3,762 research outputs found
Formation of professional competence of bachelors engineer-ing profile under realization networking
The article describes the process of formation of the professional competencies of bachelors technical universities through the introduction and realization networking in the educational processΠ ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½ ΠΏΡΠΎΡΠ΅ΡΡ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΠΊΠΎΠΌΠΏΠ΅ΡΠ΅Π½ΡΠΈΠΉ Π±Π°ΠΊΠ°Π»Π°Π²ΡΠΎΠ² ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΡΠ·ΠΎΠ² Π·Π° ΡΡΠ΅Ρ Π²Π½Π΅Π΄ΡΠ΅Π½ΠΈΡ ΠΈ ΡΠ΅Π°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΡΠ΅ΡΠ΅Π²ΠΎΠ³ΠΎ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π² ΡΡΠ΅Π±Π½ΡΠΉ ΠΏΡΠΎΡΠ΅Ρ
ΠΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠ΅ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π°ΠΎΡΡΠΎ-ΠΌΠ΅Π·Π΅Π½ΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠ³Π»Π° ΠΈ Π΄ΠΈΡΡΠ°Π½ΡΠΈΠΈ Π΅Π³ΠΎ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ: ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ
Introduction. Wilkie syndrome is a pathological manifestation caused by an abnormal disorder of the superior mesenteric artery arising from the abdominal part of the aorta. As a result, the distal part of the duodenum is compressed between the abdominal aorta, spine, and SMA, which creates a hindrance for the passage of himus in the duodenum, creating a mechanical obstruction.Aim: To draw the surgeonsβ attention towards the possibility of developing a rare complication of decreased aorto-mesenteric angle and the distance, highlighting the challenges in diagnosis and treatment.Materials and methods. This article presents a clinical case of WS diagnosed in the surgical department of the BSMU clinic. We hereby discuss the case report of a 28-year-old patient diagnosed at the initial stage of WS. The patient had been suffering from the symptoms of WS since 2018 but wasnβt able to identify the disease, but when he came to the surgical department of BSMU clinic based on the results of abdominal CT-scan with combined contrast of the stomach and duodenum per os with water-soluble contrast and computer angiography of the mesenteric vessels, the diagnosis was confirmed. The patient was treated with the duodenojejunostomy (laparoscopic Strongβs operation).Results and discussion. Absence of timely diagnosis of this disease can lead to life-threatening complications, and early diagnostics is complicated by similarity of initial manifestations with other gastropancreaticoduodenal diseases. One of the most promising approach in the diagnosis of Wilkie syndrome is the use of abdominal CT-scan with combined contrasting of the stomach and duodenum per os with water-soluble contrast and computer angiography of vessels. In the present clinical case due to the given combination of methods we can assess functional state of the stomach and duodenum, clearly visualize not only the organs topography but also estimate the aorto-mesenteric angle and distance, which can further determine the type and tactics of initial stage treatment, which we decided to perform surgery (laparoscopic Strongβs operation). The postoperative period was without complications. The patient noted an improvement in the state and the relief of pain in the epigastrium and was discharged after 9 days of hospitalization in satisfactory condition.Conclusion. For diagnosis and treatment in time as well as prevention of possible complications, it is necessary to improve surgeonsβ information about this pathology, which if diagnosed and treated late can lead to severe, life-threatening complications up to death. The diagnosis at the initial stages, specifically with the assistance of computer tomography with contrast, angiography, and treatment in a timely manner, can preserve life and prevent the possible outcomes of fatal complications.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. Π‘ΠΈΠ½Π΄ΡΠΎΠΌ Π£ΠΈΠ»ΠΊΠΈ β ΡΡΠΎ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅, Π²ΡΠ·Π²Π°Π½Π½ΠΎΠ΅ Π°Π½ΠΎΠΌΠ°Π»ΡΠ½ΡΠΌ ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π²Π΅ΡΡ
Π½Π΅ΠΉ Π±ΡΡΠΆΠ΅Π΅ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ, ΠΎΡΡ
ΠΎΠ΄ΡΡΠ΅ΠΉ ΠΎΡ Π±ΡΡΡΠ½ΠΎΠΉ ΡΠ°ΡΡΠΈ Π°ΠΎΡΡΡ. Π ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ΅ Π΄ΠΈΡΡΠ°Π»ΡΠ½Π°Ρ ΡΠ°ΡΡΡ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ ΡΠ΄Π°Π²Π»ΠΈΠ²Π°Π΅ΡΡΡ ΠΌΠ΅ΠΆΠ΄Ρ Π±ΡΡΡΠ½ΠΎΠΉ Π°ΠΎΡΡΠΎΠΉ, ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠΎΠΌ ΠΈ Π²Π΅ΡΡ
Π½Π΅ΠΉ Π±ΡΡΠΆΠ΅Π΅ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠ΅ΠΉ, ΡΡΠΎ ΡΠΎΠ·Π΄Π°Π΅Ρ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΠΈΠ΅ Π΄Π»Ρ ΠΏΡΠΎΡ
ΠΎΠΆΠ΄Π΅Π½ΠΈΡ Ρ
ΠΈΠΌΡΡΠ° Π² ΠΏΡΠΎΡΠ²Π΅Ρ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ, ΡΠΎΠ·Π΄Π°Π²Π°Ρ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΡΡ ΠΎΠ±ΡΡΡΡΠΊΡΠΈΡ.Π¦Π΅Π»Ρ: ΠΎΠ±ΡΠ°ΡΠΈΡΡ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Ρ
ΠΈΡΡΡΠ³ΠΎΠ² Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠ΅Π΄ΠΊΠΎΠ³ΠΎ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π°ΠΎΡΡΠΎ-ΠΌΠ΅Π·Π΅Π½ΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠ³Π»Π° ΠΈ Π΄ΠΈΡΡΠ°Π½ΡΠΈΠΈ, ΠΏΠΎΠ΄ΡΠ΅ΡΠΊΠ½ΡΠ² ΡΠ»ΠΎΠΆΠ½ΠΎΡΡΠΈ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠΈ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π Π΄Π°Π½Π½ΠΎΠΉ ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° Π£ΠΈΠ»ΠΊΠΈ Ρ 28-Π»Π΅ΡΠ½Π΅Π³ΠΎ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°, Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΉ Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠΈ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ ΠΠΠΠ£. ΠΠ°ΡΠΈΠ΅Π½Ρ ΡΡΡΠ°Π΄Π°Π΅Ρ ΠΎΡ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° Π£ΠΈΠ»ΠΊΠΈ Ρ 2018 Π³ΠΎΠ΄Π°. ΠΡΠΈ ΠΏΠΎΡΡΡΠΏΠ»Π΅Π½ΠΈΠΈ Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ ΠΠΠΠ£ Π½Π° ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΠ’-ΡΠΊΠ°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π±ΡΡΡΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΎΡΡΠΈ Ρ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ per os Ρ Π²ΠΎΠ΄ΠΎΡΠ°ΡΡΠ²ΠΎΡΠΈΠΌΡΠΌ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠΎΠΌ ΠΈ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ Π°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΠ΅ΠΉ ΡΠΎΡΡΠ΄ΠΎΠ² Π΄ΠΈΠ°Π³Π½ΠΎΠ· Π±ΡΠ» ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½. Π ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Π±ΡΠ»Π° Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π° Π΄ΡΠΎΠ΄Π΅Π½ΠΎΠ΅ΡΠ½ΠΎΡΡΠΎΠΌΠΈΡ (Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡ Π‘ΡΡΠΎΠ½Π³Π°).Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΡΡΡΡΡΡΠ²ΠΈΠ΅ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΡΡΠΎΠ³ΠΎ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΠΆΠΈΠ·Π½Π΅ΡΠ³ΡΠΎΠΆΠ°ΡΡΠΈΠΌ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡΠΌ, Π° ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠ° Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° Π½Π° ΡΠ°Π½Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ Π·Π°ΡΡΡΠ΄Π½Π΅Π½Π° ΡΡ
ΠΎΠ΄ΡΡΠ²ΠΎΠΌ Π½Π°ΡΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ Ρ Π΄ΡΡΠ³ΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ Π³Π°ΡΡΡΠΎΠΏΠ°Π½ΠΊΡΠ΅Π°ΡΠΈΠΊΠΎΠ΄ΡΠΎΠ΄Π΅Π½Π°Π»ΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ. ΠΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΡΡ
ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΠΎΠ² Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° Π£ΠΈΠ»ΠΊΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΠ’-ΡΠΊΠ°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π±ΡΡΡΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΎΡΡΠΈ Ρ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ per os Ρ Π²ΠΎΠ΄ΠΎΡΠ°ΡΡΠ²ΠΎΡΠΈΠΌΡΠΌ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠΎΠΌ ΠΈ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ Π°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΠ΅ΠΉ ΡΠΎΡΡΠ΄ΠΎΠ². Π Π΄Π°Π½Π½ΠΎΠΌ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠ»ΡΡΠ°Π΅ Π·Π° ΡΡΠ΅Ρ ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΠΌΡ ΠΌΠΎΠ³Π»ΠΈ ΠΎΡΠ΅Π½ΠΈΡΡ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ, ΡΠ΅ΡΠΊΠΎ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΡΠΎΠΏΠΎΠ³ΡΠ°ΡΠΈΡ ΠΎΡΠ³Π°Π½ΠΎΠ², Π½ΠΎ ΠΈ ΠΎΡΠ΅Π½ΠΈΡΡ Π°ΠΎΡΡΠΎ-ΠΌΠ΅Π·Π΅Π½ΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠΉ ΡΠ³ΠΎΠ» ΠΈ ΡΠ°ΡΡΡΠΎΡΠ½ΠΈΠ΅, ΡΡΠΎ Π² Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅ΠΌ ΠΌΠΎΠΆΠ΅Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ Π²ΠΈΠ΄ ΠΈ ΡΠ°ΠΊΡΠΈΠΊΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π½Π° Π½Π°ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠ°ΠΏΠ΅. ΠΠ°ΠΌΠΈ Π±ΡΠ»ΠΎ ΠΏΡΠΈΠ½ΡΡΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π΅ (Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡ Π‘ΡΡΠΎΠ½Π³Π°). ΠΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΠΏΠ΅ΡΠΈΠΎΠ΄ ΠΏΡΠΎΡΠ΅ΠΊΠ°Π» Π±Π΅Π· ΠΊΠ°ΠΊΠΈΡ
-Π»ΠΈΠ±ΠΎ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ. ΠΠ°ΡΠΈΠ΅Π½Ρ ΠΎΡΠΌΠ΅ΡΠ°Π» ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΈ ΠΈΡΡΠ΅Π·Π½ΠΎΠ²Π΅Π½ΠΈΠ΅ Π±ΠΎΠ»Π΅ΠΉ Π² ΡΠΏΠΈΠ³Π°ΡΡΡΠΈΠΈ ΠΈ Π±ΡΠ» Π²ΡΠΏΠΈΡΠ°Π½ ΡΠ΅ΡΠ΅Π· 9 Π΄Π½Π΅ΠΉ ΠΏΠΎΡΠ»Π΅ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π² ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ»Ρ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΡΠ΅Π΄ΡΠΏΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΏΠΎΠ²ΡΡΠΈΡΡ ΠΈΠ½ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Π½ΠΎΡΡΡ Ρ
ΠΈΡΡΡΠ³ΠΎΠ² ΠΎΠ± ΡΡΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΠΊΠΎΡΠΎΡΠ°Ρ ΠΏΡΠΈ Π·Π°ΡΡΠ³ΠΈΠ²Π°Π½ΠΈΠΈ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΡΡΠΆΠ΅Π»ΡΠΌ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡΠΌ, Π²ΠΏΠ»ΠΎΡΡ Π΄ΠΎ ΡΠΌΠ΅ΡΡΠΈ. ΠΠ΄Π½Π°ΠΊΠΎ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° Π½Π° ΡΠ°Π½Π½ΠΈΡ
ΡΡΠ°Π΄ΠΈΡΡ
, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Ρ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ, Π°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΠΈ, ΠΈ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΌΠΎΠ³ΡΡ ΡΠΎΡ
ΡΠ°Π½ΠΈΡΡ ΠΆΠΈΠ·Π½Ρ ΠΈ ΠΏΡΠ΅Π΄ΡΠΏΡΠ΅Π΄ΠΈΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΡΠ°ΡΠ°Π»ΡΠ½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ
Angiographic Therapies for Diabetic Foot Syndrome
Background. The study aimed to improve treatment outcomes in diabetic foot syndrome patients by use of invasive pressure monitoring during arterial radiological interventions.Materials and methods. A total of 36 patients with type 2 diabetes and purulent necrotic lesions of lower extremities have been treated at the surgery unit of Bashkir State Medical University Clinic during 2019β2020, with 12 persons forming the main cohort and receiving the measures complemented with the newly developed βX-ray endovascular intraoperative significance evaluation of lower limb arterial stenosisβ technique (Patent RU 2737215 of 26.11.2020). The control cohort comprised 24 patients following pertinent standard treatment and recommendations in this pathology.Results and discussion. Immediate treatment outcomes were evaluated by person in the main and control cohorts. Longterm outcomes were observed at 6, 12 and 24 months since hospital discharge in 10 (83.3 %) patients of the main and 19 (79.2 %) β of the control cohort. In a 2-year run, the limb was kept in 8 (66.7 %) patients having the new revascularisation technique and in 10 (41.7Β %) persons of the control cohort (p < 0.05).Conclusion. The use of endovascular radiology for limb revascularisation and intraoperative significance monitoring of lower limb arterial stenosis allow the volume determination of balloon angioplasty and statement of revascularisation completeness
Clinical Cases of Gallstone Ileus
Background.Β GallstoneΒ ileus is a rare complication of cholelithiasis accounting for 0.3β2.1% total acute intestinal obstructions. The recent years are witnessing a sharply elevated incidence of cholelithiasis and its entailed complications. The major diagnostic biases are the atypical clinical presentation, instrumental and laboratory evidence, and a relative paucity of surgical cases.Aim.Β Highlighting to surgeons the feasibility of this rare reluctantly diagnosed form of acute small bowel obstruction.Materials and methods.Β The article presents the clinical observations of gallstone-induced small intestinal obstruction collected at a surgery unit of the Bashkir State Medical UniversityΒ Clinic. Patients had surgeries for cholecystoduodenal fistula embolisation, gastro/enterotomy and lithoextraction followed by gastro/enterotomy wound suturing.Results and discussion.Β Patients had a benign postoperative period are were discharged in a satisfactory condition on day 7β10 after surgery for outpatient surveillance.Conclusion.Β Surgeons need to contemplate this pathology to ensure timely diagnosis and treatment, as well as avoid possible complications. Mostly important still is a timely gallbladder resection upon diagnosing cholelithiasis via laparoscopic cholecystectomy as a βgold standardβ in treatment for this disease
Successful Surgery of Severely Comorbid Cystic Pulmonary Hypoplasia
Background. Cystic pulmonary hypoplasia is a malformation of terminal bronchial tree as a cystic dilatation of variousΒ size at the level of subsegmental bronchi or bronchioles, which accounts for 60β80% of the overall malformation incidence.Materials and methods. We present a descriptive case of general clinical picture, diagnostic radiological examination andΒ choosing a strategy for surgical diagnosis and treatment of cystic pulmonary hypoplasia. Patient K., 57 yo, was admitted to the Republican Clinical Tuberculosis Dispensary with fibroatelectasis of the right lung lower lobe and underlyingΒ subcompensated diabetes type II, inspected by a phthisiatrician, thoracic surgeon and referred for surgical treatment.Results and discussion. A careful history inspection and XΒray data in most cases suffice to successfully diagnose theΒ congenital type of cystic pulmonary defects. Treatment in such patients is personalised, with preference towards surgical intervention. A correct diagnosis is usually conditioned by a detailed and careful examination of the lung morbidΒ morphology during surgery.Conclusion. Modern instrumental methods, with multispiral computed tomography in particular, are key to correctlyΒ diagnose a malformation. Relevant case reports are of interest and importance to advance research into causative factorsΒ of the disease
BARIATRIC SURGERIES AND CORRECTION OF METABOLIC DISORDERS IN PATIENTS WITH MORBID OBESITY
The article presents the results of bariatric surgeries carried out in the clinic in patients with morbid obesity. We traced both the nearest and remote results after treatment, the loss of body weight in dynamics, relief of the manifestations of "metabolic syndrome" as well as we estimated the quality of life of patients in pre-and postoperative period
ΠΠ½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠΈΠ½Π΄ΡΠΎΠΌΠΎΠΌ Π΄ΠΈΠ°Π±Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠΎΠΏΡ
Background. The study aimed to improve treatment outcomes in diabetic foot syndrome patients by use of invasive pressure monitoring during arterial radiological interventions.Materials and methods. A total of 36 patients with type 2 diabetes and purulent necrotic lesions of lower extremities have been treated at the surgery unit of Bashkir State Medical University Clinic during 2019β2020, with 12 persons forming the main cohort and receiving the measures complemented with the newly developed βX-ray endovascular intraoperative significance evaluation of lower limb arterial stenosisβ technique (Patent RU 2737215 of 26.11.2020). The control cohort comprised 24 patients following pertinent standard treatment and recommendations in this pathology.Results and discussion. Immediate treatment outcomes were evaluated by person in the main and control cohorts. Longterm outcomes were observed at 6, 12 and 24 months since hospital discharge in 10 (83.3 %) patients of the main and 19 (79.2 %) β of the control cohort. In a 2-year run, the limb was kept in 8 (66.7 %) patients having the new revascularisation technique and in 10 (41.7Β %) persons of the control cohort (p < 0.05).Conclusion. The use of endovascular radiology for limb revascularisation and intraoperative significance monitoring of lower limb arterial stenosis allow the volume determination of balloon angioplasty and statement of revascularisation completeness.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. Π¦Π΅Π»ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠ²ΠΈΠ»ΠΎΡΡ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΒ ΡΠΈΠ½Π΄ΡΠΎΠΌΠΎΠΌ Π΄ΠΈΠ°Π±Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠΎΠΏΡ ΡΒ ΠΏΠΎΠΌΠΎΡΡΡ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ Π²Π½ΡΡΡΠΈ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΏΡΠΈ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°Ρ
.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈΒ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΒ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠΈ ΠΠ»ΠΈΠ½ΠΈΠΊΠΈ Π€ΠΠΠΠ£ ΠΠΒ Β«ΠΠΠΠ£Β» ΠΠΈΠ½Π·Π΄ΡΠ°Π²Π° Π Π€ Π·Π°Β ΠΏΠ΅ΡΠΈΠΎΠ΄ ΡΒ 2019Β ΠΏΠΎΒ 2020Β Π³. ΠΏΡΠΎΠ»Π΅ΡΠ΅Π½ΠΎ 36Β ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΒ ΡΠ°Ρ
Π°ΡΠ½ΡΠΌ Π΄ΠΈΠ°Π±Π΅ΡΠΎΠΌ 2-Π³ΠΎΒ ΡΠΈΠΏΠ° ΠΈΒ Π½Π°Π»ΠΈΡΠΈΠ΅ΠΌ Π³Π½ΠΎΠΉΠ½ΠΎ-Π½Π΅ΠΊΡΠΎΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ. ΠΠ·Β Π½ΠΈΡ
12Β Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΡ Π³ΡΡΠΏΠΏΡ, Π²Β ΠΊΠΎΡΠΎΡΠΎΠΉ Π²Β ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡ Π»Π΅ΡΠ΅Π±Π½ΡΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ Π²ΠΊΠ»ΡΡΠ΅Π½ Π½ΠΎΠ²ΡΠΉ ΡΠΏΠΎΡΠΎΠ± Β«Π Π΅Π½ΡΠ³Π΅Π½ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΠΎΠ΅ ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Π·Π½Π°ΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠ΅Π½ΠΎΠ·Π° Π°ΡΡΠ΅ΡΠΈΠΉ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉΒ» (ΠΠ°ΡΠ΅Π½Ρ Π Π€ RU 2737215Β ΠΎΡΒ 26.11.2020). ΠΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΡΡ Π³ΡΡΠΏΠΏΡ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ 24Β ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°, ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΡ
Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π±Π΅Π· ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π½ΠΎΠ³ΠΎ ΡΠΏΠΎΡΠΎΠ±Π° ΡΒ ΡΠΎΠ±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ΠΌ ΡΡΠ°Π½Π΄Π°ΡΡΠΎΠ² ΠΈΒ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΡΠΈ Π΄Π°Π½Π½ΠΎΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΒ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΠ»ΠΈΠΆΠ°ΠΉΡΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ΄Π°Π»ΠΎΡΡ ΠΎΡΠ΅Π½ΠΈΡΡ ΡΒ Π²ΡΠ΅Ρ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΠΈΒ ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏ, Π²ΠΎΡΠ΅Π΄ΡΠΈΡ
Π²Β ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅. ΠΡΠ΅Π½ΠΊΠ° ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»Π°ΡΡ ΡΠ΅ΡΠ΅Π· 6, 12Β ΠΈΒ 24Β ΠΌΠ΅ΡΡΡΠ° ΠΏΠΎΡΠ»Π΅ Π²ΡΠΏΠΈΡΠΊΠΈ ΠΈΠ·Β ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ° ΡΒ 10 (83,3Β %) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ ΠΈΒ 19 (79,2Β %) ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠΉ. ΠΒ ΡΡΠΎΠΊΠΈ Π΄ΠΎΒ 2Β Π»Π΅Ρ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΡ ΡΠΎΡ
ΡΠ°Π½Π΅Π½Π° ΡΒ 8 (66,7Β %) Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΒ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π½ΠΎΠΉ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ ΠΈΒ 10 (41,7Β %) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π³ΡΡΠΏΠΏΡ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ (p < 0,05).ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΡΠ΅Π½ΡΠ³Π΅Π½ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΡΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠΈ ΠΈ ΡΠΏΠΎΡΠΎΠ±Π° ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ Π·Π½Π°ΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠ΅Π½ΠΎΠ·Π° Π°ΡΡΠ΅ΡΠΈΠΉ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΠΎΠ±ΡΠ΅ΠΌ Π±Π°Π»Π»ΠΎΠ½Π½ΠΎΠΉ Π°Π½Π³ΠΈΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠΈ ΠΈ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠ΄ΠΈΡΡ ΠΏΠΎΠ»Π½ΠΎΡΡ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ
ΠΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠ΅ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ ΡΡΡΡΠΊΡΡΡ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²
Determining the exact sizes of anatomical structures play a very important today in laparoscopic surgery. This makes it possible to make a correct selection of gauges of instruments needed, prosthetic materials, and to make decisions regarding the further strategy of the surgical procedure. The device developed at the clinic has proven itself in everyday clinical practices. It is currently used in laparoscopic operations for hiatal hernias, choledoch measurements in patients with choledocholithiasis, stomach stump size measurements during the resection in patients with morbid obesity. The presented clinical case serves to confirm that obtaining objective data in video endoscopic surgery makes it possible to choose the optimal treatment strategy.ΠΠ° ΡΠ΅Π³ΠΎΠ΄Π½Ρ Π² Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ ΠΎΡΠ΅Π½Ρ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ ΠΈΠ³ΡΠ°Π΅Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΡΠΎΡΠ½ΡΡ
ΡΠ°Π·ΠΌΠ΅ΡΠΎΠ² Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΡΡΡΠΊΡΡΡ, ΡΡΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²Π΅ΡΠ½ΠΎ ΠΏΠΎΠ΄Π±ΠΈΡΠ°ΡΡ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΡΠ΅ ΡΠ°Π·ΠΌΠ΅ΡΡ ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠΎΠ², ΠΏΡΠΎΡΠ΅Π·ΠΈΡΡΡΡΠΈΡ
ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ², Π²ΡΠ±ΠΈΡΠ°ΡΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΡΡ ΡΠ°ΠΊΡΠΈΠΊΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°. Π Π°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π½ΠΎΠ΅ Π² ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ΅ ΡΡΡΡΠΎΠΉΡΡΠ²ΠΎ Ρ
ΠΎΡΠΎΡΠΎ Π·Π°ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Π»ΠΎ ΡΠ΅Π±Ρ Π² ΠΏΠΎΠ²ΡΠ΅Π΄Π½Π΅Π²Π½ΠΎΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ ΠΈ Π½Π° Π΄Π°Π½Π½ΡΠΉ ΠΌΠΎΠΌΠ΅Π½Ρ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΡΡΡ ΠΏΡΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠΈ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ Ρ
ΠΈΠ°ΡΠ°Π»ΡΠ½ΡΡ
Π³ΡΡΠΆ, ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠΈ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠ² Ρ
ΠΎΠ»Π΅Π΄ΠΎΡ
Π° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΠΎΠ»Π΅Π΄ΠΎΡ
ΠΎΠ»ΠΈΡΠΈΠ°Π·ΠΎΠΌ, ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠ² ΠΊΡΠ»ΡΡΠΈ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΏΡΠΈ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ Π΅Π³ΠΎ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΌΠΎΡΠ±ΠΈΠ΄Π½ΡΠΌ ΠΎΠΆΠΈΡΠ΅Π½ΠΈΠ΅ΠΌ. ΠΠ°Π½Π½ΡΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ Π΄ΠΎΠΊΠ°Π·ΡΠ²Π°Π΅Ρ, ΡΡΠΎ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
Π΄Π°Π½Π½ΡΡ
Π² Π²ΠΈΠ΄Π΅ΠΎΡΠ½Π΄ΠΎΡ
ΠΈΡΡΡΠ³ΠΈΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π²ΡΠ±ΡΠ°ΡΡ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΡ ΡΠ°ΠΊΡΠΈΠΊΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ
ΠΠ°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΏΡΠΈ ΠΎΡΡΡΠΎΠΌ Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡΠΈΡΠ΅, ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΡΠΎΠ½ΠΈΡΠΎΠΌ
Introduction.Β Acute appendicitis (AA) is one of the most common acute abdominal surgical diseases. The current incidence, according to various authors, is 22.8 per 10,000 inhabitants. Annually, 50 to 70 thousand people die from AA and its complications around the world. Laparoscopy is generally accepted as the most effective method of differential diagnosis of AA. It is fundamentally significant to move from the diagnostic stage to the therapeutic one, i.e. to perform the elimination of the disease, including cases with other surgery-requiring pathology detected. Aim.Β To evaluate the role of video-endoscopic surgical methods in the surgical management of acute appendicitis complicated by peritonitis.Β Materials and methods.Β The analysis of recent publications and personal clinical experience revealed that diagnostic laparoscopy, unless contraindicated, should be performed as the initial step in suspected acute abdominal pathology. When the surgery is technically performable, laparoscopy also causes curative effect.Β Results and discussion.Β The use of laparoscopy in surgical treatment of acute appendicitis complicated by peritonitis has proven advantages for the patient over open surgery. An adequate appendectomy as a reliable method for elimination of the source of peritonitis is the key to successful treatment of patients. Laparoscopic lavage in the early postoperative period against the postoperative peritonitis with developing complications, is considered to be an alternative method to non-surgical treatment or delayed intervention and to have better ultimate results than percutaneous drainage or relaparotomy. Conclusion.Β The success of video-endoscopic technologies application depends not only on the technical aspects, but also on the correct choice of indications for such an intervention and their appropriate combination with open surgeries.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠΡΡΡΡΠΉ Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡΠΈΡ (ΠΠ) β ΠΎΠ΄Π½ΠΎ ΠΈΠ· ΡΠ°ΠΌΡΡ
ΡΠΈΡΠΎΠΊΠΎ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
ΠΎΡΡΡΡΡ
Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π±ΡΡΡΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΎΡΡΠΈ. Π Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ, ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
Π°Π²ΡΠΎΡΠΎΠ², ΡΠ°ΡΡΠΎΡΠ° Π²ΡΡΡΠ΅ΡΠ°Π΅ΠΌΠΎΡΡΠΈ ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ 22,8 Π½Π° 10 000 Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ. ΠΠΆΠ΅Π³ΠΎΠ΄Π½ΠΎ Π² ΠΌΠΈΡΠ΅ ΠΎΡ ΠΠ ΠΈ Π΅Π³ΠΎ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΡΠΌΠΈΡΠ°Π΅Ρ ΠΎΡ 50 Π΄ΠΎ 70 ΡΡΡ. ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ. ΠΠ±ΡΠ΅ΠΏΡΠΈΠ·Π½Π°Π½Π½ΡΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΌΠ½Π΅Π½ΠΈΠ΅, ΡΡΠΎ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡ β ΡΡΠΎ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ ΠΌΠ΅ΡΠΎΠ΄ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΠ. ΠΡΠΈΠ½ΡΠΈΠΏΠΈΠ°Π»ΡΠ½ΡΠΌ ΡΠ°ΠΊΡΠΎΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΏΠ΅ΡΠ΅Ρ
ΠΎΠ΄Π° ΠΎΡ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΠ°ΠΏΠ° ΠΊ Π»Π΅ΡΠ΅Π±Π½ΠΎΠΌΡ, Ρ. Π΅. Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΡΡΡΡΠ°Π½Π΅Π½ΠΈΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΠΏΡΠΈ Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ Π΄ΡΡΠ³ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΡΠ΅Π±ΡΡΡΠ΅ΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ. Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΎΡΠ΅Π½ΠΈΡΡ ΡΠΎΠ»Ρ ΡΠ½Π΄ΠΎΠ²ΠΈΠ΄Π΅ΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΎΡΡΡΠΎΠ³ΠΎ Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡΠΈΡΠ°, ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½Π½ΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΡΠΎΠ½ΠΈΡΠΎΠΌ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠ½Π°Π»ΠΈΠ· ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ ΠΈ ΡΠΎΠ±ΡΡΠ²Π΅Π½Π½ΡΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΎΠΏΡΡ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡ ΡΡΠ²Π΅ΡΠΆΠ΄Π°ΡΡ, ΡΡΠΎ Π² ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ ΠΏΡΠΎΡΠΈΠ²ΠΎΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠ°Ρ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡ Π΄ΠΎΠ»ΠΆΠ½Π° Π²ΡΠΏΠΎΠ»Π½ΡΡΡΡΡ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΡΠΌ ΡΡΠ°ΠΏΠΎΠΌ ΠΏΡΠΈ ΠΏΠΎΠ΄ΠΎΠ·ΡΠ΅Π½ΠΈΠΈ Π½Π° ΠΎΡΡΡΡΡ Π°Π±Π΄ΠΎΠΌΠΈΠ½Π°Π»ΡΠ½ΡΡ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ. ΠΠ½Π° ΠΆΠ΅ ΡΡΠ°Π½ΠΎΠ²ΠΈΡΡΡ Π»Π΅ΡΠ΅Π±Π½ΠΎΠΉ ΠΏΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠ΅ΠΉ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Π² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΎΡΡΡΠΎΠ³ΠΎ Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡΠΈΡΠ°, ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½Π½ΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΡΠΎΠ½ΠΈΡΠΎΠΌ, ΠΈΠΌΠ΅Π΅Ρ Π΄ΠΎΠΊΠ°Π·Π°Π½Π½ΡΠ΅ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π° Π΄Π»Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΠΏΠ΅ΡΠ΅Π΄ ΠΎΡΠΊΡΡΡΠΎΠΉ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ΅ΠΉ. ΠΠ°Π»ΠΎΠ³ΠΎΠΌ ΡΡΠΏΠ΅ΡΠ½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π°Π΄Π΅ΠΆΠ½Π°Ρ Π»ΠΈΠΊΠ²ΠΈΠ΄Π°ΡΠΈΡ ΠΈΡΡΠΎΡΠ½ΠΈΠΊΠ° ΠΏΠ΅ΡΠΈΡΠΎΠ½ΠΈΡΠ° β Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ Π°Π΄Π΅ΠΊΠ²Π°ΡΠ½ΠΎΠΉ Π°ΠΏΠΏΠ΅Π½Π΄ΡΠΊΡΠΎΠΌΠΈΠΈ. ΠΠ°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ°Π½Π°ΡΠΈΡ Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π° ΡΠΎΠ½Π΅ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΡΠΎΠ½ΠΈΡΠ°, ΠΏΡΠΈ ΡΠ°Π·Π²ΠΈΠ²Π°ΡΡΠΈΡ
ΡΡ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡΡ
, ΡΠ²Π»ΡΠ΅ΡΡΡ Π°Π»ΡΡΠ΅ΡΠ½Π°ΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π±Π΅Π·ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΎΡΠ»ΠΎΠΆΠ΅Π½Π½ΠΎΠΌΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Ρ ΠΈ, Π² ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠΌ ΡΡΠ΅ΡΠ΅, ΠΈΠΌΠ΅Π΅Ρ Π»ΡΡΡΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠ΅ΠΌ, ΡΡΠ΅ΡΠΊΠΎΠΆΠ½ΠΎΠ΅ Π΄ΡΠ΅Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈΠ»ΠΈ ΡΠ΅Π»Π°ΠΏΠ°ΡΠΎΡΠΎΠΌΠΈΡ. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π£ΡΠΏΠ΅Ρ
ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π²ΠΈΠ΄Π΅ΠΎΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ Π·Π°Π²ΠΈΡΠΈΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΠΎΡ ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
Π°ΡΠΏΠ΅ΠΊΡΠΎΠ², Π½ΠΎ ΠΈ ΠΎΡ Π²Π΅ΡΠ½ΠΎΠ³ΠΎ Π²ΡΠ±ΠΎΡΠ° ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ ΠΊ ΡΠ°ΠΊΠΎΠΉ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΈ ΡΠ°ΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΌΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΈΡ
ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΡ Ρ ΠΎΡΠΊΡΡΡΡΠΌΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡΠΌΠΈ.
ΠΠΠΠΠΠ¨ΠΠ Π’ΠΠ₯ΠΠΠΠΠΠΠ Π ΠΠΠ§ΠΠΠΠ ΠΠΠΠΠ ΠΠΠ ΠΠΠ‘Π‘ΠΠΠΠ Π§Π ΠΠΠΠΠΠ Π‘Π’ΠΠΠΠ
Artery aneurysms of pool celiac trunk and superior mesenteric artery are not often in clinical practice. Often, the first clinical manifestation of the aneurysm is a hemorrhagic shock which proceed from its rupture. The risk of aneurysm rupture doesnβt depend on their size, ranging from 3% to 10%. But the mortality from aneurysm rupture can be reaches 36%. As we know well that the aneurysm ruptures has a high rate of mortality, treatment as symptomatic as asymptomatic aneurysms are essential. The authors of the article represent the demonstration of successful endovascular treatment of aneurysms splenic artery and posttraumatic aneurysm of common hepatic artery using modern embolization materials. In the first case performed embolization of lumen aneurysm by embolization coil with next installation in the lumen of the artery stent graft, in the second case β the feeding artery was embolized by microemboles. Nowadays, the medical instruments for X β ray surgical interventions allow you to perform a complete embolization of pathological structures such as aneurysms of the main arteries of the celiac trunk. Thanks to low level of interventions endovascular therapies can be related to the method of choice in the treatment of many surgical diseases in compulsory with the open methods of operation.ΠΠ½Π΅Π²ΡΠΈΠ·ΠΌΡ Π°ΡΡΠ΅ΡΠΈΠΉ Π±Π°ΡΡΠ΅ΠΉΠ½Π° ΡΡΠ΅Π²Π½ΠΎΠ³ΠΎ ΡΡΠ²ΠΎΠ»Π° ΠΈ Π²Π΅ΡΡ
Π½Π΅ΠΉ Π±ΡΡΠΆΠ΅Π΅ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ Π² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π²ΡΡΡΠ΅ΡΠ°ΡΡΡΡ ΡΠ΅Π΄ΠΊΠΎ. Π§Π°ΡΡΠΎ ΠΏΠ΅ΡΠ²ΡΠΌ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠ΅ΠΌ Π°Π½Π΅Π²ΡΠΈΠ·ΠΌΡ ΡΡΠ°Π½ΠΎΠ²ΠΈΡΡΡ Π³Π΅ΠΌΠΎΡΡΠ°Π³ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΠΊ Π² ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ Π΅Π΅ ΡΠ°Π·ΡΡΠ²Π°. Π ΠΈΡΠΊ ΡΠ°Π·ΡΡΠ²Π° Π°Π½Π΅Π²ΡΠΈΠ·ΠΌ Π½Π΅ Π·Π°Π²ΠΈΡΠΈΡ ΠΎΡ ΠΈΡ
ΡΠ°Π·ΠΌΠ΅ΡΠ° ΠΈ ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ ΠΎΡ 3 Π΄ΠΎ 10%. ΠΡΠΈ ΡΡΠΎΠΌ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ ΠΎΡ ΡΠ°Π·ΡΡΠ²Π° Π°Π½Π΅Π²ΡΠΈΠ·ΠΌ Π΄ΠΎΡΡΠΈΠ³Π°Π΅Ρ 36%. Π£ΡΠΈΡΡΠ²Π°Ρ Π²ΡΡΠΎΠΊΠΈΠΉ ΡΡΠΎΠ²Π΅Π½Ρ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ ΠΏΡΠΈ ΡΠ°Π·ΡΡΠ²Π°Ρ
Π°Π½Π΅Π²ΡΠΈΠ·ΠΌ, Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΊΠ°ΠΊ ΡΠΈΠΌΠΏΡΠΎΠΌΠ½ΡΡ
, ΡΠ°ΠΊ ΠΈ Π°ΡΠΈΠΌΠΏΡΠΎΠΌΠ½ΡΡ
Π°Π½Π΅Π²ΡΠΈΠ·ΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΡΠΌ. ΠΠ²ΡΠΎΡΠ°ΠΌΠΈ ΡΡΠ°ΡΡΠΈ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡΡΡ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠ°ΡΠΈΡ ΡΡΠΏΠ΅ΡΠ½ΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ Π°Π½Π΅Π²ΡΠΈΠ·ΠΌΡ ΡΠ΅Π»Π΅Π·Π΅Π½ΠΎΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π½Π΅Π²ΡΠΈΠ·ΠΌΡ ΠΎΠ±ΡΠ΅ΠΉ ΠΏΠ΅ΡΠ΅Π½ΠΎΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
ΡΠΌΠ±ΠΎΠ»ΠΈΠ·Π°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ². Π ΠΏΠ΅ΡΠ²ΠΎΠΌ ΡΠ»ΡΡΠ°Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π° ΡΠΌΠ±ΠΎΠ»ΠΈΠ·Π°ΡΠΈΡ ΠΏΡΠΎΡΠ²Π΅ΡΠ° Π°Π½Π΅Π²ΡΠΈΠ·ΠΌΡ ΡΠΌΠ±ΠΎΠ»ΠΈΠ·Π°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠΏΠΈΡΠ°Π»ΡΡ Ρ ΠΏΠΎΡΠ»Π΅Π΄ΡΡΡΠ΅ΠΉ ΡΡΡΠ°Π½ΠΎΠ²ΠΊΠΎΠΉ Π² ΠΏΡΠΎΡΠ²Π΅Ρ Π°ΡΡΠ΅ΡΠΈΠΈ ΡΡΠ΅Π½Ρ-Π³ΡΠ°ΡΡΠ°, Π²ΠΎ Π²ΡΠΎΡΠΎΠΌ ΠΏΠΈΡΠ°ΡΡΠ°Ρ Π°ΡΡΠ΅ΡΠΈΡ Π±ΡΠ»Π° ΡΠΌΠ±ΠΎΠ»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π° ΠΌΠΈΠΊΡΠΎΡΠΌΠ±ΠΎΠ»Π°ΠΌΠΈ. ΠΠ° ΡΠ΅Π³ΠΎΠ΄Π½ΡΡΠ½ΠΈΠΉ Π΄Π΅Π½Ρ ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°ΡΠΈΠΉ Π΄Π»Ρ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π²ΡΠΏΠΎΠ»Π½ΡΡΡ ΠΏΠΎΠ»Π½ΠΎΡΠ΅Π½Π½ΡΡ ΡΠΌΠ±ΠΎΠ»ΠΈΠ·Π°ΡΠΈΡ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠΉ, ΡΠ°ΠΊΠΈΡ
ΠΊΠ°ΠΊ Π°Π½Π΅Π²ΡΠΈΠ·ΠΌΡ ΠΌΠ°Π³ΠΈΡΡΡΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ ΡΡΠ΅Π²Π½ΠΎΠ³ΠΎ ΡΡΠ²ΠΎΠ»Π°. ΠΠ»Π°Π³ΠΎΠ΄Π°ΡΡ ΠΌΠ°Π»ΠΎΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΌΠΎΠΆΠ½ΠΎ ΠΎΡΠ½Π΅ΡΡΠΈ ΠΊ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ Π²ΡΠ±ΠΎΡΠ° Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΌΠ½ΠΎΠ³ΠΈΡ
Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΏΠΎ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΠΊ ΠΎΡΠΊΡΡΡΡΠΌ ΡΠΏΠΎΡΠΎΠ±Π°ΠΌ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ.
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