Read the instructions carefully before using this device.

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1 Read the instructions carefully before using this device. Перед использованием прибора внимательно прочтите данное руководство. Przed rozpocz ciem eksploatacji nale y dok adnie zapoznaç si z niniejszà instrukcjà obs ugi. Az eszköz használata előtt gondosan olvassa végig ezt az útmutatót. Europe / Middle-East / Africa Microlife AG Espenstrasse Widnau / Switzerland Tel. +41 / Fax +41 / admin@microlife.ch Asia Microlife Corporation. 9F, 431, RuiGang Road, NeiHu Taipei, 114, Taiwan, R.O.C. Tel Fax service@microlife.com.tw Central & South America / Canada Microlife USA, Inc Gulf to Bay Blvd., 2nd Floor Ste A Clearwater, FL / USA Tel Fax msa@microlifeusa.com IB BP 3AS1-2 VarB 1011

2 Microlife BP 3AS1-2 EN Semi-automatic Blood Pressure Monitor Instruction Manual (1-9) RU Полуавтоматический прибор для измерения артериального давления и частоты пульса ÛÍÓ Ó ÒÚ Ó ÔÓ ÔÓÎ ÁÓ ÌË (10-21) PL Pó automatyczny ciênieniomierz krwi Instrukcja obs ugi (22-33) HU Félautomata vérnyomásmérô Használati útmutató (34-45)

3 Semi-automatic Blood Pressure Monitor Instruction Manual Important Safety Instructions Type BF applied part Batteries and electronic instruments must be disposed of in accordance with the locally applicable regulations, not with domestic waste. Ensure that children do not use the instrument unsupervised; some parts are small enough to be swallowed.

4 Table of contents 1. Introduction 1.1. Features 1.2. Important information about self-measurement EN 2. Important information on the subject of blood pressure and its measurement 2.1. How does high/low blood pressure arise? 2.2. Which values are normal? 2.3. What can be done, if regular high/low values are obtained? 3. The various components of the blood pressure monitor 4. Putting the blood pressure monitor into operation 4.1. Inserting the batteries 4.2. Tube connection 5. Carrying out a measurement 5.1. Before the measurement 5.2. Common sources of error 5.3. Fitting the cuff 5.4. Measuring procedure 5.5. Inflating further 5.6. Discontinuing a measurement 5.7. Memory displaying the last measurement 6. Error messages/malfunctions 7. Care and maintenance, recalibration 8. Guarantee 9. Technical specifications

5 1. Introduction 1.1.Features The blood pressure monitor is a semi-automatic, digital blood pressure measuring device for use on the upper arm, which enables very fast and reliable measurement of the systolic and diastolic blood pressure as well as the pulse frequency by way of the oscillometric method of measuring. The device offers a very high and clinical tested measurement accuracy and has been designed to provide a maximum of user-friendliness. Before using, please read through this instruction manual carefully and then keep it in a safe place. For further questions on the subject of blood pressure and its measurement, please contact your doctor. Attention! 1.2.Important information about self-measurement Do not forget: self-measurement means control, not diagnosis or treatment. Unusual values must always be discussed with your doctor. Under no circumstances should you alter the dosages of any drugs prescribed by your doctor. The pulse display is not suitable for checking the frequency of heart pacemakers! In cases of cardiac irregularity (Arrhythmia), measurements made with this instrument should only be evaluated after consultation with the doctor. Electromagnetic interference The device contains sensitive electronic components (Microcomputer). Therefore, avoid strong electrical or electromagnetic fields in the direct vicinity of the device (e.g. mobile telephones, microwave cookers). These can lead to temporary impairment of the measuring accuracy. 2. Important information on the subject of blood pressure and its measurement 2.1.How does high/low blood pressure arise? The level of blood pressure is determined in a part of the brain, the so-called circulatory centre, and adapted to the respective situation by way of feedback via the nervous system. To adjust the blood pressure, the strength and frequency of the heart (Pulse), as well as the width of circulatory blood vessels is altered. The latter is effected by way of fine muscles in the blood-vessel walls. The level of arterial blood pressure changes periodically during the heart activity: During the «blood ejection» (Systole) the value is maximal (systolic blood pressure value), at the end of the heart s «rest period» (Diastole) minimal (diastolic blood pressure value). The blood pressure values must lie within certain normal ranges in order to prevent particular diseases. 2.2.Which values are normal? Blood pressure is too high if at rest, the diastolic pressure is above 90 mmhg and/or the systolic blood pressure is over 140 mmhg. In this case, please consult your doctor immediately. Long-term values at this level endanger your health due to the associated advancing damage to the blood vessels in your body. With blood pressure values that are too low, i.e. systolic values under 100 mmhg and/or diastolic values under 60 mmhg, likewise, please consult your doctor. Even with normal blood pressure values, a regular self-check with your blood pressure monitor is recommended. In this way you can detect possible changes in your values early and react appropriately. 2

6 If you are undergoing medical treatment to control your blood pressure, please keep a record of the level of your blood pressure by carrying out regular self-measurements at specific times of the day. Show these values to your doctor. Never use the results of your measurements to alter independently the drug doses prescribed by your doctor. Table for classifying blood pressure values (units mmhg) according to World Health Organization: Range Systolic Diastolic Measures blood pressure blood pressure Hypotension lower than 100 lower than 60 Consult your doctor Normal range between 100 and 140 between 60 and 90 Self-check Mild hypertension between 140 and 160 between 90 and 100 Consult your doctor Moderate hypertension between 160 and 180 between 100 and 110 Consult your doctor Severe hypertension higher than 180 higher than 110 Consult your doctor immediately Further information If your values are mostly standard under resting conditions but exceptionally high under conditions of physical or psychological stress, it is possible that you are suffering from so-called «labile hypertension». Please consult your doctor if you suspect that this might be the case. Correctly measured diastolic blood pressure values above 120 mmhg require immediate medical treatment. 2.3.What can be done, if regular increased/low values are obtained? a) Please consult your doctor. b) Increased blood pressure values (various forms of hypertension) are associated long- and medium term with considerable risks to health. This concerns the arterial blood vessels of your body, which are endangered due to constriction caused by deposits in the vessel walls (Arteriosclerosis). A deficient supply of blood to important organs (heart, brain, muscles) can be the result. Furthermore, with long-term continuously increased blood pressure values, the heart will become structurally damaged. c) There are many different causes of the appearance of high blood pressure. We differentiate between the common primary (essential) hypertension, and secondary hypertension. The latter group can be ascribed to specific organic malfunctions. Please consult your doctor for information about the possible origins of your own increased blood pressure values. d) There are measures which you can take, not only for reducing a medically established high blood pressure, but also for prevention. These measures are part of your general way of life: A) Eating habits Strive for a normal weight corresponding to your age. Reduce overweight! Avoid excessive consumption of common salt. Avoid fatty foods. B) Previous illnesses Follow consistently any medical instructions for treating previous illness such as: Diabetes (Diabetes mellitus) Fat metabolism disorder Gout C) Habits Give up smoking completely Drink only moderate amounts of alcohol Restrict your caffeine consumption (Coffee) 3

7 D) Physical constitution After a preliminary medical examination, do regular sport. Choose sports which require stamina and avoid those which require strength. Avoid reaching the limit of your performance. With previous illnesses and/or an age of over 40 years, please consult your doctor before beginning your sporting activities. He will advise you regarding the type and extent of types of sport that are possible for you. 3. The various components of the blood pressure monitor The illustration shows the blood pressure monitor, consisting of: a) Measuring unit LCD-display O/I button Bulb Handle b) Cuff cuff type M for arm circumference cm or cuff type L for arm circumference cm (available as special accessory) 4. Putting the blood pressure monitor into operation 4.1.Inserting the batteries After you have unpacked your device, first insert the batteries. The battery compartment is located on the underside of the device (see illustration). a) Remove cover as illustrated b) Insert the batteries (2 x size 1,5 V), thereby observing the indicated polarity. c) If the battery warning appears in the display, the batteries are empty and must be replaced by new ones. Attention! After the battery warning appears, the device is blocked until the batteries have been replaced. 4

8 Please use «AAA» Long-Life or Alkaline 1.5 V Batteries. The use of 1.2 V Accumulators is not recommended. If the blood pressure monitor is left unused for long periods, please remove the batteries from the device. Functional check: Press and hold the O/I button down to test all the display elements. When functioning correctly all segments appear. 4.2.Tube connection Cuff (1-tube cuff + T-connector): Insert the cuff tube into the opening provided on the back of the instrument, as shown in the diagram. 5. Carrying out a measurement 5.1.Before the measurement Avoid eating, smoking as well as all forms of exertion directly before the measurement. All these factors influence the measurement result. Try to find time to relax by sitting in an armchair in a quiet atmosphere for about 5 minutes before measurement. Remove any garment that fits closely to your upper arm. Always measure on the same arm (normally left). Attempt to carry out the measurements regularly at the same time of day, since the blood pressure changes during the course of the day. 5.2.Common sources of error Note: Comparable blood pressure measurements always require the same conditions! These are normally always quiet conditions. All efforts by the patient to support their arm can increase blood pressure. Make sure you are in a comfortable, relaxed position and do not activate any of the muscles in the measurement arm during the measurement. Use a cushion for support if necessary. If the wrist artery lies considerably lower (higher) than the heart, an erroneously higher (lower) blood pressure will be measured! (Each 15 cm difference in height results in a measurement error of 10 mmhg!) Cuffs that are too narrow or too short result in false measurement values. Selecting the correct cuff is of extraordinary importance. The cuff size is dependent upon the circumference of the arm (measured in the centre). The permissible range is printed on the cuff. If this is not suitable for your use, please contact your dealer. Note: Only use clinically approved Original-Cuffs! A loose cuff or a sideways protruding air-pocket causes false measurement values. 5.3.Fitting the cuff a) Push the cuff over the left upper arm so that the tube points in the direction of the lower arm. b) Lay the cuff on the arm as illustrated. Make certain that the lower edge of the cuff lies approximately 2 to 3 cm above the elbow and that the rubber tube leaves the cuff on the inner side of the arm. Important! The mark (ca. 3 cm long bar) must lie over the artery which runs down the inner side of the arm. 2 3 cm tube 5

9 c) Tighten the free end of the cuff and close the cuff with the closer. d) There must be no free space between the arm and the cuff as this would influence the result. Clothing must not restrict the arm. Any piece of clothing which does (e.g. a pullover) must be taken off. e) Secure the cuff with the closer in such a way that it lies comfortably and is not too tight. Lay your arm on a table (palm upwards) so that the cuff is at the same height as the heart. Make sure that the tube is not kinked. Note: If it is not possible to fit the cuff to your left arm, it can also be placed on the right one. However, all measurements should be made using the same arm. 5.4.Measuring procedure After the cuff has been appropriately positioned, the measurement can begin: a) Press the O/I button. Make sure the tube is properly attached to the instrument. The following appears in the display for 2 seconds: (Diag.). A short be-be-beep follows to indicate that the instrument has equilibrated with the pressure of the surroundings and the measurement can therefore begin. A «0» is shown in the display. b) Grasp the handle and bulb with your free hand and inflate the cuff to a pressure at least 40 mmhg higher than the expected systolic pressure. If you do not know the value of this pressure, inflate to a value of approximately mmhg. The cuff pressure is shown continuously on the LCD. c) After the inflation process remain in a quiet and relaxed sitting position.the measurement now proceeds on its own. If no measurement takes place and all that appears in the display is a flashing, upwards pointing arrow, see below under «Inflate further». When the instrument detects a pulse, a heart symbol in the display starts to flash. d) A longer beep is sounded when the measurement has been completed. The systolic, and diastolic blood pressures and pulse rate now appear in the display. At the same time, the cuff pressure will be automatically released by the quick release valve of the device. 6

10 5.5.Inflating further If the cuff is not inflated sufficiently, the measurement is broken off after a few seconds and a flashing arrow pointing upwards appears in the display. It is then necessary to inflate further to at least 20 mmhg higher than the previous value. The instruction to inflate further can appear several times if the pressure is still not sufficient. Attention: If the cuff is inflated too far (over 300 mmhg), «HI» appears in the display and a warning signal is sounded. The cuff pressure must then be immediately released by pressing the «0/I» button. As soon as the cuff is inflated sufficiently and the measurement is proceeding, continue as described under points c-d. 5.6.Discontinuing a measurement If it is necessary to interrupt a blood pressure measurement for any reason (e.g. the patient feels unwell), the 0/I button can be pressed at any time. The device immediately lowers the cuff-pressure automatically. 5.7.Memory displaying the last measurement The measured results are stored in the instrument until a new measurement is carried out or the batteries are removed. You can call up the stored values at any time by pressing the O/I button for at least 3 seconds. MR 6. Error messages/malfunctions If an error occurs during a measurement, the measurement is discontinued and a corresponding error code is displayed. (Example Error no. 1) Error No. Possible cause(s) ERR 1 The systolic pressure was determined but afterwards the cuff pressure fell below 20 mmhg. This situation can occur, for example, if the tube becomes unplugged after the systolic blood pressure has been measured. Further possible cause: No pulse has been detected. ERR 2 Unnatural pressure impulses influence the measurement result. Reason: The arm was moved during the measurement (Artefact). ERR 5 The measured results have indicated an unacceptable difference between the systolic and diastolic pressure. Take another measurement, carefully following the instructions. Contact your doctor, if you still obtain unusual results. HI The pressure in the cuff is too high (over 300 mmhg) OR the pulse is too high (over 200 beats per minute). Relax for 5 minutes and repeat the measurement.* LO The pulse is too low (less than 40 beats per minute). Repeat the measurement.* * Please consult your doctor, if this or any other problem occurs repeatedly. 7

11 Other possible malfunctions and their elimination If problems occur when using the device, the following points should be checked and if necessary, the corresponding measures are to be taken: Malfunction The display remains empty when the instrument is switched on although the batteries are in place. The pressure does not rise although the pump is running. The device frequently fails to measure the blood pressure values, or the values measured are too low (too high). Every measurement results in different values although the device functions normally and the values displayed. The blood pressure values measured differ from those measured by the doctor. Remedy 1. Check whether the batteries are installed with the correct polarity and correct if necessary. 2. If the display is unusual, re-insert batteries or exchange them. Check the connection of the cuff tube and connect properly if necessary. 1. Fit the cuff correctly on the arm. 2. Before starting the measurement make sure that the cuff is not fitted too tightly and that there is no rolled-up sleeve exerting pressure on the arm above the measuring position. Take off articles of clothing if necessary. 3. Measure the blood pressure again in complete peace and quiet. Please read the following information and the points listed under «Common sources of error». Repeat the measurement. Record the daily development of the values and consult your doctor about them. Further information The level of blood pressure is subject to fluctuations even with healthy people. Important thereby is, that comparable measurements always require the same conditions (rest conditions)! You must consult your specialist dealer or chemist if there are technical problems with the blood pressure instrument. Never attempt to repair the instrument yourself! Any unauthorised opening of the instrument invalidates all guarantee claims! 7. Care and maintenance, recalibration a) Do not expose the device to either extreme temperatures, humidity, dust or direct sunlight. b) The cuff contains a sensitive air-tight bubble. Handle this carefully and avoid all types of straining through twisting or buckling. c) Clean the device with a soft, dry cloth. Do not use petrol, thinners or similar solvent. Spots on the cuff can be removed carefully with a damp cloth and soapsuds. The cuff must not be washed! Gasoline d) Handle the tube carefully. Do not pull on it. Likewise, this is not to be buckled or laid over sharp edges. 8

12 e) Do not drop the instrument or treat it roughly in any way. Avoid strong vibrations. f) Never open the device! Otherwise the manufacturer calibration becomes invalid! Periodical recalibration Sensitive measuring devices must be checked for accuracy from time to time. We therefore recommend a periodical inspection of the static pressure display every 2 years. Your specialist dealer would be pleased to provide more extensive information about this. 8. Guarantee This instrument is covered by a 3 year guarantee from the date of purchase. The guarantee is valid only on presentation of the guarantee card completed by the dealer confirming date of purchase or the receipt. Batteries, cuff and wearing parts are not included. Opening or altering the instrument invalidates the guarantee. The guarantee does not cover damage caused by improper handling, discharged batteries, accidents or non-compliance with the operating instructions. Name and company address of the responsible dealer: 9. Technical specifications Weight: 310 g (with batteries) Size: 68 (W) x 186 (L) x 48.5 (H) mm Storage temperature: -20 C to +55 C; % relative maximum humidity Operation temperature: 10 to 40 C; % relative maximum humidity Display: LCD-Display (Liquid Crystal Display) Measuring method: oscillometric Pressure sensor: capacitive Measuring range: SYS/DIA: 20 to 280 mmhg Pulse: 40 to 200 per minute Memory: Storing the last measurements automatically Measuring resolution: 1 mmhg Accuracy: Pressure: within ± 3 mmhg Pulse: ± 5% of the reading Power source: 2 x 1.5 V Batteries; size AAA Cuffs: cuff type M for arm circumference cm or cuff type L for arm circumference cm (optional) Reference to standards: EN /-3/-4; IEC ; IEC (EMC) This device complies with the requirements of the Medical Device Directive 93/42/EEC. Technical alterations reserved Detailed user information about our products and services can be found at 9

13 Полуавтоматический прибор для измерения артериального давления и частоты пульса ÛÍÓ Ó ÒÚ Ó ÔÓ ÔÓÎ ÁÓ ÌË Важные указания по безопасности 10 Класс защиты BF. Батареи и электронные приборы следует утилизировать в соответствии с принятыми нормами и не выбрасывать вместе с бытовыми отходами. Позаботьтесь о том, чтобы дети не могли использовать прибор без присмотра, поскольку некоторые его мелкие части могут быть проглочены.

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15 1.  ÂÌË 1.1. ŒÒÓ ÂÌÌÓÒÚË ÓÏÔ ÍÚÌ È ÔÓÎÛ ÚÓÏ ÚË ÂÒÍËÈ ÎÂÍÚappleÓÌÌ È ÔappleË Óapple Ò Ï ÌÊÂÚÓÈ Ì ÔΠÓ, ÒÚappleÓ Ë ÚÓ ÌÓ ÓÔapple ÂΡ ËÈ appleúâappleë Î ÌÓ ÎÂÌËÂ Ë ÔÛÎ Ò. ÌÌÓÈ ÏÓ ÂÎË ËÒÔÓÎ ÁÛÂÚÒˇ ÓÒˆËÎÎÓÏÂÚappleË ÂÒÍËÈ ÏÂÚÓ ËÁÏÂappleÂÌˡ. œappleë Óapple Û Ó ÌÓ ÂappleÊ Ú appleûíâ, ÚÓ Ó Î ÂÚ ÔÓÎ ÁÓ ÌË ËÏ Ë Ò ËÚ ÌË appleâáûî Ú ÚÓ. œóê ÎÛÈÒÚ, ÌËÏ ÚÂÎ ÌÓ ÔappleÓ ÚËÚ ÚÓ appleûíó Ó ÒÚ Ó Ë ÒÓıapple ÌËÚ  Ó. ÒÎË Û Ò ËÏ ÚÒˇ ÓÔÓÎÌËÚÂÎ Ì Â ÓÔappleÓÒ Ó appleúâappleë Î ÌÓÏ ÎÂÌËË Ë Â Ó ËÁÏÂappleÂÌËË, ÔappleÓÍÓÌÒÛÎ ÚËappleÛÈÚÂÒ Û Â Ó apple.»ìùóappleï ˆËˇ ÔÓ ÂÁÓÔ ÒÌÓÒÚË! 1.2. ÊÌ Â ÛÍ Á Ìˡ ÔÓ Ò ÏÓÒÚÓˇÚÂÎ ÌÓÏÛ ËÁÏÂappleÂÌË ÍappleÓ ˇÌÓ Ó ÎÂÌˡ œóïìëúâ Ó ÒÎÂ Û ÂÏ: Ò ÏÓÒÚÓˇÚÂÎ Ì Â ËÁÏÂappleÂÌˡ ÔÓÎÌˇ ÚÒˇ Ρ ÍÓÌÚappleÓΡ, Ì Ρ ÔÓÒÚ ÌÓ ÍË Ë ÌÓÁ ËÎË Î ÂÌˡ. Œ apple ËÂ Ì Ò ˇ ÌËÏ ÌË ÁÌ ÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ Ó ˇÁ ÚÂÎ ÌÓ ÓÎÊÌ Ú Ó ÒÛÊ ÂÌ Ò apple ÓÏ. ÕË ÍÓÂÏ ÒÎÛ Â Ì ËÁÏÂÌˇÈÚÂ Ò ÏÓÒÚÓˇÚÂÎ ÌÓ ÔappleÓÔËÒ ÌÌ Â ËÏ apple ÓÏ ÎÂÍ appleòú ËÎË Ëı ÓÁËappleÓ ÍÛ.»Ì ËÍ ÚÓapple ÔÛÎ Ò Ì ÔappleÂ Ì ÁÌ ÂÌ Îˇ ÍÓÌÚappleÓΡ ÒÚÓÚ ÒÂapple  ÌÓ Ó appleëúï! ÒÎÛ Â apple ÒÒÚappleÓÈÒÚ ÒÂapple  ÌÓ Ó appleëúï ( appleëúïëë) ÓÁÏÓÊÌÓÒÚ ËÁÏÂappleÂÌˡ ÎÂÌˡ ÚËÏ ÔappleË ÓappleÓÏ ÓÎÊÌ Ú Ó ÒÛÊ ÂÌ Ò apple ÓÏ. ÎÂÍÚappleÓÏ ÌËÚÌ Â ÔÓÏÂıË: ÔappleË Óapple ËÏ ÚÒˇ Û ÒÚ ËÚÂÎ Ì Â ÎÂÍÚappleÓÌÌ Â ÛÒÚappleÓÈÒÚ (ÏËÍappleÓÍÓÏÔ ÚÂapple).»Á  ÈÚ ÒËÎ Ì ı ÎÂÍÚappleË ÂÒÍËı ËÎË ÎÂÍÚappleÓÏ ÌËÚÌ ı ÔÓÎÂÈ ÌÂÔÓÒapple ÒÚ ÂÌÌÓÈ ÎËÁÓÒÚË ÓÚ ÔappleË Óapple (Ì ÔappleËÏÂapple, ÏÓ ËÎ Ì ı ÚÂÎÂÙÓÌÓ, ÏËÍappleÓ ÓÎÌÓ ÓÈ Ô Ë), Ú Í Í Í ÚË ÔÓΡ ÏÓ ÛÚ ÔappleË ÂÒÚË Í appleâïâììóïû ÛıÛ ÂÌË ÚÓ ÌÓÒÚË ËÁÏÂappleÂÌˡ. 2. ÊÌ ˇ ËÌÙÓappleÏ ˆËˇ Ó ÍappleÓ ˇÌÓÏ ÎÂÌËË Ë Â Ó ËÁÏÂappleÂÌËË 2.1. K Í ÓÁÌËÍ ÂÚ ÔÓ ÂÌÌÓ ËÎË ÔÓÌËÊÂÌÌÓ ÎÂÌËÂ? appleó ÂÌ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÓÔapple ÂΡÂÚÒˇ ÓÒÓ ÓÏ Û ÒÚÍ ÏÓÁ, Ú Í Ì Á ÂÏÓÏ ˆÂÌÚapple ÍappleÓ ÓÓ apple ÂÌˡ, Ë appleâ ÛÎËappleÛÂÚÒˇ ËÏ Á ËÒËÏÓÒÚË ÓÚ ÒËÚÛ ˆËË ÔÛÚÂÏ ÔÓÒ ÎÍË ÓÚ ÂÚÌ ı ÒË Ì ÎÓ ÔÓ ÌÂapple Ì Ï ÔÛÚˇÏ. ƒîˇ appleâ ÛÎËappleÓ ÍË ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ËÁÏÂÌˇÂÚÒˇ ÒËÎ Ë ÒÚÓÚ ÒÂapple ˆÂ ËÂÌˡ (ÔÛÎ Ò), Ú ÍÊ ËappleËÌ ÍappleÓ ˇÌ ı ÒÓÒÛ Ó ( ËappleËÌ ÒÓÒÛ Ó ËÁÏÂÌˇÂÚÒˇ Ï ÎÂÌ ÍËÏË Ï ˆ ÏË ÒÚÂÌÍ ı ÒÓÒÛ Ó ). appleó ÂÌ appleúâappleë Î ÌÓ Ó ÎÂÌˡ ÔÂappleËÓ Ë ÂÒÍË ËÁÏÂÌˇÂÚÒˇ ÔappleÓˆÂÒÒ ÒÂapple  ÌÓÈ ÂˇÚÂÎ ÌÓÒÚË: Ó appleâïˇ " appleóò ÍappleÓ Ë" (ÒËÒÚÓÎ ) ÁÌ ÂÌË ÎÂÌˡ Ï ÍÒËÏ Î ÌÓ (ÒËÒÚÓÎË ÂÒÍÓ ÁÌ ÂÌË ÎÂÌˡ), ÍÓ̈ ٠Á ÔÓÍÓˇ ( Ë ÒÚÓÎ ) - ÏËÌËÏ Î ÌÓ ( Ë ÒÚÓÎË ÂÒÍÓ ÁÌ ÂÌË ÎÂÌˡ). Ì ÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÓÎÊÌ Ì ıó ËÚÒˇ ÓÔapple ÂÎÂÌÌÓÏ ÌÓappleÏ Î ÌÓÏ Ë Ô ÁÓÌÂ, ÚÓ ÌÂÓ ıó ËÏÓ Îˇ Ôapple ÓÚ apple ÂÌˡ ÌÂÍÓÚÓapple ı Á ÓΠÌËÈ K ÍÓ ÎÂÌË ˇ ΡÂÚÒˇ ÌÓappleÏ Î Ì Ï? KappleÓ ˇÌÓ ÎÂÌËÂ Ò ËÚ ÂÚÒˇ ÒÎË ÍÓÏ ÒÓÍËÏ, ÂÒÎË ÒÓÒÚÓˇÌËË ÔÓÍÓˇ Ë ÒÚÓÎË ÂÒÍÓ ÎÂÌË ÒÓÒÚ ÎˇÂÚ ÓΠ90 ÏÏ appleúûúìó Ó ÒÚÓÎ Ë/ËÎË ÒËÒÚÓÎË ÂÒÍÓ ÎÂÌË ÒÓÒÚ ÎˇÂÚ ÓΠ140 ÏÏ appleúûúìó Ó ÒÚÓÎ. ÚÓÏ ÒÎÛ Â appleâíóïâì ÛÂÏ ÌÂÁ Ï ÎËÚÂÎ ÌÓ Ó apple ÚËÚ Òˇ Í apple Û. ƒîëúâî ÌÓ ÒÓıapple ÌÂÌË ÎÂÌˡ Ì Ú ÍÓÏ ÛappleÓ Ì Ôapple ÒÚ ÎˇÂÚ ÓÔ ÒÌÓÒÚ Îˇ Â Ó Á ÓappleÓ ˇ, Ú Í Í Í ÓÌÓ Á ÂÚ ÔappleÓ appleâòòëappleû  ÔÓ appleâê ÂÌË ÍappleÓ ˇÌ ı ÒÓÒÛ Ó ÂÏ Óapple ÌËÁÏÂ. 12

16 K apple Û Ú ÍÊ ÒΠÛÂÚ Ó apple ÚËÚ Òˇ Ë ÔappleË ÒÎË ÍÓÏ ÌËÁÍÓÏ ÍappleÓ ˇÌÓÏ ÎÂÌËË, ËÏÂÌÌÓ ÔappleË ÒËÒÚÓÎË ÂÒÍÓÏ ÎÂÌËË ÏÂÌ 110 ÏÏ appleú. ÒÚ. Ë/ËÎË Ë ÒÚÓÎË ÂÒÍÓÏ ÎÂÌËË ÏÂÌ 60 ÏÏ appleú. ÒÚ. ÒÎË ËÁÏÂappleÂÌÌ Â ÁÌ ÂÌˡ ÎÂÌˡ Ì ıó ˇÚÒˇ ÌÓappleÏÂ, appleâíóïâì ÛÂÏ Ò ÔÓÏÓ Â Ó ÔappleË Óapple appleâ ÛΡappleÌÓ ÍÓÌÚappleÓÎËappleÓ Ú Ò Ó ÍappleÓ ˇÌÓ ÎÂÌËÂ, ÚÓ Ò Ó appleâïâììó apple ÒÔÓÁÌ Ú ÓÁÏÓÊÌ Â ÓÚÍÎÓÌÂÌˡ ÎÂÌˡ Ë Ôapple ÔappleËÌˇÚ ÌÂÓ ıó ËÏ Â ÂÈÒÚ Ëˇ. ÒÎË ÔappleÓıÓ ËÚ ÍÛappleÒ Î ÂÌˡ ÔÓ appleâ ÛÎËappleÓ ÌË ÍappleÓ ˇÌÓ Ó ÎÂÌˡ, appleâ ÛΡappleÌÓ ÔÓÎÌˇÈÚ ËÁÏÂappleÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÓÔapple ÂÎÂÌÌ Â Ò Ë Á ÔËÒ ÈÚ Ëı ÊÛappleÌ Î. ÔÓÒΠÒÚ ËË ÔÓÍ ÊËÚ ÚË Á ÔËÒË ÂÏÛ apple Û. ÕË ÍÓÂÏ ÒÎÛ Â Ì ËÁÏÂÌˇÈÚÂ Ò ÏÓÒÚÓˇÚÂÎ ÌÓ Ì ÓÒÌÓ Â appleâáûî Ú ÚÓ ËÁÏÂappleÂÌˡ ÎÂÌˡ ÔappleÓÔËÒ ÌÌ Â ËÏ apple ÓÏ Ï ËÍ ÏÂÌÚ ËÎË Ëı ÓÁËappleÓ ÍÛ. í Îˈ ÁÌ ÂÌËÈ appleúâappleë Î ÌÓ Ó ÎÂÌËfl (  ËÌˈ ı mmhg) ÒÓ Î ÒÌÓ ÍÎ ÒÒËÙËÍ ˆËË ÇÒÂÏËappleÌÓÈ éapple ÌËÁ ˆËË 3 apple ÓÓıapple ÌÂÌËfl ƒë Ô ÁÓÌ ËÒÚÓÎË ÂÒÍÓ ƒë ÒÚÓÎË ÂÒÍÓ ÃÂapple ÍappleÓ ˇÌÓ ÎÂÌË ÍappleÓ ˇÌÓ ÎÂÌË ËÔÓÚÓÌˡ ÌËÊ 100 ÌËÊ 60 ÍÓÌÒÛÎ Ú ˆËfl apple çóappleï Î ÌÓ ÎÂÌË ÏÂÊ Û 100 Ë 140 ÏÂÊ Û 60 Ë 90 Ò ÏÓÒÚÓflÚÂÎ Ì È ÍÓÌÚappleÓÎ ÏÂappleÂÌÌ ˇ ËÔÂappleÚÓÌˡ ÏÂÊ Û 140 Ë 160 ÏÂÊ Û 90 Ë 100 ÍÓÌÒÛÎ Ú ˆËˇ Û apple ËÔÂappleÚÓÌˡ Òapple ÌÂÈ ÚˇÊÂÒÚË ÏÂÊ Û 160 Ë 180 ÏÂÊ Û 100 Ë 110 ÍÓÌÒÛÎ Ú ˆËˇ Û apple íflêâî fl ËÔÂappleÚÓÌËfl ÓΠ180 ÓΠ110 ÍÓÌÒÛÎ Ú ˆËfl apple øappleó Ë ÛÍ Á Ìˡ: ÒÎË ËÁÏÂappleÂÌÌ Â ÒÓÒÚÓˇÌËË ÔÓÍÓˇ ÁÌ ÂÌˡ ÎÂÌˡ Ì ˇ Ρ ÚÒˇ ÌÂÓ Ì ÏË, Ó Ì ÍÓ ÒÓÒÚÓˇÌËË ÙËÁË ÂÒÍÓ Ó ËÎË Û Â ÌÓ Ó ÛÚÓÏÎÂÌˡ Ì Î ÂÚ appleâáïâappleìó ÔÓ ÂÌÌ Â ÁÌ ÂÌˡ, ÚÓ ÚÓ ÏÓÊÂÚ ÛÍ Á Ú Ì Ì ÎË ËÂ Ú Í Ì Á ÂÏÓÈ Î ËÎ ÌÓÈ (Ú. Â. ÌÂÛÒÚÓÈ Ë ÓÈ) ËÔÂappleÚÓÌËË. ÒÎË Û Ò ËÏ ÚÒˇ ÔÓ ÓÁappleÂÌˡ Ì ÚÓ ˇ ÎÂÌËÂ, appleâíóïâì ÛÂÏ Ó apple ÚËÚ Òˇ Í apple Û. ÒÎË ÔappleË Ôapple ËÎ ÌÓÏ ËÁÏÂappleÂÌËË ÍappleÓ ˇÌÓ Ó ÎÂÌˡ Ë ÒÚÓÎË ÂÒÍÓ (ÏËÌËÏ Î ÌÓÂ) ÍappleÓ ˇÌÓ ÎÂÌË ÒÓÒÚ ÎˇÂÚ ÓΠ120 ÏÏ appleú. ÒÚ., ÌÂÓ ıó ËÏÓ ÌÂÁ Ï ÎËÚÂÎ ÌÓ Á Ú apple ÚÓ ÂÎ Ú, ÂÒÎË appleâ ÛΡappleÌÓ ÓÔapple ÂΡÂÚÒˇ ÔÓ ÂÌÌÓ ËÎË ÔÓÌËÊÂÌÌÓ ÍappleÓ ˇÌÓ ÎÂÌËÂ? ) Œ apple ÚËÚÂÒ Í apple Û. ) œó ÂÌÌ Â ÁÌ ÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ (apple ÁÎË Ì Â ÙÓappleÏ ËÔÂappleÚÓÌËË), Ì Î ÂÏ Â Ú ÂÌË ÎËÚÂÎ ÌÓ Ó ÔÂappleËÓ ËÎË ÔÂappleËÓ Òapple ÌÂÈ ÎËÚÂÎ ÌÓÒÚË, Ò ˇÁ Ì Ò ÒÛ ÂÒÚ ÂÌÌ ÏË ÓÔ ÒÌÓÒÚˇÏË Îˇ Á ÓappleÓ ˇ. œó ÂÌÌÓ ÎÂÌË ÓÍ Á ÂÚ ÎˡÌËÂ Ì ÒÚÂÌÍË ÍappleÓ ˇÌ ı ÒÓÒÛ Ó, ÍÓÚÓapple  ÔÓ Âapple ÚÒˇ ÓÔ ÒÌÓÒÚË ÔÓ appleâê ÂÌˡ appleâáûî Ú Ú ÓÚÎÓÊÂÌËÈ ÒÚÂÌÍ ı ÒÓÒÛ Ó ( ÚÂappleÓÒÍÎÂappleÓÁ). appleâáûî Ú ÚÂ Û ÂÚ ÔappleÓËÒıÓ ËÚ Ì ÓÒÚ ÚÓ ÌÓ ÍappleÓ ÓÒÌ ÊÂÌË ÊÌ ı Óapple ÌÓ (ÒÂapple ˆ, ÏÓÁ, Ï ˆ). KappleÓÏ ÚÓ Ó, ÔappleË ÎËÚÂÎ ÌÓ ÒÓıapple Ìˇ ÂÏÒˇ ÔÓ ÂÌÌÓÏ ÎÂÌËË ÓÁÌËÍ Ú ÒÚappleÛÍÚÛappleÌ Â ÔÓ appleâê ÂÌˡ ÒÂapple ˆ. ) ƒîˇ ÓÁÌËÍÌÓ ÂÌˡ ÔÓ ÂÌÌÓ Ó ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ËÏÂÂÚÒˇ ÏÌÓÊÂÒÚ Ó ÔappleË ËÌ. œappleë ÚÓÏ apple ÁÎË Ú ÒÚÓ ÒÚappleÂ Û Òˇ ÔÂapple Ë ÌÛ ( ÒÒÂÌˆË Î ÌÛ ) ËÔÂappleÚÓÌË Ë ÚÓappleË ÌÛ ËÔÂappleÚÓÌË. œóòîâ Ìˇˇ Á ÂÚÒˇ ÌÂÔapple ËÎ Ì Ï ÙÛÌ͈ËÓÌËappleÓ ÌËÂÏ ÓÔapple ÂÎÂÌÌ ı Óapple ÌÓ. ÓÚÌÓ ÂÌËË ÓÁÏÓÊÌ ı ÔappleË ËÌ ÔÓ ÂÌÌÓ Ó ÎÂÌˡ ÔappleÓÍÓÌÒÛÎ ÚËappleÛÈÚÂÒ Û Â Ó apple. ) ÒÎË appleâáûî Ú Ú apple  ÌÓ Ó ÍÓÌÚappleÓΡ ÎÓ ÛÒÚ ÌÓ ÎÂÌÓ ÔÓ ÂÌÌÓ ÍappleÓ ˇÌÓ ÎÂÌËÂ, Ú ÍÊ Ρ ÔappleÓÙËÎ ÍÚËÍË (Ôapple ÓÚ apple ÂÌˡ) ÔÓ ÂÌÌÓ Ó ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÏÓÊÂÚ Ôapple ÔappleËÌˇÚ ÌÂÍÓÚÓapple  ÏÂapple, ÍÓÚÓapple  ÓÍ Á Ú Î ÓÔappleˡÚÌÓ ÓÁ ÂÈÒÚ ËÂ Ì ÛappleÓ ÂÌ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ. ÚË ÏÂapple Í Ò ÚÒˇ Â Ó Ó Â Ó Ó apple Á ÊËÁÌË: 13

17 A) œappleë ÍË ÓÚÌÓ ÂÌËË ÔËÚ Ìˡ ÚappleÂÏËÚÂÒ ÔÓ ÂappleÊË Ú ÌÓappleÏ Î Ì È ÂÒ, ÒÓÓÚ ÂÚÒÚ Û ËÈ ÂÏÛ ÓÁapple ÒÚÛ. ÌËÊ ÈÚ ËÁ ÚÓ Ì È ÂÒ!»Á  ÈÚ appleâáïâappleìó Ó ÔÓÚapple ÎÂÌˡ ÔÓ appleâììóè ÒÓÎË.»Á  ÈÚ ÔÓÚapple ÎÂÌˡ ÊËappleÌ ı ÔappleÓ ÛÍÚÓ. ) œappleâêìëâ Á ÓΠÌˡ œóòîâ Ó ÚÂÎ ÌÓ, ÒÓÓÚ ÂÚÒÚ ËË Ò Ôapple ÔËÒ ÌˡÏË apple, ÔÓÎÌˇÈڠΠÂÌË ËÏ ËıÒˇ Á ÓΠÌËÈ, Ì ÔappleËÏÂapple, Ò ı appleìó Ó Ë ÂÚ (Diabetes mellitus) Ì appleû ÂÌËÈ ÊËappleÓ Ó Ó Ó ÏÂÌ ÔÓ apple ) KÛappleÂÌËÂ, ÎÍÓ ÓÎ Ë ÍÓÙÂËÌ œóîìóòú ÓÚÍ ÊËÚÂÒ ÓÚ ÍÛappleÂÌˡ ÔÓÚapple ΡÈÚ ÎÍÓ ÓÎ ÚÓÎ ÍÓ ÛÏÂappleÂÌÌ ı ÍÓÎË ÂÒÚ ı Œ apple ÌË Ú ÔÓÚapple ÎÂÌË ÍÓÙÂËÌ (ÍÓÙÂ) ) ËÁË ÂÒÍÓ ÒÓÒÚÓˇÌË Óapple ÌËÁÏ : œappleâ appleëúâî ÌÓ ÔappleÓÈ ˇ apple  ÌÓÂ Ó ÒÎÂ Ó ÌËÂ, appleâ ÛΡappleÌÓ Á ÌËÏ ÈÚÂÒ ÒÔÓappleÚÓÏ. ŒÚ ÈÚ Ôapple ÔÓ ÚÂÌËÂ Ì appleûáí Ï Ì ÌÓÒÎË ÓÒÚ, Ì ÒËÎÓ Ï Ë Ï ÒÔÓappleÚ. ÕÂ Ì appleûê ÈÚ Ò ˇ Ó ÔÓÎÌÓ Ó ËÁÌÂÏÓÊÂÌˡ. ÒÎË Û Ò ËÏ ÚÒˇ Á ÓΠÌˡ Ë/ËÎË ÂÒÎË ÓÁapple ÒÚ ÓΠ40 ÎÂÚ, ÔÂappleÂ Ì ÎÓÏ Á ÌˇÚËÈ ÒÔÓappleÚÓÏ Ó apple ÚËÚÂÒ Í apple Û. ŒÌ ÒÚ Ï ÒÓ ÂÚ ÓÚÌÓÒËÚÂÎ ÌÓ ÓÁÏÓÊÌÓ Ó Ë ÒÔÓappleÚ Ë ËÌÚÂÌÒË ÌÓÒÚË Á ÌˇÚËÈ. 3. ÓÒÚ Ì Â ÒÚË ÔappleË Óapple Ρ ËÁÏÂappleÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÕËÊ ËÁÓ apple ÊÂÌ ÔappleË Óapple Ρ ËÁÏÂappleÂÌˡ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ÒÓÒÚÓfl ËÈ ËÁ ÒÎÂ Û Ëı ÒÚÂÈ: ) KÓappleÔÛÒ ÔappleË Óapple ΔË ÍÓÍpËÒÚ ÎÎË ÂÒÍËÈ ËÒÔÎÂÈ ÍÌÓÔÍ «À/ À (O/I) + ø Ã Ω» ÂÁËÌÓ ˇ appleû ÛÍÓˇÚÍ ) à ÌÊÂÚ ËÔ «Ãª Ρ appleûíë Ò Ó ı ÚÓÏ ÒÏ ËÎË ËÔ «Lª Ρ appleûíë Ò Ó ı ÚÓÏ ÒÏ (ÏÓÊÌÓ ÔappleËÓ appleâòúë ÔÓ ÒÔÂˆË Î ÌÓÏÛ Á Í ÁÛ) 14

18 4. Ó ÔappleË Óapple ÍÒÔÎÛ Ú ˆË 4.1. ìòú ÌÓ Í Ú appleââí œóòîâ apple ÒÔ ÍÓ ÍË ÔappleË Óapple ÔappleÂÊ Â ÒÂ Ó ÒÚ ÚÂ Ú appleâèíë. Ú appleâèì È ÓÚÒÂÍ Ì ıó ËÚÒˇ Ì Ó apple ÚÌÓÈ ÒÚÓappleÓÌ ÔappleË Óapple (ÒÏÓÚappleË appleëòûìóí). ) ÌËÏËÚ Íapple ÍÛ Ì Ôapple ÎÂÌËË, ÔÓÍ Á ÌÌÓÏ Ì appleëòûìíâ. ) ÒÚ ÚÂ Ú appleâèíë (2 Ú., apple ÁÏÂapple AAA, 1,5 ), ÒÓ Î ˇ ÛÍ Á ÌÌÛ ÔÓΡappleÌÓÒÚ ) ÒÎË Ì ËÌ ËÍ ÚÓapple ÓappleËÚ ÒË Ì Î Ú appleâèíë, ÚÓ ÚÓ ÓÁÌ ÂÚ, ÚÓ Ú appleâèíë ËÁapple ÒıÓ Ó Ì, Ë Ëı ÒΠÛÂÚ Á ÏÂÌËÚ. ÌËÏ ÌËÂ! ÒÎË Ì ËÌ ËÍ ÚÓapple ÔÓˇ ËÎÒˇ ÒË Ì Î Ú appleâèíë, ÔappleË Óapple ÔappleÂÍapple ÂÚ ÔÓÎÌˇÚ ËÁÏÂappleÂÌˡ Ó ÚÂı ÔÓapple, ÔÓÍ Ú appleâèíë ÌÂ Û ÛÚ Á ÏÂÌÂÌ. ÂÍÓÏÂÌ ÛÂÏ ËÒÔÓÎ ÁÓ Ú Ú appleâèíë ÚËÔ AAA Ò ÎËÚÂÎ Ì Ï ÒappleÓÍÓÏ ÒÎÛÊ ËÎË ÂÎÓ Ì Â Ú appleâèíë 1,5. Õ appleâíóïâì ÛÂÚÒˇ ËÒÔÓÎ ÁÓ Ú ÍÍÛÏÛΡÚÓapple 1,2. ÒÎË ÔappleË Óapple Ρ ËÁÏÂappleÂÌˡ ÎÂÌˡ Ú ÂÌË ÎËÚÂÎ ÌÓ Ó appleâïâìë ÌÂ Û ÂÚ ËÒÔÓÎ ÁÓ Ú Òˇ, Ì Ú ËÁ ÌÂ Ó Ú appleâèíë. œappleó ÂappleÍ ÙÛÌ͈ËÓÌËappleÓ Ìˡ: ƒîˇ ÔappleÓ ÂappleÍË ÒÂı ÎÂÏÂÌÚÓ ËÌ ËÍ ˆËË Ì ÊÏËÚ ÍÌÓÔÍÛ KÀ/ KÀ (O/I) Ë Û ÂappleÊË ÈÚ ÂÂ Ì Ê ÚÓÈ. ÒÎË ÔappleË Óapple ÙÛÌ͈ËÓÌËappleÛÂÚ ÌÓappleÏ Î ÌÓ, ÓÎÊÌ Á ÓappleÂÚ Òˇ Ò ÎÂÏÂÌÚ ËÌ ËÍ ˆËË œó ÍÎ ÂÌËÂ Ï ÌÊÂÚ ëóâ ËÌËÚÂ Î Ì ÓÏ Ï ÌÊÂÚÛ Ë ÔappleË Óapple, Í Í ÔÓÍ Á ÌÓ Ì appleëòûìíâ. 5. ÔÓÎÌÂÌË ËÁÏÂappleÂÌˡ 5.1. œâappleâ ËÁÏÂappleÂÌËÂÏ: ÕÂÔÓÒapple ÒÚ ÂÌÌÓ ÔÂapple ËÁÏÂappleÂÌËÂÏ ÍappleÓ ˇÌÓ Ó ÎÂÌˡ ËÁ  ÈÚ ÔappleËÂÏ ÔË Ë, ÍÛappleÂÌˡ Ë Ò ÓÁÏÓÊÌ ı ÔappleÓ Ëı ÛÒËÎËÈ. Ò ÚË Ù ÍÚÓapple Îˡ Ú Ì appleâáûî Ú Ú ËÁÏÂappleÂÌËÈ. ÀÛ Â ÒÂ Ó ÔÓÒË ËÚ ÍappleÂÒΠÔappleË ÎËÁËÚÂÎ ÌÓ 5 ÏËÌÛÚ ÒÔÓÍÓÈÌÓÈ Ó ÒÚ ÌÓ ÍÂ, ÚÓ ÒÌˇÚ ÌÛÚappleÂÌÌÂÂ Ì ÔappleflÊÂÌËÂ. ŒÒ Ó Ó ËÚ ÎÂ Û appleûíû ÓÚ Ó ÂÊ. Õ Á Í Ú ÈÚ appleûí, Ú.Í. ÓÌ Ò ËÚ Û appleûíû Ë ÚÓ ÔappleË Â ÂÚ Í ÌÂÚÓ ÌÓÒÚË ÔappleË ËÁÏÂappleÂÌËË.»ÁÏÂappleˇÈÚ ÎÂÌË ÒÂ Ì Ó ÌÓÈ Ë ÚÓÈ Ê appleûíâ (Ó ÌÓ Î ÓÈ). Ú apple ÈÚÂÒ ÔÓÎÌˇÚ ËÁÏÂappleÂÌˡ appleâ ÛΡappleÌÓ Ó ÌÓ Ë ÚÓ Ê appleâïˇ ÒÛÚÓÍ, Ú Í Í Í ÍappleÓ ˇÌÓ ÎÂÌË ËÁÏÂÌˇÂÚÒˇ Ú ÂÌËË Ìfl ÒÚÓ ÒÓ Âapple ÂÏ Â Ó Ë ÍË: ÇÌËÏ ÌËÂ: ÚÓ ÏÓÊÌÓ ÎÓ Òapple ÌË Ú appleâáûî Ú Ú ËÁÏÂappleÂÌËÈ, ËÁÏÂappleÂÌˡ Ò ÓÎÊÌ ÔappleÓ- Ó ËÚ Òˇ Ó ËÌ ÍÓ ı ÛÒÎÓ Ëˇı! K Í Ôapple ËÎÓ, ËÁÏÂappleÂÌˡ ÎÂÌˡ ÔappleÓËÁ Ó ˇÚÒˇ ÒÓÒÚÓˇÌËË ÔÓÍÓˇ. 15

19 K Ê ÓÂ Ì ÔappleˇÊÂÌËÂ Ô ˆËÂÌÚ, Ì ÔappleËÏÂapple, ÛÔÓapple Ì appleûíû, ÏÓÊÂÚ ÔÓ ÒËÚ ÍappleÓ ˇÌÓ ÎÂÌËÂ. ÂÎËÚ ÌËÏ ÌË ÚÓÏÛ, ÚÓ ÚÂÎÓ ÎÓ ÔappleˡÚÌÓ apple ÒÒÎ ÎÂÌÓ, Ë ÌÂ Ì Ôappleˇ ÈÚÂ Ó appleâïˇ ËÁÏÂappleÂÌˡ ÏÛÒÍÛÎ Ì ËÁÏÂappleˇÂÏÓÈ appleûíâ.  ËÚÂÒ, ÚÓ ÚÓ Í ıó ÓÁ Û ÌÓÈ ÚappleÛ ÍË Ï ÌÊÂÚÛ apple ÒÔÓÎ ÂÚÒˇ Ì ÎÓÍÚ ÓÈ ˇÏÍÓÈ Ë Ì ıó ËÚÒˇ Ì ÛappleÓ Ì ÒÂapple ˆ. ÒÎË Ú ÚÓ Í Ì ıó ËÚÒˇ  ÛappleÓ Ìˇ ÒÂapple ˆ Ì 15 ÒÏ, ÔappleË Óapple ÔÓÍ ÊÂÚ ÁÌ ÂÌË ÂappleıÌÂ Ó ÎÂÌˡ ÔappleËÏÂappleÌÓ Ì 10 ÏÏ.appleÚ.ÒÚ. ÌËÊ ËÒÚËÌÌÓ Ó ÁÌ ÂÌˡ Â Ó ÎÂÌˡ Ë Ì Ó ÓappleÓÚ. Óapple Ôapple ËÎ ÌÓ Ó apple ÁÏÂapple Ï ÌÊÂÚ ˇ ΡÂÚÒˇ ÊÌ Ï ÛÒÎÓ ËÂÏ, ÍÓÚÓappleÓ ÏÓÊÂÚ ÔÓ ÎËˇÚ Ì ÚÓ ÌÓÒÚ ËÁÏÂappleÂÌˡ. ÁÏÂapple Ï ÌÊÂÚ Á ËÒËÚ ÓÚ Ó ÂÏ (apple ËÛÒ ) Â Ó ÔΠappleûíë, ËÁÏÂappleÂÌÌÓ Ó ˆÂÌÚappleÂ. œappleâ ÛÔappleÂÊ ÂÌËÂ:»ÒÔÓÎ ÁÛÈÚ ÚÓÎ ÍÓ ÍÎËÌË ÂÒÍË ÔappleÓ ËappleÓ ÌÌÛ ÓappleË ËÌ Î ÌÛ Ï ÌÊÂÚÛ! 5.3. Õ ÎÓÊÂÌËÂ Ï ÌÊÂÚ ) œappleó ÂÌ Ú appleûíû Ó apple ÁÓ ÂÂÒˇ ÍÓÎ ˆÓ Ú Í, ÚÓ ÓÁ Û Ì ˇ ÚappleÛ Í ıó ËÎ ÔÓ Ì Ôapple ÎÂÌË Í ÂÈ Î ÓÌË. 2 3 cm ) ÒÔÓÎÓÊËÚÂ Ï ÌÊÂÚÛ Ì appleûíâ Ú ÍËÏ Ó apple ÁÓÏ, ÚÓ Â Íapple È apple ÒÔÓÎ ÎÒˇ Ì apple ÒÒÚÓˇÌËË 2-3 ÒÏ Â ÎÓÍÚÂ Ó Ó Ò Ë appleûíë. трубка ) œîóúìó, ÌÓ Ì ÚÛ Ó Á ÚˇÌËÚÂ Ï ÌÊÂÚÛ, ÔÓÚˇÌÛ Á Ò Ó Ó Ì È ÍÓ̈. ) à ÌÊÂÚ ÓÎÊÌ ÔÎÓÚÌÓ Ó Úˇ Ë Ú appleûíû, ËÌ Â appleâáûî Ú Ú ËÁÏÂappleÂÌˡ Û ÂÚ ÌÂÔapple ËÎ Ì Ï. ÕÂÎ Áˇ Ì Â Ú Ï ÌÊÂÚÛ ÔÓ Âappleı Ó ÂÊ. ) œóîóêëúâ appleûíû Ì ÒÚÓÎ Ú Í, ÚÓ ÚÓ Í ıó ÓÁ Û ÌÓÈ ÚappleÛ ÍË Ï ÌÊÂÚÛ apple ÒÔÓÎ Î Ò Ì ÎÓÍÚ ÓÈ ˇÏÍÓÈ Ë Ì ıó ËÎ Ò Ì ÛappleÓ Ì ÒÂapple ˆ. ëîâ ËÚ Á ÚÂÏ, ÚÓ Î Ì Ì ÔÂappleÂÍappleÛ Ë ÎÒˇ. ÊÌÓ!»ÁÏÂappleÂÌˡ ÏÓÊÌÓ ÔappleÓ Ó ËÚ Ì ÚÓÎ ÍÓ Ì Î ÓÈ, ÌÓ Ë Ì Ôapple ÓÈ appleûíâ. Î ÓÏ ÒÎÛ Â Ò ËÁÏÂappleÂÌˡ ÌÂÓ ıó ËÏÓ ÔappleÓ Ó ËÚ Ì Ó ÌÓÈ appleûíâ œappleóˆâòò ËÁÏÂappleÂÌˡ œóòîâ ÚÓ Ó Í Í Ï ÌÊÂÚ Ôapple ËÎ ÌÓ apple ÁÏ ÂÌ, ÏÓÊÌÓ Ì Ú ËÁÏÂappleÂÌËÂ: ) Õ ÊÏËÚÂ Ì ÍÌÓÔÍÛ À/ À (Œ/I).  ËÚÂÒ, ÚÓ Î Ì ÔappleÓ ÌÓ ÔappleËÍappleÂÔÎÂÌ Í ÔappleË ÓappleÛ.» ÂÚ ÍÓÌÚappleÓÎ apple ÓÚÓÒÔÓÒÓ ÌÓÒÚË ÛÁÎÓ ÔappleË Óapple. Õ ÍÓappleÓÚÍÓ appleâïˇ Ì ËÒÔΠÔÓˇ ËÚÒˇ ÏË ËÈ ÒËÏ ÓÎ. œappleë Óapple Ì ÒÚapple Ë ÂÚÒˇ Ì ÌÛÎÂ Û ÚÓ ÍÛ ÓÚÒ ÂÚ. œóòîâ ÔÓˇ ÎÂÌˡ ˆËÙapple «0» Ë Á ÛÍÓ Ó Ó ÒË Ì Î Ë- Ë- ËÔ ÔappleË Óapple ÓÚÓ Í ËÁÏÂappleÂÌË. 16

20 ) ÓÁ ÏËÚ appleâáëìó Û appleû Û Ò Ó Ó ÌÛ appleûíû Ë Ì Í ÈÚÂ Ï ÌÊÂÚÛ Ó ÎÂÌˡ, ÔappleÂ Â Ó Ì 40 ÏÏ appleú.òú. ÂÎË ËÌÛ Â Ó ÓÊË ÂÏÓ Ó ÒËÒÚÓÎË ÂÒÍÓ Ó ÎÂÌˡ. ÒÎË Ì ÁÌ ÂÚÂ Ò Ó ÒËÒÚÓÎË ÂÒÍÓ ÎÂÌËÂ, Ì Í ÈÚÂ Ï ÌÊÂÚÛ Ó ÏÏ appleú.òú. ÂÎË ËÌ ÎÂÌˡ Ï ÌÊÂÚ ÔÓÒÚÓˇÌÌÓ ÓÚÓ apple Ê ÂÚÒˇ Ì ËÒÔÎÂÂ. ) œó ÓÒÚËÊÂÌËË ÌÂÓ ıó ËÏÓ Ó ÎÂÌˡ apple ÒÒÎ ÚÂÒ Ë ÒË ËÚ ÒÔÓÍÓÈÌÓ, ÌÂ Ë ˇÒ. œappleóˆâòò ËÁÏÂappleÂÌˡ Ì ÎÒˇ. ÒÎË ËÁÏÂappleÂÌË Ì ÔappleÓËÁ Ó ËÚÒˇ, Ì ËÒÔΠÔÓfl ËÎ Ò ÒÚappleÂÎÍ, ÛÍ Á fl Âappleı, ÂÈÒÚ ÛÈÚÂ Í Í ÛÍ Á ÌÓ ÔÛÌÍÚ 5.5. «ÑÓÔÓÎÌËÚÂÎ Ì fl Ì Í Í» (ÒÏ. ÌËÊÂ). œappleë Ó Ì appleûêâìëë ÔÛÎ Ò ÓÁÌËÍÌÂÚ Á ÛÍÓ ÓÈ ÒË Ì Î appleëúïâ ÒÂapple  ÌÓ Ó ÔÛÎ Ò. ) ƒîëìì È Á ÛÍÓ ÓÈ ÒË Ì Î ÓÁÌ ÂÚ Á Âapple ÂÌË ËÁÏÂappleÂÌˡ. Õ ËÒÔÎÂÂ Ò Â Ë ÚÒˇ ÁÌ ÂÌËfl ÒËÒÚÓÎË ÂÒÍÓ Ó Ë Ë ÒÚÓÎË ÂÒÍÓ Ó ÎÂÌËfl Ë ÔÛÎ Ò. ÇÓÁ Ûı ÚÓÏ ÚË ÂÒÍË ÔÓÍËÌÂÚ Ï ÌÊÂÚÛ Ò ÔÓÏÓ ÒÔÂˆË Î ÌÓ Ó ÍÎ Ô Ì ƒóôóîìëúâî Ì ˇ Ì Í Í ÒÎË ÎÂÌËÂ Ï ÌÊÂÚ ÓÍ Á ÎÓÒ Ì ÓÒÚ ÚÓ Ì Ï Îˇ ÔÓÎÌÂÌˡ ËÁÏÂappleÂÌˡ, Ì ËÒÔΠÓÚÓ apple Ê ÂÚÒˇ ÒËÏ ÓÎ. ÚÓÏ ÒÎÛ Â ÌÂÓ ıó ËÏÓ Ì Í Ú ÎÂÌËÂ Ï ÌÊÂÚÂ Ó ÓΠÒÓÍÓ Ó ÁÌ ÂÌˡ, ÏËÌËÏÛÏ Ì 20 ÏÏ appleú. ÒÚ. Â, ÂÏ ÔappleË ÔappleÂ Û ÂÏ ËÁÏÂappleÂÌËË. ÌËÏ ÌËÂ: ÒÎË ÎÂÌËÂ Ï ÌÊÂÚ ÔÓ ÌflÎÓÒ Â 300 ÏÏ appleú. ÒÚ. Ì ËÒÔΠÓÚÓ apple ÁËÚÒfl ÒËÏ ÓÎ «HI» Ë ÔappleÓÁ Û ËÚ ÒË Ì Î, ÚÓÏ ÒÎÛ Â ÌÂÓ ıó ËÏÓ ÌÂÏ ÎÂÌÌÓ Ì Ê Ú ÍÌÓÔÍÛ ÒÔÛÒÍ ÓÁ Ûı À/ À (O/I). ö Í ÚÓÎ ÍÓ Ï ÌÊÂÚ Ì Í Ì ÓÒÚ ÚÓ ÌÓ Ë ËÁÏÂappleÂÌË ÔappleÓËÒıÓ ËÚ, ÔappleÓ ÓÎÊ ÈÚÂ, Í Í ÓÔËÒ ÌÓ ÔÛÌÍÚ ı œappleâê  appleâïâììóâ ÔappleÂapple ÌË ËÁÏÂappleÂÌˡ ÒÎË ÔÓ Í ÍÓÈ-ÎË Ó ÔappleË ËÌ ÌÂÓ ıó ËÏÓ ÔappleÂapple Ú ËÁÏÂappleÂÌË (Ì ÔappleËÏÂapple, ËÁ-Á ÔÎÓıÓ Ó Ò ÏÓ Û ÒÚ Ëˇ Ô ˆËÂÌÚ ), Ì ÊÏËÚ ÍÌÓÔÍÛ ÒÔÛÒÍ ÓÁ Ûı À/ À (O/I). ƒ ÎÂÌËÂ Ï ÌÊÂÚ ÚÓÏ ÚË ÂÒÍË ÔÓÌËÁËÚÒfl. 5.7.»ÒÔÓÎ ÁÓ ÌË ÙÛÌ͈ËË Ô ÏˇÚË œappleë Óapple ÚÓÏ ÚË ÂÒÍË Á ÔÓÏËÌ ÂÚ appleâáûî Ú Ú ÔÓÒΠÌÂ Ó ËÁÏÂappleÂÌˡ. ÂÒÚË ÁÌ ÂÌË ÔÓÒΠÌÂ Ó ËÁÏÂappleÂÌˡ Ì ËÒÔÂÈ ÏÓÊÌÓ Ì Ê ÚËÂÏ Ë Û ÂappleÊË ÌËÂÏ Ú ÂÌË 3 ÒÂÍÛÌ ÍÌÓÔÍË À/ À (O/I). MR 17