antiphospholipid syndrome (aps) and pregnancy

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    GKXDRFIURFINDRDH UTKHPILC

    (GRU) GKH RPCOKGKET

    LIHCPGXIP= Hr Lgkdjg Gogrwgn

    Gssiedgtc Rria,

    Hcpt ia I`s & Oyk, KCDOPDFLU

    Rrcscktch `y = Ugttrghfgmg Jcdsfgl

    0226- @gtef dktcrk,

    Hcpt. ia I`s & Oyk, KCDOPDFLU

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    ISXNDKC

    Hdseivcry ia GRU

    G `rdca rcvdcw ia GRU

    Dktrihuetdik

    Endkdegn acgturcs

    Rgtfipfysdinioy

    Ctdinioy

    CpdhcldinioyHdgokistde erdtcrdg

    Rriokisds

    Gpprigef ia GRU dk Rrcokgkey

    Fdstiry gkh pfysdegn adkhdkos

    Gpprigef eiksdhcrgtdiks

    Lgkgoclckt ia GRU

    I`stctrdes egrc

    Lchdegn Lgkgoclckt

    Lgkgoclckt dk tfc auturc

    Uullgry

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    HDUEIQCPT IA GRU (FSOFCU UTKHPILC)

    Rriacssir Orgfgl Fuofcs

    Eiksuntgkt Pfculgtiniodst, Fcgh ia Xfc Nikhik Nupus

    Ecktrc

    Rriacssir Orgfgl Fuofcs trgdkch gkh qugndadch gt Xfc Nikhik

    Fispdtgn.

    Dk 7414 - 74?2 fc spckt twi ycgrs Ristorghugtc Acnniwsfdp dk

    Kcw Tirj gt tfc Pfculgtinioy & Nupus Ecktrc ia Hr EfgrncsEfrdstdgk.

    Rriacssir Fuofcs `ceglc g Eiksuntgkt Rfysdedgk

    gt Fgllcrsldtf Fispdtgn wfcrc fc sct up Curipcs adrst

    hchdegtch Nupus Endkde dk 74?5.

    Dk 7465 fc hcserd`ch tfc enittdko hdsirhcr kiw jkiwk gs

    Fuofcs Uykhrilc. Dk 7463 fc sct up tfc Nupus Skdt gt UtXfilgs Fispdtgn.

    Dk 7445 fc rcecdvch tfc _irnh Pfculgtinioy (DNGP) Pcscgref

    Rrdzc air tfc hcserdptdik ia Fuofcs Uykhrilc.

    Fc ds g lcl`cr ia tfc Glcrdegk Nupus Fgnn ia Aglc, gkh

    Hietir Fikirds Egusg gt tfc Skdvcrsdtdcs ia Lgrscdnnc gkh

    @grecnikg.

    Rria. Orgfgl

    Fuofcs

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    GKXDRFIURFINDRDH UTKHPILC

    G @PDCA PCQDC_

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    DKXPIHSEXDIK

    Gktdpfispfindpdh Uykhrilc (GRU) ds gk gutidllukc tfril`ipfdnde

    eikhdtdik tfgt ds lgrjch `y tfc prcsckec dk `niih

    ia gktd`ihdcs tfgt rceiokdzc gkh gttgej pfispfindpdh-`dkhdko

    pritcdks, rgtfcr tfgk pfispfindpdh dtscna.

    GRU ds gssiedgtch wdtf prcokgkey eilpndegtdiks =

    - prccenglpsdg,

    - tfril`isds,- gutidllukc tfril`ieytipckdg,

    - actgn oriwtf rcstrdetdik, gkh

    - actgn niss.

    GRU ds engssdadch gs Rrdlgry ir Uceikhgry, hcpckhdko ik dts gssiedgtdikwdtf itfcr gutidllukc hdsirhcrs.

    Rrdlgry GRU ds hdgokisch dk pgtdckts hclikstrgtdko tfc endkdegn gkhng`irgtiry erdtcrdg air tfc hdscgsc wdtfiut itfcr rceiokdzch gutidllukchdscgsc.

    Uceikhgry GRU ds hdgokisch dk pgtdckts wdtf itfcr gutidllukc

    hdsirhcrs, suef gs UNC.

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    DKXPIHSEXDIK

    Egtgstripfde Gktdpfispfindpdh Uykhrilc (EGRU)

    Dt rcprcsckts tfc scvcrc ckh ia tfc spcetrul wdtf luntdpnc irogk tfril`iscs dk g

    rgpdh pcrdih ia tdlc.

    Dtfgs g lirtgndty rgtc ia gpprixdlgtcny 32%. Luntdirogk agdnurc fgs `cck scck hur dko prcokgkeygkh gnsi hur dko

    pistpgr tul.

    Xfc endkdegn spcetrul ia tfds sykhrilc fgs wdhckch, wdtf dlpirtgkt ghvgkecs dk

    tfc jkiwnchoc ia dts pgtfiockcsds gkh endkdegn lgkgoclckt lghc hurdko tfc

    pgst scvcrgn ycgrs.

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    DKXPIHSEXDIK

    Xypcs ia pgtdckts fgvdko gktdpfispfindpdh (gRN) gktd`ihdcs

    D. Gktdpfispfindpdh sykhrilc

    G. Rrdlgrydk tfc g`sckec ia UNC

    @. Uceikhgrydk pgtdckts wdtf UNC

    DD. gRN gktd`ihdcs stdlungtch `y dkacetdikG. Ki jkiwk gssiedgtdik wdtf tfril`isds (c.o., sypfdnds,

    Nylc hdscgsc, eytilcognivdrus, Cpstcdk-@grr vdrus)

    @. Rissd`nc gssiedgtdik wdtf tfril`isds (c.o., vgrdecnng,

    FDQ, fcpgtdtds E)

    DDD. Hruo-dkhuech gRN gktd`ihdcs(c.o. efnirprilgzdkc gkh itfcr pfckitfdgzdhcs)

    DQ. gRN gktd`ihdcs prcvgnckt dk tfc ockcrgn pipungtdik (gsylptilgtde ir

    scrikcogtdvc GRU)

    Hi gnn pcipnc wdtf fdof gRN gktd`ihdcs fgvc

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    ENDKDEGN ACGXSPCU IA GRU

    Kiki`stctrdeacgturcs ia GRUgrc gs ainniws=7) Rcrdpfcrgn vckius systcl - hccp vckius tfril`isds ZHQX\)

    0) Ecktrgn kcrvius systcl - ecrc`rivgseungr geedhckt ZEQG\, sdkus

    tfril`isds

    5) Fclgtiniode - tfril`ieytipckdg, fclinytde gkcldg

    8) Runlikgry - punlikgry cl`indsl ZRC\, punlikgry fypcrtcksdik

    3) Hcrlgtiniode - ndvchi rctdeungrds, purpurg, dkagrets/unecrgtdik

    1) Egrhdge - Nd`lgk-Ugejs vgnvunipgtfy, LD

    ?) Ieungr - glgurisds, rctdkgn tfril`isds

    6) Ghrckgn - dkagretdik/fclirrfgoc4) Luseunisjcnctgn - gvgseungr kcerisds ia `ikc

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    ENDKDEGN ACGXSPCU IA GRU

    I`stctrde acgturcs ia GRUgrc gs ainniws=

    7) Actgn hcgtf ir stdnn`drtf

    0) Pceurrckt prcokgkey niss - 5 ir lirc spiktgkcius g`irtdiks

    5) Uceikh ir Xfdrh trdlcstcr actgn hcgtf

    8) Ucvcrc prccenglpsdg - gt ncss tfgk 58 wccjs ocstgtdik

    3) Skcxpngdkch scvcrc actgn oriwtf rcstrdetdik

    1) Efircg orgvdhgrul

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    RGXFIRFTUDINIOT

    @diniode caacets lchdgtch `y tfc fulgk gRN gktd`ihdcsdkenuhc tfc ainniwdko=

    7) Pcgetdvdty wdtf ckhitfcndgn strueturcs tfgt hdstur`s tfc `gngkec ia

    pristgongkhdk C0/tfril`ixgkc prihuetdik

    0) Dktcrgetdik wdtf pngtcnct RNs, wdtf eikscquckt uprcoungtdik ia pngtcnct

    goorcogtdik

    5) Hysrcoungtdik ia eilpnclckt getdvgtdik

    8) Dktcrgetdik ia gRN wdtf pfispfgtdhynscrdkc cxpisch hurdko tripfi`ngst

    sykeytdul airlgtdik, wfdef rgdscs tfc pissd`dndty ia g lirc hdrcet caacetia tfcsc gutigktd`ihdcs ik pngecktgn strueturcs

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    CXDINIOTNdjc itfcr gutidllukc hdsirhcrs, GUR hics kit fgvc g jkiwk ctdinioy.

    Xfcrc grc scvcrgn fypitfcscs ti cxpngdk tfc pri`g`nc egusc =

    Rgssdvc trgksacr ia lgtcrkgn gktd`ihdcs lchdgtc gutidllukc hdsirhcrs dk tfc

    actus gkh kcw`irk. Xfc lcefgkdsl ia cxecss gutigktd`ihy prihuetdik gkh

    dllukc eilpncx airlgtdik ds kit wcnn ukhcrstiih.

    Agldndgn ieeurrckec ia gRN fgs `cck rcpirtch, gkh suoocstch ockctde

    gssiedgtdiks dkenuhc FNG -HP8, HP?, HPw35 gkh E8 ku nn gnncnc.

    RN linceuncs grc u`dqudtius dk kgturc gkh grc prcsckt dk tfc dkkcr suragec ia tfc

    ecnn gkh dk lderiirogkdsls. Xfcrcairc, hurdko dkacetdius hdscgsc priecsscs,dkenuhdko vdrgn (co, FDQ, C@Q, ELQ, ghckivdruscs), `getcrdgn (co, `getcrdgn

    ckhiegrhdtds, tu`creunisds, Lyeipngslg pkculikdg), spdriefctgn (co, sypfdnds,

    ncptispdrisds, Nylc hdscgsc), gkh pgrgsdt de(co, lgngrdg dkacetdik),tfc hdsruptdik

    ia ecnnungr lcl`rgkcs lgy ieeur hurdko ecnn hglgoc.

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    CRDHCLDINIOT

    GRU geeiukts air g`iut 74% ti 02% ia PRN dk tfc wirnh.

    Xfc prcvgnckecia gEN gkh NGE dk kirlgn fcgntfy pipungtdiks fgs

    `cck rcpirtch ti rgkoc `ctwcck

    - 7.2% gkh 3.1% air gEN, gkh

    - 7.2% gkh 5.1% air NGE.

    Goc oriup = 02 yrs ti 32 yrs. Xfc prcvgnckec ia cncvgtch gRNgktd`ihdcs, pgrtdeungrny gEN tckh ti dkercgsc wdtf goc .

    Ucx = Aclgnc prchildkgkec ia g`iut 62% ia GRU pgtdckts (iwdko ti

    sceikhgry GRU dk UNC).

    Pgec= ki hcadkch rgedgn prchildkgkec air prdlgry GRU, gntfiuof UNC

    ds lirc eillik dk Gardegk Glcrdegks gkh Fdspgkde pipungtdiks. Ociorgpfdegn hdstrd`utdik = stdnn gt dkagkey stgoc ia hgtg einncetdik.

    Fcrchdtgry prchdncetdik = silc rcpirts gvgdng`nc, fiwcvcr, dt ds stdnn

    hdaadeunt ti hctcrldkc ockctde rdsj agetirs air gRN gkh GRU `cegusc ia tfc

    fctcriockcdty dk tfc gktdock spcedadedty, gkh pgtfiockcsds ia tfc endkdegn

    lgkdacstgtdiks ia GRU.

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    CRDHCLDINIOT.

    Pdsj agetirs air GRU= Dk UNC pgtdckts, 55% grc gEN pisdvdtdvc gkh NG prcvgnckec ds g`iut 73% . G pisdtdvc NG

    gppcgrs ti `c lirc spcedade air GRU tfgk gk cncvgtch gEN. Xfc strckotf ia tfc

    gssiedgtdik `ctwcck gRN gkh tfril`isds vgrdcs.

    Rrdlgrdny, gEN grc kit gs striko g rdsj agetir air tfril`isds gs NG.

    Nupus gktdeigoungkt ds eikdstcktny tfc list piwcraun prchdetir ia tfril`isds .

    G`iut 82% ia pgtdckts wdtf UNC fgvc gRN, `ut ncss tfgk 82% ia tfcl wdnn cvcktugnny fgvctfril`itde cvckts .

    Xdtcr gkh dsitypc grc dlpirtgkt= DoO gEN ds lirc strikony gssiedgtch wdtf endkdegn cvckts

    tfgk ds DoL gEN, gkh tfc rdsj ia tfril`isds dkercgscs wdtf fdofcr tdtcrs (;82 S). DoG gEN

    gkh niw tdtcrs ia DoO gkh DoL gEN grc ncss arcqucktny gssiedgtch wdtf eilpndegtdiks .

    Uceikh-fdt fypitfcsds - g sceikh trdoocr cvckt - suef gs edogrcttc sli jdko, irgn

    eiktrgecpt dvcs cte.

    suro degn priechu rcs, prinik och dll i`d n dzgt dik, ir g ockct de pritfril` it de stgtc -

    lgy dkercgsc tfc ndjcndfiih ia gk gRN pisdtdvc pgtdckt hcvcnipdko g vgseungr cvckt.

    _ilck wdtf prcokgkey cvckts gnikc fgvc g fdof ndjcndfiih ia hcvcnipdko tfril`isds

    dk ngtcr ycgrs .

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    HDGOKIUXDE EPDXCPDG AIP GRU

    Xfc hdgokisds rcqudrcs tfgt tfc pgtdckt fgvc gt ncgst 7 en dk de gn gkh 7 ng`irgtiry er d tcr dik. (uphgtch 0224)

    Endkdegn erdtcrdg

    7.Qgseungr tfril`iscs

    7 ir lirc hieulcktch cpdsihcs ia grtcrdgn, vckius, ir slgnn vcsscn tfril`isds -

    itfcr tfgk supcradedgn vckius tfril`isds- dk gky tdssuc ir irogk. Xfril`isds lust

    `c eikadrlch `y i`mcetdvc vgndhgtch erdtcrdg. Air fdstipgtfiniode

    eikadrlgtdik,tfril`isds sfiunh `c prcsckt wdtfiut sdokdadegkt cvdhckec iadkangllgtdik dk tfc vcsscn wgnn.

    0. Rrcokgkey lir`dhdty

    (g) 7 ir lirc ukcxpngdkch hcgtfs ia g lirpfiniodegnny kirlgn actus gt ir `cyikh tfc

    72tf wccj ia ocstgtdik, wdtf kirlgn actgn lirpfinioy hieulcktch `y untrgsiukh ir

    `y hdrcet cxgldkgtdik ia tfc actus, ir

    (`) 7 ir lirc prclgturc `drtfs ia g lirpfiniodegnny kirlgn kcikgtc `cairc tfc 58tf

    wccj ia ocstgtdik `cegusc ia= (d) cenglpsdg ir scvcrc prc-cenglpsdg hcadkch

    geeirhdko ti stgkhgrh hcadkdtdiks, ir (dd) rceiokdzch acgturcs ia pngecktgn

    dksuaadedckey, ir

    (e) 5 ir lirc ukcxpngdkch eiksceutdvc spiktgkcius g`irtdiks `cairc tfc 72tf wccjia cstgtdik, wdtf lgtcrkgn gkgtilde ir firlikgn g`kirlgndtdcs gkh gtcrkgn gkh

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    HDGOKIUXDE EPDXCPDG AIP GRU..

    Ng`irgtiry erdtcrdg

    Gktdegrhdindpdk gktd`ihdcs - Gktdegrhdindpdk DoO ir DoL gktd`ihdcs

    prcsckt gt lihcrgtc ir fdof ncvcns (dc, ;82 ORN ir LRN ir ;44tf

    pcrecktdnc) dk tfc `niih ik 0 ir lirc ieegsdiks gt ncgst 70 wccjs gpgrt

    Nupus gktdeigoungkt - NGE hctcetch dk tfc `niih ik 0 ir lirc

    ieegsdiks gt ncgst 70 wccjs gpgrt

    Gktd-`ctg0-onyeipritcdk Dgktd`ihdcs DoO ir DoL - Dk tdtcrs g`ivc tfc44tf pcrecktdnc air kirlgn gs hcadkch `y tfc ng`irgtiry pcrairldko tfc

    tcst, ik 0 ir lirc ieegsdiks gt ncgst 70 wccjs gpgrt

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    HDGOKIUXDE EPDXCPDG AIP GRU ..

    Ghhdtdikgn adkhdkos dk GRU=

    Xfc ainniwdko adkhdkos lgy gnsi privdhc striko enucs ti tfc hdgokisds ia GRU,

    drrcspcetdvc ia tfc endkdegn gkh ng`irgtiry erdtcrdg=

    7) Skcxpngdkch trgksdckt dsefclde gttgejs ir glgurisds auogx0) Risdtdvc rcsunt aril tfc Eiil`s tcst

    5) Fclinytde gkcldg

    8) Efircg

    3) Efircg orgvdhgrul

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    IXFCP FCNRASN DKQCUXDOGXDIKU AIP GRU

    DllukigssgysD. @diniode agnsc-pisdtdvc scriniode tcst air sypfdnds

    DD. Gktdegrhdindpdk gktd`ihdcs (eiagetir-hcpckhckt gssgy)

    DDD. Gktdpfispfgtdhynscrdkc gktd`ihdcs

    DQ. Gktdpritfril`dk gktd`ihdcs

    Eigoungtdik Xcsts

    D. Hdnutc Pusscnn vdpcr vckil tdlc (HPQQX) wdtf eikadrlgtiry tcsts

    DD. gRXX =

    DDD. Jgindk enittdko tdlc

    DQ. Rngslg enittdko tdlcET

    cvdhckec ia dkfd`dtir wdtf ldxdko stuhdcs

    pgkcn ia gRN-scksdtdvc gkh dkscksdtdvc gRXX rcgockts pngtcnct kcutrgndzgtdik priechurc

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    RPIOKIUDU

    Lgtcrkgn lir`dhdty

    Xfril`isds, wfdef lgy lgy gnsi `c gssiedgtch wdtf gktdeigoungtdik dk pgtdckts trcgtchwdtf fcpgrdk ir niwlinceungr-wcdoft fcpgrdks dk prcokgkey. wilck wdtf GRU fgvc gkdkercgsch dkedhckec ia prccenglpsdg, wfdef, wfck dt ieeurs, arcqucktny hcvcnips prdir ti58 wccjs ocstgtdik. Xfc dkedhckec ia scvcrc prccenglpsdg rcqudrdko prclgturc hcndvcry dsgnsi dkercgsch.

    GRU ds gnsi gssiedgtch wdtf dkacrtdndty gkh prcokgkey eilpndegtdiks, suef gs spiktgkciusg`irtdiks, prclgturdty, gkh stdnn`drtfs.

    Ngkhry-Oudnngdk-@grr-Utrifn sykhrilc (NO@UU) gntfiuof cxecchdkony rgrc dkprcokgkey, egk ieeur dk pgtdckts wdtf GRU gkh nupus.

    d. Rgtdckts usugnny prcsckt wdtf priorcssdvc `dngtcrgn gkh syllctrdegn lusenc wcgjkcssgeeilpgkdch `y ldnh scksiry sylptils, dkenuhdko pgrcstfcsdg, kul`kcss, gkhtdkondko. Xfc hdscgsc egk priorcss ti dkvinvc tfc rcspdrgtiry lusencs, rcsuntdko dkrcspdrgtiry agdnurc. Xwi tfdrhs ia tfc pgtdckts fgvc g fdstiry ia vdrgn-ndjc dkacetdiks 7-5wccjs prdir ti tfc iksct ia sylptils.

    dd. ELQ dkacetdik fgs `cck dkerdldkgtch gs g pitcktdgn ctdiniode gockt dk silc prcokgkt

    pgtdckts prcscktdko wdtf NO@UU.

    Lgtcrkgn lirtgndty

    Lirtgndty rgtcs hurdko prcokgkey grc kit wcnn efgrgetcrdzch. Luntdirogk agdnurc fgs `cckhcserd`ch hurdko prcokgkey `y GsfcrsikZ0\ gkh hurdko pistpgrtul `y Jiefckiur.Z5\

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    RPIOKIUDU.

    Rcrdkgtgn lir`dhdty Xfc gRN gktd`ihdcs grc aiukh dk 72-73% ia wilck gt fdof rdsj air

    actgn oriwtf rcstrdetdik. Kcikgtgn lir`dhdty gkh lirtgndty lgy `cdkanuckech `y dkhdegtch prctcrl hcndvcry air lgtcrkgn scvcrcprccenglpsdg ir actgn oriwtf rcstrdetdik.

    Kcikgtgn nupus hcrlgtdtds, g vgrdcty ia systclde gkh fclgtiniodeg`kirlgndtdcs, gkh dsingtch eikockdtgn fcgrt `niej fgvc `cckgssiedgtch wdtf GRU gkh UNC.

    Rcrdkgtgn lirtgndty

    Actgn hcgtfs gt ir `cyikh 02 wccjs' ocstgtdik lgy `c gttrd`utg`ncti GRU dkvinvclckt. Xfc rgtc ia actgn niss lgy cxecch 42% dkuktrcgtch pgtdckts wdtf GRU. Xfcrgpy (dkenuhdko gspdrdk gkhfcpgrdk) egk rchuec tfc rgtc ia actgn niss ti 03%, gs hcserd`ch `yEiwefiej ct gn.

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    GRRPIGEF IA GRU DK RPCOKGKET

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    FDUXIPT GKH RFTUDEGN ADKHDKOU (GRU)

    Xfc hdgokisds ia GRU ds `gsch prdlgrdny ik endkdegn fdstiry gkh

    ng`irgtiry hgtg.

    Xfril`isds gkh strijc grc pissd`nc rcsdhugn kcuriniode adkhdkos dk GRU.

    Xdkkdtus, cgr gefc, hdzzy spcnns, fcghgefcs, ldorgdkcs, lcliry ngpscs,

    cte grc usugn kconcetch sylptils wfdef lgy getugnny dkhdegtc piir

    edreungtdik gkh trgksdckt dsefgclde gttgejs.

    Girtde Gkodkg

    Eutgkcius lgkdacstgtdiks ia GRU egk dkenuhc tfc ainniwdko=

    7. Hdodtgn eygkisds

    0. Ndvchi rctdeungrds

    5. Hdodtgn ogkorckc8. Nco unecrs

    3. Hdseidh rgsf

    1. Rfitiscksdtdvdty

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    Rde 7. Hdodtgn eygkisds

    Rde 0. Ndvchi rctdeungrds

    Rde 5. Hdodtgn ogkorckc

    Rde 8. Hdseidh rgsfcs

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    RRPI EF EIKUDHCP XDIKURrcokgkt wilck wdtfGRU grc eiksdhcrch fdof-rdsj i`stctrde pgtdckts, gkh

    lchdegn egrc ds dkstdtutch wdtf tfds dk ldkh.

    7. Dk pgtdckts rcecdvdko ir rcecktny trcgtch wdtf eirtdeistcridh tfcrgpy ,

    ghldkdstcr suppnclcktgtdik ti eivcr tfc ng`ir ir ecsgrcgk hcndvcry.

    Xfcrgpcutde g`irtdiks grc ockcrgnny kit dkhdegtch dk prcokgkt wilck

    wdtf gutidllukc hdscgsc.

    0. Cpdhurgn gkcstfctde ds kit rceillckhch da tfc litfcr fgs g lgrjch

    hrip dk tfc lgtcrkgn pngtcnct eiukt. Xfc usc ia airecps ir tfc vgeuul

    cxtrgetir sfiunh `c dkhdvdhugndzch.

    5. Ki cvdhckec dkhdegtcs ghvcrsc caacets rcngtch ti `rcgstacchdko,

    gntfiuof `rcgstacchdko ds kit rceillckhch da fdof hiscs ia eytitixde

    ir dllukisupprcssdvc gockts grc rcqudrch.

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    LGKGOCLCKX IA GRU

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    I@UXCXPDE E PC7. Rrceikecptdik eiukscnndko = Rgtdckts sfiunh `c eiukscnch dk gnn

    egscs rcogrhdko sylptils ia tfril`isds gkh tfril`icl`indsl gkhsfiunh `c chuegtch rcogrhdko, gkh cxgldkch arcqucktny air, tfc sdoks

    ir sylptils ia tfril`isds ir tfril`icl`indsl, scvcrc prccenglpsdg,

    ir hcercgsch actgn livclckt.

    0. Sntrgsikiorgpfy = ds rceillckhch cvcry 5-8 wccjs stgrtdko gt 76-02

    wccjs ocstgtdik, dk pgtdckts wdtf g piir i`stctrde fdstiry, cvdhckec iaprccenglpsdg, ir cvdhckec ia actgn oriwtf rcstrdetdik.

    5. Dk pgtdckts wdtf ukeilpndegtch GRU, untrgsikiorgpfy ds rceillckhch

    gt 52-50 wccjs ocstgtdik ti gsscss actgn oriwtf. Ngoodko actgn oriwtf

    lgy rcancet utcripngecktgn dksuaadedckey dk pgtdckts wdtfGRU.

    8. fEO vgnucs dk tfc adrst trdlcstcr egk `c ainniwch ti cvgnugtc tfcvdg`dndty ia tfc prcokgkey. Da fEO ncvcns grc dkercgsdko kirlgnny (dc,

    hiu`ndko cvcry 0 hgys) dk tfc adrst liktf ia prcokgkey, g sueecssaun

    iuteilc ds prchdetch dk 62-42% ia egscs. Fiwcvcr, wfck tfc

    dkercgscs grc g`kirlgn (dc, sniwcr), g piir iuteilc ds prchdetch dk ?2-

    62% ia egscs.3. Uti e titixde Hru s scvcrgn liktfs rdir ti ceildk rc kgkt.

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    LCHDEGN EGPC IA GRUDK I@UXCXPDE RGXDCKX

    Ucrikcogtdvc GRU d.c. wdtfiut prcvdius tfril`isds gkh rceurrckt

    cgrny (prc-cl`ryikde ir cl`ryikde) ldsegrrdgoc

    Niwhisc Gspdrdk gnikc ir tioctfcr wdtf cdtfcr ukargetdikgtch fcpgrdk

    (3222?322 DS UE cvcry 70 f)

    Ir NL_F (usugn pripfyngetde hiscs= Ckixgpgrdk 82 lo UE cvcry 08 f).

    Da gspdrdk wgs usch `cairc prcokgkey, dt lust `c sw d tefch ti niw hisc

    fcpgrdkc gt tfc tdlc ia prcokgkey.

    Ainniwdko hcndvcry, pistpgrtul tfril`ipripfyngxds wdtf wgragrdk irNL_F ds dkhdegtch.

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    LCHDEGN EGPC

    GRU wdtfiut prcvdius tfril`isds gkh actgn hcgtf lirc tfgk 72

    wccjs ocstgtdik ir prcvdius cgrny hcndvcry (>58 wccjs ocstgtdik)

    huc ti scvcrc prc-cenglpsdg ir pngecktgn dksuaadedckey

    Niw-hisc gspdrdk pnus ukargetdikgtch fcpgrdk (?32272 222 DS

    su`eutgkciunsy cvcry 70 f dk tfc adrst trdlcstcr: 72 222 S

    su`eutgkciusny cvcry 70 f dk tfc sceikh gkh tfdrh trdlcstcrs,

    ir cvcry 670 f ghmustch ti lgdktgdk tfc ldh-dktcrvgn gRXX* 73 tdlcs

    tfc eiktrin lcgk)

    ir NL_F (usugn pripfyngetde hiscs= Ckixgpgrdk 82 lo UE cvcry 08 f). Ainniwdko hcndvcry, pistpgrtul tfril`ipripfyngxds wdtf wgragrdk ir

    NL_F ds dkhdegtch.

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    LCHDEGN EGPC

    GRU wdtf tfril`isds

    Niw-hisc gspdrdk pnus ukargetdikgtch fcpgrdk (su`eutgkciusny cvcry 6

    70 f ghmustch ti lgdktgdk tfc ldhdktcrvgn gRXX*

    ir fcpgrdk eikecktrgtdik (gktd-Vg getdvdty)* dk tfc tfcrgpcutde rgkoc) ir NL_F (usugn tfcrgpcutde hisc-co, ckixgpgrdk 7 lo/jo

    su`eutgkciusny,

    ir hgntcpgrdk 722 S/jo su`eutgkciusny cvcry 70 f,

    ir ckixgpgrdk 73 lo/jo/hgy su`eutgkiusny,

    ir hgntcpgrdk 022 S/jo/hgy su`eutgkciusny)

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    LCHDEGN EGPC

    GRU wdtf prdir actgn hcgtf ir rceurrckt prcokgkey niss

    DaRrcokgkt

    g. Fcpgrdk dk pripfyngetde hiscs (73222-02222 S ia ukargetdikch fcpgrdk

    ir cqudvgnckt pcr hgy) ghldkdstcrh UE dk hdvdhch hiscs wdtf niw hiscgspdrdk hgdny.

    `. Egnedul gkh vdtgldk H suppnclcktgtdik

    Da kik-prcokgkt

    g. Iptdlgn lgkgoclckt ds ukecrtgdk: iptdiks dkenuhc ki trcgtlckt ir hgdny

    trcgtlckt wdtf niw-hisc gspdrdk

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    LCHDEGN EGPC

    GRU wdtf prdir tfril`isds ir strijc

    Da Rrcokgkt= Fcpgrdk ti gefdcvc aunn gktdeigoungtdik(hics

    kit eriss pngecktg)

    Kik prcokgkt = _gragrdkghldkdstcrch hgdny dk hiscs ti

    lgdktgdk DKP ia < 5

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    LCHDEGN EGPC

    Rrcokgkt NO@UU = Fdof hisc dv DO gt 822-7322 lo/jo/hgy

    air scvcrgn hgys

    Kik prcokgkt NO@UU = dv DO gt 822-7322 lo/jo/hgy air

    scvcrgn hgys

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    RCPUIKGN EGPC IA GRURGXDCKX

    Eiksuntgtdiks = Pfculgtiniodst Fclgtiniodst Kcuriniodst, egrhdiniodst,

    punlikiniodst, fcpgtiniodst, ipftfgnliniodst (hcpckhdko ik endkdegn

    prcscktgtdik) I`stctrdedgk wdtf cxpcrdckec dk fdof-rdsj prcokgkedcs

    Hdct =Da wgragrdk tfcrgpy ds dkstdtutch, dkstruet tfc pgtdckt ti gvidh

    cxecssdvc eiksulptdik ia aiihs tfgt eiktgdk vdtgldk J.

    Getdvdty= Ki spcedade ndldtgtdiks ik getdvdty grc kcecssgry. Dkhdvdhugndzc

    tfc getdvdty geeirhdko ti tfc endkdegn scttdko. Dkstruet tfc pgtdckt ti gvidh

    spirts wdtf cxecssdvc eiktget da tgjdko wgragrdk. Ndldt getdvdty dk pgtdcktswdtf geutc HQX. Dkstruet tfc pgtdckt ti gvidh prinikoch dlli`dndzgtdik.

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    LGKGOCLCKX IA GRU DK XFC ASXSPC

    Ritcktdgn auturc tfcrgpdcs air gktdpfispfindpdh sykhrilc =

    Eil`dkgtdik gktdgoorcogkt tfcrgpy (niw-hisc gspdrdk pnus

    enipdhiorcn ir hdpyrdhglinc)

    Irgn gktdagetir Vg hruos (rdvgrixg`gk, gpdxg`gk) Hdrcet tfril`dk dkfd`dtirs (hg`dogtrgk)

    @-ecnn hcpnctdik (rdtuxdlg`)

    Utgtdks (anuvgstgtdk, risuvgstgtdk)

    Fyhrixyefniriqudkc

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    USLL PT IA RU L K OCLCKX7. Dk wilck wdtf wcnn-rceiokdzch i`stctrde GRU, gktdeigoungktpripfyngxds ds rceillckhch hurdko prcokgkey gkh tfc pistpgrtul

    pcrdih.

    0. Rrcokgkt wilck wdtf GRU grc eiksdhcrch gt rdsj air tfril`isds gkh

    prcokgkey niss.

    5. Hgtg suoocst niw-hisc gspdrdk gkh fcpgrdk (cdtfcr ukargetdikgtchfcpgrdk ir NL_F) ti `c tfc trcgtlckts ia efidec air prcvcktdik ia

    prcokgkey niss dk prcokgkt wilck wdtf GRU gkh prcvdius prcokgkey

    nisscs.

    8. Rrcokgkt wilck wdtf GRU gkh g fdstiry ia tfril`isds `ut ki

    prcokgkey niss rcqudrc ikny trcgtlckt wdtf fcpgrdk.3. Xrcgtlckt ds iptdikgn air pgtdckts wdtf ki fdstiry ia prcokgkey niss ir

    tfril`isds

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    PCACPCKECU7. Fuofcs OP= Xfril`isds, g`irtdik, ecrc`rgn hdscgsc

    gkh tfc nupus gktdeigoungkt. @LM 7465, 06?=7266-7264.

    0. Fuofcs OPQ. Xfc gktdpfispfindpdh sykhrilc= tck

    ycgrs ik. Ngkect 7445: 580= 587-88.

    5. Piu`cy PGU, Fiaalgk L. Aril gktdpfispfindpdh

    sykhrilc ti gktd`ihy-lchdgtch tfril`isds. Ngkect

    744?: 532=7847-5.

    8. Jfglgsftg LG, Ecrvcrg P, Gsfcrsik PG, Aikt M, Odn

    G, Eintgrt HM, Qzqucz MM, Rgr E, Dkocnli L, IndvcrM, ct gn. Gssiedgtdik ia gktd`ihdcs gogdkst pfispfindpdhs

    wdtf fcgrt vgnvc hdscgsc dk systclde nupus

    crytfclgtisus. Ngkect 7442: 553=7387-7388.

    3. Ldgnhcg L, Ugkonc UP gkh H'Eruz HR. Gktdpfispfindpdh

    (Fuofcs) sykhrilc= cyikh prcokgkey

    lir`dhdty gkh tfril`isds. Miurkgn ia Gutidllukc Hdscgscs

    0224:74=1=5.

    1. Gsfcrsik PG, Jfglgsftg LG, Irhd-Pis M, HcrjsckPF, Lgefdk UM, @grqudkcri M, ct gn. Xfc "prdlgry" gktdpfispfindpdh

    sykhrilc= lgmir endkdegn gkh scriniodegn

    acgturcs. Lchdedkc (@gntdlirc). Kiv 7464:

    16(1)=511-?8.

    ?. Jiefckiur KJ, @rgkef H_, Pitc KU, ct gn. G kcw

    pistpgrtul sykhrilc gssiedgtch wdtf gktdpfispfindpdh

    gktd`ihdcs. I`stct Oykcein. Lgr 746?: 14(5

    Rt 0)=812-6.Cte cte cte.

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