{"id":14355,"date":"2026-01-12T03:30:05","date_gmt":"2026-01-11T13:30:05","guid":{"rendered":"https:\/\/demo-website.delta-medlab.com\/blog\/?p=14355"},"modified":"2026-01-12T03:30:05","modified_gmt":"2026-01-11T13:30:05","slug":"%d8%a7%d9%84%d8%b1%d8%a8%d9%88-%d9%88%d8%a7%d9%84%d8%a7%d9%86%d8%b3%d8%af%d8%a7%d8%af-%d8%a7%d9%84%d8%b1%d8%a6%d9%88%d9%8a-%d8%a7%d9%84%d9%85%d8%b2%d9%85%d9%86","status":"publish","type":"post","link":"https:\/\/demo-website.delta-medlab.com\/blog\/%d8%a7%d9%84%d8%b1%d8%a8%d9%88-%d9%88%d8%a7%d9%84%d8%a7%d9%86%d8%b3%d8%af%d8%a7%d8%af-%d8%a7%d9%84%d8%b1%d8%a6%d9%88%d9%8a-%d8%a7%d9%84%d9%85%d8%b2%d9%85%d9%86\/","title":{"rendered":"\u0627\u0644\u0627\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629 \u062d\u0648\u0644 \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u200b"},"content":{"rendered":"<h2><b>\u0645\u0627 \u0627\u0644\u0641\u0631\u0642 \u0628\u064a\u0646 \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u200b \u061f<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u200b (COPD) \u0645\u0631\u0636\u0627\u0646 \u0631\u0626\u0648\u064a\u0627\u0646 \u0645\u0632\u0645\u0646\u0627\u0646 \u064a\u0633\u0628\u0628\u0627\u0646 \u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u0648\u0633\u0639\u0627\u0644 \u0648\u0635\u0641\u064a\u0631\u060c \u0644\u0643\u0646\u0647\u0645\u0627 \u064a\u062e\u062a\u0644\u0641\u0627\u0646 \u062c\u0630\u0631\u064a\u064b\u0627 \u0641\u064a \u0627\u0644\u0637\u0628\u064a\u0639\u0629 \u0648\u0627\u0644\u062a\u0637\u0648\u0631 \u062d\u064a\u062b \u064a\u064f\u0639\u062f \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u062a\u0647\u0627\u0628\u064b\u0627 \u062a\u062d\u0633\u0633\u064a\u064b\u0627 \u0645\u062a\u0643\u0631\u0631\u064b\u0627 \u0642\u0627\u0628\u0644\u064b\u0627 \u0644\u0644\u0633\u064a\u0637\u0631\u0629\u060c \u0628\u064a\u0646\u0645\u0627 COPD \u062a\u0644\u0641\u064b\u0627 \u062a\u0631\u0627\u0643\u0645\u064a\u064b\u0627 \u062f\u0627\u0626\u0645\u064b\u0627 \u0641\u064a \u0623\u0646\u0633\u062c\u0629 \u0627\u0644\u0631\u0626\u0629. \u064a\u062a\u0633\u0645 \u0627\u0644\u0631\u0628\u0648 \u0628\u0646\u0648\u0628\u0627\u062a \u0645\u0641\u0627\u062c\u0626\u0629 \u062a\u064f\u062d\u0641\u0632 \u0628\u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0623\u0648 \u0627\u0644\u0628\u0631\u062f \u0648\u062a\u062a\u062d\u0633\u0646 \u0633\u0631\u064a\u0639\u064b\u0627 \u0628\u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a\u060c \u0623\u0645\u0627 COPD \u0641\u064a\u062a\u0642\u062f\u0645 \u062a\u062f\u0631\u064a\u062c\u064a\u064b\u0627 \u0645\u0639 \u0633\u0639\u0627\u0644 \u0645\u0632\u0645\u0646 \u0648\u0628\u0644\u063a\u0645 \u064a\u0648\u0645\u064a \u0635\u0628\u0627\u062d\u064a\u060c \u0645\u0645\u0627 \u064a\u062c\u0639\u0644 \u0627\u0644\u062a\u0645\u064a\u064a\u0632 \u062d\u0627\u0633\u0645\u064b\u0627 \u0644\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0646\u0627\u0633\u0628 \u062e\u0627\u0635\u0629 \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0645\u0635\u0631 \u062d\u064a\u062b \u064a\u0631\u062a\u0628\u0637 COPD \u0628\u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0628\u0646\u0633\u0628\u0629 90%.<\/span><\/p>\n<p><b>\u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629 \u0644\u0643\u0644 \u0645\u0631\u0636:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648: \u0646\u0648\u0628\u0627\u062a \u0644\u064a\u0644\u064a\u0629\u060c \u0635\u0641\u064a\u0631 \u0639\u0627\u0644\u064a\u060c \u062a\u062d\u0633\u0646 \u0641\u0648\u0631\u064a \u0628\u0627\u0644\u0639\u0644\u0627\u062c.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD: \u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u0645\u0633\u062a\u0645\u0631 \u0645\u0639 \u0627\u0644\u0645\u062c\u0647\u0648\u062f\u060c \u0625\u0631\u0647\u0627\u0642\u060c \u0639\u062f\u0648\u0649 \u0645\u062a\u0643\u0631\u0631\u0629.<\/span><\/li>\n<\/ul>\n<h3><b>\u0647\u0644 \u0627\u0644\u0631\u0628\u0648 \u0645\u0631\u0636 \u0627\u0644\u062a\u0647\u0627\u0628\u064a \u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633 \u0628\u064a\u0646\u0645\u0627 COPD \u062a\u0644\u0641 \u062f\u0627\u0626\u0645 \u0641\u064a \u0627\u0644\u0631\u0626\u062a\u064a\u0646\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0646\u0639\u0645\u060c \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u062a\u0647\u0627\u0628 \u062a\u062d\u0633\u0633\u064a \u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633 \u0628\u0646\u0633\u0628\u0629 80-90% \u062d\u064a\u062b \u062a\u062a\u0636\u064a\u0642 \u0627\u0644\u0634\u0639\u0628 \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629 \u0645\u0624\u0642\u062a\u064b\u0627 \u0628\u0633\u0628\u0628 \u0625\u0641\u0631\u0627\u0632 \u0627\u0644\u0645\u062e\u0627\u0637 \u0648\u062a\u0646\u0642\u0628\u0636 \u0627\u0644\u0639\u0636\u0644\u0627\u062a\u060c \u062b\u0645 \u062a\u0639\u0648\u062f \u0644\u0648\u0638\u064a\u0641\u062a\u0647\u0627 \u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629 \u0628\u0639\u062f \u0627\u0644\u0628\u0631\u0648\u0646\u0643\u0648\u062f\u064a\u0644\u0627\u062a\u0648\u0631\u060c \u0628\u064a\u0646\u0645\u0627 COPD \u064a\u0633\u0628\u0628 \u062a\u0644\u0641\u064b\u0627 \u0647\u064a\u0643\u0644\u064a\u064b\u0627 \u062f\u0627\u0626\u0645\u064b\u0627 \u0641\u064a \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629 \u0648\u0641\u0642\u062f\u0627\u0646 \u0645\u0631\u0648\u0646\u062a\u0647\u0627 \u0645\u0645\u0627 \u064a\u062d\u062f \u0645\u0646 \u062a\u062f\u0641\u0642 \u0627\u0644\u0647\u0648\u0627\u0621 \u0625\u0644\u0649 \u0627\u0644\u0623\u0628\u062f. \u0647\u0630\u0627 \u0627\u0644\u0641\u0631\u0642 \u064a\u0638\u0647\u0631 \u0641\u064a \u0627\u062e\u062a\u0628\u0627\u0631 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629 (Spirometry) \u062d\u064a\u062b \u064a\u062a\u062d\u0633\u0646 FEV1 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u0628\u0646\u0633\u0628\u0629 \u0643\u0628\u064a\u0631\u0629\u060c \u0628\u064a\u0646\u0645\u0627 \u064a\u0628\u0642\u0649 \u0645\u0646\u062e\u0641\u0636\u064b\u0627 \u0641\u064a COPD \u062d\u062a\u0649 \u0645\u0639 \u0627\u0644\u0623\u0643\u0633\u062c\u064a\u0646.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u062c\u0627\u0646\u0628<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648 (\u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">COPD (\u062a\u0644\u0641 \u062f\u0627\u0626\u0645)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0622\u0644\u064a\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0647\u0627\u0628 \u0639\u0636\u0644\u064a \u0645\u0624\u0642\u062a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u062f\u0645\u064a\u0631 \u062d\u0648\u064a\u0635\u0644\u0627\u062a + \u0646\u062f\u0628\u0627\u062a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u062a\u062d\u0633\u0646 \u0628\u0627\u0644\u0639\u0644\u0627\u062c<\/span><\/td>\n<td><span style=\"font-weight: 400;\">80-90% \u0633\u0631\u064a\u0639<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20-30% \u0645\u062d\u062f\u0648\u062f<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0645\u0633\u0627\u0631 \u0627\u0644\u0645\u0631\u0636<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u0633\u062a\u0642\u0631 \u0645\u0639 \u0627\u0644\u0633\u064a\u0637\u0631\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u062f\u0647\u0648\u0631 \u062a\u062f\u0631\u064a\u062c\u064a \u0633\u0646\u0648\u064a\u064b\u0627<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u0641\u064a \u0627\u0644\u0645\u0645\u0627\u0631\u0633\u0629\u060c \u064a\u064f\u0634\u062e\u0635 ACOS (\u0627\u0644\u0631\u0628\u0648-COPD Overlap) \u0639\u0646\u062f \u062a\u062f\u0627\u062e\u0644 \u0627\u0644\u0627\u062b\u0646\u064a\u0646\u060c \u062e\u0627\u0635\u0629 \u0639\u0646\u062f \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u0627\u0644\u0631\u0628\u0648\u064a\u064a\u0646.<\/span><\/p>\n<p><b>\u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u062a\u0645\u064a\u064a\u0632 \u0627\u0644\u0633\u0631\u064a\u0631\u064a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u062e\u062a\u0628\u0627\u0631 \u0627\u0644\u0628\u0631\u0648\u0646\u0643\u0648\u062f\u064a\u0644\u0627\u062a\u0648\u0631: \u0625\u064a\u062c\u0627\u0628\u064a \u0628\u0642\u0648\u0629 \u0641\u064a \u0627\u0644\u0631\u0628\u0648.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u062a\u0639\u0631\u0636: \u062d\u0633\u0627\u0633\u064a\u0629 \u0641\u064a \u0627\u0644\u0631\u0628\u0648\u060c \u062a\u062f\u062e\u064a\u0646 \u0641\u064a COPD.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0635\u0648\u0631 \u0627\u0644\u0635\u062f\u0631: \u0637\u0628\u064a\u0639\u064a\u0629 \u0641\u064a \u0627\u0644\u0631\u0628\u0648\u060c \u0627\u0646\u062a\u0641\u0627\u062e \u0641\u064a COPD.<\/span><\/li>\n<\/ul>\n<h3><b>\u0644\u0645\u0627\u0630\u0627 \u064a\u0628\u062f\u0623 \u0627\u0644\u0631\u0628\u0648 \u0639\u0627\u062f\u0629 \u0641\u064a \u0627\u0644\u0637\u0641\u0648\u0644\u0629 \u0648\u0627\u0644\u0640COPD \u0641\u064a \u0633\u0646 \u0627\u0644\u0645\u062a\u0648\u0633\u0637\u0629 \u0623\u0648 \u0627\u0644\u0643\u0628\u0631\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u064a\u0628\u062f\u0623 \u0627\u0644\u0631\u0628\u0648 \u0641\u064a 80% \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0642\u0628\u0644 \u0633\u0646 6 \u0633\u0646\u0648\u0627\u062a \u0628\u0633\u0628\u0628 \u0627\u0644\u0627\u0633\u062a\u0639\u062f\u0627\u062f \u0627\u0644\u0648\u0631\u0627\u062b\u064a \u0648\u0627\u0644\u062a\u0639\u0631\u0636 \u0627\u0644\u0645\u0628\u0643\u0631 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 (\u063a\u0628\u0627\u0631\u060c \u0642\u0637\u0637\u060c \u062d\u0628\u0648\u0628 \u0644\u0642\u0627\u062d) \u0645\u0645\u0627 \u064a\u064f\u062d\u0633\u0633 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0645\u0646\u0627\u0639\u064a\u060c \u0628\u064a\u0646\u0645\u0627 \u064a\u0638\u0647\u0631 COPD \u0628\u0639\u062f 40-50 \u0639\u0627\u0645\u064b\u0627 \u0646\u062a\u064a\u062c\u0629 \u062a\u0631\u0627\u0643\u0645 \u0627\u0644\u0636\u0631\u0631 \u0627\u0644\u0628\u0637\u064a\u0621 \u0645\u0646 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 (20 \u0633\u0646\u0629+) \u0623\u0648 \u062a\u0644\u0648\u062b \u0627\u0644\u062c\u0632\u0631 \u0627\u0644\u0635\u0646\u0627\u0639\u064a \u0627\u0644\u0630\u064a \u064a\u064f\u062f\u0645\u0631 \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u062a\u062f\u0631\u064a\u062c\u064a\u064b\u0627. \u0647\u0630\u0627 \u0627\u0644\u062a\u0648\u0642\u064a\u062a \u064a\u0639\u0643\u0633 \u0637\u0628\u064a\u0639\u0629 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0645\u0646\u0627\u0639\u064a\u0629 \u0627\u0644\u0633\u0631\u064a\u0639\u0629 \u0645\u0642\u0627\u0628\u0644 \u0627\u0644\u062a\u0631\u0627\u0643\u0645\u064a \u0627\u0644\u0628\u0637\u064a\u0621 \u0644\u0640COPD\u060c \u0645\u0639 \u0627\u0631\u062a\u0641\u0627\u0639 \u0645\u0639\u062f\u0644\u0627\u062a COPD \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0628\u0646\u0633\u0628\u0629 15% \u0628\u064a\u0646 \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u0641\u0648\u0642 45.<\/span><\/p>\n<p><b>\u0645\u0642\u0627\u0631\u0646\u0629 \u0627\u0644\u062a\u0648\u0642\u064a\u062a \u0648\u0627\u0644\u0645\u062d\u0641\u0632\u0627\u062a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648: \u0637\u0641\u0648\u0644\u0629\u060c \u062d\u0633\u0627\u0633\u064a\u0629 + \u0628\u0631\u062f.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD: \u0645\u062a\u0648\u0633\u0637\u0629 \u0627\u0644\u0639\u0645\u0631\u060c \u062a\u062f\u062e\u064a\u0646 + \u062a\u0644\u0648\u062b.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0639\u0645\u0631 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648<\/span><\/td>\n<td><span style=\"font-weight: 400;\">COPD<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0628\u062f\u0627\u064a\u0629 \u0627\u0644\u0623\u0639\u0631\u0627\u0636<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;6 \u0633\u0646\u0648\u0627\u062a (80%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&gt;40 \u0633\u0646\u0629 (90%)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u062d\u0641\u0632 \u0627\u0644\u0631\u0626\u064a\u0633\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0648\u0631\u0627\u062b\u0629 + \u062d\u0633\u0627\u0633\u064a\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u062f\u062e\u064a\u0646 20+ \u0633\u0646\u0629<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0627\u0646\u062a\u0634\u0627\u0631 \u0627\u0644\u0645\u062d\u0644\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10% \u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">14% \u0643\u0628\u0627\u0631 \u0645\u0635\u0631<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0643\u0634\u0641 \u0627\u0644\u0645\u0628\u0643\u0631 \u0628\u0627\u0644\u0640Spirometry \u0633\u0646\u0648\u064a\u064b\u0627 \u0645\u0646 \u0633\u0646 40 \u0644\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u064a\u0645\u0646\u0639 \u062a\u0641\u0627\u0642\u0645 COPD\u060c \u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u0633\u064a\u0637\u0631\u0629 \u0639\u0644\u0649 \u0627\u0644\u0631\u0628\u0648 \u062a\u0645\u0646\u0639 \u0627\u0646\u062a\u0647\u0627\u0643\u0647 \u0625\u0644\u0649 COPD.<\/span><\/p>\n<h2><b>\u0645\u0627 \u0623\u0633\u0628\u0627\u0628 \u0648\u0645\u062d\u0641\u0632\u0627\u062a \u0643\u0644 \u0645\u0631\u0636\u061f<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0631\u0628\u0648 \u062a\u0631\u062a\u0628\u0637 \u0628\u0627\u0644\u0627\u0633\u062a\u0639\u062f\u0627\u062f \u0627\u0644\u0648\u0631\u0627\u062b\u064a \u0648\u0627\u0644\u0645\u0646\u0627\u0639\u064a \u062d\u064a\u062b \u064a\u0647\u0627\u062c\u0645 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0645\u0646\u0627\u0639\u064a \u0645\u0648\u0627\u062f \u063a\u064a\u0631 \u0636\u0627\u0631\u0629 \u0645\u0633\u0628\u0628\u064b\u0627 \u0627\u0644\u062a\u0647\u0627\u0628\u064b\u0627 \u0641\u064a \u0627\u0644\u0634\u0639\u0628 \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629\u060c \u0628\u064a\u0646\u0645\u0627 \u064a\u0646\u062c\u0645 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 (COPD) \u0645\u0646 \u062a\u0644\u0641 \u062a\u0631\u0627\u0643\u0645\u064a \u0641\u064a \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629 \u063a\u0627\u0644\u0628\u064b\u0627 \u0628\u0633\u0628\u0628 \u0627\u0644\u0633\u0645\u0648\u0645 \u0627\u0644\u062e\u0627\u0631\u062c\u064a\u0629 \u0645\u062b\u0644 \u0627\u0644\u062f\u062e\u0627\u0646. \u0645\u062d\u0641\u0632\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u0633\u0631\u064a\u0639\u0629 \u0648\u0645\u062a\u063a\u064a\u0631\u0629 \u0643\u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0623\u0648 \u0627\u0644\u0628\u0631\u062f\u060c \u0623\u0645\u0627 COPD \u0641\u0645\u062d\u0641\u0632\u0627\u062a\u0647 \u0628\u0637\u064a\u0626\u0629 \u062a\u0631\u0627\u0643\u0645\u064a\u0629 \u0643\u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0627\u0644\u064a\u0648\u0645\u064a\u060c \u0645\u0645\u0627 \u064a\u062c\u0639\u0644 \u0627\u0644\u0631\u0628\u0648 \u0642\u0627\u0628\u0644\u0627\u064b \u0644\u0644\u0633\u064a\u0637\u0631\u0629 \u0628\u064a\u0646\u0645\u0627 COPD \u063a\u064a\u0631 \u0642\u0627\u0628\u0644 \u0644\u0644\u0634\u0641\u0627\u0621 \u0627\u0644\u0643\u0627\u0645\u0644. \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0645\u0635\u0631\u060c \u064a\u0631\u062a\u0641\u0639 COPD \u0628\u0646\u0633\u0628\u0629 15% \u0628\u064a\u0646 \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u0628\u0633\u0628\u0628 \u0627\u0644\u062a\u0644\u0648\u062b \u0627\u0644\u062d\u0636\u0631\u064a \u0648\u0627\u0644\u0639\u0627\u062f\u0627\u062a \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u064a\u0629.<\/span><\/p>\n<p><b>\u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629 \u0644\u0643\u0644 \u0645\u0631\u0636:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648: \u062c\u064a\u0646\u0627\u062a + \u0628\u064a\u0626\u0629 \u062d\u0633\u0627\u0633\u064a\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD: \u062a\u062f\u062e\u064a\u0646 (85-90%) + \u0645\u0647\u0646\u064a (10%).<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u0627 \u062f\u0648\u0631 \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u060c \u0627\u0644\u063a\u0628\u0627\u0631\u060c \u0648\u0627\u0644\u0639\u062f\u0648\u0649 \u0641\u064a \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0631\u0628\u0648\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u062a\u0644\u0639\u0628 \u062f\u0648\u0631\u064b\u0627 \u0631\u0626\u064a\u0633\u064a\u064b\u0627 \u0641\u064a 80% \u0645\u0646 \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u062d\u064a\u062b \u062a\u064f\u0641\u0631\u0632 IgE \u0623\u062c\u0633\u0627\u0645\u064b\u0627 \u0645\u0646\u0627\u0639\u064a\u0629 \u062a\u064f\u062d\u0641\u0632 \u0625\u0641\u0631\u0627\u0632 \u0627\u0644\u0647\u064a\u0633\u062a\u0627\u0645\u064a\u0646 \u0645\u0645\u0627 \u064a\u0636\u064a\u0642 \u0627\u0644\u0634\u0639\u0628 \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629\u060c \u0643\u0645\u0627 \u0641\u064a \u062a\u0639\u0631\u0636 \u0627\u0644\u063a\u0628\u0627\u0631 (\u0639\u062b \u0627\u0644\u063a\u0628\u0627\u0631) \u0623\u0648 \u062d\u0628\u0648\u0628 \u0627\u0644\u0644\u0642\u0627\u062d \u0627\u0644\u0630\u064a \u064a\u0632\u064a\u062f \u0627\u0644\u0646\u0648\u0628\u0627\u062a \u0628\u0646\u0633\u0628\u0629 50% \u0641\u064a \u0645\u0648\u0633\u0645 \u0627\u0644\u0631\u0628\u064a\u0639. \u0627\u0644\u0639\u062f\u0648\u0649 \u0627\u0644\u0641\u064a\u0631\u0648\u0633\u064a\u0629 \u0645\u062b\u0644 \u0627\u0644\u0632\u0643\u0627\u0645 \u062a\u064f\u0641\u0627\u0642\u0645 \u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0628\u0646\u0633\u0628\u0629 70% \u062e\u0627\u0635\u0629 \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644\u060c \u0645\u0645\u0627 \u064a\u062c\u0639\u0644 \u062a\u062c\u0646\u0628 \u0647\u0630\u0647 \u0627\u0644\u0645\u062d\u0641\u0632\u0627\u062a \u0623\u0633\u0627\u0633 \u0627\u0644\u0633\u064a\u0637\u0631\u0629 \u0628\u0627\u0644\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0645\u0646\u0632\u0644\u064a \u0648\u0627\u0644\u0644\u0642\u0627\u062d\u0627\u062a \u0627\u0644\u0633\u0646\u0648\u064a\u0629.<\/span><\/p>\n<p><b>\u0645\u062d\u0641\u0632\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0634\u0627\u0626\u0639\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062d\u0633\u0627\u0633\u064a\u0629: \u0642\u0637\u0637\u060c \u0639\u0633\u0644\u060c \u063a\u0630\u0627\u0621 \u0628\u062d\u0631\u064a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u063a\u0628\u0627\u0631: \u0633\u062c\u0627\u062f\u060c \u0645\u062e\u062f\u0627\u062a \u063a\u064a\u0631 \u0645\u0639\u0642\u0645\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0639\u062f\u0648\u0649: \u0625\u0646\u0641\u0644\u0648\u0646\u0632\u0627\u060c \u0631\u064a\u062d\u0648\u0643\u0633.<\/span><\/li>\n<\/ul>\n<h3><b>\u0644\u0645\u0627\u0630\u0627 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0648\u0627\u0644\u062a\u0644\u0648\u062b \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0631\u0626\u064a\u0633\u064a \u0644\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0645\u0633\u0624\u0648\u0644 \u0639\u0646 85-90% \u0645\u0646 \u062d\u0627\u0644\u0627\u062a COPD \u062d\u064a\u062b \u064a\u062d\u062a\u0648\u064a \u062f\u062e\u0627\u0646 \u0627\u0644\u0633\u062c\u0627\u0626\u0631 \u0639\u0644\u0649 7000 \u0645\u0627\u062f\u0629 \u0643\u064a\u0645\u064a\u0627\u0626\u064a\u0629 \u062a\u064f\u062f\u0645\u0631 \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629 \u0648\u062a\u064f\u0633\u0628\u0628 \u0627\u0644\u062a\u0647\u0627\u0628\u064b\u0627 \u0645\u0632\u0645\u0646\u064b\u0627 \u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u0627\u0646\u062a\u0641\u0627\u062e \u0631\u0626\u0648\u064a \u0648\u0625\u0645\u0631\u0627\u0636\u0629 \u0627\u0644\u0634\u0639\u0628\u060c \u0645\u0639 \u062a\u0631\u0627\u0643\u0645 \u0627\u0644\u0636\u0631\u0631 \u0628\u0639\u062f 20 \u0639\u0627\u0645\u064b\u0627. \u0627\u0644\u062a\u0644\u0648\u062b \u0627\u0644\u0647\u0648\u0627\u0626\u064a (PM2.5 \u0645\u0646 \u0627\u0644\u0633\u064a\u0627\u0631\u0627\u062a \u0648\u0627\u0644\u0645\u0635\u0627\u0646\u0639) \u064a\u0632\u064a\u062f \u0627\u0644\u062e\u0637\u0631 \u0628\u0646\u0633\u0628\u0629 30% \u0641\u064a \u0627\u0644\u0645\u062f\u0646 \u0627\u0644\u0643\u0628\u0631\u0649 \u0643\u0627\u0644\u0631\u064a\u0627\u0636 \u0648\u0627\u0644\u0642\u0627\u0647\u0631\u0629\u060c \u0645\u0645\u0627 \u064a\u064f\u0647\u064a\u062c \u0627\u0644\u0631\u0626\u062a\u064a\u0646 \u0648\u064a\u064f\u0633\u0631\u0639 \u0641\u0642\u062f\u0627\u0646 FEV1 \u0628\u0646\u0633\u0628\u0629 50 \u0645\u0644\/\u0633\u0646\u0629\u060c \u0645\u0642\u0627\u0631\u0646\u0629 20 \u0645\u0644 \u0644\u062f\u0649 \u063a\u064a\u0631 \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u062d\u0641\u0632<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0646\u0633\u0628\u0629 \u0627\u0644\u0633\u0628\u0628\u064a\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0623\u062b\u064a\u0631 \u0639\u0644\u0649 \u0627\u0644\u0631\u0626\u0629<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u062a\u062f\u062e\u064a\u0646 \u0633\u062c\u0627\u0626\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">85-90%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u062f\u0645\u064a\u0631 \u062d\u0648\u064a\u0635\u0644\u0627\u062a\u060c \u0646\u062f\u0628\u0627\u062a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u062a\u0644\u0648\u062b \u0647\u0648\u0627\u0626\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10-15%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0647\u0627\u0628 \u0645\u0632\u0645\u0646\u060c \u0633\u0639\u0627\u0644 \u0628\u0644\u063a\u0645<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u062f\u062e\u0627\u0646 \u0648\u0642\u0648\u062f<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5% (\u0645\u0647\u0646\u064a)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0625\u0645\u0631\u0627\u0636\u0629 \u0634\u0639\u0628 \u0647\u0648\u0627\u0626\u064a\u0629<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>\u0646\u0635\u0627\u0626\u062d \u0648\u0642\u0627\u0626\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0625\u0642\u0644\u0627\u0639 \u0641\u0648\u0631\u064a \u0639\u0646 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0628\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0643\u0645\u0627\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u0645\u0646\u0627\u0637\u0642 \u0627\u0644\u0645\u0644\u0648\u062b\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0647\u0648\u064a\u0629 \u0627\u0644\u0645\u0646\u0632\u0644 \u064a\u0648\u0645\u064a\u064b\u0627.<\/span><\/li>\n<\/ul>\n<h3><b>\u0647\u0644 \u064a\u0645\u0643\u0646 \u0623\u0646 \u064a\u0635\u0627\u0628 \u0627\u0644\u0634\u062e\u0635 \u0628\u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0640COPD \u0645\u0639\u0627\u064b (ACOS)\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0646\u0639\u0645\u060c \u064a\u064f\u0639\u0631\u0641 \u062a\u062f\u0627\u062e\u0644 \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0640COPD \u0628\u0640ACOS \u0648\u064a\u0635\u064a\u0628 15-25% \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0631\u0626\u0648\u064a\u064a\u0646\u060c \u062e\u0627\u0635\u0629 \u0627\u0644\u0631\u0628\u0648\u064a\u064a\u0646 \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u0641\u0648\u0642 40 \u062d\u064a\u062b \u064a\u062c\u0645\u0639 \u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633 \u0645\u0639 \u0627\u0644\u062a\u0644\u0641 \u0627\u0644\u062f\u0627\u0626\u0645 \u0645\u0645\u0627 \u064a\u064f\u0641\u0627\u0642\u0645 \u0627\u0644\u0646\u0648\u0628\u0627\u062a \u0648\u0627\u0644\u062a\u062f\u0647\u0648\u0631. \u064a\u064f\u0634\u062e\u0635 \u0628\u0640Spirometry \u0625\u064a\u062c\u0627\u0628\u064a \u0644\u0644\u0628\u0631\u0648\u0646\u0643\u0648\u062f\u064a\u0644\u0627\u062a\u0648\u0631 \u0645\u0639 \u062a\u0627\u0631\u064a\u062e \u062a\u062f\u062e\u064a\u0646\u060c \u0648\u064a\u064f\u0639\u0627\u0644\u062c \u0628\u0645\u0632\u064a\u062c \u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0637\u0648\u064a\u0644 \u0627\u0644\u0645\u0641\u0639\u0648\u0644 \u0645\u0639 \u0625\u064a\u0642\u0627\u0641 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0644\u062a\u062d\u0633\u064a\u0646 50% \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a. \u0641\u064a \u0627\u0644\u0634\u0631\u0642 \u0627\u0644\u0623\u0648\u0633\u0637\u060c \u064a\u0631\u062a\u0641\u0639 ACOS \u0628\u0646\u0633\u0628\u0629 20% \u0628\u0633\u0628\u0628 \u0627\u0646\u062a\u0634\u0627\u0631 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0628\u064a\u0646 \u0627\u0644\u0634\u0628\u0627\u0628 \u0627\u0644\u0631\u0628\u0648\u064a\u064a\u0646.<\/span><\/p>\n<p><b>\u062e\u0635\u0627\u0626\u0635 ACOS:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0623\u0639\u0631\u0627\u0636 \u0645\u062e\u062a\u0644\u0637\u0629: \u0646\u0648\u0628\u0627\u062a + \u0633\u0639\u0627\u0644 \u0645\u0632\u0645\u0646.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0639\u0644\u0627\u062c: \u0625\u0646\u0647\u0627\u0621 + LABAs + \u0645\u064f\u0631\u064e\u062e\u0650\u0651\u064a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0648\u0642\u0639: \u0623\u0633\u0648\u0623 \u0645\u0646 \u0643\u0644 \u0639\u0644\u0649 \u062d\u062f\u0629 \u0625\u0646 \u0644\u0645 \u064a\u064f\u0633\u064a\u0637\u0631.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0627\u0644\u0645\u0634\u062a\u0631\u0643\u0629 \u062a\u0628\u062f\u0623 \u0628\u0641\u062d\u0635 \u0631\u0626\u0648\u064a \u0633\u0646\u0648\u064a \u0648\u062a\u062c\u0646\u0628 \u0627\u0644\u062f\u062e\u0627\u0646 \u0644\u0645\u0646\u0639 \u0627\u0644\u062a\u062f\u0627\u062e\u0644.<\/span><\/p>\n<h2><b>\u0645\u0627 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0634\u0627\u0626\u0639\u0629 \u0644\u0643\u0644 \u062d\u0627\u0644\u0629\u061f<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0631\u0628\u0648 \u062a\u0638\u0647\u0631 \u0643\u0646\u0648\u0628\u0627\u062a \u0645\u062a\u0642\u0637\u0639\u0629 \u062a\u0634\u0645\u0644 \u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u0645\u0641\u0627\u062c\u0626\u060c \u0635\u0641\u064a\u0631 \u0639\u0627\u0644\u064a \u0627\u0644\u0635\u0648\u062a\u060c \u0648\u0633\u0639\u0627\u0644 \u062c\u0627\u0641 \u0644\u064a\u0644\u064a \u064a\u0632\u062f\u0627\u062f \u0645\u0639 \u0627\u0644\u062c\u0647\u062f \u0623\u0648 \u0627\u0644\u0628\u0631\u062f\u060c \u0628\u064a\u0646\u0645\u0627 \u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 (COPD) \u0645\u0633\u062a\u0645\u0631\u0629 \u064a\u0648\u0645\u064a\u0629 \u0643\u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u062a\u062f\u0631\u064a\u062c\u064a \u0645\u0639 \u0627\u0644\u0645\u0634\u064a\u060c \u0633\u0639\u0627\u0644 \u0635\u0628\u0627\u062d\u064a \u0645\u0635\u062d\u0648\u0628 \u0628\u0628\u0644\u063a\u0645 \u0623\u0628\u064a\u0636 \u0623\u0648 \u0623\u0635\u0641\u0631\u060c \u0648\u0625\u0631\u0647\u0627\u0642 \u0645\u0633\u062a\u0645\u0631 \u062d\u062a\u0649 \u0641\u064a \u0627\u0644\u0631\u0627\u062d\u0629. \u0627\u0644\u0631\u0628\u0648 \u064a\u062a\u062d\u0633\u0646 \u0633\u0631\u064a\u0639\u064b\u0627 \u0628\u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0628\u064a\u0646\u0645\u0627 COPD \u064a\u062a\u0641\u0627\u0642\u0645 \u0645\u0639 \u0627\u0644\u0648\u0642\u062a\u060c \u0645\u0645\u0627 \u064a\u062c\u0639\u0644 \u0627\u0644\u062a\u0645\u064a\u064a\u0632 \u0623\u0645\u0631\u064b\u0627 \u062d\u064a\u0648\u064a\u064b\u0627 \u062e\u0627\u0635\u0629 \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u062d\u064a\u062b \u064a\u0634\u0628\u0647 \u0627\u0644\u0627\u062b\u0646\u0627\u0646 \u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u062a\u0644\u0648\u062b \u0627\u0644\u062d\u0636\u0631\u064a.<\/span><\/p>\n<p><b>\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0634\u0627\u0626\u0639\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0646\u0648\u0628\u0627\u062a \u0635\u0641\u064a\u0631 \u0648\u0623\u0632\u064a\u0632 \u0644\u064a\u0644\u064a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0636\u064a\u0642 \u0635\u062f\u0631 \u0645\u0641\u0627\u062c\u0626 \u0645\u0639 \u0633\u0639\u0627\u0644 \u062c\u0627\u0641.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0635\u0639\u0648\u0628\u0629 \u062a\u0646\u0641\u0633 \u0628\u0639\u062f \u0627\u0644\u0631\u064a\u0627\u0636\u0629 \u0623\u0648 \u0627\u0644\u0636\u062d\u0643.<\/span><\/li>\n<\/ul>\n<p><b>\u0623\u0639\u0631\u0627\u0636 COPD \u0627\u0644\u0634\u0627\u0626\u0639\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0633\u0639\u0627\u0644 \u064a\u0648\u0645\u064a \u0628\u0628\u0644\u063a\u0645 \u0643\u062b\u064a\u0641.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u064a\u0632\u062f\u0627\u062f \u0645\u0639 \u0627\u0644\u062f\u0631\u062c.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0639\u062f\u0648\u0649 \u0631\u0626\u0648\u064a\u0629 \u0645\u062a\u0643\u0631\u0631\u0629 \u0648\u062a\u0639\u0628.<\/span><\/li>\n<\/ul>\n<h3><b>\u0643\u064a\u0641 \u064a\u062e\u062a\u0644\u0641 \u0633\u0639\u0627\u0644 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u062c\u0627\u0641 \u0645\u0646 \u0633\u0639\u0627\u0644 COPD \u0627\u0644\u0645\u0635\u062d\u0648\u0628 \u0628\u0628\u0644\u063a\u0645\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0633\u0639\u0627\u0644 \u0627\u0644\u0631\u0628\u0648 \u062c\u0627\u0641 \u0645\u062a\u0642\u0637\u0639 \u064a\u062d\u062f\u062b \u0644\u064a\u0644\u064b\u0627 \u0623\u0648 \u0628\u0639\u062f \u0645\u062d\u0641\u0632\u0627\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0643\u0627\u0644\u063a\u0628\u0627\u0631\u060c \u0646\u0627\u062a\u062c \u0639\u0646 \u0627\u0646\u0642\u0628\u0627\u0636 \u0639\u0636\u0644\u064a \u0645\u0624\u0642\u062a \u062f\u0648\u0646 \u0625\u0646\u062a\u0627\u062c \u0628\u0644\u063a\u0645 \u0643\u062b\u064a\u0631\u060c \u0628\u064a\u0646\u0645\u0627 \u0633\u0639\u0627\u0644 COPD \u0645\u0646\u062a\u062c \u0635\u0628\u0627\u062d\u064a \u064a\u0648\u0645\u064a \u0645\u0635\u062d\u0648\u0628 \u0628\u0643\u0645\u064a\u0627\u062a \u0628\u0644\u063a\u0645 \u0635\u0641\u0631\u0627\u0621 \u0623\u0648 \u062e\u0636\u0631\u0627\u0621 \u0628\u0633\u0628\u0628 \u062a\u0644\u0641 \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u0648\u0627\u0644\u0625\u0641\u0631\u0627\u0632\u0627\u062a \u0627\u0644\u0645\u0632\u0645\u0646\u0629. \u0647\u0630\u0627 \u0627\u0644\u0641\u0631\u0642 \u064a\u0633\u0627\u0639\u062f \u0641\u064a \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0641\u0648\u0631\u064a\u060c \u0625\u0630 \u064a\u062d\u062a\u0627\u062c \u0633\u0639\u0627\u0644 \u0627\u0644\u0631\u0628\u0648 \u0628\u062e\u0627\u062e \u0633\u0644\u0641\u0648\u062a\u0627\u0645\u0648\u0644 \u0628\u064a\u0646\u0645\u0627 COPD \u064a\u062a\u0637\u0644\u0628 \u0625\u0630\u0627\u0628\u0629 \u0628\u0644\u063a\u0645 \u0628\u0645\u0627\u0621 \u0648\u0623\u0643\u0633\u062c\u064a\u0646.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0646\u0648\u0639<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0633\u0639\u0627\u0644 \u0627\u0644\u0631\u0628\u0648<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0633\u0639\u0627\u0644 COPD<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0637\u0628\u064a\u0639\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062c\u0627\u0641\u060c \u0645\u062a\u0642\u0637\u0639\u060c \u0644\u064a\u0644\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u0646\u062a\u062c\u060c \u064a\u0648\u0645\u064a\u060c \u0635\u0628\u0627\u062d\u064a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0633\u0628\u0628<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0647\u0627\u0628 \u062a\u062d\u0633\u0633\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u0644\u0641 \u062d\u0648\u064a\u0635\u0644\u0627\u062a + \u0625\u0641\u0631\u0627\u0632\u0627\u062a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0623\u0648\u0644\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0628\u062e\u0627\u062e \u0633\u0631\u064a\u0639<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0633\u0648\u0627\u0626\u0644 + \u0645\u0636\u0627\u062f\u0627\u062a \u062d\u064a\u0648\u064a\u0629<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0633\u0639\u0627\u0644 \u0627\u0644\u062c\u0627\u0641 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u064a\u0647\u062f\u0623 \u0641\u064a \u062f\u0642\u0627\u0626\u0642\u060c \u0628\u064a\u0646\u0645\u0627 COPD \u064a\u0633\u062a\u0645\u0631 \u0633\u0627\u0639\u0627\u062a.<\/span><\/p>\n<h3><b>\u0645\u0627 \u0647\u064a \u0639\u0644\u0627\u0645\u0627\u062a \u0636\u064a\u0642 \u0627\u0644\u062a\u0646\u0641\u0633 \u0627\u0644\u0645\u062a\u0641\u0627\u0642\u0645 \u0623\u0648 \u0627\u0644\u0623\u0632\u064a\u0632 \u0641\u064a \u0627\u0644\u0646\u0647\u0627\u0631\/\u0627\u0644\u0644\u064a\u0644\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0636\u064a\u0642 \u0627\u0644\u062a\u0646\u0641\u0633 \u0627\u0644\u0645\u062a\u0641\u0627\u0642\u0645 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u064a\u0638\u0647\u0631 \u0646\u0647\u0627\u0631\u064b\u0627 \u0628\u0639\u062f \u0627\u0644\u062c\u0647\u062f \u0623\u0648 \u0627\u0644\u063a\u0628\u0627\u0631 \u0643\u0634\u0639\u0648\u0631 \u0628\u0627\u0644\u0627\u0643\u062a\u0641\u0627\u0621 \u0645\u0639 \u0623\u0632\u064a\u0632 \u0639\u0627\u0644\u064a\u060c \u0648\u0644\u064a\u0644\u064b\u0627 \u064a\u0632\u062f\u0627\u062f \u0645\u0639 \u0627\u0644\u0633\u0639\u0627\u0644 \u0627\u0644\u062c\u0627\u0641 \u0648\u0627\u0633\u062a\u064a\u0642\u0627\u0638 \u0645\u062a\u0643\u0631\u0631\u060c \u0628\u064a\u0646\u0645\u0627 \u0641\u064a COPD \u064a\u0643\u0648\u0646 \u0646\u0647\u0627\u0631\u064a\u064b\u0627 \u0645\u0633\u062a\u0645\u0631\u064b\u0627 \u0645\u0639 \u0627\u0644\u0645\u0634\u064a \u0642\u0635\u064a\u0631 \u0648\u0623\u0632\u064a\u0632 \u062e\u0627\u0641\u062a\u060c \u0648\u0644\u064a\u0644\u064b\u0627 \u0645\u0635\u062d\u0648\u0628\u064b\u0627 \u0628\u0628\u0644\u063a\u0645 \u064a\u0635\u0639\u0628 \u0625\u062e\u0631\u0627\u062c\u0647. \u0639\u0644\u0627\u0645\u0627\u062a \u0627\u0644\u0646\u0647\u0627\u0631: \u0633\u0631\u0639\u0629 \u062a\u0646\u0641\u0633 \u0641\u0648\u0642 25\u060c \u0623\u0632\u064a\u0632 \u0645\u0631\u0626\u064a\u061b \u0627\u0644\u0644\u064a\u0644: \u0623\u0631\u0642 + \u0623\u0644\u0645 \u0635\u062f\u0631. \u062a\u062a\u0641\u0627\u0642\u0645 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u0628\u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0644\u0640COPD \u0628\u0627\u0644\u0628\u0631\u062f.<\/span><\/p>\n<p><b>\u0639\u0644\u0627\u0645\u0627\u062a \u0627\u0644\u062a\u0641\u0627\u0642\u0645 \u0627\u0644\u0646\u0647\u0627\u0631\u064a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0623\u0632\u064a\u0632 + \u0635\u0639\u0648\u0628\u0629 \u0643\u0644\u0627\u0645 \u0643\u0627\u0645\u0644\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0631\u0642\u0628\u0629 \u0644\u0644\u062a\u0646\u0641\u0633.<\/span><\/li>\n<\/ul>\n<p><b>\u0639\u0644\u0627\u0645\u0627\u062a \u0627\u0644\u062a\u0641\u0627\u0642\u0645 \u0627\u0644\u0644\u064a\u0644\u064a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0633\u0639\u0627\u0644 \u064a\u0648\u0642\u0638 3+ \u0645\u0631\u0627\u062a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0623\u0646\u0641\u0627\u0633 \u0633\u0637\u062d\u064a\u0629 \u0633\u0631\u064a\u0639\u0629.<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u062a\u0649 \u062a\u0643\u0648\u0646 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u062e\u0637\u064a\u0631\u0629 \u062a\u0633\u062a\u062f\u0639\u064a \u0627\u0644\u0637\u0648\u0627\u0631\u0626 (\u0632\u0631\u0642\u0629 \u0627\u0644\u0634\u0641\u0627\u0647\u060c \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u0643\u0644\u0627\u0645)\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u062e\u0637\u064a\u0631\u0629 \u0648\u062a\u0633\u062a\u062f\u0639\u064a \u0627\u0644\u0637\u0648\u0627\u0631\u0626 \u0639\u0646\u062f \u0632\u0631\u0642\u0629 \u0627\u0644\u0634\u0641\u0627\u0647 \u0623\u0648 \u0627\u0644\u0623\u0638\u0627\u0641\u0631 (\u0633\u0643\u064a\u0627\u0646\u0648\u0632) \u0645\u0634\u064a\u0631\u0629 \u0644\u0646\u0642\u0635 \u0623\u0643\u0633\u062c\u064a\u0646 \u062f\u0648\u0646 90%\u060c \u0635\u0639\u0648\u0628\u0629 \u0643\u0644\u0627\u0645 \u0643\u0644\u0645\u0627\u062a \u0642\u0635\u064a\u0631\u0629 \u0641\u0642\u0637\u060c \u0623\u0648 \u062a\u0646\u0641\u0633 \u0623\u0633\u0631\u0639 \u0645\u0646 30 \u062f\u0642\u064a\u0642\u0629 \u0645\u0639 \u062a\u0639\u0631\u0642 \u0628\u0627\u0631\u062f. \u0641\u064a \u0627\u0644\u0631\u0628\u0648\u060c \u0625\u0630\u0627 \u0644\u0645 \u064a\u062a\u062d\u0633\u0646 \u0628\u0627\u0644\u0628\u062e\u0627\u062e \u0627\u0644\u062b\u0627\u0646\u064a \u0641\u064a 5 \u062f\u0642\u0627\u0626\u0642\u061b \u0641\u064a COPD\u060c \u0627\u0631\u062a\u0641\u0627\u0639 \u0628\u0644\u063a\u0645 \u062f\u0645\u0648\u064a \u0623\u0648 \u0627\u0631\u062a\u0628\u0627\u0643 \u0630\u0647\u0646\u064a. \u0627\u0630\u0647\u0628\u064a \u0641\u0648\u0631\u064b\u0627 \u0625\u0630\u0627 \u0627\u0646\u062e\u0641\u0636\u062a \u0627\u0644\u0630\u0631\u0648\u0629 \u0627\u0644\u0631\u0626\u0648\u064a\u0629 50% \u0623\u0648 \u0634\u0639\u0631\u062a\u0650 \u0628\u0627\u0644\u0625\u063a\u0645\u0627\u0621\u060c \u0641\u0627\u0644\u062a\u0623\u062e\u064a\u0631 \u064a\u0647\u062f\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0641\u064a \u062f\u0642\u0627\u0626\u0642.<\/span><\/p>\n<p><b>\u0639\u0644\u0627\u0645\u0627\u062a \u0627\u0644\u0637\u0648\u0627\u0631\u0626 \u0627\u0644\u062d\u0645\u0631\u0627\u0621:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0632\u0631\u0642\u0629 \u0634\u0641\u0627\u0647\/\u0623\u0638\u0627\u0641\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0635\u0639\u0648\u0628\u0629 \u0643\u0644\u0627\u0645\/\u0645\u0634\u064a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0646\u0628\u0636 \u0642\u0644\u0628 \u0641\u0648\u0642 120.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u0631\u0627\u0642\u0628\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629 \u0628\u0640Peak Flow \u062a\u0645\u0646\u0639 \u0627\u0644\u0648\u0635\u0648\u0644 \u0644\u0647\u0630\u0647 \u0627\u0644\u0645\u0631\u062d\u0644\u0629\u060c \u062e\u0627\u0635\u0629 \u0644\u0644\u0645\u0631\u0636\u0649 \u0641\u064a \u0627\u0644\u0645\u0646\u0627\u0637\u0642 \u0627\u0644\u0645\u0644\u0648\u062b\u0629.<\/span><\/p>\n<h2><b>\u0643\u064a\u0641 \u064a\u062a\u0645 \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u061f<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u064a\u0639\u062a\u0645\u062f \u0623\u0633\u0627\u0633\u064b\u0627 \u0639\u0644\u0649 \u0627\u0644\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0637\u0628\u064a \u0648\u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0645\u0639 \u0627\u062e\u062a\u0628\u0627\u0631 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629 (\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a) \u0643\u0645\u0639\u064a\u0627\u0631 \u0630\u0647\u0628\u064a\u060c \u0645\u062f\u0639\u0648\u0645\u064b\u0627 \u0628\u0641\u062d\u0648\u0635\u0627\u062a \u062f\u0645\u0648\u064a\u0629 \u0644\u0644\u0627\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0648\u0623\u0634\u0639\u0629 \u0635\u062f\u0631 \u0644\u0627\u0633\u062a\u0628\u0639\u0627\u062f \u0639\u062f\u0648\u0649 \u0623\u0648 \u0627\u0646\u062a\u0641\u0627\u062e\u060c \u062d\u064a\u062b \u064a\u064f\u0624\u0643\u062f \u0627\u0644\u0631\u0628\u0648 \u0628\u0627\u0646\u0633\u062f\u0627\u062f \u0645\u062a\u063a\u064a\u0631 \u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633 \u0628\u064a\u0646\u0645\u0627 COPD \u0628\u0627\u0646\u0633\u062f\u0627\u062f \u062b\u0627\u0628\u062a. \u064a\u0634\u0645\u0644 \u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0633\u062a\u0628\u064a\u0627\u0646 CAT \u0623\u0648 mMRC \u0644\u0644\u0634\u062f\u0629\u060c \u0645\u0639 \u0627\u062e\u062a\u0628\u0627\u0631 \u062d\u0633\u0627\u0633\u064a\u0629 \u062c\u0644\u062f\u064a\u0629 \u0644\u0644\u0631\u0628\u0648\u060c \u0648\u064a\u064f\u062c\u0631\u0649 \u0644\u0644\u0645\u0634\u062a\u0628\u0647\u064a\u0646 \u0641\u0648\u0642 40 \u062e\u0627\u0635\u0629 \u0627\u0644\u0645\u062f\u062e\u0646\u064a\u0646. \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0645\u0635\u0631\u060c \u064a\u064f\u0646\u0635\u062d \u0628\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a \u0633\u0646\u0648\u064a\u064b\u0627 \u0644\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u0644\u0644\u0643\u0634\u0641 \u0627\u0644\u0645\u0628\u0643\u0631.<\/span><\/p>\n<p><b>\u062e\u0637\u0648\u0627\u062a \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0627\u0631\u064a\u062e: \u062a\u062f\u062e\u064a\u0646\/\u062d\u0633\u0627\u0633\u064a\u0629 + \u0623\u0639\u0631\u0627\u0636.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a + \u0635\u0648\u0631\u0629 \u0635\u062f\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0641\u062d\u0648\u0635\u0627\u062a \u062f\u0645 \u0644\u0640IgE \u0623\u0648 eosinophil.<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u0627 \u062f\u0648\u0631 \u0627\u062e\u062a\u0628\u0627\u0631 \u0627\u0644\u062a\u0646\u0641\u0633 (\u0627\u0644\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a) \u0641\u064a \u0627\u0644\u062a\u0645\u064a\u064a\u0632 \u0628\u064a\u0646 \u0627\u0644\u0631\u0628\u0648 \u0648COPD\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a \u064a\u0642\u064a\u0633 FEV1\/FVC (\u0646\u0633\u0628\u0629 \u0627\u0644\u0632\u0641\u064a\u0631 \u0627\u0644\u0642\u0633\u0631\u064a \u0641\u064a \u062b\u0627\u0646\u064a\u0629 \u0625\u0644\u0649 \u0627\u0644\u0633\u0639\u0629 \u0627\u0644\u062d\u064a\u0648\u064a\u0629) \u0644\u064a\u0624\u0643\u062f \u0627\u0646\u0633\u062f\u0627\u062f\u064b\u0627 &lt;70% \u0641\u064a \u0643\u0644\u064a\u0647\u0645\u0627\u060c \u0644\u0643\u0646 \u064a\u0645\u064a\u0632 \u0627\u0644\u0631\u0628\u0648 \u0628\u062a\u062d\u0633\u0646 FEV1 &gt;12% \u0628\u0639\u062f \u0628\u0631\u0648\u0646\u0643\u0648\u062f\u064a\u0644\u0627\u062a\u0648\u0631 (\u0642\u0627\u0628\u0644 \u0644\u0644\u0639\u0643\u0633)\u060c \u0628\u064a\u0646\u0645\u0627 COPD &lt;12% (\u062b\u0627\u0628\u062a). \u0645\u0646\u062d\u0646\u0649 \u0627\u0644\u062a\u062f\u0641\u0642-\u0627\u0644\u062d\u062c\u0645 \u064a\u0638\u0647\u0631 \u0627\u0646\u0633\u062f\u0627\u062f\u064b\u0627 \u0645\u062a\u063a\u064a\u0631\u064b\u0627 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u0645\u0642\u0627\u0628\u0644 \u062b\u0627\u0628\u062a \u0641\u064a COPD\u060c \u0645\u0645\u0627 \u064a\u064f\u0634\u062e\u0635 ACOS \u0639\u0646\u062f \u062a\u062f\u0627\u062e\u0644 \u062c\u0632\u0626\u064a. \u064a\u064f\u062c\u0631\u0649 \u0642\u0628\u0644 \u0648\u0628\u0639\u062f \u0627\u0644\u062f\u0648\u0627\u0621 \u0644\u062f\u0642\u0629 90%\u060c \u062e\u0627\u0635\u0629 \u0644\u0644\u0643\u0628\u0627\u0631.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0642\u064a\u0627\u0633 \u0627\u0644\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648<\/span><\/td>\n<td><span style=\"font-weight: 400;\">COPD<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">FEV1\/FVC<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;70% \u0645\u062a\u063a\u064a\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;70% \u062b\u0627\u0628\u062a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u062a\u062d\u0633\u0646 \u0628\u0639\u062f \u0628\u062e\u0627\u062e<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&gt;12-15%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;12%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u0646\u062d\u0646\u0649<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u062a\u063a\u064a\u0631 \u0635\u063a\u064a\u0631-\u0643\u0628\u064a\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062b\u0627\u0628\u062a \u0643\u0628\u064a\u0631-\u0635\u063a\u064a\u0631<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>\u062a\u0641\u0633\u064a\u0631 \u0627\u0644\u0646\u062a\u0627\u0626\u062c:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">GOLD \u0644\u0640COPD: \u0645\u0631\u0627\u062d\u0644 1-4 \u062d\u0633\u0628 FEV1.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">GINA \u0644\u0644\u0631\u0628\u0648: \u0633\u064a\u0637\u0631\u0629 \u0623\u0639\u0631\u0627\u0636.<\/span><\/li>\n<\/ul>\n<h3><b>\u0647\u0644 \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u062f\u0645\u0648\u064a\u0629 \u0623\u0648 \u0627\u0644\u0623\u0634\u0639\u0629 \u0636\u0631\u0648\u0631\u064a\u0629 \u0644\u062a\u0642\u064a\u064a\u0645 \u0634\u062f\u0629 \u0643\u0644 \u0645\u0631\u0636\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0646\u0639\u0645\u060c \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u062f\u0645\u0648\u064a\u0629 \u0636\u0631\u0648\u0631\u064a\u0629 \u0644\u0642\u064a\u0627\u0633 eosinophil (&gt;300 \u0644\u0644\u0631\u0628\u0648 \u0627\u0644\u0625\u064a\u0648\u0633\u064a\u0646\u0648\u0641\u064a\u0644\u064a) \u0623\u0648 CRP \u0644\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0641\u064a COPD\u060c \u0645\u0639 IgE \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0641\u064a \u0627\u0644\u0631\u0628\u0648\u060c \u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u0623\u0634\u0639\u0629 (CT \u0639\u0627\u0644\u064a\u0629 \u0627\u0644\u062f\u0642\u0629) \u062a\u0643\u0634\u0641 \u0627\u0646\u062a\u0641\u0627\u062e COPD \u0623\u0648 \u062a\u0636\u064a\u0642 \u0634\u0639\u0628 \u0627\u0644\u0631\u0628\u0648. \u062a\u0642\u064a\u0645 \u0627\u0644\u0634\u062f\u0629 ABG \u0644\u0644\u0623\u0643\u0633\u062c\u064a\u0646 \u06486 \u062f\u0642\u0627\u0626\u0642 \u0645\u0634\u064a \u0644\u0644\u0642\u062f\u0631\u0629 \u0627\u0644\u0648\u0638\u064a\u0641\u064a\u0629\u060c \u0645\u0639 DLCO \u0644\u0646\u0642\u0644 \u0627\u0644\u063a\u0627\u0632\u0627\u062a \u0627\u0644\u0645\u0646\u062e\u0641\u0636 \u0641\u064a COPD. \u062a\u064f\u0633\u062a\u062e\u062f\u0645 \u0644\u0644\u0645\u062a\u0648\u0633\u0637\u0629 \u0627\u0644\u0634\u062f\u0629 \u0623\u0648 \u0627\u0644\u0634\u0643 \u0641\u064a ACOS.<\/span><\/p>\n<p><b>\u0641\u062d\u0648\u0635\u0627\u062a \u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0634\u062f\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062f\u0645: eosinophil\u060c CRP.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0623\u0634\u0639\u0629: CT \u0644\u0627\u0646\u062a\u0641\u0627\u062e\/\u062a\u0636\u064a\u0642.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0648\u0638\u064a\u0641\u064a: 6MWT\u060c ABG.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0641\u062d\u0635<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062f\u0648\u0631 \u0641\u064a \u0627\u0644\u0631\u0628\u0648<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062f\u0648\u0631 \u0641\u064a COPD<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">eosinophil \u062f\u0645<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&gt;300 = \u0634\u062f\u064a\u062f<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0637\u0628\u064a\u0639\u064a \u0623\u0648 \u0645\u0646\u062e\u0641\u0636<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">CT \u0635\u062f\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u062a\u0636\u064a\u0642 \u0645\u0624\u0642\u062a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0646\u062a\u0641\u0627\u062e \u062f\u0627\u0626\u0645<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">DLCO<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0637\u0628\u064a\u0639\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u0646\u062e\u0641\u0636 &lt;80%<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>\u0645\u062a\u0649 \u064a\u064f\u0634\u062e\u0635 \u0627\u0644\u0631\u0628\u0648 \u0644\u062f\u0649 \u0627\u0644\u0643\u0628\u0627\u0631 \u0623\u0648 COPD \u0627\u0644\u0645\u0628\u0643\u0631\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u064a\u064f\u0634\u062e\u0635 \u0627\u0644\u0631\u0628\u0648 \u0644\u062f\u0649 \u0627\u0644\u0643\u0628\u0627\u0631 (&gt;40) \u0639\u0646\u062f \u0623\u0639\u0631\u0627\u0636 \u0645\u062a\u063a\u064a\u0631\u0629 + \u062a\u062d\u0633\u0646 \u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a &gt;12% + \u062a\u0627\u0631\u064a\u062e \u062d\u0633\u0627\u0633\u064a\u0629\u060c \u062d\u062a\u0649 \u0644\u0648 \u062a\u0623\u062e\u0631 \u0628\u0633\u0628\u0628 \u0647\u0631\u0645\u0648\u0646\u0627\u062a \u0623\u0648 \u0631\u064a\u0627\u0636\u0629\u060c \u0628\u064a\u0646\u0645\u0627 COPD \u0627\u0644\u0645\u0628\u0643\u0631 \u0639\u0646\u062f \u0645\u062f\u062e\u0646\u064a\u0646 \u0623\u0639\u0631\u0627\u0636 \u062e\u0641\u064a\u0641\u0629 (CAT&gt;10) \u0645\u0639 FEV1 80-50% + \u0633\u0639\u0627\u0644 \u0628\u0644\u063a\u0645. \u0627\u0644\u0643\u0634\u0641 \u0627\u0644\u0645\u0628\u0643\u0631 \u0644\u0640COPD \u0639\u0646\u062f 40 \u0628\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a \u0633\u0646\u0648\u064a \u0644\u0644\u0645\u062f\u062e\u0646\u064a\u0646 \u064a\u0648\u0642\u0641 \u0627\u0644\u062a\u062f\u0647\u0648\u0631\u060c \u0623\u0645\u0627 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0643\u0628\u064a\u0631 \u0641\u064a\u064f\u0624\u0643\u062f \u0628\u0627\u062e\u062a\u0628\u0627\u0631 \u062a\u062d\u062f\u064a \u0627\u0644\u0645\u064a\u062b\u0627\u0643\u0648\u0644\u064a\u0646.<\/span><\/p>\n<p><b>\u0645\u0639\u0627\u064a\u064a\u0631 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0645\u0628\u0643\u0631:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0631\u0628\u0648 \u0643\u0628\u0627\u0631: \u0623\u0639\u0631\u0627\u0636 \u0644\u064a\u0644\u064a\u0629 + \u062a\u062d\u0633\u0646.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD \u0645\u0628\u0643\u0631: \u062a\u062f\u062e\u064a\u0646 + FEV1 \u0645\u0646\u062e\u0641\u0636 \u0637\u0641\u064a\u0641.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0631\u0648\u062a\u064a\u0646\u064a \u064a\u0646\u0642\u0630 \u062d\u064a\u0627\u0629\u060c \u0641\u0627\u0628\u062f\u0626\u064a \u0628\u0637\u0628\u064a\u0628 \u0635\u062f\u0631\u064a\u0629 \u0639\u0646\u062f \u0623\u064a \u0633\u0639\u0627\u0644 \u0645\u0633\u062a\u0645\u0631.<\/span><\/p>\n<h2><b>\u0645\u0627 \u062e\u064a\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0644\u0627\u062c\u061f<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0639\u0644\u0627\u062c \u0627\u0644\u0631\u0628\u0648 \u064a\u0639\u062a\u0645\u062f \u0639\u0644\u0649 \u0627\u0644\u0633\u064a\u0637\u0631\u0629 \u0627\u0644\u0648\u0642\u0627\u0626\u064a\u0629 \u0628\u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0627\u0644\u0645\u0633\u062a\u0646\u0634\u0642 \u0645\u0639 \u0628\u062e\u0627\u062e\u0627\u062a \u0627\u0644\u0625\u063a\u0627\u062b\u0629 \u0627\u0644\u0633\u0631\u064a\u0639\u0629 \u0644\u0644\u0646\u0648\u0628\u0627\u062a\u060c \u0628\u064a\u0646\u0645\u0627 \u0639\u0644\u0627\u062c \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 (COPD) \u064a\u0631\u0643\u0632 \u0639\u0644\u0649 \u062a\u0648\u0633\u064a\u0639 \u0627\u0644\u0634\u0639\u0628 \u0628\u0627\u0644\u0645\u0648\u0633\u0639\u0627\u062a \u0637\u0648\u064a\u0644\u0629 \u0627\u0644\u0645\u0641\u0639\u0648\u0644 \u0645\u0639 \u0625\u064a\u0642\u0627\u0641 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0643\u0623\u0648\u0644\u0648\u064a\u0629 \u0642\u0635\u0648\u0649. \u0627\u0644\u0631\u0628\u0648 \u064a\u062a\u062d\u0633\u0646 \u0628\u0646\u0633\u0628\u0629 80% \u0628\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0646\u062a\u0638\u0645\u060c \u0623\u0645\u0627 COPD \u0641\u064a\u0628\u0637\u0626 \u0627\u0644\u062a\u062f\u0647\u0648\u0631 \u0628\u0646\u0633\u0628\u0629 50% \u062f\u0648\u0646 \u0625\u064a\u0642\u0627\u0641 \u0627\u0644\u062a\u0644\u0641 \u0627\u0644\u062f\u0627\u0626\u0645. \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0645\u0635\u0631\u060c \u062a\u062a\u0648\u0641\u0631 \u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0641\u064a \u0627\u0644\u0635\u064a\u062f\u0644\u064a\u0627\u062a \u0645\u0639 \u0628\u0631\u0627\u0645\u062c \u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0631\u0626\u0648\u064a \u0644\u062a\u062d\u0633\u064a\u0646 \u062c\u0648\u062f\u0629 \u0627\u0644\u062d\u064a\u0627\u0629.<\/span><\/p>\n<p><b>\u062e\u064a\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0644\u0627\u062c \u062d\u0633\u0628 \u0627\u0644\u0645\u0631\u0636:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648: \u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 + \u0645\u0648\u0633\u0639\u0627\u062a \u0642\u0635\u064a\u0631\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD: \u0645\u0648\u0633\u0639\u0627\u062a \u0637\u0648\u064a\u0644\u0629 + \u0623\u0643\u0633\u062c\u064a\u0646.<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u0627 \u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0627\u0644\u0645\u0633\u062a\u062e\u062f\u0645\u0629 (\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0644\u0644\u0631\u0628\u0648\u060c \u0645\u0648\u0633\u0639\u0627\u062a \u0644\u0640COPD)\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0627\u0644\u0623\u0632\u0631\u0642 (\u0633\u0627\u0644\u0628\u0648\u062a\u0627\u0645\u0648\u0644\/Ventolin) \u0644\u0625\u063a\u0627\u062b\u0629 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0641\u0648\u0631\u064a\u0629 \u062a\u0648\u0633\u0639 \u0627\u0644\u0634\u0639\u0628 \u0641\u064a \u062f\u0642\u0627\u0626\u0642\u060c \u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u0628\u0646\u064a\/\u0627\u0644\u0628\u0631\u062a\u0642\u0627\u0644\u064a (\u0641\u0644\u0648\u0641\u0646\u062a\/Seretide) \u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0648\u0642\u0627\u0626\u064a \u064a\u064f\u0633\u062a\u062e\u062f\u0645 \u064a\u0648\u0645\u064a\u064b\u0627 \u0645\u0631\u062a\u064a\u0646 \u0644\u0644\u0631\u0628\u0648 \u0644\u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628. \u0644\u0640COPD\u060c \u0627\u0644\u0623\u062d\u0645\u0631\/\u0627\u0644\u0623\u062e\u0636\u0631 (\u0641\u0648\u0633\u062a\u0627\u064a\u0631\/\u0633\u0628\u064a\u0631\u0648\u0628\u0627) \u0645\u0648\u0633\u0639\u0627\u062a \u0637\u0648\u064a\u0644\u0629 (LAMA\/LABA) \u062a\u064f\u0633\u062a\u062e\u062f\u0645 \u0645\u0631\u0629 \u0623\u0648 \u0645\u0631\u062a\u064a\u0646 \u064a\u0648\u0645\u064a\u064b\u0627 \u0645\u0639 \u0623\u0632\u0631\u0642 \u0644\u0644\u0625\u0646\u0642\u0627\u0630\u060c \u0648\u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0645\u062b\u0644 Anoro \u0644\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0645\u062a\u0648\u0633\u0637\u0629.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0644\u0648\u0646\/\u0627\u0644\u0646\u0648\u0639<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648<\/span><\/td>\n<td><span style=\"font-weight: 400;\">COPD<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0623\u0632\u0631\u0642 (\u0642\u0635\u064a\u0631)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0625\u063a\u0627\u062b\u0629 \u0646\u0648\u0628\u0627\u062a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0625\u063a\u0627\u062b\u0629 \u0646\u0627\u062f\u0631\u0629<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0628\u0646\u064a\/\u0628\u0631\u062a\u0642\u0627\u0644\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u064a\u0648\u0645\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0646\u0627\u062f\u0631\u060c \u0645\u0639 \u0645\u0648\u0633\u0639\u0627\u062a<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0623\u062d\u0645\u0631\/\u0623\u062e\u0636\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0646\u0627\u062f\u0631<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u0648\u0633\u0639\u0627\u062a \u0637\u0648\u064a\u0644\u0629 \u0623\u0633\u0627\u0633\u064a\u0629<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>\u0646\u0635\u0627\u0626\u062d \u0627\u0644\u0627\u0633\u062a\u062e\u062f\u0627\u0645:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0647\u0632 \u0627\u0644\u0628\u062e\u0627\u062e \u0642\u0628\u0644 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0634\u0637\u0641 \u0641\u0645 \u0628\u0639\u062f \u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646.<\/span><\/li>\n<\/ul>\n<h3><b>\u0647\u0644 \u0627\u0644\u0623\u0643\u0633\u062c\u064a\u0646 \u0627\u0644\u0645\u0646\u0632\u0644\u064a \u0623\u0648 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0636\u0631\u0648\u0631\u064a \u0641\u064a \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0645\u062a\u0642\u062f\u0645\u0629\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0646\u0639\u0645\u060c \u0627\u0644\u0623\u0643\u0633\u062c\u064a\u0646 \u0627\u0644\u0645\u0646\u0632\u0644\u064a \u0636\u0631\u0648\u0631\u064a \u0641\u064a COPD \u0627\u0644\u0645\u062a\u0642\u062f\u0645 (GOLD 3-4) \u0639\u0646\u062f O2 &lt;88% \u0623\u0648 \u0641\u0634\u0644 \u062a\u0646\u0641\u0633\u064a\u060c \u062d\u064a\u062b \u064a\u0637\u064a\u0644 \u0627\u0644\u0639\u0645\u0631 \u0628\u06403 \u0633\u0646\u0648\u0627\u062a \u0648\u064a\u0642\u0644\u0644 \u0627\u0644\u062a\u0639\u0628\u060c \u0628\u064a\u0646\u0645\u0627 \u0646\u0627\u062f\u0631 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u0625\u0644\u0627 \u0641\u064a \u0627\u0644\u0646\u0648\u0628\u0627\u062a \u0627\u0644\u062d\u0627\u062f\u0629. \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062a\u0646\u0641\u0633\u064a (BPAP\/CPAP) \u064a\u064f\u0633\u062a\u062e\u062f\u0645 \u0644\u064a\u0644\u064b\u0627 \u0641\u064a COPD \u0645\u0639 \u0627\u062d\u062a\u0628\u0627\u0633 CO2 \u0623\u0648 \u0627\u0644\u0631\u0628\u0648 \u0627\u0644\u0634\u062f\u064a\u062f\u060c \u0645\u0639 \u0623\u062c\u0647\u0632\u0629 \u0645\u0646\u0632\u0644\u064a\u0629 \u0645\u062d\u0645\u0648\u0644\u0629 \u062a\u064f\u063a\u0637\u064a \u0627\u0644\u062a\u0623\u0645\u064a\u0646 \u0627\u0644\u0635\u062d\u064a \u0641\u064a \u0627\u0644\u062e\u0644\u064a\u062c.<\/span><\/p>\n<p><b>\u0627\u0644\u0627\u0633\u062a\u062e\u062f\u0627\u0645\u0627\u062a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0623\u0643\u0633\u062c\u064a\u0646: 2 \u0644\u062a\u0631\/\u062f\u0642\u064a\u0642\u0629 \u0645\u0633\u062a\u0645\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">BPAP: \u0644\u0644\u0640hypercapnia \u0641\u064a COPD.<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u0627 \u062f\u0648\u0631 \u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0631\u0626\u0629 \u0648\u0627\u0644\u062a\u0637\u0639\u064a\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u0633\u064a\u0637\u0631\u0629 \u0639\u0644\u0649 \u0627\u0644\u0623\u0639\u0631\u0627\u0636\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0631\u0626\u0629 (PR) \u0628\u0631\u064a\u0627\u0636\u0629 8-12 \u0623\u0633\u0628\u0648\u0639\u064b\u0627 (\u0645\u0634\u064a + \u062a\u0645\u0627\u0631\u064a\u0646 \u062a\u0646\u0641\u0633) \u062a\u062d\u0633\u0646 \u0627\u0644\u0642\u062f\u0631\u0629 \u0628\u0646\u0633\u0628\u0629 20-30% \u0641\u064a COPD \u0648\u062a\u0642\u0644\u0644 \u0627\u0644\u0646\u0648\u0628\u0627\u062a \u0641\u064a \u0627\u0644\u0631\u0628\u0648\u060c \u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u062a\u0637\u0639\u064a\u0645\u0627\u062a (\u0625\u0646\u0641\u0644\u0648\u0646\u0632\u0627 \u0633\u0646\u0648\u064a\u064b\u0627\u060c \u0642\u0627\u0639\u062f\u064a\u0629 \u0643\u0644 5 \u0633\u0646\u0648\u0627\u062a\u060c COVID) \u062a\u0645\u0646\u0639 \u0627\u0644\u0639\u062f\u0648\u0649 \u0627\u0644\u062a\u064a \u062a\u064f\u0641\u0627\u0642\u0645 \u0643\u0644\u0627 \u0627\u0644\u0645\u0631\u0636\u064a\u0646 \u0628\u0646\u0633\u0628\u0629 60%. PR \u064a\u064f\u0642\u062f\u0645 \u0641\u064a \u0645\u0631\u0627\u0643\u0632 \u0633\u0639\u0648\u062f\u064a\u0629\/\u0645\u0635\u0631\u064a\u0629 \u0645\u0639 \u062a\u0637\u0628\u064a\u0642\u0627\u062a \u0645\u0646\u0632\u0644\u064a\u0629.<\/span><\/p>\n<p><b>\u0628\u0631\u0627\u0645\u062c \u0627\u0644\u0633\u064a\u0637\u0631\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PR: 30 \u062f\u0642\u064a\u0642\u0629 5 \u0623\u064a\u0627\u0645\/\u0623\u0633\u0628\u0648\u0639.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0637\u0639\u064a\u0645\u0627\u062a: \u0625\u0644\u0632\u0627\u0645\u064a\u0629 \u0644\u0643\u0644 \u0627\u0644\u0645\u0631\u0636\u0649.<\/span><\/li>\n<\/ul>\n<p><b>\u062c\u062f\u0648\u0644 \u0648\u0642\u0627\u0626\u064a \u0633\u0646\u0648\u064a:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0625\u0646\u0641\u0644\u0648\u0646\u0632\u0627: \u0633\u0628\u062a\u0645\u0628\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0642\u0627\u0639\u062f\u064a\u0629: \u0643\u0644 5 \u0633\u0646\u0648\u0627\u062a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PR: \u0628\u0639\u062f \u0643\u0644 \u062a\u0641\u0627\u0642\u0645.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a + PR \u064a\u062d\u0648\u0644 \u0627\u0644\u0645\u0631\u0636 \u0627\u0644\u0645\u0632\u0645\u0646 \u0625\u0644\u0649 \u062d\u064a\u0627\u0629 \u0637\u0628\u064a\u0639\u064a\u0629.<\/span><\/p>\n<h2><b>\u0643\u064a\u0641\u064a\u0629 \u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0648 \u0627\u0644\u0639\u0644\u0627\u062c\u061f<\/b><\/h2>\n<h3><b>\u0643\u064a\u0641 \u064a\u0645\u0646\u0639 \u0627\u0644\u0625\u0642\u0644\u0627\u0639 \u0639\u0646 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u0648\u062a\u0641\u0627\u0642\u0645 COPD\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0625\u0642\u0644\u0627\u0639 \u0639\u0646 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u064a\u0645\u0646\u0639 \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u0628\u0646\u0633\u0628\u0629 50-70% \u062d\u064a\u062b \u064a\u0642\u0644\u0644 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0634\u0639\u0628 \u0627\u0644\u0647\u0648\u0627\u0626\u064a\u0629 \u0648\u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u063a\u0628\u0627\u0631 \u0648\u0627\u0644\u062f\u062e\u0627\u0646 \u0627\u0644\u062b\u0627\u0646\u0648\u064a\u060c \u0645\u0645\u0627 \u064a\u062d\u0633\u0646 \u0627\u0633\u062a\u062c\u0627\u0628\u0629 \u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0648\u064a\u0642\u0644\u0644 \u0627\u0644\u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0644\u064a\u0644\u064a\u0629\u060c \u0628\u064a\u0646\u0645\u0627 \u064a\u0628\u0637\u0626 \u062a\u0641\u0627\u0642\u0645 COPD \u0628\u0646\u0633\u0628\u0629 30-50% \u0628\u062a\u0648\u0642\u0641 \u0641\u0642\u062f\u0627\u0646 FEV1 \u0627\u0644\u0633\u0646\u0648\u064a \u0645\u0646 50 \u0645\u0644 \u0625\u0644\u0649 20 \u0645\u0644 \u0641\u0642\u0637. \u0627\u0644\u0625\u0642\u0644\u0627\u0639 \u0627\u0644\u0641\u0648\u0631\u064a \u064a\u0639\u064a\u062f \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629 \u062c\u0632\u0626\u064a\u064b\u0627 \u0641\u064a \u0627\u0644\u0631\u0628\u0648 \u062e\u0644\u0627\u0644 \u0623\u0633\u0627\u0628\u064a\u0639\u060c \u0648\u064a\u0637\u064a\u0644 Healthspan \u0641\u064a COPD \u0628\u064010 \u0633\u0646\u0648\u0627\u062a\u060c \u062e\u0627\u0635\u0629 \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u062d\u064a\u062b \u064a\u062f\u062e\u0646 25% \u0645\u0646 \u0627\u0644\u0628\u0627\u0644\u063a\u064a\u0646.<\/span><\/p>\n<p><b>\u0641\u0648\u0627\u0626\u062f \u0627\u0644\u0625\u0642\u0644\u0627\u0639 \u0627\u0644\u0641\u0648\u0631\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648: \u0627\u0646\u062e\u0641\u0627\u0636 \u0646\u0648\u0628\u0627\u062a 50% \u0641\u064a \u0634\u0647\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD: \u062a\u062d\u0633\u0646 \u0633\u0639\u0627\u0644 \u0628\u0644\u063a\u0645 \u0641\u064a 3 \u0623\u0634\u0647\u0631.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0639\u0627\u0645: +10 \u0633\u0646\u0648\u0627\u062a \u0639\u0645\u0631 \u0645\u062a\u0648\u0642\u0639.<\/span><\/li>\n<\/ul>\n<h3><b>\u0645\u0627 \u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u0625\u0646\u0641\u0627\u0642 \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u062d\u0627\u062f \u0623\u0648 \u0641\u0634\u0644 \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u0631\u0626\u0648\u064a\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0625\u0646\u0641\u0627\u0642 \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u062d\u0627\u062f (AECOPD) \u064a\u0647\u062f\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u0646\u0633\u0628\u0629 \u0648\u0641\u064a\u0627\u062a 5-10% \u0641\u064a \u0643\u0644 \u0646\u0648\u0628\u0629\u060c \u062e\u0627\u0635\u0629 \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629 \u0644\u0644\u062a\u0646\u0641\u0633 \u0627\u0644\u0635\u0646\u0627\u0639\u064a\u060c \u0628\u064a\u0646\u0645\u0627 \u0641\u0634\u0644 \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u0631\u0626\u0648\u064a (Cor Pulmonale) \u064a\u0635\u064a\u0628 30% \u0645\u0646 COPD \u0627\u0644\u0645\u062a\u0642\u062f\u0645 \u0645\u0639 \u062a\u0636\u062e\u0645 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0645\u0646 \u0648\u0648\u0630\u0645\u0629 \u0631\u0626\u0648\u064a\u0629 \u062a\u0633\u0628\u0628 \u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u0634\u062f\u064a\u062f \u0648\u0632\u0631\u0642\u0629. \u0647\u0630\u0647 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u062a\u0632\u064a\u062f \u0645\u0639 \u0627\u0644\u0639\u062f\u0648\u0649 \u0623\u0648 \u0646\u0642\u0635 \u0623\u0643\u0633\u062c\u064a\u0646\u060c \u0645\u0645\u0627 \u064a\u0624\u062f\u064a \u0644\u0641\u0634\u0644 \u0643\u0644\u0648\u064a \u0623\u0648 \u0633\u0643\u062a\u0629\u060c \u0648\u062a\u064f\u0639\u0627\u0644\u062c \u0628\u0623\u0643\u0633\u062c\u064a\u0646 \u0641\u0648\u0631\u064a \u0648\u0645\u062f\u0631\u0627\u062a \u0628\u0648\u0644.<\/span><\/p>\n<p><b>\u0627\u0644\u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0625\u0646\u0641\u0627\u0642 \u062d\u0627\u062f: \u0648\u0630\u0645\u0629\u060c \u0627\u062d\u062a\u0628\u0627\u0633 CO2.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0642\u0644\u0628 \u0631\u0626\u0648\u064a: \u062a\u0636\u062e\u0645 \u0642\u0644\u0628\u060c \u0648\u0630\u0645\u0629 \u0633\u0627\u0642\u064a\u0646.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0646\u0633\u0628\u0629 \u0627\u0644\u062e\u0637\u0648\u0631\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0637\u0627\u0631\u0626<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0625\u0646\u0641\u0627\u0642 \u062d\u0627\u062f<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5-10% \u0648\u0641\u064a\u0627\u062a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0623\u0643\u0633\u062c\u064a\u0646\u060c \u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 IV<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0642\u0644\u0628 \u0631\u0626\u0648\u064a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">30% COPD \u0645\u062a\u0642\u062f\u0645<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0645\u062f\u0631\u0627\u062a\u060c \u0623\u0643\u0633\u062c\u064a\u0646 \u0645\u0646\u0632\u0644\u064a<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>\u0647\u0644 \u064a\u0645\u0643\u0646 \u0639\u0643\u0633 \u062a\u0644\u0641 \u0627\u0644\u0631\u0626\u062a\u064a\u0646 \u0641\u064a COPD \u0623\u0645 \u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0623\u0641\u0636\u0644\u061f<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0644\u0627 \u064a\u0645\u0643\u0646 \u0639\u0643\u0633 \u062a\u0644\u0641 \u0627\u0644\u062d\u0648\u064a\u0635\u0644\u0627\u062a \u0641\u064a COPD \u0627\u0644\u0645\u062a\u0642\u062f\u0645\u060c \u0644\u0643\u0646 \u0627\u0644\u0648\u0642\u0627\u064a\u0629 + \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0628\u0643\u0631 \u064a\u0648\u0642\u0641 \u0627\u0644\u062a\u062f\u0647\u0648\u0631 \u0628\u0646\u0633\u0628\u0629 70% \u0648\u064a\u062d\u0633\u0646 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629 \u0627\u0644\u0645\u062a\u0628\u0642\u064a\u0629 \u0639\u0628\u0631 \u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0631\u0626\u0648\u064a\u060c \u0628\u064a\u0646\u0645\u0627 \u0627\u0644\u0625\u0642\u0644\u0627\u0639 \u0641\u064a \u0627\u0644\u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0645\u0628\u0643\u0631\u0629 (GOLD 1) \u064a\u0639\u064a\u062f FEV1 \u062c\u0632\u0626\u064a\u064b\u0627 \u0628\u0646\u0633\u0628\u0629 10-20%. \u0627\u0644\u0648\u0642\u0627\u064a\u0629 (\u0644\u0627 \u062a\u062f\u062e\u064a\u0646 + \u062a\u0637\u0639\u064a\u0645\u0627\u062a) \u0623\u0641\u0636\u0644 \u0628\u0643\u062b\u064a\u0631\u060c \u0625\u0630 \u062a\u0645\u0646\u0639 85% \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0648\u062a\u062d\u0627\u0641\u0638 \u0639\u0644\u0649 \u062d\u064a\u0627\u0629 \u0637\u0628\u064a\u0639\u064a\u0629\u060c \u0645\u0642\u0627\u0631\u0646\u0629 \u0628\u0627\u0644\u0627\u0639\u062a\u0645\u0627\u062f \u0639\u0644\u0649 \u0623\u0643\u0633\u062c\u064a\u0646 \u062f\u0627\u0626\u0645 \u0641\u064a \u0627\u0644\u0645\u0631\u0627\u062d\u0644 \u0627\u0644\u0646\u0647\u0627\u0626\u064a\u0629.<\/span><\/p>\n<p><b>\u0627\u0633\u062a\u0631\u0627\u062a\u064a\u062c\u064a\u0627\u062a \u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0625\u0642\u0644\u0627\u0639 \u062a\u062f\u062e\u064a\u0646: \u0623\u0648\u0644\u0648\u064a\u0629 \u0631\u0642\u0645 1.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0637\u0639\u064a\u0645\u0627\u062a: \u0625\u0646\u0641\u0644\u0648\u0646\u0632\u0627 + \u0642\u0627\u0639\u062f\u064a\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u0644\u0648\u062b: \u0643\u0645\u0627\u0645\u0627\u062a + \u062a\u0647\u0648\u064a\u0629.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0627\u0644\u0645\u0631\u062d\u0644\u0629<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u0627\u0644\u0639\u0643\u0633<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0623\u0641\u0636\u0644 \u0625\u062c\u0631\u0627\u0621<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0645\u0628\u0643\u0631 (GOLD 1)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10-20% \u062a\u062d\u0633\u0646<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0625\u0642\u0644\u0627\u0639 + PR<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0645\u062a\u0642\u062f\u0645 (GOLD 4)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0% \u0639\u0643\u0633\u060c 30% \u0628\u0637\u0621<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0623\u0643\u0633\u062c\u064a\u0646 + \u0648\u0642\u0627\u064a\u0629 \u0639\u062f\u0648\u0649<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u062a\u062d\u0648\u0644 COPD \u0645\u0646 \u0645\u0635\u064a\u0628\u0629 \u0625\u0644\u0649 \u062d\u0627\u0644\u0629 \u0642\u0627\u0628\u0644\u0629 \u0644\u0644\u0625\u062f\u0627\u0631\u0629\u060c \u0641\u0627\u0628\u062f\u0626\u064a \u0627\u0644\u064a\u0648\u0645 \u0628\u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0627\u0644\u0633\u062c\u0627\u0626\u0631 \u0628\u0627\u0644\u0645\u0634\u064a.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0641\u064a \u0627\u0644\u0646\u0647\u0627\u064a\u0629\u060c \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 \u0644\u064a\u0633\u0627 \u062d\u064f\u0643\u0652\u0645\u064b\u0627 \u0646\u0647\u0627\u0626\u064a\u064b\u0627 \u0628\u0644 \u062d\u0627\u0644\u062a\u0627\u0646 \u0642\u0627\u0628\u0644\u062a\u0627\u0646 \u0644\u0644\u0633\u064a\u0637\u0631\u0629 \u0648\u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0628\u0648\u0639\u064a \u064a\u0648\u0645\u064a \u064a\u0628\u062f\u0623 \u0628\u0625\u0642\u0644\u0627\u0639 \u0627\u0644\u062a\u062f\u062e\u064a\u0646\u2014\u0627\u0644\u0630\u064a \u064a\u064f\u0646\u0642\u0630 10 \u0633\u0646\u0648\u0627\u062a \u0645\u0646 COPD \u0648\u064a\u0642\u0644\u0644 \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u0631\u0628\u0648 70%\u2014\u0645\u0639 \u0627\u0644\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0627\u0644\u0645\u0646\u062a\u0638\u0645\u0629 \u0643\u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0644\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0645\u0648\u0633\u0639\u0627\u062a \u0644\u0640COPD\u060c \u0648\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0646\u0648\u064a \u0628\u0627\u0644\u0633\u0628\u064a\u0631\u0648\u0645\u062a\u0631\u064a \u0627\u0644\u0630\u064a \u064a\u0643\u0634\u0641 \u0627\u0644\u062a\u063a\u064a\u0631\u0627\u062a \u0642\u0628\u0644 \u062a\u0641\u0627\u0642\u0645\u0647\u0627 \u0625\u0644\u0649 \u0625\u0646\u0641\u0627\u0642 \u062d\u0627\u062f \u0623\u0648 \u0641\u0634\u0644 \u0642\u0644\u0628 \u0631\u0626\u0648\u064a \u0645\u0647\u062f\u062f \u0644\u0644\u062d\u064a\u0627\u0629. \u0641\u064a \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0645\u0635\u0631\u060c \u062d\u064a\u062b \u064a\u0631\u062a\u0628\u0637 \u0627\u0644\u062a\u0644\u0648\u062b \u0648\u0627\u0644\u0639\u0627\u062f\u0627\u062a \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u064a\u0629 \u0628\u0647\u0630\u0647 \u0627\u0644\u0623\u0645\u0631\u0627\u0636\u060c \u064a\u064f\u0645\u0643\u0646 \u0644\u0625\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0631\u0626\u0629 \u0648\u0627\u0644\u062a\u0637\u0639\u064a\u0645\u0627\u062a \u0627\u0644\u0633\u0646\u0648\u064a\u0629 \u062a\u062d\u0648\u064a\u0644 \u0636\u064a\u0642 \u0627\u0644\u062a\u0646\u0641\u0633 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0625\u0644\u0649 \u062d\u064a\u0627\u0629 \u0637\u0628\u064a\u0639\u064a\u0629 \u0645\u0644\u064a\u0626\u0629 \u0628\u0627\u0644\u062d\u0631\u0643\u0629 \u0648\u0627\u0644\u0625\u0646\u062a\u0627\u062c\u064a\u0629\u2014\u0641\u0627\u0628\u062f\u0626\u064a \u0627\u0644\u064a\u0648\u0645 \u0628\u0627\u0633\u062a\u0646\u0634\u0627\u0642 \u0647\u0648\u0627\u0621 \u0646\u0638\u064a\u0641\u060c \u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0645\u0646\u0632\u0644 \u0645\u0646 \u0627\u0644\u063a\u0628\u0627\u0631\u060c \u0648\u0645\u0643\u0627\u0644\u0645\u0629 \u0644\u0637\u0628\u064a\u0628 \u0635\u062f\u0631\u064a\u0629 \u0639\u0646\u062f \u0623\u0648\u0644 \u0633\u0639\u0627\u0644 \u0644\u064a\u0644\u064a \u0623\u0648 \u0628\u0644\u063a\u0645 \u0635\u0628\u0627\u062d\u064a\u060c \u0641\u0643\u0644 \u0646\u0641\u0633 \u0639\u0645\u064a\u0642 \u0627\u0644\u064a\u0648\u0645 \u064a\u0628\u0646\u064a \u0631\u0626\u062a\u064a\u0646 \u0642\u0648\u064a\u062a\u064a\u0646 \u0644\u0633\u0646\u0648\u0627\u062a \u0637\u0648\u064a\u0644\u0629 \u062e\u0627\u0644\u064a\u0629 \u0645\u0646 \u0627\u0644\u0625\u0631\u0647\u0627\u0642 \u0648\u0627\u0644\u062e\u0648\u0641.<\/span><\/p>\n<h2><b>\u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u0631\u062a\u0628\u0637\u0629 \u0628\u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646:<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 (COPD) \u064a\u062d\u062a\u0627\u062c\u0627\u0646 \u0641\u062d\u0648\u0635\u0627\u062a \u0648\u0638\u064a\u0641\u0629 \u0627\u0644\u0631\u0626\u0629 (Spirometry)\u060c <a href=\"https:\/\/demo-website.delta-medlab.com\/blog\/%d9%81%d8%ad%d8%b5-%d8%a7%d9%84%d8%ba%d9%84%d9%88%d8%a8%d9%88%d9%84%d9%8a%d9%86-%d8%a7%d9%84%d9%85%d9%86%d8%a7%d8%b9%d9%8a-ige\/\">IgE \u0627\u0644\u0643\u0644\u064a<\/a> \u0648\u0627\u0644\u0645\u062d\u0633\u0633\u060c \u0635\u0648\u0631\u0629 \u0627\u0644\u062f\u0645 \u0627\u0644\u0643\u0627\u0645\u0644\u0629\u060c \u0648CRP\u061b \u0644\u062a\u0642\u064a\u064a\u0645 \u0634\u062f\u0629 \u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0648\u062f\u0631\u062c\u0629 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0647\u0648\u0627\u0626\u064a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0642\u062f \u062a\u0634\u0645\u0644 \u0627\u0644\u062a\u062d\u0627\u0644\u064a\u0644 \u0627\u0644\u0625\u0636\u0627\u0641\u064a\u0629 \u0645\u0633\u062a\u0648\u064a\u0627\u062a \u0627\u0644\u0623\u0643\u0633\u062c\u064a\u0646 (Oximetry)\u060c \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0643\u0644\u0649 \u0648\u0627\u0644\u0643\u0628\u062f\u060c \u0648\u0641\u064a\u062a\u0627\u0645\u064a\u0646 D\u061b \u062e\u0627\u0635\u0629 \u0639\u0646\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0644\u0645\u0631\u0627\u0642\u0628\u0629 \u0627\u0644\u062a\u0623\u062b\u064a\u0631\u0627\u062a \u0627\u0644\u062c\u0627\u0646\u0628\u064a\u0629 \u0648\u0627\u0644\u062a\u062d\u0643\u0645 \u0641\u064a \u0627\u0644\u0623\u0632\u0645\u0627\u062a.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u062a\u064f\u0635\u0645\u0645 \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u062d\u0633\u0628 \u0634\u062f\u0629 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 (\u0636\u064a\u0642 \u062a\u0646\u0641\u0633\u060c \u0633\u0639\u0627\u0644 \u0644\u064a\u0644\u064a\u060c \u0647\u062c\u0645\u0627\u062a \u062d\u0627\u062f\u0629)\u060c \u0645\u0639 \u0645\u062a\u0627\u0628\u0639\u0629 \u062f\u0648\u0631\u064a\u0629 \u0644\u0642\u064a\u0627\u0633 \u0627\u0633\u062a\u062c\u0627\u0628\u0629 \u0627\u0644\u0639\u0644\u0627\u062c \u0648\u062a\u0639\u062f\u064a\u0644 \u062c\u0631\u0639\u0627\u062a \u0627\u0644\u0628\u062e\u0627\u062e\u0627\u062a \u0648\u0627\u0644\u0623\u062f\u0648\u064a\u0629.<\/span><\/li>\n<\/ul>\n<p><b>\u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0645\u0639 \u0645\u062e\u062a\u0628\u0631\u0627\u062a \u062f\u0644\u062a\u0627 \u0627\u0644\u0637\u0628\u064a\u0629:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u064a\u0645\u0643\u0646 \u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0645\u0639 \u0645\u062e\u062a\u0628\u0631\u0627\u062a \u062f\u0644\u062a\u0627 \u0627\u0644\u0637\u0628\u064a\u0629 \u0644\u062d\u062c\u0632 \u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 \u0639\u0628\u0631 \u0627\u0644\u0631\u0642\u0645 \u0627\u0644\u0645\u0648\u062d\u062f 920022723\u060c \u0645\u062a\u0627\u062d \u0623\u064a\u0636\u064b\u0627 \u0639\u0628\u0631 \u0627\u0644\u0648\u0627\u062a\u0633\u0627\u0628 \u0644\u0644\u0631\u062f \u0627\u0644\u0633\u0631\u064a\u0639 \u0648\u0627\u0644\u062d\u062c\u0632 \u0628\u0633\u0647\u0648\u0644\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0643\u0645\u0627 \u064a\u0645\u0643\u0646 \u0627\u0644\u0645\u0631\u0627\u0633\u0644\u0629 \u0639\u0628\u0631 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"mailto:info@delta-medlab.com\"><span style=\"font-weight: 400;\">info@delta-medlab.com<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0644\u0637\u0644\u0628 \u0628\u0627\u0642\u0629 \u062a\u062d\u0627\u0644\u064a\u0644 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0623\u0648 \u0625\u0631\u0633\u0627\u0644 \u0627\u0644\u062a\u0642\u0627\u0631\u064a\u0631 \u0627\u0644\u0633\u0627\u0628\u0642\u0629.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u064a\u0648\u0641\u0631 \u0627\u0644\u0645\u0648\u0642\u0639 \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a \u0646\u0645\u0648\u0630\u062c \u00ab\u0627\u062a\u0635\u0644 \u0628\u0646\u0627\u00bb \u0644\u062a\u062d\u062f\u064a\u062f \u0645\u0648\u0627\u0639\u064a\u062f \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0645\u0639 \u062a\u0648\u0636\u064a\u062d \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629\u060c \u0644\u062a\u0648\u062c\u064a\u0647 \u0627\u0644\u0645\u0631\u064a\u0636 \u0644\u0644\u062a\u062d\u0627\u0644\u064a\u0644 \u0627\u0644\u0623\u0646\u0633\u0628.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u062a\u0639\u0645\u0644 \u0645\u062e\u062a\u0628\u0631\u0627\u062a \u062f\u0644\u062a\u0627 \u0627\u0644\u0637\u0628\u064a\u0629 \u0645\u0646 \u0627\u0644\u0633\u0628\u062a \u0625\u0644\u0649 \u0627\u0644\u062e\u0645\u064a\u0633 6:00 \u0635\u0628\u0627\u062d\u064b\u0627 &#8211; 12:00 \u0645\u0633\u0627\u0621\u064b\u060c \u0648\u0627\u0644\u062c\u0645\u0639\u0629 1:00 \u0645\u0633\u0627\u0621\u064b &#8211; 10:00 \u0645\u0633\u0627\u0621\u064b\u060c \u0645\u0639 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u062e\u062f\u0645\u0629 \u0633\u062d\u0628 \u0627\u0644\u0639\u064a\u0646\u0627\u062a \u0627\u0644\u0645\u0646\u0632\u0644\u064a\u0629 \u0644\u0631\u0627\u062d\u0629 \u0645\u0631\u0636\u0649 \u0627\u0644\u062a\u0646\u0641\u0633 \u0627\u0644\u0645\u0632\u0645\u0646\u064a\u0646.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0645\u0627 \u0627\u0644\u0641\u0631\u0642 \u0628\u064a\u0646 \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u200b \u061f \u0627\u0644\u0631\u0628\u0648 \u0648\u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u200b (COPD) \u0645\u0631\u0636\u0627\u0646 \u0631\u0626\u0648\u064a\u0627\u0646 \u0645\u0632\u0645\u0646\u0627\u0646 \u064a\u0633\u0628\u0628\u0627\u0646 \u0636\u064a\u0642 \u062a\u0646\u0641\u0633 \u0648\u0633\u0639\u0627\u0644 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