Морфо-функціональна оцінка тканин сечівника при зшиванні кетгутом і біофілом: Автореф. дис… канд. мед. наук / В.С. Черно, Крим. держ. мед. ун-т ім.

I?I?NO?ANOAI IOI?IIE CAeI?IA’ss OE?A?IE

E?EINUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

?i. N. ?. AAI?A??ANUeEIAI

Ia i?aaao ?oeiieno

*A?II AAEA??E NOAIAIIAE*

OAeE: 616.62-089:615.468.6

II?OI-OOIEOe?IIAEUeIA IOe?Iea oeaiei na/?aieea i?e COEAAii? eaoaooII ?
a?io?eII

14.03.01 – ii?iaeueia aiaoii?y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

N?ioa?iiieue — 1999

Aeena?oaoe??th ? ?oeiien

?iaioo aeeiiaii a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e aeaaeai??

(i. Iieoaaa)

Iaoeiaee ea??aiee:

Caneoaeaiee ae?y/ iaoee oa oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Ne?eii?eia Ieeiea Na?a?eiae/, ?aeoi? Oe?a?inueei? iaaee/ii?
noiiaoieia?/ii? aeaaeai??, caa?aeoaa/ eaoaae?e iia?aoeaii? o??o?a?? ?
oiiia?ao?/ii? aiaoii??.

Iaoeiaee eiinoeueoaio:

Caneoaeaiee ae?y/ iaoee oa oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Aaaai?i Aiaoie?e Ai??eiae/, ?aeoi? E?einueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo ?i. N. ?. Aai?a??anueeiai, caa?aeoaa/ eaoaae?e
noaeiai? iaaeeoeeie.

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Naiaiiaa Oaoyia Aanee?aia — caa?aeoaa/
eaoaae?e iia?aoeaii? o??o?a?? ? oiiia?ao?/ii? aiaoii?? Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I. Ai?ueeiai

aeieoi? iaaee/ieo iaoe, i?ioani? Eaca??a Einoyioei Eaii?aeiae/ —
i?ioani? eaoaae?e a?ieia?? E?einueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i. N. ?. Aai?a??anueeiai.

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I. I. Aiaiiieueoey, eaoaae?a
iia?aoeaii? o??o?a?? ? oiiia?ao?/ii? aiaoii??.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “_1_“ /a?aiy 1999 ?ieo i 14 aiae.

ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E.52.600.02 i?e E?einueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? ?i. N. ?. Aai?a??anueeiai (33006,
i. N?ioa?iiieue, aoe. Eai?ia, 5/7)

aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? E?einueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. N. ?. Aai?a??anueeiai (33006,
i. N?ioa?iiieue, aoe. Eai?ia, 5/7)

Aaoi?aoa?ao ?ic?neaiee “_30_” ea?oiy 1999 ?ieo

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe, i?ioani?
A??eoi I. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie

E?eoaaiiy ooeiaeaeaiue /e i?e?iaeaeaieo aaae ?icaeoeo na/?aieea iaa?oue
o no/aniee ia??iae ? iaei??th c? neeaaeieo caaea/ i?aeoe/ii? e
a?aeiiaethaaeueii? o?ieia??. Aaaaoueio oai?eo iaiaeii?aciai iia?othoue,
iaeiae aiie caeeoathoueny ?iaae?aeaie ? ia??aeei iio?aaothoue
nenoaiaoe/iiai aoaee?oaaiiy. Oiio iaiao?aeii iiaa?iooeny aei oiai, ui
oni?o oa?i?iiaeo ? ieaiiaeo iia?aoeaieo ao?o/aiue ia na/?aieeo cia/iith
i??ith iia’ycaiee c aeai?ii iioeiaeueiiai o??o?a?/iiai oiaiiai
iaoa??aeo. O?aooaaiiy eiai aieeao ia iaoaaie?ci o coeoeo oeaieiao,
caai?iiy ?aie, ia?aa?a o ieo ?aaaia?aoeaieo i?ioean?a, ae?aci?noue
i?neyiia?aoe?eiiai ?oaoey, noai?th? ia?aaeoiiae aeey cia/iiai cieaeaiiy
oaeeo i?neyiia?aoe?eieo oneeaaeiaiue, ye noaiic na/?aieea, ii?eoe? oa
?i., ui iio?aaothoue aaaaoi?aciaeo ? ia caaaeaee aoaeoeaieo aoaee?oaaiue
? iia?aoeaieo ao?o/aiue [A.I. Oa?aeaiia (1976), O.A Eeaieeia (1981),
A.A. Etheueei (1981), A.N. Ia?aaa?caa (1996, 1997), F.F. Bartone (1969),
R.O. Fourcade (1994), G.J. Fellows (1996)].

Oe?iea aei oeueiai /ano aeei?enoaiiy a?ieia?/ii? eaoaooiai? ieoee, ui
?icniieoo?oueny, ona a?eueoa aeeeeea? iaaaoeai? ioe?iee o??o?a?a /a?ac
aeieeiaiiy no?eeeo i?noeaaeo ?aaeoe?e, ui iaoiiaeththoue o ?aii?
oa?i?ie ai?eii-caiaeuei? ci?ie a coeoeo oeaieiao, a a i?ci? — ni?ey?
iaaeeeoeiaiio ?icaeoeo ?oaoey. Caiaeuei? e ?oaoeaa? ci?ie, ui
aeieeathoue o coeoeo oeaieiao na/?aieea, a?ae?a?athoue iniaeeai
iaaaoeaio ?ieue, ine?eueee i?aeaeuothoue a?aenioie iiaeeeaeo
oneeaaeiaiue [A.I. Caeoeaaa ? ni?aaa. (1980), Ae.A. Eai ? ni?aaa.
(1980), A.A.Oea/ (1980), A.I. A?ioei ? ni?aaa. (1981), A.A. Eaaiia
(1981), O.A. Eeaieeia, A.A. Eaioei (1981), A.N Eaeiaa?c (1988), A.N.
Ia?aaa?caa ? ni?aaa. (1996, 1997), S.Y. Nakada (1995), E.M. McDougall
(1995), R.V. Clayman (1995).

Oiio aea/aiiy iniaeeainoae ii?oi-ooieoe?iiaeueiiai noaio oeaiei
na/?aieea, ia?aa?a ?aaaia?aoeaieo i?ioean?a i?e canoinoaaii?
??ciiiai?oieo oiaieo iaoa??ae?a, aea/aiiy oeyo?a ?o a?iaeano?oeoe?? aea?
iiaeeea?noue i?iaiicoaaoe ?acoeueoaoe iia?aoe?? ? caiia?aaoe ?icaeoeo
i?neyiia?aoe?eieo oneeaaeiaiue.

Aeoiaey/e c aeuaneacaiiai oa a?aoiaoth/e iio?aae ee?i?oeeno?a o aeeaieeo
ciaiiyo aieeao oiaieo iaoa??ae?a ia oeaieie, ie iinoaaeee ca iaoo
aeine?aeeoe ii?oi-ooieoe?iiaeueiee noai oeaiei na/?aieea i?e coeaaii? ?o
a?io?eii (a?ieia?/ieie oiaieie iaoa??aeaie, ui ?icniieoothoueny, ?c
oaa?aei? iaieiiee nieiiiai iiceo aaeeei? ?iaaoi? ooaeiae) ? eaoaooii.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie,

ieaiaie, oaiaie

?aoa?iaaia ?iaioa ? o?aaiaioii eiiieaenii? iaoeiai-aeine?aeii? ?iaioe
“Aenia?eiaioaeueii-ee?i?/ia ia?oiooaaiiy canoinoaaiiy iiaeo o??o?a?/ieo
oiaieo iaoa??ae?a o ??cieo aaeocyo o??o?a??” (aea?aeaaiee ?a?no?aoe?eiee
? 0198U000930), ui aeeiio?oueny ia aac? eaoaae?e iia?aoeaii? o??o?a?? ?
oiiia?ao?/ii? aiaoii?? Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai??.

Iaoa ? Caaea*? aeine?aeaeaiiy

Iaoa aeena?oaoe?eiiai aeine?aeaeaiiy c’ynoaaoe iiaeeea?noue ?
aeioe?euei?noue canoinoaaiiy iiaiai oiaiiai iaoa??aeo a?io?e aeey
coeaaiiy oeaiei na/?aieea.

Aeey aeinyaiaiiy iaoe iaiao?aeii ?ica’ycaoe oae? caaea/?:

1) aenia?eiaioaeueii aeine?aeeoe ii?oi-ooieoe?iiaeueiee noai oeaiei
na/?aieea i?e coeaaii? eiai a?io?eii;

2) aenia?eiaioaeueii aeine?aeeoe ii?oi-ooieoe?iiaeueiee noai oeaiei
na/?aieea i?e coeaaii? eiai eaoaooii;

3) anoaiiaeoe caaaeuei? caeiiii??iino? oa iniaeeaino? caai?iiy ?ai
na/?aieea i?e aeei?enoaii? a?io?eo a ii??aiyii? c eaoaooii;

4) aea/eoe oeyoe ?icniieooaaiiy ? aecia/eoe o?eaae?noue ia?aaoaaiiy
ieoie a?io?e ? eaoaoo o oeaieiao na/?aieea.

IAOEIAA IIAECIA IAeA?AEAIEO ?ACOEUeOAO?A

Ia no/aniiio aenia?eiaioaeueiiio ? ii?oieia?/iiio ??ai? noai oeaiei
na/?aieea i?e aeei?enoaii? eaoaooo ? a?io?ea aeine?aeaeaii aia?oa. O
?iaio? iaa?oioiao?oueny aeioe?euei?noue canoinoaaiiy oiaiiai iaoa??aeo
a?io?eo i?e iia?aoeaieo ao?o/aiiyo ia na/?aieeo. Aea/aii ?aaaia?aoeai?
i?ioeane a oeaieiao na/?aieea i?e coeaaii? ?o a?io?eii ? eaoaooii.

Aeiaaaeaii, ui a oeaieiao na/?aieea a?io?e ia aeeeeea?
aaiioee?eoeyoi?ieo ?iceaae?a ? i?e i?i?iaeuei?e caiaeuei?e ?aaeoe??
noeioeth? o?a?iaeanoe/io aeoeai?noue ? o?a?eeiaaiac, i?enei?thth/e
i?ioeane caai?iiy.

Aeyaeaii, ui caai?iiy iia?aoe?eieo ?ai na/?aieea i?e coeaaii? ?o
a?io?eii i?io?ea? ii oeio ia?aeiiiai iaoyao c oi?ioaaiiyi aocueeiai,
iooeiai ?oaoey, yeee /a?ac 180 ae?a i?aeoe/ii oe?eeii i?i?inoa?
aeaaeeii’yciaeie ?aaaia?aoaie c? ciaioaiiyi ?oaoey oa a?aeiiaeaiiyi
ooieoe?iiaeueii? ni?iiiaeiino?.

Noaoenoe/ia ia?iaea io?eiaieo aeaieo i?aeoaa?aeaeo? iiceoeaiee aieea
ieoie a?io?e ia caai?iiy ?ai na/?aieea.

I?aEOE*IA CIA*AIIss IAeA?AEAIEO ?ACOEUeOAO?A

?acoeueoaoe ?iaioe aeei?enoiaothoueny a iaa/aeueiiio i?ioean? ia
eaoaae?ao iia?aoeaii? o??o?a?? ? oiiia?ao?/ii? aiaoii??, iaoieia?/ii?
aiaoii??, caaaeueii? o??o?a??, a?enueeiai-iieueiai? o??o?a??, o?ieia??
oa aeooa?noaa ? a?iaeieia??.

Iao? aeai? iathoue aaaeeeaa ia o?eueee oai?aoe/ia cia/aiiy, aea ?
aaeeeee i?aeoe/iee aeo?ae, oae ye canoinoaaiiy oiaiiai iaoa??aeo a?io?e
o ee?i?oe? o?ieia?? cieceoue ?icaeoie ai?eii-caiaeueieo oneeaaeiaiue ?
a?oaeo ?oaoeaai-aeaoi?iaoe?eieo ci?i coeoeo oeaiei na/?aieea, aoaea
ni?eyoe oi?ioaaiith oiieeo ?oaoe?a c iaeneiaeueiei a?aeiiaeaiiyi
ooieoe?? na/iaeioneaiiy, ui aeicaieeoue oieeiooe aaaaoi?aciaeo ? ia
caaaeaee aoaeoeaieo aoaee?oaaiue ? iiaoi?ieo iia?aoeaieo ao?o/aiue.

Iiaeeo?eaoe?? iaoiaeo ia?iaee eaoaooo oa iaoiae?a aeine?aeaeaiiy
ca?a?no?iaai? o aeaeyae? “iiceoeaiiai ??oaiiy ia aeaea/o iaoaioo ia
aeiao?ae” ? “iina?ae/aiue ia ?aoe?iiae?caoi?nueeo i?iiiceoe?th”
(i?eno??e aeey o?aaiaioa?ii? ia??cee o?oa/anoeo i?aai?a; iiia?a/iee
iia?aoeaiee aeinooi aei o?ao?e), oni?oii ai?iaaaeaeai? a i?iieneiaee
aeione eaoaooo ? a iaoeia? aeine?aeaeaiiy ii?oieia?/ieo eaai?aoi??e
Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai??.

INIAENOEE AIANIE CAeIAOAA*A

Caeiaoaa/ai naiino?eii aeeiiaii aiae?c e?oa?aoo?ieo aeaea?ae,
aenia?eiaioaeuei?, a?noieia?/i?, a?noio?i?/i?, ii?oiiao?e/i? iaoiaee
aeine?aeaeaiiy, cae?eniaii noaoenoe/io ia?iaeo ?acoeueoao?a,
noi?ioeueiaaii an? iieiaeaiiy oa aeniiaee aeena?oaoe??.

AI?IAAOe?ss ?ACOEUeOAO?A AeENA?OAOe??

Iniiai? iieiaeaiiy aeena?oaoe?? aeiiia?aeaeenue oa iaaiai?thaaeenue ia
iaoeia?e eiioa?aioe?? ”Aeooaeuei? ieoaiiy ii?oiaaiaco” (*a?i?aoe?,
1996); iaoeia?e eiioa?aioe?? “Aeooaeuei? ieoaiiy oai?aoe/ii? ? ee?i?/ii?
iaaeeoeeie ia no/aniiio ??ai?” (Iieoaaa 1996); i?aeia?iaeiiio neiiic?oi?
“I?eioeeie i?iii?oe??, neiao???, no?oeoo?ii? aa?iii?? ? iaoaiaoe/iiai
iiaeaethaaiiy a ii?oieia??” (A?iieoey, 1997); III-e i?aeia?iaeii?
eiioa?aioe?? “Nia?aiai-iua iiaeoiaeu e ?ac?aaioea aooaeoeaiuo
ia?aayci/iuo n?aaenoa, oiaiuo iaoa?eaeia e eiieaioaioia” (Iineaa, 1998);
II-io i?aeia?iaeiiio eiia?an? c ?ioaa?aoeaii? aio?iiieia?? (A?iieoey,
1998); V-io ?in?enueeiio iaoe?iiaeueiiio eiia?an? “*aeiaae e eaea?noai”
(Iineaa, 1998).

IOAE?EAOe??

Iniiaiee ci?no aeena?oaoe?? aeeeaaeaii a 13 ioae?eaoe?yo, c ieo 5
iaae?oeiaaii a oeaio?aeueieo iaoeiaeo aeo?iaeao ca oaoii, 8 — a
ca??ieeao iaoeiaeo noaoae, iaoa??ae?a eiioa?aioe?e, oac; 4 i?aoe?
iaae?oeiaaii naiino?eii. Ca iaoa??aeaie i?iaaaeaiiai aeine?aeaeaiiy
io?eiaii 1 iiceoeaia ??oaiiy ia aeaea/o iaoaioo ia aeiao?ae ? 2
iina?ae/aiiy ia ?aoe?iiae?caoi?nuee? i?iiiceoe??.

NO?OEOO?A ? IA’?I AeENA?OAOe??

Aeena?oaoe?y neeaaea?oueny c oeooeueiiai a?eooa, anooio, iaeyaeo
e?oa?aoo?e, ?icae?eo “Iaoa??ae ? iaoiaee aeine?aeaeaiiy”, 3-o ?icae?e?a
aeanieo aeine?aeaeaiue, iaaiai?aiiy io?eiaieo ?acoeueoao?a, aeniiae?a,
nieneo aeei?enoaieo aeaea?ae (124 a?o/eciyieo oa 68 caei?aeiiieo). Oaeno
aeeeaaeaii ia 147 noi??ieao iaoeiiieno, aeeth/ath/e 8 oaaeeoeue, 4
a?ao?ee oa 72 iaethiee.

CI?NO ?IAIOE

IAOA??AE OA IAOIAeE AeINE?AeAEAIIss

Aeine?aeaeaiiy neeaaea?oueny c o?ueio iniiaieo /anoei:
aenia?eiaioaeueii?, ii?oi-ooieoe?iiaeueii? oa ii??aiyeueii?
ii?oiiao?e/ii? ioe?iee noaio oeaiei ? ia?aa?ao ?aia?aoeaieo i?ioean?a o
na/?aieeo i?e aeei?enoaii? eaoaooo ? a?io?eo. Aeey aeinyaiaiiy
iinoaaeaii? iaoe i?iiia?iaaii 41 aacii?iaeio niaaeo. Oaa?eie aoee
?iciiae?eai? ia aea? a?oie: aenia?eiaioaeueio, aea aeei?enoiaoaaee ieoeo
a?io?e aeey coeaaiiy e?a?a ooeiaeaeaiiai na/?aieea ? a?oio ii??aiyiiy, c
aeei?enoaiiyi eaoaooo. Oaa?ei aeaiaeeee c aenia?eiaioo ia 1, 3, 7, 14,
30, 90 ? 180 aeiao i?neyiia?aoe?eiiai ia??iaeo oeyoii ia?aaeicoaaiiy
o?iiaioae-iao??th, i?ney /iai iae?ineii?/ii aeine?aeaeoaaee ae?eyieo
iaeeaaeaiiy oa?a. Oaaaa caa?oaeanue ia nooi?iue ae?aciino? i?ioean?a
caiaeaiiy, ia ye?ni? oa?aeoa?enoeee ?oaoey: eiinenoaioe?th, a?aeiioaiiy
aei ioi/oth/eo oeaiei, ?ici??e. Aeae? ae?eyiea na/?aieea c
i?neyiia?aoe?eiei ?oaoeai aeaeaeyeanue ? ia iiia?a/ieo c??cao
ioe?ithaaee ooieoe?iiaeueiee noai oeyoii aei??thaaiiy ieiu? i?ina?oo
(ii/eiath/e c 14 aeiae) ca aeiiiiiaith na?oeiaiai i?e?ineiia c ieoey?ii
(o8), a yeee aoei aiiioiaaii e?i?eea ? n?oea ia 100 eaaae?ao?a, ?ici??ii
25 iei eiaeai.

I?ney o?aaiaioaoe?? iaoa??ae o?enoaaany a 10-12% ?ic/ei? oi?iae?io, aai
a 4% ?ic/ei? aethoa?aeueaeaa?aeo. Iio?i i?iaiaeeeanue aeaa?ae?aoaoe?y a
aaoa?a? nie?o?a c?inoath/i? eiioeaio?aoe??, ?c ianooiiei oeeaaeaiiyi o
ia?ao?i aai a aiieneaeio niieo “Aiii-812”. C ia?ao?iiaeo aeie?a
aiooaaeeny na??ei? c??ce oiaueiith 7-10 iei, a c aiieneaeieo —
iai?aoiie? c??ce oiaueiith 1-2 iei.

Aeey iaeyaeiai? i?e?ineii?? canoiniaoaaeinue oa?aoaaiiy ia?ao?iiaeo
c??c?a aaiaoienee?iii ? aiceiii, ca Aai A?cii, OEE-?aaeoe??th e
aeueoeeaiiaei nei?i, ia o?a?ei ca Iaeei??. Iai?aoiie? c??ce
caaa?aethaaeenue oieo?aeeiiaei nei?i oa eiia?iiaaiei oa?aoaaiiyi ca
Hanphrey-Pittman (1974).

Oeueo?aoiie? c??ce aeaioiaeyeenue ia oeueo?aoii? OIOI-7. I?ney /iai
i?aia?aoe iaeyaeaeenue ? oioia?aooaaeenue o o?aini?n?eiiio aeaeo?iiiiio
i?e?ineii? IAI-100.

Oacia e?iaoeeo ee?oeiieo aeaiaio?a oeaiei na/?aieea aea/aeanue ca
aeiiiiiaith noa?aiiao?e/ieo oeeoia?noia?ai, caniiaaieo ia ?acoeueoaoao
e?euee?niiai ii?oieia?/iiai aeine?aeaeaiiy iaoa??aeo. Ii?oiiao?e/iee
aiae?c cae?eniaii ia iai?aoiieeo c??cao oeyoii i?ae?aooieo e?eueeino?
iaeo?io?eueieo a?aioeioeeo?a, iae?ioaa?a, e?ioioeeo?a, ieaciioeeo?a,
ee?oei o?a?iaeanoe/iiai ?yaeo ? i?ioeeo?a o i’yoe iieyo ci?o
a?iieoey?iiai i?e?ineiia (o 900) iaoiaeii noaiaea?oieo ieiu [A.A.
Aaoiiaeeeia (1990)].

?acoeueoaoe an?o aeine?aeaeaiue ia?iaeyeeny ca caaaeueiii?eeiyoith
iaoiaeeeith aa??aoe?eii? noaoenoeee c aecia/aiiyi ianooiiiai aeai?eoio:
na?aaeiuei? a?eoiaoe/ii? (I), na?aaeiueieaaae?aoe/iiai a?aeoeeaiiy (),
na?aaeiuei? iiieeee na?aaeiuei? a?eoiaoe/ii? (m). Aeinoia??i?noue
?acoeueoao?a ioe?ithaaeanue ca oaaeeoeyie, aeei?enoiaoth/e e?eoa??e
Nouethaeaioa. Aoaeue-ye? iieacieee ? a?aei?iiino? i?ae ieie
?icoe?ithaaeenue ye aeinoia??i?, yeui eiia??i?noue aoea iaioa 5%, oiaoi
p < 0,05. ?ACOEUeOAOE AeINE?AeAEAIUe Ii?oieia?/i? aeine?aeaeaiiy iieacaee, ui ia ia?oo aeiao i?neyiia?aoe?eiiai ia??iaeo ia a?aecia/aeiny cia/ieo ?icoiaeaeaiue o iae?i- ? i?e?ineii?/i?e ea?oei? o oaa?ei ii??aiyeueii? ? aeine?aeii? a?oi. Caaaeueieie aeey oeueiai oa?i?io, iacaeaaeii a?ae oiaiiai iaoa??aeo, ? ae?aaeai? oee?eoeyoi?i? ?iceaaee a coeoeo oa?ao c ?icoe?aiiyi ? iiaiie?ia’yi noaeei a?oa??aeueii-aaioey?iiai aanaeio, c? noacii o ieo. *a?ac o?e aeiae ni?eueiei aeey an?o aeine?ae?a ? ?icaeoie caiaeueii-?aaeoeaieo ci?i ? oee?eoeyoi?ieo ?iceaae?a o an?e oiauei? coeoeo oeaiei na/?aieea. Iaeiae, o?aieyeenue ? yne?aai ae?aaeai? ?icoiaeaeaiiy a ii?oieia?/i?e ea?oei?. Iaea?eueo ae?aaeai? caiaeueii-?aaeoeai? ci?ie niinoa??aaeeny iaaeiei eaoaooo. *a?ac iaa?yeaiiy a?i ca?eueooaaany a ae?aiao??. Aiane?aeie oeueiai c’yaeyeany iaaaeeea e?euee?noue ae??aieo u?eei, iaaeiei yeeo ii/eiaee iaeiie/oaaoeny aeuacaaaeai? ee?oeii? aeaiaioe, ye? o iiaeaeueoiio ii/eiaee i?iieeaoe a oiauo ieoee. Ia oe? ?icoe?aiiy ? iiaiie?ia’y noaeei i?e?ioee?eoeyoi?iiai ?onea ?icaeaaeeny yaeua noaco, oi?ioaaiiy neaaeae?a, o?iiaico ae??aieo aai ? a?oa??e. Ia aeaeo?iiia?aiao o ae?eyieao ae?aaeaieo oee?eoeyoi?ieo ?iceaae?a aeyaeyeeny ii?oi-ooieoe?iiaeuei? iciaee ii?ooaiiy o?aineai?ey?iiai iai?io c aeaci?aai?caoe??th ee?oeiieo i?aaiae aiaeioae?ioeeo?a, aacaeueii? iaia?aie, ia?eoeeo?a. O ?aiao, ui coeee a?io?eii, /a?ac o?e aeiae niinoa??aaeanue aiaeia?/ia ea?oeia, iaeiae, caiaeaiiy ? aaiioee?eoeyoi?i? ?iceaaee aoee iaio ae?aaeai? aaciina?aaeiuei iaaeiei e?aaoo?. Inoaii? i?aeoe/ii ia iaa?yeaee, ia?aaoaaee o iaaaeee?e e?eueeino? iaa?yeiai? ??aeeie, e?euee?noue yei? aoea cia/ii iaioith, i?ae o a?oi? ii??aiyiiy. O i?eeaaeeo aei ieoie oeaieiao ?icaeaaany iii??iee iaa?ye ? i?ie?oa?aoe?y ee?oei o?a?iaeanoe/iiai ?yaeo. I?e aeaeo?iii?e i?e?ineii?? aeyaeyeeny iciaee iii??ieo ?iceaae?a o?aineai?ey?iiai iai?io ? oeaieiii? i?iieeiino?. Aei oeueiai /ano i?ioeane caai?iiy e i?aai?caoe?? ia?aeiiiai niieo/iioeaieiiiai i?ioa?eo iii?oii aeoea?coaaeeny. *anoeia o?a?eio ii/eiaea ?icniieooaaoenue ? cai?uaoeny oyaeaie ee?oei o?a?iaeanoe/iiai ?yaeo, ui i?ie?oa?othoue. Ii/aea oi?ioaaoeny noaeeiia ia?aaea niieo/iioeaieiiiai i?ioa?eo ca ?aooiie aiaeioae?caoe?? u?eei o o?a?ei?, ui ?icniieoo?oueny. Iaea?eueoiai naiai ?icaeoeo niieo/iioeaieii? aeaiaioe aeinyaaee naia o ae?eyieao ciaoiaeaeaiiy ieoee a?io?e, ?icoaoiaaii? a aeaaeeii’yciaiio ? ciai?oiueiio oa?ao na/?aieea.Oaea ?ioaineo?eaoe?y ?aia?aoeaii-iiiiaethaaeueieo i?ioean?a o ?aii? oa?i?ie ? iniaeea?noth ieoee a?io?e. Ia nueiio aeiao i?neyiia?aoe?eiiai ia??iaeo c’yaeythoueny ia?o? cia/i? ?icoiaeaeaiiy i?e iae?ineii?/iiio aeine?aeaeaii? ?ai na/?aieea ? aeaye? oneeaaeiaiiy, iia’ycai? c oiaiei iaoa??aeii. Oae, iaeyae ae?eyiee iaeeaaeaiiy eaoaooiaeo oa?a aoa oneeaaeiaiee /a?ac niaeee, ye? u?eueii c’?aeioaaee iiaa?oiaai ?icoaoiaai? oeaieie. Aiaeii/an iaeyae ?oaoey i?ney c’?aeiaiiy ?icn?/aieo oeaiei a?io?eii i?aeaeaaaany aeine?aeo aac ia?aoeiae. Ciie iaa?yeo ? ii/a?aii?iiy a a?oi? ii??aiyiiy aeinyaaee ca oiaeii ?oaoey a na?aaeiueiio 25,0 o 5,0 ii. Inoaii?e o aeae? yne?aai-/a?aiii? nioaeee oe?eiith a?ae 2,5 aei 3 ii i?ae?eiaany iaae iaci?iiith oeaieiith na/?aieea ia 1,0 -1,5 ii. I?ney coeaaiiy a?io?eii iaeanoue a?ia?ai?? ? iaa?yeo iioe?thaaeany a na?aaeiueiio ia 15,0 o 3,0 ii. ?oaaoeue aoa ae?aei-?iaeaaei, a?ae 1,2 aei 1,5 ii oe?eiith ? ia 0,5 - 1,0 ii i?ae?eiaany iaae ??aiai iao?aaiiaaieo oeaiei na/?aieea. Aeeiai?ea ci?ie oe?eie ?oaoey a caeaaeiino? a?ae oa?i?ia i?neyiia?aoe?eiiai ia??iaeo iiaeaia o a?ao?eo 1. A?ao?e 1 Aeeiai?ea ci?ie oe?eie ?oaoey a caeaaeiino? a?ae oa?i?io i?neyiia?aoe?eiiai ia??iaeo ( o ii) picscalex100010009000003fd0500000900180000000000050000000902000000000500 00000102ffffff000400000004010d000400000002010200050000000c02cd002f020300 00001e00040000002701ffff030000001e00040000002701ffff050000000b0200000000 030000001e00050000000102ffffff000500000009020000000015000000fb02f3ff0000 000000009001000000cc0000001254696d6573204e657720526f6d616e00cc0004000000 2d01000015000000fb02f5ff0000000000009001000000cc0000001254696d6573204e65 7720526f6d616e00cc00040000002d010100040000002d010000040000002d0101000400 00002d01000010000000fb021000070000000000bc02000000cc0102022253797374656d 00cc040000002d010200040000002701ffff030000001e00040000002d01000005000000 0102ffffff0005000000090200000000070000001604cd002f0200000000040000002d01 0200040000002701ffff030000001e00040000002d010000050000000102ffffff000500 0000090200000000070000001604cd002f0200000000040000002d010200040000002701 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9a015500ae014300f3014900df015b009a01550007000000fc0200006060600080200400 00002d01060004000000f001040005000000090260606000050000000102606060000e00 000024030500df015b00f3014900f3016c00df017e00df015b0007000000fc020000c0c0 c0000000040000002d01040004000000f0010600050000000902ffffff00050000000102 c0c0c0001800000024030a0042007e0042004f0086003d00cb003d001001490055014f00 9a015500df015b00df017e0042007e0007000000fc020000bfbfbf008020040000002d01 0600050000000902bfbfbf00050000000102bfbfbf000e00000024030500230069003700 58007c005e0068006f002300690007000000fc020000bfbfbf008020040000002d010700 04000000f00106000e0000002403050068006f007c005e00c1006700ac00780068006f00 07000000fc020000bfbfbf008020040000002d01060004000000f00107000e0000002403 0500ac007800c100670006016d00f1007e00ac00780007000000fc020000bfbfbf008020 040000002d01070004000000f00106000e00000024030500f1007e0006016d004b017700 36018900f1007e0007000000fc020000bfbfbf008020040000002d01060004000000f001 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1300010000003100060009000000320a67001300010000003200060009000000320a4f00 130001000000330006000500000014029c001e000500000013029c00bb01050000001402 9c001e000500000013029f001e000500000014029c0062000500000013029f0062000500 000014029c00a7000500000013029f00a7000500000014029c00ec000500000013029f00 ec000500000014029c0031010500000013029f0031010500000014029c00760105000000 13029f0076010500000014029c00bb010500000013029f00bb01040000002d0101000a00 0000320aa2000f00060000003120e4eee1e00a000000320aa2005300060000003320e4ee e1e00a000000320aa2009800060000003720e4eee1e00b000000320aa200da0007000000 313420e4eee1e0000b000000320aa2001f0107000000333020e4eee1e0000b000000320a a200640107000000393020e4eee1e0000b000000320aa200a6010800000031383020e4ee e1e00500000014026800f8010500000013029c00bb010500000014029c00bb0105000000 13029c00be010500000014028200da010500000013028200dd010500000014026800f801 0500000013026800fb01040000002d0100000a000000320a8800dc0106000000c1b3eef4 b3eb0a000000320a6e00fb0106000000cae5f2e3f3f2040000002d010800040000002d01 0200040000002701ffff030000001e00040000002d010000040000002d01050005000000 0102ffffff0005000000090200000000070000001604cd002f0200000000040000002d01 0800040000002d010200040000002701ffff030000001e00040000002d01000004000000 2d010500050000000102ffffff0005000000090200000000070000001604cd002f020000 0000040000002d01080004000000f0010500040000002701ffff050000000c02cd002f02 030000001e00050000000102ffffff0005000000090200000000040000002701ffff0500 00000b0200000000030000001e00050000000102ffffff00050000000902000000000400 00002701ffff030000000000 Ieoee eaoaooo, e?ioe? yeeo i?ae?eiaeeny iaae iiaea?eiei aoceii, iaa?yeaee ? ?icoa?iaoaaeenue. Aiie eaaei ?ica’ycoaaeenue ? aeoyaaeenue c i?ieieaiiai eaiaeo. Ieoee ae a?io?eo caeeoaeenue a?coaeueii iaci?iieie ? u?eueii o?eiaeenue o aoce?. ?aiiaee eaiae a a?oi? ii??aiyiiy i?e i?e?ineii?/iiio aeine?aeaeaii? ia nueiio aeiao i?ney iia?aoe?? iiai?noth aoa caiiaiaiee oe?ieei i?ioa?eii iiaiooai?aii? niieo/ii? oeaieie. O i?aeneeciaiio oa?? thia a?aioeyoe?eia oeaieia aoea aaaaoa ee?oeiaie caiaeueii? i?e?iaee ? ni?yiiaaii i???ioiaaieie eai?ey?aie, i?e/iio ee?oeii? aeaiaioe ia?aaaaeaee iaae aieieienoeie, ui na?ae/eei i?i caai?iiy oeeo oa??a ca oeiii aoi?eiiiai iaoyao, i/aaeaeii ca ?aooiie aa?aneaiiai aieeao na/?. Naia ieoea eaoaooo ca ?aooiie iayaiino? iiiaeeie u?eei ye ii ia?eoa???, oae ? a oeaio?? iaea ia??ai? eiioo?e. O u?eueii i?eeaaeeo aei oeaiei e?ayo e?aaoo? a?aecia/aeany oco?e?iaai?noue ca ?aooiie ee?oeiii? ?aci?aoe??. I?e coeaaii? e?a?a na/?aieea a?io?eii ia nueiio aeiao ia oe? caeeoeiaeo yaeu oee?eoeyoi?ieo ?iceaae?a ? iaa?yeo a?aecia/aeany i?aeoe/ii iiaia i?aai?caoe?y ?aiiai? u?eeie c ?icaeoeii iooeiai niieo/iioeaieiiiai ?oaoey. No?oeoo?a iiaiooai?aii? niieo/ii? oeaieie aoea i?aaenoaaeaia iaeiaeeoa?aioe?eiaaieie ee?oeiaie o?a?iaeanoe/iiai ?yaeo, oiieeie ooeneiio?eueieie aieieiaie, ui ?icoaoiaothoueny iooei, aac aecia/aii? i???ioaoe??. I?ae ieie cono??/aeany iacia/ia e?euee?noue iiaiooai?aieo noaeei. I?e oeueo?ano?oeoo?iiio aeine?aeaeaii? oaeiae aeyaey?oueny ii??aiyii i???ioiaai?, c?a?ai? a eiiiaeoi? io/ee eieaaaiia? aieieia. Na?aae eieaaaiiaeo aieieii cono??/aeeny o?a?iaeanoe c a?ia?o?iiiei yae?ii iai?aaeeueii? oi?ie, oeeoiieacia yeiai iaeaea oe?eeii aoea aeeiiaia oeenoa?iaie a?aioey?ii? oeeoiieaciaoe/ii? ia?aae?, caiiaiaii? iooeeie ieano?a/anoeie ?a/iaeiaie. Ieoee a?io?ea oe?eeii caa??aaee naith iiiie?oi?noue, iii??ii i?ini/oaaeenue oeaieiiith ??aeeiith ? o?a?eiii. Caa?oa? oaaao iaeaea iiaia a?aenooi?noue caiaeueii? ?aaeoe?? ia ieoeo a i?eeaaeeo aei ia? oeaieiao. Ia 14-o aeiao o a?oi? ii??aiyiiy ieiua i?ina?oo a na?aaeiueiio aei??aithaaea 3,7 ii2, ui noaiiaeoue 61,7 % a?ae ieiu? i?ina?oo ?ioaeoiiai na/?aieea, oiaoi ooieoe?iiaeueia ni?iiiaei?noue ciaioeeanue ia 38 %. O aeine?aei?e a?oi? ieiua i?ina?oo neeaea 4,3 ii2, oiaoi 71,7 %. I?e?ineii?/ia ea?oeia o oaa?ei a?oie ii??aiyiiy oa?aeoa?ecoaaeany ?icaeoeii niieo/iioeaieiiiai i?ioa?eo. Ae?eyiee thii? a?aioeyoe?eii? oeaieie cono??/aeeny ia i?noe? ae?aaeaiiai caiaeueiiai i?ioeano, yeee ?icaeaaany ia i?noe? o?aaiaoe/iiai ooeiaeaeaiiy, ia?aaaaeii a i?aeneeciaiio oa?? na/?aieea. Ina?aaeee caiaeueiiai i?ioeano i?iaeiaaeoaaee aeyaeyoeny a oeaieiao, ui ioi/othoue oiai? e?aaoo?e, c oe?ieith ciiith ?ioaineaiiai eieaaaiaco, ui cia/ii ?icoe?thaaei iaae? ?oaoeaai-o?ainoi?iaoeaieo ci?i. Eaoaooiaa ieoea i?iaeiaaeoaaea o?aaiaiooaaoenue ca ?aooiie u?eei, o ye? i?i?inoaee oyae? ee?oeiieo aeaiaio?a, neeaaeai? c iae?ioaa?a, iaeo?io?eueieo a?aioeioeeo?a, ieaciioeeo?a ? a?aaionueeeo ee?oei noi?iii?o o?e. Oe? i?ioeane i?e iacia/ieo oee?eoeyoi?ieo ?iceaaeao i?io?eaee o an?o oa?ao coeoeo oeaiei na/?aieea. O aeine?aei?e a?oi? oaa?ei a?aecia/aia i?aeoe/ii iiaia a?aenooi?noue aaiioee?eoeyoi?ieo ?iceaae?a. Ia i?noe? ?aiiaiai eaiaeo aoei iayaia aeic??aaiiy e ou?eueiaiiy ?oaoey. I?e oeueiio eieaaaiia? aieieia c iciaeaie caaa?oaiiai o?a?eeiaaiaco ?icoaoiaoaaeeny ii??aiyii iooei. I?ae ieie aecia/aeeny ee?oeie o?a?iaeanoe/iiai ?yaeo ? noaeeie oeio eai?ey??a ? neioni?ae?a, oi/a a oe?eiio noaeeiiee aanaei aei oeueiai /ano cia/ii ciaioeany. Aeeeaaeaia aeua i?aeoaa?aeaeo? ?icaeoie eieaoa?aeae, ui caaacia/othoue e?iaiia?a a oiiaao ?iaiethoe?? noaeeiii? ia?aae? niieo/iioeaieiiiai i?ioa?eo. Iaieiieia? ieoee i?iaeiaaeoaaee caa??aaoeny, oi/a /anoeiai i?aeaeaaaeeny no??/eiiiae?aiiio ?icoa?oaaiith c ooai?aiiyi ae??aieo ? a?eueoeo u?eei, o ye? i?iieeaee ee?oeie o?a?iaeanoe/iiai ?yaeo ? ie?ai? iae?ioaae, ui ? na?ae/aiiyi i?i iacia/io ee?oeiio ?aci?aoe?th a?io?eo. Ne?ae cacia/eoe e ?nioaaiiy iicaee?oeiiiai oeyoo a?iaeano?oeoe??. Ca ?aooiie ?ic/eiaiiy aiiiaai?ciaaiiai eieaaaio oeaieiiith ??aeeiith ieoea ii/eiaea ciaiooaaoenue o ae?aiao??. Ia 30-o aeiao a aeine?ae? c eaoaooii ieiua i?ina?oo noaiiaeea 3,2 ii2, aai 53,3 % ooieoe?iiaeueii? ni?iiiaeiino? na/?aieea. I?e?ineii?/ia no?oeoo?a u?eueiiai ?oaoey aoea iiaeaia i?oio?iiaoe/ii iioa?aiaaieie eieaaaiiaeie aieieiaie. Iiooaei? io/ee inoaii?o ia?aie?oaeeny a ??ciiiai?oieo iai?yieao, i?ae ieie cono??/aeeny iaeeie/i? o?a?iaeanoe ? o?a?ioeeoe. Nai?ie /enaeueieie oa?aie aiie a?aeiaaeiaoaaee iiey a?aioeyoe?eii? oeaieie, ui ?icoaoiaoaaeanue iaaeiei eaoaooo. A?aecia/aeanue ??cea ?iaiethoe?y noaeeiii? ia?aae? a ?oaoeaa?e oeaiei?. Neeciaa iaieiiea na/?aieea aei oeueiai ia??iaeo aoea oe?eeii iie?eoa ai?oae??i, ui ?aaaia?o?, iaeiae a?i ia aeinyaaa aeo?aeii? aenioe. Ieoee eaoaooo i?aeaeaaaeeny ianeai?e ee?oeii?e aoaoe? iae?ioaa?a, iaeo?io?eueieo a?aioeioeeo?a, ieaciioeeo?a oa o?a?iaeano?a c ooai?aiiyi o?aaiaio?a ??cii? ieiu?. Oe? ee?oeie iiooaeieie oyaeaie a?inoaee a oiai? e?aaoo?e. An? iaaaaeai? aeai? na?ae/aoue i?i ooai?aiiy a?oaiai ? u?eueiiai ?oaoey. Ieoee a?io?eo ia 30-o aeiao i?iaeiaaeoaaee ?icoa?iaoaaoenue ? “oaiooe”, i?i ui na?ae/eei ?oi? ciaioaiiy a ae?aiao??. I?ae o?aaiaioaie oeueiai oiaiiai iaoa??aeo o aeaeyae? no??/ie ?icoaoiaoaaeenue oiie? ooeneiio?euei? aieieia ? iacia/ia e?euee?noue ee?oei o?a?iaeanoe/iiai ?yaeo. ?aaaia?iaaiee ai?oae?e neeciai? iaieiiee iaeaea aeinyaaa nai?? aeo?aeii? aenioe ? aeeoa?aioe?thaaiiy. Ieiua i?ina?oo na/?aieea aei??aithaaea 4,7 ii2, ui noaiiaeoue 78 % a?ae ieiu? ?ioaeoiiai na/?aieea. Ia 90-o aeiao ?aia?aoeai? i?ioeane i?noeeeny o iiaeaeueoiio ou?eueiaii? ?oaoey ieiua i?ina?oo aei??aithaaea 3,6 ii2, ui noaiiaeoue 60% ii?ie. Oiaoi iiaeia eiinoaooaaoe i?i oi?ioaaiiy no?eeiai caoaeaiiy, yea ciaioeei ooieoe?iiaeueio ni?iiiaei?noue na/?aieea ia 40 % i?ney coeaaiiy eaoaooii. I?e?ineii?/ii ia i?aia?aoao aeyaeaia ?iaiethoe?y noaeei ? o?a?ineea?ioe/i? ci?ie a ae?eyieao eieeoi?o caiaeueieo i?ioean?a iaaeiei ieoie eaoaooo. ?aaaia?iaaiee ai?oae?e neeciai? iaieiiee na/?aieea, ye ? ?ai?oa, ia aeinyaaa aeo?aeii? aenioe. I?aeneeciaee oa? aoa a?aenooi?i. Cia/ia /anoeia eaoaooo ?icniieoaeanue ? cai?noeeanue u?eueiei, aacnoaeeiiei a?oaei ?oaoeai. A aenia?eiaioaeuei?e a?oi? ieiua i?ina?oo noaiiaeea 4,9 ii2, oiaoi ooieoe?iiaeueia ni?iiiaei?noue c?inea aei 81,7 %. I?oio?iiaoe/i? eieaaaiia? aieieia iaaoee iiaeiaaeiuei? ni?yiiaaiino?, ca?aath/enue ?c oaeeie ae iaci?iieo oa??a na/?aieea, ? aac aeaeeieo iaae ao?a/aeeny a non?aei?o ae?eyieao. O oeae ia??iae c’yaeythoueny io/ee aeaaeeii’yciaeo aieieii iaaaeeeeo ?ici???a, ui i?iiecothoue iooeo oeaieio ?oaoey ? ia?aoiaeyoue ia non?aei? ae?eyiee. ?aaaia?iaaiee ai?oae?e neeciai? iaieiiee a iaaeao ?oaoey ia a?ae??ciyany a?ae ai?oae?th non?aei?o ae?eyiie Oaeei /eiii, iiaeia aaaaeaoe, ui ca o?e i?nyoe? ?aaaia?aoe?y ooeiaeaeaieo i’yciaeo oa??a iaaoaa? aeoeaiiai oa?aeoa?o, ciaiooth/e a?aenioie noaiico, a ?icoaooaaiiy oeeo oa??a o aaciina?aaei?e aeecueeino? a?ae ieoee a?io?e ia aeeeth/a? eiai a?inoeioethth/i? ae?? ? ia i’ycia? no?oeoo?e. *a?ac 180 ae?a i?neyiia?aoe?eiiai ia??iaeo ianiiae?aaiei ? iani?inoiaiei oaeoii ? iayai?noue caeeoe?a oiaieo iaoa??ae?a a iaio a?oiao oaa?ei. O a?oi? ii??aiyiiy aeyaeyeeny ae??ai? o?aaiaioe ieoie eaoaooo, i?iiecai? io/eaie niieo/iioeaieiieo aieieii. Aiie aeoiaeeee c iiooaeii? niieo/iioeaieiii? eainoee, yea ioi/oaaea caeeoee e?aaoo?e. Ieiua i?ina?oo a na?aaeiueiio aei??aithaaea 3,8 ii2, ui noaiiaeoue 63,3% a?ae ieiu? ?ioaeoiiai na/?aieea. Oea na?ae/eoue i?i oi?ioaaiiy no?eeiai caoaeaiiy, yea ciaioo? ooieoe?iiaeueio ni?iiiaei?noue na/?aieea aei 36,7%. A aenia?eiaioaeuei?e a?oi? ?aaaia?iaai? aeaaeeii’ycia? aieieia i?iiecoaaee iooeee niieo/iioeaieiiee ?oaaoeue ia an?e aeiaaeei?, cai?uath/e inoaii?e ? aeioiaey/e aei ?acaieieiaieo caeeoe?a a?io?eo, ioi/oaaee eiai oiieo aieieienoo eainoeo, o ye?e aecia/aeany iacia/ia e?euee?noue ee?oei o?a?iaeanoe/iiai ?yaeo. Ieiua i?ina?oo a na?aaeiueiio aei??aithaaea 5,4 ii2, ui noaiiaeoue 90,0% a?ae ieiu? ?ioaeoiiai na/?aieea. Oiaoi ooieoe?iiaeueia ni?iiiaei?noue ciaioeeanue eeoa ia 10,0%. Oeae oaeo ? coiiaeth? iayai?noue oiieiai i?neyiia?aoe?eiiai ?oaoey c iaeneiaeueiei a?aeiiaeaiiyi ooeiaeaeaieo oeaiei ? ooieoe?? na/?aieea. Aeuaneacaia aeicaieeei c?iaeoe i?eiouaiiy, ui ci?ie a niieo/iioeaieiiiio ?oaoe?, a oaeiae aeoeaia ?aaaia?aoeaia ni?iiiaei?noue i’yciaeo oa??a na/?aieea, coeoeo iaieiieiaith ieoeith a?io?e, ca’ycai? c i?ioaeoi?iith ae??th oeueiai oiaiiai iaoa??aeo, a o?eaaea ia?aaoaaiiy ?? caeeoe?a ? caeeoe?a eaoaooiai? ieoee - ?c niaoeeo?eith oaeiai i?aaia, ye na/?aiee. AENIIAEE 1. Ieoee c oaa?aei? iaieiiee nieiiiai iiceo a?io?e aeeeeeathoue iacia/io aenoaeaoeaii-i?ie?oa?aoeaio ?aaeoe?th coeoeo oeaiei na/?aieea c i?i?iaeueieie aaiioee?eoeyoi?ieie ?iceaaeaie, ye? i?ney nueiii? aeiae oe?eeii cieeathoue. 2. Iaieiieiaa ieoea a?io?e aieiae?? ae?aaeaiith noeioeyoe??th i?ioeano caai?iiy ?aie na/?aieea ca ?aooiie aeoeaaoe?? i?ie?oa?aoeaii? ni?iiiaeiino? o?a?iaeano?a, yea o 1,5 ?aca aeua, i?ae i?e aeei?enoaii? eaoaooo. 3. Caai?iiy iia?aoe?eieo ?ai na/?aieea i?e coeaaii? ?o a?io?eii i?io?ea? ca oeiii ia?aeiiiai iaoyao c oi?ioaaiiyi aocueeiai, iooeiai ?oaoey, yeee ia 90 aeiao /anoeiai, a /a?ac 180 ae?a i?aeoe/ii oe?eeii i?i?inoa? aeaaeeii’yciaeie ?aaaia?aoaie c? ciaioaiiyi ciie ?oaoey, a?aeiiaeaiiyi aiaoii?/ii? oe?e?niino? coeoeo oa??a ? ooieoe?iiaeueii? ni?iiiaeiino? i?aaia. 4. Iaieiieia? ieoee i?aeaeathoueny ae?aaeai?e a?iaeano?oeoe?? a oeaieiao na/?aieea, ii/eiath/e c 14-? aeiae, ca ?aooiie iacia/ii? ee?oeiii? ?aci?aoe?? ? iicaee?oeiiiai ?ic/eiaiiy oeaieiiith ??aeeiith. Iaeneiaeueia ?icniieooaaiiy ieoie a?aecia/a?oueny /a?ac 90 ae?a aac iciae oi?ioaaiiy ina?aaee?a i?iaeoeoeaii? ?aaeoe?? ? iaaeeeoeiaiai ?icaeoeo ?oaoeaai? oeaieie Iacia/i? caeeoee e?aaoo? iiaeooue aeyaeyoeny a oeaieiao na/?aieea ? /a?ac 6 i?nyoe?a i?ney iia?aoe??, ui i/aaeaeii iia’ycaii c? niaoeeo?eith i?aaia. 5. Caai?iiy aenia?eiaioaeueieo ??caieo iia?aoe?eieo ?ai na/?aieea, ui coeee eaoaooii, i?io?ea? c ae?aaeaieie ?aaeoeaii-caiaeueieie ci?iaie ? oee?eoeyoi?ieie ?iceaaeaie o an?o oa?ao coeoeo oeaiei. 6. I?aai?caoe?y ?aiiaiai eaiaeo i?e coeaaii? eaoaooii i?ioiaeeoue noaae?th ?icaeoeo iaaeeeoeiai? a?aioeyoe?eii? oeaieie ca oeiii aoi?eiiiai iaoyao c iiaeaeueoei oi?ioaaiiyi u?eueieo iaaeiei oiaieo niieo/iioeaieiieo eainoe ? iaaeeeoeiaiai ?oaoey, ui aeaoi?io? i?ina?o na/?aieea ? cieaeo? ii?oi-ooieoe?iiaeueiee ?ano?n i?aaia. 7. Canoinoaaiiy a?io?eo cai?noue eaoaooo aeey coeaaiiy oeaiei ooeiaeaeaiiai na/?aieea aeicaieeoue ??cei cieceoe o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? ?icaeoie oaeeo oneeaaeiaiue, ye iaaii?iiy ? iani?iiiaei?noue oa?a, e?aaoo?i? ii?eoe?, a o i?ci? oa?i?ie - ?oaoeaai-noaiicoth/? i?ioeane o cii? iaeeaaeaiiy oa?a ? oei naiei i?aeaeuaoue ye?noue aiaoiii-ooieoe?iiaeueiiai a?aeiiaeaiiy ooeiaeaeaiiai na/?aieea. NIENIE IIOAE?EIAAIEO I?AOeUe 1. *a?ii A.N. Ia?niaeoeau eniieueciaaiey oe?o?ae/aneie ?annanuaathuae-ny ieoe “Aeioee” aeey noeaaiey iia?aaeaeaiiie o?ao?u //Ii?oieiaey.- N. Iaoa?ao?a.-1996.-O.109.- ? 2.- N.103. 2. *a?ii A.N. Ioe?iea ooieoe?iiaeueiiai noaio o?ao?e i?ney ?? ia?an?eaiiy oa iaeeaaeaiiy aianoiiico c canoinoaaiiyi “A?io?ea” //Aeooaeuei? ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/aniiio ??ai?.- Iieoaaa.-1996.- N. 439. 3. *a?ii A.N. Aieea o??o?a?/ieo oiaieo iaoa??ae?a ia ooieoe?iiaeuei? ? ?aia?aoeaii-?aaaia?aoi?i? i?ioeane a oeaieiao o?ao?e o i?neyiia?aoe?eiiio ia??iae? //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. Iieoaaa-Oa?ueeia.-1997.- ? 15.- N. 157-160. 4. *a?ii A.N. Iaoiaeeea i?aaeaa?eoaeueiie i?eaioaoeee yenia?eiaioaeueiiai iaoa?eaea aeey iineaaeothuaai caeeth/aiey a yiieneaeiua niieu //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. Iieoaaa-Oa?ueeia.-1997.- ? 30.- N. 81-83. 5. *a?ii A.N. Yenia?eiaioaeueii-ii?oieiae/aneay n?aaieoaeueiay oa?aeoa?enoeea aeieiae/aneeo oiaiuo iaoa?eaeia, eniieuecoaiuo i?e iia?aoeaiuo aiaoaoaeuenoaao ia ii/aenioneaoaeueiii eaiaea, a ?aiiai iineaiia?aoeeiiiii ia?eiaea //A?niee ii?oieia??.- ?? I?aeia?iaeiee eiia?an c ?ioaa?aoeaii? aio?iiieia??.-A?iieoey.-1998.- N. 154-155. 6. Yenia?eiaioaeueii-ii?oieiae/aneay ioeaiea iiaie oe?o?ae/aneie ieoe “Aeioee” i?e o?ieiae/aneeo iia?aoeeyo. Ne?eii?eia I.N., Aaaai?i A.A., Ei?ioei I.O., I?ii?ia I.I., Einoaiei A.I., *a?ii A.N., Aeai?naiei I.A. //A?oea eeeie/aneie e i?aeoe/aneie iaaeeoeeiu.-1998.-O.7.- ? 2.- N.98-102 7. Ia?niaeoeaa nicaeaiey e i?eiaiaiey iiauo oe?o?ae/aneeo ?annanuaathueony oiaiuo iaoa?eaeia a Oe?aeia. Ne?eii?eia I.N., Aaaai?i A.A., Einoaiei A.I., I?ii?ia I.I., Eiiiiey I.I., ?iiaioeaa I.TH., *a?ii A.N. //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. Iieoaaa-Oa?ueeia.-1997.- ? 15.- N. 9-17. 8. Iaoiaeeea iieo/aiey na?eeiuo iieooiieeo n?acia i?e i?iaaaeaiee aenoieiae/aneeo e yia?eieiae/aneeo enneaaeiaaiee. Ne?eii?eia I.N., O?eueei TH.E., I?ii?ia I.I., ?iaeiia A.A., Ia?/aiei A.TH., A?eao N.I., *a?ii A.N., Iieiaee I.TH. //Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. Iieoaaa-Oa?ueeia.-1997.- ?10.- N. 151-155. 9. Aaaai?i A.A., Ne?eii?eia I.N., *a?ii A.N. Ii??aiyeueia ioe?iea ooieoe?iiaeueiiai noaio o?ao?e i?ney ?? ia?an?eaiiy oa iaeeaaeaiiy aianoiiico c canoinoaaiiyi eaoaooo oa “A?io?ea” //Aeooaeuei? ieoaiiy ii?oiaaiaco.- *a?i?aoe?.-1996.- N. 25-26. 10. Aieea o??o?a?/ieo oiaieo iaoa??ae?a ia ?aia?aoeaii-?aaaia?aoi?i? i?ioeane a oeaieiao o i?neyiia?aoe?eiiio ia??iae?. Ne?eii?eia I.N., Aaaai?i A.A., I?ii?ia I.I., Einoaiei A.I., *a?ii A.N., Ae?aoy? A.I., ?iaeiia A.A. /Iaoa??aee I?aeia?iaeiiai neiiic?oia “I?eioeeie i?iii?oe?? oa iaoaiaoe/iiai iiaeaethaaiiy a ii?oieia??”.-A?iieoey.-1997.- N. 176-177. 11. Aaaai?i A.A., I?ii?ia I.I., *a?ii A.N. I?ioean ?aaaia?aoe?? iioeiaeaeaieo oeaiei i?aai?a na/iaea?aeii? nenoaie, coeoeo iiaith o??o?a?/iith ieoeith “A?io?e”, ye iane?aeie aa?iii?eii? ?aeiino? /Iaoa??aee I?aeia?iaeiiai neiiic?oia “I?eioeeie i?iii?oe?? oa iaoaiaoe/iiai iiaeaethaaiiy a ii?oieia??”.- A?iieoey.-1997.- N. 10-11. 12. Ne?eii?eia I.N., Aaaai?i A.A., Einoaiei A.I., I?ii?ia I.I., Eiiiiey I.I., ?iiaioeaa I.TH., *a?ii A.N. Iiaua oe?o?ae/aneea ?annanuaathueany oiaiua iaoa?eaeu ec aeieiae/aneiai nu?uey /Iaoa??aee V ?in?enueeiai iaoe?iiaeueiiai eiia?ano “*aeiaae e eaea?noai”.-Iineaa.-1998.- N. 526-527. 13. Ne?eii?eia I.N., Einoaiei A.I., I?ii?ia I.I., Eiiiiey I.I., ?iiaioeaa I.TH., *a?ii A.N. Yenia?eiaioaeueiia iainiiaaiea i?eiaiaiey iiauo aeieiae/aneeo ?annanuaathueony oiaiuo iaoa?eaeia /Iaoa??aee ??? I?aeia?iaeii? eiioa?aioe?? “Nia?aiaiiua iiaeoiaeu e ?ac?aaioea yooaeoeaiuo ia?aayci/iuo n?aaenoa, oiaiuo iaoa?eaeia e iieeia?iuo eiieaioaoia”.- Iineaa.- 1998.- N. 170-172. AIIOAOe?ss *a?ii A.N. Ii?oi-ooieoe?iiaeueia ioe?iea oeaiei na/?aieea i?e coeaaii? eaoaooii ? a?io?eii.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.03.01.- ii?iaeueia aiaoii?y.- E?einueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i. N. ?. Aai?a??anueeiai IIC Oe?a?ie, i. N?ioa?iiieue, 1999. Aeena?oaoe?y i?enay/aia aea/aiith ii?oi-ooieoe?iiaeueiiai noaio oeaiei na/?aieea i?e coeaaii? ?o eaoaooii ? a?io?eii - a?ieia?/ieie oiaieie iaoa??aeaie, ui ?icniieoothoueny. Aenia?eiaioaeueii oa ii?oieia?/ii iaa?oioiaaii aeioe?euei?noue aeei?enoaiiy ieoee a?io?e aeey coeaaiiy oeaiei na/?aieea. Anoaiiaeaii, ui a oeaieiao na/?aieea a?io?e ia aeeeeea? aaiioee?eoeyoi?ieo ?iceaae?a. I?e i?i?iaeuei?e ee?oeii?e ?aaeoe?? oey ieoea noeioeth? o?a?iaeanoe/io aeoeai?noue ? o?a?eeiaaiac, i?enei?th? i?ioeane ?aia?aoeaii? ?aaaia?aoe?? c oi?ioaaiiyi oiieiai iooeiai ?oaoey. Aiane?aeie oeueiai a?i i?i?inoa? aeaaeeii’yciaeie ?aaaia?aoaie c iaeneiaeueiei a?aeiiaeaiiyi oeaiei, ui iiia?aaeaeo? ?icaeoie no?eeoo? na/?aieea. Eeth/ia? neiaa: na/?aiee, oiaiee iaoa??ae, a?io?e, ?aia?aoeaia ?aaaia?aoe?y. AIIIOAOeEss *a?ii A.N. Ii?oi-ooieoeeiiaeueiay ioeaiea oeaiae ii/aenioneaoaeueiiai eaiaea i?e noeaaiee eaoaooii e aeioeeii. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.03.01.- ii?iaeueiay aiaoiiey.- E?uineee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao ei. N.E. Aai?aeaaneiai ICI Oe?aeiu, a. Neioa?iiieue. Aeenna?oaoeey iinayuaia n?aaieoaeueiiio yenia?eiaioaeueiiio, ii?oieiae/aneiio, ooieoeeiiaeueiiio eco/aieth ninoiyiey oeaiae ii/aenioneaoaeueiiai eaiaea, oa?aeoa?o e aeeiaieea ?aia?aoeaiuo i?ioeannia i?e noeaaiee aeieiae/aneeie ?annanuaathueieny oiaiuie iaoa?eaeaie - eaoaooii e aeioeeii, aeeyieth eo ia oaiiu caaeeaeaiey e oa?aeoa? oi?ie?iaaiey ?oaoea. Ii?oieiae/aneea enneaaeiaaiey iieacaee, /oi oaea a ?aiiea n?iee iinea iia?aoeee iiyaeythony yaiua ?acee/ey a ii?oieiae/aneie ea?oeia. Iaeaieaa au?aaeaiiua ainiaeeoaeueii-?aaeoeaiua eciaiaiey iaaethaeaeenue aie?oa eaoaooa. A oeaiyo, noeouo aeioeeii ainiaeaiea e oee?eoeyoi?iua ?anno?ienoaa iaiaa au?aaeaiu, iniaaiii iaiin?aaenoaaiii aie?oa eeaaoo?. A ?acoeueoaoa yoiai i?ioeannu caaeeaeaiey e i?aaiecaoeee ia?ae/iie niaaeeieoaeueii-oeaiiie i?ineieee aeoeaece?iaaeenue. O aeeaioiuo a?oiiu n?aaiaiey ia 14-a nooee auyaeyeenue i/aae ainiaeeoaeueiiai i?ioeanna a oeaiyo, ie?oaeathueo oiaiua eeaaoo?u, n oe?ieie ciiie eioaineaiiai eieeaaaiaca, /oi cia/eoaeueii ?anoe?yei ciio ?oaoeiai-o?ainoi?iaoeaiuo eciaiaiee. Eaoaooiaay ieoue i?iaeieaeaea o?aaiaioe?iaaoueny ca n/ao o?auei, a eioi?ua i?i?anoaee oyaee iee?i- e iae?ioaaia. Ooieoeeiiaeueiay aiciiaeiinoue i?aaia nieceeanue ia 38,3 %. A iiuoiie a?oiia ioia/aii iieiia ionoonoaea aaiioee?eoeyoi?iuo ?anno?ienoa. Eieeaaaiiaua aieieia i?e yoii ?aniieaaaeenue n?aaieoaeueii ?uoei. Iaiei/a/iua ieoe a oeaiyo iiaeaa?aaeenue eaioiaeaeiiio ?anneiaieth n aiaae?aieai eeaoie oea?iaeanoe/aneiai ?yaea e ioaeaeueiuo iae?ioaaia. Ooieoeeiiaeueiay aiciiaeiinoue i?aaia nieceeanue ia 28,3 %. Inoaoee oiaiuo iaoa?eaeia a iiuoiie e n?aaieoaeueiie a?oiiao aeeaioiuo ii?aaeaeyeenue /a?ac 180 nooie. A a?oiia n?aaiaiey auyaeyeenue iaeeea o?aaiaiou ieoae eaoaooa i?iiecaiiua io/eaie niaaeeieoaeueii-oeaiiuo aieieii, eioi?ua enoiaeeee ec iiuiie niaaeeieoaeueii-oeaiiie eainoeu, ie?oaeathuae inoaoee eeaaoo?u. Ooieoeeiiaeueiay aiciiaeiinoue i?aaia ninoaaeea 63,3 %, /oi aiai?eo i ia?aciaaiee noieeiai noaeaiey i?inaaoa ii/aenioneaoaeueiiai eaiaea. A yenia?eiaioaeueiie a?oiia ?aaaia?e?iaaiiua aeaaeeiiuoa/iua aieieia ia anai i?ioyaeaiee i?iiecuaaee ?uoeue niaaeeieoaeueii-oeaiiue ?oaaoe, caiauay aai. Ooieoeeiiaeueiay aiciiaeiinoue i?aaia aic?inea aei 90 %. Aeaiiue oaeo e iaoneiaeeaaao iaee/ea oiieiai iineaiia?aoeeiiiiai ?oaoea n iaeneiaeueiui ainnoaiiaeaieai iia?aaeaeaiiuo oeaiae ii/aenioneaoaeueiiai eaiaea. SUMMARY V.S. Cherno. Morphofunctional value of urethra tissues in catgut and biofil sutures.-Manuscript. The thesis to the scientific degree of Normal Anatomy - The Crimea State Medical University of Ukraine, the city of Simferopol, 1999. The thesis is devoted to the study of the morphological state of urethra tissues while using biological reporpting suture materials ketgut and Biofil. The necessaty of the usage of the fibre from hard meninge biofil for suturing tissues of urethra has been founded experimentally and morphologically. It has been established that in the tissues of urethra biofil doesn’t cause hemocirculatory disturbances. At the minimal vessel stroma cell reaction it stimulates fibroblast activity and fibrillogenesis. It accelerates the process of reparative regeneration with the formation of a thin friable scar, which germinates as plain muscular regenerators with maximal reconstruction of urethra tissues. Key words: urethra, suture material, biofil, reparative regeneration. Aeneiaethth iiaeyeo aeioeaioai eaoaae?e iia?aoeaii? o??o?a?? oa oiiia?ao?/ii? aiaoii?? OINA, eaiaeeaeaoai iaaee/ieo iaoe A?ee/o Aiaoie?th Ieeieaeiae/o ? I?ii?i?e Ieai? Ieeiea?ai? ca eiinoeueoaoeaio aeiiiiiao i?ae /an aeeiiaiiy oe??? ?iaioe. I?aeienaii aei ae?oeo 16.04.99. Oi?iao 60o90/16 Iai?? ianaoiee. Ae?oe ieineee. Oiiai.ae?oea?.1,0 Oe?aae 100 i?ei. Caiiaeaiiy ? 157 ?aaeaeoe?eii-aeaeaaie/ee a?aeae?e. Oe?a?inueea iaaee/ia noiiaoieia?/ia aeaaeai?y, i. Iieoaaa, aoe. Oaa/aiea, 23

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