Protokoly_diagnostiki_i_lechenia_zabolevany
.pdf#
: 08-089
"$ &: ": 6! ( )
& !: " , " # , &% .
' & & : 7-10 ( )(: 600 – 603 – ( J )
605 – 614 - & ( ?, .) 615 – 619 – ( ? . )
) : ? - 3 " % " " . 6 % & & ( ),-" ( ).
$ :
1.) % & ( ).
2.@ "- % # ($# ).
3., $# ( "- , , .)
4.! " ( , , ).
5.' & – % – %( " ).
* :
1.B : , & , .". , .
2.L ( ), % " .
3. |
" |
% &, . |
|||||
4. ) |
|
, & # . |
|||||
5. |
+ . |
|
|
|
|||
|
|
: |
|
|
|
||
- |
|
( & |
% , &, ) |
||||
- |
|
% : , |
, |
, |
& 3 , |
||
% " . |
|
|
|
||||
" & : |
|
|
|||||
1. |
! ( " ) |
|
|
||||
2. |
V ( & , |
& |
, " |
||||
|
. .) |
|
|
|
|
|
|
" & & : + :
# — % & & .
!$ , $"$# # % # % , & % , & ,
D ( % ) ( %).
% & . 6 .
+ & :200 , 400 - 2-3 & 2-3 1 "&.
6 " : % , ,& 3-4 & % .
" & :
1.*B 200 , 400 , .
2.B &
3.*@ , &
4.G & , &
" & & :
+ "$ & & .
,- ! :
3 " : % & , $# " , % .
/ , & .
1." .2004 .
2." $# " .2002 .
3.Management of early rheumatoid arthritis. National clinical guideline Scottish Intercollegiate Guidelines Network December2000
4.Clinical practice guideline for the management of rheumatoid arthritis Spanish society of Rheumatology. 2001
5.' , K <.B. >+ , 1999
6.! " & , - -@ , 2001 .
* – , # (% % )
; !
: 06-070
"$ &: " : 6! ( )
& !: , , .
' & & : 1-3
(
?04.5 7 Campylobacter ?04.6 7 Yersinia
) :
; ! " " % & : , , , , , % &
3 |
|
, % |Dolby Payne and Elliott, 2003| (1). |
|
< |
$ . |
" , % |
|
" , % |
% . & |
||
3 |
&. |
|
|
- " , " . " « » % , , "% , $, & % .
@ " " %3 " 24 " /WHO 1993, De Bruyn, 2002|.G" : $ 1-3 &,, " , - % . 6-8 , % " % " - «% " ». % " % &" % &" , $ . & % " " , « ». @ & &, %$# , 3 , "" " $ Campylobacter, Salmon,nella, Shigella, Escherichia coli, Yersinia, , . < " " " & . H , , # " 50%, " $ , "
3 " 3 |
E.Coli, Salmonella, Shigella, Campylobacter, |
||||||
Vibratos, Yersinia, Aeromonas.| |
|
|
|
|
|||
* : |
|
|
|
|
|
|
|
+ % |
, & - , " |
||||||
" |
, , & |
|
. |
||||
, |
, |
# , |
|
||||
" - , &, , & . |
|
|
|
||||
|
|
: " % |
, " V |
|
200 |
, |
|
&, , 3 , , . |
|
|
|
||||
" & :
1.!
2.V
" & & :
+ :
:
% % ( " 5%) " " " . & % & & " . H, , . " ,
" . ; % 3 $" - % . ' % " & 2 & 24 " $# " " % 200 % . @ &
% $ |
, % # |
$ & |
|
& 3 |
|
&. ! – 3 , % 1/2 . |
||
? % " & |
% ; |
% |
; , " $# ( . .)," % & .
500 2 & " 3 .
" & :
1.* , % 4 500 >@
2.*! &
3.*0,9 %
4.*! & $ -3 , &
5.*5% $ 200-400
" & & :
1. */ 500 ,
,- ! :
3 " " 3 & " .
/ , & :
1.Prodigy guidance/Management of acute infective gastroenteritis. October 2003.
2.@ & . >% " . ' 3 2004 .
3." $# " , & , 2002
4.Practice guidelines for the management of infectious diarrhea, IDSA guidelines. 2001.
5.Diarrhea in adults (acute).Clinical evidence, 2004.
6.' . " . '.B.K
7.! " & – –@ 2000
* – , # (% % )
' |
! 8 & $ 8 |
:18-147 |
|
"$ &: |
" |
: 6! ( )
& ! :
1.@ .
2..
3."
4.%
' & & : 1- 3
(:
?09 @ 3 % & . ?02 @ & .
?03 K .
?08 ' " " . ?05 @ & # .
) : ' – " % 3 " 24
" V , $# 200 / .
>$ ! – " % " & : , , , , ( ) % , " % . % & & 14 .
$ :
* : Salmonella, Shigella, Esherichia coli, Vibrio cholerae, Yersinia, Campilobacter, Rotavirus and etc., Lamblia intestinalis.
:
1." :
-" ;
-;
-, ;
-% ;
-" ;
-%
2. " :
-# (" , % & , , % & % );
-& % ( , % , &, , % & % % , % );
- " & ;
-& ;
-& % , & " ($" % " : , " &, & )
" & :
1.! ( , , &)
2.V ( & , & % )
" & & :
+ : & 2 % "24 " . ' $# 200 % "
% ( , % ,
" 6-24 ".) |
& : 500 2 |
& " 5 . |
|
& |
$# % : |
10 / 1 (10 ). |
|
B & " |
, $# & " ( ), |
% , " " ( ), & "
" & :
1. ** & & $ -3
( , )
2.**! & + 120 , , 240 /5
3._ 50 ,
" & & :
1. *! , &
2.*@ 40 ,
3.* , , % 4 500 >@
,- ! :
+ 3 & " ($# ; %$# 24 ". ; % ).
/ , & :
1.Prodigy guidance\management of acute infective gastroenteritis October2003
2.Practice guidelines for the management of infectious diarrhea IDSA guidelines 2001
3.Diarhoea in adults, Clinical evidens 2004
4.@ & . >% " .2004 .
5." $# " , & .2002 .
6.! " & - –@ 2001 .
* – |
, # |
(% % ) |
|
** |
- " & |
|
, " |
$ |
& |
||
)8
: 23-304
"$ &: ": 6! ( )
& ! : % , " 3 % , % , &" " , , - &% .
' & & : % , 1 3
(:
E66 %
E66.0 % , " 3 "
E66.1 % ,
E66.2 & % , % & E66.8 @ %
E66.9 % "
) |
: % " , $# |
|||||
" % . |
|
|
|
|
|
|
$ : |
|
|
|
|
|
|
+ |
|
|
% |
( |
3 ): |
3- |
& , " , 3 ( B-, , , " . .).
# %$ %-% " : ( ), & ( # $: , & , & ,
« »), % |
( , |
« »). |
|
|
|
|
|||
* : |
|
|
|
|
|
|
|
|
|
-" % & |
|
|
|
|
|
|
|
||
- |
|
|
|
|
|
|
|
|
|
-& |
|
( |
& |
" |
% |
|
|
||
) |
|
|
|
|
|
|
|
|
|
- ( |
|
.) |
|||||||
-3 ( B-, , |
|||||||||
, |
" . .) |
|
|
|
|
|
|
||
: |
|
|
|
|
|
|
|
|
|
1. @ % & |
& – (B6;). |
||||||||
B6; = ( % ), ( % ), |
|||||||||
|
|
|
|
|
|
|
|
|
|
B6; = ( ) / ² ( ) |
|
|
|
|
|
|
|
||
B6; & |
|
18 65 . H |
|
|
|||||
|
|
|
&$ |
& |
|||||
& . B6; " , # , |
|||||||||
& ( , .) |
|
|
|
|
|||||
6 $ |
#&$ " & . |
||||||||
$ & , |
% & , |
% |
|||||||
& % . |
|
|
|
|
|
|
|
|
|
B6; 25 29 – |
|
|
|
|
|
|
|
||
B6; 30 – %
2. ' % & 3 . @ V ( ; – % ,$ ) V ( < – " & %& ). ; < .
' ;/ <: % # % & 0,85, %" - 0,95. >
;/ < – & & ( # $: , & , & , « »). " % % " % % , , "$ B<!, & , ,& .
3. % & " ( ,– 3 ) 3 % ,, , % . @ 3 , $"$# :, # , J ' , #( & & $), – ; 6 ; , H)B ; " " , H)B ,( , ;; , _! , J , 3 , ).
" & :
1.B , & , B6;
2.B ; <, ;/ <
3.B &
6 _? % :
- & , %& &$ "
-& & , & &
"
-& $ % $& , " %$
-# & , % ,
" , "
-" & % & % & % % &
-# & & % & , &% .
" & & :
+ :
" . " " % 3 " – " . " % ( , , .) " " % "$ " .
% : 1. B % :
-& %
-% : & % , , " $, ; " & # , , % " $
- |
% & : " , (5-6 &) |
- |
& – " & & " |
# , ( 1 ) |
|
2. |
" : |
-& %$ ,
& % & "
-% % & ,
-" & & $ ( & & ," " # , & & " « » – #
% & , & "- # – , & , " & . ., # & ).
" & : , % (B<!, & , , , & . .) – #& $#
" & & : , % (B<!, & , , , & . .) – #& $#
,- ! :
% & &$ " :
1.% 3 %, %
2., % (B<!, & , , , & . .)
3.% & , "$# "
4.% % ( 3B6; 18,5)
/ , & :
1.@ & . >% " . ' 1. 2002
2.Health care. Institute for clinical systems improvement. Prevention and management of management of Obesity. 2004.
3.Treatment of obesity. EBM guidelines. 2004
4.Obesity Clinical >vidence. 2004
5." $# " , & , 2002
6. "$ , # % , " . <. . < , 6.>. ) & , ;._. , K.!. ? . ? , 2005
* – , # (% % )
|
|
|
) 7>, ) E, , $ |
|
|||
: 04-035 |
|
|
|
|
|
||
"$ &: " |
|
|
|
|
|||
: 6! ( ) |
|
|
|
|
|||
& ! : & & |
% & ; |
& |
|
||||
% |
& , " |
||||||
" 3 " . |
|
|
|
|
|||
' |
& & : 'B - 6- 8 . ) – 3- 5 . – 5-7 . |
||||||
+ – 5- 7 ( , % % ). |
|||||||
(: |
|
|
|
|
|
||
J10 |
|
, |
|
|
|||
J11 |
|
, |
|
|
|
|
|
J06 |
|
& |
|
% " |
|||
|
|
|
|
|
|
||
J00 |
( ) |
|
|
|
|
||
J06.8 @ & |
% |
||||||
J04 |
|
|
|
|
|
||
) : |
|
|
|
|
|
||
) 7> - |
|
|
& |
|
|||
$ " , % &% & , $" & . # , $ , " : & ( ), ( " ), % & , " & ( ), & ( ). 3200 ($" 100 )& .
) E - |
. |
- - " . |
|
) |
- & " , |
%$# " , " & , " . ? " – , ( ). ? " – " " " , " % # .– " , $## , % , . 7 & " –" % 3 ," . " – " " . " – G "" , % .– " & . '– " .
$ – " .. + # # ( %% , , & ), ,, &, ,. H. @ , "" ( , ). +$ " ( ).
$ : ) 7>
1. 3 " # , - &