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Клінічна значущість вивчення біоценозу товстої кишки при хронічних гелікобактер-асоційованих захворюваннях органів гастродуоденальної зони у дітей: Ав

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Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

OAeE 616.33-002.44-08:616- 002.7

Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

Aia?iaa A.?

ee?ie/ia cia/ou?noue aea/aiiy a?ioeaiico oianoi? eeoee i?e o?ii?/ieo
aae?eiaaeoa?-anioe?eiaaieo caoai?thaaiiyo i?aai?a aano?iaeoiaeaiaeueii?
ciie o ae?oae

14.01.10 – iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeao iaaee/ieo iaoe

Oa?e?a – 2000

Aeena?oaoe??th ? ?oeiien

?iaioo aeeiiaii a Oa?e?anuee?e iaaee/i?e aeaaeai??

i?neyaeeieiiii? ina?oe IIC Oe?a?ie

Iaoeiaee caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi?
iaaee/ieo iaoe,

ea??aiee: : i?ioani? A?eionia TH??e Aieiaeeie?iae/, Oa?e?anueea

iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe, caa?aeoth/ee

eaoaae?ith aeeoy/i? aano?iaioa?ieia??.

Io?oe?ei? aeieoi? iaaee/ieo iaoe, i?ioani?

iiiiaioe: Iaeeiaoeue TH??e Aaneeueiae/, Oa?e?anueeee aea?aeaaiee

iaaee/iee oi?aa?neoao, caa?aeoth/ee eaoaae?ith

oaeoeueoaonueei? iaae?ao??? c iaaee/iith aaiaoeeith.

aeieoi? iaaee/ieo iaoe, i?ioani?

Ia?oiiaiei Ethaeieea Einoyioei?aia, Oa?e?anueea iaaee/ia

aeaaeai?y i?neyaeeieiiii? ina?oe, caa?aeoaa/ea eaoaae?ith

oa?ai?? i?aee?oeiaiai a?eo.

I?ia?aeia onoaiiaa: ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII
Oe?a?ie, i. Ee?a, a?aeae?e aano?iaioa?ieia??.

Caoeno a?aeaoaeaoueny “23” aa?aciy 2000 ?ieo i 14 aiaeei?

ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.64.600.04 i?e
Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ca aae?anith: 61022,
i. Oa?e?a,

i?iniaeo Eai?ia, 4.

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai

iaaee/iiai oi?aa?neoaoo ca aae?anith: 61022, i. Oa?e?a, i?iniaeo Eai?ia,
4.

Aaoi?aoa?ao ?ic?neaiee “20” ethoiai 2000 ?ieo.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
Ia/a?aiei E.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. O no?oeoo?? o?ii?/ieo caoai?thaaiue i?aai?a nenoaie
o?aaeaiiy o ae?oae aaaeo/a i?noea (60-70%) caeiathoue o?ii?/i?
caoai?thaaiiy aano?iaeoiaeaiaeueii? ciie /Aa?aiia A.E., Ee?iainueea
A.A., 1995; Iaeeia A.E., 1996; Cai?oaeiia A.I., 1998/.

?ioa?an aei aea/aiiy o?ii?/ieo caoai?thaaiue oeoiea ? AeIE cia/ii c??n a
inoaii? ?iee c a?aee?eooyi ?ie? a ?o ?icaeoeo i?e?ia?a ?iaeo
Helicobacter /Ua?aaeia I.E., O?e?i A.A., Iaco??i E.I., 1997;
Ei?noinueeee A., 1998; Cae??ia I.C., 1998; Marhall B.J., 1989; Goodwin
C.S., Mendall M.M., 1997/.

A aeaiee /an ia aeeeeea? noii?ao, ui H? ? ao?ieia?/iei /eiieeii o
80-85% aeiaaeeao o?ii?/iiai aano?eoo ? aano?iaeoiaeai?oo, a?eueo i?ae o
95% oai?eo, ui no?aaeaeathoue AO AeIE, 70-80% oai?eo AOO /Caoa?ia E.A.,
Oa?ania A.I., Eenaiei A.A., 1996; Iaco??i A.A. ? ni?aaao., 1996; Oaoe
?.A., I?io?aa O.I., Aii/a? I.A., 1997; Aeaieniaa A.I., 1998; Kuipers
E.J., Thijs J.C., 1995/.

Aeciaiiy ao?ieia?/ii? ?ie? I? aenoioei ia ia?oee ieai ieoaiiy nai?/anii?
ae?aaiinoeee aae?eiaaeoa?ii? ?ioaeoe?? ? ao?io?iiii? ?? oa?ai??. Ieoaiiy
ae?aaiinoeee aae?eiaaeoa?ii? ?ioaeoe?? a aeaiee /an ?ic?iaeai?
aeinoaoiuei aeia?a /Iaeeia A.E., ?aaiia A.A., 1997; I?ia?a
A.?.,Iana?aeneee TH.A., Ai?iaueia A.A., 1997; *oeia N.C. ? ni?aaao.,
1998; Vazquez M.A., Valle J., 1997/.

Ieoaiiy aaeaeaaoii? oa?ai?? aae?eiaaeoa?ii? ?ioaeoe?? o ae?oae, ye ?
?ai?oa, caeeoathoueny aeooaeueieie. Aeey e?eoaaiiy aano?iaioa?ieia?/ii?
iaoieia??, anioe?eiaaii? c aae?eiaaeoa?iith ?ioaeoe??th, iaiao?aeia
aeei?enoaiiy niaoeeo?/ii? aioeaaeoa??aeueii? oa?ai??, yea iiaeiia
aoaeoeaii aieeaaoe ia I?.

A aeaiee /an oea aeinyaa?oueny aeei?enoaiiyi oae caaii? iio??eii? aai
eaaae?ioa?ai??, ui aeeth/a? i?aia?aoe a?niooo, iao?ii?aeacieo, o
niieo/aii? c aioeaaeoa??aeueiith /oeaiienei, aiieneoeee?i / oa?ai??th ?
i?aia?aoaie c a?oie aeieaoi??a I-2 ?aoeaioi??a a?noai?io /Iaeueieeiaa
?.TH.,Iiaeeiaa A.I., 1998; ?aoieeiaa I.A., N?a?iaaa ?.A.,1998; O?ea/eeia
A.A.. ? ni?aaao.,1998; Ua?aaeia I.E., O?e?i A.A., 1998; Mc Nulty C.A.M.,
Dent J.C., Wilkinson S.P., 1998/.

Canoinoaaiiy a eiiieaeni?e oa?ai?? aae?eiaaeoa??ico aioeaaeoa??aeueieo
i?aia?ao?a ?iaeoue aeooaeueiith i?iaeaio aea/aiiy a?ioeaiico oianoi?
eeoee. Inoaii?e iiaea aooe ii?ooaiei aei ii/aoeo aioeaaeoa??aeueii?
oa?ai??, ii?ooaiiy iiaeooue iineeeoeny a i?ioean? ?? i?iaaaeaiiy ?
caa?aaoeny i?ney cae?i/aiiy e?eoaaiiy /Neoieeiaa A.I., Eo?iiniaa I.A.,
Eaaaoiaa I.A., 1998; Ei?noinueeee A.A., Oaae?i A.?. ? ni?aaao.,
1998; Iaeeia A.E., 1998; Aiiaea?aiei A.I., Ai?a A.A., ? ni?aaao.,
1998; Eeeiaa A.A., Aiiaea?aiei A.I. ? ni?aaao., 1999/. Oea aecia/a?
iaiao?aei?noue aea/aiiy nenoaie a?ioeaiico oianoi? eeoee aei ii/aoeo
aioeaae?eiaaeoa?ii? oa?ai?? ? i?ney ?? i?iaaaeaiiy, aeey iaa?oiooaaiiy
iieaciee?a aei i?ecia/aiiy i?ia?ioee?a ? aeeoa?aioe?eiaaiiai c
a?aooaaiiyi nooiaiy ? oa?aeoa?o aeena?ioe/ieo ii?ooaiue oianoi? eeoee ?o
aeei?enoaiiy.

O iaae?ao?e/i?e i?aeoeoe? aeine?aeaeaiue, i?enay/aieo aea/aiith
i?e?ia?ioeaiico oianoi? eeoee i?e aae?eiaaeoa?-anioe?eiaai?e iaoieia?? a
ae?oae, iaaaaaoi, ? aiie iaiaeii??aei?. Aeai? i?i ii?ooaiiy i?e?iaiiai
iaecaaeo eeoa/ieea i?e aano?iaeoiaeaiaeuei?e iaoieia?? /Nieiaeiaiee
A.A., Neiii??ia I.A., 1997 ; Aaeaoiaa O.O., Aaoiaoiaa I.A., 1997 ;
Neiaiaeyi E.I., Aiy?/oe I.?., Eeeiithe N.?.,1998 ; Ii?iciaa I.A. ?
ni?aaao., 1998/ ia noi?iaiaeaeothoueny aeaieie i?i oa?aeoa? a?ioeaiico
oianoi? eeoee a caeaaeiino? a?ae iayaiino? aai a?aenooiino?
aae?eiaaeoa?ii? ?ioaeoe??. Iaaeinoaoiuei oaeiae aena?oeaia c?noaaeaiiy
nooiaith oyaeeino? aiaeineii?/ieo ci?i NIO ? AeIE ?c iayai?noth
aeena?ico oianoi? eeoee, ui iiaea aooe a?aei?aaiei ioieoii a?aaeaiiy
neeciai? iaieiiee i?aai?a aano?iaeoiaeaiaeueii? ciie ? ca?eueoeoe iayaio
iaoieia?th.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aea?aiee
iai?yiie aeine?aeaeaiue ca’ycaiee c iaoeiaith ae?yeuei?noth oa aoiaeeoue
aei oaiaoe/iiai ieaio eaoaae?e aeeoy/i? aano?iaioa?ieia?? Oa?e?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe, ye o?aaiaio IAe?: “?ic?iaea
iaoiae?a ae?aaiinoeee oa e?eoaaiiy o?ii?/ieo caoai?thaaiue o?aaii?
nenoaie o ae?oae.” (?a?no?aoe?eiee iiia? 0194V0035070)

Iaoa oa caaea/? aeine?aeaeaiiy. Iaoith ?iaioe aoei i?aeaeuaiiy
aoaeoeaiino? ?aaa?e?oaoe?? ae?oae c o?ii?/ieie
aae?eiaaeoa?-anioe?eiaaieie caoai?thaaiiyie i?aai?a
aano?iaeoiaeaiaeueii? ciie ia iniia? aea/aiiy iniaeeainoae a?ioeaiico
oianoi? eeoee ? aeeoa?aioe?eiaaii? ei?aeoe?? ii?ooaiue. A?aeiia?aeii aei
iinoaaeaii? iaoe aoee aecia/ai? ne?aeoth/? caaaeaiiy:

1. Aea/eoe iniaeeaino? aiaeineii?/ii? ea?oeie NIO oa AeIE o ae?oae,
?io?eiaaieo I?.

2. Aecia/eoe /anoioo ?io?eiaaiino? I? o ae?oae c
OAAeI.

3. Aecia/eoe iayai?noue aae?eiaaeoa?ii? ?ioaeoe?? oeyoii i?iaaaeaiiy
o?aaciiai oanoo, ?A, aaeoa??ieia?/iiai aeine?aeaeaiiy a?iioao?a neeciai?
iaieiiee aio?aeueiiai a?aeae?eo oeoiea.

4. Aea/eoe noai neeciai? iaieiiee oianoi? eeoee ca aeiiiiiaith
?aeoi?iiaiineii?/iiai ? ???aia?ao?/iiai aeine?aeaeaiue.

5. Ioe?ieoe noai a?ioeaiico oianoi? eeoee o ae?oae i?e o?ii?/ieo
caoai?thaaiiyo i?aai?a aano?iaeoiaeaiaeueii? ciie, anioe?eiaaieo ?
iaanioe?eiaaieo c I?.

6. C o?aooaaiiyi a?ioeaiico oianoi? eeoee iaa?oiooaaoe ? i?iaanoe
aeeoa?aioe?eiaaio oa?ai?th aae?eiaaeoa??ico.

7. Aea/eoe aieea aioeaaeoa??aeueii? oa?ai?? aae?eiaaeoa??ico ia noai
a?ioeaiico oianoi? eeoee ? c o?aooaaiiyi oeueiai ?ic?iaeoe
aeeoa?aioe?eiaai? ?aeiiaiaeaoe?? ii e?eoaaiith ii?aeiaiii? iaoieia??
(aae?eiaaeoa??ic ? aeenaaeoa??ic).

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a. I?iaaaeaii iaeii/ania
aeine?aeaeaiiy aaeoa??aeueii? oei?e aio?aeueiiai a?aeae?eo oeoiea ?
eeoeiai? i?e?ioei?e, ui aeicaieeei ?icoe?eoe oyaeaiiy i?i iaoiaaiaoe/i?
iaoai?cie ?io?eoaaiiy.

Aecia/aii /anoioo ?io?eiaaiino? I? i?e OAAeI o ae?oae ? iieacaiee ??
i?yiee ca’ycie ?c o?eaae?noth caoai?thaaiiy, a?eii aeeoeie ? nooiaiai
aiaeineii?/ieo ci?i NIO ? AeIE

Aecia/aii /anoioo aeyao o?ii?/iiai eie?oo i?e OAAeI, anioe?eiaaii? c
I?-?ioaeoe??th.

Aecia/aii /anoioo aeyao aeena?ioe/ieo ii?ooaiue oianoi? eeoee i?e
aano?iaeoiaeaiaeuei?e iaoieia?? o ae?oae.

Aeyaeai? a?aei?iiino? ae?aciino? aeena?ioe/ieo ii?ooaiue o caeaaeiino?
a?ae iayaiino? I? ? oa?aeoa?o aiaeineii?/ieo ci?i NIO ? AeIE.

Ia iniia? aeei?enoaiiy iieaciee?a a?ioeaiico oianoi? eeoee ?ic?iaeai?
e?eoa??? i?iaiicoaaiiy iiaeaeueoiai ?icaeoeo aae?eiaaeoa?-anioe?eiaaieo
caoai?thaaiue o ae?oae ? ?iaeea?aeoae?caoe?? e?eoaaeueii-i?io?eaeoe/ieo
caoiae?a.

Aea/aia aeeiai?ea noaio a?ioeaiico oianoi? eeoee o oai?eo i?ei?e/iei
aae?eiaaeoa??icii i?ae aieeaii o?eieaenii? oa?ai?? (aii?oeee?i
+iao?ii?aeacie +aea-iie).

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Iieacaii aeioe?euei?noue
aecia/aiiy nooiaiy eiioai?iaoe?? NIO ? AeIE aaeoa??yie ?iaeo
Helicobacter: aenieee nooi?iue ?io?eiaaiino? I? /ano?oa a?aei?/a?oueny
ia oii? aeano?oeoeaieo ci?i NIO, ei?aeth? c o?eaae?noth caoai?thaaiiy ?
iiaeiia a?aoiaoaaoeny i?e i?ecia/aii? ao?io?iiiiai e?eoaaiiy.

A?aecia/aii iecueeo ae?aaiinoe/io cia/ei?noue o?aaciiai oanoo aeey
ae?aaiinoeee I?-?ioaeoe??: o 31% oai?eo ?c iiceoeaiei o?aaciei oanoii
aaeoa??ieia?/ii aeae?eaiee ia I?, a noiooiy oei?a oeoiea: eeaan?aea,
a?eae ?iaeo eaiae?aea, eeoeiaa iaee/ea, cieioenoee noao?eieie,
aioa?iaaeoa???, i?ioae.

Aecia/aii ee?i?/ia cia/aiiy noaio a?ioeaiico oianoi? eeoee i?e OAAeI o
ae?oae: cia/i? aeena?ioe/i? ii?ooaiiy oianoi? eeoee (III nooi?iue
oyaeeino?) iaaaaeithaaee ia?aa?a iniiaiiai caoai?thaaiiy.

Aeyaeaia caeaaei?noue nooiaiy a?aaeaiiy neeciai? iaieiiee oianoi? eeoee
a?ae oeio aeena?ioe/ieo ii?ooaiue oianoi? eeoee , nooiaiy eiai
ae?aciino?.

Iieacaia aeioe?euei?noue aioeaaeoa??aeueii? oa?ai?? a eiiieaeniiio
e?eoaaii? i?ei?e/iiai aae?eiaaeoa??ico, yeee noi?iaiaeaeo?oueny
aeena?ioe/ieie ii?ooaiiyie oianoi? eeoee: ao?io?iiia oa?ai?y ia o?eueee
i?ecaiaeeoue aei naiaoe?? I?, aea ? aeaaioai?ii aieeaa? ia oa?aeoa?
a?ioeaiico oianoi? eeoee.

Iieacaii, ui ?aoeeaeea I? noi?iaiaeaeo?oueny iia??oaiiyi iieaciee?a
a?ioeaiico oianoi? eeoee: oea aecia/a? iaiao?aei?noue iiaoi?ieo
aeine?aeaeaiue ? a?aaeeeaoe?eieo caoiae?a.

?acoeueoaoe aeine?aeaeaiiy c 1998 ?ieo ai?iaaaeaeaii a i?aeoe/io ?iaioo
aeeoy/eo ee?i?/ieo e?ea?aiue ?19, ?23 i. Oa?eiaa, aeeoy/i? iie?ee?i?ee
Eai?ia?aaenueeiai OII i. Ee?aa oa a iaa/aeueiee i?ioean i?e ?iaio? c
e?ea?yie-eo?naioaie ia eaoaae?? aeeoy/i? aano?iaioa?ieia?? Oa?e?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe.

Iniaenoee aianie caeiaoaa/a. Aaoi? i?aai?coaaa ee?i?ei-eaai?aoi?ia
ianoaaeaiiy 123 ae?oae ?c aano?iaeoiaeaiaeueiith iaoieia??th, i?e/iio
iniaenoi cae?enithaaa aiaeineii?/i? aeine?aeaeaiiy ? caa?? iaiao?aeiiai
iaoa??aeo aeey o?aaciiai, aaeoa??ieia?/iiai ? na?ieia?/iiai
aeine?aeaeaiue; cae?eniea aiae?c ? ocaaaeueiaiiy ?acoeueoao?a
aeine?aeaeaiiy; i?ia?a aeeoa?aioe?eia e?eoaaiiy iaoe??io?a; noi?ioethaaa
on? iieiaeaiiy, aeniiaee ? i?aeoe/i? ?aeiiaiaeaoe?? ?iaioe.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Ai?iaaoe?th ?iaioe i?iaaaeaii
ia i?aeeaoaae?aeuei?e eiioa?aioe?? eaoaae? aeeoy/i? aano?iaioa?ieia??,
iaae?ao???, oa?ai?? i?aee?oeiaiai a?eo, aeeoy/eo ?ioaeoe?eieo oai?ia,
iie?ee?i?/ii? iaae?ao???, ee?i?/ii? i?e?ia?ieia?? Oa?e?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe oa eaoaae?e oaeoeueoaonueei? iaae?ao???
c iaaee/iith aaiaoeeith Oa?e?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

Iaoa??aee aeena?oaoe?? aeeeaaeai? oa iaaiai?ai? ia tha?eaei?e
eiioa?aioe?? iieiaeeo a/aieo, i?enay/aii? 75-??//th canioaaiiy
Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a (Oa?e?a, 1998 ), ia
iaoeiai-i?aeoe/i?e eiioa?aioe?? “No/ani? iaoiaee ae?aaiinoeee oa
e?eoaaiiy – o i?aeoeeo ioi?iie caei?ia’y ae?oae” (Oa?e?a, 1999), ia III
iaoeiai-i?aeoe/i?e eiioa?aioe?? aeeoy/eo aano?iaioa?ieia?a Oe?a?ie
“Ae?aaiinoeea ? e?eoaaiiy oai?ia oeoieo oa aeaaiaaeoeyoeiaei? eeoee o
ae?oae” (Iaeana, 1999).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 12 ?ia?o, c yeeo 5 – o
oaoiaeo aeo?iaeao oa 7 – o oacao eiioa?aioe?e, c’?cae?a.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 161
noi??ieao iaoeiiieno ? neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e,
iieno iaoiae?a aeine?aeaeaiiy, oanoe ?icae?e?a aeanieo niinoa?aaeaiue,
caeeth/ii? /anoeie, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e. Nienie
aeei?enoaieo e?oa?aoo?ieo aeaea?ae iae?/o? 270 aeaea?ae
(172-a?o/eciyieo, 98-?iicaiieo, ui neeaaea? 27 noi??iie). ?iaioa
?ethno?iaaia 26 oaaeeoeyie (ui neeaaea? 12 noi??iie), 4 iaethieaie, 3
oioia?ao?yie (ui neeaaea? 3 noi??iee), 2 aeoyaaie c ?noi??? oai?iae.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Iniiao ?iaioe neeaaeathoue
?acoeueoaoe ee?i?ei-eaai?aoi?ii-?ino?oiaioaeueieo aeine?aeaeaiue 123
ae?oae o a?oe? a?ae 7 aei 15 ?ie?a. Na?aae ieo AOO ae?aaiinoiaaii o
aeaio ae?oae, AOAeIE – o 5 ae?oae, 116 – OAAe, i?e/iio o 20 c ieo
a?aei?/aee a?iceai? a?aaeaiiy NIO ? AeIE. Ia?aaaaeaee ae?oe noa?oiai
a?eo, ca noaooth – ae?a/aoa.

Ii?yae c caaaeueiiee?i?/ieie, ianoaaeoaaiei ae?oyi i?iaiaeeeeny
aaeoa??ieia?/i? oa ?ino?oiaioaeuei? iaoiaee aeine?aeaeaiiy.

An?i ae?oyi i?iaaaeaii OAAAeN aa?oi?o a?aeae?e?a o?aaiiai o?aeoo aeey
ioe?iee noaio neeciai? iaieiiee oa aa??o?eaoe?? iniiaiiai ae?aaiico ca
aeiiiiiaith aeei?enoaiiy aio/eiai aiaeineiio yiiinueei? o??ie “OLIMPUS”.
Aeey ioe?iee nooiaiy ci?i NIO oa AeIE aeei?enoiaoaaee aeai? I.A.
Iaco??ia, I.I. Cai?oaeiiai (1984). Aiaeineii?/ia aeine?aeaeaiiy a
aeeiai?oe? aeeiioaaee c i?eoe?eueiith a?iin??th neeciai? iaieiiee
aio?aeueiiai a?aeae?eo oeoiea c ianooiiith ae?aaiinoeeith
aae?eiaaeoa?ii? ?ioaeoe??

Aeey ae?aaiinoeee I? aeei?enoiaoaaee o?aaciee oano, aaeoa??ieia?/iee
iaoiae aeine?aeaeaiiy ? ?A, ye? i?iaiaeeee a eaai?aoi??? ee?i?/ii?
i?e?ia?ieia??

(caa. – eaiae. iaae. iaoe A.O.Aey/aiei) Oa?e?anueeiai IAe? i?e?ia?ieia??
? ?ioiieia?? ?i. ?.?. Ia/ieeiaa.

Nae?aoi?io ooieoe?th oeoieo aecia/aee o 76 ae?oae ca aeiiiiiaith
?io?aaano?aeueii? ?I-iao??? aeaiieeaiei ciiaeii (TH.ss. Eae, 1987).

Aeni?an-ae?aaiinoeeo, a oaeiae c’ynoaaiiy noiooiuei? iaoieia??
aeeiioaaee ca aeiiiiiaith OCAe i?aai?a /a?aaii? ii?iaeieie (?.A.
Aeai?yeianueeee ? ni?aaao., 1987).

Aeey ioe?iee noaio neeciai? iaieiiee oianoi? eeoee 55 ae?oyi c
ee?i?/ieie i?iyaaie eie?oo i?iaiaeeeiny ?aeoi?iiaiineii?/ia oa
???aia?ao?/ia aeine?aeaeaiiy. Aiaeineii?/i? ci?ie neeciai? iaieiiee
oianoi? eeoee ioe?ithaaee ca eeaneo?eaoe??th TH.A. A?eioniaa, A.I.
Aeai?eiaa (1994).

Aeine?aeaeaiiy a?ioeaiico oianoi? eeoee i?iaiaeeee 123 ae?oyi ia
eaoaae?? ee?i?/ii? i?e?ia?ieia?? (caa. eao. – i?io. TH.E. Aieyinueeee)
OIAII. Aeey ioe?iee noaio a?ioeaiico oianoi? eeoee aeei?enoiaoaaee
ee?i?/io, iaie iiaeeo?eiaaio eeaneo?eaoe?th A.O. A?e?a?ia (1970).
Aeine?aeaeaiiy i?iaiaeeee a aeeiai?oe?: ia ii/aoeo aioeaae?eiaaeoa?ii?
oa?ai??, /a?ac i?nyoeue i?ney ?? cae?i/aiiy oa o eaoaiiac? /a?ac 6-12
i?nyoe?a

?acoeueoaoe aeine?aeaeaiiy. A caeaaeiino? a?ae ?io?eiaaiino? I? oai??
aoee ?iciiae?eai? ia 2 a?oie. Iniiaio a?oio neeaaeaea 101 aeeoeia c
OAAeI, o yeeo aoa ?aeaioeo?eiaaiee I?, eiio?ieueio a?oio – 22 aeeoeie, o
yeeo I? aeae?eaiee ia aoa.

Caaaeueia ?io?eiaai?noue I? neeaaeaea 82,1% (101 aeeoeia). I?e
aeano?oeoeaieo ci?iao NIO ? AeIE I? aeyaeaii o 26 (96,3%) ae?oae, i?e
iiaa?oiaaeo – o 75 (78,1%) ae?oae. ?io?eiaaiiino? I? /ano?oa
i?aeaeaaaeeny ae?a/aoa – 53,6% ae?oae. ?io?eiaaii?noue I?
i?aeaeuoaaeanue i?iii?oe?eii a?eo oa o?eaaeino? aano?iaioa?ieia?/iiai
aiaiiaco: na?aae ae?oae 7-9 ?ie?a – anueiai 9,9 % I? (+) oi?i
caoai?thaaiue i?ioe 61,4% a a?oi? oai?eo a?eii 12-15 ?ie?a (?

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