Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Protokoly_diagnostiki_i_lechenia_zabolevany

.pdf
Скачиваний:
25
Добавлен:
06.02.2015
Размер:
2 Мб
Скачать
☆

"

: 09-102

"$ &: " , & & -

: 6!

& !: % ( " & & & , ).

' & & : 35

(:

L40

L40.3 -

L40.4

L40.9 "

) : " — 3 " $# "

& &

,

#

 

3 &

, " %

&

 

" ,

 

" ,

% % ,

.

 

 

 

 

$ :

1.( & )

2.3

5.3

6."

11."

12.7 "

"$ ( ): $# , , $# .

* : # , ( " , " ), 3 ( &, ), ( - 3 & ), " , ( .: "), ( .: - , ), .

:

1.- , - " ,$# & " $ "

" . < & , &

, $# " %

.

 

2. # - &

 

%

" ( ), " & , &

.

3." :

« »: $# , " ;

« & »: " &" % "$# ,$# & 3 ;

« » ( ? ): & ,% « & » % %

" " ( & ) " .

4.! « » - " " . ; % " & , & , ,

" & , , # ,.

" & :

1.6

2.# (6 )

3.# "

" & & :

1.?J;

2.?J;

5.H)B $

+ :

1.@$# (30% & 10,0 % - 10-15 V ; 10% & $ 10,0 % - 10-15 V ; 10% & 10,0

% - 10-15 V ) - .

2.

? ( % ): 25 ,

10 , 1 .

 

3.

$

: 0,1 % &,

0,1 % &, 0,1 % &, 1 % &. + & % & &$ ( ). @ " % % " 3 "$ & & " & &$ ( -IV). $#" & $, 3 % & & 3 ", $# .

4.! ( &). " &$ 0,5 5% . " , & ," " , % &. ! & " # " 3 , %, 3 " & . !% , $& 2%, % 2- $ &$ & " " % . + & " , % & " " 3% .

5.+ & . ! & , % , ,

 

 

# .

 

 

 

$

& ,

$# ,

,

" ,

$# . @ "

 

$

5–10%

. L & &

, , ,

.

 

 

6.5% - &, $# $# .

7.. ? # , 3 ,. — "3 , # .

3 & . , & &$ " 3 . J "" . @ & % "&$ 3 & & ( $ 3 $), % % — 3 & ( 2 ). ,3- .

8. & , D3, ", $ " & % . & % , "$ $, % ,$# $ , & . +$ & . 6 & % & % &

100 . , .

 

 

9.

(114 , % )

1 % " 12 " " 1 .

10.

' "

"

" , ,

3

 

" -

 

,

$# " . + " :

5 " 8

" (15 )- 1 $, 2-3 ; V 25-50 1 $-3-4 V " , " .

11. % " " &$ $. ) " & " % H_-"( ).

" & :

1.30% & ,

2.10% & $,

3.10% & ,

4.G 25 ,

5./ 10 ,

6.1 ,

7.< 0,1 % &

8.6 0,1 % &

9.; 0,1 % &

10.1 % &.

11.! 2% &

12.114 , %

13.? & 0,25 ,

" & & :

1.5% - &

2.5–10%

3.3 , ,

4.& ( &, , )

5. 6 , 2,5 ; . 0,005; 0,05 0,1

6.5 , .

7.@ 4 .

 

,- ! :

3 " : $ 1 3 .

 

: %

, 3 .

/

, & :

1.

British Association of Dermatologists guidelines for use of biological interventions in

psoriasis 2005 C.H. Smith, A.V. Anstey, J.N.W.N. Barker, A.D. Burden, R.J.G. Chalmers, D.

Chandler, A.Y. Finlay, C.E.M. Grifitths, K. Jackson, N.J. McHugh, K.E. McKenna, N.J. Reynolds and A.D. Ormerod (Chair of Guideline Group).

2.Psoriasis. Snellman E. Psoriasis. In: EBM Guidelines. Evidence – Based Medicine. (CDROM). Helsinki, Finland: Duodecim Medical Publication Ltd.; 2004 Jun 18 (various). (74 references) www.prodigy. Nhs. U

3.@ & . >% " . L & 6. 6.6 ! , 2003 .. 1865-1867.

* – , # (% % )

: 01-118

"$ &: "

: 6!

& ! : & " & , " &

$ &, & & % &

" , &

% ( , % ), " & " % .

 

' & & : &

 

 

(:G35

 

 

) : (PC) -

" ,

$# ,

$# , $# "

, $#

" %

# ,

# % .

$ :

 

! # $# !:

 

 

# :

1./ &

 

2.!

&

 

3./ &

 

"$ :

 

1.$# - $# ($# ) % &;

2." ( "" " );

3. ' " ( " ); 4. - $# ( $ "$# " )

* : ' " # (20-40 ). L #$ % # . PC -

( , , , ,

),

"

" " &$.

H

 

& PC 20-50 , " #

.

: ' PC % & "

.

" " , $# -, . B PC $,, & $:

-;

-& " &$ ;-;

-% &$ ;

-.

"

PC

 

& " ;-

.

 

PC $ " ;- %

 

& &, 3

.

 

 

: @ PC

,

,

 

 

:

 

 

 

 

 

-# & " $ ( " % );

 

- #&$ - (6 ;);

 

 

- " .

 

 

 

 

" & $# "

 

" # /+!.

 

 

' " & & %# , & "1 " , " 2- .

+ " PC 6 ;, % & % " % /+! PC && . & 6 ;, ( " " ), $ $PC.

" & :

1.& &

2.6-

3.#

4.# "

5.< "

" & & :

1.? & %

2.&$

3.&

+ : J , $# " & ! . " PC % , &, "" & 3 & "

. J " & % "&

" ,

$# " .

 

 

 

' & " ! %

&

–

" " .

 

 

 

 

"

"

 

%

 

. < & 3

–

 

,

$

$,

3 " & . : – $ ( ). B - - -1 ( 3 , $ & & " # " ). 0,25 (8 . 6>), % 1, % , " &. ! " & ? ? + &-1 & – ? " $#- $# "- $# PC. J " % & % & " PC " &- & . " " -& " .

! ($" & ) % " &. % & " % & : 6 /

1 " 3 - 5 $#

 

& .

' $ $ &

1 / ,

 

% &

" 1 – 2 &. +

& " ( 3

)

% &

 

( " 3 ). > & , & " & $.

9 :

1.! & %$ # " , $ "$# $ – " 2-3 200

400 , ( 10 , 1 3 , " 1 ,"& % 200 600 40" , " & 50,0100,0 " 5 10 V ).

2. ! " & , % " & % % " . " ""$ ( " & – 5 2-3 ; " – 20 30 / ) 50 150 / .

3." " & "" . + " % &

$ " # . + &

" , % "

 

D. @ " " " 100-

400

& 10-40 & . % "

5 15 / .

4.# & " & & .

5." & ( 50100 ; 20 )

& & " % . " "" % & & " & & .

" & :

1. *6 4 , , V 40 , 125 , 250 , 500

2.*< 8 6> % " & ( - -1 , &)

" & & :

1.*< 10 , 25 ,

2.*; 50 % , 150 V 100

3.*@ , 200 , 400

4.5 ,

5.*_ 50 ,

6.*_ 10 , 20 ,

7.*@ "& 200 , %

8. * " & , V 5, 10

9.*' 10 ,

10.* 200

11.*; 100

12.*/ 200

13.

*; 1 5%; 10%, 50%

14.

*? V 5%, 10% 2 , 5

,- ! :

1.

@ !;

2.

" ;

 

/

 

, &

:

1. "

$# " . 6, 2002

2." $ " " . B.+.@ , M.J.K " .6.2004

3.@ & . >% " . ' 2.2003

4.Multiple sclerosis. National clinical guideline for diagnosis and management in primary and

secondary care National

Institute for clinical excellence. 2004.

2.The use of mitoxantrone for the treatment of multiple sclerosis: report of the Therapeutics and Technology assessment

Subcommittee of the American Academy of Neurology. 2003.

3.The IFNB Multiple Sclerosis Study Group and the University of British Columbia MS/MRI Analysis Group. Interferon beta-lb in treatment of multiple sclerosis. Final outcome of the randomized controlled trial. Final outcome of the randomized controlled trial // Neurology.- 1995.- V. 45.- P. 1277-1285.

4.>.B., @ ;.J., < ?.+., G " +.'. +- // D. . . ! . : .-

2003.- 8 2.-!. 98-102.

5. Gold R. Adherence to treatment: value of patient support. Oral presentation at International Sobering Symposium. Copenhagen, 2004.

* – , # (% % )

: 05-050

 

 

 

 

 

 

 

 

 

"$ &: "

 

 

 

 

 

: 6!

 

 

 

 

 

& ! :

 

 

 

 

 

1.

% J

"

( $).

 

 

 

 

2.

# , $#

 

 

.

 

 

 

 

 

'

& & : & «@»

"

& (

" , " %

).

 

(:

 

 

 

 

 

I00

" "

I01

" "

 

 

 

 

I02

"

 

 

 

 

 

I05

" (

) &

 

 

 

I06

" (

) &

 

 

 

I07

" (

) "

 

 

I08

% &

 

 

 

 

I09

@ "

 

 

 

 

M79.0 "

) : - & & " " , -"?, $# " % $.

$ : ? (2003 ):

1." : " , " ;

2." :

3.: , , , & 3 , % "

4.@ & : , , & ,

5.B : ; " " & ( ,)

6.! " .

* : % , &-3 " , " &,

"

 

% &.

 

 

:

1.< & - , , , & 3 , % " .

2.6 - " : , ; : " ! 7,! <; & : PQ 7 ,

& & -7 , 3. @ , %$# $#$ $ $.

4. + " & & 2- ,

$#$ '-"$

$

$ ( ?-

& ,

 

 

 

 

% &

?- ,

 

 

$#

?!J-, -@+- ' &

.

 

 

 

 

 

 

 

 

+ "

 

" ,

%

 

,

 

"

 

% , " #

%$

 

,

 

" &,

" & % . " : 90% & , % , & 3 , , , , 3, , &-.

" & :

1.#

2.# "

3.J- - .

4..

5.# .

7.!- .

8.7

9..

10.3- # .

11.7G (@ J> 7G ).

" & &

1. < " .

+ : J " " , .

+

 

3 # "

J -

:

 

1.

@ & ,

J ( , ) – 5 ;

2.@ & , J & 5 (% & 25 )

3.< & , & "

- " % .

4.? & :

5." " " & 3 .

6.? 3 # "

3 ( ?)

7.' " - D – 2,4 >@ 1 3 – " .

8., # , & :

9.? * 2 1 " & . % &

& / / 2 30

10.- *500 * 500600 .

11.% & / * 600* / / 1 .

12.% "-" & :

13.? *2 1 " & . % &

& / / * 2 30

14.* 1 / " 1-2", " & 30 .

15.: * 2,4 / 1 3 .

16.+ & (+ '!): *

17. + "

$ % ,

 

" " : * (0,5-2 / ) % 6-12

" , " 2 $ "$ 120-160 . )

 

&

! 7 " 1 . %$ % 2 5 . @