76 research outputs found

    Π­ΠΊΠ·Π΅ΠΌΠ°Ρ‚ΠΎΠ·Π½Ρ‹Π΅ пораТСния кистСй Ρ€ΡƒΠΊ

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    The article concerns with the case dermatitis of hands. It analyses the modern classifications of hand dermatitis, epidemiological aspects, initiating agents, clinical treatment and therapeutical principals. The special focus is put on microbal eczemas and chronical allergodermathosis of hands. Among the pathogenetical factors of development and maintaining of dermatological inflammation the problem of microbacterial infection of skin is emphasized. The effectiveness and safety of external therapy of patients with microbal and chronical hand eczemas is proven and established while using the multicomponental medication Triderm.Π‘Ρ‚Π°Ρ‚ΡŒΡ посвящСна ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ΅ экзСматозных ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠΉ ΠΊΠΎΠΆΠΈ кистСй Ρ€ΡƒΠΊ. ΠŸΠΎΠ΄Ρ€ΠΎΠ±Π½ΠΎ Ρ€Π°Π·ΠΎΠ±Ρ€Π°Π½Ρ‹ соврСмСнныС классификации экзСмы кистСй Ρ€ΡƒΠΊ, эпидСмиологичСскиС аспСкты, ΠΏΡ€ΠΎΠ²ΠΎΡ†ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠ΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹, ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° ΠΈ ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΡ‹ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ. ОсобоС Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΡƒΠ΄Π΅Π»Π΅Π½ΠΎ ΠΌΠΈΠΊΡ€ΠΎΠ±Π½Ρ‹ΠΌ экзСмам ΠΈ хроничСским Π°Π»Π»Π΅Ρ€Π³ΠΎΠ΄Π΅Ρ€ΠΌΠ°Ρ‚ΠΎΠ·Π°ΠΌ кистСй Ρ€ΡƒΠΊ. Π‘Ρ€Π΅Π΄ΠΈ патогСнСтичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² развития ΠΈ поддСрТания экзСматозного воспалСния Π²Ρ‹Π΄Π΅Π»Π΅Π½Π° ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ° ΠΌΠΈΠΊΠΎΠ±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ инфицирования ΠΊΠΎΠΆΠ½Ρ‹Ρ… ΠΏΠΎΠΊΡ€ΠΎΠ²ΠΎΠ². ΠžΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½Ρ‹ ΠΈ Π΄ΠΎΠΊΠ°Π·Π°Π½Ρ‹ собствСнными клиничСскими наблюдСниями ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΈ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡ‚ΡŒ Π½Π°Ρ€ΡƒΠΆΠ½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΌΠΈΠΊΡ€ΠΎΠ±Π½Ρ‹ΠΌΠΈ ΠΈ хроничСскими экзСмами кистСй Ρ€ΡƒΠΊ ΠΌΠ½ΠΎΠ³ΠΎΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Π½Ρ‹ΠΌ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ Π’Ρ€ΠΈΠ΄Π΅Ρ€ΠΌ

    ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ особСнности тСчСния гСрпСсвирусной ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ, Π²Ρ‹Π·Π²Π°Π½Π½ΠΎΠΉ вирусом varicella zoster, Π² дСтском возрастС

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    Contains literature and own observation data referred to the course, peculiarities of clinical aspects, complications and modern therapy of herpes viral diseases, caused by Varicella-Zoster virus at children.ΠŸΡ€ΠΈΠ²Π΅Π΄Π΅Π½Ρ‹ Π΄Π°Π½Π½Ρ‹Π΅ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹ ΠΈ собствСнных наблюдСний ΠΎ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠΈ, особСнностях клиничСских проявлСний, ослоТнСниях ΠΈ соврСмСнной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ гСрпСсвирусных Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, Π²Ρ‹Π·Π²Π°Π½Π½Ρ‹Ρ… вирусом varicella zoster, Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ

    Skin xerosis: Symptom, syndrome or disease?

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    Dry skin is a very common problem in certain life periods of every person. This condition may be both transient and permanent, generalized and local. Trigger of xerosis is negative influence of meteorological factors, household chemicals, water, medicines, cosmetic procedures, etc. Skin xerosis occurring after exposure to irritants may be considered as symptomatic. Background factors affecting skin hydration include genetic determinants and age. Hereditary xerosis underlies the development of various dermatoses and, above all, atopic dermatitis. Skin xerosis is an important syndrome in this case predisposing to severe course of disease. The most severe manifestation of hereditary xerosis is ichthyosis. Natural factors and mechanisms of protection of the stratum corneum from dehydration are under special attention in the article: water-lipid mantle; filaggrin, natural humectants (components of the natural moisturizing factor, glycerin, and hyaluronic acid), epidermal lipids, etc. It is advisable to use modern moisturizers consisting of physiological lipids and natural humectants for the treatment of skin xerosis of any genesis. These medicines effectively restore epidermal barrier. Β© 2019, Media Sfera. All rights reserved

    Acne in children

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    This article focuses on the problem of acne in children. It is wrong to think that children have only acne vulgaris. Acne can occur in children at different ages, from birth. The activity of sebaceous glands and associated inflammatory reactions are largely defined by patient's age and hormonal alterations in the body, typical for this period. Various forms of acne in children have their own clinical features, differ significantly in prognosis and treatment. In some cases of acne in children, additional examination may be required to eliminate comorbidities. The study of patterns and characteristics of sebaceous glands inflammatory diseases course in different age periods of children and adolescents is an important issue, that will help early diagnostics, detection of comorbidity and the successful treatment of patients with these dermatoses. Β© 2019, Pediatria Ltd. All rights reserved

    Π Π•ΠŸΠΠ ΠΠ’Π˜Π’ΠΠΠ― Π’Π•Π ΠΠŸΠ˜Π― "ΠœΠΠ›Π«Π₯" РАН Π‘ ΠŸΠžΠ—Π˜Π¦Π˜Π˜ Π”Π•Π ΠœΠΠ’ΠžΠ›ΠžΠ“Π И ΠšΠžΠ‘ΠœΠ•Π’ΠžΠ›ΠžΠ“Π

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    An important problem in the practice of dermatovenerologists and cosmetologists is the restoration of skin defects(small wounds) that occur due to damage of various origins. Cracks, erosion, ulcers, excoriation can become the"entrance gate" for infection, accompanied by increased bleeding, pain. The healing process goes through 3stages: inflammation, regeneration and scarring. Reducing the time of healing phases leads to rapid repair of skindefects. Modern skin damage therapy includes the main directions: prevention and treatment of infection, thefastest healing of skin defects, prevention of pathological healing and cosmetic defects. Modern drug is the drugDermalibour+ (cream):, which reduces the healing time of wounds and prevents the development at the site ofdamage of cosmetic defects.Π’Π°ΠΆΠ½ΠΎΠΉ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Π² практичСской Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Π²Ρ€Π°Ρ‡Π΅ΠΉ Π΄Π΅Ρ€ΠΌΠ°Ρ‚ΠΎΠ²Π΅Π½Π΅Ρ€ΠΎΠ»ΠΎΠ³ΠΎΠ² ΠΈ космСтологов являСтсявосстановлСниС Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΎΠ² ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΡ€ΠΎΠ²Π° (ΠΌΠ°Π»Ρ‹Ρ… Ρ€Π°Π½), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π²ΠΎΠ·Π½ΠΈΠΊΠ°ΡŽΡ‚ вслСдствиС ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉΡ€Π°Π·Π»ΠΈΡ‡Π½ΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π°. Π’Ρ€Π΅Ρ‰ΠΈΠ½Ρ‹, эрозии, язвы, экскориации ΠΌΠΎΠ³ΡƒΡ‚ ΡΡ‚Π°Ρ‚ΡŒ Β«Π²Ρ…ΠΎΠ΄Π½Ρ‹ΠΌΠΈ Π²ΠΎΡ€ΠΎΡ‚Π°ΠΌΠΈΒ» для ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ, ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°Ρ‚ΡŒΡΡ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½ΠΎΠΉ ΠΊΡ€ΠΎΠ²ΠΎΡ‚ΠΎΡ‡ΠΈΠ²ΠΎΡΡ‚ΡŒΡŽ, Π±ΠΎΠ»Π΅Π²Ρ‹ΠΌΠΈ ощущСниями. ΠŸΡ€ΠΎΡ†Π΅ΡΡ заТивлСния ΠΏΡ€ΠΎΡ…ΠΎΠ΄ΠΈΡ‚ Ρ‚Ρ€ΠΈ стадии: воспалСниС, рСгСнСрация ΠΈ Ρ€ΡƒΠ±Ρ†Π΅Π²Π°Π½ΠΈΠ΅. Π‘ΠΎΠΊΡ€Π°Ρ‰Π΅Π½ΠΈΠ΅ Π²Ρ€Π΅ΠΌΠ΅Π½ΠΈ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ фаззаТивлСния ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ быстрой Ρ€Π΅ΠΏΠ°Ρ€Π°Ρ†ΠΈΠΈ Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΎΠ² ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΡ€ΠΎΠ²Π°. БоврСмСнная тСрапия ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉ ΠΊΠΎΠΆΠΈ Π²ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ Π² сСбя основныС направлСния: ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠ° ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ инфицирования, максимально быстроС Π·Π°ΠΆΠΈΠ²Π»Π΅Π½ΠΈΠ΅ ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°, ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠ° патологичСского заТивлСния ΠΈ космСтичСских Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΎΠ². Π‘ΠΎΠ²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹ΠΌ Ρ€Π΅ΠΏΠ°Ρ€Π°Π½Ρ‚ΠΎΠΌ являСтся ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ Π”Π΅Ρ€ΠΌΠ°Π»ΠΈΠ±ΡƒΡ€+ (Π²ΠΎΡΡΡ‚Π°Π½Π°Π²Π»ΠΈΠ²Π°ΡŽΡ‰ΠΈΠΉΠΊΡ€Π΅ΠΌ), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΉ сокращаСт врСмя заТивлСния Ρ€Π°Π½ ΠΈ прСпятствуСт Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΡŽ Π½Π° мСстС поврСТдСниякосмСтичСских Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΎΠ²

    Overcoming antibiotic resistance in treatment of pyoderma

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    The paper focuses on etiopathogenetic features of pyoderma course in children. The high incidence of this disease is caused by such factors as anatomical and functional features of pediatric skin, aggressive impact of the environment, and the microbial properties of Staphylococcus aureus. The clinical manifestations and treatment of staphyloderma in pediatrics are described. Special focus is placed on external therapy of pyoderma with silver-based drugs. The mechanisms of action of silver ions on a bacterial cell are presented. The anti-inflammatory and regeneration effects of silver ions are described. The follow-up of the outcomes of external therapy with 2% silver sulfathiazole in 20 patients (11 boys and 9 girls) aged 8 months to 13 years with pyoderma was performed. The high clinical effectiveness, broad range of antimicrobial activity and safety of Argosulfan cream was demonstrated. Thus, the agent can be also used to treat patients with secondary manifestations of pyoderma caused by atopic dermatitis. Β© 2014, Media Sphera Publishing Group. All rights reserved

    ΠšΡΠ΅Ρ€ΠΎΠ· ΠΊΠΎΠΆΠΈ: симптом, синдром ΠΈΠ»ΠΈ болСзнь?

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    Dry skin is a very common problem in certain life periods of every person. This condition may be both transient and permanent, generalized and local. Trigger of xerosis is negative influence of meteorological factors, household chemicals, water, medicines, cosmetic procedures, etc. Skin xerosis occurring after exposure to irritants may be considered as symptomatic. Background factors affecting skin hydration include genetic determinants and age. Hereditary xerosis underlies the development of various dermatoses and, above all, atopic dermatitis. Skin xerosis is an important syndrome in this case predisposing to severe course of disease. The most severe manifestation of hereditary xerosis is ichthyosis. Natural factors and mechanisms of protection of the stratum corneum from dehydration are under special attention in the article: water-lipid mantle; filaggrin, natural humectants (components of the natural moisturizing factor, glycerin, and hyaluronic acid), epidermal lipids, etc. It is advisable to use modern moisturizers consisting of physiological lipids and natural humectants for the treatment of skin xerosis of any genesis. These medicines effectively restore epidermal barrier.Бухая ΠΊΠΎΠΆΠ° - ΠΎΡ‡Π΅Π½ΡŒ частая ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°, с ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ сталкиваСтся Π² Ρ‚Π΅ ΠΈΠ»ΠΈ ΠΈΠ½Ρ‹Π΅ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Ρ‹ ΠΆΠΈΠ·Π½ΠΈ ΠΊΠ°ΠΆΠ΄Ρ‹ΠΉ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ. Π”Π°Π½Π½ΠΎΠ΅ состояниС ΠΌΠΎΠΆΠ΅Ρ‚ Π½ΠΎΡΠΈΡ‚ΡŒ ΠΊΠ°ΠΊ Ρ‚Ρ€Π°Π½Π·ΠΈΡ‚ΠΎΡ€Π½Ρ‹ΠΉ, Ρ‚Π°ΠΊ ΠΈ постоянный Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€, ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ Π³Π΅Π½Π΅Ρ€Π°Π»ΠΈΠ·ΠΎΠ²Π°Π½Π½Ρ‹ΠΌ ΠΈ ΠΎΠ³Ρ€Π°Π½ΠΈΡ‡Π΅Π½Π½Ρ‹ΠΌ. Π’Ρ€ΠΈΠ³Π³Π΅Ρ€Π°ΠΌΠΈ развития ксСроза являСтся Π½Π΅Π³Π°Ρ‚ΠΈΠ²Π½ΠΎΠ΅ воздСйствиС мСтСорологичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Π±Ρ‹Ρ‚ΠΎΠ²ΠΎΠΉ Ρ…ΠΈΠΌΠΈΠΈ, Π²ΠΎΠ΄Ρ‹, лСкарствСнных срСдств, космСтичСских ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€ ΠΈ Ρ‚.Π΄. Π‘ΡƒΡ…ΠΎΡΡ‚ΡŒ ΠΊΠΎΠΆΠΈ, Π²ΠΎΠ·Π½ΠΈΠΊΠ°ΡŽΡ‰Π°Ρ послС воздСйствия Ρ€Π°Π·Π΄Ρ€Π°ΠΆΠ°ΡŽΡ‰ΠΈΡ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², ΠΌΠΎΠΆΠ½ΠΎ Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ ΠΊΠ°ΠΊ ΡΠΈΠΌΠΏΡ‚ΠΎΠΌΠ°Ρ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ. Π‘Ρ€Π΅Π΄ΠΈ Ρ„ΠΎΠ½ΠΎΠ²Ρ‹Ρ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Π²Π»ΠΈΡΡŽΡ‰ΠΈΡ… Π½Π° Π³ΠΈΠ΄Ρ€Π°Ρ‚Π°Ρ†ΠΈΡŽ ΠΊΠΎΠΆΠΈ, Π²Ρ‹Π΄Π΅Π»ΡΡŽΡ‚ гСнСтичСскиС Π΄Π΅Ρ‚Π΅Ρ€ΠΌΠΈΠ½Π°Π½Ρ‚Ρ‹ ΠΈ возрастныС особСнности. НаслСдствСнно обусловлСнный ксСроз ΠΊΠΎΠΆΠΈ Π»Π΅ΠΆΠΈΡ‚ Π² основС развития Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… Π΄Π΅Ρ€ΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠ² ΠΈ ΠΏΡ€Π΅ΠΆΠ΄Π΅ всСго атопичСского Π΄Π΅Ρ€ΠΌΠ°Ρ‚ΠΈΡ‚Π°, ΠΏΡ€ΠΈ ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΌ ΡΡƒΡ…ΠΎΡΡ‚ΡŒ ΠΊΠΎΠΆΠΈ - Π²Π°ΠΆΠ½Ρ‹ΠΉ синдром заболСвания, ΠΏΡ€Π΅Π΄Ρ€Π°ΡΠΏΠΎΠ»Π°Π³Π°ΡŽΡ‰ΠΈΠΉ ΠΊ Π΅Π³ΠΎ тяТСлому Ρ‚Π΅Ρ‡Π΅Π½ΠΈΡŽ. НаиболСС тяТСлым проявлСниСм наслСдствСнного ксСроза ΠΊΠΎΠΆΠΈ являСтся ΠΈΡ…Ρ‚ΠΈΠΎΠ·. Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ большоС Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ ΡƒΠ΄Π΅Π»Π΅Π½ΠΎ СстСствСнным Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌ ΠΈ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠ°ΠΌ Π·Π°Ρ‰ΠΈΡ‚Ρ‹ Ρ€ΠΎΠ³ΠΎΠ²ΠΎΠ³ΠΎ слоя ΠΎΡ‚ Π΄Π΅Π³ΠΈΠ΄Ρ€Π°Ρ‚Π°Ρ†ΠΈΠΈ: Π²ΠΎΠ΄Π½ΠΎ-Π»ΠΈΠΏΠΈΠ΄Π½ΠΎΠΉ ΠΌΠ°Π½Ρ‚ΠΈΠΈ; Ρ„ΠΈΠ»Π°Π³Π³Ρ€ΠΈΠ½Ρƒ, СстСствСнным Ρ…ΡƒΠΌΠΈΠΊΡ‚Π°Π½Ρ‚Π°ΠΌ (ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Ρ‹ Π½Π°Ρ‚ΡƒΡ€Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΡƒΠ²Π»Π°ΠΆΠ½ΡΡŽΡ‰Π΅Π³ΠΎ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°, Π³Π»ΠΈΡ†Π΅Ρ€ΠΈΠ½, гиалуроновая кислота), ΡΠΏΠΈΠ΄Π΅Ρ€ΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌ Π»ΠΈΠΏΠΈΠ΄Π°ΠΌ ΠΈ Ρ‚.Π΄. Для Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ксСроза ΠΊΠΎΠΆΠΈ любого Π³Π΅Π½Π΅Π·Π° рСкомСндуСтся ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡ‚ΡŒ соврСмСнныС ΡƒΠ²Π»Π°ΠΆΠ½ΡΡŽΡ‰ΠΈΠ΅ срСдства, Π±ΠΎΠ³Π°Ρ‚Ρ‹Π΅ физиологичСскими Π»ΠΈΠΏΠΈΠ΄Π°ΠΌΠΈ ΠΈ Π½Π°Ρ‚ΡƒΡ€Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ…ΡƒΠΌΠΈΠΊΡ‚Π°Π½Ρ‚Π°ΠΌΠΈ, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ эффСктивно Π²ΠΎΡΡΡ‚Π°Π½Π°Π²Π»ΠΈΠ²Π°ΡŽΡ‚ ΡΠΏΠΈΠ΄Π΅Ρ€ΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΉ Π±Π°Ρ€ΡŒΠ΅Ρ€
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