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npH06peTaSI nTH4Y, cnpaBbTeCb y npoAaB4a o HanH'iHH AOKyMeHTa aeTepHHapHoi:t cny>t<6bl, YAOCTOBepSIIOW,ero COCTOSIHHe 3AOPOBbSI neaYero TOBapa. EcnH Bbl 3aMeTHnH, 'iTO BaW nepHaTbiH Apyr CTan BApyr Heaecen, ero onepeHHe noTycKHea rna3a

no H cTano BblrnSIAeTb HeonpSITHO,

cTanH cne3HTbCSI - npH yxoAe 3a nTH4ei1 HCnOnb3YHTe 3aW,HTHble O'iKH, BaTHOMapneBble nOBS13KH, pe3HHOBble nepYaT-

Ba>KHbiX opraHOB. npH'ieM, ecnH >t<eHW,HHa 3apa3Hnacb ew,e AO 6epeMeHHOCTJ.1- y Hee y>t<e Bb1pa6oTanHCb aHTHTena K 3TOMY 3a-

KH H CpO'iHO noKa>t<HTe ee BeTepHHapy.

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rpbl3yHaMH • MOpCKHMH CBHHKIMH, XO·

>t<aTb 3TY HHcpeK4HIO nOA KOHTponeM.

MSI'IKaMH, KpbiCIMH!

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ecnH 3apa>t<eHHe npOH3owno so BTopoM HnH TpeTbeM

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KaKOBbl H<e Mepbl npoci»HnaKTHKH :noH "KOWI'IbeH" HHcl»eK-

14HH!

- A

-

KaK o6CTOSIIT Aena C AOMIWHHMH

MopcKHe CBHHKH HepeAKo "AenSITCSI"

CO CBOHMH X03SieBaMH O'ieHb HenpHSITHOH HHcpeK41'!ei1 - canbMOHenne3oM. OcHoaHoi:t CHMnTOM 6one3HH - YaCTbiH, OOHnbHbiH, >KHAKHH CTyn. no3TOMy, 3aMeTHB y MOpCKOH CBHHKH TaKOe KHWe'iHOe pacCTpOHCTBO, nocTapai:tTeCb He nOAflYCKaTb K

- HaHnyYWHH aapHaHT - nnaHHPYSI 6epeMeHHOCTb, CAaTb aHanH3 KpOBH. 1-1, ecnH pe3ynbTaT 6yAeT nono>t<HTenbHbiM, npone'iHTb HHcpeK4HIO AO HaCTynneHHSI 6epeMeHHOCTJ.1. npH'ieM Sl 6bl COBeTOBana 3TO CAenaTb Aa>Ke TeM, KTO HHKOrAa He Aep>t<an y ce6SI AOMa KoweK. BeAb HaaepHSIKa Ka>t<AaSI >t<eHW,HHa He pa3 B >t<H3HH Hrpana, rnaAHna, 6blna 04apanaHa 3THM >KHBOTHbiM- a 3Ha'iHT, HMena WaHC 3apa3HTbCSI. EcnH MOMeHT ynyw,eH H 6epeMeHHOCTb HacTynHna AO Toro, KaK 6bln CAaH BbiWeynOMSIHYTbiH aHanH3, nOCTapaHTeCb nonHOCTbiO HCKniO'iHTb KOHTaKTbl C KOWKaMH, MeCTaMH HX OTAbiXa J.1 KOpMne-

Hei:t AeTei:t H APYrHx AOMawHHX >t<HBOTHbiX. A caMH yxa>t<HBai:tTe 3a >t<HBOTHbiM TOnbKO B OAHOpa30BbiX pe3HHOBbiX nepYaTKaX.

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pb13YHbl 06bl'iHO 3apa>t<aiOTCSI canbMOHenne30M Yepe3 noMeT AHKHX KpOnHKOB HnH MbiWeH, a TaK>t<e Yepe3 nHW,y. no3TOMy, 'iT06bl y6epeYb caoero n106HM4a J.1 CaMHX ce6SI, He CTOHT neTOM 3a ropoAOM BblnycKaTb ero norynSITb Ha TpaBKY.

HHSI.

J..1 KOpMHTb MOpCKYIO CBHHKY ny'iwe BCero KOpMOM, KynneHHbiM B Mara3HHe.

'-1To6bl npeAynpeAHTb 3apa>t<eHHe AeTei:t, Henb3SI AOnycKaTb KoweK B neCO'iHHL\bl.

0AHaKO onaCHbiMH AflSI YenOBeKa MOryT 6b1Tb He TOnbKO AOMaWHHe rpb13YHbl,

- A

KIKHe HHcl»eK~HH MOryT nepeAaTb 'lenoaeKy HIWH nepHI·

Tble APY3bSI!

HO H AHKHe MbiWKH H Kpb1Cbl. -

- '-ITO KaCaeTCSI nTHL\, TO OHH HepeAKO 6oneiOT HnH SIBnSIIOTCSI HO-

KaKHM

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BeAb,

AYMIIO,

•PIIA nH KTO·TO 3axo'leT npHpy'laTb no-

CHTenSIMH OpHHT03a - HHcpeK4HH 1 KOTOpaSI npoTeKaeT B BHAe TSI-

neaKy HnH nOABinbHYIO KpbiCy!

>t<enoi:t nHeBMOHHH. "noAenHTbCSI" c YenoaeKOM caoei:t npo6ne-

- CpeAH 300H03HbiX HHcpeK4HH HeMano TaK Ha3biBaeMbiX npHpOAHO-O'iarOBbiX 6o-

MOH MoryT H AOMaWHHe nTH4bl, H AHKHe, H AeKopaTHBHble. 3a6oneTb MO>KHO, npOCTO nOAbiWaB B03AYXOM, B KOTOpOM ecTb HHcpHL\HpoaaHHble YaCTH4bl - nyx, nblnHHKH H3 KneTKH. EcnH OHH nonaAyT Ha noBpe>t<AeHHYIO KO>KY HnH Ha nHW,Y - opHHT03 He 3aCTaBHT ce6SI >KAaTb. KaK >t<e y6epeYbcSI? He 6epHTe a pyKH AHKHX rony6ei:t, aopo6beB, oco6eHHO ecnH Te BblrnSIASIT 6onbHbiMH, H TeM 60nee He CTapaHTeCb HX npHIOTHTb y ce6SIAOMa.

ne3HeH. K npHMepy, B noAMOCKOBbe e>t<erOAHO perHCTpHpyiOTCSI cnyYaH reMOpparH'ieCKOH nHXOpaAKH C nO'ie'iHbiM CHHAPOMOM. 3To 6one3Hb c nopa>t<eHHeM no'ieK BHpycoM. JIICTO'iHHKOM SIBnSIIOTCSI 06bl'iHO noneBaSI MbiWb, pbi>KaSI noneBKa, HHOrAa Kpb1Cbl. Y HHX 6one3Hb npoTeKaeT 6eccHMnTOMHO, a y YenoaeKa 'iaCTO B TSI>KenOH cpOpMe. 3apa3HTbCSI 'ienOBeK MO>t<eT BO BpeMSI npe6biBaHHSI Ha onywKe neca, B none- ecnH Ha Tpaae HnH 3eMne 3TH MenKHe rpb13YHbl OCTaBHnH CBOH BbiAeneHHSI. J..1HcpeK4HSI nepeAaeTCSI pa3HbiMH nyTSIMH - B03AYWHO-nblneBbiM, nHW,eBbiM, KOHTaKTHbiM. 3apa3HTbCSI

OT

TaKHX

AHKHX

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MO>KHO, Aa>Ke He BbiXOASI 3a TeppHTOpHIO co6cTBeHHoro AaYHoro yyacTKa. '-ho6bl OOe30naCHTb ce6SI,

OTAbiXaSI Ha

necHoi:t nonSIHKe, He 3a6yAbTe BbiMbiTb pyKH nepep.

eAoi:t H He KnaAHTe nHw,y Ha rpaay.

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«D) BPA'IE&HAH KOHCIInb TAUUH

'DualU«T1-IlCC!qnta1 0AHO H3 CaMbiX cepbe3HbiX KO)f(HbiX 3a6oneaaHHH - ncopHa3 - oco6eHHO TR)f(eno nepeHOCRT )f(eH~HHbl. Ha BOnpOCbl HaWHX 'tHTaTeneH OTBe'taeT AepMaTonor nyAHKOBa AHHa HHKonaeaHa . MoR noApyra 6on~oHa ncopHa3oM H npH nOM XOAHT a 6acceHH. MoHCeT nH oHa 3apa3HTb KoroHH6YAb! AKCeHOBd ramtHa, r. MoJKaikK

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CerOAHSI a6contOTHO TO'lHO AOKa3aHo, "iTO ncop11a3 - 3TO 3a6oneBaHI1e He3apa3Hoe. 0Ho He nepeAaeTCSI Hl1 np11 HenocpeACTBeHHOM KOHTaKTe, Hl1 'lepe3 npeAMeTbl 11n11 B03Ayx. Aeno B TOM, "iTO B OCHOBe 3a6oneBaHI1SI HeT 11HcpeKL..I,I10HHOrO Ha'lana. nonOBbiM nyTeM ncop11a3 TaK>t<e He nepeAaeTCSI. V1MeHHO n03TOM y 6onbHble ncop11a30M MoryT cMeno nocew,aTb 6acce~Hbl, 6aHI1, Apyr11e o6w,ecTeeHHble MecTa, MoryT 3aHI1MaTbCSI cnopTOM, He 60SICb KOrOHI16YAb 3apa311Tb.

HeAaB~O y MeHR 61o1n TR-

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HCenbiH nepHOA B HCH3HH, H Ha KOHCe nORBHnHCb KaKHe-TO mnHa. Bpa't cKa3an, 'tTO no ncopHa3. HeyHCenH TaK CKa3anHCb HenpHRTHble nepeHCHBaHHR! YyA~-tKosa Map~-tHa, r. Kanyra Ecn11 scnoMHI1Tb nonywym11soe Bb1pa>t<eHI1e, "iTO "see 6one3HI1 np011CXOASIT OT HepBOB" 1 TO K ncop11a3y 3TO 11MeeT caMoe npSIMoe OTHOWeHI1e. BnepBble OH B03HI1KaeT 06bl'lHO Ha cpOHe CaMbiX pa3HbiX nCI1X03MOL..I,I10HanbHbiX CpbiBOB. 3TO MO>t<eT 6b1Tb KaKoeHI16YAb Cl1nbHOe noTpS1CeHI1e, Hanp11Mep CMepTb 6ni13Koro 'lenoBeKa, 11n11 npocTo >t<I13HeHHble HeYPSIA11U.bl, HepsHoe 11 cp11311YecKoe HanpSI>t<eHI1e BO BpeMSI 3K3aMeHaL..I,I10HHO~ cecc1111, 11n11 n106oe "He KO>t<Hoe" 3a6onesaHI1e.

KaK HaAO npaaHnbHO o6pa6atbiBaTb 6nRWKH npH ncopHa3e! ron~-tKOB nasen, r. 3seHHrOpOA ne'le6Hble Ma311 o6bl'lHO np11MeHSIIOT OA11H pa3 B AeHb. AenaTb 3TO MO>t<HO yTpOM 11n11 Be'lepoM, KaK BaM YA06Ho. CHa'lana Heo6xoA11MO np11HSITb Tennbl~ Ayw. MbiTb Ko>t<y ·HaAO o6SI3aTenbHO o''leHb MSirKo~ ry6Ko~, Ha KOTopo~ HaAO CAenaTb MblnbHYIO neHy, 11 e10 npOT11paTb BCIO KO>t<y- 11 3AOpOBble y'laCTKI1, 11 6nSIWKI1. np11'leM MblnO AOn>t<HO 6b1Tb HeUJ,enOYHbiM. ny'lWe 11CnOnb30BaTb MblnO C He~TpanbHbiM pH 11n11 cneu.11anbHb1e ren11 AnSI Aywa. nocne rl1rl1eHI1'lecKoro Aywa Ha nopa>t<eHHble y"iaCTKI1 HaHOCSIT Ma3b. Ee He BT11paIOT I a ni1Wb aKKypaTHO CMa3biBatOT 6nSIWKI1. np11 3TOM >t<enaTenbHO AB11raTb pyKo~ TOnbKO B OAHY CTopoHy, csepxy BHI13 11n11 no XOAY poCTa sonoc. nocne o6pa6oTKI1 KO>t<l1 HeKoTopoe speMSI >t<enaTenbHO HI1Yero Ha ce6SI He HaAeBaTb, oco6eHHO ecn11 11cnonb30Bani1Cb Ma311 Ha Ba3eni1HOBO~ OCHOBe 1 KOTOpble BCaCbiBatOTCSI MeAneHHO. Boo6w,e AnSI AOMa y 6onbHoro ncop11a30M AOn>t<HO 6b1Tb ABa KOMnneKTa 6enbSI: "cyxoe" 6enbe AnSI CHa 11 TO, B KOTOpOM XOASIT nocne o6pa6oTKI1 KO>t<l1. AnSI 3Toro xopow11 npocTopHble cpyT6onKI1.

@

MoH POAHTenH 6one101 ncopHa30M. nepeAaetu nH no 3a6oneaaHHe no HacneACTBy! EcnH Aa, TO B KaKOM B03paCTe MOHCHO OHCHAaTb, 'tTO OHO Ha'tHeTCR! Tapacosa CsernaHa, r. H~-tJKH~-ti1 HosropoA

AnSI ncop11a3a cyw,ecTsyeT onpeAeneHHaSI HacneACTBeHHaSI npeApacnono>t<eHHOCTb. Ho reHeTI1'leCK11e oco6eHHOCTI1, cnoco6cTBYtOUJ,I1e pa3BI1TI110 6one3HI1, MoryT nepeAaBaTbCSI He HanpSIMYIO OT poA11Tene~ K AeTSIM, a Yepe3 noKoneHI1SI. no3TOMY HepeAKO Ha6ntOAaeTCSI TaK Ha3biBaeMbl~ ceMe~Hbl~ ncop11a3, KOrAa 6one3Hb "npecneAYeT" 'lneHOB OAHO~ ceMbl1. 3To eosce He 03HaYaeT, "iTO ecn11 6oneIOT pOA11Tenl1, TO 11 AeTI1 11x o6SI3aTenbHO 3a6onetOT. Ho p11cK B03HI1KHOBeHI1SI ncop11a3a y HI1X 3HaYI1TenbHO Bblwe, 'leM y Apyr11x AeTe~. CLli1TaeTCSI, "iTO B TO~ ceMbe, rAe ecTb 6onbHble ncop11a3oM, AeTI1 3a6onesatOT B 40-70% cny'laeB.


BPAliE& Aft KOHCIItlb TAQUR Y MOeH cecTpbl, 15-TH neT, MeCJI~ Ha3aA Ha wee nOJIBHnacb Cblnb, nOXO)I(aJI Ha nHWaH. 0Ha He 'teWeTCJI, He 6onHT, HO H He y MeHbWaeTCJI. A nOTOM HaWnH el1.1,e Cblnb nOA KOneHKOH H Ha ronoBe. l4TO HaMAenaTb!

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An¢eposa EKarepHHa, r. MocKsa CoseT MO>KeT 6b1Tb TOnbKO OAI-1H - nocKopee o6pan1TbCSI K AepMaTonory. TonbKO TaK MO>KHO nocTaBI-1Tb TOYHbl~ A1-1arHo3 1-1 HaYaTb neYeHI-1e. 3To MO>KeT 6b1Tb ncop1-1a3, 1-1 TOrAa YeM CKOpee np1-1HSITb Mepbl, TeM MeHbWe B AailbHe~WeM 6yAeT ocno>KHeHI-1~. B TR>KenbiX cnyYaRx ncop1-1a3 MO>KeT 3axaaTI-1Tb npaKTI-iYeCKI-1 ace Teno. Eione3Hb HaYI-1HaeTCSI 06bi"'HO C nOSIBileHI-1SI Ha KO>Ke He6onbWI-1X 6nSIWeK, noKpbiTbiX cepe6p!-1cTo-6enbiMI-1 Yewy~KaMI-1. KorAa HeT o6ocTpeHI-1SI, ncop1-1a3 He C03AaeT HI-1KaKI-1X npo6neM, KpoMe KOCMeT!-1YeCKI-1X. Vl3nto6neHHble MeCTa 6nSIWeK- pa3r!-16aTeilbHble noaepxHOCTI-1 pyK 1-1 Hor, oco6eHHO B o6nacTI-1 noKTeBbiX 1-1 KoneHHbiX cycTaBoB. BnpoYeM, weft, 3aTblnoK TO>Ke He OCTatOTCSI 6e3 "BHI-1MaHI-1SI". L!aCTO 6nSIWKI-1 pacnonaratOTCSI Ha BOI10CI-1CTO~ YaCTI-1 rOilOBbl, OC06eHHO no KpatO pocTa aonoc .

;@y : :

MeHJI ncopHa3. noACKa)I(HTe, HaAO nH MHe CO6nJOAaTb KaKyJO-HH6YAb AHeTy HnH 0 eAe MO)I(HO He 3aAYMbJBaTbCJI!

Bnacosa MapHHa, r. MocKsa A1-1eTa oYeHb Ba>t<Ha, TaK KaK TeYeH!-1e ncop1-1a3a HanpHMYtO CBH3aHo co aceMI-1 o6MeHHbiMI-1 npou,eccaMI-1, npoTeKatOUJ,I-iMI-1 B opraHI-13Me. Y YenoaeKa c ncop1-1a30M B ni-1UJ,eBOM paU,I-10He AOil>KHO 6b1Tb MHOrO paCTI-1TeilbHO~ nl-iUJ,I-1, oco6eHHO 6oraTo~ KneTYaTKo~. HecKonbKO H6noK B AeHb3TO OYeHb none3HO. ntOASIM, CTpaAatOUJ,I-1M ncop1-1a30M, >t<enaTenbHO orpaHI-1"11-iTb ynoTpe6neHI-1e aceB03MO>KHbiX cnaAOCTe~, oco6eHHO WOKOnaAa. HaAO CTapaTbCSI eCTb MeHbWe npOAYKTOB, COAep>KaUJ,I-1X >KI-1BOTHble >K1-1pb1: Cill-1. BOYHoe Macno, >K1-1pHble copTa MHca, Cblpa, TBopora. Ta• Kaft eAa MO>KeT cnpOBOU,1-1pOBaTb np1-1CTyn 6one3HI-1. no3TOMY Ba>KHO co6ntOAaTb A1-1eTy nOCTOSIHHO, a He TOilbKO BO : BpeMSI o6ocTpeH!-1SI. 0YeHb Ba>KHO MaKCI-1MailbHO orpaHI-1"li-1Tb np1-1eM anKoronR B n106oM BI-1Ae. Cn1-1pTHoe- OAI-1H 1-13 CaMbiX MOUJ,HbiX "nyCKOBbiX" cpaKTOpOB AflSI 060CTpeHI-1~ ncop!-1a3a.

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Mo11 19-neTHJIJI AO'tb 'teTblpe roAa 6onbHa ncopHa3oM. 3To O'leHb ee TpaBMHpyeT: '?Ha CTeCHJieTCJI, y Hee Mano APYleH, oHa cTana HePBHOH, pa3Apa)I(HTenbHOH, a 6one3Hb HenpepbiBHO o6oCTplleTCJI. l4TO MO)I(eT noMO'tb!

9

CeMeHe4 AneKcei1, r. Tyna 3Ta CI-1Tyau,I-1H, no>Kany~, caMaS! Henp1-1SITHaH AflSI 6onbHbiX ncop!-1a30M. Co3AaeTCSI nopoYHbl~ Kpyr: cTpecc Bbl3biBaeT o6oCTpeHI-1e 6one3HI-1, a 6one3Hb caMa no ce6e - Cl-inbHe~wl-1~ CTpecc, oco6eHHO AflSI MOilOAO~ AeBYWKI-1. Ha noMOUJ,b MO>KHO np1-13BaTb apaYanCHXOTepaneBTa, He MewaeT 03HaKOMHTbCft c OCHOBaMH ayToTpeHHHra. KoHeYHO, xopoWHM nOACnOpbeM 6yAyT neKapCTBeHHble npenapaTbl - ycnoKaHBatOUJ,He cpeACTBa MftrKoro Ae~CTBHSI. HanpHMep, 3KCTpaKT aanepHaHbl, HaCTO~Ka nycTblpHHKa, HoaonaccHT I nepceH, aMHHOKHCilOTHble npenapaTbl rnHU,HH, nHMOHTap H ApyrHe.

Y M y)f(a Ha nOKTJIX H Ha KOneHJIX nOJIBHnHCb y'taCTKH 6enoH wenywal1.1,eHcJI KO)I(H. AyMana, nocne OTnycKa Ha MOpe npOHAiT, a Ha cpoHe 3arapa OHH cTanH el1.1,e 3aMeTHee. l4To :no H KaK MO)I(HO BbJne'tHTb! PoMaHosa H11Ha, r. ApxaHren&cK Eieilble yYaCTKH KO>KH YaUJ,e BCero rOBOpSIT 0 ncopHa3e. npHYI-1Ha 3TOrO 3a6oneBaHHft HeSICHa, MHOrHe MeAHKH C"'HTatOT ncopHa3 CileACTBHeM reHeTH"leCKOrO HapyweHHSI B o6MeHe BeUJ,eCTB. 0AHaKO nOSIBileHHe 6enbiX nSITeH B03MO>KHO H npH nopa>KeHHSIX neYeHH, nOA>KenyAOYHO~ >Kene3bl, >KenyAOYHOKHWeYHOrO TpaKTa HilH 3a6oneBaHHSIX HepBHO~ cHcTeMbl. Heo6xoAHMO o6cneAoaaTbCH y apaYa-AepMaTonora, racTp03HTeponora.


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(3BnK) - ManOHHBa3HBHbiH, 6e3onaCHbiH, coapeMeHHbiH H 3<j)<j)eKTHBHbiH BHA ne'feHH~ aapHK03a. HMeeT Ha3BaHH~·CHHOHHMbl: 3H-

AOBeH03Ha~ na3epHa~ a6n~~H~, 3HAOBa3anbHa~ KOaryn~~H~ BeH HH)f(HHX KOHe'fHOC· TeH, 3HAOBeH03Ha~ nnepHa~ o6nHTepa~H~ (3Bn0). Ho KaKOBO 6bl HH 6blnO Ha3BaHHe, TeXHHKa na3epHOH KOaryn~~HH OCTaeTC~ OAHHaKOBOH.

HAWA CnPABKA '-lepe3 npOKOfl B BeHy BBOART paA11aflbHblj:j OnTOBOflOKOHHblj:j CBeTOBOA. 3aTeM C noMOW,biO Cne~l1aflbHOj:j nOMnbl BOKpyr BeHbl HaKal.fi1BaeTCSI paCTBOp aHeCTeTI1Ka, KOTOpblj:j He • TOflbKO o6e360ni1BaeT npo~eAypy, HO 11 CAaBfli1BaeT BeHy, yMeHbWaSI ee A11aMeTp 11 3aW,11W,aR TeM caMbiM oT neperpeaa oKpy>t<atOW,11e TKaHI1. AnR npo~eAypbl 11CnOnb3YIOT coapeMeHHble COCYA11CTble na3epb1, KOTOpble reHep11pytOT ABe BOflHbl: OAHa 113 HI1X nornow,aeTCSI reMorno611HOM Kp0BI1, BTOpaR - COCYA11CTOj:j cTeHKoj:j. BeHa «3aaap11aaeTCR». Bee 3Tanbl (nono>t<eHI1e CBeTOBOAa, 11H<PI1flbTpa~I1SI pacTBopa BOKpyr aeHbl, caM npo~ecc «3aaap11BaHI1R») a pe>t<I1Me peanbHoro apeMeHI1 KOHTpon11py10TCR Y3-annapaTaMI1. Ani1TenbHOCTb npo~eAypbl 3BJ1K Ha OAHOj:j KOHel.fHOC-

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COMaTH'48CKHM COCTO.RHH.RM nat.J,HeHTa: TpOM603 ( o6CTPYK4H.R, OKKnt03H.R, 3aKynopKa) rny6oKHX seH; • AeKoMneHcHposaHHbiH caxapHbiH AHa6er 1-ro THna; • r.R>KenbiH arepocKnepo3 aprepHii H HweMH.R HH>KHHX KOHe'4HOCTeif; . T.R>Kenble

I

nPEHMYUJ,ECTBA METOAA:

e MI1HI1MaflbHaR TpaBMaTI11.fHOCTb, "'TO no: 3BOflReT npoBOA11Tb npo~eAypy B aM6ynaTOpHbiX ycnOBI1SIX 11 nOA MeCTHOj:j aHeCTe311ej:j; e MO>t<HO OTnpaBnRTbCSI AOMOj:j cpa3y nocne onepa~1111; . 6biCTpOe BOCCTaHOBfleHI1e; e xopow11j:j KOCMeTI11.feCK11j:j pe3yflbTaT: He OCTaeTCSI cneAOB 11 wpaMOB; e BbiCOKaR 3<P<PeKTI1BHOCTb, U.eHT pe~J.1AI1BOB.

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...............................

l

cepAe'4HO-COCYAHCTble

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P•••••••••••••••••••••••••••••••••••••••••••••••••

i

nPO~EAYPE

cny'4aes OHH CBOA.RTC.R K T.R>KenbiM

' I

: ro aHecreTHKa;

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• HeB03MO>KHOCTb cjJH3H'48CKOH aKTHBHOCTH cpa3y nocne np048AYPbl;

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·--------------------------------------------------------------J --------------------------------------------------------------; KAK AEnAIOT ! nA3EPHYIO KOArY nSI~HIO BEH : I

I

----iioi<A3Aii-H"si·i< -nA-3"Eiii-io~ ----i KOArYn~~HH i' OcHOBHoe noKa3aHI1e - 3TO aap11K03Hoe pac.l W11peHI1e BeH BHe 3aBI1C11MOCTI1 OT A11aMeTpa B8H03HOrO CTBOna 11 aap11aHTOB ero aHaTOMI1I.feCKOrO cTpoeHI1R. Pacw11p11Tb Kpyr noKa3aHI1j:j 3BJ1K yAanocb 6naroAapR coaepweHCTBY coapeMeHHoro o6opyAoBaHI1R - AByxaonHoBbiX na3epOB, paA11aflbHbiX CBeTOBOAOB .

+ He3aAOflrO AO MaHI1nynR~I111 cneAyeT np1106pecT11 KOM- ' npeCCI10HHble l.fYflKI1 2-j:j CTeneHI1 KOMnpeCCI111 (25-32 MM pT. CT.). noAp06HO 0 TOM, KaKoj:j 11MeHHO pa3Mep noTpe6yeTCR, paccKa>t<eT apal.f. CaMa 3HAOBa3anbHaR na3epHaR KOarynRLJ.I1SI KaKoj:j-n1160 cne4J.1aflbHOj:j nOArOTOBKI1 He Tpe6yeT. Bee 3Tanbl 3HAOBeH03Hoj:j na3epHoj:j o6n11Tepa41111 npOXOART nOA nOCTOSIHHbiM ynbTpa3BYKOBbiM KOHTponeM. + nepeA Hal.fanoM npo~eAypbl «pa3Mel.faeTCR» aeHa: apal.f CTaBI1T Ha KO>t<e MeTKI1, COOTBeTCTBYIOW,11e MeCTaM o6paTHOrO TOKa KpOBI1, BnaAeHI1SI B BeHy np11TOKOB.

B03PACT nAUHEHTA nPOTHBOnOKA3AHHEM KnPOUE,D.YPE HE ~BJl~EfCR


3AOPOBAH HCU3Hb G

0 Ha6oneaweM. ra3eTa-qenHTenbHHQa

--------------------------------------------------------------------i --------------------------------------------+ B Ha"'ane MaHI1nynAU,1111 npo11CXOA11T MecrHoe o6e36on11aa- : PEA&HnHT AU.HSI Hl1e, nyHKTHpyercA (npoKanblaaercA) aeHa. Ow,yw,eHI1SI npH : 3TOM Hl1"1eM He ornl1"1atoTCSI or o6bi"'Horo BHYTPI1BeHHoro yKo- • na. C noMOW.bto cneu,HallbHoro Karerepa a aeHy BOAHTCSI paA11anbHbiH CBeTOBOA. Aanee aoKpyr aeHbl C03AaercA 3aW.11THaSI «Mycpra» 113 o6e3601111Batow,ero npenapara. noA KOHTponeM Y3111, c noMOW,biO cneu,l1a11bHoro Hacoca epa'! BBOA11T a npocrpaHcrao BOKpyr COCyAa MeCTHbiH aHeCTeTI1K. 3TO n03B011SieT He TOilbKO o6e3601111Tb, HO 11 3aW,11TI1Tb OKpy>t<atoW,11e TKaHI1 OT 1136biTO"'HOrO renna na3epa. CaMa npou.eAypa 38110 aap11K03HbiX aeH. B coapeMeHHbiX CBeTOBOAaX na3epHOe H311Y"'eHI1e nOAaeTCSI paBHOMepH~ no BCeH 0Kpy>t<HOCTI1 np116opa, o6ecne"'I1BaSI pasHOMepHbll1 Harpea BeHbl 113HyTp11. nocne 113B11e"'eHHSI CBeTOBOAa naU,I1eHT npOXOA11T Y11bTpa3BYKOBOH KOHTp011b COCTOSIHI1SI o6pa6oTaHHOro COCyAa, a TaK>t<e rny60KI1X BeH KOHe"'HOCTI1. Ha nau,11eHra HaAeaaercA KOMnpecci10HHoe 6enbe. Cpa3y >t<e no OKOH"'aHI111 MaHI1nynAU,1111 nau,11eHT AOil>KeH COBepW11Tb nporynKy npOAOil>KHTenbHOCTbto He MeHee 40 MI1HYT.

B nepabte cyTKH MoryT 6btTb ~ H TSIHYIQHe 6onH no XOAY aeHbt. AnA 11x ycrpaHeHI1SI AOCTaTO"'HO 06bi"'HbiX o6e3601111BatoW,11X cpeACTB. B nepBble HeCKOilbKO AHeH MO>KeT nOAHSITbCSI TeMneparypa. Aocraro"'HO np11HSITb TPaAI1LJ,HOHHble cpeACTBa, ee CHI1>KatOUJ,He. B u,enoM A11S1 ycnewHOH pea611n11raLJ,H11 HY>KHO co6ntoAaTb 2 rnaBHbiX ycnOBHSI - HOCHTb KOM-, npecci10HHOe 6enbe H noAAep>t<HBaTb AOC : TaTO"'HYIO cp11311"1eCKYIO aKTI1BHOCTb. : KoMnpeccHOHHoe 6enbe - a re"'eHHe nepabiX 5 cyroK ero He cH~MatOT Aa>t<e : Ha apeMSI HO"'HOrO CHa. 3TO He06XOA11- l MO AilS! roro, "'T06bl aeHa nonHOCTbto «CKnel1nacb» H 3apy6u,eaanacb. Aanee KOMnpeCCI10HHbiH Tp11KOTa>K HaAeBatoT TOilbKO a AHeBHOe apeMSI. AocraTO"'HO HOCI1Tb KOMnpeCCHOHHOe 6enbe 2,5-3 MecAu,a, HO a cnyyae HanH"'I1SI cpaKropoa p11CKa (ManonOAB11>KHaSI, CTOSI"'aSI pa6oTa, np11eM >t<eHCKI1X nOilOBbiX rOpMOHallbHbiX npenaparoa) >t<enarenbHO AanbHeHwee npocpH11aKTI1"1eCKOe HOWeHHe KOMnpeCCHOHHOrO Tp11KOTa>t<a.

+

+

i

+

-------------------------------------------------------------------·-------------------------------------------------------------------i i B03MO>KHbiE OCnO>KHEHHSI i I

_

lI

I

IIIX HeMHOrO r OHI1 BpeMeHHble, a BepOSITHOCTb OC110>KHeHI111 lI : caA3aHa npe11Myw,ecraeHHO c np11MeHeHHeM ycrapeawero Me- : : A11U,HHCKOrO o6opyAOBaHI1SI 11 C HeBbiCOKOH KBa1111cp11KaU,HeH epa-'

:"'a. TpoM6o3 rny6oKHX aeH - MO>t<er noABI1TbCSI y nau,11eHroa co CKilOHHOCTbiO K nOBbiWeHHOMY TpOM6oo6pa30BaHI110. no3TOMY AilS! npocpHnaKTI1KI1 3Toro ocno>t<HeHHSI nau,l1eHraM Ha3Ha"'aIOT npenapaTbl, CHI1>t<atow,l1e caepTbiBaeMOCTb Kpoa11. KaK npaBHno, HX np11MeHSIIOT B Te"'eHI1e 4-5 CYTOK nocne BMeWaTellbCTBa. TpoM6ocllne6HT __ CBSI3aH Yaw,e acero c HeAocraro"'HOH HHreHCI1BHOCTbto 11a3epHoro B03AeHCTBI1SI. nHrMeHTaQHSI no XOAY o6pa6aTb1BaeMOH BeHbl paccaCbiBaeTCSI B Te"'eHHe 1,5-2 MeCAU,eB. Ou.w"-'eHHe ccHaTSIHYTOHn aeHbt - npoxOA11T a re"'eHI1e 1, 5 MecAu,a. 1-ifo6bl MaKCHMallbHO npeAOTBpaTI1Tb pa3BI1TI1e KaKI1X-111160 OC110>t<HeHI1H, CileAyeT npHAep>t<HBaTbCSI HeCK011bKI1X npo:TbiX npaBI111, C0611toAeHI1e KOTOpbiX He06XOAHMO AilS! ycneWHOI1 pe-

~~~~~~-T-~~~~:··········-··------------·-····----------·······-······

CI»H3H'IecKaSI aKTHBHOCTb - e>KeAHeBHO peKOMeHAyeTCSI XOA11Tb He MeHee "'aca. Ho or 3aHSITI1H HHTeHCHBHbiM cnoproM np11AeTCSI OTKa3aTbCSI npHMepHO Ha MeCSIU,. B re"'eHHe MecAu,a HY>KHO 1136erarb ropS1"111X aaHH, nocew,eHI1SI 6aHI1 H cayHbl.

~-------------------------------------------~-- - -----------------------------

: DODVDRPHbiE BODPOCbl DAQMEHTOB DPO 3BDH I

Bonpoc: nocne 3BnK KOrAa MO)I(HO 3aHHMaTbCSI cllHTHeCOM! OraeT: B KOMnpecci10HHOM rpHKora>t<e y>t<e Yepe3 5-6 AHeH, ace 3aBI1CI1T or • COCTOSIHI1SI.

*** Bonpoc: nocne 3BnK noABHnocb TAHY"-'ee ynnorHeHHe, :no onacHo! Oraer: CKopee acero, noxo>t<e Ha reMaToMy, He06XOA11MO npOAOil>KaTb HoCHTb KOMnpeCCI10HHbiH Tp11KOTa>t<. 06SI3aTe11bHO HaAo noKa3aTbCSI cpne6onory, CAenarb Y3111.

***

llo.a. B03,:J.eHCTBHeM RftTeTep BBOAHTc:'JI B

HIU'peBR BeHft

Bt.IBOAJITCH,ft BeHft

BellY

CDftARe'J'('JI

aRRpt.IBReT('JI

Bonpoc: MeHH aonHytoT nocneACTBHA, He yaenH~HTCA nH Harpy3Ka Ha APYrHe aeHbt nocne 3BnK! 0Taer: KpoaocHa6>t<eHHe Hor 3aBHCHT or aprep11H, np11 3BJ1K >t<e yAansnorcA ae- 1 Hbl, nocne yAaneHI1SI aapHK03HOH BeHbl : OTTOK KpOBH TOilbKO yny"'waeTCSI. :

-----------------------------------------------------------------------fiilofYni<~-~-wiE:PEHH~r$H3~-Y-Eci<~I-YnP~HEH~~-~ n~WA5l nPO¢~nAKH1KA PACW~PEH~5l BEH .. ............................................................................................................................................................................................... . .....................BAP~K03HOrO . . ..................................... . . ......... . ..... . ..............................................................


G O&PA3 )KU3HU

qyg llEDATb, qJO&bl DOXVllETb 31 roail

1C~

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f OA ~ Hecny'faHHbiH apeMeHHOH npoMe~ >KYTOK. AoKa3aHo: 'fenoae'fecKoMy opraHH3M y Tpe6yeTCSI OKOnO 13 MeCSIL!.eB AnSI nonHOL!.eHHOrO H3MeHeHHSI rena Ha 6HOXH~ MH'feCKOM ypoaHe. KaK npaaHno, Ha nepBble nonroAa npHXOAHTCSI aKTHBHaSI cjla3a noxyAeHHH. A cneAYIOU4He nonroAa HY>KHO KOHTpOnHpoaaTb CBOH aec H nocreneHHO B03BpaiL!.aTbCSI K HOpManbHOM y 6anaHCy KanopHH. KoHe'fHO, OT apeAHbiX npOAYKTOB CTOHT OTKa3aTbCSI nonHOCTbiO.

RHBAPb AHETOnor:

HaYHr-ne seCTI1 AHeBHI1K ni1TaHI1SI 11 cpa3y nponi1WI1Te, K KaKOMY KOHKpeTHO YI1CI1Y Bbl nnaH11pyeTe 3aKOHYI1Tb noxyAeHI1e. Ao A11eTbl npOHAI1Te nOilHOe MeA11U,11HCKOe o6cneAOBaHI1e. OnpeAe1111Te cso10 HOPMY . Cpa3y CTapai:iTecb ni1Tb 60I1bWe BOAbl, a He YaSII11111 KOcpe. 111 yMeHbWI1Te K01111'-leCTBO caxapa, npOCTbiX yrneBOAOB 11 >t<11pOB.

CbHTHEC-TPEHEP: AI1Sl 3AOPOBbst YenoseK AOil>t<eH CAenaTb B AeHb 5 TbiCSIY waros, a 3TO 3,5 KM. B nepBbiH Mecstu, np11yY11Te ce6st K 3TOM y. Ho y6eA11TeCb, '"ITO y sac HeT npOTI1BOnOKa3aHI1H K cnopTy. noMI1MO 3Toro, CAenaHTe aHa11113 11HAeKca Maccbl Tena, KOTOpbiH nOKa3biBaeT KOI111YeCTBO >t<11pa, MbiWU, 11 np. TaK Bbl BbiSIBI1Te npo6neMbl 11 nOHMeTe, Ha KaKYIO Harpy3KY Bbl MO>KeTe paccYI1TbiBaTb .

AHETOnor: Hai:1A11Te HacTaBHI1Ka 111111 rpynny noAAep>t<KI1. 0YeHb Hennoxo np11AYMaTb AilS! ce6st noAapK11-noow,peHI1st, He CBSI3aHHble C eAOH! noAapKOM MO>t<eT 6b1Tb, K np11Mepy, noxoA c APY3bSlMI1 Ha 11HTepecHoe Meponp11stTI1e. BbiCTpOHTe pe>t<I1M ni1TaHI1SI, npOAOil>t<ai:iTe BeCTI1 AHeBHI1K 11 HOCI1Te C C060H nepeKycbr. CTapaHTecb ecTb B 3TOM MecSlu,e 6onbwe osow,ei:111 cppyKTOB.

CbHTHEC-TPEHEP: He HaneraHTe Ha cnopT- pa3611paHTecb C np11eMaMI1 ni1W,11. npoMe>t<yTOK Me>KAY eAOH AOil>KeH 6b1Tb 3 Yaca. np11yY11Te ce6st eCTb, oco6eHHO 3aBTpaKaTb. HaYHI1Te B BbiXOAHble npoxoA11Tb y>t<e He 5, a 10 TbiCSIY waros.

___

- ~-~iB1rE- n66Ji~3-6cri~1"3J.ioP

_KoroPA~

MAPT AHETonor: np11WI10 BpeMSI CAeilaTb OYI1CTI1Te11bHYIO nporpaMM y AilS! neYeHI1 11 KI1WeYH11Ka. nonpo6yi:1Te 11HOrAa AeilaTb pa3rpy30YHble AH11. LfTo6br opraHI13M He 11Cnb1Tb1Ban Aecp11U,11Ta Heo6XOA11Mb1X AilS! 3AOPOBbst 311eMeHTOB, A06aBbTe nOilHbiH Ha6op BI1TaMI1HOB. noMI1MO AHeBH11Ka ni1TaHI1SI, Bbl MO>t<eTe TaK>t<e COCTaBilSITb Cni1COK noKynoK, YT06bl He xsaTaTb 1111WHero B Mara311He. 111 nyYwe XOA11Te 3a npOAYKTaMI1 Ha CbiTbli:i >t<enyAOK. CbHTHEC-TPEHEP: nocTeneHHO A06asnsti:1Te 6brTOBYIO aKT11BHOCTb, MO>KHO np1106peCTI1 CTenep 11 no BeYepaM A06asnstTb war11 no 10-15 MI1HYT nepeA CHOM. BseA11Te np11BbiYKY He eCTb 3a 2 YaCaAO CHa.

ADPEDb AHETonor: caMbrH pacxo>t<I1H CTepeoTI1n: 3AOposast eAa - HeBKycHast. Ha caMOM Aeile cyw,eCTByeT MHO>KeCTBO peU,enTOB 3AOpOBOi:1 eAbl. CTapaHTecb A06asnstTb no OAHOMY HOBOMY peu,emy Ka>KAYIO HeAemo. Ecn11 B03HI1KatOT co6na3Hbl, TO BCnOMHI1Te 0 TOM nyTI1, KOTOpbri:i Bbl y>t<e npoAe11a1111. CneA11Te 3a CHOM. npaBI111bHbiH pe>t<I1M CHa c 22.00 AO 6.00- co6ntOAaTb TPYAHO, HO cTapai:iTecb XOTSI 6bl cnaTb B HOYHOe BpeMst, BeAb 11MeHHO HOYbiO Bbrpa6aTbiBatOTCSI HY>KHble BaM ropMOHbl. CllHTHEC~ TPEHEP: HaYI1Hai:1Te A06asnstTb s pau,11oH KaK MO>KHO 6onbwe 6enKa. A B KaYeCTBe nepeKyca 11Cnonb3yi:1Te 1-2 cppyKTa. 111 He 3a6brsai:1Te npo osow,11 3TO KileTYaTKa, KOTOpast Ha11a>KI1BaeT pa6oTy >t<KT.

MAl AHETOnor: COCTaBbTe nnaH YAOBOI1bCTBI1i:1 11 pa3BI1eYeHI1i:1, OTI111YHbiX OT eAbl. He 3aU,11KI111Bai:1Tecb Ha paU,110He. npoAOil>KaHTe BeCTI1 AHeBHI1K ni1TaHI1SI 11 ryIlSITb. 0YeHb Ba>KHO HayYI1TbCSI pa31111YaTb rOilOA 11 3MOU,1111. Ha6ntOAai:1Te 3a ronoAOM, anneTI1TOM 11 CbiTocTbiO . 111HOrAa eCTb «XOYeT» ronosa, a He >t<enyAOK. CllHTHEC-TPEHEP: HaYHI1Te XOA11Tb B cnopT3an xoTst 6br no BbiXOAHbiM. Bbr611paHTe TO, YTO saM HpaBI1TCSl, Heo6st3aTe11bHO cpa3y HaYI1HaTb c Tst>t<enbrx ynpa>t<HeHI1i:1. Mo>t<HO XOA11Tb Ha Hory, Ha a3po611Ky, Ha TaHU,bl 11 np. Bawe Teno AOil>t<Ho np11BbiKHYTb K cnopT11BHbiM Harpy3KaM.

8YiO--m~-Lijy~ -----------------------·---------------·----------------------------------------------------·-

MOm n MO'-Ib Y6EPE'-Ib BAC OT nOEJ].AH~~ '-I ErO-H~6YAb BPE,lJ.HOrO.


0 Ha6oneBWeM. ra3eTa-qenHTenbHHqa

O&PA3 H<U3HU G)

IIIOHb

CEHTR&Pb

AHETonor: H3yYai1Te 3THKeTKH, COCTaB H nHw,eeytO U.eHHOCTb npOAYKTOB. npo6neMa B TOM, '"ITO He BCe nt06SIT YHTaTb TO, YTO HanHcaHo MenKHM wpHcpToM. Hai1AHTe caMble none3Hble AnSI ce6SI npOAYKTbl. nonpo6yi1Te CO'"IeTaTb H BKyC, H KaYeCTBO eAbl. CI)HTHEC-TPEHEP: He paccTpaHeai1Tecb, ecnH sec yxoAHT MeAneHHO. Y BaC MO>KeT YXOAHTb >t<Hp, HO H MOryT A06aenSITbCSI MbiWU.bl. no3TOMY HaYHHTe eeCTH 3aMepb1 ceoHx o6beMoe. 3To rnaeHbiH noKa3aTenb! 3Aopoeoe noxyAeHHe npH 6onbWOM eece- 5 Kr e MeCSILJ..

AHETonor: npOAOn>t<ai1Te nepHOAHYeCKH nHTb BHTaMHHbl. A TaK>t<e o6paTHTe BHHMaHHe Ha ce3oHHble cppyKTbl H oeow,H. Ha caMOM Aene H3 npHBbiYHbiX OBOUJ,eH H cppyKTOB MO>t<HO npHrOTOBHTb orpOMHOe MHO>KeCTBO CaMbiX pa3HbiX canaTOB, rapHHpoe, cynoe H Aa>t<e coycoe. 3anpaeKy AnSI canaTa TaK>t<e MO>t<HO AenaTb H3 HaTypanbHbiX npoAYKTOB H cneu.Hi1. Mai1oHe3 H KeTYyn - oYeHb KOeapHble A06aBKH. Jlyywe 0 HHX 3a6b1Tb. CI)HTHEC-TPEHEP: npi-iyYHTe ce6SI He 3anHeaTb nHw,y H He ynoTpe6nSITb OKpaweHHble HanHTKH HH B KOeM cnyYae. BnocneACTBHH saM MO>t<eT Ka3aTbCSI, '"ITO Bbl XOTHTe eCTb, KOrAa 3TO COBCeM He TaK.

IIIODb AHETOnor: npHwno epeMSI npoeepHTb aHanH3bl H nOABeCTH HTOrH nonyrOAa. noMHHTe, B CaMOM HaYane Bbl cTaeHnH nepeA co6oi1 u.enb? CHoea CAenai1Te 3aMepb1 H npoeepbTe CBOH sec. npoAOn>t<aHTe cneAHTb 3a CHOM H pe>t<HMOM nHTaHHSI. Tenepb caMoe rnaeHoe yAep>t<HBaTb saw HOBbiH sec! CI)HTHEC-TPEHEP: cTapai1TeCb ynoTpe6nSITb cnaAKOe pa3 B HeAentO H AO 12 '"Ia COB AHSI.

ABrvCT AHETOnor: npoYHTai1Te MOTHBHpytOw,ytO KHHry HnH npOHAHTe CeMHHap 0 3AOpOBOM o6pa3e >KH3HH. noMHHTe, YTO ecnH Bbl He XOTHTe B03BpaTa eeca, TO Bbl AOn>KHbl TUJ,aTenbHO nopa6oTaTb HaA HOBbiMH 3AOpOBbiMH npHBbiYKaMH H H3MeHHTb pau.HoH. KoHeYHO, HeT HHYero nnoxoro e nHu.u.e pa3 e HeAentO, OAHaKo 6onbwytO YaCTb epeMeHH saM HY>KHO nHTaTbCSI none3HOH eAOH. CI)HTHEC-TPEHEP: HaYHHai1Te o6paw,aTb BHHMaHHe, KOrAa H KaK Bbl ynoTpe6nSieTe nHUJ,y. He CTOHT AenaTb 3TO nepeA TeneBH3opoM HnH HOyT6yKoM. TepSieTCSI BHHMaHHe, H MO>t<eT CnO>KHTbCSI nO>KHOe npeACTaBneHHe 0 TOM, YTO Bbl Mano CbenH.

OHTR&Pb AHETOnor: Bbl Mo>t<eTe epeMSI oT epeMeHH npo6oeaTb «3AOpOBOe» 3aCTOnbe HnH nOXOA B peCTOpaH. Ho Aa>t<e Ha YbeM-To AHe po>t<AeHHSI cTapai1Tecb Bbi6HpaTb 6onee HnH MeHee KaYeCTBeHHYIO H HeepeAHYIO nHUJ,Y. CI)HTHEC-TPEHEP: CTapai1TeCb 6onbwe rynSITb 3a ropOAOM HnH e napKax. OpraHH3M AOn>t<eH HaCblw,aTbCSI KHCnOpOAOM, TeM 6onee '"ITO 3a 1Q MeCSIu.ee y sac cyw,eCTBeHHO H3MeHHnHCb npHBbiYKH nHTaHHSI H ABH>t<eHHSI, a 3HaYHT, opraHH3MY MO>t<eT noTpe6oeaTbCSI 6onbwe B03Ayxa. KpoMe Toro, KHCnopoA yKpenHT HMMYHHTeT.

HOR&Pb AHETOnor: npoeeAHTe KoppeKU.HtO ceoero paU.HOHa. Tenepb HaYHHaeTCSI aAanTaU.HSI AnSI coxpaHeHHSI eeca. K TOMY >t<e 3HMHee nHTaHHe oTnHYaeTCSI OT neTHero. 06bi'"IHO B 3TO epeMSI ntOAH HaYHHaIOT eCTb 6onbWe MSICa H KpynSIHbiX rapHHpOB, HO 3TO 6onbwaSI owH6Ka! Oeow,H H cppyKTbl - eawH rnaeHble TOBapHUJ,H. Aa>t<e e 3aMopo>t<eHHOM BHAe. V1 nOMHHTe 0 BHTaMHHaX. CI)HTHEC-TPEHEP: onpeAenHTe, cKOnbKO Tenepb eaweMy opraHH3MY HY>KHO nornow,aTb KanopHi:1, H COKpaTHTe 3TO KOnHYeCTBO Ha 15%.

aEHA&Pb AHETOnor: HanHWHTe HcTopHtO ceoero ycnexa. noMHHTe 0 CBOeM pe3ynbTaTe. DYAEiT nyYwe, ecnH eawH 6nH3KHe 6yAyT noAAep>t<HBaTb sac. noyaw,e nepeCMaTpHBaHTe CBOH CTapble cpoTorpacpHH H ropAHTeCb CBOHMH ycnexaMH. CI)HTHEC-TPEHEP: H HaKoHeU. noi1MHTe, '"ITO He KaKoe epeMSI y sac nonaAaeT e opraHH3M, H Bb1pa6oTai1Te npHBbiYKY eCTb TaK enpeAb. B nepeoi1 nonoBHHe AHSI - MeAneHHble yrneBOAbl {OBCSIHKa, rpeYKa, nepnOBKa), BO BTOpOH nonOBHHe- MSICO, SIHU.a, oeow,H H cppyKTbl. Bbl AOn>t<Hbl 3a6b1Tb o TOM, '"ITO TaKOe Kocpe C MOnOKOM. 0AHa nopLJ.HSI TaKoro KOcpe no KanopHHHOCTH MO>t<eT 3aMeHHTb nonOBHHY eawero o6eAa.

COH 0'-lEHb IWKEH )J)l51 3AOPOBbR


0

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0 Ha6oneBWeM. fa3eTa-qemnenbHHqa

HA OCHOBE CnHPT A H BOAKH CaMbiM AeHCTBeHHbiM BHAOM nOBS13KH AflSI ropna C"'HTaeTCSI CnHpTOBOH (MO>t<eT 6b1Tb Ha OCHOBe BOAKH}, HO npHMeHSITb ero peKOMeHAyeTCSI B OCHOBHOM npH ne"'eHHH aHrHHbl y B3pOCflbiX . AnSI 3TOrO He06XOAHMO CMO"'HTb B Hepa36asneHHOM CnHpTe 6onbWOH KyCOK Mapm1 HflH TKaHH H CflO>KHTb ero B HeCKOflbKO CflOeB, npeAsapHTeflbHO OT>KaB, CnHpT >t<e npH 3TOM AOfl>KeH 6b1Tb KOMHaTHOH TeMnepaTypbl. nocne Hano>+<eHHSI KOMnpecca Ha ropno ero HY>+<HO nepeBSI3aTb TennbiM wap<PoM. 3TO He06XOAHMO KaK AflSI COXpaHeHHSI Tenna, TaK H AflSI <PHKCaU,HH. 3TO o6bSICHSieTCSI TeM, "'TO HOCHTb nOBSI3KY HY>+<HO AOCTaTO"'HO AOnro 1-1 see speMSI HaXOAHTbCSI C HeH B ne>t<a"'eM nono>+<eHHH AOCTaTO"'HO 3aTPYAHHTenbHO. B3pocnble MOryT HOCHTb CnHpTOBOH KOMnpecc AO BOCbMH "'aCOB B AeHb. AnSI ycHneHHSI 3<P<PeKTa Hcnonb3yeMbiH cnHpT MO>+<HO cnerKa noAorpeTb. Ho ero TeMnepaTypa He

nELIE&Hbl~ KOMnPECC

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••·••• •••··•••• 3YIOT npH rHOHHOH q,opMe TOH3HflflHTa, TaK KaK CnHpT OKa3biBaeT corpeBaiOW,HH 3<P<PeKT 1 a B Tenne AflSI pa3MHO>KeHHSI naTOreHHbiX MHKpoopraHH3MOB C03Aa10TCSI 6naronpHSITHble ycnOBHSI.

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HAWA CRPABHA

KoMnpecc&t o6ecneL~HBator MeCrHoe nporpe- ~ BBHHe nopa>KeHHb/X YLIBCTKOB, cnoco6crsyJl YCKO- ~ peHHIO pereHepat.J,HOHHb/X np04eCCOB 11 ynyL~W8Jl : o6MeH seu.cecrs s TKaHRx, a 3TO ycKop11er npo- ~ 4ecc s&t3AOposneHHJl. TaK>Ke raKoe cpeAcrso ~ noMoraer ycrpaHHTb oreL~HOCTH 11 pacw11p11er co- ~ cyA&t, ynyL~waJl KposoroK s TKBHJlX ropna. /l.ononHHTen&HO nOBJl3KH OK83b/8810T 11 TBKHe 6narorsopH&te 3cjJcjJeKr&t: CHRTHe 6onesoro CHHAPOMa; yMeH&WeHHe OTeliHOCTH nHMcjJ8THlleCKHX y3nos; paccaCbiB8HHe TKaHeH, nOABeprWHXCJl rHneprpocjJHL~eCKHM np04eccaM; BbtBeAeHHe TOKCHHOB H3 nopa>KeHHb/X 11 BOCnaneHHb/X TKBHeH. : KoMnpecc&t np11 aHrHHe Moryr 6&tTb sna>KH&tMH 11 cyxHMH. Bna>KH&te Hcnon&3ytorcJlL~au.ce 11 s 6on&WHHcrse cnyL~aes 6onee 3cjJcjJeKTHBH&t. ~ :

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HA OCHOBE TBOPOr A DOnee MSirKHM C"'HTaiOTCSI KOMnpeCCbl Ha OCHOBe paCTHTeflbHbiX HflH HaTypanbHbiX npOAYKTOB, HanpHMep- H3 TBopora. TaKoi:i sapHaHT KaK pa3 noMo>+<eT npH rHOHHOH q,opMe aHrHHbl. AnSI 3TOrO Heo6XOAHMO B3SITb ropCTb TBOpora H nOAOrpeTb ero AO TeMnepaTypbl Tena, cMewaTb c MeAOM H3 pacYeTa 1 "1. n. Ha 50 r TBOpora, nocne Yero o6epHyTb TKaHbtO 1-1 Hano>+<HTb ee Ha ropno Ha HO"'b. TaKoe cpe- : ACTBO nOMOraeT ycTpaHHTb 6oneBble OUJ,yW,eHHSI 1 H "'TO HHTepeCHO - MO>KeT cny>+<HTb KOCBeHHbiM AHarHOCTH"'eCKHM cpeACTBOM. C yTpa HY>+<Ho pa3sepHYTb TBopor 1-1 ou,eHHTb ero u,seT: ecnH npOAYKT cTan 3eneHoBaTbiM - 3TO rosopHT o pacnpocTpaHeHHH naTonorHH Ha nerKHe •

. . . ................................................................................ '·······················································································

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He MeHee nonynSipHitl a HapOAHOH MeAHL!.HHe H APYrHe HatypanltHitle BHAitl noBSI30K: 1• 0TBapeHHbiH B KO>t<ype Kaptocpenb pa3MHHaiOT, He O"fHW,aSI, H B~IKflaAbiBaiOT nony"feHHYIO Macey B HOCOK H3 wepCTH, KOTOpbiH nnaTKOM HflH wapcpOM cpHKCHpyeTCSI Ha ropne. 2. BMecTo KapTocpenSI MO>KHO Hcnonb30BaTb sapeHytO cseK- . ny, KOTOpaSI HaTHpaeTCSI Ha MenKOH TepKe. nepeA yKnaAbiBa- ; HHeM B TKaHb HflH B MapniO CBeKny He06XOAHMO OT>KaTb OT co- l Ka. 06a BHAa nOBSI30K HaKnaAbiBaiOTCSI Ha non"faca. ; 3. 2 CT. fl. COflH pa3MeWHBaiOT B CTaKaHe TennOH BOAbl H CMa"fHBaiOT B paCTBOpe TKaHb, KOTOpaSI Ha "'aC HaKnaAbiBaeTCSI Ha we10. 4. B ropSI"tei:i BOAe pa3Ma"flo1BatOT KopKH teMHoro xne6a ..,. pa3MHHaiOT 1o1x AO nony"feHio1SI OAHOPOAHOH MaCCbl, nocne "fero ee 3asopa"tlo1BatOT B MapntO. TaKaS! noBSI3Ka cp1o1KC1o1pyeTcSI nOfllo13THfleHOM, wapcpoM lo1fllo1 nOBSI3KOH 1o1 HOCio1TCSI B Te"feHHe 6-8 "faCOB.

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OTKYAA &EPYTCSI KAMHM B nO'iKAX? &one3HIII 803HHKaeT H3·3a HapyweHHSI 06MeHa Belll.eCTB, OC06eHHO H3·3a H3MeHeHHSI BOAHO-Coneaoro H XHMH'IeCKOrO COCTaaa KpOBH. HoOT 'lero HMeHHO npOHCXOAHT TaKOH c6oH, noKa OCTaeTCSI TaHHOH.

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CHMnTOMbl HEAPArOUEHHbiE KAMHff1 06pa3yiOW,HeCH B opraHH3Me KaMHH OTnHYaiOTCSI no CBOeH CTpyKType, CTpOeHHIO H XHMHYeCKOMY .COCTaay, a TaK>Ke no pa3Mepy. 0HH 6biBaiOT MenKHMH, KaK neCOYeK Ha nnH>Ke, HO MOryT H HanOMHHaTb KHnorpaMMOBble 6ynbi>KHHKH. Cyw,ecTaeHHO pa3nHYatOTCH KaMHH H no u,aeTy: ecTb cpeAH HHX 6enble, cepble, >KenTble, KOpHYHeBble, KpaCHble H Aa>Ke YepHble. Cy111.ecray10r cneAYIOII.I.He BHAiol KaMHeH: Ypar1o1 (MoYeKHCnble KaMHH) - HaH6onee peAKHe, acTpeYatOTCH a 515% cnyYaea. V1MeiOT rnaAKYIO noaepXHOCTb, TBepAytO KOHCHCTeHU,HIO, 3epHHCTYIO CTPYKTYPY. L..l,aeT: OT TeMHO->+<emoro AO KHpnHYHOKOpHYHeaoro. V1x pa3BHTHe MO>KeT cnpoaou,HpoaaTb ynoTpe6neHHe HCKntOYHTent>HO MHCHOH H pb16HoH nHW,H. OKcanaTiol- caMble pacnpocTpaHeHHble, Ha6ntOAatOTCH a 65-75% cnyYaea. 0HH o6pa3ytOTCH H3 w,aaeneaoKHcnoro KanbU,HH. KaK H ypaTbl, Yaw.e BCTpeYaiOTCSI B KHCnOH MOYe. 0KcanaTbl CYHTaiOTCSI HaH6onee TBepAbiMH H OCTpbiMH. L..l,apanatOW,He KpaH 3THX TeMHO-KOpHYHeBbiX KOHKpeMeHTOB MoryT TpaaMHpoaaTb MoYeBbiBOAHW.He nyTH. Pa3BHTHe oKeanaroe TaK>+<e MO>KeT cnpoaou,HpoaaTb ynoTpe6neHHe MHCHOH H pb16HOH nHW,H. CI»OC~ITiol BCTpeYaiOTCSI AOBOnbHO YaCTO. 0HH COCTOSIT H3 KanbU,HeBOH H MarHHeBOH coneH cpoccpopHOH KHCnOTbl. V1x cpopMHpOBaHHIO cnoco6CTByeT ynoTpe6neHHe paCTHTenbHOH nHW,H. Kap6oHaTiol- nerKo Kpowaw,HeCH KaMHH.

1. bOnb H YYBCTBO TSI>KeCTH B noSICHHU,e, YYTb BbiWe H c6oKy OT KpeCTLJ,a. 3TO rnaBHbiH, XOTSI H He o6H3aTenbHbiH, npH3HaK MOYeKaMeHHOH 6one3HH - BeAb HHOrAa oHa npoTeKaeT «MOnYa». KaK npaaHno, 6onHT c OAHOH CTopoHbl, OC06eHHO CHnbHO- BO apeMSI cpH3HYeCKOH Harpy3KH HnH npH 1-13MeHeHHH nono>+<eHHH Ten a.

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4. Eionb npH MOYeHcnycKaHHH, yyaw,eHHOe MOYeHcnycKaHHe, noM YTHeHHe MOYH. EiecnpHYHHHble H pe3KHe n03biBbl K MOYeHcnycKaHHIO nOHBnSIIOTCSI Yaw,e npH XOAb6e, TpSICKe HnH cpH3HYeCKOH Harpy3Ke. 5. 0TeKH.

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