Иммунопрофилактика инфекционных болезней

LieCTBO repMOKOHTe111Hepos, xnaA03JleMeHTaMV1, KapT-VlHA111Karopos, 111HAV1KaropoB 3aMopa)f(vrnaHlllS1 111 repMorecrepos AnH 06ecneYeH111s:i KOHTpons:i 3a HaAne>KaW,lllMll1 ycnOBlllS1Mlll rpaHcnopr111pOBKll1 BaKU,lllH, aHaTOKCVlHOB Ill annepreHa ry6epKyne3Horo norpe6111rens:iM.

5.TepMOKOHTelliHep noMew,alOT B KapTOHHYIO Kopo6Ky, KOTOpaS1 npeAOTspaw,aer ero nopYy. Ha KOpo6Ky HaHOCSH 3Tll1KeTKY c HaAn111CHMlll «BaKU,lllHa! Cpo'-IHblLlirpy3» . «He 3aMopa)K111sarb!» Allfl saKu,111H, aHaTOKClllHOB 111 annepreHa ry6epKyne3HOro, 3aMopa)KV1BaH111e KOTOpblX HeAonyCTVlMO.

6.npeAnp1115n111e-1113roros111renb 111 cKnaAbl onrosoro xpaHeH111s:i saKU,lllH, aHaTOKClllHOB Ill annepreHa ry6epKyne3HOro (1-Lli 111 2-~ YPOBHlll CVICTeMbl «XOJlOAOBOLll u,en111») o6s:i3aTenbHO AOJl)l(Hbl o6ecneYll1Tb rpaHcnopTVlpOBKY B3KU,VIH, aHaTOKCVIHOB Ill annepreHa Ty6epKyne3Horo c co6n10AeH11leM «XOJlOAOBOill u,en111». C 3Toill u,enbtO npeAnp11ts:ir111e-npo1113BOAlllTenb 111 cKJlaAbl onrosoro xpaHeH111s:i AOn)l(Hbl 111MeTb pecpp111)KeparopHb1ill TpaHcnopr.

7.np111 nonyYeH1t1111 saKU,VIHbl, aHaTOKCll1Hbl 111 annepreH ry6epKyne3Hbllll HeMeAneHHO noMeW,alOT B XOJlOAlllJlbHOM o6opyAOBaHV1111, nposeps:is:i noKa3aHll1S1 KOHTpo11111pyt0w,111x cpeACTB.

8.Ha 2-M yposHe «xonoAosoill u,en111» orseTCTBeHHoe 11111u,o AOJl)KHO vtMeTb cornacosaHHblill rpacp111K nocTasoK saKu,111H, aHaToKCll1HOB V1 annepreHa Ty6epKyne3Horo Ha 3-Vi yposeHb 111 KOHTpo11111posaTb cpOKl/1 fOAHOCTl/1 BaKU,111H, aHaTOKCll1HOB 111 annepreHa ry6epKyne3Horo, He AOnycKas:t 111x orrpy3Klll co cpoKoM roAHOCTll1 MeHee o.n,Horo Mecm..~a.

9.TpaHcnopr111posKa saKU,lllH, aHaTOKC111Hos 111 annepreHa ry6epKyne3Horo s 11eLJe6Ho-npocp11111aKTlllYeCKll1X y11pe>t<AeHll1HX (3-111 111 4-111 ypoBHll1 Cl/ICTeMbl «XOJlOAOBOill u,en111») ocyw,ecrsnHeTcfl s repMOKOHTeillHepax. XpaHeHvrn saKu,111H, aHaTOKClllHOB 111 annepreHa ry6epKyne3Horo s neYe6Ho-npocp111naKT111LJecK111x yLJpe)l(AeHVlHX aHanor111LJeH xpaHeH11110 saKu,111H, aHaroKCll1HOB 111 annepreHa ry6epKyne3Horo Ha 1-M 111 2-M ypoBHf!X.

13.KOHTpOllb 3a co6JltoAeH~eM yc110B~~

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«XOllOAOBO~ ~en~»

1.KoHr ponb 3a co6nt0AeH111eM yc11os111lll "xonoAosolll u,en111" npoBOA111r cs:i no noKa3aHll1S1M per111crp111py10w,111x np1116opos crau,1110HapHoro xonOAVlllbHoro 060PYAOBaH111fl 111 pecpp111)KeparopHoro rpaHcnopra, KapT-111HA111Karopos, reMneparypHblX 111HA111Karopos, ll1HA111Kar opos 3aMopa)K111BaH111fl, repMorecrepos 111 3an111ceill s «>KypHane per111cTpau,V1V1 TeMneparypbl» . Per111crpau,11rn reMneparypb1 npOBOAlllTCfl ABa>t<Abl B cyTKll1 111 3aBeps:ieTCS1 noAn111CblO OTBeTCTBeHHoro Jlll1LJ,a.

2.)J,OJl)KHOCTHble n111wa, OTBeTCTBeHHble 3a xpaHeH111e, TpaHcnopr111pOBKY 111 111cnOJ1b30BaH111e BaKUV1H, aHaTOKClllHOB 111 annepreHa ry6epKyne3Horo, 065'.BaHblpe-

39

ryns:ipHo KOHrpon111posaTb co6rnoAeH111e Hagne>t<aw,1t1x ycnos111tli "xonoAosotli u,en111". 3. D,ns:i KOHTpons:i ycnos111tli rpaHcnopr111posK111 saKu,111H, aHaroKClllHOB 111 an- nepreHa ry6epKyne3Horo Ka)f(,D,as:i rpaHcnoprHas:i rapa AOn>KHa 6b1Tb cHa6>t<e- Ha Heo6XOAll1MblMV1 KOHTpon111py10W,l/1MVI cpeACTBaMlll, YYVITblBas:i repMOTecrep. KapTbl-VIHAlllKaTOpbl Ill VIHAlllKaTOpbl 3aMopa>Kl!1BaHVlfl pa3MeW,alOT B Hlll>KHetli VI sepxHetli LJacrs:ix rpaHcnoprHoil1 rapbt. TepMOVIHAlllKaropbl gon>t<Hbl xpaHlllTbCs:J sMecre c naprllleii1 saKU,lllHbl, aHaTOKClllHa 111 annepreHa ry6epKyne3Horo, c KO-

ropo111 OH1t1 nocryn111n111 .

4. C u,enblO nocros:iHHoro MOHlllTOplllHra o6ecneYeHlllfl HaAne>Kaw,lllx reMneparypHbtX ycnosvitli rpaHcnopTVlpOBKlll Ill xpaHeHlllfl MeAlllU,lllHCKlllX 1!1MMYH06V10J10r111YeCKV1X npenapaTOB OTBeTCTBeHHble JllllU,a Ha Ka>KAOM yposHe ClllCTeMbl " xoJlOAOBOii1 u,en111" OTYV1TblBalOTGl OAlllH pa3 8 KBapran nepeg reppV1TOp111aJlbHblMV1 yYpe>t<AeHl!1S1Mlll rocyAapcrseHHolll caH1t1rapHo-3nvigeM111onor111YecKoil1 cny>K6b~

np111 B03HVIKHoseHllllll asap111ll!Hb1x Clllryau,111111 Ha scex yposHs:ix "xonogosolil u,en111" Heo6XOAll1MO HeMegneHHO lllHtj:>OpMlllpOBaTb reppvirop111anbHble yLJpe>K- geHl!1S1 rocygapcrseHHoi/1 caHV1TapHo-3n111AeM111onorw1ecKolil cny>K6b1, 111 ,IJ,enapraMeHT lllMMYH061!10J10rw1eCKlllX npenapaTOB Ill lllMMYHOnpotj:>lllJlaKTVlKlll fn 'Tocy.o,apCTBeHHblLi! 3KcnepTHblill u,eHrp M3 YKpaV1Hb1" - s 24 - LJacosolil cpoK.

14. npaB"1Jla npMeMa BaKU.MH, aHaTOKCMHOB 111

annepreHa Ty6epKyne3Horo

o np1116b1Tllllll saKU.lllH, aHaTOKClllHOB 111 annepreHa ry6epKyne3Horo AO nyHKTa H33Ha'-leHll1Sl. V1HcpopMau,111s:i AOn>KHa COAep>KaTb gaHHble 0 Hal/IMeHOBaHllll/l saKu,111H, aHaT0Kc111Hos 111 annepreHa ry6epKyne3Horo, cpopMe Bb1nycKa, 111x KOJllllYeCTBe, cepvi111, A3Te np1116blTlllS1 .

2. B Mecre np1116b1r111s:i saKU,VIH, aHaTOKCVIHOB vi annepreHa ry6epKyne3Horo AOn>KHbl 6b1Tb C03AaHbl ycnos1t1s:i Anfl 111x xpaHeH111s:i cornacHo rpe6osaH111s:iM « XOJlOAOBOtli u,en111 )) Ill lllHCTPYKU.lllill 06 111X np111MeHeHl/llll .

3. np111 nonyLJeHVllll saKU,VIH, aHaTOKClllHOB VI annepreHa ry6epKyne3Horo s Mecre Ha3HaYeHlllS1 VIX Heo6XOA111MO cpOLJHO noMeCTlllTb BXOJlOA111JlbHOe 06opyAOBaH111e. np111 3TOM nonyYareneM o6snarenbHO AOJl>t<Hbl nposeps:irbcs:i noKa3ar en111 Kapr111HA111Karopos, 111HA111Karopos 3aMopa>t<111saH111s:i 111 repMorecrepos. Ha 3TOM 3Tane 3a KaYeCTBO Ill KOJlVl'-leCTBOBaKU,lllH, aHaTOKCl/IHOB Ill annepreHa r y6epKyJle3HOro

40

ry6epKyne3Horo (np111 HapyweH111V1 pe>K111Ma xpaHeH111s:i 111n111 rpaHcnopr111poBK111) 11111111 s cnyYae B03Hll1KHOBeH111s:i COMHeH111111 OTHoc111renbHO KaLJecrsa saKU.111H , aHaTOKCll1HOB 111 allnepreHa ry6epKy11e3Horo rpe6osaTb nposepKy 111x KaLJecrsa.

BaKU.111Hbl, aHaTOKCll1Hbl 111 annepreH ry6epKyne3Hbltl1 ,IJ,OJl>KHbl 6b1Tb 1113b5Hbl 1113 06paw,eH1115l s cnyLJae:

HapyweHll151 ycnos111111 rpaHcnopr111poBK111; HapyweH111s:i ycnos111111 xpaHeH11151; HapyweHl/151 KaLJeCTBa ynaKOBKll1;

1113MeHeHl!1fl cp1113111YeCKll1X CBOtl1CTB BaKU.111H, aHaTOKCll1HOB; 111CTeLJeH11151 cpoKa rO,IJ,HOCTll1.

npe,IJ,CTaBl/ITeJlb npe,IJ,np11151Tll15l-nOCTaBW,111Ka ,IJ,On>KeH yLJaCTBOBaTb B npo4ecce np111Hs:ir111s=i peweHvtft nony11areneM 06 1113b51Tll1111 1113 06paw,eH111s:i 11111111 B03Bpar TOBa pa Ha CKJlaA.

6. Co6nt0AeH111e HaA11e>Kaw,ero pe>K111Ma xpaHeH111s:1 K0Hrpon111pyior pa6orH111K111, KOTOpble ocyw,ecTBJls:llOT 3TY cpyHKU.111!0 cornacHO ,IJ,Oll>KHOCTHblM 111HCTPYKU.11151M.

CDopMa aKra np111eMa-nepeAaLJ111 saK4V1H, aHaroKCll1HOB 111 a1111epreHa ry6epKy11e3HOrO npvtBeAeHa B np111110>KeHll11!1 K HaCTOHW,eMy nop51AKy.

15. npaBMJla yLleTa BaKU.MH, aHaTOKCMHOB M a1111epreHa TY6epKy11e3Horo

1. Ha scex ypoBH5lX "xo110AOBoill u.en111" AOJl>KeH 6b1Tb o6ecneLJeH no11Hb1lll 111 pery115lpHb1tl1 yYer saKU.VIH 111 pacrsop111renetl1, aHaTOKCll1HOB 111 a1111epreHa ry6epKyne3Horo, xpaHs:iw,111xcs:i.

2. Cse,IJ,eH111s=i o Ka>KAOtl1 saK4111He, aHaTOKCVIHe 111 allnepreHe ry6epKyne3HOM ,IJ,Oll>KHbl COAep>KaTb He MeHee:

roprosoe Ha111MeHosaH111e saKU.111Hbl, aHaTOKCvtHa 111 a1111epreHa ry6epKy11e3Horo, cpopMy BblnYCKa, HOMep cep111111, cpoK rOAHOCH1, KOJ11/1LJ€CTBO A03, Ha111- M€HOBaH111e 111 MeCTOHaXO>KAeH111e npeAnp111sn111s::i-1113rOTOBv1Tens=i, Hal/1M€HOBaH111e 111 MeCTOHaXO>KA€Hll1e nocrasw,111Ka, KOllW-leCTBO no11y'-leHHblX111 K011111LJeCTBO OTnpas11eHHblX (111Cn011b30BaHHblX) BaKU,111H, aHaTOKCll1HOB 111 annepreHa ry6epKyJle3HOro, Ko11111LJecrso no11yLJeHHoro 111 ornpas11eHHoro (111cnonb30BaHHoro) pacrsop111re11s:1, ocraroK npenaparos noc11e ornpas11eH111s=i, Aary no11yLJeH111s=i V1 ornpasK111 (111cnonb3osaH111e) Ka>KA0111 saKU.111Hbl, aHaT0Kc111Ha 111 annepreHa ry6epKy.ne3Horo.

41

3. YYpe>t<AeH11H1 (1 - 3-ro yposHeill CVlCTeMbl "xonOAOBoill u,enV1") AOJl>KHbl

VIMMyHonpocpV111aKTVIKVI rn 'TocyAapcrseHHblill3KCnepTHbtill u,eHrp M3 YKpaVIHbt" o pacnpeAeneH111111 sa1<u,111H, aHaroKCVlHOB 111 annepreHa ry6ep1<yne3Horo.

Co6nt0AeHV1e npasllln xpaHeHVlH VI rpaHcnopniiposaH111H saKL.J,lllH, onpeAeneHHblX COOTBeTCTBYIOW,V1MV1 V1HCTPYKL.J,VIHMV1 no npV1MeHeHllllO, HBJ151eTCH HenpeMeHHblM ycnos111eM, TaK KaK TOJlbKO 8 3TOM cnyYae MO>KeT 6b1Tb o6ecneYeHO coxpaHeHVle npenaparaMVl noKa3areneill KaYecrsa.

Oco6oe 3HaYeHVle npVI 3TOM VIMeer co6nt0AeHllle reMneparypHoro pe>KV1Ma B npou,ecce rpaHcnoprV1posaHVlfl, CKJlaAV1posaH1115l VI xpaHeHV151. HapyweHVle reMneparypHoro pe>KVIMa xpaHeHVIH priAa npenaparos He TOJlbKO conpoF;3o- >KAaer cri CHVl>KeHVleM VlX 3cpcpeKTV1BHOCTVI, HO VI MO>KeT npV1BeCTVI K nOBblWeHVllO 111x peaKroreHHOCTVI. PacwV1peHHoill nporpaMMoill V1MMYHV13aL.J,V1VI B03 pa3pa6oraHa KOHu,enu,Vlri "xonoAosoill u,enVI", ro ecrb nocneAosarenbHOill cep111V1 Meponp111Hr111ill, 06ecneY11rna10w,V1x HaAfle>Kaw,y10 reMneparypy saKLJ,VlHbl so speMs:i rpaHcnopr111posaH111H 111 xpaHeH111H Ha sceM ee nyr111 or npoV13BOAVITenri AO BBeAeHvrn.

XpaHeHVle npenaparos s nonVIKJlVIHV1Ke 111nV1 ApyroM Mecre ee np111MeHeH11rn Heo6XOAVIMO ocyw,ecrsn~nb B 6blTOBOM XOJlOAVIJlbHVIKe, e>KeAHeBHO perV1CTpV1PYH reMneparypy, npV1 3TOM Ka>K,D,ylO saKLJ,VIHY cneAyer noMew,arb s OTAeJlbHO MapKV1pOBaHHYIO KOp06Ky. He CJleAyer Aep>KaTb BaKU,VIHbl Ha nonKax ABepU,bl XOJ10AV1JlbHVIKa.

,D,nri rpaHcnoprlllposaHV15l BaKL.J,VIH co CKJlaAa B nOJ1V1KJlVIHV1KY V1 1113 Hee B Mecra npoBeAeHVlH npVIBVlBOK CfleAyer V1CnOJlb30BaTb cyMKV1-XOJlOAV1JlbHVIKV1 VI MaKCV1MaJ1bHO 6epe>KHO OTHOCVITCH K npenaparaM, V136eraH scero Toro, YTO

napOTVlTHOill 111 KpacHyWHOill BaKLJ,VlH 111 V1MMyHorno6yn111HOB He nOAJle:>KaT Ka- KOill-nV160 o6pa6orKe. AMnynbl, COAep:>KaW,Vle HeVICnOJlb30BaHHble OCTaTKVl >KV1Bb1X 6aKrepvianbHblX Ill s111pyCHblX saKU,VlH, KVlnrinn B Tel.feHVle 60 MV1HYT (cV16111peH3BeHHOLll- 2 Yaca) V1JlV1 3a11111sat0T OAHV1M 1113 VIMelO~VlXCH B HaJlV1YV1V1

.o,e3V1HcpV1U,VIPYIOW,V1X pacrsopos VIJlV1 aBTOKJlaBV1pyt0T.

16.npocp1,1naKT1t1Ka CTOfl6HSIKa "1 6eweHCTBa

16.1.npocplilllaKTlilKa 6eweHCTBa.

npocpv1JlaKTV1LfeCKaH VIMMYHV13aL.J,V1H npoBOAVITCH rpynnaM pVICKa 3apa:>KeHVIH (corpyAHVIKVl serna6oparoplllill, co6a1<onosbt, oxoTHV1KV1, erepri, serepviHapb1,

42

necH111K111, pa6orH111K111 6oii1H111, TaKCl/IAepMlllCTbt). DnH npose.QeHl/IH npvtBl/IBOK 111cnonb3YIOT KOHU,eHTPl/IPOBaHHYIO KynbTypanbHYIO aHT111pa6111YeCKYIO BaKU,VlHY ( KOKAB) . BaKu,111Ha npegcrasnHeT co6otl! KynbTYPY npo1113sogcrseHHoro

XOMHYKOB . BaKU,lllHa l/IHgyu,111pyeT Bb1pa60TKY 111MMYHV1TeTa npOTl/IB 6eweHCTBa, ogHa A03a (1,0 Mn) cogep>K111T He MeHee 2,5 ME. BaKu,111Hy pacTsopHIOT s

1,0 MJ1 Al/ICTV1J1I1V1pOBaHHOtl1 BOAbl, pacrsopeHHYIO saKU,V1HY BBOAHT MegneHHO BHYTPVIMblWeYHO s genbTOBV1AHYIO Mb1wu,y. Den1M go 5 neT - B MblWU,bl 6egpa ( sepxHs:is:i YaCTb nepegHe6oKosoii1 nosepxHoCTlll). XpaHeH111e pacTsop111Moii1 BaKU,l/IHbl 6onee 5 Ml/IHYT He gonycKaeTCH.

3KCTpeHHaSI aKT"1BHO-nacc111eHaS1 npo<J>MnaKTll1Ka 6eweHCTBa npoBOAl/ITCs:J npl/I KOHTaKTe, nospe>K,QeHllll/l l/IJllll OCJllOHeHl/I KO>Kll1 l/IJ1111 cnll131/1CTblX, HaHeceHHblX 6eweHblMll1, nogo3p111TeJ1bHbl Mll1 Ha 6eweHCTBO 111!11/1 H€1113B€CTHblMV1 >KV1BOTHblMll1 ABYMH npenapaTaM111 : KOKAB 111 aHT111pa6111YeCKlllM l/IMMyHorno6yn111HoM (AV1 I).

npoT&.1BOnOKa3aH"1SI - OTCyrCTBYtOT.

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BBOAlllTb nyreM opoweHl/15=1 paHbl V1 111HcpV1I1bTpau,111111 TKaHeVI BOKpyr Hee, a

OCTaTKl/I BBOA5H BHYTPV1MblWeYHO (MblWLl,bl s:JIOAl/IU,bl, sepXHHSl YaCTb nonaTKl/I) . Ha ssegeH111e AV1r Mo>KeT B03HV1KHYTb MecTHas:i peaKu,111w KpacHoTa, np111nyxnocTb, nosb1weH111e reMneparypbl Tena. Bo3MO>t<Ho pa3s111T111e

anneprw-ieCKl/IX peaKU,llltll, pa3H006pa3Hbte Cblnlll, OTeK KBV1HKe, CblBOpOTOYHaH 6one3Hb, aHacp111naKTV1YeCKl/ILli WOK.

6e3 onaceHl/IH npV1MeH5HbCs:i y n111u, c He6naronp111s:tTHblM Hesponor1t1YeCKV1M aHaMHe30M .

CxeMa ne~e6Ho-npo<J>1t1naKT1t1~ecK111x npHBHBOK

n0Kan1113au111111.

43

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1MeCTHaS1 o6pa6oTKa paHbl Ype3Bbl4alt1HO Ba>KHa 111 ee Heo6xoAV1MO npOBOAVlTb HeMe)J,J1eHHO V1J1111 KaK MO>KHO paHbWe nocne yKyca; paHbl o6V1J1bHO npoMblBa!OT BOAOlil c MblJ10M (111nltl AeTepreHTOM), 3areM KpaR

paHbl o6pa6aTblBalOT 70% cn111pTOM 111Jllll 5% HaCTO~KO~ ~OAa.

2,U03bl 111 cxeMbl V1MMYHV13aUV1111 OA111HaKOBbl AJ1S1 Aere~ V1 B3pocnb1x. Kypc neYeH111S1 Ha3HaYalOT He3aBll1CV1MO or cpoKa o6paw,eHV1S1 nocrpaAaBwero 3a

noMO~blO, Aa>Ke Yepe3 HeCKOJlbKO MeC5w,es nocne KOHTaKTa c 60J1bHblM, nOA03pV1TeJlbHblM Ha 6eweHCTBO Vllllll Hell13BeCTHblM >KltlBOTHblM.

3Ha6J110AeHltle B TeLfeHltle 10 cyTOK ycraHaBJlltlBalOT TOJlbKO 3a co6aKaMll1 V1 KOWKaMlll .

4)J,J1S1 J1111U, nonyYlllBWVlX paHee nOJ1Hbllll Kypc JleYe6Ho-npocpltlllaKTV1LfeCKlllX

aHTv1TeJ1 SlBJ1S1eTCfl o6s:i3aTeJlbHblM . np111 OTCYTCTBV1V1 aHTV1TeJ1 npoeOAll1TCS1 AOnOJ1HV1Tef1bHblV1 Kypc neYeHll1Sl.

7 npV1Bv1BalOW,Vl~CSl AOJl>KeH 3HaTb: eMy 3anpew,aeTCS1 ynoTpe6neHV1e KaKV1XJ1V160 CnltlpTHblX HanV1TKOB B TeYeHltle scero Kypca np111BV1BOK 111 6-Tltl Mecriues nocne ero OKOH4aHV1S1. Cnegyer raK>Ke v136erarb nepeyroMneHV1S1, nepeoxna>KAeHV1S1, neperpesaHV1S1.

16.2 3KCTpeHHaSI npo<J>HnaKTHKa CTon6HSIKa npeAyCMaTpHeaeT nepBH"f- Hyto XHpyprH"feCKYIO o6pa60TKY paHbl H C03AaHHe, npH Heo6XOAMMOCTH, HanpsnKeHHOro HMMYHHTeTa npOTHB CTon6HS1Ka.

3KCTpeHHaS1 cneu111cpw-tecKaSl npocp111naKTll!Ka CTOJ16HriKa npOBOA111TCSl npltl rpasMax c HapyweHllleM u,enoCTHOCTVl KO>KHblX noKpOBOB 111 CJ1V13111CTblX, 06Mopo>1<eHV1HX V1 0>1<orax 2,3 V1 4 aeneHei11, BHe6onbHV1YHblX a6oprax, poAaX BHe MeAV1Ull1HCK111x yype>KAeHltlilt, raHrpeHe V1J1111 HeKpo3e TKaHell1 nio6oro rvina, a6cueccax, yKycax n106b1MV1 >KV1BOTHblMV1, np0Hlt1Ka10w,V1x nospe>1<.aeH1t1S1X >1<enygOYHO-KV1W€YHOfO rpaKTa .

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1.AC-aHaroKCltlH - BBOAHT noAKO>KHO s no.anonaroYHYIO o6nacTb

2.V1MMYHOfJl06yn111H npOTLllBOCTOn6HSlYHbl~ YeJlOBeKa ( nCliVl )- BBOAS1T B A03e

250 ME BHYTPV1MblW€4HO .

46

3. np111 OTCYTCTBl/1111 neY V1 - CblBOpOTKy npOTll1BOCTOfl6HflYHYIO OYlllLWeHHYIO KoHu,eHTpll1posaHHYIO >Kll1AKYIO (n ee ) - BBOAflT B ,o,03e 3000 ME no,o,KO>KHo. nepe,o, BBe,D,eHll1eM nee ,D,flfl Bbls:JBfleHvrn r ll1nepYyBCTBv1TeflbHOCH 1 K Yy >Kepo,o,HoMy 6enKy crassn sHyrpV1KO>KHYIO npo6y c pa3se,o,eHHoLlt 1:100

CblBOpOTKOVI.

np111MeYaHV1fl:

* n p1i1 3KcrpeHHOii1 npocp111naKn1Ke cron6Hs:iKa B03MO)l(HO, 111cno.nb30BaTb A(,[),·M-aHaTOKCVIH.

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AC-aHaTOKClllHa.

17. HeoT110>1<HaS1 noMOW.b np1t1 nocTeaKU.1t1Ha/1bHb1x

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47

npenaparos. Apyrlt1e 111Hrpe,D,vieHTb1, 1t1cno.nb3yeMb1e AI15l nplt1rorosneH1t1s:i saKLJ,lllH ( HanpviMep, aHr1t161t10T1t1Klll), raK >Ke Moryr 6b1Tb np111Y1t1HoVI aHacp111.naKTV1YeCKoro WOKa nplll BaKU.V1HaLJ,V1111 . c ynyyweHl!leM TeXHOJ10rV1111 KYJlbTV1BV1pOBaHl!lS1 B036y,D,111Teneill, OYll1CTKV1 BaKLJ,lllH, c 3aMeHoill YaCTl!l 1113 H111X C111HTeTV1YeCKl!lMlll Xll1MV1YeCKll1Mll1 npenapaTaMV1 YaCTOTa aHacp1t1IlaKTll1YeCKoro WOKa npvi BaKU,111HaLJ,V111l yMeHbWv1JlaCb.

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KnHHH4eCKaSI xapaKTepMCTMKa Ill 4aCTOTa pa3BHTHSI OCHOBHblX

CHHAPOMOB, B03HMKalOU01X np~ aHa<l>~naKTM4eCKOM WOKe

48