{"id":304,"date":"2018-03-30T18:29:50","date_gmt":"2018-03-30T18:29:50","guid":{"rendered":"http:\/\/endocrinolo.gy\/?p=304"},"modified":"2021-06-08T07:04:03","modified_gmt":"2021-06-08T07:04:03","slug":"%e1%83%95%e1%83%98%e1%83%a2%e1%83%90%e1%83%9b%e1%83%98%e1%83%9c-d-%e1%83%93%e1%83%94%e1%83%a4%e1%83%98%e1%83%aa%e1%83%98%e1%83%a2%e1%83%98%e1%83%a1-%e1%83%99%e1%83%90%e1%83%95%e1%83%a8%e1%83%98","status":"publish","type":"post","link":"https:\/\/endocrinolo.gy\/en\/2018\/03\/30\/%e1%83%95%e1%83%98%e1%83%a2%e1%83%90%e1%83%9b%e1%83%98%e1%83%9c-d-%e1%83%93%e1%83%94%e1%83%a4%e1%83%98%e1%83%aa%e1%83%98%e1%83%a2%e1%83%98%e1%83%a1-%e1%83%99%e1%83%90%e1%83%95%e1%83%a8%e1%83%98\/","title":{"rendered":"\u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc D \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10d9\u10d0\u10d5\u10e8\u10d8\u10e0\u10d8 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d7\u10d0\u10dc \u10de\u10dd\u10e1\u10e2\u10db\u10d4\u10dc\u10dd\u10de\u10d0\u10e3\u10d6\u10e3\u10e0 \u10e5\u10d0\u10da\u10d4\u10d1\u10e8\u10d8"},"content":{"rendered":"

\u10e3\u10d0\u10ee\u10da\u10d4\u10e1\u10d8 \u10d9\u10d5\u10da\u10d4\u10d5\u10d8\u10e1 \u10d7\u10d0\u10dc\u10d0\u10ee\u10db\u10d0\u10d3, D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10db\u10e5\u10dd\u10dc\u10d4 \u10de\u10dd\u10e1\u10e2\u10db\u10d4\u10dc\u10dd\u10de\u10d0\u10e3\u10d6\u10e3\u10e0 \u10e5\u10d0\u10da\u10d4\u10d1\u10e8\u10d8 \u10e3\u10e4\u10e0\u10dd \u10db\u10d0\u10e6\u10d0\u10da\u10d8\u10d0 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10e0\u10d8\u10e1\u10d9\u10d8, \u10d5\u10d8\u10d3\u10e0\u10d4 \u10d0\u10db \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8 \u10e0\u10d0\u10dd\u10d3\u10d4\u10dc\u10dd\u10d1\u10d8\u10d7 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d8\u10e1 \u10de\u10d8\u10e0\u10dd\u10d1\u10d4\u10d1\u10e8\u10d8. 25-\u10f0\u10d8\u10d3\u10e0\u10dd\u10e5\u10e1\u10d8\u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc-D [25(OH)D]-\u10e1 \u10d3\u10dd\u10dc\u10d4 20 \u10dc\u10d2\/\u10db\u10da-\u10d6\u10d4 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8 \u10d0\u10e1\u10d4\u10d5\u10d4 \u10d0\u10e1\u10dd\u10ea\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10d0\u10e6\u10db\u10dd\u10e9\u10dc\u10d3\u10d0 \u10e2\u10e0\u10d8\u10d2\u10da\u10d8\u10ea\u10d4\u10e0\u10d8\u10d3\u10d4\u10d1\u10d8\u10e1 \u10db\u10dd\u10db\u10d0\u10e2\u10d4\u10d1\u10d8\u10e1\u10d0 \u10d3\u10d0 HDL \u10e5\u10dd\u10da\u10d4\u10e1\u10e2\u10d4\u10e0\u10d8\u10dc\u10d8\u10e1 \u10e8\u10d4\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10d8\u10e1 \u10db\u10d0\u10e6\u10d0\u10da \u10d0\u10da\u10d1\u10d0\u10d7\u10dd\u10d1\u10d0\u10e1\u10d7\u10d0\u10dc.<\/p>\n

\u10e0\u10dd\u10d2\u10dd\u10e0\u10ea \u10d9\u10d5\u10da\u10d4\u10d5\u10d8\u10e1 \u10d0\u10d5\u10e2\u10dd\u10e0\u10d4\u10d1\u10d8 \u10d0\u10ea\u10ee\u10d0\u10d3\u10d4\u10d1\u10d4\u10dc, \u10db\u10d8\u10e6\u10d4\u10d1\u10e3\u10da\u10d8 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d4\u10d1\u10d8 \u10e3\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10e1, \u10e0\u10dd\u10db \u10de\u10dd\u10e1\u10e2\u10db\u10d4\u10dc\u10dd\u10de\u10d0\u10e3\u10d6\u10e3\u10e0 \u10e5\u10d0\u10da\u10d4\u10d1\u10e8\u10d8 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10e8\u10d4\u10d5\u10e1\u10d4\u10d1\u10d8\u10d7 \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10d3\u10d0 \u10db\u10d0\u10e1\u10d7\u10d0\u10dc \u10d0\u10e1\u10dd\u10ea\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10d9\u10d0\u10e0\u10d3\u10d8\u10dd\u10d5\u10d0\u10e1\u10d9\u10e3\u10da\u10e3\u10e0\u10d8 \u10d3\u10d0\u10d0\u10d5\u10d0\u10d3\u10d4\u10d1\u10d4\u10d1\u10d8\u10e1\u10d0 \u10d3\u10d0 \u10e1\u10d8\u10d9\u10d5\u10d3\u10d8\u10da\u10dd\u10d1\u10d8\u10e1 \u10e0\u10d8\u10e1\u10d9\u10d8\u10e1 \u10e8\u10d4\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10d0.<\/p>\n

\u10d9\u10d5\u10da\u10d4\u10d5\u10d0\u10e8\u10d8, \u10e0\u10dd\u10db\u10da\u10d8\u10e1 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d4\u10d1\u10d8\u10ea 2018 \u10ec\u10da\u10d8\u10e1 \u10d8\u10d0\u10dc\u10d5\u10d0\u10e0\u10e8\u10d8 \u10d2\u10d0\u10db\u10dd\u10e5\u10d5\u10d4\u10e7\u10dc\u10d3\u10d0, \u10db\u10dd\u10dc\u10d0\u10ec\u10d8\u10da\u10d4\u10dd\u10d1\u10d0 \u10db\u10d8\u10d8\u10e6\u10dd 463-\u10db\u10d0 \u10e5\u10d0\u10da\u10db\u10d0, 45-75 \u10d0\u10e1\u10d0\u10d9\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10ef\u10d2\u10e3\u10e4\u10d8\u10d3\u10d0\u10dc, \u10e0\u10dd\u10db\u10d4\u10da\u10d7\u10d0\u10ea \u10d0\u10e0 \u10f0\u10e5\u10dd\u10dc\u10d8\u10d0\u10d7 \u10db\u10d4\u10dc\u10e1\u10e2\u10e0\u10e3\u10d0\u10da\u10e3\u10e0\u10d8 \u10ea\u10d8\u10d9\u10da\u10d8 \u10e1\u10e3\u10da \u10db\u10ea\u10d8\u10e0\u10d4 \u10d1\u10dd\u10da\u10dd \u10d4\u10e0\u10d7\u10d8 \u10ec\u10da\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d0\u10e8\u10d8, \u10d0\u10e0 \u10db\u10d8\u10e3\u10e6\u10d8\u10d0\u10d7 \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8 D \u10d3\u10d0 \u10f0\u10e5\u10dd\u10dc\u10d3\u10d0\u10d7 \u10d9\u10d0\u10e0\u10d3\u10d8\u10dd\u10d5\u10d0\u10e1\u10d9\u10e3\u10da\u10e3\u10e0\u10d8 \u10d3\u10d0\u10d0\u10d5\u10d0\u10d3\u10d4\u10d1\u10d8\u10e1 \u10d3\u10d8\u10d0\u10d2\u10dc\u10dd\u10d6\u10d8. \u10d9\u10d5\u10da\u10d4\u10d5\u10d8\u10e1 \u10d0\u10d5\u10e2\u10dd\u10e0\u10d4\u10d1\u10db\u10d0 \u10d2\u10d0\u10db\u10dd\u10d8\u10d9\u10d5\u10da\u10d8\u10d4\u10e1 \u10db\u10d0\u10d7\u10d8 \u10e2\u10dd\u10e2\u10d0\u10da\u10e3\u10e0\u10d8 \u10e5\u10dd\u10da\u10d4\u10e1\u10e2\u10d4\u10e0\u10d8\u10dc\u10d8\u10e1, \u10d3\u10d0\u10d1\u10d0\u10da\u10d8 \u10e1\u10d8\u10db\u10d9\u10d5\u10e0\u10d8\u10d5\u10d8\u10e1, \u10db\u10d0\u10e6\u10d0\u10da\u10d8 \u10e1\u10d8\u10db\u10d9\u10d5\u10e0\u10d8\u10d5\u10d8\u10e1 \u10da\u10d8\u10de\u10dd\u10de\u10e0\u10dd\u10e2\u10d4\u10d8\u10dc\u10d4\u10d1\u10d8\u10e1, \u10e2\u10e0\u10d8\u10d2\u10da\u10d8\u10ea\u10d4\u10e0\u10d8\u10d3\u10d4\u10d1\u10d8\u10e1, \u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0\u10e1, \u10d8\u10dc\u10e1\u10e3\u10da\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d0 25(OH)D-\u10e1 \u10d3\u10dd\u10dc\u10d4.<\/p>\n

\u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc D -\u10e1 \u10d3\u10dd\u10dc\u10d4 20 \u10dc\u10d2\/\u10db\u10da-\u10d6\u10d4 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8 \u10d2\u10d0\u10dc\u10d8\u10e1\u10d0\u10d6\u10e6\u10d5\u10e0\u10d0, \u10e0\u10dd\u10d2\u10dd\u10e0\u10ea \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8; 20-29-\u10db\u10d3\u10d4 – \u10e0\u10dd\u10d2\u10dd\u10e0\u10ea \u10d0\u10e0\u10d0\u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8; \u10ee\u10dd\u10da\u10dd 30-\u10d6\u10d4 \u10db\u10d4\u10e2\u10d8 – \u10e0\u10dd\u10d2\u10dd\u10e0\u10ea \u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8.
\n\u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d3\u10d8\u10d0\u10d2\u10dc\u10dd\u10d6\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1 \u10db\u10dd\u10d7\u10ee\u10dd\u10d5\u10dc\u10d8\u10da\u10d8 \u10d8\u10e7\u10dd \u10ee\u10e3\u10d7\u10d8 \u10d9\u10e0\u10d8\u10e2\u10d4\u10e0\u10d8\u10e3\u10db\u10d8\u10d3\u10d0\u10dc \u10db\u10d8\u10dc\u10d8\u10db\u10e3\u10db \u10e1\u10d0\u10db\u10d8\u10e1 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d0: \u10ec\u10d4\u10da\u10d8\u10e1 \u10d2\u10d0\u10e0\u10e8\u10d4\u10db\u10dd\u10ec\u10d4\u10e0\u10d8\u10da\u10dd\u10d1\u10d0 88 \u10e1\u10db-\u10d6\u10d4 \u10db\u10d4\u10e2\u10d8, \u10e2\u10e0\u10d8\u10d2\u10da\u10d8\u10ea\u10d4\u10e0\u10d8\u10d3\u10d4\u10d1\u10d8\u10e1 \u10d3\u10dd\u10dc\u10d4 \u10db\u10d8\u10dc\u10d8\u10db\u10e3\u10db 150 \u10db\u10d2\/\u10d3\u10da, HDL \u10d3\u10dd\u10dc\u10d4 50 \u10db\u10d2\/\u10d3\u10da-\u10d6\u10d4 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8, \u10d0\u10e0\u10e2\u10d4\u10e0\u10d8\u10e3\u10da\u10d8 \u10ec\u10dc\u10d4\u10d5\u10d0 130\/85 mm Hg-\u10d6\u10d4 \u10db\u10d4\u10e2\u10d8 \u10d3\u10d0 \u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0\u10e1 \u10d3\u10dd\u10dc\u10d4 100 \u10db\u10d2\/\u10d3\u10da-\u10d6\u10d4 \u10db\u10d4\u10e2\u10d8.<\/p>\n

\u10d9\u10d5\u10da\u10d4\u10d5\u10d0\u10e8\u10d8 \u10db\u10dd\u10dc\u10d0\u10ec\u10d8\u10da\u10d4 \u10e5\u10d0\u10da\u10d4\u10d1\u10d8\u10e1 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 32.0%-\u10e8\u10d8 \u10d0\u10e6\u10d8\u10dc\u10d8\u10e8\u10dc\u10d0 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8 \u10d3\u10dd\u10dc\u10d4, \u10d7\u10d8\u10d7\u10e5\u10db\u10d8\u10e1 \u10d0\u10db\u10d3\u10d4\u10dc\u10d8\u10d5\u10d4 – 32.6%-\u10e1 \u10d0\u10e6\u10db\u10dd\u10d0\u10e9\u10dc\u10d3\u10d0 \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d0\u10e0\u10d0\u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8 \u10d3\u10dd\u10dc\u10d4, \u10ee\u10dd\u10da\u10dd \u10d3\u10d0\u10dc\u10d0\u10e0\u10e9\u10d4\u10dc 35.4%-\u10e8\u10d8 \u10d3\u10d0\u10d3\u10d2\u10d8\u10dc\u10d3\u10d0 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8. \u10d0\u10e6\u10dc\u10d8\u10e8\u10dc\u10e3\u10da\u10d8 \u10e1\u10d0\u10db\u10d8 \u10ef\u10d2\u10e3\u10e4\u10d8\u10e1 \u10ec\u10d4\u10d5\u10e0\u10d4\u10d1\u10d8 \u10d0\u10e0 \u10d2\u10d0\u10dc\u10e1\u10ee\u10d5\u10d0\u10d5\u10d3\u10d4\u10d1\u10dd\u10d3\u10dc\u10d4\u10dc \u10d4\u10e0\u10d7\u10db\u10d0\u10dc\u10d4\u10d7\u10d8\u10e1\u10d2\u10d0\u10dc \u10e4\u10d8\u10d6\u10d8\u10d9\u10e3\u10e0\u10d8 \u10d0\u10e5\u10e2\u10d8\u10d5\u10dd\u10d1\u10d8\u10e1 \u10d3\u10dd\u10dc\u10d8\u10d7, \u10f0\u10dd\u10e0\u10db\u10dd\u10dc\u10dd\u10d7\u10d4\u10e0\u10d0\u10de\u10d8\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d8\u10d7, \u10d7\u10d0\u10db\u10d1\u10d0\u10e5\u10dd\u10e1 \u10db\u10dd\u10ee\u10db\u10d0\u10e0\u10d4\u10d1\u10d8\u10d7, \u10d3\u10d8\u10d0\u10d1\u10d4\u10e2\u10d8\u10e1\u10d0 \u10d3\u10d0 \u10d0\u10e0\u10e2\u10d4\u10e0\u10d8\u10e3\u10da\u10d8 \u10f0\u10d8\u10de\u10d4\u10e0\u10e2\u10d4\u10dc\u10d6\u10d8\u10d8\u10e1 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10da\u10d4\u10d1\u10d8\u10d7. \u10d0\u10e1\u10d4\u10d5\u10d4 \u10d0\u10e1\u10d0\u10d9\u10d8, \u10e1\u10ee\u10d4\u10e3\u10da\u10d8\u10e1 \u10db\u10d0\u10e1\u10d8\u10e1 \u10d8\u10dc\u10d3\u10d4\u10e5\u10e1\u10d8 ,HDL \u10d3\u10d0 LDL, \u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0, \u10ec\u10d4\u10da\u10d8\u10e1 \u10d2\u10d0\u10e0\u10e8\u10d4\u10db\u10dd\u10ec\u10d4\u10e0\u10d8\u10da\u10dd\u10d1\u10d0, \u10d0\u10e0\u10e2\u10d4\u10e0\u10d8\u10e3\u10da\u10d8 \u10ec\u10dc\u10d4\u10d5\u10d0, \u10db\u10d4\u10dc\u10dd\u10de\u10d0\u10e3\u10d6\u10d8\u10e1 \u10d3\u10d0\u10ec\u10e7\u10d4\u10d1\u10d8\u10e1 \u10d0\u10e1\u10d0\u10d9\u10d8 \u10d3\u10d0 \u10db\u10d8\u10e1\u10d8 \u10d3\u10d0\u10ec\u10e7\u10d4\u10d1\u10d8\u10d3\u10d0\u10dc \u10d2\u10d0\u10e1\u10e3\u10da\u10d8 \u10d3\u10e0\u10dd \u10e8\u10d4\u10d3\u10d0\u10e0\u10d4\u10d1\u10d8\u10d7 \u10db\u10e1\u10d2\u10d0\u10d5\u10e1\u10d8 \u10d8\u10e7\u10dd \u10e7\u10d5\u10d4\u10da\u10d0 \u10e5\u10d0\u10da\u10d8\u10e1 \u10e8\u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d0\u10e8\u10d8.<\/p>\n

\u10d8\u10db \u10e5\u10d0\u10da\u10d4\u10d1\u10d8\u10e1 \u10dc\u10d0\u10ee\u10d4\u10d5\u10d0\u10e0\u10d6\u10d4 \u10db\u10d4\u10e2\u10e1 (57,8%), \u10e0\u10dd\u10db\u10d4\u10da\u10d7\u10d0\u10ea \u10f0\u10e5\u10dd\u10dc\u10d3\u10d0\u10d7 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d0\u10e0\u10d0\u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8 \u10d3\u10dd\u10dc\u10d4 (<30 \u10dc\u10d2\/\u10db\u10da), \u10d3\u10d0\u10e3\u10d3\u10d2\u10d8\u10dc\u10d3\u10d0\u10d7 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d0, D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10e1\u10d0\u10d9\u10db\u10d0\u10e0\u10d8\u10e1\u10d8 \u10e0\u10d0\u10dd\u10d3\u10d4\u10dc\u10dd\u10d1\u10d8\u10d7 \u10db\u10e5\u10dd\u10dc\u10d4 \u10e5\u10d0\u10da\u10d7\u10d0 \u10ef\u10d2\u10e3\u10e4\u10d8\u10d3\u10d0\u10dc \u10d9\u10d8 38.9%-\u10e1 \u10d3\u10d0\u10d4\u10e1\u10d5\u10d0 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d3\u10d8\u10d0\u10d2\u10dc\u10dd\u10d6\u10d8. D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10dd\u10dc\u10d4 <30 \u10dc\u10d2\/\u10db\u10da-\u10d6\u10d4 \u10d0\u10e1\u10dd\u10ea\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10d0\u10e6\u10db\u10dd\u10e9\u10dc\u10d3\u10d0 \u10d0\u10d2\u10e0\u10d4\u10d7\u10d5\u10d4 \u10e2\u10dd\u10e2\u10d0\u10da\u10e3\u10e0\u10d8 \u10e5\u10dd\u10da\u10d4\u10e1\u10e2\u10d4\u10e0\u10d8\u10dc\u10d8\u10e1, \u10e2\u10e0\u10d8\u10d2\u10da\u10d8\u10ea\u10d4\u10e0\u10d8\u10d3\u10d4\u10d1\u10d8\u10e1 \u10d3\u10d0 \u10d8\u10dc\u10e1\u10e3\u10da\u10d8\u10dc\u10d8\u10e1 \u10e3\u10e4\u10e0\u10dd \u10db\u10d0\u10e6\u10d0\u10da \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10da\u10d4\u10d1\u10d7\u10d0\u10dc, \u10d0\u10e1\u10d4\u10d5\u10d4 \u10d8\u10dc\u10e1\u10e3\u10da\u10d8\u10dc \u10e0\u10d4\u10d6\u10d8\u10e1\u10e2\u10d4\u10dc\u10e2\u10dd\u10d1\u10d8\u10e1 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d0\u10e1\u10d7\u10d0\u10dc. \u10d0\u10db\u10e0\u10d8\u10d2\u10d0\u10d3, \u10d9\u10d5\u10da\u10d4\u10d5\u10d0\u10db \u10ea\u10ee\u10d0\u10d3\u10e7\u10dd D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10de\u10d8\u10e0\u10dd\u10d1\u10d4\u10d1\u10e8\u10d8 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d9\u10e0\u10d8\u10e2\u10d4\u10e0\u10d8\u10e3\u10db\u10d4\u10d1\u10d7\u10d0\u10dc \u10d7\u10d0\u10dc\u10ee\u10d5\u10d4\u10d3\u10e0\u10d8\u10e1 \u10e0\u10d8\u10e1\u10d9\u10d8\u10e1 \u10db\u10d0\u10e2\u10d4\u10d1\u10d0.<\/p>\n

\u10d0\u10d5\u10e2\u10dd\u10e0\u10d7\u10d0 \u10d2\u10d0\u10dc\u10db\u10d0\u10e0\u10e2\u10d4\u10d1\u10d8\u10d7, \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10e1 \u10e0\u10d0\u10db\u10d3\u10d4\u10dc\u10d8\u10db\u10d4 \u10e1\u10d0\u10d5\u10d0\u10e0\u10d0\u10e3\u10d3\u10dd \u10e4\u10d8\u10d6\u10d8\u10dd\u10de\u10d0\u10d7\u10dd\u10d2\u10d4\u10dc\u10d4\u10d6\u10e3\u10e0\u10d8 \u10db\u10d4\u10e5\u10d0\u10dc\u10d8\u10d6\u10db\u10d8, \u10e0\u10dd\u10db\u10d4\u10da\u10d8\u10ea \u10d0\u10ee\u10e1\u10dc\u10d8\u10d3\u10d0 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d0\u10e6\u10dc\u10d8\u10e8\u10dc\u10e3\u10da \u10d4\u10e4\u10d4\u10e5\u10e2\u10e1 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d9\u10dd\u10db\u10de\u10dd\u10dc\u10d4\u10dc\u10e2\u10d4\u10d1\u10d6\u10d4, \u10db\u10d0\u10d7\u10d2\u10d0\u10dc \u10e7\u10d5\u10d4\u10da\u10d0\u10d6\u10d4 \u10d3\u10d0\u10db\u10d0\u10ef\u10d4\u10e0\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10e0\u10e2\u10d4\u10d1\u10d0, \u10e0\u10dd\u10db D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8 \u10d2\u10d0\u10d5\u10da\u10d4\u10dc\u10d0\u10e1 \u10d0\u10ee\u10d3\u10d4\u10dc\u10e1 \u10d8\u10dc\u10e1\u10e3\u10da\u10d8\u10dc\u10d8\u10e1 \u10e1\u10d4\u10d9\u10e0\u10d4\u10ea\u10d8\u10d0\u10d6\u10d4 \u10d3\u10d0 \u10db\u10d8\u10e1 \u10db\u10d8\u10db\u10d0\u10e0\u10d7 \u10db\u10d2\u10e0\u10eb\u10dc\u10dd\u10d1\u10d4\u10da\u10dd\u10d1\u10d0\u10d6\u10d4, \u10e0\u10d8\u10e1\u10d8 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d0\u10ea \u10e3\u10d3\u10d4\u10d1\u10e1 \u10d9\u10d8\u10d3\u10d4\u10ea \u10e1\u10d0\u10d7\u10d0\u10d5\u10d4\u10e1 \u10db\u10d4\u10e2\u10d0\u10d1\u10dd\u10da\u10e3\u10e0\u10d8 \u10e1\u10d8\u10dc\u10d3\u10e0\u10dd\u10db\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d0\u10e1.<\/p>\n

\u10d0\u10d5\u10e2\u10dd\u10e0\u10d4\u10d1\u10d8 \u10d0\u10e1\u10d4\u10d5\u10d4 \u10db\u10d8\u10e3\u10d7\u10d8\u10d7\u10d4\u10d1\u10d4\u10dc \u10e1\u10d0\u10d6\u10d8\u10d0\u10e0\u10dd \u10e0\u10d8\u10e1\u10d9-\u10e4\u10d0\u10e5\u10e2\u10dd\u10e0\u10d4\u10d1\u10d8\u10e1 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d0\u10d6\u10d4 \u10d3\u10d8\u10d0\u10d1\u10d4\u10e2\u10d8\u10e1 \u10d3\u10d0 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10db\u10e5\u10dd\u10dc\u10d4 \u10d0\u10d3\u10d0\u10db\u10d8\u10d0\u10dc\u10d4\u10d1\u10e1 \u10e8\u10dd\u10e0\u10d8\u10e1, \u10d4\u10e1\u10d4\u10dc\u10d8\u10d0: \u10d0\u10e1\u10d0\u10d9\u10dd\u10d5\u10dc\u10d4\u10d1\u10d0, \u10d4\u10d7\u10dc\u10d8\u10d9\u10e3\u10e0\u10d8\/\u10e0\u10d0\u10e1\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10e3\u10db\u10ea\u10d8\u10e0\u10d4\u10e1\u10dd\u10d1\u10d8\u10e1 \u10d9\u10e3\u10d7\u10d5\u10dc\u10d8\u10da\u10d4\u10d1\u10d0, \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4 \u10d3\u10d0 \u10e4\u10d8\u10d6\u10d8\u10d9\u10e3\u10e0\u10d8 \u10d0\u10e5\u10e2\u10d8\u10d5\u10dd\u10d1\u10d8\u10e1 \u10d3\u10d0\u10d1\u10d0\u10da\u10d8 \u10d3\u10dd\u10dc\u10d4. \u10db\u10d0\u10d7\u10d8 \u10d7\u10e5\u10db\u10d8\u10d7, \u10db\u10d8\u10e3\u10ee\u10d4\u10d3\u10d0\u10d5\u10d0\u10d3 \u10d8\u10db\u10d8\u10e1\u10d0, \u10e0\u10dd\u10db \u10d3 \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8 \u10eb\u10d0\u10da\u10d8\u10d0\u10dc \u10d2\u10d0\u10d5\u10e0\u10ea\u10d4\u10da\u10d4\u10d1\u10e3\u10da\u10d8\u10d0, \u10d0\u10e1\u10d0\u10d9\u10dd\u10d5\u10d0\u10dc\u10d8 \u10de\u10d0\u10ea\u10d8\u10d4\u10dc\u10e2\u10d4\u10d1\u10d8\u10e1 \u10e8\u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d0\u10e8\u10d8 \u10e1\u10d0\u10ee\u10da\u10e1\u10d2\u10d0\u10e0\u10d4\u10d7 \u10e4\u10d8\u10d6\u10d8\u10d9\u10e3\u10e0\u10d8 \u10d0\u10e5\u10e2\u10d8\u10d5\u10dd\u10d1\u10d8\u10e1 \u10e8\u10d4\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10d0\u10db \u10d3\u10d0 \u10d9\u10d0\u10dc\u10d8\u10e1 \u10db\u10d8\u10d4\u10e0 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10db\u10e3\u10e8\u10d0\u10d5\u10d4\u10d1\u10d8\u10e1 \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10dd \u10d0\u10e1\u10d0\u10d9\u10dd\u10d1\u10e0\u10d8\u10d5\u10db\u10d0 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d4\u10d1\u10db\u10d0 \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10d2\u10d0\u10db\u10dd\u10d8\u10ec\u10d5\u10d8\u10dd\u10e1 \u10de\u10dd\u10e1\u10e2\u10db\u10d4\u10dc\u10dd\u10de\u10d0\u10e3\u10d6\u10e3\u10e0 \u10e5\u10d0\u10da\u10d4\u10d1\u10e8\u10d8 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10e8\u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d4\u10d1\u10d8\u10e1 \u10db\u10d0\u10e2\u10d4\u10d1\u10d0.<\/p>\n

\u10db\u10d8\u10e3\u10ee\u10d4\u10d3\u10d0\u10d5\u10d0\u10d3 \u10d8\u10db\u10d8\u10e1\u10d0, \u10e0\u10dd\u10db \u10d0\u10d5\u10e2\u10dd\u10e0\u10d4\u10d1\u10d8 \u10db\u10d8\u10e3\u10d7\u10d8\u10d7\u10d4\u10d1\u10d4\u10dc D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10e1\u10d0 \u10d3\u10d0 \u10da\u10d8\u10de\u10d8\u10d3\u10e3\u10e0\u10d8 \u10e1\u10de\u10d4\u10e5\u10e2\u10e0\u10d8\u10e1 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d4\u10d1\u10e1 \u10e8\u10dd\u10e0\u10d8\u10e1 \u10db\u10d8\u10d6\u10d4\u10d6-\u10e8\u10d4\u10d3\u10d4\u10d2\u10dd\u10d1\u10e0\u10d8\u10d5 \u10d9\u10d0\u10d5\u10e8\u10d8\u10e0\u10d6\u10d4, \u10d8\u10e1\u10d8\u10dc\u10d8 \u10d0\u10db\u10d0\u10ee\u10d5\u10d8\u10da\u10d4\u10d1\u10d4\u10dc \u10e7\u10e3\u10e0\u10d0\u10d3\u10e6\u10d4\u10d1\u10d0\u10e1 \u10d0\u10e1\u10d4\u10d5\u10d4 \u10d0\u10db \u10d9\u10dd\u10e0\u10d4\u10da\u10d0\u10ea\u10d8\u10d8\u10e1 \u10d0\u10da\u10e2\u10d4\u10e0\u10dc\u10d0\u10e2\u10d8\u10e3\u10da \u10d0\u10ee\u10e1\u10dc\u10d0\u10d6\u10d4 \u10d3\u10d0 \u10d9\u10d5\u10da\u10d4\u10d5\u10d4\u10d1\u10d8\u10e1 \u10e1\u10d0\u10ed\u10d8\u10e0\u10dd\u10d4\u10d1\u10d0\u10d6\u10d4 \u10e1\u10e0\u10e3\u10da\u10e7\u10dd\u10e4\u10d8\u10da\u10d8 \u10e8\u10d4\u10e1\u10ec\u10d0\u10d5\u10da\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1. \u10d9\u10d4\u10e0\u10eb\u10dd\u10d3, \u10e1\u10d0\u10d5\u10d0\u10e0\u10d0\u10e3\u10d3\u10dd\u10d0, \u10e0\u10dd\u10db \u10d8\u10e1 \u10d0\u10d3\u10d0\u10db\u10d8\u10d0\u10dc\u10d4\u10d1\u10d8, \u10e0\u10dd\u10db\u10da\u10d4\u10d1\u10d8\u10ea \u10e1\u10d0\u10ee\u10da\u10e1\u10d2\u10d0\u10e0\u10d4\u10d7 \u10d4\u10ec\u10d4\u10d5\u10d8\u10d0\u10dc \u10e4\u10d8\u10d6\u10d8\u10d9\u10e3\u10e0 \u10d0\u10e5\u10e2\u10d8\u10d5\u10dd\u10d1\u10d0\u10e1 \u10d3\u10d0 \u10db\u10d6\u10d8\u10e1 \u10d2\u10d0\u10ee\u10d0\u10dc\u10d2\u10e0\u10eb\u10da\u10d8\u10d5\u10d4\u10d1\u10e3\u10da\u10d8 \u10d6\u10d4\u10db\u10dd\u10e5\u10db\u10d4\u10d3\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd \u10d0\u10e0 \u10d0\u10e6\u10d4\u10dc\u10d8\u10e8\u10dc\u10d4\u10d1\u10d0\u10d7 D \u10d5\u10d8\u10e2\u10d0\u10db\u10d8\u10dc\u10d8\u10e1 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10dd\u10d1\u10d0, \u10d3\u10d8\u10d3\u10d8 \u10d0\u10da\u10d1\u10d0\u10d7\u10dd\u10d1\u10d8\u10d7, \u10e3\u10e4\u10e0\u10dd \u10ea\u10d3\u10d8\u10da\u10dd\u10d1\u10d4\u10dc \u10ef\u10d0\u10dc\u10e1\u10d0\u10e6\u10d0\u10d3 \u10d8\u10d9\u10d5\u10d4\u10d1\u10dd\u10dc \u10d3\u10d0 \u10d0\u10db\u10d8\u10e2\u10dd\u10db \u10da\u10d8\u10de\u10d8\u10d3\u10e3\u10e0\u10d8 \u10e1\u10de\u10d4\u10e5\u10e2\u10e0\u10d8\u10e1 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d4\u10d1\u10d8\u10ea \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d0\u10d3 \u10d0\u10e6\u10d4\u10dc\u10d8\u10e8\u10dc\u10d4\u10d1\u10d0\u10d7.<\/p>\n

\u10ec\u10e7\u10d0\u10e0\u10dd: medscape.com \u10dd\u10e0\u10d8\u10d2\u10d8\u10dc\u10d0\u10da\u10d8 \u10e1\u10e2\u10d0\u10e2\u10d8\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10e5\u10d5\u10d4\u10e7\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d7\u10d0\u10e0\u10d8\u10e6\u10d8: 28\/03\/2018<\/p>\n","protected":false},"excerpt":{"rendered":"

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