeihdt hst j`shdt

! Erhggh dh nh fot udeuïjf

%Iìih nboet

% Erbs brthof nbddhur

Fo t 9 ? ; ; i o a r b d s

E r h g g h 6 1; ; i o a r b d s

A b d v h x o t ï n u fo t +++

E gg n fot ï f


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Erhggh dh nh fot udeuïjf

% Erbs brthof nbddhur

Abdtrþfh ë 1 ibos


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>-8 [hrths nh su`stjdah nostjfhs

Fj pfupjrt nhs jiputjtobds pjsshdtpjr fh fot hd prïshrvjdt fj ijtroah

8;% nhs fïsobds soíehdt njds fjibotoï nostjfh nh f‟jppjrhof udeuïjf

! Pïoipfjdtjtobds pjrgbos

pbsso`fhs ht a‟hst fh ihoffhurtrjothihdt

ï


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Pïsuftjt ë 7 ibosAjp thamdoquh

Hamha Ajp thamdoquh

0 pbsso`ofotïs


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Grjeihdt nostjf dbd rhpfjdtj`fh

Amjquh gbos quh pbsso`fh< prïfhvhr fh fot rhstjdt sur fh sheihdtjiputï ht fh rh-pbsotobddhr sur fj pjrtoh prbxoijfh nu nboet,

Qodbd rhabdstruorh fh fot ë f‟jonh n‟udh erhggh

Jiputjtobd ë fj lbdatobd fot-ijtroah

jvha ijtroah odtjath

- Pïoipfjdtjtobd< nogaofh ijos a‟hst fh trjothihdt bptoijf- Qo dbd rïjfosj`fh< rhabdstruatobd dbd vjsaufjrosïh hd utofosjdtf‟bs ht fh fot + ud fji`hju pufpjorh.


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bu fji`hju n‟jvjdahihdt pufpjorh

Fji`hju ë pïnoaufh sbus-autjdï vjsaufjrosï pjr fhs `r. jsahdnjdths nhf‟jrajnh jdjstbibtoquh pufpjorh.

Ajs n‟Jiputjtobd njds fj ibotoï nostjfh nu fot jvha jiputjtobd pufpjorh

hd `oshju nbrsjf 9 Odnoajtobd ïfhatovh nu Fji`hju n‟Jtjsby

Nïar ot pbur fj prhi oírh gb os

pjr

r̂jdqu off o-Fjhf o hd :?18

Ph-nïabu vhrt ht rïjf osï pjr Jtjsb y ht

jf. jux Htjts ud os hd :? 5;

(Jtjsb y L @ LQ :? 5;380J


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Fh fji`hju n Jtjsbybu nh r̂jdquoffo-Jtjsby

Jvjdahihdt nu fji`hju foiotï ë 7-5 ii

Onïjfhihdt< pbodth nu fji`hju njds fh pfo nh ffhxobd nh f‟O[N

Nïabffhihdt njds fh pfjd nu pïrobsth puos nu pïro-thdnbd ffïamosshur

@ut< fo`ïrhr fj gjah prbgbdnh nu fji`hju pbur fh gjorh jvjdahr

Wjrojdth nu fji`hju n‟Jtjsby


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y Nïaroth pjr E.Gbuamhr, pu`foïh pjr fh [r A.Nuibdtohr

Fji`hju n‟Jtjsby « ibnoï ³

[rodaoph< nïsïponhrioshr fj pjrtoh nostjfh

nu fji`hju jd nh abi`fhr fj phrth nh

su`stjdah nu fot udeuïjf

Fji`hju xï pjr udh joeuoffh nostjfh

+/- 0 pbodts pufpjorhs fjtïrjux

ju Woaryf rjponh >/;

Odnoajtobd< Jiputjtobd nostjfh nu fot fbrs n‟udh fïsobd pufpjorh hd `oshju

nbrsjf, phut ìtrh utofosïh lusqu‟ë udh jiputjtobd nh 8;% nu fot (zbdh OO)

Quturh nh fj pjrtoh nïsïponhriosïh ju

fot rhstjdt sur fh grjeihdt prbxoijf

Wjrojdth nu fji`hju n‟Jtjsby


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Quturh fot-tossu nhrioquhht mypbnhrioquh

Wjrojdth nu fji`hju n Jtjsby Nïaroth pjr E.Gbuamhr, pu`foïh pjr fh [r A.Nuibdtohr

Hxaosobd trjdsvhrsh n‟udh phtoth fjdeuhtth

n‟ïponhrih

Goxjtobd nostjfh nu fji`hju (joeuoffh)

Quturh nu tossu nhrioquh jvha fh fot ([NQ 8/;

bu 7/;)

Phiosh hd pfjah tj`fhtth bu su`stotut jd nh

prbtïehr fj suturh.

J u d jf, a h t t h z b d h n h t o s s u « i o x t h ³ s h r j ju i b o d s

p jr t o h ffh i h d t « a b fb d o s ï h ³ p jr fh fo t , a h q u o p h r i h t t r j

u d h jn mï r h d a h p fu s e r jd n h n h fj t j` fh t t h

! E jo d h s t mï t o q u h h t g b d a t o b d d h f

[hrths nh su`stjdah nostjfhs iuftopfhs


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p

@rbohihdt nostjf nhs OW ht W

Gjah pjfijorh

Gjah nbrsjfh

Jaaonhdtjeroabfh

@rbyhush ëajddh

Pïsuftjts ë : ibos

[jrjeh htrïpjrjtobdsn‟jpprbxo-

ijtobd

Ajs pjrtoaufohr< phrth nh su`stjdah nostjfh hd `oshju fjtïrjf pjr


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fjih nh autthr - [buah ijod nrboth amhz pjtohdth nrbotoírh

[js n‟hxpbsotobd bsshush



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fjih nh autthr - [buah ijod nrboth amhz pjtohdth nrbotoírh

Ambox< rhpbsotobd-erhggh


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Pïsuftjt ë L=


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Jiputjtobd nostjfh nu pbuah ijod nrboth

amhz ud ejråbd nh :0 jds, nrbotohr

Jiputjtobd hd `oshju pufpjorh ë fj `jsh nh f‟bdefh

rhsphatjdt fj ijtroah

Pïoipfjdtjtobd nh f‟jppjrhof

udeuïjf + nu grjeihdt bsshux

jiputï sur fh pïrobsth nh [1

rhstjdt + fji`hju nh B‟`rohd


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Pïsuftjt ë 1 shijodhs

>-7 Fhs fïsobds nh fj ijtroah


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>-7 Fhs fïsobds nh fj ijtroah

Nïamjusshihdt nh fj pjrtoh prbxoijfh nh fj ijtroah

- @bd prbdbstoa - Phpfjahr fj ijtroah sbus fh rhpfo prbxoijf

- Qo pjrtoh prbxoijfh `jsaufïh ju-nhssus nu rhpfo< pbodts hd«

X

³ prhdjdt jppuo sur fh `burrhfht prbxoijf sugsjdtspbur rhpbsotobddhr fj ijtroah sur fh pïrobsth.

- Phpbsh tj`fhtth bu su`stotut odnosphdsj`fh.

Qïquhffhs tbulburs pfus oipbrtjdths<

ssurhs, soffbds, vborh j`shdah n‟bdefh


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Njds fhs suoths nh pfjohs ijtroaohffhs, of phrsosthsbuvhdt udh rjodurh sïquhffjorh nh fj tj`fhtth

[fjohs soipfhs nh fj ijtroah


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[bur Q‟jerjdnor< odaosobds nh Cjdjvhf

9 0 odaosobds ë fj lbdatobd rhpfoprbxoijf / rhpfos fjtïrjux

• [bursuovrh lusqu‟ë f‟O[N so dïahssjorh

• Hxpbsotobd nh fj ijtroah

• Qoipfh suturh ijtroaohffh ju [NQ 7/;

[fjohs soipfhs nh fj ijtroah


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Qh iïhr nhs pfjohs quo bdt f‟jor suphraohffhs !

[hrths nh su`stjdah ijtroaohffhs


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Erhgghs nh ijtroah < ijuvjos rïsuftjts

Erhggh hd `fba ijtroah + rhpfo udeuïjf 2

[jrgbos trjdsfjtobd nh ijtroah

9 Fji`hju nh trjdsfbajtobd nh Lbmdsbd

. Nïabffhr fhs `hrehs nh fj pfjoh ijtroaohffh . Odaoshr ë fj lbdatobd ijtroah - rhpfos fjtïrjux . Quturhr sjds thdsobd ju [NQ 7/; odabfbrh . Quturhr sboedhushihdt fh rhpfo prbxoijf +++

. Odthrpbshr fj tj`fhtth hdtrh fhs rhpfos

[hrths nh su`stjdah ijtroaohffhs


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Qo fj phrth nh su`stjdah dh phut ìtrh abi`fïh pjr ud

fji`hju fbajf of gjut pjrgbos prbpbshr nhs erhgghsvjsaufjrosïhs n‟jppjrhof udeuïjf

Hd `rjdamjdt ud pïnoaufh aburt ju dovhju nh f‟O[[

Pïsuftjts gbdatobddhfs sjtosgjosjdts ijos dbd pjrgjotssur ud pfjd hstmïtoquh.

[bur fhs phrths nh su`stjdah abipfhxhs nh fj pjrtoh

nbrsjfh nu pbuah jvha pufph odtjath< trjdsghrt pjrtohfnu erbs brthof

ï


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>-7 Fhs fïsobds nu rhpfo prbxoijf

[hrth nh su`stjdah nu rhpfo udeuïjf

[hut ìtrh rhabuvhrth pjr ud fji`hju nh rbtjtobd

y jssbaohr udh rhabdstruatobd nh fj ijtroah so

dïahssjorh

@ohd jpprbxoihr fhs `brns Pïsuftjts hxahffhdts

ï ï


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8 - Pïsuftjts nh proshs hd amjreh odjnjptïhs


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Pïpjrjtobd odotojfh

Pïsuftjt ë : ibos

Nystrbpmoh

udeuïjfh sïvírh


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[fjoh trjdsvhrsh pufpb-udeuïjfh

! pjs n‟j`fjtobd odotojfh nh fj tj`fhtth ht nbda pjs nh rïpjrjtobd nu fotsbus-ljahdt< tj`fhtth dbd jnmïrhdth hd nostjfotï

Fj pfjoh hst jssbaoïh ë udh grjaturh nh mbupph dbd rïnuoth ht dbdxïh + pfjoh pufpjorh ! juaud ijodtohd nh f‟hdshi`fh


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Aoajtroah nysmjribdohush nu rhpfo prbxoijf

9 [tïryeobd

J`shdah nh rïpjrjtobd nu fot udeuïjf ! phrth nh f‟jnmïrhdah nh fj tj`fhtth


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[bur Abdafurh

[jrio f‟hdshi`fh nhs urehdahs, ud trjuijtosihnh f‟bdefh, quhf qu‟of sbot, hst tbulburs udh

fïsobd iodhurh

- Abdsbiijthur nh thips +++

- Of gjut hd iby >8 iod pbur prhdnrh hd amjrehabrrhathihdt udh pfjoh pufpb-udeuïjfh tbut

abipros< Odgbs jux pjtohdts, thips amorureoajfht pjpohrs nh sbrtoh gjots.

F mo o n f‟ f ï t n


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Fj amorureoh nh f‟bdefh dh prïshdth pjs nh

ajrjatïrostoquhs thamdoquhs pjrtoaufoírhs

ijos of gjut <

Abddjätrh f‟jdjtbioh ht fj pmysobfbeoh nh f‟jppjrhofudeuïjf

[rhdnrh fh thips dïahssjorh pbur rïpjrhr ahs phtothsstruaturhs

Qurtbut< s‟odtïrhsshr ë ah phtot brejdh +++


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Traumato unguéale 2015-2016

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