Клініко-патогенетичні аспекти ортопедичного стоматологічного лікування учасників ліквідації наслідків аварії на ЧАЕС: Автореф. дис… канд. мед. наук

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

OE?A?INUeEA IAAeE*IA NOIIAOIEIA?*IA AEAAeAI?ss

Ia i?aaao ?oeiieno

O?AAI? IA?EIA A?EOI??AIA

OAeE 616.314-089.28:614.876

EE?I?EI – IAOIAAIAOE*I? ANIAEOE

I?OIIAAeE*IIAI NOIIAOIEIA?*IIAI E?EOAAIIss

O*ANIEE?A E?EA?AeAOe?? IANE?AeE?A AAA??? IA *AAN

Niaoe?aeuei?noue 14.01.22 – noiiaoieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iieoaaa – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia ia eaoaae?? i?iiaaeaaoeee i?oiiaaee/ii? noiiaoieia?? oa
i?oiaeiio?? Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai??
I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie (?aeoi? – i?ioani?
I.N.Ne?eii?eia).

Iaoeiaee ea??aiee: eaiaeeaeao iaaee/ieo iaoe, aeioeaio

Neeaiei TH??e ?aaiiae/,

Oe?a?inueea iaaee/ia noiiaoieia?/ia aeaaeai?y,

a.i. caa?aeoaa/a eaoaae?ith i?iiaaeaaoeee i?oiiaaee/-

ii? noiiaoieia?? oa i?oiaeiio??

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

A?eciaeoa Aaneeue ?aaiiae/,

Oa?e?anueeee ?inoeooo oaeineiiaeaiiy e?ea??a,

caa?aeoaa/ eaoaae?ith i?oiiaaee/ii? noiiaoieia??

aeieoi? iaaee/ieo iaoe, i?ioani?

Iani?yaeueei Aaea??e Iao?iae/

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.aeaaeai?ea

I.I. Aiaiiieueoey, caa?aeoaa/ eaoaae?ith

i?oiiaaee/ii? noiiaoieia??

I?ia?aeia onoaiiaa: Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii?

ina?oe, eaoaae?a i?oiiaaee/ii? noiiaoieia??

Caoeno a?aeaoaeaoueny: “ 23 ” aa?aciy 1999 ?. i 11-00 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 44.601.01 Oe?a?inueei?
iaaee/ii? noiiaoieia?/ii? aeaaeai?? ca aae?anith: 314024 i.Iieoaaa, aoe.
Oaa/aiea, 23.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oe?a?inueei?
iaaee/ii? noiiaoieia?/ii? aeaaeai??.

Aaoi?aoa?ao ?ic?neaiee 17 ethoiai 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe,

aeioeaio
Aieiaei I.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Iaaeeei – a?ieia?/i? aniaeoe iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN ? iaei??th c aino?iaeooaeueieo i?ia?ai no/anii?
iaaeeoeeie. *eneaii? aeine?aeaeaiiy a oeueiio iai?yieo aeicaieythoue
c?iaeoe aeniiaee ia eeoa i?i c?inoaiiy /anoioe ooieoe?iiaeueieo oa
i?aai?/ieo ii?ooaiue a ??cieo aeeoo?ai – aaaeeeaeo nenoaiao ethaeae, ui
iioa?i?ee a?ae oeeo iane?aee?a, aea ? i?i iayai?noue nai???aeiiai
oa?aeoa?o ?icaeoeo ? ia?aa?ao iaoieia?/ieo i?ioean?a (?iiaiaiei
A.?.,1992, Ao?eaeiaa I.A.,1993, Oai?oia ?.E., Oeea A.O., Nianueeee
A.A.,1994). *eneaiee eiioeiaaio iioa?i?eeo a?ae iane?aee?a aaa??? ia
*AAN neeaaeathoue e?ea?aeaoi?e, ui i?aoethaaee ia noaioe?? c ia?oeo
oaeeei aaa??? ? i?ioyaii ianooiieo ?ie?a. O/anieeaie e?ea?aeaoe?? a
iniiaiiio aoee /ieia?ee, na?aaei?e a?e yeeo neeaaeaa 33 ?iee (Iaai?ia
A.I., Ea?oeo A.I., Noaiaiaiei A.A.,1995, Oea??ai?iaeoeaa A.Ae.,1996).

Ci?ie a oeaieiao ?ioiai? ii?iaeieie a?aei?/athoueny i?aeoe/ii o an?o
in?a, ui caciaee aieeao ?ii?coth/iai ii?ii?iaiiy, ? i?iyaeythoueny o
?icaeoeo oa aeoeaiiio i?ia?anoaaii? ea???no, iaoieia?/ieo ci?iao
neeciai? iaieiiee, ia?iaeiioo (Aa?a? A.I.,1983, Aeoiye A.I., Caa??ia
A.I., Ae/eiaa I.A., 1995, Aieeia N.I.,1996). Oa?aeoa?iith iniaeea?noth
oeeo ii?ooaiue ? ?o no?ee?noue oa aeoaea iecueea aoaeoeai?noue
caaaeueiii?eeiyoeo e?eoaaeueieo caoiae?a. I?oiiaaee/ia e?eoaaiiy oeueiai
eiioeiaaioo oai?eo i?iaiaeeoueny ii caaaeueiii?eeiyoei iieacaiiyi, a oea
/anoi i?eaiaeeoue aei iiaoi?iiai i?ioacoaaiiy o ca’yceo c iaoieia?/ieie
i?ioeanaie, ui aaaeooue aei ao?aoe iii?ieo coa?a. O ca’yceo c oeei
iniaeeaiai cia/aiiy iaaoaathoue aeine?aeaeaiiy iaoai?ci?a i?io?eaiiy
iaoieia?/ieo i?ioean?a a oeaieiao i?ioaciiai eiaea o e?ea?aeaoi??a
iane?aee?a aaa??? ia *AAN (EIA), ai eeoa aeeaiea ciaiiy i?iaeaie iiaea
aecia/eoe oeyo aoaeoeaiiai e?eoaaiiy oa ni?yiiaaii? ?aaa?e?oaoe??
oeueiai eiioeiaaioo oai?eo.

*eneaii? aeine?aeaeaiiy iieacaee aaaeeeao ?ieue a?eueii?aaeeeaeueiiai
ieeneaiiy (A?I) a ?icaeoeo iaoieia?/ieo i?ioean?a a ia?iaeiio?
(Oa?anaiei E.I., Aine?anainueeee I.I.,1986, Iao?ooaiei O.I.,1992,
Eeoia/aiei ?.TH., 1997, Neeaiei TH.?, 1998). ? aeai? i?i aca?iica’ycie
ia?aeeniiai ieeneaiiy e?i?ae?a (IIE) oa aaiinoaco (Neeaiei TH.?.,
I?uaiei A.I., Oiea?ue Ae.A.,1991, Neeaiei TH.?., 1998). Anoaiiaeaii
ci?io e?iaiiaiiaiaiiy oeaiei i?ioaciiai eiaea a caeaaeiino? a?ae
e?eueeino? ao?a/aieo coa?a oa aeaeo i?oiiaaee/ii? eiino?oeoe??, ui
a?aeiiaeth? aeaoaeo coaiiai ?yaeo (Iaoa??aa A.E., Eia?iiaa I.E., Oaa??a
A.?.,1982, Aeaiia? E.I., Io?aoaa A.A., 1985, Ei?ieue I.Ae., 1991). Aea a
oie aea /an a e?oa?aoo?? a?aenooi? iia?aeiieaiiy i?i aea/aiiy A?I
e?i?ae?a e?ia? oa ?ioiai? ??aeeie, aaiinoaco oa ?aieia?/ieo aeanoeaioae
e?ia? o e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN, ye? ei?enoothoueny
iinoiiiae?aieie, ci?iieie ieanoeieiaeie ? athaaeueieie i?ioacaie, a
oaeiae a?aenooi? aeai? i?i aeine?aeaeaiiy ca’yceo A?I e?i?ae?a,
aaiinoaco oa ?aieia?/ieo aeanoeainoae e?ia? c i?ioeanaie ao?io?? a
oeaieiao i?ioaciiai eiaea.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie: Aeena?oaoe?y ?
o?aaiaioii ?i?oeeaoeaii? oaie “ Iniaeeaino? o?aoeiii? i?io?eaeoeee
caoai?thaaiue coai – uaeaiii? nenoaie c canoinoaaiiyi iiaeo ee?i?ei –
iaoiaaiaoe/ieo i?aeoiae?a oa oaoiieia?e “ ( iiia? aea?ae?a?no?aoe??
0197U02016420 ).

Iaoa ?iaioe : aaeineiiaeeoe i?oiiaaee/ia noiiaoieia?/ia e?eoaaiiy c
a?aooaaiiyi ee?i?ei – iaoiaaiaoe/ieo aniaeo?a ao?io?/ieo i?ioean?a a
oeaieiao i?ioaciiai eiaea o e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN i?e
ei?enooaaii? ??cieie aeaeaie coaieo i?ioac?a.

Aeey aeinyaiaiiy iinoaaeaii? iaoe aaaaeaee ca iaiao?aeia ae??oeoe
ianooii? caaea/? :

1. Aea/eoe ee?i?/iee noai oeaiei i?ioaciiai eiaea o e?ea?aeaoi??a aaa???
ia *i?iiaeeuenuee?e AAN.

2. Aea/eoe ?ieue a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a e?ia? oa
?ioiai? ??aeeie, aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai? ??aeeie
a iaoiaaiac? ao?io?/ieo i?ioean?a oeaiei i?ioaciiai eiaea o
e?ea?aeaoi??a aaa??? ia *i?iiaeeuenuee?e AAN.

3. Aea/eoe aca?iica’ycie a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a,
aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai? ??aeeie oa ?aieia?/ieo
aeanoeainoae e?ia? a iaoiaaiac? ao?io?/ieo i?ioean?a oeaiei i?ioaciiai
eiaea.

4. Aaeineiiaeeoe i?oiiaaee/ia e?eoaaiiy oai?eo e?ea?aeaoi??a iane?aee?a
aaa??? ia *AAN c canoinoaaiiyi iaoiaaiaoe/ieo cania?a.

?iaioa aeeiiaia ia eaoaae?? i?iiaaeaaoeee i?oiiaaee/ii? noiiaoieia?? oa
i?oiaeiio?? ( caa.eao.aeioe.Ei?ieue I.Ae. ) ? a OeIAeE
(caa.eaai?aoi???th e.i.i. Eaeaeaoaa ?.I.) Oe?a?inueei? iaaee/ii?
noiiaoieia?/ii? aeaaeai??.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a:

Aia?oa aeaia ioe?iea noaio oeaiei i?ioaciiai eiaea o e?ea?aeaoi??a
iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN a caeaaeiino? a?ae oa?i?io
ei?enooaaiiy iinoiiiae?aieie, athaaeueieie, /anoeiaeie ci?iieie
ieanoeieiaeie i?ioacaie.

Aeiaaaeaia ?ieue aca?iica’yceo a?eueii?aaeeeaeueiiai ieeneaiiy
e?i?ae?a, aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai? ??aeeie,
?aieia?/ieo aeanoeainoae e?ia? a iaoiaaiac? ao?io?/ieo i?ioean?a oeaiei
i?ioaciiai eiaea.

Cai?iiiiiaaii iaoiae e?eoaaiiy oneeaaeiaiue a oeaieiao i?ioaciiai eiaea
o e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN, ye? ei?enoothoueny /anoeiaeie
ci?iieie i?ioacaie, aioeieneaeaioieie i?aia?aoaie.

Iaa?oioiaaii aea?? eiino?oeoe?? i?e i?ioacoaaii? iaeeo oa na?aaei?o
aeaoaeo?a coaieo ?yae?a o e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a:

?acoeueoaoe ee?i?/ieo oa eaai?aoi?ieo aeine?aeaeaiue aeicaieeee aea/eoe
iaoai?ci ao?io?? oeaiei i?ioaciiai eiaea o e?ea?aeaoi??a iane?aee?a
aaa??? ia *AAN. ?ic?iaeaii iaoiae iaoiaaiaoe/iiai e?eoaaiiy oneeaaeiaiue
a oeaieiao i?ioaciiai eiaea o e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN,
yeee aeicaiey? cieceoe iaaaoeaiee aieea ci?iieo i?ioac?a ia oeaieie
i?ioaciiai eiaea ? oei naiei niia?eueieoe i?ioeane ao?io?? a ieo ?
ca?eueoeoe oa?i?i ei?enooaaiiy i?oiiaaee/ieie eiino?oeoe?yie.

Iniaenoee aianie caeiaoaa/a: Aaoi?ii naiino?eii ianoaaeaii 134
iaoe??ioa, 109 – i?iaaaeaii i?oiiaaee/ia e?eoaaiiy. Aaoi?ii ?ic?iaeaia
i’yea i?ieeaaeea c aioeieneaeaioieie i?aia?aoaie aeey e?eoaaiiy
caiaeueieo i?ioean?a oeaiei i?ioaciiai eiaea oa i?io?eaeoeee ao?io??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??: Iniiai? iaoa??aee ca oaiith
aeena?oaoe?? aeiiia?aeaeenue ia iaoeiai – i?aeoe/i?e eiioa?aioe??
“Aeooaeuei? i?iaeaie i?oiiaaee/ii? noiiaoieia??” (?aaii – O?aie?anuee,
1995), Anaoe?a?inuee?e iaoeiai – i?aeoe/i?e eiioa?aioe?? e?ea??a –
noiiaoieia?a (Iieoaaa, 1996), iaoeiai – i?aeoe/i?e eiioa?aioe??
“Aeooaeuei? ieoaiiy i?oiiaaee/ii? noiiaoieia??” (Iieoaaa, 1996).

Ioae?eaoe??: Ca oaiith aeena?oaoe?? iioae?eiaaii 10 ?ia?o, o?e c yeeo —
o iaoeiaeo oaoiaeo aeaeaiiyo.

No?oeoo?a oa ianya ?iaioe : Aeena?oaoe?y aeeeaaeaia oe?a?inueeith iiaith
ia 157 noi??ieao iaoeiiieno. Neeaaea?oueny ?c anooio, ?icae?eo iaeyaeo
e?oa?aoo?e, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, iaaiai?aiiy
?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e. ?iaioa ?ethno?iaaia
oaaeeoeyie (33) ? iaethieaie (16). Aeei?enoai? e?oa?aoo?i? aeaea?aea
ai?uoththoue 224 ?iaioe (166 a?o/eciyieo oa 58 caei?aeiiieo aaoi??a).

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiue. Aeey ae??oaiy iinoaaeaieo a ?iaio?
caaaeaiue i?iaiaeeee niinoa?aaeaiiy ca 134 /ieia?eaie, ?c ieo – 19
iaoe??io?a, ui ia i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN aac aeaoaeo?a coaieo ?yae?a ( 1 a?oia ), 19 iaoe??io?a, ui ia
i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN c iaeeie
aeaoaeoaie coaieo ?yae?a ( 2 a?oia ), 20 iaoe??io?a , ui ia i?eeiaee
o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN c na?aaei?ie oa aaeeeeie
aeaoaeoaie coaieo ?yae?a ( 3 a?oia ), 6 e?ea?aeaoi??a iane?aee?a aaa???
ia *AAN c aeicith ii?ii?iaiiy aei 0,25 A? aac aeaoaeo?a coaieo ?yae?a (
4 a?oia ), 21 o/aniee e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN c aeicith
ii?ii?iaiiy aei 0,25 A? c iaeeie aeaoaeoaie coaieo ?yae?a ( 5 a?oia ),
23 o/anieea e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN c aeicith ii?ii?iaiiy
aei 0,25 A? c na?aaei?ie oa aaeeeeie aeaoaeoaie coaieo ?yae?a ( 6 a?oia
), 26 o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN c aeicith
ii?ii?iaiiy a?ae 0,25 aei 0,4 A? c aeaoaeoaie coaieo ?yae?a.

A caeaaeiino? a?ae aeaeo aeaoaeoa coaiiai ?yaea ca eeaneo?eaoe??th
Eaiiaae?, noaio oeaiei i?ioaciiai eiaea iaoe??ioai 2, 3, 5, 6, 7 a?oi
aoee aeaioiaeai? ne?aeoth/? aeaee i?oiiaaee/ieo eiino?oeoe?e: iayi?
iinoiiiae?ai? i?ioace c iii?ith ia iiai? ooaiiiaai? iaoaeaa? ei?iiee,
athaaeuei? i?ioace, /anoeia? ci?ii? ieanoeieia? i?ioace. Iaoe??io?a,
yeei aoee aeaioiaeai? /anoeia? ci?ii? i?ioace ?icae?eeee ia aea?
i?aea?oie a caeaaeiino? a?ae iaea?aeaiiai e?eoaaiiy: a iaei?e i?aea?oi?
iaoe??io?a i?ney iaeeaaeaiiy ci?iieo i?ioac?a canoiniaoaaee i’yeo
i?ieeaaeeo c aioeieneaeaioieie i?aia?aoaie i?noeaai oa aioeieneaeaioi?
i?aia?aoe per os. A ae?oa?e i?aea?oi? aioeieneaeaioio oa?ai?th ia
canoiniaoaaee. I?e ianoaaeaii? ee?i?/iiai noaio oeaiei ?ioiai?
ii?iaeieie a ??ci? oa?i?ie niinoa?aaeaiue a?aoiaoaaee noai oaa?aeeo
oeaiei coa?a, oa?aeoa? i?eeono. Noai oeaiei ia?iaeiioo ioe?ithaaee ca
iayai?noth aai a?aenooi?noth a?ia?ai?? oa iaa?yeo ynai, e?iaioa/? i?e
ciiaeoaaii?. ?iciianthaeaeaii?noue caiaeueiiai i?ioeano ioe?ithaaee ca
aeiiiiiaith iai?ey?ii – ia?a?iaeueii – aeueaaiey?iiai ?iaeaeno ii ?arma.
Canoiniaoaaee iaoiae ioe?iee a?a??ie ii?iaeieie ?ioa ca TH.A.
Oaaei?iaei, A.A. Aieiaee?iith. Ae?aaeai?noue caiaeueieo i?ioean?a a
oeaieiao i?ioaciiai eiaea aecia/aee ca aeiiiiiaith i?iae Oeee??a –
Iena??aa o aeani?e iiaeeo?eaoe??, nooi?iue ao?io?? oeaiei i?ioaciiai
eiaea aecia/aee ca aeaniith iaoiaeeeith. Ca?aeii oe??? iaoiaeeee
aecia/aiiy ia’?io ao?io?? neeciai? iaieiiee oa e?noeiai? oeaieie
i?iaiaeeii aeei?enoiaoth/e n??eano. Ia’?i ao?io?? V aecia/a?ii,
a?aeiyaoe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 ( ia’?i n??eanoo ia ii/aoie ianoaaeaiiy ) a?ae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 ( ia’?i n??eanoo ia iaaiee /an ianoaaeaiiy ). V =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 —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, iaeeieoey aei??o —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.

Ooieoe?iiaeueiee noai coai – uaeaiii? nenoaie ioe?ithaaee ca aeiiiiiaith
i?iae ?oa?iiaa ?.N. O an?o a?oiao iaoe??io?a a ??ci? oa?i?ie
niinoa?aaeaiue ( aei i?ioacoaaiiy, /a?ac 7 aei?a, /a?ac 1 oa 6 i?nyoe?a
) i?iaiaeeee aecia/aiiy noaio a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a
e?ia? oa ?ioiai? ??aeeie, aecia/aiiy aaiieiaaoethth/eo aeanoeainoae
e?ia? oa ?ioiai? ??aeeie, ?aia?ao?/i? aeine?aeaeaiiy oeaiei i?ioaciiai
eiaea. Iieacieee, ui aea/aeenue, iaoa??ae oa aaoi?e iaoiaeee iaaaaeai? a
oaaeeoe? 1.

Oaaeeoey 1

Iieacieee, ui aea/aeenueNoano?ao, ui aea/aanyAaoi?e iaoiaeee123E?iaoeea
iaeiie/aiiy IAeAe?ia, ?ioiaa ??aeeiaAeaaeeie?ia TH.A.

A?/aeia A.?. ( 1972 )Ia?aeeniee aaiie?c a?eo?ioeeo?a e?iaNi???/aa A.A.
oa ?io?

( 1979 )NIAee?ia, ?ioiaa ??aeeiaA?onia I.N. oa ?io? ( 1976
)Eaoaeaca e?ia, ?ioiaa ??aeeiaA?oeiiaa I.A. (1988)Oea?oeiieaci?i
ieaciaEiea A.A. oa ?io? (1982 )*an ?aeaeueoeeo?eaoe??ieacia, ?ioiaa
??aeeiaBergergof H.D., Roka L. ( 1954 )I?io?iia?iiaee /anieacia,
?ioiaa ??aeeiaQuick A.I. ( 1966 )O?iia?iiaee /anieacia, ?ioiaa
??aeeiaBiggs R.M. oa ?io? ( 1962 )O?a?eiie?c
aoaeiaoe?i?aieacia, ?ioiaa ??aeeiaAiae?a?iei A.A. oa ?io?. ( 1987
)IAeO oa ?OIEieaciaAaeoaea A.I. oa ?io? ( 1980 )
?aiia?iaeiioia?ao?yoeaieie ia?iaeiiooI?ioii/oeia A.A. ( 1980 )
Noaoenoe/ia ia?iaea anueiai oeeo?iaiai iaoa??aeo i?iaiaeeeanue ia IAII
ca aeiiiiiaith iaeaoo noaoenoe/ieo i?ia?ai “ EXEL”.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. A aiaiiac? aeeooy
e?ea?aeaoi??a aaa??? ia *AAN aoee aeyaeai? caoai?thaaiiy ia?aiai?
nenoaie, caoai?thaaiiy i?aai?a o?aaeaiiy, iaoieia?th ueoiaeaeii? caeice,
iaoieia?th i?aai?a ci?o, caoai?thaaiiy i?aai?a aeeoaiiy, na?oeaai –
noaeeiii? nenoaie. A eiio?ieuei?e a?oi? ia aeyaeaii iaoieia?? a 71%
/ieia?e?a. C i?eaiaeo aeyaeaieo caoai?thaaiue on? oai?? – e?ea?aeaoi?e
aaa??? ia *AAN nenoaiaoe/ii i?ioiaeeee eo?ne noaoe?iia?iiai oa
aiaoeaoi?iiai e?eoaaiiy, yea iie?iooaaei noai caei?ia’y aea aoaeo aoa
ei?ioei/aniei.

A aiaiiac? an? oai?? EIA iaee nea?ae ia oaeaeea ?oeioaaiiy coa?a,
aeiaae?iiy ieiia, e?iaioi/ea?noue ynai, ye? c’yaeeeny i?ney ia?aaoaaiy a
cii? eaoano?ioe.

Iaie i?e aea/aii? ee?i?/iiai noaio oeaiei ?ioiai? ii?iaeieie aei
i?ioacoaaiiy aeyaeaii ia?iaeiioeo ??ciiai nooiaith aaaeeino? o an?o
in?a, ui i?eeiaee o/anoue a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN. O
oai?eo, ui ei?enoothoueny iinoiiiae?aieie i?ioacaie niinoa??aaee
ii?ooaiiy oeaiei ia?iaeiioo iii?ieo coa?a, ui i?iyaeyeinue iayai?noth
a?ia?ai?? ynaiaaiai a?ioey, iaa?yeii, iayai?noth ia?iaeiioaeueieo
eeoaiue, iaieaiiyi oeeie coa?a. ?iaeaen ?IA a ae?eyioe? iii?ieo coa?a
ia?aaeuoaaa oeae iieaciee ii?yae noiy/eo oa neiao?e/ii ?icoaoiaaieo
coa?a ia 1,12 aaee. O EIA niinoa??aaee oaiaeaioe?th aei i?aeaeuaiiy
a?a??i?/iiai ?iaeaeno oa ?iaeaeno ?IA a ii??aiyii? c /ieia?eaie, ui ia
i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN. Iaie aeyaeaii,
ui e?euee?noue aeaoaeo?a coaieo ?yae?a ia ianoaaeaiiai a a?oi?
/ieia?e?a, ui ia i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN neeaaea? 1,2, a a?oi? EIA c aeicith ii?ii?iaiiy a?ae 0,25 aei 0,4
A? – 2,4, a a?oi? EIA c aeicith ii?ii?iaiiy a?ae 0,25 aei 0,4 A? – 3,05,
a e?euee?noue a?aenooi?o coa?a a aeaoaeoao a?aeiia?aeii 3,02, 5,8,
8,2.

sse iieacaee iao? aeine?aeaeaiiy, ci?ia ee?i?/iiai noaio o EIA
iia’ycaia c aenieei ??aiai ?aaeoe?e A?I e?i?ae?a e?ia?, ia ui aeaco?
aeinoia??ia ca?eueoaiiy OAE – aeoeaieo i?iaeoeo?a a a?oiao EIA a
ii??aiyii? c iaii?ii?iaieie, cie?aia, iaea?eueoee ??aaiue OAE – aeoeaieo
i?iaeoeo?a aei ?ieoaaoe?? aoa a a?oi? EIA c aaeeeeie aeaoaeoaie coaieo
?yae?a, ye? io?eiaee aeico ii?ii?iaiiy 0,25 A? (12,24 0,42 ieiieue/e)
oa a a?oi? in?a, c aeicith ii?ii?iaiiy 0,4 A? (15,3 0,45 ieiieue/e).
C?inoaiiy iaeiie/aiiy iaeiiiaiai aeeaeueaeaa?aeo iaea?eueo ?ioaineaii
i?ioiaeeei a a?oiao e?ea?aeaoi??a. I?i i?aeaeuaiiy ??aiy IIE na?ae/eoue
ca?eueoaiiy IAA, aeinoia??ia i?aeaeuaiiy eaoaeace, cieaeaiiy aeoeaiino?
NIAe, oea?oeiieaci?io. Iaie anoaiiaeaii, ui a iieacieeao aeoeaiino? NIAe
oa eaoaeace aeyaeaia aeinoia??ia ??cieoey i?ae a?oiaie e?ea?aeaoi??a
aaa??? ia *AAN aac aeaoaeo?a coaieo ?yae?a oa o e?ea?aeaoi??a c
aeaoaeoaie coaieo ?yae?a. Oaeei /eiii, io?eiai? ?acoeueoaoe na?ae/aoue
i?i cia/ia i?aeaeuaiiy ??aiy IIE o e?ea?aeaoi??a, iniaeeai a a?oi? ?c
aeicith 0,4 A?, oa ciaioaiiy aeoeaiino? NIAe oa oea?oeiieaci?io.

Aeinoia??ia c?inoaiiy IIE a ?ioia?e ??aeei? a?aei?/aee a a?oi? EIA, ui
io?eiaee aeico ii?ii?iaiiy a?ae 0,25 aei 0,4 A? c aeaoaeoaie coaieo
?yae?a ii??aithth/e c EIA c aeicith ii?ii?iaiiy aei 0,25 A? aac
aeaoaeo?a coaieo ?yae?a. Iao? aeine?aeaeaiiy aeiaiaeyoue, ui /a?ac 10
?ie?a i?ney ii?ii?iaiiy o ianoaaeaieo EIA niinoa??aaee c?inoaiiy
aeoeaiino? eaoaeace, iniaeeai a a?oiao, ui io?eiaee cia/io aeico
ii?ii?iaiiy. Aeoeai?noue NIAe ?ioiai? ??aeeie o iaoe??io?a aac
ii?ii?iaiiy c aeaoaeoaie coaieo ?yae?a ia ci?ith?oueny a ii??aiyii? c
a?oiith in?a, ui ia caciaee ii?ii?iaiiy aac aeaoaeo?a coaieo ?yae?a, a a
a?oiao ii?ii?iaieo aeinoia??ii ca?eueoo?oueny a ii??aiyii? c a?oiaie
/ieia?e?a, ui ia caciaee aieeao ii?ii?iaiiy. I?ae a?oiaie ii?ii?iaieo c
aeicaie aei 0,25 A? oa a?ae 0,25 aei 0,4 A? ie ia anoaiiaeee
aeinoia??ii? ??cieoe? NIAe. Oaeei /eiii, ie ia iiaeaii iia’ycaoe
c?inoaiiy IIE ?ioiai? ??aeeie c aaee/eiith aeaoaeoa coaiiai ?yaeo ye a
a?oiao ii?ii?iaieo, oae ? a a?oiao in?a, ui ia caciaee aieeao
?ii?coth/iai ii?ii?iaiiy. Eiia??ii, c?inoaiiy IIE iia’ycaii c aeicith
ii?ii?iaiiy, a c?inoaiiy aeoeaiino? oa?iaio?a aioeieneaeaioii? nenoaie
a?aeaoaa?oueny a ca’yceo c aenieei ??aiai IIE.

Aiae?c iieaciee?a eiaaoeia?aie na?ae/eoue, ui o e?ea?aeaoi??a aaa??? ia
*AAN niinoa??aa?oueny ii?ooaiiy cn?aeaiiy e?ia?. Iaie anoaiiaeaii, ui
/an ?aeaeueoeeo?eaoe?? a 7 a?oi? ca?eueoo?oueny ia 30,5% oa ia 27 % a
ii??aiyii? c 1 oa 4 a?oiaie a?aeiia?aeii. Oeae /an aoa aeuee ia 15,1 % a
ii??aiyii? c 6 a?oiith. A on?o ianoaaeaieo 4, 5, 6, 7 a?oi aecia/aee
nei?i/aiiy o?iia?iiaiai /ano a ii??aiyii? c 1, 2 oa 3 a?oiaie. Cie?aia,
o?iia?iiaee /an a 4 a?oi? aoa iaioei ia 18,5%, a 5 a?oi? ia 64%, a 6
a?oi? ia 34%, a a 7 a?oi? ia 17,8% a ii??aiyii? c ia?oith a?oiith. A
a?oiao ii?ii?iaieo niinoa??aaee ca?eueoaiiy /ano e?ceno o?a?eiiaiai
caonoeo, i?e /iio iaeiaioith o?a?eiie?oe/ia aeoeai?noue aoea a a?oi?
EIA, ui io?eiaee aeico ii?ii?iaiiy a?ae 0,25 aei 0,4 A? (1975,95 oa).
Aeine?aeaeaiiyie anoaiiaeaii, ui a on?o in?a, ui ciaoiaeeeeny a cii?
aaa??? niinoa??aa?oueny cia/ia i?aeaeuaiiy i?iaeoeo?a aeaa?aaeaoe??
o?a?eia, a iaeaeuei oeae iieaciee aoa a a?oi? EIA c aeicith ii?ii?iaiiy
a?ae 0,25 aei 0,4 A? (5,60,2).

Ine?eueee aaiieiaaoethth/? aeanoeaino? e?ia? ei?aeththoue c
aaiieiaaoethth/eie aeanoeainoyie ?ioiai? ??aeeie ( A?e?eia I.I., 1973,
1980 ) ie aea/eee ?o noai o iaoe??io?a, ui ciaoiaeeeeny i?ae
niinoa?aaeaiiyi. Iaie anoaiiaeaii, ui ?ioiaa ??aeeia ca?eueoo? /an
?aeaeueoeeo?eaoe?? ?, iniaeeai, /an e?ceno aoaeiaoe?iiaiai caonoeo o
EIA. Oae a 5, 6 oa 7 a?oiao /an ?aeaeueoeeo?eaoe?? ca?eueoo?oueny a
ii??aiyii? c 4 a?oiith ia 9,2%, 29,4%, 35,7% a?aeiia?aeii. A 6 oa 7
a?oiao niinoa??aa?oueny aeinoia??ia nei?i/aiiy o?iia?iiaiai /ano. A
a?oiao EIA ie niinoa??aaee ciaioaiiy o?a?eiie?oe/ii? aeoeaiino? a
ii??aiyii? c iaii?ii?iaieie /ieia?eaie.

Oaeei /eiii, aea/aiiy aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai?
??aeeie aeyaeei, ui o EIA, iniaeeai c aeicith ii?ii?iaiiy a?ae 0,25 aei
0,4A? ?icaeaa?oueny ii?ooaiiy i?ioeano cn?aeaiiy e?ia?, ia ui aeaco?
ca?eueoaiiy /ano ?aeaeueoeeo?eaoe??, i?io?iia?iiaiai /ano, ca?eueoaiiy
IAeO oa ciaioaiiy o?a?eiie?oe/ii? aeoeaiino?. An? oe? oaeoi?e iiaeooue
i?eaanoe aei ci?ie ?aieia?/ieo aeanoeainoae e?ia? ? o?io?ee a oeaieiao
?ioiai? ii?iaeieie. Oea i?aeoaa?aeaeo?oueny iieacieeaie ?aia?aie. Iaie
anoaiiaeaii, ui iaeiaioei e?iaiiaiiaiaiiy oeaiei i?ioaciiai eiaea aoei o
e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN c aeicith ii?ii?iaiiy a?ae 0,25
aei 0,4 A?, ui iia’ycaii ?c ca?eueoaiiyi oiiono noaeei ( 5 a?oia —
20,9%, 6 a?oia — 26,3%, 7 a?oia — 26,7% ), ia?eoa?e/iiai iii?o (5 a?oia
— 112,4%, 6 a?oia — 132.5%, 7 a?oia — 135,1%) oa ciaioaiiyi aeanoe/iino?
no?iee noaeei ( 5 a?oia -76,4%. 6 a?oia — 74,8%, 7 a?oia — 70,4%). O
iaoe??io?a oe??? a?oie i?ae /an aiae?co ?aia?aie aeyaeaii, ui ??
iieacieee aeinoia??ii a?ae??ciythoueny a?ae iieaciee?a iaii?ii?iaieo
/ieia?e?a oa EIA c aeicith ii?ii?iaiiy aei 0,25 A?.

Oaeei /eiii, c?inoaiiy i?ioean?a ia?aeeniiai ieeneaiiy e?i?ae?a e?ia?
oa ?ioiai? ??aeeie o EIA coiiaeth? cia/i? c?ooaiiy noaio a
aioeieneaeaioi?e nenoai? ? i?eaiaeeoue aei ae?aaeaieo ci?i
aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai? ??aeeie. A oea a naith
/a?ao iaoiiaeth? ?icaeoie aaii?aieia?/ieo ?iceaae?a, i?eaiaeeoue aei
iia??oaiiy e?iaiiinoa/aiiy oeaiei i?ioaciiai eiaea ? ca?eueoo? nooi?iue
ao?io?/ieo i?ioean?a a ieo. Oey iaoiaaiaoe/ia noaia a?aeia?aaeaia ia
?en. 1 .

sse iieacaee iao? aeine?aeaeaiiy ia nueiiee aeaiue i?ney i?ioacoaaiiy
iinoiiiae?aieie, athaaeueieie oa ieanoeieiaeie i?ioacaie
niinoa??aa?oueny c?inoaiiy ?aaeoe?e A?I ye a e?ia?, oae ? a ?ioia?e
??aeei? o an?o ianoaaeaieo.

Oae? ci?ie ia?aeeniiai ieeneaiiy e?i?ae?a oa aeoeaiino? AI oa?iaio?a
ye a e?ia?, oae ? a ?ioia?e ??aeei? ia nueiiee aeaiue niinoa?aaeaiue ie
?icoe?ith?ii ye ?aaeoe?th iai?oaeaiiy ia aaaaeaiiy i?ioaco, oiaoi o
oai?eo niinoa??aa?oueny ?icaeoie no?ani?ii? ?aaeoe?? ( Oa?anaiei
E.I.,1985, I?aecaeuenuee?e I.ss., 1996, 1998, Aie?e A.I., I?e?o?i A.A.,
Cineiia A.E.,1997 ). E??i oiai a ia??iae aaeaioaoe?? aei i?ioac?a
iiaeooue a?aeaoaaoeny ci?ie e?euee?niiai ? ye?niiai neeaaeo i?e?ioei?e (
A?eciaeoa A.?., AEoeia E.A.,1997, Aeaaeaeaiei A.I.,1998, Naiaiiaa I.A.,
Aaaeonaiei E.A.,1998 ). Aei oiai ae o?aaiaoecaoe?y neeciai? iaieiiee,
iniaeeai o iaoe??io?a, yeei canoiniaoaaee ci?ii? i?ioace,
noi?iaiaeaeo?oueny aeoeaaoe??th ?aaeoe?e IIE. Canoinoaaiiy i’yei?
i?ieeaaeee c aioeieneaeaioieie i?aia?aoaie i?noeaai oa aioeieneaeaioieo
i?aia?ao?a per os o EIA ia i?ioyc? 7 aei?a ia i?eaiaeeei aei iie?auaiiy
ee?i?/iiai noaio oa aei ciaioaiiy ?aaeoe?e A?I a e?ia? oa ?ia?e ??aeei?
a ii??aiyii? c iniaaie, yeei ia canoiniaoaaee cai?iiiiiaaia e?eoaaiiy.

*a?ac iaeei i?nyoeue i?ney iaeeaaeaiiy i?oiiaaee/ieo eiino?oeoe?e o an?o
iaoe??io?a, ui ciaoiaeeeeny i?ae niinoa?aaeaiiyi a?aei?/aee ciaioaiiy
?aaeoe?e IIE ye a e?ia?, oae ? a ?ioia?e ??aeei?, ui iiynith?oueny
aaeaioaoe??th oai?eo aei i?ioac?a. O an?o oai?eo cieeaee yaeua caiaeaiiy
neeciai? iaieiiee i?ioaciiai eiaea, ca?eueooaaeany aeoaaeueia
aoaeoeai?noue, ui iiynith?oueny aaeaioaoe??th, ia?aaoaeiaith oeaiei
i?ioaciiai eiaea ca?aeii iiaeo oiia ooieoe?iioaaiiy.

Canoinoaaiiy eiiieaeno aioeieneaeaioieo i?aia?ao?a /a?ac 1 i?nyoeue
i?ney iaeeaaeaiiy ieanoeieiaeo oa athaaeueieo i?ioac?a o oai?eo
noi?iaiaeaeoaaeiny cia/iei iie?auaiiyi ee?i?/iiai noaio, aeia?eie
iieacieeaie o?enaoe?? ci?iieo eiino?oeoe?e a ?ioia?e ii?iaeiei? oa
ciaioaiiyi i?ioean?a IIE e?ia? oa ?ioiai? ??aeeie. Ui, i/aaeaeii, ?
coiiaeaii ae??th aioeieneaeaioieo i?aia?ao?a (Aeaaeayi N.A.,1983,
Ai?enaiei A.A.,1994, A?eai?ueaaa E.I., E?iae?e N.A., Ne?eii?eiaa
O.I.,1981).

Ii??aiyiiy aoaeoeaiino? ae?? cai?iiiiiaaiiai iaie eiiieaeno i?noeaaiai
oa caaaeueiiai canoinoaaiiy aioeieneaeaioieo i?aia?ao?a iieacaei, ui
oi/a a a?oi? oai?eo, ui i?eeiaee o/anoue a e?ea?aeaoe?? iane?aee?a
aaa??? ia *AAN ??aaiue ?aaeoe?e IIE cieaeoaaany, iie?auoaaeenue
iieacieee eiaaoeia?aie oa ?aieia?/ieo aeanoeainoae e?ia?, oa ana ae oe?
iieacieee IIE, aaiinoaco oa ?aia?aie aeinoia??ii a?ae??ciyeeny a?ae
aiaeia?/ieo iieaciee?a a a?oiao iaoe??io?a, yeei canoiniaoaaee
aioeieneaeaioio ianoo i?noeaai oa eiiieaen aioeieneaeaio?a i?yii? ae??
per os ? ye? ia i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN.

Niinoa?aaeaiiy /a?ac 6 i?nyoe?a i?ney canoinoaaiiy aioeieneaeaioii?
oa?ai?? a a?oiao ianoaaeaieo iaoe??io?a, ui i?eeiaee o/anoue a
e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN iieacaei, ui ca ee?i?/ieie
ioe?ieaie noai oeaiei i?ioaciiai eiaea e?auee a ii??aiyii? c
e?ea?aeaoi?aie, ui ia i?eeiaee aioeieneaeaioii? oa?ai?? per os oa
i?noeaai o aeaeyae? i’yei? i?ieeaaeee. Aea ia?aeenia ieeneaiiy e?i?ae?a
ca?eueoo?oueny ye a e?ia?, oae ? a ?ioia?e ??aeei? a ii??aiyii? c
aeaieie ia i?nyoeue niinoa?aaeaiue, ui na?ae/eoue i?i aeioe?euei?noue
iiaoi?iiai canoinoaaiiy aioeieneaeaio?a a i?noeaaiio oa caaaeueiiio
e?eoaaii?.

AENIIAEE

1. Ee?i?/iee noai oeaiei i?ioaciiai eiaea o e?ea?aeaoi??a iane?aee?a
aaa??? ia *i?iiaeeuenuee?e AAN oa?aeoa?eco?oueny iayai?noth a?eueoi?
e?eueeino? aeaoaeo?a coaieo ?yae?a oa e?eueeino? a?aenooi?o coa?a a
aeaoaeo?, a oaeiae caiaeaiiyi ??ciiai nooiaiy oeaiei ia?iaeiioo oa
a?eueo ae?aaeaiith ao?io??th oeaiei i?ioaciiai eiaea a ii??aiyii? c
/ieia?eaie, ui ia i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN.

I?ioacoaaiiy aeaoaeo?a coaieo ?yae?a o e?ea?aeaoi??a iane?aee?a aaa???
i?eaiaeeoue aei ca?eueoaiiy i?ioean?a caiaeaiiy oeaiei i?ioaciiai eiaea
?, ye ?acoeueoao, aei i?aeaeuaiiy nooiaiy ao?io??.

2. I?ney i?ioacoaaiiy ieanoeieiaeie oa athaaeueieie i?ioacaie o
e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN niinoa??aa?oueny i?aeaeuaiiy
??aiy IIE a ?ioia?e ??aeei?, iniaeeai, ia nueiiee aeaiue, yeee cia/ii
ia?aaeuo? iieacieee a a?oi? iaii?ii?iaieo. ??aaiue ?aaeoe?e IIE o
oai?eo, ui ei?enoothoueny athaaeueieie i?ioacaie cia/ii ieae/ee i?ae o
iaoe??io?a, ui ei?enoothoueny /anoeiaeie ci?iieie ieanoeieiaeie
i?ioacaie.

3. A iaoiaaiac? ca?eueoaiiy oaeaeeino? ao?io?/ieo i?ioean?a a oeaieiao
i?ioaciiai eiaea o e?ea?aeaoi??a iane?aee?a aaa??? aaaeeeao ?ieue
a?ae?a?athoue ii?ooaiiy a?eueii?aaeeeaeueiiai ieeneaiiy e?i?ae?a, noaio
aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai? ??aeeie, ?iceaaee
aaiiaeeiai?ee, ui oa?aeoa?eco?oueny iayai?noth caiaeaiiy a ia?iaeiio?,
a?eueoith e?euee?noth aeaoaeo?a coaieo ?yae?a oa aeaeaeaieo coa?a.

4. Iioeiaeueiith eiino?oeoe??th aeey e?ea?aeaoi??a iane?aee?a aaa??? ia
*AAN i?e cai?uaii? iaeeo oa na?aaei?o aeaoaeo?a coaieo ?yae?a ?
athaaeuei? i?ioace a ca’yceo c iioeiaeueiei ia?a?iciiae?eii aeoaaeueiiai
iaaaioaaeaiiy i?ae coaaie oa neeciaith iaieiieith a ii??aiyii? c
iinoiiiae?aieie i?ioacaie; iaeieae/ei ??aiai i?io?eaiiy i?ioean?a IIE,
iaio ae?aaeaieie ci?iaie aaiinoaco, ?aieia?/ieo aeanoeainoae e?ia? oa
iaioei nooiaiai ao?io?? oeaiei i?ioaciiai eiaea a ii??aiyii? c
/anoeiaeie ci?iieie ieanoeieiaeie i?ioacaie.

5. Canoinoaaiiy i’yei? i?ieeaaeee c aioeieneaeaioieie i?aia?aoaie
i?noeaai oa aioeieneaeaioieo i?aia?ao?a per os o e?ea?aeaoi??a
iane?aee?a aaa??? a i?ioean? ei?enooaaiiy ieanoeieiaeie oa athaaeueieie
i?ioacaie i?eaiaeeei aei ei?aeoe?? iieaciee?a IIE, aeoeaiino? oa?iaio?a
aioeieneaeaioii? nenoaie ?, ye ?acoeueoao, e?ea?aeaoe?? caiaeaiiy oeaiei
i?ioaciiai eiaea, iie?auaiiy ooieoe?iiaeueiiai noaio coai – uaeaiii?
nenoaie, ciaioaiiy ao?io?/ieo i?ioean?a a oeaieiao i?ioaciiai eiaea.

I?AEOE*I? ?AEIIAIAeAOe??

1. E?ea?aeaoi?e aaa??? ia *AAN iiaeii? ciaoiaeeoeny ia aeeniaina?iiio
iae?eo o e?ea?y noiiaoieiaa – i?oiiaaea ? i?ioiaeeoe iaeyae 3 ?ace ia
??e c iaoith ?aoe?iiaeueiiai e?eoaaiiy c canoinoaaiiyi iaoiaaiaoe/ieo
cania?a, ui i?eaiaeyoue aei ciaioaiiy ao?io?? oeaiei i?ioaciiai eiaea.

2. A i?oiiaaee/iiio e?eoaaii? o e?ea?aeaoi??a iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN aeioe?eueii a?aeaeaaaoe ia?aaaao athaaeueiei
i?ioacai ia?aae iaci?iieie eiino?oeoe?yie coaieo i?ioac?a.

3. Aeey ae?aaiinoeee, aeai?a iaoiaea e?eoaaiiy, aecia/aiiy i?iaiico
e?eoaaiiy o e?ea?aeaoi??a iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN
iaiao?aeii aecia/aoe iieacieee ia?aeeniiai ieeneaiiy e?i?ae?a a e?ia? oa
?ioia?e ??aeei?.

4. C iaoith aecia/aiiy nooiaiy ao?io?/ieo i?ioean?a a ee?i?oe?
i?oiiaaee/ii? noiiaoieia?? i?iiiio?ii aeei?enoiaoaaoe ?ic?iaeaiee niin?a
aecia/aiiy ao?io?? oeaiei i?ioaciiai eiaea.

5. A e?eoaaii? oneeaaeiaiue i?ney i?ioacoaaiiy a oeaieiao i?ioaciiai
eiaea oa aeey ciaioaiiy ao?io?/ieo i?ioean?a a ieo o e?ea?aeaoi??a
iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN iaiao?aeii canoiniaoaaoe
i?noeaai i’yeo i?ieeaaeeo oaeiai neeaaeo:

oieioa?ieo aoeaoaoo – 2,0; anei?a?iiai? eeneioe – 2,0; ?ooeio – 2,0;
i?iaoeieo – 4,0; a?i?e?io – 10,0; ieeno oeeieo – 60,0; aeenoeeueiaaii?
aiaee — aei eiinenoaioe?? aioeuen??.

I’yeo i?ieeaaeeo iaiinyoue ia i/euaio oa aenooaio aioo??oith iiaa?oith
aaceno i?ioaca ??aiii??iei oa?ii caaoiaoee 0,2 – 0,3 ii 2 – 3 ?ace ia
aeaiue ia i?ioyc? 10 – 14 aei?a.

Aeey ?ia?a??oaaiiy iineeaieo i?ioean?a ia?aeeniiai ieeneaiiy e?i?ae?a a
i?aai?ci? e?ea?aeaoi??a iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN ?
i?io?eaeoeee oneeaaeiaiue oa ao?io?/ieo i?ioean?a iaiao?aeii i?ecia/aoe
aioeieneaeaioi? i?aia?aoe :

oieioa?ieo aoeaoaoo ii 0,01 3 ?ace ia aeaiue; anei?a?iiao eeneioo ii
0,2 3 – 4 ?ace ia aeaiue; oeaeoi?i ii 0,02 2 ?ace ia aeaiue; i?iaoeie
ii 0,5 2 ?ace ia aeaiue.

Aioeieneaeaioi? i?aia?aoe i?ecia/athoue oai?ei ia i?ioyc? aeaio oeaei?a.

NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??

1. O?aai? I.A. Noai ia?aeeniiai ieeneaiiy e?i?ae?a o e?ia? oa ?ioia?e
??aeei? o e?ea?aeaoi??a aaa??? ia *AAN // Aanoiee i?iaeai aeieiaee e
iaaeeoeeiu. – Iieoaaa – Oa?ueeia, 1998. – Aei. 5. – N. 148 – 154.

2. O?aai? I.A. Noai aaiieiaaoethth/eo aeanoeainoae e?ia? oa ?ioiai?
??aeeie o e?ea?aeaoi??a aaa??? ia *AAN // Aanoiee i?iaeai aeieiaee e
iaaeeoeeiu. – Iieoaaa – Oa?ueeia, 1998. – Aei. 18. – N. 63 – 66.

3. O?aai? I.A. Noai IIE e?ia? ? ?ioiai? ??aeeie oa ei?aeoe?y eiai
ii?ooaiue o e?ea?aeaoi??a aaa??? ia *AAN, ui ei?enoothoueny /anoeiaeie
ci?iieie ieanoeieiaeie i?ioacaie // A?niee i?iaeai a?ieia?? ?
iaaeeoeeie. – Iieoaaa – Oa?ueeia, 1998. – Aei. 24. – N.129 — 134.

4. O?aai? I.A., Neeaiei TH.?. Aea/aiiy noaio ao?io?? aeueaaiey?iiai
a?ae?inoeo a o/aniee?a e?ea?aeaoe?? aaa??? ia *AAN // Iaoa??aee iaoeiai
– i?aeoe/ii? eiioa?aioe??: Aeooaeuei? i?iaeaie i?oiiaaee/ii?
noiiaoieia??. – ?aaii – O?aie?anuee, 1995. – N. 122.

5. Neeaiei TH.?, Aeaaeaeaiei A.I., O?aai? I.A. Noai
a?eueii?aaeeeaeueiiai ieeneaiiy ?ioiai? ??aeeie i?e i?ioacoaaii?
ieanoeii/ieie ci?iieie i?ioacaie // Iaoa??aee iaoeiai – i?aeoe/ii?
eiioa?aioe??: Aeooaeuei? i?iaeaie i?oiiaaee/ii? noiiaoieia??. – ?aaii –
O?aie?anuee, 1995. –N.114.

6. Neeaiei TH.?., O?aai? I.A. Noaoenoe/i? iieacieee noaio ?ioiai?
ii?iaeieie o e?ea?aeaoi??a iane?aee?a aaa??? ia *i?iiaeeuenuee?e aoiii?e
aeaeo?inoaioe?? // Ca??ea iaoeiaeo i?aoeue: Aeooaeuei? i?iaeaie
i?oiiaaee/ii? noiiaoieia??. – Euea?a, 1996. – N. 57 – 58.

7. O?aai? I.A. Aeaye? iieacieee noiiaoieia?/ii? caoai?thaaiino? na?aae
e?ea?aeaoi??a aaa??? ia *AAN // Iaoa??aee aeiiia?aeae Anaoe?a?inueei?
iaoeiai – i?aeo. eiio. e?ea??a-noiiaoieia?a: Iniiai? noiiaoieia?/i?
caoai?thaaiiy, ?o i?io?eaeoeea oa e?eoaaiiy. – Iieoaaa, 1996. – N.156 –
157.

8. Neeaiei TH.?., O?aai? I.A., *a?eaniaa A.N. Iaeioi?ua aniaeou
iaoiaaiaca ao?ioee oeaiae i?ioaciiai eiaea // Ca??ea iaoeiaeo i?aoeue
o/aniee?a iaoeiai-i?aeoe/ii? eiioa?aioe??: Aeooaeuei? ieoaiiy
i?oiiaaee/ii? noiiaoieia??. – Iieoaaa, 1996. – N.82 – 83.

9. O?aai? I.A. Iniaeeaino? aeai?o coaii? eiino?oeoe?? i?ioaca o oai?eo
e?ea?aeaoi??a aaa??? ia *AAN // Iaoa??aee aeiiia?aeae iaoeiai?
eiioa?aioe??: Aeooaeuei? ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia
no/aniiio ??ai?. – Iieoaaa, 1996. – N.431.

10. Neeaiei TH.?., O?aai? I.A. Aea/aiiy aeayeeo iieaciee?a IIE ?
aaiinoaco a ?ioia?e ??aeei? // Ca??iee iaoeiaeo i?aoeue: Ieoaiiy
i?oiiaaee/ii? noiiaoieia??. – Iieoaaa, 1997. – N.158 – 159.

AIIOAOe?ss

O?aai? I.A. Ee?i?ei-iaoiaaiaoe/i? aniaeoe i?oiiaaee/iiai
noiiaoieia?/iiai e?eoaaiiy o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN . — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.22 – noiiaoieia?y.- Oe?a?inueea iaaee/ia
noiiaoieia?/ia aeaaeai?y IIC Oe?a?ie, Iieoaaa, 1998.

Aeena?oaoe?th i?enay/aii aaeineiiaeaiith i?oiiaaee/iiai
noiiaoieia?/iiai e?eoaaiiy o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia
*AAN. Aeaia eiiieaenia ioe?iea noaio oeaiei i?ioaciiai eiaea o
e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN a caeaaeiino? a?ae oa?i?io
ei?enooaaiiy iinoiiiae?aieie, /anoeiaeie ci?iieie ieanoeieiaeie,
athaaeueieie i?ioacaie. Aea/aii iaoai?ci iaoiaaiaco ao?io?/ieo i?ioean?a
a neecia?e iaieiioe? oa aeueaaiey?ieo a?ae?inoeao, ?ic?iaeaii iaoiae
iaoiaaiaoe/iiai e?eoaaiiy oeeo ci?i, yeee aeaa iiceoeai? ?acoeueoaoe.

Eeth/ia? neiaa: ii?ii?iaiiy, ia?aeenia ieeneaiiy e?i?ae?a, aaiinoac,
oeaieie i?ioaciiai eiaea, ao?io?y.

AIIIOAOeEss

O?aai? I.A. Eeeieei – iaoiaaiaoe/aneea aniaeou i?oiiaaee/aneiai
noiiaoieiae/aneiai ea/aiey o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee
ia *AYN. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.22 – noiiaoieiaey. — Oe?aeineay iaaeeoeeineay
noiiaoieiae/aneay aeaaeaiey IC Oe?aeiu, Iieoaaa, 1998.

Aeenna?oaoeey iinayuaia oniaa?oainoaiaaieth i?oiiaaee/aneiai
noiiaoieiae/aneiai ea/aiey o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee
ia *AYN. Aeaia eiiieaeniay ioeaiea ninoiyiey oeaiae i?ioaciiai eiaea o
eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN a caaeneiinoe io n?ieia
iieueciaaiey iinoiaeaeiuie, /anoe/iuie nuaiiuie ieanoeii/iuie,
athaaeueiuie i?ioacaie. Eco/ai iaoaieci iaoiaaiaca ao?ioe/aneeo
i?ioeannia a neecenoie iaiei/ea e aeueaaiey?iuo io?inoeao, ?ac?aaioai
iaoiae iaoiaaiaoe/aneiai ea/aiey yoeo eciaiaiee, eioi?ue aeae
iieiaeeoaeueiua ?acoeueoaou.

A iaoiaaiaca oneeaiey nei?inoe ao?ioe/aneeo i?ioeannia a oeaiyo
i?ioaciiai eiaea o eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN aaaeioth
?ieue ea?atho ia?ooaiey ninoiyiey naiaiaeii?aaeeeaeueiiai ieeneaiey
eeieaeia, ninoiyiey aaiieiaaoee?othueo naienoa e?iae e ?ioiaie
aeeaeeinoe, ?anno?ienoaa aaiiaeeiaieee, /oi oa?aeoa?ecoaony iaee/eai
ainiaeaiey a ia?iaeiioa, aieueoei eiee/anoaii aeaoaeoia coaieo ?yaeia e
oaeaeaiiuo coaia.

Iinea i?ioace?iaaiey ieanoeii/iuie e athaaeueiuie i?ioacaie o
eeeaeaeaoi?ia aaa?ee ia *AYN iaaethaeaaony iiauoaiea o?iaiy ia?aeeniiai
ieeneaiey eeieaeia a ?ioiaie aeeaeeinoe, iniaaiii, ia naaeueiie aeaiue,
eioi?ue cia/eoaeueii i?aauoaao iieacaoaee a a?oiia iaiaeo/aiiuo.
O?iaaiue ?aaeoeee ia?aeeniiai ieeneaiey eeieaeia o aieueiuo, eioi?ua
iieuecothony athaaeueiuie i?ioacaie cia/eoaeueii ieaea /ai o iaoeeaioia,
eioi?ua iieuecothony /anoe/iuie nuaiiuie ieanoeii/iuie i?ioacaie.

Iioeiaeueiie eiino?oeoeeae aeey caiauaiey iaeuo e n?aaeieo aeaoaeoia
coaiuo ?yaeia o eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN yaeythony
athaaeueiua i?ioacu a nayce n iioeiaeueiui ia?a?ani?aaeaeaieai
aeaaaoaeueiie iaa?ocee iaaeaeo coaaie e neecenoie iaiei/eie ii
n?aaiaieth n iinoiaeaeiuie i?ioacaie; aieaa ieceei o?iaiai i?ioaeaiey
i?ioeannia ia?aeeniiai ieeneaiey eeieaeia, iaiaa au?aaeaiiuie
eciaiaieyie aaiinoaca, ?aieiae/iuo naienoa e?iae e iaiueoae noaiaiueth
ao?ioee oeaiae i?ioaciiai eiaea ii n?aaiaieth n /anoe/iuie nuaiiuie
ieanoeii/iuie i?ioacaie.

Eniieueciaaiea iyaeie i?ieeaaeee n aioeieneaeaioiuie i?aia?aoaie ianoii
e aioeieneaeaioiuo i?aia?aoia per os o eeeaeaeaoi?ia iineaaenoaee aaa?ee
ia *A?N a i?ioeanna iieueciaaiey ieanoeii/iuie e athaaeueiuie i?ioacaie
i?eaiaeeei e ei??aeoeee iieacaoaeae ia?aeeniiai ieeneaiey eeieaeia,
aeoeaiinoe oa?iaioia aioeieneaeaioiie nenoaiu e, eae ?acoeueoao,
eeeaeaeaoeee ainiaeaiey oeaiae i?ioaciiai eiaea, oeo/oaiey
ooieoeeiiaeueiiai ninoiyiey coai – /aethnoiie nenoaiu, oiaiueoaiey
ao?ioe/aneeo i?ioeannia a oeaiyo i?ioaciiai eiaea.

Iaaethaeaiey /a?ac 6 ianyoeaa iinea i?eiaiaiey aioeieneaeaioiie oa?aiee
a a?oiao ianeaaeiaaiiuo iaoeeaioia , eioi?ua i?eieiaee o/anoea a
eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN iieacaee, /oi ii eeeie/aneei
ioeaieai ninoiyiea oeaiae i?ioaciiai eiaea eo/oa ii n?aaiaieth n
eeeaeaeaoi?aie, eioi?ua ia i?eieiaee aioeieneaeaioiie oa?aiee per os e
ianoii a aeaea iyaeie i?ieeaaeee. Ii ia?aeeniia ieeneaiea eeieaeia
oaaee/eaaaony eae a e?iae, oae e a ?ioiaie aeeaeeinoe a n?aaiaiee n
aeaiiuie, iieo/aiiuie /a?ac ianyoe iinea iaeiaeaiey i?ioacia, /oi
naeaeaoaeuenoaoao i oeaeaniia?aciinoe iiaoi?iiai i?eiaiaiey
aioeieneaeaioia a ianoiii e iauai ea/aiee.

Eeth/aaua neiaa: iaeo/aiea, ia?aeeniia ieeneaiea eeieaeia, aaiinoac,
oeaie i?ioaciiai eiaea, ao?ioey.

SUMMARY

Khrebor M.V. Clinico – pathogenic aspects of orthopedic stomatological
treatment of participant of CHAPS catastrophe consequences liquidation.-
Manuscript.

Thesis for Master’s degree by speciality 14.01.22.- Dentistry.- The
Ukrainian medical stomatological academy, Poltava, 1998.

The dissertation is devoted to orthopedic stomatological treatment of
participant of CHAPS catastrophe consequences liquidation. There has
been studied condition of the tissues of the prosthetic bed in persons
who took part in the liquidation of CHAPS catastrophe depending on the
term of the use of bridge, partially removeable laminar, clasp
prosthesises. There was studied the mechanism of pathogenesis of
atrophic proceses in mucose membrane and alveolar processes, there was
worked out

A method of pathogenetic treatment of the above changes which has
produced positive results.

Eey words: irradiation, lipid peroxide – oxidation, hemostasis, tissues
of the prosthetic bed, atrophy.

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