Опыт бронхологического пособия пациентам с новой коронавирусной инфекцией COVID-19. Монография

Ɍɚɛɥɢɰɚ

Ɉɠɢɞɚɟɦɵɟ ɡɧɚɱɟɧɢɹ ȿij ɩɨ ɧɚɥɢɱɢɸ ɝɧɨɣɧɨɝɨ ɤɨɦɩɨɧɟɧɬɚ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ, ɩɨɥɭɱɟɧɧɵɟ ɜ ɪɚɡɥɢɱɧɵɟɜɪɟɦɟɧɧɵɟ ɩɟɪɢɨɞɵ

ɂɬɨɝɨɜɨɟ ɡɧɚɱɟɧɢɟ ɤɪɢɬɟɪɢɹ ɯɢ-ɤɜɚɞɪɚɬ ɫɨɫɬɚɜɢɥɨ Ȥ2 = 424,79, p < 0,05. Ɍɚɤɢɦ ɨɛɪɚɡɨɦ ɦɨɠɧɨ ɤɨɧɫɬɚɬɢɪɨɜɚɬɶ ɱɬɨ ɩɪɟɜɚɥɢɪɨɜɚɧɢɟ ɫɨɱɟɬɚɧɢɹ

ɭɦɟɪɟɧɧɵɯ ɮɨɪɦ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɧɚɥɢɱɢɟɦ ɝɟ ɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ Ⱥɧɚɥɢɡ ɩɨɤɚɡɚɥ ɫɬɚɬɢɫɬɢɱɟɫɤɭɸ ɡɧɚɱɢɦɨɫɬɶ ɷɬɢɯ ɪɚɡɥɢɱɢɣ ɜ ɩɟɪɜɵɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɢ ɩɪɟɜɚɥɢɪɨɜɚɧɢɟ ɛɨɥɟɟ ɜɵɪɚɠɟɧɧɵɯ ɮɨɪɦ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ ɩɨ ɧɚɥɢɱɢɸ ɝɧɨɣɧɨɝɨ ɤɨɦ ɩɨɧɟɧɬɚ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɨ ɜɬɨɪɨɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɞɨɫɬɢɝɥɨ ɭɪɨɜɧɹ ɫɬɚɬɢɫɬɢɱɟɫɤɨɣ ɡɧɚɱɢɦɨɫɬɢ

ȼ ɩɟɪɜɨɦ ɜɪɟɦɟɧɧɨɦ ɩɟɪɢɨɞɟ ɧɚ ɩɟɪɜɵɣ ɩɥɚɧ ɜ ɩɨɤɚɡɚɧɢɹɯ ɤ ɩɪɨɜɟɞɟɧɢɸ ɛɪɨɧɯɨɫɤɨɩɢɢ ɜɵɲɥɢ ɤɪɨɜɨɯɚɪɤɚɧɶɟ ɢ ɥɺɝɨɱɧɨɟ ɤɪɨɜɨɬɟɱɟɧɢɟ ɛɨɥɟɟ ɜɵɫɨɤɢɯ ɝɪɚɞɚɰɢɣ ȼ ɷɬɨɦ ɩɥɚɧɟ ɜɩɨɥɧɟ ɨɠɢɞɚɟɦɨ ɜ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɣ ɤɚɪɬɢɧɟ ɩɪɟɨɛ ɥɚɞɚɥɨ ɫɨɱɟɬɚɧɢɟ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɢ ɭɦɟɪɟɧɧɨ ɜɵɪɚɠɟɧɧɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ ɷɧɞɨɛɪɨɧɯɢɬ ,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧ ɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɗɬɚ ɫɢɬɭɚɰɢɹ ɜ ɨɛɳɟɦ ɜɩɢɫɵɜɚɟɬɫɹ ɜ ɤɨɧ ɰɟɩɰɢɸ &29,'-ɚɫɫɨɰɢɢɪɨɜɚɧɧɨɝɨ ɷɧɞɨɬɟɥɢɢɬɚ >79, 80, 81@ ɤɥɢɧɢɱɟɫɤɨɣ ɤɨɧ ɜɟɪɬɚɰɢɟɣ ɤɨɬɨɪɨɝɨ ɩɪɢɦɟɧɢɬɟɥɶɧɨ ɤ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɦɭ ɞɟɪɟɜɭ ɹɜɥɹɟɬɫɹ ɤɪɨɜɨɯɚɪɤɚɧɶɟ ɢɥɢ ɥɺɝɨɱɧɨɟ ɤɪɨɜɨɬɟɱɟɧɢɟ ɛɨɥɟɟ ɜɵɫɨɤɢɯ ɝɪɚɞɚɰɢɣ ɚ ɷɧɞɨ ɫɤɨɩɢɱɟɫɤɢɦ ɩɪɨɹɜɥɟɧɢɟɦ – ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɵɣ ɫɢɧɞɪɨɦ Ȼɪɨɧɯɨɨɛɫɬɪɭɤɬɢɜɧɵɣ ɫɢɧɞɪɨɦ ɡɚ ɫɱɺɬ ɢɡɛɵɬɨɱɧɨɝɨ ɤɨɥɢɱɟɫɬɜɚ ɜɵɪɚɛɚɬɵɜɚɟ ɦɨɝɨ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜ ɩɟɪɜɨɦ ɜɪɟɦɟɧɧɨɦ ɩɟɪɢɨɞɟ ɢɦɟɥ ɦɟɫɬɨ ɨɞɧɚɤɨ ɜɨ ɜɫɟɯ ɫɥɭɱɚɹɯ ɩɪɨɫɥɟɠɢɜɚɥɫɹ ɮɨɧɨɜɵɣ ɨɛɫɬɪɭɤɬɢɜɧɵɣ ɩɪɨɰɟɫɫ ɜ ɥɺɝɤɢɯ

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ɏɈȻɅ ɚɫɬɦɚ ɛɪɨɧɯɨɨɛɫɬɪɭɤɬɢɜɧɚɹ ɛɨɥɟɡɧɶ ȼɩɨɥɧɟ ɜɟɪɨɹɬɧɨ ɱɬɨ ɡɚɪɚɠɟɧɢɟ ɩɚɰɢɟɧɬɨɜ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɟɣ ɜɟɥɨ ɤ ɨɛɨɫɬɪɟɧɢɸ ɷɬɢɯ ɯɪɨɧɢɱɟ ɫɤɢɯ ɡɚɛɨɥɟɜɚɧɢɣ

ȼɨ ɜɬɨɪɨɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɧɚ ɩɟɪɜɨɟ ɦɟɫɬɨ ɜ ɩɨɤɚɡɚɧɢɹɯ ɜɵɯɨɞɢɬ ɨɛ ɫɬɪɭɤɰɢɹ ɧɢɠɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ ɛɪɨɧɯɢɚɥɶɧɵɦ ɫɟɤɪɟɬɨɦ ȿɺ ɭɩɨɪɧɨɟ ɬɟ ɱɟɧɢɟ ɨɛɴɹɫɧɹɟɬ ɢ ɜɵɫɨɤɢɣ ɩɪɨɰɟɧɬ ɩɨɜɬɨɪɧɵɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ȼ ɚɛɫɨɥɸɬɧɨɦ ɛɨɥɶɲɢɧɫɬɜɟ ɫɥɭɱɚɟɜ ɧɟ ɭɞɚɥɨɫɶ ɜɵɹɜɢɬɶ ɮɨɧɨɜɵɣ ɨɛɫɬɪɭɤɬɢɜɧɵɣ ɩɪɨɰɟɫɫ ɜ ɥɺɝɤɢɯ Ⱦɚɠɟ ɧɟɫɦɨɬɪɹ ɧɚ ɜɨɡɦɨɠɧɭɸ ɝɢɩɨɞɢɚɝɧɨɫɬɢɤɭ ɮɨɧɨɜɵɯ ɧɨɡɨɥɨɝɢɱɟ ɫɤɢɯ ɮɨɪɦ ɩɪɟɞɫɬɚɜɥɹɟɬɫɹ ɨɱɟɜɢɞɧɵɦ ɱɬɨ ɞɚɧɧɵɣ ɜɚɪɢɚɧɬ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢ ɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ &29,'- ɹɜɢɥɫɹ ɫɚɦɨɫɬɨɹɬɟɥɶɧɨɣ ɩɪɢɱɢɧɨɣ ɪɚɡɜɟɪɧɭɬɨɣ ɛɪɨɧɯɨɨɛɫɬɪɭɤɰɢɢ

Ⱦɨɫɬɚɬɨɱɧɨ ɢɧɬɟɪɟɫɟɧ ɬɨɬ ɮɚɤɬ ɱɬɨ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɵɣ ɫɢɧɞɪɨɦ ɢ ɜɵɪɚɠɟɧɧɚɹ ɨɛɫɬɪɭɤɰɢɹ ɧɢɠɧɢɯ ɨɬɞɟɥɨɜ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟ ɜɚ ɩɪɢ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ COVIDɮɚɤɬɢɱɟɫɤɢ ɜɵɫɬɭɩɚɸɬ ɤɚɤ ɚɧɬɢɩɨɞɵ ȼ ɬɨɠɟ ɜɪɟɦɹ ɩɪɢ ɧɚɥɢɱɢɢ ɯɪɨɧɢɱɟɫɤɨɝɨ ɨɛɫɬɪɭɤɬɢɜɧɨɝɨ ɩɪɨɰɟɫɫɚ ɜ ɥɺɝɤɢɯ ɏɈȻɅ ɚɫɬɦɚ ɛɪɨɧɯɨɷɤɬɚɬɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ ɩɨɹɜɥɟɧɢɟ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨ ɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɢ ɟɝɨ ɤɥɢɧɢɱɟɫɤɨɝɨ ɷɤɜɢɜɚɥɟɧɬɚ – ɤɪɨɜɨɯɚɪɤɚ ɧɶɹ ɢ ɥɺɝɨɱɧɨɝɨ ɤɪɨɜɨɬɟɱɟɧɢɹ ɛɨɥɟɟ ɜɵɫɨɤɢɯ ɝɪɚɞɚɰɢɣ ɛɨɥɟɟ-ɦɟɧɟɟ ɤɨɪɪɟɥɢ ɪɭɸɬ ɫ ɧɚɪɚɫɬɚɧɢɟɦ ɫɬɟɩɟɧɢ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ ɑɚɳɟ ɜɫɟɝɨ ɜ ɥɢ ɬɟɪɚɬɭɪɟ ɷɬɨ ɨɛɴɹɫɧɹɟɬɫɹ ɩɨɜɵɲɟɧɢɟɦ ɩɨɪɨɡɧɨɫɬɢ ɫɨɫɭɞɢɫɬɨɣ ɫɬɟɧɤɢ ɧɚ ɮɨɧɟ ɭɫɢɥɟɧɧɨɝɨ ɞɟɣɫɬɜɢɹ ɦɟɞɢɚɬɨɪɨɜ ɜɨɫɩɚɥɟɧɢɹ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ

ȼ ɫɚɦɨɦ ɨɛɳɟɦ ɩɥɚɧɟ ɩɚɬɨɝɟɧɟɡ ɷɬɨɝɨ ɛɪɨɧɯɢɚɥɶɧɨɣ ɨɛɫɬɪɭɤɰɢɢ ɚ ɬɚɤɠɟ ɩɨ ɹɜɥɟɧɢɟɝɧɨɣɧɨɝɨɤɨɦɩɨɧɟɧɬɚɦɨɠɧɨɩɪɟɞɫɬɚɜɢɬɶɫɥɟɞɭɸɳɢɦɨɛɪɚɡɨɦ ɪɢɫ 14).

ɉɪɢ ɷɬɨɦ ɧɟɪɟɞɤɨ ɛɪɨɫɚɥɫɹ ɜ ɝɥɚɡɚ ɞɢɫɫɨɧɚɧɫ ɦɟɠɞɭ ɨɬɧɨɫɢɬɟɥɶɧɨ ɧɟ ɛɨɥɶɲɨɣ ɜɹɡɤɨɫɬɶɸ ɫɟɤɪɟɬɚ ɨɧ ɭɞɚɥɹɥɫɹ ɜɨ ɜɪɟɦɹ ɛɪɨɧɯɨɫɤɨɩɢɢ ɥɟɝɤɨ ɢ ɬɪɟɛɨ ɜɚɥ ɦɢɧɢɦɚɥɶɧɨɝɨ ɨɛɴɺɦɚ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɥɚɜɚɠɧɨɣ ɫɪɟɞɵ ɢ ɫɟɪɶɺɡɧɵɦ ɭɝɧɟɬɟ ɧɢɟɦ ɟɫɬɟɫɬɜɟɧɧɨɣ ɜ ɬ ɱ ɢ ɦɟɞɢɤɚɦɟɧɬɨɡɧɨ ɫɬɢɦɭɥɢɪɨɜɚɧɧɨɣ ɷɤɫɩɟɤɬɨɪɚɰɢɢ

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Ɋɢɫ 14. ȼɨɡɦɨɠɧɚɹ ɨɛɳɚɹ ɫɯɟɦɚ ɮɨɪɦɢɪɨɜɚɧɢɹ ɨɛɫɬɪɭɤɰɢɢ ɧɢɠɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ ɭ ɩɚɰɢɟɧɬɨɜ ɫ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɟɣ COVIDɜɨ ɜɬɨɪɨɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɷɧɞɨɫɤɨɩɢɱɟɫɤɢ ɡɧɚɦɟɧɭɸɳɚɹɫɹ ɩɨɹɜɥɟɧɢɟɦ ɝɧɨɣɧɨɝɨ ɤɨɦɩɨɧɟɧɬɚ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɜɨɫɩɚɥɟɧɢɹ

ȼɟɫɶɦɚ ɜɟɪɨɹɬɧɨ ɱɬɨ ɧɟɷɮɮɟɤɬɢɜɧɨɫɬɶ ɷɤɫɩɟɤɬɨɪɚɰɢɢ ɫɜɹɡɚɧɚ ɫ ɩɨɪɚɠɟ ɧɢɟɦ ɫɤɟɥɟɬɧɨɣ ɦɭɫɤɭɥɚɬɭɪɵ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ ɞɢɚɮɪɚɝɦɵ ɩɪɢ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢ ɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ COVID- ɜ ɨɫɧɨɜɟ ɤɨɬɨɪɵɯ ɥɟɠɢɬ ȺɉɎ2-ɡɚɜɢɫɢɦɵɣ ɦɟɯɚ ɧɢɡɦ ɰɢɬɨɤɢɧɨɜɵɣ ɲɬɨɪɦ ɨɫɬɪɚɹ ɝɢɩɨɤɫɟɦɢɹ ɥɟɤɚɪɫɬɜɟɧɧɚɹ ɬɨɤɫɢɱɧɨɫɬɶ >82, 83, 84@ ɗɬɢ ɦɟɯɚɧɢɡɦɵ ɜɟɞɭɬ ɤ ɪɚɡɜɢɬɢɸ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɦɢɨɩɚɬɢɣ ɱɬɨ ɜ ɮɭɧɤɰɢɨɧɚɥɶɧɨɦ ɩɥɚɧɟ ɜɟɞɺɬ ɜ ɫɜɨɸ ɨɱɟɪɟɞɶ ɤ ɪɟɡɤɨɦɭ ɫɧɢɠɟɧɢɸ ɷɮɮɟɤɬɢɜɧɨ ɫɬɢ ɪɚɛɨɬɵ ɞɵɯɚɬɟɥɶɧɨɣ ɦɭɫɤɭɥɚɬɭɪɵ ɢ ɜɩɨɥɧɟ ɦɨɠɟɬ ɫɩɨɫɨɛɫɬɜɨɜɚɬɶ ɫɬɚɡɭ ɫɟɤɪɟɬɚ ɜ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɦ ɞɟɪɟɜɟ ɞɚɠɟ ɧɚ ɮɨɧɟ ɧɟɡɧɚɱɢɬɟɥɶɧɨɝɨ ɭɜɟɥɢɱɟ ɧɢɹ ɟɝɨ ɜɹɡɤɨɫɬɢ

Ɉɞɧɚɤɨ ɩɨɞɨɛɧɵɟ ɦɟɯɚɧɢɡɦɵ ɫɜɹɡɚɧɧɵɟ ɫ ɪɚɡɜɢɬɢɟɦ ɷɧɞɨɬɟɥɢɢɬɚ ɢ ɩɨ ɪɚɠɟɧɢɹ ɦɭɫɤɭɥɚɬɭɪɵ ɪɚɫɫɦɚɬɪɢɜɚɸɬɫɹ ɤɚɤ ɭɧɢɜɟɪɫɚɥɶɧɵɟ ɢ ɜ ɪɚɦɤɚɯ ɧɚɫɬɨɹ ɳɟɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɨɫɬɚɺɬɫɹ ɧɟɩɨɧɹɬɧɵɦ ɩɨɱɟɦɭ ɩɪɢ ɫɦɟɧɟ ɲɬɚɦɦɨɜ ɧɚ ɩɟɪɟɞ

63

ɧɢɣ ɩɥɚɧ ɜɵɫɬɭɩɚɸɬ ɨɞɧɢ ɩɚɬɨɥɨɝɢɱɟɫɤɢɟ ɦɟɯɚɧɢɡɦɵ ɨɩɪɟɞɟɥɹɸɳɢɟ ɧɚɩɪɚɜ ɥɟɧɧɨɫɬɶ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɣ ɫɢɦɩɬɨɦɚɬɢɤɢ ɚ ɞɪɭɝɢɟ ɨɫɬɚɸɬɫɹ ɜ ɬɟɧɢ

ȼ -ɯ ɫɥɭɱɚɹɯ ɛɵɥɢ ɜɵɹɜɥɟɧɵ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɵɟ ɹɡɜɵ ɗɬɨ ɩɟɪɟɤɥɢɤɚɟɬ ɫɹ ɫ ɥɢɬɟɪɚɬɭɪɧɵɦɢ ɞɚɧɧɵɦɢ ɨɩɢɫɵɜɚɸɳɢɦɢ ɷɬɨɬ ɜɢɞ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɣ ɩɚ ɬɨɥɨɝɢɢ ɩɪɢ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ &29,'- əɡɜɵ ɧɟ ɢɦɟɥɢ ɤɚɤɢɯɥɢɛɨ ɜɢɡɭɚɥɶɧɵɯ ɨɫɨɛɟɧɧɨɫɬɟɣ ɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɹɡɜɟɧɧɵɦ ɩɨɪɚɠɟɧɢɟɦ ɛɪɨɧɯɨɜ ɩɪɢ ɞɪɭɝɢɯ ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɫɨɫɬɨɹɧɢɹɯ ɜ ɱɚɫɬɧɨɫɬɢ ɩɪɢ ɧɟɨɩɥɚɫɬɢɱɟɫɤɨɦ ɩɪɨ ɰɟɫɫɟ ɢɥɢ ɬɭɛɟɪɤɭɥɺɡɟ ɛɪɨɧɯɨɜ ɂɫɤɥɸɱɟɧɢɟ ɨɩɭɯɨɥɟɜɨɝɨ ɢɥɢ ɬɭɛɟɪɤɭɥɺɡɧɨɝɨ ɝɟɧɟɡɚ ɚ ɬɚɤɠɟ ɞɨɫɬɚɬɨɱɧɨ ɛɵɫɬɪɨɟ ɡɚɠɢɜɥɟɧɢɟ ɧɚ ɮɨɧɟ ɭɫɩɟɲɧɨɝɨ ɥɟɱɟɧɢɹ ɩɨɡɜɨɥɹɸɬ ɫɱɢɬɚɬɶ ɷɬɢ ɹɡɜɵ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɵɦ ɩɪɨɹɜɥɟɧɢɟɦ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢ ɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ &29,'- ȼɦɟɫɬɟ ɫ ɬɟɦ ɨɬɫɭɬɫɬɜɢɟ ɜɢɡɭɚɥɶɧɵɯ ɨɫɨɛɟɧɧɨ ɫɬɟɣ ɹɡɜɟɧɧɨɝɨ ɩɪɨɰɟɫɫɚ ɚ ɬɚɤɠɟ ɪɟɞɤɚɹ ɜɫɬɪɟɱɚɟɦɨɫɬɶ ɧɟ ɩɨɡɜɨɥɹɸɬ ɫɱɢɬɚɬɶ ɷɬɨɬ ɜɢɞ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɣ ɩɚɬɨɥɨɝɢɢ ɩɚɬɨɝɧɨɦɨɧɢɱɧɵɦ ȼɫɟ ɹɡɜɟɧɧɵɟ ɞɟɮɟɤ ɬɵ ɜɫɬɪɟɱɚɥɢɫɶ ɜɨ ɜɪɟɦɹ ɩɟɪɜɨɝɨ ɜɪɟɦɟɧɧɨɝɨ ɩɟɪɢɨɞɚ ɧɨ ɦɚɥɨɟ ɤɨɥɢɱɟɫɬɜɨ ɧɚɛɥɸɞɟɧɢɣ ɧɟ ɩɨɡɜɨɥɹɟɬ ɨɞɧɨɡɧɚɱɧɨ ɩɪɢɜɹɡɚɬɶ ɹɡɜɟɧɧɵɣ ɩɪɨɰɟɫɫ ɤ ɤɨɧɤɪɟɬ ɧɨɣ ɷɩɢɞɟɦɢɨɥɨɝɢɱɟɫɤɨɣ ɫɢɬɭɚɰɢɢ Ɉɞɧɚɤɨ ɫɤɥɚɞɵɜɚɟɬɫɹ ɜɩɟɱɚɬɥɟɧɢɟ ɱɬɨ ɩɪɢɱɢɧɨɣ ɹɡɜɟɧɧɨɝɨ ɩɪɨɰɟɫɫɚ ɹɜɥɹɸɬɫɹ ɬɪɨɮɢɱɟɫɤɢɟ ɧɚɪɭɲɟɧɢɹ ɫɥɢɡɢɫɬɨɣ ɧɚ ɮɨɧɟ ɩɨɪɚɠɟɧɢɹ ɦɢɤɪɨɰɢɪɤɭɥɹɬɨɪɧɨɝɨ ɪɭɫɥɚ ɩɪɢ ɤɨɪɨɧɚɜɢɪɭɫɧɨɦ ɷɧɞɨɬɟɥɢɢɬɟ

Ⱦɨɫɬɚɬɨɱɧɨ ɧɟɨɠɢɞɚɧɧɵɦ ɞɥɹ ɚɜɬɨɪɨɜ ɹɜɢɥɢɫɶ ɛɪɨɫɚɸɳɢɟɫɹ ɜ ɝɥɚɡɚ ɪɚɡ ɥɢɱɢɹ ɜ ɱɚɫɬɨɬɟ ɫɥɭɱɚɣɧɨɝɨ ɜɵɹɜɥɟɧɢɹ ɚɧɚɬɨɦɢɱɟɫɤɢɯ ɚɧɨɦɚɥɢɣ ɬɪɚɯɟɨɛɪɨɧɯɢ ɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɧɟ ɢɦɟɸɳɢɯ ɤɥɢɧɢɱɟɫɤɨɝɨ ɷɤɜɢɜɚɥɟɧɬɚ ɜ ɪɚɡɧɵɟ ɜɪɟɦɟɧɧɵɟ ɩɟɪɢɨɞɵ ɮɭɧɤɰɢɨɧɢɪɨɜɚɧɢɹ ɤɨɪɨɧɚɜɢɪɭɫɧɨɝɨ ɝɨɫɩɢɬɚɥɹ ɂɯ ɛɵɥɨ ɹɜɧɨ ɛɨɥɶɲɟ ɜ ɩɟɪɜɵɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ Ⱦɥɹ ɨɰɟɧɤɢ ɫɬɚɬɢɫɬɢɱɟɫɤɨɣ ɡɧɚɱɢɦɨɫɬɢ ɷɬɢɯ ɪɚɡ ɥɢɱɢɣ ɬɚɤɠɟ ɛɵɥ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɤɪɢɬɟɪɢɣ Ȥ2 ɉɢɪɫɨɧɚ

ɂɫɯɨɞɧɵɟ ɞɚɧɧɵɟ ɞɥɹ ɪɚɫɱɺɬɚ ɤɨɷɮɮɢɰɢɟɧɬɚ ɉɢɪɫɨɧɚ Ȥ2 ɩɪɢɦɟɧɢɬɟɥɶɧɨ ɤ ɱɚɫɬɨɬɟ ɜɵɹɜɥɟɧɢɹ ɚɧɚɬɨɦɢɱɟɫɤɢɯ ɚɧɨɦɚɥɢɣ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɩɪɟɞɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥɢɰɟ ɫɨɩɪɹɠɟɧɧɨɫɬɢ ɬɚɛɥ 29).

64

Ɍɚɛɥɢɰɚ 29

Ɍɚɛɥɢɰɚ ɫɨɩɪɹɠɺɧɧɨɫɬɢ î ɞɥɹ ɫɪɚɜɧɢɬɟɥɶɧɨɝɨ ɚɧɚɥɢɡɚ ɚɧɨɦɚɥɢɣ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɜɵɹɜɥɟɧɧɵɯ ɜɨ ɜɪɟɦɹ ɭɫɥɨɜɧɨ ɜɵɞɟɥɟɧɧɵɯ ɜɪɟɦɟɧɧɵɯ ɩɟɪɢɨɞɚɯ ɮɭɧɤɰɢɨɧɢɪɨɜɚɧɢɹ ɤɨɪɨɧɚɜɢɪɭɫɧɨɝɨ ɝɨɫɩɢɬɚɥɹ

Ʉɨɥɢɱɟɫɬɜɨ ɜɵɹɜɥɟɧɧɵɯ ɜ ɪɟɡɭɥɶɬɚɬɟ ɩɪɨɜɟɞɟɧɢɹ ɩɟɪɜɢɱɧɵɯ ɥɟɱɟɛɧɨ-ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɯ ɛɪɨɧɯɨɫɤɨɩɢɣ ɚɧɚɬɨɦɢɱɟɫɤɢɯ ɚɧɨɦɚɥɢɣ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɢ ɤɨɥɢɱɟɫɬɜɨ ɩɚɰɢɟɧ ɬɨɜ ɫɨɜɩɚɞɚɸɬ.

Ɉɠɢɞɚɟɦɵɟ ɡɧɚɱɟɧɢɹ ɩɨɥɭɱɟɧɧɵɟ ɜ ɪɚɡɥɢɱɧɵɟ ɜɪɟɦɟɧɧɵɟ ɩɟɪɢɨɞɵ ɩɪɟɞ ɫɬɚɜɥɟɧɵ ɜ ɬɚɛɥ 30 Ⱦɥɹ ɷɬɨɝɨ ɜɫɟ ɩɚɰɢɟɧɬɵ ɤɨɬɨɪɵɦ ɜɵɩɨɥɧɢɥɚɫɶ ɩɟɪɜɢɱɧɵɟ ɥɟɱɟɛɧɨ-ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɟ ɛɪɨɧɯɨɫɤɨɩɢɢ ɛɵɥɢ ɪɚɡɞɟɥɟɧɵ ɧɚ ɩɨɞɝɪɭɩɩɵ

Ɋɚɫɫɱɢɬɚɧɧɨɟ ɡɧɚɱɟɧɢɹ Ȥ2 ɫɨɫɬɚɜɢɥɨ p Ɍɚɤɢɦ ɨɛɪɚɡɨɦ ɡɧɚɱɢɬɟɥɶɧɨɟ ɩɪɟɜɵɲɟɧɢɟ ɤɨɥɢɱɟɫɬɜɚ ɩɚɰɢɟɧɬɨɜ ɫ ɜɵɹɜɥɟɧɧɵɦɢ ɚɧɚɬɨɦɢɱɟ ɫɤɢɦɢ ɚɧɨɦɚɥɢɹɦɢ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɜ ɩɟɪɜɵɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɧɚɞ ɤɨɥɢɱɟɫɬɜɨɦ ɚɧɚɥɨɝɢɱɧɵɯ ɫɥɭɱɚɟɜ ɜɨ ɜɬɨɪɨɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɞɨɫɬɢɝɥɨ ɭɪɨɜɧɹ ɫɬɚɬɢɫɬɢɱɟɫɤɨɣ ɡɧɚɱɢɦɨɫɬɢ

65

ȼɨɡɦɨɠɧɨ ɷɬɨ ɫɜɹɡɚɧɨ ɫ ɨɫɨɛɟɧɧɨɫɬɹɦɢ ɝɟɧɟɬɢɱɟɫɤɢɯ ɮɚɤɬɨɪɨɜ ɩɪɟɞɪɚɫ ɩɨɥɨɠɟɧɧɨɫɬɢ ɩɚɰɢɟɧɬɨɜ ɤ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ COVID- ɫ ɩɨ ɫɬɨɹɧɧɵɦ ɦɭɬɢɪɨɜɚɧɢɟɦ ɫɚɦɨɝɨ ɜɢɪɭɫɚ ɍɠɟ ɫɟɣɱɚɫ ɜɵɹɜɥɟɧɵ ɪɚɡɥɢɱɧɵɟ ɤɥɢ ɧɢɤɨ-ɝɟɧɟɬɢɱɟɫɤɢɟ ɚɫɫɨɰɢɚɰɢɢ ɫɜɹɡɚɧɧɵɟ ɫ ɧɨɜɨɣ ɤɨɪɨɧɚɜɢɪɭɫɧɨɣ ɢɧɮɟɤɰɢɢ COVID-19 [85, 86, 87@ ɇɚ ɷɬɭ ɦɵɫɥɶ ɧɚɬɚɥɤɢɜɚɸɬ ɞɨɫɬɚɬɨɱɧɨ ɧɟɨɠɢɞɚɧɧɵɟ ɞɥɹ ɚɜɬɨɪɨɜ ɞɚɧɧɵɟ ɨ ɫɥɭɱɚɣɧɨɦ ɜɵɹɜɥɟɧɢɢ ɚɧɨɦɚɥɢɣ ɜɟɬɜɥɟɧɢɹ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶ ɧɨɝɨ ɞɟɪɟɜɚ ɜ ɩɪɨɰɟɫɫɟ ɛɪɨɧɯɨɥɨɝɢɱɟɫɤɨɝɨ ɩɨɫɨɛɢɹ ɗɬɢ ɚɧɨɦɚɥɢɢ ɧɟ ɢɦɟɥɢ ɤɥɢɧɢɱɟɫɤɨɝɨ ɷɤɜɢɜɚɥɟɧɬɚ ɢ ɧɨɫɢɥɢ ɯɚɪɚɤɬɟɪ ɧɚɯɨɞɨɤ ɉɪɢ ɷɬɨɦ ɫɨɜɟɪɲɟɧɧɨ ɱɺɬɤɨ ɤɨɥɢɱɟɫɬɜɨ ɬɚɤɢɯ ɜɵɹɜɥɟɧɧɵɯ ɚɧɨɦɚɥɢɣ ɜ ɩɟɪɜɵɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢɨɞ ɪɟɡ ɤɨ ɩɪɟɜɵɲɚɥɨ ɚɧɚɥɨɝɢɱɧɵɟ ɚɧɨɦɚɥɢɢ ɜɵɹɜɥɟɧɧɵɟ ɜɨ ɜɬɨɪɨɣ ɜɪɟɦɟɧɧɨɣ ɩɟɪɢ ɨɞ ɩɪɢɱɺɦ ɷɬɚ ɪɚɡɧɢɰɚ ɞɨɫɬɢɝɥɚ ɭɪɨɜɧɹ ɫɬɚɬɢɫɬɢɱɟɫɤɨɣ ɡɧɚɱɢɦɨɫɬɢ

Ɍɚɤɢɦ ɨɛɪɚɡɨɦ ɦɨɠɧɨ ɩɪɟɞɩɨɥɨɠɢɬɶ ɧɚɥɢɱɢɟ ɫɜɹɡɢ ɦɟɠɞɭ ɜɨɫɩɪɢɢɦɱɢ ɜɨɫɬɶɸ ɤ ɦɟɧɟɟ ɤɨɧɬɚɝɢɨɡɧɵɦ ɱɟɦ «ɨɦɢɤɪɨɧ» ɲɬɚɦɦɚɦɢ ɜɢɪɭɫɚ ɢ ɛyɥɶɲɟɣ ɱɚɫɬɨɬɨɣ ɜɵɹɜɥɟɧɢɹ ɚɧɨɦɚɥɢɣ ɜɟɬɜɥɟɧɢɹ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ ɯɨɬɹ ɧɚ ɞɚɧɧɨɦ ɷɬɚɩɟ ɷɬɨ ɜɫɟɝɨ ɥɢɲɶ ɩɪɟɞɩɨɥɨɠɟɧɢɟ

Ɂɚɜɟɪɲɚɹ ɷɬɭ ɝɥɚɜɭ, ɦɵ ɩɪɢɜɨɞɢɦ ɩɪɢɦɟɪɵ ɷɧɞɨɫɤɨɩɢɱɟɫɤɢɯ ɡɚɤɥɸɱɟɧɢɣ ɜɵɫɬɚɜɥɟɧɧɵɯ ɩɨ ɢɬɨɝɚɦ ɩɪɨɜɟɞɺɧɧɵɯ ɛɪɨɧɯɨɫɤɨɩɢɣ

1.Ⱦɢɮɮɭɡɧɵɣ ɤɚɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ. Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ.

2.Ʌɨɤɚɥɶɧɵɣ ɩɪɚɜɨɫɬɨɪɨɧɧɢɣ ɧɢɠɧɟ- ɢ ɫɪɟɞɧɟɞɨɥɟɜɨɣ ɷɧɞɨɛɪɨɧɯɢɬ II-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ Ʉɚɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ I-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɨɫɬɚɥɶɧɵɯ ɨɬɞɟɥɨɜ ɬɪɚɯɟɨ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤɬɟɪɢ ɚɥɶɧɨɣ ɮɥɨɪɵ ɢ ɟɺ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɜɵɩɨɥɧɹ

66

ɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɧɟɜɨɡɜɪɚɬɧɨɣ ɦɚɫɨɱɧɨɣ ɫɢɫɬɟɦɵ

3.Ⱦɢɮɮɭɡɧɵɣ ɤɚɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɩɪɨɹɜɥɟɧɢɟɦ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ (ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɚɪɢɚɧɬ II1ɫɥɢɡɢɫɬɨ-ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ

4.Ⱦɢɮɮɭɡɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɫɨɱɟɬɚɧɧɵɦɢ ɩɪɨɹɜɥɟɧɢɹɦɢ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɚɪɢɚɧɬ II3ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɣ ɫɟɤɪɟɬ ɫ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɣ ɩɪɢɦɟɫɶɸ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɦɧɨɠɟ ɫɬɜɟɧɧɵɦɢ ɬɨɱɟɱɧɵɦɢ ɩɟɬɟɯɢɚɥɶɧɵɦɢ ɤɪɨɜɨɢɡɥɢɹɧɢɹɦɢ ɜɨ ɜɫɟɯ ɨɬɞɟɥɚɯ ɬɪɚ ɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ . Ʉɨɫɜɟɧɧɵɟ ɩɪɢɡɧɚɤɢ ɩɟɪɟɧɟɫɺɧɧɨɝɨ ɬɭɛɟɪɤɭɥɺɡɚ ɩɟ ɪɢɛɪɨɧɯɢɚɥɶɧɵɯ ɥɢɦɮɚɬɢɱɟɫɤɢɯ ɭɡɥɨɜ ɜ ɨɛɥɚɫɬɢ ɹɡɵɱɤɨɜɨɝɨ ɛɪɨɧɯɚ ɨɫɥɨɠ ɧɢɜɲɢɦɫɹ ɮɨɪɦɢɪɨɜɚɧɢɟɦ ɛɪɨɧɯɨɥɢɦɮɨɧɨɞɭɥɹɪɧɨɝɨ ɫɜɢɳɚ Ʌɚɜɚɠ ɫ 7 ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶ ɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɩɪɨɫɬɨɣ ɥɢɰɟɜɨɣ ɦɚɫɤɢ

5.ɉɪɨɞɨɥɠɚɸɳɟɟɫɹ ɥɺɝɨɱɧɨɟ ɤɪɨɜɨɬɟɱɟɧɢɟ ,,$-ɫɬɟɩɟɧɢ ɞɢɮɮɭɡɧɨɝɨ ɯɚɪɚɤɬɟɪɚ Ⱦɢɮɮɭɡɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ. Ʌɚɜɚɠ ɫ 6 ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨ ɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜ ɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɧɟɜɨɡɜɪɚɬɧɨɣ ɦɚɫɨɱɧɨɣ ɫɢɫɬɟɦɵ.

6.Ɉɫɬɟɨɯɨɧɞɪɨɩɚɬɢɹ ɬɪɚɯɟɢ. Ⱦɢɮɮɭɡɧɵɣ ɤɚɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ I-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɩɪɨɹɜɥɟɧɢɹɦɢ ɝɟɦɨɪɪɚɝɢ ɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɨɞɢɧɨɱɧɵɟ ɥɢɧɟɣɧɵɟ ɪɚɡɪɵɜɵ ɫɥɢɡɢ

67

ɫɬɨɣ ɜ ɨɛɥɚɫɬɢ ɩɪɚɜɨɝɨ ɩɪɨɦɟɠɭɬɨɱɧɨɝɨ ɛɪɨɧɯɚ ɹɡɵɱɤɨɜɨɝɨ ɛɪɨɧɯɚ ɢ ɫɟɝɦɟɧ ɬɚɪɧɨɝɨ ɛɪɨɧɯɚ ȼ6 ɫɥɟɜɚ ɫ ɝɟɦɨɪɪɚɝɢɹɦɢ . Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫ ɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ

7.Ɋɚɤ ɝɨɪɬɚɧɢ ɫ ɩɨɪɚɠɟɧɢɟɦ ɥɟɜɨɣ ɩɨɥɨɜɢɧɵ ɧɚɞɫɤɥɚɞɨɱɧɨɝɨ ɢ ɫɤɥɚ ɞɨɱɧɨɝɨ ɨɬɞɟɥɨɜ ɝɨɪɬɚɧɢ ɨɫɥɨɠɧɺɧɧɵɣ ɟɝɨ ɫɬɟɧɨɡ. Ȼɢɨɩɫɢɹ ɢ ɛɪɚɲ-ɛɢɨɩɫɢɹ ɢɡ ɩɥɸɫ-ɬɤɚɧɢ ɜ ɨɛɥɚɫɬɢ ɧɚɞɫɤɥɚɞɨɱɧɨɝɨ ɨɬɞɟɥɚ ɝɨɪɬɚɧɢ ɉɪɨɜɟɞɟɧɢɟ ɛɪɨɧɯɨɫɤɨɩɚ ɞɢɫɬɚɥɶɧɟɟ ɝɨɥɨɫɨɜɨɣ ɳɟɥɢ ɧɟ ɩɪɟɞɫɬɚɜɥɹɟɬɫɹ ɜɨɡɦɨɠɧɵɦ ɢɡ-ɡɚ ɪɢɫɤɚ ɚɫɮɢɤ ɫɢɢ ɂɫɫɥɟɞɨɜɚɧɢɟ ɩɪɨɜɨɞɢɥɨɫɶ ɧɚ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ

8.ɐɟɧɬɪɚɥɶɧɵɣ ɪɚɤ ɩɪɚɜɨɝɨ ɥɺɝɤɨɝɨ ɫ ɩɨɪɚɠɟɧɢɟɦ ɜɟɪɯɧɟɞɨɥɟɜɨɝɨ ɛɪɨɧɯɚ ɟɝɨ ɲɩɨɪɵ ɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɟɦ ɩɪɨɰɟɫɫɚ ɧɚ ɥɚɬɟɪɚɥɶɧɭɸ ɫɬɟɧɤɭ ɩɪɨ ɦɟɠɭɬɨɱɧɨɝɨ ɛɪɨɧɯɚ ɩɨ ɬɢɩɭ ɨɩɭɯɨɥɟɜɨɣ ɢɧɮɢɥɶɬɪɚɰɢɢ ɫɥɢɡɢɫɬɨɣ Ȼɢɨɩɫɢɹ ɢ ɛɪɚɲ-ɛɢɨɩɫɢɹ ɢɡ ɩɥɸɫ-ɬɤɚɧɢ ɜ ɨɛɥɚɫɬɢ ɭɫɬɶɹ ɩɪɚɜɨɝɨ ɜɟɪɯɧɟɞɨɥɟɜɨɝɨ ɛɪɨɧɯɚ Ɉɫɦɨɬɪ ɫɟɝɦɟɧɬɚɪɧɵɯ ɛɪɨɧɯɨɜ ɜɟɪɯɧɟɣ ɞɨɥɢ ɩɪɚɜɨɝɨ ɥɺɝɤɨɝɨ ȼ1 ȼ2 ɢ ȼ3) ɧɟ ɩɪɟɞɫɬɚɜɥɹɟɬɫɹ ɜɨɡɦɨɠɧɵɦ Ⱦɢɮɮɭɡɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨ ɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɨɦ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɚɬɢɩɢɱɧɵɯ ɤɥɟɬɨɤ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɨɫɶ ɧɚ ɮɨɧɟ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ

9.ɂɧɨɪɨɞɧɨɟ ɬɟɥɨ ɩɪɚɜɨɝɨ ɧɢɠɧɟɞɨɥɟɜɨɝɨ ɛɪɨɧɯɚ ɮɪɚɝɦɟɧɬ ɫɟɪɞɰɟɜɢ ɧɵ ɹɛɥɨɤɚ ɉɪɨɜɟɞɟɧɨ ɭɞɚɥɟɧɢɟ ɢɧɨɪɨɞɧɨɝɨ ɬɟɥɚ ɫ ɩɨɦɨɳɶɸ ɡɚɯɜɚɬɵɜɚɸɳɟɝɨ ɮɨɪɰɟɩɬɚ ɬɢɩɚ «ɤɪɵɫɢɧɵɟ ɡɭɛɵ» Ⱦɢɮɮɭɡɧɵɣ ɤɚɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ I-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɩɪɨɹɜɥɟɧɢɟɦ ɝɟɦɨɪɪɚɝɢɱɟ ɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨ ɝɨ ɫɟɤɪɟɬɚ ɜɚɪɢɚɧɬ II1 ɫɥɢɡɢɫɬɨ-ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ Ⱦɢɜɟɪɬɢɤɭɥɺɡ ɥɟɜɵɯ ɝɥɚɜ ɧɨɝɨ ɜɟɪɯɧɟɞɨɥɟɜɨɝɨ ɢ ɹɡɵɱɤɨɜɨɝɨ ɛɪɨɧɯɨɜ Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ Ȼɪɨɧɯɨɫɤɨ ɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɬɪɚɧɫɧɚɡɚɥɶɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ.

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10.əɡɜɚ ɥɟɜɨɝɨ ɩɪɨɦɟɠɭɬɨɱɧɨɝɨ ɛɪɨɧɯɚ ɧɟɹɫɧɨɝɨ ɝɟɧɟɡɚ Ȼɪɚɲ-ɛɢɨɩɫɢɹ ɫɨ ɞɧɚ ɹɡɜɟɧɧɨɝɨ ɞɟɮɟɤɬɚ ɞɥɹ ɩɪɨɜɟɞɟɧɢɹ ɰɢɬɨɥɨɝɢɱɟɫɤɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɚ ɬɚɤɠɟ ɞɥɹ ɩɪɨɜɟɞɟɧɢɹ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɦɚɬɟɪɢɚɥɚ ɩɨ ɦɟɬɨɞɭ ɐɢɥɹ-ɇɢɥɶɫɟɧɚ Ⱦɢɮɮɭɡɧɵɣ ɤɚ ɬɚɪɚɥɶɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɩɪɨ ɹɜɥɟɧɢɟɦ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦ ɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɚɪɢɚɧɬ II1 ɫɥɢɡɢɫɬɨ-ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ Ʌɚɜɚɠ ɫ 80 ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢ ɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɵ ɢ ɟɺ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɢɧɜɚɡɢɜɧɨɣ ɂȼɅ

11.Ⱦɢɮɮɭɡɧɵɣ ɝɧɨɣɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ III-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫ ɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɫɨɱɟɬɚɧɧɵɦɢ ɩɪɨɹɜɥɟɧɢɹɦɢ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧ ɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɚ ɪɢɚɧɬ II2 ɝɧɨɣɧɨɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɫɟɤɪɟɬ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɦɧɨɠɟɫɬɜɟɧɧɵɦɢ ɬɨ ɱɟɱɧɵɦɢ ɢ ɫɥɢɜɧɵɦɢ ɩɟɬɟɯɢɚɥɶɧɵɦɢ ɤɪɨɜɨɢɡɥɢɹɧɢɹɦɢ ɜɨ ɜɫɟɯ ɨɬɞɟɥɚɯ ɬɪɚɯɟ ɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ). Ⱦɟɮɨɪɦɚɰɢɹ ɩɪɚɜɨɝɨ ɫɟɝɦɟɧɬɚɪɧɨɝɨ ɛɪɨɧɯɚ ȼ9 ɧɟɹɫɧɨ ɝɨ ɝɟɧɟɡɚ Ɂɚɛɨɪ ɛɪɚɲ-ɛɢɨɩɬɚɬɨɜ ɢɡ ɫɟɝɦɟɧɬɚɪɧɵɯ ɛɪɨɧɯɨɜ ȼ8, ȼ9 ɢ ȼ10 ɧɢɠɧɟɣ ɞɨɥɢ ɩɪɚɜɨɝɨ ɥɺɝɤɨɝɨ ɫɬɟɤɥɚ ɞɥɹ ɩɪɨɜɟɞɟɧɢɹ ɰɢɬɨɥɨɝɢɱɟɫɤɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɚ ɬɚɤɠɟ ɞɥɹ ɩɪɨɜɟɞɟɧɢɹ ɦɢɤɪɨɫɤɨɩɢɢ ɩɨ ɦɟɬɨɞɭ ɐɢɥɹ – ɇɢɥɶɫɟɧɚ. Ʌɚɜɚɠ ɫ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶ ɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɵ ɢ ɟɺ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨ ɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɧɟɜɨɡɜɪɚɬɧɨɣ ɦɚɫɨɱɧɨɣ ɫɢɫɬɟɦɵ

12.ɋɦɟɳɺɧɧɵɣ ɬɪɚɯɟɚɥɶɧɵɣ ɛɪɨɧɯ ɩɪɨɤɫɢɦɚɥɶɧɚɹ ɬɪɚɧɫɩɨɡɢɰɢɹ ɩɪɚ ɜɨɝɨ ɜɟɪɯɧɟɞɨɥɟɜɨɝɨ ɛɪɨɧɯɚ). Ⱦɢɮɮɭɡɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ ,,-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜ ɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɫɨɱɟɬɚɧɧɵɦɢ ɩɪɨɹɜɥɟɧɢɹɦɢ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤ ɪɟɬɚ ɜɚɪɢɚɧɬ ɫɥɢɡɢɫɬɨ-ɝɧɨɣɧɵɣ ɫɟɤɪɟɬ ɫ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɣ ɩɪɢɦɟɫɶɸ ɜ ɫɨɱɟ ɬɚɧɢɢ ɫ ɦɧɨɠɟɫɬɜɟɧɧɵɦɢ ɬɨɱɟɱɧɵɦɢ ɩɟɬɟɯɢɚɥɶɧɵɦɢ ɤɪɨɜɨɢɡɥɢɹɧɢɹɦɢ ɜɨ ɜɫɟɯ

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ɨɬɞɟɥɚɯ ɬɪɚɯɟɨɛɪɨɧɯɢɚɥɶɧɨɝɨ ɞɟɪɟɜɚ . Ʉɨɫɜɟɧɧɵɟ ɩɪɢɡɧɚɤɢ ɩɟɪɟɧɟɫɺɧɧɨɝɨ ɬɭ ɛɟɪɤɭɥɺɡɚ ɛɢɮɭɪɤɚɰɢɨɧɧɵɯ ɥɢɦɮɚɬɢɱɟɫɤɢɯ ɭɡɥɨɜ ɚ ɬɚɤɠɟ ɩɟɪɢɛɪɨɧɯɢɚɥɶɧɵɯ ɥɢɦɮɚɬɢɱɟɫɤɢɯ ɭɡɥɨɜ ɜ ɨɛɥɚɫɬɢ ɩɪɚɜɨɝɨ ɜɟɪɯɧɟɞɨɥɟɜɨɝɨ ɛɪɨɧɯɚ Ⱦɢɜɟɪɬɢɤɭɥɺɡ ɝɥɚɜɧɵɯ ɛɪɨɧɯɨɜ ɜ ɨɛɥɚɫɬɢ ɦɟɞɢɚɥɶɧɵɯ ɫɬɟɧɨɤ ɜ ɩɪɨɤɫɢɦɚɥɶɧɵɯ ɨɬɞɟɥɚɯ). Ʌɚ ɜɚɠ ɫ 9 ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟ ɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɵ. Ȼɪɨɧɯɨɫɤɨ ɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɧɟɜɨɡɜɪɚɬɧɨɣ ɦɚɫɨɱɧɨɣ ɫɢɫɬɟɦɵ

13.ɋɦɟɳɺɧɧɵɣ ɬɪɚɯɟɚɥɶɧɵɣ ɛɪɨɧɯ ɉɪɨɤɫɢɦɚɥɶɧɚɹ ɬɪɚɧɫɩɨɡɢɰɢɹ ɩɪɚ ɜɨɝɨ ɫɟɝɦɟɧɬɚɪɧɨɝɨ ɛɪɨɧɯɚ ȼ1 Ⱦɢɮɮɭɡɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ II-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧ ɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ Ⱦɨɛɚɜɨɱɧɵɣ ɥɟɜɵɣ ɤɚɪɞɢɚɥɶɧɵɣ ɛɪɨɧɯ «Ɉɬ ɞɟɥɶɧɵɣ» ɫɭɛɫɟɝɦɟɧɬɚɪɧɵɣ ɛɪɨɧɯ ȼɚ ɫɩɪɚɜɚ ɫ ɞɢɫɬɨɩɢɟɣ ɭɫɬɶɹ ɜ ɨɛɥɚɫɬɶ ɩɪɚ ɜɨɣ ɛɚɡɚɥɶɧɨɣ ɩɢɪɚɦɢɞɵ. Ʌɚɜɚɠ ɫ 7 ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤ ɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɵ ɢ ɟɺ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨ ɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɧɟɩɪɟɪɵɜɧɨɣ ɩɨɞɚɱɢ ɤɢɫɥɨɪɨɞɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɧɟɜɨɡɜɪɚɬ ɧɨɣ ɦɚɫɨɱɧɨɣ ɫɢɫɬɟɦɵ.

14.Ⱦɢɮɮɭɡɧɵɣ ɝɧɨɣɧɵɣ ɷɧɞɨɛɪɨɧɯɢɬ III-ɣ ɫɬɟɩɟɧɢ ɢɧɬɟɧɫɢɜɧɨɫɬɢ ɜɨɫɩɚɥɟɧɢɹ ɩɨ Ʌɟɦɭɚɧɭ ɫ ɫɨɱɟɬɚɧɧɵɦɢ ɩɪɨɹɜɥɟɧɢɹɦɢ ɝɟɦɨɪɪɚɝɢɱɟɫɤɨɝɨ ɷɧɞɨɛ ɪɨɧɯɢɚɥɶɧɨɝɨ ɫɢɧɞɪɨɦɚ ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɤɨɦɩɨɧɟɧɬ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɟɤɪɟɬɚ ɜɚɪɢɚɧɬ II2 ɝɧɨɣɧɨɝɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɫɟɤɪɟɬ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɦɧɨɠɟɫɬɜɟɧɧɵɦɢ ɬɨɱɟɱɧɵɦɢ ɩɟɬɟɯɢɚɥɶɧɵɦɢ ɤɪɨɜɨɢɡɥɢɹɧɢɹɦɢ ɜɨ ɜɫɟɯ ɨɬɞɟɥɚɯ ɬɪɚɯɟɨɛɪɨɧɯɢ ɚɥɶɧɨɝɨ ɞɟɪɟɜɚ). Ʌɚɜɚɠ ɫɨ ɦɥ ɢɡɨɬɨɧɢɱɟɫɤɨɝɨ ɪɚɫɬɜɨɪɚ ɯɥɨɪɢɞɚ ɧɚɬɪɢɹ ɞɨ «ɱɢɫɬɨɣ» ɜɨɞɵ Ɂɚɛɨɪ ɛɪɨɧɯɢɚɥɶɧɨɝɨ ɫɨɞɟɪɠɢɦɨɝɨ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɄɍɆ ɦɟɬɨ ɞɚɦɢ ɩɨɫɟɜɚ ɢ ɛɚɤɬɟɪɢɨɫɤɨɩɢɢ ɨɫɚɞɤɚ ɚ ɬɚɤɠɟ ɞɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɚɤɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɵ ɢ ɟɺ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɚɧɬɢɛɢɨɬɢɤɚɦ Ȼɪɨɧɯɨɫɤɨɩɢɹ ɩɪɨɜɨɞɢɥɚɫɶ ɱɟɪɟɡ ɢɧɬɭɛɚɰɢɨɧɧɭɸ ɬɪɭɛɤɭ ɩɪɢ ɧɚɯɨɠɞɟɧɢɢ ɩɚɰɢɟɧɬɚ ɜ ɩɪɨɧɚɥɶɧɨɣ ɩɨɡɢɰɢɢ.

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