Handreiking ICIDH-Logopedie. September 2004

Hadkg ICIDH-Lgpd Spmb 2004 1

INHOUD I. Algm ldg... 4 II. Dlllg hadkg... 4 III. K mchjvg ICIDH-Lgpd... 4 IV. Cd ICIDH-L... 5 IV.1 Cd ICIDH-L p vau:...5 IV.1.1 Aad va d... 5 IV.1.2 E va d... 6 IV.2 Cd ICIDH p vau va bpkg...9 IV.2.1 Algm... 9 IV.2.2 Bpkg: yp (aad) va bpkg... 9 IV.2.3 Bpkg: va bpkg... 10 IV.3 Cd ICIDH p vau va hadcap... 11 IV.3.1 Algm... 11 IV.3.2 Hadcap: yp (aad) va hadcap... 11 IV.3.3 Hadcap: va hadcap... 11 V. Ofcauïk... 12 V.1 Ofcauïk h audv fuc...12 V.2 Ofcauïk m...13 V.3 Ofcauïk aal...13 V.3.1 Ofcauïk aal - aalwkklg... 13 V.3.2 Ofcauïk aal - afa... 14 V.4 Ofcauïk acula...15 V.4.1 Ofcauïk acula - akula... 15 V.4.2 Ofcauïk acula- dyah... 15 2

V.5 Ofcauïk vldhd m va h pk...16 V.5.1 Ofcauïk... 16 V.6 Ofcauïk vg (va blag bj lgpdch hadl).17 VI. Rula fcauïk... 17 VI.1 Ofcauïk h audv fuc... 17 VI.2 Ofcauïk m...18 VI.3 Ofcauïk aal...18 VI.3.1 Ofcauïk aal - aalwkklg... 18 VI.3.2 Ofcauïk aal - afa... 18 VI.4 Ofcauïk acula...18 VI.4.1 Ofcauïk acula - acula... 18 VI.4.2 Ofcauïk acula- dyah... 19 VI.5 Ofcauïk vldhd m va h pk...19 VI.5.1 Ofcauïk... 19 VI.6 Ofcauïk vg...19 VII. Va ICIDH aa ICF... 20 VIII. Lauu... 20 3

I. Algm ldg D ICIDH-L (Iaal Clafca f Impam, Dabl ad Hadcap - Lgpd) gbad p aaal clafcaym va d Wld Halh Ogaa am u 1980. D gbuk va d ICIDH-L aa b d lgpd hd va aal m.b.. d lgpdch dag. Ezlfd aal bvd d dlg cmmuca. Omda d dagcd zj afgld va aaal clafcaym, ka d lgpdch bpgp dz aa g zch wjzg. D hf gvlg, da d dvdul lgpd zch aljd ka vd d gbuk dagcd. Wa w ch zlfd aal wll pk, zull w d afgpk wd gl m gbuk. II. Dlllg hadkg Dz hadkg wl dudljkhd gv v h cd va d lgpdch dag ICIDH-L. Aa h d va dz hadkg cauïk pgm, waam h gbuk va d ICIDH-L gfd ka wd. Bj h lz va dz hadkg h pakch m d ICIDH-L b hadbk hbb. D ICIDH-L dhalv al bjlag gvgd. D ICIDH-L clafca zal d km vvag wd d d ICF-L (Iaal clafca va h mljk fuc - Lgpd). D clafcaym mml g klaa m wd gïmplmd d Lgpd Ifma Sym. Zlag b fmaym d ICIDH-L wd gbuk v d cdg va d lgpdch dag hf dz hadkg waad. III. K mchjvg ICIDH-Lgpd D lgpdch dag wd p 3 vau gld, amljk:, bpkg é hadcap P vau wd zwl d aad al va d aadg gcdd. D bg m zch m da lgpdch dag ICIDH-L baa u 6 cd, amljk yp (aad) va (1) + va (2) aad va bpkg (3) + va bpkg (4) aad va hadcap (5) + va hadcap (6) E ka maxmaal 4 lag dp wd vaglgd. H cjf gf d hfdgp aa. 4

Bjvbld: 3 = aal daaach vlg maxmaal 3 ubvau: 3.1 = aalwkklg 3.1.2 = aalwkklg, hud 3.1.2.1 = aalwkklg, hud, pducf D lgpd cd all d dag, d vlg u d vaagllg va d paë. Bjvbld: Va paë, d zch m mklach d lgpd wd, maa d k dylcch bljk zj, wd all d mklach gd bj d lgpdch dag. IV. Cd ICIDH-L IV.1 Cd ICIDH-L p vau: IV.1.1 Aad va d B d ICIDH-L wd 9 hfdgp dchd, amljk: 1000 = H audv fuc 2000 = Sm 3000 = Taal 4000 = L- chjfpblm 5000 = Acula 6000 = Naal 7000 = S vldhd m va h pk 8000 = Afwjkd mdgw / d (-)mk 9000 = Ovg (va blag bj lgpdch hadl) Bmucuu Bj d m hfdgp ka 3 lag dp wd gcdd. Bj d aalwkklg ka m zlf 4 lag dp cd. (z vgaad vbld) T wlk laag d lgpd cd, hag af va d aad va d lgpdch. Bjvbld: Hfdgp S vldhd m va h pk (7000) hf lch 2 lag. Z vm 7000 vldhd m va h pk d laag. D wd laag baa u 7100, 7200, bddl, 7300, adquaa pkmp 7400 ad vldhd m va h pk. Hfdgp Sm (2000) vdld 3 lag, waabj d vdlg S d mpduc (2100) S mkwal (2200) d wd laag vm. Zwl 2100 al 2200 zj vd vdld (2110, 2120, 2130 ) Dz dvdlg vm d dd laag. Hg d bm Wa bj aalwkklg pak va pblm zwl d acv- al pav wdcha d d dag ICIDH-L zj 3.1.2.0, amljk: 3 = aal 3.1 = aalwkklg 5

3.1.2 = aalwkklg - mak 3.1.2.0 = aalwkklg - mak - g kuz cpf f pducf Wa bj aalwkklg pak va pblm zwl hud al aalvm da d d dag ICIDH-L zj 3.1.0.0, amljk: 3 = aal 3.1 = aalwkklg 3.1.0. = g kuz vm, hud f pagmak 3.1.0.0 = g kuz m mgljk cpf p pducf D bj bd f 2 lag hg bljv d cdg, wd d cmplx va d aaggv. D lgpd vplch m mmaal 2 lag dp c. N: All h gbuk va d hfdgp (1000, 2000, 3000 ) gaa. D zal d pakjk pblm plv! Zal d vmld d ICIDH-L gbad p aaal clafca ym. Op ba va zch a 1980 vd w d plaag va bpaald d hfdgp aljd cc. Bjvbld: 5.1.2.0 = flgch acula E flgch afwjkg aal g acula. Om cc c zu gljk gkz m wd v cd 3.1.1.0 v g éé laag dp 3.1.1.1 f 3.1.1.2. (Taalwkklg - aalvm w.. vall flg, mflg, yax (cpf / pducf) Nadl va dz kuz ch, da wa bj kd pak va flgch afwjkg, aa pblm yax / f mflg,d bhadlg cmplx zal zj, wjl d ug km d dagcd. All wd mm gva d d cdg 3.1.1.0. H daam b m kd m flgch pblmak ch c d 5.1.2.0. Wa da k pak va pblm yax mflg hf m d mgljkhd dz al 2d dag cd d 3.1.1.0. N: D lgpd zal bj uw v v kz m dgljk vlkmhd h ym vb. Vlpg hbb w ch all d bchkkg v d dagym zull w dz aal m gbuk. IV.1.2 E va d D va d wd b d ICIDH-L lk hfdgp p ufm wjz bchv. Z wd bj d aal (zwl aalwkklg (3100) al afa (3200) d va d bchv aa d had va ulag. Bj audv fuc (1400), d waam va vchll (1500), bddl (7200) hypvla (9200) wd mchjvg ggv, d d pakjk dudljk zj. Bj d m, acula, l- chjf, aal, vldhd m, afwjkd mdgdag vg wd d bdlg va d vgla aa d pa va d lgpd. D bdlg va d va dz hd ubjcf é gf h wkvld aaldg dcu v d waad va d ICIDH-L-cdg. Hd lchg p h cd va d va d. IV.1.2.a. E va d / c 6

Bj d aal wd d va d vagld aa d had va ula. Bjvbld: Bj d gp aalwkklg aa auwkug mchv wa vaa wd d 1 = g aalwkklg = mal vaa <-1 SD 2 = lch aalwkklg = c. OF pd. -1/-2 SD 3 = mag aalwkklg = c. EN pd. -1/-2 SD c. OF pd > -2 SD 4 = g aalwkklg = c. EN pd > -2 SD Ok h gld w da bj d adkmg va d ICIDH-L d d bpgp lch, mag g bj aalwkklg zj gdfd. Mgljk b u h m dz df. Al w dzlfd aal wll pk, zull w ch vlpg dz df m ha. IV.1.2.b. E va d / bchjvg ( audv fuc 1400, h waam va vchll (1500), bddl (7200), hypvla (9100) Bj audv fuc (1400), h waam va vchll (1500), bddl (7200), hypvla (9100) bljk d bchjvg d pakjk dudljk. S audv fuc (1400): Z wd bj audv fuc d bpaald d h aaal ubvau, waap uval. Bjvbld: 1 = g 2 = lch = uval p éé va d ubvau d d 1400 3 = mag = uval p w va d ubvau d d 1400 4 = g = uval p d va d ubvau d d 1400 D ubvau zj d vchlld vlakk waap audv ka vkm. 1400 = S audv fuc (aal) Vchlld ubvau: 1410 = Audv dcma 1420 = Audv aaly 1430 = Audv yh 1440 = Ad d audv fuc Wa all pak va audv dcma, da wd d gcdd al 1410, 2 (uval p lch éé ubvau). D c h gljk vbdg. Wa pak va uval va 2 f 3 ubvau, ka p vau all g maa gkz wd v 1400 (hg d bm) D c 3 (mag) f 4 (g) gf da h aaal uvalgbd aa. I d pakjk h vaak dudljk wlk cd gbuk m wd v audf ghug. E audf ghug val d d cag Cgv pychch (cd 9200) aa al zdag bchv d cd 9210 (ghug (cl. audf ghug). N: Ezlfd bchjvg wd k uggz bj cag 1500: S h waam va (vchll ) é cag 8300: d (-)mk. Ok bj dz bd cagë gld, da cdg d dp laag, all amgaa m 2. 7

Bddl (7200) D va bddl wd bpaald d h aaal vchlld bddlkmk. Z f m bj d bchjvg h vlgd aa: 1 = g bddl 2 = lch = w bddlkmk 3 = mag = d bddlkmk 4 = g = v f vjf bddlkmk Bj dz dlg wd d bddlkmk bdld, zal dz 1972 d mv. Mlaa-Bjl wd dchd : z glmag pkmp (hf achylal zj). z vldd wdumplg; hd vall k vhaplg, vplaag, vzadg, lcp, vag akula dgljk cdl vchjl. z adqua, vaak zlf lgch fag m bjbhd admdym z mldch m. z hhalg; hv pvalld zj vlg d gl h pkmp va d cx. Hypvla (9100) D bchjvg bj hypvla al vlg 1 = g 2 = lch = lch bjkmd, d pcp vadljk. 3 = mag = mag bjkmd, d pcp vadljk. 4 = g = g bjkmd, d pcp vadljk. D va hypvla wd du bpaald d d bjkmd. Od bjkmd wd vaa: haklppg, lg, duzlghd I wlk aaal gaad dz bjkmd m vóókm m v g pk wd vgla aa d bdlg va d lgpd. IV.1.2.c. E va d / g bdlg lgpd ( m(2000), acula(5000), l- chjf(4000), aal (6000), vldhd m(7100-7300), afwjkd mdgw / d -mk (8000) Bj m, acula, l - chjf, aal,, afwjkd mdgw d ()-mk wd d va d bdld d d lgpd. Z f m bj dz daggp gljk bchjvg aa: Ebchjvg bj m: 1 = g 2 = lch waamba 3 = pvalld 4 = g pvalld / d 8

Ebchjvg bj acula: 1 = zd m v d / aljd vaabaa 2 = hbaa, wl (m g m) vaabaa 3 = * v dc mgvg ( m g m) vaabaa * v bkd dak m md gd vaabaa 4 = dak m v d /auwljk vaabaa Dz bdlg zj ubjcf; wa d al g bdl, ka d ad lch mag vd. Hlaa h z da d jd da d ICIDH-L wd wkkld d lgpd v dz gp g v bjcv mum f bdlgchal bchk. Uaad zull d km bj d bchjvg va d va m bjcv ca zal bjvbld d Dypha Idx Scal f GRBAS mgm wd. D dcu v d bdlg va d va dz h vkjg va cu hv va d kmg udagg v d al bpgp. Valg zull w ch m m d m d w hbb. IV.2 Cd ICIDH p vau va bpkg IV.2.1 Algm Bj h cd va bpkg gaa h m d bdlg va d zlfdzaamhd va d paë p pljk vau. D aad/ va d bpkg gf aa wa h gvlg va d v d paë al dvdu bk. H gaa h m d aalduk d d paë gf. D lgpd cd d bpkg d h m pval. D cdg va zwl bpkg al hadcap vlg u d bdlg va d lgpd. I all gvall zal d lgpd zj/haa dl ba p fma va d paë zlf /f p u d mgvg, p fma u g dzk u dzk ld. IV.2.2 Bpkg: yp (aad) va bpkg Bmucuu Ok d cdg va d bpkg k bmucuu. Z wd 5 hfdgp dchd; d hfdgp k dvdlg. Al hfdgp wd vmld: 01 = g bpkg 10 = bpkg h bgjp va cmmucav ug 20 = bpkg h zch cmmucaf u 30 = bpkg dlam aa d cmmucav ac 40 = bpkg dk 98 = ad bpkg 9

Id hfdgp baa u aaal ubgp. Z wd hfdgp 10 (bpkg h bgjp va cmmucav ug) vdld : 11 = gpk ug 12 = chfljk ug 13 = -vbal ug 18 = vg Hg d bm Ok bj h cd va h yp bpkg ka v gkz wd m d dp laag c. E afa-paë va h yp Wck (cd 3220) m g zal bpkg va yp 10 hbb, mda aa h bgjp va gpk ug k h bgjp va chfljk ug -vbal ug pblm gf. E wd lch éé bpkg gcdd. Bj bvaad vbld pk h v zch da bpkg h bgjp va cmmucav ug bpkg h cmmucaf u m zch mbg. D wd afzdljk gcdd. Ekl kakg D hfdgp Bpkg dlam aa d cmmucav ac bdld al cmba-cd v d hfdgp 10 = Bpkg h bgjp va cmmucav ug 20 = Bpkg h zch cmmucaf u. Bj bpkg dlam aa d cmmucav ac m gdach wd aa apc va h mak h hud va cac (bum, luhudg.d.) IV.2.3 Bpkg: va bpkg H bdl va d va d bpkg gbu p 4-puchaal. 1 = p aa d acv zlfadg u v, v. m gbuk va hulpmddl. E du g pak va bpkg 2 = p aa d acv u v, zj h m g m f hulp va ad (vul m gbuk va hulpmddl). E pak va lch bpkg 3 = p all m vl m f hulp aa d acv u v (vul m gbuk va hulpmddl) E pak va mag bpkg 4 = p vjwl aa m d acv u v (m gbuk va hulpmddl). E pak va g bpkg. Bj paë d bchkk v hulpmddl wd d bdld m gbuk va h hulpmddl. Id paë aa m m gbuk va h hulpmddl zd pblm fuc, pak va pmal zlfdzaamhd: h hulpmddl hf da d bpkg p. 10

IV.3 Cd ICIDH p vau va hadcap IV.3.1 Algm Bj h cd va aad va hadcap gaa h m d bdlg va d zlfdzaamhd va d paë p caal vau. D hadcap gf aa wa h gvlg va d v d paë al maachappljk wz bk. H gaa h m d aalduk d d paë gf. E wd lch éé hadcap gcdd; d d hadcap d bj d paë h m pval. IV.3.2 Hadcap: yp (aad) va hadcap Bmucuu Bj d cdg va d hadcap wd 3 yp hadcap dchd. D zj 1 = g hadcap 2 = hadcap bp /dagljk bzghd (v kd wd bp pgva al chl) 3 = hadcap cal ga b faml/gz 4 = hadcap cal ga bu faml/gz H cd va hadcap bj kd vaak mljk. Vbld:. Va hadcap bp/bzghd v kd pak bj kd da a.g.v. paak/aalmljkhd p chl v pcaal dwj z.. Ov hadcap d cal ga bu faml/gz wd bj kd bjvbld gpk, wa kd p chl vl wd gp mda h. H kd hd p chl bubj, hf wg vdj IV.3.3 Hadcap: va hadcap H bdl va d va d hadcap gbu v p 4-puchaal. 1 = p aa mal lvvullg, v. m gbuk va hulpmddl. E du g pak va hadcap 2 = p aa mal lvvullg, zj h m g m f hulp va ad (vul m gbuk va hulpmddl) E pak va lch hadcap 3 = p all m vl m f hulp aa mal lvvullg (vul m gbuk va hulpmddl) E pak va mag hadcap 4 = p vjwl aa mal lvvullg (m gbuk va hulpmddl) E pak va g hadcap. Bj paë d bchkk v hulpmddl, wd d bdld m gbuk va h hulpmddl. Id paë aa m m gbuk va h hulpmddl zd pblm fuc, pak va pmal zlfdzaamhd: h hulpmddl hf da d hadcap p. 11

N 1: N 2: N all hbb bpkg f hadcap gvlg. D vaak h gval bj d d vkm bj kd. Glukkg!!. D wl ch zgg da dz g lgpdch bhadlg bhv.. D aawzghd va bpkg hadcap va blag bj h kaa bg va d lgpdch klach zal l pl bj d bpalg va bhadldl / happla. Ok h z, da d aa/afwzghd va bpkg f hadcap d lg va d lgpdch bhadlg zud ku vkla ICIDH al vchlld mal p aaal vau hz. D mlg aagpa. Z wd al g jd gpk v pacpa.p.v. hadcap. Ok (wd bpkg wl vvag d fuc vaadghd. Mml wd b d bpgp b d gaumad ym g d gpk v, bpkg hadcap. V. Ofcauïk V.1 Ofcauïk h audv fuc aam: Ry gbdaum: 22.11.1998 vwjz: hua mdch dag: g - vwjz mld p aavaagfmul: p vzk va chl bp / pldg: bachl - d gp 2 klach paë: bh vlg lkach audv lvwaad vldd m d mg m aa gp 3 vgchd/ bjzdhd: va 2 4 jaa vaak mddkg - uamadl vwjdd p 4;6 jag lfjd. Nu m z vaak vkud lgpdch dzk: Taal: Taal v Kd: Wdchakuz:.. = 4,8 c.. = 46 Zbuwkuz:.. = 5,2 c.. = 54 Taal v Kd: Wdchapduc:.. = 4,4 c.. = 38 Zbuwpduc:.. = 4,6 c.. = 42 Audv fuc: Taal v Kd: Audv Syh 1:.. = 2,8 c.. = 14 Wdhkg:.. = 1,9 c.. = 6 Va Ud: audf ghug wd: 4;0 jaa Iappv: jm: vldd yh va lgp: vldd aaly va lgp: vldd wd h z: vldd mpl d: 1 wd z: vldd laa wd z: vldd gljk wd 2 z: vldd bjcva (lag - k): vldd lgpdch dag: z vd 12

V.2 Ofcauïk m aam: Mv. C. Ld gbdaum: 10-10-1962 vwjz: KNO-a mdch dag: mbadplp: lk > ch bp / pldg: blm klach paë: 1. h m 2. m ku zg bad (m-pfl) vgchd / bjzdhd:. d 18 jaa 3 maal lgpd v.w. mbadplp, maa gpd.. amach klach; g mdca - g allg lgpdch dzk: admg: hacaal fa: pkm: mddg - 202 Hz bk: 2,5 caaf - al m gmgd mz max. vkg 80 db bdlg mkwal: GRBAS: 3-0-2-2-0 lgpdch dag: z vd V.3 Ofcauïk aal V.3.1 Ofcauïk aal - aalwkklg aam: Ré gbdaum: 12-08-2000 ( 4 jaa) vwjz: hua mdch dag: ag wkklg p md vlakk, waav g dudljk zaak bp / pldg: bachl, gp 1 klach paë: Rag aljd adquaa p pdach v dd vldd vaabaa. Tg vmd m hj d laa jd g pkaf m. vgchd / bjzdhd: lgpdch dzk:. mal zwagchap gb. lk al baby wg gch m p glud adquaa ag. lp m 18 maad. mljk ha huua - wl zlfadg lap. bag v mch acv (duf g f). md vaa hm al clamg. jg va 2 jg (ud bj va 6 jaa) Taal: Ryll v Taalbgp: TBQ = 80 Schlchg v Taalpduc: WQ = 95 ZQ = 80 13

lgpdch dag: Acula: v/f g / g h fal m bj mlgpg wd dl va zwakk yllab pkdag m af, zda wd gld vaabaahd v dd vldd - md vaa all z vd V.3.2 Ofcauïk aal - afa aam: Dh. Ma gbdaum: 19.09.1925 vwjz: ulg mdch dag: CVA d.d. 26.12.2001 bp / pldg: gpd - vg: gaa va bdjf va chmaakmddl klach paë: pblm m mdlg chfljk cmmuca, val aa dd. I d huua k m paë ma va cmmuc zdag da zld cmmucapblm aa. vgchd / bjzdhd: lgpdch dzk: paë aa CVA aljd gzd gw RESULTATEN Sc Pcl E algm ydm Spa Taalpduc 2 5 2 2 2 3 ------------- ------------------------- Tk T (TT) 25 63 *M *L *L* Napk (NA) 120 63 M *L * *L* Schjfaal (ST) 44 44 *M * *M* L Bm (BE) 94 71 M *L * *L* Taalbgp (TB) 92 66 M *L * *L* Dag CLASSIFICATIE ALLOC : A: 100,0% g. A: 0,0 % (x) Afa GL: 0,0 % WE: 94,8 % BR: 5,2 % AM: 0,0 % ( ) G / afa ( ) Nclaf. afa ( ) Glbal afa (x) Afa va Wck T-waad ST NA TT TB BE ( ) Afa va Bca (plp.) : 49 53 53 54 56 ( ) Amch afa SIGNIFICANTE VERSCHILLEN (alfa aal = 10 %) ST - BE lgpdch dag: z vd 14

V.4 V.4.1 Ofcauïk acula Ofcauïk acula - akula aam: Mal gbdaum: 15.02.2000 (4 jaa) vwjz: hua mdch dag: g - p vwjzg aa vmld dudljk pk bp / pldg: bachl, gp 1 klach paë: Mal lch vaabaa v vmd - ud vaa haa wl D lkach vaa Mal lch, waad Mal h kggpk auwljk h wd m/kjg vgchd / bjzdhd: lgpdch dzk: lgpdch dag: Mal wd walg pgvd (vad: gl - md : dlad) g mddpblmak - g kd gz Taal: Ryll v Taalbgp é Schlchg v Taalpduc (all ddl) wd b adaaddva -1/0 gcd. Acula: L wd g gvmd - vl caclu wd gducd f gubud. l all p kl k p pl p zw m fl f bl k gl l z vd V.4.2 Ofcauïk acula- dyah aam: gbdaum: vwjz: mdch dag: bp / pldg: Dh. Bad 06.11.1928 (75 jaa) ulg zk va Pak gpd - vg ambaa klach paë: I zwl gz al v vmd lch vaa - m val zmaa wg - mklach baa al d 6 jaa, maa zj d laa 6 maad gm vgchd / bjzdhd: lgpdch dzk: dag Pak 4 jaa gld gld Fchay dyah-dzk gf vlgd pfl: 15

16 1 2 3 4 5 6 7 8 flx adm lpp kaak g vlum m vaabaa x x x x x x x x x x x x x x x x x x x x x x x x x x x x h l k k p k l v l u p k u p d l u a l. l p b w p k u p k u u k h f f l a. g b w a l. g b w p k f u c b w m g l. p k j d h g l u d h d p k w d z c v a lgpdch dag: z vd Ofcauïk vldhd m va h pk V.5 Ofcauïk V.5.1 aam: Lau gbdaum: 17-07-1991 (13 jaa) vwjz: hua mdch dag: g - hua mld p vwjzg. bp / pldg: 1 jaa bugkla HAVO klach paë: gldljk am d vhuzg 1 jaa gld vgchd / bjzdhd:. d 6 jaa. kg d lgpd. km faml v lgpdch dzk:. mg : 8 % bj dalg 0 % bj lz. wddlhhalg é blkkad - vl akuladuk é laygal pag. ml cgv cmp zj wkklg pl lch ma l. dvd hd va zj - wd wl gplaagd lgpdch dag: z vd

V.6 Ofcauïk vg (va blag bj lgpdch hadl) aam: gbdaum: vwjz: mdch dag: bp / pldg: klach paë: Mak Ja 02-12-1982 (22 jaa) hua blmmd upaag agv chf uuch (aa d auma) wd hv bk gpd - a auma zj hypvlaklach aa 3 jaa HEAO. bauwdhdaavall amgaad m pakaavall (bklmmd gvl p d b / g luch kjg). mljk zj dc a d maaljd (zg l vl z). lahmm : 6 vgchd / bjzdhd:. klach zj aa a gluk bj vball. md hf v hypvlaklach ghad hv m ucc bhadld. lgpdch dzk: admg: caal admyp m l m mddf wd vaghud lag dpk p éé admg lkk: kz wd gl mddf wd lgla lgpdch dag: z vd VI. Rula fcauïk VI.1 Ofcauïk h audv fuc Ry, 6;3 jaa: Ry dvwz vawg zj vldd audv fuc. Dz bljk bj lgpdch dzk ddaad vldd. Ry c vldd p audv yh wdhkg, k aaly, mpl dg bjcva zj gd wkkld. Zj audf ghug v wd vldd. Lgpdch dag: yp (aad) va : 1400 va : 3 yp (aad) va (2) : 9210 va (2) : 2 aad va bpkg : 98 va bpkg : 3 aad va hadcap : 2 va hadcap : 3 17

VI.2 Ofcauïk m Mv. C Ld: Mv. C. Ld dvwz v mklach. Zj wk al blm zg m-pfl bad. D laa luk vawg haa mklach m Lgpdch dag: yp (aad) va : 2210 va : 2 aad va bpkg : 98 va bpkg : 4 aad va hadcap : 2 va hadcap : 4 (mda mv. vawg haa mklach m ka zg d al m-pfal dd, wd d ch bj hadcap gcdd - cd 2 bj hadcap hf gljk all bkkg p hadcap bp ) VI.3 Ofcauïk aal VI.3.1 Ofcauïk aal - aalwkklg Ré, 4 jaa: Ré d vwz d hua, mda hj vldd ag p pdach v dd lch vaabaa. Lgpdch dag: yp (aad) va : 3110 va : 3 yp (aad) va (2) : 5110 va (2) : 2 aad va bpkg : 21 va bpkg : 2 aad va hadcap : 4 va hadcap : 3 VI.3.2 Ofcauïk aal - afa Dh. Ma: Dh. Ma dvwz d d ulg v.a. afach aa a CVA. Lgpdch dag: yp (aad) va : 3220 va : 3 aad va bpkg : 10 va bpkg : 2 aad va hadcap : 4 va hadcap : 3 VI.4 Ofcauïk acula VI.4.1 Ofcauïk acula - acula Mal, 4 jaa: Mal wd walg pgvd wd d d hua dvwz vawg haa lch vaabaahd. 18

Lgpdch dag: yp (aad) va : 5120 va : 3 aad va bpkg : 21 va bpkg : 2 aad va hadcap : 2 va hadcap : 2 VI.4.2 Ofcauïk acula- dyah Dh. Bad: Dh. Bad dvwz d d ulg vawg lch vaabaahd a.g.v. dyah bj zk va Pak. Lgpdch dag: yp (aad) va : 5240 va : 3 aad va bpkg : 21 va bpkg : 2 aad va hadcap : 3 va hadcap : 2 VI.5 Ofcauïk vldhd m va h pk VI.5.1 Ofcauïk Lau, 13 jaa: Lau 13 jag bugkla d a vhuzg éé jaa gld, gldljk m gg. Hj wd dvwz d d hua. Lgpdch dag: yp (aad) va : 7100 va : 3 aad va bpkg : 21 va bpkg : 2 aad va hadcap : 2 va hadcap : 2 VI.6 Ofcauïk vg (va blag bj lgpdch hadl) Mak Ja, 22 jaa: Mak Ja wd d d hua dvwz mda a pa aa chf uuch hypvlaklach zj aa. Lgpdch dag: yp (aad) va : 9100 va : 3 yp (aad) va (2) : 8200 va (2) : 3 aad va bpkg : 01 (g) va bpkg :.v.. aad va hadcap : 1 (g) va hadcap :.v.. 19

VII. Va ICIDH aa ICF Dz hadkg wd gmaak, wjl al bkd da d ICIDH zj hudg vm g km hf. Ov bpaald jd zal d ICIDH plaa mak v d ICF. ICF aa v Iaal Clafca f Fucg, Dably ad Halh. I h dlad wd gpk v Iaal Clafca va h Mljk Fuc. Waam dz vadg? D ICIDH lg zakljk la u d zjd d aawzghd va d bpkg hadcap adzjd. D cc. Tw p m dzlfd zk ku mm p vchlld wjz fuc w p m hzlfd vau hbb dzakljkwj dzlfd mdch. Pljk- x fac pl blagjk l bj h fuc va h dvdu. I hv mad la / hd dvd va zj wd bpaald d zj pljk bhf zj mgvg. H zj dz laa 2 ddl d d ICF wd mgm, wa h fuc va d p kaa wd gbach. D Iaal ICF d aapag v Ndlad mddl. D aapag v h lgpdch wkvld (ICF-L) m g gmaak wd. D zal éé va d kmg NVLF-pjc wd. Zlag d ICF-L bchkbaa, zull w z lgpdch dag g ICIDH-L cd chp dz hadkg mgljk m dudljkhd bj h gbuk va dz aal. VIII. Lauu z Advz v h gbuk va ICIDH-L auu ld va d wkgp ICIDH L&F umm 5 1998 z ICF, Iaal clafca va h mljk fuc, Ndlad WHO-FIC Cllabag C, ISBN 90 313 3913X, Bh Saflu Va Lghum 2002 z I: amvag va d ICF vd p d vlgd : www.vm.l/wh-fc/publcd_ cf_pdf.hm 20