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Диетология, 2012 (2)
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ÑÏÈÑÎÊ ÀÂÒÎÐΠ...................................................................................................... 19 ÑÏÈÑÎÊ ÎÑÍÎÂÍÛÕ ÑÎÊÐÀÙÅÍÈÉ .................................................................. 20 ÏÐÅÄÈÑËÎÂÈÅ ............................................................................................................. 22 Ãëàâà 1 ÊÐÀÒÊÈÉ ÈÑÒÎÐÈ×ÅÑÊÈÉ Î×ÅÐÊ. ÑÎÂÐÅÌÅÍÍÀß ÄÈÅÒÎËÎÃÈß ......... 24 Ãëàâà 2 ÎÑÍÎÂÛ ÔÈÇÈÎËÎÃÈÈ È ÏÀÒÎÔÈÇÈÎËÎÃÈÈ ÏÈÙÅÂÀÐÅÍÈß ........... 42 ÎÑÍÎÂÍÛÅ ÒÈÏÛ ÏÈÙÅÂÀÐÅÍÈß .......................................................................... 44 ÐÎÒÎÂÀß ÏÎËÎÑÒÜ È ÏÈÙÅÂÎÄ ............................................................................... 49 ÆÅËÓÄÎÊ .............................................................................................................................. 53 ÒÎÍÊÀß ÊÈØÊÀ ................................................................................................................ 60 ÒÎËÑÒÀß ÊÈØÊÀ .............................................................................................................. 77 ÏÎÄÆÅËÓÄÎ×ÍÀß ÆÅËÅÇÀ ........................................................................................... 83 ÁÈËÈÀÐÍÛÉ ÒÐÀÊÒ ......................................................................................................... 88 Ãëàâà 3 ÁÀÇÈÑÍÛÅ ÑÂÅÄÅÍÈß Î ÂÀÆÍÅÉØÈÕ ÂÈÄÀÕ ÎÁÌÅÍÀ ÂÅÙÅÑÒ ...... 92 ÁÅËÊÈ ................................................................................................................................... 92 ÓÃËÅÂÎÄÛ ............................................................................................................................ 99 ÆÈÐÛ ................................................................................................................................... 103 Ãëàâà 4 ÍÀÓ×ÍÛÅ ÎÑÍÎÂÛ ÏÈÒÀÍÈß ÇÄÎÐÎÂÎÃÎ È ÁÎËÜÍÎÃÎ ×ÅËÎÂÅÊÀ (Í. Í. Èåçóèòîâà, À. Ì. Òèìîôååâà) ................................................................................ 111 ÃÈÏÎÒÅÒÈ×ÅÑÊÈÉ ×ÅËÎÂÅÊ ÁÓÄÓÙÅÃÎ È ÅÃÎ ÏÈÒÀÍÈÅ ..................................... 115 ÊÐÈÒÈ×ÅÑÊÎÅ ÐÀÑÑÌÎÒÐÅÍÈÅ ÎÑÍÎÂÍÛÕ ÑËÅÄÑÒÂÈÉ ÒÅÎÐÈÈ ÑÁÀËÀÍÑÈÐÎÂÀÍÍÎÃÎ ÏÈÒÀÍÈß .......................................................................... 120 7 8 Оглавление ÒÐÈ ÒÈÏÀ ÏÈÙÅÂÀÐÅÍÈß ......................................................................................... 122 ÒÅÎÐÈß ÀÄÅÊÂÀÒÍÎÃÎ ÏÈÒÀÍÈß ........................................................................... 124 Ãëàâà 5 ÏÎÒÐÅÁÍÎÑÒÈ ÎÐÃÀÍÈÇÌÀ  ÁÅËÊÅ È ÝÍÅÐÃÈÈ ....................................... 145 ÏÎÒÐÅÁÍÎÑÒÜ Â ÁÅËÊÅ ............................................................................................... 145 ÏÎÒÐÅÁÍÎÑÒÜ Â ÝÍÅÐÃÈÈ ......................................................................................... 151 Ãëàâà 6 ÐÎËÜ ÂÈÒÀÌÈÍΠ ÏÈÒÀÍÈÈ È ÊÎÐÐÅÊÖÈß ÍÀÐÓØÅÍÈÉ ÂÈÒÀÌÈÍÍÎÃÎ ÎÁÌÅÍÀ ............................................................................................ 157 ÊËÀÑÑÈÔÈÊÀÖÈß ÂÈÒÀÌÈÍΠ.................................................................................... 158 ÏÐÈ×ÈÍÛ ÍÅÀÄÅÊÂÀÒÍÎÉ ÎÁÅÑÏÅ×ÅÍÍÎÑÒÈ ÎÐÃÀÍÈÇÌÀ ÂÈÒÀÌÈÍÀÌÈ .............................................................................................................. 158 ÂÎÄÎÐÀÑÒÂÎÐÈÌÛÅ ÂÈÒÀÌÈÍÛ .................................................................................. 160 ÆÈÐÎÐÀÑÒÂÎÐÈÌÛÅ ÂÈÒÀÌÈÍÛ ................................................................................. 177 Ãëàâà 7 ÐÎËÜ ÌÈÊÐÎ- È ÌÀÊÐÎÝËÅÌÅÍÒΠ ÏÈÒÀÍÈÈ ................................................ 187 ÌÀÊÐÎÝËÅÌÅÍÒÛ ............................................................................................................. 187 ÌÈÊÐÎÝËÅÌÅÍÒÛ ............................................................................................................. 221 Ãëàâà 8 ÏÈÙÅÂÀß È ÁÈÎËÎÃÈ×ÅÑÊÀß ÖÅÍÍÎÑÒÜ ÏÐÎÄÓÊÒΠÏÈÒÀÍÈß ................ 229 ÎÖÅÍÊÀ ÏÐÎÄÓÊÒΠÏÈÒÀÍÈß .................................................................................... 230 ÏÈÙÅÂÀß ÖÅÍÍÎÑÒÜ ÏÐÎÄÓÊÒΠÏÈÒÀÍÈß ........................................................... 233 ÕÀÐÀÊÒÅÐÈÑÒÈÊÀ ÏÈÙÅÂÎÉ ÖÅÍÍÎÑÒÈ ÍÅÊÎÒÎÐÛÕ ÃÐÓÏÏ ÏÐÎÄÓÊÒΠ................................................................................................................... 235 Ãëàâà 9 ÎÑÍÎÂÛ ËÅ×ÅÁÍÎÉ ÊÓËÈÍÀÐÈÈ ........................................................................... 247 ÏÅÐÂÈ×ÍÀß ÎÁÐÀÁÎÒÊÀ ÏÐÎÄÓÊÒΠ.......................................................................... 247 ÒÅÏËÎÂÀß ÎÁÐÀÁÎÒÊÀ ÏÐÎÄÓÊÒΠ............................................................................. 256 ÈÇÌÅÍÅÍÈÅ ÏÈÙÅÂÛÕ ÏÐÎÄÓÊÒΠÏÐÈ ÒÅÏËÎÂÎÉ ÎÁÐÀÁÎÒÊÅ ..................... 260 ÎÑÎÁÅÍÍÎÑÒÈ ÒÅÕÍÎËÎÃÈÈ ÏÐÈÃÎÒÎÂËÅÍÈß ËÅ×ÅÁÍÛÕ ÁËÞÄ .................... 263 8 Оглавление 9 Ãëàâà 10 ÏÈÒÀÍÈÅ ÂÇÐÎÑËÎÃÎ ÍÀÑÅËÅÍÈß .................................................................. 283 ÊËÈÌÀÒÎÃÅÎÃÐÀÔÈ×ÅÑÊÈÅ, ÍÀÖÈÎÍÀËÜÍÛÅ, ÝÊÎÍÎÌÈ×ÅÑÊÈÅ È ÄÐÓÃÈÅ ÎÑÎÁÅÍÍÎÑÒÈ ÏÈÒÀÍÈß ..................................................................... 283 ÏÐÈÍÖÈÏÛ ÐÀÖÈÎÍÀËÜÍÎÃÎ ÏÈÒÀÍÈß .................................................................. 285 «ÏÈÐÀÌÈÄÀ ÏÈÒÀÍÈß» .................................................................................................. 286 Ãëàâà 11 ÏÈÒÀÍÈÅ ÁÅÐÅÌÅÍÍÛÕ, ÐÎÆÅÍÈÖ È ÊÎÐÌßÙÈÕ ÆÅÍÙÈÍ ...................... 289 ÎÖÅÍÊÀ ÍÓÒÐÈÖÈÎÍÍÎÃÎ ÑÒÀÒÓÑÀ È ÝÍÅÐÃÅÒÈ×ÅÑÊÈÕ ÏÎÒÐÅÁÍÎÑÒÅÉ ÁÅÐÅÌÅÍÍÛÕ È ÊÎÐÌßÙÈÕ ÌÀÒÅÐÅÉ ................................ 290 ÏÈÒÀÍÈÅ ÁÅÐÅÌÅÍÍÛÕ ÆÅÍÙÈÍ (ÏÐÈ ÍÅÎÑËÎÆÍÅÍÍÛÕ ÁÅÐÅÌÅÍÍÎÑÒÈ È ÐÎÄÀÕ) ....................................................................................... 298 ÏÈÒÀÍÈÅ ÐÎÆÅÍÈÖ È ÊÎÐÌßÙÈÕ ÆÅÍÙÈÍ ......................................................... 308 Ãëàâà 12 ÏÈÒÀÍÈÅ ÏÎÆÈËÛÕ ËÈÖ ......................................................................................... 312 ÏÈÙÅÂÀÐÈÒÅËÜÍÀß ÑÈÑÒÅÌÀ ÏÐÈ ÑÒÀÐÅÍÈÈ ×ÅËÎÂÅÊÀ ................................. 313 ÏÈÒÀÍÈÅ ËÈÖ ÑÒÀÐØÈÕ ÂÎÇÐÀÑÒÍÛÕ ÃÐÓÏÏ ......................................................... 317 Ãëàâà 13 ÎÖÅÍÊÀ ÑÎÑÒÎßÍÈß ÏÈÒÀÍÈß .............................................................................. 328 ÏÈÙÅÂÎÉ ÀÍÀÌÍÅÇ È ÀÍÀËÈÇ ÄÈÅÒÛ ..................................................................... 329 ÔÈÇÈÊÀËÜÍÛÉ ÎÑÌÎÒÐ ................................................................................................ 330 ÀÍÒÐÎÏÎÌÅÒÐÈ×ÅÑÊÈÅ ÈÇÌÅÐÅÍÈß È ÀÍÀËÈÇ ÑÎÑÒÀÂÀ ÒÅËÀ ...................... 332 ÁÈÎÕÈÌÈ×ÅÑÊÈÅ ÌÅÒÎÄÛ ........................................................................................... 339 ÈÌÌÓÍÎËÎÃÈ×ÅÑÊÈÅ ÏÎÊÀÇÀÒÅËÈ ......................................................................... 340 ÔÓÍÊÖÈÎÍÀËÜÍÛÅ ÈÑÑËÅÄÎÂÀÍÈß ......................................................................... 341 ÊÎÌÏËÅÊÑÍÛÅ ÌÅÒÎÄÛ ÎÖÅÍÊÈ ÍÓÒÐÈÖÈÎÍÍÎÃÎ ÑÒÀÒÓÑÀ ......................... 342 Ãëàâà 14 ÝÍÒÅÐÀËÜÍÎÅ È ÏÀÐÅÍÒÅÐÀËÜÍÎÅ ÏÈÒÀÍÈÅ .................................................... 346 ÝÍÒÅÐÀËÜÍÎÅ ÏÈÒÀÍÈÅ ................................................................................................ 347 ÏÀÐÅÍÒÅÐÀËÜÍÎÅ ÏÈÒÀÍÈÅ ......................................................................................... 357 9 10 Оглавление Ãëàâà 15 ÏÐÎÄÓÊÒÛ ÄÈÅÒÈ×ÅÑÊÎÃÎ ÏÈÒÀÍÈß ........................................................... 373 ÊËÀÑÑÈÔÈÊÀÖÈß ÏÐÎÄÓÊÒΠÄÈÅÒÈ×ÅÑÊÎÃÎ ÏÈÒÀÍÈß ....................... 373 Ãëàâà 16 ÁÈÎËÎÃÈ×ÅÑÊÈ ÀÊÒÈÂÍÛÅ ÄÎÁÀÂÊÈ ........................................................... 381 ÊËÀÑÑÈÔÈÊÀÖÈß ......................................................................................................... 383 ÑÎÑÒÀ ............................................................................................................................... 386 ÏÐÈÍÖÈÏÛ ÈÑÏÎËÜÇÎÂÀÍÈß ................................................................................ 388 ÐÎËÜ Â ÊËÈÍÈ×ÅÑÊÎÉ ÏÐÀÊÒÈÊÅ ........................................................................ 390 ÐÈÑÊ, ÂÎÇÍÈÊÀÞÙÈÉ ÏÐÈ ÏÐÈÅÌÅ ÁÈÎËÎÃÈ×ÅÑÊÈ ÀÊÒÈÂÍÛÕ ÄÎÁÀÂÎÊ ...................................................................................................................... 392 ÏÈÙÅÂÛÅ ÄÎÁÀÂÊÈ .................................................................................................... 393 Ãëàâà 17 ÂÍÓÒÐÅÍÍÅÅ ÏÐÈÌÅÍÅÍÈÅ ÌÈÍÅÐÀËÜÍÛÕ ÂÎÄ ...................................... 398 ÎÑÍÎÂÍÛÅ ÕÀÐÀÊÒÅÐÈÑÒÈÊÈ ÌÈÍÅÐÀËÜÍÛÕ ÂÎÄ ..................................... 399 Ãëàâà 18 ÑÏÅÖÈÀËÜÍÛÅ ÄÈÅÒÛ ........................................................................................... 416 ÑÏÅÖÈÀËÜÍÛÅ ËÅ×ÅÁÍÛÅ ÄÈÅÒÛ ........................................................................ 416 ÐÀÇÃÐÓÇÎ×ÍÛÅ ÄÈÅÒÛ ................................................................................................ 419 «ÍÅÒÐÀÄÈÖÈÎÍÍÎÅ» ÏÈÒÀÍÈÅ .............................................................................. 422 Ãëàâà 19 ÐÀÇÃÐÓÇÎ×ÍÎ-ÄÈÅÒÈ×ÅÑÊÀß ÒÅÐÀÏÈß .......................................................... 429 ÎÑÎÁÅÍÍÎÑÒÈ ÎÁÌÅÍÀ ÂÅÙÅÑÒ ÏÐÈ ÃÎËÎÄÀÍÈÈ .................................. 430 ÏÎÊÀÇÀÍÈß È ÏÐÎÒÈÂÎÏÎÊÀÇÀÍÈß Ê ËÅ×ÅÍÈÞ ÌÅÒÎÄÎÌ ÐÄÒ ........ 437 ÌÅÒÎÄÈÊÈ ÐÄÒ ............................................................................................................... 439 ÎÑËÎÆÍÅÍÈß ÏÐÈ ÏÐÎÂÅÄÅÍÈÈ ÐÄÒ È ÏÎÌÎÙÜ ÏÐÈ ÍÈÕ ................... 445 Ãëàâà 20 ÏÐÈÌÅÍÅÍÈÅ ÑÎÅÂÛÕ ÏÐÎÄÓÊÒΠ ÊËÈÍÈ×ÅÑÊÎÉ ÄÈÅÒÎËÎÃÈÈ 448 ÑÎÑÒÀÂ È ËÅ×ÅÁÍÛÅ ÑÂÎÉÑÒÂÀ ÑÎÅÂÛÕ ÏÐÎÄÓÊÒΠ............................... 449 ÏÐÈÌÅÍÅÍÈÅ ÑÎÅÂÛÕ ÏÐÎÄÓÊÒΠ..................................................................... 458 10 Оглавление 11 Ãëàâà 21 ÎÐÃÀÍÈÇÀÖÈÎÍÍÛÅ ÎÑÍÎÂÛ ÏÈÒÀÍÈß Â ËÅ×ÅÁÍÎ- ÏÐÎÔÈËÀÊÒÈ×ÅÑÊÈÕ Ó×ÐÅÆÄÅÍÈßÕ .................................................................. 485 ÍÎÐÌÀÒÈÂÍÛÅ ÄÎÊÓÌÅÍÒÛ, ÐÅÃËÀÌÅÍÒÈÐÓÞÙÈÅ ÎÐÃÀÍÈÇÀÖÈÎÍÍÛÅ ÎÑÍÎÂÛ ÏÈÒÀÍÈß Â ËÅ×ÅÁÍÎ- ÏÐÎÔÈËÀÊÒÈ×ÅÑÊÈÕ Ó×ÐÅÆÄÅÍÈßÕ ................................................................ 485 ÔÓÍÊÖÈÎÍÀËÜÍÛÅ ÎÁßÇÀÍÍÎÑÒÈ ÂÐÀ×À-ÄÈÅÒÎËÎÃÀ ....................................... 490 ÔÓÍÊÖÈÎÍÀËÜÍÛÅ ÎÁßÇÀÍÍÎÑÒÈ ÄÈÅÒÑÅÑÒÐÛ .................................................. 491 ÑÎÂÅÒ ÏÎ ËÅ×ÅÁÍÎÌÓ ÏÈÒÀÍÈÞ ............................................................................... 492 ÔÓÍÊÖÈÎÍÀËÜÍÛÅ ÎÁßÇÀÍÍÎÑÒÈ ÑÎÒÐÓÄÍÈÊΠËÏÓ ÏÐÈ ÎÐÃÀÍÈÇÀÖÈÈ ËÅ×ÅÁÍÎÃÎ ÏÈÒÀÍÈß .................................................................. 493 ÏÎÐßÄÎÊ ÂÛÏÈÑÊÈ ÏÈÒÀÍÈß ÄËß ÁÎËÜÍÛÕ Â ËÏÓ ............................................ 495 ÏÎÐßÄÎÊ ÊÎÍÒÐÎËß ÇÀ ÊÀ×ÅÑÒÂÎÌ ÃÎÒÎÂÎÉ ÏÈÙÈ Â ËÏÓ .............................. 496 ÐÅÊÎÌÅÍÄÀÖÈÈ ÏÎ ÎÁÎÐÓÄÎÂÀÍÈÞ ÏÈÙÅÁËÎÊÀ È ÁÓÔÅÒÍÛÕ ................... 497 ÒÐÀÍÑÏÎÐÒÈÐÎÂÊÀ ÃÎÒÎÂÎÉ ÏÈÙÈ .......................................................................... 498 Ãëàâà 22 ÑÀÍÈÒÀÐÍÎ-ÃÈÃÈÅÍÈ×ÅÑÊÈÅ ÒÐÅÁÎÂÀÍÈß Ê ÏÈÙÅÁËÎÊÀÌ Â ËÅ×ÅÁÍÎ-ÏÐÎÔÈËÀÊÒÈ×ÅÑÊÈÕ Ó×ÐÅÆÄÅÍÈßÕ ........... 499 ÑÀÍÈÒÀÐÍÎ-ÃÈÃÈÅÍÈ×ÅÑÊÈÉ ÐÅÆÈÌ ÏÈÙÅÁËÎÊÀ È ÁÓÔÅÒÍÛÕ ................... 500 ÎÑÍÎÂÍÛÅ ÑÀÍÈÒÀÐÍÎ-ÃÈÃÈÅÍÈ×ÅÑÊÈÅ ÒÐÅÁÎÂÀÍÈß Ê ÏÈÙÅÁËÎÊÓ ........ 501 ÑÀÍÈÒÀÐÍÎ-ÃÈÃÈÅÍÈ×ÅÑÊÈÅ ÒÐÅÁÎÂÀÍÈß Ê ÁÓÔÅÒÍÛÌ ÎÒÄÅËÅÍÈÉ ........ 506 ÏÅÐÅ×ÅÍÜ ÐÀÇÐÅØÅÍÍÛÕ ÄËß ÏÅÐÅÄÀ×È ÏÐÎÄÓÊÒΠ........................................ 508 Ãëàâà 23 ÃÈÃÈÅÍÈ×ÅÑÊÈÅ ÒÐÅÁÎÂÀÍÈß Ê ÏÐÎÄÓÊÒÀÌ ÏÈÒÀÍÈß È ÈÕ ÝÊÑÏÅÐÒÈÇÀ ....................................................................................................... 510 ÃÈÃÈÅÍÈ×ÅÑÊÈÅ ÒÐÅÁÎÂÀÍÈß Ê ÏÐÎÄÓÊÒÀÌ ÏÈÒÀÍÈß ..................................... 510 ÝÊÑÏÅÐÒÈÇÀ ÏÐÎÄÓÊÒΠÏÈÒÀÍÈß ............................................................................ 519 Ãëàâà 24 ÏÈÙÅÂÛÅ ÎÒÐÀÂËÅÍÈß (ÒÎÊÑÈÊÎÈÍÔÅÊÖÈÈ) È ÈÕ ÏÐÎÔÈËÀÊÒÈÊÀ .... 522 ÏÈÙÅÂÀß ÒÎÊÑÈÊÎÈÍÔÅÊÖÈß .................................................................................. 523 ÏÈÙÅÂÛÅ ÎÒÐÀÂËÅÍÈß, ÎÁÓÑËÎÂËÅÍÍÛÅ ÏÎÏÀÄÀÍÈÅÌ Â ÎÐÃÀÍÈÇÌ ×ÅËÎÂÅÊÀ ÆÈÂÛÕ ÂÎÇÁÓÄÈÒÅËÅÉ ÇÀÁÎËÅÂÀÍÈÉ ................. 527 11 12 Оглавление Ãëàâà 25 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÏÈÙÅÂÎÄÀ, ÆÅËÓÄÊÀ È ÄÂÅÍÀÄÖÀÒÈÏÅÐÑÒÍÎÉ ÊÈØÊÈ ..................................................... 531 ÏÐÈÍÖÈÏÛ ÏÈÒÀÍÈß ÁÎËÜÍÛÕ ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÏÈÙÅÂÎÄÀ, ÆÅËÓÄÊÀ È ÄÂÅÍÀÄÖÀÒÈÏÅÐÑÒÍÎÉ ÊÈØÊÈ .................................................... 531 ÎÑÍÎÂÍÛÅ ÄÈÅÒÛ, ÏÐÈÌÅÍßÅÌÛÅ Â ËÏÓ ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÏÈÙÅÂÎÄÀ, ÆÅËÓÄÊÀ È ÄÂÅÍÀÄÖÀÒÈÏÅÐÑÒÍÎÉ ÊÈØÊÈ .......................... 534 Ãëàâà 26 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÊÈØÅ×ÍÈÊÀ ............................... 549 ÏÈÒÀÍÈÅ ÏÐÈ ÄÈÀÐÅÅ .................................................................................................... 550 ÌÎÄÈÔÈÊÀÖÈß ÐÀÖÈÎÍÀ  ÑÂßÇÈ Ñ ÇÀÁÎËÅÂÀÍÈÅÌ ÊÈØÅ×ÍÈÊÀ .............. 556 ÏÈÒÀÍÈÅ ÏÐÈ ÇÀÏÎÐÅ .................................................................................................... 557 ÏÈÒÀÍÈÅ ÏÐÈ ÈÇÁÛÒÎ×ÍÎÌ ÃÀÇÎÎÁÐÀÇÎÂÀÍÈÈ Â ÊÈØÅ×ÍÈÊÅ ..................... 564 ÐÎËÜ ÏÈÒÀÍÈß Â ÊÎÐÐÅÊÖÈÈ ÑÎÑÒÀÂÀ ÊÈØÅ×ÍÎÉ ÌÈÊÐÎÔËÎÐÛ ............... 564 ÏÈÒÀÍÈÅ ÏÐÈ ÖÅËÈÀÊÈÈ ............................................................................................. 566 ÏÈÒÀÍÈÅ ÏÐÈ ÔÅÐÌÅÍÒÎÏÀÒÈßÕ .............................................................................. 569 ÏÈÒÀÍÈÅ ÏÐÈ ÄÈÂÅÐÒÈÊÓËßÐÍÎÉ ÁÎËÅÇÍÈ .......................................................... 571 ÍÓÒÐÈÖÈÎÍÍÀß ÏÎÄÄÅÐÆÊÀ ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÊÈØÅ×ÍÈÊÀ ................... 572 Ãëàâà 27 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÏÅ×ÅÍÈ È ÆÅË×ÍÛÕ ÏÓÒÅÉ ............. 574 ÏÐÈÍÖÈÏÛ ÏÈÒÀÍÈß ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÏÅ×ÅÍÈ È ÆÅË×ÅÂÛÂÎÄßÙÈÕ ÏÓÒÅÉ ................................................................................. 574 ÎÑÒÐÛÉ ÕÎËÅÖÈÑÒÈÒ, ÎÁÎÑÒÐÅÍÈÅ ÕÐÎÍÈ×ÅÑÊÎÃÎ ÕÎËÅÖÈÑÒÈÒÀ ............. 579 ÕÐÎÍÈ×ÅÑÊÈÉ ÕÎËÅÖÈÑÒÈÒ ÂÍÅ ÎÁÎÑÒÐÅÍÈß .................................................... 579 ÆÅË×ÍÎÊÀÌÅÍÍÀß ÁÎËÅÇÍÜ ....................................................................................... 580 ÎÑÒÐÛÉ ÃÅÏÀÒÈÒ .............................................................................................................. 581 ÀËÊÎÃÎËÜÍÀß ÁÎËÅÇÍÜ ÏÅ×ÅÍÈ ................................................................................ 582 ÕÐÎÍÈ×ÅÑÊÈÉ ÃÅÏÀÒÈÒ ................................................................................................ 584 ÖÈÐÐÎÇ ÏÅ×ÅÍÈ ............................................................................................................... 585 ÏÅ×ÅÍÎ×ÍÀß ÝÍÖÅÔÀËÎÏÀÒÈß ................................................................................. 585 ÀÑÖÈÒ .................................................................................................................................. 586 ÍÀÑËÅÄÑÒÂÅÍÍÛÅ ÇÀÁÎËÅÂÀÍÈß Ñ ÍÀÐÓØÅÍÈÅÌ ÌÅÒÀÁÎËÈÇÌÀ ÍÓÒÐÈÅÍÒΠ................................................................................................................ 588 12 Оглавление 13 Ãëàâà 28 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÏÎÄÆÅËÓÄÎ×ÍÎÉ ÆÅËÅÇÛ ...... 590 ÏÈÒÀÍÈÅ ÏÐÈ ÎÑÒÐÎÌ ÏÀÍÊÐÅÀÒÈÒÅ È ÎÁÎÑÒÐÅÍÈÈ ÕÐÎÍÈ×ÅÑÊÎÃÎ ÏÀÍÊÐÅÀÒÈÒÀ .............................................................................. 592 ÏÈÒÀÍÈÅ ÊÀÊ ÔÀÊÒÎÐ ÐÅÀÁÈËÈÒÀÖÈÈ ÁÎËÜÍÛÕ ÏÀÍÊÐÅÀÒÈÒÎÌ ................ 596 ÏÈÒÀÍÈÅ Â ÔÀÇÅ ÐÅÌÈÑÑÈÈ ÎÑÒÐÎÃÎ È ÕÐÎÍÈ×ÅÑÊÎÃÎ ÏÀÍÊÐÅÀÒÈÒÀ ............................................................................................................. 600 ÏÈÒÀÍÈÅ ÏÐÈ ÕÐÎÍÈ×ÅÑÊÎÌ ÏÀÍÊÐÅÀÒÈÒÅ Ñ ÈÍÊÐÅÒÎÐÍÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÜÞ ................................................................................................ 602 Ãëàâà 29 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÑÅÐÄÅ×ÍÎ-ÑÎÑÓÄÈÑÒÎÉ ÑÈÑÒÅÌÛ .. 605 ÀÒÅÐÎÑÊËÅÐÎÇ È ÇÀÁÎËÅÂÀÍÈß ÑÅÐÄÅ×ÍÎ-ÑÎÑÓÄÈÑÒÎÉ ÑÈÑÒÅÌÛ ............ 606 ÄÈÅÒÀ È ÀÒÅÐÎÑÊËÅÐÎÇ .................................................................................................. 611 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÀÐÒÅÐÈÀËÜÍÎÉ ÃÈÏÅÐÒÅÍÇÈÈ ................................... 622 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ Ñ ÎÑÒÐÛÌ ÈÍÔÀÐÊÒÎÌ ÌÈÎÊÀÐÄÀ .................................... 628 Ãëàâà 30 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÎÐÃÀÍΠÄÛÕÀÍÈß ............................... 633 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ Ñ ÕÐÎÍÈ×ÅÑÊÈÌÈ ÇÀÁÎËÅÂÀÍÈßÌÈ ËÅÃÊÈÕ ................. 634 ÏÈÒÀÍÈÅ ÏÐÈ ÎÑÒÐÛÕ ÇÀÁÎËÅÂÀÍÈßÕ ËÅÃÊÈÕ .................................................... 642 Ãëàâà 31 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÏÎ×ÅÊ È ÌÎ×ÅÂÛÕ ÏÓÒÅÉ ................ 646 ÌÅÒÀÁÎËÈ×ÅÑÊÈÅ ÍÀÐÓØÅÍÈß ÏÐÈ ÏÎ×Å×ÍÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ .......... 646 ÏÐÈÍÖÈÏÛ ÄÈÅÒÎÒÅÐÀÏÈÈ ÏÐÈ ÕÐÎÍÈ×ÅÑÊÎÉ ÏÎ×Å×ÍÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ .................................................................................................... 651 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ Ñ ÕÐÎÍÈ×ÅÑÊÎÉ ÏÎ×Å×ÍÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÜÞ È ÄÐÓÃÈÌÈ ÇÀÁÎËÅÂÀÍÈßÌÈ ÏÎ×ÅÊ ....................... 658 Ãëàâà 32 ÏÈÒÀÍÈÅ ÏÐÈ ÁÎËÅÇÍßÕ ÑÓÑÒÀÂΠ..................................................................... 673 ÂËÈßÍÈÅ ÍÓÒÐÈÅÍÒΠÍÀ ÑÒÐÓÊÒÓÐÓ È ÌÅÒÀÁÎËÈÇÌ ÑÎÅÄÈÍÈÒÅËÜÍÎÉ ÒÊÀÍÈ ............................................................................................................................ 674 ÂËÈßÍÈÅ ÍÓÒÐÈÅÍÒΠÍÀ ÂÎÑÏÀËÅÍÈÅ È ÈÌÌÓÍÍÛÉ ÎÒÂÅÒ ....................... 675 13 14 Оглавление ÏÎÄÀÃÐÀ ............................................................................................................................. 676 ÀÐÒÐÎÇ ÏÐÈ ÍÀÐÓØÅÍÈßÕ ËÈÏÈÄÍÎÃÎ ÎÁÌÅÍÀ ......................................... 684 ÎÑÒÅÎÏÎÐÎÇ .................................................................................................................... 685 Ãëàâà 33 ÏÈÒÀÍÈÅ ÏÐÈ ÑÀÕÀÐÍÎÌ ÄÈÀÁÅÒÅ È ÄÐÓÃÈÕ ÝÍÄÎÊÐÈÍÍÛÕ ÁÎËÅÇÍßÕ ........................................................................................ 691 ÝÒÈÎÏÀÒÎÃÅÍÅÇ È ÄÈÀÃÍÎÑÒÈÊÀ ÑÀÕÀÐÍÎÃÎ ÄÈÀÁÅÒÀ ................................... 692 ÄÈÅÒÎÒÅÐÀÏÈß ÑÀÕÀÐÍÎÃÎ ÄÈÀÁÅÒÀ ....................................................................... 699 ÏÈÒÀÍÈÅ ÏÐÈ ÇÀÁÎËÅÂÀÍÈßÕ ÙÈÒÎÂÈÄÍÎÉ ÆÅËÅÇÛ ....................................... 722 Ãëàâà 34 ÎÆÈÐÅÍÈÅ ................................................................................................................... 726 ÝÒÈÎÏÀÒÎÃÅÍÅÇ ÎÆÈÐÅÍÈß ........................................................................................ 726 ÊËÀÑÑÈÔÈÊÀÖÈß È ÄÈÀÃÍÎÑÒÈÊÀ ÎÆÈÐÅÍÈß ................................................... 732 ËÅ×ÅÍÈÅ ÎÆÈÐÅÍÈß ...................................................................................................... 733 Ãëàâà 35 ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÀß ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÜ ............................................. 752 ÏÐÈ×ÈÍÛ ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ ............................. 752 ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÎÑÒÜ ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ ................................................................................................... 753 ÏÀÒÎÃÅÍÅÇ ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ ............................ 754 ÔÎÐÌÛ ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ .................................. 756 ÎÑËÎÆÍÅÍÈß ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ ..................... 757 ËÅ×ÅÍÈÅ ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÎÉ ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÈ ................................ 761 Ãëàâà 36 ÏÈÙÅÂÀß ÍÅÏÅÐÅÍÎÑÈÌÎÑÒÜ ............................................................................. 764 ÊËÀÑÑÈÔÈÊÀÖÈß ÏÀÒÎËÎÃÈ×ÅÑÊÈÕ ÐÅÀÊÖÈÉ ÍÀ ÏÈÙÅÂÛÅ ÏÐÎÄÓÊÒÛ .................................................................................................................... 764 ÈÑÒÈÍÍÀß ÏÈÙÅÂÀß ÀËËÅÐÃÈß ................................................................................ 768 ÄÈÀÃÍÎÑÒÈÊÀ ÏÈÙÅÂÎÉ ÍÅÏÅÐÅÍÎÑÈÌÎÑÒÈ ..................................................... 788 ËÅ×ÅÍÈÅ ÏÈÙÅÂÎÉ ÍÅÏÅÐÅÍÎÑÈÌÎÑÒÈ ................................................................ 797 14 Оглавление 15 Ãëàâà 37 ÏÈÒÀÍÈÅ Â ÏÐÎÔÈËÀÊÒÈÊÅ È ËÅ×ÅÍÈÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ È ÃÅÌÀÒÎËÎÃÈ×ÅÑÊÈÕ ÁÎËÅÇÍÅÉ .................................. 802 ÏÈÒÀÍÈÅ Â ËÅ×ÅÍÈÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÁÎËÜÍÛÕ ............................................. 802 ÁÅËÊÎÂÎ-ÝÍÅÐÃÅÒÈ×ÅÑÊÀß ÍÅÄÎÑÒÀÒÎ×ÍÎÑÒÜ ÏÐÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÇÀÁÎËÅÂÀÍÈßÕ ............................................................ 804 ÍÓÒÐÈÖÈÎÍÍÀß ÏÎÄÄÅÐÆÊÀ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÁÎËÜÍÛÕ ............................. 808 ÏÈÒÀÍÈÅ ÏÐÈ ÃÅÌÀÒÎËÎÃÈ×ÅÑÊÈÕ ÇÀÁÎËÅÂÀÍÈßÕ ........................................... 809 ÄÈÅÒÈ×ÅÑÊÀß ÏÐÎÔÈËÀÊÒÈÊÀ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÇÀÁÎËÅÂÀÍÈÉ ................ 819 Ãëàâà 38 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÈÍÔÅÊÖÈÎÍÍÛÕ ÁÎËÅÇÍßÕ ................................. 827 ÏÈÒÀÍÈÅ ÏÐÈ ÂÛÐÀÆÅÍÍÎÌ ÈÍÔÅÊÖÈÎÍÍÎ-ÒÎÊÑÈ×ÅÑÊÎÌ ÑÈÍÄÐÎÌÅ ÁÅÇ ÏÎÐÀÆÅÍÈß ÆÅËÓÄÎ×ÍÎ-ÊÈØÅ×ÍÎÃÎ ÒÐÀÊÒÀ ....................................... 829 ÏÈÒÀÍÈÅ ÏÐÈ ÎÑÒÐÛÕ ÊÈØÅ×ÍÛÕ ÈÍÔÅÊÖÈßÕ ................................................. 834 ÏÈÒÀÍÈÅ ÏÐÈ ÈÍÔÅÊÖÈÎÍÍÛÕ ÇÀÁÎËÅÂÀÍÈßÕ Ñ ÏÐÅÈÌÓÙÅÑÒÂÅÍÍÛÌ ÏÎÐÀÆÅÍÈÅÌ ÖÅÍÒÐÀËÜÍÎÉ ÍÅÐÂÍÎÉ ÑÈÑÒÅÌÛ ........................................ 839 ÎÑÎÁÅÍÍÎÑÒÈ ÏÈÒÀÍÈß ÏÐÈ ÂÈ×-ÈÍÔÅÊÖÈÈ ..................................................... 841 ÏÈÒÀÍÈÅ ÏÐÈ ÒÓÁÅÐÊÓËÅÇÅ ......................................................................................... 842 Ãëàâà 39 ÏÈÒÀÍÈÅ Â ÏÐÅÄ- È ÏÎÑËÅÎÏÅÐÀÖÈÎÍÍÎÌ ÏÅÐÈÎÄÅ .................................. 846 ÌÅÒÀÁÎËÈ×ÅÑÊÈÅ ÀÑÏÅÊÒÛ ÎÏÅÐÀÒÈÂÍÛÕ ÂÌÅØÀÒÅËÜÑÒ .......................... 846 ÍÓÒÐÈÖÈÎÍÍÀß ÏÎÄÄÅÐÆÊÀ  ÏÐÅÄ- È ÏÎÑËÅÎÏÅÐÀÖÈÎÍÍÎÌ ÏÅÐÈÎÄÅ ....................................................................................................................... 848 ÏÈÒÀÍÈÅ Â ÏÎÑËÅÎÏÅÐÀÖÈÎÍÍÎÌ ÏÅÐÈÎÄÅ ......................................................... 851 Ãëàâà 40 ÏÈÒÀÍÈÅ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÎÐÃÀÍÀÕ ÏÈÙÅÂÀÐÅÍÈß ............................. 858 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÏÈÙÅÂÎÄÅ ........................................ 858 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÆÅËÓÄÊÅ È ÄÂÅÍÀÄÖÀÒÈÏÅÐÑÒÍÎÉ ÊÈØÊÅ ............................................................................ 861 ÏÈÒÀÍÈÅ ÏÐÈ ÏÎÑÒÃÀÑÒÐÎÐÅÇÅÊÖÈÎÍÍÛÕ ÑÈÍÄÐÎÌÀÕ ................................. 862 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÊÈØÅ×ÍÈÊÅ .................................... 867 15 16 Оглавление ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÏÅ×ÅÍÈ ................................... 871 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÆÅË×ÅÂÛÂÎÄßÙÈÕ ÏÓÒßÕ ............................................................................................................................ 872 ÏÈÒÀÍÈÅ ÁÎËÜÍÛÕ ÏÎÑËÅ ÎÏÅÐÀÖÈÉ ÍÀ ÏÎÄÆÅËÓÄÎ×ÍÎÉ ÆÅËÅÇÅ .......... 879 Ãëàâà 41 ÏÈÒÀÍÈÅ ÏÐÈ ÒÐÀÂÌÀÕ È ÎÆÎÃÎÂÎÉ ÁÎËÅÇÍÈ ............................................... 883 ÏÈÒÀÍÈÅ ÏÐÈ ÒÐÀÂÌÀÒÈ×ÅÑÊÎÉ ÁÎËÅÇÍÈ ............................................................ 883 ÏÈÒÀÍÈÅ ÏÐÈ ÎÆÎÃÎÂÎÉ ÁÎËÅÇÍÈ ........................................................................... 888 Ãëàâà 42 ÏÈÒÀÍÈÅ ÏÐÈ ÍÅÁËÀÃÎÏÐÈßÒÍÎÌ ÂÎÇÄÅÉÑÒÂÈÈ ÂÍÅØÍÈÕ ÔÀÊÒÎÐΠ................................................................................................ 893 ÏÈÒÀÍÈÅ ÏÐÈ ÇÀÃÐßÇÍÅÍÈÈ ÑÐÅÄÛ ÐÀÄÈÎÀÊÒÈÂÍÛÌÈ ÂÅÙÅÑÒÂÀÌÈ ...... 893 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ Â ÝÊÎËÎÃÈ×ÅÑÊÈ ÍÅÁËÀÃÎÏÎËÓ×ÍÛÕ ÐÀÉÎÍÀÕ ......... 899 ÇÀÃÐßÇÍÅÍÈÅ ÏÈÙÅÂÛÕ ÏÐÎÄÓÊÒΠÀÃÐÎÕÈÌÈÊÀÒÀÌÈ .................................. 910 Ãëàâà 43 ÏÈÒÀÍÈÅ Â ÏÐÎÔÈËÀÊÒÈÊÅ È ËÅ×ÅÍÈÈ ÏÐÎÔÅÑÑÈÎÍÀËÜÍÛÕ ÇÀÁÎËÅÂÀÍÈÉ ................................................................... 921 ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÎÑÒÜ ÏÐÎÔÅÑÑÈÎÍÀËÜÍÛÕ ÇÀÁÎËÅÂÀÍÈÉ .......................... 921 ÏÈÒÀÍÈÅ ËÈÖ, ÏÎÄÂÅÐÃÀÞÙÈÕÑß ÂÎÇÄÅÉÑÒÂÈÞ ÏÐÎÔÅÑÑÈÎÍÀËÜÍÛÕ ÂÐÅÄÍÎÑÒÅÉ ................................................................................................................ 925 Ãëàâà 44 ËÅ×ÅÁÍÎÅ ÏÈÒÀÍÈÅ ÏÐÈ ÏÑÈÕÈ×ÅÑÊÈÕ ÁÎËÅÇÍßÕ ..................................... 937 ÏÐÈËÎÆÅÍÈß .............................................................................................................. 947 ÍÎÐÌÀÒÈÂÍÛÅ ÀÊÒÛ ............................................................................................... 1002 ÑÏÈÑÎÊ ËÈÒÅÐÀÒÓÐÛ .............................................................................................. 1005 16 17 6 Îãëàâëåíèå 18 |