2

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

EE?ANUeEA IAAeE*IA AEAAeAI?ss

I?NEssAeEIEIIII? INA?OE ?i. I. E. OOIEEA

AIEAe?AEA? Ieaenaiae? Ieaenaiae?iae/

OAeE 616.36-004.,616.329[-089

Aiaeineii?/ia neea?ioa?ai?y

aa?eeicieo aai no?aaioiaeo

a i?io?eaeoeoe? e?iaioa/

i?e nieaiiaeaeiii?aneaieo noaeeiieo iia?aoe?yo o oai?eo

oee?icii ia/?iee

14.01.03 – o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oaeai?iaenueeiio aea?aeaaiiio oi?aa?neoao?

I?i?noa?noaa ina?oe Oe?a?ie

Iaoeiaee ea??aiee:

Aeieoi? iaaee/ieo iaoe, i?ioani? ?onei Aaneeue ?aaiiae/, caa?aeoaa/
eaoaae?e aini?oaeueii? o??o?a?? Oaeai?iaenueeiai aea?aeaaiiai
oi?aa?neoaoo II Oe?a?ie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Nooa??a ?aai ?aaiiae/, ea??aiee
a?aeae?eo o??o?a?? iaa?no?aeueieo noaeei ?inoeoooo ee?i?/ii? oa
aenia?eiaioaeueii? o??o?a?? AII Oe?a?ie,

aeieoi? iaaee/ieo iaoe, i?ioani? E?ea/aiy Aeaieei THe?aiiae/,

caa?aeoaa/ eaoaae?e aeeoy/i? o??o?a?? Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i. I. I. Aiaiiieueoey IIC Oe?a?ie.

I?ia?aeia onoaiiaa: Euea?anueeee aea?aeaaiee iaaee/iee oi?aa?noeoao
?i. Aeaieea Aaeeoeueeiai IIC Oe?a?ie, eaoaae?a caaaeueii? oa
oaeoeueoaonueei? o??o?a??.

Caoeno a?aeaoaeaoueny “__19__”________05__________1999 ?.
i_14_________aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee
Ae26.613.02 i?e Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe
?i. I. E. Ooieea IIC Oe?a?ie (254112, i. Ee?a, aoe. Aei?iaiaeeoeueea,
9).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea (254112, i. Ee?a,
aoe. Aei?iaiaeeoeueea, 9).

Aaoi?aoa?ao ?ic?neaiee “__20__”_______04_____________1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio Aaicaeye I. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. E?iaioa/? c A?A no?aaioiaeo oa oeoiea ? iaei??th c
aieiaieo i?e/ei nia?oiino? o oai?eo OeI c neiae?iiii IA (Aoeaiia E.E.,
1997; A?aieoaioeaa A.E. e niaao., 1998).

Aiane?aeie ca?eueoaiiy /anoioe oneeaaeiaieo oi?i caoai?thaaiiy, oee?ic
ia/?iee, ia aeaiee /an, caeia? /aoaa?oa i?noea na?aae i?e/ei nia?o?
in?a, a?eii iiiaae 40 ?ie?a (Rikkers L.F., 1998).

OeI noi?iaiaeaeo?oueny oaeiae ??ciiiai?oieie caiaeueieie i?ioeanaie oa
iioi?ieie ii?ooaiiyie aa?oi?o a?aeae?e?a oeoieiai-eeoeiaiai o?aeoo
(OEO), iaoiaaiac yeeo iia’ycaiee c aaee/eiith IA, nooi?iith A?A
no?aaioiaeo, /anoioith oa aaaee?noth no?aaio?aeii-oeoieiaeo e?iaioa/,
noiooiueith iaoieia??th, iaoiaeii aeei?enoaiiai iia?aoeaiiai aai
eiina?aaoeaiiai e?eoaaiiy. (Ai?enia A. A. e niaao., 1998; Aaao?eoaeee
A.A., Ieoei N. A., 1998; Aeeeia O. A. e niaao., 1988; Ao?aoia A. A.,
Iaiaaeee C.C., 1998).

A oie aea /an, oae? ieoaiiy, ui aeieeathoue i?e e?eoaaii? IA, ye:

– /anoioa caiaeueieo ci?i aa?oi?o a?aeae?e?a OEO i?e OeI;

– /anoioa iioi?ieo ii?ooaiue i?e OeI;

– e?euee?ni? oa ye?ni? ci?ie, ui aeieeathoue i?e ooiooth/eo iia?aoe?yo
c aieo aa?oi?o a?aeae?e?a OEO;

– ci?ie oeeo ii?ooaiue i?e eiia?iaoe?? ooiooth/i-aeaeiii?aneaieo
iia?aoe?e oa aiaeineii?/ii? neea?ioa?ai?? (AN);

– ci?ie ii?oaeueii? aaiiaeeiai?ee i?e OeI, ye? aeieeathoue i?e
eiia?iaoe?? aeuaaeacaieo iaoiae?a e?eoaaiiy;

– aeaee, /anoioa oa i?io?eaeoeea oneeaaeiaiue AN – iio?aaothoue
iiaeaeueoiai aea/aiiy oa aeeeoothoue iaiao?aei?noue i?iaaaeaiiy
aeine?aeaeaiue a oeueiio iai?yieo.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa ?
?icae?eii iaoeiai? i?ia?aie eaoaae?e aini?oaeueii? o??o?a?? iaaee/iiai
oaeoeueoaoo Oaeai?iaenueeiai aea?aeaaiiai oi?aa?neoaoo ii
aea?aeathaeaeaoi?e oaiaoeoe? ii oai? “Iaoiaee o??o?a?/ii? aai
iaaeeeaiaioicii? ei?aeoe?? ii?oaeueii? a?ia?oaic?? o oai?eo oee?icii
ia/?iee”, iiia? aea?aeaaii? ?a?no?aoe?? ? 0196 E 003254.

Iaoa ? caaea/? aeine?aeaeaiiy. Aeey iie?auaiiy ?acoeueoao?a o??o?a?/iiai
e?eoaaiiy oai?eo OeI c neiae?iiii ii?oaeueii? a?ia?oaic??, aea/eoe
iniaeeaino? ia?aa?ao caoai?thaaiiy i?e eiiieaeniiio aeei?enoaii?
i?io?eaeoe/ii? aiaeineii?/ii? neea?ioa?ai?? A?A no?aaioiaeo oa
nieaii-aeaeiii?aneaieo ooiooth/eo iia?aoe?e.

A?aeiia?aeii ?c caaaeueiith iaoith aeine?aeaeaiiy a aeena?oaoe??
iinoaaeai? oa ae??oai? ianooii? caaea/?:

1.Aea/eoe i?e/eie iacaaeia?eueieo ?acoeueoao?a oa eaoaeuei?noue a
iaeaeeae/iio oa a?aeaeaeaiiio ia??iaeao niinoa?aaeaiiy o oai?eo c
nieaii-aeaeiii?aneaieie ooiooth/eie iia?aoe?yie.

2.Ioe?ieoe aiaeineii?/i? iiaeeeaino? a?coae?caoe?? no?aaioiaeo oa
oeoiea i?e OeI, a oaeiae aiaeineii?/ii? neea?ioa?ai?? A?A no?aaioiaeo oa
oeoiea.

3.Aea/eoe aieea nieaii-aeaeiii?aneaieo iia?aoe?e i?e OeI ia iioi?i?
ii?ooaiiy oa caiaeuei? yaeua aa?oi?o a?aeae?e?a OEO.

4.I?iaanoe ii??aiyeueiee aiae?c aoaeoeaiino? aiaeineii?/ii?
neea?ioa?ai?? a i?io?eaeoeoe? e?iaioa/ A?A no?aaioiaeo ? oeoiea o oai?eo
OeI i?ney nieaii-aeaeiii?aneaieo ooiooth/eo iia?aoe?e.

5.Aea/eoe aeaye? ci?ie ii?oaeueii? aaiiaeeiai?ee i?ae aieeaii
aiaeineii?/ii? neea?ioa?ai?? oa ?? aieea ia ooieoe?iiaeueiee noai
ia/?iee.

6.Aeyaeoe iaea?eueo /ano? oneeaaeiaiiy AN oa iai?oeoe oeyoe ?oiuei?
i?io?eaeoeee oa e?eoaaiiy.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

O ?iaio? aia?oa, ia aaeeeiio ee?i?/iiio iaoa??ae? aea/ai? aeaee oa
e?euee?noue caiaeueieo i?ioean?a ? ii?ooaiue iioi?ii? ooieoe?? aa?oi?o
a?aeae?e?a OEO o oai?eo OeI aei ? i?ney nieaii-aeaeiii?aneaieo
ooiooth/eo iia?aoe?e.

I?iaaaeai? ii??aiyeueiee aiae?c aoaeoeaiino? AN A?A no?aaioiaeo ? oeoiea
o oai?eo OeI i?ney nieaii-aeaeiii?aneaieo ooiooth/eo iia?aoe?e.

Aea/ai? ci?ie ii?oaeueii? aaiiaeeiai?ee i?ae aieeaii aiaeineii?/ii?
neea?ioa?ai?? oa ?? aieea ia ooieoe?iiaeueiee noai ia/?iee.

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

Anoaiiaeaii, ui AN ? aoaeoeaiei iaoiaeii i?io?eaeoeee e?iaioa/ c A?A
no?aaioiaeo, yea a ii?aeiaii? c nieaii-aeaeiii?aneaieie iia?aoe?yie o
a?aeaeaeaiiio i?neyiia?aoe?eiiio ia??iae? caaacia/o? no?eeee
aaiinoaoe/iee aoaeo.

Ia iniia? ee?i?/ieo niinoa?aaeaiue anoaiiaeaii, ui i?io?eaeoe/ia
aeei?enoaiiy AN A?A no?aaioiaeo o 20% aeiaaee?a i?eaiaeeoue aei
ciaioaiiy acioaa?o?a ? ia 40% – ciaioaiiy aano?i-acioaaaeueiiai
?aoetheno.

Aeyaeaii, ui ii i??? iae?oa?aoe?? A?A no?aaioiaeo, o oai?eo OeI
ca?eueoo?oueny ii?oaeueiee i?eeea iaeaea ia 30 %, ui ni?ey? caa?aaeaiith
ooieoe?iiaeueiiai ?aca?ao ia/?iee i?ney nieaiiaeaeiii?aneaieo ooiooth/eo
iia?aoe?e.

Iniaenoee aianie aeena?oaioa.

1.Aeeiiaii 480 aiaeineii?/ieo aeine?aeaeaiue o 68 oai?eo c OeI aei,
i?ney ? a ia??iae i?iaaaeaiiy naain?a AN.

2.Ee?i?/ia ianoaaeaiiy 68 oai?eo c OeI.

3.Ai?iaaaeaeaii a ee?i?/io i?aeoeeo oeueo?acaoeiaa aeoieaenneaioaaiiy
ii?oaeueii? ciie aeey aecia/aiiy ia’?iii? ia?ooc?? ia/?iee a aeeiai?oe?.

4.I?eeiaa o/anoue o an?o iia?aoeaieo ao?o/aiiyo o oai?eo c OeI.

5. ?ic?iaeaiee oa caoeuaiee iaoaioii Oe?a?ie niin?a e?eoaaiiy
ii?oaeueii? a?ia?oaic??.

6. Aea/ai? iaeaeeae/? oa a?aeaeaeai? ?acoeueoaoe eiiieaeniiai e?eoaaiiy
oai?eo c OeI.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??.

Iniiai? iieiaeaiiy aeena?oaoe?? aeeeaaeai? ia 51, 52 i?aenoieia?e
iaoeia?e eiioa?aioe?? i?ioani?nueei-aeeeaaeaoeueeiai neeaaeo OaeAeO
(Oaeai?iae 1997, 1998, naeoe?y iaaee/ieo iaoe), ia can?aeaii? iaeaniiai
iaoeiaiai oiaa?enoaa o??o?a?a (aeiaoaiue 1997, aa?anaiue 1998).

Ca iaoa??aeaie aeena?oaoe?? aoee c?iaeai? iia?aeiieaiiy:

1.Ia iaoeiai-i?aeoe/i?e eiioa?aioe?? c i?eaiaeo aiaeineii?/ii? o??o?a??
o i. Oa?iiiie?, aeiaoaiue 1998?.

2.Ia i?aeia?iaei?e eiioa?aioe?? o??o?a?a aaiaoieia?a ?in?? ? e?a?i NIAe
o i. Ee?a? 4-6 eenoiiaaea 1998?.

Ai?iaaoe?y aeena?oaoe?? a?aeaoeany 18 a?oaeiy 1998 ?ieo ia ?icoe?aiiio
can?aeaii? eaoaae?e aini?oaeueii? o??o?a??, caaaeueii? o??o?a?? oa
eaoaae?e aini?oaeueii? oa?ai?? iaaee/iiai oaeoeueoaoo Oaeai?iaenueeiai
aea?aeoi?aa?neoaoo c o/anoth o??o?a?a IEE i. Oaeai?iae.

Ioae?eaoe??. ?acoeueoaoe aeena?oaoe?? iioae?eiaai? a iaei?e iiiia?ao??,
a /ioe?ueio aeo?iaeueieo noaooyo, oa a aeaio noaooyo o ca??ieeao
iaoeiaeo i?aoeue, a oacao 2 eiioa?aioe?e, io?eiaii iaoaio Oe?a?ie.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y iiaoaeiaaia ca caaaeueiii?eeiyoei
ieaiii ? neeaaea?oueny c anooio, 4-o ?icae?e?a, caeeth/aiiy, aeniiae?a ?
nieneo aeei?enoaieo aeaea?ae.

?iaioa aeeeaaeaia ia 109 noi??ieao iaoeiiieniiai oaenoo oe?a?inueeith
iiaith. ?ethno?iaaia oaaeeoeyie oa ?enoieaie. A?ae?ia?ao?/iee aeac?aiee
e?oa?aoo?e aeeth/a? 180 aeaea?ae, c ieo 120 ?iicaiieo aaoi??a.

INIIAIEE CI?NO ?IAIOE

Ia’?eo, iaoiaee oa iaoiaeieia?y aeine?aeaeaiue

A o??o?a?/iiio a?aeae?eaii? IEE i. Oaeai?iae a ieaiiaiio ii?yaeeo
ianoaaeaii oa i?ie?eiaaii 68 iaoe??io?a c oee?icii ia/?iee, oneeaaeiaiei
ii?oaeueiith a?ia?oaic??th.

Ii noaoaaeo iciaeao oai?? ?icae?eeeeny oaeei /eiii: 50 (73,5 %)
/ieia?e?a oa 18 (26,5 %) ae?iie, a?eii a?ae 17 aei 58 ?ie?a (a
na?aaeiueiio 26,5 ?ie?a). I?e/iio na?aae /ieia?e?a 24 (48 %) iaoe??io?a
aoee o a?oe? aei 20 ?ie?a. A na?aae ae?iie iniiaia /anoeia – 11 (68,1 %)
aoea o iaae? 20-30 ?ie?a.

Aeaai?noue caoai?thaaiiy neeaea a na?aaeiueiio 9 i?nyoe?a (a?ae 6
i?nyoe?a aei 1,8 ?ie?a), i?e/iio, iaeaea o iieiaeie iaoe??io?a – 30 (44
%) aiia eieeaaeanue a?ae 8 aei 10 i?nyoe?a, a o 22 (39,4 %) oai?eo
neeaea aeua 1,5 ?iee.

Ao?ieia?y OeI anoaiiaeaia o 46 iaoe??io?a: 41- oai??ee a??oniei
aaiaoeoii, 5 – ceiaaeeaaee aeeiaieai.

E?iaioa/a c A?A no?aaioiaeo a aiaiiac? a?aei?/aeanue o 56 (82, 4 %)
oai?eo, o 10 (14,7 % ) iaoe??io?a niinoa??aaeinue 2 aai a?eueoa e?iaioa/
(oaae. 1.).

A?aeiia?aeii aei /iai oai?? aoee ?iciiae?eai? ia 3 a?oie: ?-a – 12
iaoe??io?a aac iciae e?iaioa/ c A?A no?aaioiaeo ; ??-a – 46 oai?eo, o
yeeo niinoa??aaeanue o?eueee iaeia e?iaioa/a a aiaiiac?; ???-y – 10
iaoe??io?a, o yeeo a aiaiiac? niinoa??aaeenue 2 aai a?eueoa e?iaioa/.

Aoi?eiiee a?ia?nieai?ci ??ciiai nooiaiy niinoa??aaany o 60 (88,2 %)
oai?eo (oaae.1). Iayai?noue nieaiiiaaae?? c ee?i?/ieie i?iyaaie
iii??iiai aai ae?aaeaiiai a?ia?nieai?cio aieeaaea ia aea?? iaoiaeo
noaeeiii-ooiooth/i? iia?aoe??, oae ye on?i oeei oai?ei iaoiaaiaoe/ii
aoei iaoiiaeaii aeaeaeaiiy naeac?iee.

Oaaeeoey.1.

Oneeaaeiaiiy, ye? niinoa??aathoueny o oai?eo OeI

E?iaioa/a a

aiaiiac?A?ia?-nieai?ciAnoeeoIi?oinenoaiia

aioeaoaeiiao?yIaa?ieia?/i?

neiioiieIaia?Iaeia2 ?
a?eueoaIaia?Iii??ieeAe?aaeaieeIaia??acenoaioieeNoaa?eueieeI?ia?anoth/eeI
aia?I?i?iaeuei?ssai?12461085375612——5612—17,6%67,6%14,7%11,8%77,9%10,3%7
9,4%17,6%——82,4%17,6%—

O 12 (17,6 %) oai?eo a iiiaio caa?iaiiy a o??o?a?/io ee?i?eo
niinoa??aaany ?acenoaioiee anoeeo ? ?i oei/aniai aoei a?aeiiaeaii a
iia?aoeaiiio ao?o/aii?. An? oe? oai?? i?ioiaeeee eo?n ?ioaineaii?
iaaeeeaiaioicii? i?aeaioiaee ia i?ioyc? 30-45 aei?a a iaeaniiio
aano?ioeaio?? aei iie?auaiiy iieaciee?a neioaoe/ii? ooieoe?? ia/?iee oa
e?ea?aeaoe?? anoeeoo, i?ney /iai aiie ia?aaiaeeeenue aeey iia?aoeaiiai
e?eoaaiiy a o??o?a?/io ee?i?eo.

Ee?i?/i? iciaee ii?oinenoaiii? aioeaoaeiiao?? niinoa??aaeenue o 12
(17,6%) oai?eo.

O 3-o oai?eo ?ai?oa aoee aeeiiai? ii?iaeieii? iia?aoeai? ao?o/aiiy:
?ic?aeiaiiy oeoieiai-no?aaio?aeiiai eieaoa?aeueiiai e?iaioiea ia aenio?
i?ioocii? e?iaioa/? c A?A no?aaioiaeo.

Iniiai? ?acoeueoaoe aeine?aeaeaiiy: A?aeiia?aeii eeaneo?eaoe??
*aeeaea-Oo?eioa 56 oai?eo aoee c eiiiainiaaiei OeI, 12 a noaae??
noaeiiieainaoe??. Ie ia niinoa??aaee i?yei? iniaeeai? caeiiii??iino?, ia
ui ni?aaaaeeeai aeacothoue (Ieueoaiaoeueeee A.A. e niaao. 1998; Coaa?aa
I.I. e niaao, 1988) a?ae nooiaiy aaaeeino? ia/?ieiai? iaaeinoaoiino? oa
nooiaiy A?A no?aaioiaeo. O?eueee, iiaeeeai, a a?oi? noaeiiiainaoe??
a?eueoa iieiaeie oai?eo aoee c III no. A?A no?aaioiaeo (oaae 2.).

Oaaeeoey 2.

?iciiae?e oai?eo oee?icii ia/?iee a caeaaeiino? a?ae ia/?ieiai?
iaaeinoaoiino? oa A?A no?aaioiaeo

Nooi?iue ia/?ieiai? iaaeinoaoiino? ii

*aeeaeo-Oo?eiooNooi?iue A?A no?aaioiaeo oa oeoieaE?euee?noue oai?eoIaia?
no.?? no.??? no.A?oia A56412373A?oia A121227A?oia N–––––Onueiai685143910

Oaaeeoey 3

Aiaeineii?/ia oa?aeoa?enoeea ci?i aa?oi?o a?aeae?e?a OEO o oai?eo IA ia
oii? oee?ico ia/?iee

A?oia oai?eo*enei oai?eo

A?A no?aaioiaeoAcioaa?oAano?eoAA?AeA?Iaia?I no.II no.III no.Iaia?

Eaaeee

nooi?iueNa?aae-i?e

nooi?iueIaia?Iiaa-?oia-aeeA?ia?-o?i-o?/-ieeA?i-cea-ieeIaia??Iaia??I12208
2570282048102II463829612304862841234388III10062228014412882Anueiai685143
91019454111834518505612

A oie aea /an, a?eueoa /anoeia oai?eo – 39 (72,1%) – iaee II nooi?iue
A?A no?aaioiaeo, ? o?eueee 5 (7,4%) oai?eo ia iaee aa?eeicii?icoe?aieo
aai.

Oaeiae ia a?aei?/aii iaaii? caeiiii??iino? a caeaaeiino? a?ae nooiaiy
ia/?ieiai? iaaeinoaoiino? oa e?eueeino? e?iaioa/ c A?A no?aaioiaeo.
Iaea?eueoa /enei iaeii?aciaeo e?iaioa/ niinoa??aaeinue a a?oi? A (67,9
%), oeae aea a?aenioie a a?oi? A aei??aithaaa (66,7 %) (oaae.2). Aea? oa
a?eueoa e?iaioa/ niinoa??aaeenue /ano?oa a A a?oi? ia/?ieiai?
iaaeinoaoiino? 16 % i?ioe 14,3 % a a?oi? A.

Oaeei /eiii, iiaeia c?iaeoe iaaiee aeniiaie, ui /anoioa iaeii?aciaeo
e?iaioa/ a aiaiiac? niinoa??aa?oueny a?eueoa o oai?eo c ?? no. A?A
no?aaioiaeo. A a caeaaeiino? a?ae noaae?? ia/?ieiai?
iaaeinoaoiino? iiaeia a?aei?oeoe, ui a a?oi? noaeiiiainaoe?? ii *aeeaeo,
a?eueoa iieiaeie oai?eo c ???no. A?A no?aaioiaeo.

Aiaeineii?/ia oa?aeoa?enoeea ci?i aa?oi?o a?aeae?e?a OEO o oai?eo OeI
iieaco?, ui o 72,1 % niinoa??aa?oueny acioaa?o ??ciiai nooiaiy
aaaeeino?, o 84 % – aano?eo. Ii?ooaiiy iioi?ii? ooieoe?? o aeaeyae?
AA? niinoa??aathoueny o 74 %, AeA? – 17,6 % (oaae. 3.).

I?e/iio caiaeuei? ci?ie c aieo OEO o aeaeyae? acioaa?oo oa aano?eoo
iaea?eueo aenie? a a?oi? oai?eo c aaaaoi?aciaeie e?iaioa/aie 80 % oa 90
%, i?ioe 74 % oa 83 % oai?eo c iaeii?aciaeie e?iaioa/aie a aiaiiac?.
Oaea ae caeaaei?noue niinoa??aa?oueny i?e ii?ooaii? iioi?ii? ooieoe??
OEO o aeaeyae? AA? oa AeA? 80 % oa 20 % o ??? a?oi?, i?ioe 74% oa 17,4%
o ?? a?oi? iaoe??io?a.

Aea/ath/e iieacieee ai??oii-ia/?ieiaiai oa naeac?ieiaiai e?iaiiinoa/aiiy
i?e OeI ia oii? ii?oaeueii? a?ia?oaic?? a?aei?/aii
iaeneiaeueiee iieaciee aaee/eie ia’?iiiai e?iaioieo a ai?ioi?e aai? i?e
A noaae?? ia/?ieiai? iaaeinoaoiino? ?c ciaioaiiyi iieaciee?a EOE ii i???
ia?inoaiiy ia/?ieiai? iaaeinoaoiino?. A naeac?ieia?e aai?
niinoa??aa?oueny cai?ioiy caeiiii??i?noue, EOE a naeac?ieia?e aai?
i?iaeiaaeo? yaii ca?eueooaaoeny ii i??? c?inoaiiy nooiaiy ia/?ieiai?
iaaeinoaoiino? (oaae. 4.).

I?e/iio, yeui ii??aithaaoe oae? iieacieee ye EOE oa oene a naeac?ieia?e
oa ieaei?e ii?iaeieno?e aai?, oi i?e OeI i?aeoe/ii caaaeaee iieacieee
oeneo oa EOE cia/ii aeu? a naeac?ieia?e aai?. Ia ui oaeiae aeacothoue
ooiaeaiaioaeuei? aeine?aeaeaiiy Aoeaiia E. E. e niaao., 1998; Oa?oeeiaa?
A. A., Eeoeaiei A. A., 1998).

Oaaeeoey 4

Iieacieee ai??oii-ia/?ieiaiai oa naeac?ieiaiai

e?iaiiinoa/aiiy i?e OeI M + m

Ii?iaAAEOE o ai??oi?e aai?,

(ni/nae)17,1 + 2,611,8 + 2,18,1 + 1,8Ii?oaeueiee oene,

(ii ?o.no.)8,7 + 0,5931,8 + 0,727,1 + 0,8Ia’?iia oaeaee?noue o ai??oi?e
aai?, (ie/oa)208,1 + 51,2920,0 + 97,6621,6 + 66,3EOE a naeac?ieia?e
aai?, (ni/nae)10,6 + 0,4617,4 + 0,3828,3 + 0,44Oene a naeac?ieia?e aai?,
(ii ?o.no.)10,2 + 0,58*32,8 + 0,8*29,3 + 0,7Ia’?iia oaeaee?noue a
naeac?ieia?e aai?, (ie/oa)201,4 + 44,6951,0 + 96,5617,7 + 61,2

I?ei?oea: * Aeinoia??i?noue i?ae iieacieeaie a?oie A oa A a ii??aiyii? c
ii?iith ? ?>0,5

Aea/ath/e iieacieee ?aa?iiaeueii? aaiiaeeiai?ee o oai?eo OeI c
neiae?iiii a?ia?nieai?cio anoaiiaeaii, ui o?eueee i?e iii??i?e
oeeoiiai?? niinoa??aa?oueny iacia/ia ca?eueoaiiy ia’?iiiai e?iaioieo ii
ai?ioi?e aai?, oiae? ye ii naeac?ieia?e aai? a?i cia/ii ca?eueoo?oueny
ii i??? ae?aaeaiino? nooiaith a?ia?nieai?cio.

Aea/ath/e aeaye? iieacieee ii?oi-ia/?ieiai? aaiiaeeiai?ee anoaiiaeaii,
ui i?i?iaeuei? iaa?ieia?/i? neiioiie oa?aeoa?i? aeey ii?oinenoaiii?
aioeaoaeiiao?? iiyaeythoueny i?e iia??oaii? ia?ooc?? ia/?iee.

A oiiaao o??o?a?/iiai a?aeae?eaiiy IEE i. Oaeai?iae ca ia??iae 1993 ii
1998 ??e aeeiiaii a ieaiiaiio ii?yaeeo 68 nieaii-aeaeiii?aneaieo
ooiooth/eo iia?aoe?e. Eeane/iee aa??aio aeenoaeueiiai nieaii-?aiaeueiiai
aianoiiico aaeaeiny aeeiiaoe o?eueee 8 iaoe??ioai. On? ?io? 60
iaoe??io?a iaee iciaee ae?aaeaiiai a?ia?nieai?cio ia oii? nieaiiiaaae??,
ui aieeioei ia aea?? iaoiaeeee aeaeiii?aneaiiai ao?o/aiiy. A 8 aeiaaeeao
aeeiiaii i?ieneiaeueia nieaii-?aiaeueia ooiooaaiiy, o 40 iaoe??io?a
noai?aii nieaii-?aiaeueiee ooio i?e aeiiiiic? aaoiaaiicii? anoaaee, o 12
aeiaaeeao aeeiiaii nieaii-eaaaeueia ooiooaaiiy i?e aeiiiiic?
aaoiaaiicii? anoaaee. Ia?aaaao iaaea?ii nieaii-?aiaeueiei ooiooth/ei
iia?aoe?yi i?e aeiiiiic? aaoiaaiicii? anoaaee ii iao?e iaoiaeeoe?.

A ?aiiueiio i?neyiia?aoe?eiiio ia??iae? iiia?ei a?ae i?ioocii? e?iaioa/?
c A?A no?aaioiaeo 3 oai?eo. Ua o 2-o ia oinoiio i?nyoe? niinoa?aaeaiiy
a?aei?/aany ai?ciae e?iaioa/?, yeee aaeaeiny coieieoe eiina?aaoeaiei
niiniaii – iaaeeeaiaioicieie caniaaie oa i?ei?iaiiyi aiaeineii?/ii?
neea?ioa?ai??.

I?e i?iaaaeaii? ii??aiyeueii? oa?aeoa?enoeee ci?i aa?oi?o a?aeae?e?a OEO
o oai?eo OeI aei oa i?ney noaeeiii- ooiooth/eo
aeaeiii?aneaieo iia?aoe?e o 42 (65 %) niinoa??aaeinue iiaia niaae?iiy
A?A no?aaioiaeo, o 8 (12,3 %) iaoe??io?a a?aei?/aii A?A
no?aaioiaeo ? nooiaiy, o 12 (18,5 %) — ?? nooiaiy ? o?eueee o 3 (4,6 %)
– ??? nooiaiy. Oaeei /eiii, ia aeeaey/enue ia oni?oii
ooieoe?iioth/ee nieaii-aeaeiii?aneaiee ooio o 23 (35,4 %) oai?eo
caeeoa?oueny A?A no?aaioiaeo oiai /e ?ioiai nooiaith.

Aiae?c i?io?eaiiy aoi?eiieo caiaeueieo ci?i aa?oi?o a?aeae?e?a OEO i?e
OeI iieacaa, ui i?ney aeaeiii?aneaii-ooiooth/eo iia?aoe?e a?aei?/a?oueny
aeeiai?ea aei ciaioaiiy /enea iaea?eueo aaaeeeo oi?i acioaa?oo oa
aano?eoo, iniaeeai o ?? oa ??? a?oiao iaoeo oai?eo, a oaeiae ciaioaiiy
i?eaeecii ia 30 % e?eueeino? AA?, i?e i?aeoe/ii iaci?iieo oeeo?ao,
iaa?oue c oaiaeaioe??th aei iaaaeeeiai ca?eueoaiiy AeA? a
i?neyiia?aoe?eiiio ia??iae?.

A?aeaeaeai? ?acoeueoaoe nieaiiaeaeiii?aneaiiooiooth/eo iia?aoe?e
ioe?ithaaeenue ii 3-o aaeuei?e nenoai? c a?aooaaiiyi i?io?aeiino?
aianoiiico, iayaiino? ?aoeeaeeaa e?iaioa/? c A?A no?aaioiaeo, iayaiino?
aioeaoaeiiao??.

Iayai?noue A?A no?aaioiaeo ?? oa ??? nooiaith o 15 iaoe??io?a a
i?neyiia?aoe?eiiio ia??iae?, iaaaciaea ?aoeeaeeao e?iaioa/? c A?A
no?aaioiaeo noaei i?eaiaeii aeey aeeiiaiiy i?io?eaeoe/ii? AN o oeeo
oai?eo. Oaeei /eiii, AN aeeiiaia 17 iaoe??ioai i?ney iia?aoe??, 2 – ia
aenio? ?aoeeaeeao e?iaioa/?, 15 – a oe?eyo i?io?eaeoeee e?iaioa/? c A?A
no?aaioiaeo. Neea?icoth/o ?a/iaeio (/ano?oa anueiai 3% ?ic/ei
o?aiaiaa?o) aaiaeeee ?io?aaacaeueii, ia?aaacaeueii, eiia?iiaaii. I?ae
/an iaeiiai naaino aaiaeeee 5-7 ie neea?icoth/i? ?a/iaeie,
?io?aaacaeueii ia iaeia aaaaeaiiy ia a?eueoa 1 ie, ia?aaacaeueii a?ae
eooa oeoieo ia 7-10 ni aeua oeoieiai-no?aaio?aeiiai ia?aoiaeo. Ia eo?n
e?eoaaiiy aeeth/aee 5-7 ?i’?eoe?e c ?ioa?aaeii i?ae eo?naie 1-2 aeiae,
anueiai 2-3-4 eo?ne, aei iiaiiai niaae?iiy A?A no?aaioiaeo.

Na?aae oneeaaeiaiue AN /ano?oa onueiai niinoa??aaeinue ne?aeoth/?:
iacia/ia e?iaioa/a c i?noey ?i’?eoe??, a?ic?? no?aaioiaeo, ae?acee
no?aaioiaeo. I?e ?io?aaacaeueiiio aaaaeaii? neea?icaioo
/ano?oa niinoa??aaeenue e?iaioa/? c i?noey ?i’?eoe??, i?e
ia?aaacaeueiiio – a?ia?oa?i?y, a?ic?? oa ae?acee no?aaioiaeo. I?e
eiia?iiaaiiio niinia? aaaaeaiiy i?eoaiaii? aoee oneeaaeiaiiy oa?aeoa?i?
aeey eiaeiiai ie?aiiai niiniao aaaaeaiiy.

I?e aeine?aeaeaii? ia’?iiiai e?iaioiea a ai??oi?e aai? iaoiaeii
aeiiea?iniiia?ao?? i?ney AN A?A no?aaioiaeo o oai?eo, ui ia?aianee
nieaii-aeaeiii?aneai? ooiooth/? iia?aoe??, aeyaeaii ca?eueoaiiy
ii?oaeueiiai i?eoieo aei ia/?iee i?eaeecii ia 30 % (?>0,05) i?e
i?aeoe/ii ia ci?iiiio oeneo o ai??oi?e aai? (oaae. 5).

Oaaeeoey 5

Iieacieee ?aa?iiaeueii? ii?oi-ia/?ieiai? aaiiaeeiai?ee i?ney AN o
oai?eo c ooiooth/eie iia?aoe?yie M + m

E?iaioieAeno?aeiee i?ney iia?aoe??I?ney ANA?aeaeaeaiee ia??iaeAi??oia
aaia, (ie/oa)390,0 47,255653,2570,0 56,3*Ii?oaeueiee oene,

(ii.?o.no.)23,9 1,422,91,822,0 1,6*?<0,05 I?e aea/aii? o aeeiai?oe? iieaciee?a, oa?aeoa?ecoth/eo neioaoe/io ooieoe?th ia/?iee o oai?eo, ui ia?aianee nieaiiaeaeiii?aneai? ooiooth/? iia?aoe??, a oaeiae AN A?A no?aaioiaeo, ia aeyaeaii aeinoia??ieo ci?i a noi?iio ci?ie aeoeaiino? oe?oie?oe/iiai i?ioeano oa iia??oaiiy neioaoe/ii? ooieoe?? ia/?iee. Eoioeyoeaiee aiae?c noaa?eueiino? o??o?a?/iiai e?eoaaiiy ii o?ueio iniiaieo ia?aiao?ao – ?aoeeaeea e?iaioa/?, eaoaeuei?noue i?ioyaii i’yoe ?ie?a oa ii?oinenoaiia aioeaoaeiiao?y iieacaee, ui caaeia?eueiee ?acoeueoao e?eoaaiiy niinoa??aa?oueny o 92% oai?eo. AENIIAEE 1. Ii?oaeueia a?ia?oaic?y i?e oee?ic? ia/?iee noi?iaiaeaeo?oueny ??ciiiai?oieie caiaeueieie yaeuaie ? iioi?ieie ii?ooaiiyie oeoieiai-eeoeiaiai o?aeoo, /anoioa yeeo caeaaeeoue a?ae aaee/eie ii?oaeueii? a?ia?oaic??, oaeeie ye acioaa?o (72,1 %), aano?eo (84%), aano?iaeoiaeai?o (13,6 %), ? iioi?ieie ii?ooaiiyie oeoieiai-eeoeiaiai o?aeoo: aano?i-acioaaaeueiee ?aoethen (74%), aeoiaeaii-aano?aeueiee ?aoethen (17,6 %). 2. A iaeaeeae/iio i?neyiia?aoe?eiiio ia??iae?, ia caeaaeii a?ae aeaeo nieaii-aeaeiii?aneaiiai aianoiiico, ciaioo?oueny /anoioa aano?eo?a, acioaa?o?a, aano?iaeoiaeai?o?a, a oaeiae aano?i-acioaaaeueieo ?aoethen?a ia 30%. I?ney nieaiieaaaeueieo ooooth/eo iia?aoe?e e?euee?noue aeoiaeaii-aano?aeueieo ?aoethen?a aeaui c?inoa?. 3. Iaea?eueo aaaeeei oneeaaeiaiiyi a i?neyiia?aoe?eiiio ia??iae? o oai?eo i?ney ooiooth/eo iia?aoe?e ? iiaoi?ia e?iaioa/a ?c aa?eeicii ?icoe?aieo aai no?aaioiaeo, yea cono??/a?oueny o 7,35 % aeiaaee?a. Iaei??th c i?e/ei inoaiiuei? ? aa?eeici? ?icoe?aiiy aai no?aaioiaeo, ye? a 35 % aeiaaee?a i?ney aeaeiii?aneaieo iia?aoe?e ia niaaeathoueny. 4. Aiaeineii?/ia neea?ioa?ai?y aaciina?aaeiuei aieeaa? ia aa?eeicii ?icoe?ai? aaie i?aeneeciaiai oa?o no?aaioiaeo oeyoii ?o o?iiaoaaiiy i?e ?io?aaacaeueiiio aaaaeaii? neea?icoth/iai i?aia?aoo aai caeaaeaiith ia?aaacaeueiei ?io?eueo?aoii c iine?aeoth/ei cai?uaiiyi niieo/iith oeaieiith. 5. Iaee?auei iaoiaeii aiaeineii?/ii? neea?ioa?ai?? aa?eeicii ?icoe?aieo aai no?aaioiaeo ? eiia?iiaaiee niin?a (?io?a- oa ia?aaacaeueiiai) aaaaeaiue e?ea?nueeeo ina?aaee?a a e?eueeino? ia a?eueoa 8-12 ie ia naain, c ?ioa?aaeii i?ae ieie a 3-4 aeiae. 6. Iaea?eueo /anoei oneeaaeiaiiyi i?e aiaeineii?/i?e neea?ioa?ai?? ? ?icaeoie a?iceaii-iae?ioe/ieo i?ioean?a neeciai? iaieiiee no?aaioiaeo ? oeoiea, ye? cono??/athoueny o 35,3 % oa 23,5 % aeiaaee?a a?aeiia?aeii. 7. Ii i??? aeinyaiaiiy iae?oa?aoe?? aa?eeicii ?icoe?aieo aai no?aaioiaeo o oai?eo oee?icii ia/?iee ca?eueoo?oueny ii?oaeueiee i?eeea aei ia/?iee iaeaea ia 30 %, ui caaacia/o? caa?aaeaiiy ooieoe?iiaeueiiai ?aca?ao ia/?iee i?ney nieaiiaeaeiii?aneaieo iia?aoe?e. 8. Aiaeineii?/ia neea?ioa?ai?y ? aoaeoeaiei iaoiaeii i?io?eaeoeee e?iaioa/ c aa?eeicii ?icoe?aieo aai no?aaioiaeo oa oeoiea, yea a ii?aeiaii? c nieaiiaeaeiii?aneaieie noaeeiieie iia?aoe?yie o a?eueoino? aeiaaee?a caaacia/o? no?eeee aaiinoaoe/iee aoaeo. NIENIE IOAE?EAOe?E CA OAIITH AeENA?OAOe?? 1. E?eoaaiiy ii?oaeueii? a?ia?oaic?? o oai?eo oee?icii ia/?iee /?onei A. ?., Ia?anoa TH. TH., Aieae?aea? I. I. oa ?i. – Oaeai?iae: i?nueea ae?oea?iy, 1999. 128 n. 2. ?onei A. ?., Ia?anoa TH. TH., O?e?i N. N., Aieaeeaea? I. I. Iia?aoeaia e?eoaaiiy aeia/ii-eai’yii? oai?iae o oai?eo c ii?oaeueiith a?ia?oaic??th //Oieoaeueia o??o?a?y. – 1998. – ? 3. – N. 44-46. 3. ?onei A. ?., Ia?anoa TH. TH., Aieae?aea? I. I. oa ?i. Acioaai-aano?iaeoiaeaiineii?y a ioe?ioe? ?acoeueoao?a ?aaa?e?oaoe?? oai?eo i?ney ii?oieaaaeueiiai ooiooaaiiy // Iaoeiaee a?niee. Oaeai?iaenueeiai oi?aa?neoaoo. – Na?. Iaaeeoeeia. – 1998. – Aei. 6. – N. 154-156. 4. ?onei A. ?., Ia?anoa TH. TH., Aieae?aea? I. I. oa ?i. Aiaeineii?/ia neea?ioa?ai?y aino?eo e?iaioa/ c aa?eeicii ?icoe?aieo aai no?aaioiaeo o oai?eo aeaeiiiainiaaiei oee?icii ia/?iee//Iaoei-aee a?niee. Oaeai?iaenueeiai oi?aa?neoaoo. – Na?. Iaaeeoeeia. – 1999. – Aei. 8.– N. 114-115. 5. Ia?anoa TH. TH., ?onei A. A., Aieae?aea? I. I. oa ?i. Aiaeineii?/ia neea?ioa?ai?y aa?eeicii ?icoe?aieo aai no?aai-oiaeo o oai?eo oee?icii ia/?iee i?ney nieaiiaeaeiii?aneaieo ooiooth/eo iia?aoe?e//Iaoeiaee a?niee. Oaeai?iaenueeiai oi?aa?neoaoo. – Na?. Iaaeeoeeia. – 1999. – Aei. 8. – N. 154-155. 6. A. N. ? 98084584. Oe?a?ia. IIE 6A61A 17/00. Niin?a o??o?a?/iiai e?eoaaii/y ii?oaeueii? a?ia?oaic?? / A. ?. ?onei (Oe?a?ia). Cayaeaii 26.08.1998, iioae?e. 18.01.1999. 7. ?onei A. E., Ia?anoa TH. TH., Oeeei N. N., ?onei A. A., Aieaeeaea? A. A., Noieea A. E. Yiaeineiie/aneee aaiinoac i?e e?iaioa/aieyo ec aa?eeicii-?anoe?aiiuo aai ieuaaiaea. // Aiiaeu oe?o?ae/aneie aaiaoieiaee. – 1998. – O. 3. – ? 3. – N. 164. 8.?onei A. E., Ia?anoa TH. TH., Oeeei N. N., ?onei A. A., Aieaeeaea? A. A., Eiaa/ A. I., Oaa?ia I. A. Ycioaaiaano?i-aeoiaeaiineiiey a ioeaiea ?acoeueoaoia ii?oieaaaeueiiai ooioe?iaaiey. // Aiiaeu oe?o?ae/aneie aaiaoieiaee. – 1998. – O. 3. – ? 3. – N. 163-164. AIIOAOe?ss Aieae?aea? I. I. Aiaeineii?/ia neea?ioa?ai?y aa?eeicieo aai no?aaioiaeo a i?io?eaeoeoe? e?iaioa/ i?e nieaii-aeaeiii?aneaieo ooiooth/eo iia?aoe?yo o oai?eo oee?icii ia/?iee. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ii niaoe?aeueiino? 14.01.03 – o??o?a?y. – Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe IIC Oe?a?ie, Ee?a, 1999. Aeena?oaoe?y i?enay/aia ieoaiiyi ae?aaiinoeee oa o??o?a?/iiai e?eoaaiiy oee?ico ia/?iee (OeI). Ia iniia? ee?i?/iiai aiae?co 68 oai?eo aea/ai? caiaeuei? ci?ie c aieo aa?oi?o a?aeae?e?a eeoeiai-oeoieiaiai o?aeoo oa ii?ooaiiy iioi?ii? ooieoe??, ye? noi?iaiaeaeothoue OeI. Aiaeineii?/ia oa?aeoa?enoeea ci?i aa?oi?o a?aeae?e?a OEO o oai?eo iieacaea, ui o 72% iaoe??io?a niinoa??aa?oueny acioaa?o ??ciiai nooiaith aaaeeino?, o 84% – aano?eo, AA? niinoa??aathoueny o 74%, AeA? – o 17,6% oai?eo. O 23 (35,4%) oai?eo i?ney nieaii-aeaeiii?aneaieo iia?aoe?e A?A no?aioiaeo ia niaaeathoueny. A ca’yceo c /ei o 2-o oai?eo ia aenio? e?iaioa/?, a o 15 – a ieaiiaiio ii?yaeeo aeeiiaia aiaeineii?/ia neea?ioa?ai?y A?A no?aaioiaeo ??? no. Eoioeyoeaiee aiae?c noaa?eueiino? o??o?a?/iiai iieacaa, ui caaeia?eueiee ?acoeueoao e?eoaaiiy niinoa??aa?oueny o 92% oai?eo. Eeth/ia? neiaa: OeI (oee?ic ia/?iee), nieaii-aeaeiii?aneai? ooiooth/? iia?aoe??, AN (aiaeineii?/ia neea?ioa?ai?y), A?A (aa?eeicii-?icoe?ai? aaie) no?aaioiaeo. SUMMARY Boldizhar A. A. Endoscopic sclerotherapy for esophageal varies in prewention of bleeding in case of spleno-decompressive shunting operations in patients with cirrhosis of the liver. – Manuscript. Dissertation for obtaining scientific degree of condidate of medicine on speciality 14.01.03 – sergery. – Eiew Medical Academy of Postgraduate Education. Department of Health. Ukraine, Kiew, 1999. Dissertation is devited to the problems of diagnosis and surgical treatment of the liver cirrhosis. Inflammotory changes of the upper parts of gastrointestinal tract and motoris dispunction, which accompany liver cirrhosis had been studed on the basis of the clinical analysis of 68 patients. Endoscopic characteristic of the changes of upper parts of gastrointestinal tract in patients with cirrhosis had shown, that esophagitis of different degree of swerity is observed in 72% of patients, gastritis – in 84% gastroesophageal reflux in 74%, duodengastric reflux – in 17,6% of patients. Esophageal varices don’t decrease in 23 (35,4%) patients after spleno-decompressive operations. Because of this, endosopic sclerotherapy for esophageal varices of 3-rd degree was performed in 2 patients on a height of bleeding and in 15 patients was performed on a plan. Cumulative analysis of stability of surgicel treatment had shown, that positive effect of treatment is observed in 92% of pftients. Key words: LC (liver cirrhosis), spleno-decompressive shunting operations, ES (endoscopic sclerotherapy), EV (esophageal varices). AIIIOAOeEss Aieaeeaea? A. A. Yiaeineiie/aneay neea?ioa?aiey aa?eeiciuo aai ieuaaiaea a i?ioeeaeoeea e?iaioa/aiee i?e nieaii-aeaeiii?anneaiuo ooioothueo iia?aoeeyo o aieueiuo oee??icii ia/aie. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.03 – oe?o?aey. – Eeaaneay iaaeeoeeineay aeaaeaiey iineaaeeieiiiiai iao/aiey IIC Oe?aeiu, Eeaa, 1999. Aeenna?oaoeey iinayuaia aii?inai aeeaaiinoeee e oe?o?ae/aneiai ea/aiey oee??ica ia/aie (OeI). Ia iniiaaiee eeeie/aneiai aiaeeca 68 aieueiuo eco/aiu ainiaeeoaeueiua eciaiaiey ni noi?iiu aa?oieo ioaeaeia aeaeoaei/ii-eeoa/iiai o?aeoa e ia?ooaiey iioi?iie ooieoeee, nii?iaiaeaeathuea OeI e caaenyuea io noaiaie aa?eeicii-?anoe?aiiuo aai (A?A) ieuaaiaea e aeaeoaeea, eiee/anoaa e?iaioa/aiee ec A?A a aiaiiaca, noaiaie ia/aii/iie iaaeinoaoi/iinoe. Yiaeineiie/aneay oa?aeoa?enoeea eciaiaiee aa?oieo ioaeaeia AEEO o aieueiuo OeI iieacaea, /oi o 72% iaoeeaioia iaaethaeaaony ycioaaeo ?aciie noaiaie oyaeanoe, o 84% – aano?eo. Iioi?iua ia?ooaiey a aeaea AY? iaaethaeathony o 74%, AeA? – o 17,6% aieueiuo. A aeeaeaeoai iineaiia?aoeeiiiii ia?eiaea, iacaaeneii io aeaea nieaiiaeaeiii?anneaiiai aianoiiica, eiee/anoai ainnoaiiaeoaeueiuo eciaiaiee e AY? oiaiueoaaony ia 30%, a eiee/anoai AeA? iacia/eoaeueii oaaee/eaaaony. Eco/ay iieacaoaee ?aaeiiaeueiie aaiiaeeiaieee o aieueiuo oee??icii ia/aie e neiae?iiii aeia?nieaiecia onoaiiaeaii, /oi oieueei i?e oia?aiiie oeeoiiaiee iaaethaeaaony iacia/eoaeueiia oaaee/aiea iauaiiiai e?iaioiea ii ai?ioiie aaia, oiaaea eae ii naeacaii/iie aaia ii cia/eoaeueii oaaee/eaaaony ii ia?a au?aaeaiiinoe noaiaie aeia?nieaiecia. Ieieiaeueiua iaa?ieiae/aneea neiioiiu, oa?aeoa?iua aeey ii?oinenoaiiie yioeaoaeiiaoee, iiyaeythony i?e oooaeoaiee ia?oocee ia/aie. O 23 (35,4%) aieueiuo, iinea nieaii-aeaeiii?anneaiuo iia?aoeee, ianiio?y ia ooieoeeiie?othuee nieaii-aeaeiii?anneaiue ooio A?A ieuaaiaea ia niaaeathony. A yoie nayce, o 2-o aieueiuo ia aunioa e?iaioa/aiey, e o 15 – a ieaiiaii ii?yaeea auiieiaia yiaeineiie/aneay neea?ioa?aiey A?A ieuaaiaea III noaiaie. N?aaee ineiaeiaiee yiaeineiie/aneie neea?ioa?aiee /aua anaai iaaethaeaeenue neaaeothuea: aeia?oa?iey (23,5%), iacia/eoaeueiia e?iaioa/aiea a ianoa aaaaeaiey neea?icaioa a aaio (64,7%), y??icee ieuaaiaea (35,3%), ycau ieuaaiaea (23,5%). I?e enneaaeiaaiee iauaiiiai e?iaioiea a ai?ioiie aaia iaoiaeii aeiiea?iniiia?aoee iinea yiaeineiie/aneie neea?ioa?aiee aa?eeicii-?anoe?aiiuo aai ieuaaiaea o aieueiuo ia?aianoeo nieaiiaeaeiii?anneaiua ooioe?othuea iia?aoeee, auyaeaii oaaee/aiea ii?oaeueiiai i?eoiea e ia/aie i?eaeeceoaeueii ia 30%, i?e ?iaeoe/anee ia eciaiaiiii aeaaeaiee a ai?ioiie aaia. Eoioeyoeaiue aiaeec noaaeeueiinoe oe?o?ae/aneiai ea/aiey ii 3 iniiaiui ia?aiao?ai – ?aoeeaeeao e?iaioa/aiey, eaoaeueiin-oe aei 5 eao e ii?oinenoaiiie yioeaoaeiiaoee iieacae, /oi iieiaeeoaeueiue ?acoeueoao ea/aiey iaaethaeaaony o 92% aieueiuo. Eeth/aaua neiaa: OeI (oee??ic ia/aie), nieaii-aeaeiii?anneaiua ooioe?othuea iia?aoeee, YN (yiaeineiie/aneay neea?ioa?aiey), A?A (aa?eeicii-?anoe?aiiua aaiu) ieuaaiaea. Caeaii aei iaai?o 16.04.99. I?aei. Aei ae?oeo 16.04.99. Ae?oe ionaoiee. Oi?iao 60/90 1/16. Iai?? ionaoiee. Caiiaeaiiy 0141. Oe?aae 100 i?. I?nueea ae?oea?iy. 294005 Oaeai?iae, ?onueea, 13.

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