Материал: Руководство ВОЗ по питанию женщин
ɍɱɟɛɧɵɣ ɤɭɪɫ “Ɂɞɨɪɨɜɚɹ ɩɢɳɚ ɢ ɩɢɬɚɧɢɟ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ”
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Ɂɚɧɹɬɢɟ II: Ɇɟɬɨɞɵ ɩɪɟɩɨɞɚɜɚɧɢɹ |
ȼɫɟɝɞɚ |
ɂɧɨɝɞɚ |
ɇɢɤɨɝɞɚ |
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Ɇɟɬɨɞɵ ɩɪɟɩɨɞɚɜɚɧɢɹ ɛɵɥɢ: |
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ɂɦɟɸɳɢɦɢ ɨɬɧɨɲɟɧɢɟ ɤ ɰɟɥɢ ɡɚɧɹɬɢɹ |
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ɗɮɮɟɤɬɢɜɧɵɦɢ |
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ɉɨɥɟɡɧɵɦɢ |
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Ȼɨɥɟɟ ɤɨɧɤɪɟɬɧɨ: |
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ɉɪɟɡɟɧɬɚɰɢɢ ɛɵɥɢ ɩɨɥɟɡɧɵɦɢ |
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Ƚɪɭɩɩɨɜɚɹ ɪɚɛɨɬɚ ɛɵɥɚ ɩɨɥɟɡɧɨɣ |
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Ⱦɨɦɚɲɧɢɟ ɡɚɞɚɧɢɹ ɛɵɥɢ ɩɨɥɟɡɧɵɦɢ |
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Ɇɚɬɟɪɢɚɥɵ ɤɭɪɫɚ ɫɥɟɞɭɟɬ ɢɫɩɨɥɶɡɨɜɚɬɶ ɜ |
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ɛɭɞɭɳɢɯ ɫɟɦɢɧɚɪɚɯ |
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- 7 -
ɍɱɟɛɧɵɣ ɤɭɪɫ “Ɂɞɨɪɨɜɚɹ ɩɢɳɚ ɢ ɩɢɬɚɧɢɟ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ”
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Ɂɚɧɹɬɢɟ III: ɉɪɟɩɨɞɚɜɚɬɟɥɢ ɝɪɭɩɩ/ɂɧɫɬɪɭɤɬɨɪɵ |
Ɉɬɥɢɱɧɨ |
ɏɨɪɨɲɨ |
ɇɟɭɞ. |
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Ɏɚɦɢɥɢɹ ɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɂɧɫɬɪɭɤɬɨɪɚ: ___________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɹ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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Ɏɚɦɢɥɢɹɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɢɧɫɬɪɭɤɬɨɪɚ: _____________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɹ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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Ɏɚɦɢɥɢɹɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɢɧɫɬɪɭɤɬɨɪɚ: ___________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɹ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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Ɏɚɦɢɥɢɹɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɢɧɫɬɪɭɤɬɨɪɚ: ___________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɢ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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Ɏɚɦɢɥɢɹɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɂɧɫɬɪɭɤɬɨɪɚ: ___________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɢ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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Ɏɚɦɢɥɢɹɩɪɟɩɨɞɚɜɚɬɟɥɹ/ɢɧɫɬɪɭɤɬɨɪɚ: ___________ |
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ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɨɜɟɞɟɧɢɸ ɤɭɪɫɚ |
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Ɂɧɚɧɢɟ ɩɪɟɞɦɟɬɚ |
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Ʉɚɱɟɫɬɜɨ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɉɪɟɡɟɧɬɚɰɢɢ ɢɫɩɨɥɶɡɭɟɦɵɯ ɦɚɬɟɪɢɚɥɨɜ |
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ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɱɟɛɧɨɝɨ ɜɪɟɦɟɧɢ |
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ɍɱɟɛɧɵɣ ɤɭɪɫ “Ɂɞɨɪɨɜɚɹ ɩɢɳɚ ɢ ɩɢɬɚɧɢɟ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ”
Ɋɚɡɞɟɥ IV: Ɉɛɳɚɹ ɨɰɟɧɤɚ |
ɉɪɟɤɪɚɫ- |
ɏɨɪɨɲɢɣ |
ɇɟɭɞɨɜɥɟɬ- |
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ɧɵɣ |
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ɜɨɪɢɬɟɥɶ- |
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ɧɵɣ |
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ȼ ɰɟɥɨɦ, ɹ ɛɵ ɨɰɟɧɢɥ (ɚ) ɷɬɨɬ ɤɭɪɫ/ɫɟɦɢɧɚɪ ɤɚɤ: |
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ȼ ɰɟɥɨɦ, ɫɪɚɜɧɢɜɚɹ ɷɬɨɬ ɫɟɦɢɧɚɪ ɫ ɞɪɭɝɢɦɢ, ɹ ɛɵ |
Ʌɭɱɲɟ, ɱɟɦ |
ɏɭɠɟ ɱɟɦ |
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ɨɰɟɧɢɥ ɟɝɨ ɤɚɤ: |
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ɛɨɥɶɲɢɧɫɬɜɨ |
ɛɨɥɶɲɢɧɫɬɜɨ |
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Ɋɚɡɞɟɥ V: ɋɚɦɨɨɰɟɧɤɚ ɭɱɚɫɬɧɢɤɚ |
Ɉɱɟɧɶ |
ɇɟɡɧɚɱɢɬɟɥɶɧɨɣ |
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ɛɨɥɶɲɨɣ |
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Ɋɚɛɨɬɚ, ɤɨɬɨɪɭɸ ɹ ɩɪɨɞɟɥɚɥ ɜɨ ɜɪɟɦɹ ɨɛɭɱɟɧɢɹ ɧɚ |
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ɷɬɨɦ ɤɭɪɫɟ, ɛɵɥɚ |
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Ʉɚɱɟɫɬɜɨ ɦɨɟɣ ɪɚɛɨɬɵ ɧɚ ɷɬɨɦ ɤɭɪɫɟ ɛɵɥɨ |
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Ɇɨɣ ɜɤɥɚɞ ɜ ɪɚɛɨɬɭɞɚɧɧɨɝɨ ɫɟɦɢɧɚɪɚ ɜ ɰɟɥɨɦ |
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ɛɵɥ |
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ȼ ɯɨɞɟ ɷɬɨɝɨ ɫɟɦɢɧɚɪɚ ɹ ɭɡɧɚɥ |
Ɉɱɟɧɶ ɦɧɨɝɨ |
Ɉɱɟɧɶ ɦɚɥɨ |
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Ɋɚɡɞɟɥ VI: Ʉɨɦɦɟɧɬɚɪɢɢ
_____________________________________________________________________________
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Ɋɚɡɞɟɥ VII: Ɋɟɤɨɦɟɧɞɚɰɢɢ
_____________________________________________________________________________
_____________________________________________________________________________
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- 9 -
ɍɱɟɛɧɵɣ ɤɭɪɫ “Ɂɞɨɪɨɜɚɹ ɩɢɳɚ ɢ ɩɢɬɚɧɢɟ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ”
Ɂɚɧɹɬɢɟ 1
ɋɈɋɌɈəɇɂȿ ɉɂɌȺɇɂə ɂ ɎȺɄɌɂɑȿɋɄɈȿ ɉɈɌɊȿȻɅȿɇɂȿ ɉɂɓɂ ɍ ɇȿȻȿɊȿɆȿɇɇɕɏ, ȻȿɊȿɆȿɇɇɕɏ
ɂ ɄɈɊɆəɓɂɏ ɀȿɇɓɂɇ
- 10 -
ɍɱɟɛɧɵɣ ɤɭɪɫ “Ɂɞɨɪɨɜɚɹ ɩɢɳɚ ɢ ɩɢɬɚɧɢɟ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ”
ɆȺɌȿɊɂȺɅɕ ȾɅə ɉɊȿɉɈȾȺȼȺɌȿɅə
ɐȿɅɂ
ɐɟɥɢ ɩɪɟɩɨɞɚɜɚɬɟɥɹ:
ɩɨɦɨɱɶ ɭɱɚɫɬɧɢɤɚɦ ɩɨɧɹɬɶ, ɱɬɨ ɬɚɤɨɟ ɫɬɚɬɭɫ (ɫɨɫɬɨɹɧɢɟ) ɩɢɬɚɧɢɹ ɢ ɮɚɤɬɢɱɟɫɤɨɟ ɩɨɬɪɟɛɥɟɧɢɟ ɩɢɳɢ, ɤɚɤ ɨɧɢ ɨɰɟɧɢɜɚɸɬɫɹ ɢ ɤɚɤ ɨɧɢ ɫɨɨɬɧɨɫɹɬɫɹ ɦɟɠɞɭɫɨɛɨɣ ɧɚ ɪɚɡɥɢɱɧɵɯ ɷɬɚɩɚɯ ɠɢɡɧɟɧɧɨɝɨ ɰɢɤɥɚ;
ɪɚɡɴɹɫɧɢɬɶ ɭɱɚɫɬɧɢɤɚɦ ɫɭɬɶ, ɫɩɨɫɨɛ ɪɚɫɱɟɬɚ ɢ ɜɚɠɧɨɫɬɶ ɢɧɞɟɤɫɚ ɦɚɫɫɵ ɬɟɥɚ ɤɚɤ ɨɞɧɨɝɨ ɢɡ ɢɧɞɢɤɚɬɨɪɨɜ ɫɬɚɬɭɫɚ ɩɢɬɚɧɢɹ;
ɩɨɦɨɱɶ ɭɱɚɫɬɧɢɤɚɦ ɩɨɧɹɬɶ ɫɨɜɪɟɦɟɧɧɵɟ ɪɟɤɨɦɟɧɞɚɰɢɢ ɩɨ ɡɞɨɪɨɜɨɦɭɩɢɬɚɧɢɸ ɞɥɹ ɧɚɫɟɥɟɧɢɹ ɢ ɜɚɠɧɨɫɬɶ ɢɯ ɩɪɨɩɚɝɚɧɞɵ ɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ ɫɪɟɞɢ ɛɟɪɟɦɟɧɧɵɯ ɢ ɤɨɪɦɹɳɢɯ ɠɟɧɳɢɧ.
Ʉɨɞɨɝɪɚɦɦɚ 1: ɰɟɥɢ
ɉɨ ɨɤɨɧɱɚɧɢɢ ɷɬɨɝɨ ɡɚɧɹɬɢɹ ɭɱɚɫɬɧɢɤɢ ɫɦɨɝɭɬ:
ɨɛɴɹɫɧɢɬɶ ɩɨɧɹɬɢɹ ɫɬɚɬɭɫɚ ɩɢɬɚɧɢɹ ɢ ɮɚɤɬɢɱɟɫɤɨɝɨ ɩɨɬɪɟɛɥɟɧɢɹ ɩɢɳɢ ɢ ɜɡɚɢɦɨɨɬɧɨɲɟɧɢɹ ɦɟɠɞɭɧɢɦɢ ɧɚ ɪɚɡɥɢɱɧɵɯ ɷɬɚɩɚɯ ɠɢɡɧɟɧɧɨɝɨ ɰɢɤɥɚ
ɨɛɴɹɫɧɢɬɶ, ɱɬɨ ɬɚɤɨɟ ɢɧɞɟɤɫ ɦɚɫɫɵ ɬɟɥɚ, ɚ ɬɚɤɠɟ ɤɚɤ ɟɝɨ ɪɚɫɫɱɢɬɵɜɚɬɶ ɢ ɩɪɢɦɟɧɹɬɶ ɞɥɹ ɪɚɡɪɚɛɨɬɤɢ ɪɟɤɨɦɟɧɞɚɰɢɣ ɩɨ ɩɪɢɛɚɜɤɟ ɜɟɫɚ ɜɨ ɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ
ɩɟɪɟɱɢɫɥɢɬɶ ɢ ɨɩɢɫɚɬɶ ɫɨɜɪɟɦɟɧɧɵɟ ɪɟɤɨɦɟɧɞɚɰɢɢ ɩɨ ɡɞɨɪɨɜɨɦɭɩɢɬɚɧɢɸ ɞɥɹ ɜɡɪɨɫɥɨɝɨ ɧɚɫɟɥɟɧɢɹ
Ʉɨɞɨɝɪɚɦɦɚ 2:
ɏɚɪɚɤɬɟɪ ɩɪɨɛɥɟɦ, ɫɜɹɡɚɧɧɵɯ ɫ ɩɢɬɚɧɢɟɦ, ɢɡɦɟɧɹɟɬɫɹ ɜ ɬɟɱɟɧɢɟ ɧɚɲɟɣ ɠɢɡɧɢ (ɫɦ. ɪɢɫɭɧɨɤ). Ⱥɞɟɤɜɚɬɧɨɟ ɩɢɬɚɧɢɟ ɛɟɪɟɦɟɧɧɵɯ ɠɟɧɳɢɧ ɢ ɦɥɚɞɟɧɰɟɜ ɨɱɟɧɶ ɜɚɠɧɨ ɞɥɹ ɢɯ ɞɚɥɶɧɟɣɲɟɝɨ ɨɩɬɢɦɚɥɶɧɨɝɨ ɡɞɨɪɨɜɶɹ ɢ ɪɚɡɜɢɬɢɹ. ȼɨ ɜɡɪɨɫɥɨɦ ɜɨɡɪɚɫɬɟ ɧɚ ɩɟɪɜɵɣ ɩɥɚɧ ɜɵɯɨɞɹɬ ɞɪɭɝɢɟ ɩɪɨɛɥɟɦɵ: ɤɚɤ ɩɪɟɞɨɬɜɪɚɬɢɬɶ ɩɪɟɠɞɟɜɪɟɦɟɧɧɭɸ ɫɦɟɪɬɶ ɢɥɢ ɢɧɜɚɥɢɞɧɨɫɬɶ, ɢ ɤɚɤ ɫɨɯɪɚɧɢɬɶ ɡɞɨɪɨɜɶɟ ɢ ɛɨɞɪɨɫɬɶ ɜ ɩɨɠɢɥɨɦ ɜɨɡɪɚɫɬɟ.
ɏɨɪɨɲɟɟ ɩɢɬɚɧɢɟ ɜ ɩɟɪɜɵɟ ɝɨɞɵ ɠɢɡɧɢ ɨɩɥɚɱɢɜɚɟɬɫɹ ɫɬɨɪɢɰɟɣ ɜ ɞɚɥɶɧɟɣɲɟɣ ɠɢɡɧɢ, ɢ ɩɨɷɬɨɦɭɢɧɜɟɫɬɢɪɨɜɚɧɢɟ ɜ ɪɚɧɧɟɟ ɪɚɡɜɢɬɢɟ ɪɟɛɟɧɤɚ – ɷɬɨ ɨɞɧɚ ɢɡ ɥɭɱɲɢɯ ɮɨɪɦ ɢɧɜɟɫɬɢɰɢɣ, ɤɨɬɨɪɵɟ ɦɨɠɟɬ ɫɞɟɥɚɬɶ ɫɬɪɚɧɚ. ȼɫɟ ɧɚɱɢɧɚɟɬɫɹ ɫ ɩɢɬɚɧɢɹ ɛɟɪɟɦɟɧɧɨɣ ɦɚɬɟɪɢ, ɩɨɫɤɨɥɶɤɭɟɟ ɚɞɟɤɜɚɬɧɨɟ ɩɢɬɚɧɢɟ ɨɱɟɧɶ ɜɚɠɧɨ ɞɥɹ ɪɚɡɜɢɬɢɹ ɩɥɨɞɚ, ɚ ɧɢɡɤɢɣ ɜɟɫ ɪɟɛɟɧɤɚ ɩɪɢ ɪɨɠɞɟɧɢɢ ɩɨɜɵɲɚɟɬ ɭɧɟɝɨ ɪɢɫɤ ɪɚɡɜɢɬɢɹ ɯɪɨɧɢɱɟɫɤɢɯ ɧɟɢɧɮɟɤɰɢɨɧɧɵɯ ɛɨɥɟɡɧɟɣ ɜ ɞɚɥɶɧɟɣɲɟɣ ɠɢɡɧɢ. ɇɟɫɩɨɫɨɛɧɨɫɬɶ ɨɛɟɫɩɟɱɢɬɶ ɦɚɬɟɪɟɣ ɛɟɡɨɩɚɫɧɨɣ, ɡɞɨɪɨɜɨɣ ɢ ɪɚɡɧɨɨɛɪɚɡɧɨɣ ɩɢɳɟɣ ɜɨ ɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ ɢ ɥɚɤɬɚɰɢɢ ɛɭɞɟɬ ɢɦɟɬɶ ɞɨɥɝɨɜɪɟɦɟɧɧɵɟ ɧɟɛɥɚɝɨɩɪɢɹɬɧɵɟ ɫɨɰɢɚɥɶɧɵɟ ɢ ɷɤɨɧɨɦɢɱɟɫɤɢɟ ɩɨɫɥɟɞɫɬɜɢɹ. ɉɨɷɬɨɦɭɦɟɪɨɩɪɢɹɬɢɹ, ɧɚɩɪɚɜɥɟɧɧɵɟ ɧɚ ɭɥɭɱɲɟɧɢɟ ɩɢɬɚɧɢɹ ɠɟɧɳɢɧ, ɨɫɨɛɟɧɧɨ ɠɟɧɳɢɧ ɞɟɬɨɪɨɞɧɨɝɨ ɜɨɡɪɚɫɬɚ, ɦɨɝɭɬ ɩɪɢɜɟɫɬɢ ɤ ɫɭɳɟɫɬɜɟɧɧɨɦɭɭɥɭɱɲɟɧɢɸ ɡɞɨɪɨɜɶɹ ɧɚɫɟɥɟɧɢɹ. ȿɜɪɨɩɟɣɫɤɨɟ ɪɟɝɢɨɧɚɥɶɧɨɟ ɛɸɪɨ ȼɈɁ ɪɚɡɪɚɛɨɬɚɥɨ ɦɚɬɟɪɢɚɥɵ ɞɥɹ ɭɱɟɛɧɨɝɨ ɤɭɪɫɚ “Ɂɞɨɪɨɜɨɟ ɩɢɬɚɧɢɟ ɞɥɹ ɠɟɧɳɢɧ ɢ ɢɯ ɫɟɦɟɣ” ɫ ɰɟɥɶɸ ɩɪɨɜɟɞɟɧɢɹ ɫɟɦɢɧɚɪɨɜ ɩɨ ɬɨɣ ɬɟɦɟ.
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