avometer bellaanasthasia
TRANSCRIPT
8/7/2019 avometer bellaanasthasia
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CDC J
VLNIDM\K\DN
4.4 Kdyds Clkdedng Odxdkdm
\ny|e olkde|edn vlelsbddn lkleysanje xlvlsyj olovlscdjej vlsdkdydn idn
olng|bj sdngedjdn lkleysanjed xlkdk| ijvlsk|edn dkdy |e|s. Vlng|e|sdn didkdm
x|dy| vlocdnijngdn dnydsd x|dy| clxdsdn ilngdn clxdsdn kdjn zdng xlblnjx xlhdsd
lexvlsjoln idn xdkdm xdy| clxdsdn ijdnggdv xlcdgdj xydnidsnzd. Idkdo
vlng|e|sdn kjxysje ylsbdij b|gd vlocdnijngdn+ idkdo vlocdnijngdn jnj ijg|ndedn
x|dy| dkdy cdny|. Dkdy cdny| jnjkdm zdng ijxlc|y ilngdn dkdy |e|s. Ilngdn dkdy
|e|s jnj+ ejyd idvdy olnglydm|j clclsdvd clxdsdn+ zdjy|2
4. Clxdsdn ds|x kjxysje idkdo xdy|dn dovlsl -D*
3. Clxdsdn ylgdngdn idkdo xdy|dn paky -P*
8. Clxdsdn slxjxydnxj idkdo xdy|dn amo -*
Dpaolyls dyd| xlsjng ijxlc|y ilngdn o|kyjylxyls dyd| o|kyjolyls ols|vdedn
gdc|ngdn idsj dovlslolyls+ pakyolyls idn amoolyls. Dpaolyls jnj xdngdy
vlnyjng `|ngxjnzd |ny|e olovlso|idm olocdny| xlsyd olnzlklxdjedn vlelsbddn
ilngdn o|idm idn hlvdy. Ilngdn olngg|ndedn dpaolyls+ ejyd idvdy kdngx|ng
olng|e|s clxdsdn ds|x kjxysje+ clxdsdn ylgdngdn xlsyd clxdsdn slxjxydnxj
olngg|ndedn xdy| dkdy. Xlkdjn jy|+ dpaolyls b|gd olojkjej `|ngxj ydocdmdn
idkdo vlselocdngdnnzd+ zdjy| |ny|e olnglhle m|c|ng/xjngedy dyd| eanlexj+
olnglhle edvdxjyas lkleysakjy+ olnglhle ysdnxjxyas+ olnglhle Jni|eyas xlsyd
olnglhle x|m|.
4.3 S|o|xdn Odxdkdm
Idsj kdyds clkdedng vlsodxdkdmdn ijdydx+ oded yjoc|kdm clclsdvd s|o|xdn vlsodxdkdmdn+ zdjy|2
4.3.4 Dvdedm vlnglsyjdn idsj dpaolyls1
4.3.3 Dvd xdbd blnjx/blnjx idsj dpaolyls1
4.3.8 Dvd xdbd cdgjdn/cdgjdn idsj dpaolyls1
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4.3.9 Cdgdjodndedm ylenje vlng|e|sdn idsj dpaolyls1
4.3.< Cdgdjodnd hdsd vlngg|nddn dpaolyls1
4.8 Y|b|dn Vln|kjxdn
Didv|n y|b|dn idsj vln|kjxdn vdvls jnj didkdm xlcdgdj clsje|y2
4.8.4 Idvdy olnglydm|j vlnglsyjdn idsj dpaolyls.
4.8.3 Idvdy olnglydm|j blnjx/blnjx idsj dpaolyls.
4.8.8 Idvdy olnglydm|j cdgjdn/cdgjdn idsj dpaolyls.
4.8.9 Idvdy olnglydm|j ylenje dyd| olyail idsj vlng|e|sdn dpaolyls.
4.8.< Idvdy olnglydm|j hdsd vlngg|nddn idsj dpaolyls.
4.9 Odn`ddy Vln|kjxdn
Odn`ddy idsj vln|kjxdn vdvls jnj didkdm |ny|e oloclsj vdnglydm|dn elvdid
vdsd vlocdhd xlmjnggd vlocdhd ijmdsdvedn idvdy olnglydm|j ylnydng dpaolyls
xlhdsd olnidkdo.
4.< Xjxylodyjed Vlocdmdxdn
Idkdo vlocdmdxdn vdid vdvls jnj ijo|kdj ilngdn vlnglsyjdn idsj dpaolyls+
blnjx/blnjx idsj dpaolyls+ cdgjdn/cdgjdn idsj dpaolyls+ ylenje dyd| olyail idsj
vlng|e|sdn dpaolyls xlsyd hdsd vlngg|nddn dpaolyls.
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CDC JJ
VLOCDMDXDN
3.4 Vlnglsyjdn Dpaolyls
Dpaolyls xlsjng b|gd ijxlc|y ilngdn o|kyjolyls dyd| o|kyjylxyls+ Dpaolyls
clsdxdk idsj edyd ¸DPA¹ idn ¸Olyls¹. ¼D° dsyjnzd Dovlsl |ny|e olng|e|s ds|x
kjxysje+ ¼P° dsyjnzd Pakydxl |ny|e olng|e|s ylgdngdn+ ¼A° dsyjnzd amo |ny|e
olng|e|s amo dyd| mdocdydn+ idn edyd ¼olyls° clsdsyj xdy|dn idsj x|dy| |e|sdn
ylsxlc|y. Bdij+ xlhdsd |o|o dpaolyls didkdm dkdy |e|s zdng idvdy ijg|ndedn
|ny|e olng|e|s mdovjs xlo|d clxdsdn kjxysje. Dkdy |e|s jnj idvdy olng|e|s
ylgdngdn kjxysje -Paky* cdje DH - Dkylsndyjng H|sslny * od|v|n IH - Ijslhy
H|sslny *+ olng|e|s ds|x kjxysje cdje DH od|v|n IH+ idn mdnzd |ny|e olng|e|s
ds|x IH |ny|e dpaolyls dndkag xlsyd idvdy olng|e|s slxjxydnxj dyd| ydmdndn
kjxysje. Ilngdn edyd kdjn+ dpaolyls ols|vdedn gdc|ngdn idsj dovlslolyls+
pakyolyls idn amoolyls. Didv|n `|ngxj idn vlnglsyjdn idsj dovlslolyls+
pakyolyls idn amoolyls+ zdjy|2
4. Dovlslolyls
Dovlslolyls didkdm dkdy zdng ijg|ndedn |ny|e olng|e|s e|dy ds|x kjxysje.
Vdid dpaolyls dndkag mdnzd idvdy ijg|ndeedn |ny|e olng|e|s e|dy ds|x
IH. Dovlslolyls idvdy ijc|dy dydx x|x|ndn ojesa dovlslolyls idn xm|ny
zdng cls`|ngxj |ny|e ilylexj ds|x vdid sdngedjdn cdje ds|x zdng elhjk.
Xlidngedn |ny|e ds|x zdng clxds ijydocdmedn ilngdn mdocdydn xm|ny -Sx*
zdng ijvdxdng xlbdbds dyd| vdsdklk vdid x|dy| sdngedjdn. Dovlslolyls
clelsbd xlx|dj ilngdn gdzd kaslnyr gdzd odgnlyjx. Ds|x zdng olngdkjs vdid
e|ovdsdn zdng xlkjo|yj olidn odgnly dedn olnjoc|kedn gdzd kaslnyr
zdng idvdy olngglsdeedn bds|o dovlslolyls. Xlodejn clxds ds|x zdngolngdkjs oded xlodejn clxds v|kd xjovdngdnnzd.
3. Pakyolyls
Pakyolyls didkdm x|dy| dkdy zdng cls`|ngxj |ny|e olng|e|s ylgdngdn
kjxysje. \ny|e olovlsclxds cdydx |e|s pakyolyls idvdy ijg|ndedn mdocdydn
o|kyjvkjls -S/* zdng ijvdxdng xlsj vdid x|dy| sdngedjdn. Idkdo mdk jnj S
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mds|x ijvdxdng ij ilvdn pakyolyls ijvdnidng idsj idydngnzd ds|x kjxysje.
Gdzd odgnlyje dedn yjoc|k idsj jnylsdexj dnyds olidn odgnly idn e|dy
ds|x. Gdzd odgnlyje ylsxlc|y dedn odov| oloc|dy bds|o dkdy vlng|e|s
pakyolyls clsglsde xddy did ds|x kjxysje. Xlodejn clxds ds|x kjxysje zdng
olngdkjs oded xlodejn clxds vlnzjovdngdn bds|o zdng ylsbdij
8. Amoolyls
Amoolyls didkdm dkdy zdng ijg|ndedn |ny|e olng|e|s mdocdydn kjxysje
zdng ols|vdedn x|dy| idzd zdng odov| olndmdn dkjsdn kjxysje vdid
eani|eyas. Dkdy ylsxlc|y olngg|ndedn gdkpdnaolyls |ny|e olkjmdy
clxdsnzd ds|x kjxysje zdng elo|ijdn ijedkjcsdxj el xdy|dn amo.
Xlkdjn clclsdvd `|ngxj ijdydx+ idkdo vlselocdngdnnzd dpaolyls b|gd
olojkjej clclsdvd `|ngxj ydocdmdn+ zdjy|2
4. Olnglhle m|c|ng/xjngedy dyd| eanlexj
3. Olnglhle edvdxjyas lkleysakjy
8. Olnglhle ysdnxjxyas
9. Olnglhle Jni|eyas
<. Olnglhle x|m|
3.3 Blnjx/Blnjx Dpaolyls
Dpaolyls xdngdy vlnyjng `|ngxjnzd idkdo xlyjdv vlelsbddn lkleysanjed
edslnd idvdy olocdny| olnzlklxdjedn vlelsbddn ilngdn o|idm idn hlvdy.
Ylydvj+ xlclk|o olovlsg|ndednnzd+ vdsd vlodedj mds|x olnglndk ylsklcjm
idm|k| blnjx/blnjx Dpaolyls idn cdgdjodnd hdsd olngg|ndednnzd dgds
yjide ylsbdij elxdkdmdn idkdo vlodedjdnnzd idn dedn olnzlcdcedn s|xdenzd
Dpaolyls ylsxlc|y. Clsidxdsedn vsjnxjv elsbdnzd+ dpaolyls ijclideedn olndbij
i|d+ zdjy| dpaolyls dndkag idn dpaolyls ijgjydk. Eli|d blnjx jnj ylny| clsclid
xdy| ilngdn kdjnnzd+ ylydvj x|ocls ylndgd zdng ijc|y|medn xdod+ zdjy| cls|vd
cdylsdj IH idn vsacl dyd| edclk vlnzjije wdsnd olsdm idn mjydo.
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3.3.4 Dpaolyls Dndkag
Dpaolyls dndkag zdjy| dpaolyls zdng olngg|ndedn bds|o v|yds dyd|
oapjng hajk |ny|e oln|nb|eedn xedkd. Dpaolyls jnj ylsxlijd ilngdn
elodov|dn |ny|e olng|e|s mdocdydn amo+ ylgdngdn -Paky* IH od|v|n
DH idn ds|x -oD* IH. Dpaolyls jnj cdnzde ijg|ndedn edslnd mdsgdnzd
klcjm o|sdm dvdcjkd ijcdnijngedn ilngdn dpaolyls ijgjydk. Ele|sdngdn
idsj dpaolyls blnjx dndkag jnj zdjy| idzd de|sdxjnzd slnidm edslnd mdxjk
vlng|e|sdn ijcdydxj aklm klcds idsj xedkd vajnyls+ glydsdn idsj vajnyls+
elde|sdydn vlnhlydedn gdnids+ edkjcsdxj nak+ idn b|okdm slnydng xedkd. Aklm
edslnd jy|+ dpaolyls dndkag yjide ijg|ndedn |ny|e olng|e|s xlhdsd ilydjk
x|dy| clxdsdn njkdj eaovanln+ ylydvj elcdnzdedn mdnzd ijg|ndedn |ny|e
cdje dyd| blklenzd eaovanln vdid wdey| vlng|e|sdn. Dyd| b|gd ijg|ndedn
|ny|e ololsjexd x|dy| sdngedjdn dvdedm x|idm ylsxdoc|ng ilngdn cdje
xlx|dj ilngdn sdngedjdn ckae zdng did.
Gdocds 3.4 Dpaolyls Dndkag
3.3.3 Dpaolyls Ijgjydk
Dpaolyls ijgjydk ols|vdedn dpaolyls zdng olngg|ndedn ijxvkdz zdng
kdngx|ng idvdy olndovjkedn mdxjk vlng|e|sdn cls|vd dnged/dnged.
Dpaolyls ijgjydk cjdxdnzd ijvdedj vdid vlnlkjyjdn dyd| elsbd/elsbd
olng|e|s zdng ololsk|edn elhlsodydn yjnggj+ Edslnd yjide olngg|ndedn bds|o+ dpaolyls ijgjydk olojkjej clny|e `jxje zdng klcjm elhjk idsjvdid
dpaolyls dndkag idn yjide vlsk| olkde|edn edkjcsdxj kdgj xlclk|o
olkde|edn vlng|e|sdn. Xlkdjn jy|+ elylkjyjdn ij idkdo vlng|e|sdnnzd b|gd
bd|m klcjm ylvdy ijcdnijngedn ilngdn dpaolyls dndkag. Ele|sdngdn idsj
dpaolyls ijgjydk jnj zdjy| x|xdm |ny|e oloanjyas ylgdngdn zdng yjide xydcjk.
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Bdij+ dvdcjkd olkde|edn vlng|e|sdn ylgdngdn zdng clsglsde ndje/y|s|n+
xlcdjenzd olngg|ndedn dpaolyls dndkag.
Gdocds 3.3 Dpaolyls Ijgjydk
3.8 Cdgjdn/Cdgjdn Dpaolyls
Vdid |o|onzd+ dpaolyls zdng xlsjng ijg|ndeedn didkdm dpaolyls dndkag+
aklm edslnd jy| dedn ijblkdxedn cdgjdn/cdgjdn vlnyjng zdng ylsidvdy idkdo
dpaolyls dndkag xlvlsyj ylskjmdy vdid gdocds.
Gdocds 3.8 Cdgjdn/Cdgjdn Dpaolyls Dndkag
Idsj gdocds dpaolyls dndkag ijdydx+ idvdy ijblkdxedn cdgjdn/cdgjdn idn
`|ngxjnzd2
4. Olyls Easleyas clsg|nd |ny|e olnzlylk bds|o dpaolyls el dsdm nak+ xddy
dedn ijvlsg|ndedn ilngdn hdsd olo|yds xles|vnzd eledndn dyd| el ejsj
ilngdn olngg|ndedn aclng vjvjm elhjk.
3. Sdngl Xlklhyas Xwjyhm -xdekds vlojkjm* cls`|ngxj |ny|e olojkjm vaxjxj
vlng|e|sdn idn cdydx |e|sdnnzd. Dpaolyls cjdxdnzd ylsijsj idsj lovdy
vaxjxj vlng|e|sdn+ zdjy|2
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d. Vaxjxj -Amo* clsdsyj dpaolyls cls`|ngxj xlcdgdj amoolyls+ zdng ylsijsj
idsj yjgd cdydx |e|s+ zdjy| }4+ }46+ idn E.
c. Vaxjxj DHP -Paky DH* clsdsyj dpaolyls cls`|ngxj xlcdgdj pakyolyls DH
zdng ylsijsj idsj kjod cdydx |e|s+ zdjy| 46P+ <6P+ 3<6P+ <66P+ idn
4666P.
h. Vaxjxj IHP -Paky IH* clsdsyj dpaolyls cls`|ngxj xlcdgdj pakyolyls IH
zdng ylsijsj idsj kjod cdydx |e|s+ zdjy| 46P+ <6P+ 3<6P+ <66P idn
4666P.
i. Vaxjxj IHoD -ojkjdovlsl IH* clsdsyj dpaolyls cls`|ngxj xlcdgdj
ojkjdovlslolyls IH zdng ylsijsj idsj yjgd cdydx |e|s+ zdjy| 6.3<+ 3<+ idn
<66.
8. Ylsojndk % idn ´ hao ols|vdedn ylsojndk ijvlsg|ndedn |ny|e olng|e|s
Amo+ DHP+ IHP idn IHoD ijodnd zdng clswdsnd olsdm |ny|e % idn
wdsnd mjydo |ny|e /.
9. Vajnyls -bds|o olyls* ols|vdedn xlcdydng vlkdy zdng clsglsde eledndn
idn elejsj zdng oln|nb|eedn clxdsdn dyd| njkdj.
<. Ojssas -hlsojn* ols|vdedn cdydx dnydsd amoolyls ilngdn Paky/
Dovlsolyls. Hlsojn vlodny|k vdid vdvdn xedkd zdng ijg|ndedn xlcdgdj
vdni|dn |ny|e elylvdydn olocdhd+ zdjy| vlocdhddn xedkd ijkde|edn
ilngdn hdsd ylgde k|s|x ijodnd cdzdngdn bds|o vdid hlsojn mds|x xdy|
gdsjx ilngdn bds|o vln|nb|e+ odex|inzd dgds yjide ylsbdij vlnzjovdngdn
idkdo olocdhd.
0. Xhdkl -xedkd* cls`|ngxj xlcdgdj xedkd vlocdhddn olyls.
7. Rlsa Dib|xyolny didkdm vlngdy|s dyd| vlnlvdy bds|o vdid eli|i|edn nak
elyjed olngg|ndedn Amoolyls. Hdsdnzd 2 xdekds vlojkjm ijv|yds vdid
vaxjxj -Amo*+ ylxy kldi % -olsdm* ijm|c|ngedn el ylxy kldi / -mjydo*+
elo|ijdn yaocak vlngdy|s eli|i|edn 6 ijv|yds el ejsj dyd| el edndn
xlmjnggd oln|nb|e vdid eli|i|edn xedkd 6 .
=. Dnged/Dnged Cdydx \e|s didkdm dnged zdng oln|nb|eedn cdydx
elodov|dn dkdy |e|s.
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:. Hdxl -Eayde Olyls* didkdm eayde dyd| ylovdy olklydeedn eaovanln/
eaovanln dpaolyls.
3.9 Olyail ! Ylenje Vlng|e|sdn Dpaolyls
\ny|e olnglydm|j bdk|s zdng v|y|x idsj x|dy| sdngedjdn ijvlsk|edn x|dy|
dkdy |e|s zdng ijxlc|y dpaolyls. Ilngdn olngg|ndedn dpaolyls+ ejyd idvdy
olnglydm|j cdje yjidenzd x|dy| bdk|s ilngdn olngg|ndedn `dxjkjydx vlng|e|sdn
Amo. Idkdo vlngdndkjxddn bdk|s+ ijvlsk|edn x|ocls ds|x kjxysje zdng dedn
ijclsjedn elvdid bdk|s ylsxlc|y. Vlsk| Dnid elydm|j cdmwd ijidkdo dpaolyls
x|idm ylsidvdy x|ocls ds|x zdng clsdxdk idsj xlc|dm cdylsdj zdng ylkdm ijvdxdng
ijidkdo dpaolyls+ xlmjnggd vdid wdey| vlng|e|sdn ylgdngdn cdylsdj jnj dedn
olngdkjs vdid sdngedjdn zdng ij|e|s+ wdkd|v|n mdnzd idvdy oloclsjedn ds|x
zdng xdngdy slnidm. \ny|e olngdndkjxd els|xdedn bdk|s vdid x|dy| sdngedjdn
idvdy ijkde|edn ilngdn i|d hdsd+ vlsydod vlng|e|sdn xlhdsd vdsdklk idn
vlng|e|sdn xlhdsd xlsj. Vdid vsjnxjvnzd vlng|e|sdn ylsxlc|y xdod xdbd+ dedn
ylydvj dedn klcjm de|sdy cjkd ijkde|edn ilngdn i|d hdsd ylsxlc|y. Vlnblkdxdn eli|d
ylenje vlng|e|sdn ylsxlc|y xlcdgdj clsje|y2
3.9.4 Ylenje Vlng|e|sdn Vdsdklk
Vdid vsjnxjvnzd vlng|e|sdn slxjxydnxj dyd| ydmdndn didkdm
olng|e|s clxdsdn ds|x zdng dedn olngdkjs vdid x|dy| sdngedjdn. Bjed vdid xddy
vlng|e|sdn ylsidvdy x|dy| bdk|s zdng yjide olov|nzdj njkdj slxjxydnxj -Bds|o
dpaolyls yjide clsglsde xlijejyv|n* dyd| xmasy -bds|o dpaolyls clsglsde vln|m
el dsdm edndn ! 6 amo*+ clxds elo|ngejndn yjide dedn did ds|x kjxysje zdng idvdy
olngdkjs idsj bdk|s ylsxlc|y. Dedn ylydvj+ cjkd ylsidvdy njkdj slxjxydnxj zdng elhjk
-Bds|o dpaolyls dedn clsglsde klcjm bd|m el dsdm edndn*+ oded ds|x zdng dedn
olngdkjs vdid bdk|s ylsxlc|y xdngdy clxds. Cjkd njkdj slxjxydnxjnzd clxds -Bds|o
dpaolyls mdnzd clsglsde xlijejy xdbd el dsdm edndn*+ oded odejn elhjk ds|x zdng
dedn olngdkjs vdid sdngedjdn ylsxlc|y. Dedn ylydvj+ cjkd dpaolyls
yjide oln|nb|edn njkdj slxjxydnxj -Bds|o yjide clsglsde xlijejyv|n*+ oded
yjide ylsidvdy ds|x zdng olngdkjs vdid bdk|s ylsxlc|y. Clk|o ylny| cjkd idkdo
vlng|e|sdn ylsxlc|y yjide oln|nb|edn njkdj slxjxydnxj+ oded idvdy ijvdxyjedn
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bdk|snzd zdng v|y|x+ cjxd xdbd yjide ylsidvdy ds| xzdng ijxlcdcedn edslnd ylsidvdy
eaovanln zdng clsodxdkdm+ o|ngejn s|xde dyd| m|c|ngdnnzd yjide cdje. Aklm
edslnd jy|+ hdsd vlng|e|sdn vdsdklk idvdy ijkde|edn b|gd |ny|e olngdndkjxd
els|xdedn vdid x|dy| eaovanln dyd| sdngedjdn.
3.9.3 Ylenje Vlng|e|sdn Xlsj
Cjkd mdxjk vlng|e|sdn vdsdklk oln|nb|edn cdmwd bdk|s ylsxlc|y
yjide olov|nzdj ds|x+ xlcdjenzd Dnid bdngdn i|k| olngdocjk elvdxyjdn cdmwd
bdk|s ylsxlc|y v|y|x. Dnid idvdy olzdejnednnzd ilngdn hdsd vlng|e|sdn xlhdsd
xlsj. Hdsd jnj oloc|y|medn xelod ijdgsdo |ny|e olnglydm|j eaovanln zdng
dedn ijkdk|j aklm xlyjdv bdk|snzd. Vdid vsdeylenzd Dnid dedn olng|e|s xdy|
vlsxdy| ijxlyjdv eaovanln zdng dedn ijkdk|j aklm bdk|s ylsxlc|y. Clsclid ilngdn
olyaid vlng|e|sdn vdsdklk+ ijodnd dpaolyls dedn oln|nb|edn njkdj
slxjxydnxjnzd. Xlidngedn olyaid vlng|e|sdn xlsj ijkde|edn |ny|e olnglydm|j
ylsm|c|ng dyd| yjidenzd x|dy| bdk|s. Cjkd mdxjk vlng|e|sdn oln|nb|edn x|dy| njkdj
slxjxydnxj -ydmdndn*+ oded bdk|s ylsxlc|y yjide ylsm|c|ng ilngdn cdje+ dvdkdgj cjkd
mdxjk vlng|e|sdn DPA Olyls yjide clsglsde xlijejyv|n ijvdxyjedn bdk|s ylsxlc|y
ylkdm v|y|x. Bdk|s ylsxlc|y nasodk cjkd bds|o dpaolyls oln|nb|edn 6 -Bds|o
dpaolyls clsglsde vln|m el dsdm edndn*
3.< Hdsd Vlngg|nddn Dpaolyls
Vlsydod/ydod bds|o vln|nb|e olyls ijvlsjexd dvdedm x|idm ylvdy vdid
dnged 6 vdid xedkd IHoD+ IHP dyd| DHP. Vaxjxj bds|o nak ij cdgjdn ejsj idn
|ny|e xedkd amoolyls vaxjxj bds|o nak clsdid ij cdgjdn edndn. Bjed clk|o ylvdy+
mds|x ijdy|s ilngdn olo|yds xles|v vlngdy|s eli|i|edn bds|o vln|nb|e olyls
elejsj dyd| el edndn ilngdn olngg|ndedn aclng vjvjm elhjk. Idkdo
vlngg|nddnnzd+ vlnyjng xledkj |ny|e olovlsmdyjedn idn olojkjm xedkd
vlng|e|sdn zdng xlx|dj xlclk|o olkde|edn vlng|e|sdn. Ejyd mds|x
olocjdxdedn |ny|e olngg|ndedn xedkd vdkjng yjnggj vdid xddy dwdk vlng|e|sdn+
cdje ds|x+ ylgdngdn dyd|v|n mdocdydn kjxysje. Xlkdnb|ynzd+ cjxd ijy|s|nedn
xedkdnzd bjed ijsdxdedn mdxjk vlng|e|sdn odxjm clk|o olnh|e|vj yjngedy
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elylkjyjdnnzd. Xlcdgdj hanyam ojxdknzd ejyd olngg|ndedn xlc|dm dpaolyls
dndkag. \ny|e olng|e|s ylgdngdn vdid x|dy| x|ocls ylgdngdn DH+ ejyd
ylovdyedn xdekds vdid vaxjxj PDH -vlng|e|sdn |ny|e ylgdngdn DH*+ vjkjm xedkd
ylsyjnggj. Kjmdy xjovdngdn bds|onzd dvdedm x|idm h|e|v |ny|e idvdy ylscdhd
dyd|edm xjovdngdnnzd ylskdk| elhjk xlmjnggd x|kjy ylscdhd. Bjed xjovdngdn
bds|onzd ylskdk| elhjk+ oded xedkd vlng|e|sdn cjxd ejyd y|s|nedn kdgj xdovdj
olnidvdyedn mdxjk xjovdngdn zdng idvdy ylscdhd ilngdn cdje. Bdngdn olojkjm
xedkd zdng ylskdk| elhjk xlmjnggd bds|o olnzjovdng olklcjmj cdydx odexjo|o
vlng|e|sdn. Jnj idvdy ols|xde dpaolyls ylsxlc|y. Vlnyjng b|gd olovlsmdyjedn
vakdsjydx bjed zdng ejyd |e|s clsedjydn ilngdn ds|x idn ylgdngdn IH. Bdngdn
xdovdj ylscdkje edslnd idvdy b|gd ols|xdeedn dpaolyls. \ny|e dpaolyls dndkag+
vlnyjng b|gd olngedkjcsdxj dpaolyls xlclk|o ijg|ndedn |ny|e olkde|edn
vlng|e|sdn+ ys|ydod idkdo olng|e|s ydmdndn -slxjxyas* dgds mdxjk vlng|e|sdnnzd
de|sdy. Hdsdnzd m|c|ngedn eli|d vsacl dpaolyls+ kdk| v|yds vlnlvdy nay
-edkjcsdyas* mjnggd bds|o ylvdy oln|nb|eedn dnged 6 amo+ cds| elo|ijdn xjdv
ijg|ndedn. Bjed xedkd vlng|e|sdn ij|cdm cjdxdnzd mds|x ijedkjcsdxj kdgj. \ny|e
dpaolyls ijgjydk cjdxdnzd ijklngedvj ilngdn elodov|dn |ny|e olng|e|s
edvdxjydx xlc|dm edvdxjyas xlsyd m`l ysdnxjxyas+ idn ydnvd vlsk| ijedkjcsdxj.
Xlvlsyjnzd olodng klcjm vsdeyjx ydvj mdsgdnzd ylny| b|gd klcjm odmdk. Ylydvj did
b|gd dpaolyls dndkag ilngdn olsle ylsylny| zdng k|odzdn odmdk edslnd olodng
mdxjk cdhddnnzd klcjm de|sdy idn cdg|x.
3.<.4 Hdsd Olng|e|s Ds|x IH
Sdngedjdn |ny|e olng|e|s ds|x ijvdxdng xlhdsd xlsj ilngdn clcdn zdng
idvdy cls|vd slxjxyas+ kdo| dyd| kdjnnzd.
4. Klydeedn xlklhyas xwjyhm -xdekds vlojkjm* vdid vaxjxj ds|x DH
3. Dy|s vaxjxj xlklhyas vdid vaxjxj cdydx |e|s zdng klcjm yjnggj idsj ds|x zdng
dedn ij|e|s+ cdydx |e|s idvdy ijvjkjm zdng vdkjng yjnggj dgds yjide ols|xde
dpaolyls. Vlngds|m vlojkjmdn cdydx |e|s zdng ylskdk| bd|m idsj ds|x zdng
dedn ij|e|s mdnzd olngdejcdyedn vlocdhddn zdng e|sdng de|sdy.
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8. M|c|ngedn edclk xlhdsd xlsj ilngdn clcdn. Clcdn idvdy ijxlsj vdid edclk
nlgdyj` dyd| vdid edclk vaxjyj` Dvdcjkd vlodxdngdn edclk vakdsjydxnzd
ylscdkje+ oded olyls dedn clsglsde elejsj
9. Cdhd vln|nb|edn ds|x vdid vdvdn xedkd ds|x IH xlx|dj vaxjxj bds|o.
3.<.3 Hdsd Olng|e|s Ylgdngdn IH
4. Klydeedn xlklhyas xwjyhm -xdekds vlojkjm* vdid vaxjxj ylgdngdn IH
3. Vjkjmkdm cdydx |e|s -4.<+ <+ 46+ <6+ 4<6+ <66*. Ijodnd mds|x ijvjkjm cdydx
zdng xdod dyd| klcjm clxds idsj ylgdngdn zdng dedn ij|e|s. Ojxdkedn
ylgdngdn zdng dedn ij|e|s =P+ oded cdydx |e|s zdng mds|x ijvjkjm didkdm
46P. Yjide cakl olojkjm cdydx zdng klcjm elhjk edslnd bds|o vln|nb|e dedn
clsglsde olklwdyj cdydx odexjo|o idn idvdy ols|xde oapjng hajk.
8. Xdoc|ngedn edclk vsacl vdid x|ocls ylgdngdn+ edclk olsdm
ijxdoc|ngedn elvdid cdgjdn vaxjyj` idn edclk mjydn ijxdoc|ngedn vdid
cdgjdn nlgdyj`. Hdsd vlodxdngdn xlvlsyj jy| ijxlc|y m|c|ngdn vdsdslk.
Dvdcjkd vlodxdngdn edclk vakdsjydxnzd ylscdkje+ oded olyls dedn clsglsde
el ejsj.
9. Cdhdkdm vdvdn xedkd xlx|dj ilngdn ijodnd bds|o vln|nb|e clsmlnyj. Hdsd
zdng vdkjng ylvdy idkdo olocdhd didkdm xlhdsd ylgde k|s|x ijodnd bds|o
mds|x ydovde xdy| gdsjx ilngdn cdzdngdn bds|o vdid hlsojn vdny|k idn
yjide ylsbdij elxdkdmdn vlocdhd -vdsdkd}*.
3.<.8 Hdsd Olng|e|s Ylgdngdn DH
4. Klydeedn xlklhyas xwjyhm -xdekds vlojkjm* vdid vaxjxj ylgdngdn DH
3. Vjkjmkdm cdydx |e|s -4+ 8+ 46+ 86+ 466 dyd| 866*. Ijodnd mds|x ijvjkjm cdydx
zdng xdod dyd| klcjm clxds idsj ylgdngdn zdng dedn ij|e|s.
8. Xdoc|ngedn edclk vsacl vdid x|ocls ylgdngdn xlhdsd vdsdklk. \ny|e
ylgdngdn DH xdoc|ngedn edclk olsdm idn mjydo idvdy clcdx
ijxdoc|ngedn vdid x|ocls ylgdngdn vaxjyj` dyd| nlgdyj`+ edslnd ylgdngdn
DH yjide olov|nzdj vakdsjydx.
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9. Cdhdkdm vdvdn xedkd xlx|dj ilngdn ijodnd bds|o vln|nb|e clsmlnyj.
Hdsdzdng vdkjng ylvdy idkdo olocdhd didkdm xlhdsd ylgde k|s|x ijodnd
bds|omds|x ydovde xdy| gdsjx ilngdn cdzdngdn bds|o vdid hlsojn
vlodny|k+ dgds yjide ylsbdij elxdkdmdn cdhd -vdsdkkd}*.
3.<.9 Hdsd Olng|e|s Slxjxydnxj
Y|b|dn olng|e|s slxjxydnxjd didkdm |ny|e olnglydm|j eanijxj x|dy|
eaovanln idkdo eldiddn s|xde dyd| cdje+ xlsyd |ny|e olnlny|edn clsdvdedm
clxds njkdj slxjxydnxjnzd. Ojxdkedn xlc|dm slxjxyas olov|nzdj eail wdsnd2 haekdy+
mjydo+ olsdm idn yaklsdnxj lodx+ dsyjnzd slxjxyas ylsxlc|y olov|nzdj njkdj
slxjxydnxj xlclxds 4666 amo ilngdn yaklsdnxj <,+ odex|inzd slxjxyas ylsxlc|y
odxjm ijedydedn cdje cjkd xlylkdm ij|e|s njkdjnzd odxjm ijdnydsd %!/ <, idsj 4666
amo+ dyd| dnydsd :<6 xdovdj 46<6 amo. Hdsd olng|e|s slxjxydnxj+ zdjy|2
4. Dy|s xlklhyas xwjyhm vdid vaxjxj amo.
3. Vjkjm cdydx |e|s -sdngl* dvdedm2 }4+ }46+ }466+ dyd| }4666 -xlx|djedn
ilngdn njkdj slxjxyas.
8. Ylsklcjm idm|k|+ m|c|ng xjngedy edclk vlnzjije dgds bds|o olyls
clsglsde eldsdm eledndn idn idvdy ijdy|s x|vdzd oln|nb|eedn vdid xedkd
odexjo|o ilngdn olo|yds yaocak R ls a Dib| xy + odex|inzd dgds
vlocdhddn olyls xlx|dj ilngdn xedkd idn sdngl zdng ijvdedj.
9. O|kdjkdm olng|e|s slxjxyas ilngdn olngm|c|ngedn edclk vlnzjije vdid
eli|d edej slxjxyas xlhdsd vdsdklk+ ilngdn olngdcdjedn wdsnd edclk.
<. Cdhd vdvdn xedkd xlx|dj ijodnd bds|o olyls clsmlnyj+ idn edkjedn
vlocdhddn ilngdn cdydx |e|s. Ojxdknzd bds|o oln|nb|eedn vdid xedkd 46
idn cdydx |e|s olngg|ndedn }466+ oded njkdj slxjxyas ylsxlc|y didkdm 4666
amo
3.<.< Hdsd olng|bj Edvdxjyas!Eanilnxdyas
Xlclk|onzd o|dydn eanilnxdyas mds|x ij ijxhmdsgl. Edvdxjyas ols|vdedn
xdkdm xdy| eaovanln lkleysanjed zdng olov|nzdj i|d edej. Y|b|dn vlng|bjdn
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edvdxjyas didkdm |ny|e olnglydm|j eanijxj edvdxjyas. Didv|n kdngedm/kdngedm
olng|bj edvdxjyas didkdm2
4. Dsdmedn xedkds bdngeds vdid vaxjxj amo.
3. Ydnhdvedn vdngedk edclk hakae olsdm vdid ylsojndk edclk hakae vaxjyj` idn
vdngedk edclk hakae mjydo vdid ylsojndk edclk hakae nlgdyj` zdng ylsxlijd
vdid o|kyjolyls.
8. Kde|edn edkjcsdxj ilngdn hdsd olngm|c|ngedn |b|ng/|b|ng edclk hakae
mjydo idn olsdm. Elo|ijdn vlsmdyjedn vdvdn xedkd+ dvdcjkd bds|o yjide
oln|nb|e ylvdy vdid njkdj 6 amo+ oded vlngdy|s nak amo dyd| enav dib|xy
ijdy|s ilngdn hdsd olo|ydsnzd mjnggd ylvdy vdid njkdj 6 amo.
9. M|c|ng/xjngedyedn eli|d edej edvdxjyas dgds o|dydn kjxysje zdng x|idm did
cjxd ylsc|dng ylsklcjm idm|k|.
<. M|c|ngedn hakae mjydo vdid edej vaxjyj` edvdxjyas idn hakae olsdm vdid
edej nlgdyj` edvdxjyas. Dvdcjkd bds|o olyls clsglsde idn elocdkj kdgj+
oded edvdxjyas ijnzdydedn cdje. Bjed bds|o olyls clsglsde idn yjide
elocdkj+ oded edvdxjyas ijnzdydedn cahas. Cjkd bds|o clsglsde idn elocdkj
ylydvj yjide vln|m+ oded edvdxjyas ylsxlc|y d|x. Xlidng bjed bds|o yjide
clsglsde xdod xledkj clsdsyj edvdxjyas ylsxlc|y x|idm v|y|x.
3.<.0 Hdsd olng|e|s Ijaid
Kdngedm vlsydod zdng mds|x ijkde|edn idkdo vlng|bjdn ijaid didkdm
olnlny|edn ylsklcjm idm|k| edej/edej eaovanln ylsxlc|y+ odnd dnaid idn odnd
edyaidnzd. Didv|n kdngedm/kdngedm vlng|bjdn ijaid xlkdnb|ynzd didkdm2
4. Dsdmedn xedkds bdngedm vdid vaxjxj amo.
3. Ydnhdvedn vdngedk edclk hakae olsdm vdid ylsojndk edclk hakae vaxjyj` idn
vdngedk edclk hakae mjydo vdid ylsojndk edclk hakae nlgdyj` zdng ylsxlijd
vdid o|kyjolyls.
8. Kde|edn edkjcsdxj ilngdn hdsd olngm|c|ngedn |b|ng/|b|ng edclk hakae
mjydo idn olsdm. Elo|ijdn vlsmdyjedn vdvdn xedkd+ dvdcjkd bds|o yjide
oln|nb|e ylvdy vdid njkdj 6 amo+ oded vlngdy|s nak amo dyd| enav dib|xy
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ijdy|s ilngdn hdsd olo|ydsnzd mjnggd ylvdy vdid njkdj 6 amo. Vdid
vlng|e|sdn jnj edkjcsdxj yjide caklm ijkde|edn
9. M|c|ngedn hakae mjydo vdid edej dnaid idn hakae olsdm vdid edej edyaid.
Dvdcjkd bds|o olyls clsglsde idn elocdkj kdgj+ oded edvdxjyas ijnzdydedn
cdje5 ylydvj bjed bds|o olyls yjide clsglsde xdod xledkj+ oded ijaid
ijnzdydedn s|xde dyd| v|y|x.
<. Bjed vlng|bjdn ijcdkje+ zdjy| hakae mjydo ijylovlk vdid edyaid idn hakae
olsdm vdid dnaid+ oded cjkd bds|o olyls clsglsde+ ijaid ijnzdydedn s|xde.
Xlcdkjenzd+ dvdcjkd bds|onzd ijdo dyd| yjide clsglsde+ oded ijaid
ijnzdydedn cdje.
3.<.7 Hdsd Olng|e|s Ysdnxjxyas
Vdid idxdsnzd ysdnxjxyas ols|vdedn i|d ijaid zdng ijvlsylo|edn+ xlmjnggd
hdsd vlng|bjdn ysdnxjxyas mdovjs xdod ilngdn vlng|bjdn ijaid. Vlng|bjdn
ysdnxjxyas ijclidedn olnbdij i|d+ zdjy| blnjx NVN idn blnjx NVN. \ny|e
ysdnxjxyas blnjx NVN+ vlng|bjdn ilngdn bdngedm vdid }466+ vlnzjije mjydo
ijylovlk vdid cdxjx idn olsdm vdid eakleyas+ bds|o mds|x olzjovdng el edndn.
Cjkd vlnzjije olsdm ijvjnidm el lojyas+ bds|o mds|x el edndn kdgj elo|ijdn
vlnzjije olsdm vdid cdxjx idn mjydo vdid eakleyas+ bds|o mds|x yjide
olnzjovdng idn cjkd vlnzjije mjydo ijvjnidm el lojyas bds|o b|gd mds|x yjide
olnzjovdng. Xlkdnb|ynzd ilngdn bdngedm vdid 4e vlnzjije mjydo ijylovlk vdid
eakleyas idn olsdm+ vdid lojyas+ bds|o mds|x xlijejy olnzjovdng el edndn idn
cjkd ijcdkje bds|o mds|x yjide olnzjovdng. Cjkd xdkdm xdy| vlsjxyjwd ylsxlc|y
yjide ylsbdij+ oded elo|ngejndn ysdnxjxyas s|xde.
\ny|e ysdnxjyas blnjx VNV+ vlng|bjdn ijkde|edn ilngdn vlnzjije olsdm
vdid cdxjx idn mjydo vdid eakleyas+ bds|o mds|x olzjovdng el edndn. Ilojejdn
v|kd cjkd vlnzjije olsdm ijvjnidm el lojyas+ bds|o ds|x olnzjovdng el edndn
kdgj. Xlkdnb|ynzd dndkag ilngdn vdng|bjdn NV. Ejyd idvdy olngg|ndedn hdsd
ylsxlc|y |ny|e olnglydm|j odnd cdxjx+ odnd eakleyas idn odnd lojyas x|dy|
ysdnxjxyas idn b|gd dvdedm blnjx ysdnxjxyas VNV dyd| NVN. Clclsdvd blnjx
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o|kyjolyls ijklngedvj v|kd `dxjkjydx vlng|e|s m@L+ jdkdm xdkdm vdsdolyls vlnyjng
x|dy| ysdnxjxyas.
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CDC JJJ
VLN\Y\V
8.4 Elxjov|kdn
Idsj vlocdmdxdn ijdydx idvdy ijydsje clclsdvd elxjov|kdn+ zdjy|2
4. Dpaolyls didkdm dkdy |e|s zdng olov|nzdj elodov|dn yjgd `|ngxj zdjy|
|ny|e olng|e|s ds|x -dovlslolyls*+ olng|e|s ylgdngdn -pakyolyls* idn
olng|e|s ydmdndn dyd| slxjxydnxj -amoolyls*.
3. Clsidxdsedn vsjnxjv elsbdnzd+ dpaolyls ijclideedn olndbij i|d+ zdjy|
dpaolyls dndkag idn dpaolyls ijgjydk. Dpaolyls dndkag zdjy| dpaolyls
zdng olngg|ndedn bds|o v|yds dyd| oapjng hajk |ny|e oln|nb|eedn xedkd+
xlidngedn dpaolyls ijgjydk ols|vdedn dpaolyls zdng olngg|ndedn
ijxvkdz zdng kdngx|ng idvdy olndovjkedn mdxjk vlng|e|sdn cls|vd dnged/
dnged.
8. Cdgjdn/cdgjdn idsj dpaolyls zdjy|2 olyls easleyas+ xdekds vlojkjm+ Ylsojndk
% idn ´ hao+ vajnyls+ hlsojn+ xedkd+ rls a dib| xy olny + dnged/dnged cdydx
|e|s idn hd xl.
9. \ny|e olngdndkjxd els|xdedn bdk|s vdid x|dy| sdngedjdn idvdy ijkde|ednilngdn i|d hdsd+ vlsydod vlng|e|sdn xlhdsd vdsdklk idn vlng|e|sdn xlhdsd
xlsj. Vdid vsjnxjvnzd vlng|e|sdn ylsxlc|y xdod xdbd+ dedn ylydvj dedn klcjm
de|sdy cjkd ijkde|edn ilngdn i|d hdsd ylsxlc|y
8.3 Xdsdn
Dpaolyls ols|vdedn x|dy| dkdy vlng|e|sdn kjxysje zdng olojkjej `|ngxj
vlnyjng |ny|e idvdy olovlso|idm olocdny| xlsyd olnzlklxdjedn vlelsbddn
ilngdn o|idm idn hlvdy. Aklm edslnd jy|+ ejyd mds|x olsdwdy xlsyd clsmdyj/mdyj
idkdo vlodedjdnnzd edslnd dpaolyls xdngdy o|idm s|xde dvdcjkd ejyd
olngg|ndednnzd xlhdsd xlocdsdngdn idn yjide xlx|dj ilngdn `|ngxjnzd
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ID@YDS V\XYDED
myyv2!!dnggjyxlyjzdij=7.ckagxvay.hao!3644!64!odedkdm/dkdy/cdny|/idn/|e|s.myok
myyv2!!clcdx.|j.dh.ji!p43!xvanxas!Xvanxas/
Vlnidovjng!Vsdwlid!@jxjed!686=,36@jx/3/8i.myo
myyv2!!idxds/ylenje.ckagxvay.hao!366=!69!dpa/olyls.myok
myyv2!!idxds/ylenje.ckagxvay.hao!366=!69!dpa/olyls.myok
myyv2!!oe/oe.`dhlcaae.hao!yavjh.vmv1|ji?:<:990:033<&yavjh?:897
myyv2!!www.xhsjci.hao!iah!83:8368<!odedkdm/dpaolyls
myyv2!!www.xhsjci.hao!iah!896<608=!DPA/Olyls
myyv2!!www.xhsjci.hao!iah!<4067784!DPA/OLYLS
.