4 курс / Дерматовенерология / Dermatologia_i_venerologia_KGMU_g_Simferopol_2012_g

2.Cocraabre IDiaH rre'IeHIDI.

13.Ha n pHeM K epaqy o6pani:nCH MY)f(qJ1Ha 25 neT c )KaJI06aM11 Ha cHJibHbIIA 3YA, JHITeHCl1BHYIO 6oJie3HeHHOCTb, Bbina,a;eHJ1e BOJIOC, HenpH1lTHbIJ1: 3anax OT BOJIOCl1CTOJ1: 'laCTJ1.DOJlbHbIM ce6» C'IHTaeTc ,!J;eTCTBa, nocreneHHO CTaJIJ1 Bbina,a;aTb BOJIOCbl. 0HJ1 cyxHe, JIOMKHe. 3a Me.u;11IJ;J1HCKOJ1: IlOMOill,blO He o6pam,ane». lib nepeHeCeHHbIX 3a6oJieBaHl11A OTMe'laeT6oJie3Hb DOTKJ1Ha. 06'beKTJ1BHO:OT BOTIOCJ1CTOJ1: 'laCTJ1 roJIOBbl 6oJibHoro Hcxop;11T Henp11»THbIJ1: « MbIIIIJ1HbIW» 3anax. Bon ocb1

Ha 60JibWe11 qacrH roJIOBbl OTcyTCTBYIOT - oco6eHHO Ha TeMeHHblX,

3aTbIJioqHbI X o6nacrHx. Ko)f(a r11nepeM11posaHa, aTpoqmqecKH H3MeueHa. B ycrb» X sonoCHHbIX cj:>oJIJIHKfJIOB nycrynhl, CCbIXaJOm,11eCJ1 B )f(eJJTOBaTo-6ypbie KOpKH. BoJIOCbl nen<o Bbt.u;epnrnalOTCJl, OHH ne- neJlbHO-ceporo u;seTa, cyxHe, JIOMKHe, nenm yp;aJIJllOTC».

3.KaKOBbl Me'I'OJJ.b! rreqenrni: H npoc:j:r11JiaI<'rnK11'?

14.H a npHeM K .u;epMaTonory o6paTHnacb 6onbHa» 42 neT, KOH,!J;J1Tep, c :1Kario6aM11 Ha 3y.u; 11 )f()KeHHe B 06nacr11 Me)f(IlaJibU.eBhIX cKJiap;Kax 1<11creJ1:. C'IHTaeTce6.11 6oJibHo11 B TeqeHHH 2-x MeCJ1u.es. B cKJia,n.Ke Me)l<,IJ;y 3 J1 4 IlaJibIJ;aMJ1 npaBOH Kl1CTJ1 nepBOHa'laJibHOIlOHBJ1JlJ1Cb llSIJible ny3bipbKJ1, KOTOpbie 6bICrpo BCKpblJil1Cb c nocne.u;yrom,J1M o6pa30BaHHeM 3p03Hl1. 3aHJ1MaJJaCb caMOJie~IeHHeM, CMa3bIBaJia KO*Y B oqare nopa)f(eHH» «<llnyU. HHapoM» . JleqeHHe 61>mo u e3cpcj:>eKTHBHbIM. lib conyrcrsyrolll,HX 3a6orresaHHJ1: OTMe'laeTcaxapHbJJ1: p;Ha6eT rren<ol1 creneHH. 06'beKTHBHO. B TpeTbeJ1: Me:1Knan1>u.esoJ1: cKJ1a,o;Ke npaeoJ1: KHCTH HMeeTCfl 3p0311» po3oso-Kpacttor o u;eeTa c yMepeuHo MOKHY- m;eu, r mi.u;Kol1, 6necrJuu;eJ1: nonepxHocrbro, pe3Ko OTfPaHJ1qe1n1a» OT

3.D;OpOBOH KO)f(J1. Ilo nepHcj:>epHH 3p03HH BH.D;Hbl o6pbIBKJ1 Mar~epH­

poBaHHOro 3nH.u;epMHCa, HMelOill,ero neprraMYTPOBblH OTTeHOK. B rny6HHe Me.>KilaJibU.esotl: CKJla,IJ.KH HMeeTCj[ Tpeill,HHa.

1. KaKoB Barn npe11,norroJl<lITeJlbmn1 At.tamm? ~_,(µ 'L< ::, <.vY'Io t.fY.

2.CocraBhTe w1aH rreqe6Ho -rrpocjm1iaKTH'IecKHxMeponprnITHH:.

15.J.13 TepanenTH'lecKorooT.u;eneHJ1j[ Ha KOHcyrrbTaIJ;JHO K .u;epMaTonory

.u;ocrasneua 6on1>Ha» 68 neT, neHCHOHepKa, c :>Kano6aMJ1 na 3YAt )K)f(e- uwe, BbICb1naH11» s naxoeo-6e.u;peHHbIX cKJia,n.Kax. C'IHTaeT ce6» 6onbHOH B Te'leHHe10 ,o;Hel1, Kor.u;a enepsble B naxosoJ1: o6nacrJ1 no»- BHJiaCh ntnepeMJ1j[ KO:>KH, JaTeM IlJIOCKHe, BHJlble nyJhlpbKH, KOTOp1>1e 6blcrpo scKp1>rnan11c1>, ff o6pa3oBaJIHCh 3po3HH. 3aTeM rrpou.ecc cran pacnpocrpaH»TbCJI Ha BffYTpeHHIOIO noeepxHOCTh 6e.u;ep. B Tepa-

103

nesn1'leCKOMOTJJ;eJieHHH 60JibHiUI HaxOAHTCH B Te'leHHeMec.11:a;a ITO noso.i:cy .o;sycropOHHett nHeBMOHl111, OCJIO)KHeHHOH 3KCcyAaTJ1:BHl>IM nnespnTOM. Ilorryq1u1a 50 M JIH EA neHn:a;m1rrnHa s/M. Jib c onyrcrsyrox:a;nx 3a6orreBaHJH1 oTMe'laeTxpoHH'leCKHttaHa:a;MJJ;Hbitt racrpHT, caxapH1>1J1 .o;11a6eT cpe.o;Hett creneHM TtDKecrtt. 06'beKTHBHO:npo :a;ecc JIOKaJIM3yeTC.!I B naxoso-6e.o;peHH1>1x cKJia,o;Kax, c nepexo.o;oM Ha n o6Kosy10 o6rracrb. B 3TJ1X Mecrax MMeJOTCH KpynHbie 3p03J1J1 TeMHOKpacHoro u;BeTa, c 6rreCTHl:a;MM JIMBJ1.D;HblM orreHKOM, Il0JI11:U:HKJIM'leCKMMJ1 oqepTaHHHMH, c pe3KMMM rpaHtt:a;aMM 11 yMepeHHOW BJia)l(HOCTblO. Ilo nepttcpepMM oqaroB - 6op.o;10p H3 6eJieCOBaTOro OTCJiaMBaJOW,erOC.11 Ma:a;epttposaHHoro 3ntt.o;epMnca. BoKpyr ocHOBHoro O'!ara nMeIDTC.11 MeJIKMe oqIDKKM TaKoro x<e xapaicrepa.

Co.Qep)!(aTellbHbtH MOAYllb 6

~epMaTMTbl. ToKCMKOAepMMM. 3K3eMa

IJepMaTHT

,AepMaTHT - BOCilfu\HTeAbHOe 3a6011.eBaHHe KO:li<l1, B03HHKaIOr:qee B pe3y11.bTaTe nenocpe,ll.CTBeHHoro .n.ei1:cTBM51 na Hee 3K3oreHHb£X cpaKTOpOB (cpaKTOp OB BHCllIHeH c pe,D,br) cpH3H'iCCK OH, XHMH'!e- CKOH l:i 6Ho11.orH'ieCKO npupo,D.bl.

3muonozusi. u namozeH.e3. K <jJuswlec1CTJ.M. <jJmunopa.M OTHOCSITCH MexaHH'leCKHe pa3,D.pIDKHTeAH, ;:i:eiiCTBHe BblCOKOH H HH3KOH TeMneparypbI, YAbTpacjJHOAeTOBOe H3A}"IeHHe, HOHH3Hpy1-0w.ee H3AY- 'ieHHe,3AeKTpH'leCK H TOK, TpeHHe, ,D.aBAeHHe.

pbl - paCTBOpbI KHCAOT H meAO'leH, npOJJYKTbI H ecjJT e nepe pa60TKH (6eH3HH, M a3yT, COA5IpKa), CTpOHTCAbHbIC MaTepHaAbl (AaKH, KpaCKH, pacTBOpHTCAH), 6blTOBa5I XHMH5I (CTHpfu\bHbie nopOllIKH, '!HCT5IUJ.HC H MOIOl:a;He cpe,D.CTBa) , KOCMeTa'"leCKHe cpe,D.CTBa, MC)J,HKaMCHTbI A A>I Hapy:iKHoro npHMeHeHHH . EuoJl02U4.ecK:ue <jJaicrrwpbl - 3TO npnpo,n.- Hbie pa3,ll;pa..'KHTCAH, K KOTOpbIM OTHOCSITC5I HCKOTOpbie BH,Zl.bl paCTe - HHH, HaceKOMbIX H )KHBOTHbIX.

IlpocToii l!OH'I'aKTHhlH ACpMaTHT.

Kn.uH.uiteCJC<Vt xapa1Cmepucmu1Ca:

•He HMeeT WHKy6au;HOHHoro rrepHo.o;a (nepHo;:i:a ceHCH6Wfl13au;w11) .

•Bo3Hl1KaeT cpa3y n:oCJie p;el1CTBIDI pa3,!1;pruKamm;ero cpaKropa .

•Pa313HBaeTor CTporo B Mecre KOHTaKTa c pa31J.pa:iKa.10m;m.1 q1aI<TopoM.

104

•Ko)l(HI.1111: npou;ecc He HMeer TeH,D;eHQHH K nepi;.icj:>epWieCKOMy p ocry

11. ,ll;HCCeMli1Han;HH.

•BbICbina1nrn MOHOMopcj:>Hbie.

•06m;ee cocTo.sun1e rran;we1rra He crpa;:i;aer.

•Cy6'beKrnBHbreom;y:rn;eHWI - qyscTBo )K)l(eHIDI, )Kapa, noKaJibIBaHl<UI, 6on:e3HeHHOCTH.

oDorne npeKpamemrn JJ;eH:cTBIDI pa3P,pa)Ka10:rn:ero q>aKTopa KJilflili1'lecKwe rrptt3HaKtt p;ep MaT11Ta 6blcrpo perpeccwpyIOT.

•Te•1eHHe nenpop;oIT)f(J1TeJlbHOe, peL\H,ll;HBbI oTcyTcrnyroT.

•ITe'leHMe 11cKJIIOtJHTeJibHO MeCTHoe, HaJHa'laJOT npoTHBonocnan11TeJibHbie 601rrymK11, rrpMCblIIKH, KpeMbI l1Jil'1 Ma31i1 c I'TllOKOKOpTI'.1- KOMJJ;aMH.

KOHTaKTHLIH a.AAeprH'leCKHH.ZlepMaTHT.

K.nuttU'<eCKaR xapa1emepucmu1ea:

•li1MeeT l1HKy6au;ttOHHblH nepHOA (rrepHOA ceHCJ16HJIH3an;m-i:), KOTO-

pbIW MO)Ke'rAJil1TbCSl OT HeCKOJibKl1X p;Hew AO HeCKOJlbKHX MecKI(eB.

•XapaKTeptt3yercsi: MOHOBaJieHTHOH CeHcH6l1Jll13aQHel1.

•Ko)KlibIW n pou;ecc BbIXOAli1T Ja npep;eJibI p,el!ICTBIDI pa3p;pa)f(a10m;ero cj:>aKTopa, tta6JI10}J,aeTCsr r enepam13au;IDI BbICbmaHHl1:.

•,O:ttarHOCTHKa BKlllO'l.aeTB ce6:11 nocrattosry KO)KHbIX aJIJiepro;mrnti:e-

CKMX npo6.

.. 06m;ee Jie'!em-ie -· p;eJl1HTOKCttKau;11on1-ra51 TepanHSl, r11IToce1-.1cw6M-

Jll.f311py1011~we l1: 8IiTHI'HCTaMHHI-fbie npenapaTbI, HMMyHOKoppeKTOpb!, n1uaMHH1.>r, cop6ettTbI. Mecrn oe Jie'leI-me cxop;Ho c TaKOBbIM npM rrp OCTOM KOHTaKTHOM p;epMaTirre.

TOKCHKOflepMHH

TOKCHKO.ZlepMHff - OCTpoe BOCITa.AeHHe KOJKHbIX ITOKpOBOB H CJ\H3HCTbIX o 60AO'leK , pa3BHB310IUeec.H rro.z:i: .z:i:eikTBHeM TOKCHKOaNl.ep r H'leCKOI'OcpaKTOpa, KOTOpbIH rrorra.z:i:aeT BHj'TpbopraHH3Ma 'iepe3 JJ:hIXaTeAbHbie rryTH, rrHmesapHTeAbHbIH TpaKT lli\M reMaToreHHbIM rryTeM.

3muoJtozu.R u namozette3. B OTAH'!He OT aAAeprH'leCKHX ,n:epMaTHTOB TOKCHKO-aAAeprH"leCKHH cpaKTOp rrpH TOKCHp;epMH.HX He B03Ae.HCTByeT Herrocpe.n:c rBeHHO Ha KO)K)', a BCaCbIBaeTC.H B KpOBb H

105

I

reMaTOI'eHHhIMrryTeM nona,AaeT B K02K:Y, Bhl3hIBruI rropIDKeHHe. Bo3MmKHOCTh CCHCH6HAH3aU.HH 3aBHCHT OT KOAH'le<..'TBaaAAepreHa, ~1ac­

TOThl ero ,ll.CHCTBH.sI, aHTHreHHOH aKTHBHOCTH.

fio IIpHpO.ll;C BCW:CCTBa, Bhl3hIBaJOI.U.CrO IIOpIDKCH HC K O:>KH , Bhl,ll.CAIIJOT CAC)l.YIOW:HC aa60ACBaHHSI.

:Me,a.HKaMCHT03H&Ie TOKCHKO,!l;epMHH B03HHKalOT o6bI'lHO IIpH npHeMe 0)1.HOro HAH cpa3y HCCKOAhKHX A CK a pCTBCHHhIX npenapa - TOB (AeKapCTBCHHhIX KOKTCHAe:H), H3 KOTOpbIX HaH60Aee onaCHh l cyAhcPaHHAaMH,ll.hI, a H TH6HOTHKH, 6ap6HTypaThI, aMH,ll.OnH pHH, BHTaMHHhI rpynIThI B, ¢01ui:eBrur KHCAOTa .

AAllMCHTapH&Ie TOKCHKO,n.epMHH B03HHKaIOT npH y rroTp e6-· ACHHH IIHW:CBbIX rrpoeyKTOB. B HaCTOHW:ee BpeMSI BCTpe'!aIOCH BCe qaw:e . AAAepnrqecKrur peaKIJ:HSI MOJKeT pa3BHBaTbCH Ha caM rrpo,nyKT, Ha Bew:ecTBa, 06pa3yrow:HeC5I npn xpaHCHHH rrpOeyKTa, Ha K OHCepBaHTbl H KpaCHTCAH.

IIpo4_>eccuoHalU.HWe TOKCHKO.ztepMHH B03HHKaIOT npH ,ll.CHCTBHH rrpm-13BO,ll.CTBCHHbIX XHMH'ICCKHXBemecTB, oco6eHHO Tex, B CTPYKTYPC KOTOpbIX HMCCTCH 6eH30AhHOe KOAbll.0 c XAOpOM H AH aMHuorpynrroH: (HMCIOT BhlCOKylO aHTHreHHyIO aKTHBHOCTb ).

AyTOTOKCH"H!CKHe TOKCHKO,a.epMHH pa3BHBaIOTCs:I B p e- 3YAhTaTe ayTOHHTOKCHKaU.HH rrpO)l.YKTaMH HapymeHHOro o6MeHa n pH 3AOKa'lCCTBCHHhIX HOB006pa30BaHHHX, xpOHH'leCKOM/l.HMcponeHK03e, xpOHH'ICCKHX3a6o!'.eBaHHs:IX .IKKT, IlO'lCK.

Bhr)l.eAs:IIOT ,n;sa npHHU.HilHaAhHhlX mOICCUICOOep.Muil:

1. AAAepzwteCKUU, rrp11 KOTopoM pa3BttTl1e TOKC11,!l;epMlH1 B03MO)f(H0 no

m o60MJ' Jil3 'leTbrpexnyreCi (atta¢l1JiaKT!1'lCCKttCi, D;HTOTOKCH'lCKMCi,

HMM)'HOKOMIIJICCHbrM, KJTCTO'IHO-onocpe.n;oBaHHbICi).

2.T0Kcu11ec1rnu, BbI3brna10Iu;Hi1

•no6o'lHbie3q)¢eKTbI neKapcrBeHHbIX npenapaTOB,

•nepe.n;o311poBKa ne1<apcrneHHbIX cpe.n;cn~,

•K)TMYJUiU:Jrn neKapcrne1m&rx cpep;CTB, oco6ettHO npH ttapy UieHMl1 ¢YHKIJl1H ne'leHHl1 IlO'leK,

•Mep;m<aMeHTOJHblM CHHeprH3M,

•BpO)J()J;CHHru:I HenepeHOCHMOCTb,

•MeTa6onH'leCKHettapymeHJrn,

•fHCTaMJ1UIOn116epa1111el1 - BbICB060:1KJJ,eHHeM rMCTil.MHHa Mac- l

TOu;HTaMvr n o;:i, µ;eH:cTBHeM aJIKorom1,

•.n:pyr11x ¢aKTOpOB.

106

l\.OK8.AH30BaHUaJI nHrMeHTHa.R TOKCH.llCpMHJll B03HHKaeT

npH npHeMe aHTHMaA.HpHHHblX nperrapaTOB, opaAbHblX KOHTpau:err-

THBOB.

Y3.11.oeaTaJ1 3pHTeMa - oT,a;e11.bHa.H H03011.orli'lecKa.H ¢opMa.

Bo3HHKaeT Ha KmKe ro11.eHH, 06b1qHo npH rrpHeMe cyl\.b¢aHHAaMH,ZlPB,

CaAHU:H AaTOB, rpH3COcPYJ\.bBHHa.

llo1Ca3ame.JL5l.Mu 11UD1Cecmu moKcuaep.Jt-t.uu .HBA.HIOTc.H:

•rettepru1ttJ0BaHHhri1: xapaKTep Bhrcbma1rnli:,

•Te~e~l1Sl K pa3BT1T i110 3pl1TpOAepMMl1,

•nopcuKeHHe onl.3HCTbIX 06ono'leK,

•reMoppan1qecKtte BbIChIIIaHltll,

•IlOITOCTHble BbICblilaHIDI,

•o6rn;rui: cna6ocrb, Hell;OMoraHMe,

•ronoBHMI 6onb, rorroaoKpy)l(eHtte,

•yBenl1'le1n1eTeMrre parypbI Tena,

•BOBJie'lH11e B rrpou;ecc BttyTPeHHl1X opraHOB,

•IIOBbUIIeHHe C03, nel1:KOil,HT03, aHeMltll, TPOM6ou;MTorreH!iffi.

Jle'teKue mOKCUKOoepMUU.

•MaKC11MaJibHO BOJMO)l(I-loe YCTPaHeHtte ;:i;ewcrnMH 3THonoruqe - cKoro cpaKTopa - BbIBelJ;eHwe TOKCM'lecKoroBern;eCTBa 1'13 opra-

HHJMa - )J;eJMHTOKCHKaD,HOHHajl TepaIIM5I, cpopcwpoBaHHbrM

;:i;wyp e3, 3Hrepocop6eHTbI, crraforrenh m,re, nptt Heo6xo;a;ttMOCTH

-MeTO)J;l>l 3KCTpaKoprropanbHOJi.! p;eTOKCHKall,UM.

•AHTHrl1CTaMl1HHbie rrpenapaTbr II l1 III IIOKorreHmi:. u \ , •\ r;'.) ·"

•fnIOKOKopnn<OllI)J,bI - nepoparrbHO B TIDKeJlbIX crry•iaJIX •

•Hapy)f(tta5r Tepanl15l - a 3p03mm:, KpeMbI H MaJw, c o;:i;ep)Karu;ue

rJIIOKOKOpTMKOM,D;bl.

CHH.ApoM Aaile.AAa (ToKCH'leCKHii 3IIH..11.epMa.ALHbIH ueK~

p0Al13) - T.H:lKCJl.a.H ¢opMa T OKCHKO)l.epMHH, BnepBbie OTIHCa.HHa.H

J\aifeAAOM B 1956 r.

3muollozust u 11amoze1te3. Cv.:tt.n;poM pa3BHBae Tc.H o6b PIHO IIOCJl.e rrpHeMa O)l.HOro HJ\.H HCCKOJl.bKHX AeKapCTBCHHhIX rrpenap aTOB.

K TaKHM rrperrapaTaM OTHOCSITCSI cy11.b¢attHJ1.aMH,ll.bI, aHTH6HOTHKH, HCCTepmr,U.Hbie rrponrnoBOCIIaAHTeJl.hHbie cpe.n;CTBa H )l;pyrHe Jl.CKapcTBCHHbIC rrperrapaTbI. ITpH 3TOM B opraHH3Me rrau:HeHTa pa3BHBaCTCSI aAAeprH~IeCKa.H peaKJJ;HSI U:HTOTOKCH'-iCCKOro'.I'Hrra.

Kn.uKUKa. CHH)l.pOM pa3BHBaeTC.H OCTpo, BHC3anHO, xapaKTepH3yeTCSI IlO.HBAeHHCM o6LU,HX CHMilT OMOB H KO:iKHbIX rrpmrn11.eHHH .

108

l:Je pe3 HeCKOAbKO '-IaCOB, pe:>Ke ,nHeH noc11.e npHeMa AeKap<.."TB H a6AIO-

,naeTCH IlOBbIIIICHHe TeMneparypbl ,no 39·-41 °C, pe3KOe yxy,nIIIeH HC caMO'-IYBCT BH..H, c11.a6ocTh, cnyTaHHOCTb co3Ha.Hrnr. Bo3MO:lKHa pBoTa, ro11.oBHrut 6011.b, noHoc. B Ha'-Ia11.e 3a6011.esaHH..H nposIBAH!OTCSI 3pHTeMaT03Ho - 6 y Al\.e3Hbre BbICbIIlaHH..H HAM IlOAHMopq:maH 3Kccy,n:aTHBHaH

3pHTeMa, conpOBO)K,IJ;alOI.U;aHC5I 3YAOM. ~epe3 H CCKOll.bKO )lHCH Ha cpo-

TeM pac npoc-rpa:irneT C.H Ha BC!O KO:»ey KpOMe BOAOCHC"roH qacTH ro11.o-

B bl. BoAe3HeHHOCTb 3pHTeMbI CAY:>KHT Ba:>KHbIM .l\H arHOC"I'H'-ICCKHM

npH 3 H aKOM . Ha tjJoHe 3pHTeMbI npHMepHo qepe3 12 q aci:::rn Ha"IHHaeTC5I OTCAOeHHC 3IIH,n:epMHCa, npH npHKOCHOBCHMM OH CK0Ab3HT H

CMOPW:H BaeTC.H no,n: IlaAbUaMH (CHMilTOM CMO"ICHHO.ro 6eAb.H), 11.erKO OTT5II'HBaeTC.H, BilOCl\.CACTBHH OTTOprae TC.H c o 6 pa30BaHHeM o6nnrp-

H b l X , 6 011.e3HeHHbrx, KpOBOTO"laW:HX npH ,n:oTparHBaHHH 3p03HH. CKo-

IlACH H e )l(H)lKOCTU B 3U:H,nepMHCe npHBOAHT K IlOHBl\.CHH!O .n:p5I61\.bIX

IlY3 b i peH:, n o pa:>KeHHa5I KO:>Ka nptto6peTaeT BHlJ: •OllJilapeHHOH KHIUIT-

c a c o 6HaJKCHHCM B/\a:>KHOH nosepXHOCTH (IIO/\O:>KHTCl\.bHbIH CHMIITOM HHKO/\bCKoro). IloMHMO KO)Klf "!aCTO nopa:>KaCTCH C/\H3 HCTaH pTa u reHHTilAHH .

Ba"'H.blMU 0uazHocmuttecJCUMU KpumepURM.u ste.1uuomCR:

•T5DKe.rme o6rn;ee COCT0.51.HHe 60JJb HOro· (BbICOKa.51. T e M neparypa, cny-

TaHHOCTb C03HaHH51),

•p e3K a.sI 6 one3HCI·JHOCTb n o pa)KeHHOl1 11 3p;op0Bol1 KO)KH,

•IIOJI0)Kl1TCJJbHbIM CHMIITOM HMKOJibCKOI'O,

•CHMilTOM CMO"ICHH OfO 6eJib.a,

•oTc yTcTBHe 303HHo cptt.rIHH B KJIHHH"leCKOM·attainne KpOBM, yBem1'4.e- awe K OJil!['-ICCTBa IlaJIO"IKOMepH bIX Hel1"rpocpurros, TOKCH'leCKaH3ep-

HMCI'OCTbHel1:Tpocptt.rIOB.

AeiteHue.

• Cpoq Ha.51. rocmrraJIH3aT.J;IDl B peam1Man;HOHHOe wrn O)Korosoe o T,o;e -

ne J-rne.

•P eryJUipttoe, C)f(C)J,H e s ttoe K Bapn;esaH He rran:aThI M p;e311HcpeKIJ;ID1 noCTeJibHoro 6errh>1.

•ITpos e,o;eH11e s tty-rpi-rneH HOH K anerrbHOl1: J.l;e3MHTOKCm<an;uoHHOM TepanH H ( o6'beMHe MeHee 2 JTIITPOB B c y TKH) .

109

•Btty'lJnrneHHoeKarrenbuoe BBeAerme 6011bun1x A03 rJIIOKOKOpTVIKOMAOB l13 pac'IeTa1-3 MI" Ha KMJiorpaMM MaCCbI Tena B Cyn<l1.

•AHTl16aKTepwanbtta.sr TeparrMH npenapaTaMM ml1poKoro cnercrpa AeHCTBMH c HaMMeHee Bbipa)f(eHHbIMVl aJIJieprelI1IbIMM CB01'1CTBaMl1.

•Tm;aTen:bHbrl1 yxoA 3a KO)Kef1: opomeHMe KopTil:KOCTepoMAHbIMM a:r po30J15!Ml1, rrpttMeHeHHe aHTH6aK"repwaJibHbIX H npoTIIBOBOCilaJIMTeJibHbIX npttMo~reK. ITpw nopa)l(eHMM CJIIDHCTOM pTa Ha3Ha~raIOT Ae3ttmpeu,upy10n.1,He H o6e36011wsa10rn;11e cpegcrsa

3K3eMa

3K3eMa - xpomf'ICCKOC peI.1,M,[(llBHpyK>IIJ,Ce BOCilaJl.HTCAbHOC IIOAH3TMOAOrM"lCCKOe 3a60ACBaHMC KOJKM c BblplUKCHHblM l10AMMOpcpH3MOM 3ACMCHTOB BbICbIHaHHH.

3muonamozeH.e3. 8 pa3BHTHM 3K3eMaT03HblX. peaKI.J,H H rrpHHMMaIOT yqacrne pa3i\H"lHbIC 3H,[(OreHHblC M 3K30reHHbie cpaKTOpbI :

•ttapyllleHtte IJ,eH'I'paJibHOtt11 BereTanrnHo11 ttepmfi.IX 01.creM,

•naTOJIOfW5I 3HAOKpttHHOH Cl1CTCMbI,

•naT011or11.sr BH}'TpeHHMX oprauos ()KenyAo~rn:o-Kttme~moro

'I'paKTa,ren aTo6MJIJil1apttoM: c11CTeMhl, no"leK),

•Attccpyr-rKl_\!151 CMCreMbl l1MMYHl1TeTa (pa3Bl1TMe am 1ep rl1l.IeCKOii peaKL\MH 3aMeAJieHHoro nrria),

•re1-1eT11'IecKa5!rrpeApacnono)KeHHOCTb,

•nom;rna;1en Ttta.sr ceHcl16l1Jll13aL\H5l K 3K30reHHbIM p a3Apa1101Te-

J15!M cjJH3HLJCCKOM, XHMM"leCKOM M 611011on1'JeCKOMn pwpOAbI.

namozucntoJtoZU'f.ecicasi icapmuna rrpH 3K3eMe orrpe.neAH-

CTCH cpa30H 3a6oACBar-urn.

B ocTpoii tj.m3e:

•CITOHHl.03 B 311l1AepMl1Ce, MeJIKl1e MHOfOKaMepHble I10JIOCTI1, coAep)l<all.\tte 1n1McpouttThI,

•rrapaKepaTo3,

•rrepJruacKy115!pHbie JIHMcpol.l,HTapttbie ttHcpWib'I'paTbfB ,n:epMe, OTeK cocoqKOBOro CJ1051'.

8xpOHH'ICCKOHtj:Ja3e :

•napaKepaTo3, n1:nepKepaT03,

•Mell'<:COcoqKOBbIMaKaHT03,

•Bbipa>KeHHbHf JHl.Mcpou;ttTaptto-nrcni:ou;ttTapHbltt l1HcjJHJihTpaT

B COCO'IKOBOMcnoe AepMbI.

KnuH.u'lf.ecicast icapmuna.

110