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WHO/MON/01.5.AÝÕ: ÀÍÃËÈ ÕÝËÝÝÐ

Õ¯¯ÕÄÈÉÍ ªÂ×ÍÈÉÖÎÃÖ ÌÅÍÅÆÌÅÍÒ

ÝÌ×ÈËÃÝÝà ÒÎÃÒÎÎ

Îð÷óóëñàí: Ä.Ìàë÷èíõ¿¿

Õÿíàñàí: Ä.Àãâààíäîðæ

ÄÝÌÁ ÝÌß Í¯ÁÕÑ

2003

4

6

Ýíý ñóðàõ áè÷èãò òà ¯ÍÝË, ÀÍÃÈË õ¿ñíýãòèéí “Ýì÷èëãýýã òîãòîî” áàãàíûãàøèãëàíà. Õýðýâ õ¿¿õäýä çºâõºí ãàíö àíãèëàë áàéãàà áîë ò¿¿íä õèéõ ýì÷èëãýýîéëãîìæòîé. Ãýâ÷ îëîíõ ºâ÷òýé õ¿¿õýä íýãýýñ èë¿¿ àíãèëàëòàé áàéäàã. Æèøýý íü, õ¿¿õýäÓÓØÃÈÍÛ ÕÀÒÃÀËÃÀÀ áà ×ÈÕÍÈÉ ÖÎ×ÌÎà ÕÀËÄÂÀÐÒÀÉ áàéæ áîëíî.

Õýðýâ õ¿¿õýä ºâ÷íèé îëîí àíãèëàëòàé áàéâàë òýäãýýðèéí ýì÷èëãýýã ̄ ÍÝË, ÀÍÃÈËõ¿ñíýãòèéí õýä, õýäýí ãàçðààñ ñîíãîíî. Æèøýý íü, óóøãèíû õàòãàëãàà áà ÷èõíèéõàëäâàðûã ýì÷ëýõýä ¿¿ñãýã÷èéí ýñðýã áýëäìýë øààðäëàãàòàé. Õî¸óëàíã íü ýì÷èëæáîëîõ èæèë ýì÷èëãýý þó áàéíà, ÿëãààòàé õèéõ ÿìàð ýì÷èëãýý áàéíà ãýäãèéã òà ä¿ãíýæ¿çíý.

¯ÍÝË, ÀÍÃÈË õ¿ñíýãòýíä çàðèì õ¿¿õäèéã “ñòàöèîíàðò ÿàðàëòàé õýâò¿¿ë” ãýæçààñàí áàéäàã. ªâ÷òíèéã õýâò¿¿ëýí ýì÷ëýõ îðòîé, òîíîã òºõººðºìæòýé, õ¿íä ºâ÷òýéõ¿¿õäèéã ýì÷ëýõ ìýðãýæëèéí ýì÷, àæèëòàíòàé ýìíýëãèéí áàéãóóëëàãûã áèä ýìíýëýã(ñòàöèîíàð) ãýæ íýðëýäýã. Õýðýâ òà èéì ýìíýëýãò àæèëëàäàã áîë ýìíýëýãò õýâò¿¿ëýõýýðººðèéí ýìíýëãèéí õ¿ëýýí àâàõàä ÿâóóëæ áîëíî.

Õýðýâ õ¿¿õýä ÿàðàëòàé õýâòýõ çàéëøã¿é øààðäëàãàòàé áîë òà õ¿¿õäèéãõýâò¿¿ëýõýýð ÿâóóëàõààñ ºìíº õèéõ ýì÷èëãýýã òîãòîîíî. Ýìíýëýãò õýâò¿¿ëýõýýðÿâóóëàõûí ºìíº çààâàë õèéõ øààðäëàãàã¿é, òóõàéëáàë, ÷èõ õóóðàéøóóëàõ çýðýãýì÷èëãýýíèé çàðèì òºðë¿¿ä áàéäàã. Ýíý ñóðàõ áè÷èã òàíä õ¿¿õäèéã ýìíýëýãòõýâò¿¿ëýõèéí ºìíº õèéõ ÿàðàëòàé ýì÷èëãýýã òîãòîîõîä òàíü òóñàëíà. Õýðýâ òàíàé îðîííóòàãò õýâò¿¿ëýí ýì÷èëäýã ýìíýëýã áàéõã¿é áîë ýíý ñóðàõ áè÷èãò áè÷ñýíýýñ ººðººðøèéäâýðëýæ áîëíî. Õ¿¿õýä ¿íýõýýð èë¿¿ ñàéí ýì÷ëýãäýíý ãýäãèéã ìýäýæ áóé òîõèîëäîëäòýð õ¿¿õäèéã ýìíýëýãò õýâò¿¿ëýõýýð èëãýýõ ¸ñòîé. Çàðèì ¿åä õ¿¿õäèéã ýì÷ëýõìýðãýæëèéí àæèëòàí, øààðäëàãàòàé òîíîã òºõººðºì溺ð õàíãàãäààã¿é, õîë áàéäàãýìíýëýãò õ¿¿õäèéã õýâò¿¿ëýõýýð ÿâóóëñàíä îðâîë òàíû ¿ç¿¿ëñýí ÷àíàðòàé òóñëàìæ¿éë÷èëãýý èë¿¿ ¿ð ä¿íòýé áàéäàã.

Õýðýâ ýìíýëýãò õýâò¿¿ëýõ áîëîìæã¿é, ýöýã, ýõ õýâò¿¿ëýõýýñ òàòãàëçàæ áàéâàëõ¿¿õäýý ãýðòýý àñàð÷ ñóâèëàõ òàëààð ÝÌÀ òýäýíä òóñëàõ ̧ ñòîé. Õ¿¿õäèéã ºäºðò õýäýíòýý¿çýõèéí òóëä ò¿¿íèéã ÝÌÁ-ä øóóä îéðîëöîî áàéðëóóëæ áîëîõ þì. Ýñâýë ÝÌÀ ò¿¿íèéãýðò î÷èæ õîîë, óíä, ýìèéã õóâààðèàð ºãºõºä òóñëàõààð Õ¿¿õäèéã Ýì÷èë ñóðàõ áè÷ãèéíõàâñðàëòàíä áè÷ñýí õ¿¿õäèéã ýìíýëýãò èëãýýõ øààðäëàãàòàé áîëîâ÷ õýâò¿¿ëýõáîëîìæã¿é ¿åä þó õèéõ íü ÷óõàë áîëîõ çàð÷ìûã áàðèìòëàíà.

8

ØÈÍÃÝÍ ÈÕ ÀËÄÑÀÍ ÑÓÓËÃÀËÒ ªÂ×ÒÝÉ Õ¯¯ÕÝÄ

¯ÍÝË, ÀÍÃÈË õ¿ñíýãòèéí øèíãýí èõ àëäàëò õýñãèéã óíø.

Õýðýâ ãàíö õ¿íä àíãèëàëòàé õ¿¿õýä ØÈÍÃÝÍ ÈÕ ÀËÄÀËÒÒÀÉ áîë õ¿¿õäèéãýìíýëýãò õýâò¿¿ëýõ ýñýõèéã òîãòîîõûí òóëä  òºëºâëºãººã àøèãëà.  òºëºâëºãººÕ¿¿õäèéã ýì÷èë ñóðàõ áè÷èãò ºãºãäñºí. Òàíàé àìáóëàòîðè øèíãýí èõ àëäàëòòàé õ¿¿õäèéã¿ð ä¿íòýé ýì÷èëæ ÷àäàõ ýñýõèéã òîãòîîõîä ýíý òàíä òóñàëíà. Øèéäâýð áè÷ñýí Âòºëºâëºãººíèé ç¿¿í ãàð òàëûí õýñýã äàðàà÷èéí õóóäñàíä áàéãàà á¿ä¿¿â÷èéí áàðóóíãàðûí õýñýã õÿëáàð÷ëàãäñàí, îéëãîìæòîé áàéãàà. Õ¿¿õäèéã ýì÷èë ñóðàõ áè÷ãýýñ øèíãýíñýëáýõ ýì÷èëãýý ÿàæ õèéõèéã òà ñóðíà.

Õýðýâ õ¿¿õäýä ØÈÍÃÝÍ ÈÕ ÀËÄÀËÒÀÀÑ ãàäíà ººð õ¿íä àíãèëàë áàéâàë ò¿¿íèéãýìíýëýãò õýâò¿¿ëýõ ¸ñòîé. Òèéì õ¿¿õäèéã ýì÷ëýõýä ¿ëýìæ õýìæýýíèé øèíãýíèéã ìàøáîãèíî õóãàöààíä ñýëáýæ õ¿¿õäèéí àìèéã àâàð÷ áîëîõ ó÷ðààñ òóñãàé äàäëàãà ÷óõàë.

Ñóðãàã÷ áàãø òà íàðò á¿ä¿¿â÷èéã öààøèä òàéëáàðëàíà.

Äàðààõ øèíæ¿¿äýýñõî¸ð íü áàéâàë:

Óíòààðñàí áóþóóõààíã¿éÍ¿ä õîíõîéõÓóæ ÷àäàõã¿é áóþóóóõäàà ìóóÀðüñíû õóíèàñ ìàøóäààí àðèëàõ

ØÈÍÃÝÍ ÈÕÀËÄÀËÒ

- Õýðýâ õ¿¿õýä ººð õ¿íä ºâ÷íèé àíãèëàëä áàãòààã¿éáîë:

- Øèíãýí èõ àëäàëòûí ýì÷èëãýýã õèé (B òºëºâëºãºº).ÁÓÞÓ

Õýðýâ õ¿¿õäýä ººð õ¿íä ºâ÷èí áàéâàë:- Çàìûí òóðø ØÑÄ - íû óóñìàë óóëãàí õ¿¿õäèéã

ýõòýé íü ýìíýëýãò ßÀÐÀËÒÀÉ õ¿ðãý.Õºõºº ¿ðãýëæë¿¿ëýí õºõ¿¿ëýõèéã ýõýä çºâëº.

- Òóõàéí íóòàãò áóë÷èí çàäðàõ òàõàë ãàðäàã áàõ¿¿õýä 2 áóþó ò¿¿íýýñ äýýø íàñòàé áîë ¿¿ñãýã÷èéíýñðýã ýì ºã.

10

ÀÞÓËÒÀÉ ÅЪÍÕÈÉ ØÈÍÆÒÝÉ Õ¯¯ÕÄÈÉà ÝÌÍÝËÝÃÒÕÝÂÒ¯¯ËÝÕÝÝÐ ÈËÃÝÝ

Àþóëòàé åðºíõèé øèíæòýé õ¿¿õäèéí îëîíõ íü ìºí õ¿íä àíãèëàëä õàìààðàãäàíà.Òèéì õ¿¿õäèéã õ¿íä àíãèëëààð íü ýìíýëýãò õýâò¿¿ëýõýýð èëãýýíý (ýñâýë õýðýâ ò¿¿íäçºâõºí ØÈÍÃÝÍ ÈÕ ÀËÄÀËÒ áàéâàë áîëîìæòîé áîë àìáóëàòîðò ýì÷ëýõ).

Àþóëòàé åðºíõèé øèíæòýé õ¿¿õýä õ¿íä àíãèëàëã¿é áàéõ íü õîâîð. Òèéìõ¿¿õä¿¿äèéã ýìíýëýãò ÿàðàëòàé õýâò¿¿ëýõ øààðäëàãàòàé. ¯ÍÝË, ÀÍÃÈË õ¿ñíýãòèéíäîîä õýñãýýñ òà ¿¿íèéã ýðãýí ñàíà.

ÀÞÓËÒÀÉ ÅЪÍÕÈÉ ØÈÍÆÈÉÍ ÀËÜ ÍÝà ÍÜ ÈËÝÐÑÝÍ Õ¯¯ÕÄÈÉÿ¿ñãýã÷èéí ýñðýã òîõèðîõ ýìèéí ýõíèé òóí áà áóñàä ÿàðàëòàé ýì÷èëãýý õèéñíèéäàðàà ÝÌÍÝËÝÃÒ ÕÝÂÒ¯¯ËÍÝ ãýäãèéã ñàíà.

Òýìäýãëýë:  Һëºâëºãººãººð øèíãýí ñýëáýæ àþóëòàé øèíæ¿¿äèéã àðèëãàõàäýìíýëýãò óäààí õýâòýõ øààðäëàãàã¿é.

ÁÓÑÀÄ Õ¯ÍÄ ªÂ×ͯ¯ÄÝÝÐ ÝÌÍÝËÝÃÒÕÝÂÒ¯¯ËÝÕÝÝÐ ÈËÃÝÝ

¯ÍÝË, ÀÍÃÈË õ¿ñíýãòýíä õ¿¿õäýä ó÷èð÷ áîëîõ áîëîìæèéí á¿õ õ¿íäðýë¿¿äîðîîã¿é.

Òóõàéí àìáóëàòîðò ýì÷ëýõ áîëîìæã¿é ººð õ¿íä õ¿íäðýë õ¿¿õäýä áàéíà óó?

Æèøýýëáýë, Õ¿ñíýãòýä îðîîã¿é áîëîâ÷ õ¿¿õäýä õýâëèéãýýð õ¿÷òýé ºâäºõ ìýòèéíººð õ¿íä ýìãýã áàéæ áîëíî. Õýðýâ òà òýð õ¿íäðýëèéã ýì÷èëæ ÷àäàõã¿é áîë õ¿¿õäèéãýìíýëýãò õýâò¿¿ëýõýýð èëãýý.

Ñàíóóëàõàä: Èõýíõ õ¿¿õäýä àþóëòàé åðºíõèé øèíæ, õ¿íä àíãèëàë áóþóººð õ¿íä ºâ÷èí áàéäàãã¿é. Õýðýâ õ¿¿õäýä äýýð äóðüäñàí øèíæ¿¿äèéí àëü íü÷ áàéõã¿é áîë õ¿¿õäèéã ýìíýëýãò õýâò¿¿ëýõýýð ÿàðàëòàé èëãýýõ õýðýãã¿é.Òà ýíý ñóðàõ áè÷ãèéí õýñýã 2.0-ä áè÷ñýíýýð òèéì õ¿¿õäèéí ýì÷èëãýýã òîãòîîõ¸ñòîé.

12

ÄÀÑÃÀË À

Ýíý äàñãàëààð ýìíýëýãò õýâò¿¿ëýõýýð ÿàðàëòàé èëãýýõ ýñýõèéã òîäîðõîéëíî.Ǻâ õàðèóëòûã òýìäýãëý.

1. Ñàðàí 11 ñàðòàé. Îõèíä àþóëòàé åðºíõèé øèíæ áàéõã¿é. Ò¿¿íèé ºâ÷íèéàíãèëàë:

ÓÓØÃÈÍÛ ÕÀÒÃÀËÃÀÀ×ÈÕÍÈÉ ÖÎ×ÌÎà ÕÀËÄÂÀÐÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɪºð ÿìàð ÷ àíãèëàëã¿é.

Ñàðàíã ýìíýëýãò ÿàðàëòàé õýâò¿¿ëýõ øààðäëàãàòàé þó?___ ÒÈÉÌ ___ ¯Ã¯É

2. Ãàíàà 6 ñàðòàé. Îõèíä àþóëòàé åðºíõèé øèíæ áàéõã¿é. Ò¿¿íèé ºâ÷íèé àíãèëàë:

ÓÓØÃÈÍÛ ÕÀÒÃÀËÃÀÀïÉ: ÕÀÍÈÀÄ ØÓÓÕÈÍÀÀØÈÍÃÝÍ ÀËÄÀËÒÃ¯É ÑÓÓËÃÀËÒ

ÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɺºð ÿìàð ÷ àíãèëàëã¿é.

Ãàíààã ýìíýëýãò ÿàðàëòàé õýâò¿¿ëýõ øààðäëàãàòàé þó?___ ÒÈÉÌ ___ ¯Ã¯É

3. Äàâàà 7 ñàðòàé. Õ¿¿ä àþóëòàé åðºíõèé øèíæã¿é. Ò¿¿íèé ºâ÷íèé àíãèëàë:

ÕªÕ˪à ÓÐÃÀÖÃÈÉÍ ¯ÐÝÂÑÝËÓÓØÃÈÍÛ ÕÀÒÃÀËÃÀÀ

ÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɺºð ÿìàð ÷ àíãèëàëã¿é.

Äàâààã ýìíýëýãò ÿàðàëòàé õýâò¿¿ëýõ øààðäëàãàòàé þó?___ ÒÈÉÌ ___ ¯Ã¯É

4. Ìîëîì 2 íàñòàé. Õ¿¿ ºíºº ºã뺺 òàòñàí, õîîëîíäîî ìóó áàéíà.Ò¿¿íèé ºâ÷íèé àíãèëàë:

ÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɺºð ÿìàð ÷ àíãèëàëã¿é

14

2.0 ÝÌÍÝËÝÃÒ ßÀÐÀËÒÀÉ ÕÝÂÒ¯¯ËÝÕ ØÀÀÐÄËÀÃÀïɪÂ×ÒÍÈÉ ÝÌ×ÈËÃÝÝà ÒÎÃÒÎÎ

Ñóðãàã÷ òàíü ýíý õýñãýýñ æèøýý ºã÷ àðûí õóóäñàíä áóé ªâ÷òýé Õ¿¿õäèéí¯çëýãèéí Ìàÿãòûã ÿàæ áºãëºõèéã òàíä ¿ç¿¿ëíý.

* ªâ÷òýé Õ¿¿õäèéí ¯çëýãèéí Ìàÿãòûí “Àíãèë” áàãàíûã ìàÿãòûí àðûí õýñýãòýéõàìò ººðòºº õàðàãäàõààð íóãàë.

* Õ¿¿õäèéí àíãèëàë òóñ á¿ðò øààðäëàãàòàé ýì÷èëãýý òîãòîîõûí òóëä ¯ÍÝË,ÀÍÃÈË õ¿ñíýãòèéã àøèãëà.

* ªâ÷òýé Õ¿¿õäèéí ̄ çëýãèéí Ìàÿãòûí àð òàëä çàéëøã¿é øààðäëàãàòàé ýì÷èëãýýá¿ðèéã æàãñààæ áè÷.

16

2 ÑÀÐÀÀÑ 5 Õ¯ÐÒÝËÕ ÍÀÑÍÛ ªÂ×ÒÝÉ Õ¯¯ÕÄÈÉÍ ¯ÇËÝÃÈÉÍ ÌÀßÃÒ

ÍÝÐ: ___________________________________ ÍÀÑ: ____________ ÆÈÍ: ______ êã Áèåèéí òåìïåðàòóð______°CÕ¿¿õýä ÿìàð çîâèóðòàéã ÀÑÓÓ: _______________________________________ Àíõíû ¿çëýã? ____ Äàâòàí ¿çëýã? ____

¯ÍÝË (Áàéãàà á¿õ øèíæèéã äóãóéë) ÀÍÃÈË

√Õàíèàëãàíà, ÷èõ ºâäºíº, áóëàã ãîîæíî372 íàñ 6 ñàð 10Àäúÿà

Õ¯¯ÕÝÄ ÖÓÑ ÁÀÃÀÄÀËÒ ÁÓÞÓ ÆÈÍ ÁÀÃÀ ýñâýë 2 íàñ õ¿ðýýã¿é áîë Õ¯¯ÕÄÈÉÍ ÕÎÎËËÎËÒÛÍ ÁÀÉÄËÛà ̄ ÍÝË.

• Òà õ¿¿õäýý õºõººð õîîëëîäîã óó? Òèéì___ ¯ã¿é___Õýðýâ òèéì áîë 24 öàãò õýäýí óäàà? ___ óäàà. Òà øºíº õºõ¿¿ëäýã ¿¿? Òèéì___ ¯ã¿é___

• Õ¿¿õäýä ÿìàð íýã õîîë áóþó øèíãýí ºãäºã ¿¿? Òèéì___ ¯ã¿é___Õýðýâ òèéì áîë ÿìàð õîîë áóþó øèíãýí _____________________________________________________________ªäºðò õýäýí óäàà? ___ óäàà. Õ¿¿õäèéã õîîëëîõäîî òà þó õýðýãëýäýã âý? ________________________________Õýðýâ íàñàíä òîõèðñîí æèí áàãà áîë: ßìàð õýìæýýòýé õîîë èääýã âý? ___________________________________Õ¿¿õýä ººðºº õîîëîî èääýã ¿¿? ____ Õýí õ¿¿õäèéã õîîëëîäîã âý? ßàæ? __________________________________

• Ýíý ºâ÷íèé ÿâöàä õ¿¿õäèéí õîîëëîëò ººð÷ëºãäñºí ¿¿? Òèéì____ ¯ã¿é ____ Òèéì áîë, ÿàæ?

Àþóëòàé åðºíõèé øèíæ áàéíà óó?Òèéì ___ ¯ã¿é ___

Àíãèëàë ñîíãîõäîî àþóëòàéøèíæèéã ¿íäýñëýíý ãýäãèéã ñàíà

ÀÞÓËÒÀÉ ÅЪÍÕÈÉ ØÈÍƯ¯ÄÈÉà ØÀËÃÀÓÓÕ ÁÓÞÓ ÕªÕªª ÕªÕªÕ ×ÀÄÂÀÐÃ¯É ÓÍÒÀÀ ÁÓÞÓ ÓÕÀÀÍïÉÁ¯ÃÄÈÉà ÁªªËÆÈÕÒÀÒÀÕ

Õ¯¯ÕÝÄ ÕÀÍÈÀËÃÀÑÀÍ ÁÓÞÓ ÀÌÜÑÃÀË ÑÀÀÄÒÀÉ ØÈÍÆÒÝÉ Þ¯? Òèéì ___ ¯ã¿é ___• Õýð óäààí? ____ ºäºð • Àìüñãàëûã íýã ìèíóòàíä òîîë.

Íýã ìèíóòàíä ___ óäàà. Àìüñãàë îëøèðñîí óó?• Öýýæ õîíõîëçîõûã àæèãëà.• Õÿõòíàà àìüñãàëûã àæèãëà, ÷àãíà.

Õ¯¯ÕÝÄ ÑÓÓËÃÀÆ ÁÀÉÍÀ ÓÓ? Òèéì ___ ¯ã¿é ___• Õýð óäààí? ____ ºäºð • Õ¿¿õäèéí áèåèéí åðºíõèé áàéäëûã àæèãëà. Õ¿¿õýä:• Áààñàíä öóñ áàéíà óó? Óíòàà áóþó óõààíã¿é?

Òàéâàí áóñ áà öî÷ðîìõîé?• Í¿ä õîíõîéñíûã àæèãëà.• Õ¿¿õäýä óóõ þì ºã. Õ¿¿õýä:

Óóõäàà ìóó áóþó óóæ ÷àäàõã¿é þó?Öàíãàñàí, õîâäîãëîí óóæ áàéíà óó?

• Õýâëèéí àðüñíû õóíèàñ àðèëàõ íü:Ìàø óäààí (2 ñåêóíäýýñ èõ)?Óäààí óó?

Õ¯¯ÕÝÄ ÕÀËÓÓÐÑÀÍ ÓÓ? (ìýä¿¿ëýãòýé/òýìòðýõýä õàëóóí/áèåèéí õàëóóí 37.5°Ñ áóþó èõ) Òèéì ___ ¯ã¿é ___

• Õýð óäààí? ____ ºäºð • Õ¿ç¿¿íèé õºøèíãèéã àæèãëà, ¿ç.• 5-ààñ îëîí õîíîã ºäºð á¿ð õàëóóðñàí óó? ÓËÀÀÍÁÓÐÕÍÛ øèíæèéã àæèãëà.• Ñ¿¿ëèéí 3 ñàðä õ¿¿õýä óëààíáóðõíààð • Ò¿ãýýìýë òóóðàëò áà

ºâ÷èëñºí ¿¿? • Õàíèàëãàõ, íóñ ãîîæèõ áóþó í¿ä óëàéõ øèíæèéí íýã• Õàëóóðàëòûí áóñàä øàëòãààíûã àæèãëà, ¿íýë.

Öóñ áàãàäàëòã¿éòóðààëã¿é

Ñ¿¿ëèéí 3 ñàð äîòîð áóþó • Àìíû øàðõëààã àæèãëà.îäîî óëààíáóðõíààð ºâ÷èëñºí áîë: Øàðõëàà ã¿íçãèé áà ºðãºí ¿¿?

• Í¿äíýýñ íóóõ ãàð÷ áóéã àæèãëà.• Ýâýðëýã á¿äãýðñýí ýñýõèéã àæèãëà.

Õ¯¯ÕÄÝÄ ×ÈÕÍÈÉ ªÂ×ÈÍ ÁÀÉÍÀ ÓÓ? Òèéì ___ ¯ã¿é ___• ×èõ ºâäºæ áàéíà óó? • ×èõíýýñ áóëàã ãàðñíûã àæèãëà.• ×èõíýýñ áóëàã ãàð÷ áàéíà óó? • ×èõíèé àðä õàâäàð, õºíä¿¿ð áàéãàà ýñýõèéã òýìòýð.

Õýðýâ òèéì áîë õèð óäààí? ___ ºäºð

ÄÀÐÀÀ ÍÜ ÒÓÐÀÀË ÁÀ ÖÓÑ ÁÀÃÀÄÀËÒÛÃ ØÀËÃÀ• Èëò õ¿íä òóðààëûã àæèãëà.• Àëãàíû öàéëòûã àæèãëà.

Õóâõàé öàãààí óó? Áàãà çýðýã öàãààí óó?• Õî¸ð õºëä õàâàíòàé ýñýõèéã àæèãëà.• Õ¿¿õäèéí íàñàíä òîõèðñîí æèíã òîäîðõîéë.

Æèí Áàãà ____ Æèí Áàãà áèø ____

Õ¯¯ÕÝÄ 2 ÍÀÑ Õ¯ÐÝÝÃ¯É ÁÎË ÐÀÕÈÒÛà ØÀËÃÀ• Õºõºº õºõºõ, óíòàæ áàéõäàà õºëºð÷ áàéíà óó? • Õ¿¿õäèéí ãàâëûí ÿñ 纺ëºðñºí ýñýõèéã òýìòýð.

• “Ñàìïèíãèéí ýðõ”-èéí øèíæ• Áóë÷èíãèéí õ¿÷äýë ñóëàðñàí ýñýõèéã àæèãëà.

Õ¯¯ÕÄÈÉÍ ÄÀÐÕËÀÀÆÓÓËÀËÒÛÍ ÁÀÉÄÀË ÁÀ À ÀÌÈÍÄÝÌÈÉÍ ÕÀÍÃÀËÒÛÍ ÁÀÉÄËÛà ØÀËÃÀ.ªíººäºð õèéõ âàêöèíûã äóãóéë._____ _____ _____ _____ _____ÁÖÆ ÑÕÕÒ- 1 ÑÕÕÒ- 2 ÑÕÕÒ- 3 ÑÕÕÒ (äàâòàí) À ÀÌÈÍÄÝÌ_____ _____ _____ _____ _____ _____ _____Ñàà-1 Ñàà-2 Ñàà-3 Ñàà-4 ÓÁ-1 ÓÁ-2 Ñàà (äàâòàí)_____ _____ _____ÂÃ-1 ÂÃ-2 ÂÃ-3

Äàðààãèéí âàêöèíä èðýõ:

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ÁÓÑÀÄ ªÂ×ͯ¯ÄÈÉà ¯ÍÝË.

Òà ýíý õýñãèéãÝÕÝÄ ÇªÂ˪

ñýäýâò õè÷ýýë äýýðáºãëºæ ñóðíà

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Çàðèì ýì÷èëãýý øóóä õýäýí ºâ÷íèé ýì÷èëãýýíä çîðèóëàãäàíà. Æèøýý íü,ÓËÀÀÍÁÓÐÕÀÍ áóþó Õ¯ÍÄ ÒÓÐÀÀË, ÖÓÑ ÁÀÃÀÄÀËÒÛà ýì÷ëýõýä À àìèíäýì áè÷äýã.Õýðýâ õ¿¿õäýä ýíý 2 ýìãýã çýðýã áàéâàë ªâ÷òýé Õ¿¿õäèéí ¯çëýãèéí Ìàÿãòàä òà Ààìèíäýìýýð ýì÷ëýõèéã çºâõºí íýã óäàà ë áè÷íý.

Ãýâ÷ õýä õýäýí ýìãýãèéã ýì÷ëýõýä ¿¿ñãýã÷èéí ýñðýã ýì øààðäëàãàòàé áàéâàë òàòýð á¿ãäèéã òîî÷èõ ¸ñòîé. Æèøýý íü:

Óóøãèíû õàòãàëãààã ýì÷ëýõýä ¿¿ñãýã÷èéí ýñðýã áýëäìýë Shigella-èéã ýì÷ëýõýä¿¿ñãýã÷èéí ýñðýã ýì

Õî¸ð ¿¿ñãýã÷èéã ýì÷ëýõýä ¿¿ñãýã÷èéí ýñðýã íýã áýëäìýë õýðýãëýõ áîë òà ¿¿ñãýã÷èéíýñðýã íýã ýì ºã÷ áîëîõ áîëîâ÷ õî¸ð ººð ºâ÷íèé ¿¿ñãýã÷èéí ýñðýã õî¸ð ººð ýìøààðäëàãàòàé áàéæ áàñ áîëíî. Õ¿¿õäèéã Ýì÷èë ñóðàõ áè÷èãò ¿¿ñãýã÷èéí ýñðýã ýì ñîíãîõòàëààð òà èë¿¿ òîäîðõîé ¿çíý.

ÆÈØÝÝ

Äàðààãèéí õóóäñàíä ºãºãäñºí ×èìãýýãèéí ªâ÷òýé Õ¿¿õäèéí ¯çëýãèéí Ìàÿãòûã¿ç. ÝÌÀ ¯ÍÝË, ÀÍÃÈË õ¿ñíýãòèéí “Ýì÷èëãýýã Òîãòîî” áàãàíûã àøèãëàñàí áà ìàÿãòûíàð òàëä øààðäëàãàòàé ýì÷èëãýýã áè÷ñýí.

×èìãýýä àþóëòàé åðºíõèé øèíæ áà õ¿íä àíãèëàë áàéõã¿é òóë ò¿¿íèéã ýìíýëýãòõýâò¿¿ëýõ øààðäëàãàã¿é. Îõèíûã ÝÌÒ-ä ýì÷èëíý.

ÝÌÀ óóøãèíû õàòãàëãààã ýì÷ëýõèéí òóëä êîòðèìîêñàçîë ñîíãîí àâñíûã àíõààð.Ìàÿãòûí àðä õàìãèéí ýðò çààâàë äàâòàí ¿ç¿¿ëýõ ºäðèéã òýìäýãëýñíèéã ìºí àæèãëà.

20

ÝÌ×ÈËÃÝÝ

ªºð õ¿íä ºâ÷íèé àíãèëàëã¿é ÷ ãýñýí ÿìàð íýã

àþóëòàé øèíæòýé õ¿¿õäèéã õýâò¿¿ëíý ãýäãèéã ñàíà.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Äàâòàí ¿çëýãò ýðãýæ èðýõ õóãàöàà: ___________________________________

Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä çºâëº.

ªíººäºð øààðäëàãàòàé äàðõëààæóóëàëòûã õèéæ, À àìèíäýì ºã: ________

_______________________________________________Õîîëëîëòûí çºâëºãºº ºã: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Òà ýíý õýñãèéã ÝÕÝÄǪÂ˪ ñýäýâò õè÷ýýë

äýýð áºãëºæ ñóðíà.

¯¿ñãýã÷èéí ýñðýã ýì, 5 õîíîã.

Õàíèàëãà äàðàõ õîðã¿é 纺ëºí ýì÷èëãýý

Ä/¿ç: 2 õîíîîä

Óóøãèíû õàòãàëãàà, ÷èõíèé öî÷ìîã ¿ðýâñýëä,

êîòðèìîêñàçîë 5 õîíîã ºã

×èõýýñýýð ÷èõèéã õóóðàéøóóë

- 5 õîíîîä ¿ç¿¿ë

×èõíèé ºâäºëòºíä ïàðàöåòàìîë ºã

- ýõíèé òóíã ýìíýëýãò ºã

- 6 öàã òóòàìä ºâäºëò íàìäòàë ºã

- Äàâòàí ¿çëýãò 2 õîíîîä èð

Õîîëëîëòûã ¿íýë/õîîëëîëòûí òàëààð ýõýä çºâëº

Õýðýâ õîîëëîëòûí áýðõøýýëòýé áîë 5 õîíîîä

äàâòàí ¿ç¿¿ë

Ñýðãèéëýõ òóíãààð Ä àìèíäýì ºã

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2. Çàãèð 2 íàñòàé. Ò¿¿íä àþóëòàé åðºíõèé øèíæ áàéõã¿é. ªâ÷íèé àíãèëàë íü:

ØÈÍÃÝÍ ÀËÄÀËÒÒÀÉ ÑÓÓËÃÀËÒÖÓÑÀÍ ÑÓÓËÃÀËÒÕÀËÓÓÐÀËÒ (õàëóóí 37.5 õýì, 2 õîíîã õàëóóðñàí)ÖÓÑ ÁÀÃÀÄÀËÒÃ¯É ÁÀ ÒÓÐÀÀËïɺºð ÿìàð ÷ àíãèëàëã¿é.

Çàãèð òîâëîëûí äàãóó á¿õ ñýðãèéëýõ òàðèëãà õèéëãýñýí áà 9 ñàðòàéäàà Ààìèíäýìèéí íýã òóí óóñàí.

à. ØÈÍÃÝÍ ÀËÄÀËÒÛà ÿàæ ýì÷ëýõ âý?

á. ÖÓÑÀÍ ÑÓÓËÃÀËÒÛà ÿàæ ýì÷ëýõ âý?

â. ÕÀËÓÓÐÀËÒÛà ÿàæ ýì÷ëýõ âý?

ã. “Ýì÷èëãýýã Òîãòîî” áàãàíû öóñ áàãàäàëòã¿é áà òóðààëã¿é ýãíýýã õàð.Çàãèðûí õîîëëîëòûã ¿íýëýõ øààðäëàãàòàé þó?

ä. Ò¿¿íä ºíººäºð À àìèíäýì ºãºõ øààðäëàãàòàé þó?

å. Çàãèð àìáóëàòîðò çààâàë äàâòàí ¿ç¿¿ëýõýýð ýðãýí èðýõ õàìãèéí îéðûíõóãàöàà õýçýý âý?

3 - 4. Äàðàà÷èéí õóóäñàíä Ñýëýíãý, È÷èíõîðëîî íàðûí ªâ÷òýé Õ¿¿õäèéí¯çëýãèéí Ìàÿãò ºãºãäñºí. Ìàÿãò á¿ðèéí í¿¿ðíèé õýñãèéã ñóäàë. Äàðàà íü ìàÿãòûã ýðã¿¿ëæàðä íü øààðäëàãàòàé ýì÷èëãýýíèé çààëòóóäûã áè÷. Òýðýýð 2 ñàðûí ºìíº À àìèíäýìèéííýã òóí óóñàí.

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ªºð õ¿íä ºâ÷íèé àíãèëàëã¿é ÷ ãýñýí ÿìàð íýã

àþóëòàé øèíæòýé õ¿¿õäèéã õýâò¿¿ëíý ãýäãèéã ñàíà.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Äàâòàí ¿çëýãò ýðãýæ èðýõ õóãàöàà: ___________________________________

Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä çºâëº.

ªíººäºð øààðäëàãàòàé äàðõëààæóóëàëòûã õèéæ, À àìèíäýì ºã: ________

_______________________________________________Õîîëëîëòûí çºâëºãºº ºã: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Òà ýíý õýñãèéã ÝÕÝÄǪÂ˪ ñýäýâò õè÷ýýë

äýýð áºãëºæ ñóðíà.

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ÝÌ×ÈËÃÝÝ

ªºð õ¿íä ºâ÷íèé àíãèëàëã¿é ÷ ãýñýí ÿìàð íýã

àþóëòàé øèíæòýé õ¿¿õäèéã õýâò¿¿ëíý ãýäãèéã ñàíà.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Äàâòàí ¿çëýãò ýðãýæ èðýõ õóãàöàà: ___________________________________

Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä çºâëº.

ªíººäºð øààðäëàãàòàé äàðõëààæóóëàëòûã õèéæ, À àìèíäýì ºã: ________

_______________________________________________Õîîëëîëòûí çºâëºãºº ºã: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Òà ýíý õýñãèéã ÝÕÝÄǪÂ˪ ñýäýâò õè÷ýýë

äýýð áºãëºæ ñóðíà.

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ÕÝÇÝÝ ÝÐÃÝÆ ÈÐÝÕ ãýäýã ìàø ÷óõàë õýñýã. Õýðýâ ÿìàð íýã ºâ÷òýé õ¿¿õýä:

- óóæ áóþó õºõºº õºõºæ ÷àäàõã¿é,- áèåèéí áàéäàë äîðäâîë, áóþó- õàëóóðâàëÝìíýëýãò ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä òàéëáàðëà.

Æè÷: Õýðýâ õ¿¿õýä ¿ç¿¿ëýõ ¿åäýý ë õàëóóóíòàé áàéâàë òà õ¿¿õýä õàëóóðâàëýìíýëýãò ÿàðàëòàé èðýõ òóõàé ýõýä ÿðèõ õýðýãã¿é.

Ýíãèéí õàíèàä øóóõèíààòàé õ¿¿õäèéí ýõýä óóøãèíû õàòãàëãààãààð õ¿íäýðâýëãàð÷ áîëîõ äàðààõ øèíæ¿¿äèéã àæèãëàæ áàéõûã òàéëáàðëà. ¯¿íä:

- àìüñãàë îëøðîõ- àìüñãàë ñààäòàé áîëîõ

Óóøãèíû õàòãàëãààãààð õ¿íäýðñíèéã ýäãýýð øèíæ¿¿ä çààäàã òóõàé ýõýä òîäîðõîéòàéëáàðëà. Õýðýâ ýíý ÷óõàë øèíæ¿¿äèéã îéëãîîã¿é áîë õ¿¿õäýý óóøãèíû ¿ðýâñëýýðºâ÷èë÷èõººä áàéõàä òýð ýõ ýìíýëýãò ÿàðàëòàé èðýõã¿éãýýñ õ¿¿õýä ¿õýæ áîëíî.

ÕÝÇÝÝ ßÀÐÀËÒÀÉ ÝÐÃÝÆ ¯Ç¯¯ËÝÕ ÂÝ?

Ãýð ð¿¿ãýý áóöàõàä íü ýìíýëýãò õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõ ó÷ðûã õ¿¿õýäá¿ðèéí ýõýä òà òàéëáàðëàæ ºãºõ ¸ñòîé. Ýíý íü ÿìàð øèíæ¿¿ä ãàðâàë õ¿¿õäèéãýì÷ë¿¿ëýõýýð ÿàðàëòàé àâ÷ èðýõèéã ýõýä òàéëáàðëàíà ãýñýí ¿ã. ÝÕÝÄ ÇªÂ˪õ¿ñíýãòèéí ÕÝÇÝÝ ÝÐÃÝÆ ÈÐÝÕ õýñýãò ýäãýýð øèíæ¿¿äèéã æàãñààñàí áàéíà. Ýõýäîéëãîìæòîé, íóòãèéí ¿ã õýëëýãýýð ÿðèàðàé.

ÕÝÇÝÝ ßÀÐÀËÒÀÉ ÝÐÃÝÆ ¯Ç¯¯ËÝÕ

Õ¿¿õäýä äàðààõ øèíæ¿¿äèéí àëü íýã áàéâàë ÿàðàëòàé ýðãýæ¿ç¿¿ëýõèéã ýõýä çºâëº.

• Óóõ áóþó õºõºõ人 ìóóäàõßìàð íýã ºâ÷òýé õ¿¿õýä: • ªâ÷èí õ¿íäðýõ (áèå íü ìóóäàõ)

• Õàëóóðàõ

ÓÓØÃÈÍÛ ÕÀÒÃÀËÃÀÀÿÉ, ÕÀÍÈÀÄ • Àìüñãàë îëøðîõØÓÓÕÈÍÀÀÒÀÉ õ¿¿õýä: • Àìüñãàë ñààäòàé áîëîõ

Ñóóëãàëòòàé õ¿¿õýä:• Áààñ öóñòàé áîëîõ• Óóõäàà ìóó áîëîõ

30

ÄÀÑÃÀË Â

Ýíý äàñãàëààð òà õ¿¿õýä ýìíýëýãò õýäèéä ÿàðàëòàé ýðãýæ èðýõèéã õýäýíòîõèîëäëûí æèøýýí äýýð òîäîðõîéëíî. Ýõèéí àæèãëàñàí áàéõ, ýõýä ñóðãàõ ¸ñòîéøèíæ¿¿äèéã òà òîî÷èõ ¸ñòîé.

1. Õ¿¿õýä:

àþóëòàé åðºíõèé øèíæã¿é×ÈÕÍÈÉ ÖÎ×ÌÎà ÕÀËÄÂÀÐÒÀÉÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɪºð ÿìàð ÷ ºâ÷íèé àíãèëàëã¿é

ßìàð øèíæ¿¿ä èëýðâýë ýìíýëýãò ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõ âý?

2. Õ¿¿õýä:

àþóëòàé åðºíõèé øèíæã¿éØÈÍÃÝÍ ÀËÄÀËÒÃ¯É ñóóëãàëòÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïɪºð ÿìàð ÷ ºâ÷íèé àíãèëàëã¿é

ßìàð øèíæ¿¿ä èëýðâýë ýìíýëýãò ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõ âý?

32

3.0 ÝÌÍÝËÝÃÒ ÕÝÂÒ¯¯ËÝÕÈÉÍ ªÌͪ ÕÈÉÕ ØÀÀÐÄËÀÃÀÒÀÉßÀÐÀËÒÀÉ ÝÌ×ÈËÃÝÝà ÒÎÃÒÎÎ

Õýðýâ õ¿¿õýä ýìíýëýãò ÿàðàëòàé õýâòýõ øààðäëàãàòàé áîë õ¿¿õäýä íýí ÷óõàëÿàðàëòàé ýì÷èëãýýã õóðäàí ñîíãîæ ýõëýõ ¸ñòîé. ßàðàëòàé ýì÷èëãýýí¿¿äèéã äîîðäóðüäñàí. Òýð íü ̄ ÍÝË, ÀÍÃÈË õ¿ñíýãòýíä òîä, á¿ä¿¿íýýð áè÷èãäñýí áàéíà. Ýìíýëýãòõýâò¿¿ëýõýýð ÿâóóëàõûí ºìíº òà ýì¿¿äèéí çºâõºí ýõíèé òóíã ºãºõ ó÷èðòàé.

¯¿ñãýã÷èéí ýñðýã òîõèðîõ ýì ºã

À àìèíäýì ºã (óëààíáóðõàí áóþó õ¿íä òóðààëûí ýì÷èëãýýíä)

Öóñíû ÷èõýð áàãàñàõààñ ñýðãèéëæ ýì÷èë (ÝÌ×ÈË õ¿ñíýãòýíäòàéëáàðëàñíààð ýíý ýì÷èëãýýíä õºõíèé ñ¿¿, ñ¿¿ áóþó ÷èõýðòýé óñ)

ªíäºð õàëóóðàëòàíä (38.5°C áóþó ò¿¿íýýñ èõ) áóþó õºõëºã óðãàöãèéí¿ðýâñëèéí ºâäºëòºíä ïàðàöåòàìîë ºã

Òåòðàöèêëèíû í¿äíèé òîñ õýðýãëý (õýðýâ ýâýðëýã á¿äãýðñýí áóþó í¿äíýýñèäýýò íóóõ ãàðâàë)

Ýõýä ØÑÄ-íû óóñìàë ºã÷, ýìíýëýã õ¿ðòýëõ çàìä ò¿¿íèéã ÿàæ ºãºõèéã ¿ç¿¿ë

Ýõíèé ãóðâàí çààëò íÿíãèéí ìýíýí, À àìèíäýìèéí äóòëààñ ýâýðëýã óðàãäàõ áóþóöóñíû ÷èõýð áàãààñ òàðõè ãýìòýõ çýðýã íîöòîé õ¿íäðýë ãàðàõààñ ñýðãèéëýõ ó÷ðààñÿàðàëòàé ýì÷èëãýý þì. Äóðüäñàí ýì÷èëãýýíèé áóñàä çààëòóóä ÷ ºâ÷èí öààøã¿íçãèéðýõýýñ ñýðãèéëýõ ìºí ë ÷óõàë ýì÷èëãýý þì.

×èõèéã õóóðàéøóóëàõ áóþó òºìðèéí áýëäìýë ºãºõ çýðýã ÿàðàëòàé áóñ ýì÷èëãýýõèéæ õ¿¿õäèéã õýâò¿¿ëýõýýð ÿâóóëàõ õóãàöààã óäààøðóóëæ áîëîõã¿é. Ñýðãèéëýõ òàðèëãàáóþó À àìèíäýì óóõ ¸ñòîé áàéñàí ÷ ýìíýëýãò õýâò¿¿ëýõýýñ ºìíº ¿¿íèéã õèéõøààðäëàãàã¿é. Ýìíýëãèéí àæèëòíóóäàä ñýðãèéëýõ òàðèëãà áóþó À àìèíäýìèéíñýðãèéëýõ òóíã óóõ õóãàöààã òàíèëöóóë. Èíãýñíýýð ýìíýëýãò õýâòýõ õóãàöàà îðîéòîõîîñçàéëñõèéíý. (Õ¿íä òóðààëòàé áóþó óëààíáóðõíààð ºâ÷èëñºí õ¿¿õäýä À àìèíäýìèéãºãºõ çàéëøã¿é õýðýãòýé).

34

ÄÀÑÃÀË Ã

Òà ýíý äàñãàëààð õ¿¿õäèéã ýìíýëýãò èëãýýõèéí ºìíº õèéõ ÿàðàëòàé ýì÷èëãýýãòîãòîîõ äàäëàãà õèéíý. ¯ÍÝË, ÀÍÃÈË õ¿ñíýãòýíä ýì÷èëãýýíèé òýð çààëòóóäûã òîä¿ñãýýð áè÷ñýí áàéãàà.

1. Ãýðýëìàà 15 ñàðòàé. Îõèíä àþóëòàé åðºíõèé øèíæ áàéõã¿é. ÓÓØÃÈÍÛÕÀÒÃÀËÃÀÀïÉ: ÕÀÍÈÀÄ ØÓÓÕÈÍÀÀÒÀÉ, ÕªÕ˪à ÓÐÃÀÖÃÈÉÍ¿ÐÝÂÑÝËÒÝÉ, ÖÓÑ ÁÀÃÀÄÀËÒïÉ, ÒÓÐÀÀËïÉ, ÐÀÕÈÒïÉ, ººð ÿìàð÷àíãèëàëã¿é.

ÕªÕ˪à ÓÐÃÀÖÃÈÉÍ ¯ÐÝÂÑÝËÒÝÉ ó÷èð Ãýðýëìààã ýìíýëýãò ÿàðàëòàéõýâò¿¿ëýõ õýðýãòýé. Õ¿¿õäèéí àíãèëàë á¿ðèéí ýì÷èëãýýíèé çààëò äîîðºãºãäñºí. Õ¿¿õäèéã ýìíýëýãò ÿâóóëàõûí ºìíº õèéõ ÿàðàëòàéýì÷èëãýýã òýìäýãëý.

à. ___ Õîðã¿é 纺ëºí ýìýýð õîîëîéí ºâäºëò äàðàõ, õàíèàëãà íàìæààõ.á. ___ Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä òàéëáàðëà.â. ___ Õýðýâ õ¿¿õäèéí áèå ñàéæðàõã¿é áîë 5 õîíîîä äàâòàí ¿ç¿¿ë.ã. ___ ¯¿ñãýã÷èéí ýñðýã òîõèðîõ ýìèéí ýõíèé òóíã ºã.ä. ___ ªâäºëòºíä íü ïàðàöåòàìîëûí ýõíèé òóíã ºã.å. √ Õ¿¿õäèéã ýìíýëýãò ßÀÐÀËÒÀÉ õýâò¿¿ë.æ. ___ Õ¿¿õäèéí õîîëëîëòûã ¿íýëæ õîîëíû òàëààð ýõýä çºâëº. Õýðýâ

õîîëíû áýðõøýýë áàéâàë 5 õîíîîä äàðàà÷èéí ¿çëýãò èðýõ.ç. ___ Ä àìèíäýìèéí ýõíèé òóíã ºã.

2. Îíîí 18 ñàðòàé. Îõèíä àþóëòàé åðºíõèé øèíæ áàéõã¿é. Ò¿¿íèé ºâ÷íèéãØÈÍÃÝÍ ÀËÄÀËÒïÉ, ÓÆÈà ÑÓÓËÃÀËÒ, Õ¯ÍÄ ÒÓÐÀÀË, Õ¯ÍÄ ÖÓÑÁÀÃÀÄÀËÒ, ÐÀÕÈÒÃ¯É ãýæ àíãèëñàí, ººð ÿìàð÷ àíãèëàë áàéõã¿é.

Îíîíãèéí Õ¯ÍÄ ÒÓÐÀÀË ÁÀ Õ¯ÍÄ ÖÓÑ ÁÀÃÀÄÀËÒÛà ýì÷ëýõèéí òóëäýìíýëýãò õýâò¿¿ëýõýýð ÿâóóëàõ ¸ñòîé. Õ¿¿õäèéã ýìíýëýãò èëãýýõèéíºìíº õèéõ ÿàðàëòàé ýì÷èëãýýã òýìäýãëý.

à. ___ Øèíãýí àëäàëòààñ ñýðãèéëæ øèíãýí ºã, õîîëëî (À òºëºâëºãºº).á. ___ Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä òàéëáàðëà.â. ___ Óæèã ñóóëãàëòòàé õ¿¿õäèéí õîîëëîëòûí òàëààð ýõýä çºâëº.ã. ___ Ìóëòèâèòàìèí ºã.ä. ___ 5 õîíîîä äàâòàí ¿ç¿¿ë.å. ___ À àìèíäýì ºã.¸. ___ Öóñàíä ÷èõýð áàãàñàõààñ ñýðãèéëæ õ¿¿õäèéã ýì÷èë.æ. √ Ýìíýëýãò ßÀÐÀËÒÀÉ õýâò¿¿ë.ç. ___ Ä àìèíäýìèéí ýõíèé òóíã ºã.

36

ã. ___ ªíäºð õàëóóíä íýã òóí ïàðàöåòàìîë àìáóëàòîðò áàéõàä íü ºã(38.5°C áóþó èõ).

ä. ___ Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä òàéëáàðëàå. ___ Õýðýâ õàëóóðàëò ¿ðãýëæèëæ áàéâàë 2 õîíîãèéí äàðàà äàâòàí ¿çëýãò

èð.¸. ___ Õ¿¿õäèéí õîîëëîëòûã ¿íýëýõ áà õîîëíû òàëààð ýõýä çºâëº. Õýðýâ

õîîëëîëòûí áýðõøýýë áàéâàë 5 ºäðèéí äàðàà äàâòàí ¿ç¿¿ë.

6 - 7. Ýðäýíý, Ðàäíàà õýìýýõ ºâ÷òýé õî¸ð õ¿¿õäèéí ¯çëýãèéí Ìàÿãò äàðààõõóóäñàíä áàéíà. Ìàÿãò á¿ðèéí àð òàëä ýìíýëýãò õýâò¿¿ëýõýýðÿâóóëàõûí ºìíº õèéõ çºâõºí ÿàðàëòàé ýì÷èëãýýí¿¿äèéã áè÷.Ýì÷èëãýýíèé òèéì çààëòóóä ¯ÍÝË, ÀÍÃÈË õ¿ñíýãòýíä òîä ¿ñãýýðáè÷èãäñýí.

Ýíý äàñãàëàà õèéæ äóóñààä õàðèóëòàà ñóðãàã÷ áàãøòàéãàà õýëýëö.

38

ÝÌ×ÈËÃÝÝ

ªºð õ¿íä ºâ÷íèé àíãèëàëã¿é ÷ ãýñýí ÿìàð íýã

àþóëòàé øèíæòýé õ¿¿õäèéã õýâò¿¿ëíý ãýäãèéã ñàíà.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Äàâòàí ¿çëýãò ýðãýæ èðýõ õóãàöàà: ___________________________________

Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä çºâëº.

ªíººäºð øààðäëàãàòàé äàðõëààæóóëàëòûã õèéæ, À àìèíäýì ºã: ________

_______________________________________________Õîîëëîëòûí çºâëºãºº ºã: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Òà ýíý õýñãèéã ÝÕÝÄǪÂ˪ ñýäýâò õè÷ýýë

äýýð áºãëºæ ñóðíà.

40

ÝÌ×ÈËÃÝÝ

ªºð õ¿íä ºâ÷íèé àíãèëàëã¿é ÷ ãýñýí ÿìàð íýã

àþóëòàé øèíæòýé õ¿¿õäèéã õýâò¿¿ëíý ãýäãèéã ñàíà.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Äàâòàí ¿çëýãò ýðãýæ èðýõ õóãàöàà: ___________________________________

Õýçýý ÿàðàëòàé ýðãýæ ¿ç¿¿ëýõèéã ýõýä çºâëº.

ªíººäºð øààðäëàãàòàé äàðõëààæóóëàëòûã õèéæ, À àìèíäýì ºã: ________

_______________________________________________Õîîëëîëòûí çºâëºãºº ºã: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Òà ýíý õýñãèéã ÝÕÝÄǪÂ˪ ñýäýâò õè÷ýýë

äýýð áºãëºæ ñóðíà.

42

5.0 Õ¯¯ÕÄÈÉà ÝÌÍÝËÝÃÒ ÕÝÂÒ¯¯ËÝÕÝÝÐ ßÂÓÓË

Õ¿¿õäèéã ýìíýëýãò õýâò¿¿ëýõýýð ÿâóóëàõûí òóëä òà äàðààõ 4 øàòíû àæèëáàðûãõèé:

1. Õ¿¿õäèéã ýìíýëýãò çàéëøã¿é õýâò¿¿ëýõ øààðäëàãàòàé áàéãààãýõýä òàéëáàðëàí ò¿¿íèé çºâøººðëèéã àâ. Õýðýâ ýõ õ¿¿õäýýýìíýëýãò ÿâóóëàõûã õ¿ñýõã¿é áàéâàë øàëòãààíûã òîäðóóë. Áàéæáîëîõ øàëòãààíóóä ãýâýë:

Ýìíýëýãò õ¿ì¿¿ñ äàíäàà ¿õäýã, õ¿¿õýä ìààíü òýíä ¿õíý ãýæ áîäñîíîîñòýð àéæ áàéæ áîëíî.

Ýìíýëýãò õýâò¿¿ëýõ íü õ¿¿õäèéã ýì÷ëýõýä òóñòàé ãýæ òýð èòãýõã¿é áàéæáîëíî.Õ¿¿õäýý ýìíýëýãò õýâò¿¿ëýõýä ýõ ãýðýý îðõèõ áîëîìæã¿é áàéæ áîëíî.òóõàéëáàë:

- áóñàä õ¿¿õä¿¿äèéã íü àñðàõ õ¿íã¿é áóþó- òýð õºäºº àæ àõóéí àæèë èõòýé, çàâã¿é áóþó- òýð àæëààñàà õàëàãäàæ ìýäíý

* Õ¿¿õýä ýìíýëýãò áàéõ ¿åä õîîë, ýì, ¿éë÷èëãýýíèé áîëîí óíààíû çàðäëûãòºëºõ ìºí㺠ýõýä áàéõã¿é.

2. ¯¿ññýí õ¿íäðýëèéã øèéäâýðëýõýä ýõýä òóñàëæ, ò¿¿íèéã òàéâøðóóë.Æèøýý íü:

Õýðýâ ýõ õ¿¿õäýý ýìíýëýãò ¿õ÷èõ áàéõ ãýæ àéæ áóé áîë ýìíýëýãò ýì÷íàð, òîíîã òºõººðºìæ áàéãàà ó÷ðààñ õ¿¿õýä ýäãýðýõýä èë¿¿ òóñàëíàãýäýãò ò¿¿íèéã èòã¿¿ë.

Ýìíýëýãò õèéãäýõ ýì÷èëãýýí¿¿ä õ¿¿õäèéã ýäãýðýõýä èë¿¿ òóñ áîëîõûãò¿¿íä òàéëáàðëà.

44

ÝÌÍÝËÝÃÒ ÕÝÂÒ¯¯ËÝÕ ÁÈ×ÃÈÉÍ ÆÈØÝÝ

2001 îíû 5 ñàðûí 3. 11:00

Áàÿíç¿ðõ ä¿¿ðãèéí ýìíýëýãòÿàðàëòàé õýâò¿¿ëýõ

Äîðæèéí ªëçèé, 18 ñàðòàéÕýâò¿¿ëýõ øàëòãààí: Øèíãýí èõ àëäàëòòàé ñóóëãàëò

Õ¿íä òóðààë

ÝÌÒ ¹15-ä õèéñýí ýì÷èëãýý:

À àìèíäýì 200 000 ÎÓÍØÑÄ-íû óóñìàë ýìíýëýã õ¿ðýõ çàìä áàãà áàãààð óóëãàíà.

Óëààíáóðõíû ýñðýã ñýðãèéëýõ òàðèëãà õèéëãýõøààðäëàãàòàé - õèéãäýýã¿é.

Ýì÷ Ä. Àëòàíõóÿã ÝÌÒ ¹15

46

2 ÑÀÐÀÀÑ 5 Õ¯ÐÒÝËÕ ÍÀÑÍÛ ªÂ×ÒÝÉ Õ¯¯ÕÄÈÉÍ ¯ÇËÝÃÈÉÍ ÌÀßÃÒ

ÍÝÐ: ___________________________________ ÍÀÑ: ____________ ÆÈÍ: ______ êã Áèåèéí òåìïåðàòóð______°CÕ¿¿õýä ÿìàð çîâèóðòàéã ÀÑÓÓ: _______________________________________ Àíõíû ¿çëýã? ____ Äàâòàí ¿çëýã? ____

¯ÍÝË (Áàéãàà á¿õ øèíæèéã äóãóéë) ÀÍÃÈË

√Õàíèàëãàíà384 ñàð 7Áàòõ¿¿

Õ¯¯ÕÝÄ ÖÓÑ ÁÀÃÀÄÀËÒ ÁÓÞÓ ÆÈÍ ÁÀÃÀ ýñâýë 2 íàñ õ¿ðýýã¿é áîë Õ¯¯ÕÄÈÉÍ ÕÎÎËËÎËÒÛÍ ÁÀÉÄËÛà ̄ ÍÝË.

• Òà õ¿¿õäýý õºõººð õîîëëîäîã óó? Òèéì___ ¯ã¿é___Õýðýâ òèéì áîë 24 öàãò õýäýí óäàà? ___ óäàà. Òà øºíº õºõ¿¿ëäýã ¿¿? Òèéì___ ¯ã¿é___

• Õ¿¿õäýä ÿìàð íýã õîîë áóþó øèíãýí ºãäºã ¿¿? Òèéì___ ¯ã¿é___Õýðýâ òèéì áîë ÿìàð õîîë áóþó øèíãýí _____________________________________________________________ªäºðò õýäýí óäàà? ___ óäàà. Õ¿¿õäèéã õîîëëîõäîî òà þó õýðýãëýäýã âý? ________________________________Õýðýâ íàñàíä òîõèðñîí æèí áàãà áîë: ßìàð õýìæýýòýé õîîë èääýã âý? ___________________________________Õ¿¿õýä ººðºº õîîëîî èääýã ¿¿? ____ Õýí õ¿¿õäèéã õîîëëîäîã âý? ßàæ? __________________________________

• Ýíý ºâ÷íèé ÿâöàä õ¿¿õäèéí õîîëëîëò ººð÷ëºãäñºí ¿¿? Òèéì____ ¯ã¿é ____Òèéì áîë, ÿàæ?

Àþóëòàé åðºíõèé øèíæ áàéíà óó?Òèéì ___ ¯ã¿é ___

Àíãèëàë ñîíãîõäîî àþóëòàéøèíæèéã ¿íäýñëýíý ãýäãèéã ñàíà

ÀÞÓËÒÀÉ ÅЪÍÕÈÉ ØÈÍƯ¯ÄÈÉà ØÀËÃÀÓÓÕ ÁÓÞÓ ÕªÕªª ÕªÕªÕ ×ÀÄÂÀÐÃ¯É ÓÍÒÀÀ ÁÓÞÓ ÓÕÀÀÍïÉÁ¯ÃÄÈÉà ÁªªËÆÈÕÒÀÒÀÕ

Õ¯¯ÕÝÄ ÕÀÍÈÀËÃÀÑÀÍ ÁÓÞÓ ÀÌÜÑÃÀË ÑÀÀÄÒÀÉ ØÈÍÆÒÝÉ Þ¯? Òèéì ___ ¯ã¿é ___• Õýð óäààí? ____ ºäºð • Àìüñãàëûã íýã ìèíóòàíä òîîë.

Íýã ìèíóòàíä ___ óäàà. Àìüñãàë îëøèðñîí óó?• Öýýæ õîíõîëçîõûã àæèãëà.• Õÿõòíàà àìüñãàëûã àæèãëà, ÷àãíà.

Õ¯¯ÕÝÄ ÑÓÓËÃÀÆ ÁÀÉÍÀ ÓÓ? Òèéì ___ ¯ã¿é ___• Õýð óäààí? ____ ºäºð • Õ¿¿õäèéí áèåèéí åðºíõèé áàéäëûã àæèãëà. Õ¿¿õýä:• Áààñàíä öóñ áàéíà óó? Óíòàà áóþó óõààíã¿é?

Òàéâàí áóñ áà öî÷ðîìõîé?• Í¿ä õîíõîéñíûã àæèãëà.• Õ¿¿õäýä óóõ þì ºã. Õ¿¿õýä:

Óóõäàà ìóó áóþó óóæ ÷àäàõã¿é þó?Öàíãàñàí, õîâäîãëîí óóæ áàéíà óó?

• Õýâëèéí àðüñíû õóíèàñ àðèëàõ íü:Ìàø óäààí (2 ñåêóíäýýñ èõ)?Óäààí óó?

Õ¯¯ÕÝÄ ÕÀËÓÓÐÑÀÍ ÓÓ? (ìýä¿¿ëýãòýé/òýìòðýõýä õàëóóí/áèåèéí õàëóóí 37.5°Ñ áóþó èõ) Òèéì ___ ¯ã¿é ___• Õýð óäààí? ____ ºäºð • Õ¿ç¿¿íèé õºøèíãèéã àæèãëà, ¿ç.• 5-ààñ îëîí õîíîã ºäºð á¿ð õàëóóðñàí óó? ÓËÀÀÍÁÓÐÕÍÛ øèíæèéã àæèãëà.• Ñ¿¿ëèéí 3 ñàðä õ¿¿õýä óëààíáóðõíààð • Ò¿ãýýìýë òóóðàëò áà

ºâ÷èëñºí ¿¿? • Õàíèàëãàõ, íóñ ãîîæèõ áóþó í¿ä óëàéõ øèíæèéí íýã• Õàëóóðàëòûí áóñàä øàëòãààíûã àæèãëà, ¿íýë.

Öóñ áàãàäàëòã¿éòóðààëã¿é

Ñ¿¿ëèéí 3 ñàð äîòîð áóþó • Àìíû øàðõëààã àæèãëà.îäîî óëààíáóðõíààð ºâ÷èëñºí áîë: Øàðõëàà ã¿íçãèé áà ºðãºí ¿¿?

• Í¿äíýýñ íóóõ ãàð÷ áóéã àæèãëà.• Ýâýðëýã á¿äãýðñýí ýñýõèéã àæèãëà.

Õ¯¯ÕÄÝÄ ×ÈÕÍÈÉ ªÂ×ÈÍ ÁÀÉÍÀ ÓÓ? Òèéì ___ ¯ã¿é ___• ×èõ ºâäºæ áàéíà óó? • ×èõíýýñ áóëàã ãàðñíûã àæèãëà.• ×èõíýýñ áóëàã ãàð÷ áàéíà óó? • ×èõíèé àðä õàâäàð, õºíä¿¿ð áàéãàà ýñýõèéã òýìòýð.

Õýðýâ òèéì áîë õèð óäààí? ___ ºäºð

ÄÀÐÀÀ ÍÜ ÒÓÐÀÀË ÁÀ ÖÓÑ ÁÀÃÀÄÀËÒÛÃ ØÀËÃÀ• Èëò õ¿íä òóðààëûã àæèãëà.• Àëãàíû öàéëòûã àæèãëà.

Õóâõàé öàãààí óó? Áàãà çýðýã öàãààí óó?• Õî¸ð õºëä õàâàíòàé ýñýõèéã àæèãëà.• Õ¿¿õäèéí íàñàíä òîõèðñîí æèíã òîäîðõîéë.

Æèí Áàãà ____ Æèí Áàãà áèø ____

Õ¯¯ÕÝÄ 2 ÍÀÑ Õ¯ÐÝÝÃ¯É ÁÎË ÐÀÕÈÒÛà ØÀËÃÀ• Õºõºº õºõºõ, óíòàæ áàéõäàà õºëºð÷ áàéíà óó? • Õ¿¿õäèéí ãàâëûí ÿñ 纺ëºðñºí ýñýõèéã òýìòýð.

• “Ñàìïèíãèéí ýðõ”-èéí øèíæ• Áóë÷èíãèéí õ¿÷äýë ñóëàðñàí ýñýõèéã àæèãëà.

Õ¯¯ÕÄÈÉÍ ÄÀÐÕËÀÀÆÓÓËÀËÒÛÍ ÁÀÉÄÀË ÁÀ À ÀÌÈÍÄÝÌÈÉÍ ÕÀÍÃÀËÒÛÍ ÁÀÉÄËÛà ØÀËÃÀ.ªíººäºð õèéõ âàêöèíûã äóãóéë._____ _____ _____ _____ _____ÁÖÆ ÑÕÕÒ- 1 ÑÕÕÒ- 2 ÑÕÕÒ- 3 ÑÕÕÒ (äàâòàí) À ÀÌÈÍÄÝÌ_____ _____ _____ _____ _____ _____ _____Ñàà-1 Ñàà-2 Ñàà-3 Ñàà-4 ÓÁ-1 ÓÁ-2 Ñàà (äàâòàí)_____ _____ _____ÂÃ-1 ÂÃ-2 ÂÃ-3

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3 Áàòõ¿¿ãèéí ýìíýëýãò õýâòýõ áè÷ãèéã á¿ðä¿¿ë. ªíººäðèéí ºäºð, öàãààð áè÷.ÝÌÀ-íû íýðèéí çàéä ººðèéíõºº íýðèéã áè÷.

ÁÀÒÕ¯¯ÃÈÉÍ ÝÌÍÝËÝÃÒ ÕÝÂÒÝÕ ÁÈ×ÈÃ

Äàñãàëûí ýíý õýñãèéã õèéæ äóóñààä ä¿ðä òîãëîõ äàñãàë áà á¿ëãýýðýýõèéõ õýëýëöëýãò òà áýëýí áîëñíîî ñóðãàã÷ áàãøèä õýë.

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Ýíý ñóðàõ áè÷ãýýð ýçýìøñýí äàäëàãàà òà ýíý äàñãàëûã õèéõýä àøèãëàõ áîëíî.Äàðààãèéí õóóäñàíä ºãºãäñºí Ðàâäàíãèéí ªâ÷òýé Õ¿¿õäèéí ̄ çëýãèéí Ìàÿãòûã ¿ç. Òýãýýääàðààõ àñóóëòóóäàíä õàðèóëæ ìàÿãòûí àð òàëûã áºãëº.

1. Ðàâäàíã ýìíýëýãò õýâò¿¿ëýõ øààðäëàãàòàé þó?Òèéì áîë ÿàãààä? ¯ã¿é áîë ÿàãààä?

2. Ìàÿãòûí àð òàëä Ðàâäàíä çàéëøã¿é øààðäëàãàòàé ýì÷èëãýýí¿¿äèéã áè÷.

3. Õàìãèéí îéðûí õóãàöààíä äàâòàí ¿ç¿¿ëýõ ºäðèéã áè÷.

4. ßìàð øèíæ¿¿ä èëýðâýë Ðàâäàíã ýìíýëýãò ÿàðàëòàé àâ÷ðàõ ¸ñòîé âý?

5. Ðàâäàíä ºíººäºð ÿìàð òàðèëãà õèéõ ¸ñòîé âý?

6. ªíººäºð Ðàâäàíä À àìèíäýì ºãºõ õýðýãòýé þ¿?

7. Ðàâäàí äàðàà÷èéí òàðèëãàäàà õýçýý èðýõ ¸ñòîé âý?

Ýíý äàñãàëàà õèéæ äóóñààä õàðèóëòàà ñóðãàã÷ áàãøòàéãàà õýëýëö.