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Askep Hipertensi
KCQDRCI QMIHCF]K]CI
FGQMRXMIUG
Hdsmi Qm`bg`bgin?
Rcrcs @mrbcwcig, U.Jmp,Is., @.FJms
Hgsusui Dkmf?
Wuigs Hwg Jurigcscrg (2121151<8)
C. Jdismp Fgpmrtmisg
G. Hmlgigsg Fgpmrtmisg
Fgpmrtmisg ctcu tmjcici hcrcf tginng chckcf pmiginjctci tmjcici hcrcf hghckc`
crtmrg. Fgpmr crtgiyc bmrkmbgfci, smhcinjci tmisg crtgiyc tmjcici ctcu tmncinci. ]
ituj gtu, fgpmrtmisg `mrupcjci tmjcici hcrcf ctcu hmiyut ocituin ycin kmbgf
tginng
hgbcihginjci hminci idr`ck jcrmic pmiym`pgtci pm`bukuf hcrcf ctcu
ncinnuci kcgiiyc (Csgjgi mt ck., 213<).
Fgpmrtmisg chckcf suctu jmchcci hg`cic smsmdrcin `minckc`g pmiginjctci
tmjcici hcrcf hgctcs idr`ck ycin `mincjgbctjci pmiginjctci cinjc
jmscjgtci (`drbghgtcs) hci cinjc jm`ctgci (`drtckgtcs) (Xrgycitd, 2138).
Fgpmrtmisg chckcf pmiginjctci tmjcici hcrcf sgstdk hgctcs 381 ``Fn hci ctcu
pmiginjctci tmjcici hcrcf hgcstdk hgctcs 71 ``Fn (Bcefruhgi & Icogb, 213<)
tmr`csuj drcin ycin `m`puiycg sglct nmimtgj fgpmrtmisg prg`mr (msmisgck) hci
tghcj `mkcjujci pmicincici ctcu pmindbctci `cjc chc
jm`uinjgici
kginjuinciiyc cjci `miymbcbjci fgpmrtmisg bmrjm`bcin hci hckc`
wcjtu smjgtcr tgncpukufci tcfui cjci `ukcg `uieuk tcihc-tcihc hci nmockc
fgpmrtmisg hminci bmrbcncg jd`pkgjcsgiyc (Uugrcdjc, 2132).
e) Omigs Jmkc`gi
^cigtc tmrkgihuin hcrg pmiycjgt jcrhgdvcsjukmr smbmku` `midpcusm.
2. @mrdjdj
Rdjdj `mincihuin rgbuci zct jg`gc ycin bmrbcfcyc bcng
tubuf, smpmrtg tcr, igjdtgi, ncs hci jcrbdi `didjsghc. Jmbgcsci `mrdjdj
hcpct
`miymbcbjci fgpmrtmisg jcrmic igjdtgi hckc` rdjdj hcpct `mrcinscin
pmkmpcsci fdr`di chrmickgi ycin hcpct `miymbcbjci pmiginjctci tmjcici
hcrcf smrtc jchcr jdkmstmrdk hckc` hcrcf. (CU, 2131).
5. Jdisu`sg Ncrc`
Ncrc` ycin hghckc`iyc `mincihuin ictrgu` `mrupcjci lcjtdr
pmitgin hckc` pctdnmimsgs fgpmrtmisg. Fgpmrtmisg fc`pgr tghcj pmricf
hgtm`ujci pchc suju bcinsc hminci csupci ncrc` ycin `gig`ck. Csupci
ncrc` jurcin hcrg 5 nrc`/fcrg prmvmkmisg fgpmrtmisgiyc rmihcf. Umhcinjci
csupci ncrc` citcrc =-3= nrc`/fcrg prmvmkmisg fgpmrtmisg `miginjct
`miochg 3=-21%. Qmincruf csupci tmrfchcp fgpmrtmisg tmrochg `mkckug
pmiginjctci vdku`m pkcs`c, eurcf ocituin hci tmjcici hcrcf (CU, 2131)
Ncrc` ycin smecrc jg`gcwg hgru`usjci IcEk tmrhgrg hcrg
ictrgu` (IC) hci Jkdr (Ek). Ictrgu` ycin bmrmhcr hckc` hcrcfkcf ycin
hgtuhgin
cdrtc hci hgihgin vmitrgjmk jgrg. Bcrdrmsmptdr gigi `m`digtdr hmrcoct tmjcici crtmrg.
Ugstm` bcrdrmsmptdr `migchcjci tmjcici crtmrg `mkckug `mjcigs`m pmrkc`bctci
ocituin dkmf rmspdi vcnck (stg`ukcsg pcrcsg`pctgs) hci vcsdhgkctcsg hminci pmiuruici
tdius sg`pctgs. Dkmf jcrmic gtu, rmlkmj jditrdk sgrjukcsg `miginjct tmjcici crtmrg
sgstm`gj bgkc tmjcici bcrdrmsmptdr turui hci `miuruijci tmjcici crtmrg sgstm`gj bgkc
tmjcici bcrdrmsmptdr `miginjct. Ckcsci pcstg `mincpc jditrdk gig ncnckpchc
fgpmrtmisg bmku` hgjmtcfug. Fck gig hgtuioujjci uituj `miginjctjci rm-smttgin
smisgtgvgtcs bcrdrmsmptdr smfginnc tmjcici `miginjct smecrc tghcj chmjuct, smjckgpui
pmiuruici tghcj chc.
pmrglmr vcsjukmr pchc fgpmrtmisg msmisgck. Qchc tmjcici hcrcf tginng, jchcr rmigi fcrus
turui jcrmic pmiginjctci crtmrgdick rmick `uinjgi `minfc`bct smjrmsg rmigi. Ic`ui
hm`gjgci, smbcngci bmscr drcin fgpmrtmisg msmisgck `m`puiycg jchcr rmigi idr`ck.
Qmiginjctci tmjcici hcrcf tmrus-`mimrus pchc pcgsmi fgpmrtmisg msmisgck cjci
`mincjgbctjci jmruscjci pm`bukuf hcrcf pchc drnci-drnci vgtck. Fgpmrtmisg msmisgck
`mincjgbctjci fgpmrpkcsgc `mhgck (pmimkci) crtmrgdkm-crtmrgdkm. Jcrmic pm`bukuf
hcrcf `mimbck, `cjc pmrlusg ocrginci `miurui hci `mincjgbctjci jmruscjci drnci
tubuf. Fck gig `miymbcbjci gilcrj `gdjcrh, strdjm, ncnck ocituin, hci ncnck ngiock
(]hgocycitg,2131)
Lcjtdr prmhgspdsgsg? usgc, omigs jmkc`gi, `mrdjdj, strmss, jurcin dkcf rcnc, lcjtdr nmimtgj, jdisu`sg ncrc` bmrkmbgf, dbmsgtcs
QCX^CW
Fgpmrtmisg Qmrubcfci sgtucsg Gildr`csg ycin Hmlgsgt pminmtcfuci
`gig`
Jmruscjci vcsjukmr pm`bukuf hcrcf
Nciuci Ugrjukcsg
Upcs`m
Ugstm`gj Jdrdimr Crtmrgdk
Rmsgstmisg pm`bukuf Uupkcg D2 jm dtcj
hcrcf dtcj `miurui
\csdjditrgjsg Gsjm`g Hgpkdpgc
@gderch
Iymrg Ugijdp
Cltmrkdch `miginjct Rmstg Giourg
UCR `m`bmrgjci Iymrg Hchc
Jmtghcj mlmjtglci
stg`ukus iymrg
pmrlusg ocrgicnici
hcrcf sgstm`gj ycin icgj smecrc pmrsgstmi (Km@dim mt ck., 213<). Fgpmrtmisg
prg`mr gig bmku` hgjmtcfug smecrc pcstg pmiymbcbiyc. Chcpui lcjtdr ycin
bmrpmincruf
ycgtu lcjtdr nmimtgj, kginjuinci (`cjci ncrc` ctcu ictrgu` bmrkmbgf, strmss pchc
psgjgs, hci dbmsgtcs) (@ciuruin, 2136). Fgpmrtmisg prg`mr gig tghcj hcpct
hgsm`bufjci tmtcpg hcpct hgjditrdk. Qmihmrgtc fgpmrtmisg prg`mr smrgin
tghcj
\GGG. QMICXCKCJUCICCI
3) Qmictckcjscicci Lcr`cjdkdngs
l) Xmrcpg Rmkcjscsg
G. Qminjcogci
Cspmj ycin pmrku hgjcog pchc jkgmi hminci fgpmrtmisg chckcf
c. Ghmitgtcs Qcsgmi
Ghmitgtcs pcsgmi `mkgputg ic`c, u`ur, omigs jmkc`gi, pmihghgjci, pmjmrocci, ckc`ct.
b. Rgwcyct Qmiycjgt
3. Rgwcyct pmiycjgt Hcfuku
Cpcjcf huku pcsgmi pmricf `mihmrgtc fgpmrtmisg ctcu pmiycjgt kcgiiyc.
2. Rgwcyct Qmiycjgt Jmkucrnc
Cpcjcf jmkucrnc chc ycin `mihmrgtc pmiycjgt fgpmrtmisg ctcu ycin kcgiiyc
e. Qdkc Jmsmfctci Luinsgdick
3. Qdkc Iutrgsg/@mtcbdkgs`m
@cjcici ycin hgsujcg ycin `miecjup `cjcici tginng ncrc`, km`cj smrtc
jdkmstmrdk,smrtc rgwcyct pminnuicci dbct hgurmtgj.
2. Qdkc Gstgrcfct Xghur
Xmrochg ncinnuci gstgrcfct tghur
5. Qdkc Cjtgvgtcs/ Kctgfci
Jmbgcscci pcsgmi smbmku` scjgt, smpmrtg ocrcin dkcfrcnc
8. Qdkc Jdpgin/Xdkmrcisg
Utrmssdr ycin hcpct `miymbcbjci fgpmrtmisg (`csckcf jmkucrnc, hkk)
m. Qm`mrgjscci Lgsgj
3. Qm`mrgjscci lgsgj jmpckc sc`pcg kmfmr
Qm`mrgjscci lgsgj jmpckc sc`pcg kmfmr pcsgmi fgpmrtmisg ycgtu jmrginct bmrkmbgf,
pusgin, `ujc `mrcf, scjgt jmpckc.
2. Ugstm` pmriclcsci
Ugstm` pmriclcsci pchc pmihmrgtc fgpmrtmisg bgsc bmrupc hgspimy ctcu tcjgpimc,
ic`ui tghcj sm`uc `minckc`g tcihc nmockc tmrsmbut.
5. Ugstm` Jcrhgdvcsjukmr
Ugstm` jcrhgdvcsjukmr pchc pmihmrgtc fgpmrtmisg chckcf jmicgjci hcrcf, hmiyut
ichg omkcs hcrg jcrdtgs, ounukcrgs, rchgckgs,rchgckgs.
8. Ugstm` pmiemricci
@uck hci `uitcf smrgin tg`buk hckc` pmiycjgt fgpmrtmis, ic`ui
tghcj sm`uciyc `minckc`g nmockc `uck hci `uitcf.
Hgcnidsc Xuouci
& J csgk Gitmrvmisg
rgtmrgc
F
Iymrg cjut bmrfubuinci Xuouci? @cicom`mi Iymrg
hminci pmiginjctci Umtmkcf hgkcjucji tgihcjci Dbsmrvcsg?
tmjcici vcsjukmr jmpmrcwctci 2x 28 3. Ghmitglgjcsg kdjcsg,
smrmbrck hci gsjm`gc oc` tginjct iymrg `miurui jcrcjtmrgstgj, hurcsg, lrmjumisg,
(cnmi juckgtcs, hci gitmisgtcs iymrg.
pmiemhmrc lgsgdkdngs) Jrgtmrgc Fcsgk 2. Ghmitglgjcsg sjckc iymrg
3. Jmkufci iymrg `miurui 5. Ghmitglgjcsg rmspdi sjckc iymrg
2. Lrmjumisg ichg idi vmrbck
`m`bcgj Xmrcpmutgj?
2. Omkcsjci strctmng
`mrmhcjci iymr
5. Ciourjci tmjigj idi
lcr`cjdkdngs uituj
`minurcing iymrg
Jdkcbdrcsg?
3. Jdkcbdrcsg pm`bmrgci
cicknmtgj, ogjc pmrku
Hmlgsgt pminmtcfuci Xuouci? Mhujcsg Jmsmfctci?
Cigms. (2136). Buju Cocr Jmhdjtmrci & Jmsmfctci Qmiycjgt Hmnmimrctgl . Cr-Ruzz @mhgc.
CU, @. (2131). Fghup Bmrsc`c Fgpmrtmisg. Gi-Bddjs.
Csgjgi, @., Iurckc`sycf, @., & Uusckhg. (213<). Jmpmrcwctci @mhgjck Bmhcf Ugstm`
Jcrhgdvcsjukcr. Mrkcinnc.
Bcefruhgi, @., & Icogb, @. (213<). Jmpmrcwctci @mhgjck Bmhcf G . Jm`mitrgci Jmsmfctci
Rmpubkgj Gihdimsgc.
Bmmvmrs, H. N., Kgp, N. W. F., & D‗Brgmi, M. (213=). CBE Fypmrtmisgdi (<tf mh.). B@O Bddj.
Km@dim, Q., Burjm, J. @., & Bcukhdll, N. (213<). Buju Cocr Jmpmrcwctci @mhgjck Bmhcf
(C. Kgihc (mh.): = vdku`m 5). MNE.
Kginnc, K. (2132). Bmbcs Fgpmrtmisg Xcipc Dbct. QX Cnrd @mhgc Qustcjc.
@ciuruin, I. (2136). Jmpmrcwctci @mhgjck Bmhcf Jdismp @gih @cppgin Hci ICIHC
G. QMINJCOGCI
C. GHMIXGXCU
GHMIXGXCU QCUGMI
GHMIXGXCU QMICINN]IN OC^CB
c. Ic`c ? I y. @ c. Ic`c ? X i. Q
b. ]sgc ? =1 Xcfui b. Utctus Qmrjcwgici ? @migjcf
e. Utctus Qmrjcwgici ? @migjcf e. Qmjmrocci ?Xcig
h. Qmihgghjci ? U @Q h. Ckc`ct ? Hsi.
Hrchcf
m. Qmjmrocci ? X cig Kc`dinci
l. Cnc`c ?Gskc` m. Fubuinci hminci ? Uuc`g
jkgmi
n. Ckc`ct ?Hsi. Hrchcf,
Kc`dinci
f. Qminjcogci Xnk ?32 Oci 2123
g. ^cjtu Qminjcogci ? 16.11 ^GB
B. UXCX]U JMUMFCXCI
3. JMK]FCI ]XC@C
Iy. @ `minctcjci iymrg hg tminjuj kmfmriyc
2. RG^CWCX QMIWCJGX UMJCRCIN
Iy. @ `minctcjci `ukcg jm`crgi smtmkcf gsyc‗ Iy. @ `mrcscjci pusgin, iymrg hg
tmnjuj kmfmriyc, hci hcfgiyc tmrcsc pcics, iymrg hgtminjuj kmfmriyc hgrcscjci
smpmrtg `micfci bmbci bmrct, iymrg cjci bmrtc`bcf scct hgnuicjci bmrcjtgvgtcs,
sjckc iymrgiyc 8, hci hgrcscjci smwcjtu-wcjtu. Iy.@ `minctcjci cjgbct pusgin
hci iymrgiyc smrgin tmrbcinui scct tghur, Xghur ;6 oc`. Iy. @ ounc `minctcjci
smkc`c 2 fcrg bmrturut-turut gig `minjdisu`sg gjci csgi ycin
jm`uinjgici
`miymbcbjci hcrcf tginngiyc jc`buf.
5. RG^CWCX QMIWCJGX HCF]K]
Iy.@ `minctcjci hcfuku tghcj pmricf `mihmrgtc pmiycjgt `miukcr smpmrtg XBE
ctcu kcgiiyc, ic`ui smjgtcr 3 tcfui gig Iy. @ suhcf `mihmrgtc fgpmrtmisg.
JMCHCCI ]@]@
Xcihc-tcihc \gtck
Ichg ? 31=x/`migt
RR ? 21x/`migt
XH ?3<1/7<
``Fn
GG. QMINJCOGCI
UGUGXM@ 3. B3
(BRMCXGIN)
Gispmjsg ? Bmituj hchc sg`mtrgs, pdkc iclcs idr`ck, tghcj tmrhcpct tcrgjci dtdt
bcitu iclcs
Qckpcsg ? Mjspcisg Qcru sc`c, ldeck lrm`gtus nmtcrci sc`c citcrc jcici
hci jgrg, tghcj chc iymrg tmjci pchc hgihgin hchc
Qmrjusg ? Udidr
Cusjuktcsg ? Uucrc iclcs vmsgjukmr
2. B2 (BKDDH)
Gispmjsg ? Jdiouintgvc idr`ck
Qckpcs g ? ERX ; 5 hmtgj, cjrck
fcinct Qmrjusg ? Rmhup
Cusjuktcsg ? Uucrc ocituin idr`ck
5. B5 (BRCGI)
Gispmjsg ? Jmschcrci ed`pds`mitgs, NEU 8-=-<,wcocf `mrgings, `ctc scyu,
pupgk gsdjdr, pmihmincrci bcgj, smrgin `minucp pmiegu`ci idr`ck
(hcpcr `miegu` bcu `giycj jcyu putgf)
Qckpcsg ? Xghcj chc iymrg tmjci pchc
fghuin Qmrjusg ?-
Cusjuktcsg ? -
8. B8 (BKCHHMR)
Gispmjsg ? Xghcj chc pm`bmscrci jcihuin jm`gf, urgi, tghcj `minnuicjci ckct
bcitu scct bmrjm`gf
Qckpcsg ? Ngiock 2 jcici hci
jgrg Qmrjusg ?
Cusjuktcsg ?
=. B= (BD^MK)
Gispmjsg ? @ukut bmrsgf, `ujdsc bgbgr km`bcb, bmituj cbhd`mi sg`mtrgs,
tgtcj chc bmjcs kujc pchc cbhd`mi.
Cusjuktcsg ? Bgsgin usus 38x/`migt
Qckpcsg ? Xghcj chc iymrg
cbhd`mi Qmrjusg? Xy`pcig
<. B< (BDIM)
Gispmjsg ? wcric jukgt idr`ck, tghcj chc dmhm`c, tghcj chc kujc,
jmbmrsgfci jukgt bmrsgf, jm`c`puci pmrnmrcjci bmbcs, jmjuctci dtdt = = = =,
Qckpcsg ? Xurndr jukgt mkcstgs
Qmrjusg ?-
Cusjuktcsg ? -
E. CICKGUC HCXC
Ic`c? Iy.
@ ID
HCXC MXGDKDNG @CUCKCF
Hx
Dtcj
Xmjcici
Gitrcvcsjukmr
`miginjct
Xmjcici pm`bukuf
hcrcf dtcj
`miginjct
Iymrg Cjut
Qmrubcfci strujtur
Qmiyu`bctci
pm`bukuf hcrcf
\csdjditrgjsg
Ncinnuci sgrjukcsg
Dtcj
Rmsgstmisg pm`bukuf
hcrcf dtcj
Iymrg
UCR `m`bmrgjci
stg`ukus iymrg
Cjtgvcsg UCR
`miginjct
H. HGCNIDUC
JMQMRC^CXCI Ic`c ? Iy. @
Id Hgcnidsc J mpmrcwctci XXH
3 Iymrg cjut bmrfubuinci hminci cnmi eghmrc lgsgdkdngs Wuigs
(Xmjcici
Gitrcvcsjukmr `miginjct) (H.11>>)
2 Ncinnuci pdkc tghur bmrfubuinci hminci iymrg cjgbct fgpmrtmisg Wuigs
(H.11=)
M. GIXMR\MIUG
Id Hgcnidsc Xuouci
& J csgk Gitmrvmisg
rgtmrgc F
.
Hx
3 Iymrg cjut Umtmkcf `mkcjujci @cicom`mi Iymrg
bmrfubuinci hminci tgihcjci jmpmrcwctci (3.16256) Dbsmrvcsg?
cnmi eghmrc 2x28 oc` hgfcrcpjci 3. Ghmitglgjcsg kdjcsg,
lgsgdkdngs tginjct iymrg jcrcjtmrgstgj, hurcsg, lrmjumisg,
(Xmjcici `miurui juckgtcs, hci gitmisgtcs iymrg
Gitrcvcsjukmr 2. Ghmitglgjcsg sjckc iymrg
`miginjct) Jrgtmrgc Fcsgk? (K.161<<) 5. Ghmitglgjcsg rmspdi iymrg idi
3. Jmkufci iymrg `miurui vmrbck
2. @mrgings `miurui
5. Lrmjumisg ichg `m`bcgj Xmrcpmutgj?
8. Xmjcici hcrcf `m`bcgj 3. Bmrgjci tmjigj
idilcr`cjdkdngs uituj
`minurcing rcsc iymrg
2. Jditrdk kginjuinci ycin
`m`pmrbmrct rcsc iymrg
5. Lcsgkgtcsg gstgrcfct hci tghur
Mhujcsg?
3. Omkcsjci pmiymbcb,
pmrgdhm, hci pm`geu
iymrg.
2. Omkcsjci strctmng
`mrmhcjci iymrg
5. Ciourjci `m`digtdr iymrg
smecrc `cihgrg
8. Ciourjci tmjigj
idilcr`cjdkdngs uituj
`minurcing rcsc iymrg
Jdkcbdrcsg?
3. Jdkcbdrcsg pm`bmrgci
cicknmtgj, ogjc pmrku
2.Ghmitglgjcsg jmsmhgcci,
jm`c`puci, hci pminnuicci
tmjigj smbmku`iyc.
5. Qmrgjsc lrmjumisg ichg, tmjcici hcrcf, hci sufu smbmku` hci sm
8. @digtdr rmspdi tmrfchcp tmrcpg
rmkcjscsg
Xmrcpmutgj?
3.Egptcjci kginjuinci tmicin,
hci tcipc ncinnuci.
2.Nuicjci ichc sucrc km`but hminci grc`c kc`bct hc
bmrgrc`c.
Mhujcsg?
3.Omkcsjci tuouci, `cilcct, hci
omigs rmkcjscsg ycin tmrsmhgc
2.Omkcsjci smecrc rgieg gitmrvmisg ycin tmrpgkgf
5.Ciourjci `minc`bgk pdsgsg iyc`ci
8.Ciourjci rgkmjs hci `mrcscjci smiscsg rmkcjscsg
=.Ciourjci smrgin `minukcing ctcu `mkctgf tmjigj ycin hg
<.Hm`distrcsgjci hci kctgf
tmjigj rmkcjscsg
L. G@QKM@MIXCUG
N. M\CK]CUG
D?
3. ^cocf `mrgings
2. XH? 3=6/7< ``Fn
C ? @csckcf bmku` tmrctcsg
Q ? gitmrvmisg hgkcioutjci
35 Ociucrg 2123U ?
3.Qcsgmi `minctcjci pusgin hci iymrg suhcf
`ukcg bmrjurcin
2.Ujckc iymrg 2
D
3. Iy. @ suhcf hcpct `m`prcjtgjci smihgrg rmkcjscsg skdw hmmp brmctgin mxmregsm hminci
bcgj hci bmicr
35 Ociucrg 2121U?
Iy. @ `minctcjci pchc wcjtu tghur smsmjckg
tmrbcinui jcrmic iymrg ic`ui iymrgiyc suhcf tghcj
scjgt smpmrtg jm`crgi, ogjc tmrbcinui Iy. @ hcpct
`mkcioutjci tghuriyc kcng.
D?
3.Iy. @ tc`pcj tmicin scct hgtciyc
2.Xghcj smrgin `minucp
C?
@csckcf bmku` tmrtcsg
Q?
Gitmrvmisg hgkcioutjci
UXCIHCR DQMRCUGDICK QRDUMH]R (UDQ) UKD^ HMMQ
BRMCXFGIN
MVMREGUM
>. Qmkcjscicci
c.Qmrsgcpci smbmku` Xmrcpg
3) Ctur pdsgsg jkgmi huhuj hminci rgkmjs
2) Lkmsgjci kutut jkgmi uituj `mrmkcjscsgjci dtdt cbhd`mi
5) Xm`pctjci 3 ctcu 2 tcinci pchc cbhd`mi, tmpct hgbcwcf tukcin gnc.
b.Qmkcjscicci
3) Ciourjci jkgmi `mkcjujci tcrgj iclcs smecrc pmrkcfci hci hckc` `mkckug fghuin, ocnc `ukut tmtcp tmrtutup.
2)Xcrgj iclcs smkc`c 5 hmtgj hci rcscjci cbhd`mi
`minm`bcin smkc`c `micrgj iclcs.
e. Xmr`gicsg
3) Umtmkcf mxmregsm smkmscg hgkcjscicjci ujur tmjcici hcrcf
pcsgmi