I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

A?iieoeueeee aea?aeaaiee iaaee/iee

oi?aa?neoao ?i. I.?.Ie?iaiaa

Aao-Aoaeo OEeae Iooaiaae ae?

OAeE 618.3-002.3-084-037-089.168.1

Ai?eii-caiaeuei? caoai?thaaiiy i?eaeaoe?a iaoee, oaeoi?e ?eceeo, i?iaiic
? i?io?eaeoeea oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae?

14.01.01 – Aeooa?noai ? a?iaeieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy

iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

A?iieoey — 1999

Aeena?oaoe?y ? ?oeiienii.

?iaioa aeeiiaia ia eaoaae?? aeooa?noaa oa a?iaeieia?? ?1 A?iieoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.?.Ie?iaiaa IIC Oe?a?ie

Iaoeiaee ea??aiee:

Aeieoi? iaaee/ieo iaoe, i?ioani? Iaci?/oe Ai?en Oaaei?iae/, A?iieoeueeee
aea?aeaaiee iaaee/iee oi?aa?neoao ?i. I.?.Ie?iaiaa, caa?aeoaa/ eaoaae?e
aeooa?noaa oa a?iaeieia?? ?1

Io?oe?ei? iiiiaioe:

— aeieoi? iaaee/ieo iaoe, i?ioani? Cae?inueeee Ieaenaiae? Ieaen?eiae/,
caa?aeoaa/ eaoaae?e ia?eiaoaeueii? iaaeeoeeie, aeeoy/i? oa i?aee?oeiai?
a?iaeieia?? Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo IIC
Oe?a?ie;

— aeieoi? iaaee/ieo iaoe, i?ioani? THcueei Ieaenaiae? Ieoaeeiae/,
caa?aeoaa/ eaoaae?e aeooa?noaa oa a?iaeieia?? Aoeiaeinueei? aea?aeaaii?
iaaee/ii? aeaaeai?? IIC Oe?a?ie.

I?ia?aeia onoaiiaa: Euea?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i.
Ae.Aaeeoeueeiai IIC Oe?a?ie, eaoaae?a aeooa?noaa oa a?iaeieia?? ?1

Caoeno aeena?oaoe?? a?aeaoaeaoueny “26” _aeiaoiy_ 1999 ?ieo i 12 aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E05.600.01 i?e A?iieoeueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? ?i. I.?.Ie?iaiaa (286018,
i.A?iieoey, aoe. Ie?iaiaa, 56).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? A?iieoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.?.Ie?iaiaa (286018, i.
A?iieoey, aoe. Ie?iaiaa, 56).

Aaoi?aoa?ao ?ic?neaiee “26” aeiaoiy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio I.?.Iieeaeueei

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie. Ai?eii-caiaeuei? caoai?thaaiiy i?eaeaoe?a iaoee
(ACCII) a?aeiinyoueny aei iaeoyaeei? iaoieia?? a a?iaeieia??.
Aeooaeuei?noue ACCII iaoiiaeaia aaaaoia?aii?noth i?iaeaie, ?? /anoioith
cono??/a?iino?, no?oeoo?ith caoaeiee?a, canoinoaaiiyi
aioo??oiueiiaoeiaeo eiio?aoeaioea?a, /anoioith i?neyiia?aoe?eieo
oneeaaeiaiue, ?o i?io?eaeoeeith ? ?aaa?e?oaoe??th i?ney iia?aoe?? – ana
oea noaaeoue ACCII a ?aia nioe?aeueii-iaaee/ii? i?iaeaie. Oe?e iaoieia??
i?enay/aii aaaaoi ?ia?o ye a iao?e, oae ? a ca?oa?aei?e e?oa?aoo??
(Aioiiiaa E.A. e ae?., 1990; E?aniiiieueneee A.A., 1990, 1999; Eaaithoa
E.E., 1992; Iiaecieeiaa I.I., 1993; No?eaeaeia A.I. e ae?., 1996;
Nieueneee ss.I. e ae?., 1996; Iaci?/oe A.O., 1997; AEo/aiei I.A. oa
?io?, 1998; Arora M. et al., 1992; Faro S. et al., 1993; Cardona A.,
1996;). Ia caaaeath/e ia aaaaoi/eneaii?noue ?ia?o, iaoeiai-i?aeoe/ieo
eiioa?aioe?e, c’?cae?a, iaoiaee/ieo ?aeiiaiaeaoe?e, ana ae oaee
caeeoa?oueny aaaaoi ua ia ?ic?iaeaieo ieoaiue i?iaeaiiiai oa?aeoa?o. Aei
ieo iaeaaeaoue:

1. Ia aea/aia aeeiai?ea /anoioe aeieeiaiiy ca inoaii? ?iee oe???
iaoieia??, ?? i?iaiico ia iaeaeeae/? ?iee, ui ia? nioe?aeueii-iaaee/ia
cia/aiiy uiaei i?e?inoo ianaeaiiy, aeiiii?/ieo cao?ao ia ?? ae??oaiiy,
i?io?eaeoeee oneeaaeiaiue i?ney iia?aoe??, a?aeiiaeaiiy i?aoeacaeaoiino?
oai?eo.

2. Ia aea/ai? ee?i?ei-aiaiianoe/i? oaeoi?e ?eceeo uiaei ?o aieeao ia
ia?ao?ae iaai?eieo a ai?ei? oi?ie caiaeaiiy i?eaeaoe?a iaoee.

3. Iaia? i?inoeo, aeinooiieo, iaa?oioiaaieo cania?a ae?aaiinoeee noaio
aaeaioaoe?eieo ?aaeoe?e oa ?aaeoeaiino? i?aai?cio oai?eo, ye? iiaeia
aoei a aeei?enoaoe ia o?eueee a noaoe?iia??, aea e a
aiaoeaoi?ii-iie?ee?i?/ieo ? iaa?oue a aeiiaoi?o oiiaao.

4. Iaiao?aei?noue aeiiiaiaiiy o?aaeeoe?eieo iaoiae?a aaaeaiiy
i?neyiia?aoe?eiiai ia??iaeo o oai?eo c ACCII iiaeie a?io?ce/ieie
iaoiaeaie a eiiieaen? c iaaeeeaiaioiciith oa?ai??th c iaoith i?aeaeuaiiy
ii??iino? oa ?aaeoeaiino? i?aai?cio oai?eo.

E??i oeueiai ?nio? ?yae i?iaeai caaaeueiiai cia/aiiy. Aei oaeeo i?iaeai
ne?ae a?aeianoe ca?eueoaiiy /anoioe o?aini?n?eieo caoai?thaaiue, ye?
ia?aaeathoueny noaoaaei oeyoii. E??i aiii?a?, neo?e?no aeieeea ?ioa
aaia?aoe?y ?ioaeoe?? — oeai?ae?ic, aa?aeia?aeueic, ?ioaeoe?eii-a?eaeia?
caoai?thaaiiy, a??oni?, i?ioiciei? oa ?io? caoaeieee (I?eye
Aeae.?eaeaeoae, 1984; Oaoeei A.A., Iaa?ia E.E., 1988:). I?e/iio, aaeeea
/anoeia ?c ieo iaei aai cian?i ia/ooeeaa aei aioea?ioee?a ? ?ioeo
aioenaioe/ieo i?aia?ao?a, ui a cia/i?e i??? iia??oothoue i?iaeaio
e?eoaaiiy ACCII.

A inoaii? ?iee aeieeei ieoaiiy i?i cia/aiiy i?eiieaciiae?eii? ?ioaeoe??
o aeieeiaii? ACCII. *anoioa oe??? ?ioaeoe?? i?e aino?iio caiaeaii?
i?eaeaoe?a iaoee aeinyaa? 10 — 15% (No?eaeaeia A.I., 1998:
E?aniiiieueneee A.A., 1999 ? ?i.).

O iao /an aeieeea aeoaea aaaeeeaa i?iaeaia: canoinoaaiiy
aioo??oiueiiaoeiai? eiio?aoeaioe?? (AIE) ye iaeia ?c iniiaieo i?e/ei o
aeieeiaii? oyaeeeo oi?i ACCII.

I?e canoinoaaii? AIE ?ecee aeieeiaiiy caiaeueieo caoai?thaaiue
ca?eueoeany a 3 — 9 ?ac?a (Aioiiiaa E.A. e ae?., 1990; Oao/a? ?.A. e
ae?., 1994). Ca aeaieie No?eaeaeiaa A.I., Iiaecieeiai? I.I. (1996) o
21,4% ae?iie aeieeiaiiy ai?eii? ?ioaeoe?? aaciina?aaeiuei iia’ycaia c
canoinoaaiiyi AIE, i?e/iio o?eaae?noue aeei?enoaiiy ni??ae? ia?aaeuoaaei
3,5 ?ie?a.

Iniaeeai aaaeeeaith i?iaeaiith ? iia?aoeaia e?eoaaiiy ACCII. Aac
noii?ao, i?ae/an iia?aoe?? iaiao?aeii aeaeaeeoe aiaieua ?ioaeoe??
(ooaiiaa??aeueiee aanoean, i?inaeuei?ien) ?iiae? a oiiaao
iaeuea?iia?eoii?oo. Aea o ae?iie ?ai?iaeoeoeaiiai ia??iaeo iia?aoe?y
iiaeiia aooe iaeneiaeueii i?aaiicaa?aaeoaaeueiith. Oea iaoiiaeaii ia
o?eueee iiaeeeaei caa?aaeaiiyi ?ai?iaeoeoeaii? oa iaino?oaeueii?
ooieoe?e, aea e i?io?eaeoeeith na?eicieo i?neyiia?aoe?eieo oneeaaeiaiue.

Ca aeaieie (Naaaeueaaa A.N., Aieeai?neiai A.A., Aaeueoaiaea A.?.,
O?aneeia I.N., Oiiaciaa A.I., 1984), iaeaea 17% eaoaeueieo iane?aee?a o
o??o?a?? i?ney ieaiiaeo oa 27% i?ney oa?i?iiaeo iia?aoe?e iaoiiaeaii
ai?eii-caiaeueieie oneeaaeiaiiyie.

ACCII a i?neyiia?aoe?eiiio ia??iae? iaaoaa? aeeeth/ii aaaeeeai?
i?iaeaie. Oiio iaiao?aeii ciaoe oaeoi?e ?eceeo aeieeiaiiy, aenieo
oaoi?eo iia?aoe?? oa aoaeoeaio i?io?eaeoeeo oe??? iaoieia??.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y ?
/anoeiith eiiieaenii? Aea?aeaaii? i?ia?aie “I?iaeaie iaoa?einoaa,
aeeoeinoaa oa ?iaeeie a no/anieo nioe?aeueii-aeiiii?/ieo oiiaao Oe?a?ie”
(? aea?aeaaii? ?a?no?aoe?? 0196 U018907) ? aeeiiaia a?aeiia?aeii aei
ieaio iaoeiaeo aeine?aeaeaiue eaoaae?e aeooa?noaa oa a?iaeieia?? ? 1
A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.?.Ie?iaiaa.

Ana oea aecia/eei iaoo oa caaaeaiiy iaoeo aeine?aeaeaiue.

Iaoa ?iaioe.Iaoeiai iaa?oiooaaoe oa cai?iiiioaaoe no/aniee eiiieaeniee
iaoiae i?io?eaeoeee oneeaaeiaiue o i?neyiia?aoe?eiiio ia??iae? o oai?eo
c ACCII oa ?o ?aaa?e?oaoe?? ia i?aenoaa? aea/aiiy iniiaieo oaeoi??a
?eceeo aeieeiaiiy iaoieia??, ?? i?iaiico, aecia/aiiy noaio
aaeaioaoe?eieo ?aaeoe?e oa ?aaeoeaiino? i?aai?cio oai?eo ? eiio?ieth
aoaeoeaiino? cai?iiiiiaaieo caoiae?a.

Caaaeaiiy aeine?aeaeaiiy

1. Aea/eoe /anoioo cono??/a?iino? ACCII, ?? i?iaiinoe/ia cia/aiiy ca 8
?ie?a (1990-1997 ??.) ca iaoa??aeaie a?iaeieia?/iiai a?aeae?eaiiy
iaeanii? e?ea?i? ?i. I.?.Ie?iaiaa.

2. Aecia/eoe ?ieue iniiaieo ee?i?ei-aiaiianoe/ieo oaeoi??a ?eceeo, ui
ni?eythoue ia?aoiaeo iaai?eieo caiaeueieo caoai?thaaiue i?eaeaoe?a iaoee
a ai?ei? oi?ie.

3. Aea/eoe ??aaiue aaeaioaoe?eieo ?aaeoe?e ? ?aaeoeaiino? i?aai?cio ca
aeaieie eaeeia?aie, e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo (e/n)
oa eiiieaeno ?ioiieia?/ieo iieaciee?a.

4.Iaa?oiooaaoe oa cai?iiiioaaoe ye aeiiiaiaiiy aei aaaeaiiy
i?neyiia?aoe?eiiai ia??iaeo o oai?eo c ACCII nenoaio iiaeo cania?a
i?io?eaeoeee oa ?aaa?e?oaoe?? oai?eo ca aeiiiiiaith iiaeo a?io?ce/ieo
iaoiae?a – a?iaaeueaai?caoe??, a?ioi?aco e?eoaaeueieo ?a/iaei o
ii?aeiaii? c? noeioeyoe??th aeoioieoo?ieo cii ? i?ecia/aiiyi no/anieo
iaaeeeaiaioicieo i?aia?ao?a.

Iaoeiaa iiaecia

1. Aia?oa aea/aia /anoioa ACCII, ?? i?iaiinoe/ia cia/aiiy ia iaeaeeae/?
?iee, ui ia? nioe?aeueii-iaaee/ia cia/aiiy.

2. Aea/aia ?ieue ? a?aenioie aieeao iniiaieo ee?i?ei-aiaiianoe/ieo
oaeoi??a, ye? ni?eythoue aeieeiaiith ACCII ? ia?aoiaeo iaai?eieo a
ai?ei? oi?ie iaoieia??, ui ia? cia/aiiy i?e ianoaaeaii? oai?eo ?
i?aeaioiaee ?o aei iia?aoe??.

3. Aia?oa aea/ai? a eiiieaen? ??ai? aaeaioaoe?eieo ?aaeoe?e oa
?aaeoeaiino? i?aai?cio ca aeiiiiiaith eaeeia?aie oa
e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo a ii?aeiaii? c eiiieaenii
?ioiieia?/ieo iieaciee?a, ui aea? iiaeeea?noue aecia/aoe oa?aeoa?
aeeiai?ee ia?aa?ao caoai?thaaiiy oa i?neyiia?aoe?eiiai ia??iaeo ?
eiio?ieth aoaeoeaiino? canoiniaaiiai e?eoaaiiy.

4. Aia?oa ?ic?iaeaia oa canoiniaaia iaoiaeeea a?iaaeueaai?caoe?? a
ii?aeiaii? c aeoioieoo?ith ie?aieo cii c iaoith i?aeaeuaiiy ii??iino? oa
?aaeoeaiino? i?aai?cio o oai?eo c ACCII.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. ?acoeueoaoe i?iaaaeaiiai
aeine?aeaeaiiy aeaee iiaeeea?noue ?ic?iaeoe ? cai?iiiioaaoe aeey
i?aeoeee aeiiiaiaio oa oaeineiiaeaio iiaeie caniaaie i?io?eaeoeee
oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? ? aiaoeaoi?ii-iie?ee?i?/ieo
oiiaao, iai?aaeaio ia i?aeaeuaiiy ?aaeoeaiino? i?aai?cio, iiia?aaeaeaiiy
ceoe a /a?aai?e ii?iaeiei? oa i?aeaeuaiiy i?aoeacaeaoiino? oai?eo i?ney
iia?aoe??. Aeine?aeaeaiiy aeei?enoiaothoueny a ?iaio? a?iaeieia?/ieo
a?aeae?eaiue A?iieoeueei? iaeano? oa i?noa A?iieoe?. Iaoa??aee
aeena?oaoe?? aeei?enoiaothoueny a iaa/aeueiiio i?ioean? A?iieoeueeiai
aea?aaeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.?.Ie?iaiaa.

Iniaenoee aianie caeiaoaa/a. Aeeiiaia aeine?aeaeaiiy ? ?acoeueoaoii
naiino?eii i?iaaaeaii? ?iaioe. Caeiaoaa/ naiino?eii i?iaiae?coaaa
a?o/eciyio oa ca?oa?aeio e?oa?aoo?o a ia’?i? 294 aeaea?ae. Naiino?eii
iienaa iaoiaeeee aeine?aeaeaiue, a?aa o/anoue i?e aeeiiaii?
ee?i?ei-iaoaiaoe/ieo oa ?ioiieia?/ieo aeine?aeaeaiue. Naiino?eii
i?iaiaeea a?io?ce/i? aeine?aeaeaiiy ooieoe?iiaeueiiai noaio a aeeiai?oe?
aeoioieoo?ieo cii. I?eeiaa o/anoue a iaienaii? an?o ?icae?e?a
aeena?oaoe??, a oiio /ene? ? aeniiae?a, ca aeiiiiiaith a?aeiia?aeieo
niaoe?ae?no?a ii ee?i?ei-iaoaiaoe/iiio, ?ioiieia?/iiio oa a?io?ce/ieo
aeine?aeaeaiiyo. Iniaenoi aeeiioaaa an? cai?iiiiiaai? caniae
i?io?eaeoeee oneeaaeiaiue oa ?aaa?e?oaoe?? oai?eo a i?neyiia?aoe?eiiio
ia??iae? oa ?aeiiaiaeoaaa oi/eiaee ianaae a aiaoeaoi?ii-iie?ee?i?/ieo
oiiaao i?ae eiio?ieai e?ea?y-oao?aoey. An? 7 ioae?eaoe?e iaienai?
naiino?eii, i?ae ?aaeaeoe??th iaoeiaiai ea??aieea oa c o/anoth i?io.
AEo/aiei I.A.

Ai?iaaoe?y ?acoeueoao?a aeine?aeaeaiiy. Ie?ai? o?aaiaioe ?acoeueoao?a
aeine?aeaeaiiy aeiiia?aeaeenue: ia i?aeia?iaeiiio neiiic?oi? a i.
Aeiiaoeueeo, i?enay/aiiio ?ioaeoe?? a aeooa?noa? ? a?iaeieia?? (1998),
eiioa?aioe?? ii o?ce/iei iaoiaeai ? ?aaa?e?oaoe?? oai?eo (Oi?eueiee,
1999), eiioa?aioe?? iieiaeeo a/aieo (A?iieoey, iaaee/iee oi?aa?neoao,
1998 ?.), a oaeiae ia iaoeiaiio oiaa?enoa? aeooa??a-a?iaeieia?a (1997).

Aeena?oaoe?eia ?iaioa ai?iaiaaia 30 /a?aiy 1999 ?. ia ni?eueiiio
can?aeaii? eaoaae? aeooa?noaa ? a?iaeieia?? ? 1 ? ? 2, eaoaae?e ioi?iie
caei?ia’y oa nioe?aeueii? iaaeeoeeie, ni?a?ia?oiee?a a?iaeieia?/iiai
a?aeae?eaiiy A?iieoeueei? iaeanii? ee?i?/ii? e?ea?i? ?i. I.?.Ie?iaiaa,
i?aaenoaaiee?a iaeaniiai oa i?nueeiai oi?aae?iue ioi?iie caei?ia’y,
i?aeoe/ieo e?ea??a iieiaiaeo aoaeeie?a ? 1 ? ? 2, eaoaae?e caaaeueii?
o??o?a??.

?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a ?iaioo iieiaiaiai aoaeeieo ?
1 i. A?iieoe? oa a?iaeieia?/iiai a?aeae?eaiiy A?iieoeueei? iaeanii?
ee?i?/ii? e?ea?i? ?i. I.?. Ie?iaiaa, a oaeiae o iaa/aeueiiio i?ioean?
ioa?i?a aeooa??a-a?iaeieia?a.

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 7 ?ia?o, ?c ieo: 5 o
oaoiaeo aeo?iaeao, ca?a?no?iaaieo AAE Oe?a?ie: iaeia a aeo?iae? “IAA” ?
4 o “A?nieeo A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i.
I.?.Ie?iaiaa”. Iaeia noaooy iioae?eiaaia a i?aoeyo neiiic?oio ii
?ioaeoe?? a aeooa?noa? ? a?iaeieia?? (i. Aeiiaoeuee), iaeia – a
ioae?eaoe?yo eiioa?aioe?? ii canoinoaaiith o?ce/ieo iaoiae?a e?eoaaiiy a
Oi?eueieeo.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 161
noi??ieao iaoeiiieno ? neeaaea?oueny c? anooio, iaeyaeo e?oa?aoo?e, 6
?icae?e?a aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, a?ae?ia?ao??, yea ia?aoiao? 248 aeaea?ae, ?c yeeo 112
?iicaiieo. ?iaioa ?ethno?iaaia 23 oaaeeoeyie oa 10 ?enoieaie.

Iniiaiee ci?no ?iaioe

Iaoa??aee oa iaoiaee aeine?aeaeaiue. Aeey cae?eniaiiy iaoe oa caaaeaiue
?iaioe aeine?aeaeaiiy i?iaiaeeeenue o aeaio iai?yieao.

1.Aeey aea/aiiy ?ie? ee?i?ei-aiaiianoe/ieo oaeoi??a ?eceeo ia?aoiaeo
iaai?eieo a ai?ei? oi?ie caiaeaiiy i?eaeaoe?a iaoee aoa i?iaaaeaiee
ee?i?ei-iaoaiaoe/iee aiae?c 346 ?noi??e oai?ia, ?c ieo 218 c ai?eieie ?
128 – c iaai?eieie (ii??aiyeueia a?oia) caoai?thaaiiyie.

2.Aeey aecia/aiiy iaoiaaiaoe/iiai cia/aiiy ?ie? ii??iino? ? ?aaeoeaiino?
i?aai?cio aeine?aeaeaii aaeaioaoe?ei? ?aaeoe?? ca aeaieie aiae?co e?ia?
o 218 oai?eo c ACCII oa e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo
(e/n) – o 165 c ieo.

3. Ioe?iea aoaeoeaiino? i?ecia/aiiai e?eoaaiiy i?iaiaeeeanue, oeyoii
aea/aiiy ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio oa ?? iaoiaaiaoe/ii?
cia/ouino? o 47 oai?eo (iniiaia a?oia) c 94 ae?iie, ye? e?eoaaeenue
a?iaeoeaaoe?eiith oa?ai??th, oa o 20 (eiio?ieueia a?oia), ye?
e?eoaaeenue o?aaeeoe?eieie iaoiaeaie, i?iaaaeaiee eiiieaen ?ioiieia?/ieo
aeine?aeaeaiue ee?oeiiiai (nenoaie e?ioioeeo?a) ? aoii?aeueiiai (IgA,
IgI, IgG) oa ianiaoeeo?/iiai ?ioi?oaoo – oeo? eiiieaiaioo oa
oee?eoethth/eo ?ioiieo eiiieaen?a.

Nii/aoeo i?iaiaeeee ee?i?ei-aiaiianoe/ia ianoaaeaiiy. Aeyaeyee nea?ae,
a?e, oao, oiiae i?aoe? ? iiaooo, niiaoe/iee, aeooa?nueeee ?
a?iaeieia?/iee aiaiiace, ia?aianai? oa noiooi? caoai?thaaiiy. Aeaoaeueii
aea/aeanue iaino?oaeueia ? ?ai?iaeoeoeaia ooieoe?y, ia?aianai? aai?oe,
iieiae, ?o oneeaaeiaiiy, oa?aeoa? aeae?eaiue, aeei?enoaiiy AIE.
I?iaiaeeeinue a?iaioaeueia, ?ino?oiaioaeueia aeine?aeaeaiiy: OCAe,
eaia?ineii?y, ??eaia?ao?y, ca iieacaiiyie – ioieoe?y caaeiueiai
neeai?iiy, oeeoieia?/ia, ai?iiiaeueia, a?noieia?/ia aeine?aeaeaiiy
c?neiao c o?ao?e ? oea?a?eaeueiiai eaiaeo ia oeai?ae??, iacee ia
aiii?ath, aa?aeia?aee, eieiao oei?o, i?iae Iaioo. I?e iaiao?aeiino?
cai?iooaaeenue ia eiinoeueoaoe?th noi?aei? oao?aoe?.

Niaoe?aeuei? iaoiaee aeine?aeaeaiiy

1. Aeey aiae?co aeeiai?ee /anoioe cono??/a?iino? ACCII oa ??
i?iaiinoe/ii? cia/ouino? aeei?enoaiee iaoiae ia?iaee aeeiai?/ieo ?yae?a
? aeniiiaioe?aeueia caeaaeaeoaaiy.

2. Aeey aecia/aiiy ?ie? ee?i?ei-aiaiianoe/ieo oaeoi??a ?eceeo aeieeiaiiy
ACCII aeei?enoai? iaoiaee No’thaeaioa, o2 iaeneiaeueii?
i?aaaeiiiae?aiino? ? o2 I??niia.

3. Aeey aecia/aiiy cia/ouino? iiiaeeiieeo ? a?oi ee?i?/ieo oaeoi??a
?eceeo aeieeiaiiy ACCII aeei?enoaiee eean iaeiii??ieo oa aaaaoii??ieo
aeenia?n?eii-?aa?an?eieo iiaeaeae ? aiae?c eiino?ano?a.
Ee?i?ei-iaoaiaoe/i? aeine?aeaeaiiy i?iaiaeeeenue ia eaoaae?? ioi?iie
caei?ia’y ca o/anoth e.i.i. I/a?aaeueei A.I. (caa. eaoaae?ith – i?io.
I.A.I?ioeae).

4. Aeey aea/aiiy ??aiy aaeaioaoe?eieo ?aaeoe?e ? ?ioiieia?/ii?
?aaeoeaiino? i?aai?cio aeei?enoai?: aiae?c eaeeia?ai,
e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioa ca A.O.Aa?eaa? oa ?i.,
eiiieaen ?ioiieia?/ieo aeine?aeaeaiue.

5. Oaeoi?e ee?oeiiiai ?ioi?oaoo (caaaeueia e?euee?noue e?ioioeeo?a,
O-oaeia?e ? O-noi?ani?e) aecia/aeenue ca iaoiaeii niiioaiiiai
?icaoeiooai?aiiy. Aoii?aeueiee ?ioi?oao (?ioiiaeiaoe?ie A, I, G)
iaoiaeii ?aae?aeueii? ?ioiiaeeooc?? ca Iai/?i?. Ai?no o e?ia?
oee?eoethth/eo ?ioiieo eiiieaen?a aecia/aany ca Digenon et. al (1990).
?ioiieia?/i? aeine?aeaeaiiy i?iaiaeeeenue a ?ioiieia?/i?e eaai?aoi???
i?ae ea??aieoeoaii i?io. Iooeeea A.I.

6. Aeey i?aeaeuaiiy ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio ? noai?aiiy
aeaii e?eoaaeueieo ?a/iaei o oeaieiao aeei?enoaia iaoiaeeea
a?iaaeueaai?caoe?? ? a?ioi?aca, ai?iaiaaia a?o/eciyieie aaoi?aie Iaeaoe
A.A., AEo/aieii I.A., Ioaie/iei I.O. ? caoaa?aeaeaia ?IE IIC Oe?a?ie
(1991, 1994 ??.).

7. Iaoiaeeea a?iaeoeaaoe?eii? oa?ai?? ? ?? iaa?oiooaaiiy.

A?iaeoeaaoe?eia oa?ai?y ii?aeio? a nia? oae? eiiiiiaioe:
a?iaaeueaai?caoe?th, a?ioi?ac e?eoaaeueieo ?a/iaei aac aeei?enoaiiy
ciai?oi?o aeaea?ae no?oio, noeioeyoe?th aeoioieoo?ieo cii.

A?aeiii, ui i?ae aioo??oi?ie i?aaiaie ? iiaa?oiath oe??e ?niothoue
eooaiii-a?noea?aeuei? ca’ycee (Aiioei I.E., 1971). I?e ae?? ??cieo
oaeoi??a ciai?oiueiai na?aaeiaeua ia ?aoeaioi?e oe??e aeieea?
?aoeaeoi?ia ae?y ia aioo??oi? i?aaie c ianooiiith ci?iith ?o
ooieoe?iiaeueiiai noaio, ?, iaaiaee, c ii?ooaiiyi ooieoe?? aioo??oi?o
i?aai?a ci?ith?oueny /ooeea?noue a?aeiia?aeieo aea?iaoiia??a oe??e (ciie
Caoa?’?ia-Aaaea).

Oiio, c e?eoaaeueiith iaoith iiaeia ae?yoe /a?ac aea?iaoiia?e oe??e
??cieie caniaaie, a oiio /ene? ? a?iaaeueaai?caoe??th iino?eiei no?oiii
ia o? /e ?io? i?aaie. Oaea aaeueaai?caoe?y oe?iei aeei?enoiao?oueny o
o?c?ioa?ai?? i?e ??cieo caoai?thaaiiyo (Ia?oaiia A.E., 1973; Ieoaeeiaa
?.E., 1975; No?oaaoeeee A.I., 1981; I?aeaeianeee A.A. ? ?io?TH, 1984;
Eaueineee A.O., Oeauee A.N., 1989 e ae?.).

Ca inoaii?e /an canoiniao?oueny a?iaaeueaai?caoe?y ye iaoiae e?eoaaiiy
aac aeei?enoaiiy ciai?oi?o aeaea?ae no?oio i?e ??cieo caoai?thaaiiyo: a
eiiaono?ieia?? (Iianoyiee I.TH., Iaaae/oe A.?., Iaeaoe A.A., 1990,
1998); o o?c?ioa?ai?? ? ?aoeaenioa?ai?? (Iaeaoe A.A., 1992; Iaeaoe A.A.
oa ?io?, 1997, 1998); i?e caiaeueieo iaai?eieo caoai?thaaiiyo i?eaeaoe?a
iaoee (AEo/aiei I.A. ? ?io?, 1998) c aeineoue iiceoeaiei aoaeoii.

O iao?e ?iaio? aeei?enoaii ciiaeueio a?iaaeueaai?caoe?th (ia ??ai?
oaco), nooue yei? iieyaa? o aeei?enoaii? niaoeeo?/ieo, a?aeiinii o?i?/ii
?ia?oieo aaeueaai?/ieo aeaeo?iae?a, iaeei c yeeo ? aeiii?ii (Ae+), ?ioee
– aeoeaioi?ii (A-) a?eueieo aeaeo?ii?a. C’?aeiai? i?ae niaith
i?ia?aeieeii, a oiio /ene? ? aei??thaaeueiei i?eno?i?i, inoaii? ca
?aooiie eiioaeoii? ??cieoe? aeaeo?iaeieo iioaioe?ae?a noai?ththoue a
a?iia’?eo? oiiae aeey aeieeiaiiy aeaeo?i?oo?eii? neee ? aaia?aoe??
no?oio (aei 50 mKA) a i?aeaeaeo?iaei?e ae?eyioe?. A?ioi?ac e?eoaaeueieo
?a/iaei – oea ni?yiiaaia ia?ai?uaiiy ca?yaeaeaieo /anoie i?ae ae??th
eiioaeoii? ??cieoe? iioaioe?ae?a c iaoith ?o aeaiiioaaiiy ? aeoeaaoe??
ee?oei ? i?e?ioee?eoeyoe??.

Iaoiaeeea ciiaeueii? a?iaaeueaai?caoe??. Aeaeo?iae-aeiii? (Ae+)
?icoaoiaothoue a cii? Caoa?’?ia-Aaaea ii na?aaei?e e?i?? aeeaioa, ieae/a
ioiea (a ae?eyioe? i?neyiia?aoe?eiiai ?oaoey), aeaeo?iae-aeoeaioi? (A-)
– ia e?eaeao – a ae?eyioe? aea?iaoiia?a na/inoaoaaeo i?aai?a, ui
a?aeiia?aea? naaiaioa?i?e ?ia?aaoe?? Oh9-Oh12 (ae?eyiea ii aieao o?aaoa
ia a?aenoai? 3 ni a?ae na?aaeii? e?i?? ia ??ai? 12 ?aa?a). I?e
c’?aeiaii? aeaeo?iae?a i?ia?aeieeii o eie? aeieea? no?oi 40-50 mKA,
iaiao?aeiee aeey aaee/eie iaia?aiiiai iioaioe?aeo, aaee/eio yeiai iiaeia
i?ae?a?aoe ca aeiiiiiaith ci?ie ieiu? aeaeo?iaea-aeoeaioi?a (A-) aai
?aaoeyoi?a ia i?e?iaiia?iao??. I?ae aeaeo?iaee (Ae+) ? (A-)
i?aeeeaaeathoue ia?eaa? i?aeeeaaeee, cii/ai? e?eoaaeueiith noi?ooth
ianooiiiai neeaaeo: o?c?ieia?/iee ?ic/ei NaCl 0,9% — 10 ie + ?ic/ei
iiaiea?ia 0,5% — 10 ie + ae?iaeneae 2 ie + e?aeaca 64 iae + aioea?ioeee
+ oa?iaioe (oaiiinei, o?einei, aiaaicei) aai a?ie?i. Aeniiceoe?y 40-50
oa. Eo?n e?eoaaiiy – 5-7 naain?a (iaeei naain a aeaiue).

Ia?aaaaa a?iaaeueaai?caoe?? ? a?ioi?aca iieyaa? a i?i?iae?caoe??
ae?th/iai oaeoi?o – aaeueaai?/iiai no?oio a iaaeao iaia?aiiiai
iioaioe?aeo aac ii?ooaiiy o?c?ieia?/ieo oeaieiieo i?ioean?a,
i?aeaaaeaiiy e?eoaaeueieo ?a/iaei aaciina?aaeiuei aei aiaieua ?ioaeoe??,
aioeaaeoa??aeueiee aoaeo, aeinooiiee, aacia/iee, aeiiii?/ii aea?aeiee
aeey oai?iai, iiaea aooe canoiniaaiee o aoaeue-yeeo oiiaao.

Iaoiae caoaa?aeaeaiee ?IE IIC Oe?a?ie (1994) – ana oea aeicaiey?
aeei?enoaoe iaoiae a i?neyiia?aoe?eiiio ia??iae? o oai?eo c ACCII.

Ciiaeueia a?iaaeueaai?caoe?y aeiiiaiaia noeioeyoe??th aeoioieoo?ieo cii
aeey i?aeaeuaiiy ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio. Iaoiaeeea
noeioeyoe?? aeoioieoo?ieo cii i?iaiaeeoueny ia?a?ea/anoi (ii 20-30 nae),
niaoe?aeueiei aeaeo?iaeii iiae?aciththoue ianooii? aeoioieoo?i? ciie:
A-36, N?-4, N?-11, VC-22 i “0” ciio a oeaio?? aooii? ?aeiaeie.

E??i aeacaieo oi/ie aeiaeaoeiai a i?neyiia?aoe?eiiio ia??iae? ia 3-4
aeaiue noeioethaaee ia?enoaeueoeeo eeoa/ieea (ca AEa?e?iei A.O., 1977) –
ianooii? oi/ee: iaeio c ao??eoey?ieo oi/ie (AO-55, AO-51, AO-13) ?
ei?ii?aeuei? oi/ee VC-6, VC-7, RP-6, RP-7, C-3.

Iiceoeaiee aoaeo aeoioieoo?e ia i?aai?ci i?e ??cieo caoai?thaaiiyo
caaaeueiia?aeiiee ca aeaieie e?oa?aoo?e (Nacatani J., 1958; Oaaaaaa
Ae.I., 1980; Ii?oiia O.A., 1980; Aa?/ei Ae, Ee?a?cia TH., 1981; Ia/a?ao
A.E., Naiicthe E.C., 1982; Eoanai A., 1986; AEa?eei A.O. e ae?., 1988;
Iaeaoe A.A., 1991, 1992, 1997;).

A eaai?aoi??? o?c?ieia?? ? iaoieia?? ee?oeiieo iaia?ai Aaoe??nueeiai
oi?aa?neoaoo A.A.Aa?iiaiei anoaiiaeaii, ui a?iaeaeo?inoeioeyoe?y
i?aai?cio i?ioyaii iaeii? aiaeeie noeioeth? ee?oeiiee iaoaaie?ci,
ca?eueoo? ia’?iiee iaia?aiiee iioaioe?ae ? iie?auo? ooieoe?th iaia?aiieo
eae?e-iao???aeo ianin?a. Oaeei /eiii, a iaoai?ci? ae?? a?inoeioeyoe??
aeoioieoo?ieo cii /?oei i?iyaey?oueny caaaeueiinoeioethth/ee iiceoeaiee
aoaeo, ui aeicaiey? aeei?enoiaoaaoe oeae iaoiae aeey eiiieaenii?
a?iaeoeaaoe?eii? oa?ai?? a i?neyiia?aoe?eiiio ia??iae? o oai?eo c ACCII.

?acoeueoaoe aeine?aeaeaiue

1. *anoioa cono??/a?iino? ACCII. I?iaaaeaii ee?i?ei-aiaiianoe/iee aiae?c
?noi??e oai?ia ca 8 ?ie?a (1990-1997 ??.) ca aeaieie a?iaeieia?/iiai
a?aeae?eaiiy A?iieoeueei? iaeanii? ee?i?/ii? e?ea?i? ?i. I.?.Ie?iaiaa
(oaae. 1). sse aeaeii c oaaeeoe?, /anoioa ACCII i?ioyaii 8 ?ie?a
ca?eueoeeanue o aeaa ?ace ? i?iaiinoe/ii ia 2 iaeaeeae/? ?iee cieaeaiiy
?? ia ia?aaeaa/a?oueny (?en. 1). Oea ia? aaeeea iaaee/ia, aeiiii?/ia oa
aeaiia?ao?/ia cia/aiiy, a oiio caneoaiao? aeaoaeueiiai iaoeiaiai
aeine?aeaeaiiy ia aea?aeaaiiio ??ai?.

Oaaeeoey 1

Aeeiai?ea e?eueeino? oai?eo c 1990 ii 1997 ??. ca aeaieie

iaoiaeo aiae?co aeeiai?/ieo ?yae?a

Aeey a?eueo aeaoaeueiiai aiae?co aeeiai?/ieo caeiiii??iinoae /anoioe
aeieeiaiiy ai?eieo caiaeueieo caoai?thaaiue i?eaeaoe?a iaoee, a oaeiae
aeine?aeaeaiiy i?iaiinoe/ieo o?aiae?a caoai?thaaiino? ie canoinoaaee
iaoiaee aea/aiiy oei/aniaeo ?yae?a.

?en. 1. I?iaiic /anoioe aeieeiaiiy ACCII ia i?aenoaa? naciiii? iiaeae?
aeniiiaioe?aeueiiai caeaaeaeoaaiiy

Ia ?en. 1 nooe?eueiith e?i??th ?ethno?iaaia aeeiai?ea iaoieia??
iii?ny/ii i?ioyaii 8 ?ie?a (108 i?nyoe?a). Aeey aea/aiiy aeaeeii?
ia??iaee/ii? aeeiai?ee canoiniaaii aiae?c ei?aeyoe?eii? ? aeanii?
aioeei?aeyoe?eii? ooieoe??.

Aeey aecia/aiiy i?e/ei oaeiai ca?eueoaiiy /anoioe ACCII i?iaaaeai?
ianooii? aeine?aeaeaiiy.

1. Aea/aiiy ?ie? ee?i?ei-aiaiianoe/ieo oaeoi??a ?eceeo aeieeiaiiy oe???
iaoieia??.

Ca aeaieie ee?i?ei-iaoaiaoe/iiai aiae?co aeyaeaii aieea ianooiieo
ee?i?ei-aiaiianoe/ieo oaeoi??a:

1. A?e – c? ca?eueoaiiyi a?eo ae?iie ?ai?iaeoeoeaiiai ia??iaeo /anoioa
ACCII ca?eueooaaeanue c 16,9% a 20-25 ?ie?a aei 25,7% a 31-35 ?ie?a (? =
0,0115).

2. Oao – ia?oa i?noea caeiathoue ?ia?oieoe? naea, ui iia’ycaii c
iniaeeainoyie i?aoe? – ia?aaaioaaeaiiyi, ioieiaeaeaiiyi oiui. Inoaii?
i?noey caeiyee ?ia?oieoe? i?iieneiaeo i?aei?e?inoa ? iai?aoethth/?.
?aooa nioe?aeueieo a?oi caeiyee i?ii?aei? i?noey. Iaea?aeai? aeai? ne?ae
a?aoiaoaaoe i?e ianoaaeaii? oai?eo ia?aae iia?aoe??th.

3. Ia?aianai? caoai?thaaiiy c’yaeeenue aeineoue nooo?aeie. ?c 218 oai?eo
c ACCII noiooi? caoai?thaaiiy neeaaeaee 299 (>100%), c iaai?eieie – 179
(>100%). Oaeeie iniiaieie caoai?thaaiiyie aeyaeeenue: aiai??,
caoai?thaaiiy oeoieiai-eeoeiaiai o?aeoo, iooeeie iaoee oa y?/iee?a,
ceoee, caoai?thaaiiy na?oeaai-noaeeiii? nenoaie. ?c ?ioeo caoai?thaaiue
iniaeeai aeyaeeenue ia?aianai? aai?oe, oneeaaeiai? iieiae, AIE (20,2%
a?aoiaaieo oai?eo).

2. A?aenioeiaee aieea ie?aieo oaeoi??a ?eceeo aeieeiaiiy ACCII.

Ia?oa i?noea caeiyee noiooi? caoai?thaaiiy (6,67%), iio?i ii ?aiao
caeiyee: a?e (5,54%), oao (3,19%), ?ioaeoe?eii-a?eaeia? caoai?thaaiiy
i?oae (1,62%), aiai?y (1,25%), ia?aianai? iia?aoe?? (1,25%). Noia?iee
aieea aeacaieo oaeoi??a neeaaea? 19,52%.

4. A?oiia? oaeoi?e ?eceeo.

A?eia? – a?e a?eueoa 31 ?ieo, iniaeeai a?e 36-40 ?ie?a, iaeei ? a?eueoa
aai?o?a, aeai? ? a?eueoa iieia?a (oneeaaeiaieo), o?eaaea aeei?enoaiiy
AIE (a?eueoa 3 ?ie?a), aaee/eia e?ioioeeoa?ii-naaiaioiyaea?iiai
eiao?oe??ioo (0,3, 0,2, 0,2).

5. Aecia/aiiy noaio aaeaioaoe?eieo ?aaeoe?e i?aai?cio ?
e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo ye iieaciee?a ii??iino?
i?aai?cio i?e ACCII.

Aecia/aii, ui /enei iani?eyoeeaeo ?aaeoe?e cia/ii ia?aaaaeaei ni?eyoeea?
(a?aeiia?aeii 63% ? 37%). E?ioioeeoa?ii-naaiaioiyaea?iee eiao?oe??io
oaeiae o oai?eo cia/ii cieaeaiee (ieae/a ii?ie 0,4-0,5) noaiiaea 71,5%,
i?e ni?eyoeeaeo anueiai 28,5% (?<0,01). Oe? iieacieee na?ae/aoue i?i iecueeo ii??i?noue i?aai?cio oai?eo i?e ACCII ? iio?aaothoue a?aeiia?aeii? i?aeaioiaee aei iia?aoe??. 6. ?ioiieia?/ia aeine?aeaeaiiy i?iaaaeaii o 47 oai?eo aei ? i?ney e?eoaaiiy: aeaiaio ee?oeiiiai (caaaeueia e?euee?noue e?ioioeeo?a, O-oaeia?e, O-noi?ani?e, I-ee?oeie), aoii?aeueiiai (IgA, IgM, IgG), ianiaoeeo?/iiai ?ioi?oaoo (oeo? eiiieaiaioo), oee?eoethth/? ?ioii? eiiieaene (Oe?E). ?acoeueoaoe aeine?aeaeaiiy iieacaee, ui aei e?eoaaiiy a?eueo?noue iieaciee?a ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo aoee a iaaeao ii?ie aai ia iaae? ii?ie ca aeiyoeii ca?eueoaiiy aeayeeo iieaciee?a ii a?aeiioaiith aei ii?ie: eaeeioeeoico (p<0,05), oeo?a eiiieaiaioo (p<0,01) ? cieaeaiiy e?eueeino? e?ioioeeo?a (p<0,05). Oaeee noai ?ioiia?aie na?ae/eoue i?i i?eai?/aiiy ?ioiii? nenoaie, ?? iaaeinoaoiino? aiane?aeie o?eaaei? o?ii?/ii? ?ioieneeaoe?? i?e iayaiino? ai?eieea a oaco. I?i oea na?ae/eoue oaeiae ca?eueoaiiy ai?noo oee?eoethth/eo ?ioiieo eiiieaen?a o e?ia? aei 0,09 (ii?ia 0,044) (p<0,01). Oaea ca?eueoaiiy Oe?E c iaoiaaiaoe/ii? oi/ee ci?o aeineoue iani?eyoeeaa. In?aeath/e ia no?ieao noaeei, aiie i?aeaeuothoue ae?iaeo e?i?i?a, o?iiaienaio, o?a?eio, ui i?ecaiaeeoue aei ii?ooaiiy i?e?ioee?eoeyoe??, a?iien??, aeano?oeoe?? oeaiei ? ii?ooaiiy ooieoe?? i?aai?a. Aaaeeeaei ? oa, ui noai ?ioiia?aie ocaiaeaeo?oueny c aeaieie eaeeia?aie ? ia? ae?aaiinoe/ia ? iaoiaaiaoe/ia cia/aiiy. 7. Aei /enea oaeoi??a ?eceeo aac noii?ao ne?ae a?aeianoe iaoiaaiio i?e?ioei?o i?oae. Ca aeaieie aiae?co aaeoa??ieia?/ieo oa aaeoa??ineii?/ieo aeine?aeaeaiue eaai?aoi??? A?iieoeueei? iaeanii? ee?i?/ii? e?ea?i? ?i. I.?.Ie?iaiaa aeyaeaia oaea i?e?ioei?a i?oae o oai?eo c ACCII: aaeeea e?euee?noue aaoeeey?ii?, eieiai? oei?e, o?eoiiiiaaee (7%), aiiieiee (9%), noao?eieiee (12%), eeoeiaa iaee/ea (5%), oeai?ae?? (11%), aa?aeia?aee (12%), aaeeea e?euee?noue eaeeioeeo?a, i?oeae?e a?ea?a. Niinoa??aaeanue ? eiia?iiaaia i?e?ioei?a. Aeyaeaia no?oeoo?a i?e?ioei?e i?oae o oai?eo c ACCII aeaui ni?aiaaea? c aeaieie e?oa?aoo?e. Iaea?aeai? aeai? na?ae/aoue i?i iaiao?aei?noue i?iaiaeeoe naiaoe?th i?oae a eiiieaen? ia?aaeiia?aoe?eii? i?aeaioiaee oai?eo aei iia?aoe??, a oaeiae a i?neyiia?aoe?eiiio ia??iae? c iaoith i?io?eaeoeee aeno?aeii? ?ioaeoe??. ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue aeicaieeee iai ?ic?iaeoe ? cai?iiiioaaoe a?eueo aeineiiaeo nenoaio i?io?eaeoeee oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? ? ?aaa?e?oaoe?? oai?eo a aiaoeaoi?ii-iie?ee?i?/ieo oiiaao. Aiie oae?: 1. A eiiieaen ianoaaeaiiy oai?eo iaia’yceiai aeeth/aeinue aeyaeaiiy oaeoi??a ?eceeo aeieeiaiiy ACCII ? a?aeiia?aei? e?eoaaeuei? caoiaee a yeino? i?aeaioiaee aei iia?aoe??. 2. Aecia/aiiy ii??iino? oa ?aaeoeaiino? i?aai?cio ca aeaieie eaeeia?aie, e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo ? i?e iiaeeeaino? ?ioiieia?/ieo iieaciee?a, cie?aia Oe?E. 3. Ca 0,5-1 aiaeeio aei ii/aoeo iia?aoe?? aioo??oiueiaaiii aai aioo??oiueii’yciai aaiaeeee aioea?ioeee oe?ieiai niaeo?o ae?? c oaeei ?ic?aooieii, uia iia?aoe?y cae?enithaaeanue ia oii? aioea?ioee?a c ianooiiei ?o canoinoaaiiyi o i?neyiia?aoe?eiiio ia??iae? a ii?aeiaii? c ?iooc?eiith oa?ai??th ? ciaaiethth/eie i?aia?aoaie. 4. C 2-3 aei? i?ecia/aee noeioeyoe?th aeoioieoo?ieo cii c iaoith i?aeaeuaiiy ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio, aiaeaac??, noeioeyoe?? ia?enoaeueoeee eeoa/ieea. Aeei?enoiaoaaeenue oi/ee: oeco-nai-e? (A-36), nai-?iue-oecyi (RP-6), oa-ao (N?-4), oethe-/e (N?-11), oyiue-/o (VC-22), ea-oeoa (?-7). 5. C iaoith noai?aiiy aeaii a oeaieiao i?neyiia?aoe?eiiai oaa e?eoaaeueieo ?a/iaei ? aeey ?o i?ieiiaiaaii? ae??, a oaeiae noeioeyoe?? ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio i?iaiaeeeanue noeioeyoe?y aeoioieoo?ieo cii a ii?aeiaii? c a?iaaeueaai?caoe??th ? a?ioi?acii e?eoaaeueieo ?a/iaei. 6. Aeey i?aeneeaiiy aoaeoeaiino? a?io?ce/ieo iaoiae?a aeiaeaoeiai i?ecia/aeenue i?aia?aoe ?icniieooth/i? ae?? (oaiiinei, o?einei, aiaaicei, iie?a?ie?i), caaaeueiinoeioethth/i? ae?? (ao?iaoeay, iie?a?oai?ie – ioeueoeoaan, aeaeaiaa?o, a?oai?i A, a oaeiae a?iianoeeo a e?aeeo). 7. I?e iayaiino? oeai?ae?eii? ?ioaeoe?? i?ecia/aee aioeoeai?ae?ei? aioea?ioeee oe?ieiai niaeo?o ae?? (oeei??iie, ii?oeienaoeei, aeaeaoeei N oa ?io?), a oaeiae naiaoe?th i?oae aoaeoeaiei ? aeinooiiei eiaeii-nieaaei ?ic/eiii (ia 1 e ia?aaa?aii? ioieiaeaeaii? aiaee 1 noieiaa eiaeea eooiiii? nie? ? 25 e?aiaeue eiaeo). 8. I?ney aeienee c? noaoe?iia?o a aiaoeaoi?ii-iie?ee?i?/ieo oiiaao ? iaa?oue o aeiiaoi?o oiiaao i?iiiioaaee oi/eiaee ianaae aeoioieoo?ieo cii, a oaeiae caaaeueio a?iaaeueaai?caoe?th aeey naiino?eiiai aeeiiaiiy i?ae eiio?ieai aeiiaoiueiai e?ea?y. Ca ?ic?iaeaiith nenoaiith i?iaaaeaii e?eoaaiiy oa i?io?eaeoeeo oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? o 94 oai?eo c ACCII. Aeey ioe?iee aoaeoeaiino? a?iaeoeaaoe?eii? oa?ai?? aiae?c i?iaiaeeany a ii??aiyeueiiio aniaeo? c a?oiith oai?eo, ui e?eoaaeeny o?aaeeoe?eieie iaoiaeaie ca aeaieie 192 ?noi??e oai?ia. I?e aiae?c? a?aoiaoaaeenue ianooii? iieacieee: oneeaaeiaiiy a i?neyiia?aoe?eiiio ia??iae?, noai aaeaioaoe?eieo ?aaeoe?e i?aai?cio ? e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo ca aeaieie eaeeia?aie, a oaeiae iniiai? iieacieee ?ioiia?aie ? ??aaiue oee?eoethth/eo ?ioiieo eiiieaen?a o e?ia?. Ne?ae a?aecia/eoe, ui a aeine?aei?e a?oi? oai?eo c ACCII iniiai? o?aaeeoe?ei? i?eioeeie aaaeaiiy i?neyiia?aoe?eiiai ia??iaeo caa?aaeenue (aioea?ioeee, ?iooc?eia oa?ai?y oa ?ioa), i?ioa a eiiieaen e?eoaaiiy, i?io?eaeoeee oneeaaeiaiue oa ?aaa?e?oaoe?? oai?eo a i?neyiia?aoe?eiiio ia??iae? iaie aeeth/aia a?iaeoeaaoe?eia oa?ai?y (a?iaaeueaai?caoe?y, a?ioi?ac e?eoaaeueieo ?a/iaei a ii?aeiaii? c? noeioeyoe??th aeoioieoo?ieo cii). Aeey i?aeaeuaiiy ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio oai?eo aeiaeaoeiai i?ecia/aeenue iie?a?oai?ie – aeaeaiaa?o, eaaaeaa?o, ioeueoeoaan ? ianiaoeeo?/iee ?ioiiiiaeoeyoi? i?e?iaeiiai iioiaeaeaiiy – ao?iaoeay). Io?eiai? ?acoeueoaoe e?eoaaiiy aeineoue iiceoeai?. Ciaioeeanue e?euee?noue oneeaaeiaiue o i?neyiia?aoe?eiiio ia??iae? c 26,6±3,2 aei 11,7±3,3 (oaae. 2). Ne?ae a?aecia/eoe, ui a aeine?aei?e a?oi? oai?eo, ye? e?eoaaeeny a?iaeoeaaoe?eiith oa?ai??th, ia aoei oaeeo aaaeeeo oneeaaeiaiue, ye ia?eoii?o, eeoeiaa iai?io?aei?noue, aaaio?aoe?y. Aeinoia??ii cieceeanue /anoioa aanoean?a oa ?io?eueo?ao?a iaeiai oaco (?<0,05). Oaeei /eiii, io?eiai? aeai? aeineoue ?ioi?iaoeai? a a?e ia?aaaae aeine?aeii? a?oie oai?eo, e?eiaaieo a?iaeoeaaoe?eiith oa?ai??th. ?acoeueoaoe aeine?aeaeaiiy aaeaioaoe?eieo ?aaeoe?e ca aeaieie eaeeia?aie iieacaee cia/io ia?aaaao iayaiino? ni?eyoeeaeo ?aaeoe?e a aeine?aei?e a?oi? oai?eo, ye? e?eoaaeeny aeoeaaoe?eiith oa?ai??th (80,7%±0,5) a ii??aiyii? c a?oiith e?eiaaieo o?aaeeoe?eieie iaoiaeaie (48,5%±3,5) (p<0,01), oiaoi ca?eueoaiiy ia 32,2% i?e aeoeaaoe?ei?e oa?ai??. A?aeiia?aeii ciaioeeanue e?euee?noue iani?eyoeeaeo ?aaeoe?e: i?e o?aaeeoe?eieo iaoiaeao e?eoaaiiy aiie neeaaeaee 51,5%±3,5, i?e aeoeaaoe?ei?e oa?ai?? – 19,3%±1,0. Oiaoi, ciaioaiiy a?aeaoeinue oaeiae ia 32,2%. Oaaeeoey 2 Ii??aiyeueia /anoioa oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? o oai?eo c ACCII, ye? e?eoaaeeny o?aaeeoe?eieie iaoiaeaie ? a?iaeoeaaoe?eiith oa?ai??th I?ei?oea: * Aeey noaoenoe/iiai ni?anoaaeaiiy oiiaii (o aeoaeeao) i?inoaaeai? iaeeieoe? o aeiaaeeao, eiee oneeaaeiaiue ia aoei ?acoeueoaoe aeine?aeaeaiiy e/n eiao?oe??ioa. A iaaeao ii?ie (0,4-0,5) i?e aeoeaaoe?ei?e oa?ai?? a?i neeaaeaa 73,6%±0,6, i?e o?aaeeoe?eiiio e?eoaaii? – 45,5%±2,5, oiaoi ia?aaaaa i?e aeoeaaoe?ei?e oa?ai?? ia 28,1% (p<0,01). Aiaeia?/iei /eiii ciaioeany e/n eiao?oe??io iaioee a?ae ii?ie: i?e aeoeaaoe?ei?e oa?ai?? a?i neeaaeaa 55,0±3,5, i?e o?aaeeoe?ei?e 26,3%±1,1, oiaoi ciaioeany ia 28,1%. I?iaaaeai? aeine?aeaeaiiy aaeaioaoe?eieo ?aaeoe?e ? e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe??ioo iieacaee, ui i?e aeoeaaoe?ei?e oa?ai?? ii??i?noue i?aai?cio a?aeiiaeth?oueny a?eueo aeoeaii, i?ae i?e o?aaeeoe?ei?e oa?ai??. Aiae?c ?ioiia?aie (n=47) iieacaa, ui i?ney e?eoaaiiy aeoeaaoe?eiith oa?ai??th iniiai? iieacieee ?ioiia?aie ii?iae?coaaeenue i?ney iia?aoe?? ? aeoeaaoe?eii? oa?ai?? ca aeiyoeii e?ioioeeo?a, ?ioiiaeiaoe?i?a A, G, O-?IE (Oe) aan., I-e?ioioeeo?a, oaio?e?i-/ooeeaeo e?ioioeeo?a (On), a oaeiae eiao?oe??io Oo:On. Oe?E oe?eeii ii?iae?coaaeenue. sse aeaeii, /anoeia iieaciee?a ua ia i?eeoea aei ii?ie. Ii??aithth/e c aeaieie ?ioiia?aie 20 oai?eo (a?oia ii??aiyiiy) anoaiiaeaii, ui i?e o?aaeeoe?ei?e oa?ai?? a?eueo?noue iieaciee?a ia i?eeoea aei ii?ie. Oiio iaiao?aeii i?iaeiaaeoaaoe ?ioiiei?aeoe?th i?ae /an ?aaa?e?oaoe?? a aiaoeaoi?ii-iie?ee?i?/ieo ? iaa?oue a aeiiaoi?o oiiaao i?ae eiio?ieai e?ea?y. Oaeei /eiii, i?iaaaeaiee eiiieaen aeine?aeaeaiue oa eiai ?acoeueoaoe aeathoue iiaeeea?noue noi?ioethaaoe iniiai? iaoeiai-i?aeoe/i? aeniiaee. Ia cae?i/aiiy aeneiaethth iiaeyeo i?io. I.A.AEo/aiei ca eiinoeueoaoeaio aeiiiiiao i?e iaienaii? aeena?oaoe??. Aeniiaee 1. *anoioa ACCII neeaaea? 6% aei noaoe?iia?ieo oai?eo a?iaeieia?/iiai a?aeae?eaiiy iaeanii? e?ea?i?, ui a?aeiia?aea? e?oa?aoo?iei aeaiei (4,5 - 12%). A?aeiia?aeii aei ee?i?ei-iaoaiaoe/iiai aiae?co ca 8 ?ie?a (1990 - 1997 ?.?.) ca iaoeie aeaieie /anoioa ACCII ca?eueoeeanue oaeai? ? i?iaiinoe/ii ia ia?aaeaa/a?oueny cieaeaiiy oe??? iaoieia?? ia aeeae/? 2 ?iee. Oea aeaco? ia nioe?aeueii-aeiiii?/io, iaaeeoeeinueeo ? aeaiia?ao?/io aeooaeuei?noue i?iaeaie oa iaiao?aei?noue iaoeiai? ?ic?iaee ?? ia aea?aeaaiiio ??ai?. 2. Ia /anoioo aeieeiaiiy ACCII ni?eythoue ianooii? oaeoi?e ?eceeo: nioe?aeuei? (a?e - 5,54%, oao - 3,19%); ee?i?ei-aiaiianoe/i? (noiooi? ? ia?aianai? caoai?thaaiiy - 6,67%). ?c nioe?aeueieo oaeoi??a, ye? ni?eythoue aeieeiaiith ACCII, a ?aiaiaiio ii?yaeeo iathoue cia/aiiy ianooii?: iaoeaioe? n?euenueei? i?noeaaino? (23,9%), nooaeaioe (22,5%), neoaeaiaoe? i?iieneiai? noa?e (13,8%). Oaeoi?e ?ai?iaeoeoe??: ia?aianai? iaoieia?/i? iieiae (82%), aai?oe (77,8%), AIE (20,2%). 3. O oai?eo c ACCII cia/ii cieaeai? aaeaioaoe?ei? ?aaeoe?? i?aai?cio, ui i?aeoaa?aeaeo?oueny aeaieie eaeeia?aie ? ??aiai e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe?aioo: iani?eyoeea? ?aaeoe?? aino?iai ? o?ii?/iiai no?ano neeaaeaee 63%, ni?eyoeea? - 37%, e/n eiao?oe?aio ieae/a ii?ie (0,4 - 0,5) i?e iani?eyoeeaeo ?aaeoe?yo neeaaeaa 71,5%, i?e ni?eyoeeaeo - 28,4%, ui na?ae/eoue i?i cia/ia cieaeaiiy ii??iino? i?aai?cio o oai?eo (p<0,01). 4. Ca aeaieie ?ioiia?aie o oai?eo ACCII iieacieee ee?oeiiiai (nenoaia e?ioioeeo?a) ? aoii?aeueiiai ?ioi?oaoo (?ioiiaeiaoe?ie A, I, G), o?o? eiiieaiaioo aoee aeaui cieaeai? aai a ii?i?, ui na?ae/eoue i?i i?eai?/aiiy ?ioiii? nenoaie aiane?aeie o?eaaei? ai?eii? ?ioieneeaoe??. Oea i?aeoaa?aeaeo?oueny ca?eueoaiiyi ai?noo a e?ia? oee?eoethth/eo ?ioiieo eiiieaen?a (Oe?E) oaeai? (0,091) o ii??aiyii? c ii?iith (0,044). Oe? aeai? iaiao?aeii a?aoiaoaaoe i?e ianoaaeaii? oai?eo aei ? i?ney iia?aoe??, aaeaeaaoii? ?ioiiei?aeoe?? oa eiio?ieth aoaeoeaiino? e?eoaaiiy. 5. Aeey aeoeaaoe?? aaeaioaoe?eieo ?aaeoe?e i?aai?cio oai?eo ? noai?aiiy aeaii e?eoaaeueieo ?a/iaei o oeaieiao ?ic?iaeaiee iaie oa ai?iaaaeaeaiee a i?aeoeeo eiiieaeniee iaoiae a?iaeoeaaoe?eii? oa?ai??. A?i neeaaea?oueny ?c a?iaaeueaai?caoe?? oa a?ioi?aco aac aeei?enoaiiy ciai?oi?o aeaea?ae no?oio a ii?aeiaii? c? noeioeyoe??th aeoioieoo?ieo cii ? iaaeeeaiaioicii? oa?ai??, ye aeineoue aoaeoeaiee (?<0,01), aacia/iee, aeinooiiee ? aeiiii?/ii aea?aeiee aeey oai?eo iaoiae. Ii??aiyeueiee aiae?c aoaeoeaiino? e?eoaaiiy ACCII o?aaeeoe?eieie iaoiaeaie oa eiiieaenii? a?iaeoeaaoe?eii? oa?ai?? iieacaa ia?aaaao inoaiiuei?. E?euee?noue oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? ciaioeeanue ia 14,9% (?<0,05), ia?aaoaaiiy a noaoe?iia?? nei?ioeeinue ia 2 e?aeeiaei?. 6. Aaeaioaoe?ei? ?aaeoe?? a i?neyiia?aoe?eiiio ia??iae? o oai?eo i?ney eiiieaenii? a?iaeoeaaoe?eii? oa?ai?? cia/ii iie?aueeenue o ii??aiyii? c o?aaeeoe?eiith oa?ai??th: e?euee?noue ni?eyoeeaeo ?aaeoe?e (o?aioaaiiy ? aeoeaaoe??) ca?eueoeeanue ia 32,3%, e/n eiao?oe?aio ca?eueoeany a na?aaeiueiio ia 0,2 (?<0,05), ??aaiue Oe?E cieceany ia 0,054 ? i?eeoia aei ii?ie, a?eueo?noue iieaciee?a ee?oeiiiai oa aoii?aeueiiai ?ioi?oaoo ii?iae?coaaeenue (?<0,05) a a?eueo?e i??? ii??aiyeueii n o?aaeeoe?ieie iaoiaeaie. 7. C iaoith ?aaa?e?oaoe?eieo caoiae?a a aiaoeaoi?ii-iie?ee?i?/ieo oa aeiiaoi?o oiiaao ?aeiiaiaeo?oueny caaaeueia a?iaaeueaai?caoe?y ? oi/eiaee ianaae caaaeueiioii?coth/eo aeoioieoo?ieo cii i?ae eiio?ieai n?iaeiiai e?ea?y. I?aeoe/i? ?aeiiaiaeaoe?? 1. I?e ianoaaeaii? oai?eo iaia’yceiai iio??aii a?aoiaoaaoe oaeoi?e ?eceeo, ye? ni?eythoue aeieeiaiith ACCII (a?e, oao, iniaeeai ia?aianai? ? noiooi? caoai?thaaiiy, aai?oe oa iaoieia?/i? iieiae a aiaiiac?) c a?aeiia?aeieie e?eoaaeueieie caniaaie i?aeaioiaee aei iia?aoe??. 2. Aecia/aoe noai aaeaioaoe?eieo ?aaeoe?e oa e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe?aioo ca aeaieie eaeeia?aie ye iieaciee?a ii??iino? oa ?aaeoeaiino? i?aai?cio ? ye iieaciee?a aoaeoeaiino? e?eoaaiiy. 3. A eiiieaen i?io?eaeoe/ieo oa ?aaa?e?oaoe?eieo caoiae?a a i?neyiia?aoe?eiiio ia??iae? aeeth/aoe a?iaeoeaaoe?eio oa?ai?th (a?iaaeueaai?caoe?th, a?ioi?ac oa noeioeyoe?th aeoioieoo?ieo cii (A-36, Oa-ao-4, N?-11, VC 22) ye iaiaaeeeaiaioicieo iaoiae?a aeoeaaoe?? ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio. 4. C iaoith ?aaa?e?oaoe?? oai?eo a aiaoeaoi?ii-iie?ee?i?/ieo oa aeiiaoi?o oiiaao ?aeiiaiaeo?oueny caaaeueia a?iaaeueaai?caoe?y ca ianooiiith noaiith i?ioyaii aeiae: 1 naain (7.00 - 8.00). Aeaeo?iae 1 (Ae+) aeiii? ? 2 (AA-) aeoeaioi? aeaeo?ii?a ?icoaoiaothoue ia i?aeioaao nooii?a. *a?ac 10 oa. ?o i?iythoue i?noeyie. Caaaeueiee /an a?iaaeueaai?caoe?? 20 oa. 2 naain (11.00 - 12.00) - caaaeueia a?iaaeueaai?caoe?y. Aeaeo?iae 1 (Ae+) ?icoaoiaothoue ia ia?aaei?e no?ioe? aeeaioa a ae?eyioe? i?iaeoe?? iaoee /e i?eaeaoe?a, a aeaeo?iae 2 (AA-) ia e?eaeao a ae?eyioe? aea?iaoiia?a na/inoaoaaeo i?aai?a (naaiaioe O-9 - O-12). Aeiaeaoeiaei aeaeo?iaeii (Ae+) ia?a?ea/anoi (ii 20 - 30 nae) iiae?aciththoue aeoioieoo?i? ciie (A-36, N?-4, N?-11, VC-22 ? 0-ciio a oeaio?? aooii? ?aeiaeie. Caaaeueiee /an a?iaaeueaai?caoe?? 30 oa. 3 naain (14.00 - 15.00). Aeaeo?iae 1 (Ae+) aa?ooue o aeieiith iaei??? ?oee, a aeaeo?iae 2 (AA-) i?eeeaaeathoue aei i?aeioae i?ioeeaaeii? nooii?. *a?ac 15 oa aeaeo?iaee i?iythoue iaao?ano. Caaaeueiee /an a?iaaeueaai?caoe?? 30 oa. 4 naain (15.00 - 18.00) iiaoi?ththoue naain 2. 5 naain (20.00 - 21.00). Aeaeo?iae 1 (Ae+) ? 2 (AA-) aa?ooue ii iaeiiio a eiaeio aeieiith. *a?ac 15 oa ?o i?iythoue i?noeyie. Caaaeueiee /an a?iaaeueaai?caoe?? 30 oa. Aeaeo?iaee cii/othoue o?c?ieia?/iei ?ic/eiii (aai cae/aeiith aiaeith). Eo?n e?eoaaiiy iiaeia i?iaiaeeoe 2-3 aei? i?ae?yae aai /a?ac aeaiue. Eiio?ieue aoaeoeaiino? cae?eniththoue ca eaeeia?aiith oa aecia/aiiyi e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe?aioo i?ae eiio?ieai n?iaeiiai e?ea?y. Nienie i?aoeue, iioae?eiaaieo ca oaiith aeena?oaoe?? 1.Noai aaeaioaoe?eieo ?aaeoe?e o oai?eo c ai?eii-caiaeueieie caoai?thaaiiyie i?eaeaoe?a iaoee ca aeaiieie ee?i?/iiai aiae?co e?ia? // A?niee A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.-1998.-?2(2).-N. 362-363. 2. Ee?i?ei-noaoenoe/iee aiae?c oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? o oai?eo c ai?eii-caiaeueieie caoai?thaaiiyie i?eaeaoe?a iaoee // A?niee A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.-1998.-?2(2).-N. 364-365 3.Ai?eii-caiaeuei? caoai?thaaiiy i?eaeaoe?a iaoee ye nioe?aeueii-iaaee/ia i?iaeaia // Iaae?ao??y, aeooa?noai oa a?iaeieia?y.-1998.-?6.-N. 99-102. 4. Aioo?eiaoi/iua eiio?aoeaioeau (AIE) eae i?iaeaia aiieii-ainiaeeoaeueiuo caaieaaaiee i?eaeaoeia iaoee //Iao. iaaeaeoia?. eiia?anna “Aeooaeueiua aii?inu eioaeoieiaee a aeooa?noaa e aeiaeieiaee. Aeiiaoee.- 1998.- O. 1.- N. 45-46. 5.I?iaeaie ai?eii-caiaeueieo caoai?thaaiue aeiaeaoe?a iaoee a oiiaao no/anii? aioea?ioeeioa?ai?? // A?niee A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.-1999.-?3(1).-N. 53-54 6.No/ani? iaoiaee ?aaa?e?oaoe?? oai?eo i?ney ai?eieo iia?aoe?e a o?aaioi?e o??o?a?? ? a?iaeieia?? // Oace aeiiia?aeae I?aeia?iaeii? eiioa?aioe?? “Aeooaeuei? i?iaeaie ?aaa?e?oaoe?? oai?eo”. Oi?eueiee.-1999.-N. 211-212. (Ni?aaaoi?e: I.I.AEo/aiei) 7. I?iaeaia a?aeiiaeaiiy ?ai?iaeoeoeaii? ooieoe?? o ae?iie c ai?eii-caiaeueieie caoai?thaaiiyie i?eaeaoe?a iaoee i?ney o??o?a?/iiai e?eoaaiiy// A?niee A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.-1999.-?2.-N. 396-397. (Ni?aaaoi?e: A.A.Iieoi?ae, I.A.AEo/aiei) AiiioaoeEy Oaeae Aao-Aoaeo. Aiieii-ainiaeeoaeueiua caaieaaaiey i?eaeaoeia iaoee. Oaeoi?u ?enea, i?iaiic e i?ioeeaeoeea ineiaeiaiee a iineaiia?aoeeiiiii ia?eiaea. ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01 aeooa?noai e aeiaeieiaey. Aeiieoeeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao ei. I.E.Ie?iaiaa IC Oe?aeiu. Caueuaaony aeenna?oaoeeiiiay ?aaioa ii oaia aiieii-ainiaeeoaeueiua caaieaaaiey i?eaeaoeia iaoee - eeeieei-aiaiianoe/aneea oaeoi?u ?enea, niinianoaothuea aicieeiiaaieth iaoieiaee (346 enoi?ee aieacie), ninoiyiey aaeaioaoeeiiiuo ?aaeoeee (218 enoi?ee) e eeioioeeoa?ii-naaiaioiyaea?iiai eiyoeoeeaioa (165 enoi?ee) - iieacaoaee nii?ioeaeyaiinoe i?aaiecia, eiioiieiae/aneie ?aaeoeaiinoe aoii?aeueiiai eiioieoaoa e ianiaoeeoe/aneie ?aaeoeaiinoe i?aaiecia (47 aieueiuo). Eco/aia ?ieue eeeieei-aiaiianoe/aneeo oaeoi?ia ?enea aic?anoa, i?ioannee, ia?aianaiiua e niioonoaothuea caaieaaaiey a aicieeiiaaiee ACCII. Noiia?iia aeeyiea eeeieei-aiaiianoe/aneeo oaeoi?ia ninoaaeyao 19,52%. Ii aeaiiei eaeeia?aiiu aaeaioaoeeiiiua ?aaeoeee e e/n eiyooeoeeaio cia/eoaeueii nieaeaiu, /oi oeacuaaao ia ieceoth nii?ioeaeyaiinoue i?aaiecia aieueiuo e eioaeoeee. Eiioiieiae/aneay ?aaeoeaiinoue i?aaiecia ii aeaiiui eiioiia?aiiu oaeaea oaiaoaia. Ana yoe aeaiiua neaaeoao o/eouaaoue i?e ianeaaeiaaiee e aaaeaiee a iineaiia?aoeeiiiii ia?eiaea. Aeey i?ioeeaeoeee ineiaeiaiee e ?aaaeeeoaoeee aieueiuo a iineaiia?aoeeiiiii ia?eiaea ?ac?aaioaia e iainiiaaia eiiieaeniay aeiaeoeaaoeeiiiay oa?aiey, ninoiyuay ec aeiaaeueaaiecaoeee e aeioi?aca a ni/aoaiee ni noeioeyoeeae aeoioieoo?iuo cii. Yoe iaoiaeu iiaeii eniieueciaaoue aeey ?aaaeeeoaoeee aieueiuo a aiaoeaoi?ii-iieeeeeie/aneeo e aeiiaoieo oneiaeyo iiae eiio?ieai a?a/a. AiioaOe?y Oaeae Aao-Aoaeo. Ai?eii-caiaeuei? caoai?thaaiiy i?eaeaoe?a iaoee. Oaeoi?e ?eceeo, i?iaiic ? i?io?eaeoeea oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae?. ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth - 14.01.01 aeooa?noai ? a?iaeieia?y. A?iieoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i. I.?.Ie?iaiaa IIC Oe?a?ie. Caoeua?oueny aeena?oaoe?eia ?iaioa ca oaiith: ai?eii-caiaeuei? caoai?thaaiiy i?eaeaoe?a iaoee, oaeoi?e ?eceeo, (346 ?noi??e), noaio aaeaioaoe?eieo ?aaeoe?e (218 ?noi??e oai?iae) ? e?ioioeeoa?ii-naaiaioiyaea?iiai eiao?oe?aioo (165 ?noi??e) - iieacieea ii??iino? i?aai?cio ca aeaieie eaeeia?aie, ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio, ca aeaieie ee?oeiiiai, aoii?aeueiiai ?ioi?oaoo ? ianiaoeeo?/ii? ?aaeoeaiino? i?aai?cio (47 oai?eo). Aea/aia ?ieue ee?i?ei-aiaiianoe/ieo oaeoi??a ?eceeo (a?e, oao, ia?aianai? ? noiooi? caoai?thaaiiy) a aeieeiaii? ACCII. Noia?iee aieea ee?i?ei-aiaiianoe/ieo oaeoi??a neeaaea? 19,52%. Ca aeaieie eaeeia?aie aaeaioaoe?ei? ?aaeoe?? ? e/n eiao?oe?aio cia/ii cieaeai?, ui aeaco? ia iecueeo ii??i?noue i?aai?cio oai?eo aei ?ioaeoe??. ?ioiieia?/ia ?aaeoeai?noue i?aai?cio ca aeaieie ?ioiia?aie oaeiae i?eai?/aia. An? oe? aeai? ne?ae a?aoiaoaaoe iuae /an ianoaaeaiiy ? aaaeaiiy oai?eo a i?neyiia?aoe?eiiio ia??iae?. Aeey i?io?eaeoeee oneeaaeiaiue ? ?aaa?e?oaoe?? oai?eo a i?neyiia?aoe?eiiio ia??iae? ?ic?iaeaia e iaa?oioiaaia eiiieaenia a?iaeoeaaoe?eia oa?ai?y, yea neeaaea?oueny ?c a?iaaeueaai?caoe?? ? a?ioi?aca a ii?aeiaii? c? noeioeyoe??th aeoioieoo?ieo cii. Oe? iaoiaee iiaeia aeei?enoiaoaaoe ? aeey ?aaa?e?oaoe?? oai?eo a aiaoeaoi?ii-iie?ee?i?/ieo ? aeiiaoi?o oiiaao i?ae eiio?ieai e?ea?y. Annotation Halal Abu-Gteash I.A. Puss inflammatory diseases of adnexa uterus. Hazard factors, forecasting and prevention of complications in post-operational period.-manuscript Thesis for a medical bachelor’s degree at field 14.01.01 – Obstetrics and Gynaecology, Medical sciences:-Vinnitsa state medical university n.a.Pirogov N.I., 1999 There has been delievered thesis concerning puss inflammatory diseases of adnexa uterus, hazard factors, which conribute to incidence of given pathology due to clinical analyses of 346 in-patient cases. There have been analysed following factors : age, occupation, concurrent and former diseases, fertile function factors, such as abortions in the past, abnormal delieveries, intra-uterus contraceptives, i.e. Resistance and reactivity of patients have been studing by the analyses of adaptation reactions and lymphocyte – segmentonucleus index, humoral and non-specific immunity. Investigation shows important influence, rendered by clinic and anamnestic factors, on development of puss inflammatory diseases of adnexa uterus, which constitutes about 19%. These patients have greatly decreased adaptation reactions. It’s prooved by the data of leucogramma and the level of lymphocyte -segmentonucleus index. Unfavourable reactions of acute and chronic stress constituted 63%, favourable – 37%. Level of lymphocyte -segmentonucleus index under unfavourable reactions reached 72%, that under favourable reactions was about 28% . These are evidences of significant decrease in resistance of patients (p<0,001). Immunological resistance is supressed by the data of immunogramma. It’s confirmed by the doubling of circulating immunocomplexes in the blood (0,091). These results are to being accounted in patient’s care in pre and post operation period, one should mind follow proper immunocorrection and control of treatment efficacy. There have been developed complex bioactivative therapy for prevention of complications and rehabilitation of patients with puss inflammatory diseases of adnexa uterus in post operational period. It consists from biogalvanisation, biophores of remedies in combination with stimulation of acupuncture points. The results of treatment appears to be more efficient comparativly to used to be methods. Incidence of complications in post operational period has declined by 16,5% (p<0,001). Frequence of favourable adaptation reactions has improved by 32,3%. Level of lymphocyte -segmentonucleus index has increased by 0,2 (p<0,05). Level of circulating immunocomplexes in the blood has lowered by 0,054 and reached normal treshhold. The most of cellular and humoral immunity indexes got normalised (p<0,05). There have been recomended general biogalvanisation and point massage of acupuncture regions under supervision of family doctor as the means of rehabilitation in policlinic and home treatment. Complex of measures includes enzyme therapy and uterus sanation with iodine saline solution. Developed rehabilitation system, aimed at increasing of body resistance, is the important component of rehabilitation and prevention of complications in post-operational period. 1. Discovering of hazard factors and their consequences have been envolved in investigation program. It had been recommended to follow appropriate treatment if some of hazard factors have been revealed in the patient with given pathology. 2. Evaluating of resistance and reactivity were rendered by leukogramma, lymphocyte -segmentonucleus index and immunogramma, which included indices of humoral and cellular immunity. 3. There were injected antibiotics in 0.5-1 hours before the operation, following with further administration of antimicrobial drugs during post-operation period. 4. Stimulation of acupuncture regions were conducted in 3-4 days after operation in order to increase non-specific body reactivity, analgesia, stimulation of bowel peristaltic. 5. Stimulation of acupuncture regions were combined with biogalvanisation and bioforesis of drugs purposely to depose them around post-operation scar and stimulate non-specific reactivity. 6. Additionaly there were administered resolving drugs (polyvitamins, vitamin E, polybiolin), gymnastic in the bed to enhance the efficacy of biophysic treatment methods. 7. After discharge the same massage of acupuncture regions, if necessary – enzymotherapy, polyvitamins under doctor supervision are recommended in policlinics and home treatment. I?aeienaii aei ae?oeo 08.09.99 ?. Caiiae. ? 185. Oi?iao 60o90 1/16 Oi. ae?oe. a?e. 1,0 Ae?oe ionaoiee. Oe?aae 100 i?ei??iee?a. A?iieoey. Ae?oea?iy AAeIO ?i. I.?.Ie?iaiaa, Ie?iaiaa, 56.

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