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PDF LP Gagal Nafas Compress
PDF LP Gagal Nafas Compress
Ehsusub btui ofofbugh tu`ds stdsf ifpfrdwdtdb `dwdt edrurdt edb irhths
Cjfg
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EDNUD] HQH
EDNUD] HQH...............................................................................................................hh
D. ICBQF[ EDQD].............................................................................................4
4. Dbdtco
Dbdtcohh edb Nhshcj
Nhshcjc`h.....
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1. Fcjc`
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M. DQVGDB IF[F]DPDUDB........................................................................45
4. [fb`id
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Ehd`bcsd
sd Ifpfrdw
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dtdb..........
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1. Hbtfrv
Hbtfrvfbsh
fbsh Ifpfrdw
Ifpfrdwdtdb..
dtdb..........
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5. Hopjfo
Hopjfofbtdsh
fbtdsh Ifpfrd
Ifpfrdwdtdb.
wdtdb........
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D. ICBQF[
ICBQF[ EDQD]
EDQD]
4. Dbdtc
Dbdtcoh
oh edb Nhshc
Nhshcjc`
jc`hh
Dbdtcoh pfrbdndsdb
d. Gheub`
Gheub` dtdu bdsdj ofrupdidb sdjurdb uedrd ydb` pfrtdod, ofopubydh
eud jumdb` (idvuo bdsh), ehphsdgidb cjfg sfidt gheub` (sfptuo bdsh). Eh
edjdobyd tfredpdt muju-muju ydb` mfr`ubd ubtui ofbydrhb` uedrd, efmu,
edb ictcrdb ydb` odsui if edjdo jumdb` gheub` (Qydhnueehb, =;;>).
f. Mrcbius
Mr
Mrcb
cbiu
iuss ofru
ofrupd
pdid
idb
b pf
pfra
radm
dmdb
db`d
`db
b trdi
trdigf
gfdd id
idbd
bdb
b ed
edb
b ih
ihrh
rh.. Ufop
Ufopdt
dt
pfradmdb`db hbh ehsfmut idrhbd. Mrcbius tfrmd`h ofbldeh mrcbius idbdb
edb ihrh, mrcbius jcmdrhs idbdb tfrehrh 1 jcmus edb mrcbius jcmdrhs ihrh
tfre
tfrehr
hrhh = jc
jcmu
mus.
s. Mr
Mrcb
cbiu
iuss jcmd
jcmdrh
rhss id
idbd
bdb
b tf
tfrm
rmd`
d`hh ofbl
ofblde
dehh 4; mr
mrcb
cbiu
iuss
sf`ofbtdj
sf`ofbtdj edb mrcbius jcmdrhs ihrh tfrmd`h
tfrmd`h ofbldeh
ofbldeh 8 mrcbius
mrcbius sf`ofbtdj.
sf`ofbtdj.
sf`ofbtdjhs hbh ifouehdb tfrmd`h jd`h ofbldeh mrcbius sumsf`ofbtdj ydb`
ehifjhjhb`h cjfg ldrhb`db hidt ydb` ofohjhih drtfrh, jhondthi edb sydrdn.
Mfrhiu
Mfrhiutt dedjdg
dedjdg cr`db
cr`db pfradm
pfradmdb`
db`db
db edrh
edrh mrcbiu
mrcbiuss ydhtu
ydhtu 4) Mrcbih
Mrcbihcju
cjus,
s,
ofru
ofrupd
pdid
idb
b admd
admdb`
b`-a
-adm
dmdb
db`
` edrh
edrh mr
mrcb
cbiu
iuss sf
sf`o
`ofb
fbtd
tdj.
j. Mrcb
Mrcbih
ihcj
cjus
us
ofb`
ofb`db
dbeu
eub`
b` if
ifjf
jfbl
bldr
dr sumo
sumoui
uics
csdd yd
ydb`
b` ofop
ofoprc
rceu
euis
ishh jf
jfbe
behr
hr yd
ydb`
b`
ofomfb
ofomfbtui
tui sfjhout
sfjhout thedi
thedi tfrput
tfrputus
us ubtui
ubtui ofjdph
ofjdphsh
sh md`hdb
md`hdb edjdo
edjdo ldjdb
ldjdb
bdnds. =)Mrcbihcj
=)Mrcbihcjus
us tfrohbdjhs,
tfrohbdjhs, ofrupdidb
ofrupdidb pfradmd`db
pfradmd`db edrh mrcbihcjus
mrcbihcjus..
Mrcbihcjus tfrohbdjhsofopubydh ifjfbldr jfbehr edb shjhd. 1)Mrcbihcjus
rfsphrd
rfsphrdtcr
tcrh,
h, ofrupd
ofrupdidb
idb admdb`
admdb` edrh
edrh mrcbih
mrcbihcju
cjuss tfrohb
tfrohbdjhs
djhs.. Mrcbih
Mrcbihcju
cjuss
rfsphrdtcrh ehdb``dp sfmd`dh sdjurdb trdbshshcbdj dbtdrd jdhb ldjdb bdnds
icbeuish edb ldjdb uedrd pfrtuidrdb `ds. 5) Euitus djvfcjdr edb sdius
djvfcj
djvfcjdr.
dr. Mrcbih
Mrcbihcju
cjuss rfsphrd
rfsphrdtcr
tcrhh ifoueh
ifouehdb
db ofb`dr
ofb`drdg
dg if edjdo
edjdo euitus
euitus
djvfcjdr edb sdius djvfcjdr, ifouehdb ofbldeh djvhcjh (Dbefrscb, 48889
Qydhnueehb, =;;>).
n. [dru-[dru
Jftdi pdru-pdru eh rcb``d eded, ofb`gdedp if tfb`dg rcb``d eded dtdu
idvuo ofehdsthbuo.
ofehdsthbuo. [ded md`hdb
md`hdb tfb`dg
tfb`dg tfredpdt
tfredpdt tdopui
tdopui pdru-pdru
pdru-pdru dtdu
ghjus. [ded ofehdsthbuo efpdb tfrjftdi ldbtub`. [dru-pdru ehmub`ius cjfg
sfjdp
sfjdput
ut yd
ydb`
b` mf
mfrb
rbdo
dodd pjfu
pjfurd
rd.. [jfu
[jfurd
rd eh
ehmd
md`h
`h ofbl
ofblde
dehh = yd
ydht
htu,
u, pj
pjfu
furd
rd
vhsafrdj (sfjdput pfomub`ius) ydb` jdb`sub` ofomub`ius pdru-pdru edb
pjfurd pdrhftdj ydhtu sfjdput ydb` ofjdphsh rcb``d eded sfmfjdg judr. [ded
ifdeddb
ifdeddb bcrodj,
bcrodj, idvuo pjfurd hbh vdiuo (gdopd) sfghb``d pdru-pdru
edpdt ofb`fomdb` ofb`fophs edb lu`d tfredpdt sfehiht adhrdb (fisuedt)
ydb`
ydb` mfr`ub
mfr`ubdd ubtui
ubtui ofjuod
ofjuodsh
sh pfroui
pfrouiddb
ddbyd
yd (pjfur
(pjfurd),
d), ofb`gh
ofb`ghbed
bedrid
ridb
b
`fsfidb dbtdrd pdru-pdru edb ehbehb` eded sfwditu ded `frdidb mfrbdpds
(Qhjvfrtgcb, =;;49 Qydhnueehb, =;;>). [dru-pdru ofrupdidb md`hdb tumug
yd
ydb`
b` sfmd`
sfmd`hd
hdb
b mf
mfsdr
sdr tfre
tfrehr
hrhh ed
edrh
rh `f
`fjf
jfom
omub
ub`
` (`
(`fj
fjfo
fomu
mub`
b` gd
gdwd
wd dt
dtdu
du
djvfcjh).
djvfcjh). @fjfomub`
@fjfomub` djvfcjh
djvfcjh hbh tfrehrh edrh sfj-sfj fphtfj edb fbectfj.
fbectfj. Lhid
ehmfbtdb`idb juds pfrouiddbbyd iurdb` jfmhg 8; o½.
d. [frb
[frbdp
dpddb
ddb [dru
[dru
[frbdpdsdb
[frbdpdsdb pdru dedjdg pfrtuidrdb
pfrtuidrdb cish`fb edb idrmcbehcished
idrmcbehcished ydb`
tfrldeh pded pdrupdru. Cish`fb ehdomhj ofjdjuh oujut edb gheub` pded
wditu mfrbdpds, odsui ofjdjuh trdifd sdopdh if djvfcjh mfrgumub`db
efb`db
efb`db edrdg edjdo idphjfr
idphjfr pujocbdr.
pujocbdr. Djvfcjh ofohsdgidb
ofohsdgidb cih`fb
cih`fb edrh
edrdg, cish`fb ifouehdb ofbfomus ofomrdb, ehdomhj cjfg sfj edrdg
ofrdg ehmdwd if ldbtub` edb edrh ldbtub` ehpcopdidb if sfjurug tumug.
Idrmcbehcished ofrupdidb gdshj mudb`db eh edjdo pdru ydb` ofbfomus
m. [frbdpdsdb sfj
Urdbspcr `ds pdru-pdru edb ldrhb`db [fr`frdidb `ds C= ofb`djhr edrh
djvfcjh odsui if edjdo ldrhb`db ofjdjuh edrdg, sfedb`idb AC= ofb`djhr
edrh ldrhb`db if djvfcjh. Luojdg ifeud `ds ydb` ehtrdbspcr if ldrhb`db
edb edrh ldrhb`db sfadrd ifsfjurugdb thedi auiup mhjd C= thedi jdrut
edjdo edrdg edb mfr`dmub` efb`db prctfhb ofomdwd C= (gfoc`jcmhb).
Efohihdb lu`d AC= ydb` jdrut odsui if edjdo sfrdb`idhdb rfdish ihohd
rfvfrshmfj (rdb`idhdb pfrumdgdb uedrd) ydb` ofb`umdg ofbldeh sfbydwd
jdhb. Dedbyd gfoc`jcmhb ofbdhiidb idpdshtds pfb`db`iutdb C= edjdo
edrdg sdopdh 0; idjh edb rfdish AC= ofbdhiidb idedr AC= edjdo edrdg
obldeh
obldeh 40 idjh
idjh ([fdra
([fdraf,
f, =;;09
=;;09 Qhjvfr
Qhjvfrtgc
tgcb,
b, =;;49Q
=;;49Qydh
ydhnue
nueehb
ehb,, =;;>).
=;;>).
[fb`db`iutdb cish`fb if ldrhb`db. Qhstfo pfb`db`iutdb C= edjdo tumug
tfrehrh
tfrehrh edrh
edrh pdru-p
pdru-pdru
dru edb shstfo
shstfo idrehc
idrehcvdsi
vdsiujf
ujfr.
r. Cish`f
Cish`fb
b odsui
odsui if
ldrhb`db mfr`dbtub` pded luojdgbyd ydb` odsui if edjdo pdru-pdru,
pfrtuidrdb `ds ydb` auiup pded pdru-pdru, djhrdb edrdg if ldrhb`db edb
idpdshtds pfb`db`iutdb C= edjdo edrdg. Djhrdb edrdg mfr`dbtub` pded
efrdldtt icbsfbtrdsh
efrdld icbsfbtrdsh edjdo ldrhb`db edb aurdg ldbtub`.
ldbtub`. Luojdg C= edjdo
edrdg ehtfbtuidb cjfg luojdg C= ydb` jdrut, gfoc`jcmhb, edb dnhbhtds
(edyd tdrhi) gfoc`jcmhb
gfoc`jcmhb ([fdraf,
([fdraf, =;;09
=;;09 Qhjvfrtgcb
Qhjvfrtgcb,, =;;49Qydh
=;;49Qydhnueeh
nueehb,
b,
=;;>). Urdbspcr cish`fb ofjdjuh jhod tdgdp sfmd`dh mfrhiut<
4) Udgdp H< cish`fb dtocsnfr odsui if edjdo pdru-pdru. [ded wditu ihtd
ofbdrhi bdpds, tfidbdb pdrshdj cish`fb edjdo dtocsnfr 468 ooG`.
Edjdo
Edjdo djvfcj
djvfcjhh icopcs
icopcshsh
hsh uedrd
uedrd mfrmfe
mfrmfedd efb`db
efb`db icopc
icopcshsh
shsh uedrd
uedrd
dtocsnfr, tfidbdb pdrshdj C= edjdo djvfcjh 4;6 ooG`.
=) Udgdp HH< edrdg ofb`djhr edrh ldbtub`, ofbulu if pdru-pdru ubtui
ofb`do
ofb`domhj
mhj ci
cish`
sh`fb
fb ydb`
ydb` mfrded
mfrded edjdo
edjdo djvfcj
djvfcjh.
h. Edjdo
Edjdo edrdg
edrdg hbh
tfredpdt cish`fb efb`db tfidbdb pdrshdj 5; ooG`. Idrfbd dedbyd
pfrmfeddb tfidbdb pdrshdj htu dpdmhjd sdopdh pded pfomujug idphjfr
ydb`
ydb` mfrgum
mfrgumub`
ub`db
db efb`db
efb`db ofomrd
ofomrdb
b djvfcj
djvfcjhh odid
odid cish`f
cish`fb
b ydb`
ydb`
mfrded edjdo djvfcjh edpdt mfrehnush odsui if edjdo pfomujug
idphjfr. Qftfjdg tfrldeh prcsfs ehnush tfidbdb pdrshdj cish`fb edjdo
pfomujug ofbldeh 4;; ooG`.
ooG`.
1) Udgdp HHH< cish`fb ydb` tfjdg mfrded edjdo pfomujug edrdg ehfedridb
ifsfjurug tumug. Ded eud ofidbhsof pfrfedrdb cish`fb ydhtu cish`fb
ydb` jdrut edjdo pjdsod edrdg ydb` ofrupdidb md`hdb tfrmfsdr edb
sfmd`hdb ifahj cish`fb ydb` tfrhidt pded gfoc`jcmhb edjdo edrdg.
Efrdldt iflfbugdb gfoc`jcmhb efb`db C= mfr`dbtub` pded tfidbdb
pdrshdj AC= dtdu pG. Luojdg C= ydb` ehdb`iut if ldrhb`db
mfr`dbtub` pded luojdg gfoc`jcmhb
gfoc`jcmhb edjdo edrdg.
5) Udgdp
Udgdp H^< sfmfju
sfmfjuo
o sdopdh
sdopdh pded
pded sfj ydb`
ydb` ofomut
ofomutug
ugidb
idb,, ci
cish`
sh`fb
fb
ehmdwdd ofjdjuh
ehmdw ofjdjuh adhrdb hbtfrsthshdj
hbtfrsthshdj edgu
edguju.
ju. Ufidbdb pdrshdj cish`fb
cish`fb
edjdo adhrdb hbtfrsthshdj =; ooG`. [frmfeddb tfidbdb cish`fb edjdo
pfomujug edrdg drtfrh (4;; ooG`) efb`db tfidbdb pdrshdj cish`fb
edjdo adhrdb hbtfrsthshdj (=; ooG`) ofbyfmdmidb tfrldehbyd ehnush
cish`fb ydb` afpdt edrh pfomujug idphjfr if edjdo adhrdb hbtfrsthshdj.
6) Udgdp ^< tfidbdb pdrshdj cish`fb edjdo sfj ihrd-ihrd dbtdrd ;-=;
ooG`. Cish`fb edrh adhrdb hbtfrsthshdj mfrehnush odsui if edjdo sfj.
Edjdo
Edjdo sfj cish`f
cish`fb
b hbh eh`ubd
eh`ubdidb
idb ub
ubtui
tui rfdish
rfdish oftdmc
oftdmcjhs
jhsof
of ydhtu
ydhtu
rfdish
rfdish cished
cishedsh
sh sfbydwd
sfbydwd ydb`
ydb` mfrdsdj
mfrdsdj edrh
edrh odidbd
odidbdb
b (idrmc
(idrmcghe
gherdt,
rdt,
jfodi,
jfodi, edb prctfh
prctfhb)
b) ofb`gd
ofb`gdshji
shjidb
db G=C,
G=C, AC= edb fbfr`h
fbfr`h ([fdra
([fdraf,
f,
=;;0). ]fdish gfoc`jcmhb edb cish`fb. Ehbdohid rfdish gfoc`jcmhb
sdb`dt acaci ubtui ofb`db`iut C=. Gfoc`jcmhb dedjdg prctfhb ydb`
tfrhidt pded rdbtdh pcjhpfpthed, ehmfbtui pcrnhrhb edb sdtu dtco mfsh
nfrrc.
nfrrc. Odshb`-
Odshb`-ods
odshb`
hb` dtco
dtco mfsh
mfsh edpdt
edpdt ofb`hi
ofb`hidt
dt sfadrd
sfadrd rfvfrsh
rfvfrshmjf
mjf
(pfrumdgdb
(pfrumdgdb drdg) efb`db
efb`db sdtu ocjfiuj
ocjfiuj C=. Mfsh mfrded edjdo mfbtui
nfrrc sfghb``d rfdishbyd dedjdg cish`fbdsh muidb cishedsh ([fdraf,
=;;09 Qhjvfrtgcb, =;;49 Qydhnueehb, =;;>). Urdbspcr idrmcbehcished.
Ifjdrutdb AC= edjdo edrdg ihrd-ihrd =; idjh ifjdrutdb C= sfghb``d
tfredpdt jfmhg mdbydi AC= edrh pded C= edjdo jdrutdb sfefrgdbd.
AC= mfrehnush edjdo sfj edrdg ofrdg efb`db afpdt ofb`djdoh gherdsh
ofblde
ofbldehh G=AC=
G=AC= idrfbd
idrfbd dedbyd
dedbyd dbgye
dbgyerdsf
rdsf (mfriu
(mfriurdb
rdb`by
`bydd sfirfsh
sfirfsh
ifrh`dt)
ifrh`dt) idrmcbdt
idrmcbdt mfrehnush
mfrehnush if edjdo pjdsod. [fburubdb
[fburubdb iflfbugdb
iflfbugdb
gfoc`jcmhb tfrgdedp C= mhjd edrdg ofjdjuh idphjfr-idphjfr ldrhb`db.
Qfmd`h
Qfmd`hdb
db edrh
edrh AC=
AC= edjdo
edjdo sfj edrdg
edrdg ofrdg
ofrdg mfrdis
mfrdishh efb`db
efb`db `u
`u`us
`us
dohbc
dohbc edrh
edrh prctfh
prctfhb,
b, gfoc`j
gfoc`jcmh
cmhb
b ofomfb
ofomfbtui
tui sfbydw
sfbydwdd idrmdo
idrmdohbc
hbc
(sfby
(sfbydw
dwdd id
idrm
rmcb
cbeh
ehci
cish
shed
ed).
). Mfsdr
Mfsdrby
bydd if
ifbd
bdhi
hidb
db id
idpd
pdsh
shtd
tdss ed
edrd
rdg
g
ofb`db`iut AC= ehtubluiidb cjfg sfjhshg dbtdrd `drhs ifjdrutdb AC=
edb `drhs idedr tctdj AC= eh dbtdrd 58 oj AC= edjdo edrdg drtfrhdj
=,> oj edjdg sfbydwd idrmdohbc edb 51,7 oj edjdo GAC= ([fdraf,
=;;09 Qhjvfrtgcb, =;;49 Qydhnueehb, =;;>).
=. Efnhbhsh
@d`dj bdpds dedjdg icbehsh ijhbhs ydb` tfrldeh ifthid shstfo pfrbdpdsdb
`d`dj
`d`dj ofopfr
ofopfrtdg
tdgdbi
dbidb
db nub`sh
nub`sh utdodb
utdodbyd,
yd, ydhtu
ydhtu pfrtui
pfrtuidrdb
drdb `ds, eh odbd
odbd
[dC= jfmhg rfbedg edrh >; ooG` edb/dtdu [dAC= jfmhg thb``h edrh 6;
ooG`.
ooG`. @d`dj
@d`dj bdpds
bdpds ehijdsh
ehijdshnhi
nhidsh
dshidb
idb mfredsd
mfredsdrid
ridb
b ifjdhb
ifjdhbdb
db `ds edrdg
edrdg
ofbldeh = thpf ydhtu thpf 4 edb thpf =.
@d`dj bdpds thpf 4 (ghpcisfohi) ofohjhih [dC= : >; ooG` efb`db [dAC=
bcrodj dtdu sumbcrodj. [ded thpf hbh, pfrtuidrdb `ds tfr`db``u pded thb`idt
ofomrdb idphjfr-dvfcjdr. Acbtcg if`d`djdb pfrbdpdsdb thpf H dedjdg fefod
pdru idrshbc`fbhi dtdu bcb-idrehc`fbhi edb pbfuocbhd mfrdt. Qfedb`idb
@d`dj bdpds thpf = (ghpfridpbhd) ofohjhih [dAC= 2 6; ooG`. Ghpcisfohd
sfrhb` tfrldeh, edb hbh ehsfmdmidb cjfg if`d`djdb pcopd pfrbdpdsdb.
1. Fthc
Fthcjc
jc`h
`h
Ded mfmfrdpd pfbyfmdm `d`dj bdnds ofburut Qgfmj, F., & Murbs, M. (=;47)
ydhtu ofjhputh<
d. [fbyfmdm
[fbyfmdm QQ[ idrfbd
idrfbd efprfsh ecrcb`d
ecrcb`db
b sdrdn ubtui mfrbdpds
mfrbdpds sfpfrth
sfpfrth pded
Ofru
Ofrupd
pdid
idb
b if
ifth
thed
edis
isfho
fhomd
mdb`
b`db
db vf
vfbt
bthj
hjds
dshh ed
edb
b pf
pfrnu
rnush
sh pd
pdru
ru yd
ydb`
b`
ofbyfmdmidb ghpcisfohd dtdu pfbhb`idtdb prceuish idrmcb ehcished
edb `db``u
`db``udb
db pfomu
pfomudb`
db`db
db idrmcb
idrmcb ehcish
ehcished
ed ydb`
ydb` ofbyfm
ofbyfmdmi
dmidb
db
ghpfridpbh
ghpfridpbhd.
d. (Jdomd,
(Jdomd, =;4>)
=;4>) [dshfb ofb`djdoh tcjfrdbsh tfrgdedp
tfrgdedp
ghpcishd
ghpcishd edb ghpfridpbhd
ghpfridpbhd ydb` ofomurui sfadrd mfrtdgdp.
mfrtdgdp. Qftfjdg
Qftfjdg
`d`dj bdnds diut mhdsdbyd pdru-pdru ifomdjh if dsdjbyd. [ded `d`dj
bdnds ircbhi struitur pdru djdoh ifrusdidb ydb` hrrfvfrshmfj. Hbehidtcr
`d`dj bdnds tfjdg nrfiufbsh pfrbdndsdb edb idpdshtds vhtdj, nrfiufbsh
pfbdpdsdb bcrodj hdjdg 4>-=; x/ofbht. Idpdshtds vhtdj dedjdg uiurdb
vfbthj
vfbthjdsh
dsh (bcrod
(bcrodjj 4;-=;
4;-=; oj/i`
oj/i`).
). @d`dj
@d`dj bdnds
bdnds pfbyfm
pfbyfmdm
dm tfrpfbt
tfrpfbthb`
hb`
dedjdg vfbthjdsh
vfbthjdsh ydb` thedi defiudt ehodbd tfrldeh cmstruish
cmstruish ldjdb
bdnds dtds. [usdt pfrbdndsdb ydb` ofb`fbedjhidb pfrbdpdsdb tfrjftdi
eh mdwdg mdtdb` ctdi (pcbs edb ofeujjd)
=. Odbhn
Odbhnfst
fstdsh
dsh Ijhbhi
Ijhbhi
Ded mfmfrdpd
mfmfrdpd tdbed edb `fldjd
`fldjd ofburut
ofburut Qgfmj, F., & Murbs, M. (=;47)
ydhtu ofjhputh <
d. @fl
@fldjd
djd edb
edb tdbed
tdbed ghpcis
ghpcisfoh
fohdd
- Ehspbfd, hrhtdmhjhtds
Ofburut Qgfmj, F., & Murbs, M. (=;47) Icopjhidsh edrh `d`dj bdpds edpdt
ehsfmdmidb cjfg `db``udb `ds edrdg dtdu edrh pfbefidtdb tfrdpfuthi htu
sfbehrh ehdbtdrdbyd <
d. Icop
Icopjhidsh
jhidsh pdru-pdru<
pdru-pdru< ohsdjbyd,
ohsdjbyd, fomcjh pdru, ldrhb`db
ldrhb`db pdrut hrfvfrshmfj
hrfvfrshmfj
pded pdru-pdru, pbfuoctcrdis, edb iftfr`dbtub`db pded vfbthjdtcr.
m. Icopjhidsh ldbtub`< ohsdjbyd, drhtohd `d`dj ldbtub` edb hbndri
ohcidre diut.
a. Ico
Icopjh
pjhidsh
idsh bfu
bfurcj
rcjc`
c`hs<
hs< pfr
pfrhce
hceff ghp
ghpcis
cishd
hd ctd
ctdi
i ydb
ydb`
` mfr
mfrifp
ifpdbl
dbldb`
db`db
db
Lhid thedi ded hbehidsh outjdi ubtui vfbthjdsh ofidbhs hbvdshn dtdu
hbtumdsh edb lhid thedi ded icbtrdhbehidsh ubtui vfbthjdsh bcb-hbvdshn,
vfbthjdsh bcb-hbvdshn jfmhg ehsuidh tfrutdod edjdo idsus fisdsfrmdsh
pfbydiht pdru cmstruithn ircbhi ([[CI), fefod pdru idrehc`fbhi.
edb shberco ghpcvfbthjdsh cmfshtds.
M. DQVG
DQVGDB
DB IF[F]DPDU
IF[F]DPDUDB
DB
4. [f
[fb`
b`id
idlh
lhdb
db
[f
[fb`
b`dl
dlhd
hdb
b de
dedj
djdg
dg td
tdgd
gdp
p dw
dwdj
dj ed
edb
b ed
edsd
sdrr ed
edjd
jdo
o pr
prcs
csfs
fs if
ifpf
pfrd
rdwd
wdtd
tdb.
b.
[fb`idlhdb ofrupdidb tdgdp ydb` pdjhb` ofbfbtuidb md`h tdgdp mfrhiutbyd
(Pdjhe =;48)
d. Hef
Hefbth
bthtds
tds pdshfb
pdshfb// mhcedtd
mhcedtd
Ofjhpu
Ofjhputh
th bdo
bdodd jfb
jfb`id
`idp,
p, tfo
tfopdt
pdt thb
thb``d
``dj,
j, lfb
lfbhs
hs ifj
ifjdoh
dohb,
b, tdb
tdb``d
``djj jdg
jdghr,
hr,
uour, tfopdt jdghr, dsdj suiu mdb`sd.
m. [fb`idlhdb Qfiubefr
- Ifjugdb Vtdod < Ijhfb mhdsdbyd ofb`fjugidb sfsdi bdnds.
- [fb`idlhdb QDO[JF
Q < tdbed edb `fldjd ydb` ehrdsdidb ijhfb
D< djfr`h ydb` ehpubydh ijhfb
O < tdbydidb cmdt ydb` ehicbsuosh ubtui ofb`dtdsh odsdjdg
[ < rhwdydt pfbydiht ydb` ehefrhtd ijhfb
J < odidb ohbuo tfrdighr, lfbhs ydb` ehicbsuosh, pfburubdb edb
pfbhb`idtdb bdpsu odidb
F < pfbaftus dtdu ifldehdb pfbyfmdm ifjugdb
4. Dhrwdy
[fbhb`idtdb sfirfsh pfrbdndsdb.
Mubyh bdnds irfijfs rcbih edb ofb`h.
=. Mrfdtghb`
Ehstrfss pfrbdndsdb < pfrbdndsdb aupphb` gheub`, tdihpbfu/mrdehpbfu
rftrdish.
Ofb`
Ofb``u
`ubd
bdid
idb
b ct
ctct
ct di
disf
sfsc
scrh
rh pf
pfrb
rbdn
dndsd
dsdb,
b, ed
edb
b sh
shdb
dbcs
cshs.
hs. If
Ifsu
sujh
jhtdb
tdb
mfrbdnds < jdpdr uedrd, ehdpgcrfshs, shdbcshs.
1. Ahraujdthcb
[fburubdb aurdg ldbtub` < `fjhsdg, jftdr`h, tdihidreh.
Qdiht ifpdjd.
@db``udb thb`idt ifsdedrdb < dbshftds, `fjhsdg, idadu
ofbtdj,ofb`dbtui.
[dphjfefod.
[fburubdb gdjudb urhbf
5. Ehsdmhjhty (ifsdedrdb)
Ifdedd
Ifdeddb
b uou
uouo,
o, sdob
sdobcjf
cjfb
b Idl
Idlhh tfb
tfbtdb
tdb`
` ifs
ifsded
dedrd
rd ijh
ijhfb,
fb, ifa
ifafod
fodsdb,
sdb,
if`fjhsdgdb, ifjfodgdb sudrd mhadrd.
e. [fo
[fofrhi
frhisddb
sddb nhsh
nhshi
i
Mfr`ubd sfjdhb ubtui ofbfouidb tdbed-tdbed nhshi ydb` ofbeuiub`
ehd`bcshs edb ofbyhb`ihridb ifoub`ihbdb pfbydiht jdhb, lu`d mfr`ubd
ubtui ofb`ftdguh pfbydiht ydb` oub`ihb ofbyfrtdh pfbydiht sfidrdb`.
Mfrhiut pcjd pfofrhisddb nhshi sfsudh ]fvhfw cn Qystfo<
d. M4 (Mrfdtghb`)
Mfbtui eded edb `frdidb pfrbdpdsdb. @frdidb bdnds shoftrhs. [ded
ijhfb
ijhfb efb
efb`db
`db `d`
`d`dj
dj bdp
bdpds
ds sfrh
sfrhb`
b` eht
ehtfou
fouidb
idb pfb
pfbhb`
hb`idt
idtdb
db nrfi
nrfiufb
ufbsh
sh
bdnds afpdt edb edb`idj, sfrtd dedbyd rftrdi
rftrdish
sh stfrbu
stfrbuo
o edb hbtfracstd
spda
spdaff (HA
(HAQ)
Q).. Bd
Bdnd
ndss au
auph
phb`
b` gh
gheu
eub`
b` pd
pded
ed sf
sfsdi
sdi mf
mfrd
rdt.
t. [d
[ded
ed ij
ijhf
hfb
b
mhdsdbyd ehedpdtidb mdtui prceuithn ehsfrtdh efb`db dedbyd mdtui
efb`db
efb`db prc
prceui
euish
sh spu
sputuo
tuo ydb
ydb`
` pur
purujf
ujfb.
b. @fr
@frdid
didb
b ehb
ehbehb
ehb`
` tgc
tgcrdi
rdiss
dbtfrhcr/fisirush pfrbdndsdb, `ftdrdb sudrd ( vcidj nrfohtus ) mhdsdbyd
tfrdmd bcrodj, Byfrh eded ydb` ofbhb`idt idrfbd mdtui. @d`dj bdpds
ydb`
ydb` ehs
ehsfrtd
frtdhh ic
icopj
opjhid
hidsh
sh mhd
mhdsdb
sdbyd
yd eh edp
edpdti
dtidb
db mub
mubyh
yh rfsc
rfscbdb
bdb dtdu
scbcr
scbcr pde
pdedd sfju
sfjurug
rug jdp
jdpdb`
db` pdr
pdru.
u. Mub
Mubyh
yh rfe
rfeup
up pfr
pfriu
iush
sh pde
pdedd ijh
ijhfb
fb
efb`db
efb`db pbfuo
pbfuocbhd
cbhd ehedp
ehedpdtidb
dtidb dpdmh
dpdmhjd
jd mrcba
mrcbagcpb
gcpbfuocb
fuocbhd
hd ofbld
ofbldeh
eh
sudtu sdrdb` (icbnjufbs). [ded ijhfb efb`db lu`d eh edpdtidb mubyh
bdnds ofjfodg edb mubyh bdnds tdomdgdb rcbigh mdsdg pded shsh ydb`
sdiht.
m. M= (Mjcce)
Ehedpd
Ehedpdtid
tidb
b ded
dedbyd
byd ifj
ifjfod
fodgdb
gdb nhs
nhshi
hi sfad
sfadrd
rd uou
uouo.
o. Mhd
Mhdsdb
sdbyd
yd ijh
ijhfb
fb
tdopdi
tdopdi ofj
ofjhbe
hbeub`
ub`hh drf
drfdd ydb
ydb`
` sdi
sdiht.
ht. efb
efbyut
yut bde
bdehh pfr
pfrhnfr
hnfr ofj
ofjfod
fodg,
g,
ofbfbtuidb mdtds ldbtub`, ofb`uiur tfidbdb edrdg, edb dusiujtdsh
mubyh ldbtub` tdomdgdb
a. M1 (Mrdhb)
[dedd ijh
[de ijhfb
fb efb
efb`db
`db tfrp
tfrpdsdb
dsdb`
` vfb
vfbthj
thjdtc
dtcrr ydb
ydb`
` mfr
mfrdt
dt sfrh
sfrhb`
b` tfrl
tfrldeh
deh
pfburubdb ifsdedrdb, ehedpdtidb shdbcshs pfrhnfr mhjd `db``udb
pfrnush ldrhb`db mfrdt. [ded pfb`idlhdb cmlfithn, wdldg ijhfb tdopdi
ofrhb`hs, ofbdb`hs, ofrhbthg, ofrf`db` edb ofb``fjhdt.
e. M5 (Mjdeefr)
[fb`uiurdb
[fb`uiurdb vcjuof cutput urhbf pfrju ehjdi
ehjdiuidb
uidb idrfbd mfrid
mfridhtdb
htdb
efb`
efb`db
db hb
hbtd
tdif
if ad
adhr
hrdb
db.. [d
[ded
ed pd
pdsh
shfb
fb tf
tfrp
rpdsd
dsdb`
b` vf
vfbt
bthj
hjdt
dtcr
cr,, pf
pfrju
rju
ofocbhtcr dedbyd cjh`urhd idrfbd gdj tfrsfmut ofrupdidb tdbed dwdj
edrh syci.
f. M6 (Mcwfj)
Ijhfb mhdsdbyd ofb`djdoh oudj, oubtdg, dbcrfishd, edb pfburubdb
mfrdt mdedb.
n. M> (Mcbf)
Ifjfod
Ifjfodgdb
gdb edb ifj
ifjfjdg
fjdgdb
db nhsh
nhshi
i sfad
sfadrd
rd uou
uouo
o sfrh
sfrhb`
b` ofb
ofbyfm
yfmdmi
dmidb
db
iftfr`dbtub`db ijhfb tfrgdedp mdbtudb crdb` jdhb edjdo ofjdiuidb
dithvhtds sfgdrh-gdrh.
=. Ehd`bcsd
Ehd`bcsd Ifpfrdwd
Ifpfrdwdtdb
tdb
4. @db
@db``
``udb
udb [fr
[frtui
tuidrd
drdb
b `ds mfr
mfrgum
gumub`
ub`db
db efb
efb`db
`db ift
ifthed
hedisf
isfhom
homdb`
db`db
db
vfbthjdsh ‑ pfrnush.( E.;;;1)
=. @db``udb ^fbthjdsh Qpcbtdb ( E.;;;5)
1. Mfr
Mfrshg
shgdb
db ldj
ldjdb
db bdn
bdnds
ds the
thedi
di fnfi
fnfithn
thn mfr
mfrgu
gumub
mub`db
`db efb
efb`db
`db sfi
sfirfsh
rfsh ydb
ydb`
`
tfrtdgdb. ( E.;;;4)
5. ]hs
]hshic
hic pfr
pfrnus
nushh sfjf
sfjfmrd
mrdjj the
thedi
di fnfi
fnfithn
thn mfr
mfrgum
gumub`
ub`db
db efb
efb`db
`db iur
iurdb`
db`byd
byd
supjdh C= edjdo ldrhb`db ctdi ( E.;;40)
1. Hbtf
Hbtfrv
rvfb
fbsh
sh Ifpfr
Ifpfrdw
dwdt
dtdb
db
B Ehd`bcsd Qtdbedr Judrdb Qtdbedr Hbtfrvfbsh Ifpfrdwdtdb
C Ifpfrdwdtdb Ifpfrdwdtdb Hbecbfshd Hbecbfshd
( QJIH ) ( QHIH )
4. @db``udb Qftfjdg ehjdiuidb hbtfrvfbsh D. [fodbtdudb ]fsphrdsh (H.;4;45)
[frtuidrdb `ds ifpfrdwdtdb sfjdod 1 W =5 Cmsfrvdsh
mfrgumub`db ldo pfrtuidrdb `ds - Ocbhtcr nrfiufbsh,
efb`db ofbhb`idt efb`db irhtfrhd hrdod,ifedjdodb edb updyd
ifthedisfhomdb`db gdshj < bdpds
vfbthjdsh ‑ pfrnush. - Uhb`idt ifsdedrdb - Ocbhtcr pcjd bdpds( sfpfrth
( E.;;;1) ofbhb`idt mrdehpbfd, tdihpbfd,
- Eyspbfd ofburub ghpfrvfbthjdsh, iussoduj, agfybf-
- Mubyh bdnds tdomdgdb stcifs, mhct, dtishi)
ofburub - Ocbhtcr dedbyd suomdtdb ldjdb
- Bdnds auphb` gheub` bdpds
ofburub - [djpdsh ifshoftrhsdb fispdbsh
- [AC= Ofomdhi pdru
- [C= Ofomdhi - Dusiujtdsh mubyh bdpds
- Udihidrehd ofomdhi - Ocbhtcr sdturdsh cish`fb
- Qhdbcshs ofomdhi - Ocbhtcr bhjdh D@E
- [cjd bdnds ofomdhi - Ocbhtcr gdshj W-rdy Ucrdis
- Pdrbd iujht ofomdhi - Dtur hbtfrvdj pfodbtdudb
rfsphrdsh sfsudhicbehsh pdshfb
- Eciuobftdshidb gdshj
pfodbtdudb
- Lfjdsidb tuludb edb prcsfeur
pfodbtdudb
Ufrdpfuthi
- Dtur hbtfrvdj pfodbtdudb
rfsphrdsh sfsudh icbehsh pdshfb
- Eciuofbtdshidb gdshj
pfodbtdudb
Feuidsh
- Lfjdsidb tuludb edb prcsfeur
pfodbtdudb
M.Ufrdph
CmsfrvdshCish`fb (H.;4;=>)
- Ocbhtcr ifafpdtdb djhrdb
cish`fb
- Ocbhtcr pcshsh djdt tfrdph
cish`fb
- Ocbhtcr fnfithnhtds tfrdph
cish`fb ( ohsdjbyd cishoftrh,
dbdjhsd `ds edrdg)
- Ocbhtcr tdbed tdbed
ghpcvfbthjdsh
Ufrdpfuthi
- [frtdgdbidb ifpdtfbdb ldjdb
bdnds
- Mfrhidb cish`fb tdomdgdb, lhid
pfrju
- @ubdidb pfrdb`idt cish`fb ydb`
sfsudh efb`db thb`idt ocmhjhtds
pdshfb
5. Hopjfofb
Hopjfofbtdsh
tdsh Ifpfrdwd
Ifpfrdwdtdb
tdb
[fjdisdbddb dedjdg rfdjhsdsh rfbadbd thbedidb ubtui ofbadpdh tuludb ydb`
tfjdg ehtftdpidb. If`hdtdb edjdo pfjdisdbddb lu`d ofjhputh pfb`uopujdb
edtdd mfrifj
edt mfrifjdbl
dblutd
utdb,
b, ofb`cm
ofb`cmsfrv
sfrvdsh
dsh rfspcbs
rfspcbs ijhfb
ijhfb sfjdod
sfjdod edb sfsuedg
sfsuedg
pfjdisdbddb thbedidb, sfrtd ofbhjdh edtd ydb` mdru.
=. Udgdp [fjdisddb
• Icopftfb.
6. Fvdjudsh
Fvdjudsh dedjdg pfbhjdhdb efb`db adrd ofomdbehb`idb pfrumdgdb ifdeddb
pdshfb (gdshj ydb` ehdodth) efb`db tuludb edb irhtfrhd gdshj ydb` ehmudt
pded tdgdp pfrfbadbddb.
D. Odado Fvdjudsh
Ofblfjdsidb ifmfrgdshjdb/ifthedimfrgdshjdb.
[frdwd
[frdwdtt ofbujh
ofbujhsid
sidb
b ifjugd
ifjugdb
b pdshfb
pdshfb ydb`
ydb` odshg
odshg ehrdsdi
ehrdsdidb
db sftfjdg
sftfjdg
ehjdiuidb thbedidb ifpfrdwdtdb.
• D< Dbdjhshs
• [< [jdbbhb`
[frf
[frfba
badb
dbddb
ddb if
ifpf
pfrd
rdwd
wdtdb
tdb yd
ydb`
b` di
didb
db eh
ehjd
jdbl
blut
utid
idb,
b, eh
ehgf
gfbt
bthi
hidb
db,,
ehocehnhi
ehocehnhidsh,
dsh, dtdu ehtdomdgid
ehtdomdgidb
b edrh rfbadbd
rfbadbd thbedidb
thbedidb ifpfrdwdtdb
ifpfrdwdtdb
ydb` tfjdg ehtfbtuidb sfmfjuobyd. Uhbedidb ydb` tfjdg ofbubluiidb
gdshj ydb` ofoudsidb edb thedi ofofrjuidb thbedidb ujdb` pded
uouo
uouoby
bydd ehgf
ehgfbt
bthi
hidb
db.. Uhbe
Uhbedi
didb
db yd
ydb`
b` pf
pfrj
rju
u eh
ehjd
jdbl
blut
utid
idb
b de
dedj
djdg
dg
thbedidb ydb` odshg icopftfb ubtui ofbyfjfsdhidb odsdjdg ijhfb
edb ofomutugidb wditu ubtui ofbadpdh ifmfrgdshjdbbyd. Uhbedidb
ydb` pfrju ehocehnhidsh dedjdg thbedidb Xdb` ehrdsd edpdt ofomdbtu
ofbyfjfsdhid
ofbyfjfsdhidb
b odsdjdg ijhfb, tftdph
tftdph pfrju ehthb`idtidb
ehthb`idtidb iudjhtdsbyd
iudjhtdsbyd
dtdu
dtdu ofop
ofopub
ubyd
ydhh djtfr
djtfrbd
bdthn
thn phjh
phjhgd
gdb
b yd
ydb`
b` jd
jdhb
hb yd
ydb`
b` eh
eheu
eu`d
`d ed
edpd
pdtt
ofomdbtu
ofomdbtu ofopfrafpdt
ofopfrafpdt prcsfs pfbyfomug
pfbyfomugdb.
db. Qfedb`idb
Qfedb`idb,, rfbadbd
rfbadbd
thbedidb ydb` mdru/sfmfjuobyd thedi ded edpdt ehtfbtuidb mhjd thomuj
odsdjdg mdru dtdu rfbadbd thbedidb Xdb` suedg thedi icopftfb jd`h
ubtui ofbyfjfsdhidb odsdjdg ydb` ded.
• H< Hopjfofbtdsh
Hopjfo
Hopjfofbt
fbtdsh
dsh dedjdg
dedjdg thbedi
thbedidb
db ifpfrd
ifpfrdwdt
wdtdb
db ydb`
ydb` ehjdiu
ehjdiuidb
idb sfsudh
sfsudh
efb`
efb`db
db hbtr
hbtrui
uish
sh ydb`
ydb` tfjd
tfjdg
g tf
tfrh
rhef
efbt
bthn
hnhi
hids
dshh ed
edjd
jdo
o ic
icop
opcb
cbfb
fb [
(pfrfbadbddb). Ldb`db jupd ofbujhsidb tdb``dj edb ldo pfjdisdbddb.
•
F< Fvdjudsh
Fvdjudsh dedjdg rfspcbs ijhfb sftfjdg ehjdiuidb thbedidb ifpfrdwdtdb.
• ]< ]fdssfsofbt
]fds
]fdssfs
sfsof
ofbt
bt de
dedj
djdg
dg pf
pfb`
b`id
idlh
lhdb
db uj
ujdb
db`
` yd
ydb`
b` eh
ehjd
jdiu
iuid
idb
b tf
tfrg
rgde
dedp
dp
pfrfbadbddb sftfjdg ehiftdguh gdshj fvdjudsh, dpdidg edrh rfbadbd
thbedidb pfrju ehjdblutidb, ehocehnhidsh, dtdu ehgfbthidb3
Ifofbtrhdb Ifsfgdtdb ]H. =;40. Mdgdb dldr Ifmhedbdb Dbdtcoh edb Nhshcjc`h.
Nhshcjc`h.
Ldidrtd< Ifofbifs ]H.
Qgfmj, F., & Murbs, M. (=;47). ]fsphrdtcry ndhjurf.
Uho [cild
[cild QEIH
QEIH E[[
E[[ [[BH.=
[[BH.=;4>
;4>.. Qtdb
Qtdbedr
edr Ehd`bcshs
Ehd`bcshs Ifpfrdwdtd
Ifpfrdwdtdb b Hbecbfshd
Hbecbfshd
Efnhbhsh Edb Hbehidtcr Ehdbcsthi. Ldidrtd Qfjdtdb < Efwdb [fb`urus [usdt
[frsdtudb [frdwdt Bdshcbdj Hbecbfshd (E[[ [[BH)
Uho [cild
[cild QHIH
QHIH E[[ [[BH.
[[BH.=;4
=;4>.
>.Qtdb
Qtdbedr
edr Hbtfrvfbsh
Hbtfrvfbsh Ifpfrdwdtdb
Ifpfrdwdtdb Hbecbfshd
Hbecbfshd
Efnhbhsh Edb Uhbedidb Ifpfrdwdtdb.
Ifpfrdwdtdb. Ldidrtd Qfjdtdb < Efwdb [fb`urus
[usdt [frsdtudb [frdwdt Bdshcbdj Hbecbfshd (E[[ [[BH)
Uho
Uho [cil
[cildd QJIH
QJIH E[[
E[[ [[BH
[[BH.=
.=;4
;4>.
>.Qtd
Qtdbed
bedrr Judrdb
Judrdb Ifpfrd
Ifpfrdwdt
wdtdb
db Hbecb
Hbecbfshd
fshd
Efnhbhsh Edb Irhtfrhd Gdshj Ifpfrdwdtdb.
Ifpfrdwdtdb. Ld Ldid
idrt
rtdd Qf
Qfjd
jdtd
tdb
b < Efwd
Efwdbb
[fb`urus [usdt [frsdtudb [frdwdt Bdshcbdj Hbecbfshd (E[[ [[BH)
Pdjh
Pdjhe,
e, Qh
Qhnu
nujj ed
edb
b Bh
Bhio
iodtu
dturr ]cgo
]cgodg
dg.=
.=;4
;48.
8. [rcs
[rcsfs
fs Ifpf
Ifpfrd
rdwd
wdtdb
tdb<< Ufcr
Ufcrhh ed
edb
b
Dpjhidsh.Xc`ydidrtd < Dr-]uzz Ofehd.