2 курс / Гистология / Гистология_пищеварительной_системы
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Ʉɨɧɫɩɟɤɬ ɫ ɡɚɧɹɬɢɣ ɥɭɱɲɟɝɨ ɩɪɟɩɨɞɚ ɋɟɱɟɧɨɜɫɤɨɝɨ ɭɧɢɜɟɪɫɢɬɟɬɚ ±
Ȼɨɪɨɧɢɯɢɧɨɣ Ɍɚɬɶɹɧɵ ȼɥɚɞɢɦɢɪɨɜɧɵ
ɉɂɓȿȼɈȾ
ɬɢɩɢɱɧɚɹ ɱɚɫɬɶ ɩɢɳɟɜɚɪɢɬɟɥɶɧɨɣ ɬɪɭɛɤɢ ɫɤɥɚɞɤɢ ɨɛɪɚɡɨɜɚɧɵ ɫɥɢɡɢɫɬɨɣ ɢ ɩɨɞɫɥɢɡɢɫɬɨɣ
ɋɅɂɁɂɋɌȺə ɈȻɈɅɈɑɄȺ
ɋɥɨɢ
-ɦɧɨɝɨɫɥɨɣɧɵɣ ɩɥɨɫɤɢɣ ɧɟɨɪɨɝɨɜɟɜɚɸɳɢɣ ɷɩɢɬɟɥɢɣ ɷɤɬɨɞɟɪɦɚɥɶɧɵɣ ɩɨ ɩɪɨɢɫɯɨɠɞɟɧɢɸ
-ɫɨɛɫɬɜɟɧɧɚɹ ɩɥɚɫɬɢɧɤɚ ɫɥɢɡɢɫɬɨɣ ɩɪɨɯɨɞɹɬ ɧɟɪɜɵ ɢ ɫɨɫɭɞɵ .
-ɦɵɲɟɱɧɚɹ ɩɥɚɫɬɢɧɤɚ ɫɥɢɡɢɫɬɨɣ ɝɥɚɞɤɚɹ ɦɵɲɟɱɧɚɹ ɬɤɚɧɶ ɩɭɱɤɢ ± ɜɞɨɥɶ ɨɪɝɚɧɨɜ ± ɜ ɩɢɳɟɜɨɞɟ ɗɬɨ ɩɨɞɫɥɢɡɢɫɬɚɹ ɨɫɧɨɜɚ ȼ ɟɺ ɫɨɫɬɚɜɟ ± ɠɟɥɟɡɵ ɋɨɛɫɬɜɟɧɧɵɟ ɠɟɥɟɡɵ ɩɢɳɟɜɨɞɚ ± ɫɥɨɠɧɵɟ ɪɚɡɜɟɬɜɥɟɧɧɵɟ ɚɥɶɜɟɨɥɹɪɧɵɟ ɠɟɥɟɡɵ ɜɵɪɚɛɚɬɵɜɚɸɬ ɫɥɢɡɶ ± ɨɛɥɟɝɱɟɧɢɟ ɩɪɨɞɜɢɠɟɧɢɹ ɩɢɳɢ .
ɆɕɒȿɑɇȺə ɈȻɈɅɈɑɄȺ
ɫɥɨɹ ɦɟɠɞɭ ɧɢɦɢ ± ɝɚɧɝɥɢɣ ɦɟɠɦɵɲɟɱɧɨɝɨ ɧɟɪɜɧɨɝɨ ɫɩɥɟɬɟɧɢɹ
ɇɚɪɭɠɧɵɣ ɫɥɨɣ ± ɫɨɟɞɢɧɢɬɟɥɶɧɚɹ ɬɤɚɧɶ ± ɚɞɜɟɧɬɢɰɢɹ Ƚɚɧɝɥɢɣ ɥɟɠɢɬ ɜ ɚɞɜɟɧɬɢɰɢɚɥɶɧɨɣ ɨɛɨɥɨɱɤɟ ȿɫɥɢ ɫɨɟɞɢɧɢɬɟɥɶɧɚɹ ɬɤɚɧɶ ɩɨɤɪɵɜɚɟɬɫɹ ɦɟɡɨɬɟɥɢɟɦ ɬɨ ɷɬɨ ɛɭɞɟɬ ɫɟɪɨɡɚ ɉɢɳɟɜɨɞ ɢɦɟɟɬ ɫɟɪɨɡɭ ɦɚɥɟɧɶɤɢɣ ɤɭɫɨɱɟɤ ± ɩɪɨɛɨɞɚɟɬ ɞɢɚɮɪɚɝɦɭ ɢ ɢ ɭɯɨɞɢɬ ɜ ɛɪɸɲɧɭɸ ɩɨɥɨɫɬɶ - ɋȿɊɈɁɇȺə ɈȻɈɅɈɑɄȺ
Ʉɪɨɜɟɧɨɫɧɵɟ ɫɨɫɭɞɵ ɩɪɢɫɭɬɫɬɜɭɸɬ ɜɨ ɜɫɟɯ ɨɛɨɥɨɱɤɚɯ ɫɚɦɵɟ ɤɪɭɩɧɵɟ ± ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ ȼ ɫɥɢɡɢɫɬɨɣ ɨɛɨɥɨɱɤɟ ɫɨɫɭɞɵ ɩɪɢɧɚɞɥɟɠɚɬ ɦɢɤɪɨɰɢɪɤɭɥɹɬɨɪɧɨɦɭ ɪɭɫɥɭ ȿɫɥɢ ɹɡɜɚ ɜ ɫɥɢɡɢɫɬɨɣ ɬɨ ɤɪɨɜɢɬ ɧɟɦɧɨɝɨ ɚ ɟɫɥɢ ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ ɬɨ ɦɨɠɟɬ ɪɚɡɪɭɲɢɬɶ ɤɪɭɩɧɵɟ ɫɨɫɭɞɵ -> ɤɪɨɜɨɬɟɱɟɧɢɟ ɉɪɨɛɨɞɧɚɹ ɹɡɜɚ ± ɬɨɥɶɤɨ ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ
ɊɈɌɈȼȺə ɉɈɅɈɋɌɖ
ɈɋɈȻȿɇɇɈɋɌɂ ɋɌɊɈȿɇɂə ɊɈɌɈȼɈɃ ɉɈɅɈɋɌɂ
xɗɩɢɬɟɥɢɣ ± ɦɧɨɝɨɫɥɨɣɧɵɣ ɩɥɨɫɤɢɣ ɱɚɫɬɢɱɧɨ ɨɪɨɝɨɜɟɜɚɸɳɢɣ ɥɢɲɶ ɜ ɧɟɤɨɬɨɪɵɯ ɦɟɫɬɚɯ ɜɟɪɯɧɹɹ ɩɨɜɟɪɯɧɨɫɬɶ ɹɡɵɤɚ ɬɜɟɪɞɨɟ ɧɟɛɨ ɜ ɨɛɥɚɫɬɢ ɞɟɫɧɵ ɤɪɚɫɧɚɹ ɤɚɣɦɚ ɝɭɛ ɷɤɬɨɞɟɪɦɚɥɶɧɨɝɨ ɩɪɨɢɫɯɨɠɞɟɧɢɹ
xɈɪɬɨɤɟɪɚɬɨɡ ± ɞɟɫɤɜɚɦɚɰɢɹ ɫɥɭɳɢɜɚɧɢɟ ɪɨɝɨɜɵɯ ɱɟɲɭɟɤ
xɉɚɪɚɤɟɪɚɬɨɡ ± ɜ ɩɨɜɟɪɯɧɨɫɬɧɨɦ ɫɥɨɟ ɧɟ ɪɨɝɨɜɵɟ ɱɟɲɭɣɤɢ ɚ ɦɟɪɬɜɵɟ ɤɥɟɬɤɢ ɫ ɹɞɪɚɦɢ ɷɬɨ ɧɨɪɦɚ ɞɥɹ ɪɨɬɨɜɨɣ ɩɨɥɨɫɬɢ ɩɚɬɨɥɨɝɢɹ ± ɞɥɹ ɤɨɠɢ
xɉɨɞɫɥɢɡɢɫɬɚɹ ± ɜ ɧɟɤɨɬɨɪɵɯ ɭɱɚɫɬɤɚɯ ɟɫɬɶ ɬɜɟɪɞɨɟ ɧɟɛɨ ɚ ɜ ɧɟɤɨɬɨɪɵɯ ɧɟɬɞɟɫɧɚ
xɋɤɟɥɟɬɧɚɹ ɦɵɲɟɱɧɚɹ ɬɤɚɧɶ ± ɟɸ ɨɛɪɚɡɨɜɚɧɚ ɦɵɲɟɱɧɚɹ ɨɛɨɥɨɱɤɚ
xɇɚɪɭɠɧɚɹ ɨɛɨɥɨɱɤɚ ɤɚɤ ɬɚɤɨɜɚɹ ɨɬɫɭɬɫɬɜɭɟɬ ȿɟ ɫɨɟɞɢɧɢɬɟɥɶɧɚɹ ɬɤɚɧɶ ɜɧɟɞɪɹɟɬɫɹ ɦɟɠɞɭ ɦɵɲɟɱɧɵɦɢ ɩɭɱɤɚɦɢ
xɆɧɨɝɨ ɦɟɥɤɢɯ ɫɥɸɧɧɵɯ ɠɟɥɺɡ ɳɺɤɢ ɝɭɛɵ ɹɡɵɤ ɢ ɬɞ ɋɥɸɧɧɵɟ ɠɟɥɟɡɵ ɨɛɵɱɧɨ ɪɚɫɩɨɥɚɝɚɸɬɫɹ ɦɟɠɞɭ ɩɭɱɤɚɦɢ ɦɵɲɰ ɢɥɢ ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ.
xɏɨɪɨɲɨ ɪɚɡɜɢɬɚɹ ɥɢɦɮɨɢɞɧɚɹ ɬɤɚɧɶ ɥɢɦɮɨɷɩɢɬɟɥɢɚɥɶɧɨɟ ɝɥɨɬɨɱɧɨɟ ɤɨɥɶɰɨ ± ɦɢɧɞɚɥɢɧɵ
ɉɊȿɉȺɊȺɌ ± əɁɕɄ
-ɧɢɬɟɜɢɞɧɵɟ ɫɨɫɨɱɤɢ
-ɫɨɫɨɱɤɢ ± ɜɵɪɨɫɬɵ ɫɥɢɡɢɫɬɨɣ
-ɷɩɢɬɟɥɢɣ ɧɢɬɟɜɢɞɧɵɯ ɫɨɫɨɱɤɨɜ ± ɨɪɨɝɨɜɟɜɚɸɳɢɣ -> ɜ ɧɢɯ ɧɟɬ ɜɤɭɫɨɜɵɯ ɩɨɱɟɤ
-ɫɨɛɫɬɜɟɧɧɚɹ ɩɥɚɫɬɢɧɤɚ ɫɥɢɡɢɫɬɨɣ ɫɪɚɡɭ ɥɟɠɢɬ ɧɚ ɦɵɲɟɱɧɨɣ
-ɧɢɠɧɹɹ ɩɨɜɟɪɯɧɨɫɬɶ ɝɥɚɞɤɚɹ ɫɨɫɨɱɤɨɜ ɧɟɬ ɩɨɤɪɵɬɚ ɧɟɨɪɨɝɨɜɟɜɚɸɳɢɦ ɷɩɢɬɟɥɢɟɦ, ɦɵɲɟɱɧɚɹ ɩɥɚɫɬɢɧɤɚ ɨɬɫɭɬɫɬɜɭɟɬ
-ɛɨɥɶɲɢɟ ɜɟɧɵ ± ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ ɧɢɠɧɟɣ ɩɨɜɟɪɯɧɨɫɬɢ ɹɡɵɤɚ ɩɪɢɠɚɬɵ ɤ ɦɵɲɰɚɦ
ЁI. Ё
ɋɅɘɇɇɕȿ ɀȿɅȿɁɕ
ɋɥɸɧɚ ± ɷɬɨ ɥɢɡɨɰɢɦ ɛɚɤɬɟɪɢɰɢɧ ɚɦɢɥɚɡɚ ɦɚɥɶɬɚɡɚ ȿɫɥɢ ɟɫɬɶ ɛɟɥɤɢ ɡɧɚɱɢɬ ɤɨɧɰɟɜɵɟ ɨɬɞɟɥɵ ɠɟɥɺɡ ɢɦɟɸɬ ɛɟɥɨɤ-ɩɪɨɞɭɰɢɪɭɸɳɢɟ ɤɥɟɬɤɢ ɫɟɤɪɟɬɢɪɭɸɬ ɷɬɢ ɛɟɥɤɢ ɋɥɸɧɚ ɫɨɞɟɪɠɢɬ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧ ɤɥɚɫɫɚ Ⱥ ɢɡ ɩɥɚɡɦɨɰɢɬɨɜ ɂɡ ɫɨɟɞɢɧɢɬɟɥɶɧɨɣ ɬɤɚɧɢ ɨɧɢ ɬɪɚɧɫɩɨɪɬɢɪɭɸɬɫɹ ɜ ɫɥɸɧɭ Ⱥ ɫɟɤɪɟɬɨɪɧɵɟ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɵ ɧɚɯɨɞɹɬɫɹ ɜ ɫɟɤɪɟɬɚɯ ɜ ɫɥɸɧɟ ɜ ɦɨɥɨɤɟ ɋɥɸɧɚ ɜɹɡɤɚɹ ɬɚɤ ɤɚɤ ɬɚɦ ɟɫɬɶ ɫɥɢɡɶ ɷɬɨ ɝɥɢɤɨɩɪɨɬɟɢɧ . Ɉɛɥɚɞɚɟɬ ɫɥɚɛɨɳɟɥɨɱɧɨɣ ɪɟɚɤɰɢɟɣ ɞɥɹ ɮɟɪɦɟɧɬɨɜ
ɋɥɸɧɧɵɟ ɠɟɥɟɡɵ ± ɫɥɨɠɧɵɟ ɚɥɶɜɟɨɥɹɪɧɵɟ ɪɚɡɜɟɬɜɥɟɧɧɵɟ ɬɪɭɛɱɚɬɵɟ ɤɚɩɫɭɥɵ ɬɪɚɛɟɤɭɥɵ ɫɨɫɭɞɵ ɞɨɥɶɤɢ ɫɨɫɬɨɹɳɢɟ ɢɡ ɠɟɥɟɡɢɫɬɨɝɨ ɤɨɦɩɨɧɟɧɬɚ ɢ ɜɧɭɬɪɢɞɨɥɶɤɨɜɨɣ ɫɨɟɞɢɧɢɬɟɥɶɧɨɣ ɬɤɚɧɢ ɫɨɞɟɪɠɢɬ ɩɥɚɡɦɨɰɢɬɵ ɤɨɬɨɪɵɟ ɩɪɨɞɭɰɢɪɭɸɬ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧ ɢ ɡɚɬɟɦ ɜɵɞɟɥɹɸɬɫɹ ɜ ɫɥɸɧɭ
ɀɟɥɟɡɢɫɬɵɣ ɤɨɦɩɨɧɟɧɬ ɞɨɥɶɤɢ ± ɷɬɨ ɤɨɧɰɟɜɵɟ ɨɬɞɟɥɵ ɚɰɢɧɭɫɵ ɛɟɥɤɨɜɵɟ ɫɦɟɲɚɧɧɵɟ ɫɥɢɡɢɫɬɵɟ ɢ ɬɢɩɚ ɩɪɨɬɨɤɨɜ ɜɧɭɬɪɢɞɨɥɶɤɨɜɵɯ ɜɫɬɚɜɨɱɧɵɣ ɢ ɢɫɱɟɪɱɟɧɧɵɣ
ɋɟɪɨɡɧɵɣ ɨɬɞɟɥ белĸовый ацинус
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Ʉɥɟɬɤɢ-ɫɟɪɨɰɢɬɵ ɩɪɨɫɜɟɬ ɧɟɛɨɥɶɲɨɣ ɬ ɤ ɤɥɟɬɤɢ ɜɵɫɨɤɢɟ ɐɢɬɨɩɥɚɡɦɚ ɛɚɡɨɮɢɥɶɧɚ ɦɧɨɝɨ ɝɪɚɧɭɥɹɪɧɨɣ ɗɉɋ əɞɪɚ ɦɢɨɷɩɢɬɟɥɢɹ ɷɤɬɨɞɟɪɦɚɥɶɧɨɟ ɩɪɨɢɫɯɨɠɞɟɧɢɟ əɞɪɚ ɤɪɭɝɥɵɟ
ɋɥɢɡɢɫɬɵɣ ɨɬɞɟɥ
əɞɪɚ ɩɪɢɠɚɬɵ ɤ ɛɚɡɚɥɶɧɨɣ ɦɟɦɛɪɚɧɟ Е-ɉɪɨɫɜɟɬ ɩɨɛɨɥɶɲɟ
ɰɢɬɨɩɥɚɡɦɚ ɫɨɞɟɪɠɢɬ ɦɧɨɝɨ ɝɪɚɧɭɥ ɫɥɢɡɢɫɬɵɯ ɫɜɟɬɥɚɹ ɰɢɬɨɩɥɚɡɦɚ ɉɪɚɤɬɢɱɟɫɤɢɟ ɧɟ ɨɤɪɚɲɢɜɚɟɬɫɹ
ɋɦɟɲɚɧɧɵɣ ɤɨɧɰɟɜɨɣ ɨɬɞɟɥ ɫɥɢɡɢɫɬɨ-ɛɟɥɤɨɜɵɣ
Ȼɟɥɤɨɜɨɟ ɩɨɥɭɥɭɧɢɟ !ɋɥɢɡɢɫɬɵɟ ɤɥɟɬɤɢ ɨɛɪɚɡɭɸɬ ɨɬɞɟɥ
же ÷ ɋɟɪɨɡɧɵɟ ɫɨɛɢɪɚɸɬɫɹ ɜ ɛɟɥɤɨɜɨɟ ©ɩɨɥɭɥɭɧɢɟª
ɉɪɨɬɨɤɢ: ɜɧɭɬɪɢɞɨɥɶɤɨɜɵɟ ɢ ɦɟɠɞɨɥɶɤɨɜɵɟ ɜɵɫɬɥɚɧɵ ɦɧɨɝɨɫɥɨɣɧɵɦ ɷɩɢɬɟɥɢɟɦ ɜɩɚɞɚɸɬ ɜ ɝɥɚɜɧɵɣ ɩɪɨɬɨɤ .
Ɏɭɧɤɰɢɢ ɜɧɭɬɪɢɞɨɥɶɤɨɜɵɯ ɩɪɨɬɨɤɨɜ
xɌɪɚɧɫɩɨɪɬɢɪɭɸɬ ɫɟɤɪɟɬ ɢɡ ɚɰɢɧɭɫɚ ɞɚɥɶɲɟ
xɍɱɚɫɬɜɭɸɬ ɜ ɞɨɪɚɛɨɬɤɟ ɫɥɸɧɵ ɤɨɧɰɟɧɬɪɢɪɭɸɬ ɫɥɸɧɭ ɪɟɝɭɥɢɪɭɸɬ ɩɨɬɧɵɣ ɫɨɫɬɚɜ
xɊɟɝɭɥɢɪɭɸɬ ɤɚɦɛɢɚɥɶɧɭɸ ɡɨɧɭ ɜɨ ɜɧɭɬɪɢɞɨɥɶɤɨɜɵɯ ɩɪɨɬɨɤɚɯ ɪɚɫɩɨɥɚɝɚɟɬɫɹ ɤɚɦɛɢɣ
xɌɚɦ ɷɧɞɨɤɪɢɧɧɵɟ ɤɥɟɬɤɢ ɞɢɮɮɭɡɧɨɣ ɫɢɫɬɟɦɵ ɫɟɤɪɟɬɢɪɭɸɬ ɪɚɡɥɢɱɧɵɟ ɝɨɪɦɨɧɵ
xɌɪɚɧɫɩɨɪɬɢɪɭɸɬ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɵ ɜ ɫɥɸɧɭ ± ɷɬɚ ɮɭɧɤɰɢɹ ɩɪɢɫɭɳɚ ɫɟɪɨɡɧɵɦ ɤɨɧɰɟɜɵɦ ɨɬɞɟɥɚɦ Ɉɧɢ ɫɟɤɪɟɬɢɪɭɸɬ ɫɩɟɰ ɝɥɢɤɨɩɪɨɬɟɢɧ-ɩɟɪɟɧɨɫɱɢɤ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɚ ɱɟɪɟɡ ɰɢɬɨɩɥɚɡɦɭ ɤɥɟɬɨɤ ɜ ɫɥɸɧɭ
ȼɫɬɚɜɨɱɧɵɣ ɩɪɨɬɨɤ ± ɧɚɱɚɥɶɧɵɣ ɟɫɥɢ ɫɟɪɨɡɧɵɣ ɤɨɧɰɟɜɨɣ ɨɬɞɟɥ ɬɨ ɜɫɬɚɜɨɱɧɵɣ ɩɭɬɶ ɚ ɟɫɥɢ ɫɦɟɲɚɧɧɵɣ ɢɥɢ ɫɥɢɡɢɫɬɵɣ ɬɨ ɜɫɬɚɜɨɱɧɵɣ ɩɪɟɜɪɚɳɚɟɬɫɹ ɜ ɫɥɢɡɢɫɬɵɟ ɤɥɟɬɤɢ ɨɫɥɢɡɧɹɟɬɫɹ Ʉɥɟɬɤɢ ɤɭɛɢɱɟɫɤɢɟ ɰɢɬɨɩɥɚɡɦɚ ɛɚɡɨɮɢɥɶɧɚ ɦɢɨɷɩɢɬɟɥɢɣ ɩɪɢɫɭɬɫɬɜɭɟɬ ɜɫɬɚɜɨɱɧɵɣ ɩɪɨɬɨɤ ɩɨɦɨɝɚɟɬ ɜɵɞɟɥɟɧɢɸ ɫɟɤɪɟɬɚ
ȼɫɬɚɜɨɱɧɵɣ ɩɪɨɬɨɤ ± ɤɚɦɛɢɚɥɶɧɚɹ ɡɨɧɚ ɢɦɟɟɬɫɹ ɬɚɦ ɤɚɦɛɢɣ ɢ ɞɥɹ ɚɰɢɧɭɫɨɜ ɢ ɞɥɹ ɩɪɨɬɨɤɨɜ ȼɫɬɚɜɨɱɧɵɣ ɩɟɪɟɯɨɞɢɬ ɜ ɫɥɟɞɭɸɳɢɣ ɲɢɪɨɤɢɣ
ɂɫɱɟɪɱɟɧɧɵɣ ɩɪɨɬɨɤ
Штаб : |
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ɇɚ ɫɪɟɡɟ ɛɨɥɶɲɨɣ ɢɫɱɟɪɱɟɧɧɵɣ ɤɥɟɬɤɢ ɜɵɫɨɤɢɟ |
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÷ |
ɰɢɬɨɩɥɚɡɦɚ ɷɨɡɢɧɨɮɢɥɶɧɚɹ ɹɞɪɚ ɤɪɭɝɥɵɟ |
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ɂɫɱɟɪɱɟɧɧɨɫɬɶ ± ɩɨɬɨɦɭ ɱɬɨ ɭ ɤɥɟɬɨɤ ɟɫɬɶ ɛɚɡɚɥɶɧɚɹ ɢɫɱɟɪɱɟɧɧɨɫɬɶ
Ʉɥɟɬɤɚ ɥɟɠɢɬ ɧɚ ɛɚɡɚɥɶɧɨɣ ɦɟɦɛɪɚɧɟ ɢ ɭ ɧɟɟ ɩɥɚɡɦɨɥɟɦɦɚ ɨɛɪɚɡɭɟɬ ɫɤɥɚɞɤɢ ± ɞɥɹ ɭɜɟɥɢɱɟɧɢɹ ɩɥɨɳɚɞɢ
Ɇɟɠɞɭ ɫɤɥɚɞɤɚɦɢ ± ɦɢɬɨɯɨɧɞɪɢɢ ɢ ɥɟɠɚɬ ɜɟɪɬɢɤɚɥɶɧɨ -> ɬɪɚɧɫɩɨɪɬ ɚɤɬɢɜɧɵɣ
ɂɫɱɟɪɱɟɧɧɵɣ ɩɪɨɬɨɤ ɤɨɧɰɟɧɬɪɢɪɭɟɬ ɫɥɸɧɭ ɧɚɤɚɱɢɜɚɸɬ ɫɥɸɧɭ ɤɚɥɢɣ ɛɢɤɚɪɛɨɧɚɬɵ ɡɚɛɢɪɚɸɬ ɢɡ ɫɥɸɧɵ ɧɚɬɪɢɣ ɯɥɨɪ ± ɚɤɬɢɜɧɨ ɢɞɟɬ ɬɪɚɧɫɩɨɪɬ ɱɟɪɟɡ ɚɩɢɤɚɥɶɧɵɣ ɤɨɧɟɰ
ɆɂɇȾȺɅɂɇȺ
Ɍɚɤɨɣ ɨɪɝɚɧ ɜ ɤɨɬɨɪɨɦ ɥɢɦɮɨɰɢɬɵ ɡɚɫɟɥɹɸɬ ɫɥɢɡɢɫɬɭɸ ɨɛɨɥɨɱɤɭ ɢ ɨɛɪɚɡɭɸɬ ɬɚɦ ɥɢɦɮɨɢɞɧɭɸ ɬɤɚɧɶ Ʌɢɦɮɨɢɞɧɚɹ ɬɤɚɧɶ ± ɫɬɪɨɦɚ ɢ ɪɚɡɜɢɜɚɸɳɢɟɫɹ ɥɢɦɮɨɰɢɬɵ ȼ ɞɚɧɧɨɦ ɫɥɭɱɚɟ ɫɬɪɨɦɚ ± ɷɬɨ ɜɫɹ ɫɥɢɡɢɫɬɚɹ
əɡɵɱɧɚɹ ɦɢɧɞɚɥɢɧɚ ɭ ɧɟɺ ɤɪɢɩɬɚ ɜɨɤɪɭɝ ɧɟɺ ɜɫɟ ɡɚɫɟɥɹɟɬɫɹ ɥɢɦɮɨɰɢɬɚɦɢ ɗɩɢɬɟɥɢɣ ɫɬɚɧɨɜɢɬɫɹ ɢɧɮɢɥɶɬɪɢɪɨɜɚɧɧɵɦ ɫɨɟɞɢɧɢɬɟɥɶɧɵɟ ɬɤɚɧɢ ɨɛɪɚɡɭɸɬɫɹ ɮɨɥɥɢɤɭɥɨɣ ɦɟɠɞɭ ɮɨɥɥɢɤɭɥɚɦɢ ɬɨɠɟ ɜɫɺ ɢɧɮɢɥɶɬɪɨɜɚɧɨ ɢ ɷɩɢɬɟɥɢɣ ɢ ɫɨɟɞɢɧɢɬɟɥɶɧɚɹ ɬɤɚɧɶ ɜɨɤɪɭɝ ɨɛɪɚɡɭɟɬɫɹ ɤɚɩɫɭɥɤɚ ɦɢɧɞɚɥɢɧɵ ± ɢɧɤɚɩɫɭɥɢɪɨɜɚɧɧɵɟ ɨɛɪɚɡɨɜɚɧɢɹ
Ɏɨɥɥɢɤɭɥɵ ± ȼ-ɡɚɜɢɫɢɦɚɹ ɡɨɧɚ ɜɨɤɪɭɝ ɮɨɥɥɢɤɭɥ ± Ɍ-ɡɨɧɚ
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ɁɍȻɕ |
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ɉɟɪɢɨɞɨɧɬɚɥɶɧɵɟ ɫɜɹɡɤɢ ± ɨɬ ɰɟɦɟɧɬɚ ɤɪɟɩɹɬ ɡɭɛ |
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Ɍɤɚɧɢ ɡɭɛɚ |
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Ɍɜɟɪɞɵɟ |
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Ɇɹɝɤɢɟ |
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-ɷɦɚɥɶ ɧɟɨɪɝ ɜ-ɜ |
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-ɩɭɥɶɩɚ |
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-ɞɟɧɬɢɧ ɨɞɨɧɬɨɛɥɚɫɬɵ ± ɨɬɪɨɫɬɤɢ |
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ɧɟɨɪɝ ɜ-ɜ ɫɩɨɫɨɛɟɧ ɤ |
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ɪɟɝɟɧɟɪɚɰɢɢ |
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-ɰɟɦɟɧɬ ɤɚɤ ɤɨɫɬɶ ɰɟɦɟɧɬɨɛɥɚɫɬɵ ɢ |
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ɰɟɦɟɧɬɨɰɢɬɵ |
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Ⱥɜɚɫɤɭɥɹɪɧɵ ɞɢɮɮɭɡɧɨɟ ɩɢɬɚɧɢɟ |
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ɋɚɦɢ ɨɞɨɧɬɨɛɥɚɫɬɵ ɥɟɠɚɬ ɜ ɩɭɥɶɩɟ |
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ɗɦɚɥɟɜɵɣ ɨɪɝɚɧ
ɂɡ ɷɩɢɬɟɥɢɹ ɪɨɬɨɜɨɣ ɩɨɥɨɫɬɢ ɨɛɪɚɡɭɟɬɫɹ ɫɬɪɭɤɬɭɪɵ ɧɚɩɨɞɨɛɢɟ ɲɚɩɨɱɤɢ ɭ ɧɢɯ ɟɫɬɶ ɧɚɪɭɠɧɵɣ ɷɩɢɬɟɥɢɣ ɦɚɥɵɣ ɷɩɢɬɟɥɢɣ ɩɨ ɦɚɥɨɣ ɤɪɢɜɢɡɧɟ - ɩɭɥɶɩɚ ɜɧɭɬɪɢ ɗɦɚɥɟɜɵɣ ɨɪɝɚɧ ɫɬɢɦɭɥɢɪɭɟɬ ɦɟɡɟɧɯɢɦɭ ɨɧɚ ɪɚɫɬɟɬ ɜɧɭɬɪɶ ɫɨɫɨɱɤɚɦɢ ɢ ɨɤɪɭɠɚɟɬ ɜɫɟ ɷɬɢ ɨɛɪɚɡɨɜɚɧɢɹ ɤɚɩɫɭɥɨɣ ± ©ɦɟɲɨɱɟɤª Ɍɨɥɶɤɨ ɷɦɚɥɟɜɵɣ ɨɪɝɚɧ ɛɭɞɟɬ ɭɱɚɫɬɜɨɜɚɬɶ ɜ ɨɛɪɚɡɨɜɚɧɢɢ ɷɦɚɥɢ ɜɫɟ ɨɫɬɚɥɶɧɨɟ ɨɛɪɚɡɭɟɬɫɹ ɢɡ ɦɟɡɟɧɯɢɦɵ ɢɡ ɫɨɫɨɱɤɨɜ ɮɨɪɦɢɪɭɟɬɫɹ ɩɭɥɶɩɚ ɢ ɞɟɧɬɢɧ ɢɡ ɦɟɲɨɱɤɚ ± ɰɟɦɟɧɬ ɢ ɩɟɪɢɨɞɨɧɬɚɥɶɧɚɹ ɫɜɹɡɤɚ.
Ɍɪɢ ɷɬɚɩɚ ɪɚɡɜɢɬɢɹ ɡɭɛɨɜ
-ɩɟɪɢɨɞ ɡɚɤɥɚɞɤɢ ɢ ɨɛɪɚɡɨɜɚɧɢɹ ɡɭɛɧɵɯ ɡɚɱɚɬɤɨɜ -ɩɟɪɢɨɞ ɞɢɮɮɟɪɟɧɰɢɪɨɜɤɢ ɡɭɛɧɵɯ ɡɚɱɚɬɤɨɜ -ɝɢɫɬɨɝɟɧɟɡ ɡɭɛɧɵɯ ɬɤɚɧɟɣ
ɇɚɪɭɠɧɵɟ ɤɥɟɬɤɢ ɩɭɥɶɩɵ ɭɱɚɫɬɜɭɸɬ ɜ ɨɛɪɚɡɨɜɚɧɢɢ ɤɭɬɢɤɭɥɵ ɷɦɚɥɢ ɤɨɬɨɪɚɹ ɛɵɫɬɪɨ ɫɬɢɪɚɟɬɫɹ
ɀȿɅɍȾɈɄ
ɨɛɨɥɨɱɤɢ ɫɥɢɡɢɫɬɚɹ, ɩɨɞɫɥɢɡɢɫɬɚɹ, ɩɪɨɦɟɠɭɬɨɱɧɚɹ ɢ ɫɟɪɨɡɧɚɹ.
ɋɅɂɁɂɋɌȺə ɈȻɈɅɈɑɄȺ ɋɅɈə
-ɷɩɢɬɟɥɢɣ ± ɨɞɧɨɫɥɨɣɧɵɣ ɩɪɢɡɦɚɬɢɱɟɫɤɢɣ -ɠɟɥɟɡɢɫɬɵɣ ɫɥɢɡɢɫɬɵɣ ɫɟɤɪɟɬɨɪɧɵɣ ± ɷɧɞɨɞɟɪɦɚɥɶɧɨɟ ɩɪɨɢɫɯɨɠɞɟɧɢɟ Ʉɚɠɞɚɹ
ɤɥɟɬɤɚ ɜ ɷɩɢɬɟɥɢɢ ɫɟɤɪɟɬɢɪɭɟɬ ɫɥɢɡɶ Ɍɚɤɢɦ ɨɛɪɚɡɨɦ ɷɩɢɬɟɥɢɣ ɩɨɤɪɵɜɚɟɬ ɬɨɥɫɬɵɦ ɫɥɨɟɦ ɫɥɢɡɢ ɤɨɬɨɪɵɣ ɡɚɳɢɳɚɟɬ ɷɩɢɬɟɥɢɣ ɦɟɯɚɧɢɱɟɫɤɢ ɯɢɦɢɱɟɫɤɢ ɗɩɢɬɟɥɢɣ ɨɛɪɚɡɭɟɬ ɦɢɤɪɨɪɟɥɶɟɮ ± ɠɟɥɭɞɨɱɧɵɟ ɫɭɦɤɢ ɜɞɚɜɥɟɧɢɹ . -ɫɨɛɫɬɜɟɧɧɚɹ ɩɥɚɫɬɢɧɤɚ ɫɥɢɡɢɫɬɨɣ ± ɦɵɲɟɱɧɚɹ ɩɥɚɫɬɢɧɤɚ ɤɨɬɨɪɵɣ ɫɨɫɬɨɢɬ ɢɡ ɫɥɨɟɜ, ɩɨɬɨɦɭ ɱɬɨ ɫɥɢɡɢɫɬɚɹ ɢɦɟɟɬ ɠɟɥɟɡɵ ± ɩɪɨɫɬɵɟ ɬɪɭɛɱɚɬɵɟ ɫɥɚɛɨɪɚɡɜɟɬɜɥɟɧɧɵɟ, ɨɬɤɪɵɜɚɸɬɫɹ ɠɟɥɟɡɵ ɜ ɹɦɤɢ ɜɵɞɟɥɹɟɬɫɹ ɠɟɥɭɞɨɱɧɵɣ ɫɨɤ Ɇɵɲɟɱɧɚɹ ɩɥɚɫɬɢɧɤɚ ɩɨɦɨɝɚɟɬ ɠɟɥɟɡɚɦ ɜɵɞɟɥɹɬɶ ɫɟɤɪɟɬ
ɉɈȾɋɅɂɁɂɋɌȺə ɈȻɈɅɈɑɄȺ:
Ɍɭɬ ɥɟɠɢɬ ɝɚɧɝɥɢɣ
ɆɕɒȿɑɇȺə ɈȻɈɅɈɑɄȺ
ȼ ɧɟɣ ɜɢɞɟɧ ɝɚɧɝɥɢɣ ɦɟɠɦɵɲɟɱɧɨɝɨ ɫɩɥɟɬɟɧɢɹ Ƚɥɚɞɤɢɟ ɦɵɲɰɵ ɜ ɫɥɨɹ ɩɨɬɨɦɭ ɱɬɨ ɢɡ ɩɢɳɟɜɨɝɨ ɤɨɦɤɚ ɞɟɥɚɟɬɫɹ ɯɢɦɭɫ
ɋȿɊɈɁɇȺə ɈȻɈɅɈɑɄȺ
ɉɨɤɪɵɬɚ ɦɟɡɨɬɟɥɢɟɦ ɨɞɧɨɫɥɨɣɧɵɦ ɩɥɨɫɤɢɦ ɷɩɢɬɟɥɢɟɦ
ɌɈɇɄȺə ɄɂɒɄȺ
-ɋɥɢɡɢɫɬɚɹ -ɉɨɞɫɥɢɡɢɫɬɚɹ -Ɇɵɲɟɱɧɚɹ ɨɛɨɥɨɱɤɚ -ɋɟɪɨɡɚ
ВОР С И НА
ĸровеносный ĸапилляр
лимфаштопаный , женат»
Чм
- Мии ĸапилляр
(всасываются. жиры)
слизистая ĸрипта (ин вагинация )
во#жина
ɉɨɞɫɥɢɡɢɫɬɚɹ
-ɫɨɫɭɞɵ -ɝɚɧɝɥɢɣ ɩɨɞɫɥɢɡɢɫɬɨɝɨ -ɝɨ ɫɩɥɟɬɟɧɢɹ
-ɥɢɦɮɨɢɞɧɵɣ ɭɡɟɥɨɤ ɜɟɪɯɭɲɤɚ ɩɨɩɚɞɚɟɬ ɜ ɫɥɢɡɢɫɬɭɸ ɨɬɬɭɞɚ ɚɧɬɢɝɟɧɵ ɚ ɨɫɧɨɜɚɧɢɟ ɫɩɭɫɤɚɟɬɫɹ ɜ ɩɨɞɫɥɢɡɢɫɬɭɸ
Ɇɵɲɟɱɧɚɹ
ɫɥɨɹ ɦɟɠɞɭ ɧɢɦɢ ɝɚɧɝɥɢɣ ɦɟɠɦɵɲɟɱɧɨɝɨ ɫɩɥɟɬɟɧɢɹ
ɋɟɪɨɡɚ
ȼɧɭɬɪɟɧɧɢɣ ɥɢɫɬɨɤ ɛɪɸɲɢɧɵ ɹɞɪɚ ɦɟɡɨɬɟɥɢɹ Ʉɥɟɬɨɱɧɵɣ ɫɨɫɬɚɜ ɷɩɢɬɟɥɢɹ ɜɨɪɫɢɧɵ - ɢ ɤɪɢɩɬ -5):
1)Ƚɥɚɜɧɵɟ ɤɥɟɬɤɢ ± ɤɚɟɦɱɚɬɵɟ ɷɧɬɟɪɨɰɢɬɵ
2)Ȼɨɤɚɥɨɜɢɞɧɵɟ ɤɥɟɬɤɢ
3)ɗɧɞɨɤɪɢɧɧɵɟ ɷɧɞɨɤɪɢɧɨɰɢɬɵ
4)ɉɪɨɦɟɠɭɬɨɱɧɵɟ ɤɚɦɛɢɣ
5)Ʉɥɟɬɤɢ ɉɚɧɟɬɚ ɫ ɚɰɢɞɨɮɢɥɶɧɨɣ ɡɟɪɧɢɫɬɨɫɬɶɸ ± ɢɫɤɥɸɱɟɧɨ ɜ ɞɨɧɵɲɤɟ ɤɪɢɩɬ
ȼ ɝɪɚɧɭɥɚɯ ɷɬɢɯ ɤɥɟɬɨɤ ± ɛɚɤɬɟɪɢɰɢɞɧɵɟ ɜɟɳɟɫɬɜɚ ɢ ɞɢɩɟɩɬɢɞɚɡɚ ± ɮɟɪɦɟɧɬ ɪɚɫɳɟɩɥɟɧɢɹ ɛɟɥɤɨɜ Ɏɭɧɤɰɢɢ ɤɥɟɬɨɤ ɉɚɧɟɬɚ ± ɪɟɝɭɥɢɪɭɸɬ ɢɧɬɟɫɬɟɧɚɥɶɧɭɸ ɮɥɨɪɭ ɢ ɭɱɚɫɬɜɭɸɬ ɪɚɫɳɟɩɥɟɧɢɢ ɛɟɥɤɨɜ
ɋɢɫɬɟɦɚ ɜɨɪɫɢɧɤɚ-ɤɪɢɩɬɚ
Ʉɪɢɩɬɵ ɨɛɫɥɭɠɢɜɚɸɬ ɜɨɪɫɢɧɤɢ ɨɧɢ ɭɱɚɫɬɜɭɸɬ ɜ ɜɨɫɫɬɚɧɨɜɥɟɧɢɢ ɷɩɢɬɟɥɢɹ ɩɨɷɬɨɦɭ ɫɨɫɬɚɜɥɹɟɬ ɫ ɧɢɦɢ ɟɞɢɧɨɟ ɰɟɥɨɟ ± ɫɢɫɬɟɦɭ
ɀɟɥɟɡɵ ɜ ɩɨɞɫɥɢɡɢɫɬɨɣ ɨɫɧɨɜɟ ɟɫɬɶ ɜ ɩɢɳɟɜɨɞɟ ɢ - ɩɟɪɫɬɧɨɣ ɤɢɲɤɟ
Ʉɪɢɩɬɚ ± ɇȿ ɀȿɅȿɁȺ ɉɨɬɨɦɭ ɱɬɨ ɧɟɬ ɫɟɤɪɟɬɚ ȼ -ɩɟɪɫɬɧɨɣ ɤɢɲɤɟ ɟɫɬɶ ɠɟɥɟɡɵ Ȼɪɭɧɧɟɪɚ -> ɫɟɤɪɟɬɢɪɭɸɬ ɫɥɢɡɢɫɬɵɣ ɫɟɤɪɟɬ ɨɫɧɨɜɧɚɹ ɮɭɧɤɰɢɹ ± ɡɚɳɟɥɚɱɢɜɚɬɶ ɤɢɫɥɵɣ ɯɢɦɭɫ
ɗɧɞɨɤɪɢɧɨɰɢɬɵ
ɗɬɢ ɤɥɟɬɤɢ ɩɪɢɧɚɞɥɟɠɚɬ ɤ ɞɢɮɮɭɡɧɨɣ ɷɧɞɨɤɪɢɧɧɨɣ ɫɢɫɬɟɦɟ ɱɚɫɬɶ ɷɬɢɯ ɤɥɟɬɨɤ ɪɚɡɜɢɜɚɟɬɫɹ ɢɡ ɧɟɪɜɧɨɝɨ ɝɪɟɛɧɹ ɍɱɟɧɵɣ ɉɢɪɫ ɨɛɴɟɞɢɧɢɥ ɢɯ ɜ ©APUDª ɫɢɫɬɟɦɭɨɛɪɚɡɭɸɬ ɛɟɥɤɨɜɵɟ ɝɨɪɦɨɧɵ Ɇɨɪɮɨɥɨɝɢɱɟɫɤɢ ɤɥɟɬɤɢ ɯɚɪɚɤɬɟɪɢɡɭɸɬɫɹ ɧɚɥɢɱɢɟɦ ɛɚɡɚɥɶɧɨɣ ɡɟɪɧɢɫɬɨɫɬɢ ɜ ɛɚɡɚɥɶɧɨɦ ɩɨɥɸɫɟ ± ɝɪɚɧɭɥɵ ɫɟɤɪɟɬɚ Ʉɥɟɬɤɢ ɜɵɹɜɥɹɸɬɫɹ ɧɢɬɪɚɬɨɦ ɫɟɪɟɛɪɚ ɫɨɥɹɦɢ ɯɪɨɦɚ ± ɯɪɨɦɨɮɢɥɶɧɵɟ ɤɥɟɬɤɢ Ʉɥɟɬɨɤ ɷɬɢɯ ɦɧɨɝɨɜ ɨɛɨɡɧɚɱɚɸɬɫɹ ɛɭɤɜɚɦɢ ɇɚɩɪɢɦɟɪ ɤɥɟɬɤɚ S ± ɨɛɪɚɡɭɟɬ ɫɨɦɚɬɨɫɬɚɬɢɧ Ʉɥɟɬɤɚ G ± ɝɚɫɬɪɢɧ ɢ ɬɞ
Ɏɭɧɤɰɢɢ ɷɧɞɨɤɪɢɧɨɰɢɬɨɜ
Ʌɨɤɚɥɶɧɚɹ ɪɟɝɭɥɹɰɢɹ ɩɪɨɰɟɫɫɚ ɜɵɞɟɥɢɥɢ ɢ ɬɭɬ ɠɟ ɞɟɣɫɬɜɭɸɬ ɚ ɦɨɝɭɬ ɩɨɩɚɞɚɬɶ ɜ ɤɪɨɜɶ ɢ ɞɟɣɫɬɜɨɜɚɬɶ ɧɚ ɩɟɱɟɧɶ ɠɟɥɭɞɨɤ ɠɟɥɱɧɵɣ ɩɭɡɵɪɶ ɨɛɴɟɞɢɧɹɹ ɨɪɝɚɧɵ ɜ ɤɨɦɩɥɟɤɫɵ ɤɨɬɨɪɵɟ ɪɚɛɨɬɚɸɬ ɧɚɞ ɟɞɢɧɨɣ ɮɭɧɤɰɢɨɧɚɥɶɧɨɣ ɡɚɞɚɱɟɤ Ɇɨɝɭɬ ɞɚɬɶ ɧɚɱɚɥɨ ɨɩɭɯɨɥɢ
Ɏɭɧɤɰɢɢ ɤɚɺɦɱɚɬɵɯ ɤɥɟɬɨɤ ɷɧɬɟɪɨɰɢɬɵ
1)ɉɪɢɫɬɟɧɨɱɧɨɟ ɩɢɳɟɜɚɪɟɧɢɟ ɮɟɪɦɟɧɬɵ ɫɟɤɪɟɬɢɪɭɸɬɫɹ ɫɚɦɨɣ ɤɥɟɬɤɨɣ ɧɚ ɩɨɜɟɪɯɧɨɫɬɶ ɦɢɤɪɨɜɨɪɫɢɧɨɤ
2)ȼɫɚɫɵɜɚɧɢɟ
3)Ɉɛɪɚɡɨɜɚɧɢɟ ɯɢɥɨɦɢɤɪɨɧɨɜ ɧɟɣɬɪɚɥɶɧɵɣ ɠɢɪ ɜ ɛɟɥɤɨɜɨɣ ɨɛɨɥɨɱɤɟ Ɉɧɢ ɜɫɚɫɵɜɚɸɬɫɹ ɜ ɥɢɦɮɭ ɬɨ ɟɫɬɶ ɥɢɦɮɚ ɫɨɞɟɪɠɢɬ ɤɚɩɟɥɶɤɢ ɠɢɪɚ ɨɤɪɭɠɟɧɧɵɟ ɛɟɥɨɱɧɨɣ ɨɛɨɥɨɱɤɨɣ -! ɝɭɫɬɚɹ ɥɢɦɮɚ -! ɝɥɚɞɤɢɟ ɦɵɲɰɵ ɫɨɤɪɚɳɚɹɫɶ ɩɨɦɨɝɚɸɬ ɟɟ ɞɜɢɝɚɬɶ
4)Ɍɪɚɧɫɩɨɪɬ Ig ɜ ɩɨɥɨɫɬɶ ɬɨɥɫɬɨɣ ɤɢɲɤɢ
Ɇ-ɤɥɟɬɤɚ ± ɷɩɢɬɟɥɢɚɥɶɧɚɹ ɤɥɟɬɤɚ ɪɚɫɩɨɥɚɝɚɟɬɫɹ ɩɨɜɟɪɯ ɥɢɦɮɨɢɞɧɵɯ ɭɡɟɥɤɨɜ ɚɧɬɢɝɟɧ ɩɪɟɡɟɧɬɢɪɭɸɳɚɹ ɤɥɟɬɤɚ
ɉɥɚɡɦɨɰɢɬɵ ± ɫɟɤɪɟɬɢɪɭɸɬ IgA.
ɗɧɬɟɪɨɰɢɬɵ ɬɪɚɧɫɩɨɪɬɢɪɭɸɬ ɷɬɢ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɵ ɜ ɩɪɨɫɜɟɬ ɤɢɲɟɱɧɢɤɚ.
ɌɈɅɋɌȺə ɄɂɒɄȺ
-Ɍɨɥɶɤɨ ɤɪɢɩɬɵ ɜɨɪɫɢɧ ɧɟɬ ɪɨɜɧɚɹ ɩɨɜɟɪɯɧɨɫɬɶ -ɏɨɪɨɲɨ ɪɚɡɜɢɬɚ ɥɢɦɮɨɢɞɧɚɹ ɬɤɚɧɶ ɬ ɤ ɦɧɨɝɨ ɛɚɤɬɟɪɢɣ ɜ ɬɨɥɫɬɨɣ ɤɢɲɤɟ
-ɗɩɢɬɟɥɢɣ ɬɚɤɨɣ ɠɟ ɤɚɤ ɢ ɜ ɬɨɧɤɨɣ ɤɢɲɤɟ ɨɞɧɨɫɥɨɣɧɵɣ ɩɪɢɡɦɚɬɢɱɟɫɤɢɣ ɤɚɺɦɱɚɬɵɣ ɧɨ ɜ ɷɩɢɬɟɥɢɢ ɩɪɟɨɛɥɚɞɚɸɬ ɛɨɤɚɥɨɜɢɞɧɵɟ ɤɥɟɬɤɢ ɧɟɬ ɤɥɟɬɨɤ ɉɚɧɟɬɚ ɚ ɜɫɟ ɨɫɬɚɥɶɧɵɟ ɟɫɬɶ
Т
Ɏɭɧɤɰɢɢ ɤɚɟɦɱɚɬɵɯ ɤɥɟɬɨɤ ɜ ɬɨɥɫɬɨɣ ɤɢɲɤɟ
1)ȼɫɚɫɵɜɚɧɢɟ ɜɨɞɵ ɬɚɤ ɤɚɤ ɧɭɠɧɨ ɢɡ ɯɢɦɭɫɚ ɫɞɟɥɚɬɶ ɤɚɥ
2)ȼɫɚɫɵɜɚɧɢɟ ɝɥɸɤɨɡɵ ɢɡ ɤɥɟɬɱɚɬɤɢ ɬɚɦ ɛɚɤɬɟɪɢɢ
ɉȿɑȿɇɖ
ɉɚɪɟɧɯɢɦɚ ± ɷɩɢɬɟɥɢɣ ɠɟɥɟɡɢɫɬɵɣ ɷɧɬɨɞɟɪɦɚɥɶɧɵɣ ɚ ɫɬɪɨɦɚ ± ɷɬɨ ɫɨɟɞɢɧɢɬɟɥɶɧɚɹ ɬɤɚɧɶ.
Ⱦɨɥɶɤɢ ɩɟɱɟɧɢ ɩɚɪɟɧɯɢɦɚ ɨɪɝɚɧɢɡɨɜɚɧɚ ɜ ɞɨɥɶɤɢ.
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Ɉɬɬɨɤ ɤɪɨɜɢ ɨɬ ɩɟɪɢɮɟɪɢɢ ɤ ɰɟɧɬɪɭ ɜ ɰɟɧɬɪ ɜɟɧɭ ɂɡ ɰɟɧɬɪɚɥɶɧɨɣ ɜɟɧɵ ɤɪɨɜɶ ɩɨɩɚɞɚɟɬ ɜ ɩɨɞɞɨɥɶɤɨɜɭɸ ->
ɜ ɜɟɧɭ hepatica -> ɜ ɧɢɠɧɸɸ ɩɨɥɭɸ ɜɟɧɭ
Ⱦɜɭɯɫɬɨɪɨɧɧɹɹ ɩɨɥɹɪɢɡɚɰɢɹ ɝɟɩɚɬɨɰɢɬɚ:
ȼɚɫɤɭɥɹɪɧɵɣ ɩɨɥɸɫ ± ɦɨɳɧɵɣ ɨɛɦɟɧ ɦɟɠɞɭ ɤɪɨɜɶɸ ɢ ɝɟɩɚɬɨɰɢɬɨɦ
Ȼɢɥɢɚɪɧɵɣ ɩɨɥɸɫ ± ɮɭɧɤɰɢɹ ± ɫɟɤɪɟɰɢɹ ɠɟɥɱɢ
Ɍɢɩ ɤɚɩɢɥɥɹɪɚ ± ɫɢɧɭɫɨɢɞɧɵɣ ɩɨɪɢɫɬɵɣ
ɉɥɨɬɧɵɟ ɤɨɧɬɚɤɬɵ ɡɚɤɪɵɜɚɸɬ ɠɟɥɱɧɵɟ ɤɚɩɢɥɥɹɪɵ ɦɟɠɤɥɟɬɨɱɧɵɟ ɳɟɥɢ ȿɫɥɢ ɨɧɢ ɡɚɤɪɵɬɵ ɠɟɥɱɶ ɧɟ ɩɨɩɚɞɟɬ ɜ ɤɪɨɜɶ
ɉɥɨɬɧɵɟ ɤɨɧɬɚɤɬɵ ɱɭɜɫɬɜɢɬɟɥɶɧɵ ɤ ɩɨɜɵɲɟɧɢɸ ɞɚɜɥɟɧɢɹ ɜ ɫɢɫɬɟɦɟ ȿɫɥɢ ɞɚɜɥɟɧɢɟ ɩɨɜɵɲɚɟɬɫɹ ɬɨ ɤɨɧɬɚɤɬɵ ɪɚɫɯɨɞɹɬɫɹ -> ɠɟɥɱɶ ɩɨɩɚɞɚɟɬ ɜ ɤɪɨɜɶ ©ɦɟɯɚɧɢɱɟɫɤɚɹ ɠɟɥɬɭɯɚª
ɉɪɨɫɬɪɚɧɫɬɜɨ Ⱦɢɫɫɟ ɜɨɤɪɭɝɫɢɧɭɫɨɢɞɧɨɟ ɩɪɨɫɬɪɚɧɫɬɜɨ ± ɜ ɧɟɦ ɧɚɯɨɞɢɬɫɹ ɚɦɨɪɮɧɵɣ ɤɨɦɩɨɧɟɧɬ ± ɪɟɬɢɤɭɥɹɪɧɵɟ ɜɨɥɨɤɧɚ - ɷɬɨ ɩɪɨɫɬɪɚɧɫɬɜɨ ± ɬɟɪɪɢɬɨɪɢɹ ɞɥɹ ɨɛɦɟɧɚ ɩɨ ɧɟɦɭ ɩɟɪɟɞɜɢɝɚɸɬɫɹ ɜɟɳɟɫɬɜɚ ɑɟɦ ɛɨɥɶɲɟ ɜɨɥɨɤɨɧ ɬɟɦ ɯɭɠɟ ɬɪɚɧɫɩɨɪɬ 2- ɷɬɨ ɡɚɦɟɧɚ ɥɢɦɮɚɬɢɱɟɫɤɢɦ ɤɚɩɢɥɥɹɪɚɦ - ɜ ɷɦɛɪɢɨɧɚɥɶɧɵɣ ɩɟɪɢɨɞ ɬɚɦ ɩɪɨɢɫɯɨɞɢɬ ɤɪɨɜɟɬɜɨɪɟɧɢɟ ɨɧɨ ɦɨɠɟɬ ɜɨɡɨɛɧɨɜɢɬɶɫɹ ɩɪɢ ɚɧɟɦɢɢ ɬɹɠɟɥɨɣ ɯɪɨɧɢɱɟɫɤɨɣ
ȼ ɩɟɱɟɧɨɱɧɨɣ ɛɚɥɤɟ-ɩɥɚɫɬɢɧɤɟ ɧɚɯɨɞɢɬɫɹ ɥɢɩɨɰɢɬ ɤɥɟɬɤɚ ɂɬɨ ɜ ɰɢɬɨɩɥɚɡɦɟ ɦɧɨɝɨ ɥɢɩɢɞɧɵɯ ɬɤɚɧɟɣ
Ɍɪɟɭɝɨɥɶɧɚɹ ɤɥɟɬɤɚ ȼɟɪɯɭɲɤɚ ɧɢɤɨɝɞɚ ɧɟ ɤɨɧɬɚɤɬɢɪɭɟɬ ɫ ɠɟɥɱɶɸ ɚ ɨɫɧɨɜɚɧɢɟ ɲɢɪɨɤɨɟ ɫɦɨɬɪɢɬ ɜ ɩɪɨɫɬɪɚɧɫɬɜɨ Ⱦɢɫɫɟ
Ɏɭɧɤɰɢɢ ɥɢɩɨɰɢɬɚ:
1)ɇɚɤɨɩɥɟɧɢɟ ɠɢɪɨɪɚɫɬɜɨɪɢɦɵɯ ɜɢɬɚɦɢɧɨɜ A/D/K.
2)ɋɟɤɪɟɰɢɹ ɜɨɥɨɤɨɧ ɢ ɚɦɨɪɮɧɨɝɨ ɤɨɦɩɨɧɟɧɬɚ ɱɟɪɟɡ ɲɢɪɨɤɨɟ ɨɫɧɨɜɚɧɢɟ ɜɵɞɟɥɹɸɬɫɹ ɜɟɳɟɫɬɜɚ ɜ ɩɪɨɫɬɪɚɧɫɬɜɨ Ⱦɢɫɫɟ
ȿɟ ɨɫɧɨɜɧɚɹ ɡɚɞɚɱɚ ± ɧɚɤɚɩɥɢɜɚɬɶ ɥɢɩɢɞɵ Ʉɥɟɬɤɚ ɢɝɪɚɟɬ ɤɥɸɱɟɜɭɸ ɪɨɥɶ ɩɪɢ ɪɚɡɜɢɬɢɢ ɰɢɪɪɨɡɚ ɜ ɫɥɭɱɚɟ ɚɥɤɨɝɨɥɶɧɨɣ ɢ ɧɚɪɤɨɬɢɱɟɫɤɨɣ ɡɚɜɢɫɢɦɨɫɬɢ ɜɫɟ ɷɬɨ ɛɶɟɬ ɩɨ ɥɢɩɨɰɢɬɭ ɱɬɨ ɨɧ ɫɜɨɢ ɥɢɩɢɞɧɵɟ ɤɚɩɥɢ ɜɵɛɪɚɫɵɜɚɟɬ ɢ ɩɪɟɨɛɪɚɡɭɟɬɫɹ ɜ ɧɚɫɬɨɹɳɢɣ ɮɢɛɪɨɛɥɚɫɬ ± ɦɢɨɮɢɛɪɨɛɥɚɫɬ ɬ ɟ ɫɩɨɫɨɛɧɵɣ ɫɨɤɪɚɳɚɬɶɫɹ -> ɫɟɤɪɟɬɢɪɭɟɬ ɜɨɥɨɤɧɚ -> ɜɨɥɨɤɧɚ ɜ ɩɪɨɫɬɪɚɧɫɬɜɨ Ⱦɢɫɫɟ -> ɧɚɪɭɲɚɟɬɫɹ ɮɭɧɤɰɢɹ ɝɟɩɚɬɨɰɢɬɚ ɫɩɨɫɨɛɟɧ ɫɨɤɪɚɳɚɬɶɫɹ ɢ ɭɦɟɧɶɲɚɬɶ ɩɪɨɫɬɪɚɧɫɬɜɨ ɫɢɧɭɫɨɢɞɚ -> ɩɨɜɵɲɚɟɬɫɹ ɞɚɜɥɟɧɢɟ
ɉɈȾɀȿɅɍȾɈɑɇȺə ɀȿɅȿɁȺ
ɋɥɨɠɧɚɹ ɪɚɡɜɟɬɜɥɟɧɧɚɹ ɚɥɶɜɟɨɥɹɪɧɚɹ ɠɟɥɟɡɚ ɨɛɪɚɡɭɸɳɚɹ ɛɟɥɤɨɜɵɣ ɫɟɤɪɟɬ ɗɬɢ ɛɟɥɤɢ
± ɩɢɳɟɜɵɟ ɮɟɪɦɟɧɬɵ
Ʉɨɧɰɟɜɵɟ ɨɬɞɟɥɵ ɚɰɢɧɭɫɵ
"
Lɋɬɪɨɦɚ ɞɟɥɢɬ ɠɟɥɟɡɭ ɧɚ ɞɨɥɶɤɢ Ʉɥɟɬɤɢ ɜɵɫɨɤɢɟ ɩɪɨɫɜɟɬ
ɩɪɚɤɬɢɱɟɫɤɢ ɧɟ ɜɢɞɟɧ Ⱥɩɢɤɚɥɶɧɚɹ ɱɚɫɬɶ ɰɢɬɨɩɥɚɡɦɵ ɨɤɫɢɮɢɥɶɧɚ ɨɫɬɚɥɶɧɚɹ ± ɛɚɡɨɮɢɥɶɧɚ ȼ ɛɚɡɨɮɢɥɶɧɨɣ
ɱɚɫɬɢ ɝɪɚɧ ɗɉɋ ɜ ɚɩɢɤɚɥɶɧɨɣ ɱɚɫɬɢ ± ɝɪɚɧɭɥɵ ɫɟɤɪɟɬɚ
.