Cara Penanggulangan Nyeri Persalinan

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< ELE < WAFMLCQ@QLF <&< @ltl r ea `lolf k  Fyarj parsl`jflf iaruplolf pafkl`lilf suehaotjn taftlfk safslsj njsjo ylfk taroljt mafklf odftrlosj utarus mj`ltlsj mlf pafjpjslf sarvjos sartl  pafuruflf hlfjf sa`lil parsl`jflf& Uaspdf njsjd`dkjs tarclmlp fyarj ia`jputj  pafjfkoltlf taolflf mlrlc mafyut flmj parflplslff oarjfklt mjliatar pupj` mlf oataklfklf dtdt& Earelklj uplyl mj`louolf uftuo iafurufolf fyarj plml parsl`jflf eljo sablrl nlrilod`dkj ilupuf fdfnlrilod`dkj& Ilflhaiaf fyarj sablrl nlrilod`dkj `aejc anaotjn mjelfmjfk mafklf iatdma fdfnlrilod`dkj fliuf iatdma nlrilod`dkj `aejc ilcl` mlf earpdtafsj iaipufylj anao ylfk ourlfk  eljo # Mjboarsjf <:3:*& Ramlfklfkolf iatdma fdfnlrilod`dkj earsjnlt fdfjftrusjn fdjfvlsjn iurlc sjip`a anaotjn mlf tlfpl anao ylfk iarukjolf #Eurfs . E`liay <::=? Bddo . [j`bdx <::;*& Iatdma fdfnlrilod`dkj hukl mlplt iafjfkoltolf oapu lslf sa`l il parsl`j flf olr afl jeu m lplt iaf kdftr d` parl sllffy l mlf oaoultlffyl #Ilboay<::1* Ua`los lsj taofjo parflpls lf parkarlo lf mlf paruel clf pdsjsj ilsslka cjmrdtarlpj tarlpj plfls$mjfkjf iusjo kujmam jilkary louprasur lrdiltarlpj iaruplolf eaearlpl taofjo fdfnlrilod`dkj ylfk mlplt iafjfkoltolf oafylilflf jeu sllt earsl`jf mlf iaipufylj pafklruc plml odpjfk ylfk anaotjn tarclmlp pafkl`lilf parsl`jflf& Wafa`jtjlf ylfk mj`louolf d`ac Ry`vjl ]& Erdwf AmM UF Blrd` Mduk`ls IRF UF lfm @aaLff W`lstar N`ddm IRF BFI  plml t lcuf 577< iafkkuflolf <7 iatdma fdfnlrilod`dkj ylfk mj`louolf plml slip`a => drlfk mjmlpltolf elcwl taofjo parflplslf ra`loslsj louprasur mlf ilsslka iaruplolf taofjo ylfk pl`jfk anaotjn iafurufolf fyarj sllt parsl`jflf& Louprasur iaruplolf sl`lc sltu taofjo fdfnlrilod`dkj ylfk pl`jfk anaotjn ml`li ilflhaiaf fyarj parsl`jflf& Louprasur mjsaeut hukl loupufotur tlfpl hlrui ltlu pjhlt loupufotur& ]aofjo jfj iafkkuflolf tafjo pafaolflf  paijhltlf mlf pafkurutlf saplfhlfk iarjmjlf tueuc ltlu klrjs l`jrlf afarkj&

Transcript of Cara Penanggulangan Nyeri Persalinan

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ELE <

WAFMLCQ@QLF

<&< @ltlr ea`lolfk

 Fyarj parsl`jflf iaruplolf pafkl`lilf suehaotjn taftlfk safslsj njsjo 

ylfk taroljt mafklf odftrlosj utarus mj`ltlsj mlf pafjpjslf sarvjos sartl

 pafuruflf hlfjf sa`lil parsl`jflf& Uaspdf njsjd`dkjs tarclmlp fyarj ia`jputj

 pafjfkoltlf taolflf mlrlc mafyut flmj parflplslff oarjfklt mjliatar pupj`

mlf oataklfklf dtdt&

Earelklj uplyl mj`louolf uftuo iafurufolf fyarj plml parsl`jflf eljo 

sablrl nlrilod`dkj ilupuf fdfnlrilod`dkj& Ilflhaiaf fyarj sablrl

nlrilod`dkj `aejc anaotjn mjelfmjfk mafklf iatdma fdfnlrilod`dkj fliuf

iatdma nlrilod`dkj `aejc ilcl` mlf earpdtafsj iaipufylj anao ylfk ourlfk

 eljo # Mjboarsjf <:3:*&

Ramlfklfkolf iatdma fdfnlrilod`dkj earsjnlt fdfjftrusjn fdjfvlsjn

iurlc sjip`a anaotjn mlf tlfpl anao ylfk iarukjolf #Eurfs . E`liay <::=?

Bddo . [j`bdx <::;*& Iatdma fdfnlrilod`dkj hukl mlplt iafjfkoltolf

oapulslf sa`lil parsl`jflf olrafl jeu mlplt iafkdftrd` parlsllffyl mlf

oaoultlffyl #Ilboay<::1*

Ua`loslsj taofjo parflplslf parkarlolf mlf paruelclf pdsjsj ilsslka

cjmrdtarlpj tarlpj plfls$mjfkjf iusjo kujmam jilkary louprasur lrdiltarlpj

iaruplolf eaearlpl taofjo fdfnlrilod`dkj ylfk mlplt iafjfkoltolf

oafylilflf jeu sllt earsl`jf mlf iaipufylj pafklruc plml odpjfk ylfk anaotjn 

tarclmlp pafkl`lilf parsl`jflf& Wafa`jtjlf ylfk mj`louolf d`ac Ry`vjl ]& Erdwf

AmM UF Blrd` Mduk`ls IRF UF lfm @aaLff W`lstar N`ddm IRF BFI

 plml tlcuf 577< iafkkuflolf <7 iatdma fdfnlrilod`dkj ylfk mj`louolf plml

slip`a => drlfk mjmlpltolf elcwl taofjo parflplslf ra`loslsj louprasur mlf

ilsslka iaruplolf taofjo ylfk pl`jfk anaotjn iafurufolf fyarj sllt parsl`jflf&

Louprasur iaruplolf sl`lc sltu taofjo fdfnlrilod`dkj ylfk pl`jfk

anaotjn ml`li ilflhaiaf fyarj parsl`jflf& Louprasur mjsaeut hukl loupufotur 

tlfpl hlrui ltlu pjhlt loupufotur& ]aofjo jfj iafkkuflolf tafjo pafaolflf

 paijhltlf mlf pafkurutlf saplfhlfk iarjmjlf tueuc ltlu klrjs l`jrlf afarkj&

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]aofjo louprasur jfj mlplt iafurufolf fyarj mlf iafkanaotjnolf wlotu

 parsl`jflf&

<&5 Uuiuslf ilsl`lc

<&5&< Elkljilfl blrl iafkltlsj fyarj plml parsl`jflf4

<&5&5 Iatdma lpl slhl ylfk mlplt mj kuflolf uftuo iafkurlfkj fyarj

 plml pars`ljflf4

<&2 ]uhulf

<&2&< ]uhulf uiui

<&2&<&< Ilipu iafkatlcuj blrl uftuo iaflfkklfj fyarj

 parsl`jflf

<&2&5 ]uhulf ocusus

<&2&5&< Ilipu iafha`lsolf blrl iafkltlsj fyarj parsl`jflf

<&2&5&5 Ilipu iafyaeutolf iatdma)iatdma iafkltlsj fyarj

 parsl`jflf

<&= Ilfnllt

Ilfnllt ylfk jfkjf mj pard`ac mlrj paieaftuolf ilol`lc jfj&

<&=&< Iafmlpltolf pafkatlculf taftlfk elkljilfl blrl iafkltlsj fyarj

 plml parsl`jflf

<&=&5 Iafmlpltolf pafkatlculf blrl)blrl uftuo iafkltlsj fyarj plml

 parsl`jflf

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ELE JJ

]JFHLQLF WQR]LOL

Earelklj blrl ylfk mjplolj uftuo iafkcj`lfkolf ltlu iafkurlfkj fyarj

 parsl`jflf mlplt mjelkj saelklj earjout 8

5&< Blrl Fdf Nlrilod`dkj

L& Wsjod`dkjo 

Mjsjfj jeu sumlc mjparsjlpolf sablrl iaftl` plml satjlp oufhufklf

 paiarjosllf clij` ltlu plml oa`ls parsjlplf mlf ejlslfyl hukl mjclmjrj earslil

sulij& Blrl psjodprdnj`lotjo jfj ej`l mlplt ear`lfksufk mafklf eljo iaruplolf

blrl ylfk jmal &̀ Ra`lil tjkl maolma tarlocjr ilojf elfylo ijflt uftuo 

iafarlpolf blrl paflfkku`lfklf fyarj plml parsl`jflf tlfpl iailolj delt)

deltlf&

Wlml eaearlpl oaeumlyllf ylfk eareaml sapartj mj paml`lilf Iaxjbd

mjiu`ljfyl odftrlosj ylfk tarltur plml jeu earsl`jf mjtlfmlj mafklf iu`ljfyl pastl& Jeu ylfk ia`lcjrolf mjruilc mjoa`j`jfkj d`ac tlrj)tlrjlf fylfyjlf ijfui)

ijfui mjlftlrl tailf mlf slclelt& ]lo sadrlfk puf ylfk iafyuruc jeu tarsaeut

uftuo earelrjfk mlf tar`aftlfk& Lplpuf ylfk mj`louolffyl mlf ylfk mj`louolf

drlfk `ljf ejlslfyl elyj lolf `lcjr& Cl` jfj iafhlmj partaftlfklf mjlftlrl plrl

lc`j mj faklrl elrlt& Lc`j oaejmlflf iu`lj ea`lhlr mlrj pafkl`lilf elcwl lpl

ylfk mjrlslolf eljo d`ac jeu tarsaeut lml`lc eljo& Hjol jeu tarsaeut jfkjf earhl`lf)

 hl`lf earmjrj mumuo ltlu hdfkodo cl` jtu lolf iafd`dfkfyl mlf iafkurlfkj rlsl

fyarj&

Wlml pafa`jtjlf tarclmlp ;77 wlfjtl mj jfkkrjs clipjr saiul

iafkjfkjfolf pailoljlf delt lfl`kasjl yfk ijfjil` wl`lupuf iaraol lolf

iafmlpltolf fyarj ylfk buoup ltlu slfklt oult& Qftuo iafbaklc pailoljlf delt

iaraol iafkjoutj oa`ls pafmjmjolf mlf sdsjl` sartl `ltjclf parflnlslf mlf

ra`loslsj mlf iaraol `aejc puls mjelfmjfkolf mafklf ylfk iailolj delt)deltlf&

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L`lslf ylfk mjoaiuololf lml`lc oatjmlopulsllf lolf parsl`jflf saea`uifyl

mlf aidsj ylfk euruo pdstplrtui

#Ilmj?53*  plml pafa`jtjlffyl tarclmlp <7: wlfjtl earsl`jf ylfk mjelkj

ml`li oa`dipdo mul oa`dipdo mjilfl oa`dipdo partlil jeu earsl`jf

mjmlipjfkj d`ac sadrlfk lfkkdtl oa`ulrkl& Mlf oa`dipdo oamul tlfpl

mjmlipjfkj lfkkdtl oa`ulrkl& Clsj`fyl mjpard`ac elcwl plml oa`dipdo oa`d`l #mj

mlipjfkj oa`ulrkl* mjhuiplj :<! parsl`jflf spdftlf mjselfmjfk ;< ! plml

oa`dipdo odftrd`& Oa`dipdo oa`d`l iaieutucolf <2 ! dosjtdsjf samlfk plml

oa`dipdo odftrd` 27 !& Rablrl stltjstjo eareaml earilofl&

Wrdsamur tarlpj psjod`dkjo ia`jputj `ltjclf njsjo mlf iaftl` `ltjclf blrl

 parflplslf sa`lil parsl`jflf mlf ra`loslsj dtdt ‒ dtdt sa`lil odftrlosj

rlcji&prdsamur tarlpj psjod`dkjo tarutlil iailolj iatdma psjodmjflijo sapartj 8

sukastj idtjvlsj ltafsj kjstrlosj ylfk mlplt iafkcj`lfkolf oataklfklf mlf

oatloutlf mlf iafkafml`jolf parlsllf fyarj&

Oarukjlf blrl jfj lftlrl `ljf 8 clfyl sahui`lc oabj` ylfk iafkl`lij trua

lfl`kasjl sa`lil parsl`jflf& ]arfyltl parsjlplf iaiar`uolf elfylo wlotu mlrj

mdotar spasjl`js oaejmlfflf mlf parsdfa` iamjs `ljf mlf plml pafmarjtl ylfk

aidsjfyl `lej`& Wafarlplf blrl jfj mlplt iafyaeleolf klfkkulf psjojltrjo 

 earupl cyparvaftj`lsj ylfk mjtarlpolf sablrl sl`lc ylfk earlojelt l`ol`dsjs

raspjrltdrjo&

E& ]rlfsbutlfadus A`abtrjbl Farva Rtjiu`ltjdf, #]AFR*

Iaruplolf sl`lc sltu blrl iaflfkku`lfklf fyarj parsl`jflf fdf

nlrilod`dkj ylfk blrl oarhlfyl tarmjrj mlrj pafutuplf pjftu karelfk oa hl`ur 

jipu`s fyarj ylfk ta`lc tareuotj tarhlmj lojelt taielolf ‒ taielolf jipu`s ‒ 

jipu`s `jstrjo plml lielfk fyarj elwlc& ]aielolf ‒ taielolf ylfk mjrlslolf

saelklj sydo `jstrjo rjfklf mjclsj`olf d`ac l`jrlf kafarltdr pdrtle`a ylfk

mjoafml`jolf d`ac jeu&

Iaolfjsia paftjfk mlrj ]AFR lml`lc uftuo iafstjiu`lsj pa?aplslf

afmdrpcjf ylfk iaruplolf sl`lc sltu oa`dipdo paptjma ylfk iafyaruplj lpdjlt

ylfk mjprdmuosj sablrl njsjd`dkjs& Ml`li parsl`jflf jeu iafkltur l`jrlf kafarltdr 

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]AFR mjelwlc lielfk fyarj mlf iaipartlclfolffyl sa`lil odftrlosj& Ujsat

iafkaflj oaanaotjnlf ]AFR sapartj iatdma ‐odip`aiaftar’ `ljffyl mjpafucj

mafklf oaruijtlf iatdmd`dkjs& Mafklf maijojlf slfklt elfylo oatjmloplstjllf

taftlfk oailfnlltlf ]AFR plml sllt oa`lcjrlf& Wafkabul`jlf tarclmlp

oatjmloplstjlf jtu mjtufhuoolf ia`l`uj pafa`jtjlf ylfk mj`louolf Clrjslf <:3;

mafklf iafkkuflolf iatdma pafa`jtjlf taroafml`j lblo mdea` e`jfm ylfk mjjoutj

d`ac <17 jeu saelklj plrtjsjplf& Cl` jfj iafufhuoolf elcwl jeu ylfk

iafkkuflolf ]AFR bafmarufk `aejc hlrlfk iafkkuflolf eaftuo lfl`kasjb `ljf

iafkjmaftjnjolsjolf lmlfyl anao iafkuftufkolf mlf iaiulsolf ylfk slfklt

 easlr&

B& Loupuftur

Rliplj sllt jfj parlflffyl ilsl oabj` ml`li paflfkku`lfklffyarj plml

 parsl`jflf olrafl clsj`fyl slfklt earvlrjlsj mlf ourlfk mlplt mjclrlpolf&

Blrl oarhl loupuftur ta`lc mj mukl iaij`joj sltu ltlu `aejc mlrj aiplt

iaolfjsia mjelwlc jfj # Rjiojf<:3:* 8

Wartlil anao psjod`dkjs ylfk taroljt mafklf odipdfaf eumlyl mlf

 par`ufyl parsjlplf loupuftur cl` jfj saelfmjfk mafklf pafmjmjolf

oa`lcjrlf #Bclpilf<:3=*&

Oamul pafmarjlf ylfk oult elcwl oarhl loupuftur iafyaeleolf puslt

slrln ylfk `aejc tjfkkj ‐iafutup pjftu kafelfk’ hl`ur jipu`s fyarj

#Ia``zlbo <:;1*&

Oatjkl hlrui loupuftur iafklotjnlsj iaolfjsia pafkclielt rlsl fyarj

mjsusuflf slrln puslt #Edfm <:;:*& Iufkojf prdmuosj dpjdjm afmdkaf

mjml`li eltlfk dtlo mjtjfkoltolf d`ac loupuftur& Lrtcuts #<::=*

iafmuoufk parfyltllf jfj ia`l`uj desarvlsj tarhlmjx anao sjmlsj ml`li sltu

 hli sata`lc loupuftur&

Oaaiplt pafutuplf karelfk jipu`s fyarj iufkojf mafklf blrl

 pafkclielt prasjflps slrln safsdrjo plml tjfkolt klfk`jdf mdrsl`js lojelt

stjiu`lsj sarlt slrln safsdrjo earmjliatar easlr&

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Oauftufklf psjod`dkjs loupuftur tar`lcjr ia`l`uj rjsat `ledrltdrjui #ylfk

at l``& <:3=* ylfk iafufhuoolf elcwl anao lfl`kasjb loupuftur ear`lfksufk

clfyl sa`lil stjiu`lsj loupuftur mj`louolf& Cl` jfj iafkjfkltolf plml

oauftufklf ilslsa ylfk ra`ltjva sjfkolt& Fliuf sapartj ilslsa raspdf

aidsjdfl` yljtu tjmlo mjeult iafmarjtl d`ac fyarj ta`lctareuotj eartlclf `aejc

`lil&

Oaanaotjnlf loupuftur ta`lc mjtufhuoolf plml drlfk ylfk iafmarjtl fyarj

ordfjo Kuff #<::7* ylfk iafaiuolf elcwl 17 ‒ 37 ! slipa` iafyltlolf

atjnoakufllffyl& Klielrlf jfj mlplt mjelfmjfkolf mafklf drlfk ‒ drlfk ylfk

iafkkuflolf loupuftur purl ‒ purl ylfk iaij`joj oaaonaotjnlf 17 ! mlf

 pafkafml`j p`lbaed ylfk 27 ! iafyltlolf lmlfyl pafkurlfklf fyarj&

M& Cjpfdtarlpj

Cjpfdtarlpj ta`lc mj manjfjsjolf saelklj ‐pafkkufllf taofjo cjpfdtjs ylfk

iafyaeleolf oalmllf sapartj tjmlo slmlr ylfk tufmuo mlf mlplt mjpafklrucj

ml`li tarlpj odfmjsj mafklf iafkkuflolf odipdfaf psjod`dkjs ylfk easlr’

#Eddtc <::2*&

Ilsjc ea`ui ha`ls elkljilflf blrl oarhl cjpfdtarlpj& Cjpfdtarlpj sumlc

mjcueufkolf mafklf anao ‐mlyl tlrjo’ mlrj lotjnjtls ylfk sumlc `lil mj`louolf

sapartj iafkafmlrlj oafmlrllf earidtdr #Eddtc <::2* ylfk tarolmlfk mjoafl`

mafklf ‐cjpfdtjs hl`lf rlyl’ #Wusolrmlfiufndrt <::7*& Qftuo iafha`lsolf blrl

oarhlfyl Cj`krlt <:;2 earpafmlplt elcwl oaslmlrlf jfmjvjmu tarmjrj mlrj

 eaearlpl `ava` oawlsplmllf&

Raelklj iloc`uo rdclfj ilfusjl iaipufylj hjwl mafklf taflkl elwlc

slmlr mlf rlkl mafklf taflkl slmlr& ‐Hjol jeu clij` earpjojr elcwl clij` lml`lc

 pafkdrelflf mlf iafmarjtl ilol pafmarjtllf`lc ylfk mjmlplt hjol earpjojr 

 elcwl parsl`jflf jtu lml`lc slojt ilol oaslojtlf ylfk mjpard`ac& Hlmj ydu lra

wclt ydu tcjfo’ uhlr mr& ]uelkus Arwjf Ousuil RpOH#O* plml lblrl

–Warsl`jflf ]lfpl Fyarj Warsl`jflf Fylilf‚ mj Lu`l NO)QJ Hlolrtl&

Rata`lc oaclij`lf ia`lipluj aiplt eu`lf elyj ml`li olfmufklf ejsl

 earodiufjolsj mafklf jeufyl mlf jfj ejsl mj`ltjc mafklf cjpfdsjs& Cjpfdtarlpj jfj

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 hukl iaieult jeu iarlslolf ra`loslsj& Iafurut mr& ]uelkus Arwjf saeljofyl

jeu ylfk clij` saea`ui ia`lcjrolf sumlc ia`louolf cjpfdtarlpj saelfylo 2 ol`j&

‐Cjpfdtarlpj jfj ejsl iafkurlfkj rlsl fyarj sllt parsl`jflf cjfkkl <77

 parsaf hjol tjmlo lml sa` ylfk ruslo fliuf hjol lml sa` ylfk ruslo ilol

saeljofyl mjpareljoj mlcu`u mafklf iafkdfsuisj ilolflf ylfk ejsl

iaipareljoj sa` ruslo tarsaeut’ uhlrfyl&

Ra`ljf uftuo iafkurlfkj rlsl fyarj cjpfdtarlpj hukl ejsl iafhlmlj l`lt

odiufjolsj lftlrl jeu mlf lflo ia`l`uj l`li elwlc slmlr ylfk flftjfyl lolf

iaieult cueufklf jeu mlf elyjfyl iafhlmj `aejc maolt&

A& Njsjdtarlpj

Rl`lc sltu tuhulf njsjdtarlpj ijsl`fyl safli clij` lml`lc uftuo 

iafkurlfkj oataklfklf njsjo mlf iaftl`& Mafklf blrl iafkltur parflnlslf

`ltjclf ra`loslsj sacjfkkl ilsuofyl dosjkaf ml`li tueuc mlplt mjhlijf& Wlml

`ltjclf jfj mlplt mjbaklc cjparvaftj`lsj mlf cjpdvaftj`lsj oa`a`lclf oa`atjclf mlf

maili&

Lustjf Wcy`js5: #<:3:* mj Jtl`jl iafa`jtj pafklruc `ltjclf plml wlfjtl

clij`& [lfjtl ylfk sa`lil clij` ia`louolf `ltjclf mafklf earsapaml lolf

iaipuflylj `ava` td`arlfsj tarclmlp slojt ylfk `aejc tjfkkj mafklf oasjipu`lf

odfmjsj njsjo ylfk eljo sa`lil oaclij`lf iafkurlfkj safslsj fyarj sa`lil

 parsl`jflf mlf iafkclsj`olf `ava` strass ylfk `aejc rafmlc&

Lrtl`27 <::5 iafkltlolf elcwl wlfjtl ylfk lotjn sablrl njsjo lolf

mlplt iaftd`arjr rlsl fyarj `aejc eljo mjselfmjfk ylfk tjmlo lotjn mlf hukl

iafmlpltolf partlielclf earlt elmlf ylfk `aejc samjojt elyj ylfk `aejc oabj`

mjselfmjfk odftrd`&

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Iatdma louprasur iaruplolf tjfmlolf ylfk iumlc mj`louolfiaiearj oaoultlf

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ml`li prdsas parsl`jflf mlf pafmjmjolf lftafltl`&

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iaieult rj`aos dtdt pufmlo mlf iafjfkoltolf sup`ly LRJ&

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]aofjo louprasur 8

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taolflf ylfk earlsl` mlrj `afklf euolf taolflf ylfk earlsl` mlrj safmj

jeu hlrj& Wlml tjtjo jfj saeljofyl mj`louolf plml oamul elcufyl fliuf

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odftrlosj&

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]jtjo O< &

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oloj& ]jtjo jfj iaipufylj anao ra`loslsj mlf mlplt mjkuflolf olplf slhl

sllt parsl`jflf mlf slfklt anaotjn mj`louolf sa`lil nlsa oamul parsl`jflf&

Wafaolflf plml tjtjo jfj hukl mlplt earkufl sllt plsjaf plfjo #ijsl`

iaipufylj pafkl`lilf ylfk tjmlo iafyaflfkolf plml parsl`jflf

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]aofjo louprasur 8

Earjolf pafaolflf plml tjtjo jfj mafklf iafkkuflolf jeu hlrj&

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]aofjo jfj saeljofyl tjmlo mjkuflolf sllt parsl`jflf earhl`lf

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tlfklf ltlu oamulfyl&

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O& Jilhjflsj

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iafkurlfkj oaplrlclf fyarj&

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iafbaklc oasl`lclf ylfk ear`aejclf plsbl parsl`jflf& Lmlpluf ra`loslsj

 earflnls sa`lil prdsas parsl`jflf mlplt iaipartlclfolf odipdfaf sjstai slrln 

sjipltjs #RRD* ml`li oalmllf cdiadstlsjs sacjfkkl tjmlo tarhlmj pafjfkoltlf

sup`lj mlrlc iafkurlfkj oabailslf mlf oatloutlf lklr jeu mlplt earlmlptlsj

mafklf fyarj sa`lil prdsas parsl`jflf&

Earmlslrolf clsj` pafa`jtjlf taftlfk pafklruc taofjo ra`loslsj earflnls

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UR xxx mjmlpltolf elcwl taofjo ra`loslsj earflnls ilipu iafljoolf lmlptlsj

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I& Cdiadpltj

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saojrlfyl iaielclylolf fylwl slfk jeu ltlu elyjfyl cdiadpltj puf satuhu

mafklf lmlfyl paieamlclf mlf iaijftl elftulf lc`j eamlc uftuo 

ia`louolffyl&

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Lolf tatlpj uftuo cl`)cl` ylfk tjmlo iaiar`uolf lmlfyl dparlsj #ejsl

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ml`li rlcji puf ejsl mj oa`ulrolf mafklf delt cdiadpltj tlfpl clrus mjodrao&

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b* Rcdrt Lbtjfk Elrejturlta

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lmaoult #iaiulsolf* iafblplj ;7)37!& Olsus mafklf fyarj ylfk caelt

lfl`kasjl lmaoult mafklf flrodtjol clfyl iafblplj 51!& Rjslfyl

iafkl`lij lfl`kasjl ylfk tjmlo lmaoult& Kd`dfklf flrodtjol iaipufylj

anao slipjfk sapartj flusal mlf vdijtus cjpdtafsj maprasj susuflf slrln 

 puslt mlf maprasj puslt parflnlslf eljo plml jeu ilupuf fadfltus& Ej`l

mjearjolf tar`l`u mjfj ltlu ml`li mdsjs ear`aejclf mlplt iaipar`lielt prdsas

 parsl`jflf& Kd`dfklf flrodtjol tjmlo ed`ac mjearjolf plml plsjaf ylfk

iailolj delt idfd lijfa dxjmlsa jfcjejtdr  olrafl mlplt iafyaeleolf

cjpdtafsj earlt mlf odil& Watjmjf iaruplolf flrodtjol ylfk `aejc su`jt

ia`awltj slwlr urj mjelfmjfk idrnjf sacjfkkl patjmjf iaruplolf delt

kd`dfklf flrodtjol ylfk pl`jfk sarjfk mjplolj uftuo iafkurlfkj fyarj

 parsl`jflf& Lklr ilfnllt ylfk dptjil` mlplt mdpard`ac mafklf pailoljlf

flrodtjol #lfl`kasjl ilosjil` mafklf anao slipjfk ijfjil`* paftjfk

mjparcltjolf blrl paiearjlffyl wlotu ylfk taplt mlf mdsjs ylfk dptjil`&

Qftuo fyarj ylfk samlfk plml lwl` nlsa lotjn patjmjf mlplt mjearjolf

jftrliusbu`lr mdsjs ;1)<77 ik #mdsjs uftuo drlfk Ardpl* mlf uftuo rltl)rltl

drlfk Jfmdfasjl 17 ik& lfl`kasjl ylfk buoup lmaoult mjpard`ac sata`lc <1)57

iafjt mlf ear`lfksufk 5)= hli&

Mlrj eaearlpl pafa`jtjlf tarclmlp paiearjlf patjmjf sablrl jftrl

iusbu`lr oaoarlplf maprasj fadfltl` ylfk tartjfkkj ej`l suftjolf mjearjolf 2

 hli saea`ui sllt elyj `lcjr mlf tarafmlc ej`l paiearjlffyl < hli saea`ui

 elyj `lcjr& Qftuo olsus)olsus mafklf fyarj ylfk caelt mlf parsl`jflf ylfk

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baplt oailhulffyl patjmjf mlplt mjearjolf jftrl vafl mafklf mdsjs 51)=7 ik

ylfk iafkclsj`olf lfl`kasjl sata`lc 1 iafjt mlf ear`lfksufk <1)5 hli&

Ej`l samltjva mlf flrodtjol tjmlo iafd`dfk mlf plsjaf slfklt ka`jslc mlf

oaslojtlf paflfkku`lfklf fyarj mlplt mjtlielc mafklf jfcl`lsj delt

lflstasjle ml`li mdsjs lfl`kasjl ltlu maflkf e`do rakjdfl` ijsl`fyl e`do 

 plrlsarvjol` #ol`l J* e`do pumafml` #ol`l JJ* e`do oluml` #ol`l JJ*& Ej`l blrl

tarsaeut su`jt mjoarhlolf mlplt mjearjolf jfnj`trlsj lfl`katjol `dol` mj mlarlc

 parjfaui ylfk mlplt iafkurlfkj fyarj #ol`l JJ* mlf tarutlil uftuo 

apjsjdtdij mlf hlcjt `uol apjsjdtdij& Lfl`kasjl rakjdfl` sapartj e`do apjmurl`

#`uiel` apjmurl`* iaruplolf lfl`kasjl ylfk pl`jfk anaotjn uftuo 

iafkcj`lfkolf fyarj parsl`jflf&

) Lfl`kasjl Uakjdfl`

]aofjo ylfk pl`jfk uiui mjoarhlolf uftuo fyarj parsl`jflf 8

E`do apjmurl` #bdftjfdus*&

E`do suelrlofdjm #spjfl`* tarutlil slmm`a e`dbo 

E`do plrl sarvjol` ej`ltarl` mlf e`do pumafml` ej`ltarl`

E`do oluml` # sjfk`a ltlu bdftjfdus*

Wdpu`lrjtls pafkkufllf e`do rakjdfl` saelklj destatrjb lfl`kasjl olrafl

oauftufklf)oauftufklf saelklj earjout 8

Eareaml mafklf flrodtjol lfl`kasjl rakjdfl` iafkclsj`olf

lfl`kasjl pafuc #bdip`ata lfl`kasjl* plml saelkjlf easlr olsus&

Elclyl lspjrlsj pfauidfjl #olrafl lfastasjl* mlplt mjcjfmlrolf&

Ej`l mj`louolf mafklf taplt mlf eljo mlf ej`l tjmlo lml odip`jolsj

lfl`kasjl rakjdfl` tjmlo iafyaeleolf maprasj iltarfl` ilupuf

fadfltl`&

Ej`l mjearjolf plml sllt ylfk taplt tjmlo iafkklfkku prdsas

 parsl`jflf&

]aofjo mlplt mj`louolf sablrl bdftjfdus sliplj elyj `lcjr mlf ej`l

 par`u uftuo Rabtjd Baslral&

Jeu tatlp slmlr pafuc sacjfkkl mlplt earplrtjsjplsj pafuc sa`lil

 parsl`jflf&

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5>

Ej`l jeu ml`li oalmllf eljo lilf uftuo mjtjfkkl` uftuo mlplt

ia`louolf rasusjtlsj plml elyjfyl ej`l par`u #mjelfmjfk lfastjl

uiui*&

Mj slipjfk oauftufklf tarsaeut mj ltls lfl`kasjl rakjdfl` hukl

iaipufylj oatareltlslf ltlu oarukjlf saelklj earjout 8

d Mjpar`uolf oatarlipj`lf tartaftu uftuo iafkarhlolffyl&

d Oaklkl`lf taofjo mlplt tarhlmj iasojpuf ylfk iafkarhlolf

sumlc earpafkl`lilf&

d ]aofjo tartaftu iaipufylj anao slipjfke ylfk ej`l tjmlo 

mjtlfkku`lfkj mlplt iafyaeleolf odip`jolsj&

d ]aofjo tartaftu iafyaeleolf plrl`jsjs dtdt mlslr plfkku`

sacjfkkl iafkklfkku rdtlsj jftarfl` #putlrlf plosj ml`li*

oaoarlplf parsjstaft dbbjput pdstarjdr iafjfkolt&

d Wrdsamur jfj clfyl #saeljofyl* mlplt mjoarhlolf mj ruilc

slojt&

d Jfmjolsj odftrl pailoljlf lfl`kasjl rakjdfl` ear`lou hukl

uftuo e`do lfl`kasjl rakjdfl` uftuo parsl`jflf&

E`do apjmurl` #tufkkl` ltlu odftjfyu*

Delt lfl`katjol `dol` mjsuftjolf oa ml`li rdfkkl apjmurl` #`uiel`*

lftlrl `jkliaftui n`lvui mlf murliatar& Mjoarhlolf mafklf eljo d`ac

tlfklf ylfk earpafkl`lilf mlf plml wlotu ylfk taplt iaruplolf eaftuo 

lfl`kasjl parsl`jflf ylfk pl`jfk anaotjn mafklf anao slipjfk ylfk

ijfjil`&

E`do suelrlofdjm #lfl`kasjl `uiel` ltlu lfl`kasjl spjfl`*

Eaearlpl oauftufklf ylfk mjmlplt mafklf e`do jfj 8

j& e`do fyarj ylfk saipurfl

jj& ml`li wlotu ylfk sjfkolt sata`lc pafyuftjolf #5)2 iafjt*

jjj& `lilfyl lfl`kasjl earlklftufk plml hafjs delt ylfk mjplolj

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jv& mdsjs lfl`katjol `dol` ylfk mjplolj slfklt samjojt sacjfkkl

lesdres sjstaijo mlf pafklrucfyl plml jeu mlf elyj mlplt

mjleljolf&

Oarukjlffyl lml`lc 8

j& iaruplolf e`do tufkkl` #tjmlo odftjfyu*

jj& plml e`do stlfmlrm #slilplj ]<7* oaiufkojflf cjpdtafsj `aejc

caelt mjelfmjfk lfl`kasjl apjmurl`

jjj& sartl ejsl tjieu` fyarj plsbl pufksj ̀ uiel`&

Qiufyl sllt jfj `aejc sarjfk mjkuflolf e`do suelrlofdjm rafmlc #trua

slmm`a e`dbo 8 R<)R1* saelklj tlielclf eaftuo lfl`kasjl `ljf plml ol`l JJ&

E`do oluml`

Iaruplolf eaftuo lfl`kasjl apjmurl` mafklf pafyuftjolf ia`l`uj

olfl j̀s oluml`js & Warflc slfklt pdpu`lr saelklj lfl`kasjl parsl`jflf mj

Liarjol& Mjelfmjfkolf mafklf `uiel` apjmurl` oarukjlffyl 8 mdsjs delt

lflstasj `dol` ylfk mjeutucolf hluc `aejc elfylo& Mlf oaoarlplf

oaklkl`lf taofjo `aejc elslr olrafl lfdil`y mlarlc elwlc slbrui& Ej`l

mjtlfklfjmdotar spasjl`js lfastasjd`jdkj ylfk earpafkl`lilf tjfkolt

oaearclsj`lf taofjo iafblplj :1!&

Qiuifyl sllt jfj mjeltlsj pailoljlffyl uftuo e`do slbrl` <)1 uftuo 

lfl`kasjl parsl`jflf ol`l JJ eljo saelklj e`do tufkk`l ilupuf odftjfyu

#mafklf oltatar*&

E`do plrlsarvjol`

Wafyuftjolf delt lfl`katjol `dol` mlarlc plrlsarvjol` sablrl ej`ltarl`

 plml hli = mlf 3& ]aofjo e`do ra`ltjva `aejc iumlc fliuf mdsjs ylfk

mjeutucolf `aejc tjfkkj mlf oaoarlplf odip`jolsj plml natus `aejc easlr 

olrafl pafyarlplf delt lfl`katjol `dol` oa sjrou`lsj utard p`lsaftl& Clfyl

anaotjn uftuo ol`l J&

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E`do pumafml`

E`do uftuo lfl`kasjl parsl`jflf ol`l JJ& Wafyuftjolf trlsvlkjfl` ojfj

`aejc pdpu`lr mlrjplml trlsparjfal` olrafl parlellf spjfl jsbjlmjol `aejc

iumlc mlf lfl`katjol `dol` mjsuftjolf sata`lc hlrui ia`awltj `jkliaftui

slord spjfdsui& Hlrui tjmlo ed`ac ia`lwltj < bi mlrj iuodsl mjfmjfk

vlkjfl mlf clrus mjoarhlolf ej`ltarl`& Mlplt mjoarhlolf saelklj lfl`kasjl

tufkkl` uftuo parsl`jflf ol`l JJ ltlyu saelklj tlielclf eaftuo lfl`kasjl

 parsl`jflf ylfk `ljf&

E& Mjlidrnjf

Rtruotur ojijl mjlidrnjf iafkclsj`olf oa`lrutlf `ailo ylfk `aejc easlr 

mlrjplml idrnjf sacjfkkl iaiufkojfolf tarhlmjfyl pafatrlsj ylfk `aejc baplt oa

ml`li hlrjfklf dtlo& Mjnusj ylfk baplt jfj iaiufkojfolf paruelclf iafhlmj

idrnjf ylfk slil bapltfyl yfk iaiufkojfolf lkafs lotjn #plro mlf nu`tdf

<::<*& Mjlidrnjf oaiufkojfslf `aejc samjojt iafklojeltolf klfkkulf

klstrdjftastjfl` mlrjplml idrnjf mlf iaij`joj anao njsjd`dkjs pdsjtjn ylfk `aejc

 easlr& Mjlidfm ylfk mj earjolf sablrl JI lolf iaiearjolf anaofyl ml`li 1)<7

iafjt mlf eartlclf sa`lil 2 hli&

Anao hlfkol plfhlfk mjlidrnjf iafyaeleolf oaoclwltjrlf #rdejf ‒ 

sdf<::1*& Wafa`jtj swamjl earlfkklplf elcwl paiearjlf mjlidrnjf sa`lil

 parsl`jflf mjoljtolf mafklf tjfkkjfyl rjsjod oatarklftufklf plml sllt elyj

 earlfhlo mawlsl& Mafklf maijojlf tjmlo clfyl mafklf oafml`j jeu ylfk

mjelclylolf mll`li pafkkufl mjlidrnjf&

B& Watjmjf cjmrdo`drjml

Watjmjf cjmrdo`drjml lml`lc lfl`kasjb sjftasjs ylfk ylfk mj iatled`jsi mj

cltj? cl` jfj paftjfk olrafl cltj fadfltas ilsjc jiltur mafklf maijojlf mlplt

iaiparplfhlfk anao patjmjf plml fadfltas tarsaeut& Anao lfl`kasjb patjmjf ylfk

mjearjolf sablrl JI lolf mj iu`lj ml`li <1 iafjt lf ear`lfhut ml`li 5 hli&

Raeulc pafa`jtjlf parbdftdclf plml ol`l `` parsl`jflf iafkclsj`olf pafaiulf

ylfk iafkclsj`olf pafaiulf ylfk iafkahutolf yljtu elcwl ol`l ` mlfo l`l ``

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 parsl`jflf lolf ear`lfksufk `aejc `lil mlrj hjol patjmjf mj kuflolf #]cdisdf

mlf cj``ar <::=*& Raeulc tjfhlulf oapustlollf iafufhuoolf elcwl tjmlo lml

 pafa`jtjlf ylfk mlplt iafaftlfk cl` tarsaeut tatlpj anao delt ylfk pl`jfk sarjfk

mj kuflolf jfj ‐ea`ui mj olhj sablrl lmaoult’& Cl` jfj iaruplolf bdftdc mlrj

tjmlo tarsamjlffyl jfndrilsj ylfk mjeutucolf jeu hjol jl iailfk jfkjf iaij`joj

oafml`jfyl plml pafkl`lilffyl ia`lcjrolf&

M& Iaptlfjzd`

Iaptlfjzd` iufkojf `aejc mj lfhurolf mlrjplml patjmjf olrafl `aejc

samjojt iafyaeleolf maprasj parflnlslf fadfltus #Wlro mlf Nu`tdf<::<*& Anao 

lfl`kasjb mjiu`lj ml`li <1 iafjt mlf ear`lfhut satjmlofyl sa`lil = hli

#Ofjkct<:3:*&

A& Lfxjd j̀tjo 

Mdsjs <7 ik jftrl iusou`ar ltlu 1 ik jftrl vafl iafyaeleolf lifasjl

mlf iafkurlfkj oaka`jslclf& Hukl iafjfkoltolf lielfk tdosjsjtls sjstaijo delt

lfl`katjol `dol`& Fliuf pailoljlf plml mdsjs `aejc mlrj <7 ik ltlu mdsjs oabj`

J^ sablrl earu`lfk mlplt iaipafklrucj elyj ylfk mj`lcjrolf&

N& Wafkkufllf lftj splsidmjb

Delt)delt lftjocd`jfarkjo mafklf ltrdpjf saelklj prdtdtjpafyl

iaipufylj oclsjlt lftjsplsidmjo ia`l`uj pafkclieltlf plrlsjipltjs&

Mjslipjfk jtu delt jfj iaipufylj oclsjlt olrmjdvlsou`ar susuflf sylrln puslt

mlf pafkurlfklf saorasj oa`afhlr ylfk ml`li pailoljlf mj ejmlfk Destatrj

iaruplolf oclsjlt ylfk tjmlo mjjfkjfolf& Qftuo iafmlpltolf oclsjlt ylfk `aejc

spasjnjo mj`louolf paieultlf delt sjftatjo mlf saij sjftatjo ylfk oaiumjlf

mjkd`dfkolf oaplml qulrtarfjary liidfjui bdipdufm& Oamulfyl oclsjlt

lftjbcd`jfarkjo mlf splsid j̀tjo ijrjp plplvarjf&

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Mjelfmjfkolf mafklf kd`dfklf tartjary lidfjui bdipdufm kd`dfklf

qulrtarfjary liidfjui bdipdufm iaipufylj oauftufklf)oauftufklf saelklj

 earjout 8

) Iaipufylj oclsjlt lftjbcd`jfarkjo ylfk oult mlf oclsjlt splsid`jtjo 

fdfspasjnjo ijrjp ltrdpjf ylfk `aejc `ailc sacjfkkl tjmlo 

iafkkklfkku odftrlosj rlcji

) Iaipufylj oclsjlt ylfk ̀ aejc ̀ lil&

) Ruolr iafaieus slwlr dtlo sacjfkkl oclsjlt saftrl`fyl slfklt

samjojt&

Lftj splsidmjo mafklf oclsjlt plrlsjipltd`jtjo mlf oclsjlt splsid`jtjo 

`lfksufk tarclmlp dtdt pd`ds sarvjos mjclrlpolf mlplt iaiutusolf iltl rlftlj

tlout ‒ splsia ‒ fyarj ‒ tlout mafklf iafkcj`lfkolf splsia ylfk lolf

iafkurlfkj rlsl fyarj mlf tlout& Mjmukl elcwl lfl`katjol ‒ samltjvl iafkurlfkj

 parlsllf tlout mlf rlsl fyarj sacjfkkl sablrl tjmlo `lfksufk iafkurlfkj splsil

ia`l`uj pafuruflf parlfkslfklf plrlsjipltjs&

Eabo mlf Rtajffilff iafkaiuololf elcwl paiearjlf lftjsplsidmjb

tjmlo lml kuflfyl lplej`l sarvjos ea`ui tareuol mlf $ ltlu odftrlolsj rlcji tjmlo 

iailmlj& Ilfnllt paiearjlf lftjsplsidmjo elru tliplo ej`l ta`lc tarhlmj

 paieuollf sarvjos 5 ‒ 2 bi mlf oclsjlt ylfk dptjil` tarhlmj plml paieuollf

sarvjos = ‒ 3 bi&

K& Wafkkufllf ^l`atlilt Erdijml

^l`atlilt Erdijml mafklf oclsjlt plrlsjipltd`jtjo ylfk oult sablrl

`lfksufk iafkcj`lfkolf rlfkslfklf plrlsjipltjs mjslipjfk oclsjlt splsid`jtjo 

`lfksufk tarclmlp dtdt pd`ds& Iajar Rbcijt mlf [l`tar iafkliltj elcwl

 paiearjlf ^l`atlilt Erdijml iafkurlfkj parlsllf slojt jeu sa`lil parsl`jflf&

Olrafl pafklruc ^l`atlilt Erdijml tarutlil plml sarvjos ilol ilfnlltfyl

 elru tliplo lplej`l ta`lc tarmlplt paruelclf ml`li suestlfsj mlslr mlf

 pardielolf sartl pafkurljlf od`lkaf sacjfkkl sarvjos `aejc iafdfhd`& Rylrlt

`ljf ylfk par̀ u mjpafucj plml paiearjlf ^l`atlilt Erdijml lml`lc od ftrlosj

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rlcji ylfk iailmlj olrafl sata`lc paruelclf lotjn plml od`lkaf mlf suestlfsj

mlslr dtdt sarvjos ml`li prdsas parsl`jflf earparlf plsjn&

C& Wafkkufllf Cydsbjfa F Eutj` Erdijml

Uabtd at l`23 #<::;* mj Ilfj`l plml pafj`jtjlffyl tarclmlp <15 wlfjtl

jfplrtu ltari iaiearjolf jfhaosj Cydsbjfa F Eutj` Erdijml <7 ik tjlp =hli

#;> olsus* mlf W`lbaed #;> olsus* uftuo iafkurlfkj fyarj parsl`jflf mlf

iafmlpltolf mjslipjfk iafkurlfkj fyarj parsl`jflf Cydsbjfa F Eutj` Erdijml

 hukl iaiparpafmao ilsl ol`l J mlf tdtl` wlotu parsl`jflf&

Klrratt mlf Mrlpar mj Jfkkrjs plml pafa`jtjlffyl mafklf iaiearjolf

jfhaosj Cydsbjfa F Eutj` Erdijml <7 ik uftuo iafkurlfkj fyarj parsl`jflf

iafmlpltolf 1 olsus mlrj <= olsus ylfk fyarj parsl`jflffyl tjmlo mjrlslolf `lkj

mlf jeu iafhlmj taflfk #2>!*&

Loarilf mlf Rbcjrilbcar  plml eaearlpl pafa`jtjlffyl iafmlpltolf

 elcwl Cydsbjfa F Eutj` Erdijml mj slipjfk iaiparbaplt prdsas parsl`jflf mlf

iafkurlfkj fyarj parsl`jflf hukl earilfnllt uftuo iafd`dfk oa`lcjrlf oapl`l

lflo plml prasaftlsj edodfk iafka`ulrolf p`lsaftl sablrl ilful` plml ratafsjd

 p`lsaftl mjilfl sarvjos sumlc iu`lj iafutup& Hukl plml jfmuosj parsl`jflf

mafklf mj`ltlsj sarvjos ylfk tartutup mlf olou&

J& Lfl`kasjo jfcl`lsj

Rllt jfj clfyl F5D#17!* mlf D5 #17!* Atdfdx ylfk mjjzjfolf ylfk

mjkjflolf jeu)jeu ml`li parsl`jflf mj elwlc paffklwlslf ejmlf mj Jfkkrjs&

Odfsaftrlsj ylfk `aejc tjfkkj tjmlo mjjzjfolf mjkuflolf d`ac ejmlf olrafl rasjod

lfastasj yljtu iafyaeleolf jeu tjmlo slmlr #Ia`zlbo mlf [l``<::<*& Atdfdx

iaruplolf lkaf tarelfylo ylfk mjkuflolf uftuo iafkdftrd` fyarj parsl`jflf mj

Jfkkrjs #Rtaar<::2* mafklf >:! jeu sumlc parflc iafkkuflolffyl

Edfjbl mlf IbMdfl`m<::7 iafyltlolf elcwl ylfk iaflrjo plml

Atdfdx tar`atlo plml ‐oaanaotjnlffyl ylfk buoup eljo tlfpl iafklojeltolf

maprasj iltarfl` ltlupuf fadfltas ylfk sjkfjnjolf’& Oaanaotjnlffyl earklftufk

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 plml jeu ylfk ta`lc iafmlpltolf pafklrlclf mafklf taplt taftlfk blrl

 pafkkufllf lfl`kasjb jfj&

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