{"id":9259,"date":"2020-04-23T04:32:54","date_gmt":"2020-04-23T01:32:54","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/lactat-dehidrogenaza-ldh\/"},"modified":"2025-07-01T07:56:44","modified_gmt":"2025-07-01T04:56:44","slug":"lactat-dehidrogenaza-ldh","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/lactat-dehidrogenaza-ldh\/","title":{"rendered":"\u041b\u0430\u043a\u0442\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u0430 (\u041b\u0414\u0413)"},"content":{"rendered":"<p><strong><em>\u041e\u0431\u0449\u0430\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f<\/em><\/strong><\/p>\n<p>LDH este o enzima intracelulara larg distribuita in organism, fiind intalnita cu precadere in rinichi, miocard, musculatura scheletica, creier, ficat si plamani.<\/p>\n<p>Desi cresterile LDH sunt nespecifice, acest test este util pentru confirmarea diagnosticului de infarct miocardic sau pulmonar.\u00a0 In infarctul miocardic persistenta nivelului LDH crescut este mai indelungata decat a celorlalte enzime<sup>1<\/sup>.<\/p>\n<p><strong><em>Recomandari pentru determinarea LDH<\/em><\/strong><\/p>\n<p style=\"padding-left: 30px;\">\u00a0\u2022 diagnosticul retroactiv al infarctului miocardic;<\/p>\n<p style=\"padding-left: 30px;\">\u00a0\u2022 stabilirea gradului de activitate a bolii in alveolita fibrozanta criptogenica si in alveolita alergica extrinseca;<\/p>\n<p style=\"padding-left: 30px;\">\u00a0\u2022 marker al hemolizei <em>\u00a0in vivo<\/em>\u00a0 (anemii hemolitice) sau\u00a0 <em>in vitro <\/em>\u00a0(artefact);<\/p>\n<p style=\"padding-left: 30px;\">\u00a0\u2022 monitorizarea terapiei citostatice in diverse tumori<sup>3<\/sup>.<strong><em>\u00a0<\/em><\/strong><\/p>\n<p><strong><em>Pregatire pacient <\/em><\/strong>\u2013 \u00e0 jeun (pe nemancate) sau postprandial<sup>4;5<\/sup>.<\/p>\n<p><strong><em>Specimen recoltat <\/em><\/strong>- <em>sa<\/em>nge venos<sup>4;5<\/sup>.<\/p>\n<p><strong><em>Recipient de recoltare <\/em><\/strong>\u2013 vacutainer fara anticoagulant cu\/fara gel separator<sup>4;5<\/sup>.<\/p>\n<p><strong><em>Prelucrare necesara dupa recoltare <\/em><\/strong>\u2013 se separa serul prin centrifugare intr-un interval &lt; 2 ore; serul lipemic se dilueaza inainte de lucru<sup>4<\/sup>.<\/p>\n<p><strong><em>Volum proba<\/em><\/strong> \u2013 minim 0.5 mL ser<sup>4<\/sup>.<\/p>\n<p><strong><em>Cauze\u00a0 de respingere a probei <\/em><\/strong><em>\u2013 s<\/em>pecimen hemolizat<sup>4<\/sup>.<\/p>\n<p><strong><em>Metoda <\/em><\/strong>- <span style=\"text-decoration: underline;\">spectrofotometrica (kinetica)<\/span><span style=\"text-decoration: underline;\"><sup>4<\/sup><\/span>.<\/p>\n<p><strong><em>Valori de referinta<\/em><\/strong><sup>4<\/sup><\/p>\n<table class=\"wp-block-table w-100\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"120\">\n<p style=\"text-align: center;\"><strong><em>Varsta <\/em><\/strong><\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\"><strong><em>Valori (U\/L)<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"120\">\n<p style=\"text-align: center;\">0-1 an<\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\">225-600<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"120\">\n<p style=\"text-align: center;\">2-14 ani<\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\">120-300<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"120\">\n<p style=\"text-align: center;\"><strong>\u041d<\/strong>: &gt;15 ani<\/p>\n<p style=\"text-align: center;\"><strong>\u0415<\/strong>:\u00a0 &gt;15 ani<\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\">135-225<\/p>\n<p style=\"text-align: center;\">135-214<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Factor de conversie: U\/L x 0.0167 = \u00b5kat\/L.<\/em><\/p>\n<p><strong><em>Limita de detectie<\/em><\/strong><em> - <\/em>5U\/L (0.08 \u00b5katl\/L)<sup>4<\/sup>.<em>\u00a0<\/em><\/p>\n<p><strong><em>Interpretarea rezultatelor<\/em><\/strong><\/p>\n<table class=\"wp-block-table w-100\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"480\">\n<p style=\"text-align: center;\"><strong><em>Cresteri<\/em><\/strong><\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\"><strong><em>Scaderi<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"480\">\n<p style=\"text-align: center;\">\u2022\u00a0 in infarctul miocardic apar niveluri crescute de LDH la 36-55 ore de la debut, care persista 3-10 zile; \u2022\u00a0 in infarctul pulmonar cresterile LDH se inregistreaza\u00a0 in decurs de 24 ore de la debutul durerii toracice; \u2022 alte conditii asociate cu cresterea nivelului LDH: insuficienta cardiaca congestiva, afectiuni hepatice (ciroza, alcoolism, hepatita acuta virala), tumori solide, leucemii, limfoame, hipotiroidism, afectiuni musculare (distrofii, traumatisme), anemii megaloblastice si hemolitice, convulsii, delirium tremens, soc, hipoxie, hipotensiune, hipertermie, infarct renal, pancreatita acuta, fracturi, obstructie intestinala, mononucleoza infectioasa<sup>1<\/sup>.<\/p>\n<\/td>\n<td valign=\"top\" width=\"144\">\n<p style=\"text-align: center;\">\u2022 se asociaza cu un raspuns bun la terapia citostatica<sup>1<\/sup>.<strong><em>\u00a0<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong><em>Limite si interferente<\/em><\/strong><\/p>\n<p>LDH se gaseste in aproape toate tesuturile organismului, de aceea cresterea nivelului LDH are o valoare diagnostica limitata, in absenta corelarii cu datele clinice si alte investigatii de laborator.<\/p>\n<p>Efortul fizic sustinut precum si efortul din cursul travaliului pot determina cresteri ale LDH.<\/p>\n<p>Afectiunile cutanate pot produce false cresteri ale LDH<sup>1<\/sup>.<\/p>\n<p>\u2022 Medicamente<\/p>\n<p style=\"padding-left: 30px;\"><span style=\"text-decoration: underline;\"><strong>Cresteri<\/strong><\/span>: acebutolol, acid valproic, amiodarona, anestezice, aspirina, azitromicina, azlocilina, captopril, cefalosporine, cimetidina, clorpromazina, dicumarol, etanol, etretinat, flufenazin, foscarnet, furosemid, heparina, imipramina, interferon, ketoconazol, labetalol, metotrexat, metoprolol, nitrofurantoin, antiinflamatoare nesteroidiene (ex.: diflunisal, ketoprofen, piroxicam), penicilamina, piperacilina, plicamicina, propoxifen, simvastatin, sulfonamide, ticarciclina <sup>2<\/sup>.<\/p>\n<p style=\"padding-left: 30px;\"><span style=\"text-decoration: underline;\"><strong>Scaderi<\/strong><\/span>: acid ascorbic, amikacina, anticonvulsivante, clofibrat, enalapril, hidroxiuree, metronidazol<sup>2<\/sup>.<\/p>\n<p>\u2022 Interferente analitice<\/p>\n<p>Hemoliza produce valori fals crescute ale LDH<sup>4<\/sup><\/p>\n<p><span style=\"font-size: small;\">\u00a0<\/span><span style=\"font-size: small;\">\u00a0<\/span><\/p>\n<p><span style=\"font-size: small;\">\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/span><\/p>\n<p><span style=\"font-size: small;\">1. Frances Fischbach. Chemistry studies. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams &amp; Wilkins, USA, 8 Ed., 2009; 429-430.<\/span><\/p>\n<p><span style=\"font-size: small;\">2. Frances Fischbach. Effects of Drugs on Laboratory Tests. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams &amp; Wilkins, USA, 8 Ed., 2009; 1244.<\/span><\/p>\n<p><span style=\"font-size: small;\">3. Jacques Wallach. Analizele de sange. In Interpretarea testelor de diagnostic. Editura Stiintelor Medicale, Romania, 7 Ed., 2001; 86.<\/span><\/p>\n<p><span style=\"font-size: small;\">4. Laborator Synevo. Referinte specifice tehnologiei de lucru utilizate. 2010. Ref Type: Catalog.<\/span><\/p>\n<p><span style=\"font-size: small;\">5. Laboratory Corporation of America. Directory of Services and Interpretive Guide. Lactic Acid Dehydrogenase (LD; LDH). www.labcorp.com . 2010. Ref Type: Internet Communication.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>\u041b\u0430\u043a\u0442\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u0430 (\u041b\u0414\u0413) &#8211;\u00a0 \u0433\u043b\u0438\u043a\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0432\u043d\u0443\u0442\u0440\u0438\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0439 \u0444\u0435\u0440\u043c\u0435\u043d\u0442, \u043e\u0431\u0440\u0430\u0442\u0438\u043c\u043e \u043a\u0430\u0442\u0430\u043b\u0438\u0437\u0438\u0440\u0443\u044e\u0449\u0438\u0439 \u043e\u0442\u0449\u0435\u043f\u043b\u0435\u043d\u0438\u0435 \u0432\u043e\u0434\u043e\u0440\u043e\u0434\u0430 \u043e\u0442 \u043c\u043e\u043b\u0435\u043a\u0443\u043b\u044b \u043c\u043e\u043b\u043e\u0447\u043d\u043e\u0439 \u043a\u0438\u0441\u043b\u043e\u0442\u044b. \u041d\u0430\u0438\u0431\u043e\u043b\u044c\u0448\u0430\u044f \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c 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\u043c\u0430\u043a\u0441\u0438\u043c\u0443\u043c \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438, \u0438 \u043e\u043d\u0430 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u043d\u043e\u0439 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 10 \u0441\u0443\u0442\u043e\u043a. \u042d\u0442\u0438 \u0441\u0440\u043e\u043a\u0438 \u043c\u043e\u0433\u0443\u0442 \u0432\u0430\u0440\u044c\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0432 \u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e\u0441\u0442\u0438 \u043e\u0442 \u0432\u0435\u043b\u0438\u0447\u0438\u043d\u044b \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u043d\u043e\u0439 \u043c\u044b\u0448\u0446\u044b.<\/p>\n<p>\u041e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u041b\u0414\u0413 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 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\u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u044f \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u041b\u0414\u0413 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u043b\u0435\u0433\u043e\u0447\u043d\u0430\u044f \u0442\u043a\u0430\u043d\u044c \u043f\u0440\u0438 \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438 \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u0435 \u043b\u0435\u0433\u043a\u0438\u0445. \u0421\u043e\u0447\u0435\u0442\u0430\u043d\u0438\u0435 \u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u043e\u0439 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u0410\u0421\u0422, \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u043d\u043e\u0439 \u041b\u0414\u0413 \u0438 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u0438 \u0431\u0438\u043b\u0438\u0440\u0443\u0431\u0438\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u0441\u043b\u0443\u0436\u0438\u0442\u044c \u0432 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435 \u0442\u0440\u0438\u0430\u0434\u044b \u0434\u043b\u044f \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u043b\u0435\u0433\u043e\u0447\u043d\u043e\u0439 \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438 \u0434\u0438\u0444\u0444\u0435\u0440\u0435\u043d\u0446\u0438\u0430\u0446\u0438\u0438 \u0435\u0435 \u043e\u0442 \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u0430 \u043c\u0438\u043e\u043a\u0430\u0440\u0434\u0430.<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"262\"><b>\u041f\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u044c<\/b><\/td>\n<td width=\"366\"><b>\u0425\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0441\u0442\u0438\u043a\u0430<\/b><\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><b>\u041c\u0430\u0442\u0435\u0440\u0438\u0430\u043b<\/b><\/td>\n<td width=\"366\">\u0412\u0435\u043d\u043e\u0437\u043d\u0430\u044f\u00a0\u043a\u0440\u043e\u0432\u044c<\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><b>\u041f\u0440\u0430\u0432\u0438\u043b\u0430\u00a0\u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u043a\u0438\u00a0\u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430<\/b><\/td>\n<td width=\"366\">\u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u044b\u0435<\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><b>\u0422\u0440\u0430\u043d\u0441\u043f\u043e\u0440\u0442\u043d\u0430\u044f\u00a0\u0441\u0440\u0435\u0434\u0430,\u00a0\u043f\u0440\u043e\u0431\u0438\u0440\u043a\u0430<\/b><\/td>\n<td width=\"366\">\u0412\u0430\u043a\u0443\u0442\u0430\u0439\u043d\u0435\u0440\u00a0\u0441\/\u0431\u0435\u0437\u00a0\u0430\u043d\u0442\u0438\u043a\u043e\u0430\u0433\u0443\u043b\u044f\u043d\u0442\u0430\u00a0\u0441\/\u0431\u0435\u0437\u00a0\u0433\u0435\u043b\u0435\u0432\u043e\u0439\u00a0\u0444\u0430\u0437\u044b<\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><b>\u041f\u0440\u0430\u0432\u0438\u043b\u0430\u00a0\u0438\u00a0\u0443\u0441\u043b\u043e\u0432\u0438\u044f\u00a0\u0442\u0440\u0430\u043d\u0441\u043f\u043e\u0440\u0442\u0438\u0440\u043e\u0432\u043a\u0438,\u00a0\u0441\u0442\u0430\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u044c\u00a0\u043f\u0440\u043e\u0431\u044b<\/b><\/td>\n<td width=\"366\">\u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u044b\u0435<\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><b>\u041c\u0435\u0442\u043e\u0434\u00a0\u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f<\/b><\/td>\n<td width=\"366\">\u041a\u0438\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439<\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><\/td>\n<td width=\"366\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\"><\/td>\n<\/tr>\n<tr>\n<td width=\"262\"><\/td>\n<td width=\"366\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\"><b>\u0418\u043d\u0442\u0435\u0440\u0444\u0435\u0440\u0438\u0440\u0443\u044e\u0449\u0438\u0435\u00a0\u0444\u0430\u043a\u0442\u043e\u0440\u044b.\u00a0\u041c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u044b<\/b><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\"><b>\u041f\u043e\u0432\u044b\u0448\u0430\u044e\u0442<\/b><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\">\u00b7\u00a0\u0424\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438\u0435\u00a0\u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0438,\u00a0\u043a\u043e\u0436\u043d\u044b\u0435\u00a0\u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f,\u00a0\u043f\u0435\u0440\u0438\u043e\u0434\u00a0\u043d\u043e\u0432\u043e\u0440\u043e\u0436\u0434\u0435\u043d\u043d\u043e\u0441\u0442\u0438<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"629\"><b>\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f\u00a0\u043a\u00a0\u043d\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u0438\u044e<\/b><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\"><b>\u041b\u0414\u0413\u00a0&#8212;\u00a0\u043e\u0434\u0438\u043d\u00a0\u0438\u0437\u00a0\u043c\u0430\u0440\u043a\u0435\u0440\u043e\u0432\u00a0\u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u044f\u00a0\u043f\u0435\u0447\u0435\u043d\u0438\u00a0\u0438\u00a0\u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439\u00a0\u043c\u044b\u0448\u0446\u044b,\u00a0\u0433\u0435\u043c\u043e\u043b\u0438\u0437\u0430\u00a0<\/b><b><i>in\u00a0vivo<\/i><\/b><\/p>\n<p>\u00b7\u00a0\u0418\u043d\u0444\u0430\u0440\u043a\u0442\u00a0\u043c\u0438\u043e\u043a\u0430\u0440\u0434\u0430;<\/p>\n<p>\u00b7\u00a0\u043b\u0435\u0433\u043e\u0447\u043d\u0430\u044f\u00a0\u044d\u043c\u0431\u043e\u043b\u0438\u044f,\u00a0\u0438\u043d\u0444\u0430\u0440\u043a\u0442\u00a0\u043b\u0435\u0433\u043a\u0438\u0445;<\/p>\n<p>\u00b7\u00a0\u0433\u0435\u043c\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f\u00a0\u0430\u043d\u0435\u043c\u0438\u044f;<\/p>\n<p>\u00b7\u00a0\u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u044f\u00a0\u043f\u0435\u0447\u0435\u043d\u0438;<\/p>\n<p>\u00b7\u00a0\u043c\u043e\u043d\u0438\u0442\u043e\u0440\u0438\u043d\u0433\u00a0\u0446\u0438\u0442\u043e\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439\u00a0\u0445\u0438\u043c\u0438\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u0438\u00a0\u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0445\u00a0\u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"629\"><b>\u0418\u043d\u0442\u0435\u0440\u043f\u0440\u0435\u0442\u0430\u0446\u0438\u044f\u00a0\u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u0432<\/b><\/td>\n<\/tr>\n<tr>\n<td width=\"311\"><b>\u041f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435\u00a0\u0443\u0440\u043e\u0432\u043d\u044f<\/b><\/td>\n<td width=\"317\"><b>\u0421\u043d\u0438\u0436\u0435\u043d\u0438\u0435\u00a0\u0443\u0440\u043e\u0432\u043d\u044f<\/b><\/td>\n<\/tr>\n<tr>\n<td width=\"311\">\u00b7\u00a0\u0418\u043d\u0444\u0430\u0440\u043a\u0442\u00a0\u043c\u0438\u043e\u043a\u0430\u0440\u0434\u0430;<\/p>\n<p>\u00b7\u00a0\u0438\u043d\u0444\u0430\u0440\u043a\u0442\u00a0\u043b\u0435\u0433\u043a\u043e\u0433\u043e,\u00a0\u043b\u0435\u0433\u043e\u0447\u043d\u0430\u044f\u00a0\u044d\u043c\u0431\u043e\u043b\u0438\u044f;<\/p>\n<p>\u00b7\u00a0\u0437\u0430\u0441\u0442\u043e\u0439\u043d\u0430\u044f\u00a0\u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f\u00a0\u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c;<\/p>\n<p>\u00b7\u00a0\u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u044f\u00a0\u043f\u0435\u0447\u0435\u043d\u0438\u00a0(\u0446\u0438\u0440\u0440\u043e\u0437,\u00a0\u0430\u043b\u043a\u043e\u0433\u043e\u043b\u0438\u0437\u043c,\u00a0\u043e\u0441\u0442\u0440\u044b\u0435\u00a0\u0432\u0438\u0440\u0443\u0441\u043d\u044b\u0435\u00a0\u0433\u0435\u043f\u0430\u0442\u0438\u0442\u044b);<\/p>\n<p>\u00b7\u00a0\u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u00a0\u043a\u0440\u043e\u0432\u0438\u00a0(\u043c\u0435\u0433\u0430\u043b\u043e\u0431\u043b\u0430\u0441\u0442\u043d\u0430\u044f,\u00a0\u0433\u0435\u043c\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f\u00a0\u0430\u043d\u0435\u043c\u0438\u044f,\u00a0\u043e\u0441\u0442\u0440\u044b\u0439\u00a0\u043b\u0435\u0439\u043a\u043e\u0437);<\/p>\n<p>\u00b7\u00a0\u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435\u00a0\u043d\u043e\u0432\u043e\u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u044f;<\/p>\n<p>\u00b7\u00a0\u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u044f\u00a0\u043f\u043e\u0447\u0435\u043a\u00a0(\u0438\u043d\u0444\u0430\u0440\u043a\u0442\u00a0\u043f\u043e\u0447\u043a\u0438);<\/p>\n<p>\u00b7\u00a0\u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u00a0\u043c\u044b\u0448\u0446\u00a0(\u0434\u0438\u0441\u0442\u0440\u043e\u0444\u0438\u044f,\u00a0\u0442\u0440\u0430\u0432\u043c\u0430);<\/p>\n<p>\u00b7\u00a0\u043e\u0441\u0442\u0440\u044b\u0439\u00a0\u043f\u0430\u043d\u043a\u0440\u0435\u0430\u0442\u0438\u0442;<\/p>\n<p>\u00b7\u00a0\u0433\u0438\u043f\u043e\u0442\u0438\u0440\u0435\u043e\u0437;<\/p>\n<p>\u00b7\u00a0\u0441\u0443\u0434\u043e\u0440\u043e\u0436\u043d\u044b\u0439\u00a0\u0441\u0438\u043d\u0434\u0440\u043e\u043c;<\/p>\n<p>\u00b7\u00a0\u0430\u043b\u043a\u043e\u0433\u043e\u043b\u044c\u043d\u044b\u0439\u00a0\u0434\u0435\u043b\u0438\u0440\u0438\u0439;<\/p>\n<p>\u00b7\u00a0\u0448\u043e\u043a\u00a0(\u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f,\u00a0\u0433\u0438\u043f\u043e\u0442\u0435\u043d\u0437\u0438\u044f,\u00a0\u0433\u0438\u043f\u0435\u0440\u0442\u0435\u0440\u043c\u0438\u044f);<\/p>\n<p>\u00b7\u00a0\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b;<\/p>\n<p>\u00b7\u00a0\u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439\u00a0\u043c\u043e\u043d\u043e\u043d\u0443\u043a\u043b\u0435\u043e\u0437<\/td>\n<td 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