Фізичні вправи та психологічна корекція на ранньому етапі реабілітації хворих на інфаркт міокарда: Автореф. дис… канд. наук з фіз. виховання і спорт

IAOe?IIAEUeIEE OI?AA?NEOAO O?CE*IIAI AEOIAAIIss ? NII?OO OE?A?IE

AEUe-EOAeAO IIOAIIAAe EO.A.

OAeE 616.127-005.8-08

O?CE*I? AI?AAE OA INEOIEIA?*IA EI?AEOe?ss IA ?AIIUeIIO AOAI?
?AAA?E?OAOe?? OAI?EO IA ?IOA?EO I?IEA?AeA

24.00.02 – O?ce/ia eoeueoo?a, o?ce/ia aeoiaaiiy ??cieo a?oi ianaeaiiy

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaoe c o?ce/iiai
aeoiaaiiy ? nii?oo

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Iaoe?iiaeueiiio oi?aa?neoao? o?ce/iiai aeoiaaiiy ?
nii?oo Oe?a?ie, Aea?aeaaiee eii?oao Oe?a?ie c o?ce/ii? eoeueoo?e ?
nii?oo.

Iaoeiaee ea??aiee:

eaiaeeaeao iaaee/ieo iaoe, aeioeaio AAII?EIAA ?eiia Ieaen??aia, aeioeaio
eaoaae?e o?ce/ii? ?aaa?e?oaoe?? Iaoe?iiaeueiiai oi?aa?neoaoo o?ce/iiai
aeoiaaiiy ? nii?oo Oe?a?ie.

Io?oe?ei? iiiiaioe:

– ssuaiei A.A., aeieoi? iaaee/ieo iaoe, i?ioani?, aieiaiee iaoeiaee
ni?a?ia?oiee eaai?aoi??? ae?aaiinoeee ooieoe?iiaeueieo ?aca?a?a
aenieieaae?o?eiaaieo nii?oniai?a Aea?aeaaiiai iaoeiai-aeine?aeiiai
?inoeoooo o?ce/ii? eoeueoo?e ? nii?oo;

– Oaeyaei ?.A., aeieoi? iaaee/ieo iaoe, i?ia?aeiee iaoeiaee ni?a?ia?oiee
?inoeoooo ee?i?/ii? ?aae?ieia?? Iaoeiaiai oeaio?o ?aae?aoe?eii?
iaaeeoeeie Oe?a?ie.

I?ia?aeia onoaiiaa:

A?iieoeueeee aea?aeaaiee iaaeaaia?/iee oi?aa?neoao, I?i?noa?noai ina?oe
Oe?a?ie, i. A?iieoey.

Caoeno a?aeaoaeaoueny “ 28 ” o?aaiy 1999 ?. i 14 aiae. 30 oa. ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.829.01 Iaoe?iiaeueiiai
oi?aa?neoaoo o?ce/iiai aeoiaaiiy ? nii?oo Oe?a?ie (252650, Ee?a-150,
aoe. O?ceoeueoo?e, 1).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Iaoe?iiaeueiiai
oi?aa?neoaoo o?ce/iiai aeoiaaiiy ? nii?oo Oe?a?ie (252650, Ee?a-150,
aoe. O?ceoeueoo?e, 1).

Aaoi?aoa?ao ?ic?neaiee “ 27 ” ea?oiy 1999 a.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaeaaia?/ieo iaoe, i?ioani? ?aauaiei E.ss.

1

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue. Ca noaoenoe/ieie aeaieie Anana?oiuei? i?aai?caoe??
ioi?iie caei?ia’y (1988) oa aeaieie ie?aieo e?a?i na?oo ?ioa?eo
i?iea?aea iin?aea? iaeia c ia?oeo i?noeue na?aae caoai?thaaiue
na?oeaai-noaeeiii? nenoaie (Aia?ia A.A., 1994; *acia ?.?., 1994; Aiiniaa
I.I., 1998). O ca’yceo c oeei i?iaeaia ?aaa?e?oaoe?? oai?eo, ye?
ia?aianee ?ioa?eo i?iea?aea, i?iaeiaaeo? caeeoaoeny iaei??th c
iaeaaaeeea?oeo i?iaeai no/aniino? (I?eiea?aa E.O., A?iiia Ae.I., 1988).

?acii c oei, ye caaaeueiii?eeiyo? (AIIC, 1969), oae ? nei?i/ai?
(i?enei?ai?) i?ia?aie o?ce/ii? ?aaa?e?oaoe?? aeey noaoe?iia?iiai aoaio
(Aeoaean ?.I., 1981; Aaiaeoeueeee ?.A., 1984; Neaaec?anueea ?.E.,
E?aaoeiaa E.A., 1989; Aiiniaa I.I., 1995 oa ?i.) ia caaacia/othoue
iiaiiai aeei?enoaiiy on?o iiaeeeainoae o?ce/iiai oaeoi?a a?aeiinii
i?aeaeuaiiy aoaeoeaiino? a?aeiiaethaaeueiiai e?eoaaiiy oaeeo oai?eo. ?
ine?eueee oni?o ?aaa?e?oaoe?? caeaaeeoue ia eeoa a?ae i?aaeeueiiai
aeai?o i?ia?aie, oe?eani?yiiaaiino? o ?? i?iaaaeaii?, ia’?eoeaiino?
eiio?ieth, oe?ei? iecee ?ioeo oaeoi??a, aea ? cia/iith i??ith a?ae
aeoeaiino? naiiai oai?iai, iniaeeainoae iniaenoino?, a oaeiae ci?i
ineo?ee, ye? aeieeee o iueiai a i?ioean? caoai?thaaiiy oa
ia?aoeiaeaeathoue iiaa?iaiith aei ?iaioe a?ae 33 aei 80% oai?eo
(Ooaaoeaaay ?.E., 1969; Caeoeaa A.I., 1975, 1990), aaeeeiai cia/aiiy
iaaoaa? ineoieia?/ia ?aaa?e?oaoe?y.

Ne?ae a?aecia/eoe, ui o?ce/i? o?aioaaiiy, caaaeyee ineoioa?aiaaoe/iiio
aieeao caiyoue, i?ecaiaeyoue aei cia/iiai iie?auaiiy ineo?/iiai noaio
oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea (Caeoeaa A.I., 1982; Eoaeoe?i
A.O., 1990, Noaeaea?aa N.A., 1990). I?i cai?ioiee aieea ineoieia?/ii?
?aaa?e?oaoe?? ia aoaeoeai?noue caiyoue e?eoaaeueiith a?iianoeeith, oaiie
aeoea?caoe?? oai?eo, c?inoaiiy ?o o?ce/ii? i?aoeacaeaoiino? oa,
a?aoo?-?aoo, oa?i?ie ?o ia?aaoaaiiy a noaoe?iia?? a?aeiiinoae iaia?. Ia
aecia/aia caeaaei?noue o?ce/ii? i?aoeacaeaoiino? a?ae iniaeeainoae
iniaenoino? oai?iai, nooiaiy i?iyao o iueiai ineoiiaoieia?/ieo ?aaeoe?e.

Aeoiaey/e c aeuaaeeeaaeaiiai, iai oyaey?oueny aeineoue aeooaeueiei
aea/aiiy oeeo ieoaiue, ui aoaea iaoe ia eeoa oai?aoe/io cia/ei?noue ?
i?aeoe/io oe?ii?noue, aea ? nooo?aee aeiiii?/iee aoaeo.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie IAe?. Aeena?oaoe?eia ?iaioa
aeeiiaia a?aeiia?aeii aei caaaeaiiai ieaio IAe? c o?ce/iiai aeoiaaiiy oa
nii?oo ia 1996-2000 ??., o?aoueiai iai?yieo: “Aaeaieia?y oa o?ce/ia
?aaa?e?oaoe?y” c oaie 3.1.2. “No?oeoo?a oa ci?no iaaeeei-a?ieia?/ieo
aeenoeeie?i ia oaeoeueoao? caei?ia’y oa o?ce/ii? ?aaa?e?oaoe??” (iiia?
aea?aeaaii? ?a?no?aoe?? 0196E010545).

Iaoa oa caaea/? aeine?aeaeaiiy. Iaoa ?iaioe iieyaa? o i?aeaeuaii?
aoaeoeaiino? ?aiiueiai a?aeiiaeaiiy oai?eo ia aaeeeiaiaieuaaee ?ioa?eo
i?iea?aea aaeineiiaeaiiyi i?ia?aie o?ce/ii? ?aaa?e?oaoe?? ca aeiiiiiaith
iaoiae?a ineoieia?/ii? ei?aeoe??.

Caaea/? aeine?aeaeaiiy:

1. Iiaeeo?eoaaoe aeey oai?eo ia ?ioa?eo i?iea?aea i?ioeaaeo?e
ineoioa?ai??, ye? ni?eythoue i?aeaeuaiith aoaeoeaiino? caiyoue
e?eoaaeueiith a?iianoeeith.

2. ?ic?iaeoe i?ia?aio ineoieia?/ii? ?aaa?e?oaoe?? oai?eo ?ioa?eoii
i?iea?aea aeey noaoe?iia?iiai aoaio e?eoaaiiy.

3. ?ic?iaeoe i?ia?aio o?ce/ii? ?aaa?e?oaoe?? a caeaaeiino? a?ae
ineoieia?/iiai noaio oai?eo ia ?ioa?eo i?iea?aea aeey noaoe?iia?iiai
aoaio e?eoaaiiy.

4. Aecia/eoe aoaeoeai?noue ?acoeueoao?a canoinoaaiiy ca oiia noaoe?iia?o
aaeineiiaeaii? ineoioa?aiaaoe/ieie caoiaeaie i?ia?aie ?aiiuei?
aeoea?caoe?? oai?eo c iaoneeaaeiaiei i?io?eaiiyi ?ioa?eoo i?iea?aea.

Iaoeiaa iiaecia ?iaioe iieyaa? o oiio, ui:

O aaeineiiaeaia i?ia?aia o?ce/ii? ?aaa?e?oaoe?? eiiieaenii ineoioa?ai??
aeey iioei?caoe?? a?aeiiaethaaeueiiai e?eoaaiiy oai?eo ia
aaeeeiaiaieuaaee ?ioa?eo i?iea?aea, ui aeicaieeei nei?ioeoe oa?i?i
ia?aaoaaiiy o noaoe?iia?? aei 20-23 ae?a;

O aeieacaia aoaeoeai?noue ?aiiueiai aeei?enoaiiy ineoieia?/ii? ei?aeoe??
aeey i?enei?aiiy i?ioeano ii?iaeueii? ineoieia?/ii? ?aaaeaioaoe??;
iiceoeaiee aoaeo a?aecia/aiee o 98,3% aeiaaee?a;

O ?icoe?ai? oyaeaiiy i?i iaoai?cie aaiiaeeiai?/iiai caaacia/aiiy
o?ce/iiai iaaaioaaeaiiy – aeyaeaia iiceoeaia aeeiai?ea iieaciee?a
oeaio?aeueiiai e?iaiia?ao oa ?iaeaen?a nei?i/oaaiino? a oac? aeaiaiiy ?c
c?inoaiiyi o?ce/ii? i?aoeacaeaoiino? oa cieeiaiiyi ineoiiaoieia?/ii?
neiioiiaoeee.

Oai?aoe/ia cia/ei?noue ?iaioe iieyaa? o oiio, ui ii?aoeueiaaia iaoeiai
iaa?oioiaaia iaoiaeieia?y aaeineiiaeaiiy i?ia?aie o?ce/ii? ?aaa?e?oaoe??
ca aeiiiiiaith eiiieaeno ineoioa?aiaaoe/ieo caoiae?a. ?acoeueoaoe
i?iaaaeaieo aeine?aeaeaiue eiie?aoecothoue iieiaeaiiy i?i i?enei?aiiy
?icaeoeo eiiiainaoi?ii-a?aeiiaethaaeueieo i?ioean?a na?oeaai-noaeeiii?
nenoaie oai?eo ia ?ioa?eo i?iea?aea i?ae aieeaii ii?aeiaiiai
canoinoaaiiy e?eoaaeueii? a?iianoeee c ineoieia?/iith ei?aeoe??th.

I?aeoe/ia cia/ei?noue oa ??aaiue ai?iaaaeaeaiiy ?acoeueoao?a
aeine?aeaeaiiy iieyaa? a ?ic?iaoe? ia iaoeiaiio i?aea?oio? i?ia?aie
o?ce/ii? ?aaa?e?oaoe?? oa aaeineiiaeaii? ?? eiiieaenii iaoiae?a
ineoieia?/ii? ei?aeoe?? (?aeaenaoe?eiith a?iianoeeith, aooiaaiiei
o?aioaaiiyi). Aeei?enoaiiy o ee?i?oe? ?aeiiaiaeaoe?e, ye? ?ic?iaeai? ia
i?aea?oio? ?acoeueoao?a aeine?aeaeaiiy, aeicaiey? i?aeaeueoe
aoaeoeai?noue ?aaa?e?oaoe??, i?enei?eoe i?ioean ii?iaeueii?
ineoieia?/ii? ?aaaeaioaoe?? i?ney ?ioa?eoo i?iea?aea, iiia?aaeeoe
aeieeiaiiy ineoiiaoieia?/ieo ci?i, ye? ?icaeaathoueny o ca’yceo ?c
caoai?thaaiiyi; i?aeaiooaaoe oai?iai aei iiaeo oiia i?aoe? oa iiaooo,
nei?ioeoe oa?i?i ia?aaoaaiiy o noaoe?iia??.

?acoeueoaoe i?iaaaeaii? ?iaioe ai?iaaaeaeai? o a?aeae?eaii?
ea?ae?i?aaa?e?oaoe?? Oeaio?aeueii? i?nueei? ee?i?/ii? e?ea?i? i. Ee?aa,
a oaeiae aeei?enoai? o iaa/aeueiiio i?ioean? eaoaae?e o?ce/ii?
?aaa?e?oaoe?? Iaoe?iiaeueiiai oi?aa?neoaoo o?ce/iiai aeoiaaiiy ? nii?oo
Oe?a?ie, ui i?aeoaa?aeaeo?oueny aeoaie ai?iaaaeaeaiiy.

Iniaenoee aianie aaoi?a iieyaa? a i?aai?caoe?? aeine?aeaeaiue, ?ic?iaoe?
i?ia?aie o?ce/ii? ?aaa?e?oaoe??, a?aeai?? iaoiae?a ineoioa?ai?? oa
iiaeeo?eaoe?? ?o aeey oai?eo ia ?ioa?eo i?iea?aea, aecia/aii? iieaciee?a
o?ce/ii? i?aoeacaeaoiino? oa ioe?ioe? ineoieia?/ieo ci?i, o/ano? o
eoiaea?ae?ia?ao?/iiio aeine?aeaeaii?, iaoeiaiio aiae?c? io?eiaieo aeaieo
oa iaienaii? aeena?oaoe??.

O i?iaaaeaii? aenia?eiaioaeueiiai eiiieaeniiai a?aeiiaethaaeueiiai
e?eoaaiiy in?a c iaoneeaaeiaiei i?io?eaiiyi aaeeeiaiaieuaaiai ?ioa?eoo
i?iea?aea a?aee o/anoue: iaoeiaee ea??aiee – eaiae. iaae. iaoe, aeioeaio
eaoaae?e o?c?aaa?e?oaoe?? IOOANO Aaii?eiaa ?.I. oa eaiae. iaae. iaoe,
e?ea? a?aeae?eaiiy ea?ae?i?aaa?e?oaoe?? OeIEE i.Ee?aa Na?iei A.E.
?acoeueoaoe ciaeoee a?aeia?aaeaiiy a 3-o iaoeiaeo ?iaioao, 1-io
iaoiaee/iiio iin?aieeo oa 1-e a?ioo??, ye? iioae?eiaai? a ni?aaaoi?noa?.
Aeena?oaioo iaeaaeeoue oaeoe/iee iaoa??ae oa aeniiaee.

Ai?iaaoe?y ?acoeueoao?a aeine?aeaeaiiy. Iaoa??aee aeena?oaoe??
aeeeaaeai? o ca??eao iaoeiaeo i?aoeue, i?aaenoaaeai? ia I?aeia?iaeiiio
iaoeiaiio eiia?an? “No/aniee ie?ii?enueeee nii?o” (Ee?a, 1997) oa
eiioa?aioe?? ani??aio?a “Iieiaea nii?oeaia iaoea Oe?a?ie” (Euea?a,
1998); aeiiia?aeaeeny ia o?ueio iaoeiai-iaoiaee/ieo i?aeeaoaae?aeueieo
eiioa?aioe?yo Oe?a?inueeiai aea?aeaaiiai oi?aa?neoaoo o?ce/iiai
aeoiaaiiy ? nii?oo (Ee?a, 1996, 1997, 1998).

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiiy. Ca iaoa??aeaie aeena?oaoe?eii?
?iaioe iioae?eiaaii 6 iaoeiaeo ?ia?o o ca??eao iaoeiaeo i?aoeue, 1
iaoiaee/iee iin?aiee oa 2 a?ioo?e.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 192
noi??ieao oa neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, 4 ?icae?e?a
aeanieo aeine?aeaeaiue, caeeth/ii? /anoeie, aeniiae?a oa i?aeoe/ieo
?aeiiaiaeaoe?e. Aeena?oaoe?y ?ethno?iaaia 22 oaaeeoeyie, 15 ?enoieaie.
Aeac?aiee e?oa?aoo?e ai?uo? 264 aeaea?aea, c ieo 92 ?iicaiieo aaoi??a.

INIIAIEE CI?NO

No/ani? oyaeaiiy i?i ?aaa?e?oaoe?th oai?eo ia ?ioa?eo i?iea?aea ia
noaoe?iia?iiio aoai? e?eoaaiiy.

Aiae?c aeaieo e?oa?aoo?e aeicaiey? c?iaeoe aeniiaie, ui iaoith
?aaa?e?oaoe?? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea, ? ia eeoa
a?aeiiaeaiiy caei?ia’y, caeaoiino? ia?aiineoe o?ce/i? iaaaioaaeaiiy oa
i?aoeacaeaoiino? oai?iai aei ??aiy, yeee ia?aaeoaaa caoai?thaaiith, aea
? aeinyaiaiiy iioeiaeueieo o?ce/ieo ? ineoieia?/ieo iiaeeeainoae
?iaeea?aeooia c o?aooaaiiyi ci?iaiiai o ca’yceo c ia?aianaiei
caoai?thaaiiyi noaio eiai na?oeaai-noaeeiii? nenoaie. Aeineoue
ia?aeiieea? na?ae/aiiy i?i iiceoeaiee aieea o?ce/ieo o?aioaaiue ia
ineoieia?/iee noaoon oai?eo i?ney ?ioa?eoo i?iea?aea. Ieoaiiy ae, ye?
a?aeia?aaeathoue aieea ineoieia?/ii? ei?aeoe?? ia aoaeoeai?noue
?aaa?e?oaoe?eieo caoiae?a, o?ce/io i?aoeacaeaoi?noue oai?eo oa oa?i?i
noaoe?iia?iiai aoaio e?eoaaiiy, caeeoathoueny iaaeinoaoiuei aea/aieie. A
oie aea /an, aaaaoiieaiia?noue caaea/ ?aaa?e?oaoe?? iaoiiaeth? aenieee
??aaiue aeiiii?/ieo aeo?ao ia ?? i?aai?caoe?th oa i?iaaaeaiiy. Oiio,
oe?eeii i?e?iaeia iaiaaaiiy iioei?coaaoe nenoaio ?aaa?e?oaoe?eieo
caoiae?a aeey oai?eo c iaoneeaaeiaiei i?io?eaiiyi ?ioa?eoo i?iea?aea
oeyoii ii?aeiaiiai canoinoaaiiy e?eoaaeueii? a?iianoeee c ineoieia?/iith
ei?aeoe??th oaea ia noaoe?iia?iiio aoai? a?aeiiaethaaeueiiai e?eoaaiiy.

Iaoiaee oa i?aai?caoe?y aeine?aeaeaiiy.

Iaoiaeieia?y aeine?aeaeaiiy aacoaaeany ia iaoeiaiio iaa?oiooaaii?
aea/aiiy caeiiii??iinoae ii?aeiaiiai aeei?enoaiiy o?ce/ii? ?aaa?e?oaoe??
oa iaoiae?a ineoieia?/ii? ei?aeoe?? i?ney aaeeeiaiaieuaaiai ?ioa?eoo
i?iea?aea, iaoiae?a ?o ioe?iee, i???ioaoe?? a?aeiiaethaaeueii? oa?ai??
ia i?aeaeuaiiy o?ce/ii? i?aoeacaeaoiino? oa ii?iae?caoe?th ineo?/iiai
noaio oai?iai.

C iaoith ?ica’ycaiiy iinoaaeaieo o ?iaio? caaea/ aeei?enoiaoaaeenue oae?
iaoiaee aeine?aeaeaiiy: aiae?oe/iee iaeyae e?oa?aoo?e; aiae?c ?noi??e
oai?iae; iaaaioaaeoaaeuei? oanoe (noai-oano, i?iaa c aeiciaaiei
oiae?iiyi, aaeia?aiiao??y), ee?i?/ia oeaea aeey ioe?iee ineo?/iiai noaio
oai?eo, eoiaea?ae?ia?ao?y, iaoaiaoe/ia noaoenoeea.

?iaioa aeeiioaaeanue ia aac? a?aeae?eaiiy ea?ae?i?aaa?e?oaoe??
Oeaio?aeueii? i?nueei? ee?i?/ii? e?ea?i? i. Ee?aa. I?ioyaii
noaoe?iia?iiai aoaio e?eoaaiiy i?ae iaaeyaeii ciaoiaeeeenue 214 oai?eo
/ieia?e?a c aaeeeiaiaieuaaei ?ioa?eoii i?iea?aea (II ooieoe?iiaeueiee
eean) a?eii a?ae 37 aei 60 ?ie?a ? noa?o?, ye? iaee ??ciee nooi?iue
ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e. Iniiaia /anoeia oai?eo (67,7%)
aoea a?eii a?ae 51 aei 60 ?ie?a.

I?ioyaii ia?oeo 6 – 8 aei?a a?ae ii/aoeo caoai?thaaiiy (I-II nooi?iue
aeoeaiino?) ?aaa?e?oaoe?y an?o oai?eo cae?enithaaeanue ca iaeiaeiaith
noaiith: EOE iethn “iaea” ineoioa?ai?y. O a?aeae?eaii?
ea?ae?i?aaa?e?oaoe?? II a?oia (99 oai?eo) i?iaeiaaeoaaea caeiaoeny
e?eoaaeueiith a?iianoeeith ia oii? “iaei?” ineoioa?ai??, a I a?oia (115
oai?eo) – caeiaeany e?eoaaeueiith a?iianoeeith ia oii? eiiieaeno
i?eeii?a ineoioa?ai??, yeee aeeth/aa ie??i “iaei?” ineoioa?ai??
?aeaenaoe?eio a?iianoeeo, aooio?ai?ia, a?iiinoaano?th. Ni?aa?aeiioaiiy
oai?eo c eaaei oa iii??ii ae?aaeaiei nooiaiai ineoiiaoieia?/ieo
?aaeoe?e, ye? c’ynoaaeeny i?ae /an ia?oiai ianoaaeaiiy, aoei i?eaeecii a
iaio a?oiao iaeiaeiaei: o I a?oi? – 42,6 % (49) oa 57,4 % (66), a a II
a?oi? – 43,4 % (43) oa 56,6 % (56).

Iiaoaeiaa i?ia?aie ineoieia?/ii? ?aaa?e?oaoe?? oai?eo ia ?ioa?eo
i?iea?aea ia noaoe?iia?iiio aoai?.

Na?aae iaoiae?a ineoieia?/ii? ?aaa?e?oaoe?? oai?eo ?ioa?eoii i?iea?aea
ineoioa?ai?? iaeaaeeoue i?ia?aeia ?ieue.

I?e ?ic?iaoe? eiie?aoieo oi?i ineoioa?aiaaoe/iiai aieeao a?aoiaoaaee oie
oaeo, ui ci?no oa ni?yiiaai?noue ineoioa?ai?? a aoaeue-ye?e c ??
??ciiaeae?a aecia/a?oueny ineoieia?/iei noaiii oai?iai, yeee caeaaeeoue
a?ae eiai a?eo a iiiaio caoai?thaaiiy, iniaeeainoae iniaenoino? oai?iai,
eoeueoo?ii? oi?ie, a ye?e ciaoiaeyoue na?e aeya aiioe??, iiia?aaeiueiai
o?ce/iiai noaio, ooieoe?iiaeueiiai eeano neeaaeiino? ee?i?/iiai
i?io?eaiiy caoai?thaaiiy, ia??iaeo caoai?thaaiiy, o?eaaeino? oai?iae,
neooaoe??, yea neeaaea?oueny o ?acoeueoao? oai?iae.

I?ia?aia ineoieia?/ii? ?aaa?e?oaoe?? aeey noaoe?iia?iiai aoaio
a?aeiiaethaaeueiiai e?eoaaiiy ?ic?iaeaia ia i?aenoaa? ?acoeueoao?a
ee?i?/ieo oa ooieoe?iiaeueieo aeine?aeaeaiue. Eiiieaen iaoiae?a
ineoieia?/ii? naii?aaoeyoe?? – ?aeaenaoe?eia a?iianoeea, aooiaaiia
o?aioaaiiy ia oii? ?aoaeueii i?ae?a?aieo ioce/ieo i?ia?ai c o?aooaaiiyi
?o aieeao ia i?aai?ci, iaecaaea-, anoaoioa?ai?y, aooio?ai?ia ia
i?ioeaaeo?? e?eoaaeueii? a?iianoeee, ?aoeaioe caei?ia’y aeey ei?aeoe??
iniiaieo oaeoi??a ?eceeo ?oai?/ii? oai?iae na?oey (?ON) aoaeoaaany iaie
ia i?aea?oio? iaoiaee/ieo ?aeiiaiaeaoe?e A.E. Na?iei c ni?aaaoi?aie
(1996). Oaeoeea ?aaa?e?oaoe?eieo caoiae?a ci?ithaaeany caeaaeii a?ae
ia??iaeo oai?iae, iniaeeainoae oa nooiaiy ae?aaeaiino? ineo?/ieo
?aaeoe?e.

O ca’yceo c oei, ui aino?ee ia??iae caoai?thaaiiy iaiaaeo? ye aea??, oae
? o?eaae?noue ineoioa?aiaaoe/ieo aieea?a, a oaeiae oaii iiaeaiiy
?ioi?iaoe??, ?? ci?no, iaie a iniiaiiio canoiniaoaaeany i?aeo?eioth/a
ineoioa?ai?y – ?iaeea?aeoaeueia ?aoe?iiaeueia ineoioa?ai?y naaeaoeaiiai
oa?aeoa?o, oae caaia “iaea” ineoioa?ai?y. O?eaae?noue iiaiiai caa?oaiiy
ia ia?aaeuoaaea 5-10-15 oa.

A i?aeaino?iio ia??iae? ii?yae c ?iaeea?aeoaeueiith ineoioa?ai??th
canoiniaoaaee iaoiae eieaeoeaii-a?oiiai? ineoioa?ai?? (o?eaae?noue 30
oa.), naaine a?iiico-a?aeii/eieo (o?eaae?noue 45-60 oa.). Ia e?iaoeue
i?aeaino?iai ia??iaeo i?aeeeth/aee oae? iaoiaeeee ye i?aeaioia/a
?aeaenaoe?eia a?iianoeea, aooiaaiia o?aioaaiiy oa naiiiaa?thaaiiy.

Aaeineiiaeaiiy i?ia?aie o?ce/ii? ?aaa?e?oaoe?? aeey oai?eo c
iaoneeaaeiaiei ia?aa?aii ?ioa?eoo i?iea?aea ia noaoe?iia?iiio aoai?.

Iiaoaeiaa i?ia?aie o?ce/ii? ?aaa?e?oaoe?? aacoaaeany ia eiiieaen?
caoiae?a, ye? caaacia/oaaee aaeaeaaoia ?icoe?aiiy ?ooiaiai ?aaeeio ca
oiiae c?inoaiiy oiea?aioiino? aei o?ce/ieo iaaaioaaeaiue. Oeae eiiieaen
aeeth/aa: ?aieiao a?a??i?/io a?iianoeeo, e?eoaaeueio a?iianoeeo,
e?eoaaeueio aeiciaaio oiaeueao, o?aioth/o oiaeueao ii no?aeoeyo.
I?aea?oioyi i?ae /an ?ic?iaee i?ioeaaeo? e?eoaaeueii? a?iianoeee noaee
eiiieaene e?eoaaeueii? o?ceoeueoo?e, ye? io?eiaee noaaeaiiy o oe?ie?e
ee?i?/i?e i?aeoeoe? (Neaaec?anueea ?.E., 1978; A?eoethe A.?., 1979;
Aia?ia A.A., Neaaec?anueea ?.E., 1997) oa aeiiiaiai? ai?aaaie, ye?
ni?eythoue i?aeaeuaiith aaeaioaoe?? aeno?aea?ae?aeueieo oaeoi??a
e?iaiia?ao oa aeicaieythoue noai?eoe ioi?iiiee ?aaeei aeey ?iaioe
na?oeaaiai i’yca.

Iinooiia?noue c?inoaiiy o?ce/iiai iaaaioaaeaiiy a ?ic?iaeaieo eiiieaenao
e?eoaaeueii? a?iianoeee ocaiaeaeo?oueny c i?eioeeiaie iiaoaeiae
ooieoe?iiaeueii? eeaneo?eaoe?? neeaaeiino? noaio (I?eiea?aa E.O., A?iiia
Ae.I., 1988) oa ii?iaie aia?aaoe/ieo aeo?ao. Aeey a?eueo aeaoaeueiiai
(uiaeaiiiai) i?ecia/aiiy iaeaaeiiai ianyao oa ?ioaineaiino?
iaaaioaaeaiue aanue ia??iae noaoe?iia?iiai aoaio ?aaa?e?oaoe?? aoa
oiiaii ?icae?eaiee ia 4 uaae? aeoeaiino? c iiae?eii eiaeiiai c ieo ia
i?aeuaae? (anueiai ?o 9) ca?aeii c ?aeiiaiaeaoe?yie E.O. I?eiea?ai? c
ni?aaaoi?aie (1987, 1988). Oaiie ?icoe?aiiy ?ooiaiai ?aaeeio oa
ca?eueoaiiy ?ioaineaiino? i?ecia/oaaieo o?ce/ieo ai?aa canoiniaoaaeenue
?iaeea?aeoaeueii. A?aoiaoaaee a?e, noaoue, iioe?ai?noue oa aeeaeio
?ioa?eoo i?iea?aea, aeeiai?eo caoai?thaaiiy, ooieoe?iiaeueiee noai
na?oeaai-noaeeiii? nenoaie, ae?aaeai?noue ineoiiaoieia?/ieo ?aaeoe?e,
?ooiao i?aeaioiaeai?noue oai?iai a ieioeiio. Ca iayaiino? iani?eyoeeaeo
?aaeoe?e ia ?icoe?aiiy ?ooiaiai ?aaeeio iiaioaaiiy iaaaioaaeaiue
i?iaiaeeeinue a a?eueo oiia?eueiaiiio oaii? aai oei/aniai i?eieiyeinue.
Ei?aeoe?y ineoiiaoieia?/ieo neiae?ii?a cae?enithaaeanue ca aeiiiiiaith
“iaei?” oa eieaeoeaii-a?oiiai? ineoioa?ai??, ?aeaenaoe?eii? a?iianoeee,
aooio?ai?iaa, a?iiinoaano??, ioce/ii-, anoaoi- oa iaecaaeaoa?ai??.

Ni?yiiaai?noue i?ia?aie iieyaa? o aeinyaiaii? oai?ei, yeee ia?ai?n
?ioa?eo i?iea?aea, o a?eueo ei?ioe? oa?i?ie, o ii??aiyii? c
caaaeueiiaaeeaaieie i?ia?aiaie, oaeiai ??aiy o?ce/ii? aeoeaiino?, ca
yeiai a?i i?a ae ianeoaiaoaaoe naaa naiino?eii, i?aei?iaoeny ia iaeei
iiaa?o no?aeoeyie oa cae?enithaaoe i?iaoeyiee ia a?aenoaiue 500 – 1000 i
o 2 – 3 i?eeiie i?ioyaii aeiy aac nooo?aeo iaaaoeaieo ?aaeoe?e.
I?aaiaiiy aei iiaeeeai a?eueo i?enei?aii? aeoea?caoe?? oai?iai
ii?aeioaaeiny c ioe?ieith eiai ?iaeea?aeoaeueieo yeinoae oa a?aooaaiiyi
iniaeeainoae ee?i?/iiai ia?aa?ao caoai?thaaiiy.

Aoaeoeai?noue eiiieaeniiai a?aeiiaethaaeueiiai e?eoaaiiy oai?eo c
aaeeeiaiaieuaaei ?ioa?eoii i?iea?aea.

?aii? ?icoe?aiiy ?ooiaiai ?aaeeio c iinooiiai c?inoath/ith o?ce/iith
aeoeai?noth, ca?aeii c io?eiaieie iaie aeaieie, aeaei iiceoeai?
?acoeueoaoe – ii?iae?caoe?y aai nooo?aa iie?auaiiy iieaciee?a
ineoieia?/ii? aaeaioaoe?? a?aei?/ai? o 98,3 % oai?eo I a?oie oa o 69,7 %
II ia 20-23 aeiao a?ae ii/aoeo caoai?thaaiiy. Iaeiae, o I a?oi?, aea EOE
iica “iaeith” ineoioa?ai??th ii?aeioaaeanue c ?aeaenaoe?eiith
a?iianoeeith, aooio?ai?iaii oa ca iaiao?aei?noth c a?iiinoaano??th,
ineoieia?/ia aaeaioaoe?y oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea,
i?ioiaeeea a?eueo oni?oii (oaae.1).

Oaaeeoey 1

Nooi?iue ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e o oai?eo ca ia?aeiiiai
oa iiaoi?iiai ianoaaeaiiy

Nooi?iue ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?eIoe?iea a aaeaoI a?oia

n = 115II a?oia

n =
99ia?aeiiaiiaoi?iaIa?aeiiaiiaoi?iaaan.%aan.%aan.%aan.%A?aenooiy0––1714,8
*––77,1Eaaea14942,66556,5*4343,41313,1Iii??ia26657,43127,0*5656,64949,5A
e?aaeaia3––21,7*––3030,3I?ei?oea: * — aeinoia??i?noue a?aei?iiino? i?ae
a?oiaie p<0,05. O 17 oai?eo (14,8 %) I a?oie ineo?/i? ci?ie acaaae? cieeee, o 65 (56,5 %) aeyaeai? a eaae?e oi?i?, o 31 (27,0 %) – a iii??i?e ? eeoa o 2 (1,7 %) aiie ca?eueoeeenue aei ae?aaeaii? (?en.1). Ia oeae /an o II a?oi?, aea EOE ii?aeioaaeanue o?eueee c “iaeith” ineoioa?ai??th, ineoiiaoieia?/i? ?aaeoe?? cieeee o 7 in?a (7,1 %), o eaae?e oi?i? cao?eniaai? o 13 (13,1 %), o iii??i?e o 49 (49,5 %), a o 30 (30,3 %) ia eeoa caa?aaeenue, aea ? ca?eueoeeeny aei ae?aaeaii?. O ieo, ii??aiyii c ii/aoeiaei, cia/ii i?aeaeueany ??aaiue o?eaiae oa c?inea aiioe?eia eaa?euei?noue. Iaa?ioe/i? ?aaeoe??, ui aeieeee a aino?iio ia??iae?, ye i?aaeei, oi?iothoueny inoaoi/ii aei 2-3 i?nyoey caoai?thaaiiy (Caeoeaa A.I., 1975). ?aii? ae i?ecia/aiiy EOE a ii?aeiaii? c eiiieaenii ineoioa?aiaaoe/ieo i?ioeaaeo?, ye aeaeii c iaaaaeaieo aeaieo, ia o?eueee ni?ey? iie?auaiith oa ii?iae?caoe?? i?ioeano ineoieia?/ii? ?aaaeaioaoe??, aea ? iiia?aaeaeo? ?icaeoie ineoiiaoieia?/ieo ci?i. Iaea?eueo ae?aaeaiee ei?eaoth/ee aoaeo c on?o iaoiae?a ineoioa?ai?? aeeeeeathoue ?aeaenaoe?eia a?iianoeea oa aooio?ai?ia. ?acii c oeei i’yciaa ?aeaenaoe?y iaie aeei?enoiaoaaeanue ? ye naiino?eia oi?ia, ? ye aeaiaio i?ioeaaeo?e e?eoaaeueii? a?iianoeee o ca’yceo c oei, ui ai?aae o i’ycia?e ?aeaenaoe?? ia eeoa noi?iaiaeaeothoueny iecueeeie aia?aaoe/ieie aeo?aoaie ? aeeeeeathoue iaea ?aoeaeoi?ii-noaeeiia caoaeaeaiiy, aea ? noaa?e?cothoue na?oeaaee ?eoi. A?iiinoaano?y i?ecia/aeanue, a iniiaiiio, i?e ae?aaeaieo ineoiiaoieia?/ieo ?aaeoe?yo c ia?aaaaith neiae?ii?a ea?ae?ioia?? oa ?iioiiae???. ??aaiue ineoieia?/ii? aaeaioaoe?? oai?eo aei ci?iaii? aiane?aeie caoai?thaaiiy aeeoo?ai? neooaoe?? cia/iith i??ith a?aeia?aceany ia oa?i?iao ?o noaoe?iia?iiai e?eoaaiiy. Aeeiiaiiy o?ce/ii? i?ia?aie (aeiciaaia oiaeueaa 500-1000 i, 1-2 ia?o? ia no?aeoeyo, eiiieaen e?eoaaeueii? a?iianoeee 3a) o nei?i/ai? (o na?aaeiueiio ia 7-10 ae?a) o ii??aiyii? c o?aaeeoe?eieie oa?i?ie aeyaeeeny i?ae neeo eeoa oai?ei I a?oie, ye? io?eiaee eiiieaen ineoioa?ai?? i?ioyaii onueiai eo?no noaoe?iia?iiai e?eoaaiiy. O oe?e a?oi? i?ioeaio aaeaeaaoieo ?aaeoe?e ia aeeiiaiiy o?ce/ii? i?ia?aie aeyaeany aaea?/? aeuei, i?ae a II (a?aeiia?aeii 19,1 % oa 9,1 %, p<0,05), a iaaaeaeaaoieo iaeaea aaea?/? ieae/ei (a?aeiia?aeii 11,3 % oa 22,2 %, p<0,05) (oaae. 2). Oaaeeoey 2 Aoaeoeai?noue o?ce/ii? ?aaa?e?oaoe?? caeaaeii a?ae ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e Nooi?iue ae?aaeaiino?ineoiiaoieia?/ieo ?aaeoe?eIoe?iea a aaeaoA?oieI (n=115)II (n=99)Oei ?aaeoe?? ia iaaaioaaeaiiyAaeaeaaoiaIaio aaeaeaaoiaIaaaeaeaaoiaAaeaeaaoiaIaio aaeaeaaoiaIaaaeaeaaoiaaan.%aan.%aan.%aan.%aan.%aan.%A?aenooiy01714,8*77, 1Eaaea154,36052,2*22,01111,1Iii??ia22017,4*119,6*4949,5Ae?aaeaia321,7*88 ,12222,2I?ei?oea: * – p<0,05 Na?aae in?a, ye? iiaioaaee cai?iiiiiaaio i?ia?aio aei 20-23 aeiae, c 22 o I a?oi? o 17 (14,8 %) ineoiiaoieia?/i? ?aaeoe?? aoee a?aenooi?, a o 5 (4,3 %) aoee eaaei? oi?ie. C 9 oai?eo II a?oie – o 7 (7,1 %) aoee a?aenooi? ? o 2 (2,0 %) aoee ae?aaeai? a eaae?e oi?i?. A?aenioie iaio aaeaeaaoieo ?aaeoe?e a iaio a?oiao aoa i?aeoe/ii iaeiaeiaei (a?aeiia?aeii 69,6 % oa 68,7 %). Aeacaiee ianya o?ce/ii? i?ia?aie oey eaoaai??y oai?eo o I a?oi? aeeiiaea aei 27-28, a a II – aei 33-35 aeiae ia?aaoaaiiy o noaoe?iia??, oiaoi o oa?i?ie, ui ni?aiaaeathoue ?c caaaeueiii?eeiyoeie oa?i?iaie noaoe?iia?iiai aoaio aeey oai?eo c aaeeeiaiaieuaaei ?ioa?eoii i?iea?aea, ye? ?aeiiaiaeiaai? AIIC – i?eaeecii 4-5 oeaei?a. Iaaaeaeaaoii a?ae?aaaoaaee o II a?oi? iniae aeeeth/ii c ae?aaeaiei nooiaiai iaa?ioe/ieo ?aaeoe?e – 22 (22,2 %), o I – c iii??iei 11 (9,6 %) oa ae?aaeaiei nooiaiai 2 (1,7 %). Io?eiai? aeai? na?ae/aoue i?i oa, ui ?aii? ?icoe?aiiy ?ooiaiai ?aaeeio, aaeaeaaoii i?ae?a?ai? oa aeia?a eiio?ieueiaai? i?ioeaaeo?e e?eoaaeueii? o?ceoeueoo?e iie?auothoue ineoieia?/iee noai oai?iai, i?aea?oothoue noaa?euei?noue aiioe?e, ni?eythoue ci?i? iiaaae?iee iniaenoino?. A eiiieaen ineoioa?aiaaoe/ieo iaoiae?a, noai?thth/e ni?eyoeeao e?eoaaeueio ia?niaeoeao, ni?ey? cia/ii oaeaeoiio onoiaiith o oai?iai ia?aiai? oa o?ce/ii? aoiie, i?aeaeuo? eiioeaio?aoe?th oaaae aei aeeiiaiiy o?ce/ieo ai?aa, ca?eueoo? aoaeoeai?noue caiyoue e?eoaaeueiith a?iianoeeith ? oei naiei iioei?co? ?aaa?e?oaoe?eiee i?ioean. Ianooiiei aoaiii iaoi? ?iaioe aoea ioe?iea aoaeoeaiino? i?iaaaeaieo ?aaa?e?oaoe?eieo caoiae?a ca ?acoeueoaoaie iaaaioaaeoaaeueieo oano?a. Aiae?coth/e aieea ii?aeiaiiai canoinoaaiiy e?eoaaeueii? a?iianoeee c ineoieia?/iith ei?aeoe??th ia ooieoe?iiaeueiee noai oai?eo, ye? ia?aianee aaeeeiaiaieuaaee ?ioa?eo i?iea?aea, ca aeaieie noai-oanoa, aecia/aii, ui aeinyaiooa iiooaei?noue ?iaioe aoea iaea?eueoith o in?a c a?aenooi?noth aai eaaeith oi?iith ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e (a?aeiia?aeii 384,5 ? 30,3 eai/oa o I oa 360,9 ? 20,0 eai/oa o II, p<0,05), ui, acaaae?, aiai?eoue i?i iaaenie? ?aca?ae ei?iia?iiai e?iaiia?ao o ieo aei 20-23 aeiae caoai?thaaiiy, aea, ia aeeaey/enue ia oea, oe? iieacieee ni?eyoeea? ? niiaia aaeaeaaoi?. Ia?aaaaeia e?euee?noue oai?eo ye I, oae ? II a?oie, (a iniiaiiio c iii??iei oa eaaeei nooiaiai ae?aaeaiino? iaa?ioe/ieo ?aaeoe?e) ia cai?iiiiiaaia iaaaioaaeaiiy a?ae?aaaoaaea iaio aaeaeaaoii (a?aeiia?aeii 294,7 ± 33,0 eai/oa oa 282,8 ± 28,4 eai/oa). Iaaaeaeaaoia a?aeiia?aeue, yea na?ae/eoue i?i iecueeee ooieoe?iiaeueiee ?aca?a ei?iia?iiai e?iaiia?ao, aeyaeaia o in?a c yne?aai ae?aaeaiith ineoiiaoieia?/iith neiioiiaoeeith. Iiooaei?noue ?iaioe o ieo o I a?oi? neeaaeaea 263,9 ? 24,3 eai/oa, a o II – 232,3 ? 22,2 eai/oa (p<0,05). Oiaoi, oei a?aeiia?aeii? ?aaeoe?? ia o?ce/ia iaaaioaaeaiiy caeaaeeoue ia eeoa a?ae ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie oai?iai, aea ? a?ae nooiaiy eiai ineoieia?/ii? aaeaioaoe??. ??aaiue o?ce/ii? i?aoeacaeaoiino?, yeee aeinyaaany oai?eie ca a?aenooiino? aai i?i?iaeueii? ae?aaeaiino? iaa?ioe/ieo ?aaeoe?e iai?ee?ioe? noaoe?iia?ii? oace (20-23 aeiaa) ca aeaieie aaeia?aiiao?e/ii? i?iae (AAI-i?iae), oaeiae iiaeia ioe?ieoe ye aaeaeaaoiee ? niiaia caaeia?eueiee. Iaaeiaa iiooaei?noue iaaaioaaeaiiy o ianoaaeoaaieo oai?eo neeaaeaea 66,1 ? 3,6 Ao – i?e a?aenooiino? ineoiiaoieia?/ieo ?aaeoe?e, 55,3 ? 3,2 Ao – ca eaaeiai nooiaiy ? 41,2 ? 2,7 Ao – ca iii??iiai nooiaiy ?o ae?aaeaiino? (p<0,05). Iaaea oiea?aioiino? o in?a c a?aenooi?noth ineoiiaoieia?/ii? neiioiiaoeee ia?aaeueea ia 16,3 % (10,8 ? 0,4 Ao) iaaeo oiea?aioiino? o in?a c eaaeei ? ia 37,7 % (24,9 ? 0,9 Ao) c iii??iei nooiaiai ?? ae?aaeaiino?. O?ce/ia i?aoeacaeaoi?noue oai?eo c iii??iei nooiaiai aeyaeeanue iaaaeaeaaoiith (iacaaeia?eueiith), oae ye aei 20-23 aeiae ia?aaoaaiiy o noaoe?iia?? aiie ia iiaeieaee iaaeo a 50 Ao – ??aaiue, aeinyaiaiiy yeiai iaiao?aeia aeey ia?aaaaeaiiy ia naiaoi?iee aoai a?aeiiaethaaeueiiai e?eoaaiiy (Neaaec?anueea ?.E., 1990). Aecia/aia ? /?oea caeaaei?noue i?ae o?eaae?noth iaaaioaaeaiiy oa iaeneiaeueii aeeiiaiith ?iaioith. Iaea?eueoith aiia aeyaeeanue o oai?eo, ye? ia iathoue a?aeoeeaiue ineo?ee (13,3 ? 0,72 oa, p<0,05). O ieo aea aoea cao?eniaaia ? iaeneiaeueia aeeiiaia ?iaioa (3623,5 ? 67,7 eai, p<0,05). O oai?eo c eaaeei oa iii??iei nooiaiai oe? iieacieee aoee ieae/eie (a?aeiia?aeii 12,5 ? 0,67 oa oa 3240,3 ? 52,5 eai o ia?oeo ? 8,9 ? 0,82 oa oa 1895,4 ? 53,3 eai o ae?oaeo). Oiaoi i?ae oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy oa ci?iaie ineoieia?/iiai noaio oai?iai ?nio? cai?ioiy caeaaei?noue: o in?a c? cieaeaiith iaaeath oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy niinoa??aa?oueny cia/i?oee nooi?iue ineoiiaoieia?/ieo ?aaeoe?e ?, iaaiaee, /ei aeua iaaea oiea?aioiino?, oei iaioee nooi?iue ineoiiaoieia?/ii? neiioiiaoeee. C?inoaiiy oiea?aioiino? aei iaaaioaaeaiiy noi?iaiaeaeoaaeinue iaeii/aniei ciaioaiiyi “iiaea?eiiai aeiaooeo” (IAe) ia ii??aiyeueiiio ??ai? iaaaioaaeaiiy. Aeyaeaia ciaioaiiy IAe, yea, ye a?aeiii, iai?yii aeicaiey? ?iaeoe aeniiaie i?i niiaeeaaiiy i?iea?aeii eenith, na?ae/eoue i?i oa, ui o oai?eo ?c caaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy ca a?aenooiino? (226 ? 12,8 oi.iae.) oa eaaei? ae?aaeaiino? (252 ? 23,6 oi.iae.) ineoiiaoieia?/ieo ?aaeoe?e a?aeaoaaeany a?eueo aeiiii?/ia ?iaioa na?oey, i?ae o oai?eo c iacaaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy oa iii??iei nooiaiai ineoiiaoieia?/ieo ?aaeoe?e (276 ? 12,4 oi. iae., p<0,05). I?e/iio ciaioaiiy IAe o a?oi? in?a, ye? ia iaee iaa?ioe/ii? neiioiiaoeee, a?aeaoaaeiny ca ?aooiie iaio ni?aiiiaeiee?a – cieaeaiiy *NN oa ciaioaiiy aaee/eie nenoie?/iiai AO. Oiaoi iiaeia c aeinoaoi?ie i?aenoaaaie i?eionoeoe, ui ?acii ?c cieeiaiiyi ineoiiaoieia?/ii? neiioiiaoeee c?inoa? oaiaeaioe?y eeane/iiai o?aioaaeueiiai aoaeoo (oaae.3). Oaaeeoey 3 Iaaeiaa iiooaei?noue iaaaioaaeaiiy ca aeaieie AAI-i?iae Nooi?iue ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?eIoe?iea a aaeaoE?euee. oai?eoIaaeiaa iiooaei?noue iaaaioaaeaiiy, Ao??cieoey, %Iiaea?eiee aeiaooie, oi.iae.??cieoey, %Iioeiaeueiee oaii e?eoaaeueii? oiaeueae, e?ie?a/oaa?aenooiy02466,1?3,6+16,3+37,7226?12,8–10,3–18,1100-110eaaea175 5,3?3,2*+22,9252?13,6*–8,790-100iii??ia22041,2?2,7*276?12,4*80-90I?ei?oe a: * – p<0,05 Ni?eyoeeaa ia?aaoaeiaa na?oeaai-noaeeiii? nenoaie oa iiceoeai? c?ooaiiy o ineo?/iiio noaoon? oai?eo a?aeia?aceeeny ia iioeiaeueieo oaiiao e?eoaaeueii? oiaeueae. Aeey in?a c caaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy (iaaea oiea?aioiino? aeua 50 Ao) oa ii?iaeueieie aai iie?auaieie iieacieeaie ineoieia?/ii? aaeaioaoe?? iioeiaeueiee oaii oiaeueae neeaa 100-110 e?ie?a/oa ? 90-100 e?ie?a/oa, ui a?aeiia?aea? i?eaeecii 4 ei/aiae. Aeinyaiaiiy ae oai?ei, yeee ia?ai?n ?ioa?eo i?iea?aea, o?aioaaeueii? oaeaeeino? e?eoaaeueii? oiaeueae 3-4 ei/aiae i?e caaa?oaii? noaoe?iia?iiai aoaio (20-23 aeiaa) aaaaea?oueny aaeaeaaoiei ? aeineoue ia?niaeoeaiei aeey i?iaeiaaeaiiy ?aaa?e?oaoe?eiiai i?ioeano ia naiaoi?iiio aoai?. I?i ca?eueoai? eiiiainaoi?ii-i?enoinoaaeuei? iiaeeeaino? na?oeaai-noaeeiii? nenoaie o oai?eo c iaaeath oiea?aioiino? aeua 50 Ao, ye? ia iathoue aai c eaaeei nooiaiai ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e, na?ae/eea oaeiae c’yniaaia ca aeiiiiiaith eoiaea?ae?ia?ao?? aeiiii?caoe?y aaiiaeeiai?/ii? a?aeiia?ae? ia o?ce/ia iaaaioaaeaiiy. O ieo ca?eueooaaany oaea?iee ?iaeaen (O?) (c 38,7 ? 1,26 ni3/i2 o niiei? aei 44,6 ? 0,58 ni3/i2 ia iaaeiaiio ??ai? iaaaioaaeaiiy, p<0,05; ? c 37,0 ? 1,71 ni3/i2 aei 41,2 ? 1,09 ni3/i2, p<0,05) ia oii? a?aeiinii iaioiai c?inoaiiy /anoioe na?oeaaeo nei?i/aiue (*NN) ? iaeii/anii ia iaeneioi? iaaeiaiai iaaaioaaeaiiy ca?eueooaaany na?oeaaee ?iaeaen (N?), oi/a nooi?iue eiai i?e?inoo aoa iaaaeeeee – a?aeiia?aeii: 47,3 % (c 4,54 ? 0,17 e/oai2 aei 6,69 ? 0,17 e/oai2) ? 36,2 % (c 4,50 ? 0,19 e/oai2 aei 6,13 ? 0,18 e/oai2) (?en.2). O in?a c iecueeith iaaeiaith iiooaei?noth (aei 50 Ao) a?aei?/aeinue a?eueo iecueea aaiiaeeiai?/ia caaacia/aiiy o?ce/iiai iaaaioaaeaiiy (na?oeaaee ?iaeaen ca?eueoeany eeoa ia 27,4 %) ca i?aeaeuaii? iio?aae (ye a?aei?/aeiny ?ai?oa) a eeni?, ui, iiaeeeai, iiaea na?ae/eoe i?i iaaaeaeaaoi?noue ianinii? ooieoe?? na?oey iio?aaai i?aai?cio. Ia?aeaeueii o in?a ?c caaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy ? a?aenooi?noth ineoiiaoieia?/ii? neiioiiaoeee aai eaaeei nooiaiai ?? ae?aaeaiino? c?inee ? iieacieee aioo??oiueina?oeaai? aaiiaeeiai?ee – o?aeoe?y aeeeaeo (OA) oa oaeaee?noue nei?i/aiiy oee?eoey?ieo aieieii i?iea?aea (Vcf). O?aeoe?y aeeeaeo c?inea a?ae 54,4 ??1,22% aei 68,3 ? 0,46% o ia?oeo (p<0,05) oa a?ae 56,3 ? 2,06% aei 67,5 ? 0,77 % o ae?oaeo (p<0,05), a oaeaee?noue nei?i/aiiy oee?eoey?ieo aieieii i?iea?aea – a?ae 0,96 ? 0,04 n-1 aei 1,44 ? 0,06 n-1 (p<0,05) oa a?ae 1,02 ? 0,07 n-1 aei 1,42 ? 0,03 n-1 (p<0,05). E?ioeaai-ae?anoie?/iee ia’?i (EAeI) ?acii c oeei i?aeoe/ii ia ci?ieany, a e?ioeaai-nenoie?/iee ia’?i (ENI) aeyaea oaiaeaioe?th aei cieaeaiiy (a?ae 44,3 ? 3,8 ni3/i2 o niiei? aei 38,1 ? 4,1 ni3/i2 ia iaaeiaiio ??ai? o ia?oeo, p<0,05 oa a?ae 42,1 ? 4,7 ni3/i2 aei 37,5 ? 3,8 ni3/i2 o ae?oaeo, p<0,05) (?en.3). Iieacieee aioo??oiueina?oeaai? aaiiaeeiai?ee o in?a c iacaaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy (c iaaeath oiea?aioiino? ieae/a 50 Ao) oa iii??iei nooiaiai ae?aaeaiino? iaa?ioe/ieo ?aaeoe?e a?ae??ciyeenue a?ae a?aeiia?aeieo iieaciee?a o in?a c a?eueo aenieith i?aoeacaeaoi?noth cia/ii a?eueo iecueeeie oeeo?aie. Ni?anoaaeaiiy iniiaieo iieaciee?a oeaio?aeueii? oa aioo??oiueina?oeaai? aaiiaeeiai?ee ?c aeinyaiooei ??aiai o?ce/ii? i?aoeacaeaoiino? aacia?a/ii na?ae/eoue i?i oa, ui a iaoai?ci? iie?auaiiy oiea?aioiino? aei o?ce/ieo iaaaioaaeaiue cia/io ?ieue a?ae?a?a? oi?ioaaiiy ?aaeoe?? oaea?iiai ?iaeaeno a a?e eiai ca?eueoaiiy. I?e/iio ca?eueoaiiy na?oeaaiai ?iaeaeno a in?a c caaeia?eueiith oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy a?eueoith i??ith, i?ae o in?a c iacaaeia?eueiith oiea?aioi?noth iaoiiaeaia c?inoaiiyi oaea?iiai ?iaeaeno, a ia ?inoii *NN. Iiceoeaia aeeiai?ea i?inoaaeo?oueny ? i?ae /an aiae?co ?iaeaen?a nei?i/oaaiino? a oac? aeaiaiiy – o?aeoe?? aeeeaea oa oaeaeeino? nei?i/aiiy oee?eoey?ieo aieieii i?iea?aea. O oai?eo c iaaeath oiea?aioiino? aeua 50 Ao a?aei?/a?oueny ?o c?inoaiiy ca iaci?iiiai e?ioeaai-ae?anoie?/iiai ia’?io. A oe?eiio aaiiaeeiai?/ia a?aeiia?aeue ia o?ce/ia iaaaioaaeaiiy o oai?eo c iaaeath oiea?aioiino? aeua 50 Ao, ye? iathoue ii?iaeuei? oa iie?auai? iieacieee ineoieia?/ii? aaeaioaoe??, a?aeaoaa?oueny ca oeiii ?aaeoe?? caei?iaiai i?aai?cio. Oaeei /eiii, aeey iaeneiaeueiiai a?aeiiaeaiiy aeoeaiino? oai?iai iaiao?aeii ia eeoa a?aeiiaeaiiy niiaoe/iiai caei?ia’y oa aeinyaiaiiy iaaiiai ??aiy o?ce/ii? i?aoeacaeaoiino?, aea e oni?oia iiaeieaiiy iaaaoeaieo ineoieia?/ieo ?aaeoe?e. Oaeoeea ?aiiueiai i?ecia/aiiy i?ioeaaeo? e?eoaaeueii? o?ceoeueoo?e a ii?aeiaii? ?c ineoieia?/iith ei?aeoe??th aeicaiey? aeoeaii aieeaaoe ia nei?i/aiiy oa?i?i?a ia?aaoaaiiy oai?eo c iaoneeaaeiaiei i?io?eaiiyi aaeeeiaiaieuaaiai ?ioa?eoo i?iea?aea a noaoe?iia??, ui aecia/a? aeiiii?/iee aoaeo cai?iiiiiaaii? i?ia?aie. E?eoaaeueia oa ineoieia?/ia a?iianoeea aeiiiaiththoue iaeia iaeio: e?eoaaeueia iie?auo? ineo?/iee noai oai?eo, a iie?auaiiy inoaiiueiai, a naith /a?ao, aieeaa? ia ?o o?ce/io aeo?eaae?noue ?, ye ?acoeueoao, o a?eueo noene?, ii??aiyii c o?aaeeoe?eieie, oa?i?ie i?ioiaeeoue iiaioaaiiy o?ce/ii? i?ia?aie. Oae, canoinoaaiiy e?eoaaeueii? a?iianoeee o eiiieaen? c eieaeoeaii-a?oiiaith ineoioa?ai??th, ?aeaenaoe?eiith a?iianoeeith oa aooio?ai?iaii iioei?coaaei a?aeiiaethaaeueia e?eoaaiiy oa ni?eyei nei?i/aiith o?eaaeino? noaoe?iia?iiai aoaio aei 20-23 ae?a. Oiaoi, /ei o?ni?oee ca’ycie i?ae o?ce/iei oa ineoieia?/iei aniaeoaie ?aaa?e?oaoe??, oai iaio? cao?aoe ia ?? i?iaaaeaiiy. Oiio ? aeinoaoiuei i?aenoaa c?iaeoe aeniiaie, ui, ii/eiath/e c ?aiiueiai aoaio, ineoieia?/ia ei?aeoe?y iiaeiia noaoe iaa?ae’?iiith /anoeiith caaaeueii? i?ia?aie ?aaa?e?oaoe?? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea. AENIIAEE 1. Aiae?c aeaieo e?oa?aoo?e na?ae/eoue i?i iiceoeaiee aieea o?ce/iiai o?aioaaiiy ia ineoieia?/iee noaoon oai?eo i?ney ?ioa?eoo i?iea?aea. Ieoaiiy, ye? a?aeia?aaeathoue aieea ineoieia?/ii? ei?aeoe?? ia aoaeoeai?noue ?aaa?e?oaoe?eieo caoiae?a, o?ce/io i?aoeacaeaoi?noue oai?eo oa oa?i?ie noaoe?iia?iiai aoaio ?o e?eoaaiiy, caeeoathoueny iaaeinoaoiuei aea/aieie. 2. Aeey iioei?caoe?? a?aeiiaethaaeueiiai e?eoaaiiy oai?eo c aaeeeiaiaieuaaei ?ioa?eoii i?iea?aea cai?iiiiiaaia i?ia?aia ineoieia?/ii? ?aaa?e?oaoe?? oai?eo, yea a?aoiao? ia??iae caoai?thaaiiy oa nooi?iue ae?aaeaiino? ineoiiaoieia?/ieo ?aaeoe?e. Iiceoeaiee aoaeo a?ae ?? aeei?enoaiiy ia ?aiiueiio aoai? ?aaa?e?oaoe?? a?aei?/aii o 98,3% aeiaaee?a, a oie /an ye ca caaaeueiii?eeiyoith iaoiaeeeith – eeoa o 69,7 %. 3. Ineoieia?/ia ei?aeoe?y, ni?eyth/e a?eueo oaeaeeiio onoiaiith o oai?eo ia?aiai? oa o?ce/ii aoiie, i?aeaeuo? eiioeaio?aoe?th oaaae aei aeeiiaiiy o?ce/ieo ai?aa, ca?eueoo? aoaeoeai?noue caiyoue e?eoaaeueii? a?iianoeeith oa nei?i/o? oa?i?i ia?aaoaaiiy oai?eo c iaoneeaaeiaiei i?io?eaiiyi ?ioa?eoo i?iea?aea a noaoe?iia?? aei 20-23 ae?a, a oie /an ye ii caaaeueiii?eeiyo?e i?ia?ai? o?eaae?noue noaoe?iia?iiai aoaio e?eoaaiiy aeey oe??? eaoaai??? oai?eo neeaaea? 28-35 ae?a. 4. Canoinoaaiiy ia ?aiiueiio aoai? ?aaa?e?oaoe?? e?eoaaeueii? a?iianoeee a ii?aeiaii? c eiiieaenii ineoioa?aiaaoe/ieo iaoiae?a: ?aeaenaoe?eiith a?iianoeeith, aooio?ai?iaii, a?iiinoaano??th – i?aeaeuo? o oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea, oiea?aioi?noue oa ia’?i o?ce/ii? aeoeaiino? ii??aiyii c caaaeueiii?eeiyoith iaoiaeeeith. Oea i?iyaeyei ca?eueoaiiyi aaea?/? a?aenioeo aaeaeaaoieo ?aaeoe?e (a?aeiia?aeii 19,1 % oa 9,1 %) ia iiaoaiiee oano o?ce/ii? aeoeaiino? oa ciaioaiiyi iaeaea aaea?/? a?aenioeo iaaaeaeaaoieo ?aaeoe?e (a?aeiia?aeii 11,3 % oa 22,2 %). 5. I?ae oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy oa ci?iaie ineoieia?/iiai noaio oai?iai ?nio? cai?ioiy caeaaei?noue: /ei ieae/a iaaea oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy, oei a?eueoee nooi?iue ineo?/ieo ci?i ?, iaaiaee, /ei aeua iaaea oiea?aioiino?, oei iaioa ae?aaeai?noue ineoiiaoieia?/ieo ?aaeoe?e. Aaeaeaaoiee ??aaiue o?ce/ii? i?aoeacaeaoiino? (iaaea oiea?aioiino? aeua 50 Ao) aeinyaiooee oai?eie ?c ii?iae?ciaaiith aai i?i?iaeueii ae?aaeaiith ineoiiaoieia?/iith neiioiiaoeeith. 6. I?iaaaeaiiy o?ce/ii? ?aaa?e?oaoe?? a ii?aeiaii? c ineoieia?/iith ei?aeoe??th ni?ey? aeiiii?caoe?? aaiiaeeiai?/ii? a?aeiia?ae? ia o?ce/ia iaaaioaaeaiiy: ia ni?anoaaiiio ??ai? iaaaioaaeaiiy ciaioo?oueny *NN, cieaeo?oueny AO, c?inoathoue oaea?iee oa na?oeaaee ?iaeaene, ciaioo?oueny iio?aaa i?iea?aea a eeni?. I?e oiio a iaoai?ci? iie?auaiiy oiea?aioiino? aei o?ce/ieo iaaaioaaeaiue o oai?eo ia ?ioa?eo i?iea?aea, ye? ia iathoue ineoiiaoieia?/ieo ?aaeoe?e, cia/io ?ieue a?ae?a?a? ca?eueoaiiy na?oeaaiai ?iaeaeno (aei 47,3 %), iaoiiaeaia ia?aaaaeii i?aeaeuaiiyi oaea?iiai ?iaeaeno, a ia ?inoii *NN. 7. C?inoaiiy oiea?aioiino? aei o?ce/ieo iaaaioaaeaiue o oai?eo ia ?ioa?eo i?iea?aea c ii?iaeueiith ineoieia?/iith ?aaaeaioaoe??th caaacia/o?oueny ye ca ?aooiie oeaio?aeueii? eaiee e?iaiia?ao, oae ? ca ?aooiie iie?auaiiy nei?i/oaaeueii? ooieoe?? i?iea?aea. O ieo a?aei?/aia iiceoeaia aeeiai?ea ?iaeaen?a nei?i/oaaiino? a oac? aeaiaiiy – o?aeoe?? aeeeaeo (io 54,4 ± 1,22 % aei 68,3 ± 0,46 %) oa oaeaeeino? nei?i/aiiy oee?eoey?ieo aieieii i?iea?aea (a?ae 0,96 ± 0.04 n-1 aei 1,44 ± 0.06 n-1). 8. Iaea?aeai? ?acoeueoaoe aeicaieythoue ?aeiiaiaeoaaoe aeey i?aeaeuaiiy aoaeoeaiino? a?aeiiaethaaeueiiai e?eoaaiiy, i?enei?aiiy ?icaeoeo eiiiainaoi?ii-a?aeiiaethaaeueieo i?ioean?a na?oeaai-noaeeiii? nenoaie, ii?iae?caoe?? i?ioean?a ineoieia?/ii? ?aaaeaioaoe?? i?ney ?ioa?eoo i?iea?aea, nei?i/aiiy oa?i?i?a ia?aaoaaiiy a noaoe?iia?? ii?aeiaia canoinoaaiiy e?eoaaeueii? a?iianoeee c ineoieia?/iith ei?aeoe??th oaea ia ?aiiueiio aoai? ?aaa?e?oaoe??. Caaaeyee ?aiiueiio ai?iaaaeaeaiith oe??? aaeineiiaeaii? i?ia?aie o 19,1 % oai?eo o?eaae?noue noaoe?iia?iiai aoaio nei?ioeeanue ia 7-10 aei?a ii??aiyii c caaaeueiii?eeiyoeie oa?i?iaie. Nienie ?ia?o, ye? iioae?eiaai? ca oaiith aeena?oaoe?? 1) Aeue-Eoaeao Iioaiiaae Eo.A. Oece/aneea oi?aaeiaiey e ineoieiae/aneay ei??aeoeey a ?aaaeeeoaoeee aieueiuo eioa?eoii ieiea?aea // Oece/aneia ainieoaiea nooaeaioia oai?/aneeo niaoeeaeueiinoae. Na. iao/. o?. – Oa?ueeia: Oa?ueeianeee ooaeiaeanoaaiii-i?iiuoeaiiue einoeooo. – 1999. - ? 5. – N.35-43. 2) Aeue-Eoaeao Iioaiiaae Eo.A. Ei??aeoeey ineoiiaoieiae/aneeo eciaiaiee o aieueiuo, ia?aianoeo eioa?eo ieiea?aea // Oece/aneia ainieoaiea nooaeaioia oai?/aneeo niaoeeaeueiinoae. Na. iao/. o?. – Oa?ueeia: Oa?ueeianeee ooaeiaeanoaaiii-i?iiuoeaiiue einoeooo. – 1999. - ? 6. – N.35-40. 3) Ieeaoaae/ A.A., Aonaa I.A., Ooi I.E., Aeue-Eoaeao Iioaiiaae Eo.A., Eai?aeia N.TH. Eeiaceoa?aiey aeia?oiie/aneie aieacie. Iaoiaee/aneia iiniaea. – Eeaa: Ieeii. eeo-?a, 1998. – 24 n. 4) Aeue-Eoaeao Iioaiiaae Eo.A. Ineoieiae/aneay ?aaaeeeoaoeey aieueiuo eioa?eoii ieiea?aea ia noaoeeiia?iii yoaia ea/aiey. A?ioth?a. – Eeaa: “III Iaaeaeoia?iaeiia oeiainiaia aaaionoai”, 1998. – 26 n. 5) Aaiieeiaa ?.A., Aeue-Eoaeao Iioaiiaae Eo.A. Oece/aneay ?aaaeeeoaoeey aieueiuo eioa?eoii ieiea?aea ia noaoeeiia?iii yoaia ea/aiey. A?ioth?a. – Eeaa: OAOAON, 1998. – 40 n. 6) Aeue-Eoaeao Iioaiiaae Eo.A., Aaiieeiaa ?.A. I ?acoeueoaoao oniaa?oainoaiaaiey iaoiaeeee onei?aiiie i?ia?aiiu ?aaaeeeoaoeee aieueiuo, ia?aianoeo eioa?eo ieiea?aea // Nia?aiaiiue ieeiieeneee nii?o. Na. o?oaeia Iaaeaeoia?iaeiiai iao/iiai eiia?anna. – Eeaa, 1997. – N.182. 7) Aeue-Eoaeao Iioaiiaae Eo.A. Aeina?ae canoinoaaiiy ineoio?ce/ii? a?iianoeee aeey ?aaa?e?oaoe?? oai?eo ia ?ioa?eo i?iea?aea // Iieiaea nii?oeaia iaoea Oe?a?ie. Iaoa??aee ae?oai? Anaoe?a?inueei? eiioa?aioe?? ani??aio?a. – Euea?a, 1998. – n.141-144. 8) Aaiieeiaa ?.A., Naaiei A.E., Aeue-Eoaeao Iioaiiaae Eo.A., Eooie?aiei N.A. Nia?aiaiiua aniaeou ?aaaeeeoaoeee aieueiuo, ia?aianoeo e?oiiii/aaiaue eioa?eo ieiea?aea // Iaaeaaiae/aneea e nioeeaeueii-oeeinioneea aniaeou oece/aneie eoeueoo?u e nii?oa. Na. iao/ii-iaoiaee/aneeo ?aaio OAEOE e AAIO. – Oa?ueeia, 1996. – N.325-328. 9) Aaii?eiaa ?.I., Na?iei A.E., Aeue-Eoaeao Iioaiiaae Eo.A., Eooi??aiei N.A E?eoaaeueia o?ce/ia eoeueoo?a a nenoai? ?aaa?e?oaoe?? in?a, ye? ia?aoai??ee ia ?ioa?eo i?iea?aea // O?ce/ia eoeueoo?a, nii?o oa caei?ia'y. Ca. iaoeiaeo ?ia?o OAe?OE. – Oa?e?a, 1997. – N.235-237. Aeue-Eoaeao Iioaiiaae Eo.A. O?ce/i? ai?aae oa ineoieia?/ia ei?aeoe?y ia ?aiiueiio aoai? ?aaa?e?oaoe?? oai?eo ia ?ioa?eo i?iea?aea. – ?oeiien. Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaoe c oice/iiai aeoiaaiiy ? nii?oo c? niaoeiaeueiinoi 24.00.02 - Oice/ia eoeueoo?a, oice/ia aeoiaaiiy ?icieo a?oi ianaeaiiy, Iaoe?iiaeueiee oi?aa?neoao o?ce/iiai aeoiaaiiy ? nii?oo Oe?a?ie, Ee?a, 1999. O aeena?oaoe?ei?e ?iaio? aaeineiiaeaia i?ia?aia o?ce/ii? ?aaa?e?oaoe?? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea, eiiieaenii ineoioa?aiaaoe/ieo iaoiae?a ia ?aiiueiio aoai? a?aeiiaethaaeueiiai e?eoaaiiy. Aeiaaaeaia aoaeoeai?noue aeei?enoaiiy ineoieia?/ii? ei?aeoe?? aeey i?enei?aiiy i?ioeano ii?iaeueii? ineoieia?/ii? ?aaaeaioaoe?? oa nei?i/aiiy oa?i?i?a ia?aaoaaiiy o noaoe?iia??; anoaiiaeaia cai?ioiy caeaaei?noue i?ae oiea?aioi?noth aei o?ce/iiai iaaaioaaeaiiy c? ci?iaie ineoieia?/iiai noaio oai?iai; ?icoe?ai? oyaeaiiy i?i iaoai?cie aaiiaeeiai?/iiai caaacia/aiiy o?ce/iiai iaaaioaaeaiiy – aeyaeaia iiceoeaia aeeiai?ea iieaciee?a oeaio?aeueiiai e?iaiia?ao oa ?iaeaen?a nei?i/oaaiino? o oac? aeaiaiiy ?c i?aeaeuaiiyi o?ce/ii? i?aoeacaeaoiino? oa cieeiaiiyi ineoiiaoieia?/ii? neiioiiaoeee. Eeth/ia? neiaa: ?ioa?eo i?iea?aea, o?ce/ia ?aaa?e?oaoe?y, ineoieia?/ia ei?aeoe?y, eiio?ieue aaeaeaaoiino? o?ce/iiai iaaaioaaeaiiy. Aeue-Eoaeao Iioaiiaae Eo.A. Oece/aneea oi?aaeiaiey e ineoieiae/aneay ei??aeoeey ia ?aiiai yoaia ?aaaeeeoaoeee aieueiuo eioa?eoii ieiea?aea. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaoe ii oece/aneiio ainieoaieth e nii?oo ii niaoeeaeueiinoe 24.00.02 – Oece/aneay eoeueoo?a, oece/aneia ainieoaiea ?acee/iuo a?oii ianaeaiey, Iaoeeiiaeueiue oieaa?neoao oece/aneiai ainieoaiey e nii?oa Oe?aeiu, Eeaa, 1999. A aeenna?oaoeeiiiie ?aaioa oniaa?oainoaiaaia i?ia?aiia oece/aneie ?aaaeeeoaoeee aieueiuo, ia?aianoeo eioa?eo ieiea?aea, eiiieaenii ineoioa?aiaaoe/aneeo iaoiaeia ia ?aiiai yoaia ainnoaiiaeoaeueiiai ea/aiey. Iai?aaeaiiinoue i?ia?aiiu caeeth/aeanue a aeinoeaeaiee aieueiui a aieaa ei?ioeea n?iee ii n?aaiaieth n iauai?eiyouie i?ia?aiiaie oaeiai o?iaiy oece/aneie aeoeaiinoe, i?e eioi?ii ii iia au ianeoaeeaaoue naay naiinoiyoaeueii. No?aieaiea e aiciiaeii aieaa onei?aiiie aeoeaecaoeee aieueiiai ni/aoaeanue n o/aoii iniaaiiinoae eeeie/aneiai oa/aiey caaieaaaiey, ioeaieie eiaeeaeaeoaeueiuo oece/aneeo aiciiaeiinoae e o?iaiai ineoieiae/aneie aaeaioaoeee. Ei??aeoeey ineoiiaoieiae/aneeo neiae?iiia inouanoaeyeanue n iiiiuueth “iaeie” e eieeaeoeaii-a?oiiiaie ineoioa?aiee, ?aeaenaoeeiiiie aeiianoeee, aooio?aieiaa, aeiiinoaaanoee, iocuei-, ynoaoi- e iaecaaeaoa?aiee. Aeieacaia yooaeoeaiinoue ni/aoaiiiai i?eiaiaiey ea/aaiie e ineoieiae/aneie aeiianoeee. ?aiiaa ?anoe?aiea aeaeaaoaeueiiai ?aaeeia, aaeaeaaoii iiaeia?aiiua e oi?ioi eiio?iee?oaiua i?ioeaaeo?u ea/aaiie oeceoeueoo?u oeo/oatho ineoieiae/aneia ninoiyiea aieueiiai, iiauoatho noaaeeueiinoue yiioeee, niinianoaotho eciaiaieth iiaaaeaiey ee/iinoe. A eiiieaen ineoioa?aiaaoe/aneeo iaoiaeia, nicaeaaay aeaaii?eyoioth ea/aaioth ia?niaeoeao, niinianoaoao cia/eoaeueii aieaa auno?iio ono?aiaieth o aieueiiai ia?aiiai e oece/aneiai ooiieaiey, iiauoaao eiioeaio?aoeeth aieiaiey e auiieiaieth oece/aneeo oi?aaeiaiee, oaaee/eaaao yooaeoeaiinoue caiyoee ea/aaiie aeiianoeeie, onei?yao i?ioeann ii?iaeueiie ineoieiae/aneie ?aaaeaioaoeee e oai naiui iioeiece?oao ?aaaeeeoaoeeiiiue i?ioeann, nie?auay n?iee i?aauaaiey a noaoeeiia?a i?e iaineiaeiaiiii oa/aiee eioa?eoa ieiea?aea aei 20-23 nooie, /oi ia 7-10 nooie iaiueoa o?aaeeoeeiiiuo n?ieia aeey aeaiiie eaoaai?ee aieueiuo. Onoaiiaeaia ia?aoiay caaeneiinoue iaaeaeo oiea?aioiinoueth e oece/aneie iaa?ocea e eciaiaieyie ineoieiae/aneiai noaoona aieueiiai: /ai ieaea ii?ia oiea?aioiinoe e oece/aneie iaa?ocea, oai aieueoa noaiaiue ineoe/aneeo eciaiaiee, e, iaiai?io, /ai auoa ii?ia oiea?aioiinoe e oece/aneie iaa?ocea, oai iaiueoa au?aaeaiiinoue ineoiiaoieiae/aneeo ?aaeoeee. Aaeaeaaoiue o?iaaiue oece/aneie ?aaioiniiniaiinoe (ii?ia oiea?aioiinoe auoa 50 Ao) aeinoeaioo aieueiuie n ii?iaeeciaaaoaeny eee ieieiaeueii au?aaeaiiie ineoiiaoieiae/aneie neiioiiaoeeie. ?anoe?aiu i?aaenoaaeaiey i iaoaieciao aaiiaeeiaie/aneiai iaania/aiey oece/aneie iaa?ocee. Auyaeaia yeiiiiecaoeey aaiiaeeiaie/aneiai ioaaoa ia oece/aneoth iaa?oceo (ia niiinoaaeiii o?iaia iaa?ocee o?aaeaaony /anoioa na?aea/iuo nie?auaiee, nieaeaaony a?oa?eaeueiia aeaaeaiea, ?anooo oaea?iue e na?aea/iue eiaeaenu, oiaiueoaaony iio?aaiinoue ieiea?aea a eenei?iaea), /oi naeaeaoaeuenoaoao i aic?inoeo eiiiainaoi?ii-i?eniiniaeoaeueiuo aiciiaeiinoyo na?aea/ii-ninoaeenoie nenoaiu aieueiuo n ii?iaii oiea?aioiinoe auoa 50 Ao. Ii ia?a iiauoaiey oece/aneie ?aaioiniiniaiinoe e en/aciiaaiey ineoiiaoieiae/aneie neiioiiaoeee iaia?oaeaia iieiaeeoaeueiay aeeiaieea iieacaoaeae oeaio?aeueiiai e?iaiia?auaiey e eiaeaenia nie?aoeiinoe a oaca ecaiaiey. Ii?aaeaeaii, /oi a iaoaiecia oeo/oaiey ia?aiineiinoe oece/aneeo iaa?ocie eeoeaie, ia eiathueie ineoiiaoieiae/aneeo ?aaeoeee, cia/eoaeueioth ?ieue ea?aao oi?ie?iaaiea ?aaeoeee na?aea/iiai eiaeaena a noi?iio aai oaaee/aiey, iaoneiaeaiiia i?aeiouanoaaiiui iiauoaieai oaea?iiai eiaeaena, a ia ?inoii /anoiou na?aea/iuo nie?auaiee. Iiauoaiea ia?aiineiinoe oece/aneeo iaa?ocie iaania/eaaaony oaeaea ca n/ao oeo/oaiey nie?aoeoaeueiie ooieoeee ieiea?aea – o aieueiuo eioa?eoii ieiea?aea n ii?iaeueiie ineoieiae/aneie ?aaaeaioaoeeae ioia/aii aic?anoaiea o?aeoeee aua?ina e nei?inoe oei?i/aiey oee?eoey?iuo aieieii ieiea?aea. Oaeei ia?acii, oniaa?oainoaiaaiea i?ia?aiiu oece/aneie ?aaaeeeoaoeee eiiieaenii ineoioa?aiaaoe/aneeo ia?ii?eyoee nicaeaao i?aaeiinueee aeey oaaee/aiey oece/aneie ?aaioiniiniaiinoe, onei?aiey i?ioeanna ii?iaeueiie ineoieiae/aneie ?aaaeaioaoeee, iiauoaiey ainnoaiiaeoaeueiiai ea/aiey, nie?auaiey aeeeoaeueiinoe noaoeeiia?iiai yoaia o aieueiuo n iaineiaeiaiiui oa/aieai e?oiiii/aaiaiai eioa?eoa ieiea?aea. Eeth/aaua neiaa: eioa?eo ieiea?aea, oece/aneay ?aaaeeeoaoeey, ineoieiae/aneay ei??aeoeey, eiio?ieue aaeaeaaoiinoe oece/aneie iaa?ocee. Al-Qudah Mohammad Kh.A. Physical training and psychological correction at an early stage of rehabilitation of post-myocardial infarction patients. – Manuscript. Thesis for a Candidate's degree in Physical Education and Sport in speciality 24.00.02 - Physical Culture, Physical Education for different population groups, National University of Physical Education and Sport of Ukraine, Kyiv, 1999. The program of physical rehabilitation of post-myocardial infarction patients is perfected by means of complex of psychotherapeutic methods at an early stage of rehabilitation treatment in the studies. The efficiency of use of psychological correction has been proved for acceleration the process of normal psychological readaptation and shortening the period of the stay in the hospital. Inverse dependence between tolerance to physical loading and specific personality features of the patients has been established. The ideas of the mechanisms of hemodynamic provision of physical loading have been broadened – it has been revealed the positive dynamics of indices of the central blood circulation and indices of shortening in the phase of driving out while physical working capacity increases and symptoms of psychopathology vanish. Key word: myocardial infarction, physical rehabilitation, psychological correction, control of adequacy of physical loading.

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