paccka3bibaet i'punn: kjtuhuka, npos kil, neqeh ueтатья (Ишин К.А.).pdf ·...
Post on 12-Jul-2020
4 Views
Preview:
TRANSCRIPT
HAU rOPOA TAM608Ne 15 {1415)
25 oEBPAnf, 2019NNt\ NIN N NN
PACCKA3bIBAET BPATI
I'punn: KJtuHuKa,npos unaKTu Kil, neqeH ueCero4nR rraur npoflaxaeM Hauy py6pr,rxy <Paccxagbreaer eparD, B ee paMKax coBMecrHo c BpaqaMh-cneqHartlcraMh
Tarvr6oecxoi o6nairxoil xnhHlt,{ecxoi 6onuxur{ur urraenra 8.,Q. 6a6exxo Mbl paccKa3blBaeM HauilM t{HTarerRM o rau6onee
:ao6o4xeaxurx Bonpocax, cBfl3aHHbtx co 3AopoBbeM. Tema cero4xnuHero pa3roEopa xpafixe axryaauxa xaxguti roA B 3To BpeMR - rprnn
Iphnn - ocrpoe uHOeKuiloHHoe
oa6onesarue, Bbr3uBaeMoe EupY-
c0M rpunna, xapaKTeptr3yloulcccn:saqurensroii urrorcuxauueii,cilMnToMaMh nopax-oH[9 aNXaTenb-rsx nyrei,
3nuAeMur fp(nna cnyea0rcc Kax-
adi roa, o6uqHo e xonoAHoe 8PeM9,
h n0paxaoT a0 nffrHaaqaru np0qeH-
T0B HaCeneHrg 3eMH0r0 uapa.l-punn u OPBh cocraannnr 95 npo-
ueHToB BCex ilHOeKqtroHHblx 3a60re'BaHili B Mffpe. ExeToAHo I Mtrpe
:a6oneaaor ao nqrucor Munn[oHo8
ceroBeK. B Pocctrr4 exeroAHo perff-
crpnpyror oT 27,3 ao 41.2 vunnYoHa
:a6oresuux Ipt/nroM h apyrul,4t/oPBil.
B Ka!ccTBe ilcro{lv(a trttQcKt-Ifftr
BbcTynaer 6orsroi relosex. BrPycBhl^engercg c MoKporoi, cflloBo[ 80
BpeM9 KaUn9 tr !UXaHUq.
K'I 14 H T q ECKAfl RAPTI,I HA
i4HKyoauuoHHbili nepffoA nptr fpunne coc1aEnger 0T asyx ao ceMh
AHe t.flepette cuvnrovst - nepueBre B
f0pne,,ruxarftc, 3arcM pa3BilEacrca
BbrpaxeHBat fl ilxopaAKa (reMnepary-pa noAHuMaelcq,,to 40 rpanyco8),HeaoMoraHve, ctrnbHble 6onh B rono-Be r Muuuax. Ha cneAyoului AeHb K
nftxopaAKe go6asrnercn cyxoiKauejrb, (otopbti cortpoBoxtlae1cfl6onsrc sa fpyAilHoii. C 1eleHreMBpcM0ilil cyrot xaucnb nnaBll0 cra-H08ilTCg npoAykTUBHblM, C EblAene-
HreM MoKpoTbl.
Ipff nny Hec8oucr8eHHhl KoH]0HK-
rffBrr [nu cubHbrt BacMopK.
0cxoggsre cilMnroMbr TPilflna,ecnr 6ole:Hu He ocfl0xHunacb,HaqIHarcT yMeHbualbcfl cepe3 ntTb-ueclu AHefi c uoveHra Hacana sa6o-negasus. flocne nepeHeceHHoroTprnna I TeceHre AByX-TpeX HeAenb
coxpailaoTcn 9Bncllilfl n0cTqllQeK'uuounoi actesru - cra60crb, fot108-
xan 6o.ns, pasapaxrre,rssocru, 6ec-c0HHuua.
OCJIOXH EH H8
0cnoxHeHue fpilnna Moryr pacnPo-
crpaH9rhc9 Kax Ha ablxarenbHblenyTh, raK il Ha pa3nillH$e apyfileopraru. K rat6olee eaclbtM ocJlox-HeHilnM rpilnna orHocqTcs 6axre-puanbHoe B0cnaneHile HocoBblx
na3w I yxa - faiMoPrT, oPoHrYT,OTilT,
flepauruan BupycHat nHeBMoHil9
B03HilKaeTil3 3a n0naAaHtrn Bfipyca
u3 BepxHtx !,hixarenbHblx nlret no
6poHXuaJrbHo[,ly !epetsy, 8 pe3ynb]a-
Te reTo nopaxaoTcn lerxre. flPl3T0M OTMelaercg qpk0 EblpaxcllHa9
UBTOKCIKaqU9, HapaCraer oauuKa,B HeK0T0pbLX cnylatx - c n09BleHh-eM AbrxaretbHoi HeAocraroqHocrh,
IEqEHIE
Cavonegerue npr rpunne HeAony'
crrvol flpegyraaaru reeeHtre6oJie3Hil HeBo3MOxHo, a octtoxHe-Hrq Morla 6uru cavuur pa3nurHbr-
vu. To,turo Bpa! Moxcr fPaalnbtlooLlesurs coctocHre 6oluuoro.
TaKoe ocnoxHeHffe, KaK nHeBMo-
H[9, HepeaKo pa3EhBaeTcc c nep8blx
xe [Hei, a trHofaa ff c nepBbtx qaco8
:a6oresaHus rpunnou, [loerouYHeo6xolruo Ha3HaeeHte otreuh0u-rec(rx nporuE0BrpycHb x cpeacTB 14
aAeKBarrroi TcPafuh APYrrMtr nPe-
napaTaMu (rro6u re aonycrurhocnoxHeHri). 9acTo noKa3aHbt tr
aononHurenbHbre o6cneaoaauus -
peurrer rpygHoi xnerrn, 3K[.flpu ssr6ope nporttBoBupycHbtx
npenaparoB creAyer oraarb npeA-
nogTeHffe npenaparaM c aoKa3aHHoioOOeKTtrBHocrbro - ocenbTaMilEilP\/(raMuofllo), 3aHaMilBhpy (penerca),
ilHf aBrpuHy. 3Tu npenaparbr 300ex-ruBrru npu rpunneAr B rvnoB KaKArtnpootrtaKTf(h raK ff Mq receHhg.
IlereHre cneayer HaguHaTb nPh
repBbx cIMrIoMax 3a6o;tesarrc.Eonsrure rpunnov rpe6ynr nocro-gHHofo Ha6noAeHrq co cToPoHbiMeapa6oTHffKOB, Ho, K coxaneHun,oKono Tptrauaru npouenros 6ontnutxTOCnilTan[3UpYioTC9 I CTaqr0Hapbl
no3aHo, noc.ne nflTv-uecrv aHeisa6onesaxun, rto npilBo^ffT K 3arcx-HOMy TeseHt4lo u Bo3HUXHo8eHUI0
ocroxHeHtri,AHrr6arreprarunyto repantrto
Ha3Haqaer Bpar ttpu npu:naxax 6ax-
reprarsHoi ilHOe(uhtr. CuMnroMa-r['rccKag Tepanvc rpilnna ilanpaBne-
Ha Ha cHUXeHue BbtcoKoi TeMnepa-
Typhl, cHnr/e fonoBHoi h MiltlecHoi6olr, o6lerceHue HocoBoto Abrxa-
HU9, noAaBIeHtre HenpoayKTuBHor0
xaun9, yKpenneHile 3aqfrTHblx ciln
opraHh3[4a, flpr neo6xoarvocranpil rpunne M0xH0 npIMeHCTb
xap0no[ffxa|oque tr np0TtrB08ocna-
r[TenbHhle cpeacTBa, HanpLlMep,
napaueraMon, r6ynporfeH. [1Pu
Kaune noKa3aHo npilMeHeHile npe-napaToB, ynyruaoqfr x oTxoxaeHue
uoxporor, - au6poxcon unu 6povrex-cru. flpr rptrrrre c,reAyer il36eralbHa3HaceH6s canuqvnar0B (acnilptrHa
h ncKapcTB, coAcpxautrx acnuptrll)aerqM u nilqaM Monoxe BoceMBa-
nltaru neT,
N PO O'I,l A KTI4 KA
CaMoe rnaBHoe - He aonYcxaTb roro,cToOH Btrpyc flonar Ha cnu3ucTble
o6oroqxr rnag, Hoca rnr pra. 9rd6ut
ao6urcq eroto, HlDi(Ho ofpaHrqulb(oHla(r c 3apaxeHHuMB noabM[.noMilMo 3Toro, lrwlr0 noMtlvTb, 'rr0Bupycbl Moryr I TeqeHtre aBy( cyr0K
3aaepxilBarbc9 Ha npeaMeTax nuc-roi rrrueru sa6oneBUefo cenoBeka
I Ha 8Ce803MoXHblX n08epxH0cT9x B
noMeuleHilLl, TAe pacnonaraeTc9
6onuxoi. flosrouy o6qga te,runoHyxHo Mhrrb pyKfi nocle KoHTa(Ta c
ero npeaMeraM/. Baxno yrecru, vrotr.,lurno He ltoxer y6rlb 8r/pyc rpvnna,flpr usrue pyx c ustnoM MuKpooPra'
ilu3Mbt yAan90Tc9 MexaH[(lccKfr,3roi Mepbr BnonHe aocTarorHo.
OAnrv r: rarOolee pacnPocrpa'
HeHHbtx il aocryilHbrx cpeaclE llpea-orEpaTurb 3apaxeHve rpunn0MqBn9eTcc ucn0nb30BaH6e MeauutrH-
cKofr MacKtr rnu pecntrparopa.Heooxoarvo nouHurb, qro ocBoB-
HUM MeToAoM npoOunaKTuK, rPln-na 98Ir9erc9 aKThBHae uMMyBr3aUr9- BaKllHHarlu9, Kofna B opfaHil3MBBoasr qacrully vH0eku[oHHoroaf eHra, (orophltr cTilMyJlilpyer 0pf a-
Hr:v r supa6orre aHTUTen ancnpeaorSpaLueHftc pa3MHOXeHvc
arpycoe. BaxqnHauuro nyeue npoEo'
AUTb occilbfo, noc(onb(y 3n[acMutirptrnna, KaK npaeuno,6ueanr e
nepvoAoT Hon6pr no uapra.TaKuM o6pa30M, cEoeBpeMeHHaq
npoovtaKruKa rpunfa, aaeKBarHae
repanun e cnyvae sa6oneBaHrg no3-
sonqr rr6exats ocrtoxrenui. 6ytts-re sAopoBbll
TarbrHa SYKAThHA,3aMeclxrenbrraaHoro Epaca TEY3 (TOXE
rMeHH B.A.6a6esxor
llpo$ecciln r BerephHapHrl.n BPaq
Ee ucroxu 6epyr xauano Bo BpeMeHa' xorAa rrcAil npupyqllnu nepBblx )KHBorHblx,
,ne'{eHr,te KoTopbtx,nerflo Ha nrei{H 3Haxapefi u ynaeaUtx Ha6rPAarenei 3a XttEoi np!'lpoAoi
B nepffoA, KorAa crpareruqecKoe 3HaqeHIenoJryrtrJl4 Jtouaail ,1 esoqrue xfigorHUe, 6e3
xoTopux He vornr o6oituct Ka( apMtrtr, Ta(il ToproBde xapaBaHbt, 3HaqeHile npoOecchuBeTepilHapa oceHh Bo3pocno. flepeste eere-phHapHbre u(onH nocBhitrcb I snoxy CpeA-HeBeK0Bbi, flperlMyuectBeHHo ffx 0TKpblEa-
ntr Ha repphTopuil aetrcT8yrou.lilx MeAycpex-
Aenqi.Ha ceroasqunti aeHb 3Ta npooeccug
noffb3yercg aocrpe6osaHuocrsn Ha puHKe
rpyga, Bereprrap - 3To cneqilartrcT, Koro-pbri ilMeer aeJro He ronbKo c Ml/JlblMil
AoMauHtrMrl xuBorHbtMt{. 0nhtrHble npooec-cuoHaru cnoco6sut oKa3arb KBanil0t4uilpo-BaHHyro n0M0ub aaxe 3K3olhrecKhM sBep9[l
h xffulHu(aM. B BereptrHapHblx uluHrKaxqacTo Tpyaerce cneqilaJrilclbr 6onee ysxnx
npocfrrei, 6yAyuerry BeTephHapy nyerle0npeaer,4Tbce c HanpaEteHueM c80eu aes'TenbHocrtr eqe I nepgste Anr yqe6st. l,lcxoActr3 vHrepecoB u nilcHHx npeAnoqIeHtri.MoxHo ocTaHoBilTb csoi sut6op Ha raxuxcneqilanbHocT9x, (aK TpaBMaT0noruq,xqpyprtrs, oQransvorornn u npoeee, npex-Ae reM BbrOparb 3Ty npoQeccuro, croilryrecru, rro pa6ora eereprHapa noaxoavt He
ECeMj TaK KaK npeAycMaTprEaer tacTuesble3[u Ha a0M K nauheHTy u x0MaHAup0Bl(fr,
npo0eccrlq BeTepuHapa IMeeT c8ol,t
8tlltlMbre npetrMyu.lec]Ba il He,il,ocTarxu.
Pa6ora e eroil cdepe noaxoailT noaqM, Koro-
pble no-HacTogqeMy tobgT xHEOTHhlX h
ficKpeHHe xeJlabr !1[,t noMofarb. BMecTe c
teu, spaq AonxeH 6hlrb npeAenhH0 ocropox-HblM, Beab He l4cM09aerc9 pilcK nonycuTbyxyc nr6o qapanhHy oT ilcnyfaHHor0 xh80T-HoTo Bo BpeMF ocMoTpa unr 6one3Hb, Hocx'releu xoropoi nannerca ero noAonerHHt.
Berepurap - 3To cnequantrcr, Kolopbli3aHUMaeTC9 neeeHtreM il npeAoTBpaqeHheMMHoxecrBa 3a6oreBaHui, sblnotHser pa3-
rrvcH0r0 T[na xupypfucecKl4e BMeuaTe,nb-
ctga. Og raxxe Aolxer oxasats xsanuQuqu-posaHHylo n0M0ulb xlrB0rHblM B xoae p0,008,
MeTOAOM npOEeAeHU9 3BTaHa3UU U3baBilTb
oT MyceHUi n[roMueB, y KoTophlx Her HhKa'
K,4x uiaHcoB Ha BH3AopoBJteHUe, Cneuuanl-
cru 3Toro npooutq ra(xe cneAsr 3a Kale-
cr80M npo.0,yKuiltr xr/BoTH0T0 np0[cxoxqe.HUC, (0T0pyr0 peanil3yrol Ha pHHKax fr
rpMapKax.Pa6ora sereprrapa seBo3MoxHa 6e3
:ranui Qnanolorrn tr pa38oBilAHocru 3a6o'reaanui xtrsoruux, kfloqeBHx cnoco6oe
!uarHocrilKu, nereHffg il npo0ffnaKrrKilHeAyroe. Kpoue roro, xopouui cneq[arqcrAonxeu 3Harb oco6ernocru npaBrltbHoro
coAepxaHIr npa(rhcecKfr Bcex BuAoE xl4B-
HOCT[,
K.A. HIUHH,HacarbHHx TOfEY(TaM6oEcxan ropC65)Kt
top related