?inoeooo o?ieia?? oa iao?ieia?? AII Oe?a?ie

OAeE 616.61-002.3-07-08:616.62-009.1-07-08

CAEOeAA Aaea??e ?aaiiae/

OOIEOe?IIAEUeI? II?OOAIIss O?IAeEIAI?EE

OA O?II?*IA NA*IAA ?IOAEOe?ss

14.01.06. — o?ieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a, 1998

Aeena?oaoe?y ? ?oeiienii.

?iaioa aeeiiaia a ?inoeooo? o?ieia?? oa iao?ieia?? AII Oe?a?ie.

Iaoeia? eiinoeueoaioe: aeieoi? iaaee/ieo iaoe, i?ioani?, aeaae. IAI oa
AII Oe?a?ie Aic?aiia Ieaenaiae? Oaaei?iae/; aee?aeoi? ?inoeoooo o?ieia??
oa iao?ieia?? AII Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani?

Ie?iaia A?eoi? Ieaen?eiae/; caa?aeoaa/ eaai?aoi??? iae?io?ieia??
?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie.

Io?oe?ei? iiiiaioe: ae.i.i., i?ioani?, Aecth?ae Aaea??e Naiaiiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Ee?anueeiai oi?aa?neoaoo i?neyaeeieiiii?
ina?oe;

ae.i.i., no.i.ni., Noaoianueeee Aaeoa?ae Ieaenaiae?iae/, caa?aeoaa/
a?aeae?eo ?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie,

ae.i.i., i?ioani?, Iaiai?i Aieiaeeie? ?icoiieeiae/, caa?aeoaa/ eaoaae?e
o?ieia?? Eoaainueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

I?ia?aeia i?aai?caoe?y: Iaeanueeee aea?aeaaiee iaaee/iee oi?aa?neoao.

Caoeno a?aeaoaeaoueny 15 a?oaeiy 1998 ?ieo i 13 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? A/aii? ?aaee Ae 26.615.01 i?e ?inoeooo? o?ieia?? oa
iao?ieia?? AII Oe?a?ie ca aae?anith : 254053, i. Ee?a, aoe.
TH.Eioethaeinueeiai 9a.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo o?ieia??
oa iao?ieia?? AII Oe?a?ie (254053, i. Ee?a, aoe. TH.Eioethaeinueeiai
9a).

Aaoi?aoa?ao ?ic?neaii 12 eenoiiaaea 1998 ?ieo.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe Aieei I.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie: oa?iii “o?iaeeiaiiea” aia?oa aoa
cai?iiiiiaaiee o?eueee o 1954 ?. (D.M.Davis) ii aiaeiai? c
aaiiaeeiaiieith aeey aecia/aiiy aiae?iaeeiaii/ieo yaeu o na/iaie
nenoaii. ?aaeueiee ?icaeoie o?iaeeiai?ee ye naiino?eiiai i?ae?icae?eo
o?ieia?? a?aecia/a?oueny inoaii? 10-15 ?ie?a, ia i?ioyc? yeeo
i?ioiaeeoue nooo?aee ia?aaeyae iiaeyae?a ia o?iaeeiai?eo —
ooieoe?iiaeuei? ?? ii?ooaiiy ii/aee aeyaeyoenue o aaaaoueio o?ieia?/ieo
oai?eo (Aiceaiia. A.O., Naeieaneee Ae.A., Aaeio?aoia O., 1992,
Aeoiaaneee A.E., 1988, Ie?iaia A.A. c niaao., 1994). Aaniethoia
a?eueo?noue ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee (OIO) aeieea? ia
??ai? na/iaiai i?oo?a, oiio naia eiai aeenooieoe?? ? iaeaaaeeea?oith
i?e/eiith ?icaeoeo aaaaoueio aeae?a o?ieia?/ii? iaoieia?? o ae?oae
(a?ae?iiao?ic, aio?ac, o?ii?/iee i??eiiao?eo) oae aei?ineeo (i??eiiao?eo
oa oeenoeo, a?ae?iiao?ic, iao?eiaiiy na/?, aaeaiiia i?inoaoe oa ?i.).
Oae, ii inoaii?i iia?aeiieaiiyi o oai?eo c ia?aeiiei i??eiiao?eoii
aieiaiith i?aenoaaith eiai aeieeiaiiy ? iiia?aaeiuei iaae?aaiinoiaai?
OIO, a o a?eueoino? ae?oae c i??eiiao?eoii /e oeenoeoii ciaoiaeyoue aai
a?iaeaeaio iano?oeoeaio iaoieia?th, aai iae?iaaii? aeenooieoe?? na/iaeo
oeyo?a (Naeieaneee Ae.A., 1985, Eeooaioeaaa I.N., 1988, A.A.Etheueei,
1990). Ana a?eueoo ?ieue o iiya? iao?eiaiiy na/? oaeiae iaaeathoue
aeenooieoe?yi na/iaeo oeyo?a. Aei 25-30% on?o oai?eo c aaeaiiiith
i?inoaoe iia?othoueny i?aeoe/ii aaci?aenoaaii — o ieo aieiaio ?ieue o
aeieeiaii? aeeco?e/ieo yaeu a?athoue naia iae?iaaii? ii?ooaiiy ooieoe??
ieaei?o na/iaeo oeyo?a ? oiio iia?aoe?y ?i i?aeoe/ii ia i?eiineoue
iieaaoaiiy (Schafer W. et al, 1990, Chancellor M.B. et al, 1994, Cucchi
A., 1994).

I?e/eie aeieeiaiiy OIO aein? /?oei ia aecia/ai?. Iaei? aaoi?e
aaaaeathoue, ui aieiaia ?ieue iaeaaeeoue a?iaeaeai?e iaoieia?? ia?aiai?
nenoaie, ia?aaaaeii i?eoiaai?e. ?io? ia ia?oee ieai aenoaathoue iaaeaai?
i?ioeane — o?aaie, caiaeuei? caoai?thaaiiy ia?aiai? oa na/iai? nenoaie,
aiaeie?eii? ii?ooaiiy. Ianoii?aii oa, ui ao?ieia?/i? oaeoi?e OIO
iiiaeeii? ? ia iiaeooue aooe iaeiaeiaeie o ??cieo iaoe??io?a — o ae?oae
oa aei?ineeo, /ieia?e?a oa ae?iie, c yaieie iaoieia?/ieie i?ioeanaie a
ia?aia?e nenoai? oa aac ieo. O oie aea /an aieiaia oaaaa o aea/aii?
aeieeiaiiy oa ia?aa?ao OIO i?eae?ey?oueny ae?oyi, a ?ia?o, ui
aena?oethaaee ae iniaeeaino? aeenooieoe?e o oai?eo ??cieo a?oi c
o?aooaaiiyi icia/aieo oaeoi??a a e?oa?aoo?? iaia?.

E??i aaaeeeaeo iaaee/ieo i?iaeai, ia?aa?a OIO /anoi i?ecaiaeeoue aei
nioe?aeueii? aeacaaeaioaoe?? oai?eo aiane?aeie ae?aaeaieo ii?ooaiue aeoo
na/iaeioneaiiy (i?ei??ii, iao?eiaiiy na/? cono??/a?oueny o 7-15% ae?oae
oa 1-2% aei?ineeo). O ae?oae oea aaaea aei eiioi?eaoeaieo i?iaeai,
noai?aiiy eiiieaeno iaiiaiioe?iiino?, o aei?ineeo — aei iaiaaeaiue o
i?ioan?ei?e ae?yeueiino?, naenoaeuei?e noa??. Ciaioaiiy i?iya?a oai?iae
naii ii nia? aaea ? aaaeeeaei oaeoi?ii, ui ni?ey? i?aeaeuaiith yeino?
aeeooy oai?iai.

O 50-80% oai?eo c ii?ooaiiyie o?iaeeiai?ee ae?aaiinoo?oueny o?ii?/ia
na/iaa ?ioaeoe?y (ON?). I?e/eiii-ne?ae/? aca?iia?aeiioaiiy ?? c OIO
aein? /?oei ia aecia/ai? — i?eioeeiiaa ieoaiiy ia?aeiiino? ?ioaeoe?? /e
?iceaae?a o?iaeeiai?ee aein? caeeoa?oueny a?aee?eoei (I.A.Eiiaoeei,
E.E.Aeca?aeeineay, A.O.Aea?aieia, 1985, Aiceaiia A.O., Naeieaneee Ae.A.,
Aaeio?aoia O., 1992, Roberts J.A., Kaack M.B., 1995). *?oei anoaiiaeaii
iaeia — iaeii/aniee ia?aa?a oeeo i?ioean?a cia/ii oneeaaeith? i?ioean
e?eoaaiiy. Aaeaeaaoia aeeoa?aioe?aoe?y ia?oii?e/eie oa iane?aeeo ?
iniiaith aeey aecia/aiiy ia o?eueee aoaeoeaii? oaeoeee oa?ai??, a ?
iaoiae?a i?io?eaeoeee o?ii?caoe?? ?ioaeoe?? oa iiyae oneeaaeiaiue. Ia
iao /an aeia?a aea/aii iaaaoeaiee aieea ON? ia ooieoe?th ie?ie, aea
/?oei ia anoaiiaeaii ?? aieea ia o?iaeeiai?eo — a?aeiiino? i?i iueiai
iaiaaeothoueny caaaeueieie aeaieie i?i ciaioaiiy oiiono na/iaiae?a, ?o
?icoe?aiiy.

I?iyaii iaaeineiiaeino? iaoeo ciaiue c oeueiai ieoaiiy ? a?aenooi?noue
aaeaeaaoii? eeaneo?eaoe?? iae?iaaiieo ii?ooaiue o?iaeeiai?ee c
o?aooaaiiyi on?o oaeoi??a — ao?ieia??, a?eo oa noao? oai?eo, i?enooiino?
oneeaaeiaiue oiui. E??i oiai, ye ia i?aeoeoe?, oae ? oai?aoe/ii,
iaaeinoaoiy oaaaa i?eae?ey?oueny iiaeeeaino? eiia?iiaaiiai ii?ooaiiy
ooieoe?? aeao?oci?a oa no?ieoa?iiai aia?aoo, ia/?oei aecia/ai? iiaeeea?
aa??aioe oaeeo ii?ooaiue. Oaeee noai aaea ia a?aeiia?aea?
nueiaiaei?oiueiio ??aith ?icaeoeo o?ieia?? — c iiyaith no/anieo
o?iaeeiai?/ieo nenoai, ?icoe?aiiyi iaoeo iiaeeeainoae aieeao ia
ooieoe?th na/iaeo oeyo?a, ie?aia ae?aaiinoeea ii?ooaiue
ooieoe?iiaeueiiai noaio aeao?oci?a oa no?ieoa??a ? iaiao?aeiith aeey
aecia/aiiy oaeoeee e?eoaaiiy oai?iai oa aeinyaiaiiy a?aeiia?aeiiai
aoaeoo i?e oeueiio.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie. Aeena?oaoe?eia ?iaioa ?
o?aaiaioii iaoeiai-aeine?aeieo oai ‘‘Aea/aiiy iniaeeainoae ia?aa?ao
o?ieia?/ieo caoai?thaaiue, oneeaaeiaieo i??eiiao?eoii a caeaaeiino? a?ae
aieeao iani?eyoeeaeo oaeoi??a’’ (?a?no?. ?095E008309) ‘‘?ic?iaea oa
ai?iaaaeaeaiiy iaoiae?a aeeoa?aioe?eiaaiiai e?eoaaiiy a?iaeaeaieo aaae
na/iaiae?a o ae?oae’’ (?a?no?. ?096E013000), ‘‘?ic?iaea iaea?eueo
aoaeoeaieo iaoiaeee eaca?ioa?ai?? oa aia?aoo aeey e?eoaaiiy iae?iaaiieo
?iceaae?a na/iaeioneaiiy’’ (?a?no?. ?02.09/05469).

Iaoa aeine?aeaeaiiy. Iaoith ?iaioe ? anoaiiaeaiiy i?e/eiii-ne?ae/eo
aca?iia?aeiioaiue aeenooieoe?e na/iaeo oeyo?a oa na/iai? ?ioaeoe?? o
??cieo a?eiaeo a?oi oai?eo, ca?eueoaiiy aoaeoeaiino? ae?aaiinoeee oa
e?eoaaiiy oai?eo c ooieoe?iiaeueieie ii?ooaiiyie o?iaeeiai?ee.

Iniiai? caaaeaiiy aeine?aeaeaiiy:

Aecia/eoe aieiai? oaeoi?e, ui aieeaathoue ia aeieeiaiiy oa ia?aa?a OIO
oa ?o ci?ie o oai?eo ??cieo a?eiaeo a?oi;

Aecia/eoe oiiae, ui ni?eythoue aeieeiaiith o?ii?/ii? na/iai? ?ioaeoe??
(ON?) i?e OIO;

C’ynoaaoe i?e/eiii-ne?ae/? aca?iia?aeiineie ON? oa OIO o ??cieo
eiioeiaaio?a oai?eo;

Aecia/eoe eiie?aoiee aieea ON? ia ooieoe?th na/iaeo oeyo?a ca
aeiiiiiaith eiiieaeno no/anieo o?iaeeiai?/ieo iaoiae?a;

Ia i?aenoaa? io?eiaieo aeaieo oa aeoiaey/e c no/anieo oyaeaiue
o?iaeeiai?ee ?ic?iaeoe caaaeueio eiioeaioe?th i?e/eiii-ne?ae/eo
ni?aa?aeiioaiue ON? oa OIO;

Ia i?aenoaa? ?acoeueoao?a i?iaaaeaiiai aeine?aeaeaiiy aaeineiiaeeoe
?nioth/? iaoiaee ae?aaiinoeee oa e?eoaaiiy a?aeiia?aeieo eiioeiaaio?a
oai?eo.

Iaa?oiooaaiiy i?ecia/aiiy aeaio eiinoeueoaio?a. Aeoiaey/e ?c iaoe oa
caaea/ aeine?aeaeaiiy, aeey caaacia/aiiy a?aeiia?aeiiai ??aiy
ooieoe?iiaeueii? ae?aaiinoeee oai?eo oa aiae?co io?eiaieo aeaieo,
A/aiith ?aaeith ?inoeoooo o?ieia?? oa iao?ieia?? 25.02.1997 ?. aoei
caoaa?aeaeaii aeaa iaoeiaeo eiinoeueoaioe — ae.i.i., aeaae. IAI oa AII
I.O.Aic?aiiaa, yeee eiinoeueooaaa aeena?oaioa c ieoaiue aiae?co
ee?i?/ieo aeaieo, oa ae.i.i., i?io. A.I.Ie?iaiaa — niaoe?ae?noa o aaeoc?
o?iaeeiai?/ieo aeine?aeaeaiue oa iae?iaaiieo aeenooieoe?e na/iaeo
oeyo?a.

Iaoeiaa iiaecia ?acoeueoao?a aeine?aeaeaiiy. Ia i?aenoaa? io?eiaieo
aeaieo oia?oa anoaiiaeai? i?eioeeiia? a?aei?iiino? o i?e/eiao aeieeiaiiy
oa o?ii?caoe?? ?ioaeoe?? na/iaeo oeyo?a o ??cieo eiioeiaaio?a oai?eo.

Aia?oa i?inoaaeai? oiiae iiyae oa iniaeeaino? ia?aa?ao OIO a
caeaaeiino? a?ae a?eo oai?eo, ci?ie ?o i?e/eiii-ne?ae/eo ni?aa?aeiioaiue
c ON? ia i?ioyc? aeeooy.

Ca aeiiiiiaith aeei?enoaiiy eiiieaeno no/anieo iaoiae?a ianoaaeaiiy
aia?oa aeiaaaeaii iaaaoeaiee aieea o?eaaeiai ia?aa?ao ON? ia nei?ioeeao
aeoeai?noue na/iaeo oeyo?a, ui i?ecaiaeeoue aei aoi?eiieo ii?ooaiue
o?iaeeiai?ee.

Iieacaii aaaeeea?noue oa iaiao?aei?noue ie?aii? ioe?iee ooieoe??
aeao?oci?a oa no?ieoa?iiai aia?aoo aeey aeai?o aaeaeaaoii? oaeoeee
e?eoaaiiy oai?eo c OIO.

Noai?aia caaaeueia eiioeaioe?y i?e/eiii-ne?ae/eo aca?iia?aeiioaiue
na/iai? ?ioaeoe?? oa ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee o
iaoe??io?a ??cieo a?eiaeo a?oi.

Aia?oa oeyoii aaaaoioaeoi?iiai noaoenoe/iiai aiae?co ?acoeueoao?a
ianoaaeaiiy ??cieo eiioeiaaio?a oai?eo cai?iiiiiaaii nenoaio
ia?iaaceaii? ae?aaiinoeee OIO ieaei?o na/iaeo oeyo?a, ui aeicaiey?
aecia/eoe aa??aio aeenooieoe?? ye aeao?oci?a, oae ? no?ieoa?iiai
aia?aoo.

?ic?iaeaia iiaa no/ania eeaneo?eaoe?y OIO c o?aooaaiiyi iniiaieo
ao?ieia?/ieo oaeoi??a, aeae?a ii?ooaiiy oa oneeaaeiaiue.

Aia?oa cai?iiiiiaaii niin?a i?iaiicoaaiiy aoaeoeaiino? oa?ai?? OIO
ieaei?o na/iaeo oeyo?a.

Aeiaaaeaii, ui aaeaeaaoia eiina?aaoeaia e?eoaaiiy OIO iiaea i?ecaiaeeoe
aei ?aa?ano caiaeueiiai i?ioeano o na/ia?e nenoai? aac canoinoaaiiy
aioeaaeoa??aeueii? oa?ai??.

Iniiai? iieiaeaiiy, ui aeiinyoueny ia caoeno:

O ae?oae ii?ooaiiy ooieoe?? na/iaeo oeyo?a iae/ano?oa aeieeathoue
aiane?aeie a?ia??aoeaeoi?ieo aeenooieoe?e aeao?oci?a, ui ? i?iyaii
a?iaeaeaieo aiiiae?e /e ooieoe?iiaeueii? iac??eino? ia?aiai? nenoaie.

O?ii?/ia na/iaa ?ioaeoe?y o ae?oae aeieea? aiane?aeie ii?ooaiiy
aeii?iaeiaiiy na/iaiai i?oo?a ? ? aoi?eiiith ii a?aeiioaiith aei
ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee.

Aeieeiaiiy i??eiiao?eoo aac iciae aiaoii?/ii? iano?oeoe?? iiaeeeai
o?eueee i?e iayaiino? aeenooieoe?e na/iaeo oeyo?a.

Aieiaiith i?e/eiith iiyae o?ii?/iiai oeenoeoo o ae?iie ?
iaae?aaiinoiaai? aeenooieoe?? na/iaiai i?oo?a, ??aeoa oeenoeo iiaea
aeieeaoe ? aac ieo.

O?eaaeee ia?aa?a o?ii?/ii? na/iai? ?ioaeoe?? iaaaoeaii aieeaa? ia
ooieoe?th ye aeao?oci?a, oae ? no?ieoa?iiai aia?aoo na/iaiai i?oo?a, ui
aaaea aei a??ia?aeiiai iia??oaiiy o?iaeeiai?ee.

E?eoaaiiy iaiano?oeoeaieo caiaeueieo caoai?thaaiue na/iai? nenoaie
iiaeiii aacoaaoenue ia ei?aeoe?? o?iaeeiai?/ieo ii?ooaiue.

Iiaa eeaneo?eaoe?y ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee.

Nenoaia ia?iaaceaii? ae?aaiinoeee ooieoe?iiaeueieo ii?ooaiue
o?iaeeiai?ee.

Iaoiae i?iaiicoaaiiy aoaeoeaiino? eiina?aaoeaiiai e?eoaaiiy
ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee.

Oai?aoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Aia?oa i?inoaaeaii ci?ie
ia?aaaaeath/eo aa??aio?a aeenooieoe?e na/iaeo oeyo?a oa i?e/ei iiyae
na/iai? ?ioaeoe?? o a?eiaiio aniaeo?.

Aia?oa anoaiiaeaii i?eioeeiia? a?aei?iiino? i?e/ei aeieeiaiiy ye OIO,
oae ? na/iai? ?ioaeoe?? o ??cieo eaoaai??e o?ieia?/ieo oai?eo.

Aeiaaaeaii, ui a caeaaeiino? a?ae ao?ieia?/iiai oaeoi?o, noao? oa a?eo
oai?eo, ON? iiaea aooe ye i?e/eiith, oae ? iane?aeeii OIO.

Aia?oa iieacaii iaaaoeaiee aieea ON? ia iieacieee o?iaeeiai?ee ieaei?o
na/iaeo oeyo?a.

Aeiaaaeaii, ui i?eieiaiiy caiaeueiiai i?ioeano o na/iaeo oeyoao o oai?eo
c OIO iiaeeeai aac aioeaaeoa??aeueii? oa?ai?? ca ?aooiie ei?aeoe??
o?iaeeiai?/ieo ii?ooaiue.

?ic?iaeaia iiaa eeaneo?eaoe?y OIO, ui aaco?oueny ia no/anieo oyaeaiiyo
i?i i?e/eie ii?ooaiiy ooieoe?? na/iaeo oeyo?a oa aeanieo aeine?aeaeaiiyo
aaoi?a.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Aecia/ai? i?eioeeiia?
i?aeoiaee aei ae?aaiinoeee oa e?eoaaiiy OIO oa ON? o ??cieo a?oi oai?eo
a caeaaeiino? a?ae ao?ieia?/iiai oaeoi?o, a?eo, noao?.

?ic?iaeaii nenoaio ia?iaaceaii? ae?aaiinoeee OIO, ui a?aeiia?aea?
no/aniei oaiaeaioe?yi ?icaeoeo iaaeeoeeie ii iaiaaeaiith aeei?enoaiiy
?iaaceaieo iaoiae?a ianoaaeaiiy.

Aaeineiiaeaii ?nioth/? iaoiaee e?eoaaiiy OIO oa ON?. Cai?iiiiiaaii
iaoiae i?iaiicoaaiiy aoaeoeaiino? eiina?aaoeaiiai e?eoaaiiy OIO (cayaea
ia aeiao?ae ?98031082 a?ae 3.03.1998 ?.).

Aeaeea?aoe?y iniaenoiai aianeo aaoi?a a ?ic?iaeo iieiaeaiue, ui
aeeeaaeai? o aeena?oaoe??. ?aeay aeena?oaoe?eii? ?iaioe iaeaaeeoue
aaoi?o, iei oaeiae i?iaiae?ciaaii e?oa?aoo?o ca i?iaeaiith, ui
aea/a?oueny, i?iaaaeaii ?ioi?iaoe?eiee iiooe. O?iaeeiai?/i? ianoaaeaiiiy
aaniethoii? a?eueoino? oai?eo i?iaaaeai? naiino?eii aaoi?ii, i?e oeueiio
ai?iaaaeaeaii o i?aeoeeo no/ani? iaoiaee — ?ao?ia?aaeio
oeenoioiiiiao??th oa o?ao?ii?io?eiiao??th c iaeii/aniith ?a?no?aoe??th
aioo??oiuei/a?aaiiai oeneo, eiiieaenia ianoaaeaiiy ooieoe?? na/iaeo
oeyo?a c caienii aeaeo?ii?ia?ao??. Aaoi?ii i?iaaaeaii nenoaiaoecaoe?th
oa aiae?c io?eiaiiai iaoa??aeo, oi?ioethaaiiy iniiaieo iieiaeaiue
aeena?oaoe??. Aeena?oaio ? ni?aaaoi?ii cai?iiiiiaaieo oaeineiiaeaiue
iaoiae?a e?eoaaiiy OIO oa niiniao i?iaiicoaaiiy eiai aoaeoeaiino?.
?ic?iaea iiai? eeaneo?eaoe?? OIO oa ocaaaeueiaiiy io?eiaieo aeaieo
i?iaiaeeeinue ni?eueii c iaoeiaeie eiinoeueoaioaie.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. ?acoeueoaoe i?iaaaeaieo
aeine?aeaeaiue aoee aeieeaaeai? ia iaoe?iiaeueieo oa i?aeia?iaeieo
cono??/ao: eiioa?aioe?? ‘Ie?ee oa ?ioaeoe?y’ (?aaii-O?aie?anuee, 1997),
eiioa?aioe?? ii aeei?enoaiith eaca??a a iaaeeoeei? (sseoa, 1997),
‘Iaoieia?y ee?iaeno’ (Ee?a, 1998), eiioa?aioe?? iieiaeeo a/aieo (Aeiaoe,
1998), VII Ieaioi? o?ieia?a Oe?a?ie (O?oneaaaoeue, 1998), eiioa?aioe??
naenieia?a oa aiae?ieia?a Oe?a?ie (Eooeuee, 1998), eiioa?aioe?? ii
?aaa?e?oaoe?? ae?oae c o?aaiaie oa caoai?thaaiiyie iii?ii-?ooiaiai
aia?aoo (?aiaoi??y, 1998), 7-io Eiia?an? ii aiaeio?ieia?? (Aeacai,
1997), 12-io Ceiiaiio o?ieia?/iiio oi?oi? (Aeaain, 1997), 34-io Eiia?an?
?a?iiaenueei? ie?eiai? anioe?aoe?? (AEaiaaa, 1997), 24-io Eiia?an?
na?oiaiai oiaa?enoaa o?ieia?a (Iii?aaeue, 1997), 13-io Eiia?an?
?a?iiaenueei? anioe?aoe?? o?ieia?a (Aa?naeiia, 1998), Caeueoeao?anueeeo
nai?ia?ao (Caeueoeao?a, 1998).

Ai?iaaaeaeaiiy. ?ic?iaeai? o aeena?oaoe?? iaoiaee ae?aaiinoeee oa
e?eoaaiiy oai?eo c iae?iaaiiei na/iaei i?oo?ii, iao?eiaiiyi na/?,
iaiano?oeoeaiei i??eiiao?eoii ai?iaaaeaeai? o i?aeoeeo a ?inoeooo?
o?ieia?? oa iao?ieia?? AII Oe?a?ie, a iaeani?e ee?i?/i?e e?ea?i? i.
*a?i?aoe?.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 34 iaoeia? i?aoe?,
o o./. 13 naiino?eii, iiaeaii cayaeo ia aeiao?ae (?a?no?. ?98031082 a?ae
3.03.1998 ?.).

Ianya oa nooeoo?a aeena?oaoe??. ?iaioo aeeeaaeaii ia 302 noi??ieao
iaoeiiieniiai oaenoo. Aiia neeaaea?oueny c ia?ae?eo oiiaieo iicia/aiue,
anooio, aiae?oe/iiai iaeyaeo e?oa?aoo?e, 6 ?icae?e?a, ui aena?oeththoue
aeani? aeine?aeaeaiiy, aeniiae?a oa nieneo aeei?enoaieo aeaea?ae.
?ethno?aoeaiee iaoa??ae neeaaeathoue 31 oaaeeoey oa 38 iaethie?a.
A?ae?ia?ao?/iee iieac/ee i?noeoue 254 aeaea?aea, c yeeo 146 a?o/eciyieo
oa 108 ?iicaiieo.

INIIAIEE CI?NO ?IAIOE

Iaoa??ae oa iaoiaee aeine?aeaeaiiy. ?iaioa i?iaaaeaia ia oai?eo c
iae?iaaiieie aeenooieoe?yie ieaei?o na/iaeo oeyo?a, ui iinooiaee ia
ianoaaeaiiy oa e?eoaaiiy a ?inoeooo o?ieia?? oa iao?ieia?? AII Oe?a?ie
ye a noaoe?iia?ieo oiiaao, oae ? ia oai?eo, ui caa?oaeenue o iie?eeei?eo
?inoeoooo. Caaaeueia e?euee?noue ianoaaeaieo oai?eo — 636 /ie., c ieo
330 ae?oae oa 306 aei?ineeo. A?eueoa /anoeia oai?eo iinooieea ia
ianoaaeaiiy oa e?eoaaiiy c i?eaiaeo o?ii?/iiai oeenoeoo,
iaiano?oeoeaiiai i??eiiao?eoo, aeaiiiai aai i?/iiai iao?eiaiiy na/?,
oeenoioeaea /e aeeco?e/ieo ?iceaae?a iaae?aaiinoiaaiiai aaiaco.

Aeey io?eiaiiy aaeaeaaoieo aeaieo aoee aeei?enoai? ye o?aaeeoe?ei?
iaoiaee (?aoaeueiee ca?? nea?a oa aiaiiaco, ?aioaaiieia?/i?, OCAe, can?a
na/?), oae ? a?eueo no/ani? (aeaeo?ii?ia?ao?y, o?ioeioiao??y,
oeenoioiiiiao??y, o?aoa?ii?io?eiiao??y oa ?o eiia?iaoe??) iaoiaee
ianoaaeaiiy.

Iaiao?aeii caoaaaeeoe, ui aieiaieie iaoiaeaie ae?aaiinoeee OIO ia
nueiaiaei? ? ca?eueoiai ?iaaceai? iaoiaee ianoaaeaiiy, oi/a i?e oeueiio
a?ae/ooia oaiaeaioe?y aei ni?ia a?eueo oe?ieiai aeei?enoaiiy iaio
?iaaceaieo iaoiae?a. Aaaeeeaeie ia?aaaaaie ?o ? a?aenooi?noue
niaoeeo?/ieo oa ?iiae? na?eicieo oneeaaeiaiue, ui niinoa??aathoueny i?e
aaaaeaii? noi?iii?o o?e o na/ia? oeyoe, cia/ii iaioee /an ianoaaeaiiy,
a?aenooi?noue iio?aae o neeaaeiiio iaeaaeiaii?, a?eueoo eiioi?oi?noue
aeey iaoe??io?a. Ana oea i?ecaiaeeoue aei cia/iiai caeaoaaeaiiy oaeiai
ianoaaeaiiy. C ?ioiai aieo, aieiaiei iaaeie?eii ia?iaaceaieo iaoiae?a ?
iaaeinoaoiy ?o ia’?eoeai?noue, ui caiaeeoue iai?aaoeue on? ia?aaaae.

Aeoiaey/e c iayai?no? i?ioe??/ue i?ae ??cieie iaoiaeaie ae?aaiinoeee
OIO, iaie aoei ?ic?iaeaii aeanio nenoaio ae?aaiinoeee, ui ii?aeioaaea ae
ye ia’?eoeai?noue ?iaaceaieo iaoiae?a, oae ? i?inoioo ia?iaaceaieo.

Aoei i?iaaaeaii aeaoaeueiee aiae?c no/anieo oyaeaiue i?i o?c?ieia?th oa
iaoio?c?ieia?th aeoo na/iaeioneaiiy c iaoith ioe?iee cia/eiino? ??cieo
ia?iaaceaieo iaoiae?a oa aecia/aiiy aaciina?aaei?o i?e/ei iiyae oeo /e
?ioeo ci?i. Iioeiaeueieie ia?iaaceaieie iaoiaeaie ae?aaiinoeee aoei
aeciaii ?aoaeueiee iieo oai?iai oa o?ioeioiao??th (OOI). Iaiao?aeii
aeacaoe, ui ca ei?aeiiii aeey ioe?iee nea?a oai?eo aaea aeinoaoiuei
aeaaii ?ic?iaeaii oe?eo ieceo oano?a (Symptom Index) c ieoaiiyie i?i
aieiai? noa’?eoeai? aniaeoe aeoo na/iaeioneaiiy i?e aaeaiii? i?inoaoe
(IPSS, AUASI, IIA?, Boyarsky score oa ?i.), ?iiae? o oai?eo c
iao?eiaiiyi na/? — oano SEAPI. Aea caaaeai? oanoe aeei?enoiaothoueny i?e
aocuee?e iaoieia?? oa ?o iaiiaeeeai aaeeaaoe aeey ae?aaiinoeee ?ioeo
aeae?a ii?ooaiue.

Aeoiaey/e c aiae?co e?oa?aoo?e oa aeaniiai aeina?aeo aoei aea?aii
iaea?eueo aaaeeea? noa’?eoeai? iciaee OIO oa ii?ooaiiy o?ioeioa?ai.
Eiaeai ia?aiao? ioe?ithaaany ii ?ic?iaeai?e aaeuei?e nenoai? — nea?ae ii
aeoeaiino? ?o, a iieacieee OOI — ii aaee/ei? ci?i /eneiaeo cia/aiue.
sseui nenoaie aaeueii? ioe?iea nea?a aaea ?niothoue, oi o aea/ai?e
e?oa?aoo?? ie ia cono??ee ni?ia aaeueii? ioe?iee OOI. Aaaeeeaei iiiaioii
ie aaaaea?ii ??oaiiy i?iaiaeeoe ae?aaiinoeeo ie?aii ii aieiaiei
aa??aioai ii?ooaiiy ooieoe?? ieaei?o na/iaeo oeyo?a (ca?eueoaiiy /e
ciaioaiiy aeoeaiino? aeao?oci?a, ca?eueoaiiy /e ciaioaiiy oiiono
no?ieoa?iiai aia?aoo), a?aoiaoth/e a?aeiinio aaoiiiii?noue ?o ooieoe??.
Aeey eiaeiiai aeaeo ii?ooaiiy aoee aea?ai? iaea?eueo oeiia? aeeco?e/i?
yaeua oa ci?ie OOA — onueiai 8 iieaciee?a aeey eiaeiiai ii?ooaiiy. I?e
ai?iaaoe?? aoei ii?iaoaaii e?eueea aa??aio?a ia/eneaiiy, iiee ia aoei
aea?aii iioeiaeueiee, oi/a oea ia na?ae/eoue i?i eiai ?aeaaeuei?noue. Ii
ia?aaaaeaiith oeo /e ?ioeo cia/aiue ae?aaiinooaaeenue a?aeiia?aei?
aa??aioe aeenooieoe??.

I?ney ianoaaeaiiy oai?iai io?eiai? nea?ae oa ci?ie o?ioeioa?aie
ioe?ithaaeenue a aaeao a?aeiia?aeii ?ic?iaeai?e nenoai? aaeueii? ioe?iee
(a?ae 0 aei 3 aae?a). Aeae? i?iaiaeeeanue noiaoe?y io?eiaieo aae?a ii
eiaeiiio aeaeo ii?ooaiiy a?aeiia?aeii ?ic?iaeaiei aeai?eoiai. Aaee
a?aoiaoaaeenue c? ciaeii “+” /e “-“ a caeaaeiino? a?ae i?yiiai /e
cai?ioiueiai ca’yceo i?ae aeaiith aeenooieoe??th na/iaeo oeyo?a oa
oe??th nea?aith (/e iieacieeii OOI). Ae?aaiinoeea ci?i oiiono aeao?oci?a
oa no?ieoa?iiai aia?aoo i?iaiaeeeanue ie?aii. Ae?aaiic eiie?aoiiai
aa??aioo aeenooieoe?? ieaei?o na/iaeo oeyo?a aenoaaeyany, yeui noia
aae?a i?e eiai ia/eneaii? aoea a?eueoa 3. Io?eiai? ?acoeueoaoe
ii??aithaaeenue c aeaieie eiio?ieueieo a?eueo aeeaieeo ?iaaceaieo
ianoaaeaiue aeey io?eiaiiy ?ioi?iaoe?? i?i ?aaeueio aoaeoeai?noue
?ic?iaeaii? nenoaie. A?eueo aeaoaeueii c oe??th nenoaiith iiaeia
iciaeiieoenue o aeo?iae? “O?ieia?y”, ?5, 1998.

Ee?i?/ia ai?iaaoe?y nenoaie i?iaiaeeeanue o eaai?aoi??? iae?io?ieia??
?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie (caa. eaai?aoi???th — i?io.
Ie?iaia A.I.). I?e ai?iaaoe?? cai?iiiiiaaii? iaoiaeeee ae?aaiinoeee OIO
ieaei?o na/iaeo oeyo?a aeey aeenooieoe?e aeao?oci?a ?? ae?aaiinoe/ia
/ooeea?noue nyaaea 96%, niaoeeo?/i?noue 96,2%, ae?aaiinoe/ia
aoaeoeai?noue — 96,1%. Aeey iaoieia?? no?ieoa?iiai aia?aoo /ooe?a?noue
aoea 87,5%, niaoeeo?/i?noue 96,3%, ae?aaiinoe/ia aoaeoeai?noue 92,2%.

On? oai??, ui aeeth/ai? a aeine?aeaeaiiy, aoee iiae?eai? ia 5 a?oi
a?aeiia?aeii ia?aaaaeath/ei aa??aioai ii?ooaiiy o?iaeeiai?ee oa
a?aoiaoth/e aieiai? ee?i?/i? i?iyae caoai?thaaiiy. O aeine?aeaeaiiy ia
aeeth/aeenue oai?? c iciaeaie aiaoii?/ieo ii?ooaiue a?aeoieo na/? —
eaiai?, no??eoo?e, iooeeie oiui. Aeenooieoe?? na/iaeo oeyo?a o oaeeo
oai?eo aeeeeeaeenue ooieoe?iiaeueieie ii?ooaiiyie o?iaeeiai?ee.

O ia?o?e a?oi? ianoaaeaii 126 ae?oae c i?/iei iao?eiaiiyi na/? (IIN),
na?aae ieo ia?aaaaeia e?euee?noue ae?a/ao (62,7%). Na?aaei?e a?e oai?eo
— 9,05±3,59 ?. I?e aiae?c? nea?a (ia ?aooth/e IIN) oaaao i?eaa?oa?
cia/ia ?iciianthaeaeai?noue iieae?o??? (o 44,4%) oa ?iia?aoeaieo
iieeee?a ia na/iaeioneaiiy (o 42,9%). ?io? aeeco?e/i? yaeua
niinoa??aaeenue cia/ii ??aeoa — o 0,8-4,8%.

I?aeoe/ii o an?o oai?eo (e??i 1) aeyaeai? ci?ie o?ioeioa?aie ??ciiai
oa?aeoa?o, i?e/iio /ano?oa anueai niinoa??aaeenue a?aeoeeaiiy ca?aaeii?
oaeaeeino? a?aeoieo na/? (60,3% oai?eo) oa i?enei?aiiy a?aeoieo na/?
(63,5% oai?eo). I?e a?eueo aeeaieiio o?iaeeiai?/iiio ianoaaeaii? o
oai?eo ciaeaeai? ??ci? aa??aioe aeenooieoe?e ieaei?o na/iaeo oeyo?a,
aieiaieie c yeeo aoee a?ia??aoeaen?y aeao?oci?a (o 60,4%) oa a?iioii?y
no?ieoa?iiai aia?aoo (o 44,4%).

Ia /an caa?oaiiy aeai? c o?ueio oai?eo (65,6%) iaee o? /e ?io?
oneeaaeiaiiy, iaea?eueo iioe?aieie c ieo aoee i?oo?ii-na/ia?aeiee
?aoethen (IN?, o 25,5%) oa o?ii?/iee i??eiiao?eo (OI, 33,3%).
I?iaaaeaiee ei?aeyoe?eiee aiae?c iieacaa a??ia?aeiee ca’ycie i?ae aeaeii
aeenooieoe?? oa aieiaieie oneeaaeiaiiyie, ui niinoa??aaeenue o ae?oae c
IIN. I?e aiae?c? ?iciianthaeaeaiino? OI caa?oa? ia naaa oaaao i?yia
caeaaei?noue eiai a?ae a?ia??aoeaen?? aeao?oci?a — yeui o ae?oae c OI
aiia a?aecia/aia a 86%, oi o ae?oae aac OI — o?eueee a 52%. Cai?ioi?e
ca’ycie a?aei?/aii c a?iioiionii no?ieoa?iiai aia?aoo — i?e i??eiiao?eo?
a?i ae?aaiinoiaaiee o?eueee o 23% oai?eo, a i?e a?aenooiino? ?ioaeoe?? —
o 51%.

Iiyniaiiy oaeiai aca?iica”yceo, c iaoi? oi/ee ci?o, eaaeeoue o
i?eioeeiao o?iaeeiai?/ieo ii?ooaiue i?e ??cieo aeenooieoe?yo. Oae, i?e
a?ia??aoeaen?? aeao?oci?a iaeaaaeeea?oei ? ia??iaee/ia ??cueea
i?aeaeuaiiy oeneo o na/iaiio i?oo??, ui aaaea aei aeieeiaiiy ii?ooaiiy
caieeaeueii? ooieoe?? no?ieoa??a oa ni?ey? aeieeiaiith oneeaaeiaiue.
sseui ae i?e oeueiio ia?oei no?aaeaea? o?ao?aeueiee no?ieoa? (ui
i?iyae?oueny caeaa?eueoiai iao?eiaiiyi na/?), a ia no?ieoa?e a?/ie
na/iaiae?a, oi aa?oi? na/ia? oeyoe ooeiaeaeothoueny cia/ii iaioa, ui ?
aaaea aei iaioiai /enea oneeaaeiaiue o oeeo oai?eo. Ua iaioa
oneeaaeiaiue niinoa??aa?oueny, eiee IIN aeieea? ca ?aooiie a?iioii??
no?ieoa?iiai aia?aoo aac a?ia?oiiono aeao?oci?a. C oe??? oi/ee ci?o
aeieeiaiiy IIN iiaeia ?icaeyaeaoe ye caoenio ?aaeoe?th na/iaeo oeyo?a ia
iaoieia?/ia i?aeaeuaiiy oeneo o na/iaiio i?oo??. Ia??iaee/ia aeeeaeaiiy
ii?oe?e na/? /a?ac o?ao?o ni?ey? ciaioaiith ye o?eaaeino?, oae ?
iaeneiaeueieo cia/aiue oeneo i?e nei?i/aii? aeao?oci?a. Oey oi/ea ci?o
aoaea aeiaeaoeiai i?aeoaa?aeaeaia aeaieie, io?eiaieie i?e ianoaaeaii?
ianooiieo a?oi oai?eo.

O ae?oao a?oio aa?eoei 204 aeeoeie a?eii a?ae 2 aei 15 ?ie?a, o yeeo
aoei ae?aaiinoiaaii ??ci? OIO, ui ia i?iyaeyeenue IIN.

I?e ni?anoaaeaii? ?acoeueoao?a o?ioeioiao??? na?aae ae?oae c IIN oa aac
iueiai a??ia?aei? a?aei?iiino? noinothoueny o?eueee /ano cao?eiee
ii/aoeo na/iaeioneaiiy — eiai ii?ooaiiy niinoa??aathoueny o eiaeiiai
o?aoueiai oai?iai o ae?oa?e a?oi?, ii??aiyii c 8,7% o a?oi? c aio?acii.
Iaa??ia?aeia, oi/a ? a?ae/ooia ??cieoey, oaeiae niinoa??aa?oueny o
ca?eueoaii? ?iciianthaeaeaiiy na?aae oai?eo ae?oai? a?oie ii?ooaiue
ia’?io na/?, /ano aeinyaiaiiy iaen.oaeaeeino? oa caaaeueiiai /ano
na/iaeioneaiiy. Aeyaeai? ci?ie oa?aeoa?i? aeey ii?ooaiiy nei?i/aiiy
no?ieoa?iiai aia?aoo — a naia aeey eiai a?ia?oiiono.

I?e a?eueo aeeaieiio o?iaeeiai?/iiio ianoaaeaii? a??ia?aei? a?aei?iiino?
aeyaeai? o ?iciianthaeaeaii? a?ia??aoeaeoi?ieo ii?ooaiue ooieoe??
aeao?oci?a oa iaio aieiaieo aa??aio?a aeenooieoe?e no?ieoa?iiai aia?aoo.
Ciaioaiiy /anoioe a?ia??aoeaen?? aeao?oci?a c 60% o ae?oae c IIN aei 40%
o ae?oae aac aio?aco ? i?aeoaa?aeaeaiiyi aecia/ath/i? ?ie? oeueiai
ii?ooaiiy o aeieeiaii? iaaeinoaoiino? caieeaeueii? ooieoe?? no?ieoa??a,
i?iyaii /iai ? ? iiyaa i?/iiai iao?eiaiiy na/?.

Ae?aaiinoiaai? ci?ie o ooieoe?? no?ieoa??a i?yii i?ioeeaaei? oaeei o
oai?eo c IIN — a??ia?aeii ciaioo?oueny e?euee?noue ?o a?iioii??
iaeii/anii c? ca?eueoaiiyi a?ia?oiiono. Ua a?eueo ae?acii oea
i?iyaey?oueny i?e ii??aiyii? ni?aa?aeiioaiiy i?ae a?ii- oa a?ia?oiionii
no?ieoa??a a iaaeao eiaeii? a?oie — o a?oi? c IIN aiii nyaa? aeecueei
11, o a?oi? aac IIN — aeecueei 0,7. C ?ioiai aieo, oaea aaeeea
?iciianthaeaeaiiy a?ia?oiiono no?ieoa??a ia iiaea i?ieoe aacne?aeii,
a?aoiaoth/e, c iaoi? oi/ee ci?o, aaeeeo ?ieue oeueiai ii?ooaiiy o
aeieeiaii? iaoieia?? aa?oi?o na/iaeo oeyo?a. A?i aaaea aei ia??iaee/ieo
i?aeeii?a oeneo a na/iaiio i?oo?? — ia ii/aoeo na/iaeioneaiiy oene
i?aei?ia?oueny cia/ii aeua o?c?ieia?/ieo cia/aiue; e??i oiai, i?e
iicaaieueiaiio nei?i/aii? no?ieoa??a i?ae /an aea?eueiaiiy na/iaiai
i?oo?a oaeiae aoaeooue niinoa??aaoenue ia??iaee/i? i?aeaeuaiiy oeneo.

Oae, o ae?oae c IIN cia/ii iaioa /anoioa IN? (25,5% i?ioe 47,1%),
a?ae?iiao?ico (9,5% i?ioe 18,6%) oa o?ii?/iiai i??eiiao?eoo (33,3% i?ioe
83,3%), i?ae o ae?oae aac aio?aco. Io?eiai? a??ia?aei? a?aei?iiino? o
/anoio? aeieeiaiiy IN? oa o?ii?/iiai i??eiiao?eoo i?ae a?oiaie ie
aaaaea?ii caeiiii??iei oaeoii, ui iiaeia aoei i?eionoeoe ua aeoiaey/e c
aiae?co nea?a oa ni?aa?aeiioaiiy ??cieo aeae?a o?iaeeiai?/ieo ii?ooaiue.
Ci?ie oeio aeenooieoe?? no?ieoa?iiai aia?aoo o noi?iio eiai a?ia?oiiono
cia/iith i??ith onoaa? caoeniee iaoai?ci iao?eiaiiy na/? oa i?ecaiaeeoue
aei cia/iiai i?aeaeuaiiy /anoioe oneeaaeiaiue.

Oaeei /eiii, ii??aiyeueiee aiae?c ee?i?/ieo i?iya?a, o?iaeeiai?/ieo
c?ooaiue oa oneeaaeiaiue i?ae aeaiia a?oiaie ae?oae c OIO — ui
noi?iaiaeaeothoueny oa ia noi?iaiaeaeothoueny IIN, aeicaieea aeyaeoe
a??ia?aei? ?ica?aeiino? i?ae a?oiaie oa ia i?aenoaa? oeueiai c?iaeoe oa
iaa?oiooaaoe aeniiaee uiaei i?e/ei oeeo ?ica?aeiinoae oa ?o oai?aoe/iiai
oa i?aeoe/iiai cia/aiiy.

Aei ianooiii? a?oie aa?eoee aei?ine? oai??, ui iinooieee o noaoe?iia? c
ae?aaiicii iaiano?oeoeaiiai i??eiiao?eoo caaaeueiith e?euee?noth 54 /ie.
Ianoaaeaiiy iaoe??io?a aoei ni?yiiaaii ia?o ca ana ia aeyaeaiiy
i?eoiaaieo aeenooieoe?e ieaei?o na/iaeo oeyo?a. O a?oi?, ui
aeine?aeaeoaaeanue, ae?iie aoei 50 (92,6%), /ieia?e?a 4 (7,4%),
na?aaei?e a?e oai?eo 33,9(11,7 ?. O?eaae?noue ?ioaeoe?? na/iaeo oeyo?a
aoea a?ae 2 aei 32 ?ie?a, na?aaei?e iieaciee 11 ?ie?a. I?e oeueiio
aeecueei iieiaeie oai?eo no?aaeaeaee ON? a?eueoa 10 ?ie?a, ui ia iiaei
ia a?aeaeoenue ia ooieoe?iioaaii? na/iai? nenoaie.

Aaeeeee /an ia?aa?ao ON? o a?eueoino? oai?eo ? o?aaeeoe?eiei. Aea
ii?ooaiiy o?iaeeiai?ee o aeiaeiiai c iaoe??io?a aei iaoiai ianoaaeaiiy
ae?aaiinoiaai? ia aoee. sseui i?eeiyoe aei oaaae, ui OIO ie aeyaeee o
aaniethoii? a?eueoino? oai?eo, oi oaea neooaoe?y ? c ia?oiai iiaeyaeo
iac?icoi?eith, aea i?e a?eueo aeaoaeueiiio aiae?c? a?aee?eaathoueny ??
i?eoiaai? i?e/eie. Ie aaaaea?ii, ui aaaeeeaa cia/aiiy o ianai?/aniiio
aeyaeaii? oeeo ?iceaae?a aaeeeo ?ieue a?a? iaae?acia ee?i?/ia
neiioiiaoeea. O cia/ii? /anoeie oai?eo aieiaieie nea?aaie aoee oeiia?
iciaee i??eiiao?eoo — ooi? aie? o iiia?aeo, ia??iaee/ia i?aeaeuaiiy
oaiia?aoo?e o?ea, ci?ie o aiae?cao na/?. A?aeiia?aeii aei oeueiai ? aoea
iae?aco i?eeooa oaaaa e?ea??a, o oie /an ye aeeco?e/i? ?iceaaee oai?eo
oo?aoaaee cia/ii iaioa. Oae, na?aae oeeo oai?eo o 18,5% ia aoei aeiaeieo
nea?a ia ii?ooaiiy na/iaeioneaiiy, o 33,3% aoea i?enooiy o?eueee iaeia
nea?aa. A?eueo ae?acia neiioiiaoeea niinoa??aaeanue o 27,7% oa., o yeeo
i?e ?aoaeueiiio iieooaaii? aeyaeaii ii?aeiaiiy aeaio yeeoinue nea?a. ?,
ia?aoo?, ae?acia neiioiiaoeea aeeco?e/ieo ?iceaae?a (i?e ye?e e?ea?? ?
ii/eiathoue aeoiaoe i?i ii?ooaiiy ooieoe?? na/iaiai i?oo?a)
niinoa??aaeanue eeoa o 20,4% oai?eo. Oaeei /eiii, o?eueee o iaeiiai c
i’yoe oai?eo c iae?iaaiieie ?iceaaeaie ooieoe?? na/iaiai i?oo?a aiie
aeoeaii i?iyaeyeenue ee?i?/ii.

Ii ?acoeueoaoai eiiieaeniiai ianoaaeaiiy i?eoiaai? iae?iaaii? ?iceaaee
ooieoe?? ieaei?o na/iaeo oeyo?a ae?aaiinoiaai? o 96,3% oai?eo,
a?aeiia?aeii o?eueee o 2 (3,7%) iciae ooieoe?iiaeueieo ii?ooaiue
o?iaeeiai?ee aeyaeoe ia aaeaeinue. A?iioii?/i? aa??aioe ii?ooaiiy
ooieoe?? aeao?oci?a ciaeaeaii o aeaio o?aoei oai?eo (67,3%).
A?ia??aoeaeoi?i? oi?ie ii?ooaiiy ooieoe?? aeao?oci?a ae?aaiinoiaaii
o?eueee o 11,5% oa. Ii?aeiaiiy c aeenooieoe??th no?ieoa??a a?aei?/aii
na?aae oeeo oai?eo o 36,5% a?ae caaaeueii? e?eueeino? oai?eo c OIO.
Ia?aoo? o 21,2% oa. ia ciaeaeaii ae?aaeaieo ci?i ooieoe?iioaaiiy
aeao?oci?a, aea cao?eniaaii ci?ie nei?i/aiiy no?ieoa??a (a?ia?oiion o
23,1%, a?iioiion — o 34,6%). Ie aaaaea?ii, ui naia ii?aeiaiiy ii?ooaiiy
nei?i/aiiy aeao?oci?a (iniaeeai ii a?ia??aoeaeoi?iiio oeio) iaeii/anii c
ii?ooaiiyi ?iaioe no?ieoa?iiai aia?aoo i?ecaiaeyoue aei iaea?eueo
ae?aaeaieo ci?i o?iaeeiai?ee ? naia o oaeeo aeiaaeeao aeieeathoue
iaeneiaeueii ni?eyoeea? oiiae aeey iiyae oneeaaeiaiue c? noi?iie aa?oi?o
na/iaeo oeyo?a.

I?iaaaeaia aeine?aeaeaiiy aeicaiey? aeaui c ?ioiai aieo iiaeeaeoenue ia
i?iaeaio aeieeiaiiy oa ia?aa?ao ON?. O aeiaaeeao iayaiino? oaeoi??a, ui
ni?eythoue o?inoaco (aiiiae??, eaiai?, no??eoo?e oa ?i.) ??
?aoeeaeeaoaaiiy oa aaaee?noue e?eoaaiiy iiynith?oueny o?ii?/iei
ii?ooaiiyi a?aeoieo na/?, ui ? ni?e/eiy? iaaoaeoeai?noue e?eoaaiiy oeeo
oai?eo. I?e a?aenooiino? aiaoii?/ieo ia?aoeiae a?aeoieo na/? no?ee?noue
o aaaaoueio aeiaaeeao na/iai? ?ioaeoe?? aei aeoeaii? aioeaaeoa??aeueii?
oa?ai?? eeoa?oueny iac?icoi?eith. Ae?aaiinooaaiiy ooieoe?iiaeueieo
ii?ooaiue o?iaeeiai?ee o a?eueoino? oaeeo oai?eo aeicaiey? iiynieoe oeae
oaeo oa noaa?aeaeoaaoe, ui ooieoe?iiaeuei? ?iceaaee o?iaeeiai?ee
a?athoue aaeeeo ?ieue o ?icaeoeo ON?.

sse aoei iieacaii i?e aiae?c? ?icaeoeo oa ia?aa?ao OIO o ae?oae,
aieiaio ?ieue o aeieeiaii? ON? iathoue naia a?ia??aoeaeoi?i?
aeenooieoe?? aeao?oci?a. ?acoeueoaoe ianoaaeaiue oai?eo c
iaiano?oeoeaiei i??eiiao?eoii, caeaaaeinue, ia i?aeoaa?aeaeothoue
oeueiai — i?eaeecii aeai? c o?ueio oai?eo iathoue iaaiaee,
a?ii?aoeaen?th aeao?oci?a. Aea oea o?eueee ia ia?oee iiaeyae — aaeaea
i?ae aei?ineei oa aeeoy/ei eiioeiaaioii ?niothoue aeinoaoiuei aaaeeea?
a?aei?iiino?. Aieiaia c ieo iieyaa? o oiio, ui cia/ii ??cieoueny
o?eaae?noue caiaeueiiai i?ioeana o na/iaeo oeyoao — o ae?oae aiia o 1,5
?. iaioa, i?ae o aei?ineeo (7,2(3,8 ?. i?ioe 11,0(8,2 ?.). Aaeeea
e?euee?noue aeyaeaieo a?ii?aoeaeoi?ieo ii?ooaiue nei?i/aiiy aeao?oci?a,
c iaoi? oi/ee ci?o, iiynith?oueny iaaaoeaiei aieeaii o?eaaeiai ia?aa?ao
?ioaeoe?? ia nei?ioeeao aeoeai?noue na/iaeo oeyo?a. Ie aaaaea?ii, ui
caaaeueiee o?ae ?icaeoeo aeenooieoe?e na/iaeo oeyo?a o oeueiai
eiioeiaaioo oai?eo ianooiiee: a?ia??aoeaen?y aeao?oci?a ( o?ii?/ia
?ioaeoe?y na/iaeo oeyo?a ( a?ii?aoeaen?y aeao?oci?a.

Oaeei /eiii, io?eiai? aeai? iieacathoue, ui aaniethoia a?eueo?noue
iaiano?oeoeaieo i??eiiao?eo?a, ui o?aaeeoe?eii ?aoothoueny ia?aeiieie,
aeeeeeai? iae?iaaiieie ii?ooaiiyie ooieoe?? na/iaiai i?oo?a ? oaeei
/eiii ?aaeueii ? aoi?eiieie. E?eoaaiiy oaeeo oai?eo iaiao?aeii
ni?yiiaoaaoe ia?o ca ana ia ei?aeoe?th ?iceaae?a o?iaeeiai?ee, aac /iai
iaa?oue o?eaaea aioeaaeoa??aeueia oa?ai?y ? iaaoaeoeaiith.

O ianooiio a?oio aa?eoee ae?iee, ui no?aaeaeaee iao?eiaiiyi na/? (IN)
??ciiai aaiaco. Onueiai niinoa??aaeinue 52 ae?iee, na?aaei?e a?e yeeo
52,6(11,6 ?ie?a. ?aoaeueiee ca?? aiaiiaco aeyaea, ui o a?eueoino? oai?eo
?niothoue oaeoi?e, ui iiaee noaoe iaei??th c i?e/ei iiyae IN. Iaea?eueo
?iciianthaeaeaiith iaoieia??th na?aae iaoe??io?a aoee ii?ooaiiy o?aaoa
(o 42 /ie., 80,8%). C ieo o 11 (21,2%) a?aecia/aeenue a?iaeaeai? aaaee
o?aaoa, a o a?eueoino? ??ciiiai?oi? aeeno?io?/ii-aeaaaia?aoeai? i?ioeane
(niiiaeeeueic, inoaioiiae?ic, aee?eaeaiiy o?aaoa oa ?i.). O 67,3% oai?eo
aiane?aeie oeueiai i?e iaa?ieia?/iiio ianoaaeaii? aeyaeai? ii?ooaiiy
ia?aiai? o?io?ee oe??e oa i’yc?a o ae?eyieao ?ia?aaoe?? iiia?aeiaeo oa
e?eaeiaeo ei??ioe?a (ye? aaciina?aaeiuei a?aeiia?aeathoue ca ooieoe?th
na/iaiai i?oo?a, no?ieoa??a oa i?iiaaeeie).

O aaaaoueio ae?iie aoa iaoyaeaiee aeooa?nueei-a?iaeieia?/iee aiaiiac.
Iaoieia?/i? iieiae iaee i?noea o 22 ae?iie (42,3%), aea i?eionoeoe
aaciina?aaei?e ?o ca’ycie c aeieeiaiiyi IN ie ciiaee o?eueee o 6
(11,5%). A?iaeieia?/i? no?aaeaeaiiy aecia/aeenue o 32 iaoe. (61,5%).

Na?aae ianoaaeaieo ae?iie o 14 (26,9%) iciae na/iai? ?ioaeoe?? ia aoei,
o 38 (73,1%) ae?aaiinoiaaii o?ii?/i? caiaeuei? caoai?thaaiiy na/iaiai
i?oo?a oa ie?ie. O a?oi? iaoe??io?a c ON? /anoea oai?eo oai?eo c
i?i?iaeueieie aeeco?e/ieie i?iyaaie aoea 8%, a o a?oi? aac ?ioaeoe?? o
o?e c iieiaeiith ?ace a?eueoa (29%, p<0,05). ? iaaiaee, a?aenioie oai?eo c ae?aaeaieie aeeco?e/ieie ?iceaaeaie (3 oa a?eueoa nea?a) o ia?o?e a?oi? nyaaa 65%, o ae?oa?e 42% (??cieoey iaaeinoia??ia). Oea na?ae/eoue i?i ii?ooaiiy nei?ioeeai? caeaoiino? INO i?e o?eaaeiio ia?aa?ao ?ioaeoe??. I?e ii??aiyii? ?acoeueoao?a o?ioeioiao??? cao?eniaaii noaoenoe/ii a??ia?aeia ciaioaiiy o oai?eo c na/iaith ?ioaeoe??th iaeneiaeueii? oaeaeeino? na/iaeioneaiiy a 1,56 ?ac, i?enei?aiiy na/? ia ii/aoeo na/iaeioneaiiy o 2,72 ?ace, ca?eueoaiiy /ano cao?eiee ii/aoeo na/iaeioneaiiy a 1,98 ?ac. Oaeei /eiii, ii io?eiaiei ?acoeueoaoai iiaeia c?iaeoe aeniiaie i?i ciaioaiiy aeoeaiino? ia?aiai-i’ycaaiai aia?aoo ieaei?o na/iaeo oeyo?a o oai?eo c ON?. Ae?aaeai? a?aei?iiino? niinoa??aathoueny oaeiae i?ae aeaiia a?oiaie i?e aiae?c? ?acoeueoao?a oeenoia?ai, iniaeeai i?eoe?eiiai aa??aioo. O iieiaeaii? na/iaiai i?oo?a o niiei? ?aioaaiieia?/ia ea?oeia aoea i?aeoe/ii iaeiaeiaa, aea cia/ii ci?ieeanue i?e i?eoe??. sseui o a?oi? aac ON? ii?iaeueia iieiaeaiiy na/iaiai i?oo?a caeeoeeinue o 38,5% oai?eo, oi o ?io?e a?oi? o?eueee o 5,7% (p<0,01). Aeoiaey/e c oeueiai iiaeia i?eionoeoe, ui i?e ON? oaanue aia?ao, ui i?aeo?eio? aeii i?oo?a, /anoi ciaoiaeeoueny ia iaae? eiiiainaoe?? ? i?e iaeiaioiio iaaaioaaeaii? (i?eoe?y, i?aeeii aioo??oiuei/a?aaiiai oeneo, ia?ao?ae o aa?oeeaeueia iieiaeaiiy) ?icnoaooaaiiy aeia oaeaeei ? cia/ii ci?ith?oueny. Oey neooaoe?y iiaea iineethaaoe iao?eiaiiy na/? oa a?oa? aoi?eii? ci?ie iiaeooue noaaeoe i?ae noii?a aoaeoeai?noue aoaeue-yeiai iaoiaeo e?eoaaiiy. I?e a?eueo aeeaieiio aeine?aeaeaii? c? an?o ianoaaeaieo oai?eo o aeiaeiiai ia aoei aeyaeaii iiai?noth ii?iaeueieo iieaciee?a o?iaeeiai?ee INO. I?e ii??aiyii? c ae?oueie, ui no?aaeaeathoue IIN, o aei?ineeo a??ia?aeii /ano?oa aeieea? a?ii?aoeaen?y aeao?oci?a (33% i?ioe 14%) oa ??aeoa - eiai a?ia??aoeaen?y (37% i?ioe 60%); a?iioiion no?ieoa?iiai aia?aoo o aei?ineeo cono??/a?oueny a??ia?aeii /ano?oa (76% i?ioe 45%). Ciaioaiiy e?eueeino? a?ia??aoeaeoi?ieo ii?ooaiue ie iia'yco?ii c i?ioeanaie iinooiiaiai aeic??aaiiy ia?aiai? nenoaie o ae?oae, a ca?eueoaiiy a?ii?aoeaen?? aeao?oci?a oa a?iioiiono no?ieoa?a - c ia?nenoaioe??th ON?, ui i?aeoaa?aeaeo?oueny aeaieie, iaaaaeaieie aeua. Oaeei /eiii, aaciina?aaei?ie i?e/eiaie iiyae IN o ae?iie iiaea aooe aai a?ia??aoeaen?y aeao?oci?a, aai a?iioiion no?ieoa??a. Inoaii?e o ae?iie a?a? iii?oii aaaeeea?oo ?ieue ii??aiyii c ae?oueie. I?e?aeiaiiy ON? noai?ththoue iaoieia?/ia eiei: ii?ooaiiy o?iaeeiai?ee ( iao?eiaiiy na/? ( ON? ( iiaeeaeaiiy o?iaeeiai?/ieo ?iceaae?a. I?e noi?ioaaii? oaeiai eiea aee?eoaaiiy oai?eo c IN noa? iaaaaaoi a?eueo i?iaeaiaoe/iei. Iaie aoei ae??oaii aeae?eeoe na?aae aei?ineeo ie?aio a?oio c ''/enoei'' INI. Aei ia? aa?eoea i?eaeecii iieiaeia on?o aei?ineeo iaoe??io?a c ae?aaiinoiaaieie OIO, ui ia aa?eoee a iiia?aaei? a?oie. Caaaeueia e?euee?noue oai?eo o a?oi? c ''/enoei'' INI 200 /ie., na?aaei?e a?e 30,7(15,3 ?iee. Na?aaei?e a?e a?oie iaeiieiaeoee na?aae a?oi aei?ineeo oai?eo, ui aeicaiey? i?eionoeoe iaaiee aieea oeiiai? aeey aeeoy/iai a?eo iaoieia?? ia ia?aa?a caoai?thaaiiy, ui i?aeoaa?aeaeo?oueny i?e ?aoaeueiiio cai?? aiaiiaco. Oae, aeecueei iieiaeie on?o iaoe??io?a (46%) a?aei?/athoue ii/aoie caoai?thaaiiy iae?aco i?ney ia?iaeaeaiiy /e o ?aiiueiio aeeoeinoa?. Ua iaeaea o?aoeia caoai??ea o a?oe? 16-20 ?ie?a, eiee a?aeaoaa?oueny aeoeaia ai?iiiaeueia ia?aaoaeiaa i?aai?cio. O ae?a/ao ia oeae a?e i?eiaaea? oaeiae ii/aoie noaoaaiai aeeooy, ui ? iiooaeiei oaeoi?ii aeieeiaiiy ?ioaeoe?? na/iaeo oeyo?a. Aacoiiaii, aaaeeeaith i?e/eiith iiyae inoaiiuei? ? i?eoiaai? ii?ooaiiy o?iaeeiai?ee, ui ?icaeioeenue ua o aeeoeinoa?, aea ia aoee ai? ae?aaiinoiaai?, ai? e?eiaai?. Iaeaea iieiaeia iaoe??io?a (47%) acaaae? ia a?aei?/aee i?yeeo nea?a aai o?eueee iaeio. O oie aea /an a?eueoa o?aoeie iaee ae?aaeai? aeeco?e/i? ?iceaaee /e nea?ae ia aie? o ie?eao, i?aeaeuaio oaiia?aoo?o o?ea. Oaea neooaoe?y noiaea ia oa, ui a?aei?/aii o aei?ineeo oai?eo c iaiano?oeoeaiei i??eiiao?eoii oa, aacoiiaii, noai?th? ia?aaeoiiae aeey ianai?/anii? ae?aaiinoeee aeenooieoe?? na/iaeo oeyo?a. O?ioeioiao??y iieacaea ae?aaeai? ci?ie o aaniethoii? a?eueoino? oai?eo - o?eueee o 6,3% ia ciaeaeaii ii?ooaiue o aeiaeiiio ia?aiao??. I?e a?eueo aeeaieiio o?iaeeiai?/iiio aeine?aeaeaii? aeyaeeinue, ui na?aae aei?ineiai eiioeiaaioo oai?eo c INI a??ia?aeii /ano?oa cono??/a?oueny ciaioaiiy aeoeaiino? aeao?oci?a oa no?ieoa?iiai aia?aoo iaeii/anii c ?aaeoeoe??th /anoioe a?ia??aoeaen?? aeao?oci?a. Iia'ycaii oea, ie aaaaea?ii, c oith ae i?e/eiith, ui i?ecaaea aei aiaeia?/iiai ?iciianthaeaeaiiy aa??aio?a aeenooieoe?e na/iaeo oeyo?a o aei?ineeo c iaiano?oeoeaiei i??eiiao?eoii – ?c ci?iaie aeoeaiino? aeao?oci?a oa no?ieoa??a aiane?aeie o?eaaeiai ia?aa?ao na/iai? ?ioaeoe??. C ?ioiai aieo, yeui aaeaaaoenue aei iiaeaeueoeo aiaeia?e, oi oea ? iaaiith i??ith iiceoeaiee iiiaio, yeee ia? ni?eyoe ciaioaiith e?eueeino? iiaeaeueoeo oneeaaeiaiue c? noi?iie aa?oi?o na/iaeo oeyo?a ii??aiyii c ae?oueie. Aaeaea yeui i?e a?ia??aoeaen?? aeao?oci?a aeieea? ae?ae iani?eyoeeaa a?ae?iaeeiai?/ia neooaoe?y o na/iaiio i?oo??, ui /anoi oa a?aeiinii oaeaeei a?aeaeaa?oueny ia ooieoe?? aa?oi?o na/iaeo oeyo?a. sseui ae o?eaaeee ia?aa?a ON? aaaea aei ci?i aeaeo aeenooieoe?? aeao?oci?a o noi?iio a?ii?aoeaen??, oi iaaaoeaiee aieea ia ie?ee cia/ii iii’yaoo?oueny oa, a?aeiia?aeii, iaiao?aeii /aeaoe ciaioaiiy e?eueeino? oneeaaeiaiue c? noi?iie ie?ie oa na/iaiae?a. I?e aiae?c? oneeaaeiaiue iaea?eueo a??ia?aei? ci?ie noinothoueny /anoioe ae?aaiinooaaiiy IN? - 22,2% o aei?ineeo i?ioe 47,1% o ae?oae, ui ie aaaaea?ii iaeiei c aieiaieo na?ae/aiue oiai, ui a?ae?iaeeiai?/iee oene ia i?oo?ii-na/ia?aeiee naaiaio oa on? aa?oi? na/ia? oeyoe cia/ii iaioa o a?oi? aei?ineeo iaoe??io?a. ?ioei i?iyaii oeueiai ? ciaioaiiy e?eueeino? o?ii?/iiai i??eiiao?eoo (57,6% i?ioe 83,3%). C iaoi? oi/ee ci?o, naia IN? ? aieiaiei iaoai?ciii ?iciianthaeaeaiiy ?ioaeoe?? ia ie?ee o oaeeo oai?eo. Oaeei /eiii, aeey aeenooieoe?e na/iaeo oeyo?a o aei?ineeo iaoe??io?a c INI oa?aeoa?iei ? ci?uaiiy aeoeaio?a c a?ia??aoeaen?? aeao?oci?a (oa?aeoa?ii? aeey ae?oae) aei eiai a?ii?aoeaen?? oa a?iioiiono no?ieoa??a, ui ni?ey? ciaioaiith aoi?eiiiai o?aaeaiiy aa?oi?o na/iaeo oeyo?a. Io?eiai? i?e ianoaaeaii? icia/aieo eiioeiaaio?a aeai? aoee a?eueo aeaoaeueii i?iaiae?ciaai? c oi/ee ci?o iiaeeeaiai aca?iiiai aieeao OIO oa ON?. Iaoa aeine?aeaeaiiy, ui aeeth/aei 330 ae?oae c OIO, na?ae/eoue i?i aeoeaiee aca?iiee aieea iaio i?ioean?a (OIO oa ON?) iaeei ia ?ioee, i?e/iio ni?aa?aeiioaiiy i?ae ieie a?ae??ciythoueny a?ae oaeeo o aei?ineeo. A?aei?iiino? aeoiaeyoue c e?eueeio aieiaieo iiiaio?a. Ii-ia?oa, o ae?oae iaeiei c aieiaieo ao?ieia?/ieo oaeoi??a iiyae OIO ? iaaeic??e?noue ia?aiai? ?aaoeyoe?? ooieoe?? ??cieo nenoai i?aai?cio (o oiio /ene? na/iai?). Ii-ae?oaa, o ae?oae aeineoue /anoi aaaeeeao ao?ieia?/io ?ieue iathoue aaaee ?icaeoeo ia?aiai? nenoaie (iaca?iuaiiy aeoaeie o?aaoe?a c aeaoi?iaoe??th nieiiai iiceo, a?aenooi?noue iaeiiai /e e?eueeio e?eaeiaeo /e eoi?eeiaeo ei??ioe?a oiui). E??i oiai, o ae?oae ia iathoue oaeiai aieeao aaaaoi oaeoi??a, ui ? aecia/ieie aeey iiyae OIO o aei?ineeo - ai?iiiaeuei? cnoae (iniaeeai o ae?iie), iaaeaaia ?io?aaaceeaeueia iano?oeoe?y (ca?eueoiai o /ieia?e?a), iaaeaai? caoai?thaaiiy oa o?aaie ia?aiai? nenoaie. Na?aae on?o ae?oae c OIO 77,1% iaee ON?, a?aeiia?aeii o?eueee 22,9% ia iaee. Ni?aa?aeiioaiiy ae?a/ao oa oeii/ee?a a oeeo a?oiao cia/ii a?ae??ciyeinue. sseui na?aae oai?eo c ?ioaeoe??th a?aenioie oeii/ee?a noaiiaea 20,1%, oi o ae?oa?e a?oi? - 43,4% (p<0,05). Oeae oaeo ia ? aeiaaeeiaei, a na?ae/eoue, c iaoi? oi/ee ci?o, i?i ii/aoie aieeao ia aeieeiaiiy ON? o ae?a/ao ua a aeeoeinoa? niaoeeo?/ieo oaeoi??a, ui i?iaeiaaeothoue a?aoe aaeeeo ?ieue ia i?ioyc? onueiai aeeooy oa o cia/i?e i??? caaacia/othoue ia?aaaao ae?iie iaae /ieia?eaie na?aae oai?eo c na/iaith ?ioaeoe??th. Iaiao?aeii coieieoenue ia iaeiiio aaaeeeaiio oaeo?. sse iaaaaeaii aeua, 23% ae?oae ia iaee iciae na/iai? ?ioaeoe?? i?e ae?aaiinoiaaieo ?iceaaeao o?iaeeiai?ee. Aea a on?o aeiaaeeao ae?aaiinoiaaii? ON? ie ciaoiaeeee a?eueo /e iaio ae?aaeai? ii?ooaiiy a?aeoieo na/?. ?ioeie neiaaie, i?e OIO i?e?aeiaiiy ?ioaeoe?? a?aecia/a?oueny ia caaaeaee, aea ?? aeieeiaiiy aac OIO o ae?oae iaiiaeeeai. Oeae oaeo ? iaeiei c aieiaieo, ui aeicaiey? iai noaa?aeaeoaaoe i?i aoi?eii?noue na/iai? ?ioaeoe?? o ae?oae a?aeiinii ?iceaae?a o?iaeeiai?ee. Iaie aoei oaeiae i?iaaaeaii ii??aiyiiy on?o ae?oae c ON? oa aac ia?. sseui ni?anoaaeyoe acaaae? ?iciianthaeaeaiiy ??cieo aeenooieoe?e, oi iaeaieiaia a?aei?ii?noue iieyaa? o /anoio? ae?aaiinooaaiiy a?ia??aoeaen?? aeao?oci?a - o a?oi? c ON? aiia a??ia?aeii a?eueoa (50,4% i?ioe 38,2%). Oe? aeai? a?aeiia?aeathoue io?eiaiei i?e ianoaaeaii? ?ioeo eiioeiaaio?a oai?eo oa na?ae/aoue i?i aacnoii?aiee i?e/eiii-ne?ae/ee ca'ycie i?ae oeei aeaeii ii?ooaiiy ooieoe?? INO oa iiyaith ON?. I?e ?iciiae?e? oai?eo ia a?oie a?aeiia?aeii o?eaaeino? ON? ciaeaeaia /?oea ei?aeyoeaia caeaaei?noue i?ae o?eaae?noth ?ioaeoe??, iaiia aa??aioaie aeenooieoe?e aeao?oci?a oa a?ia?oiionii no?ieoa?iiai aia?aoo - c ?inoii /ano ia?aa?ao ON? ciaioo?oueny /anoioa ae?aaiinooaaiiy a?ia?oiiono no?ieoa?a (eiao?oe?aio ei?aeyoe?? -0,801) oa a?ia??aoeaen?? aeao?oci?a (EE -0,942) oa ca?eueoo?oueny /anoioa a?ii?aoeaen?? aeao?oci?a (EE 0,901). Iaea?eueo ae?aci? ci?ie a?aeaoaathoueny ia i?ioyc? ia?oeo 5-6 ?ie?a ia?aa?ao caiaeaiiy, ui i?ecaiaeeoue aei aeniiaeo i?i iaiao?aei?noue aeoeaiiai e?eoaaiiy ON? naia a ?aiiueiio ia??iae?, eiee c?ooaiiy ua a?aeiinii iaaaeee?. Iaie aoee oaeiae ie?aii i?iaiae?ciaaii ?iciianthaeaeaiiy oneeaaeiaiue o ae?oae c OIO a caeaaeiino? a?ae o?eaaeino? caiaeaiiy o na/iaeo oeyoao, i?e /iio aoea aeyaaia /?oea ei?aeyoe?y i?ae o?eaae?noth ON? oa /anoioith IN? - i?e c?inoaii? /ano ia?aa?ao caiaeaiiy /anoioa ?aoetheno i?ia?aneaii c?inoa? (EE -0,828). Na?aae ae?oae aac ON? /anoioa IN? noaiiaeea 9,2%, ui a??ia?aeii iaioa, i?ae o oai?eo c ?ioaeoe??th (25,2%). Oeae oaeo, c iaoi? oi/ee ci?o, ? i?yiei na?ae/aiiyi iaaaoeaiiai aieeao ?ioaeoe?? ia ooieoe?th i?oo?ii-na/ia?aeiiai naaiaioo. Oe? aeai? a?aeiia?aeathoue aeuaio?eiaiei - aaeaea naia ciaioaiiy oiiono i'yc?a, ui ca?eueoiai ? caaacia/othoue caieeaeueio ooieoe?th naaiaioo, ? aieiaiith aeyaeaiith ci?iith i?e o?eaaeiio ia?aa?ao ON?. Oaeei /eiii, ie aaaaea?ii, ui o ae?oae ON? aoi?eiia - ?? aeieeiaiiy iiaeeeai o?eueee ia i?aenoaa? iiia?aaei?o OIO. Aieiaiei iane?aeeii o?eaaeiai caiaeueiiai i?ioeano ie aaaaea?ii ca?eueoaiiy /anoioe a?iioii?/ieo oi?i aeenooieoe?e na/iaeo oeyo?a, c iaeii/aniei ciaioaiiyi a?ia??aoeaen?? aeao?oci?a. Oe? ci?ie iaaiith i??ith iiaeia aaaaeaoe aaeaioaoe?eieie, iai?aaeaieie ia ciaioaiiy o?aaeaiiy aa?oi?o na/iaeo oeyo?a. Aiae?c a?oie aei?ineeo oai?eo iieacaa iaai? a?aei?iiino? ii??aiyii c ae?oueie, ui caeaaeeoue a?ae iniaeeainoae aoaeiae oa ooieoe?iioaaiiy na/iai? nenoaie oa i?ecaiaeeoue aei ci?i ye o i?e/eiao iiyae OIO oa ON?, oae ? o i?e/eiii-ne?ae/eo ni?aa?aeiioaiiyo i?ae ieie. Na?aae on?o aei?ineeo iaoe??io?a (caaaeueia /enaeuei?noue 306 /ie.) ON? a?aecia/aia o 67,6% aeiaaee?a. Iienai? aeua iniaeeaino? oai?eo c ?ioaeoe??th o nea?aao, iieacieeao o?ioeioa?aie, ?aioaaiieia?/ieo ci?iao, ?iciianthaeaeaii? ??cieo aeenooieoe?e na/iaeo oeyo?a oa oneeaaeiaiue na?aae ??cieo a?oi aei?ineeo iaoe??io?a aeicaieythoue c?iaeoe aeniiaie i?i iaaaoeaiee aieea caiaeaiiy ia ooieoe?iiaeueio aeoeai?noue na/iaiai o?aeoo, aeieeiaiiy yeiai i?iaieo?oueny iiia?aaei?ie ooieoe?iiaeueieie ii?ooaiiyie na/iaeioneaiiy. A naith /a?ao, i?e?aeiaiiy caiaeaiiy i?ecaiaeeoue aei ua a?eueoiai ooeiaeaeaiiy ooieoe?? na/iaiai i?oo?a ca ?aooiie iiaeaeueoiai ii?ooaiiy ia?aiai-i’ycaaiai aia?aoo aeao?oci?a oa oeeee na/iaiai i?oo?a. Aeey a?eueo aeaoaeueiiai c'ynoaaiiy aieeao ON? ia ooieoe?th na/iaiai i?oo?a on? aei?ine? oai?? aoee ?iciiae?eai? ia a?oie a caeaaeiino? a?ae o?eaaeino? ?? ia?aa?ao. Iaea?eueo ae?aaeai? ?ica?aeiino? cao?eniaaii o ooieoe?? aeao?oci?a - c? ca?eueoaiiyi /ano ae?? ON? niinoa??aaeinue aeinoia??ia ciaioaiiy ?iciianthaeaeaiiy a?ia??aoeaeoi?ieo aeenooieoe?e aeao?oci?a (c 34,5% o oai?eo aac ON? aei 8,3% i?e o?eaaeino? inoaiiuei? a?eueoa 10 ?ie?a) oa ca?eueoaiiy eiai a?iioii?? (a?aeiia?aeii c 58,7% aei 86,3%), a oaeiae i?e/auaiiy ae?aaiinooaaiiy a?iioiiono no?ieoa?iiai aia?aoo (a?aeiia?aeii c 22,0% aei 56,7%). O a?ao?/i?e oi?i? a?eia? ci?ie oiiono aeao?oci?a o ae?iie, ye? ia?aaaaeathoue na?aae oai?eo c ON?, iaaaaeai? ia ?en.1. Noiae? ci?ie ie a?aecia/aee i?e aiae?c? aeeoy/iai eiioeiaaioo, ui iiaea na?ae/eoe i?i i?eioeeiiao iiae?ai?noue ?aaeoe?? na/iaeo oeyo?a ia aaeoa??aeueiee aaaio o aei?ineeo oa ae?oae. ?en.1. Oaeei /eiii, io?eiai? aeai? na?ae/aoue i?i ciaioaiiy nei?ioeeai? aeoeaiino? ia?aiai-i'ycaaeo no?oeoo? ieaei?o na/iaeo oeyo?a, ui iiaeia iiynieoe aiaeia?/ieie ci?iaie oeeo no?oeoo? i?ae aieeaii ON?. Aein? aaaaea?oueny, ui oae? ci?ie oi?eathoueny o?eueee na/iaiae?a, a?aoiaoth/e a?aeiinio neaae?noue oa o?aceea?noue ?o i'ycaai? iaieiiee. Iaaaaeai? ?acoeueoaoe ni?inoiaothoue oeth noa?aioeiio aeoieo - o?eaaeee ia?aa?a ?ioaeoe?? cia/ii ci?ith? ooieoe?th ieaei?o na/iaeo oeyo?a o noi?iio i?aeneeaiiy a?iioii??. Nei??oa onueiai, oea iiynith?oueny aeeno?io?/ii-aeaaaia?aoeaieie ci?iaie ye ia?aiaeo cae?i/aiue, oae ? aaciina?aaeiuei i'ycaaeo ee?oei. sse ia ??ai? aeao?oci?a, oae ? ia ??ai? no?ieoa?iiai aia?aoo oea i?iyaey?oueny iineaaeaiiyi caeaoiino? aei nei?i/aiiy, ui ? aaaea aei iiyae o?iaeeiai?/ieo c?ooaiue. Ni?iao?ii ocaaaeueieoe ?acoeueoaoe iaoiai aeine?aeaeaiiy oa aeeeanoe iaoa aa/aiiy aca?iia?aeiioaiue ON? oa OIO o a?eiaiio aniaeo?. O aeeoeinoa?, ye a?aecia/aeinue aeua, ia?aaaaeath/ei oeiii ii?ooaiue ? a?ia??aoeaen?y aeao?oci?a, ui oa?aeoa?eco?oueny iicaaieueiaeie eiai nei?i/aiiyie o oaco iaiiaiaiiy na/iaiai i?oo?a. Oeae oei aeenooieoe?? aeieea? nei??oa onueiai aiane?aeie iaaeinoaoiueiai noi?anieiaeueiiai aaeueioaaiiy ia?eoa?e/ieo ia?aiaeo oeaio??a (ui a ii?i? ciaoiaeyoueny o a?ia?aeoeaiiio noai?), yea ? i?iyaii iac??eino? ia?aiai? nenoaie /e aaae ?icaeoeo. ?acoeueoaoii oeueiai ? iaaei??ia noeioeyoe?y ia?eoa?e/ieo ia?aiaeo no?oeoo? c iiyaith iienaiiai aa??aioo aeenooieoe?? aeao?oci?a. Iacaaaeueiiaai? eiai nei?i/aiiy aaaeooue aei ??ceeo i?aeeii?a oeneo a na/iaiio i?oo??, ui ni?ey? o?aaeaiith aa?oi?o na/iaeo oeyo?a oa aeieeiaiith ON?. Oaeei /eiii, o aeeoeinoa? /ano?oa onueiai ia?aeiiei oaeoi?ii o?aaeaiiy na/iaeo oeyo?a ? OIO, aei yeeo i?e?aeiothoueny o? /e ?io? oneeaaeiaiiy - ON?, a?ae?iiao?ic, IN? oa ?i. ?ioaeoe?y na/iaeo oeyo?a o ae?oae aeieea? aoi?eiii, ia i?aenoaa? OIO, o iiya? yeeo aieiaio ?ieue ia? iienaia a?iaeaeaia iaoieia?y. Aeoiaey/e c oeueiai noa? c?icoi?eei ?acenoaioi?noue ON? o ae?oae aei ianeaii? aioeaaeoa??aeueii? oa?ai??, ui cacae/ae i?ecia/a?oueny oaeei oai?ei. Aac ei?aeoe?? ia?aeiieo o?iaeeiai?/ieo ii?ooaiue oaea e?eoaaiiy i?ecaiaeeoue o?eueee aei iiaeeaeaiiy ci?i na/iaeo oeyo?a oa ?ioiii? nenoaie ca ?aooiie o?eaaeiai aieeao ?ioaeoe?eiiai aaaioo oa aioei?e?iaieo i?aia?ao?a. ?io? iniaeeaino? a?aei?/athoueny o aei?ineeo. O ae?iie ii/aoie noaoaaiai aeeooy oa anoaiiaeaiiy oa?aeoa?iiai aeey ae?iee ai?iiiaeueiiai aaeaino ? iiooaeieie oaeoi?aie iiyae ON?. sse a?aeiii, ano?iaaie iathoue ae?aaeaiee aaeueioth/ee aieea ia nei?ioeeao aeoeai?noue na/iaeo oeyo?a. E??i oiai, aeine?aeaeaiiy inoaii?o ?ie?a iieacaee i?yiee ei?aeyoeaiee ca’ycie i?ae aeoeai?noth noaoaaiai aeeooy oa aeieeiaiiyi ON?, /anoi iaoiaaiia i?e?ioei?a o na/iaeo oeyoao oa i?oa? ci?aiaaeaea. Ca oaeeo oiia na/iaa ?ioaeoe?y iiaea aeieeaoe ye ia oe? iiia?aaeiuei iaae?aaiinoiaaieo ii?ooaiue o?iaeeiai?ee (o a?eueoino? aeiaaee?a), oae ? naiino?eii, i?ae aieeaii icia/aieo oaeoi??a. A inoaiiueiio aeiaaeeo aiaoii?/iith iniiaith aeey oeueiai ? aeece?noue ciai?oi?o ioai??a i?oae oa na/?aieea, ei?ioea aeiaaeeia oa a?aeiinii aaeeea oe?eia inoaiiueiai. Ie ia aeeeth/a?ii oaeiae iiaeeeaee aieea ?aaoey?iiai eieeaaiiy ??aith noaoaaeo ai?iii?a, ui iiaea aooe ni?eyoeeaei oaeoi?ii iiyae oa o?ii?caoe?? ?ioaeoe?? o na/iaeo oeyoao. Aeieacii iiaeeeaino? naiino?eii? iiyae ON? ? aeyaeaiiy na?aae ianoaaeaieo oai?eo 5 ae?iie c o?ii?/iei oeenoeoii, o yeeo ia iiiaio ianoaaeaiiy ia ciaeaeaii /?oeeo na?ae/aiue i?enooiino? OIO, i?e/iio o an?o ?ioaeoe?y aeieeea ?a?aeiinii iaaeaaii - o?eaae?noue ia a?eueoa 3 ?ie?a. Oea ie aaaaea?ii na?ae/aiiyi iiaeeeaino? iiyae o?ii?/iiai oeenoeoo aac iiia?aaei?o OIO. Naia o oaeeo oai?eo i?e aaeaeaaoiiio e?eoaaii? iiaeeeaa iiaia ae?i?iaoe?y caoaei?ea ?c na/?. sseui ae ?ioaeoe?y ia? o i?aenoaa? OIO, oi aieiaia caaaeaiiy e?ea?y iieyaa? o nai?/aniiio ?o aeyaeaii? oa ei?aeoe?? oeeo aeenooieoe?e. C ?ioiai aieo, iaiiaeeeai iaeiicia/ii noaa?aeaeoaaoe, ui oeeo ii?ooaiue ia aoei ia iiiaio iiyae caiaeaiiy - aaeaea a?aeiia iaaecae/aeia ieanoe/i?noue ooieoe?e i?aai?cio, o oiio /ene? ? nei?i/aiiy na/iaeo oeyo?a. Aeoeai?noue inoaii?o iiaea ci?ithaaoenue i?ae ae??th aaaaoueio oaeoi??a (iaaeeeaiaioe, o oiio /ene? ai?iiiaeuei? eiio?aoeaioeae, caaaeueiee ineo?/iee noai, aaee/eia ae?o?aco, iaa?oue io/oth/a oaiia?aoo?a, oa, ia aeeeth/aii, oaca iaoeyoi?iiai oeeeeo) ? iiaeeeai o iaaiee iiiaio iacia/i? ?iceaaee o?iaeeiai?ee iaeii/anii c i?enooi?noth ?ioaeoe?? a na/iaiio i?oo?? ? i?ecaaee aei iai?oanoaoe?? caiaeueiiai i?ioeano. A ?ioiio aeiaaeeo OIO aeieeathoue, ye i?aaeei, ua a aeeoeinoa?, aea ia ieo aaeaeaaoia oaaaa ia caa?oaeanue, /e i?iaiaeeeinue e?eoaaiiy ?ioiai caoai?thaaiiy,ui ?aaeueii aoei oneeaaeiaiiyi OIO (i?/ia iao?eiaiiy na/?, ?iceaaee na/iaeioneaiiy aaeaiue, a?ae?iiao?ic, i??eiiao?eo oiui). Na/iaa ?ioaeoe?y iiaea i?e?aeioaaoenue iaeaea iae?aco, aai aeieeaoe i?ci?oa - o ae?iie oeiiaei /anii iiyae ? ia??iae ii/aoeo noaoaaiai aeeooy (16-20 ?ie?a). Caaaeueii?iciianthaeaeaia iaoooaaiiy aaeaeaaoiei e?eoaaiiyi o?ii?/iiai oeenoeoo, iaaeinoaoi? o?iaeeiai?/ia ianoaaeaiiy oaeeo oai?eo, oa oai?eo ia iaiano?oeoeaiee i??eiiao?eo, aaaea aei o?eaaei? ia?nenoaioe?? ?ioaeoe?? o na/iaeo oeyoao oa iaeiie/aiiy ?? iaaaoeaiiai aieeao ia ia?aiai-i'ycia? no?oeoo?e na/iaiai o?aeoo oa ooieoe?th ie?ie. sse ?acoeueoao oeueiai aeieeathoue aoi?eii? ii?ooaiiy o?iaeeiai?ee, ui caieeathoue oeaia eiei, ?ic??aaoe yea o oae?e neooaoe?? aeoaea aaaeei. ?acoeueoaoe iaoiai aeine?aeaeaiiy aeacothoue ia oa?i?i ia?nenoaioe?? ?ioaeoe?? i?eaeecii ia i?ioyc? 5-7 ?ie?a, i?ney /iai ciaoiaeyoueny ae?aaeai? aoi?eii? ci?ie ooieoe?iioaaiiy na/iaeo oeyo?a. Oaeei /eiii, ie aaaaea?ii, ui aei ON? o aei?ineeo ae?iie iaiao?aeii noaaeoenue ye aei aaaeeeaiai oaeoi?a o?aaeaiiy na/iai? nenoaie ? i?e oeueiio ON? ? i?e/eiith iiyae ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee. Icia/ai? oaeoi?e i?ecaiaeyoue aei caaaeueieo ci?i o ni?aa?aeiioaii? i?ae ??cieie aa??aioaie ?iceaae?a ooieoe?? ieaei?o na/iaeo oeyo?a ia i?ioyc? aeeooy, ui iaea?eueo ae?acii i?iyaey?oueny o ooieoe?? aeao?oci?a. Eiai a?ia??aoeaen?y, ui ia?aaaaea? o aeeoy/iio a?oe?, iinooiiai ciaioo?oueny ? iaaeae? ana a?eueoa ?iciianthaeaeaiiy io?eio? eiai a?iioiion. Oe? iniaeeaino? ni?e/eiythoue iienai? aeua ci?i ye o nea?aao, oae ? i?e o?iaeeiai?/ieo ianoaaeaiiyo. O /ieia?e?a aca?iia?aeiioaiiy i?ae ON? oa OIO aeaui ?io?, ui ciia oaee, c iaoi? oi/ee ci?o, caeaaeeoue a?ae aiaoiii-o?c?ieia?/ieo iniaeeainoae ?o i?aai?cio ii??aiyii c ae?ieaie. Oea a?aeaeaeai?noue caai?oiueiai o?ao?e a?ae caaeiueiai i?ioiaeo, aaeeea aeiaaeeia oa aoce?noue ??. E??i oiai, o /ieia?e?a cia/ii ieae/a ??aaiue ano?iaai?a, iaia? oaeeo eieeaaiue ai?iiiaeueiiai oiio. Aeoiaey/e c oeueiai, aeey aeieeiaiiy ON? o ieo iio??ai? cia/ii a?eueo aaaii? ii?ooaiiy o?iaeeiai?ee - /e ae?aci? ooieoe?iiaeuei? ?iceaaee, /e aiaoii?/ia iano?oeoe?y. Oaea neooaoe?y ? i?ecaiaeeoue aei cia/ii iaioiai o?aaeaiiy /ieia?e?a o an?ao a?eiaeo a?oiao. Ia i?aenoaa? io?eiaieo iiaeo aeaieo iaie aoei ae??oaii aaeineiiaeeoe ?nioth/o eeaneo?eaoe?th aeenooieoe?e na/iaeo oeyo?a.sse a?aecia/aeinue aeua, iaoaia? na?aae o?ieia?a iaia? caiaee ii oe?eiio ?yaeo aaaeeeaeo ieoaiue ao?ieia?? oa iaoiaaiaco ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee, iniaeeai yeui aiie ii?aeiothoueny c o?ii?/iith na/iaith ?ioaeoe??th. E??i oiai, ? nai? i?e/eie aeieeiaiiy ON? aein? iaaeinoaoiuei aea/ai?. I?iaaaeaia iaie aeine?aeaeaiiy aeicaieeei aianoe iaaio yni?noue o oe? ieoaiiy, ui i?ecaaei aei iaiao?aeiino? ia?aaeyaeo ? a?eueo caaaeueieo oai?aoe/ieo iiaeyae?a. Oai?aoe/iei oa i?aeoe/iei a?aeaeooyi iaaeineiiaeino? iaoeo ciaiue ? a?aenooi?noue caaaeueiii?eeiyoi? eeaneo?eaoe?? OIO. Iaea?eueo ?iciianthaeaeaieie eeaneo?eaoe?yie ia nueiaiaei? ? eeaneoieaoeiy I.?.Naa/aiei oa A.A.Iioi?oa, ?iai/ee aa?iaio yei? ?ic?iaeaiee A.I.Aea?aeaaiiei oa A.E.Aeoiaanueeei (1984) oa eeaneo?eaoe?y A.A.Etheueei c niaao. (1995). Iaii eeaneo?eaoe?yi a?aeo? iiaiioe, /?oeino? oa ?niothoue iaai? aioo??oi? i?ioe??//y, ui aeaoaeueii iienai? o a?aeiia?aeiiio ?icae?e? aeena?oaoe?eiiai aeine?aeaeaiiy. A?aoiaoth/e ?o, io?eiai? aeani? aeai? oa oaiaeaioe?? ?icaeoeo no/anii? o?ieia??, iaie cai?iiiiiaaia aeania eeaneo?eaoe?y aeenooieoe?e na/iaeo oeyo?a. II?OOAIIss O?IAeEIAI?EE 1. Aiaoii?/i? 2. AeENOOIEOe?IIAEUeIEE NA*IAEE I?OO? A. Ii ao?ieia?/iiio oaeoi?o: Ao?ieia?/iee oaeoi? Aieiai? aaciina?aaei? i?e/eie 1. A?iaeaeai? (ia?aeii?): ii?ooaiiy ?ia?aaoe?? INO aiane?aeie aiaoii?/ieo i?e/ei a?aenooi?noue iaeiiai /e e?eueeio iiia?aeiaeo aai eoi?eeiaeo ei??ioe?a, nieiiiiceiaa eeea iac??e?noue oeaio?aeueii? oa ia?eoa?e/ii? ia?aiai? nenoaie iaoieia?y aaa?oiino?, ia?aae/ani? iieiae 2. Iaaeaai? (aoi?eii?): iae?iaaii?: - oeaio?aeuei? o?aaia, iooeeia, ?inoeueo; - ia?eoa?e/i? iie?iaa?iiao?y, i?neyiia?aoe?ei?, eeea aeeneo; i?iaaii? ci?ie aeao?oci?a i?e o?ii?/i?e iano?oeoe??; i?neyiia?aoe?ei? ?ioaeoe?ei? ci?ie ia?aiai-i’ycaaiai aia?aoo INO i?e o?ii?/i?e na/ia?e ?ioaeoe?? ineoiaaii? ineoice, iaa?ice, aeaiaioe?y oa?iaeieia?/i? ai?i. eiio?aoeaioeae, aioea?ioeee A. Ii ooieoe?? aeao?oci?a: 1. A?ii?aoeaen?y; A. Ii ooieoe?? no?ieoa?iiai aia?aoo: 2. Ii?ii?aoeaen?y; 1. A?iioii?y; 3. A?ia??aoeaen?y. 2. Ii?iioii?y; 3. A?ia?oii?y. A. Ii iayaiino? oneeaaeiaiue: I?oo?ii-na/ia?aeiee ?aoethen; O?ii?/iee oeenoeo; O?ii?/iee i??eiiao?eo; A?ae?iiao?ic; O?ii?/ia ie?eiaa iaaeinoaoi?noue. Oaeei /eiii, a?aeiia?aeii iaaaaeai?e eeaneo?eaoe?? ae?aaiic ia? iaoe i?eaeecii ianooiiee aeaeyae: Ia?aeiiee aeenooieoe?iiaeueiee na/iaee i?oo?. A?ia??aoeaen?y aeao?oci?a. I?oo?ii-na/ia?aeiee ?aoethen ce?aa 2 no. O?ii?/iee i??eiiao?eo. Aoi?eiiee aeenooieoe?iiaeueiee na/iaee i?oo?. A?ii?aoeaen?y aeao?oci?a, a?ia??aoeaen?y no?ieoa?a. O?ii?/iee oeenoeo. Cai?iiiiiaaia eeaneo?eaoe?y, ia iao iiaeyae, a?aeaeaa? no/ani? oaiaeaioe?? ?icaeoeo o?iaeeiai?ee oa a?aeiia?aea? oaia??oiueiio ??aith o?ieia??. ?? cai?iaaaeaeaiiy aeicaieeoue aeey i?aeoe/ieo e?ea??a oa iaoeiaoe?a a?eueo /?oei i???iooaaoenue o neeaaeiiio ieoaii? ooieoe?iiaeueieo ?iceaae?a o?iaeeiai?ee. I?aenoaae aoaeoeaiiai e?eoaaiiy oai?eo c OIO aacothoueny ia e?eueeio i?eioeeiiaeo iiiaioao, ui ?aaeueii ??aeei i?eeiathoueny aei oaaae ia i?aeoeoe?. Iaeaieiai?oei ioieoii ie aaaaea?ii a/anio ae?aaiinoeeo OIO, ui eaaeaoue a iniia? aaniethoii? a?eueoino? oai?eo c ON? aac iciae iano?oeoe??. Aaniethoii iaiao?aeiei ? ie?aia ioe?iea noaio nei?i/oaaeueii? caeaoiino? aeao?oci?a oa no?ieoa?iiai aia?aoo. Aieiaiei iaoiaeii e?eoaaiiy oaeeo oai?eo ie aaaaea?ii eiina?aaoeaiee. Ie ia i?eo?eio?iinue aeoeaii? o??o?a?/ii? oaeoeee ia?o ca ana oiio, ui aiia iieacaia o?eueee aeeeth/ii i?e aiaoii?/ieo ia?aoeiaeao a?aeoieo na/?. ?? canoinoaaiiy i?e OIO aac iciae aiaoii?/ii? iano?oeoe?? ia ia? i?aeoe/ii i?yeeo i?aenoaa, aaeaea o oeueiio aeiaaeeo i?e/eie ooeiaeaeaiiy aa?oi?o na/iaeo oeyo?a eaaeaoue naia o aeenooieoe?yo na/iaiai i?oo?a ? oiio aac ei?aeoe?? inoaii?o aiae? niiae?aaoenue ia caaaeueiee aoaeo e?eoaaiiy. Iaaiaee, o??o?a?/ia ao?o/aiiy ia i?oo?ii-na/ia?aeiiio naaiaio? (ui iae/ano?oa aeeiio?oueny o oaeeo oai?eo) ia o?eueee ia i?ecaiaeeoue aei aeaeoaeaiiy, a ? noaaeoue i?ae ieoaiiy ? iiaeeea?noue eiina?aaoeaii? ei?aeoe?? ?aoetheno, yeui oaea i?iaiaeeoueny i?ney iia?aoe??. Caaaeueiei iaoiaeii, ui ie aeei?enoiao?ii o an?o oai?eo iacaeaaeii a?ae aa??aioo ii?ooaiiy ooieoe?? na/iaeo oeyo?a, ? ?o aeaeo?inoeioeyoe?y. Aeiaaaeaii, ui ae?y aeaeo?inoeioeyoe?? eiiieaenia - aieea a?aeaoaa?oueny ia o?eueee ia aeania ia?eoa?e/i? ia?aia? no?oeoo?e, a ? ia ia?aia? oeaio?e, ui aaaea aei ii?iae?caoe?? ?aaeoeaiino? iaio a?aeae?e?a aaaaoaoeaii? ia?aiai? nenoaie. Ie i?iaiaeeee aeaeo?inoeioeyoe?th ii iaoiaeeoe?, ui aeei?enoiao?oueny o eaai?aoi??? iae?io?ieia?? ?inoeoooo o?ieia?? oa iao?ieia?? ia niaoe?aeueii ?ic?iaeaiiio aia?ao? aeey aeaeo?i- oa eaca?ioa?ai?? “AANEO”. Aieiaia ia?aaaaa ?ic?iaeaiiai aia?aoo- iaeneiaeueia noiae?noue ?iioeuen?a, ui iiaeaeththoueny, ia o?c?ieia?/io aeaeo?e/io aeoeai?noue. Aoaeoeai?noue oeueiai iaoiaeo i?e e?eoaaii? oai?eo c IIN nyaa? 84-92% i?ney ia?oiai eo?no e?eoaaiiy (45-48% - aeaeoaeaiiy, 39-44% - iie?auaiiy). O iiaeaeueoiio c 19%, ui e?eoaaeenue aac aoaeoo, o 2/3 io?eiai? iiceoeai? ?acoeueoaoe. E??i aeaeo?inoeioeyoe?? na/iaeo oeyo?a ie aeei?enoiaoaa?ii iaaeeeaiaioicia e?eoaaiiy. I?aenoaaith aeey i?ecia/aiiy oiai /e ?ioiai i?aia?aoo, ye aeacoaaeinue aeua, ? iiia?aaei? ?icae?eueia aecia/aiiy oeio ii?ooaiiy ooieoe?? aeao?oci?a oa no?ieoa?a, ui ia i?aeoeoe? i?iaiaeeoueny ??aeei. I?e eiai a?ia??aoeaen?? iniiaith e?eoaaiiy caeeoathoueny oie?iie?oeee, c yeeo ia ia?oee ieai aenoaa?oueny Ae?eioai (Driptane, Laboratoires Fournier). Aieiaieie iieacaiiyie aeey i?ecia/aiiy ae?eioaio ? i?e/auaia na/iaeioneaiiy, iao?eiaiiy na/? aaeaiue /e aii/? (aio?ac), ?iia?aoeai? iieeeee aei na/iaeioneaiiy, ui aeieeathoue aiane?aeie a?ia?aeoeaiino? aeao?oci?a. I?iaaaeaia aeine?aeaeaiiy iieacaei aenieo aoaeoeai?noue Ae?eioaio i?e e?eoaaii? oeeo oi?i iae?iaaiieo aeenooieoe?e ieaei?o na/iaeo oeyo?a i?e iaio?e e?eueeino? noi?iii?o aoaeo?a, ii??aiyiii c ?ioeie i?aia?aoaie oe??? a?oie. Aoaeoeai?noue canoinoaaiiy i?aia?aoo aoea iaeaeuith o a?oi? c i?/iei aio?acii (100%) oa o oai?eo c a?ia??aoeaeoi?iei iae?iaaiiei na/iaei i?oo?ii (87,5%). Cia/ii iaioa aoaeoeai?noue niinoa??aaeanue i?e aeei?enoaii? o ae?iie c iao?eiaiiyi na/? (64,3%). Oea aeicaiey? ?aeiiaiaeoaaoe Ae?eioai aeey oe?ieiai aeei?enoaiiy o oai?eo c aio?acii, iao?eiaiiyi na/?, a?ia??aoeaeoi?iei iae?iaaiei na/iaei i?oo?ii. I?e a?ii?aoeaeoi?ieo oi?iao ii?ooaiiy nei?i/aiiy aeao?oci?a ie aeei?enoiao?ii i?ica??i aioo??oiueii’ycaai /e ca aeiiiiiaith aeaeo?ioi?aco o a?aeiia?aei?e a?eo aeic?. E??i oiai, aeey i?aeneeaiiy nei?i/aiiy aeao?oci?a ie canoiniao?ii iie?a?oai?ie c aeinoaoi?i ai?noii a?oai?i?a a?oie A /e ?i’?eoe?? inoai?o, a oaeiae AOO /e oinoia?ii o a?eiaiio aeicoaaii?. Aeey ei?aeoe?? ii?ooaiue nei?i/aiiy no?ieoa?iiai aia?aoo aeei?enoiaothoueny aae?aia?a?/i? i?aia?aoe. I?e eiai a?ia?oiion? ie aaeeaa?ii aae?aiie?oeee (iae/ano?oa i??ienai). I?e a?iioii?? no?ieoa?a canoiniaothoueny aae?aiii?iaoeee (aoaae?ei, aeaoaae?ei). E??i noeioeyoe?? nei?i/aiiy no?ieoa?a aiie iathoue oe?ieee niaeo? ?ioeo aieea?a ia i?aai?ci. On?i oai?ei c yaeuaie iao?eiaiiy na/?, e??i oiai, ie i?ecia/a?ii niaoe?aeueii ?ic?iaeaiee eiiieaen ai?aa, ui iai?aaeaiee ia noeioeyoe?th nei?i/aiiy i’yc?a oaciaiai aeia. I?e aeei?enoaii? iaeii/anii c ?ioeie iaoiaeaie, oea cia/ii i?aeneeth? aoaeo e?eoaaiiy. Aoaeoeai?noue oa?ai?? OIO caeaaeeoue a?ae aaaaoueio oaeoi??a. Na?aae ieo iaeia c aieiaieo cia/aiue ie iaaea?ii o?eaaeino? caiaeueiiai i?ioeano o na/iaeo oeyoao. Oae, o ae?oae c OIO i?ney 3 eo?n?a e?eoaaiiy eiiieaeniei iaoiaeii ae?aaeaiee iiceoeaiee aoaeo ie niinoa??aaee o 46%, a i?ney 6 - ua o 38%. A?aeiia?aeii o 16% ae?oae ciaaeiaeeinue i?iaeiaaeaiiy oa?ai?? aeey iie?ioaiiy o?iaeeiai?ee. I?e oeueiio niinoa??aaeanue i?yia caeaaei?noue i?ae iie?auaiiyi iieaciee?a ooieoe?? na/iaeo oeyo?a oa ?aa?anii ON?. O aei?ineeo aoaeo a??oa, ui ie iia’yco?ii ia?o ca ana c o?eaae?noth i?ioeano oa aaaeeeaei iaaaoeaiei aieeaii iaaeaaiith iaoieia?? ia?aiai? oa i’ycaai? nenoaie. Aa?i? ?acoeueoaoe i?ney 3 eo?n?a e?eoaaiiy io?eiai? o?eueee o 17%, i?ney 6 - ua o 49%. ?ioei iaoe??ioai ciaaeiaeeinue a?eueo o?eaaea e?eoaaiiy aai canoinoaaiiy ?ioiai iaoiaeo. I?aeoe/ii ia aoei io?eiaii iiceoeaieo c?ooaiue o 6% oai?eo. On? aiie iaee ae?aaeai? ?iceaaee o?iaeeiai?ee ia i?ioyc? o?eaaeiai /ano oa ae?aaiinoiaaio na/iao ?ioaeoe?th. Ie?aii ie i?iaaee ioe?ieo ?aaeoeoe?? oaeiai aaaeeeaiai i?iyao OIO, ye i?/ia iao?eiaiiy na/?. Aoaeoeai?noue eiiieaeniiai e?eoaaiiy i?e IIN nyaa? 84-92% i?ney ia?oiai eo?no e?eoaaiiy (45-48% - aeaeoaeaiiy, 39-44% - iie?auaiiy). O iiaeaeueoiio c 19%, ui e?eoaaeenue aac aoaeoo, o 2/3 io?eiai? iiceoeai? ?acoeueoaoe. IN? iaee?aua i?aeaea?oueny e?eoaaiith o 1-2 noaae?? i?e a?aenooiino? aeoeaii? ON? oa a?oaeo a?iaeaeaieo ci?i na/iaeo oeyo?a. Aea, iacaaaeath/e ia oea, i?e a?aenooiino? inoaii?o iaa?oue i?e IN? 3-4 no. iieacaii eiina?aaoeaia e?eoaaiiy. Oi/a eiai aoaeoeai?noue cia/ii ieae/a, aea i?e a?aenooiino? ii?iae?caoe?? ooieoe?? na/iaiai i?oo?a aoaeo iia?aoeaiiai e?eoaaiiy aoaea noii?aiei oa iao?eaaeei. Oiio ie aieiaiei iaoiaeii a on?o aeiaaeeao IN? aac iciae a?oaeo a?iaeaeaieo aaae ?icaeoeo na/iai? nenoaie ie aaaaea?ii eiina?aaoeaiee. E?ea?aeaoe?th IN? 1-2 no. ie a?aecia/aee o 90-95% aeiaaee?a i?e na?aaei?e o?eaaeino? e?eoaaiiy 1,3 ?iee. I?e IN? 3-4 no. ciaioaiiy eiai aeoeaiino? a?aecia/a?oueny o 73% aeiaaee?a, iiaia ?aa?an?y - o 7%. Oaeei /eiii, eiiieaeniee iaoiae e?eoaaiiy OIO aeicaiey? aeinyaoe aoaeoo o a?eueoino? oai?eo aac iia?aoeaiiai ao?o/aiiy. O iaoe??io?a c ON? aaea?oueny cia/ii ca?eueoeoe o?eaae?noue ?ai?n?? /e e?ea?aeoaaoe i?iyae caiaeueiiai i?ioeano o na/iaeo oeyoao aac canoinoaaiiy aioeaaeoa??aeueii? oa?ai??. A?aoiaath/e aeuaiaaaaeaia, cai?iiiiiaaiee eiiieaeniee iaoiae e?eoaaiiy iiaea aooe ?aeiiaiaeiaaiee aei oe?ieiai ai?iaaaeaeaiiy o i?aeoeeo. AENIIAEE 1. Ii?ooaiiy o?iaeeiai?ee a?athoue aaaeeeao ?ieue o aeieeiaii? iao?eiaiiy na/?, a?ae?iiao?ico, i?oo?ii-na/ia?aeiiai ?aoetheno, i??eiiao?eoo oa ?ioi? iaoieia?? na/iai? nenoaie, ui aecia/a? ?o aaaeeeaa iaaee/ia oa nioe?aeueia cia/aiiy. 2. I?eoiaai? aeenooieoe?? na/iaeo oeyo?a ? aieiaiei iaoiaaiaoe/iei oaeoi?ii iiyae caiaeueiiai i?ioeano o 96-100% ae?oae oa aei?ineeo, ui no?aaeaeathoue ia o?ii?/iee iaiano?oeoeaiee i??eiiao?eo oa oeenoeo. 3. I?e/eie iiyae ooieoe?iiaeueieo ?iceaae?a o?iaeeiai?ee oa oa?aeoa? o?aaeaiiy na/iaeo oeyo?a o ae?oae oa aei?ineeo cia/ii a?ae??ciythoueny, ui iaoiiaeaii ?o aiaoiii-o?c?ieia?/ieie iniaeeainoyie oa aieeaii iaaeaaii? iaoieia??. Ii?ooaiiy ooieoe?? na/iaeo oeyo?a o ae?oae ca?eueoiai ia?aeii?, aieiaiei /eiieeii ?o ? aaaee ?icaeoeo oa ooieoe?iiaeueia iac??e?noue ia?aiai? nenoaie; o aei?ineeo ia?aaaaeathoue aoi?eii? o?iaeeiai?/i? ?iceaaee, ye? aeieeathoue aiane?aeie caoai?thaaiue ia?aiai? nenoaie oa o?ii?/ii? na/iai? ?ioaeoe??. 4. Na/iaa ?ioaeoe?y ? iaei??th c iaeaieiai?oeo i?e/ei ?icaeoeo aoi?eiieo ii?ooaiue o?iaeeiai?ee ? i?ecaiaeeoue aei iineaaeaiiy nei?i/aiiy on?o ia?aiai-i’ycaaeo no?oeoo? ieaei?o na/iaeo oeyo?a. ?ecee aeieeiaiiy ?ioaeoe?? oa oneeaaeiaiue c? noi?iie aa?oi?o na/iaeo oeyo?a a??ia?aeii a?eueoee i?e a?ia??aoeaen?? aeao?oci?a oa a?ia?oiion? no?ieoa?a. 5. O oai?eo c na/iaith ?ioaeoe??th, ui ?icaeioeanue ia oe? ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee, /ano?oa anueiai aeae?eyeanue E.coli (a 67%), ??aeoa aoei ciaeaeaii i?ioae (a 20%), noao?eieie /e no?aioieie (a 12%), eeaan??eo (a 15%), o 22% niinoa??aaeanue eiia?iaoe?y ??cieo caoaeiee?a. Oe? aeai? nooo?ai ia a?ae??ciythoueny a?ae ?acoeueoao?a ianoaaeaiiy ?ioeo a?oi oai?eo ?c caiaeueieie caoai?thaaiiyie na/iai? nenoaie. 6. Ca ?aooiie eiiieaeniiai aieeao iaaeaaii? iaoieia?? ia?aiai? nenoaie oa o?eaaei? na/iai? ?ioaeoe?? a?aeaoaathoueny a??ia?aei? ci?ie ooieoe?? na/iaiai o?aeoo a noi?iio ca?eueoaiiy a?ii?aoeaen?? aeao?oci?a (c 7% aei 86%) oa a?iioiiono no?ieoa?iiai aia?aoo na/iaiai i?oo?a (c 24% aei 57%). Oae? ci?ie ciaioothoue aeoeai?noue iiaeaeueoiai o?aaeaiiy aa?oi?o na/iaeo oeyo?a, aea i?e ?o aeieeiaii? iiaeeea?noue ae?i?iaoe?? aaeoa??aeueiiai aaaioo cia/ii iia??oo?oueny. 7. I?iaaaeaiiy iaia’yceiaiai o?iaeeiai?/iiai ianoaaeaiiy ye aaaeeeai? eaiee ae?aaiinoeee ia?oii?e/eie caoai?thaaiiy iieacaii o oai?eo c caiaeueieie i?ioeanaie na/iai? nenoaie aac iciae iano?oeoe??, i?e aeeco?e/ieo ?iceaaeao (o o./. i?e iao?eiaii? na/?), a o ae?oae oaeiae i?e i?oo?ii-na/ia?aeiiio ?aoethen? oa a?ia?oa?i?? iayniiai aaiaco. 8. E?eoaaiiy o?ii?/ii? na/iai? ?ioaeoe?? aac iciae aiaoii?/ii? iano?oeoe?? iiaeiii i?iaiaeeoenue eiiieaenii oa aacoaaoenue ia ei?aeoe?? o?iaeeiai?/ieo ii?ooaiue. Iioeiaeueieie iaoiaeaie e?eoaaiiy ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee ? aeaeo?i- /e eaca?inoeioeyoe?y na/iaeo oeyo?a o ii?aeiaii? c oe?eani?yiiaaiith iaaeeeaiaioiciith ei?aeoe??th aeenooieoe?e aeao?oci?a oa no?ieoa?iiai aia?aoo, aioeaaeoa??aeueia oa?ai?y iieacaia i?e iciaeao ae?aciiai caaino?aiiy caiaeueiiai i?ioeano. Oea aeicaiey? aeinyaoe o?eaaei? ?ai?n?? caiaeueiiai i?ioeano aac aioeaaeoa??aeueii? oa?ai?? o 78% ae?oae oa o 68% aei?ineeo c iaiano?oeoeaiei i??eiiao?eoii. Aoaeoeai?noue eiina?aaoeaiiai e?eoaaiiy oai?eo c ooieoe?iiaeueieie ii?ooaiiyie o?iaeeiai?ee nyaa? 84-92%, e?ea?aeaoe?th IN? 1-2 no. aaeaeinue aeinyaoe o 90-95%, i?e IN? 3-4 no. ciaioaiiy eiai aeoeaiino? a?aecia/a?oueny o 73% aeiaaee?a. 9. Cai?iiiiiaaia aeania eeaneo?eaoe?y ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee, ia?aaaaaie yei? ? a?aooaaiiy iniiaieo ?o ao?ieia?/ieo oaeoi??a (a?iaeaeaieo - aaaee ?icaeoeo /e iac??e?noue ia?aiai? nenoaie, oa iaaeaaieo - iae?iaaiieo, i?iaaiieo, ineoiaaiieo) oa oneeaaeiaiue, ie?aia ioe?iea ooieoe?? aeao?oci?a (a?ia?-, ii?ii-, a?ii?aoeaen?y) oa no?ieoa?a (a?ia?-, ii?ii-, a?iioii?y). Oaea eiiieaenia ioe?iea aeicaiey? /?oei aecia/eoe aeae oa aeeaeio ii?ooaiiy ooieoe?? na/iaeo oeyo?a, i?ecia/aoe oe?eani?yiiaaia e?eoaaiiy c o?aooaaiiyi on?o aniaeo?a caoai?thaaiiy. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe?? Caeoeaa A.?. Ae?aaiinoe/ia oe?ii?noue o?iaeeiai?/ieo iieaciee?a o oai?eo ia aaeaiiio i?inoaoe// O?ieia?y.- 1998.- ?4.- N.16-19. Caeoeaa A.?. Iniaeeaino? aeenooieoe?e ieaei?o na/iaeo oeyo?a o ae?iie// O?ieia?y.- 1998.- N.13-16. Caeoeaa A.?. I?eoiaai? ii?ooaiiy o?iaeeiai?ee ieaei?o na/iaeo oeyo?a o oai?eo ia o?ii?/iee iaiano?oeoeaiee i??eiiao?eo// Aoeiaeinueeee iaaee/iee a?niee.- 1997.- ?1.- N.27-31. Caeoeaa A.?. Aeei?enoaiiy ae?eioaio i?e iae?iaaiieo ?iceaaeao ooieoe?? na/iaiai i?oo?a// Aoeiaeinueeee iaaee/iee a?niee.- 1998.- ?1.- N. 34-37. Caeoeaa A.?. Aeenooieoe?? ieaei?o na/iaeo oeyo?a o ae?oae c i?/iei aio?acii// Aoeiaeinueeee iaaee/iee a?niee.- 1998.- ?1.- N. 37-40. Caeoeaa A.E. Nia?aiaiiua i?aaenoaaeaiey ia yoeieiaee e eeeie/aneeo i?iyaeaieyo ooieoeeiiaeueiuo ia?ooaiee o?iaeeiaieee// Iaaeaeoia?iaeiue iaaeeoeeineee aeo?iae.- 1998.- o.4, ?1.- N.90-92. Caeoeaa A.?. Ea/aiea ooieoeeiiaeueiuo ia?ooaiee o?iaeeiaieee// Iaaeaeoia?iaeiue iaaeeoeeineee aeo?iae.- 1998.- ?2.- N.95-97. Caeoeaa A.?. Ee?i?ei-?aioaaiieia?/i? ia?aeae? o oai?eo c ooieoe?iiaeueieie ii?ooaiiyie o?iaeeiai?ee// Oe?a?inueeee ?aae?ieia?/iee aeo?iae.- 1998.- ?6.- N.138-142. Ie?iaia A.I., Ea?iaiei A.N., Caeoeaa A.?., Aoeaeiae/ I.N., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Aeaeo?io?c?ieia?/ia oa?aeoa?enoeea ieaei?o na/iaeo oeyo?a o oai?eo c iaoieia??th i?inoaoe, ui i?iaeeaathoue ia ?aae?aoe?eii caa?oaeiaieo oa?eoi??yo// Aoeiaeinueeee iaaee/iee a?niee.- 1998.- ?2.- N. 126-128. Aic?aiia I.O., Ie?iaia A.I., Caeoeaa A.?. Aeei?enoaiiy aae?aiiaeieaoi?a oainoeiceio i?e ?io?aaaceeaeuei?e iano?oeoe??// Aoeiaeinueeee iaaee/iee a?niee.- 1998.- ?2.- N. 129-128. Ie?iaia A.I., Caeoeaa A.?., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Iae?iaaiiee na/iaee i?oo? (No/ani? aniaeoe ao?ieia?? oa ee?i?ee)// O?ieia?y.- 1997. - ?1.- N.73-78. Ie?iaia A.I., Caeoeaa A.?., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Iae?iaaiiee na/iaee i?oo?. *anoeia 2. Caaaeuei? i?eioeeie ae?aaiinoeee oa e?eoaaiiy// O?ieia?y.- 1997.- ?3.- N.74-81. Ie?iaia A.I., Caeoeaa A.?. Ieneaooei?i o e?eoaaiii iae?iaaiieo aeenooieoe?e ieaei?o na/iaeo oeyo?a// O?ieia?y.- 1998.- ?2.- N. 41-43. Ie?iaia A.I., Ea?iaiei A.N., Caeoeaa A.?., Aoeaeiae/ I.N., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Ooieoe?iiaeueiee noai ieaei?o na/iaeo oeyo?a o aeayeeo eaoaai??e o?ieia?/ieo oai?eo aei oa i?ney aaa??? ia *AAN// O?ieia?y.- 1998.- ?3.- N. 54-57. Ie?iaia A.I., Caeoeaa A.?., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Oaaeaiai o e?eoaaii? aaeaiiie i?inoaoe// O?ieia?y.- 1998.- ?3.- N. 75-78 Ie?iaia A.I., Naaanoyiiaa I.A., Caeoeaa A.?., Aiae?a?aa ?.A. Ae?aaiinoeea oa e?eoaaiiy aio?aco// Iaoiae. ?aeii. - E., 1998.- 20 n. Ie?iaia A.I., Caeoeaa A.?. Iaoiae aeei?enoaiiy ae?eioaio o e?eoaaii? iae?iaaiieo ?iceaae?a ooieoe?? na/iaiai i?oo?a// ?ioi?iaoe?eiee eeno.- Oe?iaaeiaoaio?ioi?i, ? 1-98.- 2 n. Aic?aiia I.O., Ie?iaia A.I., Caeoeaa A.?. Aeei?enoaiiy aae?aiiaeieaoi?a oainoeiceio i?e ?io?aaaceeaeuei?e iano?oeoe??// ?ioi?iaoe?eiee eeno.- Oe?iaaeiaoaio?ioi?i, ?62-98.- 3 n. Aic?aiia I.O., Ie?iaia A.I., Caeoeaa A.?. Oainoeicei o e?eoaaii? aaeaiiie ia?aaei?oo?iai? caeice// I?aoe? VII Ieaioio anioe?aoe?? o?ieia?a Oe?a?ie.- Aei?i?iiao?ianuee: Ii?iae, 1998.- N.248-250. Ie?iaia A.I., Naaanoyiiaa I.A., Caeoeaa A.?., Aiae?a?aa ?.A. Ea/aiea aieueiuo n iaaea?aeaieai ii/e iinea aaeaiii- e i?inoaoyeoiiee iaoiaeii yeao?inoeioeyoeee e iai?aaeaiiie oa?iaeioa?aiee// I?aoe? VII Ieaioio anioe?aoe?? o?ieia?a Oe?a?ie.- Aei?i?iiao?ianuee: Ii?iae, 1998.- N.257-259. Caeoeaa A.?. Aiae?c ?ioi?iaoeaiino? iieaciee?a o?ioeioiao??? o oai?eo ia aaeaiiio i?inoaoe// Na.iaoe.i?aoeue “Naenieiaey e aiae?ieiaey”, aei.4.- E., 1998.- N.103-105. Ie?iaia A.I., Caeoeaa A.?., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Aeaeo?ii?ia?ao?/ia aeoeai?noue ieaei?o na/iaeo oeyo?a o oai?eo ia aaeaiiio oa neea?ic i?inoaoe, ui caciaee aieeao iaeeo aeic ?aae?aoe??// Na.iaoe.i?aoeue “Naenieiaey e aiae?ieiaey”, aei.4.- E., 1998.- N.105-107. Ie?iaia A.I., Naaanoyiiaa I.A., Caeoeaa A.?., Aiae?a?aa ?.A. Eiiieaeniee iaoiae e?eoaaiiy iao?eiaiiy na/? o oai?eo i?ney aaeaiiiaeoii??// Na.iaoe.i?aoeue “Naenieiaey e aiae?ieiaey”, aei.4.- E., 1998.- N.126-129. Ie?iaia A.I., Caeoeaa A.?. ?ioaeoe?y na/iaeo oeyo?a o ae?oae c aio?acii// Iao-ee iaoe.-i?aeo. eiio. “Ie?ee oa ?ioaeoe?y”.- ?aaii-O?aie?anuee.- 1997.- N. 51-53. Ie?iaia A.I., Caeoeaa A.?. I?oo?ii-na/ia?aeiee ?aoethen oa o?ii?/ia na/iaa ?ioaeoe?y// Iao-ee iaoe.-i?aeo. eiio. “Ie?ee oa ?ioaeoe?y”.- ?aaii-O?aie?anuee.- 1997.- N. 53-54. Caeoeaa A.?. Iniaeeaino? ia?aa?ao o?ii?/iiai i??eiiao?eoo o oai?eo c iae?iaaiieie ?iceaaeaie na/iaeioneaiiy// Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? “Ie?ee oa ?ioaeoe?y”.- ?aaii-O?aie?anuee.- 1997.- N. 39-40. Caeoeaa A.?. Aieea ??cieo aeae?a ii?ooaiue ooieoe?? na/iaiai i?oo?a ia aeieeiaiiy o?ii?/ii? na/iai? ?ioaeoe??// Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? “Ie?ee oa ?ioaeoe?y”.- ?aaii-O?aie?anuee.- 1997.- N. 37-38. Caeoeaa A.?., Naaanoyiiaa I.A., Aiae?a?aa ?.A. Aeine?aeaeaiiy ooieoe?iiaeueiiai noaio ieaei?o na/iaeo oeyo?a o oai?eo c a?ae?iiao?icii oa o?aoa?ia?ae?iiao?icii aei oa i?ney aaa??? ia *AAN// Oe?a?inuee? iaaee/i? a?no?.- 1998.- o.2, ? 1-2.- N.257-258. Caeoeaa A.?. I?i i?e/eie iaaoaeoeaiino? iia?aoeaiiai e?eoaaiiy iao?eiaiiy na/? o ae?iie// Oe?a?inuee? iaaee/i? a?no?.- 1998.- o.2, ? 1-2.- N.127-128. Pirogov V., Zaitsev V., Andreeva I., Sevastianova N. Chronic unobstructed pyelonephritis and consealed urodynamic dysfunctions// Abstracts of XXXIV Congress of the European Renal Association.- Geneva (Switzerland), 1997.- P.146. Pirogov V., Zaitsev V., Andreeva I., Sevastianova N. Influence of chronic urinary infection on the muscles activities of bladder and perineum in the patients with incontinence// Br.J.Urol. (Abstracts of 24th World Congress of SUI).- 1997.- V.80, S.2.- P. 102. Pirogov V., Andreeva I., Sevastianova N., Zaitsev V. Laser puncture in treatment of children with enuresis// Br.J.Urol. (Abstracts of 24th World Congress of SUI).- 1997.- V.80, S.2.- P. 174. Zaitsev V. Vesico-ureteral reflux and chronic urinary infection in children// Eur.Urol. (Abstracts of 13th European Congress of EAU).- 1998.- V.33, S.1.- P. 107. Pirogov V., Andreeva I., Sevastianova N., Zaitsev V. Assessment of laser puncture effect on urethral sphincter in enuresis// J.Endourol. (Abstracts 15th World Congress on Endourology and SWL).- 1997.- V.11, S.1.- P. 169. Caeoeaa A.?. Ooieoe?iiaeuei? ii?ooaiiy o?iaeeiai?ee oa o?ii?/ia na/iaa ?ioaeoe?y.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.06.- o?ieia?y. ?inoeooo o?ieia?? oa iao?ieia?? AII Oe?a?ie, Ee?a, 1998. Aeena?oaoe?y i?enay/aia aea/aiith i?e/ei iiyae oa iniaeeainoae ia?aa?ao ooieoe?iiaeueieo ii?ooaiue o?iaeeiai?ee (OIO) oa o?ii?/ii? na/iai? ?ioaeoe?? (ON?) a ??cieo a?eiaeo eaoaai??yo oai?eo, ?ic?iaoe? iiaeo oa oaeineiiaeaiith ?nioth/eo iaoiae?a ?o ae?aaiinoeee oa e?eoaaiiy. A?aoiaoth/e no/ani? oaiaeaioe?? ?icaeoeo o?ieia?? ?ic?iaeaii aeaniee iaoiae ia?iaaceaii? ae?aaiinoeee OIO. Aeiaaaeaii, ui ia i?ioyc? aeeooy a?aeaoaathoue ci?ie o i?e/eiii-ne?ae/eo aca?iia?aeiioaiiyo i?ae OIO oa ON?, aea o a?eueoino? aeiaaee?a ON? ? aoi?eiiith. Cao?eniaai? oa i?iaiae?ciaai? i?e/eie ??ciiiai?aaeaieo ci?i aeoeaiino? aeao?oci?a oa no?ieoa?a na/iaiai i?oo?a ia i?ioyc? aeeooy. Oeyoii aeei?enoaiiy no/anieo o?iaeeiai?/ieo iaoiae?a iieacaii iaaaoeaiee aieea ON? ia o?iaeeiai?eo. Cai?iiiiiaaia iiaa eeaneo?eaoe?y OIO. Aeiaaaeaii, ui i?e iaiano?oeoeaiiio i??eiiao?eo? ei?aeoe?y OIO aeicaiey? aeinyaoe oa?aiaaoe/iiai aoaeoo aac aioeaaeoa??aeueii? oa?ai??. Eeth/ia? neiaa: o?iaeeiai?ea, ?ioaeoe?y na/iaeo oeyo?a, ae?aaiinoeea, e?eoaaiiy. Caeoeaa A.E. Ooieoeeiiaeueiua ia?ooaiey o?iaeeiaieee e o?iie/aneay ii/aaay eioaeoeey.- ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.06.- o?ieiaey. Einoeooo o?ieiaee e iao?ieiaee AII Oe?aeiu, Eeaa, 1998. Aeenna?oaoeey iinayuaia eco/aieth i?e/ei iiyaeaiey e iniaaiiinoae i?ioaeaiey ooieoeeiiaeueiuo ia?ooaiee o?iaeeiaieee (OIO) e o?iie/aneie ii/aaie eioaeoeee (OIE) o ?aciuo aic?anoiuo eaoaai?ee aieueiuo, ?ac?aaioea iiauo e oniaa?oainoaiaaieth nouanoaothueo iaoiaeia eo aeeaaiinoeee e ea/aiey. O/eouaay nia?aiaiiua oaiaeaioeee ?acaeoey o?ieiaee ?ac?aaioai nianoaaiiue iaoiae iaeiaaceaiie aeeaaiinoeee OIO. Aeieacaii, /oi ia i?ioyaeaiee aeecie i?ienoiaeyo eciaiaiey i?e/eiii-neaaenoaaiiuo acaeiiioiioaiee iaaeaeo OIO oa OIE, ii a aieueoeinoaa neo/aaa OIE aoi?e/ia. Caoeene?iaaiu e i?iaiaeece?iaaiu i?e/eiu ?aciiiai?aaeaiiuo eciaiaiee aeoeaiinoe aeao?oci?a e noeieoa?a ii/aaiai iocu?y ia i?ioyaeaiee aeecie. Iooai eniieueciaaiey nia?aiaiiuo o?iaeeiaie/aneeo iaoiaeia iieacaii iaaaoeaiia aeeyiea OIE ia o?iaeeiaieeo. I?aaeeiaeaia iiaay eeanneoeeaoeey OIO. Aeieacaii, /oi i?e iaiano?oeoeaiii ieaeiiao?eoa ei??aeoeey OIO iicaieyao aeinoe/ue oa?aiaaoe/aneiai yooaeoa aac aioeaaeoa?eaeueiie oa?aiee. Eeth/aaua neiaa: o?iaeeiaieea, eioaeoeey ii/aauo iooae, aeeaaiinoeea, ea/aiea. Zaytsev V.I. Functional disorders of urodynamics and chronic urinary infection.- Manuscript. Thesis for Doctor of Medical Sciences Degree by speciality 14.01.06.- Urology. Institute of Urology and Nephrology, AMS of Ukraine, 1998. The causes of appearing and peculiarities of functional urodynamical disorders (FUD) and chrinic urinary infection (CUI) in different groups of patients are estimated in the dissertation. The new method of noninvasive diagnosis of FUD is proposed. The age related changes in interrelations between FDU and CUI are proved. The author considers that mostly CUI arises due to FUD. The changes in types of detrusor and sphincter disorders in patients over time may be attributed to negative influence of CUI. The new classification of FUD is proposed. The possibility to achieve a good effect due to urodynamics improvment without antibacterial therapy in treatment of unobstructed pyelonephritis is proved. Key words: urodynamics, urinary infection, diagnosis, treatment. PAGE 2

Похожие записи