4 курс / Акушерство и гинекология / тактика_врача_акушера_гинеколога
.pdfx III-,9 ɫɬɟɩɟɧɶ ɱɢɫɬɨɬɵ ɜɥɚɝɚɥɢɳɧɵɯ ɦɚɡɤɨɜ
x ɬɹɠɟɥɨɟ ɫɨɫɬɨɹɧɢɟ ɛɨɥɶɧɨɣ ɩɪɢ ɧɚɥɢɱɢɢ ɡɚɛɨɥɟɜɚɧɢɣ ɫɟɪɞɟɱɧɨ-ɫɨɫɭɞɢɫɬɨɣ ɫɢɫɬɟɦɵ ɢ ɩɚɪɟɧɯɢɦɚɬɨɡɧɵɯ ɨɪɝɚɧɨɜ ɩɟɱɟɧɢ ɩɨɱɟɤ
x ɛɟɪɟɦɟɧɧɨɫɬɶ ɠɟɥɚɧɧɚɹ x ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɵɣ ɊɒɆ
x ɩɪɨɮɭɡɧɨɟ ɦɚɬɨɱɧɨɟ ɤɪɨɜɨɬɟɱɟɧɢɟ
Ƚɢɫɬɟɪɨɫɤɨɩɢɸ ɫɥɟɞɭɟɬ ɪɚɫɫɦɚɬɪɢɜɚɬɶ ɤɚɤ ɨɩɟɪɚɬɢɜɧɨɟ ɜɦɟɲɚɬɟɥɶɫɬɜɨ ɤɨɬɨɪɨɟ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɩɨɤɚɡɚɧɢɣ ɩɪɨɜɨɞɹɬ ɤɚɤ ɜ ɷɤɫɬɪɟɧɧɨɦ ɬɚɤ ɢ ɜ ɩɥɚɧɨɜɨɦ ɩɨɪɹɞɤɟ ɉɥɚɧɨɜɭɸ ɝɢɫɬɟɪɨɫɤɨɩɢɸ ɩɪɨɜɨɞɹɬ ɩɨɫɥɟ ɤɥɢɧɢɱɟɫɤɨɝɨ ɨɛɫɥɟɞɨɜɚɧɢɹ ɛɨɥɶɧɵɯ ɜɤɥɸɱɚɸɳɟɝɨ ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ ɦɨɱɢ ɦɚɡɤɨɜ ɢɡ ɜɥɚɝɚɥɢɳɚ ɧɚ ɫɬɟɩɟɧɶ ɱɢɫɬɨɬɵ ɪɟɧɬɝɟɧɨɝɪɚɮɢɸ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ ɷɥɟɤɬɪɨɤɚɪɞɢɨɝɪɚɮɢɸ Ȼɨɥɶɧɵɦ ɩɨɠɢɥɨɝɨ ɜɨɡɪɚɫɬɚ ɨɫɨɛɟɧɧɨ ɫ ɨɠɢɪɟɧɢɟɦ ɰɟɥɟɫɨɨɛɪɚɡɧɨ ɩɪɨɜɨɞɢɬɶ ɨɩɪɟɞɟɥɟɧɢɟ ɭɪɨɜɧɹ ɝɥɸɤɨɡɵ ɜ ɤɪɨɜɢ Ⱦɚɧɧɵɟ ɞɜɭɪɭɱɧɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɚɧɚɥɢɡɵ ɤɪɨɜɢ ɢ ɪɟɡɭɥɶɬɚɬɵ ɦɚɡɤɨɜ ɫɨɞɟɪɠɢɦɨɝɨ ɜɥɚɝɚɥɢɳɚ ɧɟ ɞɨɥɠɧɵ ɭɤɚɡɵɜɚɬɶ ɧɚ ɧɚɥɢɱɢɟ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ Ʉɥɢɧɢɱɟɫɤɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɩɨɡɜɨɥɹɟɬ ɫɨɫɬɚɜɢɬɶ ɨɩɪɟɞɟɥɟɧɧɨɟ ɩɪɟɞɫɬɚɜɥɟɧɢɟ ɨ ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɹɯ ɜ ɦɚɬɤɟ ɜɵɹɜɢɬɶ ɫɨɩɭɬɫɬɜɭɸɳɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɜɵɛɪɚɬɶ ɦɟɬɨɞ ɨɛɟɡɛɨɥɢɜɚɧɢɹ ɉɪɢ ɧɚɥɢɱɢɢ ɭ ɛɨɥɶɧɨɣ ɷɤɫɬɪɚɝɟɧɢɬɚɥɶɧɨɣ ɩɚɬɨɥɨɝɢɢɡɚɛɨɥɟɜɚɧɢɹ ɫɟɪɞɰɚ ɥɟɝɤɢɯ ɝɢɩɟɪɬɨɧɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ ɢ ɬ ɞ ɧɟɨɛɯɨɞɢɦɚ ɤɨɧɫɭɥɶɬɚɰɢɹ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɫɩɟɰɢɚɥɢɫɬɚ ɢ ɩɪɨɜɟɞɟɧɢɟ ɩɚɬɨɝɟɧɟɬɢɱɟɫɤɨɣ ɬɟɪɚɩɢɢ ɞɨ ɩɨɥɧɨɣ ɤɨɦɩɟɧɫɚɰɢɢ ɜɵɹɜɥɟɧɧɵɯ ɧɚɪɭɲɟɧɢɣ ,,,-I9 ɫɬɟɩɟɧɶ ɱɢɫɬɨɬɵ ɦɚɡɤɨɜ ɢɡ ɜɥɚɝɚɥɢɳɚ ɫɱɢɬɚɸɬ ɩɨɤɚɡɚɧɢɟɦ ɤ ɟɝɨ ɫɚɧɚɰɢɢ
ɉɥɚɧɨɜɚɹ ɝɢɫɬɟɪɨɫɤɨɩɢɹ ɞɨɥɠɧɚ ɜɤɥɸɱɚɬɶ ɫɥɟɞɭɸɳɢɟ ɦɟɪɨɩɪɢɹɬɢɹ
x ɩɨɞɝɨɬɨɜɤɭ ɤɢɲɟɱɧɢɤɚ ɧɚɤɚɧɭɧɟ ɦɚɧɢɩɭɥɹɰɢɢ ɞɟɥɚɸɬ ɨɱɢɫɬɢɬɟɥɶɧɭɸ ɤɥɢɡɦɭ x ɨɩɨɪɨɠɧɟɧɢɟ ɦɨɱɟɜɨɝɨ ɩɭɡɵɪɹ ɩɟɪɟɞ ɢɫɫɥɟɞɨɜɚɧɢɟɦ Ɉɩɟɪɚɰɢɸ ɩɪɨɜɨɞɹɬ
ɧɚɬɨɳɚɤ
ȼ ɚɦɛɭɥɚɬɨɪɧɵɯ ɭɫɥɨɜɢɹɯ ɝɢɫɬɟɪɨɫɤɨɩɢɸ ɦɨɠɧɨ ɜɵɩɨɥɧɹɬɶ ɩɪɢ ɧɚɥɢɱɢɢ ɫɬɚɰɢɨɧɚɪɚ ɨɞɧɨɝɨ ɞɧɹ ɢ ɜɨɡɦɨɠɧɨɫɬɢ ɷɤɫɬɪɟɧɧɨɝɨ ɩɟɪɟɜɨɞɚ ɛɨɥɶɧɨɣ ɜ ɫɬɚɰɢɨɧɚɪ ɜ ɫɥɭɱɚɟ ɧɟɨɛɯɨɞɢɦɨɫɬɢ Ⱥɦɛɭɥɚɬɨɪɧɚɹ ɝɢɫɬɟɪɨɫɤɨɩɢɹ ɧɟɩɪɢɟɦɥɟɦɚ ɞɥɹ ɧɟɪɜɨɡɧɵɯ ɩɚɰɢɟɧɬɨɤ ɧɟɪɨɠɚɜɲɢɯ ɠɟɧɳɢɧ ɢ ɩɚɰɢɟɧɬɨɤ ɜ ɩɨɫɬɦɟɧɨɩɚɭɡɟ
ɉɥɚɧɨɜɭɸ ɝɢɫɬɟɪɨɫɤɨɩɢɸ ɥɭɱɲɟ ɩɪɨɜɨɞɢɬɶ ɜ ɪɚɧɧɟɣ ɩɪɨɥɢɮɟɪɚɬɢɜɧɨɣ ɮɚɡɟ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɨɩɬɢɦɚɥɶɧɨ ɧɚ 5- -ɣ ɞɟɧɶ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɤɨɝɞɚ ɷɧɞɨɦɟɬɪɢɣ ɬɨɧɤɢɣ ɢ ɫɥɚɛɨ ɤɪɨɜɨɬɨɱɢɬ Ɉɞɧɚɤɨ ɛɵɜɚɸɬ ɢɫɤɥɸɱɟɧɢɹ ɤɨɝɞɚ ɧɟɨɛɯɨɞɢɦɨ ɨɰɟɧɢɬɶ ɫɨɫɬɨɹɧɢɟ ɷɧɞɨɦɟɬɪɢɹ ɜ ɫɟɤɪɟɬɨɪɧɭɸ ɮɚɡɭ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ȼ ɷɬɢɯ ɫɥɭɱɚɹɯ ɝɢɫɬɟɪɨɫɤɨɩɢɸ ɩɪɨɜɨɞɹɬ ɡɚ -5 ɞɧɟɣ ɞɨ ɦɟɧɫɬɪɭɚɰɢɢ ɋɨɫɬɨɹɧɢɟ ɫɬɟɧɨɤ ɦɚɬɤɢ ɦɨɠɧɨ ɨɰɟɧɢɬɶ ɩɪɢ ɤɨɧɬɪɨɥɶɧɨɣ ɝɢɫɬɟɪɨɫɤɨɩɢɢ ɩɨɫɥɟ ɭɞɚɥɟɧɢɹ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ ɍ ɩɚɰɢɟɧɬɨɤ ɩɟɪɢɦɟɧɨɩɚɭɡɚɥɶɧɨɝɨ ɢ ɩɨɫɬɦɟɧɨɩɚɭɡɚɥɶɧɨɝɨ ɩɟɪɢɨɞɚ ɚ ɬɚɤɠɟ ɜ ɷɤɫɬɪɟɧɧɵɯ ɫɢɬɭɚɰɢɹɯ ɩɪɢ ɤɪɨɜɨɬɟɱɟɧɢɢ ɜɪɟɦɹ ɩɪɨɜɟɞɟɧɢɹ ɝɢɫɬɟɪɨɫɤɨɩɢɢ ɧɟ ɢɦɟɟɬ ɩɪɢɧɰɢɩɢɚɥɶɧɨɝɨ ɡɧɚɱɟɧɢɹ
ȼ ɧɨɪɦɟ ɩɨɥɨɫɬɶ ɦɚɬɤɢ ɩɪɟɞɫɬɚɜɥɹɟɬ ɫɨɛɨɣ ɫɨɦɤɧɭɬɭɸ ɳɟɥɶ ɧɟɛɨɥɶɲɢɯ ɪɚɡɦɟɪɨɜ Ⱦɥɹ ɩɨɥɧɨɰɟɧɧɨɣ ɜɢɡɭɚɥɢɡɚɰɢɢ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɧɟɨɛɯɨɞɢɦɨ ɪɚɫɲɢɪɢɬɶ ɟɟ ɫ ɩɨɦɨɳɶɸ ɤɚɤɨɣɥɢɛɨ ɫɪɟɞɵ ȼ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɢɫɩɨɥɶɡɭɟɦɨɣ ɫɪɟɞɵ ɞɥɹ ɪɚɫɲɢɪɟɧɢɹ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɪɚɡɥɢɱɚɸɬ ɝɚɡɨɜɭɸ ɢ ɠɢɞɤɨɫɬɧɭɸ ɝɢɫɬɟɪɨɫɤɨɩɢɸ ɉɪɢɦɟɧɟɧɢɟ ɝɚɡɨɜɨɣ ɫɪɟɞɵ ɰɟɥɟɫɨɨɛɪɚɡɧɨ ɩɪɢ ɩɪɨɜɟɞɟɧɢɢ ɞɢɚɝɧɨɫɬɢɱɟɫɤɨɣ ɝɢɫɬɟɪɨɫɤɨɩɢɢ ɢ ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɤɪɨɜɹɧɵɯ ɜɵɞɟɥɟɧɢɣ ȼ ɤɚɱɟɫɬɜɟ ɪɚɫɲɢɪɹɸɳɟɣ ɫɪɟɞɵ ɩɪɟɞɩɨɱɢɬɚɸɬ ɠɢɞɤɨɫɬɧɭɸ ɝɢɫɬɟɪɨɫɤɨɩɢɸ > ɪɚɫɬɜɨɪ ɧɚɬɪɢɹ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɥɚɤɬɚɬɚ ɪɚɫɬɜɨɪ ɫɥɨɠɧɵɣ >ɤɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞɧɚɬɪɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɥɚɤɬɚɬ@ Ɋɢɧɝɟɪ ɥɚɤɬɚɬƄ ɩɨ ɏɚɪɬɦɚɧɭɪɚɫɬɜɨɪ ɞɟɤɫɬɪɨɡɵ ȽɥɸɤɨɡɵƄ ɪɚɫɬɜɨɪ ɝɥɢɰɢɧɚ@
Ƚɢɫɬɟɪɨɫɤɨɩɢɢ ɩɪɟɞɲɟɫɬɜɭɟɬ ɛɢɦɚɧɭɚɥɶɧɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɪɚɫɩɨɥɨɠɟɧɢɹ ɦɚɬɤɢ ɟɟ ɜɟɥɢɱɢɧɵ ɉɟɪɟɞ ɜɜɟɞɟɧɢɟɦ ɝɢɫɬɟɪɨɫɤɨɩɚ ɜ ɩɨɥɨɫɬɶ ɦɚɬɤɢ ɩɪɨɜɟɪɹɸɬ ɩɨɞɚɱɭ ɫɪɟɞɵ ɞɥɹ ɪɚɫɲɢɪɟɧɢɹ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɜɤɥɸɱɚɸɬ ɢɫɬɨɱɧɢɤ ɫɜɟɬɚ ɢ ɮɨɤɭɫɢɪɭɸɬ ɤɚɦɟɪɭ
241
Ɉɪɢɟɧɬɢɪɚɦɢ ɜ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɫɱɢɬɚɸɬ ɭɫɬɶɹ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɉɨɨɱɟɪɟɞɧɨ ɬɳɚɬɟɥɶɧɨ ɨɫɦɚɬɪɢɜɚɸɬ ɜɫɟ ɫɬɟɧɤɢ ɦɚɬɤɢ ɨɛɥɚɫɬɶ ɭɫɬɶɟɜ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɢ ɧɚ ɜɵɯɨɞɟ ɰɟɪɜɢɤɚɥɶɧɵɣ ɤɚɧɚɥ ɉɪɢ ɨɫɦɨɬɪɟ ɧɟɨɛɯɨɞɢɦɨ ɨɛɪɚɳɚɬɶ ɜɧɢɦɚɧɢɟ ɧɚ ɰɜɟɬ ɢ ɬɨɥɳɢɧɭ ɷɧɞɨɦɟɬɪɢɹ ɟɝɨ ɫɨɨɬɜɟɬɫɬɜɢɟ ɞɧɸ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɮɨɪɦɭ ɢ ɜɟɥɢɱɢɧɭ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɧɚɥɢɱɢɟ ɬɟɯ ɢɥɢ ɢɧɵɯ ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɨɛɪɚɡɨɜɚɧɢɣ ɢ ɜɤɥɸɱɟɧɢɣ ɪɟɥɶɟɮ ɫɬɟɧɨɤ ɫɨɫɬɨɹɧɢɟ ɭɫɬɶɟɜ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɉɪɢ ɨɛɧɚɪɭɠɟɧɢɢ ɨɱɚɝɨɜɨɣ ɩɚɬɨɥɨɝɢɢ ɷɧɞɨɦɟɬɪɢɹ ɛɟɪɭɬ ɩɪɢɰɟɥɶɧɭɸ ɛɢɨɩɫɢɸ ɷɧɞɨɦɟɬɪɢɹ ɫ ɩɨɦɨɳɶɸ ɛɢɨɩɫɢɣɧɵɯ ɳɢɩɰɨɜ ɩɪɨɜɟɞɟɧɧɵɯ ɱɟɪɟɡ ɨɩɟɪɚɰɢɨɧɧɵɣ ɤɚɧɚɥ ɝɢɫɬɟɪɨɫɤɨɩɚ ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɨɱɚɝɨɜɨɣ ɩɚɬɨɥɨɝɢɢ ɬɟɥɟɫɤɨɩ ɭɞɚɥɹɸɬ ɢɡ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɢ ɩɪɨɢɡɜɨɞɹɬ ɪɚɡɞɟɥɶɧɨɟ ɞɢɚɝɧɨɫɬɢɱɟɫɤɨɟ ɜɵɫɤɚɛɥɢɜɚɧɢɟ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ ɦɚɬɤɢ Ʉɸɪɟɬɚɠ ɦɨɠɟɬ ɛɵɬɶ ɢ ɜɚɤɭɭɦɧɵɦ Ɉɫɧɨɜɧɵɦɢ ɩɪɢɱɢɧɚɦɢ ɩɥɨɯɨɣ ɜɢɞɢɦɨɫɬɢ ɦɨɝɭɬ ɛɵɬɶ ɩɭɡɵɪɶɤɢ ɝɚɡɚ ɤɪɨɜɶ ɢ ɧɟɚɞɟɤɜɚɬɧɨɟ ɨɫɜɟɳɟɧɢɟ ɉɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɠɢɞɤɨɫɬɧɨɣ ɝɢɫɬɟɪɨɫɤɨɩɢɢ ɧɟɨɛɯɨɞɢɦɨ ɬɳɚɬɟɥɶɧɨ ɫɥɟɞɢɬɶ ɡɚ ɫɢɫɬɟɦɨɣ ɩɨɞɚɱɢ ɠɢɞɤɨɫɬɢ ɜɨ ɢɡɛɟɠɚɧɢɟ ɩɨɞɚɱɢ ɜɨɡɞɭɯɚ ɩɨɞ ɞɚɜɥɟɧɢɟɦ ɚ ɬɚɤɠɟ ɩɨɞɞɟɪɠɢɜɚɬɶ ɨɩɬɢɦɚɥɶɧɭɸ ɫɤɨɪɨɫɬɶ ɩɨɞɚɱɢ ɠɢɞɤɨɫɬɢ ɞɥɹ ɨɬɦɵɜɚɧɢɹ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɨɬ ɤɪɨɜɢ
ǯȔșȌȗȖȗȌșȇȝȏȦ ȗȌȎȚȒȣșȇșȕȉ
Ⱦɥɹ ɜɵɹɜɥɟɧɢɹ ɩɚɬɨɥɨɝɢɢ ɧɟɨɛɯɨɞɢɦɨ ɩɪɟɠɞɟ ɜɫɟɝɨ ɡɧɚɬɶ ɧɨɪɦɚɥɶɧɭɸ ɝɢɫɬɟɪɨɫɤɨɩɢɱɟɫɤɭɸ ɤɚɪɬɢɧɭ ɇɢɠɟ ɩɪɢɜɟɞɟɧɵ ɨɩɢɫɚɧɢɹ ɧɨɪɦɚɥɶɧɵɯ ɝɢɫɬɟɪɨɫɤɨɩɢɱɟɫɤɢɯ ɤɚɪɬɢɧ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɮɚɡɵ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɢ ɜɨɡɪɚɫɬɚ
ɗɧɞɨɦɟɬɪɢɣɜ ɮɚɡɟ ɩɪɨɥɢɮɟɪɚɰɢɢ Ƚɢɫɬɟɪɨɫɤɨɩɢɱɟɫɤɚɹ ɤɚɪɬɢɧɚ ɷɧɞɨɦɟɬɪɢɹ ɜ ɮɚɡɟ ɩɪɨɥɢɮɟɪɚɰɢɢ ɡɚɜɢɫɢɬ ɨɬ ɞɧɹ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ȼ ɮɚɡɟ ɪɚɧɧɟɣ ɩɪɨɥɢɮɟɪɚɰɢɢɞɨ -ɝɨ ɞɧɹ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɷɧɞɨɦɟɬɪɢɣ ɬɨɧɤɢɣ ɪɨɜɧɵɣ ɛɥɟɞɧɨ-ɪɨɡɨɜɨɝɨ ɰɜɟɬɚ ɧɚ ɨɬɞɟɥɶɧɵɯ ɭɱɚɫɬɤɚɯ ɩɪɨɫɜɟɱɢɜɚɸɬ ɦɟɥɤɢɟ ɤɪɨɜɨɢɡɥɢɹɧɢɹ ɜɢɞɧɵ ɟɞɢɧɢɱɧɵɟ ɧɟɨɬɬɨɪɝɧɭɜɲɢɟɫɹ ɭɱɚɫɬɤɢ ɷɧɞɨɦɟɬɪɢɹ ɛɥɟɞɧɨ-ɪɨɡɨɜɨɝɨ ɰɜɟɬɚ ɍɫɬɶɹ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɥɟɝɤɨ ɨɫɦɨɬɪɟɬɶ ɫ ɩɨɦɨɳɶɸ ɬɟɥɟɫɤɨɩɚ ɫ ɭɝɥɨɦ ɨɛɡɨɪɚ ɝɪɚɞɭɫɨɜ ɢɥɢ ɩɪɢ ɟɝɨ ɩɨɜɨɪɚɱɢɜɚɧɢɢ ɉɪɢ ɩɪɢɛɥɢɠɟɧɢɢ ɬɟɥɟɫɤɨɩɚ ɤ ɭɫɬɶɹɦ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɢɡɨɛɪɚɠɟɧɢɟ ɭɜɟɥɢɱɢɜɚɟɬɫɹ ɉɨɫɤɨɥɶɤɭ ɞɚɜɥɟɧɢɟ ɧɚ ɭɫɬɶɹ ɜɨɡɪɚɫɬɚɟɬ ɢ ɨɧɢ ɬɨ ɨɬɤɪɵɜɚɸɬɫɹ ɬɨ ɡɚɤɪɵɜɚɸɬɫɹ
ɉɨɫɬɟɩɟɧɧɨ ɧɚɱɢɧɚɹ ɫ - -ɝɨ ɞɧɹ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɩɪɨɢɫɯɨɞɢɬ ɭɬɨɥɳɟɧɢɟ ɷɧɞɨɦɟɬɪɢɹ ɨɧ ɫɬɚɧɨɜɢɬɫɹ ɛɨɥɟɟ ɫɨɱɧɵɦ ɛɥɟɞɧɨ-ɪɨɡɨɜɨɝɨ ɰɜɟɬɚ ɫɨɫɭɞɵ ɧɟ ɜɢɞɧɵ ȼ ɮɚɡɭ ɩɨɡɞɧɟɣ ɩɪɨɥɢɮɟɪɚɰɢɢ ɷɧɞɨɦɟɬɪɢɣ ɧɚ ɨɬɞɟɥɶɧɵɯ ɭɱɚɫɬɤɚɯ ɜɵɹɜɥɹɸɬ ɜ ɜɢɞɟ ɭɬɨɥɳɟɧɧɵɯ ɫɤɥɚɞɨɤ ȼɚɠɧɨ ɨɬɦɟɬɢɬɶ ɱɬɨ ɩɪɢ ɧɨɪɦɚɥɶɧɨɦ ɦɟɧɫɬɪɭɚɥɶɧɨɦ ɰɢɤɥɟ ɜ ɮɚɡɟ ɩɪɨɥɢɮɟɪɚɰɢɢ ɷɧɞɨɦɟɬɪɢɣ ɦɨɠɟɬ ɢɦɟɬɶ ɪɚɡɥɢɱɧɭɸ ɬɨɥɳɢɧɭ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɥɨɤɚɥɢɡɚɰɢɢ ɛɨɥɟɟ ɬɨɥɫɬɵɣ ɜ ɞɧɟ ɦɚɬɤɢ ɢ ɩɨ ɡɚɞɧɟɣ ɫɬɟɧɤɟ ɢ ɦɟɧɟɟ ɬɨɥɫɬɵɣ ɩɨ ɩɟɪɟɞɧɟɣ ɫɬɟɧɤɟ ɢ ɜ ɧɢɠɧɟɣ ɬɪɟɬɢ ɩɨɥɨɫɬɢ ɦɚɬɤɢ
ɗɧɞɨɦɟɬɪɢɣ ɜ ɮɚɡɟ ɫɟɤɪɟɰɢɢ ɗɧɞɨɦɟɬɪɢɣ ɫɨɱɧɵɣ ɨɬɟɱɧɵɣ ɭɬɨɥɳɟɧ ɫ ɨɛɪɚɡɨɜɚɧɢɟɦ ɫɤɥɚɞɨɤ ɨɫɨɛɟɧɧɨ ɜ ɜɟɪɯɧɟɣ ɬɪɟɬɢ ɬɟɥɚ ɦɚɬɤɢ ɇɟɪɟɞɤɨ ɫɤɥɚɞɤɢ ɩɪɢɨɛɪɟɬɚɸɬ ɩɨɥɢɩɨɜɢɞɧɭɸ ɮɨɪɦɭ ɰɜɟɬ ɷɧɞɨɦɟɬɪɢɹ ɛɵɜɚɟɬ ɠɟɥɬɨɜɚɬɵɦ Ɂɚ - ɞɧɹ ɞɨ ɦɟɧɫɬɪɭɚɰɢɢ ɷɧɞɨɦɟɬɪɢɣ ɩɪɢɨɛɪɟɬɚɟɬ ɤɪɚɫɧɨɜɚɬɵɣ ɨɬɬɟɧɨɤ ɂɡ-ɡɚ ɜɵɪɚɠɟɧɧɨɝɨ ɭɬɨɥɳɟɧɢɹ ɢ ɫɤɥɚɞɱɚɬɨɫɬɢ ɷɧɞɨɦɟɬɪɢɹ ɭɫɬɶɹ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɧɟ ɜɫɟɝɞɚ ɜɨɡɦɨɠɧɨ ɭɜɢɞɟɬɶ ȼ ɷɬɨɣ ɮɚɡɟ ɷɧɞɨɦɟɬɪɢɣ ɥɟɝɤɨ ɦɨɠɧɨ ɩɨɜɪɟɞɢɬɶ ɪɚɫɲɢɪɢɬɟɥɹɦɢ Ƚɟɝɚɪɚ ɢɥɢ ɬɟɥɟɫɤɨɩɨɦ ɷɬɨ ɦɨɠɟɬ ɜɵɡɜɚɬɶ ɤɪɨɜɨɬɟɱɟɧɢɹ ɢɡ ɷɧɞɨɦɟɬɪɢɹ ɇɚɤɚɧɭɧɟ ɦɟɧɫɬɪɭɚɰɢɢ ɷɧɞɨɦɟɬɪɢɣ ɦɨɠɟɬ ɛɵɬɶ ɨɲɢɛɨɱɧɨ ɩɪɢɧɹɬ ɡɚ ɩɚɬɨɥɨɝɢɸ ɩɨɥɢɩɨɜɢɞɧɭɸ ɝɢɩɟɪɩɥɚɡɢɸ ȼ ɫɜɹɡɢ ɫ ɷɬɢɦ ɜɪɟɦɹ ɩɪɨɜɟɞɟɧɢɹ ɝɢɫɬɟɪɨɫɤɨɩɢɢ ɮɚɡɭ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɫɱɢɬɚɸɬ ɨɱɟɧɶ ɫɭɳɟɫɬɜɟɧɧɵɦ ɢ ɨɧɨ ɞɨɥɠɧɨ ɛɵɬɶ ɡɚɮɢɤɫɢɪɨɜɚɧɨ ɞɥɹ ɩɚɬɨɦɨɪɮɨɥɨɝɚ
ɗɧɞɨɦɟɬɪɢɣ ɜɨ ɜɪɟɦɹ ɦɟɧɫɬɪɭɚɰɢɢ ȼ ɩɟɪɜɵɟ - ɞɧɹ ɦɟɧɫɬɪɭɚɰɢɢ ɩɨɥɨɫɬɶ ɦɚɬɤɢ ɜɵɩɨɥɧɟɧɚ ɛɨɥɶɲɢɦ ɤɨɥɢɱɟɫɬɜɨɦ ɨɛɪɵɜɤɨɜ ɷɧɞɨɦɟɬɪɢɹ ɨɬ ɛɥɟɞɧɨ-ɪɨɡɨɜɨɝɨ ɞɨ ɬɟɦɧɨɛɚɝɪɨɜɨɝɨ ɰɜɟɬɚ ɨɫɨɛɟɧɧɨ ɢɯ ɦɧɨɝɨ ɜ ɜɟɪɯɧɟɣ ɬɪɟɬɢ ȼ ɧɢɠɧɟɣ ɢ ɫɪɟɞɧɟɣ ɬɪɟɬɢ ɷɧɞɨɦɟɬɪɢɣ ɬɨɧɤɢɣ ɛɥɟɞɧɨ-ɪɨɡɨɜɨɝɨ ɰɜɟɬɚ ɫ ɦɟɥɤɨɬɨɱɟɱɧɵɦɢ ɤɪɨɜɨɢɡɥɢɹɧɢɹɦɢ ɢ ɭɱɚɫɬɤɚɦɢ ɫɬɚɪɵɯ ɤɪɨɜɨɢɡɥɢɹɧɢɣ ɉɪɢ ɩɨɥɧɨɰɟɧɧɨɦ ɦɟɧɫɬɪɭɚɥɶɧɨɦ ɰɢɤɥɟ ɭɠɟ ɤɨ - ɦɭ ɞɧɸ ɦɟɧɫɬɪɭɚɰɢɢ ɩɪɨɢɫɯɨɞɢɬ ɩɨɱɬɢ ɩɨɥɧɨɟ ɨɬɬɨɪɠɟɧɢɟ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ ɦɚɬɤɢ ɥɢɲɶ ɧɚ ɨɬɞɟɥɶɧɵɯ ɭɱɚɫɬɤɚɯ ɤɚɤ ɩɪɚɜɢɥɨ ɜ ɞɧɟ ɦɚɬɤɢ ɜɵɹɜɥɹɸɬ ɦɟɥɤɢɟ ɨɛɪɵɜɤɢ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ
242
Ⱥɬɪɨɮɢɹ ɷɧɞɨɦɟɬɪɢɹ ɇɨɪɦɚɥɶɧɨɟ ɫɨɫɬɨɹɧɢɟ ɭ ɠɟɧɳɢɧ ɜ ɩɟɪɢɨɞɟ ɩɨɫɬɦɟɧɨɩɚɭɡɵ ɋɥɢɡɢɫɬɚɹ ɨɛɨɥɨɱɤɚ ɬɨɧɤɚɹ ɛɥɟɞɧɚɹ ɛɨɥɟɟ ɱɟɬɤɨ ɜɢɞɧɵ ɭɫɬɶɹ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɢɦɟɸɳɢɟ ɨɤɪɭɝɥɭɸ ɢɥɢ ɳɟɥɟɜɢɞɧɭɸ ɮɨɪɦɭ ɑɚɫɬɨ ɧɚ ɮɨɧɟ ɚɬɪɨɮɢɢ ɷɧɞɨɦɟɬɪɢɹ ɜɵɹɜɥɹɸɬ ɜɧɭɬɪɢɦɚɬɨɱɧɵɟ ɫɢɧɟɯɢɢ ɜ ɨɫɧɨɜɧɨɦ ɜ ɨɛɥɚɫɬɢ ɭɫɬɶɟɜ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɢ ɞɧɟ ɦɚɬɤɢ
ɗɧɞɨɰɟɪɜɢɤɫ ɐɟɪɜɢɤɚɥɶɧɵɣ ɤɚɧɚɥ ɢɦɟɟɬ ɜɟɪɟɬɟɧɨɨɛɪɚɡɧɭɸ ɮɨɪɦɭ ɫɨɟɞɢɧɹɹɫɶ ɱɟɪɟɡ ɧɚɪɭɠɧɵɣ ɡɟɜ ɫ ɜɥɚɝɚɥɢɳɟɦ ɚ ɱɟɪɟɡ ɜɧɭɬɪɟɧɧɢɣ ɡɟɜ - ɫ ɩɨɥɨɫɬɶɸ ɦɚɬɤɢ ȼɧɭɬɪɟɧɧɢɣ ɡɟɜ ɢɦɟɟɬ ɯɨɪɨɲɨ ɜɵɪɚɠɟɧɧɨɟ ɦɵɲɟɱɧɨɟ ɤɨɥɶɰɨ ɋɥɢɡɢɫɬɚɹ ɨɛɨɥɨɱɤɚ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɫɨɫɬɨɢɬ ɜ ɨɫɧɨɜɧɨɦ ɢɡ ɤɭɛɢɱɟɫɤɨɝɨ ɷɩɢɬɟɥɢɹ ɤɨɬɨɪɵɣ ɩɪɨɧɢɤɚɟɬ ɜ ɫɬɪɨɦɭ ɨɛɪɚɡɭɹ ɝɥɭɛɨɤɢɟ ɢ ɪɚɡɜɟɬɜɥɟɧɧɵɟ ɬɪɭɛɱɚɬɵɟ ɠɟɥɟɡɵ ɇɚ ɩɨɜɟɪɯɧɨɫɬɢ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɢ ɜɢɞɧɵ ɝɥɭɛɨɤɢɟ ɳɟɥɢ ɛɨɪɨɡɞɤɢ ȼ ɩɨɫɬɦɟɧɨɩɚɭɡɟ ɷɬɚ ɫɤɥɚɞɱɚɬɨɫɬɶ ɢɫɱɟɡɚɟɬ ɩɨɜɟɪɯɧɨɫɬɶ ɫɬɚɧɨɜɢɬɫɹ ɛɨɥɟɟ ɝɥɚɞɤɨɣ Ɇɨɠɧɨ ɭɜɢɞɟɬɶ ɮɢɛɪɨɡɧɵɟ ɜɨɥɨɤɧɚ ɢɧɨɝɞɚ ɫɢɧɟɯɢɢ ɛɟɥɟɫɨɜɚɬɨɝɨ ɰɜɟɬɚ Ɍɚɤɠɟ ɜɵɹɜɥɹɸɬ ɤɢɫɬɵ ɧɟɛɨɥɶɲɢɯ ɪɚɡɦɟɪɨɜ ɧɚɛɨɬɨɜɵ ɤɢɫɬɵ ɫ ɛɟɥɟɫɨɜɚɬɨɣ ɩɪɨɡɪɚɱɧɨɣ ɫɬɟɧɤɨɣ ɫɥɢɡɢɫɬɵɦ ɫɨɞɟɪɠɢɦɵɦ ɝɨɥɭɛɨɜɚɬɨɫɟɪɨɜɚɬɨɝɨ ɰɜɟɬɚ ɋɥɢɡɢɫɬɚɹ ɨɛɨɥɨɱɤɚ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɢɧɨɝɞɚ ɛɵɜɚɟɬ ɩɪɟɞɫɬɚɜɥɟɧɚ ɦɟɥɤɢɦɢ ɩɨɥɢɩɨɜɢɞɧɵɦɢ ɪɚɡɪɚɫɬɚɧɢɹɦɢ Ɉɞɢɧɨɱɧɵɟ ɩɨɥɢɩɵ ɰɟɪɜɢɤɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɜɢɞɧɵ ɱɟɬɤɨ ɇɟɨɛɯɨɞɢɦɨ ɨɩɪɟɞɟɥɢɬɶ ɦɟɫɬɨ ɪɚɫɩɨɥɨɠɟɧɢɹ ɧɨɠɤɢ ɩɨɥɢɩɚ ɞɥɹ ɩɪɢɰɟɥɶɧɨɝɨ ɢ ɩɨɥɧɨɝɨ ɟɟ ɢɫɫɟɱɟɧɢɹ ɐɟɪɜɢɤɚɥɶɧɵɣ ɤɚɧɚɥ ɧɟɨɛɯɨɞɢɦɨ ɩɪɨɯɨɞɢɬɶ ɬɟɥɟɫɤɨɩɨɦ ɫ ɨɫɨɛɨɣ ɨɫɬɨɪɨɠɧɨɫɬɶɸ ɩɨɞ ɤɨɧɬɪɨɥɟɦ ɡɪɟɧɢɹ ɜɨ ɢɡɛɟɠɚɧɢɟ ɟɝɨ ɬɪɚɜɦɢɪɨɜɚɧɢɹ ɢ ɨɛɪɚɡɨɜɚɧɢɹ ɥɨɠɧɨɝɨ ɯɨɞɚ
t.me/medgynecology
243
Ƚɢɫɬɟɪɨɫɤɨɩɢɹ
DzȌȞȌȈȔȕ-ȋȏȇȊȔȕȘșȏȞȌȘȑȇȦ șȇȑșȏȑȇ Ȗȗȏ ȔȇȏȈȕȒȌȌ ȗȇȘȖȗȕȘșȗȇȔȌȔȔȢȜ ȔȕȎȕȒȕȊȏȦȜ ȉ ȖȗȇȑșȏȑȌ ȊȏȔȌȑȕȒȕȊȇ
ɇɨɡɨɥɨɝɢɹ ɤɨɞɵ |
ɗɬɢɨɥɨɝɢɹ |
Ʉɥɢɧɢɱɟɫɤɚɹ |
|
Ⱦɢɚɝɧɨɫɬɢɤɚ |
|
|
Ʌɟɱɟɧɢɟ |
Ɇɨɧɢɬɨɪɢɧ |
|||||
ɩɨ |
ɆɄȻ- |
|
ɤɚɪɬɢɧɚ |
|
|
|
|
|
|
|
|
|
ɝ ɩɪɨɝɧɨɡ |
ɤɥɚɫɫɢɮɢɤɚɰɢɹ |
|
|
|
|
|
|
|
|
|
|
|
|
|
ɉɚɩɢɥɥɨɦɚɜɢɪɭɫɧɚ |
|
Ɂɭɞ ɜɭɥɶɜɵ |
|
|
ȼɉɑ-ɬɟɫɬ |
|
|
|
|
|
|||
ɹ |
ɢɧɮɟɤɰɢɹ |
|
|
|
|
|
ɰɢɬɨɥɨɝɢɱɟɫɤɢɣ |
ɦɟɬɨɞ |
|
|
|||
ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ |
|
|
|
|
|
ɬɟɫɬ |
ɉɚɩɚɧɢɤɨɥɚɭ |
|
|
||||
% |
|
|
|
|
|
|
ɝɢɫɬɨɥɨɝɢɱɟɫɤɨɟ |
|
|
||||
|
|
|
|
|
|
ɢɫɫɥɟɞɨɜɚɧɢɟ |
|
ɫɨɫɤɨɛɚ |
|
|
|||
ɉɚɩɢɥɥɨɦɚɜɢɪɭɫɵ |
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
ɢɥɢ |
ɛɢɨɩɬɚɬɚ |
ɲɟɣɤɢ |
|
|
||||
Ⱥ |
|
|
|
|
|
|
ɦɚɬɤɢ |
|
|
|
|
|
|
Ⱥɧɨɝɟɧɢɬɚɥɶɧɵɟ |
|
|
|
|
|
|
|
|
|
|
|
|
|
ɜɟɧɟɪɢɱɟɫɤɢɟ |
|
|
|
|
|
|
|
|
|
|
|
|
|
ɛɨɪɨɞɚɜɤɢ |
|
|
|
|
|
|
|
|
|
|
|
|
|
' -' Ȼɨɥɟɡɧɶ |
|
|
|
|
|
|
|
|
|
|
|
|
|
Ȼɨɭɷɧɚ |
|
|
|
|
|
|
|
|
|
|
|
|
|
Ƚɟɧɢɬɚɥɶɧɵɣ |
|
ȼɵɪɚɠɟɧɧɵɟ |
|
|
ɂɦɦɭɧɨɥɸɦɢɧɟɫɰɟɧɬɧɵ |
|
|
||||||
ɝɟɪɩɟɫ |
|
|
ɞɢɫɩɚɪɟɭɧɢɹ ɱɭɜɫɬɜɨ |
ɣ ɦɟɬɨɞ - |
ɨɫɧɨɜɧɨɣ ɢ ɜ |
|
|
||||||
|
|
|
ɠɠɟɧɢɹ |
ɜ |
ɨɛɥɚɫɬɢ |
ɥɚɛɨɪɚɬɨɪɧɨɣ |
|
|
|
||||
|
|
|
ɜɭɥɶɜɵ ɜ ɫɨɱɟɬɚɧɢɢ ɫ |
ɞɢɚɝɧɨɫɬɢɤɟ |
|
|
|
|
|||||
|
|
|
ɫɟɪɨɡɧɵɦɢ |
|
|
ɝɟɧɢɬɚɥɶɧɨɝɨ |
|
ɝɟɪɩɟɫɚ |
|
|
|||
|
|
|
ɜɵɞɟɥɟɧɢɹɦɢ |
|
ɢɡ |
ɩɪɢ ɷɬɨɦ ɜ ɩɪɟɩɚɪɚɬɟ ɢɡ |
|
|
|||||
|
|
|
ɩɨɥɨɜɵɯ |
ɩɭɬɟɣ |
ɢ |
ɩɚɬɨɥɨɝɢɱɟɫɤɨɝɨ |
|
|
|||||
|
|
|
ɫɨɫɬɨɹɧɢɟɦ |
ɨɛɳɟɣ |
ɦɚɬɟɪɢɚɥɚ |
|
ɜɵɹɜɥɹɸɬ |
|
|
||||
|
|
|
ɢɧɬɨɤɫɢɤɚɰɢɢ |
|
|
ɚɧɬɢɝɟɧɵ |
|
|
ɜɢɪɭɫɚ |
|
|
||
|
|
|
|
|
|
|
Ɉɛɵɱɧɨ |
ɢɫɩɨɥɶɡɭɸɬ |
|
|
|||
|
|
|
|
|
|
|
ɦɟɬɨɞ |
|
|
ɩɪɹɦɨɣ |
|
|
|
|
|
|
|
|
|
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɢ |
|
|
||||
|
|
|
|
|
|
|
ɩɨɡɜɨɥɹɸɳɢɣ |
|
|
|
|||
|
|
|
|
|
|
|
ɨɩɪɟɞɟɥɹɬɶ ɞɜɚ ɫɟɪɨɬɢɩɚ |
|
|
||||
|
|
|
|
|
|
|
ɜɢɪɭɫɚ ɩɪɨɫɬɨɝɨ ɝɟɪɩɟɫɚ |
|
|
||||
|
|
|
|
|
|
|
Ɇɚɬɟɪɢɚɥɨɦ |
|
ɞɥɹ |
|
|
||
|
|
|
|
|
|
|
ɢɫɫɥɟɞɨɜɚɧɢɹ |
|
ɨɛɵɱɧɨ |
|
|
||
|
|
|
|
|
|
|
ɫɥɭɠɚɬ ɠɢɞɤɨɫɬɶ ɢɡ |
|
|
||||
|
|
|
|
|
|
|
ɜɫɤɪɵɬɵɯ |
ɩɭɡɵɪɶɤɨɜ |
|
|
|||
|
|
|
|
|
|
|
ɨɬɞɟɥɹɟɦɨɟ |
ɷɪɨɡɢɜɧɵɯ |
|
|
|||
|
|
|
|
|
|
|
ɩɨɜɟɪɯɧɨɫɬɟɣ ɤɨɠɢ ɢ |
|
|
||||
|
|
|
|
|
|
|
ɫɥɢɡɢɫɬɵɯ ɨɛɨɥɨɱɟɤ ɢɥɢ |
|
|
||||
|
|
|
|
|
|
|
ɫɨɫɤɨɛ |
ɫɨ |
|
ɫɬɟɧɨɤ |
|
|
|
|
|
|
|
|
|
|
ɰɟɪɜɢɤɚɥɶɧɨɝɨ |
ɤɚɧɚɥɚ |
|
|
|||
|
|
|
|
|
|
|
ɩɪɢ |
ɥɚɬɟɧɬɧɨɣ |
ɮɨɪɦɟ |
|
|
||
|
|
|
|
|
|
|
ɢɧɮɟɤɰɢɢ |
Ɇɚɬɟɪɢɚɥ |
|
|
|||
|
|
|
|
|
|
|
ɛɟɪɭɬ |
|
|
|
|
|
|
|
|
|
|
|
|
|
ɛɚɤɬɟɪɢɨɥɨɝɢɱɟɫɤɨɣ |
|
|
||||
|
|
|
|
|
|
|
ɩɟɬɥɟɣ ɢɥɢ ɫɩɟɰɢɚɥɶɧɵɦ |
|
|
||||
|
|
|
|
|
|
|
ɬɚɦɩɨɧɨɦ ɢ ɩɟɪɟɧɨɫɹɬ ɧɚ |
|
|
||||
|
|
|
|
|
|
|
ɩɪɟɞɦɟɬɧɨɟ ɫɬɟɤɥɨ |
|
|
||||
ȼɂɑ |
|
|
|
|
|
|
ȼ ɞɢɚɝɧɨɫɬɢɤɟ ȼɂɑ- |
|
|
||||
|
|
|
|
|
|
|
ɢɧɮɟɤɰɢɢ |
|
|
ɨɛɵɱɧɨ |
|
|
|
|
|
|
|
|
|
|
ɢɫɩɨɥɶɡɭɸɬ |
|
|
|
|
||
|
|
|
|
|
|
|
ɢɦɦɭɧɨɮɟɪɦɟɧɬɧɵɣ |
|
|
||||
|
|
|
|
|
|
|
ɚɧɚɥɢɡ |
ɩɨɡɜɨɥɹɸɳɢɣ |
|
|
|||
|
|
|
|
|
|
|
ɩɨɥɭɱɢɬɶ |
|
|
|
|
|
|
|
|
|
|
|
|
|
ɩɨɥɨɠɢɬɟɥɶɧɵɟ |
|
|
|
|||
|
|
|
|
|
|
|
ɪɟɡɭɥɶɬɚɬɵ |
|
|
|
|
||
|
|
|
|
|
|
|
ɢɫɫɥɟɞɨɜɚɧɢɹ ɭɠɟ ɱɟɪɟɡ |
|
|
||||
|
|
|
|
|
|
|
- |
ɦɟɫ |
ɩɨɫɥɟ |
|
|
||
|
|
|
|
|
|
|
ɡɚɪɚɠɟɧɢɹ |
|
|
|
|
|
|
244
Ʉɚɧɞɢɞɨɡ |
ȼɨɡɛɭɞɢɬɟɥɶ |
Ɂɭɞ |
|
ɨɛɢɥɶɧɵɟ |
Ⱦɢɚɝɧɨɫɬɢɤɚ |
|
|
|
|
||
|
|
ɝɭɫɬɵɟ ɬɜɨɪɨɠɢɫɬɵɟ |
ɤɚɧɞɢɞɨɡɧɨɝɨ |
|
|
|
|||||
|
- Candida DOELFD |
ɜɵɞɟɥɟɧɢɹ |
|
ɫɨ |
ɜɭɥɶɜɨɜɚɝɢɧɢɬɚ |
ɱɚɳɟ |
|
|
|||
|
QV |
ɫɜɨɟɨɛɪɚɡɧɵɦ |
|
ɜɫɟɝɨ ɦɨɠɟɬ ɛɵɬɶ |
|
|
|||||
|
|
ɤɢɫɥɨɜɚɬɵɦ ɡɚɩɚɯɨɦ |
ɨɫɭɳɟɫɬɜɥɟɧɚ |
ɩɪɢ |
|
|
|||||
|
|
ȼɵɞɟɥɟɧɢɹ |
ɩɥɨɬɧɨ |
ɦɢɤɪɨɫɤɨɩɢɢ |
ɦɚɡɤɚ |
|
|
||||
|
|
ɩɪɢɥɟɝɚɸɬ ɤ ɫɬɟɧɤɚɦ |
ɨɬɞɟɥɹɟɦɨɝɨ ɜɥɚɝɚɥɢɳɚ |
|
|
||||||
|
|
ɜɥɚɝɚɥɢɳɚ |
ɜɨɤɪɭɝ |
ɩɨ ɨɛɧɚɪɭɠɟɧɢɸ ɜ |
|
|
|||||
|
|
ɨɛɪɚɡɭɸɬɫɹ |
ɭɱɚɫɬɤɢ |
ɨɤɪɚɲɟɧɧɵɯ |
|
ɢɥɢ |
|
|
|||
|
|
ɢɧɬɟɧɫɢɜɧɨɣ |
|
|
ɧɚɬɢɜɧɵɯ |
|
ɦɚɡɤɚɯ |
|
|
||
|
|
ɝɢɩɟɪɟɦɢɢ ɨɝɧɟɧɧɨ- |
ɷɥɟɦɟɧɬɨɜ |
|
ɝɪɢɛɚ |
|
|
||||
|
|
ɤɪɚɫɧɚɹ ɤɚɣɦɚ ɢ |
ɩɨɱɤɭɸɳɢɯɫɹ |
|
|
|
|||||
|
|
ɩɨɜɵɲɟɧɧɨɣ |
|
|
ɞɪɨɠɠɟɜɵɯ |
|
ɤɥɟɬɨɤ |
|
|
||
|
|
ɤɪɨɜɨɬɨɱɢɜɨɫɬɢ |
|
ɮɪɚɝɦɟɧɬɨɜ |
|
|
|
|
|||
|
|
ɫɥɢɡɢɫɬɨɣ |
ɇɟɪɟɞɤɨ |
ɩɫɟɜɞɨɦɢɰɟɥɢɹ |
ɫ |
|
|
||||
|
|
ɧɚɛɥɸɞɚɸɬ |
|
|
ɛɥɚɫɬɨɫɩɨɪɚɦɢ |
|
|
|
|||
|
|
ɜɬɨɪɢɱɧɨɟ |
|
|
Ɉɛɧɚɪɭɠɟɧɢɟ ɜ ɦɚɡɤɚɯ |
|
|
||||
|
|
ɜɨɜɥɟɱɟɧɢɟ |
|
ɜ |
ɷɥɟɦɟɧɬɨɜ |
|
ɝɪɢɛɚ |
|
|
||
|
|
ɩɚɬɨɥɨɝɢɱɟɫɤɢɣ |
|
ɫɜɢɞɟɬɟɥɶɫɬɜɭɟɬ ɨɛ ɢɯ |
|
|
|||||
|
|
ɩɪɨɰɟɫɫ |
|
ɤɨɠɢ |
ɛɨɥɶɲɨɦ |
ɤɨɥɢɱɟɫɬɜɟ |
|
|
|||
|
|
ɩɪɨɦɟɠɧɨɫɬɢ |
ɢ |
ɛɨɥɟɟ - OJ ɄɈȿ ɦɥ ɢ |
|
|
|||||
|
|
ɩɚɯɨɜɵɯ |
|
ɫɤɥɚɞɨɤ |
ɱɚɳɟ |
|
ɜɫɟɝɨ |
|
|
||
|
|
ɜɧɚɱɚɥɟ ɜ ɜɢɞɟ |
ɫɨɩɪɨɜɨɠɞɚɟɬɫɹ |
|
|
|
|||||
|
|
ɟɞɢɧɢɱɧɵɯ |
|
ɢɥɢ |
ɜɵɪɚɠɟɧɧɨɣ |
|
|
|
|
||
|
|
ɦɧɨɠɟɫɬɜɟɧɧɵɯ |
|
ɥɟɣɤɨɰɢɬɚɪɧɨɣ ɪɟɚɤɰɢɟɣ |
|
|
|||||
|
|
ɷɪɢɬɟɦɨɩɭɡɵɪɶɤɨɜɵɯ |
ɜ ɜɚɝɢɧɚɥɶɧɨɦ ɦɚɡɤɟ ɢ |
|
|
||||||
|
|
ɢɥɢ |
|
|
|
|
ɤɥɢɧɢɱɟɫɤɢɦɢ |
|
|
|
|
|
|
ɷɪɢɬɟɦɨɩɭɡɵɪɶɤɨɜɨ- |
ɩɪɨɹɜɥɟɧɢɹɦɢ |
|
|
|
|||||
|
|
ɩɭɫɬɭɥɟɡɧɵɯ |
|
|
ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ |
|
|
|
|||
|
|
ɷɥɟɦɟɧɬɨɜ |
ɤɨɬɨɪɵɟ |
ɩɪɨɰɟɫɫɚ ɜɨ ɜɥɚɝɚɥɢɳɟ |
|
|
|||||
|
|
ɡɚɬɟɦ |
|
ɩɨɫɬɟɩɟɧɧɨ |
ɱɬɨ ɞɨɫɬɚɬɨɱɧɨ ɞɥɹ |
|
|
||||
|
|
ɭɜɟɥɢɱɢɜɚɹɫɶ |
ɜ |
ɩɨɞɬɜɟɪɠɞɟɧɢɹ |
|
|
|
||||
|
|
ɪɚɡɦɟɪɟ |
ɫɥɢɜɚɸɬɫɹ |
ɤɥɢɧɢɱɟɫɤɨɝɨ ɞɢɚɝɧɨɡɚ |
|
|
|||||
|
|
ɡɚɧɢɦɚɹ ɩɪɚɤɬɢɱɟɫɤɢ |
ɜɚɝɢɧɚɥɶɧɨɝɨ ɤɚɧɞɢɞɨɡɚ |
|
|
||||||
|
|
ɜɫɸ |
ɝɟɧɢɬɚɥɶɧɭɸ |
|
|
|
|
|
|||
|
|
ɩɟɪɢɝɟɧɢɬɚɥɶɧɭɸ |
ɢ |
|
|
|
|
|
|||
|
|
ɹɝɨɞɢɱɧɭɸ ɨɛɥɚɫɬɢ ɚ |
|
|
|
|
|
||||
|
|
ɬɚɤɠɟ |
|
ɜɧɭɬɪɟɧɧɸɸ |
|
|
|
|
|
||
|
|
ɩɨɜɟɪɯɧɨɫɬɶ ɛɟɞɟɪ |
|
|
|
|
|
||||
245
ɏɥɚɦɢɞɢɨɡ |
|
|
ɉɪɢ |
|
ɭɪɨɝɟɧɢɬɚɥɶɧɨɦ |
|
|
|||
|
|
|
ɯɥɚɦɢɞɢɨɡɟ |
ɜɵɹɜɥɟɧɢɟ |
|
|
||||
|
|
|
ȺȽ |
|
ɯɥɚɦɢɞɢɣ |
ɫ |
|
|
||
|
|
|
ɩɨɦɨɳɶɸ |
|
|
|
|
|
||
|
|
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɬɧɨ |
|
|
|||||
|
|
|
ɣ ɦɢɤɪɨɫɤɨɩɢɢ ɫɥɭɠɢɬ |
|
|
|||||
|
|
|
ɨɞɧɢɦ ɢɡ ɜɟɞɭɳɢɯ |
|
|
|||||
|
|
|
ɥɚɛɨɪɚɬɨɪɧɵɯ |
ɦɟɬɨɞɨɜ |
|
|
||||
|
|
|
ɞɢɚɝɧɨɫɬɢɤɢ |
Ɉɛɵɱɧɨ |
|
|
||||
|
|
|
ɢɫɩɨɥɶɡɭɸɬ |
|
ɩɪɹɦɭɸ |
|
|
|||
|
|
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɸ |
|
|
|||||
|
|
|
|
ɩɪɢ |
ɩɪɨɜɟɞɟɧɢɢ |
|
|
|||
|
|
|
ɤɨɬɨɪɨɣ |
ɩɪɢɦɟɧɹɸɬ |
|
|
||||
|
|
|
ɦɨɧɨɤɥɨɧɚɥɶɧɵɟ ȺɌ ɤ |
|
|
|||||
|
|
|
ɪɚɡɧɵɦ ȺȽ ɯɥɚɦɢɞɢɣ - |
|
|
|||||
|
|
|
ɥɢɩɨɩɨɥɢɫɚɯɚɪɢɞɧɨɦɭ |
|
|
|||||
|
|
|
ɝɪɭɩɩɨɜɨɦɭ |
|
|
|
|
|||
|
|
|
ɨɫɧɨɜɧɨɦɭ |
ɛɟɥɤɨɜɨɦɭ |
|
|
||||
|
|
|
ɜɢɞɨɜɨɦɭ ȺȽ ɧɚɪɭɠɧɨɣ |
|
|
|||||
|
|
|
ɦɟɦɛɪɚɧɵ ɯɥɚɦɢɞɢɣ ɚ |
|
|
|||||
|
|
|
ɬɚɤɠɟ |
|
ȺɌ |
ɤ |
|
|
||
|
|
|
ɪɟɤɨɦɛɢɧɚɧɬɧɵɦ |
ȺȽ |
|
|
||||
|
|
|
ɯɥɚɦɢɞɢɣ |
|
Ʉɚɱɟɫɬɜɨ |
|
|
|||
|
|
|
ɞɢɚɝɧɨɫɬɢɤɭɦɨɜ |
|
|
|
||||
|
|
|
ɨɩɪɟɞɟɥɹɟɬ |
|
ɫɬɟɩɟɧɶ |
|
|
|||
|
|
|
ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ |
|
|
|
||||
|
|
|
ɦɟɬɨɞɚ |
|
|
Ȼɨɥɶɲɨɟ |
|
|
||
|
|
|
ɡɧɚɱɟɧɢɟ ɩɪɢ ɨɰɟɧɤɟ |
|
|
|||||
|
|
|
ɪɟɡɭɥɶɬɚɬɨɜ |
|
ɩɪɹɦɨɣ |
|
|
|||
|
|
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɢ |
|
|
|||||
|
|
|
ɢɦɟɟɬ ɤɚɱɟɫɬɜɨ ɜɡɹɬɢɹ |
|
|
|||||
|
|
|
ɦɚɬɟɪɢɚɥɚ ɜ ɦɚɡɤɟ ɧɚ |
|
|
|||||
|
|
|
ɫɬɟɤɥɟ ɩɪɨɛɵ ɜɡɹɬɨɣ ɢɡ |
|
|
|||||
|
|
|
ɰɟɪɜɢɤɚɥɶɧɨɝɨ |
ɤɚɧɚɥɚ |
|
|
||||
|
|
|
ɞɨɥɠɧɵ ɩɪɢɫɭɬɫɬɜɨɜɚɬɶ |
|
|
|||||
|
|
|
ɰɢɥɢɧɞɪɢɱɟɫɤɢɟ |
|
|
|
||||
|
|
|
ɷɩɢɬɟɥɢɚɥɶɧɵɟ ɤɥɟɬɤɢ ɢ |
|
|
|||||
|
|
|
ɨɬɫɭɬɫɬɜɨɜɚɬɶ |
ɤɥɟɬɤɢ |
|
|
||||
|
|
|
ɩɥɨɫɤɨɝɨ |
ɷɩɢɬɟɥɢɹ |
|
|
||||
|
|
|
ɷɪɢɬɪɨɰɢɬɵ |
|
|
ɢ |
|
|
||
|
|
|
ɥɟɣɤɨɰɢɬɵ |
Ɋɟɡɭɥɶɬɚɬ |
|
|
||||
|
|
|
ɫɱɢɬɚɸɬ |
|
|
|
|
|
||
|
|
|
ɩɨɥɨɠɢɬɟɥɶɧɵɦ ɟɫɥɢ ɜ |
|
|
|||||
|
|
|
ɦɚɡɤɚɯ ɨɬɞɟɥɹɟɦɨɝɨ ɫ |
|
|
|||||
|
|
|
ɩɨɦɨɳɶɸ |
|
|
|
|
|
||
|
|
|
ɥɸɦɢɧɟɫɰɟɧɬɧɨɝɨ |
|
|
|
||||
|
|
|
ɦɢɤɪɨɫɤɨɩɚ |
|
|
ɧɚ |
|
|
||
|
|
|
ɨɪɚɧɠɟɜɨɤɨɪɢɱɧɟɜɨɦ |
|
|
|||||
|
|
|
ɮɨɧɟ |
ɷɩɢɬɟɥɢɚɥɶɧɵɯ |
|
|
||||
|
|
|
ɤɥɟɬɨɤ ɨɛɧɚɪɭɠɢɜɚɸɬ ɧɟ |
|
|
|||||
|
|
|
ɦɟɧɟɟ ɷɥɟɦɟɧɬɚɪɧɵɯ |
|
|
|||||
|
|
|
ɬɟɥɟɰ ɩɪɢ ɭɜɟɥɢɱɟɧɢɢ |
|
|
|||||
|
|
|
ɤɪɚɬ |
|
|
|
|
|
|
|
246
Ƚɨɧɨɪɟɹ |
|
ɐɟɪɜɢɰɢɬ |
ɜɹɡɤɢɟ |
ɉɪɢ |
ɥɚɛɨɪɚɬɨɪɧɨɣ |
|
|
||||
|
|
ɡɟɥɟɧɨɜɚɬɨ-ɠɟɥɬɵɟ |
ɞɢɚɝɧɨɫɬɢɤɟ ɝɨɧɨɪɟɢ ɜ |
|
|
||||||
|
|
ɤɪɟɦɨɨɛɪɚɡɧɵɟ |
|
ɩɟɪɜɭɸ |
|
ɨɱɟɪɟɞɶ |
|
|
|||
|
|
ɜɵɞɟɥɟɧɢɹ |
|
|
ɩɪɨɜɨɞɹɬ ɦɢɤɪɨɫɤɨɩɢɸ |
|
|
||||
|
|
ɫɬɟɤɚɸɳɢɟ |
ɜ |
ɜɢɞɟ |
ɦɚɡɤɨɜ |
ɜɡɹɬɵɯ |
ɢɡ |
|
|
||
|
|
ɥɟɧɬɵ ɢɡ ɧɚɪɭɠɧɨɝɨ |
ɭɪɟɬɪɵ ɢ ɰɟɪɜɢɤɚɥɶɧɨɝɨ |
|
|
||||||
|
|
ɡɟɜɚ ɲɟɣɤɢ ɦɚɬɤɢ |
ɤɚɧɚɥɚ |
ɟɫɥɢ |
ɧɟɬ |
|
|
||||
|
|
Ɉɩɨɪɨɠɧɟɧɢɟ |
|
ɩɨɤɚɡɚɧɢɣ |
|
ɞɥɹ |
|
|
|||
|
|
|
ɨɛɫɥɟɞɨɜɚɧɢɹ |
ɞɪɭɝɢɯ |
|
|
|||||
|
|
ɩɢɨɦɟɬɪɵ |
|
ɢɥɢ |
|
|
|||||
|
|
|
ɥɨɤɭɫɨɜ |
|
ɝɥɨɬɤɢ |
|
|
||||
|
|
ɩɢɨɫɚɥɶɩɢɧɤɫɚ |
|
ɤɨɧɴɸɧɤɬɢɜ |
ɩɪɹɦɨɣ |
|
|
||||
|
|
ɝɟɧɢɬɚɥɶɧɵɣ |
ɫɜɢɳ |
|
|
||||||
|
|
ɤɢɲɤɢ |
|
ɋɥɟɞɭɟɬ |
|
|
|||||
|
|
ɜɧɟɡɚɩɧɨɟ |
ɢɡɥɢɬɢɟ |
ɫɬɚɪɚɬɶɫɹ |
|
ɫɞɟɥɚɬɶ |
|
|
|||
|
|
ɧɚɪɭɠɭ |
ɛɨɥɶɲɨɝɨ |
ɩɚɪɚɥɥɟɥɶɧɨ ɩɨ ɦɚɡɤɚ |
|
|
|||||
|
|
ɤɨɥɢɱɟɫɬɜɚ |
ɫɜɵɲɟ |
ɢɡ |
ɤɚɠɞɨɝɨ ɥɨɤɭɫɚ ɞɥɹ |
|
|
||||
|
|
20ɦɥ |
ɝɧɨɣɧɵɯ |
ɨɤɪɚɫɤɢ ɫɢɧɶɤɨɣ ɢ ɩɨ |
|
|
|||||
|
|
ɛɟɥɟɣ |
|
|
Ƚɪɚɦɭ |
Ⱦɥɹ |
ɨɫɬɪɨɣ |
|
|
||
|
|
|
|
|
ɝɨɧɨɪɟɢ |
ɯɚɪɚɤɬɟɪɧɨ |
|
|
|||
|
|
|
|
|
ɨɬɫɭɬɫɬɜɢɟ ɢɥɢ ɫɤɭɞɧɨɟ |
|
|
||||
|
|
|
|
|
ɤɨɥɢɱɟɫɬɜɨ |
|
|
|
|
||
|
|
|
|
|
ɩɪɟɞɫɬɚɜɢɬɟɥɟɣ |
|
|
|
|
||
|
|
|
|
|
ɧɨɪɦɚɥɶɧɨɣ |
|
|
|
|
||
|
|
|
|
|
ɦɢɤɪɨɮɥɨɪɵ |
|
|
|
|
||
|
|
|
|
|
ɥɚɤɬɨɛɚɰɢɥɥ ɛɨɥɶɲɨɟ |
|
|
||||
|
|
|
|
|
ɤɨɥɢɱɟɫɬɜɨ |
|
|
|
|
||
|
|
|
|
|
ɧɟɣɬɪɨɮɢɥɶɧɵɯ |
|
|
|
|
||
|
|
|
|
|
ɥɟɣɤɨɰɢɬɨɜ ɢ ɧɚɥɢɱɢɟ |
|
|
||||
|
|
|
|
|
ɝɪɚɦɨɬɪɢɰɚɬɟɥɶɧɵɯ |
|
|
|
|||
|
|
|
|
|
ɞɢɩɥɨɤɨɤɤɨɜ |
|
|
|
|
||
|
|
|
|
|
ɪɚɫɩɨɥɨɠɟɧɧɵɯ |
ɜɧɭɬɪɢ |
|
|
|||
|
|
|
|
|
ɥɟɣɤɨɰɢɬɨɜ ɫ ɹɜɥɟɧɢɟɦ |
|
|
||||
|
|
|
|
|
ɧɟɡɚɜɟɪɲɟɧɧɨɝɨ |
|
|
|
|||
|
|
|
|
|
ɮɚɝɨɰɢɬɨɡɚ ɢ ɜɧɟ |
|
|
||||
|
|
|
|
|
ɥɟɣɤɨɰɢɬɨɜ |
Ⱦɥɹ |
|
|
|||
|
|
|
|
|
ɯɪɨɧɢɱɟɫɤɨɣ |
ɝɨɧɨɪɟɢ |
|
|
|||
|
|
|
|
|
ɯɚɪɚɤɬɟɪɧɨ |
ɧɚɥɢɱɢɟ |
|
|
|||
|
|
|
|
|
ɪɚɡɧɨɨɛɪɚɡɧɨɣ |
|
|
|
|
||
|
|
|
|
|
ɦɢɤɪɨɮɥɨɪɵ ɧɚɪɹɞɭ ɫ |
|
|
||||
|
|
|
|
|
ɝɪɚɦɨɬɪɢɰɚɬɟɥɶɧɵɦɢ |
|
|
||||
|
|
|
|
|
ɞɢɩɥɨɤɨɤɤɚɦɢ ɜɧɟ ɢ |
|
|
||||
|
|
|
|
|
ɜɧɭɬɪɢ ɥɟɣɤɨɰɢɬɨɜ ɢ |
|
|
||||
|
|
|
|
|
ɛɨɥɶɲɨɟ |
ɤɨɥɢɱɟɫɬɜɨ |
|
|
|||
|
|
|
|
|
ɧɟɣɬɪɨɮɢɥɨɜ |
ɑɚɳɟ |
|
|
|||
|
|
|
|
|
ɜɫɟɝɨ ɞɢɚɝɧɨɡ ɝɨɧɨɪɟɢ |
|
|
||||
|
|
|
|
|
ɦɨɠɟɬ ɛɵɬɶ ɭɫɬɚɧɨɜɥɟɧ |
|
|
||||
|
|
|
|
|
ɧɚ |
|
ɨɫɧɨɜɚɧɢɢ |
|
|
||
|
|
|
|
|
ɦɢɤɪɨɫɤɨɩɢɢ |
ɦɚɡɤɨɜ |
|
|
|||
|
|
|
|
|
ɨɤɪɚɲɟɧɧɵɯ ɩɨ Ƚɪɚɦɭ |
|
|
||||
|
|
|
|
|
Ɉɞɧɚɤɨ ɭ ɛɟɪɟɦɟɧɧɵɯ |
|
|
||||
|
|
|
|
|
ɩɨɞɪɨɫɬɤɨɜ ɢ ɞɟɬɟɣ |
|
|
||||
|
|
|
|
|
ɨɛɹɡɚɬɟɥɶɧɨ |
|
|
|
|
||
|
|
|
|
|
ɤɭɥɶɬɭɪɚɥɶɧɨɟ |
|
|
|
|
||
|
|
|
|
|
ɢɫɫɥɟɞɨɜɚɧɢɟ ɫ ɜɢɞɨɜɨɣ |
|
|
||||
|
|
|
|
|
ɢɞɟɧɬɢɮɢɤɚɰɢɟɣ Neisser |
|
|
||||
|
|
|
|
|
ia |
gonorrhoeae ɞɥɹ |
|
|
|||
|
|
|
|
|
ɞɢɮɮɟɪɟɧɰɢɪɨɜɚɧɢɹ |
ɨɬ |
|
|
|||
|
|
|
|
|
ɧɟɩɚɬɨɝɟɧɧɵɯ |
|
|
|
|
||
|
|
|
|
|
ɧɟɣɫɫɟɪɢɣ |
ɤɨɬɨɪɵɟ |
|
|
|||
|
|
|
|
|
ɩɪɢɡɧɚɸɬ ɤɨɦɩɨɧɟɧɬɨɦ |
|
|
||||
|
|
|
|
|
ɧɨɪɦɚɥɶɧɨɣ |
|
|
|
|
||
|
|
|
|
|
ɜɥɚɝɚɥɢɳɧɨɣ |
|
|
|
|
||
|
|
|
|
|
ɦɢɤɪɨɮɥɨɪɵ ɭ ɞɟɜɨɱɟɤ ɚ |
|
|
||||
|
|
|
|
|
ɜ |
ɫɥɭɱɚɹɯ |
ɜɡɹɬɢɹ |
|
|
||
|
|
|
|
|
ɦɚɬɟɪɢɚɥɚ ɢɡ ɪɨɬɨɝɥɨɬɤɢ |
|
|
||||
|
|
|
|
|
ɫɥɟɞɭɟɬ ɩɨɦɧɢɬɶ ɨ |
|
|
||||
|
|
|
|
|
ɛɨɥɶɲɨɦ |
ɤɨɥɢɱɟɫɬɜɟ |
|
|
|||
|
|
|
|
|
247 |
|
|
|
|
|
|
ɜɢɞɨɜ ɧɟɩɚɬɨɝɟɧɧɵɯ ɧɟɣɫɫɟɪɢɣ ɜ ɷɬɢɯ ɦɚɡɤɚɯ ɜ ɥɸɛɨɦ ɜɨɡɪɚɫɬɟ
Ɍɪɢɯɨɦɨɧɢɚɡ |
Ɉɛɢɥɶɧɵɟ |
|
ɩɨɱɬɢ |
ɉɪɢ |
ɤɭɥɶɬɭɪɚɥɶɧɨɣ |
|||
|
ɩɪɨɮɭɡɧɵɟ |
|
ɞɢɚɝɧɨɫɬɢɤɟ |
|
|
|
||
|
ɜɨɞɹɧɢɫɬɵɟ |
|
ɬɪɢɯɨɦɨɧɢɚɡɚ |
ɜɡɹɬɨɟ |
||||
|
ɦɟɥɤɨɩɟɧɢɫɬɵɟ |
ɨɬɞɟɥɹɟɦɨɟ |
|
ɫɪɚɡɭ |
||||
|
ɜɵɞɟɥɟɧɢɹ |
|
ɛɟɥɨɝɨ |
ɩɨɦɟɳɚɸɬ |
|
|
ɜ |
|
|
ɫɟɪɨ-ɡɟɥɟɧɨɝɨ |
ɢɥɢ |
ɩɢɬɚɬɟɥɶɧɭɸ ɫɪɟɞɭ ɢ |
|||||
|
ɠɟɥɬɨɜɚɬɨɝɨ |
ɰɜɟɬɚ |
ɬɪɚɧɫɩɨɪɬɢɪɭɸɬ |
|
ɜ |
|||
|
ɢɧɨɝɞɚ ɫɨɞɟɪɠɚɳɢɟ |
ɥɚɛɨɪɚɬɨɪɢɸ |
|
|
|
|||
|
ɩɪɨɠɢɥɤɢ |
|
ɤɪɨɜɢ |
Ɇɢɤɪɨɫɤɨɩɢɱɟɫɤɢɣ |
|
|||
|
ɂɧɬɟɧɫɢɜɧɨɟ |
|
ɦɟɬɨɞ |
ɨɫɬɚɟɬɫɹ |
ɜ |
|||
|
ɢɫɬɟɱɟɧɢɟ |
|
ɟɞɤɢɯ |
|||||
|
ɛɟɥɟɣ ɨɱɟɧɶ ɱɚɫɬɨ |
ɧɚɫɬɨɹɳɟɟ |
|
ɜɪɟɦɹ |
||||
|
ɩɪɢɜɨɞɢɬ |
|
ɤ |
ɨɫɧɨɜɧɵɦ ɜ ɞɢɚɝɧɨɫɬɢɤɟ |
||||
|
ɦɚɰɟɪɚɰɢɢ |
|
ɢ |
ɭɪɨɝɟɧɢɬɚɥɶɧɨɝɨ |
|
|
||
|
ɜɬɨɪɢɱɧɨɦɭ |
|
ɬɪɢɯɨɦɨɧɢɚɡɚ ɉɪɨɜɨɞɹɬ |
|||||
|
|
ɢɫɫɥɟɞɨɜɚɧɢɟ ɧɚɬɢɜɧɨɝɨ |
||||||
|
ɢɧɮɢɰɢɪɨɜɚɧɢɸ |
|||||||
|
ɩɪɟɩɚɪɚɬɚ |
|
ɢ ɢɥɢ |
|||||
|
ɧɚɪɭɠɧɵɯ |
ɩɨɥɨɜɵɯ |
|
|||||
|
ɨɪɝɚɧɨɜ |
ɢ |
ɤɨɠɢ |
ɨɤɪɚɲɟɧɧɨɝɨ ɦɚɡɤɚ ɉɪɢ |
||||
|
ɩɪɨɦɟɠɧɨɫɬɢ |
|
ɦɢɤɪɨɫɤɨɩɢɢ ɧɚɬɢɜɧɨɝɨ |
|||||
|
|
ɩɪɟɩɚɪɚɬɚ |
|
ɜɚɠɧɨ |
||||
|
|
|
|
|
||||
|
Ʉɨɥɶɩɢɬ |
ɫɥɢɡɢɫɬɚɹ ɩɨɦɧɢɬɶ |
|
|
ɱɬɨ |
|||
|
ɪɟɡɤɨ |
|
|
ɢɫɫɥɟɞɨɜɚɧɢɸ ɩɨɞɥɟɠɢɬ |
||||
|
ɝɢɩɟɪɟɦɢɪɨɜɚɧɚ |
ɫɜɟɠɟɜɡɹɬɵɣ |
ɦɚɬɟɪɢɚɥ |
|||||
|
ɡɟɦɥɹɧɢɤɨɩɨɞɨɛɧɵ |
ɨɬɞɟɥɹɟɦɨɟ |
ɭɪɟɬɪɵ |
|||||
|
ɣ ɜɢɞ ɨɬɟɱɧɚ |
ɜɥɚɝɚɥɢɳɚ - ɜ ɩɪɟɩɚɪɚɬɟ |
||||||
|
|
|
|
ɜɵɹɜɥɹɸɬ |
ɠɢɜɵɟ |
|||
|
|
|
|
ɩɨɞɜɢɠɧɵɟ |
|
|
|
|
|
|
|
|
ɬɪɢɯɨɦɨɧɚɞɵ Ⱦɥɹ ɷɬɨɝɨ |
||||
|
|
|
|
ɝɨɬɨɜɹɬ ɩɪɟɩɚɪɚɬ ɩɨ |
||||
|
|
|
|
ɦɟɬɨɞɭ ɪɚɡɞɚɜɥɟɧɧɨɣ |
||||
|
|
|
|
ɤɚɩɥɢ |
|
ɜɡɹɬɨɟ |
||
|
|
|
|
ɨɬɞɟɥɹɟɦɨɟ |
|
|
ɫ |
|
|
|
|
|
ɞɨɛɚɜɥɟɧɢɟɦ |
ɬɟɩɥɨɝɨ |
|||
|
|
|
|
ɛɥɢɡɤɨɝɨ ɤ ɬɟɦɩɟɪɚɬɭɪɟ |
||||
|
|
|
|
ɬɟɥɚ |
|
ɪɚɫɬɜɨɪɚ |
||
|
|
|
|
ɧɚɬɪɢɹ |
|
ɯɥɨɪɢɞɚ |
||
|
|
|
|
ɧɚɤɪɵɜɚɸɬ ɩɨɤɪɨɜɧɵɦ |
||||
|
|
|
|
ɫɬɟɤɥɨɦ ɢɥɢ |
ɜɢɫɹɱɟɣ |
|||
|
|
|
|
ɤɚɩɥɢ ɫɭɫɩɟɧɡɢɸ ɢɡ |
||||
|
|
|
|
ɜɡɹɬɵɯ |
|
ɜɵɞɟɥɟɧɢɣ |
||
|
|
|
|
ɩɨɦɟɳɚɸɬ ɜ ɥɭɧɤɭ |
||||
|
|
|
|
ɩɪɟɞɦɟɬɧɨɝɨ ɫɬɟɤɥɚ ɢ |
||||
|
|
|
|
ɦɢɤɪɨɫɤɨɩɢɪɭɸɬ |
|
ɩɪɢ |
||
|
|
|
|
ɭɜɟɥɢɱɟɧɢɢ ɜ ɪɚɡ |
||||
|
|
|
|
ɩɪɢ |
ɨɩɭɳɟɧɧɨɦ |
|||
|
|
|
|
ɤɨɧɞɟɧɫɨɪɟ ɂɡ ɷɬɨɝɨ ɠɟ |
||||
|
|
|
|
ɦɚɬɟɪɢɚɥɚ |
ɝɨɬɨɜɹɬ |
|||
|
|
|
|
ɩɪɟɩɚɪɚɬɵ ɞɥɹ ɨɤɪɚɫɤɢ |
||||
|
|
|
|
ɦɟɬɢɥɟɧɨɜɵɦ ɫɢɧɢɦ ɩɨ |
||||
|
|
|
|
Ƚɪɚɦɭ |
ɢɥɢ |
|
ɩɨ |
|
|
|
|
|
Ɋɨɦɚɧɨɜɫɤɨɦɭ-Ƚɢɦɡɟ |
||||
|
|
|
|
Ⱦɢɚɝɧɨɡ ɭɫɬɚɧɚɜɥɢɜɚɸɬ |
||||
248
ɧɚ ɨɫɧɨɜɚɧɢɢ ɜɵɹɜɥɟɧɢɹ ɜ ɦɚɡɤɚɯ ɬɢɩɢɱɧɵɯ ɮɨɪɦ ɜɥɚɝɚɥɢɳɧɵɯ ɬɪɢɯɨɦɨɧɚɞ
249
ɋɢɮɢɥɢɫ |
ɉɪɢ ɩɨɞɨɡɪɟɧɢɢ |
ɧɚ |
|
|
ɫɢɮɢɥɢɫ ɧɟ ɩɨɬɟɪɹɥɢ |
||
|
ɫɜɨɟɝɨ ɞɢɚɝɧɨɫɬɢɱɟɫɤɨɝɨ |
||
|
ɡɧɚɱɟɧɢɹ ɬɟɦɧɨɩɨɥɶɧɚɹ |
||
|
ɦɢɤɪɨɫɤɨɩɢɹ |
|
|
|
ɨɬɞɟɥɹɟɦɨɝɨ ɷɪɨɡɢɣ ɢ |
||
|
ɹɡɜ ɢ ɦɟɬɨɞ ɩɪɹɦɨɣ |
||
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɢ |
||
|
ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ȺɌ- |
||
|
ɞɢɚɝɧɨɫɬɢɤɭɦɨɜ |
ɤ Ɍ |
|
|
pallidum ɗɬɢ ɦɟɬɨɞɵ |
||
|
ɢɫɩɨɥɶɡɭɸɬ ɜ ɫɥɭɱɚɹɯ ɫ |
||
|
ɤɥɢɧɢɱɟɫɤɢɦɢ |
|
|
|
ɩɪɨɹɜɥɟɧɢɹɦɢ ɧɚ ɤɨɠɟ ɢ |
||
|
ɫɥɢɡɢɫɬɵɯ |
ɨɛɨɥɨɱɤɚɯ |
|
|
ɩɨɞɨɡɪɢɬɟɥɶɧɵɦɢ |
ɧɚ |
|
|
ɫɢɮɢɥɢɫ ɨɞɧɚɤɨ ɛɨɥɟɟ |
||
|
ɨɛɴɟɤɬɢɜɧɚ ɞɢɚɝɧɨɫɬɢɤɚ |
||
|
ɩɪɢ |
ɦɢɤɪɨɫɤɨɩɢɢ |
|
|
ɩɪɟɩɚɪɚɬɨɜ ɫ ɩɨɦɨɳɶɸ |
||
|
ɩɪɹɦɨɣ |
|
|
|
ɢɦɦɭɧɨɮɥɸɨɪɟɫɰɟɧɰɢɢ |
||
ɉɪɢ ɞɢɚɝɧɨɫɬɢɤɟ ɫɢɮɢɥɢɫɚ ɜ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɢɫɩɨɥɶɡɭɸɬ ɪɚɡɧɨɨɛɪɚɡɧɵɟ ɫɟɪɨɥɨɝɢɱɟɫɤɢɟ ɦɟɬɨɞɵ ɩɨɡɜɨɥɹɸɳɢɟ ɜɵɹɜɥɹɬɶ ɜ ɨɪɝɚɧɢɡɦɟ ȺɌ ɤ ɪɚɡɥɢɱɧɵɦ ɚɧɬɢɝɟɧɚɦ ɞɟɬɟɪɦɢɧɚɧɬɚɦ 7 SDOOLGXP ȼ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɢɫɩɨɥɶɡɭɟɦɨɝɨ ɚɧɬɢɝɟɧɚ ɫɟɪɨɥɨɝɢɱɟɫɤɢɟ ɪɟɚɤɰɢɢ ɞɟɥɹɬ ɧɚ ɞɜɟ ɝɪɭɩɩɵ ɬɪɟɩɨɧɟɦɧɵɟ ɢ ɧɟɬɪɟɩɨɧɟɦɧɵɟ ɉɟɪɜɵɟ ɢɫɩɨɥɶɡɭɸɬ ɞɥɹ ɫɤɪɢɧɢɧɝɚ Ɉɧɢ ɬɟɯɧɢɱɟɫɤɢ ɩɪɨɫɬɵ ɜ ɢɫɩɨɥɧɟɧɢɢ ɧɟ ɬɪɟɛɭɸɬ ɦɧɨɝɨ ɜɪɟɦɟɧɢ ɜɨɡɦɨɠɟɧ ɤɨɥɢɱɟɫɬɜɟɧɧɵɣ ɜɚɪɢɚɧɬ ɪɟɚɤɰɢɢ ɫ ɨɩɪɟɞɟɥɟɧɢɟɦ ɬɢɬɪɚ ȺɌ ɱɬɨ ɩɨɡɜɨɥɹɟɬ ɢɫɩɨɥɶɡɨɜɚɬɶ ɢɯ ɞɥɹ ɨɰɟɧɤɢ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɩɪɨɜɨɞɢɦɨɝɨ ɥɟɱɟɧɢɹ Ɉɞɧɚɤɨ ɷɬɢ ɬɟɫɬɵ ɧɟ ɩɨɡɜɨɥɹɸɬ ɨɛɧɚɪɭɠɢɬɶ ȺɌ ɜ ɩɟɪɜɵɟ - ɧɟɞ ɩɟɪɜɢɱɧɨɝɨ ɫɢɮɢɥɢɫɚ ɚ ɬɚɤɠɟ ɜɨɡɦɨɠɧɵ ɥɨɠɧɨɩɨɥɨɠɢɬɟɥɶɧɵɟ ɢ ɥɨɠɧɨɨɬɪɢɰɚɬɟɥɶɧɵɟ ɪɟɚɤɰɢɢ Ɍɪɟɩɨɧɟɦɧɵɟ ɬɟɫɬɵ ɨɛɥɚɞɚɸɬ ɜɵɫɨɤɨɣ ɫɩɟɰɢɮɢɱɧɨɫɬɶɸ ɢ ɩɨɡɜɨɥɹɸɬ ɩɨɞɬɜɟɪɞɢɬɶ ɪɟɡɭɥɶɬɚɬɵ ɧɟɬɪɟɩɨɧɟɦɧɵɯ ɬɟɫɬɨɜ ɇɨ ɬɪɟɩɨɧɟɦɧɵɟ ɬɟɫɬɵ ɨɤɚɡɚɥɢɫɶ ɧɟɞɨɫɬɨɜɟɪɧɵɦɢ ɩɪɢ
250