konsep lupus
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7/24/2019 KONSEP LUPUS
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GQZQ_
@csusue uetum kakaeufc tunbs kbtb mugcbf Maparbwbtbe @awbsb C
@csusue lgaf Maglkplm ? Magbs B.20.24
Beb Sugcbeb 88:8:22028::91
Bmc!b "gmc #b$fcggb 88:8:22028::9%
&stc Br!bec 88:8:22028::1%
Ceebs Mfbec'bf 88:8:22028::?%
(ceb Bennrbaec 88:8:2202?:289
)bratb &mb 88:8:22028::08
*cbetc +utrc ,sbec 88:8:2202?:288
Sbeb Bprcgceb +. 88:8:2202?:28-
DQXQ_BE MAZAXB^BPBE IBMQGPB_ MA@LMPAXBE
QECYAX_CPB_ @CZLEANLXL
_AKBXBEN
8:21
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MBPB ZAENBEPBX
anbgb pu/c $be s!umur mbkc pbe/btmbe mapb$b ,ufbe Sben )bfb &sb mbraeb btbs
armbt $be gckpbfbe rbfkbte!b gbf mbkc $bpbt kae!a(&bcmbe tunbs cec $aenbe tapbt
wbmtu. arcmut cec paeugcs kakparsakbfmbe saubf kbmbgbf taetben cstakcm (upus
&rctakbtlsus (& sabnbc tunbs mugcbf Maparbwbtbe @awbsb. +aeugcs /unb
kaenu>bpmbe tarckb mbscf mapb$b @lsae +akckcen $be /unb mapb$b arbnbc pcfbm
!ben tagbf kakarcmbe $lrlenbe $be kltc6bsc.
+aeugcs kae!b$brc bfwb $bgbk pae!usuebe kbmbgbf cec kbscf tar$bpbt be!bm
mamurbenbe $be /buf $brc masakpurebbe. 3gaf mbraeb ctu paeugcs kaenfbrbpmbe mrctcm
sartb sbrbe !ben kakbenue nueb kae!akpurebmbe kbmbgbf cec $be $bpbt kae/b$c b>ube
$bgbk kae!usue kbmbgbfkbmbgbf btbu tunbstunbs sagbe/ute!b.
+aeugcs /unb klfle kbb' bpbcgb b$b tar$bpbt mamurbenbe $be b$b masbgbfbe
paenatcmbe. @aenbe cec sb!b kakparsakbfmbe kbmbgbf cec $aenbe paeuf tarckb mbscf
$be saklnb Bggbf =, kakarmbfc kbmbgbf cec safcennb $bpbt kakarcmbe kbe'bbt bnc
pakb>b.
akbrben ? 3mtlar 8:21
+aeugcs
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@bitbr CscB 2.............................................................................................................. 0
2.2 +&7@B;"("B7......................................................................................0
2.2.2 (btbr agbmben....................................................................................0
2.2.8 *ukusbe )bsbgbf................................................................................0
2.2.? Pudube Kbsbgbf...............................................................................1
B CC..............................................................................................................1
2.8 ,C75B"B7 +",BMB....................................................................................1
2.8.2 cstakcm (upus &rctakbtlsus........................................................................1
@a'cecsc +ae!bmct (&.......................................................................................1
Ckuelpbtlglnc +ae!bmct (&...............................................................................1
)bec'astbsc Mgcecs +ae!bmct (&..........................................................................6
@cbnelscs +ae!bmct (&...................................................................................28
2.8.8 ZAEBPBGBM_BEBBE KA@C_..............................................................88
B CCC...................................................................................................... ?9
+&7","+...................................................................................................?9
2.? M&C)+"(B7........................................................................................?9
2.?.2 B*B7............................................................................................... ?9
?
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HBH 2
2.2 ZAE@BFQGQBE
2.2.2 Gbtbr Hab!b"#
+ae!bmct gupus b$bgbf pae!bmct bru !ben kakbtcmbe satbrb $aenbe mbemar. ,c$bm
sa$cmct paence$bp pae!bmct cec tc$bm tartlglen gbnc $c $uecb tar$atamsc pae!be$ben pae!bmct
(upus kae>bpbc 1 /utb lrben. Brtc mbtb gupus sae$crc $bgbk bfbsb (btce arbrtc be/cen
futbe. Bwbge!b pae$arctb pae!bmct cec $cmcrb kakpue!bc magbcebe mugct arupb
makarbfbe $c samctbr fc$uen $be pcpc . ar>bmar>bm karbf $c bncbe wb/bf $be gaenbe
pbebs $be rbsb gagbf armapbe/benbe rbkute!b rletlm parsae$cbe marbp aenmbm $be
tckug sbrcbwbe. +ae!bmct cec tc$bm fbe!b kae!arben mugct tatbpc /unb $bpbt kae!arben
fbkpcr saguruf lrnbe !ben b$b $c $bgbk tuuf. <a/bgbna/bgb pae!bmct $cmaebg sabnbc
cstakcm (upus &rctlkbtlsusm (& bgcbs (upus. &rctlkbtlsus brtce!b makarbfbe.
sa$benmbe scstakcm arkbmeb kae!abr gubs maarbnbc lrnbe tuuf. Cstcgbfe!b $csaut
(& btbu (upus. @r. *bfkbt <ueb$c $brc #bm. Ma$lmtarbe "epb$J*; kae/agbsmbe
pae!bmct gupus b$bgbf pae!bmct scstak ckuectbs $c kbeb /brcenbe $bgbk tuuf $cbennbp
ae$b bscen. *abmsc scstak ckuectbs csb kaenaebc arbnbc scstak lrnbe tuuf sapartc
/brcenbe mugct ltlt tugben nce/bg scstak sbrb' scstak mbr$cl6bsmugar pbrupbru gbpcsbe
pb$b pbrupbru fbtc scstak pae>arebbe kbtb ltbm kbupue pakuguf $brbf $be sagsag
$brbf.
+ae!bmct cec $bpbt kaenaebc sakub gbpcsbe kbs!brbmbt 21 lrben $c betbrb 2::.:::
pae$u$um arsc'bt naeatcm $bpbt $cturuembe. =bectb gacf sarcen 92: mbgc $brcpb$b prcb
tarutbkb pb$b uscb 210: tbfue. ,ckuge!b pae!bmct cec mbraeb b$be!b 'bmtlr mapambbe $be
'bmtlr pae>atus !bctu b$be!b ce'amsc pakbmbcbe lbtlbtbe tarmaeb pbpbrbe scebr
kbtbfbrc pakbmbcbe pcg M $be strass. +ae!bmct cec /ustru mabe!bmbbe $c$arctb wbectb
uscb prl$umtc' sbkpbc uscb 1: tbfue sambgcpue b$b /unb prcb !ben kaenbgbkce!b. 3gaf
mbraeb ctu $cbennbp $c$unb pae!bmct cec arfuuenbe $aenbe flrkle astrlnae.
2.2.8 X$%$&b" Kb&bb'
B$bpue rukusbe kbsbgbf $bgbk pae!bmct (& cec betbrb gbce4
2. )ae/agbsmbe $a'cecsc pae!bmct (&
8. )ae/agbsmbe ckuelpbtlglnc pae!bmct (&
?. )ae/agbsmbe atclglnc pae!bmct (&
0. +btfwb! pae!bmct (&
1. )ae/agbsmbe kbec'astbsc mgcecs pae!bmct (&
9. )ae/agbsmbe >brb kae$cbnelscs pae!bmct (&
%. Mlkpgcmbsc pae!bmct (&
-. )ae/agbsmbe $arb/bt arbt rcenbee!b pae!bmct (&
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. )ae/agbsmbe paebtbgbmsbebbe ka$cs pb$b pae!bmct (&
2:. #bmtlr rcscml pae!bmct (&
22. Bsufbe maparbwbtbe pb$b pae!bmct (&
2.2.? Pudube Kbsbgbf
B$bpue tu/ube $bgbk pakbfbsbe kbmbgbf cec kaenaebc pae!bmct (& betbrb gbce4
2. )aenatbfuc $a'cecsc pae!bmct (&
8. )aenatbfuc ckuelpbtlglnc pae!bmct (&
?. )aenatbfuc atclglnc pae!bmct (&
0. )aenatbfuc +btfwb! pae!bmct (&
1. )aenatbfuc kbec'astbsc mgcecs pae!bmct (&
9. )aenatbfuc >brb kae$cbnelscs pae!bmct (&
%. )aenatbfuc Mlkpgcmbsc pae!bmct (&
-. )aenatbfuc $arb/bt arbt rcenbee!b pae!bmct (&
. )aenatbfuc paebtbgbmsbebbe ka$cs pb$b pae!bmct (&
2:. )aenatbfuc #bmtlr rcscml pae!bmct (&
22. )aenatbfuc Bsufbe maparbwbtbe pb$b pae!bmct (&
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HBH CC
2.8 PCEDBQBE ZQ_PBMB
2.8.2 _cstakcm Gupus Arctakbtlsus
@aicecsc Zaeybmct _GA
cstakcm (upus &rctakbtlsus (& b$bgbf pae!bmct butlckue $ctbe$bc $aenbe
b$be!b ce'gbkbsc !ben tarsabr gubs $c bncbe tuuf sagbce ctu pae!bmct cec kakpaenbrufc
satcbp lrnbe btbu scstak $bgbk tuuf. +ae!bmct cec arfuuenbe $aenbe $aplscsc
butlbetcl$c $be mlkpgams ckue safcennb $bpbt kaenbmcbtbe marusbmbe /brcenbe.
Ckuelpbtlglnc Zaeybmct _GA
+b$b (& tc$bm tar$bpbt kbec'astbsc ckuelpbtlglncs tuennbg 6bsmugctcs mlbnuglpbtc
ce'gbkbsc /brcenbe $be $aplsct mlkpgams ckuk sakube!b $ctakumbe. ,ar$bpbt magbcebe
$bgbk4
• Ckuk sagugbr $be fuklrbg
• !stak mlkpgakae !ben $bpbt kae$bsbrc arscfbe mlkpgams ckue !ben belrkbg.
• Bplptlscs !ben kuenmce kae!abmbe pakaetumbe betcl$! betceu>gabr $be
betc'ls'lgcpc$ !ben mfbs.
ag'betcnae prltaceJ@7B eumgalslkbg *7BJprltace 'ls'lgcpc$ $bpbt $ctakumbe
lgaf scstak ckue pb$b nagakuen parkumbbe sag bplptltcm safcennb betcnae butlbetcl$!
$be mlkpgams ckue tarsaut $bpbt artbfbe uetum aarbpb /benmb wbmtu !ben pbe/ben
kae!abmbe ce'gbkbsc $be pae!bmct armakben.
Bmtc6bsc $brc mlkpgakae $be sag ckue kaenbmcbtmbe pagapbsbe makltbmsce
sctlmce >faklmce paptc$a 6bslbmtc' $be aeck parusbm. +b$b mab$bbe ce'gbkbsc mrlecs
bmukugbsc nrlwtf 'b>tlrs $be sag ckue bmbe kakc>u pagapbsbe malktbHce sctlmce
>faklmce paptc$a 6bslbmtc' $be aeck parusbm. +b$b parb$benbe !ben mrlecs bmukugbsc
$brc nrlwtf 'b>tlr $be prl$um lmsc$bsa mrlecs arparbe tarfb$bp marusbmbe /brcenbe
cra6arscag pb$b nglkarugus brtarc pbrupbru $be /brcenbe gbcee!b.
At())#( Za"*b!(t _GA
&tclglnc $brc pae!bmct cec aguk sagurufe!b $cmatbfuc ebkue $c$unb 4
#bmtlr naeatcm 4 Magubrnb $brc pae$arctb pae!bmct (& kakpue!bc cesc$aes !ben tcennc
uetum pae!bmct pb$b /brcenbe cmbt.
#bmtlr lbt 4 tarutbkb f!$rbggbcea !ben $cnuebmbe sa>brb gubs uetum tarbpc pb$b
fcpartaesc.
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5aecs magbkce 4 gacf tcennc pb$b wbectb 229O $cbe$cen prcb 8-O.
*b$cbsc scebr ugtrb6clgat 4 $bpbt /unb sabnbc 'bmtlr pae>atus pb$b lesat (& btbu
pae!ab mambkufbe pb$b par/bgbebe pae!bmct cec $c kbeb $bpbt $ctakumbe betcl$c
tarfb$bp rb$cbsc ugtrb6clgat.
#bmtlr gbce !ben $bpbt sabnbc pae>atus b$bgbf ce'amsc bmtarc $be strass bcm 'cscm
kbupue kaetbg.
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Zbt'+b* ,a"*b!(t _GA
6
Mugct Ltb !btc
"ub# u$u u$u%
_GA #&#'(b#%
bg)$&scb% u(tcb(cb%
*be +bsugctcs%
ugs&(bsc *c#ugut
*be ebs) ,b(ce-
_u$gbc L8
M&
)tb
!c$)scb
"&sc) $&eu(uebe
$&(,usc db(ce-be
)tbbe--ube /ct(btu'uf &(usbbe
cet&-(ctbs ugct
P&(db*c &(usbbe
scet&sb :bt :bt
*c'utufbe tu'uf
#ubg #uetbf
M&tc*bs&c#'be-
be eut(csc u(be-*b(c &'utufbe
tu'uf
Zb(u$b(u
A,usc Zg&u(b
M&tc*b&,&tc,bbe $b*b
eb,bs
@b(bf
!' K&eu(ue
Z&eu(uebe su$gbc L8
Eut(c&e
cedbg
Z()t&ce u(ceb(c%
sce*()# e&,()tc
"&t&esc
(ce
_&e*c
P&(db*c b(t(ctcs
E&(c b#bsc
E&(c
G&u/)$&ec
b
"&sc)
Ce,&sc
Z&#'&e-bbe%
&,usc
Btc+ctbs
#&eu(ue
Be&#cb%
t()#')sct)$&ec
M&g&tcfbe
Besc&tbs
!b#'btbe #)'cgctbs
sc
Butlckue kae!arben lrnbe lrnbe
tuuf sag/brcenbe
Z&(ce-btbe but)c#ue
'&(g&'cfbe
M&(usbbe $&(,usc
db(ce-be $&(,usc Z&#'&etube
Gu$us
&e&tc%
Mu#bec(us% sceb(
ugt(b+c)g&t% )'bt
)'btbe t&(t&etu.
Z&e/&tus $&ebct
ceb#bsc #ugtc
)(-be
Z()*usc
betc')* s&/b(b
t&(us #&e&(us
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Kbeciastbsc Mgcecs Zaeybmct _GA
)bec'astbsc mgcecs pae!bmct cec sbenbt arbnbk tarnbetuen lrnbe !ben targcbt
$ckbeb $bpbt kagcbtmbe be!bm lrnbe $bgbk tuuf kbeuscb $aenbe par/bgbebe mgcecs !ben
mlkpgams sbenbt ar6brcbsc $bpbt $ctbe$bc lgaf sarbenbe bmut parcl$a bmtc' mlkpgams
btbu rakcsc $be sarcenmbgc pb$b mab$bbe bwbg tc$bm $cmaebgc sabnbc (&. <a/bgb mlestctusc
elespasc'cm e!arc sae$c gatbrnc paeuruebe arbt b$be $be gck'b$aelpbtc. <bennube
scstakcm $akbk $be kbgbcsa arbt cbse!b sbenbt e!btb pb$b gupus bmtc' $be sarcen
karupbmbe kbec'astbsc !ben $lkcebe. )bec'astbsc !ben pbgcen $cmaebgc pb$b gupus b$bgbf
rubk kumb mupumupu J kbgbr !ben cbsbe!b tckug satagbf pbpbrbe scebr kbtbfbrc.
b- Kb"(a&tb&( G$,$& _ara/r(
• arbenbe tcbtcb
• +scmlscs
• )cnrae
• Bescatbs J $aprasc
• 7!arc mapbgb
/- Kb"(a&tb&( Zbr$
• &klgc pbru4 sce$rlk betc'ls'lgcpc$ B+ tfrlklscs brtarc A 6aeb
• #crlscs pbru
- Kb"(a&tb&( Pb"#b"
• Brtrbgncb J brtrctcs tbepb $a'lrkctbs :O
• *b!ebu$ 9:O
- Kb"(a&tb&( b"t()&)(,( P$"#!b(
• 7aurlpbtc parc'ar 21O
• )!lsctcs 1O
a- Kb"(a&tb&( K$!)&b Lr)#a"(tb !$(t
• Bglpascb
• *ubk kbgbr I -:O
• )ugut4 ugsarbsc b'tlsb
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• (c6a$l ratcmugbrcs betcl$c betc'ls'lgcpc$
- Kb"(a&tb&( N("?b
• <bnbg nce/bg stb$cuk bmfcr N 1O
#- Kb"(a&tb&( Ma'b%(b"
• Manunurbe trckastar ma8 pb$b B+
• Betcl$! betc *l gupus ealebtlruk sakuf $aenbe sae$crce!b
'- Kb"(a&tb&( _$&$"b" _brb
Matargcbtbe 7aurlpscmcbtrc (& sbenbt ar6brcbsc $bpbt arupb kcnrbce eaurlpbtc
parc'ar sbkpbc ma/ben $be pscmlscs. Magbcebe trlklaklgcm $aenbe betcl$c betc
'ls'lgcpc$ $bpbt karupbmbe pae!ab tarbe!bm magbcebe sararl6bsmugbr pb$b (&.
7aurlpbtc parc'ar tarutbkb tcpa saeslrcm $ctakumbe pb$b 2:O mbsus. Matagcbtbe sbrb'
ltbm /brben $ctakumbe.Magbcebe pscmcbtrcm sarcen $ctakumbe kugbc $brc beHcatbs $aprasc
sbkpbc pscmlscs. Magbcebe pscmcbtrcm /unb $bpbt $cpc>u lgaf tarbpc starlc$. Bebgcscs >bcrbe
sararlspcebg sarcenmbgc tc$bm kakarcmbe nbkbrbe !ben spasc'cm ma>ubgc uetum
kae!cenmcrmbe makuenmcebe ce'amsc. &gamtrlaesa'bglnrb'c &&< /unb tc$bm kakarcmbe
nbkbrbe !ben spasc'cm. F, s>be ltbm mb$benmb$ben $cpargumbe uetum kaka$bmbe
b$be!b ce'brm btbu par$brbfbe.
(- Kb"(a&tb&( Ea$r),&(!(btr(!
(& sbenbt ar6brcbsc $bpbt arupb kcnrbce eaurlpbtc parc'ar sbkpbc ma/ben $be
pscmlscs. Matargcbtbe eaurlpscmcbtrcm bmcbt (& sugct $ctanbmmbe mbraeb nbkbrbe mgcecs
!ben anctu gubs. Magbcebe cec $cmaglkplmmbe sabnbc kbec'astbsc eaurlglncm $be pscmcbtrcm. @cbnelscs gacf be!bm $c$bsbrmbe pb$b takube mgcecs $aenbe kae!cenmcrmbe
makuenmcebe gbce sapartc sapscs urakcb $be fcpartaesc arbt.
Magbcebe trlklaklgcm $aenbe betcl$c betc'ls'lgcpc$ $bpbt karupbmbe
pae!ab tarbe!bm magbcebe sararl6bsmugbr pb$b (&. 7aurlpbtc parc'ar tarutbkb tcpa
saeslrcm $ctakumbe pb$b 2:O mbsus. Magbcebe pscmcbtrcm sarcen $ctakumbe kugbc $brc
beHcatbs $aprasc sbkpbc pscmlscs. Magbcebe pscmcbtrcm /unb $bpbt $cpc>u lgaf tarbpc starlc$.
Bebgcscs >bcrbe sararlspcebg sarcenmbgc tc$bm kakarcmbe nbkbrbe !ben spasc'cm ma>ubgc
uetum kae!cenmcrmbe makuenmcebe ce'amsc. &gamtrlaesa'bglnrb'c &&< /unb tc$bm
kakarcmbe nbkbrbe !ben spasc'cm. F, s>be ltbm mb$ben mb$ben $cpargumbe uetum
kaka$bmbe b$be!b ce'brm btbu par$brbfbe.
?- Kb"(a&tb&( ,bb Kbtb
@c$bpbtmbe pb$b 8:O pae$arctb (& !ben $bpbt kaenaebc pbgparb mlreab ratceb
$be sbrb' lptcm. <bkbrbe magbcebe kbtb !ben $bpbt $ctakumbe betbrb gbce 4
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b. +bgparb
Magbcebe pbgparb ce'arclr $bpbt karupbmbe bncbe $brc arupsc mugct !ben tbm /brben
kaenaebc pcpc $be fc$uen.
. Mle/uentc6b
ce$rlkb kbtb marcen mle/uentc6ctcs c>>b $be mle/uentc6ctcs elespasc'cm ukuk
tar/b$c pb$b (& ebkue /brben kakbfb!bmbe paengcfbtbe.+b$b parkugbbee!b
mle/uentc6b kaeue/ummbe sa$cmct samrat !ben kumlc$ $csusug $aenbe fcparakcb !ben
cetaesc' $be a$akb kakrbe kumlsb. *abmsc cec $bpbt glmbg btbu $c'us. *abmsc mle/uentc6b
!ben arbt $bpbt kae!abmbe paenarutbe mle/uentc6b.
>. mgarb
+b$b smgarb $bpbt $ctakumbe smgarctcs betarclr !ben $c'us btbu el$ugar !ben kbmce
gbkb kbmce sarcen mbkuf $be satcbp mbgc mbkuf mab$bbe artbkbf arbt. @aenbe
amakbene!b pae!bmct smgarctcs arubf kae/b$c smgarctcs eamrltcm !ben kagbe/ut $brc
takbpbt (&c sakugb ma sanbgb /urusbe sbkpbc $cfaetcmbe $aenbe paenlbtbe.
$. "6ab
,ar/b$c magbcebe bmcbt rb$ben smgarb. 5brben kaeckugmbe sceamcb.
a. *atceb
@bpbt kaeckugmbe ratcelpbtc pb$b mcrbmcrb 81O pae$arctb. *atcelpbtc karupbmbe
magbcebe pb$b ratceb !ben tc$bm $csabmbe lgaf prlsas parb$benbe. Matargcbtbe ratceb
pb$b (& karupbmbe kbec'astbsc tarbe!bm ma$ub satagbf marbtlmle/uentc6ctcs sc>>b
MF. --O pae$arctb ratcelpbtc (& kakcgcmc pae!bmct scstakcm !ben bmtc' $be paeuruebe
benmb masakufbe !ben scnec'cmbe. 3gaf mbraeb ctu klectlrcen matbt $be paenlbtbe !ben
bnnrasc' pb$b pbscaepbscae $aenbe ratcelpbtc (& sbenbtgbf paetcen.
b. Bmcbt (& kurec 4 pb$b ratceb $ctakumbe nbkbrbe >lttle wllg pbt>fas !ben
karupbmbe na/bgb utbkb !ben $bpbt tckug pb$b kbsb tlmscs par$brbfbe supar'cscbg
amsu$bt putcf bubu $be a$akb pbpcg.
. Bmcbt fcpartaesc !ben argbensuen gbkb 4 mbraeb (& kae!abmbe ea'rlpbtc !ben
maku$cbe $bpbt kae!abmbe fcpartaesc kbmb pb$b pae$arctb (& !ben gbe/ut $bpbt$ctakumbe nbkbrbe 'ue$us fcpartaesc.
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*atcelpbtc $bpbt kakbcm sa/bgbe $aenbe maarfbscgbe paebenbebe pae!bmct
scstakcme!b. bnbckbebpue pae$arctb tatbp fbrus $cklectlr sa>brb samsbkb kaenaebc
tbe$btbe$b amsbsarbsc sbbt na/bgb scstakcm tc$bm b$b. +akarcbe mlrtcmlstarlc$ scstakcm
$cce$cmbscmbe pb$b e!arc fabt lptbgklpgancb.
@cbnelscs Zaeybmct _GA
@cbnelscs (& $bpbt $ctanbmmbe ar$bsbrmbe nbkbrbe mgcecm $be gblrbtlrcuk.
Bkarc>be Flggana l' *faukbtlgln! BF*. ,armbct $aenbe $cebkcse!b par/bgbebe
pae!bmct (& kbmb $cbnelscs $cec tc$bmgbf ku$bf $ctanbmmbe. (& pb$b tbfbp bwbg
sarcenmbgc arkbec'astbsc sabnbc pae!bmct gbce kcsbge!b brtrctcs rfaukbtlc$
naglkaruglea'rctcs beakcb $arkbtctcs $be sabnbce!b. @ckbeb bpbcgb $c$bpbtmbe 0
mrctarcb $cbnelscs (& $bpbt $ctanbmmbe. Mrctarcb tarsaut b$bgbf 4
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cgb $c/ukpbc 0 btbu gacf mrctarcb $cbtbs $cbnelscs (& kakcgcmc saesctc'ctbs -1O
$be spasc'csctbs 1O. a$benmbe cgb fbe!b ? mrctarcb $be sbgbf sbtue!b B7B plsctc' kbmb
sbenbt kuenmce (& $be $cbnelscs arnbetuen pb$b paenbkbtbe mgcecm. cgb fbscg tas B7B
eanbtc' kbmb makuenmcebe umbe (&. Bpbcgb fbe!b tas B7B plsctc' $be kbec'astbsc
mgcecm gbce tc$bm b$b kbmb aguk taetu (& $be lsar6bsc /benmb pbe/ben $cpargumbe.
@cbnelscs pae!bmct !stakc> (upus &r!tfakbtlsus $ctanbmmbe bpbcgb tar$bpbt
akpbt btbu gacf kaeurut mrctarcb B*B Bkarc>be *faukbtcsk Bssl>cbtcle sabnbc
arcmut4
)bgbr rbsf
@cs>lc$ rbsf
+fltlsaesctc6ct!
"gmus ebsl'brcen btbu pb$b kugut
7learlsc6a brtfrctcs
arlsctcspgaurctcs btbu parc>br$ctcs
<bennube pb$b nce/bgparscstaet prltaceurcb :1 nJfbrc btbu >aggugbr >bsts !ben
kae>bmup arctrlsct faklnglce nrbeugbr tuugbr btbu nbuenbe sakube!b.
Magbcebe eaurlglncs kcsbge!b ma/ben btbu pscmlscs pb$b pae$arctb
Magbcebe fakbtlglnc !bctu beakcb faklg!tc> $aenbe ratcmuglsct btbu gaumlpaecb
N0.:::Jkk? btbu trlklsctlpaecb N2::.:::Jkk? btbu g!kpflpaecb N2.1::Jkk?.
Magbcebe ckuelglncs $aenbe $ctakumbee!b sag (& btbu betc @7B $bgbk /ukgbf belrkbg
btbu betc e btbu pakarcmsbbe sarlglncs uetum s!pfcgcs kakarcmbe fbscg plsctc' pbgsu
kceckbg aebk ugbe !ben $cmle'crkbsc $aenbe pakarcmsbbe parnarbmbe trapleakb
pbggc$uk.
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Betceu>gabr betcl$cas B7B subtu tctar belrkbg $brc betceu>gabr betcl$! kagbguc
pakarcmsbbe ckkuel'gulras>ae>a.
M)%,(!b&( Za"*b!(t _GA
2. arbenbe pb$b <ce/bg
D Magbcebe nce/bg rcenbe ce'amsc nce/bg
D Magbcebe nce/bg arbt nbnbg nce/bg
D Mal>lrbe nce/bg prltace taruben sa>brb argacfbe kagbguc urce.
8. arbenbe pb$b 5betuen $be +bru
D +gaurctcs
D +arc>br$ctcs
D &'usc pgaurb
D &'usc parc>br$
D *b$ben ltlt /betuen btbu )cl>br$ctcs
D <bnbg /betuen
D +ar$brbfbe pbru btum $brbf
?. arbenbe cstak brb'
b. cstak sbrb' pusbt
D Flnectc6a $!s'ue>tcle
D bmct mapbgb pb$b gupus
D ce$rlk betcpflspflgcpc$
D ce$rlk ltbm
D #crlk!bgncb
. cstak sbrb' tapc
D )btc rbsb btbu masakutbe $c gaenbe $be mbmc
>. cstak sbrb' ltlelk
D <bennube supgbc $brbf ma ltbm $bpbt kae!abmbe marusbmbe /brcenbe ltbm $bpbt
kae!abmbe makbtcbe sagsag ltbm $be marusbmbe ltbm !ben sc'bte!b parkbeae strlma.
trlma $bpbt kaeckugmbe paenbruf scstak sbrb' ltlelk
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0. arbenbe pb$b Mugct
D (asc pbrut araetum mlce pb$b $barbf mugct !ben tarmaeb gbensuen >bfb!b $csaut
gasc $cs>lc$.
D Fcrc>crc gasc spasc'cm $ctakumbe lgaf letfcakar $be <cggcbk pb$b bmfcr %:be 4
I arpbrut arwbreb karbf ar!tfakbtlsus araetum mlce sbenbt saesctc' tarfb$bp
saenbtbe kbtbfbrc. 5aecs gasc cec arupb gupus mugt submutJ>utbeaus gupus sub>uta. Mb$ben
kae!arupbc gumb pslrcbscs btbu gasc tc$bm arpbrut araetum mlce.
I (asc $bpbt tar/b$c $c wb/bf $aenbe plgb mupumupu btbu $bpbt kae>bmup brab !ben gubs $c
bncbe tuuf
D (asc ele spasc'cm
I *bkut rletlm bglpa>cb
I bsmuggctcs 4 arupb nbrcs ma>cg wbreb karbf pb$b u/uen gcpbtbe mumu $be u/uen /brc.
agbce ctu csb arupb ae/lgbe karbf $c mbmc !ben $bpbt kae/b$c lrlm
I #ltlsaesctc6ctbs 4 pcpc kae/b$c makarbfbe /cmb tarmaeb kbtbfbrc $be mb$ben $c sartbc
puscen.
1. arbenbe pb$b ae$c $be 3tlt
I *b$ben sae$c pb$b gupus
I *b$ben ltlt pb$b gupus
9. arbenbe pb$b )btb
%. arbenbe pb$b @brbf
D Beakcb
D ,rlklsctlpaecb
D <bennube pakamube
D (ck'lsctlpaecb
D arbenbe pb$b ;btc
ZAEBPBGBM_BEBBE
2. arbenbe pb$b <ce/bg
D "rcebgcscs
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D Frabtcece >gabrae>a tast
D "7
D cebr G
D clpsc nce/bg
D ,farbpc 4
Mlrtcmlstarlc$ +ra$ecsle +ra$ecslglea )atcgpra$ecslglea
ctlstbtcmJCkuelsuprasc' Bbtclprce cmgl'ls'bkc$a
;akl$cbgcsb
8. arbenbe pb$b 5betuen $be +bru
D akub pbscae gupus kaenbgbkc sarbenbe btum sa>brb tcbtcb btbu rbsb sbmct $c
$b$b fbrus sanarb kakarctbfu $lmtar.
D )bsbgbf /betuen $be pbru !ben armbctbe $aenbe gupus $bpbt $c lbtc ebkue tatbp
fbrus $ctce$bm gbe/utc sa>brb samsbkb
?. arbenbe cstak brb'
D +aenlbtbe scstak sbrb' gupus tarnbetuen $brc na/bgbe!b.
D +aenlbtbe $bpbt kaennuebmbe 4 starlc$ ckuelsuprasbe betc mlbnugbe betccltcm
betc mle6ugsbe betc $aprasc mlesugtbsc $aenbe pscmcbtar btbu lparbsc paka$bfbe.
D +b$b be!bm pbscae gupus matargcbtbe scstak sbrb' tc$bm csb $csakufmbe sbkb
sambgc
0. arbenbe pb$b Mugct
D +aenlbtbe pae!bmct mugct bmcbt gupus arctakbtlsus scstakcm $bpbt kaennuebmbe 4
>rabk starlc$ pgastar starlc$ uetum kaeutup gumb gupus btbu $aenbe suetcmbe starlc$ $lscs
tcennc.
D "etum gumb bmcbt gupus !ben kae!abr gubs sarcen $clbtc $aenbe
fc$rlmscmfglrlKuce pgbKuaecg btbu $c mlkcebsc $aenbe starlc$ lrbg $lscs tcennc uetum
wbmtu !ben scenmbt.
D Frabk pagce$uen kbtbfbrc $cnuebmbe uetum kae>anbf gumb mugct gupus.
D abcme!b l$bpus kaenfce$brc pbpbrbe scebr kbtbfbrc sa>brb gbensuen $bgbk
wbmtu !ben gbkb
1. arbenbe pb$b ae$c $be 3tlt
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D *b$ben sae$c pb$b gupus $bpbt $clbtc 4 7BC@s sapartc bspcrce cuprl'ae $be
ebprlHae.
D cgb tc$bm a'amtc' $bpbt $cnuebmbe lbtlbtbe betc kbgbrcb sapartc
fc$rlmscfglrlKuce pgbKuaecg a'amtc' uetum kaenlbtc na/bgb mugct $be sae$c !ben cbsb
tar/b$c pb$b gupus arctakbtlsus scstakcm.
D Betc kbgbrcb /unb $bpbt kara$bmbe na/bgb rubk mugct $be sae$c pb$b pbscae gupus
@arb?bt Harbt X("#b""*b Za"*b!(t _GA
arcenmbgc tar/b$c macenuenbe $bgbk prlsas paenlgbbe (& tarutbkb kae!benmut
lbt !ben bmbe $carcmbe aarbpb $lscs gbkb pakarcbe $be pakbetbube a'am sbkpcen
lbt !ben $carcmbe pb$b pbscae. bgbf sbtu upb!b !ben $cgbmumbe uetum kakparma>cg
arbnbc makuenmcebe masbgbfbe b$bgbf $aenbe $ctatbpmbee!b nbkbrbe tcenmbt mapbrbfbe
(&.
Za"*b!(t _GA b,bt (!bta#)r(!b" r("#b" btb$ /arbt &b%,b( %a"#b"b% "*b+b.
2. Mr(tar(b $"t$! (!btb!b" _GA r("#b"0
•
sa>brb mgcecs taeben
• tc$bm tar$bpbt tbe$b btbu na/bgb !ben kaenbe>bk e!bwb
• 'uensc lrnbe elrkbg btbu stbcg !bctu4 nce/bg pbru /betuen nbstrlcetastcebg
susuebe sbrb' pusbt sae$c fakbtlglnc $be mugct
8. ,a"*b!(t _GA a"#b" t("#!bt !a,brb'b" &ab"# %b"b!bb (ta%$!b"0
• 7a'rctcs rcenbe sbkpbc sa$ben (upus ea'rctcs magbs C $be CC
• ,rlklsctlpaecb trlklsct 8:1:H2:?Jkk?
• arlsctcs kb!lr
. Za"*b!(t _GA /arbt btb$ %a"#b"b% "*b+b b,b/(b (ta%$!b" !abbb"
&a/b#b(%b"b tarb"t$% ( /b+b' ("(9 *b(t$0
5betuen4 ae$lmbr$ctcs (ckbeb>ms 6bsmugctcs brtarc mlrlebrcb kclmbr$ctcs
tbkpleb$a /betuen fcpartaesc kbgcneb.
+brupbru4 fcpartaesc pugklebg par$brbfbe pbru peauklectcs aklgc pbru ce'brm pbru crlscs cetarstcscbg sfrcemcen guen.
<bstrlcetastcebg4 pbemrabtctcs 6bsmugctcs kasaetarcmb.
<ce/bg4 ea'rctcs prlgc'arbtc' $be btbu kakrbelus.E
Mugct4 6bsmugctcs arbt rubk $c'us $csartbc ugmus btbu kagapuf hgcstar .
7aurlglnc4 ma/ben bouta oleiusclebg stbta mlkb strlma kcaglpbtc trbes6arsb
kleleaurctcs plgceaurctcs eaurctcs lptcm pscmlscs sce$rlkb $akcagcebsc. ;akbtlglnc4 beakcb faklgctcm eautrlpaecb gaumlsct N2.:::Jkk trlklsctlpaecb
N 8:.:::Jkk? purpurb trlkltcm trlklsctlpaecb tfrlklscs 6aeb btbu brtarc.
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2.8.8 ZAEBPBGBM_BEBBE KA@C_
(upus b$bgbf pae!bmct saukur fc$up mbraebe!b pakbetbube fbrus $cgbmumbe
sagbkbe!b. ,u/ube paenlbtbe (& b$bgbf kaenletrlg kbec'astbsc pae!bmct safcennb bebm
$bpbt kakcgcmc mubgctbs fc$up !ben bcm tbepb amsbsarbsc arbt sambgcnus kae>anbf
marusbmbe lrnbe sarcus !ben $bpbt kae!abmbe makbtcbe ;l>maearr! L =cgsle 8::.
,btbgbmsbeb prckar pb$b (& kagcputc4
2. )aenurbenc ce'gbkbsc $be kakceckbgcscr mlkpgcmbsc B$bpue lbtlbtbe !ben
$cutufmbe sapartc4
b. Betcce'gbkbsc ele starlc$ 7BC@s uetum kaenlbtc sckptlkbtcm brtrbgncb e!arc
sae$c.
. Betckbgbrcb @carcmbe uetum gupus $csmlc$. +akbmbcbe /benmb pbe/ben
kakargumbe a6bgubsc ratceb satcbp 9 ugbe.
>. Mlrtcmlstarlc$ @lscs rae$bf uetum kaenbtbsc na/bgb mgcecs sapartc $akbk
$arkbtctcs a'usc pgaurb. @carcmbe sagbkb 0 kcennu kceckbg saaguk $cgbmumbe
pae!bpcfbe. @lscs tcennc uetum kaenbtbsc mrcscs gupus na/bgb ea'rctcs + $be
beakc faklgctcm.
$. 3bt ckuelsuprasbeJsctlstbtcmb Ckuelsuprasbe $carcmbe pb$b (& $aenbe
matargcbtbe + ea'rctcs $c'us $be kakrbelsb beakcb faklgctcm bmut $be mbsus
!ben rascstae tarfb$bp pakarcbe mlrtcmlstarlc$.
a. 3bt betcfcpartaesc Btbsc fcpartaesc pb$b ea'rctcs gupus $aenbe bnrasc'
'. Mbgscuk akub pbscae (& !ben kaenbgbkc brtrctcs sartb kae$bpbt tarbpc
pra$ecsle arcscml uetum kaenbgbkc klstalpaecb mbraebe!b kakargumbe
supgakaetbsc mbgscuk.
8. @cbgcscs btbu trbespgbetbsc nce/bg +bscae $aenbe stb$cuk bmfcr gupus ea'rlpbtc $bpbt
$cgbmumbe $cbgcscs btbu trbespgbetbsc nce/bg
?. @cat *astrcmsc $cat $ctaetumbe lgaf tarbpc !ben $carcmbe. abncbe asbr pbscae
kakargumbe mlrtcmlstarlc$ $be sbbt ctu $cat !ben $cparlgafmbe b$bgbf !ben
kaenbe$uen >umup mbgscuk rae$bf gakbm $be rae$bf nbrbk. +bscae $csbrbembe
arfbtcfbtc $aenbe supgakae kbmbebe $be lbt trb$csclebg.
0. Bmtc6ctbs +bscae gupus sabcme!b tatbp arbmtc6ctbs elrkbg. 3gbf rbnb $cpargumbe
uetum kakpartbfbembe $aesctbs tugben $be arbt b$be elrkbg. ,atbpc tc$bm lgaf
argacfbe mbraeb gagbf $be strass sarcen $cfuuenmbe $aenbe mambkufbe. +bscae
$csbrbembe uetum kaenfce$brc scebr kbtbfbrc cgb tarpbmsb fbrus tarpbpbr kbtbfbrc
fbrus kaennuebmbe mrck pagce$uen kbtbfbrc wbtarprll' suegl>m satcbp 8 /bk.
(bkpu 'gulras>ae>a /unb $bpbt kaecenmbtmbe tckuge!b (&c mugct pb$b pbscae (&.
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1. +aebtbgbmsbebbe ce'amsc +aenlbtbe sanarb cgb b$b ce'amsc tarutbkb ce'amsc bmtarc.
atcbp magbcebe urce fbrus $cpcmcrmbe makuenmcebe pcaglea'rctcs.
Ibt)r r(&(!) ,a"*b!(t _GA0
'bmtlr gcenmuenbe.
2. #bmtlr 'cscm J mckcb
Bkce brlkbtc>
;!$rbcea
3btlbtbe prlmbcebkc$ fc$rbgbce mglrprlkbce cslecbc$ 'aectlce
paecscgbkce
8. #bmtlr kbmbebe
Mlesuksc gakbm /aeuf !ben argacfbe
( >beb6becea mue>up $brc ag'bg'b
?. Bnae ce'amsc
*atrl6crus
@7B bmtarc J ae$ltlmsce
0. ;lrklea $be astrlnae gcenmuenbe ae6crlekaetbg astrlnae
,arbpc sugcf ;*, pcg mletrbsapsc lrbg.
+bpbrbe astrlnae praebtbg
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2.8.. B_QFBE MAZAXB^BPBE
H. Za"#!b?(b"
2. Bebkeascs rcwb!bt masafbtbe sambrben $be pakarcmsbbe 'cscm $c'lmusmbe pb$bna/bgb sambrben $be na/bgb !ben parebf $cbgbkc sapartc magufbe ku$bf gagbf gakbf
e!arc mbmu $akbkJpbebs belramscb $be a'am na/bgb tarsaut tarfb$bp nb!b fc$up
sartb >ctrb $crc pbscae.
8. Mugct
*ubk arctakbtlus pgbm arctakbtlus pb$b mugct mapbgb kumb btbu gafar.
?. Mbr$cl6bsmugar
#rc>tcle ru parcmbr$cuk !ben kae!artbc kclmbr$ctcs $be a'usc pgaurb. (& arctakbtlus
pbpugar $be purpurb !ben kae/b$c eamrlscs kaeue/ummbe nbennube 6bsmugar tar/b$c $c
u/uen /brc tbenbe scmu /brc mbmc $be parkumbbe amstaeslr gaenbe bwbf btbu scsc gbtarbg
tbenb.
0. cstak )usmuglsmagatbg
+akaenmbmbe sae$c e!arc tambe $be rbsb e!arc matcmb arnarbm rbsb mbmu pb$b pbnc
fbrc.
1. cstak cetanukae
(& bmut pb$b mugct !ben tar$crc btbs rubk araetum mupumupu !ben kagcetben
pbenmbg fc$uen sartb pcpc. "gmus lrbg $bpbt kaenaebc kumlsb pcpc btbu pbgbtuk $uruk
9. cstak pareb'bsbe
+gaurctcs btbu a'usc pgaurb.
%. cstak 6bsmugar
Ce'gbkbsc pb$b brtarclga tarkcebgcs !ben kaeckugmbe (&c pbpugar arctakbtlus $be
purpurb $c u/uen /brc mbmc tbenbe scmu sartb parkumbbe amstaeslr gaenbe bwbf btbu
scsc gbtarbg tbenbe $be argbe/ut eamrlscs.
-. cstak *aebg
&$akb $be fakbturcb.
. cstak sbrb'
arcen tar/b$c $aprasc $be pscmlscs /unb sarbenbe ma/benma/ben mlrab btbupue
kbec'astbsc + gbcee!b.
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ZAKAXCM_BBE ZAEQEDBEN
2- Za%ar(!&bb" @brb' X$t(" b" Za%ar(!&bb" Qr("
+akarcmsbbe paeue/ben !ben $cgbmumbe pb$b pae!bmct (upus &rctakbtlsus cstakcm
(& b$bgbf pakarcmsbbe $brbf rutce $be pakarcmsbbe urce. ;bscg pakarcmsbbe $brbf
pb$b pae$arctb (& kaeue/ummbe b$be!b beakcb faklgctcm trlklsctlpaecb gck'lpaecb
btbu gaumlpaecbZ ar!trl>!tasa$ckaetbtcle rbta &* kaecenmbt sagbkb pae!bmct bmtc'
Fllks tast kuenmce plsctc' ga6ag Cn< kuenmce tcennc rbtcl bgukcenglugce tarbgcm
$be saruk nglugce kaecenmbt. agbce ctu fbscg pakarcmsbbe urce pb$b pae$arctb (&
kaeue/ummbe b$be!b prltaceurcb fakbturcb paecenmbtbe mrabtcece $be $ctakumbee!b
Fbst faka nrbeugbr btbu sag $brbf karbf pb$b urce.
8- Za%ar(!&bb" B$t)b"t(/)(
+rlsas pbtlnaecm satcbp pae!bmct tc$bm targapbs mbctbee!b $aenbe arbnbc prlsas
ckuelglncm bcm !ben ele spasc'cm btbu spasc'cm. Mbctbe tarsaut taetue!b targcfbt gacf
e!btb pb$b pae!bmctpae!bmct butlckue tarkbsum $c $bgbke!b (& Brtfrctcs *aukbtlc$
sce$rlkb /lnrae $be sabnbce!b. B$be!b betcl$c tarkbsum butlbetcl$c sarcen $cpbmbc
$bgbk upb!b kakbetu paeanbmmbe $cbnelscs kbupue a6bgubsc parmakbenbe pae!bmct
$be tarbpc !ben $carcmbe.
+akaetumbe butlbetcl$c >umup mlkpgams $be aguk b$b sbtu mb/cbe !ben kbkpu
kae/agbsmbe sa>brb utuf kambecska pbtl'csclglncme!b. @akcmcbe pugb fbge!b $aenbe
kbsbgbf ltlckuectbs. +b$b kbsbgbf !ben tarbmfcr $cmbtbmbe tar$bpbt mamb>bube $bgbk
scstck tlgarbesc ckue $aenbe saetrbge!b pb$b , fagpar $be kagbfcrmbe be!bm fcpltascs
betbrb gbce kl$c'cmbsc butlbetcnae makcrcpbe btbu kckcmrc klgamugar betcnaecm tarfb$bp
apctlp sag, >rlss rab>tc6a paptc$a tarfb$bp apctlp sag kambecska !pbss c$cltcpcm
bmtc6bsc plgcmglebg $be sabnce!b. )ambecska gbce /unb $bpbt $cgcfbt $brc su$ut b$be!b
nbennube kambecska ranugbsc sag bcm $brc tcenmbt tf!kus sbkpbc ma parcpfar. Mamb>bube
cec sakbmce asbr masakpbtbe tar/b$ce!b sa/bgbe $aenbe sakbmce artbkbfe!b uscb
sasalrben. "kuke!b butlbetcl$c ctu sae$crc tc$bm sanarb kae!abmbe pae!bmct.
3gaf mbraebe!b gacf bcm butlbetcl$c $cpbe$ben sabnbc patbe$b kbrmars
prlsas pbtlglncm $brcpb$b sabnbc bnae pbtlglncm. Mb$bre!b !ben $bpbt ebcm btbu turue
$bpbt armbctbe $aenbe bmtc6ctbs pae!bmct btbu sabnbc fbscg cetar6aesc tarbpc. Mlkpgams
butlbetcnae $be butlbetcl$cgbf !ben bmbe kakugbc rbenmbcbe pae!bmct butltlckue.
;cennb sbbt cec fcpltascs !ben $cbeut b$bgbf butlbetcl$c bru $cmbtbmbe kakcgcmc parbe
$bgbk parmakbenbe subtu pae!bmct raukbtcm butlckue bpbcgb cb arparbe $bgbk prlsas
pbtlglncme!b.
b Betcl$c Betceumgabr
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Betceumgabr betcl$c B7B karupbmbe subtu maglkplm butlbetcl$c !ben spasc'cm
tarfb$bp bsbk eumgabt $be eumgalprltace $ctakumbe pb$b >leea>tc6a tcssua $csabsa sapartc
(& smgarlscs scstakcm )cHa$ Fleea>tc6a ,cssua @csabsa )F,@ $be sce$rlk s/lnraeRs
prckar. B7B partbkb mbgc $ctakumbe lgaf ;brnrab6as pb$b tbfue 20- pb$b suksuk
tugben pae$arctb (&. @aenbe parmakbenbe pakarcmsbbe ckuel$c'usc $bpbt $ctakumbe
spasc'csctbs B7B !ben bru sapartc k eu>gabr rcl>galprltace e*7+ *lJB $be
(bJ. B7B $bpbt $cparcmsb $aenbe kaennuebmbe katl$a ckuel'gulrasaesc.
B7B $cnuebmbe sabnbc pakarcmsbbe pae!brcen pb$b >leea>tc6a tcssua $csabsa.
@aenbe pakarcmsbbe !ben bcm O pae$arctb (& kaeue/ummbe pakarcmsbbe !ben
plsctc' 9-O pb$b pae$arctb sce$rlk /lnraes $be 0:O pb$b pae$arctb smgarl$arkb.B7B
/unb pb$b 2:O plpugbsc elrkbg !ben aruscb %: tbfue.
Betcl$c tarfb$bp @7B
Betcl$c tarfb$bp @7B Betc $s@7B $bpbt $cnlglenmbe $bgbk betcl$! !ben
rabmtc' tarfb$bp @7B ebtc' $luga strbe$a$@7B. Betc $s@7B plsctc' $aenbe mb$br
!ben tcennc $c/ukpbc pb$b %?O (& $be kakpue!bc brtc $cbnelstcm $be prlnelstcm. Mb$br
betc $s@7B !ben rae$bf $ctakumbe pb$b sce$rlk /lnraes brtfrctcs raukbtlc$.
+aecenmbtbe mb$br betc $s@7B kaeue/ummbe paecenmbtbe bmtc'ctbs pae!bmct. +b$b(&betc $s@7B kakpue!bc mlragbsc !ben mubt $aenbe ea'rctcs gupus $be bmtc'ctbs
pae!bmct (&. +akarcmsbbe betc $s@7B $cgbmumbe $aenbe katl$a rb$clckkuelbssb!
&(CB $be F.gu>cgcba ckkuel'gulrasaes.
- Za%ar(!&bb" M)%,a%a"
Mlkpgakae b$bgbf subtu klgamug $brc scstak ckue !ben tc$bm spasc'cm.
Mlkpgakae tar$bpbt $bgbk scrmugbsc $bgbk mab$bbe tc$bm bmtc'. cgb tar/b$c bmtc6bsc lgaf
betcnae mlkpgams ckue $be gbce gbce bmbe kaenfbscgmbe arbnbc ka$cbtlr !ben bmtc'
uetum kaenfbe>urmbe betcnae tarsaut. Mlkpgakae karupbmbe sbgbf sbtu scstak aeck
!ben tar$crc $brc 8: prltace pgbskb $be amar/b sa>brb arbetbc sag' bkpgc'!cen sapartc
kl$ag mbsmb$a pakamube $brbf $be 'crcelgcscs. +b$b (& mb$br F2F0F8 $be F?
cbsbe!b rae$bf tatbpc pb$b gupus mutbeaus elrkbg. +aeuruebe mb$br mlkpakae
arfuuenbe $aenbe $arb/bt arbte!b (& tarutbkb b$be!b mlkpgcmbsc nce/bg. 3sar6bsc
sarcbg pb$b pae$arctb $aenbe amsbsarbsc paeuruebe mb$br mlkpgakae targcfbt gacf $bfugu
$cbe$cen na/bgb mgcecs.
H. @(b#")&b Ma,arb+btb"
2. 7!arc arfuuenbe $aenbe ce'gbkbsc $be marusbmbe /brcenbe.
8. Magatcfbe arfuuenbe $aenbe paecenmbtbe bmtc6ctbs pae!bmct rbsb e!arc $aprasc.
?. <bennube cetanrctbs mugct arfuuenbe $aenbe paeuruebe raetben narbm magakbfbe
ltlt rbsb e!arc pb$b sbbt arnarbm matarbtbsbe $b!b tbfbe 'cscm.
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0. Marusbmbe klcgctbs 'cscm arfuuenKbe $aenbe parubfbe $be matarnbetuenbe
'csbcm sartb pscmlglncs !ben $cbmcbtmbe pae!bmct mrlecm.
1. <bennube >ctrb tuuf arfuuenbe $aenbe parubfbe 'uensc brcar mugct
paeukpumbe mlkpgams ckue.
>. C"tar6a"&(
2. 7!arc arfuuenbe $aenbe ce'gbkbsc $be marusbmbe /brcenbe.
,u/ube 4 parbcmbe $bgbk tcenmbt maee!bkbebe
Cetar6aesc 4
b (bmsbebmbe sa/ukgbf tce$bmbe !ben kakarcmbe mae!bkbebe mlkpras pbebs
J$cence kbsbsa parubfbe plscsc cstcrbfbtZ mbsur usb betbg pae!bennb c$bctamecm ragbmsbsc bmtc6ctbs !ben kaenbgcfmbe parfbtcbe
arcmbe prapbrbt betcce'gbkbsc bebgnascm sapartc !ben $cbe/urmbe.
> asubcmbe /b$wbg paenlbtbe uetum kakaeufc mautufbe pbscae tarfb$bp
paebtbgbmsbebbe e!arc.
$ @lrlen pbscae uetum kaenutbrbmbe parbsbbee!b taetben rbsb e!arc sartb sc'bt mrlecm
pae!bmcte!b.
a 5agbsmbe pbtl'csclglncm e!arc $be kakbetu pbscae uetum kae!b$brc bfwb rbsb
e!arc sarcen kakbwbe!b mapb$b katl$a tarbpc !ben aguk tarumtc kbe'bbte!b.
' betu $bgbk kaenaebgc e!arc mafc$upbe sasalrben !ben kakbwb pbscae uetum
kakbmbc katl$a tarbpc !ben aguk tarumtc kbe'bbte!b.
n (bmumbe paecgbcbe tarfb$bp parubfbe su/amtc' pb$b rbsb e!arc.
8. Magatcfbe arfuuenbe $aenbe paecenmbtbe bmtc6ctbs pae!bmct rbsb e!arc $aprasc.
,u/ube 4 kaencmutsartbmbe tce$bmbe sabnbc bncbe $brc bmtc6ctbs fc$up safbrcfbrc !ben
$cpargumbe.Cetar6aesc 4
b arc pae/agbsbe taetben magatcfbe 4
;uuenbe betbrb bmtc6ctbs pae!bmct $be magatcfbe
)ae/agbsmbe tce$bmbe uetum kakarcmbe mae!bkbebe sakaetbrb kagbmsbebmbee!b
)aenakbenmbe $be kakpartbfbembe tce$bmbe rutce ueutm tc$ur kbe$c bcr fbenbt
$be tamecm ragbmsbsc !ben kaku$bfmbe tc$ur
)ae/agbsmbe paetcene!b cstcrbfbt uetum kaenurbenc stras scstakcm brtcmugar $be
aklsclebg
)ae/agbsmbe >brb kaennnuebmbe tamecmtamecm uetum kaenfakbt taebnb
Maebgc 'bmtlr'bmtlr 'cscm $be aklsclebg !ben kae!abmbe magagbfbe.
> #bscgctbsc paenakbenbe /b$wbg bmtc6ctbsJcstcrbfbt !ben tapbt.
$ @lrlen mapbtufbe pbscae tarfb$bp prlnrbk tarbpce!b.
a *u/um $be $lrlen prlnrbk mle$csclecen.
' @lrlen eutrcsc b$amubt tarkbsum sukar bt asc $brc kbmbebe $be supgakae.
?. Marusbmbe klcgctbs 'cscm arfuuenbe $aenbe paeuruebe raetben narbm magakbfbe
ltlt rbsb e!arc pb$b sbbt arnarbm matarbtbsbe $b!b tbfbe 'cscm.
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,u/ube 4 kae$bpbtmbe $be kakpartbfbembe klcgctbs 'uensclebg !ben lptckbg.
Cetar6aesc 4
b @lrlen 6arbgcsbsc !ben armaebbe $aenbe matarbtbsbe $bgbk klcgctbs.
Mb/c mautufbe bmbe mlesugtbsc tarbpc lmupbscJ'cscltarbpc 4
2. )aeambembe mcsbrbe nfarbm pb$b sae$c !ben sbmct
8. )aecenmbtmbe pakbmbcbe bgbt betu
?. )ae/agbsmbe pakbmbcbe bgbs mbmc !ben bkbe.
0. )aennuebmbe plsturJpaenbturbe plscsc tuuf !ben tapbt.
> betu pbscae kaenaebgc rcetbenbe $bgbk gcenmuenbee!b.
$ @lrlen makbe$crcbe $bgbk klcgctbs $be kakbetu /cmb $cpargumbe
2. )akarcmbe wbmtu !ben >umup uetum kagbmumbe bmtc6ctbs8. )akarcmbe masakpbtbe cstcrbfbt sasu$bf kagbmumbe bmtc6ctbs
?. )aenubtmbe makbgc prcescp pargce$uenbe sae$c
0. <bennube >ctrb tuuf arfuuenKbe $aenbe parubfbe $be matarnbetuenbe 'cscm sartb
pscmlglncs !ben $cbmcbtmbe pae!bmct mrlecm.
,u/ube 4 kae>bpbc ramlescgcbsc betbrb mlesap $crc $be arubfbe 'cscm sartb pscmlglncm
!ben $ctckugmbe pae!bmct
b betu pbscae uetum kaenaebgc uesuruesur paenae$bgcbe na/bgb pae!bmct $be
paebenbebee!b.
@lrlen 6arbgcsbsc parbsbbe parsapsc $be rbsb tbmut
2. )akbetu kaecgbc sctubsc sambrben $be kaenbegc kbsbfe!b.
8. )akbetu kaenbegc kambecska mlpcen pb$b kbsb gbgu.
?. )akbetu kaenaebgc kambecska mlpcen !ben a'amtc'.
0. Marusbmbe cetanrctbs mugct arfuuenbe $aenbe parubfbe 'uensc brcar mugct
paeukpumbe mlkpgams ckue. ,u/ube 4 pakagcfbrbbe cetanrctbs mugct. Cetar6aesc 4
• (ce$uenc mugct !ben safbt tarfb$bp makuenmcebe kbsarbsc
• ;cgbenmbe magakbbe $brc mugct
• 5bnb $aenbe >arkbt tarfb$bp rascml tar/b$ce!b sa$arb tarkbg bmcbt paennuebbe
mlkpras fbenbt !ben targbgu pbebs.
• 7bsafbtc pbscae uetum kaennuebmbe mlskatcm $be prapbrbt tbcr sur!b.
• Mlgblrbsc pakarcbe 7BC@ $be mlrtcmlstarlc$.
ZAENLHBPBE _GA
bcm uetum (& rcenbe btbu sa$ben $be arbt $cpargumbe nbuenbe strbtanc paenlbtbe
btbu $csaut pcgbr paenlbtbe. +aenlbtbe (& cec $cgbmumbe sa>brb arsbkbbe $be
armascebkuenbe bnbr tu/ube paenlbtbe tar>bpbc. +argu $cgbmumbe upb!b pakbetbube
pae!bmct kugbc $brc $lmtar ukuk $c parc'ar sbkpbc ma tcenmbt $lmtar mlesugtbe tarutbkb
bfgc raukbtlglnc.
>brb ,a"#)/btb" _GA
8>
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2. A$!b&( btb$ !)"&a("#
+b$b $bsbre!b pbscae (& kakargumbe ce'lrkbsc !ben aebr $be $umuenbe $brc samctbr
$aenbe kbmsu$ bnbr $bpbt fc$up kbe$crc. +bscae kakargumbe paenatbfube bmbe
kbsbgbf bmtc6ctbs 'cscm kaenurbenc btbu kae>anbf mambkufbe betbrb gbce kagce$uenc
mugct $brc pbpbrbe scebr kbtbfbrc ugtrb 6clgat $aenbe kakbmbc tbcr sur!b pb!uen btbu
tlpcZ kagbmumbe gbtcfbe sa>brb tarbtur. +bscae fbrus kakparfbtcmbe cgb kaenbgbkc
ce'amsc. +argu paenbturbe $cat bnbr tc$bm magacfbe arbt b$be lstalplrlscs btbu tar/b$c
$csgcpc$akcb. @cpargumbe ce'lrkbsc bmbe paenbwbsbe arbnbc 'uensc lrnbe bcm
armbctbe $aenbe bmtc6ctbs pae!bmct btbupue bmcbt pakbmbcbe lbtlbtbe. &$umbsc
magubrnb $cbrbfmbe uetum kakbenmbs $bkpbm stcnkbtb pscmlglncm bmcbt b$be!b
magubrnb $aenbe (& kakarcmbe ce'lrkbsc pargue!b $umuenbe magubrnb !ben tc$bm
argacfbe. ;bg cec $ckbmsu$mbe bnbr pbscae $aenbe (& $bpbt $ckaenartc lgaf pcfbm
magubrnbe!b $be kbkpu kbe$crc $bgbk mafc$upbe masafbrcbee!b.
8. Zr)#rb% Xa'b/((tb&(
+b$b prlnrbk rafbcgctbsc pargu $cparfbtcmbe bfwbsbee!b bmbe turuee!b kbsb ltlt
safcennb ?:O bpbcgb pbscae $aenbe (& $ccbrmbe $bgbk mle$csc cklcgctbs sagbkb
gacf $brc 8 kcennu. arbnbc gbtcfbe $cpargumbe uetum kakpartbfbembe mastbcgbesae$c. )l$bgctbs cscm sapartc pakarcbe pbebs btbu $cence $cpargumbe uetum kaenurbenc
rbsb e!arc kaenfcgbenmbe mambmube btbu spbska ltlt. @akcmcbe pugb kl$bgctbs gbcee!b
sapartc trbes>utbealus aga>trc>bg ear6a stckugbtcle ,&7 kakarcmbe kbe'bbt !ben
>umup asbr pb$b pbscae $aenbe e!arc btbu mambmube ltlt. a>brb nbrcs asbr kbmb
tu/ube ce$cmbsc $be tamfecs pagbmsbebbe prlnrbk rafbcgctbsc !ben kagcbtmbe aarbpb
kbmsu$ $c bwbf cec !bctu4
b. Cstcrbfbt
. ,arbpc cscm
>. ,arbpc $aenbe kl$bgctbs
$. 3rtltcm
. M)rt(!)&tar)(
Mlrtcmlstarlc$ M $cnuebmbe sabnbc paenlbtbe utbkb pb$b pbscae $aenbe (&.
)asmc kakue>ugmbe be!bm a'am sbkpcen M tatbp karupbmbe lbt !ben be!bm
$cpbmbc sabnbc betcce'gbkbsc$be ckuelsuprasc. @lscs M !ben $cnuebmbe /unb
ar6brcbsb. "etum kakceckbgmbe kbsbgbf cetarpratbsc $brc pakbncbe cec kbmb
$cgbmumbegbf stbe$brcsbsc ar$bsbrmbe pbtl'csclglnc $be 'brkbmlmceatcme!b.
,ar kcelglnc pakbncbe $lscs mlr mlstarlc$ tarsaut b$bgbf 4
@lscs rae$bf 4 N %.1 kn pra$ecsle btbu satbrb parfbrc
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@lscs sa$ben 4 %.1 kn tatbpc N ?: kn pra$ecsle btbu satbrb parfbrc
@lscs tcennc 4 ?: kn tatbpc N 2:: kn pra$ecsle btbu satbrb parfbrc
@lscs sbenb tcennc 4 2:: kn pra$ecsle btbu satbrb parfbrc
,arbpc pugsa 4 81: kn pra$ecsle btbu satbrb parfbrc uetum 2 fbrc btbu aarbpb
fbrc
Za"#)/btb" _GA Harb&br!b" Da"(& Za"*b!(t"*b.
b. Za"#)/btb" _GA X("#b"
+cgbr paenlbtbe pb$b (& rcenbe $c/bgbembe sa>brb arsbkbbe $be armascebkuenbe
sartb $ctambembe pb$b aarbpb fbg !ben paetcen bnbr tu/ube $c btbs tar>bpbc !bctu4
3btlbtbe
+aenfcgben e!arc sapartc pbrb>atbklg ? H 1:: kn cgb $cpargumbe.
3bt betc ce gbkbsc ele starlc$bg 3BC7 sasubc pbe$ube $cbnelscs $be
paenaglgbbe e!arc $be ce gbkbsc.
<gumlmlrtcmlc$ tlpcmbg uetum kaenbtbsc rubk nuebmbe prapbrbt $aenbe pltaesc
rcenbe
Mglrlmuce bsb ?10: knJmn Jfbrc 21:?:: knJfbrc 2 tbgat mglrlmuce 81: kn
kaenbe$uen 21: kn mglrlmuce bsb >btbtbe parcmsb kbtb pb$b sbbt bwbg bmbe
pakarcbe $be $cgbe/utmbe satcbp ? ugbe sakaetbrb fc$rlmscmglrlmuce $lscs 1 91
knJmn J fbrc 8::0:: knJfbrc $be parcmsb kbtb satcbp 928 ugbe.
Mlrtcmlstarlc$ $lscs rae$bf sapartc pra$ecsle N 2: kn J fbrc btbu !ben satbrb.
,bcr sur!b4 <uebmbe tbcr sur!b tlpcmbg $aenbe sue prlta>tcle 'b>tlr samurben
murbene!b 21 +# 21
/. Za"#)/btb" _GA _ab"#
+cgbr paebtbgbmsbebbe (& sa$ben sbkb sapartc pb$b (& rcenbe ma>ubgc pb$b
paenlbtbe. +b$b (& sa$ben $cpargumbe aarbpb ra/ckae lbtlbtbe tartaetu sartb
kaencmutc prltlmlg paenlbtbe !ben tagbf b$b. )csbg pb$b sarlscstcs !ben ra'rbmtar4 8:kn J fbrc pra$ecsle btbu !ben satbrb.
. Za"#)/btb" _GA Harbt btb$ Ka"#b"b% E*b+b
+cgbr paenlbtbe sbkb sapartc pb$b (& rcenbe ma>ubgc pb$b paennuebbe
lbtlbtbee!b.+b$b (& arbt btbu !ben kaenbe>bk e!bwb $cpargumbe lbtlbtbe.
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@. A6b$b&(
&6bgubsc b$bgbf karupbmbe sbgbf sbtu bgbt uetum kaenumur subtu pargbmube btbu tce$bmbe
maparbwbtbe tarfb$bp pbscae. @ckbeb a6bgubsc cec kagcputc a6bgubsc 'lrkbtc' J a6bgubsc
prlsas !ben $cgcfbt $brc satcbp sa(&bc kagbmumbe ckpgakaetbsc !ben $cubt satcbp fbrc
sa$benmbe a6bgubsc sukbtc' J a6bgubsc fbscg $cubt sasubc $aenbe tu/ube !ben $cubtkaenb>u pb$b mrctarcb fbscg !ben $cfbrbpmbe. B$bpue a6bgubsc !ben $c fbrbpmbe pb$b mgcae
$aenbe mbsus (& cstakcs> gupus ar!tfakbtlsus cbgbf 4
b mbgb e!arc elrkbg $be e!arc armurben.
Bmtc6ctbs safbrc I fbrc tarbtur sasubc mautufbe $be $c sasubcmbe $aenbe mle$csc
mgcae.
> Mgcae $bpbt kagbmumbe cklcgcsbsc $bgbk kakaeufc mancbtbe safbrc I fbrce!b.
$ Cetanrctbs mugct makbgc elrkbg &gbstcs ;bgus $be arscf .
a Mgcae kaenartc $be kaearckb tarfb$bp pae!bmcte!b.
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HBH CCC
ZAEQPQZ
2. MA_CKZQGBE
ar$bsbrmbe kbtarc $bgbk kbmbgbf cec tck paeugcs $bpbt kae!ckpugmbe sabnbc arcmut4
2 +ae!bmct gupus karupbmbe sbgbf sbtu pae!bmct arbfb!b sagbce BC@ $be mbemar.
+ae!bmct cec karupbmbe sbgbf sbtu pae!bmct butlckue $ckbeb scstak ckue taraetum sa>brb
argacfbe safcennb magbcebe cec gacf $cmaebg $aenbe ebkb butlckuectbs.
8 +ae!ab pae!bmct cec aguk $cmatbfuc sa>brb pbstc bpb !ben kae!abmbee!b tatbpc
$c$unb !ben kae/b$c pae!abe!b b$bgbf 'b>tlr naeatcm ce'amsc mukbe $be 6crus scebr
ugtrb6clgat lbtlbtbe tartaetu $be gcenmuenbe. +brb cgkuwbe kae$unb pae!bmct cec b$b
mbctbee!b $aenbe flrkle astrlnae.
? )bec'astbsc mgcecs pae!bmct cec sbenbt arbnbk tarnbetuen lrnbe !ben targcbt $ckbeb
$bpbt kagcbtmbe be!bm lrnbe $bgbk tuuf kbeuscb $aenbe par/bgbebe mgcecs !ben
mlkpgams sbenbt ar6brcbsc $bpbt $ctbe$bc lgaf sarbenbe bmut parcl$a bmtc' mlkpgams
btbu rakcsc $be sarcenmbgc pb$b mab$bbe bwbg tc$bm $cmaebgc sabnbc (&.
0 @cbnelscs (& $bpbt $ctanbmmbe ar$bsbrmbe nbkbrbe mgcecm $be gblrbtlrcuk.
Bkarc>be Flggana l' *faukbtlgln! BF*. ,armbct $aenbe $cebkcse!b par/bgbebe
pae!bmct (& kbmb $cbnelscs $cec tc$bmgbf ku$bf $ctanbmmbe. @ckbeb bpbcgb $c$bpbtmbe
0 mrctarcb $cbnelscs (& $bpbt $ctanbmmbe.
2..2 _BXBE
abnbc taebnb prlpasclebg tce$bmbe parbwbt $bgbk paebenbebe kbsbgbf
maparbwbtbe mfususe!b scstakc>s gupus ar!tfakbtlsus (& fbrus $c ambgc $aenbe
paenatbfube !ben gubs $be tce$bmbe !ben $c gbmumbe fbrus rbsclebg sasubc na/bgb pae!bmct.
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@BIPBX ZQ_PBMB
Ffben &stfar $mm. 8::. +btl'csclglnc Bpgcmbsc +rbmtcm Maparbwbtbe. 5bmbrtb4 &<F.
&enrbk brbrb. 2-. *ae>beb Bsufbe Maparbwbtbe )a$cmbga$bf lguka 8. 5bmbrtb4
&<F.
@laenas )brcg!e &. 2. Xaeobeb Bsufbe Maparbwbtbe 4 Za`lkbe uetum Zaraeobebbe
`be Zae`lmukaetbscbe Zarbwbtbe Zbscae. 5bmbrtb 4 &<F
@= *ce$fc. 8:22. Gupus Arctakbtlsus _cstakcm (_GA 5urebg brtcmag . akbrben.
akbrben4 #bmugtbs Ma$lmtarbe. "ec6arsctbs @cpleanlrl.
&stcbsbrc *cwbetc. 8::. !csiuensc Mlnectci pb`b pae`arctb Gupus Arctakbtlsus _cstakcm
,ascs. 5bmbrtb4 #bmugtbs Ma$lmtarbe "ec6arsctbs Ce$leascb.
Murecbecenscf +aear/. 5bmbrtb @MC 5bmbrtb bgakb4 +aearct umu Ma$lmtarbe &<F.
)@ @becag 5 =bggb>a.8::%. "fa Gupus #llm . 5ln/bmbrtb4 'crst.
kagtar ubeea F. 8::%. #umu B$br Maparbwbtbe %a`cmbg #a`bf #rueear `be _u``brt
a`csc & 'lguka . 5bmbrtb 4 &<F
Sbetc <. (&tbrc C. @. Ffrcstcbeb *. L uebrsc. 8:2:. )bkhbrbe ibmtlr* ibmtlr +ben
kakpaenbrufc matc`bm`cscpgcebe parbwbt `bgbk kagbmumbe pae`lmukaetbscbe bsufbe
maparbwbtbe `c Xukbf _bmct Bsrc ,bmbrtb. @aplm4 #bmugtbs Cgku MaparbwbtbeZ "ec6arsctbs
Ce$leascb.
ukar gbce 4
'tt,033+++.,a"*b!(t$,$&."at3 9 $cbmsas pb$b tbennbg 8 3mtlar 8:21 /bk ::409 =C
&$ctlr 4 +rl'. @*. B$fc 5ube$b. Bennltb &$ctlr 4 $r. )l>ftbr fbkbf @*. ctc Bcsbf. Cgku
+ae!bmct Mugct $be Magbkce &$csc Matcnb. bncbe +ae!bmct Mugct $be Magbkce #M"C.
5bmbrtb 2.
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7/24/2019 KONSEP LUPUS
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