3 курс / Фармакология / Лекарственные_средства,_применяемые_в_акушерстве_и_гинекологии,
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Раздел 4 |
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Ɂɚɛɨɥɟɜɚɧɢɟ, |
ɉɪɟɩɚɪɚɬɵ, ɞɨ- |
Ⱥɥɶɬɟɪɧɚ- |
Ʉɥɚɫɫ |
ɉɪɢɦɟɱɚɧɢɹ |
ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ- |
ɡɵ, ɦɟɬɨɞ ɜɜɟ- |
ɬɢɜɧɵɟ ɫɯɟ- |
ɩɪɟɩɚɪɚɬɚ |
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ɧɟɧɢɹ; ɟɝɨ ɤɨɞ |
ɞɟɧɢɹ |
ɦɵ ɥɟɱɟɧɢɹ |
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ɰɟɩɬɨɪɨɜ |
(ɷɤɫɬɪɚɩɢɪɚɦɢɞɧɵɟ ɞɜɢ- |
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ɝɚɬɟɥɶɧɵɟ ɪɚɫɫɬɪɨɣɫɬɜɚ), |
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ɛɪɨɧɯɢɚɥɶɧɚɹ ɚɫɬɦɚ |
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Ⱦɨɦɩɟɪɢɞɨɧ 10 |
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Ⱥɧɬɚɝɨ- |
Ƚɢɩɟɪɩɪɨɥɚɤɬɢɧɟɦɢɹ |
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ɦɝ 3–4 ɪ/ɫɭɬ ɡɚ |
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ɧɢɫɬ ɞɨ- |
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15–30 ɦɢɧ ɞɨ |
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ɮɚɦɢɧɨ- |
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ɟɞɵ |
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ɜɵɯ ɪɟ- |
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ɰɟɩɬɨɪɨɜ |
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Ɋɟɬɢɧɨɥ, ɪɚɫ- |
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ɉɪɟɩɚɪɚɬ |
ɋɩɨɫɨɛɫɬɜɭɟɬ ɷɩɢɬɟɥɢɡɚ- |
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ɬɜɨɪ ɞɥɹ ɩɪɢɟɦɚ |
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ɜɢɬɚɦɢɧɚ |
ɰɢɢ, ɪɟɝɟɧɟɪɚɰɢɢ. ɉɪɨ- |
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ɜɧɭɬɪɶ ɢ ɧɚ- |
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Ⱥ |
ɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɢɧɞɢɜɢ- |
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ɪɭɠɧɨɝɨ ɩɪɢ- |
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ɞɭɚɥɶɧɚɹ ɧɟɩɟɪɟɧɨɫɢ- |
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ɦɟɧɟɧɢɹ, ɫɦɚ- |
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ɦɨɫɬɶ |
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ɡɵɜɚɬɶ ɫɨɫɨɤ 3– |
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6 ɪ/ɫɭɬ |
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Ɋɢɛɨɮɥɚɜɢɧɨ- |
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ɉɪɟɩɚɪɚɬ |
Ɍɨ ɠɟ |
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ɜɚɹ ɦɚɡɶ, ɫɦɚ- |
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ɜɢɬɚɦɢɧɚ |
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ɡɵɜɚɬɶ ɩɨɜɪɟɠ- |
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ȼ2 |
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ɞɟɧɧɵɣ ɫɨɫɨɤ |
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3–6 ɪ/ɫɭɬ |
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ɋɭɥɶɮɚɧɢɥɚɦɢɞ |
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Ⱥɧɬɢɛɚɤ- |
Ⱥɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɟ |
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5%, ɫɦɚɡɵɜɚɬɶ |
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ɬɟɪɢɚɥɶ- |
ɫɪɟɞɫɬɜɨ. ɉɪɨɬɢɜɨɩɨɤɚ- |
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ɩɨɜɪɟɠɞɟɧɧɵɣ |
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ɧɨɟ ɫɪɟɞ- |
ɡɚɧɢɹ: ɢɧɞɢɜɢɞɭɚɥɶɧɚɹ |
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ɫɨɫɨɤ 3–6 ɪ/ɫɭɬ |
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ɫɬɜɨ |
ɧɟɩɟɪɟɧɨɫɢɦɨɫɬɶ |
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Ɉɛɥɟɩɢɯɢ ɦɚɫ- |
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ɋɦɟɫɶ ɤɚ- |
ɍɫɤɨɪɹɟɬ ɡɚɠɢɜɥɟɧɢɟ ɪɚ- |
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ɥɨ, ɫɦɚɡɵɜɚɬɶ |
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ɪɨɬɢɧɨɜ, |
ɧɟɜɨɝɨ ɞɟɮɟɤɬɚ |
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ɩɨɜɪɟɠɞɟɧɧɵɣ |
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ɤɚɪɨɬɢ- |
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ɫɨɫɨɤ 3–6 ɪ/ɫɭɬ |
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ɧɨɢɞɨɜ, |
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ɬɨɤɨɮɟɪɨ- |
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ɥɨɜ, ɯɥɨ- |
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ɪɨɮɢɥɥɨ- |
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ɜɵɯ ɜɟ- |
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ɳɟɫɬɜ ɢ |
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ɝɥɢɰɟɪɢ- |
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ɞɨɜ, ɨɥɟɢ- |
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ɧɨɜɨɣ, ɥɢ- |
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ɧɨɥɟɜɨɣ, |
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ɩɚɥɶɦɢɬɢ- |
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ɧɨɜɨɣ, |
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ɫɬɟɚɪɢɧɨ- |
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ЛС, используемые при проведении родов |
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113 |
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Ɂɚɛɨɥɟɜɚɧɢɟ, |
ɉɪɟɩɚɪɚɬɵ, ɞɨ- |
Ⱥɥɶɬɟɪɧɚ- |
Ʉɥɚɫɫ |
ɉɪɢɦɟɱɚɧɢɹ |
ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ- |
ɡɵ, ɦɟɬɨɞ ɜɜɟ- |
ɬɢɜɧɵɟ ɫɯɟ- |
ɩɪɟɩɚɪɚɬɚ |
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ɧɟɧɢɹ; ɟɝɨ ɤɨɞ |
ɞɟɧɢɹ |
ɦɵ ɥɟɱɟɧɢɹ |
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ɜɨɣ ɤɢɫɥɨɬ |
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Ʉɚɥɚɧɯɨɷ ɩɨɛɟ- |
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ɋɨɤ ɢɡ |
Ɇɟɫɬɧɨɟ ɩɪɨɬɢɜɨɫɩɚɥɢ- |
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ɝɨɜ ɫɨɤ 1–3 ɦɥ |
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ɫɜɟɠɢɯ |
ɬɟɥɶɧɨɟ ɞɟɣɫɬɜɢɟ. ɋɩɨ- |
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ɧɚɪɭɠɧɨ 3–4 |
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ɥɢɫɬɶɟɜ ɢ |
ɫɨɛɫɬɜɭɟɬ ɡɚɠɢɜɥɟɧɢɸ |
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ɪ/ɫɭɬ |
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ɡɟɥɟɧɨɣ |
ɪɚɧ |
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ɱɚɫɬɢ |
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ɫɬɟɛɥɟɣ |
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ɤɚɥɚɧɯɨɷ |
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ɩɟɪɢɫɬɨɝɨ |
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Ʉɚɥɟɧɞɭɥɵ |
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Ɏɥɚɜɨ- |
Ⱥɧɬɢɫɟɩɬɢɱɟɫɤɢɣ, ɩɪɨ- |
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ɰɜɟɬɤɢ, ɦɚɡɶ |
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ɧɨɢɞɵ, |
ɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɵɣ ɷɮ- |
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ɧɚɪɭɠɧɨ 3–4 |
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ɤɚɪɚɬɢ- |
ɮɟɤɬ |
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ɪ/ɫɭɬ |
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ɧɨɢɞɵ, ɫɚ- |
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ɩɨɧɢɧɵ, |
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ɞɭɛɢɥɶɧɵɟ |
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ɜɟɳɟɫɬɜɚ |
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Ƚɢɞɪɨɤɫɢɦɟ- |
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Ʉɨɦɛɢɧɢ- |
Ⱥɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɟ, ɩɪɨ- |
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ɬɢɥɯɨɥɢɧɤɫɢ- |
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ɪɨɜɚɧɧɵɣ |
ɬɟɨɥɢɬɢɱɟɫɤɨɟ, ɷɩɢɬɟɥɢ- |
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ɥɢɧɞɢɨɤɫɢɞ + |
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ɩɪɟɩɚɪɚɬ. |
ɡɢɪɭɸɳɟɟ ɞɟɣɫɬɜɢɟ. |
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ɬɪɢɦɟɤɚɢɧ+ |
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ɋɨɫɬɨɢɬ |
ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɢɧ- |
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ɞɢɨɤɫɢɦɟɬɢɥ- |
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ɢɡ ɞɢɨɤ- |
ɞɢɜɢɞɭɚɥɶɧɚɹ ɧɟɩɟɪɟɧɨ- |
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ɬɟɬɪɚɝɢɞɪɨɩɢ- |
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ɫɢɞɢɧɚ, |
ɫɢɦɨɫɬɶ, ɧɟɞɨɫɬɚɬɨɱ- |
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ɪɢɦɢɞɢɧ («Ⱦɢ- |
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ɬɪɢɦɟɤɚɢ- |
ɧɨɫɬɶ ɮɭɧɤɰɢɢ ɧɚɞɩɨ- |
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ɨɤɫɢɤɨɥɶ») ɦɟ- |
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ɧɚ, ɦɟɬɢ- |
ɱɟɱɧɢɤɨɜ |
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ɫɬɧɨ 3–4 ɪ/ɫɭɬ |
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ɥɭɪɚɰɢɥɚ, |
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ɩɨɥɢɷɬɢ- |
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ɥɟɧɨɤɫɢɞɚ |
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(ɨɫɧɨɜɚ) |
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5. Ʌɟɤɚɪɫɬɜɟɧɧɵɟ ɫɪɟɞɫɬɜɚ, ɩɪɢɦɟɧɹɟɦɵɟ ɩɪɢ ɜɟɞɟɧɢɢ ɛɟɪɟɦɟɧɧɵɯ ɢ ɪɨɞɢɥɶɧɢɰ ɫ ɜɵɫɨɤɢɦ ɪɢɫɤɨɦ ɢɧɮɟɤɰɢɨɧɧɵɯ ɨɫɥɨɠɧɟɧɢɣ
Ɂɚɛɨɥɟɜɚɧɢɟ, |
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Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
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ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
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ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
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ɜɨɡɛɭɞɢɬɟɥɶ |
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Ɉ23.5 ɂɧɮɟɤɰɢɹ |
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При проведении лечения инфекционных заболеваний половых путей необходимо также проводить профилакти- |
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ɩɨɥɨɜɵɯ ɩɭɬɟɣ ɩɪɢ |
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ку и терапию осложнений беременности (угрозы прерывания, внутриутробной инфекции, плацентарнойнедос- |
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ɛɟɪɟɦɟɧɧɨɫɬɢ |
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таточности, хронической гипоксии плода и др.) |
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Ʉɚɧɞɢɞɨɡɧɵɣ ɜɭɥɶ- |
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Лечение проводится в случае |
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ɜɨɜɚɝɢɧɢɬ |
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микроскопически подтвер- |
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Основные возбуди- |
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жденного кандидоза и при на- |
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тели — дрожже- |
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личии клинических признаков |
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вые грибы рода |
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вульвовагинита. |
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Candida: |
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Рекомендуется проводить ме- |
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C. albicans (80– |
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стную терапию с учетом срока |
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90%) |
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беременности |
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C. tropicalis (1–5%) |
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I Ɍɪɢɦɟɫɬɪ |
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C. glabrata (10%) |
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0,1 ɝ |
0,4 ɝ |
ɜɧɭɬɪɶ |
6–10 ɫɭɬ |
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ɇɚɬɚɦɢɰɢɧ («ɉɢɦɚɮɭɰɢɧ») |
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и др. |
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0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–12 ɫɭɬ |
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3–5 ɦɝ |
3–5 ɦɝ |
ɫɜɟɱɢ ɧɚ ɧɨɱɶ |
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ɢɥɢ ɤɪɟɦ 2% |
ɜɚɝɢɧɚɥɶɧɵɣ |
6 ɫɭɬ |
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ɤɪɟɦ |
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ɢɥɢ |
0,016 ɝ |
0,016– |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
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ɏɥɨɪɝɟɤɫɢɞɢɧ («Ƚɟɤɫɢɤɨɧ») |
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0,032 ɝ |
ɫɜɟɱɢ |
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II–III Ɍɪɢɦɟɫɬɪ |
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ɂɡɨɤɨɧɚɡɨɥ («Ƚɢɧɨ-ɬɪɚɜɨɝɟɧ |
0,6 ɝ |
0,6 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
Ɉɞɧɨɤɪɚɬɧɨ |
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ɨɜɭɥɭɦ») |
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ɫɜɟɱɢ |
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Ɂɚɛɨɥɟɜɚɧɢɟ, |
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Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
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ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
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ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
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ɜɨɡɛɭɞɢɬɟɥɶ |
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ɢɥɢ ɤɪɟɦ 1% |
3–5 ɝ |
3–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
5–6 ɫɭɬ |
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ɢɥɢ |
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ɤɪɟɦ |
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Ʉɥɨɬɪɢɦɚɡɨɥ («ɂɦɢɞɢɥ») |
0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6 ɫɭɬ |
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ɢɥɢ |
0,2 ɝ |
0,2 ɝ |
ɬɚɛɥɟɬɤɢ |
3 ɫɭɬ |
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ɜɚɝɢɧɚɥɶɧɵɟ |
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0,5 ɝ |
0,5 ɝ |
ɬɚɛɥɟɬɤɢ |
Ɉɞɧɨɤɪɚɬɧɨ |
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ɜɚɝɢɧɚɥɶɧɵɟ |
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ɤɪɟɦ 1% |
3–5 ɝ |
3–5 ɝ |
ɬɚɛɥɟɬɤɢ |
3–6 ɫɭɬ |
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ɜɚɝɢɧɚɥɶɧɵɣ |
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ɢɥɢ |
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ɤɪɟɦ |
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Ɇɢɤɨɧɚɡɨɥ |
0,1–0,2 ɝ |
0,2 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6 ɫɭɬ |
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ɢɥɢ |
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ɫɜɟɱɢ |
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ɤɪɟɦ 2% |
3–5 ɝ |
3–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
6–10 ɫɭɬ |
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ɢɥɢ |
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ɤɪɟɦ |
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0,1 ɝ |
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ɇɚɬɚɦɢɰɢɧ («ɉɢɦɚɮɭɰɢɧ») |
0,3–0,4 ɝ |
ɜɧɭɬɪɶ |
10–12 ɫɭɬ |
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ɢɥɢ |
0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–12 ɫɭɬ |
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ɤɪɟɦ 2% |
3–5 ɝ |
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ɫɜɟɱɢ |
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3–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
6–12 ɫɭɬ |
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ɢɥɢ |
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ɤɪɟɦ |
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ɇɢɫɬɚɬɢɧ |
250–500 000 |
250– |
ɜɚɝɢɧɚɥɶɧɵɟ |
14 ɫɭɬ |
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|
|
|
ȿȾ |
500 000 |
ɫɜɟɱɢ |
|
|
|
|
ɢɥɢ ɤɪɟɦ 100 ɬɵɫ. ȿȾ ɜ 1 ɝ |
3–5 ɝ |
ȿȾ |
ɜɚɝɢɧɚɥɶɧɵɣ |
14 ɫɭɬ |
|
|
|
3–5 ɝ |
|
||||
|
|
ɢɥɢ |
|
|
ɤɪɟɦ |
|
|
|
|
ɇɢɫɬɚɬɢɧ+ɧɢɮɭɪɚɬɟɥ |
1 ɫɜɟɱɚ |
1 ɫɜɟɱɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
8 ɫɭɬ |
|
|
|
(«Ɇɚɤɦɢɪɨɪ ɤɨɦɩɥɟɤɫ») |
|
|
ɫɜɟɱɢ |
|
|
|
|
ɢɥɢ ɤɪɟɦ |
2,5 ɝ |
2,5–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
8–10 ɫɭɬ |
|
|
|
ɢɥɢ |
|
|
ɤɪɟɦ |
|
|
|
|
Ɍɟɪɧɢɞɚɡɨɥ+ɧɟɨɦɢɰɢɧ+ |
0,4 ɝ |
0,4 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–10 ɫɭɬ |
|
116
5 Раздел
Ɂɚɛɨɥɟɜɚɧɢɟ, |
|
Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
|
ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
|
ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
|
ɜɨɡɛɭɞɢɬɟɥɶ |
|
|
|
|
|
|
|
|
|
ɧɢɫɬɚɬɢɧ+ɩɪɟɞɧɢɡɨɥɨɧ |
|
|
ɬɚɛɥɟɬɤɢ |
|
|
|
|
(«Ɍɟɪɠɢɧɚɧ») |
|
|
|
|
|
|
|
ɢɥɢ |
1 ɤɚɩɫɭɥɚ |
|
|
|
|
|
|
ɉɨɥɢɦɢɤ- |
1 ɤɚɩɫɭɥɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–12 ɫɭɬ |
|
|
|
|
ɫɢɧ+ɧɟɨɦɢɰɢɧ+ɧɢɫɬɚɬɢɧ |
|
|
ɤɚɩɫɭɥɵ |
|
|
|
|
(«ɉɨɥɢɠɢɧɚɤɫ») |
|
|
|
|
|
|
|
ɢɥɢ |
|
|
|
|
|
|
|
ɏɥɨɪɝɟɤɫɢɞɢɧ («Ƚɟɤɫɢɤɨɧ») |
0,016 ɝ |
0,032 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
|
|
|
ɢɥɢ |
|
|
ɫɜɟɱɢ |
|
|
|
|
ɗɤɨɧɚɡɨɥ («Ƚɢɧɨ-ɩɟɜɚɪɢɥ») |
0,15 ɝ |
0,15 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
3 ɫɭɬ |
|
|
|
|
|
|
ɫɜɟɱɢ |
|
|
|
ɉɪɢ ɪɟɰɢɞɢɜɢɪɭɸɳɟɦ ɤɚɧɞɢɞɨɡɧɨɦ ɜɚɝɢɧɢɬɟ |
|
|
|
|
||
|
|
|
|
|
|
|
|
|
ɢɦɦɭɧɨɬɟɪɚɩɢɹ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ɀɟɧɶɲɟɧɹ ɧɚɫɬɨɣɤɚ |
0,5–1 ɦɥ |
1,5–3 ɦɥ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
|
|
|
ɢɥɢ |
|
|
|
10 ɫɭɬ |
|
|
|
ɂɧɬɟɪɮɟɪɨɧ ɚɥɶɮɚ-2 («ȼɢ- |
500 000– |
500 000– |
ɪɟɤɬɚɥɶɧɵɟ |
|
|
|
|
ɮɟɪɨɧ», «Ƚɟɧɮɟɪɨɧ», «Ʉɢɩ- |
1 000 000 Ɇȿ |
1 000 000 |
ɫɜɟɱɢ |
|
|
|
|
ɮɟɪɨɧ») |
|
Ɇȿ |
|
|
|
|
|
ɢɥɢ |
|
|
ɜɧɭɬɪɶ |
|
|
|
|
Ʌɢɦɨɧɧɢɤɚ ɩɥɨɞɨɜ ɧɚɫɬɨɣɤɚ |
0,5–1 ɦɥ |
1,5–3 ɦɥ |
30 ɫɭɬ |
|
|
|
|
ɢɥɢ |
|
|
ɜɧɭɬɪɶ |
30 ɫɭɬ |
|
|
|
ɋɢɫɬɟɦɧɵɟ ɷɧɡɢɦɵ («ȼɨɛɷɧ- |
0,9–1,5 ɝ |
8,1–22,5 ɝ |
|
||
|
|
ɡɢɦ») |
|
|
|
|
|
|
|
ɢɥɢ |
|
|
|
|
|
|
|
ɗɥɟɭɬɟɪɨɤɨɤɤɚ ɤɨɪɧɟɜɢɳɚ ɢ |
0,5– 1 ɦɥ |
1,5–3 ɦɥ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
|
|
|
ɤɨɪɧɟɣ ɷɤɫɬɪɚɤɬ |
|
|
|
|
|
Ȼɚɤɬɟɪɢɚɥɶɧɵɣ |
|
Ɉɫɧɨɜɧɵɟ ɡɚɞɚɱɢ ɥɟɱɟɧɢɹ ɛɚɤɬɟɪɢɚɥɶɧɨɝɨ ɜɚɝɢɧɨɡɚ: ɷɥɢɦɢɧɚɰɢɹ ɨɛɥɢɝɚɬɧɨ-ɚɧɚɷɪɨɛɧɵɯ |
ɦɢɤɪɨɨɪɝɚɧɢɡ- |
||||
ɜɚɝɢɧɨɡ |
ɦɨɜ, ɜɨɫɫɬɚɧɨɜɥɟɧɢɟ ɧɨɪɦɚɥɶɧɨɣ ɦɢɤɪɨɮɥɨɪɵ ɜɥɚɝɚɥɢɳɚ, ɩɪɟɞɭɩɪɟɠɞɟɧɢɟ ɪɚɡɜɢɬɢɹ ɫɭɩɟɪɢɧɮɟɤɰɢɢ |
||||||
Ассоциации ана- |
(ɝɪɢɛɵ, ɷɧɬɟɪɨɛɚɤɬɟɪɢɢ ɢ ɞɪ.) |
|
|
|
|
|
|
...родильниц и беременных ведении при применяемые ЛС,
117
Ɂɚɛɨɥɟɜɚɧɢɟ, |
|
Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
|
ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
|
ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
|
ɜɨɡɛɭɞɢɬɟɥɶ |
|
|
|
|
|
|
|
эробных бактерий: |
I. ɗɌȺɉ |
|
|
|
|
|
|
Peptostrepto |
1. Ⱥɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɟ ɩɪɟ- |
|
|
|
|
|
|
coccus spp., |
ɩɚɪɚɬɵ ɫ ɜɵɪɚɠɟɧɧɨɣ ɚɧɬɢ- |
|
|
|
|
|
|
Prevotella spp., |
ɚɧɚɷɪɨɛɧɨɣ ɚɤɬɢɜɧɨɫɬɶɸ |
|
|
|
|
|
|
Bacteroides spp., |
|
|
2 ɝ |
2 ɝ |
ɜɧɭɬɪɶ |
Ɉɞɧɨɤɪɚɬɧɨ |
|
|
Ɇɟɬɪɨɧɢɞɚɡɨɥ |
|
|||||
Mobilluncus spp., |
|
ɢɥɢ |
0,5 ɝ |
1 ɝ |
ɜɧɭɬɪɶ |
7 ɫɭɬ |
|
Fusobacterium spp., |
|
ɢɥɢ |
0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
10–14 ɫɭɬ |
|
Microaerophilla |
|
|
|
1–2 ɪ/ɫɭɬ |
ɬɚɛɥɟɬɤɢ |
7–10 ɫɭɬ |
|
Gardnerella vaginalis |
|
ɢɥɢ 0,75% ɝɟɥɶ |
3–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
5–7 ɫɭɬ |
|
|
|
|
ɢɥɢ |
0,2 ɝ |
0,6 ɝ |
ɤɪɟɦ |
|
|
|
|
ɇɢɮɭɪɚɬɟɥ («Ɇɚɤɦɢɪɨɪ») |
ɜɧɭɬɪɶ |
8 ɫɭɬ |
Ʌɟɤɚɪɫɬɜɟɧɧɨɟ |
||
|
|
ɢɥɢ |
|
|
|
|
|
|
|
ɇɢɫɬɚɬɢɧ+ɧɢɮɭɪɚɬɟɥ |
1 ɫɜɟɱɚ |
1 ɫɜɟɱɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
8–10 ɫɭɬ |
ɫɪɟɞɫɬɜɨ ɞɥɹ ɦɟɫɬ- |
|
|
(«Ɇɚɤɦɢɪɨɪ ɤɨɦɩɥɟɤɫ») |
|
|
ɫɜɟɱɢ |
|
ɧɨɝɨ ɩɪɢɦɟɧɟɧɢɹ, |
|
|
ɢɥɢ |
|
|
|
|
ɢɦɟɟɬ ɩɪɟɢɦɭɳɟɫɬ- |
|
|
ɉɨɥɢɦɢɤ- |
1 ɤɚɩɫɭɥɚ |
1 ɤɚɩɫɭɥɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–12 ɫɭɬ |
ɜɚ ɢɡ-ɡɚ ɩɪɹɦɨɝɨ |
|
|
ɫɢɧ+ɧɟɨɦɢɰɢɧ+ɧɢɫɬɚɬɢɧ |
|
|
ɤɚɩɫɭɥɵ |
|
ɜɨɡɞɟɣɫɬɜɢɹ ɧɚ |
|
|
(«ɉɨɥɢɠɢɧɚɤɫ») |
|
|
|
|
ɜɨɡɛɭɞɢɬɟɥɶ |
|
|
ɢɥɢ |
0,4 ɝ |
0,4 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–12 ɫɭɬ |
|
|
|
Ɍɟɪɧɢɞɚ- |
|
||||
|
|
ɡɨɥ+ɧɟɨɦɢɰɢɧ+ɧɢɫɬɚɬɢɧ+ɩɪ |
|
|
ɬɚɛɥɟɬɤɢ |
|
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|
|
ɟɞɧɢɡɨɥɨɧ («Ɍɟɪɠɢɧɚɧ») |
|
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|
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ɉɪɢ ɧɚɥɢɱɢɢ ɫɦɟɲɚɧɧɨɣ ɢɧɮɟɤɰɢɢ |
|
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ɉɪɢ ɩɪɨɜɟɞɟɧɢɢ |
||
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ɬɟɪɚɩɢɢ ɤɨɦɛɢɧɢ- |
|
|
ɏɥɨɪɝɟɤɫɢɞɢɧ («Ƚɟɤɫɢɤɨɧ») |
0,016 ɝ |
0,016– |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɞɧɟɣ |
|
|
|
ɪɨɜɚɧɧɵɦɢ Ʌɋ ɧɟ |
|||||
|
|
|
|
0,032 ɝ |
ɫɜɟɱɢ |
|
|
|
|
|
|
|
ɧɚɡɧɚɱɚɸɬ ɞɨɩɨɥ- |
||
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ɧɢɬɟɥɶɧɨ ɩɪɨɬɢɜɨ- |
|
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ɝɪɢɛɤɨɜɵɟ Ʌɋ |
|
Ⱦɥɹ ɩɪɨɮɢɥɚɤɬɢɤɢ ɤɚɧɞɢɞɨɡɚ |
|
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(ɦɟɫɬɧɨ) |
|
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|
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Ʉɥɨɬɪɢɦɚɡɨɥ («ɂɦɢɞɢɥ») |
0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6 ɫɭɬ |
|
|
|
|
|
|
ɬɚɛɥɟɬɤɢ |
|
|
118
5 Раздел
Ɂɚɛɨɥɟɜɚɧɢɟ, |
|
Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
|
ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
|
ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
|
ɜɨɡɛɭɞɢɬɟɥɶ |
|
|
|
|
|
|
|
|
|
|
0,2 ɝ |
0,2 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
3 ɫɭɬ |
|
|
|
ɢɥɢ |
|
|
ɬɚɛɥɟɬɤɢ |
|
|
|
|
|
|
|
|
|
|
|
|
ɇɚɬɚɦɢɰɢɧ («ɉɢɦɚɮɭɰɢɧ») |
0,5 ɝ |
0,5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
Ɉɞɧɨɤɪɚɬɧɨ |
|
|
|
|
0,1 ɝ |
0,1 ɝ |
ɬɚɛɥɟɬɤɢ |
|
|
|
|
|
ɜɚɝɢɧɚɥɶɧɵɟ |
6 ɫɭɬ |
|
||
|
|
ɢɥɢ ɤɪɟɦ 2% |
3–5 ɝ |
3–5 ɝ |
ɫɜɟɱɢ |
|
|
|
|
ɜɚɝɢɧɚɥɶɧɵɣ |
6 ɫɭɬ |
|
|||
|
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ɢɥɢ |
|
|
ɤɪɟɦ |
|
|
|
|
ɗɤɨɧɚɡɨɥ («Ƚɢɧɨ-ɩɟɜɚɪɢɥ») |
0,15 ɝ |
0,15 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
3 ɫɭɬ |
|
|
|
|
|
|
ɫɜɟɱɢ |
|
|
|
II. |
ɗɌȺɉ |
|
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|
|
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ȼɨɫɫɬɚɧɨɜɥɟɧɢɟ ɧɨɪɦɚɥɶɧɨɝɨ |
|
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|
ɦɢɤɪɨɰɟɧɨɡɚ ɜɥɚɝɚɥɢɳɚ |
1 ɞɨɡɚ |
2 ɞɨɡɵ |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
ɗɬɢ Ʌɋ ɧɚɡɧɚɱɚɸɬ |
|
|
|
Ȼɢɮɢɞɨɛɚɤɬɟɪɢɢ ɛɢɮɢɞɭɦ |
|||||
|
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ɢɥɢ |
|
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ɫɜɟɱɢ |
|
ɥɢɲɶ ɜ ɨɬɫɭɬɫɬɜɢɢ |
|
|
Ʌɚɤɬɨɛɚɤɬɟɪɢɢ ɚɰɢɞɨɮɢɥɶ- |
1 ɞɨɡɚ |
1 ɞɨɡɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
ɥɚɤɬɨɛɚɤɬɟɪɢɣ ɜɨ |
|
|
ɧɵɟ («Ⱥɰɢɥɚɤɬ») |
|
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ɫɜɟɱɢ |
|
ɜɥɚɝɚɥɢɳɧɨɦ ɨɬɞɟ- |
|
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ɥɹɟɦɨɦ |
|
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ɄɈɊɊȿɄɐɂə ɇȺɊɍɒȿɇɂɃ |
ɂɆɆɍɇɇɈȽɈ |
ɂ ɂɇɌȿɊɎȿɊɈɇɈȼɈȽɈ ɋɌȺɌɍɋȺ |
|
||
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(ɩɨ ɩɨɤɚɡɚɧɢɹɦ) |
|
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ɂɦɦɭɧɨɝɥɨɛɭɥɢɧ ɱɟɥɨɜɟɤɚ |
0,25–0,5 ɝ/ɤɝ |
0,25–0,5 |
ɜ/ɜ ɤɚɩɟɥɶɧɨ |
3 ɜɜɟɞɟɧɢɹ ɱɟ- |
|
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ɧɨɪɦɚɥɶɧɵɣ ɞɥɹ ɜɧɭɬɪɢɜɟɧ- |
|
ɝ/ɤɝ |
|
ɪɟɡ ɫɭɬɤɢ |
|
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|
ɧɨɝɨ ɜɜɟɞɟɧɢɹ, ɠɢɞɤɢɣ |
|
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ɢɥɢ |
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10 ɫɭɬ |
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ɂɧɬɟɪɮɟɪɨɧ ɚɥɶɮɚ-2 («ȼɢ- |
500 000– |
500 000– |
ɪɟɤɬɚɥɶɧɵɟ |
|
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ɮɟɪɨɧ», «Ƚɟɧɮɟɪɨɧ», «Ʉɢɩ- |
1 000 000 Ɇȿ |
1 000 000 |
ɫɜɟɱɢ |
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|
ɮɟɪɨɧ») |
|
Ɇȿ |
|
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ɢɥɢ |
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ɀɟɧɶɲɟɧɹ ɧɚɫɬɨɣɤɚ |
0,5–1 ɦɥ |
1,5–3 ɦɥ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
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ɢɥɢ |
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...родильниц и беременных ведении при применяемые ЛС,
119
Ɂɚɛɨɥɟɜɚɧɢɟ, |
|
Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
|
120 |
ɨɫɧɨɜɧɨɣ |
|
ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
|
ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
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ɜɨɡɛɭɞɢɬɟɥɶ |
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Ʌɢɦɨɧɧɢɤɚ ɩɥɨɞɨɜ ɧɚɫɬɨɣɤɚ |
0,5–1 ɦɥ |
1,5–3 ɦɥ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
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ɢɥɢ |
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ɋɢɫɬɟɦɧɵɟ ɷɧɡɢɦɵ («ȼɨɛɷɧ- |
0,9–1,5 ɝ |
8,1–22,5 ɝ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
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ɡɢɦ») |
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ɢɥɢ |
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ɗɥɟɭɬɟɪɨɤɨɤɤɚ ɤɨɪɧɟɜɢɳɚ ɢ |
0,5–1 ɦɥ |
1,5–3 ɦɥ |
ɜɧɭɬɪɶ |
30 ɫɭɬ |
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ɤɨɪɧɢ, ɷɤɫɬɪɚɤɬ |
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ȾȿɋȿɇɋɂȻɂɅɂɁɂɊɍɘɓȺə |
ɌȿɊȺɉɂə |
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Ⱦɢɮɟɧɝɢɞɪɚɦɢɧ («Ⱦɢɦɟɞ- |
0,05 ɝ |
0,1 ɝ |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
|
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ɪɨɥ») |
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ɢɥɢ |
0,025 ɝ |
0,05 ɝ |
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ɉɪɨɦɟɬɚɡɢɧ («Ⱦɢɩɪɚɡɢɧ», |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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||
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«ɉɢɩɨɥɶɮɟɧ») |
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ɢɥɢ |
0,025 ɝ |
0,05 ɝ |
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ɏɥɨɪɨɩɢɪɚɦɢɧ («ɋɭɩɪɚ- |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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||
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ɫɬɢɧ») |
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ɢɥɢ |
0,1 ɝ |
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Ɇɟɛɝɢɞɪɨɥɢɧ («Ⱦɢɚɡɨɥɢɧ») |
0,2–0,3 ɝ |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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ɢɥɢ |
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Ʉɟɬɨɬɢɮɟɧ |
0,001 ɝ |
0,002 ɝ |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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ɢɥɢ |
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ɏɢɮɟɧɚɞɢɧ («Ɏɟɧɤɚɪɨɥ») |
0,025 ɝ |
0,05– |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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ɢɥɢ |
|
0,075 ɝ |
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Ʌɨɪɚɬɚɞɢɧ («Ʉɥɚɪɢɬɢɧ») |
0,01 ɝ |
0,01 ɝ |
ɜɧɭɬɪɶ |
5–7 ɫɭɬ |
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Ɍɪɢɯɨɦɨɧɚɞɧɵɣ |
I |
ɌɊɂɆȿɋɌɊ |
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ɜɚɝɢɧɢɬ |
ȼɨɡɦɨɠɧɨ ɥɟɱɟɧɢɟ ɬɨɥɶɤɨ ɦɟ- |
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T. vaginalis |
ɫɬɧɵɦɢ Ʌɋ: |
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5Раздел |
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ɏɥɨɪɝɟɤɫɢɞɢɧ («Ƚɟɤɫɢɤɨɧ») |
0,016 ɝ |
0,016– |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
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|||||
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0,032 ɝ |
ɫɜɟɱɢ |
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Ɂɚɛɨɥɟɜɚɧɢɟ, |
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Ʌɟɤɚɪɫɬɜɟɧɧɵɟ |
Ɋɚɡɨɜɚɹ ɞɨɡɚ |
ɋɭɬɨɱɧɚɹ |
ɋɩɨɫɨɛ |
Ⱦɥɢɬɟɥɶɧɨɫɬɶ |
ɉɪɢɦɟɱɚɧɢɟ |
ɨɫɧɨɜɧɨɣ |
|
ɩɪɟɩɚɪɚɬɵ (Ʌɋ) |
|
ɞɨɡɚ |
ɜɜɟɞɟɧɢɹ |
ɬɟɪɚɩɢɢ |
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ɜɨɡɛɭɞɢɬɟɥɶ |
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ɢɥɢ |
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Ȼɪɢɥɥɢɚɧɬɨɜɵɣ ɡɟɥɟɧɵɣ (1– |
1–2 ɦɥ |
1–2 ɦɥ |
ɨɛɪɚɛɨɬɤɚ ɜɥɚ- |
7–10 ɫɭɬ |
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2% ɫɩɢɪɬɨɜɨɣ ɪɚɫɬɜɨɪ) |
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ɝɚɥɢɳɚ |
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II |
ɌɊɂɆȿɋɌɊ |
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Ɍɚɤ ɤɚɤ ɨɞɧɨɤɪɚɬ- |
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ɋɩɟɰɢɮɢɱɟɫɤɨɟ ɥɟɱɟɧɢɟ ɩɪɨ- |
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ɧɚɹ ɞɨɡɚ ɧɢɬɪɨɢɦɢ- |
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ɜɨɞɢɬɫɹ ɫ 16–18 ɧɟɞ |
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ɞɚɡɨɥɨɜ ɜ 95% ɫɥɭ- |
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ɱɚɟɜ ɛɵɜɚɟɬ ɷɮɮɟɤ- |
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Ɇɟɬɪɨɧɢɞɚɡɨɥ |
2 ɝ |
2 ɝ |
ɜɧɭɬɪɶ |
Ɉɞɧɨɤɪɚɬɧɨ |
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ɢɥɢ |
0,5 ɝ |
1 ɝ |
ɜɧɭɬɪɶ |
7 ɫɭɬ |
ɬɢɜɧɨɣ, ɬɨ ɞɥɹ |
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ɢɥɢ |
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ɫɧɢɠɟɧɢɹ ɪɢɫɤɚ |
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ɇɢɮɭɪɚɬɟɥ («Ɇɚɤɦɢɪɨɪ») |
0,2 ɝ |
0,6 ɝ |
ɜɧɭɬɪɶ |
7 ɫɭɬ |
ɪɚɡɜɢɬɢɹ ɩɨɛɨɱɧɵɯ |
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ɢɥɢ |
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ɪɟɚɤɰɢɣ ɭ ɦɚɬɟɪɢ ɢ |
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Ɍɢɧɢɞɚɡɨɥ |
2 ɝ |
2 ɝ |
ɜɧɭɬɪɶ |
Ɉɞɧɨɤɪɚɬɧɨ |
ɩɥɨɞɚ ɰɟɥɟɫɨɨɛɪɚɡ- |
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ɢɥɢ |
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ɧɨ ɩɪɨɜɨɞɢɬɶ ɤɨ- |
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Ɍɟɧɨɧɢɬɪɨɡɨɥ («Ⱥɬɪɢɤɚɧ») |
0,25 ɝ |
0,5 ɝ |
ɜɧɭɬɪɶ |
4 ɫɭɬ |
ɪɨɬɤɢɟ ɤɭɪɫɵ |
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Ɇɟɫɬɧɵɟ Ʌɋ |
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ɉɪɢ ɫɨɱɟɬɚɧɢɢ |
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ɬɪɢɯɨɦɨɧɚɞɧɨɝɨ |
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Ʉɥɨɬɪɢɦɚɡɨɥ («ɂɦɢɞɢɥ») |
0,1 ɝ |
0,1 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–10 ɫɭɬ |
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ɜɚɝɢɧɢɬɚ ɫ ɞɪɭɝɢɦɢ |
|||||
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ɬɚɛɥɟɬɤɢ |
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0,2 ɝ |
0,2 ɝ |
3 ɫɭɬ |
Ɂɉɉɉ ɨɞɧɨɜɪɟɦɟɧ- |
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ɜɚɝɢɧɚɥɶɧɵɟ |
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ɧɨ ɩɪɨɜɨɞɹɬ ɥɟɱɟ- |
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ɬɚɛɥɟɬɤɢ |
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0,5 ɝ |
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ɧɢɟ ɩɨɫɥɟɞɧɢɯ |
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0,5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
Ɉɞɧɨɤɪɚɬɧɨ |
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ɢɥɢ |
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ɬɚɛɥɟɬɤɢ |
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ɇɢɫɬɚɬɢɧ+ɧɢɮɭɪɚɬɟɥ |
1 ɫɜɟɱɚ |
1 ɫɜɟɱɚ |
ɜɚɝɢɧɚɥɶɧɵɟ |
8–10 ɫɭɬ |
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(«Ɇɚɤɦɢɪɨɪ ɤɨɦɩɥɟɤɫ») |
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ɫɜɟɱɢ |
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ɢɥɢ ɤɪɟɦ |
2,5 ɝ |
2,5–5 ɝ |
ɜɚɝɢɧɚɥɶɧɵɣ |
8–10 ɫɭɬ |
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ɢɥɢ |
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ɤɪɟɦ |
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Ɍɟɪɧɢɞɚ- |
0,4 ɝ |
0,4 ɝ |
ɜɚɝɢɧɚɥɶɧɵɟ |
6–10 ɫɭɬ |
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ɡɨɥ+ɧɟɨɦɢɰɢɧ+ɧɢɫɬɚɬɢɧ+ɩɪ |
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ɬɚɛɥɟɬɤɢ |
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ɟɞɧɢɡɨɥɨɧ («Ɍɟɪɠɢɧɚɧ») |
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ɢɥɢ |
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ɏɥɨɪɝɟɤɫɢɞɢɧ («Ƚɟɤɫɢɤɨɧ») |
0,016 ɝ |
0,016– |
ɜɚɝɢɧɚɥɶɧɵɟ |
7–10 ɫɭɬ |
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...родильниц и беременных ведении при применяемые ЛС,
121