JlEKAPCTBA III KOPMJlEHIIlE n ...

N~ 7 2009

WWW·9months.1

nMTAHME 6YAYlqEM MAMb

POAbl «KAK B K.

KAK 06lqATbC.R C HOBOPO>KAEHHbIM?

~ =

j 0 L1 rn a [., p ~ aza ~ n e

= =

~.

r,.·

:' .. ': );;_'}. ::.f~.;

2

4 C05bITlt1.A

12 POAVlTEllllM HA 3AMETKY AO 5EPEMEHHOCTVl

6

BCE no nJlA HY TORCH-li1H<PEKUli1li1:

OrJ1AWAEM Cnli1COK

14 20 24

B O}f{V1AAHVlll1 PE5EHKA

nEPE50li1 B nOCTABKAX

Ll,HC<pYHKIUIJI rinaneartr

AOKTOP AIIfI AYWli1 «WKOJ1bHbIE» nOAPVfli1 HOBbIE HABhlKI1

28 BOCnli1TbIBAEM BKYC

YqHMCR npaBl:IJIbHO l1HTaTbUr

EEPEMEI-IPIOCTb B UI1<DPAX

34 COHHOE lJ,APCTBO

Cxonsxo ,l:(OJIJKHa cnarr, 6YAymaR MaMa?

nxnu TOJ:KE >KLl,YT

38 npli1f1THbIE OOpnpli13bl

KaK nopanoaars 6epeMerII-IYEO JKeHY

Ll,HEBHllK 6EPEMEHHOCTl1 ABOVlHOE C4ACTbE

40 27 HOBOCTVl HAYKlIl

POAbl

POAbl «KAK B l·mHO»

CllYQAH H3 I1PAKTI1.KH

44

48 CHOBA MAMA

52 C4ACTbE BCTPE4li1

(paccxas 0 ponax)

53

V1MEHA

li1MEHA: Bbl50P COBPEMEHHli1KOB

54

nOCllEPOAOB

BCE no MECTAM!

Orrymenne IIOJIOBblX opranos IIO(ne pOAOE

fPYLl,HOE BCKAPMJH1BAI-Jl.1E

58 .nEKAPCTBEHHbIVl aonroc

'-IeM neqHTbCR KopMRIUefi: MaMe

journal-plaza. net

9 MeUll.(eB

COJ].EP}f{AH VI E

HOBOPO}t{AEHHbl~
66 nEPBblE YPOKVI ODI.J..I.EHVI~
KaK pasrosapauarr, e HOBopmKlleHHhIM "J n f) ! {Y n ! ~ . M V !
J.
~: \. lHHb! CTt'I\;{L 86 CBOVIM XOAOM ...
70 }f{EnTYXVI HOBOPO}f{AEHHbIX Bee zrna rrepellB.l1)KeHHYI 6e3 KOJIReKv.t
nCVlXOnOrtll.R JlVlPVl4ECKOE
CO BCEX CTOPOH OTCTynJlEHtIlE
74 DADYWKAnpOTVlBH~HVI? 90 nnAUKAPTHblVi BArOH
KOHCYJlbTA~l!1V1 AATbl, 1D5vU1EVl, C06bITV1.R
CnEL\V1AJlIllCTOB 94 AAMCKVlE WTYLJKVI
79 rVlHEKonor 95 KY J1 V1 HAPV1fi
VlHTEPECHO V1 nOJlE3HO KOHKYPC
80 TEMHblE CTOPOHbl
«conHELJHOVl» KOCMETVlKVI 97 KAK MHE noaor }f{YPHAn
3
9 MeOll1eB C06blTVlH

journal-plaza. net

nETO &D lA50T

ClOpnPMl

AnlJ &YAVlU,MX MAM

B pa3rap neraero cesona (en Mara3HHOB MO.o;HOH o.o;e)!(.o;bl ,[IIIH 6y.o;yl.L\ilX MaM "CKOPOMaxa» 06'bHBnHeT pacrrpo.o;a)!(y C 20 mOHH .0;0 KOHIl,a mOII5!. CKHI1KH aa nerane KOlIneKl1Hll -.0;0 50%. Tajoxe noxynaTelIil MoryT BDcnonb3DB3ThClI 5-np0.l.1eHTHbIMH CKllp;KaMH na peryJlll pHylO KOlIlIeKIllUO, npel1'bHBllB CpO'IHhIHKynoH ll3 )!(ypHana «9 MeCJlueB». MHorootipaane Mo.o.elIeH B Mara3Haax «Cxopolvlana» npaarao y,n:HBllT noxynarezn.aan.

)J)IJl .o;eTefi c po)!(p;eHHJI B llTanbJlHcKoH na6opaTopHll Betafarma paapatioranu CITermam.mae conmtesanrartnre cpencraa BabyCoccole. 3TO «MllrKllfi KpeM SPF 50» II «Msrxoe MOIIO'IKO SPF 30», KOTophle COCTOllT H3 narypansHbIX KOMITOHeHTOB II COIIHnesanraraax epllJIbTPOB: HX EO,n:OcToHK¥Ie xaxecrna o6ecITe'lHBa'EOT 3aIIIHTY na)!(e B TO BpeMJI, xorna pe6eHOK naxo;tIllTCJI B BO;tIE. 3TH Cpe;tICTBa 3epepeKTHBHO 3aIIIlll.L\alOT OT UVA- l! UVB-ny'lefi, MonO"IKO rrocne aarapa, 6lIaro;qapJI naTypalIbl;fblM KOMnOHEHTaM OBca, IIbHa 11 MllHp;aIIJl, 06JIap;aer ycnoxaasaronraxm H aa)!(HBJIJJIOl.L\HMH CBoHCTBaMl:I. KOCMeTHKa HE COnep)IOlT napeplOMHposaHHblX ;tI06aBOK, Kpacnreneri 1:I aJlKOrOJIH. rronxoflllT AJIll )J,eTcKOH KO)!(H, BITepsue ncnsepraronieaca B03- .o;eMCTBIJ'EO COIIHIl,a. a TaIOKe )J,nll B3POCJlhIX C QYBCTBI1TeJlbHOH Ko)!(efi.

«AHTMKPM3fi1CHbiM nOPT~Enb»

He cexper, 'ITO JleTOM MalIbllll ccooeaHO aKTl:IBeH, OH MHoro rynser H HrpaeT na CBE>KeM soszryxe, n03TOMY rrossnueaHoe BHHMaHlle cnenyer y)J,eJJJITb rnraeHe KpOXH. Iloxynas AJl!! sroro aeotixo)J,HMble cpenccaa. MHOrH€ aasepaaxa OTMeqalIll, 'ITO B zeraae MeCHUhI OHH 3aKaH'IHBaIOTCJi OC06€HHO 6bICTpO. ':ITO- 6bI rronnepxars ceMhH c Mall€HbKHMH lleTbMli. cnenaanacrsr Johnson's® baby rrOllrOTOBHJlH «AHTHKPI!3llCHbIH rropT<Pellh» casrsrx rrorrynapmrx rrponyxros co CKH.o;KOM. TOllbKO 9THM rrerov. nOKynax nsa CpellCTBa ll3 TaKoro rrafiopa, 50% OT sropoa yrraxonxa noxynarenr, nOJIyxaer tiecnnarno,

BMTAMItH

CCoco&oro HAlHA'IEHltft)t

Kosmanua "BaJI€HTa» Crre.l.1HaJJbHO AJJH )!(eHillHH, rrnaHHpYIOl.L\HX MaTEpllHcTBO, H 6ynYl.L\HX MaM paspaoorana rrpenapaT ¢OlIll€BO:il: xnorors; ,,9 MeCHUeB». B OIlHOH Ta6neTKe COllep)!(HTClI 400 MKr BbICOKOO'IHl.L\eHHOH epOpMbI epOJJHeBOH KHcnOThI npoasaoncrna nrseanapcxca KOMITaHHH DSM, 'ITO 9epepeKTEBHO IlIIH KOMrreHcaUHH CYTO<IHOH epH3HOJIOrH'leCKOM IIOTpe6HOCTH )KeHCKOro opranasMa, a TaK>Ke AJJH rrpoepHJlaKTHKll !leepeKTOB pa3BHTHlI I-l€PSHOM Tpy6KH Y l1JJo)J,a.

iJ

13 arrpeJIJI 2009 r. 6peHA Romer crall no- 6€AllTeneM rrpeCTH)!(HOrO Me>KAYHapOnnoro xonxypca "EpeHA rolla/EFFIE 2008». ABTOM06HJIhHhle Kpecna Romer. zraano 11 3aclly)!(eHHO IIonb3YlOTCJl nosepaex noxvnarerrefi. 6JIaro.o;apJI HX HaAeKHOCTH H BblCOKOMY Ka"IeCTBY.

E)K€rOAHaJI ITP€MHll, xoropaa spyxaerca caMOIM ycneillHhIM rrpoexrav B 06JIaCTH nocrpoenas 6peHiloB aa poccHiicKOM psraxe. llBJIaeTCJi Hall60nee 3Ha'IllMOfi aarpanoii ):IlIa KOlvmaHHH, nanenenmrx Ha JJH):IepCTBo.

4

9 Me(lIl~eB

3Ta py6pllH{a n03BOnlt1T 6YAY~l!1M pOAl!1Ten~M COCTaBl!1Tb nnaH nOArOTOBI{l!1 I{ 6epeMeHHOCTItI ItI BnnOTHylO nOAOItIH1 I{ 3TOMY OTBeTCTBeHHOMY nepuonv.

-

Oficnenoeauue ua TaK Ha3blBaeMbie TORCH-ItIHcpel{~1tI1t1 peKoMeHAyeTc~ scev meHLL!ItIHaM, nnaHlllpylOLL\ItIM 6epeMeHHOCTb. A66peBltlaTypa TORCH 06beAItIH~eT re ItIHcpeH:L~ItIl!1, «oropue MoryT OKa3aTb HeraTIIIBHoe BllltlrtHltle Ha Te4eHItle 6epeMeHHocTItl Itl snoposse 6YAYLL!erO Manblwa.

EBreHUJI Ha3lfMOBa SpayaHywep-rWHeKOnOr. r. MOCKBa

6

Pacnrndrpoaxa a66peBHaTYPbI TORCH BblrJIll,lJ;HT TaK: T - TOKCOrIJIa3M03: 0 - OT aHrJI. other. T. e. npyrae - crena BKJIID'IaIDT pa3JIH'IHbIe HHcpeKU:H1iI: XJIaMH,lJ;H03. MHKOrrJIa3M03. H np., R - rubella - KpaCHYxa: C - CMV - UHTOMeranoBHpyc; H - HSV - BHpyC npocroro reprreca. B HaCTOHmee BpeMH crrUCOK BXO,lJ;HmHX B TORCH-KOMIIJIeKC uHq,eKUHll pacIIIHpHeTC.II. Herccropue BKnIDqaIDT B Hero H CTpenTOKOKK rpynmr B. H IIapBOBHpyC. H BHpyc rranHJIJIOMbI -reJIOBeKa. O,lJ;J:IaKO BJIHRHHe ,n:aHHbIX B036Y,lJ;HTenell aa Te'IeHHe 6epeMeHHOCTH MallO H3Y'IeHO. II03TOMY C YBepeHHOCTbID rosoprrn, 0 Heo6xo,lJ;HMOCTH HX HCCJIe/..lOBaHHR B IIepHO/..l IIJIaHHpOBaHHR 6epeMeHHOCTH noxa HelIb311.

XlIaMH,lJ;H03, MHKOIIJIa3MD3, ypearrnassros. OTHOCRmHeOI K 3a6oJIeBaHHJ.lM. IIepe,lJ;aIDmHMCJ.I IIOJIOBbIM l1YTeM (3IIIIII). Bbl3bIBaIDT HHcPHUHpOBaHHe IIJIO,lJ;a 3Ha'IHTeJIbHO pexe. HO, y-nrrsrsaa HX inapoxoe pac-

npocrpanenae cpena JKeHmHH AeTOp0/..lHOrO sosparra, 3HaqeHHe 3THX HHcpeKrJ,l1H TaK:>Ke BeJIHKO.

nJIH BbIRBJIeHHH B036YAHTeJIell 3IIIIII apOBOAHTCR HCCJIe,lJ;OBaHHe COCKo6oB U3 I10JIOBhIX opraaos MeTOAOM IIUP (rrOJIHMepaSHOH UerIHOH peaKUHU), C noMOmbID xoropoa MQ)KHQ 06HapY)KHTb MHKpo6 HlIH BHpyC, xcropsre HelIb3R YBl1AeTb B MHKpOCKOII. 3Ta peaKUHR orrpe,lJ;eJIReT .QHK - reHeTWleCKHH MaTepHall B036Y,lJ;HTenJ.l. BWIBJIemre B036Y,lJ;HTemI no nanHbIM .QHK-HCCJIe,llOBaHHR MOJKeT osaaxars JIH60 HOCHTeJIbCTBO, JIH60 HaJIH'lHe 3a6oJIeBaHWI. B 3aBHCHMOCTH OT KOHKpeTHofi 11Hq,eKUHH ,lJ;JIR YTOT.[HeHHH MoryT HCrrOJIb30BaTbCR 6aKTepHOJIOrH'-1eCKHe nocessr H /HJIH aHalIH3bI KpOBH.

KpOBh HCCJIe,llYIDT aa Hanwme aHTHTen K B036Y,lJ;HTenRM xpacayxn, roxconnaaaoaa, snpyca npocroro repneca H UHTOMeraJIOBl1pyca. IIpH accnenonanna aHanH30B KpOBH MorYT 6bITb 06HapY:>KeHbI samar-

91V1eCiHles

nsre aHTHTeJIa KJIaCCOB M 1I G. B THIIHqHOM orysae, ecnn B KpOBH BbIHBneHbI TOJIbKO aHTlITeJIa KJIaCCa G, 3TO oaaasaer, 'ITO rrpo- 1I30IllJIO HH<plIUlipOBaHHe H B OpraH1I3Me C<pOpMHpOBaJICH HMMYHlITeT K ,[IaHHOMY B036Y,lJ;lITemO. HO B ,lJ;aHHbIH MOMeHT safioJIeBaHIlJI HeT (npa 3TOM .a:a)[{e B036y.a:IlTeJIH MQ)KeT y)!{e He 6bITb B opraansrae) H JIe'IeHHe He rpefiyerca. BbIJIBJIel-me aHTI1TeJI KJIaCCa M B 60JIbIlllIHCTBe orysaes YKa3bIBaer aa OCTPYIO <Pa3Y 3a6oJIeBaHIlH. ,lJ;a)!{e ecna HeT HHKaKliX rrpOJlBJIeHlIH. ECJIH arrrarezra K B036YAliTemo He 06Hapy)!{aTCJI, 3HaqHT, lIMMYHHTeTa K AaHHOMY 3a60JIeBaHHIO B opraHH3Me BeT. B JII060M cnyxae npasnm.ac onenarr, pe3YJIbTaTbI aHaJIHSOB MO)[{eT TOJIbKO ,lJ;OKTOp. corrOCTaBJIHH IIX C ApyrIlMII CHMrrTOMaMII 3a6oJIeBaHHJI II AaHHbIMII nponax JIa60paTopHbiX 06CJIe)J,OBaHIIH.

DpII BbH!BJIeHIIlI 3a60JIeBaHIIH rpyrmu TORCH-KoMITJIeKca B nepaon nzranaponaHIIJI 6epeMeHHOCTH B03MO)[{HOCTH P)IJI ne'IeHHJl SI-Ia'IHTeJIbHO ssnne. 'leM npa y)[{e rracryrrannrea 6epeMeHHOCTH. Ha srane IIlIaHHpOBaHHJI MaryT HCrrOJlb30BaTbC5I HaH- 60JIee 3<p<peKTHBHble rrperraparsr. n03BOJI5IIOIUHe AOCTH'lb MaKCliManbHO B03MO)!{HOrO pe3YJIbTaTa. B cJIY'Ia5IX HaJlH'IHJI 6aKTepH- 3JlbHOH HH<peKUHH, napasaroa 3TO H3JIe'IeHHe C ycrpaneaaess B036YAIlTeJIeH. a B CJIy'IaHX BHPYCHOH HH<peKUIIII - MaKCllM3JIbHO nnarensnue nepaonsr peMIlCCIIH.

TOKconna3M03

TOKCOrrJIa3M03 - 3a60JIeBaHHe. BbI3bIBaeMoe BHyTpHKJIeTO'IHbIM napasarou Toxoplasma gondii. 'IeJlOBeK aapascaercs, KaK npaBHJIo. OT xomex npa KOHTaKTe C lIX BbIAeJJeHWIMlI, -repes 3arp5I3HeI-IHYIO BO}J;y. rpasnsre PYKH. <PaKTopaMH pacxa sapaxenas TOKCOrrJla3- M030M JIBJIJIIOTC5I npcoxasaaae B CeJJbCKOH MeCTHOCTH. KOHTaKT C KOiliKaMH, rrpHBbI'IKa npotiosars CbIPOH M5ICHOH <papili. ynorpe- 6neHHe B nanry nozrycsrporo MJlCa. 3a60neBaHHe MO)[{eT rrporexars 6eCCHMTITOMHO. a MO)!{eT corrpoaoxnart.cs rrossnireaaexr TeMTIepaTypbI, rOJIOBHbIMH 60JI5IMH 1I 60mIMH B MbIIlluax. nOJIBJleHIIeM CbITIH na KO)!{e. TJI)[{eJIble q,OPMbI TOKCOnJIa3M03a pasBHBaIOTC5I TOJIbKO npa CHH)[{eHHH lIMMYHHoH3ar.u:HTbI opraaaaua.

Y )!{eHIIIlIH TOKCOnJIa3MOS MO)f{eT 6bITb rrpII"'IHHOH paSBHTH5I aocnamrrensaoro rrponecca MaTKH, rrpH}J;aTKoE C p)1I:lTeJIbHbIM Te'IeHHeM. He TIo):(,LIaIOIIIerOcJl 06bI<'IHOMY neseHHIO. Bce 3TO MO)f{eT rrpIIBO,LIHTb K pa3BIITHIO 6ecnJIoAl':I.5I lIS-3a BOCnanHTeJIbHOrO rtponecca HJIH rOpMOHaJIbBbIX HapYIIIeHlJU. Ho ecmr 3a60JIeBaHHe He OKaSaJIO BJlHHHHe aa crroC06HOCTb )!{eHIIlHHbI K Sa'l3THl:O, TO EO EpeMJl

6epeMeHHOCTll TOKCOnJIaSM03 He oxassrsaer nerarnanoro EJIHJIHH.I1 aa re-reaae 6epeMeHHOCTH H COCTOJIHae nnona, TaK KaK B opraHll3Me MaTepll <popMHpyeTcH HMMYRHTeT. samHmaIOIIIHH nJIOp, OT BJIHm-IH5I llH<peKLlHH.

Ilpa sapaxeaaa BO BpeM5I 6epeMeHHoCTII BHYTPIIYTp06Hoe HHq,aUHpOBaHHe DJIOzta npOlICXO,lJ;[[T rrpIIMepHO E 50% CJIY'laeB. TOKCOrrJIaSM03 MO)[{eT 6bITb rrpH'II1HOH rrpepbIBaHHJl 6epeMeHHocTH E paaane CpOKH. pO)[{,LIeHHJI nerea C nopoKaMH pa3BHTHJl r0)10BBoro. crmaaoro M03ra II ApyrHx opraHOB. a raxxe ffr6eJJH naona.

TIocJIe pO)!{)J.eHH5I y HH<pHUHpOBaHHblx HOBOpmK,lJ;eHHbIX qaCTO BbI.I1BJJJleTCJl sa,lJ;ep)!{Ka YMcTBeHHoro pa3BIITHJl H ApyrHe rrpOJlBJIeHHJI nopaxenns HepBHOH CHCTeMH napynrenns 3peHH5I. cnyxa.

nHarHocTHpyeTC51 sationesaane no BbI5IBJIeHHIOB KpOBH lIMMYHHbIX aHTHTeJI KJIac:COB MHG.

Ecna y )[{eHIIIHHbI zto 6epeMeHHOCTH ner B xposn aHTIITeJI K ,[(aHHOMY B036YAHTeJIIO, TO He06xo.a:HMO 1-I36eraTb cHTyaLlIIH. B KOropsrx B03MO)[{HO HI-I<pHUlipOBaHHe TOKCOrrJIa3MOH: yxo.a:a sa KOiliKaMH. yrrorpefineHHJl B nHmy csrporo HJII1 nozrycsrporo MJICa H PbI5bI.

Jlexenae TOKCOrrJla3MOSa rrpOBOp,lITC.I1 npa rrOMOIIIH aHTII6HOTliKOB II npenapaTOB ,lJ;JI5I CTHMYJI.5IUHH HMMYHHTeTa COBMeCTHO c HH<peKLlHOHHCTOM H napa3llTOJIOrOM. TIpH BbIllBJJeI-IHH 3a60JIeBaHH5I BO BpeMH 6epeMeHHOCTH neseaae B03MO)f{HO CO sroporo TpHMeCTpa. TIpH HH<pHUHpOBaHHH B nepBOM TpHMeCTpe Eorrpoe 0 TaKTIIKe Be,[leHH5I 6epeMeHHOCTli pemaercs HH,lJ;HEH}J;yaJJbHO.

XnaMHAHltHa.R HHclJeKqH.R XnaMH,lJ;HOS - onaa H3 caMbIX TPY}J;HOHSJIe'IHMbIX IIHq,eKLlIIH. Ilopasceaae MO'IenOJIOBOH CHCTeMbI ssrasrsaer Chlamydia trachomatis. XapaKTepHOH ocotieaaocrsro xnaMll,I:(HHHOH HH<peKLlIIH y )!{eHr.u:HH HBJIJIeTC5I OTCYTCTBHe B 60JIbIIIHHCTBe orysaen KaKHX-JUI6o KJIlIHII'IeCKHX rrpOJIBJJeI-IHH. EeCCIIMrrTOMHoe reseane saTpyp,HJIeT ,[IuarHOCTIIKY sa- 60JIeBaHH5I II npHBO,r(HT K q,OpMIIpOBaHHIO XpOHII'IeCKOrO rrponecca, 3aqaCTYIO xn3MHnH03 snepssie BblJlBJIJleTCJI npn 06paIIIeHHlI K spaxy no nOBoAY 6eCnJIO,lJ;WI. xcropoe Hepe}J;KO paSBHBaeTC5I I-Ia <pOHe satiorresaaa».

Chlamydia trachornatis 6bIBaeT necxonsKHX TIITIOB, O,lJ;HB H3 KOTOPblX BbI3bIBaIOT TpaxoMY - Sa60JIeBaHHe ma3, }J;pyrHe - BeHepH'IeCKYIO JIHM<porpaHyneMY (rropazcenne KO)!{H HJIII JJHM<paTH'IeCKHX Y3JIOB naXOBOH 06JJaCTH, MaJIOrO rasa), TpeTbH - MO'IenOnOBOH XJIaMHAH03. XJIaMH'[(Hll 3aHHMaIOT npOMe)!{YTO'IHOe rrOnO)[{eI-IIIe Me)[{,lJ;y BH-'"

_,[I06EPEMEHHOCTV1 BCE no nfJAHY

Heo6xo,[lltlMO 06f13a- pycaMH H 6aKTepWIMH. OHH HMeKlT CXO,nHoe c 6aKTeJlbHOe KOHTPOJlb- TepHJ.!MH crpoenae, HO, KaK H BHPYChI. He MoryT Hoe 06CJleAOBaHvte pa3MHO)KaThcJ.! BHe KJIeTKH X03J.!HHa. ilMeHHo 3THM yepe3 3-4 HegeJlVl 06bJICHJ.!KlTCJI 3Ha'IHTeJIhHble TPY)lHOCTH ,[lHarHOCTHnocne OK.OH4aHV1f1 fle- KH H JIe'-.!eHHJI nanaoa HHcpeKIIHH.

ye H ttl fI . OT MOMeHTa 3apa)KeHHJ.! no B03MO)KHOrO rrOJIBJIeHHJI

nepssrx KJIHHH'-IeCKUX Cl!IMrrTOMOB rrpoxozmr OT 15 zto 40 ,o;HeH. KaK npasnzro. nepssre Cl!IMrrTOMhI rrOJ.!BmUOTCJI Tor,na, xorna opraHH3M qeJIOBeKa He MO)KeT cnp3BIITbCJ.! C aKTHBHhIM pa3MHO)KeHI-IeM XJIaMH,nHH. Ho OTCYTCTBue CHMIITOMOB He osaasaer. '-ITO JIe'-i:eI-lHe He Tpe6yeTCJI. BblJIBJIeHHe XJIaMH)lI-IH scerna rpefiyer aKTHBHoro JIe'-leHI-IJI. xoropoe n03BOJIJIeT I-I36e)K3Tb OCJIO)KHeJ:Il!IH H pa3BHTH5.! cepsesnsrx rropaxenmi perrpO,[lyKTHBHbIX opranoa. Haaoonee -racroe npOHBJIeHHe XJI3MI-IAI-I03a - aocnaneane meHKH MaTKI-I (I1epBI-Inar) I-I Mo'-.!eI-IcnYCK3TeJIbHOrO xanana (yperpm). Oxeas peznco nauaearox fierrroxosr nenpaarasre omyrnenna npa MO'-leHcnYCKaHI-IH H Hecrreumj)HqeCKHe BbI,neneHHJI H3 nononsix rryreir. I1pH CHH)KeHI-II-I HMMYHHOH 3aIll,HTbI, HaJIH9HH BHy:rpHMaT09Hoii CrrHpaJIH. a TaK)Ke rrpOBe,neHI-II-I BHYTpI-IMaT09HhIX MaHHrrYJISl.IJ.Hll (,nHamOCTI-I'-IeCKOe BbICKa6JIHBaHHe. a60pT) HHcpeKUI-IH rrpOHHKaeT B MaTKY H MaTOqHhIe rpytisr. PacrrpocrpaHeHHKl HHcpeKI'(I-II-I crroc06CTBYKlT H cnepMaT030I-I,nbI, KOTopble sa C9.eT csoero aKTHBHoro nepe,nBI-I)KeHH!I cnocoomr «,[(OCTaBnJITb» XJIaMI-IAHH B BepXHHe oraenu penpOAYKTI-IBHOll CI-ICTeMbI (MaTKY, MaTO'-lHble Tpy6b1). H3I-I60JIee cepsesasre nOCJle,o;CTBI-IJI P33BHB3KlTCJI B pe- 3YJlbTaTe BOCnaJIHTe]]bHOrO npouecca B MaTO'-IHb1X TPY- 6ax. TaK KaK npa 3TOM cpopMHpyeTGI HerrpoXO,[(HMOCTb rpyti H rpytiaoe 6ecrrnO,[(He. Kpove roro, XJlaMH,nHllHaJI HHcpeKIIHJ.! aepeztxo npOJIBJIHeTCR CPOPMUPOB3HI-IeM cnaexnoro nponecca B 6PKllIIHOH rrO]]OCTI-I. '-ITO TaK)Ke npHBO,[lHT K 6eCrrJlO,[(HKl.

s

IIpI-I HaJlHqHH XJIaMI-I,o;I-IHI-lOH HHcpeKQHH Y 6epeMeHHOH )KeHU(I-IHbl B 60% cnyxaea npOI-ICxo,[(HT PO)Knemre aenononreanoro peoenxa. XJlaMH,l.(HH Bb13b1- BaIOT BOCrraJIeHHe B nnauenre, BCJIe,nCTBHe KOToporo HapymaeTCJI ee cpyHKQHH - pa3BHBaeTCJI nnauearapHaR He,nOCTaT09HOCTb. B pe3YJlbTaTe He,o;OCTaT09HOCTH nnanearia nponcxozmr saztepxxa pa3BHTHJI nnona. 3aMe,UJleHI-Ie era pOCTa l!I npH6aBKH seca ,QeTH PO)K,naKlTCJI C HI-I3KHM BeCOM, CHI-I)KeHHbIM I-IMMyHI-ITeTOM, 'C[3CTO 60JIeKlT, rrJIOXO pacryr. B 40-70% CJIY9aeB B03MO)KHa nepe,[(a9a XJJaMll,[(H03a OT MaTepH K nnony. He I-ICKJIKlLfeHO TaK)Ke 3apa:>KeHUe peoeaxa BO BpeM5.! PO,o;OB, ecna llHcpeKUUJ.! norraner B maxarem.asre nyra HOBOpO)K,UeHHoro - pa3BI-IBaeTCJI xJIaMu,lIliHHaH nHeBMOHI-IJI. ,Qmr ,l.(I-IarHOCTllKU 3a6oJIeBaHWr xarne scero IIpI-IMeHJIeTCJI IIUP-uccne,noBaHHe COCK060B H3 xaaaJIa mellKU MaTKll I-I MOqeHcrrYCKaTeJIbHOrO KaHaJIa. TaK KaK XJIaMugHI-I pacnorroxensr BHYTpHKJIeTOqHO, ocofieano Ba)KHbIM CTaHOBllTC5.! npaBHJIbHOCTb saoopa MaTepUaJIa ,lIJIJI llCCJIe.o;OBaHUH. Ilepezt I-ICC]]e,nOBaHlleM He06xo)..(HMO He MO'-IHTbCJI B rexenae 15-2 '-IaCOB, ecrra MaTepUaJI 6y,UeT 3a6upaTboI H3 yperpu, KpoMe roro, rraI'(I-IeHT He ,[(OJI)KeH HCnOJIb30B3Tb B TeLfeHI-Ie 3-4 nenem, nepen llCCJIegoBaHHeM aHTI-I6HOTllKH TeTpaUI-IKJIHHOBOro psna (,[(OKCHIJ,HKlIHH. TETPAIJ,HKlIHH, FOHHIXoKq.

AHaJII-I3bI KPOBU na BbIJIBJIeHHe CrreIJ.HcpI-IqeCKI-IX HMMYHHbIX aHTI-ITeJI K XJIaMu,nHRM rr03BOJIJIKlT YTO'-.!HI-ITb ,nHarH03, HO He HBJIJIIOTC.f.[ KpI-ITepI-IeM 336oJIeBaHHH B 60JIbIllHHCTBe CJIYLfaeJ3, B OTJIU'-IHe or 06- HapY)KeHHH CaMI-IX XJIaMH'[(HH. II03TOMY ne-reaae XJIaMI-I,UI-I03a rpefiyer, Bo-nepBbIX, llCIIOJIh30BaHUJ.! aHTH6aKTepUaJIbHbiX nperraparos, cnocotimrx npoHUKaTb BHYTPb KJIeTKI-I. a BO-BTOPbIX, MepOrrpI-IHTI-IH, HaIIpaBJIeHHbIX aa CTUMYJIJIIIHIO 3ar.u;I-ITHbIX CI-IJJ opraHll3Ma ,lIJI5.! 60ph6bI C I-IHcpeKUI-Ieii. J1e'leHlle npOBOgHTCH COBMeCTHO C IIOJIOBbIM naprneposa. Ha BpeMR JIeLfeHHlI rrO]]OBa5.! )KH3Hb I-ICKJIKl'laeTCJ.!, rrocne ne-reHHH no IIOJIY'-IeHHH KOHTpOJJbHblX aHaJIll30B crporo HcrrOJIb3yeTCJ.! npesepsaras. O'[(HaKO acerna CJIe,[(yeT IIOMHI-ITb, 'ITO Hll O,[(Ha cxexra JIeLfeHUJI He rapaarapyer BbI3,l10pOBJIeHlle, II03TOMY He06xo,nUMO 06H3aTeJIbHoe KOHTpOJIbHOe 06CJIen,OBaHue qepe3 3-4 He,o;e]]l!I IIOCJIe OKOHLlaHHJI JIe9.eHI-IH.

MltKOnna3MeHHaa

It ypeanna3MeHHaa HH$eKqHH

Pon MUKOrrJIa3Ma BKJIIO'-.!aeT 60JIee ,[(eC.lITKa BU,llOB, HO TOJIbKO 4 H3 HllX MoryT Bbl3bIBaTb y 9.eJIOBeKa sa- 60JIeBaHllJI, 3TO Mycoplasma genitalium, Mycoplasma homints, Mycoplasma pneumoniae H Urea plasma. urealyticum. Mycoplasma pneumoniae BbI3bIBaeT 3.a- 60JIeBaHH5.! '[(b1x3TeJIbHOll CHCTeMbI, OCTaJIbHble - MOgerrOJIOBYIO uHcpeKIIHKl.

3TU MI-IKpOOpramI3MbI, B ocooeaaocrn Ureaplasma urealyticum, gOBOJIbHO IllI-IpOKO pacnpocrpanema, ocofieaao y cexcyansno aKTI-IBHb1X II 6epeMeHHhlX )KeHIll,I-IH. a TaK)Ke IIpI-I npaejse rOpMOHaJIbHblX KO.lITpaI'(enTI-IBoB. TaK KaK BepoHTHoCTb 3apa)KeHI-IJI noa .. 2':''' IlIaeTCJI rrpanosmuennou ypoBHe B xposa )KeHcro-::- '-'

IIOJIOBorO rOpMOHa 3CTpOreHa, nanpavep. npn 3HgOMeTpH03e - rOpMOH03aBllCllMOM 3a60JIeBaHHH, rrpH KOTOPOM BHYTpeHHHH CJlOH MaTKH - 3H]lOMeTpHH pa3paCTaeTC5I B aexapaxrepnsrx gJl51 nero MeCTax, 'lame scero rropaxaer MblIIIe'lHblH CJIOH MaTKll.

OCHOBHOH rryrr, nepena-ra HH<peKQHH - rrOJIOBoH. HHKaKHX CrreQHq,H'leCKllX rrp05IBJleHHH MHKOrrJIa3- M03bl He HMeIOT. B HeKOTopblX CJIY'la.>.!x JKeHIQHHbI )[(anYIOTG! aa ,l(HCKOMq,OPT npa MO'-IeHcnYCKaHHH, He3Ha-nrrensnsre BbI]leneHH5I H3 rrOJIOBbIX nyrefi. IIpH pacc rrpOCTpaHeHHH socrranarensaoro nponecca B nsnuene)[(amHe ornezrsr perrpOgYKTHBHOH CHCTeMl,I Mo)KeT pasBHTl,C5I 3H,l(OMeTpHT (BOCrraJIeHHe CJlH3HCTOH 060nG<lKll MaTKll), cansnanrrrr (socnaneaae MaTO'lHbIX Tpy6). B 3TOM CJIY'lae MOJKeT pa3BHBaTl,CH 6eCIIJIO,l(lle H HeBl,Iaanraaanne 6epeMeHHOCTll. MllKOrrJIa3Ml,I H ypearrrrasMbI Bl,I3l,IBaIOT ypeTpllTbI, QHCTHTbI - BOCrraJIeHHe MO-reacnycxarensaoro KaHaJIa, MO'-IeBOrO nY3hlpH.

Ilpn aKTllBHOH MllKOrrJIa3MeHHOH HJIH ypeanaasMeHHOH HHq,eKQHH BO BpeM5I 6epeMeHHOCTll MorYT pa3BHTbC5I rrpe)[(,l(eBpeMeHHoe rrpepsmanne 6epeMeHHOCTH, MHOrOBO,l(He, nenpaaansnoe npaxperrneaae 11JIaQeHTbl, npexnespeneaaoe OTXQ)K,[IeHUe oxononJIO,[lHl,IX BO]l, socnanenne 060JIO'-IeK nnona, a rrocne PO,[lOB B03MO)J(H0 paasnrae 3H]lOMeTpHTa (socnaneaae cnH3llCTOH 060JIO'IKll MaTKH). Hacrora BHyTpuYTp06Horo HHq,UQupOBaHU5I npll ypeanJIa3MeHHOH UHq,eKQllH COCTaBJI5IeT 45%, npn MHKOnJIa3MeHHoH - no 20%. B czrysae T5IA<eJIOro 3a60neBaHHH nOpaA<aIDTOI rnasa, nexens. nO'lKH, HepBHa51 cacrena. KOA<a, JIllMq,aTl'!'leCKHe Y3nbI nzrona. MHKOnJIa3MbI cnocofiasr BbI3hIBaTb q,OpMllpoBaHlle ITOpm:.:oB pa3BllTII.>.! ITJIoJJ:a, )J,eHcTBYH na reaern-recxon ypoBHe. O]lHaI(Q ace 3TH npOJiBJIeHHH pa3BUBaIOTCH TOJIbKO npa HaJIWIHU axTUBHOH q,a3bI llHq,eKUHU - xorna B036Y]lllTeJIH UHq,eKU:U1:I aKTUBHO pa3MHOJKaIDTCH B TKaH5IX -renonexa. HOO1TeJIbCTBO MUKOnJIa3M He npWlHHHeT apena 3JJ:0- POBbIO JKeHIQHHbI II IIJIO,[l(1. fI03TOMY ,lJ;JI5I peureana sonpoca 0 He06xo,nUMOCTH JIe'leHU5I peKOMeHJJ:yeTcH npa 06HapYA<eHllH ypea- U MllKOrrJla3M MeTO,[lOM Illfl' rrpOBo,nllTh KYJIbTypaJIbHOe llccne,nOBaHue - noceB na 3Tll llHq,eKUHH. BbliIBJIeHUe MUKOnJIa3M B KOJIU'IeCTBe 60JIee 104 npa HaJlH'lUU KJIHHrrqeCKUX rrpOJiBJleHHH BOCrraJIllTeJIbHOrO nponecca 51BJIHeTC5I OCHOBa-

IIHeM ,nml nposeneaaa JIe'IeHHJi. 3TO accneaosaaae BKJIIO"IaeT TaKA<e onpezreneaae 'IYBcTBllTem,HocTH K aHTH6HoTHKaM. n03ToMY MOA<HO nonofipart, HaH6onee 3q,q,eKTHBHoe JIeqeHIIe. ilCCJIe,lJ;OBaHIIe aHaJIII30B KpOBII naer Mano IIHq,opMaUHll, TaK KaK IIHTeHCIIBHOCTl, UMMYHHbIX peaKQHH MallO 3aBllCUT OT BblpaJKeHHOCTH UHq,eKUllOHHoro npOQecca.

IIoMHMO anraoaxrepaansasrx rrpenaparos ,nJI5I neqeHUH 06bI"IHO UCIJOJIb3YIOTC5I nperraparu ,[InH noBbIIlJeHUJi aecnenmpn-recxnx 3amHTHbIX CHJI opraHH3Ma. ne'leHHe npOBo,o:HTCH COBMeCTHO C nOJIOBbIM rrapTHepOM. KOHTPOJIbHble aHaJIH3l,I c,o:aIOTCH 'lepe3 3-4 He,lJ;eJIH nocne JIeqeHH5I, nOCJIe o-repennoa MeHCTpyaU:HH. Ha BpeM5I JIe'IeHH.>.! rronosaa A<U3Hb HCKJIID'CJ:aeTCH. ,0:0 rronyxeaas pe3YJIbTaTOB nexenns HCnOJIl,- 3yeTc5I rrpesepsarns.

KpacHy.xa

Kpacnyxa - 3TO ]leTCKaH HHq,eKU:H5I. KOTopaH. KaK npaBUJIO. He BbI3bIBaeT HHKaKHx np06JIeM, eCJIH eH 60JIeeT petieaox. 3apaJKeHHe xpacnyxoa nponcXO]lHT B03JJ:YIlJHO-KaneJIbHbIM nYTeM. AJI.>.! 6epeMeHHOH A<eHIUHHl,I KpacHyxa nperrcrasnaer orpOMHyIO OIJaCHOCTb, ilHq,HIIHpoBaHHe rrnozia npUBOJlHT K B03- HHKHOBeHUIO pasaoofipasasrx nopoKoB pa3BHTH5I:

MllKpoueq,aJIHH (YMeHbIIIeHHe paassepos rOJIOBHOrO M03ra, MllKpOq,TaJlbMHH (YMeHbrneHHe paauepos rnasastx H6noK), BpOJK,o:eHHoH xarapaxrsr (noMYTHeHHe xpycTaJIIlKa rnasa), nopoxos cepnna. BpOJK,[IeHHOH rnyxoru. a raxxe BOCnaJIHTenbHbIX 3a60JIeBaHHH roJIOBHOrO M03ra - 3Hu:e<paJIHTa (nocnaneaae seutecraa ronOBHOrQ M03ra). MeHHHr03Hueq,anHTa (socnaneane semecrna H 060JlOQeK rOJIOBHOrO M03ra). MeE-IHHrHTa (BoCIIaJIeHHe 060JIO'IeK ronosnoro M03ra).

Ilpn 3a6oJIeBaHHH B aa-rane 6epeMeHHocTll, KaK npasnrro, npoHcxo,nHT paHHHH BbIK(1).\bIIII. Ha 60nee n03,nHHX CPOKax B 60JIbIlIIIHCTBe CJIY'laeB )KeH~HHe. 3a60JIeBilieH KpaCHYXOH, npenzrararo'r npepsars 6epeMeHHOCTb no MeJJ:HUllHCKHM rrOKa3aHH5IM.

Ho scero sroro MOA<HO JIerKO H36e)KaTb. HyA<HO TOJIl,KO BO BpeM.>.! nJIaHHpOBaHH.>.! 6epeMeHHOCTU cnars KPOBl, na HaJIH"IHe HMMYHHTeTa K BHPYCY xpac HyXH. 3TD peKOMeH,[IyeTC5I cnenars BceM, ,o:aA<e eCJIU Bl,I cxaraere. 'ITO 60JIeJIH B AeTCTBe KpacHyxoH.____'"

AV1arHocn1pyeTC51 TOf{conna3M03 no Bbl51 BneHl-11O B f{POBV1 V1MMYHHblX aHTY1Ten «nacCOB M V1 G.

,UopOrI1e qI-lTaTenH!

Haneeracs. qTO sa MeCJ'!Uh! Q)!OIp;aBl:I!! MaJIhlilla na:n )KypH31I He pa3 npmuer; BaM na BhlpyqKy. ECJIH 31'0 ,!IeMCTBHTeJIhHO TaK, Y BaCeCTh ruaac CTaTh rr06e,l(HTeJIeM KOHKypca HCTOPHM aa TeMY «KaK MHe IIOMor JKypHaJI «9 MeG[~ell)}. Aaropsr rpex JlYQIllI1X paCCK330B lIOJlYQ3T rrpassr OT cera Mara3HROB OJIAHT - nporyJIO'1HYIO KOJIJlCKY CHICCO Multiway, a TaK:lKe AHCKOHTHYIO xapry VIP, KOTOpaJl' zraer IIpaBO na IIoKynKI:I C 10% cKH)lKOn B cera Mara3I:IHOB OJIAHT.

Multiway CHICCO - cOBpeMeHHaJI KOm!CKa-TpocTh co B.CeMl1 Heo6xo,!ll1MblMll axceccyapava B KOMnJIeKTe: perYJIHpyeMblM K3nIOmOH C OKomKOM C 3arrrHTOH OT UV-Jlyqen, nOp;rOJIOBHHK, My¢T3 ,l(JI!! nor, 6aMnep, ,!IOJK,!IeBHK II KOP3llHK3 ,l(JlJI noxyrrox. CnHHK3 perYJIHpyeTCJI OI1HOM PYKOM no roPH30HT3nhHoro nOJIQ)KeHll!!. upenaaaaa-rena nnJI nereri C pQ)K,!IeHl:IJI ,!IO 3 ]JeT. HMeeT 60JIhUJl1e npoxozraxue xozreca ,!1113MeTpoM 20 CM. ITPOCTOpHoe CH,!1em.e - H B TO )Ke BpeM!! KOMn3KTHhIe pa3Mepbl: mHpHHa IIIaCCl:I KOJI!!CKH scero 55 CM - OHa npOXO,!lHT B m060H JIH¢T II ABepHoM npoeM.

)K,!IeM BaUJHX.ITllCeM ITO 3JIeKTpOHHOM ITO'Y'Te: firma@9months.ru ilJIH no anpecy. 107392. r. Mocxna, a Iff. 14. He 3a6YAhTe YKa3aTb B ITHCbMe CBOll anpec, Tene¢oH HJIH arrsre KOHTaKTHble nanmre.

9 MEClHjeB

9

_A05EPEMEHHOCTlII, BeE no nnAHY

ne4eHV1e V1HQ:>eKL\MOHHblX 3a6oJleBaHItl~ BHe 6epeMeHHOCTlII He Bbl3b!BaeT 6onbWItlX TpYAHOCTe~.

ECJUI llMMYHHTeT ecrs, TO Hlll.JerO 601lhilie nenars He aano. a ecnn ero HeT, HY)KHO cnenars npllBllBKY or KpaCHYXll H TpH MeC5Iua rrpe,[(oxpaH5IThCll OT 6epeMeHHOCTH.

B HJCT05!luee BpeMll BceM )J,eT5IM )J,ellJIOT rrpllBHBKH OT KPJCI-IYXH. Ilepaaa BaKUHHJUllll 06bIl.JI-l0 npoBoAllTCll B B03pJCTe OT 14 AO 18 MeC5IUeB, BTOpJ5I - OT 6 go 12 ne'r, AJ1ll AeBO'IeK 3TO oc06eHHO Ba:>KHO. O,[(HaKO llMMYHllTeT nocne npasnaxa MeHee CTOHKHH rro CpJBHeHHIO C HMMYHHTeTOM, pa3BHBllIllMC5I rrOCJIe 3a6oneBaHll5I, IT03TOMY, Aa)Ke ecna BhI 6hIJIll npasaTbI OT KPJCHYXH B AeTCTBe, Heo6xo):(HMO npOBepHTh aana=rae HMMYHHTera K BHPYCY KpaCHYXII nepen 6epeMeHHOCThIO,

ltHToMeranOBHpYCHa.H HHcpeKqH.H (ltMBIrt) 3TJ HH<peKUH5I Ol.JeHh llIHpOI<O pacnpocrpaaeaa. B 60JIbillllHCTBe CTpJH IIHcP1IIl,HPOBJHHbIMH 51BJ15IIOT-

OJ: 60nee 95% HJCeJ1eHHll, Y 30-60% AeTei:! nepBaJ'! acrpexa C UMB npOHCXOAl1T na nepaoxr rozry :>KH3HH, 3apJ)KeHHe UMB nponcxonar OT 60J1hHOro l.JeJIOBeKa B OCTPOi:! m!II 6eCCllMrrToMHoi:! ¢opMe. Bosoynarem, UMBI1 06HapY:>KHBaeTO[ npaKTHl.JeCKH BO scex )KHAKOCTHX opraansua qelIOBeKa, cnenoaarensno, sapa- 3HTbC5I MO)KHO B03.nYUlHO-KarreJIbHhIM nyreu. noneBhIM nYTeM, B03MO)KHO BHYTprrYTp06Hoe aapaxeaae nnona, sapaxenne noaopozcneaaoro BO BpeMll POgOB H rrpa KopMJIeHHH rpYAbIO.

UMB MO:>KeT rrO)KH3HeHHO HJXO,[(HThCH B opraaasMe 'IeJIOBeKJ. ITPH 3TOM rrpOJ.!BJIeHHH 3a60neBaHIIJI, KaK rrpasano. OTCYTCTBYIOT, Ho y.leJIOBeK MO)KeT BbIAeJIllTh BHpyC II 6hITh HCTG'-IHllKOM sapaxenaa. Pa3BHTlle l'IH¢eKUllll B03MO)KHO rrpn CHll)KeHHH llMMYHHTera. Krraaa-recxae rrpOJIBneHHJI UMB-llH¢eKUHll HecrreUH¢HQHbI. 3a60JIeBaHlle MO)KeT ccnposoacnan.ca rrOBblilleI-IHeM rexneparypsi, YBeJIIIl.JeHIleM JIHM¢aTII' -recxax Y3JIOB, 601IllMII B MhIIIIuax, clIa60cTbIO. B 3TOM oryxae, KaK npaaano, YCTaHaBlIIIBaeToI AIIarH03 OP3. ITpH 60JIee T5I)KeJIOM re-reuna MorYT pa3BHTbCJI naesMOHH5I (socnanenae lIerKHX), 513BhI )KeJIYAKa II xmne-rHHKa, rerrarnr (socnaneaae rrexena). MIIoKapAHT (BOCnanemre cepnexaoa MbIllIIIbI). B aexoropux cnysasx IICTHHHbIH nIIarH03 TaK II He YCTaHaBJIJ!IBaeTCll.

Oc060e 3HaqeHHe UMBI1 npaofiperaer rrpII 6epeMeHHOCTII. OHa JIBJIJIeTCJI O,nHOi:! II3 npIIQHH rrOHBJIeHII.ll yrpo3bI npepsmanna 6epeMeHHOCTII II rrpe)!<neBpeMeHHbIX PO,nOB, a TaK)Ke T5IjKeJIhIX nopoxos pa3BIITHJI rOJIOBHOrO M03ra, rnas II np.. BHYTPHYTp06- HOi:! rH6eJIH nnona,

HaII60JIee I-Ie6JIarOrrpIIflTHhIH acxon B03MO)KeH npa sapaxenna BllPyCOM UHTOMeraJIIIrr nerrocpenCTBeHHO BO BpeM5I 6epeMeHHOCTH, xorna Y )KeHIIIHHbI HeT IIMMYHllTeTa K nOMY BHPYCY. B 3TOM czrysae BHpyc 06bIl.JHO 6bICTPO npOHHKaeT K rrJIO,lJ,Y. ECJm HH¢IIIIIIpOBaHlle Il,IITOMeraJIOBIIpYCOM rrpOH30111JIO ):(0 6epeMeHHOCTH, B opramrsne ira MOMeHT 6epeMeHHOCTll Y)Ke 06pa3YIOTCll 3aIIIHTHbIe aHTfITeJIa rrpOTHB BHpyca. n03TOMY pHCK ,lJ,JIjJ nnona 3aMeTHO CHH)KaeTOI.

B aopxie nnanerrra aenponnnaeua ):(J15I UMB, HO B PJI.ne cnyxaes .B03MQ)KHO BHenpeHlle BHPYca B nnanerrry H ll3MeHeHHe ee TaKHM 06pa30M, 'ITO OHa Ha'II1HaeT «nporrycxars» BHPYC K rrJIO)..lY·

E~J1111'8bhO>+<l::1AaeTe MaJ1bIWa, npnurnnre HaM (80111 diororpadian - 'H,e :06~~afe~lbHp CAenaHHb!e npocpeCClIIOHa11bHblMlli diororpadiawa,

.. ~: .. ~::' ~ .~.'

H@';QTPa}lfalO~tI1e eauiv lIIHAk1BII1AyaJ1bHOCTb 1II •.. saui }t{II1BOTlIIl{[

)fCgeN{a3wlIIx nlllceM no 3J1eI{TpOHHOMY aapecv: "frrma@9mQnths.ru; Ten. (495) 229-85-27.

He 3a6YAbTe YKa3aTb B nlllCbMe cBoiii renerpou 1111114 It1Hbie I{OHTal{THble AaHHble.

10

B KOH[(e 6epeMeHHOCTH rrpOHCXO,l:lHT rrepenasa 3amHTHbIX aHTHTeJI MaTepH rrJIOAY, 1J03TOMY nononrenasre nosoposcnennsre B 3Ha'iHTeJIhHOH Mepe sauraureasr OT B03- .ueHCTBHH l:!HcpeKll;HH.,

):(HarHOCTHpOBaTb UMBH MO)KHO rrpH no CJIe,lJ;OBaHHH KPOBH, MOqH, Ma3KOB, rzre MO)KHO 06HapY)KHTb CaM BHpyC. B KpOBH TaK)Ke onpenenaror aHTHTeJIa K UMB. IIpH 3TOM HMMyHOrJI06yJIHHhI KJlaCCa G YKa3bIBaKlT na XpOHH'ieCKHH HJIH nepenecenasra B rrpoIlJJIOM nporrecc, a KJIaCCa M - na OCTphlH (HJIn q60CTpeHHe xpomrsecxorc). 'iTO .5lBJIHerca OCHOBaHHeM gJI.5l Ha3Ha'ieHH.5l JIeqeHHH. Ha ,I.IaHHOM srane pa3BHTHH Me,l:lHIJ;HHbI nOJIHoe H3JIe'leHHe OT Il,HTOMeraJIOBHpYCHOH IfHcpeKIJ;HH HeB03MO)KHO, Cnenadnrsecxoro JIeqeHHH UMBH He cymecrsyer. ):(JIH neseHHH HCrrOJIh3YIOTCH npenaparsr, rrOBbIIlJaIOIl1He HMMYHHTeT, npornnorepnerrrsecrore JIeKapCTBeHHbIe cpencrsa.

repneTH'IeCKa.H HHclJeKqHJI B036Y)l;HTeJIeM 3a6oJIeBaHHH HBJIHeTCH BHpyC rrpocroro reprreca (BrIf) nepsoro H BTOpOro rnna. BTOPOH 'rarr sapyca nepenaerca nonoBbIM rrYTeM, nepssm - rrpellMyw;ecTBeHHO B03gYIlJHO-KarreJIbHbIM, 3TO caMble pacnpocrpaneaasre rnrrs: sapyca repneca HMll HHCPI-U_\HpOBaHbl 60JIee 90% HaeeJIeHHH 3eMHoro urapa, OgHaKO TOJIbKO naraa HX "UCTh HMeIOT KJJHHH'leeKHe rrpOHBlIeHHH 3a60JIeBaHHH - OCTaJIbHble 3a'iaCTYIO ,lJ;a)Ke He rrOA03peBaIOT

o HaJIH'iHH B HX opraHH3Me snpyca.

BHpyC npccroro repneca MO)KeT Bhl- 3bIBaTh nopaxenae KQ)KH H CJIH3HCTbIX 060JIO"IeK, 'lame aa JIHIl,e H rrOJIOBblX opranax, rOJIOBHOrO M03ra H rJIa3. IIpH 6epeMeHHOCTH BIIf 3aHHMaeT sropoe MeCTO rrOCJIe snpyca KpacHyxH rro TH)KeCTH asr- 3bIBaeMoH y rrzrona rraTOJIOrHH. feHl1TaJIbHhlM HJIH rrOJIOBOH reprrec xaute BhI3hIBaeTCH BIIf sroporo rrrna, HO B HaCTO!1mee BpeMH ):(OKa3.1Ha B03MO)KHOCTb pa3BHTHH naanoro nopaxenna H npH HaJIH'lHH TOJIhKO BIIf rrepBoro rnna. feHHTaJIbHhIH repnec rrepenaerca rrOJIOBbIM nyrexr B MOMeHT 060CTpeHHH 3a60JJeBaHHH y nap-raepa, a TaK)Ke B re-reane HeCKOJIbKHX AHeH ,[(0 H nOCJIe rrOlIBJIeHHH KJIHHH'IeCKHX npoHBJIeHHH 3a60JIeBaHH5l. IT03TOMY Aa)Ke npH OTCYTCTBHH BhICbII1aHHH HHcpnll;HpoBaHHblH 'leJIOBeK MO)KeT 6hITb aapasen.

IToCJIe 3apa)KeHHH BHpyC OCTaeTClI B opraHH3Me 'leJIOBeKa na BCIO )1013Hb. CB5I3aHO 3TO C TeM, ':ITO HMMYHHa5I cncreua 60peTCH TOJIhKO C aKTHBHhIM BHpyCOM, a BHe 060- CTpeHHH aarnaraas peaKIl,H5I He pa3BHBaeTC5I. Kpoxre roro, caM rro ce6e aapyc reprreca BbI3bIBaeT yraereane HMMYHHOH 3aW;HTbI.

060CTpeHHH reprreca MoryT nponcxozmrt, BCHKHH paa npa CHH)KeHHH 3aW;HTHhIX CHJJ opraaaana. Y )KeHIl1HH 060CTpeHHH Hepe,lJ;KO 6hIBaIOT CB5!3aHbI C MeHcTpyaIl,HeH. nOJIOBbIMH KOHTaKTaMH, CTpeCCOM,

Ilpn 6epeMeHHOCTH oco6eHHO onacao nepsnxaoe sapasceaae. TaK KaK B 3TOM CJIY-rae qaCTO npoacxoznrr caMorrpOH3BOJIbHhIH BhIKH,IJ;hIIII, CPOpMHpOB.1HHe nopOKOB HJJH rn- 6eJIb nnona. IIpH':IeM OTMe"IeHO 60JJee xacroe 3apa)KeHHe nnona y )KeHIl(HH C 6eCCHMrrTOMHUM re-renaesr 3a60JIeBaHH5I no cpaBHeHHIO C THrrH'lHhIMH rrp05IBJIeHH5lMll.

)J,J15I AuarHOCTHKH 3a60lIeBaHUH 'lame seero HCIIOJIb3yeTC5l MeTO,[( DUP. KOTOPbIH n03BOn5IeT orrpezremrrs caM BHPYC na CJIH3HCTOH 060JIO':lKe, B BbICbmaHH5lX, KPOBH, KpOMe roro, B KpOBF! MO')f{HO onpenenars 3aIl1HTHble aHTHTeJIa K BHPYCY repneca, "ITO rr03BOJI5leT YCTaHOBHTb CTa)l,HIO 3a60JIeBaHHH.

H3JIeLJeHlle OT repneca aa CerOp;H5l11IHHH ,lJ;eHh HeB03MO)KHO. Ho cymeCTBYfOT npenaparsr, crrocofiasre 06JIer<JHTb Te'JeHHe 3.160- neBJHH5I: YMeHhIIIHTb <JacToTY 060cTpeHHH, C,[IeJIaTh caMH o60CTpeHH5! xopoxe H ner-re. B HeKoTopblX CJIY':laHx rrpoTHBoBHpYCHbIe npenaparsr Ha3Ha'laIOTCll )l;nHTenbHO, B re':IeHHe HeCKonhKHX MeC5IIl,eB, HHOr,lJ;a - TOlIbKO B MOMeHT o60CTpeHH5!, CymecTBYIOT TaK)Ke BaKIl,HHhI. ncnonssyesnre BHe 060- CTpeHH5! 3a6oJIeBaHH5I,

Ha srane IIJIaHHpOBaHHH 6epeMeHHocTH npa qaCTOM pell;H,l.l,HBHpOBaHHH repnernqeCKOn HHcpeK[(llH pexoraenzryercs npodiaJIaKTH':IeCKOe npmieneaae npo'rnaorepneTH'leCKHX npenaparos. 3TO B 60JIbIlIHHCTBe CJIY'iaeB n03BOJIlleT H36e)KaTb 060CTpeHH5I 3a60J1eBJHHll B nepnue MeGIllhI 6epeMeHHoCTH, xorna OHO MO)KeT OKa3aTb 3Ha"IHTelIbHoe BJJH5!HHe na pa3BHTHe rrnona - BbI3BJTh BHYTPHYTp06Hoe 3apil)KeHHe HJIH Aa)Ke ero rH6eJIh.

113 scero BhIllieCKa3aHHoro CTaHOBHTCH HCHO, 'ITO nHcpeKll;HU, KOTophIe nnorna HHKaK He rrpOHBJIHIOTCH B 06hI':II-:IOll )KH3HH )KeHW;UI-Ihl, MoryT CTaTb npH'iHHOM cepsesHblX rrp061IeM BO BpeM5I 6epeMeI-IHOCTH, IIpH':IeM B 60JIbllIHHCTBe CJIY'laeB ne-renae HHcpeKIl,HOHHbIX 3a60JIeBaHHH BHe 6epeMeHHOCTH He BhI3bIBaeT 60JIbllIHX TPY'[(nocrea. A 3HaQHT, TPY,[(HO nepeoueanrt. Ba)KHOCTb 06CJIeAOBaHHH aa HHcpeKIl,HH, nepenarouraeca rr0J10BbIM nyren. H TORCHHHcpeKIl,HH rrpH nonroroase K 6epeMeHHOCTH. B 3TOM czrysae y,[(aeTC5I H36e)KaTb 60JIbllIHHCTBa rrp06JIeM npa tiepexeuaocra H He rrozrseprars CBOerO 6YAyw;ero pefienxa PHCKY HHCPHIl,HpOBaHH5! H B03MO')f{HOrO He- 6JIarOnpllHTHoro BJIH5!HH5I na ere passarae

JIeKapCTBeHHbIx npenaparos. _

AKywepcTBOl

• It1H):IIt1BI-1AyanbHoe BeAeHlt1e 6epeMeHHoc 1-1 POAOB

"Y31113KcnepTHom YP.0BHR (3D, 4D) III reHeTW-IeCKOe KOHcynbH1pOBaHlt1e,

(nporpaMMa «@SKAR», OTBeT 3a·1·AeHb) ~ OTjleneHI-18;'naToJ]orlt1lt1 6ep48M8HHOcTIt1

iii ponansuoe orneneuae

.. nanaru VIP It1 JlIOKC

,. 5aH K- CTBonOBblX Kn8TOK

HeoHaTanbHbll1 iQeHTp:

til BblXffiKIt1BaHIo18 H8,QOHOW9HHbIX HOBOpO)K,QeHHbl: ,. orneneaae narononra HOBOp0>KAeHHbIX

• nepeaoa 1t13 ):Ipyrlt1x pO,Ql-1nbHblX AOMOB

• nerccas peaHIt1Malllt151 It1 CKopa51 nououn,

lIIe.CIIl1arploUl:

III MHoronpoqJlt1JlbHblM ,QeTCKIt1M craunouap

• Ha6mo,QeHlt1e aa ,Q8TbMIt1 OT pO)K,QeHIt151 140 15 ns .. 3KcTpeHHafl rOCnIt1TaJlIt13aL\It1R, npe6blBaHIt11

MaMbl BMeCTe C pe6eHKoM

3anMcaTbCs:I Ha npllleM! nepl1HaTa11bHblM MeAlIIlIl1HCKIIIIII uesrp:

Ceaacrononscsasi np. ,Q. 24, K. 1, Te11.: (495) 331 7332; (499) 744 67 96 www.perinatalmedcenter.ru f1pynna1 iKoMnaHlII1II «MaTb 11 z:rYlTSI» . <aTO KJ1I11HIIIKIII wlllpoKorQ fi.~O¢II"JUl AJ'IR B3pocnb~x 1/1 ,AeTelii. wwW;mcicliRins,ru

------~

• POAlt1TEJUIM HA 3AMETKY

((nOXQAHAJh) 'IAWKA

nero -JJY'lllIee BpeMJl AJJll orzrsrxa na npnpoAe, Ho CKOJJhKO CJJmKHOcrefi MO)KeT B03HllKHyrb npa ncesnxe c pe6eHKoM! Philips AVENT 3a6oTIITO! 06 YA06cTBe pomrreneu II pefieirxa II npennaracr HOSYIO -rauncy-aenponaaaaxy C ¢YHKUIIefi repMoca; revrteparypa ee co;aep)[(HMOrO He MeHHerC!! B re-remte HeCKOlIhKIIX 'laCOB, a 60JIhllIOH 06beM sraurxa - 260 MJI - ODTllManhHO rrOnXO;aI1T ;am! nonrax rrporYJIOK na npnpone. 3arraTeHTosaliHhIH KJIaIIaH Philips AVENT nporrycxae r B03AYX BHYTph. nosrosrv pefienox M01Ker DHTb, He rrpHKJJaAbI8aJ'I 60JJI.IIIllX ycnnnii. IIpn 3rOM HI1 OAHa xanns aarmrxa He rrpozn.erca 113 -rannca. Aa1Ke eCJII1 ee TPJlCTfl. OrrpOKI1AblBaTh I1JII1 nonopacsmarr..

61OCTf4nbTEP C CEKPETOM

rromo6UBllIa.JJ:C5I .MHOrHM MaMaM rnaA\<a5l, 6ectuoBHaa MOneJJI. 61OCTralII.Tepa IV!H KOPMJIeHIui (MoAeJJh 411) OT aHtJJIIl'kKOll xosmaHMll Emma-lane (<<3MMa-,ll;1KeHHi,j Teneph 6yp;eT BprrrycKaThc.irli lia«KpCTO'lKaX» B P;BYX UBeTax - 6eJIOM l1'IepH.OM, Mozrem, asmonaeaa H3 coapeueaaoro Ma'fepnana -raKTlwI. (AhIIuarn;eHMHKpO¢H6phI) C nonnepaorsarorn;ei1 BH'jITp.eHHei(xflorrKQBOH BCTaBKoH, CneUHaJIbH.bw «KOCTaYKll}> BI.IIIOJlHeHhI as rnraaa - nerxoro, HO npoxaoro MeTalllla,. KOTO, phIll a6COJIlOTHO" ,HeBocnpHIIMYI1SK m06I>IM 113MeHeHH!.!M oxpyscaromea cpe):(.QI, nanpaMe'P Bna)!(HOCTH, a TaK>Ke rrpacncceforasaerCi! K II3MeHeHH!.!M rezra H He' 6YlleT CAa:JlJIH" BaTh rpym, H MeIl1aTh OTTOKY MOJIOKa,

IIYAECHblM KYBWMHIIMK

KYBIIHIH-MHKcep Dr Brown's noxroraer orpaHHYIITb norraztaaae B03Ayxa B MOllO'lHYlO CMeCb npH ee rrpilTOTOBJIeHIlI1. B KOHCTPYKUHH «ysnranauaxcepa npenyczeorpemr CneUHaJJbHI.le nonacra. xoropsre rr03B.OJIlHOT eMeIlIHBaTh Maeey 6e3 o6pa30BaHHl! cryeTKoB. nJlOKHpYlOIUee KOJlI.UO raparrrrr pyer, 'ITO JIOrraeTH OCTaRYTeR nOA CMeChl( BO BpeMJI nparoronnernra. TeM eaMbIM HCKJ1lO'IaeTCJI rronanauae B03Ayxa, 'ITO YMeHI.IlIIIT rrp06JJeMbl rrpPl KOpMJIeBl1l1 MaJIbluta - cphlrHBaHllJI PI xnruc-nrsre KOJlHKll, KYBIlIllH-MHKcep ncnco pa36HpaeTC!L II ero M01KHO MhlTb B rroi:YIlOMOeqHOH MallillHe.

nEPBOE nE'IEHbE

HOBoe .)J,eTCK0€ Ue'feHhll'Ue Heinz C <PPY.KTOBhH4 ITlOpe, ofioramenHoe:sffTaMllHaMli rpynnsr B 11 MHHepanaMH, rrOMOlKeT MJJIBItlIy OBJla1J,eTI. HaB~IKaMH /keBaHHJI H paCII:lHpHT MHp era BKytOBhtx DillY' rueHH:i"lc.J.1aH;rE! KpGXe rre'l:eHhUue Heinz; 'l:',l'06brb6ner'l:Hr'h 3YIl, xor}:\a y Hew pe1Ky_TC!.! 3y6KH, I1llH norrpofiyrrre pacrsopare ero B B0,qe FlJln MorrOKe - II nonysare KaIHKY KpeMoo6pa3HOH KOHCn;CTeHIt¥IM. I1e'l:eMI.HtJ,e Heinz He CQ,i.(ep)!(IlT ,<nlIllIHHX» llIT,5I. ,qeTeK0I10 0:eraHI13- Ma HHrpellHeBTOS; COJIH, zrenaraaa. llCKYCCTBeBHbIX aposrarnsaroFeB, KgamTeJJ@F! H J;llqiCO:SI.IX 1l06aBOK, Saro B HeM MHorn BKyCH'orO H rrOJIe3HOrO ¢PYKT0B01'0 mope, BHTaM.HHOB rpyrrrrn E, MilHepan.OB H rrpe6HOTHKOB - yrneBOADB, He pacurenzrsronraxca B BepXHHX OTIlena;x wreJIYAOQHO-KllllIe9Horo rpaxra FI JlBJIlllOlUl1XGI llCIi01.J:HllKOM nHiramfl! AnH «xopourefo MFIKpO¢JlOphl KHIIIe'l:BHKa,

Illaeiiuapocaa KOMrraHllH Medela, npomaorurrens MOJlOKOOTCOCOB II axceccyapos All!.! rpynnoro scxapsoraaanas. rrpennaraer HOB sre 6YThlJJO'lKFI nJl51 cfiopa. xpaaeana R 3aMopalKHBaHHJl rpyzraoro MOJIOKa otiseMOM 250 MJI. Ocotieanocn, 6YThIllO'leK ¢I1PMhl Medela 3aKJJlO'laeTC51 B TOM, 'lTO OHll H3fOTaBllHBalOTC5I FI3 nOmmpOl1HJIeHa - nnacrnxa. KOTOPbIH He COllep1KIIT 6Hc¢eHOll-A OKa3hIBalOIUHH spenaoe BllHHHHe

KpOBOJJHOBOH nesn rrpH rrOMOIUI1 naKeTOB QUick Clean or Medela HJlH KllIl5lTHTb,

CAn$ETKM

Ana KOPMJlI1lMX MAM

Crepansnsre ca.r.r¢eTKll Allll nonrOTOBKH rpYA",ll :K KOPMllea:llFq II3 KOCMerFI'leCKOH KOJJJleKUHH Mama Cam.fort He3aMeHI:Uvlbl )lJlH I<OPMJlll1HX"MaM. OHII n03BOnar IIop;rOTOBHTI. rpYAI. K KOPMJIeHRIQB mo6hlX ycnOBU5I1\. Can¢eTKH ofinazraror aHTHCerrTHYeCKHMll n pi;l.H03alKHBJJJIlOLUHMFI CBoHcTBaMFI, OHR rrponaraasr cneURallhHhIM COCTaBOM, KOTOPhIH fiesonacea AJl.!! HOBOP01KAeHHhIX MaJII.lIlIeH,

Mama Comfort

'ITO HX np06JIeMa He JIBIHleTOI YHHKaJIbHoii.:

U HMelDT B03MO)KHotTb nOJIY:'IHTb tOBeTbI npyrnx 6YJlYIUUX MaM no B03MO)!{HOCTlIM BhIXO):(a H3 TPYJlHbIX cHtyaIIHH, a rarcse npocpeCCHOHaJIbHblii. B3rJIlIA CneIIIIJJIIICTJ. 3TJ cpopMa pa60TbI C nCIIXOJIOrOM peKOMeHAYeTCH AJIH scex 6Y;O:YIUHX MaM, TaK KaK no- 3BOJIJIeT )!{eHIUHHe nOJIyqHTh xopoIllym HHcpopMaIl;HOHHYlD nOArOTOBKY U yxpernrrs n03HTHBHblii. HaCTpOH H sepy B C06CTBeHHble CUJIhI.

II KOHe'IHO, euie OJlHIIM H3 BapHaHTOB nonyqeHIIH nCl'lXOJIOrH'IeCKoii. nOMOIUH 5IBJIHeTCH HHAHBl'l;o:yaJIbHOe KOHCYJIhTl'lpOBaHl'le Y nCHXOJIOra. Ba)!{HO, qT06bI 3TOT crrenaaJIHCT HMeJI npJKTl'lKY pa60TbI C 6epeMeHHbIMH )!{eHIUHHaMH, TaK KaK K 6Y;O:YIUei1 MaMe HY)KHO nO;O:XO;O:HTb C OC06bIMH «MepKaMH)}.

MbI paCCKa)!{eM BaM HeCKOJIhKO HCTOPHi1, HJJJIlDCTPHPYlDIUllX TllnH'IHble np06JIeMbI 6epeMeHHhlX, xorna )KeHIUIIHe )!{enaTenbHO nOJJY'UITb nOMOIUb CneI(HaJIHCTa.

<dl He rereaa 6blTb MaMOH~~

HaCTH (:30 JIeT, CpOK 6epeMeHHocTH 29 HeJl.enb) trpniun« Ha KYPCbI rrOarOTOBKH K ponst«. aHa omnsuuuc» 01' OCTanbHbIX JKeHII.[HH nesoropoii HarrpHJKeHHOCTbFO H nesiensneeu rOBOpHTh 0 ce6e H CBoell 6epeMeHHOCTH. KorJl.a HaCTH pesroeopnnecs, OKa3alTOCb, <[TO OHa 6yaeT «caMOCTOHTelTbnoii MaMOll», 'ITO sect, ttepeuii TpHMeCTp OHa peuuuu. He npepeex» JIM ell 6epeMeHHOCTh H3-3a IIpo6JIeM C OTL(OM pe6eHKa. KOTaa MaJII,Im cten meBeJIHTbCH, 31'0 IIO"fTH He BbI3BalTO y HaCTH paJl.OCTHbIX 3MOL(HA EYJl.ymee pHCOBaJIOCb eli B Mpa"fHbIX TOHax YCTJJIOCTM, H3HypHTeJIbHOrO YXOJl.a 3J pe- 6eHKOM H HJrrpHJKeHHOli pJ60TbI. Ho HaCTH BHJl.elTJ Jl.PYTMX 6epeMeHHbIX, 06II.[JJIaCb C HHMH H IIOCTerreHHO ciene 'IYBCTBOBJTb BHHY itepen MaJIblmOM, 'ITO OHa He MO>KeT eTO IIOJI106HTb «KJK rrOJIO>KeHO», H HeYBepeHHOCTb B TOM, 'ITO OHa crroco6Ha 6blTb xopouieii MJMoii. ..

CHTyaI(H.'I, xorna jf(eHIUHHa He rOTOBa npnnrrrs cpaKT coficrnenaoro 6YJlYIUero MaTepHHCTBJ, He TaK peaxa. KOHe'-lHO, xaure HerOTOBHOCTb K MaTepHHCTBY BCTpeqaeTCJI Y MOJIO;O:b1X He3aMY)KHllX )!{eHW;HH, He nnaHHpOBaBIllHX 6epeMeHHOCTh. XOTJI II naxoAJICb B 6paKe, )!{eHW;HHa MQ)KeT acnsrrars «IllOK)} OT H3BeCTllJI 0 6epeMeHHOCTH. OzraaKO B rexenae HeCKOJIbKHX neziezn B )!{eHIUHHe npocsrrraerca MaTepllHcKHi1 HHCTHHKT, H OHa Ha'IHHaeT panonarsca He)KAaHHOMY «nOJlapKY", B 3TOM CJIY'Iae nOMOW;b nCHXOnora eii. y)!{e He Tpe6yeTCJI, ECJIH )!{e crrryaIIH,H HenpHJITHf[ COXpaHJIeTCJI, HO )!{eI'UUHaa pernaer OCTaBHTb pebeaxa no npn=mae

60f[3HU sa csoe 3JlOpOBbe. HJIH H3 )KenaHHJI ynepscan. MY)!{'IHHY, HJIH rro cpHHaHCOB.1IM (006pa)KeIIHJIM, TO 3TO MO)KeT CTaTb 60JIb1lIOii. rrp06JIeMoii. KaK ):(JIJI MaMb!. TaK H JlJIJI peoeaxa.

iKeHIUllHbI, '-IbJI rOTOBHOCTb K MaTepUHCTEY He pa3BHTa, HCn.1lTbIBaFOT 6ecnoKoi1- CTBO, no;o:aBJIeHHOCTb H nenpeccmo. YJlPY"'leHHOCT.1, TOCKY B CB5J3H C HacTynJIeHHeM 6epeMeHHOCTII. Y raxoii )!{eHW;HHbl eCTb HepeaJIHCTH'IHOe npeJlCTaBJIeHHe, '-ITO pe6eHOK norpefiyer ee BCIO, 6e3 OCTaTKa H HY)!{HO 6YAeT nOnHOCT.bKJ 3a6bIT.1 0 ce6e, nOCB5JTHB ce6JI JIHIllb MalI.1IIllY, IIOCTaBHB ce6e TaKYID MHcpH"IeCKH 3aBb!llJeHI-IYIO nJIaHKY, OHn noHHMaIDT, 'ITO He rOTOBb! ee B31IT.1. B 6YAYw;eM OHH JIH60 CTpeM5ITCR obeperars pefienxa OT JIID60H, "'laCTO Ka)KYIIIei1CJI, onaCHOCTH H He AaBaTb eMY caMOCTOJITeJIbHOCTll. JIII60 3JHHMaFOT cpopMaJIbHYIO BocrrlITaTeJIbHYIO rr03HI(HID, rzte HeT MeCTa nacxe, Y'-IaCTllID, He)!{HOCTll. KOHe'-lHO, ):(eTH, }KHBYIUIIe B 'raKHX ycnosaax. LJ:aCTO HeCl.J:aCTHbI. A MaTepH HCnb!TbIBaIDT '{YBCTEO BHHh!. HO He MorYT caMOCTOJITeJIbHO BblpBaTbCJI H3 OKOB «XOJIO,1.(HOi1" MaTepHHcKoi1 n03HLjHH. II03TOMY zry-nne nOJIy'-lHTb nOMOIUb eIIIe na srane 6epeMeHHOCTH.

':lTO MOJKeT IICHXOJIOr?

• IIPOJICHHTb BMeCTe C )KeHIIIHHOH npll'-lHHbI, xoropsre rrpHBeJIH K TOMY, l.J:TO OHa He MO)KeT CMHpHTbC5l CO CBoeH HOBOH Marepnrrckori POJIbfO. ECJIH )!{eHll\IlHa Ha'-llInaer nOHHMaTb «HCTOKH», 60POTbCf[ [ rrpo- 6JIeMOH ei1 CTaHOBHTCJI ropasnc npow;e.

• IIOMO'Ib )KeHll(HHe Hai1Tll BHyTpeHHHe pecypC.1I (qepTbI xapaKTepa, CKJIOHHOCTll, HaBbIKH, )KH3HeHHbli1 orrsrr) JlJIf[ roro. '-IT06.11 nOH5JTb: OHa cnocooaa CTaTb xopoIlleii. MaMoii..

• HaYT.J:HTb 6y;o:yW;YlD MaMY crrpaarrsrrsca C npllCTynaMH HeYBepeHHocTH H nzroxoro HacTpOeHH5I (o6yqeHHe npllBI(HnaM pacCJla6JIeHWI H ayrorenaca TpeHHpoBIm).

• PaCCKa3aTb, '-ITO YXO):( aa pe6eHKOM - 3TO BOBce He nyrs rrOCTOJIHHOH )!{epTBeHHOCTH, "ITO )!{eHIII"lHe 6YAeT MO)!{HO H HY)KHO YAeJIJITb BpeMJI KaK nH'IHoii., TaK H rrpocpeCCHOHaJIbHoi1 (TOpOHe )!{H3HH.

«Y MeHJI npofineMbl C MymeM)) Peccsesueeer Iletus, 24 TOJl.a, CpOK 6epeMeHHOCTH 28 neuens. «MbI C Csuieii nneHIIpOBJJIH MaJIblma, HO MHe Y>Ke rorzta xa- 3aJIOCb, 'ITO Moe JKeJIaHHe rOpJ3Jl.O CHJIbHee, 'leM ero. Korn« 6epeMeHHOCTb HaCTynHJIa, OH, lWHe"fHO, 06paJl.OBalTCH, HO KaKOTO-TO oco6eHHOTO otnotueune. «otoporo MHe TaK XOTelTOCb, H He nO"fYBCTBOBaJIa. IlopOll MY;K 6bIBaeT l1.a>Ke pesve co MHOii 'leM pzntaue ....

Ha catire )I{ypHana «9 MeCHL\e e)l{eMeCHLJHO npoa

,(

,

\

~"'"

• B Q}K~AAHIi1(11 ilE6EHKA I

6

!

.D.VlC~YHK~lI1~ nnau

t·

Bo BpeMJl '6epeMeHHO(T~ B OpraHlt!' '. JlBAHeTCJl HOBbl1l1 oprau+nnauenra. VI.· 3aBV1ClIIT 06eCneLJeHlIIe pacrvuiero M2tJ1 06XOAlIHVlbIM. K CO}f{an€HlIIlO, He aceraa :nOT opraupatioraer 6ecnepe6oIl1Ho.Op,I-iIllM 1113 p CTpaHeHHblX OCJ10}f{HeHV1111 6epeMeHHOCTV1 (51 ~eTOnJ1a4eHTapHaJl cPYHKLJ,V1Jl nnaueuru.

14

o

ax

a

HTbl

HaTanHlI KnlO'IHHK08a Bpay auvuiep-raaexonor, r.Dnect a

I.ITO TaKOe nnauaura?

C caxoro Ha'IaJIa 6epeMeHHOCTH rrpOHCXO,1:(HT 06pa30- BaHHe HOBOH CIlCTeMbI: MaTb - nJIau:eHTa - rrJIOA. 3Ta CIICTeMa ¢YHKU:HOHIIpyeT AO caMbIX pOp,OE. fnaBHbIM ¢YHKU:HOHanbHO CB5I3YlDIl\HM KOMIIOHeHTOM 5IBJI5IeTC5I IIJIau:eHTa, KOTOpa5I Ha'IHHaeT ¢OpMHpOBaTbC5I HS onpenenenastx 'IaCTeH saponsnna H CTaHOBIITC5I ¢YHKU:IlOHaJIbHO CaMOCT05ITeJIbHOlJ TOJIbKO K 16-H He,1:(eJIe 6epeMeHHOCTII. 3a BpeM5I 6epeMeHHOCTH nnaueura rrpeTepneBaeT HSMeHeHH5f. TaK. AO 16 Hep,eJIb POCT rmarrenrsr HaMHoro onepe)[(aeT POCT IlJIOna, a II05IBJIeHIle HOBbIX COCY)J,OB npOIlCXO,1:(HT BrrJIOTb no 38-39 He,lleJIh 6epeMeHHocTH.

3peJIa5I nnanenra rrpe,1:(CTaBJI5IeT C060H ,1:(HCKo06- pasHylD CTPYKTYPY ,llHaMeTpoM 15-20 CM, TOJIIl\HHOH 2-3 CM H BeCOM 500-600 r, MaTepIIHCKa5I nosepxHOCTb oopameaa B CTOPOHY MaTKH H IIMeeT llIepoxoBaTYlD CTPYKTYPY. IIJIo,lloBa5I rrosepxnocn, rnazrxaa. np03pa'IHa5I, CKB03b nee sanaa cerxa COCY,1:(OB. Cocyp,IICTa5l CHCTeMa oopasyer CIIJIeTeHII5l BOPCHH (nansueofipasnsrx BblpOCTOB) xopHoHa - IIpeAllIeCTBeHHHxa nnanenrsr. xoropsre CJIHBalDTC5l B p,OJIbKII. 3peJIaJ'! IIJIaUeHTa HaC'IHTbIBaeT OKOJIO 30-50 TaKHX ,llOJIeK.

MO)[(HO BbI,lleJIHTh CJ1ep,YlDIl\He ¢YHKUHH nnaueaTbI: rrnrarensaas. BbI,lleJIHTeJ1bHa5I, 3aIl\IITHa5I, '38,1:(0- KpIIHHa5l (aupaoorxa roPMOHOB), zrsrxarensaas.

Bce He06xop;HMhle IJHTaTeJIbHble seurecrsa rrJIOIl: rronysaer II3 KpOBH MaTepH, OAHaI<O IIX COCY,1:(HCTbIe CHCTeMbI He CMelllIIBalDTC5l, TaK KaK HX pasztenaer nnaneurapnsm tiapsep.

IInau:eI-ITapHbIH 6apbep rrporrYCKaeT H3 KpOBH MaTepII B KPOBb KpOXH nIITaTeJIbHhIe semecrsa. KIICJIOPO,n:, BbIBO,llHT IIP0Il:YKTbI )ICII3He,lle5lTeJIhHOCTH nnona. OH aaumruaer MaJ1bIllia OT rrpOHIlKHOBeHII5I p5lAa IlH¢eKU:IIM, HO He MQ)KeT OCTaHOBIITb aJIKOrOJIh, TOKCIlHbl, BIIpyChI II JIeKapCTBeHHbie neinecraa. II03TOMY TaK Ba)KHO BO BpeM5l 6epeMeHHocTII OTKa3aTbC5I OT spenHbIX rrpaasrrex II He ynorpefinarr, JIeKapCTEa 6e3 naSHaqeHIIH spa=ra.

npOABlleHdH AHC«ilYHKL4HU nnaL4eHTbl ,!l;IICCPYHKQl1Sl nnanerrrsr. llIIll cpeTOrmaueHTapHa.<I He,l\OCIaTOqHOCTb, - 3TO Cl1H.r\POM, 06YCJIOBJIeHHbIH CPII- 3110JIOrIIqeCKHMH H CTPYKTypHbIMH H3MeHeHWIMH B nnanerrre. B pe3YJIbTaTe KOTOPbIX nnort He,uOrrOJIYxaer KHCnOpO,l\ II mrrarexsasre BeIQeCTBa, 'ITO npossJI.<IeTC.<I 3a,l\epJKKOH pa3BIITH.<I II pOCTa nnona.

,!l;aHHaSl narozrorna scrpexaerca Y 17-35% 6epeMeHHblX.

I10 KJIHHH'leCKHM npO.<IBneHIIlIM .r\HCCPYHKUUIO rrnauesrrsr pa3,l\eJI5IIOT na OCTPYIO H XpOHIIqecKYIO.

OCTpaH rrlla~eHTapHaH ~HCPYHK~HH B03HHKaeT B pesynsrare ocrporo aapymenna MaTO'lHO-nJIaueHTapHoro KpoBoToKa. OHa np05lBJl.'IeTOI CUMrrTOMaMH OTCJIOHrmnJIaueHTbI, J HMeHHO, KpOBOTeqeHHeM pasHOH CTeneHH UHTeHCHBHOCTH. COCToJ'IHue rrJIO,l\J 3aBHCHT OT yxacrxa OTCJIOHKH H rpeoyer HeMe;r(JreHHOH roCrrUTaJIH3aUHH JKeHIQIIHbI B axymepcxnii CTaUIIDHap.

BaJKHO nOMHHTb, '-ITO JII06bIe KpOB5u·mCTble BbI,D,eJIeHH51 H3 rrOJIOBbrX nYTeH BO BpeMlI 6epeMeHHOCTH - csem, rp03HbIH CHMnTOM, Tpe6yIOIUHH HeMe;rrJIeHHOH rOCnUTaJIU3aUHH.

XpOHH'leCKaH nJIa~eHTapHaH He.ll'OCT3TO'lHOCTb pa3BHBaeTC5I Me;rrJIeHHO. OHa rrpIIBO.r\HT K XpOHU'-IemOH rHrrOKCHH (KHCJIOpOgIiOH He;rrOCTarOqHOCTH) IIJIO,l.la H, KaK cnencrsae. K 3a,l.lep)[<Ke BHYTPHYTpo6- aoro pa3BUHllI rrJIOAa. Y caMOH JKeHIUHHbI rrpu 3TOM MOJKeT He 6bITb HHKaKUX CHMnTOMOB, HO nepsaxaas ITJIaueHTapHa5I He,UOCTaTOtIHOCTb MOJKeT TaKJKe ccpopMHpOBaThC51 na cpOHe yrpossr rrpepsrsanas 6epeMeHHOCTH (60JIefi: BHU3Y JKHBOTa, KPOB5IHUCTbIX nsrneneHHH U3 nOJIOBbIX IIYTeii), na cpOHe T51JKeIIOfO paanero TOKCHK03a (oxens qaCTOH PBOTbl, TOUTIiOTbl), a 'ratoxe na cpOHe HeKOTopbIX npyrnx OCJIOJKHeHIlH.

I1p051BJIeHHlI XpOIiHQeCKOH ,I.IUCCPYHKUIlH ofiaapyJKIlTb CJIOJKHee, tIeM np05IBJIeIimI OCTp0n. CJMbIH nyQlJlHH crroco6 ,UHarHOCTHKIl - 3TO peryJI5IpHOe nOCeIQeHHe JKeHCKOH KOHCYJIbTaIl,HH H TmaTeJIbHOe BbII10JIHeHlle scex peKOMeH,I.IaUUH Bpaqa. CaMOCTOllTenbHO JKeHilIHHa MOJKeT OTMeTHTb rrpH3HaKH He,I.IOCTaTKa KHCJIOpo,Ua (rHIIOKCHH) y IIJIOAa. 3TO npo- 51BJIJIeTC51 noasnnenaoii ,I.IBUrJTeJIbHOH aKTHBHOCThIO IIJIo.n;a, tIpe3MepHO 6YPHhlMH H .n;aJKe 60ne3HeHHbIMH rneBeJIeHH51MU. CJIe.n:yIOilIHH KOCBeHHbIH npaaaax nJIaueHTapHOH ,I.IIlCCPYHKUUH - 3TO OTCTaBaHue npnpOCTa BbICOTbI CT05lHHlI rraa MaTKH COOTBeTCTBeHHO CpOI<Y 6epeMeHHOCTil. I1pl1 Ka)[(AOM noceurenna JKeHCKOH KOHCYJIbTaumI Bpaq H3MepHeT OKPYJKHOCTb JKllBOTa H BbICOTY CT05IHIIH AHa MaTKll. ECJIl1 npnpocr ::JTHX rrOKa3aTeJIeH aa npOT!IJKeHllII 4 nenem, MeHbrrre OJKH,l.l,aeMOrO HJIH npapocra HeT soofnne - TO 3TO rroBO,lJ; 3arrO,U03pHn nJIaIl,eHTapHYIO ,l\UCpYHKUIIIO H sa,lJ;epJKKY pa3BHTl1H IIJIO,lJ;a.

Yrp03a rrpepbIBaHPIlI 6epeMeHHOCTH (60JIH BHUsy JKHBOTa, B rrOJICHIIue, KPOBlIHIICThle BhI,lIeJIer-rU.<I H3 nonoasrx rryrea) TQ)Ke MOJKeT 6hITb O,l.l,HIIM PI3 npo!IBJIeHHH .n;aHHoH rraTOJIOrUH.

Erne O,llHUM KJIHHHQeCKI1M rrpOSlBJIeHUeM nnaueHTapHOH HeAOCTaTOqHOCTH 51BJIJIeTC51 ll3MeHeHHe KOJIU'leCTBa OKOJIOITJIO,llHbIX BOA B CTOPOHY MaJIOBO-

,UHll IIJIH MHOrOBO,lll151. 3TH rrapaMeTpbI spas MOJKeT onpenenrrrs npa OCMOTpe 6epeMeHHOH, HO rpeoyerC.<I YTO'lHeHHe C [IOMOilIblO Y3H.

npUQUHbl.QHc4tYHKI.{"H

B pa3BUTHH rrnaueHTapHOH AHCCPYHKIl,HH OCHOBHa!I POJIb rrpHHa.n;JIeJKUT HapyweHUIO KPOBOTOKa MeJKAY nJIo.n;OM H rmanearoa, MeJK;rry nnauenron U MaTKOH H aapyuremuo rrnanerrrapnoro 6aphepa.

K HapYllIeHU51M KPOBOTOKa rrpHBo.n;.<IT nsa cpaKTopa:

He,D,OCTaTO'lHOe npopacranae BOPCHHOK sapomrnra B apTepIIII MaTKH PI, KaK CJIe,l\CTBHe, YMeHbUTeHHe noBepXHOCTH KPOBoo6MeHa H YBeJIIIqeHHOe nponynnpOBaHIIe cpaI<TOpOB, MerrraIOilIHX cocy.n;aM rrnauenrsr Haxo.n;UTbC5I B paCCJIa6JIeHHOM COCTOlIHHII.

B 3aBIIClIMOCTU OT roro, xorna npoasoumo aapyureHue KPOBo06pameHH.<I B COCYAax IJJIaueHTbI, rrnanenTapHYIO He,D,OCTaTOQHOCTb pa3,l.l,eJIlIIOT aa nepsa-myro H BTOpW·IHYro.

IIepBn'lHa.H IllF3UCHTapHaH He~OCTaTOqFlOCTb B03- HHKaeT AO 16 aeztens - B nepllo,U CPOpMHpoBar-rIIH IJJIaI.l,eHTbI. B ee OCHOBe JIt)KaT He6J1arorrpU.<ITHble cpaI<TOpbl BHellIHeH cpensr, spemrsre rrpUBblqKU U HJpyurenns ropnonamaroro cpoHa.

BTOpn'lHan rrlIa~eHTapHaH ne,ll'OCTaTO'lHOCTb pasBHBaeTC51 B 60JIee n03AHeM cpOKe rrog BJIH5IHHeM OCJIOJKHeHHH 6epeMeHHOCTII (yrposu npepsreanas 6epeMeHHOCTH, aHeMHH - CHHJKeHH!I KomitIeCf8t}' ressornofiana). 3a60neBaHllH BO BpeMlI 6epeMeH" , &:

HOCTH IIJIH 060CTpeHIIlI XpOHHqeCKOH naTOJIO':" . fl1PI, TaKOH, KaK apTepHaJIhHall rnrrepreasna, caxapnsra .n;Ha6eT, XpOHHQeCKHe HH5I nO'-IeK H T. rr.

K cpaKTopaM pHCKa pa3BHTIlJ1 nnanearan-ss

HOH AIICCPYHKuurr OTHOCJ1T:

• B03paCT (Mna,llille 17 H crapnre 30 JIeT);

• npenaue rrpHBhI'lKU (3JIOynoTpe6JIeHIIe anxoronen, xypenae, npHe~:; HapKoTHKOB):

• T5IJKeJIbIH cpH3II'-IeCKUH TPYA:

• speztasre ycnOBU.<I TpYAa (3MounoHaJIbHbIe HarpY3KH, crpecc, pafiora aa Bpe,llHOM rrpoH3BOgCTBe):

• fHrrepTOHHqeCKJ51 60JIe3Hb;

• 3a6oJIeBaHHH rreqeHH;

• caxapasni .n;Ha6eT;

• HCKYCCTBeHHble H caMorrpOH3BOJIbHhle

a60pTbI;

• yrp03a npepbIBaHII51 6epeMeHHocTII.

MeTOAbl AHarHoCtHKM ,!l;JIH onpeneneana CTeneHU U xapaKTepa II3MeHeHUH B nnauenre IICrrOJIb3YIOT:

• fopMoHanbHoe o6CJIe~OBaHHe. 3TO onpeneJIeHHe ypOBHlI ropMoHoB B KPOBS, MO~Ie II OKOJIOrrJIO,UHbIX aoztax 6epeMeHHoH. Onpeneneane ropMOHOB .n;JI5I ,UHarHOCTHKl1 COCTO.<IHl1JI cpeTonnanenrapnoii CIICTeMhI oco6oe 3HaQeHUe l1Meer B nepaon rrOJIOBHHe 6epeMeHHocTH, peace UC-.

nOJIb3yeTC!I BO BTOpOH. . __ ... l

• B Q}tU1AAHVlV1 PE6EHKA

neLJeHllle nnaueurapHOW AV1CcjJYHI{Ll,I!IVI HaLJItlHalOT cpasy me nocne YCTaHOBI{1!I /l,V1arH03a.

16

l

(

Bo BpeMJ1 06CJIeP;OBaHHJ1 onpenensror:

- IIJIaaeHTapHbIH nsxtoren (IlJI) H XOpHOHHgeCKHH rOHa,[lOrpOIIHH rxn p;nH ;n:HarHOCTHKH COCT05IHHH. lIJJaueHTbI. B paHHHe CpOKH 6epeMeHHocTH HaH~ 60JIee HHcpopMaTHBHblM IIOKa3aTeJIeM J1B1HleTClI conepxanae xr B KpOBH MaTepH. CHll)KeHHe ypOBHJ1 xr COIIpOBO)Kp;aeTCJ1 3a,[lep)KKOn HJIH ocranonxoa pa3BHTH£ IIJIoga. B IIepBoM TpHMeCTpe 6epeMeHHOCTH IIpH pa3BHTHH nrratterrrapaofi He,I:(OCTaTO'IHOCTH H yrpose npepbIBaHH5! 6epeMeHHocTH 3Ha'IHTeJIbHO CHH)KaeTOI yposeas TIll B 60JIee II03,I:(HHe cpoxn fiepesreaaocra CHH)KeHlle KOHueHTpaUHH TIll BbIJ1BJI5IeTCJ1 npH nzrauearapnoa HegoCTaTO'IHOCTII. XpOHH'IeCKOM KHCJIOPO,[(HOM rOJIO,[laHHH rmona. TIpH 3TOM conepxaaae TIll B KpOBH Kone6JIeTCJ1 B IIHlPOKHX npenezrax. O,[lHaKO y 60nbllIHHcTBa 6e~ peueanux OHO cymeCTBeHHO HIIJKe HOpMh!. TIpH nnanearapnoa He,1(OCTaTO'IHOCTH CO,Qep)KaHHe TIll B CbIBopOTKe KpOBH CHH)KaeTUI H3 50%, a npn ,n:Hcrpecce rrnona - nO'ITH B 3 paaa:

- scrpoienu (3cTpa,n:HOJI (E2) H 3cTpHon (E3) - ,QnJ1 KOMITneKCHOH onenxa <PYHKUHoHilpOBaHH5I cperonnanenrapaoro xosmnexca. TIOCKOJlhKY CHHTe3 3cTporeI'IOB IIPOHCXO,n:IIT H B nnaueare H B oprac HH3Me ITJIo,n:a, onpenenenae HX ypOBHJ1 nocrosepao cBH,n:eTeJIhCTByeT 0 COCTOJIHHH cpeTOIIJI3ueHTapHoro xounnexca. B 60JIbllIeH Mepe tPYHIzumo cpeTOnJIanenrapaoro KOMnJIeKCa xapaxrepasyer KOHueHTpaL\WI E3, TaK KaK npa CTpa'[(aHHJ1X IIJIo,[(a, 06YCJIOBneHHhIX nnanearapnoa He,[(OCT3TO'IHOCTblO, CHH)K3- eTCJ1 npo,[(yKUHJ1 sroro ropxoaa rrenexsto TIJIo,[(a.

B KpOBH 60JIhllIHHCTBa 6epeMeHHhix TIpH TIJIaueHTapHon He,n:OCTaTO':IHOCTH KOHueHTpaUrr5I E3 aaXO,[(HTC5I aa HH)KHen rpanaue He'[(eJIbHOH HOPMb! rrnH Hll)Ke nee H npenurecrayer nO£BJIeHIUO KJIllHH'IeCKHX CIIMTITOMOB;

- rrporecTepoH (Ilr) - 3TO ropssoa 6epeMeHHOCTH, rn3BHbIM CBonCTBOM xoroporo J1BmreTC51 nonnepxaHHe HOpMaJIhHOrO ronyca MaTO'IHOn MYCKYJIaTypbI. Ero onpene.renae Heo6xo.n;HMO ,[IJI51 onenxa COCTOJ1- HII5! CilCTeMhI MaTh - nJIaUeHTa. COCT051HHe nrraneaThI BO sropoa rrOJIOBHHe 6epeMeHHOCTll HaH60JIee TIOKa3aTeJIhHO xapaxrepnayer yposens TIr B KpOBH. TIpH TIJIaueHTapHoi1 He,QOCTaTOQHOCTll, B03HHKalOlI(en aa cpOHe aapynrenaa C03peBaHH5l" IIJIaUeHTbI, ypOBeHh ITr CYlI(eCTBeHHO CHHJKaeTC5l".

• YJIbTpa3BYKOBoe 06CJIenOBaHHe (Y3H). B renenne 6epeMeHHOCTII ynbTpa3BYKOBoe PlCCJle,[lOBaHHe npoBO,n:51T KaK MHHHMyM TPHJK,[(hI.

- Bo BpeM5l" 06Clle,[lOBaHHJ1 B uepeos« TpHMeCTpe 6epeMeHHOCTH (npa nepsosr 06palI(eHHH B )KeHCKYID KOffCYJIbTaUHIO) Y JKeHlI(HH H3 rpynnsr BbICOxoro pHCKa TIO,1(TBep)K,QaIDT HaJIH'IHe 6epeMeHHOCTH, onpenensror COOTBeTCTBHe pa3MepOB nnozmoro 5l"nua CPOKY 6epeMeHHOCTH, MeCTO HMTIJIaHTaUHH TIJlO,n:HOro J1nua, paCTIOJIOJKeHHe nJIaIJ,eHThT, npII3HaKH yrpossr IJpephIBaHH]! 6epeMeHHOCTII.

- Bo BpeM5l" CJIe,QYIDlI(erO Y3-IICCJIe,[lOBaHH51, H3 CpOxe 16~24 HelfelIH. OTIpe,[(eJI51IDT COOTBeTCTBHe pasMepOB IIJIo,[(a CpOKy 6epeMeHHOCTH, BbI51BJI.IlIOT pasnsie CPOPMhI 3a,n:ep)KKH pa3BHTHJ1 nrrona. B03- MOJKHble nopoxn pa3BIITH.Il TIJIo,[(a, pacnOJIO)KeHHe nnanerrrsr II TIpH3HaKH yrp03bI npepsisanna 6epeMeHHOCTH.

- Ha TpeTheM srarre pa3BHTHJ1, na cpoKe 32-36 Heuens; onpe,!l,eJI.I1IOT COOTBeTCTBIIe pasnepos IJJIO,1(a CpOKy 6epeMeHHocTH, nOJIOJKeHHe nnona, JIOKaJIH- 3aUHIO, pacnOJIQ)KeHHe, CTPYKTypy II creneas speJlOCTH IIJlaueHTbI, COOTBeTCTBHe nnanerrrsr CPOKY 6epeMeHHocTH,

Y3II TI03BOlI.'IeT Bhl.llBHTb HaJIII':IHe KaJIbUHH03a (OTJIOJKeHHe conefi KaJIhUH]! B TIJIaUeHTe), HHcpapKToB (aapymeane nHTaHH5I IIJlaueHTbI), KHCT nnanenrsr (HoBoo6pa30BaHHH nnauerrru).

TIpH YJIbTpa3BYKoBOM 06cne,[(oBaHHH pa3JIH'IaIDT =reTblpe CTeTIeHII 3peJIOCTII TIJIaueHThl. TIpH HOpMaJIbHO TIpOTeKaIDmeH 6epeMeHHocTH ,[10 30 neztem, fiepeMeHHOCTH ,1(OJI)KHa OIJpe,[lenJ1ThC5I aynesas crerreas 3peJIOCTII IJJlaueHTbL TIepB3.J1 crerreas C'IHTaeTC51 ,0:0- nycTHMoi1 C 27-i1 no 34-10 nenemo. Bropaa - C 34-i1 no 39-10. Ha'IHHaJ1 C 37-i1 aenena MO)KeT onpenenarscs TpeTb51 creneas 3penOCTH nnanenru. B KOHue 6epeMeHHOCTH nacryrraer TaK aaasrsaenoe tPH3IIOllOrHQeCKOe CTapeHHe rrnanenrsr, COnpOBOJK,n:aIDlI(eeGI YMeHbllIeHHeM nJIOlI(a,1(H ee 06MeHHon nosepxaocrn. n051BJIeHHeM Y'IaCTKOB OTJIOJKeHHJ1 COJIei1.

• ,ll,oIInJIepOMeTpH'ieCICOe HCCJIe;n:OBaHHe. 3TO HCCJle,n:OBaHHe KPOBOTOKa, xoropoe TaKJKe npOBO,[(HTCJ1 C IIOMOlI(blO YJIhTpa3BYKOBoro aIITIapaTa H naer 603- MOJKHOCTh onenm s H Bbl.l1BHTb HapYllIeHI15I MaTO'laoro H IIJlO'[(OBO-IJJlaIJ,eHTapHoro KPOB006palI(eHH!l.

• ,D,1H[ OI1peJJ;eJIeHHH COCTOHHHH I1JIo,n:a HCI10JIb3YIOT 6HOcpH3H'IeCKHH npOcpHJIh nJIOAa. OH onpenenaerCH npn I10MOII.J;H Y3I1 H I103BOJIHeT OI(eHHTh sa 30 MHHYT znaxarensayro II ,IlBllraTeJIbHYIO aKTHBHOCTh I1JIOna. TaK)Ke MO)KHO OI(eHHTh CepAe'IHYIO ,n:eHTeJIhHOCTb I1JIo,n:a npa rrOMOIllH KTf (xapnnoroxorpadiaa).

ne"leHKe

,D,JIH Ka)KAOll )KeHIllHHbI I1POBOAHTCH llH,IlHBI1AyaJIbHblll nonfiop npenaparos. HarrpaBJIeHHbIX aa KoppeKL(HID HMeHHO ee napymeaair. TeM He Mel-lee, ecrr, Hexoropsre 061I!lle rrpHHU;HI1bL

JIeqeHHe nnanearapaoii ,n:llCCPYHKU;HH aaxnaaIOT cpasy )Ke rrOCJIe yeTaHoBKH zmarnoaa H I1pOBOJJ;RT B PO,n:llJIbHOM ,n:OMe, TaK KaK TOJIbKO B YCJIOBllJIX cTaIlHoHapa B03MO)KHO o6eJIe,n:oBaHHe }J)IJI YCTaHoBJIeHHH I1pH'IHHbI rinanerrrapnoii He,n:OCTaTO'lHOCTll, naomoneane H KOHTPOJ1b sa eOCTOJIHHeM nnona H 6YAYlilell MaMbL B cJ1Y'Iae He6oJIbllIOll 3cpcpeKTHBHOCTH TepaI1HH 3AeCh )Ke, B ponnoise, peuraercs BOrrpoc 0 poztopaspentenna. ECJIH JIe'IeHHe I1pOXO,n:I1T 6JIar0I10JIY'lHO, 6epeMeHHYIO BbII1HChIBaIOT AOMOll IlOA Ha6JIIOAeHHe spaxa )KeHCKOll KOHcYJIhTaIlHH. 06iljaH rrpO,IlOJl)KHTeJIhHOCTb TepaI1llH He MO)KeT 6blTh MeHee 6-8 nenens. ,D,JIR. onenxn 3cpcpeKTHBHoCTI1 JIe'IeHHJI nposonar ,n:HHaMH"IeCKHH KOrITPOJIh npa I10MOII.J;H KJIHl:UI'IeCKHX, nacoparopasrx H HHcTpYMeHTaJ1hHbIX MeTO}.l,OB HCCJIeAOBaHHll, cpena KOTOPhIX peuraroniee saaseaae HMeeT yJ1bTpa3BYKosee. normnepojserpauecxoe HCCJIe,n:OB3HHe, Ozraaxo ,IlJlH ouemor COCTOllrIll5I, a TaK)Ke OlreHKH 3cpcpeKTHBHOCTH JIe'IeHHH pa3JIH'IHbIX 3a6oJIeBaHHll, aa cpoHe KOTOPbIX pa3BHBaeTcll nnanenrapaas HeAOCT3TO'IHOCTb, Ba)KHO oueansarr, TaK)Ke aHaJIH3bI KPOBH, MO'lH H npyrHe I10Ka33TeJIH, Hazro OTMeTHTb, 'ITO JIe'IeHHe I1JIaueHTapHOll HegocTaTO'lHOCTH rrpOBo,n:HT HHTeHCHBHO: CTaBllT KaI1eJIhHHL(bl, geJI3IOT YKOJIbI, ,n:3IOT Ta6JIeTKH, 'ITO TaK)Ke nymne H 3cpcpeKTHBHee nenars B YCJIOBHllX CTan:HOHap3.

061I33TelIbHblMH YClIOBHJIMH TepaI1HH 5IBJIHeTeH co- 6JII{)AeHHe pe)KHMa cna H ornsrxa COH nOlI)KeH cocrasJIHTb He MeHee 10 'IaCOB RO'IbIO I1JIIOC ,Il0I10llHHTeJIbHhlll ,IlHeBHOll 2-'1aCOBOll COI-I. TaK)Ke peKoMeHgyeTelI HCKJIIO'IeHHe cpH3H'IeCKHX II rrCHX03MOIJ;HOHaJJbHbIX

HarpY30K; P3IJ;HOH3JIbHOe C6aJIaHCHpOBaHHoe rrHT3- HHe. TIpH pane COCT05IHHll (yrpose npepsrsanna 6epeMeHHOCTH, reCT03e) B3)KHO C061IIO,lJ,eHIle TIOeTeJIbHOrO pe)KHMa B rexeaae scero ,lJ,H51 HlIH 06113aTelIbHbIll ,lJ,HeBHOll COH, HaTIpHMep, TIpH reCT03e, TaK KaK B 'reTIllOll rrOCTeJIH, B ropII30HTaJJbHOM TIOJIQ)KeHHH yJIy'IllIaeTC5I patiora TIO'leK,

TIPOBOllllT TaK)Ke JIe'IeI-IHe 3KCTpareHHTalIbHblX 3a60JIeBaHHll (nnerrcaedipar. rHTIepTOHH'leCKa51 60- nesns. caxapHblll ,n:Ha6eT, reI13n1T), paHHero H TI03AHero TOKCHK03a, MHorOBO;O;H5l, yrpoasr I1pepbIB3HH51 6epeMeHHOCTH.

TIpH yrpoae I1pepbIBaHWI 6epeMeHHOCTH 60JIbllIOe srraseaae HMeeT rresenae. HaI1paBJIeHHOe aa yCTpaHeHHe sroro COCTOllHI1H.

,D,JIH YJIY'IWeHHll MaTO"1HO-TIlIaueHTapHoro KpOBOofipauteaas Ha3Hat.IaIDT TPEHTAJI, PEOrrOllIIrllFOKIIH, KYPAHTIIll, AKTOBETIlH K nperraparav, pacCm6ll51IOII.J;HM MaTKY, OTHOCHTC5I rIIHIlilPAll HAp.

npOcllMnaKTflKa

Orposraoe 3Ha'IeI-IHe HMeeT I1POCPW13KTllKa .ll;HC<pYHKlIIIH TIJIaIleHTbI, OTp;eJIbHbIe 31IeMeHTbl KOTOPOll )KeHunraa MO)KeT Ha'IaTb BbIIIOJIHHTh euie C I1epBbIX P;Hell 6epeMeHI-lOCTH.

OAHH H3 OCHOBHbIX rrpocpHlIaKTH'IeCKHX MOMeHTaB - 3TO paHH51JI TIOCTaHOBKa na Y'IeT I10 6epeMeHHOCTH scex 6YAYiljHX MaM, a ocotienno - )KeHll(HH H3 rpyIITIbI pacxa.

C casror-o naxazra 6epeMeHHOCTH p;OlI)KeH 6blTb TIp3BIIlIbHO opraHII30BaH paeTIOpJIAOK AH5l, BKJIID'laIOiljHll TIOJIHon:eHI-IbIll HO'IHOll COH, ,IlHeBHOH OT,ll;hIX H I1pe6bIBaHHe aa CBe)KeM sosrryxe He MeHee 3-4 qaCOB.

Clle.o:YIOlIJ;HM MOMeHTOM 5.lBJIHeTC5l pauaoaansnoe I1HTaHHe, ITHTaHHe }.l,OJl)IUIO 6bITb Ap06HblM (5-6 pa3 B nens), c6alIaHcHpoBaHHbIM H JIHllIeHHhIM {(TIYCTbIX» K31IOPHll, spone 'IHI1COB, KOKa-KOJIbI, TOPTOB H cpacTcpy,n:a, 061I3aTeJIbI-Ib1M 5lBlI51eTC51 saenenne B CBOH palInOH xanr, osoruea. CPPYKTOB, COKOB.

Pan:HOHalIbHbIll 06pa3 }KH3HH H I1HTaHHe obecrreqHBaIDT aopnansnsre YCJIOBH5l ,n:JIH CPOpMHpOBaI-IH5! H CPYHKIIHoHHpoBaHHll I1JIan:eHTbJ, ,ll;OCTaBKH TIlIO.ny KHclIopoga H I1HTaTelIbHbIX BeIlleCTB. _m

Bam HO c06J11o,o.eH V1 e nocrensuoro pe}t{lIlMa B Te'-leH!t1e scero AHfl 111m" o6fl3aTeJ! bHbli-1 ,LiHeBHOili COHo

B npOAolKe nOIlBr.tJ1CII peilpMHTHblM BblnYCK M3Ac:lHMII

«KaK no6eAMTb CROil CTpaXMu.

3TO YH>1KQAbHOe B CBoeM pozie 1-13AOH'1e nOCB~weHO COMblM 80AHYiOWf1M BonpOCOM, OTBeTbf HO xoropue 5YAYWO~ MaMa TO~HO He 3HoeT, Q "'HOrAQ npocro 50f1TC~ Y3f-lOTb: nepeHeceT AI-1 OHO 50Ao pOAOB. pOAf1TC~ A\1 pe5E;>HOK 3AOpOBbfM. OCTOHE;>TCH AM AfQ6~WI-1M MY)K J.1 CTCHer >\1-1 OH XOpOWf1M OTl!OM. CnpQBHTC~ AM OHO C MQAbIWOM. HOCKOAbKO CAO)KHO eM 6YAeT BepHYTbc~ K Kap~",pe 1-1 I.A.

A He3HOHHe nOpO)KAOeT rpesorv ~ 'CTP~X. VI B 3TOM 6YAYWm MOMO He i oroeo np1!13HQTbC~ AO>Ke ce6e. soro-ss Tp'e$ory B nOAc03HaHI-1e M CTpOAO~ OT 3TOro. nCWXdAbf.MyeCKO~ nOAAE;>p>KKa'S 3TO BpE;>M~ )j(Vl3HeHHO He05xoAi1MO. oco6eHHOeCAI-1 .. 3TO nOMep>KKO np0cPeCC\10HOAOB, )l(YPHOA nOMO)!(eT ~Olvl CnpOS\1TbC~ co CBOI-1MW CTPOXOM\1! BHYTpeHH\1M MWP 1-1 nCI>fXOAQrl-1~ tOE=PE~IvIE"H~fOI-1 )KeHUlWHbl, COMO~y6cT6\1e '" cneu,WcPf1KO ee Ml-1pOilocriPW~T\1~ nOAPo5HO 06b~CH~fOTC~ nc-rxoxorowa, rl!1HeKQAoraMI-1, reHeH1KOMH, neA"'OTpOIvI\1, KOTOpble'p03BeiOT CTptlXJ.18·OTHoUJeHVl'" 6YAywero pe5eHKO. Mbl n03HOKOMI>fM BOC

C rpOAI>flJ,1-10HHbfMH f1 Hoser:iUJf1MH MeTOA>1KOMV; 50Pb6bl C tpeBO)!(HOCTbfO. VlX nllfOCOM>1 W MHHycoMH. POCc;KO/KeM' KorAO \1 K KOKOMY cneuuoxncry 06paWfTbG., Y1 MHoroe Apyroe. 4TO n03BOM1T BOM CMellO CMOrpeu; .. ~. rAo30 Hevt3eeoHoMy:

HO 06~30TeJ,bHO CBeTIlOMY 5YAywelvlY! CnpOBI>fIvlC~ C TpeBorOMSIj,eCTe!

3ClKoaClTb AOCTaBKY )I{ypHClnOB KYpbepOM MO)lCHO no TenecpOHClM:

MOCKBa (495) 229-85-27, c.-neTep6ypr (812) 535-32-01, 8-911- i 50-32-0 'I.

17

• B O>t{l.1AAH 1II.V1 PE5EH KA

5epeMeHHOCTb - BpeMH He ronsxo CLJaCTnlt1BOeJ HO V1 aenpocroe. III cnYLJaeTCHJ LJTO 6YAYuias MaMa He MomeT cnpaBV1TbCH C npo6neMaMVlJ BCTpeTV1BWV1MV1CH Y Hee ua nYTV1. III B 3TOM cnv-iae ej;1 CMomeT nOMOLJb ncuxoncr. TaK B KaKVlxme cV1TyaLl,V1HX Heo6xOAV1MO 06paTV1TbC.fI sa nOMO~blO K cneuaanucrv?

IOnHI! Bill:HnbKHHa nCVlXOIlor>

r. MDoiBa

20

KTO TaKOH nCHXOnOr?

ITcllXOJIOr - 3TO CIJeUllaJIllCT C HeMe,t:(ll[lHHCKHM 06- pa30BaHHeM. IJO):lTBep)K):IeHHhIM ):IHrrlIOMOM. natolll;I1M npaso aa senerme rrcnxonor-a-recxon ):IeHTelIhHOCTH. ITcIIXOJIOr paficraer C rrcaxa-recxa 3):10- POBhIMli lIIO,lJ;hMll C ueJIhIQ IIOBhIWeHlllI l1X IJCllXOJIOrl1QeCKOn rpaMOTHOCTH (3HaHHH 0 ce6e, Bbfpa60TKH 3¢¢eKTHBHhIX HaBhIKOB IIOBe.lleHH5I), a TaK)KE B TPYAHhIX ,t:(JI5I HHX cHTyaUH5IX. IlcnxoriorOB He CTOHT IIYTaTh C rrCHXOTeparreBTaMI1 H ncnXHaTpaMH, KOTOPhlE 5IBlIlIIOTClI IIpe):lCTaBHTeJIlIMI1 Bpa'Ie6HbIX CIIeu.l1aJIbHOCTen H MoryT pa60TaTh He TOJIhKO co 3):10POBhIMH TIIO,lJ;bMH. HO 11 C nann-

eHTaMH B caryanasx. xorna Heo6xD):IllMO Me):lHK3- MeHT03Hoe JIeQeHl1e (nanpauep. IIpH nenpeccna). Huorna rrCHXOlIorH H epa-sn pafioraror COBMeCTHO. CEnQaC BO MHorHX nerrrpax IIJJaHl1pOBaHHH CeMbl1 nsenena ,t:(OJI)KHOCTb IICHXOJIora, 'ITO ):IaET 6ygyrqeii MaMe B03MO)KHOCTb IIOJIYQI1Tb KOMIIJIeKCHYIO MEgI1KO-IICHXOJIOrHQeCKYro TIOMOrqb.

Ho ofipameaae K rrcaxoziory IIeHTpa TInaHHpOBaHHH ceMbli - ':lTO He e):lllHCTBeHHaH B03MO)KHOCTb TIOJIyqllTb TICHXOnOrHQeCKYIO IlOMOIIIb. Eo MHOrl1X urxonax IT na xypcax glIH 6y.nYIIIHX poznrreneii ecrs ncaxonorn. IT, KaK TIpaBHJIo. 3aH5ITHe C rrCHXOJIOrDM BXO,lJ;HT B CTaHgapTHyHJ nporpasney 3aH5ITHH. /KeHurHHbI BHA5IT,

9 MeCill.leS

• B Q}IH1AAHIIII4 PE6EHKA

}t{eHUJ,It1He Heo6xo,ll,ItIM V'lHTepeC 6Y,ll,Yll\ero OTua pe6eHI{a I{ pacryll\eMY BHyTplll Hee ManblWY V'I I{ Helii.

Off rrOgTH He turtepecyetx», KaK pectet BHyTpH MeHH netn MaJIhIlll, ne ctipeuuiseet 0 noceusennnx spen«. MHe TaK XOTeJIOCh, <[To6hI MhI BMeCTe psuoesnea. HallleMY 6y,ayIL(eMY po,aHTeJIhCTBJ, HO TenepI, H ,aaJKe orracazocs CMOJKeT JIH Cstue 6hITh ,aJIH Hac HaaeJKHOii ouopoii».

IIp06neMI,I B cer-rse, B03HHKaIOIUHe B rrepIIO,n: 6epeMeI-IHOCTH, He TaK Y)K pep;KII. OHII CB513aHbl C TeM, 'ITO )KeHIUHHa MeH51eTC5l ropasno cam.nee, 'leM MY)K'lHHa, Ell rpeoyerca 60lIbme BHHMaHII51, JIaCKII II nonp;ep)KIGI. EM }KII3HeHHO Heo6xogHM mrrepec 6yp;yutero orua pefienxa K HeM II pacTyureMY sayrpa Bee MaJIblmy, K CO)KaneHHIO, He ace MY)Kb51 sro rrOHHMalOT. 3Ta npoorreua B TOM WIll IIHOM Mepe BCTpe'laeTClI B Ka)K,1l.0M ceMbe, II '"laCTO rrocne HeCKorrhKHX nenens HacTyrraeT 6aJIaHC, yp;06HhIM p;n5l 060HX cyrrpyroB. B 3TOM cnyxae rroMoIIIII ncnxonora He rpeoyercs. OnH03HaQHO nOMOIUb cnerraarnrcra norpeoyeror B CIITyaIIII5IX, xorna.

• oreti petiess» HaCTaHBaeT Ha npepusennn 6epeMeHHOCTH, a 6YP;YIUa5l MaMa pemllJla coxpanrrrs pefieaxa. B 3TOM cnyxae rrCHXOJIOr rrOMO)KeT ssrpa- 60TaTb TaKTHKY 06IUeHH51 C MY)K'IHHO.fi, KOTOPaH MO)KeT rrpHBeCTH K TOMY, 'ITO OH npaaer q,aKT 6epeMeHHOCTH a I-Ia'lHeT 'IYBCTBOBaTb ce65l OTUDM. 'Iacro ,1l.JI5I sroro Ji<eHmHI-Ie I-IY)KHO rrOI-I5ITb 0llIH6KH B CBoeM rrDBegeI-IHH. nanpanep TaKIIe, KaK II3HHilIH5l5I Tpe60BaTeJIbI-IOCTh II arpeCCHBHOCTb. ECJIH )Ke MY)K'J.I1Ha 3aHJIrr HenpHMHpI1MYID II03HIIlllD. crreI~.l1anIICT rrOMO)KeT )KeHIUHHe HaHTH HOBbIe opHeHTHpbI H BHyTpeHHIIe onopsr, 'IT06bl HATH nansme no 9-MeC.5IQHOMY rrYTH caMOCT05lTerrhHO;

• orerr pebenre, tto MHeHHlO )KeHwHHEI, Hell,OCTaTO<[HO", (nanee cnenyer CIIHCOK roro. 'ITO He nenaer rraprnep). B 3TOM cnyxae. KaK npaBHJIO, xoacynsraUH5l npoaomrrca TOHbKO ,lIJI5I )KeHIIIHHbI. TaK KaK xa-

22

CTO B OCHOBe 3T00 3aJIBJIeHHOH rrp06JIeMbI naxozorrCH nepeanncraxmre O)KHp;aHH5I caMOll 6ynymeH MaMbL a TaK)Ke ee HeYMeHHe p;OHeCTH CBOH )KeJIaHH5I no MY)Ka, )KeHIUHHe npegJIaralOTC5I HOBbIe, 60- nee 3q,q,eKTHBHble cnocofiu nosenenaa:

• cyttpyr« <[aCTO CCOP5ITCH, 06CTaHOBKa HaKaJIeH3, B 3TOM cnyxae HaH60Hee 3ppeKTHBHbIM 5IBmleTC.5I ceMeHHoe KOHCyrrbTHpoBaHHe, Kor,U3 o6a cyrrpyra rrpHXO,1l.HT aa rrpaen K nCHXOJIOry. BblCKa3bIBaJI csoe sazreaae cHTyaIIHH, OHH HaqHHalDT cnsnuars npyr npyra H OC03HaBaTb, 'ITO HMeHHO qYBCTByeT ,n:pyroll cynpyr B TOll )J(e CHTyaIIHH' Ilcaxorror nouoraer Bblpaoorarr, HOBbIe ceMeHHble q,OpMbi ,n:JI5I npoonnasTHKH H paspeureana KOHq,JIIIKTOB;

• npOH30lllJI3 H3MeH3 H !HJITi cyrrpyr HaCTaHBaeT Ha pa3BO,ll,e. 3Ta cHTyaIIHJI 5IBJI5IeTC51 CTpeCCOBOH gII5I JII060H )KeHIIIHHhl, a gJI5I 6y,n:YIIIell MaMbI - B oco- 6eHHOCTH. Ilcnxonor MO)KeT 06'blICHHTb, KaK HMeHHO IIPOHCXO,nHT «paficra 'IYBCTB» B ,naHHbIX crrryauaax. rrOTOMY 'ITO OCHOBHOH sonpoc, C KOTOPbIM npaxo,1l.5lT )KeHIUHHhI: «Korzta MHe CTaHeT rrer-re?», B 3TOH cHTyaIIHH rrCHXOJIOr rrOMO)KeT HaHTll BHYTpeHHHe pecypcsr. xoropsre n03BOJIlIT 6y.n:ymeM MaMe BbICTO- 51Tb B nenpocroe gJI.lI aee BpeM51.

ManblW «(He TOrO) nona

MapHHa ytuns C Y31I B CJ1e3ax. Bce 22 eenenn 6epeuennocin OHa rrO<[TH 6bIJIa vsepent; 'fTO y aee ,ll,eBO<[Ka. 06 3TOM «rOBOpHJIH» H popMa JKHBOTa, H oco6eHHOCTH TOKCHK03a, H ll,pyrHe MHOrO'IHCJIeHnue «nspounue» rrpH3HaKH. MapHffa O'IeHb XOTeJIa ,ll,eBO<[KJ, OHa YJKe npencreensme OqapOBaTeJIbHYlO MaJII,IlllKY B P030BOM rrJIaTI,HIJ;e, C xotopoii OHa Hrpaer B KyKJII,L A TyT H3BeCTHe, KaK rpoM cpeiu« HCHOrO uetie. "ilOS,ll,paBJI5IeM, y Bac 6Y,ll,eT MaJIh<[HK!" MapHHa rro<[YBcTBOBaJIa ce6H rrO'fTH o6MaHYToH, KaK 6Y,ll,TO B ee JKHBOTe TenepI, JKHJI KTO-TO qYJKOH .. ,

06paTllTbC5I K nCIIXOJIory He06xoP;HMO:

• eCJIH BbI He MOJKeTe CMHpHTbCH, 'ITO BHyTpH nac pacTeT pe6eHOK «He rotc» nOJIa, B 3TOM cnynae BMeCTe co CrreIIHaJIHCTOM BbI npoanere nyrs IIpHH5!TH5I Mansnna Toro nozra, KOTOPbIH Y)Ke cyIIIeCTByeT, H HaHnere rrpeauyutecrea '3TOH cHTyaUHH,

• eCJIH orezz pe6eHKa He MO)KeT rrpHHHTb H3BeCTHe o TOM, 'ITO Y Hero PO,ll,HTCH pe6eHOK «He roro» none. Haorzta OTUbl 0 ApyrIIe 6nH3KHe p0,1l.CTBeHHOKll 6bIBaIOT ynHBHTenbHO 3rOHCTH'IHbI H xarerOpH'-IHbI B sonpocax nona pefieaxa. B '3TDM orysae ecrs nsa sapnaara pa60TbI, Ilepnsrfi COCTOOT B TOM, 'ITO BMeCTe C )J(eHIUHHOll na KOHCYJIbTaIIHID UPHXOJJ.HT «HerrpHMIIpIIMhIll» '-lJIeH ceMhH H norrysaer OT CrreIIHaJIHCTa llHq,opMaUHIO 0 TOM, HaCKOJIbKO spezma TaKa5I [J03HUH5l, TaK)Ke npoacxonnr nOHCK pecypca JJ.JI5l roro, 'ITo6bI My)K CMor HaHTH npenMYIUeCTBa B PO)KgeHHH pefiemca onpenenermoro nona. BTOPOll BapHaHT, xorna «HenpHMHpHMbIX" He ynaercs nparnacars na KOHCYlIbTaIIHIO, COCTOHT B TOM, 'J.T06bI nOMO'lb )KeHIUHHe HaMTH CHIIbI 11 cnocotisr 60POTbCli C 3rOH3MOM PO,n:HhIX, naxons TaKlle BapHaHTbI IIoBegeHHlI, xoropsre II03BOJI5IT

9 Mec~ ues

MlIHHMH3HpOBaTb )J)IlI ce6JI IICHXOJIOrH'IeCKHll spen OT TaKOrO 06Il(eHHJI,

OcnOlKHeHHaa 6epeMeHHOCTb

JIaprrca JKaaJIa csoero ttepzoro MaJIbILlIa, H ee 6epeMeHHOCTH 6bIJIO YJKe 18 neuens. Ho ace 3TO BpeMJI rrpOLlIJIO ttoi; rrOCTOJIHHOH yrposoii. y Ilepncu 6bIJI caxapHblii aHa6eT .. Bepeueunocrs 6bma CJIOJKHoii, H rapaHTHli, 'ITO 3a6oJIeBaHHe He nepetiscrcs pe6eHKy. HHKTO H3 spa'ieli He zrasazr; JIapHcy nOCTOJIHHO cottpoBOJKaaJIa TpeBora sa co6CTBeHHoe 3lI.OpOBbe IT sa 3aOpOBbe MaTibILlIa.

- CIiTyalIlI5I, xorna 6epeMeHHOCTb oczroxcaeaa nH60 II3-3a COCTO.HHII5I 3,o;OPOBbJI )KeHIl(HHbl, nlI60 II3-3a OCO- 6eHHOCTen pa3BlITHJI nnona, JIBJIJIeTCJI onaoa 1I3 caMbIX rrCHXOJIOrH':leCKH TJl)KeJIbIX ,o;JIfI 6y.n;yIl(en MaMb!. O,o;HaKO HMeHHO B 3TOll CHTyalIHH 6y,o;yIl(He MaMb! He CKJIOHHbI HCKaTb IIOMOIl(1I Y IICIIXOJIOra, BIIa.n;a5I BMeCTO sroro B or-rasnae II «3aKpbIBaJICb» nopoa or scex, Ho Ba)KHO nOHHMaTb, ':lTO II03lITHBHbln aaCTPOll H POBHbIll nCllX03MOlIHOHaJIbHbIll ¢OH - 3TO sanor cxopemnero BbI3,o;opOBlleHIIJI II IUJIH OTCYTCTBIiJI OTplIIJ;aTeJIbHoll.n;IIHaMHKH B pa3BlITHH 3a60neBaHHfI, Te )KeHIl(IIHbI, xoropsre CIIoc06HbI COXpaHJlTb onTliMIICTH':lHblll aacrpon, HeCMOTpfl aa HaJIH'IHe npofinesrsr B c06CTBeHHOM sztopoase unH snoposr,e nnona, HMelOT fionsme B03MO)KHOCTell ,o;nfl naanysurero H3 B03- MO)KHb1X IICXO.n;OB. H qaCTO TaKYro nOMOIl(b )KeHIl(IIHe cIIoc06eH OKa3aTb HMeHHO IICIlXOJIOr.

B CHTyalIIIIl C OcnO)KHeHHOH 6epeMeHHOCTblO Ba)KHO, qT06bI nCHXOJIOrIIqeCKafl nOMOIl(b OKa3bIBaIIaCb )KeHIl(IIHe perynspno. B 3TOM cnY'Iae MO)KHO nopeKOMeH,o;OBaTb 06paTHTbCfI B nCIlXOJIOrIIqeCKYIO CJIY)K6y npa )KeHCKOM KOHCYIIbTaUHII JIH60 npa nerrrpe nnaHHpOBaHHfI ceMbii. POlIb nCIIXOJIOra B .n;aHHoH ca'ryaUIIII COCTOIIT B TOM, 'IT06bl ,o;aTb )KeHIl(IIHe B03MO)K-HOCTb BbICKa3aTb coocreeansre CTpaXII II onaCeHII!I, KOTOPbIMII oaa 3a'-laCTYIO He MO)KeT IIo.n;eJIIITbC51 C PO,o;HbIMH. H, KOHe'-lHO, nCIIXOJJOr BMeCTe C 6y.n;yIl(eH MaMOH IImeT BHyTpeHHIIe pecypcbI ,o;JI5.! Taro, '-lT06bI COXpaH!ITb npHCYTCTBHe nyxa II sepy, HeCMOTPfl aa aenpocrtre 06CTOJITeJJbCTBa, Ba)[(HOCTb peryJlJlPHb1X scrpex aaxnro-raerca B TOM, qT06bI rrovorars )KeHIl(HHe 3Ty Bepy nonnepxaears. Haorna nCIIXOJIOr ,o;a)Ke rrpHCYTCTByeT na ponax KJIIIeHTKH, npononxas rroxrora'rs eH coxpamm, n03IITIIBHbIH HaCTpoH.

c<iiOIOCb pOAoa!»

EepeMeHHOCTb ABJKeJIbI - acero 14 netien», HO OHa Y)Ke 60HTCJI pouot: H paCCKa3bIBaeT 06 3TOM eceu, KTO rOTOB wyman. MyJK H pounue AH)KeJIbI YJKe ttoHHJIH, gTO 3TO BaCTOHIl\aJI rrp06JIeMa, rrOTOMY 'ITO 6yaYIl\aJI MaMa rrOCTOJIHHO HaXOaITTCH B TpeBOJKHOrrOaaBJIeHHOM COCTOHHHIT.

Bce )KeHIUIIHbI B TOH lIJIH IIHOM Mepe onacarorca nponecca POAOB, KOTOPbIH oxpyxaer MHO)KeCTBO crpaxos, aKTHBH3IIPYIOIl(lIXCfI, KaK npaBlIJIO, B rpeTbeM TpliMeCTpe. H B 60Pb6e C 3THMll crpaxasm xpesssrsaiino 3cp¢eKTllBHhI rpynnossre 3aHJITH51 c IICIIXOJIOrOM, Hacro XBaTaeT oznroro 3aHJITHJI, -rrofisi

npopafiorars OCHOBHble CTpaXII Y'-laCTHliU ceMIIBapa H nars )KeHIUllHaM BHYTpeHI-Iee omyrnenae YBepeHHOCTII. II03TOMY B TpeTbeM TpliMeCTpe rrpaKTH'IeCKIl BceM 6YAYIl(llM MaMaM MO)KHO nopeKOMeHAOBaTb xoxmnexcasre 3aH5ITHH C BpaqaMH H nCIlXOJIOraMH B IlIKOJIaX gJIfI 6YAYIUHX pomrrezeii, TaK KaK HH¢OpMaUHfI H YBepeHHOCTb B CBOIIX cnnax - 3TO OCBOBa ycnewHblx POgOB.

HHAIIBHgyaJIbHble KOHCYJIbTaUIIH y nCIIXOlIora He- 06XO.n;IlMbI B clIY'Iae CJIHiliKOM CIIlIbBbIX CTpaXQB, xorna )KeHmHHa HaCTQJIbKO CKQHueHTpIIpOBaHa aa HIIX, '-ITO 3TO MelliaeT eli coxpaaars n03IITIIBHbrH HaCTpoH. B ::ITOM CJIY"'Iae paoora rrposomrrca B rexeane HeCKDlIbKlIX rrpIIeMOB, aa KOTOPbIX )KeHIl(HHa 06Y'-laeTCfI aHanH3IIpOBaTb coficrseaasre CTpaXlI, Y'IIITCfI rrepexmoaarsca na n03HTHBHble 06pa3bI, a Ta10Ke OBJIa.ueBaeT OCHOBaMH caMOIIOMQIUH BO BpeMH PogOB, B TDM qIICJIe aYTOTpeHHHra.

BocnonblyiTecb nOMOlLI.blO! 60 BpeMfI 6epeMeHKQHeqHO, CIITyaUHH, B KOTOPbIX 6YAYIUen MaMe MO- HOCTlII Hy)t{HO pewaTb )KeT IIoTpe6oBaTbC5I IIDMOUJ,b nCHXOJIOra, ropasno B03HItlKalOW\l!Ie npo6- 60JIbille. IID.n;YMaHTe a TOM, 9TD6bI 06paTHTbCfI K cne- neMbl 6bICTPO, He noUlIaJIHcTY, eCIIH: 3BonflR 111M aaxpen-

• BaM He XBaTaeT HH¢opMaUIIII 0 TOM, KaKIIe nca- n51TbCR.

XOlIorlI:qeCKIIe H3MeHeHH5I nponcxonar C )KeHIl(IIHOH BO BpeMfI 6epeMeHHOCTII H BaM He06xogHMQ

nOH5ITb, HOpMaJIbHO JIH TO, 'ITO. nnoacxonar C BaMlI;

• xaxas-ro np06JIeMa cosnaer nOCTO!IHHbIH

HeraTIIBHbIH ¢OH rraCTpOeHII5.!, BbI naCTOJlbKQ CKOHueHTpHpOBaHbI na 'IeMTO, MY'Ia1DIl(eM sac, 'ITO He MQ)KeTe parCJIa6UTbC51 H nepeKJIIO'-lIITbC51 aa 'ITO-TO rr03IITIIBHoe;

• Bbl He MQ)KeTe noaepnrs rrp06JIeMY POgHbIM II 6JIII3KIIM, HO qYBCTByeTe nOTpe6HOCTb BblrOBOpIITbC51;

• BbI troHIIMaeTe, 'ITO HY)KHO .n;eHCTBQsa'rs, 'IT06bI peWIITb np06JIeMY, HO He 3HaeTe,qTO HMeHHO nenars.

• JlI06f1Il(He sac JIlOgII HaCT0l19IIBO pexoMeH.n;YIOT 06paTHTbCfI K nCIIXOJIOry, naxe

eCJJH BbI caMH He C'IIITaeTe rrp06JIeMOM TO,

'-lTO nponcxonrrr.

BD BpeMfI 6epeMeHHOCTH HeO~kOgUMO peurars B03HIIKalOUJ,IIe npofinensr 6bICTPO, He no- 3BOJI5lfl lIM saxpennarsca. TaK KaK IICIIxonorIIxecxoe CDCT051HIIe 6ygYIl(eH MaMb1 BJlImeT na caMO'-lYBCTBIIe MaJIb1Illa. Onaaxo nCIIXOJIOr - 3TO TOlIbKO npDBo.n;HlIK, KOTQPhIH CMO)[(eT noxasars BaM BbIXQg, KOTOPblH BbI CaloilII He 3aMeTHJJH. HgTH JIll no 3TOH nopore II KaK IIATH - 3TO TOJIbKO aaur Bb160p. qT06b1 peWIITb np06neMY, ncerna HY)KHO rrorpynarsca. '-lTO-TO rrOMeH!ITb B cetie, nepeoaorperr, KaK.I1e-TO nD31IUllH. Ho c-racrse MaTepIIHCTBa H 6YAymero ~a}IhIrna CTOHT Taro! ___.~

23

• B Q}tH1AAHV1V1 PE5EHKA

24

b

)

rM

IOn"" KacnapOBa, r. XapbHOB

- )],eBO'lKH. ztanafrre 3HaKOMllTbOI. - AmI rro;qoIllJIa K CTOHlI.(HM B cropoaxe 6y;qylI.(H1v! MaMaM. TaKHM JKe. KaK PI OHa caMa. Ceronna 6bIn nepnsiii ,Il,eHb 3aHJlTHrr B IIlKOJIe ,Il,JH[ 6epeMeHHbIX. TOJIhKO 'ITO 3aKOHqllJIaCb BBo;qHarr JIeKuas, II HeMHoro YCTaBUIHe OT CH,Il,eHH.f! aa O,ll,ROM MeCTe 6y;qylI.(lle MaMhl BhI!IIJIH na rrepepblB. Ana, 6y;qY'l1l qeJIOBeKOM 06lI.(IlTelIbRbIM. pemana, 'lTO 3HaKOMCTBO C «COKypCRllI(aMH» HYJKHO aasonars cpa3y.

Ona mo611lIa HOBbIX mo.n:err. Ho neno 6bIlIO He TOJIhKO B 9TOM. HMeHHO ceiisac Ana qYBCTBOBaJIa ce65.1 O;qHHOKoH. IIorpY3HBIllHCb C rOJIOBOH B 6epeMeHHOCTb. OHa IIOqTH yrparana CB5.l3b C rrpe)KHHMll ;n:PY3bilMll. HeT. OEH no-npexmesry scrpesanacs C ;qeBqORKaMH B Kacpe, 'IT06bl 06Cy;n:llTh HOBOCTH H CJIerKa nocnnermrrars, nepessannsanacs II npaxonnna ztpyr K .n:pyry B rOCTH. Ho AJIH KorO-TO H3 rro.n:pyr 6epeMeHHOCTb II POAM 6bIlIH ztaano rrpoH)..(eHHhlM 9TarrOM. KTO-TO IlOKa ):(a)Ke TOJIKOM He 3a.nYMblBaJICH 0 B03MO%HOCTH POAllTb pefeaxa. rrOTOMy 'iTO aaxornrncs B aKTHBROM rrOHCKe CIlYTHIIKa %1l3Hll. O,!.lHHM ClIOBOM. AnIIHhI «fiepeuenasre» rrp06neMbl 6bIJIH AJIJl nonpyr HeaKTyaJJhRbJ. A err O'IeHb XOTenOCh C KeM-TO 06Cy;n:HTb csoe COCTO!!HIIe. cnoe nacrpoeane. rrOAeJIHTbC!! rrpO'lHTaHHbIMH «HHTepeCHOCT5IMH)} 0 cOBpeMeHHoM nonXOAe K 6epeMeHHocTll II po;n:aM.

KOHeqHo. OHa MHorllM Morna AeJJHTbCil C MY)KeM. Cepexxa 6bIJI BHllMaTeJIhHbIM II rrOHJITJIHBbIM, Ho ;n:aJKe OH He Mor BhIHOCllTb pa3roBopbI 06 OAHOM H TOM :>Ke C yTpa AO sesepa. AnH rroaaxrana. 'lTO HeJIb3JI 6hITh TaKOn HaBH3- qHBoii Ho npOCTO He 3HaJJ(l, K(lK 6blTb - rrorosopars-ro XOqeTCJI! H BOT KaK-TO Be'lepOM Cepreri noxasan AJIe HPKYID peKnaMHYIO JIHCTOBKY:

- BOT. ,[Iep)KH. Caurxa aa paficre An5.1 Te65.1 nepeztan. Ero Marna napy MeCIlu:eB aasan poznrna. 11 OH reneps crapaerO! co MHon lJo;n:elI11TbGI omrrou. OIta3bIBaeTcH. OH .n:a%e rrapy pa3 noceran 3aHilTI1il B WKOlIe AlIH 6epeMeHHblx. Hy. H na 9TO He CIIoc06eH. a BOT ,Il,lIJI Te6JI. AJIJI. no-xoeuy, 3TO TO. qTO HYJKHO. K TOMY JKe, COBceM PJI;n:OM C AOMOM.

AnJI B3JIJIa JIllCTOBKY 11 rrpHHJIJIaCb cxpynynesao ee myqaTb. Oaa Bo06lI.(e nonxonnna K %1l3Hll cepsesao 11 B3Be!IIeHHO. HHorAa ,l.(aJKe CJIllWKOM. BOT a MyJK nopoii ynpeKan ee B 'lpe3MepHoM panzoaanasae. )],a)Ke C 6epeMeHHOCTbID An,'! He XOTelIa see nYCKaTb na caMoreK. OHa cpasy pemana naa ce6JI. "ITO ee Manblli1 6YJ1eT aannaaapoBaHHbIM. HeQ)I<Hp,aHHOCTII B TaKOM Ba)KHOM AeJJe rrpocro neztonycrmar.rl Ceprefi: XOTeJI pefieaxa cpasy KaK TOJIbKO OHII IIQ)l(eHl11II1Cb. Ho AnJI eillTana, "ITO HYJKHO rroapeneBIiTb: nOJKHTb qYTh-qYTb BMeCTe. rrpl1CMOTpenC5.I rrpyr Ie( npyry, a yJK nOTOM 063aBO,[lllTbUI HaCJIe,ll,HllKOM. TaK

'ITO 3a'IaTHe 6b1JIO TmaTeJIbHO CrrJIaHHpOBaHO. MaJIo TOrO, BHHMaTeJIbHO H3yY:HB rroorenane .l10CTHlKeHH5! B HaYKe rrJIaHHpOBaHlIJI IIOJIa, AlI5! 6bma COBepUJeHHO yaepeaa, 'ITO )!(.l1eT ,[IeBO'lKy. Haxaxoro COMHeHHJI! O'IeHb cepsesHO OTHOC5!Cb 1< csoen 6epeMeHHOCTH, AnJI crapanacs ecrs TOJIbKO 3p;0POBYID IIl1:my, C06nID.l1aJIa pe)!{HM .l1H5!, rymrna Ka)K,lJ;blll .l1eHb H KOHe'IHO O'IeHb Ha,[le51JIaCb na eCTeCTBeHnsre PO,[lbI. TaK 'ITO xypcsr ITO rrO,lJ;rOTOBKeK pOAaM BrrOJIHe BrrHCblBaJIHCb B 3Ty «IIporpaMMY-MHHHMYM».

- Cepex. cnacnfol 'I'sr npaa TaM )Ke 6y,nyT y'IHTb npaBPIJIbHO ,[IbIUJaTb, paCCJIa6m1TbC5!. Heme sziecs HarrPICaHO, 'ITO IIPOBOP;JITCJI 3aHJITllJI crreUPIaJIbHOH rHMHaCTHKOH, ..

- 1\JIeY:Ka, - My)!( M!lTKO OCTaHOBHJI AnHH BOCTopr, - 3TO see rrpOCTO 3aMeT.faTeJIbHO. Ho, KpOMe aroro, TaM TbI HaBepHHKa CMO)Kellib Ha:fJTll ce6e P;OCTOHHbIX cocecenHHl.(. II03HaKOMHlllbCJI C ,neBO'IKaMH, 6Y,[leTe ,nenHTbCJI ({IIpaTbIMH)} HOBOCTJIMH. IIo-MoeMY, 3TO snoposol

- Ax BOT B T.feM neno: - AlIJI Ha,nYJIa ry6bI B nparsopnoii 06Hne. - H,[IH aa xypcu, pasroaapaaaii TaM CBOll pasroBOPb!, 'lT06bl MHe )J,OMa rDJIOBY He MOpO'IIma. .. Cnymaa, Cepex. a KaK )Ke !! BpeW! HaH)J,y aa 3TO ace. Pa60Ta sens. HY'le6a ...

YnanHTb sonpoc C pa60TOH 6bIJIO He CJIO)KHO. Pa60TaJIa AJIJI B rrOJIHKJIHHHKe MenceCTpoH. Ho, ABa MeC!!l.(a Ha3a,lJ;, KaK TOJIbKO Y3HaJIa, 'lTO 6epeMeHHa, rrepenrrra patiorars aa IIOJICTaBKIl. Ha 3TOM HaCTO!!JI Cepren. OH C'lHTaJI, 'ITO reneps AJIe HY)!{HO 60JIbUJe ,[IYMaTb 0 ce6e H pefienxe. Tax 'ITO BpeMJI ,lJ;JI!! rrOCemeHHJI KYPCOB BrrOJIHe MQ)!CHO 6bllI0 HaHTH. C y'{e60H ace 06CTO!!JIO He TaK rrpocTO. Ion nasazi AlIJI. aa-rana Y'IHTbC5! 3aOT.fHO. TaKOe 06pa30BaHHe He Tpe6yer exezmeanoro rrpHCYTCTBHJI aa 3aHJITH!!X. A nse He,!leJIH ceccaa KaK-HH6y,nb nepexan, MO)KHO. B KOHl.(e rrepBoro Kypca AlI!! saoepeuenena. H Terrepb cnasars 3HMHIDID cecCHID ell rrpenCTOJIJIO B «my60Ko 6epeMeHHOM» COCTO!!HHH.

- AlIb, xypcsr - 3TO scero pa3 B aeztemo. Ii y Te6JI erne BI10JIHe XBaTllT BpeMeHll rr03aBHMaTbCJI. A K TOMY MOMeHTY, xorna HY)KHO 6Y,l'.\eT ceCCHID CAaBaTb, Tbl y)!{e xypcsr 3aKOH<IHIll1. TaK CITO HHKaKHX cepbe3Bblx npensrCTBHH Y Hac HeT ...

BOT TaK AlIJI nenana B lllKOJIY no nonrorosxe K pO,lJ;aM.

Enre na JIeKUllH OHa ycnena paCCMOTpeTb MOJIO,nbIX )KeHru;HH, canesnrax PJI,nOM C HeH. H BOT Terrepb nepsas IJO):(Otuna K HHM 3HaKOMHTbClI.

- 5I - Ana. ,[(eBOT.fKll, MO)!{eT, IIOIJbeM Y:aH?

- '[(aBaHTe! - sarnefierazra MOJIOAeHbKJ!! 6JIOH,uHHKa

B MO)J,HOM noporoa KOCTlOM'lHKe ,un!! 6epeMeHHblx, KOTOp11ll otinerazr KpyfJIbIH, e,l'.\Ba HaMeTHBlllHHC51 )KllBOTIlK. - 51 - KpHCTllHa. HaM 18 nenenex, OH, ,[IeBOQKl1! 5I TaK BOJIHYlOCb!

KpliCTHHy AlIJI 3JrrpHMeTHJIa C caxroro Ha'IaJIa. Ta canena y OKHa H TaK 3MOl.(HOHaJIhHO aa Bee pearapoaana, 'ITO He 3aMeTHTb ee 6hlJIO (JIO)KHO. OHa TO ynhl6anJCb, TO cornacao KHBaJIa ronOBOH, TO CJIYllIaJIa, IIIllPOKO paCKp1IB rnasa OT y,!lHBneHH!!. Torna AlIe IJo,uYMaJIOeb, ,{TO nesymxa. aasepaoe. rrpHlllJIa HJ xypcsi OT CKYKIl HJIH rrOTOMY, 'ITO CeH'iaC 3TO crane MO,uHbIM. Ho ee rrpJlMOTa, 6ecxIlTPOCTHOCTb II KaKaJl-TO ,ueTCKaJI HaIlBHOCTb rrpocTo osaposana AlIID. H eH 3aXOTeJIOCb CKa3aTb 'ITO-TO 060np51IDru;ee:

- KPHCTHH, 51 TO)Ke BOJIHYIOCb. Ho Y MeHJI CpOK eme COBceM MaJIeHbKIIll- ncero 12 aenens. TaK 'ITO Tbl Y Hac 6y):(eIII1 rypy.

- KeM JI 6YAY? - KpHCTl1Ha CJIerKa HaMOpmHJIa TOHeHbKHe 6pOBKll.

- Iypyl - AJIJI 3aCMeJInaCb, 3aYJJbJ6aJIllC1 H OCTaJIhH1Ie 6Y,l:1yruIle MaMO,{KH. - 3TO KaK 6bl Y'lHTeJIeM, TaKHM yMy,l'.\peHHblM orrb1TOM 3HaTOKOM.

- He, AeBOCIKl1, Y MeHJI HIIKaKoro onsrra. 51 TaK 60HJIJCb H,I:1TH CIDAa, MeH!! My)!{ npnses. qyTb He OII03AaJIH. 5I ,[IBa Y:aea He Morna pemars, 'ITO aaziers. Bce rrepe)l(HBana, 'ITO 6y,[ly B1Irn!!)J,eTb o'{eHb TonCToH. ,[(eBO'IKH, JI B 3TOM KOCTIDMe He (nHlllKOM TOJICTa!!1

- Tb! B 3TOM KOCTIDMQIIKe O'leHb CflMrraTll,{Ha!!, - OTBeTHJIa sa scex CBeTJIOBOnOCaJI xemnaaa JIeT copoxa. OHa IIOKa3anaCb Ane TaKOH: cepsesaoir a crrOKOHHOH. InrrepecHO, I10'{eMY? MO)KeT, OHa rrpOCTO 'leJIOBeK, rrpHBblKlllHH He BOJIHOBaT1Clf H3-3a BCJIKHX rrYCTJIKOB? HJIll raxoe crroKOllCTBHe rrpaxonnr C B03paCTOM? )KeHru;HHa YJIbl6Hynacb H ,lJ;06aBliJIa: - MeHJI 30BYT Haraura He AeJIaHTe H MeH5I rypy 'ronsxo rroToMY,LITO 5!CTapIIIe scex, 5I TJ1<OIl)l(e «qaHHHK» B 3TOM nene, KaK H Bbl.

- JIa;O;Ho, BbI'lepKHBaeM, - paCCMe5IJIaCb AlIlI.

'Ieneps nomna osepens ,!.10 IJOCJIe,l:1HeH lIeBYIlIKl1, MOJIOAOH: 6pI:OHeTKH, KOTOpaJI KaK-TO BJIJIO npanaaana Y'IaCTHe B pasroaope:

- HacTJI.

fOJIOC y ,I1eBYlllKH 6bIn THXHH, a B rJIa3aX lJJIeCKaJIaCb TaKaH rrryfioxarr rpycrs, 'ITO AlI!! rrpocTO <pH3H'IeC!<H omyTHna: 3TOMY -renosexy ceH<JJC Tl'l)l(eno. Ho paccnpamasars o npa-nme rresana 6b1JIO coeepurenao HeBe)KnHBO. Oc06eHHO Y'IflT1IBal'l TO. '(TO OHll 6blJ1H ensa 3HaKOMbl. Ha HaeTID AlI!! roxe otiparnna BHllMaHHe eme BO BpeM51 3aH!!THll.

Caaxana, npasna, OHa pasrnansraana nsyx nesosex, KOTopbre npHlllnH aa xypcs: C MY)KhHMH. H TUXO 3aBH,nOBaJIa HM 6eJIOll 3aBllCT1ID. «BOT 3TO MOJJO,o:l.(11! - nOAYMaJIa AlIH. - A Moero Cepexocy CIDna H na apKaHe He aarautanrs. OH npaxonar B 6narorOBeHHhlU: yxac BClfKHll pa3, xorna CJIb1UJHT XOTb MaJIelllllHe MeAllllHHCKHe I10P;P06HOCTli. Ho AJI5! He OTKa3aJIaCb, ecmr 611 Ceprefi XOAHn na 3JH!!Tll!! BMeCTe CHell .. OHa 6blJIa ysepeaa. TaK MY)l(bJI JIYT.fwe IIOHl1MaIOT COCT05!HHe )l(eHbI, Aa II CeMbJI CTaHOBHTCH CIInO'IeHHee, B rny611He AYlllfl OHa JIeJIeJIna Ha,l'.\e)KAY, 'ITO Cepexxa COmamTCJI 6b1Tb CHell na ponax. Ho IJOHHMaJIa, LITO 3TO H3 paspsna <paHTaCTllKH... Iloxoxe, OAliH 113 6y,nymllx rrarr TO)[{e npamen crona He no CBoeH BOJIe. OH JIBHO T.fYBCTBOBaJI ce6JI «He B csoea TapenKe». BOT 3TO 0llIH6Ka co (TOPOH1! em )KeHbl. Bce ,IlOJI)KHO 6hIT1 OC03HJHHO II A06pOBOJIbHO. 3aTo BTOPOH MOJIOAOH My/K CJIYllIaeT BHllMaTeJIbHO, corzranraeror. KflBaJ1 rOJIOBOll, n Aa)l(e rrozt- 6a,l'.\pHBaeT CBOID «rrOJIOBllHKY», TO H neJIO C)!{flMaJl PYKOH ee rranbY:llKH. IIpHlITHa!! KapTHHKa ...

A lJOTOM AJIJl rrepesena B3rJI!!,IJ, na HaCT1{). BIIpOqeM, Torna OHa erne He 3HaJIa llMeHH ,l'.\eBYIIIKll. Manosanaaa 6pl:OHeTKa C KOPOTKOl'i CTPH)!{KOH 6hma '{eM-TO JIBHO paCCTpoeaa. Iloxoxe, OHa ceronas Y)Ke ycrrena nonnaxars. Hoc CJIerKa onyx, non ma3JMH TeMHble Kpyrn. MO)KeT, npocro HeBa)l(HO ce6JI 'IYBCTByeTI TOKCllK03{ HnH 6epeMeHI-lOCTb nexenarensaaa AO (IlX nop He MO)KeT CMllPHTbClf{ ,[(a HeT, He noxoxe. 06pY"lan1HOe KOJIeqKO na nansne ecrs, 3Ha'IHT He see TaK TparH"lHO. OHa oseas HepBHW:laeT, PYKll C)l(aT11 B KynaKll, na H caua BCJI aanpaxena. MO)KeT, npoCTO nacnymanao, CTpa!IIf:IJIOK nonpyr H 60HT(!! npen- t..

Teneps CAaSaTb 3i11MHfOfO CeCClIllO ei:1 ripen(TORnO S «rJiy601<O 6epeMeHHoM» COCTOll' HVlIt1.

25

• B O}\{V1AAHIt1i11 PE6EHKA

HaCHl BbITaw,V1J1a 1t13 CyM04K!I1 IWHBepT C rpororpadi VIIi MVI.

26

CTOJHI.\HX pOAOB? TeM BpeMeHeM EIIeHa BHKTOpOBHa, spasaKYllIep, npepsana IIeKumO BOrrpOCOM:

- BOT Bb! KaK c-mraere. pmKaTb - 3TO 60JIbRO?

Bce AeBOqKH YTBepAHTeJIbHO 3aKHBaJIII rOJIOBaMH, H ra, TeMHeHblGIJL 60Jlbllle scex. AJle nOKa3JJlOCb, 'ITO AJ)Ke B3rJIf!JJ; Y nee CTJJI eme 60Jlee acrryraansni If HJrrpf!)KeHHbIH.

- A BOT 3TO COBceM He 06H3aTeIIbHO. MO)KeTe MHe IlOseprrrsl KOHeqHO, POAhI - nponecc He H3 IIerKIIX. H coBceM y:>K 6e36oJIe3HeHHb!M ero He cnezraeun; Ho, CMe!O BJC saseprrrs, xepes :3TOT srarr MO)KHO He TOJlhKO nerxo npOHTH. HO eme Ii nOJIYSIITh OT Hero Y,llOBOJIbCTBile. 'Iero 3'1'0 BbI YJIbl6aeTecb? He sepnre? A BOT IIMeHHO ,ll;IIJI 3TOro MhI C BaMII II C06paJlIlCb. MbI BMeCTe - BhI II f! - 6YIl:eM pafioran, HaA TeM, qT06bI HayqIiTbCJl PO:>KJTb npJBIIIIbHO, MJI[KO II eCTeCTBeHHO ...

... Il BOT reneps. BO BpeMf! nepepbIBa, 3HaKOMCTBO COCTOsnocs. Ana 6bllla ,nOBOJIbHa CBOI1MII HOBblMII 3HaKOMbIMll. Bce OHII Ka3aIIHCb eN nrO,ll;bMII rro-csoeuy mrrepecnsnra. A 06bIQHJll Il:JIll 6Y,1J;ymllx MaM COJIH,1J;apHOCTb nouorna no-ira cpasy 3aBJl3JTb HerrpllHY)Kll:eHHbIH pasrosop. Korna pe-ts sanrna 0 cpoxax 6epeMeHHocTll, 0 CaMOqYBcTBllH Il:J erne 0 TOKCllK03e, 6ece,[la nOTeKIIa CJMa C060H. K KOHuy nepepsrsa. xorna 6YIl:yurllX MaM npIIrJIaCllJIII B ClIOpTIIBHbIN 3aJI P;JUI 3JHllTml rllMHacTIIKoH, AlIH Y)Ke 3HaIIa, 'ITO Haranra OqeHb TpeneTHO OTHOCllTCll K CBoeH 6epeMeHHOCTll, nOTOMY'ITO CIIHIIIKOM nonro Y HllX C MY)KeM He IIoIIYQaIIOCb 3aBeCTIJ pefesxa H BOT reneps 3'1'0 Yll:a~ JIOCb 6Jlaro'[(apll 3Ko. lla II TO TOJIbKO C rpersen nonsrrxa. A enre AlIll 3HaIIa, 'ITO KpIICTliHe My)K IIo06eurJJI nonapars MalllllHY, eCIII1 OHa PO,1J;HT eMY HaCJIe,1J;HllKa. Ha sonpoc HaTalllII, 'ITO nonapnr My)K B oryxae pO)Kll:eHllll ll:eBOqKIJ, KpllCTHHJ HeMHoro pacrepaaacs. Hacrs 1I0'-lTll nasero o ce6e He paccxaaasana, II AJIll TaK noxa H He npoacaana Il:JIll ce651 mJBHbIN sonpoc srro sa nenpnsraocra CBaJIHJIHCb na roJIOBY 3TOH MOJI0.l.10ll )KeI-lm11HbI. ..

Cnryanaa nposcaanacs 'fyTb nosxe. no zropore ,n:OMOH.

OKa3aJIOCb, 'lTO Hacrs X<llBeT COBceM P5l.l.10M C AlIeH, acero 'Iepe3 nsa ,ll,OMa. H rrOCJIe KypcoB OHII ornpaeanacs ,1J;OMOll BMeCTe, AJIe 6bIJIO HeJIOBKO cnpamanars 0 TOM, 'ITO BOJInyer ,1J;eByIllKy. II OHa crapanacs ronopars 0 seutax OTBJIe'IeHHb]X: pafore, Y'Ie6e II na)Ke norene. Ho. nOXO:>Ke, HaCTe HY)KHO 6bIJIO BbIroBOP11TbCll, H ee He OCTaHOBllflO ,l.\a)Ke TO, 'ITO 3HaJIa OHa An!O scero KaKIIX-HII6Y,l.\b napy '1aCOB.

- Tb] He cnenmnnz MO)KeT, BblITbeM 110 -ratnxe qaJI? - Hacrs MaXHYJIa PYKOll B CTOPOHY He60IIbIlloro YIIHqHOro KatjJe. lleBYlllKll cenn sa CTOII11K.

- Xoxenrs nOCMOTpeTb tjJOTorpatjJllll? - HaCT51 BbITam11- JIa H3 CYMOqKH KOHBepT C tjJOTO.rpatjJll5lMII. - 3TO Mbl C MY)KeM rrponrnsrra IIeTOM aa Mope.

AmI AOCTana tjJoTOrpatjJHll - !!pK11e UBeTHbIe KYCOqKll IIeTa, aa KOTOPblX CMeIOurallC5I, C'IaCTJIHBa51 HaCT5I 06HIIMaJIa CllMnaTII'IHoro TeMHOBOJIOCOrO My)K'IHH)'.

- KaKHe «pacassre tjJoTorpatjJl1H! Bbl XOPOillO CMOTPllrecs BMeCTe, - AJI5I supaaana rrcxpemree BOCX11meHHe.

- ,[\a, - KHBHyna HaCT!!, - MhI 6blJIH xopoineii napon.

II xopomefi ceMbell. TOJlbKO 51 caMa see 3TO paspynmna. C06cTBeHHhlMll pyxana.

H HaCT5I sanzraxana T11XO II 6e33ByqHO, Ona npocro Wneaa II CMOTpeIIa KY,l.\a-TO CKB03b AlIIO, a no meKaM MenJIeH-

HO TeKJIll CJIe3bl. An51 CJIerKa pacrepanacs. Oaa He 3HaJIa, 'ITO CKa3aTb, Ho HaCTJI caM a aasana C6llBqUBbIU: paCCKa3, CllTyaI.\HJI neiicrsarensao oxasanacs HenpOCTa5l. Hacrs 6bIJIa 3aMY)KeM rrO'ITII 4 rona. 3aMYJK BbIIIIJla no III06Bll. My)K 6blJl qeJIOBeKOM XOpOIlI11M II Ha,n:e}KHhIM II HacTIO o-reas JII0611n. Y HllX 6hInll 06mHe B3rJIll,n:bI na )KH3Hh, CXO)Klle YBJIe'leHll5l, O,ll,HHM cnOBOM, llM 6h!Jl0 XOPOlllO BMeCTe, Ho BOT np0I13011IJIO TO. "!TO B JlI060BHhIX ponaaax na- 3bIBa!OT POKOBOH CJIyqallHOCTb!O. Hacrs BCTpeTllJIa CBOIO «rrepsyro JII060Bb». Om'! )KllJIll rro COCeIl:CTBY, BCTpe'IJIIllCb erne co llIKOJIbl, !'! see ,l.\PY3b51 6bIJI11 a6COJIlOTHO yaepenu. ,ll,eJIO aner K cBall:h6e, Ho see 3aKOH'IllIIOCb B OAllH MOMeHT. OH!'! paCCTaJI11Cb ll3-3J rnynoa 06llll:hI, ,ll,ypaUKoll ropnocra. a TOqHee, rOp,[lbIHll. OJIer (TaK 3BaJIH MOJIOIl:Oro 'leJIOBeKa) yexan B npyron ropon, nOCTYlIllJI TaM B By3 II )KeHl.1JlC51. HaCTJI nonro H 60ne3HeHHO nepexaaana paapsrs. erne 60- lIe3HeHHee - CKOpOnJJIHTeJlbHYIO )KeHHTb6y m06llMoro, o KOTOPOll saazra OT llX ofiuiero ,[Ipyra. Ho nOCTeneHHO see 3a6I,IJIOCb, nplllllJIO B HOPMY, II HaCT5I CHOBa CMorna paztosarscs JK113Hll. Yse6a, HOBbIe npY3b!! a, B KOHue KOHI.\OB, HOBa51 JI!060Bb. H BOT reneps, crrYCT5I CTO)1I'>KO IIeT. OHa BCTpeTllJ1a Onera, OH npnexan B OTnyCK nasecrars POIl:11- renea. OKa3aJIOCb, '-ITO era ceMellHaJI )Kll3Hb npononxanac» aezronro, y)!(e xepes nonrona see 6blJlO KOHqeHO, rrOTOMY 'ITO II )KeHHJlC5I-TO OH, OKa3bIBaeTCll, Ha3JIO HaCTe, IIOTOMY 'ITO scerna ee IIIo6llJI. H III0611T,n:0 cnx nop .. ,

- He rroaaxraro. qTO aa MeHf! nanmo, AlI5I. IIpOCTO aaKpbIJIO xaxoii-ro cYMaClllell:IlleH BOJIHON: TOCKa rro npolllIIOMY, aocransrns no TeM 6eCllla6aIlIHb1M BpeMeHaM, BJII06JIeHHOCTb, Bnpyr rrOKa3aJIOCh, 'ITO HMeHHO OH, OJIer, II eCTb M051 cYAh6a, QTO Moe 3aMY)KeCTBO - 31'0 01lIll6Ka ... - HaCTJI B3.l.10XHYJIa. - Bnpasnn 6h1 MHe KTO rorna M03rll na MeCTO, H rnasnoe. scero-ro OAHH pas B peCTopaHe nom,n:eJIII 11 60JJbIlle He sanenacs, A 51 ce6e see HatjJaHTa3llposana H cpasy B311na ,ll,a H paccxasana MY)KY npo Onera. A 'lepea HeneJIIO nOH5IJIa, 'ITO 6epeMeHHall. An!!. 51 He Mory refe nepezrars, 'ITO 51 nepexana sa nocnemme TpH MeC5Iua. 3TOT pe6eHOK cpasy BepHyJI MeH5I K ,ll,eHCTBllTeJIbHOCTII, paccens nee llJIJII03HH II tjJaHTa3H11. Y MeHJI KaK 6y,n:ro rrenena C rnas yrrana, lla He MO:>KeT y Hac C OJIerOM 6bITb HHKaKoro 6y,n:ymere! Msr COBepllIeHHO pasnsre J1!O,n:H, II OH Y)Ke COBceM He TOT, KaKllM 6blJI pansme. H He JII060Bb 3'1'0 HHKaKali BOBce. 31'0 COBceM He TO 'IYBCTBO, xoropoe II scema acnuTbIBaIIa K MY)KJ, K 3,n:llKy. Ho HHqero Y)Ke HeJIh351 sepayrs. 3,n:HK CQHTaeT, 'ITO 51 ero npenana. OH He BepIIT, 'ITO y Hac c OIIeroM Hllqero He 6bIJIO, OH He npocrar MeH!!, .. Mst TaK C HHM XOTeJIll 3TOro MaJIbIllIa, TaK .l.10JIro ero )K):Iaml, II BOT reneps, xorna Hallie C'IaCTbe srorno 6bITb erne f!pqe 11 nOIIHee, 51 see llClIOpTI1JIa ... 31l:llK CO MHon rroxra He pa3- rOBapnBaeT, He XOqeT MeH5I CJIYllIaTh. Jl He 3Ha!O, 'ITO neJIaTh, AII5I. KaK MHe )KllTb ,[(aJIhllle? 51 II na KypCbI nonrna ,[IJlJI roro, '1T06h1 XOTb KaK-TO OTBJIeq,bCll,

- HaCT51, - An!! B3!!JIa Hacrmry pyKy H JlerOHb.KO C)Kana, - see 6Y,[leT XOPOlllO, BOT YB11,l'llllllb. HY)KHOSpeMli. Ono see paCCTaBllT aa CBOll MeCTJ, Ka)K,ll;bIH IIMeeT npaso na 0IlIII6KY. H TEOll My)K 31'0 rrOHMeT, II npOCT11T. HY)KHO ,ll;YMJTb cen-rac 0 MaJIblUle. EMY HY)KHa cnoxoanas MaMa, OB TO)Ke crpanaer BMeCTe C T06oll,

- Cnacnfo Te6ef Bsrrosopanacs - II CTaJIO 'lYTh-'lYTb.

JIerqe, , , _ _ ___.

9 Mec~l1eB

HOBOCTiII HAYKiII •

HAHOTEXHonorMM B OHKOnOrMM .

Ipyrma FlCCIIell.OB3TeJIeii H3 rrcnancxoro YHliBepCHTeTJ Crpaast 6aCKOB ororna rrOJIY'lI1Tb RaHo'{aCHlI.\Y. KOTOPaJ'[ cnocofiaa OTlIH'IaTb xanneporeaasre KJIeTKH OT 3!lOPOssrx Fl nOCTaBJIJlTb l1eKapCTBO TOl1bKO B rrepShre H3 Hl1X. Pe'lh HlI.eT 0 rl1llporeJIe - Cnel.\I1aJIbHOM saaonoznoaepe. KOTOP.blll I1MeeT CBOllCTBO pastiyxarr, ITOClIe era nornonieHI111 60JIbHbIMH KJIeTK3MH H He paCTBOpi.lT1(J] B )KHAKOll cpene KpOnl!. B COCT3n 1'!aHorHApOreJIJ! BXDAI1T q,OnHeBall KHCflOTa, 6narOAapi.l xoropon OR npOXOAI1T '{epe3 MeM- 6p3HbI K3HI.\epOreHHhlX KJleTOK 11, aaxoztscs Y)Ke BI-l}'TPI1, 6naro.t(ap!l CBoeMY MeHbllleMY pH (sOIl.0POAHbIH ITOKa33- rens. onpencnaioumfi KI1CnOTHbcTb pacrsopa), pasfiyxaer, 'ITO naer B03Mo)KHOCTb COllep)K3ll\eMYCJl" B HeM neKapCTBy nortacn- HerrOCpell.CTBeHHO E paKOBYlO KJleTKy.

,1],0 nacroaurero BpeMeHI1 rnaanon nperpazron Hi! rryTH Hcnonb30BaHHJI 3TOro MeTO,l(a 6bllIO TO. 'ITO HaHO'laCTI1- I.\hl AOll)!(HbT 6blTb 0geHb MalleHbKHMI1, 'lT06b1 He paspyIIIIITb KpOBeHOCHble cocynsr, 11 OHTT AOJDKHbl 6MTb npa MepHO O)1HOrO paasrepa - 15-30 HM. E3CKCKTTM Y'leHblM yztanocs pelllTTTb 3Ty rrp06JTEMy, H Cell'IaC C03AaHHhIE

HMn aauoranpore.nr nocrynnna aa acnsrraann B MeI\Hl.\l1HCKlIe naooparopan Yl-THaepCHTeT3 KOMITIlYTeHCe B Manpnne TT YHIIBepCllTeTa Crpauu 6acKOB.

EeCKoHTpOnbHblH raeu MO)!(eT HaHeCfTT TOJIbKO. BpeA ce6e II OKppaI-Oll\lfM, O,l(HaKO YMeHTTe 1I31lHBaTL HEraTIIBHbTE 3MO[(HfI, KOHrpoJU:lpy!! IIX, ITOMOraeT A06l1TbCH ·60m.,IJJIIX ycnexos. C'lTTTalOT HCCne)10.BarenIl TT3 Iapeapna.

AMepfIK3HcKlIe yqeHble uposcna I1CClleAOBaHl1e, B xone KOTOpom H361llOAaJIlI 33 rpyrmoa :113 824 'lenoBeK cTapIIIe 44 ner. Te 113 HHX. KTO npaasuc nepexaaan, MOII'Ia II He Bblpa)!(aTb CBOTTX 3MOUTTH. B 3 pa3a -rame yrsepxnana. '"ITO y)!(e AOCTlIrIll1 ITOTOIIKa CBoell xapsepst.

Draaa npoexra npooeccop ./..DKopll.)!( Benrmarrr yrnepxnaer: «Ilpaaaro C'IlITaTb, 'ITO raes OTHOCIITC!! K BeCbMa onacasrv 3MOI.\IIJ1M H 'lT06hl CIlpaSIITbCJJC HHM, peKOMeHAYlOT TpeHI1pOSaTh «IT03HTHBHoe MhIIIllIeHI1en, IICKOpeH!!I-Oll\ee rnes». YcreHble 06HapY)KTTIlH, 'ITO TJKOU nonxon rresepea n, B KOHl.\e KOH[(OB, ofiopasasaercs npoTIIB caMora 'leIlOBeK3. Herarxsasre 3MOUHH, TaKHe, KaK CTpax II THeB, JIBIlillOTCJI BpO)](J1eHHbIMH H HMeIOT orpovnoe 3Ha'IeHHe, C'IE!TalOT CITel.\l1aJITTCTbJ.

ITo MHeHIII-O yseinax. aeraraaaste 9MOl.\lIl1 ocreHb B3)[(Hbl Anll Tom, 'lT06bl BbDKli!Th. TIpoI}eccop BeJIJmaHT YKa3bIBaeT, 'ITO 6eCKOHTpOlIbHblH rHEIr - lI.eCTpYKTI1BeH. Mhl see acnsr-

ThlBaeM rues, HO TE' 1l1OATT, xoropue YMelOT H3IlHBaTb (BOJO JIPOCTh, I136ef311 npn 3TOM TJI)!(eJIhlX ITOClIegCTBIfH Heo6Y3gaHHbIX BCITblIIIeK mesa. Ilb6l1nHCb 601IbIIIlIX pe3YJJbTaTOB B nnaae 3NIOl.\HOHaJIbHoro pOCTa II nCIlXII'IeCKOrO 3g0poBbl!, yTBep)!(AaeT npopeccop.

9 MeC51LjeB

27

• B mtH1AAHvH1 PE6EHKA HOBbiE HABbIKL1

Bo BpeMTI 0}IH1A3Hltl51 M3nblW3 ltl nOArOTOBKltl K POA3M 6YAy~eiil M3Me npnzierca osnaners MHOrltlMltl, nopou HeQ)t{VlAaHHbIMltl AnTI Hee HaBblKaMVl B pasuux otinacrsx. Jlv-uue, ecnu Bbl 6YAeTe V1ATlt1 nYTeM OT reopnn K npaxrake.

OC lilT I aeM· KYC

Y~~MCH npaaansao n~TaTbCH

~ . .:::. .

EK3TepHH3 COHPCK311 Bpa4 akvurep-ruaexonor, r .. MWHCI(

28

113 pasasrx Be~eCTB. rrOJIYl.JaeMhIX C nnuieii. KaK H3 Kl1prrWIHKOB, CKJIa,o,hIBaeTOI opraHH3M pasaaaaromerOCJl rrnona. 11 OT roro, HaCKOJIhKO Kal.JeCTBeHHbIMII 6Y)J,YT 3TlI «KlIpm-Il.JHKH». 3aBHCI1T. HaCKOJIbKO 3,0,0- POBblM II KperrKIIM 6y,o,eT pe6eHOK. ECJIII nnraaae rrOCTpoeHO HerrpaBIIJIbHO. TO pe6eHOK npa HeXBaTKe He06xo;n:IIMbIX eMY BemeCTB 6epeT IIX 1I3 opraansaa MaTeplI. B pe3YJIbTaTe y aee aacryrraer ;n:e<j:JHr:\HT 3TlIX BemeCTB II II05IBJI!IIOTOI pa3JJIIl.JHble 3a60JIeBaHIIR. Hanpnuep, rrplI He,o,OCTaTKe KaJIbIIIIR rrOpTRTC5f 3y6hI. a npa ,o,e<j:JIIIIIITe )l(eJIe3a B03HHKaeT 3HeMH5f.

HTaK. xaxae )l(e «KIIPIIHl.JHKII» HY)KHbI?

5enHH

ITo ,n:aHHbIM Yl.JeHbIX. re M3JIbIllilI. MaMbI KOTOPblX BO BpeMR 6epeMeHHOCTlI IIOJIYl.JalOT C IIII~eH ,UOCTaro-nroe KOJIIIl.JeCTBO 6eJIKa. HMelOT JIy'-IIll11e norcaaareJI11 pOCTa 11 pa3B11T11R B nepssre rO,UbI )l(H3HI1. nOCTaTO'lHOe KOJIHQeCTBO IIOJJHOIIeHHbIX 6eJIKOB B name 6epeMeHl-IOH )KeHmHHhI ofiecne-rnaaer YCTOHl.JHBOCTb HepBHo-rrC11XOJIOr11<J:ecKoH «pepsi, nossnnaer COIIpO-

V13BecTHO, YTO npaaum.aoe rnrraHVle 6YAYLl\eiil MaMbl - He06xOAlt1- Moe YC1l0BVle uopwansuoro TeLJeHlt1T1 6epeMeHHOCTlt1, pOCTa ltl passnTltlfl nnona. n03TOMY BO BpeMTI 6epeMeHHOCTlt1 MHorltlM }l{eH~lt1HaM npV1XOAlt1TCTI KapAlt1HallbHO lt13MeHltlTb CBoiil pauuou. YTO HaAO YLJeCTb, aupatiarsrean Y ce6f1 HOBYIO KYllbTYPY nlt1TaHlt1T1?

""'"

TIIBJIJIeMOCTb K B03,o,eHCTBHlO B036Y,UHTeJIeH llH<j:JeKIIIIH. Bo BTOPOH nOJJOBIIHe 6epeMeHHocTlI HY)l(HO. 'ITo6bI 50% oornero KOJIII'IeCTBa nocrynarourax B opraHlI3M 6eJIKOB 6blJIH )f(HBOTHOro rrp011CXO)l()J,eHH51 (TaK11e 6eJIKH cO)J,ep)I(aTCR B pbI6e. M51Ce. MOJIOKe, MOJIOl.JHbIX rrpo,n:yKTax. 5lHIIax). OCTaBIIlaRCSl IlOJIOBHHa 6eJIKOB Mo)KeT 6bITb paCT11TeJIbHOrO npOIICXQ)K,n:eHPHI

(<j:J3COJIb, COR. ropox). _

MHHHM3JIbHaJI ,UHeBHa5l ztosa MRCHblX HJI11 pbI6HbIX nponyx'ros )J,JISl 6epeMeHHOH COCT3BJI51eT 200-300 r. t..I I • - rJIaBHblH 11CTOl.JH11K )l(11BOTHOro 6eJIKa. B11- T3M11HOB rpyrmsr B 11 xceneaa. nJIJI np11rOTOBJIeHHJI peKoMemryeTGI noxynars OXJIa)l(,UeHHoe. a He 3aMOpoxennoe M51CO - OHO lIYl.JWe COXpaH51eT nonesaue Ka'IeCTB3. 113 MRCHbIX 33KYCOK npennoxremre OT,UaeTC5l He)!m:pHoMY OTB3PHOMY MJICY, BeTl.J11He, 6y)!(eHHHe. OT K01I63CHO-COCHCO'IHbIX 113,n:en.HH nY'-lIlIe OTK33aTbCR, TaK K3K OH11 correpacar l\1Horo COlI11, crreII11H, )1(11- POB 11 KOHcepB3HTbI. B p3QHoHe ,lJ,OJI)f(HbI 6blTb rOB!!,o,HHa. CBHHHHa, M!!CO ITTIIIIbI 11 KpOJIHKa. OCTOPO)l(HO H3)J,0 OTHOC11TbCR K cy6npO,lJ,YKT3M (neseaa, ITO'IKaM):

9 M€Cl1l1eS

3TU opraasr HaKarrnImafOT B ce6e COJIU T>DKeJI])IX Meranrros, rr03TOMY OT nnx JIYClwe OTKa3aThCH.

Msco ofiasarensno aano ;n;OBo;n;UTb no rOTOBHOCTH, '!T06bI npa npoxazrsraaamr He asmenanca KpaCHbIH COK: reMaxpOManm, OKpaIIIllBaIOII.l;I-IH KPOBb, pa3pynraercs rrpn TeMrrepaType 60°(' TO ecrs ecna H3 M5ICa npa nazrpese ssrrexaer neospaurenaas npcspasnaa )l{U;n;KOCTb, 3TO 03Ha'!aeT, 'ITO 6mo;n;0 6bIJIO HarpeTO zto TeMrrepaTypbI. He06xo;n;HMoH ;n;nJ1 rH6eJIH 60JIe3- HeTBopHbIX 6aKTepHH. IIpH nenocrarouaoa TeplYIHqeCKOH 06pa60TKe nponyxrsr )l{HBOTHOro nponcxccsneHHJ1 MorYT conepxars MHO)l{eCTBO 6aKTepuH H sapyCOB. ITpHBbI'!Ka npofcaars CbIPOH <papm na BKYC MO)l{eT rrpnsecrn K 3apa)l{eHHIO orraCHbIM 3a60neBaHHeM - TOKCOIIJIa3M030M. I1H<pHL(HpOBaHHe TOKCOrrJIa3MOH B naxane 6epeMeHHOCTH B HeKOTopbIX clIYQaJ1X npaso,n:HT K B03HHKHOBeHHlO nopoxos pa3BHTHll nnona.

Pw6.i KpOMe 6eJIKOB, co,n:ep)l{HT BHTaMHH D, HO,n:

U <pOc<pop. B 60JIbIllHHCTBe I1HmeBbIX rrpo,o;YKTOB Ho,n:a O'IeH!, MaJ10. IIpH'!eM npn ,n:J1HTeJIbHOM xpaaeHHH HJ1H TeIIJIOBOH 06pa60TKe repaercs OT 20 ,0;0 60% Ho,o;a. A BOT B psrtie, ocooeaao MOPCKOH, H Moperrpo;n;YI<TaX Ho;n; coxpaaserca XopOWO. Oco6eHHO 60rara HO,n:OM MopCKall xanycra. Ey,n:ymeH MaMe JIY'IIlle rOTOBHTb CBe)KYIO pbl6y He)l{HpHbIX COPTOB (rpecxa, OKYHb, nryxa, MHHTarr, nezrsuas. caH,n:a, xex), Me'IpbI6a, axyzra, Ka6e30H, KOpOJIeBCKaH MaKpeJIb, 6eJIbIH TYHe!:! CO;n;ep)l{aT BbICOKHH ypOBeHb MeTHJIpTYTH - MeTaJ1JIa, spenaoro ;n;JIJI M03ra H HepBHOH CHCTeMbI pacryinero peoeaxa.

Taroxe KaK H MHCO, pbI6a )lOJI)l{Ha 6bITb IIpHroTOBneHa rOpJI'IHM cnocotioss. Oxnaacnenasre csrpsre H KOfICleHbIe PbI6hI, CbIpbIe YCTpHD,bI, MOJIJIIOCKH, cyrnH MoryT conepxars B036y;n;HTeJIll JIHCTepH03a - HH<peKL(HOHHOH 60ne3HH, KOTOpaJ1 y xenosexa rrpo'rexaer JIfI60 B BHLle ocrporo cerrcnca C nopaxeaaea !:!eHTpaJIbHOH HepBHOH CHCTeMbI. MHH;n;3J1HH, JIHM<paTH'!eCKHX Y3JIOB, rrenena. CeJIe3eHKH, JIH60 B XpOHH'leCKOH (TepTOH <popMe, KOTOp3J1 rpynna nns naarHOCTHKII, Bo BpeMll 6epeMeHHOCTH rrOCJIe;n;CTBHJ1MH nHCTepI:l03a MoryT OKa3aTbC!I BbIKI:l)J,bIIll H Hapyme-

IIpeKpaCHbIM HCTO'lHHKOM 6enKOB 5lBJIllIOTC51 '"' ",""we IlVWlJ.~W OHH)l{e rrOCTaBJJ51IOT KanbUHH, He06xoll.HMbIH ;n;JI51 rrpaBHJIbHOrO pa3BHTH!I CKeJIeTa IIJIo,o;a, B Ka'!eCTBe HCTO'lHHKOB xansnns H3 M0J10'1- HbIX nponyxros J1y':lIlle acero rronoiinyr aUH;n;oqmJ1HH, HorypT, npOCTOKBama, He)l{HpHhle copTa CbIPOB H He)l{HpHbIH TBopor.

A BOT C rpH6aMH Ha;n;O 6hITb oxens OCTOPO)l{HbIMH, ECJIH Bbl He MO)l{eTe OT HHX OTKa3aThCJI, TO ynoTpe- 611JIHTe HX He 'lame 'leM O;n;HH pas B nenemo. fPH6bI - rpyzmonepenapasaeuaa IIHma, 060nO':lKH KJIeTOK rpH60B COCTO!IT He H3 l:Ie11JIIOJI03bl, KaK y paCTel-IHH, a H3 XHTHHa, H3 xoroporo COCTOJIT namrapa paKOB H I-IaceKOMhIX, fpH6bI cnocotima HaKanJIHBaTh MHO)KeCTBO spennux seruecrs, BKJIIOqaJI pa;n;HOHYKJIH,lIbI, I:l He conepxar BHTaMHHOB H MI:lHepaJIbHhIX COJ1eH. KpOMe Toro, nano nOCTOJIHHO nOMHHTb npo onacHOCTh OTpaBJIeHHJI 5lP;OBI:lTbIMH rpH6aMH.

YrneBOAbl

YmeBo,n:bI - 3TO OCHOBHoe «fisrcrpoe» sneprernxecxoe TonnHBO ,lJ;JIJ1 oprannaaa. IIpH ero nenocrarxe paCXO,llYIOTCll 6eJIKH, a 3TO sener K TOMY, ':lTO pa3BI:lTHe IIJIO,lla rrpOHCXOP;I:lT B xyznnnx yCJIOBI:l!IX. IIpH He,lIOCTaTICe yrJIeBO,llOB Y)KeHII:lHI-IhI nOHH)l{aeTG! corrpoTHB11!IeMOCTh opraaaasra. YCllJIHBaIOTCJI rrponeccsr B036Y)l{,lIeHH>I B Kope r0J10BHOrO M03ra, Bo BTOPOH noJIOBHHe 6epeMeHHOCTH )l{eHmHHa 1l.0n)l{Ha nonysars 400-500 r yrzresoztca. npeHMymeCTBeHHO rpyzmoycsaasaeusrx. B ,o:eHb.

Bee yrneaonsr AeJI!ITC>I aa neycaaanaesrsre. rpynrron nerxoycsaaaaeasre. Heycaansaeuue yrnesonsr, TaK Ha3hIBaeMaJI mnneeaa KJJeT'laTKa, conepxarca B OBOmax I:l 3JIalCaX, ocofieaao MHOro ee B xanycre. OHH, XOT!I H He 06eme':lHBaIOT opraaasu saeprneii, 06H- 3aTeJIbHO )J,OJI)l{HbI conepxarsca B mnne. TaK KaK C03- AaIOT qYBCTBO CbITOCTH, CIIoco6CTBYIOT HOpMaJIbHOH pafiore KHrne':lHI:lKa. JIerKOYCBaHBaeMhle yrnesonsr CO)J,ep)l{aTC51 BO scex Cna,lJ;KHX IIpOAYKTax H aamrrxax (caxape, xomperax. COKax, <PPYKTax, cn06HhIX 6ynoqxax), OHI:l CIIoco6cTBYlOT 6bICTPOMY BOCCTaHOBJIeHHIO CHJ1, OAHaKO C HHMU aazro 6bITb OCTOPO)l{HbIMH. Ha- ...

LJaCTo Y 6Y,IJ,Yl1\eVl MaMbl Vl3MeHRIOTCR BKYCOBble npe,lJ,nOLJTeHVlR. ECIlVl BaWVl npVlCTpaCTVlR KaCalOTCR TeX np0,lJ,YKTOB, koropue He npVlHeCYT apena pe6eHKY, TO, nO}t{aIlyiilcTa, MO}t{eTe C Y,IJ,OBOIlbCTBVleM VIM npenaaarsca. Ecm1 }t{e TRHeT ua «spenuoe», TO nocrapajirecs 4eM-HIIl6Y,lJ,b sro 3aMeHVlTb: KOHcpeTbl - 3IlaKOBblMVl 6aTOH4I1lKaMVI, ra311lpOBKY - KVlCIlblMIIl COKaMVl, coneusa VI MapVlHa,lJ,bl - KpeKepaMVl. BVlHoVlIll3MeHeHIIl.fl sxvca RBIllleTOI nporecrepou - ropMOH, Bblpa6aTblBaeMbl[:1 .fl1ll4HIIlKaMVl III nIlaLJ,eHTOVi ,lJ,Il.fl nO,lJ,,IJ,ep}!{aHVlR 6epeMeHHOCTVl. VlMeHHO 3TOT ropMOH 3anYCKaeT MexaHIIl3M nOVlCKa roro VlIlItl ItlHOro ,lJ,ecPVI L.J,IIlTa B OpraHItl3Me MaTepltl Itl sucrpaueaer nporpaavy IlIllKBVI,IJ,aL.J,1tl1tl 3TOro ,lJ,ecPltlL.J,VlTa. TaK, npn HeXBaTKe KaIlbLJ,ltl.fl nO.flBIl:FIeTCR }!{eIlaHVle rpusrs MeIl ItlIlItl WTYKaTypKY, cjJOIlltleBo[:1 KItlCIlOTbl - }t{eBaTb seneuste IlItlCTb.fl, BIIlTaMIIlHOB rpvnnu B - nlllTb nuao. Bce 6bl XopOWO, eCJ1V1 6bl 3TOT MexaHIIl3M He flOMaJ1C.fl npn CIIlIlbHOM ,lJ,ecPlIIL.J,ItlTe KaKOrO-flItl60 Bel1\eCTBa. B YCIlOBIIlRX 3Ha4ltlTeJ1bHoro ,lJ,ecpVlL.J,IIlTa B03HItlKaeT nop04Hbl[:1 xpvr, xorna OpraH1tl3M, Ha060pOT, oraepraer Halll60Ilee u,eHHble npO,lJ,YKTbl. TaK, HanpVlMep. npn Bblpa}t{eHHOM He,lJ,OCTaT«e }!{ene3a nORBIlReTC:FI MeTaflIlltl4eCKItlW npltlBKYC BO pry, 4TO ssrsuaaer orapauieaue K MRCY - HaVl60nee L.J,eHHOMY nV1l1\eBOMY VlCT04HItlKY }t{ene3a. Pa306paTbOI B }t{eIlaHVllIX, OTJ1V14VlTb nonesaue npV1XOTV1 OT spenuux Hd OCHOBaHV1V1 caM04YBCTBVlR VI aHanVl30B nOMO}!{eT Ha6fl1o,lJ,alOl1\VI[:1 spa-r.

29

• B Q)tH1AAHIt1lt1 PEEEHKA HOBbiE HABblKIiI

Bo BpeMfi 6epeMeH- 'HIHaH C 20-0 aenenn 6epeMeHHOCTH 3TH npO;O;YKThI Hocn1 CTOItlT vn orpe- nYLIwe OrpaHW!MTb: Cna;O;OCTH B 60JIhWHX KOJIHqe- 6J1:RTb 60J1bWe cPPYH- CTBaX MOrYT HeraTHBHO CKa3aThCH na 3;O;OpOBbe 6yTOB. ;O;YIIIerO MaJIhIWa H CrrpOBOLil1pOBaTh BrrOCne):lCTBHH

pa3BHTHe Y aero rrauteaofi annepnm. KOHe~IHO, nazto rrOMHHTh H a TOM, "ITO H36hITOK cnaziocreri rrpMBO;O;l1T K Ha60py seca.

OrrTI1.ManhHhIM HCTO'lHHKOM TPY.ll.HOYCBaHBaeMhIX (caMhIX nonesaux) yrneaozton HBJI5nOTCH xpyrur. ORH COnep)KaT MHoro BonOKOR, xcropste XOPOIliO nornoutaror H BbIBO.ll.HT mnaxa 1!I3 Kl!IWeLlHl!IKa H rrouoraror pabore ne-rean, Me;o;neHHO II paanoxsepno ;l(OCTaBIIHlOT B KPOBb rnlOK03Y 11 CIloc06cTBYlOT HaI<OIlneHHIO B rrexeaa rnaxoreaa, KOTOPhlff COCTaBJIlleT OCHOBHOO sanae yrneacnos B opraanaue qenOBeKa. Tpe-meaaa, rnrrennaa, KYKYPY3HaJI 11 OBCHHaJI xpynsr osens noJIe3HbI: OHH coztepxcar )Kene30, yrrreaorrsr, BllTaMllHbI II KJleT'laTKY.

Bapnrr, xaunr zry-nne aa BOne, ;O;06aBJlHH MOJlOKO 1!I MaCIIO sa HeCKOJlbKO MHHyT AD roTOBHOCTH. B cnanKIIe xanra MO)KHO ):I06aBHTh CYX0<PPYKThl, B coneHblenacceponannsre (CJIerKa 06)KapeHHhle B netiorrsmov KOJIl!IqeCTBe paCTHTenbHoro Macna no 06pa30BaHHJI 30JIOTHCTOll KOPO'IKII) OBOlllH. He xreuee nozresau MlOCJIll - 3TO <paKTll'IeCKll BI1TaMI1RHblll KOKTellJIh, K TOMY )Ke oseas BKYCHhIll, HO aano CKa3aTb, sro MlOCJlH oxem, KaJIOpl1llHhI. nosrosry snoyrro'rpefinart, I1MI1 HeJIh3H.

>tU1Pbl

.>KHpbI - 3TO OCHOBHOll HCTOqHIIK 3arraCOB ")lIlI1TenbHOO}) saepraa B OpraBl13Me. PaCTI1TeJIbHhre )J.(l1pbI cozrepxcar rrOJII1HeHaChlIIIeHHble )[mpHbre KIICJIOThI, xoropsie MoryT BJII1HTh na ):IeETeJlbBOCTb cepzte-rnoCOCY)lIlCTOll CllCTeMhI, rJBnKOll MycKYllaTyphI xmnesHI1Ka, )J.(eHCKI1X opranos. a TaK)J.(e crrocoficrsosan, YJIyqIlleHI1IO ponosoa ;l(eHTeJIhHOCTll rrpn CXBaTKax.

30

KpOMe roro, B paCTI1TeJIbHhIX Macnax CO;l(ep)KHTCH roxopepon (BllTaMllH E), npa HenOCTaTKe KOToporo 6epeMeHHocTb MO)J.(eT 3aKOHql1ThCJI CaMOTIp0I13BOllbHhIM a60pToM.

OqeHb BaEHO ):lJIJI 6epeMeHHoll II YTIoTpe6JIeHlle CJIHBOqBOrO KopoBbero xracna. conepxcanrero HaCbIrneaasre )J.(l1phI. OHO 60raTo Bl!ITaMllHaMll, KaJIbUHeM, cOAepEIIT ¢OC<pOJIllIlI1;o;hI, neooxonanue nJIJI cTpoeHHH KJIeTOK, ocofieaao HepBHhlx. KpoMe roro, B COCTaB CJIllBOqHOrO MaCJIa BXOP;JIT He3aMeHIIMhle aMHHOKHC- 1l0TbI - neofixonmasre )lJI51 HOpMaJIhHOrO <PYHKUIIOHIIpOBaHII51 opranaaxa BeIIIeCTBa, xoropsre nocrynarcr TOJlbKO C Ilpo)J,YKTaMII TIllTaHI'IH. KOHe"lHO, B MaCJIe co)J,ep)J.(IITCJI I1 xonecrepaa. Ho Bpe;O;HhIM OH CTaHOBIITC51 TOJIhKO rrpH HeYMepeHHoM IlOTpe6JIeHl1l1 EHPHOll TII1ru;I1, a B He60JIbWIIX ;O;03ax .ll.a)J.(e He06xonHM, TIOCKOJIbKY Y'laCTByeT B nocrpoeana CTeBOK COCy.n;OB. TaK)Ke OTJIH'lHhIM HCTO'lBHKOM EIIpOB HBJI51eTOI CMeTaHa 1!I He06e3EIIpeHHbIll raopor, 'Iyronnaaxaa roB51EIIM II CBHHOll EHP, a TaK)J.(e Maprapl1H, 60raThIo HCKyccTBeHHhIMI1, TaK Ha3bIBaeMbIMH «TpaHcEHpHhIMH» KHCJIOTaMI1, H3 paUHoHa cnenyer HCKJIlO'lI1Tb. Maprapna H3rOTaBJIHBalDT 113 pacrnrensnsrx MaCeJI, HO TeXHOJIOrH'leCKl1ll npouecc rI1;o;pOreI-Il13all,1111 nenaer I1X HaCbII.IJ;eHHbIMH, 1!I rrpH 3TOM OHl?! IlOBhIIlIaIOT PllCK pa3BIITl!IlI 60ne3Heo cepnna, rrexenn. caxapaoro nHa6eTa 60JIhllIe, qeM HaChlIIIeHHhle HaTypaJIhHhle )KHPhI, B 'laCTHOCTll CIIHBOqHOe MaCJIO. KCTaTI1, TIOnaBJIHlDIIIee 60JIbIlll1HCTBO npozryxroa ¢acT-<PY):Ia conep)[(l!IT TpaHCEHpbI.

H. Bce-TaKH nexoropsre oc060 EHpHble IlP0.z:lYKTbI JIy'lille orpaHl1qHTh. ocotienno. eCJIll BbI CKJIOHHbI K H3JIlliliHell npafiasxe B sece, K TaKIIM 'rrp0;O;YKTaM OTHOCETC51 CJIa)lOCTII co CnllBOqHhlM KpeMoM. )[mpHble copra MEca. TaK)Ke He06xo)J,HMO CHHMan EHp C 6yIIbOHOB. .>KHpbIB paUHoHe 3)J,OPOBOll 6epeMeHHoM ):IOJl)KHhl COCTaBJIHTb 30% ero :;lHepreTl1qeCKOii nenHOCTH, npa nOM npmaepao 30-40% or ofinrero KOJIHqeCTBa EHpOB B paUHOHe ;o;OJIEHO rrpHXO):lHTbCH na EHpbI paCTHTeJIhHOrO rrpOI1CXOEAeHHJI. ,[(HeBHa51 aoptaa EHpOB AJI51 6epeMeHHoll nepsoa IlOJIOBHHhI 6epeMeHHocTH COCTaBJIHeT 95 r, BO BTOPOll rrOJIOBHHe OHa MeHhille - OKOJIO 90 r,

BIIIT3MMHbi III MMHepanbl

'1T06hl nonyaars AOCTaTOqHOe KOJIH"leCTBO BHTaMHHOB I1 MHHepaJlOB, BYEHO ecrs csrpue OBOIIIH. 51r0l1h1 II <PPYKTbL

OBOIIIH MOEHO ecrs see (ecnn y sac panee He OTMeqaJIOCh anrrepr aa aa HHX) - KaK XOPOillO BhIMhIThIe CbIpbIe, TaK II TepMH'leeKH 06pa60TaHHbIe. OHM asIlJIlDTC51 HCTOqHI1KaMI1 )[(H3HeHHO BaEHhIX nemecrs. KpOMe TOro. He Il03BOJI51T BaM CHJIbHO TIOIlpaBHTbC51. Hacroamasr xnanesers nna 6epeMeHHOO 51BnlleTCH canar II3 CBe)KHX OBOIIIell, 3arrpaBJIeHHhIH pacrnremHhlM MaCJlOM (nJI51 rry-nnero YCBOeHl!IlI )KHpOpaCTBOpHMhIX BI1TaMl!IHOB).

IIpH sapxe osomeii B BO,[(y YXO;o;HT ;0;0 25% MI1HepaJIOB. [J03TOMY ny-nne ecrs crsapaue OBOIIIH B sane cynos.

9 MeCill.leS

Bo BpeMH 6epeMeHHOCTil CTOHT ynorpeonars 60JIisme CPPYKTOJ3. X{eJIaTeJIbHO npoaapacrazorrrax B TOH rrozioce, B KOTOPOH BbI X<IIBeTe: rpynra. H6JIOKH. a6pHKOCb1. snaorpan, II3lDM, Kypary. 3TO MoryT 6b1Tb KaK CBeX<IIe CPPYKTbI. TaK H CPPYKTOBble mope, KOMrrOTbl, COKH.

5Iro;nbI: KJIlDKBa. 6pYCHilKa. IllHrrOBHHK. 'IepHHKa, CMopo,n:HHa, 'IepBOrrJIo,o:Ha5I p5I6HHa - rnasnsre rrosromHHKH rrosex 6y,n:ymeH MaMbI. a TaKx<e HaTypaJIbHbIH HCTO"lHl'IK BIITaMHHa C. MOx<HO ecrs CBeX<He sronsr. rroxynars 3aMopox<eHHble. ynoTpe6JIHTb 5lTO)lhI B nane «rrHTHMHHYTOK». rrpOTepTble C caxaposr, MOpChI.

B 3aBHCHMOCTH or reHeTH':IeCKOH rrpenpacnonoxeaHOCTH. saur pe6eHOK Mox<eT rro,n:BepraTbCH orraCHOCTH rrOlIBJIeHHH IIl1meBOH azmepraa. OTI(a3 OT HeKOTOpbIX nponyxros, BKJIID'Ia5! apaxac, Il,HTpYCOBble. KJIy6- HHKy. MaJIHHY, 3eMJI51HHKY, BO BpeM5! 6epeMeHHOCTH MOX(eT YMeHbIllHTb PHCK aJIneprHH.

/ly-nne BMeCTO 06bI'IHOH COJIH yncrpefinrrn, MOpCKylD, 060rallleHHYEO HO,Il,OM. rrpH'IeM aa ee KOJIH'IeCTBOM nano O'IeHb BHHMaTeiIbHO CJIe,Il,HTb. 3TO TOT rrp0.D:YKT. KOlIH':IeCTBO KOToporo Heo6xo.D:HMO orpaHH'IHTb.

HanlllTKH

TIoTpe6HOCTb B X<H;nKOCTH B nepsyro IJOJIOBHHY 6epeMeHHOCTH COCTaJ3iIJIeT 2 JI B nens. BO BTOpylD - 15 JI. Jly':llliHM HCTO':lHHKOM X<H;nKOCTH ,o:m! 'IeJIOBeKa 6bIJIa H OCTaeTClI ':IHCTa5I sona. OHa nysme acero YTOJI5Ier x<ax<,Il,Y. 6narOTBopHO BJIHHeT aa pa60TY noses; MeBbIIIe 3a,Il,epX<HBaeTCH B opraHH3Me rro cpaBHeHHEO C JIlD6bIM paCTBOpOM. y nee HeT rrpOTHBOIJOKa3aHHH H IJ060'IHbIX 3q,cpeKTOB. Bona HyX<Ha ,Il,JI5I ynY<JIIIeHHH 06MeHa seutecra. xopomeii pa60TbI KHIIIeqHHKa. XOpomero CaMOqYBCTBHlI, rrozinepacaaan HOpMaJIbHOrO apTepHaJIbHOrO ;naBJIeHHH, a)leI<BaTHOrO CHa.

YrroTpe6JI5IHTe cneIl,HaJIbHYIO rrHTbeBYIO HJ1H CPHJ1bTpOBaHHYEO sony. 'ITo6bI H36ex<aTb norrananas B opraHH3M BceB03MOX<HbIX 6aKTepHH H BHpyCOB. JIyqIIIe MHHepaJIbHYIO ciIa6oMHHepalIH30BaHHYlD (crerrem, MHHepaJIH3aIl,HH 1-2 r!JI). Hera31lpOBaHHYlD.

TIOJIe3HbI csexerrparorcsneansre COKH 6e3 ;n06aBJIec HHH COiIH 11 caxapa, zryxme - passerreansre BO,n:OH 1: 1. Pa36aBJIHTb COKH HJ)[(HO rrOTOMY. 'ITO OHH ,Il,OCTaTO'IHO arpeCCHBHbI ,nJIH CJIH3HCTOH x<eJIYllKa. KpOMe roro, co.llepx<aT MHOro rlIIOK03bI. ITpH'IeM )lax<e TaKIIe COKH He cnezryer IlHTb 60JIbme CTaKaHa B neas. BbI6HpaTb COKH aano C yseron perHOHa, B KOTOPOM BbI rrpcoaasaere (na-moe H6JIOKO nOJIe3Hee npasoaaoro arrenscnaa). EcIIH y sac ecrs aJIiIeprH5I aa KaKHe-IIH6o OBOIIIH HJIH CPPYKTbI - COKH H3 HHX non CTpox<aHIIIllM aanperov. TaK KaK COK - 3TO csoero porta KOHIreHTpaT aJIJIepreHOB.

Tpaaaaue 'IaH H oTBapbI 5IBJI5!IOTC51 HaTypaJIbHblM rrpO)lYKTOM. O,[lHaKO K HHM aano OTHOCHTbC5! C OCTOPOX<HOCTbEO. TaK KaK HX BJIHJIHHe na 6epeMeHHocTb -rame scero He)lOCTaTOqHO H3Y'IeHo. OTBap IDHrrOBHIIKa - rrpexpacasra HCTO':lHHK BHTaMlIHa C. MOX<HO YilOTpe6JI5ITb raroxe KOMrrOTbL KOHe'IHo. co,llepx<aHI:!e B HHX BI:!TaMI:!HOB HlIx<e, ':IeM B COKax, HO OHlI 'raioxe 5lBIIJIlDTCJI BKYCHbIM H rrOJIe3HbIM nponyxross. TaKX<e HMeHTe B sany. 'ITO rrpH IJpHrOTOBJIeHHH KOMIIOTOB

9 MeCilljeS

scerna HCrrOJIb3yeTcH caxap. rr03ToMY YBJIeKaTbCJl lIMH raioze He CTOHT. ,ll,oMaIIIHHe KOMrrOTbI H MOPCbI XOPOIIII:!. eCIIH B HHX He ,n06aBIIJITb MHoro caxapa.

Korpe, KOJIa, KpeIII<HH 'IaH (KaK qepHbIH. TaK H seneHbIH). xaxao cnOC06CTBYEOT 6bICTPOMY ssrseneHHIO KaJIbIl,HJI H3 cpraaasna. YBeJIH'IHBJIOT HeXBaTKY X<H,[IKOCTII. n03'TOMY He MoryT HCrrOJIb30BaTbCJI ,[IJIJl YTOJIeHI:!Jl x<aX<,lIbI. KpOMe roro. OHH conepxar KocpelIH. KOTOPbIH Mox<eT npe,llCTaBJIJITb onacnocn, nprr rraronoravecxcoa Te'IeHI:!H 6epeMeHHOCTH (I<ocpelIH BbI3bIBaeT rrossnrrenae aprepnansaoro ,lIaBneHH5I, 'ITO onacno npn ocnOX<HeHHH 6epeMeHHOCTH. npOJIBJI51IOmeMCJl 3THM CHMrrTOMOM. 60iIbllIHe )l03bI KocpeHaa JIBJIHEOTClI cpaKTopOM pHCKa no yrpose npexnespeMel-II-IOrO npepuaanaa 6epeMeHHOCTH).

XOpOIIII:!M lICTO'II-IHKOM X<I:!,lIKOCTH .D:JIlI fiepexrenHOH MorYT CJIYX<IITb KHCJIOMOJIO'IHbre nponyxru. KpoMe sonsr, OHH conepscar eure H KJlIbIl,HH, 6eJIKH H noJIe3Hble 6aKTepHH. 'ITO )[(e KaCaeTC5I ynorpefineans MOJIOKa. TO aeooxonavo nOMHHTb. 'ITO MOJIOKO - 3TO ella. a He BOlla.

ITacTepH30BaHHoe MOJIOKO 'IaCTO rrpOH3BO;nI:!TCJI nyTeM passeneans IIOpOmKJ, 'ITO Mox<eT erne 60JIbme yCHIIIITb x<ax<,ny. PbIHO'IHOe (csrpoe) MOJIOKO onacao BepOJITHbIM HaJIH'IHeM onacnsrx 6aKTepHH. HarrpHMep B036y,n:HTeJIeH CJJIbMOHeJIJIe3a. KpoMe TOro. y MHorHX B3POCJIbIX JIEO,neH OTMe'IaeTC5I BenepeHoclIMOCTb JIaKT03bI - MOJIO'lHOro caxapa, 'ITO Mox<eT npHBeCTH K pac:

CTPOHCTBY nanresapenaa npa ynoTpe6JIeHHH MOJIOxa. ITlITb MOIIOKO MOX<HO H HYX<HO, HO OHO He )J,OJIX<HO lICnOJIb30BaTbClI B Ka'IeCTBe OCHOBHoro I:!CT09HHKJ X<H.D:KOCTH.

(noeoubi npllirOTOBneHHiR

Eo BpeMlI 6epeMeHHOCTH x<eHllIHHaM Bax<HO OT,lIaBaTb npezmosreHHe llIa,n:JIllIeH KYJIHHapHOH o6pa- 60TKe 6JIIO;n - OTBapHBaHHEO. ryineHI:! 10. a He xcapxe. IT pHrOTOBlIeHHe «Ha napy» H 3aneKaI-Iqe

B .n;YXOBKe - caMBle-···norreaasre CIJOC06bI rrpHrOTOBJIeHHJI nama.

n.". 'I''' TP

B nepsoa rrOJIOBHa!il,t6~

peMeHHOCTH HeTocgEu 60ii He06xo,nlIMocTilii

B KaKHX-JIH60 x<ecT~;1 KHX 5I.X B rrHTaHHH. otic':~ HaKO neofixonauc, 'ITo6bI OHO 6bIJIO.

pas Ho06pa3HbIMlI

conepzcano Heo6-

31

• B O}f{l!1AAHII1l!1 PE5EHKA

HOBbiE HABblf{>1

npeAnOYTeHV1e OTAaaatire ll(aAflw,eW KyJlV1HapHOM oripaoorxe,

XO,[(IIMoe KOJIlIqeCTBO 6eJIKOB, )IH1pOB., ymeBO,[(OB, MIIHepaJIbHbIX BeIl(eCTB II BIITaMIIHOB, B nepsoa rrononnae 6epeMeHHOCTlI nysme ecrs 4-5 pas B nens. ITO B03MQ)KHOCTH B O,[(HO II TO %e BpeMR. 3aBTpaK ,[(OlI%eH CO(TaBJISlTb30% CYTO'lHOH KanOplIHHOCTII, 06eA - 40%, IIOJI,n:HIIK - 10%, Y%IIH - 20%, TO eCTb BO BTOPOH rrononane ,n:H!I mUU:eBaJI HarpY3Ka YMeHbIIIaeTCSI. 06JI3aTelIbHO Hy%HO ClIe,n:HTb sa TeM, 'lT06bI IIHIl(a 6bIJIa CBe%eH, a TaK%e peKoMeHAyeTCJI 60JIbIIIe mrrs, 06IIJIbHOe nurse (oxono 2 n B CYTKH) IIOMoraeT cIIpaBHTbcSI H C TOKCHK030M, II C aanopaxra. KOJIIIQeCTBO noaapeanoa COlIll He ,[(OlI%HO npeasnnars 8- 10 r B ,lleHb.

Y fiepesreumrx %eHIl(HH, crpazraronnrx TOKCIIKO- 3aMH, nepeznco OTMe'IaeTOI CHII%eHHe arrIIeTIITa, naorna - OTBpaIl(eHHe K HeKoTopbIM BH,n:aM IIHll(lI, HarrpHMep K MJICY H psrbe. liM aeooxozraao pa3HO- 06pa3HTb namesofi panaoa. nonoapars 6mo'[(a, KOTopble BbI3blBaIOT armernr. ECJm 6eCrrOKOJIT TOIIIHOTa II pBOTa, uenecoofipasrro YMeHbIIIHTb 06beM rrOpUIIH. YBemlqlIB 'laCToTY rrpIIeMOB ITIIll(H; rrOCJIe Ka%,ll,OrO npaesra nama czrezryer nexraoro noaeacarr.. IIpeIlIlO'lTHTeJIbHO IlIITaHlIe qaCTbIMII, MaJIbIMII rropUIIHMH II «nepexycsr».

,"opo 'fpclIllH1'P O'leHb Ba%HO 06eCIIe'lHTb peryJIHpHOe orrOpO%HeHHe KHIIIe'lHHKa. C ::nOH UeJIbIO cnerryer xauie YIIOTpe6lIHTb npozryicru. conepxanrae paCTIITeJIbHbIe BOJIOKHa, xoropsre CTHMYJI11PYIOT Il:BHraTeJIbHYIO aKTIIBHOCTb KIIllle'lHHKa. K ,{HCJIY TaKHX rrpO'[(YKTOB OTHOCJITCH xJIe6 113 MYKH rpyfioro rrOMOJIa, 060raIIl,eHHbIH oTpy6HMH; rpe-raeaas. OBCJIHaH, IlepJIOBaH, nurenaxaaa KPYIlbJ; OBOIIl,H II CPPYKTbL OCTOPO%HO cnenyer OTHeCTHCb K rroTpe6JIeHHIO 60- 60BbIX II OBOIIl,eH, BbI3bIBaIOIIl,IIX B3,llYTHe %HBOTa (6eJIOKO'laHHaH H UBeTHaH xarrycra. sanorpan 11 T. II.).

32

Ha-mnas C 'leTBepToro srecana fiepeuenaocra KOJIH'leCTBO caxapa H lIerKOYCBOJ:reMbIX yrJIeBO,[(OB B paUHOHe HY)KHO CHlI3HTb (BMecTo caxapa ny'lIIIe yncrpefinarr, Me,ll" eCJIH BbI He crpanaere annepraea K HeMY, BMeCTO KOHcpeT - CPPYKTbl).

C 20 nenem, Heo6xo'[(HMO OrpaHII'lHTb IIOTpe6JIeHHe rroaapeanoii COJIH ,[(0 6-8 r B CyTKH, liMeHHO COJIb BbI3bIBaeT sanepxxy %H,[(KOCTH B oprannajae, OTeKH II 'lYBCTBO %a%,[(bI. 3ap;ep)KKa %H,[(KOCTII MQ)KeT BbI3bIBaTb C60H B paoore no-rex II KaK CJIe,[(CTBHe - 3KJIaMrrCHIO (TJI%eJIa5l <popMa nosnnero TOKCHK03a 6epeMeHHocTH, COrrpOBO)K'[(arOIIl,aHCH cynoporaua. rrOBhlIIIeHHeM apTepHaJIbHOrO ,!l;aEJIeHIIH H OTeKaMII). ITpHqeM, Tpe6yeTCJI He TOIIbKO orpaan-nrrr, COJIb B BH,[(e 6eJIoro lIopOIIIKa, HO II HCKJIIO'lHTb II3 paUIIOaa nportyxrsr, B COCTaBe KOTOPbIX MHoro COJIII; COJIeHYIO pbl6y H orypusr. KOJI6acy (ocobeaao KOrr'leHYIO), see KOHcepBbl II TBep'[(bIH Cblp. ):J,JIH YTOJIeHHJI %a%,[(bl JIyqIIIe HCrrOJIh30BaTb He O'leHb CJIa,o;KHe <PPYKTbl (H6JIOKH, CJIIIBbI), a raroxe necnsre 5lTO,[(bL

Tprnt.. TP .... K111 Bo BTOPOH IlOJIOBHHe 6epeMeHHOCTH nnon 6bICTpO paCTeT, opransr %eJIy,o;OqHOKHllle'lHOrO rpaxra %eHmHHbI c,[(aBJIHBaIOTCJI, B03- pacraer aarpysxa na opraHbl H CHCTeMhl, lI03TOMY IIHTaHHe He06xo,[(IIMO nepecrpanaars.

TIHIIl,Y )KeJIaTeJIhHO npHHHMaTb 5-6 pas B AeHb, IlOCJIe,o;HHH npaera nama ,[(OJI)KeH 6blTb He II03,[(Hee 2-3 'laCOB J.(O CHao IIoTpe6JIeHHe COJIH B IIOCJlellHHe zrsa MeCHua HY%HO ccxparrrrs ,0;0 5-6 r, cB060,[(HYIO )KH,!l;KOCTb - AO 3-4 CTaKaHOB B nens, BKlIIO'la5I cynhI, a TaK)KeqaH, MOJIOKO II npyrae HarrIITKH. MHCHble II phI6Hble 6JIIO'[(a cnenyer ynorpefinrm, B rrepsoa rrOlIOBHHe ,[(HJI, MOJIOqIibIe - BO BTOPOH, 3TO CBJI3aHO C TeM, qTO M51CHble II PhI6HbIe 6lIIO'[(a Me,[(JIeHHee rrepeBapHBaIOTcH. CJIe,[(yeT OTKa3aTbCJI OT MJICHblX H phl6- HbIX 6YJIbOHOB, 3aMeHHB IIX OBOll(HhIMII H MOJIO'lHbIMH cynaxra. OHH conepxar ClIHlUKOM MHoro %HPOB H 3KCTpaKTHBHbIX BemeCTB. He06xo,[(IIMO IICKJIIO~IHTb npozryrcrsr. 5lBJIJIIOIIl,HeCH CIIJIhHbIMH aJIJIepreHaMII (IIIOI<OJIa,o;, xaxao, Ko<pe, opexn, Ul1TpycoBue, rp116bI).

KaTerOpH'leCKH HelIb3JI nepeenars, MHoro ecrs na HOqb: 3TO He TOJIhKO HeraTHBHO CKa%eTCH na caMO'IYBCTBHII caMOH %eHIIl,HHbL HO H cynrecraeaao 3a'rpyztaar Te'leHHe ponos. YCIIJIeHHOe 06pa30BaHHe )KIIpOBoH TKaI-IH y %eHIl(IIHbI MO%eT oClIa6HTb POAOBYlO lleJITeJIbHOCTb. Pe6eHoK pO%,ll,aeTCJI KpyrrHhlM, qTO aaTpy,o;HJIeT HopMaJJbHOe Te'leHlIe pOAOB, K TOMY %e 60IIbIIIaH Macca pefierrxa He rOBopHT 0 era szroposse. KpYlIasre nern 1I0CJIe PO,[(OE xysce a,!l;aIITHpYIOTCH K HOBOH ,[(lIH HIIX cpe,ll,e BHe MaTeplIHCKoro opranasraa. OrrTHManbHaH Macca TeJIa AlIH HOBopO%,ll,eHHOrO - 3-35 xr,

EYAYIIl,eH MaMe, E pa3YMHbIX npenenax, rrpOCTO He- 06XO,llHMO 6aJIOBaTb cefia TeM, xero eH o=rem, XO'leTC5l. Hanparaep, eCJIH EbI o-rerrs XOTIITe IIIOKOJIa,lla, 6Y,ll,bTe YBepeHb!, 'lTO OT KYCOqKa 3aBeTHOH IIIOKOJIa,n:KII pa3 B He,n:eJIIO npezta HIIKOMY He 6y.ueT. IIOJIO%llTelIbHble 3MOUHH, rronyxeaasre BaMII OT JII06HMOH erur, XOPOIIIO OTpa35lTC51 na nac H pefienxe. IIoTaKaHTe (BOlIM %eJIaHIIHM, HO crapaarecs nenars 3TO He 'laCTO H B pa3YMHblX npenenax. •

9 MeCiHjeB

• B mfU1AAHIt11t1 PE6EHKA 5EPEMEHHOCTb B l.!l'1<PPAX

Pa3HbiM nfOAfiM rpetiverca pasuoe KOnltl4eCTBO CHa - B 3aBltlClt1MOCTlt1 OT cPlt13lt14eCKltlX HarpY30K, a raioxe OT runa nltl4HOCTlt1 KOHKpeTHoro -renoaeua. KaKOBa OnTlt1ManbHaTl nponon}t{lt1TenbHOCTb CHa AnTI meHUJ,ltlHbl BO BpeMTI 6epeMeHHOCTltl?

3neOHopa Warep6HeBa Bpa4 asvurep-raaexonor, f{aHA, MeA_ HayK,

r. MOCKBa

J.

~M3MlOnOr~.JI CHIS

BC5! nanra )KH3I-Ih nporexaer no onpeneneansra 6IJOJIOrWleCKHM PHTM3M, OTKJIOHetme OT KOTOPhIX CIIoco6HO HapYWHTh Jl}06ble rrponeccsr, npOHCXO;O:5!rn;He B HaweM opraaasae. COH - He HCKJIID'IeHHe. ITpH 3arrHCH 6HOTOKOB cnsmero xenosexa 6bIJIO 3aMe"tleHO, 'ITO xepenonaHHe <pa3 TaK nasuaaeaoro 6bICTporo (napanoxcam.aora) H MeAJIeHHOrO (opronoxcansaoro) CHa rrpOHCXO;O:HT C orrpenenenaofi IJ;HKJIHqHOCThID. il TaKHe UHKJIhl noBTOP5!IDTCH sa I-IOl.Jh 4-6 pas, rrpHl.JeM e)KeAHemro 3TH cpa3bl rrpHXO,ll,HTCH aa OARO H TO )Ke BpeMH, ;o:a)Ke eCJIPI 'IeJIOBeK JIO)KHTCH GIaTh TO paasnre, TO n03)Ke.

Bo BPeMJi cpa3h1 Me;O:JIeHHOrO CHa opraHhI l.JYBCTB He pearHPYWT aa OKPY)KaIDrn;ee. ITpe;O:IJOJIararoT, 'ITO Me;o:JIeHHbIH COH CBH3aH C BOCCTaHOBJIeHHeM 3Hepr03aTpaT. Bo BpeM51 6hICTporo CHa 3pal.JKH rnas Hal.JHHaIDT 6bICTpO ;O:BHraTbC51, rrO;O:HHMaroTCJi rexmeparypa Terra H KpOBHHoe AaBJIeHHe, nsrxanne CTaHOBHTCH 60JIee 'IaCThIM H MeHee perynapauu. }!(eJIY;O:O'IHbIH COK H aztpenaznrn BbIAeJIJilOTCH 6bIcTpee. ECIIH B 3TOT MOMeHT 3aIJHCaTb 3HIJ;e<paliorpaMMY (MeTo;o: perl1CTpaUHH 3JIeKT _ Hl.JeCKOH

aKTHBHOCTH raJIOBHOm M03ra), TO 3rreKTpl1'IeCKHe HMnYJIhCbI M03ra 6Y,AYT aHaJIOrHqHhl 6HOpl1TMaM, OTpa)KalOIUHM ,AHeBHYro )KH3Hb; 3Ta CTa;O:HH xapaxrepnsyercs BbICOKOH aKTl1BHOCThlO M03ra, HMeHHo B 3T00: CTa,AIIH 'IelIOBeKY CHJfTC5! CHbI, ITpe,AIJOJJaraIDT, 'ITO 6bICTPbIH COH ofiecneuneaer <PYHKUl1H rrCHXOJIOrIIl.JeCI(QH samaTbI, rrepepatiorxy IIHcpopMaIJ;HII, ee 06MeH Me)K,AY co- 3HaHlleM 11 rIo,;o:C03HaHIIeM.

ITpO;O:OlI)KaeTCJi cranas 6hICTporo CHa OKOlIO 10 MHHYT, BHOBb CMeHJiJlCh rrry60KIIM CHaM. EOU-I pa36Y,AHTb 'IeJIOBeKa B <pa3e 6hICTPOro CHa, OH He l.JYBCTByeT cetis OTAOXHYBWIlM. Eorree eCTeCTBeHHO, eCJIH qeJJOBeK npoChIIIaeTC5! caM - B cpa3e Me;o:rreHHoro CHa,

CaMbl0: nOJIHOueHHblH OT;O:blX HaII1 opraHH3M IJorryl.JaeT HMeHHO BO BpeM5! CHa, npa 3TOM BOCCTa.HaBJIIlBaeTCH pa60TOCIJoco6HOCTh KJIeTOK aanrero opraaasua. EOJIbrirIlHCTBY H3 Hac rrpHXO;O:HTC5! CTaJIKHBaTbC5! C rIOCTOll"HHbIM nenocsmanaev. ITpH 3TOM BpeM5!, xoropoe HY)KHO l.JeJIOBeKY ,;o:Jl51 IJOJIHOueHHoro BOCCTaHOBJIeHH5!, cyrytio HH;O:IlBIl,AyaJIhHO, A KOMneHcIlpoBaTb He;O:OCblIIaane CIJOC06HhI 2-3 nonaoneaasrx CHa, rrpO;O:OJI)KIlTeJJh-

9 MeC.f1l.!eS

HOCTh I\OTOPhIX ,l:(OJDKRa COCTa.BJIlITh He MeHee 10 '{aCOB. B peaynsrare nOCTOlIHHOll HeXBaTKH CHa CHH)KaeTClI HMMYHHTeT. Ilene ace B TOM, 'ITO aHTHTeJIa (ocofiste BeLUeCTBa B KpOBH srenoaexa), xoropue 3aLUHIIIaIOT Hac OT nefinarorrpaaraux B03p:ellCTBHll OKpY)KaIOLUell cpeJJ;h!, B 60llhWOM KOnHqeCTBe BhIpa6aThIB3IOTClI HMeHHO BO BpeM51 CHa. HaKorrHBWHllClI He,UOCTaTOK CHa cnocoficrsyer pa3BHTHIO J];enpeCOIH, 6bICTPOll YTOMJIHeMOCTH, MO)KeT crarr, npn-maoa pa3BIITHlI 'lYBCTBa TpeBQ)KHOCTH, pa3;o:pa)KHTeJIbHOCTH, a TaK)Ke BbI3bIBaeT nossnneRIle anrrerara.

KaK )Ke HallTII Ty caMYID rrpOJJ;OJI)KYITeJIhHOCTh CHa, KOTOpa51 HY)KHa JJ;n51 OT;O:hIxa HMeHHO BaM? HaqHHTe C onpeneneans roro, xorna BaM nerxe scero 3aCHYTb. IIpII 3TOM BhI6l1paTb HY)KHO BpeMlI C 20,00 ;0:0 23.00, TaK KaK HMeHHO B 3TOT nepnon HaHJIyqlllIlM 06pa30M BOCCTaHaBlIllBaIOTClI saepreraxecxae pecypcsi opraansMa. Ilpoaeneaaue HCCJIe,!10BaHIl5l nOKa3hIBaIOT, 'ITO COH ,!10 24 'laCOB HBJI51eTClI nOJIHOIIeHHee, TaK 1 'lac CHa JJ;O nOJIYHo'IH paBHoueHeH 2 qaCaM nOCJIe 24,00 'laCOB, TaKHM 06pa30M, JIQ)KaCh crrars B 22.00 ,!10 24 'laCOB, Mh! npocrrmr YCJIOBHhIX 4 xaca BMeCTO 2! II HMeHHO B 3TOT npOMe)KYToK BpeMeHII naur opran 133M pafioraer TaKHM 06pa30M, 'ITO HOpMaJIII3aIIH51 ropMOHaJIbHOrO cpOHa opraHH3Ma npOHCXOJJ;HT HMeHHO B 3TOM ;O:BYX'laCOBOM OTpesxe BpeMeHH,

JIO)KHTeCb cnars 33 BoceMb qaCOB ;0:0 'roro BpeMeHH, xorna BaM He06xo,UHMO npocnyrsca, To ecrs, ecna BbI pelliHIIH BCTaTb B ceMb, TO )KelIaTeJIbHO, qT06bI B O,!1HHHa;O:IIaTh Bh! Y)Ke sacsmann. ECJIII Bhl 6Y,!1eTe npOChl~ naTbC51 ;0:0 aannaaapcsaanoro BpeMeHH, TO saasn'r. BbI ssrcsmaerecs. ECJIII )Ke BOCbMll 'laCOB BaM 6YJJ:eT He,l:(OCTaTO'lHO, aaxaare co BTOPOll He,n:eJIH JIO)KllTbClI na nonvaca paasrne. qT06bl BO CHe npOBeCTH BoceMb C nozroaaaoa qaCOB. Ha CJIe):(YIDIIIell nenene JIO){(llTeCb eine na 15-30 MHHYT panune. UeJIb - ,n:06HTbCH roro. 'lT06bI BbI npOCblTIaJIIICb 6e3 6Y,l:(HJIbHHKa,

Oco6eHHoeTH etta

BO BpeM.R 6epeMeHHOCTM

Ha paanax cpoxax 6epeMemrocTll ropaonam.nue 133- MeHeHH51 B opraHH3Me )KeHIIIHHbl (B rrepBYIO oxepens nonsnneaae ypOBH51 nporecrepona - ropaona 6epeMeHHOCTH), HarrpaBJIeHHble npexne scero na BbIHaIllHBaHHe 6epeMeHHOCTH, BHOCHT CBOH KoppeKTHBbl IIossnneane sroro ropaoaa 13 rrepecrpoinca pa60TbI scex opraHoB 13 CHCTeM B opraHH3Me 6Y,l:(YIIIell MaMbl 'IaCTO npOlIBJJlIIOTCJl no,UaBJIeHHOCTbIO, pa3,l:(pa)KHTelIbHocTbID H COHJIllBOCTbIO.

DJIH)Ke K KOHUY 6epeMeHHocTu MHorHX )KeHIIIHH aaqllHaeT 6ecrrOKouTb 6eCCOHHHI(a - paccrpoacrso CH~l, xapaKTepII3YIOIIIeecR HapYlileHueM 3aCbIIIaHHfI, npepbIBHCTbIM H nosepxaocmsru CHOM.

ECllII paCCMaTpHBaTb rrpHpo,Uy CHa, TO 6eCCOHHHIIa - 3TO He 60JIe3Hb, a saeumee np051BJIeHHe BHYTpeHHllx npoueccos, npOI1CXO;O:HmHX B opraansae. IIpll.HHTO paslIH'IaTb TpH OCHOBHbIX Tuna 6eCCOHHHIIbL

Ilepasni - 3TO craprosaa 6eCCOHHllLja, xorna BbI ):(OJIro He MO)!{eTe YCHYTb, nsrraacs aHalIH3HpOBaTb C06bITH51 npoureznnero ):(H51, pa3MbIIllJl511I 0 TOM,

9 MeCllL-ieB

'ITO CJle;O:OBaJIO CKa3aTb HllH cnenars B TOH IIJlH HHOll cHTyaUHH II T. n.

BTOPOll THrr 6eCCOHHULjbI xapaxrepasyerca HecrrOC06HOCTbID coxpaanrs COCTOHHHe CHao B 3TOM orysae 'lelIOBeK rrpOChlIIaeTC51 aecxonsxo pa3 B re-teHHe HO'lH. IIpH nOM ):(JJUTeJIbHOCTb npo6y)K):(eHI1I1 napsnpyer B IUllPOKUX npcncaax. B pe3YJIbTaTe rrpollCXO,UHT nenenae CHa, 'ITO He rr03BOJI51eT rrOJIHOLjecIHO OT,UOXHYTb,

DeCCOHHl1ua 3aKJJIO'lHTeJlbHOll cpa3bI - rperua ran 6eCCOHHIIUbl. XapaI<TepII3YIDIIIllllClI paHHHM rrpooyx):(eHHeM 13 Hecrroc06HOCTbID CHOBa yCHyTb,

Bo BpeM5I 6epeMeHHocTH saute BCTpe'IaeTC51 CTapTOBaH 6eCCOHHHIIa, II 3TO 06bJICHHMO. YBeJlH'IllBIUHllClI B pa3Mepax )KllBOT, MeIUaIOIIIHll npamrrs YA06Hoe no- 1I0)KeHlle, 6mIH B cmme II noacnaue, cynoporn B HKpOHO)KHbIX MbIIllIIax ('Iame nOHBJIHIDIIIIIeC51 HMeHHO HO'IbID), aKTIIBHbIe nBH)KeHll51 MallhIllia B YTp06e, -racroe aoxaoe MO'leHcrrYCKaHHe OTHID,Ub He 5IBJI51IOTCH cpaKTopaMll, moc06CTBYIDLUHMll rrOlIHOI(eHHOMY HO'IHOMY OT,n:bIXY, IIp06JIeMY ycyryfinaror MbICJlH 0 npenCTOlIIIIHX pozrax - nepsaoe HanpmKeHIIe II3-3a crpaxa rrepen ponaxa: HaKOnllBIlla51CH YCTalIOCTb.

QT06h! II36aBllTbClI OT 6eCCOHHlll(bl, He06xo,l:(HMO npasnnsno opraaasoaan, pe)KHM CHa, no,n:qIIHHB ero cpH3llonorl1'IeCKIIM H3MeaE'HHHM. :>:JTO o<ieHb aaxao nJ1Jl Ka)K,UOll 6y.t\YIIIell MaMbI, TaK KaK He,n:OCTaTOK CHa lIBlIlIeTClI ,n:onOJIHHTenbHhlM cpaKTopOM pHCKa pa3JIll'IHbIX OCJIO)KHeHHll 6epeMeHHOCTH,

PewaeM np06neMbi

KaK cnpasarscn C COHlUIEOCTLIO? ECJJII sac orroneaaer COHJIHBOCTb B reseaae ,l:(H51 II Y sac ecrs B03MO)KHOCTb nocnars ;O:HeM - He CTOHT ce651 B nOM OrpaHHqllBaTb. II HeB3)KHO, CKOlIbKO spenena npO,QlIHTClI naura ):(HeBHalI CHeCTa - 20 MHHyT HJIH 3aTfIHeTC51 aa 2 xaca. rnanaoe. 'lT06bI BbI 'IYBcTBOBaJIH ce6fI OT):(oxHYBIlleH, ECllll )Ke TaKoll B03MQ)KHOCTH HeT, a crrart, OT'IalIHHO XO'leTClI, TO O,l:(I1H as cnocooos rrO;O:H51Tb )KH3HeHHbIll TOHYC - selIeHbIll 'Iall. OH oonanaer XOpOWHM TOHH3IIPYIOIIIHM 3cprpeKTOM - BbIIIllB 'IaIUKY sroro HarrIITKa, BbI rroxyscrsyere npnnns )KII3HeHHbIX CHlI. II3 nexapcraeansrx npertaparos BO BpeM51 6epeMeHHocTll HCnOJIb3YIOT ra- 6JIeTKll apanna MaHb'l)J{YPCKOH (3JIeYTepoKoKK) - npaponnoe TOHH3IIpYIDIIIee cpencrso. O;O:HaKo, KaK 13 see JIeKapCTBeHHbIe nperraparsr, 3TO Cpe,l:(CTBO JJ;OJI)KHO HCrrOJIb30BaTbCH cTporo rro nOKa3aHWiM n no aasnaseHHIO spa-ra.

EblCTpO npairra B pa60ToCIIoc06Hoe COCT051HHe MO)KHO, eCJIH B resenae FleCKOJIhKHX MHHyT cosepnars apko)KelITblll IIJIll OpaH)KeBblll JIllCT 6YMarll. MO)KHO aaxpsm, rnasa II npeztcrasrrrs map )KeJJToro llllIl OpaH)KeBOrO IIBeTa B 06JlaCTl1 COJlHe'lHOro CrrJIeTeHIl5l, soofipaaa-rs. KaK OH CTaHOBHTCH 601IbIllllM 13 TerrJIhIM,

Cnpaaarscs C COHJIIIBOCTbIO MO)KFlO npn rrosronra ,l:(bIXaHIIH. ClI,UbTe B y;O:06HYI{) II03Y C 3aKpbIT!:>IMH rna- 3aMll H HaqHHaHTe zrsnnars rronaofi rpynsro, ,UbIIllHTe Me,UlIeHHO - nycT!:> Bbl,n:OX 6y,n:eT qyTb ztonsme. 'IeM B,n:OX. Ouryurairre ,IJ,bIXaHlle B HOCY, ropne. JIerKIIX, )KllBOTe - rrOTOM B 06paTHoM nOp51,n:Ke. Ilocrenenao YCKopHHTe ~'"

AnR CHWmeH~fl HepB HOtil B036WI!l1MOCTV1 ~ yny4weHV1fl CHa TaK .H{e ucnonsavior canaorOPOAHblVl, cnapmv AbiHKJ.

I. B O}t{It1AAHIt1It1 PE5EHKA 5EPEMEHHOCTb B l1"1¢PAX

Ecnw Bbl 6YAeTe npocunarscn ,D,O sarinaanpOB3J-IHOro SPCMCHV1, TO 3 Hdlll'iT, Bbl BHCblnaerecs.

pHTM nsrxaaaa. 3aTeM orxpolire rnasa - BI,] rorossr K JII060H pafiore.

DopeMcH c 6eccoHHHlleii. ilp06JIeMY, KOTOPYID C03.IlaeT YBeJIWIl-IBalOlllHHcH )KHBOTllK, nOMorYT pennrrs .IlOnOJIHHTeJIhHhle IlO.IlYIIlKH, KOTopble MO)KHO nO.IlKJIa,[(bIBaTb IlO,[( IlOHCHHUY 11 Me)K,a:y KOJleHOK, B Y.Il06HOH nose 3acHYTh 6Y,D.eT , rrpollle,

~. "" Peuras rrp06JIeMY 6eCCOHHHQbl, Hy:>!(HO non-

.,.,~ HHTh, 'ITO CHOTBopHble cpencrsa BO BpeMH 6epeMeHHOCTH HCnOJIh30BaTh Henb3H, TaK KaK OHH MorYT OKa3hIBaTb orpnnarensaoe B03.IleHCTBl'le aa nnozt, a TaK)Ke HMen Bblpa)KeHHble Il060T.J:Hble 3¢¢eKThJ. 3THX OTpTIl1aTeJIbHbIX 3¢¢eKTOB nniueasr paCTeHHH, TaK BO BpeMH 6epeMeHHOCTH MO)KHO npmaeHHTb rrpenapaTbI nycrsrpnaxa H BaJIepHaHhL Ball JIe<IaruTIH ,[(OKTOP C }'T.J:eToM HH,[(HBH.IlyaJlbHbIX norpebnocrea nonceper ,nJlH sac onrauansayio ,n:03HPOBKY 3TflX npenaparoa 1I3 rrmnessrx pacremn:.r WIH CHII)KeHHH HepBHoH B036Y.IlHMOCTTI H ynysnreans CHa TaK)Ke HCIlonb3YlOT canar OrOpO.IlHbIH, cnapxy. ,lIbIHlO. PeKOMeH,lIyeToI TaK)Ke npHHHMaTb COK perrbI, pensxa HJIll CBeKJlbl C Me.IlOM. QT06bI ero nparorosart, He06xo,llHMO czrenars B KOpHeIIJIO.Ile yrJJy6JIeHIle, B xoropoe rrOJIQ)KHTb 1 qaHHyw JIO)KKY Me.Ila, 'Iepes HeCKOJIbKO T.J:aCOB 06pa3yeTCJl COK; ero H ynorpefiaaIDT nepen CHOM. 3¢¢eKTTIBeH TaK)Ke HaCTOH TpaBbl cerrsnepea 20 r H3MeJIbqeHHOll TpaBb! sanasaror 1 CTaKaHOM KHIIJlTKa 11 nacraasaror 30 MHHYT. 3aTeM HdCTOll cnenyer nponeznrrr, H rrpHHHMaTb rro 1/3 CTaKaRa 3 pa3a B ,neHb, Ilnoziu T.J:epHOH CMOPO,D.llHbl B aarypansHOM sane HJIll OTBap H3 3aCYllIeHHbIX sron (2 'IaHHble JIO)KKH IIa 1 CTaKaH sonsr) TaK)Ke Hcrronb3YIDTCJl B saponnosi Me.IlHu:rIHe KaK ycnoxaasarouiee cpencrso.

,lJ,JI5! YJIY1J:llIeHHJl CHa MO)KHO HCIlOJIb30BaTb apouareparnno. C,D.eJJaHTe {(CHOTBOPHYID» nonymessy. nanonHllB ee rpexaesoii urenyxoa ana THMbHHOM, JIHCTbJlMlI nanpa 6naropo,nHoro HJIll openmnxa (JIeJl..(IIHbI), I(BeTaMH 6eccMepTHHKa, xsoen COCHbl, manrxana XMeJIH, I(BeTKaMll repaan, zrerrecrxaua P03bI, COUBeTlIJlMlI JIaBaH,D.bI. ilOJIQ)KHTe ee K H3rOJIOBbIO - 1I saui COH eraser xperrxe.

CTOllT CKa3aTh H 0 3aH5lTHHX MOroH BO BpeMJl 6epeMel-IHOCTI1. Iloceinarr, 3aHJlTlI5l HoroH MO)KHO Y)Ke C panHHX CPOKOB 6epeMeHHOCTII, Ilpn 3TOM peKOMeH,D.yeTCJl rrocentars rpyrmoasre 3aHHTHJI 2-3 pa3a B aenemo. Ka)Knee 3aHJlTlIe COnpOBO)KnaeTC5l ycnoxaaaaromea H pacCJla6J1JIIDruell MY3bIKOH, Ha1J:aJIo 3aHJlTHll - 3TO scerna nacrponxa aa paccnatineaae rena II OC03HaBa];IlIe csoero nosoro lIOJIO)KeHHJl. Ecnn 6ynYlllaJl MaMa 3aHlIMaeTCJl lloroH - 3TO ztaer ell YHHKaJIbHYID B03MO)KHOCTb OTp;OXHYTb OT 6eCrrOK05!rulIX ee np06JIeM, Hay'IlITbGI penaKCaUlll1 Ha ¢H31IT.J:eCKOM 1I rrCllX03MOUlIOHaJlbHOM ypOBH.IlX, 'ITO KOHe1J:HO, rrOMO)KeT eH rr B 60Pb6e C 6eccoHHllueH.

BbIlIOJIHeHl1e peKoMeH,nyeMbIX ynpa)KHeHHll exe,D.HeBHO nOMa no 15-30 MllHyT, rrOMO)KeT eH COXpaHJlTh 1I aocrronaars CBOlI CHJJb!. KaK 3MOUHOHaJIbHble, TaK

36

1I ¢II3I11J:eCKHe, coxpaanrs nymesaoe paBHOBeClIe, 'ITO, KOHeqHO, nOJIO)KHTeJIbHO OTpa31ITbCJl aa 6ll0nOrHqeCKlIX plITMax opraaasua 1I BOCCTaHOBIIT napyureansni pe)KlIM CHa II crnsrxa.

YCTaHOBHTe rpa¢lIlt CHa, KOTOPbIll BaM rrO,D.XO,r:(lIT, JIO)KIITeCh cnars sexepou B OnHO II TO )Ke BpeMJl exe,D.HeBHO, crapaarecs He aapymars rpa¢lIK. PerYJIHpHblH COH Ba)KeH nJIH roro, qT06bl perYJIHpOBaTb H cTa61IJI1I31Ipoaars BJIHJlHlIe CHa na nama 61I0JIOrlI'IeCKHe 1J:aCb!. 3a rrepBble rrOJITOpa MeCHI(a spens. xoropoemr nposoznrre B KpOBaTII, CHHXPOH1I3IIpyeTCJl C BallIHMH 6ll0JIOrlI'IeCKlIMII qaCaMlI. He H3MeHJlHTe 3TOT rpadnrx - H qepe3 nexcropoe BpeMH BbI HeOC03HaHHO aaxaere C06JIID,D.aTb ero, BaM 6yneT XOTeTbG! cnars B TO BpeMJl, B xoropoe Bbl JIO)KIITeCb no rpa¢llKY, H BbI 6y'[(eTe npOCbIIIaThCJl 6e3 6y,nllJIbHI1Ka TOr,D.a, xorna npHBbIK Ball opraHll3M.

Crapaarecs ncnomaosars CBOID CrraJIbHIO TOJIbKO nJJJl CHa, cexca 1I B CJIY1J:ae 60JIe3HlI, He pa60TaHTe aa KpOBaTII, He CMOTpHTe TeneB1I30p H T. n, 3anOMHllTe:

COH - He MeHee Ba)KHOe .IleJIO ;aJIH aac. 'cleM pafiora.

PeKOMeH;ayeTcH aaaepurarr, lIHTeHClIBHble q,1I31IqeCKHe narpysxa B 60JIee panane 'laCbl, rro KpaHHell Mepe sa urecrs 'laCOB no CHa, nepe,D. CHOM noneaasrua 6Y,llYT cnoxonaue rrporyJIKlI na CBe)KeM B03,D.yxe, K TOMY )Ke KIlCnOpO.Il JlBJIJleTCJl OTJIH1J:HbIM aaranenpeccanrca. rroBbIIIlaH HaCTpoeHIIe, cHlIMaH HanplI)KeHlIe.

I1poBeTpHBaHTe CBOID crram.mo rrepen CHOM, CIIHTe C OTKPbITOH q,0PTOT.J:KOll.

He nepeenaare nepen CHOM: nysmee BpeMJl ;aJIlI nocnenaero npaeua nHJl..(H - sa 2-3 qaca no CHa. Ilpa 3TOM OrrTlIMaJIbHblM BapHaHToM 6y,[(eT CTaKaH Ke¢Hpa lIJIII plI)KeHKH.

CIllITe aa ynofinsrx ,D.JIJl sac nonyunce 1I MaTpace: 3TO OqeHb Ba)KHO. IIpaBHJJbHo nonobpaamae nocrensasre npHHJ,nJIe)KHOCTlI He TOJIbKO rrouoryr paccaacrrrsca, HO H H36aBlIT OT JIHllHerO HanpH)KeHlI51 aa (YCTaBbl 1I KOCTH,

C03,D.aHTe ce6e plITyaJI, aarrpmrep xreaae rrepen CHOM. Ilotianyfrre ce6Jl 3TllM, Harpa,D.HTe sa npomeallHll,neHb,

H casroe rnasaoe - C06JIID,nallTe pe>KlIM ,D.HJl. PeryJI51PHOCTb - 3aJIOr scero xopoIIlero: npnaavarrre nanry peryJIJIPHO, nnaaapyiire CBOH ,D.eHb,

ECJIlI Bbl rrpocHynHcb B cepennne no-ra, BcrrOMHHTe o TOM., 'ITO MaKCHMYM ",epe3 120 MlIHyT HacTynIIT q,a3a 6bICTporo CHa; rorzta BaM 33XOqeTOI cnars, II Eb! nerxo CMO)KeTe YCHYTb, He rrparraraa ,D.JIJl 3TOro OC06bIX YCIIJIHll, B TaKOM oryaae aanpsxeane MeHbme 1I 60JIee BepOJITHO, <ITO, paccnaonamao, H He rrepe)KlIBaJl sa HeHY)KHOe np06Y)K,neHHe, Bbl 3aCHeTe 6bIcTpee.

ECJIH )Ke Bbl He MO)KeTe 3aCI-IYTb B Te1J:eHHe 15-20 MHHYT, yH.I'1lITe ll3 CrrJJIbHIl II 3allMHTecb 'IeM-TO cnoxofiHbIM, nanpaxrep pYKOneJIlleM. Boaspanrairreo, B rrocrens TOJIbKO nOCJIe nOlIBJIeHlIJl COHJlHBOCTH. He 60HTecb, nosropsfire 3TO CTOJIbKO pa3, CKonbKO norpeoyercs.

B 3aKJIIDqeHlle euie pas OTMeTHM, 'ITO e,nlIHOH .11JIH scex nopsrsr CHa He cyutecrayer. Hopna onpenensercs )KeJIJHlIlIMII H rroTpe6HocTlIMll Ka)[(,D.oro opraansxa. fJIaBHoe, 'ITO HBJIHeTC51 orrpezrenaromaa ¢aKTopOM ,n:OCTaT01J:HOCTlI samero caa, - 3TO xopouree CaM01J:YBCTBHe, __iii

9 MeCil~eB

• B O}l{It1,lJ,AHVIVI PE6EH nAnbl TO}I{E }l{AYT

. plll.flTHb e CIOpnplll3bl

K m p OBaTb 6 eMeHHYIO >KeHY

ECJllll Bbl ew,e COMHeBaeTeCb, Hy)t{HO JlVl npVlKJlaAblBaTb KaKVle':TO AOnOJlHlIITeJlbHble YCVlJl1IIr1, 4TO- 6bl nopanoaars CBOIO )t{eHY - 6YAYW,YIO MaMY aaurero peoeaka, TO AJlfl ua-iana HY>KHO 03HaKOMlIITbCfI C AOBOAaMlII, koropue n03BOJlflT peuurrs 3TOT BOnpOC OAH03Ha4HO nononnrrensuo.

Jlapuca TpallllHKo!la Bpa4 aavurep-ruuekcnor, POI1AOM 1I{5 N" 8,

r. MOCHsa

38

BecOMh .. ? apryMeNTbj

5YJ{yraeH MaMe IIOJIO)KHTeJIhHhle 3MOIl)lH )KH3HeHHO Heo6xo,lJ,I1MhI: OHH nosroraror eM: crrpaBHThC5l C reraa H3MeHeHillIMII, xoropsre HeII36e:KHO rrpOIICXO,lJ,lIT C naCTpoeHHeM H 3MOL(HOHaJIhHbIM COCTOlIHileM BO BpeM5I BhIHaIIlHBaHHlI MaJIhIIIla. He ceKpeT, '-lTD 6epeMeHHOCTb - 3TO speua, xorzta )KeHU~IIE:Ia CTaHOEHTC5I 60JIee Bne'-laTJIHTeJIbHOM:, IIJIaKCHBOM: H pa3;o;pa)KIITeJIhHciH:. ilOJIQ)KI1TeJIhHble H panocrasre 3MOI(HH HeCYT .II03IITHBHUM: aacrpori, ORH BOCCTaHaBJIIIBaIOT see <pII3HOnora-recxae nponeccsr, cnocooau rroztasns'rs 60JIh. Bo BpeMJI CMexa, pa;O;OCTlI BhICB06o)K;o;aIOTCH fOPMOHb! KaTeXOJIaMIIHhI, xoropsie 11 OKa3hIBaIOT TOHI13HPYIOIUI1M: 3<p<peKT, a KpOMe 'roro, YCHJIHBaIDT 3aIIl,HTHbIe CIIoco6HOCTH opraaasua, TaKHM 06pa30M 3aII(HII(aJI 6Y,lJ,YIIlYIO MaMY OT pa3JIll'-IHhIX 3a6oneBaHHH:, B TOM

LIHCJIe caxnax pacrrpOCTpaHeHHhIX - peCIIHpaTopHhIX HHq,eKllHll. IT03I1THBHhle 3MOI(IIII YMeHhIlIaIOT crpecc Hero IIOCJIe)'lCTBHlI.

MaJ1blIIIY HpaBHTCJI see, '-lTD XOPOillO ,lJ,JIil ero MaMhI.

XOTJI nacrpoenae KpOXHOI(eHHTh [IOKa CJIO:KHO, noJIO)KHTeJIhHble 3MOllHil MaMbI ofiecnexrnsazor MaJIhIIIlY HaHJIY'IIIlHe YCJIOBHil ,J:(JIJI pOCTa H pa3BHTHJI, OH IIOJIy'-laer 60JIhille KHCJIOpOp;a H IIHTaTenhHbIX BeII(eCTB sa C'-leT ynYLIIIleHHlI 06MeHHbIX rrpOlleCCOB B oprannaae MaMhI.

He OCTaHeTOI BHaKJIa,lJ,e H 6YllYlIfHH zrarra. I13EecTHO, LITO ariaoopepa ceMhH 3aBHCHT OT HaCTpOeHHJI :Kem:;l. ECJIH BRe 6epeMeHHOCTH )KeHII(HHa MO)KeT ynpasnxrs CBOHMH 3MOI(HlIMH I:J OCTaBJIlITh pa3;o;pa)KeHHe H HeLaTHB aa IIOPOroM j:(OMa, TO, B03Mo)KHO, BO BpeMJI 6epeMeHHOCTH ell HY)KHO nOMO'lh 06peCTH xoponree nacrpoeane. He cQ!..meBarlTech: B 3TOM cnyxae 11 ofien

9 MECilLjEB

6yp,eT BKYCHee, H KBapTHpa -rmne. Hy H KOHe'fHO, no- 6pblX H JIaCKOBbIX CJIOB p,JIH My)[(a - 6OJIbrne,

Xopomo, eCJIH 0 TOM, 'fTO 6epeMeHHYlO )KeHY HY)KHO panoaars. BbI 6YAeTe BcrrOMHHaTb He TOJIbKO B ,lJ;eHb ee pQ)K,lJ;eHHE H 8 Mapra, ,lJ,JIH roro LJT06bl panoaars 6epeMeHHYlO )KeHy, nononnyr JI106bIe nosonsr, a nYLJrne ztenars 3TO eIKenHeBHO, 6e3 OC06bIX rrpHLJHH.

HKaK?

fJIaBHOe, 'ITO HY)KHO rrOHHTb: pa,lJ;OCTb )KeHe rrpHHOCHT He TOiIbKO H He CTOJIbKO srarepnansnsre nonapxa (XOTJl:

H OHH, KOHeLJHO, TO)[(e). BbI3BaTb rrOJIO)KHTeJIbHbIe 3MOUHH Y Barnell BTOPOH nonoanasr B nepsyro oxepem, crrocofinsi nocryrrxn, HeMaTepHanbHbIe rrpOHBJIeHHH JI106BH, He)[(HOCTH, 3a60Tbl.

IIoxBaJIa JIl060MY rrpHllTHa. Bcesr H3BeCTHO YTBep)KneHHe. 'fTO )KeHIl\HHa Jl106HT yurararr, rr03TOMY, KOHeLJHO, samea )KeHe rrpHHTHO cnymars KOMrrJIHMeHTbI, oc06eHHO OHH HY)KHbl ell BO BpeME 6epeMeHHOCTH. I13MeHeHHH BHeJIIHOCTH y 6ynYIUell MaMbI HeH36e)KHbl. H B CBH3H C HHMll )KeHIUHHa acnsrrsraaer COMHeHHH: HaCKOJIbKO ee renepenmnn BHernHIIll nan HpaBHTCH My)Ky. KCTaTll. npaaruste CJIOBa MoryT xacarsca He TOJIbKO BHeJIIHOCTll - BbI HaBepHHKa saaere, aa 'ITO MQ)KHO rrOXBaJIHTb iI106HMYFO; aanpauep, rrofiaaronapars sa BKYCHbIll Y)KHH HJIll OTMeTHTb, KaK rrpHHTHO HMeHHO CerO,lJ;HH 3BY'IaJI ee rOJlOC B TeJIe- 4>OHHOll Tpy6Ke. xorna OHa 3BOHHJla BaM na pa60TY.

MY}KCKHe rrocrynxa. HaBepHHKa Y sac eCTb xaKa5l-TO He O'IeHb rrpHETHaE npHBbI'IKa, 0 KOTOPOH )KeHa HeYCTaHHO HarrOMHHaeT; «saspsrsaa T106HK C nacroa». WIH "OTHOCH rpasasre HOCKH B BaHHYlO», HJlH «He pasfipacsrsaa BeIUH». Ilonynairre - B CYIl\HOCTH. BblIIOJIHHTb 3Ty MeJIO'lb COBepIlleHHO He TPY,lJ;HO. a )KeHe 6Y,ll,eT rrpHHTHo. A xposre roro, nooena nan HerrpHRTHOH rrpHBbI'IKOH trOBblCHT H Bailly caMooueHKY.

EY,lJ;YIUell MaMe CTaHOBHTCH CJIO)KHee CrrpaBJIRTbCH C PYTHHHbIMH nOMaJIIHHMH 3a60TaMH: TOillHOTa AeJIaer HeBbIHOCHMbIM rrpHrOTOBJIeHHe rrHIUH, a paCTYIl\HH C Ka)K,lJ;bIM nHeM )KHBOTHK He rr03BOJlReT TaK )Ke JIerKO, KaK paasme, CnpaBJIRTbCH C y60pKOll H CTHPI<oll. B raKHX YCJlOBHHX IKeHIUHHa. KOHe'IHO, onemrr rrpHrOTOBJleHHbIH (saxasanasra, xynneaasra sapaaee) MY)KeM Y)KUH, asraeceaaoe BeApo, Bb!MbITYIO rrocyziy HlIl1 lIFO- 6yIO npyryro pa60TY rro ,lJ;OMY, KOTOpylO pansme npaXO,ll,I1JlOCb BbIIIOJIHHTb caMoll.

B ssrxonaofi npnrnacare )KeHY B rearp I1JlH KHHO, npa 3TOM nocrapaiirecs BHUMaTeJlbHO OTHeCTHCb K perrepTyapy: rrycrs cnexraxns HJIH 4>I1JIbM 6Y,ll,eT KOMe,lJ;l1eii HJlI1 rrpoassezteaaess. peKoMeHnOBaHHbIM ,lJ;JIH ceMellHoro rrpooaorpa. Boesaxa. ,lJ;paMbl 11 "Y)KaCTHKH» - HerrO,lJ;XO,rJ,EIUHH BbI6op,

2KeHe 6yneT npHHTHo. eCJlH BbI 6yp;eTe nposoxars HJlU BCTpeLJaTb ee C pafiorsr. a aeseparoro nopory cpa- 60Thl BrrOJIHe MO)KHO COBMeCTIITb C nporyaxon. KOTOpaH fiyner He TOJIbKO HCTO'fHHKOM npH5!THbIX 3MOUl1ll. HO 11 rronesasrx ¢H3H'CleCKHX HarpY30IC

COrJIaCHTeCb. 'ITO B cpaBHeHI1I1. CK3)KeM, co cpenHeBeKOBbIMI1 psmapaan. COBpeMeHHOMY MY)K'lHHe COBepIIIHTb MY)KCKOll nocrynox ropaszio npOIl\e,

a 3<jJ<jJeKT TOT )Ke - 6e3MepHaH 6Jlarap;apHOCTb H [10110- )KI1TeJlbHble 3MOUHH )KeHb!.

Ilonapxa, Haorna MO)KHO nopanosars CBOlO JIlO- 611MYlO 11 nOA3pKaMI1. I10MI1MO Tpap;HUHOHHbIX npe- 3eHTOB, soropue 6YP;YT rrpl1RTHbI ,ll,JIE JIF060H )KeHIUHHbI, ,ll,JIH 6epeMeHHOll )KeHLI MO)KHO BbI6pan rronapKI1, rrO,lJ;XOAHIl\l1e HMeHHO ,ll,JlH sroro BOJIHHTeJlbHOrO 11 TporaTeJIbHOrO nepnona. 3TO pasnoofipaaasre rronesasre H KOM<jJopTHble BeIl\I1Ubl. KOTophle rrpHro,ll,HTCE B rrepnon 6epeMeHHOCTH H rrOCiIe rrOEBJleHH.lI na (BeT MaJIblma,

Cpezra TaKI1X nonapxos MO)KeT 6bITb crrenaansaas O,ll,e)Kp;a nJIl'I 6epeMeHHbIX. KOM¢opTHaH 06YBb, KOCMeTHKa, npenaasaauennaa cneU;HaJIhHO ,ll,JI.lI 6yP;YIUI1X M3M. I1poHBJIeHHeM sariorsr 0 sztoponse MoryT CTaTh 3lIeKTpoHHbIe BeCbI I1JlH TOHoMeTp, yp;o6I-raE nonynrxa HJlI1 opTorrep;wreCKHll MaTpau;.

B nocneznree BpeMH MHorHe Mara311HbI 3HaLJHTeJJbHO o6JIer'II1JlI1 aanaxy TeM, KTO XO~leT cnenars [10napOK csoea )KeHe, npezmaras nonapoxnsie CepTI1<jJIIKaTbI. fJIaBHOe - BbI6paTb nonxozranma Mar33HH - crreUHaJIH- 311poBaHHbIH ,lJ;eTCKHll HJIH nJlH 6YP;YIl\ell MaMbl.

TaK)Ke 6YP;YIl\ell MaMe MO)KHO npenonaecra a60HeMeHT na noceurenae ¢HTHeC-IGJy6a, 6accellHa H CaJJOHa KpaCOTbI (He 3a6y,nbTe sapaaee IIOI1HTepeCOBaTbC5! B caJlOHe. xaxae H3 npenrraraejasix rrpOue,ll,yp pa3pellieHbI 6epeMeHHoH), Ilonoriner' TaK)Ke KYPC 33HHTI1H ,lJ;JJH 6ynyunrx pO,ll,I1TeJIeH. Ilopartyer 6y,lJ;YruyIO MaMY H neyroMHTeJIbHOe rryreurecrsne, HarrpHMep, B KaKOH-HI16YP;b aaropomrsrii MY3eH-yca,ll,b6y C KpaCHBOll napxosoa 30- HOH, me MOIKHO 6y,neT C yP;OBOJlbCTBHeM nporynarscs.

0pHrHHaJlbHbIM nonapxon MO)KeT CTaTb «tiepeuenHaH» ¢oTOCeCCH.lI. ¢OTOaJlb60M, BH,lJ;eo<jJHlIbM llJlH npeaea-rauns 06 HCTopmI MOJIO,ll,Oll CeMbl1. TaKHe rroztapxa MO)KHO C,lJ;eJIaTb KaK CBOHMH pYKaMH, TaK H C IlOMOIl\bFO rrpodieccaonanon.

O'feHb rporarezrsaoa 6Y,lJ;eT noxyrrxa nanofi ner([<Oll Op;e)KnbI. I1 rrycrs 3TOT nonapox He npenaasnasaeTCH 6Y,lJ;YIl\ell MaMe - OHa 6e3 COMHeHI1H era onearrr II TO'IHO nopazryerca.

ECJlH saureji )KeHe XJlOrrOTbI rro X035!llCTBY p;OCTaBJ151- lOT Y,ll,OBOJlbCTBHe. TO nonoaner 6bITOBaH TexHHKa, nanpauep HOBaH CTHpaJlbHa5! MaIIIHHa C pe)KHMOM «nercxoe 6eJlbe» I1JIH YBJ1a)KHHTeJlb sosnyxa ,lJ;JIH C03,ll,aHI1H OrrTHMaJIbHOrO MI1KpOKJIHMaTa B cnazrsne. a rrOTOM - H B ,neTCKoH.

KpOMe roro, Jl1060H .lKeHIl\flHe 6yP;YT rrpHHTHbI Tpap;HUHOHHble rronapxn - YKpaJIIeHHH. Mexa, XOTE BO BpeM5! 6epeMeHHOCTH B03HHKalOT TPYP;HOCTH c Bb1- 60pOM H3-3a H3MeHI1BJIIerocR pa3Mepa, rrO,lJ;OHAYT 11 raxne BHyIIlI1TeJIbHble npeaenrsr, KaK 3BTOM06I1JIb. Ho He CTOHT paCCTpaHBaTbO{' eCJIH BbI noxa He MO)iZeTe nperroziaecrn xcene TaKOH ClOprrpH3. JI1060H nonapox. C,lJ;enaHHbIll OT ,ll,YIIIH, Y'II1TbIBalOIl\HH He06bI'lHOe noJlO)KeHHe MOJlOAOll )KeHIUI1HbI, He MO)KeT He pazrosars.

KaK Y)Ke OTMe'IaJlOCb, 6epeMeHHa5! }KeHIl\HHa CTaHOBHTCH 6oJ1ee 3MOUI10HaJIbHOH, a 3Hai:mT, rrpI1JlO)'!<HB COBceM HeMHoro YCHiIHH, EbI MO)KeTe P;06HTbOI noJlmnneJIbHbIX rrpOHBJIeHHH 3TOH 3MOUHOHaJlbHOCTH. Ilepaafirel •

nlO60H nonapo«, caeJlaHHbl~ OT AYWV1, He MO}f{eT He pap,OBaTb.

39

• B O}f{Y1,L1,AHJ1Y1 PE5EH'KA AH EBHlIIK 5EPEMEHHOCTlil

Ka}l{AaR 6YAy~aR MaMa nO-CBoeMY nepexuaaer speMR O}l{IIIAaHlt1R Manblwa~ B TO }l{e BpeMR nplt1 06~eHlt1lt1 6epeMeHHbie scerna HaXOATlT MHoro ofiuiero. 3Tlt1 AHeBHlt1Klt1 nOMorYT BaM noHTlTb, 4TO Bbl He OAlt1HOKlt1 B CBOlt1X npotinevax III nepe}l{lt1BaHIIIRX .

..,.,

nOcne neruero OTnYCf{a Mbl C MY}J{eM Y3HanVl, LJTO Y HaC 6YAeT ManblW. Ha AVlMf{Y (MY}I{a Moero) Hanan MOnLJYH. fl nonuwana, LJTO OH OLJeHb CLJaCTfllt1B, HO noxa 06CY}t{AaTb TeMY 6YAYLl-\erO petieuua He cotiapancs. IAe-TO -repes MeCR~ AIIIMf{a orouren OT panocruoro iuoua, nplt1AYMafl MaflblWY nposeauie - B}t{lt1K, HaLJafl uenoaars }t{lt1BOTlt1f{ VI paaroaapueart, C HVlM ..•

AlleHa Cepnosa, r, nlO6epUbi

nepBoe YllII

PeIIIIIJI3 H 3aKpel1IITb npY:lK6y rrY3IIK3 II .IlIIMKII II CBOAIITh IIX aa Y3il. Ha 12-H HeAeJIe MhI rrOIIIJIl:! rrOCMOc rpers. xoro MbI TaM «BbIJIerrIIJIH}), Ha BClIKHll cnY'lall B31IJIli C C060H BIIAeoKaMepy, anpyr paspeurar IIOCHlIMaTh, "Y3IIcTKa" nonanao, xopoinas, pa3peWIIJIa My2Ky npIICYTCTBOBaTb H CHHMaTb caMOMY na naneoxanepy BOT, 3Ha'lIIT, 1I JIe:lKY, Bpa'l :lKRBOT HaMa3bIBaeT, annapar rOToBRT, .IlllMKa KaMepy HaCTpaIIBaeT,

Ha'i3JIOCh Y3.H. rAe-TO MliHYTY BCeMOnqaJIH (Mhl ~ nOTOMY 'ITO HIIqerO He nOHIIManII B Me.o;III.1HHe, spax - BHAHO, rrOTOMY 'ITO, Ha06opOT, CJIIIillKOM MHoro rrOHIIMana H 'lTO-TO BbICMaTpIIBana). TyT 51 He BbIL\ep:lKJJIJ: «TaM KTO-HII6YAh :lKliBOH ecrsr» lloKTop nosepayna

40

KO MHe rOJIOBY, BbIpa)l(eHIIe JIIIQa y nee 6hIJIO KaKoe-TO aencnamoe, spone P3AOCTHoe, J B TO )Ke BpeM5I HaCTQPO:lKeHHoe. Cxrorpro, OHa MHe !IOp, CTOJIOM rrOKJ3bIBJeT zraa nansua. Hnrepecno, 'iTO 6hI 3TO 3HaqIIJIo? A BhIpa:lKeHHe JIIIQa,y nee He MeW!eTG!, Aa:lKe erne 60Jlee nacroPO:lKeHHO CMOTpHT. 5.[ efi nrenorora. ".IlEoe?» (nYMJro, TO'J:HO He yranana). A OHa rOJIOBOll KIIB.aeT: AeCKaTh, nsoe, H onars CMOTPIIT aa Mew.!. 5.[ YJIbI6HYJIaCh, npas ycrroxoaaacs. nepesena B3rJJ5l):1 aa MOHIITOP, TyT .IlHMxa He BbIAep:lKan (eMY-TO sootinre HRKTO HWlem He roBOpIIT) 11 nouren B aTaKY: "QTO-HII6Y):1b BII):(HO?» lloKTop cpasy HaWJIaCh:. "Cell'laC 6yneM paCCMaTpIIBaTb, " Ka:lKnoro B OT):(eJIhHOCTII. .. » Ilepezt O'lepe):1HhIM npIICTynoM MOJI'lYHa ,I:(IIMKa ycrren cnpOCIITb: «Hx ):1Boe?!>J, rrprrqeM

3TO 6hIJI Aa)Ke He BOIIPOC, a 'ITO-TO cpe,(l,Hee Me)KAY BonpOCOM II BOCKnlll1aHlleM. Y MeH5! pOT 6hIn AO ymeii. a BOT aa 'ullMKY I<aK-To cpa- 3y oneneaenae HaIIlJIO. J[ Y)K nyxana, 'ITO He paA. HO nOTOM noaana, 'ITO 3TO ero TaK «3aKJIllHllII0» OT ABOHHoro C'IaCTbJI.

A C KaKoH paAocTbIO spax IIOKa3bIBaJla HaM aanmx MaJIhIllIeHl «BOT. nocMoTpIITe, KaKa5! HO)KKa xpacasaa. a BOT PYY:KY IlOKa3bIBaeT. .. », II AeHCTBIITeJIbHO, }leTII XOTenH nepen HaMll nOKa3aTbCJI BO BceH Kpace: I1 HO)KKY BbITJIHYT, PI nalIb'IPIK B pOT 3aCYHYT. 11 KYBblpKaIOTC5!. PaCCMaTpFlBaJIH O}lHOrO na sxpane. a BTOPOH Y)Ke HO)KKaMll nepraer: rrOCMOTpIITe aa MeH5I! Jlanoxxn Hallm! TYT ,UIIMKa pellum 6JleCHYU cBoeH OT110BCKOH rrpOHI1l1aTelIbHOCThIO: «BOT 3TO OH K HaM rOJIOBKOH ne)KIIT, na?» ,UOKTOP sospaaana «HeT, 3TO TYJIOBllIIIe. A 'ITO BbI Bee «OH» na «OH», a MO)KeT, TaM ;o:eBOqKPI!)} Hy, ,UllMKa OmITb «6JIeCTHT}) CBOllM rrpen=ryacraaete "He. Y MeH5i B IlOKOJIeHllll O}lHll MaJlb':!l1KPI pO)i{;o:aIOTC5I". «He 3HaIO, B03MOJKHO, eCJII1 6bIJII:I 6bl MaJlh''UIKll. 6hInO 6hl Y)Ke 'ITO-TO Bll;O:HO... IJoXO)Ke na nesoxex». CHa'IaJIa nam [lana npozre 6hl HeMHoro paCCTpOFlJIC5I, HO nOTOM nasan BCJIYX pa3MhlllIJlHTb: «Pao TOJICTeIO 51 C BaMll, TpeM5I )KeHIIII1HaMll: napoxxa. 6YJIO'IKI1 6YAeTe rrexs ... » II 3TO COrrpOBO)K}laJIOCb TaKOH C'IaCTJlHBOH YJIbI6KOH II naCJl3)KAeHHeM B rnasax:

nepBble TOn'lKH

10 }leKa6pH Mbl 6bIJIll nparnaureasr aa neas pO)K}leHHJl aanrea rrozrpyrn. Iloxyurana oxeas ChITHO. II BOT, oraanasmacs na CIIIIHKY JlPIBaHa. Mbl )KLJ;aJIll BbI3BaHHOe TaKCI1, KaK Bp:pyr.,. KaKOH-TO nrapn« BHYTPII MoeTO )KIIBOTa yp:apllJIC5I 0 Moe pe6po. 1.[ }lYMaJIa. 'ITO 3TO OT ChrTHGH ensr. Msr CTaJII1 )Kp:aTh, xorna rrOBTOpllTGI TOJIqOK, HO TaK II He p:O)Kp:aJIllCh. Mansnna 3aTllXJIH aa zrsa AHH. BOT naprasaasi. MbI TaK )KLJ;aJIH sroro MOMeHTa, 6eCIIOKOHJIHCb, a OHH 3aTaHJII1Cb. OCTaBIIB aac B pa3,nYMbJlX. 3aTo xepes nsa .ll,H5I B MoeM )KllBOTllKe aasanacs <PYT60JIhHhle MaT'IH!

nana HaC H36anOBan

Haunt ,neTKII, rrOXO)Ke, XOTeJIH He TOJIbKO aa 3KpaHe MOHllTopa norca- 3aTbCH HaM, HO H B pealle. Korna Ha":IaJI rrorrpacrars )KHBOTllK, ManbIllill «saoerana» - TO 06a na npanyto CTOPOHY, TO na JIeBYIO. y)K He 3HaJO, TO JIll neranrxa BCTaEOT, TO JIll APyr aa apyra 3a6PIpaIOTC5I, HO )KllBOTHK Ha'IllHJeT CllJIbHO asrrrapars TO C O'[(HOH CTOPOHhl, TO C npyrofi. EOJIbHOBaTO, KOHe'IHO, rrpllxo,n11TCJl KaK-TO HX ycnoaanaars. Boo6IIIe, JI CqIITaIO, 'ITO 3TO llX ,lJ,llMKa ll36aJIOBan. BOT rrOrDBOp11T C HIIMll, aaxnaaer «Hy, CTYKHll MeHJI BOT CIO,!l;a HO)KKOH, a TbI BOT CIO,!l;a». A neT11llIK11 nepexarsmarorca B OnHY CTOPOHY (CTY":IaTb 11M eIIIe paHOBaTO), a My)I{ lIM: ,,1.[ BOT sac nornasry, a Bbi ycnoxaaaaarecs». BOT OHH II YCIIoKaHBaIOTCJl OT ero pyx, a MOH na HllX He neHCTBYIOT. Bce 6bl OTl1aM CMaH11Tb ,!l;eTeH HJ CBOIO CTOPOHY ...

TaHqopaMM GYAyyl

HllKOrLJ;a 6bl He IIOBepHJIa, 'ITO neTH cnsnrrar B )KHBOTHKe MY3bIKy. ecnn 6bl He 11CIIbITaJIa 3TO ira ce6e. JIe)KY!I KaK-TO Be'IepOM na KpOBaTl:l, CMOTPIO <PllrYPHoe KaTJHIIe. MY3bIKa 3BY'IHT CIIOI<OHHaJI, KJIae(H'IeCKa5l. )KHBOT11K MOH yCHyJI BHnHO, pOBHeHbKllH TaKoH. II BOT BhIXO,!l;HT ssrcryna'rs OAHR <PllrypIICT non rreCHIO rana «Maxapena». KaK MOll ,neT11llIK11 saraanesanal Byroposex TO CJIeBa, TO crrpasa. TaH110paMII 6ynYT, 3TO TO'IHO!

nOtoll,{lIIH nana

IJpO':!llTaJIa 51, 'ITO C 17 Hep:eJIb JleTH HJQ11HaEOT ClIhIlllaTb H oc06eI-IHO 11M HpaBllTC!I, KaK rrOIOT nann. Paccxasana H 3TO My)Ky. Ee,!l;HeHbK11H, OH nnxorna B )[(lI3HH He TIeJI! KaKOBO 6blJIO Moe y,uIIBlleHIIe, KOrp:J YBPIAeJIa, KaK OH IIll1eT B IIHTepHeTe na caiire xapaoxe neTCKHe neceaxm II nam narra sanenl 'uYMaEO, nera Ol1eHJlT 3TO. ..b.,

9 MeOll.\es

'.)

!J 6autUX Sezeeomuxo;

He bOAJlm

J«U60mUKU

('1acmbe He moscem Olitmb noann«, ecnu 6a;.uf.M .MaAlitJ«Y uesqopoeumcs. !knOKoumb K/'OXY U 6HOt nanonnum« )t(U3Hb pagYJ«HldAtU nepenaieanusmu nonoscem I1AAHHt·lK(® - HamYPMbHMU ACKClpcm6fHHlitU npenapam gA!l nesenu»

U np0tPUAaKmUKU KUJ«efJHlitX KOAUK Y AtMlitUfeu.

• B COCTaB nnAHTEKCa BXOp,S1T 3KcTpaKT nnOAOB V1 3CPV1PI Macno cpeHxenS1; «oropue oonanaior M~rKV1M cna3MonV1Tw"eCK~M 3cpcpeKToM; cnocoecrsyor orXO)f(AeHI ra30S VI yny4UJalOT paoory KI-1UJ84HV1Ka MMblwa.

• nnAHTEKC MO)f(HO ncnonseoeare

AnS1 AJlV1TeJ1bHoV! npocplilnaKTVlKVI, TaK KaK era peryJ1S1pHblV! nplt1eM novoraer npeAynpsAV1Tb n0S1BI16HVle KOJ1I11K.

• MHoronerHee V1CnOJlb30BaH!t16 nnAHTEKCa B Mep,VllJ,V1HcKOM npaKTV1Ke noxasano ero n0J10)!(V1TenbHoe BJ1I-1f1HVle

Ha nl-1ll.\eBapeH~e ManblUJelil,

Tenedron ropfiyeCl JlIl1HV1(Jl:

8 800 100 05 35

3BOHOK no Pocc~~ 6eCriJ1aiHbl~.

www.plantex.su

• B Q}tU1,QAHV1t11 PE5EHKA AHEBH>1K 5EPEMEHHOCT>1

f{aH W3MeHVlTCR uatua BTOpOe Y3Vf

}t{V13Hb C nORBneHVleM B 19 HeAeJIh, na erne H na Moli ,!leHh pmK,!leHHJ.! Mhl ManbiUJeVl, en paBVlMC71 nomna Bceli ceMhEH aa Y3H. Marrsnnxn nama npIIflVl Mbl? TIIXJIII, BHARO nOHHMaJIH, 'ITO CeH'laC HX 6y,!lyr paCIIO-

3HaBaTh. H paCrr03HaJIH! Y Hac ABa MaJIh'-lIIKa, rrpH'-leM Op,HOHllIWBhIX! KaK saHCKpHlIHCh rzraaa MoefO MY)Ka, TaKoro C'laCrh1I na ero JIHIJ;e 1I erne HHKor,r:(a HE sanena! 51 paCC'lHThIBalIa. -rro OAHa ,r:(eBOqKa y Hac TOqHO 6YAET. KaK )[(E J.! onaa C TpEM5! MY)[(TIHI1aMH 6y,o:y soeBaTb? 51 6blCTPO OrrpaBIIJJaCb or IIIOKa, xoraa ysnztena aa MOHHTope HaIIIHX MaJIblilleli. Hey)[(eJIH 6bLBaKlT raKHe xpacnasre p,ErH?!

5YAMJ1bHMK

Qr06bl He 3aCHYTh B HOBOrop,HKlID HOTIh. MhI PEIllIIJIH BbICIIaThClI 31 AeKa6pJ1. OrKJIIOQIIJIH see 6y.n;IIJIbHIIKH, nOII03)Ke JIerJIII cnars, HO... He rrpenYCMorpeJIH MbI ente Op,HH 6YAHJIhHHK - HaIllHX MaJIhIIllell. Posao B 11 qaCOB yTpa aama ,[IerHIllKH HaTIaJIH aKrIlBHO pyr60- JIHTb Moli )[(HBor. Err nOrITa)[(HBaHHII, HH JIaCKOBhle CJIOaa He CMOrITI! YCMHPHTb sror MaJIEHhKHll 6YAllJIhHHK. IIPIlIIIJIOCb rrpOCHYTbGI. IIOBepHYJIaCb aa 60"IOK K MY)[{Y, ny3HKO OKa3aJIOCb PJIAOM C ero pyKoli. ,lJ,eTHIllKH paGrOJIKaJIHCb erne aKTHBHee, My)[(y HHTIerO HE OCraJIOCh ,[(eIIJTh. KJK rQ;Ke npoCBYThCJl. BOT TaK aanrn MaJIbIIIIH HaTIaJIH Hac 6y,!lIIn IIO yrpau.

C.eCCH.A

IIepBaJI B )[(I!3HIl MaJIbIlllEll cec(y!JI npOIllIIJ 60JIEe~ MeHee YAaqHo. Ilpenonanarerm 605IJIHCh MeW! )J,OlIro crrpaIllHBaTb H craanrs IIJIOXIIe oruerxa. Ilepen MOHM orBerOM OHH ycrrOKJHBaJIH: «Bee 6y,o:eT XOPOIIIO, see cnanare, He sozmyarecs». A .nerIIIllKII COIIepe)KHBaJIH. OqEHh CHJIhHo rOJIKaJIHCb. Ha O,!lHOM 3K3aMeHe npncyrCTBOBJnH TpM npenonasarens. H see BHHMaHIIe npopeccopoB 6bIJIO IIpHKoBaHo K MoeMY )[(IIBOTY. KorophIH XO.nIIJI XO.nYHOM. npHereM naxaxas o.ne)[(Aa He Morna CKphITh 3TH rOJFIKH.

42

TpeTbeY3M

Oc060ro HHrepeca sra rrponezrypa He BhI3BJm. TnasHoe - HaM CKa3aJIll, 'ITO ManhlIlllf qYBCTBYIDT ce6il XOpOIIIO! IIOKa3aJIH HaM Ka)[(.noro pe6eHO'-IKa, pyxxa, HO)[(KH ... Hy HHTIerO He rrOHHrHO! qeM 60nbilie zreraurKII craHOBHTCJI. TeM HeIIOHJIrHee CTaHOBIIrCJI Y3H. TaK -rro see npourzro 06blerHO.

AeKpeT

,lJ,OlIfO H )[{.nana IlOJIyqeHIUI 06MeHHOH KapTbI 11 3aBeTHOro CJIOBa «nexper». Moe scerna rOBOpHJIH, TITO Y MeHll MaJIeHhKHH CPOK, srro HHqero euie He H3BeCTHO. A BOT IIpH nOJIyqeHHI1 06MEHHOH KapTbI H ,UeKpeTHoro H CTa~ JIa Ce6HqYBcrBOBaTh B3pOClIOll. HaCTOHl.L(eH 6epeMeHHOrr C 60lIhIllHMCpOKOM.

KypCbl

B 28 He,UeJIh Hac rrpI1H1IJIH na xypcsr B PO.n,lJ;OM. MhI 6hIJIH caMhle MaJIEHhKIIe (no CPOKY). HO saro caMble nysareasxael Caxroe npH51THOe 3aHJIrl1e 6hIJ10 na pacorafinenae. Ham IIaIIa yernJICIi .neJIaTh MaCCa)K, OH He)KHO IIOfJIa)KHBaJI Hac TID )[(IIBOTl1ICY, a MhI norIIXOHhKY ycnoxaasanacs II 3aChlIIalIH. He Meaee aarepecmrua 6hlJIII yrrpa)[(HeHHH, npIIMeHJIeMhle B ponax npa (XBaTxax. Ham nana ,n:OJI)[(eH 6hlJ] Aep)[(aTh Hac TPOHX, a MhI «BIICeJIII» aa HeM. I1 TaK rrpOp,OJI)[(JIlOCh 1.5 xaca. ,lJ;HMKa IICIIhITaHIIJ.! BhIAep)[(aJI (11 Hac roxe ynepxan)! A xaxoe saxrexarensnoe 3aH1IrHe 6hlJ]0 IIO yxony sa MaJIhIIIIaMIl! MhI ( My)[{eM na napy rreJIeHaJIH KYKOJIOK. IIoxo)[(e. rreJIeHKaMII Mhl 6Y,lJ;eM rrOJIh30BaThCH He,lJ;OJlfO. rax KaK naur narra 6y.neT rrezrerrars .nereH ,[(OJIrIIMHqaCaMII. TID OKOH"IaHIIH KYPCOB HaM Bhl,lJ;aJIII ceprIIlllIIKaT. ztaroW:HH npaBo po)[(aTh BMecre.

PSCTeM!

Bor H 3HMy rrepe)[(HJIH. COBceM HeMHOfO OCraJIOCb AD HJurea BCrpeTIH C ,o:eTHIllKaMlJ. CraHOBIIrCll (rpailiHOBaTO:

KaK rrpoanyr POAhI, KaK II3MEHIITOl naura }KH3Hh C rrOIISJleHHeM MaJIHIlleH.CIIpaBI1MCH JII1 Mhl? A BeAh eine nano IIIIcaTh,[(II!1JIQM, a MblCJIH COBceM 0 ztpyrou..; K 3roMY BpeMeHH Mhl EI1AIIMO IIo,[(pocnH. Ha MoeM )[(I1BOrIIKe y)[(e nOIIBHJIIICh orMeTKII - fJIy60KHe KpacHhle nporIIBHbIe pacTmKKH. MOH )[(HBOr rerreps HarrOJlOBIIHY pacrpetxasIllIIHCE H HanOJIOBI1HY qI1CTeHbKHH. Ey.ny na nJIJ.!)[(e IIOBOpasnaarsca KO BceM HeTPOHYTOrr cropoaoii nysasa.

Erne Mbl HayqIIJIllCb BblIIJIqIIBaTh see 4 HOfII H 4 pyxa B pasnsre (TOPOHhI, BO):(HTh HMH soxpyr )[(HBOTa HJJH MOHOTOHHO ,o:olI6IIThCH HQ)KKJMIl B O,[lHO Mecro.

B pOAAOMe

BOT H HaCraJI IlOSeAeJJhHFIK, 9 arrpeJJJL Cerozma MeHJI OrB031IT B PO,r:(,IJ;OM, qTo6bJ IIOHa6JIID,n:Jrh sa MHOH.

BOT MhI y)[(e nO,lJ;'be3)[(aeM K rrpIIeMHOJv!Y oT):(eJIeHIlID, .fI He Mory CAep)[{an cnes, TaK He XOqeTCH paccraaarscx C My)[(eM! Bor H MOH nanara - IIHTepeCHO, CKOlIbKO ,!lHefi J.! snecs rrpOJIe)[(y? Besepon npHXOAIIlIa npas, nonryrrana )[(HBOTHK. YBepHJIa MeWI, qro CerOAH5! II He Po)[(y. EJJH)[(e K IIOJIYHOTIII HaTIHHaKl sacsnrari., HO B.nPYf ... rorrxox. ceKYHAHaJI 60JIb. 11 II3 MeH" rexer SOAa. HaTIa-

JIIICh pOAhl! ~~~._. __ . ~.___.

9 MeC~l\e8

• POp,b,I

""-

POAbl «KaK B KIIIHO»

AJlTl MHOfltlX Vl3 HaC O,D.HIt1M Vl3 VlCTOYHItlf{OB 3HaHlt1M 0 ponax sanmorca xY,D.OmeCTBeHHble CPIt1JlbMbl. Ho HaCKOnbf{O npaanaao It1 peanucra-n-o usoopaxaor 3TO cotisrrue penorccepu It1 cu.eHapucru? nonpo6yeM B3fJlflHYTb Ha TltlnltlYHble KVlHOClOmeTbl fna3aMItl cneuuanucra.

IOmtll CanpblKHHa SpaYaKVWep-rMHel<onor,

4lfV HL( aKywepcTBa, rt.1'HeHOflOn-1l11!11 nepV1HarOJiOilliVl ~M. a~aA. B.W. KynaKOB-a POCM€ATeXHOnorMW,

r. MOCKBa

44

CIO}KeT nepBLIii:: '1aCTO B KHno nOKa3bIBaIOT, 'ITO, KaK TO}lbKO Y 6epeMeHHoii OTOW}lH BOP;LI, cpasy na'1HHaIOTCH HHTeHCHBHbleCXBaTKH, npH ::ITOM }KeHnraaa Ha'lHHaeT KpH'IaTL H ee aa 6eWeHOii CKOPOCTH Be3YT B ponnosr.

KaK )Ke rrpmICXO).U1T na CaMOM zrene? B 601IhIIlHHCTBE' ClIy'laeB cnasana Ha'IHHaIOTC!I CXi3aTKII, rrpH'leM CJIa60H CIIJIbI, IIOCTerreHHO rrpOHCXO,[(IIT YKOpO'IeHHe, Cma)KHBaHMe M paCKpblTlIe IIleHKH MaTKlI, CXBaTKlI HapaCTaIOT, CTaHOB!ITC!I 'lallIe, H Y)Ke 3aTeM rrpOHCXOgMT paapsrs OKOJIOrrJIogHbIX 060JIO'IeK H H3JIHTHe OKOJIOrrJIO,[(HbIX BO,[(. 3TO TaK aassrsaenoe cBoeBpeMeHHoe lI3JIHTHe OKOJIOIIJIO,[(HbIX BOA. Pa3pbIB OKOJIOrrlIO,[(HhIX 060JIO'leK npoacxomrr B KOHue rrepsoro rrepnona pogOB - rrepnozra paCKpbITlI!I weHKlI MaTKl1.

3TOT TIepHog POAOE HBJIJIeTCJI caMbIMIIpOAOJI)KlITeJIhHbIM: Ha'llIHaeTOI OR C rr05!BJIeHlIH perynspmrx (Qepe3

Ka)KAhle 20 MHHYT) MaTO'IHhIX coxpameaaii (cxBaTOK) II 3aKaH'lHBaeTCH rrOJIHbIM pacKpbITHeM IIleHKH MaTKH. TIpoAOJI)KHTeJ1hHOCTh nepBoro nepnona POAOB Y IIepBoPOg!Ill(HX )KeHllIHH - lO-IJ 'laCOB, rrpII IIOBTOPHhIX ponax - 7-9 'laCOB. TaK 'ITO CIO)KeT H3 ~lIJ1hMa HERO rrpeYBeJ1lI'leH: Aa)Ke rrplI rrpe)K_[(eBpeMeHHOM H3JIHTllll OKOJIOrrlIO_[(HbIX BO_[( (AO Ha'IaJ1a perynapnoii POAOBOH ,n:e!ITelIbHOCTH - raxoe TO)Ke 6bIBaeT) xanie scero CXBaTKH O~IeHh CJ1a6bIe, MaJ106OJIe3HeHHble lIJIlI HX HeT aooome. Ho B 3TOM clIy'lae BPOAAOM CTOllT nOTopoIIHTbCH, 'lTO- 6hI BhIlKHlITb npa-may H3lIIITH!I OKOlIOrrJ10AHbIX BOA H rrpll Heo6xOAlIMOCTlI Ha'IaTh coorsercrsyioniae rre'le6Hhle MepOIIpH5lTllJI, EhIBafOT raxxe xpaiiae penxae CJIY'laH 6hICTPbIX II CTpeMlITeJIbHhlX PO,n:OB. HO H B 3TOM cnyxae HX npo,[(olI)KHTeJIbHOCTh CQ.CTaBHT He MeHee 2 xaCOB, Harne 3TO IIOBTopHbre PO,n:bI lIJIH POAhI Y )KeHlllHH, 'lhH MaMbI TO)Ke pO)KaJIH O'IeHb 6bICTpO.

9 Mec~l1eB

CIOJKeT BTOPOH: 6epeMeHHaH nocae aasazra pOnOB 6pocaeTCH B co6CTBeHHbIH aBTOM06HJIb H cpa3y JKe MqHTCH B ponnosa ...

Bo-nepasrx, POJJ:bI - rrpouecc Be6bICTpb1H, KaK YJKe 6bIJIO CKa3aBO BblIIIe, pOJJ:bI Ha'-lHHaIDTCJI C nOJIBJ1eHHJI peryJIJIPHblX MaTOl.fHbIX COKpalI(eIiHH, PO,IiOEbIe CXEaTKH 06hIl.fHO 60JIe3BeBHhI. XOTJI crerreas 60JIe3- HeHHhIX 0II(YII(eHHl1 pa3JIH'-IHa Y KaJK,IiOH }KeHII(HHbL IIO'lYEcTBoBaB nepEble CXBaTKH, He HYJKHO cpasy CPhIBaTbCJI C MeCTa, Ha':lHHTe nO,IiC'IHThIBaTh 'laCTOTY CXBaTOK: BaJKHhIM npH3HaKOM HCTHHHOH POAOBOH AeJITeJIhHOCTH JIBJIJIeTOI perym!pHOCTb POAOBbIX CXEaTOK, TO ecrs paBHbIe no AJ1HTellbHOCTIJ HIfTepBaJIbI MeJKAY HHMH. Peryaapasre CXEaTKH, HAYII(He Qepe3 15-20 MHHyT, rrpo,n:OJIJKHTeJIbHOCTbID 20-30 cexynn - 3HaK roro, QTO rropa co6HpaTbcll B POA,n:OM.

BO-BTOPbIX, AaJKe ecxa 6YAYII(aJI MaMa no nOCJ1eABHX AHeH 6epeMeHBocTH casra Bo,n:HJIa aETOM06HJ1b, B POA,UOM OHa ,UOJIJKHa exart. aa MeCTe naccascnpa. TaK KaK rro Mepe Yl.falI(eHHH MaTO'IHbIX COKpalI(eHHH 60JIe3HeHHOCTb HX napacraer. IIpH 3TOM saa-nrrensHO CHHJKaeTC.H BHHMaHHe H cnocotiaocrs ap,eKBaTHO pear apoaari, na OKpYJKaIDII(YID 06CTaHOBKY. He06- XOllHMO rrpHHJITh :)'A06Hoe nOJIQ)KeHHe, JKeJIaTeJ1bHO IIOJIYlIe'lKa, rrOAllOJKHB nozt nOJICHHUY BaJIHI<. Ilocrapaiireo, ae cyeTllTbcll H 6bITb nOCJIeP,OBaTeJIbHoH. He)lCeJIaTeJIbHO A06HpaTbCll AO pO'uAOMa aa 06II(eCTBeHHOM TpaHCIIopTe. ECJIH ponsr (perynapasre 116onesrreanue CXBaTKll) naxarnrcs BHe3arrHO HJIH H3JIHIIHCh OKOJIOnJIOp,Hble BOAbI, a PJI,UOM He OKa3aJ1QCb COrrpOBO)K,UaIDII(erO, OCTaEaHTeCb aa MeCTe H BbI3bIBaHTe 6pHralW CKOPOH MenHUHHcKOH rrOMOII(H.

CIOJKeT TpeTHH: PH,n;OM C JKeHrn;HHOH acerna aaXOnHTCH Bpaq HJIH aRymepKa ...

B noczrenaee BpeMJI BrrpaKTHKy BOIllIIH HH,IJ,HBHnyazrsasre PO,lJ,bI (no KOHTpaKTY), xorna rraUHeHTKOH 3aHHMaeTCll oTgeJIhHbIH aKYlllep-rHHeKOJIOr. XOT!I B 60JIhlllHHCTBe CJ1Yl.faeB 3Hal.fHTeJIhHYIO '-IaCTh BpeMeHH BO BpeM5:I CXBaTOK pOJKaIDII(a5:I )KeHII(HHa npefisraaer O,lJ,Ha HJIH (B cay-rae napraepcxax P0'uOB) C rrapTHepOM. Bpas npHXO,lJ,HT aa OCMOTpbI - B Cpe,lJ,HeM O,lJ,I1H pas B 2-4 qaca, axynrepxa - Ka)KAhIH 'lac.

CIOJKeT qeTBepTbIH: O'feHL 'faCTO B ~HJIbMaX noKa3b1BaIOT MyJK'IHH, npHCYTCTBYIOrn;HX na ponax. KaK npaBHJIO, OHH HepBHH'IaIOT, 6eralOT no KOPHnopy, KpaCHeIOT, 6nenHeIOT H BpeMH OT BpeMeHH na,n;aIOT B 06MOpOK ...

Ha caMOM Ilene 6bIBaeT no-pa3HOMY, H Ol.feHb peAKO - KaK B KHHO. Ilaprnepcxne POAbI (p0,UbI B npnCYTCTBHH nap rnepa-sryaca) He pe,lJ,KOCTb B rrOCJIe,UHee BpeMJI, HO H He 06!I3aTeJ1bHOe YCJ10BHe. KOHE'l.fHO, xorna P5:IAOM 6JIIi3KHH 'feJ10BeK, )KeHII(HHa MeHbIIIe l.fYBC1'ByeT ce651 OJJ:llHOKOH, nOTepJIHHOH, B JIID60H MOMeHT OHa MOJKeT rrOJIy'IHTh rrOAAepJKKY. KaK npaBHJIO, «posxarr,» BMeCTe C llI06HMOH )KeHII(IIHOH COrlIaIIIaIOT(5:I ypaaaoaeureaaue MY)[«IHHbI, xoropsre rro,n:rOTOBJIeHhI sapanee. Bo EpeMS! (XBaTOK naprxep rro ponau zrenaer 6ynYII(eH MaMe 06e36oJIHBaIOlI(HH MaCCa'lK, nosaoraer rrpaBHJ1hHO AhIIIlaTh, a BO BpeMS! KYllbMHHaI(HOHHOro MOME'HTa 6YAYII(HH rrarra CTQ-

MT B H3r0J10Bhe. rtoisoraer MaMe npH)[{I1MaTh non- 6opOnOK K rpYAII, BMeCTe C Bpal.fOM H aKYlIIepKOH rrOBTOp5:IeT: «TY)KbC5:I. TYJKbCll», ECIIH nana l.fyBCTByer, -rro HaKaJ1 3MOI(llH CJIHIIIKOM BeJ1HK. OH MWKeT nOJKAaTbC5:I pOJKlleHHH pefienxa sa npeAeJIaMHpO,IillJIbHOrO 60:i<ca. H l.fT06bI H36eJKaTh3Toro, JIY'IIIIe 3apaHee B3BeCHTh see «sa» H «npornn», He y6e)K,IJ,aTh My)[(a, ecnn BH,n:HTe ManeHIIIee COMHeHHe B )KeJIaHHll rrpHCYTCTBOBaTb B ponsane.

ECJIH MY)K'fI1Ha rrpHH5fJ1 peIIIeHHe, 3apaHE'e oocy,lJ,HTe 31'0 C BaIIIHM Bpa'lOM, 06113aTeJIbHO BMeCTe nocerare IIIKOJry M0J10,lJ,hlX pO,lJ,HTeJIE'H, rr03HaKOMbTeCb ( HH¢opMalllleil 0 ponax B HHTepHeTe (rne, KCTaTH, I1MeIOTCS! H BHneOpOJIHKH), novaraare cnennazn.nsre )KypHaJIhI, KHHrH.

IIpHCyTCTByll na poziax. MyJKy HY)[(HO 6bITb rOTOBhIM K TOMY, 'fTO ero norrpocar aaners CneUHaJIhHyIO o,ne)K,n:y (XHpyprHl.fec:i<yIO nH)KaMY, rnano-ncy), nepeofiyrscs. MYJK'lHHe He HYJKHO cyeTHThGI, 6eraTh no KOPH,nOpy, 3arJIllAbIBaTh B npyrae npe,npOAOBhle nanarsr, sanasars EonpOCbI Me,nrrepCOHa!1Y, He HMeIDII(eMY OTHOIIIeHI1H K pOJKeHHue. HyJKHO 6bITb PH,IJ,OM C JKeBII(HHoH, l.fT06hI nOMO'lb eH nepensararsca. nonaecrn BO,n:h1, (MO"'lHTh ry6bI, nornamrrs )KHBOT BO apeMll CXB3TKM HJ1ll rrOMaCCHpOBaTh crraay BMeCTe rrpaBHJIhHO «npOAblllTaTb}} eXBaTKY.

'iT06hI BaIII orrsrr eOEMeCTHbIX pOnOB OK333IICH rrOnO)KHTeJ1hHblM. CJIe,n:YHTe YKa3aHHS!M Bpal.fa, nYCTb BaIII MyJK He MeIIIaeT Me,UnepCOHaJIY. ECJIH B03- BHKna cHTyaUH5!. rrpll KOTOPOH ero nOrrpOCHJIH BbIHTH, na II eCJIH OH caM nO"'lYBC1'EOBaJI ce611 HeXOPOIIIO - nyxrue rrOAO)KnaTh 3aBepIIIeHH5:I pOAOE B xopanope.

CIOx<eT nHTbIH: 6epeMeHHYlO B TOR JKe o,lJ;eJKne, B KOTOPOii: OHa rrpnexana, npHMo aa rropore po,n;,n;oMa nepeKna,lJ;bIBalOT aa KaTaJIKY H cpa3y Be3YT B po,lJ;IJllLHLIH 6ll0K.

B pea!1hHOM pOnAoMe nee rrp0rICXOAHT naase.Ilo rrpH6hITHH B npaenaoe orneneane PO)lHJIhHOrO AOMa aKYIIIepKa paccnpamnaaer JKeHII(HHY, 3aTeM npnrnauraer .neJKypHoro axynrepa-r-aaexonora ,IiJI5:I nepnnunoro OCMoTpa. Bpas BhI5:ICHHeT aKymepcKyIO cH1'yaqHIO: aanaer sorrpocsi, npOBoAHT aaPYJKHOe axynrepcxoe HCCJ1eAOBaHlle H OCMaTpHBaeT 6epeMeHHYIO na raaexonoml.feCKOM KpeCJIe.

3aTeM aKYIIIepKa Ha'IHHaeT 3arrOIIH5:ITh Me,n:HqHHcKHe AorcyMeHThl (HeTOpHIO PO,n:OB), npOll3BOAHT He06xOIlHMhle H3MepeHHH. BhICJIYIIIHBaeT cep,lJ,I(e6HeHHJI IIJIOna, eczra JKeHlI(llaa HaXOAHTCll B poztax (TO ecri, HMeIDTC5:I peryJI5:IpHhIe cxsar KH, ll3MeHeHHH CO CTOpOHhI IIIeHKI1 MaTKH), axymepxa rrpOBOnMT caHHTapHyIO 06pa60TKY, AeJIaeT JKeHUJ,llHe Ol.fHCTHTeJ1hHYIO KJIH3MY, npenna- ~

45

• PO,D,bl

He nvr ajirecs, eCJH1 eaui ManblW He noxom Ha MnaAeH~a C Ka pn'l HtH1.

raer rrpaaars nym H nepeonerscn. B nexoropsrx cl1y'Ia5IX npOBOP;5IT YJIbTpa3BYKoBoe UCCJIep;OBaHHe.

Ilocne acero rrepe'IHCJIeHHOm BbIIlIe (a na 3TO norpefiyercs MHHHMyM 30 MHHYT) 6epeMeHHYIO rrepeBO,I:(5IT B P0P;UJIhHhIH 6JIOK UJIH rOCrrHTami3HpYIOT B orneneaae rraTOJIOrHH 6epeMeHHhlx (B 3aBHCHMO' CTH OT cnryarma).

ECI1H lKeHII(UHa HaXOp;HTGI B ponax. TO 60JIhWYIO 'IaCTb BpeMeHH OHa nposener B rrpenponosori TIaJIaTe HJIH HH,I..IHBH,I..IyaJIbHOM 60Kce, paCC'IHTaHHOM aa O,[(HY pOlKeHHUY, npn nOI1HOM pacKpbITHH MaTO'IHOrO seaa H C aaxanoxr. ncryr eH ncnoryr nepearn B pornrzrsHhIH 3aJI, sa PO,lJ;IIflbHOe KpeCJIO,

CIO}KeT mecroif Hepe,lJ;KO B q,H1IhMaX C aasanosa PO,lJ;OBOH p;eJlTe1lhHOCTH PO}KeHHlla He MO}KeT rrepe,lJ;BHraThCJI.

B HaCTOHIUHX ponax )){eHII(HHa He TOJIhKO caMOCTO- 5ITelIhHO ,I..IBUraeTC5I, HO eH peKOMeHP;YIOT 3TO zrezrars, rare KaK B ,I..IBHJIZeHHH nerve nepeHOCHTCH 60JIeBbie OmYII(eHH5I. POlKeHHua MO)){eT H XO,[(HTb, H CH,I..IeTb na rHMHaCTH'IeCKOM MH'Ie (saCTO raxossre HMeIOTCH B rrpep;pop;OBbIX nanarax), H 3aHHTb y,l..106HOe nOJIO)KeHHe aa KpOBaTH, KpOMe sroro B PO,[(HJIbHbIH 3aJI OHa nepexoznrr caMOCT05!TeJIhHO c rrOMOII(bIO asynrepxa. Bern, ponsr - 3TO eCTeCTBeHHbIH rrpouecc. Ha xaranxe pO)KeHH[(Y, KaK npanano. Be3YT B 3KCTpeHHOH carya[(lUI, HarrpHMep rrepeB035IT H3 PO,I:(HJlbHOrO B orrepa[(HOHH:bIH 6JIOK apH Heo6xo'[(HMOCTH CpO'IHOH onepaUHH xecapesa Ce'IeHH5J.

CIO}KeT cep;hMOH: BO MHorHX cpH1IbMaX p01KeHHna KPH'fHT rra necs POP;P;OM, KOP'fHTCJI H Me'feTCJI OT 601lH, aene'r ce6J1 xpafiae Heap;eKBaTHO.

TaKHe KHHeMaTOrpa¢HqeCKHe H3bICKH TOJIbKO nyraro'r lKeHII(HH, oc06eHHO MOJIOP;hIX H nepostaamHX. B HaCTOJIlIree BpeM5I ponsr nepecrazra pacoaaTpHBaTbC5! KaK HeqTO HeBhIHOCHMoe H Y)KaCHoe. Bce xame 6epeMesHbIe TIOCeIUaIDT KypChI ¢l13HOIICHXO-

46

JIOrH':leCKOH rrop;rOTOBKH K ponau, mKOJIbI 6Y,l..lYUIHX MaM, rne rronpofiao paCCKa3blBaIOT, 'ITO raxoe PO,I:(OBOH npouecc, KaK rrpaBHJIbHO BeCTI-I ce6H BO BpeMH 6epeMeHHoCTH; npeozronenarr, 60JIb, nsnnars, pacCJIa6JI5!TbCH H TYIKUTbC5! B pO,I:lax; yxa)){HBaTb aa MaJIbIIliOM.

ByIKHO rrOMHHTb 0 TOM, 'ITO KpHKH He CTOJIbKO pasnpaxaior Me,lJ;H[(UHCKHll nepcoaan, CKOlIbKO nyraIOT ztpyrnx pO)lCeHHU, MeIIJaIDT pabore aKywepKH H spa-ra H He ,[(aIDT caMOH pO)){eHH[(e cOCpe,lJ;OTOqHTbC5! l1 cnyurars peKOMeH,I:(a[(HH axyiuepa-ranexonora. npHHHMaIOIUero POP;b!. Kposre roro, JIHIIIHJLlI sarpara 3HeprHH B 3TOT nepaon COBepIIIeHHO He HYIKHa, ,Ua, PO)J,bI - 3TO THIKeJIbIH TPY,lJ;, ace IKeHIUHHbl no-pa3HOMY aepeHOOIT 60JIeBbie OUIYII(eHWr, HeKDTopbIM ner-re poxars c «C06CTBeHHbIM 3BYKOBbIM COrrpOBO:JI\,[(eHHexr». ozmaxo JIID60MY 3BYKOBOMY npOllBJIeHHID pOIKeHl1IIbI B PD,[(HJIbHOM 6JIOKe ,I..IOJI)KeH 6bITb pa3YMHbIll npezren, Bonee paIIHOHaJIbHO He KpWlaTb H MeTaTbClI OT 60JIH, a npasnnsno «npo,[(bIIIJaTb» HJIH «rrporreTb)} cXBaTKY. Bo BpeMH noryr TaK)f(e HeJIb3J1 xpaxars. TaK KaK npn KpHKe HeB03MO)){HO 3¢¢eKTHBHO TY)){HTbCJ1 - BbITaJIKHSaTb MaJIbIllIa, Harrp5Ira5I MblIIJ[(bI nepenaeii 6PIOIIJHOH CTeHKH,

CIOJKeT BOCLMOn:: B0311e ;a;HKO xpaxanrea pOJKeHHn;LI T01lnHTCJI sees BpaQe6HLln: nepcoaan 601lbHHn;bI, soxpyr HeBepOJlTHaH cyera ...

B cOBpeMeHHblx P0,I:l61IOKaX HeMHOrOJIIO,I..IHO H THXO, KalK)J,bIH 3aH5IT CBOH ,lJ;eJIOM. BeT naxoro 'JIlIIliHerO; BaMH 3aHHMaeTCSl ozraa aKYIIIepKa H O,I:lHH aKyweprOHeKOJIOr, npa He06xo,I:lHMOCTH 3arJI5IHeT aaecre- 3HOJIOr, HeOHaTOJIOra BbI30BYT K MOMeHTY pOIK,l:(eHHJ1 MaJIbIIIJa. BeT HITKaKOH cyeru, TaK KaK OKa3aHHe MeP;l1IIHHCKOH rrOMOII(H pO)){eHHIIe - ,lJ;aBHO orpaooraaHbIH nponecc. .n.a, Ka)){,I:lble ponsr H P;JI5I Me,I:(HIIHHCKOro nepcoaana scerna BOJIHYIOII(Hll H 3MO"IIHOHaJIbHbIH MOMeHT, HO sztecs HHKTO He cyeTHTC51 H He Kpl1':lHT. ,Ua)Ke npH B03HUKHOBeHHH BHeiliTaTHOH cHTyaUHH He B03HHKaeT rraHHKH, TaK KaK OTKJIOHeHHJ1 OT ¢H- 3HOJlOrHQHhIX pOP;OB, KaK npaBHJIO, rrpornoaapyeetsr OIJhITHblMH CrreIIHaJIHCTaMH H TaKTHKa pozropaspellIeHWI 06,1..1YMblBaeTC5I H 06CY)KP;aeTCJ1 sapanee.

CIO}KeT p;eBJlTLIH: rrpHCYTCTBYIOIllHe na pozrax B OP;HH ronoc rpOMKO H 3MOllHOHaJILHO KpH'faT: «Ty1KbCJI, TY1KLeH!».

IIo,l:(06HbIe «JI03YHrH» ssysar Y)Ke aa 3aBepIIIaIOmeH CTa,[(HH PO,I:(OB, xorrra IKeHUIHHa H caMa OUIYUIaeT zcenaaae TY)){HTbCH, H, KaK npaBHlIo, rrpOHCXO,I:(HT 3TO MeHee 3MO[(HOHaJIbHo.

KCTaTH, B 3TOT nepnon xpaiine Heo6xoP;HMO CJIyurars spasa (mIll aKYIIJepKY) H no HX COBeTY norrsrTaTbCH YCHJIHTb HJIH YMeHbIIIl1Tb carry noryr, .n.eJIO B TOM, 'ITO B MOMeHT rrOHBJIeHHJ1 rOJIOBKH nnona OHa OKa3bI8aeT CHJIbHOe ,I:laBJIeHHe na MJ1rKHe TKaHH rrpOMeIKHOCTH H UpH 6blCTPOM npO,lJ;BH)l(eHl1H ee C03,I:laeTCH onaCHOCTb pa3pbIBOB Y pO)){eHHJ:,(hI H ':lpe3MepHoe C,I:(aBJIeHHe rOJlOBKH y IIJIO,lJ;a. II03TOMy B onpenezreansni MOMeHT PO,ll,OB )){eHUII1HY norrpOCHT, aaobopor, He TYIKHTbCH, a rrrytioxo H qaCTO nsnnarr, OTKpbITblM pTOM.

CIOJKeT ,JJ;eCHTLIH: HOBOpOJK,JJ;eHH~IX B q,HJILMaX cpasy nOCJIe pOJK,JJ;eHHH nOKa3LIBalOT p030BeHLKHMIl, YJILl6alO~HMHCH, nYXJIeHbKHMH cymecraasrn C MHJIbIMH CKJIa,JJ;O'lKaMH ua py'lKax H HoacKax, TOJILKO 'ITO PO,JJ;HBIIIHeCH ,JJ;eTKH B KHHO BblrJIH,JJ;HT KaK ynHTaHHbIe TpeXMeCH'IHble MaJIbIWH,

Ha caMOM nene, xorna porranaanne BbIKna,[(hIBalOT na rpyns HOBOpmK,l.IeHHOrO, HelIO,l.IrOTOBJIeHHbIM MaMaM Ka)KeTC5.I, '-ITO C MaJIbIIliOM 'ITO-TO He TaK: 60nbllIa51 npononronaraa rOJIOBa, KpOllIe'-lHOe Tenbne, OTeKIlIHe BeKH, cxpro-reanue HO)KKH H py'IKH, KO)Ka cnnrouino-xpacnoro O;BeTa, na enre IIOKPbITa 6eJIhIM JIHIIKHM «HaJIeTOM» C IIpHMeCbIO cnH3H H ztaxe KpOBH.

He nyraarecs. ecna Balli MaJIbIIli He IIOXo)K aa Mnanenna C KapTHHKH. Ionosa MaJIhlllIa HMeeT rrpononroBaTYIO CPOPMY, IIOTOMY 'ITO BO BpeMJI ee npOXQ)K,neHH51 xepes PO,UOBhle nYTH MaTepH IIPOHCXo,nHJIO IIPHCIIOC06JIeHHe KOCTeH qepena IIJIo,[(a K HHM. B TeqeHHe HeCKOJIbKHX AHeH ronosxa HOBOpO)K,neHHoro CTaHeT 06hl'IHOH oxpyrnoii CPOPMbI.

I'nasxn HOBopmK,UeHHoro HeB03MO)KHO paarnazrers.

IIOTOMY 'ITO OH He MO)KeT HX OTKpbITh H3-3a IIocneponosoro OTeKa B TOM cnysae, eczra ronoaxa nnona «npoCTOJIJIa" B POAOBbIX nyT51X 'IyTb 60JIhille IIOJIO)KeHHOrO BpeMeHH. He BOJIHYHTech, OTeK npOH,UeT caM co60H.

KO)KHble IIOKpOBhI MaJIhIllia TOJIhKO B nepBbre MHHyThI TaKoro CHHlOIliHO-KpaCHoro O;BeTa, OHH noposo-

BelOT aa BallIHX rzrasax. na H samarnyro CblPOBH,[(HYIO CMa3KY CMOIOT CneO;HaJIhHbIM CTepHJIbHhIM Ba3eJIHHOBhlM MaCJIOM BO BpeMH nepBH'IHOrO ryanera HOBOpcxrtennoro.

CIOJKeT o;O;HHHa;o;n;aTLIH: nOCJIe pozcneaaa pefienxa aceH~HHy cpasy rrpHB03HT B rranary, rzte ee ac;o;yT MHOrO'lHeneHHble pO;O;CTBeHHHKH, n;BeTLI H IIIaM- no 4 Y S C T BOB a B n e pnarrcxoe..; aue cxearku, HaYHV1·

Ha caMOM ,UeJIe cpa3Y nOCJIe IIOHBJIeHHH pefiemca Te nonc-urrsiaare VI) PO,[(hI He 3aKaWIHBalOTC51. Cyrnecrnyer erne O'IeHb 4aCTOTY.

Ba)KHhIH TpeTHH nepnozt PO,nOB - rrOCJIe,ll,OBbIH (xorna

OT (TeHOK MaTKH OT,[(eJ15!eT(H IIJIao;eHTa H poxcnae'rcs

IIOCJIe,n - IIJIao;eHTa C OKOJIOnJIO)lHhIMH 060nO'lKaMH

H rrynosaaoa). IIocJIe 6JIarOnOJIY'lHOrO pO)K)leHHH

nOCJIeAa PO)lHJIhHHo;y oCMaTpHBarOT na npenuer

pa3pbIBOB, YCTpaH5IKiT HMeIOll.'(HeCSI (eCIIH OHH ecrs)

nospexcnenna MJ'lrKHX TKaHeH H OCTaBJI5rIOT non aa-

6mO,l.leHHeM B POAHJIbHOM 6JIOKe. 3,UeCb )f{eHlIIHHa

npocyner 2 qaC3. A 3aTeM ee rrepeBe3YT B IIanaTY

nocneponoaoro oTgeJIeHHH, me He 6y.ueT HHK3Koro

CTOJIIIOTBOpeHHH pO):(CTBeRRHKOB. Mane KaK HHKor-

na HY)KeH OT,[(bIX H IIpHCTaJIbHOe BRHMaHHe Me,o;H~

U;HHCKoro nepcoaana.

B 33KJIIO'leHHe RY)f{RO CK333Tb, qTO POAbI B KHHO - 3TO CIO)KeTOo6pa3YlOll.'(a51 .apxas .ueT3JIh. npHKOBbIsasomas BRHM3RHe TeJIe3pHTeJIeH H xauie scero ne HMelOlIIaJ'l anxaxoro OTROIlleHH51 K peaJIbHbIM

(06hITH.51M. _

\

3a6oTa 0 Bauren MaJIbIIlIe Ha"UmaeTOI 3a,n;OJIrO ,11,0 ero rrOJIBJIeHlUl na CBeT.

Haxaare IIpllH11MaTh CrreU;11a..m-I3I1pOBaHHbIH B11TaMllHHO-MHHepaJIbHbIH KOMIIJIeKC =-11!FBl1T

rrpH IIJIaHHpOBaH11H 6epeMeHHOCTH, H Bsr otiecne-nrre rrOJIHOu;eHHoe pa3BHTHe Bamero 6y.zzy:rn,ero perienxa. C ::JIIEBHT MaJIbIIlI PO,II;I1TCJI 3,l1;OPOBbIM, 11 Bsr B rrOJIHOH Mepe HaCJIap;HTeCb C'IaCTheM MaTepHHCTBa. 3JlEm11 'raioxe rrOMO}({eT 6y.zzy:rn,eH MaMe H36e}({aTb He)f(eJIaTeJIbHbIX flBJIeHllH na-rana 6epeMeHHOCTH H rroaaocrnrca 0 rapMOHlflIHOM ee nporexamrn,

~

·""ref' Bayer HealthCare

'"-,,

www.elevite.ru

py n N~ 015935.01 ()1" 14.04.2006

npl~MEHEHWO,

• PO,lJ.bl

CflY4AC11-13 nPAKn1KI-I

B npl1eMHOM OT/l.eneHMM uepnn He06bfLIHbltIJ nepenonox. jJ,Bepb Ha ynMl..lY nOCTORHHO OTKPbleenect., 3aTeM C rpOXOTOM sexnonueensc». 03 xonne nepMO/l./II4eCKt1 /l.OHOCMJ7CR /l.P06HbltIJ TOnOT ManeHbKMX nor M /l.eTCKV1e ronoca. 3aTeM B03Ht1Kan 6apt1TOH; OH aennuerno vcnonsneen, 4TO-TO BHywal1 enonronoce, M /l.eTCK/IIe tonoce Ha BpeMR 3aMOnKal1t1. OAHaKO YJKe uepes napy MMHYT ece nOBTopHnOCb BHOBb.

EmnaBeTa HOBOtenOBa Bpa4 aKywep-fMHeKonof,

r, MocKBa

B03JIe nOCTa axyurepxn npaesraoro OT,IJ;eneHIIH aa Kpaeurxe CTYJIa CH).l,eJIa MIIJIOBII)J,HaH 6epeMeHHaH )KeHmHHa_JIHI(O H BeCb 06J1HK 6Y,IJ;ymeiI MaMbI H3JIYQaJI a6COJIIOTHOe 6JIarO,IJ;YlIIHe H cnoxoacrsae. 'Iero HeJIb35I 6bIJIO CKa3aTb 06 axytnepxe «rrpIIeMHHKa»: OHa BblrnHnena HeCKOJIbKO paCTepHHHOH. JIeBOQKa YCTpOHJIaCb K BaM scero MeGIll, Ha3a,[( nocne OKOH':laHPL'! KOJIne)J,)Ka Heme He ycrreJIa rrpPIBbIKHyTb K HKlaHcaM pa60TbI npnesinoro OT,[(eneHII51 PO:r:lIl:OMa. OHa nuranao, orrpOCHTb 6epeMeHHYKl. II3MepHTb eH ,[(aBneHHe H rrYJIbC, HO rroMHHyTHO OTBJleKaJIaCb na «llIyM PI O)KPIBJIeHHe» sa ,[(Be~ psro, YBH'[(eB Memr, JIeHO':lKa 3aMeTHQ npaocoztpanacs H aaxana aTaKOBaTb MeWI sotrpocaua:

- Ll,OKTOP, KaK XOPOlIIO, LITO BbI caMPI K HaM aarnaBylIYI! A H Be,[(h KaK pas cooapanacs nac BbI3bIBaTb. BOT, HPIKaK He pastiepycs. LITO HaM )J,eJIaTb c HaTaJlHeH BlI':leCnaBOBHorr: rOCIIIITaJ1II3HpOBaTb PIJJPI BeT?

- A OTrryCTHTe MeHH '[(OMOH, eClIII euie MO)KHO, - nonana ronoc BHHOBHHI(a nepenonoxa. -JI :r:IeTeH :r:IOMOrr orneny, noxa aHH BaM TyT sees POA,[(OM no KllprrWlHxy He paaofipann.

llIyM B XOJIJIe :r:IeHCTBHTeJIhHO npIIHHJI yrpoxatoutae pasxrepsr. Eepesremras BCTa}Ia II co CJJOBaMH «H TOJIhKO aa MHHYTOqKY" CKpbI.naCb sa )J,BepbKl XOJIJIa_EyKBaJIbnosepes HeCKOJIbKO cexyan DIU BHOEh BrrJIhIJIa B orneJIeHHe H 3aHRlI!l CBOlD rr03HI(HlD aa KOH'lHKe cTyna. Ee JIHI(O rro-npesmeny BbIpa)KaJIO CIIOKOHCTBHe. TeM speMeHeM sa ABephlD BOI.\apHJIaCb a6COJIlDTHaR THIIIHHa.

9 MBClHjBS

- Hy, pas y)[( Bbi K HaM 06paTHJIHC.b, npoCTO TaK MbI sac He BbIllYCTHM. Bonpocaxrn rrOMY'IaeM, OCMOTPlIM nerrpexrenno - srof B npyroii pa3 3p!I He 6eCrrOKOHJIH, - sarro- 3):(aJIO crpearnponana a aa BOIIPOC 6YAYI.I..(eH MaMbI. IIpH 3TOM MeH!I O'IeHb narepecoBaJIO, 'ITO )[(e rrpOH30111JIO TaM. sa ABepbID, H rroxesry renepi, TaK THXO. - Iloanesrre co MHOll, - KHBHyJIa 51 6epeMeHHon H 3amna B CMOTPOBOll Ka6HHeT. - KaK .f.! nonsJIa rro lliyMy B XOJIJIe. pozrsr BaM rrpeACT05JT He rrepasre. ClIe):(OBaTeJIbHO, 8bI - "leJIOBeK OIIblTHblll H rrpocro TaK B POAAOM He rrourJIH 6bI. 'fTO CJIy"lllJIOCb?

- Aa spone 6bI HWlero ocooenao Bb1- nafOI.I..(erOC5J He CJIY"lllJIOCb. XOnHTb MHe. rro MOlIM noncserau. eme HeAelIll ABe. .5I, snaere 1II1, naIl,I1eHTKa llCIIOJ1HI1TeJIbHa5J. BcerAZI po)[(afO B cpox. rrOCTaBJ1eHHbin B KOH· cYJIbTaIl,I1I1. - HaTalII1!I YJIbI6HynaCb. - Bsepa MbI C MY)KeM aa HpMapKY ,[IeTCKHx TOBapOB e3,[1HlII1. Hy H CaMI1 snaere. KaK 3TO 6blBaeT: ,[IYMaeWb - Ha ,[IBa "laca. a BbIXO,[lI1T - Ha BeCb neas. Bexepon npnexana. YCTaJIa, KOHe'lHO. Cnarr, JIerJIII IJOpaHbme. HO'lbIO CKB03b COH 'IYBCTBOBaJIZI: )KI1BOT ncrarnnaer, HO, BpOne, He CllJIbHO. C yrpa BCTalIa - spozre see cnOKoHHO. )[(HBOT Be 6omn. A rrOIJlJIa B TyaJIeT - na calI<peTO'lKe CJII13b p030BaTa.f.!. Peuinrra noxa HWlero He npeztrrpnnmsars. ITo- 3aBTpaKaJII1 MbI I1 nOIJllIH rynars C ,[IeTbMI1; CerOp,H!I MY)[( Bblxop:Hon KaK pas, 3,[1eCb He,[IaJIeKO CKBep 60J1bIllOn, BOT npstao HarrpoTI1B pOJlJJ:OMa.

- A BbI npenyoaorparensmr: CKBep aarrpOTI1B pOJJ:JJ:OMa! - 3aMeTIIJIa H, I13Y'Iall 06MeHIiYro KapTy rraUI1eIiTKI1. B KapTe COofimanocs. "ITO Bepexnosa HaTaJII1!I BnserJ1Z1BOBIiZl, TpI1JlIl,ZlTI1 rpex ner, fiepeuenna B TpeUIll pas, XpOHI1"leCKI1X 3a60JIeBaHlIH HeT, aJIJleprlI'leCKI1X peaKIl,I1ll He orsresalIOCb. Hacrosmyro 6epeMeHHOCTb HOCI1JIa HOpMaJIbHO, H3 neKapcTB rronynana TOJIbKO BHTaMHHbI. Ilpensrnymae 6epeMeHHOCTH, mecrt, II TpH rona Ha3aA, COOTBeTCTBeHHO. rrpOTeKamI 6e3 OCJIO)KHeHHll I1 3aBepIJlH' IIHCb cBoeBpeMeHHbIMH 6JIarOrrOJIyqHbIMH pOJJ:aMI1. AeTKH y HaTaJIHH pO)K,[IaJ1llCb nexpynusre: l1:eBO'lKZI 3020 r, 49 CM, a MalIbL[HK - 3350 r; 50 CM.

- .5I CMOTpfO. Y nac Y)Ke ecrs nonasra KOMnnexr. H ChIH. H AO'lKZI. PeIJlHJIH Be OCTaHaBJIIIBaTbC!I aa AOCTHrHYTOM? -.5I C HBTepeCOM I13YQaJIa CBOro coeecenaany. B Harne speMH AalIeKO He KZI)KAaH )[(eHruHHa peuraror aa PO)KileHHe TpeTbero pebeaxa.

- A BbI 3HaeTe, nOKTOp, MaTepHHcTBO - KaK Ao6pbIH HapKoTHK: TOJIbKO OJJ:HH nonpar raer, ODHTb TaK XO"leTC!I MaJIeHbKoro! 3TO Beilb casroe 60JIbWOe, casroe rrOJIHOe

9 MECllljeB

cxacn,e - 6blTb MaTepbfO, nanars )KU3Hb. .5I AYMalO, CHUM Hll'lTO He MO)[(eT CPZlBHHTbOI!

- lla ... JI BaM JJ:a)Ke 3aBlI,1..(YIO. Tat 'ITO )[(e CIIY'lHJIOCb BO BpeMf! CeMen1-IOH nporynxn?

- [Ae'TO qepe3 norrraca nocne BbIXOnZl ll3 JJ:OMa 51 rrO'lYBCTBOBalia CXBaTOqKy. OHa 6blJIa HaCTOlIbKO nerxas, "ITO 51 YCOMHHJIaCb B CBOI1X OIIl,yrueHHHX. PeWHlIa cnaxana, 'ITO npOCTO aeyztaxno nOBepHYJIaCb H )KH~ BOT rrOTHHYlIa. O,1..(HaKO -repes COp OK MHHyT CXBaTKa rrOBTOpHJIaCb, H 51 penmna aarnsayrs K BaM. Baaere, 8ce'TaKH rpersa PO)),b!. .. roBOPHT, OHH 6bIBaIOT O'IeHb 6bICTpbIMH.

- Ilpaszry rosopar, HaTaIIH>!. A BbI MOJIOnen, 'ITO rrpHWIIH. Pa3AeBaHTeCb. nO)KaJIYllCTa, H IIO)KHTeCb na xynrerxy 51 aac OCMOTpIO. TIoKa CllJJ:eJIH B rrpHeMHOM noxoe, CXBaTKH rrOBTOpHJI HCb?

- EbIJIO enre ,[IBe CXBaTO'lKll C rrpOMe)KYTKOM OKOJIO JJ:BaAuaTH MHHyT, HO KaKHe-TO COBceM KopOTKHe H crrafiem.xae.

ITo )),aHHbIM aapyzosoro OCMOTpa, TpeTHH pe6eHOK o6eI.I..(aJI He CHJIbHO OTIIH'laTbCH OT npensurymax rro 6lIOMeTpH'IeCKHM napanerpass. TO ecrs Ka3aJIC>! He xpyrmsm. [OJIOBKa IIJIOJJ;a 6bIlIa npaxara KO BXOJJ:Y B MaJIbrH Ta3. "Y>Ke 3aH>!JI CTapTOBYro rr03H· Il,UIO», - OTMeTHlIa !I rrpo ce6JI. Y MHoropo)KaHJI.I..(HX )[{eHmHH MaTKa CTaHOBUTCH 60nee paCTH)KHMOn; MaJIbIm 'lYBCTByeT ce6!I CBO' 60AHen H rrpH)[(HMaeTCH KO BXOJJ:Y B MaJIbIll Ta3 TOJIbKO sa napy JJ:Hen, a HHOfA3 - )),a)[(e sa HeCKOJIbKO qaCOB ,1..(0 pOAOS.

5.! rrpaoroaana K )KHBOTY HaTaJIHH CTeTOCKorr - Tpy60"lKY All>! rrpocnynmsaaas cepnexnsrx TOHOS MaJIbIllia. CepAue6I1eHUe nJIOAa 6blJIO f!CHbIM H PlITMH'IHbIM. OKOJIO 140 yaapos B MI1HyTy, 'ITO rOBOpHJIO 0 ero xopomeu CaMO'IYBCTBHH.

- KTO TaM Y aac aa 3TOT pas: - rrOHHTepe~ COBalIaCb 51, rrpOAOJI)[(aH ourynsrsars )KllBO' THK 6YAYllIell M3MbI.

- «KUH,[Iep'CIOprrpH3», - )KHBO OTKlIHKHY' nacs M051 nanaearsa. - HH na OJJ;HOM Y3H He noscenan paccexpernraor: oraopaxnsaeTCH OT JJ:aTqHK3 H see ryrl

Bnpyr )KHBOTHK Haransa non Moell JIa· )),OHbIO aanparcs H crazr TBep,[lbIM. CXBaTKa AellCTBHTelIbHO OK33alIaCb KOPOTKOH II neCHJIbHOll: Llepe3 7-8 ceKyHA )KlIBOT BHOBb cran M51rKHM. 3a BpeMH Harrp,DKeHH!I Hararna Aa)[ze He rrOMopruH1I3Cb.

- BbI cenqac CXBaTKY qYBCTBOBaJIH? - crrpoCHlIa H 6epeMeHHYIO. - A TO rro aamexy IIHl\Y He3aMeTHO.

- qYBCTBOBaTb-TO qYBCTBOBalia. AOKTOp.

TOlIbKO pa3Be )[(e ::lTO CXBaTKa? 3TO epyn,[Ia KaKa!I-TO, HaCT051urHe CXBaTKH ropa3JJ:O cansaee . .5I 3HaIO, KaKI1e )),OJI)[(HbI 6bITb ...

r=«

/i.lno no.;Uoo/tem

li'au1e',4f!j pefieu~j; ? nOJl!lUrtlbC9, ua diem.

KOMnn8KCHoe Mel1V1lJ,V1HCKOe Ha6n10118HV18 Ha npOHDf{8HV1H acero nepuona 6epeM8HHOCH1 (0 ocpopMneHV1eM 06M8HHO~ KapTbl);

oonpOBO}f{,Q8HV1e Bbl6paHHbiM BaMV1 JlV14HbIM cneuaanncrora, l10crynHblM B 111060e BpeMSl,

Ha npOTSl}KeHvH1 scero nepnozia 6epeM8HHOCHI, B ponax 11 nOC11ep0I10BOM nepV10I1e;

nonrorcaka K pOl1aM: eeM8~Hbl~ Hype "MSlfKl1e POAbl";

Aon011HV1TellbHO H 061l1enpHH5HbiM MeTOA8M 1l848HVlSl ucnomsaoaaaue M51rHI1X 11 3KOJlOrH48CKY 6e3Bp8AHbiX MeToAOB nOMOll1H: I1l1eTOTepanl1Sl, roM80naH1Sl. MaHyaJlbHaSl repanas (ocTeOnaTI151);

.POAbl

CI1Y4A~ 1-13 nPAKTI-1KI-1

CXBaTKH, t.IT06bl pe6eHOK PO,n:HJIOL ])01OCb, BCe-TaKH

3a OKHOM pa3AanCH AeTCKI!1M npOH3l!1Tenb- paHO R. K BaM nparnna ...

Hbl VI B1!13r. - Hy, 3TO Mbi ceirsac nOCMOTpHM ... , npoasaezteu

aKYIIIepCKHn OCMOTP H nOJIy'lHM OTBeT rra see BOnpOCb!'

Ozraarco OCMOTP He ,n:an 0)J,H03Ha'iHOrO OTBeTa aa BonHY1OU\IIH Bon poe. Illefnca MaTKH Moell nauaerrrKH 6bIJla o-rem, KOPOTKOll (npIIMepHo 05 CM) H 60JIee 'leM CB060ll:HO nponycxana nsa MOHX rransna. fOJIOBKa nnozra nJIOTHO npaxanao, K KOCTR.M raaa H pacnonaranacs osem, HII3KO. Ilepen rOJIOBKOH onpenenancs nensni nJIO)J,HbIH nyssrps: BO).!.. no MOHM ouryIQeHHR.M, 6bIJIO HeMHoro. ECJIH 6bI pexs lima 0 nepssrx npencroR.llJ,HX poaax. COMHeI'IHH 6bI He 6bIJIO: TaKa5.! KOpOTKaR. H MJlTKaJl IIIeHKa 6blBaeT TonbKO npH Ha'!aBUIHXDI ponax. O,n:HaKO npa nOBTopHbIX ponax TKaHH poztoBbIX nyrea ropa3).!.0 60JIee MR.rKHe H paCDDKHMble. Te nannsre BJIaraJU1IIIHoro OCMOTpa, KOTOPbIMH R. pacnonarazra, MQ)KHO nonyqHTb aenena sa zrae ,1.\0 pO,uOB. E.nHHCTBeHHoe, 'ITO MeHH cMYIIIaJIO - HH3Koe pacrroJIo)KeHHe nnona. )J,a H CXBaTKH Bce-TaKH B03HHKanH, XOTb H cnafisre ...

IIOKa .II paccyxnana, HaTaJIHR. rrOMOpIIIHJIaCb II noJIOlKHlIa PYKy na lKHBOT. )KHBOT 3aMeTHO nanpsrca 51 peUIMJIa nosropirrs anarazmnmoe HCCJIe).!.oBaI-IHe BO BpeM5I CXBaTKH. Pe3YJIbTaT He 3aCTaBHJI COMHeBaTbCR.: OTrrYCKaTh MOW rraQHeHTKY ,o;OMOn YJKe HeJIb3Jl, IIJIO)];Hbill nyssrps BO BpeM5I CXBaTKH XOPOlliO HaJIHBanCR H pasnaarazr IIIellKY MaTKH, Kpall KOTOPOH cpasy CTanII TOHeHbKHMH, 3a nyssrpeu aarmpana rOlIOBxa MalIhlIIIa; TIO BceMY 6hlJIO BHgHO, "ITO orxnamasars csoe nOR.BlIeHHe na CBeT OB 60lIbille He HaMepeR.

- A BOT 3TO YJKe rrOXOJKe na CXBaTKY, - rrpOKOMMeHTHpOBaJIa C.BOH ourymenaa 6Y,l.\yura5l MaMa.

- Hy 'ITO, HaTaJIHJl Basecnasoaaa. CerO,lJ,H5l yllTH ,lJ,OMOH YJKe TO"<J.HO He TIOJIy'!HTCR.. Teneps sepnerecr, TOJIbKO nOCJIe roro, KaK ysaaere non petienxa - na 3TOT pas 6e3 nosronm ynsrpassyxa. OTnpaBJIR.llTeCb I-Ia KJIH3MY!

50

IIoKa aKYUIepKa CTaBHJIa HOBOHCneqeHHOll pmKemrne OqHCTHTeJIbHYW KlIH3MY. R. He CMO[,lIa ynepJKaTbCR. OT JIW60fIbITCTBa: oxem, XOTelIOCb rrOCMOTpeTb aa 3CKOPT HaTaJIHH. 3TO oxaaanocs COBceM He CJIOJKHO: rrpR.MO non OKHaMM «npHeMRHKa» CHlIaMM ceMeHCTBa EepeJKHOBbIX 3aKaI-I'lHBaJIOCb coopyxeaae CHe)KROll 6a6bL CHMrraTWIHbIll napeus, COBepIIIeHHO He rrpoH3BO,uR.IQHH snexarneaae «OTIl,a ceMeHCTBa», ,lJ;ep)KaJI I-Ia PYKax pYMHHoro MalIb'UlrnKY B C6HTOH Ha6eKpeHb B513aHOll uranxe. Mam=ryran, BbICyHYB 5l3bIK OT aanp5l)KeHH5I, nsrrancs npFIJIa,lJ;HTb HOC CHe)KHOll 6a6e. CT051ura5I P5IllOM ,lJ;eBOqKa IIOCTaprne HaHOCHJIa nocnennae IIITpHXH B "¢Hrype» MOHYMeHTa. "A 6a6a-To Y HHX R.BHO fiepesceanaa», - 3aMeTHJIa II II YlIbI6HYnacs. Bca TpOHIl,a 6bIlIa C rOIIOBb! .0;0 nor B caery.

HaTaJIH5I BblIIIJIa H3 KJIH3MeHHoH. OHa rrpeobpasaJIaCb: B KOPOTKOll «PO,lJ;HlIbHOll» pyoanrxe H qYJIKaX ssrrnanezra MOJIO)Ke, na mexax IIOHBHlICR. pYMHHeIl,.

- KaK CXBaTKH, nOCMJIbHee CTaJIH?

- O,o;H03I-IaQHO, ,lJ;OKTOp. Terreps H J'! He COMHeBa-

WCb: 3TO TOqHO PO,lJ;b!. CKa)KHTe, a MOJKHO, '1T06bl MOH TYT enre aesraoro norYJIR.JIII? 51 HX B OKHO YBII)KY - MHe secenee 6yneT! OHH spone THXO HrpaWT noxa.. , He nouernaior?

- )J,a pann Eora, HaM He )KaJIKO, - )KHBO OTKJIMKHYJIaCb JIeHOqKa.

B POllHlIbHOM 60Kce 51 rronpocana HaTaIIIY rrplllIe<Jh, 'lT06bI CHJlTb rrOKa3aHH5l KTr. Kap,lJ;HOTOKorpa<pHR. - 3TO H3MepeHIIe ceprmeoaemra nJJO,lJ;a H coxpararensHOn crroc06HOCTH MaTKH, TO ecrs CHllhI CXBaTOK. B poztax fIO pe3YJIbTaTaM KTI' MOlKHO CY,IJ,HTb 0 pa3BHTHH POllOBOfi ,ue5lTeJJbHOCTH H CaMO'IYBcTBMH MalIbIUIa BO BpeMJl CXBaTOK. Harama npllJIerna, HO xepes zraannart, MHHYT n03BaJIa MeH5l K ce6e.

- )J,OI<T0P, O'1eHb THJKeJIO JIe)KaTb BO BpeMR. CXBaTKII, MOJKeT, 51 BCTaRY HJIH CH,D;Y? XOTH CH,lJ;eTb-TO, HaBepHoe, ylKe HeJIb3.5l, gal

- Hy nO'IeMY )l(e cpa3y «HeJIh3H»? CellqaC opraHH- 3yeM! JIeHO'IKa, nosranyficra. rrpnnecare K HaM B 60KC <pHT6011.

fMMHaCTHqeCKHH pe3HHoBbIH M5I'l - 3TO e)J;HHCTBeHHoe, na '1eM MOJKHO CH,lJ;eTb BO BpeMR. CXBaTOK. OH He C03,D;aeT ,lJ;aBJIeHHJ'! aa npOMelKHOCTb H He speAHT MaJIbIUIy. Ha M51'Ie Harannn CTaJIO rOpa3,1J,0 y,lJ;06- nee, OHa I1JIaBHO rroxasaaanacs, ReMBoro rrpY)KHHJ'!. )J,aT'IHK KTf pemCTpHpOBan xopourae perynapasre CXBaTKH, npOMeJKYTOK Me)l(,[(Y KOTOPbIMH He3aMeTHO cOKpaTHJIC.5l no 3-4 MHHYT, Cepnuefiaeaae IIJIO,lJ;a QCTaBaJIOCb cTa6HJIbHbIM, n03TOMY erne -repes 10 MHHYT R. IIpHH5.11Ia peureane BbIKJI1O<JHTb annapaT H ITO- 3BOJIHJJa pQ)KeHHIl,e cB06o,lJ;HO .nEMraTbC5I rro nanare.

BbIllAH H3 60Kca B KOPHAOP p01l6JIOKa, 51 CTOlIKHYJIaCb C rronxanarouiea Me.EUI JIeHO'-lKoH. Y nee, KaK scerna, 6bIJI HarOTOBe Bonpoc:

- CKa)[<HTe, a TpeTbII PO).!.hI 06e360JIHSawT?

- JIeHOqKa, 1I106ble PO,lJ;bI 06e360JIHBalOT - He3a-

BHCHMO OT HX nopanxoeoro I-IOMepa. Ho TOJIbKO Tor,n:a, KO[',lJ;a B 3WM ecrs He06xo,lJ,IlMOCTb. ECJIH nponecc rrporexaer rJIa,lJ;KO, 6e3 OCJIO)KHeHHll, a pOJKeHMQa snaneer rrpHeMaMH HeMe,lJ;HKaMeI-IT03HOro 06e360-

nf:!BaHH>I - roma H rrepBhle PO,[ihI o6e36onHBaTh BOsee He 06>I3aTellhHO. Cymecrsyer HeCKOllhKO BH,r(OB 06e360nllBalOl.I.\ero ;O;hIXaHH>I, MaCCa)[(' noss: pasnsre ... IToKa 'ITO CXBaTKH y Harannn azryr CBOllM -repenosi. OHa He )KanyeTclI, cepnnefinenae nnozta cTa6HJ1hHOe - HeT rrOKa3aHHH ;o;lllI KaKHX 6hI TO Hll 6bIJIO BMernaTeJIhCTB. B 3TOH CHTyauHII Mhl TOJ1bKO Ha6JIlO,lJ,aeM H )[(;o;eM, 'Iepe3 'lac OCMOTPKl - rorna 6Y,lJ,eT sanao.

O}..l,HaKO CJ1e}..l,YKlIUHH OCMOTP noxaaazr, 'ITO Me}..l,llKaMeHT03Hoe 06e36ollHBaHIIe He rroHa}..l,06HTClI: IlIeHxa MaTKH pacxpsrnacs aa 8 CM, CXBaTKII Ha6HpaJIII CHllY rrp>IMO aa rJIa3aX, r0J10BKa MallhIIIla YBepeHBO nanapana anepen. HeCMOTpR na IIHTeHCHBHOCTh CXBaTOK, Hararna nepscanac» Mono,n:UOM. Bo BpeMlI CXBan;.H OHa 'laCTO nsnnana HOCOM H MaCCIIpOBana nOlICHllUY. B rrpOMe)[(YTKax pO)[(eHHua crapanacs MaKCllManhHO paCCJ1a6HTbGI H OTAOXHYTh: rurrnazta POBHO, B nponecce oCMoTpa nonnyn rrnOiJ.HhIH ny- 3blpb; axyurepxa rrOACTaBIIJIa Me)[(iJ.Y nor Haranm CY}..l,HO, B xoropoe norrano oxono 200 MJL CBeTnbIX OKOnOrrnO,lJ,HhIX BOA.

IIocJ1e OCMOTpa Haranra nortsrranact, BCTaTb, HO Y aee TYT )[(e naxanacs HOBalI, osem, cansaaa CXBaTKa, Ilocne roro KaK )[(HBOT «OTrrYCTHIIO», po)[(eHIIua rrOCMOTpena aa MeHlI II npoasaecna: «KaX(eTCR, TY)[(IITl»

3a OKHOM pasnancs AeTCKHH npOH3HTeJIbHbIH BH3r, .l:[ ssrrnanyna BO ,[lBOP: TaM MllaiJ.IlIIIe Bepe:«HOBbI B qeThlpe PYKll 3a6paChIBaJIH [larry CHe)[(KaMII, C'laCTnIIBbIH oren BlIJIO OTMaXHBallClI II aOrJI>I,[lbIBan na nama OKHa, 51 rroxraxarra eMY PYKOH II noxaaana 60JIhIlIOH naneu. MOJI, ace OTJIll'lHO! «A, noxoxe. npaBllJIhHO OHa HX iJ.OMOH He OTrrYCTllJIa>}, - rrOIlYMana H rrpo cetia, a BCJIYX CrrpOCHJ1a:

- Haranra, a npensmynnre PO,n:bI CKOllbKO IlJIllJIHCb? - Ilepsue - BoceMb C rrOJIOBllHOH 'laCOB, BTopble - rrOKOpOLJe, OK0J10 rrRTH.

"A 3TII, nOXo)[(e, 6YAYT COBceM KOPOTKIIMII». - no,[lYMana II II nonpocnna HaTaIlIY He BCTaBaTb, ,UellO B TOM, 'ITO npn rrOBTopHbIX pozrax nnon onycxaercs no po,n:o-

BhIM rrYTRM ropasno 6bICTpee (B rrepBhlx ponax 3TOT II nIlOiJ.HbIX 060J10'IeK, II nosnpasana HaTanIII0 C 6na- B KOHlJ,e CXBaTl{1!I Ha

npouecc MO)[(eT 3aHHTb rrapy qaCOB, a B rperr.nx - HeCKOllbKO MIIHYT). Teneps poacenana nexcana aa 60KY:

MbI C aKYIlIepF;OH He noxanazm POAOBYKl HH aa MllHyTY. Korna naxanacr, ClIeP;YKlIUall CXBaTKa, Haraura OTKPbIJIa pOT H HaLJaJIa nsmrars «co6a'IKOH», 'lTo6bl He nOTY)[(HTbCH pam-me BpeMeHH.

CXBaTKa 6bIlla O'IeHb CHllbHOH, MaJIblIlI 6bICTPO orrycxanca, rr03TOMY cpasy nocne OKOHqaHH>I CXBaTKll MbI rrOMOrJIH PO)[(eHHue nepeoparscs aa axymepcxoe KpeCJ10. Teneps Haraura rronynexcana aa crmrre: roncsa H nne'lH 6bIJIH CJIerKa npHrrOAHHThI crrIIHKOH KpeCJIa, pyKH iJ.ep)[(aJIH y)l;06Hble nopyxua no 60KaM, a WllPOKO passenennsre HOrH CTO.flJIH na cnenaansHhIX yrropax. AKYIlIepKa, BOOpY)[(HBIlIHCh crepansnofi IleJIeHKOH, 3aWlJIa CBOlO rro3HIIHID. 51 rrpOAOJI)[(aJIa cnemrn, sa CXBaTKaMll H cepnnetinenneu MaJIbIllia C noxromsro narxaxa KTf. TeM BpeMeHeM B HaIlIeH rraJIaTe nO.flBHJIClI HeOHaTOJIOr - )l;eTcKHH 1l0KTOp.

9 MeCHLJ,eB

Bo BpeM51 CJlellYIDIUeH CXBaTKH nonasanao, MaKYIlIxa C 'Iy6'IIIKOM PYChIX BOlIOe. Axyinepxa CKOMaHp;OBaJ1a: «TY)[(hCH!», Haraura Ha6paJIa rrOJIHYID rpyns B03- nyxa, BarrplIrJIa rrpecc... H rro OKOH'laHllH CXBaTKH y Hee na )[(llBOTe 6apaXTaJ):C.fl ManeI-IbKllH BJIa)KHbLH KOMO'IeK, Bce rrpOH3011IJIO oveas 6bICTPO: na nepsyro

rroTyry nOKa3aJIaCh rOIIOBa, Cepe)l;IIHY CXBaTKH MbI nponsmrana «(06a'lKOH» (rOJIOBKa ponnnacs. aeofixo,l:(HMO 6hIJIO llaTb pa3BepHYTbC>I IIJle'IllKaM). B KOHUe CXBaTKll Haranra rroTY)[(HJIaCb «B rrOIlCHJIbI», nonoraa nnaaao noasaraca na CBeT MaJIbIIlIY uellHKOM. H BOT reneps pe6eHOK corren y Bee H3 )[(HBOTe. 3a60TJ1llBO rrO)l;llep)[(HBaeMbIH MaTepllHCKllMll PYKaMII,

- Y aac MaJ1h'lllK!

HOllOpO)[(,I:(eIUlbIH OCTaJIC5f lIBRO nenoaonen pasnyqeHHeM C MaTephlO II IlpIIHlInClI HCTOiliHO sonars. 51 nepecexna nynosany, H JIeHO'lKa nepeztana B03MYuteaao namamero MJIa)l;eHQa aa pyKH HeOHaT0J10ry. Hepea HeCKOJIhKO MllHYT BbIlleJIllJIClI nocnen: OCMOTpeB ero H y6eiJ.HBWHCh B IIenOCTHOCTH nnauerrrsr

rO[]OnY'IHhIM 3aBepllIeHHeM pOIlOB.

- 51 CHOBa MaMa! - rrpOll3HeCJla MOJIOllall )[(eHIUllHa II ynhl6HYJIaCb, MHe nOKa3aJ1aCb, 'ITO ee rrrasa CTanH BJIa)[(HbIMH. 3a MoeH crrHHOH 'ITO-TO xzromryno: otiepHYBillHCb, 5l YBH;o;eJIa YBeCHCTbIH «CHe)[(OK», nonasIlIHH K HaM B OKRO. «CHe)[(HhIH cantor B -recrs HOBOpoxnenaoro». - rrOilYMaJI3 51 H YJIbI6HYIIaCb B OTBeT.

Hcropns Haranan O'IeHb noy-ra'rensrra IlnH )[(eHuran. rOTOBHll..lHXClI K rrOBTopHbIM ponax. Bropsre. rpersa H rrOCJIeiJ.YIDIUHe PO,l:(b! MoryT rrpOHTH ropasno 6bICTpee, '-leM nepasie. Oco6eHHO 'IaCTO pOnosas nearensaocrs pasaaaaercs B «YCKopeHHOM pe)KHMe», eCJIH nocne npensrzryumx POIlOB npourzro MeHee 'rpex ner. IT03TOMY )[(eRIUHHe, rOTOBlIIUeHClI K rrOBTopHbIM pozraa, rrOCJIe 36-H He)l;eJIH 6epeMeHHOCTll He CTOHT ye3)[(aTb nazrexo OT BbI6paHHoro pozmcua. a rrpH MaJ1eHIIIHX H3MeaeHH>IX B cajsoqYBCTBHH JIy'lIlIe cpa3y ofipautarscs K Bpa'lY, . _ _____lII!

rauia nOTY}f{!t1J1aCb « noncnn bl », nowora IlJlaBHO nOflBVlTbOl H, cser MaJl b! Illy.

CB9TnaHa MHpOWKHHa, r.JkHb,H

52

ilmpOpMaIl;I'I5I 0 6epeMeHHOCTH, ponax, 06 yxone sa pe6eHKoM. KOTOpaJI nOHaqany onycxanacs. nOTOM paao llnll n03;o,HO npaofiperana 3Ha'-IeHlle. 51 B03- spauianacs K npOqllT3HHbIM HOMepaM CHOBa H CHOaa. K KOHQY 6epeMeHHOCTH. 06peTJI YBepeHHOCTb B CBOHX canax H 3HaHllJIX, 5I OKOHQaTeJIbHO peIIll1Jla, '-ITO Y MeHS! see npoiiner OTJIll'-IHO. OCTaBalIOCb TOlIbKO )K,l.I,aTb xaca X. il OH HaCTalI ...

HeAe.n1l o>tUiAalIUUI

6 aBrYCTa. IIOQYBcTBoBaB nerxoe HanplDKeHlle )KHBOTa, xoropoe nOBTOp511l0Cb -repea 10-12 MllHYT. HO 6bInO aficomornn 6e360JIe3HeHHo, 51 nOCT051HHO OTBJIeKaJIacn na ,l.I,OMaIIlHIIe nena. BcnOMHHaJIa 06 3THX HenOH5fTHbIX CXBaTKax, xoraa CJIerKa rrepexaarsrsano nsrxaaae. JI AYMalIa rorna, ecna ponsr Y)Ke naxanacs II TaK nerxo H,lJ,YT, TO 3TO rrpeKpaCHO. EClIH 3TO rrpenaecraaxoesre CXBaTKH, Tor,Qa TeM 60nee ae-rero BonHOBaTbC51. TaK npOIIlen BeCb ,lJ,eHb. Penms, '-ITO 'rpesora JIO)KHa51. S! OTnpaBHJIaeb cnars. IIpOCblIIaJIaCb HO'-IblO OT TeX)Ke nepeXBaTOB ;o,bIxaHllJI. HO A3JIbIIle HHX AeJIO He IlIllO.

YTpOM MHe HY)KHO 6bIJIO IIJJ:TH na npnex K Bpa'-Iy. OH HanpaBIIJI B PO,Q;o,OM, a TaM CKa33JIll, '-ITO CXBaTKII npenBeCTHHKOBble, OTKPbITIIJI HeT, rrOK3 He pcxaro, HO 1l,0- MOH He omYCTHM - snpyr sasrpa poacars 6Yll,ellIb, npllztercs onrrrs BClO npon;e;o,ypy ocpopMJIeH1I51 npOXOIl,HTb. O)KH,[(.3.HIIe «sasrpa» pacraaynoci, na aenerno.

III

MOM POAbl

13 aBrYCTa Ha'-IaJIOCb co cnafisrx CXBaTOK. 0 KOTOPbIX II Orr51Tb TOJIbKO norazrsmanacs no e6lIBalOmeMycll zrsrxamno. I:I K otieny Bee npexparnnocs. JI paeCTpoHnaeb COBceM. Hayrpo Bce rrOBTopIInOCb - EJIa6ble CXBaTKH cxopee pasnpaacazrn. '{eM BbI3bIBaJIli BOJIHeHHe B O)KH,[(aHlili '-IYAa. JI HHKOMY HHQero He rOBOpIIJIa. ,[(eHb men caMbIM 06bIQHbIM 06p330M. K 06eny IlOK33anOCb, '-ITO CXBaTKlI Y'-IaCTliJIliCb. JI CT3JIa sacexarr, BpeM5I. IIpoMe)KYToK oxozro 15 MHHYT. K 3 'I3C3M /..IHll - OKOJIO 10.

«HeY)KeJIII HaQ3JIOCbl" - BepTeJI3Cb Mb!.cnb. QTo6hl He 3an;HKJIHBaTbCll na HeH, ([IYCTliJIaCb norYJI5ITb. CBe)[(llH B03,n:yX 1I JIerr<IIH npoiaenarr crrenanu csoe neJIO - BaCTpOeHl1e nonnanocs. nporaezcyrxa COKparanacs. .. fYJIJIlIa, noxa caraa He nosepazra. '-ITO renepi, Y)K TOqHO.

B 18.00 Bpa'-I nOCMOTpeJIa II nozrrsepnnna- OTKPbIrne 3 CM. PO)KaeM!

A nazrsnre see KaK BO CHe - BCKPbIJIli rrY3blpb. c,n:eJI3JIli see aeofixoamasre rrpou;e,n:YPbI, nepesena B npenponosyro nanary H 06b5fCHHJIII. '-ITO ecna aaKJIOH51TbC51 snepezr. TO CXBaTKlI 6YIl,YT MeHee 3cpcpercTIIBHbIMH. ITo B03MO)[(HOCTH Ha,lJ,O ,lJ,ep)KaTbCR IlpRMO 1I H3KJIOHllTbC5I HnlI JIO)KI1TbOI B cnY'-Iae YCTaJIOCTli. IIpHrD,lJ,Hm-ICb see 3HaH1I51 0 ponax, 06 06e36oJI[l.BaHliH 1I MaCCa)Ke.

9 MeCJ1ljes

BpeMH 6e)KaJIo 6bICTPO, 51' TOJIbKO ycnesana sacexar s MHHYTbl Me)Kp,y CXBaTKaMIL amI rrepeHOCHJIlIC'b aa Y,[(HBJIer-me JIerKO. 5-( ,[(YMaJIa, 'ITO Ka)K,[(aJI CXBaTKa rrpH6JIH)KaeT MeH51 K cpHHHIrry. e Ka)K,[(bIM MrHOBeHHeM JI CTaHOBJIFOCb 6JIlI)Ke K TOMY 'lYP,y, pap;H KOroporo Bee 31,'0 rrpOHCXO,[(HT. II 6wIO aesmoro rpYCTHO, 'ITO MOJI 6epeMeHHOCTb rrO,[(OUIJIa K KOHUY.

B 20.00 OTKpbITHe ~ 5 CM. KaK, scero 5 CM? CXBaTKH HP,y, -repes 2 MHBY,bI, nacrpoenae npexpacnoe, a TYT scero 5 CM. 3aBepklJIH:

BTOpaJIrrOJIOBHRa npoirner ropasno 6bICTpee. Bpax cxasana, OCTaJIOCb HeMHoro, B rrOJIOBHHe ztecaroro poznmrs. Axyurepxa CTaJIa 061>J.[CHJITb, KaK npaBHJIbHO TY)KHTbCJI. IIOBTopHJIIi: nponneanoe. O'CBe)KHJIH B rraMJITH.

51 see 3TO BpeMJI nposena aa aorax, IIpOCTO xonazta no rraaare, rrepeCTaBI1.5H! nora BpaCKOPJI'IKY. qYBCTBYJI rrp1I6JIlI)KeHHe CXBaTKH, Ha'IHHaJIa rnyfioxo ,[(bIwaTb. Taxoe nsrxaaae. rosopar. nosaoraer MaJIbIWY rrepexzrars BpeMeHHbIll He),(oCTaToK KHCJIOpo)J,a. A MaMe 3TO nonoraer OTBne'J:bCJI, 3aHJITbCH ,[(enOM H OIUYTlITb CBOFO rrpH'IaCTHOCTb K npoacxonamesry, a He 6bITb rraCCHBHl)IM. HcrryraHHbIM Ha6JIiD,[(aTeneM. O'J:eHb XOTenOCb HaKJIOHHTbCH nnepen H rrOCTOJITb, orrepeBWHCb pYKaMH 0 rrO)J,OKOHHHK.

B 20.30 51 Bce-TaKH C;O:il.JIaCb - YCTaJIH norn H crraaa. 51 zrerzra sa xposars. 3arnJIHYBllIaJI KO MHe axynrepxa 6bIJIa He rrpOTHB - Y)K CJIHIlIKOM ,[(OJIro JI 6e3 YCTanH Bl,IllIarHBaJIa no nazare. Iloxsannna MeH!'! aa CXBaTKH, aa TO, KaK Teprrena. IIOKa3il.nOCb, 'ITO rrpoUIJIO KaKHX-TO 2 MHHYTbI, H O'IeHb 3aXOTeJIOCb nanpa-n, MbIWIl,bI rrpecca. OHH KaK 6Y'[(TO caMH rOTOBbI 6bIllH CKaTbC5I npa oxepe,[(HOH CXBaTKe. ITepBhIH pa3 H nobopona 3TO )KenaHHe H rozrsxc ycnena CKa3aTb 06 3TOMBpa'iY. OHa nepernaaynacs C axymepxoa H paspeunrna rrOTY)!UIThCJI, COBceM HeMHoro H HeCHnbHO. EJIe C,l.\ep)KHBaHCb OT )KeJJaHHlI aanpx-rsca B rrOJIHYlO carry, JI C)KaJIa npecc aa rmxax ,n:BYX CBaTOK. II rrO'lYBCTBOBaJIa paCIIHpaHHe Me)!(,[(y nor, He 60JIb, a npocro 'J:YBCTBO paCIIHpaHHJI, [OBOpIO BPa'Iy II aKywepKe: "IIo-MoeMY, rOJIoBKa H,[(eT». OHH CHOBa neperJI!'!HYJIHCl" OCMOTpeJIH MeHJI aa KpoBaTH, pelIUIJIH 6bICTPO rrepefiapari.ca B pO),(3an. ITo nopore CMeHHJIH COpO'IKY na CTepHJIbHo-6YMa)!(HYFO, I-IanrHYJIH TaKYFO )!(e urarroxrcy aa LOnoBY. Axyurepxa nosrorrra B306paTbGI na xpecno, Oll.5ITb )!(e He cannes. Hanena na nora CTepHJIbHUe 6aXH,JIbL Hanonnnna. KaK nano npaBHJIl,HO TY)!(HTbCH,

«TaKaJII ManeHbKiulI'l!n

51 6bIlla TaK pana 3aMaJI'J:HBweMY snepena CPHHHIIIY, 'ITO 3a6l,lna B),(OXHYTb rrepe,n: nepsoii rroryroii B CXBaTKe. II Be,n:b 3HaJIa, H Be,n:h rrOMHlIJIa, a 01,' C'IaCTbJI H CJ]eWKH 3a6hlJIa. 3aTo B MOMeHT PO,n:OB OCO- 60ll60JIH He OUIYUIaJIOCb, ronsxo 'IYBCTBO see roro )!(e paCIIHpaHHJI, ",UaBaii. naaari». - no;o:6a,n:plIBanH Bpa'J: H aKYIIIepKa nanepetioii. ITepBa51 CXBaTKa - nOKa3anaCb ronOBKa. BTopaJI - TY)!(HMC5I, TY)!(HMCJI ... [OJlOBKa OKa3aJIaCb CBeTJIOll. TpeTbJI - HY-HY-HY, er.ue'IYTb-'J:YTb. «Bee, ace pacorafiso;». - coseryer axynrepxa, KaK. y)!(e see? Bce TaK 6bICTpO npomrro, 'ITO .5I He ycrrezra orrOMHlITbC5I - MawYJJJI BbICKOJIb3- HY.i1a H3 MeHJI H TYT )!(e 3aKpH'J:aJIa BO Becl, ronoc. «HeBeCTa Y nacl» - cxaaana Bpa'i. "TaKaJI MaJIeHbKa.5I?l» - Y}J;IIBHJIaCh H. "HH'IerO ce6e MaJIeHbKaJI, 3780 - sec H pOCT 55 CM», - Y,[(HBlIJIHCb spaan.

IIOTOM MbI JIe)KaJIH na xpecne B pO,[(3aJIe . .$I npanoscora ,[(O'J:b K rpyna II CTapanacb 3arrOMHHTb ee 'IepTb!. A xorna MeHH Be3nH no KOPH,[(Opy, rrOrrpOCIIJIa OCTaHOBHTb B03ne TOll nazraru, B KOTOPOll ne)!(ana ,[(0 PO,n:OB. XOTeJIa CKa3aTb ,[(eB~IOHKaM: ",UeBO'J:KH, pO)!(aTb MO)KHO! nOHTbCH aexero!» Ho cannrapxa CKa3aJIa, 'ITO TaM y)!(e nasHO see see 3HaIOT - CTOJInH B xopnnope, nepesoraana sa MeHH. Teneps Mory CKa3aTb BceM: He nazto 60JITbCJI pO)!(aTh. C'l!aCTbe BCTpe'J:H C MaJIbIWOM CTOHT scex YCHJIHii. ______II

VlMEHA.

'.

Ha CaMre lKYpHana «9 MeCJIL\eB)}WWW.9months. ru npOBOAIt1TCJl onpoc, nOCBJlLl..!8HHblM H3ltl6onee nonynJlpHblM I'IMe'H3Nlltl haCKOBblM npO~Bltlw,aM, uoropue pOAltltenVl AalCiT CBOI'IM MaJ1bIWBM. 3a rroCneAHlt.1I4 MeGJlLJ, B onpoce npl'lHJlnW y4acTwe 2304 4enOBeH3., npeAnaraeM HaWltlM 4ltlTaTenHM ero pe3ynbT3Tbi.

Onponreamre pO),(IITenyr, ,[(aJJH ChIHOBbHM TaKHe HMeHa:

Mai.<cIIM - 55; AJJeKeaH,[IjJ ~ 49; ,uMHTpFill- 45; HnKHTa -41;, Erop - 40; HBaH - 40; HJIbJ:l - 37: ApTeM - 37; 51pocnaE - 36; MnXaHJI - 33; KIJ:p1iJ:fir" - 3$: POMaH -33; MaTBt::'ll - 32; ./1H" ,o;peii ~ 32; ,1lil.H14HJI-29: BJIap,m;iiaB - 28: AneKCen -21; A]3ceHm] ~ 19; En:a)J,HMilP - 17: TIIMocpen - 15: GepreB ~ IS;EBre" lIHn -15: Ba,IJ;HM -15; KOHCTaHTHH -14; THMyp-I3;TJIe6 -13;' lIeB - 11: [pHroPHH - 11; Boman - 10; ,UeHHc - 10: Hrops ~ 10, L(aHlnra -10; A,IjTOH - 10; Ilerp - 10; HaBeJI - 10-.

Po,tin'reJIH;o;eeO'IeI<: BbI6jJaJIH cnenyroume HMeIia;

CO\'PI:IfI (COtPbH) - 6.2; AHaCT,aqIH - 57; ,1lapmr -47; ITpJIHH.'a - 45; Am-ra - 43" Mapaa - 43; EJIH3aBeTJ - 41; ApHHa - 40, 'EHKTOPUJI -36; EKHTepHHa - 32; KCeHFiJI - 32; iGreKcaH'[(pa ~ 30.; A.i1HCa - 27; AJJIIRa - 21; BepoHHKa -21; Bapsapa - 20: BanspM~~ 18; Maprapura -17;KHpa ~ 16; Anel;Ia,-16; Yn.bHHa~'r5; IOnHH ~ 15: BaCMJInCa - 15;, )IRa - 14: ,l],llaaa - 13; Ell.a - 13; TaTl~'.5IHa - 12; Onsra - 12; Kapaaa - 12: Hpaaa - 11 KpHi<Tiraa - 1 L f[a;o:e)!(,[(il. - 10.

npfir BhI60pe ,FiMeHHpo}J;HTeJIH 'IaUIe scero PYKOBOAC1'BOBamlch npocro CHMITaTHei1 IC3:BY'J:aHHIOIi:MeHH - 71 %, .20% - opueHTFipOBaJIHCh 1Ia 3Ha'Iel;IHe, HMemI, 8% - H?m:laJmAeT@ B 'IeCTh po,n:CTBeHHHI\OB, a 1% - B 'leCTh H3BeCTH~IK m~},[('eH. IIorrYJIJIpHoCTb HMeHH, paBHO E'ar<; H MHe,I:IHe 6a6ymel,< n p;e,l.\yc nrex, B 6.onbwHHcTBe CJJY'IaeB Hil.,BbI6op HMeHlIJie BJIH.5InM.

Maome ,po,l.\'Fi'TeJIH p,aEO'l' CsOHM .tl,eTHM nacxcaste H 3a6aBHMe npesaanta, rranpmrep, {(ITHHi:'BHH,gF,J.K», «Bape)[(K~)', ({TOPMJ.lIlIKJ.I», «,l1'Y4QH"'bK8N, FrIioMJ1K ,BaG!», 1<CllOrO'[jYCI-IIO), «II,aMe n,YIlIK8», (fCbHH~pacoHH""

PI ;o:aJf;e erne He 'PO,[(HBlIl,HCb, MHorHe Ma,nbIWH y)!(e CJIbIIIIaT, Ka'I( fIX Ha3hIBaIDT JIlo6.JUIJ;He MaMa .H nana. 'BDT HE'KOT0pble H3 HII'X': ('i1IypIlIyHg'k1K}~~ «UyCbKHiIi>, «6pblKaJIlKa»,<fIliapyiri.fHK,

To.mtYFTgi{K'}._, ,_ , .... , .. ~ .. ~~ .. _._ .. _, __ ._J

53

• nOCnE POAOB

Bee no MeeTa

I

•

Onyuieuae n0J10BbIX opraaos nocne POAOB

Onvureuue nonoaux oprauos - npotinewa, C koropoji HepeAKO CTanKV1BaIOTCfl }/{eHw.V1Hbl nocne PO,lJ,OB, BeAb 6epeMeHHOCTb - 3TO cepsesuoe «ucnuranae» Am=! MblWLI, raaosoro AHa. KaK 60PlOTCfl C 3H1M 3a60neBaHV1eM, «oropoe npW-IV1HfleT MonOAoill MaMe cyw.eCTBeHHblill AJ.tJCKOMcPOpT?

HpHHa Iapaeaa

Bpa4 axvurep-rwaexonor, r. K"es

HeMHoro $"31101l0r .. u

IIpo6JIeMa onyrnenns nOJIOBhlX opraaoa B03HIlKaeT 'rorzia. xorna MhIlIIl\hl rasosoro AHa yTpaTIlJIH crroC06HOCTh K coxpanieamo E:laCTOJIhKO, 'ITO OTAeJIhHhle opraasr HJIH HX qaCTIl He nonanaror B npoexmno nOAAep>KIlBaIOrn:ero armapara. CMern:aThC!I MO:lKeT IJ;eJIhiH opran HJIH KaKa5'!-JIH60 H3 ero CTeHOK.

Ta30Boe AHO npeACTaBJI!IeT C060H MOrn:HhIH MhlIIleqHo-q,aCIJ;IBJIhHbIH nJIaCT (q,aCl\U!I (JIaT. fascia - noB!I3Ka. nonoca) - coe;O:HHIlreJIhHOTKaHHa!I 060JIOqKa, rroxpsrnaromas opraHbI, COCYAhl, aepssr II 06pa3YIDnras q,yrJIRphI P;JI!I MbIlIIII qeJIOBeKa), KOTOPhIH 3aKphIBaeT CHH3Y KOCTH rasa. qacTh rasosoro AHa, pacrrOJIaraIOrn:a!IC51 Me:lKAY 3a,1J;HeH cnaHKOH nOJIOBbIX ry6 II KOnqIlKOM, Ha3hIBaeTCH npOMe)KHOCTbID.

Ta30Boe ARO HBJIHerCH onOpOHAJI!I BHyTpeHHIlx IIOJIOBhIX opraaos (MaTKil. BJIaraJIIIrn:a, !IIlqRIIKOB II MaTOqRbIX Tpy6. a raroxe MoqeBOrO rry3hlpJ1, MOqeHcrrycKareJIhHOrO KaHaJIa II np!IMOH KIIIIIKH), cnocotxrsyer coxpaaemno HX HOpMaJIhHOrO nOJIO:lKeI-lH!I. Ocofioe saa-reaae IlMeIOT MblIIll\bI. nozmavaromae 3a,o,HHH npOXOA. IIpH COKparn:eHHIl 3rHX MhIIlll\ npoHCXOnIlT 3aMbIKaHHe nOJIOBOH utenn. CY:lKeHHe npocsera rrpJ1MOH KHiliKH H snaranama. Ilospexneaae MhIlllU 'rasonoro naa sener K onynieamo H ssmarreHHIO rrOJIOBbIX opranos.

Ta30Boe AHO npe,[(cTaBJIJIeT c060H orropy He TOJIhKO ,llJI!I nOJIOBhIX opraaoa, HO II ;O:JI!I nayrpeaaocren, MblIIIIJ;bI ra30Boro AHa yqaCTBYEOT B peryJI!IIJ;HIl BHy-

rpafiproumoro ,llaBJIeHH!I COBMeCTHO C rpynofipromHOH nperpanoa (,[(Haq,paTJIilOH) H MYCKynaTypOH 6PIOillHOH CTemCH.

eu DTOMI!IIla6onsBaHHII

IIpO!IBneHH!I BbIIIaAeHHJ1 rrOJIOBbIX opraaos (CTeROK srrarananra. meHKH MaTKH, rena MaTKI1) pasaoofipasHbI. IIpH rrOJIHOM BbmaAeHHH MaTKll :lKeHmHHbI :lKaJIYIOTC!I na qYBCTBO pacrmpanaa I1JIH HI-lOpOAHOro TeJIa BO snaraname. TJIHyrn:yIO 60JIh HJIIl <rYBCTBO T!I:lKeCTH B n05lCHIl':lHOH 06naCHL CIlMrrrOMbI, KaK IIpaBIlJIO, HCqe3aIOT B rrOJIO)!(eHllH nexca, oTcyrCTBYIOT WIH Menee Bblpa:lKeHhI yrpoM II I-lapaCTaIOT B rexenae AHJI. ocofieaao, eCJIH 60nbHaJI MHoro BpeMeHH ITpOBO)lHT aa Borax.

Haute na nepssni nJIaH BhICTynaIOT CHMITTOMhI aapymeana q,YHI<D,HH MO"reBOrO nY3blpH H /HJIIl rrp5lMOH KHIIlKIl. Co CTOPOHhI MOqeBhIJ.l.eJIIlTeJIhHOH CHcreMbI MO:lKeT Ha6nIOAarbcH sarpynaenaoe MoqeIlcrrYCKaHIle, 33CTOH B MOqeBbIAeJIHTeJIbHOH CIlcreMe C B03MO:lKHbIM HHq,IH:rllpOB3HHeM (aaasane - HlDKHHX OTAeJIOB (yperpsr, MOqeBOrO rryssips). a 3aTeM. rrpil nporpeccapoBaHHH nponecca. H BepXHI1X - no-rex). dTO 5IBJIeHHe MO:lKeT IIOCllY:lKHTb HaqaJIOM pa3BI1TH!I raxoro sa- 60neBaHH5I, KaK rmenoaedipar - BOCnaJIeHHe rrOLleK. B AaHHOM cllyqae naenoaerppar xame np05l'BJIJIeTGI BHJIOTeKyrn:HM TeqeHHeM. conpOBQ)K,1,perCJ1 TynbIMI1 60JIflMH B 110!ICHHqHOH 06JIaCTH. He3HaqllTenbHhIM noBbIlIIeHHeM TeMnepaTypbI rena, CJIa60CThIO, 6DICTPOH

9 MeClllIes

YTOMJIHeMOCTbIO, OTCYTCTEHeM arrnerrrra. TOIUHOTDi1, PBOTOi1, aHeMHei1, yqaIUeHHbIM, 60JIe3HeHHbiM MOqeHCrrYCKaHHeM, U3MeHeHUeM MOqH (MOqa CTaHOEUTGI MYTHOH sa cser TOrD, "ITO COAep:)lCHT 6aKTepHH, JIei1- KOUHTbr).

TaK)Ke CIIMrrTOMOM HapyweHHH CPYHKUHH MOqeBOrO nysupa HEJI5leTCH HeAep)KaHUe MO"IH npa aarrpH)KeHHH (npa KaWJIe, 'IHXaHHH, CHJIbHOM CMeXe). Co CTOPOHbI KHIUe'IHHKa OCJIO)KHeHHlI 3aKJIIO'IaIOTOJ E H3pYIUeHl1H CPYHKUHH TOJICTOH KHIUKH B BHAe pa3BHTH5I sanopos H KOJIHTa (BOCrraJIHTeJlbHOrO sa- 60JIeEaHHlI TOJICTOi1 KHIUKH, xapaxrepasyiouteroca 60JI5IMH E )KHEOTe, HDCl.!ll.(UMH CXEaTK006pa3Hbli1 xapaxrep: rrOHOCaMH, 'Iepe,n:YIOll.(HMHC5I C aanopaxraBbI,n:eJIer-meM CJIH3H; CJIa60CTblO H TIOTepeH. armerrrra). HaH60JIee T5IrOCTHbIM o.CnQ)KHeHHeM, Ko.TOpOe ECTpe'IaeTClI xpaane penxo, HEJI5IeTCll. aenepxcaane ra30E H KaJIa.

Orrynreaae nOJIOEbIX opraaos MO)KeT rrpD51BJIHTbC51 CJIa6bIMII cnryurerraana BO. BpeMH rrOJIOEOrO axra. HeB03MO)KHOCTbIO snaranmna rrJIOTHO OXEaTHTb rrOJIDEOi1 'IJIeH, nonanaaaesr E03,n:YX3 ED EpeMH nOJIOBOrO axra Hero EblXO,n:OM C xapaxrepasnan 3EYKaMH.

1I3MeHHeTcH MeHCTpyaJIbHaH CPYHKUHH, KOTDpaH xapaKTepH3yeTcH rroasneaneu 60neH EO BpeMH MeHCTpyaUHi1 (MaTKa U3MeHHeT rrOlIO)KeHHe, sa C'IeT 'Iero 3aTpy,n:HHeTC5l OTTOK MeHcTpyaJIbHoi1 KpOBH) H yBeJIU'IeHHeM KOJIH'IeCTBa MeHcTpyanbHDH KpOBH. Hepe,n:I(Q TaKHe )£(eHl.l.(HHbl CTpaAalOT 6eCrrJIo,n:HeM, XOTH HaCTyrrneHue 6epeMeHHOCTH C'IHTaeTCll. ErrOJIHe ED3- MO)KHbIM.

Hano CKa3aTb, "ITO rrpn He3Ha'IHTeJIbHOM onyrneHnH CTeHOK snaranauta )KeHll.(HHa MQ)KeT He npezrs- 51BJI!ITb HHKaKUX )KaJIo6, HO C E03paCTOM onyuienae MO)KeT rrporpeCCHpOBaTb.

TaKHM 06pa30M, npn onyurenaa H EbIIIa,n:eHIfH noJIOBbIX opraaos B Xy,n:WYlO CTOPOHY II3MeHHeTCH xaseCTBO )KH3HU )KeHll(HHbI sa C'IeT BOEJIe'IeHH5I opraHOE MOCleEOH CHCTeMbl, KHWe'IHIIKa, CHMrrTOMOB co CTOPOBhI rrOJIOEbIX opranos. Kpoue H3MeHeHHH Ka'IeCTEa )£(H3HH, aenpaarna H EepOHTHOCTh pa3EHTHH OClIO%HeHHH.

npHQHHbl

tPy HKUHOHaJIbHaH HeCOCTOHTeJIbHOCTb CB1I30CIHoro aonapaTa BHyTpeHHHX nonossrx opraaon H rasosoro naa (MblIUeLIHoro xapxaca) nacrynaer non EJIUHHHeM ozmoro HJIH HeCKOJIbKHX cpaKTopoB:

• I1ocTTpaBMaTHQeCKOe nOBpe:1KlleBHe Ta30Boro ;O;Ha (Han60JIee ClaCTO B03HUKalOll(ee E rrpouecce po,n:OB). Onymenaso snaranmna 6y,n:YT CIIoco6cTBOBaTb TH)KeJIble pa3pbIBbl rrpOMe)!{HOCTU, a TaK)Ke aenpaBHnbHO YIUHTble pa3phIBbI JIII60 HHlPHUHpoBaHHe Aa)Ke IIpaBHJIbHO YIUHToro pa3pbIBa E IIOCJIepo,n:oBOM nepaone. He60JIbIUHe paspsrsu npOMe)KHOCTI:I, a TaK)Ke 3rrI:I3HOTOMHH K HeCOCTOlITeJIbHOCTH MblWU 'rasoaoro nna He npnsonxr. rrOCKOJIbKY npa 3TOM HeT rrospeacneaas c06CTEeHHO MblIUU. Orryurenne CTeHOK Ta30BblX opranos rrOCJIe HOpMaJIbHblX pOP;OE 06'blICHReTCll. paCTH)!(eHHeM MbllllU HJIH rrospexne-

HHeM TKaHei1 rrpOMe)KHOCTH H erne B 60JIblllei1 CTenena HBJIHeTCH CJlep;CTBHeM napynrenaa aepsaoii peryJIRUHH MbIIllU-ccpHHKTepOB - KpyroBhIx MbIIlIU, xoropsre <<3alIHpalOT}) yperpy H aayc. rrpenRTCTEYR BbIXO)],Y MO'IH H KaJIa co.o.TBeTCTBeHHD. PHCK onyll.(eHl:li1 yBeJIH~IHBaeTClI npa oneparasaoa pOP;Opa3peIlIeHHl:l (HaJIO)KeHHH nmnnos) H npn rrOBTOpHbIX ponax, aOCKOJIhKY C B03paCTOM ycyryfinaercs HeCOCTDHTeJIbHOCTb CB5I3o.LIHOro anrrapara. Kpoue roro. UpH rrDBTopHbIX ponax sec nnona. KaK rrpaBUJIO, 6bIBaeT fiom.nre. OCD6eHHO 'IeTKD 3TD BH)],HD Y )!(eHll.(HH, PD)],HBIlIHX xpyrrnsix nerea, a TaK)Ke UpH MHDrOIlJIO)]'HOH 6epeMeHHOCTH, IIpH 3aTpyp;HeHHH rrpOXQ)K,n:eHH!I rDJIOBKH -repes BynbBapHoe KOJIbU;O, He3cpcpeKTHBHDCTH noryr Bpaq rrpHHHMaeT peurenne 0 nposezreaaa 3rrH3HOTOMl:lH - pa3pe3a rrpOMe)!(HOCTH, TaK KaK rrpH qpe3MepHDM pacrssceHHH MbIIllU; rrpDMe)KHDCTH rOJIOBKOH nzrona KaK pas H cpopMHpyeTcR CJIa60CTb MbIlliU rasonoro p;Ha.

• HeCOCTOHTenbHOCTL coe;O;HHHTenbHoTRaHHLlx CTPYKTYP, rrpmIBJIHWll(alIC5I orrYll(eHHeM npyrnx BHyTpeHHHx opranoa.

• Hapymerrae CHH.Te3a cTepOH;O;H.blX, B TOM 'IHCne nOJIOBhlX ropMOHOB.

• XpOHH'IeCKHe safioneeaana. COrrpOBD)K)],3Wll.(HeCJ'I IiapyweHl:leM 06MeHHbIX rrpoueccos. MHKpOUHpKyJIRUHH. K TaKHM 3a60JIeBaHHHM, aanpmaep, OTHOCHT caxapnsm )]'Ha6eT, MeTa6oJIH'leCKHi1 CHH)],POM (COCTD5IHHe. xapaxrepasyromeeca O)!(HpeHHeM, rroBbIIlIeHHeM aprepaansnoro AaBJIeHHJl, HapYIUeHHeM BocnpHllTHR TKaHHMH HHCYJIHHa), HaCJIep;CTBeHnue 60JIe3HH D6MeHa seurecrn H rrpO'IHe.

• TR)KeJIDIH ~H3HQeCKHH Tpy~.

HAl tMelqeH J11

IIpHBeAeM KJIacCHcpHKaU;HlO CMell.(eHHlI snaranama H MaTKH KHH3Y rro crerrean T5I)KeCTH.

I. CMell(eHHe EJIaraJIHIll,a KHH3Y:

a) onymemre DP;HOU: H3 CTeHOK snaranama HJIH 06eHX; HO CTeHKH He BbIXOAHT sa npenensi sxona BO BJIaranmne-

6) CTeHKH BJIaraJIHIl.I,3 BbIXOP;RT KHapY)KH OT BJIarannnmoro BXDp;a, TeCHbIe aHaTOMH'IeCKHe CBH3H Me)!()],y MOqeBbIM rry3hlpeM H crenxoa BJIaraJIHIua crroC06CTBYlOT TOMY. LITO. na rpoae naTOJIOrHqeCI;(HX H3MeHeHHi1 MbIlliU rasoaoro naa IIpo.HCXOP;HT orry-

nreaae (KaK 6bI nposacanae E npOCBeT nnarananra) \

rrepenaeii CTeHKH snaranmna. KOTOpa5l arrexer sa CO-

6oi1 H CTeHKY MoereBoro nY3blp!I, 06pa3YJ'i U;HCTOu;eJIe (Bbl6yxaHHe MOqeBOrO IIJ3blpH B npocser nnaranmna). ,./ UHCTOueJlE YBeJIH'IHBaeTCJI l:! rrozt BJIHlIHHEM ~1l'lll:6)ji':';!i'''~.,.,;.:JL.~·:~J CTEeHHDro ,n:aEJIeHHJI B MOLIeBDM rry3blpe, B pesynsrare -rero D6pa3yeTCJI noposasni xpyr. AHaJIo.rH'IHbIM 06pa30M cpDpMHpyeTc5I H pexronerre (BbI6yxaHHe nplIMOH KHIUKH B npocser BJIaraJIHll.(a);

s) nonnoe BbIIIa,n:eHHe nnarananra, COrrpo.BO)£()],aKJnieeca 'IaCTO BbIIIap;eHHeM MaTKH.

2. CMeIUeHHe MaTKH KHH3Y:

a) ureiixa MaTKH onymena P;O ypOBHR axona BO BJIa-

ranauie.

• nOCJlE POAOB

ECflV1 AerpeKTbl onopHblX crpyxrvp He3Ha- 4V1TeJlbl-lbl, ne4eHV1e He npOBOAHT.

6) rrpH 'laCTH'1HOM (Ha'lHHalOII(eMcH) BbIIIageHHH MaTKH HJIH ee IlIeHKu rrOCJIegHHH rrpH HaTY)KHBaHHH BbICTyrraeT sa npenernr nonoaofr meJIH, rrprr'leM rrog06Hoe HaQHHalOII(eeC5I BbIIIa,[(eHHe MaTKH 'lame acero rrpmIBJIHeTCH IIpH <pH3H'leCKOM HarrpH)KeHHH H rrOBhIIlIeHHH BHYTPH6pIOIliHoro AaBJIeHHH (rroTY)KHBaHHe, xanrens, xaxaaae. rrOAHHTHe T5I)KeCTeH H np.l:

B) HerrOJIHOe ssmanenae MaTKII; BHe rrOJIOBOH memr onpenezrserca He TOJIhKO ureinca. HO II 'laCTE> 'rena MaTKII;

r) npa rrOJIHOM BbIIIa,n;eHIIH MaTKH opraa nOJIHOCThlD onpenenserca BHe rrOJIOBOH uierm.

neqeHHe

Ecmr p:e<peKTE>I onopaux CTpyKTYP neaaa-nrrensasr H BHYTpeHHHe rronossre opramr npn HaTY)KHBaHIIII He orrYCKalOTCH HII)Ke rrnOCKOcTH sxona BO BJIaralHIme ()KaJI06bI npa 3TOM 06bIQHO OTCYTCTBYIDT), neseHHe He nposonar. ilCKJIlO'leHHe COCTaBJIHlOT 60JIbHhle C He,[(ep)KaHHeM MO'lII rrpH Harrp5DKeHHH, KOTOPhIM IlJIaHHpyeTcH xnpyprn-recxoe nexeaae. B OCTan:bHbIX cn:YQaHX TaKTIIKa JIe"IeHH5I onymenaa II BbIIIaAemm BHyTpeHHIIX rrOJIOBbIX opraHOB orrpeAemleTC51 HH,ll;HBH,[(yaJIhHO. OHa MO)KeT 6bITb KOHcepBaTHBHOH (npaMeHeHHe MaTO'lHhIX KOJIeI( H3 CIIHTeTH'leCKOrO MaTepnana) HJIH xnpyprrr-recxori.

MaTO<lHbIe xonsna YCTaHaBmmaIDTCJl BO BJIaraJIHme B czryxae HamI'IHH rrpOTHBorrOKa3aHHH ,[(J1J1 XIIpyprnxecxoro ne-reans (aanpaxep, corrYTCTBYlOmaa COMaTH'1eCKaJ1 naronorns pa3J1H'-IHbIX opraH DB H CHCTeM - cep,n;I(a, JIerKHX, noxex H T, n., nO)KH!lOH B03paCT 60JIbHOS). OHH MotYT 6bITb CHJIIIKOHOBbIMII H OCTaBaTbC}! BO BJIaraJIHlIl,e B Te"IeHHe HeCKOJIbKHX MeOII(eB. Zlpyrne MaTO'lHble KOJIbua, KOTopble "lame H3fOTaBJIHBalOT H3 pe3IIHbI, ,[(JIH npenyrrpexcnenas

56

rrpOJIe)KHJ1 (OMepTBeHHH TKaHeu B pe3YJIbTaTe rroCTO}!HHOrO ,n;aBJIeHH5i KOJIbua na CTeI-IKH snaranama) 60JIbHhle ,[(OJI)KHbI na HO'lb y,[(aJIHTb. ITocJ1e nonbopa MaTO"IHOrO KOJIhua 60JIbHYID 06y"IalOT caMOCT05ITeJIbHO BBOgHTb H ynanarr, ero. Hacrora 06CJIe,o;OBaHHJl TaKIIX 60JIbHhiX onpenerraercs HHp;HBII,n;yaJIhHO, 06bl'IHO rrepBblS OCMOTP rrpOBO,ll;JIT xepes aezienro, a 3aTeM, B OTCYTcTBHe )KaJ106, KaJKnble 4-6 MeCHueB.

Kap,n;HHaJIhHOe peIlIeHlle rrp06JIeMbI BbIIIap;eHHJI rrOJIOBblX opraHoB - 3TO xapyprnvecxoe ne-reaae. DeJIb onepauna - aa p;JIHTeJIbHOe BpeMJ1 YCTpaHHTb see p;e<peKTbI onopaux CTpyKTyp. Pa3pa60TaHO MHQ)KeCTBO onepauair, rrpeCJIenYIOIUHX 3Ty uezrs. 06bI'lHO )],aHHble orrepauHH BbIIIOJIHHlOTCH -repes BJIaraJIHme.

I'zcreponexcas (<pHKcaUHJ1 MaTKH K "IeMY-JIH60) BbIIIOJIHlIeTCJ1 )KeHmHHaM, rrJIaHHpYlOIUIIM B rransHeUIlIeM HMeTb nerefi. npa He3<p<peKTHBHoCTH KOHcepsarnsaoro JIe'leHH5i. HaHJIY'lIlIHe pe3YJIbTaThI JIe'leHH5i ztaer MeTOA <pHKcaUHH MaTICII K nepenaea npononsnoa CBJl3Ke xpecrua. a KpecTuoBO-MaTOT.J:Hble CBH3KH rrO)],IlIIIBaIOTC!I K KpeCTI(y He aenocpezicrsenHO, a C nowonn.ro CHHTeTH'leCKOH ceTKH HJIH Y'IaCTKa <paCUHH.

IIpH BbIIIaAeHHH CTeBOK BJIaraJIHIUa BhITIO!lHHIDT Konbnopa.pHIO H nepHHeonnaCTHKY - onepaumo. KO'roparr 3aKJIlO'laeTCJI B IICCe'leHHH «JIHIlIHHX TKaHei1», YKpeUJIeHHil MhIlliU rrpOMe)KHOCTH sa cxer CIlIHBaHHH HX HO)KeK. )f(eHIIIIIHaM, nepenecurms xonsnoparparo, B cnyxae rrOCJIeAYlOmeI1 6epeMeHHOCTH rrpOBO,UJ1T onepanmo xecapesa Ce'leHIIH,

ECJIH y )KeHmHHhI HMeeT MeCTO aenepscamre MO'lH, 6e3 BhIIIageHH}! rrOJIOBbIX opraHOB, TO MO)KeT HCrrOJIb30BaTbC5i TaI(QH MeTog, KaK Onepal\HH nnaCTHKH cBo6o;n;HOH CHHTeTH'IeCKOH nerneii - TVT/TVT-O .. BMeIlIaTeJIE>CTBO n03BOJIJleT YCTpaHHTb HerrpHlITHbIH CHMrrTOM (aenepxaane MO'lH) , HO npa 3TOM He JIHKBH,UHpyeTCJI orryuterrae CTeHOK BJIarazrmna. Onepauas rrpo)],OJIJKaeTCH 20-30 MHHyT non MeCTHbIM 06e360JIIIBaHHeM. B rrpouecce nanHOH orrepauIIH spa-r xepea TpH MaJ1eHbKHX paspesa B Ha)],JI06KOBOH 06JIaCTH rrpoBO)],ITT CrreUHaJIhHYIO !leHTY H3 CHHTeTH'1eCKOrO MaTepIIaJIa rrOJIllrrpOrrHJIeHa non MO'leHcrrycKaTeJIhHbIM KaHaJIOM. JIeHTa nozmepaaraae'r MO'leHcuycKaTeJIbHhIU KaHaJI H npeUJITCTByeT Herrpm:l3BOJIhHOMY MO"IeHcrrycKaHHlO npn rrOBhIIlleHHII BHYTPH6plOiliHoro ,[(aBJIeHII>I. 8cp<peKTllBHoCTb BMeIlIaTeJIbCTBa xHpypr rrposepaer nenocpeztcrsenno no BpeMJ1 onepaun a. IIaI(HeHTKe npennaraercs BhlIIOJIHHTb HeCKon:bKO KaIlIJIeBhIX ,ll;EH)KeHHU, H eCJIH rrorrrexaann MOT.J:H He rrpOHCXO)],HT, TO orrepaUHJI aasepureaa. IIpH He06xo,n;HMOCTil Bpa"! MeHJ1eT CHJIY HaTJ1)KeHHJ1 rreTJIH.

IIpH rrOJIHOM BhIIIa,o;eHHH MaTKH B rrO)KllJIOM B03pa,," re BhlIIOJIHJllOT BnaraJIHrn;HYIO :m:CTHpnal\HIO MaTKH (T. e. rrOJII-lOe yaarrenae MaTKH xepes BJIaraJIUme), Bo BpeMJI 3TOH orrepaUHH OgHoBpeMeHHO II3 'roro )£(e AOcryna MOJKHO BhIIlOJIHHTh nepe;aHlDlO IIJIH 3agHlOID rrJIaCTHKY BJIaraJIHma, KoppeKUHID rpsrxa KHiliKH H T.)],.

9 MeCJHjeS

Rpo4n.naHTHKa

B KOH[(e 1940-x rOp;OB rrraexonor Apaonsn Kerens paspafioran 6a3HCHYIO nporpanny yrrpasorenmi rro pa3BHTHIO MbIlli[( rrpOMe)KHOCTH, npe):(Ha3Ha'IeHHYIO ):(JI5I JIe'IeHH5I )KeHW:HH OT He):(ep)KaHHH MO'IH, Tpeaaposxa MbIlli[( Ta30BOrO ):IHa IIOMOraer IIpH MHorHX HapYIIIeHH5IX rpYHKUHH MO"'IenOJIOBblX opranos He TOJIbKO y )KeHrn;HH, HO 11 Y MY)K'lI1H (aenepxaaae MO"'IH, npOCTaTHT H np.). cnoc06CTBYe'r peryml[(IlH cexcyansrrsrx rpYHKUHll (3peK[(HH, 35IKYll5IUH5I H opraav) H lIe"'IeHHIO 3a601leBaHIIH np>!MOll KHIIIKH (reMoppOll, rrenepzcanae Kalla H IJ:p.). Yrrpa)KHeHI15I npeP;CTaBmUOT C060ll H30MeTpH'leCKHe (coxpamenae MbIIII[(bI 6e3 H3MeHeHll>! ee nrrHHbI) coxpauieaun rrOnepe'lHO-IIOllocaTbIX MllIIIe'lHbIX BOlIOKOH, BXO):l5IlliHX.B COCTaB Ta30BO[0 IJ:Ha.

)la)Ke eom y sac HeT rrpH3HaKOB CJ1a60CTI1 MbIlliU rasosoro nna, HX nononanrensnoe pa3BHTHe ylly'Inraer KpOBOCHa6)KeHlle opraaos Mall oro rasa. BOCCTaHaBlIl1BaeT HX aHaTOMHIO. Pa3BIITHe 3TOll rpyrrrrbl MbIIll[( 5IBJ1.HeTC5I rrporpHJ1aKTHKOH H nexeaaeu 3aCTOH BeH03fIOH KPOBH, XpOHH'IeCKHX aocnamrrensasrx rrpO[(eCCOB H onymeana CTeHOK anaranama. a 3Ha'lHT, rrporpHlIaKTHKOll H JIe'leHHeM Ta30BOll 60m1, rllIlOIIJIa3HH nonossrx opraaos, HenOCTaTO"'IHOll "'IYBCTBHTerrbHOCTH rrpa nonoson )KH3HH, rrp0611eM C BbIHan1HBaHHeM, Hegep)KaHI151 MO'lH. Ilonoonue ynpa)KHeHI1H HcnOllb3YIOTCH P;lIH IIop;rOTOBKll K ponaa H YCllJIeHH5I caMoKOHTPOll5I opra3Ma.

)KeHIn;HHa MO)KeT llneHTllrpll[(llpOBaTb MbIIll[(bI rrpOMe)KHOCTll CJ1enYIOrn;HM 06pa30M: carrsre na yHHTa3, pasnnmrsre Horll. IIOIIbITallTeCb OCTaHOBllTb CTPYIO MO"'IH, He nBHra5I norann. MbIW[(hI, xcropsre BbI xcnonssyere nlUJ: sroro, H ecrr, BaIllI1 npOMeJl.{HOCTHble MbIlll[(bl.

Ynpa)KHeHllH KereJI5I COCTO>!T H3 rpex "'IaCTell:

• Mennennue OKaTI1H. Hanpsrare MbIIll[(bI. KaK BbI nenana 3TO nll!I OCTaHOBKH MO'leHcrrYCKaHHll. Me,ll,J1eHHO COC'lHTallTe ):10 rpex 11 paCCJ1a6bTeCb.

• COKpaII1,eHHH. Harrpsrrrre H paCCJIa6bTe MbIW[(bl KaK MO)KHO 6bICTpee.

• BbITalIKHBaHHH. IIOTY1KbTeCb BHH3 YMepeHHO, KaK npa CTYlIe HlIl1 pO,lJ;ax. 3TO yrrpaxaeaae Bbl-

3bIBaeT HanpH)KeHHe rrpOlVle)KHOCTHbIX H HeKOTOpsix 6PIOWHhIX MbIWU. BbI TaK)Ke OW:YTI1Te nanpa)KeHHe H paccnafineaae anyca.

Ha"'IHHTe TpeHHpOBKll C 10 MeAlIeHHbIX C)KaTHll, 10 coxpauienna H 10 BblTallK1:IBaHUll no 5 pas B geHb. 'Iepes He,ll,eJIIO A06aBbTe no 5 ynpaxnenaa K Ka)KgoMY, rrpOAOJI)Ka5I BbIIIOJIHHTb nx n5ITb pa3 B neas, )lo- 6aBlI5IHTe rro 5 yrrpaacnenair K Ka)K,ll,OMY ynpaxneHllIO xepes nenemo, noxa nx He CTaBeT rro 30. 3aTeM nponoaacairre ,ll;eJIaTb no KpallHeil Mepe 5 KOMIIJIeKCOB ynpaxcaeaaa B ,lJ;eHh ,D,JI5I noztztepscaaaa ronyca. Bsr MO)KeTe BbIIIOJIH>!Tb ynpaxaenaa rrpaKTH"1eCKH rzte yronao: BO BpeM!I nporynxa, rrpOCMOTpa TeJIeBI130pa, CI1A!I sa CTOJIOM, JIe)Ka B KpoBaTH,

B na-rane 3aH5ITI1H MO)£(eT OKa3aTbCH, ~!TO aannr MbIIII[(bI He XOTHT OCTaBaTbCH B Hanp!I)£(eHHOM COCT05IHHI1 BO BpeMH Me,D,JleHHbIX C)KaTI1H. B03- MO)KHO, BbI He CMO)£(eTe BbIflOJIH5ITb COKparn;eHI1H p;OCTaTO~IHO 6bICTPO HJIH PHTMU"1HO. 3TO rrOTOMY, "1TO MbIW[(bJ noxa Clla6ble. KOHTPOJIb nan MbIW[(aMH YJIY"1WaeTC!I 611arogap5I npaKTI1Ke. ECJIH MbIW- 1.(bl YCTaJIH B cepezmne ynpa)KHeHH5I, nepezioxanre HeCKOJIbKO <exyun 1:1 npO,l(OJI)KaHTe. BUnOJIH!IH ynpa)KHeHI1!I, He 3a6bIBaHTe zrsnuarr, eCTeCTBeHHO H pOBHO. L\eJIaHTe OT OP;HOH IJ:O neyx COTeH OK3TUH Ka)£(gbIH nens.

Taxas JIe"1e6Ha!I rpI13KyJIbTypa II03BOJI5IeT:

• CTHMYJIHpOBaTb KOMneHcaTopHo-nprrCIIOC06llTeJIbm.re peaxmnr B rrOBpe)K,l(eHHblX TKaH!IX 3aMbIKaTeJIbHOrO armapara MO'IeBOro nyssrpa H ypeTpb! C uensro HOpMaJIH3a[(IlH ero p;e5ITeJIbHOCTll;

• YJIY"1WaTh TpOrpllKy (nHTaHHe) opraHoB Malloro rasa. YCTpaH>!Tb HeKOHTpOJIHpyeMble COKpaIT(eHH!I nerpysopa - rJIa,ll,KHX MbIW[( (He OTHOC5IIT(llXC!I K MbIllI[(aM npOMe)KHOCTI1), 3aMblKalOW:HX MO'IeBOH nysups:

• YKperrJI!ITb MbIWe'IHO-CB!I30"lHbIH armapar T3- 30BorO IJ:Ha, MbIIII[(bI yperpsr, raaa. )£(HBOTa II cnnnsr:

• crroc06CTBOBaTh BOCCTaHOBlIeHl1lO aHaTOMO-Tonorpadursecxax B3aHMOOTHoweHllH opraaos Manoro raaa.

• OKa3aTb ofimeyxpenzraromee B03AeHCTBHe aa opra-

HH3M. _ .... •

aKywepoB-rHHeKonorOB, a TaK>Ke cneqHanHCUJIl B pa3HbiX 06naCTJlX Men,HQHHbl H nCHxonorUH,.

npen,naraeM 3anonHHTb aHKeTY Ha HaweM calhe WWW·9montbs.fU

Hnu npl1CnaTb HaM nHCbMo no aApecy: firma@9months.ru

9 MeCilL\eS

5

neKapCTBeHHbl~ BQnpOC lIeM J1e4~TbC.fl KOpM.fI~e~ MaMe

HepeAKO CnYLJaeT01, 4TO KOPMflL1W11 }t{eHLl\V1He npV1XOAIIITCfI nplIIHV1MaTb nexapcraa. Ii1HorAa 6blBaeT He06xOAV1M OAHOKpaTHblW npV1eM npenapara lt1nVl KOPOTKVlW KYPC ne4eHVlfI, HO npn pane 3a60neBaHl1t1t HeV136e}t{HO AnV1TeJlbHOe nplllMeHeHV1e nenapcraeuuux CpeACTB. B ruo- 60M cnv-iae KOPMflLl\YIO MaMY TpeBO}t{IIlT BOnpOC: MO}t{HO nlll npl!IHIIlMaTb 3TO neKapCTBO, 6e30naCHO nlll OHO Anfl ManblWa?

~ . ..:::::. ~: .-~{. \r~f'

__ --."·1$1

MapiU!a Haporaa B pa 4- H eo H aTOno r, A·P Meg. HaYK.

r, MOCKBa

58

0611.1.He peKOMeHACl4,UU

Hy%HO CKa3aTh, ':lTO HCCJle;a;OBaHlUi 0 BIU!!IHlUI JIeKapCTB. yrrorpefinseaux KOPM!Irn:eH MaMOH. na OpraHH3M rpynHom pefienxa IIMeeTC!I xpaiirre orpaaasemroe KOJIfI'leCTBO. B 60JIhlllllHCTBe CJIY':laeB 3TH llCCJIe)lOBaHH!I rrpOCTO OTCYTCTBYIOT. Hepenxo OTCYTCTBYIOT )la%e .r1aHHhle 0 npoHfIKHOBeHlm nexapcrsenaoro rrperrapara B rpY.r1HOe MOllOKO. Ilo3TOMY B 60JIhIllllHCTBe HHCTPYKL\llH K npenapaTaM npnneaeane llX npn JIaKTaUllH He peKOMeH;rzyeTC.II, 'lTO. npexrre scero. CBJI3aHO C OTCYTCTBlleM a,Z:jeKBaTHhIX HCCJIe;a;OBarmH. Cyutecrsyer He6oJIhlllOH CITHCOK 60JIee llllll MeHee ll3Y':leHHhIX npenaparos, xoropsre MoryT lleDOJIh30BaThCJI B nepnon rpYAHom BCKapMmmaHIIJI. HY)J{HO CKa3aTh .. ':lTO 60JIhIIIIIHCTBO II3 HUX B TOH IIJIH ]olHon crenena rrpOHHKaIOT B rpynnoe MOJIOKO. rr03TOMY 06h1':l-

Crerren s He6J1arOrrpIIHTHOrOBJ1II!IHllH nekapcrneanoro rrperrapaTa aa opraHII3M rpyrraoro pebenxa 6Y,lJ,eT onpenezrs'rsca Clle'[(YlOIll.IIMll paKTopaMII:

• TOKCII':lHOCTbIOrrperrapara;

• llCTllHHhIM KOJIII':leCTBOM npenapara. nocryrraanrau B opraHII3M petieaxa (OHO 3aBIICHT OT )].03bI, KOHueHrpauaa JIeKapCTBa B rpY.r1HOM MOJIOK€' Ii OT xorraneCTBa ssmnroro MOJIOKa):

• OC06eH.EiOCThIO BJIIIHHIIH npenapara na nespemae opranu pefieaxa:

• )J)IHTeJIhHOCThIO BbIBe,[(eHHH JIeKapCTBa H3 opraansMa pefieaxa (cnocooaocrr, ocsccoxnarsca OT JIeKapCTB 3aBllCIIT OT 3peJ10CTll pepMeHTHhIX CHCTeM. C03peBaHHH ¢YHKUIIll nexeau H noxex MaJIblllla);

• p]IIiTellhHoCThIO npnexa JIeKapCTBa KOpM5!rn:en Ma-

HO peKOMe'H.o:yeTCJ] rrpIIMeH5!Th FIX BO BpeMJI rpynnoro Mon:

BCKapMJIHBaHH5! C OCTopmKHOCTblO, T. e. crporo TIO no- • Ka3aHllHM, He npeauuraa nosua CJIep:f! sa COCTOJIHIIeM pe6eHKa. B CJIY':la:f!x Bhlpa%eHHOrO OTpI:!uaTeJIhHOrO 3¢¢eKTa na pefeaxa nperrapar C'-IHTaeTCJ] rrpoTHBorroKa- 3aHHbiM aa nepaon rpynnoro BCKapMJIIISaHH!I.

llH.r111BH;a;yallbHoll 'lYBCTBllTeJIhHDCThlD pefienxa

K AaHHoMY npenapary:

• PIICKOM pa3BHTHJI aJIJleprH'-IeCI<IIX peaxnnii (npa rrpllMeHeHHII OOllhIIIFlHcTBa npenaparcs B03MO)KHO B03HHKHOBeHlle aJIJIeprHQeCKFlX peaxuafi).

fi3 TeX neKapCTBeHH11X CpeACTB, F;OTOp11e nanfionee qaCTO nplilVleHJUOTCH B nOBCeAHeBHOH )!{ll3Hll, 60n1IIIllHCTEO He OTHOCJITCH K OyeH1 TOKCllqH11M npenapaTaM, B11- 3hIBalDIl(HM 3Ha"lHMOe TOKCWlHoe neacrsae aa OpraH1! li TKaHI:I. I103TOMY CqllTaeTCJI, "ITO BO MHOrI:lX ory-rasx rrpa MeAHKaMeHT03HOM JIeqeHHI:I rpYAIJOe BCKapMJIHBaHHe MO)KeT 6h1T1 np0.110JI)KeHO.

Ecna MaMa COBMemaeT rpY.11HOe BCKapMnHBaHIIe II rre"leHIIe, TO Mo)!{eT 6h1Th nonesea nonfiop onraaansaoii cxeMh1 qepeAOBaHHH npaeaa npenapara H KopMneHIIH. .1])151 sroro He06xOAIIMO nOHHT1, xorna KOHl1EHTpa1\lIH rrpenapaTa B xposa Hall60n1IIIaJI (061IQHO 3TO YKa3aHO B llHCTPYK1\lllI K nperrapary). B no )KE BpeMJI ero KOHl1eHTpal1I:1H 6Y.11eT Hali60nhlIIaJI H B MOJIOKe. COOTBeTCTBEHHO, HY)!{HO TaK rrpIIHliMaTh rrpErrapaT, QT0611 BpeM5I KopMJIeHlIH He npHXOAIIJIOC1 aa nepaozt MaKCIIMaJI1Ho:Er xoauemparran JIeKapCTBa B KpOBII.

I1pH HCrrOJIb30BaHIIII JIeKapCTBeHHh1X npenaparos KOpMHIl(Ea MaMoa HY)KHO IIMeTb B BHAY. qTO nofioxasre 3tPCPeKThl, B1131IBaeM11e AaHH1IM npenaparon. MoryT B03HHKHYTh II Y pefieaxa.

Ecnn pacx He6narorrpWITHoro B03AeaCTBHJI npenapa-

ra na opraHH3M pefieaxa BhICOK, TO Hy)KHO npeKPJTHT1 rpYAHoe BCKapMnHBaHHe na BpeMJI JIeqeHHJI, HO rrpOAOJI)KIITb Cue)KHBaHIIe MOJIOKJ AJIll nOAAep)KaHHJI JIaKTJUHH. lJoCJIe OKOH'IJHHJI xypca ne':!eHHJI He06xOAHMO B0306HD- • BHTb rpyruroe BCKapMJIHBaHlle. K CO)KaJIeHHIO, HeT QeTKHX peKOMeHAaUHH no nosony Taro, CKOJIhKO BpeMeHH

medela®

NO.1 CHOICE OF HOSPITlILS AND MOTHERS

norpefiyercs P;JIJI rrozmoro B1IBep;eHHJI roro HJIH naoro

BeIl(eCTBa H3 rpynaoro MOJIOKa, KpOMe TOro, y [O)KAOro nexapcrsa 3TO BpeMJI MQ)[(ET 6h1T1 CBOE. C'mraeTC!l,

'ITO nooie Kypca HeCOBMeCTHM11X C rpYAHhIM BCKapMJIHBaHHeM aHTH6HOTHKOB MDJKHO KOpMHT1 qepe3 24 -raca rrOCJIe noorezmero npaena npenapara. A npH IIpHMeHe~

HHH pana paAHoaKTHBHhlX cpencrs pap;HoaKTliIBHDCTh MonOKa MO)KeT COXpaH5lTbCJI OT 3 AHen no 2 nenens.

Ilperrapa'rsr, rrpo'rnnorroxaaaansre KOpMJlmHM Ma-

MaM:

• UHTocTaTHKH (npenaparsr, rrpHMeH!leM1Ie nJI5l neseHH!l onyxonea liI aYTm-lMMYHHbIX 3a60JIeBaHHH, ens- 3aHHblX C o6pa30BaHHeM aHTHTeJI K c06CTBeHHlIM TKaHflM, nanpnuep cacrexraaa KpaCHa5I somaaxa H T. II.). 3TliI npenaparu 3Haql1TeJIhHO nonasnaror HMMYHHTeT H AeJIeHHe KJIeTOK. I1pH He06xo.uHMOCTH npzeua 3THX rrperraparos rpynnoe BCKapMJIHBaHHe npexpamaror.

• Pa,lfHOaKTHBHble rrperrapaTbI (rrpI1MeHHlDTC!l rrpH JIy-

qeBOn TEpanHH onyxonea H npn rrposezeana panaoH30TorrHoB ;O:HarHOCTliIKH pa3JIWIHh1X 3a6olIeBaHHH BHyTpeHHHx opranos). Pexonemryercs npeKpameHHe rpyp;Horo BCKapMJIHBaHH5I ;0:0 nOJIHOrO BbIBe;o:eHHH pa)lHOaKTHBHoro cpencrsa, I1pH npHMeHeHHH pamroaxTHBH1IX cpe;O:CTB paAliIoaKTIIBHoCT1 MOJIOKa coxpaHfleT~ C!l OT 3 ;O:HeH AD 2 aenens B 3aBllCHMOCTH OT rrpenapara. COJIH 30nOTa (npenaparsr )..(JHI JIeCH~HH5! pesuaroannoro aprpara). BbI31IBaIOT 3Ha'IHTeJIhl-Ible H3MeHeHHH B rrOYKaX, rrexena. aJIJIeprH'IeCKHe peaxnna. ~

YHI1KaflbHblM3fleKTpOHHblM,a8yxrjJa3HbfM MOflOKOOTCOC. A8TOMaTI1'feCKI1 80CnpO/l/38o,aI1T eCTecTBeHHbfM pl1TM COCaHI1f1 pe6eHKoM MaTep/l/HcKoMrpy,a/l/

flerKVliIi, Vl3>lLl\H bl iii , 6ecwYMHblili VI 8BTOHOMHblili. Conepxnr YHVlKMbHblili 3neKTpOHHblili MeX8HIt13M, aBTOMB Ha'-lIt1HaIOLl\It1i1i pa60TY C cpa3bl cTIIIMynm.\V1I!1, KOTOpa>l n03>Ke nepexorurr B cpa3Y CL\e>KIt1BaHVI>l. CHa6>KeH M>l MaccV1PYIOLl\eili CVlnL-1KOHOBOili BOPOHKOili SoftFitTM

Bbl60p M8M, B8AYW,VlX aKTVlBHblili 06P83 >KVl3HVI.

naKeTbl Quick Clean™

Y,ao6Hbfe 11 mnoropesoeue naKeTbl!VIR CTepl1flI13aLl,/I//I/ 8 MI1KPOBO/IHOBOM ne'll1 ecero sa 3 MI1HYTbf. O,aI1H nsxet Quick Clean ™ MO>KHO ucnoneeoeen.tu» 20 PA3!

Tenepb MO)KHO 6bICTPO, y.o.06HO, oesonacuo cTepV1nt-130BaTb npIIIHEl,lJ,Il8)KHOCTVI,Il,JlR MOfiOKOOTCO 6YTblnO'-IKI!I (KoHTetllHepbl),Il,Jl>l coopa MonOKa, COCKV1, nycruunoi B .o.OMaWHIt1X ycnoenax npOCTO B03bMVlT8 naxer Quick Clean™, CnO)KVlTe B Hero see HY)K,O,alOLl\VleCR B CTepVlnV13aLl,VlIt1 akceccyap HanOflHIt1T8 naker BO.L\oili VI nOMeCTVlTe B MIt1KpOBonHOBYIO ne'-lb Ha 3 MVlHYTbl.

naK8T KpailiH8 y.L\06eH 3a CY8T yCTOiliYVI soro MHorocnotliHOIO .L\Ha VI nnoruoa MHoropa30Boili 3aLl\8JlKit1-MOflHVIVI VI MO)KeT It1CnOflb30BaTbCR B T8Y8HVle 20 cTepVlm13aL..\VliIi. 3TO npeBOCXO.L\H08 peweHVle ooner-urr aaooru MOflO.o.blX MaM VI n03BOHVlT YAeJlV1Tb 60flbwe BpeMeHVI CB08MY '-IMY

~.tI,o;oWo_.._ ~-~ .... -

~~-:'~"''''

_1f~1"""'~

npo;o,yt<:u.lllfl l<ie COAep)Ki-lT S"'Gq;eHofl A

3S0HOK no POCCI1L<1 5EcrinATHblVi

e-mail: info@medefa-russla.ru www.tnedete-rueste.n:

• nOCJlE POAOB rpYAHOE BCKAPMJH1BAHII1E

•

<
i
• ~
.
,. MorYT B03HV1!{HYTb CV1- Tyau,vH1, «orna MaMa He CMO}t{eT 060VIH1Cb 6e3 neuapcrs.

60

IIpenapaThI JIHTHH (ax rrpnuenaror AlHI nexenaa MaHllaKanbHbIX COCTOHHllH). Bbl3bIBaIOT MbIIIIe"lHYro rnrrOTOI-IllIO, napyineane epYHKIIllH cepnna. no-rex.

• fOPMOHbI aHlfporeHbI rrpllMeH5IIOTG! npa HeKOTOpsrx rImeKOnOrH'feCKI1X 3J6oJIeBJHHRX. OHH CHH%JroT JIaKTallI1IO, BbI3bIBaIOT BHpllJIH3a[(HIO AeBO'IeK (pJ3BllTHe rro MY)[{CKOMY THny), rrpe%.l1eBpeMeHHoe IIOJIOBOe passarae MaJIb"IllKOB.

• KOHTpaI1enTHBbI, cO,l{epJKalI.CHe scrporeuu, Bb13bIBaH)T CHlDKeI-me naxranan.

• AJIKOrOJ1b (B BH,Z{e HaCToeK HJ1H BXO,l{HII!HH B COCTaB JIeKapcTBa) xopomo nponnxaer B rpY.l1HOe MOJIOKO. BbI3blzaer HapYIIIeHHe pa3BllTH5I UeHTpaJIbHOll nepaaoii OJ(Te!vfbI (UHC), coannaocrs. CJIJ60CTb, YXY):IIUeHI-Ie pOCTa. HI-DKe npeztcraeneuu csonnsre AJHHble no rpynnau

npenaparon. YqHTbIBJR. 'ITO JAeKBaTHbIX acorenosaaaa rrpOBOAllJIOCb xpaaae MaJIO, CBe):leHWI rro MHorliM nperrJpaTaM MorYT 6bITb rrpornaopexaau.

PeKoMeHAaqMH no rpynnaM npenapaTOB AHTaU;H;D;LI H 06BOJIaKHBaroID;He. AHTaUH,lIbI - npenaparsr, HeHTpaJII-I3YWIUHe KHCJIOTHOCTb %eJIY.l10QHOrO COKa, 06BonaKHBaIOIUrre - npenaparsr. npenJITCTBYIOIUI-Ie rrOBpe)!{AeHIlIO CJII-I3HCTOH06onoqKl'I )KenY,lIKJ_ 3Trr cpeztcrsa Ha3Ha"laIOTCJI npll raCTponY0.11eHIITaX (socrranarensmrx 3a6oneBJHIUIX )!(eJIY,lIKa H .11BeHJ,n:lIJTI-IrrepCTHOll KllIllKH), rrpl-I JI3lleHHOH 60ne3Hll )KeJIy,n:KJ I-I ):IBeHJ'[(lIaTllrrepCTHOH KI-IIllKll.

Il,E-HOJI. I1pOTI-!BOrrOKJ3aH npa TPY,[(HOM BCKapMJII-IBaHIlH.

BEHTEP. MO)KeT rrpHMeHJITbCJI C OCTOPO)!{HOCTbIO. AJIhMAfEJIb, MAAJIOKC (})OOPAJIIOfEJJh H IIo~o6- nue. COBMeCTllMbI C rpY,[(HbIM BCKapMJIHBaHHeM.

AHTHarperaHTLI. Ilperraparsr. CHmKaIOll1He BH3KOCTb KPOBH, rrpHMeHJIIOTCH ,n:JIJI YJIY"IIlleHllJI unpaynanaa KpOBll B KaIJHnJIBpaX npH pa3JII-IQHbIX 3a60neBJr-1HJIX, aanpaMep npn naronorna co CTOPOHbI cep.n:lIa, COCy.n:OBi IIOqeK.

KYPAHTHJI. B03MO)KHO He,[(nHTenbHoe rrpHMeHeHHe IIp11 rpYAHOM BCKapMJIHBJHHI-I,

TPEHTAJI. IT pornaonoxasaa,

AHTH6HOTHKH. ITpllMeHJIIOTOI ,[(JIJI JIe-qeHHJI pasJIHQHblX HHepeK[(I-IOHHO-BOCnJJIllTeJIbHbIX 3a6oneBaHHH, 'raxnx, K3K MJCTHT (socnanenae MOJIO'IHOll xenesu), 3Hncuerprrr (socnaneaae BHYTpeHHeH 060JIO'IKH MJTKH), CJJIhIIIIHroOrpOpI-IT (socrraaeaae Hl1'fHllKOB U MaTO'IHbIX TPy6), anrnaa. rrlleJIOBeCPPHT (socnaneaae IIO'IeK), rnresMOHHJI (sccnaneaae nerxnx). npa HeKOTopbIX xnrrrexHbIX HHcpeKUllJIX II np,

IleHHL{HJIJIHHbI (IIEHIlUllJIJIIIH, AMIlHUHJIJIIIH. AMIlIlOKC, AMOKCIIUIIJIJJIIH. AMOKCHKlIAB H '[(P,), rrepanoCIIopHHbI (IJE<PA30JIHH. 3HHHAT. IJE(})OTAKCHM, (})OPTYM, llE(})TPIIAKCOH, MAKCHIlHM H ,[(p.) , uexpoJIH~bI (3PIITPOMIIllllH. CYMAME,l(. BHJIbIlPO(})EH, MAKPOIlEH II ztp), aMHHOrJIHK03H~bI (HETPOMHUHH, fEHTAMIIUIIH. AMIIKAUIIH) 06bI'IHO He npOTliBOrrOKJ3aHbI npa KopMJIeHI-Ili rpY):IbIO. ITeHH[(UJI}!UHbI, [(eepanOCIIopllHhI, aMllHornllK03llAbI lIpOHllKJIOT B MonOKO B aefonsumx KOJII1'IeCTBJX, rr03TOMY TOKCH"IHOCTh ax ,[(nJI pe6eHKJ HH3KaiI. Maxponansr XopOWO rrpOHI-IKaIOT B MonOKO, HO I1X rrpllMeHeHHe npa KOpMJJeHllH rpY,ll,bIO B03MO%HO. I1MeeTciI rroTeHUlIaJIbHbIH PHCK pJ3BllTI-liI OC}!O)KHeHllH, CBSl3aHHblX C B03HHKHOBeHHeM JnJIeprWleCKHX peJKlIHH, aapymeHl1eM HOpMJJIbHOH epnopbI KI-IIIIeqHllKa (AI-IapeJI), pa3MHO)KeHi-leM rpH6KOB (KJH,[(Il)J,03 - MOnO'IHHUJ). LlmI npopaJIaKTHKll )J.llc6aKTepI-I03J peKOMeH,n:yeTCJI aasaaseane pe6eHKY rrpo6HOTHKOB (Bll(})fIIl,YM EAKTEPfIH. JIIIHEKC 11 T. no). Ilpn B03HHKHOBeHI-IH annepraxecxoii peaKlIllll Y peoeaxa oienyer rrpeKpaTHTb rrplleM naaaoro aHTH6HO'rnxa llJIll BpeMeHHO OTMeHHTb rpynnoe BCKJpMnllBJHI-Ie.

TeTpaL{HKJIHHbI, cyJIbpaHHJIaMH~bI (EAKTPIIM, EHCEIlTOJI H ~p.), METPOHH,l(A30JI, KJIHHJMMIIUIIH. JIHHKOMHUHH, JIEBOMIIUETHH, UHIlPO(})JIOKCAllHH rrpOHI-IKJIOT B MonOKO, II BepOJITHOCTh OTpHlIaTenbHhIX peaxuna BhICOKa. PeKOMeH,[(yeTCJI m6eraTh HX npaaeHeHHiI rrpH KOpMneHI-II-I rpY.llbIO. I1060qHOe .n:eHCTBlle KJIHHIl,AMHUHHA - PI-ICK )!(eJIY.110"lHO-KI-IIlleQHbIX KpOBOTe'leHlIH. I10601-IHoe .lleHCTBlle JIEBOMHUETHHA - TOKCH"IeCKOe nopaxeaae KOCTHoro M03rJ, B}JI-IJIHI-Ie aa cep.ueqHO-COCYAlICTYIO CHCTeMY. ITo60QHOe neacraae reTpa[(I-IKnI-IHOB - aazrepsxa pOCTa pefienxa, aapyuieaae pa3BllTI-Ill KOCTHOll rxaaa a 3y6HOH 3.MaJIll.

AHTHrHilepTeH3HBHLle cpertcrsa. ITpllMeI-I5IIOTCJI Ilpll rrOBbIIUeHHH aprepnarrsaoro .uaBneHI-IJI.

l--{IlEA30JI. COBMeCTI-IM C rpY):IHhIM BCK3PMJII-IBJHHeM. l--{OIlErl1T 06WIHO He npOTlIBOIlOKa3aH npa KOpMJIeHI-Ill rpynuo.

BEPAIlAMHJJ (H30IlTHH), B03MO)!{HO npasreaeaae C OCTOPO%HOCThIO.

KOPIl,A(})JIEKC He peKoMeHAyeTCJI.

HHrH6HTOpbI AIl(}) (3HAn KAIIOTEH). Anexsarnsrx llCCJIe)J.OBJHllH He llMeeTCJI, I1x rrpllMeHeHlle npa rpynHOM BCKapMnHBaHllll rrpOTilBOIIOKa3aHO.

l--{HA30KCHl--{, I1pQTHBOrrOKa3aH rrprr rpY,[(HOM BCKapM}!HBJHHH, I1060QHOe ,[(errCTBHe - rI-IrreprJII-IKeMllJI (nossrIIIeHHe caxapa KpOBH).

PE3EPIIHH. ITpOTHBOrrOKa3aH.

AHTHrHCTaMHHHble cpep;CTBa (CYIIPACTHH, TABEtun. UETHPH3liH, JIOPATAll,liH). HJ3HJ'laIOTCR npa anneprnxecxax 3360neBaHHRX. Ilpauenenae 3TllX npenapaTDB B03MO)KHO rrpH rpy,u,HOM BCKapMnllBaHHll. I1pe,u,-

rrO'ITfITeJIbHhI llETHPH3HH. J10PATA,4HH, TaK KaK aHTHrIICraMHHHble cpencrsa l-ro nOKOJIeHfllI (CYIIPACTIIH TABEfHJJ) MOrYT BbI3hIBaTb COHJIHBOCTh Y petienxa.

2PHYC. ITpOTHBOnOKa3aH.

AHTH;o;enpeCCaHTbl • .I1pHMeHJUOTCJI p;nll ne'IeHHH nenpeccmi. B TOM 'IHCne 'IIOCnepOp;OBbIX.

AMHTPHIITHlIHH. KOHI:(eHTpaI.(HJI B rpyzmou MOJIOKe O'IeHh Mana.

Y HOBopmKp;eHHbIX, "IbH MaTepH rronyxana AMHTPHITTHJlHH, OTKl10- HeHHH He aafimoaanocs, II03TOMY p;aHHbIH npenapar C'lHTaeTCJI COBMeCTHMbIM c rpyp;HblM BCKapMJIHBaHHeM.

ITo p;pyrHM npenaparax :nOll rpynrrbI HCCJIep;OBaHHH OTCYTCTBYIDT HnH OHH He peKOMeHp;OBaHbI npH rpynaoi« BCKapMJIIIBaHHH.

ITpH JIe1.JeHHIl rrOCJIepOp;OBOH nenpeccna MoryT Ha3Ha1.JaTbClI aHTHnenpeccaarsi 1I3 rpyrrrrbI «ceJIeKTIIBHhIX HHrH6lITOpOB otiparnoro saXBaTa cepOTOHHHa» (tPEBAPHH (tPJlYBOKCAMHH), cJJJIYOKCETHH. IIAPOKCETHH. CEPTPAJIHH 11 np.), ITo MHeHHIO Bpa1.Jei1, 3TH rrperrapaTbl MoryT rrpHMeHlITbC51 npn rpynaox BCKapMJIIIBaHlI11 C OCTopmKHOCTbIO. Op;HaKO B IIHCTpYKI.(IIH K uperrapaTaM rrpOH3BOp;IITeJIb He peKOMeHp;yer HX HCIIOJIb30BaHIIe npH rpyp;HOM BCKapMJIHBaHIIII, 1.JTO CBH3aHO C OTCYTCTBHeM ap;eKBaTHbIX HCCJIep;OBaHIIH.

AHTHKoarYJIHHTbl. Ilpenaparsr, rrpeIHITCTBYIOlI..\He CBepThIBaHHIO KpOBH. ITpHMeHHIDTCH rrpH nossnnenaoa CBepThIBaeMOCTII KpOBH, PHCKe nossnneaaoro 06pa30BaHHlI TPOM6oB, 3a6oJIeBaHHJIX cepaua,

fEIIAPHH, BAPcfJAPHH. 06WlHO He nportrsonoxasaasr npa KOpMJIeHIIII rpynuo, TaK KaK rrpOHIIKaIDT B rpyzmoe MOJIOKO B MHHIlMaJIbHblX KOJIH'ieCTBax. ITPII p;JIHTenbHbIX xypcax (6oJIee 2 Hep;enb) IIMeeTCll noreaIl,HanbHbIH PHCK CHIIJKeHHJI CBepTbIBaeMOCTII KpOBH y peoenxa.

KJIEKCAH. He pexoaeanosaa.

AHTHKOarY;JHHTbI nettpsuoro J1,eircTBfIJI (c!JEHHJlHH). TIpOTHBOnOKa- 3aHbI npil KOpMJIemm rpyp;bID, npaen nperrapaToB MO)KeT crrpOBOI(lIpOsars KpOBOTe1.JeHIIH.

AHTHcenTHKH MeCTHoro ;o;eHCTBHH. Ilperraparu ;rr;JIJI npopaaaxraKII II ne1.JeHHlI MeCTHbIX HH<peKIIHH.

IIEPEKHCb B0,40P0,4A. XJIOPfEKCH,4HH. cJJYKAPllHH, «3eJIeHKa» H J1,p COBMeCTHMbI C rpy;rr;HbIM BCKapMJIHBaHHeM.

AHTHTHpeOH;O;Hble npenapaTbl. IIpmv1eHHIDTCH npa 3J6o!leBJBHHX lI..\IITOBH;rr;Holl lKene3bI. npOTeKaIDlI..\IIX C rrOBbIUreHHeM ee <PYBKIl,IIII.

IIpl1MeHHIDT C OCTOPO)KHOCTbID, KOHTpOllHpyH COCTOlIHHe pefeaxa IIo- 60QHOe neacrsae - nO;rr;aBnHIOT <PYHKIl,HID lI..\HTOBH;r(HOll JKene3bI petieaxa.

JieH3o;O;Ha3enHHbI, I'pynna npenaparos, CHlllKaIOIIIHX TpeBQ)KHOCTb, ycrroKaIlBaIDIIIHX.

C1.JHTaeTClI, 'ITO pan npenaparos II3 3TOH rpyrrITbI (,aHA3EIIAM, KJIOHA3EIIAM, J10PA3EIIAM, AOPMHKYM, TEMA3EIIAM) COBMeCTHM C rpy;rr;HbIM BCKapMllHBaHHeM, eCJIH HCIlonb3yeTC51 xoporxoe BpeMJI. TIo- 601.JHOe ;rr;enCTBHe - yr-aereane UHC, yrHeTeHHe zrsrxaana,

EPOHXO;o;HJIHTJTOpbl, Ilpenaparsi, paCIIIHp51IDlI..\He 6pOBXH. IIpHMeHHIDTGI ;rr;nH KyrmpoBaHHll rrpHcTynoB 6pOHXIIaJIbHOH aCTMhl.

CAJ1bEYTAMOJl, TEPEYTAJIHH, cJJEHOTEPOJ1. C1.JHTaeTCH, 'ITO KOPMneHHlI ,l.IOrrYCTHMbl. Heotixonaxo cne;rr;HTb sa COCTOJIHIIeM petieaxa. no- 60<IHoe neacrsne - B036Y)K;rr;eHHe, YQall..\eHIIe cepnennoro pHTMa.

BeHOTOHHKH (aETPAJIEKC). IIpllMeHJIIOTCJI UpH BeH03HOH He;rr;OCTaTO'IHOCTH, BapHK03HOM paCIIIHpeHHII BeH, reMoppoe. ,Il;aHHbie 0 npoaaxaoseHIIII B rpynaoe MOJIOKO OTCYTCTBYIOT, rr03TOMY JIY1.JIlle OTKa3JTbC51 OT HCrrOJIh30BaHHH ztaaasix rrperrapaTOB B nepnon rpy;rr;Horo BCKapMJIHBJHHJI.

BHTaMHHbI, BHTaMHHHO-MHHepanbHbIe KOMnrreKCbI, MHHepaJIbI, ilpHMeHHIDTClI rrpn rpYIlHOM BCKapMJIIIBaHHH. Ilotio-nrue p;enCTBWI - armeprnnecxae peaKI(HH.

rOpMOHbI (ITPE,4HH30J10H. ,4EKCAMETA30H, fH,4POKOPTH30H).

IIplIMeHHIDTCJI rrpa aYTOHMMYHHbIX 3a6oJIeBaHlIJlX (peBMaTOH;rr;HhIH apTpHT, CHCTeMHble 60ne3HH coe;rr;HHHTeJIbHOH TKaHH. aYTOHMMYHHbIll II..

9 MeCJ1l.\eB

YHliI:;aJibHM BCHTHlliJl1;I1QHHaJI I CMCTeMa il.OK:I'OP EpaYH HCKil104:tl.eT B03I'Il1J{f-IOHeHl:fe I- __ ~-.' ntl.K}'Yi\1a

ByrbDIOqKli nna KOpMJIeHIDI Ilotcmop EpaYH

MEDICAL • • DESIGN

. EXCELLENCE

AWARDS 2DOO WI.IIE'

• IIOMoraeT YMeHbIII11Tb KOJI11K11, CpbIT11BaH11e, CI1JIeBbIBaH11e 11 raasr,

• I1cKJIlOQaeT 3arJIaThIBaH11e soaztyxa pe6eHKOM B nponecce KOpMJIeHJ1.ff.

• IIperrSITcTByeT 06pa30BaHI1IO BaKYYMa B 6YTbIJIOQKe, CHHJKaSI BepOJITHOCTh BOCrraJIeH11JI cpezraero yxa,

• IIOJIHOCThlO JIHKBH,lJ;HpyeT CJIHI1aHl1e COCK11,

• MI1HI1M113HpyeT B3aHMO,lJ;eii:cTB11e soazryxa M MOJIOKa, IIOJIHOCThlO COXpaHJIJI BMTaMIiIHhI A, C, E 11 npyrne nrrrare.nsasie semecrna.

3mo ecmecmeenuo. @~

O$1l\l1anbHblW A~CTP"6bIOTOP 000 ':')KC"Ma Tpej;\p,MHr-, MOCKsa, 129085, yn. rOAOBHKoBa,A.9

Ten. (495) 730 3274

www.dr-browns.ru

He npasax pam Tcaap oepnlc:p~

• nOCI1E POAOB

rpYAHOE BCKAPMJIi'lBAHi'lE

r

}t{enaTenbHO Bb16- pars Te nperiaparu, xoropue nnoxo npoHIIIKalOT B rpYAHOe MOnmW.

renarar H ;n;p., npa HeKOTOpblX 3a6oneBaHI11IX KPOBH, npa He;n;OCTaTO'"lHOCTH cpYHKIl,HI1 Ha;n;rrOT.JeT.JHHKOB H zrp.).

06bI'"lHO He rrpOTl1BOnOKa3aHbI npl1 rpY,[(HOM BCKapMJIHBaHHH. O'!'{HaKO 6e30rraCHOCTb npa ;n;JII1TeJIbHOM rrpllMeHeHI1H He noxaaaaa. II03TOMY npll Heo6xOAllMOCTll neseaaa 60JIee 10 AHeH sonpoc 0 npO,QOJI)KeHllll rpyzraoro BCKapMJJllBaHWI peiliaeTCll I1H,[(llBH):(yaJJbHO. ECJIll KopMllmefi )KeHIIl,IlHe Heo6xo;n;HMO )lJJIITeJIbHOe nesenae BbICOKOH zro- 30M roPMOHOB (6onee CPH3HOJIOrH'"leCKOii B 2 pasa). C'"lHTaeTca. '"lTO rpyzmoro BCKapMmmaHllH CJJe'!'{yeT H36eraTb.

THpeOH):(HJ>Ie ropsrotrsr (3YTHPOKC). IIpIIMeH1UOTC1I npa He)lOCTaTO'"lHOH CPYHKIl,Hll IIl,I1TOBI1)lHOH )Kelle3bL

MO)KHO IIpI1MeH1ITb non KOHTpOJJeM cocromraa pe- 6eHKa. IIo6o'"lHOe )leHCTBl're - yxamemre '{aCTOTb! cep)le'"lHbIX ccxpamenafi, B036Y)lHMOCTb, ):(Hape1I, CHI1)Kenne npnfianox MaCCbI.

AHypeTHKH (MO':IeroHHbIf: ttpenspetu). IIpIIMeHlIIOTcli npll lle'leHHH rarrepronasecsoa 60JIe3HI1, cepnexaoa He,ll,OCTaTO'"lHOCTH, IIpl1 «nO'"leT.JHbIX orexax». IIpl1 rrpmvIeHeHI1I1 nayperaxos HMeeTCll PHCK IIO)laBlleHI11I naxranna, rr03ToMY npl1eM I1X He peKOMeHJJ;OBaH npa naKTaIl,1111.

Hanfionee )KeCTI<He orpaaaxeaaa YCTaHoBneHbI B OTHOilieHIIH rpyrmsr THa3Hp;OB (THIIOTHA3H,a). OHH rrpoTl1BOrrOKa3aHbI npa rpyJJ;HOM BCKapMJIllBaHHI1. ifJYPOCEMH.a (JIA3HKC) MO)!{eT rrpllMeHJITbC5I C OCTOPO)KHOCTbIO.

t!HAKAPE noxaaaa npll nossrnreaan sayrpasepennoro ,[(aBJIeHH5I. MO)!{eT npHMeH5ITbClI, TaK KaK KOHIl,eHTpaIIllJI B rpynaoi« MOllOKe CllHiliKOM HI13Ka, 'lTo6bI OKaaars spenaoe B03,ll,eMCTBlle na pefieaxa.

)KaponoHH:acaJOIqHe cpe,n;cTBa.

IIAPAUETAMOJI. He rrp0Tl1BOrrOKa3aH npn KopMneHl111 rpYAbIO, eora rrpHMeH1IeTCJl B 06bIqHOH A03e 11 HeCKonbKO pas (no 1 raonerxe ,[(0 3-4 pasa B CYTKH. He 60llee 2-3 ):(HeH). Ilpesuureaan ,[(03bI H ,n:JIllTelIbHoro npaxeaeaas CJIeAyeT ll36eraTb, TaK KaK rr060QHblM ;n;eHcTBHeM npenapara HBJIlIeTCH TOKCH'"lHOe B03)leHCTBl1e aa ne-reas H KpOBb.

)KelI'IerOHHbIe cpeacraa. IIpI1MeH51IOTCli rrpl1 3a60-

He rrpOTl1BOrrOKJ3JHbl npa rpY,[(HoM BCKapMJII1BJHI1H. (B I1HCTPYKUI1H K rrperrapJTy YPCOifJAJIhK YKJ3aHO. 'ITO HCClle.nOliaHH1I He npOBOAI1JJI1Cb.)

HHranJlI(HOHHLIe KOPTHKOCTepOH,n;bI (EEKJIOMETA- 30H. EEKOTHt!. 1JJIHKCOTHt! H J1.p). IIpHMeH1IIOTC1I AJJll JIe'IeHllJI 6pOHXllaJIbHOH aCTMbI. He rrpOTI1BOrrOKJ3aHbl.

Ilpornsoztaapeitasre cpencrsa. HMOt!HYM. Ilperrapar rrpOHI1KaeT B rpY,/.\Hoe MonOKO, n03TOMY He pexouennyercs. HO OAHOKpaTHbIH npneu B03MO)KeH.

Kaurexasre copfierrrsr, IIpllMeHllIOTCll npa OTpaBJIeHHHX. KI111IeQHhlX I1HcpeKUH51X. JnJIeprWleCKHX sationeBaHll1IX.

AKTHBHpOBaHHbIH yrom; CMEKTA. 3HTEPOCTEJIb H p;p, COBMeCTllMbI C rpY,[(HbIM BCKapMJIllBaHlleM.

KOHTpal(enTHBbI.

Bo BpeMH rpyzmoro BCKapMJJI1BaHI11I pa3pellIeHbI npenaparu C rrpel1MYIlIeCTBeHHbIM COp;ep)KaHlleM nporecrepOHa (3KCKJIIOTOH, MHKPOJIIOT. l{AP03ETTA. KOHTHHYHH). OCTaJIbHbIe nperraparsr nporasorroxasaasr npH rpYAHoM BCKJpMJII1BaHI1H.

Mecrasre aHeCTeTHKH. IIpI1MeH1IIOTc1I rrpH neotixo.nHMOCTII MeCTHoro 06e36oJIllBaHl1l1.

JII1t!OKAHH, APTHKAHH. EYIIHBAKAHH. COBMeCTHMbI C rpY,ll,HbIM BCKapMJII1BaHHeM.

MeTHlIKcaHTHHLI (KOifJEHH, 3YifJHJIJIHH). KOifJEHH npaaeasercs .nJIH CTHMYJIllUHll HepBHoH Cl1CTeMbl, IIpll Hll3KOM apTepHaJIbHOM ,I.l,aBJIem·!H, BXO,[(HT B CoCTaB lIeKapCTB C o6e360llHBaIOIlIl1M ;n;eHCTBl1eM, TaKI1X, KaK KAifJifJETHH, UHTPAMOH. 3YifJHJIJIHH npl1MeHJlerca npa 6poHxHallbHoH aCTMe C uensro paCIlIl1peHI11I 6pOHXOB.

3Tll rrpenaparsr 06bI'lHO He nporasorroxasaasr rrpll KOpMJIeHHI1 rpynsto, HO cnenyer rrpl1MeH1ITb I1X C OCTOPO)KHOCTbIO. OHH XOPOiliO rrpOHHKalOT B rpyzmoe MOJIOKO II Me,QJleHHO BbIBO,U5ITGI H3 oprauasxa HOBOpO)K,n:eHHoro. II060':!Hoe AeHCTBl1e - HapyllIeHlle ora, B036y)!{,UeHHe. cpblrllBaHI151, naapea. cepztexao-cocynncnse peaKIl,HI1.

Hoorponsr (cpeacrsa. YllY'ImaIOIlIHe BHHMaHl1e, naMllTb) 11 npenaparu. YllYQIlIaIOIlIl1e M03rOBOH KPOBOTOK (CTYfEPOH, IIHPAUETAM. KABHHTOH, TAHAKAI-I, ifJEHHEYT. IIAI-ITOTAM. TJIHI{HH H J1.p.).

Ilpenaparu 3TOH rpynnu COBMeCTllMbl C rpY,[(HbIM BCKapMJII1BaHlleM.

06e3601lHBaJOlIl;He npenapaTLI. Onn MaryT 6bITb HeHapKOTll'"leCKllMI1 II napxorasecxmaa.

HeHapKOTU':IeCKHe: IIAPAUETAMOJI (CM. BblIIIe), AHAJIbfHI-I, KAifJifJETHH, EAPAJIfHH. COBMeCTl1MbI C rpy,n:HblM BCKapMlll1BalilleM npn O,UHOKpaTHbIX npaMeHeHllllX. He pesoaeanyerca HX AJII1TeJIbHOe nasaasenne. TaK KaK n060'iHbIM AeficTBl1eM AaHHblX npenapaTOB llBJIlleT(ll TOKCI1QeCKOe B03,/.\eficTBHe aa pa3JII1'IHbIe opraasr (ne-rens, nO'"lKH, KPOBb, UHC 11 zrp.).

I-IapKOTJIT:leCKHe: MOPiPHH, TPAMAJI, IIPOMEt!OJI, HAJIOKCOH. IIpoHHKaIOT B MOJlOKO B He6oJIbIlIl1X KOJIHT.JeCTBaX, FlO MorYT Bbl3blBaTb He)KeJlaTeJJbHble peaKIl,HI1 y HOBOpO)K,n:eHHblx. B03MQ}KeH onaoxparmra rrpHeM 3THX rrperrapaToB. IIoBTopHo rrpllHHMaTb HE peKOMeH,[(yercs, TaK KaK B03MO)KHbI yraereane ,!.{bIXaHI151 (anaos),

JIeBaHllHX nexeaa 11 )Kell'"lHOrO nysupa. conposozcnaro- ypexeane T.JaCTOTbl cepnexnux coxpauteana. TOiliHOTa.

IlII1XC5I 3aCToeM JKeJI'"lH. pBOTa, yraereane UHC, CHHAPOM OTMeHbl. __

• nocnt pOAoB fPY,lIHOE BCI{APMnlllBAHII1E

Orxapxasaronrae npenapaTLI. IIpHMeHJIlOTO! rrpH pa3Jm'IHbIX 3a6oJIeBaHIIl!X .ubIXaTeJIbHOIJ: CHCTeMb!' rrpoTeKalOIl1HX C KaIllJIeM.

AMEPOKCOJI, EPOMTEKCl1H, AUU. COBMeCTllMbI C rpy;n:HblM BCKapMJIHBaHIleM

IIpe- H np06HOTHKH (JIl1HEKC IIPl1MA,aO<Pl1JIYC.

Xl1JIAK fPOPTE n np). COBMeCTliMbI C rpy;n:HblM BCKapMm!BaHHeM.

IIpoKHHeTHKH. IIpHMeHl!lOTOI npH raCTp03304areJJIbHOM H .uYO;n:eHOraCTpaJIbHOM pe4JIlOKCe - 3a6poce CO;n:ep)KHMoro H3 nmnesona B )KeJIy.uOK HJIH H3 nseaanuaTHrrepCTHOH KHIlIKH B )Kerry.l.lOK. 3TH COCTOJIHHl! MoryT npOl!BJIl!TbCJI CHMrrTOMaMH racrpnra (60JIblO B 06naCTH )KenYIJ,Ka, H3)KOrOH).

MOTHJIl1YM. MO)KeT npHMeHJITbCl! C OCTOPO)KHOCThlO. IIPOTHBOBOCnaJIHTeJILHLle rrpenaparsr.

ACIIl1Pl1H. B03MO)KHbI onnoxparnsie rrpHeMbl npenapara. He peKOMeH.o;yeTCl! .o;miTerrbHOe aasnaxemre H rrpHeM BbICOKHX .0;03, TaK KaK rrOBbIIlIaeTCJI PHCK cepse3HbIX II060qHbIX 344eKTOB (CHlI)KeHHe TPOM601l.HTOB, TOKCH"'IeCKOe nOpa)KeHHe UHC. nesena).

l1EYIIPOfPEH, ,aHKJIOfPEHAK. B HeMHOrOqHCneHHbIX HCCJIelJ,OBaHHJIX 6bIJIO onpeneneno, 'ITO 3TH npenapaTbI rrpOHHKaJIH B MOJIOKO B He60JIblllIIX KOJIHqeCTBaX H HX npaaeaeaae He BbI3bIBaJIO lI060QHbIX peaKlI.Hll y HOBopmK.o;eHHbIX. O.o;HaKO nnarensaoe !IX nasrra-reHHe He peKOMeHlJ,yeTCJI.

HH,aOMETAI1.HH. He peKOMeH.o;yeTCJI fiPH KOpMJIeHHH rpynsro. HMeeTGI PHCK pa3BHTHl! cyziopor.

HAIIPOKCEH. BnHJIHHe aa pefieaxa He H3BeCTHO. IIPOTHBOrJIHCTHLle npenaparsr (lJEKAPHC IIHPAHTE]]).

B03MO)KHO npaneaeaae npa rpYD.HOM BCKapMJIHBaHHH.

IIpoTHBonHa6eTH'IecKHe nperraparsr.

l1HCYJIHH. 06WfHO He nporaaorroxasaa npu KOPMJIeHHU rpYlJ,blO, HO rpefiyercs rmarensasni HH.o;HBllnyaJIbHbUJ: nonoop ;n:03bI. II060LJHble .ueHCTBII5! - pa3BHTH5! rHnOrJIIIKeMHQeCKHX COCTOJIHHll (CHH:>KeHlle caxapa KpOBH) y petienxa.

tiepopensnue rrpOTHB04Ha6eTFFleCKHe Icexzpocnntipensperu. II060'IHble 34cpeKTbI: rHnOrJIUBrrJIOTb AO KOMhI (Bep05!THOCTh ee pa3BHTHJI nonpn HapYIlIeHI1H pe:>KHMa A03HpOBJHII5! ~1''I.eal.o;eKB;aTllOfl naere), TOIIIHOTa, nnapea, '-lYBCTBO T51:>KeCTH B 06JIaCTH %eJIynKa. Hnorna: KO)KHaJI

C1'!!Ilb, 3Y)J;, nOBblIIIeHIIe TeMrrepaTypbI rena. 60JIb ..p6teIIHYPHJI. Pe.o;KO; HapymeHIIJI BMTeA'titocTH,. rOJIOBHa5! 60JIb, YCTaJIOCTb, CJIa60CTb, rOJIOBoKpy)KeHHe, rraHUHTOrreHH5!; XOJIeCTa3, ¢OToceHCH6HJIH3aIJ.HJI. IIpOTHBOnOKJ3aHbI npH rpyzt-

COBMeCTHM

Ha3Ha-

rrpe-

IIPOTHBOJl3BeHHble rrperrapaTLI. Ilpenaparu, 6nOKHpYlOIl1He ssmeneaae KI1CnOTbI B )KeJIYAKe.

OMEITPA30JI. Her HCCJIe;n:oBaHIIll.

PAHIlTIlPHH. fPAMOTIlPl1H. THCTOPHJI. II060QHble .o;errcTBHJI - rOJIOBHaH 60JIb, rOJIOBoKpY)KeHHe, YCTaJIOCTh, KO)KHaJI csms. BJIHJIHHe na KapTHHy KpOBII. Ormcamr CJIY'IaH pa3BHTHH rerrJTIITOB. Ilpenaparu nporasonoxa- 3aHbI rrpH rpy.o;HoM BCKapMJIHBaHHH.

Ilcaxorponasre cpenCTBa. IIpHMeHl!IOTcl! npa ncaxosax. HeBp03ax (AMHHA3I1H, PPOIIEPH,aOJI, TAJIOITEPHPOJI, COHAIIAKC H 4P.).

IIpoHHKalOT B MonOKO B He60JIbLUHX KOJIIIQeCTBaX, onaaxo, rrOCKOJIhKY HMeeTCJI PHCK pa3BHTHJI cepsesasrx rr060'IHb1X 3CP4eKTOB. He peKOMeH.o;YEOTCJI npn rpy.o;HOM BCKapMJIHBaHHH 6e3 a6COJIIOTHblX rrOKa3aHIIH. Do60Qasre .o;eHerBIIlI - yrnerenne URC. napymenae pa3BHTUH aepsaoa CIICTeMbI.

Cna6HTellbHble cpencrsa.

fPOPJIAKC TYTTAJIAKC PEfYJIAKC JIHCTb51 CEHHbI. COBMeCTHMbI C rpYAHbIM BCKapMllIIBaHIIeM B yMepeHHbIX nosax.

EHCAKOPIlJI. PeKOMeH;n:yeTCJI npaxeaars C OCTOPO)KHOCTbIO.

Cna3MOnnTHQeCKHe nperrapaTbI.

IIAITABEPI1H. HeT peKOMeH.o;all.rrrr II3-3a OTCYTCTBWI .uaHHblX.

HO-illITA. IIpHMeHel'me npn rpYAHOM BCKapMJIHBaHHH B03MO)KHO.

YpocerrTHKH H KHIlIeqHbIe aHTHcenTHKH. IIpHMeHHIOTCH Il:JI5! JIe'IeHHJI HH4eKUHOHHO-BOCrraJIHTeJIhHbIX sa- 60JIeBaHHH no-rex H KHIIJe'-lHIIKa.

fPYPATJJ.H. A.o;eKBJTHbIX llCCJle.o;OBaHHH He HMeeTCH.

Do HHCTPYKUHH - He peKOMeH.o;OBaH.

cPYPA30JIHPOH, MAKMIlPOP. 3HTEPO<PYPIlJI, fPY PAPOHHH. B03MO)KHO npIIMeHeHHe C oCTOpmKHocTbIO.

HaJIH4HKCOBaH KHCJIOTa (HEfPAM, HEBHfPAMOH).

B03MQ)KHO npmreaeane C OCTOPO)KHOCTbEO.

CPepMeHTbI. IIpIIMeHJIlOTCJI nns YJIY'-lIlIeHHJI naiueaapeans npn pJ3JIH'IHblX :>KeJIy.o;O'IHO-KHIlieLJHbIX 3a60neBaHHJIX.

ME3HM fPOPTE. KPEOH 1'1 4P, COBMeCTHMbl C rpy.o;HbIM BCKapMJIHBaHlIeM.

IIo.o;Bo.o;JI nrora, MO)KHO CKa3aTb. '-lTO KOPMJIIl.\I1M )KeHIl.\HHaM :>KenJTeJIbHO nstierars Me.o;HKaMeHT03Horo zreLJeHHl!. O,[lHJKO, 6e3YCJIOBHO, sroryr B03HHKHYTb }KI13- aenaue orryamra. xorna MaMa He CMQ)KeT 060HTHCb 6e3 JIeKJpCTB. DpH B03HHKHOBeHIHI noorepononux oCJIO)!(HeHHH, rrpn 060crpeHHH XpOHH'-leCKHX 60JIe3Hei1, npn pa3BHTHH cepsesnsrx ocrpbIX 3a60neBJHHH 3aT5!rHsarr, C JIe'-leHHeM Henb3JI. B TaKUX CJIyqaJIX rrpn BbI60pe JIeKapCTBeHHblX cpe.o;CTB HY)KHO oneaars HX TOKCHqHOCTb H B03MO)KHOe nefinaronpasrnoe BJIII5!HHe aa opraHH3M petienxa, nOCJIe xero )KeJIaTeJIbHO BbI6paTb Te npenaparsr, xoropsie HalIMeHee rOKCII'IHbI II xoropsre rrJIOXO rrpOHIIKaIOT B rpynaoe MOJIOKO. Ba:>KHO 06Cy.o;HTb He06xo.o;HMOCTb II 6e30rraCHOCTb JIeLJeHHl! C reM BpaLJOM, KOTOPbIll Ha3Ha'IaeT npenapar. A TaKJKe CJIelJ,yeT npoKOHCYJIbTIIpOBaTb_GI C Bpa'IOM-rre,[lUaTpoM. YTO'IHHB B03- MO)KHOe rr060qHOe BJIHJIHHe JIeKapCTBa aa opraaasa

pe6eHKa. __

9 MeCiH.\eS

• HOBOPO}t{AEHHbU';i

n B Ie Kill otiuie

KaK paaroeapaaars C HOBOpO>KAeHHbIM

66

EKiiTepl1HiI KOMilP Bpa'-l~HeOHaTO)lor1

r, POCTo8-Ha-i\oHY

nocne pomAeHWR pe6eHKa pOAWrena 3aAalOTCR BonpOCOM: xorna MomHO Ha4WHaTb otiuienne C ManbIWOM? B nepasui MeCR~ }f{W3HW 60flbWYlO 4aCTb BpeMeHI!1 ManblW cnanko cnur: ecnn me OH I!1CnbiTblaaer ronon I!1fll!1 6ecnoKoii1cTBO, OH rpOMKO KpI!14WT. B KaKoe BpeM.fl pasroaapuaan, C HI!1M? V1 I!1MeeT nw 3TO CMblcn? BeAb xpoxa noxa He noHI!1MaeT CflOB ...

nepOble KOHTaKTbl C MHpOM

21,OBOJIbHO ,[(nIUeJIbHOe BpeMH Bpa'IH H ncnxozrorn. 3aHllMaIDLUlleCH rrp06JIeM.lMH panaero ,n:eTCTBa, rrpll,n:ep)KllBaflllCb TO'IKH 3peHHH, LITO 06LUeHHe C pe- 6eHKOM HHHHaeTcH B B03paCTe TOpMllpOBaI-IHH nepBbIX pe-rensrx HaBbIKOB, TO ecrr, rrOCJIe nayx MeCHIleB. Ho HCCJIe,n:OBaHHH rrOCJle,[lHHX ,[IeCHTIIJIeTHH IlOKa3aJIH, LITO opraasr "'YBCTB H crrccofiaocrs K socnpasTHIO y pefienxa IlepBblx He,[leJIb)KH3HH Haxo,n:lJTor aa ,[IOcTaTO'IHO BbICOKOM yposae paaarrrns ,LIJI5I roro. 'ITo6bI He TOJ;lbKO pearapoaarr, na OKpY)KaIOLUHH MHP, HO H HaLIHHaTh H3YQaTb ero.

CaMblMll rrepBhIMll opranaxm 'IYBCTB, xoropsre ,[10- HOC5IT TOJIhKO 'ITO p0JJ:HBilleMYC5I pe6eHKY HH¢opMaIIIIIO 0 MHpe, HBJIlJIOTC5I KO)KHa5I QYBCTBHTeJIbHOCTb, spemre H (JIyX. B rrepBble sracsr )KH3HH MaJIhlill BOC'npllHllMaeT 3BYKOBble pasnpaxarrena KaK OrJIYIIIllTeJIbHbIH IlOTOI<; 3BYKOB, Be,[(b see 40 nenens cBoeH BHYTpllYTpo6HOH iKll3HH OH 6bIJI oKpY)KeH BOMHOH cpenoii II 3.1 cser aroro IJOJIY'IaJJ 3BYKH B 3Ha'IllTeJIbHOH Mepe fIcK,!)KeHHbIe H rrparnyntenaue. IIocJIe ;r(JIIITeJIbHOrO rrpe6hIBaHH5I B IID'ITH IlOJIHoH TeMHOre. nnun, B He3HaQllTeJIbHOH crenena napyuraesroa

JIY'IaMH npHrnYIIIeHHoro CBeTa (B _TOM cnyxae, ecnn na JKHBOT MaTepH 6hIJI aarrpasnea HCTOqHHK OCBern;eHHJI), pe6eHOK nonaziaer B JIPKO ocserneaaoe noxremeaae, '-iTO BbIHY)l{,I:(aeT era xperrso ~aJKMypllTb rnaaa, qTO JKe KaCaeTCJI era KQ)!<HOH 'lYBCTBllTeJIbBOCTH. TO, npefisraas B YTp06e MaTepll B YCJIOBWIX nOCTOHHHbIX TeMnepaTYPbI H BJIa)l{ROCTll, OR Terrepb OKa3bIBaeTor B cpene co 3Ha'lHTeJIbHO 60JIee HH3KOH TeMnepaTYPoH. Kpone aroro, OR acnsrrsrsaer pasnpazceaae or npHKOCHOBeHHH noCTOPOHHHX PYK K neaanmmenrroii HWleM KO)l{e. Bce 3TH cpaKTopbI KaK 6bl «ornymaIOT» era na KaKoe-TO BpeMH. 3TO rrpOHe,XO,l:(HT rro npn-mae 6tJJIbillOrO KOJIH'leCTBa CJIHIllKOM CHJIbHbIX nJIJI Hero 'lYBCTB, ncnsrTbIBaeMbIX B CJIHIIIKOM KOpOTKHH npoveacyTOK BpeMeHH. AJIHTCH 3Ta «ornyrueanocrr,» OKOJIO CYTOK. B 3TO BpeMJI HOBOpO)l{,[(eHHbIH eure He cnocofien K socnpaarmo KaKorO-TO OT,[(eJIbHOrO Bll,l:(a llHcpopMaIIllll, OHa BCJI ,l:(JIJI Hero CJIHBaeTOI B O,l:(HH MOrn;HbIH noTOK. KaK npasnrro. IIeHTpaJIbHa.lI HepBHaH CHCTeMa aaumutaer ce6JI OT nepeaarrpasreHllH, norpY)l{a5I HOBOpOJK,1(eHHOrO B rnytioKllH. rrpOnOJIJKHTeJIbHhIH COHo ECJIH JKe 3TOro He rrpoacxozrar. pe6eHOK MO)l{eT 6blTb OqeHb B036Y)l{'[(eHHbIM. norrro Kpll'la.

Ilocrenenao MaJIbIIII anarrrapyeror K HOBbIM ,[(JIH ce6JI YCJIOBllJIM. K KOHIIY nepssrx CYTOK JKll3Hll nepnon nepsoa «ornYIIIeHHOCTH» npOXO,l:(HT. HOBOpO)l{,lJ;eHHbIH npassrxaer K TOMY, '{TO reneps era opraau 'lYBCTB rrOCTO!IHI-IO nOJIY'laIOT llHcpopMaIIllIO B BH,I:(e 3BYKOB, sarraxos, rrPBKoCHoBeHllH, KOJIe6aHllH renneparypsr II ocsemenaocra.

B re-reuae 2-4-ro ,lJ;HeH )l{H3Hll MaJIbIIII Ha'IHHaeT accounapoaars onna ll3 rOJIOCOB (TOT, KOTOPblH eMY 3HaKOM 60JIbille npoxnx) C caMbIM rrpHJITHbIM ,lJ;JIJI Hero 3anaXOM (sanaxov MaTepHHCKoro MOJIOKa) II C caMbIM npBHTHbIM ,lJ;JIJI Hero npoueo COM (npoueccoir I<opMJIemUI). Ilpasrepno na rpernri ,lJ;eHb caoefi )KB3HH OH Y)l{e naCTOJIbKO XOPOIIIO CBH3aJI 3TH TpH 'lYBCTBa B CBoeM C03I-IaHllll, '{TO. YCJIbIIllaB MaTepHHCKHH rOJIOC, MOJKeT 6bICTPO ycnoxaaaarscs H. nO'l:YBCTBOBaB sanax MaTepll. HaqHHaeT cosepmart, COCaTeJIbHbIe ,[(Bll)l{eHHJI llJIH HCKaTb PTOM COCOK.

Hepes TpH ,ll;HH rrOCJIe pO)K,ll;eHH!I y 60JIbIIIHHCTBa HOBOpOJK,ll;eHHbIX npoxonnr OTeK BeK, xapaxrepnsm AJI.lI nepasrx ,ll;ReH, II OHH OTKpbIBaIOT rnasa. B rrepnue 2-3 AH!I opraa 3peHHH HOBOpO)l{AeHHOro socnpnamaaer TOJIbKO 60JIee BJIB MeHee JIPKllH CBeT. OKPY)l{aIOrn;He rrpeAMeTbI oT06pa)l{aIOTCJI B BH,I:(e HeqeTKHX CllJIY3TOB. OABaKO YJKe B sospac 're 5-7 AHeH HOBOpOJK,ll;eHHbIH naxaaaer

BHHMaTeJIbHO BCMaTpHBaTbCH B npeznaersr. OT).(aBaJI npe,ll;rrO'ITeHHe JIHIIaM JIlO,[(eH, KOropsie peoeaox paccjaarpanaer C 60JIbIllHM llHTepeCOM. HeynllBHTeJIbHO, 'ITO HaH60- JIee npHBJIeKaTeJIbHbIM AlIH Hero CTaHOBHTCJI nHIIO MaTepH, BeAb OHO accolIHHpyeTC!I Y Hero C TeM caMbIM aarraxosr H rOlIOCOM. KOTopble corrpOBOJKAaIOT KopMneHlle.

Il3 sroro MOJKHO C,I:(eJIaTb BbIBO).(, qTO rrponecc I<opMlIeHII!I II RBJIReTCH TeM caMbIM rrepBbIM H HaH60JIee BaJKHbIM MOMeHTOM, BO BpeMH xoroporo npoacxonrrr rrepBoe otimeane MaTepll C HOBOpO)l{neHHbIM pe- 6eHKoM.

C lIero HaqaTb?

C caxroro nasana cnenyer 3HaTb, 'ITO npn JII060M 06rn;eHHH C pe6eHKOM neooxonasro YCTaHOBHTb 3pHTeJIbHbIH i<OHTaKT. Ilepsoe BpeMH pe6eHOK erne He MO)l{eT ztcnro ynepJKUBaTb B3rJIJI/.l, B OAHOM nOlIOJKeHHH, 3TO MO)l{eT rrpOnOlIJKaTbC!I scero HeCKOJIbKO cexyazi. HO nocrerreano BpeMR KOHTaKTa fiyner CTaHOBUTbCR Bee npoztczosrrrensaee. Oco6eHHOCTbIO 3peHII!I HOBOpO)l{,ll;eHHOfO JIBlIJIeTCH 3HaqHTelIbHO 60JIee HH3Ka!I, 'l:eM Y B3POCJIbIX, OCTpOTa 3peHHJI. CBR3aHO 3TO C He,l:(Opa3BIITlleM CeTqaTKH rnasa. xoropoe npOnOJI)KaeTCR sees rrepaoa paHHero /.l,eTCTBa. IIo3TOMY HOBOpO)l{neHHbIH, ocofieaao pefieaox rrepaax zteyx He,ll;eJIb )l{H3Hll, BH,I:(HT oxpyxaroume ero npenueTbI O'IeHb HeqeTKHMH. pa3MblTbIMH. OnaaKO OR MOJKeT pa3JIll'IaTb HX CPOPMY H lIBeT. TaKHM 06pa30M, nano MaTepH caasrana OH BH,ll;HT KaK OBaJI, He CPHKCHPYR KaKHX-lIH60 nerazrefi. HO Y)Ke K KOBlIY BTOPOH nezterm MO)l{eT xparxospesrearro pacorarpasars rnasa H pOT, xoropsre, XOTb H BH).(RTCR eute He'leTKO. YJKe mrrepecytcr HOBOPO)l{nerraoro. O'IeHh n03HTHBHO ,ll;JIJI C03HaHHJI MaJIblIIIa B 3TOT MOMeHT rOBopHTb C HHM. naCKOBbIM H cnOKOHHbIM rOlIOCOM ofipautarscn K HeMY. KOMMeHTllpOBaTb CBOH '[(eHCTBHH. CTOlIb JKe Ba)l{eH H nenea B 3TH MllHYTbI rrenocpencraenasra TaKTHJIbHbIH KOHTaKT - npllKOCHOBeHHJI, rrOfna)l{HBaHHH. 3TO nepsoe COBMeCTHO nposenennoe BpeMH CTaHOBHTCH CPYH,I:(aMeHTOM nns zrazrsHeHIIIero CPOpMHpOBaHllR JIH'IHOCTH pefienxa, ero nCHXH'l:eCKOrO pa3BHTHJI nCHXOJIOrH'-IeCKOrO 3nOpOBb!I.

B ,lJ,anbHeHIIIeM, xorna HOBOpO)l{neHHblH CMO)l{eT ynepxaaars 3pllTeJIbHbIH KOHTaKT na rrpOTJI)KeHHll OT HeCKOJIbKHX cexyan no O,l:(HOH MHHYTbI. era cnoc06HOCTb Bllp,eTb HaHanH3HpOBaTb nnno MaTepB COBepIlIeHcTByeTCJI ,[(0 TaKOH creneaa, "ITO OH CMO.lKeT YJIaBJIHBaTb OTTeHKH ee MHMllKll. H 3TO CTJHOBliTC.lI ClIe,l:(YlOlIIUM O'IeHb Ba)E(HbIM ..

~~~

KynaH1il.e rnaaaaa H Ba,)I(HeH nponenypa .ll.JHI yxona sa K())I{eH: HJ

po~eHHoro. IIpaBlfJIbHf,rn BI:.

Cpe,ll,CTBa. ,!I,nR KyTIaHRH MaID

ocooeano BaJKeH B rrepssre mn MeCHU)I ){Uf3HM pefienxa.

3KCTpaKT 'lepe,!l,hI ,IVIH Kym MaJIhlIIIeii «Crpaaa 3.n;paBJIaH,ZJ;mr:

MaCJIOM

rrpenorspan

B03IDfKHOBemre onpenocreii n «II HO'1HbIX ,Il,epMaTHTOB)}. Ilenef semccrea ~KCTpaKTa qepe.n;hI ff36aBn OT syna 11 pa3,I1,pa)l{eHHH HeJK ,!I,eTCKYlO KO)KY,a aposrar nananzrsr .n;' CIIO.KOHRhlH COR MaJIhlmy H ero MaM~

.!Jjl HOBM TeXHOJIOrIDI 3KCTpaK M3BJIermeT IT coxpanaer Ha 60JIbWe aKTHBHbIX Bem;eCTB JIeKapCTBeHHoro paCTeHlUI, '1eM

rrplITOTOBJIeHHM rpananaoar

oraapa 1I3 cYXOM: 'rpansr,

11l't\, r. rOTOBbIM 3KCTpaKT raparrnq cpeHoMeHaJIbHYIO 3KOHOMUlO MaMO' noro BpeMeIUI. Bcero necsrs cexyr T}JaB5fHa5f BaRHOlfKa rOTOBa, IIP( ,!I,06aBhTe 1 KQmnaQOK 3KCTpaKTa H. ITHTpOB BO)I,hl, a oCBo6o)J.HBIIIeeC5f BI rrOCBRTIfTe 06rn;eHHIO C MaJlhIlliOM.

,:@tl!:WW

Tenerpon ropl'l4ei1 m1HHI1:

8 800 333 999 1

npOAaeTCfI B anT€K€

nepez npHMeHef;lY1eM npOKOKCYAbTY1PY~ co CneUl-10.AJ.1CTOM

• HOBOPO>KJ:l,EHHbH1

MOMeHTOM 06m;eHHJI. C 3TOrO BpeMeHH He TOllbKO sanax szarepa, He TOllbKO 3i3yK H HIlTOHa.unH ee rOJIOca, He TOJIbKO raxrnm.nsre onryurenna OT ee rrp!1KOCHOBeRl'II'!. HO H Bblpa)KeH!1e ee nnna, oco6eHHOCTH ee MHMHKH H apTHKyJIJIUHH CTaHOBJITOI 3JIeMeHTOM 06m;eHIIJI. YCTaHOBlleHO, 'ITO HOBOpO)K;neHHbIH B B03- pacre 10-14 ;nHeH, q,HKCHpyJI B3rJIJI;n na zrmte rOBO-

psntea C HHM M3TepH, BHHM3TeJIbHO cnennr sa ee MHMHKOH. B 3TOT MOMeHT y Hero YCHmmaeTC5I 6HO- 3JIeKTpH'IeCK35I aKTHBHOCTb M03r3, KaK eCJIH 6bl OH caM rrblT3JlCJI rrpOH3HOCHTh onpenenennste 3ByKH. 3Toro He npoacxonn'r B TOM czry-rae. xorna pe6eHOK rrpoCTO rrpOCJlYllIHB3eT MaTepHHCKYlO pe=rs, 3aIIHcaHHYlO na p,HKTOq,OH.

I1pH 3TOM qpe3BbI'Ia.UHO Ba)l:<HO, <!To6h! peqh MaTepM B MOMeH'r 06m;emI5r 6bIJIa HarrpaBJIeHa HMeHHO K pe6eHKY, TOJIbKO B 3TOM CJIy'Iae OH BKJIlO'iaeTCJI B «6ece;ny». B TeX)Ke cnY'Ia5IX, xorzra B npHl3h!'IHOH 06- CTaHOBKe, HanpHMep BO BpeM5I KOpMJIeHHH HJIH nonrOTOBKH K HeMy, MaTh p33rOBapIIBaeT, ofiparuaacr, K KOMY-TO TpeTbeMY, pe6eHOK MO)KeT HaqaTh BOJIHOBaTbCJI II ;nax(e rpOMKO rrpOTeCTOBaTh. 1103TOMY BO BpeMH KOpMJIeHH)'! He)KeJI3TeJIbHO OTBJIeKaTbCJI OT MaJ1bIllIa, p33rOB3pHBaTb C KeM 6bI TO HH 6hIJ10, cMoTpeTh TeJ1eBH30p HllH qHT3Tb KHHry: Pe6eHoK O'IeHb aacrpoea B 3TH MHHyThI H3 06m;eHHe C M3- repsro. H see ee BHHMaHHe ,!l,OJI)KHO npnnazmeacars TOJ1bKO eMy.

CJIe,o;YIOm;HM MOMeHToM, BO BpeMH KOTOPOf'O MaMa MO)KeT II ,o;OJI)KH3 aKTHBHO 06m;aTbCH C HOBOpO)K,n:eHHhIM, CTaHOEIITCH npouecc yxop,a sa HHM - YTpeHHHH H BeqepI-IHH TyaJIeT, rrepeo,n:eBaHHJI, KyrraHII5I. B 3TO BpeMJI pe6eHOK, KaK np3BIIJIO, He cmrr, H nerrecooopasao IIcrrOJIb30BaTh 3TH MHHyTbI ):'(JI5I 06m;eHH5I c HHM_ TaK)Ke K3K II npn KOpMJIeHIIH, B npouecce ryanera H xyrrarma HY)KHO THXHM cnOKOHHbIM roJIOCOM 06pam;aTbCJI K pe6eHKY no HMeHH, paCCKa3bIBaTb eMY, 'ITO ceH'Iae npOHCXO,ll;HT, qTO C HHM 6y,n:YT ):,(eJIaTb H 3aqeM 3TO HY)KIlO.

MO)KHO H BeChMa rrOJle3HO ):,(JlH P33BIITHJI MaJIblilla naneaars eMY npocrsre. He33Mh!CJ10B3Tble neceaxn, COOTBeTCTBYIOm;IIe ,n:aHHOMY MOMeHTY= eCJIII 3TO nePI1O,n: 60APCTBOB3HIIJI, TO II rreceaxa )l;OJ1)KHbI 6bITb secensre. )KU3Hepa):,(OCTHhle, eCJ1H )Ke MaJIbIllIY nopa ycayrs, TO necan p,OJI)KHbI 6biTb KOJIbI6eJIbHbIMII IIJIII rrOXO)KIIMII aa HIIX.

0geHh B3)KHbI HHTOHaIlIIII rOJIOca MaTepH. Maxra _[(OJI)KHa rcsoprrrs He TOJIbKO crrOKOHHO II JIaCKOBO, TIIXIIM II He)KHbIM rOJIOCOM - OqeHb B3)KHO, qTo6bI rOJIOC MaTepII 3ByqaJI yaepenno. TaKHe HHToHaUHH ycnoxarraaxrr petieaxa. rrpnnarcr H eMY YBepeHHOCTh

«MOB nepssre HrpywKU»

MHOrll€ U3 Hac nOMHJlT CBOM caMble nepsuc. caMble flio6MMble ·urpYllIKM . .H~BePHl!!(aTaKHe nrpyunor ecrs H Y uaruero MallbIllia. HM€HHO HM 6YlleT TIOCBllll1eH narn HOBbIH q,OTOKOHKYpC. ,Ilnll y'IaCI'HJl B HeM opnIIIJIllT€ HaM <pOTorpaqll'fH, aa IWTOPhlX Balli Kpoxa 3ane'I3TJI€H co (BOHMH TI€P~blM\l HrpYlilKaMH. JIY'-Il1JH€ CHHMKM 6YIIYT ooy6nHKOBaHbt. a rpex n06ellHl'eiIeii. UMeHa KOTOPbIX Mb! 06h!IBHM B [€Hnr6pb" (KOM nouepe )KypH<\JIa< )[(I1YT npH3bL

B KaqeCTB€ npaaa TpH nobenarens xonxypca nOJIyqaT Ha60p npo:n:yKUHM NUK M' Bubchen .

. Ani! MaMb[, JIOCbOH URJI yxona 33 KO)KeH », M3C(3)[(HOe Macno B nepH01l6epeMeHHOCTl11-fKOpMJIemUr rpyi1bID. npoKJI3UKM UJlll rpYUH. MOJlOKOOTCOC, creprrrasarop na 6 6YTblIw'leK; AJIlI ManhlllIa, O'lllll18IDmee MOnO'-lKO. M3cno c 3K(TpaKTOM Kaneflp.Yllbl. osmuarourne Ca)]tjleTKH. KpeM UJllI nytua. tnel.\HaJlbHhIH 3all1MTHIorH KpeM.

I ~ )£CueM BaWHX TIHCeM no snexrponnoii'no'rre. firma@9manthsru M)H1 nO anpery: 107392, r, Mocxna, a Iff 14,

.tti.··_"_··· _H_e_3a_6_y_lI_bT_e_>_'K_a_3_aT_b_B_II_M_Cb_M_e_C_B_O_IT_a_ll_p_ec_,_T_eR_e_<p_o_H_H_JI_H_H_H_hI_e_K_o_H_TO_K_T_H_b_I€_Il_U_H_H_bl_e_, _

......

68

B TOM, qTO BCe B nOp5I;O;Ke, BCe np0I1CXO;o;MT MMeaHO TaK, KaK M ;o;OJDKHO 6blTb. 3aMeqeHO, 'ITO TpeBO%HbIe, neysepeansre B ce6e MaMbI same )KanYIOTC5I aa TO, 'ITO HX ;o;eTlI H3JIlIIllHe nnaxcasu H Kanp1I3HbI. Ilponcxorrar 3TO HMeHHO nOTOMY, qTO pe6eHOK, 'lYBCTBY5T B MaTepllHCKOM rOJIOce OTTeHKH seYBepeHHOCTH B ce6e, crpaxa H H3JIHIllHeH TpeBO%HOCTlI, HaLJIIHaeT ncnsrrsraarr, Te %e qYBCTBa, H rrpOJ.!BJI5leTC5I 3TO nOBbIIlleHHOH llJ1aKCMBOCTbIO H KarrpH3HOCTbIO.

He TonbKO cnoaa •..

B MOMeHTbI yxona sa HOBOpO%p;eHHbIM pefienxosr. KpOMe JIaCKOBbIX 6ecen C HIIM, He MeHee Ba%HbI npliKOCHOBeHlIH PYK MaMbl. H3JIIIIllHe I'OBOPHTb, qTO HIIqero He ,UOJI%HO npll'IHHHTb pe6eHKY ,UHCKOMcpopTa - PYI(lI nOJI%Hbl 6b1Tb TenJIb1MH, HorTlI - KOPOTKO nOP;CTplI%eHHb1MH, na PYKax He ,UOJI%HO 6b1Tb YKpallIeHHH, cnocofiasrx nouapanari, He)!(HYro KO)!(Y HOBOpO%p;eH1-IOI'0.

O'IeHb MHoro ,lJ;JIH pa3BlITIIH rrCMXlIKH pe- 6eHKa 3Ha'UlT MaCCa)!( TeJIa, KOTOPbIH npOBOP;HT MMeHHO MaMa. 3TOT MaCCa)!( He IIMeeT HH'lerO ofinrero C TepaneBTHLJeCKllM Macca)!(eM, npOBO,[(HTb KOTOPbIH P;OJI)!(HbI TOJIbKO rrpodieccaonam.asre ztercxae MaCCa)KHCTbI. MaTepHHCI(llH MaCCa)K HanpaBJIeH aa YCTaHOBJIeHUe KOHTaKTa C pefienxou. socnaraHue ero TaKTllJIbHOH LJYBCTBHTeJIbHOCTll, He%HOe ofiurenne C HlIM. Maccax ycrroxanaaer pefienxa. YJIYL£IllaeT ero nacrpoeane. paasnsaer ero zrsnrarensaue HaBbIKH.

Maccax HY)!(HO npoBo,[(HTb rrocpencrnou JIerKHX IIOrJIa)KHBaIOwllX ,ll,BH)!(eHHH no CITIIHe (CHH3Y BBepx H csepxy BHM3), IIOrJIa)!(HBaHHH II nerxnx pa3MHHaHHH aro/.IHl(, xpyronsrx rrornaxnaaaaa no )!(llBOTY (no xO,UY L£acoBoH crperrxa). BP;OJIb PYK H HO[, no nanpaanenmo CHH3Y saepx. B nponecce npoBe,[(eHllH Macca)!(a, na H JII06bIX zrpyrnx '[(eHCTBHH no yXO,ll,y MaMa MO%eT naneaars pe6eHKY necenxn IIJIM paccxasuBaTb xoporxne npocrt.re CTHXll, nOTeIllKH HJIlI npll6aytKll. 3TO cosnaer n03HTHBHbIH 3MOIl,llOHaJIbHbIH HaCTpOM: B 06meHllII MaTepH C pe6eHKOM H TaK)!(e cnOC06CTByeT 60JIee paHHeMY ¢OpMHpOBaHIIIO pe'IeBbIX HaBbIKOB Y pefienxa.

AeHblaAHeM

IIpO,lJ,OJI)KaTb otinrerrae C HOBopmKp;eHHbIM pe6eHKOM MO)!(HO II BO BpeMH nporyzrorc. ecrm MaJIbIIll KaKoe-TO BpeM5I He cnrrr aa ynnne. Maua MO)[(eT paccxaasrsan, eMY o TOM, 'ITO npOHCXO,UHT BOKPYI' - He saxHO. qTO pe6eHOK He Bll,lJ,HT scero 3TO[,0, neana HMeHHO pe-reaax HHTOHal(ll5I H 3MOLlHOHaJIbHa5I OKpaCKa rOJIOca, qeM 60JIbIlle

pe6eHOK CJIbIIlIHT pa3JIM'IHbIX CJIOB OT MaTepM, TeM paHbI1Ie H JIyqwe 6Y,UYT CPOPMIIpOBaTbC5I ero coficrnennsre pexessre aaBbIKM, TeM nysme OH 6Y,ll,eT pa3BllBaTbC5I ncaxnxecxn.

CaMO C060H paayneercs. L£TO B rrepHo,Ue paaaeii HOBOpO)!(,lJ,eHHOCTII nns peoeaxa Ba%Hee II npHBJIeKaTeJIbHee scero ooureHHe C xrarepsro. OHa 5IBJIHeTCH ,ll,JI5.! Hero neaTpOM BCeJIeHHOH, cocpencroveaaev scex ero HHTepeCOB H rrOJIO%IlTeJIhHbIX 3MOl(IIM:. Ho rrOCTeneHHO OH aasnaaer TaK)Ke IIH~ TepeCOBaTbCH H npyrlIMII oKpy)!(aIOwHMM ero JIIOnbMll. DJIIDKe K MecSIUY OR Ha"lIIHaer C 60JIbIllIIM O)!(IIBJIeHileM pearnpoaarn aa 06weHIIe C OTLlOM; npII ero npafinn)!(eHHII MaJIbII1I O%IIBJI!IeTC5I, ccsepmaer 3Hep[,H"IHbIe p;BII%eHII5.! pYKaMH H HoraMII, C JII060nbITCTBOM paCCMaTpIIBaeT JIIIl(O orna. npaoryumaaerca K ero rOJIOcy.

B B03paCTe "leTblpex He,lJ,eJIb CIIoc06HOCTI) pefienxa K 06meHHIO /..IOCTHraeT TaKoro pa3BIITlIH, qTO OH crrocotiea He TOJIbKO nononry CPHKCllpOBaTb B3rJI5I,[( na anrepeCYIOwIIX ero npezrsrerax, nnnax P0/..lHbIX, HO II pearnponarr, aa 06paweHHYIO K HeMY pesr, KOMIIJIeKCOM O)!(llBlIeHllH (y MaJIbII1Ia Y'laWaeTC5I nsrxanae H nYJIbC, B03HIIKaIOT O)!(llBlIeHrIble ,n:BH)KeHllH PYKaMII II noraMII, MeH!IeTCH ssrpacxeaae JIHl(a co cnOKOHnoro aa oseas 3aHHTepeCOBaHHoe). OH y)!(e MO)KeT pearnposarr, aa rOlIOC MaTepII, naxe He BUP;5I ee mrua - peaKUII5I 3aI(JIIO"laeTCSI B TOM, 'lTO pe6eHOK O)!(IIBJIHeTC5l, eCJIH 6bIJI cnoxoen. IIJIM YCIIOKaIIBaeTC51, eCJIlI rrepep; 3THM nJIaKaJI, M Ha"IHHaeT aKTllBHO HCKaTb llCTOqHHK rOJIOca rJ1a3aMH.

CaMhIM BOJIHHTeJIhHbIM H panOCTHbIM MOMeHTOM B neprrone HOBOpO)[(,lJ,eHHOCTU CTaHOBMTC51 rrepsaa OC03HaHHaH YJIbl6Ka MaJIbII1Ia, KOTOpyIO OH ,UapUT csoea MaTepll. I1POllCXO,r:(HT 3TO y,ll,lIBIITeJIbHOe C06bITlle B B03paCTe OT 'rpex no II5lTM aeneas. 06bI"lHO MaJIbIlII, IIpe6hlBaIOwHH B COCT05IHIIll CIIOKOHHoro 60,lJ,pCTBOBaHH5'I, YBll,UeB JIIIIl,O MaTepll, «pacuseraer» pa'[(OCTHOH YlIbI6KOH. 3TOT MOMeHT HeB03MO%HO HII C 'IeM CIIYrars II HeB03MO%HO nepenars CJIOBaMH BOCTopr H cxacrse OT raxoro nonapxa. Tenepr, yxe cpaKT HaJIll'IliH B3aIIMHOH 6JIll30CTII H rrp0/..lYKTIIBHoro 06meHIIH He MO)!(eT Bbl- 3hIBaTb COMHeHMH.

06WeHHe - caMbIH 3cpcpeKTllBHbIH H pa'[(OCTHbIH BII,lJ, socnnranaa. naroumii MHoro nOnO%UTeJIhHbIX 3MOUHH KaK pe6eHKY, TaK Hero pOAllTeJI51M. Haxasnrao, ewe no PO)Kp;eHIl5I MaJIbIIlla, 3MOLlIIOHaJIbHbIH H llHTeJI~ JIeKTyaJIbHbIH KOHTaKT MQ)KeT H ,[(OJI)!(eH npoztonzcarsca C rrepssrx ,lJ,HeH ero )!(H3rrH

aa npOT51)KeHHH scero nercraa.

-- -~_.

a

y

npenapaT N91 ane'leHMM MOnO'"lHM",bl

Ha BCeX CpOKaX 6e~peMieHHOCTM

nI!M~i!:pY'F!n (cyn11lXlIITopm1.1;11~ "il;C'U!.)r.llK".i<?InUi \14 O'! uycxae: ell oe! pcuet Pi~~'.11<':·i'n;-: ~no!lUI,I?i Hf,'MCr: lf N;l.()U55JiI~1 1 Hcpc.r IIPliil<,\)JJ(:nm'\ npC!E'I.P:E~'1 npovrerc rmc

~astel1as

Ill! "::-leC;; ,POT!ABCn:)Kr":3.i'\H~ ~ nEP~Jl i"F>lIiiVI,;HEHV1U/ n=o .. iT/ITt: vlHCTP.

• HOBOPO)f(AEHHblC1

MAMIi1Hbl CTPAXIi1

C pO}l{,lJ,eHV1eM pe6eHKa y MaMbl noasnnercs MaCCa CTpaXOB, CBfl3aHHbiX co 3AOpOBbeM Manuura V1 npaBV1J1bHOCTblO vxona sa HV1M. 3TV1 CTpaXV1 HeCJlO}l{HO passears.

y

x

Pa3YMeeTCfl, npaKTV1LJeCKV1 BCeX ponnreneji OLJeHb 6eCnOK0V1T nORBJleHV1e }l{eJlTYXV1 y V1X HOBOpO}l{AeHHOro MaJlblwa. HOpMaJleH JlV1 3TOT npouecc? CTOV1T JlV1 ero onacarsca V1 cnenyer JlV1 npennpuuars KaKV1e-JlV160 Mepbi?

Aopocj)ea AnaeBa Bpay-neIlHarp. HaY"Hbl~ uesrp 3AOPOBbH Aere~ PAMH, r. MOCKsa

70

)KeJITYXOH Ha3bIBaeTClI OKparrnmaHHe KO:JKHbIX noKpOBOB. BH.1lHMbIX CJIH3HCTblX H cxnep mas B )i(eJITbIH UBeT. 3TO lIBJIlIeTClI CJIe.1lCTBHeM H BH,[(HMbIM np05JBJIeHHeM nOBblIIIeHl-I5J B KpOBH ypOBH5J 6HJIHpy6HHa.

)KenTyxa pa3BHBaeTOI. xorna yposens 6HJIHpy6IIHa B KpOBn rrpessunaer 35-50 MKMOJIb/JI Y ,[(OHOIIIeHHbIX H 85 MKMOJIb/JI Y He.nOHOIIIeHHbIX. Bupaxeaaocrs :JKeJITyxH orrpe'[(eJIlIeTC5J He TOJIhKO KOHueHTpaUHeH 6HJIHpy6HHa B [(POBH. HO H oco6eHHOCTlIMH KO:JKH (H3HJqaJIhHalI OKpaCKa. rnyfinaa 3aJIeraHHlI. TOHyC KanHJIJI!IpOB H np.) H ncrosry He lIBJIlIeTClI 06"eKTHBHbIM rrOKa3aTeJIeM ypOBHlI 6HJIUpy6uHa. JIerqe scero npOKpaIIIHBaKJTCH rnaaasre CKJIepbI, HH)KHHlI rrOBepxHOCTb 1I3bIKJ. aefio, KOJKa naira.

Y MaJIblIIIeH nepsoro MeC5Jua )lZI-I3HI-I MoryT BCTpe'faTbC5J pa3JII-I'-IHble BHAh! )KeJITYXH: KOH'blOraD;HDHHaH (T. e. CB5!3JEIHa.II C HH3KOH CB513bIBaKJIUefi: CIIoc06- HOCTbKJ rrexeaa). reMOJIHTH'leCKaH (06YCJIOBJIeHHalI noasnneaasna pa3pYIIIeHHeM 3pI-ITpOUHTOB - reMOJIH-

30M). rrapeHXHMaT03HaH (CB5J3JHHaH C TOKCWfeCKHM HJIU HH<peKUHOHHbIM rropaxenneu KJIeTO[( nesena) H o6TypaD;HoHHaH (06YCJIOBJIeHHa!I lvIexaHHgeCKHM rrperr.IITCTBHeM OTTOKY )Kewm).

<PlIIlHon@rWieCK3J1 (TpaH3HTOpHil.A) menTyxa

3TO COCTOHHHe ITO rrpasy OTHOCHTC5J K TaK Ha3blBaeMbIM rrOrpaHH'IHbIM COCTOlIHH5!M HOBOpO)K,l.(eHHbIX (K 3TOH rpyrrrre rrpaaannexar COCTO!IHHlI. BCTpeqaIOIUHeC!I B HopMe y 60JIbIIIHHCTBa HOBopOJKAeHHbIX. HO Tpe6YKJIUHe npncransaoro Ha6JIIO,l.(eI-IH.lI. TaK KaK rrpn He6JIarOnpU!ITHOM pa3BHTHH C06bITHH MHorHe xapaxrepaCTHKH <PYHKUHH opraaaasra MoryT BbIHTH aa paMKH HOpMaJIbHhIX). TpaH3HTopHalI )j_{eJITyxa BCTpe9aeTClI y 60-70% scex HOBOpO)K,ll,eHHblx.IIo (BOeMY xapaxrepy AaHHbIll BH,[( :JKeJITyxH OTHOCHTC5! K KOHbIOraUl:-lOHHbIM. B OCROBe sroro nponecca JIe:JKHT nepecrpoaxa CHCTeMbI resrornotiaaa. KOTOpa5! HMeeT MeCTO nOCJIe pO)KAeHHlI

9 MeCl1l(eB

6V1nV1py6V1H - BeLlleCTBO, ofipasviouieeca B OpraHV13Me npVl pacnaae xpacuux KPOBJlHblX reneu - 3PV1TP0l_\V1TOB, a T04Hee - conepncauieroca B HI!IX reMorno6V1Ha. (OCTapV1BWV1eCJl VI orcnvxoreuree caoe 3pVlTpOl_\V1Tbl paspvuraIOTC51 B OCHOBHOM B cene3eHKe, npn 3TOM oopasverca 6V1nlt1py6ItlH, Ha3blBaeMblV! HenpJlMblM, Vlnlt1 HeCB513aHHbIM. OH HepaCTBOpl!1M B BOAe (cnenoaarensuo, He MO}f{eT BblBOAllITbCJl nOLJKaMVI) V1 nOTOMY Anll nepeuoca B KPOB51HOM pycne CB513bIBaeTCJl C anb6YMI!1HOM - Hl!13KOMoneKynJlpHbIM 6enKOM nna3Mbi I{POBI!1. Ho caMoe rnaBHoe - Henp51MOV! 6V1nlt1py6V1H llBn51eTC51 TKaHeBblM JlAOM, tionee ecero OH onacea gnJl ueurpansuoji HepBHOV! CI!1CTeMbl, B LJaCTHOCTV1, ronoauoro M03ra. 6YAYLJl!1 CB1l3aHHbiM C anb6YMl!1HOM, OH AOCTl!1raeT neLJeHV1, rAe npoucxonur ero rpaucdicpwauas: OH casauaaerca C OCTaTKOM rJ1IOKYPoHOBOV! KI!1CnOTbl V1 npeapauiaerca B npllMo~ (CBll3aHHbl~) 6l!1nl!1py6l!1H. B 3TOM HOBOM COCTO}lHItlItl OH HeTOKCI!1LJeH An51 KneTOK l!1 Tf{aHe~ oprauuawa, paCTBOpl!1M B acne V1 MO}t{eT 3KCKpeTV1pOBaTbCll (BbIAen51TbCTI) nOLJKaMIt1. OH raroke sunenaerca C }t{enLJbIO V1 nocrynaer B KVlWe4HIt1K. B rex cnv-iaax, xorna CKOPOCTb pacnaaa 3PV1TP0l_\ItlTOB onepeucaer CBJl3blBalOLllYlO cnocoouocrs neLJeHIt1, Henp5lMO~ 6V1nVlpy6lt1H HaLJV1HaeT HaKannV1BaTbCll B KPOBJlHOM pycne V1 ausueaer OKpaWV1BaHV1e KO}t{Itl, Cnlt13V1CTbIX Itl cknep rnas B }t{eJlTbl Vi user,

MaJIblwa. ,UeJIo B TOM, 'ITO resrornotiaa nnona OTJIII'IaeTCH or TaKOBOrO y B3pOCJIOro xenosexa. BO BpeMH BHyrpHyrpo6Horo pa3BHTHH B opraHH3Me rrpeo6JIa.n:aer reMorJI06HH F (HbF) (OH ny-nne CBH3bIBaeT KHCJIOP0.n:). rro cpaBHeHHIO C «06bI'IHbIM)), B3POCJIbIM renornotiaaosr A (HbA), sa orer xero H nponcxonar rrepexon KliCJIOpOna OT MaTepHHcKHX 3PIITPOI(HTOB K 3pHrpOI(HTaM IIJIOna. Bcxope rrOCJIe rrOHBJIeHHll MaJIIOTKH na CBeT em opraHII3M Ha'IHHaeT HHTeHCHBHO pa3pyrnaTb HbF C reM, '1To6bI CHHTe3HpOBaTb HbA ECTeCTBeHHO, nponecc pacrrazta rexrorrrotiaaa npasonar K 06pa30BaHHIO Herr paMOro 6PIJIHpy6I1Ha. TaK KaK CB513bIBaIOIl.(He crrOC06HOCTH nexena B 3TOM B03paCTe HeBeJIHKH, KOHI(eHTpaI(II51 6HJIHpy6HHa B KpOBH aaxnaaer nocreneano aapacrars. 06bI'IHO nepssre rrpOHBJIeHHll <pH3HOJIDrH'IeCKOrr )[{eJITyXH MO)[{HO Ha6JIIO,naTh K KOH[(Y 2-ro. a xanre aa 3-4-rr .ueHb )[{H3HH. I1HTeHcHBHOCTb )[{eJIToro OKpaWHBaHH51 MO)J(eT HeCKOJIhKO aapacrars zro 5-6-ro ,nWl. KaK npasnJIO. rrpOI(eCC HMeeT .n:06pOKaqeCTBeHHoe Te'IeHHe H see 3aKaH"lHBaeTC51 6narorrOJIY'lHO: K HCXO.uy I-rr He.n:eJIH )[{H3HH aKTHBHOCTh nexeaoxaux <pepMeHTOB HapaCTaer, yposeas 6HJIHpy6HHa HaqHHJeT noaennory CHH)KaThCll, IIOKa He noiiner no HOPMbI, H K KOH[(y 2-H He.ueJIH CHMrrTOMbl )J(eJITYXH HC'Ie3aIOT. Ho eCJIH HMeIOTC51 «OTHPIJIOIl(He 06CTDJl'TeJIhCTBa» (aenoaoureaaocrs. He3peJIOCTb nnona. nepenecenaue rHrrOKCHJI H/HJIH ac<pHKcHH. HaCJIe.n:cTBeHHo-06ycJIOBJIeHHble ,ne<peKThI <pepMeHTHhlx CHCTeM rre-rean. rrpHMeHeHHe HeKOTOpbIX rrperrapaToB. BbITeCHHIOIl.(HX 6HJIHPy6HH H3 CBJI3H C rJIIOKYPOHOBOH KHCJIOTOH - HarrpHMep, BHTaMHHJ K. HeCTepoH,n:HhIX rrpoTHBOBOCrraJIHTeJIbHbIX rrpenapaToB. cYJIh<paHIIJIaMH.n:oB, JIeBdMHI(eTHHJ. u:ecpaJIocrroprrHoB, OKCHTOU:HHa HOBopmK,n:eHHbIM 11 MaTepbIO), yposeas 6mIHPy6HHa B KpOBH MO)[{eT rrOBbICHTbCll AD onacasrx [(H<PP' B 3TOM crrysae JKeJITyxa H3 <pH3HOJIOrnqeCKDrO COCTOllHHH CTaHOBHTCli COCTOllHHeM yrpO)J(aIOIIl,HM. CoOTBeTCTBeHHO pJ3JIHQaIOT )KelITYXY He.n:oHOIIIeHHbIX, Me;O:HKaMeHT03HYIO JKeJITYXY. )KeJITYxy ,Il,eTeH C aC<pHKmerr H T.,Il,.

Y .n:OHOIIIeHHbIX HOBopmK.n:eHHbIX KpHTI1QeCKHrr ypOBeHb 6HJIHpy6HHa B KpOBH - 324 MKMom/JI, Y He-

.n:OI-IOWeI-IHHX MJIa,n,eHu:eB - 150-250 MKMOlIh/JI. Taxas pasnana CBH3aHa C TeM. 'ITO Y He;O:OHoweHHhIX MalIblilierr nonsnrreaa npoaanaessocrs reMJT03HI(ecpaJIl1'IeCKOrO 6apbepa (eCTeCTBeHHbIH XHMHKo-6noJIOrH'leCKHH 6apbep Me)J(;O:y rrpOCBeTOM KpOBeHOCHhIX COCY,ll,OB H TKaHbIO rOJIOBHDrO M03ra. 6JIarO;O:JplI KOTOpOMy MHorHe H3 BeIIl,eCTB, rrpacyrcrsyionrax B nnasue KPOEH, He rrpOHHKaIOT B KlIeTKH M03ra) . zta H aespeJIhle KneTKH ronosnoro M03ra 60nee LfYBCTBHTeJIbHbI K JII06oro pozia nefinarorrpnarnsna B03.n:eHCTBHHM. TOKCHqeCKOe IIOpa)[{eHHe nonxopxoesrx 51Aep rOJIOBnoro M03ra HerrplIMbIM 6HJIHpy6HHOM Ha3bIBaeTCJl snepaoa )J(emYXOH, HJIH 6HTmpy6HHoBOH 3Hu:e<paJIOnaraea. Ee CHMIITOMaMH JIBJIJIIOTCJI Bblpa)[{eHHali ~

7

• HOBOPO>KAEHHbl~

MAM~Hbl CTPAX~

TpaH3[>'lTOpHa.R :men- COHJIHBOCTb HJIH, HanpOTHB, npOH3HTeJIbHbIH KpHK, rvxa BCTpeLjaeTC9. V cyp;opOrH, CHH)Kelme cocarensaoro peq:,JleKCa, naoma 60 -7 0 'Yo 5 C ex HOB 0 - PHrHp;HOCTb (nanpsxeaae) 3aTbIJIOqHbIX MbIIllU;.

pO"H{!.\eHH biX. BOT noxexry BpaqH B ponnoxrax TmaTeJIbHO OTCJIe-

)K[1BaroT yponeas 6HlIHpy6HHa B KpOBH Y scex HOBOpmKp;eHHbIx. IIpH no.srBJIeHlm )KeJITyxH HOBOPO)K.n:eHHbIM P;OJI)KHbI naaaaxars 3TOT aHalIH3 2~3 pasa aa BpeM.sr rrpe6bIBaHI151 B ponzroue, qTo6bI YToqHHTb, He npOHCXOAHT JIH YBeJIHqeHH.sr KOHu;eHTpaU;HH 6HJlHpy6HHa KpOBH. Mana Mo)f(eT rronnrepecoaarscs. 6paJIH JIH Y peoenxa Tal<He aHaJlH3bI. ,llJI.sr JIeT:(eHH.sr rHnep6wIHpy6HHeMHH (rrOBbIIlleHHH ypOBH.sr 6HJlHpyfiaaa B KpOBH) paasnre IllHPOKO rrpHMeH5!JIH BHyrpasemrsre rrepelIHBaHwI 5%-ro paCTBopa rJIIOK03bI (ona .srBJI.sreTC5l npemnecrsennaxou rJIIOKYPOHOBOH KHCJIOTbI, CB.sr3bIBaIOmeH 6l'lJIHpy6HH B ne-aemr). acKop6HHOBYIO KHCJIOTY H q:,eHo6ap6HTaJI (3TH rrperrapaTbl nossnnaror aKTHBHOCTb rre-reao-rasrx q:,epMeHTOB), )KeJI"lerOHHbIe cpencrsa (OHH YCKOp.srIOT BblBe,l1eHHe 6HnHPy6HHa C )KeJl%IO), aJJ;COp6eHTbl (arap-arap. XOneCTHpaMHH), CBiI3bIsaromHe 6WIHPy6HH B KHIlleT:(HHxe H rrpenarcrayromae ero 06paTHOMY BcaCbIBaHHIO. OJJ;HaKO ceronna see 601IbIIIe HCCJIenOBaTeJIeH OT].l,aIOT npenno-rrenae q:,OTOTepamm KaK HaH60JIee q:,H3HOJIO-

72

TH"'IHOMY H 3¢¢eKTHBHOMY MeTO.n:y, IIpH nposeneaaa ¢OTOTepamiH KO)KY MalIbIIIIa o6nyqaIOT cnenaansasrMH JIaMrraMU. Ilpa B03,llenCTBHH CBeTa onpenenennoii ].l,lIHHbI BOJIHbI 6HJIHpy6HH nepexoznrr B CSOH ¢OTOH30Mep (ero Ha3bIsaIOT JIIOMHpy6mIOM), I<OTOpblH JIHII1eH TOKCHT:(eCKnX CBOHCTB M xoponro pacrsopau B sozte, 6JlarOAap5l qeMY 6e3 npenaaparensnoa TpaHG¢opMaU;HH B nesena BbIBO,nHTOI C MOqOn H )KeJlqbIO. IIpou;eAypbl, KaK rrpanano. nposonar eute S poztaosre. IIoKa3aHHeM ,ll1I5l Ha3HaT:(eHH.sr ¢OTOTepanHH CJIy)KHT xoaueirrpauaa 6HJIHpy6HBa s KpOBH ssnne 250 MKMOJlb/JI )lJl.sr nOHomeHHbIX HOBOpO)K,neHHblx H nsnne 85~200 MKMOlIb/JI P;JI.sr HenOHOIlleHHblX (s 3aBHCHMO· CTII OT seca MaJlbIma).

K rpyrrrre KOHbIOraU;HOHBbIX npnaannexar raxxe )!(eJlTyxa Y ;IfeTeH, BCKapMJ1HBaeMblx rpyp;HbIM MOJ10KOM (CHH;IfPOM Apnece}, ,llo ClIX nop rrpnqHHa pa3- BHTH5l sroro COCTOiIHH5l OCTaeTC.sr MaJIOH3yqeHHOH, B03Mo)KHO, B 3TOM «nOBHHHbI)) MaTepHHcKHe 3cTporeHbI ()!(eHCKHe rronoaue ropsroau). npHcYTcTBYIOmHe B MOJIOKe, TaK KaK OHH MoryT BbITeCH.srTb 6HJlHPY- 6HH H3 CB.sr3H C rllIDKypOHOBOH KHCJlOTOH. B03Mo)!(HO, neno B TOM, 'ITO CYMMa scex xanopna, nOJIYT:(eHHbIX sa CYTKH, rrpa HeYCTaHOBHBllIeHc.sr lIaKTal.\HH 6y.n:eT HH)Ke, qeM rrpa BCKapMJlHBaHHH CMeCbIO (H3BeCTHO, 'ITO npn OTHOCHTeJlbHOM nenoenaaaa 6HJlHpy6HH MO)f(eT nonaeprarscs 06paTHOMY BcaCbIBaHHIO B KHII1eqHHKe H BHOBb nocrynars B KpOB5IHOe PYCJIO). KaK 6bI TaM HH 6bIlIO, B reseaae nepsoir aezrena )!(H3HH Y neTen, BCKapMJlHBaeMbIX rpYAHbIM MOJIOKOM (S TOM qHCne JJ;OHOpCKHM), B 3 pa3a xanre orve-iaerca pa3BHTHe TpaH3HTOpHOH )!(elITYXH, 'leM y HX pOBeCHHKOB, nepeBe].l,eHHbJX no TOH HIIH HHon rrpnsaae na HCKYCCTBeHHoe nHTaHHe. Ho nyrarscs 3Ton CTaTHCTHKH He CTOHT:

AOKa3aHO, 'ITO pannee npaxnanusaaae K rpynn H nocnezryromee 8-pa30Boe KOpMJlemre B u;eJlOM CI-IH)KaEOT qaCTOTY pa3BHTHiI H creneas rHnep6HJIHpy6HHeMHH y HOBOpO)!(AeHHbIX. nHarHOCTHqeCKHM KpHTepHeM sroro rnna )!(eJITYXH 6y.n:eT CHH)!(eHHe YPOBH.sr 6HJlHpy6HHa aa 85 MKMOJlb/Jl H fionee npn npexpamenaa KopMlIeHHH rpYAHbIM MOlIOKOM aa 48~72 xaca. l.Iam,e nJl5I rrpoBe,n:eHH5I 3Toro TeCTa pe6eHKa He nepeBOn)lT aa HCKYCCTBeHHoe IIHTaHHe ].l,a)!(e aa 3TH nSoe-Tpoe cyTOK, .n:OCTaTOqHO npezrzrarart, eMY Cu;e)!(eHHOe MOJIOKO, rrpensaparensao aarperoe AO TeI-mepaTypbI 55~60°C H OCTY)KeHHOe no rearreparypsi rezra - 36~37"C. IIpH TaKoH o6pa60TKe 6HOJlOrHqeCKa.sr aKTHBHOCTb 3CTpOreHOB H npyrnx aemecrs MaTepHHCKoro MOlIOKa, KOropsre MoryT KOHKypHpOBaTb sa ¢epMeHThI nesenn. 3HaqHTeJlbHO CHH)!(aeTC)l, K AaHHOH rrpo6e nnorna npnfieraror, qT06bI HCKmOqHTb npyrae B03MQ)KHbIe npWlHHbI )KeJITYXH. TeT:(eHHe aroro COCTOHHHH nofipoKaqeCTBeI:lHOe, cnysaes 6HlIHpy6HHOBOH 3Hu;e¢aJIOrraTHH aa ¢oHe CHH,n:pOMa Apaeca He onacaao, rr03TOMY neqeHH.sr 06blqHO He rpefiyercs. a AeTH BrIOJIHe MoryT BCKapMlIHBaTbC5I rpynsio. reMOJ1HTHQeCKa5I )!(eJlTyxa B03HHKaeT npH rrOBhIII1eHHOM reMOJIH3e (pacnazte 3pHTp0JJ;HTOB), OHa MO)!(eT 6bITb OAHHM H3 npOHBlIeHHH reMOJIHTHqeCKOH 601Ie3HH HOBOpO)!(neHHblx (rEB), pa3BHBaIOmeHciI y pe3yc-rrOJIO)KHTeJIbHbIX nereii npa

9 MeCill1eB

pe3YC-OTpilUaTeJIbHDH xposn MaTep? B TalmX cnY'IaJIX B DpraHII3Me. MaTepH MDryT asipafiaTbIBaTbCJI aHTIITena nporas 3pIITpDUIITDB nnona, KDTDpbIe II pa3pYIIIaIDT UX. B KJIHHUqeCKDH KapTilHe reMDJIHTH'leCIWH 60JIe3HII - aHeMHJI (CHmKeHile ypDBHJI reMDrJID6IIHa II 3PHTPOUIITDB). rnrrep6IIJIHpy6IIHeMHJI. YBeJIIIqeHHe ne-reaa H Cene3eHKH. B TJI)I(eJIbIX CJIY'Ia5lX - DTe'lHDCTb TKaHeH. CKOrrJIeHUe JKIIAKOCTU B rrDJIOCTHX TeJIa. pesxoe CHH)I(enne MhlIIIe'IHDrD ronyca, yrnereane pecj:)JIeKCOB. )KeJITyxa 'lame scero rrOJIBJIHeTCH cpa3y nDCJIe pmKAeHHH UJIH B nepssre CyTKH )l(H3- HH. yposens 6HJIUpy6IIHa 6hICTPO aapacraer AD yrpD)I(aIDmHX UHcpP' llJIJI JIe'IeHHJI fEH xarne scero npmseasror oneparasasre MeTDAbl. K HIIM npexne scero OTHDCIITCH 3aMeHHoe nepennaanae KpDBil (3IIK). I1HOIAa TaK)I(e rrpHMeHJIeTCJI reMDCOp6UH5I. IIpH 3IIK Y HDBDpO)l(AeHHoro 3a6HpaeTCiJ KpOBh. conepxamas nDBblIIIeHHbIH ypoaeas 6HJIHpy6rlHa II CBU)l(eHHDe KDJIlI'·IeCTBD cj:JDpMeHHhIX 3JIeMeHTDB (KJIeTOK) KpDBH. a eMY rrepeJIIIBaeTCH KpDBb ,nDHDpa. 3a DP;HY nponenypy npDII3BDAHT saMeHY AD 70% D61.eMa KpDBH. TaKilM D6pa3DM. ynaeror CHH3UTh xorrnenrpanmo 6IIJIUPy6Hrra U rrpenornparrrn, nopaxeaae roJIOBHOlO M03ra. a TaK)I(e BOCCTaHOBHTb Beo6xDAHMDe KOJIHqeCTBO 3pIITpOIl,UTDB. nepeHDCJIlUIIX KHCJIOPOA. HepeP;KD rpeoyerca rrDBTDpHDe nposenenae nponezrypu. ecna yposeas 6HIIHpy6HHa BBOBh Ha'IHHaeT AOCTIIraTh KpIITII'IeCKIIX UIIcpP. feMOCop6[(WI rrpe,nCTaBJIJIeT cD6DH O'IIICTKY KpDBII DT 6IIllIIpy6HHa. MaTePIIBCKIIX aHTIITeJI II HeKDTDpbIX p;pyrHx BemeCTB nyreu DCa)l(AeHHH ax B cnenaansaoji yCTaHDBKe. IIPII HeTH)!{eJIOM Te'IeHHU fEH MDryr rrpHlllleB5lTbCJI MeTDAbI JIe'IeHHH. HCrrDJIb- 3YIDIT(HeCJI npa TpaH3HTOpHDH )[(eJITyxe.

KpDMe TDro. reMDJIHTH'IeCKaH )l(elITyxa MD)I(eT pa3BIIBaTbcH npH HaCJIeACTBeHHhlX 3a6DJIeBaHH5Ix. CDrrpDBD)[{AaIDmHXOI Aecj:JeKTaMil CTPDeHHJI MeM6paH. IIJIII <pepMeHTDB 3PIITPD[(HTDB, umI MDJIeKYJI reMorrrD6HHa. JIro6all II3 3THX rrpWIUH npUBDAUT It TIDBb]IIIeHHDMY pa3pYIIIeHHI{) 3PHTPD[(IITDB II. KaK pe3YJIbTaT. K PDCTY ypDBHJI 6HilHpy6HHa. )KellTyxa DTMe'IaeTCJI C rrepBbIX AHeH )[{H3HU. CDrrYTCTBYIDmUMU CIIMrrTDMaMU JIBJIJIIDTCJI aHeMU51. YBeJIII'IeI-me ceneseaxa. nuarHD3 CTaBHTCll no coBDKyrrHDcTH CIIMlITDMDB H 0.6- meMY aHanII3Y KpDBU. HHDr.na Tpe6yIDTCJI nononnrrrensnsre HCCJIeADBaHIIJI.

napeHXHMaT03Ha1l menTyxa Pa3BHBaeTCJI. npa nopaxenaa KlIeTDK nexeau IIHcj:JeK[(HOHBbIMll HJIH TOKCWleCKHMH areaTaMH. 'ITO npUBOAUT K CHI:DKeHHI-O UX cnoCD6HDCTH CBH3blBaTb 6llnllpy6rIH. Ha rrepaosr MeCTe B 3TDM p!'!,n:y CTOHT BHYTPUYTPD6HbIe

llHcj:JeK[(llll: [(HTDMeraJIDBIIpyC (DH 5lBJIJIeTCH rrpWH1HDH npmaepno 60% scex cnyxaes 3aTH)I(HDH )[(enTYXll Y rpYAHll'lKOB). TDKCDrrna3- Mm. J1HCTepHD3. xpacnyxa, Bl1pYCHbIe rerrarnTbl. KaK rrpasnno. Mblcnb 0. BHYTPUYTPD6HDH llHcpeKIU1I1 BD3HllKaeT rrpl1 pa3BHTUU 3aTJI)[{HDH JKeJITYXll (xorna ee npD,n:DJIJKUTeJIbHDCTb npessmraer 2-3 He,n:enH y nDHDIIIeHHhIX HDBDpD)I(neHHbIX II 4-5 HeAeJIb y MallblIIIeB. PD,n:I1BIIlHXCH He,n:DHDIIIeHHbIMll). a TaK)I(e npa HaJIH'lilil p;pyrux CllMlITDMDB (YBeJlH'leHHe rre'IeHll. ceneseaxa H nepadiepa-recxax llllMcj:JDY3JIOB. aaesraa (caaxenae ypDBHJI rejaomD6HHa B KpDBH). nOTeMHeHHe MO'IH II ofieo UBe'll-JEaHile KaJIa, rrpaanaxn nocnazrenaa B D6meM aHaJIII3e KPDBH (YBeJIl-I'leHlle KDJIll'IeCTBa JIeHKDumoB. nossrmeaae (03). lIOssnneaue ypOBH!'! rreseaouaux cJ:>epMeHTDB B 6HOXHMW!eCKDM aaannse KpDBll. ,UnH rroCTaHOBKll znrarnosa IIcrrDllb3YI-OT ceponornc.reCKHe peaxrran (D6HapY)KeHHe B KpOBH aHTUTeJI K BupycaM HJIH 6aKTepuHM). otiaapyxeHHe PHK ana llHK Bm6y;n:HTeJIJI MeTD,n:DM IIUP (rromnaepaaaas nennaa peaKuHH - MeTDA. nD3BDnJIromHH «BDCC03;n:aTb» llHK llJIU PHK rro ManeHbKHM q,parMeHTaM, xcropue D6HapY)l(HBaIDTcH B 6UDJIDrll'leCKHX )KU;n:KDCTHX llJIU TKaHHX Dp"aHH3Ma. IIDCJIe 3TDro lIDJIyc.reHHYI-O PHK HllH llHK IICCJIeAYIDT aa smrorrpnaazmeaorocrs (T. e. DlIpe,n:eJI!'!I-OT BH,n: sosfiyrnrrenn).

06TypallHOHH211 menTyxa

BD3HHKaeT B CBJI3ll C rpy6hlMH aapyureHIIHMll DTTDKa )[{eJI'Iu. D6cTpYK[(HeH (saKYlIDPIWfi) )KeJI'IHbIX nyreii. 3TJ XCeJITyxa pa3BUBaeTC5I npa nopoxax pa3BHTUJI JKen'leBbIBDp;HmllX rrpDTDKDB (arpesnax. aIIJIa3llJIx). BHYTpllrre'leHO'IHOH rHrrDnJIa3I-III, snyrpnYTPD6HOH )[(eJI'lHDKaMeHHDll 6Dne3Hu. cnasnem1JIX )l(en'lHbIX XD,n:DB orryxonsro. omApDMax cryinenaa )[{eJI'IH H ,n:p. Xapaxrepnsm rrpll3HaKDM 3TOIO BH,n:a )[{eJITYXll llBJIHeTCH )KeJITOBaTD-3eJIeHDBJThIH DTTeHOK KD)I(U. yseJIlltreHHe II ynnDTHeHue nexeaa, rrDCTDHHHoe HJII-I rrepaonnsecxoe D6ec[(Be'IHBaHHe Kalla. )KeJITyxa KaK KJIHHII'IeCKHH CllMrrTDM rrOJIBJIHeTCH HJ 2-3-11 nenene )l(ll3HU. llnH naaraoCTllKU rrpH MeHHIDTC5l pearrenonora-reocae MeTDAbI, 6HDnCIIJI (accnenosanae KycD'lKa TKaHH DDA MUKPDCKDTIDM, a TaK)I(e C rrDMDuisro pa3JIH'IHbIX 6HDXUMllQeC]([IX MeTD,n:DB). JIe'IeHHe 'lame scero xnpyprasecxoe.

B 3TDH crarse MbI nDcTapanHcb paccxasars

o HeKoTDpbIX caxnrx 'IaCTblX npn-mnax pa3- BHTIIJI )l(eJITYxu y HDBDpO)!{,n:eHHhlx. HaneeaOJ. DHa nD3BDrrUT BaM H36e)l(aTh HeHY)I(HbIX BDJlHeHHH. a B CJIY'IaJIx. xorna BaIIIH crpaxa He6ecrrD'lBeHHbI. 6bICTpee CDpueHTllpDBaTbCJI H BDBpeMH DDKa3aTh MaJIblIIIa crreUUaJIHCTY._'

• ncnxonoras co scsx CTOPOH

AneKcaHApa MOCKaneHKO nc~xo~br,

r. MocHsa

74

JIWl1.MHna CIfl1.ena II rpYCTHO cuorpene B OKHO. 3a OKHOM JIHJI TerrJIbIH HWHbCKHH l1.0JKl1.b,

«Hal1.o JKe, B03MO)KHO B ceurstipe. KOma H 6yl1.Y Y)Ke Kagan MoerQ MaJIblma, TOJKe 6Yl1.eT Hl1.TH l1.0)K,IP:', .. "l1.YMaJIa OI-Ia. Ho rpycTHJIa OHa He H3-3a L[OJKl1.H, Ha cepntie 6bIJIO HeCIJOKOHHO IJOCJIe zuepsuuuero pesroBopa C MaMoH. JIlOl1.MIIJIa ezrre pez HaqaJIa rrpoKpy,[HBaTb ero B rOJIOBe ...

- Korna TbI C06l1paelIIbC5I B p,eKpeTHblH OTIJYCK? - cnpocnna J1wP,y ee MaMa, Maprapnra IIaBJIoBHa.

- Hanepno. eII."(e nOBpeMemo C :;}H!M, - OTBenma J1rop,MllJIa.

- KaK 3TO - nOBpeMeHro?! Y::Ke aner 31-Ji He,n;eJIH, Te6e rropa orzrsrxare H Ha6HpaTbCB: CHIl rrepez; pop,aMH, a Tbl p,a::Ke He 6bIJIa B oxepezraoss ornycxe: - B03- MYII."(emiO nporosopnna Maprapnra IIaB.i1oBHa.

- Masra, B: qYBCTBYID ceda XOPOIIIO:.. - HaqaJIa JIro;O:MllJIa.

- Ox Y)1( MHe 3TH coapeuenmae nezroasre )1(eHII."(HHbl! TOJIbKO xapsepa aa YMe! Cxopo II ;o:eTeH sa OtPHCHblM CTOJIOM Ha~IHeTe pO)l(aTb! - BOCKJIHKHYJIa MaMa.

- Maraa, ycnoxoiica. rrO)1(aJIyHCTa. 51 - rJIaBHhIH 6yxraJITep. MHe c03;o:aJIH see YCJIOBH5I, Ka)1(;O:blH p,eHh MeHH 3a6HpaeT BOAI1TeJIh, OH )1(e rrpHB03HT AOMOH, ECJIll HY)1(HO yHTH pansnre - 6e3 sonpoCOB, ECJIH HY)KHO OCTaTbCH H pafiorars AOMa - TO)1(e nnorna MO)1(HO. qYBCTBYro H ce6B: XOPOIIIO, TaK rro-

qeMY 6b[ He patio rars? - rrpHMHpHTeJIbHO CK33aJIa JhO,l"(t,.1HJIa,

- MO)1(eT 6bITb, Tbi H aa pa60TY cpa3Y nOCJIe pOAOB Bb!Hp,elIIb? - He ycrroxaasanacs Maprapnra IIaBJIOBHa.

- KOHegHO. MeH.B: nOnpOCHJIn BbIHTH, KaK TOJIbKO 5I cxrory. H cxopee scero. KaK TOJIbKO llCTeqeT ztexpermra OTrrYCK H coenaaeansra C HHM O'1epeP,HOH, MHe rrpHAeTC5I BbIHTf'! aa pa60TY. II03TOMY B: 6YAY CTapaTbC5I KaK MO)1(HO nom-me pafiorars nepen poztaMIl, '1T06h1 rrOTOM ;O:OJIhlIIe 6bITb Y)1(e c MaJIbImOM, - (Ka3aJIa J1ID,ll,MHJIa.

- A rrOTOM C KeM peoemca oCTaBHTe? Hasepao, aa Hac c Bepon CeMeHOBHOH aaneerecsr - CrrpOCHJIa OlllapalIIeHHO MaMa.

- MbI .n:YMaeM. MaMa. Mu erne He YBepeHbI.

HO B03MO)1(HO MhI B03hMeM HB:HIO. Y Hac ecrs na npHMeTe )1(eHII."(HHa, OHa cefi=rac pa60TaeT y HaUlHX 3HaKOMhIX. OHa yxa)1(IlBaeT aa caMbIMH MaJIeHbKllMH ,l"(eTbMH. C pO)1(,ll,eHHB: H AO roro MOMeHTa, KaK OHH rroHAYT B ,ll,eTCKHH can, OHa oxens OrrhITI-IaH n zto- 6pa51 )1(eHII,"(HHa, Knpa II Carna 0 Hell OqeHb xoponro OT3bIBaIDTCH. I1x Onece B CeHTB:6pe HATH B can H HB:H5I rOTOBa 6YAeT nepeiirn K HaM, - 06blICHIlJ1a caryanmo nrop,MHJIa.

- Ho nosevy HMeHHO B CeHTB:6pe?1 Bern, ThI TOJIhKO pozraun- B CeHT516pe. y Te6B: 6yp,eT erne .3-4 MeClIl"(a nnepernr? - BOCKJIHKHyna Mapraprrra ITaBJIOBI-Ia.

9 MeCl1L\eS

- Bo-nepasrx, He XO'IeTGI reparr, xoponrero cnelJ,HaJlHCTa. OHa :IKe He fiyner Hac :lKnaTb, CH,n:H 6e3 pa- 60Th!. BO-BTOpbIX. H 3TO casroe Ba:IKHOe, y ManblIIIa 6YAeT BpeM5I npassncayn, K Heit Ii OH 6YAeT C HeM OCTaBaTbCH cnosoiiao, xorna MHe HY)KHO 6yneT BblXO.!\IiTb aa paficry B-TpeTbHX, OHa onbITHa51 H 6ygeT notaorarr, MHe aa nepnsrx nopax, "ITO-TO noncxasusarr; B-'IeTBepTbIX. 51 csrory nnorna OT,llOXHYTb, llMe51 TaKYIO nOMOlllHllUY - CKa3aJIa JIIOAMllna.

- Ho, JIIO):IO'JKa, nOqeMY HMeBHO WIHR? 5IIlO'JTH aa rreHCHH, MHe OCTanOCb rrOJIrOAa. ECJlH xoxems. 51 YBOJlIDCb II 6y.!\y CH.!\eTb C MallbIlliOM. H noncxaaarr, refie IlO yxozry 51 H Bepa CeMeHOBH3 CMO)KeM He xyxe KaKOM-TO H51HH. - 06[DKeHHO rrponsaecna MaMa.

- MaMa, MbI noxa He peumna, HO B03MQ)KHO MbI see :IKe CKJIOHIIMCR B IlOJIb3Y HHHH, - cxasana JIIO'[(a.

Massa nozrsana ry6bl II 06H)KeHHO npOH3HeCJIa;

- ,l:(a Y)K ... He O)KII,Qana, <ITO BbI TaR C HaMH nOCTYnIITe. Hano )Ke. IT BHYKaM CBOHM 6y)];eM He HY)KHbI.

JIFOJJ,MHlJa IIOIIpo6oBaJIa y6eJJ,HTb MaMY ee 06H)[(aTbC5I, HO MaprapHTa Ileenosne. BHJJ,llMO, 06HJJ,eJIaCb scepsez. Bcsope OHa yWJIa, XOJIOJJ,fIO ttonpotuseiuua; C JJ,O"lepbFO. Ii BOT JIJ:OJJ,MIwa BTOPOH JJ,eHb IIepe)KffBalJa, He znss; "ITO teneps JJ,eJIaTb. Ee pa3MbIUIJIeHHH rrpepBaJI TelJer/IOHHbIil 3BOHOK. ..

- 3)];paBCTBYH, JIID)];O'JKa, - YCJlbIllIaJIa JIIOAMHJla ronoc CBeKpOBH.

- 3)];paBCTBYMTe, Bepa CeMeHOBHa, - OTBeTHJIa OHa, He npe)];BnAH HII'IerO rrpnarnoro,

- MHe TyT TBOH MaMa 3BOHHJIa ... R XO~Iy YTO'IHHTh; BnI npaszra peIllllJIFr B3HTb HHHIO cpasy nOCJIe pQ)KAeHnH MalIbIIlla? - OCTopmKHO crrpocnna CBeKpOBb.

- MbI erne TO'IHO He OilpeAenHJIIiCb, HO AYMaeM, "ITO TaK 6y,n:eT JIY'Illie )];JIH scex, - OTBeTIIJIa JIIO,[(MHJIa H rrpHBeJIa Bepe CeMeHOBHe 're )Ke apryaearz.r, "ITO H CBoeM MaMe AHeM pansure. qYBCTBOBaJIOCb, "ITO CBeKpOBb TO)Ke paCCTpOIIJIaCb.

- Hy KaK :IKe TaK. JIIO)];OqKa? MbI )Ke - 6a6YllIKII, ponnsie AJIli MaJIbIllIa mozra, a BbI cooapaerecs nOlIHOCTbID AOBepHTb pefieaxa 'IY)KOMY '-IeJIOBeKY, - (DPOCHna CBeKpOBb.

- Cornacnrecs, Bepa CeMeHOBHa, 'ITO YXOA sa pe- 6eHKOM - 3TO e)Ke,llHeBHali. AOCTaTOqHO TH)KenaH pafiora, C yTpa AO sexepa. C BbIXO)];HbIMH ronsxo Tor-

na, xorna y Hac C BllTanHKOM 6YAYT nuxonasre. BaM C MaMOM erne no neHCHH oxono rona OCTalIOCb, a MHe HJ)KHO BbIXOAIITb aa pa60TY Y)Ke 'Jepe3 HeCKOlIbKO MecHueB nOCJIe pmKAeHIIH MaJIbIIlla, - nonsrranao, enre pa3 y6e,ll,HTb csexposs JIID;!lMHlIa.

- )Kallb. KOHe'-lHO. Ho BbI - pOAIITenH. H BaM pemars. KOMy AOBeplITb petienxa, - rpYCTHO cxasana Bepa CeMeHOBHa H. nocrrenrao nonpomaannrcs, noBeCHlIa Tpy6KY.

Ha cepJJ,Lfe y JIIOJJ,MMJIbI CTaJIO euie tsceenee. Tloxo)[(e, o6e MaMbI CMJIbHO 06MJJ,elJMCb M peIIIHJIH. 'ITO OHM renepu He HY)[(HbI HM JJ,eTHM, HH 6y.aymeMY BHyKY. Ho y JIJ:OJJ,MMJIbI em;e He 6bIJIO OKOHgaTelJbHOrO peIIIeHHH. B03MOJKHO. ecnn 6a6ymKH TaK 06HJJ,eJIIICb. TO OHM JJ,eHCTBHTeJIbHO 6YJJ,YT rOTOBbI yxa)[(HBaTb sa MaJIblmOM. gTo6bI II03BOJIHTb MOlJOJJ,OH MaMe IIOJIHOLfefIHO pa60TaTb? Ho Be.ab JJ,O store JJ,HfI JJ,a)Ke pa3rosops He 3aXOJJ,HJIO 0 TOM. gTO KTO-TO H3 6a6ymeK co- 6HpaeTcfI YBOlJbHfITbCH. HY)[(HO 6bIJIO gTO-TO peIIIdTb. JIIOJJ,MIIlla peWHJIa rrOCOBeTOBaTbCfI co csoeis lJoJJ,pyroil, KHPOH, KaK pas TOH, Y xoiopoii lJOKa pa60TaJIa <JYJJ,O-HHHH.

- Kapa, HallIII MaMbI 06II,ll;enllO" xorna R HM paccxasana. 'ITO penmna 6blCTPO BbIXO,ll,HTb na pa60TY rrocne pmKAeHHlI MaJIbHlIa. H 0 TOM, '-ITO Y Hac 6YAeT paforars HHHH .. - co B3,[(OXOM CKa3aJIa JIIO)];MHJIa.

- ,l:(a, !I Te61I nOHIIMaIO. Y Hac TO)Ke CHa'ialIa rax 6bIJIO, - OTBeTIIna Knpa.

- H 'ITO )Ke BbI c.a:elIaJIll B ':'lTon cHTyaIl,HH? - cnpocana JIID,ll,a.

- Haura 6a6YIllKH TaK yroaapnsana Hac. 06emaJIII, '-ITO 6YAYT yxa)KHBJTb sa MaJlbIlliOM, "ITO H cMory xepes TpII MeC!IIl,a enOKOMHO BbIMTH na pa60TY, TOJIbKO HY)KHO xyrrars MOlIOKOOTCOC H coxpamrrs MOJIOKO. MbI OTKa3alIHCb OT TOM HRHH, KOTOpyIO Y)Ke HaIlIJIII. Ho nOCHe pO:IKAeHHH peumnocrs 6a6ymeK courrra aa «HeT». CBeKpOBb crana rrnoxo cefia 'JYBcTBOBaTb II 0;:a3a11a, 'ITO CMO)KeT noseorars HaM TOJIbKO napy paa B aenemo, a y MaMbl npH BCen ee pellIHMOCTH npaXO.a:IITb Ka)KAbIM ,ll,eHb Ha'JalIII B03HHKaTb KaKHe-TO HeOTJlO)KHble AelIa: TO caHTeXHHK AOlI)KeH npairrn, TO B Mara3HH aa rronnas. TO rOCTH H3 npyroro ropozta npHeXaJIII aa HeAeJIIO, TO sooome peMOHT saresna ... CKOJIbKO H HH HanOMHHalIa HX 06ellIaHH!I. ace 6bIlIO ...

Ee pa3MbIWfleHV151 npe psan renecjJOHHbltlr 3S0 HOI-C..

. ~

Bn ... ~,,,, .. ,,,,,,,

. _. ... .

"PA&OIlAR TETPAAb AnR &YAYIIIMX MAM.)

nepBoe TeMan,qeCKOe np~nO}KeH"e K )f(ypHuny «9 MeC",-,eB»

I(PA50'l.A,5! TETPAAb Ai\5! 5YAYLUVIX MAM» - 3TO He npocro YHVlBepCOAbHoe MeTOAVI~eCKOe nOC061.18: 3TO ;eCT HO BOUJY • rOTOBHOCTb K MOTepI.1HCTBY,. OIHblH8 Bbl noxv-rcere YHf1KOAbHYIO B03MO)KHOCTb CaMOCTO~TeAbHO npoi;jm kY,PCbIIlO 'nOArOTOBKe K pOAOM! 88 rlo~oc>~pynHoro CPOPMOTO BKAIOYOIOT B ce6~ 6oAbwoe KOIIV1yeCTBO crorea 1-1 cnRoBO~HbIX MOT8PVlOIIOB no COMblM p03Hoo6p03HbiM ocnexro,v, 6epeM8HHOCH1, POAOB VI YXOAO 30 MAOAeHueM. 'taeUl10l\bHble

I nOAOCbl AA~ 30nk\CeH 1l0~3H6i;j k\HC:P0PMOU"VI VI AO)Ke AHeBHf1K. KOTOPblH ClOHeT snOCAeACTBVlVJ np~nHblM

"! BosnOMVlHOHI-18M 0 COMOM CYOCTM1B!JM VI. K CO)KOAeHMIO. -CKOPOT8~HOM nepI-10Ae >K1-13HI1 >KeHw,V1Hbl.· KO>KAbIH p03Aell CH,?Oll$.eH cpOTOrpocpl-'i~MI-1. PI-1CYHKOMK. cxe OMI-'i. Koropble_cVlCT8MOTK3VJPYIOT MOTepVlOllbl V1 n03S0A~IO].lIy~we 30nOMHVlTb Heo6xOAVlMYIO VlHCPOPMOUVlIO. GC0608 BHt'lMOHk\6 YAeAeHO eonpocov, H0l-160l\ee ~OCTO BbI3bIBOIOW,VlM rpesorv y

6YAYuiVlx MOM:'CPM3MOAOrVlyeCKVI'l;''l1 nCk\XO~Ow~eCKf1~ f13MeH8HJ.1~M )KeHCKoro oprOHVl3Mo BO B8e£!~ 6ep¢,MeHHOCTVI.

~ 8HYTPk\YTPo6HOMY P03BVlTVlIO p86eH~o. OCHOBH.bIRi!lPMHUI-11l0M nk\TOHI-1~ HO IlpOH)KeHVIVI AeB~TH Mec~u,_eB~ nepi1oAI-130UI-1"

~.I pOAoe 11 nOB8AeHVlIO pO>Ke~IHUbl. Bo3MQ~HbIM OC"O)KH8HC1~M BO BpeMfl VI nOCIIG pOAOB. rr::.YAHOMY BCKOp.~I\k\Bal-\;~1O ~XOAY

"-1 "'-_30 HOBOPO>l<A8HHbl.M. ,IOpVlAVlyeCKMM acneKTOM. BblCOKoe KOY8CIBO MOTe~06/u \ \,,"\

C~ I(PA60'lEVl TETPAAVl AA5! 6YAYLUVIX MAMl). KOK M uccrz,u. 06eCneY8HO HOYYHbIM~ i'iQ!;!CYllbTOHlOMI1. KOTOpble ~BA~IOTe~

a ._ .... D~;.II •• lIlill •• -: BeAyw,VlMVI CneUVlOJ\l.1CTOMV1 S'06AOCTVI MOTepVlHci'Ba"i;1 AeTCTSO. ./ •

~'- ,.,,_ '" - ~

:1! ."".. 3UKU3UTb .qOCTUSKY JlCypHanOB KYPbepOM MO)f(HO no rene OHaM: ~.

MocKsa (495) 229-85-27, C.-ne;::';6ypr (8J2) 53-5-32-01, 8-9 J~iF50-32-0r.

9 MeCllLjeS

7

• ncaxonorua

Horna 6a6ywK(Il aansI{)TOI «rflaBHbIM!l1 no YXOAY», HepeAKO OHV1 nepecraior npV1CJlYW!t1- BaTbCfI K AOBO,[laM poAIllTeneV1.

6e3 TOIIKY. Msr see no-rm rrepeccopHIIHCb. Mae rrpurnJIOCb CPO':lI-IO HCKaTb H5i:HfO. H JI O'IeHb pana, 'ITO MHe 3TO yztanocs, - sasoaxana CBOH paCCKa3 Knpa.

- )lYMaeWb, HaM Bce )Ke CTOHT B3JlTb HJIHIO? - cnpocnna JIfO;UMHlIa.

- )lYMafO, 'lTO na, TOJIhKO BaM Hy:>KHO 06nJICHHTb MaMaM, 'lTO OHH O'IeHb HY)KHhl BaM M BHyKy. CKa)KMTe, 'lTD OHH MoryT B lIIo60e BpeMH rrpaxonrrrs K BaM H 06maTbCH c MaJIhIIIIOM, .n.a)Ke ,ll,HeM, xorna 6y):(eT paoorars HHHH. LITO Bbl C YBa)KeHHeM OTHOCHrecs K MX.MHeHHIO H 6y):(eTe cnpanmaarr, HX cosera, HM HY)KHO anars, 'ITO ORU 6YIJ:YT aa)KHbIMH J1fO):(bMH a )KH3HH MaJIhIWa, - rrOCOBeTOBaJIa Kapa,

lIoclIe pssroeops JIrop;MITJIa BOOP;YllleBHJIaCb, ee Hdctpoenne CTaJIO topesuo ny-nue. Ous JIoroBopHJIa C MylKeM BHTalIueM. IT OHIT petuene npHrlIaClITb CBOHX pomrieneii B eocepecense B roctn IT nee C HHMH erne pa3 06rOBopHTb. Korzra HaCTYIIHJIO socspecense H see co- 6paJIUCb 3a 06mHM CTOJIOM, BHTaJIHH HaqaJI pa3roBOp.

- Msr C JIIOIJ:OH rrO,ll,YMaJIH H see )Ke penrana B3JITh HHH1O. 51 oxeas rrpowy OTI-IeCTHCb C nOI-lHMaI-lHeM K I-IailieMY peuremno. Msr npHI-IJIIIH era nOTOMY, qTO CH1TaeM ::lTO rrpaBHJIhHblM. Jlrozta. K CQ)KaJIeHHIO, He MO)KeT OCTaBHTb CBOIO pa60TY Ha):(OJIrO, H Mhl He MOrJIH Tpe60BaTh OT sac. 'IT06hl saura )KH3Hb 6bIJIa rrOJIHOCTbfO rrO):('IHHeHa MaJIhlwy. Bsr patioraere. IT 6ynere JIH BbI rOTOBbl OCTaBHTh see U e:>Ke,ll,HeBHO CHp;eTb C pe6eHKOM? MbI peWHJIH, 'ITO 6yp;eT npasansaee rropy'IHTb 3Ty pa60TY HJIHe, - aasan BHTaJJHH.

- LITO )Ke, Mbl rerreps BOBce 6y):(eM He HY:>KHbI? - mpOCHJIa Maprapirra IIaBJIDBHa.

- A MO:>KeT 6bITb, BhI. HaM He nosepaere? - rrpop;OJI:>KHJIa Bepa CeMeHOBHa.

- Hy 'ITO Bbl, KOHeqHO. HeT! MhI nac scex O'IeHh JIIO- 6HM, H BbI scerna fiynere HY)KHbI HaM H MaJlblIIIy. IIpoCTO B CHTyarrHH, xorrra y Hac 6y;o;eT paoorars HHHH,

76

BbI CMO:>KeTe 06maTbCJI C HHM rorna, xorzra BaM 6yneT yP;06HO, a He no 061I3ar-U-IOCTH. BbI CMO)KeTe nponon)KaTb patiorars. ofimarscs co 3HaKOMbIMH. Bbl He 6ynere CJIHIIIKOM YCTaBan, Msr scerzra pansr BHp;eTh sac y Hac B rOCTHX, - npO):(OJI)KHJIa JIfOnMHJ1a,

KOHeqHO, 6a6YllleK y.n;aJIOCb y6ep;uTh He cpa3y Ho nop;YMaB, OHH COrJIaCHJIHCb. qTO 6yp;eT yp;06HO, Korp;a OHH caMH cuotyr JIJIaHHpOBaTb BpeMR IT penrars, Korp;a HM HaBeCTHTb MaJIblma. HaCTpOeHITe 3a CTOlIOM H3MeHHJIOCb, obtuee HarrpRlKeHHe yumo. Bce rrpHHJIJIHCb o6cYlKP;aTb csopoe pOlK)J,eHHe. Ilo rrpomeCTBHH .n;BYX MeCRL{eB JIrop;MIiJIa pOp;HJIa 3P;OPOBoro uenuui« HHKHTY, H eii crsns tiouorers HJIHJI HpHHa Iletposns. A etue JIO HCTeqeHHH uerupex MeCRL{eB OHa BepHYJIaCb Ha peiiory. Ea6YIIlKH qaCTO JIPHXOP;llJIll B rOCTH, HrpaJIIT C uensuuou. aHH YJKe He 06HlKaJIHCb H rOBOpHJIIT 0 TOM, 'ITO TaKoii BapHaHT HM. B 06meM-TO. HpaBHTCH.

A 'ITO AYMalOT ncuxonOnt? 3ppeKT 6a6YillKH

IIpeI-IMymeCTBa 6a6ymKI-IHOrO yxona sa BHYKaMI-I HaCTOJ1bKO O'IeBH,I:(HbL 'ITO HeT HY:>K;UbI HX IIepe'II-ICJIliTh. MbI )Ke OCTaHOBHMCJI na B03MO)KHblX «IIO;O;BO,[(HbIX KaMHJIX» 6a6YIIIKI-IHOH rrOMOmI-I, '!T06hI M0J10):(hIe pOnIITeJIH MOrJII-I IIX Y'IeCTh. IlJIaHI-IpyH pacrrpeneneane 065l3aHHOCTeH IIpH yxone sa MaJIbIlliOM.

HaCTJI. 25 J1eT: ",aJIJI roro ,{T06h! yxa)KHBaTb sa MaJIbIIIIOM, MOJI MaMa BblIIIJIa na rreHCHIO. Msr C MY)KeM npep;JlO)KHJ1H rronnepxanart. ee MaT!':pl1aJIbHO, pa3 Y)K OHa IIOTepJIJIa co6CTBeHHbIH ,[(OX.OP;. Ho MaMe 3TO noxaaanocs HenpaBHJlbI-IbIM. O;UHaKo 'Iepe3 HeKOTOpoe BpeM5l OHa cxasana. 'ITO XO'IeT BepHYTbC51 na pa- 60TY, TaK KaK neaer ell He XBaTaeT, MbI CHOBa npenJIQ)KHJIH eH MaTepHaJIbHYIO nOMOIIl,b, HO OHa CHOBa OTKa3aJIaCb, IIPHlllJIOCb HaM HCKaTb HlIHIO».

KaTR, 23 rop;a: «Korna H BblIIIJIa aa pa60TY na nOJIHbIH nem, c Kaprourefi OCTaJIaCb MOH CBeKpOBh. K CO)KaJIeHHW, rrO'ITH cpasy Me)K;UY HaMH nOIIIJIH CTOJlKHOBeHHlI. 51 rrpOCHJIa ee rrpHnep)KHBaTbCH rex rrpHHIJ;HrrOB yxona H BocnHTaHHJI, xoropue Ka3aJIHCb MI-Ie rrpaBHJlbHbIMH (nanpauep. rrpOCHJIa He nepxart, pefiemca B neneaxax. TaK KaK y Hero cpasy nOJIBJIlIJIHb onpeJIOCTH, a TaK)Ke He ):(o6aBJI51Th B KaIIIY caxap). Ho csexposs cxasana. 'ITO OHa TpOHX BOCnHTaJla, II HHqerO, nee HOpMaJIhHO BblPOCJIH. IT eCJIU Y)K DHa Haxop;IITClI 60JIbIIIYfO 'IaCTb nHJI c MaJIhIIIIOM, TO OHa H 6yneT peman, KaK yxaxnsarr, H aocrnrrsrnar's. CeH'IaC Mbl 06p;YMbIBaeM sorrpoc, He B31ITb JIH HaM HJIHIO».

MapHHa, 27 JIeT: «Haura 6a6YlllKa ropena :>KeJ1aHHeM HJIH'IHTh BHy'IKy. EIIl,e no roro KaK Mbl Ha'IaJIH rrJIaHHpOBaTb pefieaxa, OHa rrOCTolIHHO cnpaumsana, xorna )Ke Mbl, aaxonen, cnenaex ee 6a6ywKoH. Y3HaB o 6epeMeHHocTH, cpasy CKa3aJIa, 'ITO BO BceM nOMO)KeT H tiyzrer mp;eTh C MaJlblIIIOM. Msi P;OBepHJIH eH BHy'IKy, H 1I 'Iepe3 nonrona asnnzra aa pa60TY. Ho OKa3aJlOCb. 'ITO 6a6YIIIIza, no ee CJIOBaM, «He paCC':IHTaJIa CBOH CHJIb1», H 'Iepe3 TpH MeCJIrra OHa OTKa3aJIaCb OT H):(eH rrOCTOlIHHorO yxona sa BHY'IKOH. IIpHIIIJIOCb MHe CHOBa YXO;UHTb B OTIIYCK no yxoP;y sa pe6eHKOM». ...

• ncuxonorna co BCEX CTOPOH

Pe6eHOK CKnOHeH npnB.R3blBaTbCfI j{ -renoseKY, I{OTOPbli1 yxa}l{l.1 saet 3a HV1M sees ,o,eHb.

IiTaK, nanasre TPY)J,HOCTH MorYT Q)KH)J,aTb MOJIOrrsrx pO,llHTeJIeM, ,n:OBepHBllIHX pefienxa 6a6YllIKe, IIOpOM 6a6YllIKH nerxo naror 06eru:aHHH. HO TaK)Ke JIerKO HX nOTOM 3a6HpalOT, CTaBH MOJIO)J;YIO MaMY, y}[(e ycnesuryro BbIHTU aa paocry, B xpariae HeY)J,06- Hoe nOJIO}[(eHHe. Tatoxe aepenxo 6a6YIIIKU B cHTyaU;UU, xorna OHU 5IBmIIOTCiI «rJI3BHbIMH no yxony». nepecraror npHCJIYllIUBaTbCiI K ,llOBO,llaM pomrrenea. Ilopoa 3TU SOIIPOCbI 6bIBalOT HaCTOJIbKO npUHU;UIIUalIhHbI, 'lTO pO,lJ;HTeJI51M npHXO,llHTOl HCKaTb HHHlO. Taroxe M3TepH3J1hHble sonpocsr 6bIBalOT O'leHI, B3)KHbI, H 0 HUX ny-nire )lOrOBapHBaTbCiI 3apaflee, see )Ke npcnnaraa 6a6YIIIKe MaTepualIbHYIO nO)J,,[(ep)KKY, oc06eHHO, eClIH OHa nposcasaer OT)J,elIbHO OT MOlIOmrx pornrrerreji.

A MOJKeT 6bITb HHHH?

H5IHiI B HaCT05Iru:ee BpeM5I - 3TO oereHh BOCTpe6oBaHHaH IJOMoru:HHu;a AlI5I M0J10,lJ;bIX MaM, oc06eHHO B GlTyaU;HH, xorna IlOMOIu;I, 6a6YllIeK orpaaaseaa. Koae-rno. yxo,n: H5IHH TaK}[(e HMeeT CBOU npellMyru:eCTB.a H He,n:OCTaTKH,

Ilpeasryrnecrsa yxozra HlIHH B TOM, 'ITO OHa lIBlIlIercs HaeMHbIM pa60THHKOM H ,llOJI)KHa HCrrOJJHlITb YKa3aHHlI pO)J,HTeJIeH, YBa)KaTb ax socmrrarensnyro n03llU;HIO,

TaK)Ke rrpeHMyru:eCTBOM lIBJIlIeTC5I TO, 'ITO H51H51 HMeeT CrreL\HaJIbHOe 06pa30BaHHe: Me,n:HIl,HHCKOe, IIegarOrH'IeCKOe HJIH nCHXOlIOrU'IeCKOe, eCJIH asr- 60p HlIHll ocymecrnnserca xepes areHTCTBO. HlIHIO 6e3 06pa30BaHlllI peKOMeH'[(yeTC5I 6paTb TOlIbKO, eClIH nama 3HaKOMble XOPOllIO OT3bIB3IOTCH 0 ee npoipeccaOHaJIbHI,IX cnocofiaocrax H OHa HMeeT onsrr YXO.!1a sa ,lleTbMH, 'ITO n03BOJIHeT pO)J,HTeJIiIM Ha.!1e51TbClI aa TO, 'ITO HX pe6eHOK HaXOnHTClI B Ha.!1e)KHI,IX pyxax. KoHe'lHO, HaCKOJIbKO MOJKeT pacrrpOCTpaHHTbClI 3TO .!10- sepne, CTaHOBHTC5I rrOHlITHblM JJHllIh B npou;ecce pa- 60Th! KOHKpeTHOlr H51Hll,

78

H5IH51i B03MQ)KHO. 6Y.!1eT 60JIee 06.il3aTeJIbHa. Hanpnuep, B cHTyaU;HH. «orna 6a6yIllKa MO)KeT n03BOJIHTb ce6e onosnars. HlIHlI npnner BOBpeMH, nOCKOJII,xy AJIlI nee 3TO 5lBJIlIeTC5I pafioroii,

Ho y peIlIeHHH B nOJIb3Y HlIHH raxsce ecrs CBOH He,n:OCTaTKH.

Ilonnne, ,30 net: «KOHeqHO, H5IHlI naer MHe B03MO}[(HOCTb paoorarr, II nenars xapsepy. Ho 3TH aarparu ,n:OCTIlraIOT 60% Moero noxonal H5IHlI - 3TO noporoe y,n:OBOJIbCTBI1e».

JIH3a, 24 ro,z:ra: "HaM npHllIJIOCb CMeHllTb HeCKOJIbKO H51Hb, noxa Mhl He HallIJII1 TY, KOTopalI Hac YCTpaHBaJI<l. Ilepsaa CTpeMI1JIaCb B31ITb y Hac pefieaxa. naxe He noMbIB PyKH rrOCJIe ;o:oporH, Y BTOPOH 6bma HaCTOlIbKO nenpasnnsnaa peerb, 'lTO y Hac nOlIBI111HCb onaceaas. QTO pe6eHOK, BflHTbIB3lOru:HH B ce651, KaK ry6Ka, aaxHeT nepeamaars see 3TH CJIOBe'lKH. 11 TOJIbKO rpersen naae MbI peurazra zroseprrrt, csoero IIaBJIHKa».

CBeTa, 31 ron: "KaK-To 5I BepHYJIaCh C pafiorsr B HeypO'IHOe BpeM5I, OTKpbIB zrseps CBOHMll KJIIO'IaMI1: H.ilHll cnoxoiino CMOTpeJIa TeJIeBH30p, a MaJIblIll 3aJIHBaJIC>l KPHKOM B CBoeH KpOBaTKe. KOHe'IHO, Mbl TyT )Ke paCCTaJI HCb. ,[(0 sroro OHa npopafiorazra y Hac HeCKOJIhKO MeC5IIl,eB H flPOH3BO,llllJIa Brre'IaTJIeHHe O'IeHb rrpH51THOrO xezroaexa».

BI,I6upa5l H5IHlO, pO,llHTeJ15IM, KOHe'lHO, Hy%HO KPHTH'lHO onenars ee KaK cnennanacra H K3K qeJIOBeKa. B03MO)KHO, BaM npIl.!1eTC5I BCTpe'IaTbC5I C HeCKOJIbKHMH KaH.!1H;o:aTKaMH, npesore 'leM Bbl CMO}[(eTe onpezreJIHTI,C51, qTO )[(e KaCaeTC5I IIpHBiI3aHHOCTH pefierrxa K HllHe, TO OHa 'laCTO B03HHKaeT Aa)Ke B TOM cnysae. xorna H5IH5I ,lJ;eMcTByeT 3TllqHO H CTapaeTCH HCKJIIO'lHTI, 3MOUHOHaJIbHYIO npllB1I3aHHOCTb Me)K,n:y C060B H MaJIbIllIOM. Ho pe6eHOK, oc06eHHO M3neHbKlln, see paBHO CKJIOHeH npHB1I3bIB3TbClI x=renoeexy. KOTOPblM yxa)KllBaeT sa HI1M sees neas. MaMbl 'laCTO peBHYIOT naxe 6a6yllIeK, TaK 'ITO }[(e rOBopHTb 0 npHB5l3aHHOern K cpaKTHqeCKll qy)KOMY qenOBeKY! ,[(eJIalI Bbl60p B rrOJII,3Y HlIHH, HY)KHO 6bITI, rOTOBOH K TaKoH C1nyaIl,HI1, H qT06u rrpencrnparrrn, ee, ynenars MallbIIlIY CTOJIbKO BpeMeHU, CKOJIbKO nonysaerca, COXpaHiIl'I BhI(OKOeKal.JeCTBO ofimenna C pe6eHKOM.

TaK xoro JKe BbI6paTb?

Peuras sonpoc. C KeM OCTaBI1Tb MaJIbIllIa, C 6a6ymKOB HJIH Hl'IHeH, HY}[(HO llCXO,n:HTb H3 KOHKpeTHOH CHTY3Ulll1. BaM npH,n:eTC5I yxecrs MHO}[(eCTBO CP3KTOPOB: oc06eHHocTH JIH'IHOCTll KaK 6a6YIIIKH, TaK H HlIHH: COCTOlIHHe ee 3AOPOBb5l, rOTOBfIOCTb yBa}[(UTeJIhrIO OTHOCHTbClI K saurejay MHeHHIO, nyaxryansHOCTb H 065I3aTeJIbHOCTb, BaM HY)[(HO 6Y.!1eT onemrnc06CTBeHHoe MaTepHalIbHoe nOJIO)KeHHe: eClIH BbI B03bMeTe H5IHIO, 6YAeTe .JIH BbI rOTOBbl aa npo,[(OJI)[(HTeJIbHOe COTpy,n:Hll'IeCTBO, XBaTHT lIll BaM cpencrs? OueHHTe ace «sa» H {(npOTHB» H npm-nrre c06CTBeHHoe peinenne. Ho He 3a6bIBaMTe: KTO 6bI HH YX3)!(HBaJI sa BaIllI1M pe6eHKOM, 6a6YllIKa JJH, HlIHl'I JIH, BaM npanerca CTPOHTb C 3THM 'leJIOBeKOM ,n:OBepHTeJIbHue OTHOIlleHHJI, 6bITb rOTOBbIMH K KOHCTPYKTHBHOMY o6w,eHHEO pann ofiniero nena. C'IaCTb51 saurero

MaJIbIllIa, _ __ ~ •

EiepeMeHHOCTb - 26 HeAeJlb, Ha Y.3L1 nocraaaJlVI AVlarHo3 - HVl3KaSl nnaueurauua. FI orpaua- 4V1Jla Ce6Sl 80 BteM: HVl4eM ce6Sl He HarpymalO, 60lOCb caenars nauruee peaxoe ABll1lKeHVI e, nOJlHbliil nonoaoa nouoa, Mom:eT MHe He CTOVIT TaK ce6S1 orpaHVI.4V1BaTb, ecnn y MeHH OCTaJlbHble noxaaarena B npeaenax HOpMbl?

POAbl npourna C BHyTpeHHIIIMIil pa3pblBaMVI III HapY}l{HblM paspeaow. Caanorre, xorzta MomHO Ha4111HaTb 3aHlilMaTbCSl ceKCOM nocne pOAOB?

Ha Y3V1 MHe nOCTaBIIIJlIII CpOK 6 HeAeJlb, a rlllHeKonor no nocneAHIilM MeCSl4HbiM cxaaana, 'ITO 6epeMeHHOCTb - 8 HeAe!lb. 4eM 06YCJ10Bneua pasaaua?

KaKllle aHaJlVl3bl He06xOAVlMO caenars, 4T06bl nposepars aYTOIIIMYHHble nplll4L1Hbl HeBblHaWIilBaHlllfI? VI ecnu OHIII, 06Hapym1llBa1OTCH, TO 4eM IiIX KoppeKTVlpYfOT,KpOMe IIIMMYHOrJl,O- 6yJlIII Ha?

Ii KOHCVflbTALI,V1V1 CDEll,V1AflIt1CTOE r'1HEKOnOI

B 60JIblllHHCTBe cnysaes HOpMaJIbHbIM paClIOJIO)!(eHHeM IJJIaIl,eHTbl IJPHHlITO C'If-naTb ee paCrrOJIO)KeHHe aa 6-7 CM BhIIIle BHYTpeHHero sena. KaK lIpaBHJIO, lIJIaUeHTa MurpHpyer (nonaaraaerca) saepx no 34-35 nenezn, 6epeMeHHocTH. BeJIHKa BepOlITHOCTb Taro. qTO IIJIaIl,eHTa Y BaC"IIO;n;HHMeTGl»,qTO xacaercx Mep npe,lJ,OCTOpmKHOCTH, TO BbI ace ,lJ,eJIaeTe lIpaBIIJlhHO - HY)!(HO orpaHH<J:HTb c:pH3H<J:eCKHe HdrpY3KH. B 30 nenerrs nOBTopHTe Y3il ,IJ)HI. onpenenenns paclIOJIO)!(eHH.SI lIJIaIl,eHThL

B lIOCJIepO,lJ,oBOM rrepnone ae06XO,l.(HMO 06H3aTelIbHoe noceuienne rHHeKOJIora KaK MHHHMYM 2 paaa (B pannen nOCJIepO,l.(OBOM rrepnone - 'Iepe3 7-10 ;n;Hen nocne PO,l.(OB H n03,1J,HeM nocJ1epOp;OBoM lIepIW;IJ;e - <J:epe3 1-15 MeClI~ ua nocne P0,lJ,OE). TaKJKe Heo6xo,lJ,HMO E reseane 2 He,lJ,eJIh lIOCJIe POP;OE EhIIIOJIHHTb Y3M MaJIOrO Ta3a P;J11I OQeHKH COCTOlIHII51 MaTKII, IIpH 6J1arOnpllJITHO npo'rekajoureta rrOCJIepO,l.(OEOM nepnone. 3a)!(IlBneHllH paaensrx nosepxROCTen, EOCCTaHOEJIeHIIll pasiaepoa MaTKII II npn OTCY1:C1:Ellll nporanorroxasaaaa K rronosofi JKH3HH, xo'ropsre onpe,lJ,eJ1JIeT rIIHeK0J10r. MOJKHO Ha'iaTh nOJIOEYIO )!(ll3Hh crrycrs 15-2 MeClIQa nOCJIe pO,lJ,OE,

Bpas YJIhTpa3BYKOEorr ,l.(lIarHOCTIIKII E nepBOM TplIMe~ crpe 6epeMeHHocTll npa onpeneneann pasxrepoa rrnozra YKa3hIEaeT CpOK 6epeMeHHOCTll OT 3aqaTlIfL Bpa-r )Ke r nHeKOJIOr. Ha6rrlOP;alO~lIrr 6epeMeHHOCTh, scerzta C'IIITaeT CpOK 6epeMeHHOCTll no p;aTe nepBoro P;HJI lIOCJ1e,n:Herr MeHcTpyaQmL

3aqaTlle nponcxonar B cepezraae WU{J1a (12-16-rr AHH). (0- OTEeTCTEeHI-IO. CpOK 6epeMeHHOCTll no 3a<J:aTIIIO II lIO Y311 3aKOHOMepHO paCXO,IJ)lTOl na 2 aenerra.

,lJ,lIarHocTIIKa nOAo6HhIX ¢aKTopoB HeBbIHaWI1BaHII5! 6epeMeHHocTH ocyw:ecTBJIHeTC5I cneQl1aJ1bHbIM llCCJIe;n;OEaHIIeM KpOEH - I1MMYHorpaMMon, rne BhIHBJIJIIDTCJI noasnneansre l(Hc:pphl l(IITOTOKCII"!eCKI1X KJIeTOK (KJIeTOKKIIJIJIepOE): CD8. CD56, CD16, Ilpn EhIJIBJIeHfIll BbICOKllX QIIC:PP KJIeTOK-KIIJIJIepOB l1MMYHOTepaTIWI MO)](eT nOMO"!b nOEhICIITh IIlaHChI BhIHaillHEaHIIH. OCHOEHon MexaHII3M AenCTEHlI HMMYHOrJI06yrrHHoB 3aKJ1IO'IaeTClI BCTa6I1J1H- 3al(1I1I (astpasaaaaann) IJOKa3aTeJIerr IIMMYI-IHTeTa. JlexeHHe EHyTpHBeHHhlMH HMMYHorno6YJ1IIHaMH (IVIg) lIOMOraer coxparrars 6epeMeHHOCTh yxemnan C noasnnenasna ypOBHeM KJIeTOK CD56 E KPOBll, Heo6xOAIIMO cnars KPOEb na pacnrapennyro llMMYHorpaMMy. 113MeHeHI1JI B lIJIa3~ MeHHOM II TPQM6.0r:J:nT~pHOM 3EeHe EKJIIO'IaIOT ,lJ,ec:peXThI CEepTbIBaIO~erI EIIQ:weM:bI KPOBII, aHTHc:pOCC:POJIIIlIIIAHhln CHHAPOM (ayt0T.1MMY,HHhle lIpOQeCChI). I1P1l3TOM MorYT

JlaBilA Aitpanl!TOB

Bpay aKywep-r~HeKonol mHeK.onor-3HgoKpM Hom l{aHA, MeA, HaYK.

L Moc~Ba

~

«con Hell HOIl1» KOCMeTII1KII1

AHHa MaprOnltHa Bpa'l-6"ocP"3"K

80

Enre Bpa'IH ApeBHOCTH 3HaJIH. 'ITO YMepeHHOe COJIHeqnoe ofinyxeaae rroxroraer 06JIer'-lIITb rexenae MHorHX KO)KHhIX H nayrpenanx 3a60JIeBaHHH. XOPOlllO H3seCTHO TaK)Ke. '-ITO IIO,U BJIH5IHHeM COJIHua B cerxarxe ['JIa3a CHHTe3HpyeTC5I HaTypaJIbHbIH aarnnerrpeccaar MeJIaTOHHH. a B xoxe - He06xo,UHMhIH opraHH3MY BHTaMHH D. Op;HaKO COJIHe'lHble JIY':IH MO[,YT T3IOKe crroc06CTBOaare pa3BHTHID psna onyxorreii KO)KH. BKJIIOqafI HaH- 60JIee orraCHYEO q,0PMY - MeJIaHoMy. A IIpH rrpop;oJI)KHTeJ1hHOM H HHTeHCHBHOM COJIHe'lHOM H3JIY'leHHII B KO)Ke HaKaI1JJl1BaIDTCll rrospexnerraa. rrpanonsmae K rrpe)Kp;eBpeMeHHoMY cTapeHHID - q,oToCTapeHHEO.

,[(JI5I 'roro 'ITo6hl 06Ill,eHHe C COJIHl~eM He rrpHHOCHJIO spena. KOCMeTH'IeCKa5I nposrsnnzrenaocrr, rrpennaraer IIIHpOKHH accopranenr C3MhIX pa3Ho06pa3HbIX COJIHue3arn;l1THbIX cpencrn, xoropue. eCIIH BepHT!> peKJ1aMe. CJIOBHO 6pOHe}KHJIeT. 3arn;HIuaEOT aanry KO}KY OT Bpe;UOHOCHOLO YJIhTpaq,HOJIeTa. O,[lHaKO B p;eHCTBl1- TelIbHOCTH 3Ta sannrra He scerna nanezcna. A B HeKOTOPbIX CJIY'lafIX COJIHue3aIll,HTHhle cpencrna He TOlIhKO He YMeHhlllaEOT. 1-10. HarrpOTHB. YBelIHcIHBaIOT PHCK rrOBpe)K)J.eHHfI KQ)KH.

(A1UYKa)) YllbTpacIJHoneTa

Conaexaoe H3JIY'IeHHe BKJIEO'IaeT HOHH3HPYEOlllYro pap;HaUHEO. peHTreHOBCKHe JIY'-III. YJIhTpaq,HOJIeT. BH-

,UflMhIll H HHq,paKpaCHbIH CBeT. ECJIH 6h1 COJIHe'IHOe H3JIYQeHHe ,UOCTHraJIO rrOBepXHOCTH 3eMJIH B IIOJIHOM COCT3se. TO )!(u3Hb na HeH 6hIJIa 6hl HeB03MO)KHa. OP;H3KO sea HOHH3HpYIDllla5I pap;HaUHfI. see penrreHOBCKHe JIY'IH H nO'!TH 98% YJIbTpaq,HOJIeTa nornoniaIOTCfI 3eMHOH aTMocq,epoH. IIpaKTIIQecKH 6e3 noreps AO Hac P;OXOA5IT TOJIbKO BHAIIMoe H HHq,paKpaCHoe II3- JIY'IeHHe (eCJIH He C'IHTaTh TOH '!aCTH. 'ITO norzromaeTCH 06JIaKaMH H cxroroi«).

LUm YI.106CTBa YJIbTp3q,HOJIeTOBh1e JIY'-IH zrerrsr aa TpH BHl.1a, COrJIaCHO AHarra30HY ):1JUIH BOIIH H saeprHll. C3Mb1MH KOPOTKHMH H BbICOK031'1epreTlI'lJ-IbIMH fIBJIHIOTCH YtPC-JIY'!ll. YtPB-JIY'IH IIMelDT 60JIblllYIO AJII-IHY BOJIM H HeCKOJIbKO MeHblllYIO saeprrno. H aaKOHeu. ytPA-JIY':III 06JIa):1aIDT caMoH HII3KOH 3HepmeH H HMeIOT HaH60JIbWYID ):\JIHHy BOJJHbL ytPC-JIY'III He ,UoCTHraIDT 3eMHOH rrOBepXHOCTH. TaK KaK rrornornato'rcs 030HOBbIM CJIOeM. II03TOMY TOT YJIbTpaq,110- JIeT. OT KOToporo HaM HY)KHO sauunnarr.ot, BKJIID'laeT scero zraa KOMrroHeHTa - YtPB H YtPA.

Erne B 1920-x rozrax Y'IeHble Ha'IaJIII BbICKa3hIBaTb IIpeP;IIOJIO)KeHHH, ':ITO YtP-II3JIY'IeHHe MO)KeT CIIoco6- CTBOBaTh pa3BIITHEO paxa KQ)KH. Op;HaKO ,UOJIroe speM5I BHHOBHHKOM scex 6e,ll, C'IHTaJIH YtPB-il3JIY'-IeHIie, TaK KaK HMeHHO OHO napazry C aarapou BbI3bIBaeT. rroxpacneaae KO)[(II II COJIHeqHhIH O)KO['. HarrpOTHB,

9 MeCl1LjeB

Y<PA. roxe lIOKphlBalOrn:ee KO)KY KI~aCHBhIM 3arapOM, HO He BhI3hIBalOrn:ee aa KpaCHOThl, HH O)Kora, AOJIrOe BpeMR C'IHTaJIOCb He TOlIbKO 6e3BpeAHbIM, HO Aa/.Ke lIOJIe3HhIM. 3a sry oIlm:6KY JIlOAH paClIJIa'IHBalOTOI AO CHX nop,

OnSCHoe YBne"leHHe

HalIOMHHM, 'ITO m060Bb K 3arapy - R:BlIeHHe OTHOCHrelIbHO HOBoe. ,Uo cepeAHHbI XIX sexa y esponeoanoe KpacHBoil: CCIHTaJIaCh 6eJIa51 KO/.Ka, B TO BpeMR: KaK aarap aCCOIIIIIIpOBaJIC51 C HH3KHM lIPOHCXO/.KAeHHeM H cpH3H'IeCKHM TpYAOM aa OTKPhITOM B03Ayxe, IIO'3TOMy aaarmae AaMhI, nopoxaurae CBoeH xpacorori, O'IeHh pasyxnro sanramanacs OT COJIHIIa ByaJIR:MH, nepsarxana. IlIJUIIIKaMH C IlIlipOKHMH rrOJIHMH II COlIHe'-lHbIMII 3mITHKaMH. OAHaKO lIO Mepe roro. KJK BCe 60JIhIlIa51. <{aCTI:. HaCeJIem1l'1 Ha'-lHHaJIa paoorars B lIOMeLUeHl'urX 3aBOAOB II cpa6pHK, CHMBOlIOM ofiecne-renHoil: lIpa3AHOCTH aa-razta C'IliTaThC51 saropenaa Ko:iKa, CBHAeTem.CTBYlOlll;aH 0 ,l:(OJIrHX '3:acax, rrpOBeAeI-II-IbIX aa TeHHHCHbIX xoprax, lIlIJDKaX H HXTJX. 3TO rrpHBeJIO K TOMY, 'ITO 6lIarOpO,[lHJ5I 6eJIH3Ha ssmrna H3 MOAbI, yCTyrrIIB MeCTO 6POH30BOMY 3arapy, H B rrorone sa HOBbIM HAeaJIOM MOlIO,l:(hle lIlOAll 6POCllJIlKh OCBaHBaTb rrlIH)Kll, see CMeJIee H see OTKpOBeHHee 06Ha)[{aH CBOH 6JIePJIhle Tella.

,UalIeKO He BceM )KeJIaHHblil: 3JrJp ,Il,aBaJICH JIerKO.

O,ll,HaKO H KpaCHOTa, H 601Ib B 060/.K/.KeHHbIX ClIHflax, H rrY3blpH, H cxonamaa JIOCKYTaMH KO)KJ BOCrrpHHHMaJIHCb KaK HeH36e)KHaH nrrara sa xpacory. 0. BOT 'roma na CI(eHe aasana [[05IBJI!lTbOI COJIHI(e3annrrmae cpencrsa. Ha3bIBaJIHCb OHH rorna, rrpasna. Cpe,l..\CTBaMII AJI5I sarapa, OHH CJIerKa oClIa6lIHJIH Y<PBH3JIY"IeHHe, HO HHKaK He BJIH5IJIII aa Y<PA-H3JIY'leHHe, 6IIarOAapR: 'IeMY JIID.D:H MOrJIH CKOJIbKO yrornro aaXOAHTbC5I aa lIJI5I)Ke, sapafiarsrsas )KeJIaHHblil: sarap. H He ofiropari; CeH'laC yseaue C'lHTaIDT, 'lTO Ha6JIlOAalOrn:HHCJI B aacroamee BpeMH POCT 3a6oJIeBaeMOCTH MeJIaHOMOH cpena crapmero rrOKOJIeHHH BO MHorOM 06bHCHHeTCJI TeM, 'ITO 30-40 JIeT Ha3a.D: see 3TH mOAH, sanrauremrsre OT COJIHe'lHhIX O)KOf'OB cpeACTBaMH ,nJIH sarapa, lIPOBOAHJIH na rrJIH)KaX OLIeHb MHoro BpeMeHH - ropasno 60JIhIlIe, 'leM OHH CMOf'JIH 6bI nsmep)KaTh, eCJIH 6bI HH'leM He lIOlIh30BaJIHCb. H3-3a sroro H.X KO)KJ lIolIY'lHJIa orpotrasre A03hI Y<PA-H3JIY'leHl1R:. KaK BlIOCJleACTBHH OKJ3aJlOCb, HMeHHO erO-TO H nano 6hIlIO onacarsca B nepnyro o-repens.

H JKenSHHSR CBo6oAS

OKa3aJIOCh, 'lTO H Y<PA-, H Y<PB-113JIY'-leHIJe BJIII51lOT aa KO)KY rrpH6JIH3IITelIbHO lID O,l:(HOMY MexaHH3MY - B3aHMOAeHCTBYlOT C 6HOJIOrH'leCKHMH MOJIeKYlIaMH. rrpIIBO,l..\5.! K rrOJIBJIeHHlO CBo60AHhIX pa,o;HKaJIOB. Ho XOTH Y<PB-H31IY'leHIIe HaHOCHT 60JIhllHfH snepreTH"leCKHH y,n:ap, OHO He lIpOHHKaeT nansnre 3lIHAepMHca. HarrpOTHB, Y<pA MO/.KeT lIpOHII3hIBaTb ace ClIOH KO)KH H ,n:OCTHrJTb AepMhI.

CBo60AHbIH paAHKaJI OTJIH'laeTClI OT 06bl'IHhIX ~!OJleK)'.iI TeM, '-lTO Haxo,n:HTC5I B HeCTa6IIJIbHOM (0- crOHHIIH H OqeHh OXOTHO scrynaer B XHMH'-leCKHe

peaKI(IIH. OH nonofien MOJIOgOMY rYJIHKe, He IIMelOlll;eMY MOpaJIhHhlX 06H3aTeJIhCTB H He YlIYCKalOrn:eMY ClIY'laH 3aBH3aTb HHTpH}KKY. H eCJIH TaKOH «araopansHblH» panaxan BCTyrrHT B CBH3b C «,o;o6pOrrOpJIAO'IHOH» MOJIeKYJIoil:, TO H 3Ta MOJIeKYJIa, B CBOlD O'lepe,l:(h, lIpeBpaTIIThCR B CB060,n:Hblil: pa,n:IIKaJI H Ha'lHeT BHOcars CyMHTHI(y B CTporYID rapsaonnro XIIMII'leCKHX peaKI(HH.

CB060,ll,Hhle paAHKaJIbI, 06pa30BaBIlIHeC5I B POroBOM CJIOe H snanepxace non BJIHHHHeM Y<PB-II3JIY'IeHHH, nospexnaror KJIeTKH KO)KII II 3aCTaBJlR:lOT HX sssrsarr, o lIOMOIlIH, TO ecrs BbIAeJIHTb cnrnazrsasre MOJIeKYJIhl, BbI3bIBaIOLUIIe YCllJIeHHe lIPOH3BOACTBa resraoro lIHfMeHTa (sarap). OTeK, KpaCHOTY H 60JIb. B CBolO oneperu, Y<PA-II3JlyqeHHe, nponaaarouree na BCID rJIy611- Hy 3lIHAepMf.!Ca H AJ)[(e B ,n:epMy, asrssrsaer He TOJIbKO sarap, HO H 60JIee cephe3Hble H AaJleI<O IIAYlll;He lIOCJIe,l..\CTBliH. B "IaCTHOCTII, OHO MO)KeT rrpeapanrars B caofionnsre paAElKaJIhI MOJIeKYJIbl KOJIJIareHa - 6eJIxa, 06eCne'lHBarolll;ero rlIaAKOCTb H ynpyrocrs HdllIeH KO)KH. B pe3YJIbTaTe BOJIOKHa KOJIJIareHa aasaaalOT CBH3hIBaThCH zrpyr C npyron, ofipasys CKO[[neHIIH ,n:ecpeKTHoro HeylIpyroro xonnarena. 'ITO nccrenemro npasener K rr05IBlIeHHKJ MOpIlIHfI. CB060AHble paAIIxanst TaK)Ke aKTHBHpylOT cpepMeHTbI, BbI3hIBalOlll;He paspymenae rerreofipaaaoro nernecrsa, HaXOAJImerocs Me)KAY BOJIOKHaMII KOJlJIareHa 1I 3JIaCTIIHa, =rro CO BpeMeHeM npaaonnr K rr05IBJIeHHID xaparcrepHbIX HepOBHOCTeH KO/.KII. OAHaKO caMbIM onacasrx ClIe,n:CTBlieM pasryna CB06o,l..\HOpa,I(HKaJIbHbIX peaxI(IJH B KOX(e lIBJIJIeTCJI IIOSpe)K,n:eHIIe ,UHK - xpaHHnama reHeTH'leCKOH fmcpopMaI(HH KJIeTOK. HMeHHO lIOBpe)K.lI:eHIIe )XHK lIPHBO,o;IIT K lIOJIBJIeHHlO B KO)Ke

Bo BpeM~ 6epeMeHHOCTV1 nv-uue He nOAaeprars CBOIO KO}l{Y HeHY}I{HOill XV1MIIl'-leCKO(;i araxe,

81

.1I1HTEPECHO 111 nOnE3HO

MYTaHTHbIX KJIeTOK, xoropue MOrYT 3aTeM ,lJ;aTh aaqaJIO 3JIOKa'ieCTBeHHhIM orrYXOJI5.lM.

K CqaCThIO, ,lJ;aJIeKO He ace MYTaUlm: npasoAJIT K TaKHM rreqaJIhHhIM rrOCJIe,llCTBHJIM, TaK KaK B 60JIbillHHCTBe CJIyqaeB rrOBpe)K,lIeHH5! ,lJ;HK MorYT 6hITh HCrrpaBJleHhI crreUHaJJhHhIMH ¢epMeHTaMH. II naxe eCJIH ,lJ;HK Y)Ke He rrO,lJ;JIe)KHT BOCCTaHOBJIeHHID, erne He see ncrepaao, TaK KaK B 3TOM cnyxae B ,lJ;e¢eKTHhIX KJIeTKaX aKTI:IBHpyeTC5I MexaHH3M caMOYHH'iTO)i{eHH5I. KpOMe Taro, nospexaeimsre KJIeTKH B 3DH,I.(epMHCe 06hlqHO Y,I.(aJIJIIOTOI B nponecce eCTeCTBeHHoro 06HOBJ1eHH5I KO)i{H, a MYTaHTHble KJIeTKH B 60JIee rJIy60KHX CJI05!X KO)KH YHH'iTO)KaIOTC5! rraTpYJJhHbIMH OTp5!,I.(aMH HMMYHHOH CHCTeMbl. O,l.(HaKO rrpH CJIHiliKOM rrpop;OmKHTeJIhHOM H qaCTOM YcIlA-06JIY'ieHHH MYTaUHH CTaHOBHTCH TaK MHoro, qTO He60JIhiliOH qaCTH MYTaHTOB Bce-TaKH ynaercs H36e)i{aTh YI-II:!'iTO)KeHHH, H OHI:I OCTaIDTCH B KO)Ke. ilMeHHO 3TH KJ1eTKH B p;aJIhHeHilleM MorYT zrars HaqaJIO 3JIOKaqeCTBeHHhIM orrYXOJ15!M.

KOBapCTBO SPF

B 1980-x ronax HaKOHeU-TO Hal.JaJIH rrOHBJIHTbC5I COJ1Hue3aruHTHhle cpencraa urapoxoro

crrenrpa.rr.e .. sauramaroniae He TOJIhKO OT YcIlB, Torzta xce B nexara

,lJ;eJIO, 3amHIUaThCH , na phIHKe COJ1Hcpencrs rrpO,lJ;OJ1)i{aJ1I:1

YcIlB-cpe,l.(cTBa. CBH- 6hIJIO C TeM, -rro K TOMY

KaK Y<JeHhle HaKOHeU-TO pa3r.ci;J:(3J1H Bpe,ll YcIlA-H3JIyqeHHH H )]:OHeCJIH CBOID I:IH¢OpMaUHID ,lJ;0 rry6JII:IKH, KOCMeTHqeCKa5l I:IH,l.lYCTpH5l Y)i{e BOBCID rr0J1b3QBaJ1aCh e;u:liHhIM MeTOAOM TeCTI:IpOBaHH5l

3¢¢eKTI:IBHOCTH COJIHue3aruI:lTH bIX

Cpe,lJ;CTB, KOTOPblH 6bIJI OCHOBaH na cnoC06HOCTH YcIlB-I:I3J1Y<JeHH5l BhI3hIBaTb nOKpaCHeHHe KO)i{H. Pe3YJIhTaT TeCTHpOBaHHH, ¢aKTOp COJIHe<JHOB. sauia-rBI, IUII:! SPF (sun protection factor),

.lIOlF?l3bIBaJI, HaCKOJIbKO ,l.laHHOe cpen-

:,< .. ,

He orpaxaer 3¢¢eKTHBHOCTb sannrrt.r OT Y!DAH3JIY'-IeHHH. IIo3TOMY 06maH cxexra HCnOJIb30BaHH5I COJIHue3aruIITHbIX cpencrs B nauru AHU MaJ10 'ieM OTJIH'-IaeTCH OT TOM, '-ITO cymeCTBOBaJ1a 40 JIeT aasan. mO,lJ;H 'iaCaMH CH,I.(HT aa COJ1Hue, ycnoxoenasre BhICOKHMH UH¢paMH SPF aa ynaxosxax CBOI:lX COJ1Hue3aruHTHbIX Cpe,lJ;CTB, rronsepraa CBOID KO)KY rrenonycrmao ,lIOJIrOM 60M6apAHpoBKe YcIlA-H3JIyqeHIieM. CTOHT J1H Y,lJ;HBJ1HTbCH TOMY, qTO ypoBeHb 3a60JIeBaeMOcTH seeMH BH,l.laMH paxa KO)KH B HI-IgycTpHaJ1hHO pa3BI1- ThIX crpanax B nocnenane ,lJ;eCHTHJ1en:UI He TOJlhKO He CHH)KaeTCH, HO H npoztonxaer yrropao paCTH_ Harrpmrep. B CIIIA B aaxane 1970-x rO,lJ;OB, xorna COJIHue3aruHTHhIMH Cpe,l.lCTBaMH eute OOJIb30BaJIHCh yMepeHHO, qaCTOTa MeJIaHOMbI cpena 6eJIoro HaCeJIeHHH COCTaBJIHna 6 CJIYl.JaeB na Ka)K,l.Ihle 10 ThIC!!'-I <JeJIOBeK, a K Ha'iaJ1Y 2000-x rO,lJ;OB Y)Ke B03pOCJIa srpoe, B EBpOne '-IaCTOTa MeJIaHOMhI sa TOT )i{e BpeMeHHOH nepnon YBeJIH'iHnaCh rrO<JTH B 5 pas.

B nacrosmee BpeMH B Esporre H CIIIA IIhITaIOTCH BBeCTH ep;HHYID cHCTeMY MapKHpOBKH COJIHIl,e3aruHTHhIX cpencrn. KOTopaH OTpa)KaJIa 6bI H HX 3¢¢eKTHBHOCTh B aamnre or YcIlA-H3JIYT.J:eHHH_ Yx{e ceiisac na HeKOTopbIX COJIHue3aruHTHbIX cpencrsax MO)KHO BH,lJ;eTb 3Be3,lJ;O'-lKH, 0603Ha'iaIDruHe ypoaens aannrrsr OT YcIlA. O)]:Ha HJIH ABe 3Be3g0'iKH - cJIa6a51 3aIlIHTa, TpM - cpe;O:HHH, "leThlpe - BbICOKa5! H IIHTh - caMaH ShICOKaH. O,lJ;HaKO HY)KHO Y<JHTbIBaTb, '-ITO, TaK KaK nepeXO,l.( aa HOBYID CHCTeMY TOJIbKO Ha'iaJJC!I, OTCYTCTBHe 3Be3;O:OqeK erne He rOBopHT 0 TOM, 'iTO naaaoe cpe,ll(TBO He aanrautaer OT YcIlA.

CnHWKOM MNOrO InMHH

COJIHIl,e3aruHTHhle cpencrsa conepxar Y<t>-¢HJIhTPbI - semecraa. xoropsre YMeHhwaIOT KOJIH':!eCTBO YcDII3JIY<JeHI1!!. nonanaronrero na KO)i{Y. Te YCP-¢UJIbTPbI, xoropste conepacar qaCTHUhL orpaacaronnre H paccenBaIDII.\He YCP-H31IyqeHHe, Ha3hIBaIDTC!I ~H3HqeCKHMH, HJIH HeOpraHHqeCKHMH YCP-¢HJIbTpaMH. K HHM OTHOCHTC!! OKCH,1l" l.{HHKa H ,1l"HOKCH,1l" THTaHa. IlpenvytueCTBaMH ¢H3H'-IeCKHX YcIl-¢HJIbTpOB ssnserca XHMUT.J:eCK3.f1 I:IHepTHOcTb, 6JIarO,lJ;apH '-IeMY OHH He Bbl3hIBaIOT anneprnro H He pa3,lJ;paJKaIOT xoacy a TaIOKe illIipOKHH crrexrp ,l.IeHCTBH}I: OHH 6JIOKIIPYIOT KaK YcIlA-, TaK H YcIlB-H3nY':leHHe. Pansure ¢H3H'-IeCKHe YCP-¢HJlbTPhI CO,lJ;ep)KaJlH xpynnsre nepacrsopmrsre qaCTHIl,hI, 003- TOMY OHH OKpallIHSaJIH KO)KY B 6eJIbIH user. Ceir-rac '-IaCTHIl,bI ¢H3H':leCKHX YcIl-¢HJIhTpOB CTaJlH nenars osear, MeJIKHMH - B MHKpO- Ii ,lJ;a)Ke aanonaanasoae. TaK ~ITO OHH Y)i{e He OKpaIIIHB3IOT KQ)KY,

Iopasno 60Jlee MHOrO'IilCJIeHHO ceMeHCTBO ycp¢HJIhTPOB, KOTopble B CHJIY oc06eHHOCTeH CBoeH XHMH<JeCKOH CTpyKTYPbI MorYT nornouia'rs YcIl-H3- JlY'-IeHHe. Hx Ha3hIBaIOT OpraHHqeCKHMH. HJIH XHMHqeCKHMHY¢-¢HJIbTpaMH. Hepeznco 3TH semecrsa HMeIOT TaKHe TpY,l.IHOnpOH3flOCHMhle XHMH'-.!eCKHe Ha3SaHH!!, '-ITO HX nyxrne 3H3IDT 00)]: KOMMep'ieCKHMH HMeHaMH (aanpauep. 1-(4-MeTOKCH<peHHJI) - 3-{4-TpeT 6YTHJI-<l!eHHJI)npooaH-1.3-AHOH - 3TO ABO- 6eH30H HlIH Ilapcon 1789).

Bme rrpl1Mep - {leHIIJI6eH3HMRA.a30JIOBM! KHCJIOra 3'HCYJIH30JI, 3YCOJIeKC 232, Ilapcon HS. Y rrpyrnx opraHHqeCKHX {lHJIl,TpOB. Ha060poT, zryxure Il3BeCTEH ax XHMH"leCKIle HMeHa. Hanpmaep. oKcH6eH30H \lieH30cpeHoH-3, 3ycOJIeKC 4360. 3CKaJIOJI 567).

P.fIP; OpraHH'IeCKHX YCP-CPHJIl,TPOB nornomaer TOJIl,zo YWB-H3JIY'IeHHe, HO ecrs H 're, xoropsre nornomator YCPA- il YCPB-H3JIY~IeHHe (see 6eH3ocpeHoHl,I MeKCOpHJI SX llJIH 3KaMcYJI) llJIH nn<:e TO!IhKO Y4?A (AB06eH30H). Oprana-recxne Y4?-CPllJIhTPhI rr03BOJIHlOT C03p;aBaTh cpencrsa C cpaKTopoM saunrru no 100 H na%e Bhlwe, !<IX yg06HO BKJIIOqaTh B pasaooopaansre KOCMeTWleC1U1e CPOPMhI - KpeMhI. reJIH, crrpell. nOChOHb) H r.n., rrporrilThIBaTh HMH oge%p;y. a raiose .n:06aBJI.fITb B zreKopaTHBHyro KocMeTHKY, waMnYHH II JJaKH zms sozroc. OLLHaKO He see 3TH seutecrsa 6e30rraCHhI .ll)].fI KO%H.

Ilpexrre ncero, opramrsecxae YCP-CPHJJhTpbI P;OBOJIbHD "laCTO Bl,I3bIBalOT anneprmo H pa3p;pa%eHne KO%H. B 'IaCTHOCTH, BbICOKHM pasnpaxaronnoa noreauaaROM ofinanaer OKCH6eH30H H p;pyrue 6eH30cpeHOHbl. KpoMe Taro, pHP; opraaasecxax YCP-CPHlIhTpOB 06JJap;aer ropMOHaJIhHOH aKTllBHOCTblO (B llX "!HCJIe 6eH3HIICaJJHI]HJIaTbI, rrapa-aMIIH06eH30HHa.fI KHCIIOTa (ITAEA) I'f ee npoaasonasre. 6eH30cpeHOHbI). 'ITO raxsce MO%eT OKa3l,IBaTh OTpHuaTeJIhHOe BJIHHHHe aa opraaasu. KaK rrpaBHIIO. ropMOHaJJbHl,le 3pcpeKThI YCP-PHJIhTPOB O'IeHb CJJa6bI H HX MO%HO He onacarsca, O,llHaKO eCJH-r B COCTaB KOCMeTll"IeCKOro cpenCTBa BXO.n:IlT HeCKOJJbKO YCP-CPUJIhTPOB B p;OCTaTOqHO BhICOKOH KOHueHTpaU11H, TO 11X CYMMapHbIH rOpMOHaJJhHhIH 3ppeKT MO%eT 6bITb y%.e ,lIOBOJIhHO 3aMeTHl,IM. Bee nsnnecxasaaHoe He osna-raer, "lTO OpraHH"leCKHX YCP-CPHJIbTPOB Hy%HO 60.fIThCH KaK OrH.fI. Bern, y rrpoH3BOP;HTeJJeH KOCMeTHKH ecrs MHoro crrocotios YMeHbilll1Tb pHCK rr060"lHbIX 3ppeKTOB - nanpasrep, MHorae rrpOII3- BOp;HTeJIH BKJIIO"lalOT B COCTaBCOJIHue3aru:HTHbIX cpencrs HeCKOJIhKO OpraHH"IeCKHX YCP-PfIJIl,TPOB, B3HTblX B He60JIbIIIHX KOHu;eHTpaUWIX. TaK "ITO HX CYMMapHblH 3alll,HTHl,IH 3cpcpeKT rrOJIY"IaeTCH P;OCTaTO"IHO Bl,lCOKHM. a HHP;HBH,lIyaJIhHOe paanpaxaromee ):(eHCTBHe - HH3KHM. L(pyron BapHaHT - CO"IeTaHHe opraHH"IeCKHX YIP-PHJIbTPOB B HH3KHX KOHu;eHTpaUWIX C p113H"leCKHMH YCP-pHJIbTpaMH 11 HaTypaJIbHbIMH BemeCTBaMH, 06JIap;aIOmHM11 CBonCTBaMH nornomarr, YG!-113JJyqeH11e (MaCJlO um. rem, aJI03, 3KCTpaKThI pOMaWKIl, 3,lJ;eJIbBeHCa H HeKOTopbIX p;pyrIlx pacreana).

Hexcropsie Yc!>-PIIJlbTPbI. K TOMY %e. 06JIa):(aIOT cpOTopeaKTllBHOCThIO. TO ecrs, nornomaa saepraro Yc!>Ii3JlY"IeHll.fI. OHH BbI):(eJl5IIOT CB060,llHble panaxaznr. ITe"la.i1bHYIO H3BeCTHOCTh B 3TOM OTHomeHHH npaoopen O,n;HH H3 nepssrx opranasecxax YcI>-PllJIhTPOB - napaaM11H06eH30HHaH KllCJJOTa (ITABA). CeH'IaC ee y%e npaxrrrsecxa He rrp11MeH.fIIOT B Ka"IeCTBe YCP-pHJlhTpa. omraxo B TOH HnH HHoH crenenn pOTopeaKTHBHOCTh CBoHcTBeHHa npaKTll"IeCKll BeeM opraHIT"IeCKHM YG!pllJIbTpaM. A TaK KaK HMeHHO cB060,o;Hble pannxanu !'l peaKUHH C HX Y"IaCTI::IeM llBJIHIOTC.fI rrpH"lHHOH 06- pa30BaHHH MOpruHH H pa3BHTHH oIIyxOJJeH. pOTopeaKTHBHble YcI>-p11JJbTpbI MoryT BHOCHTh CBOH BKJIap; H B paanee crapeane. H B pa3BHTHe paxa KO%l:!, ___.

9 MeOILjeS

1. It1MeTb Wk1pOKV1~ cnexrp ,D,eC1cTBk151, TO eCTb 3aL1\V1L1\aTb KaK oTYcDA-, TaK k1 OT YcDBck13nYLJeH k1R. Ami sroro OHO Jlk160 ,D,OJl}l{HO II1MeTb ua vnakoake He MeHee 3 3Be3,D,OLJeK V1JlVl ua HeM ,D,On}l{Ha 6blTb Ha,o,nk1Cb «YcDB+YcDA». Cnenver nOMHk1Tb, LJTO oco6eHHO onacuo AJlIl1TenbHOe npefiuaaune Ha COJlH lie non 3aL1\II1TOW YcDB-q)k1nbTpa. XOTR 3TO n03BonHeT ,D,OCTV1LJb XOpowero sarapa, xosca nonvsaer Cnk1WKOM MHoro YcDA-1I13flYLJeHk151.

2. Coaepxan, n 11160 ron bKO cpk13k1LJeCKk1e YC!>-CPV111bTPbl (,D,1I10KCk1,D, rnraaa 11111111 OKCV1A l\II1HKa), flll160 KOM6k1Hal\1I11O OpraHV1LJeCKVlX 111 cpk13I11LJeCKV1X YcD-cpk1fl bTpOB.

3- It1MeTb SPF 10-15,0,1151 cpep,Hew nonocu V1 30 - ,D,fl51 IO}!{HbIX nfl5l}l<ew. Aame SPF 2 y}!{e B,D,BOe YBeflVlLJk1BaeT speM51 npe6blBaHII1R ua COflHL\e ,0,0 nepaoji KpaCHOTbl. COOTBeTCTBeHHO, cpe,D,CTBO, V1MelOL1\ee SPF 10, YBeflV1LJV1SaeT 3TO BpeAAR B 10 pas. It1 XOT51 ,D,e~CTBV1TenbHbliii diarrrop 3aL1\V1Tbl 3aBVlCV1T OT MHorVlX ycnoBV1w, uanpawep OT TOflL1\II1Hbl HaHeceHnero Cfl051, B 60nbWk1HCTBe cnvxaea Cpe,D,CTBa C SPF 15 06eCneLJVlBalOT ,D,OCTaTOLfHYIO 3aL1\k1TY OT onroros. 4eM suure SPF, TeM 60flbwe waHCOB, LJTO OH COAep}l{lIIT CflVlWKOM BblCOKYIO KOHl\eHTpaL\V11O OpraHVlLJeCKIIIX YcD-cplllflbTPOB, xoropue MoryT ausears np06fleMbl.

4. TaK KaH BpeAHble 3cpcpeKTbi YcD-Vl311YLJeHIIIR B OCHOBHOM peanusvIOTC51 -repea npO,D,yKL\V11O CB060,D,HbiX pap,k1KaflOB, »cenarensao, LfT06bl COflHL\e3aL1\IIITHOe CpeACTBo conepxano aHTk10KCV1p,aHTbl - BeL1\eCTBa, 6110KVlpYIOL1\lt1e csotionnopanakansnue peaKL\V1V1. I{ HIIIM OTHOCRTCR BIIITaMIIIHbl E Vl C, 3HCTpaKTbi seneuoro LJaR, MOPHOBV1, apacuoro BVluorpana, TOMaTOB, rpaaara, p03Maplt1Ha, LfepHIIIHIII It1 MHOH1X p,pyrlt1x CPPYKTOB VI arozi. MO)l{HO rarose npocro HaHeCTV1 non con Hl\e3aL1\It1THOe cpencrso ,D,HeBHotli KpeM Vl11Vl CblBOPOTKY C aHTV10KCIllp,aHTaMIII.

ECflVl 3TO cpencrso p,llR e)l{ep,HeBHOIll3aL1\VlTbl, TO nv-uue Bbl6paTb npoCTO XOpOWVl~ p,HeBHOWKpeAA It1 ny,o,py (VlllV1 KpeM-ny,D,PY) C cpIt13It1LfeCKV1- Mill YcD-cplll11bTpaMltI. Ha nllH)l{ ltInll1 Ami 3aHHTltI~ cnOPTOM ua OTKPblTOM B03,D,yxe HY)l{HO BO,D,OCTOWIWe COnHL\e3aL1\V1THoe Cpe,D,CTBO. All51 uenoceAnV1Bblx p,eTew ny4we nO,D,OwP,YT COnHL\e3aL1\It1THble cnpeu, «oropue MomHO HaHeCTltI OLfeHb 6blCTPO III xoropue nerxo 06HOBfl51Tb. A BOT BO BpeMH 6epeMeHHOCTV1 nyLfwe He nonscpran, CBOIO HO}!{y HeHymH6~ XVlMltILJeCKOW araxe, a nOflO}!{It1TbCJI Ha nposepeuuue BeKaMVI cpencrsa 3al1\VlTbl - op,e)l{,l.lY C ,D,flVlHHblMII1 pYKaBaMIt1, wflHny C WVlPOHII1MII1 nonsAAk1, TeMHble. OLfHW. npll1 Heo6xO,D,II1MOCTIII ,D,OnOflHV1TeflbHO 3aL1\VlTVlTb HO}!{Y ny-uue ornars npezmo-rreane HaTypaflbHblM C011HL\e3aL1\It1THbIM cpencrsau Ha OCHOBe cpVl3V1LfeCHIt1X YcD-cplllflbTPOB, aHTI10KCV1,D,aHTOB VI npVlpO,D,HbiX BeL1\eCTB, nOrflOL1\alOL1\VlX YcD-Vl3flYLJeHV1e.

83

Mbl C03[.l,aJ1111 HOSYIO nocrosuuyro py6Pll1KY ~<rOpfi4l11e leMbl», B KOTOPOV'! 6YAYT nOAHIIIMaTbCSl HaVl60nee l?1HTepeCHble

VI aK1)fanbHble TeMhl. Y4acrByi1Te B uaumx onpocax, AeJWneCb CROVIM J'WI4HbIM onblTOM c APYrIIIMl-1 pOA~TemjMIII. 3C1,!J.asaCue ecnpocst Hai.UltiM )I{CnepTar-.'1 Hi) www.pampers-dub.ru

V1 3Bep~T

I I

-tacro npIt1XO,D,II1TCfl cnsuuars or MOnO,D,bIX pO)J,It1TeneLl!: «nmmV1J1CH MaJ1bIW, reneps c06aKY I!1nV1 KOWKY IlpV1,lJ,eTCH ornars _. BAPyr OHa sapasur V1m.., yKyCV1T pe6eHKa». Moryr J1V1 >KV1BOTHble J..1 ManeHbKV1e .o.eTV1 cocyuiecraosare Ha OAHO~ TeppV1TOpv1L"i

V1 ecnil1 ria, TO KaKV1e Mepbl npe.n,oaOpO)l(HOCTII1 Bce-TaKV1 cnenyer npV1HRTb?

~ - .
, ,
I
~
I
"
...
, . •• 0 '" It .... .,

Y HaC ecrs BepHbl!lt l!1 Ao6pblC1 npyr:

[flI,13aS9Ta Ileun-eee, .13 roue, r. iV10CKS8

«Korna Y Hac noaaunacs co6aKa, HaM roeopunn. 'no pauo. '-ITO HY>KHO nO)J,O>K)J,'nb. Ho Be)J,b He X03>1eBa Bbl611lpalOT rurrovuee. a

nlllTOMlJ,bl VlX. KaKVie HeYAo6cTBa? WepCTb. Ho «orna B )J,oMe ManeHbKIIl1l1 pe6eHOK, Tbl VI T8K y611lpaeWb Ka>KAbIW AeHb. 3aTO KaK01l1 npyr y Hac eCTb! 3TO nopororo CTOV1T. Ila, B36anMOWHbI1l1, ria. ynp51MbILII, HO npa 3TOM naCKOBbI1l1, BepHblLil V1 ,l.l,06pbILi1. ,lJ,a III eocrnrrarua Mbl era cneuaansuo He3JlbIM, ABoeAeTe1l1 Bce-TaKVI».

)Kl!1 BOTH oe sa BOAVlTb He C06It1paeMCH!

• ,

,

OKcaHa tinetonoee, 21 rDll" r. L1e60Kcapbl

«EcnV1 )J,O 6epeMeHHoCTill B KBapTV1pe 6blflO 6bl AOMaWHee >KV1BOTHOe, TO He crane 6bl Bb16paCblBaTb Ha yflil1lJ,y IIInVl ycunnnrs. Ho nV1TOMl.\a HeT, III noxa 3aBOAIIlTb He co6V1paeMGI YYTb nOB3pOCJleeT AOlJKa - MO>KeT, cava npOCiI1Tb Ha'-lHeT. Torna nOAYMaeM)}.

T8KCT H8 npasax peKil8Mbi

KOMapOBa O. B.

K.M.H., crapW ...... HaY'lHb'''' COTPYAH ... K. HLU4 neAlllaTpllllol Hij3APAMH

.......... "

, · · ·

" .

ne-<.aMy ~ sonpou ... nu.. ............ a._m8ID

• MPlDf"M. PNI DWJR1A.

rJOnpCK .... nRHHtfbKl! c ACJIMlM!IH~ IMnIg fMUIhMtIiIfW.

n ..

3sepIOWKYI AeTf1M He V1rpywt<~

Cyuiecrayer MHO>KeaBO npV1'-1I-1H, no KOTOPblM COBMeaHoe npe6blBaHVle Mna)J,eHL\a V1 >KVlBOTHOro HeB03MO>KHO. O)J,Ha Vl3 OCHOBHblX - CKnOHHOab K annepruvr. TaK>Ke He aOI-1T 3a6blBaTb VI 0 xaparrepe >KV1BOTHOro: Bbl MO>KeTe nonpoay He 6blTb YBepeHHblMIII B TOM, '-ITO MaIlblW V1 nV1TOMeL\ nonansr. Hy V1 euie O)J,Ha HeMaIlOBa>KHa5'l npVl'-lVlHa - HeXBaTKa BpeMeHV1! BeAb C n05'lBneHV1eM HOBOpO>K)J,eHHOrO y sac S03HVlKaeT MHO>KeaBO HOBblX 06f13aHHOae~ V1 Bbl He scerna CMO>KeTe y,£\emnb >KV1BOTHOMY )J,OIl>KHoro BHV1MaHIllf1 V1 nO)J,Aep>KV1BaTb Hy>KHbl~ yposeus rl-1rV1eHbl. B TaKV1X cny-rasx He V1CKIlIO'-IeHO, '-ITO >KVlBOTHOe ny-uue OT)J,aTb. TonbKO 06fl3aT8IlbHO npOCIle,£\V1Te, '-IT06bl OHO )J,eViaBV1TeJlbHO nonano B xopoume pyKVI.

C nKJ6I11MbIMV1

....

He paccrasawrecs

Ecnlll >Ke Bbl peWV1IlV1 ocraeurs )J,OMaWHero JlI06V1ML\a, norrapanrecs «nO)J,rOTOBV1Tb» ero I( nmlBIleHV110 uosoro

Mansuu

1I1 AOMaWHl!1V1 rurroraeu B O)J.HOl!1 KBa prn pe B03MO>KHO?

74%

HeT

26%

nporonOCYIl1Te Ha www.pampers-c1ub.ru

'-IneHa ceMbV1. Dnfl Ha'-lana 05fl3aTenbHO nposepsre y aerepuaapa. npVlrnaCV1Te B rocrn )J,py3e~, y KOTOPblX eab ManeHbKV1e ,£\eTItI, - TaK Bbl CMO>KeTe Y3HaTb, KaK aaui nV1TOMeL\ pearupyer Ha ManblweVi. nOKa HOBOp0>KAeHHbl~ Haxo)J,V1TCfl B pO)J,AoMe, npV1HeCVlTe )J,OMO~ ero seli.\.Vl, nycrs >KV1BOTHOe «n03HaKOMV1TCfl» C 3anaXOM pefieuxa. C nossneHV1eM MaIlblwa )J,OMa He 3a6Y)J,bTe npe.o.CTaBIIITb ero .o.OMawHe My Jl106VlMLW, a '-IT06bl 3aKpenV1Tb 3HaKOMaBO, )J,aV1Te >KVlBOTHOMY '-ITO-HV16y.o.b BKYCHeHbKoe .

BHV1MaTenbHO CIleAV1Te 3a TeM, '-IT06bl >KVlBOTHOe He npV1'-1V1- Hv1nO apezia pe6eHKY. KaKVlM 6bl cnOKO~HbIM OHO HItI 6blIlO, HeIlb3}1 ocrasnars ero.uaenune C rpYAHVlYKOM. He 3a6blBaMre, '-ITO 60nbWV1HaBO )J,OMaWHV1X >KVlBOTHbIX MOryl 6blTb nepeHOCYV1KaMV1 pa3nltl'-lHblX 60ne3HeVi perynspuo noceuiatrre BeTepV1Hapa Vl nposorn-rre .o.e3V1HcpeKL\V1IO.

B nepsoe BpeMH, xorna ManblW euie CJlItIWKOM ManeHbKV1M, OH MO>KeT TOIlbKO Ha6nlO.o.aTb sa >KVlBOTHbIM, HO npVl6nV13V1- rensso C 8-9 MeGIL\eB, «orna pe6eHoK Ha'-lV1HaeT nonaars. MO>KHO 3HaKOMVlTb ero C OCHOBHbIMV1 npaBV1IlaMV1 06ll\eHV1.R C >KVlBOTHbIMItI. Pe6eHoK AOIl>KeH OTHOCVlTbCH K >KV1BOTHOMY C nlO60BblO, a He arpeCCV1eM: nOKa3blBa~Te V1 paCCKa3blBaL1Te eMY, KaK npCiBVlIlbHO IlaCKaTb V1 nepxars nI06V1ML\a, 06bHCHHf1Te, '-ITO eMY MO>KeT 6blTb 60IlbHO, eCJlVl ManblW 6Y)J,eTero 06111>KaTb. Hay-urre Manblwa pa3IlV1'-1aTb, «orna >KItIBOTHOe pacnonoxe-ro K l-1rpe, a «orna rry-uue ocraaurs ero B nOKOe. CTaB aapwe, pe6eHOK 6y.o.eT Y'-ll-1TbCfl yxa>KIIIBaTb sa >KV1BOTHbIM, a COBMeaHblL1 suryn co6aKill MO>KeT C6Jli113V1Tb BCIO ceMblO V1 CTaTb npV151THbIM x0661t1.

06513aTenbHO c06IlIO)J,aViTe npaauna n.,rllleHbl: MOL1Te pyKV1 ce6e VI Manblwy nocne Ka>K,D,oro KOHTaKTa C nViTOML\eM. ECJlVl n06nl-130aVl HeT npOTO'-IHOL1 BO)J,bl - Bocnonb3Yf1TeCb snaxHblMIII caIlcpeTKaMl-1 Pampers® Sensitive. 3TV1 He>KHble cancpeTKVI o-utcrar KO>KY MaIlblwa, He Bbl3BaB pa3)J,pa>KeHIIIL1. Cne)J,il1Te, '-IT06bl OH He KOHTaKTl-1pOBan C oaaTKaMV1 nlllll.\l11 VlIlVI ryanerou >Kl-1BOTHOro.

DOMaWHVlL1 nIllTOMeL\ -3TO >KVlBOe cYli.\.eCT80, KOTOpoe rpeoyer nocrosasoro BHVlMaHVlfj V1 3a60Tbl. VI eCIlVI Bbl 3a6Y)J,eTe 06 3TOM npOCTOM npae-me. saui nI06l-1MeL\ MO>KeT CTaTb VlaOYHV1KOM He>KeIlaTeJ1bHbIX npofineu. n03TOMy nocrapanrecs OTHOCVlTbC}1 K HeMY C nlO60BbIO jIJ nOHItIMaHV1- eM, III TOrAa OH eraser BepHblM )J,pyroM eauievy ManblWY, era TepneJ1V1BbIM nOMOll\HV1KOM 111 3aLl\V1THV1KOM.

f..: ""'Ibl LI _' I' --' 1 . .1

1 q. I' i i ~ , .J

1:,[ If" 1-\'

1_ I I '~:.: ·l:'ll I d Ii ( r: I,' ~

~._ ,. II I

J,] '"II.!' :1 I

II r,~ 11.1 I

,I

"", I

I,;

: if-,

.' ~ ~" L I : I . if

EKaTepMHa SenORa TOBapOBeA,

f. MOCKBa

86

HeT COMHeHltUl: konacxa - CaMblM KOMCPOPTHbl1l1 Aflfl MaflblWa cnoco6 nepeABIII}f{eHlllfl. Aa III MaMe rOpa3AO YAo6Hee Ha nporvnke Be3TIII KpOXV, 4eM HeCTIII ero Ha ce6e. Ho 6blBalOT cIIITyaLl,IIII11, xorna ucnon b30BaTb KOflflCKY HeB03MO}f{HO. LJTO AeflaTb? VlMeHHO Aflfl raxnx CflVLJaeB III cy~eCTBYIOT npacnocofinenua, 0 KOTOPblX nOIl1AeT pe-ts.

9 MeCJHjeS

npeltMYlqeUHiI

-------

OC061!HIIDnit

lteH ... It npoH3801lfl1TI!nJ!1

-----_

AKceccyap

lie<eM B pyKax. C nepeHocKoi1 ~ 6e3 KonRCK~ YAo6HO XOAHTb B nonHKnHHHKY. ~ npO€3A B 06"1e(T"eHHOM rpaucnopre C KpoxoCi TO>Ke He 6Ylle, npo6neMoCi. neToM nepeuocun ~cnonb3y~T(~ oco6eHHo aKTI1BHO - mIKHI1K~, noxcnsr, 3KCKYPC~"; nporvnu« no napxy. __ Ocranocs ronsxo Bbl6paTb, YTO BaM 60nbwe no Aywe: «K€Hrypy», cnaur WI" nepeuocuas monsxa.

B cYMKe-KeHrypy, KaK npasuno, HaY"HaIOT HOCMTb neT€K B sosoacre OT 2-3 MeCRueB. OAHaHo B l(a~(AOM KOHKpeTHoM cnvvae HY>KHO BH~MaTenbHO OCMaTp"BaTb KOHCTPYKl\~Kl '(KeHrypy» 11 YI1T3Tb onncaane I( HeCi, TaK KaI{ ccts CYMKI1, «oropue MO)l(HO ucncm.aoaan, ronsHO c 6 MeCRlIeB, xorna ManblWI1 Y)l(e HayyaTCJ1 xopowo (MAeTb caMOCTOmenbHO - 3TO Mollefl~ ynpOll1eHHO~ 1l0HCTpyK~I1~, C HH3KO~ MRrKo~ cn~HKo~_ B ro are BpeM~ enb CYM~I1, uoiopere MO)l(HO Hcnonb30BaTb yJt{e c riep"biX AHe~ >KH3H~ petieuxa.

/l,11~ caMblX ManeHbK~X 06H33TenbHa M~rKoHa6~BHa~ (n~HKa c )l(eCTHWM OCHOBaH~eM, o6eCneY~BalOll1aR ymneHHYIO nOAAep)I(I(Y Mnal\€H4a no Bce.Ci cnuue. BblWK~~ nnOTHbl~ nonronosaaxc MHrl.w~ BHYTp'eHHeCi 06HBKOH cnY)l(HT He06xoAHMOCi nOAAepJt{KoCi A~~ ro- 1I0"bl H we" KpOXH_ CI-1CT€Ma pervnapoeo-urux peMeWKOB H 60KOBbiX cp"HcaTopoB noascnaer nnorsee np">KaTb Ma~blwa K rpYA~ MaTep" - TaK, KaK ecnu 6bl OHa Aep)!(ana ero H3 PYKax_ Tonsxo raxoe nOnO)l(€HHec oAHoBpeMeHHoM nOIlAep~(KO~ rOnOBbJ, wel1 ~ BceM cn~Hbl - aauiauiaer AeTC!(~H n03BOHO"HI1" OT -pesMepHblx HarpY30K. ManblW He C"AMT B CYM){€, a ~aK 6bl 8I1C"T B He>;, OH xOPOWO 3acpl1){CI1POB3H, " Y MaMbl HeT H€o6XOAI1MOCTI1 np"Aep~(HBaTb ero PYKO~_'

WwpOKaR (OT '5 CM H fionee) MRrKoHa6HBHaR naXOBaR 30Ha - MI1H"M"3"pyeT HarpY3HY ua npOMemHocTb, npaBM~bHO pa3BOl\HT HO}l(KI1 pefie-xa, B pesvnsrare OHI1 He.ycTalOT M He 3aTeKalOT.

OTBepCTHR AIl'l uor ~ pyK pervnapviorca no BenHYI1He H HMelOT OYeHb M.rH~e Hpa~-MaH)!(eTbl. PerynHpyeMble 3aCTe)!(KH .~ WHypOBH" n03Bon~IOT nOACTpal1BaTb paaMep plOK3aYKa nOA pOCT, KOMnnel{4H'1O M OAe)l(AY pe6eH"a - CYMKa «pacrer» BMeCTe C <'KeHrypeHKOM».

B MHorOn03"1I1i10HHbIX «KeHr.ypy» AocTynHbl aecxons"0 Bap"aHTOB nepesocxa. HOCIiITb Manblwa MO>KHO Ha rpYIlH. «flIilIlOM K ce6e», ua rpYilH «JI"1I0M OT ce6R» (ecm<l MaflblW y)l(e YB€peHHO aep>KHT ror osv), sa cnuHOH (AnR nepeHOCKH AeTeCi nocrapuie) H Aa)Ke ua 60KY (nOAPOCWHCi pe6eHOH He 6YAeT 3arOpa)l(IIIBaTb 0630p ponnrenro),

Cne1l1il3J1bHO AflR HOBopmKAeHHblX 8 HeKOTopblX MOnensx «HeHrypy" np€AYCMOTpeHa B03MO)l(HOCTb nepeHOC){1iI B nonO)l(eHIoIIoI nexa IllJiIil nonynesra (MaJ1bIW ne)l(vtT 60KOM K MaMe). n epeCTerHYB He06xOAIiIMbi e KpenneHIIIR, plO~3a'w~ nepeBOAIIITC'l "3 aepTI1KaflbHOro nOnO)l(eHIIIH B rop"30HTanbHoe - BblCOKaR cruunra CTaHOBIo1TCR An~ KpOXIII POBHblM noJt{eM. npW4eM YA06Hee, ecnl1 ecrs B03MOJt{HOCTb nepesecru plOK3a40K 113 sepTI1"anbHoro nOflQ)l(eHIIIR B rOpl130HTa~bHoe (~ 06paTHO) 6e3 BbICaI1K" pe6eHKa. An~ euie 60nbwero ~.oMcpopTa Manblwa B «xeurvpv» MO)l(eT 6blTb npeAYCMOTpeH YIOTHbliii aananuur-warpaca« AnR HOBOp0>KAeHHblx. 06blYHO pKlK3aYKIiI paCCYI1T3Hbi HJ AeTeCi BeCOM AO 9-10 Kr (np~MepHO AO 9-12 Mec~ 4eB), pe>K€ -110 11- 12 xr (AO 15-18 Mec~ueB). "KeHrypy» C B03MO)!(H(lCTbKl nepeHOCKH pefieuxa He rom.ao ua rpygH, HO '" aa cnHHOCi BbllleplKHBalOT HarpY3KY 11015 xr, C06nlOIleHI1e MaKCI1- M3nbHO AonYCT~.Moii\ Harpy3KIiI rapaarupver 6e30nac-

nogXOAIIIT IlnH pe6eHKa c pOlKAeHHR ~ AO 6-7 MeCRues (Mal(C~ManbHaR i-ar pvska 8-10 xr), VlMeeT lKeCTI(Qe AHO.

3a KopOTKHe py~KH nlOnbKY BMeCTe C ManblWOM MO)!(HO Hecr~ B pYKax, a MO>KHO 6narOllap~ AJ1~HHOMY ~ W"POKOMY peMHIO (I1n~ ABYM peMHnM) HaAeBaTb W HOC~Tb 4epe3 n~eyo - TaK HaMHoro nery€, ~ PYK~ OCTalOTCR cBo6ogHblMH.

9 MeCRl\eB

PIOK3al{ «ueurvpv» 1l0mKeH 6blTb YAo6eH 060~M:

H ManblWY, ., ponnrenro. Cneunansuo I\nn YAo6- [TBa pOIl~Tene~ - "KeHryPY') 6blCTPO H nerxo c06l1paeTcR, H3AeBaeTCR, CH.,MaeTCR, perynupveTC~. A~n 6blCTpoii '" YA06HOCi nocaAKH pe6eHI(a ,qeTCKoe MeCTO MOH{er 1l0flHOCTblO OTCTenmaTbCR OT nneseeux peMHeiii. BepHYBwHCbAOMoii, YCHYBwero KpOXY MO)f{HO anxvparuo, He nOTpeBO>K~B era COH, OTCTerHYTb OT ce6~ " CepeJIO)l(HTb B KpOGamy.

,/IoCTaTOYHblii sanae IlfllolHbl peMHe~ n0380MleT orpervnaposare "X B COOTBeTcTB~" C KOMnneK~l1e~. PO(TOM ~ OAe~[AO~ pOAI1TenR. Ii Ha~60- nee l{OMcpopnlblX MOAeJ1~X perynl1pOBI<y MO)l(HO OCYll1eCTBnRTb np>lMO Ha ce6e 6e3 nOCTopOHHe~ rTOMOll1~_ Bce KpenneH~H npOYHble W HaAe>KHble - 331l1eJ1KI1 " Kapa6"Hbl npegn04mTe~bHel1 I(HOnOK, J1l11nY!-jeK V1lwn.eq.

WHpoKHe (6-8 CM) n€peKpell1~BaIOl1\l1eCfl Ha cnuue nHMK~ C M~rKI1M~ HaKnaAHaMH-nogyweYKaMM p3BHOMepHO pacupenen-uor HarpY3KY, nOA BeCOM pe6eHHa He Bpe3ilIOTCH B pog~TenbcK~e nne'llll, He AaBRT I< He uarupamr. nnOTHaR KOpceruan SCTaSKa Ha cnWHe - AnR yc"neHHOI1 nOAllep>KKW n03BOHOYHWKa ~ nIley pOAHTenR, 3a"1I1Ta OT neperpvso«. HOCHTb petieaka (l1a)l(e I\OCTaTO~HO TR>Ke~oro) MO>KI-IO AOBOJ1bHO Aomo, He I1CnblTblBaR Henp~~THbIX oll1Yll1eH~11 ~ YCTanoem 8 06naCTH CnVlHbl.

nOHCHO~ peMeHb cnY)l(I1T AnH nepepacnpeneJTeHVlR HarpV31(11, OH Hage)l(HO CP"HCl1pyeT «KeHrvpv», He llaBaR CYMI{e 60flT3TbCH BO BpeMR AB~' ~(eHMR.

.anR KOM<j>OPT3 KpOX~: BHYTpeHHRR 06~BKa «1(eHrvpy» np~HHaH Ha ouivns, M~rKaR, «nsuua.uan», AnR AonODHI1TenbHOI1 BeHTMnm,,,,,, B CYMKe npenYCMOTpeHbl cer-rarue BCTaBKW. npaKT~YftO ~ rHrWeHHYHO, ecn~ BHyTpeHHlO1O 06HBHY MO}l(HO CHRTb AnR CmpHI1. BMeCTMTenbHbl11 xapmaure« H3 Cnl1HKe - He06xOAIIIMbl€ Ha nporvnae MenOYVI acerna 6YAYT nOA PYKO~ Y MaMbl. 3a Aep>KaTenbKapa611H MO}l(HO npacreravrs nYCTblWKY ~nl1 rno- 6V1MYIO HrpYWKy.

Bcerna np~rOIlViTCR HarpYAH~H 113 MaXpOBOI1 x~onyaT06YMa)f{H0I1 TKaHI1_ OH npeAOTBpaTI1T HOHTaKT nuua Manblwa c OAe)l(1l0~ pOA~TenH, ecnlo1 ManblW Cpblrflyn ~nl4 y Hero TeKYT cnKlHKVI. HorpYAHI1K 301l1111TIiIT OT 3arpJl3HeH"~ Kal{ POA"TenbCKYKl oge)l(AY, ToK 11 caM plOK3aK. M"rK~~, XopOWO BnI4TbIBaKl"1H'fj saarv, CnKlHHBq~K npl4- CTen1BaeTC~ f{ «xesrvpv» I{HOOl{aMlt1; nyroBlI1LJ,aM~ I1nVl MonHlile~, J1erKO CTl4paeTC~ ~ 6blCTPO coxuer. CbeMHbl~ K03b!peK - cnpa-rer Manbl wa nOI\ «"PblW€~" OT gOH(A~ 14 aerpa, a. "pOMe rorc, K03bl pee C~y)l{I1T M~rKOH 3a"1I1TOfi ~ AonOJ!HI1TenbHOH nOAAep>KKOCi I1nJl rcnosu MMA€H4a, cpHHcHpyeT ee 60 BpeM~ CHao Tenflbl~ yexon B xonoAHYIO nor onv YKpoeT Ma~blwa, C~A"ll1erO B «KeHrypy», YT06bl eMY 6blfloTen~o 11 YKlTHO_

JlerKoe (He 60nee 1,5 Kr) cpencrso IlMI nepeHOCKI4 pe6eHKa Ha PYKax, a TaK~(e gnn ncesnox 061l1eCTBeHHbiM rpaacnopro». Vlcnonb3yeTc~ ell1e 14 HaK BKnaAblw p,nR KonRCKIi. BHe AOMa TaKa~ nKlnbKa cnY)KIo1T MllaAeH~Y BpeMeHHoH YIOTHOj;j KpoBa'Ko~. MoJt{eT KOMnneKTOBaTbCH nocTeflbKoj;j, KOTopaR BI{~KlyaeT B ce6. M8Tpac, npocTblHKl, Olle"nO, nOAywKY C HaBOnOYKo~. Bo BHeWHMe KapMaWKI4, "MelOll1l1ecH Ha o6HBKe monbK", MO)l(HO nO~O~(I1Tb cancpeTKl1, CMeHHblJii nO,QrY3H!I!K lI1 T. n.

«I{eHryPY» C B03MO)l(HOCTbKl rOP~30H-1 TanbHoH nepeHOCKI4 HaH60J1ee anarrrupouanu Iln~ HOBQPoJt{lleHHblx_ TaKaH onuas ecrs, Hanp"Mep, B MOAen~ Soft&Dream OT Chicco (f1TanI4H), ee ueua 3950 py6. YAo6Hoe AononHeHMe - BHYTpeHHVlH CbeMHbl;'; MaTpacHK C Ha6I1BKo~ Ergos, 0AHa CT,OpOHa 1(0TOPOro aunonaeua 143 rennoro cPnV!ca AnR 311MHero nep~OAa, a APyraR - 113 AblwallleCi TK'aHH A~R )l(apKO~ noronu. PIOK3aK-nepeHOCHa i.GO OT Cybex (repMaHI1") CTOI1T 3800 py6. ,/lame " nO~O>KeH~11 «Re)l(a» plOK3aYOH OCTaerCR Hd AByx nneY€BblX peMHRx, YTO paBHoMepHo pacnpenenaer HarpY3KY Ha pOA~TenH. Bce perynHpoBKI1 3TO~ MOAen~ oCYl11eCTBn"IOTU1, He- BbIHt.1Ma.fl!ll3 Hee Ma)]blwa. PIOK3a'IKI-I ~nOHCKO~ ropr oeoa Mapl(~ Aprit a CTORT nopnnua 7000-8000 py6. VlM€IOT 4 nOnO)l(eHIIIR nepeaocaa: ropn- 30HTanbHoe (OT pO)l(AeH~R 1\0 6 «r), aepmKa~bHoe n~40M K ce6e (OT 6 go 11 xr), BepTVlKan'bHoe nl1~OM snepcn (or 6 AO 11 Kr), sa cn~Ho~ (OT 11 AO 15 xr), B srux MOl\en"X poauoe )l(eCTKOe nO)l(e, ecr s cne~~anbHbICi BKnaAblw Ann 1l0BOpO)l(AeHuoro, 3all1~Ta ronosu. PIOK3aK nonuocrso pacxpsiaaerca. AnR rpaur uop urp o sxu KOMnaKTHO cKnaAblBaeTcR ~ y6"paeTCR

B npunar aewyio CyMKy.

PIOK3aYK~ Ergo (eWA) {TORT nopRAKa 5500-7000 py6. ii]x oco6eHHoCTb - urnpoKOe (OT KoneHH~ go KoneHKH) nocano-u-oa MeCTO: HO)l(HH pe6eHHa CPH3~oflOrHYHO passeneuu, H uarpysna Ha npoMemHocTb 11 n03BOHOYH~I{ MaJ1blWa MI1HI1ManbHa_ PIOK33YOK HMeeT urapoxae, MRntl1e nJT€4eaue peMHI4 11 nOAgep~(~BalOll1~~ WI1POKI4~ peMeHb aoxpyr «opnvca ponarenn. MO)l(HO HOCI1Tb pe6eHKa cnepeA~, C3all~ ~ aa 6enpe, HOBOp0)l(AeHHblx MO)l(HO nepeaocnrs B' nonoJt{eHI1~ nonynelKa, gnR 6onbwero KOMcPopTa KPOXI1 peHoMeHAyeTcll ucnone- 3DBan BKnal1blW AnR MnaAeH4eB. MHoron0314l1MOHHbie pIOK3a~H~ c ncnoxce""eM «ne~(a» npcnnaraior 11 pOCCHHCK~e npOVl3BOA"Tenl1. 3TO MOAenb «MaCH» OT Babystyle - 1300 py6., PIOf<3J40K «HaAKlWKa» or Bombus - 100.0 py6., «HaglOwai) OT Russia -.1200 py6., p1OK3a41~VI Okapy " Joy OT Little People - I1X l\eHa 1850 .. 1400 py6. COOTBeTCTBeHHO. PKlK3aK BabyActive OT «Keur ypyunca:

CTOWT 2700 py6., ~MeeT WlilpOKH~ IlHana30H pervnapoao«, uiecrs nQnOJt{eH~~ gnR nepe+ocx«, aHaToMI<I4ecHYIO HOHCTPYK4~1O nRMoK, B KOMnneKTe - MeWOyeK AnH HOH(eK pe6eHKa.

YHOMnneKTOBaHHaR nocrer sro nlO~bKanepeuor sa OT Le monde (ItiHAoHe3W~) CTO~T 6500 py6., cYMKa-nep.eHocKa OT HPA (rpeIlHR) - 4500 py6., pOCCI1~CKlile nepeHOCKI1 OT Babyline, Uttle Trek H GlobexCToHT1000-1300 py6., nlOnbKacyMKa OT Geoby (}{HTa~) - 1800 py6.

(YMKa-f(eHrypy 50ft & Dream (Cbicf:o)

PIDKlaK BabyAttive «((KelirYPYWKa},)

PIDK3a"lOK-KE!H rypy BatJ.y Carrier ORGANIC (Ergo)

nIDJlbKa-nepE!HOCKa «(lobex)

8

.3A nOKVnKAMIt1!

CnHHr ((KeHrypywa» (POCCHSI)

BeleM B MaWMHe. neTOM MHor~e OTnpaBn~IOTC~ (AeTbM~ aa ropon, Ha Aa4Y. I( pevue. Aeroruonsk» ~ aeroxpecna-nepeaocua He runsno ofiecnexar ManblWY 6e30naCHYlO noe3AKY B aBToM06~ne, HO ~ 6Y/.lYT YAo6Hbi B Hcnonb30BaH~~ 81<e ero. HaXOABCb B C80eM 3HaKOMOM np~BbI4HOM «rHe3l1blw ue», upoxa BCIOlly6YAeT 4YBCTBOBaTb ce611 Hal< AOMa.

CnHHr Kcnonb3yeTcR I1nR Ilereii c pO)l(AeHMR /10 AByxneTHero B03paCTa. ECTb HeCHOnbl(O MOAenei1 cn~HrOB: HnaccM4ecKMw Ha xom.uax (OH lKe nepeaass, KOTOPYIO HOCRT 4epe3 nne40), cmlHr-cYMKa (ycoBepweHcTBoBaHHbli1 aapaanr nnaccnxecaoro cn~Hra C Ha6~BHbIM~ 60pmKaM~, 60K080i1 YTRlKKOi1, MllrO{~M MaTpaC~"OM·AHOM, l(apMaWK3MM W T.A.), cnuur-urapdi (An~H· Hbli1 (3-6 M) orpes TK'<lH", HOTOPblM MaMa cne~ManbHblM 06- pa30M 066R3blaaeTc~ BMeCTe C pe6eHKOM 6e3 0cnonb30BaH~R !(3","x-nI160 KpenneHI'I~ 11 sacrexeu), Ma~-cm1Hr (no (j)OPM€ noxo:« H3 piouaavox-xe-rrvpv, a no CyTM np~6nHlKeH K cn~Hryuiaprpv sa c-rer I1IlMHHblX (AO 2 M) ~ WI1POKMX n~MOK, BW~TbIX no yrnaM npl1MoyronbHoi1 cnWHI<H cmIHra).

Cn~Hr-CYMKa OT Premaxx (fonnaHAHl1) i8so py6., cnMHr-cYMI(a Tikamak .OT Red Castle ((JlpaH~I1R) - 265.0 py6. Cnl1Hr Shelter Lodger «2 B 1> or Lodger (fonnaHAl4fl) (TOI'IT 4900 py6. RBIlMTCfl oAHoBpeMeHHo '" cnHHroM, ~ "OHB€PTOMHaK'"AKoH, KOTOPblH MOlKHO ~cnOllb30BaTb B konac"e HIl~ asrokpecr e-nepeuocae,

KnaccH4ecK~Ci Cnl1Hr H3 uonsuax OT Le monde (Ii1f{AOHe3HR) - 2000 py6., Maya Wrap (CWA) - 2500 py6. l_(eHa Cm1Hra C Konb4aM~ Sling Bed Plus OT Aprica (RnoH~") -7950 py6. Ero oc06eHHoCTH- 8HYTpeHHHe YllepmHBalOLl\He pe6eHKa peMH~, M~rKa~ sauiara ronosu, CbeMHalllKeCTKaJl crunura, 06- pa3YIOLl\aJl aHaTOMWyecKOe J10me Anll MnaAeH~a, YA06Hbie pervnupoaua no pa3MepYAnR ponurcna. Cn~Hrw c KOnb~aM", CWHTble pOCC~i1CKHMH npo- 1t13BO,l:lVlTeJUIMItl {{OeperIllH.fll>. «Eaiounra», Velina,

«Keurvpvura» MO)l(HO HynwTb B cpeAlieM sa 700- 1500 py6.

OTeyeCTBeHHbie cnWHrW-UJaprpbl "'GIIR(W», MaMa Lama. «rapMOlmfl» «Opaanreaan MaMa», Estetika, [TORT or 500-8DO py6. AO 20Do-2500 py6.

_l_ l_(eHa HeMe~Kwx cn~HroB-wap<poB Hoppediz w Didymos B 3aBWCWMOCTH or pa3Mepa ~ !jlaKTYPbl maH" CTORT COOTBeTCTseHHO 2300-3000 py6. w 3100-4900 py6.

---'-----

ma, nonvnexra. C~Afl n"~OM K MaMe. np~4eM He ronsuo H3 rpY/1~, HO eLl\e Hd 6eApe W Ha cnWHe, a W3MeHmb nonoxeunx MOJKHO npnMO Hd ce6e, He BbIH~MaJl Ma· nblwa - 3TO 04eHb YA06HO. CnpRTaHHbli1 B cnWHre OT noCTOPOHHWX B30pOB H np~)I(aTbl~ I( MaMe, MnalleHe~ ~y8CTByeT ce6Jl cnOKo~Hee, He 60HTCR He· 3Hal(QMb1X nlOAei1 W HenpHBblYHOi1 06CTaHOBKW, MO}l{eT B nlO60e BpeM" He3aMeTHO I1nJl OI(pYlKalOlljHX nOAKpenHTbCR MaTepHHCKlt1M MonOHOM.

ABTonlOnbKa (rpynna 0)

ABT01ll0nhKiI P.relude (Bebe Contort)

lleua aerornonex Navetta W Culla OT Peg-Perego (I-1TanMJl) -7650 py6. W 8500 py6. COOTBeTCTBeHHO nAlOC 1700 py6. 33 KOMnneHTYAepmH8aIOl1l~X peMHefi. nlonbKa OT Bebe Contort ((JlpaH4~H) Prelude CTO~T 8500 py6. K Hei1 norpecverca KOMnneKT 6eonacHO(T~ 38 1800 py6. ABTonlO~bKa co BCTPO€HHbIM KOMnneKTOM 3sT06e30naCHoCTw Windoo TOi1 'me MapH~ CT0I1T12500 py6.

Jhonsxa Sofia OT lnglesina (WTamMl) - 8900 py6.

Iloaaonaer nepesoaan, Manblwe~ C pO)l(AeHI1Jl 110 6-9 MeCII- 4eB (Be COM AO 10 Kr) H8 3aIlH€M CHAeHbe aarowotiuna. 3a 6e30naCHOCTb caaoro ManeHbKoro naccasrupa OTBe4aeT YAaponp04Hbl~ Kopnyc nlOnbKw, BHYTpeHH~~ YAeplK~BalOlll"i1 pe6eHKa peMeHb, upenexasre peMHIA-nepeXOIlH"I(~, c nOMOlllblO KOTOPblX monsxa np~ll.IellKI1BaeTCR K WTaTHblM peMHRM 6e30naCHOCTf1 MaW~H.bl. BHI-1MAHIi1E! nepeB03l1Tb pe6eHKa B 3BTOM0611ne B 06b14HO>i nlOnbKe OT Kon~cKw, B KOHBepT€nepeHOCKe, B "KeHrypy" ~nw cnHHre OnACHO!

y aaromonsxa H asrospecnanepesocua, nOMI1MO 6e30naCH0f1 nepesosxa perieuxa B 8BTOM0611-

fie, ecn, cuie MHomeCTBO nonesHbIX" Yllo6HbiX <PYHKl\w>i.

3TO B03MomHOCTb YCTaHOBHIA ua COBMeCTHMoe c HWMI1 uiacca 1(0- mlCK" , 4T06bl wcnonb30BaTb BO

BpeMR nporvnos.

linarOAapR BCTpoeHHblM pY4HaM, 11 nlOnbKY, H asroxpec.ro MO)I{HO r epeuocvrs BMeCTe C ManbIWOM.

OCHOBaHwe-Ha4anKa n03BonReT YKa4l1BaTb Manblwa, WRLl\erO AOMa, B rOCT.AX, Ha gaye I-1JlVl Ha nporvnke.

Ha BpeM~ 60I1pCTBOBaH~R KpOXH, I( aBTOlllOllb"€ I1nH nepeuocxe MOl!(HO np~Kpen~rb MrpYWK~, kcropue nOMorYT 3aHRTb pe6eH"a Ha KaKoe-TO speMR. Bcenoronusre aKceccyapbl IIn~ rnone« H aaroxpecen-nepeuoco« 38111~TRT Manblwa OT HenoroIIbl, B TO speMR I(OrAa ero uecyr H aBToMo6wnlO. TaK, OTK~AHOi1 K03blpex cnpn-ier M811b'wa ot conuua, MOCK~THaR cerua ~36aB~T or Ha30i1n~Bblx O{OMapOB, AOlI(lIeB~K .y6epe)KeT DT gomAR,

I !jlapTY~ AnR Hor YKpoeT or serpa, Tennbl~ KOHBepT corpeer B XOnona, BHYTpeHH~~ neTH~~ yexon Vl3 ·«.AbIWaLJ.J,e~b> TKaHV! He p,aCT xpoxe norers 8lKapy. I(OHe"HO lKe, YAo6Hee, ecn~ 60nbw~HCTBO auceccvapos wAeT B Ha60pe C KpecnOM Hnw aSTOnlOnb"o>i.

npeAHa3Ha4eHO IIn~ AeTei1 C pOlKlleHMR ~ 110 1,5 ner (AO 13 kr). B nepeuocae ManblW pacnonaraercn B nOnON(€HWH nonvne~(a. ,QnR fionee KOMrpopTHOro pa3MellleHHR HOBOpO~(AeHHOro B aeronpecnax npeAYCMOTpeH cne4HanbHbli1 3prDHOMH4Hbli1 axnansuu. ABTOI(peCna 3TO~ secoeoa rpvnnu MoryT yCTaHaBJl~-

8arbCR KaK H8 3aAHeM, TaH H Ha nepellHeM Cl1l1eHbe a8TOM06HnR, HO acerna TOnbKO nporae xoaa ABM)I(eH~R_ npl>1 (j)pOHTanbHOM CTOMHOBeHHH HMeHHO TaKaR YCTaHOGI(a asroupecna 06ecne4HT 6e30naCHoCTb Manb'wy. B asro-pecr e, YCT3HoBneHHoM «npoma xOj\a ABl1lKeHHR)), ronosa pe6eHKa He 6YlleT coaeptua'te pe3HHX I1BH.lKeHwi1, ra« "aK BC" aarpvaxa B MOMeHT YAapa np"lIeTGI Ha XOPOWO 3alll~llleHHYIO cnHHY, a He Ha xpynKylO urcio,

B nepeaocxe Manb,W YAeplK~BaeTCR BCTpoeHHblM Y-06pa3- HblM HnH DRTHTOge4HbiM peMHeM. CaMO aaroxpecno xpenl1TCR B MaW~He WTaTHbIM~ peMHRMH 6e30nacHOCT~ wn ... yCTaHaBn~8aeTCR Ha cne4HanbHYI0 nOACT8BKY, KOTopaR CTaL\~OHapH03aHpennMTCH w MomeTnOCTORHHO HaXOI1WTbC~ 8 aBTOMO- 6~lle. B 3aB~CHMOCT~ or MOAen~ aeroupecna, tiaaa nponaercs B HOMnneKTe C HHM "n'" nouvnaercs oraensuo, B a8TOM06~ne OHa Kpenl1TCR WTaTHblMH peMHIIMM HnH np« nOMOI11~ CWCTeMbl Isofix - xorna upecno npOCTblM ll1en4KOM lKeCTKO (j)Hl(c~pyeTcfl

K KY30BY aSTOM06MnR sa ABe cneuuansuue (l(06bl (OHW pacnonOlKeHbl B aasope Meli<IlY nOllYwK.Q0 H cn~HKoi13aj\Hero CH/1eHbR

~aW~Hbl). ,QnR60nee HallelKHo~ TpeXTOye4HOH rp"HCa~HI1 aBTOpeena C C~CTeMO~ Isofix MOlKeT Hcnonb30BaTbC~ HI'I~(HW~ ynop non aBTOM06wnJl wnw sepxHw>i JlKOPHbl~ peMeHb, KOTOPb'~ sapennsercn 8 nerne 3a cnwHKoi133l1Hero cWAeHbR MaW~~lbl.

~________________ L- _

AKceccyapbl B MawHHy. 06yCTpaHBa~ B MJillHHe AeTCKoe MeCTO. lKenaTenbHO ~ CanOH b60pYAOBaTb HeKOTopblMW 1I0nonHeHH~MI1. Ha 3allHHe OKHa CTO~T nOB€CHTb conauesauiarusre WTOpK~, YT06bl ManblW B MJWWHe I1blwan CBe~(HM, 04HllleHHbiM OT nbln~ B03AYXOM H XOPOWO ce6fl 4YBCTBOBan /.IalKe np» ,llnHTenbHOM nepeesne, noneaso ~cnonb30BaTb ~OHHbl~ OYMCTI1Tenb W I WnM YBna)l(HI1Tenb 803Ayxa. C AOPO)f{HbIM nonorpeaarenea AeTCKoro nHTaHI1Jl y pe6eH ua scerna 6Yl1eT rannas ena M nHTbe. Bce 3m n p~60Pbl pa60TalOT OT npl1KypHsaTenR aBTOMo6H~H. ,QononHHTenbHoe aepxano AnH ila6nlO/1eHHR sa pe6eHKOM, CWIlRll.I~M i+a 3a,QHeM CI1AeHbe, n03Bom1T 801l~TenlO Aepm3Tb Manblwa B none 3peHHR, He O'r8neOlaR(b or noporr . Ha cnHHK~ nepenuux cHAeH~H MO.lKHO nOBec~Tb opraaaasapu C l(apMaHaMI1 - Heo6xol1HMbie B Aopore Men04H aceraa 6YAYT nOA PYKOi1.

ABTOKpecno-nepeHO(Ka Baby-Safe Plus (Romer)

88

Aeroupecna-nepeaocun O'I Bebe Contort - CTORT 6500-8500 py6., ueua nepeaooru Primoviaggio TriFix or Peg-Perego 7350 py6., «pecno Ha nOACTaBKe (l(penn€H~e peMHRMM) Auto-Fix Lux OT Chicco (Ii1Tan~R) - 5800 py6., nepeuocua Baby-Safe Plus OT Romer (fepMaHHR) CTOWT 9000 py6., 6a3a Isofix IV'" Hero - 12200 py6., MomHO Bbl6palb AnH nero 11 peMeHHYIO 6a3y - ee ueua 5000 py6. IlepenoCH~ OT ~TanbRHCKHX roprcaux MapoK CAM ~ Brevi MO)l(HO Kyn~Tb sa 3500-4800 py6., MOAenb Basic or Tearn-Tex (<DpaH4HR) - 2800 py6.

• m1PVlLJECf{OE OTCTVnJlEHVlE

AHanaCHJl OnoHqeBa, r. CaHKT·neTep6ypr

Marna soaspanianacs H3 KOMaH):1rIpOBKII, npepBaBwell ee, TaK Ha3hIBaeMbIll, Me):(oBhIll MeC5IL(. TaK Ha3bIBaeMhIll - IlOTOMY 'ITO Me):(OBoro MeC.fIL(a (B IlPHBhI'IHOM nOHIIMaHIIII) He 6bIJIO, KaK He 6bIJIO II CBap;b6bl. ITpOCTO m06IIJJII, npocTo paCIlIICaJIIICb, npocro 6hIJIH MOJIO.LJ;bI II c'!aCTJ1HBbl.

Cxacrse 06PYWIIJIOCb aa HHX C Caineii cpasy IIOCJ1e OKOIPlaHIlH Caaxr-Ilerepoyprcxoro YHIIBepcIITeTa B BII,I:le O.LJ;HOKOMHaTHoll KBapn:lpKH, KOTOpa.fI .LJ;OCTa- 11aCb Carne OT .I(BO:lOPO):(HOll npaoafixn. A nocKoilbKY 06a OHH 6bIJIH He MeCTHble, TO 3Ta KBapTIIpa B ITI-lTepe CTaJIa HaCTO.fIIl(IIM (l.[aCT11HBhIM 6II11eTOM B cairoCTO.fITeJIbHY:lO )KH3Hb.

MOJIO):(hle cpa3y pacnrrcamICb, nporracanncr; yCTpOBJIBCb aa pa60TY, He J.10XOgHYKl, HO nepcnexrasrryro. B Tenepb npogOJDKaJIIl )KIlTb Y)Ke COBMeCTHO.H, ceMellHOll )[UI3Hb:lO, KOTOpa.fI BnpO'IeM, rrpaKTH'!eCKH He OTJIH'!aJIaCb OT cryneaxecxoii B 06Il(e)KHTIIII. Ta )[(e Becenas KOMnaHII.fI ITO BbIXO,l(HbIM H rrpa3,1.1HrIKaM, TO )f{e 6e3geHe)!<be, xoropoe, KaK HII CTpaHHO, He paspynraJIO, a TOJIhKO YKpeIIJI.fIJIO oraourenas.

Marna YHbIJIO 6peJI3 no neppony. Bsrecro 6JIeCKa B rJIa3aX, KOTOPbIH COnpOBO)f{.LJ;aeT MOJIO.I(bIX OCOD B rroesnxax (He Ba)f{HO, KYJ.1a H 3a'IeM) - 6JIeCK OT BOTBOT rOTOBbIK XJIhIHYTh CJIe3. H BUHOH BceMY - 6IIJIeT na rroesn. KOMaHp;HpOBOqHbIX ensa XBaTIIJIO

aa nJI3L(KapTHhIH naroa. 3 g06asIlTb .LJ;O xyrre CBOIl xpoaaue, KOTopble rrOTOM HIIKTO He B03MeCTIlT, -

HY Y)K HeT! HM C Catneii eme L(eJIbIX .LJ;Be nenerm nano aa 'ITO-TO )KHTh ;0:0 aapnnaru. H He 6bIJIO 6bl HIlqerO crpanmoro B rrJIaL(KapTHOM sarone. HO rrOJIO)KeHHe 06R3hIBaJIO,. A rrOJIo)!<eHIIe 6bIJIO

BeCbMa cepsesnoe - nepssni TpMMecTp 6epeMeHHOCTH, co BceMIl BbITeKaIOIl(HMIlrrOCJIe,I:lCTBIlllMll - pa3p;pa)!<IITeJIbHOCTb:lO, rrnaKCIIBOCTb:lO, COHJIHBOCTb:lO, HO caMoe rJI3BHOe - TOKCIlK03. 3JIOc'!acTBbIH TOKCIlK03, BbIBOP3'IIlBaIOIl(HH HaH3HaI-II<::Y, cnocotiasni orpanars JI:106YKl pagOCTb - panocrs caxsoro npnz'raoro O)[<II):(aHIlH CBeTe - O)!<II):1aHHR nepsemra, pa;O:OCTb nepsoii KOMaH,1.IHpOBKH B MOCKBY, pa.I(OCTb Me;O:OBoro MeCHLp.

ITpH06peTH 6nJIeT, Marna TyT )Ke rrpe.n:CTaBHJIa ce6e rro.n:P06HY:lO KapTIIHY: OHa 3aXOJ.(lI.T B rnYMHblH, .n:YillHbIH BarOH co CMellIaHHbIMII aanaxaxra ):(YXOB,

o.n:eKOJIOHOB, HOCKOB, IIO,[(MhIllIeK, IIeperapa, He rosopa y)!(e 0 enel Bens aenpeMeHHO H3fi.n:YTCll JI:lOnII, xoropsre. npexrne 'IeM noean TpOHeTCll, HJ'!HYT passopaxn-

B3Tb <pOJIbry C KypUL(ell, '!IICTHTb llHL(a, nocrasarr, 6YTep6pop;bI C qeCHoqHOH KOJI- 6acoH ...

Ilpaeryn nypaortr rrO;O:CTynIIJI aesaMe;O:JIIlTeJIbHO.

"HeT, .fI 3TOro He suaecyl - ):(YMaJIa

90

OHa. - UeJIYKl HO'l:b! HeT. ECJIIl 6bl TOJIbKO Cawa 6bIJI PRAOM, 6bIJIO 6bl xyzta ner-re. C BHM scerna ner-re, OH 6bl YTeWIlJI MeHH .LJ;ypaL(KHMII IlIYTO'!KaMH, KOTOphle R TaK 060)K3:lO! Hero .fI TaK 060)f{a:lOf"

CTOHJIO TOJIbKO Marne rro):(YMaTh 0 HeM, II eH .n:eHcTBI1TeJIbHO naJIO ner-re. OHa nO'!YBCTBOBaJIa. KaK CHJIbHO cocxyxnnacs. II YCKOpHJIa IIIar, 6y.n:TO 3TO KaK-TO Morno npII6JIH3HTb HX BCTpe'Iy.

Baron OKa3aJICR a6COJIlDTHO nycr II xopowo rrpoBe'rpen. Mallia pJCrrOJIo)!<IIJIaCh na csoera MeCTe, B My'IHTeJIbHOM o)KlI..LJ;aHHH nanmrea cocenen. Kaxoso )[(e 6bIJIO ee Y):(lI.BJIel-IIIe, xorna sa .n:eCllTb MIIHYT J.(O orxona noeszta BarOH cTpeMHTeJIbHO aasrazr BJrrOnH.fITbCH ztersMIl, IIpIIMepHO onaoro B03paCTa (ner p;eC.fITI1) II lI.CKJIID'!IITeJIhHO MaJIbqIlIlIKaMII, ( orpOMHhIMII cnoprasasrMIl CYMKaMII nanepesec B O):(HOH PYKe II KJIIOIliKaMH B .n:PyroH. B3bepOIIIeHHbre, rrepeB036Y)!<.I(eHHble, raJI.LJ;H H TOJIKaHCb, OHlI. aaneperoaxn 3aHHMaJIIl MeCTa, ornaBaR rrpenno-rrenae Hey.n:06HbIM, BepXIIHM nOJIKaM.

KOMaH.n:a .KlHbIX XOKKel1CTOB B03BpaIl(aJIaCb B penHOll ropOJ.( C nobezroa,

Marna C YMHJIeHIIeM Ha6JI:lO.LJ;ana sa 6e33a60THOH, aeyrceroaaoa opaaori H He Morna noseptrrs B CTOJIh yaa-moe cre-reane 06CTORTeJIbCTB. BMeCTO TOIliHOTBopHoro sarraxa II ;O:YXOTbl - KapaMeJIbHOJIHMOHa):(HblH sarrax ,n:eTCTBa, BMeCTO rrsaasrx BhlKpll.KOB - 3BOHKHH n;eTCKHll CMex. A KaKaH opraHH30BaHHOCTb! H 3TO B IIX-TO sospacre! CTOHJIO TpeHepy nars KOMaHJ.(y "oT60H» H see TyT )!<e, KaK rro CBIICTKY, ynernacs H TaK )lee, KaK rro CBIlCTKY, aaconerrn. A Mama erne ):(OJIro He Morna YCRYTb, nacnaxnaacs 3THM cnanKHM conenaesr 11 sapoxneaaess HOBOll Me'-ITbl - MeqTbl 0 csrne.

BCTpeTHB )lCeRY, Caura rrepBbIM ):(eJIOM o3a60qeHHO CIIPOCHJI:

- MaH.fI, ny K3K Thl? OqeHb TOillRIlJIOI

- HeT, see B rrOpR.LJ;Ke! Cama. H TaK XO'IY csmat ECJIH

6y):(eT MaJIb'lI1K, p:aBall oT):(ap;IIM ero na XOKKeH. - Hyzto 3Toro eIl(e P;O)f{HTh Ha,1.lo.

- HeT, CKa)KII MHe, ':lTO Tbl He rrpOTHB XOKKe5l.

- 51 Bo06lL(e-TO II He rrpOTIIB ,l(eBO'l:KH, Ho pa3

y)[( raxce .n:eJIO, ,[(aBaH cpa3y .n:orOBOPHMC.fI, eCJIH fiyner ·.n:eBOqKa, TO HIIKJKOrO cnopra. Taansr, noxanyricra. HaM TpaBMbI He HY)[{Hbl.

- XOPOIlIO, BaM C .I(eBO'-IKoH He HY)[(HbI TpaBMbl, a HaM C MaJIbqHKOM HY)KeH XOKKeH! .ll.oroBOpIIJII1Cb?! - AorOBOPHJIlI.Cb.

***

Ilponmo necrrrs ner.

CBHCTOK TpeBepa B03BeCTHlI 0 aaxane TpeHIIpOBKH, Asepu.a 60pTa C TpeCKOM pacrraXHYJIaCb, II aa zren, TOJIKa.fICb II crrorsncascs, OP;lI.H sa ,1.IpyrllM HeYKJI:lO)Ke rrOCbIIIaJIHCb necrrnorernae MalIb'IHIlIKIl.

ITaBnHK HeCKOJIhKO pas rrOrrbITaJICH, KaK B3POCJIblH, nepenaxayrs 'l:epe3 60pT. He nOJIyqIIJlOCh.

Mallia C YMHJIeHlI.eM Ha6JIIDAJJIa sa CBOHM '!a.LJ;OM.

OHa CTaparraCb He rrponycxars HH ([lAHOll TpeHHpOBKH, XOTH TpeHHpOBO'IHbIll npouecc BOBce He BOJIHOBaJI ee H npasana nrpsr B XOKKell OHa TaK H He OCBOHza. «KaK 6bICTPO JIeTHT BpeMH, - ,[(YMarra oaa, JII06YHCb CbIHOM. - BOT TOlIbKO PO,[(HJICH, BOT TOJIbKO rrOIlIeJI, BOT TOJIbKO nepasni pa3 BCTaJI na KOHbKH nsarmars KaKorO-TO pa3Mepa. Erne HeMHoro - H CTaHeT COBceM C<lMOCTOHTeJIbHbIM. II pa,ll,OCTHO. H rpycrno ... »

Craparensao BbII10JIHHH Ka)K,[(oe ynpascaeaae. ITaBJIHK norzramraazr na MaMY, 6YI'ITO see 3TO OH AeJIaJI I(JIH nee O,ll,HOll. He)KHOCTh naxarsrsana MHrKHMH, reIIlIblMII BOJIHaMII II pa3JJYIBaJIaCb no BceMY ee Teny.

TpeHHpOBKa 3aKOH'IHJIaCh. H Marna BCJIe,1l, sa CbIHOM nocnenrnna B pa3,[(eBaJIKY.

- ITaBlIYIIIa, MOKPbIll-TO KaKoll. YCTalI, 6e,1l,HeHbKHM, - npa-nrrana OHa, O,1l,HOll PYKOll BhITHpaJl nonoreanev B3MOKillYID rOJIOBY ChIHa, a Apyroll TOJIKa5'! eMY TepMOC C TenJIhIM MOpCOM.

- MaM, Y Te6H saarpa nem, pO)KAeHIUI, a y MeHH I1Tpa! 51 3a6hIO refie ron, B nonapoxl

- TIaBJIYIIIa, He HaAo 3ara,nhIBaTb. 3a6beilib - XopOIIIO. He 3a6heIIIh - H HHCKOJIbKO He paCCTpOIOCh. IIpaBAa.

- Hy TbI )Ke XO'IeIIIh, 'IT06hl 51 3a6HJI?

- XO'IY, CbIHO'leK. Ho TOJIbKO rrOTOMY, 'ITO TbI 3TO-

ro XO'leIIIb, rrOTOMY, 'lTO refie 3TO Ba)KHO. A JI JIE061IIO Te6Jr BOBce He aa TBOH 3aCJIyrH.

- A sa 'ITO?

- Hy Y)K TO'lHO He 3a rOJIb!! - Marna 3aCMeHJIaCh. -

ITpOCTO TaK llI06JIIO, Ilasnyma. O"IeHb-O'IeHb JII06JIIO! - HeT, JI 3a6hIO! 51 AOll)KeH.

fOJI AeHcTBHTellhHo 6hIJI Ba)KeH AJIH ITaEllHKa. EMY eme HH pasy He ynasanccs 3a6HTh B nrpe. A reneps erne 3Ta HaBJI3'IHEa5I H,ll,e5I - nonaprrrs rrepssra CBOll ron MaMe aa AeHb poxneaas.

Illen rpermr, nocnennaa nepnon MaT'la. HII'lhJI.

Cxer 2:2. K TOMY BpeMeHH Marna ycrrena COpBaTh ronoc, a CaIIIa BblK)'pHJI He MeHbIlIe nasxa caraper. Hepasr.

OCTaBanOCb ueC5ITh MHHyT ,[(0 xoana MaT'la, xorna IIaBllHKa rpyoo TOJ1KHYJIII B cmmy. OH yrran.

- CaIIIa, naurero MalIh'IllKa c6HnlI! - B Y)Kace npo- 60pMOTaJ13 MaIIIa. - Haurero MaJIb'lllKa... - II pHHyJIaCb K HeMY, HO My)K OCTaHOBHlI ee.

- EynJ1HT 3apa60TaJ1 HaIII Manb'IHK. CeM'IaC 6y,[(eT npofiasars. BOT OR - IIIaHe. Hy, AaBaH, Ilama.

_ aIIIa saxpsina J1HUO pYKaMll. Hepes BeCKOJIhKO ceK)'HI\ Caura asipyranca II BhICKO"Ilill KypliTh aa ynHUy. ITaBJIPIK He 3a6PIJI.

"K xepry 3TOT XOKKeM! - ,ll,YMalla MaIIIa, BhITHpaH pa3Ma3aHHYIO non ma3aMII TYIIIb. - qTO aa IIrpa TJ.Ka5I? Bopora MalleHhKlIe, a romomep TaKoH orpouHblM B 3TOM CBoeM 06MYH,ll;IIpOBaHHH! I'ne Y)K TyT 3a- 6HTh? Bee. XBaTIIT".

Hcrexann nOCJIe,ll,HHe MilHyThI MaT'Ia. Cxer rrpe)KHUH - 2:2. Cama aaxan BCJIYX nozrcxasnaan, CbIHY ~oe ueHcTBIIe. XOT5I TOT ero, KOHe'lHO, He CJIhIffl3-T.

- Hy, 'lTO Thl TaR Me,ll;JIeHHO! Pa3rOH5IllCJI, neIIIeXOA! ~rrepe.n: H,ll;IIl Monoztenl I1ac aanpaso oman! OmaH

rrac, He )KaAHlI'-laM! TI03):(HO, caM HUH! CaM! Mononenl ,lJ,aBan, I1aIIIa! Hy! .. Hy! .. - MaIIIa aaxpsma rrrasa pyKaMII. - Hy! .. Io-o-onl - npoxpI1rreJI Carrra, - fOJI, MaIIIKa! IT06eua!

CYAbJI nan cpHHaJIbBhlH CBHCTOK. IIaBJlHK nonsexan K 60PTY.

- C nHeM pmKAeHmI, MaM!

***

Ilpomno erne ,L(eCJrTh ner.

MaIIIa rerreps He TaK 'laCTO npHXOAIIna aa TpeHHPOBKH, HO KaK H npesczre nozryxana OT nnx Maccy Brre'-laTJleHHH. BOT II CerOUHJI OI-Ia npHIIIJIa 3apHAIIThCJI rrOJIO)KIITenhHbIMPI 3MOIJ.IIHMII. Ha6JIIO,ll,aJr sa Y)Ke S3POCJIbIM ChIHOM.

I1aBeJI nerxo nepenaxayn 'lepe3 60pT. H Y Marna B ,ll;yme 3aIIrpaJIH rrreMHIl\He, HOCTaJIhrlI"leCKHe HOTKlI. «,lJ,aBHo JIH OB xoe-xax xapacxanca aa 3TOT 60PT», - UYMaJIa OHa. - A KaKoH cranl KpacHBbIH. 3nOpOBeHHhIH! Harnanerscs HeB03MO)KHO ... »

B HeCKOJIhKIIX urarax OT Mania CTOHJIa npexopoIIIeHbKaJr, xpyIIKaJI ,[(eBYIIIKa 1I He OTpbIBaHCh Ha61IIOnana sa KeM-TO II3 pe6HT BJII06lleHHb1MlI rJIa3aMII r ,

TpeHHpOBKa saxoa-nrnacs. PO,[(llTeJIHM Y)Ke ,L(aSHO sarrperuazrocs 3aXO,1l,IITb B pa3):(eBaJIKY, II MaIIIaShIIIIna na YJIlIUY ,L(O)KIIAaThCJI CbIHa. BCJIe,n: aa HeH B11- uma 1I ra caMaJr zresynrxa. OHa 3aCTeH'mBO YJIbI6HYnacs Maille, II HepeIIIHTeJIhHO II03uopoBaBIIIlIch CHell KllBKOM rOJIOBb!. OTOIIIJIa B CTopOHy.

rJI5I,L(H aa Bee, MaIIIa CHOBa norpyaanao, B socrroMIIHaHH8, TOJIhKO rerreps CBOIiX MOJIOAb1X ner, TIpHrrOMHlIlIIICb CBH,[(aHIIH C CaIIIen, ero xpacnssre yxa)KIIBaHHJI, TpeneTHbre npH3HaHI1JI ...

OHa naxe He 3aMeTHJIa cnasazra. KaK nsmrezr IIaseJI.

II OH He 3aMeTHJI ee. OB cpa3y aanpasnxca K ueBYIIIxe, He)KHO 06H5IJI ee sa TanHIO II nonenosan B Il\e'lKy.

C MonHHeHocHon 6hICTPOTOH H nesepoarnoa CHnOM aa Marny 06pYIIIHJIaCh MaTepHHcKaH pesaocrs. nOllHOCTbIO BhlTeCHIIB HOCTaJIbrHIO II 'IaCTh paccynxa. - MaM, rr03HaKOMbC5!. 3TO KaTH. - CKa3aJI ITaBeJI, YBHAeB MaMY, - OHa O"IeHb XOpOIIIaB.. ReT, OHa cauas lIy'IIlIaJI !

KaT5! CJIerKa rroxpacaerra.

- Osens npIiJITHO. MapH5I BJIa,L(HMHpOBHa. - Mdnraaam.ao nporOBOpHJIa MaIIIa H orsena B CTOPOHY rnasa, KOTopble, Ka3aJIOCh. rrpenarenscxn HanOJIHIIJIIiCh .1'10 xpaes peBHOCThIO.

- Y MeHH sasrpa nrpa B Hepenoane. Iloenerm, co MHOH? - cnpoCHJI Ilasezr.

- Km-Ie'lHO, noeAY, - He rJIJrAH na csraa. oraernzra Marna H TyT )Ke IIO'-IYBCTBoBana nasacuryic HeJIOBKOCTh.

- Hy. MaM, ecnn xoxenn., ThI TO)Ke MO)Kemh

noexaTh C HaMH, - pa3- pHUHJI o6cTaHoBKY ITa- .... BeJI.

Be-repoxr nOMa Marna He HaXOAHJIa ce6e MeCTa. Ee npHBhl':lHbln,

9

.JU1PVlYECKOE OTCTynflEHVlE

crrOKOHHbIH MHPOK, BhICTpOeHHbIH rO.n.aMH, 6bIll B onaoxacse paspyurea, OHa HerrpepbIBHO XO.n.HJIa no KOMHaTe, TO H nezro saropaxasas My%y, y.n:06HO YCTpoHBmeMycH B KpeCJIe, 3KpaH renesaaopa.

- jL BH.n:HTe JIH, TO%e Mory noexars C HHMH! ThI '. npencrasnsemsd - B03MyIT(aJIaCh OHa.

- TaK B qeM %e .n:eno? E3- %aH, - He.n.0YMeBan Cama.

,IJ,a .n:eJIO B TOM, '-ITO eMY .n:Ba'!'(l..(aTh ner, a OH 3a6Haaer ce6e ronOBY -iepr 3HaeT '-IeM! EMY Y'-IHTbC>I aano: - BOT HMeHBO, /.l,Ba.n.lIaTb ner, MhI B ero B03paCTe U BJIIo6n>InHCb, H Y'-IHJIHCh.

- Caina. cefixac BpeME npyroe. I1 nOTOM, OHa KOHe'-IHO CHMnaTH'-IHaE, HO XY,l..(IOw;a>I! ElIe,llHeHhKa>I! HaBepH>IKa H3BO.n:HT ce65I .n:HeTaMH ...

- Maas.zta 3TO TbI ce6>I H3BO,ll;Umb. A OHH MOIIO,ll;bI H Y HHX see npexpacao. Hy '-ITO TbI ssr.enao, aa 3Ty KaTIO? He 6Y,ll;eT KaTH - 6Y,ll;eT Jlena, CBeTa, H He aaaro. Bsrpoc nam Ilanra. He BO,[(HT'b Te6e ero 60nhIIIe sa pyxxy na TpeHHpOBKil. 51 6hl. na TBoeM MeCTe, H sHepenosen He rroexan. Bce. He Ma>I'-Ih, .o;aH TeneBH30p rrocMoTpeTb.

IIocJIe paaroaopa C CaIIIeH Marne HeMHoro norrerxano, HO B lleperroBen OHa Bce-TaKH rroexana. H HeCMOTP>I aa TO, '-ITO BGO nopory B MallIHHe Mama TOlIbKO H ClIbIIIIana «KaTE, refie He nyer?», «Kara, reoe ynofiao?» HJIH «KaTH. nocnn. erne nonro exari,» - cepnne ee rrorrewaory OTTaIIBano, sens Ilasen TaK HanOMIIHan CaIIIY Hero OTHOIIIeHHe K HeH. «Konns OTell·, - ,lIYMana OHa, rnJI.n.H Ha CbIHa. - TaKoH )lce BHIIMaTenbHhlH, 3a60TnHBhIH. Xopomero ManhqHK3 MhI nocnarann».

B qeperroBne Mama y6e.o;Hnach B TOM, "ITO KaT5I np3KTH'-IeCKH aexero He eCT, a nOTOMY 60ne3HeHHO 6ne.D;H3, Bhlrn5I,lIHT YCTaBIIIeH U 6e3 xonna seaaer. Ho BO BpeMR IIallIHHoH Hrpbl OHa 6Y.llTO O%HBana H CTaHOBHJIaCb TaKoH %e >IpOH 60nenhlll;HUell. KaK Mama, '-lTO Be MOrJIO He nonxynarr, MaTepIIHCKOro cepzma. BOT II CeH'-laC OHH CTOEnII PHAOM H 06e AO 60JIH OKHManH xynaxa, %aAHo. aafiaronaa sa HHM O.n.BHM.

IIpOTliB Ilanrn rpyfio napyumzrn rrpasnna. Marna axayna. Kars erne 60JIhIIIe nofiaenaena. CYilMI Ha3HaqIIn 6YJlJIHT. Ilasen npHroToBHJICR rrp06IITb. Mama npHBhl'IHO 3aKphIJIa rnasa pYKaMH, a xorna OTKPhIna - YBH,ll;eJIa xpenxo 3a)l{MypIIBlllyroC>I KaTIO.

[on. KaTH Me,ll;neHHO orxpsma rnasa U sonpocarem.ao nOCMOTpeJIa aa Mamy.

- 3a6un, KaTIOIIIa, 3a6r-m! - paAocTBo C006IT(Hna MaIIIa. OH11 ropaxo 06HiIJIUCb.

IIocJIe arpu IIaBeJI C006IT(IIn MaMe, 'ITO OHH OCTaIOTCH AO 3aBTpa, erne na O,l..(HY nrpy, a y KaTII Ba)KHbIH 3K3aMeH, II ee npnnerca OTnpaBIITb aa rroesne. Mama BeCKa3aHHO ofipanonarracs. OHa OCTaBeTC>I C CbIHOM BABoeM, KaK npeacne! H 06H3aTenhHO cepsesao rroro-

92

BOpHT C HHM, no nOBOAY Y'-le6bI. rro IIOBO.o:y KaTHHOn AHeTbI H ee nocaencrsnax, zta H nootirne 0 BCHKOn npHHTHOH epyazre.

Buecre OH11 noexana na BOK3an sa 6HJIeTOM.

- OAIIH CB P;O Canxr-Ilerepfiypra, nmKanYHCTa, - 06paTUnCJI Ilasen B cB060}..(Hoe OKHO xacc.

- CB HeT. - MOHOTOHHO OTBeTUJIa KaccHp.

Torna KyneHHbIH.

- Kyne TO%e HeT. Ocrancs TOJIbKO rrnamcapr.

- Hy "ITO .o:enaTb, AaBaHTe nJIallKapT, - COmaCIIJIOI

Ilaaen H Y)l{e cyayn B OKHO KaTIIH nacnopr.

- Ilaiua. TOJIbKO He nnauxaprl - B3MOJIIInaCb KaTJI. - ::JTU 3aIIaxu, a He BblBecy. ..

Y Manrn 3aMepno cepzne. a '-Iepe3 MrI-IOBeHbe saKOJIOTHJIaCh OT rrepeaacsnnenas 3MOUIIaMU TaK, '-ITO oaa CXBaTHJIaCb sa Hero o6euMu pYKaMII, 6y.D;TO nsrraacr, ynepscars BblIIJIeCK '-lYBCTB Hapy)Ky. «Bozce MOH! 51 norrscaa 6bIJIa cpasy noranarscal Ee 6JIeilHocTb. COHnUBOCTh ... Y Hac 6y.o;eT pe6eHOK! I1 see caaxana! IIeJIeHKU, 3y6KH. rrepssre urarn. nepssre KOHbKH /l:Ba,ll;nars KaKorO-TO pa3Mepa, nepssra rOJI! H H - sa KpOXOTHYIO pyqKY, aa TpeHupOBKU! A eCJIU AeBO'IKa. TaK eute ny-nnel Cama YMa nHIIIUThC>I OT C'-IaCTba. OB sens TaK XOTeJI neao-ncy!»

MaIIIa pemHTeJIbHO nOAOIIIJIa K csnry,

- IIaBeJI. HIIKaKoro nnauxapra! - CKa3aJIa OHa. - Iloexann B asponopr. Mb! nOJIeTUM na caxionere.

- MbI? - y/l:uBJIeHHO rrepecrrpocHn IIaBeJI.

- KOHe'-lHo MbI! 51 ee OAHY HHKYAa He ornyury.

Bee-To rrOnO%eHHH?!

Kara rycro nOKpacHena. nozrrnepxnaa MaIIIuHbl norazncn.

***

CnYCT51 erne AecHTb JIeT.

OCTaHoBHBIllHCh y BXO/l:a B orpoMBbIH HapR.o;HbIH san, Y)l{e sarrormeanuri .0:0 OTKa3a 3pHTeJI!IMU, Marna OThICKana fJIa3aMU MY)l{a. «Bcxe MOll. HeY:>KeJIU Mbl TaK nocrapenail - nO/l:YMaJIa OHa, maAR aa ero cenoii. peneronran 3aTbIJIOK. - il xorna TonhKO ycneJIII?! He saMeTHJIa. Bce Ha OAHOM AbIxaHUU ... - CaIIIa ooepayncs H MaXHYJI ell. YKa3bIBaH aa npanepacanaoe PJIAOM MeCTO. - A rnasa ace re )l{e. ,IJ,a H Be/1,eT ce65! nopofi KaK Manb'-IUIIIKa».

EABa Mama ycnezra cecrs, KaK sanrpana sozmretiaas MY3bIKa. ,IJ,eTcKHH KOHIZYpC 6aJIhHoro ramra naxanC>I, U cnazixae napo-rxa, OAHa sa npyroa. sarropxazra no Kpyry.

«Ilrame-rxa Barna», - MaIIIa crncrnyna nO/l:CTynHBIIIue CJIe3hI, YBIIAeB BHy'-IKy.

- BOT OHa. B KpaCHOM! - TKHyJI ee B 60K Cama U. 3aMaxaB PYKaMH, BbIKpHKHyn, - Hacrensxa!

- He orsnexait, cofisercs! - CnenaJIa 3aMe"-laHHe MaIIIa. He OTpblBa5I rJIa3 OT xpynxofi cpurypKH Bay'-IKH. - TPOCTHHO'IKa aaura.v. KaKa>I OHa CJIaBHa>I, KOnUH Karerrsxa.

- ThI nOCMOTpII, "-ITO OHa BbITBopHeT! - He YHUMaJICH Cama, - A KaK urnxapao na napxere CMOTPUTC>I! Ilepsoe MeCTo,Hame!

- Harne. Canra. aame.i. HaIIIe COKpOBIIIT(e, nama )KH3Hb. HaIIIe Bce ...

.,o,ATbl, fObViJ1EIIl, C05blTvlH

aMCKlIIe wry

KlII

}t{eHUJ,VlHbIJ nOflb3YflCb AOCTVlmeHltl7lMM COBpeMeHHO~ ~MBMnltl3a~VlVlJ peAKO 3a,AYMblsaIOTC7I, KOr,Aa OHM 6blflM C03AaH'bl lt1 6naro,AapTl KOMY BOWflM B Hawy }t{M3Hb. l{aKo~ me CpOK ,AaBHOCTVl 3Ha4MMbiX C06bITVI~?

309 ner

WranbflHel\ 6apr0J1DMeD Ae IilpaHqeCHO Kp~CTOq,Op~ ~306peJ1 n~aH~HO.

_ ..... .-

-r:

158 ner

AMep~l{a HKa AMaJl ~~ 6J1YMep BnepBble IlaAena 6PlOKI1 - yrenne-muc urapocapu nOA 106KY AD KoneH. ~Aefl npWlK~naCb,

~ 6plOKw-6nYMepCbl aa HeCKOJ1bKO J1eT nOKOpl1JlI1 AMepl1HY 11 Espony.

101 rOA

BJloHAoHe DTKPhlfll1Cb IV OmolMnl1HCKl1e I1rphl, R KOTOPblX anepnue npI1IlH11~ Y'·Hl[H'Ie lKel-lw,I-1Hbl.

94

241 rOA

POCCIo1~CKOi1 ~Mneparpuue Ef<JTepWHe" 6LI11 nonapeu anMa3 "OpJIOB>l, KOTOPbl~ HBJ1~eTCfl caMblM KpynHblM anMa30M

B AJlMa3HOM eiloHAe POCCI1"'_ Macca HaMHH 199,6 uapar, C4I1TaeT(fl, 4TO OH 6bln HaMAeH B VlHAI1M B ua-iane

XII B. AnMa311MeeT 4YTb rony6as3Tb1ii ornl1S, orpaues B eilopMe P03bl, no eilOPM€

11 pa3MepaM nOXOlK

H3 paapeaau+toe nonepeKKypMHoeR~~O.

B CWA lKeHIlII<H3M 011'" 4"'3JlbHO paapew~n~ BOAHrb aBTOMo6~n~.

225 ner

190 ner

AHrn"qaH"'H 3j.\MYHA Haprpaur n0l1y4~JI

illpaHllY3Y M. neTHT- 6m 6 bill BbfAa H naTeHT H3V!306peTeHV!e pOJl~KOBbJX IWtibIWB_ YCTpO~CTBO (OnORRO 113 AepeBRHHblX noAOWB, K KOTOPblM xpenVlnl1Cb nnaHKVI c pacnonOlKeHH blMVI /1pyr aa APyroM AByMll, TpeMR ~nVl 4eTblphMH KOl1eCVlKaM~ Vl3 MeAVI, QepesaWlll1CnOHOBoA KOCrl1.

114 ner

106 ner

102 rona

"\ \ \

Iilp31HlY3CI<Jole 1'130- 6per3Tenl1 - 6paTbR OrlOCT 11 nyV! JllOMbep npOAeMOHcrpl1poBanVi B nap~lKe CBO~ nep8bl~ K"'HOOpOeKTDp.

HeMel\KHi1 X"MliK XaH( WB3pl.\Konq, ~3- rOTOBVlI1 q,l1aI1KOBbl~ waMflYHb C l1ororVlnOM B BIl/1e 4epHOBonocoli rOflOB~_nOpOWKOBWA waMnYHb WBapl1- Kompa (Tan nepSblM Map04HbiM npOAYKTOM B.o6f1aCTV1 HOCMeTlt1f-flt1 I1Jlfl BOnDe.

AMep~KaHe~ AlK€liMC MappM Cnearnep, 1(0- TOPblA paooran y60plJ.jVlKOM, paapafiora.i nepBbl~ MaJ1e!-l6KL1~ 3IleKTp"4eCK~~ I1bIIleCOc.

4

.

.

56 ner

71 rOA

40 ner

'lewCKI1" Y4eHbl~ OTTO Baxrepne C03AaJ1 rl1A pocjl ~Jl bHbl~ rene, I{OTOPbliiJ B 6YAYLl\eM (Tan OCHOBO~ ero caworo nonyn~pHoro 1130- 6peTeHI1R - MflrKl1X KOHTaf<THblX 1H1H3.

I1TanbHI-lel\ Map"o rapAilHIoI "306pel1 nepBble B Milpe npodiecCI10HanbHble 1lI11n4blBbIJlPRM~Ten .. , «oropue rnaAKO pasrna»U4Sanltl BOnOCbl.

JleT4~!Ibl B.C. rp1130- Ay6oBa,n·A_O[~neHKO Ii M.M_ PaCKoBa cranu nepBblM~ lKeHLL\~HaM" - fepoHMil Coaercuoro COI033, OHI1 6blnl1 uarpaxneHbl3a ocvuiecrsneuae 6ecnocaA04Horo nepenera M3 MOCKBbl ua AanbHVlH BOCToK,

KypHHoe 4»HIle n por

C OBOIl\ilMIII C I'OAiI II

ClJapwHpoBaHHble XonOAMblH JlHqa 60put

XonOAHbl- 60PIII

BaM norpe6yeTCJI: 1 ~pynHa~ caexna:

2-3 oTBapHbl€ KapTOljlel1~Hbl; 2 KpynHblx CBelf(~X orypu,a;

2 H~u,a;

1 nY40K seneacr o IlYKa L1 yKpona;

150 r cMeTaHbl;

lJlBOJJ.bj~

1/4l.JaiilHOIiI J10}l{KL1 J1lr1MOHHOi4 t<lIICIJOTbl; conu, cneljl1L1 no BKyCy.

CBeKJIY O'-lHCTllTb, paapeaars na -reraepraaxa. 3aJIHTb B0,l.10H, notiasrrn, JIHMOHHYIO KllCJIOTY II saprrrs 20-30 MIfHYT, 3aTeM ocryznrn, II aarepe'n, na KPYIIHOH repxe.

B KaCTpIOJIIO C XOJIO,l.1HbIM CBeKonbHblM OTBapOM ,l.106aBHTb Hape3aHHble Ky6HKaMH xaproqiezrs. nOIIYKpyroM orypen, HaUlHHKOBaHHble seneHblH JIYK H yKpon, nareprsre aa MeJII<OH repae HHua H CBeKJIy. Ilepezt nonaxeii nOCOIIHTb II no- 6aBHTb CMeTaHY.

g-~

N~ 72009

Cl»apwHpoBaHHble Jliqa

8aM norpetiverc»:

2 caapesxsrx BKpyTylO ll~lja; 50 r raepnoro cupa: 111YKOBL1l\a;

24. J10}t{KIr1 CMeTaHbl; 3elleHb L1 cons no BKyey.

5IHua O'-lHCTHTb, paspeaars BAOJ]b, BbIHYTb )f{eJITKH. CMernaTb B 6n:eHAepe rrozracapeaHblH JIYK, )f{eIITKll, CMeTaHY H csrp, HaTepTbIH na MeJIKOH TepKe. ,ll;o6aBHTb COJIb rro sxycy HacpapnmpOBaTb Hllua nonyseaaoii Ha'-lHHKOH, csepxy npacsmars Hape3aHHOH 3eJIeHbIO.

g-~

N272009

96

n .. por C JlroAaMIt

BaM norpe6yeTCJI: 200 r MyKL1;

200 r caxapa;

1/2 CTaKaHa KpaXM811a;

2 CT. 110lf(KI1 pa spuxnarena gllH TeCTa;

200 r BI1WHI1 L11l11 4epeWHI1; 1 naKenlK aaHI1JHIHa;

5 r CIll1B04HOro MaClla; ';' 4. 11 OlKKI1 COIlI1.

CMeWaTb MyKy, KpaXMaJI, COJIb, caxap, paspsrxJIllTeJIb. ,ll;o6aBllTb B36HTble HHua H Ill,errOTKY BaHHJIHHa, ace TIll,aTeJIbHO nepeneurars. BsrJIO)f{HTb nOJIOBHHY TeCTa B cpOPMY, npensapaTeJIbHO CMa3aHHYIO MaCJIOM, A06am-:!Tb l!rOAbl II BbIJIOJKHTb OCTaJIbHOe TeCTO. Bsmexari, B .uyXOBKe npn 180DC B rexenae 50 MHHyT. [OTOBbIH naper BblJIO)f{llTb as CPOPMbI, OCTynIiTb Ii rrocsrnarr, caxapaofi rrynpoa.

g~6

N272009

KypHHoe 4tHne COBOLqaMH

8aM nOTpe6yeTCJI:

300 r Kypl1HOrO Ijll1ne; 100 r MllrKoroTBopora; 100 r CMeTaHbl;

COK ,;. IlL1MOHa;

cons ~ CnellL1L1 no BKyey.

Kypmroe q,HJIe aapeaars TOHKHMll JIOMTHKaMH H BbrnO)f{llTb B CMeCb TBOpOra, CMeTaHbI Ii JIHMOHa . .ll06aBHTb COJIb II CIIeUHIf H naTb HaCTOl!TbC5-l 30 MllHyT. 3arreKaTb B .uYXOBKe na rrpoTHEHe, 3aCTerreHHOM neprasrearou. B TeqeHlle 30-35 MHHYT npa TeMrrepaType 180°C_ TIonaBaTb K CTOJIY co CBe)f{HMH OBOIll,aMH.

Bce npcacxonsnree B MOeH )IU!3HH, Ha'lrma)! C nocrynneHEll S YHHSepOlTeT, 6hIJIO qenCO CrrJIaHHpOSaHO H rrpon:YMaHO. II SOT MHe 28 JIeT. )! IIonyqHJIa Me.llHf(UHCKoe otipasoaaaae. XO)!(y aa mo6nMYw pa60TY, saMy)!(eM sa saMeqaTeJlbHhlM "lenOBeKOM. HaCTaJIO speM)! 3a}J,YMaThC51 o MaJlhlnre.

MI.! rOTOBHIIHCb K aauiea nepnofi 6epeMeHHOCTH TO)!(e O'ieHI. rrponyssaaao. 06Cne,ll;OBaHH51, rrpHBHBKH, Mope. nonaoneaaoe IIHTaHHe - H TOJlhKO rrOTOM 3a'IaTHe, II BOT }J,Be nonocxa aa TeCTe, MI.! C'laCTJIHBI.I! Ka3alIOCh 6I.l, see IIO,l( KOHTponeM: 6epeMeHHOCTI. nporexaer rnanxo, C 6 aeneas H Ha6Jlwp;aIDCI. Y H3BeCTHoro B HarneM ropO,1.(e axymepa-raaexozrora, npo 6epeMeHHocTI. H pozna see SHaeM, OCTaJIOCb TonbKO HaCJIa)!(,l(aTbCJf CSOHM rrOJlO)!(eHHeM sce 9 MeC51u;es!

Ho He TYT-TO 6blJIO: OKa3aJlOCh. spaxy 6hITb fiepeneaHOH ropasno TPYP;Hee, 'leM )!(eHru;HHe 6e3 Me,l:\H[(IIHcxoro ofipasoaaans - 3TO rrOCTOIlHHhle 6eClIO'lBeHHbIe COMHeHIIJl, CTpaxH... II TYT 51 rrOHJlJIa, 'ITO MHe Hy)!(eH fIOMOlI(HHK, rrOTOM Y 'ITO He Mory 51 no necars pa3 aa P;HID 3BOHHTb spaxy H xcanoaarscs na CSOH He060CHOBaHHbIe 'rpenor-n.

11 rorzta MHe nouor )!(ypHaJI «9 MeCRu;es», KOTOPblH (Tan MOHM rrOMoru;HHKOM H B nepsyro osepens - ncnxonoroxr. Ilpexne 'leM ocraaosnrr, CBOH BbI60p HMeHHO na 3TOM )!(ypHane, R rrpoananaaaposana MHom pa3Holl nareparypn. xcypaansr, KHHrn, 6POlllWPhI. IIHTepHeTCaRTh!. HX conepxaaae. rrOJIHOTY CTaTeH, nerxoen, R3hIKa. C sroro MOMeHTa UpII Manelllllell TpeBore H COMHeHIHI 51 crana ofipaurarsca K BalllUM CTaThRM: spozre 6bI, EX COnepscaaae MHe 3HaKOMO, HO TOJIhKO nocne npO'lTeHHR

• KOHKYPC

KAK MHE noraor )f(YPHAJI

Aopor~e Y~TaTen~! PeAaK~~~ 6narOAap~T BCeX yyaCTH~KOB KOHKypca «KaK MHe nowor mypHan». l..j~Ta~ BaW~ n~CbMa, Mbl eute pas y6eA~n~Cb B TOM, YTO AenO, KOTOpOe Mbl aenaev, - nonesuoe ~ aaxuoe. HaM 6blno aenerxo peuinrs, KaK~M ~CTOp~T!M ornars npenno-rreuae: see OH~ 6bJn~ ~HTepecHbl. Ho B nrore see me onpezienanacu TP~ nooennrenn:

.. Haranss Hpokoru.eaa, r, lt1PKYTCK; " KceH~~ naXOMOBa, r. MYPMaHcK; " AHTOH~Ha Haaaeaa, r. EKaTep~H6ypr.

OH~ nonv-iar np~3b' OT o.nAHT - nonaP04Hbliii cepTwp~KaT Ha 3000 py6neiii An~ nOKynK~ oAemAbl An~ 6YAYut~x MaM ~3 HOBblX KonneK~~iii 2009 rona ~ A~C- I KOHTHYIO xaprv VI P, xoropaa ziaer

npaso ua nOKynK~ VU'

C 10%-HOiii CK~AKOiii CtJP

B cern Mara31t1HOB 011AHT.

aacrynano zrynresnoe pasaoaecne, H R rrpOP;OJI)!(aJIa uaClIa)!(p;aTbCH CBOHM IIOJIO)!(eHHeM. C 20 aezrerrs MI.! C MY)!(eM crana H3Y"laTb PbIHOK JJ;eTCKHX rosapos (KOJIJICK3. KpOBaTKa H T.J:\.), MY'lHIIHCh BbI60pOM Tpll MeCHu;a. noxa OlIRTh HaM He rroxsor )!(ypHaJI «9 MeC)![(eB» - II C Barnell IIOMOlIJ;bIO rJl06anbHhle fIOKYIIKH y)!(e cnenaasr.

){(ypHan cran P;JI51 MeHR He TOJlbKO IICIIXOJIOrOM, HO II rpaMOTHbIM WPHCTOM (CTaThH s NQ 6, 2008 r. «}leKpeTHblM oTnycK»; CTaThJI B NQ 1,2008 r. «Tpynoasre JIhrOTbI P;Jl51 6epexenasrx»: CTaTbR B NQ2, 2008 r. ,,}loKYMeHTbI 6YP;YlI(eH MaMbl»), OTJIH"IHbIM KOHcynhTaHToM (crart.a B NQ 1. 2008 r. «Bh16HpaeM BaI-H'lO"lKY,,; CTaTbJI B NQ 7, 2008 r. «EYThIJIo'lKH ,ll;JIR xopvneaaa» II T. n.). a DOCJIe DOJIBJleHHJI Manhlrna na CBeT CTaHeT erne H 3aMe"IaTeJlhHblM HeOHaTOJIOrOM. H npocro BepHblM npyrou. Hy H BOBce He 060HTHCh 6e3 raxax crareii. NQ8, 2008 r, «MbIJIO, TarrOCIKH, xanar»:

NQ3, 2008 r, «Bee Moe aoury C C060H»; NQ 10, 2008 r. «IoTOBllMCR K BbIDHCKe H3 ponztoxa» - CeH'lac. B 29 neztens 6epeMeHHocTH, 51 yxe rrOJ1HOCTbIO cofipaaa B p0P;P;OM. KJ)!(.llblll MeC51lj Mbl C My)[{eM C aereprreaaesr )!(JJ;eM BbIxona HOB Oro BhIDYCKa samero )[{ypH3JIa,

51 BOCrrOJIb30BanaCb COBeTOM rro6eP;IITeJIbHI1U;bl KOHKypca B NQ 7. 2008 r, H ofixnerrna ace )!(ypHaJIbI pasaoU;BeTHhIMH cTHKepaMH. Ka)!(P;blll UBeT y MeR)! «nrse-raer» sa CBOIO py6pUKY: no pOP;OE. nocne POP;OB nJIR MaMbI, P;JJ!.1 MaJIblllla, P;JIR nansi - O'leHh yP;o6HO!

51 II MOll MY)!( HCKpeHHe 6JlarOp;apI-Ihl C03n:aTeJIIlM sroro 3aMe'lJTeJIbHOrO )!(ypHaJIa E XOTHM eure pa3 y6eP;HTh sac B TOM, 'ITO BhI He3aMeHHMbI H rrpOCTO He06xoP;IIMbl BceM 6epeMeHHhIM }KeHlI(HHaM H HX MY)!(hJfM. Orpoxmoe BaM

cnacnfio! __.~ __ !!I

Haransa npOKonbesa, r. WpKYTCH

9