ОГЛАВЛЕНИЕ
ÑÏÈÑÎÊ ÀÂÒÎÐÎÂ ......................................................................................................
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 ÂÅÙÅÑÒÂ ......
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 Â ÁÅËÊÅ È ÝÍÅÐÃÈÈ .......................................
145
ÏÎÒÐÅÁÍÎÑÒÜ Â ÁÅËÊÅ ............................................................................................... 145
ÏÎÒÐÅÁÍÎÑÒÜ Â ÝÍÅÐÃÈÈ ......................................................................................... 151
Ãëàâà 6
ÐÎËÜ ÂÈÒÀÌÈÍÎÂ Â ÏÈÒÀÍÈÈ È ÊÎÐÐÅÊÖÈß ÍÀÐÓØÅÍÈÉ
ÂÈÒÀÌÈÍÍÎÃÎ ÎÁÌÅÍÀ ............................................................................................
157
ÊËÀÑÑÈÔÈÊÀÖÈß ÂÈÒÀÌÈÍÎÂ .................................................................................... 158
ÏÐÈ×ÈÍÛ ÍÅÀÄÅÊÂÀÒÍÎÉ ÎÁÅÑÏÅ×ÅÍÍÎÑÒÈ ÎÐÃÀÍÈÇÌÀ
ÂÈÒÀÌÈÍÀÌÈ .............................................................................................................. 158
ÂÎÄÎÐÀÑÒÂÎÐÈÌÛÅ ÂÈÒÀÌÈÍÛ .................................................................................. 160
ÆÈÐÎÐÀÑÒÂÎÐÈÌÛÅ ÂÈÒÀÌÈÍÛ ................................................................................. 177
Ãëàâà 7
ÐÎËÜ ÌÈÊÐÎ- È ÌÀÊÐÎÝËÅÌÅÍÒÎÂ Â ÏÈÒÀÍÈÈ ................................................
187
ÌÀÊÐÎÝËÅÌÅÍÒÛ ............................................................................................................. 187
ÌÈÊÐÎÝËÅÌÅÍÒÛ ............................................................................................................. 221
Ãëàâà 8
ÏÈÙÅÂÀß È ÁÈÎËÎÃÈ×ÅÑÊÀß ÖÅÍÍÎÑÒÜ ÏÐÎÄÓÊÒΠÏÈÒÀÍÈß ................
229
ÎÖÅÍÊÀ ÏÐÎÄÓÊÒÎÂ ÏÈÒÀÍÈß .................................................................................... 230
ÏÈÙÅÂÀß ÖÅÍÍÎÑÒÜ ÏÐÎÄÓÊÒÎÂ ÏÈÒÀÍÈß ........................................................... 233
ÕÀÐÀÊÒÅÐÈÑÒÈÊÀ ÏÈÙÅÂÎÉ ÖÅÍÍÎÑÒÈ ÍÅÊÎÒÎÐÛÕ ÃÐÓÏÏ
ÏÐÎÄÓÊÒÎÂ ................................................................................................................... 235
Ãëàâà 9
ÎÑÍÎÂÛ ËÅ×ÅÁÍÎÉ ÊÓËÈÍÀÐÈÈ ...........................................................................
247
ÏÅÐÂÈ×ÍÀß ÎÁÐÀÁÎÒÊÀ ÏÐÎÄÓÊÒΠ.......................................................................... 247
ÒÅÏËÎÂÀß ÎÁÐÀÁÎÒÊÀ ÏÐÎÄÓÊÒÎÂ ............................................................................. 256
ÈÇÌÅÍÅÍÈÅ ÏÈÙÅÂÛÕ ÏÐÎÄÓÊÒÎÂ ÏÐÈ 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
ÑÎÑÒÀÂ ............................................................................................................................... 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 ÂÅÙÅÑÒÂ 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 ÏÐÎÄÓÊÒÎÂ ..................................................................... 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 ÏÐÎÄÓÊÒÎÂ ÏÈÒÀÍÈß ............................................................................ 519
Ãëàâà 24
ÏÈÙÅÂÛÅ ÎÒÐÀÂËÅÍÈß (ÒÎÊÑÈÊÎÈÍÔÅÊÖÈÈ) È ÈÕ ÏÐÎÔÈËÀÊÒÈÊÀ ....
522
ÏÈÙÅÂÀß ÒÎÊÑÈÊÎÈÍÔÅÊÖÈß .................................................................................. 523
ÏÈÙÅÂÛÅ ÎÒÐÀÂËÅÍÈß, ÎÁÓÑËÎÂËÅÍÍÛÅ ÏÎÏÀÄÀÍÈÅÌ
 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
ÍÓÒÐÈÅÍÒÎÂ ................................................................................................................ 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 ÑÓÑÒÀÂÎÂ .....................................................................
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 Â 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 ÔÀÊÒÎÐÎÂ ................................................................................................
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
Îãëàâëåíèå
19
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