4 курс / Акушерство и гинекология / тактика_врача_акушера_гинеколога
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ǵǷǯǬǴǹǯǷǵǩǵǾǴȂǬ ǸǷǵDZǯ ǩǷǬdzǬǴǴǵǰ ǴǬǹǷǺǫǵǸǶǵǸǵǨǴǵǸǹǯ
ɉɨɫɥɟ ɤɨɧɫɟɪɜɚɬɢɜɧɵɯ ɨɩɟɪɚɰɢɣ ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɢɦ ɞɨɫɬɭɩɨɦ ɫɪɨɤɢ ɪɟɚɛɢɥɢɬɚɰɢɢ ɧɟ ɩɪɟɜɵɲɚɸɬ ɧɟɞ ɩɨɫɥɟ ɪɚɞɢɤɚɥɶɧɵɯ ʊ -8 ɧɟɞ
DZȗȏșȌȗȏȏ ȉȢȎȋȕȗȕȉȒȌȔȏȦ
ɉɪɟɤɪɚɳɟɧɢɟ ɤɪɨɜɨɬɟɱɟɧɢɣ ɭɫɬɪɚɧɟɧɢɟ ɛɨɥɟɜɨɝɨ ɫɢɧɞɪɨɦɚ ɭɥɭɱɲɟɧɢɟ ɢɥɢ ɧɨɪɦɚɥɢɡɚɰɢɹ ɮɭɧɤɰɢɣ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɧɚɫɬɭɩɥɟɧɢɟ ɛɟɪɟɦɟɧɧɨɫɬɢ ɩɪɢ ɨɪɝɚɧɨɫɨɯɪɚɧɹɸɳɟɦ ɥɟɱɟɧɢɢ ɨɬɫɭɬɫɬɜɢɟ ɪɟɰɢɞɢɜɚ ɢɥɢ ɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɹ ɡɚɛɨɥɟɜɚɧɢɹ
t.me/medgynecology
Ɍɚɤɬɢɤɚ ɜɟɞɟɧɢɹ ɛɨɥɶɧɵɯ ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɜɤɥɸɱɚɟɬ ɧɚɛɥɸɞɟɧɢɟ ɢ ɦɨɧɢɬɨɪɢɧɝ ɦɟɞɢɤɚɦɟɧɬɨɡɧɭɸ ɬɟɪɚɩɢɸ ɪɚɡɥɢɱɧɵɟ ɦɟɬɨɞɵ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɜɨɡɞɟɣɫɬɜɢɹ Ɉɩɪɟɞɟɥɹɟɬɫɹ ɤɥɢɧɢɱɟɫɤɢɦɢ ɩɪɨɹɜɥɟɧɢɹɦɢ ɢ ɬɟɱɟɧɢɟɦ ɡɚɛɨɥɟɜɚɧɢɹ ɜɨɡɪɚɫɬɨɦ ɢ ɪɟɩɪɨɞɭɤɬɢɜɧɵɦɢ ɩɥɚɧɚɦɢ ɩɚɰɢɟɧɬɨɤ ɧɚɥɢɱɢɟɦ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɯ ɢ ɫɨɦɚɬɢɱɟɫɤɢɯ ɡɚɛɨɥɟɜɚɧɢɣ ɧɚɥɢɱɢɟɦ ɩɨɤɚɡɚɧɢɣ ɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ ɞɥɹ ɬɨɝɨ ɢɥɢ ɢɧɨɝɨ ɜɢɞɚ ɥɟɱɟɧɢɹ ɫ ɭɱɟɬɨɦ ɩɨɠɟɥɚɧɢɣ ɩɚɰɢɟɧɬɨɤ
Ʉɪɢɬɟɪɢɢ |
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Ʉɨɦɦɟɧɬɚɪɢɢ |
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Ⱥɦɛɭɥɚɬɨɪɧɵɣ ɷɬɚɩ |
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Ɉɛɫɥɟɞɨɜɚɧɢɟ ɩɚɰɢɟɧɬɨɤ |
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Ɉɰɟɧɤɚ ɤɥɢɧɢɤɨ-ɚɧɚɦɧɟɫɬɢɱɟɫɤɢɯ ɞɚɧɧɵɯ |
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ɉɪɨɜɟɞɟɧɢɟ |
ɮɢɡɢɤɚɥɶɧɵɯ |
ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɵɯ |
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ɢ ɥɚɛɨɪɚɬɨɪɧɵɯ ɦɟɬɨɞɨɜ ɨɛɫɥɟɞɨɜɚɧɢɣ |
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Ʉɨɧɫɭɥɶɬɚɰɢɹ ɫɦɟɠɧɵɯ ɫɩɟɰɢɚɥɢɫɬɨɜ |
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Ɇɟɞɢɤɚɦɟɧɬɨɡɧɨɟ ɥɟɱɟɧɢɟ |
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Ɇɟɞɢɤɚɦɟɧɬɨɡɧɨɟ ɜɨɡɞɟɣɫɬɜɢɟ ɧɚɩɪɚɜɥɟɧɨ ɧɚ ɪɟɝɪɟɫɫ |
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Ɇɟɞɢɤɚɦɟɧɬɨɡɧɨɟ |
ɥɟɱɟɧɢɟ |
ɜɤɥɸɱɚɟɬ |
ɤɥɢɧɢɱɟɫɤɢɯ ɫɢɦɩɬɨɦɨɜ ɫɨɯɪɚɧɟɧɢɟ ɪɟɩɪɨɞɭɤɬɢɜɧɨɣ |
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ɮɭɧɤɰɢɢ ɭɥɭɱɲɟɧɢɟ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ |
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ɧɟɝɨɪɦɨɧɚɥɶɧɵɟ ɫɪɟɞɫɬɜɚ ɢ ɩɪɟɩɚɪɚɬɵ |
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ɝɨɪɦɨɧɚɥɶɧɨɣ ɬɟɪɚɩɢɢ |
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ȼɵɛɨɪ ɩɪɟɩɚɪɚɬɨɜ ɡɚɜɢɫɢɬ ɨɬ ɜɨɡɪɚɫɬɚ ɛɨɥɶɧɨɣ |
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ɋɦ ɮɚɪɦɚɤɨɬɟɪɚɩɢɹ |
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ɚɧɚɦɧɟɡɚ ɩɟɪɟɧɨɫɢɦɨɫɬɢ ɥɟɤɚɪɫɬɜɟɧɧɵɯ ɫɪɟɞɫɬɜ |
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ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɯ ɢ ɫɨɦɚɬɢɱɟɫɤɢɯ |
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ɡɚɛɨɥɟɜɚɧɢɣ |
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ɗɮɮɟɤɬɢɜɧɨɫɬɶ ɦɟɞɢɤɚɦɟɧɬɨɡɧɨɣ ɬɟɪɚɩɢɢ ɧɭɠɧɨ |
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ɨɰɟɧɢɜɚɬɶ ɜ ɬɟɱɟɧɢɟ ɦɟɫ ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ |
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ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ ɢ ɩɨɛɨɱɧɵɯ ɷɮɮɟɤɬɨɜ ɜ ɫɥɭɱɚɟ |
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ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɩɪɨɢɡɜɨɞɹɬ ɡɚɦɟɧɭ ɩɪɟɩɚɪɚɬɚ ɢɥɢ |
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ɜɵɩɨɥɧɹɸɬ ɨɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ |
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ɋɬɚɰɢɨɧɚɪɧɵɣ ɷɬɚɩ |
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ɏɢɪɭɪɝɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɜ ɩɥɚɧɨɜɨɦ ɢɥɢ |
ɉɨɤɚɡɚɧɢɹ |
ɤ ɯɢɪɭɪɝɢɱɟɫɤɨɦɭ ɥɟɱɟɧɢɸ ɜ ɷɤɫɬɪɟɧɧɨɦ |
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ɷɤɫɬɪɟɧɧɨɦ ɩɨɪɹɞɤɟ |
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ɩɨɪɹɞɤɟ |
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Ʉɚɤ ɩɪɚɜɢɥɨ |
ɯɢɪɭɪɝɢɱɟɫɤɨɟ |
ɥɟɱɟɧɢɟ |
x ɤɪɨɜɨɬɟɱɟɧɢɟ |
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ɜɵɩɨɥɧɹɸɬ ɜ ɩɥɚɧɨɜɨɦ ɩɨɪɹɞɤɟ |
ɜ I ɮɚɡɭ |
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x ɚɩɨɩɥɟɤɫɢɹ ɹɢɱɧɢɤɚ |
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ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ - -ɣ ɞɟɧɶ |
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x ɛɨɥɟɜɨɣ ɫɢɧɞɪɨɦ ɩɪɢ |
ɧɚɥɢɱɢɢ ɨɛɴɟɦɧɵɯ |
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ɨɛɪɚɡɨɜɚɧɢɣ ɜ ɦɚɥɨɦ ɬɚɡɭ |
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391
Ʌɚɩɚɪɨɫɤɨɩɢɹ |
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ɥɟɱɟɛɧɨ-- |
x |
Ʌɚɩɚɪɨɫɤɨɩɢɹ |
ɹɜɥɹɟɬɫɹ |
ɩɪɟɞɩɨɱɬɢɬɟɥɶɧɵɦ |
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ɞɢɚɝɧɨɫɬɢɱɟɫɤɚɹ |
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ɯɢɪɭɪɝɢɱɟɫɤɢɦ |
ɞɨɫɬɭɩɨɦ |
ɩɪɢ |
ɥɟɱɟɧɢɢ |
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Ɋɟɤɨɦɟɧɞɭɟɬɫɹ |
ɢɫɩɨɥɶɡɨɜɚɧɢɟ |
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ɷɧɞɨɦɟɬɪɢɨɡɚ |
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x Ɉɛɴɟɦ ɢ ɞɨɫɬɭɩ ɨɩɟɪɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ |
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ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɨɝɨ ɞɨɫɬɭɩɚ |
ɭ ɩɚɰɢɟɧɬɨɤ |
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ɨɩɪɟɞɟɥɹɸɬɫɹ |
ɯɢɪɭɪɝɨɦ |
ɜ ɡɚɜɢɫɢɦɨɫɬɢ |
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ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɩɪɢ ɧɚɥɢɱɢɢ |
ɭɫɥɨɜɢɣ |
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ɨɬ ɤɥɢɧɢɱɟɫɤɨɣ ɫɢɬɭɚɰɢɢ ɜɨɡɪɚɫɬɚ ɭɫɥɨɜɢɣ |
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ɢ ɨɬɫɭɬɫɬɜɢɢ |
ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ |
ɭɪɨɜɟɧɶ |
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ɪɟɩɪɨɞɭɤɬɢɜɧɨɝɨ |
ɚɧɚɦɧɟɡɚ |
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ɢ ɩɥɚɧɨɜ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ȼ |
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ɜ ɨɬɧɨɲɟɧɢɢ ɪɟɚɥɢɡɚɰɢɢ ɪɟɩɪɨɞɭɤɬɢɜɧɨɣ |
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ɮɭɧɤɰɢɢ |
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x |
Ɉɱɚɝɢ |
ɢɧɮɢɥɶɬɪɚɬɢɜɧɨɝɨ |
ɷɧɞɨɦɟɬɪɢɨɡɚ |
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ɪɟɤɬɨɜɚɝɢɧɚɥɶɧɨɣ ɩɟɪɟɝɨɪɨɞɤɢ ɦɨɝɭɬ ɛɵɬɶ |
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ɭɞɚɥɟɧɵ |
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ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɢɦ |
ɢɥɢ |
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ɤɨɦɛɢɧɢɪɨɜɚɧɧɵɦ |
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ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɢ- |
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ɜɥɚɝɚɥɢɳɧɵɦ ɞɨɫɬɭɩɨɦ ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ |
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ɜ ɫɨɱɟɬɚɧɢɢ |
ɫ ɨɞɧɨɜɪɟɦɟɧɧɨɣ |
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ɪɟɡɟɤɰɢɟɣ |
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ɩɨɪɚɠɟɧɧɨɝɨ ɭɱɚɫɬɤɚ ɫɬɟɧɤɢ ɩɪɹɦɨɣ ɤɢɲɤɢ ɢɥɢ |
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ɜ ɟɞɢɧɨɦ |
ɛɥɨɤɟ |
ɫ ɦɚɬɤɨɣ |
ɭ ɠɟɧɳɢɧ |
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ɧɟ ɡɚɢɧɬɟɪɟɫɨɜɚɧɧɵɯ ɜ ɛɟɪɟɦɟɧɧɨɫɬɢ |
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x Ʉɪɢɬɟɪɢɹɦɢ ɞɥɹ ɩɪɢɧɹɬɢɹ ɪɟɲɟɧɢɹ ɨ ɪɟɡɟɤɰɢɢ |
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ɤɢɲɤɢ ɹɜɥɹɸɬɫɹ ɪɚɡɦɟɪ ɨɱɚɝɚ ɩɨɪɚɠɟɧɢɹ ɛɨɥɟɟ |
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- ɫɦ ɫɬɟɩɟɧɶ ɜɨɜɥɟɱɟɧɢɹ ɨɤɪɭɠɧɨɫɬɢ ɤɢɲɤɢ |
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ɛɨɥɟɟ |
ɨɤɪɭɠɧɨɫɬɢ |
ɝɥɭɛɢɧɚ |
ɢɧɜɚɡɢɢ |
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ɜ ɦɵɲɟɱɧɵɣ ɫɥɨɣ ɦɦ ɢ ɛɨɥɟɟ ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ |
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ɩɨɤɚɡɚɧɢɣ ɤ ɪɟɡɟɤɰɢɢ ɤɢɲɤɢ ɜɨɡɦɨɠɧɨ ɢɫɫɟɱɟɧɢɟ |
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ɬɨɥɶɤɨ |
ɷɧɞɨɦɟɬɪɢɨɢɞɧɨɝɨ |
ɢɧɮɢɥɶɬɪɚɬɚ |
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F ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɨɪɝɚɧɨɫɛɟɪɟɝɚɸɳɟɣ ɦɟɬɨɞɢɤɢ |
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VKDYLQJ |
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x ɏɢɪɭɪɝɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɢɧɮɢɥɶɬɪɚɬɢɜɧɵɯ ɮɨɪɦ |
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ɷɧɞɨɦɟɬɪɢɨɡɚ ɫ ɜɨɜɥɟɱɟɧɢɟɦ ɬɨɥɫɬɨɣ ɤɢɲɤɢ |
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ɦɨɱɟɜɨɝɨ |
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x |
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x ɩɭɡɵɪɹ ɢ ɦɨɱɟɬɨɱɧɢɤɨɜ ɧɟɨɛɯɨɞɢɦɨ ɩɪɨɜɨɞɢɬɶ |
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ɢɫɤɥɸɱɢɬɟɥɶɧɨ |
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ɜ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɵɯ |
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ɷɤɫɩɟɪɬɧɵɯ ɥɟɱɟɛɧɵɯ ɰɟɧɬɪɚɯ ɫ ɩɪɢɦɟɧɟɧɢɟɦ |
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ɦɭɥɶɬɢɞɢɫɰɢɩɥɢɧɚɪɧɨɝɨ ɩɨɞɯɨɞɚ ȼɵɩɨɥɧɟɧɢɟ |
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ɪɟɡɟɤɰɢɢ ɤɢɲɤɢ ɢɥɢ ɦɨɱɟɜɨɝɨ ɩɭɡɵɪɹ ɞɨɥɠɟɧ |
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ɨɫɭɳɟɫɬɜɥɹɬɶ |
ɯɢɪɭɪɝ ɢɦɟɸɳɢɣ ɫɟɪɬɢɮɢɤɚɬ |
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ɨ ɩɪɚɜɟ |
ɧɚ ɩɪɨɜɟɞɟɧɢɟ ɩɨɞɨɛɧɵɯ |
ɨɩɟɪɚɰɢɣ |
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ɤɨɥɨɪɟɤɬɚɥɶɧɵɣ ɯɢɪɭɪɝ ɭɪɨɥɨɝ |
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Ɋɟɤɨɦɟɧɞɭɟɬɫɹ |
ɷɧɭɤɥɟɚɰɢɹ |
ɫɬɟɧɤɢ |
ɗɧɭɤɥɟɚɰɢɹ |
ɤɢɫɬɵ ɩɨɡɜɨɥɹɟɬ |
ɦɢɧɢɦɢɡɢɪɨɜɚɬɶ ɪɢɫɤ |
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ɷɧɞɨɦɟɬɪɢɨɢɞɧɨɣ |
ɤɢɫɬɵ |
ɩɨɫɥɟ |
ɟɟ |
ɪɟɰɢɞɢɜɢɪɨɜɚɧɢɹ ɢ ɫɧɢɠɟɧɢɟ |
ɨɜɚɪɢɚɥɶɧɨɝɨ ɪɟɡɟɪɜɚ |
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ɨɩɨɪɨɠɧɟɧɢɹ |
ɢ ɩɪɨɦɵɜɚɧɢɹ |
ɩɨɥɨɫɬɢ |
ɜ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ |
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ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ |
ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɨɝɨ |
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ɞɨɫɬɭɩɚ ɩɪɢ |
ɜɨɡɦɨɠɧɨɫɬɢ |
ɭ ɩɚɰɢɟɧɬɨɤ |
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ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ |
ɞɥɹ |
ɫɨɯɪɚɧɟɧɢɹ |
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ɨɜɚɪɢɚɥɶɧɨɝɨ ɪɟɡɟɪɜɚ ɢ ɫɧɢɠɟɧɢɹ ɪɢɫɤɚ |
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ɪɟɰɢɞɢɜɚ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ȼ |
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ɉɪɢ |
ɧɚɥɢɱɢɢ |
ɭɡɥɨɜɨɣ |
ɮɨɪɦɵ |
ɑɚɫɬɨɬɚ ɧɚɫɬɭɩɥɟɧɢɹ ɛɟɪɟɦɟɧɧɨɫɬɢ |
ɭ ɩɚɰɢɟɧɬɨɤ |
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ɚɞɟɧɨɦɢɨɡɚ |
ɭ ɩɚɰɢɟɧɬɨɤ ɫ ɛɟɫɩɥɨɞɢɟɦ |
ɫ ɚɞɟɧɨɦɢɨɡɨɦ -4-ɣ ɫɬɚɞɢɢ ɧɟ ɩɪɟɜɵɲɚɟɬ - |
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ɩɨɤɚɡɚɧɨ ɨɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ |
ɭɪɨɜɟɧɶ |
ɇɚɢɛɨɥɟɟ |
ɷɮɮɟɤɬɢɜɧɵɦ |
ɥɟɱɟɧɢɟɦ |
ɚɞɟɧɨɦɢɨɡɚ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ȼ |
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ɹɜɥɹɟɬɫɹ ɝɢɫɬɟɪɷɤɬɨɦɢɹ ɹɜɥɹɸɳɚɹɫɹ ɟɞɢɧɫɬɜɟɧɧɵɦ |
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ɪɚɞɢɤɚɥɶɧɵɦ |
ɦɟɬɨɞɨɦ |
ɥɟɱɟɧɢɹ |
ɭ ɩɚɰɢɟɧɬɨɤ |
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ɫ ɦɟɧɨɦɟɬɪɨɪɪɚɝɢɹɦɢ ɛɨɥɟɜɵɦ ɫɢɧɞɪɨɦɨɦ ɤɨɬɨɪɚɹ |
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ɦɨɠɟɬ ɛɵɬɶ ɜɵɩɨɥɧɟɧɚ ɥɸɛɵɦ ɞɨɫɬɭɩɨɦ |
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Ⱦɨɩɨɥɧɢɬɟɥɶɧɚɹ ɢɧɮɨɪɦɚɰɢɹ |
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392
ɗɧɞɨɦɟɬɪɢɨɡ ɢ ɛɟɫɩɥɨɞɢɟ |
x |
ɉɪɨɝɪɚɦɦɵ ȼɊɌ ɩɨɫɥɟ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɥɟɱɟɧɢɹ |
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ɫɥɟɞɭɟɬ |
ɪɟɤɨɦɟɧɞɨɜɚɬɶ |
ɠɟɧɳɢɧɚɦ |
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ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ,,,-,9 ɫɬɚɞɢɢ ɢ ɧɚɪɭɲɟɧɢɟɦ |
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ɩɪɨɯɨɞɢɦɨɫɬɢ |
ɦɚɬɨɱɧɵɯ |
ɬɪɭɛ |
ɧɟɡɚɜɢɫɢɦɨ |
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ɨɬ ɜɨɡɪɚɫɬɚ ɩɚɰɢɟɧɬɤɢ ɢ ɮɟɪɬɢɥɶɧɨɫɬɢ ɦɭɠɚ ɩɪɢ |
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ɧɟɷɮɮɟɤɬɢɜɧɨɫɬɢ |
ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ |
ɥɟɱɟɧɢɹ |
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ɢ ɤɨɧɫɟɪɜɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ ɜ ɬɟɱɟɧɢɟ - ɦɟɫ |
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ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ Ⱥ |
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x |
Ɇɟɞɢɤɚɦɟɧɬɨɡɧɚɹ |
ɬɟɪɚɩɢɹ |
ɚɝɨɧɢɫɬɚɦɢ ȽɧɊȽ |
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ɜ ɬɟɱɟɧɢɟ - ɦɟɫ ɩɪɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɨɦ |
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ɢɧɮɢɥɶɬɪɚɬɢɜɧɨɦ ɷɧɞɨɦɟɬɪɢɨɡɟ ɭɥɭɱɲɚɟɬ |
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ɱɚɫɬɨɬɭ ɧɚɫɬɭɩɥɟɧɢɹ ɛɟɪɟɦɟɧɧɨɫɬɢ ɩɟɪɟɞ |
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ɩɪɢɦɟɧɟɧɢɟɦ ȼɊɌ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
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Ⱥ |
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x |
Ɋɚɡɥɢɱɢɹ |
ɜ ɷɮɮɟɤɬɢɜɧɨɫɬɢ |
ɩɪɨɬɨɤɨɥɨɜ |
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ɫ ɚɝɨɧɢɫɬɚ- |
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ɦɢ ȽɧɊȽ ɢ ɚɧɬɚɝɨɧɢɫɬɚɦɢ ȽɧɊȽ ɜ ɩɪɨɝɪɚɦɦɚɯ |
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ȼɊɌ |
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ɩɪɢ ɷɧɞɨɦɟɬɪɢɨɡɟ ɧɟ ɞɨɤɚɡɚɧɵ ɭɪɨɜɟɧɶ |
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ɞɨɤɚɡɚɬɟɥɶ- |
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ɧɨɫɬɢ Ⱥ |
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x ɉɪɟɢɦɭɳɟɫɬɜɨɦ ɦɨɠɟɬ ɨɛɥɚɞɚɬɶ ɫɭɩɟɪɞɥɢɧɧɵɣ |
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ɩɪɨɬɨɤɨɥ |
ɫ ɚɝɨɧɢɫɬɚɦɢ |
ȽɧɊȽ |
ɩɪɢ |
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ɢɧɮɢɥɶɬɪɚɬɢɜɧɨɦ |
|
ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɨɦ |
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ɷɧɞɨɦɟɬɪɢɨɡɟ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ Ⱥ |
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x |
ɉɪɢ ɚɞɟɧɨɦɢɨɡɟ ,-II ɫɬɚɞɢɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ |
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ɧɟ ɬɪɟɛɭɟɬɫɹ ɞɨɩɨɥɧɢɬɟɥɶɧɨɝɨ ɥɟɱɟɧɢɹ ɩɟɪɟɞ |
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ɩɪɢɦɟɧɟɧɢɟɦ ȼɊɌ ɉɪɢ ɚɞɟɧɨɦɢɨɡɟ ,,,-,9 ɫɬɚɞɢɢ |
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ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ ɧɚɡɧɚɱɟɧɢɟ ɚɝɨɧɢɫɬɨɜ ȽɧɊȽ |
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ɜ ɬɟɱɟɧɢɟ -4 ɦɟɫ ɭɜɟɥɢɱɢɜɚɟɬ ɱɚɫɬɨɬɭ |
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ɧɚɫɬɭɩɥɟɧɢɹ ɛɟɪɟɦɟɧɧɨɫɬɢ ɜ ɩɪɨɝɪɚɦɦɚɯ ȼɊɌ |
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ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ % |
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ɗɧɞɨɦɟɬɪɢɨɡ ɭ ɩɨɞɪɨɫɬɤɨɜ |
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɢɫɩɨɥɶɡɨɜɚɬɶ ɜɫɟ ɞɨɫɬɭɩɧɵɟ ɦɟɬɨɞɵ |
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ɥɟɱɟɧɢɹ ɷɧɞɨɦɟɬɪɢɨɡɚ ɭ ɩɨɞɪɨɫɬɤɨɜ ɞɥɹ ɨɛɥɟɝɱɟɧɢɹ |
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ɫɢɦɩɬɨɦɨɜ ɨɫɬɚɧɨɜɤɢ ɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɹ ɡɚɛɨɥɟɜɚɧɢɹ |
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ɢ ɫɨɯɪɚɧɟɧɢɹ ɛɭɞɭɳɟɣ ɮɟɪɬɢɥɶɧɨɫɬɢ ɭɪɨɜɟɧɶ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ % |
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ɉɪɢ ɧɚɥɢɱɢɢ ɛɨɥɟɜɨɝɨ ɫɢɧɞɪɨɦɚ ɦɨɠɟɬ ɛɵɬɶ ɩɪɨɜɟɞɟɧɚ |
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ɥɚɩɚɪɨɫɤɨɩɢɹ ɞɥɹ ɭɫɬɚɧɨɜɥɟɧɢɹ ɞɢɚɝɧɨɡɚ ɢ ɢɫɤɥɸɱɟɧɢɹ |
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ɞɪɭɝɢɯ |
|
ɩɪɢɱɢɧ |
|
ɜɵɡɵɜɚɸɳɢɯ |
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ɛɨɥɟɜɨɣ |
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ɫɢɧɞɪɨɦ ɚɧɨɦɚɥɢɢ ɪɚɡɜɢɬɢɹ ɦɨɱɟɩɨɥɨɜɨɣ ɫɢɫɬɟɦɵ |
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ɢ ɞɪ |
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Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɯɢɪɭɪɝɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɭ ɩɨɞɪɨɫɬɤɨɜ ɩɪɢ |
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ɩɨɞɨɡɪɟɧɢɢ ɧɚ ɷɧɞɨɦɟɬɪɢɨɡ ɫɨɩɪɨɜɨɠɞɚɸɳɢɣɫɹ |
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ɛɨɥɟɜɵɦ |
ɫɢɧɞɪɨɦɨɦ |
ɧɟ ɤɭɩɢɪɭɸɳɢɦɫɹ |
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ɦɟɞɢɤɚɦɟɧɬɨɡɧɨɣ ɬɟɪɚɩɢɟɣ ɩɪɢ ɧɚɥɢɱɢɢ ɨɛɴɟɦɧɵɯ |
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ɨɛɪɚɡɨɜɚɧɢɣ |
ɜ ɦɚɥɨɦ |
ɬɚɡɭ |
ɢ ɧɟɫɨɨɬɜɟɬɫɬɜɢɢ |
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ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɵ ɫ ɞɚɧɧɵɦɢ ɞɨɩɨɥɧɢɬɟɥɶɧɵɯ |
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ɦɟɬɨɞɨɜ |
ɢɫɫɥɟɞɨɜɚɧɢɹ |
ɍɁɂ |
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ɆɊɌ |
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ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ % |
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393
ɗɧɞɨɦɟɬɪɢɨɡ ɜ ɦɟɧɨɩɚɭɡɟ |
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɯɢɪɭɪɝɢɱɟɫɤɨɟ |
ɥɟɱɟɧɢɟ |
ɛɨɥɶɧɵɯ |
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ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɩɪɢ ɥɸɛɨɣ ɥɨɤɚɥɢɡɚɰɢɢ ɨɫɨɛɟɧɧɨ ɩɪɢ |
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ɧɚɥɢɱɢɢ ɨɛɴɟɦɧɵɯ ɨɛɪɚɡɨɜɚɧɢɣ ɝɟɧɢɬɚɥɢɣ ɩɪɢ |
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ɜɨɡɦɨɠɧɨɫɬɢ ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɢɦ ɞɨɫɬɭɩɨɦ ɭ ɩɚɰɢɟɧɬɨɤ |
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ɜ ɩɨɫɬɦɟɧɨɩɚɭɡɟ ɞɥɹ ɢɫɤɥɸɱɟɧɢɹ ɛɥɚɫɬɨɦɚɬɨɡɧɨɝɨ |
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ɩɪɨɰɟɫɫɚ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ % |
|
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Ɋɟɤɨɦɟɧɞɭɟɬɫɹ |
ɩɪɢɦɟɧɹɬɶ |
ɧɟɩɪɟɪɵɜɧɵɣ |
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ɤɨɦɛɢɧɢɪɨɜɚɧɧɵɣ ɪɟɠɢɦ ɆȽɌ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɬɨɝɨ ɛɵɥɚ |
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ɥɢ ɩɪɨɢɡɜɟɞɟɧɚ ɝɢɫɬɟɪɷɤɬɨɦɢɹ ɫ ɩɪɢɞɚɬɤɚɦɢ ɢɥɢ ɛɟɡ |
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ɭ ɩɚɰɢɟɧɬɨɤ ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɢɦɟɸɳɢɯ |
ɩɨɤɚɡɚɧɢɹ |
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ɤ ɞɚɧɧɨɦɭ ɥɟɱɟɧɢɸ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ɋ |
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ɗɧɞɨɦɟɬɪɢɨɡ ɢ ɪɚɤ |
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɢɫɫɥɟɞɨɜɚɧɢɟ ɢ ɨɩɟɪɚɬɢɜɧɨɟ ɭɞɚɥɟɧɢɟ |
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ɜɫɟɯ ɨɛɪɚɡɨɜɚɧɢɣ |
ɜ ɨɛɥɚɫɬɢ |
ɩɪɢɞɚɬɤɨɜ ɦɚɬɤɢ |
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ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɢɦ ɢɥɢ ɥɚɩɚɪɨɬɨɦɧɵɦ |
ɞɨɫɬɭɩɚɦɢ |
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ɭ ɠɟɧɳɢɧ ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɜɵɹɜɥɟɧɧɵɯ ɜɨ ɜɪɟɦɹ |
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ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɨɝɨ ɨɫɦɨɬɪɚ ɢ ɢɥɢ ɩɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ |
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ɦɟɬɨɞɨɜ ɜɢɡɭɚɥɢɡɚɰɢɢ ɭ ɩɚɰɢɟɧɬɨɤ ɞɥɹ ɢɫɤɥɸɱɟɧɢɹ |
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ɡɥɨɤɚɱɟɫɬɜɟɧɧɨɝɨ ɩɪɨɰɟɫɫɚ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
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x Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɩɪɨɜɨɞɢɬɶ ɨɰɟɧɤɭ ɩɫɢɯɨɷɦɨɰɢɨɧɚɥɶɧɨɝɨ ɫɨɫɬɨɹɧɢɹ ɭ ɠɟɧɳɢɧ ɫ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɞɥɹ ɩɨɜɵɲɟɧɢɹ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ ɚ ɩɪɢ ɧɚɥɢɱɢɢ ɫɟɤɫɭɚɥɶɧɨɝɨ ɩɚɪɬɧɟɪɚ - ɫɟɤɫɭɚɥɶɧɨɣ ɮɭɧɤɰɢɢ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɥɟɱɟɧɢɟɦ ɭ ɩɫɢɯɢɚɬɪɨɜ ɢ ɩɫɢɯɨɬɟɪɚɩɟɜɬɨɜ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ȼ
x ǷȌȑȕȓȌȔȋȚȌșȘȦ ȏȘȖȕȒȣȎȕȉȇșȣ țȏȎȏȕȒȌȞȌȔȏȌ ɭ ɩɚɰɢɟɧɬɨɤ ɩɪɢ ɷɧɞɨɦɟɬɪɢɨɡɟ ,- II ɫɬɚɞɢɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ ɤɚɤ ɚɞɴɸɜɚɧɬɧɭɸ ɬɟɪɚɩɢɸ ɩɪɢ ɫɢɧɞɪɨɦɟ ɯɪɨɧɢɱɟɫɤɨɣ ɬɚɡɨɜɨɣ ɛɨɥɢ ɞɥɹ ɩɪɨɮɢɥɚɤɬɢɤɢ ɫɩɚɟɱɧɨɝɨ ɩɪɨɰɟɫɫɚ ɢ ɜɨɡɦɨɠɧɵɯ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɨɫɥɨɠɧɟɧɢɣ ɜ ɪɚɧɧɟɦ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ ɜ ɨɬɞɚɥɟɧɧɨɦ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ ɜ ɤɨɦɩɥɟɤɫɟ ɥɟɱɟɧɢɹ ɫɩɚɟɱɧɨɝɨ ɩɪɨɰɟɫɫɚ ɜ ɦɚɥɨɦ ɬɚɡɭ ɯɪɨɧɢɱɟɫɤɨɣ ɬɚɡɨɜɨɣ ɛɨɥɢ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ɋ
x ǴȌ ȗȌȑȕȓȌȔȋȚȌșȘȦ ȏȘȖȕȒȣȎȕȉȇșȣ țȏȎȏȞȌȘȑȏȌ țȇȑșȕȗȢ ɭ ɩɚɰɢɟɧɬɨɤ ɩɪɢ ɜɫɟɯ ɮɨɪɦɚɯ ɷɧɞɨɦɟɬɪɢɨɡɚ ɬɪɟɛɭɸɳɢɯ ɨɩɟɪɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ ɩɪɢ ,,,-,9 ɫɬɚɞɢɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ ɷɧɞɨɦɟɬɪɢɨɡɚ ɩɪɢ ɝɥɭɛɨɤɢɯ ɩɫɢɯɨɷɦɨɰɢɨɧɚɥɶɧɵɯ ɧɚɪɭɲɟɧɢɹɯ ɩɫɢɯɢɤɢ ɧɟɜɪɨɬɢɡɚɰɢɢ ɩɚɰɢɟɧɬɤɢ ɧɚ ɮɨɧɟ ɨɫɧɨɜɧɨɝɨ ɡɚɛɨɥɟɜɚɧɢɹ ɤɨɪɪɟɤɬɢɪɭɟɦɵɯ ɩɫɢɯɨɬɪɨɩɧɵɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɭɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ ɋ
x ɉɨɫɥɟ ɬɨɬɚɥɶɧɨɣ ɝɢɫɬɟɪɷɤɬɨɦɢɢ ɟɞɢɧɫɬɜɟɧɧɵɦ ɨɝɪɚɧɢɱɟɧɢɟɦ ɞɥɹ ɩɚɰɢɟɧɬɤɢ ɹɜɥɹɟɬɫɹ ɨɬɤɚɡ ɨɬ ɩɨɥɨɜɨɣ ɠɢɡɧɢ ɜ ɬɟɱɟɧɢɟ - ɦɟɫ
x ɉɚɰɢɟɧɬɤɢ ɩɨɫɥɟ ɢɫɫɟɱɟɧɢɹ ɚɞɟɧɨɦɢɨɡɚ ɞɨɥɠɧɵ ɜ ɞɢɧɚɦɢɤɟ ɩɪɨɜɨɞɢɬɶ ɍɁɂ ɩɪɟɞɨɯɪɚɧɹɬɶɫɹ ɨɬ ɛɟɪɟɦɟɧɧɨɫɬɢ ɜ ɬɟɱɟɧɢɟ - ɦɟɫ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɝɥɭɛɢɧɵ ɩɨɜɪɟɠɞɟɧɢɹ ɫɬɟɧɤɢ ɦɚɬɤɢ ɩɪɢ ɨɩɟɪɚɰɢɢ
x ɉɨɫɟɳɟɧɢɟ ɝɢɧɟɤɨɥɨɝɚ ɪɚɡ ɜ ɦɟɫ ɢ ɍɁɂ ɨɪɝɚɧɨɜ ɦɚɥɨɝɨ ɬɚɡɚ
x ɋɜɨɟɜɪɟɦɟɧɧɨɟ ɥɟɱɟɧɢɟ ɯɪɨɧɢɱɟɫɤɢɯ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɩɪɨɰɟɫɫɨɜ ɜɧɭɬɪɟɧɧɢɯ ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ
x ȼɧɟɞɪɟɧɢɟ ɫɨɜɪɟɦɟɧɧɵɯ ɤɨɧɬɪɚɰɟɩɬɢɜɧɵɯ ɫɪɟɞɫɬɜ ɜ ɰɟɥɹɯ ɩɪɟɞɭɩɪɟɠɞɟɧɢɹ ɧɟɠɟɥɚɬɟɥɶɧɨɣ ɛɟɪɟɦɟɧɧɨɫɬɢ
t.me/medgynecology
395
ɋɨɨɬɜɟɬɫɬɜɢɟ ɩɨɜɟɞɟɧɢɹ ɩɚɰɢɟɧɬɚ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ ɜɤɥɸɱɚɹ ɩɪɢɟɦ ɩɪɟɩɚɪɚɬɨɜ
t.me/medgynecology
396
Ɋɚɡɜɟɪɧɭɬɵɟ ɪɟɱɟɜɵɟ ɦɨɞɭɥɢ ɮɨɪɦɢɪɨɜɚɧɢɹ ɩɪɢɜɟɪɠɟɧɧɨɫɬɢ ɬɟɪɚɩɢɢ
ā ɗɧɞɨɦɟɬɪɢɨɡ - ɡɚɛɨɥɟɜɚɧɢɟ ɩɪɢ ɤɨɬɨɪɨɦ ɡɚ ɩɪɟɞɟɥɚɦɢ ɩɨɥɨɫɬɢ ɦɚɬɤɢ ɩɪɨɢɫɯɨɞɢɬ ɪɚɡɪɚɫɬɚɧɢɟ ɬɤɚɧɢ ɩɨ ɫɜɨɣɫɬɜɚɦ ɩɨɞɨɛɧɨɟ ɬɤɚɧɢ ɷɧɞɨɦɟɬɪɢɹ ɜɧɭɬɪɟɧɧɟɣ ɨɛɨɥɨɱɤɢ ɦɚɬɤɢ
ā Ʉɥɟɬɤɢ ɷɧɞɨɦɟɬɪɢɹ ɜɵɯɨɞɹɬ ɡɚ ɩɪɟɞɟɥɵ ɦɚɬɤɢ ɝɞɟ ɦɨɝɭɬ ɨɫɟɞɚɬɶ ɢ ɩɪɨɪɚɫɬɚɬɶ ɧɚ ɛɪɸɲɢɧɟ ɦɚɬɨɱɧɵɯ ɬɪɭɛɚɯ ɜ ɹɢɱɧɢɤɚɯ ɢ ɧɚ ɨɪɝɚɧɚɯ-ɫɨɫɟɞɹɯ ɩɪɹɦɨɣ ɤɢɲɤɟ ɦɨɱɟɜɨɦ ɩɭɡɵɪɟ ɤɢɲɟɱɧɢɤɟ ɚ ɬɚɤɠɟ ɧɚ ɞɪɭɝɢɯ ɨɪɝɚɧɚɯ Ʉɪɚɣɧɟ ɪɟɞɤɨ ɩɪɢ ɩɨɩɚɞɚɧɢɢ ɜ ɬɨɤ ɤɪɨɜɢ ɷɬɢ ɤɥɟɬɤɢ ɨɫɟɞɚɸɬ ɜ ɥɟɝɤɢɯ ɝɨɪɬɚɧɢ ɩɨɱɤɚɯ ɢ ɞɪɭɝɢɯ ɨɬɞɚɥɟɧɧɵɯ ɨɬ ɦɚɬɤɢ ɨɪɝɚɧɚɯ
ā ɑɚɫɬɨɬɚ ɡɚɛɨɥɟɜɚɧɢɹ ɤɨɥɟɛɥɟɬɫɹ ɨɬ ɞɨ ɭ ɠɟɧɳɢɧ ɞɟɬɨɪɨɞɧɨɝɨ ɜɨɡɪɚɫɬɚ
ā Ʉ ɨɫɧɨɜɧɵɦ ɫɢɦɩɬɨɦɚɦ ɨɬɧɨɫɹɬɫɹ ɠɚɥɨɛɵ ɧɚ ɛɨɥɶ ɨɳɭɳɟɧɢɟ ɬɹɠɟɫɬɢ ɜɧɢɡɭ ɠɢɜɨɬɚ ɦɟɠɦɟɧɫɬɪɭɚɥɶɧɵɟ ɜɵɞɟɥɟɧɢɹ ɱɚɳɟ ɦɚɠɭɳɢɟ ɛɟɫɩɥɨɞɢɟ Ɉɫɨɛɟɧɧɨɫɬɶ ɷɧɞɨɦɟɬɪɢɨɡɚ ɫɨɫɬɨɢɬ ɜ ɬɨɦ ɱɬɨ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɬɨɝɨ ɝɞɟ ɨɫɟɥɢ ɤɥɟɬɤɢ ɷɧɞɨɦɟɬɪɢɹ ɨɧɢ ɮɭɧɤɰɢɨɧɢɪɭɸɬ ɩɨɞɨɛɧɨ ɧɚɯɨɞɹɳɢɦɫɹ ɜ ɦɚɬɤɟ ɬɨ ɟɫɬɶ ɟɠɟɦɟɫɹɱɧɨ ɫɨɨɬɜɟɬɫɬɜɟɧɧɨ ɮɚɡɚɦ ɦɟɧɫɬɪɭɚɥɶɧɨɝɨ ɰɢɤɥɚ ɨɧɢ ɪɚɡɪɚɫɬɚɸɬɫɹ ɪɚɡɪɵɯɥɹɸɬɫɹ ɚ ɜ ɞɧɢ ɦɟɧɫɬɪɭɚɰɢɢ ɤɪɨɜɨɬɨɱɚɬ ɧɚɩɪɢɦɟɪ ɩɪɢ ɷɧɞɨɦɟɬɪɢɨɡɟ ɦɨɱɟɜɨɣ ɫɢɫɬɟɦɵ ɩɨɹɜɥɹɸɬɫɹ ɤɪɨɜɹɧɢɫɬɵɟ ɜɵɞɟɥɟɧɢɹ ɫ ɦɨɱɨɣ ɩɪɢ ɷɧɞɨɦɟɬɪɢɨɡɟ ɩɪɹɦɨɣ ɤɢɲɤɢ - ɜɵɞɟɥɟɧɢɹ ɤɪɨɜɢ ɢɡ ɩɪɹɦɨɣ ɤɢɲɤɢ ɢ ɬ ɞ
ā ȿɠɟɦɟɫɹɱɧɨ ɡɚ ɧɟɫɤɨɥɶɤɨ ɞɧɟɣ ɞɨ ɢ ɜ ɩɟɪɢɨɞ ɦɟɧɫɬɪɭɚɰɢɢ ɭ ɠɟɧɳɢɧɵ ɩɨɹɜɥɹɸɬɫɹ ɛɨɥɢ ɜ ɠɢɜɨɬɟ ɪɚɡɥɢɱɧɨɣ ɜɵɪɚɠɟɧɧɨɫɬɢ - ɨɬ ɞɢɫɤɨɦɮɨɪɬɚ ɞɨ ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɥɟɠɚɬɶ ɩɪɢɧɢɦɚɬɶ ɨɛɟɡɛɨɥɢɜɚɸɳɢɟ ɫɪɟɞɫɬɜɚ ɢ ɞɚɠɟ ɞɨ ɩɨɥɧɨɣ ɩɨɬɟɪɢ ɬɪɭɞɨɫɩɨɫɨɛɧɨɫɬɢ ɗɬɢ ɛɨɥɢ ɦɨɝɭɬ ɪɚɫɩɪɨɫɬɪɚɧɹɬɶɫɹ ɨɬɞɚɜɚɬɶ ɜ ɩɪɹɦɭɸ ɤɢɲɤɭ ɤɪɟɫɬɟɰ ɹɝɨɞɢɰɵ ɧɨɝɢ ɫɩɢɧɭ ɢ ɬ ɞ
ā ɇɟɪɟɞɤɨ ɨɬɦɟɱɚɸɬɫɹ ɛɨɥɢ ɩɪɢ ɩɨɥɨɜɵɯ ɤɨɧɬɚɤɬɚɯ ɜɩɥɨɬɶ ɞɨ ɩɨɥɧɨɣ ɢɯ ɧɟɜɨɡɦɨɠɧɨɫɬɢ
ā Ȼɵɜɚɸɬ ɫɥɭɱɚɢ ɛɟɫɫɢɦɩɬɨɦɧɨɝɨ ɬɟɱɟɧɢɹ ɞɚɠɟ ɩɪɢ ɜɵɪɚɠɟɧɧɨɦ ɩɨɪɚɠɟɧɢɢ ɬɨɝɨ ɢɥɢ ɢɧɨɝɨ ɨɪɝɚɧɚ
ā ɉɪɢ ɩɨɪɚɠɟɧɢɢ ɷɧɞɨɦɟɬɪɢɨɡɨɦ ɥɸɛɨɝɨ ɡɜɟɧɚ ɩɨɥɨɜɨɣ ɫɢɫɬɟɦɵ ɦɚɬɤɚ ɦɚɬɨɱɧɵɟ ɬɪɭɛɵ ɹɢɱɧɢɤɢ ɬɚɡɨɜɚɹ ɛɪɸɲɢɧɚ ɦɨɠɟɬ ɧɚɫɬɭɩɢɬɶ ɛɟɫɩɥɨɞɢɟ
ā Ⱦɥɢɬɟɥɶɧɨ ɩɪɨɬɟɤɚɸɳɢɣ ɷɧɞɨɦɟɬɪɢɨɡ ɦɨɠɟɬ ɫɨɩɪɨɜɨɠɞɚɬɶɫɹ ɩɪɨɹɜɥɟɧɢɹɦɢ ɫɨ ɫɬɨɪɨɧɵ ɰɟɧɬɪɚɥɶɧɨɣ ɧɟɪɜɧɨɣ ɫɢɫɬɟɦɵ ɧɚɩɪɢɦɟɪ ɫɧɢɠɟɧɢɟɦ ɪɚɛɨɬɨɫɩɨɫɨɛɧɨɫɬɢ ɫɨɧɥɢɜɨɫɬɶɸ ɭɯɭɞɲɟɧɢɟɦ ɜɧɢɦɚɧɢɹ ɪɚɡɞɪɚɠɢɬɟɥɶɧɨɫɬɶɸ
ā ɉɨɫɬɚɧɨɜɤɚ ɞɢɚɝɧɨɡɚ ɩɪɨɜɨɞɢɬɫɹ ɧɚ ɨɫɧɨɜɚɧɢɢ ɠɚɥɨɛ ɩɚɰɢɟɧɬɨɤ ɨɫɦɨɬɪɚ ɝɢɧɟɤɨɥɨɝɚ ɚ ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɢ ɫɦɟɠɧɵɯ ɫɩɟɰɢɚɥɢɫɬɨɜ ɨɛɳɢɯ ɯɢɪɭɪɝɨɜ ɭɪɨɥɨɝɨɜ ɢ ɨɰɟɧɤɟ ɪɟɡɭɥɶɬɚɬɨɜ ɪɚɡɥɢɱɧɵɯ ɦɟɬɨɞɨɜ ɢɫɫɥɟɞɨɜɚɧɢɹ ɍɁɂ ɆɊɌ ɤɨɥɨɧɨɫɤɨɩɢɹ ɢ ɞɪ ɉɪɢ ɷɬɨɦ ɞɢɚɝɧɨɫɬɢɱɟɫɤɚɹ ɥɚɩɚɪɨɫɤɨɩɢɹ ɹɜɥɹɟɬɫɹ ɧɚɢɛɨɥɟɟ ɬɨɱɧɵɦ ɦɟɬɨɞɨɦ ɩɨɫɬɚɧɨɜɤɢ ɞɢɚɝɧɨɡɚ ɷɧɞɨɦɟɬɪɢɨɡɚ ɢ ɭɬɨɱɧɟɧɢɹ ɫɬɚɞɢɢ ɩɪɨɰɟɫɫɚ
ā ɗɧɞɨɦɟɬɪɢɨɡ - ɷɬɨ ɯɪɨɧɢɱɟɫɤɨɟ ɢ ɫɤɥɨɧɧɨɟ ɤ ɪɟɰɢɞɢɜɢɪɨɜɚɧɢɸ ɡɚɛɨɥɟɜɚɧɢɟ ɫɥɟɞɨɜɚɬɟɥɶɧɨ ɩɚɰɢɟɧɬɤɢ ɫ ɭɫɬɚɧɨɜɥɟɧɧɵɦ ɞɢɚɝɧɨɡɨɦ ɷɧɞɨɦɟɬɪɢɨɡɚ ɞɨɥɠɧɵ ɧɚɛɥɸɞɚɬɶɫɹ ɭ ɝɢɧɟɤɨɥɨɝɚ ȼ ɩɪɢɨɪɢɬɟɬɟ ɞɨɥɠɧɨ ɛɵɬɶ ɤɨɦɩɥɟɤɫɧɨɟ ɥɟɱɟɧɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɭɞɚɥɟɧɢɟ ɨɱɚɝɨɜ ɷɧɞɨɦɟɬɪɢɨɡɚ ɯɢɪɭɪɝɢɱɟɫɤɢɦ ɩɭɬɟɦ ɚ ɡɚɬɟɦ ɦɟɞɢɤɚɦɟɧɬɨɡɧɚɹ ɬɟɪɚɩɢɹ ɢ ɩɪɨɮɢɥɚɤɬɢɤɚ ɩɨɜɬɨɪɧɵɯ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɩɪɨɰɟɞɭɪ
ā Ɇɟɞɢɤɚɦɟɧɬɨɡɧɚɹ ɬɟɪɚɩɢɹ ɦɨɠɟɬ ɛɵɬɶ ɫɢɦɩɬɨɦɚɬɢɱɟɫɤɨɣ ɢɥɢ ɝɨɪɦɨɧɚɥɶɧɨɣ ɋɢɦɩɬɨɦɚɬɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɧɚɡɧɚɱɚɸɬ ɫ ɰɟɥɶɸ ɭɦɟɧɶɲɟɧɢɹ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɛɨɥɟɜɨɝɨ ɫɢɧɞɪɨɦɚ ɨɛɴɟɦɚ ɤɪɨɜɨɩɨɬɟɪɢ ɩɪɢ ɨɛɢɥɶɧɵɯ ɦɟɧɫɬɪɭɚɰɢɹɯ Ƚɨɪɦɨɧɚɥɶɧɚɹ ɬɟɪɚɩɢɹ ɷɧɞɨɦɟɬɪɢɨɡɚ ɦɨɠɟɬ ɩɪɨɜɨɞɢɬɶɫɹ ɫ ɩɨɦɨɳɶɸ ɪɚɡɥɢɱɧɵɯ ɝɪɭɩɩ ɩɪɟɩɚɪɚɬɨɜ ɫɨ ɫɯɨɠɢɦ ɦɟɯɚɧɢɡɦɨɦ ɞɟɣɫɬɜɢɹ ɜɫɟ ɨɧɢ ɫɧɢɠɚɸɬ ɤɨɥɢɱɟɫɬɜɨ ɷɫɬɪɨɝɟɧɨɜ ɜ ɤɪɨɜɢ ɩɚɰɢɟɧɬɨɤ ɚ ɧɟɤɨɬɨɪɵɟ ɢɡ ɧɢɯ ɭɫɢɥɢɜɚɸɬ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ ɤɥɟɬɨɤ ɷɧɞɨɦɟɬɪɢɹ ɤ ɨɩɪɟɞɟɥɟɧɧɵɦ ɝɨɪɦɨɧɚɦ
397
ā ɏɢɪɭɪɝɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɦɨɠɟɬ ɛɵɬɶ ɪɚɞɢɤɚɥɶɧɵɦ ɩɨɞɪɚɡɭɦɟɜɚɟɬ ɭɞɚɥɟɧɢɟ ɦɚɬɤɢ ɢ ɩɪɢɞɚɬɤɨɜ ɬɨɥɶɤɨ ɩɪɢ ɬɹɠɟɥɨɦ ɬɟɱɟɧɢɢ ɡɚɛɨɥɟɜɚɧɢɹ ɢ ɜ ɬɨɦ ɫɥɭɱɚɟ ɤɨɝɞɚ ɠɟɧɳɢɧɚ ɭɠɟ ɡɚɤɨɧɱɢɥɚ ɪɟɩɪɨɞɭɤɬɢɜɧɵɣ ɜɨɡɪɚɫɬ ɢ ɧɟ ɡɚɢɧɬɟɪɟɫɨɜɚɧɚ ɜ ɛɟɪɟɦɟɧɧɨɫɬɢ ȼɨ ɜɫɟɯ ɨɫɬɚɥɶɧɵɯ ɫɥɭɱɚɹɯ ɨɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ ɛɭɞɟɬ ɩɨ ɜɨɡɦɨɠɧɨɫɬɢ ɨɪɝɚɧɨɫɨɯɪɚɧɹɸɳɢɦ
ā ȼ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɥɚɩɚɪɨɫɤɨɩɢɹ ɹɜɥɹɟɬɫɹ ɩɪɟɞɩɨɱɬɢɬɟɥɶɧɵɦ ɯɢɪɭɪɝɢɱɟɫɤɢɦ ɞɨɫɬɭɩɨɦ ɩɪɢ ɥɟɱɟɧɢɢ ɷɧɞɨɦɟɬɪɢɨɡɚ ɥɸɛɨɣ ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ ɉɪɟɢɦɭɳɟɫɬɜɚ ɥɚɩɚɪɨɫɤɨɩɢɱɟɫɤɨɝɨ ɞɨɫɬɭɩɚ ɹɜɥɹɸɬɫɹ ɦɢɧɢɦɚɥɶɧɚɹ ɬɪɚɜɦɚɬɢɡɚɰɢɹ ɬɤɚɧɟɣ ɭɦɟɧɶɲɟɧɢɟ ɩɟɪɢɨɞɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɹ ɩɨɫɥɟ ɨɩɟɪɚɰɢɢ ɦɟɧɶɲɚɹ ɱɚɫɬɨɬɚ ɨɛɪɚɡɨɜɚɧɢɹ ɫɩɚɟɤ ɢ ɪɹɞ ɞɪɭɝɢɯ
ā ɉɪɢ ɜɵɩɨɥɧɟɧɢɢ ɥɚɩɚɪɨɫɤɨɩɢɢ ɦɨɠɧɨ ɭɞɚɥɢɬɶ ɷɧɞɨɦɟɬɪɢɨɢɞɧɵɟ ɤɢɫɬɵ ɢ ɭɡɥɵ ɩɪɢɠɟɱɶ ɢɥɢ ɢɫɫɟɱɶ ɨɱɚɝɢ ɷɧɞɨɦɟɬɪɢɨɡɚ ɧɚ ɬɚɡɨɜɨɣ ɛɪɸɲɢɧɟ ɪɚɡɞɟɥɢɬɶ ɫɩɚɣɤɢ ɜɨɫɫɬɚɧɨɜɢɬɶ ɩɪɨɯɨɞɢɦɨɫɬɶ ɦɚɬɨɱɧɵɯ ɬɪɭɛ ɢ ɧɨɪɦɚɥɶɧɭɸ ɚɧɚɬɨɦɢɸ ɦɚɥɨɝɨ ɬɚɡɚ ɜɜɟɫɬɢ ɩɪɨɬɢɜɨɫɩɚɟɱɧɵɣ ɝɟɥɶ-ɛɚɪɶɟɪ Ⱦɚɠɟ ɭɞɚɥɢɬɶ ɦɚɬɤɭ ɢ ɩɪɢɞɚɬɤɢ ɜɨɡɦɨɠɧɨ ɦɟɬɨɞɨɦ ɨɩɟɪɚɰɢɨɧɧɨɣ ɥɚɩɚɪɨɫɤɨɩɢɢ ɩɪɢ ɧɚɥɢɱɢɢ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɣ ɤɜɚɥɢɮɢɤɚɰɢɢ ɯɢɪɭɪɝɨɜ
ā ɉɨɫɥɟ ɨɩɟɪɚɬɢɜɧɨɝɨ ɷɬɚɩɚ ɛɵɜɚɟɬ ɧɟɨɛɯɨɞɢɦɨ ɩɪɨɜɟɞɟɧɢɟ ɦɟɞɢɤɚɦɟɧɬɨɡɧɨɝɨ ɥɟɱɟɧɢɹ ɤɨɬɨɪɨɟ ɞɨɥɠɧɨ ɛɵɬɶ ɢɧɞɢɜɢɞɭɚɥɶɧɵɦ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɬɹɠɟɫɬɢ ɷɧɞɨɦɟɬɪɢɨɡɚ ɜɨɡɪɚɫɬɚ ɩɚɰɢɟɧɬɤɢ ɡɚɢɧɬɟɪɟɫɨɜɚɧɧɨɫɬɢ ɜ ɧɚɫɬɭɩɥɟɧɢɢ ɛɟɪɟɦɟɧɧɨɫɬɢ ɧɚɥɢɱɢɹ ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ ɢ ɬ ɞ
ā Ɂɚɛɨɥɟɜɚɧɢɟ ɜɨ ɦɧɨɝɨɦ ɩɪɟɩɹɬɫɬɜɭɟɬ ɧɚɫɬɭɩɥɟɧɢɸ ɟɫɬɟɫɬɜɟɧɧɨɣ ɛɟɪɟɦɟɧɧɨɫɬɢ ɩɨɫɤɨɥɶɤɭ ɢɦɟɧɧɨ ɩɨɪɚɠɟɧɧɵɟ ɫɥɢɡɢɫɬɵɟ ɦɚɬɤɢ ɧɟ ɞɚɸɬ ɷɦɛɪɢɨɧɭ ɡɚɤɪɟɩɢɬɶɫɹ ɗɤɫɬɪɚɤɨɪɩɨɪɚɥɶɧɨɟ ɨɩɥɨɞɨɬɜɨɪɟɧɢɟ ɩɪɢ ɷɧɞɨɦɟɬɪɢɨɡɟ ɱɚɫɬɨ ɫɬɚɧɨɜɢɬɫɹ ɯɨɪɨɲɟɣ ɜɨɡɦɨɠɧɨɫɬɶɸ ɞɥɹ ɠɟɧɳɢɧɵ ɜɵɧɨɫɢɬɶ ɦɚɥɵɲɚ ɉɪɨɝɪɚɦɦɚ ɢɫɤɭɫɫɬɜɟɧɧɨɝɨ ɨɩɥɨɞɨɬɜɨɪɟɧɢɹ ɩɨɞɛɢɪɚɟɬɫɹ ɢɧɞɢɜɢɞɭɚɥɶɧɨ ɢ ɡɚɜɢɫɢɬ ɨɬ ɜɢɞɚ ɢ ɫɬɟɩɟɧɢ ɡɚɛɨɥɟɜɚɧɢɹ ɨɬ ɜɨɡɪɚɫɬɚ ɢ ɫɨɫɬɨɹɧɢɹ ɡɞɨɪɨɜɶɹ ɤɚɤ ɫɚɦɨɣ ɩɚɰɢɟɧɬɤɢ ɬɚɤ ɢ ɫɭɩɪɭɝɚ
t.me/medgynecology
398
ɊȿɄɈɆȿɇȾȺɐɂɂ ɉɈ ɉɊɈɎɂɅȺɄɌɂɄȿ
399
21.2. dzǯǵdzǧ dzǧǹDZǯ
dzȏȕȓȇ ȓȇșȑȏ - ȋȕȈȗȕȑȇȞȌȘșȉȌȔȔȇȦ ȓȕȔȕȑȒȕȔȇȒȣȔȇȦ ȑȇȖȘȚȒȏȗȕȉȇȔȔȇȦ ȕȖȚȜȕȒȣ ȖȗȕȏȘȜȕȋȦȠȇȦ ȏȎ ȊȒȇȋȑȕȓȢȟȌȞȔȢȜ ȑȒȌșȕȑ șȌȒȇ ȏ ȟȌȐȑȏ ȓȇșȑȏ
ǸȚȠȌȘșȉȚȌș ȔȌȘȑȕȒȣȑȕ ȕȖȗȌȋȌȒȌȔȏȐ ȤșȕȐ ȋȕȈȗȕȑȇȞȌȘșȉȌȔȔȕȐ ȕȖȚȜȕȒȏ ȓȇșȑȏ - ȓȏȕȓȇ țȏȈȗȕȓȇ țȏȈȗȕȓȏȕȓȇ ȒȌȐȕȓȏȕȓȇ
DZȕȋȢ Ȗȕ dzDZǨ-10
' DzȌȐȕȓȏȕȓȇ ȓȇșȑȏ ' ǶȕȋȘȒȏȎȏȘșȇȦ ȒȌȐȕȓȏȕȓȇ ȓȇșȑȏ
' ǯȔșȗȇȓȚȗȇȒȣȔȇȦ ȒȌȐȕȓȏȕȓȇ ' ǸȚȈȘȌȗȕȎȔȇȦ ȒȌȐȕȓȏȕȓȇ ' DzȌȐȕȓȏȕȓȇ ȔȌȚșȕȞȔȌȔȔȇȦ
' ǫȗȚȊȏȌ ȋȕȈȗȕȑȇȞȌȘșȉȌȔȔȢȌ ȔȕȉȕȕȈȗȇȎȕȉȇȔȏȦ ȓȇșȑȏ ' ǫȕȈȗȕȑȇȞȌȘșȉȌȔȔȕȌ ȔȕȉȕȕȈȗȇȎȕȉȇȔȏȌ ȟȌȐȑȏ ȓȇșȑȏ ' ǫȕȈȗȕȑȇȞȌȘșȉȌȔȔȕȌ ȔȕȉȕȕȈȗȇȎȕȉȇȔȏȌ șȌȒȇ ȓȇșȑȏ
' ǫȕȈȗȕȑȇȞȌȘșȉȌȔȔȕȌ ȔȕȉȕȕȈȗȇȎȕȉȇȔȏȌ ȋȗȚȊȏȜ ȞȇȘșȌȐ ȓȇșȑȏ ' ǫȕȈȗȕȑȇȞȌȘșȉȌȔȔȕȌ ȔȕȉȕȕȈȗȇȎȕȉȇȔȏȌ ȓȇșȑȏ ȔȌȚșȕȞȔȌȔȔȕȐ ȞȇȘșȏ
034.1 ǵȖȚȜȕȒȣ șȌȒȇ ȓȇșȑȏ Ȗȗȏ ȈȌȗȌȓȌȔȔȕȘșȏ șȗȌȈȚȥȠȇȦ ȖȗȌȋȕȘșȇȉȒȌȔȏȦ ȓȌȋȏȝȏȔȘȑȕȐ ȖȕȓȕȠȏ ȓȇșȌȗȏ
DZȒȇȘȘȏțȏȑȇȝȏȦ
I. DZȒȏȔȏȑȕ-ȇȔȇșȕȓȏȞȌȘȑȇȦ ȑȒȇȘȘȏțȏȑȇȝȏȦ ȕȘȔȕȉȇȔȇ Ȕȇ ȚȞȌșȌ ȒȕȑȇȒȏȎȇȝȏȏ ȉ ȗȇȎȒȏȞȔȢȜ ȕșȋȌȒȇȜ ȓȇșȑȏ ȏ ȗȕȘșȇ ȕȖȚȜȕȒȏ Ȗȕ ȕșȔȕȟȌȔȏȥ ȑ ȓȢȟȌȞȔȕȓȚ ȘȒȕȥ ȓȇșȑȏ
x |
ȏȔșȗȇȓȚȗȇȒȣȔȢȌ |
x |
ȘȚȈȓȚȑȕȎȔȢȌ |
x |
ȘȚȈȘȌȗȕȎȔȢȌ |
x |
ȓȌȍȘȉȦȎȕȞȔȢȌ |
x |
ȟȌȌȞȔȢȌ |
x |
ȖȇȗȇȎȏșȇȗȔȢȌ |
II. ǩ ȎȇȉȏȘȏȓȕȘșȏ ȕș ȑȕȒȏȞȌȘșȉȇ ȚȎȒȕȉ |
|
x |
ȕȋȏȔȕȞȔȢȌ |
x |
ȓȔȕȍȌȘșȉȌȔȔȢȌ |
III. DZȒȇȘȘȏțȏȑȇȝȏȦ dzȌȍȋȚȔȇȗȕȋȔȕȐ țȌȋȌȗȇȝȏȏ ȇȑȚȟȌȗȕȉ ȏ ȊȏȔȌȑȕȒȕȊȕȉ
x șȏȖ 0 - ȘȚȈȓȚȑȕȎȔȇȦ ȓȏȕȓȇ Ȕȇ șȕȔȑȕȐ ȔȕȍȑȌ
x șȏȖ 1 ȏ șȏȖ - ȕȖȗȌȋȌȒȌȔȔȇȦ ȞȇȘșȣ ȕȖȚȜȕȒȏ ȗȇȘȖȕȒȕȍȌȔȇ
ȏȔșȗȇȓȚȗȇȒȣȔȕ șȏȖ 1 - ȏ șȏȖ 2 - ȏ ȈȕȒȌȌ
400