ការថែទាំជ្រូក

1

m:UDulTI 1 kUnRCUkeRcIn kan;Eteføas nig rwgmaM

kUnRCUkeRcIn kan;Eteføas nig rwgmaM


1> kUnRCUkeRcIneBlpþac;edaH

2


k> mUldæanRKwHénkarbnþBUC

1>Rbdab;bnþBUCemRCUk

• GUEv begáItGUvul ¬emCIvitjI¦

• s,Ún CakEnøgEdlTarklUtlas;

• karenACitKñarvage)øakenam nigeyanIbgáeRKaHfñak;dl;karcmøgemeraK


k> mUldæanRKwHénkarbnþBUC1>Rbdab;bnþBUCemRCUk

s,Ún nige)aøkenam eyanI

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2>Rbdab;bnþBUCRCUk)a

• BgsVas³ RtUvmanTMhMb:unKña/ maMmYn/ Kμansøaksñam. BgsVasmanPaBTn; nigmansItuNðPaBRtCak;.

• ligÁ³ RtUvs¥at K μanxÞúH nigdMe)A.



2>Rbdab;bnþBUCRCUk)a

BgsVasl¥rbs;RCUk)av½yek μg karBinitüligÁ

4


k> mUldæanRKwHénkarbnþBUC3>karbgáat;

• caM)ac;RtUvEsVgrkeBlevlal¥ kñúgkarbgáat;

• eyanIeLIgRkhm

• emRCUkenAes¶óm enAeBleyIgsgát;elIxñgva

• RbsinebIeyIgeXIjsBaØaEbbenHenAeBlRBwkRtUvbgáat;eBll¶ac

• RbsinebIeyIgeXIjsBaØaEbbenHenAeBl l¶acRtUvbgáat;eBlRBwkEs¥k


k> mUldæanRKwHénkarbnþBUC3>karbgáat;

karbgáat;tamFm μCati karbgáat;nwgeFVItamEbbsib,nim μ it

5


x> etIRtUveFVIdUcemþcedIm,ITTYl)ankUnRCUkkan;EteRcIn?


1>kUnRCUkeRcInkñúgs,Ún1>1 emRCUksßitkñúgsßanPaBl¥³ emRCUkl¥ KWemRCUkEdlmanragdUcrUbelx 3. emRCUkenH

GacplitGUvul)an RKb;RKan; nig sukl¥.

6


1>kUnRCUkeRcInkñúgs,Ún1>1 emRCÚksßitkñúgsßanPaBl¥

dgxøÜnminl¥ dgxøÜnl¥


1>kUnRCUkeRcInkñúgs,Ún1>2 s,ÚnsßitkñúgsßanPaBl¥

tYnaTIs,Ún³• GUEvplitGUvul enAeBlEd;lemRCUkrkeQμal. GUvulTaMgenH eFVIdMeNIrmkCYbemCIviteQμaltambMBg;mYy

EdlehAfa bMBg;Guvul. kñúgkrNIEdlmanqøgemeraK bMBg;TaMgenHRtUvkrxÞúH GUvulminGaceTAkan;s,ÚnehIyemRCUkRtlb;rkeQμalCaf μ ImþgeTot.

• bnaÞb;BIbgákMeNIt G‘MRb‘Íy:ug ¬kUnkñúgépÞ¦ lUtlas;kñúgs,Ún. kñúgkrNIkarqøgemeraK sukRtUvrgkarbMpøajnig minGacciBa©wm G‘MRb‘Íy:ug ¬kUnkñúgépÞ¦ [køayeTACakUnRCUk.

G‘MRb‘Íy:ug ¬kUnkñúgépÞ¦ minGackac;sMbukkñúgsuk)aneT eFVI[kUnmYysMbukmancMnYnticBI3 eTA 6

G‘MRb‘Íy:ug ¬kUnkñúgépÞ¦ nwggab;mYyExeRkaymk eRBaHlkçN³rbs;sukminl¥ nwgeFVI[kUnRCUkgab;minrlYy.

G‘MRb‘Íy:ug ¬kUnkñúgépÞ¦ Gacrs;b:uEnþminTTYlkarciBa©wmRKb;RKan;Bisuk ehIyeFVI[kUnRCUkekItmktUc ehIyexSay

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• 7³ GUEvEdlbegIátGUvul• 6³ bMBg;GuvulsMrab;GUvuleFVIdMeNIrqøg

kat;mkkan;s,Ún• 4³ s,ÚnCakEnøgEdlkUnRCUklUtlas;

rhUtdl;ekIt


1>kUnRCUkeRcInkñúgs,Ún1>2 s,ÚnsßitkñúgsßanPaBl¥s,ÚnemRCUkeBlrkeQμal. GUEvplitGUvul.

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s,ÚnemRCUkeRkayepIm2Ex. kUnRCUk11k,al kMBuglUtlas;enAxagkñúg.


1>kUnRCUkeRcInkñúgs,Ún1>2 s,ÚnsßitkñúgsßanPaBl¥rUbkUnRCUk nigkUnRCUkenAkñúgsukry³eBl28éf¶eRkayepIm kñúgsßanPaBl¥

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kUnRCUk nigsuk2ExeRkayepIm. s,Ún nigsuksßitkñúgsßanPaBl¥.


1>kUnRCUkeRcInkñúgs,Ún1>3 CMgWrlaks,Ún

• CMgWrlaks,Ún³ eBlEdls,ÚnqøgemeraK )ak;etrIlUtlas; bMpøajs,Ún nigeBlxøHbgáxÞúH¬eKGacemIleXIjenAeBlmanhUrxÞúHtameyanI¦s,ÚnqøgemeraK³

eRkayeBlekItkUn eRBaHsukFaøk;minGs; b¤emRCUkmins¥at b¤ekItkUnenAkEnøgRkxVk;.

kMLúgeBlbgáat; qøgemeraKBIRCUk)aEdlmanemeraKenARbdab;bnþBUC. karqøgemeraK edaysare)aøkenam manemeraK.

karqøgemeraK nigsßanPaBminl¥rbs;s,Ún EtgEtnaMeTAkarexSaykarbnþBUC³ Rtlb;eTArkeQμal/ kUntickñúg1sMbuk/ kargab;minrlYykUn b¤kUnekItmkexSay

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• xÞúH hUrecjBIeyanI



s,ÚnsßanPaBminl¥ edaykarcmøgemeraK.

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1>kUnRCUkeRcInkñúgs,Ún1>3 CMgWrlaks,Únkñúgs,ÚnenH mankUnRCUkEt5 enAxagkñúgmanTMrg;xus²Kña nigmankUnxøHgab;minrlYy.


karkarBarmuneBlekItkUn³• BinitüligÁrbs;RCUk)a muneBlbgáat;

• lageyanI nigCUtsm¥at[s¶Üt muneBlbgáat;

• lagemRCUk ¬CaBiesseyanI¦ enAeBlCitekItkUn

• lag nig)aj;rm¶ab;emeraKkñúgRTug

• enAeBlemRCUkcab;rkeQ μalmþgeTot layGg;Tib‘Íy:UTic ¬RTIemtURBIm (Trimetoprim) ÷s‘ulhaV (sulfa)

b¤Gam:uksIulIn (Amoxicillin) ¦ kñúgcMNIbnÞab;BIéf¶bgáat; [sIury³eBl 7éf¶

b¤ cak;Gam:uksIulInEdlmanskmμPaByUr (Amoxicillin LA) erogral;BIréf¶mþg cMnYn3dg


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karkarBareRkayeBlekItkUn³• RtUvR)akdfa sukFøak;Gs; RbsinebIFøak;minGs; RtUvcak;GuksIutuksIun 2 eses enAeBlekItkUnrYcral; ¬yUrbMput

2ema:geRkaymk¦• RbsinebIlUkédCYybegáItkUn RtUvcak;Gg;TIb‘Íy:UTic ¬RTIemtURBIm (Trimetoprim) CamYy s‘ulhVa (Sulfa)¦

kñúgry³eBl 3 éf¶eRkayeBlekIt[va• 2-3éf¶eRkayeBlekIt BinitükMedAkñúgxøÜnRCUkenAeBlRBwk. RbsinebIekþAelIs 40 GgSaes cak;Gg;TIb‘Íy:UTic• karhUrecjvtßúrav 2-3éf¶eRkayeBlekItkUnCakarFmμta b:uEnþRtUvc,as;faKμankøins¥úy. RbsinebIeXIjman

karhUrecjvtßúrav edaymanBN’RbepH xÞúH b¤k¾FMukøinGaRkk; RtUvcak;RbUsþaRhÁg;DIn (Prostaglandin) CamYyGg;TIb‘Íy:UTic. RbUsþaRhÁg;DIn (Prostaglandin) nwgCYyeFVI[Føak;sarFatuRkxVk;kñúgs,Ún.



karBüa)alCMgWrlaks,ÚnvamankarBi)akkñúgkarsnñidaænfa CaCMgWrlake)øakenam b¤k¾CMgWrlaks,Ún enAeBlEdleyIgRKan;EteXIjmankarhUrxÞúHecjBIeyanI b:uEnþGñkRtUvEtBüa)al eTaHbIvaemIleTAminQWk¾eday.

• Gg;TIb‘Íy:UTic³ cak;Gg;TIb‘Íy:UTicya:gtic 5éf¶. - RbsinebIkMedAminx<s;eT cak;RTIemtURBIm(Trimetoprim) CamYy s‘ulhVa (Sulfa) b¤Gam:uksIulIn

(Amoxicillin)

- RbsinebIkMedAx<s; Gg;r:UhøúksasIun (Enrofloxacine)

RbsinebIemRCUkminepIm ¬vaR)akd 100°¦ RtUvcak;³• RbUsþatRhÁg;Din (Prostaglandin) ¬DINUlITic (Dinolytic) ¦fñaMenHCYyebIkks,Ún nigkRnþak;s,Ún[beBa©jxÞúH nig

vtßúFatuRkxVk;.GuksIutuksIun (Ocytocine) KμanRbsiT§iPaB kñúgkareFVIeGaykRnþak;s,Ún nigBüa)alCMgWrlaks,ÚneT. vamanRbsiT§iPaBEt

eBlekIt nig 1 b¤ 2em:ageRkayeBlekIt.

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1>kUnRCUkeRcInkñúgs,Ún1>4 TwkkamEdlmanKuNPaBl¥

Twkkam pÞúkeTAedayemCIviteQμalEdlplitedayBgsVas.

edIm,I[karbgákMeNIt)anl¥ nigplitkUnRCUk)aneRcIn KWTwkkamRtUvEtmanKuNPaBl¥³

• emCIviteQμaleRcIn

• emCIviteQμalmanclnaxøaMg

• emCIviteQμal mansPaBRbRktI ¬Fm μta¦



• PaBRbRktI ¬Fm μta¦ nigPaBminRbRktIrbs;emCIviteQμal enAeBleyIgBinitüTwkkamedaymIRkUTsSn_.

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• Twkkaml¥ • Twkkamminl¥



bBaðaEdlman\T§iBldl;KuNPaBTwkkam• RKunekþA³ enAeBlEdlRCUk)amansItuNðPaBelIsBI 40 GgSaes BI-bIéf¶ ehIy 3GaTitüeRkaymk RCUk

)asHes,IyeLIgvij. RCUk)aenHmansuxPaBl¥ b:uEnþEs<m vaminGacbgákMeNIt)an ¬KμanemCIviteQ μal¦ebIcaM)ac; RtUvcak;fñaMedIm,IbBa©úHkMedARCUk)a dUcCa GaNahSúaMg (Analgine)/ kama:hSIn (Calmagine)/ ektUEhVn(Ketofen) EdlmanRbsiT§iPaBEt 1 eTA 2em:agb:ueNñaH. )a:ra:esetm:ul (Paracetamol) manRbsiT§iPaBry³eBl 6em:ag ehIytulehVdIn (Tolfedine) manBI 24-48 em:ag.

• GakasFatuekþA³ eBlsItuNðPaBekþA BgsVasenAxageRkAxøÜnRCUkbBaÄb;karplitemCIviteQ μal ehIyKuNPaBrbs;emCIviteQ μalFøak;cuH ¬ExmIna dl;]sPa¦.RtUvlayvItamInes 1RkamkñúgcMNIerogral;éf¶.

• dMe)ABgsVas³ RbsinebIBgsVasmanrbYs RCUk)aminGacbgákMeNIt)an.cak;etRtasIuKøIn (Tetracycline) nigCUtsm¥atEs,kBg.

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CMgWEdlGacb:HBal;dl;KuNPaBEs<m• Cm¶WRb‘uyEslLÚs (Brucellosis)

- eraKsBaØasMxan; Kwrlaksnøak; BgsVasrIkFM ehIymanbUs.

- RCUk)aminGacbgákMeNIt)an- enAeBlbgáat; RCUk)acmøgeTARCUkem ehIybgá[rlUtkUn

- Cm¶WenHGacqøgeTAmnusS

- bBaðaEdlstVCYbRbTHxøH GaceFVI[BgsVasrIkFM b:uEnþTn;minb:HBal;dl;karbnþBUC

edIm,I[R)akdfavaCaCm¶WRb‘uyEslLÚs³ RtUvviPaKQamenAmCÄmNÐlCatiRsavRCav plitkmμ nig bsuBüa)al (NAHPIC)


1>kUnRCUkeRcInkñúgs,Ún1>5 karRKb;RKgemRCUkepIm[)anl¥

eFVImin[RCÚkeRsþs• G‘MRb‘Íy:ug ¬kUnenAkñúgépÞ¦ nwgsißtenAkñúgsukRbEhl 10éf¶ bnÞab;BIbgáat;. kñúgkMLúgeBlenH

– minRtUvpøas;bþÚrTIkEnøgrbs;emRCUkeLIy. – karBarmin[emRCUkxaMKña– RbsinebImanemRCUkeRcInkñúgRTugtamdankarxaM rbs; ruy nigmUs[)anRtwmRtYv– RKb;RKglamkstV– )aj;b‘uytuk (Butox)

Büa)alGEgÁ³cak;GuIEvmicTIn (Ivermectine)

RtUvdak;emRCUkmanépÞeBaH enAkEnøgs¶at; kñúgmøb;

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• karrMxanedayruy mUs • GEgÁ



karpÁt;pÁg;cMNI)anRKb;RKan;

• karpþl;cMNI

emRCUkepImRtUv[cMNIedaymankarkMNt;RtwmRtUv b:uEnþRtUvkarCatisésedIm,i[vaEq¥t nigkarBarmin[ekþón EdlnaM[clnaQamrt;l¥kñúgs,Ún.

RCUkemRtUvkarvItamIn nigsarFatuEr:. RtUvlayeRbmickñúgcMNI• karpþl;Twk

karpþl;TwkRKb;RKan;ya:gtic 30lIRt. karpþl;Twk)anRtwmRtUvl¥ eCosvagbBaðarlake)aøkenamnigrlaks,Ún.

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1>kUnRCUkeRcInkñúgs,Ún1>6 braC½yénkarmanépÞeBaH ¬epIm¦

kUnRCUkgab;eLIgsVit³ eBlEdlkUnRCUkgab;kñúgs,Ún 35éf¶eRkayeBlepIm. kUnkñúgépÞeLIgs¶Üt nig eLIgBN’etñatcas;.



kUnRCUkgab;eLIgsVitemeraK)a:v:U ratt,atRKb;ksidæanKμaneraKsBaØacMeBaHemRCUk b:uEnþ³• Rtlb;eTArkeQμal• kUngab;eRkomsVit ehIyenAeBlekItmanTMhMxus²Kña• minrlUtKμanfñaMkarBüa)al• RtUvcak;va:k;saMg 2GaTitümuneBlbgáat; edIm,IkarBarCm¶W)a:v:UGUessÁI (Aujesky) Cm¶WqáÜtRCUkEkøgkøayGac[kUngab;eRkomsVit b:uEnþ³• kUngab;eRkomsVitmanTMhMb:unKña• eraKsBaØaR)asaT ekItmancMeBaHRCUkeTIbekIt

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karrlUtkUn³ karekItkUn munkarkMNt;



karrlUtkUn• CMgWGUessÁI (Aujesky) Cm¶WqáÜtRCUkEkøgkøayeraKsBaØadéTeTot³ bnÞab;;BIekIt kUnRCUkbgðajbBaðasésR)asaT ³ Rbkac; ehIygab;Pøam.KμanfñaMBüa)al. cak;va:k;saMgemRCUkepIm. • CMgWRb‘uyEslLÚseraKsBaØadéTeTot³ rlaks,Únjwkjab;CamYyxÞúHBüa)alCamYyGg;Tib‘Íy:UTic³ etRtasuIKøIn (Tetracycline) ry³eBl 1GaTitü• CMgWLibtUs<Ir:UseraKsBaØadéTeTot³ RbsinebIK μanrlUteT kUnRCUkmanEPñkBN’elOgBüa)alCamYyGg;Tib‘Íy:UTic³ b:g;Rsþib (PenStrep) ry³eBl 5éf¶• CMgWeb:sþRCUkeraKsBaØadéTeTot³ eLIgkMedA. CYnkal manQameRkamEs,kKμanfñaMBüa)al. cak;va:k;saMg emRCUkepIm.

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1>kUnRCUkeRcInkñúgs,Ún1>7 CMgWEdlb:HBal;dl;karmanépÞeBaH ¬epIm¦

• QWeCIg³ emRCUkBi)akedIr b¤Qr


1>kUnRCUkeRcInkñúgs,Ún1>8 bBaðastVCYbRbTH Edlb:HBal;dl;karmanépÞeBaH ¬epIm¦

QWeCIgenAeBlemRCUkminGacQr BYkvanwgminGacpwkTwkRKb;RKan; nigRbQmmuxbBaðarlake)aøkenam nigeRkaymkrlak s,Ún.enAeBlemRCUk edkeBj 1éf¶ vaRbQmmuxclnaQamminl¥ b:HBal;dl;suk.

karBüa)albRBa©kTwk edIm,I[c,as;fa vaGacpwkTwk )an30lIRtkñúg 1éf¶RbsinebIemRCUk GacRTaMnwgkarQWenH cak;fñaMbBa©úHkMedA dUcCa epnIlb‘uytasUn (Phenylbutazone), tulehVDIn (Tolfedine) .

kuMeRbIdicsaemtasUn (Dexamethasone) elIRCUkepIm.RbsinmankarrlakRkck/ snøak;>>>>>>>>>cak;Gg;TIb‘Íy:UTicdUcCa Gam:uksuIlInmanskmμPaByUr (Amoxicilline LA) b¤RTIemtURBIm

(Trimetoprim) ÷ s‘ulhaV (Sulfa) b¤TILÚsIun (Tylosin)CMgWGutkþam bgá[stVQWeCIg ehIykarBüa)alminsUvmanRbsiTi§PaBeT. Cajwkjab; bBaðaQWeCIgenHbNaþalmkBIkMralRTugminl¥. karCYsCulkMraleLIgvij vaefakCagkarBüa)al .

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QWeCIg³ eraKsBaØaCm¶WG‘utkþam Edlbgá[bBaðaelIeCIgF¶n;F¶r



karpþl;PaBgayRsYlsMrab;emRCUkpwkTwkenAeBlvaQWeCIg

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ekþónvacaM)ac;Nas; kñúgkarBarkuM[RCUkekþón CaBiessenAs)aþh_

cugeRkayénkarmanKP’. RbsinebIvaekþón Ca»kasl¥sMrab;BYkGIkUlI rIklUtlas;. karekþónmuneBlekIt naM[man karBi)akekItkUn nigCajwkjab;bgáCm¶WlasedaH Cm¶Wrlaks,Ún nigCm¶WxVHTwkedaH.

emRCUkekþón Cajwkjab;BIeRBaH- RCUksIucMNIminRKb;RKan;- kMedAkñúgxøÜnx<s; b¤k¾ksikrminpþl;cMNIRKb;RKan;

Büa)al³emRCUkRtUvedIrRtUvpþl; bEnøBN’ébtglaycMNICamYyeRbg)a:ra:hVIn



rlake)aøkenamGacsmÁal;eXIjenAeBlEdlTwkenamcugeRkaymanlayxÞúH.

eyIgeXIjtMNk;TwkBN’senACab;eyanI b¤enAelIkMralRTugxageRkayemRCUk.

PaKeRcInemRCUkemIleTAmansuxPaBl¥b:uEnþvaRtUvBüa)alCacaM)ac;edaycak; b¤laykñúg cMNInUvRTIemtURBIm (Trimetoprim) CamYys‘ulhaV (Sulfa)

ry³eBl 5 eTA7éf¶

RtUvc,as;fa emRCUkGacpwkTwkRKb;RKan;

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2>kUnRCUkeRcInekItrs;2>1 karerobcMbegáItkUn)anl¥

• edIm,ICYyemRCUk eBlekItkUn vacaM)ac;kñúgkarKitéf¶ExekIt³ 114éf¶• naMemRCUkeTARTug b¤kEnøgekItkUnya:gtic

1s)aþh_muneBlekItkUnedIm,I[emsauMnwgTIkEnøg• sm¥atemRCUkCamYysab‘U muneBlpøas;eTAkan;RTugb¤kEnøgekItkUn

• RTug b¤kEnøgekItkUnRtUvEts¥at nig)aj;fñaMrm¶ab;emeraK.• caM)ac; RtUvmanRTugsRmab;begáItkUn



•emRCUk 1GaTitümuneBlekItkUn³ emRCUkkñúgsßanPaBl¥ RTugs¶at;es¶om s¥at nigmanGnam½y

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• karpþl;cMNImincaM)ac; bBaÄb;karpþl;cMNIeTAemRCUkmuneBlekIt. bnßykarpþl;cMNI muneBlekItkUn 2éf¶ b:uEnþ

minRtUvbnßymunry³eBlenHeT eRBaHGac[emRCUkekþón.• karpþl;TwkRtUvc,as;fa emRCUkGacpwkTwkRKb;RKan;. éf¶cugeRkaymuneBlekItkUn emRCUkGs;kmøaMg

nigCYnkalx¢ilQrpwkTwk ehIyRtUvCYyva[pwkTwkya:gtic 30-35 lIRtkñúg1éf¶.• karQredIm,IkarBarekþón rlake)aøkenam rlakEs,k>>>>>emRCUkRtUvQr 4-5dgkñúg 1éf¶ ehIyRbsin

caM)ac;RtUvCYyva.



TwkRKb;RKan; cMNIRKb;RKan;

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bBaðaEdlstVCYbRbTH dUcCaekþAxøÜn nigminsIucMNI• BinitüsItuNðPaBemRCUk enAeBlRBwk¬KW39GgSaes¦. RbsinebIsItuNðPaBx<s;CagenH RtUvBinitü³1- emIléf¶ekIt edIm,IR)akdfaemRCUkekItkUnminyWt2- emIlfaetIemRCUkmanhUrxÞúHecjtameyanI eRBaHGacmankUnRCUkxøHgab;kñúgeBaH3-emIlelIkarpwkTwkrbs;emRCUk Rbsinvapwkmin)anRKb;RKan; vanwgkarrlake)øakenam.

ykl¥RtUvcak;Gg;Tib‘Íy:UTic ¬RTIemtURBIm-s‘ulhaV¦ry³eBl 3-5éf¶ edIm,IkarBarbBaðaF¶n;F¶r. • RbsinebIrgcaMrhUtdl; 116éf¶ehIy RCUkenAEtminekItkUneTot ¬RtUvR)akdfarab;cMnYnéf¶)anRtwmRtUv¦

RtUvcak; PGF ¬RbUsaþKøg;DInmandUcCa s‘uyRbUs b¤dINUlITic¦ CYyebIkks,Ún nigCMruj[ekItkUn kñúgry³eBl 12em:agbnÞab;.



BinitüsItuNðPaBmuneBlekItkUn • RbsinekItkUnyWt cak;fñaMebIks,Ún

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2>kUnRCUkeRcInekItrs;

2>2 kMNt;sBaØabgðajBIkarekItkUn10 éf¶munekIt³ RkeBjedaHrIkFM ehIyrwg


2>kUnRCUkeRcInekItrs;2>2 kMNt;sBaØabgðajBIkarekItkUn

10 éf¶munekIt³ EKmeyanIeLIgehIm• eyanI 10éf¶muneBlekIt• eyanIFm μta

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2>2 kMNt;sBaØabgðajBIkarekItkUn8-12 ema:gmuneBlekIt³ ecjTwkedaH



2>2 kMNt;sBaØabgðajBIkarekItkUn

• 30 eTA90naTImuneBlekItkUn³ manhUrecjTwkePøaH

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2>kUnRCUkeRcInekItrs;2>3 karekItkUnFmμta

30 eTA90naTIbnÞab;BIhUrecjTwkePøaH³• kUnRCUkTI1ekIt• kUnRCUkekItbnþbnÞab;KñaBIkUnRCUk1 eTAmYyeTotkñúgry³eBl 15naTI ehIyyUrbMput

30naTI.• ry³eBlsrubénkarekItkUnERbRbYl GaRs½ycMnYnkUnkñúg 1sMbuk

b:uEnþCaFm μtakarekItkUn manry³eBlticCag 2ema:gknøH.• CaTUeTA sukFaøk; 2-4ema:gbnÞab;BIkUnRCUkcugeRkayekItrYc • enAeBlekItrYcral;ehIy RtUvcak;GuksIutuksIun 2esestamsac;duMedIm,ITmøak;suk


2>kUnRCUkeRcInekItrs;2>3 karekItkUnFmμta• kUnRCUkekItdMbUg

28





29





• kUnRCUkekItedayecjknÞúymkmun

30


2>kUnRCUkeRcInekItrs;2>3 karekItkUnFmμta• kUnRCUkTI2ekIt15naTIeRkay • kUnRCUkekItbnþeTot


2>kUnRCUkeRcInrs;eRkayeBlekIt2>3 karekItkUnFmμta

• sukFøak; • cak;GuksIutuksIun

31


2>kUnRCUkeRcInrs;eRkayeBlekIt2>4 karCYybegáItkUn

kMNt;bBaðamuneBlekIt• epImelIsdl; 116éf¶ ¬karepImFmμtamanry³eBl 114éf¶ ¦• emRCUkminsIucMNI ehIyeLIgkMedA ¬FmμtaemRCUkminsuIcMNImYyéf¶munkarekIt ehIykMedAkúñgxøÜnemRCUkeBl

RBwk 38/5 GgSares¦• TwkePøaH mankøins¥úy• EPñkemRCUkeLIgRkhmbBaðaenH GacbNþalmkBIkUnRCUkgab; b¤ekItminrYc nigkarcab;epþImqøgemeraK. RbsinemRCUkmankMedA 41GgSaes minsIucMNIkñúgry³eBl 2-3éf¶ nigTWkePøaHmankøins¥úy³- RtUvcak;RbUsaþKøg;DIn (Prostaglandin) dUcCas‘uyRbUs (Suiprost) b¤ dINUlITic (Dinolytic) eFVI[kUnekIt- RtUvcak;Gg;Tib‘Íy:UTic dUcCa Gg;r:UhøúksasIun (Enrofloxacine) b¤etRtasIuKøIn (Tetracycline)

- enAeBlks,ÚnebIk lUkédTajkUnRCUkgab;



• kUnRCUkekItgab;• TwkrMGilQamminRbRktI

32



kMNt;bBaðaeBlekIt• cenøaHeBlekItkUnBImYyeTAmYyelIs 40naTI ehIyemRCUkenAEtmaneBaHFM• Gs;kmøaMgbnÞab;BIvaRbwgekItkUnyUrxusFm μta• emRCUkmuxRseBan ehIydkdegðImjab;/ exSay• EPñkeLIgRkhmbBaðaenH GacbNþalmkBI³• s,ÚnminkRnþak;³ cak;GuksIutuksIun 1eses ehIyrg;caM 10naTI • TItaMgrbs;kUnRCUkxusFmμta³ RtUvlUkédTajbgVilkUnRCUk[cMTItaMgvij• kUnRCUkFM³ CYyTajkUnRCUk ¬cMNaM³ ekþón b¤e)øakenameBjedayTwkenam Bi)akkñúgkarTajkUn¦



viFICYyseRgÁaH• sm¥ateyanI nigrn§KUf• RtUvkat;Rkckéd[xøI• lagédCamYynwgsab‘U niglabeRbgrMGil ¬eRbgqa¦• RbGb;édEdllUkcUlRtUvmanragRsYcdUcsaCI• RtUvlUkédcUlfñm²tampÚøÚvbnþBUC • lUkédqøgkat;q¥wgRtKakrhUtd;l;s,Ún• kMNt;buBVehtuEdlbgá[manbBaða³

1- TItaMgkUnxusFm μta2- kUnRCUkFMeBk

RtUvRRbugby½tñkuM[dac;Pñass,Ún b¤srésQamkñúgeyanIRbsinebIeyIglUkédcUlkñúgs,ÚnemRCUk cak;Gg;TIb‘Iy:UTic ya;gtic 3éf¶-cMNaM³ munlUk RtUvc,as;faédrbs;eyIgK μandMe)A.

33





• sÞHRtg;saμ³ TajeCIg[Rtg;eTAmuxedaymin[dac;;s,ÚneLIy

• KUfecjmun³ ykExSf<k;Knøak;eCIgxageRkayedayeRbIcg¥úléd ehIyTajeCIg[Rtg;

34



kUnRCUkFMeBk

• lUkédcab;Tajk,al

kUnRCUkFMeBk

• eRbIExSTak;k



• sukminFøak;

RbsinebI 2-3ema:geRkayeBlkarekItkUnrYcral;ehIy sukenAEtminFøak;; cak;GuksIutuksIun 2eses

viFIdwgfa kUnRCUkekItGs;³

- emRCUkenAes¶óm

- emRCUkminRbwgekIt¼kRnþak;

- kUnRCUkcab;epþImrt;rkem- emRCUk]sSah_eRkakQr nigpwkTwkCakarl¥ RtUvcak;GuksIutuksIun 2eses enAeBlvaekItkUnGs; edIm,ICYysm¥ats,Ún

35



Rsuts,Ún³ CYnkal bnÞab;BIekItkUnrYc emRCUkkRnþak; rujs,ÚnecjeRkA³

• cak;GaNahSaMg (Analgine) b¤kama:sIun(Calmagine) edIm,IbnßykarkRnþak;

• sm¥atva CamYyTwkekþAGun²• rujs,ÚncUlkñúgvijyWt nigedayRbugRbytñ½• edreyanICamYyExSGMe)aHminrlay• cak;Gg;TIb‘Íy:UTic ¬RTIemtURBIm (Trimetoprim)

CamYys‘ulhVa (Sulfa) ¦• kat;GMe)aHecj 3éf¶bnÞab;


2>kUnRCUkeRcInrs;eRkayeBlekIt2>5 karCYykUnRCUkEdleTIbekIt

• enAeBlkUnRCUkekIt RtUvsm¥atTwkrMGilBIrn§RcmuH nigmat; edIm,I[vadkdegðImRsYl. CUtsm¥atkUnRCUk[s¶Üt.

36



kUnRCUkruMkñúgsuk• CYnkal kUnRCUkcugeRkayRtUv

ruMCab;kñúgsuk. kUnRCUkenH nwgfb;degIðm.

• RtUvCYyCabnÞan; yksukecjBICuMvijkUnRCUk nigCYy[kUnRCUkdkdegðIm


karBinitüTgp©it• Cajwkjab; Tgp©itenAEtCab;CamYynwgemRCUkCaeRcInnaTI. RbsinebIvamindac;

edayxøÜnÉgeT eyIgRtUvTajrhUtdl;vadac;ecjBIem. • kUnRCUkCYnkalekItmkmanhUrQam b¤kkQamenATgp©itedayxøÜnÉg.• CYnkal eyIgRbQmmuxnwgkarhUrQammindac;BIp©wtkñúgkMLúgeBl 3

eTA4ema:gbnÞab;BIekIt.• RtUvRClk;Tgp©it CamYyTwkGIuy:UdIn• RbsinmanQamhUr RtUvcgTgp©wtbnÞab;BIsmøab;emeraKCamYyTwkGIuy:UdInrYc


37



• karRClk;Tgp©itkñúgTwkGIuy:UtDIn • karcgTgp©it



karBarkarsgát;kUneTIbekIt• kñúgkMLúgeBlekItkUnemRCUk Etg

EteRkakQr dUcenHRtUv[kUnRCUkenAq¶ayBIemRCUk edIm,IkarBarkarsgát;. emRCUkgaynwgsgát;kUn eTIbnwgekIt.

• karBarkUnRCUkeTIbekItkuM[gab; caM)ac;Nas; RtUvemIlkarxusRtUveBlekIt nig CaBiess2-3 ema:gbnÞab;BIekIt.

38


3>kUnRCUkkan;EteRcInGacrs;eRkayry³eBl 3éf¶3>1 sar³sMxan;énry³eBl 3éf¶dMbUg

• 3 éf¶dMbUgmansar³sMxan;Nas;kñúgkarRKb;RKgkUnRCUk eRBaHCag 50PaKryénkUnRCUkgab;ekItmaneLIgkñúgry³eBl 3éf¶enH. karRKb;RKgkUnRCUk)anl¥kñúgkM:LúgeBlenH

nwgbegáInplitkm μkUnRCUk.• karEfrkSakUnRCUk)anRtwmRtUvkñúgry³eBl 3éf¶dMbUg nwgeFVI[vamansuxPaBl¥ kñúgeBlbMe)A

nigkarBar bBaðaxøH eRkayeBlpþac;edaHkare)ATwkedaHdMbUg eFVI[kUnRCUkmanPaBsauM mansmtßPaBTb;Tl;nwgemeraK enAeBlpþac;edaH.

• karEfTaMl¥ nwgeFVI[emRCUksMbUrTwkedaHTb;sáat;GRtagab; kñúgry³eBl 3éf¶dMbUg nigeFVI[cMnYnkUnRCUkrs;eRcInkñúgsMbuk. kUnRCUkya:gtic 6k,alEdlCacMnYn caM)ac;sRmab;ePJacTwkedaH


3>kUnRCUkkan;EteRcInGacrs;eRkayry³eBl 3éf¶3>2 karEfTaMkUnRCUkCaBiess

CMrujkare)AedaHdMbUg

• TwkedaHdMbUg ¬kULÚsRsþÚm¦ CaTwkedaHEdlplitdMbUgedayemRCUk kñúgkMLúgeBl nig1éf¶eRkayeBlekIt

TwkedaHdMbUgenH sm,ÚredayfamBl nigGacpþl;cMeBaHkUnRCUkEdlxVHeRkayeBlekIt. kgVHfamBl eFVI[kUnRCUkexSay sItuNðPaBkñúgxøÜnfycuH bnÞab;mkraK ehIysaøb;.

TwkedaHdMbUgenH sm,ÚrGg;TIkr EdlkarBarkUnRCUkkñúgry³eBl 1GaTitüdMbUg

• CakarcaM)ac; RtUvBinitüfa emRCUkplitTwkedaHdMbUgRKb;RKan;

• CakarcaM)ac; RtUvCYykUnRCUkEdlexSay [e)ATwkedaHdMbUgeRkayeBlvaekIt)an 1em:ag

39



• kUnRCUkBüayamrkk,aledaHe)APøambnÞab;BIekIt

• CYykUnRCUk[e)AedaH



• rebobl¥ kñúgkarEfTaMkUnRCUk³ RKYsarenHGgÁúyCitemRCUk nigCYykUnRCUk[e)ATwkedaHdMbUgnigkarBarkarsgát;kUn

40



eFVI[mankemþAdl;kUnRCUk³ erobcMsMbuk• sMbuk KWsMxan;kñúgkMLúgeBléf¶dMbUgénCIvit³eKalbMNgKW³• pþl;kEnøgmansuvtßiPaBsRmab;edk³ CaBiesseRbILaMg edIm,IkuM[emkin. • pþl;kEnøgkk;ekþA sRmab;edk

- enAeBlEdlkUnRCUkrga skmμPaBbBa¢ÚncMNIrbs; eBaHevonmansPaByWt eFVI[emeraKGIukUlI rIklUtlas; ehIyeFVI[kUnRCUkraK- eCosvagkuM[kUnRCUk)at;bg;famBl nigexSay³ kUnRCUk nwgeRbIR)as;cMNIedIm,IrkSakMedAxøÜn minEmnsRmab;karlUtlas;

sMbukRtUvs¶Üt s¥at nigkk;ekþA³ kMueRbIsmÖar³RkxVk; RkNat;cas;dak;CakMralsMbuk eRBaH GIukUlI GaclUtlas; nigrs;ranmanCIvit. RtUvsmøab;emeraKkñúgsMbukCaRbcaM.



• karerobcMsMbuktamTmøab;

41


3>kUnRCUkkan;EteRcInGacrs;eRkayry³eBl 3éf¶3>3 karBar nigBüa)almUlehtubNþal[gab;

• raK³ karraK 3éf¶dMbUgrbs;kUnRCUk bNaþal[vaxVHCatiTwk niggab; dUecñHRtUvBüa)alCabnÞan;



karBar nigBüa)alraK³

mUlehtumYyKW³

• TwkedaHemRCUkmanemeraK GIukUlI³

ekþónmuneBlekIt lasedaH¬edaHeLIgrwgRkhm ehIyQW¦ kEnøgrs;enARkxVk;Gac[TwkedaHgay qøgGIukUlInigeFVI[kUnRCUkraKxøaMg

sMxan;RtUvkarBarkuM[emRCUkekþón³ pþl;bEnøébtg[sIumuneBlekIt

sMxan;RtUvBüa)alCMgWlasedaH³ emIlsItuNðPaBemRCUkmuneBlekIt ¬38/5 GgSaes eTA 39 GgSaes eBlRBwk¦nigBinitüemIlkenSamedaHrwg. RbsinkemþAeLIgx<s; ehIykenSamedaHrwg cak;RTIemtURBIm (Trimetoprim)

÷s‘ulhaV (Sulfa). RbkarTaMgenHRbugRbyt½ñeRkayeBlvaekItkUnrYc.

42



kenSamedaHl¥ CamYykUnRCUkmansuxPaBl¥ kenSamedaHminl¥



karBar nigBüa)alraK³mUlehtumYyeTotKW³• sItuNðPaBRtCak; nigekþAhYtEhg³eBlRtCak; eBaHkUnRCUkRtCak; ehIykarbBa¢ÚncMNIrbs;eBaHeronmansPaByWt. emeraK

GWukUlIman»kasrIklUtlas; nigeFVI[kUnRCUkraK. caM)ac;RtUvdwgfaeBlNakUnRCUkRtCak; ¬kUnRCUkpþúMKñaenARCugmçagénRTug¦caM)ac;RtUvRTugRtUvs¶ÜtcaM)ac;RtUverobcMsMbukEdlmansItuNðPaBsmRsb ¬30 GgSaes¦ CaBiessenAeBlyb;caM)ac;RtUvkarBarRTugekIt ¬)aMgCBa¢aMg¦ kuM[CHkemþAcUlxøaMg

43



• kUnRCUkRtCak; • kUnRCUkmanPaBkk;ekþA



karBar nigBüa)alraK³

mUlehtumYyeTotKW³

• karcmøgedaykUnRCUkQW Edlrs;enARTugCitxag b¤edaymnusSEdlmanEs,keCIgRbLak;lamkraK

kUnRCUkGayu 2GaTitü GacraK b:uEnþmingab;eT. RbsinebI BYkvaTaMgenH)anb:HBal; b¤rs;enAlayLMCamYykUnRCUkfμIeTIbekItfμI BYkvanwgcmøgeTAkUnRCUkeTIbekIt eRBaHkUnRCUkeTIbekItmansPaBexSayCag.

mnusSeyIgGacBaMnaMemeraK GIukUlItamEs,keCIg enAeBlcUlkñugRTugEdlmanCm¶WraK ehIybnÞab;mkKat;cUlRTugepSgeTotEdlmankUnRCUkeTIbekItfμI.

sMxan;RtUveCosvag dak;kUnRCUkciBa©wmlayLMKña ¬kUnRCUksMbuk b¤RTugepSgKña¦.

ksikr b¤Pñak;garsuxPaBstVPUmi caM)ac;RtUvedaHEs,keCIgmuneBlcUlkñúgRTugkUnRCUkeTIbekItfμI.

44



• karBar nigBüa)alraK³• RtUvBüa)alCMgWraK CabnÞan;³ ebImindUecñaHeT 2-3em:ageRkaymk kUnRCUkraKnwgexSaHCatiTwk

ehIyBi)akCYyseRgaH .• enAeBleXIj kUnRCUk 1 b¤ 2manCMgWraKenAkñúgRTug RtUvBüa)alkUnRCUkTaMgGs;kñúgsMbuk• enAeBlkUnRCUkeTIbekIt manCm¶WraK vasMxan;Nas; RtUvBinitüemRCUk ¬sItuNðPaB sßanPaBkenSamedaH

karplitTwkedaH>>>>>>¦ Cajwkjab;TwkedaH KWCamUlehtuénkarcmøgemeraKkarBüa)al³

• kUnRCUk³ cak;Gg;Tib‘Íy:UTic RbqaMgnwgemeraK GIukUlI ¬kUlIsÞIn (Colistin) KWCaGg;Tib‘Íy:Uticd¾sMxan;¦kUlIsÞIn (Colistin) Cajwkjab;rYmpSMCamYy eb:nIsIulIn (Ampicillin): ¬b‘Íy:UkUlIsÞIn (Biocolistine),

GMBIdicsaeLan (Ampidexalone) >>>¦ RtUvcak;eBlRBWk nig l¶ac rhUtdl;CasHes,Iy. RbsinebIGacRtUvbRBa¢k kUlIsÞIn (Colistin) tammat;.

BinitükUnRCUkfaminRtCak;• emRCUk³ cak;RTIemtURBIm (Trimetoprim) ÷s‘ulhaV (Sulfa) mYyéf¶mþg ry³eBl 3éf¶


3>kUnRCUkkan;EteRcInGacrs;eRkayry³eBl 3éf¶3>4 karRKb;RKgemRCUk)anl¥

• Fanakarpþl;TwkedaH³ karBar nigBüa)alCMgWrlaks,Ún rlakkenSamedaH nigKμanTwkedaHCMgWrlaks,Ún rlakkenSamedaH nigKμanTwkedaH KWCabBaðaF¶n;F¶r³ bnñab;BIekItkUn emRCUkKμanTwkedaHdMbUg KμanTwkedaH.

kenSamedaHeLIgrwg emRCUkekþAxøÜn enAeBlRc)ac;kenSamedaH vaK μanTwkedaH ¬sUm,IEtTwkedaH 2-3 dMNk;k¾Kμan¦.

kUnRCUkminGace)A eFVi[BYkva)at;bg;famBlya:gqab;rh½s kUnRCUkcab;epþImrga ehIygab;kñúgry³eBl 1 b¤ 2éf¶.

karBüa)alRtUveFVIeLIgCabnÞan;. minRtUvbEg¥bg¥n;eLIy¡

1> cak; 0>5 eses GuksIutuksIun (Ocytocine) tamsrésQam ¬srésEv:nRtecok¦ ehIyTwkedaHecj 2-3 vinaTIeRkayGñkRtUvdak;kUnRCUk [e)ACabnÞan;. cak; 3dgkñúg 1éf¶.

2> cak;Gg;Tib‘Íy:Utic³ RTIemtURBIm (Trimetoprim) ÷s‘ulhaV (Sulfa) ry³eBl5éf¶

3> cak;dicsaemtasUn (Dexamethasone) ebIkenSamedaHrwg

4> cak;fñaMbBa©úHkemþA ebIsItuNðPaBkñúgxøÜnekInelIsBI 40GgSares

45



• CMgWrlaks,Ún rlakkenSamedaH nigKμanTwkedaH³KμanTwkedaHeBlBinitüemIlkenSamedaH

karcak;GuksIutuksIuntamsrésQam



• karBarkarsgát;kUnedayemRCUkkarsgát;kUn KWCamUlehtusMxan;bgá[gab;enAéf¶ekItdMbUg ehIyGackarBar)an³• ekItkUnkñúgRTugsmrmü• kUnRCUkxøaMg RbsinebIBYkvamin)at;bg;famBleT³ karBarPaBRtCak; ¬RtUvmansMbukRtwmRtUv¦

nig[kUnRCUke)ATwkedaHdMbUg• karBarkarTn;eCIgrbs;emRCUkedaypþl;vItamInGW nigeselnIj:Um (Vit E+ Selenium) kMLúgeBl

3GaTitümuneBlekIt • Büa)alenAeBlemRCUkmanbBaðaeCIg edIm,IeCosvagkaredIrminrYc

46



• karRbQmnwgkarsgát;kUn • karsgát;kUn



RTugRtwmRtUv ¬EbbRbéBNI¦ RTugRtwmRtUv ¬TMenIb¦

47


4>karkat;bnßyGRtasøab;kMLúgeBle)AedaH4>1 karRKb;RKgsuxPaBkUnRCUk

• karkat;eFμj- karBarkMu[manrbYseBlkUnRCUkxaMKña- karBarkarxaMedaHenAeBlkUnRCUke)A

sMxan;RtUvykcitþTukdak;eBlkat; minRtUv[b:HBal;GBa¢ajRtUveRbIRbdab;kat;eF μj[smRsbRtUveFVIkarrm¶ab;emeraKelI]bkrN¾kat;eFμjvamansuvtßiPaB nigmanRbsiT§iPaB kñúgkarkat;eF μjBak;kNþalkargarenH RtUveFVImuneBlkUnRCUkGayu)an 3éf¶



karrm¶ab;emeraKedayTwkGIuy:Ut bec©keTskñúgkarkat;eFμj

48



karkat;knÞúy

• CYykat;bnßykarxaMknÞúy nigkarqøgemeraKenAeBlkUnRCUkGayueRcIn

• RtUvRbjab;kat;knÞúyecal Bak;kNþal eTA3¼4 ehIylabTwkGiuy:UdInenAcugknÞúyenaH

• rm¶ab;emeraKelIkaMbitvHCamYyTwkGiuy:UdIn• labTwkGiuy:UdInRtg;knÞúyEdlRtUvkat;• karkat;knÞúuyenHRtUveFVI

muneBlkUnRCUkGayu)an 3éf¶



karcak;Gam:uksIulIn (Amoxicilline)

• p©it/ knÞúykat;/ eFμjkat; nigsøaksñamCggÁ; KW CapøÚvcmøgemeraK CaBiessBBYkRsþibtUkUkus

• eRkayBIekIt)an 24 em:ag RtUvcak;Gam:uksIulInmanskmμPaByUr (Amoxicilline LA.) 0>5 eses CYykUnRCUkRbqaMgkarqøgemeraKsRmab; CivitfμIrbs;BYkeK

• karqøgemeraKtamp©itnwgeFVI[manbBaðaEG‘knIcMeBaHkUn RCUkeRkaypþac;edaH

søaksñamCgÁg; ¬kMralminsmRsb¦

49



; karqøgemeraKtamp©it³ nwgeFVI[manbBaðaEG‘knIcMeBaHkUn RCUkeRkaypþac;edaH



karcak;CatiEdk• CatiEdkbMrug cMeBaHkUnRCUkekItmkPøammankMrit

• TwkedaHminGacpþl; CatiEdkdl;kUnRCUk[)anRKb;RKan;eT

• karxVHCatiEdk eFVI[kUnRCUkxVHQamEdlbNþal[kUnRCUkminsUvsIucMNI nigminsUvlUtlas;

• CatiEdkbEnßm RtUvcak;enAsac;duMRtg;kenAéf¶TI2 bnÞab; vaekIt nigcak;mþgeTot 7eTA 10éf¶bnaÞb;

• kMriteRbIR)as;KW 100mIlIRkamsRmab;kUnRCUkmYyk,al. GaRs½y eTAtamkMriténkareRbIfñaM CaTUeTAeKeRbI 1eses

50



kuksIudüÚsIus• kuksIudüÚsIus bgá[kUnRCUkraKenAGayu 7 eTA 15éf¶

• karraKenH manlkçN³Fmμta b:uEnþvaBi)akBüa)alNas;

• vaminbgá[søab; b:uEnþvaeFVIkUnRCUkcuHTm¶n;eBlpþac;edaHnigmanRTg;RTayminl¥.

• karkarBad¾manRbsiT§iPaBKWpþl; tulRtas‘arIlToltrazuril ¬Gg;Tikuk (Anticoc) b¤ebkuk(Baycox) ¦ 1eses

• karBüa)al KWCakarkarBarEtmYyKt; nigRtUveFVI3éf¶bnÞab;BIekIt



karGnuvtþd¾l¥sRmab;kareRkov• kareRkovEdll¥ RtUveFVIenAeBlkUnRCUk)anGayuRbEhl 7-10éf¶. • muneBleRkov RtUvc,as;fa kUnRCUkKμanEG‘knI ¬karehImxusRbRktIénBgsVas¦.

RbsinebiGñksgS½yfaRCUkmanEG‘knI kuMeRkovva. • eRbIkaMbiteRkovRsYc¬mut¦ eFVIkarvHbBaÄrelIEs,kBgsVasRtg;cMNuckNaþal ¬vHmçagmþg¦.

Rc)ac;BgsVas[ecjeRkA rYckat;bMBg;tP¢ab;mkBgsVas. kat;bMBg;tP¢ab;mkBgsVas[xøI. • )aj;lagTwkGIuy:Utkñúgrn§enaH• kareRkovPøam GaceFVI[kUnRCUkehIm 2-3éf¶ ehIyRskmkvij

51



• BgsVasFm μta • BgsVasEdlekItEG‘knI



• lagsm¥atemeraKkaMbitvHCamYyTwkGIuy:UtdIn • kareRkov

52



• sMlakFmμta • sMlakqøgemeraK


4>karkat;bnßyGRtasøab;kMLúgeBle)AedaH4>2 karBüa)alCm¶WF¶n;F¶r

• Cm¶WF¶n;F¶r KWCaCm¶WeFVI[kUnRCUkgab; kñúgry³eBl 2-3ema:g

• enAeBlvagab;elOn eyIgminGaceXIjeraKsBaØa nigminGaceXIjsøaksñamenAeBleyIgeFVIkarvHkat;

• vaBi)akkñúgkarBüa)alNas;edaysar enAeBlkUnRCUkcab;epþImQW BYkvagab;PøamehIyGg;Tib‘Íy:UTicKμanRbsiT§iPaBeT.

• vacaM)ac;Nas; kñúgkarBinitükUnRCUkdéTeTotkñúgsMbuk edIm,IkMNt;eraKsBaØa ¬raK/ Qwsnøak;éd eCIg/ Bi)akdkdegðIm>>>>¦ ehIyeRCIserIskarBüa)al

• cak;fñaM[RKb;kUnRCUk eRBaHCm¶WTaMgenH GacsayPayelOnBIkUnRCUkmYy eTAkUnRCUkmYyeTot

karkarBard¾l¥bMput KWRtYtBinitüfakUnRCUk)ane)ATwkedaHdMbUgeRcIn. TwkedaHdMbUgGackarBarkUnRCUkRbqaMgnwgCm¶W.

53



Cm¶WbgáeLIgedayBYkRsþibtUkukkus• kUnRCUkxøH gab;PøamedayminbgðajeraKsBaØa• kUnRCUkxøHeTot BikareCIg ¬mYy b¤eCIgeRcIn¦ edaymanehImsnøak; karkarBar¬bgáar¦³• BinitüelIkarehImsnøak;rbs;kUnRCUk ehIyduslagk,alCgÁg; eCIg b¤knÞúy.• Binitümat;kUnRCUk edIm,I[eXIjfaBYkvaK μandMe)A eRkayBIkarkat;eFμj• cak; 0>5 esesGamu:ksIulInmanskm μPaByYr 24em:agbnÞab;BIekItkarBüa)al³• eRbIGamu:ksIulInry³eBl 5éf¶ layCamYyLaMgkUmIsIun RbsinCamankarehImsnøak;xøaMg• K½rTIsUn b¤fñaMRbqaMgkarrlakepSgeTot ¬dUcCatulehVdIn (Tolfedine) ¦ GacmanRbsiT§iPaB. RbugRbytñ½

elIkMriteRbIR)as;. fñaMTaMgenH cak;Etmþg.



karraKemeraKsMxan;EdleFVI[raK KWBYk GW kUlI nigkøÚsRTIya: ¬RbsinebIraKQam¦karraKekItmanelIkUnRCUk kMBuge)AedaHRKb;Gayu EtvamancenøaHeBlBIrsMxan; KWmuneBlkUnRCUk Gayu5éf¶

¬KuNPaBTwkedaHGn; kUnRCUkrga¦ nigenAcenaøHGayuBI 7 eTA14éf¶¬kUnRCUkmin)ankarBaredayTwkedaHdMbUgeToteT¦.

eraKsBaØaEtmYyKt;EdlemiIleXIj KWkUnRCUkgab;Es,kenACuMvijrn§KUf nigknÞúyesIm. emIlCuMvijRTug edIm,IemIlsPaBénkarraKkarBüa)al³cak;Gg;Tib‘Íy:UTic³ kUlIsÞIn (Colistin) ÷ GMBIsIulIn (Ampicillin) cak; 2dgkñúg 1éf¶rhUtdl;Ca cak;;CabnÞan; eRkayeXIjraK cak;RKb;kUnRCUkkñúgRTuglagsm¥atRTug nigTukkUnRCUkenAkEnøgkk;ekþABüa)alemRCUk RbsinebIcaM)ac;³ RTIemtURBIm (Trimetoprim) ÷ s‘ulhaV (Sulfa) ry³eBl 3éf¶

54


4>karkat;bnßyGRtasøab;kMLúgeBle)AedaH4>2 karBüa)alCm¶WF¶n;F¶rCm¶WpøÚvdegðIm¼ k¥kGaTI)ak;sIuLÚs (Actinobacillus) / Cm¶WKøaes (Glasser)

• kargab;Pøam ebIeTaHCaRCUkemIleTAmansuxPaBl¥k¾eday rYmmankargab; 1b¤ 2 sMbuk nig 1 b¤2k,alkñúg1 sMbuk. kñúgkrNIminF¶n;F¶r RCUkRKunekþAxøaMg k¥k nigrlaksYt ¬Bi)akdkdegðIm¦

karBüa)al³RtUvcab;epþImBüa)alCabnÞan; cak;fñaM[kUnRCUkTaMgGs; eRBaHCm¶WpøÚvdegðIm GacsayPayya:ggayRsYlBIkUnRCUkmYyeTAkUnRCUkmYyeTotcak;Gg;Tib‘Íy:Utic³ Gg;rUhøúksasIun (Enrofloxacine), hørehVnIkul (Florfenicol), süamepnIkul(Thiamfenicol) ÷ etRtasIuKøIn (Tetracycline)

sRmab;Cm¶WpøÚvdegðIm cak;kRmiteTVdgenAéf¶TI1


4>karkat;bnßyGRtasøab;kMLúgeBle)AedaH4>3 karRbQmmuxnwgkarsøab;emRCUkeBlbMe)AedaH

etIRtUvCYykUnRCUkdUcemþc enAeBlemRCUksøab;?• RbsinebIkUnRCUk )ane)ATwkedaHdMbUgehIy »kasrs;manx<s;

eRBaHTwkedaHdMbUgCYykarBarkUnRCUkRbqaMgnwgemeraK. • rkSakUnRCUk[kk;ekþA³ emRCUkKWCaRbPBénPaBkk;ekþAcMeBaHkUn BüayamrkSakemþABI 27 eTA30 GgSar. • pþl;cMNI[kUnRCUk³ GñkGaceRbITwkedaHeKaCMnYs b:uEnþRbsinebIK μanTwkedaHeKaeT GacerobcM³ 200mIlIlIRt

TwkedaHeKaxab; 400mIlIlIRt Twk s‘utelOg1 nigeRbgqaknøHsøabRBa)aykemþATwkedaHeKa[mansItuNðPaB es μInwgsItuNðPaBdgxøÜn ¬éf¶dMbUg¦ nigpþl;[kUnRCUkerogral; 3-4 ema:gCamYysWraMug2-3 éf¶bnÞab; kUnRCUkGacpwknwgkUncanenAeBlkUnRCUk)anGayu 10-12éf¶ RtUvcab;epþIm[cMNIrwgva

TwkedaHeKa minl¥sRmab;kUnRCUkekItPøameT eRBaHvaBi)akrMlay

55


4>karkat;bnßyGRtasøab;kMLúgeBle)AedaH4>3 karRbQmmuxnwgkarsøab;emRCUkeBlbMe)AedaH

• pþl;cMNItamsWrauMg • bgðat;[pwkkñúgcan


4> kar)at;bg;kUnRCUkkan;EtticenAkMLúgeBle)AedaH4>3 karRbQmmuxnwgkarsøab;emRCUkeBlbMe)AedaH

karhUrQam• emRCUkGacsøab;)anenAeBlekItkUnxN³eBlEdlmankarhUrQamecjBIsésQamenAkñúgs,Ún. karelc

eLIgenAeraKsBaØaxVHQam ¬Es,k GBa©aj nig RtbkEPñkeLIgesøk¦ vasbBa¢ak;favamankarhYrQamenAxagkñúg. eTaHbICay:agNak¾edaykarhUrQamenHGacnwgminbgðajeGayeXIjmuneBlEdlemRCUkgab;eT.

• karbgáaRtUvmankarRbugRbytñ½eBlEdleyIglUkédcUleTAkñúgs,ÚnedayeRbIédenaHRtUvkat;Rkckéd nig eRbIeRbg ehIy

TajkUnRCUkecjedayfμm².

56


4> kar)at;bg;kUnRCUkkan;EtticenAkMLúgeBle)AedaH4>3 karRbQmmuxnwgkarsøab;emRCUkeBlbMe)AedaH

karRtkYjeBaHevon nig RkBH• karrmYlrbs;RkBH rW eBaHevontUcvaKWCabBaðacMbgmYyEdlbNaþleGaymankarsøab;enAeBleBjvy½.• brimaNcMNIy:ageRcInEdl)ansIuenAeBlbMe)AedaH nwgRtUv )anerobcMTukCamun.• karbgðajsBaaØPøam²EdlrYmmankarehImeBaH b:uEnþCaTUeTAeKeXIjemRCUk)ansøab;eTIbdwgfaeBaHevon rWRkBH

rbs;vaRtkYjcUlKña.• karsøab;bNþalBIRkBHeLIgrwgehIyrmYlEdlekItmanCaTUeTAenAeBlEdlstV)ansIucMnI)an 2-3em:agmk.• karkarBar³ eGayRCUksIu3dgkñúgmYyéf¶ CalT§plbgðajfavamankarRbQmuxnwgeRKaHfñak;dl;søab;TabCag

kareGayRCUksIu 2dg kñúgmYyéf¶.• CakarBit vaKμanfñaMBüa)alvaeT.


4> kat;bnßyGRtasøab;eBle)AedaH4>1> bgáakarsøab;rbs;emRCUk

suk rW kUnRCUkgab;minFøak;mkeRkA• karminFøak;ecjmkeRkArbs;suk rW kUnRCUkEdlgab;GacbNþaleGaymanPaBsμúks μajxøaMg edayeFVIeGayRCUkgab; rW

bBaØaepSgeTot.• eBlxøHsukFøak;enAkMLúgeBlekItkUn b:uEnþPaKeRcInvanwgFaøk;bnÞab;BIkarekItkUnrYc rW 2-3 em:ageRkaymkeTog.• eBlxøHvaCakarlM)aksMrab;niyayfasuk)anFøak;Gs;ehIy rWenAsl;.

57


karbgáa•c,as;faRCUkBitCa)anFøak;sukmkeRkAehIy. GñkRtUvEteXIjva.•cak;GuksIutuksIun 2 esesenAeBlEdlkarkarekItkUn)anbBa¢b;.karBüa)al•RCUkminsIucMNI ekþAelIsBI 40GgSa eBlxøHeyIgGaceXIjmankarhYrecjnUvsarFatuxÞúHxøins¥úy.•cak; RbUsþakøg;DIn (Dinolytic, Suiprost) edIm,ICMruj[beBa©jvtßúkxVk;.•cak;Gg;TIb‘Íy:UTik 5 éf¶ (Trimetoprim + Sulfa or Amoxicillin)

•layemS:A Amoxicillin kñúg 100 mlTwkrYccak;cUlkñúgs,Ún. •minRtUvcak;TwkCamYy Iodin eTAkñúgs,ÚneT.

4> kat;bnßyGRtasøab;eBle)AedaH4>1> bgáakarsøab;rbs;emRCUk


II > kUnRCUkFMehIyF¶n;

58


1> kUnRCUkeføasenAeBlekIt1>1> karpþl;cMnIsMrab;emRCUkepIm

eKalkarN_gay²sMrab;karpþl;cMnI• karvivtþn_rbs;sukkñúgeBl12-25 éf¶dMbUgeRkayeBldak;eQ μlGacCYyeGayeyIgkMNt;BIKuNPaBrbs;kUn

RCUkenAdMNak;kalcugeRkayénkarepIm. sukEdlmanTMhMtUcnwgcUlrYmcMEnkeFVIeGaykUnRCUkmanTMhMtUcEdr.• vamansar³sMxan;Nas;edayRtUvpþl;cMnIeTAeGayemRCUkedIm,IEfrkSarYbragedayeRbIR)as;rbbcMnIrbs;emepIm

edaycb;bnÞab;BI 21 éf¶ eday eRbI 3 KRk rW eRcInCagenH.• vaCakarcMa)ac;Nas;EdlRtUvlaycMnICamYy eRbmiucEdlmanvItamin nigEr: edIm,IFanakarlUtlas;l¥énkUnkñúgeBaH• vamansar³sMxan;Nas;sMrab;karbEnßmkarpþl;cMnIkñúgeBl 2GaTitücugeRkayedIm,IeFVIeGaykUnRCUkeføas ehIy

nwgkarBarkarekþonlamk.• b:uEnþemRCUkFat;eBkvanwgRbQmuxeTAnwgbBaðaenAeBlekItkUn kUnekItmkyWt nigxatbg;luy\tRbeyaCn_.


rYbragrbs;emRCUkEdll¥enAmuneBlekItkUn ³ rUbragTI 3 l¥CageKbMput

rUbragTI 2 rUbragTI 3 rUbragTI 4 rUbragTI 5

1> kUnRCUkkan;EteføasenAeBlekIt1>1> karpþl;cMnIsMrab;emRCUkepIm

59


1> kUnRCUkkan;EteføasenAeBlekIt1>2> BUCl¥

BUCl¥• BUCva)anpSaP¢ab;eTAnwgTMgn;rbs;kUnRCUkenAeBlekItpgEdr• BUCva)anpSaP¢ab;eTAnwgTMhMb:un²Kñarbs;kUnRCUkenAeBlekItpgEdl• BUCva)anpSaP¢ab;eTAnwgGtþcriksøútbUtrbs;empgEdr• BUCva)anpSaP¢ab;eTAnwgsmßPaBplitTwkedaHrbs;em• BUCva)anpSaP¢ab;eTAnwgKuNPaBrbs;k,aledaH• kareRbIR)as;karbgáat;sb,nimi μtCamYyTwkkamRCUk)aEdleyIgeRCIerIsvak¾GacCYyeGayeyIgTTYl)annUvkUnRCUk

EdlekItmkeføasEdr


1> kUnRCUkkan;EteføasenAeBlekIt1>2> BUCl¥

kUnRCUkcMnYn 14 EdlmanTMhMb:un²KñaEdlmanGayu 2éf¶

60


2> kUnRCUkkan;EtF¶n;enAeBlpþac;edaH2>1> karplitTwkedaH

• enAeBlEdlemRCUkplitTwkedaH)anRKb;RKan;eyIgnwgeXIjkUnRCUkF¶n;l¥ nig ehIyBYkvanwgenAes¶oms¶atRBmTaMgkenSamedaHsßitkñúgsPaBl¥ nig eBjeTAedayTwkedaH.



kenSamedaH• edaHEdlmanTMrg; nig manmuxgarl¥KWGacciBa©wmkUnRCUkeGayrs;)aneRcInedayminRtwmEtpþl;nUvTwkedaHdMbUg

¬kULÚRsþÚm¦ nig TwkedaHb:ueNÑaHeTEtEfmTaMgpþl;eGaykUnRCUknUvPaBgayRsYlsMrab;kare)AeTotpg.• k,aledaHEdlsml¥ KW elx 1 2 nig 3

• cMnYnk,aledaH³ y:agticRtUvmank,aledaHcMnYn 12CacMa)ac;• TMhMk,aledaH ³ enAeBlxøHkUnRCUkmanTMhMtUc ehIyk,aledaHmanTMhMFMeBkdUenHksikrRtUvCYykUnRCUkeGay

e)ATwkedaHdMbUgeGay)anRKb;RKan; cab;BIb:un μanem:agdMbUg.

61


• k,aledaHEdlFm μta • k,aledaHEdlminFmμta




karciBa©wm• karpþl;Twky:agtic 45 liRtsMrab;mYyéf¶ ehIyeRcInCagenHenAeBlekþA. eBlxøH éf¶TImYybnÞab;BIekItkUn emRCUkRbQmuxnwg

bBaðakñúgkareRkakQr dUcenHvacMa)ac;Nas;sMrab;eyIgsMrYlkarpwkTwkrbs;emRCUk.• karpþl;cMNIksikrRtUvbEnßmCatisac; ¬RbUetGIun¦kñúgrbbGaharedIm,ICYydl;karplitTwkedaH Kat;GaceRbIsENþkesog emSARti

ehIynig eRbmiucEdlmanCativItamIn nig Er:.ksikrRtUvpþl;cMNIEdlmanKuNPaBl¥edayGaRsy½eTAnwgcMnYnkUnRCUkEdlman. eRbI 5 KRk cMeBaH emEdlman

kUn6-7 bu:Enþ 7 KRk ebIemmankUneRcInCag 10. ebIenAeBlekþAxøaMgemRCUkminGacsIu)anEq¥teT nig karplitTwkedaHk¾minRKb;RKan;Edr dUcenHRtUveGayvasIueGay)an 3 rW 4 eBl.

62


karrplitTwkedaH)anl¥ kUnRCUkrwgmaMu




Büa)aledaHminRbRktI³ lasedaH• lasedaHnaMeGaymanfycuHénkarplitTwkedaH nig kUnRCUkexSay• pøÚvcUlrbs;emeraK ¬)ak;etrI¦ KWtamry³rn§rbs;k,aledaH rW karcak;cUleTAkñúgRkeBj

edayeF μjd¾RsYcrbs;kUnRCUk. kat;eF μjkUnRCUk nig lagsMGacedaH CamYysab‘u.• GW kUlI KWCamUlehturYmb:uEnþ sþahVILÚkUksIu ehIy RsþwbtYkUksIu Gacratt,atpgEdr³ caM)ac;RtUveRCIerIs

Gg;TIb‘Íy:UTicmkeRbI• CaTUeTARbPBénemeraKRtUv)ancMlgenAtambriyakas³ caM)ac;Nas;RtUvsMGac nig sMlab;emeraKenAtamRTug.

sMxan; bMputRtUvlay kørin eTAkñúgTwk eRBaHvaCaerOy²RtUv)ancMlg;pgEdl.kareFVIeraKvinic©y½• emRCUkQb;sIu EPñkeLIgBN’Rkhm ekþAelIsBI 40 GgSa es• cMeBaHkareFVIeraKvinic©y½ eBTüstVPUmiRtUvsÞabedaH edIm,IrkemIlkEnøgehIm nig dMu.

63


• lasedaH • k,aledaHsVitbnÞab;BIlas



• TwkedaHRKb;RKan;• TwkedaHminRKb;RKan;


64



karBüa)allasedaH• GuksIutuksIunedIm,ICMrujTwkedaH ¬0>5 ml cak;cUlsésQam¦• Gg;TIb‘Íy:UTik³ RTIem:tURBIm¼s‘ulhVa Gg;r:Upøúksak;sIun• krNIF¶n;F¶rRtUvcak; 2 dgkñúgmYyéf¶• cak;fñaMRbqaMgkarrlak ¬dicsaemtasUn¦ ebIsinCaedaHenaHrwglasedaH GacrkeXIjkñúgkMLúgb:un μanéf¶munekItkUn ehIyRtUvBüa)aledayGg;TIb‘Íy:UTik b:uEnþminRtUcak;dicsaemtasUneT.karkarBar• RtUveFVIGnamy½ nig sMGatTwkCamYy kørin• minRtUveRbIGacm_rNasMrab;eGayRCUkedkeT eRBaHebIvaesImedayTwkenamenaHvaCakEnøgsMrab;karvivtþn_énemeraK.• laycMNICamYyGg;TIb‘íy:UTiksMrab;eGaysIu 3-5éf¶muneBlekItkUn. eRbI RTIemtURBIm¼s‘ulhVa rW Pøúyem:KIn.


2> kUnRCUkkan;EtF¶n;enAeBlpþac;edaH2>2> karbgáa nig Büa)alCMgWruaMér

kusIuDIy:UsIus• kusIuDIy:UsIusekItmanenAGayuBI 7-21 éf¶bnÞab;BIkarekIt• bgáeGaymanxøaMg nig manBN’RbepH• kUnRCUkmingab;eT EtTMgn;fycuH eramminl¥ ehIybNþaleGaymanragsÁmsÁaMgenAeBlpþac;edaH.karBüa)al• Gg;TIb‘Íuy:UTikminsUvmanRbsiT§iPaBeTsMrab;CMgWkuksIuDIy:U manEt s‘ulhVaDImIDIn ¬s‘ulhVa 33¦ EdlmanRbsiT§iPaBx<s;karkarBar• RTugRtUvs¶ÜtCanic©• RtYtBinitüstVruy nig mYs.• ebIGacm_rNa rW RkNat;eRbIsMrab;sMbukkUnRCUk minRtUveRbIvaeToteT• RbsiTi§PaBbMputenaHKWRtUveRbI tulRtas‘ulrI ¬Gg;TIkuk¼ ebkuk ry³eBl 3éf¶bnÞab;BIekIt

65



kusIuDIy:UsIus

manraKxøaMg KUfRbLak karkarBar



CMgWsnøak;• eBlxøHeyIgeXIjkUnRCUkedkedaymin)anbgðajGakar³QWeCIgeTedayRKan;EteXIjEs,krlat;tictYcxusFm μtaEtebIeyIg

eFVIeGaykUnRCUkegIbQenaHvanwgbgðajsPaBx©kCaminxan. dUcenHeBlBinitükUnRCUkkMBugedkRtUvdas;vaeGayegIb.• karx©keCIg nig ehImsnøak;vaEsþgecjenAeBlkUnRCUkpøas;TI• vaEsþgecjcab;BI 3-15 éf¶karkarBar• Binitükñúgmat;kUnRCUkedIm,IemIlfavaKμankarcMlgenAeBlEdlkat;eF μj• BinitürkemIldMe)ArlYyrbs;kUnRCUk CaBiesskardac;enAelICgÁg; eCIg rW knÞúy.• eRbIm¢úlEdls¥atsMrab;cak;CatiEdkcUlkarBüa)al• Gam:uksIulIn LA CamYyLaMgkUmIsIun Rbsinsnøak;eLIgekþAxøaMg ehIyehIm• dicsaemtasUnGaccak;)anEtmþg

66


dMe)AEdlbNþaleGayQWsnøak;³ x©keCIg nig ehImsnøak;




CMgWEdlelceLIgenAelIEs,k ¬sþaPILÚkUKus¦CaTUeTAvacab;epþImCamYycMnuctUc²enArgVg;muxnig eCIg.

Es,kbtameNþayeBaH q¥wgCMnIrnigcenøaHeCIgERbBN’eTACaetñatbnþicmþgeBjTaMgragkay. Es,kmansPaBRCIvRCYjCaqñÚt²ehIyebIeyIgsÞabvanig mansPaBdUcCaRblak;xøaj;.

• karBüa)alminsUvmanRbsiT§iPaBeT. cak; Gam:uksIulIn CamYy LaMgkUmisIun nig CakarRbesIredayeRbIsarFatusMlab;emeraKEdlmankMhab;TabelIEs,k.

67


2> kUnRCUkkan;EtF¶n;enAeBlpþac;edaH2>2> karciBa©wmkUnRCUkkMBuge)AedaH

• eBlkUnRCUkmanGayuelIsBI 3 GaTitü TwkedaHemRCUkminGacFan)ansMrab;karlUtlas;rbs;vaeT.• edIm,ITTYl)ankUnRCUkEdlF¶n;CakarcaM)ac;RtUvcab;epþImpþl;cMNIBIesseTAeGaykUnRCUk ¬RbUetGIunx<s;

niggayrMlay¦.• Cakarl¥RtUvpþl;cMNIBiessEdlplitedayRkumh‘unl,IdUcCa ¬sIPI EbltaRkU¦. karcMNayminsUvx<s;b:un μaneT

eRBaHkUnRCUksIuBI 500 Rk- 1 KRk kñúgkMLúgeBl1GaTitücugeRkaymuneBlpþac;edaH. ksikrminRtUvx¢Hx¢aycMnIeTRtUveGayvasIumþgbnþic²EteRcIndg.

• cMnucl¥epSgeToténkarpþl;cMNImuneBlpþac;edaHKWva)aneFVIeGaykUnRCUkeronrMlayGahar nigminRKan;EtTwkedaHeT. vanwgmanPaBrlUnenAeBlpþac;edaH.


dak;cMNIkñúgbrimaNticeGaysmeTAnwgsñÚkedIm,IeCosvagkarx¢Hx¢ay

2> kUnRCUkkan;EtF¶n;enAeBlpþac;edaH2>2> karciBa©wmkUnRCUkkMBuge)AedaH

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