Asuhan Keperawatan Kolesistitis

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Z{ad{lh Wy~ic Ceh~ Bnzn{ltlylm K @~{~wlm Bnzn{ltlylm Flb~eylw Bniabyn{lm ^mcvn{wcylw K{ltc`lsl Hlelmd ;:<< ttt-wn{zcolmceh~b~-keadwzay-gah

BAENWCWYCYCW

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Baenwcwycycw lilelo Cmfelhlwc blmy~md nhzni~ lb~y lyl~ b{amcw slmd icwnklkblm aeno kly~ nhzni~ slmd yn{`nzcy ilelh wle~{lm wcwycb ilm icwn{ylc cmfelhlwc ic klecb akwy{~bwc /Tceeclhw&Tcebcmw% /Tceeclhw&Tcebcmw% ;:<<# Baenwcwycycw lilelo Cmfelhlwc blmi~md nhzni~ lb~y lyl~ b{amcb /Avniaff% ;::;#

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Znmsnklk yn{wn{cmd akwy{~bwc i~by~w aeno kly~ nhzni~

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Baenecyclwcw Baenecyclwcw yn{ilzly enkco e nkco il{c ?:.

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Cmfnbwc klgyn{cle ilzly yn{`lic bl{nml lilmsl akwy{~bwc

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Znmslbcy b{amcb wn{cmd yn{`lic wnynelo wn{lmdlm cmfelhlwc lb~y slmd kn{~elmd(~elmd wngl{l yn{zcwlo ynylzc h~mdbcm kn{bnhklmd kn{lmdw~{( lmdw~{ ylmzl yn{`lic nbwlwn{klwc lb~y


Znmcmdblylm blil{ enhlb

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Bamwy{~bwc kly~ nhzni~ wnhlbcm ycilb yn{ly~{ ilm

W~hklylm wle~{lm nhzni~

yl`lh Kcec{~kcm hnmdlelhc l{~w klecb bn vlwb~en{ Znenzlwlm hniclya{ msn{c

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/ocwylhcm% k{licbcmcm% z{awyldelmicm% wn{ayamcm#

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b~ecy Znmcmdblylm vlwb~el{cwlwc Dlyle

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Msn{c Aninhl Znmcmdblylm ynblmlm Kn{elm`~y

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Infcwcy vae~hn

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znhnm~olm m~y{cwc


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3>. zlwcnm baenwcwycycw lblm hnmin{cyl baenecyclwcw

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Blil{ lhcelwn wn{~h hnhklmy~ hnhknilblm znmslbcy blmy~md nhzni~ ilm zlmg{nlycycw

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Kclwlmsl klcb inmdlm znhknilolm

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Msn{c ilm dn`lel(dn`lel h~mdbcm hnmnylz wnynelo baenwcwynbyahc


BAMWNZ LW^OLM BNZN[LTLYLM

Znmdbl`clm

Znmd~hz~elm ilyl Vlecilwc ilyl Cinmycfcblwc hlwlelo

Icldmawcw Bnzn{ltlylm

Zn{nmglmllm /Cmyn{vnmwc#

Z{ca{cylw hlwlelo Znmnylzlm y~`~lm ilm b{cyn{cl olwce Znmnylzlm {nmglml ycmilblm

Znelbwlmllm /Chzenhnmylwc#

Ycmilblm hlmic{c bnzn{ltlylm Ycmilblm baelka{lwc bnzn{ltlylm

Nvle~lwc

Z{awnw Olwce


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Lmlhmnwcw

Cinmycylw Zlwcnm 

Mlhl

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Ynhzly ylmddle eloc{

0

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Wyly~w zn{bltcmlm

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Ldlhl Znmicicblm

0 0

Lelhly

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Bne~l{dl slmd slmd ilzly ico~k~mdc ico~k~mdc 0

[ctlsly Bnwnolylm 

Bne~olm ~ylhl Ilzlyblm ilyl hnmdnmlc bne~olm ~ylhl /dn`lel slmd zlecmd ic{lwlblm# lyl~ dn`lel slmd hnmsnklkblm zlwcnm ilylmd bn ynhzly znelslmlm bnwnolylm

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[ctlsly bnwnolylm wnbl{lmd Ilzlyblm ilyl hnmdnmlc b{amaeadcw bn`liclm wnocmddl h~mg~e bne~olm ~ylhl slmd hnmsnklkblm zlwcnm ilylmd bn ynhzly znelslmlm bnwnolylm(

Kldlchlml

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Ynhzly ilm wcfly dn`lel /hnm`lel{% hnmsnkl{% kn{zcmilo(zcmilo% lyl~ hnmnylz#

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Kn{lzl elhl bne~olm kn{elmdw~md1

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Blzlm ich~elcmsl1

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^zlsl lzl wl`l slmd ynelo icelb~blm ~my~b hn{cmdlmblm dn`lel1


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[ctlsly bnwnolylm bne~l{dl Ilzlyblm ilyl hnmdnmlc znmslbcy hnm~el{ lyl~ hnm~{~m slmd ichcecbc bne~l{dl- Wnzn{yc YKG% Iclknynw% Oczn{ynmwc iee- Lzlblo yn{ilzly bne~l{dl slmd hnmdlelhc bne~olm slmd wlhl wnzn{yc zlwcnm1 iee

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[ctlsly bnwnolylm ecmdb~mdlm Ilzlyblm ilyl hnmdnmlc ecmdb~mdlm {~hlo ynhzly ycmddle zlwcnm wnbl{lmd- Lzlblo wnilmd yn{`lic tlklo znmslbcy ic ecmdb~mdlm {~hlo ynhzly ycmddle zlwcnm1 Lzlblo hn{~zlblm iln{lo cmi~wy{c /{ltlm zae~wc#1 ecmdb~mdlm slmd b~{lmd wnoly1 Bamicwc {~hlo/vnmycelwc% `nminel% blhl{ hlmic!HGB# slmd hnhlilc1 Iee

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[ctlsly zwcbawawcle Ilzlyblm ilyl hnmdnmlc hlwlelo(hlwlelo zwcbaeadcw slmd iclelhc zlwcnm- Wnzn{yc knklm znbn{`llm% o~k~mdlm inmdlm ecmdb~mdlm wawcle /bne~l{dl ilm hlwsl{lbly#% wndlelo ole slmd hnmsnklkblm wy{nww zwcbcw zlil zlwcnm slmd kn{o~k~mdlm inmdlm bamylb wawcle-

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[ctlsly y~hk~o bnhklmd /bo~w~ zlwcnm lmlb# l- [ctlsly zn{y~hk~olm Ilzlyblm

ilyl

hnmdnmlc

wyly~w

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lmlb-

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dlec ilyl hnmdnmlc

{ctlsly kn{ly klilm% ycmddc klilm% ecmdbl{ enmdlm lylw% ecmdbl{ ilil% ecmdbl{ bnzlel iee k- [ctlsly zn{bnhklmdlm Ilzlyblm

ilyl

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F~mdwc Bnwnolylm 

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Lbycvcylw fcwcb Ilyl

slmd

icb~hz~eblm

ilelh

znmdbl`clm

lbycvcylw

bnhlhz~lm zlwcnm ~my~b hnhnm~oc bnk~y~olm LIE : 8 hlmic{c ttt-wn{zcolmceh~b~-keadwzay-gah

fcwcb

lilelo

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M~y{cwc Ilyl slmd icb~hz~eblm ilelh znmdbl`clm m~y{cwc hnecz~yc icny bo~w~w lyl~ w~zenhnm slmd icbamw~hwc% cmwy{~bwc icny wnkne~hmsl% mlfw~ hlblm% `~helo hlblmlm lyl~ hcm~hlm wn{yl glc{lm slmd icbamw~hwc wnyclz ol{c% fe~by~lwc KK% dlmdd~lm zlil znmgn{mllm% bahzawcwc hlblmlm slmd icbamw~hwc /yn{hlw~b icilelhmsl znhnm~olm bl{kaoci{ly% z{ayncm% enhlb% vcylhcm% hcmn{le iee#

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Badmcycf ilm zn{wnzwc Ilyl slmd zn{e~ icb~hz~eblm ilelh znmdbl`clm badmcycf zn{wnzwc lilelo

bamicwc

hnmyle

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Bazcmd yn{olilz wy{nww Ilyl slmd zn{e~ icb~hz~eblm yn{hlw~b hnblmcwhn bazcmd slmd icd~mlblm zlil wlly yn{`licmsl hlwlelo lyl~ bnkclwllm hnmdd~mlblm hnblmcwhn bazcmd wn{yl ycmdbly yaen{lmwc yn{olilz hlwlelo-

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Bamwnz ic{c Ilyl slmd zn{e~ icb~hz~eblm lilelo zn{wnzwc ynmylmd ic{cmsl il{c hlwlelo(hlwlelo slmd lil% wnzn{yc zn{lwllm gnhlw% bnylb~ylm lyl~ znmcelclm yn{olilz ic{c h~elc il{c zn{lm% cinle ic{c% bamwz ic{c% dlhkl{lm ic{c ilm cinmycylw ynmylmd ic{cmsl-

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Zael wnbw~le ilm {nz{ai~bwc Ilyl slmd zn{e~ icb~hz~eblm hnmdnmlc hlwlelo hnmwy{~lwc% zlz whnl{% znhn{cbwllm zls~il{l lyl~ ynwycw wnmic{c yclz k~elm% ilm hlwlelo wnbw~le slmd kn{o~k~mdlm inmdlm znmslbcy-

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Mcelc ilm bnslbcmlm Ilyl slmd zn{e~ icb~hz~eblm lilelo bnslbcmlm slmd ichcecbc becnm slmd kn{o~k~mdlm inmdlm bnwnolylm lyl~ bnwlbcylmmsl- Bnslbcmlm lblm bnwnhk~olm lyl~ bnhlyclm- Ilm mcelc(mcelc slmd iclm~y slmd kn{o~k~mdlm inmdlm wzc{cy~le ilm k~ilsl-


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ZNHN[CBWLLM FCWCB

Bnlillm ~h~h

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Oci~md ilm h~e~y% lil lyl~ ycilbmsl y{cwh~w /bnw~bl{lm hnhk~bl h~e~y#% kckc{% d~wc lil lyl~ ycilbmsl ylmil {lilmd% zn{il{lolm ecilo% wlevclw% fl{cmd% el{{cmd ieeZn{cbwl lil lyl~ ycilbmsl blb~ b~i~b% hlwwl ic enon{ /`cbl lil zn{cbwl ~b~{lm% knmy~b% zawcwc% bamwcwynmwc# ilm lil lyl~ ycilbmsl msn{c ynelm iee-

Znhn{cbwllm ilil

Znhn{cbwllm ilil hnecz~yc a{dlm zl{~ ilm `lmy~md- Wngl{l ~h~h zn{cbwl knmy~b ilil ilm bnlillm zl{~ /wchny{cw lyl~ ycilb#% zn{dn{lblm mlzlw% lil lyl~ ycilbmsl f{nhcy~w w~l{l% b{nzcylwc% zn{b~wc iln{lo ilil ~my~b hnmnmy~blm klylw bnelcmlm% ilm l~wb~eylwc ~my~b hnmnmy~blm lkma{hlecylw wcwynh zn{mlzlwlm- Zlil wlly znhn{cbwllm `lmy~md% zn{cbwl inms~y lznbw /icbnmle inmdlm cby~w ba{icw# ilm lbycvcylw vnmy{cbne% dnyl{lm kcwcmd / yo{cee# k~msc `lmy~md ylhklolm lyl~ kcwcmd `lmy~md iee-

Znhn{cbwllm lkiahnm

Ilyl slmd icb~hz~eblm lmyl{l elcm lilelo ~b~{lm lyl~ knmy~b zn{~y% icmicmd zn{~y% kcwcmd ~w~w% lilmsl bnyndlmdlm icmicmd zn{~y% lyl~ lilmsl msn{c ynblm- Wnelm`~ymsl elb~blm zlezlwc zlil a{dlm olyc% echzl% dcm`le% blmi~md bnmgcmd ~my~b hnhn{cbwl lil lyl~ ycilbmsl msn{c ilm znhknwl{lm zlil a{dlm yn{wnk~y- Bnh~iclm zn{cbwl iln{lo lm~w% {nby~h ilm dnmnylecl-

Znhn{cbwllm nbwy{chcylw ilm mn~{aeadcw

Znhn{cbwllm lmddayl dn{lb cmc hnecz~yc lilmsl {nmylmd dn{lb% bnwnchklmdlm ilm dlsl kn{`lelm% dnmddlh ylmdlm% ilm ayay blbc- Zn{cbwl lzlblo lil bamy{lby~{ lyl~ ycilb iee Bnh~iclm% dlmdd~lm

zlil

mn~{aeadcw

znhn{cbwllm

wnzn{yc

bn`lmd%

mn~{aeadcw y{nha{%

zn{cbwl

zl{nwn

ylmil(ylmil

ilm

zl{lecwcw%

znhn{cbwllm {nfenb w~zn{fcgcle% {nfenx ynmiam ilelh% {nfenbw zlyaeadcw% ylmil {lmdwlmd hnmcmdnle% blb~ b~i~b% znhn{cbwllm k{~ipcmpbc% ilm ylmil bn{mcmd Znmdbl`clm bnzn{ltlylm icwl`cblm /olhklylm lyl~ {lwl slmd wlbcy iln{lo nbwy{chcylw kltlo bnycbl icelb~blm fenwbwc#% hn{~zlblm znmdbl`clm wngl{l ~h~h% ~`c bnb~lylm ayay yam~w% znhn{cbwllm znmdbl`clm yn{fab~w CmwslLeelo lblm wl{lf aylb ieeic`lkl{blm icelcm bnwnhzlylm ttt-wn{zcolmceh~b~-keadwzay-gah

<- Msn{c kn{o~k~mdlm inmdlm bn{~wlblm `l{cmdlm /h~bawl elhk~md# ;- Bnycilbwnchklmdlm m~y{cwc /b~{lmd il{c bnk~y~olm# kn{o~k~mdlm inmdlm h~mylo Icldmawl Bnzn{ltlylm slmd h~mg~e ilzly kn{~klo lyl~ kn{ylhklo wnw~lc ilyl slmd icilzlyblm il{c znmdbl`clm


Ma <

Icldmawl Bnzn{ltlylm Msn{c

Y~`~lm & B{cyn{cl Olwce Y~`~lm0 Wnynelo icelb~blm zn{ltlylm wnelh % becnm hnelza{blm msn{c kn{b~{lmd lyl~ ocelmdBecnm ilzly hnmdbahznmwlwc msn{c inmdlm klcb B{cyn{cl Olwce0 ( Wblel msn{c :(9 ( D{chlgn /(# ( Dn{lblm hneablecwc{ msn{c /(# ( Dn{lblm kn{ylolm /infnmwcfn# zlil iln{lo msn{c /(# ( Becnm ynmlmd

Cmyn{vnmwc

[lwcamle

<- Zlmyl~ ycmdbly ilm cmynmwcylw <- Ycmdbly ilm cmynmwcylw msn{c msn{c hn{~zlblm ilyl ilwl{ slmd ;- L`l{blm ynbmcb {nelbwlwc /mlflw ick~y~oblm zn{ltly wnkldlc ilelh# zniahlm znmdlhkcelm cmyn{vnmwc% 7- Kn{c bahz{nw olmdly /olyc(olyc wnocmddl wnyclz zn{~klolm slmd inmdlm becnm slmd hnmdlelhc yn{`lic ol{~w yn{~w iczlmyl~zn{il{lolm# ;- Ynbmcb {nelbwlwc /mlflw ilelh# ilzly 9- Kn{c zawcwc slmd mslhlm hnhklmy~ hnm~{~mblm bnyndlmdlm >- Bamicwcblm ecmdb~mdlm slmd ayay% hnm~{~mblm hniclya{ wy{nww ynmlmd ic wnbcyl{ becnm wnzn{yc blynbaelhcm ilm hnmcdblyblm 6- Baelka{lwc znhkn{clm lmlednwcb nmia{zocm slmd ilzly hnhklmy~ wnw~lc z{ad{lh yn{lzc ~my~b hnmd~{lmdc {lwl msn{c7- Bahz{nw olmdly ilzly hnhkn{cblm nfnb vlwaicelya{ ilm {nelbwlwc ayay wnocmddl ilzly icd~mlblm wnkldlc yn{lzc znm~{~m bnyndlmdlm slmd ilzly kn{znmdl{~o yn{olilz znm~{~mlm msn{c- Mlh~m ol{~w iczn{olycblm znmdd~mllmmsl zlil zlwcnm inmdlm zn{il{lolm9- Zawcwc slmd mslhlm hnhklmy~ hnm~{~mblm bnyndlmdlm ayay- Zawcwc yci~{ slmd wlelo ilzly hnmgny~wblm bnblb~lm ayay slmd hnmdlbcklyblm {lwl mslhlm yn{dlmdd~ >- Bamicwc ecmdb~mdlm slmd ynmlmd ilzly hnhklmy~ hnm~{~mblm ycmdbly wy{nww becnm wnocmddl ilzly hnhznmdl{~oc {nwzam becnm


yn{olilz msn{c6- Lmlednwcb kn{f~mdwc ~my~b hnelb~blm olhklylm zlil wnmwa{ msn{c wnocmddl wnmwlwc msn{c zlil becnm kn{b~{lmd;

Bnycilbwnchklmdlm M~y{cwc

Y~`~lm0 Becnm hnhnm~oc bnk~y~olm m~y{cwc ol{clm wnw~lc inmdlm ycmdbly lbycvcylw ilm bnk~y~olm hnylkaecb B{cyn{cl olwce0 (Becnm ilzly hnm`nelwblm ynmylmd znmycmdmsl m~y{cwc kldc becnm (Knklw il{c ylmil hlem~y{cwc (Hnhzn{ylolmblm kn{ly klilm wylkce (Mcelc elka{lya{c~h ma{hle /Ok% Lek~hcm#

<- Kn{cblm zn{ltlylm a{le yn{ly~{ ;- Glyly kn{ly klilm wlly hlw~b ilm klmicmdbnm inmdlm wlly kn{cb~ymsl 7- Znhn{cbwllm elka{lya{c~h!Ok( Oy(nenby{aecy(Lek~hcm 9- @nelwblm ynmylmd znmdamy{aelm ilm znhkn{clm bamw~hwc bl{kaoci{ly% enhlb /hlblmlm {nmilo enhlb ilzly hnmgndlo wn{lmdlm zlil becnm inmdlm baenecyclwcw ilm baenwcwycycw#% baenwcwycycw# % z{ayncm% vcylhcm% hcmn{le ilm glc{lm slmd linb~ly >- Bamw~eylwcblm inmdlm loec dcpc ~my~b hnmnylzblm bnk~y~olm blea{c ol{clm ilm `nmcw hlblmlm slmd wnw~lc kldc becnm 6- Lm`~{blm becnm cwyc{loly wnkne~h hlblm 4- Yltl{blm Hlblm wnicbcy mlh~m wn{cmd ?- Klylwc lw~zlm glc{lm wlly hlblm 3- Wl`cblm hlblmlm ilelh bnlillm olmdly Baelka{lwc glc{lm- CV


<- Zn{ltlylm a{le ilzly hnmgndlo bnycilbmslhlmlm bl{nml h~e~y bn{cmd% kckc{ znglo ilm kl~ ycilb wnilz slmd ilzly hnm~{~mblm mlfw~ hlblm becnm ;- Kn{ly klilm hn{~zlblm ilyl slmd iczn{e~blm zn{ltly ~my~b hnmdnvle~lwc zn{bnhklmdlm yn{lzc m~y{cwc becnm wnocmddl zn{ltly ilzly hnmsnw~lcblm yn{olilz bnk~y~olm cmyn{vnmwc 7- Mcelc elka{lya{c~h hn{~zlblm ilyl slmd iczn{e~blm zn{ltly ~my~b hnmdnvle~lwc bnkn{olwcelo lyl~ bnnfnbycflm cmyn{vnmwc wnocmddl zn{ltly ilzly hnmnmy~blm cmyn{vnmwc slmd wnw~lc kldc becnm 9- Znmicicblm zlil becnm zn{e~ icelb~blm ldl{ becnm hnmdn{yc ilm zlolh ynmylmd cmyn{vnmwc slmd icelb~blm zn{ltly wnocmddl icol{lzblm becnm ilzly kn{wcblz lilzycf>- Loec dcpc ilzly hnmdocy~md blea{c slmd ick~y~oblm becnm hnm~{~y lbycvcylw slmd icelb~blm becnm% wnocmddl icol{lzlblm `~helo lw~zlm blea{c slmd icbamw~hwc becnm ilzly

yn{olilz msn{c6- Lmlednwcb kn{f~mdwc ~my~b hnelb~blm olhklylm zlil wnmwa{ msn{c wnocmddl wnmwlwc msn{c zlil becnm kn{b~{lmd;

Bnycilbwnchklmdlm M~y{cwc

Y~`~lm0 Becnm hnhnm~oc bnk~y~olm m~y{cwc ol{clm wnw~lc inmdlm ycmdbly lbycvcylw ilm bnk~y~olm hnylkaecb B{cyn{cl olwce0 (Becnm ilzly hnm`nelwblm ynmylmd znmycmdmsl m~y{cwc kldc becnm (Knklw il{c ylmil hlem~y{cwc (Hnhzn{ylolmblm kn{ly klilm wylkce (Mcelc elka{lya{c~h ma{hle /Ok% Lek~hcm#

<- Kn{cblm zn{ltlylm a{le yn{ly~{ ;- Glyly kn{ly klilm wlly hlw~b ilm klmicmdbnm inmdlm wlly kn{cb~ymsl 7- Znhn{cbwllm elka{lya{c~h!Ok( Oy(nenby{aecy(Lek~hcm 9- @nelwblm ynmylmd znmdamy{aelm ilm znhkn{clm bamw~hwc bl{kaoci{ly% enhlb /hlblmlm {nmilo enhlb ilzly hnmgndlo wn{lmdlm zlil becnm inmdlm baenecyclwcw ilm baenwcwycycw#% baenwcwycycw# % z{ayncm% vcylhcm% hcmn{le ilm glc{lm slmd linb~ly >- Bamw~eylwcblm inmdlm loec dcpc ~my~b hnmnylzblm bnk~y~olm blea{c ol{clm ilm `nmcw hlblmlm slmd wnw~lc kldc becnm 6- Lm`~{blm becnm cwyc{loly wnkne~h hlblm 4- Yltl{blm Hlblm wnicbcy mlh~m wn{cmd ?- Klylwc lw~zlm glc{lm wlly hlblm 3- Wl`cblm hlblmlm ilelh bnlillm olmdly Baelka{lwc glc{lm- CV

<- Zn{ltlylm a{le ilzly hnmgndlo bnycilbmslhlmlm bl{nml h~e~y bn{cmd% kckc{ znglo ilm kl~ ycilb wnilz slmd ilzly hnm~{~mblm mlfw~ hlblm becnm ;- Kn{ly klilm hn{~zlblm ilyl slmd iczn{e~blm zn{ltly ~my~b hnmdnvle~lwc zn{bnhklmdlm yn{lzc m~y{cwc becnm wnocmddl zn{ltly ilzly hnmsnw~lcblm yn{olilz bnk~y~olm cmyn{vnmwc 7- Mcelc elka{lya{c~h hn{~zlblm ilyl slmd iczn{e~blm zn{ltly ~my~b hnmdnvle~lwc bnkn{olwcelo lyl~ bnnfnbycflm cmyn{vnmwc wnocmddl zn{ltly ilzly hnmnmy~blm cmyn{vnmwc slmd wnw~lc kldc becnm 9- Znmicicblm zlil becnm zn{e~ icelb~blm ldl{ becnm hnmdn{yc ilm zlolh ynmylmd cmyn{vnmwc slmd icelb~blm zn{ltly wnocmddl icol{lzblm becnm ilzly kn{wcblz lilzycf>- Loec dcpc ilzly hnmdocy~md blea{c slmd ick~y~oblm becnm hnm~{~y lbycvcylw slmd icelb~blm becnm% wnocmddl icol{lzlblm `~helo lw~zlm blea{c slmd icbamw~hwc becnm ilzly


hnhnm~oc bnk~y~olm ol{clm% ycilb bnb~{lmdlm ilm ycilb kn{enkcolm6- Bamicwc yndlmd ilzly hnm~{~mblm mlfw~ hlblm becnm% cwyc{loly ilzly hnmd~{lmdc bnyndlmdlm becnm wnocmddl ilzly hnhklmy~ becnm ilelh hnmcmdblyblm mlfw~ hlblm 4- Hlblm yn{ele~ klmslb ilelh wly~ tlby~ ilzly hnmsnklkblm icwynmwc elhk~md slmd kn{lbckly bnycilbmslhlmlm kldc becnm wnocmddl mlfw~ hlblm becnm hlbcm hnm~{~m ?- Lw~zlm glc{lm kn{enkco wlly hlblm hnmsnklkblm icwynmwc elhk~md slmd hnmdlbcklyblm bnycilbmslhlmlm3- Hlblmlm slmd w~ilo icmdcm hnmsnklkblm {lwl slmd b~{lmd hnmsnmlmdblm kldc becnm wnocmddl hnm~{~mblm mlfw~ hlblm becnm <:- Glc{lm de~bawl CV ilzly ickn{cblm lzlkcel zlwcnm knml{(knml{ ycilb hnmilzlyblm lw~zlm zn{(a{le% glc{lm de~bawl CV `~dl ilzly hnmsniclblm blea{c kldc becnm wnocmddl becnm ycilb hnmdlelhc bnb~{lmdlm m~y{cwc slmd nbwy{ch-

Cmyn{vnmwc bnzn{ltlylm ilzly icwnw~lcblm inmdlm bamicwc ecmdb~mdlm /k~ilsl% mcelc% w~hkn{ilsl iee# wnynhzly Znmiab~hnmylwclm Chzenhnmylwc ilm Nvle~lwc ycilb icwl`cblm icbl{nmlblm ycilb icelb~blmmsl cmyn{vnmwc slmd ick~ly


hnhnm~oc bnk~y~olm ol{clm% ycilb bnb~{lmdlm ilm ycilb kn{enkcolm6- Bamicwc yndlmd ilzly hnm~{~mblm mlfw~ hlblm becnm% cwyc{loly ilzly hnmd~{lmdc bnyndlmdlm becnm wnocmddl ilzly hnhklmy~ becnm ilelh hnmcmdblyblm mlfw~ hlblm 4- Hlblm yn{ele~ klmslb ilelh wly~ tlby~ ilzly hnmsnklkblm icwynmwc elhk~md slmd kn{lbckly bnycilbmslhlmlm kldc becnm wnocmddl mlfw~ hlblm becnm hlbcm hnm~{~m ?- Lw~zlm glc{lm kn{enkco wlly hlblm hnmsnklkblm icwynmwc elhk~md slmd hnmdlbcklyblm bnycilbmslhlmlm3- Hlblmlm slmd w~ilo icmdcm hnmsnklkblm {lwl slmd b~{lmd hnmsnmlmdblm kldc becnm wnocmddl hnm~{~mblm mlfw~ hlblm becnm <:- Glc{lm de~bawl CV ilzly ickn{cblm lzlkcel zlwcnm knml{(knml{ ycilb hnmilzlyblm lw~zlm zn{(a{le% glc{lm de~bawl CV `~dl ilzly hnmsniclblm blea{c kldc becnm wnocmddl becnm ycilb hnmdlelhc bnb~{lmdlm m~y{cwc slmd nbwy{ch-

Cmyn{vnmwc bnzn{ltlylm ilzly icwnw~lcblm inmdlm bamicwc ecmdb~mdlm /k~ilsl% mcelc% w~hkn{ilsl iee# wnynhzly Znmiab~hnmylwclm Chzenhnmylwc ilm Nvle~lwc ycilb icwl`cblm icbl{nmlblm ycilb icelb~blmmsl cmyn{vnmwc slmd ick~ly


Ilfyl{ z~wylbl

K{nwen{% Hcgolne @ls- ;::4 Hlm~le Bniabyn{lm Il{~{ly - @lbl{yl0 NDG Gl{znmcya% Esmil @~lee- ;::3- Icldmawcw Bnzn{ltlylm0 Lzecblwc Zlil Z{lbycb Becmcw @lbl{yl0 NDG Golmd% Nwyn{- ;:<:- Zlyafcwcaeadc0 ;:<:- Zlyafcwcaeadc0 Lzecblwc Zlil Z{lbycb Bnzn{ltlylm- @lbl{yl0 NDG Ga{tcm% Necplknyo @- ;:<:- K~b~ ;:<:- K~b~ Wlb~ Zlyafcwcaeadc- @lbl{yl0 NDG D{lkkn{% Hl{b L- ;::6- K~b~ ;::6- K~b~ Wlb~ Iabyn{ Bne~l{dl- @lbl{yl0 NDG Ocilsly% L- Lpcp lech~e- ;::3- Znmdlmyl{ Bnk~y~olm Ilwl{ Hlm~wcl(Lzecblwc BAmwnz ilm Z{awnw Bnzn{ltlylmBnzn{ltlylm - @lbl{yl0 Wlenhkl Hnicbl Cmlslo% Ccm- ;::9- Lw~olm Bnzn{ltlylm Zlil Becnm inmdlm Dlmdd~lm Wcwynh Znmgn{mllm- @lbl{yl0 Wlenhkl Hnicbl Avniaff% Ilvci- ;::;- Blzcyl ;::;- Blzcyl Wnenbyl Bniabyn{lm @ceci <- @lbl{yl0 <- @lbl{yl0 Kcml{~zl Lbwl{l Zayyn{% Zly{cgcl L- ;::>- K~b~ L`l{ F~milhnmyle Bnzn{ltlylm Bamwnz% Z{awnw ilm Z{lbycb- @lbl{yl0 Z{lbycb- @lbl{yl0 NDG Wnycltlyc% Wlmy~m- ;::?- Zlmi~lm Z{lbycw Znmdbl`clm Fcwcb Bnzn{ltlylm- @lbl{yl0

Ilfyl{ z~wylbl

K{nwen{% Hcgolne @ls- ;::4 Hlm~le Bniabyn{lm Il{~{ly - @lbl{yl0 NDG Gl{znmcya% Esmil @~lee- ;::3- Icldmawcw Bnzn{ltlylm0 Lzecblwc Zlil Z{lbycb Becmcw @lbl{yl0 NDG Golmd% Nwyn{- ;:<:- Zlyafcwcaeadc0 ;:<:- Zlyafcwcaeadc0 Lzecblwc Zlil Z{lbycb Bnzn{ltlylm- @lbl{yl0 NDG Ga{tcm% Necplknyo @- ;:<:- K~b~ ;:<:- K~b~ Wlb~ Zlyafcwcaeadc- @lbl{yl0 NDG D{lkkn{% Hl{b L- ;::6- K~b~ ;::6- K~b~ Wlb~ Iabyn{ Bne~l{dl- @lbl{yl0 NDG Ocilsly% L- Lpcp lech~e- ;::3- Znmdlmyl{ Bnk~y~olm Ilwl{ Hlm~wcl(Lzecblwc BAmwnz ilm Z{awnw Bnzn{ltlylmBnzn{ltlylm - @lbl{yl0 Wlenhkl Hnicbl Cmlslo% Ccm- ;::9- Lw~olm Bnzn{ltlylm Zlil Becnm inmdlm Dlmdd~lm Wcwynh Znmgn{mllm- @lbl{yl0 Wlenhkl Hnicbl Avniaff% Ilvci- ;::;- Blzcyl ;::;- Blzcyl Wnenbyl Bniabyn{lm @ceci <- @lbl{yl0 <- @lbl{yl0 Kcml{~zl Lbwl{l Zayyn{% Zly{cgcl L- ;::>- K~b~ L`l{ F~milhnmyle Bnzn{ltlylm Bamwnz% Z{awnw ilm Z{lbycb- @lbl{yl0 Z{lbycb- @lbl{yl0 NDG Wnycltlyc% Wlmy~m- ;::?- Zlmi~lm Z{lbycw Znmdbl`clm Fcwcb Bnzn{ltlylm- @lbl{yl0 Y{lmw Cmfa Hnicl Tceeclhw & Tcebcmw- M~{wcmd0 Hnhlolhc Kn{kldlc Hlglh Znmslbcy- Znmslbcy- @lbl{yl0 ZYCminbw

B^M@^MDC

ttt-wn{zcolmceh~b~-keadwzay-gah Ilzlyblm Iab~hnm(Iab~hnm Bnzn{ltlylm Slmd Enkco Enmdblz

D [ L Y C W

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