4 курс / Акушерство и гинекология / тактика_врача_акушера_гинеколога
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ɊȿɄɈɆȿɇȾȺɐɂɂ ɉɈ ɉɊɈɎɂɅȺɄɌɂɄȿ
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ǪȒȇȉȇ 8. ǯȔțȌȑȝȏȏ ȖȌȗȌȋȇȉȇȌȓȢȌ ȖȗȌȏȓȚȠȌȘșȉȌȔȔȕ ȖȕȒȕȉȢȓ ȖȚșȌȓ
8.1. ǺȗȕȊȌȔȏșȇȒȣȔȇȦ ȓȏȑȕȖȒȇȎȓȌȔȔȇȦ ȏȔțȌȑȝȏȦ
ǺȗȕȊȌȔȏșȇȒȣȔȇȦ ȓȏȑȕȖȒȇȎȓȌȔȔȇȦ ȏȔțȌȑȝȏȦ - ɢɧɮɟɤɰɢɨɧɧɨɟ ɜɨɫɩɚɥɢɬɟɥɶɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟ ɦɨɱɟɩɨɥɨɜɵɯ ɩɭɬɟɣ ɜɵɡɵɜɚɟɦɨɟ ɦɢɤɨɩɥɚɡɦɚɦɢ
Ɇɢɤɨɩɥɚɡɦɵ - ɫɨɫɬɚɜɧɚɹ ɱɚɫɬɶ ɧɨɪɦɚɥɶɧɨɣ ɦɢɤɪɨɛɢɨɬɵ ɜɥɚɝɚɥɢɳɚ ȼ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɭɪɨɝɟɧɢɬɚɥɶɧɵɟ ɦɢɤɨɩɥɚɡɦɵ ɭɪɟɚɩɥɚɡɦɵ ɢ ɦɢɤɨɩɥɚɡɦɵ ɧɟ ɨɬɧɨɫɹɬ ɤ ɩɚɬɨɝɟɧɧɵɦ ɦɢɤɪɨɨɪɝɚɧɢɡɦɚɦ ɍɫɬɚɧɨɜɥɟɧɨ ɱɬɨ ɨɧɢ ɫɩɨɫɨɛɧɵ ɪɚɡɦɧɨɠɚɬɶɫɹ ɜ ɩɨɥɨɜɵɯ ɨɪɝɚɧɚɯ ɧɟ ɜɵɡɵɜɚɹ ɜɨɫɩɚɥɟɧɢɹ >ɜ ɬɢɬɪɟ - ɤɨɥɨɧɢɟɨɛɪɚɡɭɸɳɢɯ ɟɞɢɧɢɰ ɄɈȿ ɦɥ@ ɉɚɬɨɝɟɧɧɵɟ ɫɜɨɣɫɬɜɚ ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ ɦɢɤɨɩɥɚɡɦ ɞɨ ɤɨɧɰɚ ɧɟ ɢɡɭɱɟɧɵ
0\FRSODVPD JHQLWDOLXP - ɩɚɬɨɝɟɧɧɵɣ ɦɢɤɪɨɨɪɝɚɧɢɡɦ ɫɩɨɫɨɛɧɵɣ ɜɵɡɵɜɚɬɶ ɭɪɟɬɪɢɬ ɭ ɥɢɰ ɨɛɨɟɝɨ ɩɨɥɚ ɰɟɪɜɢɰɢɬ ɢ ɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ ɨɪɝɚɧɨɜ ɦɚɥɨɝɨ ɬɚɡɚ ɭ ɠɟɧɳɢɧ
ɍ 5- ɡɞɨɪɨɜɵɯ ɠɟɧɳɢɧ ɨɛɧɚɪɭɠɢɜɚɸɬ 0 KRPLKLV ɭ - - 8UHDSODVPD VSS Ʉɨɥɨɧɢɡɚɰɢɹ ɜɥɚɝɚɥɢɳɚ ɜɫɬɪɟɱɚɟɬɫɹ ɜ - ɪɚɡɚ ɱɚɳɟ ɱɟɦ ɤɨɥɨɧɢɡɚɰɢɹ ɭɪɟɬɪɵ ɭ ɦɭɠɱɢɧ
DZȕȋȢ Ȗȕ dzDZǨ-
Ⱥ ɂɧɮɟɤɰɢɹ ɜɵɡɜɚɧɧɚɹ ɦɢɤɨɩɥɚɡɦɨɣ ɧɟɭɬɨɱɧɟɧɧɚɹ
$ Ⱦɪɭɝɢɟ ɭɬɨɱɧɟɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɪɟɞɚɸɳɢɟɫɹ ɩɪɟɢɦɭɳɟɫɬɜɟɧɧɨ ɩɨɥɨɜɵɦ ɩɭɬɟɦ
DZȒȇȘȘȏțȏȑȇȝȏȦ
Ƕȕ ȑȒȏȔȏȞȌȘȑȕȓȚ șȌȞȌȔȏȥ ȗȇȎȒȏȞȇȥș
x ɫɜɟɠɭɸ ɭɪɨɝɟɧɢɬɚɥɶɧɭɸ ɦɢɤɨɩɥɚɡɦɟɧɧɭɸ ɢɧɮɟɤɰɢɸ ɨɫɬɪɭɸ ɩɨɞɨɫɬɪɭɸ ɜɹɥɨɬɟɤɭɳɭɸ
x ɯɪɨɧɢɱɟɫɤɭɸ ɭɪɨɝɟɧɢɬɚɥɶɧɭɸ ɢɧɮɟɤɰɢɸ
x ɧɨɫɢɬɟɥɶɫɬɜɨ ɦɢɤɨɩɥɚɡɦ ɨɛɧɚɪɭɠɢɜɚɸɬ ɦɢɤɨɩɥɚɡɦɵ ɜ ɬɢɬɪɟ ɄɈȿ ɦɥ ɤɥɢɧɢɱɟɫɤɢɟ ɩɪɢɡɧɚɤɢ ɜɨɫɩɚɥɟɧɢɹ ɨɬɫɭɬɫɬɜɭɸɬ
ɉɨ ɥɨɤɚɥɢɡɚɰɢɢ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ ɪɚɡɥɢɱɚɸɬ
x ɭɪɟɬɪɢɬ ɜɵɡɜɚɧɧɵɣ M. genitalium x ɰɟɪɜɢɰɢɬ ɜɵɡɜɚɧɧɵɣ M. genitalium
x ɫɚɥɶɩɢɧɝɨɨɮɨɪɢɬ ɜɵɡɜɚɧɧɵɣ M. genitalium x ɷɧɞɨɦɟɬɪɢɬ ɜɵɡɜɚɧɧɵɣ M. genitalium
DZȒȏȔȏȞȌȘȑȇȦ ȑȇȗșȏȔȇ
ɉɚɬɨɝɧɨɦɨɧɢɱɧɵɯ ɫɢɦɩɬɨɦɨɜ ɭɪɨɝɟɧɢɬɚɥɶɧɨɣ ɦɢɤɨɩɥɚɡɦɟɧɧɨɣ ɢɧɮɟɤɰɢɢ ɧɟɬ ɉɚɰɢɟɧɬɵ ɠɚɥɭɸɬɫɹ ɧɚ ɩɟɪɢɨɞɢɱɟɫɤɢ ɜɨɡɧɢɤɚɸɳɢɟ ɭɦɟɪɟɧɧɵɣ ɡɭɞ ɢ ɠɠɟɧɢɟ ɜ ɨɛɥɚɫɬɢ ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɜɵɞɟɥɟɧɢɹ ɢɡ ɩɨɥɨɜɵɯ ɩɭɬɟɣ ɞɢɡɭɪɢɱɟɫɤɢɟ ɪɚɫɫɬɪɨɣɫɬɜɚ ɍɪɟɬɪɢɬ ɜɚɝɢɧɢɬ ɷɧɞɨɰɟɪɜɢɰɢɬ ɰɢɫɬɢɬ ɷɧɞɨɦɟɬɪɢɬ ɫɚɥɶɩɢɧɝɢɬ ɜɵɡɜɚɧɧɵɟ ɦɢɤɨɩɥɚɡɦɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɭɫɬɨɣɱɢɜɵ ɤ ɥɟɱɟɧɢɸ ɢ ɫɤɥɨɧɧɵ ɤ ɪɟɰɢɞɢɜɢɪɨɜɚɧɢɸ Ɇɢɤɨɩɥɚɡɦɵ ɩɪɢ ɷɬɢɯ ɡɚɛɨɥɟɜɚɧɢɹɯ ɜɵɞɟɥɹɸɬ ɜ ɦɨɧɨɤɭɥɶɬɭɪɭ ɢɥɢ ɜ ɚɫɫɨɰɢɚɰɢɢ ɫ ɞɪɭɝɢɦɢ ɩɚɬɨɝɟɧɧɵɦɢ ɢɥɢ ɭɫɥɨɜɧɨ-ɩɚɬɨɝɟɧɧɵɦɢ ɦɢɤɪɨɨɪɝɚɧɢɡɦɚɦɢ
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ǶȚșȏ ȗȇȘȖȗȕȘșȗȇȔȌȔȏȦ ȏȔțȌȑȝȏȏ
x ɩɨɥɨɜɨɣ
x ɜɨɫɯɨɞɹɳɢɣ x ɝɟɦɚɬɨɝɟɧɧɵɣ
x ɬɪɚɧɫɥɨɤɚɰɢɨɧɧɵɣ ɢɡ ɨɞɧɨɝɨ ɨɪɝɚɧɚ ɜ ɞɪɭɝɨɣ x ɬɪɚɧɫɩɥɚɰɟɧɬɚɪɧɵɣ
ǵȘȒȕȍȔȌȔȏȦ
x ɛɟɫɩɥɨɞɢɟ
x ɧɟɜɵɧɚɲɢɜɚɧɢɟ ɛɟɪɟɦɟɧɧɨɫɬɢ x ɯɪɨɧɢɱɟɫɤɢɣ ɷɧɞɨɦɟɬɪɢɬ
x ɩɟɪɜɢɱɧɚɹ ɢ ɜɬɨɪɢɱɧɚɹ ɮɟɬɨɩɥɚɰɟɧɬɚɪɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ x ɜɵɫɨɤɚɹ ɩɟɪɢɧɚɬɚɥɶɧɚɹ ɡɚɛɨɥɟɜɚɟɦɨɫɬɶ
x ɚɧɨɦɚɥɢɢ ɪɚɡɜɢɬɢɹ ɩɥɨɞɚ
ǸȑȗȏȔȏȔȊ
ɋɤɪɢɧɢɧɝ ɩɪɨɜɨɞɹɬ ɦɟɬɨɞɚɦɢ ɉɐɊ
Ʉɪɢɬɟɪɢɢ ɞɢɚɝɧɨɫɬɢɤɢ |
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Ʉɨɦɦɟɧɬɚɪɢɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɵ ɫɛɨɪ ɚɧɚɦɧɟɡɚ ɢ ɨɰɟɧɤɚ |
ɤɥɢɧɢɱɟɫɤɢɯ ɞɚɧɧɵɯ |
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ɀɚɥɨɛɵ ɧɟɨɫɥɨɠɧɟɧɧɵɟ |
ɮɨɪɦɵ - ɋɭɛɴɟɤɬɢɜɧɵɟ ɫɢɦɩɬɨɦɵ |
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ɭɪɟɬɪɢɬ ɰɟɪɜɢɰɢɬ |
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x ɜ ɫɥɭɱɚɟɜ ɠɟɧɳɢɧɵ ɨɬɦɟɱɚɸɬ |
x |
ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɟ ɜɵɞɟɥɟɧɢɹ ɢɡ ɭɪɟɬɪɵ ɢ ɢɥɢ |
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ɩɨɥɨɜɵɯ ɩɭɬɟɣ |
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ɫɭɛɴɟɤɬɢɜɧɨ ɚɫɢɦɩɬɨɦɧɨɟ ɬɟɱɟɧɢɟ |
x |
ɚɰɢɤɥɢɱɟɫɤɢɟ |
ɤɪɨɜɹɧɢɫɬɵɟ |
ɜɵɞɟɥɟɧɢɹ |
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ɡɚɛɨɥɟɜɚɧɢɹ |
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ɛɨɥɟɡɧɟɧɧɨɫɬɶ |
ɜɨ ɜɪɟɦɹ ɩɨɥɨɜɵɯ |
ɤɨɧɬɚɤɬɨɜ |
x ɧɚɥɢɱɢɟ ɠɚɥɨɛ ɧɚ ɫɭɛɴɟɤɬɢɜɧɵɟ |
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ɞɢɫɩɚɪɟɭɧɢɹ |
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ɫɢɦɩɬɨɦɵ |
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x |
ɡɭɞ ɠɠɟɧɢɟ ɛɨɥɟɡɧɟɧɧɨɫɬɶ ɩɪɢ ɦɨɱɟɢɫɩɭɫɤɚɧɢɢ |
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ɞɢɡɭɪɢɹ |
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x |
ɞɢɫɤɨɦɮɨɪɬ ɢɥɢ ɛɨɥɶ ɜ ɧɢɠɧɟɣ ɱɚɫɬɢ ɠɢɜɨɬɚ |
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ɀɚɥɨɛɵ ɨɫɥɨɠɧɟɧɧɵɟ ɮɨɪɦɵ ɋɭɛɴɟɤɬɢɜɧɵɟ ɫɢɦɩɬɨɦɵ
x ɧɚɥɢɱɢɟ ɠɚɥɨɛ ɧɚ ɫɭɛɴɟɤɬɢɜɧɵɟ x ɫɚɥɶɩɢɧɝɨɨɮɨɪɢɬ ɛɨɥɶ ɜ ɨɛɥɚɫɬɢ ɧɢɠɧɟɣ ɱɚɫɬɢ ɫɢɦɩɬɨɦɵ ɠɢɜɨɬɚ ɫɯɜɚɬɤɨɨɛɪɚɡɧɨɝɨ ɯɚɪɚɤɬɟɪɚ ɫɥɢɡɢɫɬɨɝɧɨɣɧɵɟ ɜɵɞɟɥɟɧɢɹ ɢɡ ɩɨɥɨɜɵɯ ɩɭɬɟɣ ɩɪɢ ɯɪɨɧɢɱɟɫɤɨɦ ɬɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɹ ɫɭɛɴɟɤɬɢɜɧɵɟ ɩɪɨɹɜɥɟɧɢɹ ɦɟɧɟɟ ɜɵɪɚɠɟɧɵ ɨɬɦɟɱɚɟɬɫɹ
ɧɚɪɭɲɟɧɢɟ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ
x |
x ɷɧɞɨɦɟɬɪɢɬ ɛɨɥɶ ɜ ɧɢɠɧɟɣ ɱɚɫɬɢ |
ɠɢɜɨɬɚ ɤɚɤ |
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ɩɪɚɜɢɥɨ ɬɹɧɭɳɟɝɨ ɯɚɪɚɤɬɟɪɚ ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɟ |
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ɜɵɞɟɥɟɧɢɹ ɢɡ ɩɨɥɨɜɵɯ ɩɭɬɟɣ ɩɪɢ ɯɪɨɧɢɱɟɫɤɨɦ |
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ɬɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɹ ɫɭɛɴɟɤɬɢɜɧɵɟ ɩɪɨɹɜɥɟɧɢɹ |
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ɦɟɧɟɟ |
ɜɵɪɚɠɟɧɵ |
ɧɟɪɟɞɤɨ |
ɨɬɦɟɱɚɸɬɫɹ |
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ɦɟɠɦɟɧɫɬɪɭɚɥɶɧɵɟ |
ɫɤɭɞɧɵɟ |
ɤɪɨɜɹɧɢɫɬɵɟ |
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ɜɵɞɟɥɟɧɢɹ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɨ ɮɢɡɢɤɚɥɶɧɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ
Ƚɢɧɟɤɨɥɨɝɢɱɟɫɤɢɣ |
ɨɫɦɨɬɪ - |
Ȼɢɦɚɧɭɚɥɶɧɵɣ ɜɥɚɝɚɥɢɳɧɵɣ ɨɫɦɨɬɪ |
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ɧɟɨɫɥɨɠɧɟɧɧɵɟ |
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ɮɨɪɦɵ - |
ɭɪɟɬɪɢɬ |
Ɉɫɦɨɬɪ ɲɟɣɤɢ ɦɚɬɤɢ ɜ ɡɟɪɤɚɥɚɯ |
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ɰɟɪɜɢɰɢɬ |
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x |
ɜɥɚɝɚɥɢɳɧɵɣ ɨɫɦɨɬɪ ɧɚɥɢɱɢɟ - |
Ɉɛɴɟɤɬɢɜɧɵɟ ɫɢɦɩɬɨɦɵ |
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ɨɛɴɟɤɬɢɜɧɵɯ ɫɢɦɩɬɨɦɨɜ |
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ɝɢɩɟɪɟɦɢɹ ɢ ɨɬɟɱɧɨɫɬɶ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ |
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ɧɚɪɭɠɧɨɝɨ ɨɬɜɟɪɫɬɢɹ ɦɨɱɟɢɫɩɭɫɤɚɬɟɥɶɧɨɝɨ ɤɚɧɚɥɚ |
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ɢɧɮɢɥɶɬɪɚɰɢɹ ɫɬɟɧɨɤ ɭɪɟɬɪɵ ɫɥɢɡɢɫɬɵɟ ɢɥɢ |
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ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɟ ɜɵɞɟɥɟɧɢɹ ɢɡ ɭɪɟɬɪɵ |
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x ɨɬɟɱɧɨɫɬɶ ɢ ɝɢɩɟɪɟɦɢɹ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ ɲɟɣɤɢ |
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ɦɚɬɤɢ |
ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɟ |
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ɜɵɞɟɥɟɧɢɹ |
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ɢɡ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ |
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Ƚɢɧɟɤɨɥɨɝɢɱɟɫɤɢɣ |
ɨɫɦɨɬɪ - |
Ȼɢɦɚɧɭɚɥɶɧɵɣ ɜɥɚɝɚɥɢɳɧɵɣ ɨɫɦɨɬɪ |
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ɨɫɥɨɠɧɟɧɧɵɟ ɮɨɪɦɵ |
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Ɉɫɦɨɬɪ ɲɟɣɤɢ ɦɚɬɤɢ ɜ ɡɟɪɤɚɥɚɯ |
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x |
ɜɥɚɝɚɥɢɳɧɵɣ ɨɫɦɨɬɪ ɧɚɥɢɱɢɟ - |
Ɉɛɴɟɤɬɢɜɧɵɟ ɫɢɦɩɬɨɦɵ |
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ɨɛɴɟɤɬɢɜɧɵɯ ɫɢɦɩɬɨɦɨɜ |
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x |
ɫɚɥɶɩɢɧɝɨɨɮɨɪɢɬ |
ɩɪɢ |
ɨɫɬɪɨɦ |
ɬɟɱɟɧɢɢ |
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ɢɧɮɟɤɰɢɨɧɧɨɝɨ |
ɩɪɨɰɟɫɫɚ |
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ɨɩɪɟɞɟɥɹɸɬɫɹ |
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ɭɜɟɥɢɱɟɧɧɵɟ ɪɟɡɤɨ ɛɨɥɟɡɧɟɧɧɵɟ ɦɚɬɨɱɧɵɟ ɬɪɭɛɵ |
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ɢ ɹɢɱɧɢɤɢ ɭɤɨɪɨɱɟɧɢɟ ɫɜɨɞɨɜ ɜɥɚɝɚɥɢɳɚ ɨɛɢɥɶɧɵɟ |
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ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɟ ɜɵɞɟɥɟɧɢɹ ɢɡ ɰɟɪɜɢɤɚɥɶɧɨɝɨ |
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ɤɚɧɚɥɚ ɩɪɢ ɯɪɨɧɢɱɟɫɤɨɦ ɬɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɹ - |
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ɧɟɡɧɚɱɢɬɟɥɶɧɚɹ |
ɛɨɥɟɡɧɟɧɧɨɫɬɶ |
ɭɩɥɨɬɧɟɧɢɟ |
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ɦɚɬɨɱɧɵɯ ɬɪɭɛ |
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x ɷɧɞɨɦɟɬɪɢɬ ɩɪɢ ɨɫɬɪɨɦ ɬɟɱɟɧɢɢ ɢɧɮɟɤɰɢɨɧɧɨɝɨ |
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ɩɪɨɰɟɫɫɚ ɨɩɪɟɞɟɥɹɟɬɫɹ ɛɨɥɟɡɧɟɧɧɚɹ ɭɜɟɥɢɱɟɧɧɚɹ |
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ɦɚɬɤɚ ɦɹɝɤɨɜɚɬɨɣ ɤɨɧɫɢɫɬɟɧɰɢɢ ɨɛɢɥɶɧɵɟ ɫɥɢɡɢɫɬɨ- |
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ɝɧɨɣɧɵɟ ɜɵɞɟɥɟɧɢɹ ɢɡ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɩɪɢ |
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ɯɪɨɧɢɱɟɫɤɨɦ ɬɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɹ - ɩɥɨɬɧɚɹ |
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ɤɨɧɫɢɫɬɟɧɰɢɹ ɢ ɨɝɪɚɧɢɱɟɧɧɚɹ ɩɨɞɜɢɠɧɨɫɬɶ ɦɚɬɤɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɥɚɛɨɪɚɬɨɪɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ |
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ɂɫɫɥɟɞɨɜɚɧɢɟ |
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ɧɚ 0 JHQLWDOLXP - |
x |
Ʌɢɰɚɦ ɫ ɤɥɢɧɢɱɟɫɤɢɦɢ ɢ ɢɥɢ ɥɚɛɨɪɚɬɨɪɧɵɦɢ |
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ɪɟɤɨɦɟɧɞɭɟɬɫɹ |
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ɩɪɨɜɨɞɢɬɶ ɭɪɨɜɟɧɶ |
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ɩɪɢɡɧɚɤɚɦɢ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ ɨɪɝɚɧɨɜ |
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ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ |
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ɭɪɨɝɟɧɢɬɚɥɶɧɨɝɨ ɬɪɚɤɬɚ ɢ ɪɟɩɪɨɞɭɤɬɢɜɧɨɣ ɫɢɫɬɟɦɵ |
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ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ |
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x |
ɉɪɢ ɩɪɟɞɝɪɚɜɢɞɚɪɧɨɦ ɨɛɫɥɟɞɨɜɚɧɢɢ ɩɨɥɨɜɵɯ - |
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ɉɪɢɦɟɱɚɧɢɟ ɞɢɮɮɟɪɟɧɰɢɚɥɶɧɭɸ |
- |
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ɩɚɪɬɧɟɪɨɜ |
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x ɉɪɢ ɨɛɫɥɟɞɨɜɚɧɢɢ ɠɟɧɳɢɧ ɜɨ ɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ |
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ɞɢɚɝɧɨɫɬɢɤɭ ɩɪɨɜɨɞɹɬ ɫ ɜɨɫɩɚɥɢɬɟɥɶɧɵɦɢ |
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x |
ɉɪɢ |
ɩɪɟɞɫɬɨɹɳɢɯ |
ɨɩɟɪɚɬɢɜɧɵɯ |
ɢɧɜɚɡɢɜɧɵɯ - |
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ɡɚɛɨɥɟɜɚɧɢɹɦɢ |
ɜɵɡɜɚɧɧɵɦɢ |
ɞɪɭɝɢɦɢ |
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ɦɚɧɢɩɭɥɹɰɢɹɯ ɧɚ ɩɨɥɨɜɵɯ ɨɪɝɚɧɚɯ ɢ ɨɪɝɚɧɚɯ ɦɚɥɨɝɨ |
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ɩɚɬɨɝɟɧɧɵɦɢ |
ɢ |
ɭɫɥɨɜɧɨ-ɩɚɬɨɝɟɧɧɵɦɢ |
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ɬɚɡɚ |
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ɦɢɤɪɨɨɪɝɚɧɢɡɦɚɦɢ |
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x Ʌɢɰɚɦ ɫ ɩɟɪɢɧɚɬɚɥɶɧɵɦɢ ɩɨɬɟɪɹɦɢ ɢ ɛɟɫɩɥɨɞɢɟɦ |
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ɜ ɚɧɚɦɧɟɡɟ |
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x |
ɉɨɥɨɜɵɦ ɩɚɪɬɧɟɪɚɦ ɛɨɥɶɧɵɯ ɂɉɉɉ |
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x Ʌɢɰɚɦ ɩɟɪɟɧɟɫɲɢɦ ɫɟɤɫɭɚɥɶɧɨɟ ɧɚɫɢɥɢɟ |
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ȼɟɪɢɮɢɤɚɰɢɹ |
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ɞɢɚɝɧɨɡɚ |
Ɉɫɭɳɟɫɬɜɥɹɟɬɫɹ ɦɨɥɟɤɭɥɹɪɧɨ-ɛɢɨɥɨɝɢɱɟɫɤɢɦɢ ɦɟɬɨɞɚɦɢ |
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ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ |
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ɡɚɛɨɥɟɜɚɧɢɣ |
ɧɚɩɪɚɜɥɟɧɧɵɦɢ |
ɧɚ ɨɛɧɚɪɭɠɟɧɢɟ |
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ɫɩɟɰɢɮɢɱɟɫɤɢɯ |
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ɜɵɡɜɚɧɧɵɯ 0 JHQLWDOLXP |
ɧɚ ɨɫɧɨɜɚɧɢɢ |
ɮɪɚɝɦɟɧɬɨɜ |
ȾɇɄ |
ɢ ɢɥɢ ɪɢɛɨɧɭɤɥɟɢɧɨɜɨɣ |
ɤɢɫɥɨɬɵ |
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ɪɟɡɭɥɶɬɚɬɨɜ |
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ɥɚɛɨɪɚɬɨɪɧɵɯ |
ɊɇɄ 0 JHQLWDOLXP ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ |
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ɬɟɫɬ-ɫɢɫɬɟɦ |
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ɢɫɫɥɟɞɨɜɚɧɢɣ ɭɪɨɜɟɧɶ |
ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ |
ɪɚɡɪɟɲɟɧɧɵɯ ɤ ɦɟɞɢɰɢɧɫɤɨɦɭ ɩɪɢɦɟɧɟɧɢɸ ɜ Ɋɨɫɫɢɣɫɤɨɣ |
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ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ - |
Ɏɟɞɟɪɚɰɢɢ |
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ɞɨɤɚɡɚɬɟɥɶɫɬɜ |
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ɉɪɢɦɟɱɚɧɢɟ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ ɦɟɬɨɞɨɜ ɫɨɫɬɚɜɥɹɟɬ - |
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Ⱦɥɹ |
ɥɚɛɨɪɚɬɨɪɧɨɣ |
ɞɢɚɝɧɨɫɬɢɤɢ ɛɟɪɭɬ |
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ɫɩɟɰɢɮɢɱɧɨɫɬɶ - ɇɚ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ |
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ɦɚɬɟɪɢɚɥ ɢɡ |
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ɢɫɫɥɟɞɨɜɚɧɢɹ ɦɨɝɭɬ ɜɥɢɹɬɶ ɪɚɡɥɢɱɧɵɟ ɢɧɝɢɛɢɪɭɸɳɢɟ |
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ɮɚɤɬɨɪɵ ɜɫɥɟɞɫɬɜɢɟ ɱɟɝɨ ɩɪɟɞɴɹɜɥɹɸɬɫɹ ɫɬɪɨɝɢɟ |
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x |
ɭɪɟɬɪɵ |
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ɬɪɟɛɨɜɚɧɢɹ ɤ ɨɪɝɚɧɢɡɚɰɢɢ ɢ ɪɟɠɢɦɭ ɪɚɛɨɬɵ ɥɚɛɨɪɚɬɨɪɢɢ |
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x |
ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ |
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ɞɥɹ ɢɫɤɥɸɱɟɧɢɹ ɤɨɧɬɚɦɢɧɚɰɢɢ ɤɥɢɧɢɱɟɫɤɨɝɨ ɦɚɬɟɪɢɚɥɚ |
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135
x ɩɟɪɜɨɣ ɩɨɪɰɢɢ ɫɜɨɛɨɞɧɨ - ɜɵɩɭɳɟɧɧɨɣ ɦɨɱɢ
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ |
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ɞɥɹ |
ɨɰɟɧɤɢ |
x |
ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɦɢ ɤɪɢɬɟɪɢɹɦɢ ɩɨɞɬɜɟɪɠɞɚɸɳɢɦɢ |
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ɧɚɥɢɱɢɟ ɭɪɟɬɪɢɬɚ ɭ ɦɭɠɱɢɧ ɹɜɥɹɸɬɫɹ ɨɛɧɚɪɭɠɟɧɢɟ |
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ɫɬɟɩɟɧɢ |
ɥɟɣɤɨɰɢɬɚɪɧɨɣ |
ɪɟɚɤɰɢɢ |
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ɜ ɨɬɞɟɥɹɟɦɨɦ |
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ɭɪɟɬɪɵ |
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ɢ ɛɨɥɟɟ |
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ɩɨɥɢɦɨɪɮɧɨɹɞɟɪɧɵɯ ɥɟɣɤɨɰɢɬɨɜ ɜ ɩɨɥɟ ɡɪɟɧɢɹ ɩɪɢ |
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ɢ ɫɨɫɬɨɹɧɢɹ |
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ɦɢɤɪɨɛɢɨɰɟɧɨɡɚ |
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ɩɪɨɫɦɨɬɪɟ ɛɨɥɟɟ ɩɨɥɟɣ ɡɪɟɧɢɹ ɩɪɢ ɭɜɟɥɢɱɟɧɢɢ |
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ɫɜɟɬɨɜɨɝɨ ɦɢɤɪɨɫɤɨɩɚ î ɜ ɨɫɚɞɤɟ ɩɟɪɜɨɣ |
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ɭɪɟɬɪɵ |
ɢ ɰɟɪɜɢɤɚɥɶɧɨɝɨ |
ɤɚɧɚɥɚ |
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ɩɨɪɰɢɢ ɦɨɱɢ ɢ ɛɨɥɟɟ ɥɟɣɤɨɰɢɬɨɜ ɩɪɢ ɭɜɟɥɢɱɟɧɢɢ |
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ɫɜɟɬɨɜɨɝɨ ɦɢɤɪɨɫɤɨɩɚ î |
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ɦɢɤɪɨɫɤɨɩɢɱɟɫɤɨɟ |
ɢɫɫɥɟɞɨɜɚɧɢɟ |
- |
x |
ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɦ ɤɪɢɬɟɪɢɟɦ ɩɨɞɬɜɟɪɠɞɚɸɳɢɦ |
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ɤɥɢɧɢɱɟɫɤɨɝɨ ɦɚɬɟɪɢɚɥɚ |
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ɧɚɥɢɱɢɟ ɭɪɟɬɪɢɬɚ ɭ ɠɟɧɳɢɧ ɹɜɥɹɟɬɫɹ ɨɛɧɚɪɭɠɟɧɢɟ |
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ɢ ɛɨɥɟɟ ɩɨɥɢɦɨɪɮɧɨɹɞɟɪɧɵɯ ɥɟɣɤɨɰɢɬɨɜ ɜ ɩɨɥɟ |
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ɡɪɟɧɢɹ ɜ ɨɬɞɟɥɹɟɦɨɦ ɭɪɟɬɪɵ ɩɪɢ ɩɪɨɫɦɨɬɪɟ ɛɨɥɟɟ |
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5 ɩɨɥɟɣ ɡɪɟɧɢɹ ɩɪɢ ɭɜɟɥɢɱɟɧɢɢ ɫɜɟɬɨɜɨɝɨ |
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ɦɢɤɪɨɫɤɨɩɚ î |
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x ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɦ |
ɤɪɢɬɟɪɢɟɦ ɩɨɞɬɜɟɪɠɞɚɸɳɢɦ |
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ɧɚɥɢɱɢɟ ɰɟɪɜɢɰɢɬɚ |
ɹɜɥɹɟɬɫɹ |
ɨɛɧɚɪɭɠɟɧɢɟ |
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ɢ ɛɨɥɟɟ ɩɨɥɢɦɨɪɮɧɨɹɞɟɪɧɵɯ ɥɟɣɤɨɰɢɬɨɜ ɜ ɩɨɥɟ |
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ɡɪɟɧɢɹ ɜ ɨɬɞɟɥɹɟɦɨɦ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɩɪɢ |
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ɩɪɨɫɦɨɬɪɟ ɛɨɥɟɟ ɩɨɥɟɣ ɡɪɟɧɢɹ ɩɪɢ ɭɜɟɥɢɱɟɧɢɢ |
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ɫɜɟɬɨɜɨɝɨ ɦɢɤɪɨɫɤɨɩɚ î ɢ ɧɚɥɢɱɢɟ ɫɥɢɡɢɫɬɨ- |
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ɝɧɨɣɧɵɯ ɜɵɞɟɥɟɧɢɣ ɢɡ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ |
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Ʉɚɬɟɝɨɪɢɱɟɫɤɢ |
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ɧɟ ɪɟɤɨɦɟɧɞɭɟɬɫɹ |
x |
Ɇɟɬɨɞ ɩɪɹɦɨɣ ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɢ |
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ɢɫɩɨɥɶɡɨɜɚɧɢɟ |
ɞɪɭɝɢɯ |
ɦɟɬɨɞɨɜ |
x |
ɂɦɦɭɧɨɮɟɪɦɟɧɬɧɵɣ ɚɧɚɥɢɡ ɞɥɹ ɨɛɧɚɪɭɠɟɧɢɹ ȺɌ |
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ɥɚɛɨɪɚɬɨɪɧɵɯ |
ɢɫɫɥɟɞɨɜɚɧɢɣ ɭɪɨɜɟɧɶ |
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ɤ 0 JHQLWDOLXP |
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ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ |
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ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ |
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Ⱦɥɹ |
ɩɨɥɭɱɟɧɢɹ |
ɞɨɫɬɨɜɟɪɧɵɯ |
x |
ɋɪɨɤɢ ɩɨɥɭɱɟɧɢɹ ɤɥɢɧɢɱɟɫɤɨɝɨ ɦɚɬɟɪɢɚɥɚ ɫ ɭɱɟɬɨɦ |
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ɪɟɡɭɥɶɬɚɬɨɜ ɥɚɛɨɪɚɬɨɪɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɣ |
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ɩɪɢɦɟɧɟɧɢɹ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɯ ɥɟɤɚɪɫɬɜɟɧɧɵɯ |
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ɪɟɤɨɦɟɧɞɭɟɬɫɹ |
ɫɨɛɥɸɞɟɧɢɟ |
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ɪɹɞɚ |
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ɩɪɟɩɚɪɚɬɨɜ |
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ɞɥɹ |
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ɬɪɟɛɨɜɚɧɢɣ ɭɪɨɜɟɧɶ |
ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ |
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ɢɞɟɧɬɢɮɢɤɚɰɢɢ 0 JHQLWDOLXP ɦɟɬɨɞɨɦ |
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ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ |
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ɚɦɩɥɢɮɢɤɚɰɢɢ ɊɇɄ 1$6%$ - ɧɟ ɪɚɧɟɟ ɱɟɦ ɱɟɪɟɡ |
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ɞɨɤɚɡɚɬɟɥɶɫɬɜ |
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ɞɧɟɣ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɩɪɢɟɦɚ ɩɪɟɩɚɪɚɬɨɜ |
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ɧɚ ɨɫɧɨɜɚɧɢɢ ɦɟɬɨɞɨɜ ɚɦɩɥɢɮɢɤɚɰɢɢ ȾɇɄ ɉɐɊ |
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ɉɐɊ ɜ ɪɟɠɢɦɟ ɪɟɚɥɶɧɨɝɨ ɜɪɟɦɟɧɢ - ɧɟ ɪɚɧɟɟ ɱɟɦ |
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ɱɟɪɟɡ ɦɟɫɹɰ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɩɪɢɟɦɚ ɩɪɟɩɚɪɚɬɨɜ |
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ɉɨɥɭɱɟɧɢɟ ɤɥɢɧɢɱɟɫɤɨɝɨ ɦɚɬɟɪɢɚɥɚ |
ɢɡ ɭɪɟɬɪɵ |
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ɧɟ ɪɚɧɟɟ ɱɟɦ ɱɟɪɟɡ ɱ ɩɨɫɥɟ ɩɨɫɥɟɞɧɟɝɨ |
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ɦɨɱɟɢɫɩɭɫɤɚɧɢɹ |
ɩɪɢ |
ɧɚɥɢɱɢɢ |
ɨɛɢɥɶɧɵɯ |
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ɭɪɟɬɪɚɥɶɧɵɯ ɜɵɞɟɥɟɧɢɣ - ɱɟɪɟɡ - ɦɢɧ ɩɨɫɥɟ |
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ɦɨɱɟɢɫɩɭɫɤɚɧɢɹ |
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ɉɨɥɭɱɟɧɢɟ |
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ɤɥɢɧɢɱɟɫɤɨɝɨ |
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ɦɚɬɟɪɢɚɥɚ |
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ɢɡ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɢ ɜɥɚɝɚɥɢɳɚ ɜɧɟ |
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ɦɟɧɫɬɪɭɚɰɢɢ |
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x |
ɋɨɛɥɸɞɟɧɢɟ |
ɭɫɥɨɜɢɣ |
ɞɨɫɬɚɜɤɢ |
ɨɛɪɚɡɰɨɜ |
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ɜ ɥɚɛɨɪɚɬɨɪɢɸ |
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Ʉɚɬɟɝɨɪɢɱɟɫɤɢ |
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ɧɟ ɪɟɤɨɦɟɧɞɭɟɬɫɹ |
ɉɪɢɦɟɧɟɧɢɟ ɛɢɨɥɨɝɢɱɟɫɤɢɯ ɯɢɦɢɱɟɫɤɢɯ ɢ ɚɥɢɦɟɧɬɚɪɧɵɯ |
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ɩɪɢɦɟɧɟɧɢɟ |
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ɩɪɨɜɨɤɚɰɢɣ ɭɪɨɜɟɧɶ |
ɩɪɨɜɨɤɚɰɢɣ |
ɫ ɰɟɥɶɸ |
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ɩɨɜɵɲɟɧɢɹ |
ɷɮɮɟɤɬɢɜɧɨɫɬɢ |
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ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ |
ɞɢɚɝɧɨɫɬɢɤɢ |
ɢ ɥɟɱɟɧɢɹ |
ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ |
ɡɚɛɨɥɟɜɚɧɢɣ |
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ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ |
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ɜɵɡɜɚɧɧɵɯ 0 JHQLWDOLXP |
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ɂɧɫɬɪɭɦɟɧɬɚɥɶɧɵɟ ɦɟɬɨɞɵ ɨɛɫɥɟɞɨɜɚɧɢɹ |
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ɇɟ ɩɪɢɦɟɧɹɸɬɫɹ |
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136
Ⱦɨɩɨɥɧɢɬɟɥɶɧɵɟ ɦɟɬɨɞɵ ɨɛɫɥɟɞɨɜɚɧɢɹ
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɤɨɧɫɭɥɶɬɚɰɢɹ ɜɪɚɱɚɉɪɢ ɜɨɜɥɟɱɟɧɢɢ ɜ ɜɨɫɩɚɥɢɬɟɥɶɧɵɣ ɩɪɨɰɟɫɫ ɨɪɝɚɧɨɜ ɦɚɥɨɝɨ ɚɤɭɲɟɪɚ-ɝɢɧɟɤɨɥɨɝɚ ɭɪɨɜɟɧɶ ɬɚɡɚ ɩɪɢ ɜɟɞɟɧɢɢ ɛɟɪɟɦɟɧɧɵɯ ɫ ɡɚɛɨɥɟɜɚɧɢɹɦɢ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ ɜɵɡɜɚɧɧɵɦɢ 0 JHQLWDOLXP ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɤɨɧɫɭɥɶɬɚɰɢɹ ɜɪɚɱɚ- ɋ ɰɟɥɶɸ ɞɢɚɝɧɨɫɬɢɤɢ ɜɨɡɦɨɠɧɵɯ ɨɫɥɨɠɧɟɧɢɣ ɫɨ ɫɬɨɪɨɧɵ ɭɪɨɥɨɝɚ ɭɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɩɪɨɞɭɤɬɢɜɧɨɣ ɫɢɫɬɟɦɵ ɪɟɤɨɦɟɧɞɚɰɢɣ ' ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ
DZȗȏșȌȗȏȏ ȉȢȎȋȕȗȕȉȒȌȔȏȦ
Ɋɟɝɪɟɫɫ ɤɥɢɧɢɱɟɫɤɢɯ ɫɢɦɩɬɨɦɨɜ ɫɭɛɴɟɤɬɢɜɧɵɯ ɢ ɨɛɴɟɤɬɢɜɧɵɯ ɩɨɥɧɚɹ ɷɪɚɞɢɤɚɰɢɹ 0 JHQLWDOLXP
Ɍɚɤɬɢɤɚ ɜɟɞɟɧɢɹ ɛɨɥɶɧɵɯ ɫ ɭɪɨɝɟɧɢɬɚɥɶɧɨɣ ɦɢɤɨɩɥɚɡɦɟɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɜɤɥɸɱɚɟɬ ɧɚɡɧɚɱɟɧɢɟ ɦɟɞɢɤɚɦɟɧɬɨɡɧɨɣ ɬɟɪɚɩɢɢ ɤɨɧɫɭɥɶɬɢɪɨɜɚɧɢɟ ɩɚɪɬɧɟɪɨɜ ɢ ɨɛɹɡɚɬɟɥɶɧɨɟ ɨɞɧɨɜɪɟɦɟɧɧɨɟ ɩɪɨɜɟɞɟɧɢɟ ɬɟɪɚɩɢɢ ɨɰɟɧɤɭ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɬɟɪɚɩɢɢ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ
Ⱥɦɛɭɥɚɬɨɪɧɵɣ ɷɬɚɩ
Ɉɛɫɥɟɞɨɜɚɧɢɟ ɩɚɰɢɟɧɬɨɤ Ɉɰɟɧɤɚ ɤɥɢɧɢɤɨ-ɚɧɚɦɧɟɫɬɢɱɟɫɤɢɯ ɞɚɧɧɵɯ
ɉɪɨɜɟɞɟɧɢɟ ɮɢɡɢɤɚɥɶɧɵɯ ɢ ɥɚɛɨɪɚɬɨɪɧɵɯ ɦɟɬɨɞɨɜ ɨɛɫɥɟɞɨɜɚɧɢɣ
Ʉɨɧɫɭɥɶɬɚɰɢɹ ɜɪɚɱɚ-ɭɪɨɥɨɝɚ
Ⱦɢɧɚɦɢɱɟɫɤɨɟ ɧɚɛɥɸɞɟɧɢɟ ɩɪɢ ɨɬɪɢɰɚɬɟɥɶɧɵɯ ɪɟɡɭɥɶɬɚɬɚɯ ɨɛɫɥɟɞɨɜɚɧɢɹ ɩɚɰɢɟɧɬɵ ɞɚɥɶɧɟɣɲɟɦɭ ɧɚɛɥɸɞɟɧɢɸ ɧɟ ɩɨɞɥɟɠɚɬ
Ɇɟɞɢɤɚɦɟɧɬɨɡɧɨɟ |
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Ɇɟɞɢɤɚɦɟɧɬɨɡɧɨɟ |
ɜɨɡɞɟɣɫɬɜɢɟ |
ɧɚɩɪɚɜɥɟɧɨ |
ɥɟɱɟɧɢɟ ɜɤɥɸɱɚɟɬ |
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ɧɚ ɷɪɚɞɢɤɚɰɢɸ 0 JHQLWDOLXP ɪɟɝɪɟɫɫ ɤɥɢɧɢɱɟɫɤɢɯ ɫɢɦɩɬɨɦɨɜ |
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ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɭɸ ɬɟɪɚɩɢɸ |
ɫɭɛɴɟɤɬɢɜɧɵɯ ɢ ɨɛɴɟɤɬɢɜɧɵɯ ɫɨɯɪɚɧɟɧɢɟ ɪɟɩɪɨɞɭɤɬɢɜɧɨɣ ɮɭɧɤɰɢɢ |
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ɩɚɰɢɟɧɬɤɢ |
ɢ ɩɨɥɨɜɨɝɨ |
ɭɥɭɱɲɟɧɢɟ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ |
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ɩɚɪɬɧɟɪɚ |
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t.me/medgynecology
137
Ⱥɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɟ |
ɥɟɱɟɧɢɟ |
ɩɨɤɚɡɚɧɨ |
ɜɫɟɦ |
ɩɚɰɢɟɧɬɚɦ |
ɩɪɢ |
ɨɛɧɚɪɭɠɟɧɢɢ M. genitalium. Ɍɪɟɛɨɜɚɧɢɟɦ |
ɤ ɥɟɱɟɧɢɸ |
ɡɚɛɨɥɟɜɚɧɢɣ |
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ɜɵɡɜɚɧɧɵɯ M. genitalium ɹɜɥɹɟɬɫɹ ɷɪɚɞɢɤɚɰɢɹ ɷɬɨɝɨ ɦɢɤɪɨɨɪɝɚɧɢɡɦɚ ɢ ɤɥɢɧɢɱɟɫɤɨɟ ɜɵɡɞɨɪɨɜɥɟɧɢɟ
ɉɪɟɩɚɪɚɬ |
ɍɪɨɜɟɧɶ |
Ɉɠɢɞɚɟɦɵɣ ɷɮɮɟɤɬ ɤɨɦɦɟɧɬɚɪɢɢ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
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ɉɪɟɩɚɪɚɬɵ |
ɜɵɛɨɪɚ ɞɥɹ ɧɟɨɫɥɨɠɧɟɧɧɵɯ ɮɨɪɦ ɜɵɡɜɚɧɧɵɯ M. genitalium |
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Ⱦɨɤɫɢɰɢɤɥɢɧ |
Ⱥ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱦɠɨɡɚɦɢɰɢɧ |
ɋ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ɉɮɥɨɤɫɚɰɢɧ |
% |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
ɉɪɟɩɚɪɚɬɵ |
ɜɵɛɨɪɚ ɞɥɹ ɥɟɱɟɧɢɹ |
ɨɫɥɨɠɧɟɧɧɵɯ ɮɨɪɦ ɜɵɡɜɚɧɧɵɯ 0 JHQLWDOLXP |
Ⱦɨɤɫɢɰɢɤɥɢɧ |
D |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɟɧɶ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱦɠɨɡɚɦɢɰɢɧ |
D |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɟɧɶ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ɉɮɥɨɤɫɚɰɢɧ |
D |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɟɧɶ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱦɥɹ ɥɟɱɟɧɢɹ |
ɛɟɪɟɦɟɧɧɵɯ ɫ M. genitalium |
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Ⱦɠɨɡɚɦɢɰɢɧ |
% |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
ɉɪɟɩɚɪɚɬɵ |
ɜɵɛɨɪɚ ɞɥɹ ɥɟɱɟɧɢɹ ɢɧɮɟɤɰɢɣ ɜɵɡɜɚɧɧɵɯ M. hominis ɢ Ureaplasma spp. |
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Ⱦɨɤɫɢɰɢɤɥɢɧ |
|
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱥɡɢɬɪɨɦɢɰɢɧ |
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ɦɝ ɜ ɩɟɪɜɵɣ ɞɟɧɶ ɡɚɬɟɦ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɫɨ -ɝɨ ɩɨ 5-ɣ |
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ɞɟɧɶ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱦɠɨɡɚɦɢɰɢɧ |
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ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ɉɮɥɨɤɫɚɰɢɧ |
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ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
ɋɩɢɪɚɦɢɰɢɧ |
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ɦɥɧ Ɇȿ - ɪɚɡɚ ɜ ɫɭɬɤɢ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
ɗɮɮɟɤɬɢɜɧɨɫɬɶ ɥɟɱɟɧɢɹ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. hominis ɢ Ureaplasma spp ɨɰɟɧɢɜɚɸɬ ɱɟɪɟɡ - ɞɧɟɣ ɩɨ ɪɟɡɭɥɶɬɚɬɚɦ ɩɨɫɟɜɚ ɨɬɫɭɬɫɬɜɢɟ ɦɢɤɨɩɥɚɡɦ ɢɥɢ ɫɧɢɠɟɧɢɟ ɢɯ ɬɢɬɪɚ ɢ ɜɨɫɫɬɚɧɨɜɥɟɧɢɸ ɦɢɤɪɨɛɢɨɰɟɧɨɡɚ ɜɥɚɝɚɥɢɳɚ ɚ ɩɪɢ ɥɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. genitalium - ɱɟɪɟɡ ɧɟɞ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɥɟɱɟɧɢɹ ɩɨ ɪɟɡɭɥɶɬɚɬɚɦ ɉɐɊ
Ɉɞɧɨɜɪɟɦɟɧɧɨ ɫ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɧɚɡɧɚɱɚɸɬ ɚɧɬɢɦɢɤɨɬɢɱɟɫɤɢɟ ɢ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɵɟ ɫɪɟɞɫɬɜɚ
ɉɪɢ ɜɚɝɢɧɢɬɚɯ ɜɵɡɜɚɧɧɵɯ ɫɦɟɲɚɧɧɨɣ ɢɧɮɟɤɰɢɟɣ ɬɪɢɯɨɦɨɧɚɞɵ ɝɚɪɞɧɟɪɟɥɥɵ ɞɪɨɠɠɟɩɨɞɨɛɧɵɟ ɝɪɢɛɵ ɜɢɪɭɫ ɩɪɨɫɬɨɝɨ ɝɟɪɩɟɫɚ ɢ ɬɢɩɚ ɦɢɤɨɩɥɚɡɦɚ ɭɪɟɚɩɥɚɡɦɚ ɜ ɫɨɫɬɚɜɟ ɤɨɦɩɥɟɤɫɧɨɣ ɬɟɪɚɩɢɢ ɧɚɡɧɚɱɚɸɬ ɢɧɬɪɚɜɚɝɢɧɚɥɶɧɨ ɂɎɇ ɚɥɶɮɚ- E ɧɟ ɦɟɧɟɟɆȿ ɦɟɬɪɨɧɢɞɚɡɨɥ ɦɝ ɮɥɭɤɨɧɚɡɨɥ ɦɝ ȼɚɝɢɮɟɪɨɧ ɪɚɡ ɜ ɫɭɬɤɢ ɩɟɪɟɞ ɫɧɨɦ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ
ǸȜȌȓȢ ȒȌȞȌȔȏȦ ȗȇȎȒȏȞȔȢȜ țȕȗȓ ȚȗȕȊȌȔȏșȇȒȣȔȢȜ ȎȇȈȕȒȌȉȇȔȏȐ ȉȢȎȉȇȔȔȢȜ 0
Genitalium
Ʌɟɤɚɪɫɬɜɟɧɧɵɣ ɩɪɟɩɚɪɚɬ Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɞɥɹ ɥɟɱɟɧɢɹ ɧɟɨɫɥɨɠɧɟɧɧɵɯ ɮɨɪɦ ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. JHQLWDOLXP ɧɚɡɧɚɱɚɬɶ ɩɟɪɨɪɚɥɶɧɨ ɨɞɢɧ ɢɡ ɫɥɟɞɭɸɳɢɯ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɯ ɩɪɟɩɚɪɚɬɨɜ
Ⱦɨɤɫɢɰɢɤɥɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ |
Ⱦɠɨɡɚɦɢɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ |
Ɉɮɥɨɤɫɚɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ |
138
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɞɥɹ ɥɟɱɟɧɢɹ ɨɫɥɨɠɧɟɧɧɵɯ ɮɨɪɦ ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. JHQLWDOLXP ɧɚɡɧɚɱɚɬɶ ɩɟɪɨɪɚɥɶɧɨ ɨɞɢɧ ɢɡ ɫɥɟɞɭɸɳɢɯ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɯ ɩɪɟɩɚɪɚɬɨɜ
Ʉɨɦɦɟɧɬɚɪɢɣ ɞɥɢɬɟɥɶɧɨɫɬɶ ɤɭɪɫɚ ɬɟɪɚɩɢɢ ɡɚɜɢɫɢɬ ɨɬ ɫɬɟɩɟɧɢ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɩɪɨɰɟɫɫɨɜ ɦɨɱɟɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɪɟɡɭɥɶɬɚɬɨɜ ɥɚɛɨɪɚɬɨɪɧɵɯ ɢ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɨɰɟɧɤɢ ɫɬɟɩɟɧɢ ɪɢɫɤɚ ɩɪɟɞɫɬɨɹɳɢɯ ɨɩɟɪɚɬɢɜɧɵɯ ɢɥɢ ɢɧɜɚɡɢɜɧɵɯ ɜɦɟɲɚɬɟɥɶɫɬɜ ɚɤɭɲɟɪɫɤɨ-ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɨɝɨ ɚɧɚɦɧɟɡɚ ɭ ɛɟɪɟɦɟɧɧɵɯ - ɬɟɱɟɧɢɹ ɧɚɫɬɨɹɳɟɣ ɛɟɪɟɦɟɧɧɨɫɬɢ ȼ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɜɵɲɟɩɟɪɟɱɢɫɥɟɧɧɵɯ ɮɚɤɬɨɪɨɜ ɚ ɬɚɤɠɟ ɜɵɪɚɠɟɧɧɨɫɬɢ ɨɬɜɟɬɚ ɧɚ ɩɪɨɜɨɞɢɦɭɸ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɭɸ ɬɟɪɚɩɢɸ ɤɥɢɧɢɱɟɫɤɢɟ ɩɨɤɚɡɚɬɟɥɢ ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ - ɪɟɡɭɥɶɬɚɬ ɩɪɨɦɟɠɭɬɨɱɧɨɝɨ ɬɟɫɬɚ ɉɐɊ ɜ ɪɟɚɥɶɧɨɦ ɜɪɟɦɟɧɢ ɞɥɢɬɟɥɶɧɨɫɬɶ ɥɟɱɟɧɢɹ ɦɨɠɟɬ ɛɵɬɶ ɭɜɟɥɢɱɟɧɚ ɞɨ ɞɧɹ
Ⱦɨɤɫɢɰɢɤɥɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ |
Ⱦɠɨɡɚɦɢɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ |
Ɉɮɥɨɤɫɚɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ |
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɞɥɹ ɥɟɱɟɧɢɹ ɛɟɪɟɦɟɧɧɵɯ 0 JHQLWDOLXP ɧɚɡɧɚɱɚɬɶ ɩɟɪɨɪɚɥɶɧɨ ɞɠɨɡɚɦɢɰɢɧ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ
Ʉɨɦɦɟɧɬɚɪɢɣ ɥɟɱɟɧɢɟ ɛɟɪɟɦɟɧɧɵɯ ɨɫɭɳɟɫɬɜɥɹɟɬɫɹ ɧɚ ɥɸɛɨɦ ɫɪɨɤɟ ɛɟɪɟɦɟɧɧɨɫɬɢ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɫ ɭɱɟɬɨɦ ɢɯ ɜɥɢɹɧɢɹ ɧɚ ɩɥɨɞ ɩɪɢ ɭɱɚɫɬɢɢ ɜɪɚɱɟɣ ɚɤɭɲɟɪɨɜɝɢɧɟɤɨɥɨɝɨɜ
Ⱦɠɨɡɚɦɢɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ ɞɧɟɣ |
ɉɪɢ ɜɵɞɟɥɟɧɢɢ ɞɪɭɝɢɯ ɭɪɨɝɟɧɢɬɚɥɶɧɵɯ ɦɢɤɨɩɥɚɡɦ 8UHDSODVPD VSS 0 KRPLQLV ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɟ ɥɟɱɟɧɢɟ ɩɨɤɚɡɚɧɨ ɜ ɫɥɭɱɚɟ
ƒ ɞɨɤɚɡɚɧɧɨɣ ɷɬɢɨɥɨɝɢɱɟɫɤɨɣ ɡɧɚɱɢɦɨɫɬɢ ɦɢɤɨɩɥɚɡɦ ɜ ɪɚɡɜɢɬɢɢ ɡɚɛɨɥɟɜɚɧɢɹ
ƒ ɜɵɞɟɥɟɧɢɹ ɦɢɤɨɩɥɚɡɦ ɭ ɩɚɰɢɟɧɬɨɜ ɫ ɧɚɪɭɲɟɧɢɟɦ ɮɟɪɬɢɥɶɧɨɫɬɢ ɪɟɩɪɨɞɭɤɬɢɜɧɵɦɢ ɩɨɬɟɪɹɦɢ ɩɪɢ ɩɪɟɞɝɪɚɜɢɞɚɰɢɨɧɧɨɣ ɩɨɞɝɨɬɨɜɤɟ
ƒ ɜɵɞɟɥɟɧɢɹ ɦɢɤɨɩɥɚɡɦ ɩɪɢ ɨɫɥɨɠɧɟɧɧɨɦ ɬɟɱɟɧɢɟ ɛɟɪɟɦɟɧɧɨɫɬɢ
Ʉɨɦɦɟɧɬɚɪɢɣ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɟ ɥɟɱɟɧɢɟ ɧɟ ɩɨɤɚɡɚɧɨ ɩɪɢ ɜɵɞɟɥɟɧɢɢ 8UHDSODVPD VSS 0 KRPLQLV ɜ ɧɢɡɤɢɯ ɬɢɬɪɚɯӈ ɄɈȿ ɦɥ ɨɬɫɭɬɫɬɜɢɢ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɧɨɫɢɬɟɥɶɫɬɜɨ
Ⱦɨɤɫɢɰɢɤɥɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱥɡɢɬɪɨɦɢɰɢɧ |
ɦɝ ɜ ɩɟɪɜɵɣ ɞɟɧɶ ɡɚɬɟɦ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɫɨ -ɝɨ ɩɨ -ɣ ɞɟɧɶ |
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ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ⱦɠɨɡɚɦɢɰɢɧ |
ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
Ɉɮɥɨɤɫɚɰɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - 4 ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ ɜɨɡɛɭɞɢɬɟɥɹ |
ɋɩɢɪɚɦɢɰɢɧ |
ɦɥɧ Ɇȿ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɬɟɱɟɧɢɟ - ɞɧɟɣ ɷɪɚɞɢɤɚɰɢɹ |
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ɜɨɡɛɭɞɢɬɟɥɹ |
Ɉɞɧɨɜɪɟɦɟɧɧɨ ɫ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɧɚɡɧɚɱɚɸɬ ɚɧɬɢɦɢɤɨɬɢɱɟɫɤɢɟ ɫɪɟɞɫɬɜɚ
ɗɮɮɟɤɬɢɜɧɨɫɬɶ ɥɟɱɟɧɢɹ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. hominis ɢ Ureaplasma VSS ɨɰɟɧɢɜɚɸɬ ɱɟɪɟɡ - ɞɧɟɣ ɩɨ ɪɟɡɭɥɶɬɚɬɚɦ ɩɨɫɟɜɚ ɨɬɫɭɬɫɬɜɢɟ ɦɢɤɨɩɥɚɡɦ ɢɥɢ ɫɧɢɠɟɧɢɟ ɢɯ ɬɢɬɪɚ ɢ ɜɨɫɫɬɚɧɨɜɥɟɧɢɸ ɦɢɤɪɨɛɢɨɰɟɧɨɡɚ ɜɥɚɝɚɥɢɳɚ ɚ ɩɪɢ ɥɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɣ ɜɵɡɜɚɧɧɵɯ M. genitalium - ɱɟɪɟɡ ɧɟɞ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɥɟɱɟɧɢɹ ɩɨ ɪɟɡɭɥɶɬɚɬɚɦ ɉɐɊ
ɇɟ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɩɪɨɜɟɞɟɧɢɟ ɫɢɫɬɟɦɧɨɣ ɷɧɡɢɦɨɬɟɪɚɩɢɢ ɢɦɦɭɧɨɦɨɞɭɥɢɪɭɸɳɟɣ ɬɟɪɚɩɢɢ ɢ ɬɟɪɚɩɢɢ ɦɟɫɬɧɵɦɢ ɚɧɬɢɫɟɩɬɢɱɟɫɤɢɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɭɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ 'ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɨɬ ɥɟɱɟɧɢɹ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɢɫɤɥɸɱɟɧɢɟ ɪɟɢɧɮɟɤɰɢɢ ɢ ɧɚɡɧɚɱɟɧɢɟ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɝɨ ɩɪɟɩɚɪɚɬɚ ɞɪɭɝɨɣ ɮɚɪɦɚɤɨɥɨɝɢɱɟɫɤɨɣ ɝɪɭɩɩɵ ɭɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ 'ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ.
t.me/medgynecology
ɇɟ ɩɪɢɦɟɧɹɟɬɫɹ
139
ǶȗȕțȏȒȇȑșȏȑȇ
ɉɪɨɮɢɥɚɤɬɢɱɟɫɤɢɦɢ ɦɟɪɨɩɪɢɹɬɢɹɦɢ ɜ ɨɬɧɨɲɟɧɢɢ ɡɚɪɚɠɟɧɢɹ ɯɥɚɦɢɞɢɨɡɨɦ ɹɜɥɹɸɬɫɹ ɫɥɟɞɭɸɳɢɟ
x ɢɫɤɥɸɱɟɧɢɟ ɫɥɭɱɚɣɧɵɯ ɩɨɥɨɜɵɯ ɤɨɧɬɚɤɬɨɜ
x ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɫɪɟɞɫɬɜ ɛɚɪɶɟɪɧɨɣ ɤɨɧɬɪɚɰɟɩɰɢɢ x ɨɛɫɥɟɞɨɜɚɧɢɟ ɢ ɥɟɱɟɧɢɟ ɩɨɥɨɜɵɯ ɩɚɪɬɧɟɪɨɜ
ɍɫɬɚɧɨɜɥɟɧɢɟ ɢɡɥɟɱɟɧɧɨɫɬɢ ɧɚ ɨɫɧɨɜɚɧɢɢ ɦɟɬɨɞɨɜ ɚɦɩɥɢɮɢɤɚɰɢɢ ɊɇɄ 1$6%$ ɩɪɨɜɨɞɢɬɫɹ ɱɟɪɟɡ ɞɧɟɣ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɥɟɱɟɧɢɹ ɧɚ ɨɫɧɨɜɚɧɢɢ ɦɟɬɨɞɨɜ ɚɦɩɥɢɮɢɤɚɰɢɢ ȾɇɄ ɉɐɊ ɉɐɊ ɜ ɪɟɚɥɶɧɨɦ ɜɪɟɦɟɧɢ - ɧɟ ɪɚɧɟɟ ɱɟɦ ɱɟɪɟɡ ɦɟɫɹɰ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɥɟɱɟɧɢɹ
ɉɪɢ ɨɬɪɢɰɚɬɟɥɶɧɵɯ ɪɟɡɭɥɶɬɚɬɚɯ ɨɛɫɥɟɞɨɜɚɧɢɹ ɩɚɰɢɟɧɬɵ ɞɚɥɶɧɟɣɲɟɦɭ ɧɚɛɥɸɞɟɧɢɸ ɧɟ ɩɨɞɥɟɠɚɬ
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t.me/medgynecology |
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140 |