OA?EIANUeEEE AeA?AEAAIEE IAAeE*IEE OIIAA?NEOAO

AOIACA?ssIOe Aeuei??a Eaaii?aia

OAeE 611.1-053.6-037:616-018-2

EEIIIEI-IIOIIEIAI*II ANIAEOE OI?IOAAIIss

ONEEAAeIAIUe O IIAeEIOEIA C AeENIEANOE*IITH

EA?AeIIIAOI?TH

14.01.10. – iaaeiao?iy

AAOI?AOA?AO

aeena?oaoei? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

OA?EIA – 1999

Aeena?oaoei?th ? ?oeiien.

?iaioa aeeiiaia a Oe?a?inueeiio iaoeiai-aeineiaeiiio iinoeoooi ioi?iie
caei?ia’y aeioae i iiaeeioeia IIC Oe?a?ie, i. Oa?e?a.

Iaoeiaee ea?iaiee — aeieoi? iaaee/ieo iaoe Aiaiao Ethaeieea Oaaeini?aia

Oe?a?inueeee iaoeiai-aeineiaeiee
iinoeooo ioi?iie

caei?ia’y aeioae i iiaeeioeia IIC Oe?a?ie, i.
Oa?e?a,

ea??aiee aiaeaeieo iaoieiai?
iiaeeioeia.

Ioioeieii iiiiaioe — aeieoi? iaaee/ieo iaoe, i?ioani?

Iaeeiaoeue TH??e Aaneeueiae/,

Oa?e?anueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, caa?aeoaa/ eaoaae?e oaeoeueoaonueei? iaae?ao??? c
iaaee/iith aaiaoeeith

— aeieoi? iaaee/ieo iaoe, i?ioani?

Aieueoeaa Aiaoie?e Ieeieaeiae/,

?inoeooo i?iaeai e??ia?ieia?? oa
e??iiaaeeoeeie IAI
Oe?a?ie, i. Oa?e?a,

caa?aeoaa/ a?aeae?eii e??iiaoio?c?ieia??.

I?iaiaeia onoaiiaa: ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII
Oe?a?ie, a?aeae?eaiiy aeeoa?aioe?eii? ae?aaiinoeee, i?io?eaeoeee ?
oa?ai?? caoai?thaaiue aioo??oi?o i?aai?a o ae?oae, i. Ee?a

Caoeno aiaeaoaeaoueny “27” o?aaiy 1999 ?. i 13.30 aiaeei? ia caniaeaiii
niaoeiaeiciaaii? a/aii? ?aaee Ae 64.600.04 i?e Oa?eianueeiio
aea?aeaaiiio iaaee/iiio oiiaa?neoaoi (310022, i. Oa?eia, i?. Eaiiia, 4).

C aeena?oaoei?th iiaeia iciaeiieoeny o aiaeiioaoei Oa?eianueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo (310022, i. Oa?eia, i?. Eaiiia, 4).

Aaoi?aoa?ao ?icineaiee “24” eaioiy 1999 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee

aeioeaio
______________________ E.I.Ia/a?aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue oaie. O no?oeoo?? na?oeaai-noaeeiieo caoai?thaaiue o
ae?oae ? i?aee?oe?a ca inoaii? ?iee aeenieanoe/i? ea?ae?iiao?? (AeEI)
caeiathoue iaeia c iniiaieo i?noeue, ui iiynith?oueny ?icoe?aiiyi
niaeo?o iaoiae?a ae?aaiinoeee, o oiio /ene? oe?ieei cai?iaaaeaeaiiyi o
i?aeoeeo oeueo?acaoeiaeo iaoiae?a aeine?aeaeaiiy.

Aeoaea /anoi iaaiai?th?oueny ieoaiiy i?i ?icaeoie ia oiii
aeenieanoe/ieo i?iya?a o na?oe? caiaeueiiai i?ioeano. Ca aeaieie
ii?oieiai/iiai aeineiaeaeaiiy iia?aoeieiiai iaoa?iaeo, ui iaea?aeaee i?e
i?ioacoaaiii eeaiaiia o oai?eo ic iaaooeie aaaeaie na?oey, o 16,0%
aeiaaee?a aeyaeaii caiaeueiee i?ioean ?aaiaoe/iiai aai aaeoa??aeueiiai
aaiaco ia oii? aeenieanoe/ieo ci?i eeaiaiieo no?oeoo? ? o?a?iciiai
e?eueoey. I?e oeueiio yaeua i?eniiaoicii? aeaaaia?aoe??, ye? oeiia? aeey
aeenieac?? niieo/ii? oeaieie (AeNO), ia?ae?eaaeeny a?eueo a?oaeie
ci?iaie o ca’yceo c iaoieia?/iei i?ioeanii, ui iaoa?oaaany ia ?ai?oa
?nioth/ee (A.A. Eieoia oa ni?aaao., 1995; A.Ae. Aei?io??aa oa ni?aaao.,
1997; A.?. Eii?a oa ni?aaao., 1997).

N.J. Lembo et al. (1988) anoaiiaeee i?ieaaoaaiiy i?o?aeueiiai eeaiaia
(IIE) o 80,0% oai?eo ia aino?ee ?aaiaoeci. Na?aae i?e/ei oi?ioaaiiy
iaaooeo aaae na?oey ca inoaii? ?iee ieoiia aaaa aeenieanoe/ieo i?ioean?a
noaea ia?aaaaeaoe iaae ?aaiaoe/ieie, a aeey e?a?i ?c iecueeei ??aiai
?aaiaoecio aeenieanoe/iee oii caeia? ia?oa i?noea (A.A. Eieoia oa
ni?aaao., 1995).

A?aecia/aii oaeiae c?inoaiiy ?ioaeoe?eiiai aiaeiea?aeeoo ia oii?
iaeeo no?oeoo?ieo aiiiae?e na?oey, o oiio /ene? e na?aae i?aee?oe?a. Aei
iaea?eueo nooo?aeo oaeoi??a ?eceeo eiai ?icaeoeo a?aeiinyoue
i?ieaaoaaiiy i?o?aeueiiai oa ai?oaeueiiai eeaiai?a, iniaeeai i?e
iayaiino? i?eniiaoicieo iioiauaiue eeaiaiieo nooeie oa i?o?aeueii?
?aao?a?oaoe?? (A.N. A?eia oa ni?aaao., 1997; TH.I. Aaeaieia oa ni?aaao.,
1996; C. Ginghina et al., 1990; E.G. Rossi et al., 1990).

Nenoaiia aeenieac?y niieo/ii? oeaieie, e??i oi?ioaaiiy no?oeoo?ieo
aiiiae?e aaaaoueio i?aai?a ? nenoai, oa?aeoa?eco?oueny oaeiae
??ciiiai?oieie ii?ooaiiyie ooieoe?e naii? niieo/ii? oeaieie (A.?.
Ia?oeiia oa ni?aaao., 1996; A.A. A?oaiiiiaa oa ni?aaao., 1997). *a?ac
e?ia niieo/ia oeaieia (NO) ia? iino?ei?, aeainoi?iii? ca’ycee c
e?noeiaei iiceii — c iueiai iinooiathoue iiiioeeoe e a?aioeioeeoe. ?c
iiiioeeo?a e?ia? a NO ooai?ththoueny iae?ioaae-?aceaeaioe, a a
ii?iaeieiao — i?a?oth/? iae?ioaae. E?ioioeeoe oaeiae iinooiathoue o NO
?c e?ia’th oa e?ioith. O oaaioeeooth/eo ee?oeiao ooai?th?oueny eiiieaen
oaeoi??a, yeee noeioeth? i?ie?oa?aoe?th oa aeeoa?aioe?aoe?th ee?oei
e?ioi?aeiiai ?yaeo, ooieoe?iiaeueio aeoeai?noue c??eeo O – ? A –
e?ioioeeo?a (Ae.I. Iayinueeee, 1985; Ae.A. E?aaae?a, 1988).

A?aeiii oaeiae, ui oa?aeoa? aeeoa?aioe?thaaiiy noiaao?iaeo ee?oei
aecia/a?oueny i?e?iioi/aiiyi, yea noai?th?oueny ee?oeiaie NO. Oiio
iiaeia ia?aaeaa/eoe cia/iee aieea ?iceaae?a ooieoe?? NO ia ?ioiio
nenoaio.

Aeiaaaeaii, ui noeeuei?noue aei ii?ooaiue ?ioii?aaoeyoe?? aaiaoe/ii
aeaoa?i?iiaaia oa cacia? aieeao aaaaoueio ai?iiiaeueieo oaeoi??a (?.E.
Ianiiia, 1986; A.A. Aia?ia oa ni?aaao., 1995).

No?eaie ?inoo a ioaa?oaoiiio ia??iae? noi?iaiaeaeo?oueny ciaioaiiyi
iane e?ioi?aeieo i?aai?a. I?aeaeuaia nae?aoe?y ai?iii?a iaaeie?eiaeo oa
noaoaaeo caeic (iniaeeai aiae?iaai?a) i?ecaiaeeoue aei i?eai?/aiiy
ee?oeiii? oa noeioeyoe?? aoii?aeueii? eaiie ?ioi?oaoo (Ae.A. No?oai? oa
ni?aaao., 1996). Ioaea, ?iciiiaiioii ai?iiiaeueii ii?ooaiiy, ui
aeieeathoue o iiaeeioeia ia aoaiao ioaa?oaoo, iiaeooue ye noeioethaaoe,
oae i i?eaii/oaaoe iae?ioaaaeueii-iiiioeeoa?ii ?aaeoei?, i oei naiei
aieeaaoe ia i?ioeane iioiieiai/iiai caoenoo, coiiaethth/e iniaeeainoi
ia?aaiao aino?eo i o?iii/ieo i?ioeania.

Aeuaneacaia iineoaeeei iaa?oiooaaiiyi aeey aea/aiiy iioiieiai/iiai
noaoono iiaeeioeia ?c aeenieanoe/iith ea?ae?iiaoi?th.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie. Aeena?oaoeieia ?iaioa aeeiiaia
a ?aieao iaoeiai? i?iaeaie Oe?a?inueeiai iaoeiai-aeineiaeiiai iinoeoooo
ioi?iie caei?ia’y aeioae i iiaeeioeia c o/anoth aiaeaeieo iaoieiai?
iiaeeioeia «I?iaiicoaaiiy ia?aa?ao na?oeaai-noaeeiieo ii?ooaiue o
i?aee?oe?a, iaa?oiooaaiiy i?aeoiae?a uiaei ?o ?aaa?e?oaoe??» (oeo? IH.
1919.0035.96, ? aea?ae?a?no?aoei? 0196U002916).

Iaoa ?iaioe. Oaeineiiaeaiiy i?io?eaeoeee aaeoa??aeueieo oneeaaeiaiue e
oneeaaeiaiue ca ?aooiie ?icaeoeo aooi?ioiieo i?ioean?a o i?aee?oe?a c
aeenieanoe/ieie ea?ae?iiao?yie ia iniia? aecia/aiiy iniaeeainoae
?icaeoeo ?ioiieia?/ieo ?aaeoe?e, aioeo?eiooai?aiiy aei
i?aaiiniaoeeo?/ieo oa i?aaiiianiaoeeo?/ieo aioeaai?a no?oeoo? niieo/ii?
oeaieie oa na?oey.

Aieiai? caaea/i aeine?aeaeaiiy:

1. Iiaeaoe ee?i?/io oa?aeoa?enoeeo ??cieo aa??aio?a aeenieanoe/ieo
ea?ae?iiao?e o i?aee?oe?a ia aoaiao noaoaaiai aeic??aaiiy c o?aooaaiiyi
aaaaoaoeaiiai noaoono;

2. Anoaiiaeoe iniaeeaino? ?ioiiiai noaoono i?aee?oe?a c ??cieie
aa??aioaie aeenieanoe/ieo ea?ae?iiao?e;

3. Aecia/eoe ??aaiue aioeo?e aei i?aaiiianiaoeeo?/ieo aioeaai?a eieaaaio
e aeanoeio oa i?aaiiniaoeeo?/ieo aioeaai?a na?oey i?e ??cieo aa??aioao
aeenieanoe/ieo ea?ae?iiao?e o i?aee?oe?a;

4. Aeae?eeoe i?iaiinoe/ii iani?eyoeea? iciaee ?icaeoeo aaeoa??aeueieo oa
aooi?ioiieo oneeaaeiaiue o i?aee?oe?a c aeenieanoe/ieie ea?ae?iiao?yie;

5. Aecia/eoe i?aeoiaee uiaei i?io?eaeoeee aaeoa??aeueieo oneeaaeiaiue e
oneeaaeiaiue ca ?aooiie ?icaeoeo aooi?ioiieo i?ioean?a o i?aee?oe?a c
aeenieanoe/ieie ea?ae?iiao?yie.

Iaoeiaa iiaecia. Onoaiiaeaii, ui aeenieanoe/i? ea?ae?iiao?? o
i?aee?oe?a, aoaeo/e iaeiei ?c i?iya?a nenoaiii? aeenieac?? niieo/ii?
oeaieie, ee?i?/ii iai?oanoothoue a i?a- oa ?aiiueiio ioaa?oao?,
noi?iaiaeaeothoueny iaaeinoaoi?i neiiaoe/iei caaacia/aiiyi ae?yeueiino?
na?oeaai-noaeeiii? nenoaie, ui aecia/a? aaeeeo /anoioo eieaioi?aeieo
?aaeoe?e ? iecueeo oiea?aioi?noue ?o aei o?ce/ieo iaaaioaaeaiue.

Aeae?eaii ee?i?/i? aa??aioe ia?aa?ao aeenieanoe/ieo ea?ae?iiao?e ?
iiaeaii ?o ee?i?ei — ?ioiieia?/io oa?aeoa?enoeeo.

Aeiaaaeaii, ui niieo/aiiy iaeeo no?oeoo?ieo aiiiae?e na?oey c
ii?ooaiiyie ?eoio oa iiiaeeiieie aiiiae?yie ?ioeo i?aai?a ? nenoai, a
oaeiae noiooi? caiaeuei? i?ioeane oneeaaeiththoue ia?aa?a ea?ae?iiao?e ?
ni?eythoue a?eueo oaeaeeiio ?icaeoeo aaiiaeeiai?/ieo ii?ooaiue, iniaeeai
i?e iayaiino? i?eniiaoicii? aeaaaia?aoe?? eeaiaiiiai aia?aoo na?oey.

Onoaiiaeai? iniaeeaino? ?ioiieia?/iiai noaoono c aecia/aiiyi ??aiy
aioeo?eiooai?aiiy aei i?aaiiianiaoeeo?/ieo (eieaaaio ? aeanoeio) oa
i?aaiiniaoeeo?/ieo (no?oeoo? na?oey) aioeaai?a o i?aee?oe?a c
aeenieanoe/iith ea?ae?iiao??th. Aeae?eaii aea? a?oie ?ioiieia?/ieo
iieaciee?a, ?c yeeo ia?oa ? iniiaith aeey oi?ioaaiiy aaeoa??aeueieo
oneeaaeiaiue, a ae?oaa – aooi?ioiieo i?ioean?a. Iaea?aeai? ?acoeueoaoe
iineoaeeee iniiaith aeey aeae?eaiiy na?aae i?aee?oe?a c aeenieanoe/iith
ea?ae?iiao??th a?oi ?eceeo ?icaeoeo aaeoa??aeueieo ? aooi?ioiieo
caoai?thaaiue, a oaeiae ?ic?iaee caoiae?a c iiia?aaeaeaiiy oeeo
oneeaaeiaiue.

I?aeoe/ia cia/aiiy ?iaioe. Aiae?c ee?i?ei-aaiiaeeiai?/ieo ?
?ioiieia?/ieo iieaciee?a aeicaieea aeae?eeoe ee?i?/ii iani?eyoeea?
aa??aioe ia?aa?ao aeenieanoe/ieo ea?ae?iiao?e o i?aee?oe?a.

Aeae?eaii a?oie ?eceeo uiaei ?icaeoeo aaeoa??aeueieo
oneeaaeiaiue ? oneeaaeiaiue ca ?aooiie ?icaeoeo aooi?ioiieo i?ioean?a
i?e aeenieanoe/ieo ea?ae?iiao?yo o i?aee?oe?a.

Iaa?oioiaaia oaeoeea aeeniaina?iiai ?o iaaeyaeo oa caoiae?a c
i?io?eaeoeee ?icaeoeo oneeaaeiaiue, ui ? iiaei o iaae?ao???.

?acoeueoaoe aeena?oaoe?eieo aeine?aeaeaiue aeei?enoai? a iaoiaee/ieo
?aeiiaiaeaoe?yo «Ae?aaiinoeea oa aeeniaina?iee iaaeyae ca i?aee?oeaie c
aeenieanoe/iith ea?ae?iiao??th», ye? ai?iaaaeaeai? a eiinoeueoaoeai?e
iie?ee?i?oe? Oe? IAe? ICAeI, aeeoy/eo iie?ee?i?eao ? 12, 23 i. Oa?eiaa,
iaeani?e nooaeaionuee?e e?ea?i? i. Oa?eiaa oa a iie?ee?i?oe? OIAN
Oe?a?ie a Oa?e?anuee?e iaeano?.

Aoaeoeai?noue ai?iaaaeaeaiiy — oaeineiiaeaiiy ?aiiuei? ae?aaiinoeee
oa i?io?eaeoeee aaeoa??aeueieo oneeaaeiaiue ? oneeaaeiaiue ca ?aooiie
?icaeoeo aooi?ioiieo i?ioean?a o i?aee?oe?a c aeenieanoe/iith
ea?ae?iiao??th.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoeieia ?iaioa aeeiiaia a ia??iae
iaa/aiiy aaoi?ee a i/i?e anii?aioo?i. Aiia c?iaeea
iaoaioii-?ioi?iaoe?eiee iiooe, aiae?c iaoeiai? e?oa?aoo?e c
aeine?aeaeoaaii? i?iaeaie, i?iaiaeeea iiaeai? oaiaoe/ieo oai?eo,
caaacia/oaaea ?o anaa?/ia ianoaaeaiiy. Naiinoieii i?iaiaeeea
ee?iii?oinoaoe/io i?iao, ea?ae?i?ioa?aaeia?ao?th c o?ce/iei
iaaaioaaeaiiyi, noaoenoe/io ia?iaeo io?eiaieo aeaieo ca aeiiiiiaith IE
oa ?o aiaeic. A?aea o/anoue o aecia/aii? ?ioiieia?/ieo iieaciee?a e?ia?,
aioeo?e aei i?aaiiianiaoeeo?/ieo oa i?aaiiniaoeeo?/ieo aioeaai?a
iaoiaeii iioiioa?iaioiiai aiaeico. Cae?enithaaea ai?iaaaeaeaiiy oa
ai?iaaoe?th iaoa??ae?a aeine?aeaeaiiy a Oe?a?i?. Iiaeaiooaaea iaoeiai
aeaii aei ioaeieaoei? oa aei aenooiia ia eiioa?aioeiyo, ioi?ieea
aeena?oaoe?eio ?iaioo e aaoi?aoa?ao.

Ai?iaaoe?y ?iaioe. Iniiaii iieiaeaiiy ?iaioe aeiiiaiaeaeeny ia
eiioa?aioe?? iieiaeeo o/aieo Oe?a?inueeiai IAe? ioi?iie caei?ia’y ae?oae
? i?aee?oe?a (Oa?e?a, 1996, 1998), ia Oe?a?inuee?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? «Aeooaeuei? i?iaeaie ?aaiaoe/ieo caoai?thaaiue o ae?oae ?
i?aee?oe?a» (Oa?e?a, 1996), ia 1 I?aeia?iaeiiio iaaee/iiio eiia?an?
nooaeaio?a ? iieiaeeo o/aieo (Oa?iii?eue, 1997), ia Oe?a?inuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? «Aeooaeuei? i?iaeaie ioi?iie caei?ia’y
ae?oae oe?eueiiai a?eo ? i?aee?oe?a», i?enay/ai?e 75-??//th
Oe?a?inueeiai IAe? ioi?iie caei?ia’y ae?oae ? i?aee?oe?a (Oa?e?a, 1997),
ia V? i?nuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? iaae?ao??a (Oa?e?a,
1997), ia can?aeaii? Oa?e?anueei? anioe?aoe?? iaae?ao??a (1998).

Ioaeieaoei?. Ca oaiith aeena?oaoei? iaae?oeiaaii 11 ?ia?o: 6 noaoae o
i?io?eueieo iaaee/ieo aeo?iaeao, 5 oac aeiiiaiaeae.

No?oeoo?a oa ianya ?iaioe. Aeena?oaoeiy aeeeaaeaia ia 153 noi?iieao
ae?oeiaaiiai oaenoo, iethno?iaaia 22 oaaeeoeyie, 11 iaethieaie, ui
neeaaea? 31 noi??ieo. Aiia ia? anooi, iaeyae eioa?aoo?e, iien iaoiae?a
aeine?aeaeaiiy, o?e ?icae?ee iniaenoeo aeine?aeaeaiue, aiae?c ?
iaaiai?aiiy ?acoeueoao?a aeine?aeaeaiue, aeniiaee, i?aeoe/i?
?aeiiaiaeaoei?. Nienie eioa?aoo?e aeeth/a? 235 aeaea?aea (125 –
aio/eciyieo oa e?a?i NIAe i 110 — ?iicaiieo), ui neeaaea? 22 noi?iiee.

CIINO ?IAIOE

Iaoa?iaee i iaoiaee aeineiaeaeaiiy. I?iaaaeaii eiiieaenia
ianoaaeaiiy 201 ae?oae ? iiaeeioeia 12-18 ?ieia c aeenieanoe/iith
ea?aeiiiaoi?th (ae?a/ao — 55, oeiioe?a — 146). O a?oio i?aee?oe?a c
aeenieanoe/iith ea?ae?iiao??th aeeth/aeenue iniae, o yeeo i?e
aoiea?ae?ia?ao?/iiio aeine?aeaeaii? aoee aeyaeai? iae? no?oeoo?i?
aiiiae?? na?oey o aeaeyae? i?ieaaoaaiiy oa naia?aoe?? eeaiai?a, ci?i
o?a?iciiai e?eueoey, iai?ey?ieo i’yc?a, ia?aai?iaeee, aeiaeaoeiaeo
oi?ae. Eiio?ieueio a?oio neeaee 23 caei?iaeo ?o iaeiie?oe?a aac
oaiioeiiaeo iciae niieo/iioeaieiii? aeenieaci? oa o?iii/ieo aiaieu
iioaeoei?.

O i?ioeani eeii?/iiai ianoaaeaiiy i?iaiaeeany n?iaeiee aiae?c
iaoyaeaii? niaaeeiaino? ca na?oeaai-noaeeiiei caoai?thaaiiyi, aecia/aiiy
oa iae?e oaiioeiiaeo i?iya?a aeenieac?? niieo/ii? oeaieie, ioe?iea
aaaaoaoeaiiai noaoono. Nooi?iue ae?aciino? i?iya?a aeenieac?? niieo/ii?
oeaieie ioe?ithaaee ca ae?aaiinoe/iei e?eoa??yi O.
I?eeianueei?-Aeeieo?iai? oa A. Ea?eaoaaa (1997).

?ino?oiaioaeuei? aeine?aeaeaiiy aeeth/aee: oeueo?acaoeia?
aeine?aeaeaiiy aioo??oi?o i?aai?a ia oeueo?acaoeiaiio ae?aaiinoe/iiio
i?eeaae? Sonoline SL (na?oea a A-?aaeei?), aeaeo?iea?ae?ia?ao?th a noai?
niieith ? a 12 caaaeueiii?eeiyoeo a?aeaaaeaiiyo, oiiiea?ae?ia?ao?th,
?aae?iaeaeo?iea?ae?ia?ao?th a i?ioean? o?ce/iiai iaaaioaaeaiiy,
?aioaaiineii?th i?aai?a a?oaeii? ee?oee c eiio?anooaaiiyi no?aaioiaeo.

?ioiieia?/ia ?aaeoeai?noue aea/aeany ca aeaieie
iiiioeeoa?ii-oaaioeeoa?ii?, ee?oeiii? oa aoii?aeueii? eaiie ?ioi?oaoo,
ai?noo aioeo?e aei i?aaiiianiaoeeo?/ieo aioeaai?a eieaaaio oa aeanoeio ?
i?aaiiniaoeeo?/ieo — na?oey.

Iiiioeeoa?ii-oaaioeeoa?ia eaiea ioe?ithaaeany ca oaaioeeoa?iith oa
iaoaaie?/iith aeoeai?noth eaeeioeeo?a e?ia?. Aeei?enoiaoaaee aeiaiao
eoeueoo?o noao?eieiea ooaio 209. Aecia/aee oaaioeeoa?ia /enei —
a?aenioie ee?oei, ui aa?ooue o/anoue o oaaioeeoic?, oaaioeeoa?iee
?iaeaen — na?aaeiy e?euee?noue noao?eieieiaeo ee?oei, ye? caoiieth?
iaeei oaaioeeo (?.A. ??oia, 1997), iieacieee niiioaiiiai oa
?iaeoeiaaiiai INO-oanoo (M.E. Kanof, 1991).

Aeae?eaiiy e?ioioeeo?a i?iaiaeeee ia a?aae??io? o?eie-aa?ia?ao?i
d=1,077 a/ni3 (A.ss. Eoeueaa?a oa ni?aaao., 1997).

O ee?oeii?e eaioe? ?ioi?oaoo aecia/aee ??aaiue O-e?ioioeeo?a oa ?o
aeoeaio noaiiioeyoe?th a ?aaeoe?? ?icaoeiooai?aiiy c a?eo?ioeeoaie
aa?aio ca M. Jondal (1972) oa P.J. Felsburg (1976), noaiiioeyoe??
oaeia??a ? noi?ani??a – o oaio?e?iiaiio oano? ca F. Shore et al. (1978).

O aoii?aeuei?e eaioe? ?ioi?oaoo aecia/aee ??aaiue A-e?ioioeeo?a o
?aaeoe?? eiiieaiaioa?iiai ?icaoeiooai?aiiey ca N. Bianco (1970),
ne?iaaoeiaeo ?ioiiaeiaoe?i?a eean?a A, I oa G – niaeo?ioioiiao?e/iei
iaoiaeii (A.A. *e?eei oa ni?aaao., 1990), eiioeaio?aoe?th oee?eoethth/eo
?ioiieo eiiieaen?a (Oe?E) – ne?ei?ia-oanoii (V. Haskova et al., 1978).
??aaiue eiiieaiaioo aecia/aee a ?aaeoe?? eiai niiaeeaaiiy (I.?.
Eiiae?aoiaa, 1974).

Ai?no aioeo?e aei i?aaiiianiaoeeo?/ieo aioeaai?a eieaaaio e aeanoeio oa
aei i?aaiiniaoeeo?/ieo aioeaai?a na?oey aecia/aee iaoiaeii
?ioiioa?iaioiiai aiae?co c aeei?enoaiiyi noaiaea?oieo iaai??a o??ie
«Iaa?ia», i. Iineaa. Io?eiai? ?acoeueoaoe ioe?ithaaee ca?aeii
eiao?oe??ioa ni?aa?aeiioaiiy iaeeieoeue iioe/ii? u?eueiino? aeine?aeo
aei iaeeieoeue iioe/ii? u?eueiino? i?i?iaeueii? aaee/eie aeine?aeo aai
iaaaoeaiiai eiio?ieth (A.I. ?ai?iaa oa ni?aaao., 1991). sseui
ni?aa?aeiioaiiy aoei iaioa 1,5, oi ?aooaaee, ye a?aenooi?noue aioeo?e
aei aioeaai?a. Eiee ni?aa?aeiioaiiy neeaei 1,5-2,0, ?aooaaee, ui
aioeo?ea aei aioeaai?a ciaoiaeyoueny a ii?iaeuei?e e?eueeino?. sseui
ni?aa?aeiioaiiy aoei a?eueoa 2,0, ?acoeueoao ?aooaaany ye iiceoeaiee
(aioeo?ea aei aioeaai?a oo?eiothoueny a iaaei??i?e e?eueeino?).

Noaoenoe/ia ia?iaea iaoa??aeo i?iaaaeaia ia IBM PC 586 c aeei?enoaiiyi
iaeaoo i?eeeaaeieo i?ia?ai «Excel-97». A??ia?aei?noue a?aei?i aecia/aee
ca t-e?eoa???i Nouethaeaioa, iaoiaeii 2. Ia iniia? ?ioi?iaoe?eieo,
noaoenoe/ieo aeaieo oa ?aa?an?eiiai aiae?co c?iaeaia ?ioi?iaoe?eia
a?ao-iiaeaeue oneeaaeiaiue AeEI ? a??ia?aeiino? ?o iiyae.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. Anoaiiaeaii, ui iniiaiei
ee?i?/iei neiioiiii aeenieanoe/ieo ea?ae?iiao?e (80,5%) ? ei?ioei/ani?
ea?ae?aea?? eieth/iai oa?aeoa?o. Ci?ia ?o ?ioaineaiino? c ia?aoiaeii o
o?eaae?, no?ee?, aeaaey/? aie? aeieeaea i?e iayaiino? aaeeei? e?eueeino?
ea?ae?aeueieo noeai, iaoa?oaaii? i?eniiaoicieo ci?i ia eeaiaii?
no?oeoo?e aai i?e niieooe? ea?ae?aeueieo noeai ?c niieo/iioeaieiieie
aiiiae?yie a ?ioeo i?aaiao ? nenoaiao. O 95,0% aeiaaee?a aeenieanoe/ia
ea?ae?iiao?y ? iaei??th ?c /enaeueieo i?iya?a nenoaiii? aeenieac??
niieo/ii? oeaieie. O ca’yceo c oeei iiaeeaeaia aeine?aeaeaiiy, ui
i?iaiaeeeinue o i?aee?oe?a ?c aeenieanoe/iith ea?ae?iiao??th, aeicaieeei
ae?aaiinooaaoe e??i ea?ae?aeueieo, ??ciiiai?oi? aiiiae?? (ia/?iee,
aeia/iiai i?oo?a, ie?ie, na/iaea?aeieo oeyo?a) a 30,0% aeiaaee?a. Naia
oea, o aeaye?e i???, ? ni?eyei aeieeiaiith o i?aee?oe?a cia/ii?
e?eueeino? nea?a.

Iaoa?oaaiiy caiaeueieo ci?i ye a na?oe?, oae ? a ?ioeo i?aaiao ?
nenoaiao, ua a?eueo iaoyaeoaaei ia o?eueee ea?ae?aeueio neiioiiaoeeo,
aea e caaaeueiee noai oai?iai.

Aeaoaeoe niieo/iioeaieiieo no?oeoo? ia ??ai? e?ia?ei-?aoeeoey?iiai
eiiieaeno, o oiio /ene? e a?iioaeaiona, aecia/athoue iaaeinoaoi?noue
naaiaioa?ieo aaaaoaoeaieo no?oeoo?. O ca’yceo ?c oeei ?a?no?o?oueny
iecueeee ??aaiue aaaaoaoeaiiai caaacia/aiiy ooieoe?iioaaiiy oa
a?aeiia?aeii e ?aaaoaaiiy ia iaaaioaaeaiiy na?oeaai-noaeeiii? nenoaie.

I?e aecia/aii? aacaeueiiai aaaaoaoeaiiai oiiono o i?aee?oe?a c AeEI
ia?aaaaeaea aeoii?y (60,0%). ?acii c oei, i?e i?iaaaeaii?
ee?iii?oinoaoe/ii? i?iae a a?eueoino? (80,0%) aeine?aeaeaieo anoaiiaeaii
iaaeinoaoi? neiiaoe/ia caaacia/aiiy ae?yeueiino? na?oeaai-noaeeiii?
nenoaie, ui i?iyaeeiny iaaaeaeaaoiei i?aeeeth/aiiyi ye oeaio?aeueieo
?aaoeyoi?ieo eaiie, oae ? ia?eoa??eieo neiiaoe/ieo ?aoeaioi??a, ui, ia
aeeeth/aii, e coiiaeth?, ye iecueeo oiea?aioi?noue oeeo i?aee?oe?a aei
o?ce/iiai iaaaioaaeaiiy, oae ? aaeeeo /anoioo eieaioi?aeieo ?aaeoe?e. Ia
aeeaey/enue ia oa, ui ia caaa?oaiiy ioaa?oaoiiai ia??iaeo a a?eueoino?
(72,0%) in?a aacaeueiee aaaaoaoeaiee oiion aoa aeoii?/iei, ?aaeoe?y ia
o?ce/ia iaaaioaaeaiiy ana ua caeeoaeany iaaaeaeaaoiith, c iecueeei
??aiai neiiaoe/iiai caaacia/aiiy ae?yeueiino? (8,0%). Oe? aeai?
ni?acao/i? ?acoeueoaoai, ye? iaea?aeai? A.I. Aaeiii oa ni?aaao. (1995) c
aea/aiiy aaaaoaoeaiiai noaoono oa ?aaaoaaiiy o aei?ineeo in?a c
neiae?iiii IIE.

I?iaaaeaiiy ea?ae?i?ioa?aaeia?ao?? c aeei?enoaiiyi i?iae c o?ce/iei
iaaaioaaeaiiyi aeicaieeei i?aeoaa?aeeoe ?nioaaiiy o i?aee?oe?a c
aeenieanoe/iith ea?ae?iiao??th iaaeinoaoiino? aaaaoaoeaiiai caaacia/aiiy
ae?yeueiino? na?oeaai-noaeeiii? nenoaie c ia?aaaaith
ia?aneiiaoeeioii?? (aeoii?y — 26,3%, a?ia?neiiaoeeioii?y — 5,2%).

Aeey i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th oa?aeoa?ia cia/ia
e?euee?noue ci?i ?ioaineaiino? oa ni?aa?aeiioaiiy oii?a na?oey, iiyaa
ooi?a c ??ciiiai?oiith ?ioaineai?noth oa eieae?caoe??th.

sse a?aeiii, iaoiaiiiii?/iei caoeiaei oaiiiaiii IIE (iaea?eueo
iioe?aiiai ea?ae?aeueiiai neiae?iio AeEI) ? ?cieueiaaiee nenoie?/iee
eone ? ca’ycie eiai c i?ci?i nenoie?/iei ooiii (I.I. E?einueeee oa
ni?aaao., 1989; D. Levy et al., 1987). ?acii c oei, o aeeoy/iio oa
i?aee?oeiaiio a?oe? oeae oaiiiai aeyaey?oueny a 47,0% aeiaaee?a, /ano?oa
a ?aiiueiio ioaa?oao?. A?i i?ieeaee, e?aua aeneooiao?oueny o
aa?oeeaeueiiio iieiaeaii? oa i?ney o?ce/iiai iaaaioaaeaiiy. I?ci?e
nenoie?/iee ooi ?a?no?o?oueny eeoa a 2,5% i?aee?oe?a, o aeiaaeeao, eiee
i?ieaaoaaiiy eeaiaio noi?iaiaeaeo?oueny ?aao?a?oaoe??th.

I?e aeaeo?iea?ae?ia?ao?/iiio aeine?aeaeaii? o i?aee?oe?a c AeEI
ii?ooaiiy ?eoio e i?ia?aeiino? ?a?no?oaaeeny a 35,0% aeiaaee?a,
ii?ooaiiy i?ioean?a ?aiiey?ecaoe?? — o 53,0%, aae aei ?icaeoeo ?oai??
ie?aieo ae?eyiie i?iea?aea (7,0%).

I?aee?oee c ia?a?aoiaaieie AEA-ci?iaie neeaaeathoue a?oio ?eceeo c
?icaeoeo ?aioiai? nia?o?. Oea i?aeoaa?aeaeaii ia eiioa?aioe?? c i?iaeai
?aioiai? nia?o? a Naieo-Iaoa?ao?c? (1998), aea aoee i?aaenoaaeai?
aeieace oiai, ui o?aoeia aeiaaee?a ?aioiai? nia?o? o in?a iieiaeiai a?eo
ca?a?no?iaaia ia oii? AeNO (A.I. Eii?a oa ni?aaao., 1998). E??i oiai, o
i?aee?oe?a c AeEI ?a?no?othoueny aeaye? AEA-oaiiiaie, ye?
ioioiaeiththoue c aeenieac??th niieo/ii? oeaieie, a
naia:a??????aeno?e?iaaeenue nei?i/aiiai P-Q (3,5%),
Aieueoa-Ia?e?iniia-Oaeoa (1,5%), ia?aae/anii? ?aiiey?ecaoe?? oeoii/e?a
(3,6%). O 16,6% in?a anoaiiaeai? aeoii?/i? ii?ooaiiy ?eoio o aeaeyae?
aeno?anenoie?? oa i?a?aoe?? aeaea?aea ?eoio, a a 17,0% — ??ci? ii?ooaiiy
i?ia?aeiino? (ao??iaaio?eeoey?ii?, aioo??oiueioeoii/eiai?).

Aeey ioe?iee ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii? nenoaie,
aeyaeaiiy i?eoiaaieo ii?ooaiue ?eoio oa i?ia?aeiino? i?iaaaeaii
aeaeo?iea?ae?ia?ao?/ia aeine?aeaeaiiy a i?ioean? aeiciaaiiai o?ce/iiai
iaaaioaaeaiiy. Oey i?iaa aeicaieeea ae?aaiinooaaoe ii?iaia? a?aeoeeaiiy
a 52,0%, a iaoieia?/i? — a 9,2% aeiaaee?a. ??ci? ii?ooaiiy ?eoio e
i?ia?aeiino? aeiaeaoeiai aeyaeaii ua o 22,0% aeine?aeaeoaaieo. E??i
oiai, aoei anoaiiaeaii cieaeaiiy oiea?aioiino? aei o?ce/iiai
iaaaioaaeaiiy o 68,0% i?aee?oe?a.

I?e aiae?c? iieaciee?a caaaeueii? aaiiaeeiai?ee oeueo?acaoeiaei
iaoiaeii aoee aecia/ai? ooieoe?iiaeuei? iiaeeeaino? i?iea?aea, ?ici??e
ii?iaeiei na?oey, a oaeiae noai nei?i/oaaeueii? ? ianinii? ooieoe?e
i?iea?aea. I?e oeueiio ?icoe?aiiy ae?aiao?o e?aiai oeoii/ea
?a?no?oaaeinue o 15,2%, i?aaiai – o 11,5%, iaio – o 9,9%
aeine?aeaeoaaieo. E??i oiai, o 22,0% i?aee?oe?a c AeEI aoea cieaeaia
nei?i/oaaeueia caeaoi?noue i?iea?aea, a a 5,7% — ianinia eiai ooieoe?y.
Ii?ooaiiy aaiiaeeiai?ee ia?inoaee aei caaa?oaiiy ioaa?oaoo. Oae,
cieaeaiiy nei?i/oaaeueii? iiaeeeaino? i?iea?aea ca?eueoeeinue o
oeii/ee?a c 22,0% a 12 ?ie?a aei 44,0% o 18 ?ie?a.

Oaeei /eiii, iae? ea?ae?aeuei? noeaie aeecaia??iaaiaco o i?aee?oe?a
ni?eythoue ?icaeoeo ii?ooaiue aioo??oiueina?oeaai? aaiiaeeiai?ee c
iiaeaeueoei oi?ioaaiiyi iani?eyoeeaeo aa??aio?a e?iaiia?ao (cieaeaiiy
oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy a 67,6%). Ioaea, oa?i?i
«aeenieanoe/ia ea?ae?iiao?y» iaea?eueo nooo?ai a?aeia?aaea? ci?ie, ye?
aeieeathoue c? noi?iie na?oeaai-noaeeiii? nenoaie.

A?aeiii, ui i?e nenoaiieo niaaeeiaeo caoai?thaaiiyo (neiae?ii?
Ia?oaia, Aea?na-Aeaiei oa ?io.) ci?ie na?oeaai-noaeeiii? nenoaie
i?ia?anothoue c a?eii. I?e AeEI, ui ? neiioiiii nenoaiii? aeenieac??
niieo/ii? oeaieie, aaaaeaeiny aeioe?eueiei i?inoaaeeoe aaiiaeeiai?/i?
ii?ooaiiy a caeaaeiino? a?ae nooiaiy caeo/aiiy a i?ioean aeenieac??
niieo/ii? oeaieie. O ca’yceo ?c oeei aoei aeae?eaii i’youe ee?i?/ieo
a?oi ? aecia/aii iniaeeaino? ?o ee?i?ei-aaiiaeeiai?/ieo ia?aiao??a.

Aei ia?oi? a?oie aa?eoee iniae (7 /ieia?e) c ?cieueiaaiith AeNO na?oey
aac oaiioeiiaeo iciae niieo/iioeaieiii? aeenieac??. Oea aoa iaea?eueo
ni?eyoeeaee aa??aio o aaiiaeeiai?/iiio a?aeiioaii? oiio ui, a ieo, e??i
oi?ioaaiiy ae?eaoaoe?? ii?iaeiei (28,6%), ia aeyaeaii ci?i ianinii? oa
nei?i/oaaeueii? caeaoiino? i?iea?aea.

O ae?oa?e a?oi? (42 /ieia?ea) aeenieanoe/i? ci?ie c? noi?iie na?oey
noi?iaiaeaeoaaeeny ii?ooaiiyie ?eoio oa i?ia?aeiino?. O oeeo i?aee?oe?a
aaiiaeeiai?/i? ii?ooaiiy ?icaeaaeenue oaea a ?aiiueiio ioaa?oao? e iaee
a?eueo aeeaieee oa?aeoa?. Oae, ii?ooaiiy nei?i/oaaeueii? caeaoiino?
i?iea?aea ?a?no?oaaeeny a 19,0%, a ?icoe?aiiy ae?aiao?o ii?iaeiei — o
52,4% aeiaaee?a.

Aei o?aouei? ee?i?/ii? a?oie (107 /ieia?e) ia’?aeiai? i?aee?oee, o
yeeo aeenieanoe/i? ea?ae?iiao?? noi?iaiaeaeoaaeeny cia/ieie neaeaoieie
aiiiae?yie. O oe?e a?oi? ii?ooaiiy nei?i/oaaeueii? caeaoiino? i?iea?aea
?a?no?oaaeiny a 22,7%, a ?icoe?aiiy ii?iaeiei – o 40,6% aeiaaee?a.

*aoaa?oo a?oio (56 /ieia?e) neeaee iniae, o yeeo aeenieanoe/i?
ea?ae?iiao?? noi?iaiaeaeoaaeeny iaoieia??th oeoieiai-eeoeiaiai o?aeoo, a
ea?ae?aeueia neiioiiaoeea aeyaeyeany i?e iiaeeaeaiiio aeine?aeaeaii?.
Oey a?oia oaeiae oa?aeoa?ecoaaeany aenieith /anoioith ?icoe?aiiy
ii?iaeiei na?oey (35,8%) oa cieaeaiiy ianinii? ooieoe?? i?iea?aea
(33,9%).

O iyo?e ee?i?/i?e a?oi? (28 /ieia?e) i?aee?oee iaee aiaieua o?ii?/ii?
?ioaeoe??, o?ii?/i? caiaeuei? i?ioeane a i?aaiao ? nenoaiao (o?ii?/iee
aeaeiiiainiaaiee oiicee?o, a?o?eoe, ia?aaiaoe/iee i?iea?aeeo). Aiie ia
a?ae??ciyeeny ca aaiiaeeiai?/ieie iieacieeaie a?ae iiia?aaei?o aeaio
a?oi. Cieaeaiiy ianinii? oa nei?i/oaaeueii? caeaoiino? i?iea?aea a ieo
?a?no?oaaeiny a 24,8% aeiaaee?a, a ?icoe?aiiy ii?iaeiei — o 21,4%
ianoaaeaieo.

Oaeei /eiii, iaea?eueo ni?eyoeeaei aa??aioii o ieai? ?icaeoeo
aaiiaeeiai?/ieo ii?ooaiue ? aa??aio ?cieueiaaiiai caeo/aiiy a i?ioean
aeenieac?? niieo/ii? oeaieie eeoa ea?ae?aeueieo no?oeoo?. Anoaiiaeaii,
ui niieo/aiiy ea?ae?aeueieo aiiiae?e c ii?ooaiiyie ooieoe?e aaoiiiiii?
nenoaie na?oey c ?icaeoeii a?eoi?e, iiiaeeiieie aiiiae?yie ?ioeo i?aai?a
? nenoai, a oaeiae noiooi?e caiaeueiee i?ioean ??ciiiai?oii?
eieae?caoe?? ni?eythoue a?eueo oaeaeeiio ?icaeoeo aaiiaeeiai?/ieo
ii?ooaiue.

Iniaeeai? oaaae caneoaiao? a?oia i?aee?oe?a c eieaeueiith
a?ia?o?io??th i?iea?aea (68,0%) aa?o?aeiai-ia?aai?iaei/ii? iaeano?, oiio
ui oe? ae?eyiee i?iea?aea iiaeooue oi?ioaaoe aiaieua aneia?a?? c
iiaeaeueoei ?icaeoeii ii?ooaiue ?eoio oa i?ia?aeiino?. ?nio?
iiaeeea?noue oaeiae ?icaeoeo ia oeueiio oii? aiaieu iaei?iia?iaaiii?
?oai?? ca ?aooiie iaaeinoaoiino? e?iaiiinoa/aiiy, aai aiane?aeie
noeniaiiy, aai aiaoii?/ii? iani?iiiaeiino? naii? ei?iia?ii? noaeeie.
I?aeoaa?aeaeaiiyi oeueiai ? aeai? M.O. Balogum et al. (1990) c aea/aiiy
ii?oieia?? a?ia?o?ioiaaiiai i?iea?aea oa aeieeiaiith aeenioe?aoe?? i?ae
ca?eueoaiith ianith i?iea?aea oa ei?iia?iei e?iaioieii.

Caneoaiao? ia oaaao oaeiae a?oia c ?icoe?aiiyi ii?iaeiei na?oey aac
iciae ?o a?ia?o?io?? (36,6%). Naia a ieo iiaeooue oi?ioaaoeny ii?ooaiiy
nei?i/oaaeueii? caeaoiino? i?iea?aea c iiaeaeueoei ?icaeoeii
na?oeaai-noaeeiii? iaaeinoaoiino?, a cia/ia ?icoe?aiiy ii?iaeiei iiaea
i?eaanoe aei oi?ioaaiiy aiaa?eci ai?oe e e?aiai oeoii/ea, oei a?eueoa,
ui a oeeo i?aee?oe?a ?nio? a?iaeaeaia iaiiaiioe?ii?noue
niieo/iioeaieiiiai ea?eano. Ia oeueiio aoai? aeineoue aaaeei aiai?eoe,
ui a aeai?e neooaoe?? ia?aeiia – ii?ooaiiy ianinii? ooieoe?? /e
aaiiaeeiai?/i? ci?ie o ca’yceo c iayai?noth iaeeo ea?ae?aeueieo noeai ?
?icaeoeii ae?eaoaoe?? ii?iaeiei.

?icaeoie i?eniiaoicii? aeaaaia?aoe?? eeaiaiiiai aia?aoo ia oii?
aeenieac?? niieo/ii? oeaieie oneeaaeith? aaiiaeeiai?/i? ii?ooaiiy,
ni?ey? cieaeaiith ianinii? ooieoe?? i?iea?aea ? oiea?aioiino? aei
o?ce/iiai iaaaioaaeaiiy. Aei caaa?oaiiy ioaa?oaoo /anoioa oaeeo
ii?ooaiue c?inoa? iaeaea aaea?/? — c 14,5% aei 25,0%. Naia oe? ci?ie
iiaeooue aooe ieaoeaea?iii aeey ?icaeoeo naioe/ieo aiaieu. Oi?aeaeuei?
o??o?ae (A.A. Eieoia oa ni?aaao., 1995, A.?. Ia?oeiia oa ni?aaao., 1996,
A.N. A?eia oa ni?aaao., 1998) aei iaea?eueo ?noioieo oaeoi??a ?eceeo
?icaeoeo naioe/iiai aiaeiea?aeeoo e o?iiaiaiaie?/ieo oneeaaeiaiue
a?aeiinyoue oaeiae i?eniiaoic.

Niinoa?aaeaiiy ca i?aee?oeaie i?ioyaii 2-3 ?ie?a na?ae/aoue i?i
noaa?euei?noue aaiiaeeiai?/ieo ii?ooaiue, ye? aeyaeai? i?e ia?oiio
aeine?aeaeaii?, a a /anoeie – iia??oaiiy ie?aieo iieaciee?a. Oae,
iaea?eueo cia/ia cieaeaiiy ianinii? ooieoe?? i?iea?aea a?aecia/aii o
i?aee?oe?a ?c neaeaoieie noeaiaie aeecii?o?? (c 12,5% aei 29,2%; p < 0,01) oa c ii?ooaiiyie ?eoio (c 5,6% aei 16,7%; p < 0,02). Cieaeaiiy nei?i/oaaeueii? ooieoe?? i?iea?aea iaea?eueo nooo?ai aecia/aeinue o a?oi? in?a ?c neaeaoieie aiiiae?yie (c 20,8% aei 41,7%) oa c iaoa?oaaiiyi caiaeueieo i?ioean?a (c 25,0% aei 33,3%; p < 0,05). Ae?acia ii?iae?caoe?y ianinii? (c 73,9% aei 82,6%; p < 0,05) ? nei?i/oaaeueii? (c 56,5% aei 69,6%; p < 0,05) ooieoe?e i?iea?aea cao?eniaaia eeoa a i?aee?oe?a c ?cieueiaaiei caeo/aiiyi o i?ioean aeenieac?? ea?ae?aeueieo no?oeoo?. ?icaeoie naioe/ieo ? aooi?ioiieo i?ioean?a ia oii? AeNO iiaea aooe coiiaeaiee iniaeeainoyie ?ioiiiai caoenoo, oiio aaaaeaeiny ca aeioe?eueia aecia/eoe ?ioiiee noaoon ? oiiae aioeo?eiooai?aiiy o i?aee?oe?a c AeEI i?e ??cieo aa??aioao ?o ia?aa?ao. I?iaaaeai? aeine?aeaeaiiy iieacaee, ui o i?aee?oe?a c AeEI ?ioiiee noaoon oa?aeoa?eco?oueny cieaeaiiyi aaniethoiiai /enea iiiioeeoa?ii-iae?ioaaaeueieo ee?oei (72,3±1,0%; ?<0,05), i?aeaeuaiiyi ?o aeoeaiino? (INO-oano niiioaiiee – 18,0±0,6%; ?<0,001) c iiaeaeueoei aeniaaeaiiyi ooieoe?iiaeueiiai ?aca?ao (INO-oano ?iaeoeiaaiiee – 26,1±0,8%; ?<0,02). ??aaiue O-aeoeaieo (33,50,6%) ? A-e?ioioeeo?a (20,90,4%) ia a?ae??ciyany a?ae eiio?ieueiiai. Ci?ithaaeiny ni?aa?aeiioaiiy ?ioii?aaoeyoi?ieo noaiiioeyoe?e O-e?ioioeeo?a o noi?iio noi?ani??a (O-oaeia?e 36,9±0,9%; ?<0,02). Iineethaaeanue aeoeai?noue aoii?aeueii? eaiee ?ioi?oaoo, ui i?iyaeyeiny i?aeaeuaiiyi ??aiy ?ioiiaeiaoe?i?a eeano I (2,40,1 a/e; o eiio?ie? 1,50,1 a/e; p<0,01) ? A (2,20,1 a/e; o eiio?ie? 1,60,1 a/e; p<0,05), Oe?E (2,20,1 a/e; o eiio?ie? 1,20,1 a/e; p<0,01) ? oeo?o eiiieaiaioo (2,00,1 iae.; o eiio?ie? 1,40,1 iae; p<0,01). A?aeiii, ui NO ia? ie?ai? ia??iaee aeoeaiiai ooieoe?thaaiiy, eiee cia/ii i?aeaeuothoueny e i?ioeane aioeo?eiooai?aiiy aei niaoeeo?/ieo aioeaai?a. Iaeei ?c ieo – ioaa?oaoiee. Oea i?aeoaa?aeaeo?oueny aeaieie, ui iaea?aeai? o i?aee?oe?a eiio?ieueii? a?oie, yeo neeaee iniae aac aoaeue-yeeo oaiioeiiaeo i?iya?a niieo/iioeaieiii? aeenieac??. Naia a ieo a i?a- oa ?aiiueiio ioaa?oao? i?aeaeuaiiy ??aiy aioeo?eiooai?aiiy aei i?aaiiianiaoeeo?/ieo aioeaai?a eieaaaio e aeanoeio ciaoiaeeeiny a iaaeao a?ae 26,1% aei 31,1% a?aeiia?aeii, a i?aaiiniaoeeo?/iiai aei na?oey – 43,5%. Aei caaa?oaiiy ioaa?oaoo ?o ??aaiue ia ca?eueooaaany. ?ioa ni?yiiaai?noue aioeo?eiooai?aiiy anoaiiaeaia o i?aee?oe?a c AeEI. O oe?e a?oi? aioeo?eiooai?aiiy aei aioeaai?a eieaaaio ia?aaaaeaei o ae?a/ao, i?aeaeuoaaeiny aei caaa?oaiiy ioaa?oaoo, iniaeeai nooo?ai i?e iayaiino? neaeaoieo aiiiae?e (c 53,3% aei 71,4%) oa caoai?thaaiue nenoaie o?aaeaiiy. ??aaiue aioeo?eiooai?aiiy aei aioeaai?a aeanoeio ae?aaeaiei aoa o i?aee?oe?a c AeEI, ui noi?iaiaeaeoaaeeny ii?ooaiiyie ?eoio (41,2±8,6%). A inoaii?o aoei aeoeaiei ? aioeo?eiooai?aiiy aei aioeaai?a na?oey (47,0±8,7%), iniaeeai o iaeaiueeeo oeii/ee?a (83,3±15,2%). Oaeiae aoa i?aeaeuaiee ??aaiue aioeo?e aei aioeaai?a na?oey o i?aee?oe?a ?c aeenieanoe/iith ea?ae?iiao??th, ui noi?iaiaeaeo?oueny aiiiae?yie neaeaoo. Oea aeicaiey? i?eionoeoe iiaeeeaee aieea iaaei??iiai aioeo?eiooai?aiiy aei aioeaai?a na?oey ia iai?oanoaoe?th ii?ooaiue ?eoio oa neiioii?a AeEI. Iiae?aia ?aaeoe?y ?ioiii? nenoaie anoaiiaeaia o aei?ineeo i?e ea?ae?ii?iiao?yo, ui noi?iaiaeaeoaaeenue a?eoi?yie (E.I. Aiiniaa oa ni?aaao., 1988). Iaoieia?/iee oa?aeoa? aioeo?eiooai?aiiy aei i?aaiiianiaoeeo?/ieo oa i?aaiiniaoeeo?/ieo aioeaai?a no?oeoo? NO ? na?oey o i?aee?oe?a ?c AeEI i?aeoaa?aeaeo? cia/ia aeoeai?noue ?ioiii? nenoaie, ui ae?aaea?oueny /enaeuei?noth e aenieei nooiaiai ei?aeyoe?eieo ca’yce?a i?ae aioeo?eaie ? iieacieeaie an?o eaiie ?ioi?oaoo. Ia a?aei?io a?ae ieo o eiio?ieuei?e a?oi? iayai?noue aioeo?e aei aioeaai?a eieaaaio, aeanoeio e na?oey ia aeeeeea? i?aeaeuaiiy aeoeaiino? ?ioiii? nenoaie (oaae. 1). O aeeiai?oe? niinoa?aaeaiiy /a?ac 2-3 ?iee a?aecia/aii iiaeeaeaiiy ?ioiieia?/ieo ii?ooaiue on?o eaiie, ui i?iyaeeiny ia o?eueee cieaeaiiyi aaniethoieo iieaciee?a oaaioeeooth/eo ee?oei, aea e cieaeaiiyi ?o ooieoe?iiaeueiiai ?aca?ao ia oii? aeoeaiino? aoii?aeueii? eaiee (Oe?E 2,4±0,2 a/e, ?2=3,86) ?c caeo/aiiyi o i?ioean ?ioiiaeiaoe?i?a eeano G (13,6±1,1 a/e, ?2=4,71), ui oaeiae aeicaiey? aiai?eoe i?i o?ii?caoe?th i?ioeano (?.?. Nieieia oa ni?aaao., 1998). Noaoenoe/iee aiae?c (?2) i?aeoaa?aeea c?inoaiiy oeo?o aioeo?e aei i?aaiiianiaoeeo?/ieo oa i?aaiiniaoeeo?/ieo aioeaai?a no?oeoo? niieo/ii? oeaieie e na?oey a i?aee?oe?a iniiaii? a?oie, ui noi?iaiaeaeoaaeinue aeoeaaoe??th aoii?aeueii? eaiee ?ioi?oaoo – i?aeaeuaiiyi ??aiy oee?eoethth/eo ?ioiieo eiiieaen?a oa ?ioiiaeiaoe?i?a eeano G (oaae. 2). Ioaea, iaea?aeai? ?acoeueoaoe na?ae/aoue i?i oa, ui a /anoeie i?aee?oe?a c AeEI (36,9%), o yeeo cieaeaiiy aaniethoiiai /enea ee?oei iiiioeeoa?ii-oaaioeeoa?ii? Oaaeeoey 1 Ei?aeyoe?ei? ca’ycee () ?ioiieia?/ieo iieaciee?a o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th Iieacieee ?ioi?oaooAioeo?ea aei i?aaiiianiaoeeo?/ieo aioeaai?aAioeo?ea aei i?aaiiniaoeeo?/ieo aioeaai?a eieaaaioaeanoeiona?oeyeiio?ieueAeEIeiio?ieueAeEIeiio?ieueAeEIOaaioeeoa?i a /enei1****0,9****0,8****0,9****1****0,8****INO-niiioaiiee-0,8****-0,8*** *0,6*0,9****INO-?iaeoeiaaiee-0,8****-0,8****0,6*0,7****O-e?ioioeeoe-0,7* ***-0,8****0,7**0,7****A-e?ioioeeoe-0,8****0,6*0,7****0,7*0,8****O-aeoea i?0,8**0,8****-0,8****0,9****0,8****O-oaeia?e0,8***0,9****0,7**0,8****0, 9****0,8****O-noi?ani?e0,6**0,8****0,7*0,8****0,8***0,8****Ig G-0,7****-0,9****0,6*0,9****Ig A-0,7****-0,9****-0,9****Ig I-0,7****-0,9****-0,9****Oe?E0,9****0,7****0,9****0,7****0,9****0,8****C H 500,7**0,9****0,8**0,7****0,8**0,6****Aioeo?ea aei aioeaai?a eieaaaio --0,8****0,8****0,9****0,9****Aioeo?ea aei aioeaai?a aeanoeio0,9**0,8****--0,9****0,9****Aioeo?ea aei aioeaai?a na?oey 0,9***0,9****0,7**0,8****-- I?ei?oea: * p < 0,05; ** p < 0,02; *** p < 0,01; **** p < 0,001. eaiee noi?iaiaeaeo?oueny cieaeaiiyi ??aiy O-e?ioioeeo?a ia?aaaaeii ca ?aooiie O-oaeia??a oa aeoeaaoe??th aoii?aeueii? eaiee (?ioiiaeiaoe?i?a, Oe?E, oeo?o eiiieaiaioo), ?niothoue ia?aaeoiiae ?icaeoeo aaeoa??aeueieo ? naioe/ieo oneeaaeiaiue. O i?aee?oe?a c AeEI (42,7%), o yeeo cieaeaiiy iiiioeeoa?ii-oaaioeeoa?ieo ee?oei noi?iaiaeaeo?oueny i?aeaeuaiiyi aeoeaiino? aoii?aeueii? eaiee, cieaeaiiyi ??aiy O- noi?ani??a ? aenieei ??aiai aioeo?eiooai?aiiy, ?niothoue ia?aaeoiiae ?icaeoeo aooi?ioiieo i?ioean?a. O ca’yceo ?c oeei, i?aee?oee c AeEI iio?aaothoue aeeth/aiiy a i?io?eaeoe/i? eiiieaene ??ciini?yiiaaieo cania?a ?aaa?e?oaoe?? c o?aooaaiiyi iniaeeainoae ?o ?ioiieia?/ieo ?aaeoe?e. I?e ?ioa?eo?a- Oaaeeoey 2 Ci?ie ?ioiieia?/ieo iieaciee?a o i?ioean? niinoa?aaeaiiy o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th (M±m) ?ioiieia?/i? iieacieeeAeo?aei? (10-15 ?ie?a)*a?ac 2-3 ?iee?2?Oaaioeeoa?ia /enei (%) 75,8±2,069,3±3,70,148>0,1INO – niiioaiiee
(%)20,2±2,517,3±1,73,892<0,05INO – ?iaeoeiaaiee (%)29,0±1,626,6±1,54,288<0,05O – e?ioioeeoe (%)50,7±5,758,0±1,80,084>0,1A – e?ioioeeoe (%)21,7±0,920,4±0,40,332>0,1O
– aeoeai? (%)35,1±1,133,6±1,30,236>0,1O – oaeia?e
(%)35,0±7,141,5±1,90,114>0,1O – noi?ani?e
(%)12,6±1,514,4±1,40,791>0,1Oe?E (a/e)2,1±0,12,4±0,23,865<0,05NI 50 (iae)2,2±0,31,8±0,12,895>0,1Ig G (a/e)10,8±1,613,6±1,14,712<0,05Ig A (a/e)2,3±0,22,2±0,20,479>0,1Ig I (a/e)2,3±0,22,7±0,12,421>0,1I?aeaeuaiee
??aaiue aioeo?e aei aioeaai?a eieaaaio
(%)32,2±6,136,4±14,53,886<0,05I?aeaeuaiee ??aaiue aioeo?e aei aioeaai?a aeanoeio (%)25,4±5,745,4±15,03,941<0,05I?aeaeuaiee ??aaiue aioeo?e aei aioeaai?a na?oey (%)37,3±6,354,5±15,03,876<0,05 ioieo caoai?thaaiiyo i?aee?oeai ?c caa?icith ?icaeoeo naioe/ieo oneeaaeiaiue ?aeiiaiaeo?oueny i?iaaaeaiiy aioeaaeoa??aeueii? oa?ai??, a a i?aee?oe?a ?c a?oie ?eceeo ?icaeoeo aooi?ioiieo oneeaaeiaiue iaiao?aeii iaiaaeeoe aaaaeaiiy a?eeiaeo i?aia?ao?a, ??cieo aea?aai?a, a oaeiae ia?aaeaa/eoe canoinoaaiiy ?ioiiei?aeoi??a. I?aeaeuaiiy ??aiy aioeo?eiooai?aiiy aei i?aaiiianiaoeeo?/ieo oa i?aaiiniaoeeo?/ieo aioeaai?a, ui caa??aa?oueny ? i?e caaa?oaii? ioaa?oaoo, iiaea na?ae/eoe i?i aeano?oeoe?th niieo/iioeaieiieo no?oeoo?, o oiio /ene? e ea?ae?aeueieo, yea oaeiae iiaea aooe ieaoeaea?iii aeey ?icaeoeo aaeoa??aeueieo oneeaaeiaiue ? iani?eyoeeaeo aaiiaeeiai?/ieo ii?ooaiue. Iniaeeao o?eaiao aeeeeeathoue i?aee?oee c i?eniiaoiciith o?ainoi?iaoe??th eeaiaiiiai aia?aoo na?oey. Ioaea, i?aee?oee c AeEI iio?aaothoue aeeiai?/iiai niinoa?aaeaiiy c aecia/aiiyi ia o?eueee aaiiaeeiai?/ieo oa?aeoa?enoee, aea e ?ioiieia?/iiai noaoono, c i?iaaaeaiiyi ?iaeea?aeoaeueieo e?eoaaeueii-i?io?eaeoe/ieo caoiae?a c ei?aeoe??th oa?ai?? i?e ?ioa?eo?aioieo caoai?thaaiiyo ? iniaeeaei ?aaeeiii aaeoeeiaoe??. AENIIAEE 1. Aeenieanoe/ia ea?ae?iiao?y o i?aee?oe?a a 95,0% aeiaaee?a ? iaeiei c i?iya?a nenoaiii? aeenieac?? niieo/ii? oeaieie, aeey yei? oeiiaei ? oi?ioaaiiy ??ciiiai?oieo ii?ooaiue ooieoe?? naii? oeaieie e ianaiia?aae ci?i ?ioiieia?/iiai ?aaaoaaiiy. Iai?oanoaoe?y ee?i?/ieo neiioii?a o 70,0% in?a aeieea? a ia??iae i?a- oa ?aiiueiai ioaa?oaoo. 2. Niieo/aiiy iaeeo no?oeoo?ieo aiiiae?e na?oey c aiiiae?yie i?ia?aeii? aaoiiiiii? nenoaie, /enaeueieie neaeaoieie noeaiaie aeecii?o?cio, a oaeiae caiaeueieie ci?iaie ethai? eieae?caoe?? (na?oea, noaeiae, i?aaie o?aaeaiiy, na/iaeae?eueia nenoaia) oneeaaeith? ia?aa?a ea?ae?iiao?e c ?icaeoeii ii?ooaiue nei?i/oaaeueii? ? ianinii? caeaoiino? i?iea?aea, cieaeaiiyi oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. 3. Aaaaoaoeaiee noaoon i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th oa?aeoa?eco?oueny ia?aaaaith ia?aneiiaoe/iiai oiiono aaaaoaoeaii? ia?aiai? nenoaie c iaaeinoaoi?i neiiaoe/iei caaacia/aiiyi ae?yeueiino? nenoaie e?iaiia?ao (80,0%), ui aecia/a? aaeeeo /anoioo eieaioi?aeieo ?aaeoe?e oa cieaeaiiy oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy. 4. Iani?eyoeeaa aeeiai?ea ee?i?ei-aaiiaeeiai?/ieo iieaciee?a aei caaa?oaiiy ioaa?oaoo c ia?inoaiiyi ii?ooaiue ianinii? ooieoe?? i?iea?aeo anoaiiaeaia a i?aee?oe?a c /enaeueieie iciaeaie aeenieac?? ea?ae?aeueieo no?oeoo?, i?eniiaoiciei ?o iioeiaeaeaiiyi, a oaeiae i?e iayaiino? aiiiae?e i?ia?aeieeiai? aaoiiiiii? nenoaie na?oey, iioe?aieo aiiiae?e neaeaoo oa aioo??oi?o i?aai?a. 5. ?ioiieia?/iee noaoon i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th oa?aeoa?eco?oueny cieaeaiiyi ??aiy iae?ioaaaeueii-oaaioeeoa?ieo ee?oei c i?aeaeuaiiyi ?o ooieoe?iiaeueii? aeoeaiino? (INO-niiioaiiee) oa iiaeaeueoei aeniaaeaiiyi ooieoe?iiaeueiiai ?aca?ao (INO-?iaeoeiaaiee), cieaeaiiyi ??aiy O-e?ioioeeo?a o iaeieo ia?aaaaeii ca ?aooiie o?aeoe?e O-oaeia??a (36,9%), a a ?ioeo – o?aeoe?e O-noi?ani??a (42,7%), aeoeaaoe??th aoii?aeueii? eaiee ?ioi?oaoo (i?aeaeuaiiy ai?noo ?ioiiaeiaoe?i?a eeano A ? I, Oe?E ? oeo?o eiiieaiaioo). 6. Onoaiiaeaii aenieee ??aaiue aioeo?eiooai?aiiy aei i?aaiiianiaoeeo?/ieo (eieaaaio ? aeanoeio) ? i?aaiiniaoeeo?/ieo (na?oey) aioeaai?a o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th. Iaea?eueo nooo?a? iieacieee aioeo?eiooai?aiiy aei aioeaai?a eieaaaio ? na?oey anoaiiaeai? o i?aee?oe?a c ae?aaeaieie neaeaoieie aiiiae?yie, iniaeeai o ae?a/ao, aei aioeaai?a aeanoeio ? na?oey – o i?aee?oe?a c ii?ooaiiyie ?eoio. 7. Aeeiai?ea ci?i ?ioiieia?/ieo iieaciee?a o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th na?ae/eoue i?i iiaeeaeaiiy ?ioiieia?/ieo ii?ooaiue on?o eaiie ?ioi?oaoo, ye? i?iyaeeeny cieaeaiiyi aaniethoieo iieaciee?a iiiioeeoa?ii-iae?ioaaaeueieo ee?oei oa ?o ooieoe?iiaeueiiai ?aca?ao, caa??aaiiyi aeao?oeeoo O-oaeia??a ia oii? aeoeaiino? aoii?aeueii? eaiee ?c caeo/aiiyi o i?ioean ?ioiiaeiaoe?i?a eeano G. ??aaiue aioeo?eiooai?aiiy aei aioeaai?a eieaaaio, aeanoeio e na?oey i?aeaeuoaaany ia caaa?oaiiy ioaa?oaoo. 8. O i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th ci?ie a ?ioiieia?/iiio noaoon?, ui oa?aeoa?ecothoueny cieaeaiiyi aaniethoiiai /enea ee?oei iiiioeeoa?ii-oaaioeeoa?ii? eaiee, noi?iaiaeaeothoueny cieaeaiiyi ??aiy O-e?ioioeeo?a ia?aaaaeii ca ?aooiie O-oaeia??a oa aeoeaaoe??th aoii?aeueii? eaiee (?ioiiaeiaoe?i?a, Oe?E, oeo? eiiieaiaioo) ? iniiaith aeey ?icaeoeo aaeoa??aeueieo ? naioe/ieo oneeaaeiaiue. O in?a, o yeeo cieaeaiiy iiiioeeoa?ii-oaaioeeoa?ieo ee?oei noi?iaiaeaeo?oueny i?aeaeuaiiyi aeoeaiino? aoii?aeueii? eaiee, cieaeaiiyi ??aiy O-noi?ani??a ? aenieei ??aiai aioeo?eiooai?aiiy, ?niothoue ia?aaeoiiae ?icaeoeo aooi?ioiieo i?ioean?a. 9. I?aee?oee c aeenieanoe/iith ea?ae?iiao??th ii?yae ?c iaiaaeaiiyie o?ce/iiai iaaaioaaeaiiy, i?iaaaeaiiyi iiaoi?ieo eo?n?a ea?ae?ioii?/ieo cania?a iio?aaothoue aeeth/aiiy a ?aaa?e?oaoe?eiee eiiieaen ??ciini?yiiaaieo cania?a. Iniaai ?c caa?icith ?icaeoeo naioe/ieo ? aaeoa??aeueieo oneeaaeiaiue i?e ?ioa?eo?aioieo caoai?thaaiiyo, ?aeiiaiaeo?oueny i?iaaaeaiiy aioeaaeoa??aeueii? oa?ai??, a i?aee?oeai ?c a?oi ?eceeo ?icaeoeo aooi?ioiieo oneeaaeiaiue - iaiao?aeii iaiaaeeoe aaaaeaiiy a?eeiaeo i?aia?ao?a, aaeoeei, ne?iaaoie, ?ioeo aea?aai?a, i?ecia/aiiy ?ioiiei?aeoi??a. I?AEOE*I? ?AEIIAIAeAOe?? 1. I?aee?oee c aeenieanoe/iith ea?ae?iiao??th iio?aaothoue ?ioiieia?/iiai ianoaaeaiiy aeey aecia/aiiy iiaeaeueoi? oaeoeee ?o aaaeaiiy. 2. I?e cieaeaii? ??aiy iae?ioaaaeueii-iiiioeeoa?ieo ee?oei, ?o ooieoe?iiaeueii? aeoeaiino?, a oaeiae ??aiy O-oaeia??a oa aeniei? aeoeaiino? aoii?aeueii? eaiee ?ioi?oaoo o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th i?e iayaiino? ?ioa?eo?aioieo caoai?thaaiue (A?A?, aia?ie), aeieea? iaiao?aei?noue o canoinoaaii? aioeaaeoa??aeueieo cania?a ei?ioeei eo?nii. 3. O i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th aeniea aeoeai?noue aoii?aeueii? eaiee ?ioi?oaoo (?g, Oe?E, oeo? eiiieaiaioo) c aenieei ??aiai aioeo?eiooai?aiiyi (aei aioeaai?a eieaaaio, aeanoeio, na?oey) o ii?aeiaii? c iecueeei ??aiai O-e?ioioeeo?a ca ?aooiie o?aeoe?e O-noi?ani??a, iiaea aooe iniiaith aeey ?icaeoeo aooi?ioiieo ?aaeoe?e. Aiie iio?aaothoue iaiaaeaiiy aea?a?/ieo aieea?a, a oaeiae canoinoaaiiy ?ioiiei?aeoi??a. IA?AEIE IOAEIEAOe?E CA OAIITH AeENA?OAOeI? 1. Aoiaca?yioe Y.E. Iniaaiiinoe eeeie/aneeo i?iyaeaiee aeenieanoe/aneeo ea?aeeiiaoee o iiae?inoeia // Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.- 1997.- N 1.- N. 14-24. 2. Aiaiao E.O., Aoiaca?yioe E.E., Iaeiia I.I. Oa?aeoa?enoeea iioiiiai noaoono iiaeeioeia c aeenieanoe/ieie ea?aeiiiaoiyie // Iaaeiao?iy, aeooa?noai oa aiiaeieiaiy.- 1997.- N 6.- N. 38-41. 3. Aiaiao E.O., Naaai I.Ae., Aoiaca?yioe E.E., Aaaaeainueea O.N. Oa?aeoa?enoeea eeiiiei-aaiiaeeiaii/ieo iieacieeia o iiaeeioeia c aeenieanoe/iith ea?aeiiiaoi?th // Iaaeiao?iy, aeooa?noai oa aiiaeieiaiy.- 1998.- N 1.- N. 25-28. 4. Aiaiao E.O., Aoiaca?yioe Y.E., Iaeeia E.I. Niioiioaiea aeenieanoe/aneeo e ?aaiaoe/aneeo iia?aaeaeaiee na?aeoea o aeaoae e iiae?inoeia // Aeaoneay ?aaiaoieiaey.- 1997.- N 4.- N. 18-22. 5. Aiaiao E.O., Aoiaca?yioe Y.E., Iaeeia E.I. Iniaaiiinoe eiioiieiae/aneeo iieacaoaeae o iiae?inoeia n aeenieanoe/aneeie ea?aeeiiaoeyie, nii?iaiaeaeathueieny ia?ooaieyie ?eoia e i?iaiaeeiinoe // Oe?a?inueeee ea?ae?ieia?/iee aeo?iae.- 1998.- N 7-8.- N. 57-60. 6. Aiaiao E.O., Aeaaeaeei E.A., Aoiaca?yioe Y.E., Aaaaeaineay O.N., *enoye I.A. Eeeieei-aaiiaeeiaie/aneea iniaaiiinoe o iiae?inoeia n ia?ae/iie a?oa?eaeueiie aeia?oaiceae e iaeuie ea?aeeaeueiuie noeaiaie aeecyia?eiaaiaca // Oe?a?inueeee ea?ae?ieia?/iee aeo?iae.- 1998.- ? 11.- N. 36-38. 7. Aoiaca?yioe Y.E. Eiioiiiaoieiae/aneea i?iyaeaiey o iiae?inoeia n neiae?iiaie a?iaeaeaiiie aeenieacee niaaeeieoaeueiie oeaie // Iaoa??aee ?ani. iaoe.-i?aeo. eiio. "Aeooaeuei? i?iaeaie ?aaiaoe/ieo caoai?thaaiue o ae?oae oa i?aee?oe?a".- Oa?e?a, 1996.- N. 7-8. 8. Aoiaca?yioe Y. Iniaaiiinoe eiioiieiae/aneeo iieacaoaeae o iiae?inoeia n aeenieanoe/aneeie ea?aeeiiaoeyie // 1 I?aeia?iae. iaae. eiia?an nooaeaio?a ? iieiaeeo a/aieo: Oace aeiiia.- Oa?iii?eue, 1997.- N. 63-64. 9. Aiaiao E.O., Naaai I.Ae., Oieia/iaa N.?., Aoiaca?yioe E.E., Aaaaeainueea O.N., Aeaaeaeei E.A., Iaeiia I.I. Aeeoa?aioeieia aeiaaiinoeea aeenieanoe/ieo oa ?aaiaoe/ieo o?aaeaiue na?oey o aeioae // Iaoa?iaee Ae?oaiai Iaoeiiiaeueiiai Eiia?ano ?aaiaoieiaia Oe?a?ie: Ee?a, 16-19 aa?aniy 1997.- N. 34. 10. Aoiaca?yioe Y.E., Iaeeia E.I. Eciaiaiey eiioiieiae/aneeo iieacaoaeae i?e a?iaeaeaiiie aeenieacee niaaeeieoaeueiie oeaie // Iaoa??aee iaoe.-i?aeo. eiio., i?enay/aii? 75-??//th Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo ioi?iie caei?ia’y ae?oae ? i?aee?oe?a.- Oa?e?a, 1997.- N. 53-54. 11. Aiaiao E.O., Aaaaeaineay O.N., Aoiaca?yioe Y.E., Naaai E.Ae., Oieia/aaa N.?., Eyuaaa A.A., Aeaaeaeei E.A., *enoye I.A., A?eioeia A.O. Aeenieanoe/aneea ea?aeeiiaoee o iiae?inoeia // Iaoa??aee iaoe.-i?aeo. eiio., i?enay/aii? 75-??//th Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo ioi?iie caei?ia’y ae?oae ? i?aee?oe?a.- Oa?e?a, 1997.- N. 64-66. AIIOAOe?ss Aoiaca?yioe A.E. Eeiiiei-iioiieiai/ii aniaeoe oi?ioaaiiy oneeaaeiaiue o iiaeeioeia c aeenieanoe/iith ea?aeiiiaoi?th. – ?oeiien. Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoeiaeueiinoth 14.01.10 - iaaeiao?iy, Oa?eianueeee aea?aeaaiee iaaee/iee oiiaa?neoao, Oa?eia, 1999. Aeena?oaoeiy i?enay/aia aea/aiith iniaeeainoae ee?i?ei-aaiiaeeiai?/ieo i?iya?a oa ci?i ?ioiiiai noaoono i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th. Aeaeieai? eeiii/i? aa?iaioe ia?aaiao aeenieanoe/ii? ea?aeiiiaoi?. Aeiaaaeaii, ui ii?aeiaiiy iaeeo no?oeoo?ieo aiiiaeie na?oey c ii?ooaiiyi ?eoio, aacei//th aiiiaeie ?ioeo i?aaiia oa nenoai ni?ey? a?eueo aaaeeiio ia?aa?ao ea?aeiiiaoie, ?icaeoeo aaiiaeeiaii/ieo ii?ooaiue. Anoaiiaeaii, ui iaaeinoaoi? aaaaoaoeaia caaacia/aiiy aeiyeueiinoi na?oeaai-noaeeiii? nenoaie o oeeo i?aee?oe?a aecia/a? aaeeeo /anoioo eieaioi?aeieo ?aaeoeie oa ni?ey? cieaeaiith oiea?aioiino? aei oice/iiai iaaaioaaeaiiy Aeiaaaeaii, ui o iiaeeioeia c aeenieanoe/iith ea?aeiiiaoi?th ?niothoue ia?aaeoiiae uiaei oi?ioaaiiy caiaeueieo oa aooiiioiieo oneeaaeiaiue, ye? aecia/athoueny iniaeeainoyie iioiieiai/iiai ?aaaoaaiiy oa aioeoieiooai?aiiy. Ia iniia? ee?i?/ieo, aaiiaeeiai?/ieo oa ?ioiieia?/ieo iieaciee?a aeae?eaii i?iaiinoe/ii iani?eyoeea? a?oie uiaei ?icaeoeo aaeoa??aeueieo oneeaaeiaiue e oneeaaeiaiue ca ?aooiie ?icaeoeo aooi?ioiieo i?ioean?a. Aecia/aii i?aeoiaee ?o i?io?eaeoeee oa ?aaa?e?oaoe??. I?aee?oeai ?c caa?icith ?icaeoeo naioe/ieo ? aaeoa??aeueieo oneeaaeiaiue i?e ?ioa?eo?aioieo caoai?thaaiiyo ?aeiiaiaeo?oueny i?iaaaeaiiy aioeaaeoa??aeueii? oa?ai??, a i?aee?oeai ?c a?oi ?eceeo ?icaeoeo aooi?ioiieo oneeaaeiaiue iaiao?aeii iaiaaeeoe aaaaeaiiy a?eeiaeo i?aia?ao?a, aaeoeei, ne?iaaoie, ?ioeo aea?aai?a, a i?e iaiao?aeiino? – i?ecia/aiiy ?ioiiei?aeoi??a. Eeth/iai neiaa: iiaeeioee, aeenieaciy niieo/ii? oeaieie, iioiiee noaoon, aioeo?ea aei i?aaiiianiaoeeoi/ieo oa i?aaiiniaoeeoi/ieo aioeaaiia, aaeoa??aeuei? oa aooi?ioii? oneeaaeiaiiy. AIIIOAOeEss Aoiaca?yioe Y.E. Eeeieei-eiioiieiae/aneea aniaeou oi?ie?iaaiey ineiaeiaiee o iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae. – ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.10 – iaaeeao?ey, Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, Oa?ueeia, 1999. Aeenna?oaoeey iinayuaia eco/aieth iniaaiiinoae eeeie/aneeo i?iyaeaiee n ii?aaeaeaieai aaaaoaoeaiiai noaoona, aaiiaeeiaie/aneeo iieacaoaeae e eiioiiiai noaoona iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae. A a?oiio iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae aeeth/aeenue eeoea, o eioi?uo i?e yoiea?aeeia?aoe/aneii ianeaaeiaaiee auee auyaeaiu iaeua no?oeoo?iua aiiiaeee na?aeoea a aeaea i?ieaae?iaaiey e naia?aoeee eeaiaiia, eciaiaiee oea?iciiai eieueoea, ia?aai?iaeee, iaieeey?iuo iuooe e aeiaaai/iuo oi?ae. Onoaiiaeaii, /oi aeenieanoe/aneea ea?aeeiiaoee o iiae?inoeia, yaeyynue iaeiei ec i?iyaeaiee nenoaiiie aeenieacee niaaeeieoaeueiie oeaie, iaieoanoe?otho a i?a- e ?aiiai ioaa?oaoa, oa?aeoa?ecothony iaaeinoaoi/iui aaaaoaoeaiui iaania/aieai aeayoaeueiinoe na?aea/ii-ninoaeenoie nenoaiu, /oi ii?aaeaeyao aieueooth /anoioo ?acaeoey eieeaioieaeiuo ?aaeoeee e ieceoth oiea?aioiinoue e oece/aneie iaa?ocea. Ia iniiaaiee eeeie/aneeo i?iyaeaiee e noaiaie au?aaeaiiinoe niaaeeieoaeueiioeaiiie aeenieacee auaeaeaiu ?acee/iua aa?eaiou oa/aiey aeenieanoe/aneeo ea?aeeiiaoee e aeaia eo eeeieei-eiioiieiae/aneay oa?aeoa?enoeea. A ia?aoth a?oiio aioee eeoea n iaeuie ea?aeeaeueiuie noeaiaie aac oaiioeie/aneeo e ae?oaeo aenoea?aeueiuo i?iyaeaiee niaaeeieoaeueiioeaiiie aeenieacee. Ai aoi?ie a?oiia aeenieanoe/aneea eciaiaiey ni noi?iiu na?aeoea nii?iaiaeaeaeenue ia?ooaieyie ?eoia e i?iaiaeeiinoe. A o?aoueth eeeie/aneoth a?oiio iauaaeeiaiu iiae?inoee, o eioi?uo aeenieanoe/aneay ea?aeeiiaoey nii?iaiaeaeaeanue neaeaoiuie aiiiaeeyie. *aoaa?ooth a?oiio ninoaaeee eeoea n aeenieanoe/aneie ea?aeeiiaoeae a ni/aoaiee n iaoieiaeae aeaeoaei/ii-eeoa/iiai o?aeoa. A iyoie eeeie/aneie a?oiia iiae?inoee n aeenieanoe/aneie ea?aeeiiaoeae eiaee i/aae o?iie/aneie eioaeoeee, o?iie/aneea ainiaeeoaeueiua i?ioeannu a i?aaiao e nenoaiao - a iniiaiii o?iie/aneee aeaeiiiaine?iaaiiue oiiceeeeo, a?o?eou e ia?aaiaoe/aneea ieiea?aeeou. Aeieacaii, /oi ni/aoaiea iaeuo no?oeoo?iuo aiiiaeee na?aeoea n ia?ooaieyie ?eoia e n iiiaeanoaaiiuie aiiiaeeyie ae?oaeo i?aaiia e nenoai onoaoaeyao oa/aiea ea?aeeiiaoee n ?acaeoeai aaiiaeeiaie/aneeo ia?ooaiee. Ianeieaoeeny ainiaeeoaeueiue i?ioeann niinianoaoao aua aieaa auno?iio ?acaeoeth aaiiaeeiaie/aneeo ia?ooaiee, iniaaiii i?e iaee/ee ieeniiaoiciie aeaaaia?aoeee eeaiaiiiai aiia?aoa. Eiioiiue noaoon iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae oa?aeoa?ecoaony nieaeaieai aaniethoiiai /enea iiiioeeoa?ii-oaaioeeoa?iuo eeaoie n iiauoaieai eo aeoeaiinoe, e iineaaeothuei enoiuaieai ooieoeeiiaeueiiai eo ?aca?aa; nieaeaieai o?iaiy O-eeioioeeoia n nio?aiaieai O-aeoeaiuo o?aeoeee e eciaiaieai a niioiioaiee eiioii?aaoee?othueo noaiiioeyoeee O- eeioioeeoia o iaeieo - a noi?iio nieaeaiey O-oaeia?ia, o ae?oaeo - O-noi?anni?ia; iiauoaieai aeoeaiinoe aoii?aeueiiai caaia e o?iaiy aioeoaeiia?aciaaiey e i?aaiiianiaoeeoe/aneei aioeaaiai eieeaaaia e yeanoeia, i?aaiiniaoeeoe/aneei aioeaaiai na?aeoea. Onoaiiaeaii, /oi aunieee o?iaaiue aioeoaeiia?aciaaiey e aioeaaiai eieeaaaia i?aiaeaaeae o aeaai/ae, iiauoaeny e caaa?oaieth ia?eiaea iieiaiai nic?aaaiey e iniaaiii aue au?aaeai a a?oiia, aaea aeenieanoe/aneea ea?aeeiiaoee ni/aoaeenue ni neaeaoiuie aiiiaeeyie. O?iaaiue aioeoaeiia?aciaaiey e aioeaaiai yeanoeia ia caaenae io iiea e aic?anoa, aue aieaa au?aaeai a a?oiia, aaea aeenieanoe/aneea ea?aeeiiaoee nii?iaiaeaeaeenue ia?ooaieyie ?eoia e i?iaiaeeiinoe. O ieo aea ioia/aii ia aieaa aunieii o?iaia aioeoaeiia?aciaaiea e aioeaaiai na?aeoea, iniaaiii o iaeue/eeia ieaaeoaai aic?anoa. Eiioiiue noaoon iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae ?acee/iuo eeeie/aneeo a?oii eiae iaeiiiai?aaeaiiue oa?aeoa?, ii aeoaeia aiaea/aiey a i?ioeann ioaeaeueiuo caaiueaa auea ?acee/iie. Iaaethaeaiey ia i?ioyaeaiee 2-3 eao naeaeaoaeuenoaotho ia onoaoaeaiee aaiiaeeiaie/aneeo ia?ooaiee o /anoe iiae?inoeia. Oae, iaeaieaa cia/eii nieaeaiea ianiniie ooieoeee ieiea?aea ioia/aii a a?oiiao ni neaeaoiuie noeaiaie aeecii?oee e n ia?ooaieai ?eoia. Nieaeaiea nie?aoeoaeueiie ooieoeee ieiea?aea aieaa au?aaeaii auei o eeoe ni neaeaoiuie aiiiaeeyie e n ianeiaieai ainiaeeoaeueiuo i?ioeannia. Au?aaeaiiay ii?iaeecaoeey ianiniie e nie?aoeoaeueiie niiniaiinoe ieiea?aea onoaiiaeaia eeoue o iiae?inoeia n eciee?iaaiiui aiaea/aieai a i?ioeann aeenieacee ea?aeeaeueiuo no?oeoo?. Ioia/aii oaeoaeaiea e iaoieiae/aneeo naeaeaia anao caaiueaa eiioieoaoa, /oi i?iyaeyeinue ia oieueei nieaeaieai aaniethoiuo iieacaoaeae iae?ioaaaeueii-iiiioeeoa?iuo eeaoie, ii e nieaeaieai eo ooieoeeiiaeueiiai ?aca?aa, nio?aiaieai aeaoeoeeoa O- oaeia?ia ia oiia aunieie aeoeaiinoe aoii?aeueiiai caaia n aiaea/aieai a i?ioeann eiioiiaeiaoeeiia eeanna G, /oi iicaieyao aiai?eoue i o?iiecaoeee eiathuaainy i?ioeanna. O?iaaiue i?aaiiianiaoeeoe/aneiai aioeoaeiia?aciaaiey e aioeaaiai eieeaaaia e yeanoeia e caaa?oaieth ia?eiaea iieiaiai nic?aaaiey iiauoaeny. Iniaaiii yoio i?ioeann aue au?aaeai o aeaai/ae ni neaeaoiuie aiiiaeeyie. E caaa?oaieth ioaa?oaoa oaaee/eaaeanue e /anoioa ano?a/aaiinoe ecauoi/iiai eiee/anoaa aioeoae e aioeaaiai na?aeoea. Ia iniiaaiee eeeie/aneeo, aaiiaeeiaie/aneeo e eiioiieiae/aneeo iieacaoaeae auaeaeaiu i?iaiinoe/anee iaaeaaii?eyoiua a?oiiu ii ?acaeoeth aaeoa?eaeueiuo e aooieiioiiuo ineiaeiaiee. Ii?aaeaeaiu iiaeoiaeu e eo i?ioeeaeoeea. Ia?yaeo n ia?aie/aieai oece/aneeo iaa?ocie, i?iaaaeaieai iiaoi?iuo eo?nia ea?aeeioiie/aneeo n?aaenoa yoe iiae?inoee o?aaotho aeeth/aiey a eiiieaen ?aaaeeeoaoeee ii i?ioeeaeoeea ineiaeiaiee ?aciiiai?aaeaiiuo n?aaenoa. Oa?iaeaaiui ii ?acaeoeth naioe/aneeo e aaeoa?eaeueiuo ineiaeiaiee i?e iaee/ee eioa?eo??aioiuo caaieaaaiee ?aeiiaiaeoaony i?iaaaeaiea aioeaaeoa?eaeueiie oa?aiee, a iiae?inoeai ec a?oii ?enea ii ?acaeoeth aooieiioiiuo ineiaeiaiee iaiaoiaeeii ia?aie/eoue aaaaeaiea aaeeiauo i?aia?aoia, aaeoeei, nuai?ioie e ae?oaeo aeea?aaiia, a a ioaeaeueiuo neo/ayo iieacaii iacia/aiea eiioiiei??aeoi?ia. Eeth/aaua neiaa: iiae?inoee, aeenieacey niaaeeieoaeueiie oeaie, eiioiiue noaoon, aioeoaea e i?aaiiianiaoeeoe/aneei e i?aaiiniaoeeoe/aneei aioeaaiai, aaeoa?eaeueiua e aooiiioiiua ineiaeiaiey. SUMMARY Achnazarjanz E.L. Clinical and immunologic of the formation of the complications at the teen-agers with the dysplastic cardiopathiesa. – Manuscript. Competitive Thesis for the Degree of Candidate of Science (Medicine) in Speciality 14.01.10 – Pediatrics. Kharkov State Medical University, Kharkov, 1999. The thesis is devoted to the study of the peculiarities of the clinical manifestations of the hemodynamic disorders and the state of the immunity of the teen-agers with dysplastic cardiopathies. The clinical variant of the dysplastic cardiopathies is distinguinguished. It is proved that the combination of the small structural anomalies of the heart with the disorders of the rhythm and with the numerous anomalies of the others organs and systems is aggravated the course of the cardiopathies and is promoted to the development of the hemodynamic disorders. It is established that the insufficient of the vegetative ensuring of the activities of the cardiovascular system at these teen-agers determines the great frequency of the collapse reactions and promotes to the fall of the tolerance to the physical loading. It is proved, that the reasons for the formation of the inflammatory and autoimmunic complications, with is formed by the peculiarities of the immunology reactions and the formation of the antibodies are at the teen-agers with dysplastic cardiopathy. In virtue of the clinical, hemodynamic and immunology indices the prognosticate unfavorable groups on the development of the bacterial complications is distinguished. The approach to the prophylactic and the rehabilitation is determined. It is recommended the condneting of the antibacterial therapy to the teen-agers with the threat of the development of the septic and bacterial complications and the limitation of the traduce of the albuminous preparations, the vaccines, the serums, otters allergens and in case of need – the use of the immunocorrectors. Key words: teen-agers, dysplasia of connective tissue, state of the immunity, organ non-specific and specific antibodies, bacterial and immunopathologic complication. NIENIE NEI?I*AIUe AeEI - aeenieanoe/ia ea?ae?iiao?y; AeNO - aeenieac?y niieo/ii? oeaieie; AEA - aeaeo?iea?ae?ia?ao?y; INO - oano - oano c i?o?ioao?acie??aei nei?i; IIE - i?ieaaoaaiiy i?o?aeueiiai eeaiaia; NO - niieo/ia oeaieia; Oe?E - oee?eoethth/? ?ioii? eiiieaene; CH 50 - eiiieaiaio.

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