Иммунопрофилактика инфекционных болезней
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20
KOTOpblM 6YAYT npoBOAlllTbCR npocp111naKTll!YeCKllle nplllBlllBKlll.
8 MeAlllL..1,lllHCKllle OCMOTpbl nepeA BaKL..1,lllHau,111eill 111n111 ry6epKyn111HO- A1t1arHOCTlllKO~ RBnRIOTCR o6ri3aTenbHblMll1. np111 BblRBneHllllll no60YHblX peaKu,111111 s opraHll13Me pe6eHKa Ha3HaLJa10rcr1 AOnonHvnenbHble M€AlllL..1,lllHCKllle BMewarenbCTBa cornaCHO c A€111CTBYIOW.lllMlll nporoKonaMlll
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M€AlllL.1,lllHCKll1M |
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8.1 . MeAlllL..1,111HCKVle OCMOTpbi n111u,aM AO 18 neT nepeA |
BaKL..1,lllHau,111eill |
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5.nonyLJeH111e 111 HcpopM111posaHHoro cornac111s:i (CM. np111no>KeH111e N~ 1) Ha npose,D,eH111e saKu,111Hau,111111 111n111 Ty6epKyn111Ho,D,111arHocr111K111 no cpopMe,
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pe6eHKa nepeA BaKL..1,lllHau,111eil1 111n1t1 ry6epKyn111HOA1t1arHOCTlllKOil1 c ocpopMneHV1eM nepBlt1LJHO~ M€AlllL..1,V1HCKOtll AOKyMeHTa U,V1111:
• cpopMbl N~ 112/o « V1cTop111111 pa3s111rvrn pe6eHKa», yTsep>t<AeHHoil1 np111Ka30M M03 YKpa111Hbl OT 27.12.99 N~302 (Aanee - cpopMa N~ 112/o);
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21
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10npocpvt11aKTvtYecKV1e npvtBV1BKVI AOJl>KHbl npoBOAVITbcs:i npVl co6n10AeH111111 caHV1TapHorl!lr111eHV1YecKV1X Tpe6osaH111VI. 06opyAosaH111e Ka6111HeTa, r,o,e npOBOAS:HCSl nplllBVIBKVI, AOJl>KHO BKfllOYaTb: XOJlOAVIJlbHVIK, WKacp AJ1S1 VlHCTpyMeHTOB VI MeAV!KaMeHTOB, 6VIKCbl co aepvUlbHblM MaTep111anoM, neneHaJlbHblVl CTOJlll!K AJlrl no,lJ,rOTOBKVl npenapaTOB AJ1Sl 111cnOJ1b30BaHll1s:l, CTOJl (wKacp) AJ1S1 xpaHeHll!Sl AOKyMeHTau,111111, eMKOCTb c ,o,e3V1HcpVIU,Vlpy10W.V1M pacTsopoM. KaTeropw-1ecKV1 3anpew.aercs:i npose,D,eHVle npocp11111aKT1t1YecK111x npll!BlllBOK B nepeBs:l30YHblX VI npou,e,o,ypHblX Ka6V1Herax.
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nepvio,o,, |
o603HaYeHHblVl |
VlHCTPYKU.vteV! |
|
no |
V1CnOJlb30BaHV1IO |
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22
|
COOTBeTCTByJOw,ero npenapaTa. Ecn1t1 B V1HCTPYKU,lt1V1 K lt1CnOJlb30BaHlt1IO |
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BaKU,lt1Hbl/aHaTOKClt1Ha |
He yKa3aH cpoK Ha6Jl10AeH1t15l, TO |
Jllt1Ll,O, KOTOpOMY |
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6bina npoBeAeHa BaKU,V1Hau,vrn, AOJl>KHO HaXOAlt1TbC5l nOA Ha6Jl10AeH1t1eM |
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MeAlt1Ll,lt1HCKOro pa60THV1Ka He MeHee 30 Mlt1HYT nocne saKU,1t1HaU,V11t1. |
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15 |
B MeAVILl,ll1HCKlt1X |
AOKyMeHTax He06XOAV1MO OTMeLtaTb |
xapaKrep V1 Cp0Klt1 |
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06w.1t1x lt1 MeCTHblX peaKLI,VILli, npOBOAV1Tb lt1X perV1CTpaLI,1t1IO cornacHO |
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|
«VlHcTpyKu,V1111 |
|
no |
nnaH1t1posaHV110 |
3n1t1AeMw-1ecKoro |
Ha6n10AeH1t1H |
||||||
|
3a |
no60YHblM1t1 |
Ae1t1CTBV1HM1t1 |
V1MMyH061t1onor1t1YecK1t1X |
npenaparos, |
|||||||
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|
|
|
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|
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- |
- |
|
Bb1HsneHV110 V1 per111apau,1111t1 nocTsaKu,111HaJlbHb1x peaKu,1t11t1, ocno>KHeH111111», |
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yrsep>K,LJ.eHHoLli M03 YKpa1t1Hb1 or 04.03.98 r. N~ 49, 3aperlllcTp1t1posaHH0Lli |
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s Mll1HV1CTepcTse 10CT1t1U,V1V1 YKpa11tHbl or 27 anpenH 1998 r. no N~ 267/ 2707. |
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16 |
B |
cnyYae |
pa3BVITll1H |
Heo6b1YH0Lli |
peaKu,1t1111 |
vlnVI |
|
ocno>KHeHlllH Ha |
||||
|
BBeAeHllle BaKLJ,111Hbl, Heo6XOAVIMO coo6W,V1Tb pyKOBOAll1TeJllO neYe6Ho- |
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npocp1t1naKTV1LteCKOro yYpe>KAeH1115l 111n111 n111u,y, 3aH111Ma10w.eMyc51 YaCTHoLli |
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|
npaKTlllKOiil, |
lt1 |
HanpaBlllTb «3KCTpeHHOe 1113Bew,eHV1e |
0 |
V1HcpeKLI,VIOHHOM |
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|
3a6onesaH111111, n111w,esoM 0TpasneHV11t1, Heo6b1YHoiil peaKu,1t1111 Ha |
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|
saKLI,lllHau,1t110» |
(cpopMa 058/o, |
yTsep>KAeHHaH |
npV1Ka30M |
M03 YKpa1t1Hbl |
|||||||
|
or 10.01.2006 N~1, 3aper1t1crp111posaHHaS1 s M111HV1crepcrse iocr111u,V11t1 |
|||||||||||
|
YKpa111Hb1 08.06.2006 no N~ 686/12560) s repp111Top111anbHY10 caHV1rapHo- |
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3nV1AeMV1onorw-1ecKy10 CTaHLI,VllO (C3C). |
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17 MeAV1U.ll1HCK1t1e npoT111sonoKa3aHV15l K np1t1s111sKaM Ka>KAOMY pe6eHKY onpeAeJl5llOTC5l KOMl/1CC111e111 no sonpocaM 111MMYHV13aLI,V11t1, KOTOpa5l C03AaercH cornacHo np1t1Ka3y no neYe6Ho- npocp1t1naKrw-1ecK0My yYpe- >KAeHVllO, cornacHo nepeYHIO npor111sonoKa3aH1t1iil K npocp1t1naKTV1YecK111M npVIBVIBKaM. ,1J.n5l peweHVlri cno>KHblX 111 npor11rnopeY111Bb1x sonpocos no npor111sonoKa3aHV15lM K np111s111sKaM C03AaJOTC5l KOM1t1cc111111 no opraHvi3aU,V1V1 npVIBVIBOK np1t1 o6nacTHblX AeTcK1t1X 6onbH111u,ax.
18n1t1u,a C XpOHlt1YeCKl/1MVI 3a6onesaHVl5lMV1 BCTaAlllll1 peMVICClllVI no 3aKJllOYeHlt1IO KOMVICClt1VI no sonpocaM np111BV1BOK MOryT 6b1T BaKU,111HlllpOBaHbl 8 ycnOBVl5lX crau,1t10Hapa .
19CDaKT OTKa3a OT BaKLJ,V1HaU,l!1111 c noMeTKOLli 0 TOM, '-!TO MeA111Ll,VIHCKV1M
COTPYAHlllKOM npeAocrasneHbl see pa3b5lCHeHll1S1 o nocneACTBV151X raKoro OTKa3a, ocpopMn51eTcH no cpopMe N~ 063 - 2/ o, noAn111cb1saercS1 KaK rpa>1<AaH111HoM (np111 saKLJ,V1Hau,1111t1 HecosepweHHonerHVIX - poAV1TeJl5lM1t1 VIJlVI Apyr111MV1 3aKOHHblMlt1 npeAcrasV1ren5lM1t1, KOTOpb1e VIX npeACTaBJl5llOT), raK VI MeA1t1LI,V1HCK1t1M pa6orHV1KOM, o YeM coo6w,aeTcri B reppV1rop1t1anbHY10 C3C.
20 B Ka>K,LJ.oM np1t1BV1BOYHOM Ka6viHere AOH>KHbl 6b1Tb 111HcTpyKu,1111t1 no 1t1cnonb30BaH1t110 scex npenaparos, KOTOpb1e 1t1cnonb3YIOTC5l Afl51 npoBeAeH1t15l np111s111soK (s T.Y. rex, Koropb1e He BXOA5lT s nepeYeHb o6H3arenbHblX), npOTOKOJlbl OKa3aHll1.s:! MeAVILl,VIHCK0111 nOMOW,111 nplll HeOTJlO>KHblX CV1Tyau,111rix cornacHo AeV1crsyt0W,V1M np111Ka3aM; neKapcrBeHHble cpeACTBa 111 npeAMeTbl
MeAlt1LI,lt1HCKOIO Ha3HaYeHV15l AJ15l OKa3aHVl5l Me,IJ,111Ll,VIHCKOVI nOMOlll_ll1 |
np1t1 |
|
HeoTnO>KHblX COCT05lHll15lX |
- |
- |
VI anTeLJKlt1 An5l OKa3aHVl.s:! cpOL!HOlt1 MeAV1Ll,lt1HCKOVI |
||
23
nOMOW,111 pa60THll1KaM 111 TeXH W-le CKOMY nepcoHany JlnY.
21 BaKU.V1Hbl pa3HblX npoV13BOAV1Teneii1 AJlfl npocpV1naKTll1KV1 OAV1HaKOBblX
V1HcpeKU.1110HHblX 3a6onesaHviil1 MO>KHO B3all1M03aMeH flTb .
7. nepe'"leHbMeAHU."1HCK"1X npOT"1BOnOKa3aHHH
K npoBeAeHMIO npocpMnaKTM'"leCK"1Xnp"1B"1BOK
BaKUMHa
Bee eaKU.HHbl H aHaTOK01Hbl
Bee >KHBble eaKU.MHbl
6U>K - M
6U>K
6U>K - M , 6U>K
one
npoTl!1B KOKJllOWa
KopeeaH, napoTMTHaH, eaKL\MHa npOTHB KpaeHyx111 111nH TPMBaKU.111Ha
np111MeYaH1t1SI
npoTMBOnOKa3aHHH
•Ts:i>Kenb1e ocno>KHeH111s:i OT nepsoill A03bl s BV!Ae aHacp11tnaKT1t14eCKOro WOKa 111nll1 TOKClt14eCKOli1 3p11neMbl.
•Annepr111s:i Ha KaKoli1-n11160 KOMnoHeHr saKU,V1Hbl.
•nporpeee111py10ll.\l!le 3a6oneBaHl/IS1 HepBHOi/1 Clt1eTeMbl, r111.Qp0L..1,ecpan111s:i 111Jllll rlllAPOU,ecpallbHbliil e111Hp,pOM B CTaA1t1111 p,eK0MneHcau.111vi, ::m111nene111S1, 3n111nem111YecK1111il
C111HAPOM c np111CTynaM111 2 pa3a B Mernu. Ill 4all.\e.
•Oapoe 3a6onesaH111e 111n111 06ocrpeH111e xpoH111YecKoro 3a6oneaaH111S1.
•Bpo>K.QeHHb1e KOM6111H111posaHHb1e lllMMyHop,ecp111L..1,V1Tbl, nepB1114HaS1 raMMarno6yn111HeM111s:i.
•V1MMyHocynpece111sHas:i Tepam·rn
•TpaH3111TOpHafl r111noraMMarno6yn111HeM1M1, 3JlOKa4eCTBeHHble HOB006pa30BaHlllfl, 6epeMeHHOCTb, BVJl-l-111HcbeKL.1,111S1(eM . n.2.3)
•Bee pe6eHKa MeHbwe 2000 rpaMM
•Bee pe6eHKa MeHbwe 2500 rpaMM
•Ocno>1<HeH111fl Ha sseAeH111e nepsoi/1 A03bl saKU.lllHbl (n111MQ:>aAeH111T, xonoAHb1iit a6cuece, Keno111.QHb1iil py6eu,, 5LJ,>K-ocnn, reHepa111113oaaHHaS1 5Ll>K-111HcpeKu.111s:i, snsa KO>Kll1 6onee 10CM. B AlllaMeTpe )
•Ty6111HQ:>111u111posaH111e 111 r y6epKyne3 s aHaMHe3e.
.D,ecpeKTbl n1aeMb1 cparou,111ro3a
•f eHepan1113osaHHas:i 5Ll>K-111HcpeKL1,lllS1, 6LJ,>K-oer111r, BblflBneHHble y APYrV1X AeTeill B ceMbe
•He BBOAV1T01 n111L..1,aM c ceneKTlllBHblM lgA - lllMMYHOA€QJll1LllllTOM.
•,D,ernM, KOTOpblM npornsonoKa3aHO BBeAeHl/le >KlllBblX BaKLl,111H, a TaK>Ke '-IJleHaMI/IX CeMeil! peKOM€HAyerot npoBeAeH 111e nplllBlllBOK lllHaKTVIBV1pOBaHHOll1 non1110M111en111rnoli1 saKLJ.lllHbl (v1nB)
•Cy,D,opor111 s aHaMHe3e (sso.Qm A.UC 111n111 saKu,111Hb1c au.enJllOJlflPHblM KOKJllOWHblM KOMnoHeHTOM).
•Annepr111YecK111e peaKu.111111 Ha aM111Horn111K03111.Qb1;
•AHacp11111aKrnYecKas:i peaKU.111fl Ha flll1'-1Hblil16enoK;
•Bse.QeH111e npenapa1os Kpos111
• |
OcHOBHblM |
Kp111repvieM npvi |
peweHvivi sonpoca o nporviaonoKa3aHll1flX K |
|
|
- |
- |
|
BBe,D,eHVllO KOHKpeTHOll1 BaKU.V1Hbl flBJlfleTCfl nepe'-ieHbnpon'1BOnOKa3aHV1V1, |
||
|
on111caHHblii1 |
B lllHCTPYKU.111111 0 |
ee npviMeHeHV1111 . |
24
•n11aHOBaH saKL~111Hau.vrn OTKJlaAblBaeTCH AO 111CYe3HOBeHll1H npor1sneH111lll ocrporo 3a6onesaH111r1 111 np111 06ocrpeH111111 xpoH111YecKoro 3a6011esaH111H, a npOBOA111TCH noCJle Bb13AOPOBJleHll1H 11111111 B nep1110A peMll1CCll1111.
•B c11yYae KOHTaKTa c 111HcpeKu.1110HHblM 6onbHblM npocp111naKT111YecK111e np111s111sK111 He npoT111sonoKa3aHbl.
•nocne BaKU,111HaU,111111 OnB peKOMeHAyeTCH orpaHll1Yll1Tb napeHTepallbHble
BMewaTeJlbCTBa B TeYeHll1111 40 AHeiit .
•JJ,ereLll, no11yY111BWll1X ll1MMYHOCynpecc111sHyt0 repanl!llO LJ,ll1TOCTaT111KaM111, KOpT111KOCTepOV1AaMll1 (60JlbWe 1 Mr/Kr B CYTKll1 no npeAHV130JlOHy) 6onbwe 14 cyTOK, MO>KHO np111s111saTb Yepe3 OAl!IH MeCHU, nocne OTMeHbl 3Tl!1X
npenapaTOB . Ec11111 AJ1111TeJlbHOCTb Tepan111V1 KOpT111KOCTep0111AaMll1 MeHbWe
14 AHeLll He3as111c111Mo OT A03bl, vinvi A03a no npeAHV130JlOHY MeHee 1 Mr/ Kr/ cyr, vi11111 OH v1Cno11b3yeTCH KaK 3aMecr111TenbHar1 Tepan111r1, TO TaKoe 11eYeH111e He HBJl51eTCH npOTV1BOnoKa3aHVleM K BaKU.VlHaU.1111!1 .
•nposeAeH111e np111s111soK npoTl!lB Kop111, 3nV1AeM111YecKoro naporvna V1 KpacHyx111 noc11e BBeAeHvrn 111MMYHOrno6ynviHa B03MO>KHO B cpOK, yKa3aHHblVl
B 111HCTPYKU.111111 no np111MeHeH11110 ll1MMYHOr1106y11111Ha, HO He paHbWe, YeM Yepe3 3 Mecm..1,a . noCJle 3KCTpeHHOLll npocp11111aKTll1Kll1 CTOJl6HHKa HOBOpO>K-
AeHHOMy saKL.1,111Hau,111r1 5LPK npoBOAlllTCH no 06~enp111Hr1Toill cxeMe. Ec11111 111HTepsan Me>KAY np111s111sKaM111 npoT111B Kop111, napoT111Ta, KpacHyx111 111 sseAeH111eM VlMMyHor1106y11V1Ha c neYe6Ho - npocp11111aKT111YecKoill L.1,e11bt0 MeHbwe 14 AHeilt, npV1BV1BKll1 npOTll1B 3T111X 111HcpeKLJ,111Lll CJleAyer noBTOp111Tb .
7.1 PeKOMeHAOBaHHbte HHTepBallbl Me>KAY BaKU,"1Hau,1r1eVi AJlSI npocp1r111aKTll1K"1 KOp"1, napOTHTa, KpacHyx1r1 111 eeTpSIHOM ocnbl ..., BBeAeH"1eM npenapaToe Kpoe1r1, KOTOpbte coAep>KaT cneu,1r1cp1r14ecK1r1e aHT"1Tena
|
|
PeKoMeHAOBaHHbll1 |
npenapaT/noKa3aHlt1e K nplt1MeHeHlt1K> npenapaTa |
|
lt1HTepean |
|
|
(MeCSIUee) |
3KCTpeHHaR ll'IMMyHonpo¢>111naKH1KaCTOJ16Hf!Ka VIMMyHorno6ynVIHOM '-leJlOBeKa |
3 |
|
nporneocron6Hfl'-IHblM |
|
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|
|
nacrnaHafl V1MMyHonpoqw111aKrnKa renarnra A HOpMaJlbHblM 111MMyHorno6yn111- |
3 |
|
HOM '-lenoseKa |
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|
|
nacrneHaf! V1MMyHonpocp11111aKrnKa renarnra B cne~1-1¢1114ecK111M 111MMyHorno6y- |
3 |
|
Illl1HOM nporna renarnra B |
|
|
|
|
|
nacrneHaf! ll1MMyHonpo¢1-1naKT111Ka KOp11'1 HOpMaJlbHb/M ll1MMYHOrno6y11111HOM |
'-le- |
|
JlOBeKa |
|
|
CTaHAapTHaf! KOHTaKTHOMY (6e3 ll1MMYHOAe¢111u1.1ra) |
|
5 |
c ll1MMyHOAe¢111ull'1TOM |
|
6 |
TpaHc¢y3111f! Kpoeil1; |
|
- |
OTMblTble 3p1'1Tp0~111Tbl; |
|
. |
3pi11rpoull'1Tblc A06ae11eH1.1eM KoHcepaaHra (adenine saline); |
|
6 |
u,eJlbHaf! KpOBb (Ht 65%); |
|
6 |
U,eJlbHafl KpOBb (Ht 35-50%); |
|
6 |
n11a3Ma/TDOM60U111Tbl |
|
7 |
V1MMVHOrn06VI1111H npornBOUll'ITOMera11os111ovcHbliilB/ B |
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6 |
B/ e 1'1MMyHorno6y11111H; |
|
. |
cenrnc; |
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8 |
rpoM6ou111rnneH1.1'-lecKaf!nypnypa; |
|
10 |
6one3Hb KaeacaKVI |
|
11 |
25
8. OpraHM3aU.1t1S1 ln1t1AeM111011or111l.fecKoro HaA3opa
3a He611aronp111S1THb1M111 co6b1T1t1S1M111 nocne 111MMYH1t13au,111111 np111 np111MeHeH111111 eaKU.111H, aHaToKc111Hoe 111 annepreHa ry6epKyne3Horo.
OnpegeneH crpor111ilt nops:igoK nposeAeH111s:i 3n111geM111011or111yecKoro Hag3opa 3a He611aronp111HTHb1M111 co6btTl!1HMll1 nocne 111MMyH1113au,111111 np111 np111MeHeH111111 saKL.J,111H, aHaTOKClllHOB 111 annepreHa ry6epKyne3Horo. ,lJ,aHHble Tpe6osaHllls:J RBilHIOTCH o6H3aTe11bHb1M111 AflH 3ase,o,eH111lll 3gpasooxpaHeHV15l YKpa111Hbl He3aBll1CVIMO OT cpopM co6CTBeHHOCTll1 VI BeAOMCTBeHHOVt npV1Ha,o,11e>KHOCTll1.
MOHll1TOpV1Hr 3a He6naronpV1s:!THblMll1 co6blTll15lMll1 nocne lllMMYHll13aL.J,Vllll 111Jlll1 -
Ty6epKyfllllHOAlllarHOCTlllKVI - 3TO Cll1CTeMa nocTOHHHOro Ha611io,o,eHllls:l 3a 6e3onaCHOCTblO BaKL.J,lllH, aHaTOKClllHOB VI a11nepreHa ry6epKyfle3HOro B ycnOBVIHX l!IX npaKTll1YeCKoro VICnOJlb30BaHVls:l.
He611aronpV1s:nHb1e co6b1TV1s::i noc11e vtMMYHV13aL.J,V1V1 (,o,anee - HCnlll) - see 3a6onesaHl!1H, Koropb1e 3aperll1cTpl!1posaHb1 y np111sV1roro Ha npon1>KeH111111 nocrsaKL.J,VIHanbHoro nepVIOAa. K HCnlll OTHOCHTCR: ocno>KHeHHoe TeYeHll1e no-
crsaKL.J,V1Ha11bHoro nepVIOAa Ill nOCTBaKL.J,l!1HaJlbHble peaKL.J,111111 Ill OCJlO>KHeHlllR.
nocrsaKL.J,l!1HaJlbHble peaKL.J,111111 - 3TO KJllllHlllYeCKllle npl!13HaKl!1 HeycTOVtYlllBblX naro11or111YeCKll1X (cpyHKL.J,lllOHaJlbHblX) 1113MeHeHvtilt B opraHll13Me, KOTOpble 803-
HvtKalOT 8 (8513111 c npoBeAeHvteM npvtBlllBKlll.
nocT8aKL.J,111HaJlbHble OCJlO>KHeHvrn - 3TO CTOVtKvte cpyHKL.J,1110HaJlbHble 111 MOpcpoJl0rt.'1YeCKll1e1113MeHeHll15l B opraH1113Me, KOTOpbte BblXOAHT 3a npeAeJlbl cpV131110IlOrll1YeCKll1X KOJle6aHll1Vt Ill np111so,o,sn K 3HaLJ111TeJlbHblM HapyweHvts::IM B COCTOH-
Hl!1111 3,0,0pOBbs::I.
nocrsaKL.J,VIHanbHblVt nep1110,o, - 30 cyroK noc.ne npose,o,eHHoilt np111s111s K111 , Kpo-
Me BaKL.J,111H ,0,1151 npocpv111aKTl!1KVI ry6epKy11e3a |
(5LJ,)K, 5U>K-M), OnB 111 BaKL.J,111H, |
~ |
~ |
KOTOpble co,o,ep>KaT napOTl!1THbll!1 KOMnOHeHT, ,JJ,Jls:l KOTOpblX nOCTBaKL.J,lllHaJlbHbll!l nep1110,o, onpe,o,en~eTCH cornaCHO vtHCTPYKU.111111 0 npl!1MeHeHVll!1 BaKL.J,l!1Hbl.
OCilO>KHeHHoe TeLJeH111e nocrsa KL.J,V1Ha11bHoro nep1110,JJ,a - B03HVIKH08eH111e ocrporo VIIlVI 06ocrpeH111e xpoH111YecKoro 3a6011esaH111s::i s nocrs aKL.J,VIHanbHOM nep1110,JJ,e, Koropoe no speMeHVI cosnagaeT c sse,JJ,eHVleM sa KL.J,VIHbl 111 He VIMeer CBSBlll C np111Bll1BKOll1.
MecTHble peaKL.J,111111 - KJ1111Hll1YeCKll1e np1113HaKVI, KOTOpbte npOs::!BJlfl!OTCH Henocpe,o,CTBeHHO B MeCTe BBeAeHllls:l saKU:lllHbl, aHaTOKClllHa ll1 annepreHa ry6epKyJle3HOro.
C11111bHas::i MecrHas::i peaKu.111s::i xapaKrepll13yercs::i K.n111H111YecK111M111 np1113HaKaM111 - OTeKOM MflrKll1X TKaHeLll CBblWe 50 MM B A111aMerpe, ll1Hcp111JlbTparoM CBblWe 20
MM, r111nepeMV1eLI! CBblWe 80 MM B ,o,111aMeTpe .
06w_111e peaKL.J,111111 - HeycTOVlYll1Bble KJlVIH!llLJeCK!lle np1113HaKll1, KOTOpble npo- s::IBJls::llOTCS:l s onpe,o,e.neHHble cpoK111 noCJle sse,o,eH111s::i 111MMyH06111onor111YecKoro
26
npenapara (saKU,1!1Hbl, aHaTOKCl!1Ha V1n111 annepreHa ry6epKyne3Horo) l!1 np1!1BOAflT K KpaTKOBpeMeHHblM cpyHKU,VIOHanbHblM 1!13MeHeHl!1flM B opraHl!13Me.
K c111nbH0Vi o6w,eV! peaKU,1!11!1 np1!1HaAne>Kl!1T nosb1weHV1e reMneparypbl Tena ~
39°C.
lpynnosbte peaKU.1!1111 - ABa L11n111 6onbwe cnyLJaes, KOTOpb1e 1!1MelOT noxo>1<111e Knll1Hl!1LJeCKl!le np1!13HaKl!1, CBfl3aHHble BpeMeHeM, MeCTOM npoBeAeHl!1fl np1!1Bl!1BKl!1 111 BlllAOM BBeAeHHOil1 BaKU,lllHbl, aHaTOKCll1Ha, annepreHa Ty6epKyne3HOro.
D.ns:i Al!1arHOCTl!1Kl!1 111 yLJeTa peaKL.J.lllVl l!1 OCflO>KHeHl!1Vl 1!1CnOJlb3YIOT LJeTblpe MeTOAa: Kfll!1Hl!1YecKl!1Vt, na6oparopHb1Vi, 3nl!1,D,eM 111onorV1YecK111 ti! 111 craTV1CTV1LJeCKl!1 ti!.
Kn1!1Hl!1YeCKl!1tli ll1 na6oparopHbltli MeTOAbl r!BflfllOTCfl OCHOBHblMl!1 l!1 ,D,alOT 803MO>KHOCTb OTnl!1YaTb peaKU,1!11!1 OT ocno>KHeHl!11!1 l!1 ocnO>KHeHHOro TeLJeHl!lfl noCTBa KU,!11 Han bHoro nep1.-10.n,a.
8.1 nepe"leHb "1 KOAbl B03MO>t<HblX He6naronp1.1s.THblX co6blT"11i1 nocne
"1MMYH"13a4"11.1, HY>KAa10W."1XCS1 s AanbHelllweM pacc11eAOBaH"1l.1
KOAbl:
I. PeaKU"1"1
1
2
3
4
5
6
7
8
9
10
11
II. Ocn0>KHeH1115I
Bo3MO>KHble He6naronpi11S1THb1e co6blT"1S1 nocne "1MMVH"13aU"1"1
noBblW€Hl/1e TeMnepaTypbl AO 39€( 1
noBblW€Hl/1e TeMnepaTypbl 6onbWe 39· ( (ClllnbHa51 06uta51 peaKLJ,1/151 opraHl/13Ma)
50llb, OTeK M51rK!11X TKaHeilt 6oJlbW€ 50 MM, rvinepeMl/151 B Mecre BBeAeHl/151 60JlbWe 80 MM, l/1H¢111nbTpaT 6onbwe 20 MM (c111nbHaH M€CTHas:t) nIllMcpaAeHonan·rn
ronOBHa51 60Jlb
Pa3p,pa)K.l/1TeJ1bHOCTb, HapyweH111e CHa
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Ka1apanbHb1e s:isneHl/1H
fVl111anr11151, apTpanrl/151 TpaH3111TOpHa51 1poM6ou,111rnneH11151
12 |
nocne111HbeKLJ,1110HHb1ilt a6cwecc |
|
13 |
AHacp11111aKTl/1'-1eCKll1illWOK Ill aHacp111naKTOl/l,D,Hble peaKU,1/1111 |
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14 |
Anneprw-1ecK111e peaKu,111111 (oreK Ks111HKe, Cblnb no nmy Kpan111BHVIL.1,bl, |
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ClllHAPOM CrnseHca-D,>KOHCOHa, naillena) |
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15 |
cDe6p111nbHble cy,o,opor111 |
|
16 |
Acpe6p111nbHb1e cyAoporvt |
|
17 |
noAKO)K.Hbtlil XOJlOP,Hblilt a6cu,ecc |
|
18 |
nosepXHOCTHas:t 513Ba > 10 MM. |
|
19 |
Per1110HanbHb1il1 n111M¢aAeH111T |
|
20 |
Keno111AHll1il1 py6ew |
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21 |
leHepam130BaHHa51 6U>K-111HcpeKL.1,l/15l, OCTeOMl/l€Jlll1T, OCT€111T |
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1 |
- |
8 3aBlllClllMOCTlll OT lllHAlllBlllAYaflbHblX oco6eHHOCTelll pe6eHKa.
27
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KOAbl peaKU,l-1Vt 1,1 oc11o>t<HeH"1Vt
BaKU."1Hbl
AKAC. AAC.
KOM6lo1H"1pOBaHHble
Ha OCHOBe AKnc
AaKAC,
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npOT"1B KOp"1, napoT"1Ta, KpacHyx1,1 MOHOBaKLJ."1Hbl•
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4 |
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7 |
|
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9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
|
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6-15 4-10 |
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|
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|
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HX |
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HX |
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|
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HX |
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HX |
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HX |
|
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o;ac. |
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17-18 19 20 21
HX |
HX HX HX |
HX
HX HX HX
HX HX HX HX
HX HX HX HX
1,5 -6 2-6 5-12 2-24
MEC. Mee. Mee. MeC.
HX |
HX |
HX |
HX |
HX |
HX |
HX |
HX |
HX |
HX |
HX |
HX |
|
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HX |
HX |
HX |
HX |
|
* nepe4eHb He Y1CYepnblBalO~V1~, He06XOAY1M O nOJlb30BaTb<;fl V1HCTPYKL\V1SIMV1 Ha n pe na par; |
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HX - He xapaKTepHo; cp - cneu,VlcjWl40CKaR peaKL(IA R Ha BBe,QeHIAe aa KL\IAHbl 6L(>K. |