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Гиперплазия (аденома) предстательной железы. Учебно-методическая разработка для студентов 4 курса . Кафедра урологии.

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Iineianeay Iaaeeoeeineay Aeaaeaiey ei. E.I. Na/aiiaa

Eaoaae?a o?ieiaee

Aeia?ieacey (aaeaiiia) i?aaenoaoaeueiie aeaeacu.

/o/aaii-iaoiaee/aneay ?ac?aaioea aeey nooaeaioia 4 eo?na /

Ninoaaeoaee – aeioeaio A.C. Aeia?ia

Iiae ?aaeaeoeeae i?ioanni?a TH. A. Aeyaaa

Iineaa 2002 a.

I?AAeENEIAEA

Iiniaea niaea?aeeo oeaee caiyoey, a eioi?uo io?aaeaiu ciaiey e oiaiey, iaiaoiaeeiua aeey onaiaiey i?e eco/aiee ianoiyuae oaiu. Aeaeaa neaaeoao oeacaiea, eaeea aii?inu iaiaoiaeeiu ec i?aaeuaeoueo aeenoeeieei aeey aeinoeaeaiey iinoaaeaiiuo oeaeae. A a?aoieiae/aneoth no?oeoo?o caiyoey aeeth/aiu iniiaiua ?acaeaeu eco/aaiie oaiu. Iniiaiua iieiaeaiey caiyoey niaea?aeao ieieioi eioi?iaoeee e ia caiaiytho o/aaieea. ?acaeae “Naycue n ae?oaeie aeenoeeieeiaie” ia eiie?aoiuo i?eia?ao iiae/a?eeaaao aaaeiinoue i?eia?aoaaiuo ciaiee e oiaiee aeey a?a/a iauaai i?ioeey. I?aaenoaaeaiu neooaoeeiiiua caaea/e e yoaeiiu ioaaoia e iei. Aeey naiinoiyoaeueiie ?aaiou nooaeaioia neoaeao neooaoeeiiiua caaea/e aac yoaeiiia ioaaoia e n ieie. A ea?oa eo?aoeee aeathony iiae?iaiua oeacaiey e naiinoiyoaeueiui aeaenoaeyi nooaeaioia o iinoaee aieueiiai. I?aaeiieaaaaiue oanoiaue eiio?ieue iicaieeo nooaeaioai i?iaa?eoue naie ciaiey. A nienea eiio?ieueiuo aii?inia oeacuaathony no?aieoeu o/aaieea “O?ieiaey” ( iiae ?aaeaeoeeae aeaaeaieea I.A. Eiiaoeeia, 1995 a.), a eioi?ii iiaeii iaeoe ioaaou.

OeAEUe CAIssOEss: “AEIA?IEACEss (AAeAIIIA) I?AAeNOAOAEUeIIE AEAEACU”

Iao/eoue nooaeaioa ioeaieaaoue neiioiiu, aeeaaiinoe?iaaoue e ii?aaeaeyoue ea/aaioth oaeoeeo o aieueiuo aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu, ieacuaaoue iaioeiaeioth iiiiuue i?e ineiaeiaieyo yoeo caaieaaaiee. Aeia?ieacey (aaeaiiia) i?inoaou – iaeii ec iaeaieaa /anouo caaieaaaiee iiaeeeuo ioae/ei.

Aeey aeinoeaeaiey oeaee caiyoey nooaeaio aeieaeai aniiiieoue ec eo?na:

ii?iaeueiie aiaoiiee – no?iaiea ii/aaiai iocu?y, o?ao?u e iieiauo i?aaiia ioae/eiu ;
aenoieiaee – no?iaiea aeaaeeie ioneoeaoo?u ieaeieo ii/aauo iooae eae ooieoeeiiaeueiiai neioeeoey, no?iaiea i?aaenoaoaeueiie aeaeacu ;
ii?iaeueiie oeceieiaee – ooieoeeth ieaeieo ii/aauo iooae: iaeiieaiea, oaea?aeaiea ii/e a iocu?a, aai ?ieue a iaania/aiee iannaaea ii/e ii ii/aoi/ieeai, ii/aenioneaiea, ?ieue i?aaenoaoaeueiie aeaeacu a i?aaiecia ioae/eiu, ai?iiiaeueiua aeeyiey ia oeaiue i?inoaou, ?ieue aiae?iaaiia e yno?iaaiia, oeaiaauo oaeoi?ia ?inoa a ?acaeoee i?aaenoaoaeueiie aeaeacu ;
iaoieiae/aneie aiaoiiee – eciaiaiey a ii/aaii iocu?a i?e eio?aaaceeaeueiie iano?oeoeee, ii?oieiae/aneea iniaaiiinoe aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu ;
iaoieiae/aneie oeceieiaee – eiiiainaoi?iua eciaiaiey ieaeieo ii/aauo iooae i?e eio?aaaceeaeueiie iano?oeoeee, naycue iaaeinoaoi/iie ooieoeee ieaeieo ii/aauo iooae n ia?ooaieyie ooieoeee ii/ae, iaoiaaiac o?iie/aneie ii/a/iie iaaeinoaoi/iinoe ;
oiiia?aoe/aneie aiaoiiee – oiiia?aoe/aneoth aiaoiieth iaeiai oaca ioae/eiu, naiaiiiai eaiaoeea, i?aaiia iioiiee ;
oa?iaeieiaee – n?aaenoaa aeeythuea ia i?aaenoaoaeueioth aeaeaco, yno?iaaiiua e aiae?iaaiiua i?aia?aou ;
i?iiaaeaaoeee aioo?aiieo aieaciae – ia?eooi?iia ii?aaeaeaiea aa?oiae a?aieoeu ii/aaiai iocu?y, iaeueiaoeey ii/aaiai iocu?y, iaeueoeaaia ?aeoaeueiia enneaaeiaaiea, enneaaeiaaiea ia?oaeiuo iieiauo i?aaiia ioae/eiu;
o?ieiae/aneie neiioiiaoieiaee e iaioeiaeiie o?ieiaee – neiioiiu ia?ooaiiiai iooiea ii/e ec ii/aaiai iocu?y, eo iaoiaaiaoe/aneoth nouiinoue, iiiyoea ino?ie caaea?aeee ii/e, i?eioeeiu aeeooa?aioeeaeueiie aeeaaiinoeee aa i?e/ei, ea/aiea, neiioiiu o?iie/aneie ii/a/iie iaaeinoaoi/iinoe.

Nooaeaio aeieaeai ciaoue:

1. Iniiaiua yoaiu iaoiaaiaca aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.
2. Eeeie/aneea i?iyaeaiey aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.
3. Noaaeee aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.
4. Aeeaaiinoeeo aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu e aa ineiaeiaiee.
5. Eiina?aaoeaiia, eino?oiaioaeueiia e iia?aoeaiia ea/aiea*******************************************************

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**************************************************** i?aaenoaoaeueiie aeaeacu, iaiaoiaeeiu ia oieueei aoaeouei o?ieiaai, ii e eioa?ienoai, oe?o?aai, o?aaiaoieiaai, iaa?iiaoieiaai, iieieiaai e o.ae.
A oa?aiaaoe/aneeo noaoeeiia?ao o aieueiuo, no?aaeathueo eioa?eoii ieiea?aea, ycaaiiie aieaciueth aeaeoaeea e o.ae., iieo/athueo ao?iieiiiiaeiaiua i?aia?aou, i?e iaee/ee aaeaiiiu i?inoaou iiaeao ?acaeoueny ino?ay caaea?aeea ii/e.
Ia?ooaiea iooiea ii/e ec ii/aaiai iocu?y e aa?oieo ii/aauo iooae i?e aeia?ieacee (aaeaiiia) e ?aea i?aaenoaoaeueiie aeaeacu i?eaiaeeo e o?iie/aneiio ieaeiiao?eoo (n enoiaeii a iao?ineea?ic) e ?acaeoeth o?iie/aneie ii/a/iie iaaeinoaoi/iinoe. A III noaaeee caaieaaaiey i?e aaeaiiia i?aaenoaoaeueiie aeaeacu ?acaeaathony iiiai/eneaiiua ?aciiia?aciua neiioiiu, oa?aeoa?ecothuea eciaiaiey iauaai ninoiyiey aieueiiai. Eo i?e/eiie yaeyaony o?aie/aneay eioieneeaoeey, ?acaeaathuayny a ?acoeueoaoa ii/a/iie iaaeinoaoi/iinoe. Eae i?aaeei eiaaony acioaiey, aeinoeaathuay eiiaaea aunieeo oeeo? (aei 200 ia%). Aieueiua aeaaeiu, aeaeothony ia aeaaeaeo, iiyaeyaony iieeo?ey. *anoi iaaethaeathony ioaee ieaeieo eiia/iinoae, ?anno?ienoaa ooieoeee aeaeoaei/ii – eeoa/iiai o?aeoa (oae iacuaaaiay “ii/aaay aeeniainey”). Eiiaaea iia au?aaeaia ianoieueei neeueii, /oi iiaeao ioiaeaeiooue ?anno?ienoaa ii/aenioneaiey ia aoi?ie ieai. Iiyaeythony aii?aeney, aeaaeaea, caii? eee iiiin, oioiioa, ?aioa. sscue nooie iaeiaeai aaeui, eiiaaea oaiiui iaeaoii. ?acaeaaaony aiaiey e na?aea/ii – ninoaeenoua ia?ooaiey n ?anoe?aieai na?aeoea, ioaeaie, iiauoaieai a?oa?eaeueiiai aeaaeaiey, iaeuoeie. N oaeie neiioiiaoeeie aieueiua /anoi ia?aiia/aeueii iiiaaeatho a oa?aiaaoe/aneea noaoeeiia?u.
O eeoe iiaeeeiai aic?anoa iinea iia?aoeee (aiiaiaeyeoiiey, ?acaeoeey aeaeoaeea, oieaoeenoyeoiiey e i?.) iiaeao ?acaeoueny ino?ay caaea?aeea ii/e, iaoneiaeaiiay aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu. Aeey iii?iaeiaiey ii/aaiai iocu?y aicieeaao iaiaoiaeeiinoue aai eaoaoa?ecaoeee. ?anoe?aiiue ia?aiieiaiiue ii/aaie iocu?ue o aieueiiai aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu II noaaeee i?e aieueoii eiee/anoaa inoaoi/iie ii/e i?eieiatho ca iauaiiia ia?aciaaiea a?thoiie iieinoe, eenoo a?uaeaeee e i?. Eaaeaeue oe?o?a aeieaeai iiiieoue i oii, /oi ieaiiaia a?uaeana/aiea o aieueiiai aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu i?ioeaiiieacaii aei ainnoaiiaeaiey aaeaeaaoiiai ii/aenioneaiey.
I?e iaee/ee aieueoiai eiee/anoaa inoaoi/iie ii/e ia?a?anoyiooue ii/aaie iocu?ue eiaao ?acei enoii/aiioth noaieo, i?e o?aaia aeeaioa iiaeao i?iecieoe aa aioo?ea?thoeiiue ?ac?ua.
?anno?ienoaa ii/aenioneaiey iiaoo auoue iaoneiaeaiu ia oieueei aeia?ieaceae (aaeaiiiie) e ?aeii i?aaenoaoaeueiie aeaeacu, ii e auoue ?acoeueoaoii caaieaaaiee oeaio?aeueiie ia?aiie nenoaiu. Aneaaenoaea nieaeaiey /oanoaeoaeueiinoe ii/aaiai iocu?y iicuau e ii/aenioneaieth iau/ii ?aaeee, e a?a/o yoe aieueiua ia?auathony oaea i?e iaee/ee ?acei au?aaeaiiie aeiioiiee aeao?oci?a. Aeey iaa oa?aeoa?ii ionoonoaea iano?oeoeee e “aaoaiiay” oi?ia ii/aaiai iocu?y ia oeenoia?aiiao. Ia oiia eioieneeaoeee e aeeniaioe/aneeo ?anno?ienoa, iaoneiaeaiiuo o?iie/aneie ii/a/iie iaaeinoaoi/iinoueth, iauaa ninoiyiea aieueiuo aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu ?acei oooaeoaaony. Iie ooaeatho, eiaeiua iie?iau i?eia?aoatho caieenoue iooaiie, ?acaeaaaony oae iacuaaaiay “ii/aaay eaoaeney”, i?e eioi?ie iiaeii caiiaeic?eoue ceiea/anoaaiiia ia?aciaaiea, i?aaeeueiay aeeaaiinoeea i?e yoii a ?oeao iieieiaa.

A?AOIEIAE*ANEAss NO?OEOO?A CAIssOEss AEIA?IEACEss (AAeAIIIA) I?AAeNOAOAEUeIIE AEAEACU

Neiioiiaoieiaey Noaaeeyeeeie/aneiaioa/aieyIIIIII1. Iaoneiaeaiiay ia?ooaiiui iooieii ii/e ec ii/aaiai iocu?y:
a) Ii/aenioneaiee ayeie e oiieie no?oae
a) Cao?oaeiaiiia ii/aenioneaiea n iaooaeeaaieai
a) Ii/iay iieeaeeo?ey

a) Iieeaeeo?ey, eiia?aoeaiua iicuau e ii/aenioneaiey, iaoaea?aeaiea ii/e
ae) O?oaeiinoue iii?iaeiaiey ia?aiieiaiiiai ii/aaiai iocu?y, iniaaiii ii oo?ai
a) Iiyoaiiia, a ianeieueei i?eaiia iii?iaeiaiea ii/aaiai iocu?y
ae) Iuouaiea iaiieiiai iii?iaeiaiey ii/aaiai iocu?y
c) Ia?aiieiaiea ii/aaiai iocu?y, ionoonoaea ii/aenioneaiey, iai?iecaieueiia auaeaeaiea ii/e ii o?ao?a iaaieueoeie ii?oeeyie eee ii eaieyi (eoo?ey ia?aaeiena)

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2. Iaoneiaeaiiay o?iie/aneie ii/a/iie iaaeinoaoi/iinoueth:
a) AEaaeaea, nooinoue ai ?oo, iieeo?ey

a) Ionoonoaea aiiaoeoa, oioiioa, ?aioa, aeeniainey.

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INEIAEIAIEss

1. Ino?ay caaea?aeea ii/aenioneaiey
2. Aoi?e/iia eaiiaia?aciaaiea a ii/aaii iocu?a
3. Iae?iaaiaoo?ey, iaoneiaeaiiay aa?eeiciui ?anoe?aieai aai oaeee ii/aaiai iocu?y
4. Ainiaeeoaeueiue i?ioeann a i?aaenoaoaeueiie aeaeaca e aaeaiiia
5. Iocu?ii – ii/aoi/ieeiaue ?aoethen, ainoiaeyuee ieaeiiao?eo
6. Aeeeaoaoeey aa?oieo ii/aauo iooae

AeEAAIINOEEA

1. Eeeie/aneay:
AEaeiau e aiaiiac
Ia?eooi?iia ii?aaeaeaiea inoaoi/iie ii/e
Iaeueiaoeey ii/aaiai iocu?y
Iaeueoeaaia ?aeoaeueiia enneaaeiaaiea i?inoaou

2. Eaai?aoi?iay:
Aeiiecinoaio?ey
Aeia?acioaiey
Enneaaeiaaiea nae?aoa i?aaenoaoaeueiie aeaeacu
Enneaaeiaaiea i?inoaoe/aneiai niaoeeoe/aneiai aioeaaia (INA) nuai?ioee e?iae

3. Oeueo?acaoeiaay:
Aaaeiieiaeueiui e ?aeoaeueiui aeao/eeii. Ii?aaeaeaiea inoaoi/iie
ii/e

4. ?aioaaiieiae/aneay:
Yene?aoi?iay o?ia?aoey
Ienoiaeyuay oeenoia?aoey
Oeenoia?aoey ii Eiaeca – Oiaa?o
Iiaaiioeenoia?aoey
Ainoiaeyuay o?ao?ioeenoia?aoey

5. Yiaeineiie/aneay:
O?ao?ioeenoineiiey

6. Ooieoeeiiaeueiay:
O?ioeioiao?ey
Eiiieaeniia o?iaeeiaie/aneia enneaaeiaaiea

7. Ii?oieiae/aneay

AeEOOA?AIOeEAEUeIAss AeEAAIINOEEA

1. ?ae i?inoaou
2. Iiooieue oaeee ii/aaiai iocu?y
3. No?eeoo?a o?ao?u
4. Neea?ic oaeee ii/aaiai iocu?y
5. Iae?iaaiiay aeiioiiey ii/aaiai iocu?y

EA*AIEA

1. Eiina?aaoeaiia (iaaeeeaiaioiciia):
Eiaeaeoi?u 5( – ?aaeoeoacu
(1 – aae?aiiaeieaoi?u
?anoeoaeueiua i?aia?aou

2. Iaeieiaaceaiua iaoiaeu:
O?aino?ao?aeueiay iee?iaieiiaay oa?iioa?aiey
O?aino?ao?aeueiia i?eiaiaiea eaca?a
O?aino?ao?aeueiia ?anna/aiea i?inoaou
O?aino?ao?aeueiia eaieue/aoia ?ac?ooaiea aaeaiiiu i?inoaou

3. Iia?aoeaiia:
?aaeeeaeueiia:
Aaeaiiiyeoiiey (o?aino?ao?aeueiay, iicaaeeeiaeiaay, /?aniocu?iay)

iaeeeaoeaiia:
Ioieoeeiiiay oeenoinoiia
Yieoeenoinoiiey

INIIAIUA IIEIAEAIEss CAIssOEss

Aeia?ieacey (aaeaiiia) i?aaenoaoaeueiie aeaeacu – aeia?iea/anoaaiiay iiooieue, iaeaieaa /anoi ano?a/aaony o ioae/ei iiaeeeiai aic?anoa. Aaaeouoth ?ieue a aaiaca yoiai caaieaaaiey eiatho ai?iiiaeueiua oaeoi?u. Iiauoaiiia ia?aciaaiea aeeaeae?ioanoinoa?iia ec oanoinoa?iia a eeaoeao i?aaenoaoaeueiie aeaeacu iiae aicaeaenoaeai oa?iaioa 5( – ?aaeoeoacu, i?eaiaeeo e aeoeaaoeee oeaiaauo oaeoi?ia ?inoa e i?ieeoa?aoeee eeaoie i?inoaou. E?iia oiai, iiauoaiea eiee/anoaa e ooieoeeiiaeueiie aeoeaiinoe (-1-aae?aii?aoeaioi?ia i?aaenoaoaeueiie aeaeacu eaaeeo a iniiaa niacia e aeeiaie/aneiai eiiiiiaioa eio?aaaceeaeueiie iano?oeoeee.
I?e aenoieiae/aneii enneaaeiaaiee ?acee/atho aeaeacenooth aeia?ieaceth, oea?iaaeaiiio e niaoaiioth oi?io.
A eeeie/aneii oa/aiee caaieaaaiey ?acee/atho 3 noaaeee: I – eiiiainaoeee ; II – noaeiiiainaoeee, iniiaiui i?eciaeii yoie noaaeee yaeyaony iaee/ea inoaoi/iie ii/e ; III – aeaeiiiainaoeee aeayoaeueiinoe ieaeieo ii/aauo iooae e ii/a/iie iaaeinoaoi/iinoe, oa?aeoa?acoaony ia?aaeienaeueiie eoo?eae. E ineiaeiaieyi aeia?ieacee (aaeaiiiu) i?inoaou ioiinyo ino?oth caaea?aeeo ii/aenioneaiey, aoi?e/iia eaiiaia?aciaaiea a ii/aaii iocu?a, iae?iaaiaoo?ey, iaoneiaeaiiay aa?eeiciui ?anoe?aieai aai oaeee ii/aaiai iocu?y e ainiaeeoaeueiua caaieaaaiey (o?ao?eo, oeenoeo, i?inoaoeo, yieaeeaeeieo, yieaeeaeeiii?oeo, ino?ue e o?iie/aneee ieaeiiao?eo).
Eeeie/aneay aeeaaiinoeea aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu aeeth/aao aeaeiau e aiaiiac, aeaiiua iniio?a, iaeueiaoeeth ii/aaiai iocu?y, ia?eooi?iia ii?aaeaeaiea inoaoi/iie ii/e, iaeueoeaaia ?aeoaeueiia enneaaeiaaiea i?inoaou, eioi?ay oaaee/aia, n aeaaeeie iiaa?oiinoueth, ieioii – yeanoe/iie eiinenoaioeee n /aoeeie eiioo?aie e naeaaeaiiie n?aaeeiiie ai?icaeeie.
I?e eaai?aoi?iuo enneaaeiaaieyo ia?auatho aieiaiea ia aeia?acioaieth, aeiiecinoaio?eth, iaee/ea i?eciaeia ainiaeaiey i?e enneaaeiaaiee ii/e a 3 – o ii?oeeyo e nae?aoa i?inoaou. Oaeaea aaaeii ii?aaeaeeoue niaea?aeaiea INA – i?inoaoe/aneiai niaoeeoe/aneiai aioeaaia a nuai?ioea e?iae. Iiauoaiea o?iaiy INA iiaeao oeacuaaoue ia ?ae i?inoaou. I?e oeueo?acaoeiaii enneaaeiaaiee iaia?oaeeaatho oaaee/aiea ?acia?ia i?inoaou, ii?aaeaeytho aa ianno aianoa n aaeaiiiie, ii?aaeaeytho eiee/anoai inoaoi/iie ii/e. Oi?io, oa?aeoa?, eieaeecaoeeth e no?oeoo?o aaeaiiiaoiciuo oceia ooi/iytho n iiiiuueth oeueo?acaoeiaiai ?aeoaeueiiai aeao/eea. ?aioaaiieiae/aneia enneaaeiaaiea ia/eiatho n iaci?iiai nieiea ii/aaie nenoaiu, ia eioi?uo a i?iaeoeee ii/aaiai iocu?y iiaoo auoue iaia?oaeaiu oaie iiaeic?eoaeueiua ia eiie?aiaiou. Ia o?ia?aiiao iiaoo iaaethaeaoueny o?aoa?iaeae?iiao?ic, neiioii “e?th/eia”, ia ienoiaeyueo oeenoia?aiiao – aeaoaeo iaiieiaiey a aeaea “oieia” a ciia oaeee ii/aaiai iocu?y, iinea ii/aenioneaiey – inoaoi/iay ii/a. Aeey ooi/iaiey ?acia?ia aaeaiiiu e ineiaeiaiee eniieuecotho: oeenoia?aoeth ii Eiaeca – Oiaa?o, iiaaiioeenoia?aoeth e ainoiaeyuoth o?ao?ioeenoia?aoeth. I?e o?ao?ioeenoineiiee ii?aaeaeytho oaeeeiaiea e naeaaeaiea i?inoaoe/aneiai ioaeaea o?ao?u aeia?ieace?iaaiiie i?inoaoie., iaaethaeatho neiioii “caiaaanee”, eiaeiue aeaaa?oeeoeac e o?aaaeoey?iinoue noaiee ii/aaiai iocu?y. I?e o?ioeioiao?ee auyaeytho nieaeaiea iauaiiie nei?inoe iioiea ii/e, oaaee/aiea a?aiaie ii/aenioneaiey, oiaiueoaiea o?ioeioiao?e/aneiai eiaeaena. I?e oeenoiiao?ee iiaoo auoue auyaeaiu eciaiaiey oeceieiae/aneie, iaeneiaeueiie e yooaeoeaiie aieinoe ii/aaiai iocu?y. Enneaaeiaaiea aioo?eiocu?iiai e aeao?oci?iiai aeaaeaiey a iiiaio ii/aenioneaiey, iicaieyao noaeeoue i iaee/ee e noaiaie au?aaeaiiinoe eio?aaaceeaeueiie iano?oeoeee. I?ioeeiiao?ey o?ao?u iicaieyao auyaeoue oaaee/aiea iaeneiaeueiiai aioo?eo?ao?aeueiiai aeaaeaiey e oaeeeiaiea ooieoeeiiaeueiiai o/anoea o?ao?u. I?e oeeoieiae/aneii enneaaeiaaiee ii/e e nae?aoa i?inoaou aoeie/aneea eeaoee ionoonoaotho.
Aeeooa?aioeeaeueioth aeeaaiinoeeo aeia?ieacee (aaeaiiiu) i?inoaou i?iaiaeyo n ea?oeeiiiie i?inoaou, no?eeoo?ie o?ao?u, neea?icii oaeee ii/aaiai iocu?y e aa iiooieueth, iae?iaaiiie aeiioiieae ii/aaiai iocu?y.
Iniiaiui niiniaii ea/aiey aaeaiiiu i?inoaou neoaeeo iia?aoeaiia aiaoaoaeuenoai, eioi?ia iiaeao auoue ?aaeeeaeueiui (aaeaiiiyeoiiey) e iaeeeaoeaiui (ioaaaeaiea ii/e iooai ioieoeeiiiie oeenoinoiiee eee yieoeenoinoiiee). Eiina?aaoeaiay oa?aiey inouanoaeyaony eiaeaeoi?aie 5( – ?aaeoeoacu (i?inea?, oeianoa?eae, ia?ieenii, na?aiia ?aiain), ( -1- aae?aiiaeieaoi?aie (aeueoocicei, oainoeicei, aeienacicei), i?aia?aoaie ?anoeoaeueiiai i?ienoiaeaeaiey (oaaeaiai, o?eaiie, na?iain, oa?cieue). Ea/aiea aieueiuo aeia?ieaceae i?inoaou aeieaeii oaeaea aeeth/aoue oa?aieth o?iie/aneiai i?inoaoeoa.

EA?OA EO?AOeEE AIEUeIIAI AEIA?IEACEAE (AAeAIIIIE) I?AAeNOAOAEUeIIE AEAEACU

I?e auyniaiee aeaeia i?aaeaea anaai iaiaoiaeeii auyaeoue o/auaiiia ii/aenioneaiea, iniaaiii ii/ioth iieeaeeo?eth, aeeeoaeueiia, cao?oaeiaiiia ii/aenioneaiea, eiia?aoeaiua iicuau, iaoaea?aeaiea ii/e. I?a?uaenoia ii/aenioneaiea, iii?iaeiaiea ii/aaiai iocu?y i?e ia?aiaia oaea, ?acue a eiioea ii/aenioneaiey, /anoua iicuau aeiai, iniaaiii i?e aeaeaeaieyo, oa?ieiaeueiay aaiaoo?ey, iooiaeaeaiea eiie?aiaioia n ii/ie aac i?aaeoanoaiaaaoeo ii/a/iuo eieee oa?aeoa?iu aeey aaeaiiiu i?aaenoaoaeueiie aeaeacu, ineiaeiaiiie eaiiyie ii/aaiai iocu?y. Oioaeueiay iae?iaaiaoo?ey, aiciiaeii n aanoi?iaiiuie naonoeaie, eiiaaea n oaiiiiaaeie ii/aaiai iocu?y iiaeao auoue i?iyaeaieai aeia?ieacee (aaeaiiiu) i?inoaou, ii iaycaoaeueii aeieaeia ianoi?aaeeaaoue a ieaia aeeooa?aioeeaeueiie aeeaaiinoeee n iiaiia?aciaaieyie ii/aaiai iocu?y, aa?oieo ii/aauo iooae e ii/ae. Iaiaoiaeeiinoue iaooaeeaaiey aeey aieaa iieiiai iii?iaeiaiey ii/aaiai iocu?y, aeieaia ii/aenioneaiea n ia?a?uaaie, “iiyoaiiia” iii?iaeiaiea ii/aaiai iocu?y ii oo?ai e i?e aai ia?aiieiaiee, iuouaiea iaiieiiai iii?iaeiaiey ii/aaiai iocu?y yaeythony i?eciaeaie inoaoi/iie ii/e e iaaethaeathony ai II noaaeee caaieaaaiey. I?e iaee/ee aeaaeaeu, nooinoe ai ?oo, iieeo?ee neaaeoao iiaeic?aaaoue e aeeooa?aioee?iaaoue naoa?iue aeeaaao e ii/a/ioth iaaeinoaoi/iinoue. Aeey o?iie/aneie ii/a/iie iaaeinoaoi/iinoe aieaa oa?aeoa?iu nieaeaiea aiiaoeoa, oioiioa, ?aioa, caii?u, iiiin, iinoaiaiiia enoiuaiea.
Niae?ay aiaiiac, neaaeoao ii?aaeaeeoue a?aiy iiyaeaiey ii/iie iieeaeeo?ee, cao?oaeiaiiiai ii/aenioneaiey, i?eciaeia inoaoi/iie ii/e, ineiaeiaiee, a oii /enea ino?ie caaea?aeee ii/e, i?eciaeia o?iie/aneie iaaeinoaoi/iinoe. Anee aieueiie ?aiaa ia?auaeny e a?a/o, neaaeoao ooi/ieoue iinoaaeaiiue aeeaaiic, ea/aaiua ia?ii?eyoey, eo yooaeoeaiinoue aeaeueiaeooth aeeiaieeo ?acaeoey caaieaaaiey. Ec ia?aianaiiuo caaieaaaiee aaaeii auyaeoue o?ao?eo, i?inoaoeo i?oiyieaeeaeeieo, ino?ue ieaeiiao?eo, iao?ieeoeac. Ec niioonoaothueo caaieaaaiee – aieacie eaaeeo, nenoaiu e?iaiia?auaiey, ieuaaa?aiey e ae?., eioi?ua iiaoo i?aiyonoaiaaoue iia?aoeaiiio ea/aieth.
Iauaeoeaiia enneaaeiaaiea. I?e iaia?oaeaiee nooiai iaeiaeaiiiai ei?e/iaaui iaeaoii ycuea iiaeoiaeoa ia eioieneeaoeee ia oiia o?iie/aneie ii/a/iie iaaeinoaoi/iinoe. Ia?aoeoa aieiaiea ia aiciiaeiia auaooaiea aieco aeeaioa, eioi?ia iiaeao auoue ia?aiieiaiiui ii/aaui iocu?ai. Enneaaeiaaiea ii/aaiai iocu?y neaaeoao i?iaiaeeoue iinea ii/aenioneaiey. Aicieeiiaaiea iicuaa i?e aeoaieie iaeueiaoeee iaae eiaeii, ia?eooi?iia ii?aaeaeaiea i?eooieaiey iaae eiiii naeaeaoaeuenoaoao ia inoaoi/iie ii/a, /oi oa?aeoa?ii aeey II noaaeee caaieaaaiey. Anee au ii?aaeaeyaoa ia?aiieiaiiue ii/aaie iocu?ue, a ii o?ao?a iai?iecaieueii iai?a?uaii eee iaaieueoeie ii?oeeyie iinooiaao ii/a, iiaeoiaeoa i ia?aaeienaeueiie eoo?ee. Aeey inouanoaeaiey iaeueoeaaiai ?aeoaeueiiai enneaaeiaaiey aieueiie aeieaeai iaoiaeeoueny ia i?aaii aieo n niaioouie a eieaiyo e i?eaaaeaiiuie e aeeaioo iiaaie. Oeacaoaeueiue iaeaoe i?aaie ?oee a ia?/aoea, niacaiiue aacaeeiii, inoi?iaeii, aac ianeeey aaaaeeoa a aiaeueiia ioaa?noea, ioeaieoa ninoiyiea aaii??ieaeaeueiuo oceia e oiion aiaeueiiai noeieoa?a, iaiin?aaenoaaiii ca ia?aaeiae noaieie aeenoaeueiiai ioaeaea aiioeu i?yiie eeoee iaeueiaoi?ii ii?aaeaeeoa i?aaenoaoaeueioth aeaeaco, ioeaieoa aa ?acia?u, oi?io, eiioo?u, iiaa?oiinoue, eiinenoaioeeth, n?aaeeiioth ai?icaeeo, aieaciaiiinoue, ninoiyiea naiaiiuo iocu?ueeia, ia?ai?inoaoe/aneie eeao/aoee, iiaeaeaeiinoue neecenoie i?yiie eeoee. Anee aeaeaca neiiao?e/ii oaaee/aia, eiaao /aoeea eiioo?u, aeaaeeoth iiaa?oiinoue, ?aaiiia?ioth ooai – yeanoe/aneoth eiinenoaioeeth, naeaaeaiioth n?aaeeiioth ai?icaeeo e aacaieaciaiia i?e iaeueiaoeee, au iiaeaoa iinoaaeoue aeeaaiic aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.
Eaai?aoi?iua aeaiiua. I?e auyaeaiee eciaeiinoaio?ee, iiauoaiee o?iaiy ii/aaeiu e e?aaoeieia nuai?ioee e?iae iaiaoiaeeii aeoiaoue i o?iie/aneie ii/a/iie iaaeinoaoi/iinoe, eioi?ie /anoi niioonoaoao aeiio?iiiay aiaiey. Auyaeaiea aaiaoo?ee o?aaoao ooi/iaiey aa enoi/ieea – eaiie, iaieeey?iua iiaiia?aciaaiey ii/aaiai iocu?y e aa?oieo ii/aauo iooai, iiooieue ii/ee e o.ae. Auyaeaiea eaeeioeeoo?ee o?aaoao enneaaeiaaiey ii/e a 3 – o ii?oeeyo e nae?aoa i?inoaou aeey auyaeaiey o?ao?eoa, i?inoaoeoa, ieaeiiao?eoa. Iiauoaiea o?iaiy INA – i?inoaoe/aneiai niaoeeoe/aneiai aioeaaia a nuai?ioea e?iae iiaeao oeacuaaoue ia ?ae i?inoaou e canoaaeyao auiieieoue aa aeiineth.
?aioaaiianeia enneaaeiaaiea. Ia iaci?iii nieiea ii/aaie nenoaiu iaeaeeoa oaie iiaeic?eoaeueiua ia eiie?aiaio a i?iaeoeee ii/aaiai iocu?y. Ia yene?aoi?iie o?ia?aiia aiciiaeii ?anoe?aiea aa?oieo ii/aauo iooae, neiioii “e?th/eia”. Ia ienoiaeyuae oeenoia?aiia – aeaoaeo iaiieiaiey a iniiaaiee iocu?y e aeaoaeou iaiieiaiey ca n/ao eiie?aiaioia, ia nieiea iinea ii/aenioneaiey – inoaoi/iay ii/a. Ia oeenoia?aiia ii Eiaeca – Oiaa?o iaiaoiaeeii auyaeoue oanoii/aoua eiioo?u aeia?o?ioe?iaaiiie noaiee e eiaeiue aeeaa?oeeoeac ii/aaiai iocu?y, aeaoaeo iaiieiaiey a aeaea “oieia” a iniiaaiee ii/aaiai iocu?y, aeaoaeou iaiieiaiey ca n/ao eiie?aiaioia, i?iaanoe aeeooa?aioeeaeueiue aeeaaiic n iiaiia?aciaaieyie ii/aaiai iocu?y, aeeaaiinoe?iaaoue iocu?ii – ii/aoi/ieeiaue ?aoethen. Ia ainoiaeyuae o?ao?ioeenoia?aiia iiaeii oaeaeaoue no?eeoo?o o?ao?u e i?eciaee neea?ica oaeee ii/aaiai iocu?y, iiooieue e eaiaiue o?ao?u.
I?e oeueo?acaoeiaii enneaaeiaaiee iiaeii oaeaeaoue oaaee/aiea ?acia?ia i?inoaou, ii?aaeaeeoue aa iannu, eiee/anoai inoaoi/iie ii/e, i?eaioe?iai/ii ioeaieoue ninoiyiea ii/ae e aa?oieo ii/aauo iooae.
O?ao?ioeenoineiiey. I?e iniio?a neaaeoao auyaeoue oaeeeiaiea e naeaaeaiea i?inoaoe/aneiai ioaeaea o?ao?u aeia?ieace?iaaiiie i?inoaoie, iaaethaeatho neiioii “caiaaanee”, eiaeiue aeeaa?oeeoeac e o?aaaeoey?iinoue noaiee ii/aaiai iocu?y. Aiciiaeii auyaeoue iiaiia?aciaaiey e eaiie o?ao?u e ii/aaiai iocu?y.
Ooieoeeiiaeueiua enneaaeiaaiey. I?e o?ioeioiao?ee neaaeoao auyaeoue nieaeaiea iauaiiie nei?inoe iioiea ii/e, oaaee/aiea a?aiaie ii/aenioneaiey, oiaiueoaiea o?ioeioiao?e/aneiai eiaeaena, i?eciaee oa?aeoa?iua aeey i?aiyonoaey e iooieo ii/e ec ii/aaiai iocu?y.

OEIIAUA NEOOAOeEIIIUA CAAeA*E N YOAEIIAIE IOAAOIA

1. Aieueiie 65 eao ia?aoeeny n aeaeiaaie ia neeueiua iicuau, iaaiciiaeiinoue naiinoiyoaeueiiai ii/aenioneaiey, aieue aieco aeeaioa. Oeacaiiua neiioiiu ia?anoatho a oa/aiea 14 /ania.
I?aaeiieiaeeoaeueiue aeeaaiic?
Aeeaaiinoe/aneea e ea/aaiua ?aeiiaiaeaoeee?
Ioaao:
O/eouaay iiaeeeie aic?ano iaoeeaioa, iiaeii aeoiaoue ia ino?ie caaea?aeea ii/e, iaoneiaeaiiie aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu. Iinea iaeueoeaaiai enneaaeiaaiey i?inoaou iieacaia eaoaoa?ecaoeey ii/aaiai iocu?y, eo/oa eaoaoa?ii Oeiaia. I?e ionoonoaee ii/a/iie iaaeinoaoi/iinoe iaiaoiaeeia yene?aoi?iay o?ia?aoey n ienoiaeyuae oeenoia?aoae, oeenoia?aoey ii Eiaeca – Oiaa?o. A aeaeueiaeoai – iiaeaioiaea aieueiiai e aaeaiiiyeoiiee.
2. Aieueiie 70 eao aeaeoaony ia neaainoue, aieiaioth aieue, oioiioo, ?aioo, iai?iecaieueiia auaeaeaiea ii/e ec o?ao?u ii eaieyi. Eiaeiua iie?iau aeaaeiua, ycue nooie iaeiaeai ei?e/iaaui iaeaoii. AEeaio iyaeee, ii/ee ia iaeueie?othony, neiioii Ianoa?iaoeeiai io?eoeaoaeueiue n iaaeo noi?ii. Ia?eooi?ii ii/aaie iocu?ue ii?aaeaeyaony ia 6 ni iaae eiiii. I?aaenoaoaeueiay aeaeaca ?aaiiia?ii oaaee/aia, ieioii – yeanoe/iie eiinenoaioeee, iiaa?oiinoue aa aeaaeeay, iaaeaeieaaay ai?icaeea naeaaeaia. Ii/aaeia nuai?ioee e?iae 180 ia%.
I?aaeiieiaeeoaeueiue aeeaaiic?
Ea/aaiua ?aeiiaiaeaoeee?
Ioaao:
Iai?iecaieueiia auaeaeaiea ii/e i?e ia?aiieiaiiii ii/aaii iocu?a e oaaee/aiea i?aaenoaoaeueiie aeaeacu yaeythony i?iyaeaieai ia?aaeienaeueiie eoo?ee, oa?aeoa?iie aeey aaeaiiiu i?inoaou III noaaeee. Yoie noaaeee niioonoaotho yaeaiey ii/a/iie iaaeinoaoi/iinoe: aiaiey, yeaeo?ieeoiua ia?ooaiey, eioieneeaoeey, /oi i?iyaeyaony o aeaiiiai aieueiiai neaainoueth, oioiioie, aieiaiie aieueth. Aieueiiio iieacaia oeenoinoiie*****************************************************************************************************************************************************

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*******************************************************************************************************************************************************************************************************************************************************************************************************************************aiaiee. Ii/ee ia iaeueie?othony, neiioii Ianoa?iaoeeiai io?eoeaoaeueiue n iaaeo noi?ii. Ii/aaie iocu?ue ia?eooi?ii iono. I?e ?aeoaeueiii enneaaeiaaiee i?inoaoa iacia/eoaeueii oaaee/aia, ieioii – yeanoe/aneie eiinenoaioeee, n aeaaeeie iiaa?oiinoueth, aacaieaciaiiay.
I eaeii caaieaaaiee iiaeii aeoiaoue?
Eaeea aeeaaiinoe/aneea ia?ii?eyoey iaiaoiaeeiu aeey ooi/iaiey aeeaaiica?

2. Aieueiie 67 eao ia?aoeeny e o?ieiao n aeaeiaaie ia o/auaiiia, aieaciaiiia ii/aenioneaiea, iniaaiii a aa?oeeaeueiii iieiaeaiee oaea, i?a?uaenooth no?oth ii/e, i?aeiaee/anee iae?iaaiaoo?eth. Eiiaaea ioia/aao caaea?aeeo ii/e, eioi?ay i?ae?auaaony a ai?eciioaeueiii iieiaeaiee oaea. Aieai ieiei 4 – o ianyoeaa, e a?a/o ia ia?auaeny. AEeaio iyaeee, aacaieaciaiiue a iaaeeiaeiaie iaeanoe. Iinea aeoaieie iaeueiaoeee iiyaeythony iicuau e ii/aenioneaieth. I?ioaeio?ey, ieo?ey, aaiaoo?ey. Ia oeenoia?aiia ii Eiaeca – Oiaa?o eiaaony aeaoaeo iaiieiaiey a aeaea “oieia” iaae neioecii, ?acia?aie 3o4 ni.
Onoaiiaeoa aeeaaiic, ii?aaeaeeoa ea/aaioth oaeoeeo.

EIIO?IEUeIUA AII?INU, IOAAOU E EIOI?UI IIAEII IAEOE IA NO?AIEOeAO O*AAIEEA “O?IEIAEss” IIAe ?AAeAEOeEAE AEAAeAIEEA I.A. EIIAOEEIA, 1995 a.

1. *oi oaeia aeia?ieacey (aaeaiiia) i?aaenoaoaeueiie aeaeacu? (402)
2. *oi i?ienoiaeeo n i?aaenoaoaeueiie aeaeacie i?e ?acaeoee aaeaiiiaoiciuo oceia? (403)
3. Eaeea eciaiaiey i?ienoiaeyo a aa?oieo e ieaeieo ii/aauo iooyo i?e aeia?ieacee (aaeaiiia) i?inoaou.(404)
4. Ia eaeea noaaeee iiae?acaeaeyaony eeeie/aneia oa/aiea aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.(404-406)
5. *oi oaeia neiioii inoaoi/iie ii/e e eae iia ii?aaeaeyaony. (406)
6. *oi oaeia ia?aaeienaeueiay eoo?ey. (406)
7. A eaeie noaaeee aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu iaaethaeaaony ino?ay caaea?aeea ii/e.(406)
8. Ineiaeiaiey aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.(407)
9. I?eioeeiu aeeaaiinoeee aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.(407-412)
10. Aeeooa?aioeeaeueiay aeeaaiinoeea aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.(414)
11. Iieacaiey e aaeaiiiyeoiiee. (417)
12. Eaeea eiathony aeinooiu aeey auiieiaiey aaeaiiiyeoiiee. (417)
13. Eaeiau iieacaiey e iaeeeaoeaiui iaoiaeai ea/aiey aieueiuo aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu.(418)
14. Eaeiaa ia?aay iiiiuue aieueiiio ino?ie caaea?aeeie ii/e.(407)
15. Eaeea ineiaeiaiey iaaethaeathony i?e /?aniocu?iie aaeaiiiyeoiiee.(418)

CAAeAIEss AeEss NAIII?IAA?EE NOOAeAIOIA

1. Eeeie/aneea i?iyaeaiey aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu II noaaeee.
a) iieeaeeo?ey
a)…………………..
a) ieeoo?ey

2. Eeeie/aneea i?iyaeaiey aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu III noaaeee.
a) aeaaeaea
a) oioiioa
a) ………………….

3. Ineiaeiaiey aeia?ieacee (aaeaiiiu) i?aaenoaoaeueiie aeaeacu.
a) eaiiaia?aciaaiea a ii/aaii iocu?a
a) ………………….
a) i?inoaoeo

4. Ea/aiea aieueiuo aeia?ieaceae (aaeaiiiie) i?aaenoaoaeueiie aeaeacu.
a) ………………….
a) eiina?aaoeaiia
a) oeenoinoiiey

NIAeA?AEAIEA

I?aaeeneiaea………………………………………………………………………… 2
Oeaeue e caaea/e caiyoey…………………………………………………………… 3
Naycue n ae?oaeie aeenoeeieeiaie……………………………………………… 4
A?aoieiae/aneay no?oeoo?a caiyoey………………………………………. 6
Iniiaiua iieiaeaiey caiyoey………………………………………………… 10
Ea?oa eo?aoeee aieueiiai aeiaieaceae (aaeaiiiie) i?inoaou…….. 13
Ea?oa eo?aoeee aieueiiai ?aeii i?inoaou………………………………. 15
Neooaoeeiiiua caaea/e n yoaeiiaie ioaaoia…………………………….. 16
Neooaoeeiiiua caaea/e aac yoaeiiia ioaaoia……………………………. 18
Eiio?ieueiua aii?inu………………………………………………………….. 19
Caaeaiey aeey naiii?iaa?ee……………………………………………………. 20
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