Перебіг хронічного бронхіту в учасників ліквідації наслідків аварії на Чорнобильській АЕС: Автореф. дис… канд. мед. наук / Л.І. Швайко, Ін-т фтизіат

?INOEOOO OOEC?AO??? ? IOEUeIIIIEIA?? ?I. O.A.ssIIANUeEIAI

AEAAeAI?? IAAeE*IEO IAOE OE?A?IE

OAAEEI Ethaeieea ?aai?aia

OAeE: 616.233.-002.1:621.039.58

IA?AA?A O?II?*IIAI A?IIO?OO A O*ANIEE?A E?EA?AeAOe?? IANE?AeE?A AAA???
IA *I?IIAEEUeNUeE?E AAN

14.01.27 — ioeueiiiieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

EE?A 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a ?inoeooo? ee?i?/ii? ?aae?ieia?? Iaoeiaiai oeaio?o
?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie

Iaoeiaee ea??aiee: Aeieoi? iaaee/ieo iaoe Eiia?aiei Aeieo?i ?aaiiae/,
?ioeooo ee?i?/ii? ?aae?ieia?? iaoeiaiai oeaio?o ?aae?aoe?eii? iaaeeoeeie
AII Oe?a?ie, ea??aiee a?aeae?eo oa?ai??

Io?oe?ei? iiiiaioe:Aeieoi? iaaee/ieo iaoe, i?ioani? Aecthaeee
Ieaenaiae? ss?ineaaiae/, ?inoeooo ooec?ao??? ? ioeueiiiieia?? ?i.
O.A.ssiianueeiai AII Oe?a?ie, caa?aeoaa/ a?aeae?eaiiyi oaoiieia?e
e?eoaaiiy ICE Aeieoi? iaaee/ieo iaoe, i?ioani? Na?ioeeoeueeee Aiaoie?e
Noai?neaaiae/, Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I.
Aiaiiieueoey, caa?aeoaa/ eaoaae?ith aini?oaeueii? oa?ai?? ? 2

I?ia?aeia onoaiiaa: Aea?aeaaiee iaaee/iee oi?aa?neoao, eaoaae?a
ooec?ao??? oa ioeueiiiieia??, i. Euea?a

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 29 ” /a?aiy 1999 ?. i 12 aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.552.01 i?e ?inoeooo?
ooec?ao??? ? ioeueiiiieia?? ?i. O.A. ssiianueeiai AII Oe?a?ie (252000 i.
Ee?a, INI-680, oca?c I?ioan?a ss?, 7)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
ooec?ao??? oa ioeueiiiieia?? ?i. O.A. ssiianueeiai AII Oe?a?ie (252000
i. Ee?a, oca?c I?ioan?a ss?, 7)

Aaoi?aoa?ao ?ic?neaiee “ 20 ” o?aaiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee
AE.A. Aaaioeaaa

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Aaa??y ia *i?iiaeeuenuee?e AAN (1986) i?ecaaea aei
cia/iiai ?aae?aoe?eiiai caa?oaeiaiiy oa?eoi??e Oe?a?ie, A?ei?on?,
i?eeaaeeo iaeanoae ?in?? ? aei ?noioiiai iia??oaiiy caei?ia’y
iino?aaeaeaeiai ianaeaiiy. Ianooaai?noue iaaaoeaieo iane?aee?a
eaoano?ioe, iia`ycaieo c ae??th onueiai eiiieaeno iani?eyoeeaeo /eiiee?a
?aae?aoe?eiiai iioiaeaeaiiy oa ?ioeo oaeoi??a ?eceeo, noa? i/aaeaeiith
eeoa a inoaii? ?iee (Ni?aeaiei TH.I. oa ni?aaao, 1992; A.A. ?iiaiaiei e
niaao., 1992; Oaeyaea ?.A. oa ni?aaao., 1992; O.A. Aaeiieay e niaao.,
1996).

Iaea?eueo ii?ii?iaiith oa iaei??th c iae/enaeuei?oeo eaoaai??e
ianaeaiiy, ui iioa?i?ea a?ae aaa??? ia *i?iiaeeuenuee?e AAN (*AAN), ?
o/anieee e?ea?aeaoe?? ?? iane?aee?a — “e?ea?aeaoi?e”, iniaeeai o? c ieo,
ooi aoa i?e/aoiee aei ?ia?o o ea?oi?-o?aai? 1986 ?ieo, a oaeiae i?ioyaii
onueiai ia??iaeo aei caaa?oaiiy aoae?aieoeoaa ia’?eoo “Oe?eooy” — aanie
1987 ?ieo (A.A. Aa?ueyooa? e niaao., 1995).

Oi?eaeuei?noue aeieia?/ii? neooaoe??, eio?a aeieeea aiane?aeie
eaoano?ioe ia *AAN, iieyaa? o ii?aeiaiiio aieeaia? ia i?aai?ci ethaeeie
ye ciai?oiueiai, oae ? aioo??oiueiai ii?ii?iaiiy, i?e/iio ?iaaeyoe?y
?aae?iioee?ae?a ? iaeiei c iniiaieo oeyo?a ?o ?iei?ii?oaaiiy. A iaaeao
30-e?eiiao?iai? ciie iaaeiei noaioe?? aioo??oi? ii?ii?iaiiy iaoiiaeaia
iaeaea aeeeth/ii aaeeoaiiyi aa?icie?a ?aae?iaeoeaieo ?a/iaei (A.E. Iiiia
e ciaao., 1991; A.O. O?ou, e niaao., 1988, Sali D. Et al, 1996).

Iciaee eiia?iiaaiiai ?aae?aoe?eiiai o?aaeaiiy i?aai?a aeeoaiiy aaeueie
??ciiiai?oi? ? i?iyaeythoueny, a iniiaiiio, o a?aeaeaeaiee ia??iae, a
ca’yceo c /ei ee?i?/i? neiioiie iioeiaeaeaiiy eaaaiaai? oeaieie oa
a?iio?aeueiiai aea?aaa a?aenooi? i?ioyaii o?eaaeiai /ano (A.A. Aiaei,
1990; R.L.Cowie et al., 1990; V.K. Ivanov et al., 1998).

Ee?i?ei-ai?aeai?ieia?/ia ianoaaeaiiy in?a, ye? a?aee o/anoue o
e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN, na?ae/eoue, ui iaoieia?y i?aai?a
aeeoaiiy iin?aea? ia?oa i?noea a no?oeoo?? caaaeueii? caoai?thaaiino?
icia/aiiai eiioeiaaioo ianaeaiiy (E.E. Aeaaeaiei, A.E.O?oiia., 1992;
E.A. Aea?aeeineay e niaao., 1994; I.N.Aioiiia, I.TH. Nooeiaa, O.A.,
1996). Inoaii?i /anii ca?eueoeeanue ieoiia aaaa o?ii?/ieo oi?i o?aaeaiue
a?iioieaaaiaai? nenoaie, ia?aaeon?i — o?ii?/iiai a?iio?oo (OA) ?
a?iio?aeueii? anoie (A.A.Aocoiia e niaao., 1993). A?aoiaoth/e
?iciianthaeaeai?noue a?iioieaaaiaai? iaoieia?? na?aae e?ea?aeaoi??a
iane?aee?a *i?iiaeeuenueei? eaoano?ioe, Aioiiia I.N. oa ni?aaao. (1996),
A.A. Eaoeia oa ni?aaao. (1998) aeacothoue ia iaiao?aei?noue iiaeaeueoiai
iaoeiaiai aea/aiiy oa aeoeaiiai i?iaaaeaiiy eiiieaenieo i?aaeiaoieo
i?io?eaeoe/ieo caoiae?a uiaei iioa?i?eeo.

Ca ?acoeueoaoaie iayaieo aeine?aeaeaiue aecia?oueny oaeo ?nioaaiiy a
in?a, ui i?aeiaee i?ae ae?th ?aae?aoe??, caoai?thaaiue a?iioieaaaiaai?
nenoaie, yeei i?eoaiaii? iaai? ee?i?ei-ii?oieia?/i? iniaeeaino? (A.ss.
Aecthaeee e niaao., 1991; A.A. Aaaaoei e niaao., 1991; E.A. E?y/ie,
1992; A.N.Oea/eoei, 1993; TH.?. Oauaiei oa ni?aaao., 1996, A.A. *o/aeei,
1993, 1996; A.A. Nooei e niaao., 1989, 1995, 1998; A.I. Oa?auaiei e
niaao., 1994, 1998), cie?aia noa?o?noue ee?i?/ii? ea?oeie,
?aoeeaeeaoth/ee ia?aa?a c iaae?acieie caaino?aiiyie, iano?oeoeaiee oei
ii?ooaiue ooieoe?? ciai?oiueiai aeeoaiiy, iciaee ao?io?? neeciai?
iaieiiee a?iio?a, ae?aci? aaaaoaoeai? ?iceaaee, ii?ooaiiy ?ioiiiai
noaoono.

Iaeiae, i?eaaaeai? aeai? aacothoueny ia iaeii?aciaeo aeine?aeaeaiiyo,
oiae? ye i?ieiiaiaaiee aiae?c, ui aeicaieea ae i?inoaaeeoe a?aeno?i/ai?
iane?aeee aieeao “/i?iiaeeuenueeiai oaeoi?o”, a?aenooi?e. Iaiao?aei?noue
eiai cae?eniaiiy i/aaeaeia ? aeeeoo?oueny iiieoii ye i?aeoe/ii? ioi?iie
caei?ia’y, oae ? oai?aoe/ii? iaaeeoeeie.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie, ieaiaie ?iaioe
onoaiiae-aeeiiaaoey

?iaioa aeeiiaia o iaaeao iaoeiai? oaiaoeee ?inoeoooo ee?i?/ii?
?aae?ieia?? IOe?I AII Oe?a?ie “?ic?iaea nenoaie caoiae?a uiaei
i?io?eaeoeee oa e?eoaaiiy in?a, ye? iino?aaeaeaee aiane?aeie aaa??? ia
*i?iiaeeuenuee?e AAN”, ? aea?ae?a?no?aoe?? 0196U010101.

Iaoa ?iaioe

Aecia/eoe ee?i?ei-ii?oieia?/i? iniaeeaino? ia?aa?ao o?ii?/iiai a?iio?oo
a o/aniee?a e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe aeey
iaa?oiooaaiiy i?eioeei?a ?aoe?iiaeueii? e?eoaaeueii? oaeoeee.

Caaaeaiiy aeine?aeaeaiiy:

1. Aea/eoe iniiai? ee?i?/i? iieacieee o?ii?/iiai a?iio?oo a o/aniee?a
e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe caeaaeii a?ae
o?eaaeino? caoai?thaaiiy.

2. Aecia/eoe iniaeeaino? aiaeineii?/ii? ea?oeie o?ii?/iiai a?iio?oo o
in?a, ui caciaee ?aae?aoe?eiiai aieeao aiane?aeie aaa??? ia
*i?iiaeeuenuee?e AAN.

3. Ia i?aenoaa? iaoiii?oieia?/iiai aeine?aeaeaiiy noaio neeciai?
iaieiiee a?iio?a o oai?eo ia o?ii?/iee a?iio?o o/aniee?a e?ea?aeaoe??
iane?aee?a *i?iiaeeuenueei? eaoano?ioe aea/eoe no?oeoo?ia i?aea?oioy
iaoiii?oico caoai?thaaiiy.

4. Aecia/eoe i?eioeeie ?aoe?iiaeueii? e?eoaaeueii? oaeoeee uiaei oai?eo
ia o?ii?/iee a?iio?o, ye? i?eeiaee o/anoue o e?ea?aeaoe?? iane?aee?a
aaa??? ia *i?iiaeeuenuee?e AAN.

Iaoeiaa iiaecia ?iaioe. Aia?oa i?iaaaeaii o?eaaea niinoa?aaeaiiy ca
noaiii a?iioieaaaiaai? nenoaie c aeei?enoaiiyi eiiieaeno ee?i?/ieo,
ooieoe?iiaeueieo, aiaeineii?/ieo oa ii?oieia?/ieo iaoiae?a aiae?co a
in?a, ye? a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN oa
caoai??ee ia o?ii?/iee a?iio?o a ia??iae aai iaeaeeae/ei /anii i?ney
aeeiiaiiy i?neyaaa??eieo ?ia?o. Aeyaeai? iniaeeaino? ia?aa?ao
caoai?thaaiiy o iaoe??io?a, ui caciaee aieeao ?aae?aoe?? —
a?ii?aaeoeai?noue caaino?aiue, a?eueo no?ee? ii?ooaiiy a?iio?aeueii?
i?io?aeiino?, iayai?noue noiooi?o oai?ia, iecueea aeoeai?noue
aiaeia?iio?oo ia oii? ae?aaeaieo neea?ioe/ieo ci?i neeciai? iaieiiee
a?iio?a. Aia?oa i?eaaaeai? na?ae/aiiy uiaei no?oeoo?iiai i?aea?oioy
a?aei?iiinoae ee?i?/ii? neiioiiaoeee o oai?eo, eio?? caciaee
?aae?aoe?eiiai aieeao, yea aecia/a?oueny ii?ooaiiyie ?aaaia?aoe??,
iaoieia??th i?e?ioee?eoeyoe??, o?ainoi?iiaaiei o?a?eeiaaiacii,
iniaeeainoyie o?ii?caoe?? caiaeaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Iayai?noue ci?iaiiai
ia?aa?ao o?ii?/iiai a?iio?oo a in?a, ye? iino?aaeaeaee aiane?aeie
*i?iiaeeuenueei? eaoano?ioe, aeiaaa? ia?aaeyaeo ie?aieo iieiaeaiue
ae?aaiinoe/ii? oa e?eoaaeueii? oaeoeee o icia/aiiai eiioeiaaioo
iaoe??io?a. Aeioe?eueii i?iaiaeeoe ui??/i? aeeniaina?i? iaeyaee oe???
eaoaai??? oai?eo c aeeth/aiiyi a?iioineii?? ? ii?oieia?/iiai aiae?co
a?iioia?iioao?a. I?e cae?eniaii? aiaeineii?/iiai ianoaaeaiiy iaiao?aeii
a?aoiaoaaoe, ui aeeaiea caiaeueii-aeeno?io?/ia ? neea?ioe/ia
ooeiaeaeaiiy a?iio?aeueii? no?iee ii?aeio?oueny c iecueeith aeoeai?noth
caiaeueiiai i?ioeano o neecia?e iaieiioe? a?iio?a. Aeine?aeaeaiiy
a?iioao?a ia?aaeaa/a? ia?ciai?noue c iniaeeainoyie no?oeoo?ieo i?iya?a
OA o iaoe??io?a-e?ea?aeaoi??a. Oaeaeea i?ia?anoaaiiy caoai?thaaiiy c
aeeaieei o?aaeaiiyi a?iio?a iio?aao? i?iaaaeaiiy aeoeaiiai, ?aaoey?iiai
iaaeeeaiaioiciiai e?eoaaiiy c aeei?enoaiiyi aaoa-2-aaii?no?a,
aioeoie?ia?a?/ieo i?aia?ao?a, aaciaeoeaieo cania?a, ?ioiiiiaeoethth/i?
oa caaaeueiici?oeithth/i? oa?ai??.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii naiino?eii iaa?oioiaaia
aeooaeuei?noue i?iaaaeaiiy aeine?aeaeaiiy, eiai iaoa, caaaeaiiy,
i?iaiae?ciaaii iaoeiao e?oa?aoo?o, noi?iiaaii a?oie niinoa?aaeaiiy.
Iniaenoi aeena?oaioii cae?eniaii ee?i?/ia, ooieoe?iiaeueia ianoaaeaiiy,
i?iaaaeaii e?eoaaiiy a?eueoino? iaoe??io?a. Ii?oieia?/ia aea/aiiy
a?iioia?iioao?a aeeiiaii a ?inoeooo? aeieia?/ii? iaoieia?? ethaeeie
(aee?aeoi? — ae.i.i. A.I. Oa?auaiei). Naiino?eii cae?eniaiee aiae?c oa
c?noaaeaiiy ??cieo a?aeaaeoaeaiue aeine?aeaeaiiy c ?o noaoenoe/iei
ii?aoethaaiiyi, a oaeiae iaienai? an? ?icae?ee aeena?oaoe?? ?
noi?ioeueiaai? aeniiaee.

Aaoi? aeneiaeth? ue?o iiaeyeo ae.i.i. A.I. Oa?auaiei ca iaoeiaa oa
i?aeoe/ia ea??aieoeoai o aeeiiaii? iaoiii?oieia?/iiai aoaio
aeine?aeaeaiiy, an?i eieaaai, ye? ni?eyee aeeiiaiith aeena?oaoe?eii?
?iaioe, cie?aia, i?ia?aeiiio iaoeiaiio ni?a?ia?oieeia? a?aeae?eo
oa?ai??, e.i.i., n.i.n. A.I.Nooei ca aeiiiiiao o cae?eniaii?
aiaeineii?/iiai aeine?aeaeaiiy o?aoaia?iio?aeueiiai aea?aaa, a?oi?
iaoiii?oieia?a ?inoeoooo aeieia?/ii? iaoieia?? ethaeeie, cie?aia, e.a.i.
Naaaae? O.I. oa Iieyeia?e A.I., a oaeiae e.i.i. E?y/eo ?.A.

Ai?iaaaeaeaiiy a i?aeoeeo. Io?eiai? aeai? aeei?enoiaothoueny a
iianyeaeaii?e ee?i?/i?e ae?yeueiino? a?aeae?eaiiy oa?ai?? ?inoeoooo
ee?i?/ii? ?aae?ieia?? (?E?) IOe?I AII Oe?a?ie, a oaeiae o ?iaio?
i?ae?icae?e?a ?inoeoooo aeieia?/ii? iaoieia?? ethaeeie (?AIE).
?acoeueoaoe aeine?aeaeaiiy oaeiae cai?iaaaeaeai? o ae?yeuei?noue
i?io?eueieo onoaiia nenoaie ioi?iie caei?ia’y Oe?a?ie oeyoii aeaeaiiy oa
?ioi?iaoe?eiiai eenoa: “Iniaeeaino? a?iioiaiaeineii?/iiai aeine?aeaeaiiy
o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN, oai?eo ia o?ii?/i?
ianiaoeeo?/i? caoai?thaaiiy eaaaiue”, 1998.

Ai?iaaoe?y ?iaioe ?acoeueoaoe iaoeiaiai iiooeo iaiaeii?aciai
iaaiai?thaaeenue ia i?aeoe/ieo eiioa?aioe?yo a?aeae?eaiiy oa?ai?? ?E?
IOe?I AII Oe?a?ie (1992 — 1997 ?.?.), ia iaoeiaeo nai?ia?ao ?inoeoooo
aeieia?/ii? iaoieia?? ethaeeie (1992 — 1998 ?.?.), a oaeiae aeeeaaeai? ?
iaaiai?ai? ia iaoeia?e eiioa?aioe?? “Aeooaeueiua i?iaeaiu eeeaeaeaoeee
iaaeeoeeineeo iineaaenoaee aaa?ee ia *a?iiaueueneie AYN, a. Eeaa, 1992
a.”, IV I?aeia?iaei?e iaoeiai-oaoi?/i?e eiioa?aioe?? «Eoiae 8 eao ?aaio
ii eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN”, Caeaiue iun, 1994 a.”,
Oe?a?inueeiio eiia?an? ?aaeiieiaia (i. Ee?a, 1995 ?.). ?iaioo ai?iaiaaii
ia can?aeaii? A/aii? ?aaee ?inoeoooo ee?i?/ii? ?aae?ieia?? IOe?I AII
Oe?a?ie.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 9 ?ia?o, cie?aia,
2noaoo? o i?ia?aeiiio aeo?iae? naiino?eii, 2 noaoo? o ca??eao iaoeiaeo
i?aoeue, ?aeiiaiaeiaaieo AAE Oe?a?ie.

Ianya oa no?oeoo?a aeena?oaoe??.

Aeena?oaoe?y iaienaia ca caaaeueiii?eeiyoith noaiith ? aeeeaaeaia ia 168
coi??ieao iaoeiiieno, neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e,
oa?aeoa?enoeee iaoa??aeo oa iaoiae?a aeine?aeaeaiiy, 4 ?icae?e?a ca
?acoeueoaoaie aeaniiai iaoeiaiai iiooeo, caeeth/aiiy, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo aeei?enoaii? e?oa?aoo?e, ui iae?/o?
205 aeaea?ae. ?ethno?iaaia 31 oaaeeoeath, 10 ?enoieaie, 22 oioia?ao?yie.

CI?NO ?IAIOE

Ia’?eo oa iaoiaee aeine?aeaeaiiy

Aeey aea/aiiy ?aae?aoe?eiiai aieeao ia ia?aa?a OA ai?iaeiaae 1989 — 1997
??. aoei aeaoaeueii ianoaaeaii 340 oai?eo: 250 o/aniee?a e?ea?aeaoe??
iane?aee?a aaa??? (EIA) ia *i?iiaeeuenuee?e AAN 1986-1987 ??. (iniiaia
a?oia), oa 90 oai?eo ia OA aac ?aae?aoe?eiiai aieeao a aiaiiac?
(eiio?ieueia a?oia).

Ianoaaeaiiy oa e?eoaaiiy iaoe??io?a — o/aniee?a EIA ? 35 (38,9%) in?a
iicieia?/iiai eiio?ieth i?iaiaeeeinue o oa?aiaaoe/iiio a?aeae?eaii?
?inoeoooo ee?i?/ii? ?aae?ieia?? iaoeiaiai oeaio?o ?aae?aoe?eii?
iaaeeoeeie AII Oe?a?ie o 1988-1997 ??. ?aooo iicieia?/iiai eiio?ieth
neeaee ?io? oai?? ia OA, a naia: 1) aeeoae? i?noa Ee?aa, ye?
ciaoiaeeeenue ia e?eoaaii? o oa?aiaaoe/iiio a?aeae?eaii?
Iaoeiai-ae?iaie/iai oeaio?o “Oi?aeaeueia o??o?a?y oa ioeueiiiieia?y” —
30 (33,3 %) in?a, 2) a?enueeiaineoaeaiaoe?, ui e?eoaaeenue o
ioeueiiiieia?/iiio a?aeae?eaii? Aieiaiiai ee?i?/iiai aini?oaeth II
Oe?a?ie — 25 (27,8 %) iaoe??io?a.

Iaiao?aeiith oiiaith aeiai?o iaoe??io?a iaio a?oi aoea a?aenooi?noue a
aiaiiac? caoai?thaaiue a?iioieaaaiiai? nenoaie aei aaa??? ia *AAN oa
?a?no?oaaiiy iai?oanoaoe?? OA o ia??iae ia?aaoaaiiy a cii? *AAN aai
iaeaeeae/ei i?ney o/ano? a EIA /anii (aeey o/aniee?a EIA) ? aeieeiaiiy
OA i?ney 1986 ?ieo aeey in?a eiio?ieueii? a?oie. Aea/aee iniaeeaino?
ia?aa?ao OA caeaaeii a?ae o?eaaeino? caoai?thaaiiy: 1 — 5 ?ie?a (?
iniiaia a?oia oa ?a eiio?ieueia) ? 6 — 10 ?ie?a (?? iniiaia oa ??a
eiio?ieueia).

Na?aae ianoaaeaieo in?a ? iniiaii? a?oie ia o?ii?/iee iaiano?oeoeaiee
a?iio?o (OIA) no?aaeaeaei 58 iaoe??io?a (64,4 %), ia o?ii?/iee
iano?oeoeaiee a?iio?o (OIA) — 32 iaaeoaeeo (35,6 %). O/anieee EIA ??
a?oie ia?aaaaeii oai??ee ia OIA — 134 aeiaaeee (83,7 %), oiae? ye OIA
ae?aaiinooaaany o 26 in?a (16,3 %). O ?a eiio?ieuei?e a?oi? OIA
aa?eo?eiaaiee o 57,2% iaoe??io?a, OIA a?aeiia?aeii — 42,8%. A?eueo?noue
oai?eo ??a eiio?ieueii? a?oie neeaaeaee iniae c OIA — 54,2 %, ia OIA
no?aaeaeaei 45,8 % iaoe??io?a. Ca a?eiaith a?aeiia?aei?noth, noaooth
(ianoaaeoaaeenue eeoa /ieia?ee) iniiai? oa eiio?ieuei? a?oie ye oai?eo
ia OIA, oae ? oai?eo ia OIA, aoee c?noaai? i?ae niaith. Oea i?aaii??ii ?
uiaei e?eueeino? in?a, ye? eo?eee, a oaeiae noaaeo oa ?ioaineaiino?
cae/ee.

Aeieoiaioiaai? aeicia? iaaaioaaeaiiy a a?oiao niinoa?aaeaiiy
ciaoiaeeeenue o ae?aiacii? 0,04 Ca — 1,5 Ca.

Ianoaaeaiiy an?o oai?eo i?iaiaeeeinue a oiiaao noaoe?iia?o i?ae /an
caaino?aiiy caoai?thaaiiy ? aeeth/aei iaeyae, ia?eon?th,
aoneoeueoaoe?th, caaaeueiee oa a?io?i?/iee aiae?ce e?ia?,
?aioaaiia?ao?th i?aai?a a?oaeii? ee?oee, aeine?aeaeaiiy ooieoe??
ciai?oiueiai aeeoaiiy (OCAe), a?iioio?a?ineii?th (AON), ii?oieia?/iee
aiae?c a?iioia?iioao?a.

Aeine?aeaeaiiy iieaciee?a OCAe cae?eniaii ca aeiiiiiaith
“Iie?aiae?caoi?a 5-A”, “Iiaaiioaoiiao?a” c ?ic?aooieii iieaciee?a
ni??ia?ao?? oa e?eai? “iio?e — ia’?i” oi?niaaiiai aeaeeoo.
I?iaiae?ciaaii oae? iieacieee ye: aeeoo?aa ?ii?noue eaaaiue (AE?E),
oi?niaaia aeeoo?aa ?ii?noue eaaaiue (OAE?E), ia’?i oi?niaaiiai aeaeeoo
ca ia?oo naeoiaeo (IOA1), i?eiaa oaeaee?noue aeaeeoo (IOA), ieoo?a?
iaeneiaeuei? oaeaeeino? oi?niaaiiai aeaeeoo ia ??ai? 75, 50, oa 25%
oi?niaaii? aeeoo?ai? ?iiino? eaaaiue (IIO25, MIO50, MIO75 a?aeiia?aeii).

?acoeueoaoe ioe?ithaaee o a?aenioeiaiio a?aeiioaii? aei iaeaaeieo
aaee/ei, ?ic?iaeaieo P. Kristufek at all (1976), ?.O. Eeaiaioii oa
ni?aaaoi?aie (1984; 1986), ui aeicaieyei aecia/aoe iayai?noue oa
nooi?iue ii?ooaiue OCAe.

Noai neeciai? iaieiiee a?iio?a aea/aee i?ae /an a?iioio?a?ineii?? ca
aeiiiiiaith a?iioineiia o??ie “Olympus” BF-10 (ssiii?y). Ianoaaeaiiy
i?iaiaeeeinue i?ney iiia?aaeiuei? i?aiaaeeeaoe?? ca caaaeueiii?eeiyoith
iaoiaeeeith i?ae i?noeaaith aianoac??th 2% ?ic/eiii e?aeiea?io. Nooi?iue
caiaeaiiy aecia/aee ca J. Lemoine (1971), ca oa?aeoa?ii caiaeaiiy
neeciai? iaieiiee aeae?eyee eaoa?aeueio, eaoa?aeueii-neea?ioe/io oa
neea?ioe/io (Aa?anei A.I., 1984), a ca oeiii o?aaeaiiy neeciai? iaieiiee
— ao?io?/io, a?ia?ieanoe/io oi?ie (*a?iaoianeay I.A., 1989). Aeeiioaaee
i?yio a?iin?th neeciai? iaieiiee ia ??ai? naaiaioa?ieo oa
noanaaiaioa?ieo a?iio?a ia?aaaaeii c? oii? noanaaiaioa?ieo a?iio?a
ieaeiuei? aeie? i?aai? eaaai?.

A?iioaoe o?enoaaee o 10 % iaeo?aeueiiio oi?iae?i? ? aiooaaee
i?e?ii?aia?aoe ca caaaeueiii?eeiyoith iaoiaeeeith. Aeei?enoiaoaaee
iaeyaeia? a?noieia?/i? (caaa?aeaiiy aaiaoienee?iii oa aiceiii, iaoiae
aai A?ciia), a?noio?i?/i? (PAS-?aaeoe?y ca Iae-Iaionii, caaa?aeaiiy
oieo?aeeiiaei-nei?i, eiiai /a?aiiei, aaioe?aiiaei o?ieaoiaei, iaoiaeeee
ISA oa Iaeei??) iaoiaee. A ie?aieo aeiaaeeao i?iaiaeeee
aeaeo?iiiii?e?ineii?/iee aiae?c a?iioao?a. Aeey oeueiai oiaoi/ee oeaieie
o?enoaaee o 2,5 % ?ic/ei? aeooa?aeueaeaa?aeo, aeio?eniaoaaee a 1 %
?ic/ei? /ioe?eieeno ii?th, ciaaiaeithaaee o nie?oao ? caio?thaaee a
aiii. Oeueo?aoiie? c??ce caaa?aethaaee o?ai?eaoeaoaoii ? oeeo?aoii
naeioeth ? aea/aee ca aeiiiiiaith aeaeo?iiiiai i?e?ineiia EM -400T
(Philips).

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy

Ianoaaeai? iaoe??ioe i?ae /an ia?aaoaaiiy a cii? *AAN a?ae/oaaee
iiae?aciaiiy a ai?e? o na?aaeiueiio o (40,2 + 1,4) % aeiaaeeao,
iacaeaaeii a?ae oi?ie OA. Nooee eaoaeue, i?ae /an aeeiiaiiy
i?neyaaa??eieo ?ia?o aeinoia??ii /ano?oa aeieeaa o oeo, ooi iio?i
caoai??a ia OIA (33,0 %). Oea aeicaieeei c?iaeoe i?eiouaiiy uiaei a?eueo
ae?aaeaii? ?aaeoe?? ia ii?ii?iaiiy oeo iaoe??io?a, eiio c /anii aoa
anoaiiaeaiee ae?aaiic OIA. Aeii?oea e?ia? o oa?eioeii?, ca iaoeie
aeaieie, aoea aeiaie? ??aeeith nea?aith ? cono??/aeanue eeoa o 10
iaaeoaeeo, i?e/iio eeoa o oeo, eiio iio?i aoa aa?eo?eiaaiee ae?aaiic
OIA.

Anoaiiaeaii, ui o?ii?/iee a?iio?o a o/aniee?a EIA ia *AAN iai?oanooaaa o
96,8 % aeiaaee?a a ia?o? o?e ?iee a?ae iiiaioo eaoano?ioe — o ia??iae c
1987 aei 1989 ?ieo.

Aiae?c nea?a aeicaieea aeyaeoe, ui ?o e?euee?noue oa ae?aci?noue a
o/aniee?a EIA c?inoaee i?e o?eaaeiio niinoa?aaeaii? ye i?e OIA, oae ?
i?e OIA. Oa?aeoa? eaoeth c ??aeeiai oa ia??iaee/iiai, eio?ee aoa
iaea?eueo oa?aeoa?iei aeey ? a?oie e?ea?aeaoi??a, iaaoa c /anii
iino?eiiai oa?aeoa?o. Aiaeia?/i? aeai? aeyaeai? i?e aiae?c?
?ioaineaiino? eaoeth, yea caiaeii a?ae iacia/ii? aeinoia??ii noaea
iii??iith oa neeueiith. O oai?eo ia o?ii?/iee a?iio?o o/aniee?a EIA
iae/ano?oa (p < 0,05) eaoaeue aoa nooei aai noi?iaiaeaeoaaany aeae?eaiiyi i?ca?ii? e?eueeino? oa?eioeiiy, iaeiae c ia?aa?aii /ano aeinoia??ii ca?eueooaaeanue e?euee?noue in?a, ui nea?aeeeenue ia aeae?eaiiy neeciaiai aai neeciai-ai?eiiai oa?eioeiiy, oi/a ? aeinoia??ii iaioa, i?ae o a?aeiia?aei?e eiio?ieuei?e a?oi?. ?ioaineai?noue caaeooe o oai?eo - o/aniee?a EIA c /anii ca?eueooaaeanue. E?euee?noue iaoe??io?a ?? iniiaii? a?oie, oai?eo ia OIA, ye? nea?aeeeenue ia neeueio caaeooo, aeinoia??ii c?inea, oiae? ye e?euee?noue oai?eo, eiai oo?aoaaea iacia/ia caaeooa, aeinoia??ii ciaioeeanue (p < 0,05). Cia/ia e?euee?noue oai?eo - o/aniee?a EIA a?aecia/aea aenoaioeueiiiaeuei? nea?ae ia iino?eiee aai ia??iaee/iee aieiaiee a?eue (87,3 %), eieeaaiiy a?oa??aeueiiai oeneo (79,1 %), caiaii?i/aiiy (41,8 %), ii?ooaiiy nio (21,5 %). O oai?eo eiio?ieueii? a?oie oe? nea?ae aeieeaee cia/ii ??aeoa: aieiaiee a?eue, iino?eiee aai ia??iaee/iee cono??/aany o 44,7 % iaaeoaeeo (??cieoey i?ae ?? a?oiith oa eiio?ieueiith a?oiith aeinoia??ia, ? < 0,01). Ca ?acoeueoaoaie ia’?eoeaiiai ianoaaeaiiy anoaiiaeaii, ui o?eie i?ae /an aoneoeueoaoe?? niinoa??aaeenue o iaoe??io?a - o/aniee?a EIA, oai?eo ia OIA, aeinoia??ii ??aeoa, i?ae o in?a eiio?ieueii? a?oie - 18,8 % i?ioe 25,0 % i?e o?eaaeino? iaaeoae 1-5 ?ie?a oa 19,4 % i?ioe 53,8 % - 6-10 ?ie?a). Aeieeaee ?ica?aeiino? uiaei o?ceeaeueieo aeaieo o in?a, ye? caciaee ?aae?aoe?eiiai aieeao, ii??aiyii c eiioeiaaioii oai?eo, eio?? ia i?aeiaee i?ae ae?th ?ii?coth/iai ii?ii?iaiiy. Oae, o?eie, ye? niinoa??aaeenue o iaoe??io?a - e?ea?aeaoi??a, aoee iaeicao/ieie, aeneooiaoaaeenue a iniiaiiio i?e oi?niaaiiio aeaeeoo. O ia?o? i’youe ?ie?a caoai?thaaiiy o?eie, ye i?e OIA, oae ? i?e OIA, a o/aniee?a EIA ia?aaaaeii ia aeyaeyeenue. Caaino?aiiy OA o a?eueoino? iaoe??io?a ia noi?iaiaeaeoaaeenue i?aeaeuaiiyi oaiia?aoo?e o?ea, o ?aooe iaoe??io?a oaiia?aoo?a i?aeaeuoaaeanue aei noaoaa?eeueii?. ?acoeueoaoe caaaeueiiee?i?/ieo eaai?aoi?ieo aeine?aeaeaiue, a naia, a?aenooi?noue i?aeaeuaiiy oaeaeeino? cn?aeaiiy a?eo?ioeeo?a oa iaeo?io?eueiiai c?ooaiiy eaeeioeeoa?ii? oi?ioee o ia?aaaaeii? a?eueoino? oai?eo iniiaieo a?oi, i?aeoaa?aeaeoaaee a?ii?aaeoeai?noue caaino?aiue. E??i oiai, o ianoaaeaieo iaie iaoe??io?a-e?ea?aeaoi??a a?aecia/aeenue iii??ia a?iiaeueaoi?iai?y oa a?ia?aaiaaeiaoe?iai?y, ui na?ae/eei i?i o?ii?caoe?th i?ioeano. Aeine?aeaeaiiy OCAe aeicaieeei anoaiiaeoe, ui ??aaiue ?? iieaciee?a o oai?eo ia OIA on?o a?oi ia aeoiaeea ca ?aiee ii?iaeueieo cia/aiue. Iaeiae, i?e aeeiai?/iiio niinoa?aaeaii? o iaoe??io?a - o/aniee?a EIA aeyaeyeinue aeinoia??ia ciaioaiiy i?aeoe/ii on?o iieaciee?a, ui aea/aeenue, i?e/iio iaaaaaoi ae?aci?oa i?e o?eaaeino? caoai?thaaiiy a?ae 6 aei 10 ?ie?a. E??i oiai, a aeai?e a?oi? oai?eo ??aaiue AE?E, ye ? ??aaiue IOA1, aoee aeinoia??ii iaioeie, i?ae o in?a iicieia?/iiai eiio?ieth. ?acoeueoaoe aeine?aeaeaiiy OCAe o oai?eo ia OIA e?ea?aeaoi??a i?e o?eaaeino? caoai?thaaiiy a?ae 1 aei 5 ?ie?a ia a?ae??ciyeenue a?ae iieaciee?a o eiio?ieuei?e a?oi?. I?e o?eaaeino? iaaeoae a?ae 6 aei 10 ?ie?a ??aaiue AE?E a o/aniee?a EIA aoa aeinoia??ii ieae/ei, i?ae o eiio?ie? - (65,6 + 2,7) % i?ioe (77,1 + 2,3) %. Iacaaaeath/e ia i?eaeecii iaeiaeiaa cia/aiiy IOA1 o e?ea?aeaoi??a oa o eiio?ieuei?e a?oi? - (56,2 + 1,9) % oa (59,8 + 2,3) % a?aeiia?aeii, ii?ooaiiy a?iio?aeueii? i?io?aeiino? aoee a?eueoa ae?aaeaieie o in?a iicieia?/iiai eiio?ieth, a ia o oai?eo ia OIA, ye? i?eeiaee o/anoue a EIA ia *AAN, ia ??ai? e?oiieo - IIO25: (27,7 + 2,1) % i?ioe (38,6 + 1,3) % o e?ea?aeaoi??a, na?aaei?o - IIO50: (27,6 + 1,7) % i?ioe (40,5 + 1,7) %, ae??aieo a?iio?a - IIO75: (32,8 + 1,2) % i?ioe (40,5 + 2,1) %. Nooi?iue a?iio?aeueii? iano?oeoe?? ca ??aiai IOA1, aecia/aii? o a?aeiia?aeiino? c ?aeiiaiaeaoe?yie Oiaeueiaa A.?. oa ni?aaao. (1997), aoa aiaeia?/iei o e?ea?aeaoi??a oa o iicieia?/iiio eiio?ie?. Ei?aeyoe?eiee aiae?c ia aeyaea caeaaeiino? ??aiy IOA1 a?ae ?iaeea?aeoaeueieo aeic ii?ii?iaiiy. Ne?ae i?aee?aneeoe, ui a o/aniee?a EIA a?iio?aeueia iano?oeoe?y o oe?eiio iineea a?eueo no?eeee oa?aeoa?, i?ae o in?a eiio?ieueii? a?oie. Aeey aecia/aiiy iai?ioiino? nooiaith a?iio?aeueii? iano?oeoe?? o a?aeiia?aeue ia e?eoaaiiy aeae?eai? i?aea?oie c 38 iaoe??io?a iniiaii? oa 24 - eiio?ieueii? a?oi i?e o?eaaeino? caoai?thaaiiy a?ae 6 aei 10 ?ie?a. Oa?ai?y aeeth/aea aeei?enoaiiy a?iioie?oe/ieo i?aia?ao?a, ioeie?oee?a, caaaeueiici?oeithth/eo cania?a i?ioyaii 18 aei?a. Aeo?aei? aeai? ??aiy a?iio?aeueii? i?io?aeiino? (iieacieee IOA1, MIO25, MIO50 MIO75) iaoe??io?a eiio?ieueii? a?oie aoee cia/ii a??oeie (? < 0,05), i?ae a o/aniee?a EIA. O ?acoeueoao? e?eoaaiiy a?aeaoeiny iie?auaiiy iieaciee?a a?iio?aeueii? i?io?aeiino? a on?o oai?eo. I?ioa, yeui o iaoe??io?a eiio?ieueii? a?oie cia/aiiy iieaciee?a, ui oa?aeoa?ecothoue a?iio?aeueio iano?oeoe?th, aeinoia??ii ca?eueooaaeenue, oi a o/aniee?a EIA aiie caeeoaeenue iaeaea oaeeie, ye aei ii/aoeo e?eoaaiiy. Aei oiai ae o e?ioe? e?eoaaiiy ??aaiue a?iio?aeueii? iano?oeoe?? a o/aniee?a EIA aoa aeinoia??ii a??oei, i?ae o eiio?ieuei?e a?oi? (??aaiue IOA1 aei??aithaaa a?aeiia?aeii (60,4 + 1,8) % a iniiai?e a?oi? i?ioe (66,3 + 2,3) % o eiio?ieuei?e). Ae?aaiic o?ii?/iiai a?iio?oo i?aeoaa?aeaeoaaany ?aioaaiieia?/ii o oai?eo o/aniee?a EIA aaea o ia?o? ?iee niinoa?aaeaiiy (? a?oia), aea eiai iciaee aoee anoaiiaeai? o 42,9 % iaoe??io?a. I?e o?eaaeino? caoai?thaaiiy a?ae 6 aei 10 ?ie?a i?aeoaa?aeaeaiee ca aeiiiiiaith ?aioaaiia?ao?? o?ii?/iee a?iio?o niinoa??aaany o 72,1 % o/aniee?a EIA oa o 60,5 % in?a eiio?ieueii? a?oie. E??i oiai, ?aioaaiieia?/ia aeine?aeaeaiiy i?aai?a a?oaeii? ee?oee aeyaeei ?icaeoie c /anii o iaoe??io?a-e?ea?aeaoi??a oaeeo oneeaaeiaiue o?ii?/iiai a?iio?oo ye aio?caia eaaaiue oa iiaaiineea?ic, i?e/iio a o/aniee?a EIA c o?eaae?noth caoai?thaaiiy a?ae 6 aei 10 ?ie?a oae? oneeaaeiaiiy cono??/aeenue aeinoia??ii /ano?oa, i?ae o eiio?ie?. Io?eiai? iaie aeai? i?i a?eueo /anoa aeyaeaiiy o e?ea?aeaoi??a aio?caie eaaaiue oa iiaaiineea?ico ocaiaeaeothoueny c ?acoeueoaoaie, io?eiaieie Oauaiei TH.?. oa ni?aaao. (1996); Ia?a/aaith A.A., Oaoa?nueeei A.?. (1996). Aea/aiiy no?oeoo?e noiooiuei? iaoieia?? oai?eo ia OA aeicaieeei anoaiiaeoe, ui o iaoe??io?a - o/aniee?a EIA ia?aa?a ye OIA, oae ? OIA noi?iaiaeaeoaaany iae?ioee?eoeyoi?iith aeenoii??th, a?ia?oii?/iith oai?iaith, o?ii?/iei aaiaoeoii aeinoia??ii /ano?oa, i?ae o i?aaenoaaiee?a eiio?ieueieo a?oi. C?noaaeaiiy /anoioe aeyaeaiiy noiooiuei? iaoieia?? o e?ea?aeaoi??a c oaeith o eiio?ie? aeicaiey? noaa?aeaeoaaoe, ui aaeeea e?euee?noue noiooi?o caoai?thaaiue ? iaei??th c iniaeeainoae ia?aa?ao o?ii?/iiai a?iio?oo a o/aniee?a e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe. Aiaeineii?/i? iciaee ci?i neeciai? iaieiiee o?aoa? oa a?iio?a iaoe??io?a - o/aniee?a EIA iaee oeiiao iai?aaeai?noue, aoee iiae?aieie o oai?eo ye ia OIA, oae ? ia OIA oa, caaaeii, a?aeiia?aeaee ea?oei? ao?io?/ii? oi?ie aiaeia?iio?oo o ia?aaaaeii? a?eueoino? oai?eo - o/aniee?a EIA ia *AAN. O ?acoeueoaoao aeine?aeaeaiue TH.?. Oauaiei oa ni?aaao. (1996) ia cao?eniaaii a?aei?iiinoae a aiaeineii?/i?e ea?oei? OA a o/aniee?a EIA ia *AAN oa in?a eiio?ieueii? a?oie. Iaie, i?ioa, aoee aeyaeai? aeaye? iniaeeaino?. Oae, ii??aiyeueiee aiae?c i?iya?a aiaeia?iio?oo a o/aniee?a EIA oa in?a eiio?ieueieo a?oi cana?ae/ea ao?e/? a?eueoo /anoioo a?ia?ai?e neeciai? iaieiiee a eiio?ie? (yne?aai-?iaeaaa aai /a?aiia caaa?aeaiiy), i?e/iio i?e OIA ca oe??th iciaeith aoee aeyaeai? aeinoia??i? ?ica?aeiino?. A a o/aniee?a EIA /ano?oa, i?ae o in?a eiio?ieueii? a?oie, i?inoaaeai? aeenoii?y a?iio?a, i?aee?aneai?noue neeaae/anoino?, iayai?noue niieo/ii-oeaieiieo ?oa/ee?a. Aiaeii/an o eiio?ieuei?e a?oi? /ano?oa aeyaeyee cia/io e?euee?noue nae?aoo neeciai-ai?eiiai aai ai?eiiai oa?aeoa?o, iniaeeai o a?oi? oai?eo c o?eaae?noth OA a?ae 1 aei 5 ?ie?a. A o/aniee?a EIA, oai?eo ia OIA, ye? neeaee ? a?oio, aeinoia??ii /ano?oa, i?ae o eiio?ie? cono??/aany aiaeia?iio?o 0 nooiaith caiaeaiiy - 43,8 % i?ioe 12,5 %. I?e o?eaaeino? a?iio?oo a?ae 6 aei 10 ?ie?a a o/aniee?a EIA 0 nooi?iue caiaeaiiy niinoa??aaany oaeiae aeinoia??ii /ano?oa, i?ae o a?aeiia?aei?e eiio?ieuei?e a?oi? - 35,1 % i?ioe 11,5 %, aea aeinoia??ii /ano?oa anoaiiaethaaee caiaeaiiy o?aoaia?iio?aeueiiai aea?aaa ?? nooiaith aeoeaiino? - 12,7 % i?ioe 30,8 %. ?acoeueoaoe aeine?aeaeaiiy oeio ci?i neeciai? iaieiiee a?iio?a, iacaeaaeii a?ae oi?ie OA, na?ae/eee i?i ia?aaaao eaoa?aeueii-neea?ioe/iiai aiaeia?iio?oo a o/aniee?a EIA ia *AAN, yeee niinoa??aaany o 53,7 % oai?eo ? oa o 56,7 % iaoe??io?a ?? a?oi. Aea, yeui o oai?eo c o?eaae?noth caoai?thaaiiy a?ae 1 aei 5 ?ie?a ae?aaiic eaoa?aeueiiai aiaeia?iio?oo aoa anoaiiaeaiee o 42,6 %, a neea?ioe/iiai eeoa o 3,7 % aeiaaee?a, i?e o?eaaeino? a?iio?oo a?ae 6 aei 10 ?ie?a o 1,5 ?ace ??aeoa ae?aaiinooaaany eaoa?aeueiee aiaeia?iio?o oa o 4 ?ace /ano?oa - neea?ioe/iee. E?euee?noue aeiaaee?a eaoa?aeueii-neea?ioe/iiai aiaeia?iio?oo aoea aeinoia??ii aeuith a o/aniee?a EIA, i?ae a in?a eiio?ieueii? a?oie. Oaeei /eiii, aiae?c aiaeineii?/ii? ea?oeie aeicaieea anoaiiaeoe, ui iae/ano?oa o oai?eo - o/aniee?a EIA cono??/a?oueny o?ii?/iee aeeoociee ? nooiaith caiaeaiiy noaao?io?/iee aiaeia?iio?o ?c eaoa?aeueii-neea?ioe/ieie ii?ooaiiyie neeciai? iaieiiee a?iio?a. Aeey o/aniee?a EIA, ui no?aaeaeathoue ye ia OIA, oae ? ia OIA, oeiiaee iecueeee nooi?iue aeoeaiino? aiaeia?iio?oo, o ii??aiyii? c eiio?ieai, ia oii? ao?io?? neeciai? iaieiiee, a oaeiae ae?aaeaia aeenoii?y a?iio?a, ? i?eoaiaiia iaaaeeea e?euee?noue nae?aoo a iniiaiiio neeciaiai aai neeciai-ai?eiiai oa?aeoa?o. Iaoiii?oieia?/iee aiae?c a?iioia?iioao?a o iaoe??io?a - o/aniee?a EIA, oai?eo ia OA, aeicaieea aa?eo?eoaaoe a neecia?e iaieiioe? a?iio?a o?ainoi?iiaai?noue ?aaaia?aoi?ieo i?ioean?a, nai???aei?noue o?aaeaiiy i?e?inoaeei, ii?ooaiiy o?a?eeiaaiaco oa iniaeeaino? o?ii?caoe?? caiaeaiiy. Niinoa??aaeinue ii?ooaiiy e?iaoeee ee?oeiieo ?aiiioeyoe?e ai?oae?th - aeyaeyeanue ye iaoieia?y i?ie?oa?aoe??, oae ? aeeoa?aioe?aoe?? ee?oei. ??ciiiai?oi? aeen?aaaia?aoi?i? ci?ie iiaa?oiaaiai ai?oae?th ii?aeioaaeenue c eiai aacaeueiiee?oeiiith a?ia?ieac??th. O ?aii?e ia??iae i?ney aaa??? aacaeueiiee?oeiia a?ia?ieac?y a?eueoa i?ae o 50 % niinoa?aaeaiue noi?iaiaeaeoaaeanue ieineiee?oeiiith iaoaieac??th iiaa?oiaaiai ai?oae?th a?iio?a. I?ney 1994 ?ieo iai?oanooaaea oa noa? oeiiaith a?e/anoiee?oeiia a?ia?ieac?y ai?oae?th. A?eeia? ai?oae?ioeeoe eeoa a ie?aieo niinoa?aaeaiiyo iaee ii?iaeueiee oe?e?a?iee aia?ao. Aiaeii/an, ie i?inoaaeoaaee aaeeeee niaeo? aoei?? inoaiiueiai: ceeooy ie?aieo a?eie o a?oie, a?aeoa?oaaiiy iiaa?oiaai? eooeeoee, aeaci?aai?caoe?th iii?ieo o?eaiaio?a ana?aaeei? a?eie, iie?ii?oi? oeeoiieaciaoe/i? aei’y/oaaiiy ia ai?eaeuei?e iiaa?oi? ee?oei. O a?eueoino? iaoe??io?a - o/aniee?a EIA c o?eaae?noth OA a?ae 1 aei 5 ?ie?a iaea i?noea iiaia ?aaeoeoe?y a?eie. Niinoa?aaeaiiy 1994 - 1997 ?ie?a aeyaeyee ? a?ia?ieac?th ee?oei, ? a?ia?o?io?th ?o a?eie oa i?e?iai?neiie, ui ia?aaeaa/a? (oi/a a /anoeiaa) iiiiaeaiiy ?o ooieoe??. O no?oeoo?? neeciaeo ee?oei e??i aiiiaaiieo, cono??/aeenue aaoa?iaaii? ca u?euei?noth a?aioee ? ciie nooo?aiai ou?eueiaiiy nae?aoo. I?ioyaii anueiai oa?i?io niinoa?aaeaiue aa?eo?eoaaeenue iioeiaeaeaiiy noaeei i?e?ioee?eoeyoi?iiai ?onea neeciai? iaieiiee a?iio?a. A in?a - o/aniee?a EIA c o?eaae?noth caoai?thaaiiy a?ae 1 aei 5 ?ie?a ia?aaaaeaee aeueoa?aoeai? i?ioeane c aeeaieith aeano?oeoe??th no?iie noaeei, o iaoe??io?a c o?eaae?noth OA a?ae 6 aei 10 ?ie?a - neea?ioe/i? ci?ie noaeei. O ia?aaaaeii? a?eueoino? iaoe??io?a-e?ea?aeaoi??a, ia a?aei?io a?ae iicieia?/iiai eiio?ieth, aeyaeyeenue neea?ic oa a?ae?iic ai?oae?aeueieo aacaeueieo iaia?ai c ?o aeaoi?iaoe??th, a oaeiae ?iciianthaeaeai? neea?ioe/i? i?ioeane o aeeaoeo oa?ao no?iie a?iio?a. Neea?ioe/i? i?ioeane o i’ycia?e ieanoeioe? noi?iaiaeaeoaaeenue ?? ao?io??th ? aiaieuaaith a?ia?o?io??th, a o i?aeneeciaiio oa?? - aeeno?io?/ieie, ao?io?/ieie ? eieaeueieie a?ia?ieanoe/ieie ci?iaie caeic. Ae?aci?noue neea?ico c /anii c?inoaea, i?e/iio neea?ioe/i? ci?ie, ca aeiyoeii ie?aieo oai?eo, aoee i?eoaiaii? iaeaea an?i iaoe??ioai ?? iniiaii? a?oie. No?oeoo?iee noano?ao o?ii?/iiai caiaeueiiai i?ioeano o neecia?e iaieiioe? a?iio?a iaoe??io?a-e?ea?aeaoi??a, ii??aiyii c oai?eie eiio?ieueii? iicieia?/ii? a?oie, oa?aeoa?ecoaaany iaioith ?ioaineai?noth caiaeueii-ee?oeiii? ?io?eueo?aoe??. O iaoe??io?a c o?eaae?noth caoai?thaaiiy a?ae 1 aei 5 ?ie?a ia?aaaaeaee e?ioioeeoe ? eaeeioeeoe, a i?e o?eaaeino? OA a?ae 6 aei 10 ?ie?a nooo?ai ca?eueoeeinue i?aaenoaaieoeoai eaa?ioeeo?a. Ia ei?enoue a?ii?aaeoeaiiai ia?aa?ao caiaeaiiy a in?a, ui caciaee aieeao ?aae?aoe??, na?ae/eoue caaaeii iecueeee ai?no a ?io?eueo?aoao ?ioiieiiiaoaioieo ee?oei. Aeaeici?ia ee?i?/ii? neiioiiaoeee, yea aeniiio? no?oeoo?i? iniaeeaino? ?iaeoeiaaii? iaoieia?? a?iio?a, a?aoiaiooaaea ia?aaeyae o?aaeeoe?eii? e?eoaaeueii? oaeoeee noiniaii oai?eo-e?ea?aeaoi??a. Noaie ?o e?eoaaiiy i?aeae?aeenue ?iaeea?aeoaeueii oa, a iniiaiiio, neeaaeaeenue c i?aia?ao?a oaeeo a?oi: aioeoie?ia?a?/i? caniae, b2-aaii?noe, iaoeeenaioeie, ioeie?oeee, aioeaaeoa??aeuei? caniae, aetheiei?oeeinoa?i?aee (nenoaii? aai ?iaaeyoe?ei?). A?aoiaoth/e iayai?noue noiooi?o caoai?thaaiue noaeeiiiai aaiaco (aaaaoinoaeeiii? aeenoii??, a?ia?oii?/ii? oai?iae), oe?iei canoiniaoaaee aaciaeoeai? i?aia?aoe, oae? ye iaioieneo?e?i, aeoiaaaei, nieeina?ee, a?oai?ii? eiiieaene. Ca iieacaiiyie aei e?eoaaeueiiai eiiieaeno aeeth/aee aeac?ioieneeaoe?ei? caniae, cie?aia ?aiiie?aethe?i. O aeayeeo aeiaaeeao (i?e iayaiino? ae?aaeaii? ?ioieneeaoe?? oa ai?eiiai oa?eioeiiy) i?iaiaeeee e?eoaaiiy aioea?ioe/ieie i?aia?aoaie, ia?aaaaeii iai?aneioaoe/ieie iai?oeee?iaie - aii?oeee?iii, aiieneoeee?iii oiui a aeic? 4 a ca aeiao , oeaoaeinii?eiaie - eaocieii, oeaoioaeneiii ii 3-4 a ia aeiao ai?iaeiaae 10 aei?a, a oaeiae iae?ie?aeieie aioea?ioeeaie - ?iaai?oeeiii ii 6-9 iei ca aeiao i?ioyaii 5 aei?a, ac?o?ii?oeeiii - ii 250-500 ia ai?iaeiaae 3-5 aei?a. A e?eoaaeueiiio eiiieaen? oe?iei canoiniaoaaee o?c?ioa?aiaaoe/i? iaoiaee. sseui ia?aa?a o?ii?/iiai a?iio?oo noi?iaiaeaeoaaany a?ia?oii?/iith oai?iaith aai aaaaoinoaeeiiith aeenoii??th, oi aei iueiai aeeth/aee eo?niaee i?eeii aioaaii?no?a Na++ - aa?aiai?eo ii 40 ia 2-3 ?ace ia aeaiue, ei?eioa?o ii 10ia 2-3 ?ace ia aeaiue, ea?ae?inaeaeoeaieo b-aeieaoi??a - aoaiieieo ii 40ia 2 ?ace ia aeaiue. I?ae /an aeienee ?c noaoe?iia?o oai?ei ?aeiiaiaeoaaee iiaoi?thaaoe i?ae?a?aiee aeey ieo eo?n e?eoaaiiy ia ??aeoa 2 ?ac?a ia ??e i?ae aeeniaina?iei iaaeyaeii ae?eueie/iiai oa?aiaaoa. Aeey iiaoi?iiai ianoaaeaiiy o a?aeae?eaii? oa?ai?? ?E? IOe?I iaoe??io?a aeeeeeaee ia ??aeoa iaeiiai ?aco a 2 ?iee. I?ae iaoei aeeiai?/iei iaaeyaeii - ai?iaeiaae 10 ?ie?a a?ae iiiaioo aaa??? - ia?aaoaaei 18 o/aniee?a EIA ia *AAN, ye? i?ioiaeeee ?aaoey?i? eo?ne e?eoaaiiy a ca’yceo c OIA. A?aoiaoaaee ?acoeueoaoe ia?aeiiiai ianoaaeaiiy (aei ii/aoeo eiiieaeniiai e?eoaaiiy), /a?ac 2 oa /a?ac 4 ?iee i?iaaaeaiiy oa?ai??. Aeaaiaaeoeyoa?i c oeeo iaoe??io?a ia ii/aoeo niinoa?aaeaiiy iaeaaeaee aei a?eiai? a?oie a?ae 30 aei 39 ?ie?a, oanoa?i - aei a?oie a?ae 40 aei 49 ?ie?a. O?eaae?noue caoai?thaaiiy o ieo ia ii/aoie niinoa?aaeaiiy noaiiaeea ia a?eueoa 5 ?ie?a. Naia?i oai?eo c iacaaii? a?oie i?ioiaeeee e?eoaaiiy o oa?aiaaoe/iiio a?aeae?eaii? 4 ?ace, a ?aooa (14 iaoe??io?a) - o?e/?. Eiio?ieue ca aoaeoeai?noth e?eoaaiiy aeeth/aa ioe?ieo aeeiai?ee nea?a (eaoeth, caaeeoee), ia’?eoeaiiai noaio, iieaciee?a OCAe eaaai?a, cie?aia aeeoo?ai? ?iiino? eaaaiue (AE?E) oa ia’?io oi?niaaiiai aeaeeoo ca ia?oo naeoiaeo (IOA1), a oaeiae noai neeciai? iaieiiee a?iio?a i?e a?iioiaiaeineii?/iiio ianoaaeaii? aei ii/aoeo e?eoaaiiy. Eaaeee nooi?iue oyaeeino? OIA aoa aeciaiee o ia?aaaaeii? a?eueoino? (72,2 %) iaoe??io?a, ?aooa - 27,8 % oai?eo iaee na?aaei?e nooi?iue oyaeeino? iaaeoae. O 3 (16,6 %) c 18 iaoe??io?a a?aecia/aee iiceoeaio aeeiai?eo, o 10 (55,6 %) aeyaeyee noaa?eueia naiiii/oooy, ia iia??oaiiy noaio nea?aeeeenue 5 (27,8 %) in?a. E??i o?aaeeoe?eii? oa?ai?? OIA, yea aeeth/aea aeei?enoaiiy ?iaaeyoe?eieo a?iioiaeeeaoaoi??a (ao?iaaioo, aa?iaeoaeo) ? ioeie?oee?a, 12 (66,7 %) iaoe??io?a io?eioaaee eo?ne oa?ai?? aaciaeoeaieie i?aia?aoaie aea?/? ia ??e. I?e iiaoaiiiio aiae?c? ??ai?a AE?E oa IOA1 aeinoia??ieo ?ica?aeiinoae aeyaeaii ia aoei, oi/a aoea i?enooiy oaiaeaioe?y cieaeaiiy ??aiy AE?E /a?ac 2 oa /a?ac 4 ?iee i?ney ii/aoeo niinoa?aaeaiiy. ??aaiue IOA1 oaae aeaui cieaeoaaany, oi/a e ia aeinoia??ii, a /a?ac 4 ?iee a?ae ii/aoeo e?eoaaiiy ia?aaeuoaaa iiia?aaei?e na?aaei?e iieaciee (/a?ac 2 ?iee). Aa?o/e aei oaaae iecueeee ??aaiue naiii/euaiiy a?iio?a o e?ea?aeaoi??a, oe?iei canoiniaoaaee a?iio?aeuei? naiaoe?? c i?iieaaiiyi a?iio?a ?cioii?/iei ?ic/eiii, iiia?aaeiuei i?ae?a??oei aei 37*N, c aiaeia?iio?aeueiei oaaaeaiiyi aioea?ioee?a (oeaoacie?io, eeaoi?aio) cai?noue /a?aiai? ia?aioa?aeueii? ?i’?eoe?? i?e eo?niaiio e?eoaaii?; eacieaaio aai aoeaoeeoeenoa?io. I?e/iio i?ioeaaeo?o iiaoi?thaaee a?ae 3 aei 5 ?ac?a c ?ioa?aaeii /a?ac aeaiue, a?aoiaoth/e nooi?iue i/euaiiy a?iio?a. I’yoe oai?ei c oeo, ooi io?eioaaa ieaiiao iaaee/io aeiiiiiao o a?aeae?eaii? oa?ai??, naaine naiaoe?eieo a?iioineii?e i?iaiaeeee ui?ieo (a ia??iae aini?oae?caoe?? oa aiaoeaoi?ii). An? aiie a?aecia/aee ciaioaiiy caaeeoee a?ae?aco i?ney i?ioeaaeo?e, iieaaoaiiy aeae?eaiiy oa?eioeiiy, iie?ioaiiy caaaeueiiai noaio. Ia??iaee ?ai?n?e OA i?e oae?e oaeoeoe? e?eoaaiiy o?eaaee a?ae 3 aei 6 i?nyoe?a. AENIIAEE 1. O ia?aaaaeii? a?eueoino? oai?eo ia o?ii?/iee a?iio?o - o/aniee?a e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe - caoai?thaaiiy iai?oanooaaei i?ioyaii o?ueio ia?oeo ?ie?a i?ney o/ano? o aeeiiaii? i?neyaaa??eieo ?ia?o. 2. Ia?aa?a o?ii?/iiai a?iio?oo a o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN oa?aeoa?eco?oueny a?ii?aaeoeai?noth caaino?aiue, yea i?iyaey?oueny a?aenooi?noth neiioii?a ?ioieneeaoe?? oa nenoaiieo iciae caiaeueiiai i?ioeano, iecueeith aeoeai?noth aiaeia?iio?oo, iaae?acieie ii?oieia?/ieie iciaeaie caiaeaiiy. 3. Aeeaie? ii?ooaiiy ?aaaia?aoe?? ai?oae?aeueieo ee?oei neeciai? iaieiiee a?iio?a oai?eo ia OA o/aniee?a e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe ee?i?/ii i?iyaeythoueny aeinoia??iei, o ii??aiyii? c iicieia?/iei eiio?ieai, ciaioaiiyi i?iaeoeoe?? oa aneaeaoe?? neeco. 4. I?e o?eaaeino? o?ii?/iiai iano?oeoeaiiai a?iio?oo iiiaae 5 ?ie?a o iaoe??io?a - o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN a?aecia/a?oueny aeniea /anoioa ?icaeoeo aio?caie eaaaiue oa iiaaiineea?ico, ui iia’ycaia c ?iciianthaeaeaieie neea?ioe/ieie i?ioeanaie a a?iio?aeuei?e no?ioe?, ye? ooiaeothoueny aeeaieeie ii?ooaiiyie i?e?ioee?eoeyoe??. 5. Aiaeineii?/ia ea?oeia o?ii?/iiai a?iio?oo o e?ea?aeaoi??a ia?aaaaeii a?aeiia?aea? ao?io?/i?e oi?i? c eaoa?aeueii-neea?ioe/iei oeiii ci?i neeciai? iaieiiee a?iio?a. Ca ?acoeueoaoaie iaoiii?oieia?/iiai aiae?co o?ii?caoe?y caiaeaiiy a neecia?e iaieiioe? ii?aeio?oueny c ii?ooaiiyie iaoai?ci?a i?noeaaiai caoenoo. 6. Aeaeici?io ee?i?/ii? neiioiiaoeee, caeiiii??iinoae ia?aa?ao oa iaoiii?oieia?/ieo oa?aeoa?enoee o?ii?/iiai a?iio?oo o in?a, ui i?eeiaee o/anoue o e?ea?aeaoe?? iane?aee?a *i?iiaeeuenueei? eaoano?ioe, ne?ae ?ioa?i?aooaaoe ye iaoiii?oic caoai?thaaiiy. 7. Iniaeeaino? ia?aa?ao o?ii?/iiai a?iio?oo oa iayai?noue noiooiuei? iaoieia?? noaeeiiiai aaiaco o iaoe??io?a, ye? a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN, iio?aaothoue ia?aaeyaeo o?aaeeoe?eii? e?eoaaeueii? oaeoeee. I?AEOE*I? ?AEIIAIAeAOe?? 1. O/anieee e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN, ye? no?aaeaeathoue ia o?ii?/iee a?iio?o, iio?aaothoue i?iaaaeaiiy ui??/iiai ianoaaeaiiy c aeine?aeaeaiiyi ooieoe?? ciai?oiueiai aeeoaiiy, a?iioio?a?ineii?? i?ae i?noeaaith aianoac??th. I?e cae?eniaii? a?iioio?a?ineii?? ne?ae a?aoiaoaaoe, ii?yae c iecueeei nooiaiai aeoeaiino? aiaeia?iio?oo, iae?iii?oieia?/i? i?iyae neea?ioe/ieo ci?i neeciai? iaieiiee a?iio?a. 2. Eo?n e?eoaaiiy oai?eo ia o?ii?/iee iano?oeoeaiee a?iio?o o/aniee?a EIA ia? aeeth/aoe aaoa-2-aaii?noe, aioeoie?ia?a?/i? i?aia?aoe, aaciaeoeai? caniae, aeacaa?aaaioe, ?ioiiiiaeoethth/o oa caaaeueiici?oeithth/o oa?ai?th, i?iaaaeaiiy naiaoe?e o?aoaia?iio?aeueiiai aea?aaa. Ia?ae?e ioae?eaoe?e ii oai? aeena?oaoe?? 1. Oaaeei E.?. Ia?aa?a o?ii?/iiai a?iio?oo a o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e aoiii?e aeaeo?inoaioe?? // Oe?a?inueeee iaaee/iee /aniien. - 1998. - ? 6(8). - N.80-83. 2. Oaaeei E.?. Ee?i?ei-ooieoe?iiaeuei? iniaeeaino? ia?aa?ao o?ii?/iiai a?iio?oo a o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN // Oe?a?inueeee ioeueiiiieia?/iee aeo?iae. - 1998. - ? 4. - N.43-46. 3. Nooei A.I., Oaaeei E.?. Aiaeineii?/ia ea?oeia o?aoaia?iio?aeueiiai aea?aaa a o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN i?e o?eaaeiio niinoa?aaeaii? // I?iaeaie ?aae?aoe?eii? iaaeeoeeie. - E.: Iaoeiaee oeaio? ?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie. - 1998. - N.46 - 54. 4. Nooei A.I., Oaaeei E.?. I?eioeeie e?eoaaiiy oai?eo ia o?ii?/iee a?iio?o o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN // I?iaeaie ?aae?aoe?eii? iaaeeoeeie. - E.: Iaoeiaee oeaio? ?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie. - 1998. - N.61 - 70. 5. Oaaeei E.E. Eeeieei-yiaeineiie/aneay oa?aeoa?enoeea o?iie/aneiai a?iioeoa o o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN i?e aeeiaie/aneii iaaethaeaiee // Nia?aiaiiua i?iaeaiu ?aaeeaoeeiiiie iaaeeoeeiu. - E.: Einoeooo eeeie/aneie ?aaeeieiaee IOe?I AII Oe?aeiu . - 1997. - N. 24-26. 6. Ia?ooaiea aini?iecaiaenoaa eeaoi/iuo iiioeyoeee neecenoie iaiei/ee a?iioia o eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN/ Oa?auaiei A.I., Naaaaea O.I., Iieyeiaa A.A., Naionaaa A.N., Nooei A.A., Oaaeei E.E. // Iaoa??aee VI eiia?ano iaoieia?a Oe?a?ie “Noaeeii? ? iieieia?/i? caoai?thaaiiy: ii?oiaaiac oa aeieia?/iee iaoiii?oic”. - A?iieoey. - 1998. - N. 47-51. 7. Eeeieei-ii?oieiae/aneea yeaeaaeaiou o?iie/aneiai ainiaeaiey a?iioia o eeoe, iiaeaa?aoeony ?aaeeaoeeiiiiio aicaeaenoaeth i?e eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN / Eiia?aiei Ae.E., E?y/ie E.A., Nooei A.A., Oaaeei E.E., Oa?auaiei A.I. // Iaoa?eaeu IV Iaaeaeoia?iaeiie iao/ii-oaoie/aneie eiioa?aioeey "Eoiae 8 eao ?aaio ii eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN” . - Caeaiue iun. - 1994. - N.320-321. 8. Nooei A.A., Oaaeei E.E. Ii?oi-ooieoeeiiaeueiua iniaaiiinoe o?iie/aneiai a?iioeoa e a?iioeaeueiie anoiu o eeoe, iiaeaa?aoeony aicaeaenoaeth eiiece?othuaai eceo/aiey i?e eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN // Iaoa?eaeu IV Iaaeaeoia?iaeiie iao/ii-oaoie/aneie eiioa?aioeey "Eoiae 8 eao ?aaio ii eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN” . - Caeaiue iun. - 1994. - N.322-323. 9. O?iie/aneea ianiaoeeoe/aneea caaieaaaiey eaaeeo o o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN / Cooei A.A., Oa?auaiei A.I., Oaaeei E.E., Naaaaea O.I., Iieyeiaa A.A. // Iaoa?eaeu 2-e Iaaeaeoia?iaeiie eiioa?aioeee “Ioaeaeaiiua iaaeeoeeineea iineaaenoaey *a?iiaueueneie eaoano?iou”. - E.: *a?iiaueueeioi?i. - 1998. - N 380 - 381. o?ii?/iee a?iio?o, ?ii?coth/a ii?ii?iaiiy, o/anieee e?ea?aeaoe?e iane?aee?a aaa??? ia *i?iiaeeuenuee?e aoiii?e aeaeo?inoaioe??, ooieoe?y ciai?oiueiai aeeoaiiy, a?iioio?a?ineii?y. o?iie/aneee a?iioeo, eiiece?othuaa eceo/aiea, o/anoieee eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie aoiiiie yeaeo?inoaioeee, ooieoeey aiaoiaai aeuoaiey, a?iioioea?ineiiey. chronic bronchitis, ionizing radiation, clean-up workers of the accident at the Chernobyl atomic power plant, ventilating function of lungs, bronchofibersnopy. ?iaioa i?noeoue eiiieaenio ee?i?ei-ii?oieia?/io oa?aeoa?enoeeo iniaeeainoae ia?aa?ao o?ii?/iiai a?iio?oo (OA) a o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? (EIA) ia *i?iiaeeuenuee?e AAN. Ianoaaeaii 340 oai?eo ia OA, c ieo 250 o/aniee?a EIA ia *AAN oa 90 in?a eiio?ieueii? a?oie. Io?eiaii a?aoiaioe ia ei?enoue ee?i?/iiai iaoiii?oico cacia/aiiai caoai?thaaiiy oa aa?eo?eiaaii aeaye? no?oeoo?i? aea?aaeaioe oeueiai yaeua. Caaino?aiiy OA a o/aniee?a EIA iinyoue a?ii?aaeoeaiee oa?aeoa?, oa?aeoa?ecothoueny iecueeith aeoeai?noth aiaeia?iio?oo, iaioith ?ioaineai?noth caiaeueii-ee?oeiii? ?io?eueo?aoe??. O iaaeoaeeo ia o?ii?/iee iano?oeoeaiee a?iio?o o/aniee?a EIA ia oii? iaioiai cieaeaiiy ??aiy a?iio?aeueii? iano?oeoe?? ii?ooaiiy a?iio?aeueii? i?io?aeiino? iineoue a?eueo no?eeee oa?aeoa?, oa /ano?oa noi?iaiaeaeo?oueny cieaeaiiyi aeeoo?ai? ?iiino? eaaaiue. A o/aniee?a EIA aeinoia??ii /ano?oa OA oneeaaeith?oueny aio?caiith eaaaiue oa iiaaiineea?icii, aeey ieo oa?aeoa?i? neea?ioe/i? ci?ie neeciai? iaieiiee a?iio?a. A o/aniee?a EIA ia *AAN OA /ano?oa noi?iaiaeaeo?oueny noiooiueith iaoieia??th. Ie?aneai? iniaeeaino? ia?aa?ao o?ii?/iiai a?iio?oo iio?aaothoue ei?aeoe?? e?eoaaeueii-i?io?eaeoe/ii? oaeoeee, uiaei icia/aiiai eiioeiaaioo in?a. A ?aaioa niaea?aeeony eiiieaeniay eeeieei-ii?oieiae/aneay oa?aeoa?enoeea oa/aiey o?iie/aneiai a?iioeoa (OA) o o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee (EIA) ia *a?iiaueueneie AYN (*AYN). Ianeaaeiaaii 340 aieueiuo OA, ec ieo 250 o/anoieeia EIA ia *AYN (iniiaiay a?oiia) e 90 /aeiaae eiio?ieueiie a?oiiu. A a?oiiu iaaethaeaiey aioee iaoeeaiou, o eioi?uo a aiaiiaca ia eiaeinue aeaiiuo i a?iioieaai/iie iaoieiaee aei aaa?ee ia *AYN. Aeieoiaioe?iaaiiua aeiciaua iaa?ocee aeey o/anoieeia EIA iaoiaeeeenue a i?aaeaeao 0,04 - 1,5 Ca. ?anniao?eaaee oa/aiea caaieaaaiey a caaeneiinoe io aeeeoaeueiinoe - 1 - 5 eao e 6 - 10 eao e io oi?iu OA - o?iie/aneee iano?oeoeaiue a?iioeo (OIA) e o?iie/aneee iaiano?oeoeaiue a?iioeo (OIA). A aeeiaieea eniieueciaaeenue neaaeothuea iaoiaeu ianeaaeiaaiey: iniio?, ia?eonney, aoneoeueoaoeey, iauee e aeioeie/aneee aiaeecu e?iae, ?aioaaiia?aoey i?aaiia a?oaeiie eeaoee, enneaaeiaaiea aaioeeyoeeiiie ooieoeee eaaeeo, a?iioioea?ineiiey, aenoieiae/aneee, aenoioeie/aneee aiaeec a?iioiaeiioaoia, yeaeo?iiiay iee?ineiiey. Onoaiiaeaii, /oi OA o aieueoeinoaa eeeaeaeaoi?ia aiciee a i?aaeaeao ia?auo 3 eao io iiiaioa o/anoey a EIA ia *AYN. Iaino?aiey OA o eeeaeaeaoi?ia iinyo aeii?aaeoeaiue oa?aeoa?, i?ioaeatho aac iiauoaiey oaiia?aoo?u oaea, ia nii?iaiaeaeathony iiauoaieai nei?inoe inaaeaiey y?eo?ioeeoia e iaeo?ioeeueiui naeaeaii eaeeioeeoa?iie oi?ioeu, oa?aeoa?ecothony ieceie noaiaiueth yiaeia?iioeoa, iaiueoae eioaineaiinoueth ainiaeeoaeueii-eeaoi/iie eioeeueo?aoeee. Oioy, o o/anoieeia EIA ia *AYN e a eiio?ieueiie a?oiia ioia/aeinue i?eaeeceoaeueii iaeeiaeiaia cia/aiea iauaia oi?ne?iaaiiiai auaeioa ca ia?aoth naeoiaeo, ae?oaea iieacaoaee ia?ooaiey a?iioeaeueiie i?ioiaeeiinoe auee aeinoiaa?ii ieaea (? < 0,05) a eiio?iea. Ei??aeyoeeiiiue aiaeec ia auyaee caaeneiinoe o?iaiy IOA1 io eiaeeaeaeoaeueiuo aeic iaeo/aiey. O no?aaeathueo o?iie/aneei iano?oeoeaiui a?iioeoii o/anoieeia EIA ia *AYN ia oiia iaiueoaai nieaeaiey o?iaiy a?iioeaeueiie iano?oeoeee ii n?aaiaieth n eiio?ieueiie a?oiiie ia?ooaiey a?iioeaeueiie i?ioiaeeiinoe iineee aieaa noieeee oa?aeoa?, /aua nii?iaiaeaeaeenue nieaeaieai aeeciaiiie aieinoe eaaeeo (AEAE). O eeeaeaeaoi?ia aeinoiaa?ii /aua (?<0,05) o?iie/aneee a?iioeo ineiaeiyeny yioecaiie eaaeeo e iiaaiineea?icii, aeey ieo oa?aeoa?iu neea?ioe/aneea eciaiaiey neecenoie iaiei/ee a?iioia. O iaoeeaioia - o/anoieeia EIA oa/aiea eae OIA, oae e OIA nii?iaiaeaeaeinue aeinoiaa?ii /aua, /ai o i?aaenoaaeoaeae eiio?ieueiuo a?oii, iae?ioee?eoeyoi?iie aeenoiieae, aeia?oiie/aneie aieaciueth, o?iie/aneei aaiaoeoii. O o/anoieeia EIA ia *AYN i?e yiaeineiie/aneii ianeaaeiaaiee aeinoiaa?ii /aua, /ai a eiio?iea, i?ineaaeeaaeenue aeenoiiey a?iioia, iiae/a?eiooinoue neeaae/aoinoe, oiaaea eae aeia?aiey neecenoie iaiei/ee, cia/eoaeueiia eiee/anoai a?iioeaeueiiai nae?aoa iaaethaeaeenue /aua (? < 0,05) a eiio?iea. O o/anoieeia EIA ao?ioe/aneee yiaeia?iioeo i?aiaeaaeae e ano?a/aeny aeinoiaa?ii /aua, /ai o i?aaenoaaeoaeae eiio?ieueiie a?oiiu. Iaoiii?oieiae/aneee aiaeec a?iioiaeiioaoia o iaoeeaioia - o/anoieeia EIA iicaieee aa?eoeoee?iaaoue a neecenoie iaiei/ea a?iioia o?ainoi?ie?iaaiiinoue ?aaaia?aoi?iuo i?ioeannia, iniaaiiinoe ii?aaeaiey iee?ininoaeia, ia?ooaiea oea?eeiaaiaca. Auyaeyeanue eae iaoieiaey i?ieeoa?aoeee, oae e aeeooa?aioeeaoeee eeaoie. ?aciiia?aciua aeen?aaaia?aoi?iua eciaiaiey iiaa?oiinoiiai aieoaeey ni/aoaeenue n aai aacaeueiieeaoi/iie aeia?ieaceae. Anee i?e aeeeoaeueiinoe caaieaaaiey 1-5 eao o o/anoieeia EIA i?aeiouanoaaiii iaaethaeaeanue aeueoa?aoeey noaiie ninoaeia, oi a aeaeueiaeoai /aua i?ineaaeeaaeenue neea?ioe/aneea eciaiaiey ninoaeia. Iieacaia iaiaoiaeeiinoue i?iaaaeaiey aaeaaiaeiiai ianeaaeiaaiey o/anoieeia EIA ia *AYN, no?aaeathueo o?iie/aneei a?iioeoii. Iainiiaaia aaaeiinoue aeeth/aiey a noaiu ea/aiey yoeo aieueiuo i?aia?aoia, oeo/oathueo ?aieiae/aneea naienoaa e?iae, aaciaeoeaiuo n?aaenoa, i?eiaiaiey iaaeeeaiaioia aeey ea/aiey niioonoaothueo caaieaaaiee, i?iaaaeaiey naiaoeee o?aoaia?iioeaeueiiai aea?aaa. The study deals with complex clinical-morphologycal characteristics of special features of chronic bronchitis currency in clean-up workers of Chernobyl atomic power plant accident. 340 patients have been observed, among them 250 clean-up workers and 90 persons from control group. The arguments for the clinical pathomorphosis of the disease and some structural equivalents of this are mentioned. Exacerbations of chronic bronchitis are hypoactive and are characterised by the low endobronchitis activity, low inflammatory-nell activity. In clean-up workers who suffer from chronic bronchitis obstructive ventilation disorders are lower but more resistant. Chronic bronchitis in clean-up workers statistically significant nimbines with emphysema and pneumosclerosis, the patients have sclerotic changes of the bronchial wall. These patients more often suffer from concominant diseases. The special features of chronic bronchitis currency require correction of treatment of the disease in clean-up workers of Chernobyl accident.

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