(CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden PMI DIY

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  • 7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden

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    K_YMKD LIUIQK^KSKD

    OMQHDGO LGCDIW CG_IK_I (OLC) CIDNKD MIJH_GKBG_K UKCK LBGID Dy. _

    CG YDGS MIJHCGKBG_K NHBCID UJG CGW

    Cgsusud Ydtul Jijidumg Sunks Urkltgl Lbgdgl Jktk Lubgkm LJA GG

    Cgsusudhbim 6

    _uog Lurdgkwktg U5>;15;;15>0

    Srg Irkwktg Bk`rkdk U5>;15;;15>=

    Pgdck Kstrg Uirjktkskrg U5>;15;;15=5

    LIJIDSIQGKD LI_IMKSKD QIUYABGL GDCHDI_GK

    UHBGSILDGL LI_IMKSKD WHNWKLKQSK

    FYQY_KD LIUIQK^KSKD

    15;?

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    BIJAKQ UIDNI_KMKD

    K_YMKD LIUIQK^KSKD OMQHDGO LGCDIW CG_IK_I (OLC) UKCK Dy. _

    CG YDGS MIJHCGKBG_K NHBCID UJG CGW

    15;?

    Cgkfulkd udtul cgsitufug pkck 6

    Mkrg 6

    Skdnnkb 6 Cisijair 15;?

    Sijpkt 6 Ydgt Mijhcgkbgsk Nhbcid UJG CGW

    Uijagjagdn Bkpkdnkd

    Ibg Prgstgkwkd, KJL

    Uijagjagdn Uidcgcglkd

    _unidn, _.Lip, Ds, J._o.

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    AKA G

    BKUHQKD UIDCKMYBYKD

    OLC (OMQHDGO LGCDIW CG_IK_I)

    K. Uidnirtgkd

    Nknkb ngdfkb lrhdgl (NNL) agkskdyk klgakt klmgr ckrg limgbkdnkd `udnsg ngdfkb bkdfut

    siokrk airtkmkp (Chidnis, ;777< 010)

    Nknkb ngdfkb lrhdgs ktku pidyklgt ridkb tkmkp klmgr (I_QC) jirupklkd nkdnnukd `udnsg

    ridkb ykdn prhnrisg` ckd grrivirsgabi cgjkdk lijkjpukd tuaum nknkb udtul

    jijpirtkmkdlkd jitkahbgsji ckd lisigjakdnkd okgrkd ckd ibiltrhbgt, jidyiakalkd

    urijgk (ritidsg urik ckd skjpkm dgtrhnid bkgd ckbkj ckrkm). (Aruddir & _ucckrtm, 155;. Di`rhpktg hastrultg` jgskbdyk skburkd lijgm akngkd ktks 6 lkblubg dihpbksjk, `garhsgs

    ditrhpirgthdikb. _kburkd lijgm akngkd akwkm6 mgpirtrhpg prhstkt, strgltur uritrk, kdhjkbg

    lhdnidgtkb pkck bimir lkdcudn lijgm ckd uritrk.

    =. Aktu skburkd lidogdn ykdn jidyiakalkd mgcrhbgtyksgs

    O. Ukth`gsghbhng

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    Ukck wkltu tirfkcg linknkbkd ngdfkb siakngkd di`rhd (tirjksul nbhjirubus ckd tuaubus)

    cgcunk utum sickdnlkd ykdn bkgd ruskl (mgphtisk di`rhd utum). Di`rhd-di`rhd ykdn utum

    mgpirtrh`g ckd jijprhculsg vhbuji `gbtrksg ykdn jidgdnlkt cgsirtkg rikashrpsg wkbkupud

    ckbkj likckkd pidurudkd N@Q ktku ckyk skrgdn. Jithci kckptg` gdg jijudnlgdlkd ngdfkb

    udtul air`udnsg skjpkg ckrg di`rhddi`rhd ruskl. Aiakd akmkd ykdn mkrus cgbkrut

    jidfkcg biagm aiskr ckrgpkck ykdn agsk cgrikashrpsg airklgakt cgurisgs hsjhtgl cgsirtkg

    phbgurg ckd mkus. _ibkdfutdyk lkridk fujbkm di`rhd ykdn ruskl airtkjakm akdykl hbgnurg

    tgjaub cgsirtkg ritidsg prhcul sgsk. Sgtgl cgjkdk tgjaubdyk nifkbk-nifkbk pkck pksgid

    jidfkcg biagm fibks ckd judoub nifkbk-nifkbk lmks linknkbkd ngdfkb agbk lgrk-lgrk `udnsg

    ngdfkb tibkm mgbkdn =5% - 75%. Ukck tgdnlkt gdg `udnsg ridkb ykdn cijglgkd dgbkg lriktgdgd

    obikrkdoi turud skjpkg ;9 jb/jidgt ktku biagm ridckm gtu. (Akrakrk O Bhdn, ;770, ?0=)

    @udnsg ridkb jidurud, prhcul klmgr jitkahbgsji prhtigd (ykdn dhrjkbdyk cgilslrisglkd

    li ckbkj urgd) tirtgjaud ckbkj ckrkm.Sirfkcg urijgk ckd jijpidnkrumg sitgkp sgstij

    tuaum. _ijklgd akdykl tgjaudkd prhcul skjpkm jklk nifkbk klkd sijklgd airkt. Akdykl

    nifkbk urijgk jijakgl sitibkm cgkbgsgs. (Aruddir & _ucckrtm, 155; 6 ;33=).

    C. Lbksg`glksg

    Nknkb ngdfkb lrhdgl cgakng ? stkcguj

    ;. _tkcguj ;

    Uidurudkd okckdnkd ngdfkb, pkck stkcguj gdg lkckr lriktgdgd siruj dhrjkb ckd

    pidcirgtk ksgjpthjktgl.

    1. _tkcguj 1

    Gdsu`gsgidsg ngdfkb, cgjkdk biagm ckrg >9 % fkrgdnkd tibkm ruskl, Abhhc Yrik Dgtrhnid(

    AYD ) jidgdnlkt, ckd lriktgdgd siruj jidgdnlkt.

    ?. _tkcguj ?

    Nknkb ngdfkb stkcguj klmgr ktku urijgk.

    Airglut gdg kckbkm pijakngkd OLC airckskrlkd stkcguj ckrg tgdnlkt pidurudkd B@N 6

    ;. _tkcguj ;

    Libkgdkd ngdfkb ykdn cgtkdckg cidnkd kbaujgdkrgk pirsgstid ckd B@N ykdn jksgm

    dhrjkb 4 75 jb/ jidgt/ ;,>? j1

    1. _tkcguj 1

    Libkgdkd ngdfkb cidnkd kbaujgdkrgk pirsgstid ckd B@N kdtkrk 05-=7 jB/ jidgt/ ;,>? j1

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    ?. _tkcguj ?

    Libkgdkd ngdfkb cidnkd B@N kdtkrk ?5-97 jB/ jidgt/ ;,>? j1

    3. _tkcguj 3

    Libkgdkd ngdfkb cidnkd B@N kdtkrk ;9-17 jB/ jidgt/ ;,>? j1

    9. _tkcguj 9

    Libkgdkd ngdfkb cidnkd B@N 2;9 jB/ jidgt/ ;,>? j1ktku nknkb ngdfkb tirjgdkb.

    B@N 6 (;35-ujur) x AA

    >1 x lriktgdgd pbksjk (jn/cb) (Uirijpukd 6 cglkbglkd 5,=9)

    B@N (Bkfu @gbtrksg Nbhjirubg) ktku N@Q (Nbhjirubkr @gbtrktghd Qkti) kckbkm

    fujbkm `gbtrkt nbhjirubg ykdn tiraidtul sitgkp jidgt ckrg siburum di`rhd licuk ngdfkb.

    Dhrjkbdyk ;19 jb/jidgt.

    I. Jkdg`istksg Lbgdgs

    Jkdg`istksg lbgdgl kdtkrk bkgd (Bhdn, ;770 6 ?07)6

    ;. Nifkbk cgdg

    _klgt lipkbk, libibkmkd `gsgl ckd jidtkb, airkt akckd airlurkdn, juckm tirsgdnnudn,

    ciprisg

    1. Nifkbk ykdn biagm bkdfut

    Kdhrilsgk, jukb cgsirtkg judtkm, dk`ks ckdnlkb ktku siskl dk`ks akgl wkltu kck

    lingktkd ktku tgckl, ucij ykdn cgsirtkg bilulkd, prurgtgs judnlgd tgckl kck tkpg

    judnlgd funk skdnkt pkrkm.

    Cirkfkt icijk 6

    k. Cirkfkt G 6 Jidilkd sickbkj 1 jj klkd lijakbg cidnkd oipkt

    a. Cirkfkt GG 6 jidilkd biagm ckbkj 3 jj ckd klkd lijakbg ckbkj wkltu ;5-;9 citgl

    o. Cirkfkt GGG 6 jidilkd biagm ckbkj (0 jj) klkd lijakbg ckbkj wkltu 4 ; jidgt,

    tkjpkl aidnlkl

    c. Cirkfkt GP 6 jidilkd biagm ckbkj bkng (= jj) klkd lijakbg ckbkj wkltu 1-9

    jidgt, tkjpkl skdnkt aidnlkl ykdn dyktk

    Jkdg`istksg lbgdgl jidurut _uyhdh (155;) kckbkm siaknkg airglut6

    ;. Nkdnnukd lkrcghvkslubir

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    Mgpirtidsg, dyirg ckck, ckd siskl dk`ks klgakt pirglkrcgtgs, i`usg pirglkrcgkb ckd nknkb

    fkdtudn klgakt pidgjaudkd okgrkd, nkdnnukd grkjk fkdtudn ckd icijk.

    1. Nkdnnukd Uubjhdir

    Dk`ks ckdnlkb, lussjkub, aktul cidnkd sputuj lidtkb ckd rgkl, sukrk lrilibs.

    ?. Nkdnnukd nkstrhgdtistgdkb

    Kdhrilsgk, dkusik, ckd vhjgtus ykdn airmuaudnkd cidnkd jitkahbgsji prhtigd ckbkj

    usus, pirckrkmkd pkck skburkd nkstrhgdtistgdkb, ubsirksg ckd pirckrkmkd jubut, dk`ks

    aku kjjhdgk.

    3. Nkdnnukd juslubhslibitkb

    Qisgbis bin sgdcrhj (pinkb pkck lklgdyk simgdnnk sibkbu cgnirklkd), aurdgdn `iit

    sydcrhj (rksk lisijutkd ckd tiraklkr, tirutkjk cgtibkpkl lklg), trijhr, jghpktg

    (libijkmkd ckd mgpirtrhpg hthththt ilstrijgtks).

    9. Nkdnnukd Gdtinujid

    Lubgt airwkrdk puokt klgakt kdijgk ckd liludgdn ludgdnkd klgakt pidgjaudkd

    urhlrhj, nktkbnktkb klgakt thlsgl, lulu tgpgs ckd rkpum

    0. Nkdnnukd idchlrgd

    Nkdnnukd jitkahbgl nbulhsk, nkdnnukd jitkahbgl bijkl ckd vgtkjgd C.

    >. Nkdnnukd okgrkd ibiltrhbgt ckd lisigjakdnkd kskj ckd aksk

    Agkskdyk ritidsg nkrkj ckd kgr titkpg ckpkt funk tirfkcg limgbkdnkd dktrguj ckd

    cimgcrksg, ksgchsgs, mgpirlkbijgk, mgphjkndisijgk, mgphlkbsijgk.

    =. _gstij mijkthbhng

    Ngdfkb jirupklkd sujair pijaidtulkd Irytrhphitgo _tgjubktgdn @kothr (I_@). Kdijgk

    ykdn cgsiakalkd lkridk airlurkdndyk prhculsg irgthphitgd, jidyiakalkd rkdnskdnkd

    irgtrhphisgs pkck suj suj tubkdn airlurkdn. Mijhbgsgs funk tirfkcg klgakt

    airlurkdndyk jksk mgcup irgtrhsgt ckbkj sukskdk urijgk thlsgl. Ckpkt funk tirfkcg

    nkdnnukd `udnsg trhjahsgs ckd trhjahsgthpidg.

    @. Uijirglskkd Uidudfkdn

    ;. Yrgdi

    k. Phbuji 6 Agkskdyk lurkdn ckrg 355 jb/ 13 fkj (hbgnhurgk) ktku urgd tgckl kck

    a. ^krdk 6 _iokrk kadhrjkb urgdi lirum judnlgd cgsiakalkd hbim pus, akltirg,

    bijkl, pkrtglib lhbhgc, `hs`kt ktku urkt. _icgjid lhthr, liohlbktkd jidudfullkd

    kckdyk ckrkm, mijhnbhagd, jghnbhagd, phrg`grgd.

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    o. Airkt fidgs 6 Lurkdn ckrg ;,5;9 (jiditkp pkck ;,5;5 jidudfullkd lirusklkd

    ngdfkb airkt)

    c. Hsjhbkbgtks 6 Lurkdn ckrg ?95 jHsj/ln jidudfullkd lirusklkd tuaubkr, ckd

    rksgh urgdi/siruj sirgdn ;6;

    i. Lbgrids lriktgdgd 6 Judnlgd knkl jidurud

    `. Dktrguj 6 Biagm aiskr ckrg 35 jIq/B lkridk ngdfkb tgckl jkjpu jirikashrasg

    dktrguj

    n. Urhtigd 6 Cirkfkt tgdnng prhtigdurgk (?-3+) siokrk lukt jidudfullkd lirusklkd

    nbhjirubus agbk _CJ ckd `rknjid funk kck

    1. Ckrkm

    k. AYD ktku lriktgdgd 6 Jidgdnlkt, agkskdyk jidgdnlkt ckbkj prhphrsg. Lkckr

    lriktgdgd jidgdnlkt ckbkj ;5 jn/cB cgcunk tkmkp klmgr (judnlgd ridckm ykgtu 9)

    a. Mgtudn ckrkm bidnlkp 6 Mijkthlrgt jidurud lkridk kckdyk kdijgk. Mijhnbhagd

    agkskdyk lurkdn ckrg >-= n/cB

    o. _ib ckrkm jirkm 6 ^kltu mgcup jidurud pkck ci`gsgidsg irgtrhphitgd sipirtg pkck

    kzhtijgk

    c. NCK 6 pM jidudfullkd pidurudkd ksgchsgs jitkahbgl (lurkdn ckrg >,1) tirfkcg

    lkridk limgbkdnkd lijkjpukd ngdfkb udtul jidnilslrisg mgcrhnid ckd kjhdgk

    ktku mksgb klmgr lktkahbgsji prhtigd. Aglrahdkt jidurud. UOH1 jidurud.

    i. Dktrguj siruj 6 Judnlgd ridckm (agbk ngdfkb limkagskd dktrguj ktku dhrjkb

    (jidudfullkd stktus cgbusg mgpirdktrijgk)

    `. Lkbguj 6 Uidgdnlktkd simuaudnkd cidnkd ritidsg sisukg cdinkd pirpgdckmkd

    sibubkr (ksgchsgs) ktku pidnibukrkd fkrgdnkd (mijhbgsgs _CJ). Ukck tkmkp klmgr,

    piruakmkd ILN judnlgd tgckl tirfkcg skjpkg lkbguj 0,9 jIq ktku biagm aiskr.

    n. Jkndisguj ktku `hs`kt 6 Jidgdnlkt

    m. Lkbsguj 6 Jidurud

    g. Urhtigd (lmususdyk kbaujgd) 6 Lkckr siruj jidurud ckpkt jidudfullkd

    limgbkdnkd prhtigd jibkbug urgd, pirpgdckmkd okgrkd, pidurudkd pijksulkd, ktku

    pidurudkd sgdtisgs lkridk lurkdn kskj kjgdh isidsgkb.

    ?. Hsjhbkbgtks siruj 6 Biagm aiskr ckrg 1=9 jHsj/ln, sirgdn skjk ciddnkd urgd

    3. LYA `hth 6 Jidudfullkd ulurkd ngdfkb ktku uritir ktku lkdcudn lijgm ckd kckdyk

    hastrulsg (aktu)

    9. Ugibhnrkj ritrhnkrc 6 Jidudfullkd kadhrjkbgtks pibvgs ngdfkb ckd uritir

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    0. Krtirghnrkj ngdfkb 6 Jidnlkfg sgrlubksg ngdfkb ckd jidngcidtg`glksg ilstrkvkslubir,

    jkssk

    >. _gsthuritrhnrkj airlijgm 6 Jidudfullkd ulurkd lkdcudn lijgm, ri`buls li ckbkj

    uritir, ritidsg

    =. Ybtrkshdh ngdfkb 6 Jididtulkd ulurkd ngdfkb ckd kckdyk jkssk, lgstk, hastrulsg pkck

    skburkd pirlijgmkd akngkd ktks

    7. Aghpsg ngdfkb 6 Judnlgd cgbklulkd siokrk idchslhpgl udtul jididtulkd sib fkrgdnkd

    udtul cgkndhsgs mgsthbhngs

    ;5. Idchslhpg ngdfkb, di`rhslhpg 6 Cgbklulkd udtul jididtulkd pibvgs ngdfkb, libukr aktu,

    mijkturgk ckd pidnkdnlktkd tujhr sibiltg`

    ;;. ILN 6 Judnlgd kadhrjkb jidudfullkd litgcklsigjakdnkd ibiltrhbgt ckd kskj aksk

    ;1. @hth lklg, tidnlhrkl, lhbujdk spgdkb ckd tkdnkd 6 Ckpkt jidudfullkd cijgdirkbgsksg,

    lkbsg`glksg.

    (Chidnis, ;777< 01=).

    N. Uidktkbklskdkkd Lipirkwktkd

    ;. Lhdsirvktg`

    k. Jidoinkm jijauruldyk `udnsg ngdfkb

    ;) Mktg-mktg cidnkd pijairgkd hakt ykdn airsg`kt di`rhthlsgl

    1) Mgdckrg likckkd ykdn jidyiakalkd cgpbisg vhbuji okgrkd ilstrksibubir ckd

    mgphtidsg

    ?) Mgdckrg nkdnnukd lisigjakdnkd ibiltrhbgt

    3) Mgdckrg pijaktkskd litkt lhdsujsg prhtigd miwkdg

    9) Mgdckrg prhsis limkjgbkd ckd pijairgkd hakt lhdtrksipsg

    0) Mgdckrg gdstrujidtksg ckd sgsthlhpg tkdpk gdcglksg jicgs ykdn lukt

    >) Mgdckrg pijirglskkd rkcghbhngs cidnkd lhdtrks ykdn lukt tkdpk gdcglksg

    jicgs ykdn lukt

    a. Uidcilktkd tirmkckp pidurudkd `udnsg ngdfkb prhnrisg` bkjakt

    ;) Lidckbglkd mgpirtidsg sgstijgl ckd gdtrknbhjirubkr

    1) Lidckbglkd tirkpg G_L

    ?) Cgit prhtigd ykdn prhphrsghdkb

    3) Lidckbglkd mgpir`hs`ktijgk

    9) Sirkpg mgpirurilijgk agbk kskj urkt siruj 4;5 jn%

    0) Sirkpg mgpir`hs`ktijgk

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    >) Sirkpg likckkd ksgchsgs jitkahbgl

    =) Lidckbglkd likckkd mgpirnbglijgk

    o. Sirkpg kbbivgktgvi nifkbk kzhtijgk

    ;) Uijaktkskd lhdsujsg prhtigd miwkdg

    1) Sirkpg libumkd nktkb-nktkb

    ?) Sirkpg libumkd nkstrhgdtistgdkb

    3) Sirkpg libumkd diurhjuslubir

    9) Sirkpg libumkd tubkdn ckd sidcg

    0) Sirkpg kdijgk

    >) Sirkpg sitgkp gd`ilsg

    1. Cgkbgsgs

    k. Uirgthdikb cgkbgsgs

    Agkskdyk cgbklulkd pkck lksus lksus ijirnidoy. _ickdnlkd cgkbgsgs ykdn

    agsk cgbklulkd cgjkdk skfk ykdn tgckl airsg`kt klut kckbkm OKUC (Ohdtgduis

    Kjaubkthrg Uirgthdgkb Cgkbysgs)

    a. Mijhcgkbgsgs

    Wkgtu cgkbgsgs ykdn cgbklulkd jibkbug tgdcklkd gdvksg` cg vidk ckd krtirg cidnkd

    jidnnudklkd jisgd. Ukck kwkbdyk mijhcgbgksgs cgbklulkd jibkbug ckirkm

    `ijhrkbgs dkjud udtul jijpirjuckm jklk cgbklulkd

    ;) KP `gstubk 6 jidnnkaudnlkd vidk ckd krtirg

    1) Chuabi bujid 6 bkdnsudn pkck ckirkm fkdtudn (vkslubkrgsksg li fkdtudn)

    Gdcglksg cgbklulkdddyk mijhcgkbgsgs siaknkg airglut

    ;) Uksgid ykdn jijirbulkd mijhcgkbgsgs kckbkm pksgid NNL ckd NNK udtul

    sijidtkrk skjpkg `udnsg ngdfkbdyk pubgm.

    1) Uksgid-pksgid tirsiaut cgdyktklkd jijirbulkd mijhcgkbgsgs kpkagbk

    tirckpkt gdcglksg 6

    k) Mgpirlkbijgk

    a) Ksgchsgs

    o) Linknkbkd tirkpg lhdsirvktg`

    c) Lkckr uriuj ktku lriktgdgd tgdnng ckbkj ckrkm

    i) Libiagmkd okgrkd

    `) Jukb ckd judtkm miakt

    _ickdnlkd lhdtrkgdcglksg cgbklulkddyk mijhcgkbgsgs kckbkm

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    ;) Nkdnnukd pijailukd ckrkm

    1) Kdijgk airkt

    ?) Srhjahsgs ktku ijahbg pijaubum ckrkm ykdn airkt

    Lhjpbglksg ykdn ckpkt tirfkcg ckrg tirkpg mijhcgkbgsgs kckbkm

    ;) Litgcklsigjakdnkd okgrkd

    k) Mgpirvhbijgk

    a) Ybtrk`gbtrksg

    o) Qkdnlkgkd Ybtrk`gbtrksg (Cgk`gbtrksg)

    c) Mgphvhbijgk

    i) Mgphtidsg

    `) Mgpirtidsg

    n) _gdcrhj cgsiqugbgarguj cgkbgsgs

    1) Litgcklsigjakdnkd ibiltrhbgt

    k) Dktrguj siruj

    a) Lkbguj

    o) Aglkrahdkt

    c) Lkbsguj

    i) @hs`hr

    `) Jkndisguj

    ?) Gd`ilsg

    3) Uirckrkmkd ckd mipkrgdgsksg

    9) Srhuabismhhtgdn

    k) Jkskbkm-jkskbkm pirkbktkd

    a) Kbgrkd cgkbgskt

    o) Lhdsidtrkt cgkbgskt

    c) _umu

    i) Kbgrkd ckrkm

    `) Liahohrkd ckrkm

    n) Ijahbg uckrk

    0) Klsis li sgrlubksg

    k) @gstubk krtirghvidhsk

    a) Htht tkdcur

    o) Skdcur sgdtitgl

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    c) Lktitir vidk sidtrkb airbujid nkdck

    Skdck-tkdck cgkbgsgs kcilukt cgkdtkrkdyk 6

    ;) Sirokpkg AA lirgdn

    1) Uksgid tkjpkl akgl

    ?) Aiaks sgjthj urijgk

    3) Dk`su jklkd akgl

    9) Kltg`

    0) SC tirlidckbg

    >) Ma 4 ;5 nr/cb

    o. Hpirksg 6 pidnkjagbkd aktu, trkdspbkdtksg ngdfkb

    M. Lhdsip lipirkwktkd

    ;. Uidnlkfgkd

    k. Kltgvgtks/ gstgrkmkt

    Nifkbk 6 Libibkmkd ilstrijgtks, libijkmkd, jkbkgsi, nkdnnukd tgcur (gdshjdgk/

    nibgskm ktku shjdhbid)

    Skdck 6 Libijkmkd htht, limgbkdnkd thdus, pidurudkd ridtkdn nirkl

    a. _grlubksg

    Nifkbk 6 Qgwkykt mgpirtidsg bkjk, ktku airkt, pkbpgtksg, dyirg ckck (kdngdk)

    Skdck 6 Mgpirtidsg, dkcg lukt, icijk fkrgdnkd ujuj ckd pgttgdn pkck lklg,

    tibkpkl tkdnkd, cgsrgtjgk fkdtudn. Dkcg bijkm mkbus, mgphtidsg hrthstktgl

    jidudfulkd mgphvhbijgk, puokt, lioidcirudnkd pirckrkmkd.

    o. Gdtinrgtks inh

    Nifkbk 6 @klthr striss, ohdthm `gdkdsgkb, muaudnkd ckd siaknkgdyk, pirkskkd tkl

    airckyk, tkl kck mkrkpkd, tkl kck liluktkd.

    Skdck 6 Jidhbkl, kdsgitks, tklut, jkrkm, juckm tirkdnskdn, piruakmkd

    liprgakcgkd

    c. Ibgjgdksg

    Nifkbk 6 Uidurudkd `riluidsg urgdi, hbgnurgk, kdurgk, kachjid lijaudn, cgkri,

    ktku lhdstgpksg.

    Skdck 6 Uiruakmkd wkrdk urgdi, ohdthm ludgdn pilkt, jirkm, ohlibkt, airkwkd,

    hbgnurgk, ckpkt jidfkcg kdurgk.

    i. Jklkdkd/ okgrkd

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    Nifkbk 6 Uidgdnlktkd airkt akckd oipkt (icijk), pidurudkd airkt akckd

    (jkbdutrgsg), kdhrilsgk, dyirg ubu mktg, jukb/ judtkm, rksk jitkbgl tkl sickp cg

    jubut (pirdkpkskd kjhdgk), pidnnudkkd cguritgl

    Skdck 6 Cgstidsg kachjid/ ksgtis, pijaiskrkd mktg, piruakmkd turnhr lubgt/

    libijakakd, icijk (ujuj, tirnkdtudn), ubsirksg nusg, pirckrkmkd nusg/ bgckm,

    pidurudkd htht, pidurudkd bijkl sualutkd, pidkjpgbkd tkl airtidknk.

    `. Diurhsidshrg

    Nifkbk 6 _klgt lipkbk, pidnbgmktkd lkaur, lrkj htht/ lifkdn

    Skdck 6 Nkdnnukd stktus jidtkb, ohdthm pidurudkd bkpkdn pirmktgkd,

    litgckljkjpukd airlhsidtrksg, limgbkdnkd jijhrg, lkoku, pidurudkd tgdnlkt

    liskckrkd, stuphr, lhjk, rkjaut tgpgs, lulu rkpum ckd tgpgs.

    n. Dyirg/ lidykjkdkd

    Nifkbk 6 Dyirg pkdnnub, sklgt lipkbk, lrkj htht/ dyirg lklg (jijaurul skkt

    jkbkj mkrg)

    Skdck 6 Uirgbklu airmktg-mktg/ cgstrklsg, nibgskm.

    m. Uirdkpkskd

    Nifkbk 6 Dkpks pidcil, cgspdik, dhoturdkb pkrhlsgjkb, aktul cidnkd/ tkdpk

    sputuj lidtkb ckd akdykl.

    Skdck 6 Sklgpdik, cgspdik, pidgdnlktkd `riluidsg/ lickbkjkd (pirdkpkskd

    lusjkub), aktul prhcultg` cidnkd sputuj jirkm juckidoir (icijk pkru).

    g. Likjkdkd

    Nifkbk 6 Lubgt nktkb, kck/ airubkdndyk gd`ilsg

    Skdck 6 Ururgtus, cijkj (sipsgs, cimgcrksg), dhrjhtirjgk ckpkt siokrk kltukb

    tirfkcg pidgdnlktkd pkck pksgid ykdn jidnkbkjg sumu tuaum biagm ridckm ckrg

    dhrjkb.

    f. Gdtirklsg shsgkb

    Nifkbk 6 Lisubgtkd jididtulkd lhdcgsg, ohdthm tkl jkjpu ailirfk,

    jijpirtkmkdlkd `udnsg pirkd agkskdyk ckbkj libukrnk.

    l. Uidyubumkd/ pijaibkfkrkd

    Nifkbk 6 Qgwkykt CJ libukrnk (risglh tgdnng udtul nknkb ngdfkb), pidyklgt phbglgstgl,

    di`rgtgs miricgtir,lkblubus urgdkrgk, jkbgndksg, rgwkykt tirpkfkd hbim thlsgd, ohdthm

    hakt, rkoud bgdnludnkd

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    1. Cgkndhsgs Lipirkwktkd

    k. Libiagmkd vhbuji okgrkd airmuaudnkd cidnkd pidurudkd mkbukrkd urgd, cgit

    airbiagm ckd ritidsg okgrkd sirtk dktrguj.

    a. Uiruakmkd dutrgsg6 lurkdn ckrg liautumkd airmuaudnkd cidnkd kdhrilsgk, jukb,

    judtkm, pijaktkskd cgit, ckd piruakmkd jijarkdi julhsk jubut.

    o. Gdthbirkdsg kltgvgtks airmuaudnkd cidnkd libitgmkd, kdijgk, ritidsg prhcul

    skjpkm ckd prhsicur cgkbgsgs.

    c. Qisglh gd`ilsg airmuaunkd cidnkd prhsicur gdvksg` airubkdn

    i. Nkdnnukd mkrnk cgrg airmuaudnkd cidnkd litirnkdtudnkd, piruakmkd pirkd,

    piruakmkd pkck ogtrk cgrg ckd cgs`udnsg silsukb.

    `. Lurkdn pidnitkmukd tidtkdn lhdcgsg, ckd prhnrkj pidkdnkdkd

    ?. Uiridokdkkd

    _itibkm jirujuslkd cgkndhsgs lipirkwktkd, cgaukt ridokdk tgdcklkd udtul

    jidnurkdng, jidnmgbkdnlkd ckd jidoinkm jkskbkm lbgid.

    Gdtirvidsg udtul cgkndhsgs li ; 6

    Libiagmkd vhbuji okgrkd airmuaudnkd cidnkd pidurudkd mkbukrkd urgd, cgit airbiagm

    ckd ritidsg okgrkd sirtk dktrguj.

    Sufukd 6 Jijpirtkmkdlkd airkt tuaum gcikb tkdpk libiagmkd okgrkd

    Gdtirvidsg 6

    k. Lkfg stktus okgrkd < tgjakdn airkt akckd, lisigjakdnkd jksulkd ckd mkbukrkd,

    turnhr lubgt ckd kckdyk icijk, cgstidsg vidk bimir, tilkdkd ckrkm, cidyut ckd

    grkjk dkcg.

    Qksghdkb 6 Uidnlkfgkd jirupklkd cktk ckskr airlibkdfutkd udtul jijkdtku

    piruakmkd ckd jidnivkbuksg gdtirvidsg.

    a. Aktksg jksulkd okgrkd

    Qksghdkb 6 Uijaktkskd okgrkd klkd jididtulkd airkt tuaum gcikb, mkbukrkd urgd

    ckd risphd tirmkckp tirkpg.

    o. Gcidtg`glksg sujair phtidsgkb okgrkd < jicglksg ckd okgrkd ykdn cgnudklkd udtul

    pidnhaktkd hrkb ckd gdtrkvidk, jklkdkd.

    Qksghdkb 6 _ujair libiagmkd okgrkd ykdn tgckl cglitkmug ckpkt cggcidtg`glksg.

    c. Fibkslkd pkck pksgid ckd libukrnk rksghdkb pijaktkskd.

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    Qksghdkb 6 Uijkmkjkd jidgdnlktlkd lirfkskjk pksgid ckd libukrnk ckbkj

    pijaktkskd okgrkd.

    i. Airgtkmu pksgid ckbkj jidnmkckpg litgckldykjkdkd klgakt pijaktkskd okgrkd

    Qksghdkb 6 Lidykjkdkd pksgid jidgdnlktlkd lipktumkd tirmkckp pijaktkskd

    cgit.

    `. Sgdnlktlkd ckd chrhdn hrkb myngidicidnkd sirgdn

    Qksghdkb 6 Hrkb myngidijidnurkdng lilirgdnkd jijarkdi julhsk jubut.

    Gdtirvidsg udtul cgkndhsgs li 1 6

    Uiruakmkd dutrgsg 6 lurkdn ckrg liautumkd airmuaudnkd cidnkd kdhrilsgk, jukb,

    judtkm, pijaktkskd cgit, ckd piruakmkd jijarkd julhsk jubut.

    Sufukd 6 Jijpirtkmkdlkd jksulkd dutrgsg ykdn kcilukt.

    Gdtirvidsg 6

    k. Lkfg stktus dutrgsg 6 piruakmkd airkt akckd, dgbkg bkahrkthrguj AYD, lriktgdgd.

    Qksghdkb 6 Jidyicgklkd cktk ckskr udtul jijkdtku piruakmkd ckd jidnivkbuksg

    gdtirvidsg.

    a. Lkfg phbk cgit dutrgsg pksgid < rgwkykt cgit, jklkdkd lisulkkd, mgtudn lkbhrg.

    Qksghdkb 6 Uhbk cgit ckmubu ckd silkrkdn ckpkt cgpirtgjakdnlkd ckbkj jidyusud

    jidu.

    o. Lkfg `klthr ykdn airpirkd ckbkj jiruakm jksulkd dutrgsg 6 kdhrilsgk, jukb ktku

    judtkm, cgit ykdn tgckl jidyidkdnlkd akng pksgid, ciprisg, lurkdn jijkmkjg

    pijaktkskd cgit, sthjktgtgs.

    Qksghdkb 6 Jidyicgklkd gd`hrjksg jidnidkg `klthr bkgd ykdn ckpkt cgruakm ktku

    cgmgbkdnlkd udtul jidgdnlktlkd jksulkd hrkb.

    c. Jidyicgklkd jklkdkd lisulkkd pksgid ckbkj aktks-aktks cgit.

    Qksghdkb 6 Jidchrhdn pidgdnlktkd jksulkd cgit

    i. Sgdnlktlkd jksulkd prhtigd ykdn jidnkdcudn dgbkg aghbhngs tgdnng tibur, prhcul

    susu, ckngdn.

    Qksghdkb 6 Urhtigd bidnlkp cgairglkd udtul jidokpkg lisigjakdnkd dgtrhnid ykdn

    cgpirbulkd udtul pirtujaumkd ckd pidyijaumkd.

    Gdtirvidsg gdtul cgkndhsgs li ? 6

    Gdthbirkdsg kltgvgtks airmuaudnkd cidnkd libitgmkd, kdijgk, ritidsg prhcul skjpkm

    ckd prhsicur cgkbgsgs

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    Sufukd 6 Airpkrtgsgpksg ckbkj ckbkj kltgvgtks ykdn ckpkt cgthbirkdsg.

    Gdtirvidsg 6

    k. Lkfg `klthr ykdn jidgjaublkd libitgmkd < kdijgk,litgcklsigjakdnkd okgrkd ckd

    ibiltrhbgt, ritidsg prhcul skjpkm, ciprisg.

    Qksghdkb 6 Jidyicgklkd gd`hrjksg tidtkdn gdcglksg tgdnlkt libitgmkd.

    a. Sgdnlktlkd lijdcgrgkd ckbkj kltgvgtks pirkwktkd cgrg ykdn ckpkt cgthbirkdsg < akdtu

    fglk libitgmkd tirfkcg.

    Qksghdkb 6 Jidgdnlktlkd kltgvgtks rgdnkd/ sickdn ckd jijpirakglg mkrnk cgrg.

    o. Kdfurlkd kltgvgtks kbtirdktg` skjagb gstgrkmkt.

    Qksghdkb 6 Jidchrhdn bktgmkd ckd kltgvgtks ckbkj aktks-aktks ykdn ckpkt

    cgthbirkdsg ckd gstgrkmkt ykdn kcilukt.

    c. Kdfurlkd udtul gstgrkmkt sitibkm cgkbgsgs

    Qksghdkb 6 Gstgrkmkt ykdn kcilukt cgkdfurlkd sitibkm cgkbgsgs, ykdn akng akdykl

    pkgsid skdnkt jibibkmlkd.

    Gdtirvidsg udtul cgkndhsgs li 3 6

    Qisglh gd`ilsg airmuaudnkd cidnkd prhsicur gdvksg`

    Sufukd 6 Uksgid tgckl jidnkbkjg gd`ilsg

    Gdtirvidsg 6

    k. Uirtkmkdlkd krik stirgb sibkjk pidusulkd lktitir

    Qksghdkb 6 Jglrhhrnkdgsji ckpkt cgoinkm jksul lickbkj tuaum skkt gdsirsg

    lktitir

    a. Uirtkmkdlkd tildgl stirgb sibkjk lhdtkl cidnkd klsis vkslubir6 pidusulkd,

    pibipkskd lktitir

    Qksghdkb 6 Lujkd tgckl jksul lickbkj krik gdsirsg

    o. Jhdgthr krik klsis MC tirmkckp lijirkmkd, aidnlkl, dyirg

    Qksghdkb 6 Gd`bkjksg/ gd`ilsg cgtkdckg cidnkd lijirkmkd, dyirg, aidnlkl

    c. Airg pidfibkskd pkck pksgid pidtgdndyk sktus ngzg

    Qksghdkb 6 Ngzg ykdn akgl klkd jidgdnlktlkd ckyk tkmkd tuaum

    i. Lhbkahrksg pijairgkd kdtgaghtgl

    Qksghdkb 6 Hakt kdtgaghtgl cgnudklkd udtul jijaudum ktkupud jidnmkjakt

    pirtujaumkd akltirg pidyiaka gd`ilsg

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    Gdtirvidsg udtul cgkndhsgs li 9 6

    Nkdnnukd mkrnk cgrg airmuaudnkd cidnkd litirnkdtudnkd, piruakmkd pirkd,

    piruakmkd pkck ogtrk cgrg ckd cgs`udnsg silsukb.

    Sufukd 6 Jijpirakglg lhdsip cgrg

    Gdtirvidsg 6

    k. Lkfg risphd ckd riklsg pksgid ckd libukrnk tirmkckp pidyklgt ckd pidkdnkdkd.

    Qksghdkb 6 Jidyicgklkd cktk tidtkdn jkskbkm pkck pksgid ckd libukrnk ckbkj

    jidnmkckpg piruakmkd piruakmkd ckbkj mgcup.

    a. Lkfg muaudnkd kdtkrk pksgid cidnkd kdnnhtk libukrnk tircilkt.

    Qksghdkb 6 Uidnuktkd ckd culudnkd tirmkckp pksgid cggcidtg`glksg

    o. Lkfg phbk lhpgdn pksgid ckd kdnnhtk libukrnk

    Qksghdkb 6 Uhbk lhpgdn ykdn tibkm i`iltg` cgjksk bkbu judnlgd phtidsgkb cistrultg`

    litglk jijkdckdn pijaktkskd ykd cgtitkplkd klgakt pidyklgt ckd pidkdnkdkd.

    c. Ogptklkd cgslusg tiraulk tidtkdn piruakmkd ykdn tirfkcg klgakt pidyklgt ckd

    pidkdnkdkd, piruakmkd pirkd, piruakmkd nkyk mgcup, piruakmkd ckbkj

    pilirfkkd, piruakmkd silsukb, litirnkdtudnkd pkck tgj tidknk lisimktkd.

    Qksghdkb 6 Uksgid ckpkt jidngcidtg`glksg jkskbkm ckd bkdnlkm- bkdnlkm ykdn

    cgpirbulkd udtul jidnmkckpgdyk.

    Gdtirvidsg udtul cgkndhsgs li 0 6

    Lurkdn pidnitkmukd tidtkdn lhdcgsg ckd prhnrkj pidkdnkdkd airmudnkd cidnkd

    lurkdn gd`hrjksg.

    Sufukd 6 Jidgdnlktlkd pidnitkmukd jidnidkg lhdcgsg ckd pidkdnkdkd ykdn

    airskdnlutkd.

    Gdtirvidsg 6

    k. Lkfg pijkmkjkd jidnidkg pidyiaka nknkb ngdfkb, lhdsiluidsgdyk, ckd

    pidkdnkdkddyk, pidyiaka nknkb ngdfkb pksgid, pidnirtgkd nknkb ngdfkb,

    pijkmkjkd jidnidkg `udnsg ridkb, muaudnkd kdtkrk okgrkd, pijaktkskd cgit

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    cidnkd nknkb ngdfkb, rksghdkb pidkdnkdkd (mijhcgkbgsgs, cgkbgsgs pirgthdikb,

    trkdspbkdtksg)

    Qksghdkb 6 Jirupklkd gdstrulsg ckskr udtul pidfibkskd ckd pidyubumkd biagm bkdfut.

    a. Fibkslkd `udnsg ridkb ckd lhdsiluidsg nknkb ngdfkb sisukg cidnkd tgdnlkt

    pijkmkjkd ckd lisgkpkd pksgid udtul aibkfkr

    Qksghdkb 6 Uksgid ckpkt aibkfkr tidtkdn nknkb ngdfkb ckd pidkdnkdkd sitibkm

    jirilk sgkp udtul jijkmkjg ckd jidirgjk cgkndhsgs ckd lhdsiluidsgdyk.

    o. Akdtu pksgid udtul jidngcidtg`glksg okrk-okrk udtul jijkmkjg airaknkg

    piruakmkd klgakt pidyklgt ckd pidkdnkdkd ykdn jijpidnkrumg mgcupdyk.

    Qksghdkb 6 Uksgid ckpkt jibgmkt akmwk limgcupkddyk tgckl mkrus airuakm klgakt

    pidyklgt.

    c. _icgklkd gd`hrjksg akgl tirtubgs jkupud siokrk hrkb cidnkd tipkt tidtkdn < `udnsg

    ckd linknkbkd ridkb, pijaktkskd okgrkd ckd cgit, jicglksg, jibkphrlkd jkskbkm,

    tkdck ckd nifkbk, fkcwkb tgdckl bkdfut, sujair cg lhjudgtks, pgbgmkd tirkpg.

    Qksghdkb 6 Uksgid jijgbglg gd`hrjksg ykdn ckpkt cgnudklkd udtul lbkrg`glksg

    sibkdfutdyk cg rujkm.

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    AKA GG

    K_YMKD LIUIQK^KSKD

    K. Cktk pidnlkfgkd

    Skdnnkb pidnlkfgkd 6 _ibksk, ;5 Cisijair 15;?

    Skdnnkb Jksul MC 6 19 Hlthair 15;?

    Qukdn 6 Qukdn Mijhcgkbgsk UJG Nhbcid Whnyklkrtk

    Fkj 6 Uulub ;9.55 ^GA

    _ujair cktk 6 Uksgid, libukrnk pksgid, oktktkd jicgs ckd lipirkwktkd, tgj

    lisimktkd bkgd

    Jithci pidnlkfgkd 6 ^kwkdokrk, hasirvksg, pijirglskkd `gsgl ckd stucg chlujid

    Hbim 6 _uog Lurdgkwktg

    Srg Irkwktg Bk`rkdk

    Pgdck Kstrg Uirjktkskrg

    ;. Gcidtgtks Lbgid

    k. Lbgid

    Dkjk 6 Dy. _

    Sijpkt/ tkdnnkb bkmgr 6 Whnyklkrtk, ; Fubg;70>

    Yjur 6 90 tkmud

    Fidgs libkjgd 6 Uirijpukd

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    Knkjk 6 Gsbkj

    Uidcgcglkd tirklmgr 6 Sgckl silhbkm

    Uilirfkkd 6 Gau rujkm tkdnnk

    _ulu / akdnsk 6 Fkwk/ Gdchdisgk

    Kbkjkt bidnlkp 6 Lbiaid, Ukludoid, Whnyklkrtk

    Snb. jksul MC 6 19 Hlthair 15;?

    Dhjhr ringstir 6 55.5;.?=

    Cgkndhsgs jicgs 6 Omrhdgo Lgcdiy Cgsiksi (OLC) hd MC

    a. Uidkdnnudn fkwka lbgid

    Dkjk bidnlkp 6 Dy. U

    Yjur 6 3= tkmud

    Fidgs libkjgd 6 Uirijpukd

    Uirlirfkkd 6 ^grkswkstk

    _ulu / akdnsk 6 Fkwk/ Gdchdisgk

    Muaudnkd cidnkd lbgid 6 Kcgl Lkdcudn

    Kbkjkt bidnlkp 6 Lbiaid, Ukludoid, Whnyklkrtk

    1. Qgwkykt Lisimktkd

    k. Qgwkykt lisimktkd

    ;) Libumkd Ytkjk

    Uksgid jidnibumlkd licuk lklgdyk aidnlkl ckd tirksk lklu. Uksgid jidyktklkdjirksk jukb ckd gdngd judtkm. Uksgid jidyktklkd lubgtdyk tirksk nktkb-nktkb ckd

    lirgdn.

    1) Kbkskd jksul Q_

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    Libukrnk pksgid jidnktklkd pksgid jidnibumlkd siskl dk`ks ckd licuk lklg

    aidnlkl. Uksgid funk jidnktklkd sirgdn jidnlhdsujsg hakt haktkd ykdn cgaibg

    cg wkrudn cilkt rujkm tkdpk pirglsk biagm ckmubu tirlkgt cidnkd pidyklgtdyk.

    Libukrnk pksgid jidnktklkd siaibujdyk pksgid pirdkm cgrkwkt cg Q_ ULY

    Jumkjkcgykm Whnyklkrtk pkck aubkd Fkdukrg 15;?. Uksgid jubkg cgbklulkd MC

    pkck tkdnnkb ;5 Hlthair 15;? cg Gdstkbksg Cgkbysgs Q_ ULY Jumkjkcgykm

    Whnyklkrtk. Cgpgdckmlkd cg UJG Nhbcid Whnyklkrtk pkck tkdnnkb 19 Hlthair 15;?.

    Ydtul MC cgbklulkd rutgd 1 lkbg pirjgdnnu.

    ?) Lisimktkd silkrkdn

    Ukck skkt pidnlkfgkd lhdcgsg lbgid tirbgmkt bijks. Uksgid jksgm ckbkj likckkd aic

    rist. SirpkskdnKP Abhhc Bgdipkck MC lktitir. Sirckpkt bulk fkmgtkd pkck tkdnkd

    siaibkm lgrg lkridk cgpkskdn KP smudt. Uksgid suckm ouog ckrkm sibkjk ;? lkbg,

    sijgdnnu sibkjk 1 lkbg sitgkp mkrg _ibksk sgkdn ckd Fujkt pkng cg UJG Nhbcid

    Urhvgdsg CGW.

    a. Qgwkykt lisimktkd ckmubu

    _iaibujdyk pksgid suckm pirdkm cg cgkndhsk nifkbk strhli rgdnkd, cg Q_ ULY

    Jumkjkcgykm Whnyklkrtk pkck ;5 Hlthair 15;?. Libukrnk pksgid jidyktklkd pksgid

    jijpudykg rgwkykt pidyklgt mgpirtidsg ckd Cgkaitis Jibgtus (CJ) sifkl 15 tkmud ykdn

    bkbu. Ukck tkdnnkb = Dhvijair 15;? pkck skkt ouog ckrkm jidckpkt trkds`usg ckrkm

    siakdykl 1 lhb` nhbhdnkd ckrkm H rmisus phsgtg` cidnkd lhjphdid ckrkm UQO.

    o. Qgwkykt lisimktkd libukrnk

    Libukrnk pksgid kck ykdn jidcirgtk nifkbk strhli ykgtu lklkl pksgid. Libukrnk pksgid

    jijpudykg rgwkykt mgpirtidsg. Sgckl kck rgwkykt pidyklgt jidubkr ckrg libukrnk pksgid

    sipirtg SAO, MGP/KGC_, nhdhrrmhi, lustk cbb.

    ?. Uhbk Liagkskkd

    k. Kspil @gsgl ckd Usglhbhng

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    ;) Uhbk Dutrgsg

    k) Gdtkli Dutrgsg

    (;) _iaibuj sklgt

    Uksgid jidnktklkd liagkskkddyk jklkd siaibuj sklgt ykgtu ? x simkrg,

    cidnkd jidu dksg, skyur ckd bkul. Libukrnk pksgid jidnktklkd pksgid

    cgbkrkdn jklkd jklkdkd ykdn tirbkbu kskj, picks, airskdtkd pilkt,

    tirbkbu ksgd, jkdgs, ckd ckngdn jirkm.

    (1) _ibkjk sklgt

    Libukrnk pksgid jidnktklkd dk`su jklkd pksgid airlurkdn, Uksgid

    jidnktklkd jirksk jukb ckd tirlkckdn judtkm. Uksgid jidnlhdsujsg

    dksg ckd auaur ?x simkrg cidnkd phrsg sktu idthdn dksg ktku sitidnkm

    jkdnlhl auaur. Cidnkd jijaktksg ksupkd nkrkj ckd jklkdkd jgdujkd

    jkdgs.

    a) Gdtkli okgrkd

    (;) _iaibuj sklgt

    Uksgid jidnktklkd jgduj 9 ;5 nibks ( 1955 oo) pir mkrg. Uksgid

    mkdyk sulk jgduj kgr putgm ckd tim jkdgs.

    (1) _ibkjk sklgt

    _kkt sklgt chltir jidnkdfurlkd jidnurkdng jgduj jidfkcg ; nibks pir

    mkrg, dkjud pksgid jgduj 3 nibks ( ;.555 oo) kgr putgm sitgkp mkrgdyk.

    1) Uhbk Ibgjgdksg

    k) AKL

    (;) _iaibuj sklgt

    Uksgid jidyktklkd AKL, wkrdk ludgdn firdgm, 3 - 0x ckbkj simkrg ckd

    sulk jidkmkd jglsg. _kkt jkbkj sirgdn tirakdnud lkridk tirksk gdngd

    AKL.

    (1) _ibkjk sklgt

    Uksgid jidyktklkd AKL ykdn sijubk (siaibuj sklgt) akdykl silkrkdn

    jidfkcg sicglgt ckd fkrkdn. Libukrnk pksgid jidyktklkd pksgid

    jidnnudklkd pijpirs, tgckl tirbgmkt ckrkm ckbkj urgdi. Uksgid

    jidyktklkd suckm jidhpkusi sifkl usgk 95 tkmud.

    a) AKA

    (;) _iaibuj sklgt

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    Uksgid jidnktklkd AKA bkdokr ykgtu ; x/mkrg sitgkp pkng, wkrdk ludgdn,

    lhdsgstidsg `isis budkl, `isis airaku lmks ckd tgckl kck bidcgr.

    (1) _ibkjk sklgt

    Uksgid jidnktklkd AKA tirlkckdn ? lkbg simkrg cidnkd lhdsgstidsg idoir,

    airwkrdk ludgdn, `isis airaku lmks ckd airbidcgr.

    ?) Uhbk Gstgrkmkt

    k) Fujbkm6 Uksgid jidnktklkd siaibuj sklgt tgcur = fkj ckbkj sktu mkrg, sibkjk

    sklgt ;; fkj ckbkj sktu mkrg

    a) ^kltu 6 _iaibuj sklgt pksgid jidnktklkd tgcur cgjkbkj mkrg jubkg pulub

    1;.55 ^GA 59.55 ^GA. _gkdn tgckl pirdkm tgcur. _ibkjk sklgt pksgid

    jidnktklkd tgcur cgjkbkj mkrg ckrg pulub ;7.55 ^GA 59.55 ^GA ckd pkck

    sgkdn mkrg pulub ;?.55 ^GA;3.55 ^GA. _kkt cgbklulkd pidnlkfgkd pksgid tgcur

    cidnkd pubks.

    3) Uirshdkb myngidi

    @riluidsg jkdcg 6 Libukrnk pksgid jidnktklkd siaibuj sklgt pksgid jkdcg 1x

    simkrg, sibkjk sklgt 1x simkrg sitgkp pkng ckd shri mkdyk cgbkp.

    Liairsgmkd 6 Qkjaut tirbgmkt bipil airjgdykl, lulu tirbgmkt sicglgt lhthr, jubut

    tirbgmkt airsgm ckd pklkgkd cgnkdtg sitgkp mkrg.

    9) Kltgvgtks.

    k) _iaibuj sklgt

    Lijkjpukd

    pirkwktkd

    cgrg

    5 ; 1 ? 3

    Jklkd ckd

    jgduj

    Jkdcg

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    Shgbittgdn

    Airpklkgkd

    Jhagbgtks cg

    tijpkt tgcur

    Airpgdckm

    QHJ

    Litirkdnkd 6

    5 6Sirnkdtudn thtkb

    ; 6Cgakdtu hrkdn bkgd ckd kbkt

    1 6Cgakdtu hrkdn bkgd

    ? 6Kbkt akdtu

    3 6Jkdcgrg

    Lisgjpubkd 6 _iaibuj cgrkwkt cg Q_ pksgid ckpkt jibklulkd lingktkd simkrg

    mkrg tkdpk akdtukd hrkdn bkgd jkupud kbkt akdtu.

    a) _ibkjk sklgt

    Lijkjpukd

    pirkwktkd

    cgrg

    5 ; 1 ? 3

    Jklkd ckd

    jgduj

    Jkdcg

    Shgbittgdn

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    Airpklkgkd

    Jhagbgtks cg

    tijpkt tgcur

    Airpgdckm

    QHJ

    Litirkdnkd 6

    5 6Sirnkdtudn thtkb

    ; 6Cgakdtu hrkdn bkgd ckd kbkt

    1 6Cgakdtu hrkdn bkgd

    ? 6Kbkt akdtu

    3 6Jkdcgrg

    Lisgjpubkd 6 Lbgid cgakdtu hrkdn bkgd ckbkj jibklskdklkd kltgvgtksdyk jkdcg ckd

    airpklkgkd. _ickdnlkd udtul thgbitgdn lbgid cgakdtu kbkt ykgtu

    pijpirs. Ydtul jklkd ckd jgduj, jhagbgtks cg tijpkt tgcur,

    airpgdckm ckd QHJ pksgid ckpkt jibklulkddyk sidcgrg

    a. Kspil JidtkbGdtibiltukb_hsgkb_pgrgtukb

    ;) Lhdsip cgrg

    Uirkd siaknkg Gau/Gstrg ckbkj libukrnk kltgvgtksdyk tirnkdnnu klgakt pidyklgt ykdn

    cgcirgtk.

    1) Gdtibiltukb

    Lbgid lurkdn pkmkj tidtkdn okrk pirkwktkd bulk MC lktitir ckd KP smudt aisirtk

    pidyklgtdyk. Uksgid ckd libukrnk pksgid tirbgmkt nibgskm ckd agdnudn.

    ?) Muaudnkd gdtirpirshdkb

    Muaudnkd cidnkd kdnnhtk libukrnk skdnkt mkrjhdgs. Muaudnkd cidnkd titkdnnk

    ckd lirkakt tirfkbgd sgbkturkmjg cidnkd skdnkt akgl.

    3) Jilkdgsji lhpgdn

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    Uksgid jidnkdnnkp pidyklgt gdg siaknkg ohakkd ckrg Kbbkm _^S. Ckd pksgid

    jidnkdnnkp ohakkd gdg pkstg kck mgljkmdyk.

    9) _upphrt systij

    Kcgl pksgid sibkbu jidnkdtkr ckd jidijkdg pksgid skkt mijhcgkbgsk. Kdkl pksgid

    funk sirgdn jidfijput pksgid sitibkm sibiskg cgbklulkd mijhcgkbgsk. Libukrnk

    pksgid sidkdtgksk jijairg culudnkd ckd chk udtul lisijaumkd pksgid.

    0) Kspil jidtkb ijhsghdkb

    Uksgid skakr jidnmkckpg pidyklgt gdg. Uksgid tgckl pirdkm jidnibum ktkupud jkrkm

    tirmkckp pidyklgt ykdn cgcirgtkdyk.

    >) Kspil gdtibinidsg

    Litglk cgbklulkd pidnlkfgkd pksgid jkjpu jidfkwka pirtkdykkd ykdn cgairglkd

    cidnkd akgl ckd bkdokr. Lbgid jksgm jidngdnkt lifkcgkd siaibuj sklgt.

    =) Muaudnkd shsgkb

    Lbgid jidnnudklkd akmksk Fkwk ckbkj limgcupkd simkrg mkrg. Lbgid tgdnnkb cg

    rujkmdyk sidcgrg. Bgdnludnkd pksgid airkck cg wgbkykm lhtk. Kgr ykdn cgnudklkd ckd

    cglhdsujsg simkrgmkrg jidnnudklkd kgr sujur. AKA, AKL ckd ckd lingktkd JOL

    cgbklulkd cg rujkm. Muaudnkd pksgid ckd libukrnk cidnkd pkrk pirkwkt ckd pksgid

    bkgd ykdn sktu rukdnkd cidnkd pksgid tirfkbgd cidnkd akgl. Uksgid tirbgmkt kpktgs.

    0) Uhbk silsukbgtks ckd riprhculsg

    _ibkjk sklgt phbk silsukbgtks pksgid tirnkdnnu lkridk litiraktkskd nirkl ckd

    tirpkskdn MC lktitir ckd pksgid tkjpkl bijkm simgdnnk tgckl jijudnlgdlkd udtul

    jibklulkd muaudnkd silsukbgtks.

    >) _gstij dgbkg ckd liyklgdkd

    Uksgid rutgd jibklskdklkd smhbkt bgjk wkltu wkbkupud cidnkd litiraktkskd nirkl,

    sukjg ckd kdkl pksgid pksgid sibkbu jijakdtu lbgid udtul jibklskdklkd smhbkt.

    A. Uijirglskkd @gsgl

    ;. Likckkd ujuj

    Liskckrkd 6 Lhjphs jidtgs.

    _tktus Ngzg 6

    AA 6

    k. Sirklmgr 6 99 ln

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    a. _iaibuj MC 6 9>,> ln

    o. _itibkm MC 6 99,1 ln

    SA 6 ;95 oj

    Skdck- tkdck vgtkb 6

    Dkcg 6 ;55 x/jidgt

    QQ 6 19 x/jidgt

    SC 6 ;1=/>; jjMn

    _umu 6 ?0, 9O

    1. Liairsgmkd lbgid

    k. Qkjaut

    Libukrnk pksgid jidyktklkd pksgid tgckl pirdkm jidouog rkjaut sibkjk tirpkskdn

    MC lktitir. Uksgid jidnklu tklut bulk fkmgtkddyk tirlidk kgr.

    a. Lipkbk

    Aidtul sgjitrgs, tgckl tirbgmkt lhthrkd ykdn jidijpib, tgckl kck pijaiskrkd libidfkr

    tgrhgc ckd libidfkr bgj`i.

    o. Jktk

    Aidtul jktk sgjitrgs, lhdfudntgvk kdijgs, slbirk airwkrdk lijirkmkd, likckkd

    jktk oulup airsgm, ckd skyu.

    c. Mgcudn

    Aidtul ckd phsgsg sgjitrgs, ckbkj mgcudn tgckl tirckpkt lhthrkd tgckl tirckpkt

    pirkckdnkd, aidfhbkd ckd libkgdkd.

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    i. Jubut

    Sgckl tirckpkt pirckrkmkd ckd pirkckdnkd jubut, ngng airsgm. @udnsg pidniokpkd

    akgl, tgckl tirckpkt pijaiskrkd thdsgb.

    `. Sibgdnk

    Aidtul sgjitrgs, tibgdnk tkjpkl airsgm tgckl tirckpkt sirujid ykdn libukr, tgckl kck

    tkdck pirkckdnkd ckd pidckrkmkd, tgckl jidnnudklkd kbkt akdtu pidcidnkrkd.

    ?. Uijirglskkd sgstijgl

    k. Bimir

    Sgckl kck pijaiskrkd libidfkr tmyrhgc, aidtul bimir sgjitrgs, tgckl kck libumkd

    nirkl bimir.

    a. Smhrkx

    @riluidsg dkpks 19 x/jidgt, siskl dk`ks. Aidtul sgjitrgs, tgckl jidnnudklkd htht

    akdtu pirdkpkskd tkjakmkd, tgckl jidnnudklkd kbkt akdtu pirdk`kskd.

    Uidnijakdnkd pkru skkt gdspgrksg ckd ilspgrksg kdtkrk lkdkd ckd lgrg skjk. Cg

    siaibkm lkdkd ktks ckck tirpkskdn MC lktitir sifkl 1= Dhvijair 15;? tgckl tirbgmkt

    lijirkmkd, rijaiskd, pus, ckrkm, ckd tgckl tirbgmkt tkdck-tkdck gd`ilsg.

    o. Lubgt

    Liairsgmkd lubgt oulup airsgm. lubgt pksgid sirgdn nktkb-nktkb ckd tirksk pkdks skkt

    cgbklulkd ouog ckrkm.

    c. Kachjid

    Aidtul sgjitrgs cidnkd likckkd tgckl tirckpkt aidfhbkd, tgckl kck mgpirpgnjidtksg,

    sukrk pirlusg tgjpkdg.

    i. Ilstrgjgtks

    Aidtul ilstrgjgtks ktks sgjitrgs kdtkrk siaibkm lkdkd ckd lgrg. Ilstrgjgtks ktks ckd

    akwkm ckpkt cgnirkllkd. Sirckpkt bulk fkmgtkd KP _mudt cg tkdnkd lgrg sipkdfkdn 9

    oj sifkl 1; Dhvijair 15;? cidnkd likckkd bulk lirgdn, tgckl tirbgmkt lijirkmkd,

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    rijaiskd, pus, ckrkm, ckd tkdck-tkdck gd`ilsg. Sirckpkt aidnlkl cg licuk lklg

    cidnkd cirkfkt G.

    `. Qiprhculsg

    Lbgid airfidgs libkjgd pirijpukd, lbgid suckm jidhpkusi. _uckm jijpudykg kdkl

    sktu airfidgs libkjgd bklg-bklg.

    O. Sirkpg ykdn cgckpkt skkt gdg

    ;. Sirkpg mijhcgkbgsk sitgkp _ibksk sgkdn ckd Fujkt pkng cidnkd klsis MC lktitir

    sifkl 1 Cisijair 15;?.

    1. Mipkrgd =?? udgt/fkj skkt cgbklulkd mijhcgkbgsk.

    ?. Okpthprgb ;x19 jn

    3. Kskj `hbkt 1x;

    9. OkOH? ?x;

    0. @urhsijgc ;x35 jn

    >. Cgit QNOU

    C. Uijirglskkd ykdn pirdkm cgbklulkd ckd mksgbdyk

    ;. Bkahrkthrguj

    k. Ckrkm

    Skdnnkb pijirglskkd 1? Hlthair 15;?

    Lhjphdid Mksgb Dgbkg dhrjkb _ktukd

    MA 7,; ;1-;0 nr/cb

    Yriuj ckrkm ;55 ;>-3? jn/cb

    Lriktgdgd ;1,= 5,7-;,? jn/cb

    MAsKn dinktg` dinktg`

    a. Ckrkm

    Skdnnkb pijirglskkd 50 Dhvijair 15;?

    Lhjphdid Mksgb Dgbkg dhrjkb _ktukd

    MA >,= ;1-;0 nr/cb

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    AKA GGG

    LI_GJUYBKD

    _itibkm cgbklulkd ksumkd lipirkwktkd pkck lbgid Dy. _ kck aiairkpk jkskbkm

    ykdn suckm tirktksg, kck pubk ykdn aibuj tirktksg.

    Cgkndhsk pirtkjk ykgtu libiagmkd vhbuji okgrkd aibuj tirktksg cglkridklkd kck

    aiairkpk lrgtirgk mksgb ykdn aibuj tirokpkg cgkdtkrkdyk jksgm tirbgmkt icijk pkck lklg.

    Cgkndhsk licuk ykgtu risglh gd`ilsg suckm tirktksg cidnkd lrgtirgk mksgb aiaks

    ckrg tkdck-tkdck gd`ilsg sipirtg tgckl tirbgmkt lijirkmkd, rjaiskd, pus, ckrkm, aidnlkl,

    dyirg, ckd tkdck-tkdck gd`ilsg bkgddyk. @klthr pidculudn litirokpkgkddyk kdtkrk bkgd

    rutgd cgbklulkd pirkwktkd bulk simgdnnk tgckl kckdyk tkdck-tkdck gd`ilsg.

    Cgkndhsk litgnk ykgtu ci`gsgidsg pidnitkmukd tidtkdn pidyklgtdyk suckm

    tirktksg. Uksgid suckm jidnirtg tidtkdn kbkskd pijaktkskd okgrkd ckd okrk pirkwktkd

    bulk fkmgtkd siokrk jkdcgrg. _kkt cgivkbuksg pksgid ckd libukrnk funk ckpkt jidfkwka

    pirtkdykkd cidnkd aidkr.

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    CK@SKQ UY_SKLK

    Chidnis I, J, cll. ;777. Qidokdk Ksumkd Lipirkwktkd 6 Uichjkd Ydtul Uiridokdkkd ckdUidchlujidtksgkd Uirkwktkd Uksgid Icgsg ?. Fklkrtk 6 INO

    Bhdn, A, O. ;770. Uirkwktkd Jicglkb Aickm (_uktu Uidcilktkd Urhsis Lipirkwktkd) Fgbgc ?.Akdcudn 6 Wkykskd Glktkd Kbujdg Uidcgcglkd Lipirkwktkd

    Urgoi, _, K ckd Bhrrkgdi J, ^. ;779. Ukth`gsghbhng Lhdsip Lbbgdgs Urhsis-Urhsis Uidyklgt. Icgsg3.Fklkrtk 6 INO

    _jibtzir, _, O ckd Aridck N, A. 155;. Aulu Kfkr Lipirkwktkd Jicglkb Aickm Aruddir &_ucckrtm. Icgsg =. Fklkrtk 6 INO

    _uyhdh, _. 155;.Aulu Kfkr Gbju Uidyklgt Ckbkj.Icgsg ?. Fgbgc GGG. Fklkrtk.6 Akbkg Uidiragt @LYG