3 курс / Фармакология / Лекарственные_средства,_применяемые_в_акушерстве_и_гинекологии,

92

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɡɟɩɢɧɚ

Ƚɟɤɫɨɩɪɟɧɚɥɢɧ

Ȼɪɨɧɯɨɞɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

10 ɦɤɝ ɧɚ

ɥɚɬɢɪɭɸ-

ɪɨɤɢ ɫɟɪɞɰɚ, ɚɪɢɬɦɢɢ,

500 ɦɥ 0,9%

ɳɟɟ, ɬɨɤɨ-

ɬɢɪɟɨɬɨɤɫɢɤɨɡ, ɝɥɚɭɤɨɦɚ,

ɪ-ɪɚ ɧɚɬɪɢɹ

ɥɢɬɢɱɟ-

ɂȻɋ. ɇɟ ɫɥɟɞɭɟɬ ɩɪɢɦɟ-

ɯɥɨɪɢɞɚ ɢɥɢ ɧɚ

ɫɤɨɟ ɞɟɣ-

ɧɹɬɶ ɫ ɚɞɪɟɧɨɛɥɨɤɚɬɨɪɚ-

500 ɦɥ 5% ɝɥɸ-

ɫɬɜɢɟ,

ɦɢ

ɤɨɡɵ ɜ/ɜ ɤɚ-

ɜɨɡɛɭɠɞɚ-

ɩɟɥɶɧɨ ɨɬ 10 ɞɨ

ɟɬ ȕ2-ɚɞɪɟ-

60 ɤɚɩɟɥɶ ɜ ɦɢ-

ɧɨɪɟɰɟɩ-

ɧɭɬɭ

ɬɨɪɵ

ɗɩɢɞɭɪɚɥɶɧɚɹ

ɚɧɚɥɝɟɡɢɹ (ɫɦ.

ɪɚɡɞɟɥ ɚɧɟɫɬɟ-

ɡɢɨɥɨɝɢɹ)

Ɉ75.5 Ɂɚɞɟɪɠɤɚ ɪɨ-

Ɉɤɫɢɬɨɰɢɧ 5

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

ɞɨɜ ɩɨɫɥɟ ɢɫɤɭɫɫɬ-

Ɇȿ ɧɚ 500 ɦɥ

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

ɜɟɧɧɨɝɨ ɪɚɡɪɵɜɚ

0,9% ɪ-ɪɚ ɧɚ-

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɩɥɨɞɧɵɯ ɨɛɨɥɨɱɟɤ

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

Ɉ75.6 Ɂɚɞɟɪɠɤɚ ɪɨ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ

ɬɢɤɢ

ɞɨɜ ɩɨɫɥɟ ɫɚɦɨɩɪɨ-

ɢɡɜɨɥɶɧɨɝɨ ɪɚɡɪɵɜɚ

ɩɥɨɞɧɵɯ ɨɛɨɥɨɱɟɤ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɶɝɟɡɢ-

ɬɪɢɹ 250–500 ɦɝ

ɬɢɤ–

ɪɭɸɳɟɟ, ɫɩɚɡɦɨɥɢɬɢɱɟ-

ɜ/ɜ, ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɫɤɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ ɞɥɢ-

ɬɢɤ, ɩɪɨ-

ɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ —

ɢɡɜɨɞɧɨɟ

ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɩɢɪɚɡɨɥɨ-

ɧɚ

Ⱦɪɨɬɚɜɟɪɢɧ 40–

ɋɩɚɡɦɨɥɢ-

ɂɧɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪ-

80 ɦɝ ɜ/ɜ, ɜ/ɦ

ɬɢɤ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ⱥɬɪɨɩɢɧ 0,1%

Ⱥɧɬɢɯɨ-

Ɇ-ɯɨɥɢɧɨɛɥɨɤɚɬɨɪ. ɉɪɨ-

ɪ-ɪ 1 ɦɥ ɜ/ɦ

ɥɢɧɟɪɝɢ-

ɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɥɚɭɤɨɦɚ,

ɱɟɫɤɨɟ

ɨɛɫɬɪɭɤɬɢɜɧɵɟ ɡɚɛɨɥɟɜɚ-

ɫɪɟɞɫɬɜɨ,

ɧɢɹ ɤɢɲɟɱɧɢɤɚ ɢ ɦɨɱɟ-

ɚɥɤɚɥɨɢɞ

ɜɵɜɨɞɹɳɢɯ ɩɭɬɟɣ, ɹɡɜɟɧ-

ɝɪɭɩɩɵ

ɧɵɣ ɤɨɥɢɬ, ɝɪɵɠɚ ɩɢɳɟ-

ЛС, используемые при проведении родов

93

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɚɬɪɨɩɢɧɚ

ɜɨɞɧɨɝɨ ɨɬɜɟɪɫɬɢɹ ɞɢɚ-

ɮɪɚɝɦɵ

Ɇɟɬɨɰɢɧɢɹ ɣɨ-

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɞ 0,5–1 ɦɝ

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɜ/ɦ, ɜ/ɜ

ɯɨɥɢɧɨɥɢ-

ɜɵɪɚɠɟɧɧɚɹ ɫɟɪɞɟɱɧɚɹ,

ɬɢɤ

ɩɟɱɟɧɨɱɧɚɹ ɢɥɢ ɩɨɱɟɱɧɚɹ

ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ, ɚɬɪɢɨ-

ɜɟɧɬɪɢɤɭɥɹɪɧɚɹ ɛɥɨɤɚɞɚ

II–III ɫɬɟɩɟɧɢ

Ɋ-ɪ ɞɟɤɫɬɪɨɡɵ

Ʉɪɢɫɬɚɥ-

Ʉɨɪɪɟɤɰɢɹ ɜɨɞɧɨ-

40% 20 ɦɥ ɜ/ɜ

ɥɨɢɞ

ɷɥɟɤɬɪɨɥɢɬɧɨɝɨ ɛɚɥɚɧɫɚ

ɤɪɨɜɢ. ɍɥɭɱɲɚɟɬ ɮɟɬɨɩ-

ɥɚɰɟɧɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

Ⱥɫɤɨɪɛɢɧɨɜɚɹ

Ƚɪɭɩɩɚ

ɍɥɭɱɲɚɟɬ ɨɛɦɟɧɧɵɟ

ɤɢɫɥɨɬɚ 50–150

ɜɢɬɚɦɢɧɚ

ɩɪɨɰɟɫɫɵ, ɮɟɬɨɩɥɚɰɟɧ-

ɦɝ ɜ/ɜ

ɋ

ɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

Ʉɨɤɚɪɛɨɤɫɢɥɚɡɚ

Ƚɪɭɩɩɚ

Ɍɨ ɠɟ

50–100 ɦɝ ɜ/ɜ

ɜɢɬɚɦɢɧɚ

ȼ1

Ɍɪɢɦɟɩɟɪɢ-

Ɉɩɢɨɢɞ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɧ 10–40 ɦɝ

ɧɵɣ ɫɢɧ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɜ/ɜ, ɜ/ɦ

ɬɟɬɢɱɟ-

ɬɹɠɟɥɚɹ ɫɟɪɞɟɱɧɨ-

ɫɤɢɣ

ɫɨɫɭɞɢɫɬɚɹ ɩɚɬɨɥɨɝɢɹ,

ɚɧɚɥɶɝɟ-

ɦɢɚɫɬɟɧɢɹ, ɭɝɧɟɬɟɧɢɟ

ɬɢɤ

ɞɵɯɚɧɢɹ. ɉɨɫɥɟɞɧɟɟ ɜɜɟ-

ɞɟɧɢɟ ɪɟɤɨɦɟɧɞɨɜɚɧɨ ɡɚ

2 ɱ ɞɨ ɪɨɞɨɜ

Ⱦɢɚɡɟɩɚɦ 10–

ɋɟɞɚɬɢɜ-

Ⱥɧɤɫɢɨɥɢɬɢɱɟɫɤɨɟ, ɦɢɨ-

20 ɦɝ ɜ/ɜ, ɜ/ɦ

ɧɨɟ ɫɪɟɞ-

ɪɟɥɚɤɫɢɪɭɸɳɟɟ, ɫɟɞɚ-

ɫɬɜɨ, ɩɪɨ-

ɬɢɜɧɨ-ɝɢɩɧɨɬɢɱɟɫɤɨɟ

ɢɡɜɨɞɧɨɟ

ɞɟɣɫɬɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚ-

ɛɟɧɡɨɞɢɚ-

ɡɚɧɢɹ: ɦɢɚɫɬɟɧɢɹ

ɡɟɩɢɧɚ

Ʌɢɞɨɤɚɢɧ —

ɉɪɨɢɡɜɨɞɧɨɟ

Ɇɟɫɬɧɵɣ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɫɥɚ-

ɢɧɮɢɥɶɬɪɚɰɢ-

ɚɰɟɬɚɧɢɥɢɞɚ

ɚɧɟɫɬɟɬɢɤ

ɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ ɭɡɥɚ,

ɨɧɧɚɹ ɚɧɟɫɬɟ-

ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪɧɚɹ

ɡɢɹ, 5–300 ɦɝ

ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

94

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

ɥɢɱɢɟ ɜ ɚɧɚɦɧɟɡɟ ɷɩɢ-

ɥɟɩɬɢɮɨɪɦɧɵɯ ɫɭɞɨɪɨɝ,

ɩɨɜɵɲɟɧɧɚɹ ɢɧɞɢɜɢɞɭ-

ɚɥɶɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ⱦɢɧɨɩɪɨɫɬ 5 ɦɝ

Ʌɟɤɚɪɫɬɜɟɧ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɨɛ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ ɜ

ɧɚɹ ɮɨɪɦɚ

ɫɬɪɭɤɬɢɜɧɵɣ ɫɢɧɞɪɨɦ,

500 ɦɥ 5% ɪ-ɪɚ

ɩɪɨɫɬɚɝɥɚɧ-

ɹɡɜɟɧɧɵɣ ɤɨɥɢɬ, ɫɟɪɩɨ-

ɝɥɸɤɨɡɵ ɢɥɢ

ɞɢɧɚ F2Į

ɜɢɞɧɨ-ɤɥɟɬɨɱɧɚɹ ɚɧɟɦɢɹ,

0,9% ɪ-ɪɚ ɧɚ-

ɝɥɚɭɤɨɦɚ, ɚɪɬɟɪɢɚɥɶɧɚɹ

ɬɪɢɹ ɯɥɨɪɢɞɚ.

ɝɢɩɟɪɬɟɧɡɢɹ, ɷɩɢɥɟɩɫɢɹ,

ɇɚɱɢɧɚɬɶ ɫ 10–

ɪɭɛɟɰ ɧɚ ɦɚɬɤɟ, ɫɟɪɞɟɱ-

15 ɤɚɩɟɥɶ ɜ 1

ɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ

ɦɢɧ, ɱɟɪɟɡ 10–

20 ɦɢɧ ɱɢɫɥɨ

ɤɚɩɟɥɶ ɭɜɟɥɢ-

ɱɢɜɚɸɬ ɞɨ ɩɨ-

ɹɜɥɟɧɢɹ ɪɟɝɭ-

ɥɹɪɧɵɯ ɯɨɪɨ-

ɲɢɯ ɫɯɜɚɬɨɤ.

Ɇɚɤɫɢɦɚɥɶɧɚɹ

ɞɨɡɚ ɧɟ ɞɨɥɠɧɚ

ɩɪɟɜɵɲɚɬɶ 25

ɦɤɝ/ɦɢɧ (40 ɤɚ-

ɩɟɥɶ ɜ ɦɢɧɭɬɭ)

ɉɪɨɫɬɢɧ ȿ2

ɉɪɨɫɬɚ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ:

1 ɦɝ ɧɚ 400 ɦɥ

ɝɥɚɧɞɢɧ ȿ2

ɛɪɨɧɯɢɚɥɶɧɚɹ ɚɫɬɦɚ,

0,9% ɪ-ɪɚ ɧɚ-

ɝɥɚɭɤɨɦɚ, ɚɪɬɟɪɢɚɥɶɧɚɹ

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɝɢɩɟɪɬɨɧɢɹ, ɫɟɪɞɟɱɧɨ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ

ɫɨɫɭɞɢɫɬɵɟ ɡɚɛɨɥɟɜɚɧɢɹ,

ɷɩɢɥɟɩɫɢɹ, ɧɚɪɭɲɟɧɢɟ

ɮɭɧɤɰɢɣ ɩɨɱɟɤ ɢɥɢ ɩɟ-

ɱɟɧɢ

Ʉɚɥɢɹ ɩɟɪɦɚɧ-

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɲɜɨɜ

ɝɚɧɚɬ 0,1–0,5%

ɬɢɱɟɫɤɨɟ

ɪ-ɪ ɦɟɫɬɧɨ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

ȼɨɞɨɪɨɞɚ ɩɟ-

Ⱦɟɡɢɧɮɢ-

Ɍɨ ɠɟ

ɪɨɤɫɢɞ 3% ɪ-ɪ,

ɰɢɪɭɸɳɟɟ

ЛС, используемые при проведении родов

95

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɦɟɫɬɧɨ

ɢ ɞɟɡɨɞɨ-

ɪɢɪɭɸɳɟɟ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

Ɉɤɬɟɧɢɫɟɩɬ

Ⱥɧɬɢɫɟɩ-

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɬɢɱɟɫɤɨɟ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɪɟɞɫɬɜɨ

ɫɬɧɨ

ɇɚɤɫɨɥ ɫɩɪɟɣ

Ɍɨ ɠɟ

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɬɧɨ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

Ʉɨɦɛɢɧɢ-

ɇɟɚɤɬɢɜɟɧ ɜ ɨɬɧɨɲɟɧɢɢ

0,25–0,5 ɝ ɬɚɛ-

ɪɨɜɚɧɧɵɟ

ɚɷɪɨɛɧɵɯ ɛɚɤɬɟɪɢɣ ɢ

ɥɟɬɤɢ, 0,5 ɝ

ɩɪɨɬɢɜɨ-

ɝɪɢɛɨɜ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɜɥɚɝɚɥɢɳɧɵɟ

ɦɚɥɹɪɢɣ-

ɧɢɹ: ɧɚɪɭɲɟɧɢɹ ɤɪɨɜɟ-

ɫɜɟɱɢ, ɦɟɫɬɧɨ

ɧɵɟ ɩɪɟ-

ɬɜɨɪɟɧɢɹ, ɚɤɬɢɜɧɵɟ ɡɚ-

ɩɚɪɚɬɵ

ɛɨɥɟɜɚɧɢɹ ɐɇɋ.

ɇɟɫɨɜɦɟɫɬɢɦ ɫ ɚɥɤɨɝɨɥɶ-

ɧɵɦɢ ɧɚɩɢɬɤɚɦɢ

ɏɥɨɪɝɟɤɫɢɞɢɧ

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɪɚɧ ɢ

20% ɪ-ɪ ɦɟɫɬɧɨ

ɬɢɱɟɫɤɨɟ

ɲɜɨɜ. Ȼɚɤɬɟɪɢɰɢɞɧɨɟ

ɝɚɥɨɝɟɧ-

ɜɥɢɹɧɢɟ ɧɚ ɝɪɚɦɩɨɥɨɠɢ-

ɫɨɞɟɪɠɚ-

ɬɟɥɶɧɵɟ ɢ ɝɪɚɦɨɬɪɢɰɚ-

ɳɟɟ ɫɨ-

ɬɟɥɶɧɵɟ ɛɚɤɬɟɪɢɢ. ɇɟ

ɟɞɢɧɟɧɢɟ

ɞɟɣɫɬɜɭɟɬ ɧɚ ɜɢɪɭɫɵ ɢ

ɫɩɨɪɵ

Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ

ɋɥɚɛɢ-

ɡɚ 30 ɦɢɧ ɞɨ

ɬɟɥɶɧɵɟ

ɟɞɵ 10–30 ɝ ɧɚ

ɫɪɟɞɫɬɜɚ

½ ɫɬɚɤɚɧɚ ɜɨɞɵ

ɜɧɭɬɪɶ

Ɉ62 ɉɟɪɜɢɱɧɚɹ ɫɥɚ-

ɋɟɧɧɨɡɢɞɵ Ⱥ

Ɍɨ ɠɟ

ɛɨɫɬɶ ɪɨɞɨɜɨɣ ɞɟɹ-

ɢ ȼ, 1–2 ɬɚɛ-

ɬɟɥɶɧɨɫɬɢ

ɥɟɬɤɢ ɜɧɭɬɪɶ

Ɉ62.1 ȼɬɨɪɢɱɧɚɹ

Ɉɤɫɢɬɨɰɢɧ —

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

ɫɥɚɛɨɫɬɶ ɪɨɞɨɜɨɣ

5 Ɇȿ ɧɚ 500 ɦɥ

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

ɞɟɹɬɟɥɶɧɨɫɬɢ

0,9% ɪ-ɪɚ ɧɚ-

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

96

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɜ/ɜ ɤɚɩɟɥɶɧɨ

ɬɢɤɢ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɶɝɟɡɢ-

ɬɪɢɹ 250–

ɬɢɤ–

ɪɭɸɳɟɟ, ɫɩɚɡɦɨɥɢɬɢɱɟ-

500 ɦɝ ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɫɤɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ ɞɥɢ-

ɬɢɤ, ɩɪɨ-

ɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ —

ɢɡɜɨɞɧɨɟ

ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɩɢɪɚɡɨɥɨ-

ɧɚ

Ⱦɪɨɬɚɜɟɪɢɧ 40–

ɋɩɚɡɦɨɥɢ-

ɂɧɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪ-

80 ɦɝ ɜ/ɦ

ɬɢɤ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ⱥɬɪɨɩɢɧɚ

Ⱥɧɬɢɯɨ-

Ɇ-ɯɨɥɢɧɨɛɥɨɤɚɬɨɪ. ɉɪɨ-

ɫɭɥɶɮɚɬ 0,25–

ɥɢɧɟɪɝɢ-

ɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɥɚɭɤɨɦɚ,

1 ɦɝ ɜ/ɜ, ɜ/ɦ

ɱɟɫɤɨɟ

ɨɛɫɬɪɭɤɬɢɜɧɵɟ ɡɚɛɨɥɟɜɚ-

ɫɪɟɞɫɬɜɨ,

ɧɢɹ ɤɢɲɟɱɧɢɤɚ ɢ ɦɨɱɟ-

ɚɥɤɚɥɨɢɞ

ɜɵɜɨɞɹɳɢɯ ɩɭɬɟɣ, ɹɡɜɟɧ-

ɝɪɭɩɩɵ

ɧɵɣ ɤɨɥɢɬ, ɝɪɵɠɚ ɩɢɳɟ-

ɚɬɪɨɩɢɧɚ

ɜɨɞɧɨɝɨ ɨɬɜɟɪɫɬɢɹ ɞɢɚ-

ɮɪɚɝɦɵ

Ɇɟɬɨɰɢɧɢɹ ɣɨ-

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɞ 0,5–1 ɦɝ

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɜ/ɜ, ɜ/ɦ

ɯɨɥɢɧɨɥɢ-

ɜɵɪɚɠɟɧɧɚɹ ɫɟɪɞɟɱɧɚɹ,

ɬɢɤ

ɩɟɱɟɧɨɱɧɚɹ ɢɥɢ ɩɨɱɟɱɧɚɹ

ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ, ɚɬɪɢɨ-

ɜɟɧɬɪɢɤɭɥɹɪɧɚɹ ɛɥɨɤɚɞɚ

II–III ɫɬɟɩɟɧɢ

Ɋ-ɪ ɞɟɤɫɬɪɨɡɵ

Ʉɪɢɫɬɚɥ-

Ʉɨɪɪɟɤɰɢɹ ɜɨɞɧɨ-

40% 20 ɦɥ ɜ/ɜ

ɥɨɢɞ

ɷɥɟɤɬɪɨɥɢɬɧɨɝɨ ɛɚɥɚɧɫɚ

ɤɪɨɜɢ. ɍɥɭɱɲɚɟɬ ɮɟɬɨ-

ɩɥɚɰɟɧɬɚɪɧɵɣ ɢ ɦɚɬɨɱ-

ɧɨ-ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨ-

ɬɨɤ

Ⱦɢɧɨɩɪɨɫɬ ɜ/ɜ

Ʌɟɤɚɪɫɬɜɟɧ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɨɛ-

ɤɚɩɟɥɶɧɨ 5 ɦɝ ɜ

ɧɚɹ ɮɨɪɦɚ

ɫɬɪɭɤɬɢɜɧɵɣ ɫɢɧɞɪɨɦ,

500 ɦɥ 5% ɪ-ɪɚ

ɩɪɨɫɬɚɝɥɚɧ-

ɹɡɜɟɧɧɵɣ ɤɨɥɢɬ, ɫɟɪɩɨ-

ɝɥɸɤɨɡɵ ɢɥɢ

ɞɢɧɚ F2Į

ɜɢɞɧɨ-ɤɥɟɬɨɱɧɚɹ ɚɧɟɦɢɹ,

0,9% ɪ-ɪɚ ɧɚ-

ɝɥɚɭɤɨɦɚ, ɚɪɬɟɪɢɚɥɶɧɚɹ

ɬɪɢɹ ɯɥɨɪɢɞɚ.

ɝɢɩɟɪɬɟɧɡɢɹ, ɷɩɢɥɟɩɫɢɹ,

ɇɚɱɢɧɚɬɶ ɫ 10–

ɪɭɛɟɰ ɧɚ ɦɚɬɤɟ, ɫɟɪɞɟɱ-

15 ɤɚɩɟɥɶ ɜ

ɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ

ЛС, используемые при проведении родов

97

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

1 ɦɢɧ, ɱɟɪɟɡ 10–

20 ɦɢɧ ɱɢɫɥɨ

ɤɚɩɟɥɶ ɭɜɟɥɢ-

ɱɢɜɚɸɬ ɞɨ ɩɨ-

ɹɜɥɟɧɢɹ ɪɟɝɭ-

ɥɹɪɧɵɯ ɯɨɪɨ-

ɲɢɯ ɫɯɜɚɬɨɤ.

Ɇɚɤɫɢɦɚɥɶɧɚɹ

ɞɨɡɚ ɧɟ ɞɨɥɠɧɚ

ɩɪɟɜɵɲɚɬɶ 25

ɦɤɝ/ɦɢɧ (40 ɤɚ-

ɩɟɥɶ ɜ ɦɢɧɭɬɭ)

Ʉɚɥɶɰɢɹ ɝɥɸ-

ɉɪɟɩɚɪɚ-

ɉɪɨɬɢɜɨɚɥɥɟɪɝɢɱɟɫɤɨɟ,

ɤɨɧɚɬ 10% ɪ-ɪ

ɬɵ, ɩɪɢ-

ɝɟɦɨɫɬɚɬɢɱɟɫɤɨɟ ɫɪɟɞɫɬ-

5–10 ɦɥ ɜ/ɜ

ɦɟɧɹɟɦɵɟ

ɜɨ, ɫɧɢɠɚɟɬ ɩɪɨɧɢɰɚɟ-

ɞɥɹ ɤɨɪ-

ɦɨɫɬɶ ɤɚɩɢɥɥɹɪɨɜ.

ɪɟɤɰɢɢ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɤɢɫɥɨɬɧɨ-

ɩɟɪɤɚɥɶɰɢɟɦɢɹ, ɝɢɩɟɪ-

ɨɫɧɨɜɧɨɝɨ

ɤɨɚɝɭɥɹɰɢɹ

ɫɨɫɬɨɹɧɢɹ

ɢ ɢɨɧɧɨɝɨ

ɪɚɜɧɨɜɟ-

ɫɢɹ ɜ ɨɪ-

ɝɚɧɢɡɦɟ

ɗɩɢɞɭɪɚɥɶɧɚɹ

ɚɧɚɥɝɟɡɢɹ (ɫɦ.

ɪɚɡɞɟɥ «Ⱥɧɟɫɬɟ-

ɡɢɨɥɨɝɢɹ»)

Ʉɚɥɢɹ ɩɟɪɦɚɧ-

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɲɜɨɜ

ɝɚɧɚɬ 0,1–0,5%

ɬɢɱɟɫɤɨɟ

ɪ-ɪ ɦɟɫɬɧɨ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

ȼɨɞɨɪɨɞɚ ɩɟ-

Ⱦɟɡɢɧɮɢ-

Ɍɨ ɠɟ

ɪɨɤɫɢɞ 3% ɪ-ɪ,

ɰɢɪɭɸɳɟɟ

ɦɟɫɬɧɨ

ɢ ɞɟɡɨɞɨ-

ɪɢɪɭɸɳɟɟ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

98

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

Ɉɤɬɟɧɢɫɟɩɬ

Ⱥɧɬɢɫɟɩ-

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɬɢɱɟɫɤɨɟ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɪɟɞɫɬɜɨ

ɫɬɧɨ

ɇɚɤɫɨɥ ɫɩɪɟɣ

» »

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɬɧɨ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

Ʉɨɦɛɢɧɢ-

ɇɟɚɤɬɢɜɟɧ ɜ ɨɬɧɨɲɟɧɢɢ

0,25–0,5 ɝ ɬɚɛ-

ɪɨɜɚɧɧɵɟ

ɚɷɪɨɛɧɵɯ ɛɚɤɬɟɪɢɣ ɢ

ɥɟɬɤɢ, 0,5 ɝ

ɩɪɨɬɢɜɨ-

ɝɪɢɛɨɜ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɜɥɚɝɚɥɢɳɧɵɟ

ɦɚɥɹɪɢɣ-

ɧɢɹ: ɧɚɪɭɲɟɧɢɹ ɤɪɨɜɟ-

ɫɜɟɱɢ ɦɟɫɬɧɨ

ɧɵɟ ɩɪɟ-

ɬɜɨɪɟɧɢɹ, ɚɤɬɢɜɧɵɟ ɡɚ-

ɩɚɪɚɬɵ

ɛɨɥɟɜɚɧɢɹ ɐɇɋ. ɇɟɫɨ-

ɜɦɟɫɬɢɦ ɫ ɚɥɤɨɝɨɥɶɧɵɦɢ

ɧɚɩɢɬɤɚɦɢ

ɏɥɨɪɝɟɤɫɢɞɢɧ

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɪɚɧ ɢ

20% ɪ-ɪ ɦɟɫɬɧɨ

ɬɢɱɟɫɤɨɟ

ɲɜɨɜ. Ȼɚɤɬɟɪɢɰɢɞɧɨɟ

ɝɚɥɨɝɟɧ-

ɜɥɢɹɧɢɟ ɧɚ ɝɪɚɦɩɨɥɨɠɢ-

ɫɨɞɟɪɠɚ-

ɬɟɥɶɧɵɟ ɢ ɝɪɚɦɨɬɪɢɰɚ-

ɳɟɟ ɫɨ-

ɬɟɥɶɧɵɟ ɛɚɤɬɟɪɢɢ. ɇɟ

ɟɞɢɧɟɧɢɟ

ɞɟɣɫɬɜɭɟɬ ɧɚ ɜɢɪɭɫɵ ɢ

ɫɩɨɪɵ

Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ

ɋɥɚɛɢ-

ɡɚ 30 ɦɢɧ ɞɨ

ɬɟɥɶɧɵɟ

ɟɞɵ 10–30 ɝ ɧɚ

ɫɪɟɞɫɬɜɚ

½ ɫɬɚɤɚɧɚ ɜɨɞɵ

ɜɧɭɬɪɶ

Ɉ62.3 ɋɬɪɟɦɢɬɟɥɶ-

ɋɟɧɧɨɡɢɞɵ Ⱥ

Ɍɨ ɠɟ

ɧɵɟ ɪɨɞɵ

ɢ ȼ 1–2 ɬɚɛ-

ɥɟɬɤɢ ɜɧɭɬɪɶ

Ƚɟɤɫɨɩɪɟɧɚɥɢɧ

Ȼɪɨɧɯɨɞɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

10 ɦɤɝ ɧɚ 500

ɥɚɬɢɪɭɸ-

ɪɨɤɢ ɫɟɪɞɰɚ, ɚɪɢɬɦɢɢ,

ɦɥ 0,9% ɪ-ɪɚ

ɳɟɟ, ɬɨɤɨ-

ɬɢɪɟɨɬɨɤɫɢɤɨɡ, ɝɥɚɭɤɨɦɚ,

ɧɚɬɪɢɹ ɯɥɨɪɢɞɚ

ɥɢɬɢɱɟ-

ɂȻɋ. ɇɟ ɫɥɟɞɭɟɬ ɩɪɢɦɟ-

ɫɤɨɟ ɞɟɣ-

ɧɹɬɶ ɫ ɚɞɪɟɧɨɛɥɨɤɚɬɨɪɚ-

ɫɬɜɢɟ,

ɦɢ

ɜɨɡɛɭɠɞɚ-

ɟɬ E2-

ɚɞɪɟɧɨɪɟ-

ЛС, используемые при проведении родов

99

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɰɟɩɬɨɪɵ

Ɏɟɧɨɬɟɪɨɥ

Ɍɨ ɠɟ

Ɍɨ ɠɟ

500 ɦɤɝ ɜ 500

ɦɥ 5% ɪ-ɪɚ

ɝɥɸɤɨɡɵ ɩɨ

15–20 ɤɚɩɟɥɶ

ɜ 1 ɦɢɧ ɞɨ ɭɝ-

ɧɟɬɟɧɢɹ ɫɨ-

ɤɪɚɬɢɬɟɥɶɧɨɣ

ɞɟɹɬɟɥɶɧɨɫɬɢ

ɦɚɬɤɢ

Ⱦɢɚɡɟɩɚɦ 10–20

ɋɟɞɚɬɢɜ-

Ⱥɧɤɫɢɨɥɢɬɢɱɟɫɤɨɟ, ɦɢɨ-

ɦɝ ɜ/ɜ, ɜ/ɦ

ɧɨɟ ɫɪɟɞ-

ɪɟɥɚɤɫɢɪɭɸɳɟɟ, ɫɟɞɚ-

ɫɬɜɨ, ɩɪɨ-

ɬɢɜɧɨ-ɝɢɩɧɨɬɢɱɟɫɤɨɟ

ɢɡɜɨɞɧɨɟ

ɞɟɣɫɬɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚ-

ɛɟɧɡɨɞɢɚ-

ɡɚɧɢɹ: ɦɢɚɫɬɟɧɢɹ

ɡɟɩɢɧɚ

Ⱦɪɨɬɚɜɟɪɢɧ 40–

ɋɩɚɡɦɨɥɢ-

ɂɧɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪ-

80 ɦɝ ɜ/ɜ, ɜ/ɦ

ɬɢɤ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ⱥɬɪɨɩɢɧ 0,25–

Ⱥɧɬɢɯɨ-

Ɇ-ɯɨɥɢɧɨɛɥɨɤɚɬɨɪ. ɉɪɨ-

1 ɦɝ ɜ/ɜ, ɜ/ɦ

ɥɢɧɟɪɝɢ-

ɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɥɚɭɤɨɦɚ,

ɱɟɫɤɨɟ

ɨɛɫɬɪɭɤɬɢɜɧɵɟ ɡɚɛɨɥɟɜɚ-

ɫɪɟɞɫɬɜɨ,

ɧɢɹ ɤɢɲɟɱɧɢɤɚ ɢ ɦɨɱɟ-

ɚɥɤɚɥɨɢɞ

ɜɵɜɨɞɹɳɢɯ ɩɭɬɟɣ, ɹɡɜɟɧ-

ɝɪɭɩɩɵ

ɧɵɣ ɤɨɥɢɬ, ɝɪɵɠɚ ɩɢɳɟ-

ɜɨɞɧɨɝɨ ɨɬɜɟɪɫɬɢɹ ɞɢɚ-

ɮɪɚɝɦɵ

Ɇɟɬɨɰɢɧɢɹ ɣɨ-

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɞ 0,1% ɪ-ɪ

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

0,5–1 ɦɝ ɜ/ɦ, ɜ/ɜ

ɯɨɥɢɧɨɥɢ-

ɜɵɪɚɠɟɧɧɚɹ ɫɟɪɞɟɱɧɚɹ,

ɬɢɤ

ɩɟɱɟɧɨɱɧɚɹ ɢɥɢ ɩɨɱɟɱɧɚɹ

ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ, ɚɬɪɢɨ-

ɜɟɧɬɪɢɤɭɥɹɪɧɚɹ ɛɥɨɤɚɞɚ

II–III ɫɬɟɩɟɧɢ

Ʌɢɞɨɤɚɢɧ —

ɉɪɨɢɡɜɨɞɧɨɟ

Ɇɟɫɬɧɵɣ

ɉɪɢ ɪɚɡɪɵɜɚɯ ɩɪɨɦɟɠɧɨ-

ɢɧɮɢɥɶɬɪɚɰɢ-

ɚɰɟɬɚɧɢɥɢɞɚ

ɚɧɟɫɬɟɬɢɤ

ɫɬɢ ɞɥɹ ɜɨɫɫɬɚɧɨɜɥɟɧɢɹ

ɨɧɧɚɹ ɚɧɟɫɬɟ-

ɰɟɥɨɫɬɢ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɡɢɹ, 5–300 ɦɝ

ɧɢɹ: ɫɥɚɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ

ɭɡɥɚ, ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪ-

ɧɚɹ ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

100

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

ɥɢɱɢɟ ɜ ɚɧɚɦɧɟɡɟ ɷɩɢ-

ɥɟɩɬɢɮɨɪɦɧɵɯ ɫɭɞɨɪɨɝ,

ɩɨɜɵɲɟɧɧɚɹ ɢɧɞɢɜɢɞɭ-

ɚɥɶɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ɉɤɫɢɬɨɰɢɧ — 5

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

Ɇȿ ɧɚ 500 ɦɥ

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

0,9% ɪ-ɪɚ ɧɚ-

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

ɜ/ɜ, ɤɚɩɟɥɶɧɨ

ɬɢɤɢ

(ɩɪɨɮɢɥɚɤɬɢɤɚ

ɤɪɨɜɨɬɟɱɟɧɢɹ)

Ɉ69.1 Ɋɨɞɵ, ɨɫɥɨɠ-

Ɋ-ɪ ɞɟɤɫɬɪɨɡɵ

ɧɢɜɲɢɟɫɹ ɨɛɜɢɬɢɟɦ

40% 20 ɦɥ ɜ/ɜ

ɩɭɩɨɜɢɧɵ ɜɨɤɪɭɝ

Ⱥɫɤɨɪɛɢɧɨɜɚɹ

Ƚɪɭɩɩɚ

ɍɥɭɱɲɚɟɬ ɨɛɦɟɧɧɵɟ

ɲɟɢ ɩɥɨɞɚ ɫɨ ɫɞɚɜ-

ɤɢɫɥɨɬɚ 50–150

ɜɢɬɚɦɢɧɚ

ɩɪɨɰɟɫɫɵ, ɮɟɬɨɩɥɚɰɟɧ-

ɥɟɧɢɟɦ

ɦɝ ɜ/ɜ

ɋ

ɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

Ɉ69.3 Ɋɨɞɵ, ɨɫɥɨɠ-

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

ɧɢɜɲɢɟɫɹ ɤɨɪɨɬɤɨɣ

Ʉɨɤɚɪɛɨɤɫɢɥɚɡɚ

Ƚɪɭɩɩɚ

Ɍɨ ɠɟ

ɩɭɩɨɜɢɧɨɣ

0,025–0,05 ɝ ɜ/ɜ

ɜɢɬɚɦɢɧɚ

Ɉ68.8 Ɋɨɞɵ, ɨɫɥɨɠ-

ȼ1

ɧɢɜɲɢɟɫɹ ɩɨɹɜɥɟɧɢ-

Ⱥɤɬɨɜɟɝɢɧ 80

Ɇɟɬɚɛɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɟ: ɝɢ-

ɟɦ ɞɪɭɝɢɯ ɩɪɢɡɧɚɤɨɜ

ɦɝ, 200 ɦɝ ɧɚ

ɥɢɱɟɫɤɨɟ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɞɢɫɬɪɟɫɫɚ ɩɥɨɞɚ

500 ɦɥ 0,9% ɪ-

ɞɟɣɫɬɜɢɟ,

ɪɚ ɧɚɬɪɢɹ ɯɥɨ-

ɚɧɬɢɝɢ-

ɪɢɞɚ ɜ/ɜ ɤɚ-

ɩɨɤɫɚɧɬ

ɩɟɥɶɧɨ, ɦɟɞ-

ɥɟɧɧɨ

Ⱦɢɚɡɟɩɚɦ 10–20

ɋɟɞɚɬɢɜ-

Ⱥɧɤɫɢɨɥɢɬɢɱɟɫɤɨɟ, ɦɢɨ-

ɦɝ ɜ/ɦ, ɜ/ɜ

ɧɨɟ ɫɪɟɞ-

ɪɟɥɚɤɫɢɪɭɸɳɟɟ, ɫɟɞɚ-

ɫɬɜɨ, ɩɪɨ-

ɬɢɜɧɨ-ɝɢɩɧɨɬɢɱɟɫɤɨɟ

ɢɡɜɨɞɧɨɟ

ɞɟɣɫɬɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚ-

ɞɢɚɡɟɩɢɧɚ

ɡɚɧɢɹ: ɦɢɚɫɬɟɧɢɹ

Ʌɢɞɨɤɚɢɧ —

ɉɪɨɢɡɜɨɞɧɨɟ

Ɇɟɫɬɧɵɣ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɫɥɚ-

ɢɧɮɢɥɶɬɪɚɰɢ-

ɚɰɟɬɚɧɢɥɢɞɚ

ɚɧɟɫɬɟɬɢɤ

ɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ ɭɡɥɚ,

ɨɧɧɚɹ ɚɧɟɫɬɟ-

ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪɧɚɹ

ɡɢɹ, 5–300 ɦɝ

ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

ЛС, используемые при проведении родов

101

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɥɢɱɢɟ ɜ ɚɧɚɦɧɟɡɟ ɷɩɢ-

ɥɟɩɬɢɮɨɪɦɧɵɯ ɫɭɞɨɪɨɝ,

ɩɨɜɵɲɟɧɧɚɹ ɢɧɞɢɜɢɞɭ-

ɚɥɶɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ʉɚɥɢɹ ɩɟɪɦɚɧ-

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɲɜɨɜ

ɝɚɧɚɬ 0,1–0,5%

ɬɢɱɟɫɤɨɟ

ɪ-ɪ ɦɟɫɬɧɨ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

ȼɨɞɨɪɨɞɚ ɩɟ-

Ⱦɟɡɢɧɮɢ-

Ɍɨ ɠɟ

ɪɨɤɫɢɞ 3% ɪ-ɪ

ɰɢɪɭɸɳɟɟ

ɦɟɫɬɧɨ

ɢ ɞɟɡɨɞɨ-

ɪɢɪɭɸɳɟɟ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

Ɉɤɬɟɧɢɫɟɩɬ

Ⱥɧɬɢɫɟɩ-

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɬɢɱɟɫɤɨɟ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɪɟɞɫɬɜɨ

ɫɬɧɨ

ɇɚɤɫɨɥ ɫɩɪɟɣ

Ɍɨ ɠɟ

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɲɜɨɜ

ɚɷɪɨɡɨɥɶɧɵɣ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɬɧɨ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

Ʉɨɦɛɢɧɢ-

ɇɟɚɤɬɢɜɟɧ ɜ ɨɬɧɨɲɟɧɢɢ

0,25–0,5 ɝ ɬɚɛ-

ɪɨɜɚɧɧɵɟ

ɚɷɪɨɛɧɵɯ ɛɚɤɬɟɪɢɣ ɢ

ɥɟɬɤɢ, 0,5 ɝ

ɩɪɨɬɢɜɨ-

ɝɪɢɛɨɜ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɜɥɚɝɚɥɢɳɧɵɟ

ɦɚɥɹɪɢɣ-

ɧɢɹ: ɧɚɪɭɲɟɧɢɹ ɤɪɨɜɟ-

ɫɜɟɱɢ ɦɟɫɬɧɨ

ɧɵɟ ɩɪɟ-

ɬɜɨɪɟɧɢɹ, ɚɤɬɢɜɧɵɟ ɡɚ-

ɩɚɪɚɬɵ

ɛɨɥɟɜɚɧɢɹ ɐɇɋ. ɇɟɫɨ-

ɜɦɟɫɬɢɦ ɫ ɚɥɤɨɝɨɥɶɧɵɦɢ

ɧɚɩɢɬɤɚɦɢ

ɏɥɨɪɝɟɤɫɢɞɢɧ

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɪɚɧ ɢ

20% ɪ-ɪ ɦɟɫɬɧɨ

ɬɢɱɟɫɤɨɟ

ɲɜɨɜ. Ȼɚɤɬɟɪɢɰɢɞɧɨɟ

ɝɚɥɨɝɟɧ-

ɜɥɢɹɧɢɟ ɧɚ ɝɪɚɦɩɨɥɨɠɢ-

ɫɨɞɟɪɠɚ-

ɬɟɥɶɧɵɟ ɢ ɝɪɚɦɨɬɪɢɰɚ-

ɳɟɟ ɫɨ-

ɬɟɥɶɧɵɟ ɛɚɤɬɟɪɢɢ. ɇɟ

ɟɞɢɧɟɧɢɟ

ɞɟɣɫɬɜɭɟɬ ɧɚ ɜɢɪɭɫɵ ɢ

ɫɩɨɪɵ

Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ

ɋɥɚɛɢ-