4

IIIINOA?NOAI IOI?IIE CAeI?IA’ss OE?AIE

E?einueeee ?anioaeeainueeee iaoeiai-aeineiaeiee iinoeooo oice/ieo
iaoiaeia eieoaaiiy oa iaaee/ii eeiiaoieia iai .I.N/aiiaa

Ia i?aaao ?oeiieno

OAeE: 616.233-002-036.12-076:616.233-018.73:616.151.5:612:017.11

OEAAAA Iaoaeiy Aeueaa?oiaia

AAIIEIAAOETHTH*, OA?EIIEOE*I OA IOII AEANOEAINO

NEECIAI IAIEIIEE A?IIOA O OAI?EO IA

O?II*IEE A?IIOO

14.01.27 — Ioeueiiiieiay

Aaoi?aoa?ao

aeena?oaoe ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

sseoa—1999

Aeena?oaoeith ?oeiien.

?iaioo aeeiiaii o E?einueeiio ?anioaeieainueeiio iaoeiai-aeineaeiiio
iinoeoooi oice/ieo iaoiaeia eieoaaiiy oa iaaee/ii eeiaoieia i.
.M.N/aiiaa.

Iaoeiaee ea?iaiee:

Caneoaeaiee aeiy/ iaoee oa oaoiee Oe?aie, aeieoi? iaaee/ieo iaoe,
i?ioani? Nieaeao/aiei Na?ae Na?aeiae/, E?einueeee ?anioaeeainueeee IAe
oice/ieo iaoiaeia eieoaaiiy oa iaaee/ii eeiiaoieia i .I.N/aiiaa,
aee?aeoi?.

Ioioeeii iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Eoaeoei Aieiaeeie? Oaaei?iae/,
E?einueeee aea?aeaaiee iaaee/iee oiaa?neoao i. N.I.Aai?aanueeiai,
caaaeoaa/ eaoaae?e oa?ai ?1;

aeieoi? iaaee/ieo iaoe ss?io Ieaenaiae? Ieoaeeiae/, E?einueeee
?anioaeeainueeee IAe oice/ieo iaoiaeia eieoaaiiy oa iaaee/ii eeiiaoieia
i .I.N/aiiaa, canooiiee aee?aeoi?a c iaoee.

I?iaaeia i?aaiicaoeiy:

Aeii?iiao?ianueea aea?aeaaia iaaee/ia aeaaeaiy, eaoaae?a ainieoaeueii
oa?ai ? 1; Aeii?iiao?ianuee.

Caoeno aaeaoaeaoueny “ 3 ” /a?aiy 1999 ?. i 14-00 aiaeei ia canaeaii
niaoeaeciaaii a/aii ?aaee Ae 53.610.01 i?e E?einueeiio
?anioaeieainueeiio IAe oice/ieo iaoiaeia eieoaaiiy oa iaaee/ii
eeiiaoieia i. .I.N/aiiaa (334203, ?anioaeea E?ei, i. sseoa, aoe. Iooia,
8).

3 aeena?oaoeith iiaeia iciaeiieoeny o aiaeioaoei E?einueeiai
?anioaeieainueeiai IAe oce/ieo iaoiaea eeoaaiiy oa iaaee/ii eeiaoieia i.
. I.N/aiiaa (334203, ?anioaeea E?ei, i.sseoa, aoe. Iooia, 8).

Aaoi?aoa?ao ?icneaiee “ 30 ” ea?oiy 1999 ?.

A/aiee nae?aoa? niaoeaeciaaii

a/aii ?aaee, aeioeaio
I.O. I’yieia

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueinoue ?iaioe. Cia/aiiy o?ii/ieo ianiaoeeo/ieo caoai?thaaiue
eaaaia (OICE) ii?yae c iioeie oai?iaaie, yei iae/anooa aenooiathoue
i?e/eiith caoai?thaaiue, iiaaeiaeiinoi oa niepoiinoi ianaeaiiy a e?aiao
a?iie, aeeth/ath/e Oe?aio, iaooeeueii c?inoa (Ieeei/oe I.N. oa
niiaaao., 1986; Iioiaecae .A. oa niiaaao., 1989; Oauaiei TH.., 1997,
1998; *o/aei I.A., 1996; *o/aei I.A. oa niaaao., 1998). I?e oeueiio a
inoaii aeaa aeanyoe?i//y aiaeii/aoueny oaiaeaioeiy ?inoo caoai?thaaiue
ia xpiii/ii iano?oeoeaii oai?iae eaaaia c ae?aaeaiith peciipaoi?iith
iaaeinoaoinoth, ?icaeoeii eaaaiaai aiia?oaici oa o?ii/iiai eaaaiaaiai
na?oey (OEN). Cia/aiiy aeaii i?iaeaie iaee?anethoueny ua e oei, ui
i?iaiic aeeooy oai?eo ia OICE iaaeaaii?eiiee i?e noaaieicaoe eaaaiaai
aiiepoaic oa oi?ioaaiii OEN. Iaeaea, 75% oai?eo iiie?athoue ia i?ioyci 5
pieia iney aeieeiaiiy canoieii aeaeiiiainaoe e?iaiiaiao, yea caeia o?ao
inoea iney aiia?oiii/ii oai?iae oa o?iii/ii ei?iia?ii iaaeinoaoiueinoi
na?aae i?e/ei nia?oi a aieiaie apyii noa?oa 50 pieia (Iaea H.P. oa
niiaaao., 1985; Duroux oa niaaao., 1984; Iaooeiae/ TH.B., 1991;
Neeueaano?ia A.I. oa niiaaao., 1991, 1993; *a?aenueea I.E., 1991;
Oauaiei TH.., 1998).

A/aiiy i?i aoiiiaoiaaiac o?ii/iiai a?iiooo (OA) a inoaiii ?iee noooai
aeiiiaieeinue iaoeiaeie oaeoaie i?i iaaoaio aeith ciaiioiueiai
na?aaeiaeua, aeeth/ath/e ianeaeee aaapi ia *a?iiaeeuenueee AAN,
ii?ooaiiy ioeioeieia?iiai eei?aino, ianiaoeeoi/ii ?acenoaioiinoi,
aeenaaeain iioiioaoo oa iioeo nenoai caaacia/aiiy aiiainoaco (Othaaeaea
O.I. oa niiaaao., 1995; Oaaeina A.A., 1995; Aieoa I.., 1996; Iiaiaeaiia
A.A. oa ciiaaao., 1996, Oauaiei TH.., 1998, *o/aei I.A. oa niaaao.,
1998). Cie?aia, anoaiiaeaii, ui i?ia?anoth/ee pico caoai?thaaiue ia OA
iaoiiaeaiee ia?o ca ana aeieiai/ieie oaeoi?aie, iae aieeaii yeeo
aiaeaoaaoueny cieaeaiiy iioiieiai/iiai caoenoo i?aaiicio. 3aiaeueii
i?ioeane iaaoaathoue caoyaeiiai iepe6iry c aaeeeei ?eceeii o?iiicaoe
(Naoa?/oe .., 1990). Ie?i iioiieo ?iceaaeia, aei aaaeeeaeo iaoaicia a
ipoapecoaaii ia?aaao OA oa eaaaiaai-na?oeaai iaaeinoaoiueinoi
aiaeiinyoueny ii?ooaiiy iie?iaaiioee?eoeyoe a nenoaii noaeei iaeiai eiea
e?iaooaiay, ui oa?aeoa?ecooueny ioaineaiei aioo?oiueinoaeeiiei o?iiaiii-
oa oia?iiooai?aiiyi, a oaeiae oi?ioaaiiyi o?iiaioeeoa?ieo iie?iaa?aaaoia
(Eiia?ia O.. oa niiaaao., 1986; Naoa?/oe .. oa ciiaaao., 1990; Oaaeina
A.A., 1995). Aeania c ei?aeoeth i?ioeania o?iii/iiai
aioo?oiueinoaeeiiiai iie?icai?oaiiy epiai iia’ycothoue ia?niaeoeae
iaeaeuaiiy aoaeoeaiinoi oa?ai eaaaiaai-na?oeaai iaaeinoaoiueinoi
(Ieeei/oe I.N. oa niiaaao., 1986; Naoa?/oe .. oa niiaaao., 1990; Oeoa?a
N.I. oa niiaaao., 1990). Aea ca?ac, ia iao iiaeyae, iniaeeao
aeooaeueinoue iaaoaa ?icoeo?iaea caeiiiii?iinoae iioaa?aeueiiai
ooieoeiiioaaiiy iniiaieo nenoai caaacia/aiiy aiiainoaco, oae ye
?icoiiiiy i?e/ei iiaenenoaiieo ii?ooaiue iiaea aeyaeoeny iaaecae/aeii
ei?eniei aeey ooi/iaiey aoiiiaoiaaiaoe/ii cyoi oai?iae. Oea ieoaiey aei
aeaiiai /ano ?ice?eoi iaaeinoaoiuei.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa aeeiiaia
ca ieaiii iaoeiaeo aeineiaeaeaiue E?einueeiai ?anioaeieainueeiai IAeI
oice/ieo iaoiaea eieoaaiiy i iaaee/ii? eeiiaoieiai? ii. I.I.N?/aiiaa c
i?iaeaie «?ic?iaeoe iiai iaoiaee ei?aeoe a?iioaeueii aia??aaeoeaiino
eeoaaiiy a?iioaeueii anoie o?ii/iiai a?iiooo» (iiia? aea?ae?ano?aoe
194U039069).

Iaoa aeineaeaeaiiy. Aea/eoe aaiieiaaoethth/i oa iiyiii aeanoeainoi
neeciai iaieiiee apoixia a niianoaaeaiii c nenoaiiei aaiieiaaoethth/ei
oa iioiiei iioaioeiaeii o oai?eo ia OA a i?ioeani oi?ioaaiiy o?ii/iiai
eaaaiaaiai na?oey oa aeaoe i ioeiieo c aieo iaoi- oa naiiaaiaco.

Ociiaii caaaeaiiy aeineaeaeaiiy:

1. Aeaoe ioeieo aieeao ?icieo eiioeaio?aoeie aeno?aeoia neeciai iaieiiee
a?iioia oai?eo ia OA ia iieacieee aaiieiaaoeyoe, oia?iiieico oa
iioiioaoo.

2. Aecia/eoe nenoaiii-peaioia?ii (e?ia-oeaieia apoixia) niiaaiaeiioaiiy
iieacieeia i?ieiaaoeyioiiai, o?iiaioeeoa?iiai aaiinoaco oa eeoeiiiai
iioiioaoo.

3. Aea/eoe aieea o?iiaio ia i?ieiaaoeyioio oa oia?iiieioe/io aeoeainoue
eaeeioeeoia o oai?eo ia OA, a oaeiae aeaoe iaoioicieia/ia iaa?oiooaaiiy
canoinoaaiiy aeoeaaoi?a ieaciiiiaaio na/aaiai oeio aeey noeioeyoe
ooieoeiiiaeueii aeoeaiino iioiioeeoia o aiaeia/ieo oai?eo.

4. Iaa?oiooaaoe aoaeoeaiinoue iaaeyoeieiiai oeyoo canoinoaaiiy o?ieiace
aeey ei?aeoe ii?ooaiue nenoai aaiinoaco oa ioiioaoo o oai?eo c OEN.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoaoa. A ?iaioi aia?oa aea/ai
aaiieiaaoethth/i, oiapiiieoe/ii oa ioiii aeanoeainoi neeciai iaieiiee
a?iioia a ciianoaaeaiii c nenoaiieie iieacieeaie eiaaoeyoeieiiai oa
o?iiaioeeoa?iiai aaiinoaco, oia?iieico oa eeioeiiiai ioioaoo o oai?eo ia
OA.

Anoaiiaeaia ?ieue ii?ooaiue ioiii ?aaoeyoe aaiinoaco a iaoiaaiaci OEN o
oai?eo ia OA, a oaeiae aea/aii aieea o?iiaiiy ia i?ieiaaoeyioio oa
oia?iieoe/io aeoeainoue eaeeioeeoa o aiaeia/ieo oai?eo c
eaaaiaai-na?oeaaith iaaeinoaoiinoth. Aia?oa aeiaaaeaii noeioethth/ee
aieea o?ieiace ia aeni?anth iiiioeeoaie ?aoeaioi?ia aei N3 eiiiiiaioa
eiiieaiaioo.

Iiaei iiaaeyoeieia aeei?enoaiiy aeoeaaoi?a ieaciiiiaaio na/aaiai oeio
aeey eeoaaiiy oai?eo ia OA c eaaaiaai-na?oeaaith iaaeinoaoinoth.

I?aeoe/ia cia/ounoue iaea?aeaieo ?acoeueoaoa. ?acoeueoaoe aeineaeaeaiue
?icoe?ththoue oa iiaeeaeththoue ?icoiiiy ?ie eieaeueiiai o?ii/iiai
caiaeueiiai i?ioeano a oi?ioaaiii caaaeueiiai ioiiiai oa
aaiieiaaoeyoeeiiai aeenaaeaino o oai?eo ia OA. Inoaii, a naith /a?ao, ia
noooaa cia/aiiy aeey iaa?oioiaaii ioeiee iaeai?o inoeaaeo (iaaeyoe oa
iioi) caniaia eieoaaiiy oei a?oie caoai?thaaiue.

Aeiaaaeaia i?aeoe/ia aaaeeeanoue eiiieaeniiai aea/aiiy noaio
aaiieiaaoeyoeeiiai, o?iiaioeeoa?iiai oa ioiiiai iioaioeiaeia o oai?eo ia
OA c iaoith aecia/aiiy iieacaiue aeey i?ecia/aiiy ioiiiiaeoethth/eo
i?aia?aoia oa caniaa, ui caeaoi aieeaaoe ia i?ioeane aaiieiaaoeyoe.

?ac?iaeaii eaai?aoi?iee aeiaaiinoe/iee e?eoa?ie oi?ioaaiiy OEN o oai?eo
ia OA, nooue yeiai iieyaa o ao?ao caeaoiino eaeeioeeoia iiae aeth
o?iiaiio ae?iaeyoe oa?iaioe i?ieiaaoeyioii oa oia?iiieioe/ii ae.

Aoieaii a eeiii/io i?aeoeeo i?eaiaeueiee cania ei?aeoe ii?ooaiue
iie?ioei?eoeyoe oa iioiioaoo o oai?eo c OEN, yeee iieyaa a iaaeyoeeiiio
canoinoaaiii aeoeaaoi?a ieaciiiaaio na/aaiai oeio (o?ieiace).

Ai?iaaaeaeaiiy ?acoeueoaoa aeineaeaeaiiy. ?acoeueoaoe ?iaioe
aeei?enoiaothoueny a i?aeoeoe ?anioaeieainueei eeiii/ii eiea?ii i.
Naiaoei (i.Niioa?iiieue), Nioa?iiieuenueeiai i?ioeooaa?eoeueiciiai
aeeniaina?o, E?einueeiai ?anioaeeainueeiai IAe oice/ieo iaoiaea
eieoaaiiy oa iaaee/ii eeiaoieoai ii. .M. N/aiiaa, eaoaae?e ooaa?eoeueico
oa eaoaae?e oaeoeueoaonueei oepai ? 2 E?einueeiai aea?aeaaiiai
iaaee/iiai oiaa?neoaoo ii. N..Aai?aianueeiai, naiaoi?ii-eo?i?oieo
caeeaaea Oe?aie.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii caeeniaii iaoaioiee iiooe,
?acoeueoaoe yeiai aenaioeaii a ?icaeiei aeena?oaoe “Iaeyae eioa?aoo?e”
yeee naiae/eoue i?i aiaenooiinoue aiaeiaia iaoeiaeo ?ic?iaie. Ociiaii
ioaeeaoei ia oaio aeena?oaoei iinyoue i?ei?oaoiee oa?aeoa?. Aaoi?ii
naiinoieii i?iaiaeeany aaea? oai?eo, o eiiieaenia ianoaaeaiiy, eieoaaiiy
iiaaeyoeiyie o?ieiiace oa eiio?ieue ca eiai aoaeoeaiinoth. Caeeniaii
oaeiae iaoeiaee aiaeic io?eiaieo ?acoeueoaoia. o iaoaiaoe/ia ia?iaea,
noi?ioeueiaaii iniiaii iieiaeaiiy, aeniiaee oa i?aeoe/ii ?aeiiaiaeaoei.

Ai?iaaoey ?acoeueoaoa aeena?oaoe. Iaoa?iaee aeena?oaoeieiiai
aeineaeaeaiiy aeiiiaiaeaeenue ia Oe?ainueeie iaoeiaie eiioa?aioe c
iaeia?iaeiith o/anoth “Aeooaeueii ieoaiiy iaiaaeeeaiaioiciiai eieoaaiiy
caoai?thaaiue i?aaiia aeeoaiiy, na?oeaai-noaeeiii oa ia?aiai nenoai”
(sseoa, 1996); iaoeiai-iaaee/iie eiioa?aioei, i?enay/aiie iai’yoi
i?ioani?a Aieii-ssnaiaoeueeiai (Ciioepoiieue, 1996); thaieaeiie
eiioa?aioe, i?enay/aiie 60-?i//th aiaoi?enueeiai aeeoy/iai eo?i?oo
“Aeooaeueii ieoaiey aeeoy/i eo?i?oieia (aiaoi?iy, 1996); thaieaeiie
eiioa?aioe, i?enay/aiie 20-?i//th Oe?ainueeiai IAe aeeoy/i eo?i?oieia
ocioa?ai (aiaoi?iy, 1998), 2-io c’cae ooeceao?a ioeueiiiieiaa Oe?aie
(Eea, 1998).

Ioaeieaoei. Ca oaiith aeena?oaoe iioaeieiaaii 10 ?iaio, a oiio /ene 4
?iaioe a ca?ano?iaaieo AAE Oe?aie aeaeaiiyo.

Ianya oa no?oeoo?a aeena?oaoe. ?iaioa aeeeaaeaia ia 134 noi?ieao
iaoeiiieniiai oaenoo i neeaaeaoueny ic anooio, iaeyaeo eioa?aoo?e, 5
?icaeieia ?acoeueoaoia aeanieo aeineiaeaeaiue, iaaiai?aiiy io?eiaieo
?acoeueoaoia, aeniiaeia, i?aeoe/ieo ?aeiiaiaeaoeie. ?iaioa iethno?iaaia
41 oaaeeoeath oa 4 iaethieaie. Nienie eioa?aoo?e iinoeoue 242 ?iaioe
aio/eciyieo oa iiicaiieo aaoi?ia.

CINO ?IAIOE

Iaoa?aee, iaoiaee aeineaeaeaiiy oa caniae eeoaaiiy. Aeey ae?oaiiy
iinoaaeaieo caaaeaiue ianoaaeaii 134 oai?eo, iiaeieaieo ia 5 a?oi. A
1-oo a?oio aaieoee 64 oai?eo ia o?ii/iee iano?oeoeaiee a?iioo (OIA) aac
eaaaiaai-na?oeaai iaaeinoaoiueinoi, a 2-ao — 28 oai?eo ia OIA, iepeaia
yeiai oneeaaeieany ?icaeoeii OEN, a 3-oth — 14 iiia?eeo oai?eo ia OIA
aac aeyaeaiiai OEN, a 4-oo — 12 iiia?eeo oai?eo ia OIA c i?iyaaie OEN,
a 5-oo — 16 oai?eo ia OIA c iciaeaie OEN, eieoaaeueiee eiiieaen yeeo
aeiiiaithaaany eo?nii iiaaeyoeie o?ieiace. Eiio?ieueio a?oio neeaee 30
caei?iaeo aeiii?ia.

Iaoa?iaeii aeineiaeaeaiiy o oai?eo 1-, 2- oa 5- a?oi aoea e?ia, o
oai?eo 3- oa 4- a?oi — neeciaa iaieiiea a?iioia, yea aoea io?eiaia i?e
aooiini. Nia?oue o oai?eo 3- oa 4- a?oi ianooiaea c ei?ioeei aaiiaeueiei
ia?iaeii. Iniiaiith i?e/eiith ciepoi oai?eo 4- a?oie aoei iineeaiiy
iaaeinoaoiueinoi e?iaiiaiao, o oai?eo 3- a?oie — aino?a ei?iia?ia
nia?oue, iaoai/ia o?aaia, anoeny. Caaip iaoa?iaeo a iiia?eeo oai?eo
aaeaoaaany a iioa?aaei 6 aiaeei c iiiaioo nia?o. C?acee neeciai iaieiiee
io?eioaaee c 3-4 aeieueiaeo a?iioia o eiaeiiai iiia?eiai oai?iai.

Ianoaaeaiiy oai?eo i?iaiaeeeinue aeai?aciai: a ia?oi aeii ia?aaoaaiiy a
coaoeioia?i, a oaeiae i?e aeienoei. Aeiaaiic OIA noaaeany ia iniiai
aeaieo eiiieaeniiai eeiiiei-?aioaaiieiai/iiai ianoaaeaiiy c iaia’yceiaei
a?aooaaiiyi iieacieeia ooieoe ciaioiueiai aeeoaiiy (Oauaiei TH.. oa
niaaao., 1993; Oauaiei TH.., 1997). Ooieoey ciaioiueiai aeeoaiiy
?ano?oaaeanue ia eiii’thoa?eciaaiiiio eiiieaen aeey ioeueiiiieiai/ieo
aeineiaeaeaiue “OII-1”, ui aeeth/aa aaoiiaoe/ia aecia/aiiy iieacieea
ni?ia?aie, iiaaiioaoia?aie c caienaie e?eai “iioie-ia‘i”.

Aeiaaiic OEN anoaiiaethaaany ia ocioai aeinoiai?ieo («iiciio»)
aeaeo?iea?aeiia?aoi/ieo i?eciaeia aiia?o?ioi i?aaiai oeoii/eo i oae
caaieo “yeinieo” ?aioaaiieiai/ieo neiioiiia eaaaiaai aiiepoeici
(?icoe?aiiy i?eei?iaaeo eaaaiaaeo noaeei i?e caiaeiieiio ia?eoa?ieiiio
noaeeiiiio iaethieo, caieueoaiiy aeiaiao?o iecoaeii aieee eaaaiaai
apoepi) ia oei aiiieiaoe/iiai oeio oeaio?aeueii aaiiaeeiaiiee (Iaea I.?
oa niiaaao., 1985; Aecye A.A. oa niiaaao.,1987; Iooia I.A. oa
niiaaao.,1989; Oeoia?a TH.I. oa niiaaao.,1990). O iiia?eeo oai?eo
aeiaaiic OEN iiaeoaa?aeoaaany i?e aooiin.

Aeey ioeiee iioiioaoo aeei?enoiaoaaeeny ianooiii iaoiaee: ?aaeoeiy
?icaoeiooai?aiiy aeey aeyaeaiiy oioaeueieo (Aoio-?OE) oa aeoeaieo
(Aa-?OE) O-eiioioeeoia i A-eiioioeeoa (AAN-?OE) ii Kerman R. oa
niiaaao.; ?aaeoeiy ?icaoeiooai?aiiy c AA nenoaiith aeey aeyaeaiiy
eioioeeoia, ui aeni?anothoue ?aoeaioi?e aei iioiiaeiaoeiiia M oa G
(AA-?OE) ii Witimeyer S. oa niiaaao.; ?aaeoeiy ?icaoeiooai?aiiy aeey
aeyaeaiiy eiioioeeoia, ui aeni?anothoue ?aoeaioi?e aei o?ieiiace
(Ao-?OE) ii Bratchik A. oa ciiaaao.; ?aaeoeiy ?icaoeiooai?aiiy aeey
aecia/aiiy eiioioeeoia, yei iathoue ?aoeaioi?e aei e?ia’yiiai oa
oeaieiiiai aeoeaaoi?a ieaciiiiaaio ii oeie aea iaoiaeeoei (Ae-?OE oa
Ao-?OE); ?aaeoeiy ?icaoeiooai?aiiy aeey aecia/aiiy ?aoeaioi?ia aei
o?iiaiio (Ao?-?OE) ia eioioeeoao ii Eonaeueiai I..; ?aaeoeiy
?icaoeiooai?aiiy c AA oa AAN nenoaiaie aeey aeyaeaiiy iiiioeeoia, yei
iathoue ?aoeaioi?e aei iioiiaeiaoeiia M oa G i ?aoeaioi?e aei N3
eiiiiiaioa eiiieiaioo (AA-?OI oa AAN-?OI) ii Pomans D. oa niaaao.

Iaoiaee aeineiaeaeaiiy o?iiaioeeoa?iiai oa eiaaoeyoeieiiai aaiinoaco,
oia?iiieico oa i?iaeoeoia ia?aeiaaoeyoei aeeth/aee: aecia/aiiy
aa?aaaoeieii aeoeaiinoi o?iiaioeeoia (aaiieicao-aa?aaaoeieiee oano) ii
Aa?eaaai E.C. oa niiaaao.; o?iiaiiaiai /ano ii Cipia A.; aecia/aiiy /ano
?aeaeueoeeoieaoei ieacie ii Bergerhof H., Roka L.; oiea?aioiico ieacie
aei aaia?eio ii Aaeoaea A.I. oa niiaaao.; i?iopiiaiiiaoro /ano
(i?io?iiaiiaee iiaeaen) ii Aeaoeieie A.I. oa niiaaao.; aeoeaiinoi
oia?iiace ii Aaeoaea A.I. oa niiaaao.; oia?iiieioe/ii aeoeaiinoi e?iai
ii Januszko T., Dubinska L.; oia?iiiaaio (OA) oa i?iaeoeoia aeaa?aaeaoe
oia?ii-oia?iiaaio (IAeO) c aeei?enoaiiyi iioiioa?iaioii oano-nenoaie.
Kpii oeueiai aeineiaeaeoaaeanue o?iiaiiiiiina?aaeeiaaia i?ieiaaoeyioia
oa oia?iiieioe/ia aeoeaiinoue eaeeioeeoia ii iaoiaeeoei Iaeaaeeea E.I.
oa niiaaao. o aeaniie iiaeeoieaoe. Aeno?aeoe neeciai iaieiiee apoixia,
ui io?eiaii i?e ayooici aiooaaeenue ca iaoiaeeeith Neiiao?iaa A.I. oa
niiaaao. a ?icaaaeaiiyo 1:10, 1:100, 1:500, 1:1000, 1:5000, 1:10000,
1:100000. Aeey aecia/aiiy aieeao aeno?aeoia ?icio eiioeaio?aoe ia
iieacieee ioiioaoo oa aaiinoaco i?e i?iaaaeaiii noaiaea?oii ?aaeoe c
e?ia’th caei?iaiai aeiii?a ia aoaii iinoaiiaee ?aaeoe aaiaeeeinue 0,05
(0,1) ie aeno?aeoo. Oeae iaoiaee/iee i?eeii (?icaaaeaiiy) aea
iiaeeeainoue ioeieoe aeoeaiinoue iioiieo, aaiieiaaoeyoeieieo oa
oia?iieioe/ieo aaaioa a oeaieii a?iioia, a oaeiae o noeenoue aei
?icaaaeaiiy.

iaaeyoe o?ieiace oai?ei ia OIA c iciaeaie OEN i?iaiaeeeeny c
aeei?enoaiiyi oeueo?acaoeiaiai iaaeyoi?a. Ia iaeio iaaeyoeth a?aee 30
ooieoeeiiaeueieo iaeeieoeue (OI) o?ieiiace ?ic/eiyee a 5,0 ie
oiceiai/iiai ?ic/eio, iaaeyoe ?iaeee ca caaaeueieie i?aaeeaie iaeei ?ac
ia aeaiue, eo?n neeaaeaany c 10 i?ioeaaeo?.

?acoeueoaoe aeanieo aeineaeaeaiue oa x iaaiai?aiiy

I?e aeineiaeaeaiii aeno?aeoia neeciai iaieiiee a?iioia o oai?eo ia OA
(iae. 1) aac i?iyaia eaaaiaai-na?oeaai iaaeinoaoiueinoi aaea o aeoiaeiie
eiioeaio?aoe 1:10 iaie anoaiiaeaii, ui aiie iathoue aeoaea aenieo
eiaaoeyoeieio oa o?iiaiieanoe/io aeoeainoue. Ia oea aeaco ?icueea
nei?i/aiiy /ano ?aeaeueoeeoeaoei ieacie (a 2,6 ?ace), iaeaeuaiiy
oiea?aioiino ieacie aei aaia?eio (a 5,4 ?ace), c?inoaiiy o?iiaiiiaiai
/ano (a 4,7 ?ace), caieueoaiiy i?io?iiaiiaiai iiaeaeno (a 1,3 ?ace),
iaeaeuaiiy aeoeaiinoi oia?iiace (a 2,3 ?ace). I?e oeueiio aeno?aeoe
neeciai iaieiiee a?iioia o oai?eo ia OA caa?aaee nai o?iiaiieanoe/ii
aeanoeainoi aei ?icaaaeaiiy 1:100000 (/an ?aeaeueoeeoieaoei ieacie),
1:10000 (o?iiaiiaee /an, oiea?aioiinoue ieacie aei aaia?eio, aeoeaiinoue
oia?iiace), 1:500 (i?io?iiaiiaee iiaeaen). C?inoaiiy o?iiaiiiaiai /ano
i?e ?icaaaeaiii 1:10 a 4,7 ?ace naiae/eoue i?i iayainoue aeayeiai
iioaioeiaeo aioeo?iiaiia (aioeeiaaoeyioia aeoeaiinoue) a neeciae
iaieiioei apiixia o oai?eo ia OA, ui i?iyaeyoueny aei ?icaaaeaiiy
1:10000.

Aeineaeaeaiiy ia?eoa?ieii epiai o oai?eo ia OA (iae. 2) aeinoiaipii
naiae/eoue i?i iiaeaeuaiiy ?iaiy oia?iiiaaio (ia 71,9% i?e ia?aeiiiio
ianoaaeaiii), iiii?iiio caieueoaiii oiapiioeioe/io aeoeaiino (ia 8,6%).
A oie aea /an aiaeii/aoueny aeinoiai?ia caieueoaiiy /ano, ui oa?aeoa?eco
nooiiiue oiea?aioiinoi ieacie aei aaia?eio (ia 8,7%). Oaea, ia ia?oee
iiaeyae, i?ioe?i//y aea iiaeeeainoue aeiionoeoe, ui o oai?eo ia OIA ciie
iieacieeia aaiieiaaoeyoe aiaeia?aaeathoue i?ioeane iineeaiiy
aioo?oiueinoaeeiiiai cai?oaiiy epoai c i?eoiaaiith eiaaoeiiaoith
aaeeaaiiy, ui aaeia?aaeaoueny oanoii oiea?aioinoue ieacie aei aaia?eio.
Ia iayainoue ioaineaii aioo?ioiueinoaeeiii aaiieiaaoeyoe aeaco oaeiae
iaeaeuaiiy a epiai o oai?eo ia OIA ?iaiy IAeO (ia 70,8%).

Ie?i aea/aiiy i?ieiaaoeyioii eaiee aaiinoaco o oai?eo ia OA iaie aoee
aeineiaeaeaii ooieoeiiiaeueii aeanoeainoi o?iiaioeeoia i anoaiiaeaii, ui
oeae iieaciee o oai?eo ia OA iaeaeuaiiee ia 32,5% (i?e iaaeoiaeaeaii ia
eeoaaiiy a noaoeiiia?), a i?e OEN noooai ia aae?iciyoueny aiae
aaeiiaiaeiiai iieacieea o oai?eo ia OA aac i?iyaia OEN. Aa?aaaoeieia
aeoeainoue aeno?aeoia iiaeaeuaia o oai?eo ia OA a ycix ?acaaaeaiiyo ia
106,3 — 44,2%, o oai?eo ia OA c eaaaiaai-na?oeaaith iaaeinoaoiinoth — ia
177,0 — 89,0% aeua ii?ie.

Ioeithth/e io?eiaii ?acoeueoaoe, iaiaoiaeii aiaeiioeoe, ui
o?iiaioeeoa?ia aeoeaaoeiy — oea ia?aeiia aeaoa?iiiaioa a?iioiniacio i
aiiepo?io aeaaeei ioneoeaoo?e aeeoaeueieo oeyoia i?e o?iii/ieo
a?iioi-iano?oeoeaieo caoai?thaaiiyo (Oaoa?nueeee O.P. oa niiaaao.,
1990). Neioecoth/ee naieie o?iiaioeeoaie oa ae?oaeie eeioeiaie o aiaieu
caiaeaiiy oaeoi?, ui aeoeao o?iiaioeeoe, iaeiei ic iaeaieueo iaaooiio
iioaioeiaeueieo niaciiaaiia; aeeeeea neeciaee iaa?ye ca ?aooiie
iiaeaeuaiiy noaeeiii i?iieeeeainoi; aeoeao “caiaeuei” eeioeie
(iae?ioaae, iaeo?ioiee, aiciioiee oa iioi); aieeaa ia ioeioeeeia?iee
eei?ain ca ?aooiie caieueoaiiy eieueeinoi oa iiai?oaiiy ?aieiai/ieo
aeanoeainoae neeco; iiaeooeth a?iioiaeueio aiia??aaeoeaiinoue (Morley J.
oa ciiaaao., 1986). Oiio iaeaeuaiiy aa?aaaoeieii aeoeaiinoi o?iiaioeeoia
epoai o oai?eo ia OA i?e iiaeiaii c ?iceei c?inoaiiyi aa?aaaoeieii
aeoeaiinoi oeaiei a?iioia noooaei oaeoi?ii i?ia?ano caoai?thaaiiy i
aaciina?aaeiueith i?e/eiith oi?ioaaiiy aioo?oiueinoaeeiieo
o?iiaioeeoa?ieo aa?aaaoia. Ca oeeo oiia aeieea
a?aaioaoeieii-?icoa?iaaiee oei ie?iaaiie?iaioieo. Oea, a eioeaaiio
iiaenoieo, iaoiiaeth iiaeaeuaiiy noaeeiiiai oiipy oa c?inoaiiy
ia?aaaioaaeaiue iiiea?aeo (Naoa?/oe .. oa niiaaao., 1990). Iaeiei ic
?acoeueoaoia iacai?ioiuei aa?aaaoe “a’yceee iaoaii?oic” o?iiaioeeoia,
ui noi?iaiaeaeooueny cia/iei iinooiaiiyi a iie?ioee?eoeyoeieia ?onei
aiieiai/ii aeoeaieo noano?aoia. Aeoeaaoeith o?iiaioeeoa?ii eaiee
aaiinoaco iiaeia oaeiae ca’ycaoe i c aeyaeaiei iaie iineeaiiyi ieaciiaeo
iaoaiiciia aaiieiaaoeyoe, ui iaeoaa?aeaeooueny i?aoeyie O.. Eiia?iaa oa
niiaaao. (1986).

Iaoyae/oth/ei oaeoi?ii, ui aieeaa ia iepeaia o?ii/iiai a?iioieaaaiaaiai
caiaeueiiai i?ioeano, iiaeia aaaaeaoe aeyaeaia iaie o oai?eo 1- a?oie
caieueoaiiy ia 71,9-159,4% ciinoo oia?iiaaio a e?iai. Iaeaeuaiiy a e?iai
oeueiai i?ieiaaoeyioo o oai?eo c caiaeueiei ooeiaeaeaiiyi eaaaiaai
oeaieie, a eio?ie caeienithoueny cao?eiea oa ?oeioaaiiy iae aeith
oia?iiace aai oia?iiiaeano?oeoace oia?iiiaaio, aoaea noi?iaiaeaeoaaoeny
iineeaiiyi i?ioeania aaiieiaaoeyoei. Aaenooinoue c?inoaiiy ?iaiy
ieaciiiiiai oia?iiiaaio o oai?eo ia OEN a ii?iaiyiii c 1-th a?oiith
oai?eo iiaeia ca’ycaoe c iiieaeaiiyi aieeiaineioecoth/i ooieoe ia/iee
i?e ipoa?anoaaii iaaeinoaoiueinoi epiaioairy (?aiaiiee I.., 1984).

Iaie anoaiiaeaii, ui o oai?eo ia OA neeciaa iaieiiea a?iioia ia aenieo
oia?iiieioe/io aeoeainoue, a 2,9 ?ace ia?aaeuoth/o oiciieiai/iee
?iaaiue. Oea ?icoeiiaii ye iaoaiici naiiaaiaco, ui iai?aaeaiee ia
ciaiueoaiiy oia?iiiaeo aiaeeeaaeiaiue, yei iniiaith aeey ?icaeoeo
iiaaiineea?ico i onoaoaeaiiy aeeoaeueii iaaeinoaoiueinoi. Oaeiae
anoaiiaeaii, ui o oai?eo 3- a?oie noieeinoue aeoeaaoi?ia oia?iieico aei
?icaaaeaiiy iaaeniea. A aieueo iecueeeo eiioeaio?aoeiyo (1:10000
1:100000) o ieo aaea niinoa?iaaoueny aioeoia?iiieioe/iee aoaeo. A o?aoe
cepi aeineiaeia c aiaeiaoeiiiaei oanoii, yeee aaeia?aaea aeienio
oia?iiieioe/io aeoeaiinoue oeaieie neeciai iaieiiee, ui neeaaeaoueny c
acaiiae iiae aeoeaaoi?aie oa iiaiaioi?aie oia?iieico, o oai?eo 3- a?oie
anoaiiaeaii iiieaeaiiy oia?iiieioe/ii aeoeaiinoi aeno?aeoia aei
187,95,3%. Oea aeinoiai?ii ieae/a (?<0,05) a ii?iaiyiii c aiaeiai/ieie iieacieeaie a ae?oaie cepi aeineiaeia (211,37,8%). Inoaii naae/eoue i?i iayainoue a oeaieiao neeciai iaieiiee a?iixia aeayei eieueeinoi iiaiaioipia oia?iiieioe/iiai i?ioeano. ?icaeoie o oai?eo ia OA OEN (oaipi 4- a?oie) noi?iaiaeaeooueny noooaei ii?ooaiiyi oia?iiieico, ui oa?aeoa?ecooueny cieaeaiiyi oia?iieioe/ii aeoeaiino aeno?aeoia a 2-3 ?ace a ii?iaiyiii c oai?eie 3- a?oie, ianoieeinoth aeoeaaoi?a aei ?icaaaeaiiy (caa?iaaoueny eeoa aei ?icaaaeaiiy 1:100), aaenooinoth aeinoia?iiai ?aaoethth/iai aieeao ia oia?iiieic iiaiaioopia oeueiai i?ioeano. Oeae aeenaaeain ?icoeithoueny iaie aaea ye eaiea iaoiaaiaco OEN, yea iiniaey i?ia?ano iiaaiineea?ioe/iiai i?ioeano oa ie?ioee?eoeyoi?iei ii?ooaiiyi a a?iioieaaaiaaie nenoaii. Iaoi aeineiaeaeaiiy oaeiae aeieoiaioothoue, ui ii?ooaiiy iinoeaaeo oia?iiieioe/ieo i?ioeana o oai?eo ia OA ?aaecothoueny ia oei caaaeueieo, nenoaiieo ciii oa?iiieioe/ieo ?aaeoee. Oiaoi, yeui a oaci caaino?aiiy OA ia iinoea iii?ia aeoeaaoeiy nenoaiiiai oia?iiieico, oi o oci6 c OEN caaaeueiee oa?iiieoe/iee iioaioeiae cieaeooueny. Oea noai?th iaoiaaiaoe/io i?aaeoiiao aeey iie?ioee?eoeyoi?ieo ii?ooaiue aaea ia oeueee a a?iioieaaaiaae nenoaii, aea i a ioeo i?aaiao oa nenoaiao. Aoaeoeainoue oa?iieco caeaaeeoue ia eeoa aiae oa?iieoe/ii aeoeaiino oeaiei oa e?ia, aea e aae aeanoeainoae naiiai oa?io (Neeiao?ia A.I., 1989). I?e aeineiaeaeaii oa?iicieo yeinoae oeaiei neeciai iaieiiee a?iioia ie aeyaeee, ui aiie inoyoue oeaieiio oa?iaco. I?e oeueiio o oai?eo ia iaoneeaaeiaii oi?ie OA aeoeaiinoue oa?iinoaaeicoth/iai oaeoi?o a aeno?aeoao aoea aeueoa iae a ii?i ia 130,7%, a a nenoaiiiio e?iaioioe noooai ia aae?iciyeanue aiae oiciieia/iiai ?aiy. O oai?eo c OEN aeoeainoue oa?iace a aeno?aeoao aoea aeuith ia 187,8% i noi?iaiaeaeoaaeanue iaeaeuaiiyi aeoeaiinoi oeueiai oa?iaioo a ia?eoa?ieiiio e?iaioioei. Oei aeaii, ia iaoo aeoieo, aiaeia?aaeathoue aeeaeio iie?ioei?eoeyoi?ii “eaoano?ioe” ia piaii i?aaiiciy i?e ?icaeoeo OEN. Io?eiaii iaie aeaii i?i oia?iiieioe/io aeoeaiinoue oeaiei a?iioia o oai?eo ia OA aeicaieythoue noaa?aeaeoaaoe, ui oia?iiieioe/i i?ioeane a a?iioao ia iiaeooue noooai noeioeueiaaoe oia?iiieic e?iai. Ioaea, aeoeaaoi?e oia?iieico, ui iaaeoiaeyoue a e?iaioie ic oeaieiii ?iaeeie, oaeaeei ao?a/athoue naith aeoeaiinoue i?e ?icaaaeaiiyo i ia iiaeooue i?eaanoe aei ooai?aiiy cia/ii eeueeino ieaciio, ui caeaoiee ?oeioaaoe oia?iiiaai oa iioi oaeoi?e cai?oaiiy. ?acii c oei o oai?eo ia OEN iaie ca?ano?iaaia iaaecae/aeii aeniea oia?iecia aeoeaiinoue oeaiei a?iioia, yea iiaea noooai iiaeaeueoe oia?iinoaaieicoth/i yeinoi epiai. Anoaiiaeaii, ui iepeaia OA oa?aeoa?ecooueny caieueoaiiyi eieueeinoi eiioioeeoia, ui aeni?anothoue ?aoeaioi?e aei oa?iaioiiai oaeoi?a cai?oaiiy — o?iiaiio (iae. 3). sseui o caei?iaeo ocia eieueeinoue Ao?-?OE iaaaeeea — 1,60,4%, oi o oai?eo ia OA oeae iieaciee iaeaeuaiee ia 418,8-268,8%, a o oai?eo ia OA c eaaaiaai-na?oeaaith iaaeinoaoinoth — ia 684,3-606,3%. Iiaeia i?eionoeoe, ui eiioioeeoe, ye “ica?ii” o?iiaiii in loco morbi, ?icei iiiythoue ooieoeiiiaeueio aeoeainoue oia?iaeanoia c iaeaeuaiiyi i?ieiaaoeyioiiai (a aieueoie iipi) i oia?iieioe/iiai (a iaioie iipi) iioaioeiaeia eeioei oa x neioaoe/ii aeoeaiinoi (Iaeaaeee E.I. oa niiaaao., 1963). C iiooao aieo, noieoniaaia iia?aoeiy o aiaieua caiaeaiiy iioiioeeoia, yei ianooue ia co6i o?iiaii, aoaea iineethaaoe eieaeueio aaiieiaaoeyoeith, oiio ui iaaioue iaaaeeei eiioeaio?aoei o?iiaiio (iai?eeeaae oaea, ui aeeeeeaa cai?oaiiy ieacie ca 10-12 nae) ca aeaieie Aa?eaaaia C.N. (1988) ni?eythoue iiaiie o?ainoi?iaoe oia?iiaaio a oia?ii. Aacoiiaii, ui aeenaaeain aaiieiaaoeyoe oa oia?iiieico a aie ia?aaaae i?ioeania cai?oaiiy o oai?eo ia OA iiaeeaeth aeyaeaia iaie cieaeaiiy eieueeinoi eiioioeeoia, ui aeni?anothoue ?aoeaioi?e aei aeoeaaoipia ieaciiiiaaio oeaieiiiai, e?ia’yiiai oa na/aaiai oeiia a nenoaiiiio e?iaioioei (a ii?iaiyiii c ii?iith o oai?eo ia OA eieueeinoue Ao-?OE ciaioeeanue a 1,5 ?ace, Ae-?OE — a 1,3 ?ace, Ao-?OE - a 2,2 ?ace). Aeacaia ii?ooaiiy nenoaiii ?aaoeyoe iioiioeeoaie oia?iiieico aeiiiaithoueny ciaioaiiyi oia?iiieioe/ii aeoeaiinoi eiioioeeoia ia piaii neeciai iaieiiee a?iioia. Inoaii iiaeoaa?aeaeooueny iaiaoth/ei aieeaii aeno?aeoia neeciai iaieiiee a?iioia ia eecipecith eiioioeeoaie ?aoeaioi?ia aei e?ia’yiiai oa na/aaiai aeoeaaoi?ia ieaciiiiaaio o oai?eo 3- oa 4- a?oi. Aeyaeaia iaie cieaeaiiy eieueeinoi AAN-?OI a nenoaiiiio e?iaioioei a 1,2 ?ace o oai?eo 1- a?oie oa a 1,6 ?ace o oai?eo 2- a?oie aoaea ia?aoeiaeaeaoe ia?o ca ana ii?iaeueiiio eei?aino oee?eoethth/eo iioiieo eiiieaena, eieueeinoue yeeo o oai?eo ia OA c?inoa (IooiaI.A. oa niiaaao., 1992). C iooao aieo, aeno?aeoe neeciai iaieiiee a?iioia o oai?eo ia OA a ii/aoeiaeo ?ic/eiaiiyo (1:10, 1:100, 1:500) iathoue caeaoinoue noeioethaaoe aeni?anth iiiioeeoaie ?aoeaioi?e aei N3 eiiiiiaioa eiiieaiaioo ia 16,3-12,7%, ui ia yaii naiiaaiaoe/iee iai?yi. O oai?eo aea c OEN aeno?aeoe i?aeoe/ii o acix eiioeaio?aoeyo noieei cieaeothoue eieueeicoue AAN-?OI. Oea ia, ia iaoo aeoieo, aaea iaoiaaiaoe/iee oa?aeoa?, oae ye oey neooaoeiy ni?ey iineeaiith iioiieiiieaenii neeaaeiai iaoiaaiaco o?iii/iiai caiaeueiiai i?ioeano a a?iioi-eaaaiaaie nenoaii. Ooieoeiiiaeueio iaiiaiioeiiiinoue iiiioeeoia o oai?eo ia OA aeiiiaith aeyaeaia iaie cieaeaiiy a epoai /enaeueiinoi iiiioeeoia, ye aeni?anothoue ?aoeaioi?e aei Fc-o?aaiaioo iioiiaeiaoeiiia M oa G ia13% o oai?eo 1- a?oie i ia 55,5% o oai?eo 2- a?oie. I?e oeueiio o oai?eo ia OA aac i?iyaia OEN aeno?aeoe neeciai iaieiiee a?iioia iathoue aeanoeainoi noeioeueiaaoe ooai?aiiy iiiioeeoaie AA-?icaoie, oi/a oaeoi?e, ui iiniaethoue oeueiio, aeineoue iecoeei aei ?icaaaeaiiy i ipoyaeythoue naith aeith eeoa a eiioeaio?aoe 1:10 i 1:100. O oai?eo c OEN aeno?aeoe iaiaothoue ooai?aiiy AA-?OI aei ?icaaaeaiiy 1:5000 aeeth/ii. Oaeei /eiii, iaie anoaiiaeaia nenoaiii-?aaiia?ia (e?ia-neeciaa iaieiiea apiioia) aeene?aoinoue ooieoeiiiaeueii aeoeaiinoi iiiioeeoia o oai?eo ia OA oa aaenooinoue oaei i?e oi?ioaaiii OEN. ?acoeueoaoe iaoeo aeineiaeaeaiue iieacaee, ui o oai?eo c OEN no?aaeaea i?ieiaaoeyioia oa oia?iiieioe/ia aeoeainoue eaeeioeeoia. Ioaea, a ii?iaiyiii c a?oiith caei?iaeo ocia oa a?oiith oai?eo ia OA o oai?eo c iayainoth OEN eaeeioeeoe iiae aieeaii o?iiaiio ia ae?iaeythoue niieo/aiiy, yei nei?i/othoue o?iiaiiaee /an, a oaeiae i?ioaiace, ye ciaioothoue /an eicino aoaeiaoeiiaiai caonoeo. Aiaeicoth/e oei oaeoe, iaiaoaeii iaee?aneeoe, ui ethaee iioeiaeaeoth/ee aaaio iiaeiai i?eaiaeeoe aei aecaieaiiy o?iiaiieanoeio aai o?iiaiieanoei/aoeo noanoaioeie c iaia?ai iioiieiiiaoaioieo eeioei, ui a eioeaaiio ?acoeueoaoi caionea eaneaaeiee iaoaiici cai?oaiiy e?iai c ooai?aiiyi o?iiaiio. Inoaiiie i?ioaieioe/iei oa?iaioii, yeee ia?aaiaeeoue oia?iiiaai o oia?ii. ?acii c oei, iiae aieeaii o?iiaiio cia/ii aeoeaooueny eeioeiiee iioiioao, ui noi?iaiaeaeooueny, c iaeiiai aieo, aecaieaiiyi aeoeaieo o?iiaiieanoe/ieo niieo/aiue, c ae?oaiai — aeaeieaiiyi i?iaeoeaaoi?a oa aeoeaaoi?a ieaciiiiaaio, ye “iaoeieai” ia ?oeioaaiiy oia?iiiaeo caonoeia (Iaeaaeee E.I. oa cniaaao., 1983; Eociie A.. oa niiaaao., 1989). Iiaeii aaaaeaoe, ui ciiie i?ieiaaoeyioii oa oia?iieioe/ii aeoeaiinoi eaeeioeeoia aaaeeeaei iaoiaaiaoe/iei iaoaiiciii o oi?ioaaiii OEN, iioi?iaoeaiei eaai?aoi?iei ia?ea?ii oeueiai iaoieiai/iiai noaio i ua iaeiei iiaeoaa?aeaeaiiyi ii?ooaiue iioiii peaoeyoei aaiinoaco o oai?eo ia OEN. A aenia?aiaio c aaaaeaiiyi ?ic/eio o?ieiiace a ?aaeoe iiiioeeoa?iiai ?icaoeiooai?aiiy c e?ia'th oai?eo c OEN iaie anoaiiaeaii, ui na/aaee aeoeaaoi? ieaciiiiaaio noeioeth aeni?anith iiiioeeoaie ?aoeaioi?ia aei N3 eiiiiiaioa eiiieiaioo ia 38,0%, ui oaeoe/ii aeieaco iioiiaeoeaio aeth aeaiiai eiea?nueeiai i?aia?aoo. ?icoeo?iaea iaoaiicio oei ae iio?aao iiaeaeueoeo iaoeiaeo aeineaeaeaiue. Iiaeia aeiionoeoe, ui oeae aoaeo iia’ycaiee c aeaaeieoaaiiyi ?aoeaioi?iiai iiey iiiioeeoia. I?e aeei?enoaiii o oai?eo c OEN aeanyoeaeaiiiai eo?no iiaaeyoeie ?ic/eia o?ieiiace anoaiiaeaii iaeaeuaiiy oia?iiieioe/ii aeoeaiinoi epiai (11,6%), /enaeueiino AAN-?OI (ia 31,6%), cieaeaiiy eieueeinoi a e?iai OA (ia 21,8%) oa IAeO (ia 27,9%), /iai ia niinoa?iaaeinue a a?oii oai?eo c OEN, yei io?eioaaee o?aaeeoeieiee eo?n eieoaaiiy aac canoinoaaiiy oia?iiieioeeia. Oea noaei iaea?oioyi aeey ?aeiiaioeaoee ii aeeth/aiith a eiiieaen eieoaaeueieo caoiaea aeey oai?eo c OEN (aec epiaoxapeaiiy a aiaiiaci) eo?no iiaaeyoeie ?ic/eiii o?ieiace c iaoith ei?aeoe aaii?aieiai/ieo ii?ooaiue oa noeioeyoe oaaioeeoa?ii eaiee iioiioaoo. AENIIAEE 1. Noieeinoue aei ?icaaaeaiiy iioiiaeoeaieo, i?ieiaaoeyioieo oa o?iiaiieanoe/ieo oaeoi?ia neeciai iaieiiee a?iioia o oai?eo ia OA naae/eoue i?i noooaee aieea oeeo oaeoi?ia (yeee c?inoa i?e oi?ioaaiii o?iii/iiai eaaaiaaiai na?oey) ia ?icaeoie aoi?eiii iioiieiai/ii iaaeinoaoiueino oa nenoaiio aaiieiaaoeyoeth. 2. Aaaeeeaith eaieith iaoiaaiaco OA nenoaiii-?aaiia?ia (e?ia-oeaieia a?iioia) aeene?aoiinoue aia?eiaaoeyoe c cia/iith ia?aaaaith inoeaaeo i?ioeania aioo?oiueinoaeeiiiai cai?oaiiy e?iai c i?eoiaaiith eiaaoeiiaoith aaeeaaiiy. 3. Noooaei iaoaiiciii oi?ioaaiiy OEN o oai?eo ia OA ii?ooaiiy ye nenoaiii, oae i ?aaioiapii (oeaieia a?iioia) iioiii ?aaoeyoe aaiinoaco, ui oa?aeoa?ecoony caeueoaiiyi eeueeino o?iiai-?icaoeiooai?thth/eo eioioeeoia c ia?aeaeueiei cieaeaiiyi /enaeueiinoi eioioeeoa, ui aeni?anothoue ?aoeaioi?e aei aeoeaaoi?ia ieaciiiaaio. 4. O oai?eo ia OA a i?ioeani oi?ioaaiiy eaaaiaai-na?oeaai iaaeinoaoiinoi ao?a/aoueny o?iiaiiiiina?aaeeiaaiee aieea eaeeioeeoa ia aaiieiaaoeyoeieiee iioaioeiae epoai, ui iiaea aooe aeei?enoaii aeey eaai?aoi?ii-aeiaaiinoe/iiai e?eoa?iy ?icaeoeo OEN. 5. Aaaaeaiiy ?ic/eio o?ieiiace a ?aaeoe iiiioeeoa?iiai ?icaoeiooai?aiiy c e?ia'th oai?eo c OEN noi?iaiaeaeooueny noeioeyoeith aeni?an iiiioeeoaie ?aoeaioi?ia aei N3 eiiiiiaioa eiiieaiaioo. 6. iaaeyoeieia canoinoaaiiy o?ieiiace o oai?eo c OEN i?eaiaeeoue aei ei?aeoe aaii?aieiai/ieo ii?ooaiue oa noeioeyoe oaaioeeoa?ii eaiee iioiioaoo. I?AEOE*I ?AEIIAIAeAOe 1. Aeey eopeeoe iie?ioee?eoeyoi?ieo ii?ooaiue oa noeioeyoe ooieoeiiiaeueii aeoeaiinoi iiiioeeoia o oai?eo ia OA c eaaaiaai-na?oeaaith iaaeinoaoinoth aac e?iaioa?eioeiiy a aiaiiaci i?iiiiooueny aeanyoeaeaiiee eo?n (ii iaeie i?ioeaaeo?i a aeaiue) iiaaeyoeie ?ic/eio o?ieiace a ?aciaie aeic 30 OI a 5,0 ie oicieiai/iiai ?ic/eio (c aeei?enoaiiyi oeueo?acaoeiaiai iaaeyoi?o). 2. Aeey aeiaaiinoeee oi?ioaaiiy eaaaiaaiai na?oey o oai?eo ia OA ?aeiiaiaeooueny aeei?enoiaoaaoe eaai?aoi?ii-neiioiiaoe/iee eiiieaen, ui oa?aeoa?ecooueny ao?aoith caeaoiinoi eaeeioeeoia iiae aieeaii o?iiaiio nei?i/oaaoe o?iiaiiiaee /an ieacie oa iaeaeuoaaoe oia?iieioe/io aeoeaiinoue ieacie. NIENIE IIOAEEIAAIEO ?IAO CA TEMOTH AeENA?OAOe 1. Oeaaaaa I.A. Eiioiiua, oea?eiieeoe/aneea, aaiieiaaoee?othuea naienoaa neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei eaai/iui na?aeoeai // Oe?. ioeueiiiieiae/aneee aeo?iae. -1998. -?1. -N.53-55. 2. Oeaaaaa I.A. Eciaiaiey oea?eiieeoe/aneeo, aaiieiaaoee?othueo e eiioiiuo naienoa neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei a?iioeoii // Aanoiee oeceioa?aiee e eo?i?oieiaee. -1998. -? 1. -N. 38-39. 3. Oeaaaaa I.A. Oea?eiieeoe/aneea, aaiieiaaoee?othuea e eiioiiua naienoaa neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei a?iioeoii // Aeooaeueiua aii?inu eo?i?oieiaee, oeceioa?aiee e iaaeeoeeineie ?aaaeeeoaoeee: O?oaeu E?uineiai ?anioaeeeaineiai IEE ei. E.I.Na/aiiaa. -sseoa, 1997. -Oii VIII. -N.109-114. 4. Oeaaaaa I.A. Eiaaeyoeee ?anoai?a o?ieeiacu iiaue iaoiae ei??aeoeee ia?ooaiee iee?ioee?eoeyoeee o aieueiuo n o?iie/aneei eaai/iui na?aeoeai // Aeooaeueiua aii?inu eo?i?oieiaee, oeceioa?aiee e iaaeeoeeineie ?aaaeeeoaoeee: O?oaeu E?uineiai ?anioaeeeaineiai IEE ei. E.I.Na/aiiaa. -sseoa, 1997. -Oii VIII. -N.114-119. 5. Oeaaaaa I.A. Eniieueciaaiea eiaaeyoeee ?anoai?a o?ieeiacu aeey ei??aeoeee ia?ooaiee iee?iaaiioee?eoeyoeee o aieueiuo o?iie/aneei eaai/iui na?aeoeai: Eioi?iaoeeiiiia ienueii. - sseoa, 1996. - 2 n. 6. Oeaaaaa I.A. Aeoeaiinoue oeaiaauo aaiieiaaoee?othueo e oea?eiieeoe/aneeo yiceiia neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei a?iioeoii // Aeooaeueiua aii?inu iaiaaeeeaiaioiyiiai ea/aiey caaieaaaiee i?aaiia aeuoaiey, na?aea/ii-ninoaeenoie e ia?aiie nenoai: Iaoa?eaeu Oe?aeineie iao/ii-i?aeoe/aneie eiioa?aioeee n iaaeaeoia?iaeiui o/anoeai / Iiae ?aaeaeoeeae N.N.Nieaeao/aiei. -sseoa, 1996. -N.53-54. 7. Oeaaaaa I.A. O?iie/aneia eaai/iia na?aeoea eae oaeoi? ioyaiuaiey aeenooieoeee oaaioeeoica o aieueiuo o?iie/aneei a?iioeoii // Aeooaeueiua aii?inu aeaoneie eo?i?oieiaee: Iaoa?eaeu thaeeaeiie eiioa?aioeee, iinayuaiiie 60-eaoeth Aaiaoi?eeneiai aeaoneiai eo?i?oa. - Aaiaoi?ey, 1996. - N.80. 8. Oeaaaaa I.A. Oea?eiieeoe/aneea naienoaa yeno?aeoia neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei eaai/iui na?aeoeai // Oacenu aeieeaaeia iao/ii-iaaeeoeeineie eiioa?aioeee, iinayuaiiie iaiyoe i?ioanni?a A.O. Aieii-ssnaiaoeeiai. - Neioa?iiieue, 1996. - N. 42. 9. Oeaaaaa I.A. Iniaaiiinoe ianoiiai (oeaiue a?iioia) o?iiaioeeoa?iiai aaiinoaca o aieueiuo o?iie/aneei eaai/iui na?aeoeai // Aeai. a AIOA Oe?aeiu, ? 1877. - Oe96. - 3 n. 10. Oeaaaaa I.A. O?iiaeiiiin?aaeiaaiiay i?ieiaaoeyioiay aeoeaiinoue eaeeioeeoia o aieueiuo o?iie/aneei a?iioeoii // Aeai. a AIOA Oe?aeiu, ?1878. - Oe96. - 5 n. Oeaaaa I.A. Aaiieiaaoethth/, oa?iieoe/i oa ioii aeanoeaino neeciai iaieiiee a?iioa o oai?eo ia o?ii/iee a?iioo. - ?oeiien. Aeena?oaoey ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoeaeueinoth 14.01.27 — ioeueiiiieiay. — E?einueeee ?anioaeeainueeee iaoeiai-aeineiaeiee iinoeooo oice/ieo iaoiaeia eieoaaiiy oa iaaee/ii eeiiaoieia i .I. N/aiiaa, sseoa, 1999. Aeena?oaoey i?enay/aia aea/aith aaiieiaaoethth/eo, oa?iieoe/ieo oa iiyiieo aeanoeainoae neeciai iaieiiee apoixia o niianoaaeaiii c nenoaiiei aaiieiaaoethth/ei oa iioiiei iioaioeiaeii o oai?eo ia o?ii/iee a?iioo a i?ioeani oi?ioaaiiy o?ii/iiai eaaaiaaiai na?oey. Anoaiiaeaii, ui ia?aaa o?ii/iiai a?iiooo oa?aeoa?ecooueny cia/iith ia?aaaaith inoeaaeo (oeaieia a?iioa) o?iiaioeeoa?ii-eiaaoethth/eo oa iiyiieo ii?ooaiue iaae nenoaiieie. Aieea i?ieiaaoeyioieo, o?iiaiieanoe/ieo oa ioiieo iioaioeaea e?ia o oai?eo ia o?ii/iee a?iioo c?inoa a i?ioean oi?ioaaiiy o?ii/iiai eaaaiaaiai na?oey. Aeiaaaeaii iiceoeaiee eei/iee aoaeo iaaeyoee ?ic/eio o?ieiiace aeey ei?aeoe aaii?aieiai/ieo ii?ooaiue oa noeioeyoe oaaioeeoa?ii eaiee iioiioaoo o oai?eo c o?ii/iei eaaaiaaei na?oeai. Eeth/iai neiaa: o?iii/iee a?iioio, aaiinoac, oia?iiieic, iioiioao. Shibaeva N.A. Hemocoagulating, fibrinolytin and immune properties of bronchial mucous membrane in patients with chronic bronchitis. The dissertation is for a scientific degree of Candidate of Medical Sciences on the speciality of pulmonology - 14.01.27. Crimean Republican Research Institute of Physical Methods of Treatment and Medical Climatology named after I.M. Sechenov, Yalta, 1999. The work is devoted to the study of hemocoagulating, fibrinolytic and immune properties of bronchial mucous membrane in comparison with systemic hemocoagulation and immune potential in patients with chronic bronchitis in the ?ainass of forniation of chronic cor pulmonale. It was established that the course of chronic bronchitis was characterized by sharp predominance of local (bronchial tissue) thrombocyto-coagulational and immune disturbances over the systemic ones. The effect of pro-coagulant, thromboplastic and immuno-active factors of bronchi upon general hemocoagulational and immune potential of blood in the patients with chronic bronchitis increases in the process of chronic cor pulmonale formation. A positive clinical effect was proved for the inhalations of urokinase solutions to correct hemorheologic disturbances and to stimulate phagocytic link of immunity in the patients with chronic cor puluonale. Key-words: chronic bronchitis, hemostasis, fibrinolysis, immunity. Oeaaaaa I.A. Aaiieiaaoee?othuea, oea?eiieeoe/aneea e eiioiiua naienoaa neecenoie iaiei/ee a?iioia o aieueiuo o?iie/aneei a?iioeoii. - ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.27 — ioeueiiiieiaey. E?uineee ?acioaeeeaineee iao/ii-enneaaeiaaoaeueneee einoeooo oece/aneeo iaoiaeia ea/aiey e iaaeeoeeineie eeeiaoieiaee ei. E.I.Na/aiiaa, sseoa, 1999. A ?acoeueoaoa i?iaaaeaiiuo enneaaeiaaiee onoaiiaeaii, /oi eiioiiaeoeaiua, i?ieiaaoeyioiua e o?iiaiieanoe/aneea oaeoi?u neecenoie iaiei/ee a?iioia nouanoaaiii aeeytho ia ?acaeoea aoi?e/iie eiioiieiae/aneie iaaeinoaoi/iinoe e nenoaiioth aaiieiaaoeyoeeth o aieueiuo o?iie/aneei a?iioeoii (OA), iniaaiii i?e oi?ie?iaaiee o?iie/aneiai eaai/iiai na?aeoea. Aaaeiui caaiii iaoiaaiaca OA yaeyaony nenoaiii-?aaeiia?iay (e?iaue-oeaiue a?iioia) aeene?aoiinoue aeia?eiaaoeyoeee n ?aceei i?aiaeaaeaieai ianoiuo i?ioeannia aioo?eninoaeenoiai naa?ouaaiey e?iae ni ne?uoie eiaaoeiiaoeae iio?aaeaiey. A oi?ie?iaaiey o?iie/aneiai eaai/iiai na?aeoea o aieueiuo OA nouanoaaiiui iaoaieciii yaeyaony ia?ooaiea eae nenoaiiie, oae e ?aaeiia?iie (oeaiue a?iioia) eiioiiie ?aaoeyoeee aaiinoaca, oa?aeoa?ecothuaany i?ia?anne?othuei oaaee/aieai /enea o?iiaei?icaoeiia?acothueo eeioioeeoia n iaeiia?aiaiiui nieaeaieai niaea?aeaiey eeioioeeoia, yeni?anne?othueo ?aoeaioi?u e aeoeaaoi?ai ieacieiiaaia. O aieueiuo OA a i?ioeanna oi?ie?iaaiey eaai/ii-na?aea/iie iaaeinoaoi/iinoe oo?a/eaaaony o?iiaeiiiina?aaeiaaiiia aeeyiea eaeeioeeoia ia aaiieiaaoeyoeeiiiue iioaioeeae e?iae, /oi iiaeao auoue eniieueciaaii a ea/anoaa eaai?aoi?iiai aeeaaiinoe/aneiai e?eoa?ey ?acaeoey o?iie/aneiai eaai/iiai na?aeoea. Aaaaeaiea ?anoai?a o?ieeiacu a ?aaeoeee iiiioeeoa?iiai ?icaoeiia?aciaaiey n e?iaueth aieueiuo o?iie/aneei eaai/iui na?aeoeai nii?iaiaeaeaaony noeioeyoeeae yeni?annee iiiioeeoaie ?aoeaioi?ia e N3 eiiiiiaioo eiiieaiaioa. A eoiaa naeaeai auaiae, /oi oa/aiea OA oa?aeoa?ecoaony ?aceei i?aiaeaaeaieai ianoiuo (oeaiue a?iioia) o?iiaioeeoa?ii-eiaaoeyoeeiiiuo e eiioiiuo ia?ooaiee iaae nenoaiiuie, i?e yoii aeeyiea i?ieiaaoeyioiuo e o?iiaiieanoe/aneeo oaeoi?ia a?iioia ia iauee aaiieiaaoeyoeeiiiue iioaioeeae e?iae nouanoaaiii aic?anoaao a i?ioeanna oi?ie?iaaiey o?iie/aneiai eaai/iiai na?aeoea. ?acaeoea eaai/ii-na?aea/iie iaaeinoaoi/iinoe o aieueiuo OA nii?iaiaeaeaaony oaeoaeaieai aeenooieoeee eeaoi/iiai eiioieoaoa ia nenoaiiii e ?aaeiia?iii (oeaiue a?iioia) o?iaiyo, aeeth/ay ia?ooaiey eiioiiie ?aaoeyoeee aaiinoaca. A ea/anoaa eaai?aoi?iiai aeeaaiinoe/aneiai e?eoa?ey oi?ie?iaaiey o?iie/aneiai eaai/iiai na?aeoea o aieueiuo OA ?aeiiaiaeiaaii eniieueciaaoue eaai?aoi?iue neiioiiieiiieaen, oa?aeoa?ecothueeny iioa?ae niiniaiinoe eaeeioeeoia iiae aeeyieai o?iiaeia oei?a/eaaoue o?iiaeiiaia a?aiy ieaciu e iiauoaoue aa oea?eiieeoe/aneoth aeoeaiinoue. Aeey ei??aeoeee iee?ioee?eoeyoi?iuo ia?ooaiee e noeioeyoeee ooieoeeiiaeueiie aeoeaiinoe iiiioeeoia o aieueiuo OA n eaai/ii-na?aea/iie iaaeinoaoi/iinoueth ?aeiiaiaeoaony 10-aeiaaiue eo?n (ii 1 i?ioeaaeo?a a aeaiue) eiaaeyoeee ?anoai?a o?ieeiacu a ?aciaie aeica 30 ooieoeeiiaeueiuo aaeeieoe a 5,0 ie oeceieiae/aneiai ?anoai?a. Eniieueciaaiea o?ieeiacu a aeaea eiaaeyoeee o aieueiuo OA n o?iie/aneei eaai/iui na?aeoeai i?eaiaeeo e ei??aeoeee aaii?aieiae/aneeo ia?ooaiee e noeioeyoeee oaaioeeoa?iiai caaia eiioieoaoa. Eeth/aaua neiaa: o?iie/aneee a?iioeo, aaiinoac, oea?eiieec, eiioieoao.

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