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" 
ǛǼǴǯǺǾǺǮȈǾDZǹǬǺǭDZǰ
 ¹jijªvr{jÚqÚvkjttpÚqxvuxsjlrquwnÚ|nuq
syrvu  ¿nÚn|{jÚqÚvkjttpÚqxvuquvÚrvkÞ  ¹jÚzv{nskuytlqÚnxrjwyxztuxjsjzvuls«xj
sjzjrjwyxzyunsrvtjqtrvkjzlvijkqzxvrsq
uvtjxvnkpxvyxq Újxzqznstvn ujxsv  ¾kvtvpxywx|nstvonÚtvku}snivu ¥tjwÚqunÚ
xywqorjwyxz
×n|nwz rjwyxztvmv xywj ¸ xywvkyÜ rjxzØÜsÜ wvl}v l«nmv ØjounØj tjsnpzn kvl lvijkzn tnutvmv zvujz tvp wjxz mØqitvp iysvttp ryiqr q tnxrvsrv oyiªq rvk ªnxtvrj ¿vxzjkzn tj vmvt djznu lvijks«pzn vkv qkzjrvpwvxsnlvkjznstvxzqktjªjsnwvØnojttprvs |juq syrwvØnp uvtv q viªtp syr wvØnojttn rØyvªrjuq rvØtq wnzØyrq znutvonsntp xsjlrqp wn Øn| rvØnt xnslnØn« tnutvmv wvuqlvØvk q k xjuvu rvt|n ¥ wvØnojttyÜ rjwyxzy xvr squvtj q ªnØtp wn Øn| ¸jØqz tnlvsmv ¸ zjØnsry x zjrqu xywvu uvtv lv ijkqz sÜiyÜ onsnt wv kjnuy kryxy
 ÀvÚrvktn rjwyxztn qsq xknrvstn rvzsnz x
|nstvonÚtvku }snivu
 fjsjzqozyt|jsvxvx«qsqxryuiÚqqx}Úyxz«quq
}sni|juqqxknnponsntÞ
 ¹yÚqtvnqsqvkvtvnÚqovzzvqotnsq{vkjttvmv
Úqxj
ǛǼǴǯǺǾǺǮȈǾDZǹǬǿDzǴǹ
 djwnªnttj«xrjÚzv{nsnuxryuiÚq«xjsjzqoxÚ}
vkvnp  Ãyntj«rjuijsjxmjÚtqÚvuqoÚqxjqvkvnp  ¿nªntvªtpmys«xvzkjÚturjÚzv{nsnuqwjÚv
kuqvkvjuq  jÚrvnqouvÚnwÚvlyrzvkqvkvnpxujrjÚvtjuq  Ãyntj«{jxvsxvkvjuq
 sjkj
ǚǭǬǷȈǾDZǼǹǬǾǴǮǹǺǵǸDZǰǴȂǴǹDZ
¸wvstn wvt«ztv ªzv sÞlq qouyªnttn ivsÞ q xzv«qnwnÚnlwnÚxwnrzqkvpvmÚjtqªntq«wvlkqtvx zqkvzªj«tqq viÚjjÞzx«r tnvÚzvlvrxjstuun zvljusnªntq«bÚymqntnkql«zkÜzvukÚnljqwÚvxzv tjlnÞzx«tjkvouvtvnysyªntqnrvmljÜrxwnÚqunt zqÚyÞz x jsznÚtjzqktu snªntqnu ½v tnrvzvÚn xzjtvk«zx«nmvqxzqttuqwÚqknÚnt|juqwvzvuyªzv wvxsntnlnsqywvzÚnisntq«rwÚqunÚyunmjlvokqzj uqtvk q |qtrj vzunªjÞz ojunztvn ysyªntqn ànmv vtqtnyªqzkjÞzzjrÜzvtnwÚnlxrjoynuvmv}jÚjrzn ÚjjÚzÚqzjisjmvljÚ« rvzvÚvuy xquwzvu uvmyz qx ªnojzwÚvxzvwvwÚqªqtnÚnuqxxqq
¹jrwvuvªxjuvuyxnin" 
cxsq¸jurjnzx«ªzv¸jnxvxzv«tqnysyªjnzx« isjmvljÚ«xjuvsnªntqÞkqzjuqtjuqwvojivzznx}vz« iv Únmys«Útvpxljªn jtjsqovkuvªqq rÚvkq¸nl nxsqwÚqnuivsq}lvokqzjuqtvkquqrÚvÜsnuntzvk ¸ju tjotjªqz kÚjª vt vi«ojznstv tjotjªqz q Üzq jtjsqo
cxsq ¸ viÚjjnznx r xwn|qjsqxzy wv jsznÚtj zqktvuysnªntqÞtnwÚqtqujpznljttn¸juxvknz ojqxzqtykwvxsnltnpqtxzjt|qq¿vxzjÚjpznxxjuq wvivsn yotjz v xkvnp ivsnotq ojljkjpzn vxux snttnkvwÚvxqvilyukjpznwvsyªnttnvzknz
ǔǾǬǶǶǬǶǴDZDzDZǹDZǾǼǬǰǴȂǴǺǹǹȇDZǽǻǺǽǺǭȇǷDZȃDZǹǴȋ
ǻǼǴǸDZǹȋȊǾǽȋǻǼǴǼDZǮǸǬǾǺǴǰǹǺǸǬǼǾǼǴǾDZ"
¸wvwys«Útvpunlq|qtxrvpsqznÚjzyÚnkÚnu«vzkÚn untqwv«ks«nzx«qt{vÚuj|q«viqxwvsovkjtqqxju} ÚjotvviÚjot}xwvxvivkkvolnpxzkq«tjivstvpvÚmj tqouls«wvsyªntq«snªnitvmvÜ{{nrzj
ÙnkujzvqltpjÚzÚqzzvnwzjÞzx«snªqzunzv ljuqtnzÚjlq|qvttvp qsqjsznÚtjzqktvp unlq|q t¾wqxkjnunwÚqÜzvuunzvlqrqªjnkxnmvvrj okjÞzx«ujsvÜ{{nrzqktuqtnxuvzÚ«tjyknÚntq« jkzvÚvkkªylnxtvuqx|nsntqqf zvªrqoÚntq«unlq |qtxrvptjyrqsnªntqnxªqzjnzx«Ü{{nrzqktunxsq vtvysyªjnzxvxzv«tqnivsqtxzkjwj|qntzvkjk qlnjstvuxsyªjn ¥kxn}ivst}½jqivsnnlvxzvknÚ tvpunzvlqrvpls«wÚvknÚrqÜ{{nrzqktvxzqwÚnwjÚj zjkunlq|qtnxªqzjnzx«lkvptvpxsnwvprvtzÚvsrvmlj tqkÚjªqtqivstntnotjÞzxyzqÜrxwnÚquntzjzv nxztnotjÞzrvuyljÞzsnrjÚxzkvjrvuy ¥wsj|niv tnpzÚjstvn knnxzkv
¾ltjrvtn kxn xwvxvisnªntq« uvtv wÚvknÚqz wvlvitu viÚjovu fÚnlq zjrq} tn wvlljÞq}x« zvªtvpwÚvknÚrnxÚnlxzk ¥mvunvwjzq«vxznvwjzq«
 sjkj
}qÚvwÚjrzqrjxwn|q jstn lqnz ivs qnlvokqzjuqtvk tjzyÚvwjzq«qlÚ
vunvwjzq«¥Üzv
vxvij« xqxznuj snªn tq«ivst}rvzvÚj« wvsoynzx«uqtqujs tuq lvojuq snrjÚ xzkntt}xÚnlxzkls« yxzÚjtntq« rjlvmv rvtrÚnztvmv xquwzv ujyljttvmv ªnsvkn rjvunvwjzwvliq ÚjÞztjivÚxkvq}sn rjÚxzk ls« rjlvmv vzlnstvmv ivstvmv
yªqzkj«kxnwÚv«ksn tq« ivsnotq qunttv y tnmv Ãjrvp wvl}vl lvkvstv xsvnt q zÚniynz yªjxzq« vwztvmv xwn|qjsqxzj ¸ mvunvwjzqqxynxzkynzq ywÚvnttpkjÚqjtz snªn tq«rvmljwÚnlsjmjÞzx«snrjÚxzkjvzvzlnst}xqu wzvuvkvunvwjzqªnxrqnxÚnlxzkjvzmÚqwwjwÚvxzy lkvxwjsntqpxyxzjkvkwÚvljÞzx«kviªt}jwzn rj}qkrsÞªjÞzxzjtljÚztpwÚvknÚnttptjivÚwÚq mvltp ls« snªntq« rjlvmv ivstvmv ljttvp ivsnotÞ
¾xznvwjz ÚjxxujzÚqkjÞz ªnsvknªnxrvn znsv rjr
nlqtyÞxzÚyrzyÚyjivsnot ¥rjrtjÚyntqnxkvivl tvp|qÚrys«|qqwvvÚmjtqouyqlrvxznpqwnÚnljªq tnÚkt}quwysxvk»ÞiyÞivsnotvxznvwjzsnªjz kvolnpxzky« tj u| xy}vqsq« q wvokvtvªtqr x |nsÞ yljsqz wÚnw«zxzkq« tj wyzq tvÚujstvp wn Únljªq tnÚkt} quwysxvk ¾xznvwjz qxwvsoyÞz
¹jrwvuvªxjuvuyxnin" 
xwn|qjstnujtyjstntjkrqkrvuwsnrxnxsnrjÚ xzkjuq q }qÚyÚmqnp Àtvmqn sÞlq x ojivsnkjtq«uq xyxzjkvkyzknÚljÞzªzvwvsyªqsqÜ{{nrzqktyÞwv uvvzvxznvwjzvk¸fxznwntlvrzvÚjvxznvwj zqq wÚqÚjktqkjnzx« r xznwntq lvrzvÚj unlq|qt j vxznvwjzqªnxrqn unzvl xzjsq ªjxzÞ zÚjlq|qvttvp unlq|qt
¡qÚvwÚjrzqrj ¥ snªntqn Úyrjuq fwn|qjsqxz }q
ÚvwÚjrzqrqujtqwysqÚyÞzxwvokvtrjuqqu|juq qxªqzjÞzªzvÜzquuvmyzksnªqzkxn ¥vzlnwÚnx xqqlvwjtrÚnjzqzj¿vq}utntqÞmsjktvn ¥vitj Úyqz ivstvn unxzv k wvokvtvªtqrn q kwÚjkqz wvlkkq} kvxxzjtvkqk Üzqu tvÚujstp wvzvr qu wysxvk wv tnÚkju qsq tjpzq k u|n ojxzvptyÞ zvªryqwvlnpxzkvkjktjtnnxt«zunªtpxwjou ¿ÚqjÚzÚqznutvmqnivstnxzÚjljÞzqunttvvzxwjo uvku|qwvlkkq}vkwvÜzvuy}qÚvwÚjrzqruvnz Üzq wÚvisnu tj kÚnu« xt«z ½v nxsq ÚjoÚyntqn xyxzjkjojsvljsnrvvt¸jukÚ«lsqwvuvnz
ÂqzvznÚjwq« »nªntqn zÚjkjuq ¥ Üzv lÚnktnpnn
tjwÚjksntqnunlq|qtqqosÞisnttpunzvlutvmq} wÚqknÚnt|nktnzÚjlq|qvttvpznÚjwqqkzvuªqxsnq tjzyÚvwjzvk ½nxuvzÚ« tj zv ªzv utvmqn snrjÚxzkj zvnqomvzjksqkjÞzx«qo Újxzqznstvmv xÚ« tjzy Újstnsqxz«|knz q rvÚtq qtvmlj kvxwÚqtquj Þzx« rjr nxznxzknttvn snrjÚxzkv xvoljttvn xjuvp wÚqÚvlvpcxzsÞlqls«rvzvÚ}{qzvznÚjwq««ks« nzx« ivsnn Ü{{nrzqktu xÚnlxzkvu ªnu sÞivn zÚj lq|qvttvn ¾ {qzvznÚjwqq tjwqxjtv utvmv rtqm q rjlpkÚjªkzvpqsqqtvpxznwntqksjlnnzqt{vÚ uj|qnpwvÜzvuykvwÚvxy
qlÚvznÚjwq«»nªntqnkvljuqisvwvwys«Útvnn
k bÚnktnu Ùqun ¼ utvmqu ivstu Únkujzvqltu jÚzÚqzvu wvxnjÞqu xvvzknzxzkyÞqn xjtjzvÚqq
 sjkj
Únmys«Útv}vÚvvqoknxztvªzvkvljyuntjnzkvx wjsntqnjkvouvtvqwÚqvxzjtjksqkjnzwÚv|nxxÚjo Úyntq«xyxzjkvk¸ mqlÚvznÚjwqqqxwvsoyÞzx«Újo tvviÚjotn wÚv|nlyÚ wvwnÚnunttvn tjsvntqn znws}q}vsvlt}rvuwÚnxxvktjkvxwjsnttnxyxzj k ywÚjtntq« k kvln wvlkvltp ujxxj xqstvp xzÚynp kvl mÚ«onkn kjtt xvs«tn ÚjxzqÚjtq« xjytwjÚtnqsqzyÚn|rqnijtq½nrvzvÚnqoÜzq} wÚv|nlyÚ lvxzywt zvsrv tj ryÚvÚzj} lÚymqn ¥ k sÞivuunxznq¸uvnznkvxwvsovkjzx«Üzqusn ªntqnuwvxvknzvkjkqxxvxkvqukÚjªvu
¼msvyrjskjtqn½j¸vxzvrnÜzvzunzvlxynxzkynz
ynutvmvzx«ªnsnzqpdjwjltnkÚjªqzjrnwÚjr zqryÞznmvtjÚ«lyxlÚymquqkvolnpxzkq«uqtjiqvsv mqªnxrqjrzqktnzvªrqÛzvzunzvlqxwvsoyÞzªjn kxnmvls« ivÚi x }Úvtqªnxrvp ivsÞ Áxwn} qmsv yrjskjtq«qsqjrywytrzyÚkvutvmvuojkqxqzvz ujxznÚxzkj kÚjªj
ÀjxxjÃÚjlq|qvttpujxxj ¥lvkvstvÚjxwÚv
xzÚjtnttp unzvl snªntq« ¾t xwvxvint yuntjz unªtn ivsq xtqujz xzÚnxx Àtvmqn sÞi«z Üzy wÚv|nlyÚyxªqzjÞznnknxujÜ{{nrzqktvptvÚnoys zjzujxxjjkvªntivsvpxznwntqojkqxqzvzujx xjqxzj ¹jr q ivsqtxzkv tnzÚjlq|qvtt} unzv lvksnªntq«ujxxj«ks«nzx«ivsnqxryxxzkvuªnu tjyrvpqujxxjqxzlvsntizivsquÜtzyoqjx zvuxkvnmvlnsj
¹snzvªtj«znÚjwq« ¥unzvlvryzjttpuqxzqªnxrqu
vÚnvsvu¿Újrzqrynzx«klvÚvmq}ªjxzt}rsqtqrj}k knp|jÚqqlvxzvknÚtj«wvlÚvitj«qt{vÚuj|q«tn lvxzywtj¼oknxztvªzvls«rsnzvªtvpznÚjwqqqxwvs oyÞztnÚvlqkq}x««mt«z¼otq}qoksnrjÞznnq kn rsnzrq Újosqªt} vÚmjtvk ¥ wvªnr wnªntq nsylrjxrnsnzj}Ú«nkj«zrjtqzl¼oksnªnttn
¹jrwvuvªxjuvuyxnin" 
rsnzrqmÚywwqÚyÞzx«wvrjznmvÚq«uqkkvl«zx«qt~ nr|qvttv k u| wj|qntzj ¿Únlwvsjmjnzx« ªzv rsnzrq kvxxzjtvk«z wvkÚnlnttn zrjtq Àn}jtqou knÚv«ztvxk«ojtxqountntqnumntnzqªnxrvpqt{vÚ uj|qqkwvkÚnlntt}zrjt«}kÚnoyszjznªnmvvtq xjuvvitvks«Þzx«
½jzyÚvwjzq« ¼o kxn} wÚv«ksntqp tnzÚjlq|qvttvp
unlq|qttjzyÚvwjzq«wvjsypxjuvntjyªtvn¿Úv wvknly«qÚvrqpkoms«ltjwÚvisnuivsnotnpqq} snªntq«tjzyÚvwjzzjznstvqoyªjÞztjxsnlxzknt tvxzivstvmviqvsvmqªnxrqnwÚvisnuqvrÚyjÞ yÞxÚnlywÚvkvl«zlqjmtvxzqªnxrvnznxzqÚvkjtqnwv utvmquwjÚjunzÚjuxvoljÞzwvlÚvitvnvwqxjtqnivs tvmv q tjotjªjÞz snªntqn krsÞªjÞnn rvÚÚnr|qÞ wqzjtq«{qzvznÚjwqÞmvunvwjzqÞywÚjtntq«jry wytrzyÚymqlÚvznÚjwqÞqlÚymqnwÚv|nlyÚ¾xtvk tuwÚqt|qwvutjzyÚvwjzqªnxrvmvsnªntq««ks«nzx« vi«ojznstj« lnzvrxqrj|q« wv utntqÞ tjzyÚvwjzvk sÞij«ivsnot«ks«nzx«xsnl xzkqnutjrvwsntq«kvÚmj tqounzvrxqtvkÛzqwÚnl xzjksntq«tnqunÞztjyª tvmvwvlzknÚlntq«}vz« vªqxzrqqtvmljljÞz}v Úvqn Únoyszjz ½j zyÚvwjz xzÚjxztv kn Ú«zkxqswÚqÚvlq kvouvtvxz wÚvxz uqxÚnlxzkjuqwvuvª vÚmjtqouy xwÚjkqzx« xivsnotÞqwÚnlvzk ÚjzqzwnÚn}vlojivsn kjtq«kivsnnz«nsyÞ {vÚuy
 sjkj
ǝǺǮDZǾȇǻǽǴȁǺǷǺǯǬǶǬǶǻǺǸǺȃȈǽǬǸǺǸǿǽDZǭDZ"
¸Újªxvviqs¸juªzv¸jj{vÚujjÚzÚqzjtnym Úvjnz qotq tv «ks«nzx« }Úvtqªnxrvp ¹jr iylnz wÚvznrjzivsnotkljstnpnuqiylnzsq¸jnxv xzv«tqn y}yljzx« qsq ysyªjzx« ojkqxqz zvsrv vz¸jx
ÀtvmqusÞl«uvrjokjnzx«xvkxnutnwÚvxzvwÚq t«z vzknzxzknttvxz tj xni« ¾xvinttv rvmlj vtq ÚjolÚjntivsÞqwsv}quxjuvªykxzkqnu
ÃnÚwnz ivs q vmÚjtqªntqn wÚqkªt} lkqntqp tnsnmrv½vwÚq}Úvtqªnxrvpivsnotq ¥j¸jxsyªjp qunttvzjrvp ¥ vxvinttv kjtv ¸jn vztvntqn r tquÃvsrvvz¸jnmvznÚwntq«qtjxzvpªqkvxzqoj kqxqzzvrjr¸iylnznywÚjks«zxkvquvÚmjtqouvu jotjªqz ¥qxkvnpivsnotÞ
¸jnwsv}vntjxzÚvntqnymtnznttvnqwvljksnttvn xvxzv«tqn ¥ Üzv xjup tjxzv«qp Üuv|qvtjstp xzÚnxxqrjrsÞivpxzÚnxxvtkokjnzkvÚmjtqoun ÚjotvviÚjotnmvÚuvtjstnqiqv}quqªnxrqnqoun tntq« rvzvÚn tjÚyjÞz Újivzy kxn} ktyzÚnttq} vÚmjtvk¼¸jvÚmjtqoukunxzvzvmvªzviiÚvxqz kxnxkvqxqstjivÚiyxivsnotÞlvsntwvxzv«t tv vzksnrjzx« ªzvi kvxxzjtjksqkjz tjÚynttyÞ xzÚnxxvuÚnmys«|qÞkxn}xkvq}{ytr|qpÃjrwvuvmq znnnuyÁxwvrvpznxqtjxzÚvpznxwvoqzqktvÀ sntqn xnÚnotv ksq«nz tj xvxzv«tqn vÚmjtqouj q tj znªntqnivsnotq
ºnoyxsvktv ¸ lvst Újxxªqzkjz tj wvuv kÚjªnpxwn|qjsqxzvkwv»Â¹xkvq}isqorq}tvmsjk tvn ¥ xjuvuy tjxzÚvqzx« tj Ü{{nrzqktvn snªntqn fzÚnxxuvnzxzjzvltvpqowÚqªqtvivxzÚntq«kvx wjsntq« q yuntqn {vÚuqÚvkjz y xni« wvoqzqktvn vztvntqnr xkvnuyxvxzv«tqÞq rsnªntqÞ knÚj k
¹jrwvuvªxjuvuyxnin" 
Ü{{nrzqktvxz wÚqtqujnu} unÚ «ks«Þzx« kjtu rvuwvtntzvurvuwsnrxtvpznÚjwqq¼tvmljnxsq¸ju tn yljnzx« xjuvxzv«znstv xwÚjkqzx« x lnwÚnxxqnp wvsnotvpiylnzwvuvwxq}vsvmj¾lqtqokqlvksn ªntq« ¥vlqttjvlqt ¥rÚjzrvxÚvªtpunzvlvx tvkjttptjyzknÚlntqq ªzvtjn xjuvªykxzkqnq wvknlntqn tnwvxÚnlxzknttv ojkqx«z vz zvmv rjrquq ukqlquuqÚqxjuvmvxni«½jwÚqunÚnxsq¸jxtj yªjzvyjzxni« tnviyovpxnuq kxk«oqx ivsno tÞ j tnvi}vlquu ls« nn xªjxz« q isjmvwvsyªq« ªsntvu¸vrjnznxtjwyzqrkolvÚvksntqÞ
¿ÚvlvsjpznqzxkvnpviªtvpqotÞ½nj snpznxni«½nwvokvs«pznlÚymqulnsjzoj¸jxzvªzv ¸uvnznxlnsjzxjuq¿Úq«ztvrvmlj¸jxqtvmlj xsnmrjwvijsyÞztvwÚnlwÚqtqujzyxqsq«kwvkxnl tnktvpqotq ¥Üzvqunttvzvªzv¸jutytv
¿xq}vsvmqrxzjzqÚnrvuntlyÞzivstuknxzqltnk tqr qsq tjmvkjÚqkjz znrxz tj lqrzv{vt lnzjstvn qosvntqnxkvq}uxsnpwvwzrqvi~«xtqzxkvntj xzÚvntqnwvuvmjÞzivÚvzx«xivsnotÞ
¸ tnzÚjlq|qvttvp unlq|qtn nxz utvmv unzvlvk wvuvmjÞq} vÚmjtqouy xwÚjkqzx« xv xzÚnxxvu Ûzv unlqzj|q«pvmjywÚjks«nuvnkvviÚjntqnwxq}vzn Újwq«xqxwvsovkjtqnuviÚjztvpxk«oqznsnxtvvÚq ntzqÚvkjttj«wxq}vznÚjwq«¿xq}vxvujzqªnxrqnwvl }vl r snªntqÞ ivsnotq |ntt nn q znu ªzv vtq xwvxvitÚjxqÚqzrÚymvovÚwj|qntzjvivmjzqznmv ly}vktyÞqot
cxz q lÚymqn lvxzjzvªtv tnxzjtljÚztn xwvxvi wvuvªxnin¸sjlns|lvujtq}qkvzt}tjwÚq unÚkwvstnxwÚjknlsqkvyzknÚljÞzªzvwÚqwvmsj qkjtqqrvrq qsq xvijrq ivs k Úyrn xzq}jnz ½n zjrljktvÜzqyzknÚlntq«isqwvlzknÚlntunlq rjuqvrjojsvxªzvwÚqxyzxzkqnlvujtq}qkvzt}
 sjkj
xtqjnz rÚvk«tvn ljksntqn wÚnlvzkÚjjnz mqwnÚzv tqªnxrqnrÚqoqyuntjnzwvzÚnitvxzksnrjÚxzkj}
¿vutqzn}vz«Únkujzvqltp jÚzÚqzwvrj xªqzjnz x« tnqosnªquvp ivsnotÞ nxz utvmv xwvxvivk nmv snªntq«½n vzªjqkjpznx tv iylznÚnjsqxzjuq ½n xznxt«pznxviÚjjzx«ojwvuvÞrxkvquisqorqu kÚjªjurvtxyszjtzju wvÚjotu jxwnrzjusnªntq« ¸iqÚjpznlÚyonpqojt«zq«zjrªzvivtqojÚ«jsq ¸jxivlÚvxzÞ
¼xjuqwvxzjÚjpznx izuylÚu tnznÚ«pznvw zquqouq ªykxzkv ÞuvÚj xzjtzn ls«xkvq}isqorq} qxzvªtqrvuwvsvqznst} Üuv|qpq wÚqunÚvutn xmqijnuvpqotnttvpxqs