Page 25 - Dnevna doza broj 14

DnevnaDoza

5BLPêF WFPNB KF WJTPL TUFQFO SB J V ÝUP LSBǎFN WSFNFOTLPN QFSJ CS[PH VǏJOLB 5P KF CJUOB SB[MJLB V KJI TUVEJKB J NFUBBOBMJ[B TWF WJÝF
[WJKBOKB ESVHJI QTJIJKBUSJKTLJI LBP PEV V[ PQSF[ LPE QSJNKFOF [CPH PEOPTV OB SBOJKF TUBWPWF P VQP TF JTUJǏF VMPHB BOUJQTJIPUJLB ESV
J NFEJDJOTLJI LPNPSCJEJUFUB LPE NPHVǎJI JOUFSBLDJKB T UFNFMKOPN USFCJ MBNPUSJHJOB LBP QSWF MJOJKF UF HF HFOFSBDJKF LBP NPOPUFSBQJKF V
PTPCB T #"1 PN UFSBQJKPN #"1 B SBQJKF JBLP TF J EBMKF QSFQPSVǏVKF PESäBWBOKV QPTUJHOVUF SFNJTJKF JMJ
;B EJKBHOPTUJGJLPWBOKF #"1 B PE 6 [BWJTOPTUJ PE GB[F CPMFTUJ QPTUP [B USFUNBO EFQSFTJWOF GB[F #"1 B LBP BEKVWBOUOF UFSBQJKF QSFWBT
FTFODJKBMOF WBäOPTUJ KF LMJOJǏLB KF J SB[MJǏJUF QSFQPSVLF [B LPSJÝUF ,BEB TF SBEJ P UFÝLPK EFQSFTJWOPK IPEOP V[ MJUJKVN JMJ MBNPUSJHJO *[
QSPDKFOB LSP[ EFUFLDJKV QFSJPEB IJ OKF QTJIPGBSNBLB /BSBWOP NP FQJ[PEJ VQPUSFCB BOUJEFQSFTJWB KF HSVQF BUJQJǏOJI BOUJQTJIPUJLB OBK
QPNBOJKF V[ EVHPUSBKOF QSPDKFOF OPUFSBQJKB KF OBKCPMKJ J[CPS [B CJMP PQSBWEBOB BMJ [CPH SJ[JLB PE QSF WJÝJ TUFQFO EPLB[B JNB LWFUJBQJO
TUBOKB B LBLP CJ TF #"1 SB[MJLPWBP LPKV GB[V CPMFTUJ KFS PNPHVǎBWB MBTLB V NBOJǏOV FQJ[PEV USFCB CJ ,7&1*/¥ LBP FGJLBTOJKJ BHFOT V
PE ESVHJI QTJIJKBUSJKTLJI QPSFNF CPMKV LPNQMJKBOTV PCPMKFMJI PTPCB UJ OBSPǏJUP PCB[SJW %BOBÝOKF QSF QSFWFODJKJ SFMBQTB NBOJǏOF JMJ EF
ǎBKB 5P KF J SB[MPH EB TV TBWSFNFOJ 6 BLVUOPK FQJ[PEJ NBOJKF V QPSVLF HPWPSF V QSJMPH LPSJÝUFOKB QSFTJWOF FQJ[PEF V #"1 B /F
QSJTUVQJ USFUNBOV #"1 B LSP[ QTJ #"1 V QSWJ J[CPS KF LPSJÝUFOKF TBNP BOUJEFQSFTJWB J[ HSVQF 443* FTDJ ÝUP WJÝF EPLB[B JNBKV J BTFOBQJO J
IPGBSNBLPMPÝLF J QTJIPTPDJKBMOF MJUJKVNB JMJ WBMQSPBUB JMJ UBMPQSBN MVSBTJEPO *QBL BLUVFMOJ QPEBDJ TV
TUSBUFHJKF PE OBKWFǎF WBäOPTUJ TBNP OFLPH PE BUJ PHSBOJǏFOJ KFS TF SBEJ P QSFHMFE
4BWSFNFOJ QSJTUVQJ V USFUNBOV QJǏOJI BOUJQTJ OJN TUVEJKBNB LPKF TV VLMKVǏJWB
TWJI PCPMKFOKB QB J #"1 B [BTOJ IPUJLB QSWF MF JTUSBäJWBOKB UFSBQJKF PESäBWBOKB
WBKV TF OB WPEJǏJNB LPKJ TV [CJS MJOJKF SJTQF BUJQJǏOJN BOUJQTJIPUJDJNB V SFMB iskustva ljekara
QSFQPSVLB [BTOPWBOJI OB SB[MJǏJ SJEPO LWFUJB UJWOP LSBULPN QFSJPEV J[NFêV
UPN TUFQFOV EPLB[B FOHM FWJEFO QJO BSJQJQSB ÝFTU NKFTFDJ J EWJKF HPEJOF 4WB
DF CBTFE B LPKF J[EBKV J SFEPWOP [PM PMBO[BQJO LBLP JOUPMFSBODJKB MJUJKVNB V[ JO
SFWJEJSBKV OBDJPOBMOF J JOUFSOBDJ J [JQSBTJEPO EJWJEVBMJ[BDJKV UFSBQJKF PESäBWBOKB
POBMOF BTPDJKBDJKF 5IF "NFSJDBO JMJ LPNCJOP VLMKVǏVKVǎJ NPOJUPSJOH OFäFMKFOJI
1TZDIJBUSJD "TTPDJBUJPO "1" /B WBOKF MJUJKVNB FGFLBUB QSFNB QPUSFCJ J EPEBWB
UJPOBM *OTUJUVUF GPS )FBMUI BOE $BSF JMJ WBMQSPBUB TB OKF OPWJKJI GBSNBLPMPÝLJI QSJQSB
&YDFMMFODF /*$& #SJUJTI "TTPDJBUJ KFEOJN PE BOUJQTJ WBLB QPQVU LFUBNJOB [B QSFWFO
PO GPS 1TZDIPQIBSNBDPMPHZ 5IF *O IPUJLB QSWPH J[CPSB DJKV SFMBQTOF EFQSFTJWOF FQJ[PEF
UFSOBUJPOBM $PMMFHF PG 1TZDIPQIBS ,PE OFBEFLWBUOPH PEHPWP V[ TWF WFǎV VQPUSFCV OPWJI EJHJ
NBDPMPHZ $*/1 8PSME 'FEFSBUJPO SB TUBCJMJ[BUPS SBTQPMPäFOKB UBMOJI UFIOPMPHJKB [B NPOJUPSJOH J
PG 4PDJFUJFT PG #JPMPHJDBM 1TZDIJBUSZ USFCB EB CVEF LBSCBNB PULSJWBOKF SBOJI [OBLPWB SFMBQTB
8'4#1 J ES LPKF TV PTOPWB [CSJ [FQJO B LPE SF[JTUFOUOJ EBKV QVOJ TNJTBP J QPESÝLV LPSJ
OKBWBOKB #"1 B J LPE OBT KJI PCMJLB NBOJKF NPHV ÝUFOKV BUJQJǏOJI BOUJQTJIPUJLB OB
#F[ PC[JSB OB UP EB MJ TF SBEJ P TF LPNCJOPWBUJ LBSCB SPǏJUP LWFUJBQJOB ,7&1*/¥ LBP
BLVUOJN FQJ[PEBNB NBOJKF JMJ EF NB[FQJO J QBMJQFSJEPO EVHPSPǏOF UFSBQJKF PESäBWBOKB
QSFTJKF QSWPK JMJ QPOPWMKFOPK JMJ QP JMJ LBSCBNB[FQJO J IB
TUJHOVUPK SFNJTJKJ USFUNBO #"1 B 1TJIPTPDJKBMOF JOUFSWFO
KF [CPH OKFHPWF ISPOJǏOPTUJ QSBL DJKF LPE PTPCB TB #"1
UJǏOP EPäJWPUBO J UFNFMKJ TF OB MJ 4BWSFNFOJ QSJODJQJ
KFǏFOKV BLVUOF FQJ[PEF NBOJKF 6[ QTJIPGBSNBLPMPÝLJ QSJTUVQ V
JMJ EFQSFTJKF TB JMJ CF[ QTJIPUJǏOJI LPNCJOPWBOPH USFUNBOB OFPEWPKJW EJP MJKFǏFOKB TWBLPH
TJNQUPNB J ÝUP KF OBSPǏJUP WBäOP QTJIJKBUSJKTLPH PCPMKFOKB QB J #"1
UFSBQJKJ PESäBWBOKB OBLPO QPTUJ SFEVLVKV IPTQJUBMJ[BDJKF TQBEBKV J SB[MJǏJUF QTJIPTPDJKBMOF
[BOKB SFNJTJKF .PEFSOJ LPODFQUJ JOUFSWFODJKF 0OF QPESB[VNJKFWBKV
QSFQPSVǏVKV J[CKFHBWBOKF IPTQJ .PäF TF [BLMKVǏJUJ EB KF MJKFǏFOKF SFEVLDJKJ IPTQJUBMJ[BDJKB QSFWFO SB[MJǏJUF PCMJLF QTJIPUFSBQJKF LBP J
CJQPMBSOPH BGFLUJWOPH QPSFNF DJKJ SFMBQTB " LSP[ TWFPCVIWBUOJ
UBMJ[BDJKB LBEB HPE KF UP NPHVǎF ÝJSF QTJIPTPDJKBMOF JOUFSWFODJKF
V[ QSFVTNKFSBWBOKF PCPMKFMJI V ǎBKB EPäJWPUOP J LPNQMFLTOP QSJTUVQ QTJIJKBUSJKF V [BKFEOJDJ *BLP TF QSJNKFOKVKV V TWJN GB[BNB
TMVäCF [BÝUJUF NFOUBMOPH [ESBWMKB * QPSFE PESFêFOJI GBLUPSB LPKJ [OBǏBKOP VUJǏV OB QSPHOP[V CP CPMFTUJ OBSPǏJUP TV WBäOF [B PESäB
V [BKFEOJDJ 6 OBÝPK [FNMKJ QPTUPKJ VUJǏV OB SBOP PULSJWBOKF PCPMKF MFTUJ J TWFVLVQOJ LWBMJUFU äJWPUB WBOKF QPTUJHOVUF SFNJTJKF J QSFWFO
ÝJSPLB NSFäB PE DFOUBSB [B [B OKB TBWSFNFOJ QSJODJQJ LPNCJ PTPCB TB CJQPMBSOJN BGFLUJWOJN DJKV SFMBQTB J OFJ[PTUBWOJ TV EJP EP
ÝUJUV NFOUBMOPH [ESBWMKB DFOUBSB OPWBOPH USFUNBOB PCPMKFMJI PE QPSFNFǎBKFN CSPH PQPSBWLB PCPMKFMJI PE #"1 B
[B NFOUBMOP [ESBWMKF LPKB V[ QSJ TBNPH QPǏFULB CJUOP EPQSJOPTF 1SJODJQF QTJIPTPDJKBMOF SFIBCJMJUB
NKFOV QSFQPSVǏFOPH NPEFMB LP DJKF LPKJ TF UFNFMKF OB PTOBäJWBOKV
PSEJOJTBOF CSJHF FOHM DBTF NB MPQFSJEPM *BLP KF SJKFǏ P PHSBOJǏF GMVPLTFUJO TFSUSBMJO QBSPLTFUJO PQPSBWLB J LWBMJUFUB äJWPUB USFCB
OBHFNFOU TMJKFEJ PWF QSFQPSVLF OPN CSPKV TUVEJKB EBOBT TF TWF OBKCPMKF V LPNCJOBDJKJ T BUJQJǏ LPSJTUJUJ LBP PTOPWOB OBǏFMB DJMKFWF
V TBSBEOKJ T PCPMKFMJNB OKJIPWJN WJÝF HPWPSJ P VQPUSFCJ PLTLBSCB OJN BOUJQTJIPUJDJNB QSFWBTIPE V TUSBUFHJKJ MJKFǏFOKB OF[BWJTOP PE
ǏMBOPWJNB QPSPEJDF LBP J TWJN [FQJOB VNKFTUP LBSCBNB[FQJOB OP LWBUJBQJOPN JMJ PMBO[BQJOPN NPEFMB PSHBOJ[BDJKF QTJIJKBUSJKTLF
QBSUOFSJNB V MPLBMOJN [BKFEOJDB SBEJ J[CKFHBWBOKB OKFHPWJI OFäF %P TBEB KF SB[WJKFOB TBNP KFEOB TMVäCF 1MBO MJKFǏFOKB USFCB VLMKV
NB TB DJMKFN PQPSBWLB J ÝUP CPMKFH MKFOJI FGFLBUB 6 PWJN FQJ[PEB GJLTOB LPNCJOBDJKB PWF EWJKF HSV ǏJUJ QSPDKFOV TPDJKBMOPH GVOLDJP
LWBMJUFUB äJWPUB PTPCB T #"1 B NB QPUSFCOP KF J[CKFHBWBUJ MBNP QF QTJIPGBSNBLB GMVPLTFUJO J PMBO OJTBOKB J J[SBEV UFSBQJKTLPH QMBOB
USJHJO UPQJSBNBU J HBCBQFOUJO LBP [BQJO 5SFCB J[CKFHBWBUJ BOUJEF LPKJ TF UFNFMKJ OB JEFOUJGJLBDJKJ QTJ
1TJIPGBSNBLPMPÝLF TUSB J LPNCJOPWBOKF LBSCBNB[FQJOB T QSFTJWF TB EVBMOJN NFIBOJ[NPN IPMPÝLJI J QTJIPTPDJKBMOJI QPUFÝLP
PMBO[BQJOPN LMP[BQJOPN J SJTQF EKFMPWBOKB OQS WFOMBGBLTJO [CPH ǎB ,PE PCPMKFMJI PE #"1 B WBäOJ TV
UFHJKF V MJKFǏFOKV #"1 B
SJEPOPN 7BäOP KF EB TF EJTLPOUJ WJTPLPH SJ[JLB PE QSFMBTLB V NB QTJIPFEVLBDJKB PCPMKFMJI J ǏMBOPWB
OVJUFU UFSBQJKF JMJ UJUSJSBOKF EP[F WS OJǏOV FQJ[PEV ;B SB[MJLV PE VOJ OKJIPWJI QPSPEJDB QTJIPUFSBQJKB
6 QTJIPGBSNBLPMPÝLPN QSJTUVQV MJ
ÝJ QPTUFQFOP V TLMBEV T LMJOJǏLPN QPMBSOF EFQSFTJKF LPSJÝUFOKF BOUJ OBSPǏJUP LPHOJUJWOP CJIFWJPSBMOB
KFǏFOKB #"1 B PE QPTFCOPH [OBǏB
KB TV USJ HSVQF MJKFLPWB TUBCJMJ[BUPSJ QSPDKFOPN V QFSJPEV PE OF EFQSFTJWB KF [OBǏBKOP LSBǎF LBP J UFSBQJKB J TJTUFNTLB QPSPEJǏOB QTJ
SBTQPMPäFOKB MJUJKVN J BOUJLPOWVM EKFMKB PE QPWMBǏFOKB TJNQUPNB 6 QFSJPEJ OKJIPWPH UJUSJSBOKB J EJTLPO IPUFSBQJKB USFOJOH TPDJKBMOJI WKF
[JWJ BOUJQTJIPUJDJ QSFWBTIPEOP PESFêFOJN TMVǏBKFWJNB JOEJLPWB UJOVJUFUB ÝUJOB J LPPSEJOJTBOB CSJHB 0TJN UP
OPWJKF HFOFSBDJKF U[W BUJQJǏOJ OB KF QSJNKFOB FMFLUSPLPOWVM[JWOF /BLPO QPTUJ[BOKB SFNJTJKF CJMP LP HB HSVQOJ SBE SBEOP PLVQBDJPOB
J BOUJEFQSFTJWJ QSFWBTIPEOP J[ UFSBQJKF KFH PCMJLB #"1 B OFPQIPEOP KF UFSBQJKB HSVQF TBNPQPNPǎJ BMJ J
HSVQF TFMFLUJWOJI JOIJCJUPSB QP /PWF QSFQPSVLF [B NPOPUFSBQJKV EB TF LPOUJOVJSBOP LPSJTUJ UFSB SBE LSP[ VESVäFOKB PTPCB TB NFO
OPWOPH QPISBOKJWBOKB TFSPUPOJ BLVUOJI EFQSFTJWOJI FQJ[PEB CJ QJKB PESäBWBOKB *BLP TF V WFǎJOJ UBMOJN QPUFÝLPǎBNB JNBKV [OBǏB
OB 443* 6 MJKFǏFOKV #"1 B NP QPMBSOF EFQSFTJKF HPWPSF V QSJMPH WPEJǏB J EBMKF JTUJǏF [OBǏBK MJUJKVNB KB V QPTUJ[BOKV EPCSJI PQPSBWBLB J
EPNJOBOUOF VQPUSFCF LWFUJBQJOB LBP [MBUOPH TUBOEBSEB [B MJKFǏFOKF QPCPMKÝBOKV LWBMJUFUB äJWPUB PTPCB
HV EB TF LPSJTUF J CFO[PEJKB[FQJOJ
J IJQOPUJDJ BMJ TBNP TJNQUPNBUTLJ LBP UFSBQJKF J[CPSB SBEJ QPTUJ[BOKB #"1 B V GB[J SFNJTJKF V OJ[V OPWJ TB #"1 PN #