3 курс / Фармакология / Лекарственные_средства,_применяемые_в_акушерстве_и_гинекологии,

82

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɤɚɩɟɥɶɧɨ

Ɉɤɫɢɬɨɰɢɧ 5–10

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

Ɇȿ ɜ 500 ɦɥ

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

0,9% ɪ-ɪɚ ɧɚ-

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ

ɬɢɤɢ

Ⱦɢɧɨɩɪɨɫɬ ɜ/ɜ

Ʌɟɤɚɪɫɬ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɨɛ-

ɤɚɩɟɥɶɧɨ 5 ɦɝ ɜ

ɜɟɧɧɚɹ

ɫɬɪɭɤɬɢɜɧɵɣ ɫɢɧɞɪɨɦ,

500 ɦɥ 5% ɪ-ɪɚ

ɮɨɪɦɚ

ɹɡɜɟɧɧɵɣ ɤɨɥɢɬ, ɫɟɪɩɨ-

ɝɥɸɤɨɡɵ ɢɥɢ 5

ɩɪɨɫɬɚɝ-

ɜɢɞɧɨ-ɤɥɟɬɨɱɧɚɹ ɚɧɟɦɢɹ,

ɦɝ ɜ ɲɟɣɤɭ

ɥɚɧɞɢɧɚ

ɝɥɚɭɤɨɦɚ, ɚɪɬɟɪɢɚɥɶɧɚɹ

ɦɚɬɤɢ ɦɟɞɥɟɧɧɨ

F2Į

ɝɢɩɟɪɬɟɧɡɢɹ, ɷɩɢɥɟɩɫɢɹ,

Ɇɚɤɫɢɦɚɥɶɧɚɹ

ɪɭɛɟɰ ɧɚ ɦɚɬɤɟ, ɫɟɪɞɟɱ-

ɞɨɡɚ ɧɟ ɞɨɥɠɧɚ

ɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ

ɩɪɟɜɵɲɚɬɶ 25

ɦɤɝ/ɦɢɧ (40 ɤɚ-

ɩɟɥɶ ɜ ɦɢɧɭɬɭ)

Ⱥɫɤɨɪɛɢɧɨɜɚɹ

Ƚɪɭɩɩɚ

ɍɥɭɱɲɚɟɬ ɨɛɦɟɧɧɵɟ

ɤɢɫɥɨɬɚ 50–150

ɜɢɬɚɦɢɧɚ

ɩɪɨɰɟɫɫɵ

ɦɝ ɜ/ɜ

ɋ

Ʉɨɤɚɪɛɨɤɫɢɥɚɡɚ

Ƚɪɭɩɩɚ

0,025–0,05 ɝ ɜ/ɜ

ɜɢɬɚɦɢɧɚ

ȼ1

Ⱥɩɪɨɬɢɧɢɧ ɜ/ɜ

Ⱥɧɬɢɩɪɨ-

ɉɪɢ ɤɨɚɝɭɥɨɩɚɬɢɹɯ, ɫɨ-

ɤɚɩɟɥɶɧɨ; ɧɚ-

ɬɟɚɡɧɨɟ,

ɱɟɬɚɸɳɢɯɫɹ ɫ ɜɬɨɪɢɱ-

ɱɚɥɶɧɚɹ ɞɨɡɚ

ɚɧɬɢɮɢɛ-

ɧɵɦ ɝɢɩɟɪɮɢɛɪɢɧɨɥɢ-

500 000 Ʉɂȿ

ɪɢɧɨɥɢɬɢ-

ɡɨɦ, — ɛɨɥɟɟ ɜɵɫɨɤɢɟ

(ɦɟɞɥɟɧɧɨ ɫɨ

ɱɟɫɤɨɟ

ɞɨɡɵ: 1 000 000 Ʉɂȿ ɢɥɢ

ɫɤɨɪɨɫɬɶɸ ɧɟ

ɞɟɣɫɬɜɢɟ

ɛɨɥɶɲɟ (ɫɦ. ɪɚɡɞɟɥ ɚɧɟ-

ɛɨɥɟɟ 50 000

ɫɬɟɡɢɨɥɨɝɢɹ)

Ʉɂȿ ɜ ɦɢɧɭɬɭ);

ɡɚɬɟɦ ɤɚɠɞɵɣ

ɱɚɫ ɞɨɩɨɥɧɢ-

ɬɟɥɶɧɨ ɦɟɞɥɟɧ-

ɧɨ ɩɨ 50 000

Ʉɂȿ ɫ ɩɨɫɬɟ-

ɩɟɧɧɵɦ ɭɦɟɧɶ-

ɲɟɧɢɟɦ ɞɨɡɢ-

ɪɨɜɤɢ ɜ ɫɥɭɱɚɟ

ɭɥɭɱɲɟɧɢɹ ɫɨ-

ЛС, используемые при проведении родов

83

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɫɬɨɹɧɢɹ

Ⱥɦɢɧɨɤɚɩɪɨ-

Ƚɟɦɨɫɬɚ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɧɨɜɚɹ ɤɢɫɥɨɬɚ

ɬɢɱɟɫɤɨɟ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

— ɜ/ɜ, ɩɪɢ

ɞɟɣɫɬɜɢɟ,

ɝɢɩɟɪɤɨɚɝɭɥɹɰɢɹ ɫɨ

ɨɫɬɪɨɣ ɤɪɨɜɨ-

ɫɢɫɬɟɦ-

ɫɤɥɨɧɧɨɫɬɶɸ ɤ ɬɪɨɦɛɨ-

ɩɨɬɟɪɟ ɜ ɬɟɱɟ-

ɧɵɣ ɝɟɦɨ-

ɨɛɪɚɡɨɜɚɧɢɸ ɢ ɷɦɛɨɥɢɢ,

ɧɢɟ 1 ɱ 4–5 ɝ ɜ

ɫɬɚɬɢɱɟ-

ɧɚɪɭɲɟɧɢɟ ɮɭɧɤɰɢɣ ɩɨ-

250 ɦɥ 0,9%

ɫɤɢɣ ɷɮ-

ɱɟɤ, ɦɨɡɝɨɜɨɝɨ ɤɪɨɜɨɨɛ-

ɪ-ɪɚ ɧɚɬɪɢɹ

ɮɟɤɬ ɩɪɢ

ɪɚɳɟɧɢɹ

ɯɥɨɪɢɞɚ

ɤɪɨɜɨɬɟ-

ɱɟɧɢɹɯ

Ⱥɦɢɧɨɦɟɬɢɥ-

Ⱥɧɬɢɮɢɛ-

ɉɪɢ ɨɫɬɪɨɦ ɮɢɛɪɢɧɨɥɢɡɟ

ɛɟɧɡɨɣɧɚɹ ɤɢɫ-

ɪɢɧɨɥɢɬɢ-

ɞɨɩɨɥɧɢɬɟɥɶɧɨ ɩɨɤɚɡɚɧɨ

ɥɨɬɚ 50–100 ɦɝ

ɱɟɫɤɨɟ

ɜɜɟɞɟɧɢɟ ɮɢɛɪɢɧɨɝɟɧɚ

ɜ/ɜ

ɞɟɣɫɬɜɢɟ

(ɫɦ. ɪɚɡɞɟɥ ɚɧɟɫɬɟɡɢɨɥɨ-

ɝɢɹ). ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ:

ɬɪɨɦɛɨɡ, ɷɦɛɨɥɢɹ, ɧɚɪɭ-

ɲɟɧɢɟ ɮɭɧɤɰɢɣ ɩɨɱɟɤ

ɗɩɬɚɤɨɝ ɚɥɶɮɚ

Ɏɚɤɬɨɪɵ

Ʌɟɤɚɪɫɬɜɟɧɧɚɹ ɮɨɪɦɚ:

(ɚɤɬɢɜɢɪɨɜɚɧ-

ɫɜɟɪɬɵɜɚ-

ɩɨɪɨɲɨɤ ɢ ɪɚɫɬɜɨɪɢɬɟɥɶ

ɧɵɣ) (ɪɟɤɨɦ-

ɧɢɹ ɤɪɨɜɢ,

ɞɥɹ ɩɪɢɝɨɬɨɜɥɟɧɢɹ ɪɚɫ-

ɛɢɧɚɧɬɧɵɣ

ɤɨɞ ȺɌɋ

ɬɜɨɪɚ ɞɥɹ ɢɧɴɟɤɰɢɣ. ɉɨ-

ɤɨɚɝɭɥɹɰɢɨɧ-

ȼ0 2ȼ

ɪɨɲɨɤ ɞɥɹ ɢɧɴɟɤɰɢɣ

ɧɵɣ ɮɚɤɬɨɪ

D08.

120 ɄȿȾ/ɮɥɚɤɨɧ ɫɨɨɬ-

VILa, ɷɩɬɚɤɨɝ

Ⱥɤɬɢɜɢɪɭ-

ɜɟɬɫɬɜɭɟɬ 2,4 ɦɝ/ɮɥɚɤɨɧ.

ɚɥɶɮɚ ɚɤɬɢɜɢ-

ɟɬ ɫɜɟɪɬɵ-

Ɋɚɫɬɜɨɪɟɧɧɵɣ ɩɪɟɩɚɪɚɬ

ɪɨɜɚɧɧɵɣ) 3–6

ɜɚɸɳɭɸ

ɫɨɞɟɪɠɢɬ 30 ɄȿȾ/ɦɥ, ɱɬɨ

ɄȿȾ (60–120

ɫɢɫɬɟɦɭ

ɫɨɨɬɜɟɬɫɬɜɭɟɬ 0,6 ɦɝ/ɦɥ.

ɦɤɝ) ɧɚ ɤɝ

ɤɪɨɜɢ ɜ

1 ɄȿȾ ɫɨɨɬɜɟɬɫɬɜɭɟɬ

ɦɚɫɫɵ ɬɟɥɚ ɡɚ

ɦɟɫɬɟ ɤɪɨ-

1000 Ɇȿ.

1 ɢɧɴɟɤɰɢɸ.

ɜɨɬɟɱɟɧɢɹ

ɇɚɱɚɥɶɧɚɹ ɞɨ-

ɩɪɢ ɨɛɪɚ-

ɡɚ 4,5 ɄȿȾ (90

ɡɨɜɚɧɢɢ

ɦɤɝ) ɧɚ ɤɝ

ɢɧɝɢɛɢɬɨ-

ɦɚɫɫɵ ɬɟɥɚ

ɪɨɜ ɤ ɮɚɤ-

ɬɨɪɚɦ ɤɨɚ-

ɝɭɥɹɰɢɢ

VIII ɢɥɢ

IX

ɗɬɚɦɡɢɥɚɬ

ɍɜɟɥɢɱɢ-

Ƚɟɦɨɫɬɚɬɢɱɟɫɤɨɟ ɞɟɣɫɬ-

84

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

250 ɦɝ ɜ/ɜ, ɜ/ɦ

ɜɚɟɬ ɬɪɨɦ-

ɜɢɟ

ɛɢɧɨɜɨɟ

ɜɪɟɦɹ

Ɉɞɧɨɝɪɭɩɩɧɚɹ

ɫɜɟɠɟɡɚɦɨɪɨ-

ɠɟɧɧɚɹ ɩɥɚɡɦɚ

ɢɥɢ ɚɭɬɨɩɥɚɡɦɚ

Ʉɨɦɩɨɧɟɧɬɵ

ɤɪɨɜɢ: ɷɪɢɬ-

ɪɨɦɚɫɫɚ,

ɬɪɨɦɛɨɦɚɫɫɚ

Ⱥɥɶɛɭɦɢɧ 5–

ɉɥɚɡɦɨɡɚ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɚɥ-

10% ɪ-ɪ (50,

ɦɟɳɚɸ-

ɥɟɪɝɢɱɟɫɤɚɹ ɪɟɚɤɰɢɹ,

100, 200,

ɳɟɟ ɫɪɟɞ-

ɫɟɪɞɟɱɧɚɹ ɧɟɞɨɫɬɚɬɨɱ-

400 ɦɥ) ɢɥɢ

ɫɬɜɨ

ɧɨɫɬɶ, ɚɪɬɟɪɢɚɥɶɧɚɹ ɝɢ-

20% ɪ-ɪ (50,

ɩɟɪɬɟɧɡɢɹ, ɜɚɪɢɤɨɡɧɨɟ

100 ɦɥ) ɜ/ɜ ɤɚ-

ɪɚɫɲɢɪɟɧɢɟ ɜɟɧ ɩɢɳɟɜɨ-

ɩɟɥɶɧɨ

ɞɚ

Ɍɪɢɦɟɩɟɪɢɞɢɧ

Ɉɩɢɨɢɞ-

2–3 ɞɧɹ ɩɨɫɥɟ ɨɩɟɪɚɰɢɢ.

10–40 ɦɝ ɜ/ɦ

ɧɵɣ ɫɢɧ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɬɟɬɢɱɟ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɫɤɢɣ

ɬɹɠɟɥɚɹ ɫɟɪɞɟɱɧɨ-

ɚɧɚɥɶɝɟ-

ɫɨɫɭɞɢɫɬɚɹ ɩɚɬɨɥɨɝɢɹ,

ɬɢɤ

ɦɢɚɫɬɟɧɢɹ, ɭɝɧɟɬɟɧɢɟ

ɞɵɯɚɧɢɹ 2–3 ɞɧɹ ɩɨɫɥɟ

ɨɩɟɪɚɰɢɢ

Ȼɭɬɨɪɮɚɧɨɥ

Ⱥɝɨɧɢɫɬ–

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

1–2 ɦɝ ɜ/ɜ, ɜ/ɦ

ɚɧɬɚɝɨ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɧɢɫɬ

ɦɢɚɫɬɟɧɢɹ

ɨɩɢɨɢɞ-

ɧɵɯ ɪɟ-

ɰɟɩɬɨɪɨɜ

Ʉɟɬɨɪɨɥɚɤ

ɇɟɫɬɟɪɨ-

Ⱥɧɚɥɶɝɟɬɢɱɟɫɤɨɟ, ɩɪɨɬɢ-

30 ɦɝ ɜ/ɦ

ɢɞɧɵɣ

ɜɨɜɨɫɩɚɥɢɬɟɥɶɧɨɟ, ɧɟ-

Ɇɚɤɫɢɦɚɥɶɧɚɹ

ɩɪɨɬɢɜɨ-

ɡɧɚɱɢɬɟɥɶɧɨɟ ɠɚɪɨɩɨɧɢ-

ɫɭɬɨɱɧɚɹ ɞɨɡɚ

ɜɨɫɩɚɥɢ-

ɠɚɸɳɟɟ ɞɟɣɫɬɜɢɟ. ɉɪɨ-

90 ɦɝ

ɬɟɥɶɧɵɣ

ɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢɩɟɪ-

ɩɪɟɩɚɪɚɬ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ, «ɚɫ-

ɩɢɪɢɧɨɜɚɹ» ɚɫɬɦɚ, ɛɪɨɧ-

ɯɨɫɩɚɡɦ, ɝɢɩɨɜɨɥɟɦɢɹ,

ЛС, используемые при проведении родов

85

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɞɟɝɢɞɪɚɬɚɰɢɹ

Ⱦɢɚɡɟɩɚɦ 10–

ɋɟɞɚɬɢɜ-

Ⱥɧɤɫɢɨɥɢɬɢɱɟɫɤɨɟ, ɦɢɨ-

20 ɦɝ ɜ/ɦ, ɜ/ɜ

ɧɨɟ ɫɪɟɞ-

ɪɟɥɚɤɫɢɪɭɸɳɟɟ, ɫɟɞɚ-

ɫɬɜɨ, ɩɪɨ-

ɬɢɜɧɨ-ɝɢɩɧɨɬɢɱɟɫɤɨɟ

ɢɡɜɨɞɧɨɟ

ɞɟɣɫɬɜɢɟ.

ɛɟɧɡɨɞɢɚ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɦɢɚ-

ɡɟɩɢɧɚ

ɫɬɟɧɢɹ

Ⱦɪɨɬɚɜɟɪɢɧ 40–

ɋɩɚɡɦɨɥɢ-

ɂɧɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪ-

80 ɦɝ ɜ/ɜ, ɜ/ɦ

ɬɢɤ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɐɟɮɚɡɨɥɢɧ 1 ɝ

ɐɟɮɚɥɨɫ-

3–5 ɞɧɟɣ ɜ ɩɨɫɥɟɨɩɟɪɚ-

ɜ/ɜ, ɜ/ɦ,

ɩɨɪɢɧɵ III

ɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ

2–4 ɝ/ɫɭɬ

ɩɨɤɨɥɟɧɢɹ

ɐɟɮɨɬɚɤɫɢɦ 1 ɝ

ɜ/ɦ, ɜ/ɜ,

2–4 ɝ/ɫɭɬ

ɐɟɮɨɩɟɪɚɡɨɧ+

ɫɭɥɶɛɚɤɬɚɦ,

ɜ/ɜ, ɜ/ɦ

2–4 ɝ/ɫɭɬ

Ɇɟɪɨɩɟɧɟɦ

Ʉɚɪɛɚɩɟ-

Ɍɨ ɠɟ

0,5–1 ɝ ɜ/ɜ,

ɧɟɦɵ

1,5–3 ɝ/ɫɭɬ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

ɇɢɬɪɨ-

3 ɞɧɹ ɜ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧ-

500 ɦɝ ɜ/ɜ,

ɢɦɢɞɚɡɨ-

ɧɨɦ ɩɟɪɢɨɞɟ

1000–1500

ɥɵ

ɦɝ/ɫɭɬ

Ⱥɦɨɤɫɢɰɢɥ-

Ⱥɦɨɤɫɢ-

5 ɞɧɟɣ ɜ ɩɨɫɥɟɨɩɟɪɚɰɢ-

ɥɢɧ+ɤɥɚɜɭɥɚ-

ɰɢɤɥɢɧɵ

ɨɧɧɨɦ ɩɟɪɢɨɞɟ

ɧɨɜɚɹ ɤɢɫɥɨɬɚ

1,2 ɝ ɜ/ɜ, 2,4–

7,2 ɝ/ɫɭɬ

Ʉɥɟɦɚɫɬɢɧ 2 ɦɝ

Ⱥɧɬɢɝɢɫ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɭɝɧɟ-

ɜ/ɦ, 2 ɪ/ɫɭɬ

ɬɚɦɢɧɧɵɟ

ɬɟɧɢɟ ɢɥɢ ɜɨɡɛɭɠɞɟɧɢɟ

ɩɪɟɩɚɪɚɬɵ

ɐɇɋ, ɞɢɫɩɟɩɫɢɹ, ɢɧɞɢ-

ɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪɱɭɜɫɬ-

ɜɢɬɟɥɶɧɨɫɬɶ

ɏɥɨɪɩɢɪɚɦɢɧ

Ɍɨ ɠɟ

ɍɫɢɥɢɜɚɟɬ ɭɝɧɟɬɟɧɢɟ

20 ɦɝ ɜ/ɦ, ɜ/ɜ,

ɐɇɋ

ɂɧɬɪɚɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

86

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

100 ɦɝ 1 ɪ/ɫɭɬ

ɝɪɢɛɤɨɜɵɟ

ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚɬɵ

ɩɪɨɢɡɜɨɞ-

ɧɵɟ ɢɦɢ-

ɞɚɡɨɥɚ ɢ

ɬɪɢɚɡɨɥɚ

Ɏɥɭɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

50 ɦɥ ɜ/ɜ ɢɥɢ

ɝɪɢɛɤɨɜɵɟ

ɜɵɲɟɧɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶ-

150 ɦɝ ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚɬɵ

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ ɢɥɢ

1 ɪ/ɫɭɬ ɧɚ

ɩɪɨɢɡɜɨɞ-

ɛɥɢɡɤɢɦ ɩɨ ɫɬɪɭɤɬɭɪɟ

ɤɭɪɫ ɚɧɬɢɛɢɨ-

ɧɵɟ ɬɪɢɚ-

ɚɡɨɥɶɧɵɦ ɫɨɟɞɢɧɟɧɢɹɦ

ɬɢɤɨɬɟɪɚɩɢɢ

ɡɨɥɚ

ɀɟɥɟɡɚ >III@

Ⱥɧɬɢɚɧɟ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɢɧ-

ɝɢɞɪɨɤɫɢɞ ɫɚ-

ɦɢɱɟɫɤɨɟ

ɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪɱɭɜ-

ɯɚɪɨɡɧɵɣ ɤɨɦ-

ɞɟɣɫɬɜɢɟ

ɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɩɥɟɤɫ, ɜ/ɜ ɧɚ

100 ɦɥ 0,9%

ɪ-ɪɚ ɧɚɬɪɢɹ

ɯɥɨɪɢɞɚ, 1 ɪɚɡ ɜ

3 ɫɭɬɨɤ

ɉɨɥɢɜɢɬɚ-

Ʉɨɦɩɥɟɤɫ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɢɧ-

ɦɢɧ+ɦɭɥɶɬɢ-

ɜɢɬɚɦɢɧɨɜ

ɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪɱɭɜ-

ɦɢɧɟɪɚɥ ɩɨ

ɢ ɠɟɥɟɡɚ

ɫɬɜɢɬɟɥɶɧɨɫɬɶ

1 ɤɚɩɫɭɥɟ

2 ɪ/ɫɭɬ ɜɧɭɬɪɶ

ɀɟɥɟɡɚ >III@

Ⱥɧɬɢɚɧɟ-

Ɍɨ ɠɟ

ɝɢɞɪɨɤɫɢɞ ɩɨ-

ɦɢɱɟɫɤɨɟ

ɥɢɦɚɥɶɬɨɡɚɬ

ɞɟɣɫɬɜɢɟ

25–50 ɦɝ

3 ɪ/ɫɭɬ ɜɧɭɬɪɶ

Ɉ80.0 ɋɚɦɨɩɪɨɢɡ-

Ɉɤɫɢɬɨɰɢɧ

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

ɜɨɥɶɧɵɟ ɪɨɞɵ ɜ ɡɚ-

5 Ɇȿ ɧɚ 500 ɦɥ

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

ɬɵɥɨɱɧɨɦ ɩɪɟɞɥɟ-

0,9% ɪ-ɪɚ ɧɚ-

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɠɚɧɢɢ

ɬɪɢɹ ɯɥɨɪɢɞɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

Ɉ80.1 ɋɚɦɨɩɪɨɢɡ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ

ɬɢɤɢ

ɜɨɥɶɧɵɟ ɪɨɞɵ ɜ ɹɝɨ-

(ɩɪɨɮɢɥɚɤɬɢɤɚ

ɞɢɱɧɨɦ ɩɪɟɞɥɟɠɚ-

ɫɥɚɛɨɫɬɢ ɪɨɞɨ-

ɧɢɢ

ɜɨɣ ɞɟɹɬɟɥɶɧɨ-

ɫɬɢ ɢ ɤɪɨɜɨɬɟ-

ɱɟɧɢɹ)

ЛС, используемые при проведении родов

87

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɝɟɡɢ-

ɬɪɢɹ 250–500 ɦɝ

ɬɢɤ–

ɪɭɸɳɟɟ, ɫɩɚɡɦɨɥɢɬɢɱɟ-

ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɫɤɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ ɞɥɢ-

ɬɢɤ, ɩɪɨ-

ɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ —

ɢɡɜɨɞɧɨɟ

ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɩɢɪɚɡɨɥɨ-

ɧɚ

ɗɩɢɞɭɪɚɥɶɧɚɹ

ɚɧɚɥɝɟɡɢɹ (ɫɦ.

ɪɚɡɞɟɥ «Ⱥɧɟɫɬɟ-

ɡɢɨɥɨɝɢɹ»)

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-

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

Ɋɚɫɬɜɨɪ ɞɟɤɫɬ-

Ʉɪɢɫɬɚɥ-

Ʉɨɪɪɟɤɰɢɹ ɜɨɞɧɨ-

ɪɨɡɵ 40% 20 ɦɥ

ɥɨɢɞ

ɷɥɟɤɬɪɨɥɢɬɧɨɝɨ ɛɚɥɚɧɫɚ

ɜ/ɜ

ɤɪɨɜɢ. ɍɥɭɱɲɚɟɬ ɮɟɬɨɩ-

ɥɚɰɟɧɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

Ⱥɫɤɨɪɛɢɧɨɜɚɹ

Ƚɪɭɩɩɚ

ɍɥɭɱɲɚɟɬ ɮɟɬɨɩɥɚɰɟɧ-

ɤɢɫɥɨɬɚ 50–

ɜɢɬɚɦɢɧɚ

ɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

150 ɦɝ ɜ/ɜ

ɋ

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

Ʉɨɤɚɪɛɨɤɫɢɥɚɡɚ

Ƚɪɭɩɩɚ

Ɍɨ ɠɟ

0,025–0,05 ɝ ɜ/ɜ

ɜɢɬɚɦɢɧɚ

ȼ1

Ɍɪɢɦɟɩɟɪɢ-

Ɉɩɢɨɢɞ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

88

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

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 ɩɪɟɩɚɪɚɬɚ ɪɟɤɨ-

ɦɟɧɞɨɜɚɧɨ ɡɚ 2 ɱ ɞɨ ɪɨ-

ɞɨɜ

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 5–

ɉɪɨɢɡɜɨɞ-

Ɇɟɫɬɧɵɣ ɚɧɟɫɬɟɬɢɤ.

300 ɦɝ, ɧɟ ɛɨ-

ɧɵɟ ɚɰɟ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɫɥɚ-

ɥɟɟ

ɬɚɧɢɥɢɞɚ

ɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ ɭɡɥɚ,

ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪɧɚɹ

ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

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-

ɪɨɤɫɢɞ 3% ɪ-ɪ

ɰɢɪɭɸɳɟɟ

ɦɟɫɬɧɨ

ɢ ɞɟɡɨɞɨ-

ɪɢɪɭɸɳɟɟ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

Ɉɤɬɟɧɢɫɟɩɬ

Ⱥɧɬɢɫɟɩ-

ɚɷɪɨɡɨɥɶɧɵɣ

ɬɢɱɟɫɤɨɟ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɪɟɞɫɬɜɨ

ЛС, используемые при проведении родов

89

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

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

ɬɢɱɟɫɤɨɟ

ɲɜɨɜ. Ȼɚɤɬɟɪɢɰɢɞɧɨɟ

ɦɟɫɬɧɨ

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

ɋɟɧɧɨɡɢɞɵ Ⱥ

Ɍɨ ɠɟ

ɢ ȼ, 1–2 ɬɚɛ-

ɥɟɬɤɢ ɜɧɭɬɪɶ

Ɉ60 ɉɪɟɠɞɟɜɪɟɦɟɧ-

Ⱦɪɨɬɚɜɟɪɢɧ 20–

ɋɩɚɡɦɨɥɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɧɵɟ ɪɨɞɵ

80 ɦɝ ɜ/ɜ, ɜ/ɦ

ɬɢɤ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɜɵɪɚɠɟɧɧɚɹ ɫɟɪɞɟɱɧɚɹ,

ɩɟɱɟɧɨɱɧɚɹ ɢɥɢ ɩɨɱɟɱɧɚɹ

ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ, ɚɬɪɢɨ-

ɜɟɧɬɪɢɤɭɥɹɪɧɚɹ ɛɥɨɤɚɞɚ

II–III ɫɬɟɩɟɧɢ

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-

90

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɝɪɭɩɩɵ

ɧɵɣ ɤɨɥɢɬ, ɝɪɵɠɚ ɩɢɳɟ-

ɚɬɪɨɩɢɧɚ

ɜɨɞɧɨɝɨ ɨɬɜɟɪɫɬɢɹ ɞɢɚ-

ɮɪɚɝɦɵ

Ɇɟɬɨɰɢɧɢɹ ɣɨ-

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɞ

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

0,5–1 ɦɝ 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

5% ɪ-ɪ 100 ɦɥ

ɤɪɨɜɢ

ɜ/ɜ ɤɚɩɟɥɶɧɨ

Ⱥɫɤɨɪɛɢɧɨɜɚɹ

Ƚɪɭɩɩɚ

ɍɥɭɱɲɚɟɬ ɮɟɬɨɩɥɚɰɟɧ-

ɤɢɫɥɨɬɚ 50–150

ɜɢɬɚɦɢɧɚ

ɬɚɪɧɵɣ ɢ ɦɚɬɨɱɧɨ-

ɦɝ ɜ/ɜ

ɋ

ɩɥɚɰɟɧɬɚɪɧɵɣ ɤɪɨɜɨɬɨɤ

Ʉɨɤɚɪɛɨɤɫɢɥɚɡɚ

Ƚɪɭɩɩɚ

Ɍɨ ɠɟ

50–100 ɦɝ ɜ/ɜ

ɜɢɬɚɦɢɧɚ

ȼ1

Ⱥɤɬɨɜɟɝɢɧ 80–

Ɇɟɬɚɛɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɟ: ɝɢ-

200 ɦɝ ɧɚ 500

ɥɢɱɟɫɤɨɟ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɦɥ 0,9% ɪ-ɪɚ

ɞɟɣɫɬɜɢɟ,

ɧɚɬɪɢɹ ɯɥɨɪɢɞɚ

ɚɧɬɢɝɢ-

ɜ/ɜ ɤɚɩɟɥɶɧɨ,

ɩɨɤɫɚɧɬ

ɦɟɞɥɟɧɧɨ

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 ɩɪɟɩɚɪɚɬɚ ɪɟɤɨ-

ɦɟɧɞɨɜɚɧɨ ɡɚ 2 ɱ ɞɨ ɪɨ-

ɞɨɜ

Ȼɭɬɨɪɮɚɧɨɥ

Ⱥɝɨɧɢɫɬ–

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

1–2 ɦɝ ɜ/ɦ, ɜ/ɜ

ɚɧɬɚɝɨ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɱɟɪɟɡ 3–4 ɱ

ɧɢɫɬ

ɦɢɚɫɬɟɧɢɹ. ɉɨɫɥɟɞɧɟɟ

ɨɩɢɨɢɞ-

ɜɜɟɞɟɧɢɟ ɩɪɟɩɚɪɚɬɚ ɪɟ-

ɧɵɯ ɪɟ-

ɤɨɦɟɧɞɨɜɚɧɨ ɡɚ 2 ɱ ɞɨ

ЛС, используемые при проведении родов

91

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɰɟɩɬɨɪɨɜ.

ɪɨɞɨɜ

ɇɟɫɬɟɪɨ-

ɢɞɧɵɣ

ɩɪɨɬɢɜɨ-

ɜɨɫɩɚɥɢ-

ɬɟɥɶɧɵɣ

ɩɪɟɩɚɪɚɬ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɶɝɟɡɢ-

ɬɪɢɹ — 250–500

ɬɢɤ–

ɪɭɸɳɟɟ, ɩɪɨɬɢɜɨɜɨɫɩɚ-

ɦɝ ɜ/ɜ, ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɥɢɬɟɥɶɧɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ

ɬɢɤ, ɩɪɨ-

ɞɥɢɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ

ɢɡɜɨɞɧɨɟ

— ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɩɢɪɚɡɨɥɨ-

ɧɚ

Ʌɢɞɨɤɚɢɧ,

ɉɪɨɢɡɜɨɞ-

Ɇɟɫɬɧɵɣ ɚɧɟɫɬɟɬɢɤ.

ɢɧɮɢɥɶɬɪɚɰɢ-

ɧɨɟ ɚɰɟɬɚ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɫɥɚ-

ɨɧɧɚɹ ɚɧɟɫɬɟ-

ɧɢɥɢɞɚ

ɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ ɭɡɥɚ,

ɡɢɹ, 1% ɪ-ɪ –

ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪɧɚɹ

10–20–40 ɦɥ,

ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

2% ɪ-ɪ — 5–

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

10–20 ɦɥ, ɧɟ

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

ɛɨɥɟɟ 400 ɦɝ

ɥɢɱɢɟ ɜ ɚɧɚɦɧɟɡɟ ɷɩɢ-

ɥɟɩɬɢɮɨɪɦɧɵɯ ɫɭɞɨɪɨɝ,

ɩɨɜɵɲɟɧɧɚɹ ɢɧɞɢɜɢɞɭ-

ɚɥɶɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ⱦɟɤɫɚɦɟɬɚɡɨɧ

Ƚɥɸɤɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

4 ɦɝ ɜ/ɦ 3 ɪ/ɫɭɬ

ɤɨɪɬɢɤɨɢɞ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ, ɚɤ-

ɬɢɜɧɚɹ ɮɨɪɦɚ ɬɭɛɟɪɤɭɥɟ-

ɡɚ, ɫɚɯɚɪɧɵɣ ɞɢɚɛɟɬ, ɫɢɫ-

ɬɟɦɧɵɟ ɢɧɮɟɤɰɢɢ, ɚɪɬɟ-

ɪɢɚɥɶɧɚɹ ɝɢɩɟɪɬɟɧɡɢɹ,

ɨɫɬɪɵɟ ɩɫɢɯɨɡɵ, ɨɫɬɪɚɹ

ɩɨɱɟɱɧɚɹ ɧɟɞɨɫɬɚɬɨɱ-

ɧɨɫɬɶ, ɨɫɬɟɨɩɨɪɨɡ, ɫɢɧ-

ɞɪɨɦ Ʉɭɲɢɧɝɚ

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