3 курс / Общая хирургия и оперативная хирургия / Тактика Врача Хирурга
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ɉɪɚɤɬɢɱɟɫɤɚɹ ɯɢɪɭɪɝɢɹ ɜɫɟɝɞɚ ɨɫɬɚɜɚɥɚɫɶ ɨɞɧɢɦ ɢɡ ɜɚɠɧɟɣɲɢɯ ɧɚɩɪɚɜɥɟɧɢɣ ɦɟɞɢɰɢɧɵ ɉɨ ɦɟɪɟ ɧɚɤɨɩɥɟɧɢɹ ɡɧɚɧɢɣ ɢ ɧɚɜɵɤɨɜ ɪɚɡɜɢɬɢɹ ɬɟɯɧɢɱɟɫɤɢɯ ɜɨɡɦɨɠɧɨɫɬɟɣ ɞɢɚɝɧɨɫɬɢɤɢ ɢ ɥɟɱɟɧɢɹ ɜɧɨɫɹɬɫɹ ɤɨɪɪɟɤɬɢɜɵ ɤɚɤ ɜ ɩɨɧɢɦɚɧɢɟ ɩɪɢɪɨɞɵ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɛɨɥɟɡɧɟɣ ɬɚɤ ɢ ɜ ɫɬɪɚɬɟɝɢɸ ɯɢɪɭɪɝɢɱɟɫɤɨɣ ɩɨɦɨɳɢ
Ɋɚɞɢɤɚɥɶɧɵɟ ɩɟɪɟɦɟɧɵ ɜ ɨɬɟɱɟɫɬɜɟɧɧɨɣ ɫɬɪɭɤɬɭɪɟ ɨɤɚɡɚɧɢɹ ɯɢɪɭɪɝɢɱɟɫɤɨɣ ɩɨɦɨɳɢ ɬɟɯɧɢɱɟɫɤɢɣ ɢ ɢɧɬɟɥɥɟɤɬɭɚɥɶɧɵɣ ɩɨɬɟɧɰɢɚɥ ɫɨɜɪɟɦɟɧɧɨɝɨ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɪɚɡɪɚɛɨɬɤɚ ɧɨɜɵɯ ɦɟɬɨɞɨɜ ɚɧɚɥɢɡɚ ɤɨɥɢɱɟɫɬɜɟɧɧɵɯ ɢ ɤɚɱɟɫɬɜɟɧɧɵɯ ɩɨɤɚɡɚɬɟɥɟɣ ɪɚɛɨɬɵ ɯɢɪɭɪɝɚ ɷɮɮɟɤɬɢɜɧɨɟ ɜɧɟɞɪɟɧɢɟ ɜ ɩɪɚɤɬɢɱɟɫɤɭɸ ɯɢɪɭɪɝɢɸ ɢɞɟɨɥɨɝɢɢ ɢ ɦɟɬɨɞɨɥɨɝɢɢ ɞɨɤɚɡɚɬɟɥɶɧɨɣ ɦɟɞɢɰɢɧɵ ɚ ɬɚɤɠɟ ɩɪɢɧɹɬɵɣ ɜɟɤɬɨɪ ɧɚ ɫɬɚɧɞɚɪɬɢɡɚɰɢɸ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɩɨɦɨɳɢ ɧɟ ɩɨɡɜɨɥɹɸɬ ɨɤɚɡɵɜɚɬɶ ɷɬɭ ɩɨɦɨɳɶ ɜ ɚɦɛɭɥɚɬɨɪɧɵɯ ɭɫɥɨɜɢɹɯ ɛɟɡ ɫɨɨɬɜɟɬɫɬɜɢɹ ɦɟɠɞɭɧɚɪɨɞɧɵɦ ɢ ɧɚɰɢɨɧɚɥɶɧɵɦ ɪɟɤɨɦɟɧɞɚɰɢɹɦ
ɂɫɬɨɪɢɱɟɫɤɢ ɫɥɨɠɢɥɨɫɶ ɱɬɨ ɜ ɨɬɟɱɟɫɬɜɟɧɧɨɣ ɫɢɫɬɟɦɟ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɚɦɛɭɥɚɬɨɪɧɨ-ɩɨɥɢɤɥɢɧɢɱɟɫɤɚɹ ɩɨɦɨɳɶ ɹɜɥɹɟɬɫɹ ɧɚɢɛɨɥɟɟ ɜɨɫɬɪɟɛɨɜɚɧɧɵɦ ɜɢɞɨɦ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɧɚ ɭɪɨɜɧɟ ɩɨɥɢɤɥɢɧɢɤɢ ɩɨɥɧɵɣ ɰɢɤɥ ɥɟɱɟɛɧɨ-ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɯ ɦɟɪɨɩɪɢɹɬɢɣ ɜɤɥɸɱɚɟɬ ɞɨ ɩɚɰɢɟɧɬɨɜ ɚ ɨɫɧɨɜɧɵɟ ɩɪɢɱɢɧɵ ɫɦɟɪɬɧɨɫɬɢ ɢ ɢɧɜɚɥɢɞɢɡɚɰɢɢ ɧɚɫɟɥɟɧɢɹ ɹɜɥɹɸɬɫɹ ɩɨɬɟɧɰɢɚɥɶɧɨ ɩɪɟɞɨɬɜɪɚɬɢɦɵɦɢ ɢ ɧɟɩɨɫɪɟɞɫɬɜɟɧɧɨ ɫɜɹɡɚɧɵ ɫ ɤɚɱɟɫɬɜɨɦ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɩɨɦɨɳɢ ɧɚ ɞɨɝɨɫɩɢɬɚɥɶɧɨɦ ɷɬɚɩɟ Ɍɟɦ ɜɚɠɧɟɟ ɞɥɹ ɫɩɟɰɢɚɥɢɫɬɨɜ ɩɟɪɜɢɱɧɨɝɨ ɡɜɟɧɚ ɫɬɚɧɨɜɢɬɫɹ ɭɪɨɜɟɧɶ ɩɪɚɤɬɢɱɟɫɤɢɯ ɢ ɬɟɨɪɟɬɢɱɟɫɤɢɯ ɡɧɚɧɢɣ ɜɟɞɶ ɞɨɫɬɭɩɧɵɣ ɨɛɴɟɦ ɬɟɯɧɢɱɟɫɤɢɯ ɦɟɬɨɞɨɜ ɞɢɚɝɧɨɫɬɢɤɢ ɧɟ ɫɪɚɜɧɢɦ ɫɨ ɫɬɚɰɢɨɧɚɪɧɵɦ ɡɚɱɚɫɬɭɸ ɨɬɫɭɬɫɬɜɭɟɬ ɜɨɡɦɨɠɧɨɫɬɶ ɧɟɩɨɫɪɟɞɫɬɜɟɧɧɨɝɨ ɤɨɥɥɟɝɢɚɥɶɧɨɝɨ ɨɛɫɭɠɞɟɧɢɹ ɛɨɥɶɧɨɝɨ ɢ ɫɩɟɰɢɚɥɢɫɬɭ ɩɪɢɯɨɞɢɬɶɫɹ ɩɪɢɧɢɦɚɬɶ ɜɚɠɧɟɣɲɢɟ ɬɚɤɬɢɱɟɫɤɢɟ ɪɟɲɟɧɢɹ ɨɫɧɨɜɵɜɚɹɫɶ ɜ ɩɟɪɜɭɸ ɨɱɟɪɟɞɶ ɧɚ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɟ ɢ ɫɨɛɫɬɜɟɧɧɨɦ ɭɪɨɜɧɟ ɬɟɨɪɟɬɢɱɟɫɤɨɣ ɩɨɞɝɨɬɨɜɤɢ
ȼ ɪɭɤɨɜɨɞɫɬɜɟ ɨɫɧɨɜɧɨɟ ɜɧɢɦɚɧɢɟ ɭɞɟɥɟɧɨ ɞɢɚɝɧɨɫɬɢɤɟ ɢ ɥɟɱɟɧɢɸ ɧɚɢɛɨɥɟɟ ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɵɯ ɫɢɧɞɪɨɦɨɜ ɢ ɡɚɛɨɥɟɜɚɧɢɣ ɤɚɤ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɬɚɤ ɢ ɫɦɟɠɧɵɯ ɩɪɨɮɢɥɟɣ ɜɫɬɪɟɱɚɸɳɢɯɫɹ ɜ ɩɪɚɤɬɢɤɟ ɯɢɪɭɪɝɚ ɚɦɛɭɥɚɬɨɪɧɨɩɨɥɢɤɥɢɧɢɱɟɫɤɨɝɨ ɡɜɟɧɚ Ʉɧɢɝɚ ɫɨɞɟɪɠɢɬ ɚɤɬɭɚɥɶɧɵɟ ɩɪɟɞɫɬɚɜɥɟɧɢɹ ɨ ɩɪɢɱɢɧɚɯ ɢ ɦɟɯɚɧɢɡɦɚɯ ɪɚɡɜɢɬɢɹ ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɩɪɨɰɟɫɫɨɜ ɨɫɨɛɟɧɧɨɫɬɹɯ ɤɥɢɧɢɱɟɫɤɨɝɨ ɬɟɱɟɧɢɹ ɡɚɛɨɥɟɜɚɧɢɣ ɫɨɜɪɟɦɟɧɧɵɯ ɦɟɬɨɞɚɯ ɞɢɚɝɧɨɫɬɢɤɢ ɥɟɱɟɧɢɹ ɢ ɩɪɨɮɢɥɚɤɬɢɤɢ ɡɚɬɪɚɝɢɜɚɸɬɫɹ ɜɨɩɪɨɫɵ ɜɪɚɱɟɛɧɨ-ɬɪɭɞɨɜɨɣ ɷɤɫɩɟɪɬɢɡɵ ɢ ɦɟɞɢɰɢɧɫɤɨɣ ɷɬɢɤɢ
ɇɚɫɬɨɹɳɟɟ ɢɡɞɚɧɢɟ ɩɨɦɨɠɟɬ ɩɪɚɤɬɢɱɟɫɤɨɦɭ ɜɪɚɱɭ ɩɨɥɢɤɥɢɧɢɤɢ ɭɫɨɜɟɪɲɟɧɫɬɜɨɜɚɬɶ ɩɪɨɰɟɫɫ ɜɵɪɚɛɨɬɤɢ ɪɟɲɟɧɢɣ ɩɨɞɞɟɪɠɢɬ ɩɪɢ ɜɵɛɨɪɟ ɪɚɰɢɨɧɚɥɶɧɨɝɨ ɩɨɞɯɨɞɚ ɤ ɨɩɪɟɞɟɥɟɧɢɸ ɬɚɤɬɢɤɢ ɥɟɱɟɧɢɹ ɩɨɡɜɨɥɢɬ ɨɛɪɟɫɬɢ ɭɜɟɪɟɧɧɨɫɬɶ ɜ ɫɜɨɢɯ ɞɟɣɫɬɜɢɹɯ ɢ ɢɡɛɟɠɚɬɶ ɦɧɨɝɢɯ ɨɲɢɛɨɤ
Ɋɭɤɨɜɨɞɫɬɜɨ ɢɦɟɟɬ ɨɝɪɨɦɧɨɟ ɡɧɚɱɟɧɢɟ ɧɟ ɬɨɥɶɤɨ ɞɥɹ ɫɩɟɰɢɚɥɢɫɬɨɜ-ɯɢɪɭɪɝɨɜ ɧɨ ɢ ɞɥɹ ɜɪɚɱɟɣ ɨɛɳɟɝɨ ɩɪɨɮɢɥɹ ɨɤɚɡɵɜɚɸɳɢɯ ɩɨɦɨɳɶ ɜ ɚɦɛɭɥɚɬɨɪɧɨ-ɩɨɥɢɤɥɢɧɢɱɟɫɤɢɯ ɭɫɥɨɜɢɹɯ ɚ ɬɚɤɠɟ ɞɥɹ ɫɬɭɞɟɧɬɨɜ ɦɟɞɢɰɢɧɫɤɢɯ ɜɭɡɨɜ
ɑɥɟɧ-ɤɨɪɪɟɫɩɨɧɞɟɧɬ ɊȺɇ ɩɪɨɮɟɫɫɨɪ ɩɪɟɞɫɟɞɚɬɟɥɶ Ɇɨɫɤɨɜɫɤɨɝɨ ɨɛɳɟɫɬɜɚ ɯɢɪɭɪɝɨɜ ɡɚɜɟɞɭɸɳɢɣ ɤɚɮɟɞɪɨɣ ɮɚɤɭɥɶɬɟɬɫɤɨɣ ɯɢɪɭɪɝɢɢ ʋ ɆȽɆɋɍ ɢɦ Ⱥ ɂ ȿɜɞɨɤɢɦɨɜɚ ɡɚɫɥɭɠɟɧɧɵɣ ɜɪɚɱ ɊɎ ɥɚɭɪɟɚɬ ɩɪɟɦɢɢ ɉɪɚɜɢɬɟɥɶɫɬɜɚ ɊɎ
Ɉ ɗ Ʌɭɰɟɜɢɱ
ɍɱɚɫɬɧɢɤɢ ɢɡɞɚɧɢɹ
Ƚɥɚɜɧɵɟ ɪɟɞɚɤɬɨɪɵ
ɒɚɛɭɧɢɧ Ⱥɥɟɤɫɟɣ ȼɚɫɢɥɶɟɜɢɱ ɞɨɤɬɨɪ ɦɟɞɢɰɢɧɫɤɢɯ ɧɚɭɤ ɩɪɨɮɟɫɫɨɪ ɱɥɟɧ-ɤɨɪɪɟɫɩɨɧɞɟɧɬ ɊȺɇ ɡɚɜɟɞɭɸɳɢɣ ɤɚɮɟɞɪɨɣ ɯɢɪɭɪɝɢɢ ɎȽȻɈɍ ȾɉɈ ©Ɋɨɫɫɢɣɫɤɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɚɤɚɞɟɦɢɹ ɧɟɩɪɟɪɵɜɧɨɝɨ ɩɪɨɮɟɫɫɢɨɧɚɥɶɧɨɝɨ ɨɛɪɚɡɨɜɚɧɢɹª Ɇɢɧɡɞɪɚɜɚ Ɋɨɫɫɢɢ ɝɥɚɜɧɵɣ ɯɢɪɭɪɝ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ ɝɥɚɜɧɵɣ ɜɪɚɱ ȽȻɍɁ ©Ƚɨɪɨɞɫɤɚɹ ɤɥɢɧɢɱɟɫɤɚɹ ɛɨɥɶɧɢɰɚ ɢɦ ɋ ɉ Ȼɨɬɤɢɧɚª Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ
Ɇɚɟɪ Ɋɭɫɥɚɧ ɘɪɶɟɜɢɱ ɜɪɚɱ-ɯɢɪɭɪɝ ɡɚɜɟɞɭɸɳɢɣ ɨɪɝɚɧɢɡɚɰɢɨɧɧɨ-ɦɟɬɨɞɢɱɟ- ɫɤɢɦ ɨɬɞɟɥɨɦ ɩɨ ɯɢɪɭɪɝɢɢ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ
Ⱥɜɬɨɪɫɤɢɣ ɤɨɥɥɟɤɬɢɜ
ɒɚɛɭɧɢɧ Ⱥɥɟɤɫɟɣ ȼɚɫɢɥɶɟɜɢɱ ɞɨɤɬɨɪ ɦɟɞɢɰɢɧɫɤɢɯ ɧɚɭɤ ɩɪɨɮɟɫɫɨɪ ɱɥɟɧ-ɤɨɪɪɟɫɩɨɧɞɟɧɬ ɊȺɇ ɡɚɜɟɞɭɸɳɢɣ ɤɚɮɟɞɪɨɣ ɯɢɪɭɪɝɢɢ ɎȽȻɈɍ ȾɉɈ ©Ɋɨɫɫɢɣɫɤɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɚɤɚɞɟɦɢɹ ɧɟɩɪɟɪɵɜɧɨɝɨ ɩɪɨɮɟɫɫɢɨɧɚɥɶɧɨɝɨ ɨɛɪɚɡɨɜɚɧɢɹª Ɇɢɧɡɞɪɚɜɚ Ɋɨɫɫɢɢ ɝɥɚɜɧɵɣ ɯɢɪɭɪɝ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ ɝɥɚɜɧɵɣ ɜɪɚɱ ȽȻɍɁ ©Ƚɨɪɨɞɫɤɚɹ ɤɥɢɧɢɱɟɫɤɚɹ ɛɨɥɶɧɢɰɚ ɢɦ ɋ ɉ Ȼɨɬɤɢɧɚª Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ
Ɇɚɟɪ Ɋɭɫɥɚɧ ɘɪɶɟɜɢɱ ɜɪɚɱ-ɯɢɪɭɪɝ ɡɚɜɟɞɭɸɳɢɣ ɨɪɝɚɧɢɡɚɰɢɨɧɧɨ-ɦɟɬɨɞɢɱɟ- ɫɤɢɦ ɨɬɞɟɥɨɦ ɩɨ ɯɢɪɭɪɝɢɢ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ
Ⱥɝɟɟɜɚ Ⱥɧɧɚ Ⱥɥɟɤɫɚɧɞɪɨɜɧɚ ɜɪɚɱ-ɯɢɪɭɪɝ ɜɟɞɭɳɢɣ ɫɩɟɰɢɚɥɢɫɬ ɨɪɝɚɧɢɡɚ- ɰɢɨɧɧɨ-ɦɟɬɨɞɢɱɟɫɤɨɝɨ ɨɬɞɟɥɚ ɩɨ ɯɢɪɭɪɝɢɢ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ ɨɤɪɭɠɧɨɣ ɚɦɛɭɥɚɬɨɪɧɵɣ ɯɢɪɭɪɝ ɋɟɜɟɪɧɨɝɨ ɚɞɦɢɧɢɫɬɪɚɬɢɜɧɨɝɨ ɨɤɪɭɝɚ ɝ Ɇɨɫɤɜɵ
ȼɚɝɚɧɨɜɚ ɉɨɥɢɧɚ ɋɟɪɝɟɟɜɧɚ ɜɪɚɱ-ɯɢɪɭɪɝ ɡɚɜɟɞɭɸɳɚɹ ɯɢɪɭɪɝɢɱɟɫɤɢɦ ɨɬɞɟɥɟɧɢɟɦ ɨɤɪɭɠɧɨɣ ɚɦɛɭɥɚɬɨɪɧɵɣ ɯɢɪɭɪɝ Ɍɪɨɢɰɤɨɝɨ ɢ ɇɨɜɨɦɨɫɤɨɜɫɤɨɝɨ ɚɞɦɢɧɢɫɬɪɚɬɢɜɧɵɯ ɨɤɪɭɝɨɜ ɝ Ɇɨɫɤɜɵ
ɑɢɠ ȿɤɚɬɟɪɢɧɚ ɘɪɶɟɜɧɚ ɫɟɪɞɟɱɧɨ-ɫɨɫɭɞɢɫɬɵɣ ɯɢɪɭɪɝ ɨɬɞɟɥɟɧɢɹ ɞɥɹ ɧɟɨɬɥɨɠɧɵɯ ɛɨɥɶɧɵɯ ȽȻɍɁ ©Ƚɨɪɨɞɫɤɚɹ ɤɥɢɧɢɱɟɫɤɚɹ ɛɨɥɶɧɢɰɚ ɢɦ ɋ ɉ Ȼɨɬɤɢɧɚª Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ ɜɟɞɭɳɢɣ ɫɩɟɰɢɚɥɢɫɬ ɨɪɝɚɧɢɡɚɰɢɨɧ- ɧɨ-ɦɟɬɨɞɢɱɟɫɤɨɝɨ ɨɬɞɟɥɚ ɩɨ ɯɢɪɭɪɝɢɢ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝ Ɇɨɫɤɜɵ
Ɇɟɧɟɞɠɟɪɵ ɩɪɨɟɤɬɚ
Ɇɚɥɤɚɧɞɭɟɜɚ Ɂɚɥɢɧɚ Ɍɚɯɢɪɨɜɧɚ ɤɨɨɪɞɢɧɚɬɨɪ ɬɨɦɚ
ɑɟɪɧɨɛɪɨɜɤɢɧɚ Ƚɭɥɶɧɚɪɚ ɂɥɶɞɚɪɨɜɧɚ ɪɭɤɨɜɨɞɢɬɟɥɶ ɩɪɨɟɤɬɚ ©Ɍɚɤɬɢɤɚ ɜɪɚɱɚª ɒɢɲɤɢɧ Ʉɨɧɫɬɚɧɬɢɧ ɋɢɦɨɧɨɜɢɱ ɪɭɤɨɜɨɞɢɬɟɥɶ ɷɥɟɤɬɪɨɧɧɨɣ ɜɟɪɫɢɢ ɩɪɨɟɤɬɚ ©Ɍɚɤɬɢɤɚ ɜɪɚɱɚª
ɋɩɢɫɨɤ ɫɨɤɪɚɳɟɧɢɣ
ȺȾ - ɚɪɬɟɪɢɚɥɶɧɨɟ ɞɚɜɥɟɧɢɟ ȺɑɌȼ - ɚɤɬɢɜɢɪɨɜɚɧɧɨɟ ɱɚɫɬɢɱɧɨɟ ɬɪɨɦɛɨɩɥɚɫɬɢɧɨɜɨɟ ɜɪɟɦɹ
ȼȺɒ - ɜɢɡɭɚɥɶɧɚɹ ɚɧɚɥɨɝɨɜɚɹ ɲɤɚɥɚ ɜ ɜ - ɜɧɭɬɪɢɜɟɧɧɨ ɜ ɦ - ɜɧɭɬɪɢɦɵɲɟɱɧɨ
ȼɂɑ - ɜɢɪɭɫ ɢɦɦɭɧɨɞɟɮɢɰɢɬɚ ɱɟɥɨɜɟɤɚ ȼɉɑ - ɜɢɪɭɫ ɩɚɩɢɥɥɨɦɵ ɱɟɥɨɜɟɤɚ ȼɌə - ɜɟɧɨɡɧɵɟ ɬɪɨɮɢɱɟɫɤɢɟ ɹɡɜɵ
ȾȾɆɀ - ɞɨɛɪɨɤɚɱɟɫɬɜɟɧɧɚɹ ɞɢɫɩɥɚɡɢɹ ɦɨɥɨɱɧɨɣ ɠɟɥɟɡɵ ȾɁɆɀ - ɞɨɛɪɨɤɚɱɟɫɬɜɟɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ ɦɨɥɨɱɧɨɣ ɠɟɥɟɡɵ ȾɉɄ - ɞɜɟɧɚɞɰɚɬɢɩɟɪɫɬɧɚɹ ɤɢɲɤɚ ɂȼɅ - ɢɫɤɭɫɫɬɜɟɧɧɚɹ ɜɟɧɬɢɥɹɰɢɹ ɥɟɝɤɢɯ ɄɌ - ɤɨɦɩɶɸɬɟɪɧɚɹ ɬɨɦɨɝɪɚɮɢɹ Ʌɉɂ - ɥɨɞɵɠɟɱɧɨ-ɩɥɟɱɟɜɨɣ ɢɧɞɟɤɫ
Ɇȿ - ɦɟɠɞɭɧɚɪɨɞɧɚɹ ɟɞɢɧɢɰɚ ɛɢɨɥɨɝɢɱɟɫɤɨɣ ɚɤɬɢɜɧɨɫɬɢ ɆɄȻ-10 - Ɇɟɠɞɭɧɚɪɨɞɧɚɹ ɤɥɚɫɫɢɮɢɤɚɰɢɹ ɛɨɥɟɡɧɟɣ ɆɇɈ - ɦɟɠɞɭɧɚɪɨɞɧɨɟ ɧɨɪɦɚɥɢɡɨɜɚɧɧɨɟ ɨɬɧɨɲɟɧɢɟ ɆɊɌ - ɦɚɝɧɢɬɧɨ-ɪɟɡɨɧɚɧɫɧɚɹ ɬɨɦɨɝɪɚɮɢɹ Ɇɋɗ - ɦɟɞɢɤɨ-ɫɚɧɢɬɚɪɧɚɹ ɷɤɫɩɟɪɬɢɡɚ
ɇɉȼɉ - ɧɟɫɬɟɪɨɢɞɧɵɟ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɩɪɟɩɚɪɚɬɵ ɉɐɊ - ɩɨɥɢɦɟɪɚɡɧɚɹ ɰɟɩɧɚɹ ɪɟɚɤɰɢɹ ɋȾɋ - ɫɢɧɞɪɨɦ ɞɢɚɛɟɬɢɱɟɫɤɨɣ ɫɬɨɩɵ
ɋɂȺ-ɫɤɨɩɢɹ - ɫɩɟɤɬɪɨɮɨɬɨɦɟɬɪɢɱɟɫɤɢɣ ɢɧɬɪɚɤɭɬɚɧɬɧɵɣ ɚɧɚɥɢɡ ɋɈɗ - ɫɤɨɪɨɫɬɶ ɨɫɟɞɚɧɢɹ ɷɪɢɬɪɨɰɢɬɨɜ ɍɁȺɋ - ɭɥɶɬɪɚɡɜɭɤɨɜɚɹ ɚɧɝɢɨɫɤɨɩɢɹ ɍɁɂ - ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɎȼȾ - ɮɭɧɤɰɢɹ ɜɧɟɲɧɟɝɨ ɞɵɯɚɧɢɹ ɎɌɅ - ɮɢɡɢɨɬɟɪɚɩɟɜɬɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ
ɏȼɇ - ɯɪɨɧɢɱɟɫɤɚɹ ɜɟɧɨɡɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɏɁȼ - ɯɪɨɧɢɱɟɫɤɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɜɟɧ ɐɇɋ - ɰɟɧɬɪɚɥɶɧɚɹ ɧɟɪɜɧɚɹ ɫɢɫɬɟɦɚ ɑȾ - ɱɚɫɬɨɬɚ ɞɵɯɚɧɢɹ ɑɋɋ - ɱɚɫɬɨɬɚ ɫɟɪɞɟɱɧɵɯ ɫɨɤɪɚɳɟɧɢɣ
ɗȽȾɋ - ɷɡɨɮɚɝɨɝɚɫɬɪɨɞɭɨɞɟɧɨɫɤɨɩɢɹ ɗɄȽ - ɷɥɟɤɬɪɨɤɚɪɞɢɨɝɪɚɮɢɹ ɗɄɏ - ɷɩɢɬɟɥɢɚɥɶɧɵɣ ɤɨɩɱɢɤɨɜɵɣ ɯɨɞ
Anti-HCV - ɫɩɟɰɢɮɢɱɟɫɤɢɟ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɵ ɤɥɚɫɫɨɜ ,J0 ɢ ,J* ɤ ɛɟɥɤɚɦ ɜɢɪɭɫɚ ɝɟɩɚɬɢɬɚ ɋ HBsAg - ɩɨɜɟɪɯɧɨɫɬɧɵɣ ɚɧɬɢɝɟɧ ɜɢɪɭɫɚ ɝɟɩɚɬɢɬɚ %
MRSA - ɦɟɬɢɰɢɥɥɢɧɪɟɡɢɫɬɟɧɬɧɵɣ ɡɨɥɨɬɢɫɬɵɣ ɫɬɚɮɢɥɨɤɨɤɤ RW - ɪɟɚɤɰɢɹ ȼɚɫɫɟɪɦɚɧɚ
TNM - ɦɟɠɞɭɧɚɪɨɞɧɚɹ ɤɥɚɫɫɢɮɢɤɚɰɢɹ ɫɬɚɞɢɣ ɡɥɨɤɚɱɟɫɬɜɟɧɧɵɯ ɧɨɜɨɨɛɪɚɡɨɜɚɧɢɣ
VCSS - ɤɥɢɧɢɱɟɫɤɚɹ ɲɤɚɥɚ ɨɰɟɧɤɢ ɬɹɠɟɫɬɢ ɜɟɧɨɡɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ 9HQRXV &OLQLFDO Severity Score)
Ʉɥɢɧɢɱɟɫɤɢɟ ɪɟɤɨɦɟɧɞɚɰɢɢ ɢ ɞɨɤɚɡɚɬɟɥɶɧɚɹ ɦɟɞɢɰɢɧɚ
Ʉɥɢɧɢɱɟɫɤɢɟ ɪɟɤɨɦɟɧɞɚɰɢɢ guidelines) ɷɬɨ ɞɨɤɭɦɟɧɬ ɤɨɬɨɪɵɣ ɫɨɡɞɚɟɬɫɹ ɝɪɭɩɩɨɣ ɷɤɫɩɟɪɬɨɜ ɧɚ ɨɫɧɨɜɚɧɢɢ ɜɵɩɨɥɧɟɧɧɨɝɨ ɫɢɫɬɟɦɚɬɢɱɟɫɤɨɝɨ ɚɧɚɥɢɡɚ ɧɚɢɥɭɱɲɢɯ ɞɨɤɚɡɚɬɟɥɶɫɬɜ ɧɚɢɛɨɥɟɟ ɷɮɮɟɤɬɢɜɧɵɯ ɥɟɱɟɛɧɵɯ ɢɥɢ ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɯ ɜɦɟɲɚɬɟɥɶɫɬɜ ɚ ɬɚɤɠɟ ɫɨɞɟɪɠɢɬ ɢɧɮɨɪɦɚɰɢɸ ɨɛ ɷɩɢɞɟɦɢɨɥɨɝɢɢ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɡɚɛɨɥɟɜɚɧɢɹ ɢ ɟɝɨ ɩɪɨɝɧɨɡɟ
Ɉɛɨɫɧɨɜɚɧɧɨɫɬɶ ɩɪɢɦɟɧɟɧɢɹ ɤɚɠɞɨɝɨ ɩɭɧɤɬɚ ɪɟɤɨɦɟɧɞɚɰɢɢ ɨɩɪɟɞɟɥɹɟɬɫɹ ɤɥɚɫɫɨɦ ɪɟɤɨɦɟɧɞɚɰɢɣ ɫ ɭɤɚɡɚɧɢɟɦ ɭɪɨɜɧɹ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ɤɨɬɨɪɵɣ ɨɬɪɚɠɚɟɬ ɤɚɱɟɫɬɜɨ ɢ ɢɥɢ ɨɛɴɟɦ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɣ ɞɨɤɚɡɚɬɟɥɶɧɨɣ ɢɧɮɨɪɦɚɰɢɢ ɧɚ ɤɨɬɨɪɵɯ ɨɫɧɨɜɚɧɚ ɬɚɤɚɹ ɪɟɤɨɦɟɧɞɚɰɢɹ
Ʉɥɚɫɫɵ ɪɟɤɨɦɟɧɞɚɰɢɣ ɩɨ ɢɫɩɨɥɶɡɨɜɚɧɢɸ ɦɟɬɨɞɚ ɞɢɚɝɧɨɫɬɢɤɢ ɥɟɱɟɧɢɹ ɞɥɹ ɨɩɢɫɚɧɧɨɝɨ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɭɩɪɨɳɟɧɧɨɦ ɜɢɞɟ ɜɵɪɚɠɚɸɬ ɫɥɟɞɭɸɳɭɸ ɩɨɡɢɰɢɸ ɚɜɬɨɪɨɜ ©ɫɨɝɥɚɫɧɨ ɩɪɟɞɫɬɚɜɥɟɧɧɵɦ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚɦ ɩɪɢ ɞɚɧɧɨɦ ɡɚɛɨɥɟɜɚɧɢɢ ɷɬɨ ɞɟɥɚɬɶ ɧɭɠɧɨ ɦɨɠɧɨ ɧɟɥɶɡɹª
x Ʉɥɚɫɫ , ©ɊȿɄɈɆȿɇȾɍȿɌɋəª Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɢ ɢɥɢ ɨɛɳɟɟ ɫɨɝɥɚɲɟɧɢɟ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ ɱɬɨ ɩɪɢɦɟɧɟɧɢɟ ɦɟɬɨɞɚ ɜ ɭɤɚɡɚɧɧɨɣ ɫɢɬɭɚɰɢɢ ɹɜɥɹɟɬɫɹ ɛɥɚɝɨɩɪɢɹɬɧɵɦ ɩɨɥɟɡɧɵɦ ɢ ɷɮɮɟɤɬɢɜɧɵɦ
xɄɥɚɫɫ ,,ɚ ©ɫɥɟɞɭɟɬ ɪɚɫɫɦɚɬɪɢɜɚɬɶ ɜɨɡɦɨɠɧɨɫɬɶ ɩɪɢɦɟɧɟɧɢɹª Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɩɪɨɬɢɜɨɪɟɱɢɜɵ ɢ ɢɥɢ ɢɦɟɸɬɫɹ ɩɪɨɬɢɜɨɩɨɥɨɠɧɵɟ ɦɧɟɧɢɹ ɨɬɧɨɫɢɬɟɥɶɧɨ ɩɨɥɶɡɵ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɦɟɬɨɞɚ ɨɞɧɚɤɨ ɩɪɟɨɛɥɚɞɚɸɬ ɚɪɝɭɦɟɧɬɵ ɜ ɩɨɥɶɡɭ ɟɝɨ ɩɪɢɦɟɧɟɧɢɹ
xɄɥɚɫɫ ,,E ©ɦɨɠɧɨ ɪɚɫɫɦɚɬɪɢɜɚɬɶ ɜɨɡɦɨɠɧɨɫɬɶ ɩɪɢɦɟɧɟɧɢɹª Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɩɪɨɬɢɜɨɪɟɱɢɜɵ ɢ ɢɥɢ ɢɦɟɸɬɫɹ ɩɪɨɬɢɜɨɩɨɥɨɠɧɵɟ ɦɧɟɧɢɹ ɨɬɧɨɫɢɬɟɥɶɧɨ ɩɨɥɶɡɵ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɦɟɬɨɞɚ ɩɪɢ ɷɬɨɦ ɚɪɝɭɦɟɧɬɵ ɜ ɩɨɥɶɡɭ ɩɪɢɦɟɧɟɧɢɹ ɦɟɬɨɞɚ ɧɟɞɨɫɬɚɬɨɱɧɨ ɯɨɪɨɲɨ ɨɛɨɫɧɨɜɚɧɵ
xɄɥɚɫɫ ,,, ©ɇȿ ɊȿɄɈɆȿɇȾɍȿɌɋəª Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɢ ɢɥɢ ɨɛɳɟɟ ɫɨɝɥɚɲɟɧɢɟ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ ɱɬɨ ɩɪɢɦɟɧɟɧɢɟ ɦɟɬɨɞɚ ɧɟ ɹɜɥɹɟɬɫɹ ɩɨɥɟɡɧɵɦ ɷɮɮɟɤɬɢɜɧɵɦ ɢ ɜ ɧɟɤɨɬɨɪɵɯ ɫɥɭɱɚɹɯ ɦɨɠɟɬ ɧɚɜɪɟɞɢɬɶ ɩɚɰɢɟɧɬɭ
ɍɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ɨɬɪɚɠɚɟɬ ɫɬɟɩɟɧɶ ɩɪɨɜɟɪɟɧɧɨɫɬɢ ɥɟɠɚɳɢɯ ɜ ɟɟ ɨɫɧɨɜɟ ɮɚɤɬɨɜ ɫ ɩɨɡɢɰɢɣ ɫɬɚɬɢɫɬɢɤɢ
xɍɪɨɜɟɧɶ $ Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɨɫɧɨɜɚɧɵ ɧɚ ɞɚɧɧɵɯ ɧɟɫɤɨɥɶɤɢɯ ɪɚɧɞɨɦɢɡɢɪɨɜɚɧɧɵɯ ɤɥɢɧɢɱɟɫɤɢɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɢɥɢ ɦɟɬɚɚɧɚɥɢɡɨɜ ɱɬɨ ɫɧɢɠɚɟɬ ɜɟɪɨɹɬɧɨɫɬɶ ɦɟɬɨɞɨɥɨɝɢɱɟɫɤɢɯ ɨɲɢɛɨɤ ɢɫɫɥɟɞɨɜɚɧɢɹ
xɍɪɨɜɟɧɶ % Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɨɫɧɨɜɚɧɵ ɧɚ ɞɚɧɧɵɯ ɟɞɢɧɫɬɜɟɧɧɨɝɨ ɪɚɧɞɨɦɢɡɢɪɨɜɚɧɧɨɝɨ ɤɥɢɧɢɱɟɫɤɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɢɥɢ ɧɟɫɤɨɥɶɤɢɯ ɤɪɭɩɧɵɯ ɧɟɪɚɧɞɨɦɢɡɢɪɨɜɚɧɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɣ
xɍɪɨɜɟɧɶ & Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɨɫɧɨɜɚɧɵ ɧɚ Fɨɝɥɚɫɨɜɚɧɧɵɯ ɦɧɟɧɢɹɯ ɚɜɬɨɪɢɬɟɬɨɜ ɤɨɧɫɟɧɫɭɫ ɢ ɢɥɢ ɧɟɛɨɥɶɲɢɯ ɢɫɫɥɟɞɨɜɚɧɢɹɯ ɪɟɬɪɨɫɩɟɤɬɢɜɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɹɯ ɪɟɝɢɫɬɪɚɯ.
ȼ ɪɟɤɨɦɟɧɞɚɰɢɹɯ ɪɨɫɫɢɣɫɤɢɯ ɩɪɨɮɟɫɫɢɨɧɚɥɶɧɵɯ ɚɫɫɨɰɢɚɰɢɣ ɦɨɠɟɬ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɞɪɭɝɚɹ ɫɯɟɦɚ ɪɚɧɠɢɪɨɜɚɧɢɹ ɩɨ ɭɪɨɜɧɸ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɨɬ ɞɨ ɢ ɩɨ ɭɪɨɜɧɸ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɨɬ $ ɞɨ ' ɇɚɢɛɨɥɟɟ ɜɵɫɨɤɢɣ ɭɪɨɜɟɧɶ ɪɟɤɨɦɟɧɞɚɰɢɣ ɫɨɨɬɜɟɬɫɬɜɭɟɬ $
Ⱦɨɤɚɡɚɬɟɥɶɫɬɜɚ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɤɚɤɨɝɨ-ɥɢɛɨ ɦɟɬɨɞɚ ɥɟɱɟɧɢɹ ɧɟ ɡɚɦɟɧɹɸɬ ɤɥɢɧɢɱɟɫɤɨɟ ɦɵɲɥɟɧɢɟ ɢ ɧɟ ɫɧɢɦɚɸɬ ɫ ɜɪɚɱɚ ɨɬɜɟɬɫɬɜɟɧɧɨɫɬɢ ɡɚ ɩɪɢɧɹɬɢɟ ɢɧɞɢɜɢɞɭɚɥɶɧɨɝɨ ɪɟɲɟɧɢɹ ɜ ɨɬɧɨɲɟɧɢɢ ɤɚɠɞɨɝɨ ɤɨɧɤɪɟɬɧɨɝɨ ɩɚɰɢɟɧɬɚ
Ⱦɨɤɚɡɚɬɟɥɶɧɚɹ ɦɟɞɢɰɢɧɚ ɜ ɨɪɢɝɢɧɚɥɟ evidence-based medicine ɹɜɥɹɟɬɫɹ ɮɭɧɞɚɦɟɧɬɨɦ ɧɚ ɤɨɬɨɪɨɦ ɛɚɡɢɪɭɸɬɫɹ ɜɨ-ɩɟɪɜɵɯ ɨɬɤɚɡ ɨɬ ɧɟɷɮɮɟɤɬɢɜɧɵɯ ɜɪɟɞɧɵɯ ɦɟɬɨɞɢɤ ɢ ɜɵɬɟɫɧɟɧɢɟ ɢɯ ɢɡ ɦɟɞɢɰɢɧɫɤɨɣ ɩɪɚɤɬɢɤɢ ɜɨ-ɜɬɨɪɵɯ ɜɵɹɜɥɟɧɢɟ ɢ ɩɪɨɞɜɢɠɟɧɢɟ ɷɮɮɟɤɬɢɜɧɵɯ ɦɟɬɨɞɨɜ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɗɬɨ ɪɚɡɞɟɥ ɦɟɞɢɰɢɧɵ ɨɫɧɨɜɚɧɧɵɣ ɧɚ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚɯ ɢ ɩɪɟɞɩɨɥɚɝɚɸɳɢɣ ɩɨɢɫɤ ɫɪɚɜɧɟɧɢɟ ɨɛɨɛɳɟɧɢɟ ɢ ɲɢɪɨɤɨɟ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɟ ɩɨɥɭɱɟɧɧɵɯ ɞɨɤɚɡɚɬɟɥɶɫɬɜ ɞɥɹ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɜ ɢɧɬɟɪɟɫɚɯ ɩɚɰɢɟɧɬɨɜ ɨɩɪɟɞɟɥɟɧɢɟ ɪɚɛɨɱɟɣ ɝɪɭɩɩɵ Evidence Based Medicine Working Group, 1993).
ɉɨɷɬɚɩɧɚɹ ɪɟɚɥɢɡɚɰɢɹ ɩɪɢɧɰɢɩɨɜ ɞɨɤɚɡɚɬɟɥɶɧɨɣ ɦɟɞɢɰɢɧɵ ɜɤɥɸɱɚɟɬ ɩɪɚɜɢɥɶɧɨ ɫɮɨɪɦɭɥɢɪɨɜɚɧɧɵɣ ɜɨɩɪɨɫ ɩɨɥɭɱɟɧɢɟ ɨɬɜɟɬɚ ɨɰɟɧɤɭ ɞɨɤɚɡɚɬɟɥɶɫɬɜ ɨɰɟɧɤɭ ɩɪɢɦɟɧɢɦɨɫɬɢ ɜ ɞɚɧɧɨɣ ɤɥɢɧɢɱɟɫɤɨɣ ɫɢɬɭɚɰɢɢ ɢ ɩɪɨɜɟɪɤɭ ɩɪɚɤɬɢɤɨɣ
Ƚɥɚɜɚ Ɍɚɤɬɢɤɚ ɜɪɚɱɚ-ɯɢɪɭɪɝɚ ɩɪɢ ɨɤɚɡɚɧɢɢ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɩɨ ɩɨɜɨɞɭ ɡɚɛɨɥɟɜɚɧɢɹ
ȽɇɈɃɇȺə ɏɂɊɍɊȽɂə ɎɍɊɍɇɄɍɅ
Ɏɭɪɭɧɤɭɥ-ɨɫɬɪɨɟ ɝɧɨɣɧɨ-ɧɟɤɪɨɬɢɱɟɫɤɨɟ ɜɨɫɩɚɥɟɧɢɟ ɜɨɥɨɫɹɧɨɝɨ ɮɨɥɥɢɤɭɥɚ ɫɚɥɶɧɨɣ ɠɟɥɟɡɵ ɢ ɨɤɪɭɠɚɸɳɟɣ ɩɨɞɤɨɠɧɨ-ɠɢɪɨɜɨɣ ɤɥɟɬɱɚɬɤɢ
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Ʉɥɚɫɫɢɮɢɤɚɰɢɹ |
Ʉɨɞɵ ɩɨ ɆɄȻ-10 |
ɉɨ ɤɥɢɧɢɱɟɫɤɢɦ ɩɪɨɹɜɥɟɧɢɹɦ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ ɥɢɰɚ |
ɫɬɚɞɢɹ ɢɧɮɢɥɶɬɪɚɰɢɢ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ ɲɟɢ |
ɫɬɚɞɢɹ ɮɨɪɦɢɪɨɜɚɧɢɹ ɢ ɨɬɬɨɪɠɟɧɢɹ ɝɧɨɣɧɨ- |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ |
ɧɟɤɪɨɬɢɱɟɫɤɨɝɨ ɫɬɟɪɠɧɹ |
ɬɭɥɨɜɢɳɚ |
ɫɬɚɞɢɹ ɪɭɛɰɟɜɚɧɢɹ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ |
ɉɨ ɥɨɤɚɥɢɡɚɰɢɢ ɮɭɪɭɧɤɭɥɥɢɰɚ ɲɟɢ |
ɹɝɨɞɢɰɵ |
ɬɭɥɨɜɢɳɚ ɤɨɧɟɱɧɨɫɬɟɣ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ |
ɉɨ ɬɟɱɟɧɢɸ |
ɤɨɧɟɱɧɨɫɬɢ |
ɨɫɬɪɵɣ ɜɵɫɵɩɚɧɢɹ ɧɚ ɬɟɥɟ ɜɨɡɧɢɤɚɸɬ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ ɞɪɭɝɢɯ |
ɩɪɚɤɬɢɱɟɫɤɢ ɨɞɧɨɜɪɟɦɟɧɧɨ ɢɥɢ ɜ ɬɟɱɟɧɢɟ ɤɨɪɨɬɤɨɝɨ |
ɥɨɤɚɥɢɡɚɰɢɣ |
ɜɪɟɦɟɧɢ |
/ Ⱥɛɫɰɟɫɫ ɤɨɠɢ ɮɭɪɭɧɤɭɥ ɢ ɤɚɪɛɭɧɤɭɥ |
ɯɪɨɧɢɱɟɫɤɢɣ ɜɵɫɵɩɚɧɢɹ ɜɨɡɧɢɤɚɸɬ ɫ |
ɧɟɭɬɨɱɧɟɧɧɨɣ ɥɨɤɚɥɢɡɚɰɢɢ |
ɧɟɤɨɬɨɪɨɣ ɩɟɪɢɨɞɢɱɧɨɫɬɶɸ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɦɧɨɝɢɯ |
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ɦɟɫɹɰɟɜ ɢ ɞɚɠɟ ɥɟɬ |
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ɗɌɂɈɅɈȽɂə
ȼɨɡɛɭɞɢɬɟɥɢ Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus Ogston.
ɉɪɟɞɪɚɫɩɨɥɚɝɚɸɳɢɟ ɮɚɤɬɨɪɵɩɨɜɪɟɠɞɟɧɢɹ ɤɨɠɢ ɬɪɟɳɢɧɵ ɫɫɚɞɢɧɵ ɹɜɥɹɸɳɢɟɫɹ ɜɯɨɞɧɵɦɢ ɜɨɪɨɬɚɦɢ ɞɥɹ ɢɧɮɟɤɰɢɢɧɟɫɨɛɥɸɞɟɧɢɟ ɫɚɧɢɬɚɪɧɨ-ɝɢɝɢɟɧɢɱɟɫɤɢɯ ɧɨɪɦɫɧɢɠɟɧɢɟ ɨɛɳɟɣ ɪɟɡɢɫɬɟɧɬɧɨɫɬɢ ɨɪɝɚɧɢɡɦɚ ɝɢɩɨɜɢɬɚɦɢɧɨɡɵ ɫɚɯɚɪɧɵɣ ɞɢɚɛɟɬ ɩɟɪɟɭɬɨɦɥɟɧɢɹ ɢ ɞɪ
ɉȺɌɈȽȿɇȿɁ ɎɈɊɆɂɊɈȼȺɇɂə ɎɍɊɍɇɄɍɅȺɎɭɪɭɧɤɭɥ
ɉɚɬɨɝɟɧɡ ɮɨɪɦɢɪɨɜɚɧɢɹ ɮɭɪɭɧɤɭɥɚ
ȼ ɧɚɱɚɥɶɧɨɣ ɫɬɚɞɢɢ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɭɫɬɶɟ ɮɨɥɥɢɤɭɥɚ ɮɨɪɦɢɪɭɟɬɫɹ ɩɭɫɬɭɥɚ ɫɨɞɟɪɠɚɳɚɹ ɧɟɣɬɪɨɮɢɥɶɧɵɟ ɥɟɣɤɨɰɢɬɵ ɫɬɚɮɢɥɨɤɨɤɤɢ ɢ ɮɢɛɪɢɧ Ɂɚɬɟɦ ɩɪɨɰɟɫɫ ɪɚɫɩɪɨɫɬɪɚɧɹɟɬɫɹ ɤ ɜɨɥɨɫɹɧɨɦɭ ɮɨɥɥɢɤɭɥɭ ɩɪɨɢɫɯɨɞɢɬ ɟɝɨ ɜɨɫɩɚɥɟɧɢɟ ɨɛɪɚɡɨɜɚɧɢɟ ɢɧɮɢɥɶɬɪɚɬɚ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɧɟɤɪɨɡɨɦ ɨɤɪɭɠɚɸɳɢɯ ɬɤɚɧɟɣ ȼɨɤɪɭɝ ɡɨɧɵ ɧɟɤɪɨɡɚ ɬɤɚɧɶ ɪɚɫɩɥɚɜɥɹɟɬɫɹ ɢ ɨɛɪɚɡɭɟɬɫɹ ɝɧɨɣ Ƚɧɨɣɧɵɣ ɷɤɫɫɭɞɚɬ ɫɤɚɩɥɢɜɚɟɬɫɹ ɩɨɞ ɷɩɢɞɟɪɦɢɫɨɦ ɜɨɤɪɭɝ ɭɫɬɶɹ ɮɨɥɥɢɤɭɥɚ ɚ ɡɚɬɟɦ ɜɦɟɫɬɟ ɫ ɧɟɤɪɨɬɢɱɟɫɤɢɦ ɫɬɟɪɠɧɟɦ ɢ ɩɨɝɢɛɲɢɦ ɜɨɥɨɫɨɦ ɱɟɪɟɡ ɫɜɢɳɟɜɨɣ ɯɨɞ ɜɵɯɨɞɢɬ ɧɚɪɭɠɭ Ⱦɟɮɟɤɬ ɬɤɚɧɟɣ ɡɚɩɨɥɧɹɟɬɫɹ ɝɪɚɧɭɥɹɰɢɹɦɢ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɮɨɪɦɢɪɨɜɚɧɢɟɦ ɪɭɛɰɚ
ɉɊɂɆȿɊɕ ȾɂȺȽɇɈɁɈȼɎɭɪɭɧɤɭɥ ɥɟɜɨɝɨ ɩɪɟɞɩɥɟɱɶɹ ɫɬɚɞɢɹ ɢɧɮɢɥɶɬɪɚɰɢɢ Ⱥɛɫɰɟɞɢɪɭɸɳɢɣ ɮɭɪɭɧɤɭɥ ɩɪɚɜɨɣ ɹɝɨɞɢɰɵ ȾɂȺȽɇɈɋɌɂɄȺ
Ʉɪɢɬɟɪɢɢ |
Ʉɨɦɦɟɧɬɚɪɢɢ |
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ɞɢɚɝɧɨɫɬɢɤɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɨɰɟɧɤɚ ɤɥɢɧɢɱɟɫɤɢɯ ɞɚɧɧɵɯ |
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Ȼɨɥɶ |
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ɇɚɥɢɱɢɟ ɭɡɥɨɜɨɝɨ ɨɛɪɚɡɨɜɚɧɢɹ |
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ɀɚɥɨɛɵ |
Ɉɬɟɤ |
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ɉɨɜɵɲɟɧɢɟ ɬɟɦɩɟɪɚɬɭɪɵ ɬɟɥɚ |
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Ɉɛɳɚɹ ɫɥɚɛɨɫɬɶ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɨ ɮɢɡɢɤɚɥɶɧɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɋ |
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Ȼɨɥɟɡɧɟɧɧɵɣ ɤɨɧɭɫɨɜɢɞɧɵɣ ɢɧɮɢɥɶɬɪɚɬ ɫ ɮɨɪɦɢɪɭɸɳɢɦɫɹ ɝɧɨɣɧɵɦ |
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ɫɬɟɪɠɧɟɦ ɧɚ ɜɟɪɲɢɧɟ ɢɧɮɢɥɶɬɪɚɬɚ ɧɟɛɨɥɶɲɨɟ ɫɤɨɩɥɟɧɢɟ ɝɧɨɹ ɫ ɧɟɤɪɨɡɨɦ ɜ |
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Ɉɫɦɨɬɪ |
ɰɟɧɬɪɟ |
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ɉɭɫɬɭɥɚ ɨɛɵɱɧɨ ɜɫɤɪɵɜɚɟɬɫɹ ɢ ɩɨɞɫɵɯɚɟɬ ɚ ɧɚ -7-ɟ ɫɭɬɤɢ ɢɧɮɢɥɶɬɪɚɬ ɝɧɨɣɧɨ |
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ɪɚɫɩɥɚɜɥɹɟɬɫɹ ɢ ɧɟɤɪɨɬɢɡɢɪɨɜɚɧɧɵɟ ɬɤɚɧɢ ɜ ɜɢɞɟ ɫɬɟɪɠɧɹ ɜɦɟɫɬɟ ɫ ɨɫɬɚɬɤɚɦɢ |
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ɜɨɥɨɫɚ ɜɵɞɟɥɹɸɬɫɹ ɫ ɝɧɨɟɦ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɥɚɛɨɪɚɬɨɪɧɚɹ ɢ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ |
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Ʌɚɛɨɪɚɬɨɪɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ
Ɉɛɹɡɚɬɟɥɶɧɵɟ ɤɥɢɧɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢ ɨɛɳɢɣ ɚɧɚɥɢɡ ɦɨɱɢ ɛɢɨɯɢɦɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢ ɝɥɸɤɨɡɚ ɪɟɚɤɰɢɹ ȼɚɫɫɟɪɦɚɧɚ ɊɈɌ ɞɥɹ ɢɫɤɥɸɱɟɧɢɹ ɫɩɟɰɢɮɢɱɟɫɤɨɣ ɢɧɮɟɤɰɢɢ ɤɚɤ ɜɨɡɛɭɞɢɬɟɥɹ ɜɢɪɭɫ ɢɦɦɭɧɨɞɟɮɢɰɢɬɚ ɱɟɥɨɜɟɤɚȼɂɑ ɜɢɪɭɫ ɝɟɩɚɬɢɬɚ ȼ ɇȼɡ ɜɢɪɭɫ ɝɟɩɚɬɢɬɚ ɋ ɇɈɍ
ɉɨɫɟɜ ɨɬɞɟɥɹɟɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɜɢɞɚ ɜɨɡɛɭɞɢɬɟɥɹ ɢ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ
Ⱦɨɩɨɥɧɢɬɟɥɶɧɵɟ ɩɨɫɟɜ ɧɚ ɫɬɟɪɢɥɶɧɨɫɬɶ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɍɁɂ ɂɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ ɦɹɝɤɢɯ ɬɤɚɧɟɣ ɥɢɦɮɚɬɢɱɟɫɤɢɯ ɭɡɥɨɜ ɪɟɧɬɝɟɧɨɝɪɚɮɢɹ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ
ɞɢɚɝɧɨɫɬɢɤɚ ɥɨɤɚɥɢɡɚɰɢɢ ɢ ɝɥɭɛɢɧɵ ɪɚɫɩɨɥɨɠɟɧɢɹ ɚɛɫɰɟɫɫɚ ɷɥɟɤɬɪɨɤɚɪɞɢɨɝɪɚɮɢɹ ɗɄȽ ɩɪɢ ɜɵɪɚɠɟɧɧɨɦ ɢɧɬɨɤɫɢɤɚɰɢɨɧɧɨɦ ɫɢɧɞɪɨɦɟ
Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɞɢɮɮɟɪɟɧɰɢɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɫ ɝɪɢɛɤɨɜɵɦɢ ɩɨɪɚɠɟɧɢɹɦɢ ɤɨɠɢ ɝɢɞɪɚɞɟɧɢɬɨɦ ɫɢɫɬɟɦɧɵɦ ɜɚɫɤɭɥɢɬɨɦ
ɈɊɂȿɇɌɂɊɈȼɈɑɇɕȿ ɋɊɈɄɂ ȼɊȿɆȿɇɇɈɃ ɇȿɌɊɍȾɈɋɉɈɋɈȻɇɈɋɌɂ ɋɨɫɬɚɜɥɹɸɬ - ɞɧɟɣ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɬɹɠɟɫɬɢ ɡɚɛɨɥɟɜɚɧɢɹ ɨɫɥɨɠɧɟɧɢɣ ɢ ɧɚɥɢɱɢɹ ɫɨɩɭɬɫɬɜɭɸɳɟɣ
ɩɚɬɨɥɨɝɢɢ ɈɊȽȺɇɂɁȺɐɂə ɆȿȾɂɐɂɇɋɄɈɃ ɉɈɆɈɓɂ Ʌɟɱɟɧɢɟ ɩɪɨɜɨɞɹɬ ɜ ɚɦɛɭɥɚɬɨɪɧɵɯ ɭɫɥɨɜɢɹɯ
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Ɋɚɫɩɪɨɫɬɪɚɧɟɧɧɨɫɬɶ ɝɧɨɣɧɨɝɨ ɩɪɨɰɟɫɫɚ ɧɚ ɞɜɟ ɢ ɛɨɥɟɟ ɚɧɚɬɨɦɢɱɟɫɤɢɟ ɨɛɥɚɫɬɢ |
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Ʌɨɤɚɥɢɡɚɰɢɹ ɮɭɪɭɧɤɭɥɚ ɢɥɢ ɤɚɪɛɭɧɤɭɥɚ ɧɚ ɥɢɰɟ ɜɵɲɟ ɧɨɫɨɝɭɛɧɨɝɨ |
ɉɨɤɚɡɚɧɢɹ ɞɥɹ |
ɬɪɟɭɝɨɥɶɧɢɤɚ |
ɷɤɫɬɪɟɧɧɨɣ |
Ɍɹɠɟɥɨɟ ɬɟɱɟɧɢɟ ɚɛɫɰɟɫɫɨɜ ɪɚɡɥɢɱɧɨɣ ɥɨɤɚɥɢɡɚɰɢɢ ɫ ɜɵɪɚɠɟɧɧɵɦ |
ɝɨɫɩɢɬɚɥɢɡɚɰɢɢ |
ɢɧɬɨɤɫɢɤɚɰɢɨɧɧɵɦ ɫɢɧɞɪɨɦɨɦ Ɋɚɡɜɢɬɢɟ ɨɫɥɨɠɧɟɧɢɣ ɜ ɱɚɫɬɧɨɫɬɢ |
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ɫɟɩɫɢɫɚ Ɋɚɡɜɢɬɢɟ ɝɧɨɣɧɨ-ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ ɧɚ ɮɨɧɟ |
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ɞɟɤɨɦɩɟɧɫɢɪɨɜɚɧɧɨɝɨ ɫɚɯɚɪɧɨɝɨ ɞɢɚɛɟɬɚ |
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ɎȺɊɆȺɄɈɌȿɊȺɉɂə
ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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Ⱥɧɬɢɛɚɤɬɟɪɢɚɥɶɧɚɹ ɬɟɪɚɩɢɹ |
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ɋɪɟɞɫɬɜɚ -ɝɨ ɪɹɞɚ |
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ɐɟɮɞɢɬɨɪɟɧ |
ȼɧɭɬɪɶ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɐɟɮɚɥɟɤɫɢɧ |
ȼɧɭɬɪɶ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɐɟɮɭɪɨɤɫɢɦ |
ȼɧɭɬɪɶ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ⱥɥɶɬɟɪɧɚɬɢɜɧɵɟ ɫɪɟɞɫɬɜɚ |
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ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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ɐɟɮɚɡɨɥɢɧ |
ȼ ɜ ɜ ɦ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ȼɧɭɬɪɶ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ⱥɦɨɤɫɢɰɢɥɥɢɧ ɤɥɚɜɭɥɚɧɨɜɚɹ ɤɢɫɥɨɬɚ |
ɢɥɢ ɜ ɜ ɝ |
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ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ȼɧɭɬɪɶ ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɢɥɢ |
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Ʉɥɢɧɞɚɦɢɰɢɧ |
ɜ ɜ - ɝ |
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ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ʌɟɜɨɮɥɨɤɫɚɰɢɧ |
ȼɧɭɬɪɶ ɢɥɢ ɜ ɜ ɝ ɪɚɡ ɜ |
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ɫɭɬɤɢ |
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Ɇɨɤɫɢɮɥɨɤɫɚɰɢɧ |
ȼɧɭɬɪɶ ɢɥɢ ɜ ɜ ɝ ɪɚɡ ɜ |
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ɫɭɬɤɢ |
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ɉɪɢ ɜɵɞɟɥɟɧɢɢ ɆɄ Ⱥ |
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Ʌɢɧɟɡɨɥɢɞ
Ⱦɚɩɬɨɦɢɰɢɧ
ɐɟɮɬɚɪɨɥɢɧɚ ɮɨɫɚɦɢɥ
ȼɚɧɤɨɦɢɰɢɧ
ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ
ȼɧɭɬɪɶ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ
ɦɝ ɧɚ ɤɝ ɜɟɫɚ
ȼ ɜ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ
ȼ ɜ ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ
Ɉɛɟɡɛɨɥɢɜɚɸɳɚɹ ɬɟɪɚɩɢɹ ɧɟɧɚɪɤɨɬɢɱɟɫɤɢɟ ɚɧɚɥɶɝɟɬɢɤɢ ɧɟɫɬɟɪɨɢɞɧɵɟ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɩɪɟɩɚɪɚɬɵ ɇɉȼɉ ɫɩɚɡɦɨɥɢɬɢɤɢ
Ⱦɢɤɥɨɮɟɧɚɤ |
ȼɧɭɬɪɶ ɢɥɢ ɜ ɦ ɦɝ ɪɚɡ ɜ |
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ɫɭɬɤɢ |
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ɂɛɭɩɪɨɮɟɧ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ʉɟɬɨɩɪɨɮɟɧ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ |
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ɂɧɞɨɦɟɬɚɰɢɧ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɏɟɧɢɥɛɭɬɚɡɨɧ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɉɚɪɚɰɟɬɚɦɨɥ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɇɟɥɨɤɫɢɤɚɦ |
ȼɧɭɬɪɶ ɢɥɢ ɜ ɦ ɦɝ ɪɚɡ |
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ɜ ɫɭɬɤɢ |
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ɇɢɦɟɫɭɥɢɞ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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ɉɪɢɦɟɧɟɧɢɟ ɞɚɧɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɪɟɤɨɦɟɧɞɨɜɚɧɨ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɢɧɝɢɛɢɬɨɪɚɦɢ ɩɪɨɬɨɧɧɨɝɨ ɧɚɫɨɫɚ ɜ |
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ɬɟɪɚɩɟɜɬɢɱɟɫɤɢɯ ɞɨɡɢɪɨɜɤɚɯ |
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Ɉɦɟɩɪɚɡɨɥ |
ȼɧɭɬɪɶ ɦɝ - ɪɚɡɚ ɜ |
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ɫɭɬɤɢ |
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ɗɡɨɦɟɩɪɚɡɨɥ |
ȼɧɭɬɪɶ ɦɝ - ɪɚɡɚ ɜ |
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ɫɭɬɤɢ |
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Ⱦɟɡɢɧɬɨɤɫɢɤɚɰɢɨɧɧɚɹ ɬɟɪɚɩɢɹ ɩɪɢ ɜɵɪɚɠɟɧɧɨɦ ɢɧɬɨɤɫɢɤɚɰɢɨɧɧɨɦ ɫɢɧɞɪɨɦɟ ɫ ɭɱɟɬɨɦ |
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ɫɨɩɭɬɫɬɜɭɸɳɟɣ ɩɚɬɨɥɨɝɢɢ |
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ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ ɪɚɫɬɜɨɪ ɫɥɨɠɧɵɣ ɤɚɥɢɹ ɯɥɨɪɢɞ + ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ + |
ɦɥ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜ ɜ |
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ɧɚɬɪɢɹ ɯɥɨɪɢɞ) |
ɤɚɩɟɥɶɧɨ |
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Ⱦɟɤɫɬɪɨɡɚ |
5% - ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɜ ɜ |
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ɤɚɩɟɥɶɧɨ |
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Ɏɢɡɢɨɬɟɪɚɩɟɜɬɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɎɌɅ ɜɵɛɨɪ ɦɟɬɨɞɚ ɢ ɫɪɨɤɨɜ - ɩɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ- |
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ɮɢɡɢɨɬɟɪɚɩɟɜɬɚ |
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Ɇɟɫɬɧɨɟ ɥɟɱɟɧɢɟ |
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Ⱥ Ʉɨɧɫɟɪɜɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ ɜ ɫɬɚɞɢɢ ɢɧɮɢɥɶɬɪɚɬɚ |
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ɉɟɪɟɜɹɡɤɢ ɫ ɚɧɬɢɫɟɩɬɢɱɟɫɤɢɦɢ ɪɚɫɬɜɨɪɚɦɢ |
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ɏɥɨɪɝɟɤɫɢɞɢɧɚ ɛɢɝɥɸɤɨɧɚɬ |
0,05% - ɦɥ - ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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Ȼɟɧɡɢɥɞɢɦɟɬɢɥ-ɦɢɪɢɫɬɨɢɥɚɦɢɧɨ- |
0,01% - ɦɥ - ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɩɪɨɩɢɥɚɦɦɨɧɢɣ |
ɧɚɪɭɠɧɨ |
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ɉɨɜɢɞɨɧ-ɣɨɞ |
10% - ɦɥ - ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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ɉɪɨɧɬɨɫɚɧ ɪɚɫɬɜɨɪ |
ɦɥ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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Ɇɚɡɟɜɵɟ ɩɨɜɹɡɤɢ ɝɟɥɢ ɤɪɟɦɵ |
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Ⱦɢɨɤɫɨɦɟɬɢɥɬɟɬɪɚɝɢɞɪɨɩɢɪɢɦɢɞɢɧ ɯɥɨɪɚɦɮɟɧɢɤɨɥ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ⱦɢɨɤɫɨɦɟɬɢɥɬɟɬɪɚɝɢɞɪɨɩɢɪɢɦɢɞɢɧ + ɫɭɥɶɮɚɞɢɦɟɬɨɤɫɢɧ + ɬɪɢɦɟɤɚɢɧ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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+ ɯɥɨɪɚɦɮɟɧɢɤɨɥ |
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Ɉɮɥɨɦɟɥɢɞ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ȼɚɰɢɬɪɚɰɢɧ ɧɟɨɦɢɰɢɧ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɉɨɜɢɞɨɧ-ɣɨɞ |
10% - ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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ɉɪɨɧɬɨɫɚɧ ɝɟɥɶ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ⱦɢɨɤɫɨɦɟɬɢɥɬɟɬɪɚɝɢɞɪɨɩɢɪɢɦɢɞɢɧ |
10% - ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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Ȼɟɬɚɦɟɬɚɡɨɧ ɝɟɧɬɚɦɢɰɢɧ |
ɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ȼ ɏɢɪɭɪɝɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɜɫɤɪɵɬɢɟ ɢ ɞɪɟɧɢɪɨɜɚɧɢɟ ɝɧɨɣɧɨ-ɧɟɤɪɨɬɢɱɟɫɤɨɝɨ ɨɱɚɝɚ ɜ ɝɧɨɣɧɨɧɟɤɪɨɬɢɱɟɫɤɭɸ ɫɬɚɞɢɸ ɩɟɪɟɜɹɡɤɢ ɫ ɚɧɬɢɫɟɩɬɢɤɚɦɢ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɦɢ ɦɚɡɹɦɢ ɩɪɨɬɟɨɥɢɬɢɱɟɫɤɢɦɢ ɮɟɪɦɟɧɬɚɦɢ ɫɦ ɜɵɲɟ
Ɍɪɢɩɫɢɧ
ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ
ɏɢɦɨɬɪɢɩɫɢɧ
ɪɚɡ ɜ ɫɭɬɤɢ
Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ
ɪɚɡ ɜ ɫɭɬɤɢ
Ɍɟɪɚɩɢɹ ɩɨ ɩɨɜɨɞɭ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ - ɫɨɝɥɚɫɧɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɩɪɨɮɢɥɶɧɵɯ ɜɪɚɱɟɣ-ɤɨɧɫɭɥɶɬɚɧɬɨɜ
ɈɋɅɈɀɇȿɇɂəɅɢɦɮɚɧɝɢɬɅɢɦɮɚɞɟɧɢɬɎɥɟɝɦɨɧɚȺɛɫɰɟɫɫɌɪɨɦɛɨɮɥɟɛɢɬɆɟɧɢɧɝɢɬɋɟɩɫɢɫ
ɄɊɂɌȿɊɂɂ ȼɕɁȾɈɊɈȼɅȿɇɂə Ɉɬɫɭɬɫɬɜɢɟ ɫɢɦɩɬɨɦɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɊȿȺȻɂɅɂɌȺɐɂə
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɨɛɳɟɝɨ ɫɨɫɬɨɹɧɢɹ ɩɚɰɢɟɧɬɚ ȾɂɋɉȺɇɋȿɊɇɈȿ ɇȺȻɅɘȾȿɇɂȿ ɇɟ ɬɪɟɛɭɟɬɫɹ