217228362-asma-anak
TRANSCRIPT
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PENYAKIT ASMAPENYAKIT ASMA
PADA ANAK PADA ANAK
OLEH : dr. Murdoyo Rahmanoe, SpAOLEH : dr. Murdoyo Rahmanoe, SpA
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DEFINISI OPERASIONAL PNAA!:DEFINISI OPERASIONAL PNAA!:
"hee#$n% dan&a'au (a'u) d%n )hara)'er$*+"hee#$n% dan&a'au (a'u) d%n )hara)'er$*+'$) *(( '$m(u- *eara ep$*od$) dan & a'au'$) *(( '$m(u- *eara ep$*od$) dan & a'au
)ron$), enderun% pada ma-am & d$n$ har$)ron$), enderun% pada ma-am & d$n$ har$
no)'urna-!, mu*$man, adanya /a)'or penno)'urna-!, mu*$man, adanya /a)'or pen
e'u* d$an'aranya a)'$0'a* 0*$), dan (er*$+e'u* d$an'aranya a)'$0'a* 0*$), dan (er*$+/a' re1er*$(e- (a$) *eara *pon'an maupun/a' re1er*$(e- (a$) *eara *pon'an maupun
d%n pen%o(a'an, *er'a adanya r$2aya' a*+d%n pen%o(a'an, *er'a adanya r$2aya' a*+
ma a'au a'op$ -a$n pada pa*$en & )e-uar%a,ma a'au a'op$ -a$n pada pa*$en & )e-uar%a,
*edan%)an *e(a(3 -a$n *dh d$*$n%)$r)an.*edan%)an *e(a(3 -a$n *dh d$*$n%)$r)an.
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PATO4ENESIS ASMA:PATO4ENESIS ASMA:
5 Me)an$*me Imuno-o%$* In6ama*$Me)an$*me Imuno-o%$* In6ama*$Sa-uran re*p$ra'or$)Sa-uran re*p$ra'or$)
Re*pon* $mun (erupa a)'$/a*$ *e- -$mpo*$' T o-ehRe*pon* $mun (erupa a)'$/a*$ *e- -$mpo*$' T o-ehan'$%enan'$%en
5 In6ama*$ a)u' dan )ron$)In6ama*$ a)u' dan )ron$) A)'$/a*$ eo*$no0-, *e- ma*', ma)ropha%, dan *e-A)'$/a*$ eo*$no0-, *e- ma*', ma)ropha%, dan *e-
-$mpo*$' T pada mu)o*a *a-.re*p.-$mpo*$' T pada mu)o*a *a-.re*p.
5 Remode-$n% Sa-uran Re*p$ra'or$)Remode-$n% Sa-uran Re*p$ra'or$)Peru(ahan *'ru)'ura- dan /un%*$ona- yan%Peru(ahan *'ru)'ura- dan /un%*$ona- yan%meny$mpan% pada *a-. Re*p.meny$mpan% pada *a-. Re*p.
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PATOFISIOLO4I ASMAPATOFISIOLO4I ASMA
5 O7TR8KSI SAL8RAN RESP.O7TR8KSI SAL8RAN RESP.
Kon'ra)*$ o'o' po-o* (ron)u* y% d$pro1o)a*$Kon'ra)*$ o'o' po-o* (ron)u* y% d$pro1o)a*$
o-eh pe-epa*an a%on$* dar$ *e-3 $n6ama*$.o-eh pe-epa*an a%on$* dar$ *e-3 $n6ama*$.Pene(a-an d$nd$n% *a-.re*p. a)$(a' edemaPene(a-an d$nd$n% *a-.re*p. a)$(a' edemaa)u', $n0-'ra*$ *e-3 radan%, remode-$n%,a)u', $n0-'ra*$ *e-3 radan%, remode-$n%,h$per6a*$, h$per'rop$ )ron$* o'o' po-o*,h$per6a*$, h$per'rop$ )ron$* o'o' po-o*,1a*)u-er 9 *e-3 *e)re'or$ *er'a depo*$*$1a*)u-er 9 *e-3 *e)re'or$ *er'a depo*$*$ma'r$).ma'r$).
Produ)*$ *e)re' y% (anya), )en'a-, -en%)e'Produ)*$ *e)re' y% (anya), )en'a-, -en%)e'o-eh *e- %o(-e' dan )- *u(mu)o*a.o-eh *e- %o(-e' dan )- *u(mu)o*a.
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PATOFISOLO4I ASMAPATOFISOLO4I ASMA
5 HIPERREAKTIFITAS SAL.RESP.HIPERREAKTIFITAS SAL.RESP.
Me)an$*me yan% pa*'$ (e-um e-a*.Me)an$*me yan% pa*'$ (e-um e-a*.
Kemun%)$nan (erhu(un%an d%nKemun%)$nan (erhu(un%an d%n
pr(hn o'o' po-o* h$per6a*$,pr(hn o'o' po-o* h$per6a*$,
h$per'rop$! y% 'erad$ *eara *e)underh$per'rop$! y% 'erad$ *eara *e)under
y% menye(a()an peru(ahany% menye(a()an peru(ahan)on'ra)'$-$'a*.)on'ra)'$-$'a*.
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DIA4NOSISDIA4NOSIS
5 "HEE;IN4"HEE;IN4
5 7AT8K KRONIK 7ER8LAN47AT8K KRONIK 7ER8LAN4
5 8<I F8N4SI PAR88<I F8N4SI PAR8
+=ar$a($-$'a* pada PFR &FE=> ?>@+=ar$a($-$'a* pada PFR &FE=> ?>@ +Re1er*$($-$'a* pd PFR & FE=> ? >@+Re1er*$($-$'a* pd PFR & FE=> ? >@
+Penurunan ?3B pd FE=> Pro1o)a*$!+Penurunan ?3B pd FE=> Pro1o)a*$!
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KLASIFIKASI DERA<AT PENYAKITKLASIFIKASI DERA<AT PENYAKIT
5 A*ma Ep$*od$) <aran%A*ma Ep$*od$) <aran%
5 A*ma Ep$*od$) Ser$n%A*ma Ep$*od$) Ser$n%
5 A*ma Per*$*'enA*ma Per*$*'en
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A*ma Ep$*od$) <aran%A*ma Ep$*od$) <aran%
+Fre): C> & (u-an+Fre): C> & (u-an
+Lama *eran%an : C >m$n%%u+Lama *eran%an : C >m$n%%u
+In'en*$'a* *eran%an: ($a*anya r$n%an+In'en*$'a* *eran%an: ($a*anya r$n%an
+D$an'ara *eran%an: 'anpa %ea-a+D$an'ara *eran%an: 'anpa %ea-a
+T$dur 9 a)'$0'a* : '$da) 'er%an%%u+T$dur 9 a)'$0'a* : '$da) 'er%an%%u
+Pem.0*$). d$-uar *er.: noma-+Pem.0*$). d$-uar *er.: noma-
+O(a' pen%enda-$ an'$ $n6ama*$!:'d) per-u+O(a' pen%enda-$ an'$ $n6ama*$!:'d) per-u
+8$ /aa- paru d$-uar *er.: PE=&FE=>?B+8$ /aa- paru d$-uar *er.: PE=&FE=>?B
+=ar$a($-$'a* /aa- paru ($-a ada *er.!: =ar$a($-$'a*+=ar$a($-$'a* /aa- paru ($-a ada *er.!: =ar$a($-$'a*?>@.?>@.
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A*ma Ep$*od$) *er$n%A*ma Ep$*od$) *er$n%
+Fre).*eran%an : ? > & (u-an+Fre).*eran%an : ? > & (u-an
+Lama *eran%an : ? > m$n%%u+Lama *eran%an : ? > m$n%%u
+In'en*$'a* *eran%an : *edan%+In'en*$'a* *eran%an : *edan%+D$an'ara *eran%an : *er$n% ada %ea-a+D$an'ara *eran%an : *er$n% ada %ea-a
+T$dur dan a)'$0'a* : *er$n% 'er%an%%u+T$dur dan a)'$0'a* : *er$n% 'er%an%%u
+Pem.0*$).d$-uar *er. : mun%)$n 'er%an%%u+Pem.0*$).d$-uar *er. : mun%)$n 'er%an%%u
+O(a' pen%enda-$ : per-u+O(a' pen%enda-$ : per-u+8$ /aa- paru d$-uar *er.: PFR&FE=> B+B+8$ /aa- paru d$-uar *er.: PFR&FE=> B+B
+=ar$a($-$'a* /aa- paru ? GB+=ar$a($-$'a* /aa- paru ? GB
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A*ma Per*$*'enA*ma Per*$*'en
+Fre)2. Seran%an : *er$n%+Fre)2. Seran%an : *er$n%
+Lama *eran%an :hamp$r *epanan% 'ahun+Lama *eran%an :hamp$r *epanan% 'ahun
+In'en*$'a* *eran%an : (era'+In'en*$'a* *eran%an : (era'+D$an'ara *eran%an :%ea-a *$an% dan ma-am+D$an'ara *eran%an :%ea-a *$an% dan ma-am
+T$dur dan a)'$0'a* : *an%a' 'er%an%%u+T$dur dan a)'$0'a* : *an%a' 'er%an%%u
+Pem. 0*$) d$-uar *er.: 'd) pernah norma-+Pem. 0*$) d$-uar *er.: 'd) pernah norma-
+O(a' pen%enda-$ : per-u+O(a' pen%enda-$ : per-u+8$ /aa- paru d$-uar *er.:PFR&FE=> CB+8$ /aa- paru d$-uar *er.:PFR&FE=> CB
+=ar$a($-$'a* /aa- paru : ? @B+=ar$a($-$'a* /aa- paru : ? @B
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Ta'a-a)*ana A*ma Ana) <an%)a Ta'a-a)*ana A*ma Ana) <an%)a
panan%!panan%!
5 Tuuan umum: Tuuan umum:
8n'u) menam$n 'erapa$nya po'en*$ Tum(uh Kem(an%8n'u) menam$n 'erapa$nya po'en*$ Tum(uh Kem(an%Ana) TKA!*eara op'$ma-Ana) TKA!*eara op'$ma-
5 Tuuan )hu*u*: Tuuan )hu*u*:
>.Dp' mena-an$ a)'$0'a* norma-, 'erm*) (erma$n 9 OR>.Dp' mena-an$ a)'$0'a* norma-, 'erm*) (erma$n 9 OR3.Se*ed$)$' mun%)$n an%)a a(*en*$ *e)o-ah.3.Se*ed$)$' mun%)$n an%)a a(*en*$ *e)o-ah.
G.4ea-a 'd) '$m(u- *$an% a'aupun ma-am har$G.4ea-a 'd) '$m(u- *$an% a'aupun ma-am har$
.8$ /un%*$ paru *enorma- mun%)$n..8$ /un%*$ paru *enorma- mun%)$n.
@.K('hn o(a' *em$n$ma- mun%)$n 9 'd) ada *eran%[email protected]('hn o(a' *em$n$ma- mun%)$n 9 'd) ada *eran%an
.E/e) *amp$n% o(a' dp' d$e%ah a%ar 'd) a'au *e*ed$)$'.E/e) *amp$n% o(a' dp' d$e%ah a%ar 'd) a'au *e*ed$)$'mun%)$n '$m(u-, 'eru'ama y% mempen%aruh$ TKAmun%)$n '$m(u-, 'eru'ama y% mempen%aruh$ TKA
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TATALAKSANA MEDIKAMENTOSA TATALAKSANA MEDIKAMENTOSA
Ada 3 )e-ompo) (e*ar o(a' a*ma :Ada 3 )e-ompo) (e*ar o(a' a*ma :
5 >.O(a' pereda re-$e1er!>.O(a' pereda re-$e1er!
8n'u) mereda)an *eran%an8n'u) mereda)an *eran%an
5 3.O(a' pen%enda-$ on'ro--er!3.O(a' pen%enda-$ on'ro--er! 8n'u) mene%ah a'au o(a'8n'u) mene%ah a'au o(a'
pro0-a)*$*pro0-a)*$*
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TATALAKSANA MEDIKAMENTOSA TATALAKSANA MEDIKAMENTOSA
5 A*ma ep$*od$) aran%A*ma ep$*od$) aran%
u)up den%an o(a' pereda (erupau)up den%an o(a' pereda (erupa
(ron)od$-a'or :(ron)od$-a'or :
+ o(a'3 (.a%on$* *a-(u'amo-,+ o(a'3 (.a%on$* *a-(u'amo-,
'er(u'a-$n!'er(u'a-$n!
+ o(a'3 %o-. *an'$n 'eo0-$n!+ o(a'3 %o-. *an'$n 'eo0-$n!
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TATALAKSANA MEDIKAMENTOSA TATALAKSANA MEDIKAMENTOSA
5 A*ma Ep$*od$) Ser$n%A*ma Ep$*od$) Ser$n%
+O(a' (.A%on$*+O(a' (.A%on$*
+O(a' %o- *an'$n.+O(a' %o- *an'$n.
+O(a' pen%enda-$+O(a' pen%enda-$
+ O(a' *'ero$d h$rupan do*$*+ O(a' *'ero$d h$rupan do*$*
)e$-)e$-
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TATALAKSANA MEDIKAMENTOSA TATALAKSANA MEDIKAMENTOSA
5 A*ma Per*$*'enA*ma Per*$*'en
+ O(a' *'ero$d h$rupan do*$* '$n%%$+ O(a' *'ero$d h$rupan do*$* '$n%%$
+ O(a' *'ero$d ora-+ O(a' *'ero$d ora-
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TATALAKSANA MEDIKAMENTOSA TATALAKSANA MEDIKAMENTOSA
5 Ta(e- en$* a-a' $nha-a*$ d$*e*ua$)an den%+ Ta(e- en$* a-a' $nha-a*$ d$*e*ua$)an den%+
an u*$a :an u*$a :
8mur8mur A-a' $nha-a*$A-a' $nha-a*$ C 3C 3'h'h Ne(u-$*er, Aeroham(er, 7a(yha-er Ne(u-$*er, Aeroham(er, 7a(yha-er
3+3+'h'h J , J , J+J , J , J+
*paer*paer@+@+'h'h Ne(u-$*erMDI den%an *paer Ne(u-$*erMDI den%an *paer
? ? 'h'h Ne(u-$*erMDINe(u-$*erMDI
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PENE4AHANPENE4AHAN
5 Pen%enda-$an -$n)un%an h$ndar$ a*apPen%enda-$an -$n)un%an h$ndar$ a*ap
ro)o)!ro)o)!
5 Pem(er$an ASI e)*-u*$/ (u-anPem(er$an ASI e)*-u*$/ (u-an5 Pen%uran%an paanan 'un%au, de(uPen%uran%an paanan 'un%au, de(u
rumah, (u-u ($na'an%!rumah, (u-u ($na'an%!
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TATALAKSANA SERAN4AN ASMA TATALAKSANA SERAN4AN ASMA
5 Seran%an a*ma ada-ah ep$*odSeran%an a*ma ada-ah ep$*od
pen$n%)a'+ an y% pro%re*$/ dar$pen$n%)a'+ an y% pro%re*$/ dar$
%ea-a3 (a'u), *e*a) napa*,%ea-a3 (a'u), *e*a) napa*,2hee#$n%, ra*a dada 'er'e)an a'au2hee#$n%, ra*a dada 'er'e)an a'au
(er(a%a$ )om($na*$ dar$ %ea-a(er(a%a$ )om($na*$ dar$ %ea-a
'er*e(u'.'er*e(u'.
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TATALAKSANA SERAN4AN ASMA TATALAKSANA SERAN4AN ASMA
5 Tuuan 'a'a-a)*ana *eran%an a*ma: Tuuan 'a'a-a)*ana *eran%an a*ma:
+ Mereda)an penyemp$'an+ Mereda)an penyemp$'an
*a-.re*p$ra'or$)*a-.re*p$ra'or$) *eepa' mun%)$n*eepa' mun%)$n + Men%uran%$ h$po)*em$a+ Men%uran%$ h$po)*em$a
+ Men%em(a-$)an /un%*$ paru )e+ Men%em(a-$)an /un%*$ paru )e
)eadaan)eadaan norma- *eepa'nya.norma- *eepa'nya. + Renana re+e1a-ua*$ 'a'a-a)*ana an%)a+ Renana re+e1a-ua*$ 'a'a-a)*ana an%)a
panan% un'u) mene%ah )e)am(uhanpanan% un'u) mene%ah )e)am(uhan
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DERA<AT SERAN4AN ASMADERA<AT SERAN4AN ASMA
5 Seran%an A*ma R$n%anSeran%an A*ma R$n%an
5 Seran%an A*ma Sedan%Seran%an A*ma Sedan%
5 Seran%an A*ma 7era'Seran%an A*ma 7era'
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Seran%an A*ma R$n%anSeran%an A*ma R$n%an
5 Seran%an Se*a), ma*$h ($*a (era-an,Seran%an Se*a), ma*$h ($*a (era-an,menan%$* )era*, ($ara )a-$ma' ma*$hmenan%$* )era*, ($ara )a-$ma' ma*$h($*a. Po*$*$ (ar$n%.($*a. Po*$*$ (ar$n%.
5 Ke*adaran norma-, mun%)$n $r$'a(-eKe*adaran norma-, mun%)$n $r$'a(-e
5 T$da) *$ano*$* T$da) *$ano*$*
5 "hee#$n% *er$n% pada a)h$r ep$ra*$"hee#$n% *er$n% pada a)h$r ep$ra*$
5 Ta)$pnu, re'ra)*$ d$nd$n% dada dan%)a- Ta)$pnu, re'ra)*$ d$nd$n% dada dan%)a-$n'er)o*'a-!$n'er)o*'a-!
5 Nad$ ma*$h norma-Nad$ ma*$h norma-
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Seran%an A*ma Sedan%Seran%an A*ma Sedan%
5 Seran%an Se*a), (era-an *u*ah, 'an%$*Seran%an Se*a), (era-an *u*ah, 'an%$*pende) -emah, *u-$' m$num. 7$ara )a-$ma'pende) -emah, *u-$' m$num. 7$ara )a-$ma''erpen%%a-, Le($h *u)a dudu).'erpen%%a-, Le($h *u)a dudu).
5 Ke*adaran $r$'a(-eKe*adaran $r$'a(-e
5 T$da) S$ano*$* T$da) S$ano*$*
5 "hee#$n% nyar$n% *epanan% ep$ra*$"hee#$n% nyar$n% *epanan% ep$ra*$
5 Ta)$pnu, re'ra)*$ d$nd$n% dada *edan%, Ta)$pnu, re'ra)*$ d$nd$n% dada *edan%,re'ra)*$ $n'er)o*'a-, *upra*'erna-re'ra)*$ $n'er)o*'a-, *upra*'erna-
5 Nad$ : 'a)$)ard$aNad$ : 'a)$)ard$a
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Seran%an A*ma 7era'Seran%an A*ma 7era'
5 Seran%an *e*a), $*'$raha', '$da) mauSeran%an *e*a), $*'$raha', '$da) mau
m$num& ma)an. Dudu) (er'opan% -en%anm$num& ma)an. Dudu) (er'opan% -en%an
5 Ke*adaran $r$'a(-e & %e-$*ahKe*adaran $r$'a(-e & %e-$*ah5 S$ano*$*S$ano*$*
5 "hee#$n% *an%a' nyar$n%, 'erden%ar"hee#$n% *an%a' nyar$n%, 'erden%ar
'anpa *'e'o*)op. Napa* (era'.'anpa *'e'o*)op. Napa* (era'.5 Ta)$pnu, re'ra)*$ da-am. NH Ta)$pnu, re'ra)*$ da-am. NH
5 Nad$ 'a)$)ard$aNad$ 'a)$)ard$a
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Seran%an a*ma r$n%anSeran%an a*ma r$n%an
5 Ne(u-$*a*$ *e)a-$ mem(er$ re*pon (a$)Ne(u-$*a*$ *e)a-$ mem(er$ re*pon (a$)
5 O(*er1a*$ > am (a$), d$pu-an%)anO(*er1a*$ > am (a$), d$pu-an%)an
5 D$(e)a-$ o(a' (.a%on$* h$rupan a'au ora-D$(e)a-$ o(a' (.a%on$* h$rupan a'au ora-5 S'ero$d ora- an%)a pende) G+@har$S'ero$d ora- an%)a pende) G+@har$
5 D$anur)an )e)-$n$) ra2a' a-anD$anur)an )e)-$n$) ra2a' a-an
5 <$)a o(*er1a*$ I am %a%a-, d$'a'a-a)*ana <$)a o(*er1a*$ I am %a%a-, d$'a'a-a)*ana*e(a%a$ *eran%an a*ma *edan%*e(a%a$ *eran%an a*ma *edan%
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Seran%an A*ma Sedan%Seran%an A*ma Sedan%
5 Ne(u-$*a*$ 3 )a-$ , re*pon par*$a-, ($a*anyaNe(u-$*a*$ 3 )a-$ , re*pon par*$a-, ($a*anya
ra2a' > har$. O)*$%en 'e'ap d$'eru*)anra2a' > har$. O)*$%en 'e'ap d$'eru*)an
5 Ne(u-$*a*$ (.a%on$*an'$)o-$ner%$)Ne(u-$*a*$ (.a%on$*an'$)o-$ner%$)5 D$(er$)an *'ero$d *$*'em$)ora-! G+@ har$D$(er$)an *'ero$d *$*'em$)ora-! G+@ har$
5 Se-ama o(*er1a*$ ($a*anya d$pa*an%$Se-ama o(*er1a*$ ($a*anya d$pa*an%$
a-ur $n'ra1ena. a-ur $n'ra1ena.
5 7$-a da-am >3 am 'e'ap *'a($-, dapa'7$-a da-am >3 am 'e'ap *'a($-, dapa'
d$pu-an%)an. Kon'ro- ra2a' a-an.d$pu-an%)an. Kon'ro- ra2a' a-an.
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Seran%an A*ma 7era'Seran%an A*ma 7era'
5 Den%an ne(u-$*a*$ G )a-$ (er+'uru'3 'd)Den%an ne(u-$*a*$ G )a-$ (er+'uru'3 'd)
menunu))an repon, pa*$en d$ra2a' $nap.menunu))an repon, pa*$en d$ra2a' $nap.
5 O)*$%en 3+ -&men$'O)*$%en 3+ -&men$'
5 Deh$dra*$, a*$do*$* d$)ore)*$Deh$dra*$, a*$do*$* d$)ore)*$
5 S'ero$d $n'ra1ena '$ap + amS'ero$d $n'ra1ena '$ap + am
5 Ne(u-$*a*$ (.a%on$*an'$)o-$ner%$) +)a-$Ne(u-$*a*$ (.a%on$*an'$)o-$ner%$) +)a-$
5 Am$no0-$n $n'ra1enaAm$no0-$n $n'ra1ena5 <$)a per(a$)an da-am 3am, *'ero$d dan <$)a per(a$)an da-am 3am, *'ero$d dan
am$no0-$n d$%an'$ perora-, d$pu-an%)anam$no0-$n d$%an'$ perora-, d$pu-an%)an
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O(a'3 yan% *er$n%O(a'3 yan% *er$n%
d$%una)and$%una)an5 (.a%on$* Sa-(u'amo-. Ter(u'a-$n!(.a%on$* Sa-(u'amo-. Ter(u'a-$n!
Do*$*: B.B@+B,>m%&)(77&)a-$!Do*$*: B.B@+B,>m%&)(77&)a-$!
5 An'$)o-$ner%$) Ipra'rop$um (rom$de!An'$)o-$ner%$) Ipra'rop$um (rom$de!5 S'ero$d predn$*on!S'ero$d predn$*on!
Do*$*: B,@+>m%.)%77&har$ d$(a%$ do*$*!Do*$*: B,@+>m%.)%77&har$ d$(a%$ do*$*!
5 4o-.*an'$n 'eo0-$n!4o-.*an'$n 'eo0-$n!Do*$*: >@m%&)%77&har$Do*$*: >@m%&)%77&har$
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