ΠΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ ΡΡΠΎ ΡΡΠΎ ΡΠ°ΠΊΠΎΠ΅ Π² ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Π΅
ΠΠ»ΠΈΡΠ½ΠΈΠ΅ ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ Π½Π° ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ Ρ ΠΌΡΡΠ΅ΠΉ ΠΏΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΌ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ Π²ΠΈΡΡΡΠΎΠΌ Π³ΡΠΈΠΏΠΏΠ° A(H1N1)PDM09
ΠΠΎΠ»Π½ΡΠΉ ΡΠ΅ΠΊΡΡ
ΠΠ½Π½ΠΎΡΠ°ΡΠΈΡ
Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠ·ΡΡΠ΅Π½ΠΈΠ΅ Π²Π»ΠΈΡΠ½ΠΈΡ 2-ΠΎΠΊΡΠΎΠΏΡΠΎΠΏΠ°Π½Π°Π»Ρ (ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ) Π½Π° ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π²ΠΈΡΡΡ-ΠΈΠ½Π΄ΡΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ .
ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π½Π° Π²Π·ΡΠΎΡΠ»ΡΡ Π°ΡΡΠ±ΡΠ΅Π΄Π½ΡΡ ΡΠ°ΠΌΠΊΠ°Ρ ΠΌΡΡΠΈ. ΠΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ Π²Π²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎ Π² Π΄ΠΎΠ·Π΅ 50 ΠΌΠ³/ΠΊΠ³/ΡΡΡ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 14 Π΄Π½Π΅ΠΉ Π΄ΠΎ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ. Π‘ ΡΠ΅Π»ΡΡ ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π²ΠΈΡΡΡΠ½ΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈ ΡΡΠ°ΠΌΠΌ Π²ΠΈΡΡΡΠ° Π³ΡΠΈΠΏΠΏΠ° A(H1N1)pdm09 Π² Π΄ΠΎΠ·Π΅, ΡΠ°Π²Π½ΠΎΠΉ 0,75 ΡΠ°ΡΡΠ΅ΡΠ½ΠΎΠΉ Π²Π΅Π»ΠΈΡΠΈΠ½Ρ LD50. ΠΠ° 4, 7 ΠΈ 14-Π΅ ΡΡΡΠΊΠΈ ΠΏΠΎΡΠ»Π΅ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π²ΡΠΏΠΎΠ»Π½ΡΠ»ΠΈ Π³Π΅ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΊΡΠΎΠ²ΠΈ, ΠΏΠ°ΡΠΎΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π»Π΅Π³ΠΊΠΈΡ . Π‘ΡΠ΅ΠΏΠ΅Π½Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ ΠΏΠΎΠ»ΡΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ.
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ Π²ΡΠ·Π²Π°Π» Π΄Π²ΡΠΊΡΠ°ΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ ΠΈ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ (Ρ β3,4 Π² Π΄Π΅ΡΡΡΠΈΠΊΡΠ°ΡΠ½ΠΎΠΌ ΡΠ°Π·Π²Π΅Π΄Π΅Π½ΠΈΠΈ. ΠΠΈΡΡΡΠ½Π°Ρ ΠΏΡΠΈΡΠΎΠ΄Π° ΠΠΠ Π±ΡΠ»Π° ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Π° Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠΈ ΡΠ΅Π°ΠΊΡΠΈΠΈ Π³Π΅ΠΌΠ°Π³Π³Π»ΡΡΠΈΠ½Π°ΡΠΈΠΈ. ΠΠ΅Π³ΠΊΠΈΠ΅ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ Π³ΠΎΠΌΠΎΠ³Π΅Π½ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ Π² ΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠ°ΡΡΠ²ΠΎΡΠ΅. ΠΠΎΠΌΠΎΠ³Π΅Π½Π°Ρ ΡΠ΅Π½ΡΡΠΈΡΡΠ³ΠΈΡΠΎΠ²Π°Π»ΠΈ, ΠΎΡΠ±ΠΈΡΠ°Π»ΠΈ ΡΡΠΏΠ΅ΡΠ½Π°ΡΠ°Π½Ρ, ΠΊΠΎΡΠΎΡΡΠΉ Π²Π²ΠΎΠ΄ΠΈΠ»ΠΈ Π² Π°Π»Π»Π°Π½ΡΠΎΠΈΡΠ½ΡΡ ΠΏΠΎΠ»ΠΎΡΡΡ ΠΊΡΡΠΈΠ½ΡΡ ΡΠΌΠ±ΡΠΈΠΎΠ½ΠΎΠ² ΠΈ ΠΈΠ½ΠΊΡΠ±ΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΏΡΠΈ 36 Β°C Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 48 ΡΠ°ΡΠΎΠ². ΠΠ΅ΡΠ΅Π΄ Π·Π°Π±ΠΎΡΠΎΠΌ Π°Π»Π»Π°Π½ΡΠΎΠΈΡΠ½ΠΎΠΉ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠΈ ΡΠΉΡΠ° ΠΎΡ Π»Π°ΠΆΠ΄Π°Π»ΠΈ ΠΏΡΠΈ ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΠ΅ +4 Β°C Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 3β4 ΡΠ°ΡΠΎΠ². Π Π·Π°Π±ΡΠ°Π½Π½ΠΎΠΌΡ Π±ΠΈΠΎΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ Π΄ΠΎΠ±Π°Π²Π»ΡΠ»ΠΈ ΡΠΊΠ²ΠΈΠ²Π°Π»Π΅Π½ΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ 1 % Π²Π·Π²Π΅ΡΠΈ ΡΡΠΈΡΡΠΎΡΠΈΡΠΎΠ² Π² ΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠ°ΡΡΠ²ΠΎΡΠ΅. ΠΡΠΈΡΡΡΡΡΠ²ΠΈΠ΅ Π²ΠΈΡΡΡΠ½ΡΡ ΡΠ°ΡΡΠΈΡ Π² ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π΅ Π±ΡΠ»ΠΎ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½ΠΎ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Ρ Π°ΡΠ°ΠΊΡΠ΅ΡΠ½ΠΎΠ³ΠΎ Π·ΠΎΠ½ΡΠΈΠΊΠ° [15].
Π ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Ρ ΠΏΠΎ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ Π²Π»ΠΈΡΠ½ΠΈΡ ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ Π½Π° ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΠΠ ΠΆΠΈΠ²ΠΎΡΠ½ΡΠ΅ Π±ΡΠ»ΠΈ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ Π½Π° ΡΡΠΈ Π³ΡΡΠΏΠΏΡ: 1-Ρ Π³ΡΡΠΏΠΏΠ° β ΠΈΠ½ΡΠ°ΠΊΡΠ½ΡΠ΅ ΠΆΠΈΠ²ΠΎΡΠ½ΡΠ΅ (n = 10); 2-Ρ Π³ΡΡΠΏΠΏΠ° β ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΌΡΡΠΈ, ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΠ΅ ΠΏΠ»Π°ΡΠ΅Π±ΠΎ (n = 40); 3-Ρ Π³ΡΡΠΏΠΏΠ° β ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΌΡΡΠΈ, ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΠ΅ ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ (n = 40). ΠΠΈΡΡΡΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΠΉ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π» Π²Π²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΈΠ½ΡΡΠ°Π½Π°Π·Π°Π»ΡΠ½ΠΎ Π² Π΄ΠΎΠ·Π΅, ΡΠ°Π²Π½ΠΎΠΉ 0,75 ΡΠ°ΡΡΠ΅ΡΠ½ΠΎΠΉ Π²Π΅Π»ΠΈΡΠΈΠ½Ρ LD50, ΠΈΠ»ΠΈ 10 β3,5 Π² Π΄Π΅ΡΡΡΠΈΠΊΡΠ°ΡΠ½ΠΎΠΌ ΡΠ°Π·Π²Π΅Π΄Π΅Π½ΠΈΠΈ. ΠΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ (Sigma-Aldrich, Π‘Π¨Π) Π²Π²ΠΎΠ΄ΠΈΠ»ΠΈ Π² Π΄ΠΎΠ·Π΅ 50 ΠΌΠ³/ΠΊΠ³/ΡΡΡ ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎ (ΠΏ/ΠΊ) Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π΄Π²ΡΡ Π½Π΅Π΄Π΅Π»Ρ Π΄ΠΎ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ [16].
ΠΠ°Π±ΠΎΡ ΠΊΡΠΎΠ²ΠΈ Π΄Π»Ρ Π³Π΅ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΠ»ΠΈ Π² ΡΠΏΠΏΠ΅Π½Π΄ΠΎΡΡΡ Ρ ΠΠΠ’Π ΠΈ Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΏΠΎ ΡΠ»Π΅Π΄ΡΡΡΠΈΠΌ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠ°ΠΌ: ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ², Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°ΡΠ½Π°Ρ ΡΠΎΡΠΌΡΠ»Π°. ΠΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ² ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ»ΠΈ Π½Π° Π°Π²ΡΠΎΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ Π³Π΅ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ Π°Π½Π°Π»ΠΈΠ·Π°ΡΠΎΡΠ΅ Abacus Junior Vet, Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°ΡΠ½ΡΡ ΡΠΎΡΠΌΡΠ»Ρ β Π² ΠΎΠΊΡΠ°ΡΠ΅Π½Π½ΠΎΠΌ ΠΏΠΎ Π ΠΎΠΌΠ°Π½ΠΎΠ²ΡΠΊΠΎΠΌΡ β ΠΠΈΠΌΠ·Π΅ ΠΌΠ°Π·ΠΊΠ΅ ΠΊΡΠΎΠ²ΠΈ ΠΏΡΠΈ ΠΌΠΈΠΊΡΠΎΡΠΊΠΎΠΏΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ. ΠΠ°ΠΊΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° 4, 7 ΠΈ 14-Π΅ ΡΡΡΠΊΠΈ Π»ΠΈΠ±ΠΎ ΠΏΠΎΡΠ»Π΅ ΡΠΌΠ΅ΡΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΠΎΠ³ΠΎ Π² Ρ ΠΎΠ΄Π΅ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°. Π₯ΠΎΠ΄ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° ΡΠΈΠΊΡΠΈΡΡΡΡΠΈΡ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠ΅ΠΉ, ΠΎΡΠ±ΠΎΡ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π° Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π²ΡΠΊΡΡΡΠΈΡ, ΡΠΈΠΊΡΠ°ΡΠΈΡ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°, Π²ΡΡΠ΅Π·Π°Π½ΠΈΠ΅ ΠΊΡΡΠΎΡΠΊΠΎΠ² ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°, ΡΠΏΠ»ΠΎΡΠ½Π΅Π½ΠΈΠ΅ ΠΎΠ±Π΅Π·Π²ΠΎΠΆΠΈΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΊΡΡΠΎΡΠΊΠΎΠ² ΠΈ Π·Π°Π»ΠΈΠ²ΠΊΠ° Π² ΠΏΠ°ΡΠ°ΡΠΈΠ½, ΡΠ΅Π·ΠΊΠ° Π±Π»ΠΎΠΊΠΎΠ² Π½Π° ΡΠ°Π½Π½ΠΎΠΌ ΠΌΠΈΠΊΡΠΎΡΠΎΠΌΠ΅, ΠΎΠΊΡΠ°ΡΠΊΠ° ΠΏΠ°ΡΠ°ΡΠΈΠ½ΠΎΠ²ΡΡ ΡΡΠ΅Π·ΠΎΠ² (Π³Π΅ΠΌΠ°ΡΠΎΠΊΡΠΈΠ»ΠΈΠ½ΠΎΠΌ ΠΈ ΡΠΎΠ·ΠΈΠ½ΠΎΠΌ), ΠΏΡΠΎΡΠΌΠΎΡΡ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², ΠΌΠΈΠΊΡΠΎΡΠΎΡΠΎΡΡΠ΅ΠΌΠΊΠ°, ΠΈΠ·Π³ΠΎΡΠΎΠ²Π»Π΅Π½ΠΈΠ΅ ΠΎΡΠΏΠ΅ΡΠ°ΡΠΊΠΎΠ².
Π‘ΡΠ΅ΠΏΠ΅Π½Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ΅, ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠΉ American Thoracic Society [17] ΠΈ Π·Π°ΠΊΠ»ΡΡΠ°ΡΡΠ΅ΠΉΡΡ Π² ΠΏΠΎΠ΄ΡΡΠ΅ΡΠ΅ Π±Π°Π»Π»ΠΎΠ² ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ ΡΠ°Π±Π». 1 Π² 20 ΠΏΠΎΠ»ΡΡ ΠΏΡΠΈ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠΈ Γ400. Π‘ΡΠ΅ΠΏΠ΅Π½Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ ΠΏΠΎ ΡΠΎΡΠΌΡΠ»Π΅
ΠΏΡΠΈ ΡΡΠΎΠΌ ΡΡΠΈΡΡΠ²Π°Π»ΠΈ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ (A, B, C, D, E), ΡΠΊΠ°Π·Π°Π½Π½ΡΠ΅ Π² ΡΠ°Π±Π». 1.
ΠΡΠ΅Π½ΠΊΠ° Π·Π½Π°ΡΠΈΠΌΠΎΡΡΠΈ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ Π² Π±Π°Π»Π»Π°Ρ
Lung injury scoring system by histological parameters
Π ΠΎΠ»Ρ ΠΊΠΎΠ½Π΅ΡΠ½ΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π² ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΡΠ°Ρ Π°ΡΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π±Π΅ΡΠ°
*ΠΡΡΠΈΠ»Π΅ΡΠ½ΠΈΠΉ ΠΈΠΌΠΏΠ°ΠΊΡ ΡΠ°ΠΊΡΠΎΡ Π ΠΠΠ¦ Π·Π° 2020 Π³.
Π§ΠΈΡΠ°ΠΉΡΠ΅ Π² Π½ΠΎΠ²ΠΎΠΌ Π½ΠΎΠΌΠ΅ΡΠ΅
ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΠ»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ β ΡΡΠΎ ΠΎΡΠ½ΠΎΠ²Π½Π°Ρ ΠΏΡΠΈΡΠΈΠ½Π° ΡΠΏΠΎΠ½ΡΠ°Π½Π½ΠΎΠ³ΠΎ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΡΡΡΡΠΊΡΡΡΡ Π²Π½ΡΡΡΠΈΠΊΠ»Π΅ΡΠΎΡΠ½ΡΡ ΠΈ Π²Π½Π΅ΠΊΠ»Π΅ΡΠΎΡΠ½ΡΡ Π±Π΅Π»ΠΊΠΎΠ² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΈΡΡΠ΅ΠΌ. Π 0,1β0,2% ΡΠ»ΡΡΠ°Π΅Π² Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΡ ΠΎΠ΄ΠΈΡ ΠΏΠΎ ΠΎΡΡΠ°ΡΠΊΠ°ΠΌ Π»ΠΈΠ·ΠΈΠ½Π° ΠΈ Π°ΡΠ³ΠΈΠ½ΠΈΠ½Π° [1,2]. Π Π½Π΅ΠΊΠΎΡΠΎΡΡΡ Π·ΠΎΠ½Π°Ρ , Π³Π΄Π΅ ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΠ·ΠΌ Π±Π΅Π»ΠΊΠΎΠ² Π»ΠΈΠΌΠΈΡΠΈΡΠΎΠ²Π°Π½ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, Π² Ρ ΡΡΡΡΠ°Π»ΠΈΠΊΠ΅ Π³Π»Π°Π·Π°), ΡΡΠ΅ΠΏΠ΅Π½Ρ ΠΈΡ Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΌΠΎΠΆΠ΅Ρ ΠΏΠΎΠ²ΡΡΠ°ΡΡΡΡ Π² 10 ΡΠ°Π· [3]. ΠΠ° ΡΠΎΠ½Π΅ ΡΠ°Ρ Π°ΡΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π±Π΅ΡΠ° Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π±Π΅Π»ΠΊΠΎΠ² ΡΡΠΈΠ»ΠΈΠ²Π°Π΅ΡΡΡ, ΡΡΠΎ ΡΠ²ΡΠ·Π°Π½ΠΎ Ρ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΠΎΠ²Π½Ρ Π³Π»ΡΠΊΠΎΠ·Ρ ΠΈ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ ΡΠ°Ρ Π°ΡΠΈΠ΄ΠΎΠ² ΠΊΠ°ΠΊ Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡΠΎΠ²ΠΈ, ΡΠ°ΠΊ ΠΈ Π² ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½Π½ΡΡ ΡΠΎΡΡΠ΄Π°Ρ . Π‘ΡΡΠ΅ΡΡΠ²ΡΠ΅Ρ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²ΠΎ ΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² ΠΏΡΠΈΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ Π³Π»ΡΠΊΠΎΠ·Ρ ΠΊ Π±Π΅Π»ΠΊΠ°ΠΌ ΡΠΊΠ°Π½Π΅ΠΉ ΠΈ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠ΅ΠΉ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° in vivo. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°Π½Π½ΠΈΠΌ ΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠΌ ΠΏΡΠΈΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ Π³Π»ΡΠΊΠΎΠ·Ρ ΠΊ Π±Π΅Π»ΠΊΡ ΡΠ²Π»ΡΠ΅ΡΡΡ NΠ΅βΡΡΡΠΊΡΠΎΠ·ΠΈΠ»βΠ»ΠΈΠ·ΠΈΠ½ (Π€Π), ΠΏΡΠΈ ΠΌΠ΅Π΄Π»Π΅Π½Π½ΠΎΠΉ Π΄Π΅Π³ΡΠ°Π΄Π°ΡΠΈΠΈ ΠΊΠΎΡΠΎΡΠΎΠ³ΠΎ ΠΎΠ±ΡΠ°Π·ΡΡΡΡΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΠΊΠΎΠ½Π΅ΡΠ½ΡΠ΅ ΠΏΡΠΎΠ΄ΡΠΊΡΡ Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ (ΠΠΠ). ΠΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΠΉ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡΡ Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°ΡΡ Π±Π΅Π»ΠΊΠΈ ΠΎΠ±Π»Π°Π΄Π°ΡΡ ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ Π΄ΠΈΠΊΠ°ΡΠ±ΠΎΠ½ΠΈΠ»Π° ΡΠ½Π΄ΠΎΠ³Π΅Π½Π½ΠΎΠ³ΠΎ ΠΏΡΠΎΠΈΡΡ ΠΎΠΆΠ΄Π΅Π½ΠΈΡ, Π° ΡΠ°ΠΊΠΆΠ΅ Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ, ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ ΠΈ 3βΠ΄Π΅Π·ΠΎΠΊΡΠΈΒΠ³Π»ΡΠΊΠΎΠ·ΠΎΠ½. ΠΠ½ΠΈ ΡΠΎΡΠΌΠΈΡΡΡΡΡΡ ΠΏΡΠΈ Π΄Π΅Π³ΡΠ°Π΄Π°ΡΠΈΠΈ Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½Π½ΡΡ Π±Π΅Π»ΠΊΠΎΠ², ΠΏΡΠΎΠΌΠ΅ΠΆΡΡΠΎΡΠ½ΡΡ ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΡΠΎΠ² Π³Π»ΠΈΠΊΠΎΠ»ΠΈΠ·Π° ΠΈ ΠΏΠ΅ΡΠ΅ΠΊΠΈΡΠ½ΠΎΠ³ΠΎ ΠΎΠΊΠΈΡΠ»Π΅Π½ΠΈΡ Π»ΠΈΠΏΠΈΠ΄ΠΎΠ². Π‘ΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ Π΄ΠΈΠΊΠ°ΡΠ±ΠΎΠ½ΠΈΠ»Π° Π½Π°ΠΏΡΡΠΌΡΡ ΡΠ΅Π°Π³ΠΈΡΡΡΡ Ρ Π±Π΅Π»ΠΊΠ°ΠΌΠΈ Ρ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΠΠ (ΡΠΈΡ. 1Π°). ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠ΅ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΡΡ ΠΎ ΡΠΎΠΌ, ΡΡΠΎ ΠΈΠ½ΡΠ΅Π½ΡΠΈΠ²Π½ΠΎΡΡΡ Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠ΄ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ΠΌ ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ Π½Π°ΡΠ°ΡΡΠ°Π΅Ρ ΠΏΡΠΈ Π΄ΠΈΠ°Π±Π΅ΡΠ΅ Π½Π΅ΠΏΡΠΎΠΏΠΎΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ Π³Π»ΡΠΊΠΎΠ·Ρ [4β7]. ΠΠΎβΠ²ΠΈΠ΄ΠΈΠΌΠΎΠΌΡ, ΡΡΠΎ ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½ΠΎ ΡΠΈΠ½ΡΠ΅Π·ΠΎΠΌ ΠΌΠ΅ΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Ρ ΠΈΠ· ΡΡΠΈΠΎΠ·ΠΎΡΠΎΡΡΠ°ΡΠ°, ΠΊΠΎΡΠΎΡΡΠΉ Π½Π°ΠΊΠ°ΠΏΠ»ΠΈΠ²Π°Π΅ΡΡΡ Π² ΡΡΠ΅Π½ΠΊΠ°Ρ ΡΠΎΡΡΠ΄ΠΎΠ² Π²ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ Π³ΠΈΠΏΠ΅ΡΠ³Π»ΠΈΠΊΠ΅ΠΌΠΈΠΈ (ΡΠΈΡ. 2) [8]. Π Π½Π°ΠΈΠ±ΠΎΠ»ΡΡΠ΅ΠΌ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΊΠΎΠ½Π΅ΡΠ½ΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² Π³Π»ΠΈΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΎΠ±ΡΠ°Π·ΡΡΡΡΡ Π³ΠΈΠ΄ΡΠΎΠΈΠΌΠΈΠ΄Π°Π·ΠΎΠ»ΠΎΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠ²Π»ΡΡΡΡΡ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠΌΠΈ ΠΎΡΡΠ°ΡΠΊΠΎΠ² Π°ΡΒΠ³ΠΈΒΠ½ΠΈΠ½Π°, ΠΏΠΎΠ΄Π²Π΅ΡΠ³ΡΠΈΡ ΡΡ ΠΌΠΎΠ΄ΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ Π³Π»ΠΈΠΎΠΊΡΠ°Π»Π΅ΠΌ, ΠΌΠ΅ΒΡΠΈΠ»Π³Π»ΠΈΠΎΠΊΡΠ°Π»Π΅ΠΌ ΠΈ 3βΠ΄Π΅Π·ΠΎΠΊΡΠΈΠ³Π»ΡΠΊΠΎΠ·ΠΎΠ½ΠΎΠΌ (3βDG), β N?β(5βΠ³ΠΈΒΠ΄ΡΠΎβ4βΠΈΠΌΠΈΠ΄Π°Π·ΠΎΠ»ΠΎΠ½β2βΠΈΠ»)ΠΎΡΠ½ΠΈΡΠΈΠ½ (GβH1), N?β(5βΠ³ΠΈΒΠ΄ΡΠΎβ5βΠΌΠ΅ΡΠΈΠ»β4βΠΈΠΌΠΈΠ΄Π°Π·ΠΎΠ»ΠΎΠ½β2βΠΈΠ»)ΠΎΡΠ½ΠΈΡΠΈΠ½ (MGβH1) ΠΈ N?β(5βΠ³ΠΈΠ΄ΡΠΎβ5β(2,3,4βΡΡΠΈΠ³ΠΈΠ΄ΡΠΎΠΊΡΠΈΒΠ±ΡΒΡΠΈΠ»)β4βΠΈΠΌΠΈΒΠ΄Π°Π·ΠΎΠ»ΠΎΠ½β2βΠΈΠ»)ΠΎΡΠ½ΠΈΡΠΈΠ½ ΠΈ ΡΠΎΠ΄ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΡΡΡΡΠΊΒΡΡΡΠ½ΡΠ΅ ΠΈΠ·ΠΎΠΌΠ΅ΡΡ (3DGβH) (ΡΠΈΡ. 1Π±). ΠΡΡΠ³ΠΈΠΌΠΈ ΡΠΈΡΠΎΠΊΠΎ ΠΈΠ·ΡΡΠ΅Π½Π½ΡΠΌΠΈ ΠΠΠ ΡΠ²Π»ΡΡΡΡΡ N?βΠΊΠ°ΡΠ±ΠΎΠΊΡΠΈΠΌΠ΅ΡΠΈΠ»βΠ»ΠΈΠ·ΠΈΠ½ (ΠΠΠ) ΠΈ N?βΠΊΠ°ΡΠ±ΠΎΠΊΡΠΈΡΡΠΈΠ»βΠ»ΠΈΠ·ΠΈΠ½ (ΠΠΠ), Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠ΅ ΠΏΠ΅ΡΠ΅ΠΊΡΠ΅ΡΡΠ½ΠΎΠ³ΠΎ ΡΠ²ΡΠ·ΡΠ²Π°Π½ΠΈΡ Π±Π΅Π»ΠΊΠΎΠ² β ΠΏΠ΅Π½ΡΠΎΠ·ΠΈΠ΄ΠΈΠ½ ΠΈ Π³Π»ΡΠΊΠΎΠ·Π΅ΠΏΠ°Π½ (ΡΠΈΡ. 1 Π²βΠ΅) [2,9β12].
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