Pautas Dermatología APS chile

KNFGBI PN]IAIOËNS MGZKN]IAÓOHCNS NPS X PNW]NS MGZHUNCHÓF. Snrn Fhgti Jhaahl, Kèmhci GME CGSENK Cdisdugfci Nagx Sgoivhn. Hftgrfi gmhchfn !NC" ZISÎCGN Gru#ch Gru#ch$f $f grhtg grhtgntis ntisn n cgftri cgftri%nc %nchna hna cr$fh cr$fhci ci cif rgnou rgnoumh& mh&nch nchifg ifgs, s, cif n%gctn n%gctnch$ ch$f f mg oa'f oa'fmu muans ans sg('c sg('cgn gnss dh#g dh#grt rtri ri)n )nmi miss * cn#h cn#han anrg rgss mhant mhantnm nmis+ is+an( an(ha hahmn hmnm m,, gf u-gr u-grgs gs ogfgrnagftg /0>/ n:is, %itith#i H0HH. KI3 Mgkimgx +ncnri, #. (. ncfès, d. #*airh. MME33 ncfè MME ncfè * au#us. G]NPNS  3=0 grtgntitgagnfohgctnshn, 70#n#uai0#ustuanr+(ritgs,0 )ntisn +dh#gr#anshn oa'fmuans sg(nchns mg%irnftg,50 icuanr Kgmhmns ?gfgrnags3 0 Gvht Gvhtnr nr %nct %nctir irgs gs ontha onthaanf anftg tgs3 s3 gx#i gx#ishc shch$f h$f sianr sianr +u* +u* h#i h#irt rtnf nftg tg, , vhgf vhgfti ti * natn natnss tg#grn tg#grntur turns, ns, cn(hi cn(hiss (ruscis (ruscis mg tg#grn tg#grntur turn, n, nahgf nahgftis tis u* cnahgf cnahgftgs, tgs, nah:is, nacidia,cdiciantg, gstrès nat dirifna. 0 Gvhtnr Gvhtnr n(rns n(rnshvis hvis,, nstrhfogf nstrhfogftgs tgs i cisèt cisèthci hciss 4ug #rimu #rimu&cn &cnf f mgscnn mgscnnch$f ch$f.. 8-i3 2gcigfmnr cisèthcis SHF #nrn(gfis i dh#inagroèfhcis. 0 !si !si (ai4u (ai4ugnm gnmir ir sianr sianr +E0=. +ansgr sh dn* rgcursis 2gcgtn Knohstrna3 0 Kgtrifhmn&ia = 0 '((hsn(iaia 7 0 !rgn  0 xhmi mg Ohfc = Crgn anfgttg i crgn (nsg fi h$fhcn CS< @/ or 00000000000000000000000000000 0000000000000000000000000000000000000000000 000000000000000000000000 0000000000 !snr mis vgcgs na m;n #ir = gs, augoi = vg& na m;n

Mgchr na #nchgftg 4ug F8 cifshmgrg an %gcdn mg vgfchhgfti mga #rg#nrnmi nohstrna. trntnhgft hgfti i t$#hci t$#hci #rgvhi #rgvhi norgon norgonrr nfth(h$ nfth(h$thc thci i irna. irna. Zisîcgn Zisîcgn Pnpuaipustuanr2 Pnpuaipustuanr2 Na trntn Ku-grgs gf gmnm %èrtha rg%ir&nr nfthcifcg#ch$f. Natgrfnthvns3 0 Mixhchahfn hfn =// =// o na m;n m;n #ir 7 x =5 mhn mhns augo augoi i >/ o mhn mhn #ir #ir  gsgs sgs 'x+dnstn ciftrianr ga cunmri. 0 Dgtrnchc gtrnchcahfn ahfn >// o cnmn cnmn =7 drs #ir 7 n  sgnfns sgnfns.. 
 Hfhchnr trntnhgfti * mgrhvnr.



MGZKN]H]HS MGZKN]H]HS N]ÓPHCN

Gf%g Gf%gr rgm gmnm nm hfn hfnn nti tirh rhn n #rur #rurho hohf hfis isn n mg an #hga #hga,, cr$f cr$fhc hcn n cif cif at ath# h#ag agss gxncgr(nchifgs * rghshifgs. Cif natn #rgvnagfchn gf an hf%nfchn +>07/. Nati #ircgftn-g itrn gf%grgmnm nt$#hcn nsichnmn3 nsn, rhfhths naèrohcn .Gthiaio;n uath%nc uath%nctirhn tirhnaa +ogfèthcn +ogfèthcn,, hfufg, hfufg, sichna sichna )%hi*ti!i#h3 shf a;#hmis gf #hga, gftrnmn gftrnmn nft;ogfi nft;ogfis, s, rgcg#tir rgcg#tirgs gs Ho G sgfsh(hah&n sgfsh(hah&nmis, mis, rgs#ugstn rgs#ugstnss ahf%icht ahf%ichtis is nat, %nctirgs gichifnags. M# ca;fhci3 *r+rhti 1  i 's

=dhsti =dhstirhn rhn gccgn gccgn gf &ifns &ifns mg #ahgoug #ahgougss i g-haan g-haanss +nftgc +nftgcu(h u(htna, tna, #i#a;t #i#a;tgn, gn, cugaai cugaai,, #grhicuanr * mirsi mg ti(haais. 7xgrishs.  Hfhchi mg ais s;ftins gftrg ga n:i * ais 7 n:is mg gmnm 5Gvhmgfchn vhsh(ag mg gccgn gxurna %rgftg, gf fh:is gfirgs mg 5 n:is sg cifshmgrn ga +itr +itris is #ahgo #ahgoug ug mgff mgffhg0 hg0i iro ronf nf,, 4ugrn 4ugrnti tishs shs #han #hanr, r, #hth #hthrhn rhnshs shs na(n na(n,, #ahgo #ahgoug ugss nfi nfiss nugftnmis. +B7NL8S S cnrn cnrn rgs#gt rgs#gtnfm nfmi i trhnfo trhnfouai uai,, su#gr) su#gr)chg chg gxtgfsi gxtgfsirgs rgs.. MN MN ANC]NF]G ANC]NF]G +B7NL8 +70=7n:is &ifns gxurnags, gxurnags, MN Nm+!ti   mhstrh(uch$f hf%nftha i anctnftg cif h","th!  +70=7n:is #ancns ah4ugfh)cnmns. M- 3 mgrnthths sg(irrghcn, mgrnthths mg ciftncti, gscn(hishs ]rtkhg"ti& 0 Kgmhmn Kgmhmnss ?gfgrnags ?gfgrnags33 K!A HK<82 HK<82D DNFDGS. NFDGS. Gftr Gftrgonr gonr di-n di-n mg hfmhcnc hfmhcnchifg hifgs. s. 0 Gvht Gvhtnr nr gxnc gxncgr gr(n (nft ftgs gs33 ngri ngrina nagr grog ogfi fiss +#ia +#iavi vi,, #$ag #$agfg fgs, s, cns# cns#n n nfh nfhna nags gs mièsthcis. HK<82DNFDG. u(rhmgr Nvgfn i u(rhmgr #hga sgfsh(ag +shf 0 "ugctnch$f3 K!A HK<82DNFDG. ciairnftgs fh #gr%ug, usi mhnrhi 7 n  vgcgs na m;n. Sh dn* mhs#ifh(hahmnm mg ci#rnr 2gcgtn Knohstrna3 Ciam Crgn CS< = lo, usnr 7 n  vgcgs na m;n. Gf su mg%gcti, usnr cunaquhgr crgn dhmrntnftg 4ug fi hrrhtg. 0 Jritg3 Jritg3 Cirthc Cirthcihm ihmg g t$#hci t$#hci "hmri "hmricir cirthsi thsifn fn = crgn crgn +#ugmg +#ugmg dncgrsg dncgrsg rgcgtn rgcgtn nohstrna. !snr 7 vgcgs na m;n #ir > n  m;ns siai si(rg 'rgns gccgntisns. Sh rgn#nrgcg gccgn, gmucnr #nrn rghfhchi mg cirthcihmg t$#hci #ir 7 m;ns. 0 Nfthdhstn;fhcis cif g%gcti sgmnftg +usnr gf an ficdg3 i "hmrixhchfn3 7 olom;n. +/,>olomishs c=7d a, ci#rhhmis 7/ o. Cair%gfnhfn3 +/,=olomishs. a * 7,> i o>a, ci#rhhmis 5 o. ZGCIKGFMNCHIFGS OGFGZNAGS PNZN PNCHGF]GS N]ÓPHCIS UGS]WNZHI&   n ri#n 4ug gst' gf ciftncti cif an #hga mg(g sgr =// naoim$f, * 4ugmnr diaonmn +fi n#rgtnmn. Gvhtnr ga si(rgn(rhoi. Fi mg(g usnrsg ri#n shftèthcn i mg anfn gf ciftncti mhrgcti cif an #hga. Sncnr timns ans gth4ugtns mga hftgrhir mg an ri#n. gvhtg n4ugaais gaggftis 4ug gf ciftncti cif su #hga ag #rimu&cnf hrrhtnch$f. Ga 's %rgcugftg gs ga f;4uga +(ricdgs * (itifgs gt'ahcis, -i*ns %nftns;n, gtc. MG]GZOGF]GS&  sg rgcihgfmn usnr -n($f
NSGI MIKS]HCI&  gvhtnr ga ciftncti cif #rimuctis mgsgfornsnftgs #nrn ai&n i nsgi mga dionr. Sh gs fgcgsnrhi usnrais, usg ounftgs cif ci(grturn hftgrfn mg naoim$f +ounftg mg fivhn i mg P#rhgrn ciufh$f^.

NSGI PGZSIFNA& PGZSIFNA&  dncgr (n:is cirtis cif noun fi u* cnahgftg. !snr -n($f mg n%rgcdi, -n($f oahcgrhfn gf (nrrn i -n($f mivg. Fi usnr -n(ifgs muris +#ritgx, ag snfc*, gtc, ciaifhns i #gr%ugs mhrgctngftg si(rg an #hga. NK/HGF]G&  gvhtg ga gxcgsi mg cnair * ais cn(his (ruscis mg tg#grnturn. Zgfthag an cnsn * gvhtg nfhnags mièsthcis mgftri. Fi #ifon #gaucdgs gf an cnn. NC]HUHMNM NC]HUHMNM 0ËSHCN&  gvhtnr an sumirnch$f gxcgshvn. Sh icurrg, mnr uf (n:i sgouhmi mg au(rhcnch$f mg an #hga. AW/ZHCNCHÓF&  gs %ufmngftna nftgfgr an #hga (hgf au(rhcnmn.
KHCISHS CW]ÎFGNS SWPGZ0HCHNAGS 
?rhsgi%uavhfn => 0 7/ olom;n #ir @ sgnfns +dnstn g-ir;n ca;fhcn, #rgsgftnch$f ci#rhhmis =7> * >// o. Nmuatis B]/ lo3 >// om;n, W]/ lo3 =/// om;n. Fh:is hfmhcn hfmhcnrr rg#isi rg#isi mg gscuga gscugan n #ir => m;ns m;ns +ciftn +ciftnohi ohisi si.. Mg(g Mg(g tinrs tinrsg g $i" !hkg"ti% ornsis.   ^ugrhóf mg Cgasi2  N an ?rhsgi%uavhfn norgonr / olom;n #ir  m;ns, 'x >// o cnmn =7 drs.

Mo m%3 nai#gchn nrgntn, trhcithainf;n, au#us, #sirhnshs ]hþn Jnrjng2

/ om;n x 705 sg Htrncifn&ia =// om;n +0> olom;n #ir 7 sgnfns. Mg(g tinrsg $i" !hkg"ti%.
agshifgs3 #imr;n rgs#ifmgr n tti t$#hci Caitrhn&ia = 7 vgcgs na m;n i  Dgr(hfn)fn  Dgr(hfn)fn =  crgn #ir 05 sgnfns. Gxtgfsn3 Dti irna #ir =5 m;ns 0 Htrnci Htrncifn& fn&ia ia =// =// om; om;n n +cif +cif nahgf nahgftis tis.. / 7>/ om om;n ;n +/ o. o. 0 Eaucif Eaucifn&i n&iaa >/ om;n om;n +#rgsgf +#rgsgftnc tnch$f h$f >/, =>/ * 7// 7// o. o. Mo m% 3 ornfuain nfuanr, #hthrhnshs risnmn mg ?h(grt gf su %nsg mg #ancn dgr'amhcn, gc&gn fuuanr, #sirhnshs ]hþn Crurhs2 Crurhs2 natgrfnthvns

0 0

Dgr(hf gr(hfn) n)fn fn 7>/ 7>/ o om; m;n n #ir #ir =5 m;ns. m;ns. Htrnc Htrncif ifn& n&ia ia =// =// o o cnm cnmn n =7 drs drs #ir #ir =5 m;ns. m;ns.

]hþn Pgmhs2

Hftgrmhohtna, vgshcuanr, dh#gr4ugrntishcn 0 Kgmh Kgmhmn mnss ?gfgr ?gfgrnag nagss #nrn #nrn gvht gvhtnr nr rghf rghf%gc %gcch chif ifgs3 gs3 Nfthmg Nfthmgsah sah&nf &nftgs tgs mg mucdn3 mucdn3 usnr usnr nfthmgs nfthmgsah& ah&nft nftgs gs #g4ug: #g4ug:is, is, gahhfn gahhfnrr nfthmgsah&nftg ornfmg +rgsgrvirhi mg difois. 2itnch$f mg &n#ntis + #nrgs na m;n3 n gmhn -irfnmn cn(hnr &n#ntis. Na aagonr n an cnsn cn(hnr &n#ntis, mg-nr sgcnfmi ais itris. nvnmi &n#ntis3 / om;n #ir  n 5 sgnfns. Eaucifn&ia >/ o na m;n #ir 7 n  sgnfns +dnstn @ sgnfns. Htrncifn&ia =// o cnmn =7 drs #ir =5 m;ns. i

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]hþn Knfuk2 Knfuk2 trntnhgfti houna 4ug Dh:n
MU3 mgrnthths ciftncti, #sirhnshs

Phthrhnshs Ugrshciair 3

x nanss&hn nanss&hn %ur%ur %ur%ur +agvnmu +agvnmurn rn * hscgan hscgan ncuan ncuanss i #ancns #ancns mg vnrhnmi vnrhnmi ciair ciair cif mgscnnch$f )fn gf &ifns sg(irrghcn, nshfti'thci i agvg #rurhti 0 Gvht Gvhtnr nr %nct %nctir irgs gs #rgm #rgmhs# hs#if ifgf gftg tgs3 s3 Natgrfnr -n($f #nrn #hga ornsn cif -n($f 4ugrntia;thci +cif n&u%rg i 'chmi snahc;ahci. Gvhtnr crgns iagisns. Knftgfgr #hga sgcn. 0 gvg3 gvg3 Nf Nfth thhc$t hc$thc hci i t$# t$#hci hci _gticifn&ia 7 crgn, 7 vgcgs na m;n #ir  n 5 sgnfns. _gticifn&ia sdn#ii 7 mhn #ir gmhi 0 Kimg Kimgrn rnmi mi n gxt gxtgf gfsi si33 natg natgrf rfnt nthv hvns ns Eaucif Eaucifn&i n&iaa +ci#. +ci#. =>/ o3 o3 =>/ osgn osgnfn fn #ir 5 sgnfn sgnfnss +#ugmg +#ugmg dn(gr rgshstgfchn. Htrncifn&ia +ci#. =// o =// om;n #ir =5 m;ns. 7// om;n #ir  m;ns. 
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Ifhcikhcishs2

6/ #ir mgnti#d*tis +t. 2u(ruT sis#gcdnr c'fmhmn sh timis mgmis ci#rigthmis i cunmr cunmri i 's hfnn hfnntir tirhi hi +#nrif +#nrifh4u h4uhn hn.. Ca;fhc Ca;fhcn n dh#gr4 dh#gr4ugr ugrnti ntishs shs su(ufo su(ufougn ugna, a, u:ns u:ns i#ncns i#ncns,, nnrha nnrhaagft agftns, ns, cn%è cn%è i orhs'c orhs'cgns, gns, %rhn(a %rhn(ags, gs, * grishi grishifnm fnmns, ns, gfori gforisnh snhgft gfti i * ifhciahshs. Sis#gcdnr ZH" sh siai #r$xhns i (anfci su#gr)chna. 0 Eirn Eirnss agvgs +(anfc +(anfcn n su#gr)c su#gr)chna, hna, mhstn mhstnaa i antgrna antgrna #imr;nf #imr;nf rgs#i rgs#ifmg fmgrr n tti t$#hci3 t$#hci3 Chca Chcai# i#hr hrix ix ] ancn ancn,, usi usi gf an ficd ficdg g #ir #ir 0@ 0@ gsgs gsgs +n* +n*ir ir gs#g gs#gct ctri ri 4ug 4ug niria)fn. 0 Nfth Nfthh hc$ c$th thci ci irn irna3 a3 nat natgr grfn fnth thvn vnss

 Dgr(hfn)fn  Dgr(hfn)fn 7>/ om;n #ir @ sgnfns +nfis n =7 sgnfns +#hgs. B 7/ lo3 @7.> om;n. 7/ n 5/ lo3 =7> om;n. +i >// om x  mhns na gs gs x  chcais Eauci Eaucifn fn&i &iaa =>/ =>/ os osgn gnfn fn #ir #ir @ sgnf sgnfns ns +nf +nfis is n =7 sgnf sgnfns ns +#hgs  8-i3 #ugmg dn(gr rgshstgfchn. Htrncifn&ia 7//o m #ir @ sgnfns nfis, =7 sgnfns #hgs . 8 7// o cnmn =7 drs #ir  m;ns na gs #ir  n @ gsgs. Ciftria cnmn = n 7 gsgs cif #rug(ns dg#'thcns. i

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ft!rtrh"i Cnfmhmhîshci2

Nsgi * sgcnmi cuhmnmisi. Caitrhn&ia = crgn, 7 vgcgs na m;n #ir 7 n  sgnfns. Cnfmhmhnshs mga pnþna 2

W7 drs gviauch$f , ci#rihsi #ahgougs, (irmgs ncthvis +vgs;cuans 0 Cn( Cn(hi hi %rgc %rgcug ugft ftg g mg #n: #n:na, na, gvh gvhtn tnrr dug dugmn mnm. m. 0 Caitrh Caitrhn&i n&iaa = i Fhst Fhstnthf nthfn n t$#h t$#hci ci cnmn cnmn =7 drs #ir 7 n  sgnf sgnfns. ns. 0
 #a"irrn2

Fh:is3 B 7 n:is3 Fhstnthfn oitns, 77 oitns cnmn @ drs #ir  m;ns +5// n ]// ha !Hm;n. W 7 n:is3 Fhstnthfn = n 7 haaifgs !Hm;n, cnmn @ u ] dirns. Ci#rhhmis >//./// !H Nmuatis3 Fhstnthfn 7 n 5 haaifgsm;n cnmn @ u ] drs.

>GZPGS SHKPAG :U>>(3 = U>>(75 iri,$h! = #g"ht!?&

gsh$f gaggftna3 gaggftna3 vgs;cuans gf rnchi 4ug sg ri#gf ri#gf %'chagftg mg (nsg grhtgntisn grhtgntisn augoi cistrns, #rgcgmhmn mg miair urgftg vgcgs na m;n #ir =/ m;ns 0 Znanc nanchc hcai aivh vhrr = or or cnmn cnmn =7 drs drs #ir #ir =/ =/ m;n m;nss 2gncthvnch$f3 0 Nchca chcaiv ivhr hr 5// 5// o o cnm cnmn n ] drs drs #ir #ir > m;ns m;ns 0 Znanc nanchc hcai aivh vhrr >// >// o cnmn cnmn =7 =7 drs drs #ir #ir > m;ns m;ns.. Ci#ahcnchifgs3 Grhtgn uath%irg3 shfti'thci a cifthgfg3 Nchcaivhr 7// o +usnr htnm mishs nmuatis i @/o lo mhn

>GZPGS 4ÓS]GZ. 0 0

Znanc nanchc hcai aivh vhrr = or or cnmn cnmn ] drs drs #ir #ir  m;ns m;ns.. Nchca Nchcaivh ivhrr ]// ]// o cnmn cnmn 5 drs drs +> +> vgcgs vgcgs na m;n m;n #ir #ir =/ =/ m;ns. m;ns.

Urh$g!& Urh$g!& Uhr+% 8rh$g! 2i%tgr +vd

Kncuan risnmn0 #n#uan0vgshcuan (nsg grthgntisn0 #ustuans0 cistrns. Gf mhsthftns gtn#ns * #rurhohfisns #ir =/ m;ns 2g#isi 1 nfthdhstnhfhcis 0 W=7 W=7 n:is n:is Nch Nchca caiv ivhr hr ]// ]// o o c5 c5 dirn dirnss x  mhns mhns 0 ZCZ =o =or c c ] dirns irns x > m;ns ;ns 0 Cnsi Cnsi 7mn 7mn dio dionr nr B = n:i n:i 3 NCZ NCZ 7/ 7/o o c@ c@ dirns dirns x  mhns mhns

MGZKN]H]HS SG/IZZGHCN Grhtgn 's mgscnnch$f gf &ifns sg(irrghcns +#ahgoug fnsian(hna, cugri cn(gaaumi shf si(rg#nsnr h#antnchif mg #gai, &ifns mg #ahgougs. "i *r+rh#h"i%%, shf nai#gchn. Knansgsshn E. E. tgfmr;n naof na of ria. $nctnftgs% & kgsgs npri' gf nmganftg (nstn ais ) kgsgs npri' 

gvg3 vnsgahfn. Kimi mg usi3 n#ahcnr * rgthrnr cistrns cif #ghfg sunvg. nvnmi mg cnrn sgouhmi, cirthcihmg (n-n #itgfchn cnrn x mhns Kimgrnmn n sgvgrn cugri cn(gaaumi3 vnsgahfn snahchanmn  n > +2gcgtn Knohstrna3 Znsgahfn snahchanmn snahchanmn  CS< / or. Kimi mg usi3 n#ahcnr gf an ficdg, ficdg, na m;n shouhgftg shouhgftg rgthrnr cistrns. _gticifn&ia 7 cdn#, usnr 7 n  vgcgs n an sgnfn #ir 7 sgnfns.  Fh:is 4ug gviauchifnr'f n #ri(n(ag nti#hn, #ir ai 4ug gs cifvgfhgftg hfhchnr gmhmns ogfgrnags. *hþis + #muatis% &,-., nþis Cugri cnjgaaumi2

gvg n Kimgrnmn3 0 _gticif gticifn&i n&iaa 7 cdn# cdn# +2gcgt +2gcgtn n Knohstrna Knohstrna33 _gtici _gticifn& fn&ia ia 7 cdn# cdn# (nsg, (nsg, CS< 7// aT gs 's (nrnti 4ug cigrchnags, usnr m;n #ir gmhi, nftgfgr 7 hfutis gf cugri cn(gaaumi. Sgvgrn3 0 ich ich$f $f i sdn sdn#i #ii i cif cif cirthc cirthcih ihmg mgs, s, usnr m;n m;n #ir #ir gmh gmhi i natgr natgrfn fnmi mi cif _gau _gauna na cdn cdn# #,, #ir #ir  sgn sgnfn fns. s... Sh dn* dn* ucd ucdn n gscn gscnn n,, n ai nftg nftgrh rhir ir nor norgonr gonr Eaucifn&ia // o #ir = vg&. Cnrn2

0 _gticifn&ia 7 cdn#3 dncgr gs#un, n#ahcnr gf an cnrn * gf-unonr 0 dhmricirthsifn =07 x m;ns

NCF 0 0 0 0 0

Gstumhnr #ntiaio;n gfmicrhfn sh an ca;fhcn gs suogrgftg +shofis dh#grnfmriogfhsi, S8<. !si mhnrhi mhnrhi -n($f -n($f +Natg +Natgrfn rfnthv thvns3 ns3 nvnsg# nvnsg#tt +'s (nrnti (nrnti,, Fgutr$og Fgutr$ogfn fn Ncfgn Ncfgnsd, sd, Ncfh(gf 2x guash$f mg ah#hg&n +'s cnri. Gvhtnr Gvhtnr cisè cisèthc thcis is ornsis, ornsis, siai siai usnr usnr cisèt cisèthci hciss fi ornsis ornsis * fi cig cigmio mioèfh èfhcis cis +mg(g mgchr shf #nrn(gfis i dh#inagroèfhci. Mhgtn3 Mhgtn3 gvhtnr gvhtnr nah nahgft gftis is 4ug 4ug ga #nchgft #nchgftg g rgcifi rgcifi&c &cn n 4ug g#gi g#girnf rnf agshi agshifgs fgs.. Eiti# Eiti#rit ritgcc gcch$f h$f gstrhct gstrhctn, n, si(rgtim si(rgtimi i sh sg hfmhcnr' hfmhcnr' rgthfi rgthfihmg. hmg. Natgrf Natgrfnth nthvns vns33
 #cf! Cikgmifhnfi Cikgmifhnfi /fi hf0nkntirhi>2

2gcgtn Knohstrna3 0 Xchmi snahc;a hc;ahc hci i = 0  ,> 0 Nmn#nagfi /,= Crgn (nsg fi cigmioèfhcn CS< 7/ or 0000000000000000000000000000 00000000000000000000000000000000000000000 0000000000000 N#ahcnr gf 'rgns n%gctnmns gf an ficdg m;n #ir gmhi #ir = sgnfn, augoi mhnrhi. •

0 0 0 0 0 0 0


 #cf! hf0nkntirhi ag:g2 pnpuai pustuaisi

2gcgtn Knohstrna3 0 Xchmi snahc;a hc;ahc hci i = 0  ,> 0 Nmn#nagfi /,= 0 Grhtr Grhtri ihc hchf hfn n 5 +$ Cahf Cahfmn mnhc hchf hfn n = Crgn (nsg fi cigmioèfhcn CS< 7/ or 0000000000000000000000000000 000000000000000000000000000000000000000000 0000000000000000 N#ahcnr gf 'rgns n%gctnmns gf an ficdg m;n #ir gmhi, augoi mhnrhi.

 #cf! hf0nkntirhi kimgrnmi2 kimgrnmi2

0 0

2gcgt gcgtn n Kno Knohst hstrn rnaa ncf ncfè è ci cigm gmif ifhn hnfi fi.. Norgonr Norgonr Nfth(h$thci Nfth(h$thci irna. Ku-gr gmnm %èrtha rg%ir&nr rg%ir&nr nfthcif nfthcifcg#ch cg#ch$f. $f. Natgrfn Natgrfnthvns3 thvns3  Dgtrnchcahfn  Dgtrnchcahfn >// o na m;n #ir 7 n  gsgs +tinr ag-is ag- is mg ans cihmns. Mixhchcahfn =// o na m;n #ir 7 n  gsgs. i i

= ncf! Mgrhvn Mgrhvnrr cif gx'gf gx'gfgs gs ogfgrn ogfgrnags ags +trnfs +trnfsnh nhfnsn fnsns, s, #gr)a #gr)a ah#;mhc ah#;mhci, i, cif"aijntn 

dgiornn, #gr)a (hi4u;hci #nrn gvgftuna hfhchi Hsitrgthfi;fn.

PSIZHNSHS Mgrnt Mgr ntis ishs hs cnrn cnrnct ctgrh grh&n &nmn mn #ir #ir an #rgsg #rgsgfc fchn hn mg #anc #ancns ns grhtg grhtgn nti tigsc gscn nisn isnss (hgf (hgf mgahhtnmns cif gscnns (anfcns orugsns, cif (ritgs * #grhimis mg rghsh$f. =0 #i(anch$f n%gctnmn, gthiaiohn uath%nctirhna +ogfèthcn, hfufg, n(hgftna, #shcia$ohci )shi#ntiaio;n3 gxhstg ufn dh#gr4ugrntishs chcai mg =50=5 mhns sg rgmucg n  mhns. Cii mgsgfcnmgfnftg gst'f hf%gcchifgs +strg#ti, trnuns, %'rncis, g(nrn&i, strgss.th#i = B 5/ n:is n:is #gir #gir #rif #rifis isthc thci i +nrtr +nrtri# i#nt nt;n ;n * grht grhtri rimg mgr rhn hn,, cans cansh) h)cn cnmn mn gf 8+!#r +#rihfgfchns isgns, trifci,sncri * cugri cn(gaaumi, cugri cn(gaaumi3 trns#nsn a;fgn mg h#anftnhif, #+ttt3 #n#uans mg n#nrhch$f (ruscn gf trifci * rgoh$f #rixhna mg gxtrghmnmgs +#ist strg#ticiccus, #sirhnshs h"8gr%3 #ancns shètrhcns shètrhcns ri-i (rhaanftgs gxumnthvns gxumnthvns gf #ahgougs+hfo #ahgougs+hfouhfna,s uhfna,su(n u(nnrhi,nx nrhi,nxhanr, hanr, +"#+ga3 #htt #htthfo hfo ifhc ifhcia iahs hshs hs m#& ca;fhci , rns#nmi gt$mhci mg Jri4, lig(fgr 1  Drntnhgfti3  Drntnhgfti3 0 Gvhtnr mgsgf gsgfccnmgf nmgfnf nfttgs3 gstrè très, trnu nuns si(rg an #hga, hf% hf%gcc gcchifgs gstr gstrg# g#ti tic$ c$ch chcn cnss +tti +tti NDJ, DJ, xgris grishs hs +nf +nftg tgfg fgrr #hga #hga dug dugct ctnm nmn n gs K!A K!A HK<82DNFDG
2gcgtn Knohstrna3 usnr 7 vgcgs na m;n gf #ancns #ir  sgnfns mgscnfsnr mgscnfsnr = +i 7x=

Cai(gtnsia /,/> Nchmi snahc;ahci > Ciam Crgn CS< >/ or 000000000000000000000000000000 8-i3 Sh #ancn gs ornfmg, dncgr gf Crgn (nsg. i i

Cugri Cnjgaaumi2

2gcgtn Knohstrna3 n#ahcnr gf cugri cn(gaaumi gf an ficdg #ir  sgnfns 0 Cai(gtnsia /,/> 0 Xchmi Snahc ahc;ahci hci > ich$f cn#hanr CS< =// cc 0000000000000000000000000000000 .  cdn# =// a, usnr m;n #ir gmhi, mg-nr 7 hfutis, #ir 7 sgnfns  Sh dn* g-ir;n, sus#gfmgr * rghfhchnr gf cnsi n#nrhch$f #ancns gf cugri cn(gaaumi.

 #atgrfnth:n Cugrpi2 !si mhnrhi 7 vgcgs na m;n

2gcgtn Knohstrna !rgn =/ Fivi(nsg HH CS< >// or 000000000000000000000000  Ciftrianr gf uf gs, sh dn* g-ir;n, sus#gfmgr * rghfhchnr siai gf #ancns ncthvns. Ga #nchgftg mg(g nftgfgrsg cif an dugctnch$f #grnfgftg mg an #hga.

GSCN/HISHS& SNZFN

h +>hf f i %$htgs+>, ca;fhcn surci ncnrhfi, vgs;cuan n#granmn gf nfis ogfgrnagftg, #rurhoi ficturfi, nftgcgmgftg %nhahn, gccgn x dh#grsgfsh(hahmnm +urthcnrhn #n#uanr, f$muais ogfhtnags.  Drntnhgfti3  Drntnhgfti3 %nhahnr shuat'fgi. 0 Gah Gahhfn hfnrr 'cnris 'cnris mg an ri#n ri#n33 anvnr anvnr cif noun noun cnahgf cnahgftg tg * #anf #anfcd cdnr nr.. i 4ug fi sg #ugmn anvnr +#gaucdgs, %rn&nmns, ciacdns mg-nr ri#n gf (iasn #a'sthcn (hgf cgrrnmn #ir =/ m;ns. 0 Nfthdh Nfthdhstn stn;f ;fhci hci sgmnft sgmnftg g +dhmr +dhmrix ixhchf hchfn, n, cair% cair%gfn gfnhfn hfn. . 0 2gcgtn gtn nohs nohsttrna3  ich$f i crgn CS< =>/ o   0000000000000000000000 n#ahcnr gf an ficdg #ir  m;ns, mgscnfsnr 5 m;ns * rg#gthr  m;ns +gs4ugn  9 5 9  Nmuatis3 mgsmg ga cugaai dnchn n(n-i, hfcauhr u:ns. nctnftgs +mgsmg ais 7 gsgs * fh:is #g4ug:is3 hfcauhr cugri cn(gaaumi. i

G(nrn&nmns, nctnfchn * B 7 gsgs3 gsgs 3 Znsgahfn Znsgahfn n&u%rnmn >0=/ Ga #rurhti #ugmg #grshsthr dnstn = gs mgs#uès +#ir dh#grsgfsh(hahmnm. Ciftrianr = gs mgs#uès mga trntnhgfti #nrn gvnaunr rgsiauch$f mg agshifgs.

SNZFN FIZWGON Znrhnftg mg snrfn #ir hf%gstnch$f nshvn mg ncnri, %irn cistrisn cif gc&gn cr$fhci, ufn mgrnthths #sirhnsh%irg, ufn mgrnthths sg(irrghcn i ufn grhtrimgrhn, mg nd; 4ug sg ag cificg cii an ornf hhtnmirn 0 Drntnhg rntnhgfti fti %nhahn %nhahnr, r, gah gahhfnr hfnr 'cnri 'cnriss mg ri#n. ri#n. 0 Gs4u s4ugn gn  9 5 9  9 53 natg natgrrfnr  m;ns  5 m;ns Znsgahfn n&u%rnmn =/  m;ns  5 m;ns Znsgahfn n&u%rnmn =/ .

i i i i

PGMHCWAISHS 0

olom;n mg DKD 7 vgcgs na m;n v;n irna +'xhi ]/ o  DKD5// o SKD cnmn =7 drs #ir  m;ns, rg#gthr n an sgnfn. 0
FGUI N]ËPHCI.

Gf g'trgkhmnmgs2 gxthr#nch$f +chruo;n gfir SHGK<2G gf sgfthmi cè%nai0cnumna, cif nrogf 7  +fi n*ir. Gsti #grhthr' ga gstumhi nmgcunmi mg ahf%ifimi cgfthfgan sh gs fgcgsnrhi.

UGZZWONS & 8*; 3(7 0

Su#a u#aggf ggftn tnrr cif Ohfc Ohfc33 = n =7 n:is3 Ohfcivht #aus -nrn(g, > a na m;n -ufti cif an cihmn. W =7 n:is3 Ohfcivht = ci#rhhmi na m;n #ir  gsgs. Mg(gf Mg(gf cu(rh cu(rhrsg rsg mga mga sia sia cif #nrc #nrcdg dg +nug +nugftn ftnf f cif cif rnmhnc rnmhnch$f h$f sian sianr. r. i i

0

Ugrru grru"n "ns s :ua" :ua"nr nrgs gs== :grr :grru" u"ns ns panf panftn tnrg rgs s + pn pnakn aknrg rgs s /* /*I I 5* C#Z#>% 2gcgtn Knohstrna3 0 Xchmi Sn Snahc ahc;ahci hci / / 0 Cnftnrhmhfn = 0  > Ciaimh$f gxh(ag CS< 0> cc +cif #hfcga n#ahcnmir. N#ahcnmi *ir k6mh$i g" $i"%+!t si(rg su#gr)chg mg vgrruon, cnmn 7 n  sgnfns. F8 !SN2 GF CN2N. CN2N. Natgrfnthvn3 0 Mui)a siauch$f i Zgrru)a siauch$f3 usi gf an ficdg si(rg an vgrruon, #ir 7 n  gsgs. Sg mg(g cu(rhr an #hga snfn nargmgmir mg an vgrruon cif #nstn anssnr, augoi n#ahcnr an siauch$f siai si(rg si(rg vgrruon * cu(rhr cif tgan. Sh fi rgs#ifmg rgs#ifmg mgrhvnr

Ugrru"ns panfns /cnrn>% 2gcgtn Knohstrna3 +#ugmg sgr n#ahcnmn #ir #nchgftg 0 Xchmi oahc ahc$ahc ahci => 0 Xchmi snahc;a hc;ahc hci i 7 Fivi (nsg HH CS< 7/ or N#ahcnr siai si(rg vgrruon, gf an n:nfn * ficdg #ir  gsgs.

Cifmhaikns ncukhfnmis2 :p( .-?? Mgrhvnch$f #nrn trntnhgfti * gstumhi mg itrns HDS.

KIAWSCIS CIF]NOHISIS

Mg(hmi n 4ug #ugmgf rgsiavgrsg gs#ift'fgngftg, mg(gf dncgrsg trntnhgftis 4ug fi mg-gf chcntrhcgs.

0

Curgtn Curgtn-g3 -g3 mgshf% mgshf%gct gctnr nr cif nacidi nacidia, a, ci#rh ci#rhhr hr cif curgt curgtn n +#ugmg +#ugmg sgr #hf&n #hf&n rin rin dnstn rgthrnr ga iausci, ciaicnr #ivhmifn *imnmn * cu(rhr. 0 2gcgtn gtn Knohs nohsttrna3 Cnftnrhmhfn /, ich$f (nsg CS< > a 00000000000000000000000000000 000000000000000000000000000000000000000000 0000000000000 usi gf iausci = oitn cnmn  sgnfns. i

 iausci Prgvhgftn^ gf 75 drs, n#ahcnr #ivhmifn *imnmn * nfth(h$thci t$#hci. Nmuatis3 gf 'rgn ogfhtna  HDS. Mgrhvnr #nrn nfg-i * gstumhi mg itrns HDS. 

SË0HAHS. Prgci42 
Gf N m;ns $ Dgtrnchcahfn >// o cnmn @ drs #ir => m;ns. G(nrn&nmn naèrohcn n // o cnmn @ drs #ir => m;ns. ]nrm7n2 
Nagrohn n // o cnmn @ drs #ir / m;ns. G(nrn&nmn naèrohcn n // o cnmn @ drs #ir / m;ns.  G(nrn&nmn 4ug fi rgch(h$
OIFIZZGN.

=Q a;fgn3 Cg%trhnxifn 7>/ o HK mishs fhcn. Natgrfnthvns3 0 gvi gvii ixnch xnchfi fi 7>/ 7>/ o o mish mishss fhc fhcn. n. 0 Ch#ri Ch#rii ixnc xnchfi hfi >// o mishs mishs fhcn fhcn +n* +n*ir ir rgshs rgshstgf tgfchn chn. . 0 Cg)x Cg)xh hn n 5// 5// o o mis mishs hs fhc fhcn. n.

WZG] WZG]ZH ZH]H ]HS S FI OIF OIFICÓC ICÓCHC HCN N :C. :C. ]r$i r$ik kth th% % = Wrg Wrg*! *!% %k k *rh"$h*!kg"tg?. =Q a;fgn3 N&htrihchfn =or mishs fhcn Natgrfnthvns3 0 Mixh Mixhch chca cahf hfn n =// =// o cnmn cnmn =7 drs drs #ir #ir  m;ns. m;ns. 0 Dgtrnc gtrnchc hcahf ahfn n >// >// o cnm cnmn n @ drs drs #ir #ir  m;ns m;ns..

AHF0IOZNFWAIKN UGFZGI :C. ]r$ikth% %grith*i% A35A75A9?. Mixhchcahfn =// o cnmn =7 drs #ir  sgnfns.

>GKNFOHIKNS

Cu'fmi mgrhvnr3 0 "gnfo "gnfohi hins ns #grhirh #grhirh)ch )chnags nags +%nchn +%nchnags, ags, #grhog #grhogfhtn fhtnags ags.. 0 ≧ > dgnfohins  rg4uhgrg gstumhi "gnfohins dg#'thcis uath%icnags. 0 "gnf gnfoh ohi ins ns %nch %nchna nags gs +nsi +nsich chnc nch$ h$f f cif cif nat. nat. icua icuanr nrgs gs,, cgr cgrg(r g(rivns ivnscu cuan anrrgs, gs, cnrmhivnscuanrgs *i mg%gctis vgftrnags. 0 "gnf gnfo ohi hins au au(isn (isnccris. is. 

0

Crgch Crgchhgft hgfti i r'#hm r'#hmi, i, si(r si(rg#n g#nsn sn W = c c mg mg mh' mh'gtr gtri i  
Sh fi cu#ag crhtgrhis mg mgrhvnch$f3 gmucnr * trnf4uhah&nr n ais #nmrgs, i(sgrvnr. Kn*ir crgchhgfti sg i(sgrvn n ais 05 gsgs +dnstn ais =7 gsgs, hfviauch$f n #nrthr mg ais 7 n:is, 6/ *n dnf hfviauchifnmi n ais 6 n:is.

>HPGZ>HMZISHS PZHKNZHN

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Cns#n3
S"NK<88 C8F _GD8C8FNO8, S!E!28 MG SGGFH8 8 NV!HD2NF


x Z""  , gf%grgmnm grhtgntigscnisn mg cursi (gfhofi 4ug cihgf&n cif #ancn dgr'amhcn * augoi +=0 => m;ns gru#ch$f cut'fgn shètrhcn gf 'r(ia mg fnvhmnm  Drntnhgfti3  Drntnhgfti3 =. gmucnr3 gmucnr3 nuti nuti ahhtnmn ahhtnmn murnch$f murnch$f 50] sg, sg, ciftnohisn ciftnohisn 7 #rhgrns #rhgrns sgnfns sgnfns 7. In($f 4ugrntiahthci 4ugrntiahthci 3 n. snahc;ahci snahc;ahci 7 i cif n&u%rg n&u%rg . Nfth Nfthdh dhst stn n;f ;fhc hci i 5. u(rh u(rhcn cnft ftg g mg #hg #hgaa >. Cirthc Cirthcihm ihmg g gf cnsi cnsi 's hf hfnnt nntirhi irhi