BRONKIOLITIS PADA ANAK

JZNMHANOAVAU [DFD DMDH Jznmhanoavau dfdod` uydvy {izdfdmbdm {dfd jznmhanoyu (udoyzdm yfdzd qdmb gi zy{dhdm {izedjdmbdm {izedjdmbdm fdza udoyzdm yfdzd yvdgd!/ qdmb jadudmqd fauijdjhdm fauijdjhdm noi` amcihua sazyu- Jznmhanoavau jadudmqd gimqizdmb dmdh qdmb jizygyz fa jdrd` : vd`ym[imqijdjmqd dfdod` ZUS (ziu{azdvnzq uqmeqvado sazyu!- Sazyu odammqd qdmb gimqijdjhdm jznmhanoavau dfdod` {dzdamcoyim|d/ {dzdamcoyim|d/ amcoyim|d fdm dfimnsazyudfimnsazyu- Giuha{ym {dfd nzdmb n zdmb firdud ZUS `dmqd gimqijdjhdm gimqijdjhdm bildod qdmb zambdm/ vivd{a {dfd jdqa jaud gimqijdjhdm gimqijdjhdm {imqdhav qdmb j izdvCdhvnz ziuahn vizldfamqd vizldfamqd jznmhanoavau< % Yuad hyzdmb fdza 3 jyodm % Vafdh {izmd` gimfd{dvhdm DUA % [zigdvyz % Gimb`azy{ dud{ znhnh-

Bildodmqd Bildodmqd jizy{d< j izy{d< ' jdvyh  ' r`ii|amb (jymqa mdcdu gimba! ' uiudh mdcdu dvdy bdmbbydm {izmdcdudm ' uadmnuau (rdzmd hyoav hijazydm hdzimd hihyzd hi hyzdmbdm mbdm nhuabim! ' vdha{miy ({izmdcdudm qdmb ei{dv! ' zivzdhua amvizhnuvdo (nvnv fa uiod abd vizvdzah hi fdodg hdzimd jdqa jizyud`d hizdu ymvyh  jizmdcdu! ' {izmdcdudm ey{amb `afymb (ey{amb `afymb higjdmb hig{au! ' figdg ({dfd jdqa qdmb oija` gyfd/ figdg oija` o ija` ldzdmb vizldfa!Fadbmnuau favibdhhdm jizfdudzhdm jizfdudzhdm bildod fdm `duao {igizahuddm cauah- [dfd {igizahudm fimbdm uvivnuhn{ vizfimbdz r`ii|amb fdm znmha- [i gizahuddm odammqd odammqd dfdod` znmvbim znmvbim fdfd f dfd fdm dmdoaud bdu fdzd`[zamua{ fdudz {imdmbdmdm jznmhanoavau dfdod` vizd{a uy{nzvac jizy{d nhuabimdua/ {igjizadm edazdm ymvyh gimeibd` fi`afzdua/ fdm myvzaua qdmb dfihydv- Jznmhanoavau zambdm jadudmqd jaud zdrdv ldodm fdm {izoy fajizahdm edazdm {iznzdo qdmb dfihydv- Jdqa fimbdm jznmhanoavau uifdmb udg{da jizdv `dzyu fazdrdv amd{-

Hdfdmb vafdh {izoy fajizahdm fajizahdm {imbnjdvdm {imbnjdvdm h`yuyu- Vizd{a uy{nzvac vizfaza fdza ' [igjizadm nhuabim ' Yfdzd qdmb oigjdj/ ' Fzdamdui {nuvyzdo dvdy gimi{yh fdfd ymvyh gimbioydzhdm gimbioydzhdm oimfaz ' Auvazd`dv qdmb eyhy{ ' [igjizadm edazdmHdfdmb jdqa gimldfa oiod` fdm f dm gimbdodga uizdmbdm d{miy (`imva mdcdu!- Lahd `do ama vizldfa/ faodhyhdm amvyjdua fdm {igdudmbdm simvaodvnzsimvaodvnz- [dfd jdqa qdmb udmbdv u dmbdv gyfd fdm udhav jizdv/ hdfdmb fajizahdm njdv dmva'sazyu dmva'sazyu zajdsazam- Njdv ama fd{dv gimbyzdmba jizdvmqd {imqdhav fdm dbdz icihvac `dzyu fajizahdm {dfd drdo {imqdhavBildod {doamb jizdv ygygmqd fadodga fa `dza hifyd dvdy hivabd- Jdqa fd{dv udhav uiodgd 2'4; `dza fdm jdvyh fd{dv jizodmlyv `ambbd :'6 gambby[ZNBMNUAU Uiviod` 4 gambby/ jadudmqd amcihua dhdm gizifd gi zifd fdm bdmbbydm bdmbbydm {izmdcdudm dhdm gigjdah {dfd `dza hivabd- Dmbhd higdvadm hyzdmb fdza 4)- Gdud {doamb hzavau dfdod` 60'2: ldg {izvdgdLdzdmb vizldfa jznmhanoavau yodmb/ [IMEIBD@DM Jijizd{d vamfdhdm {imeibd`dm {dfd jznmhanoavau< % Ldmbdm gigjdrd jdqa jizygyz hyzdmb fdza 5 jyodm hi vig{dv y gyg/ vizyvdgd lahd jdmqdh  dmdh'dmdh  % [imfizavd amcihua udoyzdm {izmdcdudm {izmdcdudm `dzyu gimeyea vdmbdm dvdy gimbbymdhdm gimbbymdhdm gduhiz lahd jizfihdvdm fimbdm jdqa-

`vv{<..rrr-amfnmiuadamfnm `vv{<..rrr-amfnmiuadamfnmiuad-eng.c.4 iuad-eng.c.4:0;5'jznm :0;5'jznmhanoavau.  hanoavau. 

[imyoau

Dyoad Zd`gdm/ Jdbadm Aogy [imqdhav Dmdh/ ZUYF Udzdu @yu dfd/ Hdjy{dvim [yzrnziln/ Ldrd Vimbd`- :;4;

[igizahuddm [imymldmb

Ygygmqd jznmhanoavau fd{dv fahimdoa fdza bildod fdm vdmfdmqd qdmb h`du ui`ambbd {igizahuddm {igizahuddm ui{izva P'zdq fdfd dvdy mdun{`dzqmbido mdun{`dzqmbido du{azdvanm ({imbdgjaodm edazdm fdza znmbbd jio dhdmb `afymb! vafdh faodhyhdm uiedzd zyvam-

[imdmbdmdm

[imdmbdmdm [imdmbdmdm jznmhanoavau dfdod`< 

Uiodoy enjd ymvyh vafdh giznhnh fa zygd` dvdy fa uihavdz jdqa Dmfd/ d{dodba lahd jdqa gigaoaha hiodamdm udoyzdm md{du dvdy ldmvymb/ uauvig hihijdodm qdmb zimfd`/ dvdy od`az {zigdvyz-

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Dmvajanvah vafdh fajyvy`hdm ymvyh jznmhanoavau hdzimd jznmhanoavau fauijdjhdm fauijdjhdm noi` n oi` sazyu-

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Jdqa gigjyvy`hdm auvazd`dv oija` jdmqdh/ fdm gdhdm oija` uizamb fdodg {nzua oija` hieao- [dfd jdqa qdmb gdua` fdodg gdud DUA ihuhoyuac/ uyuya jdqa oija` uizamb/ mdgym fdodg rdhvy qdmb oija` {imfih uivad{ hdoamqd-

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[dzdeivdgno [dzdeivdgno fd{dv fajizahdm lahd dmdh gi zdud vafdh mqdgdm-

Dmdh Dmfd {izoy uibizd fajdrd hi fnhviz dvdy ZU lahd ad< 

Gimbdodga hiuyoavdm jizmd{du (udmbdv ei{dv dvdy vafdh vizdvyz!

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Vafdh fd{dv gdhdm ui{izva jadudmqd hdzimd jdvyh dvdy gimba

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Gimymlyhhdm Gimymlyhhdm {izyjd`dm rdzmd fa rdld` uddv jdvyh 

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Vdg{dh jazy dvdy {yedv fdm jizhizambdv jizhizambdv

Uiedzd ygyg/ {imdmbdmdm jznmhanoavau fd{dv fazdmbhyg uijdbda jizahyv< Hi{dzd`dm Vdmfd Zambdm

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[imdmbdmdm Dmdh udfdz/ rdzmd

Fd{dv favdmbdma fa zygd` fimbdm auvazd`dv

hyoav gizd` gyfd

fdm gdhdm oija` uizamb fdodg {nzua hieao-

Fd{dv gdhdm fimbdm

Fd{dv faodhyhdm hymlymbdm cnoonr'y{ hi

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fnhviz fdodg :6 ldg-

Udvyzdua nhuabim = 1;)- Udvyzdua nhuabim fahivd`ya fimbdm dodv uifiz`dmd fa hdmvnz fnhviz dvdy ZU

Uifdmb

Udod` udvy fa dmvdzd<

Jdrd hi ZU/ fa ZU dhdm faodhyhdm<

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Hiuyoavdm gdhdm

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[igjizadm nhuabim

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Oigd`

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[igjizadm edazdm amvzdsimd gymbham

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Hiuyoavdm jizmd{du/ fabymdhdmmqd fabymdhdmmqd nvnv' nv nv'

fa{izoyhdm 

Njuizsdua uivad{ ldg

Ui{izva hzavizad ymvyh hdvibnza

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Gnmavnz ldmvymb fdm {izmd{dudm

uifdmb/ mdgym<

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Gymbham gigjyvy`hdm {izdrdvd {i zdrdvdm m

nvnv jdmvy {izmd{dudm {izmd{dudm 

Dfdmqd hiodamdm  ldmvymb dvdy udoyzdm md{du

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Udvyzdua nhuabim ? 1;)

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Yuad hyzdmb fdza imdg jyodm

Jizdv

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gymbham vafdh  gigjdah fimbdm

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fa AEY 

Gigjyvy`hdm viu fdzd` ymvyh 

{igjizadm nhuabim

gimbivd`ya hdfdz jizjdbda |dv

gimymlyhhdm i{aunfi

fdodg fdzd`

viz`imvamqd md{du 

gimymlyhhdm gimymlyhhdm vdmfd hioiod`dm nvnv {izmd{dudm dvdy vizhyg{yomqd vizodoy jdmqdh hdzjnm fanhuafd fdodg vyjy`-

Uygjiz 

Hafu @idov` Amcnzgdvanm cnz [dzimvu- Jznme`anoavau- Dsdaodjoi czng `vv{<..rrr-ze`-nzb-dy.hafuamcn.cdevu`iivu-ecg>fne^af75242

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Eoamaedo [zdevaei Byafioami- Jznme`anoavau Byafioami- Dsdaodjoi czng `vv{<..rrr-ze`-nzb-dy.eoamaedobyafi.e{b-ecg>fne^af79492

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Eoamaedo Byafioamiu (@nu{avdo!- Jznme`anoavau Jznme`anoavau ― Nmbnamb Gdmdbigimv- Dsdaodjoi czng `vv{<..rrr-ze`-nzb-dy.ze`e{b.amfip-ecg>fne^af7194:

fz- Myzyo Avtaqd` @ fadgjao fdza (`vv{<..rrr-ui`dvbz ( `vv{<..rrr-ui`dvbzny{-rij-af.bya ny{-rij-af.byafioamiu.auaB fioamiu.auaByafi-du{>b yafi-du{>byafiAF75: yafiAF75: !

Uijdbadm jiudz amcihua udoyzdm md{du favyodzhdm oirdv fzn{oiv amcihua- Amcihua {zagiz noi` sazyu ZUS jadudmqd vafdh gimagjyohdm bildod hoamah/ vivd{a amcihua uihymfiz {dfd dmdh vd`ym' vd`ym {izvdgd hi`afy{dm hi`afy{dm dhdm jizgdmaciuvdua jizgdmaciuvdua jizdv- Sazyu ZUS oija` sazyoim fdza{dfd sazyu odam fdm gimb`duaohdm gimb`duaohdm agymavdu qdmb vafdh vaf dh jizvd`dm odgd- Amcihua ama {dfd { dfd nzdmb firdud vafdh  gimagjyohdm gimagjyohdm bildod b ildod hoamau- ZUS dfdod` bnonmbdm bnonmbdm {dzdgahunsazyu {dzdgahunsazyu fimbdm jymbhyu oa{af uizy{d fimbdm sazyu {dzdamcoyim|d/ vivd{a `dmqd gig{ymqda udvy dmvabim {izgyhddm jizy{d boahn{znviam boahn{znviam fdm myhoinhd{uaf myhoinhd{uaf ZMD `ioah ` ioah oamidz- Vafdh dfdmqd bimng qdmb jizuibgim fdm `dmqd gig{ymqda udvy dmvabim jymbhyu jizdzva jd`rd hng{nuaua dmvabim ZUS ziodvac uvdjao fdza vd`ym hi vd`ymAmcihua sazyu uizamb jizyodmb {dfd jdqa- @do ama fauijdjhdm fauijdjhdm noi`< 4- Hibdbdodm uauvig agym `nuv ymvyh gimbimdo i{avn{i { znvihvacfdza znvihvacfdza sazyu:- Hizyudhdm uauvig gignza ziu{nmu agym a gym ymvyh gig{znfyhua amvizoiyham A am`ajavnz fimbdm dhajdv vafdh jihizldmqd uauvig dmvabim dmvabim {ziuimvamb{ziuimvamb5- [imihdmdm {dfd uauvig ziu{nmu agym uihymfiz noi` amcihua sazyu fdm higdg{ydm sazyu ymvyh gimbamcihua gdhzncdb uizvd oagcnuav- Dhajdvmqd/ Dhajdvmqd/ vizldfa bdmbbydm cymbua ui{izva hibdbdodm {znfyhua amvizciznm/ amvizoiyham A am` ajavnz/ `dgjdvdm viz`dfd{ dmvanjnfa miyvzdoa|amb/ fdm hibdbdodm hibdbdodm amvizdhua fdza uio hi uio:-

Jznmhanoavau Jznmhanoavau qdmb fauijdjhd f auijdjhdm m noi` sazyu ldzdmb vizldfa {dfd gdud minmdvyu- @do ama hdzimd dmvajnfq miyvzdoa|amb miyvzdoa|amb fdza f dza ajy gdua` vambba {dfd 6''3 gambbyhi`afy{dm/ gambbyhi`afy{dm/ higyfadm dhdm gimyzym- Dmvajnfa vizuijyv gig{ymqda fdqd {znvihua viz`dfd{ amcihua udoyzdm md{du jdrd`/ vizyvdgd viz`dfd{ sazyu-

[dvncauanonba Amsdua sazyu {dfd {izedjdmbdm {izedjdmbdm jznmhyu hieao gimqijdjhdm gimqijdjhdm yfig/ dhygyodua gyhyu/ fdm fijzau uioyoiz `ambbd vizldfa njuvzyhu nj uvzyhuaa udoyzdm md{du m d{du hieao- Hdzimd ziuauvimua doazdm yfdzd yf dzd udoyzdm md{du jizjdmfamb vizjdoah fimbdm zdfayu {dmbhdv 6 gdhd {imijdodm famfamb jznmhyu uifahav udld uyfd` gigjizahdm dhajdv eyhy{ jiudz viz`dfd{ doazdm yfdzdZiuauvimua doazdm yfdzd {dfd udoyzdm md{du hieao gimambhdv jdah {dfd cdui amu{azdua gdy{ym ih{azdua- Vivd{a/ hdzimd zdfayu udoyzdm md{du oija` hieao uiodgd cdui ih{ azdua gdhd vizfd{dv gihdmaugi hoi{/ ui`ambbd yfdzd dhdm viz{izdmbhd{viz{izdmbhd{- @do ama dhdm gimagjyohdm `a{izamcodua `a{izamcodua fdfd- Dvioihvduau fd{dv vizldfa jaod njvzyhua njvzyhua vnvdo vn vdo fdza yfdzd fauizd{- [znuiu {dvnonbah  ama gimagjyohdm bdmbbydm {dfd {znuiu {izvyhdzdm {izvyhdzdm yfdzd fa {dzy/ simvaodua jizhyzdmb/ fdm `a{nhuigad- [dfd ygygmqd/ `a{izhd{mad vafdh vizldfa hieydoa {dfd hidfddm qdmb udmbdv jizdv-

Gdmaciuvdua Hoamau Gyod'gyod jdqa gimfd{dvhdm amcihua udoyzdm md{du zambdm j izy{d {aoih imeiz/ jdvyh/ jizuam'jizuam/ jizuam'jizuam/ fdm hdfdmb'hdfdmb hdfdmb'hdfdmb figdg- Bildod ama jizodmbuymb jizodmbuymb jijizd{d `dza/ higyfadm hi gyfadm vagjyo fauvziu ziu{azdua qdmb favdmfda noi` jdvyh {dznhuagdo/ gimba/ fau{miy/ fdm a zavdjioVagjyomqd hiuyoavdm gamyg vizldfa hdzimd md{du ei{dv ui`ambbd gimb`dodmba {znuiu gimiodm fdm gimb`aud{- [dfd hduyu zambdm/ bildod gimb`aodmb 4''5 `dza- [dfd hduyu jizdv/ bildodmqd fd{dv vagjyo jijizd{d `dza fdm {izldodmdmqd {izldodmdmqd udmbdv ei{dv- Hdfdmb'hdfdmb/ Hdfdmb'hdfdmb/ jdqa vafdh figdg udgd uihdoa/ jd`hdm `a{nvizga- Vizldfa fauvziu {izmd{dudm fimbdm czihyimua md{du 3; p.gimav/ vizfd{dv md{du ey{amb `afymb/ {imbbymddm nvnv {izmd{dudm {izmd{dudm vdgjd`dm/ zivzdhua/ fdm hdfdmb' hdfdmb uadmnuau- Zivzdhua jadudmqd vafdh fdodg hdzimd dfdmqd `a{izamcodua `a{izamcodua {dzy { dzy (viz{izdmbhd{mqd (viz{izdmbhd{mqd yfdzd fdodg {dzy!- @i{dz fdm oaim jaud vizdjd hdzimd vizfnznmb fadczdbgd dhajdv `a{izamcodua `a{izamcodua {dzy- Gymbham vizfimbdz znmha {dfd dh`az amu{azdua fdm drdo i h{azdua- Ih{azdua gigdmldmb fdm gimba hdfdmb'hdfdmb vizfimbdz fimbdm lioduBdgjdzdm zdfanonbah jadudmqd jadudmqd mnzgdo m nzgdo dvdy `a{izamcodua {dzy/ f adgiviz dmvizn{nuvizanz dmvizn{nuvizanz gimambhdv {dfd cnvn odvizdo- Hdfdmb'hdfdmb favigyhdm jizedh'jizedh {igdfdvdm dhajdv dvioihvduau dvioihvduau uihymfiz viz`dfd{ njvzyhua dvdy dmcodgdua dosinoyu- Oiyhnuav Oiyhnuav fdm f dm `avymb limau jadudmqd fdodg jdvdu mnzgdo- Oagcn{imad qdmb uizamb favigyhdm {dfd amcihua sazyu odam ldzdmb favigyhdm {dfd jznhanoavau- [dfd hidfddm qdmb jizdv/ j izdv/ bdgjdzdm dmdoauau bdu fdzd` dhdm

gimymlyhhdm gimymlyhhdm `a{izhd{mad/ `a{izhd{mad/ hdzimd hdzjnmfanhuafd hdzjnmfanhuafd vafdh vaf dh fd{dv fahioydzhdm/ dhajdv ifig fdm `a{izuihziua `a{izuihziua jznmhanoyu-

[imbnjdvdm Amcihua noi` sazyu ZUS jadudmq j adudmqdd uigjy` uifaza (uioc oagavif!/ ui`ambbd {imbnjdvdm {imbnjdvdm qdmb favylyhdm jadudmqd {imbnjdvdm {imbnjdvdm uy{nzvac6uy{nzvac6- [zamua{ {imbnjdvdm dfdod`< 4-

Nhuabimdua

Nhuabimdua udmbdv {imvamb ymvyh gimldbd ldmbdm udg{da vizldfa `a{nhuad/ ui`ambbd gig{izjizdv {imqdhavmqd{imqdhavmqd- @a{nhuad vizldfa dhajdv bdmbbydm {izcyua simvaodua sim vaodua {dzy'{dzy- Nhuabimdua fimbdm hdfdz nhuabim 5;''6;) uizamb fabymdhdm fabymdhdm ymvyh gimbnzihua `a{nhuad ` a{nhuad:::-

Edazdm

[igjizadm edazdm udmbdv {imvamb ymvyh gimeibd` vizldfamqd vizldfamqd fi`afzdua dhajdv hioydzmqd edazdm oirdv isd{nzdua/ hdzimd {izmd{dudm qdmb ei{dv fdm hiuyoavdm gamyg- Lahd vafdh vizldfa fi`afzdua fa{izoyhdm fa{izoyhdm {igjizadm edazdm zygdvdm- Edzd {igjizadm edazdm ama jaud amvzdsimd dvdy mdunbduvzahm dunbduvzahDhdm vivd{a/ `dzyu `dva'`dva {igjizadm edazdm oirdv odgjymb hdzimd fd{dv vizldfa du{azdua du{azdua fdm gimdgjd` uiudh md{du dhajdv odgjymb qdmb vizaua edazdm fdm gimihdm fadczdbgd fadczdbgd hi {dzy'{dzy5-

Njdv'njdvdm

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Dmvasazyu (Zajdsazam!

Jznmhanoavau Jznmhanoavau {doamb jdmqdh fauijdjhdm noi` sazyu ui`ambbd dfd {imfd{dv ymvyh gimbyzdmba jizdvmqd {imqdhav fd{dv fajizahdm dmvasazyu- Zajdsazam dfdod` njdv dmvasazyu qdmb jizuacdv sazyu uvdvah- Vivd{a/ {imbbymddm njdv ama gdua` hnmvznsizuado hnmvznsizuado gimbimda gim bimda icihvasavdu fdm hidgdmdmmqd:hidgdmdmmqd:V`i Dgizaedm nc[ifadvzae gizihngimfduahdm {imbbymddm zajdsazam {dfd hidfddm fa{izhazdhdm {imqdhavmqd gimldfa oija` jizdv ui{izva {dfd {imfizavd jznmhanoavau fimbdm hiodamdm ldmvymb/ cajznuau hauvah/ {imqdhav {dzy'{dzy hznmah/ aggymnficauaimua/ fdm {dfd jdqa'jdqa {zigdvyz(>! Dfd jijizd{d {imioavadm {znu{ihvac vimvdmb {imbbymddm {imbbymddm zajdsazam {dfd {imfizavd jznmhanoavau fimbdm {imqdhav ldmvymb fd{dv gimyzymhdm dmbhd hiudhavdm fdm h igdvadm lahd fajizahdm {dfd uddv drdo6- [imbbymdd [im bbymddm m zajdsazam jadudmqd fimbdm edzd m ijyoa|iz diznuno 4:''40 ldg {iz `dza dvdy fnuau hieao fimbdm : ldg 5 p.`dza6j-

Dmvajanvah 

[imbbymddm dmvajanvah jadudmqd vafdh fa{izoyhdm {dfd {imfizavd jznmhanoavau/ hdzimd uijdbadm jiudz fauijdjhdm noi` sazyu/ hieydoa dfd vdmfd'vdmfd amcihua uihymfiz- [imbbymddm dmvajanvah 

 lyuvzy dhdm gimambhdvhdm amcihua uihymfiz noi` hygdm qdmb ziuauvim viz`dfd{ dmvajanvah  vizuijyv6e-

Jznmhnfaodvnz fdm Dmvaamcodgdua Dmvaamcodgdua

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