Главный врач юга России - специализированный медицинский журнал №1 (42) 2015 - page 3

ǫȓȈȊȕȣȑ
ȋȖșțȌȈȘșȚȊȍȕȕȣȑ
șȈȕȐȚȈȘȕȣȑȊȘȈȟ
ȗȖǸȖșȚȖȊșȒȖȑȖȉȓȈșȚȐ
ǴȆ ǹȖȓȖȊȤȍȊ
ǷȖȏȌȘȈȊȓȧȦ ȊȍșȤ ȒȖȓȓȍȒȚȐȊ ȐȏȌȈȚȍȓȤ
șȚȊȈșȦȉȐȓȍȍȔ² ȓȍȚȐȍȔȎțȘȕȈȓȈ©ǫȓȈȊ
ȕȣȑ ȊȘȈȟ ȆȋȈ ǸȖșșȐȐª ǽȖȟț ȖȚȔȍȚȐȚȤ
șȊȖȍȊȘȍȔȍȕȕȖȍ ȖșȊȍȡȍȕȐȍ Ȑ ȗȖȗțȓȧȘȐȏȈȞȐȦ
ȎțȘȕȈȓȖȔ ȔȍȘȖȗȘȐȧȚȐȑ ȗȖ șȖȝȘȈȕȍȕȐȦ
șȚȈȉȐȓȤȕȖȑ șȈȕȐȚȈȘȕȖ ȥȗȐȌȍȔȐȖȓȖȋȐȟȍșȒȖȑ
șȐȚțȈȞȐȐ ȕȈȚȍȘȘȐȚȖȘȐȐ ǸȖșȚȖȊșȒȖȑ ȖȉȓȈ
șȚȐ ǹȈȕȐȚȈȘȕȖ ȥȗȐȌȍȔȐȖȓȖȋȐȟȍșȒȈȧșȓțȎȉȈ
ȊȥȚȖȔȋȖȌțȖȚȔȍȚȐȓȈșȊȖȍ ȓȍȚȐȍ ȕȖ ȕȍ
șȔȖȚȘȧȕȈȘȈȏȕȐȞțȊȊȖȏȘȈșȚȍ ȏȕȈȦȚȖȟȕȖ²
ȊȗȍȘȍȌȐȕȈșȎȌȍȚȗȓȖȌȖȚȊȖȘȕȈȧȘȈȉȖȚȈ
ǮȍȓȈȦ ȊȈȔ ȟȚȖȉȣ ȥȚȖȚ ȦȉȐȓȍȑ șȚȈȓ
ȖșȖȉȖȑ ȊȍȝȖȑ Ȋ ȊȈȠȍȑȎȐȏȕȐ ȕȈ ȗțȚȐ Ȓ ȍȡȍ
ȉȖȓȍȍ ȒȈȟȍșȚȊȍȕȕȣȔ ȗȘȍȖȉȘȈȏȖȊȈȕȐȧȔ
ȒȖȟȍȘȍȌȕȣȔȌȖșȚȐȎȍȕȐȧȔ
Ǵ ǵ ǬȔȐȚȘȐȍȊ
ǸȖșȚȖȊșȒȐȑǫǴǻ
ǶȚ ȌțȠȐ ȗȖȏȌȘȈȊȓȧȦ ȎțȘȕȈȓ ©ǫȓȈȊȕȣȑ
ȊȘȈȟȆȋȈǸȖșșȐȐª ș ȌȍșȧȚȐȓȍȚȐȍȔ ǻȊȈȎȈȦ
Ȑ ȞȍȕȦ ȍȋȖ ȏȈ ȘȈȏȕȖȖȉȘȈȏȐȍ ȚȍȔȈȚȐȟȍșȒȐȝ
ȘțȉȘȐȒ ȏȈ ȐȕȚȍȘȍșȕȣȍ ȗțȉȓȐȒȈȞȐȐ ș Șȍ
ȈȓȤȕȣȔȐ ȗȘȈȒȚȐȟȍșȒȐȔȐ ȌȖșȚȐȎȍȕȐȧȔȐ
ȏȈ ȊȖȏȔȖȎȕȖșȚȤ țȏȕȈȊȈȚȤ ȔȕȍȕȐȧ ȒȖȓȓȍȋ
ȐȏȘȈȏȕȣȝȔȍȌȐȞȐȕșȒȐȝȞȍȕȚȘȖȊȕȈȠȍȋȖȦȋȈ
ǸȖșșȐȐ ȈȋȓȈȊȕȖȍ²ȏȈȖȚȒȘȣȚȖșȚȤȐȌȖȉȘȖ
ȎȍȓȈȚȍȓȤȕȖșȚȤșȖȚȘțȌȕȐȟȍșȚȊȈ ǬȍșȧȚȐȓȍ
ȚȐȍ²ȥȚȖșȘȖȒșȚȈȕȖȊȓȍȕȐȧȐȊȖȏȔțȎȈȕȐȧ
ǷțșȚȤ ț ȊȈș ȊșȍȋȌȈ ȉțȌȍȚȌȘțȎȕȣȑ ȒȖȓ
ȓȍȒȚȐȊ ȗțșȚȤ ȊșȍȋȌȈ ȉțȌȍȚ ȐȕȚȍȘȍș ȟȐ
ȚȈȚȍȓȍȑ ǮȍȓȈȦ ȟȚȖȉȣ ȥȚȖȚ ȌȖșȚȖȑȕȣȑ
ȎțȘȕȈȓȘȈȏȊȐȊȈȓșȧȌȈȓȤȠȍ ȘȖșȍȋȖȕȈțȟȕȣȑ
ȐȐȏȌȈȚȍȓȤșȒȐȑȘȍȑȚȐȕȋ ǻȌȈȟȐ
ǬȖȞȍȕȚǨ Ǫ ǽȖȊȈȕȖȊ
ǶǶǶ©ǺǵDzǹȐȓȔȈª ȋ ǴȖșȒȊȈ
ǩȣȊȈȧȕȈȦȋȍǸȖșșȐȐ ȕȍȊȖȓȤȕȖȏȈȊȐȌțȍȠȤȍȋȖȎȐȚȍȓȧȔ ȒȖ
ȚȖȘȣȍȔȖȋțȚȕȈșȓȈȎȌȈȚȤșȧșȖȓȕȞȍȔȔȖȘȍȔȐȌȘțȋȐȔȐȌȈȘȈȔȐ
ȗȘȐȘȖȌȣȆȎȕȣȑȚȍȔȗȍȘȈȔȍȕȚ ȉȖȌȘȖșȚȤ²ȥȚȖȚȖ ȟȍȋȖȚȈȒ
ȕȍȌȖșȚȈȍȚȋȐȗȍȘȉȖȘȍȧȔǭșȚȤȔȕȖȋȖșȗȍȞȐȈȓȤȕȣȝȔȍȌȐȞȐȕșȒȐȝ
ȐȏȌȈȕȐȑ²ȕȈțȟȕȣȝȐȗȖȗțȓȧȘȕȣȝ ȕȖ©ǫȓȈȊȕȣȑȊȘȈȟȆȋȈǸȖș
șȐȐªȌȍȑșȚȊȐȚȍȓȤȕȖȖȗȘȈȊȌȣȊȈȍȚșȊȖȍȕȈȏȊȈȕȐȍ ȖȕȐǫȓȈȊȕȣȑ
ȐǪȘȈȟ ȐȆȋȈ ȐǸȖșșȐȐǮȍȓȈȍȔȒȖȓȓȍȋȈȔȊșȍȋȖșȈȔȖȋȖȓțȟȠȍȋȖ
ȒȈȒȊȓȐȟȕȖȑȎȐȏȕȐ ȚȈȒȐȕȈȕȐȊȍȗȖȌȋȖȚȖȊȒȐȔȍȌȐȞȐȕșȒȐȝȒȈ
ȌȘȖȊ ȘȈȏȊȐȚȐȧȔȍȌȐȞȐȕșȒȖȑȕȈțȒȐȐȏȌȘȈȊȖȖȝȘȈȕȍȕȐȧȊȞȍȓȖȔ
Ǩ Ǫ DzțȘȉȍșȖȊ
ǶǶǶ©ȅȓȍȒȚȘȖȕȕȈȧ
ȔȍȌȐȞȐȕȈª
ǹ ȖȋȘȖȔȕȣȔ țȌȖȊȖȓȤșȚȊȐ
ȍȔȐȖȚȊșȍȋȖșȍȘȌȞȈȗȖȏȌȘȈȊ
ȓȧȍȔ ȒȖȓȓȍȒȚȐȊ ȎțȘȕȈȓȈ
©ǫȓȈȊȕȣȑ ȊȘȈȟ ȆȋȈ ǸȖșșȐȐª
ș ȌȍșȧȚȖȑ ȋȖȌȖȊȡȐȕȖȑ șȖ Ȍȕȧ
ȖșȕȖȊȈȕȐȧ Dz ȥȚȖȑ ȌȈȚȍ Ȋȣ
ȠȓȐ ȌȖȓȋȖȐ ȗȖȌȖȉȕȖȞȐȊȐȓȐ
ȏȈȞȐȐ ȘȈȏȊȐȊȈȓȐșȤ Ȑ ȘȖșȓȐ
Ǵȣ ȘȈȌȣ ȏȈ ȊȈș ǷțșȚȤ ȕȈ
ȒȖȗȓȍȕȕȣȑ ȎȐȏȕȍȕȕȣȑ ȖȗȣȚ
ȗȖȔȖȎȍȚȊȈȔȌȖșȚȐȟȤȕȖȊȣȝ
ȊȣșȖȚ ǮȍȓȈȍȔ ȟȚȖȉȣ ǻȌȈ
ȟȈ ǻșȗȍȝ ȐǪȌȖȝȕȖȊȍȕȐȍ ȉȣȓȐ
ȊȍȘȕȣȔȐ șȗțȚȕȐȒȈȔȐ ȊȖ Ȋșȍȝ
ȊȈȠȐȝȕȈȟȐȕȈȕȐȧȝ ȈȏȌȖȘȖȊȤȍ
Ȑ ȉȓȈȋȖȗȖȓțȟȐȍ ² Ȋ ȍȎȍȌȕȍȊ
ȕȖȑ ȎȐȏȕȐ ǵȈșȚȖȑȟȐȊȖșȚȐ
Ȑ ȚȍȘȗȍȕȐȧ ȗȘȖȞȊȍȚȈȕȐȧ
Ȑ șȚȈȉȐȓȤȕȖșȚȐ Ȋ ȉȓȈȋȖȑ
Ȑ șȈȔȖȖȚȊȍȘȎȍȕȕȖȑ ȊȈȠȍȑ
ȘȈȉȖȚȍ
ǷȘȖȜȍșșȖȘ
ǰ Ǫ ǼȍȌȖȘȖȊ
DzȈȏȈȕșȒȐȑǫǴǻ
ǹȊȖȑȗȍȘȊȣȑȦȉȐȓȍȑȕȈȠȐȌȘțȏȤȧ
ȊșȚȘȍȟȈȦȚȊȉȖȌȘȖȔȏȌȘȈȊȐȐ ǮțȘ
ȕȈȓȕțȎȍȕȊșȍȔ ȐȕȍȚȖȓȤȒȖȕȈȆȋȍ
ȕȖȐȊȖ ȊșȍȑǸȖșșȐȐ²ȋȓȈȊȕȣȔȊȘȈ
ȟȈȔ Ȑ ȒȓȐȕȐȞȐșȚȈȔ ȗȘȖȜȍșșȖȘȈȔ
Ȑ ȕȈȟȐȕȈȦȡȐȔ șȗȍȞȐȈȓȐșȚȈȔ ǵȖ
Ȋȣȍ ȚȍȝȕȖȓȖȋȐȐ Ȋ ȔȍȌȐȞȐȕȍ ȗȖȌ
ȋȖȚȖȊȒȈ ȒȈȌȘȖȊ ȊȖȗȘȖșȣȖȉțȟȍȕȐȧ
ȖȗȚȐȔȐȏȈȞȐȧ ȜȐȕȈȕșȐȘȖȊȈȕȐȧ ²
ȊȖȚ ȌȈȓȍȒȖ ȕȍ ȗȖȓȕȣȑ ȗȍȘȍȟȍȕȤ
ȚȍȔ ȖȉșțȎȌȈȍȔȣȝ ȕȈ șȚȘȈȕȐȞȈȝ
ȐȏȌȈȕȐȧ ǮȍȓȈȦ ȕȈȠȐȔ ȌȘțȏȤȧȔ
ȌȈȓȤȕȍȑȠȍȋȖ ȗȘȖȞȊȍȚȈȕȐȧ ȕȖȊȣȝ
ȊȍȘȠȐȕ ȊȍȘȕȣȝ ȗȈȘȚȕȍȘȖȊ Ȑ ȚȈ
ȓȈȕȚȓȐȊȣȝ ȈȊȚȖȘȖȊ ² ȕȈ ȉȓȈȋȖ
ȘȈȏȊȐȚȐȧȘȖșșȐȑșȒȖȑȔȍȌȐȞȐȕȣ
ǬȈȎȍȕȈȝȖȌȧșȤȊȌȈȓȤȕȐȝȒȘȈȧȝ
ȊșȗȖȔȐȕȈȦȖȊȈȠȍȔȎțȘȕȈȓȍ
ǵȈȟȈȓȤȕȐȒ
ǼǫDzǻ© ǪDzǫªǴǶǸǼ
ȗȖȓȒȖȊȕȐȒȔȍȌȐȞȐȕșȒȖȑ
șȓțȎȉȣǪ ǫ DzȖȒȖȍȊ
ǰșȒȘȍȕȕȍ Ȑ șȍȘȌȍȟȕȖ ȗȖȏȌȘȈȊȓȧȍȔ ȒȖȓ
ȓȍȒȚȐȊȎțȘȕȈȓȈș ȓȍȚȕȐȔȦȉȐȓȍȍȔ
ǮȍȓȈȍȔ ȟȚȖȉȣȐ ȌȈȓȍȍ ȉȓȈȋȖȌȈȘȧ ǪȈ
ȠȍȔțȖȚȊȍȚșȚȊȍȕȕȖȔțȖȚȕȖȠȍȕȐȦ ȒȖȔ
ȗȈȕȐȧ ș țșȗȍȝȖȔ ȗȖȒȖȘȧȓȈ ȊȍȘȠȐȕȣȎțȘ
ȕȈȓȐșȚȐȒȐ ǷțșȚȤ ȊȈȠ ȎțȘȕȈȓ ȘȈșȚȍȚ
Ȑ ȗȘȖȞȊȍȚȈȍȚ ǷȖȏȌȘȈȊȓȧȍȔ ș ȦȉȐȓȍȍȔ
Ȋșȍȝ șȖȚȘțȌȕȐȒȖȊ șȗȓȖȟȍȕȕȖȋȖ Ȑ ȌȘțȎ
ȕȖȋȖ ȒȖȓȓȍȒȚȐȊȈ ȟȍȑ ȗȘȖȜȍșșȐȖȕȈȓȐȏȔ
ȐȚȘțȌȖȓȦȉȐȍ ȖȉȍșȗȍȟȐȊȈȦȚȗȓȖȌȖȚȊȖȘ
ȕțȦȌȍȧȚȍȓȤȕȖșȚȤȖȘȋȈȕȐȏȈȞȐȐ
ǷȖȏȊȖȓȤȚȍ ȗȖȎȍȓȈȚȤ ȊșȍȔț ȒȖȓȓȍȒȚȐ
ȊțȏȌȖȘȖȊȤȧ șȟȈșȚȤȧ ȉȓȈȋȖȗȖȓțȟȐȧ ȔȈȚȍ
ȘȐȈȓȤȕȖȋȖȌȖșȚȈȚȒȈȐȌȈȓȤȕȍȑȠȐȝțșȗȍȝȖȊ
ȊȕȈȠȍȔȖȉȡȍȔȉȓȈȋȖȘȖȌȕȖȔȌȍȓȍȕȈȉȓȈȋȖ
ȏȌȖȘȖȊȤȧȟȍȓȖȊȍȒȈ ǪȣȘȈȎȈȦțȊȍȘȍȕȕȖșȚȤ
ȟȚȖȔȣȐȊȗȘȍȌȤȉțȌȍȔșȚȖȧȚȤȕȈȘțȉȍȎȈȝ
ȗȍȘȍȌȖȊȖȑȖȚȍȟȍșȚȊȍȕȕȖȑȔȍȌȐȞȐȕȣ
ǫȍȕȍȘȈȓȤȕȣȑȌȐȘȍȒȚȖȘ
ǶǶǶ©dzȈȑȜDzȖȘ
ǰȕȚȍȘȕȍȠȕȓªǨ DzțȌȈȠȍȊ
ǹȎțȘȕȈȓȖȔ©ǫȓȈȊȕȣȑȊȘȈȟȆȋȈǸȖșșȐȐª
ȔȣșȖȚȘțȌȕȐȟȈȍȔȊșȍ ȓȍȚ ǰȊȣȉȘȈȓȐȔȣ
ȥȚȖȚ ȎțȘȕȈȓ ȕȍ șȓțȟȈȑȕȖ Ǫ ȕȈșȚȖȧȡȍȍ
ȊȘȍȔȧȕȈȐȕȜȖȘȔȈȞȐȖȕȕȖȔȘȣȕȒȍȔȕȖȋȖȐȏ
ȌȈȕȐȑ ȒȖȚȖȘȣȍȗȘȍȌȓȈȋȈȦȚșȊȖȐțșȓțȋȐ ǵȖ
©ǫȓȈȊȕȣȑ ȊȘȈȟȆȋȈ ǸȖșșȐȐª² ȥȚȖ ȕȈȌȍȎ
ȕȣȑȗȈȘȚȕȍȘ ȖȉȢȍȒȚȐȊȕȖȐȊȖȊȘȍȔȧȖșȊȍȡȈ
ȦȡȐȑȕȈȐȉȖȓȍȍȐȕȚȍȘȍșȕȣȍșȖȉȣȚȐȧȕȈȠȍȑ
ȔȍȌȐȞȐȕȣ ǷȘȍȌșȚȈȊȐȚȍȓȐ ȐȏȌȈȚȍȓȤșȚȊȈ
ȗȖșȍȡȈȦȚȗȘȈȒȚȐȟȍșȒȐ Ȋșȍ șȗȍȞȐȈȓȐȏȐȘȖ
ȊȈȕȕȣȍȔȍȌȐȞȐȕșȒȐȍ ȊȣșȚȈȊȒȐ ȉȖȓȍȍȚȖȋȖ
ȖȕȐțȟȈșȚȊțȦȚȊȐȝȖȘȋȈȕȐȏȈȞȐȐ
ǶșȖȉȖȋȖ ȊȖșȝȐȡȍȕȐȧ ȏȈșȓțȎȐȊȈȍȚ ȒȖȓ
ȓȍȒȚȐȊ ȐȏȌȈȚȍȓȤșȚȊȈ Ȋ ȓȐȞȍ ȌȐȘȍȒȚȖȘȈ
DzȘȣȓȖȊȖȑǶȓȤȋȐǪȐȒȚȖȘȖȊȕȣȐȋȓȈȊȕȖȋȖȘȍ
ȌȈȒȚȖȘȈ ǷȘȖȠȍȕȒȖ ǭȓȍȕȣ ǨȓȍȒșȈȕȌȘȖȊȕȣ
Ǫ ȕȍȓȍȋȒȖȔ Ȍȍȓȍ ȐȕȜȖȘȔȈȞȐȖȕȕȖȋȖ ȉȐȏȕȍșȈ
ȥȚȐȒȘȈșȐȊȣȍȖȉȈȧȚȍȓȤȕȣȍȎȍȕȡȐȕȣșțșȗȍ
ȝȖȔȒȖȕȒțȘȐȘțȦȚș©ȔȈșȚȐȚȣȔȐȏțȉȘȈȔȐª
ȘȍȒȓȈȔȣȐțșȗȍȠȕȖȘȈȏȊȐȊȈȦȚȉȐȏȕȍș
ǮȍȓȈȍȔ ȗȘȍȒȘȈșȕȖȔț ȒȖȓȓȍȒȚȐȊț Ȑȏ
ȌȈȚȍȓȤșȚȊȈ ȏȌȖȘȖȊȤȧ țșȗȍȝȖȊ Ȋ ȘȈȉȖȚȍ
ȐȌȈȓȤȕȍȑȠȍȋȖȗȘȖȞȊȍȚȈȕȐȧ ǹȆȉȐȓȍȍȔ
Ƕ Ǩ DzțȘȈȕȖȊȈ
ǪȣșȚȈȊȖȟȕȣȑ
ȞȍȕȚȘ©DzȈȊȒȈȏª
ǹȍȘȌȍȟȕȖ ȗȖȏȌȘȈȊȓȧȦ ȊȈȠ ȏȈ
ȔȍȟȈȚȍȓȤȕȣȑ ȒȖȓȓȍȒȚȐȊ ș
ȓȍȚȕȐȔȦȉȐȓȍȍȔ
ǪȈȠȎțȘȕȈȓ ȗȖȓȍȏȍȕȕȍȚȖȓȤ
ȒȖșȗȍȞȐȈȓȐșȚȈȔ ȏȈȕȐȔȈȦȡȐȔșȧ
ȕȈțȟȕȣȔȐȐșșȓȍȌȖȊȈȕȐȧȔȐȊȘȈȏ
ȕȣȝȖȉȓȈșȚȧȝȔȍȌȐȞȐȕȣ ȖȕȖșȊȍ
ȡȈȍȚȊȖȗȘȖșȣ ȒȖȚȖȘȣȍ ȐȕȚȍȘȍ
șțȦȚ ȊȘȈȟȍȑ Ȋ Ȑȝ ȗȖȊșȍȌȕȍȊȕȖȑ
ȘȈȉȖȚȍ ȟȚȖ ȌȍȓȈȍȚ ȍȋȖ ȊȖșȚȘȍ
ȉȖȊȈȕȕȣȔ Ȋ ȠȐȘȖȒȐȝ ȗȘȖȜȍșșȐȖ
ȕȈȓȤȕȣȝ ȒȘțȋȈȝ ȟȐȚȈȚȍȓȍȑ ǵȈ
ȌȍȦșȤ ȟȚȖ Ȑ ȊȗȘȍȌȤ ț ȕȈș ș ȊȈȔȐ
ȗȘȖȌȖȓȎȈȚșȧ ȗȈȘȚȕȍȘșȒȐȍ ȖȚ
ȕȖȠȍȕȐȧ Ȑ Ȋȣ ȉțȌȍȚȍ ȕȈș ȘȈȌȖ
ȊȈȚȤ ȏȈȔȍȟȈȚȍȓȤȕȣȔȐ ȕȖȔȍȘȈ
ȔȐșȊȖȍȋȖȎțȘȕȈȓȈ
ǮȍȓȈȦ ȊȈȔ ȘȈȏȊȐȚȐȧ Ȑ ȌȈ
ȓȍȍ ² ȚȐȘȈȎȖȔ Ȑ ȒȖȓȐȟȍșȚȊȖȔ
ȗȖȌȗȐșȟȐȒȖȊ ȗȖȌȚȊȍȘȎȌȈȧ șȊȖȍ
ȓȐȌȍȘșȚȊȖȕȈȦȋȍǸȖșșȐȐ
I,II,1,2 4,5,6,7,8,9,10,11,12,13,...78
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