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???-10 K59.1 ? A09
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??????? ???????? ? ?????? ??????????? ????????? ??????????, ?????? ?????? ??? ? ????? ???????? ?????? ??????? ??????? [3] ? ?????????? ??????? ??? ???? ?????? ????????? ? ??????????? ??? ??????????? ???????? ??????????? ?????????????? ??? ?? ??????? [3] ? ???? ????????????? ?????????? (ORS) ????????? ?? ??????? ?????? ??????????? [3] ? ??????? ???????? ??????????? ?? ??? ????? ????? [3] ? ??????? ??? ????????? ?????? 25 ???????? ????????? ????? ?? 50 ?????? ??????? ????? [7] ? ????????????? ??????? ???????? ? ?????? ??????????????? ??? ????? ??????, ??? ???????????? ??????? ?????????? ?????? ?????????? [3] ? ?????????? ???? ????????????? ?????????? ??????????????? ???????????? ?????? ? ?????????? ?????? ???????????? ?????????? ????????? [8] ? ???? ????????? ??????? ????????? ? ??????????? ?????????? ?????????? [3] ? ?????????????? ????????? ?????????? ?? ????????????? ?????????? ?? ?????????? ????? ? ????? ??????????, ???????????????????? ???? ???? ????????????? ??????? [9] ? ?????????? ????? ? ????????? ???????? ?????????????????, ???? ???????? ?? ?????? ??????? ???? ????????? [9] ?

??????? ??? 1,7-?? 5 ?????? ????????????? ???? ? ???????????? [3] [4] [10] ? ??????????????? ?????? ???????? ? ???????? ?????????? [3] ? ???????????????? ??????????? ????????? ???? ?????? ? 1,26 ?????? 2013-??, 2,58 ??????? 1990?-?? [11] ? 2012 ?.-?? ??????? ???????? ? ???????? ??????????? ??????? ????????????? ???????? ???? ????????? ???? ????????? ???????? [3] [12] ? ??????? ???????? ? ??? ???? ????????? ???? ????????? ??? ??????????? ???????? ??????? [3] ?

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??????????????? ????????????? ??????????????? ?????? ??????????????? ?????????? ?, ????? ?????? ???? ??? ????? ?????, ???????? ??? ?????? ????????? ???????? ??????????? [3] ?

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???????? ????? ????????????? ? ???? ????? ???????????, ???? ???????? ????????? ??? ?????? ????????????? ????????????? ??????? ???????? ??????? ?, ??? ??????? ? ????????? , ???????? ????? ??????? (Cl - ) ?????????? ???????? ??????????????????? ?????????? ????? ???? ????? ????? ? ??????????? ??? ????????? (Na + )? ??? ??? ??????? ???????? ????????????? ??????? ???????? ???????????????? ???????? ? [14] [15] ? ??????????????? ???????????? ? ???????? ????? ????????? ????????????? ????????

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??????? ?????????????? ??????? ? ??? ???????, ??? ??? ???????????? ????? ??????? ? ????? ????????? ?????????? ??? ??? ???????? ??????? ????????? ???????????? ???????, ????? ?????????? ??????? ? ????? ????????? ??????????? ??????? ?????????????? [15] [16] ? ??????? ????????????? ????? ? ????????? ??? ???????????? ?????????????????, ??????? ??????????????? ????? ????????????????? ??? ????????? ???????, ??? ????????????? ?????? ????? ??????????? ???? ???????? ?? ?????? ??? ?????? ??????? ?????????????? ????? ? ???????? ??? ?????????????? ???????? ????????? ( ???????????? ??????? ????? ?????????? ?? ????? ???? ????? ????????)? ???????????, ??????? C-? ??? ???????? ??????????? ???????? ????????? ???????? ????? ?? ??????? ????????????? ?????? ??????? ?????????? ??????????????? ??????????? ??? ??????? ????? ? ??????????? ???????????? ????????? ????????? ???????, ??????????? ???????? ?????????? ???????? ????? ? ????????? ??????????????? ????? ????????? ?????????? ?????????, ????? ????? ????????? ????? ???????????????, ????? ??? ?? ??????????, ? ???????? ?????????? ??????????????? ????????? (????? ????????? ? ????????????? ????????????????), ????????? ?????? ????? ? ??????????, ??? ????????????????? ????? ? ????????? ??????? ????????????? [14] ? ???? ????????? ??????? ????????????? ????????, ???? ????????????? ????????? ??

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?????????? ????? ??????? ????????? ???????? ??????????? ? ?????? ??? ?????? ????? ????????? ? ???????? ?????????? ????????????????? ???????, ???????? ??? ????? ?????????????? , ?? ???????? ??????? ?????? ??? ??? ???? ????????? ???????, ???????? ?? E. coli- ? ??? ???????? ??????????????? ??? ????? [14] [15] ?

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?????????? ???????? ??????? ???????? ? ????? ???????????? ??? ??????????? ?????, ???? ?????????? ? ??????????? ??????? ??????? ????? ?????? ? ??????? ??????????? ??????? [17] ? ?????????? ??????? ????? ? ???????? ?????????, ??????????, ???????????? ????????? ??? ?????????? ????????????????? ?????????, ???????? ??? ???????? ?????????? ?????????????????? ??? ????? ? ???????? ??? ??????????????, ???? ????? ???????? ? ??????????? ????????? [15] ?

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????????? ?????????? ????? ??????????? ??????? ????? ???????? ?? ??? ?????????? ? ??????????? ??????? ?, ??? ????????? ? Shigella -?? , Entamoeba histolytica-?? ? Salmonella - ?? ????????? ????????????????? ??????? [15] ?

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??????????????? ????? ? ????????? ??????????? ?????? ?????????, ?????? ?? ?????? ????????? ???? ??????????????? ???????? ???????? ??????????? ???????? ??????? ?, ??? ?????????? ?????????? ? ????????????? ????????? ?????????????????? ?? ?????????????????? [18] [19] ? ??????, ??????????? ?, ?? ??????????????? ????????? ?????? ? ??? ?????? ????????? ? ??????????? ???? ?????????? ? ???, ?? ???????? ?????? ????????? ?????????, ????? ??????? ?? ???? ??????????????, ?????? ???????? ??????? ?? ?????? ????? ???? ???????????????? [18] [20] ?

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????? ???? ??????? ????????? ???, ??????? 40%-???, ???? ????????????? ?????? ????? ???????? ??????? ???????????? ????????????? ?????????????? ? [21] ? ??????????????? ??????? ?????????? ?? ????????? ????????? [22] ? ???? ????????????? ??????????? ?? ??? ???????? ?????????, ???????? ??? ??????? ??????????????? ? ?????????????

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????????? ????????????? ??????????? ??? ?????????? , ???????????? ? ????????????? [23] ? ????????? ????? ????? ???????? ?? ????????????? [24] ? ??????????? ????????????? ??? ????????? ?????????????? ????????????? ??????? ? [25] , ??? ????? ???? ??????? ????????? ??? ????????????? ??????? ?????????????? ?????? ? [26] ? ???????????? 40 ? 41 ?????? [27] , ? ??????????????? ?????????? ?? ????? ???????????? ???????? [28] ? Escherichia coli-? ?????? ????????? Shiga ???????, ??????? ???????????? ??????????? ? ??????? ???????? ????? ????????????? ????????

Campylobacter -? ????????? ????????????? ???????? ??????? ?? Salmonella -?, Shigella -?, Escherichia coli- ? ???? ??????? ???????? ????? ?? ??????????? ????????????? ?????? [29] ?

?????? ????????, ???????????? ????? ?????????????? ??????? ??????????? Clostridioides difficile- ? ?????? ????????? ??????? ?????????? ? ???? ?????????????? [30] ?

???????????, ????????????` ???????????, ??????, Cryptosporidium , Giardia , Entamoeba histolytica , Blastocystis , Cyclospora cayetanensis -? ????? ?????????? ????????? ????? ?????? ?? ???????????? ???? ??????? ??????????????? ??????, ??????? nitazoxanide-? ??????????? ?? ???????????? ????????????? ????????????? ??????? [31] ?

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??? ???????????? ????????? ??????? ????????????? ? ?????? ???????? ??????? ? [33] ?

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????????? ????????????? ????????????? ??????????? ???? ?????? ?????? ??? ??????????????? ?? ?????????? ????????? ??????????????? ?????? ? ?????????? ????? ?????????? ?? ????? ? ??????? ?????? ??????????? ????????, ???????? ??? ??????? ? ???????? ????????????? ????????????? ?????? ?????? ??????????? ? ?? ???? ?????????? ??????? ??????????? [35] ?

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???? ????????????, ??????? ??????????, ????? ?? ????????? ?????????????? [45] [46] ? ?????? ? ?????????????? ????????? ??? 700 ????????? ?????????????? ????????? ????????? ?????? ??? ??????????????, ???????????, ??????????????, ????-?????????? ??????, ?????????????? ?????? [15] ?

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??? ????? ????????????? ??????? ? ????????, ??????????????? ????? ? ??????????, ????? ??????????? ????????? ???????????, ????? ??????????? ????? ????????? ???????????? ????????? [47] ? ????? ??????????? ?? 1973 ?.-?? ??????????? ????????????? ?????????, ??? ????? ? ?????, ?? Shigella-?? ????????????? ????????????? ??????? ???????????? ?????????????? (Co-phenotrope, Lomotil ) ???????? ????????? ? ????? ?????????? ??????? ??????????, ??????? ??????????? ???????? ??????? ??? ??????? ????? ? ??????, ????? ??????????? ???????? [48] ?

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2019-? ??????????? ??????????? ? ?????? ???????????? ??????????? ??????????? ????? ????? ?????? ?????? ?????? [51] ? ????????????? ???????? ???????????? (ESR) ? C-??????? ?????????? (CRP) ??????? ???????????????? ??? [51] ?

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????????? ???????? ?????????? ??????? ?????????? ? ???????? ????????????? ????????? ?????????????????? ??????? ?????? ? ???? ??????? ???????? ?????????? ? ????????????? ??????? ??????????? 42?48%-?? [56] [57] ?  

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?????? ????????? ??????????? ??? ???????????? ???????????? ??????????????????? ???? ?, ?????? ??? ????????? ? ?????????????? ????? ??????????? ????????????? ???????????, ??? ???????????? ?? ???????? ?????????? ????????????? ??????? ????? 6%-?, ??? ?????????????? ????????????? ?????? ??????? 20%-? ?????, 1985 ?.-?? ???????? ????????????????? ≪??????????≫ ?????????????? ???????????? ????? ????????????? ??????? ???????? ?????? (2-3%) ???????, ??? ?????????????? ????????????? ????????????? ?????? 6-10%-??? ???????? ?????????????? ???????? ????????? ?????????????? ? ??????????? ?????????, ?????? ??????? ?? ????????? ????????????? ???????? ???????????? ???? [60] ? ??? ????? ? ???, ??????? ?? ????? ??????????? ???????????????, ????? ??????????????? ?? ????? ????? ????????? ??????? ???????? ??????????? ?????????? ??????????? ????????????? ????? ?????????? ??????? [61] [62] ?

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????????? [ ???????? | ???????? ???? ]

???? ????????????? ??????? ?????? ??????:

?????????? ???????? ???????? ???????? ?? ???? ????????????? ??????? (ORS) : ?????? ? ???? ????????????? ????????? ????? ?????????? ???????? ?????? ?????????? ????? ??? ????, ??????? ??? ???????, ??????????? ? ???? ???????? ????? ????? ?????? ?????? ? ???? ??? ?????? ???? ???? [78] ? ??? ????????? ????? ???????? ? ????? ?????? ???? ????????????? ?????????, ????? ???????? ?? ??? ???? ????, ??? ???? ???? ???? (3 ????) ? ????? ???? ???? ??????? (18 ????) [78] ? ????? ????? ????? ??? ?? ?????????? ???????????? ????? ?? ??????????? ?????????? [78] [79] ?

 ???? ? ??????? ?????????? ?? ??? ???????????????? ?????? ????? ? ???-?, ???????????? ????????? ??? ????????????? ? [80] ? ????????????????? ???????????? ? ?????????? ????????, ????? ???????? ??????? ? ????????? ????????????, ???????? ? ????? ???? ????????????? ?????????? ???????? ?????????????????????? ????????? [76] ?

???? ????????????? ???????? ??????? ?????? ??????? ????? ?????? ?????? ?, ????????, ??? ??? ???? ? ????? ???????, ???? ?? ???????? ? ??????? ????? ?????????????, ???? ?? ??????? ??? ???? ???????? ? ????????? ???-? ?????????? ? ??????? ???????? ???? ?????? 5-10 ????, ??? ?????????? ????????????? [81] ?

???????? [ ???????? | ???????? ???? ]

???-? ?????????? ? ?????????? ?????????????? ??????? ????????? ??????????? ??????????? ?????????? ?????????? ? ???????? ?????? ?????????? ?????????????? ? ?????????????, ??? ?????????, ????? ????????? ?????????????? ?, ???????????? ??????? ????? ?????? ? ???????? [82] ? ???????? ?????????, ????????????????? ?????????? ? ???????????? ???????? ?????????? ? ????? ????????? [76] ? ????????????? ??????? ?????? ????????? ????????? ???? ? ????? ????? ????????? [82] ?

???????????? [ ???????? | ???????? ???? ]

???????????? ????????????? ???????????? ?? ???? ?????? ??????? ???????? ????????????????? ????????????, ???????????????, ???????????? ? ????????????? ????? [83] ? ?????? ?????????????? ??????????? ?? ???? ????????????? ???? ????????? ???????, ????? ????????? ??? ????????????, ???????????? ????????? ???????????? [84] [85] ? ?????????????? ????? ?? ???????? ?????????-??????? ??????????? ????? Escherichia coli O157: H7 ???????? ????????? ????????????? ??????? [86] ? ??? ??????????? ????????????? ???????????? ??????????????? ???????? ????? ? ??????????? ????? [85] ? ?????????????? ????? ?? ?????? ?????? ??????????-?????? ???????? ?????????, ??? ??????????????? ??????? ????????????? ???????? ????????????? ??

??? ???????? ???????????? ( ?????-?????? ) ?????????? ?? ????? ????????????????? ??????????????? ?????????????? ?????????? ???, ????? ??? ?????????? ???????????? ???????????? [87] ? ?????????? ???????? ?????????? ? ???????? ?????????????????, ???? ?? ?????? ???????????? ?????????? ??? [9] ? ??? ????????????? ?????? ? ?????????? ????? ?????????? ????? ????????????? ???????????? [88] ?

??????????? ? ???????????????????? ?????? ??????????? ????, ????????? ? ????????? ???? ????????????? ??????? [89] , ?????? ??? ???? ???????????? ???? ?????????? ??????????? ?????????????, ???????????? ????????????? ? ?????????????? ????????? ???????? ????????????? ??????? [44] ?  

????????? ? ????????????? ????????????? ??? ??? ??? ????? ? Racecadotril-? [83] ? ??? ?????????? ? ????????????? ?????????? ???????? ? ?????????? ????????????? ? ???????? [90] ?

?????????????? ??????? [ ???????? | ???????? ???? ]

????? ???????????? ??????? ?? ??? ????????? ??? ????????? ???????? ??????????? ??? ????? ??????????????? ????? ???????? ??????? ???????????? [91] ? ??? ???????? ??????????? ?, ??? ??????????????? ????????????? ??????????????? ??????????????

????????????? (??????? Lactobacillus GG-? ? Saccharomyces boulardii-? [83] ) ?????????? ?? ??????????? ???????????? ??? ????, 60% -?? ?????????? ?? ???? ???? ???? ???? ??????????? ????????????????? [92] ? ????????? ?????????????? ?????? ? ?????? ??????????????? ????????????? ??????????????? ????????????? ??? [93] ? ?????????? ?????????????? ??????? ?????? ???????? ???????????? ????? ?????????? ? ????????????

???????????????????? [ ???????? | ???????? ???? ]

2012?.-?? ?????????????? ????????????? ?????? ???? 1??? ??????????? ???????
      0?2       3?10       11?18       19?30       31?46       47?80       81?221       222?450       451?606       607?1799
2004 ?.-?? ?????????????? ????????????? ??????????????? ????????? 100,000 ?????? ??????? [94]
      ????? ???       < 500       500?1000       1000?1500       1500?2000       2000?2500       2500?3000       3000?3500       3500?4000       4000?4500       4500?5000       5000?6000       > 6000

2004 ?.-?? ?????? ????????? ???????? ? ????????????? ??? 2,5 ??????? ????, ????? 5 ??????? ????????? ???????? 1,5 ?????? ????? [1] ? ??????? ????? ?????? ???????? ?? ?????????? ? ????????? ???????? [1] ? ??????? ???? ????? ?? 1980-?? ???????? 4,5 ?????? ??????????????? ???????????? [95] ? ???????? ??? ????????? ?????? ??????????? ? ???? ??????????? ??????????? ??????? ??????? ??????? (16%)? ?????????? ???? (17%) [1] ?

??????? ??? ???? ????????? ? ???????? ??????????, ????? ??? ???? ?????????? ? ???????? , ???????????????? 696 ?????? ? 1,2 ??????? ???????? ????????, ????????? ??????? ????? 480 ??????? ??? [96] ?

????????? ?????? 2011-?? ???? ??????? ????????? ???????? ???????? ? ??? 0,7 ?????? ?????? ???? [97] [98] ? ???????????, ??????????????? ??????? ? ????????? ??????????? 10% -? 1-59 ??????? ????????? ????????, ???? ????????????? ???????? , ??? ??????? ? ????????? ??????????? 31.3% -? [99] ? ?????????? ?, ?? ???????? ?????????? ????????? ??????????? ????? 21% -? ????????????? ? ?????????????? [100] ?

?????????????????? [ ???????? | ???????? ???? ]

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