Pdf_datoteka

UVOD

3RYLãDQDWHOHVQDWHPSHUDWXUDQDYDGQRQDGƒ&

SUL GRORþHQHP RGVWRWNX RWURN ± PHG PHVHFHP LQ OHWRP VWDURVWL VSURåL YURþLQVNH NUþH 3RJRVWHMH VH SRMDYLMR SUL RWURFLK ] GUXåLQVNR REUHPHQMHQRVWMR DOL QDJQMHQRVWMR N YURþLQVNLP NUþHP9YHþLQLSULPHURYVRYURþLQVNLNUþLUD]PHURPD QHQHYDUQRVWDQMHLQQHSXãþDMRKXMãLKSRVOHGLF

9URþLQVNL NUþL VR SRJRVWR SUYL VLPSWRP EROH]QL NL JD RSD]LMR VWDUãL /H PDOR EROH]HQVNLK VWDQM Y RWURãWYXSDVWDUãHSUHVWUDãLYWROLNãQLPHULNRWSUDY QDSDG YURþLQVNLK NUþHY 6WDUãL NDVQHMH SRJRVWR SRYHGR GD VR LPHOL REþXWHN GD MH RJURåHQR RWURNRYRåLYOMHQMHLQGDERYVDNWUHQXWHNXPUO6WUDK je pogosto prisoten tudi pri zdravstvenemu osebju.

3UHJOHGQLþODQHN5HYLHZDUWLFOH

952ý,16.,.5ý,

FEBRILE SEIZURES

07RPLQãHN

.OLQLþQLRGGHOHN]DRWURãNRPODGRVWQLãNRLQUD]YRMQRQHYURORJLMR3HGLDWULþQDNOLQLND 8QLYHU]LWHWQLNOLQLþQLFHQWHU/MXEOMDQD/MXEOMDQD6ORYHQLMD

,=9/(ý(.

3RYLãDQDWHOHVQDWHPSHUDWXUDSULGRORþHQHPGHOHåXRWURNPHGPHVHFHPLQOHWRPVWDURVWLSRY]URþLYURþLQVNH NUþH9URþLQVNLNUþLVRSULGRMHQþNLKLQPDOþNLKPHGQDMSRJRVWHMãLPLY]URNL]DQDVWDQHNHSLOHSWLþQHJDVWDWXVD .RQWLQXLUDQDLQNDNRYRVWQD]GUDYVWYHQDQHJDSRGSUWD]]QDQMHPLQVVRGREQLPSULVWRSRPNRWURNXLQFHORWQL GUXåLQL MH SRPHPEHQ LQ QHSRJUHãOMLY GHMDYQLN Y SURFHVX ]GUDYOMHQMD LQ RNUHYDQMD =GUDYVWYHQRY]JRMQR GHORPHGLFLQVNHVHVWUHODKNRSRPHPEQR]PDQMãDSRJRVWRVWSRMDYOMDQMDYURþLQVNLKNUþHYDOLFHORQDVWDQHN YURþLQVNLKHSLOHSWLþQLKVWDQMNLVRSRVOHGLFDSRYLãDQHWHOHVQHWHPSHUDWXUH

.OMXþQHEHVHGHYURþLQVNLNUþLRWURN]GUDYVWYHQDQHJD

ABSTRACT

6RPHFKLOGUHQDJHGEHWZHHQVL[PRQWKVDQGVL[\HDUVKDYHIHEULOHVHL]XUHVWULJJHUHGE\HOHYDWHGERG\

WHPSHUDWXUH)HEULOHVHL]XUHVDUHRQHRIWKHPRVWFRPPRQFDXVHVRIVWDWXVHSLOHSWLFXVLQLQIDQWVDQGWRGGOHUV

&RQWLQXRXV DQG TXDOLW\ NQRZOHGJH EDVHG KHDOWK FDUH ZKLFK HPSOR\V PRGHUQ SULQFLSOHV RI FKLOG DQG IDPLO\RULHQWHGFDUHLVLQGLVSHQVDEOHGXULQJWKHWUHDWPHQWDQGFRQYDOHVFHQWSHULRG1XUVLQJVLVWHUVSURYLGH WKHKHDOWKHGXFDWLRQWKDWFRQWULEXWHVWROHVVHQLQJWKHSRVVLELOLW\RIDUHFXUUHQFHRIIHEULOHVHL]XUHVIHEULOH VWDWXVHSLOHSWLFXVDQGRWKHUFRQVHTXHQFHVRIHOHYDWHGERG\WHPSHUDWXUH

.H\ZRUGVIHEULOHVHL]XUHVFKLOGKHDOWKFDUH 6ORY3HGLDWU

952ý,16.,.5ý,

0HGQDURGQD OLJD ]D ERM SURWL HSLOHSVLML ,/$(

YURþLQVNHNUþHRSUHGHOMXMHNRWNUþHNLVHSULRWUR- FLK SRMDYLMR PHG YURþLQVNR EROH]QLMR EUH] ]QDNRY RNXåEH RVUHGQMHJD åLYþHYMD LQ QLPDMR GUXJHJD RSUHGHOMHQHJD Y]URND HOHNWUROLWVNR QHUDYQRYHVMH KLSRJOLNHPLMDWRNVLþQDHQFHIDORSDWLMD

0HULOD]DSRWUGLWHYGLDJQR]HYURþLQVNLKNUþHYVR

‡ RWURNRYDVWDURVWPHVHFHYGROHW

‡ YURþLQVNRVWDQMHVWHOHVQRWHPSHUDWXURYLãMRRG

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‡ RNXåEDNLQHL]YLUDYRVUHGQMHPåLYþHYMXYYHþ NRWRNXåED]JRUQMLKGLKDO

9YHþLQLSULPHURYYYHþNRWVRYURþLQVNLNUþL SUHSURVWL

‡ WUDMDMRPDQMNRWPLQXWYHþLQDFHORPDQMNRW PLQXW

‡ VRJHQHUDOL]LUDQL

‡ SUHGSRMDYRPYURþLQVNLKNUþHYLQSRQMLKRWURN QLPD QLNDNUãQLK QHYURORãNLK L]SDGRY DOL SRVOH- dic.

5HGNR VH ODKNR NUþL SRMDYLMR Y ]DSOHWHQL REOLNL

=DQMHMH]QDþLOQRGD

‡ WUDMDMRYHþNRWPLQXW

‡ LQDOLVHSRMDYLMRYHþNUDWQDGDQ

‡ LQDOLVHSRMDYOMDMRåDULãþQR

‡ LQDOL SUHKRGQR ± XU SRY]URþDMR QHYUROR- ãNHL]SDGHQDMYHþNUDWSUHKRGQRKHPLSOHJLMR 3RQRYLWYH VR UD]PHURPD SRJRVWH Y ± YHQGDUQHYSOLYDMRQDNRQþQLL]LGNLMHSUDYLORPD XJRGHQ

1DMSRJRVWHMãL VR WRQLþQRNORQLþQL QDSDGL 2WURN ODKNR VSUYD ]DMRND QDWR SD L]JXEL ]DYHVW LQ RWUGL Y WHOR WRQLþQD ID]D 0HG WRQLþQR ID]R NL REL- þDMQR WUDMD VHNXQG RWURN QH GLKD LQ MH ODKNR LQNRQWLQHQWHQ6OHGLNORQLþQDID]DVSRQDYOMDMRþLPL VH ULWPLþQLPL WU]OMDML XGRY DOL REUD]D NL VH ODKNR SRMDYOMDMR VDPR QD HQL VWUDQL WHOHVD 1DSDGX VOHGL NUDWNRWUDMQD]PHGHQRVWDOLSRLNWLþQLVSDQHF

3UL GRMHQþNLK LQ PDOþNLK VR YURþLQVNL NUþL HGHQ QDMSRJRVWHMãLK Y]URNRY ]D QDVWDQHN HSLOHSWLþQHJD VWDWXVDLQYWHPSULPHUXWUDMDMRYHþNRWPLQXW 8JRWDYOMDPRGDLPDY6ORYHQLMLSUYLYURþLQVNLNUþ GDOMãLRGPLQXWRWURN]YURþLQVNLPLNUþL YURþLQVNLNUþNLWUDMDGOMHRGPLQXWSD 1DSRYHGL]LGDEROH]QLMHSULYURþLQVNLKNUþLKWXGL WLVWLK NL VH SRJRVWR SRQDYOMDMR QD VSORãQR GREUD (SLOHSVLMD VH SRMDYL SUL SULEOLåQR ± RWURN NL VRLPHOLNDWHURNROLRGREOLNYURþLQVNLKNUþHYNDU MH GR NUDW SRJRVWHMH NRW Y VSORãQL SRSXOD- FLML 3RPHPEQR YORJR LPDMR RJURåDMRþL GHMDYQLNL NRW VR QHQRUPDOHQ QHYURORãNL VWDWXV LQ GXãHYQD PDQMUD]YLWRVWSUHGSRMDYRPSUYLKYURþLQVNLKNUþHY FHUHEUDOQDSDUDOL]DYURþLQVNLNUþLNLVHSRMDYOMDMR SUHGGRSROQMHQLPSUYLPOHWRPVWDURVWLLQGUXåLQVND DQDPQH]DRHSLOHSVLMLSULVWDUãLKDOLVRURMHQFLK

UKREPI IN VLOGA MEDICINSKE 6(675(2%952ý,16.,+.5ý,+

9URþLQVNL NUþL VR SR PHKDQL]PX QDVWDQND LQ SR NOLQLþQL VOLNL ]HOR SRGREQL HSLOHSWLþQLP QDSDGRP 1DWDQþHQRSLVGRJRGNRYKLWUDRSUHGHOLWHYNUþHYLQ ocena otrokovega stanja pomagajo pri opredelitvi SRWUHEQLKSUHLVNDYGLDJQRVWLþQLKPHWRGLQRGORþLWYL o morebitnem zdravljenju.

0HGQDSDGRPMHSULRWURNXPRWHQD]DYHVW]DWRJD SRORåLPRYVWDELOHQERþQLSRORåDM7DNRVSURVWLPR GLKDOQH SRWL LQ SUHSUHþLPR PRåQRVW ]DGXãLWYH ,]

QHSRVUHGQHRWURNRYHRNROLFHRGVWUDQLPRSUHGPHWH QD NDWHULK EL VH ODKNR RE NUþLK SRãNRGRYDO ýH MH SULãORGRQHQDGQHJDYURþLQVNHJDNUþDRWURNXUHN- talno vstavimo antipiretik in ga hladimo. Otroka ne SXVWLPRVDPHJDWHPYHþSRNOLþHPRSRPRþ2WURFL VRSRSUHQHKDQMXNUþDXWUXMHQLLQ]DVSDQL]DWRMLP RPRJRþLPRGDVHVSRþLMHMR

ýH YURþLQVNL NUþ WUDMD GOMH RG GYHK PLQXW JD VNXãDPR SUHNLQLWL 5HNWDOQR DSOLFLUDPR UD]WRSLQR GLD]HSDPDYWRYDUQLãNRSULSUDYOMHQLUHNWLROLVPJ LQ ] PJ GLD]HSDPD 6WHVROLG^®) 3UL RWURFLK NL

VRODåMLRGNJGDPR6WHVROLG^®YRGPHUNXPJ ýHNUþLSRPLQXWDKSRSUYLDSOLNDFLML]GUDYLODQH SUHQHKDMRGDPRãHHQPLOLJUDPVNLRGPHUHN9Hþ NRWGYHKRGPHUNRY6WHVROLGD^®WMPJRWURNQH VPHGRELWL3ULRWURFLKNLVRWHåMLRGNJGDPR 6WHVROLG^®YPLOLJUDPVNHPRGPHUNXýHNUþLSR PLQXWDKSRSUYHPRGPHUNX]GUDYLODQHSUHQHKD- MRGDPRãHPJ6NXSQLRGPHUHNQHVPHSUHVHþL PJ6WDUHMãHPXRWURNXODKNRUD]WRSLQRPLGD]R- lama (Dormicum^® YQHVHPR Y EXNDOQR VOX]QLFR Y XVWQL YRWOLQL 'DMDQMH ]GUDYLO MH HQRVWDYQR UD]WRSLQL SD LPDWD GROJRWUDMQL XþLQHN LQ PDMKQR WYHJDQMH]DVUþQRGLKDOQL]DVWRM

ýH]RSLVDQLPLXNUHSLQHSUHNLQHPRQDSDGDLQNUþL WUDMDMR YHþ NRW SRO XUH JRYRULPR R YURþLQVNHP NRQYXO]LYQHPHSLOHSWLþQHPVWDQMX9WHPSULPHUX JUH]DNULWLþQREROQHJDRWURND]DWRVNXãDPRQDMSUHM VWDELOL]LUDWL åLYOMHQMVNH IXQNFLMH ]DJRWRYLWL SURVWH dihalne poti ter oceniti dihanje in stanje srca in REWRþLO 3RVNUELPR ]D SULPHUQR RVNUER V NLVL- NRP SUHNR QRVQHJD NDWHWUD DOL PDVNH SR SRWUHEL DVSLULUDPRY]SRVWDYLPRLQWUDYHQVNRSRWWHURGY]D- PHPRNUL]DGRORþLWHYYUHGQRVWLNUYQHJDVODGNRUMD in drugih laboratorijskih parametrov. Po navodilu zdravnika v veno vbrizgamo protikonvulzivna zdra- YLODýHHSLOHSWLþQHJDQDSDGDQHXVSHPRSUHNLQLWL otroka premestimo v enoto intenzivne terapije.

2SLVDQH VPHUQLFH ]D SUHSUHþHYDQMH YURþLQVNLK NUþHYXSRUDEOMDPRYYVHMGUåDYLNDUMHHGLQVWYHQR YHYURSVNHPSURVWRUX

ZDRAVSTVENA NEGA OTROKA Z 952ý,16.,0,.5ý,

.RQWLQXLUDQDLQNDNRYRVWQD]GUDYVWYHQDQHJDNLMH SRGSUWD]]QDQMHPWHPHOMLQDVRGREQHPSULVWRSXGR RWURNDLQFHOHGUXåLQH-HSRPHPEHQLQQHSRJUHãOMLY dejavnik v procesu zdravljenja. Medicinska sestra ODKNR V VYRMLP ]QDQMHP SR]QDYDQMHP SDWRORJLMH LQ QDMQRYHMãLK VPHUQLF ]GUDYOMHQMD SUHGYVHP SD ] zdravstvenovzgojnim delom bistveno pripomore k EROMãHPX SR]QDYDQMX QDUDYH EROH]QL L]LGX ]GUD-

YOMHQMDLQSUDYLOQHPXXNUHSDQMXWDNRVWDUãHYOMXGL NL RWURND RENURåDMR Y YVDNRGQHYQHP åLYOMHQMX LQ tudi zdravstvenih delavcev.

2WURND SR HSL]RGL YURþLQVNHJD NUþD R]LURPD Y SULPHUX NR VWDUãHP YURþLQVNHJD NUþD QH XVSH SUHNLQLWL QDYDGQR SULSHOMHMR QD ]GUDYOMHQMH LQ RSD]RYDQMH Y EROQLãQLFR 2WURN NL MH VSUHMHW Y EROQLãQLFR SRWUHEXMH ]GUDYOMHQMH NDNRYRVWQR LQ NRQWLQXLUDQR ]GUDYVWYHQR QHJR WHU þXVWYHQR podporo.

9]GUåHYDQMHWHOHVQHWHPSHUDWXUH

3UYDL]PHGåLYOMHQMVNLKGHMDYQRVWLQDNDWHURPRUD ELWL PHGLFLQVND VHVWUD SR]RUQD MH Y]GUåHYDQMH QRUPDOQH WHOHVQH WHPSHUDWXUH 3RYLãDQR WHOHVQR WHPSHUDWXUR ]QLåXMHPR NR QDUDVWH QDG ƒ&

3UL RWURFLK NL VR åH LPHOL YURþLQVNH NUþH ODKNR ]DþQHPR]RKODMDQMHPåHSULƒ&

3RYLãDQR WHOHVQR WHPSHUDWXUR ]QLåXMHPR QD GYD QDþLQD V ¿]LNDOQLPL PHWRGDPL LQ ] DQWLSLUHWLNL oziroma pogosto s kombinacijo obeh.

)L]LNDOQHPHWRGH

‡ 0ODþQDKODGLOQDNRSHO

‡ 9]SRVWDYLPR RSWLPDOQR PLNURNOLPR RNROMD SULWHPSHUDWXUL±ƒ&

‡ 3RVNUELPR]DXVWUH]QRWHPSHUDWXURYRGHNLMH ]Dƒ&QLåMDRGRWURNRYHWHOHVQHWHPSHUDWXUH

‡ 2WURNDSRORåLPRYNRSHOLQSULQRJDKSRþDVL dolivamo hladno vodo. Temperatura vode se PRUDYPLQXWDK]QLåDWL]Dƒ&YHQGDUQH QDPDQMNRWƒ&

‡ ýHRWURND]DþQH]HEVWLDOLSRPRGULNRSHOWD- koj prekinemo.

‡ 3R NRQþDQL NRSHOL RWURND GREUR RVXãLPR LQ NRåQHJXEHQDPDåHPR]]DãþLWQRNUHPR

‡ 2WURNDREOHþHPRYODKNDERPEDåQDREODþLOD ponovno izmerimo telesno temperaturo in ga SRORåLPRYSRVWHOMR3RNULMHPRJDVDPR]UMX- KR3RVWRSHNODKNRYHþNUDWSRQRYLPR

‡ 1D RWURNRYR WHOR QDPHVWLPR PODþQH RYLWNH SULþHPHUQDMERWHPSHUDWXUDYRGH±ƒ&

2WURND]DYLMHPRYQDPRþHQRRåHWRPODþQR rjuho za nekaj minut in ga pokrijemo s suho UMXKR3RVWRSHNODKNRSRQRYLPRGRNUDW

‡ 1DJODYRLQQRJHQDPHVWLPRPODþQHRENODGNH

±ƒ&

‡ &HOR WHOR SUHEULãHPR ] PODþQR YRGR ±

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$QWLSLUHWLNL

Antipiretike dajemo po navodilu zdravnika.

Uporabljamo predvsem paracetamol in druge nesa- OLFLODWQHDQWLSLUHWLNHYREOLNLVYHþNDOLVLUXSD3R ]DXåLWMXDQWLSLUHWLNDSULþQHYURþLQDSDGDWLSR±

PLQXWDKYSRYSUHþMX]D±ƒ&QDMQLåMDMHSR±

XUDKSR±XUDKSDSULþQHSRQRYQRQDUDãþDWL 3ROHJ NODVLþQLK DQWLSLUHWLNRY XSRUDEOMDPR WXGL QHVWHURLGQH DQWLUHYPDWLNH PHG NDWHUH XYUãþDPR WXGL9ROWDUHQ^®3ULPHUHQMHþHåHOLPRKLWUR]QLåDWL SRYLãDQRWHOHVQRWHPSHUDWXURPHGYURþLQVNLPLNUþL

Nevarnost dehidracije

=DUDGLSRYLãDQHWHOHVQHWHPSHUDWXUHSULGHGRSRYHþD- QHJD ]QRMHQMD SRVSHãHQD MH SUHVQRYD RWURN L]JXEOMD EHOMDNRYLQH WHOHVQR WHåR YRGR LQ VROL 3RVOHGLFD MH GHKLGULUDQRVW LQ L]JXEOMDQMH WHOHVQH WHåH 2WURNX UD]SRUHGLPR REURNH KUDQH HQDNRPHUQR þH] YHV GDQ 3RPHPEQRMHGDSRJRVWRGRGDMDPRWHNRþLQH]HOLãþQL þDMUD]UHGþHQVDGQLVRNYRGD«NLQDMERGRRJUHWHQD VREQRWHPSHUDWXUR2WURNNLWHKWDNJSRWUHEXMHRE SRYLãDQLWHOHVQLWHPSHUDWXULSULEOLåQROLWUDWHNRþLQH YXUDKSULNJOLWUDSULNJSDOLWUDýH RWURNSLWMHRGNODQMDSRQDYRGLOLK]GUDYQLNDXYHGHPR intravensko hidriranje.

Pospešeno dihanje in bitje srca

3ULSRYLãDQLWHOHVQLWHPSHUDWXULLQSRVOHGLþQLGHKL- GULUDQRVWLODKNRQDVWRSLWDSRVSHãHQRGLKDQMHLQELWMH

VUFD=DYVDNRVWRSLQMRSRYLãDQHWHOHVQHWHPSHUDWX- UHVHXWULSVUFDSRYHþD]D±XGDUFHYQDPLQXWR Medicinska sestra mora poostriti opazovanje otro- ka. Monitoring in pulzna oksimetrija neprekinjeno SRVUHGXMHWDSRGDWNHRVWDQMXRWURNDGLKDQMXELWMX VUFDLQRNVLJHQDFLMLýHVHQDVLþHQRVWKHPRJORELQD VNLVLNRP]PDQMãDSRGPRUDPRRWURNX]DJR- toviti dodaten kisik v vdihanem zraku.

6NUE]DRVHEQRKLJLHQR

1DVOHGQMDSRPHPEQDåLYOMHQMVNDGHMDYQRVWMHRVHE- QD KLJLHQD 9 YVHK NRåQLK JXEDK VH ODKNR UD]YLMH VHGQRVWDOLLQWHUWULJR7RMHYQHWMHNRåHNLQDVWDQH SUHGYVHP ]DUDGL PHGVHERMQHJD GUJQMHQMD YODåQH SRYUãLQH NRåH ,QWHUWULJR SUHSUHþXMHPR LQ RGSUD- YOMDPR]RVYHåLOQLPLNRSHOPLLQY]GUåHYDQMHPVXKH NRåH.RåRQDPDåHPR]]DãþLWQRNUHPR2EODþLOD PRUDMRELWLXGREQDLQPHKNDGDRWURNDQHRYLUDMR SUL JLEDQMX 8SRUDEOMDPR þLP YHþ QDUDYQLK PDWH- ULDORYSRVHEQRSULREODþLOLKNLVRYQHSRVUHGQHP VWLNX]NRåR=DGRVWXMHHQDSODVWREODþLOGDODKNR WHOR RGGDMD RGYHþQR WRSORWR 3UHPRþHQD REODþLOD WDNRM]DPHQMDPR

Nevarnost padcev in poškodb

=DUDGL GHOQR PRWHQH ]DYHVWL RE SRYLãDQL WHOHVQL WHPSHUDWXUL LQ PRåQRVWL SRQRYLWYH YURþLQVNHJD NUþD MH QHYDUQRVW SDGFHY LQ SRãNRGE WROLNR YHþMD 2WURNXPRUDPR]DJRWRYLWLYDUQRVW]DWRJDREVSUH- jemu namestimo v ustrezno posteljico z varovalno ograjo. Poostrimo nadzor nad otrokovim vedenjem LQ JLEDQMHP =DåHOHQR MH GD SUL RWURNX ELYD HGHQ RGVWDUãHY

ZDRAVSTVENA VZGOJA

=GUDYVWYHQRY]JRMQR GHOR PHGLFLQVNLK VHVWHU LQ ]GUDYVWYHQLK WHKQLNRY MH ]D VWDUãH RWURN ] YURþLQ- VNLPL NUþL ]HOR SRPHPEQR 6WDUãH QDXþLPR GD skrbno opazujejo otrokovo vedenje in gibanje ter

MLK VSRGEXMDPR N VRGHORYDQMX LQ MLK YNOMXþLPR Y YVHID]HSURFHVD]GUDYVWYHQHQHJH96ORYHQLMLVPR ]DUDGLYURþLQHSUHWLUDQR]DVNUEOMHQL6WDUãLVRVODER REYHãþHQLRSRPHQXY]URNLKLQSRVOHGLFDKYURþLQH YURþLþQHRWURNHSDREUDYQDYDMRSUHWLUDQRLQQHSUL- PHUQR ,QIRUPDFLMH R YURþLQL V VWUDQL ]GUDYVWYHQLK GHODYFHYVRSRJRVWR]HORVNRSHLQSRPDQMNOMLYH

=DWR QDM RVYRMLMR ]QDQMD R SRYLãDQL WHOHVQL WHPSH- UDWXULQMHQLYORJLSULEROH]HQVNLKVWDQMLKSR]LWLYQL XþLQNL SRYLãDQH WHOHVQH WHPSHUDWXUH NGDM NROL- NRNUDW LQ NDNR L]PHULWL WHOHVQR WHPSHUDWXUR NGDM LQ NDNR ]QLåXMHPR SRYLãDQR WHOHVQR WHPSHUDWXUR IL]LNDOQLQDþLQLRKODMDQMDRWURNDXSRUDEDLQXþLQ- NRYDQMH SUHGSLVDQLK DQWLSLUHWLNRY SUHSUHþHYDQMH QDSDþQLKQDþLQRYª]GUDYOMHQMD©6VWURNRYQLPSUL- VWRSRPLQ]]QDQMHP]PDQMãDPRVWUDKSUHGSRYLãD- QR WHOHVQR WHPSHUDWXUR 6 WRYUVWQLPL XNUHSL ODKNR ]PDQMãDPR YHUMHWQRVW SRQRYLWYH YURþLQVNHJD NUþD LQ SRVOHGLF SRYLãDQH WHOHVQH WHPSHUDWXUH NRW VR GHKLGUDFLMD]QLåHYDQMHWHOHVQHWHåHLSG

2E RGSXVWX RWURND L] EROQLãQLFH VWDUãH QDXþLPR NDNRQDMUDYQDMRREPRUHELWQLSRQRYLWYLYURþLQVNLK NUþHY WHU R SUDYLOQL SULSUDYL LQ GDMDQMX ]GUDYLO ]D SUHNLQMDQMH NUþHY 'RELMR QDM WXGL QDWDQþQD SLVQD QDYRGLODVþLPHU]PDQMãDPRYHUMHWQRVWGDVHYUR- þLQVNLNUþLUD]YLMHMRYYURþLQVNRHSLOHSWLþQRVWDQMH

=$./-8ý(.

9URþLQVNL NUþL VR Y YHþLQL SULPHURY UD]PHURPD EHQLJQRVWDQMHLQQHSRY]URþDMRKXMãLKSRVOHGLFSD YHQGDU SUL VWDUãLK ]EXGLMR YHOLN VWUDK 0HGLFLQVND VHVWUDODKNRVVYRMLP]QDQMHPVRGREQLPSULVWRSRP GR RWURND LQ FHOH GUXåLQH VWURNRYQLP XNUHSDQMHP LQ ] L]REUDåHYDQMHP YVHK XGHOHåHQLK ]DJRWRYL GREHUL]LG]GUDYOMHQMDLQXVSHãQRRNUHYDQMH

LITERATURA

1HXEDXHU'9URþLQDYURþLQVNLNUþLLQEDNWHUL- HPLMD-$0$6ORY

)UHOLK - 9URþLQVNL NUþL =ERUQLN SUHGDYDQM 2WURN LQ PODGRVWQLN ] QHYURORãNR EROH]QLMR

/MXEOMDQD =ERUQLFD ]GUDYVWYHQH QHJH

1HXEDXHU ' 5HSHWLWRULM RWURãNH QHYURORJLMH /MXEOMDQD0HGLFLQVNLUD]JOHGL 6NLQGHU . =GUDYVWYHQD QHJD RWURND ] YURþLQ-

VNLPLNUþL=ERUQLNSUHGDYDQM2WURNLQPODGR- VWQLN]QHYURORãNREROH]QLMR/MXEOMDQD=ERUQL- FD]GUDYVWYHQHQHJH

3HUNRYLþ%HQHGLN0)UHOLK-(SLOHSWLþQLVWD- WXV1XMQDVWDQMDYRWURãNLQHYURORJLML±OHW RWURãNHQHYURORJLMHQD6ORYHQVNHP/MXEOMDQD 0HGLFLQVND IDNXOWHWD .DWHGUD ]D SHGLDWULMR

6WDGOHU61HXEDXHU'$OLSULVWDUãLKPDOþNRY REVWDMDVWUDKSUHGYURþLQR"=GUDY9HVWQ

Kontaktna oseba / Contact person:

0DMGD7RPLQãHNGLSOPV

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