3 курс / Фармакология / Лекарственные_средства,_применяемые_в_акушерстве_и_гинекологии,

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

Ⱦɨɩɚɦɢɧ

3–7

ɜ/ɜ

ɦɤɝ/(ɤɝ·ɦɢɧ)

ɢɥɢ

Ⱦɨɛɭɬɚɦɢɧ

2,5–10

ɜ/ɜ

ɦɤɝ/(ɤɝ·ɦɢɧ)

III.

ɉɪɟɩɚɪɚɬɵ, ɭɥɭɱɲɚɸ-

ɳɢɟ ɨɛɦɟɧɧɵɟ ɩɪɨɰɟɫɫɵ ɜ

ɦɢɨɤɚɪɞɟ

ɂɧɨɡɢɧ («Ɋɢɛɨɤɫɢɧ»)

20 ɦɥ

30–60 ɦɥ

ɜ/ɜ

ȺɇɌɂɈɄɋɂȾȺɇɌɇȺə

ɌȿɊȺɉɂə

Ⱥɫɤɨɪɛɢɧɨɜɚɹ ɤɢɫɥɨɬɚ

1–2 ɝ

1–2 ɝ

ɜ/ɜ

ɢɥɢ

ȼɢɬɚɦɢɧ ȿ («Ɍɨɤɨɮɟ-

0,3 ɝ

0,3 ɝ

ɜ/ɦ

ɪɨɥɚ ɚɰɟɬɚɬ»)

ɂɇȽɂȻɂɌɈɊɕ ɉɊɈɌȿɈɅɂɁȺ

Ⱥɩɪɨɬɢɧɢɧ («Ƚɨɪɞɨɤɫ»,

200 000–

ɜ/ɜ

«Ʉɨɧɬɪɢɤɚɥ», «Ɍɪɚɫɢ-

500 000 ȿȾ

ɥɨɥ»)

ȺɇȺȻɈɅɂɑȿɋɄɂȿ ɉɊȿɉȺɊȺɌɕ

ɇɚɧɞɪɨɥɨɧ («Ɋɟɬɚɛɨ-

50 ɦɝ

50 ɦɝ

ɜ/ɦ ɱɟɪɟɡ ɞɟɧɶ

ɥɢɥ»)

ɄɈɊɊȿɄɐɂə ɇȺɊɍɒȿɇɂɃ

ɂɆɆɍɇɇɈȽɈ ɂ ɂɇɌȿɊɎȿɊɈɇɈȼɈȽɈ ɋɌȺɌɍɋȺ

ɂɦɦɭɧɨɝɥɨɛɭɥɢɧ ɱɟɥɨ-

0,25–0,5 ɝ/ɤɝ

0,25–

ɜ/ɜ ɤɚɩɟɥɶɧɨ

3 ɜɜɟɞɟɧɢɹ ɱɟɪɟɡ

ɜɟɤɚ ɧɨɪɦɚɥɶɧɵɣ ɞɥɹ

0,5 ɝ/ɤɝ

ɫɭɬɤɢ

ɜɧɭɬɪɢɜɟɧɧɨɝɨ ɜɜɟɞɟ-

ɧɢɹ, ɠɢɞɤɢɣ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

ɢɥɢ

ɂɧɬɟɪɮɟɪɨɧ ɚɥɶɮɚ-2

1 000 000 Ɇȿ

2 000 000

Ɋɟɤɬɚɥɶɧɵɟ

10 ɫɭɬ

(«ȼɢɮɟɪɨɧ», «Ƚɟɧɮɟ-

Ɇȿ

ɫɜɟɱɢ

ɪɨɧ», «Ʉɢɩɮɟɪɨɧ»)

ɢɥɢ

ɂɦɦɭɧɨɦɨɞɭɥɹɬɨɪɵ

Ⱥɪɝɟɧɢɥ-ɚɥɶɮɚ-

1 ɦɥ

1 ɦɥ

ɜ/ɦ

5–10 ɫɭɬ

ɚɫɩɚɪɬɢɥ-ɥɢɡɢɥ-ɜɚɥɢɥ-

ɬɢɪɨɡɢɥ-ɚɪɝɟɧɢɧ

(«ɂɦɭɧɨɮɚɧ»)

0,005% ɪ-ɪ

ɢɥɢ

«Ʌɢɤɨɩɢɞ»

0,001 ɝ

0,002–

ɉɨɞ ɹɡɵɤ

10 ɫɭɬ

0,003 ɝ

0,01 ɝ

0,2–0,3 ɝ

ɜɧɭɬɪɶ

ɢɥɢ

ɇɚɬɪɢɹ ɪɢɛɨɧɭɤɥɟɚɬ

0,5 ɦɥ

0,5–1 ɦɥ

ɜ/ɦ

5 ɢɧɴɟɤɰɢɣ ɱɟɪɟɡ

(«Ɋɢɞɨɫɬɢɧ»)

ɞɟɧɶ

ɢɥɢ

Ɇɟɝɥɭɦɢɧɚ ɚɤɪɢɞɨɧ-

0,25 ɝ

0,25 ɝ

ɜ/ɦ

5 ɢɧɴɟɤɰɢɣ ɱɟɪɟɡ

ɚɰɟɬɚɬ («ɐɢɤɥɨɮɟɪɨɧ»)

ɞɟɧɶ

ȽȿɉȺɌɈɉɊɈɌȿɄɌɈɊɕ

Ɏɨɫɮɨɥɢɩɢɞɵ («ɗɫ-

10–20 ɦɥ

10–20 ɦɥ

ɜ/ɜ

ɫɟɧɰɢɚɥɟ»)

ɢɥɢ

Ⱥɞɟɦɟɬɢɨɧɢɧ («Ƚɟɩ-

5–10 ɦɥ

5–10 ɦɥ

ɜ/ɜ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

ɬɪɚɥ»)

ȾɂɍɊȿɌɂɄɂ

Ɏɭɪɨɫɟɦɢɞ («Ʌɚɡɢɤɫ»)

10–40 ɦɝ

10–40 ɦɝ

ɜ/ɜ

ȾȿɋȿɇɋɂȻɂɅɂɁɂɊɍɘɓȺə

ɌȿɊȺɉɂə

ɉɪɢɧɢɦɚɸɬɫɹ ɞɟɫɟɧ-

Ⱦɢɮɟɧɝɢɞɪɚɦɢɧ («Ⱦɢ-

1 ɦɥ

2–3 ɦɥ

ɜ/ɦ

10–12 ɫɭɬ

ɫɢɛɢɥɢɡɢɪɭɸɳɢɟ Ʌɋ

ɦɟɞɪɨɥ») 1% ɪ-ɪ

— ɛɥɨɤɚɬɨɪɵ ɇ2-

ɢɥɢ ɜɧɭɬɪɶ

0,05 ɝ

0,1 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɪɟɰɟɩɬɨɪɨɜ ɝɢɫɬɚɦɢɧɚ

ɢɥɢ

ɉɪɨɦɟɬɚɡɢɧ («Ⱦɢɩɪɚ-

2 ɦɥ

4 ɦɥ

ɜ/ɦ

10–12 ɫɭɬ

ɡɢɧ», «ɉɢɩɨɥɶɮɟɧ»)

2,5% ɪ-ɪ

ɢɥɢ ɜɧɭɬɪɶ

0,025 ɝ

0,05 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɢɥɢ

ɏɥɨɪɨɩɢɪɚɦɢɧ («ɋɭɩ-

1 ɦɥ

2 ɦɥ

ɜ/ɦ

10–12 ɫɭɬ

ɪɚɫɬɢɧ») 2% ɪ-ɪ

ɢɥɢ ɜɧɭɬɪɶ

0,025 ɝ

0,05 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɢɥɢ

Ɇɟɛɝɢɞɪɨɥɢɧ («Ⱦɢɚɡɨ-

0,1 ɝ

0,2–0,3 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɥɢɧ»)

ɢɥɢ

Ʉɟɬɨɬɢɮɟɧ

0,001 ɝ

0,002 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɢɥɢ

ɏɢɮɟɧɚɞɢɧ («Ɏɟɧɤɚ-

0,025 ɝ

0,05–

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɪɨɥ»)

0,075 ɝ

ɢɥɢ

Ʌɨɪɚɬɚɞɢɧ («Ʉɥɚɪɢ-

0,01 ɝ

0,01 ɝ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

ɬɢɧ»)

ȽɅɘɄɈɄɈɊɌɂɄɈɂȾɕ

ɉɪɢ ɝɢɩɨɬɟɧɡɢɢ

ɉɪɟɞɧɢɡɨɥɨɧ

0,03 ɝ

0,03–0,09 ɝ

ɜ/ɜ

2–3 ɫɭɬ

ɢɥɢ

Ƚɢɞɪɨɤɨɪɬɢɡɨɧ

0,1–0,5 ɝ

0,5–0,75 ɝ

ɜ/ɜ

2–3 ɫɭɬ

ɗɍȻɂɈɌɂɄɂ

ɉɪɟɩɚɪɚɬɵ ɞɥɹ ɩɪɨ-

Ȼɢɮɢɞɭɦɛɚɤɬɟɪɢɢ, ɥɢɨɮɢɥɢɡɢɪɨɜɚɧɧɵɟ ɛɚɤɬɟɪɢɢ Lactobacillus acidophilus, Bifidobacterium

ɮɢɥɚɤɬɢɤɢ ɢ ɥɟɱɟɧɢɹ

infantis v. liberorum, Streptococcus faecium ɢ ɞɪ.

ɞɢɫɛɚɤɬɟɪɢɨɡɚ

Ȼɢɮɢɞɨɛɚɤɬɟɪɢɢ ɛɢɮɢ-

5 ɞɨɡ

15 ɞɨɡ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɞɭɦ

ɢɥɢ

Ȼɢɮɢɞɨɛɚɤɬɟɪɢɧ ɮɨɪɬɟ

2 ɞɨɡɵ

6 ɞɨɡ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɢɥɢ

«ɏɢɥɚɤ ɮɨɪɬɟ»

5 ɦɥ

15–20 ɦɥ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ɢɥɢ

«Ʌɢɧɟɤɫ»

1 ɤɚɩɫɭɥɚ

3 ɤɚɩɫɭɥɵ

ɜɧɭɬɪɶ

10–12 ɫɭɬ

ȻɊɈɇɏɈɅɂɌɂɄɂ

Ⱥɦɢɧɨɮɢɥɥɢɧ («ɗɭ-

20–40 ɦɥ

20–40 ɦɥ

ɜ/ɜ

5–7 ɫɭɬ

ɮɢɥɥɢɧ»)

ȺɇȺɅȿɉɌɂɄɂ

ɇɢɤɟɬɚɦɢɞ («Ʉɨɪɞɢɚ-

1–2 ɦɥ

1–2 ɦɥ

ɩ/ɤ

7–10 ɫɭɬ

ɦɢɧ» )

ɢɥɢ

ɋɭɥɶɮɨɤɚɦɮɨɪɧɚɹ ɤɢ-

4–8 ɦɥ

4–8 ɦɥ

ɜ/ɦ

ɫɥɨɬɚ+ɩɪɨɤɚɢɧ («ɋɭɥɶ-

ɮɨɤɚɦɮɨɤɚɢɧ»)

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

ɋɉȺɁɆɈɅɂɌɂɄɂ

Ⱦɪɨɬɚɜɟɪɢɧ («ɇɨ-ɲɩɚ»)

2 ɦɥ

4–8 ɦɥ

ɜ/ɜ, ɜ/ɦ

5–7 ɫɭɬ

ɢɥɢ

ɉɚɩɚɜɟɪɢɧ

2 ɦɥ

2–4 ɦɥ

ɜ/ɜ, ɜ/ɦ

5–7 ɫɭɬ

ɢɥɢ

ɉɥɚɬɢɮɢɥɥɢɧ

1 ɦɥ

2–3 ɦɥ

ɜ/ɦ

5–7 ɫɭɬ

ɢɥɢ

Ⱥɬɪɨɩɢɧ

0,5–1 ɦɥ

1–2 ɦɥ

ɜ/ɦ

5–7 ɫɭɬ

ɢɥɢ

«Ɇɟɬɚɰɢɧ»

0,5–1 ɦɥ

1–2 ɦɥ

ɜ/ɦ

5–7 ɫɭɬ

ɢɥɢ

Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ

5–10 ɦɥ

10–15 ɦɥ

ɜ/ɜ, ɜ/ɦ

5–7 ɫɭɬ

(«Ȼɚɪɚɥɝɢɧ Ɇ»)

ȽȿɆɈɋɌȺɌɂɑȿɋɄɂȿ

ɉɊȿɉȺɊȺɌɕ

Ⱦɨ ɨɫɬɚɧɨɜɤɢ ɤɪɨɜɨ-

ɗɬɚɦɡɢɥɚɬ («Ⱦɢɰɢɧɨɧ»)

2 ɦɥ

4–8 ɦɥ

ɜ/ɜ

ɬɟɱɟɧɢɹ

ȺɇɌɂɉɂɊȿɌɂɄɂ

«Ⱥɧɚɥɶɝɢɧ» 50% ɪ-ɪ

2–4 ɦɥ

4–8 ɦɥ

ɜ/ɦ

3–5 ɫɭɬ

ɉɊȿɉȺɊȺɌɕ, ȺɄɌɂȼɂɊɍɘɓɂȿ ɈȻɆȿɇ ȼȿɓȿɋɌȼ ȼ ɌɄȺɇəɏ

«Ⱥɤɬɨɜɟɝɢɧ»

10–20 ɦɥ

10–20 ɦɥ

ɜ/ɜ, ɜ/ɦ

10–12 ɫɭɬ

ɢɥɢ

«ɋɨɥɤɨɫɟɪɢɥ»

5–10 ɦɥ

5–10 ɦɥ

ɜ/ɜ

10–12 ɫɭɬ

ȺȾɊȿɇɈɆɂɆȿɌɂɄɂ

ɉɨ ɩɨɤɚɡɚɧɢɹɦ

ɇɨɪɷɩɢɧɟɮɪɢɧ

0,2–1 ɦɝ

0,2–1 ɦɝ

ɜ/ɜ

ɗɎɎȿɊȿɇɌɇɕȿ ɆȿɌɈȾɕ

Ʌȿɑȿɇɂə

I. ɉɥɚɡɦɚɮɟɪɟɡ. Ⱦɥɹ ɟɝɨ ɩɪɨɜɟɞɟɧɢɹ — ɩɥɚɡɦɨɡɚɦɟɧɢɬɟɥɢ:

Ȼɟɥɤɨɜɵɟ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

Ⱥɥɶɛɭɦɢɧ 10% ɪ-ɪ

100 ɦɥ

100–

ɜ/ɜ ɤɚɩɟɥɶɧɨ

2–3 ɫɭɬ

200 ɦɥ

Ʉɨɥɥɨɢɞɵ:

Ƚɢɞɪɨɤɫɢɷɬɢɥɤɪɚɯɦɚɥ

250–500 ɦɥ

500 ɦɥ

ɜ/ɜ ɤɚɩɟɥɶɧɨ

2–3 ɫɭɬ

6–10% ɪ-ɪ («Ɋɟɮɨɪɬɚɧ

ȽɗɄ»)

ɢɥɢ

Ⱦɟɤɫɬɪɚɧ [ɫɪɟɞɧɹɹ ɦɨ-

400 ɦɥ

400 ɦɥ

ɜ/ɜ ɤɚɩɟɥɶɧɨ

2–3 ɫɭɬ

ɥɟɤɭɥɹɪɧɚɹ ɦɚɫɫɚ

30 000–40 000] («Ɋɟɨ-

ɩɨɥɢɝɥɸɤɢɧ») ɪ-ɪ

ɢɥɢ

ɉɨɜɢɞɨɧ 8000+ɧɚɬɪɢɹ

200–400 ɦɥ

200–

ɜ/ɜ ɤɚɩɟɥɶɧɨ

2–3 ɫɭɬ

ɯɥɨɪɢɞ+ɤɚɥɢɹ ɯɥɨ-

400 ɦɥ

ɪɢɞ+ɤɚɥɶɰɢɹ ɯɥɨ-

ɪɢɞ+ɦɚɝɧɢɹ ɯɥɨ-

ɪɢɞ+ɧɚɬɪɢɹ ɝɢɞɪɨɤɚɪ-

ɛɨɧɚɬ («Ƚɟɦɨɞɟɡ-ɇ»)

ɢɥɢ

Ⱦɟɤɫɬɪɚɧ [ɫɪɟɞɧɹɹ ɦɨ-

400 ɦɥ

400 ɦɥ

ɜ/ɜ ɤɚɩɟɥɶɧɨ

2–3 ɫɭɬ

ɥɟɤɭɥɹɪɧɚɹ ɦɚɫɫɚ

50 000–70 000] («ɉɨɥɢ-

ɝɥɸɤɢɧ») ɪ-ɪ

Ʉɪɢɫɬɚɥɥɨɢɞɵ:

ɇɚɬɪɢɹ ɯɥɨɪɢɞ

400 ɦɥ

400 ɦɥ

ɜ/ɜ

2–3 ɫɭɬ

0,9% ɪ-ɪ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

Ⱥɧɬɢɤɨɚɝɭɥɹɧɬɵ:

Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ

5–7500 ȿȾ

5–7500 ȿȾ

ɜ/ɜ

2–3 ɫɭɬ

II.

Ɉɡɨɧɨɬɟɪɚɩɢɹ

Ʉɪɢɫɬɚɥɥɨɢɞɵ:

ɇɚɬɪɢɹ ɯɥɨɪɢɞ

400 ɦɥ

400 ɦɥ

ɜ/ɜ

2–3 ɫɭɬ

0,9% ɪ-ɪ,

ɨɛɨɝɚɳɟɧɧɵɣ ɨɡɨɧɨɦ

2,5–4,0%

Ɉ85 ɉɨɫɥɟɪɨɞɨ-

ȼ

ɚɤɭɲɟɪɫɤɨɣ ɩɪɚɤɬɢɤɟ ɋɒ

ɜɨɡɧɢɤɚɟɬ ɤɚɤ

ɬɹɠɟɥɟɣɲɟɟ

ɨɫɥɨɠɧɟɧɢɟ ɩɨɫɥɟ

ɢɧɮɢɰɢɪɨɜɚɧɧɵɯ

ɚɛɨɪɬɨɜ, ɯɨɪɢɨɚɦɧɢɨɧɢ-

ɜɵɣ ɫɟɩɫɢɫ

ɬɚ, ɩɨɫɥɟɪɨɞɨɜɵɯ ɢ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɵɯ ɝɧɨɣɧɨ-ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ, ɦɚɫɬɢɬɚ, ɩɢɟɥɨɧɟɮɪɢɬɚ. ɉɚɰɢɟɧɬɤɚɦ ɫ

ɋɟɩɬɢɱɟɫɤɢɣ

ɋɒ ɥɟɱɟɧɢɟ ɞɨɥɠɧɨ ɩɪɨɜɨɞɢɬɶɫɹ ɜ ɨɬɞɟɥɟɧɢɢ ɪɟɚɧɢɦɚɰɢɢ ɢ ɢɧɬɟɧɫɢɜɧɨɣ ɬɟɪɚɩɢɢ, ɬɚɤ ɤɚɤ ɨɧɢ ɧɭɠɞɚɸɬɫɹ ɜ ɩɨɫɬɨ-

ɲɨɤ (ɋɒ)

ɹɧɧɨɦ ɦɨɧɢɬɨɪɢɧɝɟ ɮɭɧɤɰɢɣ ɠɢɡɧɟɧɧɨ ɜɚɠɧɵɯ ɨɪɝɚɧɨɜ

ȼɨɡɛɭɞɢɬɟɥɢ:

ȼɵɛɨɪ ɩɪɟɩɚɪɚɬɨɜ ɨɛɭ-

Ɉɫɧɨɜɧɵɦɢ ɩɪɢɧɰɢ-

E. сoli,

ɫɥɨɜɥɟɧ ɜɨɡɛɭɞɢɬɟɥɟɦ, ɬɹ-

ɩɚɦɢ ɥɟɱɟɧɢɹ ɩɨɫɥɟ-

Proteus spp.,

ɠɟɫɬɶɸ ɢ ɥɨɤɚɥɢɡɚɰɢɟɣ

ɪɨɞɨɜɨɝɨ ɋɒ ɹɜɥɹɸɬ-

Klebsiella spp.,

ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ.

ɫɹ: ɪɚɰɢɨɧɚɥɶɧɚɹ

Enterobacter

Ⱥ. ȺɇɌɂȻɂɈɌɂɄɂ

ɤɨɦɥɟɤɫɧɚɹ ɬɟɪɚɩɢɹ ɢ

spp.,

I. Ɇɨɧɨɬɟɪɚɩɢɹ

ɫɚɧɚɰɢɹ ɨɱɚɝɨɜ ɢɧ-

Enterococcus

1,2 ɝ

3,6–4,8 ɝ

ɜ/ɜ

7–10 ɫɭɬ

ɮɟɤɰɢɢ: ɩɪɢ ɷɧɞɨɦɟɬ-

Ⱥɦɨɤɫɢɰɢɥ-

spp.,

ɥɢɧ+ɤɥɚɜɭɥɚɧɨɜɚɹ ɤɢ-

ɪɢɬɟ — ɜɚɤɭɭɦ-

Bacteroides spp.,

ɫɥɨɬɚ («Ⱥɦɨɤɫɢɤɥɚɜ»,

ɚɫɩɢɪɚɰɢɹ ɢ ɢɧɫɬɪɭ-

Peptostreptococ-

«Ⱥɭɝɦɟɧɬɢɧ»),

ɦɟɧɬɚɥɶɧɨɟ ɭɞɚɥɟɧɢɟ

cus spp.,

ɡɚɬɟɦ ɜɧɭɬɪɶ

0,375–0,625 ɝ

1,125–

ɜɧɭɬɪɶ

7–10 ɫɭɬ

ɩɚɬɨɥɨɝɢɱɟɫɤɨɝɨ ɫɨ-

ɫɬɪɟɩɬɨɤɨɤɤɢ

1,875 ɝ

ɞɟɪɠɢɦɨɝɨ ɦɚɬɤɢ; ɩɪɢ

ɝɪɭɩɩɵ Ⱥ ɢ ȼ.,

ɢɥɢ

ɩɟɪɢɬɨɧɢɬɟ — ɷɤɫ-

Staphylococcus

Ɍɢɤɚɪɰɢɥ-

3,1 ɝ

9,3–12,4 ɝ

ɜ/ɜ

7–10 ɫɭɬ

ɬɢɪɩɚɰɢɹ ɦɚɬɤɢ ɫ ɬɪɭ-

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

spp.,

ɥɢɧ+ɤɥɚɜɭɥɚɧɨɜɚɹ

ɛɚɦɢ ɢ ɞɪɟɧɢɪɨɜɚɧɢɟ

ɚ ɬɚɤɠɟ ɚɫɫɨ-

ɤɢɫɥɨɬɚ («Ɍɢɦɟɧɬɢɧ»)

ɛɪɸɲɧɨɣ ɩɨɥɨɫɬɢ;

ɰɢɚɰɢɢ ɚɷɪɨɛ-

ɢɥɢ

ɩɪɢ ɦɚɫɬɢɬɟ —

ɧɵɯ

ɉɢɩɟɪɚɰɢɥ-

2,25–4,5 ɝ

6,75–13,5 ɝ

ɜ/ɜ

7–10 ɫɭɬ

ɜɫɤɪɵɬɢɟ ɢ ɞɪɟɧɢɪɨ-

ɢ ɚɧɚɷɪɨɛɧɵɯ

ɥɢɧ+ɬɚɡɨɛɚɤɬɚɦ

ɜɚɧɢɟ ɚɛɫɰɟɫɫɨɜ ɦɨ-

ɦɢɤɪɨɨɪɝɚɧɢɡ-

ɢɥɢ

ɥɨɱɧɨɣ ɠɟɥɟɡɵ; ɩɪɢ

ɦɨɜ

ɐɟɮɨɬɚɤɫɢɦ («Ʉɥɚɮɨ-

1,6–2 ɝ

2–4 ɝ

ɜ/ɜ

7–10 ɫɭɬ

ɩɢɟɥɨɧɟɮɪɢɬɟ — ɜɨɫ-

ɪɚɧ»), «Ɍɚɪɰɟɮɨɤɫɢɦ»)

ɫɬɚɧɨɜɥɟɧɢɟ ɧɚɪɭ-

ɢɥɢ

ɲɟɧɧɨɝɨ ɩɚɫɫɚɠɚ ɦɨ-

ɐɟɮɨɩɟɪɚɡɨɧ («ɐɟɮɨ-

2 ɝ

4–8 ɝ

ɜ/ɜ, ɜ/ɦ

7–10 ɫɭɬ

ɱɢ (ɤɚɬɟɬɟɪɢɡɚɰɢɹ ɦɨ-

ɛɢɞ»)

ɱɟɬɨɱɧɢɤɚ, ɧɟɮɪɨɫɬɨ-

ɢɥɢ

ɦɢɹ)

ɐɟɮɬɚɡɢɞɢɦ («Ɏɨɪ-

1–2 ɝ

3–6 ɝ

ɜ/ɜ

7–10 ɫɭɬ

ɬɭɦ»)

ɢɥɢ

ɐɟɮɬɪɢɚɤɫɨɧ («Ɋɨɰɟ-

1–2 ɝ

1–2 ɝ

ɜ/ɜ, ɜ/ɦ

7–10 ɫɭɬ

ɮɢɧ», «ɐɟɮɬɪɢɚɛɨɥ»)

Ʉɪɨɦɟ ɬɨɝɨ, ɩɪɢ ɬɹɠɟɥɨɣ ɮɨɪɦɟ ɷɧɞɨɦɟɬɪɢɬɚ:

ɐɟɮɨɩɟɪɚ-

2 ɝ

4–8 ɝ

ɜ/ɜ, ɜ/ɦ

5–7 ɫɭɬ

ɡɨɧ+ɫɭɥɶɛɚɤɬɚɦ

(«ɋɭɥɶɩɟɪɚɡɨɧ»)

ɢɥɢ

ɂɦɢɩɟɧɟɦ+ɰɢɥɚɫɬɚɬɢɧ

0,5–1 ɝ

2–3 ɝ

ɜ/ɜ, ɜ/ɦ

5–7 ɫɭɬ

(«Ɍɢɟɧɚɦ»)

ɢɥɢ

Ɇɟɪɨɩɟɧɟɦ

0,5–1 ɝ

1,5–3 ɝ

ɜ/ɜ

5–7 ɫɭɬ

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

(«Ɇɟɪɨɧɟɦ»)

ɢɥɢ

II. Ʉɨɦɛɢɧɢɪɨɜɚɧɧɚɹ ɬɟɪɚ-

ɩɢɹ

Ʉɥɢɧɞɚɦɢɰɢɧ

0,3–0,9 ɝ

0,9–2,7 ɝ

ɜ/ɜ, ɜ/ɦ

5–6 ɫɭɬ

ɢɥɢ

Ʌɢɧɤɨɦɢɰɢɧ

0,6–1,2 ɝ

1,2–2,4 ɝ

ɜ/ɦ, ɜ/ɜ

5–6 ɫɭɬ

+

Ƚɟɧɬɚɦɢɰɢɧ

3–5 ɦɝ/ɤɝ

ɜ/ɦ

5–6 ɫɭɬ

ɢɥɢ

ɇɟɬɢɥɦɢɰɢɧ

4–7,5 ɦɝ/ɤɝ

ɜ/ɦ

5–6 ɫɭɬ

ɢɥɢ

Ƚɟɧɬɚɦɢɰɢɧ

3–5 ɦɝ/ɤɝ

ɜ/ɦ

3–4 ɫɭɬ

+

Ɇɟɬɪɨɧɢɞɚɡɨɥ («Ɏɥɚ-

0,5 ɝ

1 ɝ

ɜ/ɜ

3–4 ɫɭɬ

ɝɢɥ», «ɗɮɥɨɪɚɧ»,

«Ʉɥɢɨɧ»)

+

ɐɟɮɭɪɨɤɫɢɦ («Ⱥɤɫɟ-

0,75–1,5 ɝ

2,25–4,5 ɝ

ɜ/ɜ, ɜ/ɦ

3–4 ɫɭɬ

ɬɢɧ»)

ȾȺɅȿȿ

Ƚɟɧɬɚɦɢɰɢɧ

3–5 ɦɝ/ɤɝ

ɜ/ɦ

3–4 ɫɭɬ

+

Ɇɟɬɪɨɧɢɞɚɡɨɥ («Ɏɥɚ-

0,5 ɝ

1–2 ɝ

ɜɧɭɬɪɶ

3–4 ɫɭɬ

ɝɢɥ», «ɗɮɥɨɪɚɧ»,

Ɂɚɛɨɥɟɜɚɧɢɟ,

Ʌɟɤɚɪɫɬɜɟɧɧɵɟ

Ɋɚɡɨɜɚɹ

ɋɭɬɨɱɧɚɹ

ɋɩɨɫɨɛ

Ⱦɥɢɬɟɥɶɧɨɫɬɶ

ɉɪɢɦɟɱɚɧɢɟ

ɨɫɧɨɜɧɨɣ

ɩɪɟɩɚɪɚɬɵ (Ʌɋ)

ɞɨɡɚ

ɞɨɡɚ

ɜɜɟɞɟɧɢɹ

ɬɟɪɚɩɢɢ

ɜɨɡɛɭɞɢɬɟɥɶ

«Ʉɥɢɨɧ»)

+

ɐɟɮɭɪɨɤɫɢɦ («Ⱥɤɫɟ-

0,5 ɝ

1 ɝ

ɜɧɭɬɪɶ

3–4 ɫɭɬ

ɬɢɧ»)

ɢɥɢ

Ƚɟɧɬɚɦɢɰɢɧ

3–5 ɦɝ/ɤɝ

ɜ/ɦ

5–6 ɫɭɬ

+

Ʌɢɧɤɨɦɢɰɢɧ

0,6 ɝ

1,8 ɝ

ɜ/ɦ

5–6 ɫɭɬ

+

ɐɟɮɭɪɨɤɫɢɦ («Ⱥɤɫɟ-

0,75 ɝ

2,25 ɝ

ɜ/ɜ

5–6 ɫɭɬ

ɬɢɧ»)

ɢɥɢ

Ƚɟɧɬɚɦɢɰɢɧ

3–5 ɦɝ/ɤɝ

ɜ/ɦ

5–6 ɫɭɬ

+

Ɇɟɬɪɨɧɢɞɚɡɨɥ («Ɏɥɚ-

0,5 ɝ

1 ɝ

ɜ/ɜ

3 ɫɭɬ

ɝɢɥ», «ɗɮɥɨɪɚɧ»,

«Ʉɥɢɨɧ»)

ɡɚɬɟɦ ɜɧɭɬɪɶ

0,5 ɝ

1–1,5 ɝ

ɜɧɭɬɪɶ

3 ɫɭɬ

ɢɥɢ

Ʌɟɜɨɮɥɨɤɫɚɰɢɧ («Ɍɚ-

0,5 ɝ

1 ɝ

ɜ/ɜ

3 ɫɭɬ

ɜɚɧɢɤ»)

ɡɚɬɟɦ ɜɧɭɬɪɶ

0,25–0,5 ɝ

0,5 ɝ

ɜɧɭɬɪɶ

3 ɫɭɬ

ɢɥɢ

Ɉɮɥɨɤɫɚɰɢɧ («Ɍɚɪɢ-

0,1–0,2 ɝ

0,2–0,4 ɝ

ɜ/ɜ

3 ɫɭɬ

ɜɢɞ»)