el servicio de medicina transfusional del h.p.g.d.r
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7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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Vku>
Dmo' B`ughgik Nhuhamddk J'
DHEKUHYKUM_YH ODMGMOK
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A@IMOMGH YUHG_BP_MKGHD I@D C'V'J'I'U syy`uhvmhFckyahmd'`s
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Vku> B`ughgik Nhuhamddk J' 5
—Eumgihu hy`gomÿg okg dh Y`uhvmh Yuhgsbpsmkghd `g ehs` h dh `gyu`jh i`okavkg`gy`s shgjpág`ks spbmom`gy`s$ s`jpuks$ i` hdyh ohdmihi$ }kvkuypgks$ vhuh shymsbho`u dh i`ahgih i` dh vkedhomÿg } vukrmgomh$ smgoksyk hdjpgk } i` bkuah `bmom`gy` h ykiks dks vhom`gy`s xp` dk u`xpm`uhg$vhuh dk ophd okgyhaks okg y`ogkdkjáh i` vpgyh$ u`opusk cpahgk
ohvhomyhik } okavuka`ymik$ okg `d em`g`syhu i`d psphumk vu` } vksyyuhgsbpgimik$ hi`aès s` `b`oyþh iko`gomh } ohvhomyhomÿg i`d u`opuskcpahgk g`o`shumk vhuh opavdmu sp amsmÿg‑'
AM_MKG
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Vku> B`ughgik Nhuhamddk J' ?
—@d s`urmomk i` A`imomgh Yuhgsbpsmkghd i`d Cksvmyhd J`g`uhd Iko`gy` i`Umkehaeh$ s`uè pgh kujhgm~homÿg aki`ugh$ ehshih `g dh om`gomh } dhy`ogkdkjáh$ vhuh dkjuhu pgh y`uhvmh yuhgsbpsmkghd vukb`smkghd$ hoo`smed`$kvkuypgh$ i` ohdmihi } ohdmi`~ okg `d psphumk ipuhgy` dhs 59 ckuhs i`diáh } `syh dheku dk chuè spsy`gyhik okg dks hrhgo`s i` dh A`imomghYuhgsbpsmkghd aki`ugh‑'
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Vku> B`ughgik Nhuhamddk J' 9
EHGOK I@ _HGJU@ I@VK_MYK I@ _HGJU@
_@URMOMK I@ A@IMOMGHYUHG_BP_MKGHD
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Vhuh ahgy`g`u k u`syhpuhu pg rkdpa`g hi`ophik okg `d bmg i`
vu`r`gmu k okaehymu `d ockxp` cmvkrkdíamok'
Vhuh ahgy`g`u } u`syhpuhu dh ohvhomihi i` yuhgsvkuy` i`
káj`gk'
Vhuh u`vkg`u okavkg`gy`s `sv`oábmoks op}k iíbmomy vukipo`
hdy`uhomkg`s odágmohs'
Vku> B`ughgik Nhuhamddk J' 0
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Vku> B`ughgik Nhuhamddk J' 2
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IPUHGY@ PGHYUHG_BP_MßG
7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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Vksmemdmihi i` yuhgsamsmÿg i` mgb`oomkg`s$ Hiamgmsyuhomÿg i` shgju` mgokavhymed` Vksmemdmihi i` vukipomu skeu`ohujh omuopdhykumh
@vksmomÿg h hgyáj`gks `yuhøks$ xp` rhg h ihu dpjhu h dhs`gsmemdm~homÿg i`d vhom`gy` } h okavuka`y`u `d u`spdyhik i`yuhgsbpsmkg`s bpypuhs'
YKIH YUHG_BP_MßG I@E@ _@UMGIMOHIH OPHGIK DK_E@G@BMOMK_ _PV@UHG
ODHUHA@GY@ DK_ VK_MED@_UM@_JK_'
Vku> B`ughgik Nhuhamddk J' :
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Vku> B`ughgik Nhuhamddk J' 3
@sy` bkuapdhumk i`e`uè `syhuhinpgyk h dh cmsykumh odágmoh
okuu`svkgim`gy`'
8'! OKG_@GYMAM@GYK MGBKUAHIK I@D VHOM@GY@
Vhom`gy` Bhamdmhu`s k Ypyku A`imok
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IHYK_ I@D U@O@VYKU #P_PHUMK-
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Vku> B`ughgik Nhuhamddk J' 86
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Vku> B`ughgik Nhuhamddk J' 88
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Vdhsahs skg i`sokgj`dhiks #59 ckuhs- Dhs pgmihi`s s` `gyu`jhg pgh vku pgh OC' ?6 amgpyks smg okgs`urhomÿg' Ohnhs Yíuamohs #Y9-
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Vku> B`ughgik Nhuhamddk J'
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80Vku> B`ughgik Nhuhamddk J'
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Vku> B`ughgik Nhuhamddk J' 82
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83
k_kdmomypi k v`imik i` Yuhgsbpsmÿg ipvdmohik
kAp`syuh i` shgju`> ypek yhvh dmdh#okavhymemdmihi-
kOkgs`gymam`gyk mgbkuahik
kPgmihi`s Hdmsyhihs> vku 93 ckuhs#okgsmi`uhu hdy`ughymrhs yuhgsbpsmkghd`s-
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Vku> B`ughgik Nhuhamddk J'
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8=Vku> B`ughgik Nhuhamddk J'
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Vku> B`ughgik Nhuhamddk J' 56
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‥ Pgh r`~ `gyu`jhiks gk spv`uhu dks ?6 amgpyks h
y`av`uhypuh haem`gy`'
‥ Hiamgmsyuhomÿg aèmak `g iks ckuhs,
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Vku> B`ughgik Nhuhamddk J' 55
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‥ Xpmuÿbhgks vhuh pgh a`nku mgbpsmÿg hr`dkomihi`s i` 866 ad+amgpyk'
‥ Vhom`gy`s okg oumk hjdpymgmghs
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Vku> B`ughgik Nhuhamddk J' 5?
U`hdm~hu pgh ykah i` okgsyhgy`s> y`av`uhypuh$
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Gk s` u`okam`gih vu`a`imohu> vhuho`yhakd khgymcmsyhaágmoks ‟ `gahsohuhg u`hoomkg`s'
Hiamgmsyuhomÿg vukbmdèoymoh okg okuymokmi`s hvhom`gy`s okg cmsykumhd U ‟ H u`v`ymihs OJUDU#dhrhiks-
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Vku> B`ughgik Nhuhamddk J' 59
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Ykih u`hoomÿg i`e` s`u okapgmohih hd o`gyuk ks`urmomk Yuhgsbpsmkghd'
@grmhu pgh ap`syuh i` shgju` i`d vhom`gy` ,pgmihi } `d `xpmvk i` yuhgsbpsmÿg'
@rhdphu dh vksmed`s ohpshs i` dh u`hoomÿg'
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Vku> B`ughgik Nhuhamddk J'
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Vku> B`ughgik Nhuhamddk J'
906 ad #_Y- , 2? ad #OVIH8- 1 08? ad
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Vku> B`ughgik Nhuhamddk J'
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Rmj`gomh i` 95 iáhs' Gk okgym`g` D`pokomyks$ vdhxp`yhs gm vdhsah' _` okaemgh OVI , _HJ AHGMYKD' @o`d`gy` okavkg`gy` vhuh dh hdy`ughymrh
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Vku> B`ughgik Nhuhamddk J'
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?6Vku> B`ughgik Nhuhamddk J'
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Vku> B`ughgik Nhuhamddk J' ?8
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Vku> B`ughgik Nhuhamddk J' ?5
Okuu`oomÿg i` dh hg`amh smgykaèymoh k okg smjgks i` cmvkmh ymspdhu 1 : j+ iM i`
c`akjdkemgh k 58 % $ s` u`okam`gih xp` ohih vhom`gy` s`h `rhdphik i` hop`uikokg sp vhykdkjáh i` ehs` } sps okgimomkg`s odágmohs vhuymopdhu`s'
Okuu`oomÿg i` dh hg`amh ouÿgmoh smgykaèymoh xp` gk ch u`svkgimikhi`ophiha`gy` h sp y`uhvmh `sv`oábmoh$ s` u`okam`gih ahgy`g`u Ce 7 : j+id sm `dvhom`gy` `syè odágmoha`gy` `syhed`$ ÿ 7 86 j+ id sm `d vhom`gy` ym`g` hskomhih`gb`ua`ihi`s ohuimkrhsopdhu`s$ u`svmuhykumhs$ skg hgomhgks k ym`g`g hdjþg kyukvuko`sk xp` okgdd`r` h pg hpa`gyk i` dh i`ahgih i` káj`gk-'
Okuu`oomÿg i` dh hg`amh hjpih s`opgihumh h víuimih i` shgju` ah}ku hd 56% i`drkdpa`g shgjpág`k ykyhd$ dp`jk i` dh okuu`oomÿg i` dh rkd`amh okg oumsyhdkmi`s kokdkmi`s } ̀ g dhs Hg`amhs C`akdáymohs okg ̀ rkdpomÿg hjpih'
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Vku> B`ughgik Nhuhamddk J' ??
Dh yuhgsbpsmÿg h pg vhom`gy` hgíamok xp` rh h s`u ska`ymik h pgh hg`sy`smhj`g`uhd k h pgh mgy`ur`gomÿg xpmuþujmoh i`e`uè ehshus` `g `d ymvk i` hg`amh$ dhr`dkomihi okg xp` ch `rkdpomkghik dh amsah } `g dh `rhdphomÿg i` sps `b`oyksskeu` `d vukgÿsymok' @g `syks vhom`gy`s sm`avu` xp` gk ch}h okgyuhmgimohomÿg }s`h vksmed` s` u`okam`gih vksy`ujhu dh omupjáh'
@g hdjpghs okgimomkg`s okak c`akjdkemgkvhyáhs #hg`amh i` oídpdhs bhdombkua`s} yhdhs`amh- vp`i`g `syhu mgimohihs dhs yuhgsbpsmkg`s u`v`ymihs$ `g `sv`omhd smch} oumsms i` s`op`syuk'
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‥ A`gku rkdpa`g'
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A`gku um`sjk i` skeu`ohujh‥ Um`sjk i` skeu`ohujh i` rkdpa`g }
i` cm`uuk `g psk vukdkgjhik'
‥ Hpa`gyk i` rmsoksmihi
‥
Hdk s`gsmemdm~homÿg okgyuh hgyáj`gksCDH } @umyukomyhumks
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okgimomÿg odágmoh i`d vhom`gy`'
‥ Jky`k uèvmik ̀ g c`akuuhjmhs'
‥
Vhuh imdpmu pshu skdpomÿg shdmgh`syíumd'
Vku> B`ughgik Nhuhamddk J'
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VDH_AH BU@_OKOKGJ@DHIK
Vdhsah Bu`sok Okgj`dhik s` dk keym`g` hd vuko`shupgh shgju` ykyhd `g a`gks i` kock ckuhs i`key`gmih } okgym`g` ykiks dks bhoyku`s i` dhokhjpdhomÿg> dèemd`s #RMMM$ SMMM$ BrZ$ bmeukg`oymgh- }`syhed`s #MM$ RMM$ MS$ S-'
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Vku> B`ughgik Nhuhamddk J'
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Vku> B`ughgik Nhuhamddk J' ?2
‥ Vhuh u`okgsymypmu _hgju` Ykyhd'‥ Okuu`oomÿg i` i`bmom`gomhs okgkomihs i` bhoyku`s i` dh okhjpdhomÿg #MM$ R$ MS$ S$ SM-
ophgik gk s` op`gyh okg dh y`uhvmh ̀ sv`oábmoh #dmkbmdm~hiks-'‥ Ahg`nk i` c`akuuhjmhs i` dh amoukokhjpdhomÿg okg gmr`d`s i` vukyukaemgh #YV-
} ym`avk vhuomhd i` yukaekvdhsymgh #YYV- spv`umku`s h 8$0 r`o`s `d okgyukd gkuahd'‥ Okuu`oomÿg i` c`akuuhjmhs i` dh amoukomuopdhomÿg hskomhihs h yuhgsbpsmÿg ahsmrh
#ah}ku h pg rkdpa`g shgjpág`k `g 85 ckuhs- } okg hdy`uhomÿg i` dhs vup`ehs i`okhjpdhomÿg'
‥ _myphomkg`s odágmohs okg iíbmomy i` Rmyhamgh L$ xp` gk vp`i`g ̀ sv`uhu u`svp`syh hsp hiamgmsyuhomÿg k gk u`svkgi`g hi`ophiha`gy`'
‥ Ahg`nk i` vþuvpuh yukaekomykvígmoh yukaeÿymoh ̀ g ̀ syks s` u`okam`gihmi`hda`gy` vdhsah ohu`gy` i` bhoyku`s oumkvu`omvmyhed`s'
MGIMOHOMKG@_>
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Vku> B`ughgik Nhuhamddk J' ?:
‥ Okak u`vksmomÿg ̀ g ohsks i` shgjuáhs ̀ g vhom`gy`s vkdmjdkeþdmoks'‥ Okak ̀ vhgsku`s i` rkdpa`g'‥ Vhuh dh u`opv`uhomÿg k ahgy`gmam`gyk i` dh Vu`smÿg Kgoÿymoh'‥ Okak hvkuy` gpyumomkghd$ i` Mj J k Hdeþamgh'‥ Okak vhuy` mgy`juhgy` i` u`vksmomÿg vu`i`y`uamghih #8 vdhsah vku ohih ?
vhxp`y`s jdkepdhu`s-'
P_K_ MGI@EMIK_ I@D VDH_AH
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?3
VDH_AH U@BUMJ@UHIK
Rmj`gomh 0 høks Okgy`gmik i` hdepamgh' Okgs`urhomÿg i` 4 56 ¶O' I`sokgj`dh h ?:¶O'
86 ! 56 ad+lj ohih 3$ 85 k 59 ckuhs I`v`gi`i` `ymkdkjáh k mgy`gsmihi i`d shgjuhik
Vku> B`ughgik Nhuhamddk J'
7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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OUMKVU@OMVMYHIK'
Rmj`gomh 8 høk Okgs`urhomÿg 4 56 ¶O' U`hoomkg`s hdíujmohs'
8 pgmihi +86lj ohih 85 k 59 ckuhs'I`v`gi` i` ̀ ymkdkjáh k mgy`gsmihi
i`d shgjuhik'
Vku> B`ughgik Nhuhamddk J'
7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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Vku> B`ughgik Nhuhamddk J' 96
‥ Ahg`nk i` vhom`gy`s c`akbádmoks ymvk H$ `g hps`gomh i` okgo`gyuhiks
dmkbmdm~hiks i` Bhoyku RMMM'
‥
Yuhyham`gyk i` smyphomkg`s c`akuuèjmohs$ vukbmdèoymohs xpmuþujmohs }vuko`imam`gyks aíimoks #mgrhsmrks-'
‥ Vukbmdhms v`umkv`uhykumh } v`umvhuyk } yuhyham`gyk i` c`akuuhjmhs$ `g
vhom`gy`s vkuyhiku`s i` iíbmomy i` bmeumgÿj`gk } imsbmeumgkj`g`amhs<
`gb`ua`ihi`s i` rkg Zmdd`euhgi'‥ Okuu`oomÿg i` dh c`akuuhjmh i` dh amoukomuopdhomÿg `g yuhgsbpsmÿg ahsmrh$
ophgik `d bmeumgÿj`gk `s mgb̀ umku h 866aj+ id k gk vp`i` s`u ophgymbmohik'
‥ Y`uhvmh i` u``avdh~k `g vhom`gy`s okg iíbmomy i` Bhoyku SMMM'
MGIMOHOMKG@_>
OKGO@GYUHIK
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98
OKGO@GYUHIKVDHXP@YHUMK
Rmj`gomh ? iáhs k 0 iáhs Okgs`urhomÿg i` y`av`uhypuh haem`gy` }`g ukyhomÿg'
U`hoomkg`s hdíujmohs' Rkdpa`g i` 06 h :6 ad
8 pgmihi+86lj
Vku> B`ughgik Nhuhamddk J'
Dh yuhgsbpsmÿg i` pgh pgmihi i` OV vp`i` hpa`gyhu`d okgy`k `g hvukmahiha`gy` 0666 !86 KKK+ad `gpg hipdyk vuka`imk'
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Vku> B`ughgik Nhuhamddk J' 95
Dhs mgimohomkg`s odágmohs i` dhs yuhgsbpsmkg`s i` vdhxp`yhs skg okgyukr`uymihs' Dhi`omsmÿg i`v`gi` i` dh ohpsh i` dh c`akuuhjmh$ `d `syhik odágmok i`d vhom`gy` }
`d gþa`uk } bpgomÿg i` dhs vdhxp`yhs omuopdhgy`s'
Dh yuhgsbpsmÿg i` vdhxp`yhs `syè mgimohih vhuh okuu`jmu pgh i`bmom`gomh
ophgymyhymrh k ophdmyhymrh i` vdhxp`yhs ̀ g vu`s`gomh i` c`akuuhjmh hoymrh kophgik ch}h pg juhr` um`sjk i` xp` s` vukip~oh ísyh$ okak okgs`op`gomh i` dhi`bmom`gomh i` vdhxp`yhs'
MGIMOHOMKG@_>
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Vku> B`ughgik Nhuhamddk J' 9?
U@OKA@GIHOMßG>
k Vuma`u okgyhn` h dks 86 amgpyks h pgh ckuh'k _`jpgik okgyhn` h dhs 59ckuhs
MUO hd ohek i` pgh ckuh 1
#u`op`gyk vdhxp`yhumk vksyuhgsbpsmÿg ! u`op`gyk vdhxp`yhumk vu`yuhgsbpsmÿg- _O #a5-
Gþa`uk i` pgmihi`s #okgo`gyuhiks vdhxp`yhumks- yuhgsbpgimihs
Pg MUO spv`umku h 9'666 h 0'666+ pd spjm`u` u`svp`syh hi`ophih hdh yuhgsbpsmÿg
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Vku> B`ughgik Nhuhamddk J' 99
B@U@_M_
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Vku> B`ughgik Nhuhamddk J' 90
B@U@_M_
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7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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OJUDU ! V@IMHYUMOK_
OJUDU' :6 AD 95 iáhs i` rmj`gomh'
Vku> B`ughgik Nhuhamddk J' 92
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C@AKRMJMDHGOMH
Vku> B`ughgik Nhuhamddk J' 9:
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Vku> B`ughgik Nhuhamddk J' 93
Dh C`akrmjmdhgomh `s pgsmsy`ah i` rmjmdhgomh k hd`uyh
kujhgm~hik
U`okd`oomÿg$ i` ihyks vukr`gm`gy`s i`d
akgmyku`k i` pg vhom`gy` yuhgsbpgimik$ k i`dh okgskdmihomÿg i` pgh dmsyh i` `b`oykshir`usks #hoomi`gy`s }`uuku`s- sksv`ocksks k okgbmuahiks hskomhiksh dh yuhgsbpsmÿg amsah i` shgju` } spsokavkg`gy`s'
7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R
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_MJGK I@C@AKDM_M_•;
Vku> B`ughgik Nhuhamddk J' 9=
R@UMBMOHU HGY@_ I@ YUHG_BPGIMU
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06
R@UMBMOHU HGY@_ I@ YUHG_BPGIMU
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HDY@UGHYMRH_YUHG_BP_MKGHD@_
Vku> B`ughgik Nhuhamddk J' 08
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Vku> B`ughgik Nhuhamddk J' 05
Hgyáj`gks ̀ umyukomyhumks Hgymop`uvks síumoks
Jupvk H H hgym!e
Jupvk E hgym!h
Jupvk HE H } E gmgjpgk
Jupvk K gmgjpgk hgym!h } hgym!e
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HEK
_PE JUPVK_ I@D H ] I@D E> H8$ H5$ H?< E8$ E5$ E?< H8E5$ H?E8 ••••'
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Vku> B`ughgik Nhuhamddk J' 0?
_M_Y@AH I@ JUPVK _HGJPÁG@K
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09
Ij> Hg`amh C`akdáymoh >hdkhgymop`uvks MjA ! HEK
Vku> B`ughgik Nhuhamddk J'
_hgju` Ykyhd
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Vku> B`ughgik Nhuhamddk J' 02
OJU GKUAHD > K
Ho> hgym! h } hgym!e
VHOM@GY@> JUPVK_ H8
BHOYKU Uc Io@
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Vku> B`ughgik Nhuhamddk J' 0:
VHOM@GY@> JUPVK_ H8
BHOYKU Uc Io@OJU D@POKUU@IPOMIK > K
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Vku> B`ughgik Nhuhamddk J'
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