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19.05.2005 N 274 " "

10 2009



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 -           .        1     H. pylori  :      4 - 6 .     
                .         1   (                                    
              .      1   - 2-:                 
                                   -       300 /                      
 (26.7)                   1      40 /                           
                             :            1  2                             
                                                4 - 6 .                            
                                             1   )                                             
                                  1       (1/2                               
                            (                         )  :                                
                                          20   1                          
                            ,                  /  4 - 6 .                              
                            ,                                                              
                                                                                          
                                                           (1/2 ).                                   
                                                                                     
                                                         :                                   
                            )                                 480                             
                                               1                    /   4 .                             
                            (                                                           
                                                                                                
                            ,  2                          H. pylori-                               
                            /  -                                                         
                            )                                                                   
                                                                                                   
                                                                                                     
                                                                        (                              
                                                                       25.7)                                            
                                                                                                       
                                                                                                             
                                                                                                   
                                                                                                       
                                                                        ,                            
                                                                                                        
                                                                                                              
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                    ,    .        1                                            
                             .         1                                                              
                            .      1                                                        
                                                                                                      
                                     1                                                            
                             :        ,                                                   
                            , ,                                                             
                             ,                                                                           
                            , ,                                                                  
                            ,                                                                         
                            .      1                                                                      
                                                                                                                    
                                            1                                                                      
                                                                                                           
                              H. pylori     1                                                                      
                                  1                                                                      
                            (                                                                                  
                                                                                                       
                            ,                                                                           
                            ,                                                                                  
                                                                                                              
                                                                                                             
                                                                                                          
                                                                                                           
                            )                                                                                 
                                               1                                                                      
                            (                                                                               
                                                                                                          
                            ,  2                                                                          
                            /  -                                                                            
                            )                                                                                     
                    +--------+--------------------+------+-----------------+------------------------+                          
                           .        1                                     
                             .         1                                                   
                                     1   : -                                                    
                             :        (Cl, )                                                      
                            , ,                                                            
                            , ,                                                                          
                            ,                                                                 
                            , ,                                                               
                                                                                             
                            .      1    ,                                                   
                                                                                                       
                                 1                                                                
                              Rh-        -                                                          
                                            1                                                        
                                                                                             
                              H. pylori     1                                                                 
                                                                                             
                            (                                                                           
                                                                                                       
                            ,                                                                           
                            ,                                                                                  
                                                                                                              
                                                                                                             
                                                                                                          
                                                                                                           
                            )                                                                                 
                                               1                                                                      
+--------------------+--------+--------------------+------+-----------------+------------------------+-----------+---------------+
           .        1     H. pylori  H. pylori-     1 - 4 .      
(29)                        .         1   (                      - 
                            .      1   -                                        
                                                                              
                                     1   -              (-  
                             :        )                 )          
                                                                     
                                            1                          
                                        : ,                              
                            (          , ,                               
                                          ,     (                              
                            )                        25.7)                                            
                                          ,  12-                                
                                                                            
                                                                           
                                           /  200                              
                                     -         -                           
                                                                           
                                       (                             
                                          30)                                              
                                                                                              
                            30                                                                                          
                                               1                                                                      
                            (                                                                               
                                                                                                          
                                                                                                            
                            )                                                                                   
                                                                                                             
                             (                                                                           
                            )                                                                          
                                                                                                               
                                                                                                          
                             ,                                                                           
                                                                                                              
                            :                                                                                   
                              (+)                                                                              
                             (++)                                                                               
                             - 1 /3 - 5                                                                          
                            ,                                                                                         
                              (+++)                                                                            
                              /                                                                               
                             - 1                                                                               
                            /,                                                                                       
                                                                                                       
                                                                                                        
                             - 4 /,                                                                           
                                                                                                             
                              -                                                                          
                                                                                                          
                                                                                                                
                                                                                                              
                                                                                                            
                                                                                                                 
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                    ,    .        1                                                
                             .         1    ,                                                   
                                     1                                                         
                             :                                                              
                            , ,       -                                                   
                            , ,                                                              
                            , ,          ,                                                   
                            ,                  -                                                      
                                                                                          
                            .      1                                                          
                                                                                                   
                                            1                                                          
                                                                                                 
                                               1                                                            
                                   1    -                                                        
                                                                                                 
                                                                                                  
                              H. pylori     1                                                          
                            (                                                                       
                                                                                                          
                                                                                                            
                            )                                                                                   
                                                                                                             
                             (                                                                           
                            )                                                                          
                                                                                                               
                                                                                                          
                             ,                                                                           
                                                                                                              
                            :                                                                                
                             (+)                                                                                  
                             (++)                                                                               
                             - 1 /3 - 5                                                                          
                            ,                                                                               
                            (+++)   /                                                                            
                              - 1                                                                           
                            /,                                                                           
                                                                                                         
                              - 4                                                                          
                            /,                                                                                    
                                                                                                         
                             -                                                                                  
                                                                                                          
                                                                                                                
                                                                                                              
                                                                                                            
                                                                                                                 
                    +--------+--------------------+------+-----------------+------------------------+                          
                           .        1   -                              
                             .         1                                                
                                     1   ,                                                   
                             :        -                                                      
                            , ,        ,                                                    
                            , ,                                                                    
                            ,                                                                       
                             ,                                                        
                             ,              -                                                          
                            ,                                                                 
                            .      1                                                              
                                                                                                        
                                            1                                                            
                                                                                                
                                   1                                                               
                                                                                               
                                                                                                       
                              H. pylori     1    -                                                        
                                               1                                                          
                                 1                                                       
                            ,                                                                         
                                                                                              
                                                                                                                   
+--------------------+--------+--------------------+------+-----------------+------------------------+-----------+---------------+
 (30)            .        1     H. pylori 4 .         
                             .         1                                
                            .      1        :                                
                                                 : ,   2--                           
                                     1   , ,  (                             
                             :       , ,     150                                             
                                                     2 /                                 
                                            1                                                       
                                               20   2 /) 4                           
                                   1    , .  /                                       
                                               10                                
                                                    3 /  4 .                            
                                               1                                                  
                            (                                                                     
                                                                                                          
                            )                                                                                   
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                    ,    .        1   -                                       
                             .         1                                                       
                            .      1   ,                                                   
                                                  -                                                      
                                     1    ,                                                    
                             :                                                            
                            ,                                                                   
                            , ,          -                                                          
                            , ,                                                              
                                            1                                                            
                                         ,                                                   
                                   1                                                         
                                                                                                 
                                                                                                   
                              H. pylori     1                                                      
                                               1   :                                                      
                            (                                                                  
                                                                                             
                            )                                                                          
                                                      ( - HBsAg),                                                   
                                                                                                          
                                                                                                                
                                                      ( - antiHCV)                                                  
+--------------------+--------+--------------------+------+-----------------+------------------------+-----------+---------------+
               .        3                            4 - 6 .      
[                 .         3                    :                                   
] (50)              -     2                                    
                            .      1                                                .     
                                                                  1- :                         
                            .             3                     4 - 6                     
                                                             /    2 -             Ӧ
                            .     3                    3 /  4 .                            
                                     2                    /   ()                           
                             :                        2-  (                                  
                            , , ,                                                          
                            ,                             ): +                            
                            ,                               - 30 - 60                               
                                          1                    /  2 .                                    
                                                         3-  (                                  
                                                          2-):                            
                                               1                                                 
                                    1                                                        
                                                          :                                     
                             -  1                                                 
                                                          ,                             
                                             1                                                                
                                       1                                                          
                            ( )                               .                                  
                               1                                                    
                                      1                                                        
                                                                                               
                            (                                                         
                                                                                                    
                            ,  2                                                           
                            /  -                           - -                              
                            )                                     -                            
                                                                                                       
                                                                                                           
                                                                                                                
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                    ,    .        3                                             
                                                                 
                             .         3   :                                     
                                     2    (,                       Ӧ
                             :       Na)                                          
                            , , ,                                                       
                            ,                                                               
                            , , -                         -                                        
                                                                                     
                            ( - )                                                          
                                       1                                                      
                            .             3                                                             
                                                                                                               
                            .     3                                                                      
                                 1                                                                      
                                                                                                                  
                                  1                                                                      
                                                                                                                     
                                      1                                                                      
                                                                                                                 
                                      1                                                                      
                                               1                                                                      
                               1                                                                      
                                      1                                                                      
                                                                                                               
                            (                                                                               
                                                                                                          
                            ,  2                                                                           
                            /  -                                                                            
                            )                                                                                     
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                           .        3            4 - 6 .      
                                                                                    
                             .         3                         
                                     2                                        
                             :                              (   
                            , , ,                                 
                            ,            :                                        )   
                            , ,                (,                                          
                            ,                 Na)                                                         
                                                                                             
                            :   1                                                             
                            ,                                                                ,     
                                                                                                  
                                                                                         - 
                            ( - ), -                                                                     
                             ,                                                             
                                                                                                   
                                                                                                               
                            .            1                                                                      
                                                                                                          
                                                                                                                 
                                       2                                                                      
                            .             3                                                                      
                                                                                                               
                            .     3                                                                      
                                   1                                                                      
                                                                                                           
                                                                                                                 
                                 1                                                                      
                                                                                                                  
                                  1                                                                      
                                                                                                                     
                                1                                                                      
                                                                                                                 
                                      1                                                                      
                                               1                                                                      
                                      1                                                                      
                             ( -                                                                          
                            )                                                                            
                                                                                                                  
                                      1                                                                      
                               1                                                                      
                                      1                                                                      
                                                                                                               
+--------------------+--------+--------------------+------+-----------------+------------------------+-----------+---------------+
  (51)       .        3                            4 - 6 .      
                             .         3                    :                                   
                            -     2                     -                       
                            .      1                                       .     
                                                                  1- :                         
                            .             3                     4 - 6                     
                                                             /    2 -             Ӧ
                            .     3                    3 /  4 .                            
                                     1                    /   ()                           
                             :                        2-  (                                  
                            , , ,                                                          
                            ,                             ): +                            
                            , ,                          - 30 - 60                               
                                          1                    / - 2 .                                   
                                                         3-  (                                  
                                                          2-):                            
                                               1                                                      
                                    1                                                        
                                                          :                                     
                                         1                                                 
                                                      ,                             
                                                                                                              
                             (        1                                                    
                            )                                                                      
                               1                                                      
                                      1                                                
                                                                                                         
                            (                                                               
                                                         - -                              
                            ,  2                           -                            
                            /  -                                                          
                            )                                                                       
                                                                                                                
                    +--------+--------------------+------+-----------------+------------------------+-----------+---------------+
                    ,    .       3                           4 - 6 .      
                                                                        
                             .         3   :                                   
                            .      2    (,                     .     
                                                 Na)                             
                            -     1                                          
                                     2                                         Ӧ
                             :                         -                                        
                            , , ,                                                    
                            ,                                                         
                            , ,                                                          
                                       1                                                             
                            .             3                                                                      
                                                                                                               
                            .     3                                                                      
                                 1                                                                      
                                                                                                                  
                                  1                                                                      
                                                                                                                     
                                      1                                                                      
                                                                                                                 
                                      1                                                                      
                               1                                                                      
                                      1                                                                      
                                                                                                               
                            (                                                                               
                                                                                                          
                            ,  2                                                                           
                            /  -                                                                            
                            )                                                                                     
                    +--------+--------------------+------+-----------------+------------------------+                          
                           .      3 - 4                                   


: | .1 | .2 | .3 | .4 | .5 | .6 | .7 | .8 | .9 | .10 | .11 | .12 | .13 | .14 | .15 | .16 | .17 | .18 | .19 | .20 | .21 | .22 | .23 | .24 | .25 | .26 | .27 | .28 | .29 | .30 | .31 | .32 | .33 | .34 | .35 | .36 | .37 | .38 | .39 | .40 | .41 | .42 | .43 | .44 | .45 | .46 | .47 | .48 | .49 | .50 | .51 | .52 | .53 | .54 | .55 |




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