?INOEOOO IAAe?AO???, AEOOA?NOAA OA A?IAEIEIA??

AEAAeAI?? IAAeE*IEO IAOE OE?A?IE

EI?AITHE

IEAIA NA?A??AIA

OAeE 616.2-039.4-053.4(477.63)-07:612.017.1+612.014.462.8

EE?I?*I?, IAOAAIE?*I? OA OOIEOe?IIAEUeI? INIAEEAINO?

NOAIO I?AAI?A AeEOAIIss O Ae?OAE C IIAOI?IEIE ?ANI??AOI?IEIE
CAOAI?THAAIIssIE

14.01.10 — iaae?ao??y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe?y ? ?oeiienii.

?iaioo aeeiiaii a Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai??
IIC Oe?a?ie.

IAOEIAEE EA??AIEE:

aeieoi? iaaee/ieo iaoe, i?ioani?

AeOEA EAOA?EIA AeIEO???AIA

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC Oe?a?ie caa?aeoaa/
eaoaae?e i?iiaaeaaoeee aeeoy/eo oai?ia

IO?Oe?EI? IIIIAIOE:

aeieoi? iaaee/ieo iaoe, i?ioani?

AIAe?OUOE AE?NA IIAIAN?AIA

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I. Aiaiiieueoey IIC Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani?

*A?IEOIAA ETHAeIEEA ?AAI?AIA

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC
Oe?a?ie

I?IA?AeIA ONOAIIAA:

Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo ioi?iie caei?ia”y ae?oae oa
i?aee?oe?a IIC Oe?a?ie (i. Oa?e?a), a?aeae?e iaoieia?? i?aee?oe?a.

Caoeno aeena?oaoe?? a?aeaoaeaoueny «22» /a?aiy 1999 ?. i 13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee (Ae 26.553.01) ii caoenoo
aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca
niaoe?aeueiinoyie «Iaae?ao??y», «Aeooa?noai ? a?iaeieia?y» i?e ?inoeooo?
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (aae?ana: 252050, i.
Ee?a, aoe. Iaio?euenueeiai, 8).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i. Ee?a, aoe.
Iaio?euenueeiai, 8).

Aaoi?aoa?ao ?ic?neaiee «21» o?aaiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee ________________      EAAOI?IA  E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. I?iaeaia ?ani??aoi?ii? iaoieia?? aeeoy/iai a?eo
i?ioyaii inoaiiueiai aeanyoee?ooy caeeoa?oueny iaei??th c i?ia?aeieo a
iaae?ao???. Iniaeeaa oaaaa i?eae?ey?oueny aea/aiith ieoaiue iiaoi?ii?
?ani??aoi?ii? caoai?thaaiino? o ae?oae. *ano? A?C aaaeooue aei
nainea?e?caoe?? aeeoy/iai i?aai?cio, i?aeaeuaiith /ooeeaino?
a?iioieaaaiaai? nenoaie aei ?ioaeoe?eieo aaaio?a, ?icaeoeo aoi?eiieo
?ioiiaeao?oeeoieo noai?a, oi?ioaaiith o?ii?/ii? ?ani??aoi?ii? iaoieia??
(Aaaaeia N. I., 1990; Aanaiia A. ?., 1990; Eiaaoe O. A., 1993;
AEaeacieeiaa A.O.,1997).

Aa??aioe ee?i?/iiai ia?aa?ao ? iiaeeea? iane?aeee iiaoi?ieo
?ani??aoi?ieo caoai?thaaiue o /anoi oai??th/eo ae?oae caeaaeaoue a?ae
nooiaiy aeoeaiino? aaeaioaoe?eii-eiiiainaoi?ieo ? caoenieo iaoai?ci?a,
iaoiiaeaieo aieeaii aaiaoe/ieo ? ciai?oiueina?aaeiaeuieo oaeoi??a.

A ca’yceo c oeei ia?niaeoeaiei iai?yieii o aea/aii? iaoiaaiaoe/ieo
aniaeo?a ?ani??aoi?ii? iaoieia?? ? aeine?aeaeaiiy no?oaeoaioii? nenoaie
eaaaiue (Ne?ii’yoieeiaa I.A.,1993; Levis J.,1993; ?eae?i A.?.,1994;
Oeoeeoo?a A.N., 1996). Ci?ie no?oeoo?ii-ooieoe?iiaeueieo oa?aeoa?enoee
no?oaeoaioo, iaoiiaeai? ii?ooaiiyi iaoaaie?cio e?i?ae?a, ni?eythoue
aeieeiaiith aaioeeyoe?eieo ?iceaae?a, noai?thth/e oiiae aeey
?aoeeaeoaaiiy iaoieia?/iiai i?ioeano (Ne?ii’yoieeiaa I.A.,1993; Aioyeiaa
I.?.,1994; ?eae?i A.?.,1994). Iniaeeaee ?ioa?an i?aaenoaaey? aecia/aiiy
iaoaaie?/ieo ia?ea??a aeiiicieia?/ii? oace oi?ioaaiiy o?ii?/ieo
a?iioieaaaiaaeo caoai?thaaiue o ae?oae (Oyuaiei A.A.,1991).

A aeaiee /an caaaeueiiaeciaiei ? oaeo cia/ii? aeoeaaoe?? i?ioean?a
a?eueii-?aaeeeaeueiiai ieeneaiiy i?ae aieeaii iani?eyoeeaeo oaeoi??a
ciai?oiueiai na?aaeiaeua (Aeaoeeia A.I.,1990; A?eoe?i ?.A., 1992;
?aiaoue?aa A.N.,1994; Aieueaio TH.E.,1995; Eaaeaiei A.A.,1996). A
iaoiaaiac? a?iioieaaaiaaeo caoai?thaaiue aaeeea cia/aiiy i?eaea?oueny
ineaaeaiith aioeieneaeaioiiai caoenoo i?aai?cio ?
no?oeoo?ii-ooieoe?iiaeueiei ii?ooaiiyi a?iiaia?ai (Aieueaeaiaa?a
TH.I.,1991; Aoii?ia A.A.,1992; Ne?ii’yoieeiaa I.A.,1993; Ianoeaa
E.A.,1994; AEaaaeue A.I., 1995). Iacaaaeath/e ia cia/io e?euee?noue
?ia?o, i?enay/aieo aeine?aeaeaiith i?ioean?a IIE ? noaio
aioeieneaeaioii? nenoaie i?e a?iioieaaaiaaeo caoai?thaaiiyo,
iaaeinoaoiuei aecia/aia nooi?iue iaoaaie?/ieo ii?ooaiue a no?oeoo?i?e
i?aai?caoe?? ee?oeiieo iaia?ai o ae?oae c iiaoi?ieie ?ani??aoi?ieie
caoai?thaaiiyie. A e?oa?aoo?? iaaeinoaoiuei iiaii a?aeia?aaeai?

ieoaiiy aea/aiiy iaoiaaiaoe/ieo iaoai?ci?a ?icaeoeo iiaoi?ieo
?ani??aoi?ieo caoai?thaaiue o ae?oae c oi/ee ci?o iaia?aiii? iaoieia??.

Aea/aiiy iaoiaaiaoe/ieo iaoai?ci?a ?aoeeaeoaaiiy ?ani??aoi?ieo
caoai?thaaiue aecia/eei aaaeeeao ?ieue ?ioiieia?/ieo ii?ooaiue, ye?
noai?ththoue

ia?aaeoiiae aeey oi?ioaaiiy aoi?eiieo ?ioiiaeao?oeeoieo noai?a o *OAe
(Aiae?ouoe A.A.,1992; Aeaieeia E.A.,1993; Aaaoo?ia I.?., 1994; N??aiei
I.?., 1995; AEaeacieeiaa A.O.,1997).

Aino?ioa ? aeooaeuei?noue i?iaeaie /anoeo ?ani??aoi?ieo caoai?thaaiue o
ae?oae iieyaa? a iaaeinoaoi?e aoaeoeaiino? i?io?eaeoe/ieo ? e?eoaaeueieo
caoiae?a (Iicaeaanueeee A.O.,1995; Eoe’yiiaa I.I.,1996; Ni?yi
?.N.,1997). Iacaaaeath/e ia ??ciiiai?oi?noue cai?iiiiiaaieo eiiieaen?a
?aaa?e?oaoe?? ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie,
?nioth/? i?ia?aie ia caaaeaee a?aoiaothoue ?iaeea?aeoaeuei? iniaeeaino?
ia?aa?ao ?aoeeaeea?a A?C, ye? aeiaaathoue aeeoa?aioe?eiaaiiai i?aeoiaeo
aei i?iaaaeaiiy e?eoaaeueii-icaei?ia/eo caoiae?a.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie.

?iaioa aeeiiaia o iaaeao iaoeiai? i?iaeaie eaoaae?e i?iiaaeaaoeee
aeeoy/eo oai?ia Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii? aeaaeai?? ca
oaiith “?ic?iaea ?aeiiaiaeaoe?e ii i?io?eaeoeoe?, ae?aaiinoeoe? ?
?aaa?e?oaoe?? ?ani??aoi?ieo caoai?thaaiue o ae?oae i?iieneiaiai ?aa?iio
ia iniia? aea/aiiy caeiiii??iinoae ?icaeoeo ? oi?ioaaiiy aino?eo,
?aoeeaeeaoth/eo oa o?ii?/ieo oi?i oai?iae “ (? aea?aeaaii? ?a?no?aoe??
738568), a oaeiae iaoeiai? i?ia?aie “Ae?oe Aei?i?iiao?iaueie”.

Iaoa aeine?aeaeaiiy:

Oaeineiiaeeoe i?ia?aie ?aaa?e?oaoe?? ae?oae c /anoeie A?A? ia iniia?
aea/aiiy ee?i?ei-aiaiianoe/ieo iniaeeainoae, noaio ?ani??aoi?ii?,
?ioiii? ? aioeieneaeaioii? nenoai oa ?ic?iaeoe i?iaiinoe/i? e?eoa???
aeey aeae?eaiiy a?oi ?eceeo ii ?icaeoeo ?aoeeaeeaoth/eo ?ani??aoi?ieo
caoai?thaaiue.

Caaaeaiiy aeine?aeaeaiiy.

aea/eoe iieacieee iioe?aiino? ? no?oeoo?o iiaoi?ieo ?ani??aoi?ieo
caoai?thaaiue o ae?oae ?aa?iio ca inoaii? 10 ?ie?a

aea/eoe ooieoe?iiaeuei? iniaeeaino? ?ani??aoi?ii? nenoaie o ae?oae c
iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie

aea/eoe noai i?ioean?a IIE ? aioeieneaeaioii? nenoaie o ae?oae c /anoeie
?ani??aoi?ieie caoai?thaaiiyie a oac? ee?i?/ii? ?ai?n??

aea/eoe iniaeeaino? e?i?aeii? no?oeoo?e eaaaiaaiai no?oaeoaioo ?
ee?oeiieo iaia?ai ? anoaiiaeoe ?ieue iaoaaie?/ieo ii?ooaiue a oi?ioaaii?
?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia??

aea/eoe noai ?ioiiiai noaoono o ae?oae c ??cieie aa??aioaie ia?aa?ao
iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue

?ic?iaeoe i?iaiinoe/i? e?eoa??? aeey aeae?eaiiy a?oie ?eceeo c ?icaeoeo
iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae

?ic?iaeoe i?iaiinoe/i? e?eoa??? iiaeeeaeo aa??aio?a ia?aa?ao ?
iane?aee?a iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue a a?oi? ae?oae c
/anoeie A?A?

oaeineiiaeeoe ?aaa?e?oaoe?ei? eiiieaene aeey ae?oae c iiaoi?ieie
?ani??aoi?ieie caoai?thaaiiyie c o?aooaaiiyi aeyaeaieo iaoaaie?/ieo ?
ooieoe?iiaeueieo iniaeeainoae ?ani??aoi?ii?, ?ioiii? ? aioeieneaeaioii?
nenoai

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a.

Aia?oa a ia??iae? ee?i?/ii? ?ai?n?? o ae?oae c iiaoi?ieie ?ani??aoi?ieie
caoai?thaaiiyie i?iaaaeaii eiiieaenia aea/aiiy ?ioiii?,
aioeieneaeaioii?, no?oaeoaioii? nenoai a niieo/aii? c aeine?aeaeaiiyi
ooieoe?? ciai?oiueiai aeeoaiiy.

Aia?oa a ia??iae? ee?i?/ii? ?ai?n?? o ae?oae c iiaoi?ieie A?A? aeyaeai?
ci?ie a nenoai? “IIE – AIN”, e?i?aeii? no?oeoo?e ee?oeiieo iaia?ai oa
EAI, ui i?aeoaa?aeaeo? no?ee?noue iaoaaie?/ieo ii?ooaiue o oe??? a?oie
ae?oae.

Anoaiiaeai? o a?oi? ae?oae c /anoeie A?A? ei?aeyoe?ei? ca’ycee i?ae
iieacieeaie IIE, e?i?aeiiai neeaaeo EAI ? aaioeeyoe?eieie ii?ooaiiyie
aeicaieeee ?icaeyaeaoe aeyaeai? a?io?i?/i? ci?ie ye i?iya iaoaaie?/ii?
aeacaaeaioaoe?? ?ani??aoi?ii? nenoaie ? aeei?enoaoe ?o a ?ie? e?eoa???a
?eceeo c ?icaeoeo ?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia??.

Aia?oa ?ic?iaeai? i?iaiinoe/i? e?eoa??? aeey aeae?eaiiy na?aae ae?oae c
/anoeie A?A? a?oi ?eceeo c oi?ioaaiiy ?aoeeaeeaoth/iai a?iio?oo ?
?ani??aoi?ieo aea?aic?a c o?aooaaiiyi ?o iaoaaie?/ieo ? ooieoe?iiaeueieo
iniaeeainoae ?ani??aoi?ii? nenoaie. Ia iniia? i?iaiinoe/ieo oaaeeoeue
?ic?iaeai? ? ai?iaaaeaeai? a i?aeoeeo aeaiee-anoaaee a ?noi??th ?icaeoeo
aeeoeie (oi?ia 112/o) aeey aeae?eaiiy a?oi ?eceeo c ?icaeoeo iiaoi?ieo
?ani??aoi?ieo caoai?thaaiue (O?A-1) ? oi?ioaaiith ?aoeeaeeaoth/iai
a?iio?oo, ?ani??aoi?ieo aea?aic?a o *OAe (O?A-2).

Oaeineiiaeai? i?ia?aie i?io?eaeoeee iiaoi?ieo ?ani??aoi?ieo
caoai?thaaiue o ae?oae ? ?aaa?e?oaoe?? ae?oae c /anoeie A?A? c
o?aooaaiiyi ?o ?iaeea?aeoaeueiiai i?iaiico.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a.

Anoaiiaeai? aieiai? oaeoi?e ?eceeo c ?icaeoeo iiaoi?ieo ?ani??aoi?ieo
caoai?thaaiue o ae?oae, ui aeicaiey? aeae?eeoe ia aoai?
aeeniaina?ecaoe?? a?oio ae?oae i?aeaeuaiiai ?eceeo aeey i?iaaaeaiiy
oe?eani?yiiaaii? i?io?eaeoeee.

I?iaaaeaia eiiieaenia ianoaaeaiiy ae?oae c iiaoi?ieie ?ani??aoi?ieie
caoai?thaaiiyie aeicaieeei aecia/eoe i?iaiinoe/i? e?eoa??? ?eceeo c
oi?ioaaiiy o *OAe i?iieneiaiai ?aa?iio ?ani??aoi?ieo aea?aic?a ?
?aoeeaeeaoth/iai a?iio?oo.

Oaeineiiaeai? ?aaa?e?oaoe?ei? eiiieaene aeey ae?oae c iiaoi?ieie
?ani??aoi?ieie caoai?thaaiiyie c canoinoaaiiyi ?ioiiiiaeoeyoi??a,
aioeieneaeaio?a ? i?aia?ao?a, ye? ii?iaeecothoue iaoaaie?ci e?i?ae?a, c
o?aooaaiiyi ?iaeea?aeoaeueii-aeeoa?aioe?eiaaiiai i?aeoiaeo o aecia/aii?
ia’?io e?eoaaeueii-i?io?eaeoe/ieo caoiae?a.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe a i?aeoeeo.

?acoeueoaoe iaoeiaeo aeine?aeaeaiue, ye? a?aeia?aaeai? a aeena?oaoe??,
canoiniaothoueny a i?aeoe/i?e ?iaio? iie?ee?i?e 3 AeIEE ? 5 AeIEE,
iaae?ao?e/iiai ? ioeueiiiieia?/iiai a?aeae?eaiue 2 AeIEE,
ioeueiiiieia?/iiai naiaoi??th i.Aei?i?iiao?ianueea, aeeoy/iai
a?aeae?eaiiy ? iie?ee?i?ee i.I?eii?nueea Caii??cueei? iaeano?, aeeoy/i?
iie?ee?i?ee Oa?niinueei? iaeanii? e?ea?i?, aeeoy/eo iie?ee?i?e
i.E?aiai/oe Iieoaanueei? iaeano?, i.Noie.

Iniaenoee aeeaae aeena?oaioa.

Aaoi?ii naiino?eii i?iaaaeaiee aiae?c iioe?aiino? ? no?oeoo?e
?ani??aoi?ieo caoai?thaaiue ca ?acoeueoaoaie ca?oieo aeaieo
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a i.Aei?i?iiao?ianueea ca inoaii? 10
?ie?a. Naiino?eii i?iaaaeaia ee?i?/ia ianoaaeaiiy an?o oai?eo.

Aaoi? iaieiae?a iniiaieie iaoiaeeeaie, iaiao?aeieie aeey aeeiiaiiy
?iaioe. Naiino?eii i?iaiaeeea ca?? iaoa??aeo aeey aeine?aeaeaiue (e?ia,
EAI). Ca o/anoth aaoi?a ?ic?iaeaiee i?eeaae aeey cae?aiiy EAI (iaoaio
?18983A). Naiino?eii i?iaaaeaia ooieoe?iiaeueia aeine?aeaeaiiy
?ani??aoi?ii? nenoaie o ae?oae c i?ei?iaiiyi i?eeaaeo “Eton 01”.
Aeine?aeaeaiiy ?ioiieia?/iiai noaoono, IIE, AIN, e?i?aeiiai neeaaeo EAI
i?iaiaeeeinue ca o/anoth aaoi?a.

I?eeiaea o/anoue a ?ic?iaoe? i?ia?aiiiai caaacia/aiiy noaoenoe/iiai
ii?aoethaaiiy aeaieo ia ia?niiaeueiiio eiii’thoa?? “Pentium-S CPU 233”.
Noaoenoe/iee aiae?c io?eiaieo ?acoeueoao?a, ?iaioa c iaienaiiy ?
ioi?ieaiiy aeena?oaoe?? aeeiiaia naiino?eii.

Ai?iaaoe?y ?iaioe.

Iniiai? iieiaeaiiy ? ?acoeueoaoe aeine?aeaeaiue aeena?oaoe?eii? ?iaioe
iaaiai?ai? ia II I?aeia?iaei?e eiioa?aioe?? “O?aioe?y oa Oe?a?ia,
iaoeiai-i?aeoe/iee aeina?ae o eiioaeno? ae?aeiao iaoe?iiaeueieo
eoeueoo?” (i.Aei?i?iiao?ianuee, 1995), 6 Iaoe?iiaeueiiio eiia?an? c
oai?ia i?aai?a aeeoaiiy (i.Iiainea??nuee, 1996), 7 Iaoe?iiaeueiiio
eiia?an? c oai?ia i?aai?a aeeoaiiy (i.Iineaa, 1997), I Anaoe?a?inueei?
eiioa?aioe?? “Oaoiiaaii? eaiaeoaooe: aniaeoe ioi?iie i?e?iaee, caei?ia’y
ethaeeie, aeieia?/ii? ina?oe” (i.E?eaee ?ia, 1996), I I?aeia?iaeiiio
iaaee/iiio eiia?an? nooaeaio?a ? iieiaeeo a/aieo (i.Oa?iii?eue,1997),
can?aeaii? Aei?i?iiao?ianueeiai a?aeae?eaiiy Anioe?aoe?? iaae?ao??a
Oe?a?ie (i.Aei?i?iiao?ianuee, 1997).

Ioae?eaoe??.

C oaie aeena?oaoe?? iioae?eiaaii 6 iaoeiaeo ?ia?o, ?c ieo: 3 – a
aeo?iaeao, 2 – a iaoa??aeao ? oacenao iaoeiaeo eiia?an?a ?
eiioa?aioe?e. A ni?aaaoi?noa? (Aaneeue?aa O.E., Aeoea E.Ae.,
ss?ioaanueea O.A.) aaoi?ii ioi?ieaiee iaoaio ia

aeiao?ae “I?eno??e aeey cae?aiiy eiiaeainaoo ia??a iia?o?y, yea
aeaeeoathoue” (?18983A, 1997?.).

?ic?iaeai? i?iaiinoe/i? oaaeeoe? aeey aeae?eaiiy a?oi ?eceeo c ?icaeoeo
iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae ? oi?ioaaiith
?ani??aoi?ieo aea?aic?a ? ?aoeeaeeaoth/iai a?iio?oo o *OAe, a oaeiae
?aaa?e?oaoe?ei? eiiieaene aeey ae?oae c iiaoi?ieie A?A? eyaee a iniiao
iai’yoie aeey e?ea??a ? ai?iaaaeaeai? a i?aeoeeo
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a 4-o iaeanoae Oe?a?ie.

Ianya ? no?oeoo?a aeena?oaoe??.

Aeena?oaoe?y iiaoaeiaaia ca caaaeueiii?eeiyoei ieaiii aeey iaoeiaeo
?ia?o oa neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, 5 ?icae?e?a aeanieo
niinoa?aaeaiue, aiae?co ?acoeueoao?a aeine?aeaeaiue, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e ? nieneo e?oa?aoo?e. ?iaioa aeeeaaeaia ia 186
noi??ieao iaoeiiieniiai oaenoo, aeeth/a? 26 oaaeeoeue, 12 ?enoie?a, 3
aeiaeaoea, ui caeiathoue 37 noi??iie. A?ae?ia?ao?/iee iieaae/ee i?noeoue
327 aeaea?ae (235 a?o/eciyieo oa 92 ?iicaiieo), ye? caeiathoue 33
noi??iee.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy.

Aeey ae??oaiiy iinoaaeaieo caaaeaiue i?iaaaeaii ianoaaeaiiy 139 ae?oae
a?eii a?ae 5 aei 10 ?ie?a c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie. C
ieo: 47 ae?oae c iiaoi?ieie A?A?, 41 aeeoeia c ?aoeeaeeaoth/ei a?iio?oii
? 51 aeeoeia c ?ani??aoi?iei aea?aicii. An? ae?oe ianoaaeoaaeenue a
ia??iae? ee?i?/ii? ?ai?n??. A a?oi? ii??aiyiiy ianoaaeaii 51 i?aeoe/ii
caei?iaa aeeoeia a?aeiia?aeiiai a?eo.

I?iaaaeaiee aiae?c aiaiianoe/ieo aeaieo iaoiaeii aieaooaaiiy aaouee?a ?
aea/aiiy ?noi??e ?icaeoeo ae?oae (oi?ia 112/o). Ee?i?/ia ianoaaeaiiy
ae?oae aoei i???ioiaaii ia aeyaeaiiy noiooii? iaoieia??, ioe?ieo
o?ce/iiai ?icaeoeo.

Aecia/aiiy ooieoe?? ciai?oiueiai aeeoaiiy i?iaiaeeee iaoiaeii
iiaaiioaoiiao??? c canoinoaaiiyi aaoiiaoeciaaii? i?e?ii?ioeani?ii?
nenoaie “Eton 01” (Aieaa??y), yea aeicaiey? aeyaeyoe ii?ooaiiy
a?iio?aeueii? i?io?aeiino? ia ??cieo ??aiyo ?ani??aoi?iiai o?aeoo.

I?iaaaeaii ?ioiieia?/ia ianoaaeaiiy, yea aeeth/aei aeine?aeaeaiiy
ee?oeiii?, aoii?aeueii? ? oaaioeeoa?ii? eaiie ?ioi?oaoo. Ai?no
ne?iaaoeiaeo ?ioiiaeiaoe?i?a iniiaieo eean?a A. I, G aecia/aee iaoiaeii
?aae?aeueii? aeeooc?? ia aaa?? ca G.Manchini (1965). Iieacieee
ee?oeiiiai ?ioi?oaoo ioe?ithaaeenue iaoiaeaie niiioaiiiai (?-?OE) ?
eiiieaiaioa?iiai (I-?OE) ?icaoeiooai?aiiy ca M.Jondal et al. (1977) a
iiaeeo?eaoe?? A.I.*a?aae??aa ? ni?aaao. c o?aooaaiiyi nooiaiy aaeaeiino?
ca B.Elliot, J.Haskil (1973). ?aeaioeo?eaoe?y “aeoeaieo” O-e?ioioeeo?a
(?a-?OE) i?iaiaeeeanue a R.Smith et al. (1975). Noaiiioeyoe??
O-e?ioioeeo?a aecia/aee a oano? ?icaoeiooai?aiiy ca S.Limatibul (1978).
Oaaioeeoa?io aeoeai?noue iaeo?io?e?a ioe?ithaaee a oano? a?aeiiaeaiiy
i?o?ineiueiai oao?acie?th (A.N.Iaai?a, 1981). A oano? c eaoaenii
i?ae?aoiaoaaee oaaioeeoa?io aeoeai?noue (i?ioeaio oaaioeeooth/eo
ee?oei) – OA ? oaaioeeoa?ia

/enei (na?aaei? /enei /anoie, ui iiaeeioeenue, ia iaeei oaaioeeo) – O*
(N.A.Iioaiiaa , 1977).

Noai i?ioean?a e?iiia?ieneaeaoe?? ioe?ithaaee ca iieacieeaie i?iaeoeo?a
IIE a iaia?ai? a?eo?ioeeo?a. ??aaiue a?ae?iia?aeen?a e?i?ae?a
ii?eae?eyee ca iaoiaeeeith ?iiaiiai? E.A. ? ni?aaao.(1977), IAeA ca
iaoiaeii Aii/a?aii I.N. ? ni?aaao. (1985). Aeoeai?noue oa?iaioaoeaii?
eaiee aioeieneaeaioii? nenoaie aecia/aee ca iaoiaeeeaie: eaoaeace – ca
Beutler E. (1975); aeooao?ii-ia?ieneaeace – ca Grass R.T. et Beutler E.
a iiaeeo?eaoe?? R.Olinesen, S.Nita (1973); aeooao?ii-?aaeoeoace – ca
THnoiiaith E.A. (1989); NIAe – ca Nishikimi N. et al. (1972). Aecia/aiiy
??aiy a?aeiiaeaiiai aeooao?iia a iaia?ai? a?eo?ioeeo?a i?iaiaeeee
a?aeiia?aeii aei iaoiaeeee Beutler E.et al. (1963).

E?i?aeiee niaeo? iaia?aie a?eo?ioeeo?a aea/aee iaoiaeii oiieioa?iai?
o?iiaoia?ao?? ia neeeeaaae? c ianooiiith aeaineoiiao???th o?aeoe?e
(I.Oa?ooiiaa ? ni?aaao., 1980). O?aeoe?? oinoie?i?ae?a iaia?ai
a?eo?ioeeo?a oaeiae ii?eae?eyeenue o?iiaoiiao?e/iei iaoiaeii.

Noai no?oaeoaioii? nenoaie eaaaiue ioe?ithaaee ca aeaieie e?i?aeiiai
neeaaeo EAI. Ca??aiiy eiiaeainaoo i?iaiaeeee ca iaoiaeeeith
A.?.Neaei?aiei ? ni?aaao. (1981). A oiae? ?iaioe iaae aeena?oaoe??th aoa
iiaeeo?eiaaiee i?eno??e aeey ca??aiiy eiiaeainaoo ia??a aeaeeooaaiiai
iia?o?y (iaoaio ?18983A). A EAI oioiiao?e/iei iaoiaeii aecia/aee
caaaeuei? e?i?aee ca aeiiiiiaith a?ioanoo o?pie «Lachema»
(*aoineiaa//eia). Iaoiaeii oiieioa?iai? o?iiaoia?ao?? ia neeeeaaae? c
ianooiiith aeaineoiiao???th i?iaiaeeee ?iciiae?e e?i?ae?a ia o?aeoe??.
Neeaae oinoie?i?aeii? o?aeoe?? aecia/aany ca o??th ae iaoiaeeeith.

Io?eiai? ?acoeueoaoe ia?iaeai? iaoiaeii aa??aoe?eii? noaoenoeee
(Aoaea? ?.A., 1990) c i?ei?iaiiyi e?eoa??y Nouethaeaioa, ei?aeyoe?eiiai
aiae?co. I?e neeaaeaii? i?iaiinoe/ieo oaaeeoeue i?ei?iyany iine?aeiaiee
aiae?c Aaeueaea c a?aooaaiiyi ?ioi?iaoe?eii? i??e Eoeueaaea. Noaoenoe/ia
ii?aoethaaiiy aeaieo i?iaiaeeeinue ia ia?niiaeueiiio eiii’thoa??
“Pentium-S CPU 233” ca ?ic?iaeaiith i?ia?aiith.

?acoeueoaoe aeine?aeaeaiue ? ?o iaaiai?aiiy.

Aiae?c aiaiianoe/ieo aeaieo onoaiiaea aaaeeeao ?ieue ?yaeo oaeoi??a o
oi?ioaaii? /anoi? ?ani??aoi?ii? caoai?thaaiino? o ae?oae. Aeyaeaii, ui o
34,5% ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie aoea iayaia
n?iaeia noeeuei?noue aei a?iioieaaaiaaeo ? aea?a?/ieo caoai?thaaiue. O
60,4% iaoa??a ianoaaeaieo ae?oae aaa?oi?noue i?io?eaea c oneeaaeiaiiyie
a ??cieo eiia?iaoe?yo. Iaea?eueo /anoi a?aei?/aeenue aanoice 1-i? ?
2-i? iieiaeie aaa?oiino?. Cia/iee a?aenioie ae?iie (25,9%) i?ae /an
aaa?oiino? ia?aianee A?C, ui iiaei iaoe nooo?aee aieea ia oi?ioaaiiy
?ioiii? nenoaie ieiaeo. Aaaeeeaei ioneiaei oaeoi?ii a ?icaeoeo
?ani??aoi?ii? iaoieia?? o 42,4% ae?oae aoea ia?aianaia ano?en?y
ia?eiaoaeueiiai ia??iaeo.

Na?aae iinoiaoaeueieo iaaeeei-nioe?aeueieo oaeoi??a, ye? ni?eythoue
?icaeoeo iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae, aeae?eai? ?aii?
ooo/ia ? ci?oaia aeaiaeiaoaaiiy (63,3% ae?oae), caoai?thaai?noue A?A? ia
ia?oiio ?ioe? aeeooy ( 67% ae?oae ), i?iyae aenoaeaoeaii
— eaoa?aeueiiai ae?aoaco ( 59% ae?oae ),

aeenaaeoa??ico eeoeiaeea (22,3% ae?oae), oa?/iai? ? iaaeeeaiaioicii?
aea?a?? (47,4 % ae?oae). Iniaeeao ?ieue o oi?ioaaii? /anoi?
?ani??aoi?ii? caoai?thaaiino? a?aee oae? nioe?aeueii-a?a??i?/i? oaeoi?e,
ye iacaaeia?euei? aeeoeiai-iiaooia? oiiae (o 33,1% ae?oae) ? ianeaia
iae?iiy (71,2% ae?oae).

I?iaaaeaiee noaoenoe/iee aiae?c Aaeueaea c o?aooaaiiyi ?ioi?iaoeaiino?
eiaeii? aeyaeaii? iciaee aeicaieea aeae?eeoe iaea?eueo cia/ei? oaeoi?e
?eceeo o oi?ioaaii? iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae:
ano?en?th iiaiia?iaeaeaiiai, ?aii? ooo/ia /e ci?oaia aeaiaeiaoaaiiy,
A?A? ia ia?oiio ?ioe? aeeooy, i?iyae aenoaeaoeaii-eaoa?aeueiiai
ae?aoaco, ia?aianai? a?iio?oe ? iiaaiii??, iayai?noue oa?/iai? ?
iaaeeeaiaioicii? aea?a??, iacaaeia?euei? aeeoeiai-iiaooia? oiiae,
ianeaia iae?iiy.

Ee?i?/ia ianoaaeaiiy ae?oae, i?iaaaeaia a ia??iae? ?ai?n??
caoai?thaaiiy, aeyaeei iayai?noue aiaieu o?ii?/ii? ?ioaeoe?? o aeaeyae?
o?ii?/iiai oiicee?oo (o 84,9% ae?oae), /anoi a eiia?iaoe?? c
aaeaii?aeieie aaaaoaoe?yie (o 25,2% ae?oae). O?ii?/ia iaoieia?y
EI?-i?aai?a o 82% aeiaaee?a eiia?ioaaeanue c ?aa?iia?iith
e?ioaaeaiiiao??th. O ae?oae ianoaaeaieo a?oi oaeiae a?aei?/aeenue
a?ia?ieac?y ueoiaeaeii? caeice I-II nooiaiy (a 40,3% aeiaaee?a), i?iyae
aoii?/iiai aea?iaoeoo (15,8%), ooieoe?iiaeuei? caoai?thaaiiy
oeoieiai-eeoeiaiai o?aeoo (25,2%), ii?ooaiiy na?aea/ii-noaeeiii?
nenoaie o aeaeyae? iayaiino? ooieoe?iiaeueiiai nenoie?/iiai ooio ?
i?eaeooaiino? oii?a (48,2%), a?aeoeeaiiy o o?ce/iiio ?icaeoeo c
ia?aaaaith iiieaeaii? o?io?ee ? yaeu aeenii?o?cio.

Ni?euei?noue ee?i?ei-aiaiianoe/ieo aeaieo o ae?oae c iiaoi?ieie A?A?,
ae?oae c ?aoeeaeeaoth/ei a?iio?oii ? oai?eo ?ani??aoi?ieie aea?aicaie
noai?th? iaai? o?oaeiiu? a aeeoa?aioe?thaaii? ae?aaiic?a a a?oi? *OAe ia
?aii?o aoaiao caoai?thaaiiy i?e a?aenooiino? iai?oanoii? ee?i?ee.

I?iaaaeai? aeine?aeaeaiiy ooieoe?? ciai?oiueiai aeeoaiiy aeyaeee o 19,3%
ae?oae c iiaoi?ieie A?A? ii?ooaiiy iano?oeoeaiiai oeio, a o 12,9% ae?oae
oe??? a?oie – cieaeaiiy ieeiai? oa ia’?iieo oa?aeeinoae aeaeioo, ui
aeicaieeei aeae?eeoe a?oio ?eceeo c ?icaeoeo a?iioiiano?oeoeaieo noai?a.
Cieaeaiiy ooieoe?iiaeueieo iiaeeeainoae a?iioieaaaiaai? nenoaie o
ae?oae, /anoi oai??th/eo A?A?, iiaeia ?icaeyaeaoe ye i?iya c?eao
eiiiainaoi?ieo iaoai?ci?a ? aeei?enoiaoaaoe a ?ie? i?iaiinoe/ii
iani?eyoeeaiai e?eoa??y oi?ioaaiiy ?ani??aoi?ieo aea?aic?a.

Aea/aiiy ?ioiiiai noaoono ae?oae c iiaoi?ieie A?A? iieacaei aeinoia??ia
cieaeaiiy a?aeiinii? e?eueeino? O-e?ioioeeo?a (47,49(1,39%, p<0,001), i?a-A-e?ioioeeo?a (9,47 ( 0,82%, p<0,01), ca?eueoaiiy ??aiy “ioeueiaeo” ee?oei (42,83(1,89%, p<0,001). Aaaeeeaith oa?aeoa?enoeeith ee?oeiii? eaiee ?ioi?oaoo ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie aoei cia/ia cieaeaiiy ?o ?aoeaioi?ii? aeoeaiino?, a ?acoeueoao? /iai niinoa??aaeinue ca?eueoaiiy /anoee iaei?aoeaioi?ii? o?aeoe?? ? cieaeaiiy a?aeiinii? e?eueeino? na?aaeiuei- ? aaaaoi?aoeaioi?ii? o?aeoe?e O-e?ioioeeo?a (p<0,001). Ca?aeii iaoeo niinoa?aaeaiue o ae?oae, /anoi oai??th/eo A?A?, a?aei?/aeanue iai?oaeai?noue ooieoe?iioaaiiy oaaioeeoa?ii? eaiee ?ioi?oaoo. Aeyaeaia aeinoia??ia i?aeaeuaiiy oaaioeeoa?ii? aeoeaiino? iaeo?io?e?a (p<0,001) ia oii? aenieeo iieaciee?a INO-oanoo (p<0,002), ui, i/aaeaeii, ca’ycaia c iayai?noth o a?eueoino? ianoaaeaieo ae?oae aiaieu o?ii?/ii? ?ioaeoe??. Aoii?aeueiee ?ioi?oao ae?oae c iiaoi?ieie A?A? oa?aeoa?ecoaaany cia/iei cieaeaiiyi ??aiy Ig G (7,34(0,69 a/e, p<0,001) ? i?aeaeuaiiyi iieaciee?a Ig M (1,05(0,07 a/e, p<0,001). Aaniethoi? ? a?aeiini? iieacieee ?ioiiiai noaoono o ae?oae c ?aoeeaeeaoth/ei a?iio?oii ? ?ani??aoi?ieie aea?aicaie iaee aiaeia?/i? e?euee?ni? ci?ie. Iaeiae, o?aaa a?aei?oeoe, ui noai ?ioiii? nenoaie o ae?oae oeeo a?oi oa?aeoa?ecoaaany ia oae ci?iaie e?euee?nieo iieaciee?a, ye aeenaaeainii ?? eiiiiiaio?a. Caa?oa? ia naaa oaaao ii?ooaiiy no?oeoo?ii? i?aai?caoe?? ?ioiii? nenoaie o iiya? aenieiai nooiaiy ca’ycaiino? ?? eiiiiiaio?a, iaea?eueo ae?aaeaia a a?oi? ae?oae c ?ani??aoi?ieie aea?aicaie. I?iaaaeaiee ei?aeyoe?eiee aiae?c aeyaea iayai?noue ca’yce?a i?ae ?aoeaioi?iith aeoeai?noth O-e?ioioeeo?a ? iieacieeaie e?i?aeii? no?oeoo?e ee?oeiieo iaia?ai. Anoaiiaeaii, ui aaaeeeao ?ieue a ii?ooaii? aaeaeiino? O-e?ioioeeo?a a?athoue oinoie?i?aee. Cieaeaiiy e?eueeino? OOO ? OON ia oii? i?aeaeuaiiai ai?noo EOOO ? oinoaoeaeieo eeneio ii?eae?ey? ciaiueoaiiy o?aeoe?? aenieiao?iieo O-e?ioioeeo?a. I?e aeine?aeaeaii? IIE ? aioeieneaeaioii? nenoaie (oaae.1) o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie a?aei?/aia aeniea aeoeai?noue i?ioean?a e?iiia?ieneaeaoe??, yea noi?iaiaeaeoaaeanue iaeiie/aiiyi i?iaeoeo?a IIE (IAeA, p<0,001). Noai AIN oa?aeoa?ecoaaany aeenaaeainii ?? oa?iaioaoeaii? eaiee, yeee i?iyaeany a i?eai?/aii? aeoeaiino? aeooao?ii-ia?ieneaeace ? oaiaeaioe?? aei cieaeaiiy aeoeaiino? eaoaeace ia oii? aeniei? aeoeaiino? aeooao?ii-?aaeoeoace ? NIAe. O oai?eo ?ani??aoi?ieie aea?aicaie, iacaaaeath/e ia i?aeaeuaiee ai?no i?iaeoeo?a IIE, i?aeoe/ii ia i?ioiaeeei aeoeaaoe?? aioeieneaeaioieo oa?iaio?a, ui na?ae/eei i?i ae?aaeaia i?eai?/aiiy aioeieneaeaioiiai caoenoo ? iineaaeaiiy eiio?iethth/i? ooieoe?? AIN ??aiy i?iaeoeo?a IIE. A?aenooi?noue ii?iae?caoe?? ??aiiaaae a nenoai? “IIE - AIN” o ae?oae c iiaoi?ieie A?A? iaa?oue a ia??iae? ee?i?/ii? ?ai?n?? iiaeia ?icoe?ieoe ye i?iaiinoe/ii iani?eyoeeao iciaeo caoyaeiiai ia?aa?ao caiaeaiiy ? iiaeeeaiai ?aoeeaeoaaiiy iaoieia?/iiai i?ioeano. I?e aea/aii? e?i?aeiiai neeaaeo iaia?ai a?eo?ioeeo?a o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie aeyaeai? ii?ooaiiy o ni?aa?aeiioaii? iniiaieo o?aeoe?e ca ?aooiie cieaeaiiy /anoee a?eueiiai oieanoa?eio ? i?aeaeuaiiy ao???a oieanoa?eio. Iaie ia anoaiiaeaii aeinoia??ieo ??cieoeue iieaciee?a a?aeiiniiai ai?noo oinoie?i?ae?a a a?iiaia?aiao o ae?oae c iiaoi?ieie A?A? a ii??aiyii? c eiio?ieueiith a?oiith. Iaeiae, i?e ioe?ioe? ye?niiai neeaaeo oinoie?i?aei? o?aeoe?? iaia?ai a?eo?ioeeo?a aeyaeaia cieaeaiiy e?eueeino? oinoiae?oea?eae?a (OOO, p<0,001 ? OOAA, p<0,001) ia oii? i?aeaeuaiiy ??aiae EOOO (p<0,001) ? oinoaoeaeieo eeneio (p<0,001). Ae?aaeai? ii?ooaiiy iaoaaie?cio e?i?ae?a o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie i?aeoaa?aeeee ? ?acoeueoaoe aeine?aeaeaiiy e?i?aeiiai neeaaeo EAI (oaae.2). Ia oii? i?aeaeuaii? aeni??aoe?? caaaeueieo e?i?ae?a o ae?oae c ianoaaeaieo a?oi anoaiiaeaii aeinoia??ia cieaeaiiy oinoie?i?ae?a (p<0,001) ? i?aeaeuaiiy ??aiy o?aeoe?e ao???a oieanoa?eio (p<0,001), o?eae?oea?eae?a (p<0,02) ? IAAEE (p<0,001), ui aeicaieeei c?iaeoe aeniiaie i?i ianoaa?euei?noue no?oaeoaioii? nenoaie eaaaiue. I?iaaaeaiee a a?oi? ae?oae c ?ani??aoi?ieie aea?aicaie aiae?c ye?niiai neeaaeo oinoie?i?ae?a EAI aeyaea cia/ia cieaeaiiy ??aiy OOO ? OOAA i?e iaeii/aniiio i?aeaeuaii? a?aeiinii? e?eueeino? EOOO ? oinoaoeaeieo eeneio, ui na?ae/eoue i?i iineeaiee ?iciaae oinoiae?oea?eae?a, ye? aecia/athoue iiaa?oiaai-aeoeai? aeanoeaino? eaaaiaaiai no?oaeoaioo. Anoaiiaeai? o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie ei?aeyoe?ei? ca’ycee i?ae iieacieeaie e?i?aeii? no?oeoo?e EAI ? ooieoe??th ciai?oiueiai aeeoaiiy aeicaieeee i?eionoeoe, ui iaoaaie?/i? c?ooaiiy a e?i?aeiiio neeaae? EAI, ye? caa??aathoueny a ?ai?n?? caoai?thaaiiy, a a?eueoino? aecia/athoue nooi?iue aaioeeyoe?eieo ?iceaae?a. ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue i?aeoaa?aeaeothoue iaiao?aei?noue ? iaa?oioiaai?noue aeeth/aiiy a ?aaa?e?oaoe?ei? eiiieaene ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie aioeieneaeaio?a ? i?aia?ao?a, ye? ii?iaeecothoue e?i?aeiee iaoaaie?ci, c iaoith i?io?eaeoeee ?aoeeaeea?a ?ani??aoi?ieo caoai?thaaiue. Aaeeea cia/aiiy iaaea?oueny naiaoe?? aiaieu o?ii?/ii? ?ioaeoe?? c canoinoaaiiyi ??ciiiai?oieo noai eiina?aaoeaii? oa?ai??. A?aoiaoth/e aaaeeeao ?ieue ?ioiieia?/ieo ii?ooaiue o oi?ioaaii? ?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia?? o ae?oae, ?aeiiaiaeo?oueny i?ei?iaiiy aaeaioiaai?a ? ?ioiiiiaeoeyoi??a ?ineeiiiai iioiaeaeaiiy. I?e ae?aaeaiiio aeenaaeain? ?ioiii? nenoaie iaa?oioiaaia i?ecia/aiiy i?aia?ao?a oeiono. Aea?? caoiae?a ?aaa?e?oaoe?eieo eiiieaen?a aeey ae?oae, /anoi oai??th/eo A?A?, caeaaeeoue a?ae ee?i?/ieo iniaeeainoae ia?aa?ao iniiaiiai caoai?thaaiiy, noiooii? iaoieia?? ? ?acoeueoao?a aeiaeaoeiaiai ianoaaeaiiy. Eaoaiianoe/i? aeine?aeaeaiiy ae?oae, ye? io?eiaee ?aaa?e?oaoe?ei? eiiieaene a?aeiia?aeii aei noai?aii? iaie i?ia?aie, iieacaee ?o aenieo aoaeoeai?noue a iie?auaii? noaio caei?ia’y *OAe ? cieaeaii? /anoioe ?aoeeaeea?a ?ani??aoi?ieo caoai?thaaiue ia 25-30%. ?iaeea?aeoaeueii-aeeoa?aioe?eiaaiee i?aeo?ae aei aeeniaina?ecaoe?? ? ?aaa?e?oaoe?? ae?oae c iiaoi?ieie A?A? iiaeiai cae?enithaaoeny ia iniia? nai?/anii i?iaaaeaiiai aiae?co ee?i?ei-aiaiianoe/ieo aeaieo oai?iai. ?ic?iaeai? iaie i?iaiinoe/i? oaaeeoe? aeicaieythoue ia o?eueee i?eionoeoe iiaeeea?noue ?icaeoeo iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o iaaiiai eiioeiaaioo ae?oae, aeae?eeoe a?oie ?eceeo c oi?ioaaiiy ?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia?? a a?oi? *OAe, aea ? i?iaiaeeoe iaoiaaiao?/ii iaa?oioiaai? e?eoaaeueii-i?io?eaeoe/i? caoiaee. No/ania i?iaiicoaaiiy ?icaeoeo iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae aeiiiiiae? i?aai?coaaoe ?iaioo ae?eueie/iai e?ea?y-iaae?ao?a ia iia?e iaoeia?e iniia?, iiia?aaeeoe ca?eueoaiiy a?oie *OAe. AENIIAEE Ioneiaeie oaeoi?aie a oi?ioaaii? ?aoeeaeeaoth/eo ?ani??aoi?ieo caoai?thaaiue o ae?oae iiaeooue aooe ano?en?y iiaiia?iaeaeaiiai, ia?aoe?iiaeueia aeaiaeiaoaaiiy aeeoeie, aiiiae?? eiinoeoooe??, ye? a i?ioean? iiaoi?iiai ae?yiiy a??onii? ?ioaeoe?? i?ecaiaeyoue aei ?icaeoeo iaoaaie?/ieo ii?ooaiue i?aai?cio. O 19,3% ae?oae, /anoi oai??th/eo A?A?, a ia??iae? ee?i?/ii? ?ai?n?? aeyaeai? ii?ooaiiy ooieoe?? ciai?oiueiai aeeoaiiy iano?oeoeaiiai oeio, ui yaeeinue i?aenoaaith aeey ia?aaiaeo ?o ?c ??A a ??? a?oio caei?ia’y. O ae?oae c iiaoi?ieie A?A? ? ae?oae c ?aoeeaeeaoth/ei a?iio?oii a oac? ee?i?/ii? ?ai?n?? caa??aa?oueny no?eeee aeenaaeain aioeieneaeaioieo oa?iaio?a o aeaeyae? cieaeaiiy aeoeaiino? aeooao?ii-ia?ieneaeace ? i?aeaeuaiii? aeoeaiino? aeooao?ii-?aaeoeoace. O oai?eo c ?ani??aoi?ieie aea?aicaie a?aei?/a?oueny aeennioe?aoe?y iieaciee?a aeoeaiino? i?ioean?a e?iiia?ieneaeaoe?? ? oa?iaioaoeaii? eaiee AIN – iaeiie/aiiy i?iaeoeo?a IIE ia noi?iaiaeaeo?oueny aeoeaaoe??th aioeieneaeaioieo oa?iaio?a. O ae?oae c iiaoi?ieie A?A? ianoaa?eueiee noai no?oaeoaioii? nenoaie eaaaiue, iaoiiaeaiee aeenaaeainii iniiaieo e?i?aeieo o?aeoe?e EAI a ?acoeueoao? iineeaiiai ?iciaaeo oinoie?i?ae?a, ni?ey? ?icaeoeo aaioeeyoe?eieo ?iceaae?a ? noai?th? ia?aaeoiiae aeey o?ii?caoe?? ?ani??aoi?ii? iaoieia??. A?io?i?/i? ci?ie e?i?aeii? no?oeoo?e ee?oeiieo iaia?ai o aeaeyae? aeenaaeaino oinoie?i?aeieo o?aeoe?e (cieaeaiiy ??aiy OOO ? OOAA ia oii? i?aeaeuaiiy e?eueeino? EOOO ? oinoaoeaeieo eeneio) aeyaeai? o ae?oae an?o ianoaaeaieo a?oi, ui a niieo/aii? c iieacieeaie IIE, e?i?aeii? no?oeoo?e EAI naeae/aoue i?i aeeaie? ii?ooaiiy eeniaaiai aiiainoaco i?aai?cio. ?ioiia nenoaia ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie oa?aeoa?eco?oueny ii?ooaiiyi no?oeoo?e ca’yce?a i?ae iniiaieie ?? eiiiiiaioaie, i?aeaeuaiiyi ??aiy “ioeueiaeo” ee?oei, cieaeaiiyi e?eueeino? O-e?ioioeeo?a ? ii?ooaiiyi nooiaiy ?o aaeaeiino?, ui iiae? aooe iane?aeeii ci?i no?oeoo?ii-ooieoe?iiaeueiiai noaio iaia?ai e?ioioeeo?a. I?io?eaeoeea oi?ioaaiiy ?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia?? a a?oi? ae?oae c iiaoi?ieie A?A? iiaeiia aooe aeeoa?aioe?eiaaiiith a caeaaeiino? a?ae oa?aeoa?o iaoaaie?/ieo ? ooieoe?iiaeueieo ci?i aioeieneaeaioii?, ?ioiii? ? ?ani??aoi?ii? nenoai. I?AEOE*I? ?AEIIAIAeAOe?? C iaoith ia?aeiii? i?io?eaeoeee aeioe?eueii ia aoai? aeeniaina?ecaoe?? ae?oae a?eii 1,5-3 ?ie?a /e i?e ioi?ieaii? a aeeoy/ee eieaeoea aeae?eyoe a?oio ?eceeo c ?icaeoeo iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue ia iniia? i?iaiinoe/iiai aiae?co, yeee i?iaiaeeoueny ca ?ic?iaeaiith oaaeeoe??th (O?A-1). Eiiieaen i?aaaioeaieo caoiae?a iiaeiai aooe ni?yiiaaiee ia i?aeo?eieo a?oaeiiai aeaiaeiaoaaiiy, i?aeaeuaiiy ?acenoaioiino? i?aai?cio, onoiaiiy oaeoi??a nainea?e?caoe?? ? icaei?iaeaiiy i?e?iaeieia?/iiai ee?iaoo aeeoeie. Aeey iiia?aaeiueiai aecia/aiiy iiaeeeaeo aa??aio?a ia?aa?ao ? iane?aee?a iiaoi?ieo ?ani??aoi?ieo caoai?thaaiue o ae?oae c iiaoi?ieie A?A? ?aeiiaiaeo?oueny canoinoaaiiy i?iaiinoe/ii? oaaeeoe? (O?A-2) aeey aeae?eaiiy a?oi ?eceeo c oi?ioaaiiy ?aoeeaeeaoth/iai a?iio?oo ? ?ani??aoi?ieo aea?aic?a. C iaoith nai?/aniiai aeyaeaiiy ae?oae, yeei caa?iaeo? ?icaeoie a?iioiiano?oeoeaieo noai?a, ?aeiiaiaeo?oueny aeeth/aoe a eiiieaenia ianoaaeaiiy ae?oae ooieoe?iiaeueia aeine?aeaeaiiy ?ani??aoi?ii? nenoaie c aecia/aiiyi ia’?iieo oa?aeeinoae aeaeioo. ?aaa?e?oaoe?ei? caoiaee o ae?oae ?c a?oie ?eceeo ii ?icaeoeo ?aoeeaeeaoth/eo ?ani??aoi?ieo caoai?thaaiue iaiao?aeii i?iaiaeeoe c o?aooaaiiyi i?iaiinoe/iiai aiae?co ?o aiaiianoe/ieo aeaieo, ee?i?/ieo iniaeeainoae ia?aa?ao ?aoeeaeea?a ?ani??aoi?ieo caoai?thaaiue, iayaiino? noiooiuei? iaoieia??, a oaeiae noaio ?ioiii?, aioeieneaeaioii? ? ?ani??aoi?ii? nenoai. A n?i’yo ae?oae c iiaoi?ieie A?A? icaei?ia/? eiiieaene iiaeii? aeeth/aoe caoiaee c i?aai?caoe?? ?aoe?iiaeueiiai oa?/oaaiiy, iioeiaeueiiai i?e?iee?iaoo aeeoea, onoiaiith ianeaiiai iae?iiy, caaa?ooaaiiy aeeoeie. ?aaa?e?oaoe?ei? eiiieaene aeey ae?oae c iiaoi?ieie A?A? iiaeii? iaoe eeniaai-a?oai?iio i?ieo (1 noae. a aeaiue, i?ioyaii 2-3 oeaei?a), aioeieneaeaioi? i?aia?aoe (a?oai?ie A, A; ea?ioeiiaa ianei /e ianei oeioeie ii 1 /.e.-1 ae.e. a aeaiue a caeaaeiino? a?ae a?eo, i?ioyaii 2-3 oeaei?a). Aeey ii?iae?caoe?? iaoaaie?/ieo ii?ooaiue e?i?aeieo no?oeoo? a?iiaia?ai iieacai? i?aia?aoe, ye? iie?ioothoue e?i?aeiee iai?i ? ni?eythoue a?aeiiaeaiith oinoie?i?aeii? o?aeoe?? (iaoeii?i, aeooai?iiaa eeneioa). Ae?oyi, yeei caa?iaeo? oi?ioaaiiy ?ani??aoi?ieo aea?aic?a, ?aeiiaiaeo?oueny i?ecia/aiiy anaioe?aea-oi?oa (ii 1 eain. 1-3 ?ace a aeaiue caeaaeii a?ae a?eo). C o?aooaaiiyi aeyaeaieo ?ioiieia?/ieo ii?ooaiue ?aeiiaaeiaai? aaeaioiaaie ? ?ioiiiiaeoeyoi?e ?ineeiiiai iioiaeaeaiiy (iano?e aoeiaoea? c ?ic?aooieo 1 e?ai./??e aeeooy, i?ioyaii 2-3 oeaei?a). I?e cia/iiio aeenaaeain? ?ioiii? nenoaie iieacaia ?io?aiacaeueia canoinoaaiiy oeiiaaio c ?ic?aooieo 3-5 iea/ea 5-7-aeaiiei eo?nii. Eo?ne ?aaa?e?oaoe?eieo caoiae?a aeioe?eueii i?iaiaeeoe a ia?aaeai?aeaie/iiio ia??iae?, ia??iae? ?aeiiaaeanoeaioe?? i?ney A?C, a oaeiae c iaoith aaeaioaoe?? a aeeoy/iio aeioe?eueiiio caeeaae? /e oeie?. NIENIE IIOAEEEIAAIIUO ?AAIO Ii?ooaiiy iaoaaie?cio e?i?ae?a o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie // Iaae.ia?niaeoeae. – 1997. – O.??. - ? 4 . – N.71-74. Noai aaioeeyoe?eii? ooieoe?? eaaaiue o /anoi oai??th/eo ae?oae // Iaae.ia?niaeoeae. – 1998. – O.???. – ? 3 . – N.62-63. Oaeoi?u ?enea ?acaeoey iiaoi?iuo ?anie?aoi?iuo caaieaaaiee o aeaoae // A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1998. - ? 14. – N.86-88. Iao.18983A Oe?a?ia, IEE A61A10/00. I?eno?e?e aeey cae?aiiy eiiaeainaoo ia??a iia?o?y, yea aeaeeoathoue / Aaneeue?aa O.E., Aeoea E.Ae., ss?ioaanueea O.A., Ei?aithe I.N. (Oe?a?ia). – 1n.; Iioae. 25.12.97, Athe.?6. Ninoiyiea ia?aeeniiai ieeneaiey eeieaeia e aioeieneaeaioiie nenoaiu o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie // 7 Iaoe. eiia?ann ii aie.i?a.aeuoaiey. – Iineaa, 1997. – N.343. - ?1278. Iniaaiiinoe eeaoi/iiai eiioieoaoa o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie // Iaoa?eaeu I Iaoe. eiia?anna Oe?aeiu ii eiioiieiaee, aeea?aieiaee e eiioii?aaaeeeoaoeee – Aeoooa, 1998. – N. 118-119 (niaao. Ieoeia I.A.). AIIOAOe?ss Ei?aithe I.N. Ee?i?/i?, iaoaaie?/i? ? ooieoe?iiaeuei? iniaeeaino? noaio i?aai?a aeeoaiiy o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.10 – iaae?ao??y. ?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie. Ee?a, 1999. I?aaenoaaeai? ?acoeueoaoe aeine?aeaeaiiy ?ioiii?, aioeieneaeaioii?, ?ani??aoi?ii? nenoai o ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie (iiaoi?i? A?A?, ?aoeeaeeaoth/? a?iio?oe, ?ani??aoi?i? aea?aice). Aea/ai? iniaeeaino? e?i?aeii? no?oeoo?e ee?oeiieo iaia?ai ? eiiaeainaoo aeaeeooaaiiai iia?o?y. Anoaiiaeaii aieea iaoaaie?/ieo ii?ooaiue a no?oaeoaioi?e nenoai? ia noai ooieoe?? ciai?oiueiai aeeoaiiy. Aecia/ai? i?ia?aei? oaeoi?e ?eceeo c oi?ioaaiiy ?aoeeaeeaoth/i? ?ani??aoi?ii? iaoieia?? a a?oi? *OAe. ?ic?iaeai? i?iaiinoe/i? oaaeeoe? aeey aeae?eaiiy a?oi ?eceeo. Cai?iiiiiaai? ?aaa?e?oaoe?ei? eiiieaene aeey ae?oae c iiaoi?ieie ?ani??aoi?ieie caoai?thaaiiyie. Eeth/ia? neiaa: iiaoi?i? ?ani??aoi?i? caoai?thaaiiy, iaoaaie?ci e?i?ae?a, aioeieneaeaioia nenoaia, no?oaeoaioia nenoaia, ?ioi?oao, i?iaiic, ?aaa?e?oaoe?y. AIIIOAOeEss Ei?aithe A.N. Eeeie/aneea, iaoaaiee/aneea e ooieoeeiiaeueiua iniaaiiinoe ninoiyiey i?aaiia aeuoaiey o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.10 – iaaeeao?ey. Einoeooo iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII Oe?aeiu. Eeaa, 1998. A ?aaioa i?aaenoaaeaiu ?acoeueoaou enneaaeiaaiey eiioiiie, aioeieneaeaioiie, ?anie?aoi?iie nenoai o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie (iiaoi?iua I?AE, ?aoeeaeeae?othuea a?iioeou, ?anie?aoi?iua aeea?aicu). Eco/aiea ooieoeee aiaoiaai aeuoaiey i?iaiaeeee iaoiaeii iiaaiioaoiiao?ee n i?eiaiaieai aaoiiaoece?iaaiiie iee?ii?ioeanni?iie nenoaiu “Yoii 01”, iicaieythuae ii?aaeaeyoue ieeiaoth e iauaiiua nei?inoe auaeioa. Ninoiyiea i?ioeannia eeiiia?ieneaeaoeee ioeaieaaee ii iaeiieaieth i?iaeoeoia IIE a iaia?aia y?eo?ioeeoia – aeae?iia?aeenae eeieaeia e IAeA. Aeoeaiinoue aioeieneaeaioiie nenoaiu ii?aaeaeyee ii iieacaoaeyi oa?iaioaoeaiiai caaia: eaoaeacu, aeooaoeii-?aaeoeoacu, aeooaoeii-ia?ieneaeacu, noia?ieneaeaeeniooacu, o?iaith ainnoaiiaeaiiiai aeooaoeiia. Eeieaeiue niaeo? iaia?aiu y?eo?ioeeoia e eiiaeainaoa auaeuoaaiiai aicaeooa eco/aee iaoiaeii oiieineieiie o?iiaoia?aoee ia neeeeaaaea n iineaaeothuae aeaineoiiao?eae o?aeoeee. Eiioiieiae/aneia ianeaaeiaaiea aeeth/aei enneaaeiaaiea eeaoi/iiai, aoii?aeueiiai e oaaioeeoa?iiai caaia eiioieoaoa iaoiaeaie ?aaeeaeueiie aeeooocee ia aaa?a, niiioaiiiai e eiiieaiaioa?iiai ?icaoeiia?aciaaiey. I?iaaaeaiiua enneaaeiaaiey auyaeee o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie ?yae iaoaaiee/aneeo eciaiaiee a eeieaeiie no?oeoo?a eeaoi/iuo iaia?ai e eiiaeainaoa auaeuoaaiiai aicaeooa a aeaea ia?ooaiey niioiioaiey iniiaiuo o?aeoeee, i?aeiouanoaaiii oinoieeieaeiie. O aeaoae anao ianaaeiaaiiuo a?oii iaaethaeaeinue nieaeaiea o?iaiy OOO e OOYA ia oiia iiauoaiiiai eiee/anoaa EOOO e oinoaoeaeiuo eeneio. Eco/aiu iniaaiiinoe aioeieneaeaioiie nenoaiu o aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie. Onoaiiaeaii, /oi o aeaoae n iiaoi?iuie I?AE e aeaoae n ?aoeeaeeae?othuei a?iioeoii a oaca eeeie/aneie ?aienee nio?aiyaony noieeee aeenaaeain aioeieneaeaioieo oa?iaioia, oa?aeoa?ecothueeny nieaeaieai aeoeaiinoe aeooaoeii-ia?ieneaeacu e iiauoaieai aeoeaiinoe aeooaoeii-?aaeoeoacu. O aieueiuo n ?anie?aoi?iuie aeea?aicaie ioia/aeanue aeennioeeaoeey iieacaoaeae aeoeaiinoe i?ioeannia eeiiia?ieneaeaoeee e oa?iaioaoeaiiai caaia AIN – iaeiieaiea i?iaeoeoia IIE ia nii?iaiaeaeaeinue aeoeaaoeeae aioeieneaeaioiuo oa?iaioia. A oiaea ?aaiou onoaiiaeaii aeeyiea iaoaaiee/aneeo ia?ooaiee a no?oaeoaioiie nenoaia eaaeeo ia ninoiyiea ooieoeee aiaoiaai aeuoaiey. Ianoaaeeueiia ninoiyiea no?oaeoaioiie nenoaiu, iaoneiaeaiiia aeenaaeainii iniiaiuo eeieaeiuo o?aeoeee EAA a ?acoeueoaoa oneeaiiiai ?aniaaea oinoieeieaeia, niinianoaoao ?acaeoeth aaioeeyoeeiiiuo ?anno?ienoa e nicaeaao i?aaeiinueee aeey o?iiecaoeee iaoieiae/aneiai i?ioeanna. Onoaiiaeaiiua a a?oiia aeaoae n /anouie I?AE ei??aeyoeeiiiua nayce iaaeaeo iieacaoaeyie IIE, eeieaeiiai ninoaaa EAA e aaioeeyoeeiiiuie ia?ooaieyie iicaieeee ?anniao?eaaoue auyaeaiiua aeioeie/aneea eciaiaiey eae i?iyaeaiea iaoaaiee/aneie aeacaaeaioaoeee ?anie?aoi?iie nenoaiu e eniieueciaaoue eo a ?iee e?eoa?eaa ?enea ii ?acaeoeth ?aoeeaeeae?othuae ?anie?aoi?iie iaoieiaee. Eco/aiea eiioiiiai noaoona aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie iieacaei aeinoiaa?iia nieaeaiea ioiineoaeueiiai eiee/anoaa O-eeioioeeoia, i?a-A-eeioioeeoia, oaaee/aiea o?iaiy “ioeaauo” eeaoie. Aaaeiie oa?aeoa?enoeeie eeaoi/iiai caaia eiioieoaoa auei cia/eoaeueiia nieaeaiea ?aoeaioi?iie aeoeaiinoe O-eeioioeeoia. Ii?aaeaeaiu aaaeouea oaeoi?u ?enea ii oi?ie?iaaieth ?aoeeaeeae?othuae ?anie?aoi?iie iaoieiaee a a?oiia /anoi aieathueo aeaoae. A ea/anoaa ioneiauo a ?acaeoee iaoaaiee/aneeo ia?ooaiee i?aaiecia auaeaeaiu anoeeney iiai?iaeaeaiiiai, ?aiiaa eneonnoaaiiia anea?ieeaaiea, aiiiaeee eiinoeoooeee. ?ac?aaioaiu i?iaiinoe/aneea oaaeeoeu aeey auaeaeaiey a?oii ?enea ii ?acaeoeth iiaoi?iuo ?anie?aoi?iuo caaieaaaiee o aeaoae, a oaeaea ?aoeeaeeae?othueo ?anie?aoi?iuo caaieaaaiee n?aaee /anoi aieathueo aeaoae. Ia iniiaaiee auyaeaiiuo eciaiaiee a ?anie?aoi?iie, aioeieneaeaioiie e eiioiiie nenoaiao i?aaeeiaeaiu ?aaaeeeoaoeeiiiua eiiieaenu aeey aeaoae n iiaoi?iuie ?anie?aoi?iuie caaieaaaieyie. Eeth/aaua neiaa: iiaoi?iua ?anie?aoi?iua caaieaaaiey, iaoaaieeci eeieaeia, aioeieneaeaioiay nenoaia, no?oaeoaioiay nenoaia, eiioieoao, i?iaiic, ?aaaeeeoaoeey. SUMMARY Korenjuk E.S. Clinical, metabolic and functional features of the status of respiratory organs in children with recurrent respiratory diseases. – Manuscript. Dissertation for the Degree of candidate of medical sciences in speciality 14.01.10 – pediatrics. The Institute of Pediatrics, Obstetrics and Gynecology (Academy of Medical Sciences of Ukraine). Eiev, 1999. The work presents the results of research of the immunity, antioxidant and respiratory systems in children with recurrent respiratory diseases (recurrent acute respiratory diseases, recurrent bronchitis, respiratory allergosis). The features of lipid’s structure of cellular membrane and condense of expiratory air were studied. Influence of metabolic violations in surfactant system to state of external respiratory function was established. The main factors of risk for development of recurrent respiratory diseases were founded. The prognosis tables for determination of children to group risk were worked out. The complexes of rehabilitation of children with recurrent respiratory diseases were proposed. Keywords: recurrent respiratory diseases, lipid’s metabolism, antioxidant system, surfactant system, immunity, prognosis, rehabilitation.

Похожие записи