CneqablnycH «100 peqentoa 3ADPOBbR AJIR acei ceMbM))
@
.•
npocTyAa y pe6eHKa: ycrpaHs.eM He CHMnTOMbl, a 6one3Hb! ManbiWH otacro npocTyHCaiOTCSI, nOCKOnbKY HX HMM YHHaSI CHCTeMa e114e TOnbKO cj)OpMHpyeTCSI. Ho HHKaKHe HayotHble AOBOAbl He MOryT ycnOKOHTb POAHTeneH, oteH pe6eHOK n6onen. TeM 6onee npocryAa y AeTeH HepeAKO npoTeKaeT TSIHCeno H acerAa 03Ha'faeT 6eccoHHble HO'tH. KaK 6biCTpo BblneotHTb pe6eHKa, KaKHe CHMnTOMbl ConpoBOHCAaiOT 3a6oneaaHHe H KaKHe coapeMeHHble cpeACTBa or npocTyAbl AnSI AeTeH npeAnaraeT cjlapMa~eBTHotecKaSI npOMbiWneHHOCTb!
c. 20
HKpeaTHTa 'fro AenaTb, ecnH o6ocrpHnocb aocnaneHHe nOAH<enyAO'tHOH HCen_e3bl! Ha aonpocbl otHTareneH orae~aeT apaot-naHKpeaTonor >KyKoa ifleOHHA '~HApeeBH't.
c.
~ ·~
~oom
Bbl 06 HCJ.t.eneHHH ~~Ten4!CHibiX HeAyroa c.
32
10
f) CAMO.QUArHOCTUKA
0
Ha6oneBW8M. ra3eTa-qenHTenbHHQ8
&Onb B rPYAH no MH8HHIO KapAHOnOrOB, cyll.l.8CTB8HHOe KOnH'f8CTBO ne'fanbHbiX HCXOAOB npH TRHCenbiX nopaHC8HHSIX cepA8'fHO·COCYAHCTOH CHCT8Mbl HBCTynaeT 113-38 TOrO, 'fTO 6onbHbl8 HenpaaHnbHO OQ8HHB810T CB08 COCTOSIHHe H C'fHTBIOT ero HeAOCTBTO'fHO cepb83HbiM AnSI Bbl30· aa "CKOpOH nOMOII.l.H". npaBHnbHO OQ8HHTb CBOe COCTOSIHHe npH nOSIB· neHHH 6onH B rpyAH BBM nOMOHCeT Hawa CTaTbSI.
, ...................................................... . .
nPHCTYn CTEHOKAPAHH Oco6eHHOCTH w,aH,
6onH:
AaBHW,aH,
C>t<I1MatO-
11HOrAa
>t<ry'laH
60J1b 3a rpyA11HOH, B neBOH pyKe (peAKO B npaBOH) , B wee, Hl1>t<HeH
1 ,...................................................... . ,..................................................... 3a rpyAI1HOH, 11HOrAa OTAaeT B 1 3aXBaTbiBaer BCIO rpyAb, 11HOrAa we tO, cn11Hy, n11el.l11. nocteneHHO np11 1 BepXHIOIO nOI10BI1HY >t<I1BOTa. noSIB-
'lel1tOCTI1 1 11eBOH 110naTKe. noSIBI1SI· eTCH
np11
cp11311'leCKOH
Harpy3Ke
111111 B pe3yl1bTaTe CTpecca.
cepAu.a :
11SieTCSI B nOKOe, 'laCTO HO'lbtO; Be-
• MO>t<eT nOSIBI1TbCSI B nOKOe 111111 BO :
pOSITHa KaK pe3yl1bTaT nCI1X03MO·
11WeMI1'lecKoH
6ol1e3HI1
waTbCSI 111111 11C'le3aTb, BHOBb yci1-
U,110Hal1bHOH 111111 cp11311'leCKOH Ha-
CHe. npOAOnHCHTenbHOCTb:
2-15
npoAOn)I(HTenbHOCTb: OT
rnl1u,ep11H nOA Sl3b1K. ........................................................
Aoapa'fe6Hble cpeACTaa: Cl111bHble
, ...................................................... . . HHCbAPKT MHOKAPAA 1 Oco6eHHOCTH 6onH: 11HTeHCI1B- 1 AaBHw,ero,
10 MI1-
HYT AO cyroK 11 6o11ee.
Aoapa'fe6Hble cpeACTaa: H11rpo-
C>t<I1MatOw,ero,
1111BaTbCSI. Yacro 11Meer CBH3b c Ab l-
rpy3KI1.
MI1-
HyT .
HaH,
HapactaeT, 3ateM MO>t<eT yMeHb-
~
aHal1breri1KI1.
H11rporn11u,e-
p11H, KaK npae11110, He noMoraer.
\
.......................................................
xarel1bHbiMI1 AB11>KeHI1HMI1 11 no11o• >t<eHI1eM te11a, Hanp11Mep , yMeHb- :
1waercs. B no110>t<eH1111 C11AH 11 1He60I1bWOM HaKI10He BnepeA. ;
np11 :
npOAOnHCHT8nbHOCTb: HeCKOI1b-
! KOAHeH.
1
Aoapa'fe6Hble cpeACTaa: aHal1b-
:······················································ i reTI1KJ.1.
CocyAopacw11pHtOll.\11e
1npenapaTbl He noMoratOT.
........................................................ ,...................................................... , :.~:..~.~~~x.~.P.x~~:.~:~x~.~~~~.~~Y:.. ~ ....................................................... 1PACCnAHBAIOW.ASICSI . llpo6epbme ceosz ~ AHEBPH3MA AOPTbl >t<ry'lero xapaKrepa, pe>t<e rynaH, : HOtOW,asi 6011b 3a rpyA11HOH, OTAa-
1
Oco6eHHOCTH 6onH: ocrpaH 11 ty-
~ naSI 6011b pa3HOH 11HTeHCI1BHOCTI1
f.PaKmopbt, npeapacnoJtazaJOUJUe K cepae'f.HOcocyducmbUK3aooJteaan~:
• My:HCcKoii. noll; • eo3pacm cmapwe 40 JZem; • zeH.emu'leCKa.R npeopacnoJZo:HCeH.H.ocmb K3mOMY H.ei)yzy; • BbtcoKUii. ypoeeH.b xoJZecmepuH.a; • u36btmo'lH.btii. eec; • caxapH.btii. oua6em; • MwzonooBWICH.btii. o6pa3 JICU3H.U u 'lacmbte cmpeccbt; • nOBbtiUeH.H.Oe OaBJleH.ue; • K!JpeH.ue.
Oco6eHHOCTH 6onH: o'leHb 11H-
l TeHCI1BHaSI,
HepeAKO
; BOI1Hoo6pa3HbiH
11MetOW,aSI
xapaKtep,
6o11b
13a rpyA11HOH, OTAaer BA011b n03BO! HO'lHI1Ka,
MO>t<eT pacnpOCTpaHSITb·
i CSI no XOAY aopTbl. noSIBI1SieTCSI BHe-: i 3anHo, l.lacto np11 r11neproH1111, np11 i 1cp11311'leCKOH
111111 3MOU,110Hal1bHOH
i Harpy3Ke.
1 :
1 npOAOn)I(HTenbHOCTb: OT He- 1 1CKOJ1bKI1X MI1HYT AO HeCKOI1bKI1X i
i AHeH.
l
1
1
Aoapa'fe6Hble cpeACTaa: aHal1b-
i ret11KI1.
:
························································· C CEPA~HbiM
nP~ClYnOM
MO)I(HQ CnYTATb nAHW-fECK~E ATAK~ .
0
CAMDtlUArHOCTUKA
Ha6oneBW8M. rneTa-....emonenbHH"-'1
TPOM603M&OnHSI nErO"'HOH APTEPHH Oco6eHHOCTH 6onH: ocrpast, HHTeHCHBHaSI 60nb B U,eHTpe rpyAHHbl HnH npeHMyW,eCTBeHHO B neaoH HnH npaaoH nonoaHHe rpyAH; KaK npaaHnO, conpOBOM<AaeTCSI OAblWKOH, MOM<eT npHBeCTH ~ K WOKY. nostBnsteTCSI BHe3anHO B : nocneonepau,HOHHOM nepHOAe, l oco6eHHO "'acro nocne rHHeKo~ norH"'eCKHX, yponorH"'eCKHX onepau,HH, y 6onbHbiX c rpoM6ocpne6HTOM HnH nocne cpH3H"'eCKOro HanpstM<eHHSI. ~ : l l l
npoAOnHCHT8nbHOCTb: OT 15 MHHYT AO HeCKOnbKHX "'acoa. Aospaote6Hble cpeACTBa: aHanbreTHKH, rpoM6onHTH"'ecKHe cpeACTBa.
···················nnEB.PHt ··················l Oco6eHHOCTH 6onH: a Ha"'ane 3a- l 6oneaaHHSI ocrpast, no Mepe HaKon- l neHHSI M<HAKOCTH B nneapanbHOH no- l nOCTH- Tynast, nOCTOSIHHaSI 6onb B ne..: aoM HnH npaaoM 6oKy. YcHnHaaercst npH AblXaHHH H Kawne, 3aBHCHT or nonoM<eHHSI rena.
npOAOnHCHT8nbHOCTb: OT KparKOBpeMeHHOH AO npOAOnM<HTenbHOH. Aospaote6H~tle cpeACTBa: cna3MonHTH"'eCKHe, MeCTHOaHecre3HpytOw,He cpeACTaa; aHanbreTHKH.
.......................................................
Aospaote6Hble cpeACTBa: aHanbreTHKH.
3A&OnEBAHHSI nHll.\EBOAA
.................................................. -.... ...........................................................
\
rPbi>KA nHll.\EBOAHOrO OTBEPCTHSI AHACDPAr Mbl
npoAOnHCHT8nbHOCTb: HeCKOnbKO AHeH.
Oco6eHHOCTH 6onH: ocrpast H ry: nast, HepeAKO pacnHpatOw,ero xal paKrepa 6onb no XOAY nHw,eBOAa, l "!aCTO CBSI3aHa C npHeMOM nHW,H.
8
: l l l : l
Oco6eHHOCTH 6onH: rynast, HHor- l Aa M<ry"'ast ("H3M<ora") 6onb a HH- l M<HeM OTAene rpyAHOH KneTKH H 3a : rpyAHHOH. Bo3HHKaer a nonoM<e- l HHH neM<a, oco6eHHO nocne eAbl, a l B nonoM<eHHH CTOSI H npH XOAb6e Hc-l "'e3aer. : npoAOnHCHTenbHOCTb: npOAOn- l M<HTenbHaSI. : Aospaote6Hble cpeACTsa: cna3- l MOnHTH"'eCKHe, MeCTHOaHecre3H- l pytOw,He cpeACTaa; npenapaTbl, l yMeHbWatOW,He M<enyAO"'HO- : nHW,eBOAHbiH pecpntOKC. 1
......................................................... ....................................................... ME>KPE&EPHASI HEBPAnrHSI H CnOHAHnE3 l Oco6eHHOCTH 6onH: rynast HnH : OCTpast 6onb pa3nH"'HOH HHTeHCHB: HOCTH no XOAY MeM<pe6epHbiX HepBOB. 3aBHCHT OT nonoM<eHHSI Tena, ycHnHaaercst npH noaoporax, cpH3H"'eCKOH Harpy3Ke, a nonoM<eHHH neM<a. npoAOnHCHTenbHOCTb: npOAOnM<HTenbHaSI. Aospaote6Hble cpeACTBa: aHanbreTHKH .
.......................................................... r············································· ··-----············ ···················································
cbC!delfib cMD:JilOii Ba:m:e UJ--Ja ~ Bee nepe"'HcneHHOe - aepHo. KpoMe TOrO, OTAaBaTbCSI 6onbl0 B rpyAH MOM<eT OCTeOXOHAp03, CMew,eHHe n03BOHKOB, aocnaneHHe cycraaoa, HanpHMep, nne"'eaoro. 0"1eHb "!aero 6onbtO B rpyAH orAaercst cKpblTble OHK03a6oneaaHHSI. Oco6eHHO TPYAHOonpeAenHMble, HanpHMep, paK M<enyAKa, M<en"'Horo ny3blpst. AaM<e KnHMaKc y M<eHW,HH MOM<eT OTAaaaTbCSI a rpyAH HenpHstTHbiM «3XOM»- H33a HapyweHHSI QlYHKU,HH SIH"'HHKOB, rop-
MOHanbHOM c6oe. Ill ew,e CTOHT noMHHTb - ecnH 6onb nostBHnacb nepBbiH pa3, OHa AOBOnbHO pe3KaSI, 3TO MOM<eT rOBOpHTb 0 KaKOM-TO Ha"'aBWeMCSI aocnanHrenbHOM npou,ecce. EcnH oHa He nepBbiH pa3 aac My"'aer, AnHTCSI AOnbwe 5-1 0 MHHYT, ro pe"'b MOM<eT HATH o yM<e 3aTstHyaweMcst 3a6oneBaHHH H CTOHT CAenaTb AHarHOCTHKY opraHH3MY, "'T06bl He ynycrHTb cepbe3HYIO 6one3Hb.
A
BpB<l-mepaneem Manoa /lleopb /1188H08U'I
~------------------- - ----------------------------------------------------------------------------------------------«OnACHbiM» All~ CEPAUA B03PACTOM nP~HffiO C~~TATb BTOPYIO nOJlOB~HY )f(~3H~,
HOB noclli:,LJ.HEE BPEM~ 3TA nPODllEMA OMOllOA~llACb.
0
lEMA HOMEPA
BCE 0 &POHXHTE:
Hawa cnpaaxa T AQ8HbLM
3mOZO aocnaAeHUJlRBJVlemCR ocmpaR pecnupamopHo-aupyCHaR uHtjjex~UJl (seeM uaeecmHaR OPBH). H mo.llbxo e1o% CAy'taea aoa6ydumeARMu
~~JHLUfib u ~ .4£flllliibc£
8UH08HUKOM
oxaabtBaJOmCR He eupyCbt,
mepuu -
a
6ax-
cmatjju.llOKOKKU, nHe8MOKOKKU, zeMOtjjUAbHaR naAO'fKQ U i}pyzue MUKpoopzaHU3MbL. cmpenmoxoxxu,
r••••••••••••••••••••••••••••••••••••••••••••••••·••
OCTOPO>KHO: MHKOnnA3MA! : I
, : I :
l : I :
nopa>t<aSI COeAI1H11TenbHYIO TKaHb nerK11X, 3TOT B036YA11Tenb Bbl3biBaeT 3aTSI>KHOH, XpOHI1~eCKI1H Kawenb, KOTOpbiH MO>KeT An11TbCSI rOAaMl1. Pecn11paTopHbiH MI1Konna3M03 o~eHb noxo>t< Ha rp11nn 11n11 OPBVI. BoT TOnbKO ne~eHI1e, KOTopoe Ha3Ha~aeTcst np11 rp11nne 11 a11pycHbiX 11HcpeK1..111SIX, B 3TOM cny~ae He nOMOraeT. noAxaaTI1Tb pacnpocTpaHeHHble a11pycHble 11HcpeK1..11111, pa3Apa>t<atOw,l1e 6poHxl1anbHOe «Apeao», MO>KHO a n106oe epeMSI roAa. VIHcpeK1..11111 KaK 6bi noAen11n11 ce30Hbl Ha ccpepbl enl1stHI1SI: oceHb «KOHTpOn11pytaT» p11HOBHpycbl H B036YA11Tenl1 naparp11nna, 3HMY- rpHnn, aecHy- TaK Ha3b1BaeMble pecnHpaTopHO-CHHL.~HTHanbHble aHpycbl 11 aAeHOBHpycbl. np11~eM Ka>KAbiH H3 HHX MO>KeT 3axaaTHTb aaw opraHH3M, ~To Ha3biBaeTCSI, no 1..1eno~Ke- cHa~ana OAHH, a 3aTeM 11 Apyr11e. BoT 11 nony~aeTCSI, ~To ocTpoe aocnaneHHe 6poHxoa MO>KeT nOBTOpS!TbCSI 3-6 pa3 B rOA, Bbl3biBaSI HeAOyMeHHe He npocbJXataw,ero OT Kawnst ~enoaeKa: epoAe 6bl ne~Hncst, a TonKy HHKaKoro.
1
: 1 1
1
: : 1
: I 1 1
: I
1
I
1
:
·--------------------------------------------------· MAHHnYnHU,HSI ccHHr AnSIU,HSI»
&pOHXHT B ycTaX apa'feH - AHarH03 C06HpaTenloHioiH. TaK MeAHKH MoryT Ha31o1BaTio n106oe aocnaneHHe 6pOHXOB: OT 6pOHXHOnHTa, nopaHCaiO~ero 6pOHXHOnlol (MenKHe OTB8TBneHHJI 6pOHXOB), AO TpaxeHTa (KOrAa CTpaAaeT B8Cio AloiXaTenloHioiH <<CTBOnn) H Tpaxeo6pOHXHTa (KOrAa BM8CTe CO <<CTBOnOMn CTpaAaIOT H 6pOHXH).
rnaBHOe - He AaTb aocnaneHHIO «CnyCTI1TbCSI» eHyTpb, He ynycTHTb MOMeHT, KOrAa BHPYCbl ew,e X03SIHHH~atOT B HOCOrnOTKe, Bbl3biBaSI BSInOCTb, ycTanOCTb, HaCMOpK, nepweHHe B ropne H ronoeHytO 6onb. KaK? VIHTeHCI1BHbiMH nonocKaHHSIMH pa3Apa>t<eHHoro ropna TennbiM pacTBopoM CnHpTOBOH HaCTOHK11 KaneHAYflbl, 3BKanHnTa HflH pOMaWKH. 3Ta He3aMbiCflOBaTaSI npoL.~eAypa MO>KeT np11HeCTH OW,YTHMbiH 3cpcpeKT. Ho np11 OAHOM ycnoei1H: ecnH nonocKaTb ropno Ka>KAbiH ~ac 11flH XOTSI 6bl Ka>f<Able ABa ~aca H np11 3TOM BCSIKHH pa3 HCnOflb30BaTb He MeHee CTaKaHa L.~enHTenbHoro pacTaopa. He 3a6bJaai1Te 11 o ropS1~11X 11HranSII..IHSIX. '"leM Bbl 6yAeTe AbiWaTb: KapTocpenbHbiM napOM HflH napOM OT 3ani1TOH KHnSITKOM Ta6neTKH BaflHAOna- He Ba>KHO. VITa , 11 Apyrast npoL.~eAypa 3Ha~HTenbHO o6ner~aT sa-
.
---------------------------------------------------
lEMA HOMEPA G
0 Ha6oneaweM. rueTa-l-'emnenbHHL-'a r··-················-··················-··-··················-~
KAK AbiWHTE! nPHEM!
nHCTO"'KH-KOPEWO"'KH .. . A
nepBble Aparou,eHHble AJl$1 lleYeHHSI cyTKH ynyw,eHbl? >+<AH-
BOT ycKOpHTb CBOe Sb13AOpOS11eHHe Bbl MO-
Te KawnSI. Cyxoi1, pa3Apa>t<aiOW,Hi1, cap,HSIW.Hi1 Kawenb CBJ-lAe-
>KeTe caMH. CnpasHTbCSI c 6poHXHTOM noMo-
TellbCTsyeT o nopa>t<eHHH TpaxeH. «nosna>t<HeswHi1» ._. cTas-
>t<eT o6H11bHOe nHTbe, 6oraTaSI BHTaMHHaMH nH-
6onee «MSirKHM» rosopHT o pacnpocTpaHeHHH npou,ecca
w,a, >t<HpHaSI pb16a (ceMra, KaM6ana, nanTyc,
B rny6b AbiXaTellbHbiX nyTei1. 06bi4HO B 3TO speMSI HaYHHaeT
capAHHbl, CKyM6pHS1), He>t<HpHoe MSICO, TbiK-
wHi1
OTKaW11HBaTbCSI He6011bWOe K011HYeCTBO C11H3HCTOrO ceKpeTa
seHHble ceMeYKH.
1-l ow,yw,aeTCSI 6011b BHH3Y rpyAHOi1 KlleTKH. no CllOBaM spa-
cpHTOTepanHSI. B HeKoTopbiX cnyYaSix rpaMOTHO
Yei1, 6onb snonHe ecTecTseHHa: OT npHcTynos KaW11SI cyAo-
KOHeYHO, CTapaSI A06paS1
nOA06paHHble lleKapCTBeHHble TpaSbl 6biBaiOT
po>t<HO COKpaw,aeTCSI AHacpparMa 1-l CTpap,aiOT OKpy>t<aiOW,He
3cpcpeKTHSHee
MbiWU,bl. BnpoYeM, caMHM 6o11bHbiM OT nOA06HbiX o6bSICHe-
MeAHKaMeHT03HOrO
lleYeHHSI,
TaK KaK OKa3biSaiOT KOMnlleKCHOe Aei1CTSHe, He
HHi1 HH Ten110, HH X0110AHO. EABa nOYYBCTBOBaB HenpHSITHble
TOilbKO nOAaBilSISI KaW11eSbli1 pecpneKC, HO H CHH-
OW,yW,eHHSI, 3aMyYeHHble KaWileM rpa>t<AaHe HaYHHaiOT 6HTb
MaSI SOCnaneHHe C11H3HCTOi1 o601104KH ropTaHH,
so see KOilOKona, 6pocaSICb K nepsoMy nonasweMycSI ame-
TpaxeH, «YilYYWaSI» csoi1CTBa MOKpOTbl. 06so-
KapiO C M011b6oi1: «Aai1Te MHe 4TO-HH6yAb OT KaWilSI!».
~---------------------------·-----------------------·---------J
r ··------····················································-~
1:0 HE B HAWY nonb3Y
VI
VI,
11aKHBaiOw,ee H npoTHsosocnanHTellbHOe Aei1CTSHe Ha C11H3HCTble 0601104KH sepXHHX AbiXaTellbHbiX nyTei1 OKa3biBaiOT KOpHH,
11HCTbSI H
U,SeTKH anTeS! lleKapCTBeHHOrO, KOpHH C0110AKH
cosepwaiOT poKosyiO owH6Ky, o6peKaSI ce6SI Ha ew.e
6onbwHe cTpaAaHHSI. Aeno s TOM, YTO OAHH neKapcTseHHble
r0110i1, 11HCTbSI H U,SeTbl KOpOSSIKa CKHneTpOSHA-
npenapaTbl cnoco6cTBYIOT pa3>t<H>t<eHHIO MOKpOTbl, a APY-
HOro, nOYKH COCHbl 06biKHOSeHHOi1, Tpasa 6a-
1
rJ.1e npH3SaHbl noAaBilSITb Kawnesbli1 pecpneKc. KorAa 6poH-
ryllbHHKa 60110THOrO.
:
·-------------------------------------------------------------------------------------------------·· CnOBO nPOCbECCHOHAnOB i
XH 3a6HTbl CKOnHSWHMCSI B HHX BSI3KJ.1M C11H3HCTbiM CeKpeTOM, HM TPYAHO pa6oTaTb. 0Horo-To Mbl H KawnSieM, cTapaSICb OCS060AHTb 3a6J.1TOe npOCTpaHCTSO. rnaSHOe, YTO He-
YnyYwaiOT OTAeneHHe MOKpOTbl Tpasa Tep-
o6XOAHMO AellaTb S 3TOT nepHOA, - pa3>KH>KaTb MOKpOTY H 3Hepr1-1YHO ee SbiKawnJ.1saTb! Ho KaK 3TO CAenaTb,
ecnH sMec- ~
TO npenapaTa, o611aAa10w.ero OTxapK1-1SaiOW.HM Aei1cTsHeM,
i
anKH
3aHSIBWJ.1Cb caMoneYeHHeM, nerKo MO>t<HO nonyYHTb 3acToi1
06biKHOBeHHOrO, 11HCTbSI H U,BeTKH MaTb-H-MaYe-
MOKpOTbl s 6poHxax. l.Jepe3 HeKoTopoe speMSI socnaneHJ.1e : ~
~
~ :.~~~~=~-~:t'~.~~:~.K-~~~.C..~-~~c:~.:~~~~:.
1
KH H 11HCTbSI nepsou,seTa seceHHero, Tpasa cpH-
Sbl npHHSI11H npenapaT, noAaS11SIIOW.Hi1 Kawnesbli1 pecpneKd :
!
i
MOnCHCa llaHU,eTHOrO, KOpHH, KOpHeSHW,a, U,SeTTpexu,seTHoi1,
nllOAbl
._.
ceMeHa
aHHCa
XH 06biKHOSeHHOi1. DpOHX011HTHYeCKOe, paCWH-
I
................... J
r··············· ······ ·····················-··-················ nEKAPCTBO HE no nPOCbHniO TaK>t<e pacnpocTpaHeHHaSI owH6Ka- 6ecnopS1AOYHbli1 npHeM aHTH6HOTHKOS H cynbcpaHHilaMHAHbiX npenapaTos. YYHTblsaSI, YTO 6011bWHHCTBO 6pOHXHTOS Sbi3BaHO S1-1pycaMH, a Ha BHPYCbl 3TJ.111eKapcTsa He Aei1cTsyiOT, 3cpcpeKT oT TaKoro lleYeHHSI nollyYaeTCSI npSIMO npOTHSOn0110>KHbli1: cyM6yp-
pS!IOW,ee npocseT 6poHxos H o6nerYa10w.ee AblxaHHe Aei1CTSHe OKa3biBaiOT Tpasa 3cpeApb1 XSOw,esoi:i H ASYXKonocKosoi1, KopHH conoAKH ro-
noi1, Tpasa cpHallKH Tpexu,seTHoi1, nllOAbl cpeHxenSI, KOpHH H KOpHeSHW,a HCTOAa CH6HpCKOrO. Kypc neYeHHSI sceMH SblweyKa3aHHbiMH HacToSIMH H oTsapaMH -
6-8
AHei1. 3anoMHH11H? Ae-
i1cTsyi1Te! AacT 6or, y>t<e Yepe3 napy HeAellb
Hbli1 npHeM aHTH6HOTHKOB yrHeTaeT HMMYHHYIO CHCTeMy, H
Sbl 3a6yAeTe o6 H3MaTbiBaiOW,eM sac Kawne.
Ta HHKaK He MO>KeT cnpasHTbCSI c 6one3Hbl0. Ew.e OAHH co-
EcnH >t<e, HecMoTpSI Ha npHHSITble Mepbl, sawe
seT: npHHHMaSI OTXapKHsaiOW,J.1e neKapcTseHHble npenapa-
COCTOSIHHe He ynyYwaeTCSI, TSIHYTb He CTOHT. Ha-
Tbl, nei1Te KaK MO>KHO 6011bWe >KJ.1AKOCTJ.1, 4T06bl 6bl110 YeM
YHHai1Te o6cneAOSaHHe. nyywe sce-ro- S cne-
«pa3BeCTH» 6pOHXHa11bHYIO C11H3b 1 HHaYe H 3TH lleKapCTBa
U,Ha11H3HpOSaHHOM ny11bMOH0110rHYeCKOM OTAe-
6YAYT He3cpcpeKTHSHbl. noHSITHO Tenepb, KaK Ba>KHO npH
lleHHH cTau,HoHapa, rAe ecTb see ycnosHSI AJlSI To-:
6pOHXHTe H npOYHX COnpOBO>KAaiOW,HXCSI KaWileM 3a6one-
ro, YT06bl nposeCTH He TOilbKO peHTreHOCKO- :
saHHSIX ClleAOSaTb COBeTaM spaYa? T OllbKO OH MO>KeT rpa-
nHIO 1-l 6pOHXOCKOnHIO 1 HO 1-l MHKpo6aKTepHO- :
MOTHO OU,eHHTb sawe COCTOSIHHe H Ha3HaYHTb npaBHilbHOe lle-
110rHYeCKOe H U,HT0110rHYeCKOe HCCileAOSaHHe :
YeHHe.
MOKpOTbl.
I
:
--------------------------------------------------· Kcmamu ••. AMepuxanCKue Y'feHbte ucC/le()o6wtu, 'le.M obt6aem 8bL36aH xpoHu'leCKuu xaWe.tlb. OxaawtoCb, 6 41% C/lY'f.Ue6 xaWe.tlb Obt6aem C6Sl3UH c noC/leacm6URMU CUAbHOZO H~ CM.opxa, ua-aa xomopozo 'lUCmb C/lU3U U3 HOCU nonaawta 6 zopAO. B 24% - c acntMou, 6 21% - c zacmpoaaotjjazumwtbHbfM petjjAwxcoM., 6bt3bt6aJOJqUM. aa6poc 'tacmu co()ep:>KUM.ozo JICe.tlyaxa 6 nuJqe6oa. H AUWb y 5% cmpaawtbqe6 6pa'tu ooaznocmupo6wtu xpOHU'leCKUU 6poHXUm. A y ()6yX naquenmo6, npUHR61UUX y'l.acmue 6 UCC/leao6UHUU, xpOHU'leCKUU KU1Ue.tlb Obl/l 6bL36UH ••• nooO'lHbiM aeucm6Ue.M AeKapcm6, KOmopbte onu npuHUM.wtuom zunepmonuu.
0
IIU'IHbiU Onbll
0 Ha6oneBWeM. ra3eTa-qemnenbHHqa
KaK coxpaHHTb ocrpory 3peHHSI! KaK 6biCTpO paccna6HTb AaHCe caMble ycraawHe rna3a! "'HraHTe,yAHBnSIHTecb,AenHTecb!
COBETbl OT 3HAXAPKH Mofl 6a6ywKa 6bma 3HaxapKoi1. ~ paccKa3ana MHe o MHO>t<ecTBe
cpeACTB OT pa3ni1YHbiX HeAyroa. XoYy noAeni1TbCfl peu,emaMI1 np11 neYeHI111 KaTapaKTbl, KOTOpble MOryT 6b1Tb TaK>t<e none3Hbl a npo¢11naKTI1YeCKI1X u,enflx np11 rnayKo, Me. Y cae>t<ero fl6noKa cpe3aTb aepxywKy, yAani1Tb cepAU,eBI1HY 11 3ani1Tb TyAa MeA. 516noKO C MeAOM · HaKpbiTb cpe3aHHOi1 YaCTbiO 11 AaTb HaCTOflTbCfl 2 AHfl. nonyYeHHbli1 fl6nOYHO-MeAOBbli1 COK nepemfTb B ny3b1peK 11 3aKanbiBaTb no 1-2 Kannl1 a Ka>t<Abli1 rna3 yTpoM 11 aeYepoM. Kann11 6yAyT cl1nbHO W.11naTb, np11AeTCfl noTepneTb. JleYeHI1e npOBOA11Tb B TeYeHI1e nonyTo; pa HeAenb. LLI.yK~-tHa Pa~-tca,
r. 3ason>Kbe
KOnHnKA COBETOB: ~CCI~ XUqH!tuee~ I'
OOMOfY COBETOM U,EHHHKH "'HT AIO 6E3 O"'KOB
• '
: , : , • •
PaccKa>+<y, KaK fl ynyYwl1n 3peH11e. B MOnOAOCTI1, pa6oTafl caapW.11KOM, He acerAa 11CnOnb30aan 3aW.11THYIO MaCKY, CHa6>t<eHHYIO cneU,11anbHbiMI1 CBeT0¢11nbTpaMI1, He HaAeaan 3aW,11THble OYKI1. Ha neHCI111 nOYYBCTBOBan CHI1>t<eHI1e OCTpOTbl 3peHI1fl: B Mara311He U,11lPpb1 Ha u,eHHI1Kax cn11aan11cb a OAHY cTpOYKy. YTpoM cTan ecTb HaTow,aK MOpKOBKY, HaTepea Ha KpynHOi1 TepKe 11 nocblnaa caxapoM. noTOM npou,ecc ynpOCTI1n. 06MaK11Ban MOpKOBKY B caxap - 11 B poT. JleTOM en ni1CTO"lKI1 Kpani1Bbl, CMaYI1Ban rna3a yTpeHHei1 pocoi1. 311MOi1 cyxy10 Kpan11ay A06aanfln B canaTbl, nepBble 6ni0Aa. Co611pan ee a Mae 11 cyw11n. OcTpoTa 3peHl1fl ynyYwl1nacb. B Mara311Hax u,eHHI1KI1 Ha npOAYKTbl "li1Tal0 6e3 OYKOB. Aei1cTBI1TenbHO, He 3pfl roaopflT, YTO np11poAa - nyYwafl ameKa.
Xa6apos Bac~-tn~-ti1, r. M~-tHCK
3Hal0 OTnl1"lHble cpeACTBa OT KaTapaKTbll1 xoyy noAeni1TbCfl c YI1TaTenflMI1. MyMI1e, nyK , ano3 11 MeA o6naAaiOT npOTI1BOCKnepOTI1YeCK11M 11 paccaCbiBaIOW,11M Aei1CTBI1eM, n03TOMY OKa3biBaIOTCfl 3¢¢eKTI1BHbl Ha paHHI1X CTaA11flX KaTapaKTbl. Anfl TOrO "lT06bl «IleKapCTBO » He o6o>t<rno KOHbiOHKTI1BY, I1YKOBbli1 COK HaAO pa3BeCTI1 Tennoi1 Kl1nfl"leHOi1 BOAOi1 a nponopu,1111 1:2 , Ha6paTb ero a Yai1Hyl0 nO>t<Ky 11 paCTBOp11Tb B HeM KpowKy MYMI1e pa3MepoM c p11coaoe 3epHbiWKO. CpeACTBO 3aKanblaaeTCfl no Kanne a Ka>t<Abli1 rna3 3 pa3a a AeHb a TeYeHHe 2 HeAellb. Kypc neYeHI1fl MO>t<HO nOBTOpflT,b Yepe3 Ka>t<Abli1 MeCfllJ,. ' AHanori1YHbiM Aei1CTBI1eM o6naAaiOT Kannl1 113 COKa a1103 11 MYMI1e. Anfl 11X np11rOTOBI1eHI1fl 5 r My Ml1e paCTBOpSleTCfl B 1I 2 CT. COKa ano3. nepeA 3aKanbiBaHI1eM COCTaB pa3BOAflT TaK11M >t<e KOI111YeCTBOM K11nflYeHoi1 BOAbl 11 3aKanbiBaiOT a rna3a ABa>t<Abl a AeHb. Hepa3BeAeHHbiM 3TO cpeACTBO MO>t<HO np11HI1MaTb BHYTPb no 1 Y. 11. nepeA 3aaTpaKoM 11 y>+<I1HOM a TeYeHI1e 10 AHei1 c MeCflYHbiM nepepbiBOM. Ano3 nyYwe 6paTb He MOno>t<e 3 neT, a My Ml1e AOil>t<HO 6b1Tb O"li1W,eHHbiM. 3ai1K~-tHa Onbra, r. MypoM
OA,t\AET 3PEHHEJ >KYJiiTE nHCTbi KPAOHBbl XoYy AaTb xopow11i1 coaeT np11 yxyAweHI111 3peHI1fl. CbeAai1Te e>+<eAHeaHo a ce3oH no
30 r MOI10Ab1X CBe>t<I1X I111CTbeB 111111 no6eroa Kpani1Bbl a 11106oM B11Ae.
YYTI1Te,
YTO
Kpan11aa cryw,aeT Kpoab. Tenepb 0 TOM, KaK nOM0'1b neYeHI1. Aaa roAa Ha3aA y MeHfl B03HI1Kn11 npo6neMbl c neYeHbiO. BpaYI1 rpo311I111Cb CAenaTb onepau,1110, HO 6naroAaPfl HapOAHOi1 MeA11U.11He ace 060WI10Cb. acero
noHaA0611I10Cb
2 HeAei111 neYeHI1fl.
BoT
3TOT YYAO-peu,em. Hy>t<HO 3al111Tb 1 CT. IlO>t<Ky 113MenbYeHHbiX I111CTbeB Kpani1Bbl CTaKaHOM K11nflTKa, HaCTai1BaTb
30 MI1HYT. np11HI1MaTb no 1/2 CTaKaHa 1 pa3 B AeHb MeCfllJ,.
Hai1,o,eHosa
flap~-tca ,
r. K~-tpos
IUflfHbiU Onbll Q
0 Ha6oneaweM. ra3eTa-J.4enHTenloHHJ.4a
-------.•
r·
I
I
I I
• I I
CO 3PEHJ1EM TEnEPb BCE 8 nOPSIAKE
..,
Cei:i"'ac MHe 78 neT, co 3peHHeM y MeHSI see B nopSIAKe. A BOT HeCKOJlbKO neT Ha3aA y MeHSI Ha o6o11x rna3ax 6bl11a KaTapaKra. Morna "'HTaTb TOllbKO "!epe3 ABe
nonE3HASI
napbl O"'KOB, a 1110AeH Y3Hasana c TPYAOM Aa>+<e Ha paccroSIHHH 6nH>+<e 2 MeTpos. 6one3Hb nporpec-
nJ1~A
BnOMO~b
' c11posana, MHe Ha3Ha"'H11H onepaU,HIO. Ho Sl pew1111a nospeMeHHTb 11
HaAo npHAep>+<HBaTbCSI MOllO"'Ho-pacTHTellbHOH AHeTbl. B nHTaHHH A011>+<HO 6b1Tb MHOfO 3eJ1eHH.
npone"'HTb rna3a HapOAHbiMH MeTOAaMH.
WnHHaT, neTpywKa 11 cellbAepei:i np11 KaTapaKTe BbiCTynaiOT He KaK
CHa"!ana HeAe1110 2 pa3a s AeHb Kanana no 2 KannH "'HCToro nyKo- ,
npOAYKTbl nHTaHHSI, a KaK JleKa-
soro coKa. Bo BTopy10 HeAe1110
pcrsa. YTpOM >+<enarenbHO BblnH-
pa3BOAH11a B 2 "!. 11. KHnSI"'eHOH BOAbl 1 "!. 11. MeAa 11 3aKanblsana s • rna3a no 2 KannH, To>+<e 2 pa3a s
saTb CMeCb 113 MOpKOBHOfO 1 SI6110"1H0f0 11 TOMaTHOfO COKOB, CMeWaHHbiX B paBHbiX KOJlH"'eCTBaX. BMeCTO caxapa none3Hei:i Hcnonb30BaTb
MeA.
Ha
o6eA
TOM 113 3eneHoro 111111 pen"'aToro
rna3, "'T06bl MeA s HeM xopowo pacTsopH11CSI. HeMHoro ne"'eT, HO noToM see npoxOAHT. Pe3y11bTaT npeB30We11 see MOH O>+<HAaHHSI!
cppyKTbiH OBOUJ,H. «noco6HHKaMH» KaTapaKTbl SIB11SIIOTCSI OCTpble, KOn"'eHble 11 KOHcepsHpOBaHHble npoAyKTbl. Conb,
Cei:i"!ac "'HTaiO 11 n11wy 6e3 O"'KOB.
yKcyc, MapHHaAbl 11 npHnpaBbl AJ1SI xpycTallHKa SIB11SIIOTCSI «OTpaBJlSIIOW,HMH» sew,ecTsaMH. BMecTo so- '
npaBAa, KpOMe TaKOfO Jle"'eHHSI, Sl ew.e rpeHHposana rna3a, scMaTpHsanacb B CllOBa C MellKHMH 6yK-
Abl B Te"!eHHe AHSI llY"'We nHTb HaCTOH wHnOBHHKa 111111 oTsap 113
BaMH, "'T06bl npO"'HTaTb O"'KOB. DYAbTe HaCTOH"'HBbl!
6e3
Eroposa A. C., r. KHpos ,
U,BeTKOB 6y3HHbl 11 O"'aHKH JleKapCTBeHHOH. 3TH cpeACTBa BbiBOASIT 113 opraHH3Ma wnaKH - OAHY 113 npH"'HH pa3BHTHSI KaTapaKTbl. AnSI npHrOTOBJleHHSI OTBapa 1 CT. 11. Ka>+<AOfO pacTeHHSI 3a11HBaeTCSI 2 CT. KHnSITKa 11 BapHTb Ha CJ1a60M OrHe 5 MHH. np11"111Hbl AaHHOfO 3a6onesaHHSI AO KOHU,a He BbiSIBJleHbl, OAHaKO 3aMe"'eHO, 'ITO KaTapaKTa '!aCTO conpOBO>+<AaeT 11101
.• I
Aei:i.
1..----
Heo6xoAHMO npHne"'b, TaMnOHbl • nono>+<HTb Ha eeKH 3aKpb1TbiX rna3 11 nocTapaTbCSI paccna6HTbCSI. 15 MHHYT TaKOfO nOKOSI 6yAeT AOCTaTO"'HO, "'T06bl r11a3a OTAOXHY1111.
KoKOBKHHa MapHR, r. 6araikK
C&OPbl TPAB J1 HACTOJ1 nPJ1 KAT APAKTE
KaCallaCb K 3pa"'KY. 3aKpb1Bana rna3a, noA HH>+<Hee seKo npHKlla, AbiBalla BaTKY 1111erKHMH KpyroBbiMH ABH>+<eHHSIMH MaCCHposana
cana-
nyKa. Be"!epoM 6yAyT KCTaTH TBOpor, KecpHp , KHCnoe MOllOKO,
I I
Y MeHSI K se"'epy ycTaiOT rna3a. Be"!epoM Sl AellaiO KOMnpeccbl AJ1SI rna3, 11 3TO noMoraer. Jly"'WHH · KOMnpecc AJlSI ycTaBWHX rna3- sar- , Hble TaMnOHbl, CMO"'eHHble B KpenKOH X0110AHOH "!aHHOH 3asapKe, a ew,e ny"'we - Hcnonb30BaHHble "!aHHble naKeTHKH.
6pana "'HCTbiH MeA, onycKana s Hero nOAyWe"'KY MI1311HU,a 11, WHpOKO OTKpbiB r11a3a, OCTOpO>+<HO npH-
>+<ei:i pb16oi:i. MS~co "' pb16y ny"'we He >+<apHTb, a sapHTb 111111 3aneKaTb
I
OcOKHHa ranHHa, r. Ye6oKcapb1
"'AJ1Hb1E KOMnPECCbl OT YCTAnOCTJ1 r nA3
AH11a 1: 1 MeA 11 BOAY 11 Kanana :ny cMecb. Ha "!eTsepTyiO HeAe1110
osow,Hble cynbl 11 n10pe c 6apaHHHOH, rellSITHHOH, Kypoi:i 111111 cse-
AeH C MHOnHeH BbiCOKOH creneHH ( 6nH3opyKOCTb) 11 no>+<HllbiX 1110-
I
AeHb. Ha rpeTbiO HeAe1110 pa3so-
Hy>+<Hbl
s AYXOBKe 11 ynoTpe611Hb c
..
I
'
I I I I 1
I I
. -~
np11 KaTapaKTe no11e3HO Jle"!eHHe c6opaMH Tpas, TaKoe ne"'eHHe A011>+<HO 6b1Tb AOBOllbHO AJlHTellbHbiM 11 6e3 nepepbiBOB. AnSI npoMbiBaHHSI r11a3 np11 KaTapaKTe OTa1111"1HO nOAOHAeT HaCTOH KalleHAY' llbl.
1. Bo3bMHTe 35 r u,seTKOB KaneHAYllbl neKapcTseHHOH, 35 r saCHllbKa CHHero, 30 r Tpasbl O"'aHKH npSIMOCTOSI"'eH, 4 "!. 11. cyxoH 113Me11b- , "'eHHOH CMeCH 3a1111Tb B repMOCe ' 0,5 11 KHnSITKa 11 HaCTaHBaTb 40 MHH. V1cn011b30BaTb AJ1SI npHMO"'eK Ha r11a3a np11 KOHbiOHKTHBHTaX, KepaTHTaX, KaTapaKTe. Jle"'eHHe nposoAHTCSI AJ1HTe11bHO.
2. HacToH 113 u,seTKOB KaneHAY- • llbl MO>+<HO npHHHMaTb BHYTPb np11 KaTapaKTe. 3 "!. n. cyx11x H3Me11b"!eHHbiX U,BeTKOB Ka11eHAY11bl 3a1111Tb B TepMOCe 0,5 11 KHnSITKa, Ha- ' • cra11earb 2 ""·, A06asHTb no sKyey • MeA 11 nHTb no 1/2 CT. 4 pa3a B ' AeHb. 3TOT >+<e HaCTOH MO>+<HO npH• MeHSITb AJ1SI npOMbiBaHHSI r11a3. IOAHHa fl106osb, r. XapbKOB
H~KOrAA HE HOC~TE Jl~H3bl nP~ PECn~PATOPHbiX ~H<I>EKU~SlX.
0
BPA'IE&HAH K
0
Ha6oneaweM. ra3eTa-"'enHTenbHH"'I
TAHHbl HMMYHHTET A
t1MM yHHTeT - no cnoco6HOCTb opr8HU3M8 conpOTUB· D~TbCSI ,
UMMYHHill$1
o6enpeMotaaeT
CHCTeMill
'fy>KePOA·
Hble KneTKH, pa3DU'tHble UH· <l:leKLI,HH H BHpyCbl, a 3aTeM pa3pywaeT
ux.
noroaopuM
Hill ny TeMy C Bpill'fOM- HMMyHODOrOM naHTIOXHHbiM t1ro peM Cepreeau'teM.
f···· c-~~~~·· ·~·~;~·~-~~~·· · ~~~~~-~-~ p~~ 1
• ~ l l l
U,HSl MapKepos annepr1111 cpHKCH- ~ pyeTCSl B 21-24 l.laCa. no 3TOH ~ npHYHHe aHTHrHcTaMHHHble npe- l napaTbl peKOMeHAyeTCSl np11HI"'- ! MaTb seYepoM. Boo6w,e 1 npo- l cp1111aKTHKa 11 neYeHHe MHOri1X l 6one3Hei:1 AOn>t<Hbl crpoHTbCSl c l yYeTOM 6110p11TMOB. l
..................................................... ..................................................................................................... :··················································-.. - no'teMy HIWH 6a6yWKH >KHnH 6e3 anneprHH H 'tiCTbiX npocTyA, a y HaC H i - roaOpSIT, 'tTO HMMYHHTeT 'te- l
..........
·~·····
HIWHX AeTeH 3TO o6bl'tHOe SIBneHHe! ~TO npOHCXOAHT cerOAHSI C HMMYHHTe- : ~! :
- Y Hac pe3KO H3MeHI·1IlaCb cpeAa o611raHHS1. HanpHMep, 3neKrpoMarHHTHble sonHbl "" non11 CB'-1 np11 xpoHHYeCKOM B03AeHCTBHI"' HapywatOT Bb1pa6orKY 3aW,HTHbiX aHTHren. A wyM HHTeHCHBHOCTbtO 60-90 Aeu,H6en s reYeHHe ABYX MecRu,es"" 6onee yrHeraer CHcreMy 3aW,HTbl or 6aKrep11i:1. Pa3Hble x11MHYecKHe sew,ecrsa 3anycKatOT pa3Hble MexaHH3Mbl yrHereHHSl 11MM yHHTera. Hawa n11w,a COAep>t<HT Macey nHw,eBbiX A06asoK, KpacHrenei:i, KOHcepsaHTOB. YenoseK HaYHHaer Yaw,e "" AOnbwe 6onerb. B 11rore Aa>t<e y 113HaYanbHO KpenKI"'X ntOAeH CO BpeMeHeM pa3BI"'BatOTCS1 TaK Ha3biBaeMble BT0p11L1Hble I"'MMYHOAecpHU,I"'Tbl. A OHI"', B CBOIO OL!epeAb, cny>t<aT nOLIBOH AnSI XpOHI"'YeCKHX HHcpeKU,HH 1 anneprHYeCKHX 1 ayroHMM YHHbiX "" Aa>t<e OHKonorHYeCKHX
noaeKa
Hl'tHHaeT
CHHM<ITbCSi j
'tYTb nH He C 18 neT. no'teMy TaK ~
~
paHo!
•
~ :
- Aa, crapeHHe Ha'lHHaercSl c 1 113MeHeHHH BHnOYKOBOH >t<ene- ; ~ 3bl. 3ro u,eHrpanbHbiH opraH 11M- = ~ ; MYHHOH CI"'CTeMbl 1 B nepeBOAe : 03Ha'laiOW,I"'H «>t<I13HeHHaS1 Cl"'~ na». V1MeHHO B HeM npOHCXOAI"'T : C03peBaHHe I"'MMYHHbiX KlleTOK ~ 11 np0113BOACTBO cneu,HanbHbiX : ropMOHOB. 0HH ynpasn1110T APY· : rHMH HMM YHHbiMI-1 3BeHbS1MH. ; YYacrsytOr B perynRU,I-111 caxapa l ~··· · :·c~~~~·~ · ~~~~6~~~~~· A~~~y-;.~ ~c·;~ ·;,;.~~~~ ·~~~~~~~;~· ~~~~Y~~;~P~~·~~~:~ "" KanbU,HSI B KposH. YcKopRtOT ~ MYHOMOAYnSITopoa. Mo>t<HO nH c HX noMOLll,biO noAAep>t<aTb HMMYHHTeT! npOU,eCCbl BOCCTaHOBneHI1S1 Kne- ! , - beCKOHTpOnbHbiH np11eM 11MMYHOMOAYnS1TOpOB 1 npOTI"'BOBHpycHbiX nperoK. V1 soo6w,e snHHIOT Ha see ~ : naparOB 1 aHri16HoTHKOB wHpoKoro cneKrpa AeHCTBHSl- He MeHbwee 3n0 1 YeM HawH cp113HonorH'leCKHe npo- l ~ 3arpS13HeHHOCTb. V1MMYHHaS1 cHcTeMa cno>t<Ha. Ee He scerAa YAaerc11 npocrHu,eccbl. THMyc 3aKnaAb1BaercS1 l ~ MynHposarb c HY>t<HbiM pe3ynbraroM. V1MMYHHTer- 3TO 3ano>t<eHHbiH npHpoHa sropoM MecSlu,e BHYTP~"~YT- : ; AOH 3aW,I1THbiH MexaHH3M. B pa3Hble nepHOAbl >t<I13HI"' 1 Hanp11Mep 1 B AercrBe 1 po6HOH >t<I13HI1. npHMepHO AO j : np11 6epeMeHHOCTI"' 1 B CTapOCTI"' 1 aKTI"'BHOCTb I"'MMYHHbiX peaKU,I"'H yc11n11Baer- : 18 ner 3Ta >t<ene3a nocTOSlHHO : ; CSl 11n11 CHH>t<aeTCSl. ~ pacreT. noT OM ee pOCT npe- ~ noifMHTe: He cyLll,ecrayer ((80nwe6HbiX Ta6neTOKn, KOTOpble H36aBHnH Kpaw,aeTCS1 1 11 OHa HaYHHaeT : 6bl HIC OT BHpyCOB. Ho Mbl MO>KeM nonbiTITbCSI 31Lll,HTHTb ce6SI CIMOCTOSI- ; yMeHbWaTbCSl B pa3Mepax. C : TenbHO, HCnOnb3YSI AIHHble HIM C pO>t<AeHHSI B03MO>KHOCTH. 3TOrO speMeHI"' HaYI1HatOTCS1 no- ~ creneHHble H3MeHeHHS1 HMM YHH- ; rera. V1 OHH cyw,ecrseHHO one- ~ - C 'tero, no BaWeMy MHeHHIO, CTOHT Hl'tiTb! pe>t<atOT no speMeHH ocna6ne- j l - 5onbwe scero Ha HMMYHHTeT snHSltOT cyroYHble pHTMbl YenoseKa. HanpHHl1e aKTI"'BHOCTI"' OCTanbHbiX CI"'C- ! l Mep 1 aHTI111HcpeKU,I"'OHHaS1 YCTOHLII"'BOCTb opraHI13Ma 6onee Bblpa>t<eHa B AHeBreM. B HTore K 70 roAaM 3aUJ,HT- ; : Hoe "" seYepHee speMSl. A caMaS! H113KaS1 3aw,11ra or M11Kpo6os Ha6ntOAaeTCS1 Hble Cl"'nbl opraHI13Ma COCTaBnSl- : ~ HOLibtO"" s yrpeHHHe YaCbl. YcraHosneHa CBS13b 611op11TMOB"" c annepr11ei:1. HatOT scero 2-5% or aHanorHYHbiX ~ H60nbWI"'H ypoBeHb aHTI"'Ten K annepreHaM 1"1 1 COOTBeTCTBeHHO, npeAenbHaSl , noKa3arenei:1 MOilOAOro Yeno- ; : Bblpa>t<eHHOCTb anneprHL!eCKI"'X peaKU,I"'H OTMel.laeTCSl B HOLIHOe BpeMSl. A Ml"'- : seKa . ~ l HI"'ManbHaSl- B nepHOA 60ApCTBOBaHI1S1 B OCTanbHOe speMSl cyTOK.
:.~~.~.~.~:~~.~.~ ~: ................................................................................................ J j
l l l l l ...........................................................................................................................
l
........................................................... ............ ......................... ................... ... ......................................... ··-. CAMOCT05ITEJlbHO nP~H~MATb
~MMYHOCT~MY115ITOPbl H~
B KOEM CJlY'-tAE HEJlb35l
•-"
BPA'IE HAR KOHCUnbTAUUH C) ·······························································":, ··········································································································· - ... MeHHO n03TOMy Mbl Ha'tHHaeM C l - lotTO AnJI yKpenneHHJI HMMYHHTeTa MO)I(HO CAenaTb, KaK roao- 1 ao3pactoM -.a~e 6onetb! l pHTCJI, 3AeCb H CeHotac! j' - Aa. l-13-3a yracaHI1SI 11MMYHJ.1TeTa l YaCTb KneTOK CO BpeMeHeM CTaHOBJ.1TCSI l reHeTJ.1"leCKJ.1 "ly>t<epOAHOH. I-1MMYHHaSI • CI1CTeMa 1-1x y>+<e He Y3HaeT 1-1 HacTpa1-1BaeTCSI Ha 1-1x YHI1YTO>t<eH11e. 3Ta peaKU,J.1SI B MeAJ.1U,J.1He Ha3biBaeTCSI ayTOJ.1MMYHHOH. no cyn1, OHa He YTO 11HOe, KaK CaMopa3pyweHJ.1e. AyToi1MMYHHble npou,eccbl,
l l
l
npeAwecTBYIOW,J.1e cepbe3HbiM 3a6onesaHI1SIM, cerOAHSI onpeAenSIIOTCSI y nono- : BI1Hbl no>t<J.1flbiX ntaAei1. Hanp11Mep, ayTo- l
:
- Bo-nepBbiX, HY>t<HO no3a6oTI1TbCSI o CTa611nbHOCTI1 cso1-1x 611op11T- l MOB. BbiCOKaSI pa6oTocnoco6HOCTb 11 xopowee caMO"lYBCTBI1e MO- : ryT 6b1Tb AOCTI1rHyTbl TOflbKO B TOM cnyYae, ecn11 co6ntOAaTb nOCTO- l SIHHbiH pacnopSIAOK AHSI. nycTb saw pe>t<I1M 6yAeT 11HA11BI1Ayanb- l HbiM, HO p11TMI1"lHbiM. B TOM Yl1cne - 11 saw nepcoHanbHbiH rpaq,11K l np11eMa n11w,11. TorAa o6MeHHble npou,ecCbl B opraHJ.13Me 6YAYT npo- : • TeKaTb 6e3 c6oes. Hanp11Mep, YT06bl coxpaHI1Tb nocTOSIHHbiH sec, AOCTI1rHyTbiH K 20-25 rOAaM, n11w,y cneAyeT np11HI1MaTb 4-5 pa3 B AeHb. 1-1 B Te YaCbl, KOrAa BaM npeACTOI1T TpaTI1Tb 6onbwe 3Hepr1111. ! KorAa noSIBnSieTCSI 3aMeTHoe YYBCTBO ronoAa. none3Ho ynoTpe6nSITb np11pOAHble 6110CT11MYflSITOpb1: KI1Cnoe MOflOKO, MeA, pb1611H >t<11p, CBe>t<yiO KanycTy BCeX B11AOB, nnOAbl W11nOBHI1Ka, SlrOAbl, <PPYKTbl, HaTypanbHble HeKOHU,eHTp11pOBaHHble COK11. 0Tni1YHbiH 11HCTpyMeHT AflSI yKpenneHI1SI 11MMYHI1TeTa - nonHOU,eHHbiH HO"lHOH COH. noAAep>t<aTb aKTI1BHOCTb 11MMYHHOH CI1CTeMbl nOMOraeT 11 yMepeHHaSI <PI-1311YecKaSI Harpy3Ka. 0Ha yc11n11saeT o6MeHHble npou,ecCbl 11 Bb1Aeni1TenbHble <PYHKU,1111 opraHI13Ma. HacbiW,aeT KpOBb Kl1cno- l poAOM. CHI1>+<aeT HepsHoe HanpSI>+<eH11e. XapaKTep <PI1311YeCKI1X Ha- ! rpy30K MO>t<eT 6b1Tb CaMbiM pa3HOo6pa3HbiM: AOCTynHaSI BCeM l • yTpeHHSISI ri1MHaCTI1Ka, XOAb6a, nnasaHI1e, pa3nl1"lHble BOAHble npo- l : u,eAYPbl, Afl11TenbHble nporynK11, KaTaHJ.1e Ha KOHbKax, flbl>t<ax.
11MMYHHbiH racTp11T, ayTOI1MMYHHbiH TJ.1- l peOJ.1AJ.1T. •
...............................................................:
r···:· M·~~~~· ~~· ~~~:~·~ ·~r;~~~~·;~ ·~~;~~: ·1 ! HOCTb )l(ene3bl, OT KOTOpOH, OKa3biBa- .! l eTCJI, TaK MHOrO 3aBHCHT! !
.
l - Mo>t<Ho. Ho 3TO e>+<eAHeBHbiH TPYA· l >+<ene3a, KaK 11 see >+<11Bble CI1CTeMbl l
.: opraHI13Ma, noABep>t<eHa AeHCTBI-110 He- .: ·............................................................................................................l ! 6naronp11SITHbiX <PaKTopos. AnKoronb, 1 HapKOTI1KJ.1, KypeHI1e, HenpaBI1flbHOe nl-1- !
- neTOM MHOrHe CTpeMJITCJI npoaeCTH OTnYCK Ha lOre. nH60 B 00-
TaH11e. Heo6ocHoBaHHble Al1eTbl ycKopSI- 1 lOT ee yraCaHI1e. npeACTaBneHI1e 0 TOM, !
HCKaX KOHTpaCTHbiX o~y~eHHH eAYT Ha nbi)I(HbiH KypopT. Hac-
"lTO 3AOpOBbiH o6pa3 >t<I13HI1 MO>t<HO OTno>+<I1Tb Ha no>t<11noi1 so3pacT, Heo6oc- l
- EcTeCTBeHHO, AOnro>+<AaHHbiH OTAbiX, nyTewecTBI1e, xopow1-1i1 Kfli1MaT- 3TO «none3HbiH CTpeCC».
l
l HOBaHHO. HaYI1HaTb HaAo c paHHI1X neT. ..................................................................
KOnbKO BCe 3TO n106HT HaW HMMYHHTeT!
0AHaKO, nnaH1-1pyS1 nyTeweCTBI1e C ManeHbKI1MI1 AeTbMI1 11 CTapWI1M noKoneHI1eM, ny"lwe 1136eraTb pe3Koi1 cMeHbl KnJ.1MaTa 1-1 cseTosoro pe>t<I1Ma. B npoTI1BHOM cnyYae paccTpoiicTBO 11MMYHI1TeTa : He J.1CKfliOYaeTCSI .
......................................... ... ............................................................... , '"'
JIII/I'"~ HACTO~ WHnOBHHKA HA CTPA>KE HMMYHHTETA
lllfll ,
lfill. , ..
p!l' , .. ,..
~
-
3ani1Tb 1 CT. nO>KKY 113Men&'4eHHbiX nnOAOB Wl1nOBHI1Ka 2 CTaKaHaMI1 Kl1nRTKa, HaCTaHBaTb B 3aKpb1TOH nocyAe 1 1.4ac, npo4eAHTb <4epe3 Mapmo, OT>KaTb. /],nR yny4WeHI1R BKyca MO>KHO A06aBI1Tb caxap 11n11 c11pon. n11Tb HacToif no 1/2 cTaKaHa 2 pa3a B AeH& nepeA eAoif np11 11CTOW,eHI111 opraHI13Ma 11 KaK cpeACTBO, nOBbiWa/OW,ee COnpOTHBnReMOCTb opraHI13Ma K 11Hcj:JeK4110HHb/M 3a6onesaHHRM. EcT& y MeHR"' ew,e OAHH pe4enT. 3anHTb 20 r cyx11x 113Men&4eHHbiX nnoAOB Wl1nOBHI1Ka 0,5 n K11nR4eHOH BOAbl, AOBeCTI1 AO Kl1neHI111 11 sap11Tb Ha cna6oM 10 MH- / HYT noA Kpb1WK011, nocne 4ero HaCTORTb B TennoM MecTe 4-6 '4aCOB, np04eAI1Tb 11 ni1Tb no 1/2 cTaKaHa 2-3 pa3a s AeH& np11 rHnOBHTaMHH03ax, a TaK>Ke KaK o6w,eyKpennR/OW,ee cpeACTBO, cno-
C:rHe
~ca;;;:;:p; 3AB~l-1TE
weMy Bb13AoposneHI1/0 11 nos&/Wa/Ow,ee conpoTHBnReMOCTb opraHI13Ma K 11Hcj:JeK4110HHb/M 3a6onesaHI111M, I1HTOKCHKa41111 11 B03AeifCTBU/O He6naronp11RTHbiX MeTeoponorH'4eCKI1X cj:JaKTOpOB. rp11rOpbeBa KceHHR, r. LfenR611HCK
OTPY6H AnSI YKPEnnEHHSI HMMYHHTETA
1 CT. n. nweHI14Hb/X 11n11 p>KaHb/X OT- illfi/J py6eif3ani1Tb 1 CT. BOAbl 11 K11- , ._ nRTI1Tb, noMeWHBaR, 3040 MHH. 3aTeM A06aBI1Tb tJt1f 1 CT . n. cyx11x 113Men&'4eH- , Hb/X 4BeTKOB KaneHAyn&l 11 npoKHnRTHTb ew,e 5 MHH. OxnaAHTb, npo- ,., 4eAHTb "' A06asHTb 1 4. n. MeAa ( ecn11 HeT annepr1111 Ha MeA). n11T1> , ., no 1/4 cT. 4 pa3a B AeH& AO eAbl. ni1Tb TaKOH Hanl1TOK MO>KHO AOnro. . ..
iliA
.iil/l
A
~ ~n~Ha;.e~
KOWKY! CYl-1TAEfC51, YTO KOWKV1 nOBbiWAIOT l-1MMYHl-1TET CBOl-1X X0351EB.
0 Ha6oneaweM. ra3eTa-qenHTenbHHI,41 Ha eonpocbl 1.1umameneu omee1.1aem ep84-n8HKpeamonoe >KyKoe neoHuo AHopeeeu1.1
Lfyo AenaTb, ecnH o6ocTpHnocb aocnaneHHe nOA)I(enyAO'tHOH
··········································· ··· ·· ····· ·····························~
>Kene3bl!
MO>KHO nE"'HTbCSI AOMA!
MO)I(HO nH ne'tHTb o6octpeHHe naHKpeatH- 1 Tl AOMI, He nO)I(ICb B 6onbHHqy! 1 fyposa KceHI1.R, r. Mallo.RpocJlaseu, 1 B 6onbWHHCTBe cny'laes naHKpeaTHT ne'lar 1 AOMa, a He B crau,HoHape. Ho cHa'lana HY>KHO y6e- 1 AHTbCSI B TOM, 'lTO y BaC «06biKHOBeHHOe» o6ocrpe- 1 HHe H Her onacHbiX ocno>KHeHHH. BeAb «npHBbl'lHOH» 6onbl0 MOryT 3aHBI-!Tb 0 ce6e KHCTbl, CBHW,H H Aa>Ke 1 KaMHH nOA>KenyAO'lHOH >Kene3bl. B 3THX cHryau,HHX 1 BaM HaBepHSIKa noHaA06HTCSI onepaTHBHOe BMeWa1 renbCTBO. TaK 'lTO 3aHHMaTbCSI caMone'leHHeM see: TaKH He CTOHT.
O
:. •• •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• • •• 1
:·················································································\
l l
nOA>t<e11yA04HO~ >t<elle3bl 3a6J10KiilpOBaH
08
t······················································································· 1 &Onb BEPHYnACb 1 npownoM rOAY J1 npowna Kypc ne~~teHHJ1 naH-
l
·
KpeaTHTa. Ho HbiHewHeH oceHbiO no~~tyactaoaana 3HIKOMyiO 6onb B neBOM nOApe6epbe, j OnJ1Tb nOJ1BHniCb TOWHOTI H nponan anneTHT. i no'teMy 3TO npOH30WnO! 1 fo11osaHosa Bepa, r. MocKsa 1 0'l9BHAHO, BaW Xp0HH'l9CKHH naHKpeaTHT- BOCnaneHHe 1nOA>KenyAO'lHOH >Kene3bl - o6ocrpHncH. Ho oceHb B l 3TOM He 81-fHOBaTa, nOTOMY 'lTO naHKpean1T He OTHOCHTCH 1K ce30HHbiM 3a6onesaHHHM. 06ocrpeHHe Morno npo~-t1 3oHT~-t no HeCKOnbKHM np~-t'lHHaM. nepBaH H3 HHX- 3TO 'ly: BCTB~-tTenbHOCTb K anKOromo. DOnbHaH nOA>KenyAO'lHaH . 1>Kene3a cosepweHHO He BbiHOCHT cn~-tpTHble HanHTKH. TaK 1 1 'lTO, ecn~-t Bbl y'laCTBOBan~-t B 3aCTOnbHX CO CnHpTHbiM 1-1 1 1>KHpHOH, >KapeHOH nHW,eH, TO 3TO BnOnHe MOrllO cnposo- 1 : u,~-tposarb HOBbiH npHcryn. ApyraH np~-t'lHHa o6ocrpeH~-tH- : 1ABH>KeH~-te >Ken'lHbiX KaMHei1. KoHe'lHO, npeAnono>KeH~-te 1 1cnpaBeAJ1~-tBO, ronbKO ecn~-t Bbl crpaAaere >Ken'lHOKaMeH- 1 1HOH 6one3Hbl0. nepeMeW,aHCb, KaMHH 1-13 >Ken'lHOro ny- 1 l 3b1pH MoryT nonaCTb B npOTOKH nOA>KenyAO'lHOH >Kene- l 13bl, 1-1 npHCTyna He MHHOBaTb. l..fro6bl He raAaTb Ha Koq:>ei:i- 1 HOH ryw,e, BaM CTOHT npOHTH HOBOe o6cneAOBaH~-te. «3Ha-1 l KOMble» 6on1-1 1-1 TOWHOTa MOryT 6b1Tb CBH3aHbl H C CHH- l 1APOMOM pa3Apa>KeHHOH KI-IWKI-1, 1-1 C SI3BOH >KenyAKa, H C 1 Apyr~-tMH HeAyraM~-t. CKopee scero, spal.l- 1 1 racrpo3Hreponor HanpaBHT sac Ha Y31t1 opraHOB 6p10w- 1 1HOH nonocrH 1-1 nonpoc~-tr CAaTb HeKoropble aHanH3bl Kpo- 1 BH, MO'll-1 H Kana. 1 :
l
l
l
@
nE~HMCSI ronOAO
l
npaaAa nH, 'tTO npH o6octpeHHH naHKpea- j 1 THTa ny~~twee neKapctao - no ronoA! 1 1 KypraH TaMapa, r. Bo11rorpaA 1 npH CHnbHOM o6ocrpeHHI-f noronOAaTb OAHH- 1 rpH AHSI AeHCTBHrenbHO none3HO. 3ro npocroe 1-1 l BMecre c reM 3¢¢eKTHBHOe MeponpHSITHe. Ecrb He l peKOMeHAyeTCSI, pa3pewaeTCSI TOnbKO n~-tTb. noAOH- 1 AeT HeKpenK~-tH 'laH H OTBap WHnOBHHKa. A BOT npH 1 XpOHH'leCKOM naHKpeaTHTe He06XOAHMOCTH B no- ~ nHoM ronoAaHHH Her. Hy>KHO nHWb nepeHTH Ha Yae- l 1 roe, Apo6Hoe nHTaHHe. 3HeprerHYecKaSI u,eHHOCTb j j ne4e6HOH AHeTbl He TaK y>K Mana- 2500-3000 KHnO- ~ 1 KanopHH, HO H3 AHeTH4eCKHX 6ntOA. l-'13 MeHIO BaM j : np~-tAeTCSI HCKnt04HTb anKoronb, see ocrpoe, >KHp- : HOe, >KapeHOe H KOnYeHOe. noA 3anper nonaAatOT KOHCepBbl, npSIHOCTH, MapHHaAbl, ne4eHb, M03rH H: rp1-16b1. WnHHaT, w,asenb, nyK H 6o6osble ecrb ro>Ke 1 He CTOHT. 8 CnHCOK Henone3Hb1X npOAYKTOB nonaAa- 1 lOT H MHOr~-te naKOMCTBa: MOpO>KeHOe, KaKaO, ra3H- l posaHHble HanHTK~-t, woKonaA, KpeM, CAo6a. Bee 1 6ntOAa BaM HY>KHO sapHTb 1-1n1-1 roTOBHTb Ha napy, a 1 ecrb B H3Menb4eHHOM, nporeproM BHAe. Cei14ac ~ BaM none3eH >KHBOTHbiH 6enoK - OTBapHOe MSICO, Ky- j • pHu,a, pb16a H SIHU,a. Ha saweM crone Moryr npHcy- j j TCTBOBaTb MOn04Hble npOAYKTbl, KaWH H 4epCTBbiH l 1 xne6. Ha o6eA sapHre ce6e OBOW,Hble, Mono4Hble H : KpynSIHble cynbl. EcnH 3aX04eTCSI cnaAKOro, MO>Kere 1 noecrb MeAa HnH sapeHbH. Caxap B 4HCTOM BHAe co- l KpaTHTe AO 70 rpaMMOB B AeHb, a conb- AO 10. Cbl- : pbiMH OBOW,aMH H q:>pyKTaMH CnHWKOM ysneKaTbCH : He CTOHT. 8 3ane'leHHOM HnH BapeHOM BHAe OH H . «~-tAYT» KyAa ny'lwe. A KHCnble <PPYKTbl H strOAbl BaM : cei1'lac soo6w,e nporHsonoKa3aHbl. ·
j
j
·························································································· ...................................................... ······················ .........
·.
BPA'IE6HAH KOHCUIIb TAQUH
0 Ha6oneaweM. ra3eTa-LI,enHTenbHHLI,I
G
nEPBA11 nOMOll.lb EcnH 6onHT nOA*enyAO'tHaSI )l(ene3a, KaKHe cpeAcraa MO)I(HO npHHHMITb AnSI CHSITHSI60nH! 6o6posa Bapsapa, r. KmtH
O
EcnH 6onb B03HHKna s nepHOA o6ocrpeHHII H npOAOn>t<aercll HeCKOnbKO AHeH, ·o6bi"'HO Ha3Ha"'atOT cna3MOnHTHKH. 0HH XOpOWO CHHMatOT cna3Mbl >t<en"'HbiX H naHKpeaTH"'eCKHX npOTOKOB, H 6oneBble OW,yW,eHHII CTHXatOT. V13 npOCTbiX cpeACTB MO>t<HO Ha3BaTb Ho-wny H nanasepHH, H3 6onee CHnbHbiX- 6ycKonaH. KorAa 6onb Yepec1.1yp cHnbHa, K 3THM neKapcrsaM A06asnlltOT o6e36onHBatOw,He, HnH aHanbrerHKH, - aHanbrHH H ero npoH3BOAHble - ceAanrHH, reMnanrHH, 6apanrHH, neHranrHH. 6e3 HHX He o6oHTHCb, oco6eHHO rorAa, KOrAa 6onb Bbi3BaHa nopa>t<eHHeM Hepsos soKpyr noA>t<enyAO"'HOH >t<ene3bl. 3AeCb y>t< HH"'ero He noAenaewb, npH-: XOAHTCII nHTb aHanbrHH MeCIILJ,aMH, a TO H rOAaMH.
nOMOrYT TPABbl!
................................................................................................
@
MO)I(HO nH ne'tHTb aocnaneHHe nOA)I(e- 1 nyAO'tHOH *ene3bl roMeonarHeH H rpa~
O
KAnCYnbl HnH TA&nETKH!
: B anreKax npoAaiOTCSI cflepMeHTbl a ra6nerKax H a 1
l
)
F-
-,
:
Kosanes M11xa11n, r. Ha6epe>KHble 'ienHbl YBbl, npH naHKpearHre "'aw,e scero rpaBbl npoTHBonoKa3aHbl. BeAb 6onbWall 1.1acrb pacrHrenbHbiX npenaparos oKa3biBaer >t<en1.1eroHHbiH H coKoroHHbiH 3¢¢eKT. >t<en"'b H >t<enyAO"'HbiH COK Ha"'HHatOT araKOBaTb nOA>t<enyAO"'HYIO >t<ene3y, TeM CaMbiM npH"'HHSISI eH speA. npoH3BOnbHO Bbl6paHHble rpaBbl onacHbl oco6eHHO Anll rex, y KOro eCTb KaMHH B >Ken"'HOM ny3b1pe. 0HH MOryr CABHHYTbCH c Mecra H Bbi3BaTb KonHKy. TaK "'TO BMecro Bb13AoposneHHSI nerKo 3apa6orarb o6ocrpeHHe. nonb3a OT npHMeHeHHSI roMeonaTH"'eCKHX cpeACTB TO>t<e COMHHTenbHa. 8 TSI>t<~jmbiX cny"'allx K raKOMY cnoco6y ne"'eHHII ny1.1we He npH6erarb. Bnpo"'eM, HeKoropbre HacronbKO sepsrr s roMeonarHtO, "'TO Ha caMOM Aene Ha"'HHatOT Bb13AOpasnHsarb. Ho 3TO y>t<e, CKopee, ncHxorepanHsr.
Kancynax, H CTOSIT OHH no-pa3HOMy. "tro ny~twe Bbl- 1 6paTb npH o6ocrpeHHH naHKpeaTHTa! : Tapacos nasen, r. fll1ne4K 1
TeM, y Koro o6ocrpeHHe He cnHWKOM rsr>t<enoe H ecnH 1 OHO nposrBnlleTCSI B BHAe 6onH, nOAOHAYT ¢epMeHTbl B ra6- ! nerKax - naHKpearHH, Me3HM ¢opre. V1x HY>t<Ho npHHHMaTb 1 no OAHOH-ABe ra6nerKH Ka>t<AbiH pa3, KOrAa Bbl Ha"'HHaere ~ ecTb. neKapCTBO HY>t<HO npornOTHTb, 3anHBall BOAOH. Bcero : y sac MO>t<er nony"'HTbCSI or 3 AO 10 H 6onbwe ra6neroK s AeHb, "'TO 3aBHCHT or rsr>t<ecrH 3a6onesaHHII. KorAa ¢ep- 1 MeHTbl s ra6nerKax He noMoratar, HMeer CMbiCn nepeHTH Ha : Kancynbl - KpeoH HnH naHu,Hrpar. BHyrpH Kancyn HaxOAIITCsr 1 MHKpoc¢epb1. Pacrsopsrsrcb s >t<enyAKe, OHH pasHoMepHo 1 CMeWHBatOTCSI C nHW,eH. npH 3TOM OHH HMetOT OC06oe no- 1 KpbiTHe, KOTOpoe 3aW,HW,aer HX OT ry6HrenbHOrO BnHIIHHII 1 >t<enyAO"'HOrO COKa. no3TOMY Kancynbl pe3ynbTaTHBHee ra6- ! neroK, HO H crosrr, KOHe"'HO, AOpo>t<e. Bnpo1.1eM, HX nbtOT He- 1 AOnro- AO rex nop, noKa He CTHXHer o6ocrpeHHe. Kancynbl 1 npHHHMatOT H TOrAa, KOrAa naHKpeaTHT CTaHOBHTCSI no- ! HaCTOSIW,eMy XpOHH"'eCKHM- AnHTCSI no 10-20 neT. 3a 3TO 1 speMSI l.laCTb TKaHH nOA>t<enyAO"'HOH >t<ene3bl nepepO>t<Aa- 1 ercsr, OHa y>t<e He MO>t<er caMa BbiAeni!Tb HY>t<Hble AnSI nHw,e- ! ~ sapeHHSI ¢epMeHTbl. npH 3TOM nau,HeHTa My"'aeT nOCTOIIH- 1 HOe B3AYTHe >t<Hsora. MeHIIercsr cryn, craHOBSICb 6onee : o6HnbHbiM, Heo¢opMneHHbiM, >t<HpHbiM. A caM nau,HeHT npOAOn>t<aer HeyMonHMO xyAeTb. B 3TOM cny1.1ae noA>t<enyAO"'HOH >t<ene3e Hy>t<Ha cepbe3Hasr noAAep>t<Ka - KpeoH H naHLJ,HTpar B BbiCOKHX A03aX - 20000-25000 eAHHHU,. V1x nbtOT no OAHOH Kancyne 4 pa3a s AeHb. TaKoe ne"'eHHe 3a"'acryta pacurHsaercsr Ha AOnrHe rOAbl, a ro H Ha sc10 >t<H3Hb.
n~!
............................................................................ HY>KHO nPHHHMATb cDEPMEHTbl! AyMana, 'tTO ao apeMSI o6ocrpeHHSI naHKpeaTHTI HIAO 06SI31TenbHO npHHHMITb cflepMeHTbl. A nOTOM rAe-TO npO'tHTana, 'tTO :noro Aenarb Henb3SI. rAe )l(e npaBAI! K11peesa Bepa, r. CaHKr-nerep6ypr
O
AeHCTBHrenbHO, cyw,ecrsyer MHeHHe, "'TO nHw.esapHrenbHble ¢epMeHTbl yrHeratOr ¢YHKU,HIO nOA>t<enyAO"'HOH >Kene3bl. SIKo6br opraH CTaHOBHTCSI neHHBbiM, CaM pa6oraTb He XO"'eT, a TO H BOBCe arpo¢HpyeTCII. Ha caMOM Aene HHKaKOH arpo¢1-11-1 ¢epMeHTbl He Bbl3biBatOT. KaK : ronbKO nau,HeHT npeKpaw,aer HX npHeM, noA>t<e: nyAO"'Hall >t<ene3a so3spaw.aercsr K csoeH HopManbHOH pa6ore. no3TOMY npHHHMaTb HX He 1 TOnbKO MO>t<HO, HO H HY>t<HO. <:PepMeHTHble npe! naparbl pa3rpy>KatOT noA>t<enyAO"'HYIO >t<ene3y. 1 nycTb nopa6oraeT B W,aAHW,eM pe>t<HMe, «Ha-
l
............................................................................................ .. L~.~P..~~~.~ .~.~~~~: ..................................................... ._
G 3AOPOBAH )I(U3Hb
0 Ha6oneaweM.
ra3eTa-~emnenbHH~a
KAK nELIHTb nSITO'-IHbiE WnOPbl Ka>KAbtH AeCRTbiH 'fenoaeK, o6paaqaiOUVtHu K OpToneAy, npHXOAHT C >Kano6oH Ha CHnbHYIO 6onb B nRTKe. C fOAaMH 'fHCno 6onbHbiX paCTeT. A nocne 75 neT 6one3Hb 'cnpHwnopHaaen, y>Ke 8S% niOAeH. rao3Ab a nRTKe HMeHHO C TaKHM O&qy&qeHHeM cpaBHHB810T rnaBHbiH CHMnToM noro 3a6oneaaHHR. H no He COBCeM MeTacJwpa. BeAb CHnbHYIO 6ona. npH'fHHReT OCTeOcl»fT - OCTpOKOHe'IHbiH HapoCT, CAaBnHBaiOaqHH MSifKHe TKaHH.
r····-·-·····-·--·--·---·········-----·········••• PA3MEP HE HMEET 3HA "'EHHSI W11n MO>Ker Bblpacrarb B Af111HY AO 1,5 eM. Ero nerKo npow,ynarb, npocro HaAaBI1B Ha mirKY. Ho c1111a 601111 3aBI1CI1T He or pa3Mepa ocreocp11ra, a or ero pacnono>KeHI1SI. '-leM 61111>1<e HepBHble OKOHYaHI1SI, TeM 60llbWe 6ecnOKOHCTB OH AOCTaBJlSieT. V1 ew,e Ba>KeH «CTa>K» 3a6oneBaHI1SI. np11YeM, ec1111 noHaYally 601111, 06bl'lHO B03HI1KatOW,11e B HaY aile ABI1>KeHI1SI, orcryna10r, CTOI1T YellOBeKy HeMHO>KKO paCXOA11TbCSI, TO snocneACTBI111 6ollb or Harpy3KI1 1111Wb yci11111BaercSI. HaKoHeu,, nSITKa HaYI1Haer 6onerb 11 s nollHOM nOKOe. V1 BCe-TaKI1 KOCTHbiH HapOCT - He np11YI1Ha wnopbl, a cKopee cneACTBI1e. CHaYana BOCnaJlSieTCSI cpaCU,I1SI - COeA11HI1TellbHaSI TKaHb nOAOWBbl (no3TOMY 6olle3Hb Ha3biBatOT nOAOWBeHHbiM cpaCU,1111TOM). V11111Wb nOTOM B BOCnaJleHHOM yYaCTKe CTOnbl C01111 KallbU,11SI o6pa3yIOT ocreocp11r.
·-------------------------------------------------J OnACHbiE MOMEHTbl 3a6oneaaHHe npoao~HPYIOT: nnoCKOCTOnHe. 0HO Bbl3b1Baer HepaBHO· MepHytO Harpy3KY Ha crony, 113-3a Yero crpaAatOr cyxo>KI11111SI. Bo3pacr. C roAaMI1 yxyAwatOTCSI pereHepaU,11SI TKaHeH 11 KpOBOCHa6>KeHI1e KOHeYHOCTeH. JlHWHHH aec, 11HTeHCI1BHaSI Harpy3Ka 11 TpaBMbl cron. B 30He p11cKa - npeACTaBI1Te1111 «CTOSIYI1X» npocpecc11ii- YYI1Te11SI, nap11KMaxepb1, X11pypr11 111110A11, 3aHI1MaiOW,11eCSI TSI>KellbiM cp11311YeCKI1M TPYAOM. A raK>Ke 6eryHbl, npblryHbl, cpyr601111CTbl.
HenpaBHnbHOe nHTaHHe. ni060Bb K COlleHOMy, CllaAKOMy, nepYeHOMy, >K11pHOMy, Aecp11U,11T >K11AKOCTI1, OBOW,eH 11 cppyKTOB np11BOASIT K CKOnlleHI110 COJleH B TKaHSIX 11 npOBOU,11pytOT KallbU,11H03. XpOHH'feCKHe 3a6oneaaHH~t, Hapywa10w,11e I1HHepsau,1110 11 KposocHa6>t<eHI1e Hor ( caxapHbiH A11a6er, noAarpa, aprp11r, 6ypc11r, rpoM6ocpne611r). A r aK>Ke CI1CTeMHble 3a6onesaHI1SI COeAI1HI1TellbHOH TKaHI1 (peBMaT011AHbiH apTp11r), 6olle3HI1 cycraBOB 11 n03BOHOYHI1Ka.
CnOPT H AHET A nocKOnbKY KOCTHbiH HapOCT o6pa3yeTCif H3 coneH MO'feBOH KHCnOTbl, 88)f(H0 BOBpeM~t HOpManH3088Tb KHCnOTHOaqenO'fHOH 6anaHc. B noM noMoryr: • oTKa3 OT KypeHI1SII1 allKOrollSI (Aa>Ke OT n11sa); • 11CK1ltOYeH11e >K11pHbiX 11 ocrpbiX coycos 11 np11npas; • orpaHI1YeHI1e pb16bl, MSICa, MYYHOrO 11 CllaAKOrO, KpenKOrO YaSI 11 KOcpe; • yseni1YeHI1e K01111Yecrsa ynorpe6neHI1SI osow,eii, cppyKros, >K11pHbiX, a He o6e3>K11peHHbiX MOllOYHbiX npOAYKTOB; • ycl11leHHbiH ni1Tbesoii pe>K11M. Oco6eHHO none3Hbl w,ellOYHble MI1Hepa11bHble BOAbl, OTBapbl 11 HaCT011 Wl1nOBH11Ka, Kpani1Bbl.
Bor HeKoropble ynpa)f(HeHH~t. N2 1. Bcrarb y creHbl, 6onbHYIO Hory nocraBI1Tb 3a 3AoposytO 11, ynepW11Cb pyKaMI1 0 CTeHy, np11CeAaTb, noKa He B03HI1KHeT OW,yW,eHI1e HaTSI>KeHI1SI B 11Kpax. nSITKI1 OT nona He OTpbiBaTb.
N2 2. nonO>KI1Tb Ha noll ABa yseCI1CTbiX KH11>KHbiX TOMa. BcraTb Ha KHI1rl1 TaK, YT06bl nSITKI1 CBI1Ca1111. noKaYaTbCSI BBepX-BHI13. N2 3. Co611parb nallbU,aMI1 HOr pa36pocaHHble no nony Me11KI1e npeAMeTbl. N2 4. Kararb 6yrbi11KY cronoii. Ec1111 HanonHI1Tb 6yrbi11KY soAOH 113 xonoA1111bHI1Ka, 3TO Aacr ew,e 11 o6e3601111BatOW,11H 3cpcpeKT.
·--------------------------------------------------------------HAPOAHbiE PEU.EnTbl O T nSITO"'HOH WnOPbl • 6pyCOK CaMOrO TeMHOrO X03SIHCTBeHHOro Mbllla HaTepeTb Ha MellKOH repKe 11 pacroni1Tb Ha BOASIHOH 6aHe. Macey Bbi110>KI1Tb Ha 611HT. Csepxy np11Kpb1Tb no11113TI11leHoM 11 3acp11KC11posarb 611HTOM. 3aMorarb wepcTSIHbiM wapcpoM. Aenarb e>KeAHeBHO, noKa He craHeT nerYe. e nonnaYKI1 KpynHOH C01111 HarpeTb B AYXOBKe. nepe110>K11Tb B nOllOTHSIHbiH MeWOYeK 11 np11KllaAbiBaTb K nSITKe , noKa COllb He OCTbiHeT.
• Pacnap11s Hory, o6KnaAb1BaTb nSITKY nenewKaM11 113 rni1Hbl (111111 113 MeAa 11 co1111). Mo>KHO Aenarb KOMnpeccbl 113 MeA11U,11HCKoii >Ke11YI1. no 20 MI1HYT e>KeAHeBHO, AO ynyYweHI1SI. Ec1111 B reYeH11e MecSiu,a ynyYweHI1SI He Hacryn11110, o6SI3arellbHO o6paTI1TbCSI K spayy.
~--------------------------------------------------------------~
HA BPEM51 Jl~EH~51 HY)f(HQ OrPAHWmTb HArPY3KY HA HOfl1 ~ HOC~Tb KOM<t>OPTHYIO 06YBb . .. . . .. . -----.... -....................... -- ...... --- ....................................... -............ -.................. -- ........................................ ---- ...... -........................................... -------- ...... ---- ............................................ -.... -- .... -----------
3.QOPOBAH H(U3Hb G)
0 Ha6oneaweM. fa3eTa-qenHTenloHH141
r············--------·--·-··-·--············-·--·--·OnEPAU,HH MO)f(HO H3&E)f(A Tb An11 nocraHOBKI1 A11arH03a He06XOA11Mbl peHrreH, o6w,11e aHanl13bl KpOBI1 11 MO'll1. V1HorAa MPT cronbl - BeAb 6onb B nllrKe MO>Ker 6blrb 11 np113HaKOM onaCHbiX 3a6oneBaHI1H (Hanp11Mep, peBMaro11AHOrO aprp11ra 11n11 ry6epKyne3a KocreH). Bap11aHroa nel.leHI111 MHO>t<ecrao. Ho Bb16op 3a X11pyproM-oproneAOM. Ha apeMII ne'leHI111 Heo6xoA11MO 6onbWe OrAbiXarb 11 CH11311rb Anl1renbHOCrb nporynoK, MeHbWe HaXOAI1rbCII B rOp1130HranbHOM nono>KeHI111, a ny'lwe co6n10AaTb nonHbiH noKoH. An11 o6e360ni1BaHI111 nOMI1MO npenaparOB Anll BHyrpeHHero 11CnOnb30BaHI111 np11MeHIIIOrCII MecrHble npori1BOBOCnanl1renbHble KpeMbl 11 Ma311, a np11 Cl1nbHOH 6on11 peKOMeHAOBaHbl YKOnbl KOpr11KOCrep011AOB 11 neKapcrBeHHall 6noKaAa. EionbHbiM noMoraer HoweHI1e oproneA11'1eCK11X creneK 11 opre3oB, yMeHbWaiOW,11X AaaneHI1e Ha crony. Ba>t<eH noA6op YA06HoH 11 npaal1nbHOH o6ya11. Xopow11e pe3ynbrarbl Aaer cp113110ne'leHI1e. Hanp11Mep 3neKrpocpope3 11 MarH11rorepan1111, a raK>Ke yAapHo-aonHoBall repan1111. B nocneAHee apeMil cran11 ycnewHo np11MeHIIrb yKonbl 6orynoroK- , CI1Ha. X11pypr11'1ecKoe nel.leHI1e (yAaneHI1e KocrHoro Wl1na) Ha3HaYaerCII ronbKO np11 He3cpcpeKri1BHOCrl1 KoHcepaari1BHoro neYeHI111, He paHee 'leM Yepe3 nonroAa raKoro neYeHI111. KocrHbiH Hapocr raK>t<e , MO>KHO pa3Ap0611rb na3epOM.
B npocp11naKr11Ke 6one3HI1 caMyiO aa>KHYIO ponb 11rpaer 1 KOMcpoprHall 11 npaBI1nbHO nOA06paHHall o6yab: rycpn11 11 : 60ri1HKI1 He AOn>KHbl AaBI1rb, nyywe HOCI1rb o6yab Ha He- l 6onbWOM Ka6nyKe (3-4 CM) 11 C W11p0KI1M HOCOM. Ba>t<Ha ! 3ap11AKa - cr116aH11e-pa3r116aH11e cronbl B nono>t<eHI111 C11AII : no 1-2 MI1Hyrbl B AeHb 11 XOAb6a no Macca>t<HOM y Koap11- l KY. TpeH11pyer cyxo>t<11n1111 11 ynyYwaer Kpoaoo6paw,eHI1e : XOAb6a Ha BHyrpeHHeM 11 BHeWHeM Kpa!IX CrOnbl 11 Ha HOC- l Kax. Ew.e OAHO xopowee ynpa>t<HeHI1e- Kararb 6ocoH Ho- l roH no nony 6yrblnKy 11n11 Macca>t<HbiH MIIY 11n11 co611parb : I nanbu,aMI1 Hor MenK11e npeAMerbl. KpoMe roro, peKo- : I MeHAyerCII perynllpHO Aenarb KOHrpacrHble BaHHOYKI1 Anll : Hor c Hacro!IMI1 rpaa, a neroM ryn11rb 6oci1KOM no rpaae 11 : I rennoM y necKy. :
-----------------------------------------------------------·
~--···----·-··---·-··---··---···--·-·----------------
r·········-·················-···········-····-·······• l KAK HE .QOnYCTHTb! l I
1
I
npeAynpeA11rb nllrO'lHYIO wnopy nerYe, 'leM ne- ~ 1111rb. Ecn11 y aac nnocKocron11e, peKoMeHAyercll : perynllpHO HOCI1rb oproneA11YeCKI1e crenbKI1cyni1Haropb1, Koropble pacnpeAen1110r Harpy3KY Ha crony. np11 npo6neMaX C BeCOM nOMO>t<er ri1MHaCri1Ka Anll HOr, XOrll He cro11r 3a6b1Barb 11 0 noXyAeHI111. Hy a rex, Kro aecb AeHb Ha Horax, cnacyr BOAHble npou.eAYPbl: aKaaa3po611Ka, nnaaaHI1e.
Cpe>t<&re J1 J13Men&•mre no3eneHeHHYIO nosepxHocr& Cblporo KaprocpenJI, npJ-~Kna,o.&lsai1re KOMnpecc Ha H0'4b, pacnapJ-~B nJITKJ-1. nepe,o. CHOM none3HO s&mJ-~r& craKaH '4aJI J-~3 cyxJ-~x 4BeTKOB CJ-~peHJ-1. >KyKos J1saH, r. XJ-~MKJ-1
••• Harepr&li1 Ha MenKoi1 repKe KaprocjJen& nono- ~ >KJ-tre Ha nonJ-~3TJ-~neH J1 npJ-~6J-~Hryi1re K nRrKe. EcnJ-~ ecr& B03MO>KHOCT&, ro c nosJI3Koi1 xo,o.J-~re sec& ,o.eH&. KocrJ-~Ha
11HHa,
r.
KJ-~pos
••• AKKyparHo nocKo6nJ-~re pacnapeHHYIO Ko>Ky Ha,O. wnopoi:f J1 npJ-~6J1HTyi1re Ha H0'4b K 3TOMY Mecry nenewKy J-~3 pa3MJir'4eHHoro npononJ-~ ca. JKenaren&HO XO,O.J1Tb C Hei:f J1 ,O.HeM. nosropJ-~Te 5-6 pa3. Hai1,o.eHosa On&ra, r. 6op
••• Harpei1re o,o.eKonoH «Tpoi1Hoi1» J1 nap&re nJITKJ-1 15 MJ-~Hyr. no,o.o6HOe ,o.ei1CTBJ1e OKa3blsaer J1 ropR<4aJI MOn0'4HaJI C&lsoporKa.
'
........
Eropos ApreM, r. MypoM
·-----s-·9o%-cii-YYA"E:s·,--Ecni,-f66JiE3H·b-HE-3AiiYlliEHA~-yAAEfcsT66o~·;=~cb-6E:~foriEPAU~~~
J
G O&PA3 )KU3HU
0 Ha6oneBWeM. ruera-...enHTenbHH'-'a
BAW MJlEUbHbll VIHMH AHeronorH yaepeHbl: y>KHH ManoaKTHBHOrO COTpy AHHKa Oci>Hca AOn>KeH OTnH'f8TbCSI OT TOrO, 'ITO ect nepeA CHOM 'fenoaeK, npoBOARU4HH 1.4enbiH AeHb B pa31te3A8X. KaK npaaHnbHO opraHH30aaTb ae'fepHIOIO tpane3y a 3aBHCHMOCTH OT o6pa3a >KH3HH!
•
BAPIIAHT DEPBbiH: VJHIIH lUIR 3HEPrllqHbiX Ecn11 Bbl He C11A11Te 4eflb1i1 AeHb Ha Mecre 11n11 aawa pa6ora npeAycMaTp11Baer MHO>t<eCTBO pa3'be3AOB1 TO BeYepHSIII rpane3a AOfl>t<Ha 6b1Tb o611nbHoi1 11 pa3Hoo6pa3Hoi1: He>t<11pHaSI pb16a 1 MSICO nTI14bl 6e3 KO>t<l1 1 raopor. Oao~11 ro>t<e >t<enarenbHbl - B BI1Ae canaTa 1 ryweHoro 11fll1 np11rOTOBneHHOrO HB napy rapH11pa 11 npocro cae>t<11e. KpoMe 3TOro B aaweM aeYepHeM pa4110He o6SI3arenbHO AOn>t<Hbl np11cyrcraoaarb MeAfleHHO YCBOSieMble yrneBOAbl. Mo>t<ere Bbl611parb Ha caoi1 BKyc: Kpynbl 1 Kaprocpenb 1 L.~enbH03epHo aoi1 xne6 11fll1 MaKapOHbl 113 TBepAbiX coproa nweHI14bl. Kaprocpenb nyYwe acero 3aneYb. Ecn11 Bbl e~e 11 rpeH11pyerecb no aeyepaM 1 ro nepeA 3aHSITI1eM MO>t<eTe n03BOfli1Tb ce6e C'beCTb 'ITO-TO cnaAKOe 11fll1 Bbl· ni1Tb CTaKaH COKa C MSIKOTbiO . A nocne cnopr3ana cro11r ycrpo11rb ce6e BTOpoi1 y>t<I1H. 3TO MO>t<eT 6b1Tb K11CflOMOflO"'Hbli1 Hani1TOK 1 HaCbl~ai0~11i1 MbiWL.Ibl Kaflbl.l11eM. il1n11 Yai1 C fli1MOHOM 11fll1 Mafli1HOi1 1 XOpOWO CHI1Mai0~11MI1 BOCnaneHI1e 11 MbiWe"'Hble 6on11 nocne rpeH11poaoK.
BAPIIAHT BTOPOH: VJHIIH DPIIuCTPECCOBOHn PA&OTE Ecn11 AHeM Bbl nepe>t<11n11 Cl1nbHble orp114aTenbHble 3M041111 11n11 aawa pa6ora - «CnnowHoi1 crpecC» 1 He cro11r Hanerarb Ha neYeHoe 11 cnaAKOe. 0HI1 11 3cpcpeKT AaAyT KpaTKOB· peMeHHbli1 1 11 Ha Tafll111 OTnO>t<aTCSI. Onri1ManbHbli1 aap11aHT y>t<11Ha - npoAYKTbl c 6onbWI1M KOni1YecraoM Tp11nTocpaHa: MSIC0 1 pb16a 11fll1 TBO· por. Tp11nrocpaH - :no aMI1HOK11cno-
•••••••••••••••••••••••
• ••••••••••••••••••••••••••••
HHTEPECHO
:
KpacHsoe cnoso (( AHera» ( diaita) 03Hal.fano y 3nnHHOB : <<o6pa3 >KH3HH, nHraHHe». A y Hac OHO npesparH: nOCb B CHHOHHM OAHOpd30BOH dKLJ,HH, cynJJJ..L(eif H36asne: ' •• /-me' or nHwHero seca.
••••
••
•
•• ••
•
Ta 1 113 KOTOpoi1 B opraHI13Me CI1HTe311pyeTCSI rOpMOH paAOCTI1 11 YAOBOnbcTBI111 - aceM 113aecTHblii cepOTOHI1H. ii1Mei1Te B B11AY I 'ITO pb16y a raKoi1 c11rya41111 MO>t<HO eCTb He MaKCI1· MaflbHO He>t<11pHyl0 1 a Hao6opOT I cpeAHei1 creneHI1 >t<11pHOCTI1 - Tl1na AOpaAbl 11fll1 flOCO· c11. To >t<e caMoe c raoporOM 1 o6e3>t<11peHHOMY nyYwe npeAnoYecrb npOAYKT 5-9% >t<11pHOCTI1. 1113 Hero B opraHI13M nocrynaer He6onbwoe 11 HeapeAHoe Koni1Yecrao xonecrep11Ha. A OH B CBOIO O"'epeAb n03BOfllleT Bb1pa6aTbiBaTbCSI aHTI1CTpecCOBbiM ropMOHaM HaAnO"'e"'HI1KOB. E~e OA11H MO~Hbli1 11 3cpcpeKTI1BHbli1 «yAap» no crpeccy - oao~11 c 6onbWI1M KOfll1"1eCTBOM BI1TaMI1Ha C . 3TO Moryr 6b1Tb 3eneHb 1 pa3Hble copra canaTOB 1 ace BI1Abl KanycTbl. An11 3anpaBKI1 nyYwe acero 11cnonb30BaTb pacTI1renbHOe MaCnO C fli1MOHHbiM coKoM. TaKoi1 aap11aHT y>t<I1Ha He TOflbKO CMO>t<eT CHSITb OCTpble HeraTI1BHble 3M041111 1 HO 11 HaCTp011T BeCb opraHI13M Ha 6opb6y co crpeccoM.
• •••••••••••••••••••••••••••••••
BAPIIAHTTPOIIH: VJHIIH UR OCIIIICHbll CDVJHAIQIII CaMbli1 «Crporl1i1» aap11aHT y>t<I1Ha 3TO BeYepH11i1 np11eM n11~11 AflSI ManoaKTI1BHbiX ni0Aei1. Tex 1 Koropble a reYeHI1e pa60"'ero AHS1 1 B OCHOBHOM 1 CI1ASIT 1 He 3aHI1MaiOTCSI cnopTOM 11 He n10611T AOfl· ro XOA11Tb neWKOM. 111M np11XOA11TCSI «KOMneHC11pOBaTb» TaKOi1 o6pa3 >t<I13HI1 MaKCI1MaflbHO nerKI1M y>t<I1HOM - B npoTI1BHOM cnyYae Hel136e>t<HO nOSIBI1TCSI fl11WH11i1 Bee. no CYTI1 1 ecn11 Bbl He >t<enaere MeHSITb CBOI1 np11Bbi"'KI1 1 Bbi60p Be"'epHero pal.I11· 0Ha HeBefli1K. Jlyywe 1 "'T06bl 3TO 6blfl0 BCero OAHO 6n10AO: 6enKOBOe 11fll1 oao~Hoe. K HeMy 1 anpoYeM 1 MO>t<HO A06aBI1Tb CTaKaH Kecp11pa - OH HI1KOrAa He noapeA11T. 111raK 1 nepBbli1 aap1-1aHr: He>t<11pHaSI pb16a - rpecKa 1 cyAaK 11n1-1 xeK. Ee HY>t<HO n1-16o aap11Tb 1 n116o roroBI1Tb Ha napy. He ao36paHSieTcSI 3aneKaTb1 1-!CKniOYeHa ronbKO >t<apKa. Bropoi1 aapl-!aHT - raopor Hyneaoi1 1-1n1-1 n11T11npo4eHrHoi1 >t<11pHOCTH, He BbiWe. MaKC11MYM 1 YeM Bbl MO>t<ere «nOACnacTHTb» 3TOT none3Hbli1 1 HO cyxoBaTbli1 11 KI1Cflbli1 npOAYKT - i1oryproM 6e3 caxapa 11flH KecpHpOM.
EWbTE nOMAJlY, HO YACTO, JlYYWE 4-6 PA3 BAEHb . ................................................................................................. . ................................................................................. . ..................................................................................................................................................................
0
06PA3 )f(U3HU
Hl6oneBW8M. ra38TI·Q8ftHT8ftloHHQI
l-1nl1 1 113peAKa 1 MI1HI1ManbHO cnaAK11MI1 SlrOAaMI1 Tl1na 6pyCHI1KI1. Tper11i1 aap11aHT - oaow,11. Ho ryr ro>t<e ecrb HtOaHCbl. Bo-nepBbiX 1 Kaprocpenb 11CKmo'laeM cpa3y 11 Bbl611paeM 113 KanyCTbl 1 orypl..\OB Ka6a'lKOB1 caeKnbl 1 nepl..\a 1 noM11AOpoa. Bo-aropb1X 1 roTOBI1Tb oaow,11 MO>t<HO nt06biM cnoco60M 1 KpOMe >t<apK11. 0AHaKo a aaweM cny'lae ny'lwe npeAno'leCTb canar 11n11 oaow,Hoii cyn. B 6ntOAaxl rAe oaoW,11 11cnonb3YIOTCSI a Ka'lecrae rapH11pa1 Kanop11i1 HaMHoro 6onbwe.
KOrAA CECTb 3A
TOn!
A11eronor11 yaepeHbl 1 nepepbiB Me>t<AY Y>t<I1HOM 11 3aarpaKOM He AOn>t<eH 6b1Tb MeHee 14 'laCOB. no3-
roMy apeMSl ae'lepHero np11eMa ni1W,11 HanpSIMYIO 3aBI1CI1T OT TOr0 1 KOrAa Bbl acraere no yrpaM. Ecn11 Bbl np11Bb1Knl1 3aarpaKaTb a 8 yrpa 1 y>t<I1HaTb Hy>t<HO He n03AHee 6 Be'lepa1 HO ecn11 06bl'lHO Bbl Cni1Te AO 10 1 Be'lepHIOIO rpane3y MO>t<HO OTOAB11HYTb Ha ABa 'laCa. 0AHaKO 3AeCb ecrb OA11H HtOaHc. KorAa Mbl cni1M 1 a opraHI13Me 3aMeAflSleTcSl o6MeH aew,ecTB 1 n03TOMY TSl>t<enaSl n11w,a npocro He ycneaaer nonHocTbtO nepeaap11TbCSl. A 3TO MO>t<er Bbl3biBaTb paccrpoiicraa >t<enyAKa 1 113>t<ory 1 nnoxoii coHI ronoaHytO 6onb 11 OTeK11 no yrpaM. no3TOMY nepeA CHOM ny'lwe OTAaBaTb npeAnO'lTeHI1e nerKI1M npOAYKTaM 1 KOTOpble ycnetOT paw,eni1TbCSl AO roro 1 KaK Bbl ornpaa11recb a nocrenb. DbiCrpee acero nepeaap11aa10TCSI MOno'lHble npOAYKTbl 1 OMneTbl 11 HecnaAK11e cppyKTbl (S16noKI1 1 rpyWI11 anenbCI1Hb1). Ha 11x «nepepa6orKy» opraHI13M rpaTI1T OT 1 AO 2 'laCOB. He>t<11pHaSl pb16a1 3eneHble oaow,11 1 oraapHoii Kaprocpenb1 Kawl1 11 nocrHaSl TeflSIT11Ha 3aAep>t<11BatOTCSl B >t<enyAKe HeCKOflbKO AOflbwe - Ha 11x nepeaap11aaH11e Heo6xo-
G)
r-------------------·-·········----; I I I I
1
Xopowy10 cjmrypy MHe noMoraer coxpaHHTb cHna sonH. 5I He nepee,o,a/0 1 crapa10cb He ynorpe6nJJTb MY"'Horo H cna,o,Koro 1 eCTb TOflbKO none3HYIO nHLJ.4Y H nHTb KaK MO>KHO 6on&We BO,O,bl. npH 3TOM HHKaKHM BH,O,OM cnop-. I Ta Jl He 3aHHMaiOCb 1 rpeHa>Kep- : H&tii 3an He noceLJ.4al0 1 He n106- : I fl/0 3TO C ,O,eTCTBa. : lYAHHI On~oral TeneaeAyLQaSI
i
-----------------------------------·
A11MO 2-4 'laca. A aor cai1H11HY I MaKapoHbl1 6o6oable 1 >t<apeHble 6ntOAal cenbAbl ceMry 11 Apyrl1e >t<11pHble copra pb16bl ny'lwe He ecrb no3AHee 1 'leM 3a 4-6 'lacoa AO cHa. 1-1 nOMHI1Te 1 «npaBI1flbHbiH» y>t<I1H He AOn>t<eH 6b1Tb 11 Cfl11WKOM Kanop11HHbiM. A11eronor11 coaery10r pacnpeAeni1Tb caoii AHeBHOH pa4110H TaK 1 'lT06bl Ha Y>t<I1H np11XOAI1fl0Cb He 6onee 30% o6w,ei1 Kanop11HHOcTI1 aawero MeHtO. 1-1 nocrapaiirecb o6ecne'li1Tb ce6e xorSl 6bl MI1HI1ManbHYtO cp11311'leCKYIO Harpy3Ky nocne y>t<I1Ha. nocne roro KaK Bbl noen11 1 ny'lwe He caAI1TbCSl nepeA TeneBI130pOM 11 He yKnaAbiBaTbCSl Ha A11BaH. norynSIHTe 1 3aHMI1TeCb AOMaWHI1MI1 AenaMI1.
r···-----------·----------··········---------------·-·-·······----------···----··············---------·-·-----------
ro TOBJ;tM CAMJ;t >K14POC>KJ1rAJOUQ.1E HAnJ1TKI4 CMV3M H3 CBEUbl HHA&AqHOB 1 cseKna He6on&woro pa3Mepa 1 0,5 Ka6a"'Ka ManeH&Koro pa3Mepa, 1 6onrapcKHii nepe4, 1 cpe,o,HHii cse>KHii orype4, 2 cre6nJJ cen&,o,epeR. CaeKny oraap11Tb 1 nO'li1CTI1Tb 1 Hape3aTb He6onbWI1MI1 KYCO'lKaMI1. EionrapCKI1H nepel..\ OCB060A11Tb OT cepAL\eBI1Hbl C CeMe'lKaMI1 1 Hape3aTb flOMTI1KaMI1. Orypel..\ 11 Ka6a'loK Bb1Mb1Tb 1 Hape3aTb Kpy>t<KaMI1 ronw,I1HOH a 1 CM. CenbAepeii pa3Aeni1Tb Ha HeCKOnbKO Kyco'lKOB. Bee 11HrpeA11eHTbl 113Menb'latOTCSl a 6neHAepe AO OAHOpOAHOCTI1.
cPHnarosa MapHHa, r. Open
CMV3H M31UDMHAT 70 r 6pOKKOflH 1 200 r KOHCepsHpOSaHHOrO WnHHaTa, 60 Mfl MOpKOBHOrO coKa, 1 LJ.4enorKa conH, 1 3eneHoe R6noKo ManeH&Koro pa3Mepa.
EipOKKOfll1 pa3Aeni1Tb Ha He6onbWI1e COL\BeTI1Sl. Sl6nOKO Bb1Mb1Tb 1 O'li1CTI1Tb OT cepAL\eBI1Hbl 11 Hape3aTb He6onbWI1MI1 KYCO'lKaMI1. Wn11Har 1 6poKKOnl1 1 3eneHoe Sl6nOKO 113Menb'li1Tb B 6neHAepe. nony'leHHYIO Macey noconi1Tb 1 CMewarb c MOpKOBHbiM coKOM. Han11roK ew,e pa3 a3611Tb c noMOW,btO 6neHAepa B Te'leHI1e 1 MI1H. KopwyHosa HHHa, r. Yn&RHOBCK
IIMiiiiPHbiH HOHTEiiJib 8 CM Kyco"'Ka KOpHR HM6HpR, 1 nHMOHa, 3 nHcTa MJJT&t, 1 cr. 3eneHoro "'aR, 0,5 ,o,eceprHoiin. Me,o,a. lf1M611pb HarepeTb Ha MenKOH repKe. l-13 fli1MOHa Bbl>t<aTb coK 11 CMewarb c 11M611peM. B 3TY >t<e eMKOCTb A06aBI1Tb MSITY. CMecb 3ani1Tb rennbiM 3eneHbiM 'laeMI AaTb HaCTOSITbCSl 5 MI1HYT. noAcnaCTI1Tb Hani1TOK MeAOM. np11 >t<enaHI111 OT A06aaneHI1Sl MeAa MO>t<HO OTKa3aTbCSl. KHR3esa AHHa, r. KHpHwH
~----------------------------------------------------:--------------------------------------------------------------
OTKA)I(l'lTECb OT KOHCEPBAHTOB l-1 PA<l>l'lH~POBAHHbiX nPOAYKTOBB Hl-1X MHOrO C~A, )I(~POB ~ H~TP~TOB.
e cton. &onbr
0 Ha6oneBWeM. ra3eTa-qenHTenbHH1.4a
PacKanbiBaercH ronoaa! Y3HaHre, no KaKOH npH'tHHe H K8K C 3THM 6opOTbCH.
HAnPSI>KEHHE KaK :no 6biBaeT: 6m1>t<e K ee'lepy nOSlBnSleTCSl TynaSl MOHOTOHHaSl 6onb no eceH ronoee. TaKoe cocTOSlH~e MO>KeT npOAOn>KaTbCSl HeCKOnbKO '!aCOB. nooteMy! CaMaS! pacnpocTpaHeHHaSl np~'l~Ha - HanpSl>KeH~e. Bbl u,eC~A~Te 3a KOMnbiOTepoM, pa6o'!~M CTOnOM 1 B MaW~He ~n~~ Hanp~Mep, CTO~Te y np~naeKa e OAHOH no3e 1 nocTOSlHHO HepeH~'lae Te1 a AOMa Cn~Te Ha HeyA06HOH KpOBaT~ ~ noAywKe. B pe3ynbTaTe cna3M cocyAOB ronoeHoro M03ral We~ ~ OKaMeHeHHe MbiWU,.
nbiM~ AHSlM~
~To AenaTb! L!aw,e MeHSlHTe no3y
Ha
pa6o'!eM
MecTe 1
52 '1. no-
AenaHTe
M~HYTHYIO 3apSlAKY Ka>KAble
Macc~pyHTe 3aTblnOK 1 B~CKH 1 pa30Tp~Te MbiWU,bl we~ ~ cn~Hbl. B~cK~
CMa>KbTe Ma3bl0 npOT~B M~rpeH~ 1 Hanp~Mep 6anb3aMOM «3onoTaSl 3Be3Aa». npoBeA~Te He6onbWOH ceaHC ayToTpeH~Hra. CSlAbTe noyAo6Hee1 3aKpOHTe rna3a 1 paccna6bTe MbiWU.bl, AbiW~Te cnoKOHHO ~ poeHO. npeACTaBbTe 1 'ITO Bbl HaXOAHTeCb e conHe'!HbiH AeHb Ha 6epery MOpS! . Ka>t<AaSl HaKaTbiBaiOW,aSl eonHa 3a6HpaeT eawy 6onb 1 HanpSl>KeHHe H YHOCHT B MOpe . ........................................................... ,.........................................................
KAnPH3bl norOAbl KaK :no 6biBaeT: HOIOW,aSl TynaSl 6onb nOSlBnSleTCSl B cepeAHHe AHSl HnH nocne cpH3H'leCKOH Harpy3KH 1 HanpHMep np~ noAbeMe no cTyneHbKaM1 COnpOBO>KAaeTCSl B03H~KHOBe HHeM 'lepHbiX «MyweK» nepeA rna3aMH1 cna60CTbl0 1 ronOBOKpy>t<eHHeM1 KpOBb npHnHeaeT K ronoee. nooteMy! norOAa C HeCTa6HnbHbiM reoMarHHTHbiM cpoHOM 1 nepenaAaM~ aTMOCcpepHOrO AaBneHHSl H TeMnepaTypb11 pe3K~M H3MeHeHHeM HanpaeneHHSlBeTpanpOBOU.HpyeTcna3Mbl COCYAOB. npH HH3KOM AaBneHHH 6onb nOSlBnSleTCSl B BHCKaX 1 npH BbiCOKOM- B 3aTblnKe.
ECnJ-1 &OnJ-iT ronOBA. • •
................................................................................................................ :
"tro AenaTit! V13MepbTe AaBneHJ.ie. npJ.1 HJ.13KOM npJ1MJ.1Te Hacroi1Ky :
l 3neyTepOKOKKa 1 nHMOHHHKa 1 >KeHbWeHSl H none>KHTe C npHnOAHSlTbl1 MH
HOraMH 1 npH BbiCOKOM cnaceT HaCTOHKa nHOHa 1 eanepHaHbl 1 nyc; TbtpHJ.otKa, none>t<HTe c npHnOAHstro.::1 ronoeoH. ~
............................................................................................................... .··············································································································. l MHrPEHb l KaK :no 6biBaeT: nynbc~py10w,aS1 HnH AaBSlW,aSl 6onb e OAHOH nono• BHHe ronOBbl 1 «CTpenSleT» B rna3, 6onbHO CMOTpeTb Ha CBeT. JlHU.O KpacHeeT HnH 6neAHeeT, B03MO>KHa TOWHOTa, pe>Ke pBOTa. nooteMy! MHrpeHb - 6one3Hb HacneACTBeHHaSll nepeAaiOW,aSlCSl no MaTepHHCKOH nHHHH 1 CBSl3aHa C pa3Apa>KeHHeM TpOHHH'IHOrO Hepea. L!aw,e ecero B03HHKaeT e pe3ynbTaTe nepeyToMneHHSl, eonHeHHi:1 1 nepeMeHbl norOAbl 1 AO HnH nocne KpHTH'leCKHX AHeH. ~To Aenarb! CSlAbTe HnH nSlrTe e YA06HoH no3e e nonyTeMHOH KOMHaTe. EcnH nHu.o no6neAHeno 1 nono>KHTe Ha Hero HaMO'leHHOe ropSl'leH BOAOH H OT>KaToe Maxpoeoe nonoTeHu,e. EcnH >Ke nHu.o KpacHoe, nonoTeHu.e AOn>KHO 6b1Tb xonoAHbiM. BblneHTe Ta6neTKY KacpcpeTHHa HnH neHTanrHHa. npOHAHTe o6cneAOBaHHe y Heeponora. •
................................................................................................................ ............................................................................................................. 1 KOCbEHHOBASI 3ABHCHMOCTb .: .~ . KaK :no 6b1saer: TynaSl 6onb eo3HHKaeT yTpoM. .,
not.teMy! HaeepHSlKa Bbl cn~WKOM Mano CnHTe 1 a TaK>Ke '!aCTO H MHO- :
1. ro nbeTe Kocpe. VIMeHTe e BHAY, 'ITO opraHH3M npHBbiKaeT K Ko<PeHHY .l 1
: KaK K HapKOTHKY.
~
1
..............................................................................................................~
•
~TO AenaTb! nHTb Kocpe He 6onee OAHOH-ABYX 'laWeK B AeHb.
-H·Eii-b3ffn-~rb-sroPYKl-rA6~-rri<Y-A"HAJibrE:r~i<A:·Ecii~-nEP-sA~-H·E·n·ot\E~cr8o8Aili\-_----·--·-----------------------------------------·------·--------------·--·-------------·----··------·--------------·-----··-------··-·-------------·---------------------------
cTon. &Onbl
0 Ha6oneaweM. rueTa-1,4emnemoHHI,41
G
Hawa cnpaaKa qacmo zoA06HWl 6oAb MO:HCem 6btmb cu.unmoMOM maxux
HACTOM
6o11.eaneu, KUK Heupoqupxy/I.JlmOpHWl iJucmoHUR, weUHblU
MHTblnEPE~HOH
ocmeoxoniJpoa, zail.Mopum, npocmyiJa, zpunn, aocnaAenue 11.uqeaozo u mpounu'lHOZO nepaoa, cepiJe'lHWl neiJocmamo'lnocmb, ZAayxoMa, CU/I.bHOe nepeoXAU:HCiJenue, ompa611.enue, a max:HCe nexomopbLX ungiexquoHHbLX aa6o11.eaanuu (nanpuMep, nue~~.onegipum). C 6btaiJopo611.eHueM uC'Ileanem u zoA06HWI60Ab.
AllH HOMnPECCA noHIA06HTCSI: 1 CTaKaH M~Tbl nepeYHOH, 211 BOAbl.
Cnoco6 npHrotoaneHHSI H npHMeHeHHSI: BbiCyWeHHOe 1-1111-1 cse>t<ee pacrHrenbHOe Cblpbe H3Me11bYHTb, 3a11HTb KHn~L4eH BOAOH, yKyraTb 1-1 HacraHBaTb B reYeHHe 30 MHHYT, noC11e Yero npoU,eAHTb. no11yYeHHOe ' cpeACTBO HCn011b30BaTb Afl~ KOMnpeccos npH r0110BHbiX 6o11~x • op~Y~H KOMnpecc 1-13 HaCTO~ M~Tbl XOpOWO CHHMaer MbiWeYHble cna3Mbl 1-1 noMoraer ycrpaHHTb ryronOABH>KHOCTb B 3aTbi11Ke 1-1 cnHHe. KpoMe roro, OH xopowo noAroraB11HBaer MbiWU,bl K Macca>t<y 1-1111-1 MaHya11bHoi1 repan~-11-1. fycesa Onbra, r. nepMb
, ....................................................... . . ECnH '"IACTO sonHT ronoBA: • H36er ai:ire B011HeHHH;
J
• BbiCbmai:irecb; • YepeAyi:ire pa6ory C OTAbiXOM, ry11~i:ire, n11asai:ire B 6accei:iHe; • HCK11tOYHre 1-13 csoero MeHtO wo- . • K011aA, KOnYeHOCTH, KOHCepBbl, 1 : OCTpble 611tOAa, KpaCHOe BHHO. :
r
. ..
'\"
3. Tpaneu,HeBHAHble MbiWU,bl
.........................................................: ,......................................................... KOr AA HY)I(EH BPA '"I ./ 06paTHTeCb K cneu,Ha11HCTY, ec111-1 ro11osa cra11a 6o11erb YaL4e, YeM paHbwe, npHcrynbl 3ar~rHBatOrc~ Ha HeCK011bKO AHeH 1-1111-1 Bbl npHHHMaere MHoro aHa11breTHKOB ( 10 1-1 6o11ee ra611eroK B Mec~u,).
./ A raK>t<e ec111-1 6o11b conposo>t<Aaerc~ c11a6ocTbtO B pyKe 1-1111-1 Hare,
TPABHHAH BAHHA CPOMAWKOH MKAllEHllYnOH
4. >Kesare11bHble MbiWU,bl
noHIA06HTCSI: 200 r U,BeTKOB poMaWKH anTeYHOH, 100 r u,serKoB Ka11eHAY11bl, 3 11 KHmnKa.
ABOeHHeM B rna3aX, HeycTOHYHBOC: TbiO npH X0Ab6e 1-1111-1 HapyweHHeM : peYH.
"·······················································..
H npH r0110BHOH 60111-1 OT Hanp~>Ke Ae11ai1re Macca>t< ro110Bbl, MbiWL\ 11HU,a, WeHHO-BOpOTHHKOBOH 30Hbl ~ n11eY. ,[l,as11eH1-1e Ha HY>KHble 0611aCTH A011>KHO 6b1Tb M~rKHM, HO OL4YTHMbiM. ,[l,e11ai:ire KpyroBble ABH>KeHH~ nOAyWeYKaMH na11bU,eB B reYeHHe MHHYTbl. 3areM noMaccHpyi:ire BCIO 0611aCTb Hanp~>t<eHHbiX MbiWU,. 1 . MbiWU,bl weH HH~
'
I
1
Ami CHSITHSI HAnPSI>KEHHSI 1. CHA~ Ha cry11e, no110>KHre npasy10 py- . Ky Tbl11bHOH CTOpOHOH 11aAOHH Ha r0110BY (KaK Ha ¢oro).
l
2.
npeOA011eBa~
conpOTHB11eHHe, Har0110BY B npOTHBOn0110>KHYIO CTOpOHY, crapa~Cb AOCTaTb YXOM AO neso- : ro n11eYa. K110H~HTe
2. BHCOYHa~ o611acrb
3. nosrOpHTe TO >t<e CaMOe B ApyrytO ~ cropoHy. V1 raK eL4e 3 pa3a. :
Cnoco6 npHrotoaneHHSI npHMeHeHHSI: paCTH-
Te11bHble HHrpeAHeHTbl H3Me11bYHTb, nepeMewarb, 3a11HTb KHn~L4ei:i BOAOi:i 1-1 Aep>t<aTb Ha BOA~HOH 6aHe 20 MHHyT, 3aTeM HaCTaHBaTb B TeYeHHe 1 Yaca H npou,eAHTb. no11yYeHHOe cpeACTBO Bbi11HTb B BaHHY C reMneparypoi:i BOAbl 3538 aC. npoA011>KHTe11bHOCTb npou,eAypbl - 10-15 MHHYT. 3ra saHHa xopowo noMoraer npH ro110BHoi:i 60111-1, MHrpeHH 1-1 HepB03HbiX COCTO~HH~X, Y11YYWaeT o6MeHHble npou,eccbl, CHHMaer 6o11b 1-1 cna3Mbl, a TaK>t<e BOCCTaHaB11HBaer CH11bl noc11e 3MOU,HOHa11bHOro 1-1 ¢H3HYeCKOrO nepeHanp~>t<eHH~.
florUHOB f.1ropb, r. flune4K
................................................................. ,. -~~~~80~2f0.H~~~~~~~~~~¥J~~~~~~~ ~~B~~~~~§.ocy)io8~-o=r-arora·6aiib-MoiEf"crArb-ELUE-~HTEHc~-8HEE~. ___________________ .....................................................................................................................................................................
• CaMoe rnaaHoe AnSI aac - aKTHBHOCTb1 Aa>Ke Yepe3 «He MOry». H~-tYero He xoYeTCSI AenaTb AnSI ce6SI? TaK CAena~Te '"ITO-TO none3Hoe AnSI Apyr~-tx.
'tTO-TO CEPA~E PACTPEBO>KHnOCb ••• BpoAe 6bl ace a nopSIAKel aonHOBaTbCSI1 Ka3anOCb 6bl 1 He 0 YeM. Ho aaM Tpeao>KH0 1 1-1 ace TyT! AepraeTecb H3-3a Ka>KAOro 3BOHKa 1 cepAu.e oT6~-taaeT 6apa6aHHYIO AP06b 1 Mblcn~-t ne3yT BCSIK~-te.
5 3KCTPEHHbiX COOCO&OB CHSJTb TPEBO>KHbiM HEBP03: e npHMHTe ycnOKOHTenbHOe Ha Bbl6op: aanepbSIHKY B n1060M BHAe1 nyCTb1pHHK 1 HaCTO~KY nHOHal Kann~-t 3eneHHHa.
>KMBMTE C HEBP030M BP03b! AaHCe y caMoro 3AOpoaoro t.tenoaeKa BpeMJI OT apeMeHH <<CHOCHT 6aWHIO>>. npoSIBnSieTCSI HeBp03 y acex no-pa3HOMy. KoMyTO XO'teTCSI B3Silb aBTOMaT H <<CKOCHTb» 06HA'tHKOB, a KTO-TO pOHSIeT ronoay Ha pyKH H o6nHaaetcSI cne3aMH. 8aHCHO OAHO - TOnKy OT BBC B TBKOM COCTOSIHHH - HOnb. 8cero nHTb
MOHCHO
ycnOBHO
BbiAe-
4 OCHOBHbiX THna HeBpOTH-
'teCKHX peaKL&HH. AaaaHte pa36epeMCSI, 'tTO nOMOHCeT B KaHCAOM KOHKpeTHOM cnyt.tae.
OnYCKAIOTCSI PYKH H rnA3A HH HA 'tTO HE rnSIASIT Bbl
yyacTByeTe
nonHbl~
ynaAOK
om. BMecTo Toro '"IT06bl np~-tHOCHTb nonb3Y o6w,ecTBy 1 xoYeTCSI neYb "'Tyno nSinHTbCSI a noTonoK. Bbl «3aa~-tc n~-t» B nonHOM MOpanbHOM 1-1 cp~-t3H '"IeCKOM HCTOW,eHH!-1 1 KaK neperpy>KeHHbl~ KOMnbiOTep.
5 3KCTPEHHbiX COOCO&OB CHSJTb ACTEHM'tECKMM HEBP03: • BaM HY)KHbl CTHMynsnopbl. HeMeAneHHo npHMHTe Ha Bbl6op: HaCTO~Ky 3neyTepOKOKKa 1 KHTa~CKOrO n~-tMOHHHKa 1 >KeHbweHSII KOpA~-taMHHI 3eneHbl~ Ya~ ( oco6eHHO 6biCTpo Ae~ CTayeT npenapaT 3eneHoro YaSI a Ta6neTKax). AnSI nOBbiWeHHSI M03rOBO~ aKTHBHOCTH npHMHTe napy Ta6neTOK rn~-tU.~-tHa "' «yAapHyiO» A03Y acKop6~-tHK~-t-1-2 rpaMMa. e np~-t ynaAKe C~-tn B KpOBH naAaeT caxap. 0 cp~-trype noAyMaeTe noTOM 1 a Ce~'"laC CbeWbTe KYCOK TOpTa HnH
e AnSI CHSITHSI TpeaorH HAeanbHO nOAXOASIT BOAHble npoqeAypbl. Hanp~-tMep 1 H3aecTHbl~ «MY'-111Tenb co6aK» aKaAeMHK naanoB 1 KOrAa HepBHHYan 1 acerAa nonocKan pyK~-t a MHCKe c xonOAHO~ aoAO~. A noAep>KaTb PYKI1 noA npoTO'"IHO~ npoxnaAHO~ BOAO~ ew,e nyYwe. TaKo~ npocTo~ ayToTpeHHHr: OMbiBa~Te pyK~-t OT noKTe~ K naAOHSIM 1 KaK 6bl CMbiBaSI BMeCTe C BOAO~ CBOIO Tpeaory 11 rpycTHble MbiCnH. • noMeAHTHpyifte. YeAHHI1TeCbl CSIAbTe B n1060~ KOMcpOpTHO~ AnSI aac no3e 1 3aKpo~Te rna3a H npH30BHTe Ha nOMOW,b CaMble np11SITHble aaweMy cepAU.Y o6pa3bl. • BKniO'tHTe penaKcaqHOHHYIO M y3biKY 1 noHIOxa~Te cao~-t ni0611Mble AYXI1.
e noMaCCHpyifte TpeyronbHHK Me)KAY 6onbWHM H yKa3aTenbHbiM nan~tqeM Ha neaoif pyn~-tpO>KHOe. Ke. CAena~Te Macca>K • Aaifte pa6oty MbiWI.I.aM. pyK OT aepxa naAOHH 3anp~-tTecb a Ka6~-tHeTe "' 3a~K KOH'"II1KaM nanb~ nnoL no~n~.-:.. CObi U,eB - cHaYana Ha MHTecb acero nOAHHMaeT HacTpoMIIIHIII neao~ pyKe 1 noeH~-te 1-1 pa6oTocnoco6. 60% - TOM Ha npaao~. HOCTb «CTpe~'"IHHr» Ll· 25% - EcnH KonoTHTCSI ynpa>KHeH~-tSI 1 HanpaaneH- IMililiWjj~~~~~ % -npe- cepAu.e - 3aKpo~ Hble Ha nOTSir~-taaH~-te Te rna3a H noMacVUIUUIVI u IUI\.VIVI" CTOSI MbiWU. 1-1 n03BOHO'"IHHKa. CI1PY~Te KpyroBbiHllllll npaKTIII'feCKIII no• BKniOY~-tTe p~-tT MHYHYIO MH ABH>KeHI1SIMI1 I MY3b1KY I KOTopaSI aac «3aaoCTOSIHHO. HeCHnbHO HaAaBni1AHT» . BaSI1 rna3Hble Sl6noK~-t.
l.4l1CbPbl 3apS1AKO~. Jlyywe~~~~~~~~~~=
WMIIIiiliiJMI.ii
11ijli!WIIf!WIIIIII.il
.4EiJE,iiy~;:E·arAbiX"c·FiA6oro~~--4i\ilfE:-3AH-~MA~rEcb·c·naPfO"~X-----------------------------------------------------
......................................................................................................................................................................................................................................................... .............. ................................ . . ................................................
3HUUKIIOnEAUft 3AOPOBbH
0 Ha6oneaweM. ra3eTa-qemnenbHHqa
XO"'ETCSI KOrO-HM&YAb nOPBATb HA "'ACTM Bac TaK AOBenH, '-ITO xoYeTCSI pacWBblpS!Tb ace Ha pa6oYeM MecTe, AaTb a MOPAY HaYanbHHKY, noKpyWHTb Me6enb, HHaYe coiiAeTe c yMa? '-ITo>+<, 6biBaeT. TonbKOAaBaiiTe 6e3 rnynocTeii. PewHM Aeno MHpoM.
5 3KCTPEHHbiX CnOC060B CHSITb PA3APA>IG1TEnbHbiM HEBP03: • OcTaBbTe a noKoe 6eiic6onbHYIO 6HTY. CHa'tana Bblneifre YAapHYIO A03Y aanoKOPAHHa - He MeHbwe 50 Kanenb. EcnH He «BcTaBHT», MHHYT Yepe3 15-20 noaTopHTe. HeKOTOpbiM 11YYWe nOMOraeT CMeCb CTHMY11SITopoa c ycnoKOHTenbHbiM, HanpHMep HaCTOHKa MaHCKOrO naHAbiWa n1110c >+<eHbWeHb. BblnycTHTb nap TaK>+<e nOMO>t<eT aKTHBHbiH MaCca>+< 3aTbi11Ka. • Bac pacnHpaeT aApeHa11HH, H ero HY>+<HO BblnycTHTb Ha aontO, YT06bl He «B3opaaTbCSI». Hy)f(Ha KaKaSIro ABHrarenbHaSI aKTHBHOCTb. nepeABHHbTe Me6enb. CxoAHTe noHrpaTb B 6oy11HHr.
e OrnH'tHO CHHMaiOT arpeCCHIO Hrpa a Aaprc, neifHr6on H11H nocew.eHHe Kny6a no cTpenb6e H3 nyKa H ap6aneTa. l-13 nOAPYYHbiX BapHaHTOB nOAOHAyT: S!pOCTHOe 6oKCHpOBaHHe nOAYWKH (H11H KYK11bi-HaYanbHHKa, KaK 3TO npHHSITO B 51nOHHH), 6HTbe nOCYAbl (He CTeCHSIHTeCb, ceHYaC 3TO Ha n011b3y!).
• nonbiTaifrecb cnycrHTb arpecCHIO Ha cnoaax. HaeAHHe c co6oi1 npoHrpaHTe MbiC11eHHO o6HAHYIO A11SI BaC CHTyaU,HIO, npeACTaBbTe, KaK Bbl BbiXOAHTe H3 Hee no6eAHTeneM. AnSI nyw,ei:i y6eAHTe11bHOCTH
G)
Ha aCJM.emxy He Cllei)yem nymamb Heapoa c HeapomU3MOM. HeapomU3M (HeupomU3M)- amo 'lepma AU'lHocmu, xapaKmepuayJOtqaRCil a.MOl!UOHaJtbHou HecmaoUJtbHOcmbJO, mpeaoJKHOCffibJO, HU3KOU Ca.MOOl!eHKOU. KaK npaaUJto, oHa npucymcmayem a 'leJtoaeKe nocmo1lHHO. Heapomu'lecKue cU.MnmoMbt Mozym npo 1l8Jl1lmb u ycmou'lUBbte ncuxu'leCKUJtJOi}u.
MO>t<eTe npeACTaBHTb ce6SI C 6011bWHM nHCT011eTOM Hanepeaec •.•
e MHOrHX OTnH'tHO <<H3ne'tHBaeru wonnHHr. HaKynHTe ce6e, MO>+<eT, H
e no6pOAJI)f(HH'taHTe. 06w,eHHe C npHpOAOH 3AOpOBO ycnoKaHaaeT. Co6epHTe ptOK3aYOK- H a nyTb, xoTSI 6bl B 611H>t<aHWHH napK. V111H Ha KpaiiHHH cnyYai:i coaepwHTe ManeHbKYIO no6eAy HaA co6oi1 H npoiiAHTecb neWKOM AO AOMa.
He CH11bHO no11e3HbiX B X03SIHCTBe, HO npHSITHbiX aaM aew.eii. He Ha6Haai1Te CYMKH B cynepMapKeTe- My>+<y (>+<eHe), AeTSIM H Tew,e, -a CAenaiiTe noAapKH 11HYHO A11SI ce6H. WHKaHHTe H n03B011bTe ce6e TO, Ha '-ITO AaBHO 3acMaTpHaanHcb!
• BcnoMHHTe Aercrao H ace M
nOMTM M nOBECMTbCSI, "'TO nM?
~
MeHTbl, KOrAa Bbl 6bi11H C'-laCT11HBbl . npOHAHTeCb TponaMH npownoro , '-IT06bl BCnOMHHTb, '-ITO paAOCTb B
BaM AO y>+<aca ce6SI >+<anKo. B ronoay, KaK 3MeH, 3anon3atOT YepHble MbiC11H. Hy, KOHe'-IHO, HHKTO BaC He 11106HT, HHKTO He noHHMaeT. Bee KpyroM BApyr cTano 6ecnpocaeTHbiM H 6e3biCXOAHbiM ••.
>+<H3HH ecTb. BcTpeTbTecb c APY3bSIMH, KOTOpbiX AaBHO He BHAe11H.
• Ewbre woKonaA H anenbCHHbl OHH SIB11SIIOTCSI npHpOAHbiMH aHTHAenpeccaHTaMH.
5 3KCTPEHHbiX CnOC060B CHSITb AEnPECCMBHbiM HEBP03: • He ocraaaifrecb HaeAHHe c co6oif! CoaceM Heo6SI3aTe11bHO HATH a rocTH, HO aaM HY>+<HO 6b1Tb cpeAH 1110Aei1. OTopBHTecb OT npHBbiYHoro Kpyra H CXOAHTe Ha BbiCTaBKY, Ha KOHU,epT,BHO'-IHOHK11y6.
• AenpeCCHIO HaAO C KeM-TO pa3AenHTb H BblroaopHTbCSI. He cTecHSIHTeCb Aa>+<e nonnaKaTbCSI a >+<HneTKY cnyYaHHOM y nonyTYHKY.
,""
qafl C
aepOHUKOU
, nonO>t<HTb 1 CT. 110>t<Ky cyweHOH H3" " Me11b'-leHHOH TpaBbl aepOHHKH B 3apa" " Hee nOAOrpeTbiH cpapcpopOBbiH YaHHHK, 3a11HTb 2 CTaKaHaMH KHnSIW,eH BO" ' Abl H AaTb HacTOSITbCSI 10-15 MI-1HYT. , . T aKOH Yaii oco6eHHO xopowo nHTb , BMeCTO 06bi'-IHOrO YaSI npH HepBHbiX paccTpoiicTaax.
f//1
till--
J1snesa AHHa, r. MypoM
qafl C
iJOHHUKOM
CMewaTb 5 Y. no>+<eK cyweHoi:i H3Me11bYeHHOH TpaBbl AYWHU,bl, 4 '-1. 110>t<KH n110AOB WHnOBHHKa, no 3 '-1. 110>t<KH TpaBbl AOHHHKa 11eKapCTBeHHOrO H cyweHbiX H3Me11b'-leHHbiX 11HCTbeB MSITbl nepeYHOH. 3a11HTb 1 '-1. 110>+<Ky nonyYHBWeHCSI CMeCH 1 CTaKaHOM KHnSITKa H HaCTaHBaTb B TeYeHHe 30 MHHYT nOA n110THO npHneratOW,eH Kpb1WKOH. 3aTeM HaCTOH npoU,eAHTb H nHTb no 1 cTaKaHy yTpOM H aeyepoM, A06aanSISI MeA H11H caxap no BKycy.
tJIII;" _.,..
W11pwos J1saH, r. PR3aHb
G) 3.QOPOBbiE .QETKU
nPOCTYAA Y PE6EHKA: _!J~ He auuuiici.!Hbt, a OCT.A.eJHb! · ManbtWH 'facTo npocry>KaiOTCSI, nocKona.KY HX HMM YHHaSI CHCTeMa eaqe TOJ11tKO ciK>PMHpyeTCSI. Ho HHKaKHe Hay'IHble AOBOAbl He MoryT ycnOKOHTb poAHTeneit, 'leM pe6eHOK 3a6onen. TeM 6onee npocryAa y AeTeit HepeAKO nporeKaeT TSIH<eno H acerAa 03Ha'laeT- 6eccoHHbte HO'IH. KaK 6a.1cTpo aa.me'IHTb pe6eHKa, KaKHe CHMmOMbl COOpoBOH<AatOT 3a6oneaaHHe H KaKHe coapeMeHHbte cpeAcraa OT npoCTYAbl AnSI AeTeit npeAJ1araeT fPapMa"eBTH'IeCKaSI npoMbiWneHHOCTb!
r-------------------------------------------------nPH'IHHbl H CHMnTOMbl nPOCTYAbl Y AETEH: Y3HAEM BPArA B nHU..O
npocTyAa, HnH OCTpOe peCnHpaTOpHOe 3a6oneBaHHe (0P3),- 3TO BCerAa HH~eK1.4HOHHaR 6one3Hb. HH nepeoxna)f(AeHHe, HH CKB03HRKH, HH MOKpble HOrH caMH no ce6e Bbi3BaTb OP3 He MOryT. 0AHaKO XOflOA eHH>+<aer MeeTHbiH HMMYHioHeT, OTKpbJBaSI AOpory B036yAHTenSIM 6one3HI1. npoeTyAa y AeTeH pa3BI1BaeTeSI He eKOflbKO 11Ha4e, 4eM y B3poenbiX, 11, noeKOflbKY ManbJW He seerAa MO>+<er eKa3aTb, 4TO ero 6eenoK0 11T, nponyeTI1Tb Ha4ano 3a6one BaHI1SI AOBOnbHO npoero. PoAHTenH AOn>+<Hbl Haer opo>+<HTbeSI, een l1 • pe6eHOK eTaHOBI1TeSI 6e3 np11411Hbl Kanp113HbiM 11 : npOSIBflSieT 6eenOKOHeTBO, OTKa 3 biBaeTeSI eeTb, : BblrflSIA11T eOHHbiM 11 anaTI14HbiM, nt0611Mble 11r, ' PYWKI1 He BbJ3bJBater y Hero HHrepeea. Bee 3To MO>+<eT el1rHani1 3I1POBaTb O HaABI1ratOW,e HeSI npo: eryAe. C11MnTOMbl npoeryAbl y Aerei1 BKnt04atOT : 8 ee6 11 nOBbiWeHHe TeMneparypbl, yae nH'feHHe
i I
: nHM~OylnOB, Kawenb, 'fHXaHHe, BbiAeneHHR H3
i Hoca H noKpacHeHHe rna3, a raK>+<e np 113HaKI111HJ. roKe11KaU,1111
- BRnocTb, c oHnHBOCTb, TOWHOTY H ,·PBOTy, ronoBHYIO 6onb. npoeryAa Y Aer e i1 MO: >+<eT 6bJTb B11pyeHOH l1fll1 6aKrepl1anbHOH. Cpa 3 y : eKa>+<eM, 4TO OTfli14HTb 11X no BHeWHI1M npH3Ha: KaM 11 eHMnToMaM 04eHb eno>+<HO. K TOMY >+<e 1
: K BHpyeHOH I1HcpeKU,I1I1 HepeAKO np1-1eoe1 A11HSiereSI 6aKTep11anbHaSI. KaK npas11no, ; B11pyeHble 11HcpeKU,HI1 Ha411HatOTeSI pe3' KO, e BHe3anHoro nOBbJWeHI1SI TeMne: paTypbl AO 38-39 °C, a np11 6aKTep11-
r-----------------------------------------------------------Bnpo4eM , Ha3BaTb see 3TI1 np113HaKI1 a6eontOTHO HaAe>+<HbiMI1 Henb3SI. OnpeAenHTb r 11n 11HcpeKU,I111 MO>+<Ho TOflbKO noene Toro , KaK 6yAyT roroBbl pe3y nbTaTbl na6opaTopHbiX aHafli130B . n o4eMy TaK Ba>+<HO 3HaTb, B11pyeHaSI y MaflbiWa 11Hcpe KU,11 SI 11fll1 6aKTep11aflbHaSI? noTOMY 4TO ne4aTeSI OHI1 no-p a3HOM y . np11 B11pyeHOM nopa>+<eHI111 Heo6XOA11Mbl npOTI1BOB11pyeHble epeAeTBa , a np11 6aKTep11aflbHOM- aHTI16 110TI1KI1 .
l
~-----------------------------------------------------------J r••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
nnAH ((nEPEXBAT>>: 'ITO AEnATb
nPH nEPBbiX nPH3HAKAX nPOCTYAbl EcnH y pe6eHKa Ha'fanacb npocTyAa, Heo6XOAHMO yno)f(HTb ero B KpOBaTb- HeKOTOpble MaflbiWI1 MOryT npblraTb 11 6 eraTb Aa>+<e e BbleOKOH TeMnepar ypoH, OAHaKO 3TO BOBee He enoeo6er syer Bb13AOposn eHI110. 06ecne'fbTe B KOMHaTy AOCTyn cae)f(ero B03Ayxa. Hawl1 6a6ywKI1 nonaranH, 4TO KOMHaTa 6onbHOrO AOfl>+<Ha 6b1Tb TennOH, HO 11eeneAOsaHH SI yYeHbJX AOKa3bJBater , 4TO s 3aKpb1TOM noMew,eHI1I1 KOHU,eHrpaU,11SI 6one3HeTBOpHbiX M11KpoopraHI13MOB B 803AYXe ropa 3AO BbiWe. no3TOMY nposerp11BaTb KOMHary HY>+<HO KaK MO>+<HO 4 aw,e . TeMneparypa 8 AeTeKoi1 AOn>+<Ha 6b1Tb oKono + 22oC. Aaaai1re ManbiWY nHTb- np11 BbiCOKOH reMneparype o p raH113M aKT11BHO rep11er snary, 11 ee 3anac HY>+<H O nononHSITb . n i1Tbe MO>+<eT 6b1Tb npoxnaAHbiM 11fll1 r enflbi M, HO He r OpS1 411M 11 He XOflOAHbiM. noAOHAYT BCeB03MO)!(Hble 4al1, KOMnOTbl, MOpCbl, He 04eHb K11Cfl ble eOKI1 (K11eflble MOryT pa3Apa>+<aTb BOCnaneHHoe ropno 11 en 11311 eTyte 8 u,enoM) , o6biYHaS! BOAa . 0AeHbTe pe6eHKa B MSirKytO nl1>+<aMY 11 3 xnonKa - OHa xopowo Bni1TbJBaeT noT.
i: noereneHHO anbHOH 11HcpeKU,I111 oHa noAHHMaeTeSI 11 peAKO BbiWe 38°C. ~~~~~~~~~~' :' cHMnTOMbl,
annepr11e11,
exo>+<11e e : noKpaeHeHHe rna3, npo3pa4HbJe Bbl: AeneHI1SI 113 HOea- xapaKrepHbl AflSI 811~· pyeHbiX 11HcpeKU,HH, HO peAKO eonpo : BO>+<AatOT 6aKTepHaflbHble.
CPEACTBA 3Ta3THOTPOnHbiE rpynna npenapaTOB 6opeTeSI Henoe6 peAerseHHO e B03 YAHTeneM 6 one3HI1 6aKTepHSIMI1 11n11 s11pycaM11. B Hee >+<e sxoASIT 11 epeAeTBa, nOMOratOW,11e 11MMYHHOH eHeTeMe npaBI1flbHO OTpear11pOBaTb Ha naTOr eHHbJe M11KpoopraHH3Mbl .
··------------------------------------------------
-r1Por~8o8~FiYcHo~)\ci<6"P6~H-K~--MHoro·s--MAii-~HE~-cMofioA"~H-E:·o6ilEil~xE~------------------- ~-~-OQ~-~~~~L~~~-~:
..________________________________________________________________________________________________________________________ _
3ll r•••••••••••••••••••••••••••••••••••••••••••••••••••••••
Ha3aM.emKy qacmbte npocmyi)bt y aemeu .Mozym OKU3Umb ()o.llZ06pe.MeHHOe 603()eucm6Ue Ha ux 3aopo6be - ()oKU3«H« c6Sl3b Me::HCay nocmoRHHbLMU npocmy()a.Mu 6 aemcm6e u no6bnueHue.M pucK« ::HCeJty(}o"'tHblX 3UOO.Ile6UHUU, peB.MamU3MU U opoHXUa.llbHOU acm.Mbl 60 63pOC.IlOM 603pacme.
i---------------------------------------------------------
: nPOTHBOBHPYCHbiE. 3TH cpeACTBa B03AeHCTBYIOT I
: Ha BHpycbl Ha pa3IlH"'HbiX 3Tanax HX >t<H3HeHHoro U.HKna, :Ho pe3yilbTaT OAHH - npOTHBOBHpycHble cpeACTBa He no:3BOilf!IOT BHpycy nopa>t<aTb BCe HOBble H HOBble KileTKH, ' :oCTaHaBilHBaf! ero pacnpocTpaHeHHe. B nocneAHHe rOAbl I :nonyYHilH pacnpocTpaHeHHe npoTHBOBHpycHble npena:paTbl Ha OCHOBe 3aHaMHBHpa H 03eilbTaMHBHpa. I
: AHTH&AKTEPHAnbHbiE. AHTH6HOTHKH nponHCbiBatOT !npH 6aKTepHailbHOM nopa>t<eHHH H TOilbKO nocne TOrO, :KaK 6yAyT nonyYeHbl pe3yilbTaTbl aHailH30B, nOCKOilbKY !YHHBepcailbHOrO aHTH6HOTHKa nOKa He cyw,eCTByeT, a :apayy npHAeTCfl noA6HpaTb cpeACTBO, 3cpcpeKTHBHOe B !oTHOWeHHH HMeHHO TOi:f6aKTepHH, KOTOpafl Bbi3Bana 6o:ne3Hb. EcnH npOTHBOBHpycHble Ha3HaYatOT npH npaKTH: YecKH 11106oM OP3 (BeAb 6onbWHHCTBO npocTyA - pe!3YilbTaT BHpycHOrO nopa>t<eHHfl}, TO aHTH6HOTHKH npo:nHCbiBatOT Yaw,e npH npHCOeAHHeHHH BTOpH"'HOH HHcpeK' :U.HH, HanpHMep npH OTHTaX, CHHYCHTaX, nHeBMOHHH. :CpeAH HaH6onee pacnpOCTpaHeHHbiX aHTH6HOTHKOB, I :pa3peweHHbiX Ail" npHeMa AeTfiM, - aMOKCHL\HililHH, ne:HHL\HililHH, u.ecpaneKCHH, u.ecpaApOKCHil.
:
nPOTHBOKAWnEBbiE. Kawenb npH npocTyAe MO: >t<eT 6b1Tb oYeHb MYYHTeilbHbiM, oH MewaeT MailbiWY ! cnaTb H BOCCTaHaBilHBaTb CHilbl. npH CYXOM KaWile Ha: 3Ha"'atOT HeHapKOTH"'eCKHe npOTHBOKaWileBble cpe: ACTBa u.eHTpanbHoro AeiicTBHfl - npenapaTbl, noAaB! nfltOW,He KaWileBbiH pecpneKC. npH Bila>t<HOM Aflfi pa3: >t<H>t<eHHfl MOKpOTbl H o6nerYeHHfl ee OTAeileHHfl Ha:' 3HaYatOT MYKOilHTHKH. ! COCYAOCY>KHBAtO~HE (npH conyTcTBytOw,eM ! HacMopKe). CocyAocy>t<HBatOw,He KannH noMoratOT : oYeHb 6biCTpo CHf!Tb oTeK 1-1 o6nerYHTb AbiXaHHe. Ho HX Heilb3fl npHMeHf!Tb AOilrO - BpaYH COBeTytOT orpa: HH"'HTbCfl 5-7 AHfiMH, nocKOilbKY npH npOAOil>t<HTenb: HoM HCnOilb30BaHHH TaKHX Kaneilb pa3BHBaeTCfl MeAH· I : KaMeHT03HbiH pHHHT, npH KOTOpOM MailbiW y>t<e He : cMO>t<eT AbiWaTb HOpMailbHO 6e3 Kanenb. Anfl AeTeH ! cneAyeT HCnOilb30BaTb 0,01% paCTBOpbl.
l
I
:
AHTHrHCT AMHHHbiE. AHTHrHcTaMHHHble npena• paTbl y MeHbWatOT npOHHL\aeMOCTb KanHililflpOB, CHH:' MatOT OTeKH H OKa3biBatOT nerKHH npOTHBOBOCnailH: TeilbHbiH 3cpcpeKT. CpeAH HaH6onee pacnpocTpaHeH1 : HbiX cpeACTB H3 3TOH rpynnbl- AHa30ilHH, cynpacTHH. : J1106b1e cpeACTBa OT npOCTYAbl AeTf!M AOil>t<eH nOA1 : 6HpaTb spaY, TaK KaK O"'eHb Ba>t<HO YYHTbiBaTb He : TOilbKO CHMnTOMaTHKY, HO H A03HpOBKY, npHpOAY HH1 : cpeKL\HH H CO"'eTaeMOCTb npenapaTOB, a TaK>t<e HailH: "'He B03MO>t<HbiX no60"'HbiX 3cpcpeKTOB.
1
-
~------------------------------------------------------·
I
: HMMYHOMOAYmnOPbl. 3TH cpeACTBa yKpenilf!IOT
~HMMYHHYIO CHCTeMy pe6eHKa, nOMOraf! ei:f CaMOCTOflh enbHO 6opOTbCfl C HHcpeKL\Hei:f. V1x "!aCTO Ha3Ha"'atOT !Ail" neYeHHfl OP3, a TOM YHCile H rpHnna. K TaKOBbiM OT:HoCHTCfl, HanpHMep, «AMHKCHH» (a A03HpoaKe Ail" Aeh eii). Pf~A cpeACTB TaK>t<e Ha3HaYatOT 1-1 Ail" npocpHnaKTH:KH nepeYHCileHHbiX 3a6oneBaHHH. I
:I nPEnAPA Tbl C HHTEPCbEPOHOM. TaKHe cpeACTBa :TopM03f!T pa3MHO>t<eHHe BHpyCOB B opraHH3Me H aKTH:aHpytOT pa6oTy HMMYHHoi1 CHCTeMbl. CpeAH TaKHX npe' :napaTOB WHpOKO H3BeCTHbl AeTCKHe peKTailbHble CBe"'H : «BHcpepoH».
~--------------------------------------------------------!----------------------------------------------------------~ CHMnTOMATH'tECKHE nPEnAPATbl I
: )f(apOnOHH)I(aiOil.I.He. npH nOBbiWeHHOH TeMnepaType l opraHH3M Bb1pa6aTbiBaeT HHTepcpepoHbl- aew,ecTaa, no:MoratOw,He 6opOTbCfl C HHcpeKU.HeH. no3TOMY He CTOHT !c6HaaTb TeMnepaTypy, ecnH pe6eHoK YyacTayeT ce6f! :npHeMneMo. 06bi"'HO AaBaTb pe6eHKY >t<aponoHH>t<atO:w,He peKOMeHAYtOT B TOM cnyyae, eCilH TepMOMeTp no:Ka3biBaeT 38oC H BbiWe, OAHaKO 3AeCb BCe HHAHBHAyanb!Ho. Anfl CHH>t<eHHfl TeMnepaTypbl H CHf!THfl BOCnaneHHfl y :AeTeH HCnOilb3YIOTCfl cpeACTBa Ha OCHOBe napau.eTaMOlna, a H6ynpocpeH H au.eTHilCailHL\HilOBYIO KHCilOTY Ha3Ha:"'atOT C OCTOpO>t<HOCTbiO H3-3a B03MO>t<HbiX no60"'HbiX I : 3cpcpeKTOB.
'
~----------------
,. ,~ , ~
.. n E"'MM .QETCKYIO nPOCTYAY
~3BecTHo. ~
' 6e3 npocryA pe6eHKa He Bblpacn1Wb, :no ~ 0co6eHHO YaCTO AOH~MaeT MailbiWe~ KaWellb, a M~K, crypbl ~ ra6nem1 OH~ n~Tb He mo6sn. B Hawe~ ceMbe
.. OT KaWJlSI Mbl fOTOB~M JleKapcTBO caM~. 0HO AOBOJlbHO
~AeT~
np~H~MaiOToxorHo.
' BKYCHoe, ero H8AO B3SITbOA• HO 601lbWOe SI6110KO, HaTepeTb ero Ha MellKO~ TepKe. , CpeAHIOIO 11YKOB~4Y OYeHb MellKO Hape3aTb, CMeWaTb C
~ Sl61lOYHbiM n10pe ~ n~JlOB~HO~ CTaKaHa MeAa. ,
nOCTaB~Tb
Ha
Mailbl~
OfOHb
~
AO)I(AliTbCSI
Bee :no
3aK~naH~SI
~ .. ,
• (np~ nOMeW~BaH~~). neKapcTBO fOTOBO. np~H~MaTb , ero H8AO B 3aB~C~MOCT~ OT B03pacra: COBceM MaileHb~ K~M AeTKaM - no AeceprHo~ JlO)I(Ke, nocrapwe- no
em-
' 110BO~, HY a nOAp0CTKaM ~ B3poc11b1M - no 2CT. 11. 2 pa3a • B AeHb 3a 15 M~H. AO eAbl. Y)l(e Yepe3 ABa AHSI np~eMa , neKapcrsa MOKpora HaY~Haer xopowo OTXOA~Tb.
L
~
ManMHOBCKaH MapMHa, r. 'lepenoae1.4
Y ll .l ll ll l .l l ~
---------------------------------------------------8-nEP~oj:frfi~n-fiA-~-n-fioc1Yti-noi"iEcbTE-HA-w-Ei6--f>E6EHKA-~ECHo~Hbi~fMEAAfli;6H~
............................................................................................................................................................................................................................................................. ......................................................................................... ....... ................................. ...................... ......................
J
AoCTaTO'IHO MHOrHe ci»Htotepaneatl:tl peKOM8HAYIOT ne'IHTI:t MO'I8K8M8HHYIO 6one3HI:t tpaB8MH. HHCKOnl:tKO He YAHBnReT JTOT
ci»aKT,
B8AI:t
MaTYWKa-
npHpOAa A8PHT niOARM Macey none3HI:tiX Bell.\eCTB. EcnH HCnon~:.3oaaTI:t HX c non~:.3oH Anst ce6SI, MOHCHO H3ne'IHTI:t H Heci»ponHTH83.
Hy>KHO copaaTb a oropoAe HnH >Ke KynHTb KopeHb w,aaem1. B nocneAytOw,eM HHrpeAHeHT CTOHT pacTOnO'lb nOMenb'!e H 3anHTb BOAOi:1. 1 '!. MaCCa AOn>KHa HaCTOSITbCSI, HO npeABapHTenbHO ee HY>KHO AOBecTH AO KHneHHSI. CpeACTBO npHHHMaTb a Te'!eHHe AHSI. KonH'!ecTao He orpaHH'leHo. 4eM 'law,e 6onbHoi1 6yAeT ero nHTb, TeM 6biCTpee KaMHH Bbli:1AYT Hapy>Ky ecTeCTBeHHbiM cnoco6oM, Aa ew,e H He npH'!HHSISI AHCKOMcpOpTa.
Bo3bMHTe: 2 CT. n. KOpHSI 6onoTHoro aHpa H CTOnbKO >Ke nepei.!HOH MSITbl, TaHyTCKOfO peBeHSI, TbiCSI'lenHCTHHKa; no 3 cT. n. nonbiHH i1 ceMeHa noceaHoro nbHa, connoAHSI XMenR; no 4 CT. n. nntOWeBHAHOH 6yApb1 H KOpHSI ronoi1 COnOAKH; no 5 CT. n. nnoAOB 'lepHoro nacneHa H necHoi1 3eMnSIHHKH. PeKoMeHAOBaHO ynoTpe6nSITb HaCTOHKY Ha npoTSI>KeHHH 14 CYTOK no 2 CT. B AeHb. roTOBHTCSI COCTaB npOCTO. Hy>KHO CMeWaTb BCe KOMnOHeHTbl H 3anHTb 2,6 n BOAbl. npoKHnSITHTb Ha MeAneHHOM OrHe B Te'!eHHe 1 '!. H nocne npou.eAHTb. noTpe6nRTb HacToi:1 HY>KHO a TennoM BHAe.
H36ABJIEHHIO HEi H3 fiOLIEK 5CYTO
Hy>KHO B3SITb 2 '!. n. KyKypy3HbiX pbmeu.. KynHTb Hx MO>KHO KaK y TpaBHHKOB Ha pbiHKe, TaK H B anTeKe. PacTeHHe HY>KHO 3anHTb 200 Mn KHnSITKa. HacToi:1Ke CTOHT AaTb noCTOSITb 2 '!. nHTb cpeACTBO HY>KHO no 1 rnoTKy 1.!epe3 Ka>KAble 2 '!. a Te'!eHHe AHSI. Kypc ne'!eHHSI cocTaanReT 7-14 CYTOK. no He06XOAHMOCTH ero MO>KHO nOBTOpHTb, HO o6SI3aTenbHO CAenaa nepepbiB Ha 10 AHei1.
J110A51M C nP0611EMHbiM1-1
3TOT peu,em npeAyCMaTpHaaeT HCnOnb30BaHHe TaKHX KOMnOHeHTOB: no 2 CT. n. KOpHSI 6ap6apHCa, u.aeTeHHi:1 CHHero aacHnbKa, nepe'!Hoi1 MSITbl, TpaBbl nacTyWbSI cyMKa, PYTbl AYWHCTOi1, nHCTbea 'lepHHKH; 3 cT. n. no'!e'!Horo '!aR; no 4 CT. n. KOpHei16onbworo nonyxa H TpaBbl cnopblwa; no 5 cT. n. KopHei1 KpanHBbl ABYAOMHoi1 H 3aepo6oSI. npHHHMaTb cpeACTBO CTOHT no 5 cT. n. C6op HY>KHO cMewaTb, OTMepHTb 5 CT. n. Tpaa H 3anHTb HX 1 n KHnSITKa. CocTaB AOn>KeH HaCTaHBaTbCSI 1 '!.
nOYKAM~
Hy>KHO B3SITb coK peAbKH a KonH'!ecTae 1 cT. n. H HaTypanbHoro MeAa - 2 CT. n. CMewai1Te xopoweHbKO cocTaa. CMeCb HY>KHO ecTb 3a 20 MHHYT AO eAbl B KOnH'leCTBe 1 CT. n. 3 pa3a B CYTKH Ha npOTSI>KeHHH 30 AHei:1. npH KaMHSIX B nO'!KaX noKa3aHo npH6eraTb K npocpHnaKTH'!eCKOMY ne'leHHIO AaHHbiM cpHTOCpeACTBOM ABa pa3a B fOA. ny'lwe acero AenaTb 3TO aecHoi1 H oceHbtO KypcaMH no 2 MecRu,a.
tl&.nO'fHAI OlKYPA
.--•
HanHTOK H3 AaHHoro KOMnoHeHTa 6yAeT 3cpcpeKTHBHbiM npocpHnaKTH'leCKHM cpeACTBOM MO'!eKaMeHHOH 6one3HH. OH AaCT B03MO>KHOCTb BbiBecTH H3 opraHa KOHKpeMeHTbl. OH TaK>Ke npeAOTBpaw,aeT cpopMHpoaaHHe necKa H nOSIBneHHe CHMnTOMaTHKH naTonorHH. · Tpe6yeTcSI noTpe6nSITb ero nocTOSIHHO. 3aaapHaaeTcSI Ko>Kypa a cae>KeM H cyweHOM BHAe. BTopoi1 aapHaHT 3cpcpeKTHBHee, nOCKOnbKY R6nOKO ner'!e pa3Menb'!HTb H 3anHTb KHnSIW,eH 80AOH. ,IJ,anee roToaaSI CMeCb ynoTpe6nReTCSI no 2 n a cyTKH AO ycTpaHeHHSI CHMnTOMaTHKH naTOnOrH'!eCKOfO npou.ecca.
BA)f(HQ C~JlbHO HE nEPEOXJlA)I(JJATbCR
H310M OOMO>KET 8blrHaTb 1-13 noYeK necoK 1-1 Aa>t<e MenK~-te KaMHI-1 anonHe B03MO>t<Ho, ecn~-t np~-t6erHyrb K ~-tc nonb30BaH~-t10 ~-t310Ma. 8 3TI-1X u,ell!lX CTOI-tT B3!lTb eL4e 1-1 YepHbU:t ropoweK. liro >t<e KacaeTC!l ~-t310Ma, ro nyYwe acero Bbl6parb reMHbli1 copr c 6onbw~-t MI-1 nllOAaM~-t.
norpe6yeTC!l: 1 ropCTKa 1-1310Ma 1-1 craHAaprHa!l naYKa nepu,a ropowKoM. Kypc neYeH~-t!l HaY~-t HaercSl C OAHOi:f llrOAbl 1-1 OAHOi:f rOpOWio1Hbl. Anll HaYana CTOHT B3!lTb H310M H HaApe3aTb ero. noTOM B L4el1b BCTaBHTb ropoWio1HKY • nepeA TeM KaK HaYaTb eCTb, CTOHT ynorpe6HTb H310M C nepu,eM. EcnH ecrb Heo6xoA~-t MOCTb, ero MO>KHO 3anHTb 80AOi:f, HO He6011bWHM K011HYeCTBOM. TonbKO cnycr!l 30 MHH. MO>KHO np~-tcrynarb K rpane3e. 8o aropoi1 AeHb CTOHT npHroroBHTb 2 H310MHHbl C 2 ropOWHHaMH. Aanee MaH~-tnynSlU,HIO Hy>t<Ho nOBTOpHTb, np11HHMaTb cpeACTBO CT011T Ka>KAbli:f AeHb Ha npOTSl>KeHI1H 20 cyroK. CoorseTCTBeHHO HY>KHO ysenHYHBaTb "' KOilHYecrao norpe6n!leMoi1 «naHau,eH». T.e. Ha rper~-ti1 AeHb 6yAeT 3 H310MHHKH, aHa AeCSlTbli110 coorsercrseHHO. Aocr~-trHys 3Toro 3HaYeHI11l, HY>KHO npoAenarb see c TO"'HOCTbiO Hao6opor. KorAa AOi1AeTe AO 1 H310MHHKH, Kypc BbiBOAa necKa 6yAeT 3aKOHYeH. Peu,enr AOcraTOYHO npocroi1 11 n03B011!leT He llOMaTb rOilOBy C npHrOTOBileHHeM oco6biX orsapos, HO np11 3TOM cnoco6 Aei1crs~-trenbHO 3cpcpeKTHBeH. Y 11310Ma eCTb csoi1crsa BblroHa MOYH, a YepHbli1 nepeu, H3BecTeH aHTHcenTHYeCKHM B03Aei1cTBHeM. BbiXOA11T, YTO B KOMnneKce KOMnOHeHTbl cnoco6Hbl eL4e "' CH!lTb socnanHrenbHbli1 npou,ecc c~-tc TeMbl MO"leBbiBeAeHH!l, nocnoco6crsoaarb pacnaAy MenKI1X KaMHei:f, CKOnHBWHXC!l B nOYKaX.
r
KOPHM nOACOnHYXA KopHH noAconHyxa raK>t<e Moryr 6b1Tb HCn011b30BaHbl B nonbiTKe BbiBeCTH necoK H3 noYeK. 3ror cnoco6 6bl11 pa3pa6oraH H3BeCTHbiM cpHrorepanearoM f~-tneBbiM. TpasH11K peKOMeHAYeT B3!lTb 1 CT. 11. H3· MellbYeHHbiX KOpHei:f nOAC011HyXa 11 CMewarb c 3 n K~-tn!lTKa. Cocras HY>KHO ornpaa~-tTb Ha MeA11eHHbli1 OrOHb, YT06bl npOKHn!lTHTb 5 MHH. nocne 3TOro Hacroi1Ka AOil>KHa OCTbiTb. IlHWb noroM HY>KHO npou.eA~-tTb Macey. nHTb cpeACTBO Heo6XOAI-1MO no 1 11 3 pa3a B cyTKH. • 06Sl3aTe11bHO Ba>KHO np~-tHHMaTb ero 3a 30 MHH. AO HaYana eAbl ~-tllH >t<e Yepe3 60 M~-tH. nocne rpane3bl. PeKoMeHAyeTc!l He Bb16paCbiBaTb nocne nepsoi1 3aaapK~-t KOpH~-t noAconHyxa. J..1x MO>KHO HCn011b30BaTb CHOBa, TOilbKO BO BTopoi:f pa3 apeMil Ha K~-tn!lYeH~-te cocrasa AOil>KHO 6b1Tb ysen~-tYeHo ew,e Ha 5 MHH., coorseTcTaeHHO a Tper~-ti1 pa3 oTsap HY>KHO aap~-tTb y>t<e 15 M~-tH. liTo6bl OTBap He nponan, 11Y"!We OCTaB~-tTb ero Ha XpaHeH~-te B X0110AI-111bHHKe B 6aHKe C nllOTHOi:f KpbiWKOi:f.
EL4e OAHH xopow~-ti1 peu,enr, KOropb1i1 npoaepeH 6bm He pa3 Ha npaKTI-1Ke 1-1 nonyYHil lo1CK1110YHTe11bHO n0110>Kio1Te11bHble OT3b1Bbl, 3aK1110YaeTCSl 8 HCn011b30BaHio1H KOpHei:f Wlo1nOBHI-1Ka. Anll npHrOTOB11eHio1!l OTBapa HY>KHO B3!lTb 2 Y. 11. 1-13MellbYeHHOrO KOpH!l, KOTOpOMy He A011>t<Ho 6b1Tb MeHee 3-x neT. Hy>t<HO 3aCblnaTb ero 8 MeAHbli:f Yai1HHK H npOKHnllTHTb C BOAOi:f 1 11 Ha npoTSl>KeH~-tH 5 MHH. Orsap nyYwe roroBHTb Ha HOYb, YT06bl AO yTpa OH CMor Hacro!lTbC!l. YrpoM HY>KHo nHTb oTsap s KOilHYecrse noncTaKaHa 3 pa3a s cyTKH. Jlyywe AenaTb
3TO Yepe3 C0110MHHKY, a nocne npononocKaTb poT BOAOi1 . Kypc ( lleYeHH!l COCTaB11SleT 10- 15 CYTOK. 8 nocneAYIOL4eM HY>KHO CAenaTb 30-cyTOYHblii nepepbiB 11 no Heo6- ~ XOAHMOCTH npoaeCTH lleYeHHe cHosa. Ecn~-t Ha3pen sonpoc, noYeMy OTBap KOpHei:f WHnOBHHKa HY>KHO nHTb Yepe3 conoMHHKY, TO OTBeT Ha Her o 3aK1110YaeTC!l B TOM, YTO 3TO cpeACTBO CnOc06HO OYeHb CHilbHO BOCnall!lTb 3y6bl, no TOi:f >Ke np~-tYHHe eCTb Heo6xoAHMOCTb nOilOCKaTb pOT BOAOi:f. He peKoMeHAyeTCSl npeHe6perarb 3THMH coaeraMH. 8eAb orsap HaCTOilbKO CHileH, YTO cnoco6eH pacrsopHTb HalleT Ha 3y6ax . Ecn~-t >Ke ao speM!l npoxo>t<AeH~-t!l Kypca AaHHbiM cpeACTBOM B03HHK11H npo6neMbl co crynoM, so3MO>KHO, YTO npeACTOHT nepeCTaTb ero ynoTpe6n!lTb. 0Tsap noMoraer OYHCTio1TbC!l He TOilbKO noYKaM, HO H OCTallbHbiM opraHaM . Ecn~-t 6yAeT OTpaaneHHe npoAyKTaM~-t >Kio13HeAe!lTe11bHOCTH, KHWeYHHK MO>Ker AaTb cepbe3Hbli1 c6oi1. liro6bl CM!lrYHTb BbiXOA necKa H3 opraHH3Ma, CTOHT nocne OT- . aapa Bblni-1Tb 1 CT. 11. llbH!lHOfO Macna. 3ro cpeACTBO noMoraer COCyAaM CTaTb 311aCTH4Hee Aa eL4e oKa3biBaeT aHTHcenrHYecKoe Aei1craHe.
8blrOH necKa MO>t<Ho ocyl4ecTBI-1Tb C HCn011b30BaHHeM TpaBbl nOA Ha3BaHHeM cnopbiW . 8 3THX U,ell!lX CTOHT B31lTb 6 CT. 11. cyxoro pacreHH!l 1-1 3a11HTb 1 11 KHnllTKa. JlyYWe, YT06bl CMeCb 6bl11a 3a11H· Ta a repMoc. Hacroi1Ke HY>KHO BbiCTO!lTbC!l OT 10 AO 12 Yacos. Kypc neYeHH!l- 7 AHei1 . np~-tHHMaTb cpeACTBO HY>KHo 3- 4 pa3a a cyrKH.
HaaaM.emxy EC./lu B03HUKaem aonpoc, C6Jl3UHHbtu c noKynKou iJanHbtx audoa mpaa, mo He cmoum 6ecnoKoumbCR. BoAbutUHcmao U3 nepe'lUC./leHHbtx KO.MnoHeHmoa .MO:JICH.O npuo6pecmu a AJ06ou anmeKe, ocmUAbHoe- Ha pbtHKe. Mo:J~CH.o deAamb cU.MocmosrmeAbHbte 3azomoaKU, EC./lU KUKUX-mO U3 nepe'lUC./leHHbLX KO.MROHeHmOB docmamb He ydUAoCb, He cmoum nepe:ncuaamb -.MomHO aocnoAb3oaambCR i)pyZUM. pe14enmo.M napodHou .Medut!UHbt c 6oAee noiJxodRtqU.M cocmaao.M,
TP ABbl H nEKAPCTBA:
IJvHeaiie U4U tJtH!3b? KaK npaaHnbHO co'teTaTb neKapctaa H Tpaabt! B KaKHx cny'taRx COCeACTBO none3HO, a B K8KHX - BpeAHO! - KaK B3aHMOAeHCTBYJOT Tpaabl c MeAHKaMeHTaMH! 'ITO He CTOHT CO'teTaTb! - Jly"twe scero 113y"teHbl B3ai1MOAei1cTBI111 3Bepo6oH- nonynHpHoro cpeACTaa OT AenpeccHH. C"ti1TaeTCII, "'TO 3sepo6oi1 He6naronp1111THO AeiicTsyeT Ha neKapcTsa, pa3>KI1>t<atOW,I1e KpOBb. He>t<enaTenbHO co"'eTaTb 3Bepo6oi1 c npenapaTaMI1, CHI1>t<atOW,11MI1 KI1CnOTHOCTb >KenyAKa- OMenpa30nOM, naH3anpa3onoM, a TaK>t<e c aHTI16HOTHKOM U,11KnocnOp11HOM. 3Ta Tpasa MO>KeT Bni1!1Tb Ha AeHCTBI1e cpeACTB, npHMeH!IeMbiX np11 aHeCTe3HH. no3TOMY ecn11 Bbl npHHHMaeTe ee, TO O"teHb sa>KHO nocTaBI1Tb 06 3TOM B 113BeCTHOCTb aHeCTe3110nora. B KOM611HaU,I1H c aHTI1AenpeccaHTaMH 3Bepo60H MO>KeT Bbi3BaTb ronosHytO 6onb, ronosoKpy>t<eHI1e, cnyTaHHOCTb C03HaHHII, oco6eHHO y no>t<HnbiX ntOAeii. TaKoe AeiicTBHe CB!I3aHO C TeM, "'TO HeKOTOpble KOMnoHeHTbl 3sepo6o11 MoryT BMewaTbC!I B npou,ecc nepepa6oTKI1 neKapcre ne"teHbtO. BanepHaHy H APY-
r11e ycnoKOI1TenbHble TpaBbl He peKOMeHAyeTC!I npHHHMaTb BMeCTe C aHTHrHCTaMHHHbiMH npenapaTaMH nepsoro noKoneHI111, Hanp11Mep A11MeAponoM, TaserHnoM 11 cynpacTI1HOM. nHCTbSI ceHHbl, Kopy KPYWHHbl, KOpHeBH~a peaeHSI He>t<enaTenbHO co"teTaTb c npenapaTaMI1 AJl!l ne"teHI1!1 >t<ene30AecpHU,11THOH aHeMI111. nepeA OnepaU,H!IMH npoTI1BOOOKa3aHbl HCeHbWeHb, 'teCHOK, HM6Hpb, npenapaTbl H3 rHHKrO 6Hno6a, TaK KaK OHH ycHni1BatOT KpOBOTe"teHHe. V1x He cneAyeT coeMew,aTb c npenapaTaMI1, pa3>t<H>KatOW.11MH KpOBb, TaKI1MH KaK acnHpHH, KypaHTI1n, Bapcpap11H. np11 ne"teHI1H HMMYHOAenpeccaHTaMH - a3aTHonp11HOM H Apyri1MI1- He peKOMeHAYeTC!I npHMeH!ITb neKapCTBeHHble TpaBbl 11 OHW,eBble A06aBKH, COAep>t<aW,11e acrparan, UHHaqeJO, >KeHbweHb, rpH6 M3HTaKe, KHTaHCKHH nHMOHHHK. >KeHbWeHb H COnOAKY He peKOMeHAyeTC!I 11COOnb30BaTb npH ynoTpe6neHHH MO"teroHHbiX npenapaTOB - HanpHMep, cpypoceMI1Aa. C 6poHxopacwHp1110W.HM npenapaTOM 3ycpHnnHHOM Henb3!1 COBMeW,aTb CpeACTBa H3 KOpbl HBbl H rpyWaHKH. MoryT 113MeHI1Tb 3cpcpeKT 3Toro neKapcTsa 11 cpeACTBa, coAep>+<aw,l1e TaHHH: 3eneHbiH H ~tepHbiH 'taH, TOnOKHSIHKa, ManHHa, KOpa Ay6a, poMawKa. C npenapaTOM npOTHB ap11TMI1H - KOpAapOHOM- He CO"teTaIOTC!I conOAKa H UHHaqeH. ConoAKY TaK>t<e ny"'we He Hcnonb30BaTb COBMeCTHO C ApyrHMH nonyn11pHbiMI1
I
t-
~~ I
q;
~
PaccKa3b/Baem cpumomepaneem XpaMoe nemp Bacunbeeu'-1 coTanonoM. YcHnHTb no6o"'Hble 3cpcpeKTbl aCnHp11Ha, AHKnOcpeHaKa H ApyrHx o6e36onHBatOW,HX MO>t<eT KOpa 6enOH HBbl. C npOTHBOrpH6KOBbiMI1 cpeACTBaMI1 He CO"teTaeTC!I 3XHHaqeSI. npenapaTbl 'tepHHKH H HCeHbWeHSI C OCTOpO>t<HOCTbiO AOn>KHbl npHMeHIITb AHa6eTI1KI1. 3TH cpeACTBa OOHI1>t<atOT caxap B KpOBH H COBMeCTHO C Ta6neTKaMH MOryT CHI13HTb ero Hl1>t<e HOpMbl. C APYroii CTOpOHbl, npH HeAOCTaTO"tHOH 3cpcpeKTI1BHOCTH Ta6neTOK >t<eHbWeHb 11 "tepHHKa MOryT CTaTb COI03HI1KaMH B 6opb6e C caxapHbiM AHa6eTOM. 0AHaKO CBeAeHH!I 0 B3aHMOAeHCTBHH neKapCTB 11 Tpae, 11MeiOW,I1eC!I Ha AaHHbiH MOMeHT, AaneKO He nonHble. nepe"teHb «XOpOWI1X» 11 «nnoXI1X» KOM6HHaU,HH OOCTO!IHHO AOnonHIIeTC!I. - CKa>KHTe, a KaKHX cny~tan co~te TaHHe Tpaa H XHMH'feCKHX MeAHKaMeHTOB none3HO! - JleKapcTBeHHble TpaBbl 6blnH H OCTatOTC!I OTnH"'HbiMI1 >Ken"terOHHbiMH cpeACTBaMH. no3TOMY HX peKOMeHAyeTC!I np11MeH!ITb np11 AHCKHHe311!1X >Ken"teBbiBOA!IW,I1X nyTeH, 6ecKaMeHHOM xoneu,I1CTHTe. Xopowo noMoratOT pacTHTenbHble c6opb1 npH MeTeopH3Me H ApyrHX «HenonaAKax» B pa6oTe K11We"tHI1Ka. Hennoxo AeiicTBYtOT TpaBbl npH Kawne. npaKTI1"teCKI1 BCe OTXapKHBatOW,He npenapaTbl COAep>t<aT pacTHTenbHble KOMOOHeHTbl COnOAK11, TepMOOCHCa 11 ApyrHX Tpae. npH npocTyAe peKOMeHAYIOTCII noToroHHble "tal1, nonocKaHHe ropna np11POAHbiMH aHTHcenTI1KaMI1 - HaCTO!IMH wancpe11, 3BKanl1nTa, KaneHAYnbl.
·nE~rE-iiE·--··-c;:8A··-·=rPA8·b1--s-f'A3HoE-sPai~-cYToi<:·liro6bi-~-36oorb-Hoo=MiBibH-biX-:scrP·~-;~
......... ............................................................................................................................................................................................................................................................................................................................................
.,
0
Ha6oneaweM. ra3eTa-qemnenbHHqa
npeAnOYTeH!-1e rpaBSIHbiM npenapaTaM HY>KHO OTAaBaTb 1-1 np1-1 nerKI-1X paccrpo~craax HepaHo~ c!-1creMbl - 6eCCOHHI-1U,e 1 nOBbiWeHHO~ pa3Apa>t<lo1TenbHOCTI-1. KpoMe roro 1 ew,e He C03AaHo XI-1MI-1YecKI-1X neKapCTB 1 3cpcpeKTI-1BHee nOBbiWaiOW,I-1X YCTO~YI-1BOCTb K crpeccy 1 YeM aAanroreHHble pacreHI-1Sl- 3neyrepOKOKK H >t<eHbWeHb. TaK YTO a onpeAeneHHbiX cHryaU,HSIX rpaBbl MO>t<Ho H HY>KHO coYerarb c rpaAHU,I-10HHO~ repanHe~. - ~TO HYHCHO CAenaTb, 'fT06bl ~H TOTepanHJI npHHecna MIKCHMinbHYIO nonbly!
-
noA6HpaTb neYeHI-1e AOn>t<eH cneu,HanHCT . C noMOW,btO neKapcraeHHbiX pacTeHHii MO>KHO HCU,enHTbCSl TOnbKO TOrAa 1 KOrAa OHI-1 Ha3Hal.feHbl C yyeTOM conyTCTBYIOW,HX 3a6oneBaHH~ H oco6eHHocre~ 6onbHoro. Kpa~He aa>t<Ha npaaHnbHaSl A031-1pOBKa 1-1 cxeMa np1-1eMa. JleYeHI-1e or cnyYaSl K cnyYat0 1 KaK npaaHn0 1 He Aaer Hy>t<Horo 3cpcpeKra. 06biYH0 1 npe>t<Ae "!eM AaTb 6onbHOMY COOTBeTCTByIOW,He peKOMeHAaU,HI-11 BpaYcpHTOTepaneBT HHTepecyeTCSl He TOnbKO ero HCTOpHe~ 6one3HH 1 HO H AaHHbiMH A1-1arHOCTI-1YecKHX I-1CcneAOBaHHi1. Hy>t<HO nOMHHTb 1 YTO pacTHTenbHble npenaparbl noMoratOT TOnbKO B cnyYae AOCTaTOYHO nerKHX paccrpo~cra 3AOPOBbSl. Ecn1-1 noHaAeSITbCSl Ha rpaBbl npH KaKHXTO cepbe3HbiX HeAyraX 1 MO>KHO «3anyCTHTb>> 6one3Hb 1 H cnpaBHTbCSl C Heii 6yAeT AOBOnbHO cno>t<HO . C6opb1neKapcraeHHbiX rpaa HnH rpaabl 1 HCnOnb3yeMble no OTAenbHOCTHI peKOMeHAyeTCSl nep!-10AH"'eCKH MeHSITb. ,[l,nSl pa3HbiX cnyYaeB nepHOA CMeHbl COCTaBnSleT OT 1 AO 10 HeAenb. Ho a cpeAHeM cxeMy rpaaoneYeHHSl >t<enarenbHO o6HOBnSITb Yepe3 Ka>t<Able 3-4 HeAenH. KBanHcpHU,HpOBaHHbl~
BceM ornpaanSltOW,HMCSl a nee 3a rpaaaMH HaAO 3HaTb 1 KaK Bblr11SIASIT re neKapcraeHHble pacreHHSl I Koropble Bbl xor1-1re co6parb. MHorHM I-13BecTHbl u,ene6Hble caoiicraa 3Bepo6oSl. Ho Mano KTO 3HaeT 1 YTO cyw,ecrayer ABa BI-1Aa 3Toro pacreHI-1Sl - 3Bepo6oJ:1 MSICHCTbiJ:1 H 3Bepo6o~ npOAb1pSlaneHHbli:1. Me>t<AY reM 3Bepo6oi1 MSICHCTblii Ae~crayer a 10 pa3 cna6ee 3aepo6oSl npOAblpSlaneHHoro. 6onbwoe 3HaYeH!-1e I-1Meer apeMSl c6opa 1 npH"'eM He TOnbKO MeCSIU, HnH AeKaAa 1 HO H apeMSl CYTOK1 a raK>t<e reMneparypa H ana>t<HOCTb B03Ayxa. HanpHMep 1 u,aeTKH aaCHnbKa1 H3AaBHa np!-1MeHSleMble B HapOAHO~ MeAHU,I-1He A11Sl neYeHHSl 6one3He~ noYeK 1 HaAO co6Hparb TOnbKO B SlCHbl~ COnHe"'Hbl~ AeHb npH cyxo~ noroAe npHMepHo c 10 AO 11 yacoa yrpa. no3TOMY npe>t<Ae YeM 3aHSITbCSl 3aroroaKo~ rpaB 1 HY>KHO npowry-
AHpoaarb HeMano nHreparypbl. AnreYHble cpeACTaa 6onee HaAe>t<Hbl. - KoM y HYHCHO 6b1Tb oco6o OCTO-
- MOHCHO nH C06HpiTb TpiBbl caMOMy! HnH 06JI31TenbHO HX noKynaTb a anTeKe!
- JleKapcraeHHble pacreHHSl MOryr oKa3aTbCSl 6ecnone3HbiMI-1 H He npHHeCTH O>KI-1AaeMOrO 3cpcpeKTa. 3TO npOHCXOAHT B TOM cnyYae 1 ecnH HapyweHbl OCHOBHble npaBHna HX c6opa 1 3aroroBKH 1 xpaHeHHSl H npHroroaneHHSl.
pOHCHbJM C TpaaaMH !
- B nepay10 oYepeAb 1 onacHo caMOCTOSITenbHO HaYHHaTb cp1-1TOneYeHHe npH CKnOHHOCTI-1 K anneprHYeCKHM 3a6oneaaHHSIM. B PoccHH Ka>t<Abl~ nSITbl~ crpaAaer nblnbu,eaoii annepr1-1e~ - nonni-1H030M. BecHo~ y TaKHX ntOAe~ nOSIBnSIIOTCSl HaCMOpK, cne3oTeYeHHe H Apyr1-1e HenpHSITHble CHMnTOMbl.
EcnH pacreHHe CXOAHO c annepreHOM1 MOryT B03HHKHYTb He>t<enaTenbHble peaKU,HI-1. npi-1 Hapy>t<HOM npHMeHeHI-1H OHH npOSIBnSIIOTCSl B BHAe noKpacHeHHSl KO>KH 1 CblnH 1 BOnAb1pe~1 OTeKOB H onyxone~. npH BHyrpeHHeM HCnOnb30BaHHI-1 MO>KeT B03HHKHYTb Aa>t<e yrpo3a >t<H3HH: nOSIBnSIIOTCSl OTeYHOCTb ropraHI-11 3arpyAHeHHoe Ab1XaHHe 1 noablweH!-1e reMneparypbl rena . Yro6bl H36e>t<aTb 3THX He>t<enarenbHbiX nocneACTBHi1 1 Henb3Sl cpa3Y npHMeHSITb neKapcraeHHOe pacreHHe a 6onbWI-1X A03ax BHYTPb HnH HaHOCHTb npHrOTOBneHHble H3 Hero Ma3H H npHCblnKH Ha o6wHpHbiJ:1 yYaCTOK KO>KH. BHaYane HaAo npoaepHTb, KaK opraHI-13M orpearHpyer Ha pacreHHe. Yro6bl 3TO CAenaTbl cneAyiire HaweMy anropHrMy. TaKI-1M >t<e cnoco6oM >t<enarenbHO npoaepHTb Ka>t<AOe pacreHHe, BXOASIW,ee B COCTaB MHOrOKOMnO· HeHTHoro rpaBSIHoro c6opa. To pacTeHHe 1 YTO Bbi30aer annepr1-1YecKYIO peaKu,HtO 1 HY>t<Ho H3 c6opa I-1CKntOYHTb. npH npoaepKe neKapCTBeHHbiX rpaa Ha npHrOAHOCTb >t<enarenbHO HMeTb noA pyKoii MeAHKaMeHTbl1 cnoco6Hble 6biCTpo Hei1rpanH30BaTb B03HHKWYIO anneprHYeCKYIO peaKU,HtO: raaerHn 1 cynpacTHH1 AHMeApon. Hy H, KOHe'fHO, KpaHHe onacHo caMOCTotnenbHO HCnOnb3081Tb JIAOBHTble pacTeHHJI. PeKoMeHAYIO BCeM KynHTb cnpaBO'fHHK no ~HTO TepanHH H, ecnH Tpaaa JiAOBHTI, He HCnOnblOBaTb ee 6e3 HI3HI'feHHJI apa'fa.
___Hbi" ___ (i)___rol-EPAi1Esro____
---------------------------------------nfio-i<6ii-cyiii;rH"~rEcb_c_i<8N1~-¢~Li~P:o8ft.
------···-------------·--------.-------------------------------···-----·-·---··-·------------------------·------·-----------------------------------------·---------·---
-t
JHEHCHAR rPVAb: ~cma-cfJCT~M
u 'UiiD (Ja~ llfX1 H£e JI«Ufib r••••••••••••••••••••••••••••••••••••••
Kozi)a peat.b aaxoaum o i}uaznocmuKe paKa MOAO'lnou JfCe/le3bt, ecmb OOOH coaem, KomopbtU aUM i)acm /lJOoou apa'l: CAeoome aa C60eU zpyi}bJO. qe.M. 6HUMUffle/lbHee 6bt omnocumecb K amou 'tacmu meAa, me.M. 6b(we aepostmnocmb, 'lmo aaMemume nepabte nomenquU/lbHbte npU3HUKU paKa, maKue KaK ynAomneHUSI, SIMKU HU KOJICe U/lU npunyx/lOCfflb. Ho napaane c amUM nyJICHo anamb u oo uaMeneHUSIX, Komopbte coaepwen• HO HOpMUilbHbL i),llSl mozo i U/lU UHOZO nepuoi)a 6UWeU l JICU3HU.
-------------------------------------------------------------------------·
~--------------------------------------
nocnE ABAAU,ATH nET
r·rioiiPoc1.<o8i;l~-~oiPAci-i L
l
t
l
K 3TOMY B03pacry rpyAb y>Ke nonHOCTbtO ccpopMHpoaaHa. MeHcrpyaJlbHblj;i 1..\HKll HOpMa11H30Ba11C". lf13-3a rOpMOHallbHbiX KOJ1e6aHHj;i nepeA : MeHcrpyal..\Hej;i 1-1111-1 ao apeM" Hee rpyAb MO>KeT nperepneaaTb HeKoro- : pble H3MeHeHH", HanpHMep , Ha6yxaHHe M0110YHbiX >Ke11e3, AHCKOM- : cpopr, 6one3HeHHOCTb, noBbiWeHHa" YYBCTBHTellbHOCTb. HeKoropble : 1 >KeHW,HHbl B 3TOT nepHOA 6onee B036YAHMbl H YYBCTBeHHbl. nocne 20 Bawa rpyAb HaXOAHTC" Ha nHKe CBOej;i npHB11eKaTe11bHOCTH, OHa ynpyra, nnorHa H oKpyrna. B 3TO apeM" a rpyAH COAep>KHTC" 6onbwe cpH6po3Hoj;i H MeHbWe >KHpOBOj;i TKaHH. lf1HOrAa M0110Able >KeHW,HHbl MOryT 3aMeYaTb o6pa3oaaHHe ynnorHeHHj;i B rpyAH a nepHOA MeHcrpyal..\HH . B 3TOM cnyYae 11YYWe o6paTHTbC" K BpaYy H npoj;iTH He06XOAHMble o6C11eAOBaHH".
I
3aMeTHOj;i (cKa>KeM TaK) 3Ta YaCTb : Hawero Tella CTaHOBHTC" 11HWb C Ha- : I YanoM nepHOAa nonoaoro co3peaa- : HH". KorAa >KeHCKHj;i opraHH3M roro- : I BHTC" K OBY11"l..\HH H MeHCTpyal..\HI-1 1 : 3crporeH 1-1 nporecrepoH 3anycKatOT : pOCT rpyAH. An" 0603HaYeHH" 3TOro npol..\ecca Aa>Ke cyw,ecrayer MYA- : I l peHbiH MeAHL\HHCKHH TepMHH - Te- : T napxe. EcnH rpyAb pacrer oYeHb : 6biCTpO, Ha KO>Ke MOryT nO"BHTbC" : I I 1 paCT">KKH, TO C 3THM y>Ke HHYero He : I I : noAenaewb. :
I
:
~-------------------------------------------------------------------------·
r·-------------------- y~~Jiil~t-b: C:C>FIC5~ -iliEt----------------------: I
I
B 3TH ABa AeC"THJleTH" MHOrHe >KeHW,HHbl o63aBOA"TC" AeTbMH. cepe- : I ! MeHHOCTb H rpyAHOe BCKapM11HBaHHe OTpa>KatOTC" Ha COCTO"HHH rpyAH· MonoYHble >Kene3bl H nporoKH aKTHBH3HpytOTC" H HaYHHatOT HHreHCHBHO pa6orarb. B 3TOT nepHOA raK>Ke oYeHb aa>KHO cneAHTb 3a l{llR. npogiUAaKmUKU Macmona- 11106biMH H3MeHeHH"MH. no"BJleHHe ynllOTHeHHj;i- nOBOA HeMeAJ1eHmuu noAe3HO npunUMamb aom ma- HO o6paTHTbC" K BpaYy. ApeOllbl BOKpyr COCKOB MOryT noTeMHeTb KOU c6op: 'tepeaa - 3 'tacmu; nyc- ao apeM" 6epeMeHHOCTH. BpaYH He Moryr TOYHO cKa3aTb, noYeMy mbtpnuK - 1 'tacntb, mb~CSl'teAUC TaK npOHCXOAHT. HeKOTOpble CYHTatOT, YTO npHYHHOj;i BCeMy .•. C11a6oe 3peHHe HOBOpO>KAeHHbiX: B nepBble AHH >KH3HH OHH MOryT mHUK - 1 'tacntb. CMewaume mpa11HWb OT11HYHTb TeMHOe OT CBeT110rO, HO HeCnOC06Hbl pa311HYaTb Bbt. 2 em. A. CMeCU 3aAeume 0,5 A KU- 1..\BeTa H OTTeHKH. no3TOMY MllaAeHL\Y ropa3AO npow,e 3aMeTHTb JtRmKa, nacmauaaume 45 MUH. TeMHble cocKH Ha cpoHe 6onee caemoj;i KO>KH rpyAH. KaK H nonollpunUMaiLme no 0,5 cmaKaHa ()aa soe co3peaaHHe, 6epeMeHHOCTb H KOpMneHHe rpyAbtO cnoco6pa 3 a 6 ()enb. llpo()oA:HCumeAb- craytOT pe3KOMY yaellHYeHHIO rpyAH, YTO npHBOAHT K o6pa30BaHHIO paCT">KeK. B nepHOA rpyAHOrO BCKapM11HBaHH" >KeHW,HHa MOHOcntb Kypca- ()o 4 MeCSiqea. >KeT 3aMeTHTb ynnOTHeHH" B TKaHH rpyAH .
·--------------------------------------HaaaMemKy
: I
.·--------------------------------------------------------------------------
r••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
l EcnH ynnoTHeHH!I conpoao>+<AaiOTC!I 6one3HeHHOCTbiO H : noKpacHeHHeM, :no MO>t<eT 6b1Tb npH3HaKOM MaCTHTa : aocnaneHH!I Mono,.Ho~ >+<ene3bl. AaHHoe 3a6oneaaHHe nel ,.HTC!I aHTH6HoTHKaMH. B ao3pacTe nocne 30 H 40 neT rpaaH:TaU.H!I Ha .. HHaeT Ae~CTBOaaTb Ha rpyAb CHilbHee. 0Ha o6aHl caeT, rnaaHbiM o6pa30M, H3·3a paCTSI>+<eHHSI rpyAHbiX Ca!I: 30K. 3ToT npou.ecc HeH36e>+<eH H co apeMeHeM HaCTHrHeT
~~~~~-~~~-~~~~-----------------------------------------
:i-----------------------------------------------------------nocnE nSITHAECSITH
l MHorHe >+<eHW,HHbl a 3TOM ao3pacTe 3aMe,.aiOT, ,.To HX He: KorAa ynpyra11 H 311aCTH,.Ha!l rpyAb cTaHoaHTC!I AP116no~ H l o6aHCWe~. 3TH H3MeHeHHSI MOryT npOHCXOAHTb a pe3y1lb· :TaTe npeAWeCTBoaaaWHX 6epeMeHHOCTe~ H KOpM11eHHSI I : rpyAbiO, HO TaK>+<e H a pe3y11bTaTe ropMOHallbHbiX CAaHroa, :conpoao>+<AaiOw,Hx MeHonay3y. C ao3pacTOM ypoaeHb 3C:TporeHa H nporecTepoHa a opraHH3Me CHH>+<aeTC!I. IIIMeHHO I :3TH ropMOHbl oTae .. aiOT 3a poeT MOilO,.HbiX >+<ene3, npoTo:Koa H ApyrHX He>+<HpOabiX TKaHe~ rpyAH. npH CHH>+<eHHH I : ypoaHSI ropMOHOa HX MeCTO 3aHHMaeT >t<Hpoaa!l TKaHb. : r PYAb Tep!!eT OKpyrnoCTb H ynpyroCTb H Ha .. HHaeT o6aH:CaTb. nocne MeHonay3bl MeH!IeTCSI H KO>t<a rpyAH. 0Ha CTal HoaHTCSI 6onee cyxo~ H MOpW,HHHCTO~, ,.To To>+<e cnoco6:CTayeT yxyAweHHIO aHewHero aHAa 3TO~ .. acTH >+<eHcKoro l Tena. MHorHe H3MeHeHH!I rpyAH coaepweHHO ecTecTBeHHbl :H 3aaHCSIT OT a03pacTa HllH COCTOSIHHSI >+<eHCKOrO opraHH3: Ma. Ho Aa>+<e ecnH 6ecnoKo~cTao oKa>+<eTC!I HanpacHbiM,
L~t~~;-~~~:~r:~:-~~~~~~~-~ -~~P-~~~~~~~-~!'P.~~Y.: ..............
i---------------------------.lnnoTHbl~ y3enoK a Mono,.Ho~ >+<ene-
: 3e; : .IH3MeHeHHe KO>+<H a o6naCTH MO· I 1110 .. HOH >+<e11e3bl: CMOpW,eHHOCTb, aT!!· : >+<eHHe HllH aHA «11HMOHHO~ KOpKH»; y
:
.labJAelleHHSI H3 COCKa, KaK CaMO·
I
l npoH3a011bHble (na,.KaiOT 6enbe}, TaK : H npH HaAaanHaaHHH; oco6eHHO OAHO: cTOpOHHHe C npHMeCbiO KpOaH; :
-CT~
ECJIH O&HAPYHGUIH CbH&POAAEHOMY ••• Y MeHSI o6HapyHCHnH cllH6pOIAeHOMy rpyAH. CKa3anH: <<HIAO Ha6niOAITb,, A otTO, co6cTBeHHO, Aaer Ha6niOAeHHeJ Or roro, otTO " 6YAY perynRpHo AenaTb Y3H, npo6neMa He paccocer- , .I CR. MoHCeT 6b1Tb, H3 MeHSI, TIKHM o6pi30M, npo- •• ,I CTO AeHbrH <<BbiHCHMIIOTJ) J,, •I
HacoHosa Bepa, r. flHne4K
I 1 •I
Ha6niOAeHHe 3a cpH6poaAeHOMO~ noApa3y- •: 'I MeaaeT aH3HTbl K MaMMonory He pe>+<e Aayx pa3 • a roA. PerynstpHbl~ ocMoTp noMoraeT nOATaep- : AHTb HllH onpoaeprHyTb AHarH03, npeAOTapaTHTb : HenpHstTHOCTH. ¢>H6poaAeHoMa caMano ce6e He :: onacHa. rnaaHoe, ,.T06bl OHa He CTana pe3KO pac- ·: TH. EcnH 3a KopoTKI1~ cpoK oHa 3Ha,.I1TenbHO yae- •• 1111,.1111aCb a pa3Mepax, 3Ha,.I1T, ee ny,.we yAa- : 1111Tb . YAaneHHYIO cp116poaAeHOMY 11ccneAYIOT, 1 I .. T06bl HCKiliO .. HTb aepOSITHOCTb 3110Ka .. eCTaeH- ' I HOI1 onyX01111 H aT11ni1,.HbiX KlleTOK. EC1111 >+<e 0 6 pa- ,· II 30aaHI1e He yae11H,.I1aaeTCSI, TO onaCHOCTI1 OHO He .: npeACTaan!leT H yAallstTb ero He HY>+<Ho. :
••
y
I
•I .I I
HcKniO'tHTb: >+<11pHoe, >+<apeHoe, caHHI1HY, Kocpe, ocTpyiO H np11- : HYIO n11w,y, 0TKa3aTbCSI OT np11eMa MSICa, ablpaw,eHHOrO C np11MeHe- : HHeM CTHMynstTopoa pocTa, H reHeTH,.eCKH MOAH<P11U.HpoaaHHbiX npoAYKTOa nHTaHHSI, 11 He KopM11Tb 3TI1M AeTe~. Heo6xoAHMO: >+<HAKOCTH - He MeHee 2,0-2,5 njcyTKH, COKH 200 Mil a AeHb, K11C110M0110,.HOe- Ka>t<p,bl~ AeHb AO 0,3-0,SnjcyTKH. npOAYKTbl c abiCOKI1M COAep>+<aHHeM ai1TaMHHOa A, E 11 MOpKOab, wnHHaT, a6pHKOCbl, U.HTpycoable, KanycTa.
c-
Oaow,11 0,5 Kr a AeHb, cppyKTbl (116noKH} 5-6 WT. a AeHb- e>+<eAHea-
.lyaenH,.eHHe llHMcpaTH,.eCKHX y3noa
: a nOAMbiWe,.HO~ anaAHHe.
C
Xomume Obtmb adopoBOu U3Meuume o6pt13 numaHUJl!
: qyo llODJHHO HACTOPOJHIITb :
r•••··------------------------------~
HO!
----------------------------- ---------------------------------------------------· 0
M8MMOrpaci»MM
rOBOpSIT 0 TOM, 'tTO MIMMOrpacllHR - CIMbiH 3cllclleKTHBHbiH MeTOA AHarHOCTHKH 3nOKa'te,CTI!IeHHbiiX 316oneBaHHH rpyAH. Ho He apeAHa nH MaMMOrpacllHR CaMano ce6e! BeAb H3BecTHO, 'tTO peHTreHOBCKOe H3nyoteHHe cnoco6crayeT pa3BHTHIO paKa. Bapcosa H11Ha, r. Moc t<sa
t/fJ
Aa , MaMMorpacp11!1 Ha AaHHbl~ MOMeHT caMbl~ nporpeccHaHbl~ MeTOA abJ!IaneHH!I paKa MOilO,.HO~ >+<ene3bl All!! >+<eHW,HH a ao3pacTe CTapwe copoKa neT. H11,.ero 6onee 3cpcpeKTHaHoro A11S1 >+<eHW,HH ew,e He npHAYMaHo. CoapeMeHHa!l A03a peHTreHoacKoro H311yYeHI1!1 npH MaMMOrpacp11H OYeHb Mana, Aa>+<e MeHbWe, .. eM, K npHMepy, np11 cp11100p0rpacp11H. npocpH11aKTH,.eCKHe MaMMOrpacpH .. eCKI1e HCCileAOaa" ' HHSI Ha3HaYaiOT >+<eHW,HHaM nocne 40 neT 1 .. T06bl 06Hapy>+<I1Tb ace a03MO>t<Hble HOaoo6pa3oaaHI1SI Ha ca- ..., . MOH paHHe~ cTaAHH. MonOAbiM >+<eHW,HHaM AenaiOT Y3111, nocKOilbKY y HHX rKaHb Mono,.Hoi1 >+<ene3bl ~ " ' nllOTHaSIH MaMMOrpacp11!1 He3cpcpeKTHaHa. 0AHIKO, AaHCe ecnH BaM e~qe HeT COpOKI, a apa't COBeTyeT npOHTH MaMMOrpacllHIO - He nyraHTeCb. ~ CKopee BCero, BIM CAenaiOT <<nPH4enbHbiH)) CHHMOK, KOTOpbiH Hy)l(eH, 'tT06bl AOnOnHHTb AaHHble, nony'feHHble npH Y3H.
tJ'
,.
.J/111
BKJliOY~TE
B PAU~OH CEMEYK~ , YECHOK, KPEBETK~
~
Pbi6Y.
r••••••••••••••••••••••••••••··-----~ ~
•••••••••••••••••••••••••••••··-----~
n,._ .• n
cr. npopocwero oBca 3anei1re IlHTpOM KHI1SI"leHOi1 BOAbl 1-1 eapHTe AO rycroTbl >KHAKOro KHcenH. TorAa Bnei1re B OTBap npHMepHo raKoe >Ke KOilHYeCTBO MOilOKa 1-1 npoKHnSITHTe ew,e pa3. OxnaAHTe 1-1 paCTBOpHTe B OTBape 3 CT. 11. MeAa. nei1Te HanHTOK TennbiM 2-3 , pa3a B AeHb.
:
Ac:PoHJ.~Ha EneHa, r. BonorAa
~-----------------------------------~
Pa6orato npoAaBU,OM, no3TOMY OTeKH Ha HOrax AflSI MeHSI He peAKOCTb. noAentoCb XOpOWHM cpeACTBOM OT 3TOi1 HenpHSITHOCTI-1. iii3MeilbYHTe CBe>KHe IlHCTbSI KanaHX03, noMeCTHTe B 6yTblnKY 1-1 3anei1re BOAKOi1, HacraHBai1re 1015 AHei1, nocne Yero ee MO>KHO 6y-: AeT npHMeHSITb AflSI pacrHpaHHSI : OTeKWHX KOHeYHOCTeH. :I
T11rosa AHHa, r. /1.3ep>K11HCK :
~-----------------------------------J
r-----------------------------------~
L I
I
He 3Hato, KOMY KaK, a MHe np~-1 MOeM 3acrapenoM peBMaTH3Me OYeHb noMorator cnet..i,HanbHble BaHHbl . Hy, Bo-nepBbiX, raK Ha3biBaeMaSI rpS13eBaSI- 3TO KOrAa B BaH- 1 HY KnaAeTCSI OKOI10 500 r MOpcKoi1 : rpS13H. npaBAa, HeYaCTO Sl ee 1-1 Ae- : nato- TaK, BpeMSI OT BpeMeHH, KOr- 1 Aa nonyyaercst. ConeHast BaHHa - ro>Ke BeCbMa Hennoxast wryKa. Bee ro >Ke caMOe, TOilbKO BMeCTO rpS13H- COilb. Ill, HaKOHeU,, w,enOYHaSI: B BaHHY HY>KHO HanHTb w,enoK, AflSI npHroroBneHHSI KOTOporo HaAO co6paTb YHCTyto ApeBeCHyto 3011Y, 3a11HTb • BOAOi1 1-1 BCKHnSITHTb. noTOM nyCTb OTCTOHTCSI 1-1 CTbiHeT B TeYeHHe u,enoi1 HOYH (1-1111-1 AHst). BoAbl AflSI KHnSI-: YeHHS16paTb CTOilbKO >Ke, KaK 1-130- 1 Ilbl. 3a HeCKOilbKO YaCOB 30I1a BCSI OCTbiHeT, 1-1 CBepxy nonyYHTCSI YHCTbli1, KaK BOAa, w,enoK. Ero 1-1 HY>KHO 6paTb AflSI BaHHbl, IlYYWe pa36aBI1SISI BOAOi1. B BaHHe nonaraercSI CHAeTb 10-15 MHH. np~-1 TeMnepaType 30-32 oC, 1-1 BOAa AOil>KHa AOXOAHTb BaM AO nOAMbiWeK. Aa, 1-1 ew,e: nocne nto6biX 1-13 3THX ropH"'HX BaHH Ko>Ky HaAO xopowo npoTHparb, HHaYe nerKO npOCTYAHTbCSI- 'ITO npH peBMaTH3Me, CaMH no~ HHMaere, 6onee YeM YpeBaro. :
:·
MeHSI Aonro MYYHn rp1-16oK Ha pyKaX 1-1 Horax. 5I Aa>Ke CMHpHI1CSI C 3Toi16eAoi1. A noroM Hawen noAXOASIW,Hi1 peu,enr. Kyn1-1n B anreKe 35% canHu,HnoByto Ma3b. YrpoM rw,arenbHO HaMa3biBan crynHH 1-1 HaAeBan u,ennocpaHOBble MewoYKH, cBepxy - HOCKH. C pyK neKapcreo He CMbiBan. BeYepoM npou.eAYPY noBropHn. Ill raK HeAento. 4epe3 3 AHSI Ko>Ka no6enena 1-1 cne3na 6e36one3HeHHo. Tenepb Ko>Ka Ha pyKax 1-1 Horax YHCTaSI, a I1SITOYKH MSirKHe, KaK y MilaAeHu,a.
-----------------------------------~
DPODODMC
5I '!aCTO neYy nponOilHCOM pa3Hble HeAyrH. Or yAapos 1-1 naAeHHi1 Ha KO>Ke I10SIBI1SIIOTCSI CHHSIKI-1, ywH6neHHOe MeCTO onyxaeT 1-1 60I1HT. npi-1110>KHTe K ywH6neHHOM y Me cry KaK MO>KHO 6biCTpee YTO-HH6yAb XOIlOAHOe - neA, MeAHYIO MoHery. 5I AflSI raKHX cnyyaee roroento Ma3b. B 3ManHpoBaHHyto nocyAy KnaAy 200 r cee>Kero cnHBOYHoro Macna, craento Ha He6onbwoi1 oroHb 1-1 A06aBnstto 20 r H3MenbYeHHoro npononHca. KHnHYY 10 MHH., CHHMato c orHSI 1-1 npou,e>KHBato Yepe3 Mapnto. nonyYaeTCSI 3aMeYaTe11bHOe cpeACTBO OT ywH60B, CCaAHH, CI-1HSIKOB, HapbiBOB. HaHeCHTe Ma3b poBHbiM cnoeM Ha cancperKy 1-1 npHno>KHTe K 6onbHOMY Mecry. Aep>KHTe KoMnpecc 1,5-2 Y. Moi1 3HaKOMbli1 >KanosancH Ha ycranocrb B Horax or Manei1wei1 Harpy3KH- BapHK03Hoe pacwHpeHHe eeH. 5I eMy nocoBeroBana o6opaYHBaTb HOrH Ha HO"lb TKaHbiO, CMOYeHHOi1 B npononHcHoi1 Ma3H. 4epe3 ABa Mecstu,a neYeHHSI eMy crano nerYe. npononHC neYHT 1-1 6onb B ropne . 50 r nponon1-1ca 3anHBato raKHM >Ke KOilHYeCTBOM BOAKH, HaCTai-1Bato 7 AHei1 B TeMHOM MeCTe, npoU,e>KHBato. Ao6aBnSito B 100 r BOAbl 1/2 Y. n. Hacroi1KH 1-1 nonow,y ropno 1-2 pa3a B AeHb. Kypc neYeHHSI -3-5 AHei1.
3axap!.4eHKo A.B., r. K11cenescK
~------------------------------------
r------------------------------------
CrpaAato ocreoxoHAP030M y>Ke OKOilO AeCSITI-1 neT, B nocneAHHe roAbl neyycb Kanycroi1, 1-1 npoTeKaTb 3a6oneeaHHe crano B 6onee MSirKoi1 cpopMe. C KoYaHa KanycTbl 6enoKOYaHHOi1 CHSITb BepXHHi1 3eneHbli1 I1HCT, BbiMbiTb ero, yAanHTb c Hero roncTble >KHnKH, onyCTHTb Ha HeCKOilbKO ceKyHA B ropHYYto BOAY (40-60°C, He 6onbwe), BbiHYTb 1-1 cHoBa OKYHYTb, noeropSist 3To 3-4 pa3a. OcywHTb nHCT nonoreHu,eM 1-1 Hano>KHTb ero Ha 6oJ1bHOe MeCTO, 3aKpb1Tb cBepxy Mapnei1. KorAa 11HCT noreMHeer, npou.eAYPY noBropHTb c HOBbiM IlHCTOM.
A6yxosa f.1.M., r. flto6ep4bl
I
>KAaHOBa M.A., r. BonroAOHCK : I
I-
KaMeHosa E.O., r . EnbHJJ , I
I
·------------------------------------· -------------------------------------' ·------------------------------------· Aii-~·cMfi~EH~-~-KAillfi~-xoPOwa·n·~;:b"·roil~~-EE.Moii·oi<o~·-criEl.UAHHO"E·c··M~-HEPAili<o~~
................................................................................................................................................................................................................................................................................................................................................
nE~E6HbiE COBETbl ~UTATEnEU
fl)
.......•.................................................•
~
BHMMAHitE, HOHHVPC 11MOi CEHPET 3jlOPOBbRn Aopon~e
'IHTatenJ.d
I-13BeCTHO, "'TO 3AOpOBbe- CaMaS! BemtKaSl U,eHHOCTb YenoBeKa. 3AOpOBbe He KymtWb, He 06MeHSleWb, HO ero MO>KHO c6epeYb, yKpemtTb, noAnpaeHTb 11 eoccTaHOBHTb, noKa ew,e He n03AHO . Mbl yeepeHbl, "'TO y Ka>+<Aoro H3 sac eCTb nHYHbl~ onbiT neYeH~-tS;l Tex 111111 HHbiX HeAyroe, TaK Aaea~Te 11M Aen~-tTCSl Apyr c ApyroM. Mofl MaMa ceoi:i eapHK03 ne'IHna oreapoM KaprocpenbHOH wenyxH. Aa>+<e He cronbKO ne'IHna, cKonbKO rOBOpHna: AJlfl npocpHnaKTHKH eapHK03a 3TOT peu,enr Hy>t<eH. Bor y>+< AeHCTBHTenbHO, y pyccKoro 'lenoeeKa HH'Iero B X03flHCTBe He nponaAaer, ece e Aeno HAeT. Am npHroroeneHHfl neKapcrea HY>+<Ho : 100 r KaprocpenbHOH Ko>+<ypbl, 3 n BOAbl H 1 nHMOH. BapHre B Kacrptone KaprocpenbHyto Ko>t<ypy B Te'leHHe 20 MHH. 3aTeM nepeA CHOM nonapbTe B npHrOTOBneHHOM OTBape HOrH . YrpOM CMa>KbTe CTynHH COKOM CBe>t<ero nHMOHa, nOAO>KAHTe AO nonHoro BbiCblxaHHfl, H 3aTeM MO>t<HO HATH Ha pa6ory.
AApec AnSI nHCeM: >KHHCK, ajSl ~
606007,
BceM y'lacrHHKaM KOHKypca rapaHTHpoaaHI:tl ~eHHI:tle npH3bJ!
r-----------------------------------HAH DPABitDbHO 3AHADbiBITb HADDit
pacTeHHH. B03bMHTe nopOBHY cyWeHble U,BeTKH 6y3HHbl, nHCTbfl KpanHBbl, KOpeHb nerpyWKH H KOpy HBbl. Bee KOMnoHeHTbl H3Menb'IHTe 1-1 nepeMewai:ire. 1 cr. n. c6opa 3aBapHTe CTaKaHOM KHnflTKa H npOKHnflTHTe 5 MHH. Ha Cna60M OrHe . noTOM OCTaBbTe, 'IT06bl OTBap OCTbln. npHHHMaTb TaKOH OTBap HaAO no 2 CT. B AeHb. nHTb OTBap AOnro, HeCKOnbKO MeCflU,eB. 3aro noroM no'!yecTByeTe pa3HHu,y. CraHer HaMHoro ny1.1we, aprpHr 6onbwe He 6yAeT 6ecnoKoHTb.
HenpaeHnbHOe 3aKanbiBaHHe Mo>+<er Bbi3BaTb HenpHflTHble o~y ~eHHfl B o6naCTH rna3: 'IYBCTBO HHOpOAHOrO rena , 3YA H cne3oTe'leHHe. 3 TO npOHCXOAHT H3- 3a nepeA03HpOBKH npenapara, HapyweHHfl npaeHn H pe>t<HMa 3aKanbleaHHfl . M HorHe nau,HeHTbl Aei:icr eytor no npHHU,Hny «'!eM 6onbwe, TeM ny'!We », He 3aAyMbiBaflCb 0 TOM , 'ITO B Ka>t<AOH Kanne nOMHMO 11eKapcreeHHoro ee~ec r e a coAep>t<arcfl CTa6H11H3aTOpb1, KOHcepeaHTbl H KpaCHTenH , pa3Apa>t<ato~He KOHbtoHKTHBY . B pe3Ynbrare nOCTOflHHOH nepeA03HpOBKH MO>t<eT pa3BHTbCfl XpOHH'IeCKHH KOHbiOHKTHBHT . L!T06bl H36e>t<aTb nepeA03HpOBKH H HenpHflTHbiX o~y~eHHH , Heo6XOAHMO OTTflHYTb nanbU,eM HH>t<Hee BeKO B cpeAHei:i ero 1.1acrH H 3aKanaTb ecero OAHY Kannto CTOnbKO pa3 B AeHb, CKOnbKO peKOMeHAOBaHO epa'IOM. nocne Ka>t<AOrO 3aKanbiBaHHS1 XOpOWO CAe11aTb npHMO'IKY C HaCTOeM 3eneHOrO '!afl HnH U,BeTKOB Ka11eHAYnbl Ha 10-15 MHH.
oaHHMKOBa 0.11., r. BR3bMd
03eposa AHHa, r. Xa6aposcK
V136aBbTeCb OT 6oneH npH nOMO~H oreapa H3 u,ene6Horo c6opa
..•
..• :
••••.••.•.........•.•..•................•.....•...••..• :
---------~~-~-~~~-!~~~~-~~-'=~!:~~~~r-----------------------------------C&OP OT IPTPitTA
H~-t>+<eropoACKaSl o6n., r. ,0,3ep-
13.
•• •• ••• •
31DIIIt30 PTL Y ntoAeH B B03pacre H3-3a npo611eM C 3y6aMH, >KKT '!aCTO 803HHKaeT HenpHflTHbiH 3anax H30 pra. 5I B Ha'lane O'leHb KOMnneKco eana, a noTOM Haw11a cnoco6bl C 3THM 6opOTbCSI, H BaM nOACKa>+<y . 1. no110~HTe n0110CTb pra OTBap aMH H HaCTOflMH rpaB: - 3anei:ire 1 cT. n. H3Me11b'leHHo ro cyw e Horo KOpHfl aHpa, aHHca, THMbflHa no113y1.1ero HnH 2 cr. 11. 3Be po6ofl 1 cr. KHnSITKa , HacraHeai:ire noA KpbiWKOH 1, 5 1.1., no-. TOM npou,eAHTe H no11o~HTe por, noc11e eAbl. - Ha11ei:ire B Kacrptonto 2 cr. KHnflTKa, no110>t<HTe 1, 5 cr. 11. cy xHx U,BeTKOB poMaWKH anTe'IHOH, npoKHnflTHTe 5 MHH., npoU,eAHTe H no11 0 ~HT e por 5 pa3 B AeHb no 2 MHH. E>t<eAHeBHO roTOBbTe cee-
2. O cee>t<Hre AbiXaHHe cneu,HflMH H npflHOCTflMH: - n ocne eAbl H3Menb'IHTe BO pry Ky co'!eK HM6 Hp S1 H AOnro Aep>t<Hr e e r o no A Sl3b1KOM, noroM npornorHre . - n pon011 0~HTe p oT BOAOH H no>+<y~re HeCKOnbKO 3epeH KapAaMOHa , cyweHbiH 6a3H11HK H11H napy fl rOAOK MO>t<>t<eBe11bHHKa. Bonoxosa ArHecca, r. Ka3aHb 1:
-~--- ------------------------------....... . . . ............................................................................................................................ . ..................... .................................................................................................................................................................................................................................. -------------------------------------·
OT YW~6A ~ CllEAA HE OCTAHEfC51, ECJl~ nP~KflAD.biBATb K60JlbHOMY MEClY HAPE3AHHbl~ KPY)KI(AM~ KAPTO<l>Ellb.
-+
G) EllA, KOTOPAH IIE'IUT
0 Ha6oneaweM. ra3eTa-qenHTenloHHqa
r•••••••••••••••••••••••••••••• • ••··~
HawM 'IMTaTenM npMcnanM MHOrO nMC8M 0 3AOPOBOM o6pa3e lKH3HM. MHorMe rOA8MM MCKanM, '18M 6W38M8HMTb H8· AOeawMe neKapcTBa. H HawnM. Tenepb OHM 111.8APO AenRTCJI APyr c APyrOM ceKPeTaMMAOMawHei4 ameKM.
·----------------------------------' KOMnOT M36ABMT OT nMWHMX KMnOrPAMMOB I I
I
I _
I I I
I
I I
I
BH~KMHA nOACKA3KA
«KBAWA» AJlSI O&MEHA BELL\ECTB foTOBHTCfl «KBaWa» TaK. J.13Me11bYeHHble 8 MHKCepe H11H Ha repKe OBOW.H - CblpOH Kaprocpe11b, MOpKOBb, peAbKa H11H peAHCKa, Kanycra, nOMHAOpbl (xpeH, yKpon, nerpywKy K11aCTb no 1 YaHHOH 110>KKe Ha CTaKaH) 3a11HTb npOCTOKBaWeH H11H KecpHpOM. nepeMeWaTb, 3aKpb1Tb TKaHbiO H OCTaBHTb Ha 4-12 YaCOB. nepeA ynorpe611eHHeM A06aBHTb AaB11eHbiH YeCHOK H HeMHOrO 11Y· Ka. CbeCTb 6e3 x11e6a B reYeHHe AHfl 3 nopU,HH. nHTb MO>KHO 6e3 orpaHHYeHHfl Yepe3 Yac noc11e eAbl. B 3TOT AeHb 6o11bwe HHYero He eCTb. noaropHTb Yepe3 HeAe1110. A 3aTeM MO>KHO orpaHHYHTb ynorpe611eHHe 3TOH «KBaWH» OAHHM pa30M B AeHb (BMeCTO y>t<HHa) 1 pa3 a HeAe1110. 1-1 raK CAe11aTb 3-4 pa3a. «Kaawa» xopowo CTHMY11Hpyer o6MeH aew.ecra a opraHH3Me.
OYeHb MHOrHe cnpaw.-.aaiOT, KaK H36aBHTbCfl OT CYAOpor . Sl KOr- o Aa-TO TO>Ke crpaAa11a, HO nOTOM no noACKa3Ke BHYYKH cra11a ecrb TBOpor. cPapWHpyiO HM 611HHbl 1 CTpHnaiO nyAHHrH, neYeHbe, eM CO CMeTaHOH ..• 1-1 BOT y>t<e rpeTHH roA 6or MH11yer.
IO>KHHa J1. M., HH>Keropo,o,cKaJI o6n. -----------------------------------~
MOM CEKPETbl 3AOPOBbSI
B ca11aTbl, Aa H aoo6w.e K oaow.aM, oYeHb xopowo A06aB11fiTb pa311HYHble ceMeHa, opexH. Sl OYeHb 111061110 CeMeHa 11bHa, OHH acerAa ecrb y MeHH AOMa, H fl Yacro HX HCn011b3YIO. Ew.e 111061110 ceMeHa YHa. Sl Ae11al0 H3 HHX coyc Allfl canaroa, A06aa11Hfl 011HBKoaoe Mac11o. TaKoi:i coyc MO>KHO Ae11aTb H C CeMeHaMH 11bHa, HO OHH AaiOT K11eHKOCTb, 3TO He acerAa npHHTHO. A YHa npeapaw.aer >KHAKOCTH B >t<e11e, HO 3TY >Ke11eo6pa3HOCTb MO>KHO pery11HpOBaTb K011HYeCTBOM ceMf!H. noMeHbWe A06aa.-.re - coyc 6yAeT 6o11ee , >KHAKHM. 3ry 3anpaBKY fl HCn011b3YIO Allfl Ca11aTOB H11H Aa>Ke rOpH- : YHX OBOW.HbiX 61110A. :
Ha 3aarpaK eM Kaw.-., Koropble nepHOAHYecKH MeHHIO. Ao6aa11HIO B HHX Kypary, H310M, YepHOC11HB, HrOAbl no ce30HY. Yai:i MHe 3aMeHfleT 3HepreTHYeCKHH KOKTeH11b: n110Abl WHnOBHHKa, COK OAHOrO 1111MOHa, 1 Y. 11. MeAa. 06H3aTe11bHO B TeYeHHe AHfl CbeAaiO «6yrep6pOA» - KYCOK YepHoro x11e6a CMaYHBaiO B 1 Y. 110>KKe nOAC0111 HeYHOrO Mac11a, nocb1na10 py611eHbiM YeCHOKOM, 3e11eHbiO, MOpCKOH Kanycroi:i. YaepeHa, YTO ace 6o11e3HH 11eYarcH AYWeBHbiM HacrpoeM. Ec1111 YTO-ro He 11aAHTCfl, BHywaiO ce6e: «SI a6coniOTHO 3AOpoaa, 3TO MOfl >KH3HeHHafl OCHOBa», «Moe AaB11eHHe HAea11bHO, 120/80- 3TO peanbHO», «Bee MOH opraHbl pa6ora10r 6e3ynpeYHO- fl 1 cYacm.-.aa 6ecKoHeYHO». Bepa a Bb13AOpOB11eHHe, OnTHMHCTHYeCKHH Hacrpoi:i H311eYHBaiOT. J.1 HanOC11eAOK AaM HeCK011bKO coaeroa: ·• Ka>t<AbiH AeHb CbeAai:ire Harow.aK 100 r YepHoro BHHOrpaAa; e nepeA CHOM - 50 r HarypanbHOrO BHHOrpaAHOrO BHHa; • E>t<eAHeBHO >t<yi:ire KopoYKY 11HMOHa, ropCTOYKY H310Ma, npeAaapHTe11bHO 3aMOYHB ero BOAOH, BOAY ro>t<e MO>KHO BblnHrb; • CMewai:ire 5-6 11HMOHOB c u.eA- 1 poi:i, 0,511 MeAa, 5-6 ro11oaoK Yec- ! HOKaH npHHHMaHTe no 1 Y. 110>KKe : 3 pa3a a AeHb nepeA eAoH.
WaMHH fpHrOpHI':i, r. J1>KescK :
KHCflH4HHa HHHa, r. AHana :
Kpy<~HHHHa
J.136aBHTbCfl OT 11HWHHX KH110rpaMMOB nOMO>KeT KOMnOT H3 K11y6HHKH. 3a11eHTe 3QQ r CBe>KHX 4!rOA ABYMfl CTaKaHaMH BOAbl. noc- : 'TaBbTe Ha n11HTY H AOBeAHTe AO KH- : 1 neHHfl. Bap.-.re 10-15 MHHYT. OcryAHTe, OTO>KMHTe Yepe3 Mapmo H nei:ire no no11craKaHa YeTblpe pa3a a AeHb. K11y6HHKa HOpMa11H;3yer o6MeH aew.ecra, noMoraer BbiBeCTH 11HWHIOIO >KHAKOCTb H3 opraHH3Ma. B coYeraHHH c yMepeHHOCTbiO B eAe 3TO cpeACTBO noMo>t<eT o6pecn1 6b111y10 crpoi:iHOCTb.
MHWHHa MapHHa, r. Open ,
------------------------------------~
KAK AEP>KATb BEC BHOPME Hac11a>KAaTbCfl eAOH H He 6oHTbCfl 11HWHHX KH110rpaMMOB nOMO>KeT Kop.-.u,a. OrMepbre YeraepTb YaHHOH 110>KKH KOpHU,bl. 1-1MeHHO CT011bKO HY>KHO CbeAaTb B Ka>KAbiH npHeM nHUJ,H. Kop.-.u,a xopowo noMoraer ycaa.-.aarb caxap, KO ropbiH nocrynaer c n.-.w.ei:i. A 3HaYHT, y BaC He nOfiBfiTCfl HOBble >KHpOBble OTllO>KeHHfl.
6apcyKosa BaneHTHHa, r. TaraHpor ,
AnesrHHa, r. ropo,o,e4
·----------------------------------------------------------------------~
nonE3HbiE CAJlATbl
!
·-----------------------------------J ·------------------------------------·•
! I
r·········---------------------------------------------------------------------------------------------------------~
AHET A. AnSI 3Y&OB
'-lro HY>+<Ho ecrb, YT06bl coxpaHHTb Kpacory H 3AO· pOBbe 3y6oB? M o n OYHble npOAYKTbl, 3eneHb, OBOW,H, MOpenpOAYKTbl, Cblp . Kan b U,H~ H cpr op y KpennsltOT KOCTHYIO TKaHb, BHTaMHHbl HaCbiLLJ,aiOT AeCHbl CH· no~, M1-1Kp 03neMeHTbl OKa3biBaiOT CTHMynHpyiOLLJ,ee Ae~CTBHe Ha nonOCTb pra. no3TOMY np e >+<Ae Ye M BblnHBaTb nHWHHH CTaKaH ra3HpOBKH H 3aKyCbiBaTb ero nHpO>KHbiM, nOAyMaHTe , CTOHT n1-1 CHIOMHHyTHOe YAOBOnbCTBHe 6yAyLLJ,eH 6onH 1-1 cno >+<Horo n eYeHHfl 3y6oB.
PE>KMM nMTAHMS1 Y6ABMn MHE B03PACT C eHYac MHe 80. 3ro no nacnopry, HO cpH3HYecKH H AYXOBHO YYBCTBYIO ce6f! Ha 20-25 neT MOnO· >+<e. HHKaKHX ra6neroK He npHHHMaiO H K BpaYaM He o6paw.a10cb . A 30 ner Ha3aA HMen noBbiWeH- • HOe AaBneHHe, 6onH B o6nacTH cepAu.a, >t<KT. MoH nyTb K Hcu,eneHHIO 6bln AOnrHM H TPYAHbiM. Ha 3TOM nyrH nepeHec ABe onepau,HH no yAaneHHIO KarapaKTbl, 3aMeHe xpycranHKOB rna3 Ha HCKyccrBeHHble, 3aneYHn rpaBMbl, nonyYeHHble npH AOpo>+<HOH aBapHH. KorAa 6pocHn nHTb H KYPHTb3To 6bma MOfl nepBafl no6eAa HaA co6oH. I.Jro6bl OCTaHOBHTb npou,ecc CTapeHHfl opraHH3Ma H >KHTb 6e3 6one3HeH AO 100 ner H 6onee, pa3pa6oran Aflfl ce6fl onpeAeneHHble npaBHna, pe>+<HM AHfl: noAoeM B 7 YaCOB yrpa. BblnHBaiO ManeHbKHMH rnorKaMH 1-2 craKaHa xonOAHOH BOAbl. BblnonHfiiO 3apfiAKY H3 15 ynpa>+<HeHHH. 3aBrpaKa10 B 12 YacoB AHfl. EM cppyKTbl HnH canar H3 oeow.eH (cBeKna, cBe>Kafl Kanycra, MOpKOBb). 06eAa10 B 14 YaCOB (canaT, KaWH, cynbl, 6opw.). C 15 AO 17 YaCOB AHeBHOH COH. Y>+<HHaiO He n03AHee 18-19 YacoB ( canar, KaWH, KHCnOMOnOYHble npOAYKTbl, TbiKBa).
.,...
rpyHHH E. H., r. PJI3aHb
---------------------------------------------------·
r···-------·-·····------------·-·--··--·-····················
'4ECHOK MnYK .. nMKAHTHbiE .QOMAWHME CPE.QCTBA nE'fEHMR
«>KryYHH AY3T» nyKa c YecHOKOM - He ronbKO BenHKonenHOe AOnonHeHHe K caMbiM pa3HbiM KywaHbf!M. B cocraBe HapOAHbiX neKapCTBeHHbiX cpeACTB OHH o6naAaiOT nOHCTH· He YYAOTBOpHOH CHnOH: ynyYWaiOT nHLLJ,eBapeHHe, nOBbiWaIOT ConpOTHBnfleMOCTb opraHH3Ma K HHcpeKU,HfiM, npenfiTCTBYIOT o6pa30BaHHIO >KHpOBbiX 6nstWeK Ha CTeHKaX KpO· BeHOCHbiX cocyAoB. K MHoroYHcneHHbiM AOCTOHHCTBaM 3THX pacTeHHH OTHOCHTCfl H TO, 'ITO OHH yMeHbWaiOT TeHAeHU,HIO KpOBH K cryw.eHHIO. A 3TO 3HaYHT, YTO pHCK roro, 'ITO cryCTOK KpOBH MO>KeT 6nOKHpOBaTb H3HOWeHHble y>+<e aprepHH H Bbi3BaTb cepAeYHbiH npHCTyn HnH HeAOCTaTOYHOCTb, yMeHbwaercfl. He 3noynorpe6nstHTe HCnonb30BaHHeM YeCHOKa. 0AHOfO 3y6YHKa B AeHb BnonHe AOCTaTOYHO. I.Jro >+<e Kacaercst nyKa, ro ewbTe ero cronbKO, CKOnbKO BaM yrOAHO, npeA.,. nOYTHTenbHO B C bl· ''~·i-'--.. pOM BH~ Ae.
Hecpe,o,oaa AHHa, r. B. Hoaropo,o, , t
--···-----J
'.
.
~ Ctiiuwii dU Buo~ ~ tJ- «~u» utJquv-ii?
.. &'JA .,. v
...
>KeHa, KOrAa KOHCepiUfpyeT OBOlqH, A06aanSIIeT 8 6aHKH acnHpHH. He onaCHO nH JTO AnSI 3AO· pOBbSII!
J/1 ...I
TepeHTbea 11. C., r. MypoM
,...
Or au,erHncanHu,HnOBOH KHCnOTbl HHKaKoro BpeAa He 6yAeT. 6naroAapfl eH npOAYKT nyywe coxpaHsteTCfl B 6aHKe. KpoMe roro, Aflfl npocpHnaKTHKH cepAeYHo-cocyAHCTbiX 3a6oneBaHHH, rHnepTOHHH, creHoKapAHH 3TO Aa>+<e none3HO. noAo6Horo poAa npenaparbl no>+<Hnble nau,HeHTbl npHHHMaiOT, ecnH y HHX aprpo3, ocreoxoHAP03. KpoMe roro, A03HpOBKa acnHpHHa B «3aKpyrKe» Aflfl 3AOpoBoro opraHH3Ma Het J 3HaYHTenbHa. Ho ecnH y YenoBeKa ecTb fi3BeHHafl 6one3Hb, TO eMy HY>KHO 6b1Tb ocropo>KHbiM c acnHpHHOM, KaK H C OCTpbiMH H KHCnbl· MH OBOW.HbiMH KOHcepBaMH. TaK>+<e He HY>+<Ho 3noynorpe6nf!Tb KOHcepBHpoBaHHeM c acnHpHHOM niOAfiM C HHAHBHAyanbHOH HenepeHOCHMOCTbiO 3TOrO npenapara H reM, KTO crpaAaer 6pOHXHanbHOH aCTMOH.
----------------------------------------- - ----------------------------------------------- - ---------------BMEcf6-xii"E-6A---------- ~TE -cYXAfi~i<"Ci :
G COHPAHHH BEPll
0 Ha6oneaweM. ra3eTa-1.4enHTent.HH1.41
MOnHTBbl 05 HCU.EnEHHH TEnECHbiX HEAYrOB MonHTBbl o6 McqeneHHH 6one3HeH noMoratoT cnpasHtbCA c pa3nH'IHbiMH 3a6oneaaHHAMH, HO HYH<HO noMHHTb, 'ITO ne'fe6HbiH lcjlci:»eKT 6yAeT HBCTOnbKO CHftbHbiM, Ha CKOftbKO CHnbHa Bawa aepa.
r-················-························---
l l
MOnHTBA nPECBSITOH TPOHU.E (npH BCJIKOH 6one3HH)
:
0 npeMHnocep,D,b/H 6o>Ke, Or"'e, Cb/He
I
nECHb nPECBSITOH SOrOPOAHU.E necHb npeCBSlTOH 6orOpOAHL\e npOH3HOCHTCSl nepeA Ha"'anOM MOne6HOB nepeA 11KOHaMI1 6oropOA11L\bl. 6oropo,D,H4e ,aeso, pa,o,y.::icJI, 6naro,o,arHaJ/ MapHe, rocnO,D,b c To6o10/ 6narocnoseHHa Tbl s >KeHax H 6narocnoseH nno,o, 1.1pesa Tsoero , RKO Cnaca po,o,Hna ecH ,o,yw Haw~-tx.
·------------------------------------------------------------------r··-------------·--·-------------------··-----------·---·-----··--MOnHTBA nPEA HKOHOIO SOrOPOAHU.bl «U.EnHTEnbHHU.A)) (npH act~KOH 6one3HH) npHMH, 0 Bce6narocnoseHHaJI H BceMO~HaR focno>Ke Bnap,bi"'H4e 6oropo,D,I-14e ,aeso, CHJ/ MOnHTSbl, CO cne3aMH Te6e HbiHe npHHOCHMbiJ/ OT HaC 1 He,D,OCTOHHb /X pa6 TsoHx , KO TsoeMy 4enb6oHOCHOMY o6pa3y ne-
l H CsRTbli1 ,aywe, s Hepa3,o,enbHOi1 Tpom~e : noKnOHJ/eMbli1 H cnasHMbli1, npH3pH 6na• royrpo6Ho Ha pa6a Tsoero (HMR), 6one3Hel0 o,o,ep>KHMaro; ornycrH eMy scJ/ corpeweHHJ/ ero; no,o,ai1 eMy 1<1C4eneH1-1e or 6one3HI-1; so3parl-1 eMy 3,o,pas1-1e 1-1 c1-1nb1 reneCHbiR; no,o,ai1 eMy ,o,onro,o,eHcrseHHOe H 6naro,o,eHCTSeHHOe >KI-1TI-1e, M1-1pHble Tso~-1 1-1 np1-1M1-1pHble 6nara, "'T06bl OH sMecre c HaMI-1 np1-1HOCI-1n 6naro,o,apHble MOnb6bl Te6e , Bce~e,o,poMy 6ory 1-1 Co3,o,arenl0 MOeMy. npeCSJ/TaJ/ 6orop0,0,1-14a, SCeCI-1flbHb/M 3acrynneHI-1eM TsoHM noMorl-1 MHe yMoni-1Tb Cb/Ha Tsoero, 6ora Moero, o6 1<1C4eneH1<11<1 pa6a 6o>KI-1J/ ( I-1MR) . Bee CSJ/Tb/e 1-1 aHrenbl focnO,D,HI-1 1 MOflHTe 6ora o 6onbHOM pa6e Ero ( I-1MR). AMI-1Hb.
HHe
1---------------------------------------------J MOnHTBA KO rocnOAY (npH BCJIKOH 6one3HH) Mom1rsa npo113H001TCSl AOMa nepeA 11KOHoi1 CnacHrenSl 11n11 c 11KOHoi1 Cnac11renS1 , eroS! y 113ronOBbSl 6onbHoro, 11n11 B xpaMe B Te"!eHHe scei1 6one3HH. Bna,D,biKO Bce,o,ep>K1-1ren10, CsRTbli1 L{ap10 , HaKa3yRi1 1-1 He yMep~snRRi1, yrsep>K,O,aRi1 Hl-13na,o,ai0~1-1J/ 1 S03SO,D,Jii1 HI-13Sep>KeHHb/J/1 renecHbiJ/ "'enoseKos cKop61-1 I-1CnpasnRR 1-1, MOflHMCJ/ Te6e, 6o>Ke Haw, pa6a Tsoero (1-1MR), HeMo~crsy10~a nocer~-1 M1<1nocr1-110 Tsoe10, npocr~-1 eMy scRKoe corpeweHHe, sonbHOe 1-1 HesonbHoe . Ei1, rocno,o,H, spa"'e6Hyl0 Tso/0 CHny c He6ece Hl-13nocnl-1, np1-1KOCHI-1CJ/ renec~-1, yrac~-1 OrHeS1-14y, yKpOTI-1 CTpaCTb 1-1 SCJIKYIO HeMO~b raR~YIOCR , 6y,o,1-1 spa"' pa6a Tsoero (HMR) , so3,o,s1-1rH1-1 ero or o,o,pa 6one3HeHHaro, 1-1 or no>Ka o3no6neHI-1J/ 4ena 1-1 scecosepweHHa, ,o,apy.::i ero L{epKsl-1 Tsoe.::i 6naroyro>K,o,a10~a 1-1 rsopR~a son10 1 : Tso10, Tsoe 6o ecrb, e>Ke M1<1nosar1-1 1-1 cnacar~-1 Hbl , 6o>Ke Haw, H Te6e cnasy so3Cbl: naeM. Or4y 1-1 CbiHY 1-1 CsRTOMY ,ayxy, Hbl1 : He 1-1 np1-1cHo 1-1 so seKI-1 seKos. AMI-1Hb.
l
S03Cblnai0~1-1X
co YMHneHHeM , RKO Te6e CaMol1 3,D,e cy~ei1 1-1 sHeMniO~ei1 MOfleHHIO HaWeMy. no KOeM>K,D,H 60 npoWeHI-110 HcnonHeHHe TS0p1-1WH, CKOp61-1 o6ner1.1aew1-1, HeMO~Hb/M
3,0,pasHe
,o,apyewe , paccna6neHHbiJ/ 1-1 He,o,y>KHb/J/ HC4enJ1eWH 1 OT 6ecHb/X 6ecbl nporoHReWH , 061-1,D,I-1Mb/J/ OT 1-1,11, H36asnRSWH, npoKa>KeHHbiJ/ O"'H~ae1 WH H Maflb/J/ ,D,eTI-1 MHnyewH; e~e >Ke foc no>Ke Bna,D,bl"'l-14e 6oropo,O,H4e, H or y3 "' reMHH4 cso6o>K,o,aewl-1 H scRKHJ/ MHoropa3nH"'HbiJ/ crpacrH spa1.1yewH: scR 6o cyrb so3MO>KHa xo,o,ara.::icrsoM Tso1-1M K CbiHY TsoeMy, Xp1-1CTY 6ory HaweMy. 0 BceneraJI MaTI-1, npeCSJITaJI 6oropo,0,1-14e! He npecrai1 MOnHTHCJ/ o Hac He,o,ocroi1HbiX pa6ax Tso1-1x, cnasR~HX TR "' no"'HTaiO~HX TR , H noKnOHJ/10~HXCJ/ c YMI-1neHI-1eM npe"'HCTOMY o6pa3y TsoeMy, "'Ha,o,e>K,o,y HMY~HX HeS03SparHy"' sepy HecyMneHHY K Te6e, npHCHO,D,ese npecnasHei1"' Henopo"1Hel1, Hb/He"' npHCHO H so seKI-1 se- I KOS. AMHHb. :
·---···------------------------------------------------------------J r----·--·--·-·-·-------·-·--------······----····-··················· : I
Tponapa., rnac 4
l I
: SIKO npecsernaJI 3se3,D,O, npOCHJ/ 6o>KecrseHHb/MI-1 "'y,D,eCb/ : : CSJ/Tb/H Tso.::i o6pa3 L{enHrenbHH4e. no ,o,a>K,D,b y6o"' HaM, 6oro-: I I :I po,D,H4e MapHe, HC4eneHHe He,o,yros ,o,ywesHbiX H reneCHbiX, 1I : 1 cnaceHHe H sen~-110 MHnocrb.
·---------------------------------------------- ~------------------------------------------------------------------J Cnet.UibtnycK c100 pe~enToa 3,Qopoab~ AnA aceM C8MbM» Nl4. Q H86o.nBBWBM. f83eT8-~9nlofTMbHio1~8 . HoR6pb 2019 r. 3aKa3 Nl:l1427. Tlo1pa>K: 16000 3K3. y.,.peAMTen b: fopRea IOpM~ BanepbeBiofl.(. rn. peABKTop: 6ynaroa A. A. HoMep OQAnHC8H B OEII.(8Tb: 25.10.2019 r. 16+ ,qara awxo,t:~a a caer: 05.11 .2019 r. Ll,&Ha cao6oAHaR . Blof.A n~ aTM- o¢>ceTHaR.
8
+-
A,Qpec p8A8 K ~M M , Hl,QaTentt : Pocau1cKaR ¢Je.Qepat.~HR, 606037, HM*BroPQACKSR OOn .• r. ,Qaep>KMHCK, yn . nerpl-1uteaa, 35-12. A.Apec All" nMceM: 606007, HM>KBroPQACKaR OOn., r: ,Qaep*HHCK, a/A 13. A,Qpec TMnorpaq,MM : HH*BroPQACKaA o6n. , r. ,Qaep*lo1HCK, yn . neTJ>MU,4Bea, 35. OTAen np<>AU<: Ten. (831) 322-31-22, 3n. 110'<TB: lzd@postpp .ru . i.I13,A8HVI8 38p8rMCTplilpo88HO ¢1QABpailbHO~ Cll)'>K6oM no H8A30PY B $pe M8CCOBbiX KOMM)'HMK8l.IMI1 , caAJM "' oxpaHbl ~cynbrypHoro HaCile.o,HA. Calof,AerenbCTBO o perMcrpattHH CMI.I1 nt.1 Nil 4>C77-30504 OT 5 ABK86pR 2007 r: MHBHHB p8A8KI.IIo1M MO>KBT HB COBna,QBTb C MHBHMBM 8BTOpoB ny6nHK81.4MH. Bee peKilaMHpyeMbiB rosapbl H YCI1Yf1'1 OOAflB>K8T o6R38TBI1bHO~ cepn1<PHK8LIHH.