Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Ревматоидный артрит

.pdf
Скачиваний:
0
Добавлен:
07.09.2026
Размер:
1 Мб
Скачать
☆
¹jrwvuvªxjuvuyxnin" 
kkjttvpqzyjsnznxwn|qjstuqqtjuq{qrxq ÚyÞquq xyxzjk kv kÚnu« xtj wÚqxwvxvisntq«uq ls«ivsnnylvitvmvwvsvntq«krÚvkjzqqsqkrÚnx sn Újosqªtuq wÚqxwvxvisntq«uq ls« Újivz wv lvuywÚqmvzvksntq«wqqqz w
 ¼xwvsoypzn wÚqnu jyzvzÚntqtmj ls« visnmªntq«
ivsq
 cxzxwn|qjstnunzvlqrqls«xt«zq«qsqvisnmªn
tq«ivsqvzjrywytrzyÚlvrvÚÚnr|qqwvknlntq« rvzvÚnwÚvkvl«zx«xwvuvÞrkjsq{q|qÚvkjtt} xwn|qjsqxzvk qsq k yxsvkq«} xwn|qjsqoqÚvkjttvp rsqtqrq¹vÚÚnr|q«wvknlntq«kªjxztvxzqwÚjr zqrynzx«kfqzÚniynzxvzÚyltqªnxzkjxxnunp ivstvmvwvxrvsryÚnoyszjzvunn«ks«nzx«qoun tntqnxznÚnvzqwvkwvknlntq«ivstvmv
ǙǬǼǺǰǹȇDZǽǼDZǰǽǾǮǬ
ǰǷȋǺǭǷDZǯȃDZǹǴȋǭǺǷǴǻǼǴǬǼǾǼǴǾǬȁ
 gknzrq iyoqt sqxz rÚjwqk lkylvutvp rvÚnt
wnzÚyrqrvÚjqk ¥ko«zkxnmvwvÚvktyxzvsv kyÞ svry qounsªnttvmv xivÚj ojkjÚqz  xzjrj tvurqw«zrjwÚvrqw«zqz uqtyztjxsjivuvmtn v}sjlqzwÚv|nlqz¿qzwvxzjrjtjvzkjÚjklnt
 fzvsvkyÞsvryzÚjkoknolªjzrqxÚnltnpuvrÚq
|tjxzjqkjÞz yryzjkk xzjrjtn rqw«zrjk znªn tqn  ªjxvk wvxsn ªnmv wÚv|nqkjÞz ¿ÚqtqujÞz wvªnzknÚzqxzjrjtjÚjojklntlvnl
 fknnvzjzpxvrrÚjwqkxunjzxzjrqunrv
sqªnxzkvuxwqÚzjqunlvuÚjounjzqwvxzjkqzk }vsvlqstqr½jxzjqkjz tnlnsq¿Úqtqujzwv m Újojklntojwvsªjxjlvnl
 ¿ÚqunÚtv m|knzrvkrvtxrvmvrjzjtjtjxzjqkj
Þz tnlnsqk sxwqÚzjqsqkvlrqÙjxzqÚjÞzwv syªnttvptjxzvprvpivstnunxzjtjtvª
 sjkj
 fzvsvkyÞsvryxknnpzÚjkwvÚzysjrjvmvÚvltv
mv ojsqkjÞz xzjrjtvu }vsvltvp kvl lvkvl«z lv rqwntq« q rqw«z«z k znªntqn  uqtyz tj xsjivu vmtn½jxzjqkjÞzyryzjk ªjxjwÚv|nqkjÞz¿Úq tqujÞzwvxzvsvknsvrqÚjojklnt
  m|knzrvkrvÚvk«rjunlknnmvy}jtjxzjqkjÞz
 tnlnsqk skvlrqqsqxwqÚzj½jxzvpryqxwvs oyÞzls«kzqÚjtqpkrjªnxzknvinoivsqkjÞnmv
 xzvsvkyÞsvryxivÚjqoªjxzqrvÚrÚyqt
 ªjxznpsqxznkinÚnoªjxznprvÚqkojsqkj Þzxzjrjtvurqw«zrjrqw«z«ztjxsjivuvmtn uq tyztjxzjqkjÞz uqtyzwÚv|nqkjÞzqwÚqtquj ÞzwvxzjrjtjklntwÚqjÚzÚqzj}
 ¸iyzsrynurvxzÞ swvsvqzryxvªnrrju{j
Ú ÚjounÚvu x ªnzknÚz xj}jÚtvmv ryxvªrj ksqz  usxrqwqljÚj uswÚvkjtxrvmvujxsj us wÚv|ntztvmvxwqÚzj¿nÚnlywvzÚnisntqnukoijs zkjzkzqÚjzlvxy}jkivstnunxzjwnÚnlxtvu qojk«okjznÚxz«tvpzrjtÞtjkxÞtvª
 ½j ivstvn unxzv tj kxÞ tvª wvsvqz ÚjovmÚn
zyÞsnwnrywÚvwvsqxj
  miÚyxtqªtvmvsqxzjojsqz srÚyzvmvrqw«z
rjtjxzjqkjz  ªjxj wÚv|nlqz lvijkqz k vzkjÚ  uskvlrq¿vxzjkqz tjvmvt qzvuqz  uq tyztnlvkvl«lvrqwntq«¿Úqtqujzwv mÚjoj klntojwvsªjxjlvnl¡ÚjtqzkwÚv}sjltvuunxzn
 ÙjktnªjxzqijmystqrjiÚyxtqªtvmvsqxzjjwznª
tvpÚvujrqªnÚnlqounsªqzq}vÚvvxunjz xzvsvknsvrq xivÚjojsqz srqw«zrj rqw« zqz uqtyztjxzjqkjzyryzjk uqtyzwÚv|n lqz¿ÚqtqujzwvzÚnzqxzjrjtjÚjojklntwvx snnl
  mxy}vpzÚjkoknÚviv«ojkjÚqzxzjrjtvurqw«zrj
½jxzjqkjzkznªntqnªjxj¿Úqtqujzwvxzvsvkvp
¹jrwvuvªxjuvuyxnin" 
svrn¤Újoj k lnt wvxsn nl fwqÚzvkyÞ qsq kvlvªtyÞtjxzvprywÚqtqujzwvrjwnsxkvlvp Újojklntwvxsnnl
 fvrxknnmvxnslnÚn«wqzwvªjpt}svrq¤
Újojklnt¼sqxzvsvkyÞsvryxknq}rvÚtnpxns lnÚn«ojsqzxzjrjtjuqrqw«zrjtjxzjqkjzkzn ªntqn ªjxvkwÚv|nlqz¿Úqtqujzwvxzvsvkn svrq¤Újojklntojwvsªjxjlvnl
  m rvÚtnp lnk«xqsj q  m rvÚtnp svwy}j kjÚqz
 uqtyztjujsvu vmtnk xzjrjtnkvl ½jxzv«z yryzjk  ªjxj wÚv|nlqz ¿Úqtqujz wv xzvsvkvp svrnÚjojklntwÚqivs«}kxyxzjkj}
 ¿Úq xqst} xyxzjkt} ivs«} wvuvmjÞz kjtt x
zÚjkvplyq|
 ¼ounsªnttyÞ k wvÚvvr xunx sjkÚvkvmv sqxzj
 ªjxznpqqmsuvnknstqrjªjxzÚjxznÚnz xvxknquxsqkvªtuujxsvuªjxznp¿vsyªnt tj«ujo«ks«nzx«}vÚvquvinoivsqkjÞquqyx wvrjqkjÞquxÚnlxzkvu
 àjptyÞsvryxy}vprvÚinsvpqkojsqzlkyu«
xzjrjtjuqvxzynttvprqw«ªntvpkvltjxzjqkjz  ªjxjwÚv|nlqz¿Úqtqujzwvwvsxzjrjtj¤Újoj klntlvnl
 ftqujnz ivs tjxzvp sqxznk ªnÚtvp xuvÚvlqt
rvzvÚpÚnrvuntlynzx«ywvzÚnis«zkunxzvªj«
  mrju{jÚ mmvÚªqªtvmvwvÚvrj usxwqÚ
zj m«qªtvmvinsrjfwqÚzksqzkªjryÚj xzkvÚqzktnurju{jÚykxwjzmvÚªq|yÚjounjz ºnsvrxsnmrjwvlvmÚnzlvojmyxzntq«qksqzkÚj xzkvÚ ¿nÚnl xtvu kzqÚjz ujo k ivstvp xyxzjk tvtnlvxy}jjzjrªzvivxzjsjxwsntrj
 xzvsvkyÞsvryinÚnovk}wvªnrojsqzxzjrjtvu
rÚyzvmvrqw«zrjq rqw«zqz¤ uqtyzljztj xzv«zx«qwÚv|nlqz¼xwvsovkjzls«rvuwÚnxxvk
 sjkj
 ¿ÚqmvzvkqzxivÚqoªjxzqzÚjklyq|ªjx
znpsqxzjujzqujªn}qªjxznpwsvlvkujsqt  xzvsvknsvrqxivÚjojsqzxzjrjtjuqrqw«z rjrqw«zqz uqtyzwÚv|nlqz¿qzwvwvsxzj rjtjmvÚ«ªnmvvzkjÚjÚjojklntwÚqÚnkujzvql tvujÚzÚqznqwÚvxzylt}ojivsnkjtq«}
 fknqnwsvlªnÚtqrqkivsvurvsqªnxzknywvz
Únis«Þz wÚq Únkujzqoun q Únkujzvqltvu jÚzÚqzn
 ½jxzvpry rvÚtnp rvtxrvmv jkns« wÚqtqujÞz wv
¤rjwnsÚjojklntwvxsnnl
  mnsy}qxzÚyªrvkvz{jxvsqrqw«zqzk skvl
tjujsvuvmtn ªjxj¾xzylqzqwÚv|nlqz ¿qz wvwvsxzjrjtjÚjoklnt
 ftqujÞzivsqvisnmªjÞzxvxzv«tqnrvuwÚnxxqo
unsqxx
 ftqujnz ivs xknqp sqxz svwy}j »qxz xuvªqz
}vsvltvp kvlvp wÚqsvqz r ivstvuy unxzy wy qxzvpxzvÚvtvpwnÚnk«ojzÀvtvqxwvsovkjz ojxynttnsnzvusqxz«Újouvªqkq}kvlvp
 fvrªnÚtvpÚnlrq ¥xzjrjtjunlj ¥xzjrjt
kvlrq ¥ wvsxzjrjtj xzvsvkyÞ svry xvsq funx }vÚvvwnÚnunjzqkzqÚjzkivstnunxzj
  ªjxz rvÚt« jqÚj  ªjxznp wsvlvk iv«Útqrj
 ªjxzqzÚjklyq|ªjxznpzÚjkoknÚviv« ªjx zqzÚjkunsqxxªjxzqwsvlvkwjxsntjªnÚtvmv  ªjxzq wvªnr xvxt  ªjxzq zÚjk {qjsrq zÚn} |knztvp ªjxzqzÚjk ªjiÚn|j ªjxzq sqxzjÜk rjsqwzj
 ªjxznpwvinmvkijmystqrjivsvztvmvªjxzqwv
ªnr inÚno  ªjxzq rvÚtnkqj lnk«xqsj  ªjxzq zÚjklvttqrjªjxzqzÚjkoknÚviv«ªjxzqsq xzjrÚjwqklkylvutvpªjxz|knzrvksqwªjxz sqxznk u«z wnÚnªtvp  ªjxzq |knzvk Úvujrq jwznªtvpªjxzwsvlvkyrÚvwjªjxzqxvwsvlqp
¹jrwvuvªxjuvuyxnin" 
}uns«ªjxzq rvÚt«rvtxrvmv jkns«ÛzvzxivÚ rjrqwÚnllyqpwÚqtqujÞzkwnÚqvlvivxzÚntq« jÚzÚqzjkujrxqujst}lvoj}¤xzvsvk}svnr xivÚjtj srqw«zrjojkjÚqzkznÚuvxn ¥xyzvªtj« lvoj k znªntqn unx«|j ojznu wnÚn}vl«z tj viª tnlvo¤xzvsvk}svrqxivÚjtj srqw«z rjqwÚvlvsjÞz{qzvznÚjwqÞkznªntqn¤ unx« |nk Ûzq xivÚ uvtv wnÚqvlqªnxrq ªnÚnlvkjz ànÚno  unx«|j snªntq« lnsjÞz wnÚnÚk tj ¤  ltnp
 ¹ ivstu xyxzjkju Únrvuntlynzx« wÚqrsjlkjz
wvlynªrqxtjwjÚjuqqozÚjklvttqrjÚvujrq iyoqtªnÚtvp}uns«tj¤ uqtyznnltnktv
 ½jtvªuvtvxlnsjzrvuwÚnxxqozvsxzvmvxsv«
inÚnovk}sqxznkqoÚjxwjÚntt}inÚnovk}wvªnr
 ¿vÚjnttnxyxzjkÚnrvuntlynzx«vinÚzkjztj
tvªsqxz«uqsvwy}jknxtvp ¥sqxz«uqujzq ujªn}qoquvp ¥sqxz«uqrjwyxz
ǓǬǰǿǸǬǵǾDZǽȈǺǰǴDZǾDZ
ÀtvmqnxnpªjxojlyukjÞzx«vxkvnuwqzjtqqwnÚn xujzÚqkjÞz xsvqkqnx« k vinxzkn zÚjlq|qvttn wÚnlxzjksntq«Ûzvvzªnzsqkj«zntlnt|q«qkvotqrsj vtjtnxsyªjptv¹jlpqotjxqunnzkvouvtvxzwÚv knÚqztjxninÚjotvviÚjotnxvknzyªnt}qkÚjªnpk vztvntqq olvÚvkvmv wqzjtq« q wvxznwnttv rjlp yinljnzx«kxwÚjknlsqkvxzqzn}qsqqt}Únrvuntlj|qp
fvkÚnunttj« tjyrj v wqzjtqq wÚnlsjmjnz kwvstn lvxzvknÚtyÞ qt{vÚuj|qÞ wv utvmqu kvwÚvxju rj xjÞqux«kvolnpxzkq«wqqtjÚjosqªtn{ytr|qq vÚmjtqouj
ÛrxwnÚquntzjstn q rsqtqªnxrqn qxxsnlvkjtq« wvokvs«ÞzwÚnlwvsvqzªzvqountntq«kwqnuv myzksq«zqtjjyzvquuyttnun}jtqou¿vxrvsry
 sjkj
ÚnkujzvqltpjÚzÚqzvztvxqzx«rjyzvquuyttuoj ivsnkjtq«u nmv kvotqrtvkntqn tjwÚ«uyÞ xk«ojtv x xvxzv«tqnuquuyttvpxqxznu
¼oknxztvªzvnxzwqnknknnxzkjxzquysqÚyÞ qnquuytqznzqq}kªjxztvxzquvtvqxwvsov kjz ls« wÚv{qsjrzqrq qt{nr|qvtt} q vtrvsvmq ªnxrq} ojivsnkjtqp Ûzv wÚnln kxnmv wÚvlyrz ivmjznkqzjuqtjuqfqcinzjrjÚvzqtvu|qt rvu xnsntvu
cxzwÚvlyrzwÚvkv|qÚyÞqnytnrvzvÚ}sÞlnptn jlnrkjztptnzqwqªtpquuyttpvzknzqzvmlju mvkvÚquvtnwnÚntvxquvxzqljttvpwqqjkz«n s}xsyªj«} ¥vijssnÚmqqtjwÚvlyrz¿Úvlyrzªjn lÚymq}wÚvkv|qÚyÞqnwvlvitnÚnjr|qquvmyzxwv xvixzkvkjzqwÚv«ksntqÞjÚzÚqzjºvsnnzvmvyvz lnst}wj|qntzvkwqnkj«jssnÚmq«uvnzizwÚq ªqtvp}jÚjrznÚt}xquwzvuvk¹vtnªtvlqnzj ¥Üzv tn jxwqÚqt ls« rvzvÚvmv xynxzkyÞz vi~nrzqktn lvrjojznsxzkjnmvÜ{{nrzqktvxzq¸ zvnkÚnu«tj rvwqsvx lvxzjzvªtv utvmv xkqlnznsxzk qo kwvstn tjlnt}qxzvªtqrvkvzvuªzvqountntq«wqnk} wÚqkªnrivst}wÚqkvlqsvryuntntqÞkvxwjsn tq«qivsq
¿vwÚviynuÚjoviÚjzx«yªqzkj«knqosvnttn wvsvntq«rjrqnqountntq«kwqzjtqqiylyzwvsno tls«ivstvmvjÚzÚqzvu
cxz{jrzxrvzvÚuqxzjsrqkjÞzx«kxnivstn ½jwÚqunÚvzunªjÞzy}ylntqnxvxzv«tq«wÚqywvz Únisntqqzjrq}vkvnprjrwvuqlvÚijrsjjtkxn ÚjotvkqltvxzqwnÚ|jqrjÚzv{ns
½nrvzvÚnlvijks«ÞzrÜzvuyxwqxrysyrÚj{qtq Úvkjttpxj}jÚÚj{qtqÚvkjttprÚj}ujsuvsvªtn wÚvlyrzwÚvlyrzxvlnÚjqnqxryxxzknttnrÚj xqznsq rvtxnÚk q wÚnxnÚk lÚvq |qzÚyxvkn
¹jrwvuvªxjuvuyxnin" 
½jknÚtvn nxsq wÚnlwvsvqz ªzv qunttv jssnÚmq« wÚvkv|qÚynzy¸jxvivxzÚntqnojivsnkjtq«sÞivpqo wÚvlyrzvkuvnziztjokjtkÜzvuÚ«ly¸xwvutqzn xzÚjljsqsq ¸rvmljtqiyl jssnÚmqnp cxsqlj zv vi«ojznstvqxrsÞªqznjssnÚmntqoÚj|qvtj
bs«wÚvknÚrq vzrjqznxvzwvlvoÚqznstvmv wÚv lyrzjtjtnxrvsrvltnpcxsqojÜzqltqtnkvotqrsv vxvivmv lqxrvu{vÚzj wvwÚviypzn knÚtyzx« r tnuy cxsqªnÚno¤ ªjxvkwvxsnnmvywvzÚnisntq«¸wv ªykxzkynznyxqsntqnivsqÜzvuvtvxªqzjzlvrjoj znsxzkvu wÚqªqttvxsnlxzknttvp xk«oq ¸rsÞªj« k untÞtvkpwÚvlyrzzjznstvxsnlqznojxkvquxv xzv«tqnuknlqznwqnkvpltnktqr¸votqrsjxsjivxz zvtvzjyxqsqsvxtnlvuvmjtqn"fyxzjkxzjsqiv snz" dtjªqz qunttv Üzvz wÚvlyrz kokjnz y ¸jx jssnÚmqÞrvzvÚj«uvnzizwÚqªqtvpvivxzÚntq«
¸nÚv«ztvxztnisjmvwÚq«ztvmvksq«tq«tjvÚmjtqou wvlvit}wÚvlyrzvkuvnzizxknlntjruqtquyuy wÚq yxsvkqq ktqujznstvmv vztvntq« r wqzjtqÞ tjªqtj«xusjlntªnxrvmvkvoÚjxzj
fsnlynz zjrn wvutqz v rsÞªnk} rvuwvtntzj} wqqrvzvÚnyrÚnws«Þzquuytqznzqxsnlvkjzns tvlvstklvxzjzvªtvurvsqªnxzknwvxzywjzxwq np¹ tquvztvx«zx«kqzjuqtfinzjrjÚvzqt|qtr
¹ÚvunzvmvksqznÚjzyÚnnxzljttnwvrjtnwvl zknÚlnttnxzÚvmquqtjyªtuqqxxsnlvkjtq«uqªzv ywj|qntzvkwÚqtqujkq}|qtrtjisÞljsvxtnrv zvÚvnysyªntqn
àzv rjxjnzx« xjuvsnªntq« ivsquq lvojuq kqzj uqtvkwvÜzvuywvkvlytnzvrvtªjznstvmvxylntq« qtytv yªqzkjz ªzv wÚvknÚrq tj Ü{{nrzqktvxz zjrvmvsnªntq«tnwÚvkvlqsqx¡vz«utvmqnkÚjªqtn kql«z kÚnlj k nnltnktvu wÚqnun wvsqkqzjuqtvk q uqrÚvÜsnuntzvkjtnrvzvÚnljnÚnrvuntlyÞz
 sjkj
¸qzjuqtf¥qu
uytvxzquys«zvØ fªqzjnzx« ªzv vt yªjxzkynzk kØj ivzrn jtzqzns q kjnt ls« xvoØn kjtq« quuytt} rsnzvr
ºvsn kxnmv kq zjuqtjf k rsÜr kn |qzØyxvk} rqkq ijtjtj} k rjwyxzn wnØ|n q onsnt} vkvj}
ºnzjrjØvzqt ojq jnz rsnzrq quuyt tvp xqxznu vz wv kØnljÜnmv lnp xzkq« xkvivlt} Øj lqrjsvk j zjrn rjrqkqzjuqt«k s«nzx« quuytvxzq uys«zvØvu
¼xzvªtqrvu inzj rj Øvzqtj «ks«Üzx« on sntn q nszn {Øyrz q vkvq ujtmv lt« uvØ rvkzrkjwqtjz q lØ
gqtr tnvi}vlqu ls« viØjovkjtq« quuytt} rsnzvr q q} wvstv|nttv mv {ytr|qvtqØv kjtq«
gqtrvu ivmjz uvØnwØvlyrz Øij |nstvonØ tvkn wØvlyrz oØnsp xØ xmy ntvn uvsvrv pvmyØz u«xv vØn }q ªnxtvr
ǖǺǷǴȃDZǽǾǮǺǻǴȅǴ
fynxzkynzwÚ«uj«ojkqxquvxzunlyrvsqªnxzkvu wqqrvzvÚyÞvÚmjtqouy tnvi}vlquvwnÚnkjÚqzq Ü{{nrzqktvxzÞquuyttvpxqxznuànuivsnu nlquznuivsnkkvlqzx«qoxzÚv«quuyttj«xqx znujbs«syªnmv{ytr|qvtqÚvkjtq«quuyttvpxqx znuÚjoyutnnqoinmjzviqst}wÚqnuvkwqqvxv inttv z«nsvp qÚtvp znutvmv u«xj uvsvªt} wÚvlyrzvk
ǝǬȁǬǼǴdzǰǺǼǺǮȇǵǴǸǸǿǹǴǾDZǾ
¸tnrvzvÚ}tjyªt}qxxsnlvkjtq«}isv wvrjoj tv ªzv wv unÚn wvkntq« yÚvkt« xj}jÚj k rÚvkq Ü{{nrzqktvxzquuyttvpxqxznuxtqjnzx«Ãjrvp Ü{{nrz ljÞz kxn kql vªqnttvmv xj}jÚj wvÜzvuy wvxzjÚjpznxªzvikkjnuÚj|qvtnisvrjruv tvuntnxj}jÚjxsjlvxznpiqxrkqzvkqwÚv}sjlq znst}tjwqzrvk
¹jrwvuvªxjuvuyxnin" 
ǝǬȁǬǼǴǬǷǷDZǼǯǴȋ
¸ÜrxwnÚquntzj} tjqkvzt}ljktv isvwvrjoj tvªzvjssnÚmqªnxrqnÚnjr|qqixzÚnnÚjokqkjÞzx«q «Úªn wÚvznrjÞz tj {vtn lqnz ivmjzvp ymsnkvljuq ¸ ¼txzqzyzn wqzjtq« Ù½ isj wvxzÚvntj lnxntxq iqsqoqÚyÞj«lqnzjxwvtqnttuxvlnÚjtqnuym snkvlvkxtqjÞj«jssnÚmqªnxrqnÚnjr|qqvÚmjtqo ujÀtvmqnmvlÜzjlqnzjyxwntvqxwvsovkjsjxk rvuwsnrxtvusnªntqq ivst}Únkujzqouvu
¼oinmjpznwÚvlyrzvkrvzvÚnuvmyzkokjzkvx wjsntqnfªqzjnzx« ªzvtnrvzvÚn kqlwqq uvmyz wÚvkv|qÚvkjzwÚv|nxxknlyqnrÚjokqzqÞkvxwj sntq«kvÚmjtqounÛzvwÚnlnkxnmvznutvnu«xvxj }jÚ q rv{n ¼xrsÞªqk q} qo Új|qvtj ¸ wvuvnzn vÚmjtqouyivÚvzx«xkvxwjsntqnuqxquwzvujÚz Úqzjuvmyzyuntqzx«
½jzyÚjstnwÚvlyrzvisjljÞqnwÚvzqkvkvxwjsq znstulnpxzkqnu½jÚ«lyxwÚvlyrzjuqxwvxvixzkyÞ quqkvxwjsntqÞnxzwÚvlyrzwÚvzqkvwvsvtvmv lnpxzkq«dlvÚvknqÚrrvzvÚuvztvx«ztntjx nttnqÚtnrqxsvzkwÚv|nxxnviuntjknnxzk kvÚmjtqounwÚnkÚjjÞzx«kxvnlqtntq«xnxznxzknt tvpwÚvzqkvkvxwjsqznstvpjrzqktvxzÞ¹ wÚvlyrzju ivmjzuzjrquq olvÚvkuq qÚjuq vztvx«zx«qÚ tj«ÚijujrÚnssvxvxq{vÚnsvsqkrvkvnujx svxnuntjzrkwvlxvstnªtqrjqrytyzj
ǔǸǭǴǼȈ
¼uiqÚzjrn vztvxqzx« r nxznxzknttu wÚvzqkv kvxwjsqznstu wÚvlyrzju cmv uvtv lvijks«z k jÚrvnqlÚymqnisÞljjzjrnwÚqtqujzkkqlntj xzv« qsq ªj« rvzvÚp mvzvk«z ojsqkj« tnxrvsrv svuzqrvkxknnmvqsqxyntvmvquiqÚtvmvrvÚt«mv Ú«ªnpkvlvp
 sjkj
ǴȖȐȖȠȓ ȟ ȡȒȜȐȜșȪȟȠȐȖȓȚ
¿vllnØjzxkvÜquuyttyÜxqxznuytqrvmljtnwvun jnz¸Ønu«vzkØnuntqwvijsypznnnisÜljuqwØqmv zvksnttuqqowØvlyrzvkivmjz}wvsnotuqls«quuy tqznzjrvuwvtntzjuq
ǛǼǴǯǺǾǺǮȈǾDZǹǬdzǬǮǾǼǬǶ
 dnÚtvkn}svw«ls«ojkzÚjrjxunjpznxryxvªrj
uq{ÚyrzvkrvzvÚn¸jutÚjk«zx«ivsnkxnmv ¥ rqkqjwnsxqtjuqqsqijtjtjuq
 ¿Úqmvzvkzn{ÚyrzvkprÚnukoinpznkuqrxnÚnxkn
qnijtjtqrqkqxpvmyÚzvu
 fkjÚqzn vkx«tyÞ rjy tj vinoqÚnttvu uvsvrn
lvijkznqoÞuryÚjmyxyntnijtjt
 bvijkznkpvmyÚzryxvªrqsÞi}{Úyrzvk