4 курс / Акушерство и гинекология / тактика_врача_акушера_гинеколога
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ɉɪɟɩɚɪɚɬɵ ɜɵɛɨɪɚ |
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Ɉɫɨɛɟɧɧɨɫɬɢ ɩɪɢɦɟɧɟɧɢɹ |
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ɉɪɟɩɚɪɚɬɵ ɫ ɷɫɬɪɨɝɟɧɚɦɢ ɞɥɹ ɥɨɤɚɥɶɧɨɣ ɬɟɪɚɩɢɢ |
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ɗɫɬɪɢɨɥ ɦɝ ɝ |
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Ʉɪɟɦ ɜɚɝɢɧɚɥɶɧɵɣ ɢɧɬɪɚɜɚɝɢɧɚɥɶɧɨ ɩɨ ɞɨɡɟ ɟɠɟɞɧɟɜɧɨ |
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ɩɟɪɟɞ ɫɧɨɦ ɜ ɬɟɱɟɧɢɟ ɧɟɞ ɡɚɬɟɦ ɩɨɫɬɟɩɟɧɧɨɟ ɫɧɢɠɟɧɢɟ |
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ɞɨɡɵ ɞɨ ɜɜɟɞɟɧɢɹ ɜ ɧɟɞɟɥɸ |
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ɗɫɬɪɢɨɥ ɦɝ |
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Ɉɞɢɧ ɫɭɩɩɨɡɢɬɨɪɢɣ ɜ ɫɭɬɤɢ |
ɜ ɬɟɱɟɧɢɟ |
ɩɟɪɜɵɯ ɧɟɞɟɥɶ |
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ɫ ɩɨɫɥɟɞɭɸɳɢɦ |
ɩɨɫɬɟɩɟɧɧɵɦ |
ɫɧɢɠɟɧɢɟɦ |
ɞɨɡɵ |
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ɨɫɧɨɜɵɜɚɹɫɶ ɧɚ ɨɛɥɟɝɱɟɧɢɢ |
ɫɢɦɩɬɨɦɨɜ |
ɞɨ ɞɨɫɬɢɠɟɧɢɹ |
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ɩɨɞɞɟɪɠɢɜɚɸɳɟɣ |
ɞɨɡɵ |
ɬ ɟ |
ɫɭɩɩɨɡɢɬɨɪɢɣ |
ɞɜɚɠɞɵ |
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ɜ ɧɟɞɟɥɸ |
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ɥɚɤɬɨɛɚɤɬɟɪɢɢ /DFWREDFLOOXV FDVHL |
UKDPQRVXV |
Ʉɚɩɫɭɥɵ |
ɜɚɝɢɧɚɥɶɧɵɟ |
ɩɨ 2 ɤɚɩɫɭɥɵ ɜ ɫɭɬɤɢ |
ɜ ɬɟɱɟɧɢɟ |
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'RGHUOHLQL |
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20 ɞɧɟɣ |
Ɂɚɬɟɦ |
ɩɨ ɤɚɩɫɭɥɟ |
ɜ ɫɭɬɤɢ |
Ʉɭɪɫ |
ɬɟɪɚɩɢɢ |
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ɩɪɨɝɟɫɬɟɪɨɧ ɦɝ |
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ɧɟ ɞɨɥɠɟɧ ɫɨɫɬɚɜɥɹɬɶ ɛɨɥɟɟ ɦɟɫ |
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ɷɫɬɪɢɨɥ ɦɝ |
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Ƚɢɧɨɮɥɨɪ ɗƄ |
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Ɍɚɛɥɟɬɤɢ |
ɜɚɝɢɧɚɥɶɧɵɟ |
ɩɨ -2 ɬɚɛɥɟɬɤɟ ɟɠɟɞɧɟɜɧɨ |
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ɷɫɬɪɢɨɥ ɦɝ ɚɰɢɞɨɮɢɥɶɧɵɟ ɥɚɤɬɨɛɚɤɬɟɪɢɢ |
ɧɚ ɩɪɨɬɹɠɟɧɢɢ - ɞɧɟɣ ɡɚɬɟɦ ɩɨɞɞɟɪɠɢɜɚɸɳɚɹ ɞɨɡɚ - |
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ɬɚɛɥɟɬɤɚ -2 ɪɚɡɚ ɜ ɧɟɞɟɥɸ |
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ɋɪɟɞɫɬɜɚ |
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ɭɜɟɥɢɱɢɜɚɸɳɢɟ |
ɤɨɥɢɱɟɫɬɜɨ |
ɦɨɥɨɱɧɨɣ |
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ɤɢɫɥɨɬɵ |
ɜɨ ɜɥɚɝɚɥɢɳɟ |
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ɩɪɢ ɪɇ ɛɨɥɟɟ - |
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Ⱥɫɤɨɪɛɢɧɨɜɚɹ ɤɢɫɥɨɬɚ 250 ɦɝ |
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ɉɨ ɬɚɛɥɟɬɤɟ ɜɨ ɜɥɚɝɚɥɢɳɟ ɧɚ ɧɨɱɶ ɰɢɤɥɚ ɩɨ 6 ɞɧɟɣ |
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ɩɨɫɥɟ ɦɟɧɫɬɪɭɚɰɢɢ |
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Ɇɨɥɨɱɧɚɹ ɤɢɫɥɨɬɚ ɦɝ |
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ɉɨ ɫɭɩɩɨɡɢɬɨɪɢɸ ɦɝ ɜɨ ɜɥɚɝɚɥɢɳɟ ɧɚ ɧɨɱɶ ɜ ɬɟɱɟɧɢɟ |
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ɞɧɟɣ |
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Ʌɚɤɬɚɝɟɥɶ |
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Ƚɟɥɶ ɜɚɝɢɧɚɥɶɧɵɣ ɜ ɬɸɛɢɤɚɯ-ɦɢɤɪɨɫɩɪɢɧɰɨɜɤɚɯ ɩɨ 5 ɦɥ |
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ɦɨɥɨɱɧɚɹ ɤɢɫɥɨɬɚ 225 ɦɝ ɝɥɢɤɨɝɟɧ ɦɥ |
ɜɨ ɜɥɚɝɚɥɢɳɟ ɧɚ ɧɨɱɶ ɞɧɟɣ ɡɚɬɟɦ -2 ɬɸɛɢɤɚ ɜ ɧɟɞɟɥɸ |
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ɜ ɬɟɱɟɧɢɟ -6 ɦɟɫ |
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Ʌɭɛɪɢɤɚɧɬɵ ɢ ɭɜɥɚɠɧɢɬɟɥɢ |
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Ƚɢɞɪɨɤɫɢɷɬɢɥɰɟɥɥɸɥɨɡɚ ɦɝ |
ɝɥɢɰɟɪɢɧ |
Ƚɟɥɶ ɜɚɝɢɧɚɥɶɧɵɣ ɜ ɬɸɛɢɤɚɯ ɦɥ ɜɨ ɜɥɚɝɚɥɢɳɟ ɞɨɡɚ |
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ɦɝ |
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ɨɱɢɳɟɧɧɚɹ ɜɨɞɚ ɦɝ |
ɢ ɱɚɫɬɨɬɚ ɩɪɢɦɟɧɟɧɢɹ ɨɩɪɟɞɟɥɹɸɬɫɹ ɢɧɞɢɜɢɞɭɚɥɶɧɨ |
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+ ɯɥɨɪɝɟɤɫɢɞɢɧ ɞɢɝɢɞɪɨɯɥɨɪɢɞ ɦɝ |
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ɇɚɬɪɢɹ ɝɢɚɥɭɪɨɧɚɬ |
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Ƚɟɥɶ ɜɚɝɢɧɚɥɶɧɵɣ ɜ ɬɸɛɢɤɚɯ ɦɥ ɜɨ ɜɥɚɝɚɥɢɳɟ ɪɚɡɚ |
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ɜ ɧɟɞɟɥɸ ɱɟɪɟɡ ɞɟɧɶ |
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Ɉɱɢɳɟɧɧɚɹ ɜɨɞɚ |
ɩɪɨɩɢɥɟɧɝɥɢɤɨɥɶ |
Ƚɟɥɶ ɞɥɹ ɢɧɬɢɦɧɨɣ ɝɢɝɢɟɧɵ ɭɜɥɚɠɧɹɸɳɢɣ ɜɨ ɜɥɚɝɚɥɢɳɟ |
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ɝɢɞɪɨɤɫɢɷɬɢɥɰɟɥɥɸɥɨɡɚ |
ɫɨɪɛɚɬ |
ɜ ɬɸɛɢɤɚɯ ɝ ɞɨɡɚ ɢ ɱɚɫɬɨɬɚ ɩɪɢɦɟɧɟɧɢɹ ɨɩɪɟɞɟɥɹɟɬɫɹ |
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ɤɚɥɢɹ ɦɨɥɨɱɧɚɹ ɤɢɫɥɨɬɚ |
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ɢɧɞɢɜɢɞɭɚɥɶɧɨ |
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ɗɮɮɟɤɬɢɜɧɨɣ ɧɟɝɨɪɦɨɧɚɥɶɧɨɣ ɚɥɶɬɟɪɧɚɬɢɜɧɨɣ ɬɟɪɚɩɢɟɣ ȽɍɆɋ ɹɜɥɹɟɬɫɹ ɩɪɢɦɟɧɟɧɢɟ ɫɨɜɪɟɦɟɧɧɵɯ ɥɚɡɟɪɧɵɯ ɬɟɯɧɨɥɨɝɢɣ ɷɪɛɢɟɜɵɣɞɥɢɧɚ ɜɨɥɧɵ ɧɦ ɮɪɚɤɰɢɨɧɧɵɣ &2 ɧɦ ɢ ɧɟɨɞɢɦɨɜɵɣɧɦ ɥɚɡɟɪɵ ɉɨɫɥɟ ɬɟɪɦɢɱɟɫɤɨɝɨ ɩɨɜɪɟɠɞɟɧɢɹ ɮɢɛɪɨɡɧɵɯ ɧɢɬɟɣ ɨɛɪɚɡɭɸɬɫɹ ɛɟɥɤɢ ɬɟɩɥɨɜɨɝɨ ɲɨɤɚ ɢ ɡɚɩɭɫɤɚɟɬɫɹ ɪɟɚɤɰɢɹ ɤɥɟɬɨɱɧɨɝɨ ɢɦɦɭɧɢɬɟɬɚ Ɋɚɡɜɢɜɚɟɬɫɹ ɚɫɟɩɬɢɱɟɫɤɨɟ ɜɨɫɩɚɥɟɧɢɟ ɱɬɨ ɩɪɢɜɨɞɢɬ ɤ ɫɢɧɬɟɡɭ ɮɢɛɪɨɛɥɚɫɬɨɜ ɢ ɚɤɬɢɜɚɰɢɢ ɮɨɪɦɢɪɨɜɚɧɢɹ ɜɨɥɨɤɨɧ ɤɨɥɥɚɝɟɧɚ ɢ ɷɥɚɫɬɢɧɚ
ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹɦɢ ɤ ɩɪɨɜɟɞɟɧɢɸ ɩɪɨɰɟɞɭɪɵ ɹɜɥɹɸɬɫɹ ɨɫɬɪɵɟ ɢɧɮɟɤɰɢɨɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ ɯɪɨɧɢɱɟɫɤɢɟ ɢ ɚɭɬɨɢɦɦɭɧɧɵɟ ɜ ɫɬɚɞɢɢ ɨɛɨɫɬɪɟɧɢɹ ɨɧɤɨɥɨɝɢɱɟɫɤɢɟ ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɪɫɢɫɬɟɧɰɢɹ ȼɉɑ ɧɚ ɫɥɢɡɢɫɬɨɣ ɜɥɚɝɚɥɢɳɚ
472
Ʌɟɱɟɧɢɟ ɫɢɦɩɬɨɦɨɜ ɜɭɥɶɜɨɜɚɝɢɧɚɥɶɧɨɣ ɚɬɪɨɮɢɢ ɫ ɩɪɢɦɟɧɟɧɢɟɦ ȤȗȈȏȌȉȕȊȕ ȒȇȎȌȗȇ ɞɥɢɧɚ ɜɨɥɧɵ ɧɦ ɨɫɧɨɜɚɧɨ ɧɚ ɧɟɚɛɥɚɰɢɨɧɧɨɣ ɮɨɬɨɬɟɪɦɢɱɟɫɤɨɣ ɨɛɪɚɛɨɬɤɟ ɫɥɢɡɢɫɬɨɣ ɜɭɥɶɜɵ ɢ ɜɥɚɝɚɥɢɳɚ ɢ ɩɪɨɜɨɞɢɬɫɹ ɜ ɧɟɫɤɨɥɶɤɨ ɩɨɫɥɟɞɨɜɚɬɟɥɶɧɵɯ ɷɬɚɩɨɜ
ǶȇȗȇȓȌșȗȢ ȉȕȎȋȌȐȘșȉȏȦ ȤȗȈȏȌȉȢȓ ȒȇȎȌȗȕȓ ɧɚ ɩɪɢɦɟɪɟ ɥɚɡɟɪɧɨɣ ɭɫɬɚɧɨɜɤɢ ɞɥɹ ɝɢɧɟɤɨɥɨɝɢɢ '<1$0,6 ;6 )2721$
ȄșȇȖ - ɤɪɭɝɨɜɚɹ ɨɛɪɚɛɨɬɤɚ ɫɬɟɧɨɤ ɜɥɚɝɚɥɢɳɚ
ɉɪɨɰɟɞɭɪɚ 5HQRYD/DVH ɗɬɚɩ
Ɋɟɠɢɦ ɢɧɬɟɪɮɟɣɫɚ ɩɨɥɶɡɨɜɚɬɟɥɹ |
(U <$* 38/6( |
Ɇɚɧɢɩɭɥɚ |
5 ɫ ɚɞɚɩɬɟɪɨɦ *& |
Ɋɚɡɦɟɪ ɩɹɬɧɚ |
7 ɦɦ |
Ⱦɥɢɧɚ ɢɦɩɭɥɶɫɚ |
60227+ |
ɑɚɫɬɨɬɚ |
Ƚɰ |
ɉɥɨɬɧɨɫɬɶ ɩɨɬɨɤɚ ɷɧɟɪɝɢɢ |
Ⱦɠ ɫɦ2 |
Ʉɚɤ ɭɫɬɚɧɨɜɥɟɧɨ ɧɚ ɦɚɧɢɩɭɥɟ ɢ ɫɢɫɬɟɦɧɨɣ ɤɨɧɫɨɥɢ
ɋɨɜɟɪɲɚɟɬɫɹ ɬɪɢ ɤɪɭɝɨɜɵɯ ɩɪɨɯɨɞɚ ɦɟɠɞɭ ɤɨɬɨɪɵɦɢ ɥɚɡɟɪɧɵɣ ɪɟɮɥɟɤɬɨɪ ɩɨɜɨɪɚɱɢɜɚɟɬɫɹ ɧɚ
ȄșȇȖ - ɨɛɪɚɛɨɬɤɚ ɩɪɟɞɞɜɟɪɢɹ ɜɥɚɝɚɥɢɳɚ ɜɭɥɶɜɵ ɢ ɭɪɟɬɪɵ
ɉɪɨɰɟɞɭɪɚ 5HQRYD/DVH ɗɬɚɩ
Ɋɟɠɢɦ ɢɧɬɟɪɮɟɣɫɚ ɩɨɥɶɡɨɜɚɬɟɥɹ |
(U <$* 38/6( |
Ɇɚɧɢɩɭɥɚ |
36 |
Ɋɚɡɦɟɪ ɩɹɬɧɚ |
7 ɦɦ |
Ⱦɥɢɧɚ ɢɦɩɭɥɶɫɚ |
60227+ |
ɑɚɫɬɨɬɚ |
Ƚɰ |
ɉɥɨɬɧɨɫɬɶ ɩɨɬɨɤɚ ɷɧɟɪɝɢɢ |
Ⱦɠ ɫɦ2 |
Ʉɚɤ ɭɫɬɚɧɨɜɥɟɧɨ ɧɚ ɦɚɧɢɩɭɥɟ ɢ ɫɢɫɬɟɦɧɨɣ ɤɨɧɫɨɥɢ
ɉɚɪɚɦɟɬɪɵ ɜɨɡɞɟɣɫɬɜɢɹ ɷɪɛɢɟɜɵɦ ɥɚɡɟɪɨɦ ɧɚ ɩɪɢɦɟɪɟ ɥɚɡɟɪɧɨɣ ɭɫɬɚɧɨɜɤɢ $6&/(3,21 0&/ '(50$%/$7(
ɉɪɨɜɟɞɟɧɢɟ ɚɛɥɹɰɢɨɧɧɨɝɨ ɜɚɝɢɧɚɥɶɧɨɝɨ ɜɨɡɞɟɣɫɬɜɢɹ
ȤșȇȖ - ɚɛɥɚɬɢɜɧɵɣ ɮɪɚɤɰɢɨɧɧɵɣ ɪɟɠɢɦ
ɉɚɪɚɦɟɬɪ |
Ɉɬɪɚɠɚɬɟɥɶ ɧɚ ˽˾ɨ ɫ ɨɩɬɢɤɨɣ 0LFUR6SRW |
Ɋɟɠɢɦ |
Ⱥɛɥɚɬɢɜɧɵɣ |
|
1 |
ɉɥɨɬɧɨɫɬɶ ɷɧɟɪɝɢɢ ɮɥɸɟɧɫ |
- ɤȾɠ ɫɦ2 |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ ɢɦɩɭɥɶɫɚ |
300 |
ȼɪɟɦɹ ɦɟɠɞɭ ɢɦɩɭɥɶɫɚɦɢ ɫɤɨɪɨɫɬɶ - ɫ |
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ɑɚɫɬɨɬɚ |
4- Ƚɰ |
ǶȗȕȉȌȋȌȔȏȌ ȤșȇȖȇ - ɬɟɩɥɨɜɨɝɨ ɜɚɝɢɧɚɥɶɧɨɝɨ ɜɨɡɞɟɣɫɬɜɢɹ
ɉɚɪɚɦɟɬɪ |
Ɉɬɪɚɠɚɬɟɥɶ ɧɚ ɨɫ ɨɩɬɢɤɨɣ 0LFUR6SRW |
Ɋɟɠɢɦ |
: |
ɉɥɨɬɧɨɫɬɶ ɷɧɟɪɝɢɢ ɮɥɸɟɧɫ |
2- ɤȾɠ ɫɦ2 |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ ɢɦɩɭɥɶɫɚ |
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ȼɪɟɦɹ ɦɟɠɞɭ ɢɦɩɭɥɶɫɚɦɢ ɫɤɨɪɨɫɬɶ |
- ɫ |
ɑɚɫɬɨɬɚ |
- Ƚɰ |
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473 |
ȤșȇȖ ɉɪɨɜɟɞɟɧɢɟ ɩɪɨɰɟɞɭɪɵ ɥɚɡɟɪɧɨɝɨ ɜɨɡɞɟɣɫɬɜɢɹ ɧɚ ɜɭɥɶɜɟ
ɉɚɪɚɦɟɬɪ |
Ɉɬɪɚɠɚɬɟɥɶ ɧɚ ˽˾ɨɫ ɨɩɬɢɤɨɣ 0LFUR6SRW |
Ɋɟɠɢɦ |
Ⱥɛɥɚɬɢɜɧɵɣ |
|
1 |
ɉɥɨɬɧɨɫɬɶ ɷɧɟɪɝɢɢ ɮɥɸɟɧɫ |
- ɤȾɠ ɫɦ2 |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ ɢɦɩɭɥɶɫɚ |
300 |
ȼɪɟɦɹ ɦɟɠɞɭ ɢɦɩɭɥɶɫɚɦɢ ɫɤɨɪɨɫɬɶ |
- ɫ |
ɑɚɫɬɨɬɚ |
4- Ƚɰ |
ɇɚ ɤɚɠɞɵɣ ɭɱɚɫɬɨɤ ɧɟɨɛɯɨɞɢɦɨ ɩɨɞɚɬɶ ɩɨ ɢɦɩɭɥɶɫɚ 60227+ ɩɟɪɟɞ ɬɟɦ ɤɚɤ ɩɟɪɟɯɨɞɢɬɶ ɤ ɫɥɟɞɭɸɳɟɦɭ ɭɱɚɫɬɤɭ Ʌɚɡɟɪɧɨɟ ɜɨɡɞɟɣɫɬɜɢɟ ɜɵɩɨɥɧɹɟɬɫɹ ɫ ɩɟɪɟɤɪɵɜɚɧɢɟɦ ɩɹɬɟɧ ɧɚ
dzȏȑȗȕȇȈȒȦșȏȉȔȇȦ ȒȇȎȌȗȔȇȦ șȌȗȇȖȏȦ Ș ȖȗȏȓȌȔȌȔȏȌȓ țȗȇȑȝȏȕȔȔȕȊȕ ȚȊȒȌȑȏȘȒȕșȔȕȊȕ Ǹǵ ȒȇȎȌȗȇ ɨɫɭɳɟɫɬɜɥɹɟɬɫɹ ɦɚɧɢɩɭɥɨɣ ɧɚ ɧɚ ɫɥɢɡɢɫɬɭɸ ɜɥɚɝɚɥɢɳɚ ɩɟɪɜɵɣ ɢɦɩɭɥɶɫ ɩɨɞɚɟɬɫɹ ɜ ɩɨɥɨɠɟɧɢɢ ɧɚ ɱ ɫɥɟɞɭɸɳɢɣ ɫ ɩɨɜɨɪɨɬɨɦ ɧɚ ɩɨ ɱɚɫɨɜɨɣ ɫɬɪɟɥɤɟ ɞɚɥɟɟ ɦɚɧɢɩɭɥɚ ɢɡɜɥɟɤɚɟɬɫɹ ɧɚ 4 ɦɦ ɤɧɚɪɭɠɢ ɢɡ ɜɥɚɝɚɥɢɳɚ ɞɨ ɫɩɟɰɢɚɥɶɧɨɣ ɨɬɦɟɬɤɢ ɢ ɜɨɡɞɟɣɫɬɜɢɹ ɩɨɜɬɨɪɹɸɬɫɹ ɜɧɨɜɶ ɩɨɤɚ ɧɟ ɛɭɞɭɬ ɨɛɪɚɛɨɬɚɧɵ ɜɫɟ ɫɬɟɧɤɢ ɜɥɚɝɚɥɢɳɚ Ɏɪɚɤɰɢɨɧɧɵɣ ɮɨɬɨɬɟɪɦɨɥɢɡ ɧɚ ɫɥɢɡɢɫɬɭɸ ɜɭɥɶɜɵ ɢ ɤɨɠɭ ɧɚɪɭɠɧɵɯ ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɫɨɜɟɪɲɚɟɬɫɹ ɦɚɧɢɩɭɥɨɣ ɫɨ ɫɬɚɧɞɚɪɬɧɵɦ ɩɪɹɦɵɦ ɚɞɚɩɬɟɪɨɦ ɜ ɨɞɢɧ ɩɪɨɯɨɞ ɩɪɢ ɤɨɬɨɪɨɦ ɨɛɪɚɛɨɬɚɧɧɵɟ ɨɛɥɚɫɬɢ ɧɟ ɧɚɤɥɚɞɵɜɚɸɬɫɹ ɞɪɭɝ ɧɚ ɞɪɭɝɚ
ǶȇȗȇȓȌșȗȢ ȉȕȎȋȌȐȘșȉȏȦ țȗȇȑȝȏȕȔȔȢȓ ȚȊȒȌȑȏȘȒȕșȔȢȓ ȒȇȎȌȗȕȓ ɧɚ ɩɪɢɦɟɪɟ ɥɚɡɟɪɧɨɣ ɭɫɬɚɧɨɜɤɢ 6PDUW;LGH '27 '(.$ ɂɬɚɥɢɹ Ɇɟɬɨɞɢɤɚ 0RQD/LVD 7RXFK
ɉɚɪɚɦɟɬɪɵ |
ɇɚ ɫɥɢɡɢɫɬɭɸ |
ɜɥɚɝɚɥɢɳɚ ɇɚ ɤɨɠɭ ɧɚɪɭɠɧɵɯ ɩɨɥɨɜɵɯ |
|
ɢ ɜɭɥɶɜɵ |
ɨɪɝɚɧɨɜ |
Ɇɨɳɧɨɫɬɶ |
30 ȼɬ |
30 ȼɬ |
ȼɪɟɦɹ ɜɵɞɟɪɠɤɢ |
ɦɤɫ |
ɦɤɫ |
ɂɧɬɟɪɜɚɥ '27 ɪɚɫɫɬɨɹɧɢɟ ɦɟɠɞɭ ɦɤɦ |
ɦɤɦ |
|
ɬɨɱɤɚɦɢ |
|
|
ɉɚɪɚɦɟɬɪ 6PDUW 6WDN |
|
|
Ɋɟɠɢɦ |
'-ɢɦɩɭɥɶɫ |
6-ɢɦɩɭɥɶɫ |
RF-ȒȏțșȏȔȊ - ɧɟɚɛɥɚɬɢɜɧɚɹ ɦɟɬɨɞɢɤɚ ɤɨɧɬɪɨɥɢɪɭɟɦɨɝɨ ɧɚɝɪɟɜɚ ɤɨɠɢ ɢ ɩɨɞɤɨɠɧɨ-ɠɢɪɨɜɨɣ ɤɥɟɬɱɚɬɤɢ ɷɥɟɤɬɪɢɱɟɫɤɢɦ ɬɨɤɨɦ ɜɵɫɨɤɨɣ ɱɚɫɬɨɬɵ ɫ ɦɝɧɨɜɟɧɧɵɦ ɷɮɮɟɤɬɨɦ ɩɨɞɬɹɠɤɢ ɬɤɚɧɟɣ ɗɧɟɪɝɢɹ ɪɚɞɢɨɜɨɥɧ ɩɪɢ ɩɪɨɯɨɠɞɟɧɢɢ ɱɟɪɟɡ ɬɤɚɧɢ ɩɪɟɨɛɪɚɡɭɟɬɫɹ ɜ ɬɟɩɥɨ
dzȌșȕȋȏȑȇ ȔȌȇȈȒȇșȏȉȔȕȊȕ 5)-ȒȏțșȏȔȊȇ Ȕȇ ȇȖȖȇȗȇșȌ (9$ ɉɨɫɥɟ ɭɫɬɚɧɨɜɤɢ ɜɚɝɢɧɚɥɶɧɨɝɨ ɞɚɬɱɢɤɚ ɜɵɛɢɪɚɟɦ ɧɚ ɷɤɪɚɧɟ ɩɪɢɛɨɪɚ ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɪɟɠɢɦ ɜɭɥɶɜɨɜɚɝɢɧɚɥɶɧɚɹ ɚɬɪɨɮɢɹ ɇɆ ɢɥɢ ɫɢɧɞɪɨɦ ɜɚɝɢɧɚɥɶɧɨɣ ɪɟɥɚɤɫɚɰɢɢ ɇɚ ɜɚɝɢɧɚɥɶɧɵɣ ɞɚɬɱɢɤ ɨɛɢɥɶɧɨ ɧɚɧɨɫɢɬɫɹ ɝɥɢɰɟɪɢɧɨɜɵɣ ɝɟɥɶ ɉɚɰɢɟɧɬɤɟ ɜ ɪɭɤɢ ɞɚɟɬɫɹ ɤɧɨɩɤɚ ɛɢɨɥɨɝɢɱɟɫɤɨɣ ɨɛɪɚɬɧɨɣ ɫɜɹɡɢ ɩɟɪɟɞ ɧɚɠɚɬɢɟɦ ɩɟɞɚɥɢ ɫɬɚɪɬɚ ɩɪɨɰɟɞɭɪɵ ɩɚɰɢɟɧɬɤɚ ɞɨɥɠɧɚ ɚɤɬɢɜɢɪɨɜɚɬɶ ɤɧɨɩɤɭ ɨɞɧɨɤɪɚɬɧɵɦ ɧɚɠɚɬɢɟɦ ɇɚɠɢɦɚɹ ɧɚ ɧɨɠɧɭɸ ɩɟɞɚɥɶ ɜɪɚɱ ɨɫɭɳɟɫɬɜɥɹɟɬ
474
ɜɪɚɳɚɬɟɥɶɧɨ-ɩɨɫɬɭɩɚɬɟɥɶɧɵɟ ɛɵɫɬɪɵɟ ɞɜɢɠɟɧɢɹ ɧɚɤɨɧɟɱɧɢɤɨɦ ɜ ɬɟɱɟɧɢɟ - ɦɢɧ
PRP ȖȒȇȎȓȇ ȕȈȕȊȇȠȌȔȔȇȦ șȗȕȓȈȕȝȏșȇȓȏ - ɷɬɨ ɩɪɟɩɚɪɚɬ ɩɨɥɭɱɚɟɦɵɣ ɢɡ ɤɪɨɜɢ ɩɚɰɢɟɧɬɤɢ ɫɨɞɟɪɠɚɳɢɣ ɚɭɬɨɥɨɝɢɱɧɭɸ ɩɥɚɡɦɭ ɫ ɩɨɜɵɲɟɧɧɨɣ ɤɨɧɰɟɧɬɪɚɰɢɟɣ ɬɪɨɦɛɨɰɢɬɨɜ Ɇɟɯɚɧɢɡɦ ɞɟɣɫɬɜɢɹ ɩɥɚɡɦɵ ɨɛɨɝɚɳɟɧɧɨɣ ɬɪɨɦɛɨɰɢɬɚɦɢ ɡɚɤɥɸɱɚɟɬɫɹ ɜ ɫɩɨɫɨɛɧɨɫɬɢ ɬɪɨɦɛɨɰɢɬɨɜ ɩɪɢ ɪɚɡɪɭɲɟɧɢɢ ɜɵɫɜɨɛɨɠɞɚɬɶ ɝɪɚɧɭɥɵ ɫɨɞɟɪɠɚɳɢɟ ɦɧɨɝɨɱɢɫɥɟɧɧɵɟ ɮɚɤɬɨɪɵ ɪɨɫɬɚ ɮɚɤɬɨɪ ɪɨɫɬɚ ɷɧɞɨɬɟɥɢɹ ɫɨɫɭɞɨɜ ɷɩɢɞɟɪɦɚɥɶɧɵɣ ɮɚɤɬɨɪ ɪɨɫɬɚ ɬɪɨɦɛɨɰɢɬɚɪɧɵɣ ɮɚɤɬɨɪ ɪɨɫɬɚ ɬɪɚɧɫɮɨɪɦɢɪɭɸɳɢɣ ɮɚɤɬɨɪ ɪɨɫɬɚ-ȕ ɮɚɤɬɨɪɵ ɪɨɫɬɚ ɮɢɛɪɨɛɥɚɫɬɨɜ ɢ ɩɪ ɦɟɞɢɚɬɨɪɵ ɜɨɫɩɚɥɟɧɢɹ ɰɢɬɨ- ɢ ɯɟɦɨɤɢɧɵ ɤɨɬɨɪɵɟ ɫɩɨɫɨɛɫɬɜɭɸɬ ɩɪɨɥɢɮɟɪɚɰɢɢ ɞɢɮɮɟɪɟɧɰɢɪɨɜɤɟ ɢ ɦɢɝɪɚɰɢɢ ɤɥɟɬɨɤ Ʉɭɪɫ ɥɟɱɟɧɢɹ ȽɍɆɋ ɩɥɚɡɦɨɣ ɨɛɨɝɚɳɟɧɧɨɣ ɬɪɨɦɛɨɰɢɬɚɦɢ ɢɧɞɢɜɢɞɭɚɥɟɧ ɜ ɫɪɟɞɧɟɦ ɫɨɫɬɨɢɬ ɢɡ ɬɪɟɯ - ɱɟɬɵɪɟɯ ɩɪɨɰɟɞɭɪ ɩɪɨɜɨɞɢɦɵɯ ɫ ɢɧɬɟɪɜɚɥɨɦ ɧɟ ɛɨɥɟɟ ɧɟɞ ɉɨɞɞɟɪɠɢɜɚɸɳɢɣ ɫɟɚɧɫ ɱɟɪɟɡ - ɦɟɫ $-ɩɥɚɡɦɚ ɨɛɨɝɚɳɟɧɧɚɹ ɬɪɨɦɛɨɰɢɬɚɦɢ ɜɜɨɞɢɬɫɹ ɜ ɩɨɞɫɥɢɡɢɫɬɵɟ ɫɥɨɢ ɜɥɚɝɚɥɢɳɚ ɢ ɜɭɥɶɜɵ ɥɢɧɟɣɧɨ-ɪɟɬɪɨɝɪɚɞɧɨɣ ɢ ɩɚɩɭɥɶɧɨɣ ɬɟɯɧɢɤɚɦɢ ɍ ɠɟɧɳɢɧ ɜ ɩɟɪɢ- ɢ ɩɨɫɬɦɟɧɨɩɚɭɡɟ ɜɜɟɞɟɧɢɟ ɩɥɚɡɦɵ ɨɛɨɝɚɳɟɧɧɨɣ ɬɪɨɦɛɨɰɢɬɚɦɢ ɜɨɡɦɨɠɧɨ ɫɨɱɟɬɚɬɶ ɤɚɤ ɫ ɫɢɫɬɟɦɧɨɣ ɬɚɤ ɢ ɫ ɥɨɤɚɥɶɧɨɣ ɦɟɧɨɩɚɭɡɚɥɶɧɨɣ ɝɨɪɦɨɧɚɥɶɧɨɣ ɬɟɪɚɩɢɟɣ ɚ ɬɚɤɠɟ ɫ ɮɪɚɤɰɢɨɧɧɵɦ ɥɚɡɟɪɧɵɦ ɮɨɬɨɬɟɪɦɨɥɢɡɨɦ
ȼɨɡɦɨɠɧɚ ɢɯ ɤɨɦɛɢɧɚɰɢɹ ɫ ɰɟɥɶɸ ɭɜɟɥɢɱɟɧɢɹ ɨɛɴɟɦɚ ɩɪɟɩɚɪɚɬɚ ɞɥɹ ɷɬɨɝɨ ɤ 353 +$ ɩɨɥɭɱɟɧɧɨɣ ɜ ɠɟɥɬɨɣ ɩɪɨɛɢɪɤɟ 5HJHQ %&7- +$ ɞɨɛɚɜɥɹɸɬ ɦɥ 353 ɩɨɥɭɱɟɧɧɨɣ ɜ ɫɢɧɟɣ ɩɪɨɛɢɪɤɟ 5HJHQ %&7
Ⱦɥɹ ɥɟɱɟɧɢɹ ɞɚɧɧɵɯ ɫɢɦɩɬɨɦɨɤɨɦɩɥɟɤɫɨɜ ɪɟɤɨɦɟɧɞɨɜɚɧɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɩɪɨɛɢɪɤɢ
5HJHQ %&7
5HJHQ %&7-HA<FHOOELR
ǷȇȋȏȉȕȒȔȕȉȕȐ ȏȔșȏȓȔȢȐ ȒȏțșȏȔȊ 3HOOHYH
ɉɪɨɰɟɞɭɪɚ 3HOOHYH ɩɪɨɜɨɞɢɬɫɹ ɧɚ ɚɩɩɚɪɚɬɟ ɋɍɊȽɂɌɊɈɇ ') 6˾ ˽ ˹ ɆȽɰ ɜ
ɪɟɠɢɦɟ &87 ɪɚɡɪɟɡ ɇɚ ɤɨɠɭ ɜɭɥɶɜɵ ɬɨɧɤɢɦ ɫɥɨɟɦ ɧɚɧɨɫɢɬɫɹ ɝɟɥɶ 3HOOHYH ɜ ɨɛɥɚɫɬɢ ɤɪɟɫɬɰɚ ɩɨɞ ɨɞɟɠɞɭ ɭɫɬɚɧɚɜɥɢɜɚɟɬɫɹ ɚɧɬɟɧɧɚɹ ɩɥɚɫɬɢɧɚ Ɋɟɤɨɦɟɧɞɭɟɦɚɹ
ɧɚɱɚɥɶɧɚɹ ɦɨɳɧɨɫɬɶ ɞɥɹ ɩɚɰɢɟɧɬɨɤ ɫɨɫɬɚɜɥɹɟɬ ɜ ɫɪɟɞɧɟɦ ɟɞ ɫ ɩɨɫɬɟɩɟɧɧɵɦ ɩɨɜɵɲɟɧɢɟɦ ɩɨ ɟɞ ɞɨ ɦɚɤɫɢɦɚɥɶɧɨɣ ɦɨɳɧɨɫɬɢ ɟɞ ɗɥɟɤɬɪɨɞɵ 3HOOHYH *OLGH6DIH ɩɥɨɬɧɨ ɩɪɢɠɢɦɚɸɬɫɹ ɤ ɤɨɠɟ ɩɨɥɨɜɵɯ ɝɭɛ ɧɟɩɪɟɪɵɜɧɨ ɢ ɛɵɫɬɪɨ
ɩɟɪɟɞɜɢɝɚɸɬ ɩɟɪɟɫɟɤɚɸɳɢɦɢɫɹ ɫɩɢɪɚɥɟɜɢɞɧɵɦɢ ɞɜɢɠɟɧɢɹɦɢ ɞɢɚɦɟɬɪɨɦ ˺ ˾- ɫɦ ɩɨ ɤɨɠɟ ɜ ɬɟɱɟɧɢɟ - ɦɢɧɭɬ ɫ ɤɚɠɞɨɣ ɫɬɨɪɨɧɵ Ɂɨɧɵ ɨɛɪɚɛɚɬɵɜɚɸɬɫɹ ɞɨ ɬɟɦɩɟɪɚɬɭɪɵ - ɋ ɩɚɰɢɟɧɬɤɚ ɱɭɜɫɬɜɭɟɬ ɩɨɫɬɟɩɟɧɧɨɟ ɧɚɝɪɟɜɚɧɢɟ ɨɛɪɚɛɚɬɵɜɚɟɦɨɣ ɨɛɥɚɫɬɢ ɛɟɡ ɨɳɭɳɟɧɢɹ ɜɵɪɚɠɟɧɧɨɝɨ ɬɟɩɥɚ - ɨɠɨɝɚ
475
ɋɨɨɬɜɟɬɫɬɜɢɟ ɩɨɜɟɞɟɧɢɹ ɩɚɰɢɟɧɬɚ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɜɪɚɱɚ ɜɤɥɸɱɚɹ ɩɪɢɟɦ ɩɪɟɩɚɪɚɬɨɜ
t.me/medgynecology
476
Ɋɚɡɜɟɪɧɭɬɵɟ ɪɟɱɟɜɵɟ ɦɨɞɭɥɢ ɮɨɪɦɢɪɨɜɚɧɢɹ ɩɪɢɜɟɪɠɟɧɧɨɫɬɢ ɬɟɪɚɩɢɢ
ā ɋ ɝɨɞɚ ɜɦɟɫɬɨ ɜɭɥɶɜɨɜɚɝɢɧɚɥɶɧɨɣ ɚɬɪɨɮɢɢ ɫɬɚɥ ɩɪɢɦɟɧɹɬɶɫɹ ɬɟɪɦɢɧɝɟɧɢɬɨɭɪɢɧɚɪɧɵɣ ɦɟɧɨɩɚɭɡɚɥɶɧɵɣ ɫɢɧɞɪɨɦ ȽɍɆɋ JHQLWRXULQDU\ V\QGURPH RI PHQRSDXVH *60 ɂɦɟɧɧɨ ɝɟɧɢɬɨɭɪɢɧɚɪɧɵɣ ɦɟɧɨɩɚɭɡɚɥɶɧɵɣ ɫɢɧɞɪɨɦ ɨɬɪɚɠɚɟɬ ɩɚɬɨɝɟɧɟɬɢɱɟɫɤɭɸ ɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨɫɬɶ ɩɪɨɯɨɞɹɳɢɯ ɚɬɪɨɮɢɱɟɫɤɢɯ ɩɪɨɰɟɫɫɨɜ ɜ ɧɢɠɧɟɦ ɝɟɧɢɬɚɥɶɧɨɦ ɬɪɚɤɬɟ ɫɧɚɱɚɥɚ ɧɚ ɮɨɧɟ ɞɟɮɢɰɢɬɚ ɷɫɬɪɨɝɟɧɨɜ ɩɪɨɢɫɯɨɞɹɬ ɢɡɦɟɧɟɧɢɹ ɫɥɢɡɢɫɬɨɣ ɜɥɚɝɚɥɢɳɚ ɢɡ-ɡɚ ɛɨɥɶɲɟɣ ɤɨɧɰɟɧɬɪɚɰɢɢ ɪɟɰɟɩɬɨɪɨɜ ɤ ɷɫɬɪɨɝɟɧɚɦ ɜ ɫɥɢɡɢɫɬɨɣ ɜɭɥɶɜɵ ɢ ɜɥɚɝɚɥɢɳ ɢ ɫɥɟɞɨɜɚɬɟɥɶɧɨ ɛɨɥɶɲɟɣ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɢ ɤ ɧɢɦ ɡɚɬɟɦ - ɜ ɫɥɢɡɢɫɬɨɣ ɭɪɟɬɪɵ ɢ ɧɢɠɧɟɣ ɬɪɟɬɢ ɦɨɱɟɜɨɝɨ ɩɭɡɵɪɹ ɬɪɟɭɝɨɥɶɧɢɤɟ Ʌɶɟɬɨ
ā Ɍɟɪɚɩɢɹ ɩɟɪɜɨɣ ɥɢɧɢɢ ɞɥɹ ɠɟɧɳɢɧ ɫ ɫɢɦɩɬɨɦɚɦɢ ɜɭɥɶɜɨɜɚɝɢɧɚɥɶɧɨɣ ɚɬɪɨɮɢɢɫɭɯɨɫɬɶ ɢ ɞɢɫɩɚɪɟɭɧɢɹ ɜɤɥɸɱɚɟɬ ɧɟɝɨɪɦɨɧɚɥɶɧɵɟ ɜɚɝɢɧɚɥɶɧɵɟ ɫɦɚɡɤɢ ɥɭɛɪɢɤɚɧɬɵ ɢ ɭɜɥɚɠɧɢɬɟɥɢ Ʌɨɤɚɥɶɧɚɹ ɷɫɬɪɨɝɟɧɨɜɚɹ ɬɟɪɚɩɢɹ ɹɜɥɹɟɬɫɹ ɨɫɧɨɜɧɨɣ ɩɚɬɨɝɟɧɟɬɢɱɟɫɤɨɣ ɬɟɪɚɩɢɟɣ ȽɍɆɋ Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɩɪɢɞɟɪɠɢɜɚɬɶɫɹ ɬɚɤ ɧɚɡɵɜɚɟɦɨɣ ɜɪɟɦɟɧɧɨɣ ɝɢɩɨɬɟɡɵ ɧɚɱɢɧɚɬɶ ɆȽɌ ɜ ɜɨɡɪɚɫɬɟ ɦɨɥɨɠɟ ɥɟɬ ɩɪɢ ɞɥɢɬɟɥɶɧɨɫɬɢ ɩɨɫɬɦɟɧɨɩɚɭɡɵ ɦɟɧɟɟ ɥɟɬ ɉɨɤɚɡɚɧɢɹ ɤ ɩɪɢɦɟɧɟɧɢɸ ɥɨɤɚɥɶɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɫ ɷɫɬɪɢɨɥɨɦ ɢɡɨɥɢɪɨɜɚɧɧɵɣ ȽɍɆɋ ɜ ɦɟɧɨɩɚɭɡɟ ɨɬɤɚɡ ɩɚɰɢɟɧɬɤɢ ɨɬ ɫɢɫɬɟɦɧɨɣ ɆȽɌ ɢɥɢ ɧɚɥɢɱɢɟ ɡɚɛɨɥɟɜɚɧɢɣ ɬɪɟɛɭɸɳɢɯ ɨɫɬɨɪɨɠɧɨɫɬɢ ɜ ɧɚɡɧɚɱɟɧɢɢ ɫɢɫɬɟɦɧɨɣ ɆȽɌ ɫɨɫɭɞɢɫɬɵɟ ɤɚɬɚɫɬɪɨɮɵ ɜ ɚɧɚɦɧɟɡɟ ɛɨɥɟɡɧɢ ɩɟɱɟɧɢ ɨɬɹɝɨɳɟɧɧɵɣ ɨɧɤɨɥɨɝɢɱɟɫɤɢɣ ɚɧɚɦɧɟɡ ɨɬɫɭɬɫɬɜɢɟ ɞɨɫɬɚɬɨɱɧɨɝɨ ɷɮɮɟɤɬɚ ɩɪɢ ɩɪɨɹɜɥɟɧɢɹɯ ɝɟɧɢɬɨɭɪɢɧɚɪɧɨɝɨ ɫɢɧɞɪɨɦɚ ɜ ɦɟɧɨɩɚɭɡɟ ɨɬ ɫɢɫɬɟɦɧɨɣ ɆȽɌ
ā ɇɚ ɮɨɧɟ ɝɢɩɨɷɫɬɪɨɝɟɧɢɢ ɩɪɨɢɫɯɨɞɢɬ ɷɥɢɦɢɧɚɰɢɹ ɥɚɤɬɨɛɚɤɬɟɪɢɣ ɱɬɨ ɬɪɟɛɭɟɬ ɧɚɡɧɚɱɟɧɢɹ ɜɚɝɢɧɚɥɶɧɵɯ ɫɭɩɩɨɡɢɬɨɪɢɣ ɫ ɥɚɤɬɨɛɚɤɬɟɪɢɹɦɢ - ɪɚɡɚ ɜ ɧɟɞɟɥɸ ɞɥɹ ɩɪɨɮɢɥɚɤɬɢɤɢ ɜɬɨɪɢɱɧɵɯ ɪɟɰɢɞɢɜɢɪɭɸɳɢɯ ɢɧɮɟɤɰɢɣ ɦɨɱɟɩɨɥɨɜɵɯ ɩɭɬɟɣ ɜ ɩɨɫɬɦɟɧɨɩɚɭɡɟ ɉɟɪɨɪɚɥɶɧɚɹ ɬɟɪɚɩɢɹ ɩɨɞɪɚɡɭɦɟɜɚɟɬ ɩɨɫɬɨɹɧɧɵɣ ɟɠɟɞɧɟɜɧɵɣ ɩɪɢɺɦ ɩɪɨɛɢɨɬɢɤɚ ɫ ɥɚɤɬɨɛɚɤɬɟɪɢɹɦɢ
ā ɇɚ ɮɨɧɟ ɞɟɮɢɰɢɬɚ ɷɫɬɪɨɝɟɧɨɜ ɩɪɨɢɫɯɨɞɹɬ ɧɟ ɬɨɥɶɤɨ ɚɬɪɨɮɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɫɥɢɡɢɫɬɨɣ ɜɥɚɝɚɥɢɳɚ ɜɭɥɶɜɵ ɢ ɭɪɟɬɪɵ ɧɨ ɬɚɤɠɟ ɦɟɧɹɟɬɫɹ ɦɟɬɚɛɨɥɢɡɦ ɢ ɤɚɱɟɫɬɜɨ ɤɨɥɥɚɝɟɧɚ , ɢ ,,, ɬɢɩɨɜ ɷɥɚɫɬɢɧɚ ɩɪɨɢɫɯɨɞɢɬ ɢɯ ɞɟɫɬɪɭɤɬɭɪɢɡɚɰɢɹ ɜɫɥɟɞɫɬɜɢɟ ɱɟɝɨ ɜɥɚɝɚɥɢɳɟ ɭɬɪɚɱɢɜɚɟɬ ɫɜɨɸ ɫɤɥɚɞɱɚɬɨɫɬɶ ɭɦɟɧɶɲɚɟɬɫɹ ɝɥɭɛɢɧɚ ɢ ɩɪɨɫɜɟɬ ɜɚɝɢɧɚɥɶɧɨɝɨ ɤɚɧɚɥɚ ɜɨɡɦɨɠɧɨ ɪɚɡɜɢɬɢɟ ɨɩɭɳɟɧɢɹ ɫɬɟɧɨɤ ɜɥɚɝɚɥɢɳɚ ȼ ɞɚɧɧɨɦ ɨɬɧɨɲɟɧɢɢ ɷɮɮɟɤɬɢɜɧɵɦɢ ɚɥɶɬɟɪɧɚɬɢɜɧɵɦɢ ɦɟɬɨɞɚɦɢ ɥɟɱɟɧɢɹ ȽɍɆɋ ɹɜɥɹɸɬɫɹ ɥɚɡɟɪɧɚɹ ɮɨɬɨɬɟɪɦɢɱɟɫɤɚɹ ɪɟɤɨɧɫɬɪɭɤɰɢɹ ɬɤɚɧɟɣ ɜɥɚɝɚɥɢɳɚ ɢ ɜɭɥɶɜɵ ɷɪɛɢɟɜɵɣ ɥɚɡɟɪ ɮɪɚɤɰɢɨɧɧɵɣ &2 ɥɚɡɟɪ ɧɟɨɞɢɦɨɜɵɣ ɥɚɡɟɪɵ 5)-ɜɨɡɞɟɣɫɬɜɢɟ Ɏɨɬɨɬɟɪɦɢɱɟɫɤɚɹ ɪɟɤɨɧɫɬɪɭɤɰɢɹ ɬɤɚɧɟɣ ɜɥɚɝɚɥɢɳɚ ɢ ɜɭɥɶɜɵ ɩɨɡɜɨɥɹɟɬ ɭɥɭɱɲɢɬɶ ɢɯ ɦɨɪɮɨɮɭɧɤɰɢɨɧɚɥɶɧɨɟ ɫɨɫɬɨɹɧɢɟ ɡɚ ɫɱɟɬ ɛɵɫɬɪɨɝɨ ɫɨɤɪɚɳɟɧɢɹ ɫɭɳɟɫɬɜɭɸɳɟɝɨ ɤɨɥɥɚɝɟɧɚ ɫɬɢɦɭɥɹɰɢɢ ɧɟɨɤɨɥɥɚɝɟɧɨɝɟɧɟɡɚ ɢ ɧɟɨɚɧɝɢɨɝɟɧɟɡɚ
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t.me/medgynecology |
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477 |
478