7/27/2019 SES - Medical Timeline
1/3
Ocva Ocra Palmn`la
Oabmjnl Bavmjas Rc Onrkat
mi Lass RmoaZAZ usas n prcvai nltarintmva tc tda
trnbmtmcinl umlb-tast-ocbmey-rapant ocbal
ecr bavalcpmif oabmjnl bavmjas tdnt jni
rabuja tmoa-tc-onrkat `y ns oujd ns 01%.
prcgAjt tmoAl
ZAZ Aeecrt Pnta
Ztnibn
Aeecrt P
Dcurs
cE AEEcrt
Mts n jcooci erustrntmci ecr bavmja bavalcpars7 n prctctypa prcbujt ms nvnmln`la
qumjkly, `ut mt ony `a ocitds cr avai yanrs `aecra tdnt bavmja jni `a sclb. ZAZ ceears n enstar npprcnjd.
Ecjusab Anrly Aeecrt ZAZ npplmas n frant banl ce aeecrt anrly
mi tda basmfi prcjass tc tdcrcufdly uibarstnib bavmja euijtmci,
oniuenjturmif, jcst nib ralmn`mlmty. Rdms uibarstnibmif ms baval-
cpab tdrcufd batnmlab avnluntmci ce tda basmfi usmif prabmjtmva
ninlysms, tastmif tc bataromia `nsalmia `adnvmcr, nib jnraeul
ontarmnls jdnrnjtarmzntmci nib salajtmci. @y bmsjcvarmif nib ra-
sclvmif prc`laos anrly, surprmsas nra nvcmbab nib lntar stnfas
ce tda prcjass fc enstar nib ocra socctdly. Jco`miab wmtd
axpartmsa nib axparmaija, tdms elaxm`mlmty ms wdnt oniy jlmaits
jcismbar cur jcopniys ocst vnlun`la nssat.
Elaxm`la, Oultm-Bmsjmplminry Ztneif ZAZ dns tda stneemif
baptd tc baplcy aifmiaars wmtd spajmnlmzab axpartmsa wdai nib
wdara tdamr skmlls nra iaabab. Rdms mijlubas axparts mi tda nrans
ce oajdnimjs, plnstmj nib oatnl ontarmnls, elumbmjs, tdaronl
sjmaija, tastmif, prcbujt/prcjass ralmn`mlmty, nib oniy oniu-
enjturmif prcjassas. Rdasa axparts nra `rcufdt citc tda prcgajt
tano wdai tday nra iaabab mi tda bavalcpoait prcjass nib
sdmet cee ce tda tano cija tdamr axpartmsa ms ic lcifar iajassnry.
OabmjnlRajdiclcfmas
Boabmjnl.strass.jco
7/27/2019 SES - Medical Timeline
2/3
X
P
C
J
A
Z
Z
X
P
C
J
A
ZZ
c i j A p t X d n s A
a trnbmtmcinl npprcnjd avnluntas wdnt ms
abab nib tcc qumjkly sattlas ci n jcijapt
oaat tdcsa iaabs. Rdms typmjnlly rasults
n jcoprcomsa mi tda basmfi tdnt bcasit
cvmba onxmouo parecronija mi niy
pajt ce tda basmfi.
X r A l m o m i n r y B A s m f i X d n s A
Kay alaoaits ce n basmfi nra Ecro, Emt nib Euijtmci.
Rda trnbmtmcinl npprcnjd ecjusas ci tda ecro nib emt
ce tda jcopciaits ns raqumrab ecr tda jcijapt, cetai
iaflajtmif euijtmci.
B A t n m l B A s m f i X d n s A > & 0
Rda trnbmtmcinl npprcnjd stnrts wmtd tastmif n euijtmcinl
prctctypa, tdai ravmsmif tda jcijapt nsab ci prctctypa parecr-
onija. Nictdar prctctypa ms tdai prcbujab erco tda ravmsab
basmfi nib nfnmi uibarfcas tastmif. Jcisaquaijas ce tdms
npprcnjd nra7 (>) mt jni `a bmeemjult tc jcivarfa ci n eminl basmfi,
(0) tda eminl basmfi ms gust fccb aicufd, nib (:) tda sjnla up
tc prcbujtmci jni prasait pravmcusly uic`sarvab prc`laos.
p A j m E M j n t m c i
niy prcgajts afmi wmtd n lccsaly baemiab spajmem-
tmci ce wdnt tda eminl prcbujt omfdt `a. Ztnrtmif
td n lccsa spajmemjntmci ms rmsky nib jni `a vary
staeul. Basmfimif tc n tnrfat tdnt ms ict raqumrab
l nbb iaablass jcst nib jcoplaxmty. Me ni njtunl
qumraoait ms omssab erco tda mimtmnl spajmemjntmci,
a wdcla jcijapt ony iaab tc `a sjrnppab nib
a tano sait `njk tc tda brnwmif `cnrb.
da ZAZ npprcnjd mijlubas spaibmif nbbmtmcinl
oa nib aeecrt `aecra tda jcijapt pdnsa tc ravmaw,
vmsa, nib jlnrmey tda spajmemjntmci.
a rasult ce tdms aeecrt ms tc prcvmba n spajmemjntmci
nt ontjdas wdnt ms truly raqumrab tc jranta n
cb prcbujt, wmtd ic axtrniacus mtaos icr omssmif
qumraoaits. Rdms ultmontaly snvas bavalcpoait jcst
b rabujas tda rmsk ce rawcrk burmif tda prcgajts.
Z A Z j c i j A p t p d n s A
Rda ZAZ npprcnjd tnkas nbbmtmcinl tmoa mi tda jci-
japt pdnsa tc astn`lmsd n jtmcin`la raqumraoaits
nib oansura `nsalmia parecronija bntn. Zavarnl
jcijapts nra bavalcpab nib avnluntab usmif
aifmiaarmif emrst prmijmplas nib smopla tasts tc
nssass eansm`mlmty. Xrmcr tc tda bcwi-salajt njtmvmty,
tdasa jcijapts nra eurtdar avnluntab ecr tdamr
nitmjmpntab ralmn`mlmty, oniuenjturmif jcoplaxmty,
nib jcst. Rda rasult ce tnkmif tdms nbbmtmcinl tmoa
up-ercit ms mivnrmn`ly n `attar, ocra oniuenjturn`la
jcijapt.
Z A Z X r A l m o m i n r y B A s m f i X d n s A
Mi crbar tc `umlb n dmfdar laval ce uibarstnibmif,
ZAZ jcismbars oultmpla jcijapts mi tda Xralmominry
Basmfi pdnsa aecra salajtmif n praearrab npprcnjd.
Ecr anjd jcijapt wa wmll typmjnlly (>) jranta vmrtunl
ocbals tc prabmjt parecronija nib mbaitmey kay
euijtmcinl jdnrnjtarmstmjs, (0) avnlunta oniuenjtur-
n`mlmty, (:) astmonta saismtmvmty tc tclarnijas nib
(2) tast smoplmemab `ranb-`cnrb ocbals tc varmey
cur ninlysms. Rda rasult ms dmfdar jciembaija tdnt tda
prcbujt wmll parecro ns axpajtab, nib n smfimemjnitly
sdcrtaiab trnisear tc prcbujtmci.
Z A Z b A t n m l A b b A s m f I p d n s A
Rda ZAZ npprcnjd nvcmbs `umlb nib tast
mtarntmcis. ZAZ usas emibmifs erco tda
pralmominry basmfi tc jcivarfa ci n batnmlab
basmfi. Rdms basmfi ms cptmomzab wmtd raspajt
tc tda kay parecronija jdnrnjtarmstmjs
nib plniiab oniuenjturmif oatdcbs. Rda
jrantmci nib tastmif ce prctctypas ms oaraly
ecr jciemrontmci ce prabmjtab parecronija.
Rastmif ms faiarnlly sujjasseul nib nbbmtmcinl
basmfi cr rawcrk ms omimonl.
Z A Z R r n i s E A r t c X r c b u
Rda ZAZ prcjass lavarnfas tda enjt
dnva mijcrpcrntab fccb oniuenjtu
prnjtmjas erco tda vary afmiimif, n
tdrcufdcut tda basmfi prcjass. @aj
basmfi npprcnjdas dnva aai ravma
oniuenjturmif frcups, tdara nra ic
nib ic ongcr rawcrk. Vmtd ZAZ, anr
tmci ce oniuenjturn`mlmty enjmlmtntas n
nib rcutmia trnisear tc prcbujtmci.
R r n i s E A r t c X r c b u j t m c i
Qsmif tda trnbmtmcinl `umlb nib tast npprcnjd,
trnisear tc prcbujtmci jni `a bmeemjult nib tmoa
jcisuomif. Rdms npprcnjd ms ict jcibujmva tc
nrrmvmif nt n prcbujt tdnt ms ansy tc oniuenjtura.
Nb bm tm ci nl ZA Z B as mf i Xd ns as
Jdnrnjtarmzntmci
Rda ZAZ npprcnjd tnkas nbbmtmcinl tmoa tc
astn`lmsd njtmcin`la raqumraoaits nib oansura
`nsalmia parecronija bntn.
Xralmominry Eansm`mlmty & Ninlysms
B Jni mt `a oniuenjturab3
B Vmll mt oaat cparntmcinl axpajtntmcis wmtdmi
tda ontarmnls lmomts3
B Bcas mt enll wmtdmi jcst pnrnoatars3
R m o A Z n v
7/27/2019 SES - Medical Timeline
3/3
N`cut Ztrass Aifmiaarmif Zarvmjas
Astn`lmsdab mi >=60, ZAZ ms ni aoplcyaa cwiab jcopniy.
Va dnva dnb n babmjntab oabmjnl tajdiclcfmas prnjtmja
smija >==1, ecjusmif ci bavmja bavalcpoait, bmnficstmjs,rc`ctmjs, mistruoaits, bmspcsn`las nib ralmn`mlmty. Cur stnee
ms axparmaijab mi n bmvarsa rnifa ce aifmiaarmif bmsjmplmias
mijlubmif oajdnimjnl, mcoabmjnl, oniuenjturmif, alajtrmjnl,
oatnllurfmjnl, ontarmnls, tdacratmjnl nib npplmab oajdnimjs.
Cvar 48% ce ZAZ aifmiaars dclb nbvnijab bafraas, ocst
nra lmjaisab X.A.s nib tda nvarnfa aifmiaar dns ocra tdni
>1 yanrs axparmaija cvar n `rcnb rnifa ce mibustrmas.
Vdnt Jlmaits nra snymif n`cut ZAZ
[ZAZ aifmiaars_ dalpab tnka cur basmfi nib wmtdmi n waak,
moprcvab mt tc dalp snva omllmcis mi prcbujtmci jcsts. M wculb dmfdly
rajcooaib tda Ztrass Aifmiaarmif stnee.aifmiaarmif oninfar
Cur jcopniy dns n lcif dmstcry ce wcrkmif wmtd ZAZ, nib wa
jcitmiua tc `a moprassab wmtd tdamr n`mlmty tc nbnpt tc cur iaabs.
Va astmonta tdamr aeecrts snvab us : ocitds ci ni cvarnll >0 ocitd
sjdabula erco jcijapt tc ralansa, `ut ocra mopcrtnitly tda basmfi
wns eully cptmomzab `aecra tccl ralansa nib tda bavalcpoait pdnsa
wns axtraoaly aeemjmait.
vmja prasmbait ce aifmiaarmif
& prcbujt bavalcpoait
Ecr n Enstar Npprcnjd
tc Bavalcpmif Ocra Palmn`la Oabmjnl Bavmjas
Jnll ZAZ Rcbny nt 1>:-::5-568>
CI RDA VA@ NR OABMJNL.ZRPAZZ.JCO
JMIJMIINRM DCQZRCI IAV CPLANIZ @NRCI PCQFA JNLFNP]
08>0 Ztrass Aifmiaarmif Zarvmjas, Mij. 2>4