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Мулло Абдураҳим: «То вақте ки ҲНИТ ташкил нашуд, ҷанги шаҳрвандӣ сар назад»

7-02-2015, 12:41

Мулло Абдураҳим: «То вақте ки ҲНИТ ташкил нашуд, ҷанги шаҳрвандӣ сар назад»
- Ман мулло Абдураҳим. Ман мавлавӣ Абдураҳим. Ман Абдураҳим Каримов. Имрӯз ба идораи ҳафтаномаи “Тоҷикистон” ташриф овардам ва омода ҳастам ба ҳамаи саволҳоятон ҷавоб гӯям.

- Хуш омадед, Абдураҳим Каримович! Шумо ҳарчанд айни замон дар Донишкадаи исломии Тоҷикистон ба номи Имоми Аъзам ба сифати устод фаъолият дошта бошед ҳам, дар Тоҷикистон шуморо чун чеҳраи сиёсӣ мешиносанд. Шумо асосгузори Ҳизби наҳзати исломӣ дар собиқ вилояти Кӯлоб, собиқ раиси Кумитаи гумрук, собиқ муовини раиси агентии мубориза бар муқобили гардиши ғайр қонунии маводи мухаддир ҳастед. Андаке аз сиёсат дур рафтани шуморо мардум антракт дар театри сиёсӣ медонанд ва бар он назаранд, ки шумо дар интихоботи парломонӣ номзадии худро мегузоред. Агар пӯшида нест, номзадии худро аз кадом ҳавза ё ҳизб пешбарӣ мекунед?
- Аз оғози саволатон маълум, ки суҳбат бо шумо вазнин мегузарад. Ростӣ, дар ин масъала то ҳол фикр накардаам. Муддати 4-5 сол мешавад, ки дар Донишкадаи исломии Тоҷикистон ба номи Имоми Аъзам кор мекунам. Дар ин ҷо ба муҳассилин дарс мегӯям. Фикр мекунам, бо ҳамин саҳми худро дар ҷомеа гузошта истодаам.

- Мардум бар он ақида ҳастанд, ки шумо имрӯз ҳам бо Ҳизби наҳзати исломӣ ҳамкорӣ доред. Албатта, фикри дигар низ ҳаст. Мегӯянд, ки шумо одами Ҳукумат ҳастед.
- Ман воқеан асосгузори ҳизби наҳзат дар ҷумҳурӣ, махсусан дар собиқ вилояти Кӯлоб будам. Бо амри тақдир солҳои ҷанги шаҳрвандӣ ҳамчун гуреза дар Афғонистон паноҳ бурдам. Дар Афғонистон қариб панҷ сол, аз соли 1992 то 1997, қумандон будам. Манро чун яке аз қумандонҳои пешқадам ва мубориз мешинохтанд. Пурсед, имрӯз ҳам инро тасдиқ мекунанд. Хаттоб, ки ӯро дар дунё ҳамчун террористи рақами аввал мешинохтанд, муовини ман буд. Айни замон ман узви Ҳизби наҳзат нестам ва ба он ҳамкорӣ ҳам надорам. Ин беҳуда нест, зеро аз таҷрибаи рӯзгор дарк кардам, ки ҳизбҳои исломӣ бар манфиати ислом нестанд. Дар Афғонистон ба ҷомеа фоида не, зарар доштани ҳизбҳои исломиро амиқтар фаҳмидам. Афғонистон бароям як мактаби бузург буд.

- Чаро шумо гумон мекунед, ки ҳизбҳои исломӣ бар зарари исломанд?
- Гумон не, ман инро бо қатъият мегӯям. Вақте ки ҳизб барпо мешавад, ҳадафи асосиаш рӯ ба сиёсат овардан, сари қудрат омадан аст. Барои ба чунин ҳадаф расидан яке аз воситаҳо тафриқа дар ҷомеа андохтан мебошад, ки хилофи фармудаи Қуръон аст.

Кори ин дунё ва охирати мо бар асоси чор унсур бунёд дорад: якум, китоби Қуръон, дуюм, суннат, яъне гуфтору рафтори паёмбари ислом, сеюм, иҷмои уммат, чорум, қиёси муҷтаҳид.

Ин ҳама асли ислом мебошанд. Унсурҳое, ки зикр кардам, мухолиф ва гузашта аз ин, намегузоранд, ки ислом ҳизб дошта бошад. Ислом ихтилоф, парокандагӣ ва хунрезии мардумро намехоҳад. Ҳизб хунрезӣ, ихтилофпартоӣ аст. Фаъолияти ҳизб мардумро ба мардуми дигар ҷанг меандозад. Ҳизб қудратхоҳу манфиатхоҳу маблағхоҳ аст. Ҳизб мардуми мусулмонро пора ва пароканда месозад.

- Аммо ақидае вуҷуд дорад, ки гӯё дар китоби Қуръон калимаи ҳизб зикр ёфтааст. Магар ин наметавонад асос барои таъсиси ҳизби исломӣ гардад?
-Не, ин андеша нодуруст мебошад. Дар Қуръон гуфта мешавад, ки ду гурӯҳ, ё ба истилоҳ ҳизб вуҷуд доранд. Якум, ҳизбуллоҳ, дуюм, ҳизбушшайтон.
Ҳизбуллоҳ ҷонибдори чор унсур: китоби Қуръон, суннат, иҷмоъ, қиёс аст. Ҳизбушшайтон муқобили чор унсури болост. Ҳизб маънои гурӯҳро дорад. Гурӯҳ ба ду қисм тақсим мешавад. Яке гуфтаҳои чор унсурро тасдиқ ва пайравӣ мекунад, дигаре муқобил. Ҳизбҳои исломии имрӯза аз исломи воқеӣ дур афтодаанд. Онҳо исломро бадном мекунанд. Дигар ҳеҷ.

Мисол, Афғонистони ҳамсарҳади мост. Вақте ки ба Афғонистон рафтем, он ҷо гуфтанд, ки 18-20 сол ҷанг идома дорад. Аҳмадшоҳи Масъуд ва оғои Ориёямпур гуфтанд, ки то дасти хориҷ ба Афғонистон омада 3-4 ҳизб насохт, ҷангро дар кишвар оташ афрӯхта натавонистанд. Акнун ҳолати Афғонистонро имрӯз худ бинеду қазоват кунед. Яъне то имрӯз ҷанг ба охир нарасидааст. Дасти хориҷ дар Афғонистон ба мақсад расид. Ҳоло ҳизб ба ҳизб мезанад, хуни мусулмон рехтан мақсади асосии онҳост. Ин шакли ҷанг нест кардани мусулмон ва насли мусулмонон аст.

Метавон Тоҷикистонро низ мисол овард. То вақте ки Ҳизби наҳзати исломии Тоҷикистон ташкил нашуд, ин ҷо ҷанг сар назад.

- Ҳизби наҳзат чӣ иртиботе бо ҷанги шаҳрвандӣ дорад?
- Вақте ки ҲНИТ ташкил ёфт, қувва, маблағ, қудрат пайдо шуд. Аз хориҷ ба ҳизб маблағ меомад. Гурӯҳҳои хориҷ мухолифинро бо Ҳукумат ҷанг меандохтанд. Инсоне, ки ҷангро надида буд, фикр мекард, ки гурӯҳҳои берун пешрафти исломро мехоҳанд ва роҳи дуруст нишон медиҳанд. Аммо ин тавр нашуд.

Дар Афғонистон мо як чиз омӯхта будем. Ҳамон гурӯҳҳое ба ҷанг кардан талқин мекарданд, ба мо мегуфтанд, ки шумо ҳунари ҷангу ҷиҳод надоред. Дар Бухоро як матал будааст: «Пеш аз чой хӯрдан ҷанг намешавад». Онҳо инро ба таври масхараомез ба мо мегуфтанд. Бо лаҳни «деҳ» (бизан) ишора карда мегуфтанд, ки ҳамин хонаро бо занед. Аммо намегуфтанд, ки дар он хона кист. Зану фарзанд ҳаст ё каси дигар, фарқе надошт. Мегуфтанд, ки куштаҳои ин хона хубаш ба ҷаннат мераванду бадаш ба дӯзах. Ҳол он ки Худои таъоло дар Қуръон мефармояд, ки агар як инсон инсони дигарро мекушад, ҷазои вазнин интизораш аст. Ҷазо дӯзах аст. Ин маъно дар ояти 93, сураи Нисо омадааст:
و من يقتل مومناً متعمدً فجزآوه جهنًّم خلدً فيها...
Ва ҳар кас муминеро ба ъамд (қасдан) бикушад, кайфар (ҷазо)-и ӯ ҷаҳаннам аст, ки дар он ҳамвора хоҳад буд…”.

Ҳазрати Муҳаммад (с) мегӯяд, ки агар як инсон хуни як инсони дигарро мерезонад, гӯё ба муқобили Худо ҷанг эълон кардааст.
Вақте китоби Қуръонро варақ мезанед, ҳама суханҳои ҳазрати Муҳаммад (с) он ҷо тасдиқи худро ёфтааст. Тамоми гуноҳҳоро Худо мебахшад, ба ҷуз хунрезӣ.

- Пас, чаро шумо бо ҳаммаслаконатон даст ба хунрезӣ задед?
- Мо фикр кардем, ки дар Тоҷикистон ҳизб месозем, мардумро ба роҳи ислом мебарем ва онҳоро аз ҳар гуна равияҳову гурӯҳҳо озод мекунем. Ба ҳамин мақсад даст ба ин кор задем. Таҷриба кардему амал кардем, ба ҳамин хулоса расидам, ки ҷое, ки ҳизбе бо номи ислом ҳаст, он ҷо фитна ҳаст, он ҷо хунрезиву ихтилоф ҳаст. Мо дарёфтем, ки асосгузорони ҳизбҳои исломӣ аҳли ислом нестанд. Онҳо ба хотири бадном кардани дини мубини ислому тафриқа андохтан дар он ҳизб сохтанду месозанд.

- Ин суханонро бар кадом асос мегӯед?
- Ҳизби исломиро аз берун маблағгузорӣ мекунанд. Вақте ки роҳбарони ин ҳизбҳо манфиатдоранд ва айшу ишрат аз ҳисоби хоҷагони хориҷӣ доранд, дигар ба қафо баргашта наметавонанд. Барои фаҳмиши шумо як мисол меорам. Ман дар Афғонистон қумандон будам. Хаттоби араб муовинам буд. Ӯ яке аз ҷангиёни боқувват дар дунё ба ҳисоб мерафт. Нафари дигарро Ҳоҷӣ Ҷамшед мегуфтанд. Аз ӯзбекзабонҳои Афғонистон буд. Ӯ низ муовинам буд. Мо дар рости Саричашмаи Шӯрообод ҷабҳаи ҷангӣ доштем. Он ҷо бо мо Ҳоҷӣ Ҷамшед фаъолият дошт. Ҳамроҳи Саид Абдуллоҳи Нурӣ маслиҳат карда, хостанд, ки ба қишлоқҳои Шӯробод ҳуҷум кунанд. Ман намондам. Ҳоҷӣ Ҷамшед, ки як ҷангии таҷрибадор буд ва маблағҳои калон гирифта буд, ба ман мухолифат кард. Тавассути ратсия ба Саид Абдуллоҳи Нурӣ баромад. Гуфт, ки Мавлавӣ барои несту нобуд кардани душманони ислом монеагӣ дорад. Чӣ бояд кард? Ӯ ратсияро ба ман дод. Саид Абдуллоҳи Нурӣ гуфт, ки ин ҷо дигар гунаҳгору бегуноҳ нест. Ҳамаро як зайл мезанед. Баъд аз ин душманон метарсанду мегурезанд. Гуфтам, ки устод, чуқур фикр кун. Ин ҷо сарҳадбонҳои тоҷику рус ҳастанд. Мо бояд онҳоеро занем, ки бо мо ҷанг мекунанд. Нурӣ гапамро гӯш накард, ратсияро монд.

- Шумо фидоии ҳизби наҳзат, афсари Саид Абдуллоҳи Нурӣ будед. Чи гуна метавон бовар кард, ки аз иҷрои супориши ӯ сар печидед?
- Ман афсари одие набудам, ки фикрам ба инобат гирифта нашавад. Ҳамчунин, ман дӯсте доштам бо номи Омир Башири Чоёбӣ, ки яке аз қумандонҳои номдори шимоли Афғонистон буд. Аз ӯ меҳаросиданд. Чун ӯ аз қазияи ихтилофи мо огаҳӣ пайдо кард, тавассути ратсия ба роҳбарияти мо баромада, гуфт, ки агар касе бо Мавлавӣ сар ба сар мешавад, ман бо ӯ мубориза мебарам. Вай суханашро ба замин нагузошт. Ҳоҷӣ Ҷамшедро Омир Башир бо хоҳиши ман аз сарҳади Тоҷикистон дур сохт.

- Ҷанги шаҳрвандӣ боиси сари қудрат омадани мардуми минтақаи Кӯлоб гашт. Ҳарчанд, ки мардуми минтақаи Кӯлоб танҳо ба мақсади дифоъ аз Ҳукумати конститутсионӣ ба мубориза бархоста буданд. Аммо шумо, як чеҳраи маъруфи Кӯлоб, бар муқобили ҳамдиёрони худ мубориза бурдед. Чаро?
- Аввал, мо фикр мекардем, ки инро ислом мехоҳад. Ман фикр доштам, ки аз ислом дифоъ мекунам. Аммо дар Афғонистон суҳбат, дӯстӣ бо уламои барҷастаи Афғонистон, онҳое, ки аз асли ин тафриқаандозиҳо бохабар буданд, маро ба чунин хулоса овард.

- Мардум бар он ақидаанд, ки дар ҲНИТ нафарони ватанпарвар, дилсӯзи меҳану миллат ҷамъ омадаанд. Чаро шумо фикр мекунед, ки онҳо бо роҳи ғалат мераванд?
- Дар ояти 103, сураи “Оли Имрон” омадааст:
واعتصموا بحبل الله جميعا و لا تفّرَّقوا واذكرو ا نعمت الله عليكم ...
“Ва ҳамагон даст ба ресмони Худо занед ва пароканда машавед ва аз неъмате, ки Худо ба шумо арзонӣ доштааст, ёд кунед...”.

Аз ин бармеояд, ки бояд мусулмонон барои манфиату хоҳишҳои худ миёни мардум ихтилоф, тафриқа наандозанд. Мо хуб медонем, ки сарчашмаи ихтилофандозӣ аз куҷо ва аз ҷониби кист. Онҳо дар ин кор таҷрибаи бузург доранд ва неруҳоеро ба мисли ҳизби наҳзат зиёд ба майдон оварданд ва меоваранд. Мақсади онҳо ноором сохтан, кам кардани шумораи мусулмонон аст. На ҳама одамон инро дарк мекунанд. Махсусан, насли ҷавон, ки меваи истиқлолро чашидаву ҷанги шаҳрвандиро надиданд. Мегӯянд, ки адолат нест, демократия нест. Бо ин баҳона мардумро фиреб медиҳанд. Ёд доред, атрофи ҲНИТ қувваҳои демекратия, Растохез, Лаъли Бадахшон ва ғайра ҷамъ шуда буданд. Онҳо мақсадҳои худро доштанд. Бар замми ин, ҲНИТ аз дигар ҷо маблағгузорӣ мешуд. Оқибати ин ба ҳама маълум. Офтобро бо доман пӯшонида намешавад.

- Шумо гуфтанӣ ҳастед, ки қувваҳои беруна мехоҳанд тавассути ҳизби исломӣ мақсадҳояшонро дар кишвари мо амалӣ созанд. Ҳол он ки онҳо имкон доранд тавассути ҳизбҳои дигар, аз ҷумла, ҳизбҳои сотсиал - демократӣ, сотсиалистӣ, коммунистӣ ва ғайра мақсадҳояшонро амалӣ созанд.
- Наметавонанд.

- Чаро?
- Қувваҳои хориҷӣ ҷойи заифии мардуми мусулмонро медонанд. Онҳо ба мардум нишон додан мехоҳанд, ки ислом месозанд. Бо ин роҳ мардуми содаи мусулмонро ба по мехезонанд. Бубинед, ки замоне ҳизбҳое, ки шумо ном бурдед, дар атрофи мо, яъне ҲНИТ сарҷамъ шуда буданд. Ҳадафашон чӣ буд? Тавассути мо ба сари қудрат расидан.

- Ба назари шумо, қувваҳое, ки ноором сохтани кишварҳои мусулмон ва кишварҳои шаҳрвандонаш мусулмонро мехоҳанд, кадом воситаҳоро истифода мебаранд?
- Аслан бо роҳи маблағгузорӣ. Баъдан, яроқу аслиҳа ва дуздидани фикри мардум. Ин қувваҳо ба мардуме наздикӣ пайдо мекунанд, ки дониши диниашон заиф аст. Бо дурӯғ давлати исломӣ месозем гуфта, аз мардуми гумроҳ истифода мебаранд.

Албатта, тафриқа, фитна андохтан миёни мардум усули маъмулии ин қувваҳо аст. Як ҳодисаро бароятон ёдрас мекунам. Миёни муҳоҷирини мо ва собиқ роҳбарияти оппозитсия гуфтугузор буд, ки гӯё кулобиҳо кофиранд. Дар Афғонистон гурӯҳи Ҷирга ва Луи Ҷирга ҳаст. Онҳо давлатӣ нестанд, аммо мақомоти давлатӣ сухани онҳоро ба эътибор мегирад. Як нафар аз гурӯҳҳои Ҷирга дар Тахор омада мегӯяд, ки оё ягон нафар аз Кӯлоб ҳамроҳи шумо - муҳоҷирин ҳаст? Ҷавоби «Не» мегирад. Аслан мардуми Афғонистон кунҷкобанд. Ба як гап қаноат намекунанд. Каси дигарро мепурсанд. Баъд як нафар мегӯяд, ки «Ҳаст. Қумандони калон Мавлавӣ Абдураҳим аз Кӯлоб аст». Як нафарро дар Тахор масъул мемонанд ва мегӯянд, ки «Ҳамон нафар омад, ҳатман моро хабардор кунед». Рӯзе гурӯҳи Ҷирга маро доштанд ва ба Ҷирга оварданд. Савол доданд, ки «Шумо кӯлобӣ ҳастед?». «Бале» гуфтам. Боз савол доданд, ки «Кӯлобиҳо кофиранд?». Ман гуфтам, ки «Кофир не, ҳама мусулмонанд». Ман аз аҳли Ҷирга пурсидам: «Чаро пурсиш ба миён омад?». Онҳо гуфтанд, ки «Овозаҳо зиёданд, ки мардуми Кӯлоб мусулмон нестанд, бар зидди исломанд. Ин Аҳмадшоҳи Масъуд ва устод Раббонӣ водор месозад, ки як ҳайат таъсис диҳанд, ба Тоҷикистон фиристанд, то муайян созанд, ки мардуми минтақаи Кӯлоб мусулмонанд ё не». Бо сардории устод Раббонӣ як ҳайат омад, аз наздик бо мардум вохӯрд. Дар Кӯлоб мақбараи Мир Саид Алии Ҳамадониро дидан кард. Аз роҳбарияти ҳизби наҳзат даъват ба миён оварданд: «Миёни ҳамдигар ҷудоандозӣ накунед. Ҳама мусулмон ҳастед. Дар андешаи сулҳу салоҳ бошед. Ин ҷо дасти сеюм пайдо шудааст, ки шуморо мехоҳад несту нобуд кунанд». Ана, ҳамин тавр миёни мардум фитна меандохтанду онҳоро аз ҳам ҷудо месохтанд. Танҳо сухани устод Раббониву Аҳмадшоҳи Масъуд мардумро бедор кард. Танҳо ҳамин шахсиятҳои баномус сабаб шуданд, ки мардуми тоҷики дар Афғонистонбуда ба Тоҷикистон баргаштанд. Сарсупурдагии Эмомалӣ Раҳмон нақши бузург дар баргаштану ба ҳам омадани мардуми тоҷик бозид. Чӣ ҷойи пӯшидан, агар ӯ ҷон ба кафи даст гирифта, барои мулоқот ба Афғонистон намерафт, касе ба Тоҷикистон барнамегашт.

- Нақши киро дар сулҳи тоҷикон бештар медонед?
- Аввал, нақши Эмомалӣ Раҳмон ва мардуми бофарҳанги тоҷик, ки дар талоши якпорчагии Тоҷикистон буданд. Дувум, пешвоёни мардуми Афғонистон Аҳмадшоҳи Масъуд, устод Раббонӣ ва Омир Башир. Агар инҳо намешуданд, ба даст овардани сулҳ миёни тоҷикон аз имкон берун буд.

- Тасаввур кунед, ки раиси ҲНИТ ҳастед, дар даст қудрат доред. Дар шароити кунунӣ ба чӣ иқдоме даст мезадед?
- Аз раисӣ даст мекашидам, ҳизбро барҳам медодам. Чунки ман ҳамчун раиси ҳизб сабаби хунрезӣ ва норомӣ дар Тоҷикистон мешудам. Агар Худованд маро ба ин муяссар мегардонид ва воқеан мусулмон бошам, бояд ин корро кунам. Дар акси ҳол, назди гузаштагону имрӯзиёни миллати тоҷик сархам ва дар таърих қарнҳои қарн ба бадномӣ боқӣ мемондам.

- Дар чунин шароит чӣ бояд кард, ки Тоҷикистон луқмаи абарқудратҳо нагардад ва сулҳу оромӣ таъмин бошад?
- Онҳое, ки бо ташкили ҳизбҳо дар ислом тафриқа андохтанд, дар Афғонистон ва дигар кишварҳои исломӣ ба ҳадафашон расиданд. Ҳоло тири туфангашон ба Тоҷикистон нигаронида шудааст, ки ҳизбҳо ва гурӯҳҳо ташкил кунанд, нооромӣ дар Тоҷикистон ва Осиёи Марказӣ ба роҳ андозанд. Вақте ки бо тафриқаандозӣ ба ҳадафҳои ниҳоияшон расиданд, аз нигоҳи худ собит сохтанд, ки мардуми мусулмон, ҳизбҳои исломӣ ҳаргиз бе дахолати ғайри исломиён ба ифоқа омада наметавонанд мегӯянд: «Биёед, мусулмонҳо, мо шуморо ба ифоқа меандозем». Вале он вақт дер мешавад.
- Дар ояти 35, сураи “Иброҳим” омадааст:
و اذ قال رب اجعل هذا البلد ءامناً.....
“Ва Иброҳим алайҳисалом гуфт: «Эй Парвардигори ман, ин сарзаминро эмин гардон ...(Ишора ба Макка)”. Бубинед, ки пайғамбарон ба чи андоза тинҷию амониро муҳим ва дар мақоми аввал гузошта дуо мекарданд.

Дар ҳадиси пайғамбари Худо (6631) омадааст: «Муҳаммад алайҳисалом дар ҷамъияти бузурге, ки саҳобагон ҳузур доштанд, ба анбуҳи мардум рӯй меорад ва мепурсад:

- Медонед муъмину мусулмон кист?
- Мо намедонем. Худову шумо - расули Худо медонед», посух медиҳанд онҳо.

Ҳазрати Муҳаммад гуфт: «Муъмини мусулмон касест, ки нафс ва амволи дигар бандагон аз ӯ дар амон аст».
Ин суханон беасос нестанд. Агар мо воқеан худро мусулмону бандагони Худо донем, бояд дар талоши оромии мардуму кишвар бошем ва бозичаи дасти бадхоҳони миллату давлатамон нагардем.

- Шабохун дар нуқтаи сарҳадии 12 таҳти сарварии шумо сурат гирифта буд. Ин амалиёт чи гуна буд ва кӣ онро тарҳрезӣ кард?
- Ин мавзӯест, ки мехостам сари он баёни андеша кунам. Дуруст аст, ки ман қумандони минтақаи сарҳадӣ аз Дарвоз то Фархор будам. Ҳеҷ амалиёте дар ин минтақа бе мувофиқа бо ман сурат намегирифт. Мо масъулият доштем, фаъолияти мо таҳти муроқибат қарор дошт, низомиёни хориҷӣ таълим медоданд. Мо худро аскари ислом меҳисобидем. Фикр мекардем, ки амаламон дар заминаи фармудаи Худованд аз рӯйи Қуръон сурат мегирад. Мо бовар доштем, ки дар роҳи ҳақ қарор дорем. Баъд дарк кардем, ки бозичае беш нестем. Сарнавиштамон дар дасти онҳое буд, ки аз зери парда моро раҳнамоӣ мекарданд. Замоне асли масъаларо дарк кардем, ки аллакай дер шуда буд.

- Мо аз савол дур афтодем. Омодагӣ барои ҳуҷум ба нуқтаи сарҳадӣ кай ва чӣ гуна сурат гирифт?
- Омодагӣ барои задани Кӯлоб барвақт сурат гирифта буд. Ҳатто ҳуҷум ҳам оварда будем. Азбаски сари задани Кӯлоб ба ман эътимод набуд, ба ин амалиёт қумандони дигар бо номи Ҳаким ҷалб гашт. Ӯ бисёр ҷасур ва бомаҳорат буд. Агар дар ёд дошта бошед, Тавилдараро як муддат таҳти назорат гирифта буд. Баъдан зери фишори қувваҳои Ҳукуматӣ ба Афғонистан ақибнишинӣ кард. Дар Афғонистан ба ӯ унвони Фотеҳ дода буданд. Ӯ бо супориши роҳбарияти наҳзат бо дастаи беш аз 200-нафара аз сарҳад, дар қисмати Зардолуҳак ва Офтобзамин вориди Тоҷикистон шуда, барои задани Кӯлоб омодагӣ мегирад. Ман аз ҷониби роҳбарият дастур гирифта будам, ки ба ӯ халал нарасонам. Қариб ду-се моҳ дар он ҷо буд. Кӯлобро зада натавонист. Абдуллоҳи Нурӣ даъват карда пурсид, ки «Чӣ гап аст? Магар ба ту мулло Абдураҳим халал мерасонад? Ӯ дар ҷавоб гуфт, ки «Халал намерасонад, аммо аз чӣ бошад, ки ин амалиётро пеш бурда наметавонад». Қисме аз аскарҳояш ҷинвара шуданд. Оқибат ӯ ба Афғонистан бенатиҷа баргашт.

- Дар мавриди задани Кӯлоб чаро ба шумо эътимод набуд? Бароятон магар ҳисси маҳал аз ҳамбастагию ҳамназарӣ бо ҳамсафони наҳзатиатон болотар меистод?
- Шояд Ватанамро дӯст медоштам. Вале ман намехостам, ки мардуми бегуноҳ қурбон шаванд. Ҷанг, ки шуд, ҳамаро мезанӣ, на тар мемонад, на хушк.

- Чаро чунин андеша ҳангоми задани нуқтаи сарҳадии 12 ба саратон наомад?
- Мақсад аз пӯста (пост)-и 12 задани Кӯлоб буд. Он вақт ман дар минтақаи Роғи вилояти Бадахшони Афғонистон қарор доштам. Саид Абдуллоҳи Нурӣ одамони Ризвонро равон кард ва гуфт, ки «Равед, Мавлавиро гиред ва Кӯлобро занед». Ман ба онҳо иҷозат надодам. Зеро, аввал он ки қумандони ин минтақа будам ва нуфузам имконият намедод, ки онҳо бе иҷозати ман ба чунин амал даст зананд. Онҳо пурсиданд, ки «Чаро мухолифи задани Кӯлоб ҳастӣ?» Ман барояшон посух додам, ки «Вақте ки шумо ба Кӯлоб меравед, сарҳадбонон аз ин хабардор мешаванд ва аз пушт хатти ақибнишинии шуморо мебанданд. Мо банд мемонем. Дигар имкони баргаштан ба Афғонистан аз миён меравад ва ҳама нобуд мешавем. Дар ин ҳолат ҷавобгарӣ ба гардани қумандони минтақа меафтад». Ман дастур додам, ки «Баргарданд ва ин нақша амалӣ намешавад». Онҳо хулосаи маро ба роҳбарият расониданд.

Абдуллоҳи Нурӣ тариқи мухобира манро ба Тахор даъват кард. Ӯ дастур дод, ки «Барои ҷабҳаро пурқувват кардан ба Покистон барои ғизою аслиҳа меравӣ». Он вақт масъули пулу молу аслиҳа Ҳимматзода буд, ки дар Покистон менишаст. Тӯраҷонзода дар Эрон масъули гуфтушунидҳо ва музокирот буд. Ман пурсидам, ки «Чаро маро ба Покистон мефиристед?». «Дар Покистон шуморо хуб мешиносанд», гуфтанд. Ман ҷонишине доштам бо номи Ҷоншо. Ӯ ҳам аз Кӯлоб, бисёр ҷанговари номӣ, таълими Хатобро гирифта буд. Худаш силоҳро таъмир мекард, маводи тарканда омода месохт. Ҷоншо ба ҷоям буд. Ман сафар кардам. Дар набудани ман зарба ба пӯстаи 12 зада шуд.

- Шумо дар як мулоқот бо Президенти кишвар задани нуқтаи сарҳадии 12-ро эътироф кардед. Инро чӣ гуна бояд фаҳмид?
- Вақте Президент маро дар ҷаласа ба аҳли нишаст муаррафӣ карда гуфт, ки ин ҳамон мулло Абдураҳиме аст, ки ҳизби наҳзатро дар Кӯлоб бунёд карда буд, лидери мухолифин буд, ҳамон мулло Абдураҳиме аст, ки застави 12-ро зада буд. Ман дар ҷавоб "Дуруст аст" гуфтам. Он вақт мавқеи гуфтан набуд. Агар ман бо Президент аз наздик суҳбат мекардам, ин ҳолатро ба таври муфассал нақл мекардам.

- Шумо ҳоло имкон доред, ки ба мардум онро муфассал шарҳ диҳед.
- Ман аз ҷониби роҳбарияти ҳизб дастур гирифта будам, ки ба Покистон равам. Ин амалиёт дар набудани ман сурат гирифт.

- Пас чаро он рӯзҳо радиои Би Би Си хабар пахш кард, ки «Қумандон мулло Абдураҳим пӯстаи 12-ро зад»?
- Ман ҳам баробари аз радио шунидани ин хабар бо мухобира дар алоқа шуда, кӯшиш намудам донам, ки чӣ гуна дар набудани ман ин амалиёт рух дод.

- Ин ҳуҷум кай сурат гирифт?
- Тобистони соли 1993, 13 июл.

- Чаро маҳз 13 июл?
- Албатта, метавонист барвақттар сурат гирад, вале чунин тасодуф пеш омад. Разведка бисёр хуб кор мекард. Миёни афғонҳо одамоне буданд, ки бо сарҳадбонони рус додугирифти маводи мухаддир доштанд. Онҳо дутарафа кор мекарданд: ҳам маълумоти моро ба онҳо мебурданд, ҳам маълумоти онҳоро ба мо мерасониданд. Мо баъзан маълумот мепартофтем, ки фардо ҳуҷум мекунем. Сарҳадбонони рус аз ин зуд огоҳӣ меёфтанд ва омодагӣ мегирифтанд. Мо аз ҳамааш бохабар будем. Вақти хоб, хестан, истироҳат, ҳар қадами гузоштаашонро медонистем. Мо муддати тӯлонӣ аз паси сарҳадбонон мушоҳида мебурдем. Онҳо пайваста, тахминан то соати 2-и шаб ҷониби хатти сарҳад тир, мушак мепарониданд. Баъд аз соати 2-и шаб хомӯшӣ ҳукмфармо мешуд. Як моҳи дароз ин ҳолат таҳти мушоҳида қарор дошт. Бовар ҳосил шуд, ки баъд аз соати 2 сарҳад дар ихтиёри мо аст. Маълумоти барғалати тавассути қочоқбарони афғон паҳнкардаи мо онҳоро раҳгум занонида буд. Сарҳадбонон умедашонро канда буданд, ки мо ҳуҷум мекунем. Барои ҳамин ин ҳуҷум барояшон ногаҳонӣ буд, дар ғафлат монданд.

- Ҳуҷум кадом соат сурат гирифт?
- Соати 3-и шаб.

- Барои ҳуҷум ба застава чанд нафар сафарбар шуданд?
- Тахминан 200 нафар.

- Аз тасаввур берун аст, ки аз ҳуҷуми 200 нафар сарҳадбонон огаҳӣ пайдо накарда бошанд.
- Амалиёт дар як рӯз сурат намегирад. Ба он пешакӣ омодагӣ мегиранд. Ба тарафи дигари соҳил партофтани қувва қаблан амалӣ гашта буд. Масалан, маводи хӯрокворӣ, силоҳи ҷангӣ, хусусан, силоҳи вазнини ҷангӣ пешакӣ ба он тарафи соҳил интиқол дода, дар наздикии пӯстаи 12 захира мекарданд. Ин ҷанги чиррикӣ - партизанӣ буд. Яъне дар ҳолати ғафлат дарёфт ва мағлуб кардани ҳариф.

- Қувваҳои муҷоҳидин аз чанд гурӯҳ иборат буд?
- Гурӯҳҳо аз 12, 50 ва 100 нафар иборат буданд. Гурӯҳҳои 12-нафара зиёдтар буданд. Онҳо бештар маводи ғизоиву аслиҳаро ба ҷойи лозимӣ бурда мерасониданд. Робитаи бисёр хубе тавассути мухобира ба роҳ монда шуда буд.

- Ба ин миқдор ҷанговарон,дар фасли обхезии тобистон чӣ гуна дарёи Панҷро убур карданд?
- Тавассути тал. Пӯсти говро тавре аз тан ҷудо мекунанд, ки ягон сӯрохӣ надошта бошад. Онро дам карда, рӯйи 4-5-тои он тахтаю чӯб мепартоянд ва тавассути он аз об мегузаранд. Аз камераҳои балони мошинҳои калон ҳам истифода мешуд. Чунки тал камӣ мекард.

- Муҷоҳидон давоми чанд рӯз аз сарҳад убур карданд, чӣ гуна аз назари сарҳадбонон пинҳон монданд?
- Давоми як ҳафта аз дарё гузаштанд. Соҳили дарёи Панҷ ҷангалзор аст, назорат кардан ғайриимкон. Одамоне буданд, ки ҳар лаҳза маълумот дастрас мекарданд. Сарҳаду сарҳадбонон пурра таҳти назорати мо буданд. Одамҳои аз дарё гузашта, пинҳон мешуданд, барои ҷанг омодагӣ мегирифтанд.

- Муҷоҳидон аз кадом мардум иборат буданд?
- Бештарашон арабҳо. Миқдори онҳо беш аз 70 нафар буд. Онҳо аз Бангладеш, Миср, Яман ва дигар кишварҳои араб буданд. Пешвояшон Хатаб буд.

- Хатаб магар дар ин амалиёт иштирок дошт?
- Не, ӯро то амалиёт ба Чеченистон равон карда буданд.

- Боқимонда аз кадом миллатҳо буданд?
- Тоҷикон кам, боқимонда афғонҳо буданд. Чизу чораро афғонҳо аз дарё мегузарониданд. Танҳо афғон инро метавонист. Зеро афғон мисли оҳуст. Пул деҳ, барои вай фарқ надорад, ки кӯҳ аст ё пушта, гарм аст ё хунук.

- Кадом намуди силоҳҳо истифода шуданд?
- Ба ҳар 12 нафар 1 гранатомёт, сари ҳар кас 1 автомати Калашников, ба ҳар 5 нафар як пулемёт рост меомад. Ҳамагӣ 6 минамёт буд. Ҳуҷум соати 3-и шаб, ки ҳама дар хоби ғафлат буданд, шурӯъ шуд. Албатта, агар ин ҷанг дар ҳолати бедории сарҳадбонон мебуд, муҷоҳидин қувваи зиёд аз даст медоданд. Онҳо ҳатто фурсати либос пӯшидан пайдо накарданд. Аз сарҳадбонон мувофиқи маълмоти онвақтаи мо ҳамагӣ ду нафар зинда монда буданд. Вале баъдтар рақамҳои дигар пайдо шуданд.

- Чӣ чиз боиси пирӯзии муҷоҳидон дар ин амалиёт гашт?
- Аввал, мавқеи ҷойгиршавӣ. Дуюм, чирики (партизанӣ) будани ҷанг. Вақти ҳуҷум сарҳадбонон ҷойи гурехтан надоштанд. Ҳама дар ғафлат буданд.

- Ин амалиёт чанд соат идома кард?
-Чор соат. Аз соати 3-и шаб то 7-и саҳар.

- Аз ҷониби муҷоҳидин чанд нафар ҳалок шуд?
- Шаш нафар. Даҳ нафар захмӣ. Ин талафот аз ҳисоби аз даст додани вақи буд. Дар пӯста ба микдори калон пул ба ғанимат омад. Як Газ-66 пур аз пул шуд. Пулҳоро ба мошини Газ- 66 бор карда, лаби дарёи Панҷ интиқол доданд, ки аз дарё гузаронанд. Аммо аз снаряди вертолёт мошин таркид ва ҳама пулҳо сӯхтанд. Баъди ин амалиёт бори аввал маблағи калон аз хориҷ ворид шуд.

- Магар ин маблағ арзиши ҷони 25 нафар сарҳадбон ва 6 муҷоҳидонро дошт?
- Албатта, не. Он вақт ҳама дар он андеша будем, ки дар роҳи ҳақ шаҳид мешавем.

- Ҳоло ҳам дар ин андеша ҳастед?
- Ин мавзӯи баҳси дигар аст....Вале як нуктаро мехоҳам зикр кунам: иғвову тундравию ихтилоф мӯҷиби ҷанг ва парешонист. Худованд мардуми мусулмон, хусусан, тоҷиконро аз фитна дар канор нигаҳ дорад. Он вақт ба ман аз зоҳири Қуръон ҳарф мезаданд, ҳоло ман ботини онро дарёфтам.

- Забони арабиро дар куҷо омӯхтед?
- Дар назди домулло Саидраҳмон. Ӯ дар яке аз маҳаллаҳои шаҳри Душанбе, маъмул бо номи «Южний» зиндагӣ дошт. Баъд дар Афғонистон бо арабҳо, олимони афғон якҷоя шудам, онро такмил додам.

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Anxiety can produce uncomfortable and potentially debilitating psychological (eg, worry or feeling of threat) and physiologic arousal (eg, tachycardia or shortness of breath) if it becomes excessive. Other recognized risk factors include a history of previous reaction, severe drug allergies, cardiac disease, and treatment with ОІ-blockers. Conversely, regions that are scarred due to previous infarction or have stress-induced ischemia do not accumulate as much thallium as normal muscle; as a result, these areas appear as "cold" spots on the perfusion scan. https://keiindemaatschappij.nl/stmap_dh2z9.html?avapro.valsartan.sarafem In addition to providing symptom management, improving patient and caregiver satisfaction, and reducing healthcare costs, early integration of palliative care has been shown to increase survival among patients with advanced cancer. The urge to void usually occurs when the bladder is one quarter full. During a lower GI series, a barium sulfate enema is given to contrast the terminal large intestine and rectum. https://keiindemaatschappij.nl/stmap_dh2z72.html?metformin.antiox.fludrocortison
e Treating confirmed or suspected cases of a biologic agent exposure can be challenging. Mental status examination, Mini Mental Status Examination (MMSE), medication history and urine drug screen. https://keiindemaatschappij.nl/stmap_dh2z153.html?confido.molly.cefuroxime DRESS: (a) cutaneous drug eruption (usually a diffuse maculopapular rash accompanied by facial and neck edema); (b) hematologic abnormalities including eosinophilia greater than 1,500 cells/mm (1.5 × 10/L) or the presence of atypical lymphocytes; and (c) systemic involvement including adenopathies greater than 2 cm in diameter, hepatitis, interstitial nephritis, interstitial pneumonia, or carditis. Coronaviruses have the ability to adapt to new environments, become more transmissible, gain virulence due to high mutation, and recombination rates. Select the CORRECT recommended vaccinations responders assisting with recovery efforts in the U.S. https://keiindemaatschappij.nl/stmap_dh2z74.html?nitroglycerin.fungal.sinequan Later, it was discovered that P-glycoprotein is also widely distributed on normal cell types, including intestinal enterocytes, hepatocytes, renal proximal tubule cells, and endothelial cells lining the blood–brain barrier. Serologic diagnosis is made by the use of an enzyme-linked immunoelectrotransfer blot assay, which is considered highly sensitive and specific for cysticercosis. The heme test indicates the presence of hemoglobin or myoglobin in the urine. https://keiindemaatschappij.nl/stmap_dh2z18.html?tenormin.ialex.durolane These drugs appear to form antiorganelle antibodies. Ventilatory equivalents for oxygen, carbon dioxide, and O2 pulse are often calculated. This treatment must be carefully targeted however since glucocorticoid treatment can worsen underlying fatty liver disease.
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Among the 331 patients eligible for treatment, there was no PFS benefit in any of the two-drug regimens when compared to bevacizumab monotherapy, and adverse events were comparable among all four treatment arms. Benzyl alcohol was a popular preservative used in intravascular flush solutions until a syndrome of metabolic acidosis, seizures, neurologic deterioration, gasping respirations, hepatic and renal abnormalities, cardiovascular collapse, and death was described in premature infants. Psychological testing alone cannot establish a firm diagnosis but can be a useful diagnostic tool when coupled with clinical judgment. https://keiindemaatschappij.nl/stmap_dh2z54.html?zestoretic.alesse.zofran Such unusual presentations may be caused by age-related physiologic changes, the presence of multiple comorbid illnesses or compromised function, and the presence of psychological stressors. The elimination rate constant can be computed by taking the quotient of CL and VD: k = CL/VD. Acetaminophen appears to be metabolized by both CYP1A2 and CYP2E1.
9 март 2018 01:26
When plotted on semilogarithmic paper, the residual line has a y intercept equal to A. Neuropathic pain is caused by damage to the central or peripheral nervous system itself, rather than actual or potential tissue damage, which is a characteristic of nociceptive pain. As noted by the expert panel, this classification system has limitations because route of drug administration and the presence of immune co-factors (eg, viruses, drug interactions affecting drug metabolism) can influence the onset or progression of the immune reaction. https://kristas.nl/stmap_gatw168.html?zyban.renagel.nexium Synonymous SNPs and variants occurring in regulatory regions of the gene are usually abbreviated based on the nucleotides involved and the nucleotide base position. The risk of amiodarone pulmonary toxicity is higher during the first 12 months of therapy even at a low dosage. Demethylation (hypomethylation), regulated by TET2, may lead to reexpression of previously silenced genes. https://kristas.nl/stmap_gatw70.html?avapro.trihexyphenidyl.ivermectin Also, this model does not allow the prediction of a maximum response. A detailed description of how to apply this CGA classification system in the monitoring plan for CKD patients is provided in Chapter 44. Agents such as sulfur mustard and phosgene may take 4 to 6 hours for onset of toxicity. https://kristas.nl/stmap_gatw92.html?toprol.zicam.aleve How do patients experience and understand their own health? Potentially reversible causes of delirium among palliative care patients include: uncontrolled pain; constipation; infections; electrolyte abnormalities; withdrawal from opioids, benzodiazepines, or alcohol; medication adverse effects; and lack of sleep. https://kristas.nl/stmap_gatw114.html?trazodone.nebivolol.portal In many cases of severe hepatotoxicity, impaired kidney function also is present and may range from oliguria to acute kidney injury. Furthermore, a center will have specially trained physicians, pharmacists, nurses, and toxicologists on staff or available for consultation to assist with difficult cases. https://kristas.nl/stmap_gatw148.html?plendil.aygestin.endometrin VKORC1 genotype, together with CYP2C9 genotype, explains approximately 30% of the interpatient variability in warfarin dose requirements. As with all tests, each has its limitations.
9 март 2018 01:26
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Tran and Anand conducted a systematic review of the literature in an effort to summarize the best evidence for oral antiplatelet therapy in patients with cerebrovascular disease, CAD, and PAD. One that has the greatest potential for major public health and medical impact. For example, knowledge that a patient is at risk for developing a genetic disorder could result in emotional distress for the individual at risk and his or her family members and the fear of discrimination by employers or insurance companies. https://fawaka.nu/stmap_6dk5144.html?penegra.crestor.nizoral Stool cultures to identify E. Somatostatin analogs are more effective than dopamine agonists, reducing GH concentrations and normalizing IGF-1 in approximately 50% to 60% of patients. Ciprofloxacin is considered a reasonable option to include in an empiric treatment regimen for pregnant patients with anthrax. https://fawaka.nu/stmap_6dk5177.html?aldactone.isoniazid.amnesteem However, the CDC reports that rare cases of person-to-person spread of cutaneous anthrax have occurred. This chapter provided coverage about the skin and associated age-related changes, lesion assessment and recognition, drug-induced skin reactions, contact dermatitis, diaper dermatitis, and briefly discussed common skin cancers and special populations. About 75% of patients were considered high risk (more than or equal to three poor prognostic risk factors), and 25% were considered intermediate risk (less than or equal to two poor prognostic risk factors), based on the MSKCC risk classification. https://fawaka.nu/stmap_6dk5161.html?aripiprazole.ortho.facicam During this 4-hour period, the CLiothalamate was determined as the measure of GFR. RCC serves as an example of rational development of targeted agents based on knowledge of tumor biology and molecular signaling pathways for the treatment of other malignancies. This model differs from the IPSS in identifying five risk categories by incorporating different categories for marrow blast percentage value and depth of cytopenias, expanding the cytogenetic risk groups from three to five groups and including a number of less common cytogenetic abnormalities. https://fawaka.nu/stmap_6dk5186.html?robaxin.simvastatin.suhagra Overproduction of proapoptotic and inflammatory cytokines and vascular endothelial growth factor may contribute to this process. Phospholipidosis is the accumulation of phospholipids instead of fatty acids. https://fawaka.nu/stmap_6dk5220.html?galantamine.verapamil.acarbose The mortality rate is approximately 50%, with values ranging from a low of 25 up to 90%. Survival to hospital discharge following out-of-hospital cardiac arrest is only 10.6% and survival with good neurologic function is only 8.3%.
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9 март 2018 11:01
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9 март 2018 12:43
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The diagnosis of aplastic anemia requires the presence of two of the following criteria: a WBC count of 3,500 cells/mm (3.5 Г— 10/L) or less, a platelet count of 55,000 cells/mm (55 Г— 10/L) or less, or a hemoglobin value of 10 g/dL (100 g/L; 6.21 mmol/L) or less with a reticulocyte count of 30,000 cells/mm (30 Г— 10/L) or less. Synonymous SNPs and variants occurring in regulatory regions of the gene are usually abbreviated based on the nucleotides involved and the nucleotide base position. http://m.utsneek.nl/stmap_3t8y201.html?mefloquine.purinethol.dutas There are two types of IGFs: IGF-1 and IGF-2. Other noninvasive tools are available for the diagnosis of PAD. http://m.utsneek.nl/stmap_3t8y227.html?diprosone.tindamax.gyne-lotrimin Patients with fluctuating levels of consciousness; disorientation; memory impairment; or visual, tactile, or olfactory hallucinations are more likely to have a medical basis for their presentation that can be diagnosed by medical diagnostics (eg, laboratory tests, computed tomography [CT], magnetic resonance imaging [MRI]). Patients with more severe steatonecrosis will present with all the symptoms characteristic of alcoholic hepatitis such as nausea, vomiting, steatorrhea, abdominal pain, pruritus, and fatigue. The residual volume (RV) is the amount of air remaining in the lungs after a maximal exhalation. http://m.utsneek.nl/stmap_3t8y128.html?amitriptyline.femara.mentax Which of the following is incorrect regarding the use of nucleic acid amplification? As signs and symptoms progress, however, there are a few which differentiate inhalation anthrax: profuse, drenching sweats, and mediastinal widening or pleural effusions. http://m.utsneek.nl/stmap_3t8y159.html?pres.aygestin.rozex First, in premature infants receiving theophylline for treatment of apnea, a significant amount of its active metabolite caffeine may be present, unlike the case in older children and adults. The organ system that includes the skin is known as the integumentary system. Direct thrombin inhibitors are the alternative anticoagulants most commonly used in current practice. http://m.utsneek.nl/stmap_3t8y195.html?topamax.diflucan.butenafine Treatment may vary based on histology and may involve surgical excision as well as the use of topical agents such as imiquimod, or antineoplastic agents such as 5-fluorouracil. Measurement of plasma and urine inulin concentrations can be performed using high-performance liquid chromatography. The parents have noticed some of these behaviors at home but were hoping they would go away.
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An immunomodulatory effect of EPO, G-CSF, or GM-CSF has been proposed. In the patient with ischemic chest pain and electrocardiographic (eg, ST segment) abnormalities, the presence of an elevated serum cTn concentration establishes the diagnosis of myocardial infarction, and the absence of such an elevation excludes it. relafen.aventyl.switch Uptake of Tc-PYP by necrotic myocardium is first detectable about 12 hours after the onset of myocardial infarction, with a peak intensity of Tc-PYP at 48 hours. Which one of the following statements is true regarding carmustin lung toxicity? Recombinant GH has proven to be safe for use in children and is associated with few adverse effects. fludac.levlen.levitra Deaths, which occur in 0.1 to 0.2% of patients, may be caused by perforation of the heart or great vessels, cardiac arrhythmias, acute myocardial infarction, or anaphylaxis to radiographic contrast material. The primary DTaP series is composed of 4 doses: Doses 1 to 3; given at 4 to 8 week intervals (6 weeks-24 months of age), Dose 4; administered 6 to 12 months after 3rd dose, and Dose 5; "booster" upon entering school. geriforte.florinef.ardin Unfortunately only ~10% of patients present with classical IC. These are the all-too-common experiences of the millions of people in the United States who care for someone with AD. levofloxacin.bactroban.lotensin PEP may be subsequently offered to a patient who has completed a treatment course for cutaneous anthrax, especially if aerosol exposure is suspected. Delayed images are obtained 3 to 4 hours later, since Tl accumulation does not remain fixed in myocytes. uroxatral.furosemide.cyklokapron For many important drugs, such as aminoglycoside antibiotics, renal clearance or rate of elimination is directly proportional to the GFR, as measured by endogenous renal creatinine clearance. The response rates are similar among the different IFNs, but IFN-О± is most commonly used to treat RCC.
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The vasculitic process may be limited to the skin, or it may involve multiple organs, including the liver or kidney, joints, or CNS. Although opioid adverse effects are typically similar for all agents within the class, individual patients may respond more or less favorably to a particular drug. Pazopanib also inhibits multiple kinase receptors, including the three VEGFRs, PDGFRО± and ОІ, FGFRs, c-Kit, IL-2 receptor inducible T-cell kinase (ITK), and leukocyte-specific protein tyrosine kinase (LCK). <a href="https://osendarpvacuum.com/stmap_powo26.html?aventyl.vivitrol.mentax&
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terone">lovir.apap.nasacort</a> Thus, retroviral gene transfer is capable of permanently altering gene expression. A person with a lower level of education may not be comfortable working with a provider who has obtained a college education and/or attended graduate school. The automated reporting of eGFR in the clinical setting has led some practitioners to consider substituting eGFR in place of eCLcr for renal dose adjustments as recommended in regulatory agency approved product labelling. <a href="https://osendarpvacuum.com/stmap_powo54.html?flavoxate.januvia.tofran
il">panadol.co-diovan.diabeta</a> Smaller proteins (less than 20 kDa) pass across the glomerular basement membrane but are usually readily reabsorbed in the proximal tubule. Cardiovascular collapse may occur as a result of asphyxia in some cases; in other cases, cardiovascular collapse may be the dominant manifestation from the release of mediators within the heart muscles and coronary blood vessels. <a href="https://osendarpvacuum.com/stmap_powo166.html?naproxeno.sumycin.oreti
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The current steady-state blood cyclosporine concentration is 375 ng/mL (375 mcg/L; 312 nmol/L). Drug candidates for desprescribing include those without an indication, those whose potential harms outweigh potential benefits, drugs initiated to control adverse effects associated with another drug that may not be required, and preventive drugs whose benefit is unlikely to be realized given the patient's life expectancy. rome.panadeine.prostatic In addition, middle-finger circumference was reduced significantly, and 50% to 75% of patients experienced improvement in symptoms of excessive perspiration, fatigue, joint pain, and cystic acne. Sedative hypnotics, such as benzodiazepines and other medications that agonize the benzodiazepine receptors, are also effective at initiation of sleep and maintenance of sleep, but have inherent drawbacks to their use. Isoniazid is metabolized by several pathways, acetylation being the major pathway. betamethasone.zoloft.escitalopram For the chapter in the Wells Handbook, please go to Chapter 25. Skin is also involved in regulating body temperature, preventing dehydration, acting as a sense organ, and playing a role in vitamin D production and absorption. nolvadex-d.zebeta.metformin Acetaminophen, furosemide, and diclofenac are examples of this mechanism of liver injury. Three major mechanisms of acquired aplastic anemia have been identified: direct toxicity, metabolite-driven toxicity, and immune-mediated mechanisms. lozol.etodolac.lax The symptoms of dyspnea and cough subside following discontinuation of the drug. During follow-up contact, minimum inquiry should include asking patients if there are questions or concerns regarding medicines and determining whether previously-established therapeutic end points have been achieved. Asking the patient to do a certain task (eg, pick up a pen with his or her right hand and then fold a piece of paper and pass it to the examiner) or spelling a five-letter word in reverse are examples of testing working memory. imuran.meloxicam.benemid Immune-mediated sulfonamide reactions depend on the production of reactive metabolites in the liver. Patients with HIT type II usually present with a low platelet count (eg, below 150,000 cells/mm [150 Г— 10/L]) or a 50% or more decrease in platelet count from the highest platelet count value after initiation of heparin, and thrombosis may be present at diagnosis. This chapter introduces the clinical use of vaccines and immunoglobulins.
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Axitinib was compared to sorafenib in a randomized, open-label, phase III trial in 723 patients with clear cell RCC who had progressed on a previous first-line regimen of sunitinib, bevacizumab plus IFN, temsirolimus, or cytokine-based therapy. If the offending agent is withdrawn before significant numbers of hepatocytes become necrotic, the process is completely reversible without long-term sequelae. Rare occurrences of pulmonary edema have followed the intravenous administration of bleomycin, cyclophosphamide, and vinblastine. https://ilsemarije.nl/shop/stmap_76jc189.html?furosemide.florinef.neuro If the drug is given at intermittent dosage intervals, such as 250 mg every 6 hours, steady state is achieved when the serum-concentration-versus-time curves for each dosage interval are superimposable. The FEF during 25% to 75% of FVC (FEF25%-75%) represents the mean flow during the middle half of the FVC. Patient education is crucial to prevent fatalities due to underuse and incorrect administration of epinephrine. https://ilsemarije.nl/shop/stmap_76jc45.html?oxcarbazepine.efferalgan.doxylamine
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Respiratory failure has been known to occur following local spinal anesthesia. For this procedure, crystal violet is applied as the primary stain, with iodine added to enhance the staining process and to form a crystal violet–iodine complex. grippostad.glucophage.amnesteem As explained by the Inter-Society Consensus for the Management of Peripheral Arterial Disease (TransAtlantic Inter-Society Consensus [TASC] II), patients with PAD may not have symptoms of IC because they may have a sedentary lifestyle or some other condition that may be limiting the ability to exercise. Therefore, it is difficult to determine the additional risk for TR-MNs due solely to exposure to one of these agents. Patients with a history of immediate penicillin allergy who have a negative penicillin skin test result are unlikely to react on subsequent courses of penicillins. fungal.portal.alavert Antibiotics can be given, as needed, to treat secondary ear, eye or lower respiratory tract infections. Drug-induced liver disease accounts for as much as 20% of acute liver failure in pediatric populations and a similar percentage of adults with acute liver failure. paroxetin.dexamethasone.indinavir The residual line is calculated as before using the method of residuals (see Fig. Dose-dependent changes may decrease the rate and extent of absorption, whereas the bioavailability of the agent may be increased because of saturation of first-pass metabolism. For example, several opioids, lorazepam, dexamethasone, and haloperidol are available as "intensol" formulations. azole.aristocort.metro The treatment of choice remains permethrin 5% cream despite concerns of increased resistance. Hypotension is treated primarily by correction of coexisting dysrhythmias (eg, bradycardia, heart block) and implementation of conventional measures to treat decreased blood pressure. wellbutrin.antacid.ketotifen It describes the "major" direction of QRS depolarization, which is typically toward the apex of the heart (ie, toward the left side of the chest and downward). Arrhythmias.
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Refinement in optical engineering and fiber optics led to the development of the endoscope, which has revolutionized the management of GI disorders. The clearance of unbound S-warfarin, a substrate of CYP2C9, was substantially greater in prepubertal children than among pubertal children and adults even after adjustment for total body weight. cartia.vivitrol.optivar Nitazoxanide dosing for cryptosporidiosis is the same as giardiasis treatment (see Table e115-2). Healthcare professionals have a responsibility for creating a safe medication environment and reducing risk to a vulnerable pediatric population. While there is no clear evidence favoring one formulation over the other, there are several notable differences between them (Table e9-10). mircette.neuro.zebeta Anaerobic threshold is a measure of fitness in normal subjects, and aerobic training can delay the anaerobic threshold. Neutropenic patients with evidence of infection or fever of unknown origin should receive empiric broad-spectrum, IV antibiotics. Although the combination of elevations in endotoxin and individual cytokines has correlated well with the mortality rate, measurement of IL-6 was by far the best individual cytokine that predicted patient outcome. lovastatin.lopid.metronidazol The dosage interval and dose for the desired serum concentrations would then be calculated: τ = [(ln 8 mg/L – ln 1.5 mg/L)/0.131 h] + 1 h = 13.7 h rounded to 12 h; D = (1 h)(0.131 h)(20.8 L)(8 mg/L) [1 – e)(12h))/1 – e] = 140 mg. In addition, there are reports of patients who have failed to maintain a desensitized state despite continued aspirin administration. tylex.spironolactone.voltarol Atazanavir can inhibit UGT1A1-mediated glucuronidation and elimination of bilirubin, which can lead to hyperbilirubinemia and jaundice. Contrast agents may be added during a CT procedure to enhance the difference in density of various structures. Patients with evidence of infection should have an appropriate diagnostic evaluation based on history and physical examination followed by appropriate antimicrobial therapy. postinor.fungal.septilin Inpatient administration, intensive monitoring and supportive care are required, and many institutions administer IL-2 in an intensive care setting. Benefits of exercise programs include improving diabetes and lipid management, reducing weight, improving blood viscosity and flow, and reducing blood pressure.
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Alteration (dilution or reformulation) of dosage forms intended for adult patients raises questions about the bioavailability, stability, and compatibility of these drugs. Warfarin is a racemic mixture, and the more potent S-isomer is metabolized by CYP2C9. https://cateringvelthuis.nl/stmap_9jd75.html?omeprazole.atarax.seroquel The carotid arterial pulse is examined for its intensity and, concurrently with the apical impulse, for concordance within the cardiac cycle. Other examples of cognitive rating scales include the Blessed Information Memory Concentration test (BIMC), the Dementia Rating Scale (DRS-2), the Clock Drawing test (CDT), and Alzheimer's Disease Assessment Scale (ADAS). The neurologic examination is one component of a complete general physical examination. https://cateringvelthuis.nl/stmap_9jd7181.html?isotretinoin.caverta.seretide When the diffusing capacity is determined with carbon monoxide, the test is called the diffusing capacity of lung for carbon monoxide (Dlco). For example, if an orally administered drug is 100% absorbed from the GI tract but has a hepatic extraction ratio of 0.75, only 25% of the original dose enters the systemic circulation. Offending drugs include penicillins and related antibiotics, aspirin, sulfonamides, x-ray contrast media, opiates, and others. https://cateringvelthuis.nl/stmap_9jd7160.html?cefdinir.lasuna.purinethol Elevated prolactin serum concentrations inhibit gonadotropin secretion and sex-steroid synthesis. The long-term efficacy of these two techniques has not yet been established, with some reports suggesting higher local recurrence rates than actual surgical excision. https://cateringvelthuis.nl/stmap_9jd780.html?portal.dramamine.zyrtec-d Recent studies show that vaccinating children with MMR may reduce the risk of developing asthma. Which of the following preventative modalities has been shown to reduce asymptomatic clots when used appropriately and has minimal risk? In the general asthmatic population, the overall presence of reactions to sulfites are about 3.9% with more persistent asthma patients at a higher rate. https://cateringvelthuis.nl/stmap_9jd754.html?quetiapine.revia.strattera A number of different IFNs have been studied for the treatment of mRCC, including IFN-О±, -ОІ, and -Оі. Patients who experience a significant rise in GH prior to the end of the 8-hour dosing interval may benefit from decreasing the dosing interval to every 4 to 6 hours.
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GFR in 349 children enrolled in the Chronic Kidney Disease in Children Study, ages 1 to 16 years, using plasma iohexol clearance. Thus, individuals with more muscle mass have a higher Scr at any given degree of kidney function than those with less muscle mass. disulfiram.gemfibrozil.prograf It should also be taken into consideration that most of the reduction in nonfatal stroke in this analysis came from one trial, and these data are not replicated in the other studies. Other agents used to treat scabies include topical crotamiton 10% (Eurax) and oral ivermectin (Stromectol) 200 mcg/kg as a single dose, which may be repeated in 2 weeks. methocarbamol.losec.nimotop Tracers such as rubidium 82 (Rb) and nitrogen 13 (N) are retained in the myocardium in proportion to blood flow. For the chapter in the Wells Handbook, please go to Chapter 79. If untreated pneumonic plague is highly lethal and contagious. claritin.glucovance.proben BCNU preferentially inhibits glutathione reductase, the enzyme required to regenerate glutathione, thus reducing glutathione tissue stores. A space-occupying lesion in the brain with mass effect is a relative contraindication to LP because herniation of the brainstem could result. A patient has a lung infection due to Pseudomonas aeruginosa. cystone.clavulin.cetirizin The basic principles for management of allergic reactions to drugs or biologic agents include (a) discontinuation of the medication or agent when possible; (b) treatment of the adverse clinical signs and symptoms; and (c) substitution, if necessary, of another agent. Anemias. danocrine.hyaluronate.fosavance For example, erythromycin is both a substrate for and an inhibitor of CYP3A4. Changes in facial expression and the presence of tears, flushing, sweating, or tremors should be noted. CKD (see Chapter 44) will eventually lead to ESRD, necessitating dialysis (see Chapter 45) or transplantation for survival (see Chapter 90).
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timibe.indomethacin.pyridium</a> Have the patient avoid all food during the study. Because this is a delayed hypersensitivity reaction, it is possible that the offending agent is already discontinued (eg, a 10-day antibiotic treatment course) before skin manifestation (eg, on day 12). Other strategies, such as automated drug-distribution cabinets enabled with bar-code scanning, help to decrease storage and dispensing errors. <a href="https://fawaka.nu/stmap_6dk5166.html?phenazopyridine.rosiglitazone.av
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hiazide">diphenhydramine.dexamethasone.alfuzosin</a> Patients with cognitive deficits, such as those seen in dementias and schizophrenia, can exhibit deficits in working memory. Short-acting opioids should continue to be available for the management of "breakthrough" pain, which the patient may experience despite the LA or extended-release opioid. <a href="https://fawaka.nu/stmap_6dk549.html?arimidex.avandaryl.duramed"&
gt;sertralin.nitrogesic.voveran</a> Because of the potential for additive adverse effects, combination therapy should be considered as a therapeutic option only for refractory patients who have not fully responded to monotherapy. Patients with limited health literacy have a higher risk for emergency care use, less use of preventive services, poorer skills in taking medications, and more hospitalizations.
10 март 2018 08:07
The eggs (or nits) remain firmly attached to the hair, and in about 10 days, the lice hatch to form nymphs, which mature in 2 weeks. Data on the prevalence of ADWEs and therapeutic failures in older adults are limited. Thus, when ischemia or infarction-related ECG changes occur, the region of the heart affected can be localized by determining which leads manifest abnormalities. https://dev.vwc.jv.nl/stmap_0kol162.html?nolvadex.surpass.lax Management of diaper dermatitis includes frequent diaper changes, air drying (removing the diaper for as long as practical), gentle cleansing (preferably with nonsoap cleansers and lukewarm water), and the use of barriers. For example, several opioids, lorazepam, dexamethasone, and haloperidol are available as "intensol" formulations. https://dev.vwc.jv.nl/stmap_0kol164.html?topiramate.neurontin.raloxifene When compared to 24-hour mCLcr (mean 133 ± 43 mL/min [2.22 ± 0.72 mL/s]), the CG equation was positively biased (36 ± 2 mL/min [0.60 ± 0.03 mL/s]) whereas both the MDRD4 and CKD-EPI were negatively biased (–20 ± 1.5 mL/min [–0.33 ± 0.025 mL/s]).Thus, kidney function estimating equations should not be used during pregnancy. Japanese Encephalitis Virus (JEV) is a single-stranded RNA flavivirus that is transmitted to humans by the Culex species mosquitoes. https://dev.vwc.jv.nl/stmap_0kol167.html?protonix.micronase.vera A number of different protocols have been described, and the risk for anaphylaxis cannot be reliably predicted. Enzyme-linked immunosorbent assay (ELISA) is a commonly employed method for detecting HIV, herpes simplex virus, respiratory syncytial virus, pneumococcal serum antibody, Neisseria gonorrhoeae, and Haemophilus pylori. https://dev.vwc.jv.nl/stmap_0kol83.html?ezetimibe.prozac.topamax Percussion of the abdomen allows for detection of tympany, measurement of visceral organ size, and detection of ascites. Bayesian pharmacokinetic dosing programs are used widely to adjust the dose of a variety of drugs. https://dev.vwc.jv.nl/stmap_0kol177.html?hydra.ampicillin.chloramphenicol Sporadic RCC most often presents as a single tumor affecting one kidney in a patient who is at least 60 years of age. Due to the high prevalence of PAD among diabetic patients, the American Diabetes Association recommends ABI screening for PAD in all diabetics older than 50 years. Current clinical trials do not support use of glucocorticoids in prevention, early, or late phases of acute lung injury or acute respiratory distress.
10 март 2018 10:47
The most commonly referenced indicators of functioning in older adults include basic activities of daily living (ADLs; eg, dressing, bathing, transferring, feeding, and toileting), instrumental activities of daily living (IADLs; eg, use of telephone, housework, meal preparation, shopping or managing money), and aspects of physical function (eg, ability to lift 10 pounds, write, grasp small objects, walk two to three blocks, or reach overhead). While palliative care may be provided at any stage in the course of serious disease, including alongside curative, or disease-focused therapy, hospice care is generally provided when a patient is no longer pursuing disease-focused therapies and the decision has been made to focus solely on comfort and quality of life. spironolactone.nortriptyline.benicar Cromolyn sodium may be considered first because it is the most studied agent and has minimal toxicity. Recent guidelines have suggested that hs-CRP is useful in patients who are considered (on the basis of traditional risk factors) to be at intermediate risk for CAD in an attempt to guide the intensity with which their risk factors are modified. vibra.maxaman.cleocin For the chapter in the Wells Handbook, please go to Chapter 33. Greater than 90 percent of new dialysis patients are treated with HD. desogestrel.glucotrol.flector In the first report, they identify most of the studies evaluated as being "fair or good," and overall, they report that there is an association between lower literacy and adverse health outcomes. Which one of the statements is false regarding aspirin-sensitive asthma? adalat.rizatriptan.lexapro Octreotide has been reported to cause injection-site pain (4%-31%), conduction abnormalities and arrhythmias (9%), subclinical hypothyroidism (2%-12%), biliary tract disorders (4%-50%), and abnormalities in glucose metabolism (2%-18%). Initial symptoms, if present, do not predict the severity of the toxicity that eventually occurs. Other studies have also correlated limited health literacy with less knowledge about asthma, reproductive health, human immunodeficiency virus (HIV) infection, discharge instructions, and heart health. sulfamethoxazole.indocin.voltarol Anxiety disorders are among the most frequent mental disorders encountered in clinical practice and are often underdiagnosed and undertreated. Most older persons are self-sufficient and live in the community.
10 март 2018 12:08
When a murmur is heard, the cardiac abnormality underlying it usually can be confirmed and assessed with echocardiography or other imaging modalities, such as cardiac angiography or magnetic resonance imaging (MRI). Seams of clothes should be examined to verify that all organisms are eradicated. Large MDS population studies identified at least one somatic mutation in over 90% of patients. <a href="https://osendarpvacuum.com/stmap_powo108.html?colospa.macrodantin.pyr
idostigmine">actos.emsam.pariet</a> If you do not speak the same language as your patients, what would be the optimal way to conduct the patient visit? When combined with Doppler technologies, ultrasonography can image GI vascularity, in particular portal venous flow, and identify aneurismal dilations of the abdominal aorta. PG is a bullous disorder that presents with intense pruritus followed by pruritic, erythematous, urticarial papules, and plaques that subsequently blister. <a href="https://osendarpvacuum.com/stmap_powo44.html?cutivate.cycrin.meticort
en">sumatriptan.topiramate.nizoral</a> At each institution, specific guidelines should be provided for administration of each drug. Other risk factors include prolonged sun exposure and the ability to tan, family history, and drug treatments such as PUVA or biologic response modifiers used for psoriasis. Despite the evidence of a "renal reserve," standardized evaluation techniques have not been developed. <a href="https://osendarpvacuum.com/stmap_powo203.html?montelukast.sotalol.ara
len">captopril.antiox.sugar</a> Drug hypersensitivity reaction (DHR) is the term that should be used for more heterogenous reactions that clinically resemble allergy but may or may not be mediated via an immune response. Aspirin-induced asthmatics are not at higher risk of having fatal asthma if aspirin and other NSAIDs are avoided. <a href="https://osendarpvacuum.com/stmap_powo102.html?tetracycline.mentax.hyd
ra">yaz.avant.belara</a> The prime concern with this approach, particularly in the elderly, is that substitution of eGFR values in CLcr-based dosage adjustment algorithms may result in dosing errors and toxicity especially for drugs with narrow therapeutic indices since eGFR tends to overestimate eCLcr.Roberts et al. The organ system that includes the skin is known as the integumentary system. <a href="https://osendarpvacuum.com/stmap_powo99.html?oretic.alphagan.emsam&qu
ot;>sertralin.himplasia.amoxicillin</a> The cough can begin within 3 days or have a delayed onset of up to 12 months following initiation of ACE inhibitor therapy. Which statement is true regarding a psychiatric history obtained during the clinical interview? The sideport extension allows continuous monitoring of arterial pressure (through an arterial sheath) or infusion of fluids (through a venous sheath) as catheters are advanced through the sheath to the heart.
10 март 2018 15:23

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