Перинатальные Инфекции

11

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IX. IZj\h\bjmk q_eh\_dZ.

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12

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13

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X. <BQ BGN?DPBY IJB ;?J?F?GGHKLB

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14

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fde f] j \ kmldb SHU RV \ jh^Zo f] d] \ \ \ l_q_gb_ qZkZ ^Ze__f] d] qZk \ \ ^h jh^hjZaj_r_gby Gh\hjh`^_ggu_ f] d] q_j_a qZkh\ SHU RV \ l_q_gb_ g_^_ev

<_^_gb_ \ jh^Zo. Jh^hjZaj_r_gb_ dhgk_j\Zlb\gh_ D K ^ey kgb`_gby jbkdZ i_jbgZlZevghc i_j_^Zqb g_ j_dhf_g^m_lky Ijbf_g_gb_ Zdmr_jkdbo sbiph\ b \Zdmmf wdkljZdpbb ih\urZ_l jbkd i_jbgZlZevghc i_j_^Zqb \bjmkZ

Ihke_ jh^h\. <ur_baeh`_ggu_ f_ju ij_^hklhjh`ghklb Gh\hjh`^_gguc hklZ_lky k fZl_jvx Ih ihke_^gbf ^Zgguf mjh\_gv ihke_jh^h\uo bgn_dpbhgguo hkeh`g_gbc m <BQ bgnbpbjh\Zgguo jh^bevgbp g_ ij_\urZ_l lZdh\hc m g_bgnbpbjh\Zgguo Ijb moh^_ aZ gh\hjh`^_gguf bkihevah\Zlv i_jqZldb qZklh fulv jmdb ba[_]Zlv hi_jZlb\guo \f_rZl_evkl\ ^h mlhqg_gby nZdlZ bgnbpbjh\Zgby g_ ijh\h^blv \ZdpbgZpbx `b\hc \Zdpbghc Ijh\h^blv dhgljhev aZ gZebqb_f b mjh\g_f <BQ Zglbl_e ^h bo bkq_agh\_gby beb ^h f_kyp_\ `bagb <u^_e_gb_ dmevlmju \bjmkZ iheh`bl_evgu_ ^Zggu_ IPJ beb gZebqb_ Zglb]_gZ y\eyxlky ^hdZaZl_evkl\hf <BQ bgn_dpbb \ ex[hf \hajZkl_

;:DL?JBB

I. KBNBEBK i_jbgZlZevgu_ Zki_dlu Iheh\bgZ kemqZ_\ \jh`^_ggh]h kbnbebkZ gZ[ex^Z_lky m fZl_j_c g_ bf_\rbo ij_gZlZevgh]h \jZq_[gh]h gZ[ex^_gby Kibjho_lu ijhgbdZxl d ieh^m \ ex[hc kjhd [_j_f_gghklb Z g_ ihke_ g_^_ev dZd kqblZeb jZg__ gh \ jZggbo kjhdZo [_j_f_gghklb baf_g_gbc m ieh^Z g_ gZ[ex^Z_lky \\b^m hlkmlkl\by bffmggh]h hl\_lZ =eZ\gu_ nZdlhju hij_^_eyxsb_ jbkd bgnbpbjh\Zgby ieh^Z dhgp_gljZpby kibjho_l \ djh\b fZl_jb b _z klZ^by aZ[he_\Zgby Ijb g_e_q_gghf kbnbebk_ k ^ebl_evghklvx aZ[he_\Zgby f_g__ e_l

gh\hjh`^_gguo jh`^Zxlky ghjfZevgufb bf_xl \jh`^_gguc kbnbebk

f_jl\hjh`^_ggu_ mfbjZxl \ l_q_gb_ f_kyp_\ ihke_ jh`^_gby Ijb g_e_q_gghf kbnbebk_ k ^ebl_evghklvx aZ[he_\Zgby e_l wlb pbnju khklZ\eyxl khhl\_lkl\_ggh Ijb g_e_q_gghf kbnbebk_ k ^ebl_evghklvx aZ[he_\Zgby [he__ e_l ihke_ f_kyp_\ `bagb khhl\_lkl\_ggh

]

16

Ih [he__ kh\j_f_gguf ^Zgguf ] i_j\bqguc b \lhjbqguc g_e_q_gguc kbnbebk \ iheh\bg_ kemqZ_\ ijb\h^bl d f_jl\hjh`^_gbx g_^hgZrb\Zgbx beb kf_jlb gh\hjh`^_ggh]h ?sz \ iheh\bg_ kemqZ_\ bf__lky \jh`^_gguc kbnbebk Ijb jZgg_f eZl_glghf kbnbebk_ g_^hgZrb\Zgb_ khklZ\beh f_jl\hjh`^_gb_

kf_jlghklv gh\hjh`^_gguo \jh`^_gguc kbnbebk ;_a hldehg_gbc hl ghjfu jh^behkv lhevdh gh\hjh`^_gguo Ijb iha^g_f kbnbebk_ m fZl_jb \jh`^_gguc kbnbebk khklZ\be lhevdh jhklZ g_^hgZrb\Zgby b i_jbgZlZevghc kf_jlghklb g_ hlf_qZehkv

Bkke_^h\Zgby o ]h^h\ ih^l\_j^beb g_[eZ]hijbylgh_ \ebygb_ kbnbebkZ gZ bkoh^u [_j_f_gghklb Ijb \jh`^_gghf kbnbebk_ f_jl\hjh`^Z_fhklv khklZ\beZ

Z i_jbgZlZevgZy kf_jlghklv ] Ijb wlhf qZkluf hkeh`g_gb_f [_j_f_gghklb hklZ_lky g_^hgZrb\Zgb_ b \gmljbmljh[gZy aZ^_j`dZ jhklZ ieh^Z ^hklb]ZxsZy

Debgbq_kdb_ ijhy\e_gby kbnbebkZ m [_j_f_gguo g_ hlebqZxlky hl lZdh\uo m g_[_j_f_gguo Ih^Z\eyxs__ [hevrbgkl\h [_j_f_gguo [hevguo kbnbebkhf g_ bf_xl kbfilhfh\ aZ[he_\Zgby dhlhjh_ gZoh^blky \ eZl_glghc nZa_ Z _]h ^ebl_evghklv khklZ\ey_l [he__ ]h^Z <jh`^_gguc kbnbebk bf__l ^\_ nZau Ijb jZgg_f \jh`^_gghf K debgbq_kdb_ ijhy\e_gby aZ[he_\Zgby ihy\eyxlky \ ij_^_eZo i_j\h]h ]h^Z `bagb Ijb iha^g_f \jh`^_gghf K kbfilhfu ijhy\eyxlky ihke_ e_l `bagb

Ijb jZgg_f \jh`^_gghf kbnbebk_ gh\hjh`^_ggu_ h[uqgh g_ bf_xl kbfilhfh\ aZ[he_\Zgby _^bgkl\_ggu ijbagZdhf dhlhjh]h y\eyxlky iheh`bl_evgu_ k_jheh]bq_kdb_ l_klu Q_j_a g_^_ev ihy\eyxlky ihjZ`_gby dh`b gZihfbgZxsb_ lZdh\u_ ijb \lhjbqghf K jZkiheZ]Zxlky \ Zgh]_gblZevghc ahg_ gZ klhiZo b eZ^hgyo LbibqgZ fZdmehiZime_agZy kuiv gh \hafh`gu \_abdme_agu_ b [mee_agu_ \ukuiZgby qlh g_oZjZdl_jgh ^ey \ajhkeuo QZs_ \klj_qZxlky lhq_qgu_ djh\hbaebygby \ kebabklu_ rbjhdb_ dhg^behfu dhlhju_ ^Zxl iheh`bl_evguc j_amevlZl gZ lj_ihg_fm ijb bkke_^h\Zgbb \ l_fghf ihe_ GZ[ex^Z_lky jbgbl k ]ghcgh kebabklufb \u^_e_gbyfb aZeh`_gghklv ghkZ <_kvfZ qZklu lj_sbgu gZ ]m[Zo b Zgh]_gblZevghc ahg_ dhlhju_ aZ`b\Zy h[jZamxl jm[pu < \hajZkl_ f_kyp_\ \hafh`gu hkl_hohg^jblik_\^hiZjZebq IZjjh hkl_bl i_jbhklbl ^ebgguo dhkl_c Ijbf_jgh m

gh\hjh`^_gguo k jZggbf \jh`^_gguf K gZ[ex^Z_lky ]_iZlhkie_ghf_]Zeby ijbf_jgh m iheh\bgu kbfilhfu f_gbg]blZ Djhf_ lh]h ijb jZgg_f \jh`^_gghf kbnbebk_ fh]ml \uy\eylvky Zg_fby ebohjZ^dZ E:I ©[_eZyª ig_\fhgby bjbl k_^eh\b^guc ghk

>ey iha^g_]h \jh`^_ggh]h K oZjZdl_jgu ^\_ hkgh\gu_ ]jmiiu kbfilhfh\ D i_j\hc ]jmii_ kbnbeblbq_kdb_ klb]fu hlghkylky ijhy\e_gby K y\b\rb_ky j_amevlZlhf jm[p_\Zgby ijhy\e_gbc jZgg_]h K beb \ua\Zgguo bf gZjmr_gbc jZa\blby i_jnhjZpby ghkh\hc i_j_]hjh^db k_^eh\b^guc ghk mlhes_gb_ eh[guo dhkl_c am[u =ZlqbgkhgZ \u_fdZ gZ ihklhygguo j_apZo fheyju \ \b^_ y]h^u r_edh\bpu kZ[e_\b^gu_ ]he_gb jm[pu ]m[u Zgmk <lhjZy ]jmiiZ kbfilhfh\ y\ey_lky j_amevlZlhf ijh^he`Zxs_]hky Zdlb\gh]h \hkiZe_gby bgl_jklbpbZevguc d_jZlbl g_cjhkbnbebk g_\jZevgZy ]emohlZ ^\mklhjhggbc ]b^jZjljha ]mffu

>bZ]ghklbdZ K hkms_kl\ey_lky ih h[sbf ijbgpbiZf JZggbc \jh`^_gguc K ke_^m_l ih^haj_\Zlv m ex[h]h gh\hjh`^_ggh]h k \h^ygdhc g_ba\_klgh]h ijhbkoh`^_gby [hevrhc ieZp_glhc aZlygm\rbfky jbgblhf khieb mahjqZlhc g_ijhoh^ys_c kuivx g_h[tykgbfhc `_elmohc k ]_iZlhkie_ghf_]Zeb_c beb Zg_fb_c IhjZ`_gby dh`b kebabkluo b \u^_e_gby ba ghkZ kh^_j`Zsb_ kibjho_lu g_h[oh^bfh ijh\_jblv gZ bo gZebqb_ ijb bkke_^h\Zgbb \ l_fghf ihe_ Ijb iha^g_f \jh`^_gghf K lbibqgufb ijhy\e_gbyfb ^hklZlhqgufb ^ey _]h ^bZ]ghklbdb y\eyxlky ljbZ^Z

17

=ZlqbgkhgZ am[u bgl_jklbpbZevguc d_jZlbl ]emohlZ \ke_^kl\b_ ihjZ`_gby iZju q_j_igh fha]h\uo g_j\h\ hkh[Zy nhjfZ fheyjh\ b ]b^jZjljha HdhgqZl_evguc ^bZ]gha klZ\blky ijb h[gZjm`_gbb kibjho_l ijb bkke_^h\Zgbb \ l_fghf ihe_ beb ijb ]bklheh]bq_kdhf bkke_^h\Zgbb

>ey ij_^iheh`bl_evgh]h ^bZ]ghaZ g_h[oh^bfh Z jZklmsb_ beb ^ebl_evgh khojZgyxsb_ky iheh`bl_evgu_ j_amevlZlu k_jheh]bq_kdbo l_klh\ [ iheh`bl_evgu_ k_jheh]bq_kdb_ l_klu ijb gZebqbb \u^_e_gbc ba ghkZ rbjhdbo dhg^behf ihjZ`_gbc dhkl_c \ iheh`bl_evgu_ k_jheh]bq_kdb_ l_klu ijb gZebqbb ^\mo beb [he__ debgbq_kdbo ijhy\e_gbc K ]_iZlhkie_ghf_]Zeby E:I Zg_fby g_bffmggZy \h^ygdZ ieh^Z ihjZ`_gby dh`b b kebabkluo ik_\^hiZjZebq IZjjh ]ehf_jmehg_njbl ihjZ`_gb_ PGK

<_jhylguc ^bZ]gha ih^haj_gb_ gZ K klZ\blky ijb gZebqbb iheh`bl_evguo k_jheh]bq_kdbo l_klh\ ijb hlkmlkl\bb debgbq_kdbo ijhy\e_gbc K LZd dZd iheh`bl_evgu_ k_jheh]bq_kdb_ l_klu fh]ml hljZ`Zlv gZebqb_ fZl_jbgkdbo Zglbl_e \ djh\b gh\hjh`^_ggh]h g_h[oh^bfh ijh\_^_gb_ k_jbcguo bkke_^h\Zgbc jhkl lbljZ beb _]h i_jkbkl_gpby ih^l\_j`^Zxl gZebqb_ \jh`^_ggh]h K beb hij_^_e_gb_ ki_pbnbqgh]h,J 0

E_q_gb_ Ij_iZjZlhf \u[hjZ ^ey e_q_gby dZd [_j_f_gguo lZd b g_[_j_f_gguo y\ey_lky i_gbpbeebg DZ`^hfm gh\hjh`^_gghfm k ih^haj_gb_f gZ \jh`^_gguc K g_h[oh^bfh ijh\_klb kibghfha]h\mx imgdpbx ^h gZqZeZ e_q_gby ?keb ^Zggu_ bkke_^h\Zgby kibghfha]h\hc `b^dhklb \ ij_^_eZo ghjfu ijhba\h^blky h^gZ \gmljbfur_qgZy bgt_dpby [_gaZlbg i_gbpbeebgZ \ ^ha_ luk _^ d] Ijb iZlheh]bq_kdbo j_amevlZlZo beb hlkmlkl\bb imgdpbb gh\hjh`^_gghfm ke_^m_l gZagZqblv \h^guc jZkl\hj djbklZeebq_kdh]h i_gbpbeebgZ luk _^ d] kml \ l_q_gb_

^g_c E_q_gb_ [_j_f_gguo

JZggbc kbnbebk i_j\bqguc \lhjbqguc b eZl_glguc k ^ebl_evghklvx aZ[he_\Zgby f_g__ ]h^Z

;_gaZlbg i_gbpbeebg*feg _^ \gmljbfur_qgh h^gZ bgt_dpby

Ijb ^ebl_evghklb aZ[he_\Zgby [he__ ]h^Z ;_gaZlbg i_gbpbeebg*feg _^ \gmljbfur_qgh _`_g_^_evgh ljb bgt_dpbb

G_cjhkbnbebk <h^guc jZkl\hj djbklZeebq_kdh]h i_gbpbeebgZ*feg _^ \gmljb\_ggh q_j_aqZkZ ^g_c k ihke_^mxs_c h^ghc \gmljbfur_qghc bgt_dpb_c [_gaZlbg i_gbpbeebgZ*\ ^ha_ feg _^ beb

<h^guc jZkl\hj ijhdZbg i_gbpbeebgZ * feg _^ \gmljbfur_qgh _`_^g_\gh k ijh[_gbpb^hf f] jZaZ kmldb SHU RV\ l_q_gb_ ^g_c k ihke_^mxs_c h^ghc \gmljbfur_qghc bgt_dpb_c [_gaZlbg i_gbpbeebgZ*\ ^ha_ feg _^

II. EBKL?JBHA.

Bgn_dpby \uau\Z_lky [Zdl_jb_c /LVWHULD PRQRF\WRJHQHV ih^\b`gZy g_kihjhh[jZamxsZy ]jZfiheh`bl_evgZy iZehqdZ <u^_e_gh k_fv \b^h\ y\ey_lky bkdexqbl_evgh iZlh]_ghf q_eh\_dZ Fhjnheh]bq_kdb g_hlebqbfZ hl ^bnl_jhb^h\ ihwlhfm qZklh ©ijhkfZljb\Z_lkyª ijb eZ[hjZlhjghf bke_^h\Zgbb <u^_e_gh

k_jhlbih\ gh \k_o kemqZ_\ debgbq_kdb y\ghc bgn_dpbb k\yaZgu k lj_fy k_jhlbiZfb \ Z Fbdjhhj]Zgbaf e_]dh \u^_eblv ba kl_jbevghc \ ghjf_ kj_^u ieZp_glZ Zfgbhlbq_kdZy `b^dhklv djh\v gh hq_gv ljm^gh ba fbdjh[guo ZkkhpbZpbc

GZb[he__ qm\kl\bl_evgu d bgn_dpbb ebpZ k gZjmr_gbyfb bffmgbl_lZ Z lZd`_ [_j_f_ggu_ b bo gh\hjh`^_ggu_ Hkh[u_ hiZk_gby \uau\Z_l \ebygb_ bgn_dpbb gZ

18

qZklhlm g_^hgZrb\Zgby b khklhygb_ ieh^Z Ijb aZ[he_\Zgbb [_j_f_gguo ebkl_jbhahf hlf_q_gZ \ukhdZy i_jbgZlZevgZy aZ[he_\Z_fhklv b kf_jlghklv

Ijb \hafh`ghklb \hkoh^ys_c bgn_dpbb ]eZ\guf iml_f bgnbpbjh\Zgby ieh^Z y\ey_lky jZkijhkljZg_gb_ bgn_dpbb hl aZ[he_\r_c fZl_jb gZ ieZp_glm hldm^Z \ha[m^bl_ev ihiZ^Z_l d ieh^m \uau\Zy m g_]h k_ilbp_fbx k \h\e_q_gb_f fgh`_kl\Z hj]Zgh\ :fgbhlbq_kdZy `b^dhklv bgnbpbjm_lky q_j_a ihklmie_gb_ [Zdl_jbc k fhqhc ieh^Z :kibjZpby bgnbpbjh\Zgghc Zfgbhlbq_kdhc `b^dhklb fh`_l ijb\h^blv d ihjZ`_gbx ^uoZl_evguo iml_c ieh^Z

Ebkl_jbha kms_kl\m_l \ ^\mo nhjfZo wib^_fbq_kdhc b kihjZ^bq_kdhc Wib^_fbq_kdZy nhjfZ k\yaZgZ k mihlj_[e_gb_f aZ]jyagzgguo ibs_\uo ijh^mdlh\

<h \j_fy wib^_fbb kf_jlghklv kj_^b \ajhkeuo b gh\hjh`^_gguo ^_l_c khklZ\ey_l ijbf_jgh AZ[he_\Zgb_ E qZs_ \hagbdZ_l b gZb[he__ hiZkgh m ebp k gZjmr_gb_f bffmgbl_lZ [_j_f_gguo gh\hjh`^_gguo ijb i_j_kZ^d_ hj]Zgh\ aehdZq_kl\_gguo aZ[he_\Zgbyo ihq_qghc g_^hklZlhqghklb kbkl_fghc djZkghc \heqZgd_ kl_jhb^ghc l_jZibb <BQ bgn_dpbb Q_f jZgvr_ ijb [_j_f_gghklb gZklmiZ_l bgnbpbjh\Zgb_ l_f \ur_ jbkd ]b[_eb ieh^Z g_aj_eZy bffmggZy kbkl_fZ Kj_^gbc ]_klZpbhgguc \hajZkl \ dhlhjhf ijhbahreh bgnbpbjh\Zgb_ m ih]b[rbo ieh^h\ khklZ\be g_^_ev Z m \u`b\rbo g_^_eb

QZs_ bf_xl f_klh kihjZ^bq_kdb_ wg^_fbq_kdb_ nhjfu aZ[he_\Zgby EbpZ bgnbpbjh\Zggu_ E ijb mihlj_[e_gbb aZjZ`zgghc ibsb g_ bf_xl kbfilhfh\ aZ[he_\Zgby klZgh\ylky ojhgbq_kdbfb ghkbl_eyfb \ha[m^bl_ey \ k\h_f `_em^hqgh dbr_qghf ljZdl_ < ihke_^mxs_f m `_gsbg gZklmiZ_l dhehgbaZpby ebkl_jb_c \eZ]ZebsZ b r_cdb fZldb Fgh]b_ bgnbpbjh\Zggu_ [_j_f_ggu_ kbfilhfh\ aZ[he_\Zgby g_ bf_xl QZs_ kemqZ_\ aZjZ`_gb_ khijh\h`^Z_lky debgbq_kdbfb ijhy\e_gbyfb ijh^jhf ebohjZ^dZ hagh[ ]heh\gZy [hev fbZe]by [hev \ kibg_ ihjZ`_gb_ \_jogbo ^uoZl_evguo iml_c j_`_ \hafh`gu ^bZjj_y b [hev \ `b\hl_ Ijh^jhf ij_^klZ\ey_l klZ^bx [Zdl_jb_fbb dh]^Z \_jhylgh ijhbkoh^bl bgnbpbjh\Zgb_ ieh^gh]h ycpZ Q_j_a ^g_c ihke_ wlh]h ijh^jhfZ \hafh`gh jZa\blb_ ZfgbhgblZ k ihke_^mxsbfb ij_`^_\j_f_ggufb jh^Zfb k_ilbq_kdbf Z[hjlhf bgn_dpb_c ieh^Z f_jl\hjh`^_gb_f FZl_jbgkdZy bgn_dpby ijhl_dZ_l g_ly`_eh j_^dh \hafh`_g h[sbc k_ikbk QZs_ E gZ[ex^Z_lky \ ,,,

ljbf_klj_ [_j_f_gghklb D kh`Ze_gbx E g_ bf__l ki_pbnbq_kdbo debgbq_kdbo ijhy\e_gbc hlebqZxsbo _]h hl ^jm]bo bgn_dpbc ihwlhfm [_j_f_ggu_ k ih^h[gufb kbfilhfZfb \ dhgp_ ,, gZqZe_ ,,, ljbf_kljZ ^he`gu [ulv h[ke_^h\Zgu gZ gZebqb_ E < hlebqbb hl fZl_jb E m gh\hjh`^_gguo ijhl_dZ_l ly`_e__ b fh`_l aZdhgqblvky e_lZevgh

Ebkl_jbha m gh\hjh`^_gguo ij_^klZ\e_g ^\mfy k_jheh]bq_kdb b debgbq_kdb jZaebqgufb \b^Zfb JZggbc E k_jhlbiu,Z b,9\ ijhl_dZ_l \ nhjf_ h[s_]h k_ikbkZ k fmevlbhj]Zgguf ihjZ`_gb_f e_]db_o i_q_gb PGK ijb\h^bl d \ukhdhc f_jl\hjh`^Z_fhklb b g_hgZlZevghc kf_jlghklb qZs_ [he_xl fZeh\_kgu_ ^_lb Bgnbpbjh\Zgb_ ieh^Z ijhbkoh^bl i_j_^ jh^Zfb \h \j_fy ijh^jhfZ m fZl_jb AZ[he_\Zgb_ ijhy\ey_lky \ i_j\u_ qZku ^gb `bagb OZjZdl_jgu fgh`_kl\_ggu_ ]jZgme_fu dhlhju_ qZs_ gZoh^yl \ ieZp_gl_ b i_q_gb Hgb fh]ml [ulv dexqhf d ^bZ]gham ijb g_hgZlZevghf k_ikbk_ i_j\uo ^g_c `bagb

Iha^gbc E \klj_qZ_lky m ^hghr_gguo gh\hjh`^_gguo ijb g_hkeh`g_gghf l_q_gbb [_j_f_gghklb QZklufb ihke_^kl\byfb aZ[he_\Zgby y\eyxlfy ]b^jhp_nZeby aZ^_j`dZ mfkl\_ggh]h jZa\blby Z kf_jlghklv ijb[eb`Z_lky d Gh\hjh`^_ggu_ ijb jh`^_gbb \u]ey^yl a^hjh\ufb Z aZ[he_\Zgb_ ijhy\ey_lky q_j_a g_kdhevdh ^g_c beb g_^_ev ihke_ jh^h\ y\e_gby f_gbg]blZ [u\Zxl qZs_ q_f k_ikbk KqblZ_lky qlh

20

kml \ l_q_gb_ f_kyp_\ e_q_gb_ \ l_q_gb_ ]h^Z ij_^mkfhlj_gh ^ey <BQ bgnbpbjh\Zgguo b ijb iZlheh]bq_kdbo ^Zgguo j_gl]_gheh]bq_kdh]h bkke_^h\Zgby \ hklZevguo kemqZyo e_q_gb_ ijh\h^blky \ l_q_gb_ f_kyp_\ Ijb [_j_f_gghklb [he__

g_^_ev ijhnbeZdlbq_kdh_ e_q_gb_ \hafh`gh hleh`blv ^h jh^hjZaj_r_gby ijb [_j_f_gghklb ,ljbf_kljZ ^h ,,ljbf_kljZ <g_ aZ\bkbfhklb hl lh]h ijh\h^blky beb g_l ijhnbeZdlbq_kdh_ e_q_gb_ \k_f [_j_f_gguf k iheh`bl_evghc lm[_jdmebgh\hc ijh[hc iZimeZ [he__ ff ijh\h^blky j_gl]_gh]jZnby e_]dbo ^ey \uy\e_gby \hafh`gh]h Zdlb\gh]h lm[_jdme_aZ Wlh g_h[oh^bfh ^ey k\h_\j_f_ggh]h gZqZeZ e_q_gby aZ[he_\Zgby b ^ey ijhnbeZdlbdb aZjZ`_gby gh\hjh`^_ggh]h fZl_jvx k Zdlb\guf L e_]dbo

IJHKL?CRB?

I. LHDKHIE:AFHA

Rbjhdh jZkijhkljZg_ggh_ aZ[he_\Zgb_ \uau\Z_fh_ \gmljbde_lhqguf iZjZablhf

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