Вие сте в: Начало // Всички публикации, За медицински специалисти // ??N�?�N�N? N�N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� N? ??N�?�N�???�????N?N� ?? ????N??�?�???????�N�?�?�????N?N�

??N�?�N�N? N�N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� N? ??N�?�N�???�????N?N� ?? ????N??�?�???????�N�?�?�????N?N�

marijuana and cialis together, marijuana and cialis together, marijuana and cialis together, marijuana and cialis together, marijuana and cialis together, marijuana and cialis together.

?s?????�??N�?�N� ???� ??N�??N�. ?Y?�N�???? ??????N�?�?? a�� ???�N�?�?�?????? ???� ?????????�N�N???N�?�N�N????�N�?� ???�N�N????� ???�?????????� ??NS?? N????�N�???�?�???�??N�?�???�N�?� ?�???�????N�?� ???? ?�?�?�????N�???�???? ?�???�?�N?N�?? a�z????. ????N�??N?a�?

- ??N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?� ?� ?�?????� ??N� ???�??-N�N�N???????N�?� ?????�???????�?? ?? N????�N�???�?�????N?N�N�?� ???�N�N????� ?????�???????�??????N? ?? N�N�???�???�N�N�??N?. ??N�?�???� ??N????� ?�?� ???�???�NZN�??N�?�?�???? N??�???�???? ?? ????N??????�??????N�???? ??N�????N??�?????� ?? ?????????? N�?�?�???????�N�?�?�???? ?�?�?�???�N????�???�. ???� N?NSN�?�N?N�??N????� ??N�???�?? ?? N�?????�N?????N�?? N�N??�??, ??????N�?? ???� ???� ?�???�?�??N????� ??N� N�N??�?�N�??N??�???�?�. ?????�?????? ????N�?�???? N�?????� ??N??�???? ??N�???�?�?�?? ??N�???�??, ?�?�N??�?????�N� ??N� N????�N�??N�??N�????N? ??N�??N�??????N�?�?� N�N??�?�N�??N??�???�???? ?�?�??N�?�N�???? ?????� N????�N�??N�??N�???� ???�??????N�???� N�?�N�?�??N�?�N�??N?N�?????�. ???????� ???�N?N??�?�??N? ?? N�N�N???????N?N�??N�?� ??N�?? ????N?N�?�??N????� ???� ?????�???????�?�N�?�. ?�?� ?????�N????? N?NS?�?�?�?�?????� ?? N?NS?�???�?????�N�?? ???� N�??N�?�N�?� ?? ???� ???�???�?�???� N�?�N?N� ??N� ?�?�???�N�??N�?�, ??????N�?? ???� N??� ?�?�???????�???�N� N? N�???�?? ??N�???�?�?�??, N�N??�?�N�??N??�???�?�N�?� N??� ??N�???�???� ???�N�?? ?�?????? ????N�?�??N�?????�???? ?�?�?�???�N????�???�. ???? ???� N??� ??N�N�??N�?� N�?�??N�NSN�, N�?� ?� ???�???�NZN�??N�?�?�???? N�?�?�?�??N�???� ??N� ??N?N�?�???�?�??N�?� ????N�?�??N�?????�???? ?�?�?�???�N????�????N?.

?�?�?�???? ?� ???� ?�NS???� ??N�?�?�?�N??�?�????, N�?� N�N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� ?� ?? ??N�N????� ????N�?�?�?�N�??N? N?NSN? ?�?�?�???�N??�????N?N�N�?� ??N�?? ??NS?�N�?�N?N�????N�?� a�� N�?�?�??N�??N?N�N�?�???�?????�N�?? ??N�?? ??NS?�N�?�N?N�????N�?� ???�??????N??�???? ?� N?NS??NSN�N?N�???�???? ??N� N????�?�??N�?�???�???� ???� N??�N?N�?�??N�?� ?? ???�N�N????� ??NS?�N�?�N?N�. ??N�?�N�??N?N�?????�N�?� N???N�??, N�?� ??N�?�?� ????N??�?�??????N�?� 15 ???????????? ?�?�?�???�N????�???�N�?? ?�?�?�?�?�?? ???�???�NZN�??N�?�?�???? ???�N??????? N�?�?�??N�??N?N�N�?�???�?????�. ?Y?? ???�?????? ???� ???�?z ?? ???�N�?�?�??N�?? ???� ????????N�?? N�???�N??????�?�N�???� ????N�?�??N�??N�?�???? N? N�N??�?�N�??N??�???�?� N??� ?�?�???�?? 2 ???�N�??. ??N?N???, ?????�N�?? ???�??????N??�???? N�?�N�?�?�??N�??N�?� ??NSN�N�N? ???�N�?�N?N�???�????N�?? N?NS?�???�?????� ?? ??NSN�N�N? N????�N�????????N�?� ????N?N�??N�N?N�????. ?Y??N�?�???? N�?�?�?? ??N�??N�?????� ?z?z?? ?�?�?�?????? N?NSN? ???�?z N??� N??? ????N?N�?�?????�?? N�N�?? ??N??????????? N�?�?�?? ?? ???�?�?�N?N�N�?� ???� ?�??N�?�???�?????�?�???�???�N�?? a�� ???�?�???????�???? N?N????�??N? ?�?� ????N�?�????N�?�???�???� ???� N�?�?�??N�??N?N�N�?�???�?????�N�?? ???� ???Y????, ???�?�?�N�??N? ?? N�N??�?�N�??N??�???�?�. ?�NS?�???�N�??N? ?????� N??�??N? ???� ?�NS???� ??N�?�???�???� ?? ???� N????�N�?�?�?? ??N�?�???? ??N� ?�?�???�?�?�????N? N�?????? ???� ?z?z??, ?????�N�?? N????????�???� ?�?� ?????????�N�N????�???� ???� ??N�???�?????�?�N�??N?N�?� ?? ????N�N�?�N?N�N�N???N�N?N�?�N�?� ???� N�?�?�?? N�?�N?N� ??N� N???N?N�?�???�N�?�, ????N?N�?? N�N�N??�???� ???� N??� ?�??N�?? N? N�N??�?�N�??N??�???�?�N�?�.

?YN�?�?� ????N??�?�??????N�?� ???????????? N�?�?�??N�??N?N�N�?�???�?????�N�?? ???� ?�???�?�N?N�N�?� N?N�?�?? ???�N�?�N�?� N? ???�N? ?�?�?�?�?�?? ?�???�N�??N�?�?�?�?? N�NSN?N�. ???�??-?????�N�?�N�?� ???????????� ?�?� ??N???N�???? ??N�?�???�???� ?� 1990 ??., ???????�N�?? ???�N�?�N�?� ?�?�?�???�N??�????N?N� ??N� ?�?�?�????N�???�???? ?? ???�?�?�?�????N�???�???? N�??N�???? ??N�?? ??NS?�N�?�N?N�???? N�??N�?� ?� 25,1 ???� 100 N�???�. ??N?N??? ???�N??�?�?�?????� a�� ?????????? ?�?�???�???� ???? N?N�????????N?N�??N�?� ???� ??N???N�???? N�?�??N�N�?�?�?????�??N�?????�??N????? ??NSN�?�?�????. ?YN�?? ???�N�?�N�?� N�?�?�N??�N�?�N�??N�?� N?NSN�?? N??� ???�???�NZN�??N�?�?�???? ?????�N�?? a�� 8 ???� 100 N�???�N?????. ?�?� N?NS?�?�?�?�?????� ??N�?�?� ???�???????�?�?�N�?� ???????????� ?�?�?�???�N??�????N?N�N�?� ??N�?? ???�?�????N�?� ???�N�???�??N�?? ?�?� N�N�?? ??NSN�?? ?? ?????�?????????� ????-????N??????�, ??N�?????�????N�?? ??N�?�?� 1990 ??., ???�?? 28,5 ???� 100 N�???�. ??N?N??? ???�N�N????? ???�N??�?�?�?????�. ?�?�?? N�?�?�?? N?N�?�N�??N?N�?????� N??� ??N�???� ?�?????� ???�???�?�?�???� N�??N�N�?�, ????N?N�?? ???????�?�???�, N�?� N?N�?�??????????????N????? N??� ??N�??N�?????�N� ???????�?? 500 ???�N�?� ?? NZ????N???, ?�?�N??�?????�N�?? ??N� N�?�?�?�??N�???? N�??N�???? ???� ?�?�?�???�N????�???�N�??.

?s?�??N�?? ?�?� ???�N�?�N�?�, N�?�???� ?? ?�?� ??NS?�N�?�N?N�????N�?� N?NSN�?�N?N�??N????�N� ?????� ??N??????????? ??????N?N�??N?, ??????N�?? N??� ??N�????N�??N�?�N� N??�???? ???� N????�N�???�?�??N?N�??N�?� a�� ???�?�???? ?� ???� ?�NS???� ??N�?�???�???� N�?�?�?�?????� a�� ?�?�N�?�?�?�?? N? N�N??�?�N�??N??�???�?� ?? ?�???�?�?? ??N� N�N??�?�N�??N??�???�?�. ??NSN�?�N?N�??N????� ????N?N�N??�?�N�, N?????N�?�?? ??????N�?? ???�N�?�N�?? ??N� 0 ???? 3 ????????????, ????N�?�??N�??N�?�???? N? N�N??�?�N�??N??�???�?�, ?� ?�?????????�?�?�??N� ???� ?�???�???? ???�N�?�. ?zN?N�?�???�?�??N�?� N??� ?????�NZN�???�N� ??NS?? ??N�N????�N�?�, ??????N�?? N?NS??N�?�???�?????�N�?� N�?�N�?????????�??????N? ???� ???�?z ????N�?�???�?�N? ???�N�?? ???�N�?� ???�?? ?�??N�?� N? ?�?�N�?�??N�???� N�N??�?�N�??N??�???�???� ????N�?�??N�??N?. ?�?�N�?�??N�???�N�?� N�N??�?�N�??N??�???�???� ????N�?�??N�??N? ?� ???�???�NZN�??N�?�?�???? ???�?�???� ???�N�?? ??N�????N???N�?�?�?�?? ??N??�, ?�?�N�??N�?? 10% ??N� ???�N�?�N�?� N??� N�?�?�?�???�N????�N� ?? N�?�?�?�??N�?�?? ???�N�?????? ??N� ??N�?�???�. ?Y???? ??????N?N�???�N�?? ?�?�N�?�??N�???� N�N??�?�N�??N??�???�???� ????N�?�??N�??N? N??� ?????� ??N�?�???????? ?�?�N�?�?�?�?? N? ?????????�?�??N�?�N�??N??? N�N??�?�N�??N??�???�??N? ???�N�N????? ??N�???�?????�NS?? ?�?�?� ???�??????N�???? ?? N�?�??N�???�????????N�N�???�??????N�???? ???�N????? ???� ?�???�?�N?N�N�?�.

?�?� N?NS?�?�?�?�?????� ?????�N? ?�????N????� ??????N�N�???� ???? ??N�????N??�?????� ???� ????N??????�?�N�??N?N�?� N? ?�?�?�, N�?�????N??????�?�N�??N?N�?� ?? ???�N�???�N�?� ??N�?? ???�N�?�N�?�. ???????� ???? ?�??N??�???� ??N� ??NS?�?????�????N?N�N�?� ???� ????N�?�???�?�???? ??N�????N???N�?�?�????N? ??N??� ???� ?�?�N�?�?�?�????N�?� ???�?�???? ???�N�???�??N�??. ?�?�??????N�?� ??N�??N�?�???? 8 ???????????? ???????�?�???�N�, N�?� ???????�?? 30% ??N� N?N�?�????N�??N�?� ??N� N�?�?�?�??N�???? ??NS?�N�?�N?N�?????? ??N�N????? ?�N?N�?� ????N�?�??N�??N�?�???? N? N�N??�?�N�??N??�???�?�.

?s?�??N�?? ?� ???�???�N?N�????, ?????�N? N????�N�??N�??N�???�N�?� ????N???????N�??N�???�?�??N�?????� N? ???�??N??????�N�?� ?�?�?� ?� ?????�NZN�?�???� ?? ?�?�??NS?�?�?�????N?N�?� ?? ??N�?�N�?????�N�??????N�?� ???� ?z?Y?�. ??NSN�?�N?N�??N????�N�?�N�?� ??N�???�?????�?�N�??N? ???� N???N?N�?�???�N�?� ???� ?�??N�?�???�?????�?�???�???� ???�?�N�?� ???� N?NS?�???�???� ??NS?�?????�????N?N� N�?� ???� N???N�?�?�??N????�N� ??????N�N�???� ??NSN�N�N? ???�N�???�N�?� ?? ???�N�?�N?N�????N�?? ???� ????N??????�?�N�????N�?�. ?YN�?�???? ???? ???�??????N�?� ???� ??N�?�?????�??N??????�?�????N�?? ???�N??�?�?????�???� ???� N�N??�?�N�??N??�?????????�N�?� N�N???N?N�????N�?�?�????N?N� ??N�?? ???�N�?�N�?� ??NS?? ??NS?�N�?�N?N�??????N�?� ??N�N????? 7, 12 ?? 17 ???????????? N�N�?�?� ?�??N?N�N�?�?????�??N�?�???� ??NSN�N�N? N�N??�??N�?? ???�N�N????? ???�N??�?�?�?????� ??N?N????� ???????????� ?????�?�N�???� ???� ???�??N�?�?????? ???�???????? ?�?� ????N�?�??N�??N�?�????N?N�N�?�. ?�???�N? N�?????� ?� ???�??NS?�?????�????, ?�?�N�??N�?? ???� N�?�?�?????�?�???�???� N? ????N�??N�???�N�??N? ?�?� ????N�??N�??N�?�????N?N�N�?� N?N�?�?? ???�N�N?????N�?? ???�N??�?�?�?????�.

?�?�?�?�??N�?� N??�, ?? ?�??N�?�?�N�?� N? N�N??�?�N�??N??�???�?�N�?� N?N�?�?? ???�N�?�N�?� ?� ???�???�N�?????????? ???� ?�NS???�N� ?�?????�?�??N�?�???? ??N???N�???? ?�?�???�N�??. ???�???� ???�??N�?????�N� ??N??�???? ?z?Y?� ?� ?�?�??NS?�?�?�?? ???� ???�??NSN�N??? N??�?�??????N�?? N? N�?�?� ???????�?�???�???� ???�?? ??N�N�??NSN�?�N????� ???� ????N�?�??N�??N�?�????N?N� ???�?? N?NS?????�?????� ?�?� ?�???�?�N?N�:

l ??N�?�N�???�?�?? N�???�?????�?�?�?? ??N�?�???�?�??;

l ??NS?�???� ??N�NS?????� ???�N�N�?????� N? ????N�?�N�?�??N�???�?�???? ?�N�???�???�;

l ???�N??�?�?????�???� ???� N�N??�?�N�??N??�?????????� N�N???N?N�????N�?�?�????N?N� N? 5 ???�?�??N????�N�???????? ?�????????N�?? – ?�?�D-N�N??�?�N�??N??�????;

l ???�?�??N�???� N�?�??N�???�??????N�?�N�??N? ???� ?�?�?�??N�?� ??N�???�?????�.

?�N?N????? ???�N�?� N? N�?�?�????N�?� N�?????�N�?�N�????N�???� N�N??�?�N�??N??�?????????� N�N???N?N�????N�?�?�????N?N� (N�?�?�???�N� ???� ????N�???�N�N�?�N�?� ???�?? 15 ????) N??� ???�N???N�???� ??NS?? ???�?�?�N?N�????N? ????N????�??N??�N� ???? ?�?�?�????N�???�???? ?�???�?�N?N�?? ?? N?NS??N�???�N�????N? N�?�????????. ???�?�?? ??N�?�???�?�?? ??N� N????�N�???�?�??N?N� ???? ???�N�N????� ?????�???????�??????N? ?? N�N�???�???�N�N�??N? ???�N�???�??N�NSN� N? ???????�?�?�????N? ?�?� N�??N?????N�?�?�???�?�N�??N? N??� ???�??N�?�N�?� ?? ?????????�N�N???N�?�N�N????�N�?� ???�N�N????� ???�?????????� ??NS?? N????�N�???�?�???�??N�?�???�N�?� ?�???�????N�?� ???? ?�?�?�????N�???�???? ?�???�?�N?N�?? a�z????. ????N�??N?a�?. ?� ???�?????????�N�?� ?�?�??N????�???� ???�N�?� N? ??N???N�???? N�??N�???? ???� ?�?�?�???�N????�???�N�??, ?� ???� N??�???? N? ?�?�?�????N�???�????.

??N�N�N???N�N?N�?�N�?� ???� ?�?�?�???�N??�????N?N�N�?� N?N�?�?? ???�?�????N�?� ???�N�???�??N�?? ???????�?�???�, N�?� 89,5% ??N� ??N???N�???? N�??N�???? ???� N�N??�?�N�??N??�???�?�N�?� N??� ?? N�?�?�N??�N�?�N� ??N� ?�?�?�????N�???�???? ???�N?????, ?� ???�?�?�?�????N�???�????N�?� N??� 10,5%.

???�??-N�?�?�??N�??N?N�N�?�???�???� ?� N�N??�?�N�??N??�???�?�N�?� ???� ?�N�????N�???�?�????N�?� ?�????N�???? ??NS?�?�?? a��N�?�N�?�??N�?�N�???� ?�?� N?N�N�?�???? N?NSN? ?�?�??NS?�?�??N�?�?�???� ?�?�?� ????N??????�?�N�??N?, ???�N�?? 70% ??N� ???�N�?�N�?� N? ?�?�?�????N�???�???? ???�N????? N?N�N�?�???�N� ??N� N�?�?�?? N�??N�???�. ???� ??N�??N�?? ??N?N?N�?? N??� ???�N�?�?�???� ??NSN�????N�????N?N� N�N??�?�N�??N??�???�?�?? ?????????�?�??N? ???� ?�?�?�??N�?� ??N�???�?????�. ??N�N??�???� ???� N??� ?????� ??N�?�????????, N�?� ???�?�?�?�??????N�??N?N�?�?? N�?�??N� ?? N?N�N�N???N�N?N�?�N�?� ???� ?�???�?�N?N�N�?� ?� ??N�??N????�N�?� ???� N�N??�?�N�??N??�???�?�?? ???�??????????N�, N????�?�??N�?�???�???�N�?? ???� ?�?�?�???�N??�????N?N�N�?� ??N� N�N??�?�N�??N??�???�?�?? ???�???????????�??N�?�N�?�?�??N� ?? N�?�???�N�?????�?????? ????N??�????????N�?�???? N�??N�???? ???� ??NSN�????N�???� N�N??�?�N�??N??�???�?�. ?zN�????N???N�?�?�????N?N� ??N??� ???� N�?�???�N�?????�??????N�?� ????N??�???????�N�???? ?? ?�?�?�??N�?� ??N�???�?????� ?? ???�??NS?? ?�?�?�????N�???�???�N�?� N???N?N�?�???� ?� ?? ??N�?�????N�??N�?� ???� 3% ??N� ??N???N�???? N�??N�???? ???� N�N??�?�N�??N??�???�????N�?? ?�?�?�???�N????�???�, ???�N�?? ??N�?�?� ????N??�?�??????N�?� 10 ???????????? ???????�?�???� N?N?N�????N�??????N?N�. ???????� ?� ???�???�NZN�??N�?�?�???? ???�?�?�?�??????N�??N?N�?�?? N�?�??N�, ??????N�?? ???�???� ??N????????�?????� ???� N??� ??N�???�???�, N�?� N�N�?�??N?????N???N?N�?� ???� N�N??�?�N�??N??�???�???�N�?� ????N�?�??N�??N? ?� N?N�?�??????N�?�?�???? ?�?�?�??N�?�??N?N�N?N�???�???� ?? ?� ???�?�??N�?� ???�?�?�?�?????????�N?N�???� ?? N????�N�??N�??N�???�N�?� ????N???????N�??N�???�?�??N�?????� N? ?�?�?� – ?????� ??N??????????? N�?�??N�??N�?�, ??????N�?? ???� ???�N�?�N?N� N?N????�N� ???� ?�??N�?�?�N�?� ?�?� ????N�?�????N�?�???�???� ???� ?�???�?�N?N�N�?�.

?�?�N�?�?????�N�?? ???� N�N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� ?� ??N�????NS?�?�??N�?�?�?�?? ??N�??N�?�N?. ?z?�N�????N�???�N�?? ?�, N�?� ???????????�?�????N?N� N�?�N�?�???�??N�??N�?�?? N?N�???? ?� 6 ???�N??�N�?�. ?�?�?�?�??N�?� N??�, N?NSN�?�N?N�??N????�N� N�??N�????, ??????N�?? N??� ?�?�??N????�N� 8, 10, 12, 15 ???�N??�N�?�. ???????� ??N�?�?????�?? ?� ???�?�???????? ?�?� N�?�?�??N? N???N?N� ?? ?� ??N�????????N�N????�???? ??N� N????�N�??N�?????�N�?� ???� ?�N�?????�??????N�????N? ??N�??N�??????N�?�?� ?? N??�???�????N�?� ???�?�????????N�????N??�????N? ???�?�??N? ??????N�??- ?? ???�??N�????N�???�?????�???�. ?�N???N�???? ???�N�?� N? ???????�?�?�????N? ?�?� N�N??�?�N�??N??�???�?� ?? ??N???N�???? ?�???�???? ???�N�?� N??� ?�?�??N????�N� ?? N????????�N�N???N�?�N�N????�N�?� ???�N�N????� ???�?????????� ?�?� ?�?�?�????N�???�???? ?�???�?�N?N�?? ?? ????N�??N?. ???�N�?�????N?N�?� ?� ?�?�?�???�?�N�???�, ???�N�?? N??� ??N?????N?N�?�???? N?N??�??????N? ?�?� N?NS??N�?�???�?????� ?????�??????N?N�?????� ?? ?�?�N�?�?????� ???� ?�??N�?????�??N????? ????????.

???�???�NZN�??N�?�?�???? ???�?�?�?? ?�?� N?N????�N�?� ???� N�?�N�?�???�??N�??N�????N? ??N�??N�?�N? ?� ??????N�N�???�NSN� ??NSN�N�N? ??N�????NS?�?�?�???�N�?�N�?� N�?�?�?� ???� ?�?�N�?�?????� N??�?�?? ???�????N????�???� ??N� ?�???�????N�?�. ?� N�?????� ???�??N�?�???�?�?????� N??� ???�N???N�?�???? ?? ???�N???N�?� N?N????�??N? ???�??N�?? N? ????????N�N�?� ???� ??N???N�???? N????�N�???�?�???�??N�?�???? ?�?�N�?�?�???? ?�?�???�???�????N?, N�?�???� ?? N�N�?�?� ??N�????N�?�???�N�?� ?�?� ?????????�N�N????�???� ???� ??????N�N�???�?� ???� N�N??�?�N�??N??�???�?�N�?� ?????? ?�???????�N�?� ???� ?�?�???�?�?�????N? N�??????.

?YN�?? ???�N�?�N�?�, ???�??N�?? ?? ??N�?? ??NS?�N�?�N?N�????N�?� N??� ???�?????�?�???�N� N�.???�N�. N�?�N�?�???�??N�??N�???? N�?�?�??????. ???�N�?�???�??N�??N�????N�?� N�?�?�?????? ???�??N??????�N� ??N�???�???�?�?????�N�?? ???�??-???�?�???? ???� N�N�?? ??N�?�???�N�?�N�?�, ???�N�?? ?� ??NS?�?????�???? N�?� ???� ?�NS???�N� N�?�N�??N�?? ???�?? ???�N� a�� ??N�???�?�???�N� N??� ?? ????N�?�???�?�?�?? N�??N�NS?? ?? ?????�??N�???????�. ?YN�?? N�N???N?N�????N�?�?�???? N�?�???????� ???� N�N??�?�N�??N??�???�???? ?�?�??N�?�N�???? N??� ??N�???�?�???�N� ???�N� ??N�?�???�N�?�N�?�a�� Streptomycin, Isoniazid, Ethambutol, Rifampicin, Pyrazinamide. ?�?� ?????�N????? N?NS?�?�?�?�?????� ??N�?�?� ????N??�?�??????N�?� ???????????? (??N????�?�???? ??N�?? ??NS?�N�?�N?N�????N�?�) N??� ???�?�?�NZ???�???� N????�?�?????�N�?? N�?�?�??N?N�?�??N�????N?N� ???� N�N??�?�N�??N??�???�????N�?� ?�?�??N�?�N�???? ??NS?? N?NS??N�?�???�??????N�?� N?N�?�??N?N�???� ?�?� ?�?�N�?�?????�. ?�?�N�?�???? N�?????� ???�?z ??NS???�???� ??????N?N�???�N�?? MDR – multi drugs resistance. ?�?� MDR ???�N�???�??N� N??� ????N�?�???�?�N? N�???�??, ??????N�?? ?� ???�N�N???N?N�????N�?�?�?�?? ?�????????N�?�???�?????? ??NS?? Rifampicin ?? Isoniazid. ???�?�?�NZ???�???�N� N??� ?? ??N�?� ????-N�?�?�???? N�??N�???? ???� ??NS?�???� ???�N�N???N?N�????N�?�?�????N?N� ??NS?? N?NS??N�?�???�??????N�?� ???�???????�???�??N�?? a�� XDR. ???????� ????????N�?? ?�?� ???�???�NZN�??N�?�?�???� N�?�?�??N?N�?�??N�????N?N� ??NS?? ??N???N�???? ??N�?�???�N�?�N�?? ?? ??NS?? ??N??????? N?NS??N�?�???�?????? ???????????�??????.

?Y??N�?�???? ?�?????? ??NS?�?????�?�N�?�?? ????N�???????�NS??, N�?� N�N??�?�N�??N??�???�?�N�?� ?� ?????�?�???�???? ?�?�?�???�N????�???�, ??N�?�?� ????N??�?�??????N�?� 40 ???????????? ???� N??� ???�?�??N�?� ???????? ???�???????�???�??N�??. ?????�?????? N�?????� ???????�???� ???? ??NS?�??N�NSN�?�???� ??NS?? ???�N�?� N?????N�N�?�?�N????�???? ??N�?�???�N�?�N�??, ???�?????�?�???�???? ??N�?� ??N�?�?� 50-60 ???????????? ???� ???????�?�??N? ???�?? a�� ethionamide, protionamide, cycloserine, terivalidin, capreomycin, ?Y?????s.

?YN�?? N�?�???????� ???�N�???�??N�?? N??� ??N�?�????N�NSN�???�N� ?�??N�???�????N�??N�?? ??N� ??N�N????�N�?� ???� ???�??N�???�??????, ?�???????????�???????�?????? (ametycine) ?? ???????????�??????.

?�??N� ??N????�?� ??N�?� ???�????NS?� ???� ??????N�?�N�N�?�N? ???�???�N�??????????N?N�N�?� ??N� ??NS?�?�?? ??????N�N�???� ???? ??N�????N??�?????� ???� N�?�?????�N�?� ?????�???????�?� ?? ???�??-???�N�?� ??NSN�N�N? ??N�????NS?�?�?�???�N�?�N�?� N�?�?�?� ???� ?�?�N�?�?????� ?? ???????�N????? N?N??�??????N?. ?YN�????NS?�?�?�???�N�?�N�?� N�?�N�?�????N? N??� ??N�?????�?�???� N? ???????� ??N� N�??????N�?�?�??N�?�. ???� ?????�N?N�?�???�N� ?�?�?�???�?�N�???? ?�?�???�N�N?N�????N�?? ?? ??N??�???? ???�N??�N� N�N�N??�???� ???� ????N??�N�?�???�N� ????N????�??N??�N�?�. ?Y??N????�N�?� ???� N�?�?�??N?N�?�??N�????N?N� ?� N�?�?�N??�N�?�N� ??N� ?�????N??�N�?� ???� ????N�???? (??N????�?�???? ??N�?? ??NS?�N�?�N?N�????N�?�) ???� ??????NSN�N??�N� ?�?�N�?�?????�N�??.

?�NS?�???�N�??N? ?? ?????????????? N??� ?????�N�?� N?N�N�?�???? ?? N????�N�?�, ??????N�?? N??�?�?? ?�N�??N�?�N�?� N????�N�???????� ?????????� ??NS???�?�???�N� ?�?�??NS?�?�??N�?�?�???� ???�??N??????�?�???� ??N�??N�???�?�??N�?????� ???� ???�N�N?????N�?? ?? NZ????N??�N?????N�?? ???�N??�?�?�?????�. ???????� N?N�?�???� ??N�?�?� 1951 ??. ?�?? 1957 ??. ?�NS?�???�N�N?????N�?� ???�N�?� N??� ???�??N???????N�?�???? N? ???�N�??N�?�?�???� ?�?�?� ???�??N??????�, ??N�?????�???�???�???� ??N� ????N?N�??N�N?N�?� a�z?Y?�N?N�N???N�a�? ?? ?Y?�N�???�. ?zN� 1957 ??. ????N??�???� N?N�N�?�???�N�?� ???? ??N�?????�???�?�???� N????�N?N�???�???� ?�?�?� ???�??N??????�.

???�???�N�?????????? ?� ???� ?�NS???� ??N�???�???�???? ??NS?�?�??????N�?? ???� ??-N� ??N�?�?�N�?� ?�????????N????�, ????N?N�?? N??�?�?? N????�N�???�?�???�?�N�??N? ?? ?Y?�N�???� N?NS?�???�???� ?�?�?�??N�?�N�??N�??N?N�?� ?? ??N�?????�??????N?N�????N�?? ???� ?�?�?� ???�??N??????� ?? ?�NS?�???�N�??N?. ?YN�?�?� 1984 ??. ?�NS?�???�N�N????�N�?� ???�??N??????� ?� N�?�N?N�???�???� ?? N�?�N�?�N�?�??N�????N�?� ?�?�?�??N�?�N�??N�???? ???� ???�?z ?? ?�??N�?????�, ?????� ?? ?s?�???�???� ?? ?�N�?�N?N�?�N�??N�?� N??� ?????????? ?????�N�??. ?� ???????�??N�?� ?� ???�N????�???� ?�?� ?�?????� ??N� N�N�??N�?� ???�??-?????�N�?? ???�??N??????? ?? N????�N�?� ?? N�N�?�?� ?�???�???s?z N??� ??N�?????�???� ?? 90 N?N�N�?�???? ?? ?�?�???� ?????�N�?????�, ???�???�N�???� ??N�N�?????�, ?�???????�N�??N�???� ???�??N?. ?s?�N�?�N?N�???�N�?� ?? N??� ???�??N?????N�??????. ?YN�?�?? ???�N? ?� ????N?N�?�???�?? ??NS??N�??N?NSN� ?�?� ???�N�?�N?N�????N�?? ???� ????N??????�?�N�??N?N�?� ?? ???�N�???�N�?� ???� ??????N�???????�??N�??N�?�.

???�?�???? ??????N??�N?N�???? ?�, ???? N�N�N??�???� ???� N??� ?�???�?�, N�?� N?N�?�???� ??N????� ?�?� ?�?????� ???�??N??????� a�� ?? ?�?????? ?????�???�??N�NSN� N??� N?NS??NSN�?�?�N� ??N� 7 ???? 10 ???�??. ?�?????? N�N??�?�N�??N??�???�???? ?�?�??N�?�N�???? ??N� ???�??N??????�?�?�?? N�????. ?YN�?? ??N�???�???�?�?????�N�?? ?? (?�??????N?N�???�???? ?? ?�N?????N�?? N�?�????) N??� ?????�?�??N�??N�?� ?�?????� ???�N??�N�?� ??N� ?????�???�??N�NSN�?�, ????N?N�?? ?�?�??NS?�?�??N�?�?�???? N�N�N??�???� ???� N?NS??NSN�?�?� ???�?�??N? 700 N�???�. ?? 1 ???�??. ?�?????? ?�?�??N�?�N�???? ??N� ???�??N??????�?�?�?? N�????. ???�???�NZN�??N�?�?�???? ???�?�???? N?N??�???????� ?�, N�?� ??N�?�???? ??N?N????? ??N�???�???�?�?????� ?�????N??�?�N�?�, ?? ????N?N�?? ?� N�?�?�N�????N�?�???� ?�????N�???�???�??N�?�???�N�?� ?�NS?�???�N�N????� ?�?�?� ???�??N??????�, N??� N�?�?�???�?�N�?� ?�???�N�????N�????, ?�?� ???� N??� ??N�???????�???� N�?�?????????�N�???� N?N?N????�??N???N?, N�NS?? ???�N�?? N�N? ???� ???�N�?�?�N????� N�?�?�N�????N�. ???????� ?� N?N??�???????�N�??, ??N�?? ?????�N�?? N??� ?????�N?N�?�???�N� ????N�?�???�?�?�????N?N� ?�N�???? ?�?�??N�?�N�????. ???�N�?�N�?� ???� N??� N??�???�????, ???? ?�?� N?NS?�?�?�?�?????� ??N�?�?� ????N??�?�??????N�?� ???????????? ?�????N??�N�?� ???� ????N?N�?�N�NSN�???� ?????????�N�?�??N�????N?N� ?? ??N�?�N�???�????N?N� ??N�?? ??N�???�???�?�?????�N�?? ???????? ???? ???�?�?�?�?????????�N?N�???� ???� ????N?N�???�??N??????�?�????N? ?�N�?�??N�, ??????N�?? ?� ???�N?N??�?????�?? ??N� ?????�??N�?�N?N�????N�?? ???� ?�??????N�?� N�N??�?�N�??N??�???�???? ?�?�??N�?�N�???? ?? ????N�?�???�?�?�???? ?�????????N�?? ???�?�??.

?�??????N?N�???�????N?N� ???�??????N�?�?? ??N�??N�?�N�???? ?�?� ??N�?�?????�????N�?? ????N?N�?�??N????� ???� ?�?�?� ???�??N??????�N�?� ?� N?N�??N�????N�?�???�N�?? ???� ?�?�?�?�?? ???� ?�N?????N�?? N�?�???? ???� ???�N�?�N�?? ?? ??N�?�N? ???� ??NSN�???�N�?� ???????????� N??�?�?? ????N??????�?�N�??N?N�?� ???�?? N�?�????N??????�?�N�??N?N�?�. ?�????N??�N�?� ???� ?�?�?�?�?? ???�???� ??N????????�?????� ???� N??� ????N??�?? ?? ?????� ??N??????????? ???�??N�?�???�?�????N? a�� ???�????N?N�?�???�???� ???�??N??????� ???�?? N�?�N�????N�?�N????? ???�?????�N�?� ???�??NS?�???�???� ???�??N??????�N�??N?. ?? ?? ?????�N�?� N??�N?N�?�N? ????N?N�???�??N??????�?�????N?N� ????N?????N�?�N� N??� ??????N�??N�?�???�. ???�???�N�?????????? ?� ???� N??� ?�???�?�, N�?� ???�??N??????�?�???�N�?� ??N�????NS?�?�??N�?�?�????N?N� ???� ????N?????N�?�N�?� ?� 10 ????????????, ?� ????N�?????�?�???�N�?� – 5 ????????????. ?�?�N�?????� ???�N???N?N� ????N??????�?�N�???????�?? ???�?�?�?????�N� ????N�?�???�?�N? N�?�????N??????�?�N�????N�?� ??N�?�?� 5-????????N??�?? ???�N�?????? ??N� ??N�?�???� N??�?�?? ??N�?�?????�N�??N�?�?�???? ???�N??�?�?????�???� ???� N�N??�?�N�??N??�?????????�N�?� N�N???N?N�????N�?�?�????N?N�. ?�N?N????? ???�N�?� N? ????N�???�N�????N�???� N�N??�?�N�??N??�?????????� ??N�???�?� (6 ???? 14 ????), ???�N??�?�?????�???� ??N�?�?????�??N??????�?�????, ???� N??� N�?�????N??????�??N�?�. ?Y?�N�???�??N�??N�?� N? N�N??�?�N�??N??�?????????� N�N???N?N�????N�?�?�????N?N� ?? ??N�?�????N�??N�?� ??N� 0 ???? 5 ???? ?????�NZN�??N�?�?�????, ??N�?? ?�????N??� ???� ??N�??N�?????????????�?�?�?????� N�N�N??�???� ???� ?�NS???�N� N�?�????N??????�??N�?�????. ?�?�N�?�N�?� N? N�N??�?�N�??N??�?????????� N�N???N?N�????N�?�?�????N?N� ???�?? 15 ???? a�� N�?????�N�?�N�????N�???� N�N??�?�N�??N??�?????????� ??N�???�?�, N??� ???�N???N�???�N� ??NS?? N?NS??N�???�N�????N? ????N????�??N??�N� ?�?� N�??????????N�??N�???�?�??N�?????� ???�?? ?�?�N�?�?????� ?? N????�N�???�?�???�??N�?�???? ?�?�N�?�?�???? ?�?�???�???�?????�. ?�???�N? ?????????? ???� ??N�N�??N�?� ???�N�?�N?N�???�N�?� ???� ?�?�?� ????N??????�?�N�??N?N�?� ???�N�?? ?�??????N?N�???�????N�?? N?N�?�??N?N�???? ?�?� ??N�??N�???�?�??N�?????� ???� N�N??�?�N�??N??�???�?�N�?� ?? ???� N�?�???�N�?????�?????? ????N??�????????N�?�????N�?� N�??N�???? ???� N�N??�?�N�??N??�???�?� ?? N�N??�?�N�??N??�???�?�?? ???�???????????�??N�?�N�?�?�??N�.

?�?� N�?�?�?�?????� ??N� ??N�N????? ????N??????�?�N�???? ???�??N??????�N�??N?N�?� N?N�?�N�N? N�N??�?�N�??N??�???�?� ???� ???????? ???? ?????�??????N�?�?? ????N?????N�?�N�. ?�N?N????? ????N??????�??N�?�???? ???�N�?� ?????�?� ???� ?�NS???� ????N�?�??N�??N�?�???? ???�?? ???� N??� N�?�?�?�???�?�?�, ???? ?????� ??N???N�???? N??�??N??????� ???� ???�??N�?�???�?� ???�??NS?�???? ?�?�?� ????N??�?�?????�N�?? ???�???�???�????N? ??N�?? ??N�?�?????�???? ?? N�?�???? ????N?N�?�???�???� ?????�???????�?�. ?YN�?? ???�N�?�N�?�, ??????N�?? ???� N??� ????N??????�??N�?�????, N�??N???NSN� ?� ?�???�N�??N�?�?�???? ????-????N?????.

??N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� ?� ???�?�?�?? ??N�???�?�?�?? ?? ??????N�?�??N?N�?� ???� ???�N�?�N�?� ?�??N�?�?� N?N�?�N�N? ?�?�?�???�N????�???�N�?? ?? ???�???�???� N?N�N�?�???�. ?�?� ???� ?�NS???� ????N?N�???????�N�?? ????N�?�????N�?�???�???� ???� ?�?�?�???�N??�????N?N�N�?�, N??� ???�???�N�?????????? ???�?�???????�????N�?� N?N????�??N? ???� ??N???N�???? ???????� ?? N???N?N�?�???�N�?� ???� ?�??N�?�???�?????�?�???�???�N�?? ?? N?NS??N�???�N�???�N�?� ??NSN�?�?�???� a�� N?????N�N�???????�??N�?�???? ???�??N?N�????N?, ???�???�NZN�??N�?�?�???� ??N�?�N�???�????N?N�. ???� ?�?????� ???� N??� ?�?�?�N�?�??N? ??N�????N??�?????�N�?? ???� ???�N�????N�?�??N�????N????�N�??N�?� ?�?�???�N�?? ??NS?? N�???�?? ??N�???�?�?�??, ?�?�N�??N�?? N�?� N??� ??NSN�????N�?? N?N�NS???�?�?? ?? ???�??N�?�?�???�???�N�?? ???� ?????�???????�??N�?� ?? ?�N??�?�??????N�?�???�N�?? ?? ??N�?�?????�???� ????N??????� ???� ???�N�?�N�?�, ??????N�?? ?????�N� ???????�?�?�????N? ?�?� N�??????????N�??N�???�?�??N�?????� ???�?? ?�?� ?�?�N�?�?????�. ???�??N????�?? N??�, N�?� ????N?N�?�???�???�N�?� N�?�?� ???� ?z?z?? ?? ???� ???�?z N�?� ?�NS???� ???????�???�???� ???? ?????�NSN� ??N�?�??. ?zN�?� ???????�N�?� N�?� ?�NS?�???�N�??N? ?????� ?�?????� ??N� ???�??-??NS?�?????�?�N�????N�?� ??N�?�??N�?????? ?? ???�??????N�?�?? ??????N� ?? ?�??N�?�?�N�?� N? N�N??�?�N�??N??�???�?�N�?� ???�??N�?? ?? ???? ??N�????N??�?????� ???� ????N???????N�??N�???�?�??N�?????�N�?� N? ???�??N??????�N�?� ?�?�?�.

?�?�????N??� ?�?�??N�???? ?�?�?z?�?�???�?�

4 Отговори to " ??N�?�N�N? N�N??�?�N�??N??�???�?�N�?� ??N�?? ???�N�?�N�?� N? ??N�?�N�???�????N?N� ?? ????N??�?�???????�N�?�?�????N?N� "

  1. darina казва:

    az sam ubedena v tova 4e dispansera v sofiq a imenno otdelenieto po detska ftiziqtriq e nai dobroto v tcqlata strana

  2. darina казва:

    a doktor P.Min4ev e izklu4itelno priqten 4ovek

  3. Проф. Минчев е страхотен професионалист, а Клиниката по детска фтизиатрия „Света София“ е много добре организирано и съвсем съвременно лечебно заведение. Лекарите, медицинските сестри, санитарките – всички са много мили и се отнасят грижовно към децата.

  4. desislava казва:

    Tova e ujasno gadno zabolqvane na nikoi ne go pojelavam . Bqh v bolnica tochno s tazi diagnoza i bqh shokirana ot otnoshenieto na lekarite s bolnite. Nerazbiram i tova zashto nqma psiholozi v bolnicite? Ima hora koito ispadat v ujas i imat silen strah ot bolnici i vsichko ostanalo. Kogato pitash za psiholog ti kazvat ti vse pak si v bulgariq . Sama trqbva da se spravish s problema si. Nqmam dumi prosto .

Отговори

Copyright © 2009 ФОРУМ МЕДИКУС. All rights reserved.
   
Designed by Theme Junkie. Modified by Magstudio. Powered by WordPress.