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  • 7/23/2019 Sialositis

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    Zmnhlzmqmz

    >- Akbmomzm

    vkoekynzno dlgvhkdz dnhzm{g amanhng dkhko`ny nqn{ a{dq{z }noe anvnq gko}{ginq nhmyno hm{y ano

    anvnq gko}kinidno vkgikoedndno anzny g{h{q/

    'vkynanoeno ndminq nano}n inq{ znhmrn( {g{go}n qky`nam vnan lynoe akunzn/ @mdn vnan nond9

    zkymoeo}n nond hndm9/

    ' Z{nq{ mzqmhnc }noe ame{ondno {qd gko}nqndno nano}n z{nq{ vkgikoq{dno , qkyanvnqo}n inq{ am

    anhng znq{ nqn{v{o hkimc ay dkhko`ny h{anc nqn{v{o a{dq{zo}n

    'vkgikoq{dno inq{ anhng dkhko`ny h{anc/ Inq{ }noe vnhmoe zkymoe amqkg{dno anhng dkhko`ny

    z{ignoami{hny( am gnon inq{ anvnq gkoecnginq a{dq{z Ucnyqlo%z/ Cnh mom zkymoe amdnmqdno akoeno

    mobkdzm dylomz #Zqnvc}hljljj{z n{yk{z( Zqykvqljljj{z rmymanoz- anym dkhko`ny( akcmaynzm #bkolqmnpmo-(

    zmoaylg Z`eyko ano , nqn{ vkomoednqno qmoednq hldnh dnhzm{g( qkqnvm anhng ino}nd dnz{z anvnq

    qmgi{h mamlvnqcmjnhh}/

    9- Enginyno Dhmomz

    qky`nam am a{dq{z gnoami{hn(qkvnqo}n am a{dq{z ucnyqlom/am vnhvnzm qkynzn o}kym(dkynz( "

    zndmq/Nzmgqlgnqmz akoeno inqnz }noe `khnz ano anvnq ikyekynd ikinz/Nano}n vkgikoq{dno inq{

    #imnzno}n ikyikoq{d lrnh(hmjmo ano qmand qkynq{y-nqn{ dnhd{hm/ Dkhko`nyo}n ikyqnginc ikoednd imhn

    ame{ondno {oq{d gndno/vkgikoedndno o}n anvnq gkh{nz amzkvno`noe nhmyno a{dq{z kdzdykqnym{z

    }noe ikyhnoez{oe hngn(qkyenoq{oe vko}{ginqnoo}n/

    vkgikoedndno anzny g{h{q }e dkynz imnzno}n vnan a{dq{z z{i gnoami{hnymz/

    Vkgikoedndno anvq ikyaynmonzk

    ]noe qkydkon hkimc i}d Hndm 9s ayva unomqn

    Zmnhlzmqmz ikyzmrnq {omhnqkynh

    :- Kqmlhlem

    'Vko}kgvmqno bmiyl{zn am a{dq{z

    'mobhngnzm(mymqnzm hldnh(linq9no }noe gko}kinidno ikyckoqmo}n zmyd{hnzm

    Vkgikoq{dno akvlzmq ikydnv{y

    Qkyz{ginq o}n dkhko`ny nmy h{anc gko}kinvdno vkginq{no " gkomgi{hdno bmiylzmz( nqylbm anym

    dkhko`ny vnykodmg/

    * Gkdnomzgk }noe qkvnq vkgikoq{dno inq{ mom qmand `khnz( qkqnvm qngvndo}n qkydnmq akoeno dloamzm

    ikymd{q0

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    l znhmrn zqneonzm

    l Kvmqkh jkakyn zkvno`noe a{dq{z }noe amcnzmhdno anhng vkgikoq{dno zmnhlhmqc( }noe ikyqmoand

    zkinenm oma{z {oq{d vkgikoq{dno inq{ hkimc hno`{q

    l Vkoekoanvno enyng dnhzm{g

    * Inq{'inq{ mq{ zkoamym imnzno}n qkyamym anym dnhzm{g blzbnq nqn{ dnyilonq dnhzm{g anhng c{i{oeno

    akoeno enyng hnmoo}n ano incno lyenomd zkvkyqm ehmdlvylqkmo( akz~{ngnqka ykzma{ zkh{hny( ano

    g{jlvlh}znjjcnymakz/

    1- Vnqlbmzmlhlem

    anym kqmlhlem g{oedmo mobhngnzm(mymqnzm hldnh qky`nam vko}kgvmqno bmiyl{zn nync nhmyno onmd anym a{dq{z

    kdykqlym{z ikyzngn akoeno mzm g{d}{z ano vc nhdnhm hm{y }noe qmoeem anvnq gko}kinidno

    vkgikoq{dno inq{,vkgikoedndno am anzny g{h{q/

    aynmonzk nmy hm{y dkhnginqno anhng nhmyno vkoekoanvno enyng dnhzm{g gkoekynz qkyikoq{d inq{

    gko}{ginq mobkdzm gkgikoednd

    ;- Vkynunqno

    'vkgikancno

    'Koalzdlvm

    'Hmdlqymvzm

    `mdn gnzmc dkjmh anvnq amvm`nq neny inq{o}n dkh{ny( imhn qkhnc ikzny amhnd{dno mozmzm dkg{amno inq{

    amngimh gkoee{ondno vmozkq dkg{amno am`ncmq ano amikym znhkv qlvmjnh neny qad nan indqkym }noe

    ikydkginoe/ vkgiymno noqmimlqmj( nonhekqmd( noqmvmykqmd #{oq{d gko{y{odno vnonzo}n- zkqkhnc

    gkhnd{dno mozmzm/

    2- Vkgkymdznno

    'Vnhvnzm 'Ynamleynb ldh{znh

    'Zmnhleynbm 'Qkdomd mgnemoe

    'JQ zjno 'Imlvz}

    Zmnhlakoqmz

    >- Akbmomzm

    vkgikoedndno ehnoa{hn ano znh{ynoo}n }noe amzkyqnm o}kym qkdno/

    9- Dhnzmbmdnzm

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    'ikyanznydno vko}kini

    'Zmnhlakomqmz injqkymnh anym indqkym #dkhko`y znhmrn gkgikoednd ano zndmq-

    'Zmnhlakomqmz rmynh anym rmy{z #vkoakymqn gkoenhngm gnhnmzk(akgng ano zndmq dkvnhn-

    Gko{y{q undq{

    'Zmnhnakomqmz Nd{q0 nd{q zmnhnakomqmz nanhnc vkynanoeno nd{q anym dkhko`ny h{anc/

    'Zmnhnakomqmz Dylomz0 imnzno}n d{ynoe gko}ndmqdno ano ikyc{i{oeno akoeno vkgikznyno dkhko`ny

    iky{hnoe #zkymoe gkoemd{qm gndno- imnzno}n qnovn kymqkgn/ Ikoq{d dylomz vko}ndmq mom qkydnmq

    akoeno dloamzm qkydnmq akoeno nhmyno znhmrn gko{y{o( anymvnan akcmaynzm/ Dloamzm mom qkygnz{d inqk(

    zqnzmz znhmrn( ano vky{incno dlgvlzmzm jnmyno ano khkdqylhmq dkhko`ny/

    :- Enginyno dhmomz

    Am ankync g{h{q a{dq{z dkhko`ny }noe qkydkon am g{h{q zkymoe nan vkgikoedndno ano dkgkyncno/

    Zki{nc ononc gko{o`{ddno mobkdzm indqkym( vkynanoeno/

    Imnzno}n( vkgikoedndno dkhko`ny( }noe `{en gko}ndmqdno/ Qkyenoq{oe vnan vko}kinio}n( nan `{en

    ek`nhn {g{g zkvkyqm gnhnmzk nqn{ akgng/

    Anhng inq{ znhmrn nqn{ vkynanoeno dylomz iky{hnoe( ek`nhn'ek`nhn vnzmko zkymoe znq{ zmzm( eloald nqn{

    zmoaylg Z`leyko%z imnzno}n imhnqkynh/

    Vnzmko imnzno}n cnamy akoeno kymqkgn nqnz ynzn zndmq( ankync( o}kym vnan vnhvnzm( ano

    vkgikoedndno/ zkh{hmqmz Bynod ano moa{ynzm `nymoeno h{ond am akdnqo}n g{oedmo nan/ Ikyononc incno

    g{oedmo amngnqm }noe amo}nqndno anym znh{yno Ucnyqlo( qky{qngn vnan vkgkyncno dkhko`ny/ @nynoe(

    bmzq{hn d{hmq anvnq qky`nam( akoeno aynmonzk zvloqno incno v{y{hko/

    Enginyno dhmomz

    Nd{q0

    O}kym vkgikoedndno

    * d{hmq Gkgkync

    * Kakgn ankync( vmvm ano hkcky vkymlyimqnh

    * akgng Ykoanc

    Ikyononc Kdz{anq anym v{ojq{g znh{yno

    Dylomd0

    Zndmq ymoeno , ikoednd

    * Imnzn,qkynzn zkqkhnc gndno

    * H{inoe znh{yno nanhnc gkgkync ano gko{y{odno nhmyno* G{oedmo nqn{ g{oedmo qmand qkyhmcnq , inq{ qkynin/

    * Dkhko`ny vnylqmz

    l zndmq vkgikoedndno Iky{hnoe , Ykj{yykoq vnmob{h zukhhmoez

    * Z{ignoami{hny dkhko`ny

    l Imnzno}n zkd{oaky vnan zmnhlhmqcmnzmz nqn{ vko}kgvmqno, zqymjq{yk

    Nhhkyemj Zmnhlakomqmz

    Kdzqyn Lynh0 Vkgikoedndno {omhnqkynh vnan ehnoa{hn vnylqma }noe o}kym znnq vnhvnzm( ikoednd vmvm(

    dnanoe ammdm{qm akoeno qymzg{z( zkyqn zkymoe qky`nam vnan vnzmko {zmn q{n

    Moqyn Lynh0 Dkgkyncno vnan a{dq{z dkhko`ny h{anc( dkh{ny ononc znnq ammozmzm

    1- Kqmlhlem

    anym indqkym nqn{ rmy{z

    'ko}kini ikydmzny anym mobkdzm zkakycnon " n{qlmg{o/

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    'mobkdzm nd{q ikyononc zkymoe amzkinidno lhkc indqkym zkvkyqm zqnbmhldld{z nqn{ zqykvqldld{z/ Gkykdn '

    qky{qngn am dkhko`ny vnylqmz ' lhkc nhmyno nmy hm{y ikyd{ynoe/

    * Vko{y{ono nhmyno #akcmaynzm( vlzq'lv( linq'linqno-

    * Dkikyzmcno g{h{q }noe i{y{d

    * Kdznzkyinzm ykoanc zmnhlnakomqmz dkhnz dylomz

    'vnqleko rmy{z vkynanoeno dkhko`ny h{anc noqnyn hnmo rmy{z eloaloe #neko vko}kini eloald-( rmy{zmobh{kopn( rmy{z Jlsznjdmk ano zmqlgkenhlrmy{z/

    'Zki{nc vkynanoeno ynamnzm anvnq qky`nam akoeno qkynvm ynamnzm am ankync dkvnhn ano hkcky nqn{ qkynvm

    ynamlmla T>W/

    'vko}ndmq n{qlmg{o qkyqkoq{ zkvkyqm zmoaylg Z`leyko imzn gko}kinidno ynanoe dkhko`ny hm{y/ Imzn

    zkymoe ammakoqmbmdnzm anym vnylqmqmz iky{hnoe dylomz qmand gko}kinidno/

    * Lyenomzgk,}noe vnhmoe {g{g nanhnc Zqnvc}hljljj{z n{yk{z/ lyenomzgk indqkym hnmoo}n qkygnz{d

    Zqykvqljljj{z rmymanoz( Cnkglvcmh{z mobh{kopnk( Zqykvqljljj{z v}lekokz( ano Kzjckymjcmn jlhm/ Mobkdzm

    mom zkymoe dnhm cnzmh akcmaynzm akoeno vkyq{gi{cno ikyhkimc anym bhlyn g{h{q/ ]noe vnhmoe {g{g

    nanhnc vko}kini akcmaynzm vnzjn lvkynzm( qkynvm ynamnzm( ano mg{olz{vykzm #gmznho}n( amnikqkz

    gkhhmq{z( qynozvhnoqnzm lyeno( dkglqkynvm( c{gno mgg{olakbmjmkoj} rmy{z-/

    Nhhkyemj Zmnhlakomqmz kqmlhlem0

    dnykon bndqly vko{nno( akcmaynzm vnzdn lvkynzm( vko{y{ono hn`{ nhmyno znhmrn( zkyqn dkikyzmcno

    g{h{q }noe i{y{d

    ;- Vnqlbmzmlhlem

    Dkhko`ny h{anc gkhn}nom ikyinenm b{oezm( qkygnz{d vkh{gnzno4 akeynanzm kopmgnqmd pnq gndnono(

    vyla{dzm clyglo( noqmilam( ano pnq anync hnmoo}n dkhlgvld'ykndqmb4 gkamnzm ynzn( ano vkyhmoa{oeno

    noqmgmdylin/ Yke{hnzm anym nhmyno znhmrn qky{qngn gkhnh{m zmzqkg lqlolg ano }noe vnhmoe vkoqmoe(

    amrmzm vnynzmgvnqmz/ Anhng dnz{z dkhko`ny z{ignoami{hny( mom nanhnc amgkamnzm gkhnh{m enoehmlo

    z{ignoami{hny/ zkynq vykz}onvqmj ikynznh anym moqm znhmrnqly} z{vkymly ano aminun lhkc znynb jclyan

    q}gvnom( }noe ikyeni{oe akoeno znynb hmoe{nh vky`nhnono gko{`{ enoehmlo/ zkynq Vlzqz}onvqmj

    gkgvkyvno`noe anym enoehmlo dk dkhko`ny mq{ zkoamym/

    Nmy hm{y amvyla{dzm anhng dkhko`ny z{i{omq/ Dlgvloko jnmyno nmy hm{y mom ikynznh anym vkgi{h{c anync

    vkyb{zm akdnq akoeno dkhko`ny( zkanoedno dlgvlzmzm gndylglhkd{h ikynznh anym i{qmyno zkdykzm am

    anhng zkh'zkh nzmony/ Nmy hm{y amvyla{dzm anhng njmo{z/ zkh G}lkvmqckhmnh( gkoenoa{oe {oz{y dloqyndqmh(

    }noe qkyhkqnd am zkvno`noe vmoeemyno njmo{z/ Zkqkhnc dloqyndzm zkh'zkh mom g}lkvmqckhmnh( nmy hm{y

    amzkdykzmdno dk anhng zmzqkg a{dqnh/

    Gkdnomzgk }noe qkvnq anym zkdykzm znhmrn qmand zkvko{co}n amvncngm ong{o am}ndmom ikynan am inunc

    vkoeny{c z{nq{ #nakolzmok( : %; glolvclzvcnqk %'zmdhmd- zmdhmd NGV ano gkdnomzgk blzblymhnzm

    dnhzm{g'amndqmbdno/ Zkdykzm h{anc }noe dkg{amno amglambmdnzm lhkc ikyinenm `komz zkh zkvno`noe

    zkynoednmno znh{yno( qkygnz{d znh{yno h{ymd( amzkhmoem( ano kdzdykqlymz( zkikh{g ndcmyo}n ami{noe

    gkhnh{m znh{yno Ucnyqlo dk anhng yloeen g{h{q/

    Dlozkoqynzm hkoamy hkimc qmoeem vnan dkhko`ny z{ignoami{hny( nd{oqnozm {oq{d zmbnq dkoqnh zkdykzm ykhnqmb

    qkycnanv dkhko`ny h{anc hnmo/ Mom rmzdlzmqnz gkomoednq( ano nhmyno ikymd{qo}n ykhnqmb hkimc hnginq(

    gkgikymdno dloqymi{zm qkycnanv dkjkoaky{oeno {oq{d inqk dkhko`ny h{anc ano zqnzmz

    2- Vkynunqno

    akoeno vyliimoe gkoee{ondno vyl{ik amgnz{ddno dk a{dq{z(amikym noqmimlqmd/

    Vkoelinqno qkyenoq{oe vnan vko}kinio}n/ Anhng noqmimlqmd mobkdzm indqkym amikymdno// Anhng mobkdzm

    rmy{z zkz{nm ek`nhn #dlgvykz inznc(-/

    Zmnhnakomqmz nd{q( }noe gkgi{nq vkoee{onno ynamlqkynvm( imzn qncno ano linq noqm'mobhngnzm zkvkyqm

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    OZNMA nqn{ eh{dldlyqmdlma gkymoenodno vnhmoe inmd/ Ek`nhn'ek`nhn qkqnvm `{en anym qnovn vkoelinqno

    anhng ikikynvn cnym/

    Dkqmdn zmoaylg Z`leyko%z( vkynunqno anym vko}ndmq }noe gkoanznymo}n nanhnc }noe qkyvkoqmoe/ ]noe

    anhng cnh mom vko}ndmq ano ynamnzm'zmnhnakomqmz ammoa{dzm qky`nam g{h{q dkymoe amd{ynoem akoeno znhmrn

    i{nqno/

    Anhng vnync eynamko iky{hnoe dylomz anvnq gkoecnv{z dkhko`ny h{anc }noe qkydkon g{oedmo

    amvkyh{dno #Zmnhnakokdqlgmk( zkvkyqm vnylqmakjqlg}-/

    5- Vkgkymdznno

    Zloleynbm anvnq gkoa{d{oe amneolzn vnan dnz{z/

    Zmnhleynbm imzn am vkq{o`{d {oq{d amneolzmz ambkykozmnh/