3 курс / Общая хирургия и оперативная хирургия / Тактика Врача Хирурга
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Ⱥɧɬɢɤɨɚɝɭɥɹɧɬɧɵɟ ɩɪɟɩɚɪɚɬɵ ɩɨ ɩɨɤɚɡɚɧɢɹɦ ɫ ɭɱɟɬɨɦ ɩɨɤɚɡɚɬɟɥɟɣ ɤɨɚɝɭɥɨɝɪɚɦɦɵ
Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
ȿɞ ɦɥ ɩ ɤ |
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ɇɚɞɪɨɩɚɪɢɧ ɤɚɥɶɰɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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ɗɧɨɤɫɚɩɚɪɢɧ ɧɚɬɪɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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Ⱦɚɛɢɝɚɬɪɚɧɚ ɷɬɟɤɫɢɥɚɬ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɋɢɜɚɪɨɤɫɚɛɚɧ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ȼɚɪɮɚɪɢɧ |
ɦɝ ɩɨ ɫɯɟɦɟ ɜɧɭɬɪɶ |
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Ɇɟɫɬɧɨɟ ɥɟɱɟɧɢɟ |
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Ⱥ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɝɟɩɚɪɢɧ |
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Ɍɪɨɤɫɟɪɭɬɢɧ |
2% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ ɛɟɧɡɨɤɚɢɧ |
ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɛɟɧɡɢɥɧɢɤɨɬɢɧɚɬ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
50- ɝ Ɇȿ ɬɨɧɤɢɦ ɫɥɨɟɦ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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Ȼ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɇɉȼɉ |
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Ⱦɢɤɥɨɮɟɧɚɤ |
5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ʉɟɬɨɩɪɨɮɟɧ |
2,5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɗɥɚɫɬɢɱɟɫɤɚɹ ɤɨɦɩɪɟɫɫɢɹ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ -4-ɣ ɤɥɚɫɫ
ɎɌɅ ɩɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ-ɮɢɡɢɨɬɟɪɚɩɟɜɬɚ
ȼɧɭɬɪɢɜɟɧɧɨɟ ɥɚɡɟɪɧɨɟ ɨɛɥɭɱɟɧɢɟ ɤɪɨɜɢ
Ɍɟɪɚɩɢɹ ɩɨ ɩɨɜɨɞɭ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ - ɫɨɝɥɚɫɧɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɩɪɨɮɢɥɶɧɵɯ ɜɪɚɱɟɣɤɨɧɫɭɥɶɬɚɧɬɨɜ
Ɉɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ
Ɋɚɞɢɤɚɥɶɧɚɹ ɮɥɟɛɷɤɬɨɦɢɹɋɬɜɨɥɨɜɚɹ ɮɥɟɛɷɤɬɨɦɢɹ ɧɚ ɛɟɞɪɟ
Ʉɪɨɫɫɷɤɬɨɦɢɹ ɨɩɟɪɚɰɢɹ Ɍɪɨɹɧɨɜɚ-ɌɪɟɧɞɟɥɟɧɛɭɪɝɚɊɚɞɢɨɱɚɫɬɨɬɧɚɹ ɨɛɥɢɬɟɪɚɰɢɹ ɫɬɜɨɥɚ ɛɨɥɶɲɨɣ ɢ ɦɚɥɨɣ ɩɨɞɤɨɠɧɵɯ ɜɟɧ
ɈɋɅɈɀɇȿɇɂəɄɪɨɜɨɬɟɱɟɧɢɟ ɢɡ ɜɚɪɢɤɨɡɧɨ ɪɚɫɲɢɪɟɧɧɵɯ ɜɟɧ ȼɟɧɨɡɧɚɹ ɬɪɨɮɢɱɟɫɤɚɹ ɹɡɜɚɈɫɬɪɵɣ ɬɪɨɦɛɨɮɥɟɛɢɬ ɄɊɂɌȿɊɂɂ ȼɕɁȾɈɊɈȼɅȿɇɂə Ɉɬɫɭɬɫɬɜɢɟ ɫɢɦɩɬɨɦɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɊȿȺȻɂɅɂɌȺɐɂə
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɨɛɳɟɝɨ ɫɨɫɬɨɹɧɢɹ ɩɚɰɢɟɧɬɚ ȾɂɋɉȺɇɋȿɊɇɈȿ ɇȺȻɅɘȾȿɇɂȿ ɍ ɯɢɪɭɪɝɚ ɊȿɄɈɆȿɇȾȺɐɂɂ ɉɈ ɉɊɈɎɂɅȺɄɌɂɄȿ
ɌɊɈɆȻɈɎɅȿȻɂɌ ȼȺɊɂɄɈɌɊɈɆȻɈɎɅȿȻɂɌ
Ɍɪɨɦɛɨɮɥɟɛɢɬ ɜɚɪɢɤɨɬɪɨɦɛɨɮɥɟɛɢɬ - ɬɪɨɦɛɨɡ ɩɨɞɤɨɠɧɵɯ ɜɟɧ
Ʉɨɞ ɩɨ ɆɄȻ-10
Ɏɥɟɛɢɬ ɢ ɬɪɨɦɛɨɮɥɟɛɢɬ ɩɨɜɟɪɯɧɨɫɬɧɵɯ ɫɨɫɭɞɨɜ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ
Ɍɢɩ , Ɍɪɨɦɛɨɮɥɟɛɢɬ ɞɢɫɬɚɥɶɧɵɯ ɨɬɞɟɥɨɜ ɛɨɥɶɲɨɣ ɢɥɢ ɦɚɥɨɣ ɩɨɞɤɨɠɧɵɯ ɜɟɧ ɥɢɛɨ ɢɯ ɩɪɢɬɨɤɨɜ Ɍɪɨɦɛɨɬɢɱɟɫɤɢɣ ɩɪɨɰɟɫɫ ɥɨɤɚɥɢɡɭɟɬɫɹ ɞɢɫɬɚɥɶɧɟɟ ɤɨɥɟɧɧɨɝɨ ɫɭɫɬɚɜɚ ɩɪɢ ɩɨɪɚɠɟɧɢɢ ɛɨɥɶɲɨɣ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ ɢ ɧɢɠɟ ɫɚɮɟɧɨɩɨɩɥɢɬɟɚɥɶɧɨɝɨ ɫɨɭɫɬɶɹ ɩɪɢ ɩɨɪɚɠɟɧɢɢ ɦɚɥɨɣ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ ɍɝɪɨɡɚ ɷɦɛɨɥɢɢ ɥɟɝɨɱɧɨɣ ɚɪɬɟɪɢɢ ɨɬɫɭɬɫɬɜɭɟɬ ȼ ɞɚɥɶɧɟɣɲɟɦ ɬɪɨɦɛɨɮɥɟɛɢɬ ɥɢɛɨ ɫɬɢɯɚɟɬ ɥɢɛɨ ɩɟɪɟɯɨɞɢɬ ɜ ɨɞɢɧ ɢɡ ɫɥɟɞɭɸɳɢɯ ɬɢɩɨɜ
Ɍɢɩ ,, Ɍɪɨɦɛɨɮɥɟɛɢɬ ɪɚɫɩɪɨɫɬɪɚɧɹɟɬɫɹ ɞɨ ɫɚɮɟ-ɧɨ-ɮɟɦɨɪɚɥɶɧɨɝɨ ɢɥɢ ɫɚɮɟɧɨ-ɩɨɩɥɢɬɟɚɥɶɧɨɝɨ ɫɨɭɫɬɶɹ ɧɟ ɩɟɪɟɯɨɞɹ ɧɚ ɛɟɞɪɟɧɧɭɸ ɩɨɞɤɨɥɟɧɧɭɸ ɜɟɧɭ ɇɟɩɨɫɪɟɞɫɬɜɟɧɧɨɣ ɭɝɪɨɡɵ ɷɦɛɨɥɢɡɚɰɢɢ ɥɟɝɨɱɧɨɝɨ ɚɪɬɟɪɢɚɥɶɧɨɝɨ ɪɭɫɥɚ ɟɳɟ ɧɟɬ ɧɨ ɨɧɚ ɦɨɠɟɬ ɜɨɡɧɢɤɧɭɬɶ ɜ ɫɚɦɨɟ ɛɥɢɠɚɣɲɟɟ ɜɪɟɦɹ
Ɍɢɩ ,,, Ɍɪɨɦɛɨɮɥɟɛɢɬ ɱɟɪɟɡ ɭɫɬɶɟ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ ɩɟɪɟɯɨɞɢɬ ɧɚ ɝɥɭɛɨɤɭɸ ɜɟɧɨɡɧɭɸ ɫɢɫɬɟɦɭ ȼɟɪɯɭɲɤɚ ɬɚɤɨɝɨ ɬɪɨɦɛɚ ɤɚɤ ɩɪɚɜɢɥɨ ɧɨɫɢɬ ɧɟɨɤɤɥɸɡɢɜɧɵɣ ɯɚɪɚɤɬɟɪ ɢ ɮɥɨɬɢɪɭɟɬ ɩɥɚɜɚɟɬ ɜ ɤɪɨɜɨɬɨɤɟ ɛɟɞɪɟɧɧɨɣ ɢɥɢ ɩɨɞɤɨɥɟɧɧɨɣ ɜɟɧɵ Ɍɪɨɦɛ ɮɢɤɫɢɪɨɜɚɧ ɤ ɜɟɧɨɡɧɨɣ ɫɬɟɧɤɟ ɥɢɲɶ ɜ ɩɪɨɤɫɢɦɚɥɶɧɨɦ ɨɬɞɟɥɟ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ ɍɝɪɨɡɚ ɥɟɝɨɱɧɨɣ ɷɦɛɨɥɢɢ ɜ ɬɨɦ ɱɢɫɥɟ ɢ ɮɚɬɚɥɶɧɨɣ ɨɱɟɧɶ ɜɟɥɢɤɚ ȼ ɩɨɫɥɟɞɭɸɳɟɦ ɩɨɞɨɛɧɵɣ ɮɥɨɬɢɪɭɸɳɢɣ ɬɪɨɦɛ ɥɢɛɨ ɩɪɟɜɪɚɳɚɟɬɫɹ ɜ ɷɦɛɨɥ ɥɢɛɨ ɫɬɚɧɨɜɢɬɫɹ ɩɪɢɫɬɟɧɨɱɧɵɦ ɢɥɢ ɨɤɤɥɸɡɢɜɧɵɦ ɬɪɨɦɛɨɦ ɦɚɝɢɫɬɪɚɥɶɧɨɣ ɝɥɭɛɨɤɨɣ ɜɟɧɵ Ⱦɚɥɶɧɟɣɲɟɟ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɟ ɬɪɨɦɛɨɡɚ ɩɨ ɝɥɭɛɨɤɨɣ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɟ ɜ
ɩɪɨɤɫɢɦɚɥɶɧɨɦ ɢ ɞɢɫɬɚɥɶɧɨɦ ɧɚɩɪɚɜɥɟɧɢɹɯ ɜɟɞɟɬ ɤ ɪɚɡɜɢɬɢɸ ɩɪɨɬɹɠɟɧɧɨɣ ɨɤɤɥɸɡɢɢ ɛɟɞɪɟɧɧɨ-ɩɨɞɜɡɞɨɲɧɨɝɨ ɫɟɝɦɟɧɬɚ
Ɍɢɩ ,9 Ɍɪɨɦɛɨɮɥɟɛɢɬ ɧɟ ɪɚɫɩɪɨɫɬɪɚɧɹɟɬɫɹ ɧɚ ɩɪɢɭɫɬɶɟɜɵɟ ɨɬɞɟɥɵ ɧɨ ɱɟɪɟɡ ɧɟɫɨɫɬɨɹɬɟɥɶɧɵɟ ɩɟɪɮɨɪɚɧɬɧɵɟ ɜɟɧɵ ɝɨɥɟɧɢ ɢɥɢ ɛɟɞɪɚ ɩɟɪɟɯɨɞɢɬ ɧɚ ɝɥɭɛɨɤɭɸ ɜɟɧɨɡɧɭɸ ɫɢɫɬɟɦɭ ɇɚɥɢɱɢɟ ɢɥɢ ɨɬɫɭɬɫɬɜɢɟ ɭɝɪɨɡɵ ɥɟɝɨɱɧɨɣ ɷɦɛɨɥɢɢ ɭ ɩɚɰɢɟɧɬɨɜ ɷɬɨɣ ɝɪɭɩɩɵ ɡɚɜɢɫɢɬ ɜ ɩɟɪɜɭɸ ɨɱɟɪɟɞɶ ɨɬ ɯɚɪɚɤɬɟɪɚ ɬɪɨɦɛɚɮɥɨɬɢɪɭɸɳɢɣ ɩɪɢɫɬɟɧɨɱɧɵɣ ɢɥɢ ɨɤɤɥɸɡɢɜɧɵɣ ɜ ɝɥɭɛɨɤɨɣ ɜɟɧɨɡɧɨɣ ɦɚɝɢɫɬɪɚɥɢ
Ɍɢɩ 9 Ʌɸɛɨɣ ɢɡ ɩɟɪɟɱɢɫɥɟɧɧɵɯ ɜɚɪɢɚɧɬɨɜ ɬɪɨɦɛɨɮɥɟɛɢɬɚ ɫɨɱɟɬɚɟɬɫɹ ɫ ɢɡɨɥɢɪɨɜɚɧɧɵɦ ɫɢɦɭɥɶɬɚɧɧɵɦ ɬɪɨɦɛɨɡɨɦ ɝɥɭɛɨɤɨɣ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɵ ɤɚɤ ɩɨɪɚɠɟɧɧɨɣ ɬɚɤ ɢ ɤɨɧɬɪɚɥɚɬɟɪɚɥɶɧɨɣ ɤɨɧɟɱɧɨɫɬɢ
ɗɌɂɈɅɈȽɂə ȼɚɪɢɤɨɡɧɚɹ ɛɨɥɟɡɧɶ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɩɨɫɬɬɪɨɦɛɨɬɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ ɝɟɦɚɬɨɥɨɝɢɱɟɫɤɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɉȺɌɈȽȿɇȿɁ ɋɨɝɥɚɫɧɨ ɬɪɢɚɞɟ ȼɢɪɯɨɜɚ ɞɥɹ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɬɪɨɦɛɨɡɚ ɧɟɨɛɯɨɞɢɦɨ ɫɨɱɟɬɚɧɢɟ ɬɪɟɯ ɭɫɥɨɜɢɣ ɡɚɦɟɞɥɟɧɢɟ ɬɨɤɚ
ɤɪɨɜɢ ɩɨɜɪɟɠɞɟɧɢɟ ɷɧɞɨɬɟɥɢɹ ɜɟɧɨɡɧɨɣ ɫɬɟɧɤɢ ɢ ɝɢɩɟɪɤɨɚɝɭɥɹɰɢɹ ɤɪɨɜɢ Ɂɚɦɟɞɥɟɧɢɟ ɬɨɤɚ ɤɪɨɜɢ ɩɪɢɜɨɞɢɬ ɤ ɪɚɫɬɹɠɟɧɢɸ ɫɬɟɧɤɢ ɫɨɫɭɞɚ ɢ ɞɟɮɨɪɦɚɰɢɢ ɫɬɜɨɪɨɤ ɤɥɚɩɚɧɨɜ ȼɨɡɧɢɤɚɸɳɢɣ ɪɟɬɪɨɝɪɚɞɧɵɣ ɤɪɨɜɨɬɨɤ ɫɧɢɠɚɟɬ ɬɚɧɝɟɧɰɢɚɥɶɧɨɟ ɧɚɩɪɹɠɟɧɢɟ ɜɟɧɨɡɧɨɣ ɫɬɟɧɤɢ ȼɟɧɨɡɧɵɣ ɫɬɚɡ ɜɵɡɵɜɚɟɬ ɮɨɪɦɢɪɨɜɚɧɢɟ ɧɚ ɩɨɜɟɪɯɧɨɫɬɢ ɷɧɞɨɬɟɥɢɹ ɡɨɧ ɫ ɧɢɡɤɨɣ ɢɥɢ ɧɭɥɟɜɨɣ ɫɢɥɨɣ ɫɞɜɢɝɚ ɱɬɨ ɜ ɫɜɨɸ ɨɱɟɪɟɞɶ ɩɪɢɜɨɞɢɬ ɤ ɫɬɪɭɤɬɭɪɧɵɦ ɢɡɦɟɧɟɧɢɹɦ ɜɟɧɨɡɧɨɣ ɫɬɟɧɤɢ ȼɫɟ ɷɬɢ ɫɨɛɵɬɢɹ ɢɧɢɰɢɢɪɭɸɬ ɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɪɟɚɤɰɢɢ ɫ ɭɱɚɫɬɢɟɦ ɥɟɣɤɨɰɢɬɨɜ ɢ ɷɧɞɨɬɟɥɢɨɰɢɬɨɜ ɢɧɬɢɦɵ ɜɟɧɵ ɱɬɨ ɩɪɢɜɨɞɢɬ ɤ ɚɤɬɢɜɚɰɢɢ ɤɚɫɤɚɞɚ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɢɡɦɟɧɟɧɢɣ ɫɨɩɪɨɜɨɠɞɚɸɳɢɯɫɹ ɜɵɪɚɛɨɬɤɨɣ ɦɟɞɢɚɬɨɪɨɜ ɜɨɫɩɚɥɟɧɢɹ ɢ ɩɨɜɪɟɠɞɟɧɢɟɦ ɫɨɫɭɞɢɫɬɨɣ ɫɬɟɧɤɢ
ɉɊɂɆȿɊ ȾɂȺȽɇɈɁȺ Ɉɫɬɪɵɣ ɬɪɨɦɛɨɮɥɟɛɢɬ ɥɟɜɨɝɨ ɛɟɞɪɚ ȾɂȺȽɇɈɋɌɂɄȺ
Ʉɪɢɬɟɪɢɢ |
Ʉɨɦɦɟɧɬɚɪɢɢ |
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ɞɢɚɝɧɨɫɬɢɤɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɨɰɟɧɤɚ ɤɥɢɧɢɱɟɫɤɢɯ ɞɚɧɧɵɯ
Ȼɨɥɢ ɢ ɝɢɩɟɪɟɦɢɹ ɤɨɠɧɵɯ ɩɨɤɪɨɜɨɜ ɩɨ ɯɨɞɭ ɬɪɨɦɛɢɪɨɜɚɧɧɵɯ ɜɟɧ ɀɚɥɨɛɵ ɨɝɪɚɧɢɱɢɜɚɸɳɢɟ ɞɜɢɠɟɧɢɹ ɤɨɧɟɱɧɨɫɬɢ ɦɟɫɬɧɨ - ɨɬɟɤ ɩɨɜɵɲɟɧɢɟ ɬɟɦɩɟɪɚɬɭɪɵ
ɝɢɩɟɪɟɫɬɟɡɢɹ ɤɨɠɧɵɯ ɩɨɤɪɨɜɨɜ ȼ ɪɹɞɟ ɫɥɭɱɚɟɜ ɨɬɦɟɱɚɸɬɫɹ ɝɢɩɟɪɬɟɪɦɢɹ ɧɟ ɜɵɲɟɋ ɧɟɞɨɦɨɝɚɧɢɟ ɨɡɧɨɛ
Ɋɟɤɨɦɟɧɞɨɜɚɧɨ ɮɢɡɢɤɚɥɶɧɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɋ
Ɉɫɦɨɬɪ ɂɧɮɢɥɶɬɪɚɬ ɜ ɩɪɨɟɤɰɢɢ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ ɛɨɥɟɡɧɟɧɧɵɣ ɩɪɢ ɩɚɥɶɩɚɰɢɢ ɤɨɠɧɵɟ ɩɨɤɪɨɜɵ ɧɚɞ ɧɢɦ ɝɢɩɟɪɟɦɢɪɨɜɚɧɵ ɨɬɟɤ ɦɹɝɤɢɯ ɬɤɚɧɟɣ ɜ ɨɛɥɚɫɬɢ ɢɧɮɢɥɶɬɪɚɬɚ
Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɥɚɛɨɪɚɬɨɪɧɚɹ ɢ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ
Ʌɚɛɨɪɚɬɨɪɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ
ɂɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ
Ʉɥɢɧɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢ ɨɛɳɢɣ ɚɧɚɥɢɡ ɦɨɱɢ ɛɢɨɯɢɦɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢɨɛɳɢɣ ɛɟɥɨɤ ɤɪɟɚɬɢɧɢɧ ɛɢɥɢɪɭɛɢɧ ɝɥɸɤɨɡɚ ɯɨɥɟɫɬɟɪɢɧ ɥɢɩɨɩɪɨɬɟɢɞɵ ɤɨɚɝɭɥɨɝɪɚɦɦɚ ɊɈɌ ȼɂɑ ɂȼ ɇɈɍ
ɍɁȺɋ ɜɟɧ ɩɨɪɚɠɟɧɧɨɣ ɢ ɤɨɧɬɪɚɥɚɬɟɪɚɥɶɧɨɣ ɤɨɧɟɱɧɨɫɬɢ ɍɁɂ ɨɪɝɚɧɨɜ ɛɪɸɲɧɨɣ ɩɨɥɨɫɬɢ ɗɄȽ
Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɞɢɮɮɟɪɟɧɰɢɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɬɪɨɦɛɨɡ ɝɥɭɛɨɤɢɯ ɜɟɧ ɪɨɠɢɫɬɨɟ ɜɨɫɩɚɥɟɧɢɟ
ɈɊɂȿɇɌɂɊɈȼɈɑɇɕȿ ɋɊɈɄɂ ȼɊȿɆȿɇɇɈɃ ɇȿɌɊɍȾɈɋɉɈɋɈȻɇɈɋɌɂ Ɂɚɜɢɫɹɬ ɨɬ ɬɹɠɟɫɬɢ ɡɚɛɨɥɟɜɚɧɢɹ ɨɫɥɨɠɧɟɧɢɣ ɢ ɧɚɥɢɱɢɹ ɫɨɩɭɬɫɬɜɭɸɳɟɣ ɩɚɬɨɥɨɝɢɢ ɈɊȽȺɇɂɁȺɐɂə ɆȿȾɂɐɂɇɋɄɈɃ ɉɈɆɈɓɂ Ʌɟɱɟɧɢɟ ɩɪɨɜɨɞɹɬ ɜ ɚɦɛɭɥɚɬɨɪɧɵɯ ɭɫɥɨɜɢɹɯ ɉɨɤɚɡɚɧɢɹ ɞɥɹ ɷɤɫɬɪɟɧɧɨɣ ɝɨɫɩɢɬɚɥɢɡɚɰɢɢ
ɉɟɪɜɢɱɧɚɹ ɥɨɤɚɥɢɡɚɰɢɹ |
ɉɟɪɜɢɱɧɚɹ ɥɨɤɚɥɢɡɚɰɢɹ ɬɪɨɦɛɨɮɥɟɛɢɬɚ ɜ ɜɟɪɯɧɟɣ ɬɪɟɬɢ ɝɨɥɟɧɢ ɩɪɢ |
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ɬɪɨɦɛɨɮɥɟɛɢɬɚ ɧɚ ɛɟɞɪɟ ɩɪɢ |
ɩɨɪɚɠɟɧɢɢ ɦɚɥɨɣ ɩɨɞɤɨɠɧɨɣ ɜɟɧɵ Ɋɚɫɩɪɨɫɬɪɚɧɟɧɢɟ ɬɪɨɦɛɨɡɚ ɢɡ |
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ɩɨɪɚɠɟɧɢɢ ɛɨɥɶɲɨɣ ɩɨɞɤɨɠɧɨɣ |
ɞɢɫɬɚɥɶɧɵɯ ɨɬɞɟɥɨɜ ɜ ɭɤɚɡɚɧɧɵɟ ɫɟɝɦɟɧɬɵ ɧɟɫɦɨɬɪɹ ɧɚ ɩɪɨɜɨɞɢɦɭɸ |
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ɜɟɧɵ |
ɬɟɪɚɩɢɸ ɋɢɦɩɬɨɦɵ ɬɪɨɦɛɨɷɦɛɨɥɢɢ ɥɟɝɨɱɧɨɣ ɚɪɬɟɪɢɢ |
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ɌȿɊȺɉɂə |
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ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
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Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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Ɏɥɟɛɨɬɨɧɢɱɟɫɤɢɟ ɩɪɟɩɚɪɚɬɵ ɤɭɪɫɚɦɢ - ɦɟɫ ɪɚɡɚ ɜ ɝɨɞ |
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Ƚɟɫɩɟɪɢɞɢɧ ɞɢɨɫɦɢɧ |
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ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱦɢɨɫɦɢɧ |
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ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɍɪɨɤɫɟɪɭɬɢɧ |
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ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱥɧɬɢɫɬɚɤɫ |
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ɦɝ ɩɨ ɬɚɛɥɟɬɤɢ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɋɭɬɨɡɢɞ |
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ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ɇɉȼɉ |
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Ⱦɢɤɥɨɮɟɧɚɤ |
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ȼɧɭɬɪɶ ɢɥɢ ɜ ɦ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ |
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ɂɛɭɩɪɨɮɟɧ |
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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 ɜ ɫɭɬɤɢ |
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ɇɢɦɟɫɭɥɢɞ |
ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɉɪɢɦɟɧɟɧɢɟ ɞɚɧɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɪɟɤɨɦɟɧɞɨɜɚɧɨ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɢɧɝɢɛɢɬɨɪɚɦɢ ɩɪɨɬɨɧɧɨɝɨ ɧɚɫɨɫɚ ɜ ɬɟɪɚɩɟɜɬɢɱɟɫɤɢɯ ɞɨɡɢɪɨɜɤɚɯ
Ɉɦɟɩɪɚɡɨɥ |
ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ɗɡɨɦɟɩɪɚɡɨɥ |
20 (40 ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱥɧɬɢɤɨɚɝɭɥɹɧɬɧɵɟ ɩɪɟɩɚɪɚɬɵ ɫ ɭɱɟɬɨɦ ɩɨɤɚɡɚɬɟɥɟɣ ɤɨɚɝɭɥɨɝɪɚɦɦɵ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
ȿɞ ɦɥ ɩ ɤ |
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ɇɚɞɪɨɩɚɪɢɧ ɤɚɥɶɰɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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ɗɧɨɤɫɚɩɚɪɢɧ ɧɚɬɪɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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Ⱦɚɛɢɝɚɬɪɚɧɚ ɷɬɟɤɫɢɥɚɬ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɋɢɜɚɪɨɤɫɚɛɚɧ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ȼɚɪɮɚɪɢɧ |
ɦɝ ɩɨ ɫɯɟɦɟ ɜɧɭɬɪɶ |
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Ɇɟɫɬɧɨɟ ɥɟɱɟɧɢɟ |
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Ⱥ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɝɟɩɚɪɢɧ |
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Ɍɪɨɤɫɟɪɭɬɢɧ |
2% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ ɛɟɧɡɨɤɚɢɧ ɛɟɧɡɢɥɧɢɤɨɬɢɧɚɬ |
ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
50- ɝ Ɇȿ ɬɨɧɤɢɦ ɫɥɨɟɦ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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Ȼ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɇɉȼɉ |
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Ⱦɢɤɥɨɮɟɧɚɤ |
5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ʉɟɬɨɩɪɨɮɟɧ |
2,5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɗɥɚɫɬɢɱɟɫɤɚɹ ɤɨɦɩɪɟɫɫɢɹ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ - ɛɢɧɬɨɜɚɧɢɟ
ɎɌɅ ɩɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ-ɮɢɡɢɨɬɟɪɚɩɟɜɬɚ
Ɍɟɪɚɩɢɹ ɩɨ ɩɨɜɨɞɭ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ - ɫɨɝɥɚɫɧɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɩɪɨɮɢɥɶɧɵɯ ɜɪɚɱɟɣ-ɤɨɧɫɭɥɶɬɚɧɬɨɜ
Ɉɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ
ɉɟɪɟɜɹɡɤɚ ɭɫɬɶɹ ɬɪɨɦɛɢɪɨɜɚɧɧɨɣ ɜɟɧɵɌɪɨɦɛɷɤɬɨɦɢɹ ɢɡ ɦɚɝɢɫɬɪɚɥɶɧɵɯ ɜɟɧ ɜɵɩɨɥɧɹɟɬɫɹ ɩɪɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɢ ɬɪɨɦɛɚ ɡɚ ɩɪɟɞɟɥɵ ɫɚɮɟɧɨ-
ɮɟɦɨɪɚɥɶɧɨɝɨ ɫɨɭɫɬɶɹ ɢɥɢ ɫɚɮɟɧɨ-ɩɨɩɥɢɬɟɚɥɶɧɨɝɨ ɫɨɭɫɬɶɹɌɪɨɦɛɷɤɬɨɦɢɹ ɢɡ ɩɟɪɮɨɪɚɧɬɧɨɣ ɜɟɧɵ
ɈɋɅɈɀɇȿɇɂə Ɍɪɨɦɛɨɷɦɛɨɥɢɹ ɥɟɝɨɱɧɨɣ ɚɪɬɟɪɢɢ ɊȿȺȻɂɅɂɌȺɐɂə
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɨɛɳɟɝɨ ɫɨɫɬɨɹɧɢɹ ɩɚɰɢɟɧɬɚ ɊȿɄɈɆȿɇȾȺɐɂɂ ɉɈ ɉɊɈɎɂɅȺɄɌɂɄȿ
ɉɈɋɌɌɊɈɆȻɈɌɂɑȿɋɄȺə ȻɈɅȿɁɇɖ ɉɨɫɬɬɪɨɦɛɨɬɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ - ɜɬɨɪɢɱɧɚɹ ɯɪɨɧɢɱɟɫɤɚɹ ɜɟɧɨɡɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɏȼɇ ɜɨɡɧɢɤɲɚɹ ɜ
ɪɟɡɭɥɶɬɚɬɟ ɩɟɪɟɧɟɫɟɧɧɨɝɨ ɬɪɨɦɛɨɡɚ ɜ ɫɢɫɬɟɦɟ ɝɥɭɛɨɤɢɯ ɜɟɧ ɤɨɧɟɱɧɨɫɬɢ
Ʉɨɞ ɩɨ ɆɄȻ-10
, ɉɨɫɬɮɥɟɛɢɬɢɱɟɫɤɢɣ ɫɢɧɞɪɨɦ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ ȼ ɋ ɋɚɜɟɥɶɟɜɚ ɬɢɱɟɫɤɢɣ ɫɢɧɞɪɨɦ ɥɨɤɚɥɢɡɚɰɢɹ
-ɛɟɪɰɨɜɵɣ ɫɟɝɦɟɧɬ
-ɩɨɞɤɨɥɟɧɧɵɣ ɫɟɝɦɟɧɬ
-ɛɟɞɪɟɧɧɵɣ ɫɟɝɦɟɧɬ
-ɩɨɞɜɡɞɨɲɧɵɣ ɫɟɝɦɟɧɬ
-ɧɢɠɧɹɹ ɩɨɥɚɹ ɜɟɧɚ
ɮɨɪɦɚ ɩɨɪɚɠɟɧɢɹ
-ɨɤɤɥɸɡɢɜɧɚɹ
-ɪɟɤɚɧɚɥɢɡɨɜɚɧɧɚɹɫɬɟɩɟɧɶ ɏȼɇ
-0 - ɤɥɢɧɢɱɟɫɤɢɟ ɩɪɨɹɜɥɟɧɢɹ ɨɬɫɭɬɫɬɜɭɸɬ
-I - ɫɢɧɞɪɨɦ ɬɹɠɟɥɵɯ ɧɨɝ ɩɪɟɯɨɞɹɳɢɣ ɨɬɟɤ
-II - ɫɬɨɣɤɢɣ ɨɬɟɤ ɝɢɩɟɪɢɥɢ ɝɢɩɨɩɢɝɦɟɧɬɚɰɢɹ ɥɢɩɨɞɟɪɦɚɬɨɫɤɥɟɪɨɡ ɷɤɡɟɦɚ
-III - ɜɟɧɨɡɧɚɹ ɬɪɨɮɢɱɟɫɤɚɹ ɹɡɜɚ ɨɬɤɪɵɬɚɹ ɢɥɢ ɡɚɠɢɜɲɚɹ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ ɋȿȺɊ Ʉɥɢɧɢɱɟɫɤɢɣ ɪɚɡɞɟɥ ɋ
ɋ - ɧɟɬ ɜɢɞɢɦɵɯ ɢɥɢ ɩɚɥɶɩɢɪɭɟɦɵɯ ɩɪɢɡɧɚɤɨɜ ɏɁȼɋ - ɬɟɥɟɚɧɝɢɷɤɬɚɡɢɢ ɢɥɢ ɪɟɬɢɤɭɥɹɪɧɵɟ ɜɚɪɢɤɨɡɧɵɟ ɜɟɧɵ
ɋ - ɜɚɪɢɤɨɡɧɨ ɢɡɦɟɧɟɧɧɵɟ ɩɨɞɤɨɠɧɵɟ ɜɟɧɵ ɞɢɚɦɟɬɪ ɛɨɥɟɟ ɦɦɋ - ɨɬɟɤɋ - ɬɪɨɮɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɤɨɠɢ ɢ ɩɨɞɤɨɠɧɵɯ ɬɤɚɧɟɣ
-ɚ - ɝɢɩɟɪɩɢɝɦɟɧɬɚɰɢɹ ɢ ɢɥɢ ɜɟɧɨɡɧɚɹ ɷɤɡɟɦɚ
-ɶ - ɥɢɩɨɞɟɪɦɚɬɨɫɤɥɟɪɨɡ ɢ ɢɥɢ ɛɟɥɚɹ ɚɬɪɨɮɢɹ ɤɨɠɢ
ɋ - ɡɚɠɢɜɲɚɹ ɜɟɧɨɡɧɚɹ ɹɡɜɚɋ - ɨɬɤɪɵɬɚɹ ɜɟɧɨɡɧɚɹ ɹɡɜɚ ɗɬɢɨɥɨɝɢɱɟɫɤɢɣ ɪɚɡɞɟɥ ȿ
ȿɫ - ɜɪɨɠɞɟɧɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟȿɪ - ɩɟɪɜɢɱɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟȿ - ɜɬɨɪɢɱɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟ
ȿɩ - ɧɟ ɭɞɚɟɬɫɹ ɭɫɬɚɧɨɜɢɬɶ ɷɬɢɨɥɨɝɢɱɟɫɤɢɣ ɮɚɤɬɨɪ Ⱥɧɚɬɨɦɢɱɟɫɤɢɣ ɪɚɡɞɟɥ Ⱥ
Ⱥ - ɩɨɜɟɪɯɧɨɫɬɧɵɟ ɜɟɧɵȺɪ - ɩɟɪɮɨɪɚɧɬɧɵɟ ɜɟɧɵȺɺ-ɝɥɭɛɨɤɢɟ ɜɟɧɵ
Ⱥɩ - ɧɟ ɭɞɚɟɬɫɹ ɜɵɹɜɢɬɶ ɢɡɦɟɧɟɧɢɹ ɜ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɟ ɉɚɬɨɮɢɡɢɨɥɨɝɢɱɟɫɤɢɣ ɪɚɡɞɟɥ ɊɊɝ - ɪɟɮɥɸɤɫɊɨ - ɨɤɤɥɸɡɢɹ
Ɋɝ ɨ - ɫɨɱɟɬɚɧɢɟ ɪɟɮɥɸɤɫɚ ɢ ɨɤɤɥɸɡɢɢɊɩ - ɧɟ ɭɞɚɟɬɫɹ ɜɵɹɜɢɬɶ ɢɡɦɟɧɟɧɢɹ ɜ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɟ
ɗɌɂɈɅɈȽɂə ɉɟɪɟɧɟɫɟɧɧɵɣ ɬɪɨɦɛɨɡ ɝɥɭɛɨɤɢɯ ɜɟɧ ɤɨɧɟɱɧɨɫɬɢ ɉȺɌɈȽȿɇȿɁ
Ɉɫɬɪɵɣ ɬɪɨɦɛɨɡ ɦɚɝɢɫɬɪɚɥɶɧɵɯ ɝɥɭɛɨɤɢɯ ɜɟɧ ɜ ɬɟɱɟɧɢɟ - ɦɟɫ ɫɦɟɧɹɟɬɫɹ ɫɬɚɞɢɟɣ ɚɤɬɢɜɧɨɣ ɷɜɨɥɸɰɢɢ ɬɪɨɦɛɚ Ɉɪɝɚɧɢɡɚɰɢɹ ɨɛɪɚɡɨɜɚɜɲɟɝɨɫɹ ɬɪɨɦɛɚ ɩɪɨɢɫɯɨɞɢɬ ɡɚ ɫɱɟɬ ɪɚɡɦɧɨɠɟɧɢɹ ɮɢɛɪɨɛɥɚɫɬɨɜ ɢɧɬɢɦɵ ɫɨɫɭɞɚ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɜɨɫɩɚɥɢɬɟɥɶɧɨɣ ɢɧɮɢɥɶɬɪɚɰɢɟɣ ɫɬɟɧɤɢ ɫɨɫɭɞɚ ɮɥɟɛɢɬɨɦ ɍɜɟɥɢɱɟɧɢɟ ɪɟɝɢɨɧɚɪɧɨɝɨ ɨɛɴɟɦɚ ɤɪɨɜɢ ɜɫɥɟɞɫɬɜɢɟ ɧɟɞɨɫɬɚɬɨɱɧɨɝɨ ɟɟ ɨɬɬɨɤɚ ɢɡ ɤɨɧɟɱɧɨɫɬɢ ɨɛɭɫɥɨɜɥɢɜɚɟɬ ɩɨɜɵɲɟɧɢɟ ɜɟɧɨɡɧɨɝɨ ɞɚɜɥɟɧɢɹ ɜɫɥɟɞɫɬɜɢɟ ɱɟɝɨ ɪɚɡɜɢɜɚɟɬɫɹ ɤɥɚɩɚɧɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɝɥɭɛɨɤɢɯ ɢ ɩɟɪɮɨɪɚɧɬɧɵɯ ɜɟɧ ɞɢɫɬɚɥɶɧɟɟ ɭɪɨɜɧɹ ɬɪɨɦɛɨɡɚ ɉɪɨɥɢɮɟɪɚɰɢɹ ɮɢɛɪɨɛɥɚɫɬɨɜ ɜ ɬɨɥɳɟ ɬɪɨɦɛɨɬɢɱɟɫɤɢɯ ɦɚɫɫ ɫɨɩɪɨɜɨɠɞɚɟɬɫɹ ɨɛɪɚɡɨɜɚɧɢɟɦ ɤɚɧɚɥɨɜ ɢ ɳɟɥɟɣ ɤɨɬɨɪɵɟ ɩɨɤɪɵɜɚɸɬɫɹ ɷɧɞɨɬɟɥɢɟɦ ɇɚ ɷɬɨɣ ɫɬɚɞɢɢ ɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɢɡɦɟɧɟɧɢɹ ɜ ɫɬɟɧɤɟ ɜɟɧɵ ɫɦɟɧɹɸɬɫɹ ɫɤɥɟɪɨɬɢɱɟɫɤɢɦɢ Ɉɬɦɟɱɚɟɬɫɹ ɝɢɩɟɪɬɪɨɮɢɹ ɝɥɚɞɤɨɦɵɲɟɱɧɵɯ ɷɥɟɦɟɧɬɨɜ ɫɬɟɧɤɢ ɜɟɧɵ ȼ ɪɹɞɟ ɫɥɭɱɚɟɜ ɦɨɠɟɬ ɪɚɡɜɢɬɶɫɹ ɤɚɥɶɰɢɮɢɤɚɰɢɹ ɢ ɨɫɫɢɮɢɤɚɰɢɹ ɜɟɧɨɡɧɨɣ ɫɬɟɧɤɢ ɇɟ ɜɫɟɝɞɚ ɪɟɤɚɧɚɥɢɡɚɰɢɹ ɩɪɢɜɨɞɢɬ ɤ ɩɨɥɧɨɦɭ ɜɨɫɫɬɚɧɨɜɥɟɧɢɸ ɩɪɨɫɜɟɬɚ ɫɨɫɭɞɚ Ɇɨɝɭɬ ɫɨɯɪɚɧɹɬɶɫɹ ɭɱɚɫɬɤɢ ɫɬɟɧɨɡɚ ɩɪɟɩɹɬɫɬɜɭɸɳɢɟ ɨɬɬɨɤɭ ɤɪɨɜɢ ɂɧɬɢɦɚ ɫɨɫɭɞɚ ɜ ɩɪɨɰɟɫɫɟ ɢɧɜɨɥɸɰɢɢ ɬɪɨɦɛɨɬɢɱɟɫɤɢɯ ɦɚɫɫ ɡɧɚɱɢɬɟɥɶɧɨ ɭɬɨɥɳɚɟɬɫɹ ɢ ɩɨɞɜɟɪɝɚɟɬɫɹ ɝɢɚɥɢɧɨɡɭ ɇɚ ɷɬɨɣ ɫɬɚɞɢɢ ɮɨɪɦɢɪɭɟɬɫɹ ɨɪɝɚɧɢɱɟɫɤɚɹ ɤɥɚɩɚɧɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ ɝɥɭɛɨɤɢɯ ɜɟɧ ɉɨɜɵɲɟɧɢɟ ɧɚɝɪɭɡɤɢ ɧɚ ɩɨɜɟɪɯɧɨɫɬɧɭɸ ɜɟɧɨɡɧɭɸ ɫɢɫɬɟɦɭ ɫɩɨɫɨɛɫɬɜɭɟɬ ɜɬɨɪɢɱɧɵɦ ɦɨɪɮɨɥɨɝɢɱɟɫɤɢɦ ɢɡɦɟɧɟɧɢɹɦ ɜ ɧɟɣ
ɉɊɂɆȿɊȾɂȺȽɇɈɁȺ ɉɨɫɬɬɪɨɦɛɨɬɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ ɥɟɜɨɣ ɧɢɠɧɟɣ ɤɨɧɟɱɧɨɫɬɢ ɏȼɇ ,, ɫɬɟɩɟɧɢ ɋ ȿɡ Ⱥɡ ɺ ɪ Ɋɨ Ɋɝ ɨ ȾɂȺȽɇɈɋɌɂɄȺ
Ʉɪɢɬɟɪɢɢ |
Ʉɨɦɦɟɧɬɚɪɢɢ |
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ɞɢɚɝɧɨɫɬɢɤɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɨɰɟɧɤɚ ɤɥɢɧɢɱɟɫɤɢɯ ɞɚɧɧɵɯ
Ȼɨɥɶ ɜ ɢɤɪɨɧɨɠɧɵɯ ɦɵɲɰɚɯ ɬɭɩɚɹ ɧɨɸɳɚɹ ɬɹɠɟɫɬɶ ɜ ɢɤɪɨɧɨɠɧɵɯ ɦɵɲɰɚɯ ɭɬɨɦɥɹɟɦɨɫɬɶ ɧɨɝ ɡɭɞ ɠɠɟɧɢɟ ɜ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɹɯ Ɂɚɤɨɧɨɦɟɪɧɨ ɠɚɥɨɛɵ ɭɫɢɥɢɜɚɸɬɫɹ ɩɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɣ ɚɤɬɢɜɧɨɫɬɢ ɦɵɲɟɱɧɨɣ ɩɨɦɩɵ ɝɨɥɟɧɢ ɞɥɢɬɟɥɶɧɨɟ
ɀɚɥɨɛɵ ɩɨɥɨɠɟɧɢɟ ɫɬɨɹ ɢɥɢ ɫɢɞɹ ɢɥɢ ɤ ɤɨɧɰɭ ɞɧɹ ɪɟɝɪɟɫɫɢɪɭɸɬ ɩɪɢ ɦɵɲɟɱɧɨɣ ɚɤɬɢɜɧɨɫɬɢ ɝɨɥɟɧɟɣ ɩɨɫɥɟ ɨɬɞɵɯɚ ɜ ɝɨɪɢɡɨɧɬɚɥɶɧɨɦ ɩɨɥɨɠɟɧɢɢ ɢɥɢ ɩɪɢ
ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɷɥɚɫɬɢɱɟɫɤɨɣ ɤɨɦɩɪɟɫɫɢɢ ɜɨɡɦɨɠɧɨ ɫɟɡɨɧɧɨɟ ɢ ɟɠɟɦɟɫɹɱɧɨɟ ɢɡɦɟɧɟɧɢɟ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɩɪɨɹɜɥɟɧɢɣ ɭ ɠɟɧɳɢɧ ɦɨɥɨɞɨɝɨ ɢ ɫɪɟɞɧɟɝɨ ɜɨɡɪɚɫɬɚ ɠɚɥɨɛɵ ɦɨɝɭɬ ɭɫɢɥɢɜɚɬɶɫɹ ɩɟɪɟɞ ɦɟɧɫɬɪɭɚɰɢɟɣ
Ɋɟɤɨɦɟɧɞɨɜɚɧɨ ɮɢɡɢɤɚɥɶɧɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɋ
ɇɚɥɢɱɢɟ ɬɟɥɟɚɧɝɢɷɤɬɚɡɢɣ ɪɟɬɢɤɭɥɹɪɧɨ ɪɚɫɲɢɪɟɧɧɵɯ ɢ ɜɚɪɢɤɨɡɧɨ ɪɚɫɲɢɪɟɧɧɵɯ Ɉɫɦɨɬɪ ɜɟɧ ɨɬɟɤɢ ɝɨɥɟɧɟɣ ɬɪɨɮɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɤɨɠɢ ɢ ɩɨɜɟɪɯɧɨɫɬɧɵɯ ɦɹɝɤɢɯ ɬɤɚɧɟɣ
ɜɩɥɨɬɶ ɞɨ ɨɛɪɚɡɨɜɚɧɢɹ ɬɪɨɮɢɱɟɫɤɢɯ ɹɡɜ
3. Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɥɚɛɨɪɚɬɨɪɧɚɹ ɢ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ
Ʌɚɛɨɪɚɬɨɪɧɚɹ Ʉɥɢɧɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢ ɨɛɳɢɣ ɚɧɚɥɢɡ ɦɨɱɢ ɛɢɨɯɢɦɢɱɟɫɤɢɣ ɚɧɚɥɢɡ ɤɪɨɜɢ ɞɢɚɝɧɨɫɬɢɤɚ ɨɛɳɢɣ ɛɟɥɨɤ ɤɪɟɚɬɢɧɢɧ ɛɢɥɢɪɭɛɢɧ ɝɥɸɤɨɡɚ ɯɨɥɟɫɬɟɪɢɧ ɥɢɩɨɩɪɨɬɟɢɞɵ
ɤɨɚɝɭɥɨɝɪɚɦɦɚ ɊɈɌ ȼɂɑ ɂȼ ɇɈɍ
ɂɧɫɬɪɭɦɟɧɬɚɥɶɧɚɹ |
ɍɁȺɋ ɜɟɧ ɩɨɪɚɠɟɧɧɨɣ ɢ ɤɨɧɬɪɚɥɚɬɟɪɚɥɶɧɨɣ ɤɨɧɟɱɧɨɫɬɢ ɍɁɂ ɨɪɝɚɧɨɜ ɛɪɸɲɧɨɣ |
ɞɢɚɝɧɨɫɬɢɤɚ |
ɩɨɥɨɫɬɢ ɗɄȽ ɗȽȾɋ |
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Ɋɟɤɨɦɟɧɞɨɜɚɧɚ ɞɢɮɮɟɪɟɧɰɢɚɥɶɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɜɚɪɢɤɨɡɧɚɹ ɛɨɥɟɡɧɶ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɚɪɬɟɪɢɨɜɟɧɨɡɧɵɟ ɦɚɥɶɮɨɪɦɚɰɢɢ
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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ɉɨɤɚɡɚɧɢɹ ɞɥɹ ɩɥɚɧɨɜɨɣ |
Ɉɤɤɥɸɡɢɹ ɮɟɦɨɪɨ-ɢɥɢɨɤɚɜɚɥɶɧɨɝɨ ɫɟɝɦɟɧɬɚ ɫɨɩɪɨɜɨɠɞɚɸɳɚɹɫɹ |
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ɝɨɫɩɢɬɚɥɢɡɚɰɢɢ |
ɜɵɪɚɠɟɧɧɨɣ ɏȼɇ ɏȼɇ ,,, ɫɬɟɩɟɧɢ |
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ɌȿɊȺɉɂə |
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ɉɪɟɩɚɪɚɬ ɜɵɛɨɪɚ |
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Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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Ɏɥɟɛɨɬɨɧɢɱɟɫɤɢɟ ɩɪɟɩɚɪɚɬɵ ɤɭɪɫɚɦɢ - ɦɟɫ ɪɚɡɚ ɜ ɝɨɞ |
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Ƚɟɫɩɟɪɢɞɢɧ ɞɢɨɫɦɢɧ |
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ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱦɢɨɫɦɢɧ |
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ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɍɪɨɤɫɟɪɭɬɢɧ |
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ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱥɧɬɢɫɬɚɤɫ |
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ɦɝ ɩɨ ɬɚɛɥɟɬɤɢ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɋɭɬɨɡɢɞ |
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ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ɇɉȼɉ |
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Ⱦɢɤɥɨɮɟɧɚɤ |
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ȼɧɭɬɪɶ ɢɥɢ ɜ ɦ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ |
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ɂɛɭɩɪɨɮɟɧ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ʉɟɬɨɩɪɨɮɟɧ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ |
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ɂɧɞɨɦɟɬɚɰɢɧ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɏɟɧɢɥɛɭɬɚɡɨɧ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɉɚɪɚɰɟɬɚɦɨɥ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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Ɇɟɥɨɤɫɢɤɚɦ |
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ȼɧɭɬɪɶ ɢɥɢ ɜ ɦ ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ |
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ɇɢɦɟɫɭɥɢɞ |
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ȼɧɭɬɪɶ ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɉɪɢɦɟɧɟɧɢɟ ɞɚɧɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɪɟɤɨɦɟɧɞɨɜɚɧɨ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɢɧɝɢɛɢɬɨɪɚɦɢ ɩɪɨɬɨɧɧɨɝɨ ɧɚɫɨɫɚ ɜ ɬɟɪɚɩɟɜɬɢɱɟɫɤɢɯ ɞɨɡɢɪɨɜɤɚɯ
Ɉɦɟɩɪɚɡɨɥ |
ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ɗɡɨɦɟɩɪɚɡɨɥ |
ɦɝ - ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ⱥɧɬɢɤɨɚɝɭɥɹɧɬɧɵɟ ɩɪɟɩɚɪɚɬɵ ɩɨ ɩɨɤɚɡɚɧɢɹɦ ɫ ɭɱɟɬɨɦ ɩɨɤɚɡɚɬɟɥɟɣ ɤɨɚɝɭɥɨɝɪɚɦɦɵ
Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
ȿɞ ɦɥ ɩ ɤ |
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ɇɚɞɪɨɩɚɪɢɧ ɤɚɥɶɰɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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ɗɧɨɤɫɚɩɚɪɢɧ ɧɚɬɪɢɹ |
ɦɥ ɪɚɡ ɜ ɫɭɬɤɢ ɩ ɤ |
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Ⱦɚɛɢɝɚɬɪɚɧɚ ɷɬɟɤɫɢɥɚɬ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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Ɋɢɜɚɪɨɤɫɚɛɚɧ |
ɦɝ ɪɚɡ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ |
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ȼɚɪɮɚɪɢɧ |
ɦɝ ɩɨ ɫɯɟɦɟ ɜɧɭɬɪɶ |
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Ⱥɧɝɢɨɩɪɨɬɟɤɬɨɪɵ |
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ɉɟɧɬɨɤɫɢɮɢɥɥɢɧ |
ɦɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ ɜ ɦ ɜ ɜ |
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ɋɭɥɨɞɟɤɫɢɞ |
Ʌȿ ɪɚɡɚ ɜ ɫɭɬɤɢ ɜɧɭɬɪɶ ɜ ɦ ɜ ɜ |
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Ɇɟɫɬɧɨɟ ɥɟɱɟɧɢɟ |
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Ⱥ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɝɟɩɚɪɢɧ |
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Ɍɪɨɤɫɟɪɭɬɢɧ |
2% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ ɛɟɧɡɨɤɚɢɧ ɛɟɧɡɢɥɧɢɤɨɬɢɧɚɬ |
ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ |
50- ɝ Ɇȿ ɬɨɧɤɢɦ ɫɥɨɟɦ ɪɚɡɚ ɜ ɫɭɬɤɢ |
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ɧɚɪɭɠɧɨ |
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Ȼ ɉɪɟɩɚɪɚɬɵ ɫɨɞɟɪɠɚɳɢɟ ɇɉȼɉ |
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Ⱦɢɤɥɨɮɟɧɚɤ |
5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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Ʉɟɬɨɩɪɨɮɟɧ |
2,5% - ɝ ɪɚɡɚ ɜ ɫɭɬɤɢ ɧɚɪɭɠɧɨ |
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ɗɥɚɫɬɢɱɟɫɤɚɹ ɤɨɦɩɪɟɫɫɢɹ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ -4-ɣ ɤɥɚɫɫ
ɎɌɅ ɩɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ-ɮɢɡɢɨɬɟɪɚɩɟɜɬɚ
Ɍɟɪɚɩɢɹ ɩɨ ɩɨɜɨɞɭ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ - ɫɨɝɥɚɫɧɨ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɩɪɨɮɢɥɶɧɵɯ ɜɪɚɱɟɣɤɨɧɫɭɥɶɬɚɧɬɨɜ
10. Ɉɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ
ɋɬɟɧɬɢɪɨɜɚɧɢɟ ɨɤɤɥɸɡɢɪɨɜɚɧɧɵɯ ɩɨɞɜɡɞɨɲɧɵɯ ɜɟɧɈɩɟɪɚɰɢɹ 3DOPD
ɉɪɨɬɟɡɢɪɨɜɚɧɢɟ ɨɤɤɥɸɡɢɪɨɜɚɧɧɵɯ ɜɟɧ ɮɟɦɨɪɨ-ɢɥɢɨɤɚɜɚɥɶɧɨɝɨ ɫɟɝɦɟɧɬɚɗɧɞɨɮɥɟɛɷɤɬɨɦɢɹȼɧɭɬɪɟɧɧɹɹ ɜɧɟɲɧɹɹ ɜɚɥɶɜɭɥɨɩɥɚɫɬɢɤɚ
ɋɨɡɞɚɧɢɟ ɧɟɨɤɥɚɩɚɧɚ
ɈɋɅɈɀɇȿɇɂə Ʉɪɨɜɨɬɟɱɟɧɢɟ ɢɡ ɜɬɨɪɢɱɧɨ ɪɚɫɲɢɪɟɧɧɵɯ ɩɨɞɤɨɠɧɵɯ ɜɟɧ ɬɪɨɮɢɱɟɫɤɚɹ ɜɟɧɨɡɧɚɹ ɹɡɜɚ ɬɪɨɦɛɨɡ ɩɨɞɤɨɠɧɵɯ ɢ
ɝɥɭɛɨɤɢɯ ɜɟɧ ɊȿȺȻɂɅɂɌȺɐɂə
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɨɛɳɟɝɨ ɫɨɫɬɨɹɧɢɹ ɩɚɰɢɟɧɬɚ ɊȿɄɈɆȿɇȾȺɐɂɂ ɉɈ ɉɊɈɎɂɅȺɄɌɂɄȿ
ȼȺɊɂɄɈɁɇȺə ɌɊɈɎɂɑȿɋɄȺə əɁȼȺ ȼɚɪɢɤɨɡɧɚɹ ɬɪɨɮɢɱɟɫɤɚɹ ɹɡɜɚ ȼɌə - ɧɟɡɚɠɢɜɚɸɳɢɣ ɜ ɬɟɱɟɧɢɟ ɧɟɞ ɢ ɛɨɥɟɟ ɞɟɮɟɤɬ ɤɨɠɢ ɢ ɦɹɝɤɢɯ ɬɤɚɧɟɣ
ɫɜɹɡɚɧɧɵɣ ɫ ɏɁȼ
Ʉɨɞɵ ɩɨ ɆɄȻ-10
ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɫ ɹɡɜɨɣ
ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɫ ɹɡɜɨɣ ɢ ɜɨɫɩɚɥɟɧɢɟɦ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ
Ʉɥɢɧɢɱɟɫɤɢɟ ɤɥɚɫɫɵ ɩɨ ɋȿȺɊ ɢ ɤɨɞɵ ɞɢɚɝɧɨɡɚ ɩɨ ɆɄȻɋ -ɋ Ⱦɪɭɝɢɟ ɭɬɨɱɧɟɧɧɵɟ ɩɨɪɚɠɟɧɢɹ ɜɟɧ 187.8;
ɋ -ɋ ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɛɟɡ ɹɡɜɵ ɢɥɢ ɜɨɫɩɚɥɟɧɢɹ
ɋ -ɋ ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɫ ɜɨɫɩɚɥɟɧɢɟɦ
183.1;
ɋ -ɋ ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɫ ɹɡɜɨɣ ɢ ɜɨɫɩɚɥɟɧɢɟɦ
ɋ ȼɚɪɢɤɨɡɧɨɟ ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɧɢɠɧɢɯ ɤɨɧɟɱɧɨɫɬɟɣ ɫ ɹɡɜɨɣ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ ɋȿȺɊ
Ʉɥɚɫɫɢɮɢɤɚɰɢɹ ɋȿȺɊ ɭɱɢɬɵɜɚɟɬ ɤɥɢɧɢɱɟɫɤɢɟ ɩɪɨɹɜɥɟɧɢɹ & - clinic), ɷɬɢɨɥɨɝɢɸ ( - HWLRORJ\ ɚɧɚɬɨɦɢɱɟɫɤɭɸ ɥɨɤɚɥɢɡɚɰɢɸ $ - DQDWRP\ ɢ ɩɚɬɨɝɟɧɟɡ (P - SDWKRJHQHVLV ɡɚɛɨɥɟɜɚɧɢɹ
Ʉɥɢɧɢɱɟɫɤɢɣ ɪɚɡɞɟɥ ɋ ȼ ɷɬɨɦ ɪɚɡɞɟɥɟ ɤɥɚɫɫɢɮɢɤɚɰɢɢ ɨɩɢɫɵɜɚɸɬ ɤɥɢɧɢɱɟɫɤɢɣ ɫɬɚɬɭɫ ɩɚɰɢɟɧɬɚ ɉɨɜɨɞɨɦ ɞɥɹ ɨɬɧɟɫɟɧɢɹ ɛɨɥɶɧɨɝɨ ɤ ɬɨɦɭ ɢɥɢ ɢɧɨɦɭ ɤɥɚɫɫɭ ɫɥɭɠɢɬ ɧɚɥɢɱɢɟ ɭ ɧɟɝɨ ɧɚɢɛɨɥɟɟ ɜɵɪɚɠɟɧɧɨɝɨ ɨɛɴɟɤɬɢɜɧɨɝɨ ɫɢɦɩɬɨɦɚ ɏɁȼ
ā ɋ - ɧɟɬ ɜɢɞɢɦɵɯ ɢɥɢ ɩɚɥɶɩɢɪɭɟɦɵɯ ɩɪɢɡɧɚɤɨɜ ɏɁȼ ā ɋ - ɬɟɥɟɚɧɝɢɷɤɬɚɡɢɢ ɢɥɢ ɪɟɬɢɤɭɥɹɪɧɵɟ ɜɟɧɵ ā ɋ - ɜɚɪɢɤɨɡɧɨ-ɢɡɦɟɧɟɧɧɵɟ ɩɨɞɤɨɠɧɵɟ ɜɟɧɵ ā ɋ - ɨɬɟɤ
· ɋ - ɬɪɨɮɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɤɨɠɢ ɢ ɩɨɞɤɨɠɧɵɯ ɬɤɚɧɟɣ a - ɝɢɩɟɪɩɢɝɦɟɧɬɚɰɢɹ ɢ ɢɥɢ ɜɚɪɢɤɨɡɧɚɹ ɷɤɡɟɦɚ
b - ɥɢɩɨɞɟɪɦɚɬɨɫɤɥɟɪɨɡ ɢ ɢɥɢ ɛɟɥɚɹ ɚɬɪɨɮɢɹ ɤɨɠɢ ā ɋ - ɡɚɠɢɜɲɚɹ ɜɟɧɨɡɧɚɹ ɹɡɜɚ ā ɋ - ɨɬɤɪɵɬɚɹ ɚɤɬɢɜɧɚɹ ɜɟɧɨɡɧɚɹ ɹɡɜɚ
ȿɫɥɢ ɤɪɨɦɟ ɨɛɴɟɤɬɢɜɧɵɯ ɩɪɢɡɧɚɤɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɨɛɧɚɪɭɠɢɜɚɸɬ ɫɭɛɴɟɤɬɢɜɧɵɟ ɛɨɥɶ ɬɹɠɟɫɬɶ ɭɬɨɦɥɹɟɦɨɫɬɶ ɱɭɜɫɬɜɨ ɪɚɫɩɢɪɚɧɢɹ ɡɭɞ ɠɠɟɧɢɟ ɩɚɪɟɫɬɟɡɢɢ ɧɨɱɧɵɟ ɫɭɞɨɪɨɝɢ ɬɨ ɤ ɨɛɨɡɧɚɱɟɧɢɸ ɤɥɢɧɢɱɟɫɤɨɝɨ ɤɥɚɫɫɚ ɞɨɛɚɜɥɹɸɬ 6 ɫɭɛɴɟɤɬɢɜɧɵɟ ɫɢɦɩɬɨɦɵ ɟɫɬɶ ȿɫɥɢ ɩɚɰɢɟɧɬ ɧɟ ɩɪɟɞɴɹɜɥɹɟɬ ɠɚɥɨɛ ɬɨ ɤ ɨɛɨɡɧɚɱɟɧɢɸ ɤɥɢɧɢɱɟɫɤɨɝɨ ɤɥɚɫɫɚ ɞɨɛɚɜɥɹɸɬ Ⱥ ɫɭɛɴɟɤɬɢɜɧɵɯ ɫɢɦɩɬɨɦɨɜ ɧɟɬ
ɗɬɢɨɥɨɝɢɱɟɫɤɢɣ ɪɚɡɞɟɥ ( ȼ ɷɬɨɦ ɪɚɡɞɟɥɟ ɭɤɚɡɵɜɚɸɬ ɩɪɨɢɫɯɨɠɞɟɧɢɟ ɡɚɛɨɥɟɜɚɧɢɹ
·Ec - ɜɪɨɠɞɟɧɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟ
·Ep - ɩɟɪɜɢɱɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟ
·Es - ɜɬɨɪɢɱɧɨɟ ɡɚɛɨɥɟɜɚɧɢɟ ɫ ɢɡɜɟɫɬɧɨɣ ɩɪɢɱɢɧɨɣ
· En - ɧɟ ɭɞɚɟɬɫɹ ɭɫɬɚɧɨɜɢɬɶ ɷɬɢɨɥɨɝɢɱɟɫɤɢɣ ɮɚɤɬɨɪ Ⱥɧɚɬɨɦɢɱɟɫɤɢɣ ɪɚɡɞɟɥ Ⱥ ȼ ɷɬɨɦ ɪɚɡɞɟɥɟ ɭɤɚɡɵɜɚɸɬ ɥɨɤɚɥɢɡɚɰɢɸ
ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɢɡɦɟɧɟɧɢɣ
·As - ɩɨɜɟɪɯɧɨɫɬɧɵɟ ɜɟɧɵ
·Ap - ɩɟɪɮɨɪɚɧɬɧɵɟ ɜɟɧɵ
·Ad - ɝɥɭɛɨɤɢɟ ɜɟɧɵ
·An - ɧɟ ɭɞɚɟɬɫɹ ɜɵɹɜɢɬɶ ɢɡɦɟɧɟɧɢɹ ɜ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɟ
ɉɨɪɚɠɟɧɢɟ ɦɨɠɟɬ ɥɨɤɚɥɢɡɨɜɚɬɶɫɹ ɜ ɨɞɧɨɣ ɧɚɩɪɢɦɟɪ $G ɢɥɢ ɜ ɧɟɫɤɨɥɶɤɢɯ ɫɢɫɬɟɦɚɯ ɨɞɧɨɜɪɟɦɟɧɧɨ $V S G
ɉɚɬɨɮɢɡɢɨɥɨɝɢɱɟɫɤɢɣ ɪɚɡɞɟɥ 3 ȼ ɷɬɨɦ ɪɚɡɞɟɥɟ ɭɤɚɡɵɜɚɸɬ ɯɚɪɚɤɬɟɪ ɧɚɪɭɲɟɧɢɣ ɜɟɧɨɡɧɨɣ ɝɟɦɨɞɢɧɚɦɢɤɢ 3U - ɪɟɮɥɸɤɫ 3R - ɨɤɤɥɸɡɢɹ 3U R - ɫɨɱɟɬɚɧɢɟ ɪɟɮɥɸɤɫɚ ɢ ɨɤɤɥɸɡɢɢ 3Q - ɧɟ ɭɞɚɟɬɫɹ ɜɵɹɜɢɬɶ ɢɡɦɟɧɟɧɢɹ ɜ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɟ
Ȼɚɡɨɜɵɣ ɢ ɪɚɫɲɢɪɟɧɧɵɣ ɜɚɪɢɚɧɬɵ ɤɥɚɫɫɢɮɢɤɚɰɢɢ ɉɪɢ ɨɩɢɫɚɧɢɢ ɮɥɟɛɨɥɨɝɢɱɟɫɤɨɝɨ ɫɬɚɬɭɫɚ ɩɚɰɢɟɧɬɚ ɦɨɠɧɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɛɚɡɨɜɵɣ EDVLF ɜɚɪɢɚɧɬ ɤɥɚɫɫɢɮɢɤɚɰɢɢ ɜ ɤɨɬɨɪɨɦ ɭɤɚɡɵɜɚɸɬ ɤɥɢɧɢɱɟɫɤɢɣ ɤɥɚɫɫ ɩɨ ɦɚɤɫɢɦɚɥɶɧɨ ɜɵɪɚɠɟɧɧɨɦɭ ɤɥɢɧɢɱɟɫɤɨɦɭ ɩɪɢɡɧɚɤɭ ɚ ɜ ɩɚɬɨɮɢɡɢɨɥɨɝɢɱɟɫɤɨɦ ɪɚɡɞɟɥɟ ɨɬɦɟɱɚɸɬ ɬɨɥɶɤɨ ɧɚɥɢɱɢɟ ɪɟɮɥɸɤɫɚ ɨɤɤɥɸɡɢɢ ɢɥɢ ɢɯ ɨɬɫɭɬɫɬɜɢɟ Ⱦɥɹ ɞɟɬɚɥɶɧɨɣ ɯɚɪɚɤɬɟɪɢɫɬɢɤɢ ɢɫɩɨɥɶɡɭɸɬ ɪɚɫɲɢɪɟɧɧɵɣ DGYDQFHG ɜɚɪɢɚɧɬ ɤɥɚɫɫɢɮɢɤɚɰɢɢ ɤɨɬɨɪɵɣ ɨɬɥɢɱɚɟɬɫɹ ɨɬ ɛɚɡɨɜɨɝɨ ɨɛɨɡɧɚɱɟɧɢɟɦ ɤɥɢɧɢɱɟɫɤɨɝɨ ɤɥɚɫɫɚ ɫ ɩɟɪɟɱɢɫɥɟɧɢɟɦ ɜɫɟɯ ɢɦɟɸɳɢɯɫɹ ɨɛɴɟɤɬɢɜɧɵɯ ɫɢɦɩɬɨɦɨɜ ɢ ɭɤɚɡɚɧɢɟɦ ɫɟɝɦɟɧɬɨɜ ɜɟɧɨɡɧɨɣ ɫɢɫɬɟɦɵ ɜ ɤɨɬɨɪɵɯ ɨɛɧɚɪɭɠɟɧɵ ɩɚɬɨɥɨɝɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹɪɟɮɥɸɤɫ ɢɥɢ ɨɤɤɥɸɡɢɹ
Ʉɚɠɞɨɦɭ ɝɟɦɨɞɢɧɚɦɢɱɟɫɤɢ ɡɧɚɱɢɦɨɦɭ ɨɬɞɟɥɭ ɜɟɧɨɡɧɨɝɨ ɪɭɫɥɚ ɧɢɠɧɟɣ ɤɨɧɟɱɧɨɫɬɢ ɩɪɢɫɜɚɢɜɚɸɬ ɰɢɮɪɨɜɨɟ ɨɛɨɡɧɚɱɟɧɢɟ
ā ɩɨɜɟɪɯɧɨɫɬɧɵɟ ɜɟɧɵ Ɍɟɥɟɚɧɝɢɷɤɬɚɡɢɢ ɢ ɢɥɢ ɪɟɬɢɤɭɥɹɪɧɵɟ ɜɚɪɢɤɨɡɧɵɟ ɜɟɧɵ Ȼɨɥɶɲɚɹ ɩɨɞɤɨɠɧɚɹ ɜɟɧɚ ɛɟɞɪɚ Ȼɨɥɶɲɚɹ ɩɨɞɤɨɠɧɚɹ ɜɟɧɚ ɝɨɥɟɧɢ 4. Ɇɚɥɚɹ ɩɨɞɤɨɠɧɚɹ ɜɟɧɚ ȼɟɧɵ ɧɟ ɩɪɢɧɚɞɥɟɠɚɳɢɟ ɤ ɫɢɫɬɟɦɚɦ ɛɨɥɶɲɨɣ ɢɥɢ ɦɚɥɨɣ ɩɨɞɤɨɠɧɵɯ ɜɟɧ
ā ɝɥɭɛɨɤɢɟ ɜɟɧɵ ɇɢɠɧɹɹ ɩɨɥɚɹ ɜɟɧɚ Ɉɛɳɚɹ ɩɨɞɜɡɞɨɲɧɚɹ ɜɟɧɚ ȼɧɭɬɪɟɧɧɹɹ ɩɨɞɜɡɞɨɲɧɚɹ ɜɟɧɚ ɇɚɪɭɠɧɚɹ ɩɨɞɜɡɞɨɲɧɚɹ ɜɟɧɚ Ɍɚɡɨɜɵɟ ɜɟɧɵ ɝɨɧɚɞɧɚɹ ɲɢɪɨɤɨɣ ɫɜɹɡɤɢ ɞɪɭɝɢɟ Ɉɛɳɚɹ ɛɟɞɪɟɧɧɚɹ ɜɟɧɚ Ƚɥɭɛɨɤɚɹ ɜɟɧɚ ɛɟɞɪɚ ɉɨɜɟɪɯɧɨɫɬɧɚɹ ɛɟɞɪɟɧɧɚɹ ɜɟɧɚ ɉɨɞɤɨɥɟɧɧɚɹ ɜɟɧɚ ȼɟɧɵ ɝɨɥɟɧɢ ɩɟɪɟɞɧɢɟ ɛɨɥɶɲɟɛɟɪɰɨɜɵɟ ɡɚɞɧɢɟ ɛɨɥɶɲɟɛɟɪɰɨɜɵɟ ɦɚɥɨɛɟɪɰɨɜɵɟ Ɇɵɲɟɱɧɵɟ ɜɟɧɵ ɝɨɥɟɧɢ
ā ɩɟɪɮɨɪɚɧɬɧɵɟ ɜɟɧɵ Ȼɟɞɪɚ Ƚɨɥɟɧɢ ȼ ɤɨɧɰɟ ɞɢɚɝɧɨɡɚ ɭɤɚɡɵɜɚɸɬ ɭɪɨɜɟɧɶ ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɯ ɞɟɣɫɬɜɢɣ ɢ ɞɚɬɭ
ɨɛɫɥɟɞɨɜɚɧɢɹ ɍɪɨɜɟɧɶ ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɯ ɞɟɣɫɬɜɢɣ /
·LI - ɤɥɢɧɢɱɟɫɤɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɭɥɶɬɪɚɡɜɭɤɨɜɚɹ ɞɨɩɩɥɟɪɨɝɪɚɮɢɹ
·LII - ɤɥɢɧɢɱɟɫɤɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɚɧɝɢɨɫɤɚɧɢɪɨɜɚɧɢɟ ɩɥɟɬɢɡɦɨɝɪɚɮɢɹ
·LIII - ɤɥɢɧɢɱɟɫɤɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɚɧɝɢɨɫɤɚɧɢɪɨɜɚɧɢɟ ɮɥɟɛɨɝɪɚɮɢɹ ɢɥɢ ɮɥɟɛɨɬɨɧɨɦɟɬɪɢɹ ɢɥɢ ɫɩɢɪɚɥɶɧɚɹ ɤɨɦɩɶɸɬɟɪɧɚɹ ɬɨɦɨɝɪɚɮɢɹ ɢɥɢ ɦɚɝɧɢɬɧɨ-ɪɟɡɨɧɚɧɫɧɚɹ ɬɨɦɨɝɪɚɮɢɹ
ɄɅɂɇɂɑȿɋɄȺə ɒɄȺɅȺ ɈɐȿɇɄɂ ɌəɀȿɋɌɂ ȼȿɇɈɁɇɕɏ ɁȺȻɈɅȿȼȺɇɂɃ 9(1286 &/,1,&$/
SEVERITY SCORE, VCSS)
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