021 Akbid Makalah Penyakit Ginjal Yang Menyertai Kehamilan

FA]A ^BGHAG]AT ^rì uyrfrt fi}a ~agà}fag fbjamita} ACCAJ UX] yagh laga lauij midbtifag ― GYA ― GYA ura}r gifla} fbubl~a}ag mag fbubja}ag ubjighha fi}a lauij ma~a} lbgyrurg fbjalicag’’Mag }imaf cr~a ~rca fali lafacaj ‚’^bgyafi} higàc yagh lbgybt}ai fbjalicag’’Mag lbghrea~fag dagyaf }btila fauij fb~ama mkubg ~bldildigh }bcaj lbldbti }rhau igi ubdahai lbmia ~bldbcaàtag fali' Dbuat jata~ag fali fitagya lafaca igi dbtlagoaa} ubdahai ~agmrag dbcaàt rg}rf lajauiuxa caiggya'

âcr# Mbubgdbt 4>11

^bgyrurg Aghhty Tajla Ua~r}ti

I

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MAO]AT IUI FA]A ^BGHAG ]AT                    ]AT                    ''''''''''''''''''''''I MAO]AT IUI          IUI                                       ''''''''''''''''''''II ''''''''''''''''''''II DAD I ^BGMAJRCRAG''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''III A' Ca}at dbcafagh                  '''''''' ''''''''   '''''''''''''''''''''''''1 D' ]r`rag                  ''' '''                           ''''''''''''''''''''''''''''4 ''''''''''''''''''''''''''''4 DAD II ^BLDAJAUAG

A' Mbobgiui''''''''''' Mbobgiui''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''5 '''''''''''''''''''''''''''''5 D' Laeal laeal ~bgyafi} higàc ~ama fbjalicag ''''''''''''''''''''''''''''''''''? a' ^bghbt}iag d' B}ikckhi e' Hbàca mag }agma m' ^bgaghagag E' DAD III ^BGR]R^'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''I_ A' FBUIL^RCAG '''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''1? '''''''''''''''''''''''''''''''''1? D' UATAG UATAG                       '''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''     '''''''''''''''1? '''''''''''''''1? MAO]AT ^RU]AFA''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''_









1' Ca}at Dbcafagh âgmaghag dajxa ~btbl~rag yagh lbgmbti}a ~bgyafi} higàc ubdaifgya lbghjigmati fbjalicag# }bcaj ama ubàf adam cacr' Cratag dayi mi~bteaya afag frtagh daif mag ~auibg yagh lbgmbti}a ~bgyafi} higàc miuatagfag lbcafrfag }btligaui fbjalicag' Ub}bcaj }ajrg 1982 taua ~builiu i}r dbthag}i lbgàmi k~}iliu ubjrdrghag mbghag dagyafgya ~rdcifaui u}rmi fauru lbghbgai fbjalicag mbghag ~bgyafi} higàc yagh mifkgoitlaui mbghag dik~uy higàc# ubjighha fbdagyafag ~btbl~rag mbghag haghhrag higàc ma~a} lbcbxa}i fbjalicag }ag~a fbcaigag yagh dbtat}i' Ubcaig i}r# ma}a,ma}a lbghbgai ~btbl~rag jalic mbghag }tagu~cag}aui higàc ubàf }ajrg 4>>> }bcaj lbldbtifag jauic yagh lbghhblditafag' Fbublragya igi lbldbtifag ~agmaghag dajxa ubdahiag dbuat ~btbl~rag yagh lbl~rgyai haghhrag orghui higàc ligilac ma~a} jalic mbghag fblrghfigag fbjalicaggya dbtjauic lbgea~ai 9>"' Macal fbjalicag }btma~a} ~btrdajag,~btrdajag orghuikgac mag aga}klie higàc mag uacrtag fblij# yagh ubtigh lbgildrcfag hbàca,hbàca mag fbcaigag oiuif mag ~blbtifuaag jauic cadkta}rtirl' A~adica jac i}r }imaf mi~btja}ifag mag mi~btji}rghfag# ama fblrghfigag uacaj lbldra} miahgkuiu# ubjighha ma~a} lbtrhifag idr mag àgig' Rg}rf i}r# mi~btcrfag aurjag yagh }b~a} dahi idr jalic mbghag ~bgyafi} higàc# mag macal lafacaj igi afag midajau }bg}agh ~bgyafi} higàc macal fbjalicag mag aurjag fbdimagag ~ama idr jalic mbghag ~bgyafi} higàc'

1

4' ]r`rag









4' Rg}rf lbghb}ajri ~bgyafi},~bgyafi} higàc mag uacrtag fblij yagh ubtigh }btàmi ~ama fbjalicag mag ~bghatrjgya }btjama~ fbjalicag' 5' Rg}rf lbghb}ajri ~bghatrj fbjalicag }btjama~ ~bgyafi} higàc mag uacrtag fblij' =' Rg}rf lbghb}ajri aurjag fbdimagag yagh }b~a} rg}rf idr jalic mbghag ~bgyafi} higàc'

4









A' ^BGHBT]IAG Higàc amacaj kthag }rdrj yagh dbtorghui rg}rf lbghbcratfag rtigb# yagh lbtr~afag uiua jauic lb}adkciulb }rdrj macal dbg}rf eaitag' Higàc }btcb}af ~ama migmigh dahiag crat tkghha ~btr}# yagh lbtr~afag tkghha }btdbuat macal }rdrj lagruia# }b~a}gya miubdbcaj fagag mag fiti }rcagh dbcafagh' Dbg}rf higàc ub~bt}i diì faeagh mbghag ~agàgh ? ual~ai 8#2 el mbghag fb}bdacag 1#2 ― 4#2 el *^bateb# 1992)' Higàc dbtorghui rg}rf lbgha}rt fbubildaghag ait macal }rdrj# lbgha}rt fkgubg}taui hatal macal mataj# lbgha}rt fbubildaghag aual daua mataj ubt}a lbgha}rt bfuftbui dajag draghag mag fbcbdijag hatal' A~adica higàc hahac macal lbgàcagfag orghuigya igi# lafa afag }btàmi haghhrag ~ama fbubildaghag ait mag lb}adkciulb macal }rdrj ubjighha lbghafida}fag }btàmigya ~bgrl~rfag pa},pa} dbtdajaya macal mataj yagh ma~a} lbghhaghhr fbtà ktagh caig yagh lbgybdadfag ~bgmbti}a lblbtcrfag ~bhkda}ag ubhbta' Macal fbjalicag }btma~a} ~btrdajag,~btrdajag orghuikgac mag aga}klie higàc mag uacrtag fblij# yagh ubtigh lbgildrcfag hbàca,hbàca mag fbcaigag oiuif mag ~blbtifuaag jauic cadkta}rtirl' A~adica jac i}r }imaf mi~btja}ifag mag mi~btji}rghfag# ama fblrghfigag uacaj lbldra} miahgkuiu# ubjighha ma~a} lbtrhifag idr mag àgig'

5 ^btrdajag aga}klie }btma~a} ~bgighfa}ag ~bldrcrj mataj# mag traghag









afag fbldaci gktlac ub}bcaj lbcajitfag' Rtb}bt# ~ibcrl mag facifu lbghacali ~bcbdatag macal frtrg xaf}r yagh ~bgmbf uburmaj fbjalicag 5 drcag# mag }btr}ala ~ama uiui ubdbcaj fagag' ^bcbdatag yagh }imaf uala igi lrghfig fatbga ~btrdajag r}btru yagh lbldbuat mag lbghacali mbfu}tktk}aui a}ar fatbga }btàmigya ~bgbfagag ~ama vbga kvatirl fagag yagh }btcb}af mi a}au rtb}bt# ubmaghfag ~ama yagh mi ubdbcaj fiti }imaf }btma~a} fatbga amagya uihlkim ubdahai dag}acag' ^bcbdatag `rha fatbga ~bghatrj ~tkhbu}btkgb# ubjighha }btàmi jimtkrtb}bt mag jimtkgbotkuiu oiuikckhiu macal fbjalicag' Rtb}bt `rha lbghacali ~blagàghag# lbcbfrf# mag famagh dbt~igmaj cb}af fb ca}btac# mag afag fbldaci gktlac :,14 lighhr ub}bcaj lbcajitfag' Ublra jac mi a}au ma~a} micija} mbghag ~blbtifuaag ~ibckhtaoi ig}tavbga *I_^










mati famat ftba}igig ubtrl mag rtba gi}tkhbg mataj' Gicai gktlac ftba}igig ubtrl amacaj >#2 lh,>#8 lh+1>> lc mag rtba gi}tkhbg mataj :,14 lighhr+1>>lc' Igobfui Uacrtag Fblij Igobfui uacrtag fblij amacaj dica ~ama ~blbtifuaag rtig# mi}blrfag daf}bti yagh `rlcajgya cbdij mati 1>'>>> ~bt lc' rtig yagh mi~btifua jatru dbtuij# ubhat# mag mati acitag }bghaj *limu}tbal) a}ar mraldic mbghag ~rghui ur~tauil~iuiu' Mi}blrfag daf}bti yagh `rlcajgya cbdij mati 1>5 ~bt lc igi miubdr} mbghag iu}icaj daf}btirtia' Daf}btirtia igi lrghfig }imaf miubt}ai hbàca# miubdr} daf}btirtia auil}kla}if# mag lrghfig ~rca miubt}ai mbghag hbàca,hbàca miubdr} daf}btirtia uil~}kla}if' Xacar~rg igobfui igi ma~a} }btàmi fatbga ~bgybdatag frlag lbcacri ~bldrcrj mataj a}ar uacrtag cilob# afag }b}a~i yagh }btdagyaf a}ar }btubtigh amacaj frlag,frlag gaif fb a}au lbcacri rtb}ta# fb macal fagmrgh fblij mag uacrtag fblij yagh cbdij a}au' Frlag yagh }btubtigh mag }btdagyaf ubdahai ~bgybdad amacaj Buejbtia ekci *B'ekci)# mi ual~igh fblrghfigag frlag,frlag caig ub~bt}i Bg}btdae}bt abtkhbgbu# Fcbduibcca# ûbmklkgau mag caig,caig' 1' Daf}btirtia }ag~a hbàca *auil~}kla}if) Otbfrbgui dae}btirl }ag~a hbàca fita,fita 4,1> "# mag mi~bghatrji kcbj ~atib}au# ukuikbfkgkli xagi}a jalic }btubdr}' Mi Altifa Ubtifa} ~acigh }ihhi mi}blrfag ~ama xagi}a Gbhtk' Mi TU Mt'Ei~}k Laghrgfrurlk# @afat}a# otbfrbgui daf}btirtia }ag~a hbàaca macal fbjalicag uagha} }ighhi# yai}r 42"'









a' uiu}i}iu Uiu}i}iu amacaj ~btamaghag fagmrgh fblij }ag~a miubt}ai tamagh dahiag a}au uacrtag fblij' Uiu}i}iu igi erfr~ mi`rl~ai macal fbjalicag mag gioau' Frlag ~bgybdad r}ala amacaj B'ekci# mi ual~igh ma~a} ~rca kcbj frlag,frlag caig' Oae}kt ~tbmiu~kuiui caig amacaj rtb}ta xagi}a yagh ~bgmbf# uiu}kfbc# amagya uiua ait fblij yagh }bt}ighhac# mi ual~igh ~bghhrgaag fa}b}bt yagh ubtigh mi~afai macal ruaja lbghbcratfag ait fblij macal ~blbtifuaag higbfkckhif a}ar ~btuacigag' ^bghhrgaag fa}b}bt igi afag lbgmktkgh frlag,frlag yagh ama mi rtb}ta miu}ac rg}rf laurf fb macal fagmrgh fblij' Miag`rtfag rg}rf }imaf lbghhrgafag fa}b}bt dica }imaf ~btcr db}rc' Hbàca,hbàca uiu}i}iu fjau ubfaci# yai}r miurtia }btr}ala ~ama afjit dbtfblij# lbgighfa}gya otbfrbgui dbfblij mag famagh,famagh miubt}ai gybti mi dahiag a}au uil~iuiu# ~btauaag ighig dbtfblij yagh }imaf ma~a} mi}ajag#ait fblij famagh, famagh }btaua ~agau# urjr damag lrghfig gktlac a}ar lbgighfa}# mag gybti mi mabtaj ur~tauil~iuiu' âma ~blbtifuaag cadkta}ktirl# diauagya mi}blrfag dagyaf cbrfkui} mag bti}tkui} mag famagh,famagh `rha ama daf}bti' Famagh, famagh mi`rl~ai jbla}rtia ubmaghfag ~tk}bigrtia diauagya }imf ama' Uiu}i}i}iu ma~a} mikda}i mbghag urcokgalimb# al~ieicig# bti}tkliuig' ^btcr mi~btja}ifag kda},kda} caig yagh daif mihrgafag rg}rf ~bghkda}ag igobfui uacrtag fblij# afag }b}a~i lbl~rgyai ~bghatrj }imaf dahi àgig# a}ar~rg dahi









Dauiccru ~tk}bru# mag ~ubrmklkgau abtrhigkua' Frlag ma~a} lbgybdat ubeata jbla}khbg a}ar cilokhbg# afag }b}a~i }btdagyaf dbtauac mati fagmrgh fblij' ^tbmiu~kuiuigya ag}ata caig yai}r ~bghhrgaag fa}b}bt rg}rf lbghbcratfag ait fblij xaf}r ~btuacigag a}ar fbjalicag# ait fblij yagh }bt}ajag ubdad ~btauaag uafi} xaf}r dbtfblij fatbga }tarla ~btuacigag# a}ar crfa ~ama àcag cajit' Mia`rtfag }imaf lbghhrgafag fa}b}bt rg}rf lbghbcratfag ait fblij# dica }imaf mi~btcrfag db}rc' ^bgmbti}a yagh lbgmbti}a ~ibckgboti}iu ftkgif a}ar hcklbtkcrgbo}i}iu ftkgif yagh urmaj ama ubdbcrl fbjalicag# uagha} lbgmktkgh }btàmigya ~ibckgboti}iu afr}a igi' Hbàca,hbàca ~bgyafi} diauagya }ildrc lbgmamaf# xagi}a yagh ubdbcrlgya lbtaua uafi} ubmifi} ~ama fagmrgh fblij# }ida,}ida lbghhihic# damag ~agau# mag taua gybti mi ~rghhrgh *aghrcru fku}kvbt}bdtaciu) }btr}ala ubdbcaj fagag' Gaour lafag dbtfrtagh# lrac# lrg}aj,lrg}aj# mag famagh miatb# mag ma~a} ~rca `rlcaj rtig uagha} uagha} dbtfrtagh dbtfrtagh *kcihkrtia)' *kcihkrtia)' âma ~blbtifuaag ~blbtifuaag ait fblij mi}blrfag mi}blrfag dagyaf ubc cbrfkui} mag ubtigh dbthrl~ac,hrl~ac# uicigmbt ubc mataj# mag famagh, famagh mi}blrfag daf}bti B'ekci' ~bldiafag ait fblij lbgrg`rffag jauic ~kui}io' ^btcr mi~btja}ifag miahgkuiu dagmigh caig ub~bt}i a~~bgmiei}iu afr}a# ukcruik ~caubg}a# }rlkt ~r}atag }rghfai# mag igobfui gioau' ^bghkda}ag ~ibckgboti}iu afr}a# ~bgmbti}a jatru mitaxa}# iu}itaja} dbtdatigh# mag midbtifag erfr~ eaitag mag ag}idiki}ifa ub~bt}i al~ieicig a}ar urcokgalimb#









]btligaui fbjalicag ubhbta diauagya }imaf mi~btcrfag# fberaci a~adica ~bghkda}ag }imaf dbtjauic a}ar orghui higàc lafig lbldrtrf' ^tkhgkuiu dahi idr rlrlgya erfr~ daif dica ~bghkda}ag eb~a} mag }b~a} midbtifag# ubmaghfag ~ama jauic fkgub~ui ubtighfaci lbgildrcfag fbhrhrtag a}ar ~btuacigag ~tbla}rtb'

e' îbckgboti}iu Ftkgifa îbckgboti}iu ftkgif diauagya }imaf a}ar ubmifi} ubfaci lbgrg`rfffag hbàca, hbàca

~bgyafi}

uacrtag

fblij#

mag

lbtr~afag

~tbmiu~kuiui

}btàmigya

~ibckgboti}iu afr}a macal fbjalicag' ^bgmbti}a lrghfig lbgmbti}a }bfagag mataj }ighhi' âma fbamaag ~bgyafi} yagh cbdij dbta} mima~a}fag ~bgrtrgag }ighfa} oic}taui hcklbtkcru *HOT) mag ~ama rtigaciuiu rtig lrghfig gktlac# lrghfig mi}blrfag ~tk}big frtagh mati 4 ht ~bt jati# hrl~acag ubc,ubc mataj ~r}ij' ^tkhgkuiu dahi idr mag àgig }bthag}rgh mati craugya fbtruafag àtighag higàc' ^bgmbti}a yagh ji~bt}bgui mag iguroiuibgui higàc lbl~rgyai ~tkhgkuiu drtrf' ^bgmbti}a igi ubdaifgya }imaf jalic# fatbga tiuifk }ighhi' ^bghkda}ag ~bgmbti}a yagh lbgmbti} ~ibckgboti}iu ftkgifa igi }imaf dagyaf yagh ma~a} micafrfag# mag facar lbgrg`rf fb ataj ~ibckgboti}iu afr}a# }bta~i u~bt}i yagh }bcaj mirtaifag' ^btcr mi~bt}ildaghfag rg}rf }btligaui fbjalicag ~ama ~bgmbti}a yagh lbgmbti}a ~ibckgboti}iu ftkgifa'









Haldatag fcigif mi}agmai kcbj }ildrcgya jbla}rtia mbghag }ida,}ida# bmbla mag ji~bt}bgui ~ama ~bgmbti}a ubdbcrlgya }al~af ubja}' Fblrmiag uigmtkla mi}aldaj mbghag kcihkrtia ual~ai agrtia# gybti fb~aca# mag lrgmrtgya viuru *tb}igi}iu acdrligifa)' Miahgkuiu lbgàmi urci} a~adica }ildrc ubtaghag fbàgh,fbàgh mbghag a}ar }ag~a fkla yagh miubdadfag kcbj fkl~cifaui ji~bt}bgui ubtbdtac# a}ar kcbj rtblia# a}ar a~adica }ildrc bmbla ~atr,~atr afr}'

A~adica ~bgyafi}gya mifb}ajri macal }tilbu}bt III# lafa ~btdbmaag mbghag ~tbbfcaluia mag bfcal~uia ubcacr jatru midra}' ^blbtifuaag ait fbgeigh lbghjauicfag ubdahai dbtifr}0 ubtigh ~tk}bigrtia# mi}blrfag bti}tkui} mag uicigmbt jiacig# uicigmbt fktbc# mag uicigmbt bti}tkui}' ^bghkda}ag uala mi crat fbjalicag mbghag ~btja}iag fjruru# iu}itaja} datigh# mib} yagh ubl~rtga mag tbgmaj hatal# ~bghbgmaciag ji~bt}bgui ubt}a fbubildaghag eaitag mag bcbf}tkci}' Rg}rf ~bldbtag}auag igobfui erfr~ midbti ~bgieiccig# fatbga u}tb~}kekeeru ~bfa }btjama~ ~bgieiccig' A~adica igi }imaf dbtjauic# lafa jatru mi~afai ag}idik}ifa yagh uburai mbghag jauic }bu fb~bfaag' Diauagya ~bgmbti}a ubldrj }ag~a uiua,uiua ~bgyafi} mag orghui higàc yagh }b}a~ daif' Fbjalicag ma~a} dbtcaghurgh ual~ai cajitgya agaf jimr~# mag a~adica miighigfag xagi}a dkcbj jalic cahi mi fblrmiag jati' Ama facagya ~bgyafi}











b' Hcklbtrckgboti}iu Ftkgifa Xagi}a jalic mbghag hcklbtrckgboti}iu ftkgifa urmaj lbgmbti}a ~bgyafi} i}r dbdbta~a }ajrg ubdbcrlgya' Fatbga i}r# ~ama ~blbtifuaag fbjalicag ~bt}ala ma~a} mi`rl~ai ~tk}bigrtia# ubmilbg yagh }imaf gktlac# mag ji~bt}bgui' Miahgkuiu lrmaj midra} dica mi`rl~ai ~tk}bigrtia# ubmilbg yagh yagh

}imaf gktlac# mag

ji~bt}bgui' A~adica hbàca,hbàca ~bgyafi} ~bgyafi} datr }ildrc macal fbjalicag yagh urmaj cag`r}# a}ar mi}aldaj mbghag ~bghatrj fbjalicag *ur~btil~kubm ~tbbecal~uia)# lafa cbdij urci} rg}rf lbldbmafaggya mati ~tbbfcal~ui lrtgi' Ura}r eiti }b}a~ iacaj lafig lbldrtrfgya orghui higàc fatbga lafig cala lafig dagyaf fbtruafag yagh mimbti}a kcbj hcklbtrcru,hcklbtrcru higàc# dajfag ual~ai lbgea~ai }ighfa} afjit# yafgi a~a yagh miubdr} higàc fiur}' ^bgyafi} igi ma~a} lbgal~affag miti macal = laeal0 *>1) jagya }btma~a} ~tk}bigrtia lbgb}a~ mbghag a}ar }ag~a fbcaigag ubmilbg6 *>4) ma~a} lbgàmi `bcau ubdahai uigmtkla gbotk}if6 *>5) macal dbg}rf lbgmamaf ub~bt}i ~ama hcklbtrckgboti}iu afr}a6 *>=)









lafa urci} rg}rf lbgaouitfag ~bghatrj fbjalicag ~ama àcag ~bgyafi}' Yagh }ag~a fbjalicag `rha lafig cala lafig lbgàmi cbdij drtrf' Ahafgya fbjalicag }imaf lbl~bteb~a} ~tkubu fbtruafag higàc# xacar~rg ubdacifgya ma~a} ~rca }btàmi' ^tkhgkuiu dahi idr afjitgya drtrf0 ama yagh ubhbta lbgighhac# ama yagh ahaf cala' Jac i}r }bthag}rgh mati craugya fbtruafag higàc xaf}r miahgkuiu midra}# mag ama a}ar }imafgya oaf}kt,oaf}kt yagh lbl~bteb~a} ~tkubu ~bgyafi}' ^tkhgkuiu dahi àgig macal fauru }bt}bg}r }bthag}rgh ~ama orghui higàc mag mbtaà} ji~bt}bgui' Xagi}a mbghag orghui higàc yagh erfr~ daif }ag~a ji~bt}bgui yagh dbtat}i ma~a} lbcag`r}fag fbjalicag ual~ai erfr~ drcag xacar~rg diauagya dayigya cajit miula}rt afida} iguroiuibgui ~caebg}a' A~adica ~bgyafi} urmaj dbta}# a~acahi miubt}ai }bfagag mataj yagh uagha} }ighhi# diauagya fbjalicag dbtafjit mbghag adkt}ru mag ~at}ru ~tbla}rtru# a}ar àgig la}i macal fagmrghag' o' Uigmtkla Gbotk}if









^bgmbti}a jatru mikda}i mbghag ubfuala# a}ar ~blafaiag kda},kda} yagh lbgàmi ubdad jatru mijbg}ifag' ^bgmbti}a midbti mib} }ighhi ~tk}big' Igobfui ubma~a},ma~a}gya miebhaj mag yagh urmaj ama jatru midbtag}au mbghag ag}idik}ifa' ]tkldkbldkciulru ma~a} }ildrc macal gioau' Uidbtlag mag Amal lbghaàtfag ~bghkda}ag ag}idbfr *jb~atig) macal gioau ~ama xagi}a mbghag uigmtkla gbotk}if' Ma~a} ~rca midbti kda},kda} fkt}ifku}btkim macal mkuiu }ighhi' h' Hahac Higàc Lbgmamaf Macal Fbjalicag Hahac higàc lbgmamaf *aer}b tbgac oaicrtb) lbtr~afag fkl~cifaui yagh uagha} haxa} macal fbjalicag mag gioau# fatbga ma~a} lbgildrcfag fbla}iag a}ar fbtruafag orghui higàcyagh higàcyagh }imaf diua ubldrj cahi' Fbàmiaggya 1 macal 15>>,12>> fbjalicag' Fbcaigag igi mimauati kcbj 4 `bgiu ~a}kckhi' 1' Gbftkuiu }rdrcat afr}# a~adica urlurl higàc lbghacali fbtruafag'









fbla}iag àgig macal fagmrghag yagh cala# bldkci ait fb}rdag yagh lgybdadfag }btàmigya MIE# tbafui }taguorub mataj a}ar ~ama ~btmatajag dagyaf yagh ma~a} lbgildrcfag iufbli' ^bgmbti}a ma~a} lbgighhac macal xaf}r 8,1= jati ub}bcaj }ildrcgya agrtia' Fbtruafag àtighag ma~a} }btàmi mi dbdbta~a }bl~a} yagh }btubdat a}ar fb ubcrtrj àtighag higàc' higàc' âma laua gioau urci} mifb}ajri ubdadgya# ubjighha miubdr} uigmtkl higàc higàc imik~a}if ~ku}~at}rl' ^bgaghhrcaghag ~ama fbamaag igi# ~bgmbti}a midbti igorub# a}ar }taguorui mataj# mi~btja}ifag fbubildaghag bcbf}tkci} mag eaitag mag ubhbta micafrfag

jblkmiaciuiu

dica

ama

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Dagyaf

~bgmbti}a

lbldr}rjfag jblkmiaciu ubeata }bta}rt a}ar micafrfag }tagu~cag}auihigàc rg}rf higàc yagh }b}a~ hahac' Hahac higàc macal fbjalicag igi ma~a} miebhaj dica micafrfag0 1' ^bgaghag fbjalicag mag ~btuacigag mbghag daif0









midbti eaitag dagyaf ahat da}r ma~a} fb daxaj# fatbga jal~it :>" da}r afag ma~a} }rtrg fb daxaj# ubt}a ag}idik}ifa' âma ~bgmbti}a yagh lbldr}rjfag }igmafag k~btaui# ubdaifgya k~btaui micafrfag ub}bcaj }tilbu}bt ~bt}ala a}a}r ub}bcaj ~ku} ~at}rl' âma da}r drci,drci# dica da}r }btubdr} mi~btfitafag lbghjacaghi àcaggya ~btuacigag# fbjalicag miafjiti mbghag UE# mag da}r miaghfa} ~ku} ~at}rl mbghag ubfuik ac}a a}ar ci~k}ti~ui' i'

Higàc ^kcifiu}if

Higàc ~kcifiu}if lbtr~afag fbcaigag daxaag *jbtbmi}bt)' Fbjalicag rlrgya }imaf lbl~bghatrji ~btfbldaghag ~bldbg}rfag fiu}a ~ama higàc# dbhi}r ~rca ubdacifgya' Afag }b}a~i dica orghui higàc frtagh daif# lafa fbjalicag afag lbl~btdbta} a}ar lbtruaf orghuigya' Ubdacifgya xagi}a yagh }bcaj lbl~rgyai fbcaigag ubdaifgya }imaf jalic fatbga fblrghfigag }ildrc fkl~cifaui afida} fbjalicag ubcacr }ighhhi' `'

]rdbtfrckuiu Higàc











Gbotbf}kli lbtr~afag ~icijag a~adica }rdbterckuiu jagya }btàmi ~ama 1 higàc' 2' ]igmafag igi mi~btcrfag ~ama ?9" fauru }rdbterckuiu higàc mbghag bfuaubtdaui afr} ~ama fbjalicag' Adktui }imaf lbghjbg}ifag ~tkubu }rdbterckuiu' Fkl~cifaui yagh ma~a} }btàmi amacaj adkt}ru mag àgig yagh }btigobfui' Lkt}aci}au idr mag dayi a~adica }imaf mikda}i dbtfiuat 5>,=>"' ]bta~i ]DE higàc uala mbghag }bta~i ]DE kthag,kthag caig' Rg}rf lbldra} miahgkuiu ]DE higàc









micafrfag miacyuiu }btru lbgbtru rg}rf lbl~bt}ajagfag fbjimr~aggya' Xagi}a yagh lbghighigfag jalic jalic ub}bcaj ma~a} }tag~cag}aui hiigàc# jatrucaj miaxaui fb}a} kcbj u~buiaciu kdu}b}tie mag u~buiaciu ~bgyafi} higàc' Ubdaifgya }bg}r xagi}a igi }imaf jalic cahi' Mavimukg mff lbgha`rfag : fti}btia yagh jatru mi~bgrji kcbj ubktagh xagi}a yagh }bcaj lbgma~a}fag }tagu~cag}aui higàc# rg}rf mi~btdkcbjfag jalic' 1' Fbubja}ag ~bgmbti}a macal fbamaag daif macal xaf}r 1,4 }ajrg ub}bcaj lbgma~a}fag }tagu~cag}aui higàc









DAD III ^BGR]R^

1' Fbuil~rcag Macal fbjalicag }btma~a} ~btrdajag,~btrdajag orghuikgac mag aga}klie higàc mag uacrtag fblij# yagh ubtigh lbgildrcfag hbàca,hbàca mag fbcaigag









MAO]AT ^RU]AFA

Latujacc M' Cigmjbilbt' 4>>9' Tbgac miubaub agm ^tbhgagey' Xbd Ui}b0 j}}~0++xxx'holbt'ej+Bgmk+Cbe}rtbu[11+Cigmjbil'j}l *1= Kf}kdbt 4>>9) Lajbgmta Ahtajatfat b} ac' 4>>?' Tbgac miubaub agm ^tbhgagey' Xbd Ui}b 0 j}}~0++blbmieigb'lbmuea~b'ekl+at}iecb+4=?145,kvbtvibx *1= kf}kdbt 4>>9)

021 Akbid Makalah Penyakit Ginjal Yang Menyertai Kehamilan

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