Острая травматическая реакция патогенез, классификация, принципы оказания первой помощи. Учебное пособие-1

ɁȺɄɅɘɑȿɇɂȿ

ɂɬɚɤ ɲɨɤ – ɷɬɨ ɮɨɪɦɚ ɤɪɢɬɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɨɪɝɚɧɢɡɦɚ ɩɪɨɹɜɥɹɸɳɚɹɫɹ ɦɧɨɠɟɫɬɜɟɧɧɨɣ ɨɪɝɚɧɧɨɣ ɞɢɫɮɭɧɤɰɢɟɣ Ɉɛɳɢɦ ɧɚɢɛɨɥɟɟ ɫɭɳɟɫɬɜɟɧɧɵɦ ɩɪɢ ɡɧɚɤɨɦ ɞɥɹ ɜɫɟɯ ɮɨɪɦ ɲɨɤɚ ɹɜɥɹɟɬɫɹ ɨɫɬɪɨ ɧɚɫɬɭɩɚɸɳɟɟ ɭɦɟɧɶɲɟɧɢɟ ɤɪɨɜɨɬɨɤɚ ɬɤɚɧɟɣ ɫ ɧɚɪɭɲɟɧɢɟɦ ɤɪɨɜɨɫɧɚɛɠɟɧɢɹ ɤɥɟɬɨɤ ɪɚɡɥɢɱɧɵɯ ɨɪɝɚɧɨɜ.

ɒɨɤ – ɷɬɨ ɩɨɥɢɷɬɢɨɥɨɝɢɱɟɫɤɢɣ ɩɚɬɨɥɨɝɢɱɟɫɤɢɣ ɩɪɨɰɟɫɫ ȼ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɷɬɢɨɥɨɝɢɢ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɜɢɞɵ ɲɨɤɚ ɦɨɝɭɬ ɛɵɬɶ ɪɚɡɥɢɱɧɵ Ɉɞɧɚɤɨ ɫɭɳɟɫɬɜɭɸɬ ɨɛɳɢɟ ɩɪɢɧɰɢɩɵ ɥɟɱɟɧɢɹ ɲɨɤɚ ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɝɟɦɨɞɢɧɚɦɢɤɢ ɧɨɪɦɚɥɢɡɚɰɢɹ ɦɢɤɪɨɰɢɪɤɭɥɹɰɢɢ ɨɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɢ ɞɪ ɇɚɪɹɞɭ ɫ ɨɛɳɢɦɢ ɜɵɞɟɥɹɸɬ ɫɩɟɰɢɮɢ ɱɟɫɤɢɟ ɦɟɪɨɩɪɢɹɬɢɹ ɧɚɩɪɢɦɟɪ ɩɪɢ ɚɧɚɮɢɥɚɤɬɢɱɟɫɤɨɦ ɲɨɤɟ – ɢɧɚɤɬɢɜɚɰɢɹ ɚɧɬɢ ɝɟɧɚ ɜ ɨɪɝɚɧɢɡɦɟ ɱɟɥɨɜɟɤɚ ɢɥɢ ɩɪɟɞɭɩɪɟɠɞɟɧɢɟ ɞɟɣɫɬɜɢɹ ɚɧɬɢɝɟɧɚ ɧɚ ɨɪɝɚɧɢɡɦ – ɚɧɬɢɝɢɫɬɚɦɢɧɧɵɟ ɩɪɟɩɚɪɚɬɵ ɢ ɦɟɦɛɪɚɧɨɫɬɚɛɢɥɢɡɚɬɨɪɵ

ɇɟɫɦɨɬɪɹ ɧɚ ɡɧɚɱɢɬɟɥɶɧɵɣ ɩɪɨɝɪɟɫɫ ɜ ɪɚɡɜɢɬɢɢ ɦɟɞɢɰɢɧɵ ɩɪɨɛɥɟɦɚ ɲɨɤɚ ɧɟ ɪɟɲɟɧɚ ɨɤɨɧɱɚɬɟɥɶɧɨ ɢ ɦɨɠɟɬ ɛɵɬɶ ɪɟɲɟɧɚ ɥɢɲɶ ɧɚ ɫɬɵɤɟ ɰɟɥɨɝɨ ɪɹɞɚ ɧɚɩɪɚɜɥɟɧɢɣ ɦɟɞɢɰɢɧɫɤɨɣ ɧɚɭɤɢ ɢ ɩɪɚɤɬɢɤɢ Ɂɧɚɧɢɟ ɨɫɧɨɜ ɩɚɬɨɮɢɡɢɨɥɨɝɢɢ ɢ ɥɟɱɟɧɢɹ ɷɬɨɝɨ ɝɪɨɡɧɨɝɨ ɫɢɧɞɪɨɦɚ ɭɦɟɧɢɟ ɫɜɨɟɜɪɟɦɟɧɧɨ ɢ ɝɪɚɦɨɬɧɨ ɩɪɢɛɟɝɧɭɬɶ ɤ ɢɧɬɟɧɫɢɜɧɨɣ ɬɟɪɚɩɢɢ ɢ ɨɤɚɡɚɧɢɸ ɧɟɨɛɯɨɞɢɦɨɣ ɩɨɦɨɳɢ ɧɚɱɢɧɚɹ ɫ ɞɨɝɨɫɩɢ ɬɚɥɶɧɨɝɨ ɷɬɚɩɚ ɹɜɥɹɸɬɫɹ ɧɟɨɬɴɟɦɥɟɦɵɦɢ ɬɪɟɛɨɜɚɧɢɹɦɢ ɤ ɜɪɚɱɭ ɥɸɛɨɣ ɫɩɟɰɢ ɚɥɶɧɨɫɬɢ.

31

ɄɈɇɌɊɈɅɖɇɕȿ ȼɈɉɊɈɋɕ

Ɉɯɚɪɚɤɬɟɪɢɡɭɣɬɟ ɨɛɳɢɟ ɪɟɚɤɰɢɢ ɨɪɝɚɧɢɡɦɚ ɧɚ ɬɪɚɜɦɚɬɢɱɟɫɤɢɟ ɩɨɜɪɟ ɠɞɟɧɢɹ

Ⱦɚɣɬɟ ɨɛɳɭɸ ɯɚɪɚɤɬɟɪɢɫɬɢɤɭ ɷɤɫɬɪɟɦɚɥɶɧɵɯ ɫɨɫɬɨɹɧɢɣ

3.ɉɟɪɟɱɢɫɥɢɬɟ ɜɢɞɵ ɷɤɫɬɪɟɦɚɥɶɧɵɯ ɫɨɫɬɨɹɧɢɣ ɪɚɫɫɤɚɠɢɬɟ ɨɛ ɨɛɳɢɯ ɦɟ ɯɚɧɢɡɦɚɯ ɢɯ ɪɚɡɜɢɬɢɹ

4.Ⱦɚɣɬɟ ɯɚɪɚɤɬɟɪɢɫɬɢɤɭ ɩɨɧɹɬɢɹ ɲɨɤ

5.Ⱦɚɣɬɟ ɯɚɪɚɤɬɟɪɢɫɬɢɤɭ ɩɨɧɹɬɢɹ ɨɫɬɪɚɹ ɬɪɚɜɦɚɬɢɱɟɫɤɚɹ ɪɟɚɤɰɢɹ ɬɪɚɜɦɚ ɬɢɱɟɫɤɢɣ ɲɨɤ

6 ɉɟɪɟɱɢɫɥɢɬɟ ɢ ɨɯɚɪɚɤɬɟɪɢɡɭɣɬɟ ɫɬɚɞɢɢ ɲɨɤɚ.ɉɟɪɟɱɢɫɬɢɬɟ ɜɢɞɵ ɲɨɤɚȾɚɣɬɟ ɫɪɚɜɧɢɬɟɥɶɧɭɸ ɯɚɪɚɤɬɟɪɢɫɬɢɤɭ ɜɢɞɚɦ ɲɨɤɚ 9 Ⱦɚɣɬɟ ɨɩɪɟɞɟɥɟɧɢɟ ɢ ɪɚɫɫɤɚɠɢɬɟ ɦɟɯɚɧɢɡɦ ɨɛɪɚɡɨɜɚɧɢɹ ɤɨɥɥɚɩɫɚ

10.Ⱦɚɣɬɟ ɯɚɪɚɤɬɟɪɢɫɬɢɤɭ ɩɨɧɹɬɢɹ ɤɨɦɚ

11.ɉɟɪɟɱɢɫɥɢɬɟ ɜɢɞɵ ɤɨɦɚɬɨɡɧɵɯ ɫɨɫɬɨɹɧɢɣ 12 Ɉɯɚɪɚɤɬɟɪɢɡɭɣɬɟ ɨɫɧɨɜɧɵɟ ɩɚɬɨɝɟɧɟɬɢɱɟɫɤɢɟ ɮɚɤɬɨɪɵ ɪɚɡɜɢɬɢɹ ɤɨɦɚ

ɬɨɡɧɵɯ ɫɨɫɬɨɹɧɢɣ 13 ɋɪɚɜɧɢɬɟ ɩɪɢɱɢɧɵ ɜɵɡɵɜɚɸɳɢɟ ɤɨɦɭ ɢ ɲɨɤ Ɉɯɚɪɚɤɬɟɪɢɡɭɣɬɟ ɫɯɨɞ

ɫɬɜɨ ɢ ɪɚɡɥɢɱɢɹ.

32

ɋɂɌɍȺɐɂɈɇɇɕȿ ɁȺȾȺɑɂ

Ɂɚɞɚɱɚ

ɉɚɰɢɟɧɬɉ ɥɟɬ ɞɨɫɬɚɜɥɟɧɜɩɪɢɟɦɧɨɟɨɬɞɟɥɟɧɢɟȻɋɆɉɜɛɟɫɫɨɡɧɚɬɟɥɶ ɧɨɦ ɫɨɫɬɨɹɧɢɢ ɉɪɢ ɨɫɦɨɬɪɟ ɤɨɠɧɵɟ ɩɨɤɪɨɜɵ ɫɭɯɢɟ ɬɭɪɝɨɪ ɤɨɠɢ ɢ ɬɨɧɭɫ ɝɥɚɡ ɧɵɯ ɹɛɥɨɤ ɩɨɧɢɠɟɧ ɞɵɯɚɧɢɟ ɩɨɜɟɪɯɧɨɫɬɧɨɟ ɩɭɥɶɫ – ɭɞ ɜ ɦɢɧ ȺȾ –ɦɦ ɪɬ ɫɬ. ɹɡɵɤ ɫɭɯɨɣ ɩɟɪɢɨɞɢɱɟɫɤɢ ɧɚɛɥɸɞɚɸɬɫɹ ɫɭɞɨɪɨɝɢ ɤɨɧɟɱɧɨɫɬɟɣ ɢ ɦɢɦɢɱɟɫɤɨɣ ɦɭɫɤɭɥɚɬɭɪɵ Ⱥɧɚɥɢɡ ɤɪɨɜɢ ɩɨɞ cito ɩɨɤɚɡɚɥ ɝɢɩɟɪɝɥɢɤɟɦɢɹ –ɦɆ ɥ, ɝɢɩɟɪɚɡɨɬɟɦɢɹ ɝɢɩɟɪɧɚɬɪɢɟɦɢɹ ɪɇ – ɂɡ ɨɩɪɨɫɚ ɪɨɞɫɬɜɟɧɧɢɰɵ ɫɨɩɪɨɜɨɠɞɚɜɲɟɣ ɩɨɫɬɪɚɞɚɜɲɟɝɨ ɜɵɹɫɧɢɥɨɫɶ ɱɬɨ ɨɧ ɛɨɥɟɧ ɫɚɯɚɪɧɵɦ ɞɢɚɛɟɬɨɦ ɜ ɫɜɹɡɢ ɫ ɱɟɦ ɩɪɢɧɢɦɚɥ ɧɟɛɨɥɶɲɢɟ ɞɨɡɵ ɩɟɪɨɪɚɥɶɧɵɯ ɫɚɯɚɪɨɩɨɧɢɠɚɸɳɢɯ ɫɪɟɞɫɬɜ

ȼɨɩɪɨɫɵ

1.Ʉɚɤ ɧɚɡɵɜɚɟɬɫɹ ɫɨɫɬɨɹɧɢɟ ɜ ɤɨɬɨɪɨɦ ɩɚɰɢɟɧɬ ɞɨɫɬɚɜɥɟɧ ɜ ɛɨɥɶɧɢɰɭ" Ɉɬɜɟɬ ɨɛɨɫɧɭɣɬɟ

2.ɑɬɨ ɩɨɫɥɭɠɢɥɨ ɩɪɢɱɢɧɨɣ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɷɬɨɝɨ ɫɨɫɬɨɹɧɢɹ"

3.ɇɚɡɨɜɢɬɟ ɢ ɨɯɚɪɚɤɬɟɪɢɡɭɣɬɟ ɨɫɧɨɜɧɵɟ ɡɜɟɧɶɹ ɟɝɨ ɩɚɬɨɝɟɧɟɡɚ

4.ɉɨɱɟɦɭ ɩɪɢ ɪɚɡɜɢɬɢɢ ɩɨɞɨɛɧɵɯ ɩɚɬɨɥɨɝɢɱɟɫɤɢɯ ɫɨɫɬɨɹɧɢɣ ɭɬɪɚɱɢɜɚ ɟɬɫɹ ɫɨɡɧɚɧɢɟ"

5.Ʉɚɤɢɟ ɫɪɨɱɧɵɟ ɥɟɱɟɛɧɵɟ ɦɟɪɨɩɪɢɹɬɢɹ ɧɟɨɛɯɨɞɢɦɵ ɞɥɹ ɜɵɜɟɞɟɧɢɹ ɢɡ ɬɚɤɢɯ ɫɨɫɬɨɹɧɢɣ"

Ɂɚɞɚɱɚ

ɉɚɰɢɟɧɬ Ɇ ɝɨɞɚ ɨɛɪɚɬɢɥɫɹ ɤ ɜɪɚɱɭ ɩɨɥɢɤɥɢɧɢɤɢ ɫ ɠɚɥɨɛɚɦɢ ɧɚ ɩɪɢ ɫɬɭɩɨɨɛɪɚɡɧɭɸ ɦɵɲɟɱɧɭɸ ɫɥɚɛɨɫɬɶ ɝɨɥɨɜɨɤɪɭɠɟɧɢɟ «ɦɟɥɶɤɚɧɢɟ ɦɭɲɟɤ» ɩɟ ɪɟɞ ɝɥɚɡɚɦɢ ɝɨɥɨɜɧɭɸ ɛɨɥɶ ɫɧɢɠɟɧɢɟ ɡɪɟɧɢɹ ɬɪɟɦɨɪ ɪɭɤ ɜɪɟɦɟɧɚɦɢ – ɫɩɭɬɚɧ ɧɨɫɬɶ ɫɨɡɧɚɧɢɹ ɢ ɧɟɦɨɬɢɜɢɪɨɜɚɧɧɭɸ ɚɝɪɟɫɫɢɜɧɨɫɬɶ ɉɚɰɢɟɧɬ ɫɜɹɡɵɜɚɟɬ ɢɯ ɫ ɜɨɡ ɧɢɤɲɢɦɢ ɤɨɧɮɥɢɤɬɚɦɢ ɧɚ ɪɚɛɨɬɟ ɚ ɬɚɤɠɟ ɱɭɜɫɬɜɨɦ ɨɫɬɪɨɝɨ ɝɨɥɨɞɚ ɑɟɪɟɡ ɦɟɫɹɰ ɞɨɫɬɚɜɥɟɧ ɜ ɫɬɚɰɢɨɧɚɪ ɦɚɲɢɧɨɣ ɫɤɨɪɨɣ ɩɨɦɨɳɢ ɫ ɞɢɚɝɧɨɡɨɦ ©ɤɨɦɚ ɧɟɹɫɧɨɣ ɷɬɢɨɥɨɝɢɢª ɉɪɢ ɩɨɫɬɭɩɥɟɧɢɢ ɫɨɡɧɚɧɢɟ ɨɬɫɭɬɫɬɜɭɟɬ ɡɪɚɱɤɢ ɪɚɫɲɢɪɟɧɵ ɦɵ ɲɟɱɧɚɹ ɞɪɨɠɶ ɬɚɯɢɤɚɪɞɢɹ ɚɪɬɟɪɢɚɥɶɧɚɹ ɝɢɩɨɬɟɧɡɢɹ ɞɵɯɚɧɢɟ ɧɟɪɚɜɧɨɦɟɪɧɨɟ ɭɪɨɜɟɧɶ ɝɥɸɤɨɡɵ ɜ ɤɪɨɜɢ – ɦɝ

ȼɨɩɪɨɫɵ

1.Ʉɚɤ ɧɚɡɵɜɚɟɬɫɹ ɫɨɫɬɨɹɧɢɟ ɩɨ ɩɨɜɨɞɭ ɤɨɬɨɪɨɝɨ ɩɚɰɢɟɧɬ ɨɛɪɚɬɢɥɫɹ ɤ

ɜɪɚɱɭ"

2.ɍɤɚɠɢɬɟ ɮɨɪɦɭ ɩɚɬɨɥɨɝɢɢ ɩɨ ɩɨɜɨɞɭ ɤɨɬɨɪɨɣ ɩɚɰɢɟɧɬ ɞɨɫɬɚɜɥɟɧ ɦɚ ɲɢɧɨɣ ɫɤɨɪɨɣ ɩɨɦɨɳɢ.

33

Ɂɚɞɚɱɚ

ɉɚɰɢɟɧɬɤɚ ɒ., 56 ɥɟɬ ɞɨɫɬɚɜɥɟɧɚ ɜ ɩɪɢɟɦɧɵɣ ɩɨɤɨɣ ɝɨɪɨɞɫɤɨɣ ɛɨɥɶɧɢɰɵ ɱɟɪɟɡ 5 ɦɢɧ ɩɨɫɥɟ ɬɨɝɨ ɤɚɤ ɩɨɩɚɥɚ ɩɨɞ ɬɪɚɦɜɚɣ ɫ ɪɚɡɦɨɡɠɟɧɢɟɦ ɨɛɟɢɯ ɝɨɥɟɧɟɣ Ȼɨɥɶɧɚɹ ɪɟɡɤɨ ɜɨɡɛɭɠɞɟɧɚ ɠɚɥɭɟɬɫɹ ɧɚ ɛɨɥɶ ȺȾ ɦɦ ɪɬ ɫɬ ɩɭɥɶɫɦɢɧ ɋɨɫɬɨɹɧɢɟ ɛɨɥɶɧɨɣ ɛɵɫɬɪɨ ɭɯɭɞɲɚɥɨɫɶ ɪɚɡɜɢɥɚɫɶ ɞɟɩɪɟɫɫɢɹ ɤɨɠɧɵɟ ɩɨɤɪɨɜɵ ɛɥɟɞɧɵ ɥɢɩɤɢɣ ɩɨɬ ȺȾ ɫɧɢɡɢɥɨɫɶ ɞɨ ɦɦ ɪɬ ɫɬ ɩɭɥɶɫ – ɦɢɧ ɞɵɯɚɧɢɟ ɱɚɫɬɨɟ ɢ ɩɨɜɟɪɯɧɨɫɬɧɨɟ ɑɟɪɟɡ ɦɢɧ ɧɟɫɦɨɬɪɹ ɧɚ ɬɪɚɧɫɮɭɡɢɨɧɧɭɸ ɬɟɪɚɩɢɸ ȺȾ ɫɧɢɡɢɥɨɫɶ ɞɨ ɦɦ ɪɬ ɫɬ ɩɭɥɶɫ ɭɱɚɫɬɢɥɫɹ ɞɨ ɦɢɧ ȼɧɭɬɪɢ ɚɪɬɟɪɢɚɥɶɧɨɟ ɧɚɝɧɟɬɚɧɢɟ ɦɥ ɤɪɨɜɢ ɜ ɥɭɱɟɜɭɸ ɚɪɬɟɪɢɸ ɩɪɢɜɟɥɨ ɤ ɛɵɫɬɪɨɦɭ ɩɨɞɴɟɦɭ ȺȾ ɞɨ /80 ɦɦ ɪɬ ɫɬ

ȼɨɩɪɨɫɵ

1.Ʉɚɤ ɧɚɡɵɜɚɟɬɫɹ ɫɨɫɬɨɹɧɢɟ ɜ ɤɨɬɨɪɨɦ ɩɚɰɢɟɧɬɤɚ ɞɨɫɬɚɜɥɟɧɚ ɜ ɛɨɥɶ ɧɢɰɭ" Ɉɬɜɟɬ ɨɛɨɫɧɭɣɬɟ

2.Ʉɚɤɢɟ ɫɬɚɞɢɢ ɲɨɤɚ ɧɚɛɥɸɞɚɥɢɫɶ ɭ ɛɨɥɶɧɨɣ" ɉɪɢɜɟɞɢɬɟ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚ ȼɚɲɟɦɭ ɡɚɤɥɸɱɟɧɢɸ

Ɂɚɞɚɱɚ

Ȼɨɥɶɧɚɹ Ʌ ɝɨɞɚ ɷɤɫɬɪɟɧɧɨ ɩɨɫɬɭɩɢɥɚ ɜ ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɨɟ ɨɬɞɟɥɟɧɢɟ ɀɚɥɨɛɵ ɧɚ ɛɨɥɢ ɜ ɠɢɜɨɬɟ ɫɥɚɛɨɫɬɶ ɝɨɥɨɜɨɤɪɭɠɟɧɢɟ ɬɨɲɧɨɬɭ Ɂɚɛɨɥɟɥɚ ɜɧɟ ɡɚɩɧɨ ɧɚ ɪɚɛɨɬɟ Ɉɬɦɟɱɚɟɬ ɡɚɞɟɪɠɤɭ ɦɟɧɫɬɪɭɚɰɢɢ ɧɚ ɞɧɟɣ ɂɦɟɥɚ ɛɟɪɟɦɟɧ ɧɨɫɬɢ ɫɪɨɱɧɵɟɪɨɞɵ ɛɨɥɶɧɢɱɧɵɯɚɛɨɪɬɚ Ɉɛɴɟɤɬɢɜɧɨ ɫɨɫɬɨɹɧɢɟɬɹɠɟɥɨɟ ɪɟɡ ɤɚɹ ɛɥɟɞɧɨɫɬɶ ɡɚɬɨɪɦɨɠɟɧɧɨɫɬɶ ɇɚ ɜɨɩɪɨɫɵ ɨɬɜɟɱɚɟɬ ɫ ɬɪɭɞɨɦ ȺȾɦɦ ɪɬ ɫɬ ɩɭɥɶɫ ɭɞ ɦɢɧ ɫɥɚɛɨɝɨ ɧɚɩɨɥɧɟɧɢɹ Ɍɟɦɩɟɪɚɬɭɪɚ 36,6 ɋ əɡɵɤ ɜɥɚɠɧɵɣ ɠɢɜɨɬ ɪɚɜɧɨɦɟɪɧɨ ɜɡɞɭɬ ɪɚɡɥɢɬɚɹ ɛɨɥɟɡɧɟɧɧɨɫɬɶ ɩɪɢ ɩɚɥɶɩɚɰɢɢ ɉɪɢ ɩɟɪɤɭɫɫɢɢ ɩɪɢɬɭɩɥɟɧɢɟ ɡɜɭɤɚ ɜ ɛɨɤɨɜɵɯ ɨɬɞɟɥɚɯ Ȼɢɦɚɧɭɚɥɶɧɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɜɥɚɝɚɥɢɳɟɪɨɠɚɜɲɟɣ ɩɚɥɶɩɚɰɢɹɦɚɬɤɢɢɩɪɢɞɚɬɤɨɜɦɚɬɤɢɡɚɬɪɭɞ ɧɟɧɚ ɢɡ-ɡɚ ɪɟɡɤɨɣ ɛɨɥɟɡɧɟɧɧɨɫɬɢ Ɂɚɞɧɢɣ ɜɥɚɝɚɥɢɳɧɵɣ ɫɜɨɞ ɜɵɩɹɱɟɧ ɪɟɡɤɨ ɛɨ ɥɟɡɧɟɧɧɵɣ ȼɵɞɟɥɟɧɢɹ ɢɡ ɦɚɬɤɢ ɬɟɦɧɵɟ ɤɪɨɜɹɧɢɫɬɵɟ ɫɤɭɞɧɵɟ

ȼɨɩɪɨɫɵ

1.Ʉɚɤ ɧɚɡɵɜɚɟɬɫɹ ɫɨɫɬɨɹɧɢɟ ɜ ɤɨɬɨɪɨɦ ɩɚɰɢɟɧɬɤɚ ɞɨɫɬɚɜɥɟɧɚ ɜ ɛɨɥɶ ɧɢɰɭ" Ɉɬɜɟɬ ɨɛɨɫɧɭɣɬɟ

2.Ʉɚɤɢɟ ɫɬɚɞɢɢ ɲɨɤɚ ɧɚɛɥɸɞɚɥɢɫɶ ɭ ɛɨɥɶɧɨɣ" ɉɪɢɜɟɞɢɬɟ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚ ȼɚɲɟɦɭ ɡɚɤɥɸɱɟɧɢɸ

3.ȼɚɲɚ ɬɚɤɬɢɤɚ"

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Ɂɚɞɚɱɚ 5

Ȼɨɥɶɧɨɣ Ɍ 18 ɥɟɬ ɞɨɫɬɚɜɥɟɧ ɜ ɛɨɥɶɧɢɰɭ ɜ ɤɪɚɣɧɟ ɬɹɠɟɥɨɦ ɫɨɫɬɨɹɧɢɢ ɫ ɬɟɪɦɢɱɟɫɤɢɦ ɨɠɨɝɨɦ ,, ɫɬɟɩɟɧɢ ɨɤɨɥɨ ɩɨɜɟɪɯɧɨɫɬɢ ɬɟɥɚ ɋɨɡɧɚɧɢɟ ɫɩɭɬɚɧ ɧɨɟ ȺȾ – ɦɦ ɪɬ ɫɬ. ɩɭɥɶɫ ɦɢɧ ɫɥɚɛɨɝɨ ɧɚɩɨɥɧɟɧɢɹ Ⱦɵɯɚɧɢɟ ɱɚɫɬɨɟ ɢ ɩɨɜɟɪɯɧɨɫɬɧɨɟ Ⱥɧɚɥɢɡ ɤɪɨɜɢ ɷɪɢɬɪɨɰɢɬɵ – ɥ ɇɜ – ɝ ɥ ɥɟɣɤɨɰɢɬɵ –ɥ ɩɨɤɚɡɚɬɟɥɶ ɝɟɦɚɬɨɤɪɢɬɚ – ɥ ɥ

ȼɨɩɪɨɫɵ

1.Ʉɚɤɨɣ ɜɢɞ ɲɨɤɚ ɪɚɡɜɢɥɫɹ ɭ ɛɨɥɶɧɨɝɨ? ɉɪɢɜɟɞɢɬɟ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚ ȼɚ ɲɟɦɭ ɡɚɤɥɸɱɟɧɢɸ

2.ɇɚɡɨɜɢɬɟ ɫɬɚɞɢɢ ɞɚɧɧɨɝɨ ɜɢɞɚ ɲɨɤɚ

Ɂɚɞɚɱɚ

Ȼɨɥɶɧɚɹ ɒ ɝɨɞɚ ɛɪɢɝɚɞɨɣ ɋɆɉ ɷɤɫɬɪɟɧɧɨ ɞɨɫɬɚɜɥɟɧɚ ɜ ɩɪɢɟɦɧɨɟ ɨɬ ɞɟɥɟɧɢɟ ȻɋɆɉ Ⱦɨɦɚ ɛɵɥɚ ɤɪɚɬɤɨɜɪɟɦɟɧɧɚɹ ɩɨɬɟɪɹ ɫɨɡɧɚɧɢɹ ɩɨɫɥɟ ɩɪɨɞɨɥɠɚ ɸɳɢɯɫɹ ɝɨɥɨɜɨɤɪɭɠɟɧɢɣ ɢ ɪɜɨɬɵ ɉɨɫɥɟɞɧɹɹ ɦɟɧɫɬɪɭɚɰɢɹ ɩɪɢɲɥɚ ɜ ɨɠɢɞɚɟɦɵɣ ɫɪɨɤ ɧɟɞɟɥɢ ɧɚɡɚɞ Ɉɛɴɟɤɬɢɜɧɨ Ʉɨɠɧɵɟ ɩɨɤɪɨɜɵ ɛɥɟɞɧɵɟ ɥɨɛ ɜɥɚɠɧɵɣ ȺȾɦɦ ɪɬ ɫɬ ɉɭɥɶɫ ɭɞ ɦɢɧ ɀɢɜɨɬ ɧɟɫɤɨɥɶɤɨ ɜɡɞɭɬ ɦɹɝɤɢɣ ɭɦɟɪɟɧɧɚɹ ɛɨɥɟɡɧɟɧɧɨɫɬɶ ɜ ɝɢɩɨɝɚɫɬɪɚɥɶɧɨɣ ɨɛɥɚɫɬɢ Ɇɚɬɤɚ ɧɟ ɭɜɟɥɢɱɟɧɚ ɉɪɢɞɚɬɤɢ ɦɚɬɤɢ ɩɚɥɶɩɚɬɨɪɧɨ ɧɟ ɨɩɪɟɞɟɥɹɸɬɫɹ ɧɟɛɨɥɶɲɚɹ ɛɨɥɟɡɧɟɧɧɨɫɬɶ ɫɩɪɚɜɚ Ȼɟɥɢ ɫɜɟɬɥɵɟ ɫɥɢɡɢɫɬɵɟ ɉɚɰɢɟɧɬɤɚ ɧɟɡɚɦɭɠɧɹɹ ɩɨɥɨɜɨɣ ɠɢɡɧɶɸ ɠɢɜɟɬ ɫ ɩɨɫɬɨɹɧɧɵɦ ɩɚɪɬ ɧɟɪɨɦ Ɉɬ ɛɟɪɟɦɟɧɧɨɫɬɢ ɩɪɟɞɨɯɪɚɧɹɟɬɫɹ ɪɢɬɦɢɱɟɫɤɢɦ ɦɟɬɨɞɨɦ

ȼɨɩɪɨɫɵ

1.Ʉɚɤ ɧɚɡɵɜɚɟɬɫɹ ɫɨɫɬɨɹɧɢɟ ɜ ɤɨɬɨɪɨɦ ɩɚɰɢɟɧɬɤɚ ɞɨɫɬɚɜɥɟɧɚ ɜ ɛɨɥɶ ɧɢɰɭ" ɉɪɢɜɟɞɢɬɟ ɞɨɤɚɡɚɬɟɥɶɫɬɜɚ ȼɚɲɟɦɭ ɡɚɤɥɸɱɟɧɢɸ

2.Ʉɚɤɢɟ ɞɨɩɨɥɧɢɬɟɥɶɧɵɟ ɦɟɬɨɞɵ ɨɛɫɥɟɞɨɜɚɧɢɹ ɧɟɨɛɯɨɞɢɦɵ ɜ ɞɚɧɧɨɣ ɤɪɢɬɢɱɟɫɤɨɣ ɫɢɬɭɚɰɢɢ"

3.ȼɚɲɚ ɬɚɤɬɢɤɚ"

4.ȼ ɨɬɫɭɬɫɬɜɢɟ ɤɚɤɢɯ ɫɢɦɩɬɨɦɨɜ ɜɨɡɦɨɠɧɨ ɤɨɧɫɟɪɜɚɬɢɜɧɨɟ ɜɟɞɟɧɢɟ

ɛɨɥɶɧɨɣ"

35

ɌȿɋɌɕ ȾɅə ɄɈɇɌɊɈɅə ɁɇȺɇɂɃ

Ⱦɥɹ ɩɪɨɜɟɪɤɢ ɡɧɚɧɢɣ ɩɨ ɩɪɨɣɞɟɧɧɨɦɭ ɦɚɬɟɪɢɚɥɭ ɜɵɩɨɥɧɢɬɟ ɬɟɫɬ ɤɨɬɨɪɵɣ ɫɨɞɟɪɠɢɬ ɜɨɩɪɨɫɨɜ Ʉ ɤɚɠɞɨɦɭ ɜɨɩɪɨɫɭ ɞɚɧɵ ɧɟɫɤɨɥɶɤɨ ɜɚɪɢɚɧɬɨɜ ɨɬɜɟɬɚ ɨɞɢɧ ɢɡ ɤɨɬɨɪɵɯ ɩɪɚɜɢɥɶɧɵɣ

1.ɑɬɨ ɨɬɧɨɫɹɬ ɤ ɷɤɫɬɪɟɦɚɥɶɧɵɦ ɫɨɫɬɨɹɧɢɹɦ?

ɩɪɟɚɝɨɧɢɸ; 2) ɚɝɨɧɢɸ;

ɤɥɢɧɢɱɟɫɤɭɸ ɫɦɟɪɬɶ;ɬɪɚɜɦɚɬɢɱɟɫɤɢɣ ɲɨɤ.

2.ɑɬɨ ɯɚɪɚɤɬɟɪɧɨ ɞɥɹ ɫɬɚɞɢɢ ɪɟɡɢɫɬɟɧɬɧɨɫɬɢ ɨɛɳɟɝɨ ɚɞɚɩɬɚɰɢɨɧɧɨɝɨ ɫɢɧɞɪɨɦɚ?

ɩɨɜɵɲɟɧɢɟ ɫɟɤɪɟɰɢɢ ɝɥɸɤɨɤɨɪɬɢɤɨɢɞɨɜ;ɭɦɟɧɶɲɟɧɢɟ ɫɟɤɪɟɰɢɢ ɝɥɸɤɨɤɨɪɬɢɤɨɢɞɨɜ;ɨɫɥɚɛɥɟɧɢɟ ɝɥɸɤɨɧɟɨɝɟɧɟɡɚ; 4) ɧɟɣɬɪɨɮɢɥɶɧɚɹ ɥɟɣɤɨɩɟɧɢɹ.

ȼ ɤɚɤɭɸ ɫɬɚɞɢɸ ɈȺɋ ɨɛɳɢɣ ɚɞɚɩɬɚɰɢɨɧɧɵɣ ɫɢɧɞɪɨɦ ɪɚɡɜɢɜɚɟɬɫɹ ɝɢɩɟɪɬɪɨɮɢɹ ɤɨɪɵ ɧɚɞɩɨɱɟɱɧɢɤɨɜ"

ɜ ɫɬɚɞɢɸ ɬɪɟɜɨɝɢ;ɜ ɫɬɚɞɢɸ ɪɟɡɢɫɬɟɧɬɧɨɫɬɢ;ɜ ɫɬɚɞɢɸ ɢɫɬɨɳɟɧɢɹ;ɜ ɫɬɚɞɢɸ ɨɬɜɟɬɚ.

Ʉɚɤɢɟ ɢɡɦɟɧɟɧɢɹ ɯɚɪɚɤɬɟɪɧɵ ɞɥɹ , ɫɬɚɞɢɢ ɈȺɋ ɨɛɳɢɣ ɚɞɚɩɬɚɰɢ ɨɧɧɵɣ ɫɢɧɞɪɨɦ "

ɭɦɟɧɶɲɟɧɢɟ ɪɚɡɦɟɪɨɜ ɬɢɦɭɫɚ;ɢɫɬɨɳɟɧɢɟ ɮɭɧɤɰɢɢ ɤɨɪɵ ɧɚɞɩɨɱɟɱɧɢɤɨɜʋɚɤɬɢɜɚɰɢɹ ɤɨɪɵ ɧɚɞɩɨɱɟɱɧɢɤɨɜ;ɭɜɟɥɢɱɟɧɢɟ ɪɚɡɦɟɪɨɜ ɥɢɦɮɚɬɢɱɟɫɤɢɯ ɭɡɥɨɜ.

ɍɤɚɠɢɬɟ ɩɪɚɜɢɥɶɧɭɸ ɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨɫɬɶ ɪɚɡɜɢɬɢɹ ɧɚɪɭɲɟɧɢɣ ɮɭɧɤɰɢɢ ɰɟɧɬɪɚɥɶɧɨɣ ɧɟɪɜɧɨɣ ɫɢɫɬɟɦɵ ɩɪɢ ɤɨɦɟ:

1) ɩɫɢɯɢɱɟɫɤɨɟ ɛɟɫɩɨɤɨɣɫɬɜɨ ɫɩɭɬɚɧɧɨɫɬɶ ɫɨɡɧɚɧɢɹ ɫɨɩɨɪ ɝɥɭɛɨɤɚɹ ɭɬɪɚɬɚ ɫɨɡɧɚɧɢɹ;

36

ɝɥɭɛɨɤɚɹ ɭɬɪɚɬɚ ɫɨɡɧɚɧɢɹ ɫɨɩɨɪ ɫɩɭɬɚɧɧɨɫɬɶ ɫɨɡɧɚɧɢɹ ɩɫɢɯɢɱɟɫɤɨɟ ɛɟɫɩɨɤɨɣɫɬɜɨ;

ɫɩɭɬɚɧɧɨɫɬɶ ɫɨɡɧɚɧɢɹ ɝɥɭɛɨɤɚɹ ɭɬɪɚɬɚ ɫɨɡɧɚɧɢɹ ɫɨɩɨɪ ɩɫɢɯɢɱɟɫɤɨɟ ɛɟɫɩɨɤɨɣɫɬɜɨ;

ɩɫɢɯɢɱɟɫɤɨɟ ɛɟɫɩɨɤɨɣɫɬɜɨ ɫɨɩɨɪ ɫɩɭɬɚɧɧɨɫɬɶ ɫɨɡɧɚɧɢɹ ɝɥɭɛɨɤɚɹ ɭɬɪɚɬɚ ɫɨɡɧɚɧɢɹ.

6. ɑɬɨ ɯɚɪɚɤɬɟɪɧɨ ɞɥɹ ɲɨɤɚ ɥɸɛɨɝɨ ɩɪɨɢɫɯɨɠɞɟɧɢɹ?

ɫɭɠɢɜɚɧɢɟ ɫɨɫɭɞɨɜ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɢɯ ɪɚɫɲɢɪɟɧɢɟɦ ɪɚɫɫɬɪɨɣɫɬɜɨ ɦɢɤ ɪɨɰɢɪɤɭɥɹɰɢɢ

ɩɚɞɟɧɢɟ ȺȾ ɛɟɡ ɧɚɪɭɲɟɧɢɣ ɦɢɤɪɨɰɢɪɤɭɥɹɰɢɢɭɜɟɥɢɱɟɧɢɟ ɑɋɋ ɧɨɪɦɚɥɶɧɨɟ ȺȾɞɵɯɚɬɟɥɶɧɵɟ ɪɚɫɫɬɪɨɣɫɬɜɚ

ɒɨɤ ɛɵɜɚɟɬ …

ɨɫɬɪɵɦ ɢ ɯɪɨɧɢɱɟɫɤɢɦɛɨɥɟɜɵɦ ɢ ɩɫɢɯɨɝɟɧɧɵɦɝɟɦɨɪɪɚɝɢɱɟɫɤɢɦ ɢ ɬɪɚɜɦɚɬɢɱɟɫɤɢɦɮɢɡɢɨɥɨɝɢɱɟɫɤɢɦ ɢ ɩɚɬɨɥɨɝɢɱɟɫɤɢɦ

Ɉɫɧɨɜɧɨɟ ɡɜɟɧɨ ɜ ɩɚɬɨɝɟɧɟɡɟ ɤɨɦɵ – …

ɭɝɧɟɬɟɧɢɟ ɐɇɋɭɦɟɧɶɲɟɧɢɟ ɈɐɄ

ɜɵɛɪɨɫ ɜ ɤɪɨɜɶ ɝɨɪɦɨɧɨɜ ɤɨɪɵ ɧɚɞɩɨɱɟɱɧɢɤɨɜɪɚɫɫɬɪɨɣɫɬɜɨ ɤɪɨɜɨɨɛɪɚɳɟɧɢɹ

9.Ʉɚɤ ɤɥɢɧɢɱɟɫɤɢ ɩɪɨɹɜɥɹɟɬɫɹ ɞɢɚɛɟɬɢɱɟɫɤɚɹ ɤɨɦɚ?

ɩɨɫɬɟɩɟɧɧɵɦ ɧɚɱɚɥɨɦ ɡɚɩɚɯɨɦ ɚɰɟɬɨɧɚ ɢɡɨ ɪɬɚɩɨɫɬɟɩɟɧɧɵɦ ɧɚɱɚɥɨɦ ©ɬɨɱɟɱɧɵɣ ɡɪɚɱɨɤªɛɵɫɬɪɵɦ ɧɚɱɚɥɨɦ ɩɟɱɟɧɨɱɧɵɦ ɡɚɩɚɞɨɦ ɨɬ ɬɟɥɚ ɩɚɰɢɟɧɬɚɛɵɫɬɪɵɦ ɧɚɱɚɥɨɦ ɩɨɠɟɥɬɟɧɢɟɦ ɤɨɠɧɵɯ ɩɨɤɪɨɜɨɜ

10.ȼ ɪɟɡɭɥɶɬɚɬɟ ɱɟɝɨ ɪɚɡɜɢɜɚɟɬɫɹ ɤɨɥɥɚɩɫ?

ɪɟɡɤɨɝɨ ɩɨɜɵɲɟɧɢɹ ɚɤɬɢɜɧɨɫɬɢ ɫɢɦɩɚɬɢɤɨ-ɚɞɪɟɧɚɥɨɜɨɣ ɫɢɫɬɟɦɵɨɫɬɪɨɣ ɫɨɫɭɞɢɫɬɨɣ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɩɚɬɢɬɚɨɬɪɚɜɥɟɧɢɹ ɨɩɢɚɬɚɦɢ.

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ȻɂȻɅɂɈȽɊȺɎɂɑȿɋɄɂɃ ɋɉɂɋɈɄ

1.Ⱥɫɬɚɮɶɟɜɚ ɇ Ƚ Ȼɚɹɥɢɟɜɚ Ⱥ ɀ Ɂɚɛɨɥɨɬɫɤɢɯ ɂ Ȼ ɢ ɞɪ Ⱥɧɚɮɢɥɚɤɬɢɱɟ ɫɤɢɣ ɲɨɤ Ʉɥɢɧɢɱɟɫɤɢɟ ɪɟɤɨɦɟɧɞɚɰɢɢ. Ɋɨɫɫɢɣɫɤɢɣ ɚɥɥɟɪɝɨɥɨɝɢɱɟɫɤɢɣ ɠɭɪɧɚɥ –

2021. – ʋ 1. – ɋ 56–72.

2.ȼɨɟɧɧɨ-ɩɨɥɟɜɚɹ ɯɢɪɭɪɝɢɹ ɭɱɟɛɧɢɤ ɩɨɞ ɪɟɞ ȿ Ʉ Ƚɭɦɚɧɟɧɤɨ -ɟ ɢɡɞ ɩɟɪɟɪɚɛ ɢ ɞɨɩ – Ɇ. ȽɗɈɌȺɊ-Ɇɟɞɢɚ . – ɫ

3.Ʉɚɪɞɢɨɥɨɝɢɹ ɧɚɰɢɨɧɚɥɶɧɨɟ ɪɭɤɨɜɨɞɫɬɜɨ / ɩɨɞ ɪɟɞ ɘ ɇ Ȼɟɥɟɧɤɨɜɚ Ɋ Ƚ Ɉɝɚɧɨɜɚ – Ɇ ȽɗɈɌȺɊ-Ɇɟɞɢɚ . – ɫ

4.Ȼɚɪɚɱɟɜɫɤɢɣ ɘ ȿ ɢ ɞɪ Ɇɟɞɢɰɢɧɚ ɱɪɟɡɜɵɱɚɣɧɵɯ ɫɢɬɭɚɰɢɣ ɭɱɟɛɧɨɟ ɩɨɫɨɛɢɟ / ɩɨɞ ɪɟɞ ɩɪɨɮ ɘ ȿ Ȼɚɪɚɱɟɜɫɤɨɝɨ – Ⱥɪɯɚɧɝɟɥɶɫɤ ɂɡɞ-ɜɨ ɋɟɜɟɪɧɨɝɨ ɝɨɫɭɞɚɪɫɬɜɟɧɧɨɝɨ ɦɟɞɢɰɢɧɫɤɨɝɨ ɭɧɢɜɟɪɫɢɬɟɬɚ . – ɫ

5.ɇɢɤɨɧɨɜɚ ȿ Ɇ ɋɬɚɞɧɢɤ Ⱥ Ⱦ ɒɚɬɨɯɢɧɚ ə ɉ Ʌɚɲɢɧɚ ɂ Ɇ Ɉɫɨɛɟɧ ɧɨɫɬɢ ɢɧɨɬɪɨɩɧɨɣ ɢ ɜɚɡɨɩɪɟɫɫɨɪɧɨɣ ɬɟɪɚɩɢɢ ɤɚɪɞɢɨɝɟɧɧɨɝɨ ɲɨɤɚ. – Magyar tudományos journal. – 2020. – ʋ 37. – ɋ 24–27.

6.Ɉɫɬɚɩɱɟɧɤɨ Ⱦ Ⱥ Ƚɭɬɧɢɤɨɜɚ Ⱥ ɂ Ⱦɚɜɵɞɨɜɚ Ʌ Ⱥ ɋɨɜɪɟɦɟɧɧɵɟ ɩɨɞɯɨɞɵ ɤ ɬɟɪɚɩɢɢ ɬɪɚɜɦɚɬɢɱɟɫɤɨɝɨ ɲɨɤɚ ɨɛɡɨɪ). – Ɉɛɳɚɹ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹ – 2021. – ʋ 4. –

ɋ 65–76.

7.ɉɚɧɬɟɥɟɟɜ Ɉ Ɉ Ɋɹɛɨɜ ȼ ȼ Ʉɚɪɞɢɨɝɟɧɧɵɣ ɲɨɤ – ɱɬɨ ɧɨɜɨɝɨ" – ɋɢɛɢɪ ɫɤɢɣ ɠɭɪɧɚɥ ɤɥɢɧɢɱɟɫɤɨɣ ɢ ɷɤɫɩɟɪɢɦɟɧɬɚɥɶɧɨɣ ɦɟɞɢɰɢɧɵ – 2021. – ʋ 4. –

ɋ 45–51.

8.Ɍɚɠɢɛɚɟɜ Ⱦ Ⱥ Ƚɢɩɨɜɨɥɟɦɢɱɟɫɤɢɣ ɲɨɤ – ɞɢɚɝɧɨɫɬɢɤɚ ɢ ɥɟɱɟɧɢɟ ɧɚ ɫɨ ɜɪɟɦɟɧɧɨɦ ɷɬɚɩɟ. – ɀɭɪɧɚɥ ɇɚɰɢɨɧɚɥɶɧɨɝɨ ɧɚɭɱɧɨɝɨ ɰɟɧɬɪɚ ɯɢɪɭɪɝɢɢ ɢɦ Ⱥ ɇ ɋɵɡɝɚɧɨɜɚ – 2011. – ʋ 41.

9.Alam A., Gong T., Gottlieb R.L. Not all shock is created equal. – The American Journal of Emergency Medicine. – 2022. – 57. – ɋ. 188–189.

10.Blumlein D. Griffiths I. Shock: aetiology, pathophysiology and management. – The British Journal of Nursing. – 2022. – ʋ 31(8). – ɋ. 422–428.

11.Narayan S., Petersen T. L. Uncommon etiologiesof shock. – Critical Care Clinics. – 2022. – ʋ 38(2). – ɋ. 429–441.

12.Patel S., Holden K., Calvin B., DiSilvio B., Dumont T. Shock. – Critical Care Nursing Quarterly. – 2022. – ʋ 45(3). – ɋ. 225.

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ɝ

ɍɱɟɛɧɨɟ ɢɡɞɚɧɢɟ

ɉɨɥɢɞɚɧɨɜ Ɇ Ⱥ Ɇɚɫɥɹɤɨɜ ȼ ȼ ɋɭɥɚɣɦɚɧɨɜɚ Ɋ Ɍ Ʉɚɩɪɚɥɨɜ ɋ ȼ ɉɟɬɪɭɧɶɤɢɧ Ɋ ɉ ȼɨɥɤɨɜ Ʉ Ⱥ

ɈɋɌɊȺə ɌɊȺȼɆȺɌɂɑȿɋɄȺə ɊȿȺɄɐɂə ɉȺɌɈȽȿɇȿɁ ɄɅȺɋɋɂɎɂɄȺɐɂə ɉɊɂɇɐɂɉɕ ɈɄȺɁȺɇɂə ɉȿɊȼɈɃ ɉɈɆɈɓɂ

ɍɱɟɛɧɨɟ ɩɨɫɨɛɢɟ

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ɉɨɞɩɢɫɚɧɨ ɜ ɩɟɱɚɬɶ Ɏɨɪɦɚɬ î Ȼɭɦɚɝɚ ɤɫɟɪɨɤɫɧɚɹ ɉɟɱɚɬɶ ɨɩɟɪɚɬɢɜɧɚɹ Ɉɛɴɟɦ – 2,4 ɭɫɥ ɩɟɱ ɥ Ɍɢɪɚɠ ɷɤɡ Ɂɚɤɚɡ 87.

ɑɚɫɬɧɨɟ ɭɱɪɟɠɞɟɧɢɟ ɨɛɪɚɡɨɜɚɬɟɥɶɧɚɹ ɨɪɝɚɧɢɡɚɰɢɹ ɜɵɫɲɟɝɨ ɨɛɪɚɡɨɜɚɧɢɹ Ɇɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ ©Ɋɟɚɜɢɡªɝ ɋɚɦɚɪɚ ɭɥ ɑɚɩɚɟɜɫɤɚɹ

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Ɉɬɩɟɱɚɬɚɧɨ ɜ ɬɢɩɨɝɪɚɮɢɢ ɂɉ ɂ Ⱥ Ƚɚɩɨɧɨɜɚɝ ɋɚɦɚɪɚ ɭɥ Ɇ Ƚɨɪɶɤɨɝɨ Ɍɟɥ -16-56.

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