{"id":32866,"date":"2026-09-02T18:07:00","date_gmt":"2026-09-02T22:07:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32866"},"modified":"2026-09-03T06:02:00","modified_gmt":"2026-09-03T10:02:00","slug":"vlpp-%e0%a4%b5%e0%a4%be%e0%a4%b2%e0%a5%8d%e0%a4%b8%e0%a4%b2%e0%a5%8d%e0%a4%b5%e0%a4%be-%e0%a4%b2%e0%a5%80%e0%a4%95-%e0%a4%aa%e0%a5%89%e0%a4%87%e0%a4%82%e0%a4%9f-%e0%a4%aa%e0%a5%8d%e0%a4%b0%e0%a5%87","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/hi\/glossary-term\/vlpp-%e0%a4%b5%e0%a4%be%e0%a4%b2%e0%a5%8d%e0%a4%b8%e0%a4%b2%e0%a5%8d%e0%a4%b5%e0%a4%be-%e0%a4%b2%e0%a5%80%e0%a4%95-%e0%a4%aa%e0%a5%89%e0%a4%87%e0%a4%82%e0%a4%9f-%e0%a4%aa%e0%a5%8d%e0%a4%b0%e0%a5%87\/","title":{"rendered":"VLPP (\u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[109],"glossary-product":[],"class_list":["post-32866","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-diagnostic-phenomena"],"acf":{"gt-definition":"<p>VLPP, \u092f\u093e \u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930 (Valsalva Leak Point Pressure), \u090f\u0915 \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092e\u093e\u092a \u0939\u0948 \u091c\u094b \u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u092f\u0941\u0915\u094d\u0924\u093f \u0915\u0947 \u0926\u094c\u0930\u093e\u0928 \u0928\u094d\u092f\u0942\u0928\u0924\u092e \u0907\u0902\u091f\u094d\u0930\u093e\u0935\u0947\u0938\u093f\u0915\u0932 \u0926\u092c\u093e\u0935 \u0915\u094b \u092e\u093e\u092a\u0924\u093e \u0939\u0948 \u091c\u093f\u0938\u0915\u0947 \u0915\u093e\u0930\u0923 \u0921\u093f\u091f\u094d\u0930\u0938\u0930 \u0938\u0902\u0915\u0941\u091a\u0928 (detrusor contraction) \u0915\u0940 \u0905\u0928\u0941\u092a\u0938\u094d\u0925\u093f\u0924\u093f \u092e\u0947\u0902 \u0905\u0928\u0948\u091a\u094d\u091b\u093f\u0915 \u092e\u0942\u0924\u094d\u0930 \u0930\u093f\u0938\u093e\u0935 \u0939\u094b\u0924\u093e \u0939\u0948\u0964\u00b9 \u092f\u0939 \u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u092e\u0947\u0902 \u0938\u0902\u091a\u093e\u0930\u093f\u0924 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u092a\u0947\u091f \u0915\u0947 \u0917\u0941\u0939\u093e \u0938\u0947 \u092c\u0922\u093c\u0947 \u0939\u0941\u090f \u0926\u092c\u093e\u0935 \u0915\u094b \u0938\u0939\u0928 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0947 \u0906\u0938\u092a\u093e\u0938 \u0915\u0947 \u0938\u0902\u092f\u094b\u091c\u0940 \u092c\u0932\u094b\u0902 \u0915\u0940 \u0938\u092e\u0917\u094d\u0930 \u0915\u094d\u0937\u092e\u0924\u093e \u0915\u093e \u092a\u094d\u0930\u0924\u093f\u0928\u093f\u0927\u093f\u0924\u094d\u0935 \u0915\u0930\u0924\u093e \u0939\u0948\u0964\u00b2 \u092f\u0939 \u0917\u0924\u093f\u0936\u0940\u0932 \u092a\u0930\u0940\u0915\u094d\u0937\u0923 \u092a\u0947\u091f \u0915\u0947 \u0926\u092c\u093e\u0935 \u0915\u0947 \u092a\u094d\u0930\u0924\u093f \u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u0915\u0940 \u0917\u094d\u0930\u0940\u0935\u093e \u092f\u093e \u0938\u092e\u0940\u092a\u0938\u094d\u0925 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0940 \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e \u0915\u093e \u0906\u0915\u0932\u0928 \u0915\u0930\u0915\u0947 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0947 \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0914\u0930 \u092e\u0942\u0924\u094d\u0930 \u0938\u0902\u092f\u092e \u0924\u0902\u0924\u094d\u0930 \u0915\u0940 \u0905\u0916\u0902\u0921\u0924\u093e \u0915\u093e \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u0915\u0930\u0924\u093e \u0939\u0948\u0964\u00b3<\/p>\n<p>\u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092a\u0930\u0940\u0915\u094d\u0937\u0923 \u0915\u0947 \u0926\u094c\u0930\u093e\u0928, \u0930\u094b\u0917\u0940 \u0915\u094b \u090f\u0915 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u092e\u093e\u0924\u094d\u0930\u093e, \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 200mL, \u0924\u0915 \u092d\u0930\u0947 \u0939\u0941\u090f \u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u0915\u0947 \u0938\u093e\u0925 \u092c\u0948\u0920\u0947 \u0939\u0941\u090f \u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u092f\u0941\u0915\u094d\u0924\u093f (\u092c\u0902\u0926 \u092e\u0941\u0902\u0939, \u0917\u094d\u0932\u094b\u091f\u093f\u0938 \u0914\u0930 \u0928\u093e\u0915 \u0915\u0947 \u0938\u093e\u0925 \u091c\u092c\u0930\u0928 \u0938\u093e\u0902\u0938 \u091b\u094b\u0921\u093c\u0928\u093e) \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u0915\u0939\u0915\u0930 VLPP \u0915\u094b \u092e\u093e\u092a\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964\u2074 \u092e\u0942\u0924\u094d\u0930 \u0930\u093f\u0938\u093e\u0935 \u0915\u093e \u0915\u093e\u0930\u0923 \u092c\u0928\u0928\u0947 \u0935\u093e\u0932\u0947 \u0938\u092c\u0938\u0947 \u0915\u092e \u092a\u0947\u091f \u0915\u0947 \u0926\u092c\u093e\u0935 \u0915\u094b \u0938\u0947\u0902\u091f\u0940\u092e\u0940\u091f\u0930 \u0911\u092b \u0935\u0949\u091f\u0930 (cmH\u2082O) \u092e\u0947\u0902 VLPP \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0926\u0930\u094d\u091c \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<\/p>\n<p>\u0924\u0928\u093e\u0935 \u092e\u0942\u0924\u094d\u0930 \u0905\u0938\u0902\u092f\u092e (SUI) \u0915\u0940 \u0917\u0902\u092d\u0940\u0930\u0924\u093e \u0914\u0930 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u094b \u0935\u0930\u094d\u0917\u0940\u0915\u0943\u0924 \u0915\u0930\u0928\u0947 \u092e\u0947\u0902 VLPP \u092e\u093e\u0928 \u091a\u093f\u0915\u093f\u0924\u094d\u0938\u0915\u0940\u092f \u0930\u0942\u092a \u0938\u0947 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0939\u0948\u0902\u0964 60 cmH\u2082O \u0938\u0947 \u0915\u092e \u092e\u093e\u0928 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0906\u0902\u0924\u0930\u093f\u0915 \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0915\u0940 \u0915\u092e\u0940 (ISD) \u0938\u0947 \u091c\u0941\u0921\u093c\u0947 \u0939\u094b\u0924\u0947 \u0939\u0948\u0902, 60-90 cmH\u2082O \u0915\u0947 \u092c\u0940\u091a \u0915\u0947 \u092e\u093e\u0928 \u0905\u0938\u094d\u092a\u0937\u094d\u091f \u092e\u093e\u0928\u0947 \u091c\u093e\u0924\u0947 \u0939\u0948\u0902, \u0914\u0930 90 cmH\u2082O \u0938\u0947 \u0905\u0927\u093f\u0915 \u092e\u093e\u0928 \u092c\u0924\u093e\u0924\u0947 \u0939\u0948\u0902 \u0915\u093f \u0905\u0938\u0902\u092f\u092e \u092e\u0941\u0916\u094d\u092f \u0930\u0942\u092a \u0938\u0947 \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0915\u0940 \u0905\u0915\u094d\u0937\u092e\u0924\u093e \u0915\u0947 \u092c\u091c\u093e\u092f \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0940 \u0905\u0924\u093f\u0917\u0924\u093f\u0936\u0940\u0932\u0924\u093e (urethral hypermobility) \u0915\u0947 \u0915\u093e\u0930\u0923 \u0939\u0948\u0964\u2075 McGuire et al. \u0926\u094d\u0935\u093e\u0930\u093e \u092a\u0939\u0932\u0940 \u092c\u093e\u0930 \u0935\u0930\u094d\u0923\u093f\u0924 \u0907\u0938 \u0935\u0930\u094d\u0917\u0940\u0915\u0930\u0923 \u0915\u0947 \u0924\u0928\u093e\u0935 \u092e\u0942\u0924\u094d\u0930 \u0905\u0938\u0902\u092f\u092e \u0935\u093e\u0932\u0947 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0909\u092a\u091a\u093e\u0930 \u0915\u0947 \u091a\u092f\u0928 \u0914\u0930 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092f\u094b\u091c\u0928\u093e \u0915\u0947 \u0932\u093f\u090f \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0928\u093f\u0939\u093f\u0924\u093e\u0930\u094d\u0925 \u0939\u0948\u0902\u0964\u2076<\/p>\n<p>\u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u0915\u0940 \u092e\u093e\u0924\u094d\u0930\u093e, \u0915\u0948\u0925\u0947\u091f\u0930 \u0915\u093e \u0906\u0915\u093e\u0930, \u0930\u094b\u0917\u0940 \u0915\u0940 \u0938\u094d\u0925\u093f\u0924\u093f \u0914\u0930 \u092e\u093e\u092a \u0924\u0915\u0928\u0940\u0915 \u0938\u0939\u093f\u0924 \u0915\u0908 \u0915\u093e\u0930\u0915 VLPP \u092e\u093e\u092a\u094b\u0902 \u0915\u094b \u092a\u094d\u0930\u092d\u093e\u0935\u093f\u0924 \u0915\u0930 \u0938\u0915\u0924\u0947 \u0939\u0948\u0902, \u091c\u093f\u0938\u0915\u0947 \u0915\u093e\u0930\u0923 \u0907\u0938 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0915\u0947 \u092e\u093e\u0928\u0915\u0940\u0915\u0930\u0923 \u0915\u094b \u0932\u0947\u0915\u0930 \u0928\u093f\u0930\u0902\u0924\u0930 \u091a\u0930\u094d\u091a\u093e\u090f\u0902 \u0939\u0941\u0908 \u0939\u0948\u0902\u0964\u2077 \u0907\u0928 \u0938\u0940\u092e\u093e\u0913\u0902 \u0915\u0947 \u092c\u093e\u0935\u091c\u0942\u0926, VLPP \u092e\u0942\u0924\u094d\u0930 \u0905\u0938\u0902\u092f\u092e \u0935\u093e\u0932\u0947 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0935\u094d\u092f\u093e\u092a\u0915 \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u0915\u093e \u090f\u0915 \u092e\u0942\u0932\u094d\u092f\u0935\u093e\u0928 \u0918\u091f\u0915 \u092c\u0928\u093e \u0939\u0941\u0906 \u0939\u0948, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u0924\u092c \u091c\u092c \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u0939\u0938\u094d\u0924\u0915\u094d\u0937\u0947\u092a \u092a\u0930 \u0935\u093f\u091a\u093e\u0930 \u0915\u093f\u092f\u093e \u091c\u093e \u0930\u0939\u093e \u0939\u094b\u0964<\/p>\n","gt-synonyms":"\u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930, VLPP, \u090f\u092c\u094d\u0921\u0949\u092e\u093f\u0928\u0932 \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930 (ALPP), \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930 (LPP), \u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e LPP, \u092c\u094d\u0932\u0948\u0921\u0930 \u0932\u0940\u0915 \u092a\u0949\u0907\u0902\u091f \u092a\u094d\u0930\u0947\u0936\u0930","gt-citation":"[1] Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26. DOI: https:\/\/doi.org\/10.1007\/s00192-009-0976-9\n\n[2] Rodrigues P, Afonso Y, Hering FO, Campagnari JC, Azoubel A. Valsalva leak point pressure to determine internal sphincter deficiency in stress urinary incontinence. Urol Int. 2006;76(2):154-8. DOI: https:\/\/doi.org\/10.1159\/000090880\n\n[3] Seo YH, Kim SO, Kim YJ, et al. Leak point pressure at different bladder volumes in stress urinary incontinence in women: Comparison between Valsalva and cough-induced leak point pressure. Can Urol Assoc J. 2016;10(1-2):E23-E27. DOI: https:\/\/doi.org\/10.5489\/cuaj.3329\n\n[4] McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 1981;126(2):205-209. DOI: https:\/\/doi.org\/10.1016\/s0022-5347(17)54449-3\n\n[5] Kim SO, Kim YJ, Yoo DH, et al. Clinical Factors Associated with Low Valsalva Leak Point Pressure Among Women with Stress Urinary Incontinence. Int Neurourol J. 2011;15(4):211-215. DOI: https:\/\/doi.org\/10.5213\/inj.2011.15.4.211\n\n[6] Ryu JG, Yu SH, Jeong SH, et al. Transobturator tape for female stress urinary incontinence: preoperative valsalva leak point pressure is not related to cure rate or quality of life improvement. Korean J Urol. 2014;55(4):265-269. DOI: https:\/\/doi.org\/10.4111\/kju.2014.55.4.265\n\n[7] Nager CW, Albo ME, Fitzgerald MP, et al. Reference urodynamic values for stress incontinent women. Neurourol Urodyn. 2007;26(3):333-340. DOI: https:\/\/doi.org\/10.1002\/nau.20332","gt-clinical-context":"<p>VLPP \u0915\u093e \u0909\u092a\u092f\u094b\u0917 \u092e\u0941\u0916\u094d\u092f \u0930\u0942\u092a \u0938\u0947 \u0924\u0928\u093e\u0935 \u092e\u0942\u0924\u094d\u0930 \u0905\u0938\u0902\u092f\u092e (SUI) \u0935\u093e\u0932\u0947 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u0915\u0947 \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u092e\u0947\u0902 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u0924\u092c \u091c\u092c \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u0939\u0938\u094d\u0924\u0915\u094d\u0937\u0947\u092a \u092a\u0930 \u0935\u093f\u091a\u093e\u0930 \u0915\u093f\u092f\u093e \u091c\u093e \u0930\u0939\u093e \u0939\u094b\u0964<sup>1<\/sup> \u092f\u0939 \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092a\u0948\u0930\u093e\u092e\u0940\u091f\u0930 \u091a\u093f\u0915\u093f\u0924\u094d\u0938\u0915\u094b\u0902 \u0915\u094b SUI \u0915\u0947 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930\u094b\u0902 \u0915\u0947 \u092c\u0940\u091a \u0905\u0902\u0924\u0930 \u0915\u0930\u0928\u0947 \u092e\u0947\u0902 \u092e\u0926\u0926 \u0915\u0930\u0924\u093e \u0939\u0948 \u0914\u0930 \u0905\u0902\u0924\u0930\u094d\u0928\u093f\u0939\u093f\u0924 \u092a\u0948\u0925\u094b\u092b\u093f\u091c\u093c\u093f\u092f\u094b\u0932\u0949\u091c\u0940 \u0915\u0947 \u0906\u0927\u093e\u0930 \u092a\u0930 \u0909\u092a\u091a\u093e\u0930 \u091a\u092f\u0928 \u0915\u093e \u092e\u093e\u0930\u094d\u0917\u0926\u0930\u094d\u0936\u0928 \u0915\u0930\u0924\u093e \u0939\u0948\u0964<\/p>\n<p>\u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0905\u092d\u094d\u092f\u093e\u0938 \u092e\u0947\u0902, VLPP \u092e\u093e\u092a \u090f\u0915 \u0935\u094d\u092f\u093e\u092a\u0915 \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u0905\u0927\u094d\u092f\u092f\u0928 \u0915\u0947 \u0939\u093f\u0938\u094d\u0938\u0947 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964 \u092f\u0939 \u092a\u0930\u0940\u0915\u094d\u0937\u0923 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0930\u094b\u0917\u0940 \u0915\u0947 \u092c\u0948\u0920\u0947 \u0939\u094b\u0928\u0947 \u0915\u0940 \u0938\u094d\u0925\u093f\u0924\u093f \u092e\u0947\u0902 \u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u0915\u094b \u090f\u0915 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u092e\u093e\u0924\u094d\u0930\u093e (\u0906\u092e\u0924\u094c\u0930 \u092a\u0930 200mL) \u0924\u0915 \u092d\u0930\u0915\u0930 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<sup>2<\/sup> \u0930\u094b\u0917\u0940 \u0915\u094b \u0927\u0940\u0930\u0947-\u0927\u0940\u0930\u0947 \u092c\u0922\u093c\u0924\u0940 \u0924\u0940\u0935\u094d\u0930\u0924\u093e \u0915\u0947 \u0938\u093e\u0925 \u0935\u093e\u0932\u094d\u0938\u0932\u094d\u0935\u093e \u092f\u0941\u0915\u094d\u0924\u093f \u0915\u0930\u0928\u0947 \u0915\u093e \u0928\u093f\u0930\u094d\u0926\u0947\u0936 \u0926\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948 \u091c\u092c \u0924\u0915 \u0915\u093f \u092e\u0942\u0924\u094d\u0930 \u0915\u093e \u0930\u093f\u0938\u093e\u0935 \u0928 \u0926\u0947\u0916\u093e \u091c\u093e\u090f \u092f\u093e \u0905\u0927\u093f\u0915\u0924\u092e \u092a\u094d\u0930\u092f\u093e\u0938 \u0928 \u0939\u094b \u091c\u093e\u090f\u0964<sup>3<\/sup> \u0938\u091f\u0940\u0915\u0924\u093e \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u0907\u0938 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0915\u094b \u0915\u0908 \u092c\u093e\u0930 \u0926\u094b\u0939\u0930\u093e\u092f\u093e \u091c\u093e \u0938\u0915\u0924\u093e \u0939\u0948, \u091c\u093f\u0938\u092e\u0947\u0902 \u0930\u093f\u0938\u093e\u0935 \u092a\u0948\u0926\u093e \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u0947 \u0928\u094d\u092f\u0942\u0928\u0924\u092e \u0926\u092c\u093e\u0935 \u0915\u094b VLPP \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0926\u0930\u094d\u091c \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<\/p>\n<p>VLPP \u092e\u093e\u0928\u094b\u0902 \u0915\u0940 \u0935\u094d\u092f\u093e\u0916\u094d\u092f\u093e \u0928\u093f\u092e\u094d\u0928\u0932\u093f\u0916\u093f\u0924 \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0922\u093e\u0902\u091a\u0947 \u0915\u0947 \u092d\u0940\u0924\u0930 \u0915\u0940 \u091c\u093e\u0924\u0940 \u0939\u0948:<\/p>\n<ul>\n<li>VLPP \u226460 cmH\u2082O: \u0906\u0902\u0924\u0930\u093f\u0915 \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0915\u0940 \u0915\u092e\u0940 (ISD) \u0915\u093e \u0905\u0924\u094d\u092f\u0927\u093f\u0915 \u0938\u0942\u091a\u0915, \u091c\u094b \u0916\u0930\u093e\u092c \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u094b\u090f\u092a\u091f\u0947\u0936\u0928 \u0914\u0930 \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0915\u093e\u0930\u094d\u092f \u0915\u094b \u0926\u0930\u094d\u0936\u093e\u0924\u093e \u0939\u0948\u2074<\/li>\n<li>VLPP 60-90 cmH\u2082O: \u0905\u0938\u094d\u092a\u0937\u094d\u091f \u0915\u094d\u0937\u0947\u0924\u094d\u0930, \u091c\u094b ISD \u0914\u0930 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0905\u0924\u093f\u0917\u0924\u093f\u0936\u0940\u0932\u0924\u093e \u0915\u0947 \u0938\u0902\u092f\u094b\u091c\u0928 \u0915\u093e \u092a\u094d\u0930\u0924\u093f\u0928\u093f\u0927\u093f\u0924\u094d\u0935 \u0915\u0930 \u0938\u0915\u0924\u093e \u0939\u0948\u2075<\/li>\n<li>VLPP &gt;90 cmH\u2082O: \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0905\u0915\u094d\u0937\u092e\u0924\u093e \u0915\u0947 \u092c\u091c\u093e\u092f \u0905\u0938\u0902\u092f\u092e \u0915\u0947 \u092a\u094d\u0930\u093e\u0925\u092e\u093f\u0915 \u0915\u093e\u0930\u0923 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0905\u0924\u093f\u0917\u0924\u093f\u0936\u0940\u0932\u0924\u093e \u0915\u093e \u0938\u0941\u091d\u093e\u0935 \u0926\u0947\u0924\u093e \u0939\u0948\u2076<\/li>\n<\/ul>\n<p>\u0910\u0924\u093f\u0939\u093e\u0938\u093f\u0915 \u0930\u0942\u092a \u0938\u0947, VLPP \u0915\u093e \u0909\u092a\u092f\u094b\u0917 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092a\u0930\u093f\u0923\u093e\u092e\u094b\u0902 \u0915\u0940 \u092d\u0935\u093f\u0937\u094d\u092f\u0935\u093e\u0923\u0940 \u0915\u0930\u0928\u0947 \u0914\u0930 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u091a\u092f\u0928 \u0915\u093e \u092e\u093e\u0930\u094d\u0917\u0926\u0930\u094d\u0936\u0928 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u0915\u093f\u092f\u093e \u0917\u092f\u093e \u0939\u0948\u0964 \u0915\u092e VLPP \u092e\u093e\u0928 (&lt;60 cmH\u2082O) \u0935\u093e\u0932\u0947 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0915\u0941\u091b \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0915\u0947 \u0938\u093e\u0925 \u0935\u093f\u092b\u0932\u0924\u093e \u0915\u0940 \u0909\u091a\u094d\u091a \u0926\u0930 \u092e\u093e\u0928\u0940 \u091c\u093e\u0924\u0940 \u0925\u0940, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u0935\u0947 \u091c\u094b \u0938\u094d\u092b\u093f\u0902\u0915\u094d\u091f\u0930 \u0915\u093e\u0930\u094d\u092f \u0915\u094b \u092c\u0922\u093c\u093e\u090f \u092c\u093f\u0928\u093e \u092e\u0941\u0916\u094d\u092f \u0930\u0942\u092a \u0938\u0947 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0940 \u0905\u0924\u093f\u0917\u0924\u093f\u0936\u0940\u0932\u0924\u093e \u0915\u094b \u0920\u0940\u0915 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964<sup>7<\/sup> \u0939\u093e\u0932\u093e\u0902\u0915\u093f, \u0939\u093e\u0932 \u0915\u0947 \u0905\u0927\u094d\u092f\u092f\u0928\u094b\u0902 \u0928\u0947 \u0907\u0938 \u092a\u094d\u0930\u0924\u093f\u092e\u093e\u0928 \u0915\u094b \u091a\u0941\u0928\u094c\u0924\u0940 \u0926\u0940 \u0939\u0948, \u091c\u093f\u0938\u092e\u0947\u0902 \u0915\u0941\u091b \u0936\u094b\u0927 \u092c\u0924\u093e\u0924\u0947 \u0939\u0948\u0902 \u0915\u093f \u092a\u094d\u0930\u0940\u0911\u092a\u0930\u0947\u091f\u093f\u0935 VLPP \u0906\u0927\u0941\u0928\u093f\u0915 \u092e\u093f\u0921\u092f\u0942\u0930\u0947\u0925\u094d\u0930\u0932 \u0938\u094d\u0932\u093f\u0902\u0917 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0915\u0947 \u092c\u093e\u0926 \u092a\u0930\u093f\u0923\u093e\u092e\u094b\u0902 \u0915\u0940 \u0935\u093f\u0936\u094d\u0935\u0938\u0928\u0940\u092f \u092d\u0935\u093f\u0937\u094d\u092f\u0935\u093e\u0923\u0940 \u0928\u0939\u0940\u0902 \u0915\u0930 \u0938\u0915\u0924\u093e \u0939\u0948\u0964<sup>6<\/sup><\/p>\n<p>\u0907\u0928 \u0935\u093f\u0935\u093e\u0926\u094b\u0902 \u0915\u0947 \u092c\u093e\u0935\u091c\u0942\u0926, VLPP \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u0915\u093e \u090f\u0915 \u092e\u0942\u0932\u094d\u092f\u0935\u093e\u0928 \u0918\u091f\u0915 \u092c\u0928\u093e \u0939\u0941\u0906 \u0939\u0948, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u091c\u092c \u0907\u0938\u0947 \u0905\u0927\u093f\u0915\u0924\u092e \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u092c\u0902\u0926 \u0926\u092c\u093e\u0935 (MUCP) \u0914\u0930 \u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u094d\u0917 \u0915\u0940 \u0917\u0924\u093f\u0936\u0940\u0932\u0924\u093e \u0915\u0947 \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u091c\u0948\u0938\u0947 \u0905\u0928\u094d\u092f \u092e\u093e\u092a\u0926\u0902\u0921\u094b\u0902 \u0915\u0947 \u0938\u093e\u0925 \u091c\u094b\u0921\u093c\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964 \u0907\u0928 \u0928\u093f\u0937\u094d\u0915\u0930\u094d\u0937\u094b\u0902 \u0915\u093e \u090f\u0915\u0940\u0915\u0930\u0923 \u091a\u093f\u0915\u093f\u0924\u094d\u0938\u0915\u094b\u0902 \u0915\u094b \u0930\u094b\u0917\u0940 \u0915\u0947 \u0938\u0902\u092f\u092e \u0924\u0902\u0924\u094d\u0930 \u0915\u0940 \u0935\u094d\u092f\u093e\u092a\u0915 \u0938\u092e\u091d \u0935\u093f\u0915\u0938\u093f\u0924 \u0915\u0930\u0928\u0947 \u0914\u0930 \u0938\u092c\u0938\u0947 \u0909\u092a\u092f\u0941\u0915\u094d\u0924 \u0909\u092a\u091a\u093e\u0930 \u0926\u0943\u0937\u094d\u091f\u093f\u0915\u094b\u0923 \u0915\u093e \u091a\u092f\u0928 \u0915\u0930\u0928\u0947 \u092e\u0947\u0902 \u092e\u0926\u0926 \u0915\u0930\u0924\u093e \u0939\u0948\u0964<\/p>\n<p>\u0906\u0935\u0930\u094d\u0924\u0915 \u0905\u0938\u0902\u092f\u092e, \u092e\u093f\u0936\u094d\u0930\u093f\u0924 \u092e\u0942\u0924\u094d\u0930 \u0905\u0938\u0902\u092f\u092e \u0915\u0947 \u091c\u091f\u093f\u0932 \u092e\u093e\u092e\u0932\u094b\u0902 \u092e\u0947\u0902, \u092f\u093e \u091c\u092c \u092a\u093f\u091b\u0932\u0947 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u0939\u0938\u094d\u0924\u0915\u094d\u0937\u0947\u092a \u0935\u093f\u092b\u0932 \u0939\u094b \u0917\u090f \u0939\u094b\u0902, \u0924\u092c VLPP \u092e\u093e\u092a \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u092a\u094d\u0930\u093e\u0938\u0902\u0917\u093f\u0915 \u0939\u0948\u0964<sup>1<\/sup> \u0907\u0928 \u092a\u0930\u093f\u0926\u0943\u0936\u094d\u092f\u094b\u0902 \u092e\u0947\u0902, VLPP \u0938\u0939\u093f\u0924 \u0935\u093f\u0938\u094d\u0924\u0943\u0924 \u092f\u0942\u0930\u094b\u0921\u093e\u092f\u0928\u093e\u092e\u093f\u0915 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928 \u0905\u0902\u0924\u0930\u094d\u0928\u093f\u0939\u093f\u0924 \u092a\u0948\u0925\u094b\u092b\u093f\u091c\u093c\u093f\u092f\u094b\u0932\u0949\u091c\u0940 \u092e\u0947\u0902 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 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