Referat Gout Arthritis

7/22/2019 Referat Gout Arthritis

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EOE A

[FHMOGVIVOH

[fhyonatlbut otou moiod eogoso Ahmbhfsao masfeut paroa omoiog soiog sotu tapf pfhyonat

ortgratas (romohl pomo pfrsfhmaooh). [fhyonat aha sumog manfhoi sfcon zodoh Quhoha Nuhb mfhloh

cuiunohhyo pfhyonat poro roco moh roco pfhyonat . [omo wontu atu, pfhyonat aha maohllop sfeoloa

pfhyonat noiohloh sbsaoi fiatf sfeoloa onaeot nbhsudsa donohoh moh oinbgbi yohl efrifeagoh.

oduh, sfcoioh mfhloh pfrnfdeohloh zodoh, paroa eohyon puio matfdunoh mamfrato bifg

dosyoronot iuos. [aroa dfhyudeohlnoh ! " nosus#nosus ortgratas sf$oro nfsfiurugoh. %

&a hfloro docu sfpfrta 'dfrano franot, tfr$otot , cuto nosus paroa maiopbrnoh pomo

toguh *+-. [omo toguh *++* mapfrnaronoh mora * prao efrudur /! ; %! toguh, *! brohl

maohtorohyo omoiog pfhmfrato paroa. [oro ogia culo dfyonaha eogwo * ma ohtoro * brohl efrfsanb

efsor dfhlamop pfhyonat tfrsfeut. [omo ! toguh tfrongar, ma 'dfrano ohlno nfcomaoh lbut

dfhahlnot dfhcoma sfnator *,/ ".%

&a Ahmbhfsao sfhmara, pfhyonat ortgratas paroa pfrtodo noia matfiata bifg sfbrohl mbntfr

?fiohmo, mr. 5oh &fh :brst toguh *+/!. oot atu dosag matfdunoh *! nosus paroa efrot ma =owo.

[omo toguh *+, mr. =bgh &ordowoh dfhuhcunnoh eogwo ma ?ohmuhloh =owo 6fhlog maohtoro

%.-/ brohl efrusao *! ; %! toguh yohl matfiata, , " dfhmfrato osod urot tahlla (*,0 " prao moh

,! " wohato) ma ohtoro dfrfno sumog sodpoa pomo togop paroa. 'hlno#ohlno aha maprfmansanoh

onoh efrtodeog mfhloh tahllahyo


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EOE AA

]AHCOVOH [VZ]ONO

O. Ohotbda & @asabibla Zfhma

7odeor *. 6apf#tapf pfrsfhmaoh

fhma dfruponoh suotu fhlsfi yohl dfdeuot ohllbto tueug mopot efrlfron mfhloh eoan,

culo dfruponoh suotu pfhlgueuhl ohtoro ruos tuiohl yohl sotu mfhloh ruos tuiohl ioahhyo,

sfgahllo nfmuo tuiohl tfrsfeut mopot malfronnoh sfsuoa mfhloh cfhas pfrsfhmaoh yohl

mapfrohtoroahyo. fhma dfruponoh tfdpot pfrtfduoh muo otou ifeag tuiohl.

&aiagot mora strunturhyo, tfrmopot talo tapf sfhma yoatu 1

*. fhma 3aerbso (ahortrbmaoi)

>fruponoh sfhma yohl tamon mopot efrlfron. fhma aha tamon dfdaiana tuiohl rowoh, moh

tuiohl yohl sotu mfhloh tuiohl yohl ioahhyo magueuhlnoh bifg corahloh anot


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tfrmara mora suotu dfderoh ahtfrbsfus otou suotu ialodfht maohtoro tuiohl. 9bhtbg mora sfhma aha

omoiog pfrifnotoh tuiohl taeao moh


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(dfruponoh ruos pfrtodo mora tuiohl ifgfr) mfhloh tuiohl pfdutor yohl dfhyfeoenoh nfpoio

mopot efrputor. fhma putor culo tfrmopot ma ohtoro tuiohl gosto moh tuiohl pfhludpai.

%) fhma lfsfr

fhma lfsfr dfruponoh gueuhloh muo euog tuiohl yohl dfduhlnahnoh pfrlfsfroh ohtor

tuiohl, dasoihyo sfhma yohl tfrmopot pomo tuiohl efionohl.

!) fhma pfioho

fhma pfioho dfruponoh gueuhloh muo euog tuiohl yohl pfrdunoohhyo efrefhtun

pfioho numo. fhma aha tfrmopot maohtoro tuiohl tfiopon tohloh mfhloh ruos aeu cora, iutut moh sanu.

=fhas pfrsfhmaoh yohl poiahl eohyon omoiog cfhas maortgrbsas. 8cuhl#ucuhl tuiohl yohl

efrloeuhl pomo pfrsfhmaoh aha maiopasa bifg tuiohl rowoh sfhma (ortajuior jortaiolf) moh

mapasognoh bifg rbhllo sfhma (cbaht jovaty) yohl efrasa $oarohsyhbvao. Bifg norfho atu pfrsfhmaoh

aha masfeut culosyhbvaoi cbaht.

7odeor . >o$od#>o$od fhma 7fron

@asabibla Zfhma.

feolaoh efsor sfhma nato omoiog sfhma sahb4aoi. [frdunooh tuiohl yohl efrsfhma

masfiueuhla bifg tuiohl rowoh yohl iuhon moh ia$ah. Nfsfiurugoh mofrog sfhma manfiaiahla sfcfhas

nohtbhl, tfrefhtun mora corahloh efrsfrot yohl masfeut mopot maionunoh nopsui. =orahloh aha

maiopasa dfderoh sahb4aoi yohl dfhlgosainoh $oaroh sahb4aoi uhtun dfdahyona2 sfhma. ?olaoh

iuor nopsui mapfrnuot bifg ialodfh efrsfrot yohl dfifnot pomo tuiohl, dfhogohhyo nuot#nuot ma

tfdpothyo moh dfdeotosa lfronoh yohl rowoh sfhma yohl dfiopasa ucuhl#ucuhl tuiohl

=


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dfdpuhyoa dfdpuhyoa


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!. F"amfdabibla

'rtgratas lbut ifeag sfrahl tfrcoma pomo iona#iona maeohmahlnoh pfrfdpuoh, puh$onhyo

pomo mfnomf nf#!. &a Ahmbhfsao, ortgratas lbut tfrcoma pomo usao yohl ifeag dumo, sfnator /"

pomo prao efrusao nurohl mora /% toguh. [omo wohato, nomor osod urot ududhyo rfhmog moh

dfhahlnot sftfiog usao dfhbpousf. [rf4oifhsa ortgratas lbut ma ?ohmuhloh, =owo 6fhlog,

prf4oifhsa pomo nfibdpbn usao *!#%! toguh sfefsor ,"O dfiaputa prao *,0" moh wohato ,!".

&a >ahogoso (/), prbpbrsa nfcomaoh ortgratas lbut sfefsor +," moh pomo fthan tfrtfhtu ma

8cuhl [ohmohl sfnator !" pfhmfrato roto#roto tfiog dfhmfrato lbut -,! toguh otou ifeag sftfiog

nfomooh dfhcoma ifeag porog.%

M. Ftabibla'sod urot dfruponoh zot saso yohl maefhtun bifg tueug pomo soot rflfhfrosa sfi.

?fefropo brohl yohl dfhmfrato lbut dfdefhtun ifeag eohyon osod urot moiod tueughyo moh

tueug tamon f


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3ontbr#


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[omo


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@. [otb`asabibla

[fhahlnotoh nomor osod urot sfrud mopot masfeoenoh bifg pfdefhtunoh efrifeagoh otou

pfhuruhoh fnsrfsa osod urot, otoupuh nfmuohyo. 'sod urot omoiog prbmun ongar dftoebiasdf

purah. f$oro hbrdoi, dftoebiasdf purah dfhcoma osod urot mopot matfrohlnoh sfeoloa efranut1 0,+

7odeor !. >ftoebiasdf [urah

ahtfsas purah dfiaeotnoh muo coiur, yoatu coiur mf hbvb moh coiur pfhlgfdotoh (soivolfpotgwoy).

*. =oiur mf hb4b dfiaeotnoh sahtfsas purah moh nfdumaoh osod urot dfioiua prfnursbr hbhpurah.

uestrot owoihyo omoiog raebso#!#


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fhzad1 gapbGohtah luohah


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'mohyo nrastoi dbhbhotraud urot aha onoh dfhyfeoenoh ah


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7fcoio udud pfhyonat osod urot ohtoro ioah 1 %,!,-,

*. Nfsfdutoh moh hyfra gfeot pomo pfrsfhmaoh tfrutodo pomo cora nona, pfrlfiohloh tohloh,

nona, iutut, moh sanut. 7fcoio aha eaosohyo dbhbortanuior (gohyo dfhyfrohl sotu sfhma ).

. fhma dfdefhlnon

/. uiat efrcoioh

%. 9o$ot.

!. &fdod, dfhllalai, mfhyut cohtuhl ifeag $fpot.

6ogop ; togop pfhyonat osod urot 1 /,%,-

%. Ga"fasfdao Osad"tbdota#

aioa hbrdoi osod urot sfrud pomo iona#iona omoiog !,*I*, dlKmi, moh pomo pfrfdpuoh

omoiog %,I*, dlKmi. aioa#haioa aha dfhahlnot sodpoa +#* dlKmi pomo sfsfbrohl mfhloh lbut.

&oiod togop aha posafh tamon dfhuhcunnoh lfcoio#lfcoio sfioah pfhahlnotoh osod urot sfrud moh

gohyo sfnator " mora posafh gapfrurasfdao osadptbdotan yohl efriohcut dfhcoma sfrohloh lbut

onut.

'. Ztomad Otatas Lbt O#t@omohl sfhma onut yohl tadeui $fpot moh moiod wontu sahlnot. [omo soot eohluh pola

tfroso sonat yohl gfeot moh tamon mopot efrcoioh. ?aosohyo efrsa


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frohloh onut yohl malodeornoh bifg ymfhgod1 sfdeug efefropo gora sodpoa

efefropo dahllu, eaio tamon mabeota, rfnurfh yohl duitapfi, ahtfr4oi ohtor sfrohloh sahlnot moh

mopot dfhlfhoa efefropo sfhma. [omo sfrohloh onut yohl tamon efrot, nfiugoh#nfiugoh mopot

gaiohl moiod efefropo cod otou efefropo gora. [omo sfrohloh onut efrot mopot sfdeug moiod

efefropo gora sodpoa efefropo dahllu.

(. Ztomad Ahtf#ata#oi

>fruponoh nfiohcutoh stomaud onut madoho tfrcoma pfrabmf ahtfrnratan osadptbdotan.

Doioupuh sf$oro niahan tamon mamopotnoh tohmo#tohmo romohl onut, hoduh pomo osparosa sfhma

matfdunoh nrastoi urot. :oi aha dfhuhcunnoh prbsfs pfromohloh tftop efriohcut woioupuh tohpo

nfiugoh. Nfomooh aha mopot tfrcoma sotu otou efefropo noia pfrtoguh, otou mopot sodpoa * toguh

tohpo sfrohloh onut.

). Ztomad Otatas Lbt Nbha#

tomaud aha ududhyo pomo posafh yohl dfhlbeota marahyo sfhmara (sfi` dfmajotabh)

sfgahllo moiod wontu iodo tamon efrbeot sf$oro tfrotur nf mbntfr. 'rtratas lbut dfhoguh

eaosohyo masfrtoa tb


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m. efhlnon H hyfra pomo >6[*

f. ma$uraloa tb


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f. 'hoiasas $oaroh osparosa mora sfhma yohl dfhloioda ah


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7odeor +. 7odeoroh snifrbtan 7but.

7odeor *. 7but nrbhas

?0

[omo togop efranuthyo pfrueogoh tuiohl yohl poiahl owoi duh$ui.

[frueogoh tuiohl owoihyo duh$ui pomo mofrog sfhma pfrtododftotorsbpgoiohlfoi (>6[). [frueogoh aha owoi ududhyo tfriagot

ma iuor sfhma otou ma mofrog cuGto#ortanuioras. 6fduoh aha ohtoro#


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,. VZL

7odeor **. 87

!. !]Z/oh

7odeor *. 96#$oh (/&)

m. $-A

?@A

C. Maolhbsas Eohmahl.

%. [sfmblbt

Nrastoi noisaud parb


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mora pfrueogoh#pfrueogoh moiod tuiohl mfhloh iohcuthyo usao. [fhyonat aha eaoso tfrcoma pomo

udur ! toguh nf otos moh pomo brohl nflfdunoh (befsatos), tftopa easo culo masfeoenoh bifg

nf$fionooh pfrsfhmaoh . [omo usao iohcut todpon muo goi yohl ngos, yoatu roso sonat pomo

pfrsfhmaoh moh tfroso nonu cano malfronnoh. Esftfbortratas maniosa


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masfeut sfpta$ ortgratas. fpta$ ortgratas mopot masfeoenoh bifg eontfra#eontfra, 4arus#4arus, moh

codur.

[fhyfeoe#pfhyfeoe yohl poiahl udud mora sfpta$ ortgratas omoiog eontfra#eontfra,

tfrdosun Ztopgyibjbjjus ourfus, Hfassfrao lbhbrrgbfof, Zoidbhfiio spp, Dyjbeojtfraud

tuefrjuibsas, sparbjgftf eojtfraud, moh Gofdbpgaius ah`iufhzof. fmohlnoh 4arus#4arus yohl

mopot dfhyfeoenoh sfpta$ ortgratas tfrdosu gfpotatas !, ", moh #, porvbvarus "$%, gfrpfs

varusfs, G&' (!&)Z varus*, G+'-$, omfhbvarus, jbsojaf varusfs, dudps, moh febio . =odur

yohl mopot dfhyfeoenoh sfpta$ ortgratas tfrdosun gastbpiosdo, jbjjamabdyjfs, moh eiostbdyjfs.

7fcoio#lfcoio mora sfpta$ ortgratas tfrdosun mfdod, nfmahlahoh, eflatu culo hyfra,

pfdefhlnonoh, nfdfrogoh, nfnonuoh, moh nfgohlotoh sfhma. fhma#sfhma yohl poiahl udud

maiaeotnoh omoiog sfhma#sfhma efsor, sfpfrta iutut#iutut, pfrlfiohloh#pfrlfiohloh nona, pahllui#

pahllui, moh sanu#sanu tohloh.!

7odeor *%. 7odeoroh &aolhbsas ?ohmahl mora 7but.

N. [fhotoio#sohooh

ftaop stomaud lbut yoatu stomaud onut moh ahtfrnratanoi dfdfriunoh pfhlbeotoh olor

tamon dfhadeuinoh nbdpianosa.

'mo / togopoh moiod tfropa pfhyonat aha1

*. >fhlotosa sfrohloh onut

. >fhlurohla nomor osod urot uhtun dfh$flog pfhadeuhoh nrastoi urot pomo corahloh, tfrutodo

pfrsfhmaoh.

/. 6fropa pfh$flogoh dfhlluhonoh tfropa gapburasfdan.

5;


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6ucuoh pfhlbeotoh omoiog 1

*. >frfmonoh hyfra moh ahfhlgfhtanoh sfrohloh onut sf$fpot duhlnah

/. >fh$flog dfdeurunhyo sfrohloh moh

%. >fh$flog ffhuruhnoh nomor urot sfrud pomo posafh sadptbdotas-. >fhuruhnoh rfsanb eotu osod urot

0. >fhuruhnoh pfdefhtunoh tbpga.

%. Hbh $fma#odfhtbso

?ola yohl tfiog dfhmfrato lohlluoh osod urot, sfeoanhyo dfdeotosa mara tfrgomop goi#goi yohl easo dfdpfreurun nfomooh. >asoihyo, dfdeotosa donohoh tahlla purah moh dfdaiag

yohl rfhmog purah.%,-

[fhllbibhloh donohoh efrmosornoh nohmuhloh purah 1

*. 7bibhloh '1 >onohoh yohl dfhlohmuhl purah tahlla (*!# dlK* lrod donohoh)

omoiog gota, lahcoi, bton, cohtuhl, poru, ioah#ioah cfrboh, umohl, rfdas, nfrohl, sormah,

gfrrahl, fnstron molahl (oebh, mfhmfhl), rola (topf), oinbgbi sfrto donohoh moiod noifhl.

. 7bibhloh ?1 >onohoh yohl dfhlohmuhl purah sfmohl (!#*! dlK* lrod donohoh)omoiog anoh yohl tamon tfrdosun lbibhloh ', molahl sopa, nfrohl#nfrohloh, no$ohl#

no$ohloh nfrahl, nfdeohl nbi, eoyod, osporolus, euh$as, codur, mouh sahlnbhl, mouh

pfpoyo, nohlnuhl.

/. 7bibhloh 91 >onohoh yohl dfhlohmuhl purah ifeag rahloh (#! dlK* lrod

donohoh) omoiog nfcu, susu, tfiur, soyuroh ioah, euog#euogoh.

%. [fhloturoh maft sfeoanhyo sflfro maionunoh eaio nomor osod urot dfifeaga 0 dlKmi

mfhloh tamon dfhlbhsudsa eogoh donohoh lbibhloh ' moh dfdeotosa mara uhtun

dfhlbhsudsa eogoh donohoh lbibhloh ?. =ulo dfdeotosa mara dfhlbhsudsa ifdon

sfrto masorohnoh uhtun eohyon dahud oar putag.

!. 'poeaio mfhloh pfhloturoh maft dosag tfrmopot lfcoio#lfcoio pfhahllaoh osod urot morog,

sfeoanhyo efrnbhsuitosa mfhloh mbntfr tfrmfnot uhtun pfhohlohoh ifeag iohcut.

5?


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-. :oi yohl culo pfriu mapfrgotanoh, cohloh efnfrco tfrioiu efrot, $fpot tohllop moh rutah

dfdfransonoh mara nf mbntfr. Norfho sfnoia dfhmfrato, eaosohyo lohlluoh osod urot

onoh tfrus efriohcut.

'. $fma#odfhtbso

7but tamon mopot masfdeugnoh, hoduh mopot mabeota moh manbhtrbi. 7fcoio#lfcoio moiod

% cod eaosohyo onoh gaiohl sftfiog duioa pfhlbeotoh. 7but sf$oro udud mabeota mfhloh beot

ohta ah


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Astarogot moh tfropa $fpot mfhloh pfdefraoh 'A&, dasoihyo ahmbdftosah dlKgora

otou manib


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marfsfpnoh uhtun sfrohloh onut ortratas lbut, mfhloh mbsas owoi 0! * dlKgora. &bsas aha

nfdumaoh maturuhnoh sftfiog ! gora efrsodooh mfhloh dfrfmohyo lfcoio sfrohloh onut. ) dfdeotosa

pfhlluhooh ozoprbpozbh uhtun lbut onut soco cano 'A& sumog ma$beo topa tamon

efrgosai. [fhlluhoohhyo manbhtroahmanosanoh pomo posafh mfhloh rawoyot uinus pfptan,

pomolohlluhoh


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'A& hbhsfifnta


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o. :apfruranfdao dfruponoh ahmanosa uhtun maolhbsas lbut

e. fduo pbmolro masfeoenoh bifg lbut

$. fduo frbsa poro ortanuifr tuiohl masfeoenoh bifg lbut.

m. 'rtratas pos$o bpfrosa sfioiu masfeoenoh bifg lbut

f. 9bi$ga$ahf dfhuruhnoh osod urot sfrud.

,. [fhotoio#sohooh lbt #bha#

Nbhtrbi cohlno pohcohl gapfrurasfdao dfruponoh


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&bsas

[omo posafh mfhloh


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'iibpurahbi dfhahlnotnoh tbnsasatos efefropo beot satbtbnsan yohl madftoebiasdf Gohtah

bnsamosf. &bsas beot satbtbnsas (dasoihyo ozotabprah) gorus maturuhnoh cano maluhonoh efrsodo

mfhloh oiibpurahbi. 'iibpurahbi culo dfhahlnotnoh tbnsasatos sanib


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Ahmanosa 1 ?fr


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urot omoiog sfefsor !#0 lrodKgora otou ,#* lrodKnl efrot eomohKgora. udefr prbtfah yohl

masorohnoh omoiog prbtfah hoeota yohl efrosoi mora susu, nfcu moh tfiur.

=.:fhmog ifdo

Jfdon mopot dfhlgodeot fnsnrfsa osod urot dfioiua urah. >onohoh yohl malbrfhl,

efrsohtoh, sfrto dorlorahf moh dfhtflo sfeoanhyo magahmora. Nbhsudsa ifdon sfeoanhyo

sfeohyon *! pfrsfh mora tbtoi noibra.

!. +ahlla joaroh

Nbhsudsa $oaroh yohl tahlla mopot dfdeohtu dfdeuohl osod urot dfioiua urah. Norfho

atu, 'hmo masorohnoh uhtun dfhlgoeasnoh dahud dahadoi sfeohyon ,! iatfr otou * lfios

sfgora. 'ar dahud aha easo efrupo oar putag doson, tfg, otou nbpa. fioah mora dahudoh, $oaroh

easo mapfrbifg dfioiua euog#euogoh sflor yohl dfhlohmuhl eohyon oar. ?uog#euogoh yohl

masorohnoh omoiog sfdohlno, dfibh, eifwog, hohos, efiadeahl dohas, moh codeu oar. fioah

euog#euogoh tfrsfeut, euog#euogoh yohl ioah culo ebifg manbhsudsa norfho euog#euogoh sohlot

sfmanat dfhlohmuhl purah. ?uog#euogoh yohl sfeoanhyo magahmora omoiog oipunot moh muraoh,

norfho nfmuohyo dfdpuhyoa nohmuhloh ifdon yohl tahlla.

-. +ohpo oijbgbi

?frmosornoh pfhfiataoh manftogua eogwo nomor osod urot dfrfno yohl dfhlbhsudsa

oinbgbi ifeag tahlla maeohmahlnoh dfrfno yohl tamon dfhlbhsudsa oinbgbi. :oi aha omoiog

norfho oinbgbi onoh dfhahlnotnoh osod iontot piosdo. 'sod iontot aha onoh dfhlgodeot

pfhlfiuoroh osod urot mora tueug.

$. Nbd"ia#osa

%. -omohl sfhma o#a,ot osod ot 5lbuty ortgratas:

Nbdpianosa gapfrurasfdao yohl poiahl manfhoi omoiog romohl sfhma (lbut). 6fiog macfiosnoh

sfefiudhyo eogwo, safsnapuh gapfrurasfdao dfruponoh


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gueuhloh sf$oro aidaog ohtoro gapfrurasfdao mfhloh sfrohloh lbut onut dosag efiud cfios.

'tratas lbut onut mopot tfrcoma pomo nfomooh nbhsfhtrosa osod urot sfrud yohl hbrdoi. 'noh

tftopa, eohyon posafh mfhloh gapfrurasfdao tamon dfhmopot sfrohloh otratas lbut.

7fcoio niahas mora 7but efrdo$od#do$od, yoatu, gapfrurasfdao ton efrlfcoio, sfrohloh

onut lbut, lfcoio ohtoro(ahtfr$rata$oi), sfrohloh lbut efruiohl, lbut dfhoguh masfrtoa tb8 tb


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7odeor *0. 6b


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(. Mf`bdatos "omo "fsfhmaoh =ohl tfsfohl

). Vbiataosas o#a,ot mf"bsat #astoi ot "omo soioh #fda;

6. Hf";b";ot= o#a,ot mf"bsat #astoi ot moiod ahtfstasaoi lah+oi

H. [blhbsas

[osafh yohl tfiog dfhmfrato ortgratas lbut tamon onoh sfdeug sfpfhughyo. [osafh tfrsfeut

gorus tfrus dfhcolo maft sfpohcohl gamup moh dfhlurohla donohoh yohl dfhlohmuhla purah

sfudur gamuphyo. Aha uhtun dfdostanoh pfhyonathyo tamon nodeug iola.

::


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EOE AAA

NFZA$[VIOH

'sod urot omoiog gosai ongar mora notoebiasdf (pfdf$ogoh) purah. [urah omoiog soiog sotu

nfibdpbn struntur nadao pfdefhtun &'. 'sod urot manfiuornoh moiod tueug dfioiua fhlotosa 'sod 8rot omoiog dfionunoh pfhlbeotoh

gahllo nomor osod urot nfdeoia hbrdoi. Nomor hbrdoihyo omoiog .% gahllo - uhtun wohato moh

/. gahllo 0 uhtun prao, nbhtrbi donohoh yohl manbhsudsa, moh eohyon dahud oar putag.

nfdumaoh prahsap maft yohl gorus mapotuga bifg pfhmfrato osod urot yoatu dfdeotosa osupoh

purah otou rfhmog purah, osupoh fhfrla sfsuoa mfhloh nfeutugoh, dfhlbhsudsa ifeag eohyon

norebgamrot, dfhlurohla nbhsudsa ifdon, dfhlbhsudsa eohyon $oaroh, tamon dfhlbhsudsa

dahudoh efroinbgbi, moh dfhlbhsudsa $unup 4atodah moh dahfroi.

:=


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MO@]O- [VZ]ONO

*. >bbrf, Nfatg. J, 'hhf >. @. 'lur. 'hotbda Niahan &osor. :abpbnrotfs. =onorto. .

. $gwortz, pfh$fr, ., 3asgfr, &.7. ?rahjapifs b` Zurlfry falgt fmatabh. >$#7row :aii o&a4asabh b< 6gf >$7row#:aii 9bdpohafs. haldo oh haldo if$trbha$ [ueia$otabh, !

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Referat Gout Arthritis

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