Вікові аспекти гіпогалактії після кесарева розтину: Автореф. дис… канд. мед. наук / О.О. Бобкова, Нац. мед. ун-т ім. О.О.Богомольця. — К., 1999. — 1

I?I?NOA?NOAI IOI?IIE CAeI?IAss OE?A?IE

IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO

?i.aeaae.I.I.AIAIIIEUeOess

AIAEIAA IEUeAA IEAENAIAe??AIA

OAeE 618.3 – 818.4 – 053.82 – 055.25

A?EIA? ANIAEOE A?IIAAEAEO??

I?NEss EANA?AAA ?ICOEIO

14.01.01 — aeooa?noai oa a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Ee?a– 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia ia eaoaae?? aeooa?noaa, a?iaeieia?? oa ia?eiaoieia??
Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea IIC
Oe?a?ie.

IAOEIAEE EA??AIEE:

aeieoi? iaaee/ieo iaoe, i?ioani? Aaeiae/aiei TH??e Iao?iae/,

caa?aeoaa/ eaoaae?e aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? Ee?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe IIC Oe?a?ie

IO?Oe?EI? IIIIAIOE:

aeieoi? iaaee/ieo iaoe, i?ioani? A?oaiiiia Aieiaeeie? Na?a?eiae/
caa?aeoaa/ eaoaae?e aeooa?noaa oa a?iaeieia?? ?2 Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i.aeaae.I.I.Aiaiiieueoey IIC Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani? Eieii?eoeaaa Aioii?ia Aai?a??aia,
ea??aiee a?aeae?eaiiy iaoieia?? aaa?oiino? oa iieia?a ?inoeoooo
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie.

I?IA?AeIA ONOAIIAA:

Euea?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i.Ae.Aaeeoeueeiai IIC
Oe?a?ie, eaoaae?a aeooa?noaa oa a?iaeieia?? ?2

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 09 ” aa?aniy 1999 ?ieo

i 1330 aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.003.03
i?e Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao? ?i.I.I.Aiaiiieueoey IIC
Oe?a?ie (252004, i.Ee?a, aoeueaa? O.Oaa/aiea,17).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i.I.I.Aiaiiieueoey IIC Oe?a?ie
(i.Ee?a,aoe.Ciieia?/ia,1)

Aaoi?aoa?ao ?ic?neaiee “20” eeiiy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe A?oianueeee ss.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. I?iaeaia a?iiaaeaeo?? ? iaei??th c iaea?eueo
aeooaeueieo o no/aniiio aeooa?noa?, oae ye aiia o?nii iiaycaia c
ioi?iiith iaoa?einoaa oa aeeoeinoaa. Iaeei c aieiaieo i?eioeei?a AIIC
(1998), yeee eaaeeoue a iniia? oe??? i?iaeaie, iieyaa? a oiio, ui aeey
caaacia/aiiy aeaeeaaiiy oa caei?iaiai ?icaeoeo aeeoeie oa iaeaooiueiai
aei?inei? ethaeeie iaiao?aeii caaeia?eueieoe niaoeeo?/i? a?ieia?/i? oa
ineoieia?/i? iio?aae, aeanoea? iniaeeainoyi i?ioeano c?inoaiiy i?aai?cio
ethaeeie (N.I.Aaeaeoeia 1995; 1996; ?.A.Aiaaoe?ueiaa oa ni?aaao., 1996).
C oeueiai aeieeaa? cia/ou?noue nai?/aniiai i?eeeaaeaiiy aei a?oae? o
iiaeaeueoiio ?icaeoeo aeeoeie oa ?ieue aeine?aeaeaiue, ni?yiiaaieo ia
i?aeaeuaiiy aoaeoeaiino? i?io?eaeoeee oa e?eoaaiiy a?iiaaeaeo??.

A?aeiii, ui ca inoaii? ?iee ??cei c?inea /anoioa eana?nueeeo ?icoei?a.
I?e oeueiio, ??aaiue i?neyiia?aoe?eieo oneeaaeiaiue oa no?aniaee aieea
ia i?aai?ci iaoa?? e ieiaea aacnoii?aii aenieee (E.A.Oeiioaiei oa
ni?aaao., 1994; A.?.Eoeaeia oa ni?aaao., 1998; S.Chobra et.al.,1992).
I?eaa?oa? aei naaa oaaao ca?eueoaiiy ieoiii? aaae thieo ? a?eiaeo
ia?ai?iaeyueo aei 40-50% na?aae an?o a?eiaeo a?oi, yeeo ?ic?iaeaeothoue
iia?aoeaiei oeyoii (E.A.Ia?e?i oa ni?aaao., 1996; 1998; A.A.sseiaeaaa oa
ni?aaao., 1991; 1998). Ia aeeeeea? noii?ao oie oaeo, ui iaoaaie?/i?
ci?ie a i?aai?cio ii?iae?eue, coiiaeai? iia?aoe?eiei no?anii oa
noeoii?noth ?ioeo oaeoi??a ?eceeo, aacoiiaii, iaaaoeaii aieeaathoue ia
i?ioean eaeoaoe??.

Ia noeeo oeeo aeaio aaaeeea?oeo i?iaeai aeooa?noaa ciaoiaeeoueny
i?aaenoaaeaia iaoeiaa aeine?aeaeaiiy. I?e oeueiio, ye na?ae/aoue aeai?
a?o/eciyii? oa ca?oa?aeii? e?oa?aoo?e (I.A.?acieeia oa ni?aaao., 1996;
?.A.*a?iooa oa ni?aaao.. 1996; I.A.Ii?iciaa,1998), /anoioa a?iiaaeaeo??
a caaaeuei?e iiioeyoe?? neeaaea? 10-30%, a i?e aaaeii?iaeueiiio
?ic?iaeaeaii? aeinyaa? 35-50%. Iiiaeeiie? ioae?eaoe?? na?ae/aoue i?i oa,
ui thi? oa a?eia? ia?ai?iaeyu? a?aeiinyoueny aei a?oie aenieiai ?eceeo
uiaei ?icaeoeo a?iiaaeaeo?? (E.A.Ia?e?i oa ni?aaao., 1996, 1998;
I.A.Ii?iciaa, 1998). Ii?yae c oeei, ia aea/ai? ieoaiiy a?iiaaeaeo?? o
a?eiaiio aniaeo? i?e ??cieo aeaeao ?ic?iaeaeaiiy. Aoaeoeai?noue
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ye? i?iiiiothoueny i?ney iia?aoe??
eana?aaa ?icoeio, ? iaaeinoaoiuei aenieith, a a?eia? iniaeeaino?
ia?ai?iaeyueo, i?aeoe/ii, ia a?aoiaothoueny.

Ana aeeeaaeaia aeua na?ae/eoue i?i iaiao?aei?noue i?iaaaeaiiy iaoeiaeo
aeine?aeaeaiue, i?enay/aieo aea/aiith a?eiaeo aniaeo?a a?iiaaeaeo??
i?ney aaaeii?iaeueiiai ?ic?iaeaeaiiy oa ?ic?iaoe? aoaeoeaiino?
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a.

Caycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeeiiaia
iaoeiai-aeine?aeia ?iaioa ? o?aaiaioii iaoeiai? ?iaioe eaoaae?e
aeooa?noaa oa a?iaeieia?? ?1 Ee?anueei? iaaee/ii? aeaaeai??
i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea, ? ae.?. 0196 40 10590.

Iaoa ?iaioe ? caaea/? aeine?aeaeaiiy:

Iaoa ?iaioe: cieceoe /anoioo ia?aeiii? a?iiaaeaeo?? o thieo ? a?eiaeo
ia?ai?iaeyueo, ?ic?iaeaeaieo aaaeii?iaeueiei oeyoii ia i?aenoaa?
aea/aiiy iniiaieo i?e/ei ?icaeoeo oe??? iaoieia?? oa oaeineiiaeaiiy
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a c aeei?enoaiiyi iaaeeeaiaioicieo ?
iaiaaeeeaiaioicieo cania?a.

Caaea/? aeine?aeaeaiiy:

1. Cynoaaoe ee?i?/i? iniaeeaino? ? /anoioo ?icaeoeo ia?aeiii?
a?iiaaeaeo?? i?ney eana?aaa ?icoeio o a?eiaiio aniaeo?.

2. Aea/eoe ci?ie ye?nieo ? e?euee?nieo iieaciee?a a?oaeiiai iieiea o
thieo ? a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo ia oeyoii iia?aoe??
eana?aaa ?icoeio.

3. Anoaiiaeoe aca?iicaycie i?ae ee?i?/ieie, a?io?i?/ieie oa
?ioiieia?/ieie ci?iaie i?e ?icaeoeo ia?aeiii? a?iiaaeaeo?? o
ia?ai?iaeyueo ??cieo a?eiaeo eaoaai??e, ?ic?iaeaeaieo aaaeii?iaeueiei
oeyoii.

4. ?ic?iaeoe eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a c
aeei?enoaiiyi iiey?eciaaiiai na?oea iecueei? aia?a??, a oaeiae
oa?iaeioa?ai?? c iaoith cieaeaiiy /anoioe ia?aeiii? a?iiaaeaeo?? o thieo
? a?eiaeo ia?ai?iaeyueo i?ney eana?aaa ?icoeio.

5. ?ic?iaeoe ? ai?iaaaeeoe i?aeoe/i? ?aeiiaiaeaoe?? uiaei cieaeaiiy
/anoioe ia?aeiii? a?iiaaeaeo?? o ia?ai?iaeyueo ??cieo a?eiaeo a?oi,
?ic?iaeaeaieo aaaeii?iaeueiei oeyoii.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a. Aia?oa anoaiiaeai? /anoioa
ia?aeiii? a?iiaaeaeo?? i?ney eana?aaa ?icoeio a caaaeuei?e iiioeyoe?? oa
c o?aooaaiiyi a?eiaeo aniaeo?a. E??i oiai anoaiiaeai? iiaeeea? i?e/eie
oe??? iaoieia??, a oaeiae iniiai? a?io?i?/i? oa ?ioiieia?/i? ci?ie a
a?oaeiiio iieioe? thieo ? a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo oeyoii
iia?aoe?? eana?aaa ?icoeio.

Iieacaia a?eueo aeniea /anoioa a?iiaaeaeo?? o thieo ia?ai?iaeyueo
ii??aiyii c a?eiaeie, ui i?iyaey?oueny ae?aaeaieie ci?iaie ?ioiieia?/ieo
oa a?io?i?/ieo iieaciee?a a?oaeiiai iieiea. Anoaiiaeaia ei?aeyoe?eia
caeaaei?noue nooiaiy ae?aaeaiino? a?iiaaeaeo?? c o?aooaaiiyi noaio
oaoiieaoeaioa?iiai eiiieaeno, iieacaiue aei aaaeii?iaeueiiai
?ic?iaeaeaiiy, aaee/eie e?iaiao?aoe, o?eaaeino? iia?aoe?? oa ee?i?/iiai
ia?aa?ao ?aiiueiai i?neyiia?aoe?eiiai ia??iaeo. Oea aeicaieeei iaoeiai
iaa?oiooaaoe eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a oa iieacaoe
eiai aoaeoeai?noue.

Aia?oa i?aaenoaaeaii iaoeiaa iaa?oiooaaiiy aeei?enoaiiy iiey?eciaaiiai
na?oea iecueei? aia?a?? o niieo/aii? c oa?iaeio?oioa?ai??th aeey
cieaeaiiy /anoioe ia?aeiii? a?iiaaeaeo?? i?ney eana?aaa ?icoeio o
ia?ai?iaeyueo ??cieo a?eiaeo a?oi.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Anoaiiaeai? oaeoi?e ?eceeo
?icaeoeo ia?aeiii? a?iiaaeaeo?? o ia?ai?iaeyueo, ?ic?iaeaeaieo
aaaeii?iaeueiei oeyoii: a?ieia?/ia iaaioiai?noue iaoa?einueeiai
i?aai?cio, cia/iee ??aaiue aai?oaeueii? oa aeno?aaai?oaeueii? iaoieia??,
aeniea /anoioa oaoiieaoeaioa?ii? iaaeinoaoiino?, aiai?? aaa?oieo, i?ci?o
oieneeic?a oa aiiiae?e iieiaiai? ae?yeueiino?, a oaeiae iia?aoe?eiee
no?an, cia/ia e?iaiao?aoa i?ae /an iia?aoe?? oa a?aeno?i/aia
i?eeeaaeaiiy aeeoeie aei a?oae?.

?ic?iaeaiee eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a aeey ii?iae?eue
i?ney eana?aaa ?icoeio c aeei?enoaiiyi iiey?eciaaiiai na?oea iecueei?
aia?a?? oa oa?iaeio?oioa?ai?? c iaoith cieaeaiiy /anoioe ia?aeiii?
a?iiaaeaeo??. Cai?iiiiiaai? aeey oe?ieiai ai?iaaaeaeaiiy a i?aeoeeo
iaoiaee eiio?ieth ca noaiii eaeoaoe??, ye? aeeth/athoue a naaa
a?io?i?/i?, ?aae?i?ioiieia?/i? oa ?ioiieia?/i? iieacieee a a?oaeiiio
iieioe?.

Ai?iaaaeaeai? i?aeoe/i? ?aeiiaiaeaoe?? uiaei cieaeaiiy /anoioe
ia?aeiii? a?iiaaeaeo?? i?ney eana?aaa ?icoeio o thieo ? a?eiaeo
ia?ai?iaeyueo.

Iniaenoee aianie caeiaoaa/a. Ieaioaaiiy ? i?iaaaeaiiy an?o
aeine?aeaeaiue aeeiiaii ca ia??iae c 1996 ii 1998 ?.?. Aaoi? i?ia?a
ee?i?ei-eaai?aoi?ia ianoaaeaiiy 150 ae?iie i?ney aaaeii?iaeueiiai
?ic?iaeaeaiiy o a?eiaiio aniaeo?. Naiino?eii i?iaaaeaii caa?? oa
i?aeaioiaeo a?ieia?/iiai iaoa??aeo. An? eaai?aoi?i? aeine?aeaeaiiy
aeeiiai? aaciina?aaeiuei aaoi?ii oa ca eiai o/anoth.

Aaoi? ?ic?iaea eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a uiaei
cieaeaiiy ia?aeiii? a?iiaaeaeo?? o thieo oa a?eiaeo ia?ai?iaeyueo,
?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio. Noaoenoe/ia ia?iaea
io?eiaieo aeaieo i?iaaaeaia aeeeth/ii aaoi?ii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe??
aeiiia?aeaeeny oa iaaiai?thaaeeny ia can?aeaii? anioe?aoe??
aeooa??a-a?iaeieia?a Ee?anueei? iaeano? (ethoee, 1999) oa i?iaeaiii?
eii?n?? “Aeooa?noai oa a?iaeieia?y” Ee?anueei? iaaee/ii? aeaaeai??
i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea (aa?acaiue, 1999).

Ioae?eaoe??. Ca oaiith eaiaeeaeaonueei? aeena?oaoe?? iioae?eiaaii iyoue
ae?oeiaaieo i?aoeue a aeo?iaeao, caoaa?aeaeaieo ia?ae?eii AAE Oe?a?ie,
i?e/iio aea? c ieo — naiino?ei?.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 125 noi??ieao
iaoeiiieno, neeaaea?oueny c? anooio, iaeyaeo e?oa?aoo?e, ?icae?eo
iaoiae?a aeine?aeaeaiiy, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, ?o
iaaiai?aiiy, aeniiae?a oa iieaae/eea e?oa?aoo?e, yeee aeeth/a? 112
a?o/eciyieo oa 80 ca?oa?aeieo aeaea?ae. ?iaioa ?ethno?iaaia 26
oaaeeoeyie oa 22 iaethieaie.

INIIAIEE CI?NO ?IAIOE

Ia?eo, iaoiaee oa iaoiaeieia?y aeine?aeaeaiue. Aeey ae??oaiiy
iinoaaeaii? iaoe ? caaea/ iaie aoei ianoaaeaii 150 ii?iae?eue i?ney
eana?aaa ?icoeio. 30 ii?iae?eue neeaee eiio?ieueio a?oio.
Ee?i?ei-eaai?aoi?i? aeine?aeaeaiiy aoee i?iaaaeai? a aeaa aoaie. Ia
ia?oiio – aea/aee iniaeeaino? eaeoaoe?? i?ney eana?aaa ?icoeio o 90
ia?ai?iaeyueo c o?aooaaiiyi a?eiaeo iniaeeainoae a o?ueio a?oiao: ? – 30
thieo ia?ai?iaeyueo (aei 18 ?ie?a); ?? – 30 ia?ai?iaeyueo o a?oe? a?ae
19 aei 29 ?ie?a; ??? – 30 a?eiaeo ia?ai?iaeyueo (i?ney 30 ?ie?a).

Ia ae?oaiio aoai? i?iaaee ee?i?ei-eaai?aoi?io ioe?ieo aoaeoeaiino?
?ic?iaeaii? e?eoaaeueii-i?io?eaeoe/ii? iaoiaeeee uiaei cieaeaiiy
ia?aeiii? a?iiaaeaeo?? o 60 ae?iie: ?V a?oia – 30 thieo ? a?eiaeo
ia?ai?iaeyueo ?c caaaeueiii?eeiyoith iaoiaeeeith; V a?oia – 30 thieo ?
a?eiaeo ia?ai?iaeyueo c aeei?enoaiiyi ?ic?iaeaii? iaie iaoiaeeee.

Caaaeueiii?eeiyoa iaoiaeeea i?io?eaeoeee ia?aeiii? a?iiaaeaeo??
iieyaaea o aeei?enoaii? ae??oioa?ai??, e?ii?ai? eeneioe, eiea?aien?eace,
a?oai?i?a a?oie ? oa A, a oaeiae ae?y oeueo?acaoeo ia iiei/i? caeice.

Na?aae iniiaieo iiiaio?a ?ic?iaeaii? iaie iaoiaeeee iaiao?aeii
aeae?eeoe aeei?enoaiiy ieneoioeeio ii 5 iae. aioo??oiueiiyciai 2 ?ace ia
aeiao oi?iaeiaae 5 ae?a. E??i oiai, aeei?enoiaoaaany naeaeoeaiee
aioaaii?no aeioai?iiaeo ?aoeaioi??a oea?oeae ii 10ia 3 ?ace ia aeiao
oi?iaeiaae 5 aei?a. Ii?yae c oeei, canoiniaoaaeanue o?oioa?ai?y o
aeaeyae? ianoith oaioaeth cae/aeiiai, yeee ia? eaeoiaaii? aeanoeaino? oa
iaea?eueo aeinooiiee. Niin?a eiai i?eaiooaaiiy – 2 no.eiaeee cae??aiaieo
ieiae?a ia noaeai ie?iio, canoiniaothoue ii 1/3 noaeaia aei 4 ?ac?a ia
aeiao oi?iaeiaae 7-10 aei?a.

Ia aeiaeaoie aei iaaeeeaiaioicii? oa?ai?? aeei?enoiaoaaeinue i?noeaai
ia iiei/i? caeice iiey?eciaaia na?oei iecueei? aia?a?? ia i?aenoaa?
eaiie “Bioptron-2” o niieo/aii? c Oxy Spray (o??ie “Zepter”) ii 1
oaeeei? /a?ac 6-8 aiaeei oi?iaeiaae 10 aei?a. “Bioptron-2” aei?ii?ith?
iiey?eciaaia na?oei iecueei? aia?a?? ? o oe?ieiio ae?aiacii? (400-2000
iaiiiao??a), ui ae?? ia iaia?aie ee?oei ? ca?eueoo? e?euee?noue
?ioii?aoeaioi?ieo ee?oei. E??i oiai, iie?ioo?oueny i?e?ioee?eoeyoe?y a
oeaieiao oa i?aeneeth?oueny ?iciiiaeaiiy o?a?iaeano?a. Niieo/ia
aeei?enoaiiy Oxy Spray ni?ey? iane/aiith oeaiei eeniai ? iie?ioo?
i?iieei?noue noaeeiii? no?iee. Eaiia “Bioptron-2” io?oe?eii
ca?a?no?iaaia ? aeicaieaia aei canoinoaaiiy IIC Oe?a?ie.

I?e aea/aii? ai?iiiaeueieo aca?iia?aeiioaiue a nenoai?
iaoe-ieaoeaioa-ie?ae aecia/aany a ne?iaaooe? e?ia? ??aaiue ianooiieo
ai?iii?a: ano??ieo, ano?aae?ieo, i?iaanoa?iio, i?ieaeoeio, oi??ii?/iiai
aiiaaeio?ii?io oa ieaoeaioa?iiai eaeoiaaio.

Aeine?aeaeaiiy ai?iii?a i?iaiaeeeinue ?aae?i?ioiieia?/iei iaoiaeii,
aeniea oi/i?noue oa /ooeea?noue yeiai, a?aeiinia oaeaee?noue aeeiiaiiy
aiae?co oa iiaeeea?noue iinoaiiaee ianiaeo aecia/aiue ?iaeyoue oeae
iaoiae iniaeeai oe?iiei (A.A.?acieeiaa, 1990).

C iieaciee?a aaiaoieia?/iiai noaoono aeey ioe?iee nooiaiy aaaeeino?
aiai?? oa aoaeoeaiino? i?iaiaeeieo e?eoaaeueii-i?io?eaeoe/ieo caoiae?a
aecia/aany ai?no a?eo?ioeeo?a, aaiiaeia?io, Fe, a oaeiae eieuei?iaee
iieaciee ? aaiaoie?eo ca caaaeueiii?eeiyoith iaoiaeeeith
(A.I.Iaiueoeeia, 1993).

Aeey a?eueo aeaoaeueiiai aea/aiiy noaio eaeoaoe?? a aeeiai?oe?
i?neyiieiaiaiai ia??iaeo (1, 3, 7 ? 14 aeiaa) aea/aany ?yae iieaciee?a,
ui a?aeia?aaeothoue i?noeaa? ci?ie aaciina?aaeiuei a iaoa?einueeiio
iieioe?.

Aecia/aiiy ia?io iieiea i?iaiaeeeinue oeyoii caaaeoaaiiy
iiaiia?iaeaeaieo aei ? i?ney aiaeoaaiiy, a oaeiae aecia/aeanue
e?euee?noue coe?aeaeoaaiiai iieiea.

Aecia/aiiy iiei/iiai oeoe?o (eaeoice) i?iaiaeeeinue eiaeiiao?e/iei
iaoiaeii, caniiaaiei ia aca?iiae?? i?ae aeueaeaa?aeiith a?oiith
iiei/iiai oeoe?o c eiaeii o eoaeiiio na?aaeiaeu?, aea eiae ? ieenieeii
(A.Ae.Ioo, 1990).

Iaoiaeeea aecia/aiiy eaca?io a iieioe? caniiaaia ia oiio, ui a?i ia?
eeneo ?aaeoe?th ? oiio, ??cieoey i?ae e?euee?noth eoao, aeo?a/aiiai ia
iaeo?ae?caoe?th oe?eueiiai iieiea ? e?euee?noth eiai, aeo?a/aiiai ia
iaeo?ae?caoe?th ne?iaaoee iieiea (i?ney inaaeaeoaaiiy eaca?io) oyaey? c
naaa e?euee?noue eoao, ui aeo?a/aii ia iaeo?ae?caoe?th anueiai eaca?io.
Ciath/e aea?aaeaioio aaao eaca?io iiaeia aecia/eoe eiai e?euee?noue a
iaoa?einueeiio iieioe? (I.N.Naeaoiaa, 1988).

Aea/aiiy ai?noo caaaeueiiai a?eea ? e?i?ae?a i?iaiaeeeiny ca
caaaeueiii?eeiyoith iaoiaeeeith (A.Ae.Ioo, 1990).

Aecia/aiiy a?oai?i?a N oa ? a iieioe? i?iaiaeeeiny ca iaoiaeeeith
S.J.Omage et.al. (1993) oa ?.A.Eocueiaiei oa ni?aaao. (1995)
niaeo?ioioiiao?e/iei iaoiaeii ( =525 ii), c ia?a?aooieii ca
eae?a?iaaiith e?eaith.

Eiioeaio?aoe?? ?ioiiaeiaoe?i?a eean?a G, A, M oa nae?aoi?iiai
?ioiiaeiaoe?io A (sIgA) a iieioe? aecia/aeenue iaoiaeii ?ioiioa?iaioiiai
aiae?co c aeei?enoaiiyi eiia?oe?eieo iaai??a ?aaaaio?a “Oano-nenoaia
eiioiioa?iaioiay aeey ii?aaeaeaiey eiee/anoaa IgG, IgA, IgM a nuai?ioea
e?iae /aeiaaea” oa “Oano-nenoaia eiioiioa?iaioiay aeey ii?aaeaeaiey
eiee/anoaa sIgA a nethia” (OII “Iee?ioei?a” i?e IIEEYI
?i.A.I.Aaa?e/aaneiai, ?in?y) ca?aeii i?ioieieo i?iaaaeaiiy aiae?co.
A?aoiaoth/e oie oaeo, ui eiioeaio?aoe?? IgG, IgM o iieioe? cia/ii
ieae/?, i?ae o ne?iaaooe? e?ia?, aeei?enoiaoaaeenue ?io? ?icaaaeaiiy
iaoeaieo c?ace?a iieiea, i?ae ?aeiiaiaeiaaii aeey ne?iaaoee e?ia?, a
naia 1:700 aeey aecia/aiiy IgG oa 1:800 aeey aecia/aiiy IgM. Aeey
aecia/aiiy IgA oa sIgA aeei?enoiaoaaeenue ?aeiiaiaeiaai? a i?ioieieao
?icaaaeaiiy. ?acoeueoao iinoaiiaee ?ioiioa?iaioiiai aiae?co
aei??thaaeenue ia oioiiao?? “Multiscan” (LKB, O?ieyiae?y) i?e aeiaaeei?
oaee? 492 ii. Ia/eneaiiy ?acoeueoao?a i?iaiaeeee ia eiiithoa?? a
i?ia?ai? “Tetrasoft”. I?e ia/eneaii? ?acoeueoao?a aiae?co a?aoiaoaaeenue
?icaaaeaiiy iaoeaieo c?ace?a iieiea.

Eiioeaio?aoe?? eaeoioa??eio aecia/aeenue iaoiaeii ?aae?aeueii?
?ioiiaeeooc?? a aae? ca iaoiaeii Y.Mancini et.al. (1968).
Aeei?enoiaoaaeanue iiiiniaoeeo?/ia aioene?iaaoea i?ioe eaeoioa??eio (OII
“Iee?ioei?a” i?e IIEEYI ?i.A.I.Aaa?e/aaneiai, ?in?y), e?ioeaaa
?icaaaeaiiy aioene?iaaoee a aaa?? neeaei 1:40. ?acoeueoaoe ?aaeoe??
a?aoiaoaaeeny aei??thaaiiyi ae?aiao?o e?eaoeue i?aoeei?oaoe?? oa
ia/enethaaeeny ia eiiithoa?? a i?ia?ai? “Tetrasoft”.

Iaoaiaoe/i? iaoiaee aeine?aeaeaiiy aoee aeeiiai? ca?aeii ?aeiiaiaeaoe?e
A.I.I?ioea?a oa ni?aaao. (1998). ? ? ?? aoaie i?ia?aiiiai eiiieaeno
ienaee ia iia? Oo?ai Ianeaeue oa ?icoaoiaoaaee ia aei?noeiio aeeneo
?N/AO. Oeae i?ia?aiiee eiiieaen aeicaieya aaiaeeoe aeai? iioaaee/ii, aea
eiaei?e oaaeeoe? a?aeaiaeeany na?e oaee, iath/ee oo naio no?oeoo?o, ui ?
oaaeeoey. Oeae oaee oaeiae caa??aaany ia aei?noeiio aeeneo ?N. E??i
i?ia?aie aaiaeo aeaieo iaeanue oaeiae ? i?ia?aia, yea aeicaieyea
ia?aaeyaeaoe oa ei?aeooaaoe aaaaeai? a aeiaaeeo iiieeee. Ianooiiei
aoaiii aoea ia?iaea aeaieo – ?ic?aooiie ca noaiaea?oiith i?ia?aiith.
Aeinoia??i?noue a?aei?ie ia?e na?aaei?o ia/enethaaeany ca aeiiiiiaith
e?eoa???a Nouethaeaioa oa O?oa?a. A?ao?ee ioi?iethaaee ca aeiiiiiaith
i?ia?aie “Microsoft Excel 7.0”.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. Oa?aeoa?ecoth/e
iniaeeaino? ee?i?/ii? oa?aeoa?enoeee ia ? aoai? iaoeo aeine?aeaeaiue
iaiao?aeii a?aei?oeoe, ui na?aaei?e a?e ae?iie ? a?oie neeaa 16,41,5
?ie?a; a ?? – 24,92,5 ?ie?a ? a ??? – 36,33,5 ?ie?a. I?e ioe?ioe?
nioe?aeueiiai noaoono anoaiiaeaii, ui o na?aaeiaeu? thieo ia?ai?iaeyueo
ia?aaaaeaee o/i? (63,3%), a a?eiaeo – neoaeaiaoe? (30,0%) ?
aeiiiainiiaea?ee (26,7%). A oie /an, ye a ?? a?oi? – aeiiiainiiaea?ee
(33,3%).

Aea/aiiy i?aii?a?aeiiai oiio, cie?aia, aai?oaeueii? oa
aeno?aaai?oaeueii? iaoieia?? ia? aeoaea aaeeea i?iaiinoe/ia cia/aiiy
(A.?.Aa?aneiiae/ oa ni?aaao., 1991; O.A.Eenaeueiaa oa ni?aaao., 1992;
?.I.Ai?iioeia oa ni?aaao.,1993). I?e oeueiio iaie anoaiiaeaii, ui
iacaaaeath/e ia oaeee thiee a?e a ? a?oi?, /anoioa ia?aianaii?
aai?oaeueii? iaoieia?? aoea aeinoaoiuei aenieith – 70% c ia?aaaaeaiiyi
iaoieia?/ieo ci?i oeeee iaoee – 33,3%. A ?? a?oi? noia?iee iieaciee
neeaa 63,3%, aea /ano?oa oaeiae aoea iaoieia?y oeeee iaoee – 30,0%.
Ii??aiyii c oeei, o a?eiaeo ia?ai?iaeyueo ??aaiue ia?aianaii?
aai?oaeueii? iaoieia?? aoa 100%, i?e oeueiio ia?aaaaeaee iaoieia?y oeeee
iaoee (40,0%) oa caiaeuei? i?ioeane (36,7%). Iaoyaeaiee i?aii?a?aeiee
oii o ianoaaeaieo iaie ae?iie, iniaeeai a ? oa ??? a?oiao,
oa?aeoa?ecoaaany ? aenieith /anoioith noiooiuei? aeno?aaai?oaeueii?
iaoieia??. Ooo ne?ae a?aei?oeoe cia/iee ??aaiue ?? niieo/ieo oi?i (a?ae
20,0% aei 26,7%), aea iae/ano?oa niieo/aeenue aiaeie?eiia ? ie?eiaa
iaoieia?y, a oaeiae oai?iae OEO. ?icaeyaeath/e no?oeoo?o niiaoe/ii?
caoai?thaaiino? ne?ae aeae?eeoe ia?aaaaeaiiy aiaeie?eiii? iaoieia?? a?ae
23,3% a ?? aei 36,7% a ??? a?oi?, a e??i oiai oai?iae ie?ie
(i??eiiao?eo) – a?ae 20,0% a ?? aei 26,7% a ? a?oi?. Aacoiiaii, oaeee
iani?eyoeeaee oiiiaee noai iaaaoeaii aieeioa ? ia ee?i?/iee ia??a?a
aaa?oiino? ? iieia?a. Iaie anoaiiaeaia i?yia iiceoeaia ei?aeyoe?eia
caeaaei?noue i?ae aenieith /anoioith aai?oaeueii? oa aeno?aaai?oaeueii?
iaoieia??, a oaeiae ?icaeoeii ia?aeiii? a?iiaaeaeo?? (r=+0,68).

Oae, a ?? iieiaei? aaa?oiino? iae/ano?oei oneeaaeiaiiyi o an?o a?oiao
aoea oaoiieaoeaioa?ia iaaeinoaoi?noue – a?ae 43,3% a ?? aei 66,7% — a
??? (?<0,05) c yaiei ia?aaaaeaiiyi neiae?iio cao?eiee aioo??oiueioo?iaiiai ?icaeoeo ieiaea – a?ae 23,3% aei 33,3% (?<0,05). *anoioa aiai?? aaa?oieo iaea?eueo aenieith aoea o thieo ia?ai?iaeyueo – a?ae 56,7% (?<0,05), a i?ci?o oieneeic?a – o a?eiaeo aei 43,3% (?<0,05). ?icaeyaeath/e a?eia? aniaeoe iniiaieo oi?i aeooa?nueeeo oneeaaeiaiue ne?ae aeae?eeoe, ui iacaaaeath/e ia cia/io ??cieoeth o a?oe? (a?ae 13 aei 40 ?ie?a), ??aaiue ??cii? iaoieia?? aoa aeinoia??ii aeua a ? ? ??? a?oiao (?<0,05). Iniaeeai iai/ii oea i?iaeyaea?oueny i?e ioe?ioe? /anoioe aiai?? aaa?oieo, i?ci?o oieneeic?a oa oaoiieaoeaioa?ii? iaaeinoaoiino?. I?aeoaa?aeaeaiiyi oeueiai ? i?yia iiceoeaia ei?aeyoe?eia caeaaei?noue i?ae nooiaiai ae?aaeaiino? oaoiieaoeaioa?ii? iaaeinoaoiino? (ii ??aith ano??ieo e?ia?) ? ia?aeiii? a?iiaaeaeo?? (r=+0,71). Io?eiai? ?acoeueoaoe na?ae/aoue, ui e??i iaaee/ieo aniaeo?a i?iaeaia iniiaieo aeooa?nueeeo oneeaaeiaiue ia? ? nioe?aeueia cia/aiiy, ui iaiao?aeii a?aoiaoaaoe ua c aeiaini?oaeueiiai ia??iaeo – c aoaio ieaioaaiiy n?i?, ia ui oaeiae aeaco? aaaaoi a?o/eciyieo aeine?aeiee?a (O.A.E?aaoeiaa, 1992; ?.A.Aiaaoe?ueiaa oa ni?aaao., 1998; I.?.Iaey?/oe, 1998; E.A.Ia?e?i oa ni?aaao., 1998). Iniaeeaee ?ioa?an i?aaenoaaeythoue aeai? i?i iniaeeaino? iieacaiue aei iia?aoe?? eana?aaa ?icoeio, ui oe?iei aeeneoooaaeiny ia ?? ieaioi? anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie a 1998 ?ioe? (O.A.Aa?aneiiaa oa ni?aaao., 1998; I.A.E?aa/aiei, 1998; A.A.sseiaeaaa oa ni?aaao., 1998). Oae, ca?aeii iaoeo aeaieo, o ia?ai?iaeyueo o a?oe? 19-29 ?ie?a o no?oeoo?? ia?aaaaeaee aioo??oiueioo?iaia a?iien?y ieiaea, ui ia i?aeaea?oueny e?eoaaiith (26,7%) oa aiiiae?? iieiaiai? ae?yeueiino? (23,3%). O thieo ia?ai?iaeyueo iae/ano?oa iaee i?noea ee?i?/ii aocueeee oac (23,3%) oa aiiiae?? iieiaiai? ae?yeueiino? (20,0%). Ii??aiyii c oeei, a ??? a?oi? ianoaaeaieo ia?aaaaeaea aioo??oiueioo?iaia a?iien?y ieiaea, ui ia i?aeaea?oueny iaaeeeaiaioici?e ei?aeoe?? (33,3%). ?icaeyaeath/e ?aooo aa?eaio?a iieacaiue iiaeia aeae?eeoe o a?eiaeo ia?ai?iaeyueo cia/io ieoiio aaao oaciaiai ia?aaeeaaeaiiy o niieo/aii? c aenieei ia?eiaoaeueiei ?eceeii (16,7%) oa aeno?aaai?oaeueiith iaoieia??th (13,3%). I?e oeueiio iaie anoaiiaeaia iiceoeaia ei?aeyoe?eia caeaaei?noue i?ae /anoioith aiiiae?e iieiai? ae?yeueiino? oa ia?aeiii? a?iiaaeaeo?? (r=+0,69). I?e aiae?c? ii?yaeeo ?ic?iaeaeaiiy ne?ae aeae?eeoe, ui /anoioa ieaiiaiai aaaeii?iaeueiiai ?ic?iaeaeaiiy neeaea a ?? a?oi? 26,7%, a oie /an ye o thieo ia?ai?iaeyueo oeae iieaciee aoa anueiai eeoa 16,7% (?<0,05), a o a?eiaeo – 66,7% (?<0,01). Oaea cia/ia ??cieoey, ia iao iiaeyae, iiynith?oueny iniaeeainoyie iieacaiue aei oeueiai aeaeo ?ic?iaeaeaiiy. Na?aaeiy aaee/eia iia?aoe?eii? e?iaiao?aoe o thieo ia?ai?iaeyueo neeaea 665,852,4 ie, a o a?eiaeo – 603,150,8 ie. Ii??aiyii c oeei, o ia?ai?iaeyueo 19-29 ?ie?a oeae iieaciee aei??aithaaa 609,248,2 ie, ui aeinoia??ii ia a?ae??ciy?oueny a?ae iiia?aaei?o aeaieo (?>0,05). Ei?aeyoeaii? caeaaeiino? i?ae aaee/eiith e?iaiao?aoe oa ??ciei
??aiai ia?aeiii? a?iiaaeaeo?? o a?eiaiio aniaeo? iaie ia anoaiiaeaii.

Ia aeoieo i?ia?aeieo iaiiaoieia?a (N.I.Eaoii?ia oa ni?aaao., 1996;
?.?.Ooiueei oa ni?aaao., 1998) noai iiaiia?iaeaeaieo i?e
aaaeii?iaeueiiio ?ic?iaeaeaii? oa?aeoa?eco?oueny iniaeeainoyie iieacaiue
aei oe??? iia?aoe??. Ca?aeii io?eiaieo iaie aeaieo, ano?en?y ??ciiai
nooiaiy aaaeeino? cono??/a?oueny /ano?oa o thieo ia?ai?iaeyueo – a 73,3%
niinoa?aaeaiue, a oie /an ye o a?eiaeo aeaia aaee/eia neeaea 56,7%
(?<0,05) ? a ?? a?oi? – a?aeiia?aeii 36,7% aeiaaee?a (?<0,01). Oaea ??cieoey coiiaeaia oei oaeoii, ui iae/ano?oa ae?iee ? a?oie ?ic?iaeaeoaaeenue aaaeii?iaeueiei oeyoii c i?eaiaeo ee?i?/ii aocueeiai oaco oa aiiiae?e iieiaiai? ae?yeueiino?, ui, i?e?iaeiuei, noi?iaiaeaeo?oueny aenieei ia?eiaoaeueiei ?eceeii. E??i oiai, caa?oa? ia naaa oaaao ? a?aeiinii aaeeea ieoiia aaaa, a iniiaiiio, o thieo ia?ai?iaeyueo a?iio?io?? – 33,3% oa aioo??oiueioo?iaiiai ?io?eoaaiiy – 16,7%. Anoaiiaeaia iiceoeaia ei?aeyoe?eia caeaaei?noue a?ae noaio iiaiia?iaeaeaieo oa ia?aeiii? a?iiaaeaeo?? (r=+0,69). ?icaeyaeath/e oa?i?ie ?ic?iaeaeaiiy, iaiao?aeii aeacaoe ia oo iniaeea?noue, ui ie ?icaeyaeaee o?eueee aeiaaeee aeiiioaii? aaa?oiino?, oae ye iaoiaaiac ia? nai? niaoeeo?/i? iniaeeaino? i?ney oa?i?iiaeo oa ia?aae/anieo iieia?a (N.I.Aaeaeoeia, 1996; I.A.Ii?iciaa, 1998). Aaaeaiiy ?aiiueiai i?neyiia?aoe?eiiai ia??iaeo cae?enithaaeiny o an?o oai?eo ca ?aeeiith iaoiaeeeith, yea aeeth/a? aaeaeaaoia iiiiaiaiiy e?iaiao?aoe c o?aooaaiiyi aeo?aeieo aaiaoieia?/ieo aeaieo oa ?? aaee/eie; ?aoe?iiaeueio aioea?ioeeii?io?eaeoeeo c aeei?enoaiiyi ei?ioeeo noai oeaoaeinii??i?a o oa?aiaaoe/iiio aeicoaaii?; ei?aeoe?th aeieeath/eo ii?ooaiue aiaeii-nieaaiai iai?io; ?ioiiei?aeoe?th oa ooa?ioii?/i? caniae. I?io?eaeoeea i?neyiia?aoe?eiiai ia?aco eeoa/ieea i?iaiaeeeany ia iniia? ?aiiueiai aeoeaiiai ?aaeeio oa oa?iaeioa?ai?? (E.A.Oeiioaiei oa ni?aaao., 1996). Ii?yae c oeei, ye na?ae/aoue io?eiai? iaie aeai?, o ?yae? aeiaaee?a iaee i?noea ??ci? i?neyiia?aoe?ei? oneeaaeiaiiy. Oae, iaea?eueo aenieee ?o ??aaiue aoei a?aei?/aii o thieo ia?ai?iaeyueo c ia?aaaaeaiiyi noa?iaiethoe?? iaoee (13,3%); ?aiiai? ?ioaeoe??, eio?iiao?e oa aiaeiiao?eoo (ii 10,0%). Aeae?eueea ??aeoa oea aeyaeyeiny o a?eiaeo ia?ai?iaeyueo – noa?iaiethoe?y iaoee oa eio?iiao?a ii 10,0%, a ?aiiaa ?ioaeoe?y oa aiaeiiao?eo – ii 6,7%. Ii??aiyii c oeei, o ia?ai?iaeyueo o a?oe? 19-29 ?ie?a i?neyiia?aoe?ei? oneeaaeiaiiy i?e ?ic?iaeaeaii? aaaeii?iaeueiei oeyoii cono??/aeeny a iiiaeeiieeo aeiaaeeao (ii 3,3%). Oae? a?aei?iiino?, ia iaoo aeoieo, coiiaeai? iniaeeainoyie, ye? ?, o aeo?aeiiio oiiiaiio noai?, a oaeiae a?eueo aenieith /anoioith aeooa?nueeeo oneeaaeiaiue i?ae /an aaa?oiino? o thieo oa a?eiaeo ia?ai?iaeyueo. Oea i?ecaiaeeei aei a?eueo i?ciueiai i?eeeaaeaiiy aei a?oae? iica aeniei? /anoioe i?neyiia?aoe?eieo oneeaaeiaiue o iaoa??. Aiae?coth/e caoai?thaai?noue iiaiia?iaeaeaieo ne?ae aeacaoe, ui ?? /anoioa aoea oaeiae aeua o thieo ia?ai?iaeyueo. I?e oeueiio, a no?oeoo?? ia?aaaaeaee iinoa?iiene/ia aioeaoaeiiao?y (20,0%); iinoiaoaeueia ?ioaeoe?y (16,7%); aaii?aa?/ia oai?iaa oa aeiaoyieoey (ii 10,0%). O ae?iie ?? oa ??? a?oi no?oeoo?a aoea aiaeia?/iith, aea ??aaiue oneeaaeiaiue aeae?eueea ieae/a (a?ae 3,3% aei 13,3%). Oea aeicaieeei iai anoaiiaeoe iiceoeaio ei?aeyoe?eio caeaaei?noue a?ae ??aiy caoai?thaaiino? iiaiia?iaeaeaieo oa ia?aeiii? a?iiaaeaeo?? (r=+0,70). Ioaea, ?acthioth/e aeaio /anoeio iaoeo aeine?aeaeaiue, iiaeia a?aei?oeoe, ui aaaeii?iaeueia ?ic?iaeaeaiiy iiaea ni?eyoe aeieeiaiith a?iiaaeaeo?? o cayceo c noeoii?noth oe?eiai ?yaeo oaeoi??a: iani?eyoeeaee niiaoe/iee oii, aeniea /anoioa oneeaaeiaiue aaa?oiino? oa iieia?a, iia?aoe?eiee no?an, aiaeio?aoaaeueiee ia?eic, e?iaiao?aoa i?ae /an iia?aoe??, oneeaaeiaiiy o i?neyiia?aoe?eiiio ia??iae?, caoai?thaai?noue iiaiia?iaeaeaieo. Oe? oaeoi?e ia?aoeiaeaeothoue nai?/aniiio i?eeeaaeaiith aeeoeie aei a?oae?. I?e oeueiio, a?iiaaeaeo?y /ano?oa aeieea? o thieo oa a?eiaeo ii?iae?eue. Oae, ae?aaiic ia?aeiii? a?iiaaeaeo?? aoa anoaiiaeaiee a 56,7% aeiaaee?a na?aae on?o ae?iie, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio. O ia?ai?iaeyueo o a?oe? 19-29 ?ie?a oeae iieaciee neeaa 46,7%; o a?eiaeo – 70,0% oa o thieo – 76,7%. Aacoiiaii, iaeiei c iniiaieo iieaciee?a eaeoiaaiaco ? aeeiai?/i? ci?ie ia?io a?oaeiiai iieiea, iniaeeai oi?iaeiaae ia?oeo aeanyoe aei?a i?ney ?ic?iaeaeaiiy (I.ss.Nooaeai?e?i oa ni?aaao.,1991; N.I.Aaeaeoeia,1996). I?e ioe?ioe? e?euee?nieo ci?i iieiea iaiao?aeii a?aei?oeoe, ui o ia?ai?iaeyueo 19-29 ?ie?a iaei i?noea aeinoia??ia cieaeaiiy oeueiai iieacieea a?aeiinii eiio?ieueii? a?oie, ii/eiath/e c 1 (aei 47,313,81 ie; ?<0,05) oa cae?i/thth/e 14 aeiaith i?ney iia?aoe?? (aei 428,7139,43 ie; ?<0,05), i?e/iio o ??aiiio nooiaith ae?aaeaiino?. I?e oeueiio, ie aaaaea?ii ca aeioe?eueia a?aoiaoaaoe aeinoia??i? a?aei?iiino? an?o iieaciee?a, ui aea/athoueny, a?aeiinii ye eiio?ieueii?, oae ? ?? a?oie, ui aeicaieeoue, ia iao iiaeyae, anoaiiaeoe naia a?eia? aniaeoe ii?ooaiiy eaeoaoe?? o ae?iie, ?ic?iaeaeaieo aaaeii?iaeueiei oeyoii. Aeoiaey/e c oeueiai, iiaeia eiinoaooaaoe, ui ia?i a?oaeiiai iieiea aoa aeinoia??ii ieae/a a ? oa ??? a?oiao ia i?ioyc? anueiai ia??iaeo, ui aea/a?oueny: 1 aeiaa – aei 32,422,23 ie (?<0,05) ? aei 30,723,08 ie (?<0,05); 14 aeaiue – aei 324,8124,62 ie (?<0,05) ? aei 319,7228,71 ie (?<0,05). I?e oeueiio, iieaciee aeinoia??iino? a?aeiinii eiio?ieueii? a?oie o an?o aeiaaeeao neeaa 0,01. Oea aeicaiey? iai c?iaeoe aeniiaie, ui ia o?eueee eana??a ?icoei ? oaeoi?ii ?eceeo a?iiaaeaeo??, ye aaea aoei a?aei?/aii a e?oa?aoo?? (I.A.E?aa/aiei oa ni?aaao.,1998; A.A.sseiaeaaa oa ni?aaao.,1998), aea ? a?e ia?ai?iaeyueo, a ia?oo /a?ao aei 18 ? i?ney 30 ?ie?a. Iniaeeaee ?ioa?an i?aaenoaaeythoue aeai? i?i ci?ie ai?noo i?ieaeoeio a ieaci? e?ia?, ui ia aeoieo ?yaeo aaoi??a (N.I.Aaeaeoeia,1994;1996) ? aeoaea ?ioi?iaoeaiei. Oae, o ia?ai?iaeyueo 19-29 ?ie?a, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio, oi?iaeiaae anueiai i?neyiia?aoe?eiiai ia??iaeo iaei i?noea aeinoia??ia cieaeaiiy oeueiai iieacieea a?aeiinii eiio?ieueii? a?oie: 1 aeiaa – aei 2814,21242,18 iIA/e (?<0,05) ? 14 aeaiue – aei 3372,91243,81 iiA/e (?<0,05). O a?eiaeo ia?ai?iaeyueo aeieeaee a?eueo aeeaie? ii?ooaiiy c 1 aeiy (aei 1814,31118,52 iIA/e; ?<0,05) aei 7 aeiae (aei 2324,83212,92 iIA/e; ?<0,05), a c 10 aeiy ianoaea ii?iae?caoe?y aeaiiai iieacieea a?aeiinii ?? a?oie ae?iie – aei 3388,91242,81 iIA/e (?>0,05). Ii??aiyii c oeei, o thieo ia?ai?iaeyueo
i?ioyaii anueiai aeine?aeaeoaaiiai ia??iaeo niinoa??aaeiny aeinoia??ia
ciaioaiiy ai?noo i?ieaeoeio – ia 1 aeiao – aei 1724,73120,43 iIA/e
(?<0,05) ? 14 aeiao – aei 2302,81169,73 iIA/e (?<0,05). Ia a?aei?io a?ae oeueiai, i?e aea/aii? ai?noo ano?aae?ieo, i?iaanoa?iio ? ei?oecieo o i?neyiia?aoe?eiiio ia??iae? ie ia anoaiiaeee ?o aeinoia??ieo a?aei?iiinoae (?>0,05).

?acthioth/e io?eiai? ?acoeueoaoe ye?nieo iieaciee?a iaiao?aeii
a?aei?oeoe, ui o ia?ai?iaeyueo 19-29 ?ie?a iaee i?noea aeaeiiiainiaaia
ciaioaiiy a?aeiinii eiio?ieueii? a?oie aei 14 aeiy i?ney iia?aoe??
ai?noo a a?oaeiiio iieioe? e?i?ae?a (aei 30,732,13 a/e; ?<0,05); eaeoice (aei 57,733,88 a/e; ?<0,05); eaeoioa??eio (aei 2,720,21 a/e; ?<0,05); ?ioiiaeiaoe?io I (aei 0,180,02 a/e; ?<0,05) oa nae?aoi?iiai ?ioiiaeiaoe?io A (aei 13,231,09 a/e; ?<0,05) ia oii? eiiiainiaaiiai ciaioaiiy ??aiy caaaeueiiai a?eea o?eueee aei 7 aeiy (aei 11,210,92 a/e; ?<0,05) oa a?aenooiino? aeinoia??ieo ci?i a?aeiinii eiio?ieueii? a?oie ai?noo eaca?io, ?ioiiaeiaoe?i?a G oa A, a oaeiae a?oai?i?a N ? ? (?>0,05). Ia a?aei?io a?ae oeueiai, o a?eiaeo ia?ai?iaeyueo ii??aiyii c
?? a?oiith niinoa??aaeiny aeinoia??ia cieaeaiiy i?ioyaii anueiai
aeine?aeaeoaaiiai ia??iaeo, aeeth/ath/e ? 14 aeiao ai?noo e?i?ae?a (aei
27,732,14 a/e; ?<0,05) oa a?oai?io N (aei 27,212,04 ieiieue/e; ?<0,05). ??aaiue caaaeueiiai a?eea ciaioo?oueny o?eueee c 10 aeiy (aei 8,240,71 a/e; ?<0,05); eaca?io c 7 aeiae (aei 1,310,13 a/e; ?<0,05), a eaeoice (aei 49,233,14 a/e; ?<0,05); eaeoioa??eio (aei 1,620,15 a/e; ?<0,05); ?ioiiaeiaoe?i?a A (aei 1,240,10 a/e; ?<0,05) ? SIgA (aei 5,190,43 a/e; ?<0,05); a oaeiae a?oai?io ? (aei 1,690,13 a/e; ?<0,05) o?eueee aei 3 aeiy i?ney eana?aaa ?icoeio. Iaea?eueo aeeaie? ii?ooaiiy eaeoaoe?? aeyaeyeeny o thieo ia?ai?iaeyueo. Aiie oa?aeoa?ecoaaeeny aeaeiiiainiaaiei ii?ooaiiyi an?o ye?nieo iieaciee?a, ui aea/athoueny, ii/eiath/e c 1 ? aeeth/ath/e 14 aeiao i?neyiia?aoe?eiiai ia??iaeo: caaaeueiee a?eie – aei 6,710,52 a/e (?<0,05); eaca?i – aei 1,290,12 a/e (?<0,05); e?i?aee – aei 28,732,14 a/e (?<0,05); eaeoica – aei 37,833,14 a/e (?<0,05); eaeoioa??ei – aei 1,690,16 a/e (?<0,05); IgA - aei 0,840,08 a/e; (?<0,05); IgI – aei 0,130,01 a/e (?<0,05); S?gA – aei 7,140,59 (?<0,05); a?oai?ie N – aei 27,212,04 ieiieue/e (?<0,01) ? ? – aei 2,100,14 ieiieue/e (?<0,05). Anoaiiaeai? ci?ie na?ae/aoue i?i cieaeaiiy iiaeeaii? oe?iiino? a?oaeiiai iieiea ia o?eueee aiane?aeie ia?aianaii? iia?aoe?eii? o?aaie oa e?iaiao?aoe i?e aaaeii?iaeueiiio ?ic?iaeaeaii?, aea ? ca ?aooiie a?eiaeo iniaeeainoae, o a?eueoiio nooiaith ia oii? a?ieia?/ii? iaaioiaiino? iaoa?einueeiai i?aai?cio. Ana aeeeaaeaia aeua na?ae/eoue i?i iaiao?aei?noue i?aeaeuaiiy aoaeoeaiino? aeei?enoaieo e?eoaaeueii-i?io?eaeoe/ieo caoiae?a o thieo oa a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio, ni?yiiaaieo ia cieaeaiiy /anoioe ia?aeiii? a?iiaaeaeo??. Ia ?? aoai? aeine?aeaeaiue, i?e ?iciiae?eaii? ae?iie ia a?oie aeio?eioaaeeny i?eioeeio ?aiaeii?i?caoe??. Oae, oa?aeoa?ecoth/e a?eia? iniaeeaino?, iaiao?aeii aeacaoe, ui a?aeiioaiiy thieo ? a?eiaeo ia?ai?iaeyueo neeaei a eiaei?e a?oi? ye 40,0% aei 60,0%. I?e oeueiio, a?aeiinia /enei ia?aiaaa?oieo aoei ?aeaioe/iei – ii 40,0%. C iiaeeeaeo aa?eaio?a cae?i/aiiy iiia?aaei?o aaa?oiinoae iaiao?aeii aeae?eeoe cia/iee ??aaiue a?oeo?oe?eieo (30,0% ? 33,3%; ?>0,05), a oaeiae
ieiia?eueieo ?aii?o (ii 16,7%) oa i?ci?o aai?o?a (13,3% ? 10,0%
a?aeiia?aeii; ?>0,05). Na?aae ia?aianaii? ?ai?oa aai?oaeueii? iaoieia??
caa?oa? ia naaa oaaao aeniea /anoioa iaoieia?/ieo ci?i oeeee iaoee
(40,0% ? 43,3%; ?>0,05) oa caiaeueieo i?ioean?a (33,3% ? 30,0%; ?>0,05).
Aiae?coth/e aeo?aeio niiaoe/io caoai?thaai?noue iiaeia aeae?eeoe aenieee
?? ??aaiue ye a ?V, oae ? a V a?oiao – 73,3% ? 70,0%, i?e oeueiio
/anoioa niieo/ieo oi?i neeaea o ia?oiio aeiaaeeo 46,7%, a a ae?oaiio –
43,3%. Na?aae ??cieo iicieia?/ieo oi?i /ano?oa ?ioeo cono??/aeeny
aiaeie?eiia iaoieia?y (ueoiaeaeia caeica) – ii 33,3%; oai?iae ie?ie
(i??eiiao?eo) – 26,7% ? 30,0%; a oaeiae na?oeaai-noaeeii? caoai?thaaiiy
(aaaaoi-noaeeiia aeenoii?y) – 23,3% ? 20,0% a?aeiia?aeii. Aeinoia??ieo
a?aei?iiinoae i?ae a?oiaie ie ia niinoa??aaee (?>0,05).

O no?oeoo?? iieacaiue aei aaaeii?iaeueiiai ?ic?iaeaeaiiy /ano?oa ?ioeo
cono??/aeeny o?e aa?eaioe iieacaiue. O ia?oo /a?ao, oea
aioo??oiueioo?iaia a?iien?y ieiaea, ui ia i?aeaea?oueny iaaeeeaiaioici?e
ei?aeoe?? (16,7% ? 20,0%), a oaeiae aiiiae?? iieiaiai? ae?yeueiino?
(20,0% ? 16,7%) oa ee?i?/ii aocueeee oac (13,3% ? 16,7% a?aeiia?aeii).
I?e ?icaeyaeaii? ii?yaeeo ?ic?iaeaeaiiy ne?ae aeae?eeoe iacia/ia
ia?aaaaeaiiy o?aaioieo iia?aoe?e, i?e/iio ye a ?V (56,7% i?ioe 43,3%;
?<0,05), oae ? a V a?oiao (53,3% ii??aiyii c 46,7%; ?<0,05). Na?aaeiy aaee/eia iia?aoe?eii? e?iaiao?aoe aoea ?aeaie/iith a iaio a?oiao ? neeaea 647,252,6 ie (?>0,05). I?e ioe?ioe? noaio iiaiia?iaeaeaieo
ano?en?y ??ciiai nooiaiy aaaeeino? iaea i?noea a 56,7% aeiaaee?a o
eiaei?e a?oi?. E??i oiai, iaiao?aeii aeacaoe ia cia/io ieoiio aaao
a?iio?io?? (26,7% ? 23,3%; ?>0,05), a oaeiae aioo??oiueioo?iaiiai
?io?eoaaiiy (10,0% ? 13,3% a?aeiia?aeii; ?>0,05).

Ioaea, ye na?ae/aoue ?acoeueoaoe i?eaaaeaii? ee?i?/ii? oa?aeoa?enoeee
ia aeaiiio aoai? aeine?aeaeaiue, i?e ?iciiae?eaii? ae?iie ca a?oiaie aoa
iiai?noth aeiaea?aeaiei i?eioeei ?aiaeii?i?caoe??, ui iaiao?aeii aeey
aeinoia??ii? ioe?iee io?eiaieo ?acoeueoao?a.

Aaaeaiiy an?o ae?iie o ?aiiueiio i?neyiia?aoe?eiiio ia??iae?
i?iaiaeeeiny ca ?aeeiith iaoiaeeeith, yea ci?noiaii iienaia aeua. Ia
aeiaeaoie aei oeueiai iaiao?aeii a?aei?oeoe, ui aea?a?/ieo ?aaeoe?e ia
canoinoaaiiy iiey?eciaaiiai na?oea iecueei? aia?a??, a oaeiae oa?iaei- ?
o?oioa?ai?th ie ia niinoa??aaee.

Aeey ioe?iee aoaeoeaiino? ?ic?iaeaii? iaie iaoiaeeee uiaei i?io?eaeoeee
a?iiaaeaeo?? i?ney eana?aaa ?icoeio a?aoiaoaaee ci?ie iniiaieo ye?nieo
? e?euee?nieo iieaciee?a, ye? aoee aeei?enoai? ?ai?oa ia ? aoai?
aeine?aeaeaiue. I?e oeueiio, iaeieie c iaea?eueo ?ioi?iaoeaieo ? ia?i
iieiea oa ai?no i?ieaeoeio a ieaci? e?ia? (N.I.Aaeaeoeia,1994;1996). sse
na?ae/aoue io?eiai? iaie aeai?, cieaeaiiy ia?io iieiea ia 1 aeiao i?ney
eana?aaa ?icoeio iineei aiaeia?/iee oa?aeoa? ye a ?V (aei 33,122,43 ie;
?<0,01), oae ? a V a?oiao (aei 32,834,21 ie; ?<0,01). Aaea c 3 aeiy i?neyiia?aoe?eiiai ia??iaeo ??cieoey o aaee/ei? oeueiai iieacieea ii/aea a?ae??ciyoeny, ui i?aeoaa?aeaeo?oueny oei oaeoii, ui a ?V a?oi? eiao?oe??io aeinoia??iino? ia ci?ieany (aei 163,7212,45 ie; ?<0,01), a a V – noaa aeua (aei 210,1213,31 ie; ?<0,05). Iaaeae?, c 7 aeiy i?ney iia?aoe?? aeaia cia/aiiy i?e aeei?enoaii? ?ic?iaeaii? iaie iaoiaeeee ii?iae?coaaeiny a?aeiinii eiio?ieueii? a?oie (aei 440,3227,14 ie; ?>0,05), a i?e caaaeueiii?eeiyo?e i?io?eaeoeoe? – ciaoiaeeeiny ia oaeiio
ae ??ai? (aei 227,7315,81 ie; ?<0,01). Aei caeeth/iiai iiiaioo aeine?aeaeaiue – 14 aeiaa, anoaiiaeaia caeiiii??i?noue caa??aaeany: ?V a?oia – aei 322,7323,52 ie (?<0,01) ? V – aei 653,1253,72 ie (?>0,05).
I?e aea/aii? ci?i ai?noo i?ieaeoeio a ieaci? e?ia? iaiao?aeii a?aei?oeoe
aeinoia??ia cieaeaiiy aeaii? aaee/eie iacaeaaeii a?ae aeei?enoaii?
i?io?eaeoe/ii? iaoiaeeee ia o?eueee ia 1 (aei 1732,14120,73 iIA/e;
?<0,01 ? aei 1779,83112,98 iIA/e; ?<0,01), aea ? ia 3 aeiao i?ney aaaeii?iaeueiiai ?ic?iaeaeaiiy (aei 2241,73209,75 iIA/e; ?<0,01 ? aei 2193,92176,73 iIA/e; ?<0,01). Iaaeae?, a V a?oi? oeae iieaciee nii/aoeo aeinoia??ii i?aeaeueany ia 7 aeaiue (aei 3873,73309,81 iIA/e; ?<0,05), a c 10 aeiae – ii?iae?coaaany a?aeiinii eiio?ieueii? a?oie (aei 4692,17372,91 iIA/e; ?>0,05). A ?V a?oi? ai?no i?ieaeoeio a ieaci? e?ia?
caeeoaany aeinoia??ii ciaioaiei ia i?ioyc? anueiai aeine?aeaeoaaiiai
oa?i?io – aei 14 aeiy i?ney eana?aaa ?icoeio (aei 2381,72209,41 iIA/e;
?<0,01). ?acthioth/e aeeiai?/i? ci?ie iniiaieo ye?nieo iieaciee?a o a?oaeiiio iieioe? oa eiai caoeni? aeanoeaino? iaiao?aeii a?aei?oeoe, ui niieo/ia aeei?enoaiiy iiey?eciaaiiai na?oea iecueei? aia?a?? c oa?iaei- ? o?oioa?ai??th aeicaieeei ii?iae?coaaoe aei 7 aeiae i?neyiia?aoe?eiiai ia??iaeo ai?no caaaeueiiai a?eea (aei 15,011,49 a/e; ?>0,05); eaca?io
(aei 1,780,13 a/e; ?>0,05); e?i?ae?a (aei 36,191,53 a/e; ?>0,05);
eaeoice (aei 69,233,75 a/e; ?>0,05); IgA (aei 2,170,18 a/e; ?>0,05), a
oaeiae a?oai?i?a N (aei 78,6218,14 ieiieue/e; ?>0,05) ? ? (aei 2,930,24
ieiieue/e; ?>0,05). E??i oiai, aei 10 aeiy oaeiae ii?iae?coaaany ai?no
eaeoioa??eio (aei 2,430,18 a/e; ?>0,05); IgI (aei 0,300,02 a/e; ?>0,05)
oa S?gA (aei 17,431,29 a/e; ?>0,05). Ia a?aei?io a?ae oeueiai, a ?V
a?oi? an? iieacieee, ui aea/aeeny, ciaoiaeeeeny ia ??ai? 1-3 aeiae
i?neyiia?aoe?eiiai ia??iaeo.

Oaeei /eiii, ye iieacaee ?acoeueoaoe iaoeo aeine?aeaeaiue canoinoaaiiy
iiey?eciaaiiai na?oea iecueei? aia?a?? o niieo/aii? c oa?iaei-?
o?oioa?ai??th aeicaiey? cieceoe /anoioo ia?aeiii? a?iiaaeaeo?? o thieo ?
a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo aaaeii?iaeueiei oeyoii c 73,3% aei
40,0% (?<0,05). O thieo ia?ai?iaeyueo /anoioa ia?aeiii? a?iiaaeeo?? cieceeanue c 76,7% aei 43,3%, a o a?eiaeo c 70,0% aei 36,7%. I?aeoaa?aeaeaiiyi oeueiio ? ii?iae?caoe?y iniiaieo ye?nieo oa e?euee?nieo iieaciee?a a?oaeiiai iieiea c 7-10 aeiae i?neyiia?aoe?eiiai ia??iaeo. Iaoiaeeea i?inoa, aeinooiia oa iiaea ciaeoe oe?iea canoinoaaiiy o i?aeoe/i?e ioi?ii? caei?iay. AENIIAEE: 1. O ii?iae?eue i?ney eana?aaa ?icoeio ia? i?noea aeniea /anoioa ia?aeiii? a?iiaaeaeo?? (56,7%), yea niinoa??aa?oueny o thieo ia?ai?iaeyueo a 76,7%, o a?oe? 19-29 ?ie?a – a 46,7% oa i?ney 30 ?ie?a – 70,0% aeiaaee?a. 2. ?icaeoie a?iiaaeaeo?? o thieo oa a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio coiiaeaia noeoii?noth oe?eiai ?yaeo oaeoi??a, ye? naii niaith iiaeooue ni?eyoe aeieeiaiith oe??? iaoieia??: iani?eyoeeaee niiaoe/iee oii, oneeaaeiaiee ia?aa?a aaa?oiino?, a?iien?y, ai?iiiaeueiee aeenaaeain, iniaeeaino? iia?aoe?? – o?eaae?noue, e?iaiao?aoa ? ia?eic, a oaeiae a?aeno?ieiaa i?eeeaaeaiiy aeeoeie aei a?oae?. 3. Oaeoi?e ?eceeo ?icaeoeo ia?aeiii? a?iiaaeaeo?? o ii?iae?eue i?ney eana?aaa ?icoeio ?: aenieee ??aaiue aai?oaeueii? oa aeno?aaai?oaeueii? iaoieia??, a?e ii?iae?eue, oneeaaeiaiiy aaa?oiino? i?ci?ie oieneeicaie, aiai??th, oaoiieaoeaioa?iith iaaeinoaoi?noth; aiiiae?? iieiaiai? ae?yeueiino?, cia/ia e?iaiao?aoa, i?neyiia?aoe?ei? oneeaaeiaiiy oa caoai?thaai?noue iiaiia?iaeaeaieo. 4. A?iiaaeaeo?y o ii?iae?eue i?ney eana?aaa ?icoeio oa?aeoa?eco?oueny aeinoia??iei cieaeaiiyi ia?io iieiea oa iia??oaiiyi eiai ye?niiai neeaaeo ii??aiyii c aiaeia?/ieie iieacaiiyie o ii?iae?eue i?ney iieia?a i?e?iaei?i oeyoii. 5. Ia?i iieiea o ii?iae?eue i?ney eana?aaa ?icoeio cieaeaiee ii??aiyii c iieacieeaie i?ney o?c?ieia?/ieo iieia?a. A?i oaeiae cieaeaiee o thieo oa a?eiaeo ia?ai?iaeyueo ii??aiyii c ae?ieaie o a?oe? 19-29 ?ie?a. 6. sse?ni? ci?ie neeaaeo iieiea iaea?eueo ae?aaeai? o thieo oa a?eiaeo ia?ai?iaeyueo oa oa?aeoa?ecothoueny o a?eiaeo cieaeaiiyi o iieioe? e?i?ae?a, a?oai?i?a N oa ?, Ig A oa sIg A aei 14 aeiae i?ney iieia?a, i?ieaeoeio a ieaci? e?ia? aei 10 aeiy oa eaeoioa??eio aei 7 aeiae. O thieo ia?ai?iaeyueo c 7 aeiae cieaeoaaany o iieioe? ai?no eaca?io, e?i?ae?a, eaeoice, eaeoioa??eio oa an?o eean?a ?ioiiaeiaoe?i?a, a?oai?i?a N oa ?, a oaeiae ??aiy i?ieaeoeio a ieaci? e?ia?. 7. Aeey i?io?eaeoeee oa e?eoaaiiy ia?aeiii? a?iiaaeaeo?? o thieo oa a?eiaeo ia?ai?iaeyueo i?ney eana?aaa ?icoeio iaiao?aeii aeei?enoiaoaaoe eiiieaen caoiae?a, yeee aeeth/a? iacia/aiiy ieneoioeeio ii 5 iae. a/i aea?/? ia aeiao, oea?oeaeo ii 10 ia o?e/? ia aeiao oi?iaeiaae 5 aei?a, o?oioa?ai?th o aeaeyae? ianoith oaioaeth cae/aeiiai ii 1/3 noaeaia /ioe?e ?ace ia aeiao oi?iaeiaae 7-10 aei?a, a oaeiae iiey?eciaaia na?oei iecueei? aia?a?? o niieo/aii? c Oxy Spray /a?ac 6-8 aiaeei oi?iaeiaae 10 aei?a. 8. Aeei?enoaiiy ?ic?iaeaieo e?eoaaeueii-i?io?eaeoe/ieo caoiae?a o thieo oa a?eiaeo ia?ai?iaeyueo aeicaieeei cieceoe /anoioo a?iiaaeaeo?? aei 40% oa ni?eyei ca?eueoaiith ia?io iieiea oa eiai ye?nieo aeanoeainoae c 7 aeiy i?neyiia?aoe?eiiai ia??iaeo, ui aea? ciiao ?aeiiaiaeoaaoe ?ic?iaeaiee e?eoaaeueii-i?io?eaeoe/iee eiiieaen aeey ai?iaaaeaeaiiy a i?aeoeeo. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??: 1. Aiaeiaa I.I., Oaeaeaiei N.I., Aanthe ?.A., Ae?aeoo O.?. Eana??a ?icoei ye oaeoi? ?eceeo aeey ?icaeoeo a?iiaaeaeo?? //Oe?a?inueeee iaoeiai-iaaee/iee iieiae?aeiee aeo?iae. – 1997. - ?4. – N.52-53. 2. Aiaeiaa I.I., Aanthe ?.A., Ae?aeoo O.?. Iniaeeaino? caoenieo oaeoi??a a?oaeiiai iieiea //Iaae?ao??y. – 1998. - ?1. – N.108-111. 3. Aiaeiaa I.I. Iniaeeaino? a?iiaaeaeo?? i?ney aaaeii?iaeueiiai ?ic?iaeaeaiiy //Iaoeiaee a?niee Oaeai?iaenueeiai oi?aa?neoaoo. – 1999. - aei.8. – N. 171-172. 4. Aiaeiaa I.I. Iniaeeaino? a?iiaaeaeo?? o a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio //Iaeanueeee iaaee/iee aeo?iae. – 1999. - ?4. – N. 50-51. 5. Aiaeiaa I.I., *iaae I.I., ?iiaiaiei O.A., E?yoei A.I., Ie?ey ?.E., A?aiaeae E.I. Iniaeeaino? eaeoaoe?? o thieo ia?ai?iaeyueo //Oe?a?inueeee iaoeiai-iaaee/iee iieiae?aeiee aeo?iae. – 1999. - ?1-2. – N. 78-79. AIIOAOe?ss Aiaeiaa I.I. A?eia? aniaeoe a?iiaaeaeo?? i?ney eana?aaa ?icoeio. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.01 – aeooa?noai oa a?iaeieia?y. – Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.aeaae.I.I.Aiaiiieueoey IIC Oe?a?ie. Ee?a, 1999. Ia i?aenoaa? ee?i?/ieo, a?io?i?/ieo oa ?ioiieia?/ieo iaoiae?a aeine?aeaeaiiy iaoeiai iaa?oioiaaia iaiao?aei?noue i?io?eaeoeee ia?aeiii? a?iiaaeaeo?? o thieo oa a?eiaeo ia?a?iaeyueo, ?ic?iaeaeaieo oeyoii iia?aoe?? eana?aaa ?icoeio ia iniia? eiiieaeniiai aeei?enoaiiy iiey?eciaaiiai na?oea iecueei? aia?a?? oa oa?iaeio?oioa?ai??. E??i oiai, anoaiiaeai? oaeoi?e ?eceeo ?icaeoeo ia?aeiii? a?iiaaeaeo?? i?ney aaaeii?iaeueiiai ?ic?iaeaeaiiy c o?aooaaiiyi a?eiaeo iniaeeainoae. Ana oea a noeoiiino? aeicaieeei cieceoe /anoioo ia?aeiii? a?iiaaeaeo?? o thieo oa a?eiaeo ia?ai?iaeyueo, ?ic?iaeaeaieo aaaeii?iaeueiei oeyoii. Eeth/ia? neiaa: a?eia? aniaeoe, a?iiaaeaeo?y, eana??a ?icoei, i?io?eaeoeea, a?oaeia iieiei. ANNOTATION Bobkova O.O. Age aspects of hypogalactia after cesarean section. – Manuscript. Thesis for a degree of candidate of medical sciences on specialty 14.01.01 – obstetrics and gynecology. A.A.Bogomoletz National Medical University – Kyiv, 1999. The becessity of prophylaxic of primary hypogalactia by combined application of polarized low energy light and pharmacophytotherapy in young and aged primiparous women having delivered bu means of cesarean section operation has been scientifacally substantiated on the basis of clinical, biochemical and immunologic methods of investigation. Besides the risk factors of developing primary hypogalactia after abdominal delivery have been established taken into account the age peculiarities. All this on the whole has permitted to reduce the frequency of primary hypogalactia in young and aged primiparous women having delivered by abdominal way. Key words: age aspects, hypogalactia, cesarean section, prophylaxic, breast milk. AIIIOAOeEss Aiaeiaa I.A. Aic?anoiua aniaeou aeiiaaeaeoee iinea eana?aaa na/aiey. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01 – aeooa?noai e aeiaeieiaey. – Iaoeeiiaeueiue iaaeeoeeineee oieaa?neoao ei.aeaae.A.A.Aiaiiieueoea IC Oe?aeiu. - Eeaa, 1999. Auiieiaiiay iao/iay ?aaioa iinayuaia ?aoaieth aeooaeueiie i?iaeaiu aeiiaaeaeoee iinea eana?aaa na/aiey. Oeaeueth iao/iie ?aaiou yaeyaony nieaeaiea /anoiou ia?ae/iie aeiiaaeaeoee o thiuo e aic?anoiuo ia?ai?iaeyueo, ?iaei?ac?aoaiiuo aaaeiieiaeueiui iooai ia iniiaa eco/aiey i?e/ei aeiiaaeaeoee e niaa?oainoaiaaiey ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee n eniieueciaaieai iaaeeeaiaioiciuo e iaiaaeeeaiaioiciuo n?aaenoa. Aeey ?aoaiey iinoaaeaiiie oeaee auei ianeaaeiaaii 150 aeaiuei, ?iaei?ac?aoaiiuo aaaeiieiaeueiui iooai a ?acee/iuo aic?anoiuo a?oiiao. Eiio?ieueiay a?oiia – 30 ?iaeeeueieoe iinea iaineiaeiaiiuo ?iaeia anoanoaaiiui iooai. Eniieueciaaiu nia?aiaiiua iaoiaeeee: eeeie/aneea, ?aaeeieiioiieiae/aneea, aeioeie/aneea, eiioiieiae/aneea e noaoenoe/aneea. Aia?aua onoaiiaeaiu eeeie/aneea iniaaiiinoe e /anoioa ia?ae/iie aeiiaaeaeoee, a oaeaea eo acaeiinaycue n aeioeie/aneeie e eiioiieiae/aneeie eciaiaieyie a a?oaeiii iieiea o thiuo e aic?anoiuo ia?ai?iaeyueo, ?iaei?ac?aoaiiuo iooai iia?aoeee eana?aaa na/aiey. Yoi iicaieeei iao/ii iainiiaaoue eiiieaen ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee e ?anoe?eoue eiathueany aeaiiua i iaoiaaiaca ia?ae/iie aeiiaaeaeoee iinea aaaeiieiaeueiiai ?iaei?ac?aoaiey. Aia?aua i?aaenoaaeaii iao/iia iainiiaaiea eniieueciaaiey iiey?eciaaiiiai naaoa ieceie yia?aee a ni/aoaiee n oa?iaeioeoioa?aieae aeey nieaeaiey /anoiou ia?ae/iie aeiiaaeaeoee iinea eana?aaa na/aiey o ia?ai?iaeyueo ?acee/iuo aic?anoiuo a?oii. Onoaiiaeaiu oaeoi?u ?enea ?acaeoey ia?ae/iie aeiiaaeaeoee o ia?ai?iaeyueo, ?iaei?ac?aoaiiuo aaaeiieiaeueiui iooai a aic?anoiii aniaeoa. Oniaa?oainoaiaaiu i?aeoe/aneea ?aeiiaiaeaoeee ii eiiieaeniiio eniieueciaaieth iiey?eciaaiiiai naaoa ieceie yia?aee e oa?iaeioeoioa?aiee n oeaeueth nieaeaiey /anoiou ia?ae/iie aeiiaaeaeoee iinea eana?aaa na/aiey. I?aaeeiaeaiu aeey oe?ieiai aiaae?aiey a i?aeoeeo iaoiaeu eiio?iey ca ninoiyieai eaeoaoeee, eioi?ua aeeth/atho a naay aeioeie/aneea, ?aaeeieiioiieiae/aneea e eiioiieiae/aneea iieacaoaee a a?oaeiii iieiea. Aiaae?aiu i?aeoe/aneea ?aeiiaiaeaoeee ii nieaeaieth /anoiou ia?ae/iie aeiiaaeaeoee iinea eana?aaa na/aiey o thiuo e aic?anoiuo ia?ai?iaeyueo. A ?acoeueoaoa i?iaaaeaiiuo enneaaeiaaiee iieacaii, /oi a no?oeoo?a iieacaiee e iia?aoeee eana?aaa na/aiey o thiuo ia?ai?iaeyueo i?aiaeaaeatho eeeie/anee oceee oac (23,3%) e aiiiaeee ?iaeiaie aeayoaeueiinoe (20,0%), a o aic?anoiuo – aioo?eoo?iaiay aeiieney ieiaea, ia iiaeaeathuayny iaaeeeaiaioiciie ei??aeoeee (33,3%). *anoioa ia?ae/iie aeiiaaeaeoee iinea aaaeiieiaeueiiai ?iaei?ac?aoaiey ninoaaeyao o ia?ai?iaeyueo a aic?anoa 19-29 eao – 46,7%; o aic?anoiuo – 70,0% e o thiuo – 76,7%. Ia?ae/iay aeiiaaeaeoey o aic?anoiuo ia?ai?iaeyueo oa?aeoa?ecoaony aeinoiaa?iui nieaeaieai aei 14 nooie iinea iia?aoeee iauaia iieiea, a oaeaea niaea?aeaiey a iai eeieaeia e aeoaieia N; aei 10 aeiy –i?ieaeoeia a ieacia e?iae, a aei 7nooie – eaeoioa??eia; ?gA; S?gA e aeoaieia A a a?oaeiii iieiea. Aeey i?ioeeaeoeee ia?ae/iie aeiiaaeaeoee o thiuo e aic?anoiuo ia?ai?iaeyueo iaiaoiaeeii eniieueciaaoue iiey?eciaaiiue naao ieceie yia?aee a ni/aoaiee n Oxy Spray ii 10 ieioo /a?ac 6-8 /ania a oa/aiea 10 aeiae, a oaeaea ieneoioeei ii 5 aae. aioo?eiuoa/ii – 2 ?aca a aeaiue e oea?oeae ii 10 ia 3 ?aca a aeaiue a oa/aiea 5 nooie; ia?yaeo n yoei iaiaoiaeeii eniieueciaaoue oeoioa?aieth a aeaea ianoiy oaioaey iaueiiaaiiiai ii 1/3 noaeaia aei 4 ?ac a nooee a oa/aiea 7-10 aeiae. Eniieueciaaiea ?ac?aaioaiiie i?ioeeaeoe/aneie iaoiaeeee o thiuo e aic?anoiuo ia?ai?iaeyueo, ?iaei?ac?aoaiiuo aaaeiieiaeueiui iooai iicaieyao nieceoue /anoioo ia?ae/iie aeiiaaeaeoee n 73,3% aei 40,0% (?<0,05), /oi iiaeoaa?aeaeaaony ii?iaeecaoeeae iniiaiuo ea/anoaaiiuo e eiee/anoaaiiuo iieacaoaeae a?oaeiiai iieiea n 7-10 nooie iineaiia?aoeeiiiiai ia?eiaea. Eeth/aaua neiaa: aic?anoiua aniaeou, aeiiaaeaeoey, eana?aai na/aiea, i?ioeeaeoeea, a?oaeiia iieiei.

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