EOC a (4 CC eroHeKomeHqoBaHo: Antopu: Peensentu: BueHowo pagowo [13 «Ykpaiicbkuit HaykoBo-npakTH4HMit YeHTp ekcTpeHol MeqMuHO! AONOMOrM Ta MeANYMHM KaTacTpod MO3 Yikpailtt», porokon N° 4 Big 27.03.2014 BPO «BeeyKpalnenKa page peanimauii (pecycynrayii) Ta ekETPeHo! MeAM4HO! AONOMOrMy Kpuniok 6.0, lOpuenKo BJ), [yauma A.A, Kyaemin B10, KysbmincbkHd 1B, Camodan CC, Kpwmox O.€,, Faqanka BM. AOKTOP MeAUUHMX Hayk, Nporpecop Xobseti M.K AOKTOp MeAUUHUX Hayk, Npodecop TyTHeHKO ML XynoxHe obopmneHta Ta BepcTka: Yepsouta H.B,, Llly6Ko 10.C. Aomeanuna gonomora (anroputmn, makinynayii): Meroquunnih noci6Huk/ B. O. Kpuniox Ta ik. - K.: HBM "IHtepcepsic’, 2014, - 84 ¢ ISBN 978-617-696-226-7 HasyanbHi noci6Hik pexomeHgosaHnit ana cnyxavin Kypell 3. NuTaHb HagaHHA AoMeAN4HO! gonomorn. Y Hbomy onMcaHl 7 surnagi anropuTmis nopagkn HagaHHA gonomorM ipl 28 HeBigKnagHux craHax. Tpn cTBopeHHi nocibHNKa aNTopM kepysanuca cy¥acHMmn MigHapoaHumn pexomeHsauisin ISBN 978-617-696-226-7 © BPO «BPP 1a TMJ», 2014 360° PILJEHb ANA EKCTPEHO! MEQULIVHU « Kopcrki wunu ana imo6inisayii * Bakyymai wnnn * Nxesmatwyni wan + UWnitni komipn EkckntoaneHuii npepcrasHnk Ha TepuTopii Ykpainn TOB «TA»A3apic» +380 44 361 32 32 | www.spencer.com.ua Pe cece)Nez neq NOS Ne7 Ne10 Nev1 Ne12 Ne13, Ne14 NO15 NO16 NO17 NO18 N19 Ne20 Ne21 3MICT |. Anroputmu Tlopajox Hajaniia omequunoT AONOMOrH nig Wac panToBO} 3ynHHKH cepyA B nopocnux Tlopagok Kanani qomequsio’ aonomorn nocrpaxanomy y pasi cepyesoro Hanapy Tlopajok nposeneHia cepyeso-nereHeso! pearimauii 3 BMKopucTaHHAM aBToMaTH4HOro soBHiWHbOro Aedi6punatopa Nopajox Hagan Zomequunol jonomorv nocTpaxkqanomy 3a NigospH Ha NowKoAKeHHA xpeGTa Ropagok Hagan Aome_M4nol onomoru nocrpaxKjanoMy 3a niqo3pu Ha Tpasmy ronosu (30Kpema Ha 4epenHo-Mo3KoBy TpaBMy) Flopagox HapaHia ZomeqM4noi fonomoru nocrpaxjanomy 3a NiAO3pH Ha NOWIKO;PKEHHA KHBOTA Flopagox HapaHna jomesM4Hoi fonoMoru noctpaxjanomy 3a niqoapu na incyner Topagox Hagantia gomeqn4noi Aonomorn nocrparxganomy 3a nigo3py Ha Tpasmy rpyaHoi KniTKH Noprgox Hanan” jomenus4Hoi jonomorn nocrpaxjanomy 3a nigqo3pu Ha nepenom KicTok KiHUIBOK Nopagox HapaHAa Zomequ4toi gonOMorM nocTpaxqanomy 3 paolo KiN\iBKN, 30KpeMa yCKNaAHEHO!O KPOBOTeYeIO Nlopagok HagaHHa AoMeAN4HOI Aonomoru 3a TpasmaTM4Hoi amnyTauii Nlopagok HanaHHA jomequ4noi yonoMorM nocTpaxkqanomy Big no3sMUiiHOrO CTVCKaHHA M'AKMX TKaHH Tlopaqok HanaHia qomequunoi gonomorn noctpaxpanomy y paai nigoapu Ha wok Tlopagox HapaHHa HomenM4Ho! AOnOMOrM y pa3i NopyueHHHA NpoxiAHOcTi AwxanbHux uinaxis - o6Typauli cTopoHHim inom Topagok HafiaHia jomequs4toi qonomoru 3a HanBHocTi kinbkox noctpaxqanux Tlopagok Hafaliia jomequs4Hoi qonomoru nocrpaxkpanomy 8 pasi nigospu Ha roctpe orpycHHA HesiqomoWo pevoBnHoI Nopagok Hagalia ncuxonori¥Hoi gonlomoru noctpaxnanomy 3a HapsBuNaiiHoi cutyauil Topanok HagakHa nomepu4Hoi RonoMorM nocTpaxkqanomy 3 OniKOM Tlopanok HanaHiHA AomepMsioi Jonomorn nocrpaxpanomy 3 MepeoxonomkeHHaM/sigmopoxKeHHaM, Tlopanok HanaHi#A AomepMuttol JonoMmorn noctpaxpanomy y pasi yronnena Tlopagox HapaKHAa nomequMHoi jonoMmoru nocTpaxknanomy, ypaxkeHomy enekTpHM4HMMM CTpyMoM Ta GrluckaBkoWo (eneKTporpaema) 10 13 15 ar 20 21 24 27 30 32 36 38 42 43 45 47 N222 Ne23 N824 Ne25 N26 Ne27 Ne28 NOT Ne Nes neq NOS NG NO7 NeS Ne10 Ne11 Ne12 Ne13 Ne14 Ne1S, NO16, NO17 NO18 NO19 N°20 No21 Nopanok HafaHia AomeanuHol AonoMorH nocTpaxKpanomy nig 4ac AOPOxHbO- TpaHcnoprHnx npurog Nopagok HapaHHA AoMeAMYHO! AONOMorM NocTpaxKAanomy Big NeperpisaHHA Tlopanok HaaHi#a omequuHol Aonomorn nocrpaxkaanomy 3 TpaBMaMM Ta NOWKOsPKEHHAM O4e Tlopanok HanaHiia omeqMuHol AonoMorn nocrpaxkpanomy Big ykycis TaapHH Ta koMax Tlopraok Hanalia flomeqM4Hol qonomorn nocrpaxkaanomy Big napiKHA 3 eucota Tlopamok Hania fomeqMs4Hol qonomorn nocrpaxkaaromy np cylomax (eninencii) Tlopafox HapaHHa Aomequ4noi onOMorH nocTpaxkqanum 6e3 cBiAOMOCTi IL. Maninynayii HOBNeHHA NpoxigHOcTi AMXanbHMX uuNAxiB, NepeBipKa HaRBHOCTi ANXaHHA Hagasniosania Ha rpyaty Knitky nocrpaxkaanoro nig vac cepyeso-nereHeBoi Ppeanimayii Tposenedia wryuHinx equxis nocrpaxkpanomy nig vac cepyeso-nereHesoi peavimauii Bukopicratia asTomatM4Horo 30BHiwWHbOro Aedi6punaTopa (A3Q) nig vac Nposegena cepyeso-nerenesoi peatimauii CraGinbHe nonoxeHHA nocrpaxsjanoro Tpniiom Xetimnika (BiqHosneHHa npoxigocti auxanbHMx wraxie nig vac obtypauii BepxHix uxanbHnx wrrxia CTOpOHHiM TinoM) Haknanania pxryta 3ynuinka iXTeHcHBHo! KpoBoTeNi 3a AONOMOroWo IMnposizoBaHoro AxKryTa HaknagaHHa wniiHoro Komipys Tepemiujentia noctpaxpanoro Ha qOBry TpaHcnopryBanbHy AOWKY, LyT TOLO Haknapalia GuiToBot nos'a3kn Ha KiKUiskA Haknagaliia nos'A3kn Ha KiHiiBky 3a AONOMOTOWO KOCHHKK HaknagaliHa nos'Aa3kn 3a HaaBHocTi CTopoHHboro npegmera B pati ®ixcayin ronosn Ta wnitHoro sigainy xpeGra 3a Aonomoroio pyk 3HATTA wonomy Npasuna sHimantia pykasu4oK Micua Hagasniosania aprepii Ha sinctaHi TepesepraHia noctpaxkaanoro Ha crinHy Pexomensosalii nonomeHHia noctpaxkaanux 3a HesiAKnaAHUx cTaHiB Qikcayin nepenomis KicToK KiHUiBOK 3a AONOMOrOW M'AKOT WHA Pekomenmaui ana aGoHeHTa wogo cninkyBaHHa 3 AUCneTuepom eKcrpeHoi Menmutioi jonomorn 50 52 54 55 56 58 60 61 62 63 65 67 69 1 72 73 74 Zs 76 7 78 79 81 82Vea nna ty Sela E CLE mons e ele Cue iele tu tla PERC ESL Rey tee elle hg ry PN eRe AVA eed aE 1s [elent| te et) ip Saag NOKMIMKATU HA ONOMOrTy fonveh bh 7 oh h.¢ UCN Ceara 3ATEJIEOOHYBATH 103 (112) Buknukatu 6puragy exctpeHoi EL MEU esa 7 LAS ee (4actota 100 3a xBunnny) ETO PER A bay d 7) Bazosi peaHimayinni 3axoqu MatoTb Taky nocnigoBHictb: 1 Mepeg HajatHam Aonomoru Heo6xiguo nepeKoHaTuca, Wo Bam, noctpaxkganomy Ta iHWMM npucyTHim ocobam He 3arporkye Hebesneka. 2. Busvaumru craH noctpaxkganoro (npuTOMHNii 4 HenpuToMHNi). 3annA boro O6e- PexkHo TpACiTb NocTpaxksanoro 3a neve Ta ronocHo 3BepraliTecb Ao Hboro:”3 Bam ace rapa3q? Ak Bu ceGe nouysaere?" [Ina 3’acyBaHHA craHy noctpaxkjanoro 3a60po- HeHo THCHyTH Jiomy Ha oui, KoNOTM Horo rocTpuM npe_MeTaMn. 2.1 AKuo nocTpaxkganun pearye: 1) 3anuwte Horo y nonepegHbomy nonoxeHHi 3a yMoBY, LO Homy Hivoro He 3arpoxye; 2) 3'acyitte xapakrep nogii, uo cranaca, Ta BuKAMUTe Opurapy ekcTpeHoi (wenp- koi) MequuHoi gonomoru; 3) He 3anuuialire nocrpaxpanoro 6e3 Harnagy, nepioguuHo oYjiHioiiTe Horo cTaH (HanBHicte quxanna). 3. AKwo noctpaxqannii He pearye: 1) 3BepHitbca fo npucyTHix 3a JonoMoroW; 2) 3a Heo6xigHocti nepesepHitb noctpaxganoro Ha cnUHy, BI{HOBITb npoxia- HicTb AUXaNbHUX WAXiB. 4 Migtpumyioun quxanbHi wiaxn BigkpuTimn, BU3HAUTe HaABHICTb AUXAHHA, BUKO- pUCToRyIOUN NoTpIMHNH Npuiiom:"4yTH, 64TH, BiguyeaTH’. BusHauaiiTe HaABHicTe AvixaHHa npotarom 10 cekyHa. HopmanbHe AuxaHHa 3a Yet Vac 3a3Buuaii CTaHO- BUTb He MeHWe Hik 2-3 BAUXU. Npotarom kinbkox xeunni nicna 3ynuvikM cepyA B NocTpaxsanoro MoxKe 36epiraTH- cA cna6Ke qMxaHHA a60 Noog_MHoKi ry4Hi BaMXH. BaxknuBo He cnayTaT ix 3 HOpManb- HMM guxaHHam. fio y Bac BMHMKNM CyMHiBM, LYO AUXaHHA HopmanbHe (12-18 Baxi 3a XBWNIMHY), BBAXKaiiTe, LO BOHO BIACYTHE. Ana evahavenna xuTTeBux noKasHuikis nocTpaxkfanoro Hema€ HeoGxigHocTi nepesi- PATH nynbc; cnig O6MexkMTMCA TINK BUZHANEHHAM HaABHOCTi AMXaHHA. 4,1 Alkuyo noctpaxkjanui Auxae HOpManbHo (16-18 BaUxis 3a xBMNUHY): 1) nepesenite iioro y crabinbHe nonoxKeHHA; 2) 3BepHitbca Ao npucyTHix a60 camocTiHO BUKNuUTe Opnrapy eKcTpeHo! (wengkoi) MequuHoi Aonomorn; 3) He 3annulaite noctpaxkganoro 6e3 Harnagy Ao npuizay 6puragu eKctpexot (wengKoi) meqnuriol gonomoru ta cnigky€ 3a Horo *KUTTEBAMM NoKa3HUKaMM (yaaBHicte quxaHHa). 5 Akwo auxarna sigcytHe a6o nopywieHe: 1) 3BepHitbca Ao Korocb a6o camoctiiHo BuKnuUTe 6purapy eKcTpeHoi (weNnp- koi) MequuHoi AONOMOTY, HaBiTb AKO HEOOXigHO 3anuWwuTU NocTpaxksanoro Ha neBHMn ac; 2) posnoutitb nposegeHHa cepyeso-nereHesoi peanimauii tinbku nicna BuKAU- ky 6puraqu ekctpexoi (wengKoi) Mequunoi sonomorn. 6 Bukonaite 30 HaTuckaHb Ha rpyaHy KniTKy: 1) cTaHbTe Ha Konixa 360Ky Big noctpaxpanoro;2) sw3HauTe Micue HaTUCKaHHA Ta NOKNapiTb PyKU Ha rpy~Hy KniTky; 3) BMKOHyiiTe HaTHCKaHHA MuGnHOW He MeHUe Hix 5 cM (He Ginbuwe Hik 6 cM) 3 YacTOTOIO He MeHUe 100 (He Ginbule Hirk 120) 3a xBMAMHy. Nig ac BukOHaHHA HaTHCKaHb 3a60poHeHO BigpuBaTu pykn Big TPyAHO! KniTku, Me- Pe BUKOHaHHAM KOxKHOFO HaCTyNHOTO HaTMCKaHHA rpyzHii KniTui AaloTe MOxKNM- BIcTb NOBePHYTMCA B NOVATKORE NoNOMKeHHA. Buxonatire 2 wty4nux aquxu: 1) BiquosiTb npoxiguicrs auxanbHnx wnaxie; 2) 3atuchiTb Hi3qpi nocTpaxkpanoro opHielo pyKow; 3) winbHo oxonitb ry6amn por noctpaxkjanoro Ana craopeHHA repmeTuuHocTi; 4) sukonaitte pisHomipHui sugux (aK npu 3BM4aiHOMy AUXaHHi) B poT NOCTpaXK- Aanoro nporsrom opiei cekyHaM (ORHOYACHO cnigKy!oUN 3a pyxom Horo rpyz- Hol kniTki) Ta qaitte MoxKAMBICTb rpyAHilt KniTYi NocTparxKAanoro noBepHyTHCA 8 NlovaTKOBe NosO-xKeHHA, Nichia “oro Opasy BMKONaiiTe ApyrMiA BAUX. Bukonyiire wry4e quxaHHa Tinbky 3a HaABHOCTI 3axncHMXx 3acobiB — Mackit-knanaHa, AuxanbHol Macku TOUWO. 3a BiACyTHOCTI TakMx 3aCcOGiB MoxKHa He BUKOHYBaTM WTy4- HOFO AMXaHHA, a NUWe NPOBOAMTM HaTUCKaHHA Ha rpyghy Knitky. BaKOHaHHA ABOX BaMxis mae 3alimaTu He Ginbule Hix 5 ceKyHA, Ogpaay nica BuKOHaHHA 4B0x BAUXiB BiQHOBITh HATMCKAHHA Ha fpyAHy KNiTKy Ta 3HO- By NPoBogbTe WTy4He AMXAHHA Bi_NOBIAHO AO BHU\eBKAZaHMXx peKoMeHpaLiti (30:2). Baxknusi pekomenfauii peanima: woo NpoBepeHHA cepyeBo-nereHeB: 1) Kuo Bu BukoHyeTe peatimayiio He CaMocTil4Ho, NOTPI6HO 3MiKIOBATHICA KOKHi 2.xB. AA 3ano6iraHHA nepeBToMNeHHA; 2) nay3v Mik HaTACKaHHAMN Ha rpygHy KNiTKy MaloTb 6yTH MiHiManbHUMH; 3) aynuky ANA ouiHioBaHHA CTaHy NocTpaxsanoro Heo6xigHo poouTu TinbKM nicna BiqHOBNeHHA AMXxaHHA; 4) Moxa npunviHuTH BiKOHaHHA cepueBo-nereHeBoi peatimayii 3a TakMx yMoB: + npv6yrta 6pnragn excrpenoi (wenaKoi) Mequ4Hoi AonomorM; + BigHoBneHHa anxaHiA/ceigomocti; + di3munoro BUCH@KeHHA. AJITOPUTM N22 ey ela Em elite eure ele i] Darema ERS CULy yy Cepuyesuii Hanag (infapKt miokapaa) - iwemis/smepTsBinHa cepuesoro m’A3y BHacnigoK HepocTaTHOCTi KkpoBonocTa4aHHA. OcHOBHa Npw4viHa BUHMKHEHHA - siqknapaHHA xKMpoBnx yTBopioBaHb Ha BHYTPIWHiA CTIML{L CyAMH, WO KPoBONOCTaualoTs cepyeBni m‘n3. HaiiGinbu He6e3- neune ycknaqHeHHa iHapkty Miokapaa ~ pantoBa cmepTb. Tlowarok iHapkty Miokapaa Moxe 6yTH iHTeHCHBHMM, npoTe YacTiwe oro o3HaKM 3'ABNAIOTBCA NOCTyNOBO: 3 NOMipHoro Gomio Ta AUcKOMpopry. JIioAN NepeBaxto ir- HopytoTb noripweHiiAa cTaHy, Wo NPM3BOAMTb Jo 36inbUJeHHA Yacy, AKMi NepeAyE Ha- AaHitio eKcTpeHo! MenM4Hiol fonomor. O3naku (cumntomu) inpapKty Miokapyza: + AucKompopT y YeHTpi rpyAHO! KniTKU; + cTucaueniy, Taryuni Ginb 3a rpyaMHoIo; + Gin y nisi pyyi 3 npoeKuicio B NiKOTb, Mi3MHEUb, LINIO, HMDKHIO Uyeneny; + BiQ4yTTA CTpaxy; + yacte auxanna (6inbu Hix 30 ”uxanbHux pyxis 3a xBMnUHy); + xonogHuii nit, HyAoTa, 3anamopoueHHa. Mii y pa3i BuaBnenna xoua 6 opniei 3 yux O3HaK: 1) Tepmitoso euknuukatu 6purapy ekctpeHot (wenaKoi) MequuHoi gonomoru Ta cTucno noacHuTH qucneTuepy NPMUMHY BAKAKY; 2) BkNaCTU NloAUHy Ha CnuHy a6o 3py4He Ana Hei NonoxKeHHA; 3) poscti6xytu opar; 4) 3a6e3neunTu HagXop>KeHHA CBiKOrO NOBiTpA AO NPUMILeHHA; 5) 3anutatu noctpaxaanoro npo npuiiom dapmakonori4Hnx npenaparis, aki pekomeHfosati Horo nikapem. Y pa3i ix HaABHOCTI HeEO6xig4HO AonomortMw NpwiivATn noctpaxKpanomy niKy; 6) at posrkyeat TaGnetky acnipniy (HezanexHo Big npuiiomy iHWINX npenaparis), npu sigcytHocti y xsoporo aneprii Ha npenapat; 7) nocrifio cnoctepirau 3a xBopum, He 3anuulaioun Horo 6e3 Harnapy; 8) 3a HeoGxiguocri posnouatn cepuyeso-nereHesy pearimauiio.AJITOPUTM Ne 3 buy soe aul u key Cltemy (evel SLC ied BUKOpUCTaHHAM aBTOMATMYHOTO 30BHILIHbOTO Aedi6punatopa Dita tS} eine -eg NOCTPAMKAANUA HE PEATYE NOK/IMKATYV HA FONOMOr: fonvoh Teh ib4 nC naa tid ABO € CYMHIBU Y MOTO HAABHOCTI 3ATENE@OHYBATM 103 (112) Dera ou Tie eee ne ier 6 PO3MOYATM CEPLIEBO-/IETEHEBY PEAHIMALIItO (30:2) cour ec nec hie cra unid PCR lig PATON Nee oleae EE LeU s (ere) 30BHILUHbOFO JE@MIBPUNATOPA Mansell tole) oT ELT) Ramo ESA coy Cel: MLL e)-13 114th Rat al von JIETEHEBO! PEAHIMALIII (30:2) 10 3axogn nig 4ac npoBegeHHA cepyeBo-nereHeBoi peaHimauil 3 BUKOPUCTaHHAM aBTOMATMYHOrTO 30BHiWHbOrO Aedi6punaTopa MaloTb Taky nocnigosuictb: Tepe HagaHHam Aonomoru HeoGxiqHo nepeKoxaruca, Wyo Bam, nocrpaxkjanomy Ta iHWMM npucyTHim ocobam He 3arporxye He6esneka. BusHaumtu craH noctpaxpanoro (npuToMHi 4 HenpuTomHni). 3aqnA yboro o6e- PeXHO TpACiTh NocTparkAanoro 3a Nneve Ta OAHOYACHO ronoCcHO 3BepraliTecA Jo Hboro i3 3anuTaHHam. Hanpuknap: “3 Bau ace rapa3q? Ak Bu ceGe nouysacre?” He MoxHa ANIA BN3HAYeHHA NpUTOMHOTO Wn HeNpUTOMHOrO CTaHy nocTpaxkganoro TUCHyTH omy Ha Oui, KONOTH Horo rocrpuMM NpeAMeTaMA 2.1 AKujo noctpaxkgannit pearye: 1) Horo 3annuaioTe y nonepeaHbomy nomoxeHHi 3a BiAcyTHOCTI 3arpo3u; 2) a'acosytors xapaktep nogii, wo cTanaca, Ta BMKAMKaloTb Opurapy ekcTpeHoi (weugkoi) mequ4toi gonomory; Hioro He sanuuiaioTb 6e3 Harnapy, NepiogW4Ho OUiHIOIONN cTaH, y AKOMY BiH nepeGysae. 3 AKO NocTpaxkganun He pearye 1) 38epraiitecb Ao npucyTHix oci6 3a Aonomoro1; 2) 3a HeoOxigHocti nepesepHitb noctpaxkganoro Ha CnuHy, BIAHOBITb npoxigictb AuxanbHux winAxiB. Tiatpumyiown avxanbHi wax BigkpuTumy, BaHauTe HaABHicTb AMXaHHA, BUKO PucToByiouN noTpiiHNiA Npuiiom: “uyTu, GauuTH, BiquyBaTu”. Brshauaiite HanBHicTb AUXaHHA nporarom 10 cekyHg. HopManbHe AMXaHHA 3a Yel Yac 3a3Buuaii CTaHoBuT He meHule Hk 2-3 Bauxv. MpoTarom KinbKox xBunnH nicna 3ynMHKM cepyA B no- cTpaxknanoro moxke 36epertca cia6Ke AuXaHliA a60 NoogMHOKi ry4Hi BAX. Baxk- smBo He crnytaTH ix 3 HOpMambHMM AUXaHHAM. AKUYO y Bac BAHMKNM CyMHiBu, WYO AvXaHHa HopmanbHe (16-18 Banxie 3a XBUNMHy), oro BBaxai0Tb BiACyTHIM. Ana sy3HaueHHA >kuTTEBMX NoKa3HiKiB nocTpaxganoro Hemae Heo6xignocTi nepesipatu nyc. [JocratHbo oG6mexkHTHICA TinbK BN3HAYeHHAM HAABHOCTI AMXaHHA. 4.1 AKWo nocrpaxpannis Auxac HOpManbHo (12-18 Bavaxie 3a xBUnMHy): 1) nepesenite oro y cra6inbHe nono»keHHA; 2) 38epHiteca 0 npucyTHix a6o camocri“iHo BuknMUTe 6purapy eKcTpeHoi (weugKoi) mequunoi gonomory; 3) He 3anuwiacte Horo 6e Harnapy fo npui3zay 6puragn eKcrperoi (WEM_KO!) Megu4Hoi Aonomory Ta cnigkyeTe 3a Horo *KUTTEBMMU NOKasHUKAaMM AIKUIO AUXaHHA BiacyTHE a60 HenpaBsinbHe, Nonpocite Korocb BMKNMKaTH AONOMOTy Ta npvHecty asToMaTMUHUii 30BHiWIHi AediGpunATOP; AKO HIKOrO Hemae Nopy4 camocriliHo BuKnnute 6purany ekctpeHoi (wsvgKoi) Mean4Hol ZonoMorM Ta NpMHe- cite astomaTn4Hinh 30BHiWHil Aedi6punatop. Aikujo Bu Hagae Aonomory camocriiHo, oApa3y BMKOPMCToBYiiTe aBTOMaTHUHMNN 308- HiuiHii qediopunatop: 1) Binkpuiire KpnwKy gedi6punatopa, nicna Yoro anapar BMMKaETHCACaMOCTIMHO; AKUYO Hi ~ HaTMCHiTb KHOnKy, LYO6 Horo yBiMKHYyTH; nicns Toro, AK aniapat yeimkHyBca, BiH OApa3y posno4uHe AaBaTu ronocoBi BKa3IBKU, AKNX HEOGXigHO 0608'A3KOBO HOTPUMyBaTUCA; npukneiite enektpogn Ha rpyAHy KniTky nocTpaxpanoro Ta 3a4eKaitTe, NOK anapat He 3qilicHuTb aHani3 putmy, nicna Yoro, 3a HeEOOXigHocTi, HaTUCHITb KHONky pospaay ana nposegeHHa Aedi6punauii. 2 3 Y kogHomy pai He TOpKaiiTecb NocTparkAanoro nig Yac NpoBe”eHHA aHanisy puTmy anapatom Ta fedi6punauil. Nposogete gehi6punayito tinbKu nicna Toro, ak nepeKo- Ha€TeC, LUO HIXTO He TOPKaeTbCA NOCTpaxganoro. Onpasy nicna BukoHaHHA Aedi6punayii npopoBxiTb NPoBeAeHHA CeplyeBo-nereHe- Boi peanimauil y cnissiquowenni 30:2. Yepes 2 xB. gedi6punaTop astomaTu4Ho npoBexe NoOBTOpHN aHani3 puTMy B NO- cTpaxkganoro. Heo6xiguo giaTu BignoBiqHo Ao Moro ronocoBux BKa3iBOk Ta 3a HeEO6- xiquocti BuKOHaTU pedi6punaLito. AKO B Mogeni Aedi6punatopa He NepeAGaveHo aBTOMATMYHOTO BMMKAHHA Yepe3 2 xB, (TO6TO NicnAa BMKOHAHHA 5-6 YMKNiB CepueBo-nereHeBoi peatimauii 30:2), HeO6- XiQHo yeimkHyTM Horo camocTiiHo. AKuyo CepyeBo-nereHeBy peatimayito BUKOHYIOTb ABOE OCi6, To NepusMiA posnoUNHae nposegeHHa cepyeso-nerevesoi peatimauii 30:2, a Apyruit npuHocuTp Ta roTye aB- TomaTu4Hu Aedi6punatop Ao poboru. Baxnusi pekomeHgauii woso BUKOpMCTaHHA aBTOMaTM4HOrO 30BHiWHbOrFO Fedi6punatopa + He cnig npunviatn HaticKaHHa Ha rpyaHy KniTky, NOKN eneKTpogM He 6ypyTb npuxpinnexui Ha rpyaHii KniTyi. HaTicKaHHA Ha rpyaKy KniTky npuNMHAIOTb Tinbku nig Yac aHani3sy putmy cepya Aedi6punatopom, BignoBigHo fo Horo Ko- MaHV, He3aexKHO Big TOrO, AKe 3a PaxyHKOM HaTMCKaHHA BUKOHYBaNOCA. Cnig BUKOpUCTOByBaTH 4aC, Kos Aedi6punatop axani3ye puTM (KOXxKHI 2 XB. NPOBE- AeHHA CepueBo-nereHeBo! peaHimauil), ana Toro, Wo6 niqMiKuTM OAMH OpHOrO (HatuckaHa Ha rpyAHy KniTky - di3u4Ho BMCHaKNMBa MaHinynaLia). + AgTomatmunnit 30BHiWHiA gediGpunaTOp BUKOpUCTOByIOTS NpoTATOM ycboro uacy npoBegeHHa cepueso-nereHeso! peaHimauii, ockinbkn eMac O6MexKeHD y kinbkocti nposegeHHa Zedi6punauin. + fikujo nicna aHanizy putmy cepya Aedi6punatop He pexomeHpye npoBeeHHA Aedi6punauii, Heo6xigHo npogoBxKyBaTH BUKOHAHHA CepyeBo-nereHeBOi peaHi- mauil y cnigsiqHoweHHi 30:2 BignoBiqho Ao BUWeBKazaHUXx peKomeHAauin. + fkujo B NocTpaxkfanoro BigHOBMNNCA AMXaHHA Ta CamocTiiHa po6oTa cepyA, nepeBegitb Horo B cTaGinbHe NONO*KeHHA, He 3HiMaIOUN eNeKTPOAIB, Ta yBAXxKHO. cnigxyete 3a Horo craHom. Bu noni 3a Heo6xiquocti 6yT roToBi npo_oBKUTH nposegeHHa cepyeso-nereHesol peatimauii. AJITOPUTM Ne 4 UC GCC Benet uel olay bras Ul ern tct rt ch h cir bts tolr) Wie ttn) seta tg BU3HAUMTH CBIZOMICTb, berate ee a COLCA NEI fel gon :t PsP clair EBAKYAUIA 3 MICLIA NPUrOAU Lana NOCTPAKAANOFO HA TPAHCIIOPTYBAJIbHY JOWKY ABO LMT, ABEPI, TOLO 5 eeu iiele tv gi le) Ko) a oii hr Seba omen ne | a BKPUTU NOCTPAKAANOFO (Cae \Wlueteoes G Cees on, \_ornagnoctpaxnanoro | TEPMONOKPUBAJIOM/ NOKPUBASIOM He 3anuwatu noctpamganoro POMS UeEn Vas de carted OS Curie eeu ee na inte)O6craBuHy, WO Hai4acTile NpU3sBOAATb 10 TpaBMyBaHHA Xpe6Ta: + napitiHa3 BuCoTM + cTpHOKMy BopY * CUNbHMi ynap no Tyny6y + AOpOxHbO-TpaH- CnopTHinpnrogn + ypaxxeHHA GNUCKaBKOIO + yparkeHHA eneKTPHYHVIM CTPyMOM = BHOYX. 3aBxqu Heo6xigho nigospiosatn tpaBmy xpe6Ta 3a BMUeBKa3aHMx OG6cTaBMH TpasmysaHHA. O3Haku NOWKOAKeHHA Xpe6Ta: + CUNbHMiA Gib a6o BiqUyTTA THCKy B ronosi, Wi 4M Chui + NoKOMIOBaHHA abo BTpaTa uyTawsocTi 8 nanbyAX pyk Ta Hir + BTpata pyxoBux dyHKuii KiHYIBOK + Aedopmayia BinAHui xpe6Ta + cyOmMM + ycKNaqHeHe AUXaHHA + BTpaTa pisHoBaru. Nopagok HagaHHa AOMegu4Hoi AONOmorn: Nepeg HagaHHAM Aonomoru HeoOxigHo nepekoHaTuca, WO Bam, NocTpaxkpanomy Ta iHwWMM npucyTHim Ocobam He 3arpoxye HeGesneKa. Heo6xigHo nposectu ornag nocrpaxpanoro, BM3Ha4TH Horo CTaH (NPUTOMHMi 4M He NpuTOMHUii), HaABHicTb AMxaHHA. 2.1 Tpe6a nonpocuTn korocb a6o camocTi“iHo BUKMMKATH Gpurapy eKCTpeHot (wenpKoi) Mequuxoi fonomoru. 2.2 AKWO y NOCTpaxkAanoro BiACyTHE AMxaHHA, HEOOXiAHO BIQHOBUTH NpoxiAHicTb AWxanbHux WwAxiB Ta poznoyaTu NpoBeAeHHA CepyeBo-nereHesoi peatimayii. Ako NocTpaxnanuit npuToMHNi abo AMXaHHA a6epexeHe HeOGxinHO 3adiKcyBaTn mini Bigain xpe6ra. Bushaure un notpi6Ha eBakyauin nocrpaxaanoro 3 micua npurogn. AKWO eBakyauia He NoTpi6Ha: 1)_ He pyxaiite noctpaxganoro; 2) Bkpniiite noctpaxKaanoro TepMonoKpuBanoM/KOBAPOW; 3) niatpumaitre nocrpaxpanoro ncuxomorivHo; 5) y KOBHOMY pa3i He 3anvulaiire noctparkganoro 6e3 HarnAay; 6) Heo6xigHo nepioguuno nepesipaTn cTaH noctpaxjanoro Ao npubyTTA 6puraqu ekctpexoi (wB“gkol) Mequ4HO! AoNOMorM. Alkwjo micye Nogii noTeHYilAHo HeGesneuHe, Heo6xinHo: 1) nepemictTw noctpaxkgasoro Ha AoBry TpalcnoptyBanbHy pouIky a6o TeepAy pibhy nosepx#io (wr, aBepi Touo). [Ina Yboro MowkKHa aany4aTH NpMcyTHix oci6 Ta cBigkis nogii. B-KoqHOMy pasi He MoxkHa nepemiujatu nocrpaxganoro caMmocTiiHo, OCKINEKM Ye MOKeTe 3aBAaTH AOAATKOBMX TpaBM (1); 0608'A3KOBO 3adikcyitre nocrpaxganoro Ha Joeri”t tpaHcnoprysanbHilht OWI; x Epaxytoite noctpaxxganoro B Ge3sneuHe mice. B Gesneutomy micui nposegits nosropHi ornag noctpaxkganoro Ta Hapaiire AonoMmory 3anexkHo Big HaABHUX NOWKOsKeHb (NoB‘A3KN Ha Pann, hikcauia nepenomis TOU) pH YboMy NepemiWeHHA NocTpaxkganoro NoBMHHi 6yTH MiHiManbHAMn. Micna Toro, ak nocrpaxjanomy 6yne HafaHa Heo6xigHa Aonomora: 1) BkpwiiTe noctpaxkjanoro TepmonoKpuBanom/KoBApOWO; 2) nigrpmmaiire noctpaskaanoro ncuxonorivHo; 3) ykogHomy pa3i He 3anmwaiTe noctpaxkganoro 6e3 Harnagy 40 npui3zny 6puraqn exctpexoi (weugKoi) Mequ4Hoi gonomorn. AJITOPUTM Ne 5 Uy CCU Beet Ri buen ela ee uel Niet) DE CR Lares CRU eae ncl ym sli) Ui Cel RY sale ipl elated BU3HAYUTH CBIZOMICTb, Vent eee Lar) Coa NTR IT Coleen: ba Cals oN PAH B OBNIACTIFONOBU el aa mieten tala Bxputu TepmonoKpusanom/nokpusBanom BIEL MI Ui olat Yo giF Ulelcey (ola a1 EI1 Ng evil hao else fe) Bice ya ley (ear) Lite Oulu C Emr WLU t]N Ques 16 O6craBuny, uo Haiiuactime NpUsBO_ATb AO TpaBMU ronoBM: + nagitia 3 encot + crpu6Kny sogy + cunbHMia ygap no ronosi a6o tyny6y + lOpoxHbo-TpatcnopTHi npurogn + ypaxkeHHA 6nMcKaBKOIO + ypaxeHHA enekTpMuHMM CTpyMOM + BUGyX. Heo6xiguo niqospioeatu tpasmy ronosn 3a BMWjeBka3aHux O6cTaBMH TpaBMyBaHHA. O3Haku Tpasmu ronoBn: + COHnMBicTb + cnayraHicTs a6o etpaa ceiqomocti (HenpuToMHicTs) + cunbHMi Gin a60 BiquyTTA THCKy 8 ronoBi, LIMi + NOKOmOBaHHA a6o BTpaTa YyTAMBOCTI B aNbyAX pyk Ta Hir + stpata pyxoBux dyHKuilt KIHYIBOK + pedopmayia B ginaHui ronoBA + CYOMM + yTPyAHeHe AUXAHHA + nopywieHHiA 3opy + HygoTa + GmoBora + cTiiKHiA ronosHnii 6inb + ytpata pisHosarm + sugineHHA Kposi i/a6o nikeopy (npo3opoi piqunn) 3 poosoi i/a60 HocoBoi nopoxkHMHM Ta Byxa. Nopagok HagaHHa AOMeAuYHO! AOnomorn Nepen HagaHiam gonomoru HeobxiqHo nepeKoHatuca, ujo Bam, noctpaxkjanomy Ta inwum npucytHim ocobam He 3arporkye HeOesneka. Heo6xigo nposectu ornag noctpaxkAanoro, Bu3HauNTU oro CTaH (npuTOMHMiA BiH 4 HenpuTomHni), AuxaHHA. Heo6xigHo nonpocutu Korocb a6o camoctiltHo BuKni- Karu Gpuraay ekcTpexoi (WeMaKoi) Mequ4Ho! AoNOMoTN. 2.1 AKWO B NOCTpaxkAanoro BiACYTHE AUXaHHA, Tpe6a BiqHOBUTU NpoxigHicts AU- xa/ibHx uunaxis Ta posnovaTH npoBeseHHA Cep\ieBo-slereHeBo! peakiiMayfl (AUB. anropu™ NP1). AIkUJo NocTpaxkAanni npuTOMHUi a6o y HbOro NPMCyTHE AVXAHHA, Nepeg npoBepeH- HAM ornagy Ta HajaHHAM fonomorn Heo6xigho 3adikcysaTn wHrHMNh Biggin xpe6Ta 3a Jonomorowo WultHoro KomipUs a60 iHUIMM MeTofOM (Im'a WHHa, py4Ha hikcauia). Mposenirb ornag noctpaxkpanoro. Oco6nuey yeary cnig 3BepHyTH Ha HanBHicTb pat. AKuo y nocrpaxkqanoro HaABHi paHM B AiNAHU ronoBN, HaknapiT> “CTY, CTepUsIbHy NOB'AKY. Hanaitre nocrpaxqanomy 3py'4Horo nonoxkeHHA. 3a Heo6xigHocti BkpuiiTe nocTpaxk Aanoro Tepmonokpueanom/KoBgApow. Y KoAHOMy pasi He 3annuialite noctpaxkaanoro 6e3 Harnagy. Mepiogu4Ho nepesi- paiire cra nocrpaxasoro 40 npuGytTa 6puranu ekcTpexol (WBMgKoi) MeANuHoi Aonomorn. Migtpumaitte noctpaxkaanoro ncnxonoritHo. + 3a 4epento-mo3koBoi TpaBmn icHy€ BeENMKMIA PU3MK BAHKHEHHA 6s10B0TH B O- cTpaxxnanoro, Tomy, 3a MoxNMBOCTi, 0 NuByTTA 6purapM ekcrpeHoi (WsMAKC!) MeamuHoi gonomorn Bik Mae nepe6ysatn & GesneuHili, 6oKoBIlA NoSMUi (cTabinb- Homy nionoxeHHi) + Y nocrpaxjanoro 3a YepenHo-mMo3KoBoi TpaBMM BenMKUA pu3Hk TpaBMn uimiiHoro Bigginy xpe6ta, Tomy nepemiuiyiite noctpaxkganoro obepexHo Ta sme 3a roctpoi HeoGxiguocti. Mpv HeoGxigHocti esakyayii nocrpaxganoro Bu- KopucTosyiire foBry TpaicnoptysanbHy AOWIky, a60 WMT, ABepi TOWO. AJITOPUTM N26 UO ene PCE Cle Clie | noctpamqanomy 3a nigo3pu Ha NOWKOAPKeHHA KUBOTA 1 Ure tte) Schall eg Ea bane ee1) Ce) et bart a en eee Lael 3 PAHA B OBJIACTI KUBOTA Tak Sa Paula halal La for 17) 6 hte a eel ea: a0 Ce et nr Ce ma ect e aetna NOB‘A3KA indent ttfe) fo): ] iy Codstoy aaa] Bxputu tepmonokpuBanom/noKpuBanom Pl eL UIE M alee vo giT Vi lelgomi edad ley ih Vila Cotas eles) piel ure) VColay) Lt uC a LUT) 17Cnig pospisHaTn npoHinkaiouy Ta 3aKpuTy TpasMy xMBOTA. OsHaku NpoOHUKH ‘PaBMi KUBOTA: + HamBHictb pak - Ginb y pai ta 6 YepeBHilt nopoxHuHi + HygoTa + GnioBoTa + ca6kictb + BiguyTta Tucky,“posnmpaHHA”B KMBOTI + HaABHicTb CTOPOHHix npeA- meris y pani (Hik, apmatypa Ta ik.) + HaABHictb y pai KAWKIBHIKa 4M CanbHMKa (eserTepauia). O3HaKM 3aKpuTOI TpaBMM *KMBOTa 3 MOXKNMBOIO BHYTPILUHbOIO KposoTeyew: + NocnHins wkipu (yTeopeHHa cHHUA) Ha Micui TpaeM + BiguyTTA xBUNIOBAHHA a6o HecnoKOIO + YacTe AUXaHHA + 6niga, xonopHa ao BONora Ha ROTM UIKipa + HyoTa + 6niopora + BiquyTrA cnparn + nopyweHHA a6o Brpara csiqomocti. Nopagok HaganHA AOMeAuYHO! AONOMOr: Nepea HagaHam gonomorn Heo6xigHo nepeKoHaTuca, Wo Bam, NocTpaxkAamomy Ta iHwvm npucyTHim oco6am He 3arpoxye He6e3neka. Heo6xiqHo nposectn ornag nocrpaxkqanoro, ev3Ha4vTM HaaBHicTb cBiqomocti, AUXaHHA. 2.1 Heo6xiqHo nonpocuTu Korocb a6o camocTiliHo BUKNUKaTU 6purapy eKcTpeHoi (weugkoi) Meguro! gonomoru. 2.2 AKUo B NOCTpaXKgaNoro BIACYTHE ANXAHHA, HeOGxigHo BigHOBMTH NpoxigHicTe AuxanbHnx wraxis Ta posnouaTu npoBepeHHA cep\yeBo-nereHeBoi peaHima- uli. Mposectu ornag »knBora Ha npegMeT HaABHOCTi pal. Mp HaasHocti pat 8 oGnacti xMBoTa HEOGXiAHO NepeKOHATHCb, WYO B Hilt Hema€ BHY- tpiwhix opratie. SIkuJo B NocTpaxkganoro pata B AinAHUi NepenHbo! YepeBHo! CTIHKM 3 HaABHICTIO B Hilt BHyTpiuHix opratie (eBeHTepauia), HeoOxigHo: 1) HagaTu noctpaxkaanomy spy4He nonoxkeHHA; 2) Haknactu uncry, CTepwnibHy CepBeTKy Ha paky, He 3nilicHioIoun 3HaUHOTO Tucky. 3 MeTOW nonepe/pKeHHA NepecuxaHHA BHyTpIWHix opraHie, Aki Bunann 8 pay, CTepwnbHy noB'A3Ky NOTPI6HO aMoUNTH CTepUAbHMIM isionori4HuM po3unom; 3) 3adikcyiite nos'a3ky naactupom. AIKWJo B NocTpaxkjanoro HaABHa pala & AinAHUi nepeAHbo! YepeBHoi cTIHKN 6e3 BH- Nagavva BHyTpiuHix opraHiis, HeoGxiqHo: 1) HagaTu noctpaxkganomy 3py4He NoNo-KeHHA; 2) Haknactu uncry, cTepmabHy nos's3sky Ha pay; 3) 3adikcyiite noB'asky naactupom. 3a HanBHocTi o3Hak WoKy Haat nocTpaxkqanomy npoTHUIoKOBe NomoxeHHA. BPH TW NocTpaxkganoro TepmonokpnBanom/KOBApOW. Y KopHOMy paai He 3annuiaiire noctpaxkanoro Ges Harnaay Ao npwi3say 6puragn eKc- TpeHoi (waNqKoi) MeANYHO! ZonoMory, MigrpMaiie nocTpaxAanoro ncMxonori4Ho. Baxnusi pekomengauii + Y>kopHOmy paai He HamaraiiTecb BnpasuiTH BHYTpiUIHi OpraHy, postawioBaHi B paki, y Yepesry noporkHinty! + He Hamaraitrec suiiHaTu 3 paHu cTOpoHHi npegmeTn - ye Moxe BigHoBUTH i/ a6o nocunum Kpogoreuy. + He 3anusatite 8 pay posunt omy 4u cnupr — gocTaTHbo Haknactu uncTy, cTepunbHy noB’a3ky. + He tpe6a sa6ysaTu npo enaciy Gesnexy: HajasaTu Aonomory Heo6xiqHo 8 ryMoBMx pykaBnuKax. + Akujo MexaHizmom Tpasmu Gys0 {ATT 4 napiliia 3 BMCOTH 060B'A3KOBO HeoGxigno dikcyeaTn wHitHuil Biggin xpe6ra. Haknaqanua nos’A3Ku Ha pay *KNBOTa Pospiokre oar Hag patoio (man. 6.1) Haknagite Ha paky ctepunbuy aGo uncty cepseTky. AKuJo Bu nigo3spicere, Wo B Paki € KMWKiBHMK (man. 6.2-6.3), cepBeTKy 3a MOxNMBOCTI 3MO4UTH CTepUABHUIM po3uviom. Badixcyiite nos’asky 3a Alonomorow nnactupy, He CTBopioiowN npn Ybomy 3HauHOTO THCKy Ha paHy (wan. 6.4). He snpasnatu suqumi netni KnwKisHuka B YepesHy nopoxHuHy. 19AJITOPUTM N27 UC ete Beli eel ele Cela 7] Detar OC er Ce TirR as 20 Incynet — roctpe nopyWeHHA MO3KOBOrO Kposoo6i ‘y: Buninkae 3a poapuey cyaMHn a60 3aKynopKu ii TPoM6OM (kpos‘AHMM 3rycTKoM). ¥ peaynbrati yboro pinaika Mo3ky He oTpiiMye HeoOxigHoi KinbKOCTi KpoBi Ta KMCHIO. Hepsosi knit & yiit inAHYi Mo3ky rMHyTb NpoTATOM DeKiNbKOX XBINMH. [TPH Ybo- my Big6ysactoca etpata jeakux dyHKuiit (pyxu, YytaMBicTs) y Tit qinAHYi Tina, AKy KOHTpomioe BpaxkeHa AinaHka MO3ky. O3nHaku incynbTy: + panrosa acumetpia a60 OHiMiHHA O6nMYYA + panToBa cnabKicTb i/a60 OHIMiHHA B pyyi 4” Ho3i 3 OAHOrO GoKy + panToBe nopyllieHHA MOBNeHHA/pO3yMiHHA npoctux KomaHA/3anuTaHb + noripweHHA 30py B OfHOMy OL abo B OGOx O4ax + MlopyweHHA xoqM + 3anamopoueHHa, BTpata piBHoBarv a6o KOOpAMHaLii + ronosHii 6inb 6e3 HaABHO! Npu4MHN + BTpaTa cBigomocTi (HenpuToMHicTD). Aji 8 pa3i Buasnenua xoua 6 omHiel 3 yx O3HaK: Tepmikoso suknnute 6puragy ekctpeHxoi (wengKoi) Mequ4Hoi AoNomoru i cTucnO NOACHMTH AMCNeTYepy NPM4Hy BUKAUKY. Noknactm xoporo, niqsectn roopy Ta nevi - Ye 3MeHWMTb KpoB'AHWIA THCK y ainanui ronoey. fiKwo noctpaxkganui HenpuTomHMM, ane Auxa€ HOPMaNbHO, NepeBectu Moro B Gesneune nonoxkeHHA. He moxta faeatu mioguni 3 nigospoio Ha icynbr Hivoro ic Ta nuTM ~ Ye cnpoBoKye NopywielHs NpoxigHocTi auxanbHux winaxie (3AaTHicT’ KOBTaTH Moxe 6yTH NopyUIeHa). HeofxiaHo noctiitio cnocrepiratm 3a nocrpaxkqanim, He 3anmuiaTn Hioro 6e3 Harnapy. He fo3sonaiite noctpaxganomy BigMoBnaTucaA Big BUKNUKy Gpuragn eKcTpeHoi (wengkoi) meqnuioi gonomoru. Kpauye nepectpaxysatuca, Hixk HEAOOUIHMTA cuTy- auto, wo cKnanaca. 3a Heo6xiguocti 6yabTe roToBi posnouaTH cepuyeBo-nereHeBy peakimauito. Baxknusi pexomenfauil BunButn o3HaKn iHcysbTy MoxkHa HaCTyNHMM YnHOM: + Tonpocitb xBoporo niguatn pykw ~ BiH He 3Moxe nigHATH OAHY pyky, 260 nigHime ii He nosHictio. + Tonpocitb xsoporo nocmixkyTMca — OAMH KyT poTa 3anMUIMTbcA ONyU\eHMM. Nonpocitb xsoporo BuMoBMTH NpPOCTe PeYeHHA — BiH He 3MOxKE “boro. 3po6uru. AJIFOPUTM N28 UC elem lhl me teicel iced al Deter CUCM Mr Ce OCR Lane Cat Utell ed ELON ihe] fe)" en eee eer) cela anes ey tala i Pete Pt Es bel) BKPUTU TEPMONOKPUBANIOM/NOKPUBANIOM PED MIEN eles -Y 41) Wu lelgee (ol n a UIE NG BPUTAQU EKCTPEHO! MEQUYHO! AONOmoru Ue ele Mae) Lit) 21a 22 Cnig pospisHatn npoHikry Ta 3akpury TpaeMy rpyaHoi KniTKH. O3Haku NPOHMKHO! TpaBMu rpyAHoO! KniTKH: + HaABHICTb pan + CuNbHUH Ginb y inAHYi pan + yTpyAHeHe AUXaHHA + KpOBO- Teua 3 pau (kpoB More 6yTH ACKPaBO-YePBOHOW, NiHUCTOIO) + 3ByK BCMOKTYBAHHA nositpA nig Yac KOxKHOrO BAMXY + MOXKANBe KPOBOXapKaHHA. O3Hakn TpaBmMu rpyaHoi Knitkn 3 nepenomom pe6ep Ta BHYTpilwHbOlO KpoBoTeuero: + NOCMHINHA WKipH (yTBOpeHHA CMHUA) Ha Micyi TpaBMA + BiAuyTTA Kpenitauii nig vac nanbnauii rpyAHOi KniTKM + YyTpyAHeHe AUXaHHA + MOXNMBe KPOBOXapKAHHA + BIQUYTTA XBUMOBAHHA AGO HeCNOKOW + YacTe AUXAHHA + Gniga, xonogHa a6o Bono- Tava AOTMKWkipa + HyfoTa + 6nioBoTa + BiquyTTAcnparn + nopyuleHHa caiqomocri. Nopagok HaganHA AOMeAuUHO! AONOmorn Tepen HajaHnam jonomorn HeOGxiqHo nepeKoHaTuca, Wo Bam, nocTpaxpanomy Ta ium npucyTHim ocobam He 3arpoxkye HeGesneka. Heo6xiqvo nposectn ornag noctparkganoro, BM3HaUATH Horo CTaH (npuTOMHMN BiH 4 HenpuromHni), uxaHHn: 2.1 Heo6xigHo nonpocuTn Korocb a6o camocTi”Ho BMKnMKATH 6purapy ekcrpeHoi (wenaKoi) mequunoi gonomorn. 2.2 ikujo & NOCTpaxkAanoro BiACyTHE AUXAHHA, HeOGxigHo posno4uaTn npoweyeHia cepyeso-nerenesoi peanima Hanaiire nocrparkganomy apy4He nono:keHHa. Mpu Tpasmi rpyzHoi KniTkn HaiMacri- we We nonoxkeHHA Haniscnaaun. O6epexto ornatbTe rpyaly knirky. OcoSnuey yeary 38epHiTb Ha HaABHicTb pat. Ako B NlocTpaxkgarioro € O3HAKM NPOHMKHOrO NOpaHeHHA rpygHo! KniTKu, HEO6xigHo: 1) nonpocutu noctpaxkganoro 3po6uTu rnvGoKni BUX; 2) 3akpui™H paly cTepinbHoio noB‘A3KONG, Aka He Nponyckae noBiTpA (Hanpuxnag, wMatKoM nonieTuneHoBoro naKera, nnacTMKOBOWO OGropTKO!O TOWO); 3) 3adikcysatu nos‘a3ky nevKONMACTMpoM, 3aNVWMBLM OAUH Ti Kpali BinbHUM. (nositpa He 6yge noctynatu B paxy nig vac BaMxy, ane aMoxe BUXOAMTU Nig, uac sugxy); 4) 3a sorHenanbHoro nopateHHa rpyAHoi kniTku 0608'A3KOBO nepeBipuTn micye MoxknnBoro Buxopy Kyni. KUO BA BHABHIM APyrnii oTBip, Tpeba HakylaCTM NOB‘A3Ky Ha paHy. Ykpniite noctpaxkpanoro TepMonoKpuBanom/KoBApow. Y »*kogHomy pa3i He 3anmwaTu NocTpaxkganoro 6e3 Harnagy. Heo6xigho nepiogu4yHo nepesipatu craH noctpaxkganoro Ao npuGytta 6puragn exctpexoi (wsvgKoi) me- AM4Hoi Zonomorn. Nigtpumaiite noctpaxkganoro ncuxonorisHo. Baxkausi pexomengauit + He Tpe6a Hamararuca suiiHATH 3 pan CTOpoHHi npegmeTn, ocKinbkn Ye MoxKe Biguosutu i/a6o nocunutu Kpogoreyy. + He tpe6a 3anusatu B paty po34mH logy un cnupT - AocTaTHbo HaknacTu cTe- punbHy nos’A3ky. + He tpe6a 3a6ysaru npo snachy Gesnexy: HagaBalite Zonomory B ryMOBMx pyKa- euuKax. + Tlepenom pe6ep (HesanexkHo Big ix kinbkocTi) He € npHUMHOIO BiAMOBH BIA NpO- BefleHHA cepyeso-nereHesoi peavimaui. + fIKUJo MexaHismom Tpasmn Gyno {ATI 4 napinia 3 BMcoTH O608'A3KOBO HeOGxia- Ho dikcyeaTn wun Bigain xpebra. Haknaganua noe’A3Kn Ha pany rpyAHoi KniTKN Haknagitb Ha party rpyguoi KniTku BonoroHeNpoHUKHuiA marepian, Hanpiknag, nonieTnneHosy nnisky (man. 8.1). 3adixcyiire nnieky nnactupom 3 Tpbox Goxie (wan. 8.2). 3a nopavenna rpyqHoi Knitku € BenuKa AmoBipHicts NPOHMKHOFO xapakTepy Pal, Wyo He CyNpOBOAMYETHCA 3HAYHOW 3OBHIWIHbOW KpoBoTe4ero (man. 8.3). 3a BorHenanbHux NopaveHb Tpe6a nepesipatn HaaBHicTb BMxiq_HOrO OTBOPy; y Ybomy BunagKy noB’aAsKy HeoGxiquo HaKnagaTu Ha O6ugBi panu, 30Kpema nos’asky 3 Goxy cnunu Tpeba 3agikcysatn 3 ycix GoKis. 23Viel aL Ce @ Cnin pospiaiaru sigxpyrnit a 3axpuTiit nepenom KicTok KiHYiBKI Uy elena ciel etl UCL 7] O3naku BigKpuToro nepenomy KicToK KiHWiBKU: noctpagAanomy 3a nigo3pu Ha nepenom kicToK KiHWiBOK * HaABHicTb pakn 6 micui Nepenomy - KposoTeya + Ginb y ginaHui pain + nopyweHHa dyHK4ii yuKOQKeHO! KIHUIBKM + HenpupogHe NonoxkeHHA KIHUIBKHA + naronoriuna pyxnusicte y KiHyiBui + Kpenitayia (cBoepigHuia xpyckit) y Micui nepenomy + HaaBHictb ynamkis KicTKM B paHi (He 060B'A3KOBO). O3naku 3aKpuToro nepenomy KicToK KiHYiBKU: + Henpupogte nonoxkeHHa KiHYieKN + Ginb y AinaHui paku/fedopmauii KiHUiBKY ¥ + natonoriutia pyxnuicto y Kinyisyi Kpenitauin (xpyckit) y micui nepenomy ERCER LOU CNet MLC arses + remaroma B AinAHyi nepenomy + HaGpaK y ainsliui nepenomy + nopyweHHA oyHKUi ywKOpKeHOI KiHYiBKN. y Nopagok HagaHHa Aomequ4Hoi AONomorn: HAAATU NOTEPNINOMY 3PY4HOFO NONOKEHHA } 1 Mepeg HagaHHam gonomoru HeoGxigho nepeKoHaTuca, Wo Bam, noctpaxKganomy Ta — iHWMM NpucyTHim Ocobam He 3arporxkye HebesneKa. v “is Daas UC Lied 2 Heo6xigHo nposectn ornag noctpaxkganoro, BU3HaYUTM NPVTOMHMH BiH 4 Henpu- TOMHMNh, 3'ACyBaTU HaABHicTb AUXAHHA. 2.1 Heo6xiqHo nonpocutu Korocb a6o camocTiftHo BuKNuKaTH 6purapy eKCTpeHoi (LIBMAKO!) MeAM4HO! AONOMorN. Hi 2.2 AKO B NOCTpaxJanoro BIACyTHE AMXaHHA, HeOGxigHo posnouaTn nposegeHa cepueso-nereHesoi peakimauiii. 3. Akujo noctpaxknanuit B cBigomocti, Hagaiite viomy spyuHoro NonoxKeHHA - 3aBqac HaiMeHwe 6onio. 4 O6eperkHo ornaHbTe noctpaxganoro, BuABiTb Micue nepenomy. eM Le.) KPOBOTE4! 5 Akwo 6 noctpaxkqanoro eigkpuruii nepenom, Heo6xigHo eneBHUTHCe y BiACyTHOCTI i kposoteui. 6 AKwo y noctpaaxganoro 30BHiWHA KpoBoTeua: vy y 1) o6epexkHo HaknapiTb nos’A3ky, WO TUCHe. BaxkaHo BMKOpCToByBaTn 7 enacTm4Hnia OUT. | IMMOBITIZALIA (OIKCALIIA, 3HEPYXOMIEHHA) NEPENOMY ) 2) Akwo kpoBoreua aprepianbHa — Haknagitb AxryT Ta NOB'AKy Ha paHy. 1 7 ‘fikuwjo 30BHiWHA KpoBoTeya BigcyTHA O6epexKHO Haknagitb uucTy, crepunbHy nos‘A3ky Ha paHy. EC) MPOTUWOKOBE NONOMKEHHA 8 3adikcyiite (immo6inisyinre) nowkopeHy KiruisKy 3a AONOMOrO!o CraHAapTHOrO eS Um euch rH Mitt Ute ny o6naqHanna (wmHy) 4u nigpyyHux 3acobis. I 9 Jonomoxitb noctpaxganomy npuiiHATH 3pyuHe NoNo*KeHHA, AKe 3aBsae HaliMeH- wloro 6onio/ NpoTMWCKOBe NonoxkeHHA. YkpuitTe NocTpaxsanoro TepmonoKpuBa- ELV UCM Muley body Vielen Celia ksiNg NOM/KOBAPOWO. BPUTAAU EKCTPEHO! MEAUYHO! AONOMorM Ut TER i Soe] 10 YKonHomy paai He zannuiaiire nocrpaxnanoro 6e3 Harnapy. Tlepiogmuro nepesipaiire Tati noctpaxxganoro 20 npnéytta 6puraan eKcrpexoi (weNgKoi) MeqM4Ho! Aonomorn. emma 24 25Baxnusi pexomengauii + Ypasi notenuivito He6esneuHoro micyA nopii eBakylosatn noctpaxKsanoro cnig Ha osriit TpakcnoprtysanbHili AoW. + Heo6xigho dikcysatn ont cyrno6 3eepxy Ta oAMH 3HM3y Big MicyA nepenomy KICTOK KiHUiBKN. LY ANTOPUTM N210 ULC Ee ate lbs lence] Urartu Ee Leen LCR Ca ry Ul od ttf citi) Die tats ial seta v + 3a nepenomy cterHosoi kictkn HeoGxigho 3abikcysaTH KynbwoBMi, KonINHM Ta rominkosoctynkesnii cyrno6u. + He cniq Hamaratuca 3ictasutu ynamku KicToK: icHye HeGesneKa 3aBqaTu AOpaT- KOBUX NOWKOsPKeEHb (TPaBMM CYAUH, HepBiB). + Dpkryt Heo6xigHo HaknapaTu emule Big par, aka KpoBoToUMTe. + He Tpe6a Hamaratuca 3HATH opr 3 NOWKOsKeHOi KiHMiBKA — Nerwe pospizaTn Horo HOKHYAMM. + Xonog amehuiye Ginb y ginnliyi paHW/nowKoAKeHHA. AKUIO MOKHa, NpiiknapiT NAKETH 3 AbOZOM Yui XONOAHO! BOLOIO AO AINAHKN Nepenomy, ane He Gesnoce- pegHbo Ha wkipy Ta He AOBUIe Hix Ha 15 xB.. + fkuyo Mexanismom rpasmia 6yno ITT a nagiiva 3 sucotu 0608'A3KOBO HeoGxiy- Ho dikcyeatn uniinini Biggin xpeGra. + He pe6a 3a6ysaTu npo snacky 6esneky: HafaBaTn AonoMory HEOGxiAHO & ryMo- Bux pykasnuKax. Wun Spencer crsopeni cneyianbHo Ana 3py4Hoi, weugKOi, HagiiHo! Ta Gesneunoi immoGinizauit ( Garren ren ees Saul CEPBETKY a ese ene) Draw Bakyymui wuHn RES Q SPLINT 7 ee OO ELAN Céepa 3actocysaHua: + pyka Aopocnoro + Hora Aopocnoro Hi + Hora quan EN nee : 10 + matpaly 1A HOBOHapoAKeHOrO ( pes) MPOTUWOKOBE iN SEES ieee | Leroy taal Tar [Ena Tice nlom/nokpvBanom *Kopcrki wunu BLUE SPLINT Hagysui wunu AIR SPLINT { G ie ey va ( eee al yeas # | KPOBOTEYA TPUBAE NOCTPAKAANOTO = ae e eto esha) aig ¥il 7) a M tax} aqias nai] Tei 4onomoru Leo CUCU CRU y it) 27aun bw owouan 28 nin pospiznatu senosny ta aprepianbuy Kposoreyy. O3naku aptepianbHoi KpoBoTedi: + HaABHicTb pak + weMAKa Ta 3Ha4Ha KPoBOTeNa (KpoB «6'e MOHTaHOM», nynbcye, sICKpaBO-4ePBOHOFO KONIbOpy, NepeBaxKHO CaMOCTIMHO He 3YNNHAETHCA, NPUZBOANTD AO 3Ha4HO! KPOBOBTpaTU NPOTArOM KOPOTKOrO 4aCcy). O3HaKku BeHO3HO! KpoBoTeui: + HanBHictb pan + KpoB Ge3nepepsHo BuTikae 3 pati, TeMHO-YepsoHOrO a60 6opgosoro Konbopy + 3anexHo Big Aiametpa NOUIKOsPKeHOI BEHU KPOBOTeYA MOE 6yTu Big He3Ha4Hoi AO iHTeHCHBHOI. Nopagok HagaHHa AOmMequuHoi Zonomoru: Nepea HagaHHam jonomorn Heo6xigHo nepeKoHaTuca, WO Bam, noctpaxkjanomy Ta iNwMm npucyTHim ocobam He 3arpoxkye HeGeaneka. Heo6xiqHo nposectu ornag noctpaxkganoro, BM3Ha4NTH NpuTOMHMi BiH Yn Henpu- TomHni, 3'acyeaTn HaABHiCTS AMKAHHA: 2.1 HeO6xigHo nonpocuTu Korocb a6o camocTiHo BiknMKaTH 6purapy eKCTpeHOi (wanakoi) meqnunoi gonomorn. 2.2 aKWYO B NocTpaxkpaNoro BIACyTHE AMXAHHA, HeOGxigHo posnouam™ npoBegeHHA on. Buasnu paly, ouiHMTH HaABHicTb 30BHiWHbO! KpoBoTeHi. AIkujo 8 noctpaxkganoro pava 3 osHakamu iHTeHCHBHO! KpoBOTeUi, HeOBxiqHo Hana- Tu KiNYiByi NiABeAeHe NoNoxKeHHA, Ye 3MeHWMTD HTeHCHBHICTS KpoBOTEMi. Haknactu Ha pary uncry, crepunbly cepserky. 3gidicHTH Hck Ha pathy. AKO NocTpaxkpannit B cBigomocti BA MoxKeTe NonpocuTM iioro yrpumyBatu cepserky. AKujo iHTeHcMBHicT> KpoBoTe4i 3MeHUIMAAc Haknagir’ Ha par nos’ASky. Akio iTeHCHBHICTS KpoBOTEUI He IMCHILYETBCA HakNIagiTS Ha paky noB'A3ky, WYO THCHE. AAKujo KPoBoTeUa TpHBAE HaKnapiTb APKTYT Ha KiHUiBKy. Hagaitte noctpaxgjanomy npoTMWoKkoBe nonoxkeHHA. YkpUiTe NOcTpaxkganoro Tep- monoKpuBanom/koBApoW. Y >konHOMy paai He 3annuialite noctpaxqjanoro 6e3 Harnagy. NepioguuHo nepesi- paiite craH nocrpaxxjanoro Ao npubytta 6purann ekctpexoi (wisugKoi) Mequ4Hoi Aonomoru. Nigtpumaiite noctpaxkganoro ncuxonori4¥Ho. Baxknusi pekomengauii + Heo6xiguo 0608'A3KoB0 ogaratu rymosi pykaBu4ku (nonepep»KeHHA 3aparKeH- Ho xBopobamn, WO NepefatoTbca Yepes Kpos - CHIJ], BipycHui renatut). + — Heo6xigho 3anucam yac, Kon 6ye HaKnapeHMin ApkryT. HaKnapaHHA spkKryTa MpunuHAe HapXOmpKeHHA KpoBi AO yparKeHO! KIHUIBKM, LYO Mo>Ke CNPMYMHMTM ii BiaMMpaHHA, TOMy Yepes Kochi 30 xB. HeOGxiaHO NocnaGmioeamn sPKTYT Ha 5 xB, MiyHO NpYTUCKaIONN mictIe Pali pykovo. + Bigpasy nicna HapaHHA gomeqmunoi gonomorn Heo6xigho nomuTH pyk 3 MUOM, HaBiTb 3a BNKOPNCTAHHA ryMOBIIX pykaB4oK! + AKWYo y Bac Ha pykax 6ynu noapanniv, paHn a60 Bu oTpumann ix nig vac HaaHHA ponomorn, Heo6xiqHo npommTn ix sucToo BOgOIO, C6pobuTH pos4n- HOM aHTMcenTuKiB Ta 38epHYTHCA 3a KOHCynbrayielo AO nikapa. + Akuyo Ha cnuzosi oka norpanuna KpoB, HeO6xiqHo NPOMMTH OKO Teno! UNCTOIO BofOW0 Ta 3BepHYTUCA 3a KOHCYABTaL|icto AO nikapa. + Baxknso cKOHLeHTpysaTH yBary He Ha Bu3HaveHHI Tuny KpoBoTeui a Ha if 3yNMHui.. Crucua nos’a3Ka Haknapits Ha pary crepunbiy i/a6o uncty cepBerky. Nosepx cepserku, 6esnocepegHbo Hag yci€lo AOBKNHOW PaHy,, NOKNapiTb enemeHt, 3a Onomoroto Akoro 6yfe CTBOpeHO HeOGxiqHuii TUCK (6uHT, BANK, MOGiNbHMIA Te- seu ToUuo) (man. 10.1). Ca Haknagir> 6uHToBy noB’ASKy, CTBOPIOINN THCK, HO 3ynMHKM KpoBoTeUi 3 pan (man. 10.2-10.3). Cxemarnute 306paxkeHHia cTHcHOi NoB'A3KM (Man. 10.4). 29PU he) a 2 MOY LSC CEB CLs Ti Ermer CM CUE Nb arli Lite ttt cipal led Tak EU Mee Col i lent Othe ala r) CJIP npu Heo6xianocti SUM ed se he be CC Cea el el pe NOB’A3KY HA KY/IbTIO co) MPOTUWOKOBE NONOMKEHHA DTU Ween reunion CuCl i EL VRE Are): hae GLn La be ere) a Ree a aC) aCe NOMICTUTU AMNYTOBAHY 4YACTUHY Brey ae) ae tJ NOMICTUTH NAKET Y EMHICTb, 3ANOBHEHY JibOMOM/XONOAOBUMY NAKETAMU + Nopagok HaqaHHA AOmequynoi Aonomorn: Nepeg HapaHHAm Jonomorn HeOGxi~AHo nepeKoHaruca, Wo Bam, nocrpaxkpanomy Ta inumm npucytHim ocobam He 3arpoxkye Hebesneka. Heo6xiaHo nposectu ornaa noctparkgjanoro, BM3HauMTM NpHTOMHWi BiH 4M HeNpH- TOMHMM, 3'ACyeaTH HaABHicTb AUXAHHA. 2.1 Heo6xigo nonpoctu Korocb a6o camocTiliHo BUKAMKaTH Gpurapy ekcTpeHoi (weMAKoi) MeAU4HOi JONOMoru. 2.2 AKWYO B NOCTpaxkAanoro BigcyTHE AUXAHHA, HeEOOxigho po3snoyaTn nposenenna CIP. 3a HanBHocTi aprepianbHo! KpoBoTedi Tpeba Haknactu APKryT i/aGo CTucHy noB'AaKy. Haknactn uucty, crepunbly nos’a3ky Ha KyKcy (kynbTIo). Hapatw noctpaxkganomy npoTuioKoBe onoxeHHA. 3a HeO6xiqHOcTi BAKOHATH iMMO- Ginizayiio (sHepyxomumn) Kykcu. YkpuTu nocTpaxkganioro TepMonioKpHBaNOM/KOBApOW. Y kopHOMy pa3i He 3anmuiaTn nocTpaxkganoro 6e3 Harnagy. Jo npuGyrra Gpuragn ekcTpexo! (WBHAKO!) MeAYHO! AonOMOr HeOGxigHo NepiogM4HO nepesiparu craH noctpaxpanoro. ¥ pasi noTeH\iiiHo HeGesneuHoro MicyA opi TepMiHOBO eBakyio- Batu noctpaxqasoro Ha AoBri”t TpalcnoptysanbHili AoULi. 3xaliTn amnytoBary 4actuny Tina, 3aropHytu ji 8 UMcTy, CTepunbHy mapmio/ancty TkaHMHY. Nomictuta amnytoBaty vactuHy 8 nonietuneHosui naKer (AKWJO MO>KHa, BApaNUTA 3 HbOro NoBitpa). Tlomictutu naker y emHicrb, 3anloBHeHy mbogom/xonogoBMMN naKeTamn. Banknusi pexomengauii + Heo6xiguo 0608'A3KoB0 oparatu rymosi pykasnuKn (nonepesKeHHA 3apaxKeH- Hio xBopo6amn, wo nepegaiorbca 4epes Kpos - CHIf], sipycHinit renatum). + Bigpasy nicna HapaHHA AomequuHiol Zonomor HeOGxiqHo NOMMTH pykiA 3 Mu J1OM, HaBiTb 3a BAKOPUCTaHHA FyMOBMX pykaBM4oK! + Alkujo y Bac Ha pykax 6ynu nogpanuuu, paku a6o Bu orpumann ix nig 4ac Ha AaHHA RonoMoru, Heo6xigHo NpomuTu ix UncTOW BOpOI, O6pobuTH po3suMHoM AHTUCeNTKiB Ta 3BePHYTHCA 3a KOHCyNbTAYiElo 0 NikapaA. + AKUYo Ha cnv3zoBi oka NoTpanuna Kpos, HeOBxigHo NPoMMTM OKO TennOW “NCTOIO BOMOWO Ta 3BepHYTUCA 3a KOHCYABTALiEI AO NikapA. + Tyxktn 6,7,8 npn MoxanBocti Heo6xiqHo BnkoHyBaTn OAHOUaCHO 3 HajaHHAM AOMegMUHO! JONoMorH NocTpaxkganomy. 31AJITOPUTM N212 ty tha Cee LE e enh Cliel tela) Darema MCrl eka ici mie Dib ati] MICUE BE3NEYHE Tak oy BU3HAYMTH CBIZOMICTb, ate Ue ¥ v 3 MOMEHTY CTUCKAHHA MPOULUNO BINbLUE 10 XB.? Ped IP a ea ahaa ha Jouexatuca npuisyy 6puragu exctpen Oe lela] 3BIIbBHUTU CTUCHYTY BS aA eet uti POC URE CCl ag 3PYY4HE NONOMKEHHA ABO NPOTUWOKOBE NOJIOMKEHHA PALM Mm elena Vege Vicel Keb OMA VIEL ING yay Vil es Cela aCe) mi salbe ace) bse) ace) Ve) ny] NUM ine) Nopsgok HagaHHa Aomequunoi Aonomornu: Tepea Hapaniam jonomorn Heo6xigho nepeKoHaTuca, Wo Bam, NocTpaxkjanomy Ta iHwum npucyTHim oco6am He 3arpoxye HeGe3neka. Heo6xigHo nposectu ornag noctpaxkqanoro, BusHauuTM npuTOMHNA BiH 4 Henpu- TOMHMNh, 3'ACyBaTH HaABHicTb AUXaHHA. 2.1 Heo6xigHo nonpocuTn Korocb a6o camocTiltHo BUKAMKaTH 6purany eKcTpeHoi (wegKoi) Mequ4uHoi honomorn. 2.2 AKO B NocTpaxknanoro BiacyTHe AUXaHHA, HeOGxinHo posnovaTu npoBegeHia CIIP. Bukonaiire dikcayiio uniiHoro Bigniny xpeGra. 3acyiiTe Yac CTUCKAHHA YacTAH Tina y Noctpaxkgjanoro a6o csiaKis. AIkujo 3 MoMeHTy CTHCKaHHA npoliuuno MeHUJe Hix 10 xB.: 1) Heo6xiqHo seinbHTu cTncHeHy YactHiy Tina; 2) 3a Heo6xighocti o6poGuTu pat, immobinisyzaTn yUIKOAKEHY KiHUiBKy Ta BuKOHATU IHU MaHinynauil 3ane@KHO Big NOWKOAKeHD. Akio 3 MOMeHTY CTUCKaHHA Npoliuino Ginbule Hix 10 xB. a6 Yac HeBigomni, nO- yekaTuca Npuisay Opuragn ekcTpexoi (wBMqKO!) Mequ4Hoi Aonomorn a6o HagaBaTn Aonomory nicna KOHcynbTauii qucneTuepa eKcTpeHoi MeAM4HO! AONOmorn. Hagatn noctpaxkganomy spy4He noorkeHHA. 3a HaABHOCTI O3HaK WOKy HaqaTH no- cTpaxkpanomy npotauoKose nonoxeHHA. Y KOAHOMy paai He 3anmluaTH nocTparxkpanoro 6e3 Harnagy. TepioamuHo nepesiparu CTaH noctpaxKkganoro Ao npuGytra 6puraqu ekcrpeHoi (wengKoi) Mequ4Hoi onoMoM. Nigrpumatu noctpaxkaanoro ncuxonorivo. Baknusi pexomengauii + fIKWo Noctpaxkfannii HenpuTomHMi, ane B HbOrO NpaBunbHe AMxaHHA i Bu He 3HaeTe, CKiNbKM YaCy NpOlWNO 3 MOMeHTY CTUCKaHHA, Tpe6a BBaxKaTH, LO npoiiwino Ginbwe Hirk 10 xB, + AKO Heo6xigHo TepmiHoBo eBakyloBaTH nocTpaxfanoro, ane 3 MOMeHTY CTH- ckaHHA npoviuino Ginbuie Hixk 10 xe. i Bu y 3Mosi 3BinbHMTH CTHCHYTy YacTuHy Tina CamoctiiiHo, nepep 38inbHeEHHAM O608'A3KOBO TpeGa HaKNacTu APKrYT. + Akujo Bu esakyioeTe noctpaxganoro, 3a MoxnMBOCTI, Ye Tpeba po6MTH Ha NOB- rift TpacnopryeanbHil AoW. 33)PV we) nA ChE} j O3Haku wWoKy B NocTpaxganoro: UO EEOC Cre lis TNL ‘ + niga, xonogHa i sonora wkipa; + cna6Kictb; + Hecnokii; + cyxicte y pori, siquytta cnparu; + YacTe AuxaHHa (Oinbw Hix 20 3a xBunUHy); + MopyweHHa ceigomocri; + Henputomuict. Haiuactiwe npuunHamu BMHMKHeHHA WOKy MOxKyTb 6yTu: + 30BHiLIHA KpoBoTeua; + BHYTPiLUHA KpoBoTeua; + Tpasmu; + oniky; + cepyesui Hanag. BUA3HAYUTH CBIZOMICTb, DEV ee bel Nopsgok HagaHHa AOMeAN4HO! AONOmoru: Ct eee 1 Mepexonaiireca s 6esneuHocri micys nonil’i Tink nicna yboro Hapasaitre jonomory Ca aan) cel-rel Reker Ub noctpaxnanomy. Akio micue HeGesneuHe, ZoueKaliTeca NPUByTTA PATYBANbHMKiB. 2 Mposenits ornag noctpaxkpanoro, evsHaure npwTOMHMit BiH UM HenpuTOMHNiA, svacylire HaeHicts quxaHHa. 2.1 nlonpocits Korot a6o camocTiitHo eiknmuTe puraay eKcTpexoi (uisnAKoi) MeguuHo! gonomoru. Aescaiterthhterttith 2.2 Akio 8 NOCTparkAanoro BIACyTHE AMXaHHA, posnouHiT npoBegeHHa CIP. 3 Yeynbte npwunny BMHUKHeHHA WOKOBOro CTaHy: 3ynuHiTs KpoBOTeYy, iMmoGiniaytiTe nepenom, Towo. Hagaiite noctpaskganomy npoTwoKoBe nonoxKeHHA: 1) noctpaxkganuit Mae nepe6ysaTu B ropu3z0HTanbHOMy NoNoxeHHi; 2) nigknanite nig Horm noctpaxkpanoro AUINK, BaNINK 3 OAArY TOUJO Tak, LOG ctynhi Hir 6ynu Ha piBHi niq6opigga noctpaxkpanoro; 3) nigknagite nig ronoey noctpaxkanoro opar/noayuiKy; 4) ykpuitte noctpaxkqanoro TepmonoKpusanom/KoBApoio. + ines + 5 HE3ANMWATU NOCTPAKAANOFO FiCoM acu basta eV hacen ta dele)) MEQUYHO! AOnNomorun Le CTL EMU 5 Y xoptomy pai He sanvuiaiire nocrpaxkqanoro 6e3 Harnany. flo npuGyrta 6puraqn ekcTpeHoi (wsMgKo!) MeANYHO! AonoMorH nepio_M4HO NepesipAiite cTaH NocTpa- >«ganoro. te 34 30)PURO a Maa yee CCU mCi UL lb lelle Bae Ede sir npoxignocti auxanbHux wnaxiB - oO6GTypauii cCTOopoHHiM Tinom Die tt alia OBCTPYKLUIA HE NOBHA (4ACTKOBA) UMC): ia be oy | : pat da ulene Lal 3AOXOY4YUTE \ fe Ut nr etd Peni E yey Mee a NOcTPAMKAANOTO Lael telat acs Cy Sey aa Lit PUR e eli tey Ute) CTOPOHHE TINO S/F Tokd ete tg V1 BTPATUB CBIOMICTb “ Lcexjieh EN he 12 0l4:1e 9 Pesala tLe} | ) OsHaku o6ctpykuii guxanbHux winaxiB cTOpoHHim Tinom (nepeBarkHo Tpannatotpca nig 4ac npuinomy DK + 3naKaHuii Burnag + BigcytHicrs ronocy + moctpaxkganuit kecTamn Moxe noka3yBaTM, LO BiH yjaBuBcA. Cniq suginatu nose ta HenoBHe NopyweHHA npoxiguocti qu- XasIbHUX WUNAXIB CTOPOHHIM Tinom: + TIpw HenoBHOMy NopyweHHi npoxigHocTi AUxanbHMX waXxie CTOpoHHiM TinoM Ha Bae sanuratia “Bu BqaBunnca?” nocTpaxKganuin Bignosisae ‘Tak’, cepeg IHX O3Hak ~ MOrKe TOBOpVTH, KaWINATM, AMXATH + NPM NOBHOMY NopywleHHi NpoxigHocTi AUXANbHMX UNAXiB CTopoHHim Tinom Ha Bae 3anmTaHHa “Bu BaBunMicA?” nlocrpaxasnit He Moxe BignosicTa, He Moxke AMXaTH, xpiniTe, 3pilicHioe GesMoBHi CnpoGu KauINATY, Moxke 3HenpuTOMHiTH. Nepexonaiiteca 8 6esneunocti micya noni i TinbKu nicna yboro HagaBaiite ponomory noctpaxpanomy. AKU B NocTpaxkAanoro O3HaKN HeNOBHO! OOcTpyKUii AUXaNbHUX WaAXiB: 2.1 3aoxouyiire noctpaxkganoro npogoBxyBatu KaUInATH; 2.2 AKWO Cnpo6u Bi_KauinATUcA Gyn BAanvMu, OrnAHbTe noctpaxkganoro, 3a Heo6xigHocti suKnuute Gpuragy excTpeHoi (WEBNAKO!) MeAMYHO! AONOMorn; 23 y noctpaxganoro 3’ABMNCA O3HaKN NoBHO! OGcTpyKuli AMXANbHUX WAXiB, Nepetigits 40 HafaHHA Aonomorn 3a NoBHO! O6cTpyKUii AUXANbAMX wnAxiB. AKO NOCTparKAANuiA Mae O3HaKN NOBHO! O6cTPYKUil AUXaNbHMX wWAaxis i npUTOMHM: 3.1 HaHecitb n'atb ygapie no cnnni: + craHbTe 360Ky iTpoxu no3agy noctpaxganoro + nigtpumyiite rpyavy knitky opHielo pykoi i Haxunitb noctpaxkganoro Bnepeg, WYO6 nig Yac 3MiLeHHA CTOPOHHbOrO (WO BUKAMKaNO OGcTpyKUit0) Tina BOHO Buin Hepes Pot, a He ONycTANOCA rnvOwe B AUXANbHi WAAXn + HaHecitb n'atb piskux yaapie mix nonaTkaMu OCHOBOW JONOHi Baio; Apyroi pyku; 3.2 AKWO N’ATb yaapis no chuHi He 3MeHWMAN CTyniH O6cTPyKUii AMXANbHMX uinaxis, BuKOHaiTe n'aTe aGAOMiHaNbHVX NouITOBxiB: + CTaHbTe no3zaqy noctpaxknanoro Ta o6xoniT’ pykamu BepxHio YaCTUHy YepeBHo! NOpOKHHA + Haxunitb NocTpaxkganoro Bnepeg + cTHCHiTb cBili KynaK Ta poaMicTiT Horo Mik NYNKOM Ta rpyAHOW KAITKOIO + 3axoNiTb Yio Pyky APyrol pykoWo aBepxy Ta pi3ko HaTUCHiTb AOCepeqMHN Ta Aoropn + noBTopitb n’aTb pasiB; 3.3 AKUO CTyniHb OGcTpyKUii He aMeHLWMBCA, NoVeproBo NoBrOplolire n’aTb yqapis no cui Ta n’ATb abAOMiHanbHux NowToBxiB. AIkwo noctpaxaanuis HenpuToMHie: + O6epexHo BKAapiTb Horo Ha 3emnio + HeraliHo BnKnMuTe 6purapy eKctpeHoi (wsnAKol) MeqU4HO! AONOMoTH + posnouHiTs cepyeBo-nereHeBy peaHimalito. Baknusi pekomexgaui + Dyke saxknneo He cnnyTaT Welt HeBsiaknagHnit craH 3 Henputomuicnio, iHapKTom miokapaa, CyAOMaMM 4M IHUIMMH CTaHaMn, Aki MoXkyTb NpH3BeCTH AO pantoBoro no- PYWEHHA AUxaHHA, UiaHoay (posBuTky cMHioUIHOCTi) a60 HeNpUTOMHOCTI. + Yaapino chu, 26qoMinanbii nowToEx i KoMnpectirpyaHol Knirkn MoMyTS NpH3BECTH 0 nO- TeHUIHO cepihosHnx ycKnagHeH i noripuim OBcTpyKuilo AMKANbHUX wnwXie NPA HeNOBHilA o6crpyxui. Li mevoAN npuiiHATHI ANA NocTpaxKqaNNx 3 03HaKAMN NoBHO! OGcrpyKUil AM- xanbHMx wna 36 i 37