4 курс / Акушерство и гинекология / тактика_врача_акушера_гинеколога
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ɍɁɂ ɩɪɢɦɟɧɹɸɬ |
ɩɪɨɦɟɠɧɨɫɬɧɨɟ |
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Ɉɰɟɧɢɬɶ ɪɚɫɩɨɥɨɠɟɧɢɟ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɢ |
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ɫɤɚɧɢɪɨɜɚɧɢɟ ɢ ɪɟɤɨɧɫɬɪɭɤɰɢɸ ɬɚɡɨɜɨɝɨ |
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ɫɨɨɬɧɨɲɟɧɢɟ |
ɢɯ ɫ ɤɨɫɬɧɵɦɢ ɨɪɢɟɧɬɢɪɚɦɢ |
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ɞɧɚ |
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ɥɨɧɧɵɦ ɫɨɱɥɟɧɟɧɢɟɦ |
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ɂɫɤɥɸɱɢɬɶ ɫɨɩɭɬɫɬɜɭɸɳɢɟ ɫɬɪɭɤɬɭɪɧɵɟ |
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ɧɚɪɭɲɟɧɢɹ ɜ ɨɪɝɚɧɚɯ ɦɚɥɨɝɨ ɬɚɡɚ |
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ȼɵɹɜɢɬɶ ɫɤɪɵɬɵɟ ɬɪɚɜɦɵ ɬɚɡɨɜɨɝɨ ɞɧɚ |
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x ɍɥɶɬɪɚɡɜɭɤɨɜɵɟ ɤɪɢɬɟɪɢɢ ɨɰɟɧɤɢ ɫɨɫɬɨɹɧɢɹ |
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ɬɚɡɨɜɨɝɨ ɞɧɚ |
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Ɉɬɫɭɬɫɬɜɢɟ |
ɨɞɧɨɝɨ ɢɡ ɭɤɚɡɚɧɧɵɯ ɧɢɠɟ |
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ɩɪɢɡɧɚɤɨɜ |
ɫɜɢɞɟɬɟɥɶɫɬɜɭɟɬ |
ɨ |
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ɧɟɫɨɫɬɨɹɬɟɥɶɧɨɫɬɢ ɫɬɪɭɤɬɭɪ ɬɚɡɨɜɨɝɨ ɞɧɚ |
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x ȼɵɫɨɬɚ ɫɭɯɨɠɢɥɶɧɨɝɨ ɰɟɧɬɪɚ ɩɪɨɦɟɠɧɨɫɬɢ ɧɟ |
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ɦɟɧɟɟ ɦɦ |
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Ɉɬɫɭɬɫɬɜɢɟ ɞɢɚɫɬɚɡɚ ɥɟɜɚɬɨɪɨɜ |
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ɋɨɯɪɚɧɧɨɫɬɶ ɦɵɲɟɱɧɵɯ ɩɭɱɤɨɜ |
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x ɒɢɪɢɧɚ P EXOERVSRQJLRVXV ɲɢɪɢɧɨɣ ɧɟ ɦɦ |
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ɍɁɂ ɩɨɱɟɤ ɢ ɷɤɫɤɪɟɬɨɪɧɚɹ ɭɪɨɝɪɚɮɢɹ |
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ȼɚɠɧɨ ɢɫɤɥɸɱɢɬɶ ɧɚɪɭɲɟɧɢɹ ɭɪɨɞɢɧɚɦɢɤɢ ɢɡ ɜɟɪɯɧɢɯ |
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ɩɪɢɦɟɧɹɟɬɫɹ |
ɩɪɢ ɜɵɪɚɠɟɧɧɵɯ ɫɬɟɩɟɧɹɯ |
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ɦɨɱɟɜɵɯ ɩɭɬɟɣ |
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ɩɪɨɥɚɩɫɚ |
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ɆɊɌ |
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ɢ |
ɄɌ |
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Ⱦɥɹ |
ɬɨɱɧɨɝɨ ɨɩɪɟɞɟɥɟɧɢɹ ɫɨɞɟɪɠɚɧɢɹ ɝɪɵɠɟɜɨɝɨ |
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ɦɟɲɤɚ |
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ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ |
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Ⱦɨɩɨɥɧɢɬɟɥɶɧɵɟ ɦɟɬɨɞɵ ɨɛɫɥɟɞɨɜɚɧɢɹ |
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Ɉɩɪɟɞɟɥɟɧɢɟ ɛɢɨɯɢɦɢɱɟɫɤɢɯ ɦɚɪɤɟɪɨɜ |
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ɋ ɰɟɥɶɸ ɨɰɟɧɤɢ ɪɚɡɜɢɬɢɹ ɝɟɧɢɬɚɥɶɧɨɝɨ ɩɪɨɥɚɩɫɚ ɭ |
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ɪɚɫɩɚɞɚ |
ɤɨɥɥɚɝɟɧɚ |
ɋ-ɤɨɧɰɟɜɵɟ |
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ɠɟɧɳɢɧ ɜ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ |
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ɬɟɥɨɩɟɩɬɢɞɵ ɨɤɫɢɩɪɨɥɢɧ ɜ ɤɪɨɜɢ |
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ɩɢɪɢɥɢɧɢɤɫ Ⱦ ɞɟɡɨɤɫɢɩɢɪɢɞɢɧɨɥɢɧ ɜ ɦɨɱɟ |
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Ƚɟɧɟɬɢɱɟɫɤɢɣ ɫɬɚɬɭɫ |
ɨɩɪɟɞɟɥɹɟɦɵɣ |
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Ⱦɢɚɝɧɨɫɬɢɤɚ ɪɢɫɤɚ ɪɚɡɜɢɬɢɹ ɩɪɨɥɚɩɫɚ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ |
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ɧɨɫɢɬɟɥɶɫɬɜɨɦ ɜɵɹɜɥɟɧɧɵɯ ɪɢɫɤɨɜɵɯ ɢ |
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ɭ ɠɟɧɳɢɧ ɫ ɩɨɜɪɟɠɞɟɧɢɹɦɢ ɦɹɝɤɢɯ ɪɨɞɨɜɵɯ ɩɭɬɟɣ ɜ |
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ɩɪɨɬɟɤɬɢɜɧɵɯ ɚɥɥɟɥɟɣ ɝɟɧɚ )%/1˾ |
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ɚɧɚɦɟɧɡɟ |
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ɋɬɚɧɞɚɪɬɢɡɢɪɨɜɚɧɧɨɟ ɚɧɤɟɬɢɪɨɜɚɧɢɟ ɫ |
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x |
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ȼɨɩɪɨɫɧɢɤ ɩɨ ɨɰɟɧɤɟ ɜɥɢɹɧɢɹ ɫɢɦɩɬɨɦɨɜ ɫɨ |
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ɩɨɦɨɳɶɸ ɫɩɟɰɢɚɥɶɧɵɯ ɨɩɪɨɫɧɢɤɨɜ |
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ɫɬɨɪɨɧɵ ɬɚɡɨɜɨɝɨ ɞɧɚ 3),4-̀ 3HOYLF )ORRU |
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,PSDFW 4XHVWLRQQDLUH- |
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x ȼɨɩɪɨɫɧɢɤ ɩɨ ɨɰɟɧɤɟ ɫɟɤɫɭɚɥɶɧɨɣ ɮɭɧɤɰɢɢ ɭ |
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ɠɟɧɳɢɧ ɫ ɩɪɨɥɚɩɫɨɦ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɢ |
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ɧɟɞɟɪɠɚɧɢɟɦ ɦɨɱɢ 3),4-̀ 3HOYLF 2UJDQ |
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3URODSVH DQG ,QFRQWLQHQFH 6H[XDO )XQFWLRQ |
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4XHVWLRQQDLUH |
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ȼɨɩɪɨɫɧɢɤ ɩɨ ɨɰɟɧɤɟ ɧɚɪɭɲɟɧɢɣ ɬɚɡɨɜɨɝɨ ɞɧɚ |
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PFDI-˻˹ 3HOYLF )ORRU 'LVWUHVV ,QYHQWRU\ |
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Ɉɰɟɧɤɚ ɠɟɧɫɤɨɣ ɫɟɤɫɭɚɥɶɧɨɣ ɮɭɧɤɰɢɢ )6), |
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)HPDOH 6H[XDO )XQFWLRQ ,QGH[ |
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t.me/medgynecology |
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421
Ɉɤɫɮɨɪɞɫɤɚɹ ɲɤɚɥɚ ɞɥɹ ɨɰɟɧɤɢ ɫɢɥɵ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ
Ɉɰɟɧɤɚ ɏɚɪɚɤɬɟɪɢɫɬɢɤɚ
ɇɟɬ ɪɚɡɥɢɱɢɦɵɯ ɫɨɤɪɚɳɟɧɢɣ
ȿɞɜɚ ɨɳɭɬɢɦɵɟ ɫɨɤɪɚɳɟɧɢɹ ɦɟɪɰɚɸɳɢɟ ɫɨɤɪɚɳɟɧɢɹ ɧɟ ɜɢɞɢɦɵɟ ɩɪɢ ɨɫɦɨɬɪɟ ɩɪɨɦɟɠɧɨɫɬɢ
ɋɥɚɛɵɟ ɨɬɱɟɬɥɢɜɨ ɨɳɭɬɢɦɵɟ ɫɨɤɪɚɳɟɧɢɹ - ɢɫɫɥɟɞɨɜɚɬɟɥɶ ɱɭɜɫɬɜɭɟɬ ɧɟɛɨɥɶɲɨɟ ɞɚɜɥɟɧɢɟ ɧɚ ɩɚɥɟɰ
ɍɦɟɪɟɧɧɨɣ ɦɵɲɟɱɧɨɣ ɫɢɥɵ ɫɨɤɪɚɳɟɧɢɹ ɢ ɨɳɭɬɢɦɨɟ ɞɜɢɠɟɧɢɟ ɜɜɟɪɯ ɢ ɜɩɟɪɟɞ ɜɢɞɧɵ ɧɚ ɩɪɨɦɟɠɧɨɫɬɢ
4 ɏɨɪɨɲɟɣ ɦɵɲɟɱɧɨɣ ɫɢɥɵ ɫɨɤɪɚɳɟɧɢɹ ɞɜɢɠɟɧɢɟ ɜɜɟɪɯ ɜɨɡɦɨɠɧɨ ɩɪɢ ɧɟɛɨɥɶɲɨɦ ɫɨɩɪɨɬɢɜɥɟɧɢɢ ɤɪɭɝɨɜɨɟ ɞɚɜɥɟɧɢɟ ɦɨɠɟɬ ɨɳɭɳɚɬɶɫɹ ɩɨ ɜɫɟɦɭ ɢɫɫɥɟɞɭɸɳɟɦɭ ɩɚɥɶɰɭ ɉɪɢ ɢɫɫɥɟɞɨɜɚɧɢɢ ɭɤɚɡɚɬɟɥɶɧɵɦ ɢ ɫɪɟɞɧɢɦ ɩɚɥɶɰɚɦɢ ɨɧɢ ɩɪɢɠɚɬɵ ɞɪɭɝ ɤ ɞɪɭɝɭ
5 |
Ɉɱɟɧɶ ɫɢɥɶɧɨɣ ɦɵɲɟɱɧɨɣ ɫɢɥɵ ɫɨɤɪɚɳɟɧɢɟ ɜɨɡɦɨɠɧɨ ɩɪɨɬɢɜ ɷɧɟɪɝɢɱɧɨɝɨ |
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ɫɨɩɪɨɬɢɜɥɟɧɢɹ ɉɪɢ ɢɫɫɥɟɞɨɜɚɧɢɢ ɭɤɚɡɚɬɟɥɶɧɵɦ ɢ ɫɪɟɞɧɢɦ ɩɚɥɶɰɚɦɢ ɨɧɢ ɩɪɢɠɚɬɵ ɞɪɭɝ |
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ɤ ɞɪɭɝɭ ɧɟɫɦɨɬɪɹ ɧɚ ɨɤɚɡɵɜɚɟɦɨɟ ɫɨɩɪɨɬɢɜɥɟɧɢɟ |
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t.me/medgynecology
422
0 |
ɢɫɯɨɞɧɨɟ |
ɨɬɫɭɬɫɬɜɢɟ |
- - |
ɨɱɟɧɶ ɫɥɚɛɨɟ |
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- -4 |
ɫɥɚɛɨɟ |
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- - |
ɭɦɟɪɟɧɧɨɟ |
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4 - -8 |
ɯɨɪɨɲɟɟ |
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5 - |
ɫɢɥɶɧɨɟ |
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ǵǷǯǬǴǹǯǷǵǩǵǾǴȂǬ ǸǷǵDZǯ ǩǷǬdzǬǴǴǵǰ ǴǬǹǷǺǫǵǸǶǵǸǵǨǴǵǸǹǯ
ȼ ɫɥɭɱɚɟ ɨɩɟɪɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ ɇɆ ɢ ɨɩɭɳɟɧɢɟ ɜɵɩɚɞɟɧɢɟ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɫɪɨɤɢ ɧɟɬɪɭɞɨɫɩɨɫɨɛɧɨɫɬɢ ɫɨɫɬɚɜɥɹɸɬ - ɞɧɟɣ
DZǷǯǹǬǷǯǯ ǩȂǮǫǵǷǵǩDzǬǴǯȆ
Ɉɬɫɭɬɫɬɜɢɟ ɤɥɢɧɢɱɟɫɤɢɯ ɩɪɨɹɜɥɟɧɢɣ ɩɪɨɥɚɩɫɚ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ
t.me/medgynecology
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɩɨɥɨɠɢɬɟɥɶɧɨɝɨ ɷɮɮɟɤɬɚ ɨɬ ɤɨɧɫɟɪɜɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ ɩɨɤɚɡɚɧɚ ɯɢɪɭɪɝɢɱɟɫɤɚɹ ɤɨɪɪɟɤɰɢɹ ɩɪɨɥɚɩɫɚ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ
ǹǬǷǧǶǯȆ ǯ ǷǬDZǵdzǬǴǫǧǽǯǯ Ȗȕ ǵǨǷǧǮǺ ǭǯǮǴǯ ǩ ǶǬǷǯǵǫ ǮǧǨǵDzǬǩǧǴǯȆ
ɋɧɢɠɟɧɢɟ ɦɚɫɫɵ ɬɟɥɚ ɫɦɟɧɚ ɪɨɞɚ ɞɟɹɬɟɥɶɧɨɫɬɢ ɫɜɹɡɚɧɧɨɣ ɫ ɩɨɜɵɲɟɧɢɟɦ ɜɧɭɬɪɢɛɪɸɲɧɨɝɨ ɞɚɜɥɟɧɢɹ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ɋ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - E
ɉɪɨɮɢɥɚɤɬɢɤɚ ɢ ɥɟɱɟɧɢɟ ɡɚɩɨɪɨɜ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ$ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - E
ɉɚɰɢɟɧɬɚɦ ɫɬɪɚɞɚɸɳɢɦ ɭɪɝɟɧɬɧɵɦɢ ɩɨɡɵɜɚɦɢ ɤ ɦɨɱɟɢɫɩɭɫɤɚɧɢɸ ɢ ɇɆ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɫɧɢɡɢɬɶ ɩɪɢɟɦ ɤɨɮɟɢɧɫɨɞɟɪɠɚɳɢɯ ɧɚɩɢɬɤɨɜ ɞɥɹ ɫɧɢɠɟɧɢɹ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɭɪɝɟɧɬɧɵɯ ɩɨɡɵɜɨɜ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ȼ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - D
Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɧɚɱɢɧɚɬɶ ɥɟɱɟɧɢɟ ɜɫɟɯ ɩɚɰɢɟɧɬɨɜ ɫ ɇɆ ɫ ɤɨɧɫɟɪɜɚɬɢɜɧɨɣ ɩɨɜɟɞɟɧɱɟɫɤɨɣ ɬɟɪɚɩɢɢ ɚ ɥɟɱɟɧɢɟ ɫɬɪɟɫɫɨɜɨɝɨ ɇɆ - ɫ ɬɪɟɧɢɪɨɜɤɢ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ $ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - ɚ
ɍ ɠɟɧɳɢɧ ɜ ɩɨɫɬɦɟɧɨɩɚɭɡɟ ɪɟɤɨɦɟɧɞɨɜɚɧɚ ɞɥɢɬɟɥɶɧɚɹ ɥɨɤɚɥɶɧɚɹ ɷɫɬɪɨɝɟɧɨɬɟɪɚɩɢɹ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ $ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - ɚ
ɍɩɪɚɠɧɟɧɢɹ ɩɨ ɬɪɟɧɢɪɨɜɤɟ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ ɦɨɝɭɬ ɫɩɨɫɨɛɫɬɜɨɜɚɬɶ ɭɦɟɧɶɲɟɧɢɸ ɜɵɪɚɠɟɧɧɨɫɬɢ ɫɢɦɩɬɨɦɨɜ ɢ ɧɢɜɟɥɢɪɨɜɚɧɢɸ ɚɧɚɬɨɦɢɱɟɫɤɢɯ ɞɟɮɟɤɬɨɜ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ Ⱥ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - ɚ
ɉɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɭɪɨɝɢɧɟɤɨɥɨɝɢɱɟɫɤɨɝɨ ɩɟɫɫɚɪɢɹ ɩɪɨɢɫɯɨɞɢɬ ɭɥɭɱɲɟɧɢɟ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɵ ɩɪɨɥɚɩɫɚ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɢ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ ɠɟɧɳɢɧɵɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ $ ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - E
423
Ȼɟɪɟɠɧɨɟ ɜɟɞɟɧɢɟ ɪɨɞɨɜ ɧɟ ɞɨɩɭɫɤɚɬɶ ɞɥɢɬɟɥɶɧɵɯ ɬɪɚɜɦɚɬɢɱɧɵɯ ɪɨɞɨɜ ɉɨɫɥɨɣɧɨɟ ɚɧɚɬɨɦɢɱɟɫɤɨɟ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɩɪɨɦɟɠɧɨɫɬɢ ɩɨɫɥɟ ɪɨɞɨɜ ɩɪɢ ɧɚɥɢɱɢɢ ɪɚɡɪɵɜɨɜ ɷɩɢɡɢɨɢɥɢ ɩɟɪɢɧɟɨɬɨɦɢɢ ɍɪɨɜɟɧɶ ɭɛɟɞɢɬɟɥɶɧɨɫɬɢ ɪɟɤɨɦɟɧɞɚɰɢɣ$ɭɪɨɜɟɧɶ ɞɨɫɬɨɜɟɪɧɨɫɬɢ ɞɨɤɚɡɚɬɟɥɶɫɬɜ - E
ɋɨɛɥɸɞɟɧɢɟ ɢɧɬɢɦɧɨɣ ɝɢɝɢɟɧɵ
DZǵǴǸǬǷǩǧǹǯǩǴǵǬ DzǬǾǬǴǯǬ
ɉɪɢɦɟɧɟɧɢɟ ɭɪɨɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɯ |
ɩɟɫɫɚɪɢɟɜ |
ɍɪɨɜɟɧɶ |
Ɉɠɢɞɚɟɦɵɣ |
ɷɮɮɟɤɬ |
ɞɨɤɬɨɪɚ Ⱥɪɚɛɢɧ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
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ɤɨɦɦɟɧɬɚɪɢɢ |
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ɍɪɨɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɟ ɩɟɫɫɚɪɢɢ - ɷɬɨ ɩɟɪɜɚɹ ɥɢɧɢɹ |
Ⱥ |
Ʌɟɱɟɛɧɵɣ ɷɮɮɟɤɬ ɧɚɫɬɭɩɚɟɬ |
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ɬɟɪɚɩɢɢ ɨɩɭɳɟɧɢɹ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɚ ɬɚɤɠɟ |
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ɫɪɚɡɭ ɧɟ ɬɪɟɛɭɸɬɫɹ ɞɨɥɝɨɟ |
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ɫɨɩɭɬɫɬɜɭɸɳɟɝɨ ɟɦɭ ɇɆ |
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ɨɛɫɥɟɞɨɜɚɧɢɟ ɢ ɩɨɞɝɨɬɨɜɤɚ |
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ɤɚɤ ɩɟɪɟɞ ɨɩɟɪɚɰɢɟɣ |
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t.me/medgynecology
ɉɪɟɩɚɪɚɬ |
ɍɪɨɜɟɧɶ ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
Ɉɠɢɞɚɟɦɵɣ ɷɮɮɟɤɬ ɤɨɦɦɟɧɬɚɪɢɢ |
ɉɪɟɩɚɪɚɬɵ ɷɫɬɪɢɨɥɚ |
Ⱥ |
Ʉɨɪɪɟɤɰɢɹ ɜɭɥɶɜɨɜɚɝɢɧɚɥɶɧɨɣ ɚɬɪɨɮɢɢ |
ǼǯǷǺǷǪǯǾǬǸDZǵǬ DzǬǾǬǴǯǬ
Ɉɩɟɪɚɬɢɜɧɨɟ ɩɨɫɨɛɢɟ |
ɍɪɨɜɟɧɶ |
Ɉɠɢɞɚɟɦɵɣ ɷɮɮɟɤɬ ɤɨɦɦɟɧɬɚɪɢɢ |
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ɞɨɤɚɡɚɬɟɥɶɧɨɫɬɢ |
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ɉɟɪɟɞɧɹɹ |
ɤɨɥɶɩɨɪɚɮɢɹ Ⱥ |
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɭɤɪɟɩɥɟɧɢɟ ɬɚɡɨɜɨɝɨ ɞɧɚ ɫ |
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ɤɨɥɶɩɨɩɟɪɢɧɟɨɥɟɜɚɬɨɪɨɩɥɚɫɬɢɤɚ |
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ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɫɨɛɫɬɜɟɧɧɵɯ ɬɤɚɧɟɣ |
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Ɇɚɧɱɟɫɬɟɪɫɤɚɹ ɨɩɟɪɚɰɢɹ |
Ⱥ |
ȼɤɥɸɱɚɟɬ |
ɩɟɪɟɞɧɸɸ |
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ɤɨɥɶɩɨɪɚɮɢɸ |
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ɚɦɩɭɬɚɰɢɸ ɲɟɣɤɢ ɦɚɬɤɢ ɭɤɨɪɨɱɟɧɢɟ |
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ɤɚɪɞɢɧɚɥɶɧɵɯ ɫɜɹɡɨɤ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɢɯ |
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ɩɨɞɲɢɜɚɧɢɟɦ ɤ ɩɟɪɟɞɧɟɣ ɩɨɜɟɪɯɧɨɫɬɢ |
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ɤɭɥɶɬɢ ɲɟɣɤɢ ɦɚɬɤɢ ɜ ɦɨɞɢɮɢɤɚɰɢɢ |
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6KLURGNDU ɟɳɟ ɢ ɤɪɟɫɬɰɨɜɨ-ɦɚɬɨɱɧɵɯ |
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ɫɜɹɡɨɤ ɤɨɥɶɩɨɩɟɪɢɧɟɨɥɟɜɚɬɨɪɨɩɥɚɫɬɢɤɭ |
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ȼɥɚɝɚɥɢɳɧɚɹ ɷɤɫɬɢɪɩɚɰɢɹ ɦɚɬɤɢ |
Ⱥ |
ɋ ɰɟɥɶɸ ɩɪɨɮɢɥɚɤɬɢɤɢ ɥɢɛɨ ɭɫɬɪɚɧɟɧɢɹ |
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ɩɪɨɥɚɩɫɚ ɫɜɨɞɨɜ ɜɥɚɝɚɥɢɳɚ ɩɨɫɥɟ |
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ɷɤɫɬɢɪɩɚɰɢɢ |
ɦɚɬɤɢ |
ɢ |
ɷɧɬɟɪɨɰɟɥɟ |
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ɩɪɨɜɨɞɢɬɫɹ ɤɭɥɶɞɨɩɥɚɫɬɢɤɚ |
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Ɉɩɟɪɚɰɢɹ Ʌɚɛɝɚɪɞɬɚ |
Ⱥ |
ɇɚɩɪɚɜɥɟɧɚ ɧɚ ɱɚɫɬɢɱɧɭɸ ɨɛɥɢɬɟɪɚɰɢɸ |
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ɜɥɚɝɚɥɢɳɚ ɫɪɟɞɢɧɧɚɹ ɤɨɥɶɩɨɪɚɮɢɹ |
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Ʌɟɮɨɪɚ-ɇɟɣɝɟɛɚɭɷɪɚ |
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ɜɥɚɝɚɥɢɳɧɨ-- |
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ɩɪɨɦɟɠɧɨɫɬɧɵɣ ɤɥɟɣɡɢɫ |
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ɋ |
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ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ Ⱥ |
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ɚɥɥɨɩɥɚɫɬɢɱɟɫɤɢɯ |
ɥɢɛɨ |
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ɫɢɧɬɟɬɢɱɟɫɤɢɯ ɦɚɬɟɪɢɚɥɨɜ ɞɥɹ |
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ɭɤɪɟɩɥɟɧɢɹ ɫɜɹɡɨɱɧɨɝɨ ɚɩɩɚɪɚɬɚ |
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ɦɚɬɤɢ ɢ ɟɟ ɮɢɤɫɚɰɢɢ |
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ɋ ɠɟɫɬɤɨɣ ɮɢɤɫɚɰɢɟɣ ɜɵɩɚɜɲɢɯ Ⱥ ɨɪɝɚɧɨɜ ɤ ɫɬɟɧɤɚɦ ɬɚɡɚ ɤ ɥɨɛɤɨɜɵɦ - ɤɨɫɬɹɦ ɤɪɟɫɬɰɨɜɨɣ ɤɨɫɬɢ ɫɚɤɪɨɫɩɢɧɚɥɶɧɨɣ ɫɜɹɡɤɟ ɢ ɞɪ
424
ɉɪɢɜɟɪɠɟɧɧɨɫɬɶ ɬɟɪɚɩɢɢ - ɫɨɨɬɜɟɬɫɬɜɢɟ ɩɨɜɟɞɟɧɢɹ ɩɚɰɢɟɧɬɚ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ ɜɤɥɸɱɚɹ ɩɪɢɟɦ ɩɪɟɩɚɪɚɬɨɜ
t.me/medgynecology
425
Ɋɚɡɜɟɪɧɭɬɵɟ ɪɟɱɟɜɵɟ ɦɨɞɭɥɢ ɮɨɪɦɢɪɨɜɚɧɢɹ ɩɪɢɜɟɪɠɟɧɧɨɫɬɢ ɬɟɪɚɩɢɢ
ɉɪɨɥɚɩɫ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɉɌɈ ɹɜɥɹɟɬɫɹ ɯɪɨɧɢɱɟɫɤɢɦ ɫɨɫɬɨɹɧɢɟɦ ɩɪɢ ɤɨɬɨɪɨɦ ɨɪɝɚɧɵ ɦɚɥɨɝɨ ɬɚɡɚ ɦɨɱɟɜɨɣ ɩɭɡɵɪɶ ɬɟɥɨ ɢ ɲɟɣɤɚ ɦɚɬɤɢ ɜɥɚɝɚɥɢɳɟ ɢ ɩɟɪɟɞɧɹɹ ɫɬɟɧɤɚ ɩɪɹɦɨɣ ɤɢɲɤɢ ɨɛɪɚɡɭɸɬ ɝɪɵɠɟɜɨɟ ɜɵɩɹɱɢɜɚɧɢɟ ɜ ɩɪɨɫɜɟɬ ɜɥɚɝɚɥɢɳɚ ɜɵɯɨɞɹɳɟɟ ɧɚ ɩɨɡɞɧɢɯ ɫɬɚɞɢɹɯ ɡɚ ɩɪɟɞɟɥɵ ɩɨɥɨɜɨɣ ɳɟɥɢ ɉɪɨɛɥɟɦɚ ɉɌɈ ɢ ɬɟɫɧɨ ɫɜɹɡɚɧɧɚɹ ɫ ɧɟɣ ɩɪɨɛɥɟɦɚ ɧɟɞɟɪɠɚɧɢɹ ɦɨɱɢ ɇɆ ɹɜɥɹɸɬɫɹ ɧɟ ɬɨɥɶɤɨ ɦɟɞɢɰɢɧɫɤɢɦɢ ɧɨ ɢ ɫɨɰɢɚɥɶɧɵɦɢ
ɉɨ ɞɚɧɧɵɦ - $ZZDG ɢ ɫɨɚɜɬ ɞɢɫɮɭɧɤɰɢɢ ɬɚɡɨɜɨɝɨ ɞɧɚ ɢɦɟɸɬ ɦɟɫɬɨ ɭ ɠɟɧɳɢɧ ɜ ɜɨɡɪɚɫɬɟ - ɥɟɬ ɭ ɜ ɜɨɡɪɚɫɬɟ - ɥɟɬ ɭ ɜ ɜɨɡɪɚɫɬɟ - ɥɟɬ ɉɪɢ ɷɬɨɦ ɫɥɟɞɭɟɬ ɨɬɦɟɬɢɬɶ ɱɬɨ ɧɚɱɚɥɶɧɵɟ ɮɨɪɦɵ ɞɢɫɮɭɧɤɰɢɢ ɬɚɡɨɜɨɝɨ ɞɧɚ ɨɛɧɚɪɭɠɢɜɚɸɬɫɹ ɜ ɪɟɩɪɨɞɭɤɬɢɜɧɨɦ ɜɨɡɪɚɫɬɟ ɭ ɛɨɥɶɧɵɯ ɩɪɨɥɚɩɫ ɝɟɧɢɬɚɥɢɣ ɮɨɪɦɢɪɭɟɬɫɹ ɦɟɠɞɭ ɢ ɝɨɞɚɦɢ ɭ - ɞɨ ɥɟɬ ɢ ɥɢɲɶ ɭ - ɩɨɫɥɟ ɥɟɬ ɉɨ ɦɟɪɟ ɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɹ ɡɚɛɨɥɟɜɚɧɢɹ ɩɨɹɜɥɹɸɬɫɹ ɢ ɭɫɭɝɭɛɥɹɸɬɫɹ ɮɭɧɤɰɢɨɧɚɥɶɧɵɟ ɧɚɪɭɲɟɧɢɹ ȼ ɛɨɥɶɲɢɧɫɬɜɟ ɫɥɭɱɚɟɜ ɉɌɈ ɩɪɨɬɟɤɚɟɬ ɩɪɚɤɬɢɱɟɫɤɢ ɛɟɫɫɢɦɩɬɨɦɧɨ ɱɬɨ ɫɜɢɞɟɬɟɥɶɫɬɜɭɟɬ ɨ ɟɝɨ ɛɨɥɶɲɟɣ ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɨɫɬɢ ɜ ɩɨɩɭɥɹɰɢɢ
ɗɬɢɨɥɨɝɢɹ ɬɩɡɨɜɵɯ ɪɚɫɫɬɪɨɣɫɬɜ ɜ ɱɚɫɬɧɨɫɬɢ ɉɌɈ ɢ ɧɟɞɟɪɠɚɧɢɟ ɦɨɱɢ ɩɪɢ ɧɚɩɪɹɠɟɧɢɢ ɧɨɫɢɬ ɦɧɨɝɨɮɚɤɬɨɪɧɵɣ ɯɚɪɚɤɬɟɪ 5 & %XPS ɢ 3 $ 1RUWRQ ɩɟɪɜɵɟ ɨɩɢɫɚɥɢ ɤɨɦɩɥɟɤɫɧɭɸ ɦɨɞɟɥɶ ɪɚɡɜɢɬɢɹ ɬɚɡɨɜɵɯ ɞɢɫɮɭɧɤɰɢɣ ɞɟɦɨɧɫɬɪɢɪɭɸɳɭɸ ɜɨɡɦɨɠɧɭɸ ɫɜɹɡɶ ɮɚɤɬɨɪɨɜ ɪɢɫɤɚ ɉɌɈ ɪɚɡɞɟɥɢɜ ɜɫɟ ɮɚɤɬɨɪɵ ɧɚ ɩɪɟɞɪɚɫɩɨɥɨɝɚɸɳɢɟ ɢɧɢɰɢɢɪɭɸɳɢɟ ɫɩɨɫɨɛɫɬɜɭɸɳɢɟ ɢ ɞɟɤɨɦɩɟɧɫɢɪɭɸɳɢɟ
ɉɪɟɞɪɚɫɩɨɥɨɝɚɸɳɢɟ |
ɉɪɨɜɨɰɢɪɭɸɳɢɟ |
ɋɩɨɫɨɛɫɬɜɭɸɳɢɟ |
Ⱦɟɤɨɦɩɟɧɫɢɪɭɸɳɢɟ |
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ɮɚɤɬɨɪɵ |
ɮɚɤɬɨɪɵ |
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ɮɚɤɬɨɪɵ |
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ɮɚɤɬɨɪɵ |
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ɉɨɥ |
Ɍɪɚɜɦɚ |
ɬɚɡɨɜɨɝɨ |
Ȼɟɪɟɦɟɧɧɨɫɬɶ |
ɢ |
ȼɨɡɪɚɫɬ |
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ɞɧɚ |
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ɪɨɞɵ |
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Ɋɚɫɨɜɵɟ ɪɚɡɥɢɱɢɹ |
Ɉɩɟɪɚɰɢɢ |
ɧɚ |
Ɉɠɢɪɟɧɢɟ |
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Ⱥɬɪɨɮɢɹ ɬɤɚɧɟɣ |
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ɨɪɝɚɧɚɯ |
ɦɚɥɨɝɨ |
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ɬɚɡɚ |
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Ⱦɢɫɩɥɚɡɢɹ |
Ʌɭɱɟɜɵɟ |
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Ɂɚɩɨɪɵ |
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ɂɫɬɨɳɟɧɢɟ |
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ɫɨɟɞɢɧɢɬɟɥɶɧɨɣ ɬɤɚɧɢ |
ɩɨɪɚɠɟɧɢɹ |
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ȼɚɫɤɭɥɹɪɢɡɚɰɢɹ |
Ɍɪɚɜɦɚɬɢɱɧɵɟ |
Ɏɢɡɢɱɟɫɤɚɹ |
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Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
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ɪɨɞɵ |
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ɧɚɪɝɪɭɡɤɚ |
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ɩɪɟɩɚɪɚɬɵ |
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ɂɧɧɟɪɜɚɰɢɹ |
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Ɂɚɛɨɥɟɜɚɧɢɹ |
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ɨɪɝɚɧɨɜ ɞɵɯɚɧɢɹ |
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ɍ ɬɪɟɬɢ ɜɫɟɯ ɨɛɫɥɟɞɨɜɚɧɧɵɯ ɠɟɧɳɢɧ ɪɨɞɨɜɨɣ ɬɪɚɜɦɚɬɢɡɦ ɬɪɚɜɦɵ ɦɹɝɤɢɯ ɪɨɞɨɜɵɯ ɩɭɬɟɣ ɛɵɫɬɪɵɟ ɢ ɫɬɪɟɦɢɬɟɥɶɧɵɟ ɪɨɞɵ ɩɪɢɦɟɧɟɧɢɟ ɪɚɡɥɢɱɧɵɯ ɚɤɭɲɟɪɫɤɢɯ ɩɨɫɨɛɢɣ ɜ ɪɨɞɚɯ ɤɪɭɩɧɵɣ ɩɥɨɞ ɧɚɛɥɸɞɚɟɬɫɹ ɜ ɤɚɱɟɫɬɜɟ ɨɫɧɨɜɧɨɣ ɩɪɢɱɢɧɵ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɫɢɦɩɬɨɦɨɜ ɉɌɈ ɉɪɢ ɜɥɚɝɚɥɢɳɧɵɯ ɪɨɞɚɯ ɬɪɚɜɦɚ ɬɚɡɨɜɨɝɨ ɞɧɚ ɜɫɬɪɟɱɚɟɬɫɹ ɭ - ɪɨɞɢɥɶɧɢɰ ɩɪɢɱɟɦ ɭ ɩɟɪɜɨɪɨɞɹɳɢɯ ɜ ɫɥɭɱɚɟɜ ɚ ɩɪɢ ɩɪɨɜɟɞɟɧɢɢ ɚɤɭɲɟɪɫɤɢɯ ɪɨɞɨɪɚɡɪɟɲɚɸɳɢɯ ɨɩɟɪɚɰɢɣ ɛɨɥɟɟ ɱɟɦ ɉɪɢ ɷɬɨɦ ɫɩɨɧɬɚɧɧɵɟ ɪɨɞɵ ɱɟɪɟɡ ɟɫɬɟɫɬɜɟɧɧɵɟ ɪɨɞɨɜɵɟ ɩɭɬɢ ɩɨɜɵɲɚɸɬ ɪɢɫɤ ɪɚɡɜɢɬɢɹ ɉɌɈ ɜ ɩɨɫɥɟɞɭɸɳɟɦ ɛɨɥɟɟ ɱɟɦ ɜ ɬɪɢ ɪɚɡɚ ɚ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɵɟ ɜɚɝɢɧɚɥɶɧɵɟ ɪɨɞɵ - ɜ ɩɹɬɶ ɪɚɡ ɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɤɟɫɚɪɟɜɵɦ ɫɟɱɟɧɢɟɦ
Ɉɞɧɢɦ ɢɡ ɤɪɭɩɧɵɯ ɝɪɵɠɟɜɵɯ ɜɨɪɨɬ ɜ ɨɪɝɚɧɢɡɦɟ ɱɟɥɨɜɟɤɚ ɹɜɥɹɟɬɫɹ ɳɟɥɶ ɞɢɚɮɪɚɝɦɵ ɬɚɡɚ ɨɝɪɚɧɢɱɟɧɧɚɹ ɧɨɠɤɚɦɢ P ɪXERUHFWDOLV Ⱦɚɧɧɚɹ ɦɵɲɰɚ ɞɨɫɬɢɝɚɟɬ ɬɚɤɨɣ ɫɬɟɩɟɧɢ ɪɚɫɬɹɠɟɧɢɹ ɩɪɢ ɜɚɝɢɧɚɥɶɧɵɯ ɪɨɞɚɯ ɱɬɨ ɜ - ɫɥɭɱɚɟɜ ɭ ɩɟɪɜɨɪɨɞɹɳɢɯ ɠɟɧɳɢɧ ɩɪɨɢɫɯɨɞɢɬ ɨɬɪɵɜ P SXERUHFWDOLV ɨɬ ɧɢɠɧɟɣ ɜɟɬɜɢ ɥɨɛɤɨɜɨɣ ɤɨɫɬɢ ɗɬɨ ɩɪɢɜɨɞɢɬ ɤ ɪɚɫɲɢɪɟɧɢɸ ɳɟɥɢ ɞɢɚɮɪɚɝɦɵ ɬɚɡɚ ɢ ɡɧɚɱɢɬɟɥɶɧɵɦ ɧɚɪɭɲɟɧɢɹɦ ɮɭɧɤɰɢɢ ɧɟɫɤɨɥɶɤɢɯ ɫɢɫɬɟɦ ɨɪɝɚɧɨɜ
426
ɋɜɹɡɶ ɦɟɠɞɭ ɩɨɜɪɟɠɞɟɧɢɟɦ ɦɵɲɰɵ ɢ ɞɚɥɶɧɟɣɲɢɦ ɪɚɡɜɢɬɢɟɦ ɉɌɈ ɨɩɢɫɚɧɚ ɢ ɢɡɜɟɫɬɧɚ ɧɨ ɡɚɱɚɫɬɭɸ ɷɬɨɬ ɞɟɮɟɤɬ ɨɫɬɚɟɬɫɹ ɧɟ ɞɢɚɝɧɨɫɬɢɪɨɜɚɧɧɵɦ ɫɪɚɡɭ ɩɨɫɥɟ ɪɨɞɨɜ ɱɬɨ ɜɩɨɫɥɟɞɫɬɜɢɢ ɩɪɢɜɨɞɢɬ ɤ ɨɩɭɳɟɧɢɸ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ Ɋɚɧɧɟɟ ɨɛɧɚɪɭɠɟɧɢɟ ɢ ɥɟɱɟɧɢɟ ɞɚɧɧɨɝɨ ɞɟɮɟɤɬɚ ɦɨɝɥɨ ɛɵ ɩɪɟɞɨɬɜɪɚɬɢɬɶ ɪɚɡɜɢɬɢɟ ɷɬɢɯ ɧɚɪɭɲɟɧɢɣ Ʌɢɲɶ ɨɞɧɨɣ ɢɡ ɠɟɧɳɢɧ ɫ ɬɚɡɨɜɵɦ ɩɪɨɥɚɩɫɨɦ ɬɪɟɛɭɟɬɫɹ ɨɩɟɪɚɬɢɜɧɨɟ ɥɟɱɟɧɢɟ
Ⱦɢɚɝɧɨɫɬɢɪɨɜɚɜ ɩɪɨɥɚɩɫ ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɜɚɠɧɨ ɪɭɤɨɜɨɞɫɬɜɨɜɚɬɶɫɹ ɩɪɚɜɢɥɚɦɢ ɜɵɛɨɪɚ ɦɟɬɨɞɚ ɟɝɨ ɥɟɱɟɧɢɹ
Ɣ ɉɪɢ ɛɟɫɫɢɦɩɬɨɦɧɨɦ ɩɪɨɥɚɩɫɟ ɧɟɨɛɯɨɞɢɦɨ ɩɪɟɞɭɩɪɟɠɞɚɬɶ ɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɜɤɥɸɱɚɸɳɚɹ ɜ ɫɟɛɹ ɢɡɦɟɧɟɧɢɟ ɨɛɪɚɡɚ ɠɢɡɧɢ ɬɪɟɧɢɪɨɜɤɚ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ ɜ ɩɨɫɬɨɹɧɧɨɦ ɪɟɠɢɦɟ ɚ ɬɚɤɠɟ ɮɢɡɢɱɟɫɤɢɟ ɭɩɪɚɠɧɟɧɢɹ
Ɣ Ʌɟɱɟɧɢɟ ɫɢɦɩɬɨɦɚɬɢɱɟɫɤɨɝɨ ɩɪɨɥɚɩɫɚ ɧɚɱɢɧɚɸɬ ɫ ɤɨɧɫɟɪɜɚɬɢɜɧɵɯ ɦɟɬɨɞɨɜ ɫɪɟɞɢ ɤɨɬɨɪɵɯ ɦɟɬɨɞ ɜɵɛɨɪɚ - ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɟ ɭɪɨɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɟ ɩɟɫɫɚɪɢɢ
Ɣ ɇɟ ɤɚɠɞɚɹ ɠɟɧɳɢɧɚ ɫ ɨɩɭɳɟɧɢɟɦ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɧɭɠɞɚɟɬɫɹ ɜ ɯɢɪɭɪɝɢɱɟɫɤɨɦ ɥɟɱɟɧɢɢ
Ɣ ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ ɨɬ ɤɨɧɫɟɪɜɚɬɢɜɧɨɣ ɬɟɪɚɩɢɢ ɪɟɲɚɟɬɫɹ ɜɨɩɪɨɫ ɨɛ ɨɩɟɪɚɬɢɜɧɨɦ ɥɟɱɟɧɢɢ
ā ȼɨɡɞɟɣɫɬɜɢɟ ɫ ɩɨɦɨɳɶɸ ɦɚɥɨɢɜɚɡɢɜɧɵɯ ɥɚɡɟɪɨɜ ɧɟɨɞɢɦɨɜɵɣ ɷɪɛɢɟɜɵɣ ɋɈ ʋ ɫ ɢɧɬɟɪɜɚɥɨɦ - ɞɧɟɣ
427
Ɣ ɉɨɜɟɞɟɧɱɟɫɤɚɹ ɬɟɪɚɩɢɹ ɬɪɚɞɢɰɢɨɧɧɨ ɨɬɧɨɫɢɬɫɹ ɤ ɩɟɪɜɢɱɧɨɣ ɩɨɦɨɳɢ ɩɚɰɢɟɧɬɤɚɦ ɫɬɪɚɞɚɸɳɢɦ ɉɌɈ ɋɧɢɠɟɧɢɟ ɦɚɫɫɵ ɬɟɥɚ ɨɝɪɚɧɢɱɟɧɢɟ ɬɹɠɟɥɨɣ ɮɢɡɢɱɟɫɤɨɣ ɧɚɝɪɭɡɤɢ ɥɟɱɟɧɢɟ ɤɚɲɥɹ ɭɫɬɪɚɧɟɧɢɟ ɡɚɩɨɪɚ ɫɩɨɫɨɛɫɬɜɭɸɬ ɭɦɟɧɶɲɟɧɢɸ ɜɵɪɚɠɟɧɧɨɫɬɢ ɤɥɢɧɢɱɟɫɤɨɣ ɤɚɪɬɢɧɵ ɉɌɈ ɩɭɬɟɦ ɭɦɟɧɶɲɟɧɢɹ ɜɥɢɹɧɢɹ ɩɨɜɵɲɟɧɧɨɝɨ ɜɧɭɬɪɢɛɪɸɲɧɨɝɨ ɞɚɜɥɟɧɢɹ ɧɚ ɬɚɡɨɜɨɟ ɞɧɨ
ā ɍɩɪɚɠɧɟɧɢɹ ɞɥɹ ɬɪɟɧɢɪɨɜɤɢ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ ɦɨɝɭɬ ɛɵɬɶ ɪɟɤɨɦɟɧɞɨɜɚɧɵ ɬɨɥɶɤɨ ɩɚɰɢɟɧɬɤɚɦ ɫ ɫɨɯɪɚɧɟɧɧɵɦɢ ɫɬɪɭɤɬɭɪɚɦɢ ɬɚɡɨɜɨɝɨ ɞɧɚ ɉɪɢ ɧɚɥɢɱɢɢ ɞɚɠɟ ɧɟɛɨɥɶɲɨɣ ɬɪɚɜɦɵ ɦɵɲɰ ɢ ɮɚɫɰɢɣ ɬɚɡɨɜɨɝɨ ɞɧɚ ɥɸɛɵɟ ɬɪɟɧɢɪɨɜɤɢ ɭɩɪɚɠɧɟɧɢɹ Ʉɟɝɟɥɹ ɘɧɭɫɨɜɚ ɢ ɩɪ ɧɟ ɬɨɥɶɤɨ ɛɟɫɫɦɵɫɥɟɧɧɵ ɧɨ ɢ ɨɩɚɫɧɵ ɜɫɥɟɞɫɬɜɢɟ ɜɥɢɹɧɢɹ ɢɧɬɟɧɫɢɜɧɨɝɨ ɫɨɤɪɚɳɟɧɢɹ ɦɵɲɰ ɧɚ ɭɫɭɝɭɛɥɟɧɢɟ ɬɪɚɜɦɚɬɢɡɚɰɢɢ ɚ ɡɧɚɱɢɬ ɩɪɨɜɨɰɢɪɨɜɚɧɢɟ ɛɨɥɟɟ ɛɵɫɬɪɨɝɨ ɪɚɡɜɢɬɢɹ ɉɌɈ
ā ɌɆɌȾ ɩɪɢ ɩɨɦɨɳɢ ȻɈɋ ɩɨɤɚɡɵɜɚɟɬ ɯɨɪɨɲɢɟ ɪɟɡɭɥɶɬɚɬɵ ɜɥɢɹɧɢɹ ɧɚ ɫɢɦɩɬɨɦɵ ɢ ɫɬɟɩɟɧɶ ɜɵɪɚɠɟɧɧɨɫɬɢ ɩɪɨɥɚɩɫɚ ɩɨ ɫɢɫɬɟɦɟ 323-4 ɉɨ ɞɚɧɧɵɦ ɫɢɫɬɟɦɚɬɢɱɟɫɤɨɝɨ ɨɛɡɨɪɚ &RFKUDQH ɩɪɨɜɟɞɟɧɧɨɝɨ ɜ ɝ ɩɪɢɦɟɧɟɧɢɟ ɭɩɪɚɠɧɟɧɢɣ ɩɨ ɬɪɟɧɢɪɨɜɤɟ ɦɵɲɰ ɬɚɡɨɜɨɝɨ ɞɧɚ ɨɤɚɡɵɜɚɟɬ ɩɨɥɨɠɢɬɟɥɶɧɵɣ ɷɮɮɟɤɬ ɧɚ ɜɵɪɚɠɟɧɧɨɫɬɶ ɫɢɦɩɬɨɦɨɜ ɉɌɈ ɜ ɬɨɦ ɱɢɫɥɟ ɫɢɦɩɬɨɦɨɜ ɧɢɠɧɢɯ ɦɨɱɟɜɵɯ ɩɭɬɟɣ ɚ ɬɚɤɠɟ ɭɦɟɧɶɲɟɧɢɟ ɫɬɚɞɢɢ ɉɌɈ ɧɚɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɚɤɬɢɜɧɵɦ ɧɚɛɥɸɞɟɧɢɟɦ
Ɍɚɤɢɦ ɨɛɪɚɡɨɦ ɥɟɱɟɧɢɟ ɉɌɈ ɧɟɨɛɯɨɞɢɦɨ ɧɚɱɢɧɚɬɶ ɫ ɤɨɧɫɟɪɜɚɬɢɜɧɨɝɨ ɦɟɬɨɞɚ ɥɟɱɟɧɢɹ ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɩɟɫɫɚɪɢɟɜ ɷɮɮɟɤɬɢɜɧɨɫɬɶ ɩɪɢɦɟɧɟɧɢɹ ɤɨɬɨɪɵɯ ɩɨ ɞɚɧɧɵɦ ɨɞɧɨɝɨ ɪɚɧɞɨɦɢɡɢɪɨɜɚɧɧɨɝɨ ɤɥɢɧɢɱɟɫɤɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɫɨɫɬɚɜɥɹɟɬ E-$ ɚ ɩɨ ɞɚɧɧɵɦ ɤɨɝɨɪɬɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɣ - ɞɨɫɬɢɝɚɟɬ
ɋɨɝɥɚɫɧɨ ɩɪɨɜɟɞɟɧɧɨɦɭ ɨɩɪɨɫɭ ɩɪɢɦɟɧɟɧɢɟ ɩɟɫɫɚɪɢɟɜ - ɦɟɬɨɞ ɩɟɪɜɨɣ ɥɢɧɢɢ ɩɪɢ ɜɵɛɨɪɟ ɥɟɱɟɧɢɹ ɭ ɝɢɧɟɤɨɥɨɝɨɜ ɜ ȼɟɥɢɤɨɛɪɢɬɚɧɢɢ ɢ ɜ ɋɨɟɞɢɧɟɧɧɵɯ ɒɬɚɬɚɯ Ⱥɦɟɪɢɤɢ ɉɪɢ ɷɬɨɦ ɜ ɨɬɧɨɲɟɧɢɢ ɨɬɞɟɥɶɧɵɯ ɞɟɮɟɤɬɨɜ ɬɚɡɨɜɨɝɨ ɞɧɚ ɞɨ ɩɪɢɦɟɧɹɸɬ ɩɟɫɫɚɪɢɣ ɞɥɹ ɤɨɪɪɟɤɰɢɢ ɰɢɫɬɨɰɟɥɟ - ɪɟɤɬɨɰɟɥɟ - ɚɩɢɤɚɥɶɧɨɝɨ ɞɟɮɟɤɬɚ ɢ - ɩɨɥɧɨɝɨ ɜɵɩɚɞɟɧɢɹ
ɉɟɫɫɚɪɢɢ - ɷɬɨ ɩɟɪɜɚɹ ɥɢɧɢɹ ɬɟɪɚɩɢɢ ɨɩɭɳɟɧɢɹ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɚ ɬɚɤɠɟ ɫɨɩɭɬɫɬɜɭɸɳɟɝɨ ɟɦɭ ɇɆ Ʌɟɱɟɛɧɵɣ ɷɮɮɟɤɬ ɧɚɫɬɭɩɚɟɬ ɫɪɚɡɭ ɧɟ ɬɪɟɛɭɸɬɫɹ ɞɨɥɝɨɟ ɨɛɫɥɟɞɨɜɚɧɢɟ ɢ ɩɨɞɝɨɬɨɜɤɚ ɉɨɞɛɨɪ ɩɟɫɫɚɪɢɹ ɧɟɫɥɨɠɟɧ ɢ ɛɟɫɫɩɨɪɧɨ ɷɬɢɦ ɧɚɜɵɤɨɦ ɦɨɠɟɬ ɨɜɥɚɞɟɬɶ ɤɚɠɞɵɣ ɝɢɧɟɤɨɥɨɝ ɪɚɛɨɬɚɸɳɢɣ ɧɚ ɩɨɥɢɤɥɢɧɢɱɟɫɤɨɦ ɩɪɢɟɦɟ ɬɚɤ ɤɚɤ ɱɢɫɥɨ ɩɚɰɢɟɧɬɨɤ ɫɬɪɚɞɚɸɳɢɯ ɩɪɨɥɚɩɫɨɦ ɫ ɝɨɞɚɦɢ ɜɨɡɪɚɫɬɚɟɬ
ɉɨɤɚɡɚɧɢɹɦɢ ɤ ɢɫɩɨɥɶɡɨɜɚɧɢɸ ɩɟɫɫɚɪɢɟɜ ɹɜɥɹɟɬɫɹ
x ɉɪɨɥɚɩɫ ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɥɸɛɨɣ ɫɬɟɩɟɧɢ ɫ ɧɚɥɢɱɢɟɦ ɢɥɢ ɛɟɡ ɫɢɦɩɬɨɦɨɜ x ɋɬɪɟɫɫɨɜɨɟ ɧɟɞɟɪɠɚɧɢɟ ɦɨɱɢ ɧɚ ɮɨɧɟ ɩɪɨɥɚɩɫɚ
x ɋɢɦɩɬɨɦɚɬɢɱɟɫɤɢɣ ɩɪɨɥɚɩɫ ɜ ɫɥɭɱɚɹɯ ɤɨɝɞɚ ɩɪɨɜɟɞɟɧɢɟ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɜɦɟɲɚɬɟɥɶɫɬɜɚ ɧɟɜɨɡɦɨɠɧɨ - ɧɟɠɟɥɚɧɢɟ ɩɚɰɢɟɧɬɤɢ ɧɚɥɢɱɢɟ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣɧɚɢɛɨɥɟɟ ɱɚɫɬɨ ɩɟɫɫɚɪɢɢ ɩɪɢɦɟɧɹɸɬ ɠɟɧɳɢɧɵ ɫɬɚɪɲɟɣ ɜɨɡɪɚɫɬɧɨɣ ɝɪɭɩɩɵ ɫ ɨɞɧɢɦ ɢɥɢ ɧɟɫɤɨɥɶɤɢɦɢ ɫɨɩɭɬɫɬɜɭɸɳɢɦɢ ɡɚɛɨɥɟɜɚɧɢɹɦɢ ɤɨɬɨɪɵɦ ɧɟɥɶɡɹ ɜɵɩɨɥɧɢɬɶ ɨɩɟɪɚɰɢɸ
x ȼ ɰɟɥɹɯ ɨɰɟɧɤɢ ɫɤɪɵɬɨɝɨ ɧɟɞɟɪɠɚɧɢɹ ɦɨɱɢ ɜ ɩɪɟɞɨɩɟɪɚɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟɩɨɥɨɠɢɬɟɥɶɧɚɹ ɩɪɨɛɚ ɫ ɩɟɫɫɚɪɢɟɦ ɞɥɹ ɩɪɨɝɧɨɡɚ ɪɟɡɭɥɶɬɚɬɨɜ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɥɟɱɟɧɢɹ ɩɪɨɥɚɩɫɚ ɭɪɨɞɢɧɚɦɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɧɚɛɥɸɞɚɟɦɵɟ ɧɚ ɮɨɧɟ ɩɟɫɫɚɪɢɟɜ ɫɨɨɬɜɟɬɫɬɜɭɸɬ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɵɦ ɩɨɷɬɨɦɭ ɢɯ ɬɚɤɠɟ ɢɫɩɨɥɶɡɭɸɬ ɞɥɹ ɞɢɚɝɧɨɫɬɢɤɢ ɫɤɪɵɬɨɝɨ ɫɬɪɟɫɫɨɜɨɝɨ ɧɟɞɟɪɠɚɧɢɹ ɦɨɱɢ ɩɟɪɟɞ ɨɩɟɪɚɬɢɜɧɵɦ ɥɟɱɟɧɢɟɦ ɨɫɨɛɟɧɧɨ ɟɫɥɢ ɟɫɬɶ ɫɨɦɧɟɧɢɹ ɜ ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɜɦɟɲɚɬɟɥɶɫɬɜɚ
x ɉɪɨɮɢɥɚɤɬɢɤɚ ɩɪɨɥɚɩɫɚ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ ɩɨɫɥɟ ɪɨɞɨɜ
ɐɟɥɶ ɩɪɢɦɟɧɟɧɢɹ ɩɟɫɫɚɪɢɟɜ
ƒ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɚɧɚɬɨɦɢɱɟɫɤɨɝɨ ɩɨɥɨɠɟɧɢɹ ɬɟɥɚ ɢ ɲɟɣɤɢ ɦɚɬɤɢ ɱɬɨ ɩɪɟɩɹɬɫɬɜɭɟɬ ɨɩɭɳɟɧɢɸ ɫɬɟɧɨɤ ɜɥɚɝɚɥɢɳɚ
428
ƒ ɩɪɟɞɨɬɜɪɚɳɟɧɢɟ ɧɟɩɪɨɢɡɜɨɥɶɧɨɝɨ ɦɨɱɟɢɫɩɭɫɤɚɧɢɹ ɩɪɢ ɧɚɩɪɹɠɟɧɢɢ ɤɚɲɥɟ ɱɢɯɚɧɶɟ ɢ ɩɨɞɧɹɬɢɢ ɬɹɠɟɫɬɟɣ ɬɚɤ ɤɚɤ ɧɟɤɨɬɨɪɵɟ ɜɢɞɵ ɩɟɫɫɚɪɢɟɜ ɨɛɟɫɩɟɱɢɜɚɸɬ ɜɨɡɦɨɠɧɨɫɬɶ ɮɢɤɫɚɰɢɢ ɭɪɟɬɪɨɜɟɡɢɤɚɥɶɧɨɝɨ ɭɝɥɚ ɜ ɩɪɚɜɢɥɶɧɨɦ ɚɧɚɬɨɦɨ-ɮɢɡɢɨɥɨɝɢɱɟɫɤɨɦ ɩɨɥɨɠɟɧɢɢ
ƒ ɩɪɟɞɭɩɪɟɠɞɟɧɢɟ ɞɚɥɶɧɟɣɲɟɝɨ ɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɹ ɨɩɭɳɟɧɢɹ ɬɚɡɨɜɵɯ ɨɪɝɚɧɨɜ
ƒ ɜɨɡɦɨɠɧɨɫɬɶ ɨɬɫɪɨɱɢɬɶ ɜɪɟɦɹ ɨɩɟɪɚɰɢɢ
ɉɟɫɫɚɪɢɣ ɭɫɬɚɧɚɜɥɢɜɚɟɬɫɹ ɜɨ ɜɥɚɝɚɥɢɳɟ ɢ ɫɨɡɞɚɟɬ ɞɨɩɨɥɧɢɬɟɥɶɧɭɸ ɨɩɨɪɭ ɞɥɹ ɨɪɝɚɧɨɜ ɦɚɥɨɝɨ ɬɚɡɚ ɗɬɨ ɜɨɫɫɬɚɧɚɜɥɢɜɚɟɬ ɬɨɩɨɝɪɚɮɨ-ɚɧɚɬɨɦɢɱɟɫɤɢɟ ɜɡɚɢɦɨɨɬɧɨɲɟɧɢɹ ɦɟɠɞɭ ɨɪɝɚɧɚɦɢ ɦɚɥɨɝɨ ɬɚɡɚ ɢ ɭɫɬɪɚɧɹɟɬ ɭɦɟɧɶɲɚɟɬ ɩɪɨɹɜɥɟɧɢɹ ɩɪɨɥɚɩɫɚ Ȼɨɥɶɲɢɧɫɬɜɨ ɚɜɬɨɪɨɜ ɫɱɢɬɚɸɬ ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɩɟɫɫɚɪɢɹ ɛɨɥɟɟ ɩɨɞɯɨɞɹɳɢɦ ɩɪɢ ɰɢɫɬɨɰɟɥɟ ɢ ɨɩɭɳɟɧɢɢ ɦɚɬɤɢ ɢ ɦɟɧɟɟ ɩɨɞɯɨɞɹɳɢɦ ɩɪɢ ɪɟɤɬɨɰɟɥɟ
ɇɚɢɦɟɧɨɜɚɧɢɹ ɢ ɩɨɤɚɡɚɧɢɹ ɤ ɩɪɢɦɟɧɟɧɢɸ ɩɟɫɫɚɪɢɟɜ
Ɍɢɩ ɩɟɫɫɚɪɢɹ |
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Ɇɟɯɚɧɢɡɦ ɞɟɣɫɬɜɢɹ |
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ɉɨɤɚɡɚɧɢɹ |
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Ɍɨɧɤɨɟ ɤɨɥɶɰɨ |
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ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ |
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ɐɢɫɬɨɰɟɥɟ ɧɟɛɨɥɶɲɨɣ ɩɪɨɥɚɩɫ |
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Ɍɨɥɫɬɨɟ ɤɨɥɶɰɨ |
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ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ ɡɚɩɨɥɧɹɸɳɢɣ |
ɇɟɛɨɥɶɲɨɣ |
ɢ |
ɭɦɟɪɟɧɧɵɣ |
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ɜɧɭɬɪɟɧɧɟɟ ɩɪɨɫɬɪɚɧɫɬɜɨ |
ɩɪɨɥɚɩɫ |
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Ʉɭɛɢɱɟɫɤɢɣ ɫ ɤɧɨɩɤɨɣ |
Ɂɚɩɨɥɧɹɸɳɢɣ |
ɜɧɭɬɪɟɧɧɟɟ |
ȼɫɟ ɜɢɞɵ ɩɪɨɥɚɩɫɨɜ ɇɆ ɩɨɫɥɟ |
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ɩɟɪɮɨɪɢɪɨɜɚɧɧɵɣ |
ɛɟɡ |
ɩɪɨɫɬɪɚɧɫɬɜɨ ɫɚɦɨɮɢɤɫɢɪɭɸɳɢɣɫɹ |
ɷɤɫɬɢɪɩɚɰɢɢ ɦɚɬɤɢ |
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ɩɟɪɮɨɪɚɰɢɢ |
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Ɍɚɧɞɟɦɧɵɣ |
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Ɂɚɩɨɥɧɹɸɳɢɣ |
ɜɧɭɬɪɟɧɧɟɟ |
I-,9 ɫɬɟɩɟɧɶ |
ɩɪɨɥɚɛɢɪɨɜɚɧɢɹ |
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ɩɪɨɫɬɪɚɧɫɬɜɨ ɫɚɦɨɮɢɤɫɢɪɭɸɳɢɣɫɹ |
ɦɚɬɤɢ ɢɥɢ ɜɥɚɝɚɥɢɳɧɨɝɨ ɫɜɨɞɚ |
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Ƚɪɢɛɨɜɢɞɧɵɣ |
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ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ ɢ |
ɡɚɩɨɥɧɹɸɳɢɣ |
ɐɢɫɬɨɰɟɥɟ |
ɩɪɨɥɚɩɫ |
,,,-,9 |
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ɜɧɭɬɪɟɧɧɟɟ ɩɪɨɫɬɪɚɧɫɬɜɨ |
ɫɬɟɩɟɧɢ |
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ɉɟɫɫɚɪɢɣ ɏɨɞɠɚ |
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ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ |
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ɇɆ ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɧɨɪɦɚɥɶɧɨɣ |
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ɚɧɚɬɨɦɢɢ ɬɚɡɚ ɤɨɝɞɚ ɞɪɭɝɢɟ |
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ɜɢɞɵ ɩɟɫɫɚɪɢɟɜ ɧɟɜɨɡɦɨɠɧɨ |
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ɢɫɩɨɥɶɡɨɜɚɬɶ |
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ɑɚɲɟɱɧɨ-ɭɪɟɬɪɚɥɶɧɵɣ |
ɫ |
ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ |
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ɍɦɟɪɟɧɧɚɹ ɫɬɟɩɟɧɶ ɩɪɨɥɚɩɫɚ |
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ɥɟɜɚɬɨɪɨɦ |
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ɇɆ |
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ɍɪɟɬɪɚɥɶɧɵɣ |
ɫ |
ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ |
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ɇɆ ɰɢɫɬɨɰɟɥɟ ɧɟɡɧɚɱɢɬɟɥɶɧɵɣ |
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ɥɟɜɚɬɨɪɨɦ |
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ɩɪɨɥɚɩɫ |
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ɑɚɲɟɱɧɵɣ |
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ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ |
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ɉɪɨɥɚɩɫ ,-,, ɫɬɟɩɟɧɢ |
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ɩɟɪɮɨɪɢɪɨɜɚɧɧɵɣ |
ɛɟɡ |
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ɩɟɪɮɨɪɚɰɢɢ |
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Ƚɥɚɜɧɚɹ ɡɚɞɚɱɚ ɜɪɚɱɚ - ɫɨɜɦɟɫɬɧɨ ɫ ɩɚɰɢɟɧɬɤɨɣ ɩɪɚɜɢɥɶɧɨ ɩɨɞɨɛɪɚɬɶ ɩɟɫɫɚɪɢɣ ɨɩɬɢɦɚɥɶɧɨɣ ɮɨɪɦɵ ɉɪɢ ɧɟɡɧɚɱɢɬɟɥɶɧɵɯ ɢɥɢ ɫɪɟɞɧɢɯ ɫɬɟɩɟɧɹɯ ɨɩɭɳɟɧɢɹ ɩɪɢɦɟɧɹɸɬɫɹ ɤɨɥɶɰɟɜɵɟ ɢɥɢ ɱɚɲɟɱɧɵɟ ɩɟɫɫɚɪɢɢ ɫ ɩɨɞɞɟɪɠɢɜɚɸɳɢɦ ɦɟɯɚɧɢɡɦɨɦ ɞɟɣɫɬɜɢɹ ɩɪɢ ɛɨɥɟɟ ɜɵɪɚɠɟɧɧɵɯ - ɝɪɢɛɨɜɢɞɧɵɟ ɢ ɤɭɛɢɱɟɫɤɢɟ - ɩɨɞɞɟɪɠɢɜɚɸɳɢɟ ɢ ɡɚɩɨɥɧɹɸɳɢɟ ɜɧɭɬɪɟɧɧɟɟ ɩɪɨɫɬɪɚɧɫɬɜɨ ɩɪɢ ɫɨɩɭɬɫɬɜɭɸɳɟɦ ɧɟɞɟɪɠɚɧɢɢ ɦɨɱɢ ɜɵɛɢɪɚɸɬ ɭɪɨɝɢɧɟɤɨɥɨɝɢɱɟɫɤɢɟ ɩɟɫɫɚɪɢɢ ɫ ɥɟɜɚɬɨɪɨɦ ɧɚɥɢɱɢɟ ɤɨɬɨɪɨɝɨ ɨɤɚɡɵɜɚɟɬ ɡɚɩɢɪɚɸɳɟɟ ɞɟɣɫɬɜɢɟ ɜɫɥɟɞɫɬɜɢɟ ɞɚɜɥɟɧɢɹ ɧɚ ɭɪɟɬɪɨɜɟɡɢɤɚɥɶɧɵɣ ɭɝɨɥ - ɭɪɟɬɪɚɥɶɧɵɣ ɢ ɱɚɲɟɱɧɨ-ɭɪɟɬɪɚɥɶɧɵɣ ɩɟɫɫɚɪɢɢ
ɇɟ ɦɟɧɟɟ ɜɚɠɧɨ ɢ ɨɩɪɟɞɟɥɟɧɢɟ ɨɩɬɢɦɚɥɶɧɨɝɨ ɪɚɡɦɟɪɚ ɩɟɫɫɚɪɢɹ ɞɥɹ ɱɟɝɨ ɜ ɩɟɪɜɭɸ ɨɱɟɪɟɞɶ ɩɪɢɦɟɧɹɸɬ ɚɞɚɩɬɚɰɢɨɧɧɵɟ ɤɨɥɶɰɚ ɬɚɛɥ ȼɨ ɜɪɟɦɹ ɜɚɝɢɧɚɥɶɧɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɨɪɢɟɧɬɢɪɨɜɨɱɧɨ ɨɩɪɟɞɟɥɹɸɬ ɪɚɡɦɟɪ ɤɨɥɶɰɚ ɞɥɹ ɬɟɫɬɢɪɨɜɚɧɢɹ ȼɵɛɪɚɧɧɨɟ ɤɨɥɶɰɨ ɜɜɨɞɹɬ ɜɨ ɜɥɚɝɚɥɢɳɟ ɩɚɰɢɟɧɬɤɟ ɩɪɟɞɥɚɝɚɟɬɫɹ ɜɫɬɚɬɶ ɩɨɯɨɞɢɬɶ ɩɨɤɚɲɥɹɬɶ ɑɟɪɟɡ - ɦɢɧ ɨɩɪɟɞɟɥɹɸɬ ɩɨɥɨɠɟɧɢɟ ɤɨɥɶɰɚ ɢ ɨɰɟɧɢɜɚɸɬ ɠɚɥɨɛɵ ȿɫɥɢ ɧɟ ɩɪɨɢɡɨɲɥɨ ɫɦɟɳɟɧɢɹ ɤɨɥɶɰɚ ɜɧɢɡ ɢ ɩɚɰɢɟɧɬɤɭ ɧɟ ɛɟɫɩɨɤɨɢɬ ɞɢɫɤɨɦɮɨɪɬ ɬɨ ɜɵɛɪɚɧɧɵɣ ɪɚɡɦɟɪ ɦɨɠɧɨ ɫɱɢɬɚɬɶ ɩɨɞɯɨɞɹɳɢɦ ɨɩɬɢɦɚɥɟɧ ɧɚɢɦɟɧɶɲɢɣ ɪɚɡɦɟɪ ɤɨɥɶɰɚ ɧɟ ɜɵɩɚɞɚɸɳɢɣ ɢɡ ɜɥɚɝɚɥɢɳɚ ɢ ɩɨɡɜɨɥɹɸɳɢɣ ɞɨɫɬɢɱɶ ɬɟɪɚɩɟɜɬɢɱɟɫɤɨɝɨ ɷɮɮɟɤɬɚ Ɋɚɡɦɟɪ *+ ɩɨ 323-4 ɫɨɨɬɜɟɬɫɬɜɭɟɬ ɪɚɡɦɟɪɭ ɤɭɛɢɱɟɫɤɨɝɨ ɩɟɫɫɚɪɢɹ
Ⱦɥɹ ɨɛɥɟɝɱɟɧɢɹ ɭɫɬɚɧɨɜɤɢ ɩɟɫɫɚɪɢɹ ɢ ɤɭɩɢɪɨɜɚɧɢɹ ɫɢɦɩɬɨɦɨɜ ɝɟɧɢɬɨɭɪɢɧɚɪɧɨɝɨ ɦɟɨɩɚɭɡɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɧɚɧɟɫɬɢ ɧɚ ɩɟɫɫɚɪɢɣ ɷɫɬɪɢɨɥɫɨɞɟɪɠɚɳɢɣ ɤɪɟɦ ɗɬɨ ɬɚɤɠɟ ɭɥɭɱɲɚɟɬ ɪɟɝɟɧɟɪɚɰɢɸ ɬɤɚɧɢ ɢ ɜɨɫɫɬɚɧɚɜɥɢɜɚɟɬ ɦɢɤɪɨɮɥɨɪɭ
429
ɜɥɚɝɚɥɢɳɚ ɩɨɫɤɨɥɶɤɭ ɷɫɬɪɢɨɥ ɭɥɭɱɲɚɟɬ ɤɪɨɜɨɨɛɪɚɳɟɧɢɟ ɜ ɬɤɚɧɹɯ ɢ ɫɨɡɪɟɜɚɧɢɟ ɷɩɢɬɟɥɢɹ
ɋɨɨɬɜɟɬɫɬɜɢɟ ɪɚɡɦɟɪɚ ɚɞɚɩɬɚɰɢɨɧɧɨɝɨ ɤɨɥɶɰɚ ɢ ɤɭɛɢɱɟɫɤɨɝɨ ɩɟɫɫɚɪɢɹ
Ʉɨɥɶɰɟɜɨɣ ɩɟɫɫɚɪɢɣ ɚɞɚɩɬɚɰɢɨɧɧɨɟ ɤɨɥɶɰɨ ɦɦ |
Ʉɭɛɢɱɟɫɤɢɣ ɩɟɫɫɚɪɢɣ ɦɦ |
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Ɋɚɡɦɟɪ |
55- |
Ɋɚɡɦɟɪ |
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Ɋɚɡɦɟɪ |
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Ɋɚɡɦɟɪ |
-85 |
Ɋɚɡɦɟɪ |
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Ɋɚɡɦɟɪ |
ɉɨɫɥɟ ɩɨɞɛɨɪɚ ɪɚɡɦɟɪɚ ɢ ɮɨɪɦɵ ɩɟɫɫɚɪɢɹ ɜɪɚɱ ɨɛɭɱɚɟɬ ɩɚɰɢɟɧɬɤɭ ɬɟɯɧɢɤɟ ɫɚɦɨɫɬɨɹɬɟɥɶɧɨɝɨ ɜɜɟɞɟɧɢɹ ɢ ɢɡɜɥɟɱɟɧɢɹ ȼɜɨɞɢɬɶ ɩɟɫɫɚɪɢɣ ɥɭɱɲɟ ɜ ɩɨɥɨɠɟɧɢɢ ɥɟɠɚ ɧɚ ɫɩɢɧɟ ɫ ɫɨɝɧɭɬɵɦɢ ɤɨɥɟɧɹɦɢ ɢ ɪɚɡɜɟɞɟɧɧɵɦɢ ɧɨɝɚɦɢ ɚ ɢɡɜɥɟɤɚɬɶ - ɫɬɨɹ ɩɨɞɧɹɜ ɨɞɧɭ ɧɨɝɭ ɧɚ ɫɬɭɩɟɧɶɤɭ ɉɟɫɫɚɪɢɣ ɦɚɤɫɢɦɚɥɶɧɨ ɫɠɢɦɚɸɬ ɦɟɠɞɭ ɩɚɥɶɰɚɦɢ ɢ ɜɜɨɞɹɬ ɜɨ ɜɥɚɝɚɥɢɳɟ ɩɨɫɬɟɩɟɧɧɨ ɩɪɨɞɜɢɝɚɹ ɩɚɥɶɰɟɦ ɫɧɚɱɚɥɚ ɤ ɡɚɞɧɟɦɭ ɚ ɡɚɬɟɦ ɜ ɩɟɪɟɞɧɟɦɭ ɫɜɨɞɭ ɜɥɚɝɚɥɢɳɚ ɂɡɜɥɟɤɚɸɬ ɩɟɫɫɚɪɢɣ ɩɨɬɹɝɢɜɚɹ ɡɚ ɤɪɚɣ Ʉɭɛɢɱɟɫɤɢɣ ɩɟɫɫɚɪɢɣ ɢɡɜɥɟɤɚɸɬ ɩɨɬɹɝɢɜɚɹ ɡɚ ɧɢɬɶ Ɉɞɧɚɤɨ ɫɧɚɱɚɥɚ ɧɟɨɛɯɨɞɢɦɨ ɫɦɟɫɬɢɬɶ ɝɪɚɧɢ ɤɭɛɚ ɞɥɹ ɭɫɬɪɚɧɟɧɢɹ ɜɚɤɭɭɦɧɨɝɨ ɷɮɮɟɤɬɚ ɫɦɟɳɚɹ ɧɢɬɶ ɢɥɢ ɤɭɛ ɜ ɫɬɨɪɨɧɵ
t.me/medgynecology
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