2

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y

?i. ?.ss. Ai?aa/aanueeiai

I?IEII*OE AIAOIE?E ?AAIIAE*

OAeE 617.586:616.379 –
008.64-089

EE?I?EI-EAAI?AOI?I? OA ?IOIIEIA?*I? INIAEEAINO? IA?AA?AO ? EI?AEOe??
NEIAe?IIO Ae?AAAOE*II? NOIIE IA AOAI? EIAI O??O?A?*IIAI E?EOAAIIss

14. 01.03 — O??o?a?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?iii?eue – 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e aeaaeai?? ?i.
?. ss. Ai?aa/aanueeiai IIC Oe?a?ie

IAOEIAEE EA??AIEE:

Aeieoi? iaaee/ieo iaoe, i?ioani? O?aeeianueeee A?eoi?
Ieaenaiae?iae/, caa?aeoaa/ eaoaae?e oaeoeueoaonueei? o??o?a??
Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss.
Ai?aa/aanueeiai

IO?Oe?EI? IIIIAIOE:

aeieoi? iaae. iaoe, i?ioani? Aaiee Noaiai Ieeieaeiae/, caa?aeoaa/
eaoaae?e caaaeueii? o??o?a?? ?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii?
aeaaeai??;

aeieoi? iaae. iaoe, i?ioani? Aiaothe Ieoaeei Noaiaiiae/, i?ioani?
eaoaae?e iia?aoeaii? o??o?a?? ? oiiia?ao?/ii? aiaoii??, caa?aeoaa/
oeaio?aeueii? iaoeiai-aeine?aeii? eaai?aoi??? Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai.

I?IA?AeIA ONOAIIAA:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe

?i. I.E. Ooieea IIC Oe?a?ie, eaoaae?a o??o?a?? ? ii?eiai? oai?iae.

Caoeno aeena?oaoe?? a?aeaoaeaoueny ’’ 21 ’’ n?/iy 1999 ?.

I 12 aiae. ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E.58.601.01.
o Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e aeaaeai?? ?i. ?.ss.
Ai?aa/aanueeiai (282001, i. Oa?iii?eue, iaeaeai Aie? 1).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?.ss. Ai?aa/aanueeiai (282001,
i. Oa?iii?eue, aoe. ?onueea, 12)

Aaoi?aoa?ao ?ic?neaiee ’’ 19 ’’ a?oaeiy 1998?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee

aeieoi? iaaee/ieo iaoe, i?ioani? E?o
I. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Oeoe?iaee ae?aaao (OeAe) iaeaaeeoue aei /enea
iaeiioe?ai?oeo aiaeie?eiieo caoai?thaaiue ?c no?eeith oaiaeaioe??th aei
?inoo. Oea caoai?thaaiiy noaei aaeeeei nioe?aeueiei aei?iaiaoaaiiyi ia
o?eueee a e?a?iao, ui ?icaeaathoueny, aea e a on?o ?icaeiooeo e?a?iao. A
na?o? ia?aoiao?oueny 110 iei. oai?eo ia OeAe (Aoeiia A.N., Oea/ N.I.,
1997).

A Oe?a?i? iaea?eueoa caoai?thaai?noue OeAe niinoa??aa?oueny a
?iaeono??aeueieo ?aa?iiao — a?ey 2 oen. aeiaaee?a ia 100 oen.
ianaeaiiy, i?e/iio oai?? ? oeiii OeAe neeaaeathoue 15-20 % a?ae on?o
oai?eo. Anueiai a iao?e e?a?i? ia?aoiao?oueny a?ey 1 iei. oai?eo ia
OeAe, iaeiae ?o ?aaeueia e?euee?noue iiaea neeaaeaoe 2,5 — 3 iei.
/ieia?e (Eoeiia A.N., Oea/ N. I., 1997).

Neiae?ii ae?aaaoe/ii? noiie (NAeN) ? iaeiei c i?ci?o oneeaaeiaiue OeAe ?
yaey? niaith ii?aeiaiiy ??cieo aiaoii?/ieo ? ooieoe?iiaeueieo ci?i, ye?
i?eaiaeyoue aei ?icaeoeo ai?eii-iae?ioe/ieo o?aaeaiue noiie (Aeaaeia
E.E. e niaao., 1993). A iniia? oeeo ci?i eaaeaoue ae?aaaoe/ia i?e?i- ?
iae?iaia?iiao?y, iae?iiao?y, inoaia?oiiao?y (Aaenoyi A.?., Aioeeoa?ia
I.A., 1996). NAeN cono??/a?oueny a ??ci?e oi?i? o 30-80 % oai?eo ia
OeAe. Aiiooaoe?? ieaei?o e?ioe?aie (IE) o oai?eo ?c NAeN aeeiiothoueny a
15 ?ac?a /ano?oa, i?ae a iiioeyoe?? in?a oaeiai ae a?eo aac ae?aaaoo
(Aacaoia A.I., Eaeeiei A.I., 1991). A NOA ui?ieo aeeiio?oueny aeecueei
38 oeny/ aiiooaoe?e IE o oai?eo ia OeAe (Wooldridge J. et al., 1996).
Ca aeaieie ??cieo aaoi??a, 50 — 70 % a?ae caaaeueii? e?eueeino? an?o
aiiooaoe?e IE aeeiiothoueny oai?ei ia OeAe. I?ney aiiooaoe?? 20 %
iaoe??io?a iiie?a?, 60 % i?iaeeaathoue 3 ?iee, 45 % — 5 ?ie?a, 40 %
oai?eo, ye? ia?aianee ia?oo aiiooaoe?th, ai?iaeiaae ianooiieo o?ueio
?ie?a i?aeaeathoueny ae?oa?e, 56 % iaoe??io?a ae?oao aiiooaoe?th
ia?aiinyoue i?ioyaii i’yoe ?ie?a i?ney iiia?aaeiuei? (Pichup G., Wiliams
G., 1997).

Oiio aea/aiiy iaoiaaiaco, ee?i?ee ? e?eoaaiiy NAeN ? aaaeeeaei
caaaeaiiyi ee?i?/ii? iaaeeoeeie.

O oai?eo ia NAeN, ye i?aaeei, ?nio? iaa?aeiia?aei?noue i?ae aeeaieei
o?aaeaiiyi i’yeeo oeaiei ? e?noie nooiiae ? iacia/ieie ee?i?/ieie
i?iyaaie oeeo ci?i. Iaeiae, ye ia’?eoeaiee e?eoa??e aaaeeino?
iaoieia?/iiai i?ioeano ia nooii? ? noaio iacaaeia?eueii? eiiiainaoe??
OeAe, caaaeaee i?enooi?e neiae?ii aiaeiaaiii? ?ioieneeaoe?? (A?). Aeaiee
neiae?ii ia ? niaoeeo?/iee ? caeaaeeoue a?ae ao?ieia?/iiai oaeoi?o,
nooiaiy aaaeeino? iniiaiiai caoai?thaaiiy (Aa?aniaa A. A. e niaao.,
1987, Oa?ueeia A. I., 1997).

?ieue ?ioiieo oaeoi??a, ii?ooaiue i?ioean?a ia?aeeniiai ieeneaiiy
e?i?ae?a (IIE) ? aioeieneaeaioii? nenoaie caoenoo (AINC) a iaoiaaiac?
noaeeiieo o?aaeaiue i?e OeAe aea/aee aaaaoi aeine?aeiee?a (Aoeiia A.N.,
1989, 1996, Aeaaeia E. E. e niaao., 1992, Eoeaoia A. A., Eoeaoia N. A.,
1996, Eyien I. A., 1991, Barbosa J. at al., 1984). Noi?ioeueiaai? oa
aeiaaaeai? ?ioiieia?/i? iaoai?cie ?icaeoeo aia?iiao?e (Aoeiia A.N.,
1989). Iienai? iniaeeaino? i?ioean?a IIE ? AINC i?e ae?aaaoe/ieo
aia?iiao?yo. Aiie ?icaeyaeathoueny ye eaiee iaoiaaiaco ii?ooaiue
i?ioean?a ?aaaia?aoe?? ?ai i?e OeAe. A inoaii? ?iee aea/a?oueny ai?no
na?aaeiueiiieaeoey?ieo iaioeae?a (NII) i?e ??cieo oi?iao OeAe. I?ioa a
e?eoaaii? oneeaaeiaiue OeAe oeei ci?iai ia iaaea?oueny aeinoaoiueiai
cia/aiiy. I?ioe??/ieie ? aeai? i?i noai ?ioiii? nenoaie, IIE, AINC, i?i
??aaiue A? o aeiaaeeao ?icaeoeo NAeN a ii??aiyii? c oai?eie ia OeAe aac
ai?eii-iae?ioe/ieo o?aaeaiue noiie. Iio?aaothoue oaeineiiaeaiiy
?nioth/? oa ?ic?iaea iiaeo iaoiae?a ei?aeoe?? oeeo c?ooaiue. Iniaeeaa
i?noea na?aae ieo caeia? aeaoieneeaoe?y.

A?aenooi?noue /?oei? eiioeaioe?? aiaeioieneeico ? i?e/eiith oiai, ui ia
?nio? caaaeueiii?eeiyoeo niinia?a aeaoieneeaoe?? (Oa?ueeia A.I., 1997).
C a?aeiieo iaeiaio ?iaaceaieo iaoiae?a aeaoieneeaoe?? ia?niaeoeaiei ?
iaoiae aioa?ini?aoe?? (AN), i?e i?iaaaeaii? yeiai i?ioiaeeoue aeeo/aiiy
??ciiiai?oieo aeci- ? aiaeiaaiieo ?a/iaei ca o/anoth o oeueiio i?ioean?
i?e?iaei?o aeaoieneeaoe?eieo ooieoe?e (Aiae?ae/ei I. A., Aiaothe I.N.,
1992, Aa?aiia A. A. 1992, Aaeyeia I. A., Nieiiaiieeia A. A., 1990).
?acii c oei, ia nueiaiaei? iaaeinoaoiuei aea/aiee aieea AN ia ??aaiue
A?, noai ?ioiii? nenoaie, IIE, AINC o oai?eo ia NAeN, ui iio?aaothoue
o??o?a?/iiai e?eoaaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

?iaioa aeeiiaia ye o?aaiaio iaoeiai? i?ia?aie eaoaae?e oaeoeueoaonueei?
o??o?a?? Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss.
Ai?aa/aanueeiai ii aea/aiith iaoiaaiaco, ee?i?ee oa iiaeo iaoiae?a
e?eoaaiiy ai?eii-iae?ioe/ieo o?aaeaiue IE o oai?eo ia OeAe.

Iaoa aeine?aeaeaiiy. Iie?aueoe ?acoeueoaoe o??o?a?/iiai ?
eiina?aaoeaiiai e?eoaaiiy oai?eo ia OeAe, oneeaaeiaiee NAeN ??cieo oi?i,
oeyoii aieeao ia oaeoi?e ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo, ??aaiue
A?, ?ioaineai?noue IIE ? AINC.

Caaaeaiiy aeine?aeaeaiiy.

1. Aeyaeoe iniaeeaino? ee?i?/iiai ia?aa?ao NAeN a caeaaeiino? a?ae oeio
OeAe ? ii??aiyoe ?o c iae?oa?oth/ei aoa?ineea?icii IE.

2. Aea/eoe ci?ie iieaciee?a ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo, IIE ?
AINC caeaaeii a?ae iayaiino? NAeN /e iae?oa?oth/iai aoa?ineea?ico IE
???-?V no.

3. Aea/eoe ??aaiue A? o oai?eo ia NAeN, ii??aiyoe eiai c ??aiai A? i?e
noaeiiiainiaaiiio oa aeaeiiiainiaaiiio OeAe aac NAeN ? iae?oa?oth/iio
aoa?ineea?ic? IE ???-?V no.

4. Aea/eoe aieea AN c aeei?enoaiiyi Neeea?aea I ia iieacieee ?ioi?oaoo,
IIE, AINC, A? o oai?eo ia NAeN.

5. Aeaoe ioe?ieo ee?i?/i?e aoaeoeaiino? canoinoaaiiy Neeea?aea I a
o??o?a?/iiio e?eoaaii? oai?eo ia NAeN.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

1. Aia?oa i?ney ee?i?/iiai oa eaai?aoi?iiai aeine?aeaeaiiy o ianoaaeaieo
oai?eo aeyaeaia caeaaei?noue A? a?ae iayaiino? NAeN /e iae?oa?oth/iai
aoa?ineea?ico IE aac OeAe.

2. Anoaiiaeaii ia?ea?e A? o oai?eo ia NAeN: c?inoaiiy cia/aiue NII oa
a?eo?ioeeoa?iiai ?iaeaena ?ioieneeaoe?? (A??).

3. Aea/aia ?ieue A? o ii?ooaii? ?ioiiiai noaoono, a oaeiae o
aeenaaeain? a nenoai? IIE-AINC i?e NAeN.

4. Aea/aiee aieea aioa?ini?aaioa Neeea?ae I ia iieacieee ?ioi?oaoo, A?,
IIE, oa AINC o oai?eo ia OeAe, oneeaaeiaiee NAeN.

5. Iaoiaaiaoe/ii iaa?oioiaaia aeioe?euei?noue ? aeieacaia ee?i?/ia
aoaeoeai?noue canoinoaaiiy aioa?ini?aaioa Neeea?ae I i?e o??o?a?/iiio
e?eoaaii? oai?eo ia NAeN.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. ?acoeueoaoe i?iaaaeaiiai
ianoaaeaiiy oai?eo ?c NAeN aeicaieythoue aeae?eeoe ee?i?/i? iniaeeaino?
o?aaeaiue IE i?e OeAe. Ia’?eoeaia ioe?iea ?ioi?iaoeaiino? ee?i?/ieo ?
eaai?aoi?ieo iaoiae?a ianoaaeaiue, a oaeiae ?ic?iaea ae?aaiinoe/iiai
aeai?eoio aeicaieeea i?aeaeueoe oi/i?noue ae?aaiinoeee ? iie?aueoe
?acoeueoaoe o??o?a?/iiai e?eoaaiiy NAeN. Aea/aia aeeiai?ea eaai?aoi?ieo
? ee?i?/ieo iieaciee?a ae?aaeaiino? aiaeioieneeico, ?ioaineaiino?
i?ioean?a IIE ? AINC i?e canoinoaaii? o?aaeeoe?eiiai e?eoaaiiy oa
aeeth/aii? aei iueiai aioa?ini?aaioo. Aia?oa c iaoith onoiaiiy
aiaeioieneeico aeei?enoaii iiaee aioa?ini?aaio Neeea?ae I, yeee
i?iyaey? ni?aoe?eio oa ?ioiiei?eaoth/o ae?th. Ai?iaiaaii a ee?i?/ieo
oiiaao Oa?iii?euenueei? i?nueei? e?ea?i? N 1 niin?a ei?aeoe?? ci?i ??aiy
A?, iieaciee?a ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo, IIE, AINC o oai?eo
ia NAeN ?c canoinoaaiiyi aioa?ini?aaioa Neeea?ae I a eiiieaeni?e
oa?ai??. Iioeiaeueiee oa?aiaaoe/iee aoaeo io?eiaii i?e i?ecia/aii?
Neeea?aea I a aeiaia?e aeic? 3 a i?ioyaii 10 aei?a.

?ic?iaeai? ae?aaiinoe/i? oa oaeoe/i? i?aeoiaee a o??o?a?/iiio e?eoaaii?
NAeN ? iiaeeeaeie aeey ai?iaaaeaeaiiy ? aeei?enoaiiy a i?aeoe/i?e eaioe?
ioi?iie caei?ia’y. ?acoeueoaoe aeine?aeaeaiue aeei?enoiaothoueny a
i?aeoe/i?e ?iaio? ee?i?e caaaeueii? ? oaeoeueoaonueei? o??o?a??
Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai??, a oaeiae a ?yae?
o??o?a?/ieo a?aeae?eaiue Oa?iii?euenueei? oa Caea?iaonueei? iaeanoae.
Iniiai? iieiaeaiiy aeena?oaoe?? aeei?enoiaothoueny i?e /eoaii?
eaeoe?eiiai eo?no ? i?iaaaeaii? caiyoue ia eaoaae?ao caaaeueii? ?
oaeoeueoaonueei? o??o?a?? Oa?iii?euenueei? aea?aeaaii? iaaee/ii?
aeaaeai??.

Iniaenoee aianie caeiaoaa/a. Caeiaoaa/ai iniaenoi i?iaaaeaii e?eoaaiiy
56 % ianoaaeaieo oai?eo ia NAeN ? ia iae?oa?oth/ee aoa?ineea?ic IE aac
noiooiueiai OeAe. Aaoi? i?iaiae?coaaa aeieoiaioaoe?th 154 ianoaaeaieo
iaoe??io?a, naiino?eii cae?eniea aiae?c e?oa?aoo?ieo aeaieo, aeeiiaa
noaoenoe/io ia?iaeo ?acoeueoao?a aeine?aeaeaiue oa ioi?ieaiiy ?iaioe. O
ioae?eaoe?yo, aeeiiaieo a ni?aaaoi?noa?, 70 % ?ic?iaie oa iaoa??aeo
iaeaaeaoue caeiaoaa/aa?.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe??
aeiiia?aeaeenue ? iaaiai?thaaeenue ia eiioa?aioe?? aiaeie?eiieia?a
oa o??o?a?a, i?enay/ai?e i?iaeaiai NAeN a i.Oa?iiiie? a 1997 ?., ia
can?aeaiiyo iaeaniiai oiaa?enoaa o??o?a?a Oa?iii?euenueei? iaeano? a
1997-1998 ??., ia can?aeaii? ??aiainueeiai iaeaniiai oiaa?enoaa
aiaeie?eiieia?a ca o/anoth aieiaiiai aiaeie?eiieiaa Oe?a?ie a 1998 ?.,
ai?iaiaai? ia ni?eueiiio can?aeaii? eaoaae? caaaeueii?,
oaeoeueoaonueei?, aini?oaeueii? o??o?a??, o??o?a?? oaeoeueoaoo
i?neyaeeieiiii? ina?oe, iaoieia?/ii? o?c?ieia?? oa eo?no aiaeie?eiieia??
OAeIA 30 /a?aiy 1998 ?ieo.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 4 ?iaioe o
oaoiaeo iaoeiaeo aeo?iaeao.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 180 noi??ieao
iaoeiiieniiai oaenoo ? i?noeoue o nia? anooi, iaeyae e?oa?aoo?e,
iaoa??aee ? iaoiaee aeine?aeaeaiiy, 3 ?icae?ee aeanieo aeine?aeaeaiue,
aiae?c ? ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiiy, aeniiaee, i?aeoe/i?
?aeiiaiaeaoe??, nienie aeei?enoaieo aeaea?ae e?oa?aoo?e. ?iaioa
?ethno?iaaia 37 oaaeeoeyie, 20 ?enoieaie. Aeei?enoaii 386 aeaea?ae
e?oa?aoo?e (a oiio /ene? 261 — e?a?i NIAe, 125 — ca?oa?aeieo).

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Iaie ianoaaeaii 135 oai?eo ia OeAe,
19 oai?eo ia iae?oa?oth/ee aoa?ineea?ic IE aac noiooiueiai OeAe ? 22
caei?iaeo aeiii?e, ui neeaee eiio?ieueio a?oio.

A caeaaeiino? a?ae oeio OeAe, iayaiino? /e a?aenooiino? NAeN,
oai?? ?iciiae?eai? ia 6 a?oi. Aei ia?oi? a?oie oa?eoia 21 oai?ee ia
OeAe ? oeio a ii?aeiaii? c NAeN. Aei ae?oai? a?oie — 51 oai?ee ia OeAe
?? oeio a ii?aeiaii? c NAeN. O?aoth a?oio neeaei 13 oai?eo ia OeAe ?
oeio aac ai?eii-iae?ioe/ieo o?aaeaiue IE, /aoaa?oo — 20 iaoe??io?a ?c
OeAe ?? oeio aac ai?eii-iae?ioe/ieo o?aaeaiue IE. Aei i’yoi? a?oie
oa?eoei 19 oai?eo ia iae?oa?oth/ee aoa?ineea?ic IE aac noiooiueiai OeAe.
Oinoo a?oio neeaee 30 oai?eo (5 — ia OeAe ? oeio ? 25 — ia OeAe ??
oeio), ye? io?eioaaee a eiiieaeni?e ia?aaeiia?aoe?ei?e i?aeaioiaoe? /e
i?neyiia?aoe?eiiio e?eoaaii? aioa?ini?aaio Neeea?ae I.

A?eueo?noue oai?eo — 87 (64,4 %) no?aaeaeaee ia OeAe aaaeei? oi?ie a
noaae?? noaeiiiainaoe??. O 38 oai?eo (28,1 %) OeAe aoa a noaae??
aeaeiiiainaoe??. Ia a?eiao a?oio 56-65 ?ie?a i?eiaaeaa iaeneioi
caoai?thaaiino? ia OeAe ?? oeio, oneeaaeiaiee NAeN. A?eueo?noue oai?eo
ia OeAe ? oeio, oneeaaeiaiee NAeN, aoea o a?oe? 31-45 ?ie?a.

Aeey ee?i?/ii? oa?aeoa?enoeee oai?eo ei?enooaaeenue
eeaneo?eaoe??th OeAe iaoeiai? a?oie AIIC ii OeAe (1985), eeaneo?eaoe??th
NAeN ca ?. ?. Ae?aeiaei, I. A. Aioeeoa?iaei ? ni?aaao. (1993),
iae?oa?oth/iai aoa?ineea?ico HK ca A. A. Iie?ianueeei (1977). A
ioe?ioe? aaaeeino? o?aaeaiue ? ee?i?/ieo i?iya?a NAeN ei?enooaaeenue
eeaneo?eaoe??th Aaaia?a.

Aei an?o oai?eo canoiniaoaaany caaaeueiii?eeiyoee eiiieaen ee?i?/iiai oa
eaai?aoi?iiai ianoaaeaiiy.

Aeey aecia/aiiy ee?i?/ii? oi?ie NAeN a?aee aei oaaae ia’?eoeaiee
noaoon, aea/aee aieueiao, oaeoeeueio, oaiia?aoo?io /ooeea?noue,
ioeuenaoe?th ia iaa?no?aeueieo noaeeiao, i?iaiaeeee aeine?aeaeaiiy
ia?eoa?e/ii? aaiiaeeiai?ee ca aeiiiiiaith ?aiaacia?ao??.

Aeey aeyaeaiiy ia’?eoeaieo e?eoa???a aaaeeino? ia?aa?ao caoai?thaaiiy,
??aiy A? aecia/aee aeeiai?eo ai?noo NII a ne?iaaooe? e?ia? ca
iaoiaeeeith I. ?. Aaa??aeyia ? ni?aaao. (1985). I?e aeiaaeei? oaee? 280
ii (NII1) aecia/aee iaioeaee, ui i?noyoue a?iiaoe/i? ai?iieeneioe, a i?e
aeiaaeei? 254 ii (NII2) — iaioeaee, ui i?noyoue ioeeaioeaee.

C iaoith aecia/aiiy ??aiy A? aeiaeaoeiai ae?aoiaoaaee ?iaeaene
?ioieneeaoe??: A?? — aecia/aany ca iaoiaeii A. A. Oaaiaa?aa ? ni?aaao.
(1988); eaeeioeeoa?iee ?iaeaen ?ioieneeaoe?? (E??) — cai?iiiiiaaiee
ss.ss. Eaeueo-Eae?oii, iiaeeo?eiaaiee A.E. Ino?ianueeei ? ni?aaao.
(1983).

Ianoaaeaiiy ioiiethaaei aea/aiiy iieaciee?a ee?oeiiiai (ai?no a
ia?eoa?e/i?e e?ia? O-e?ioioeeo?a ? I-e?ioioeeo?a) oa aoii?aeueiiai
(ai?no A-e?ioioeeo?a, ne?iaaoeiaeo ?ioiiaeiaoe?i?a G, A, I) ?ioi?oaoo,
oee?eoethth/eo ?ioiieo eiiieaen?a (Oe?E), eiiieaiaioo.

Aecia/aiiy O- (A-?OE), A- (AAN-?OE), I-ee?oei i?iaiaeeeinue ca I.Iandas
a iiaeeo?eaoe?? O.?.A??oeia ? ni?aaao. (1973). E?ioioeeoe aeae?eyee c
aaia?ei?ciaaii? e?ia? a iaeiineeaaeiaiio a?aae??io? aonoeie o?eieo —
aa?ia?ao?io aonoeiith 1,077 a/e. «Aeoeai?» O-e?ioioeeoe (AA-?OE)
aecia/aee ca iaoiaeii J.Smith ? ni?aaao. (1977) a iiaeeo?eaoe??
A.I.*a?aae??aa ? ni?aaao. (1988). Noaiiioeyoe?? O-e?ioioeeo?a
aeine?aeaeoaaeeny ca aeiiiiiaith oanoo /ooeeaino? aei oaio?e?io. I?e
oeueiio aaaaeaee, ui a oaio?e?iiaiio oano? oaio?e?i?acenoaioi?
e?ioioeeoe (O?-?OE) ? ia?aaaaeii O-ee?oeiaie c oaeia?iith aeoeai?noth, a
oaio?e?i/ooeea? (O*-?OE) — a iniiaiiio c noi?ani?iith. Aeoeai?noue
aoii?aeueiiai ?ioi?oaoo aecia/aee ca ai?noii iniiaieo eean?a
?ioiiaeiaoe?i?a G, A, I ca iaoiaeii ?ioiiaeeooc?? ii I.Iann?ni ?
ni?aaao. (1965). ?ic?aooiie eiioeaio?aoe?? ?ioiiaeiaoe?i?a i?iaiaeeee ca
ae?aiao?ii e?eueoey i?aoeei?oaoe?? a ?aaeoe?? ?ioiiaeeooc??. Oe?E
aecia/aee ca iaoiaeii i?aoeei?oaoe?? c 3,5 % ?ic/eiii iie?aoeeaiae?eiey.

I?i noai IIE oa AINC noaeeee ca ai?noii iaeiiiaiai aeeaeueaeaa?aeo
(IAeA), ??aiyie oea?oeiieaci?io (OeI) a ne?iaaooe? e?ia? oa
noia?ieneaeaeeniooace (NIAe) a a?eo?ioeeoao. Aecia/aee oaeiae a
ne?iaaooe? e?ia? aeoeai?noue eaoaeace ? eiioeaio?aoe?th SH-a?oi.

??aaiue IAeA aecia/aee a ne?iaaooe? e?ia? ca iaoiaeii J.Plazer (1968)
i?ney inaaeaeoaaiiy a?ee?a a aeine?aeaeoaaiiio iaoa??ae?
o?eoei?ioeoiaith eeneioith. NIAe aecia/aee a noia?iaoaio? ca nooiaiai
?ia?aoaaiiy i?ioeano a?aeiiaeaiiy i?o?ineiueiai oao?acie?th a
i?enooiino? IAAeI ? oaiaceiiaoanoeueoaoo, OeI — iaoiaeii eiai ieeneaiiy
ia?aoai?eae?ai?iii. ??aaiue SH-a?oi aecia/aee ii ?aaeoe?? c
n-oei?ia?eo?aaiciaoii iao??th.

Io?eiai? ?acoeueoaoe ii?aoeueiaai? iaoiaeii aa??aoe?eii? noaoenoeee
ca?aeii ?aeiiaiaeaoe?e TH.?. ?aaiiaa (1990). Aeey eiaeii? a?oie
aeine?aeaeaiue ae?aoiaoaaee na?aaeith a?eoiaoe/io aaee/eio (I),
na?aaeiueieaaae?aoe/ia a?aeoeeaiiy (), iioeaeo na?aaeiuei?
a?eoiaoe/ii? aaee/eie (m). Io?eiai? ?acoeueoaoe ii??aithaaeenue c
aeaieie eiio?ieueii? a?oie ? i?ae ??cieie a?oiaie oai?eo.
Aeinoia??i?noue a?aeoeeaiue a a?oiao, ui ii??aithaaeenue, anoaiiaethaaee
ca e?eoa???i Nouethaeaioa (t). Noaoenoe/ia ia?iaea aeaieo i?iaiaeeeanue
ia eiii’thoa?? ?AI ?N o i?ia?ai? Exell aeey WINDOWS.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy.

O?eaae?noue caoai?thaaiiy ia OeAe o an?o ianoaaeaieo aoea a?ae aia?oa
aeyaeaiiai aei 23 ?ie?a. Ii/aoie ? ee?i?/io iai?oanoaoe?th NAeN
anoaiiaeoe c iio??aiith oi/i?noth ia aaeaeinue /a?ac iinooiiaee ? /anoi
iaiii?oiee aeey oai?iai oa?aeoa? ?icaeoeo i?ioeano.

Noiooi? caoai?thaaiiy oa ?o aaaee?noue o a?oiao oai?eo ia OeAe
aecia/aeenue iayaieie ae?aaaoe/ieie aia?iiao?yie (a iaea?eueo?e i??? –
iao?iiao??th). Oaeiae /anoi ae?aaiinooaaee ?oai?/io oai?iao na?oey,
noaiiea?ae?th, o?ii?/iee a?iio?o.

Ee?i?/ia ea?oeia i?ci?o oi?i NAeN i?iyaey?oueny iciaeaie
noaeiiiainiaaiiai /e aeaeiiiainiaaiiai OeAe ? ai?eii-iae?ioe/ieo
o?aaeaiue noiie. Noa’?eoeaia ? ia’?eoeaia neiioiiaoeea neeaaeaea 3
aaaeo/? ee?i?/i? neiae?iie: ?ioieneeaoe?eiee, aieueiaee ? a?ia?ae?eai??.
?ioieneeaoe?eiee neiae?ii o oai?eo ia NAeN cono??/aany o 75-82 %
aeiaaee?a, iaaaaaoi /ano?oa, i?ae o oai?eo ia OeAe aac NAeN, /e o oai?eo
ia iae?oa?oth/ee aoa?ineea?ic IE. A?i i?iyaeyany ae?aaeaiith caaaeueiith
neaa?noth, aieiaiei aieai, a?aenooi?noth aiaoeoo, i?aeaeuaiiyi
oaiia?aoo?e o?ea. Aieueiaee neiae?ii oa?aeoa?ecoaaany iaaieie
iniaeeainoyie: a?aenooi?noth ia?ai?aeii? eoeueaaaino?, i?i?iaeueieie
aieueiaeie a?ae/oooyie iaa?oue i?e iayaiino? aaia?aie iaeueoe?a,
iacia/iei aieai a noii? i?e o?ce/ieo iaaaioaaeaiiyo, iaaieth/eie
o?io?/ieie ae?aceaie ia nooiiyo.

Oa?aeoa?iith iciaeith NAeN aoea iayai?noue o?io?/ieo ae?acie i?e
iaa?iiaoe/ii-?io?eiaai?e oi?i?, a ai?eieo ?ai — i?e
?oai?/ii-aaia?aiici?e oi?i?. I?e ci?oai?e oi?i? NAeN o?io?/i? ae?acee
oa ai?ei? ?aie cono??/athoueny iaeiaeiai /anoi. A ? a?oi?, aea oai??
iaa?iiaoe/ii-?io?eiaaiith oa ci?oaiith oi?iaie NAeN neeaaeaee 80,9 %,
o?io?/i? ae?acee aoee o 90,5 % aeiaaee?a; o ?? a?oi?, aea oai??
?oai?/ii-aaia?aiiciith oa ci?oaiith oi?iaie NAeN neeaaeaee 96,1 %,
ai?ei? ?aie niinoa??aaeenue o 78,4 % aeiaaee?a. Noiia, ye i?aaeei, aoea
aeaoi?iiaaia. O oai?eo ? a?oie aiiooaoe?y iaeueoe?a a ieioeiio iaea
i?noea o 14 iaoe??io?a (66,7 %), a noiie – o 10 iaoe??io?a (47,6 %), a
?? a?oi? — a?aeiia?aeii 19 (37,3 %) ? 7 (13,7 %), a VI a?oi? — 19
(36,7 %) ? 8 (15,7 %). Noaeia Oa?ei niinoa??aaee o aeaio oai?eo ia OeAe
? oeio — a?aeiia?aeii ii iaeiiio aeiaaeeo a ia?o?e ? oino?e a?oiao.

NAeN noi?iaiaeaeoaaany aenieei ??aiai A?. Iaie i?iaiae?ciaai? iniiai?
e?eoa??? aiaeioieneeico — ai?no NII a e?ia? oai?eo, ??ai? A?? oa E??.
Aeyaeaii aeinoia??ia i?aeaeuaiiy NII o an?o aac aeiyoeo oai?eo ia NAeN.
Ai?no iaio ioe?a “na?aaei?o iieaeoe” aoa iaeiaeiai aenieei (oaae. 1).
I?aeaeuaiiy ioeo NII1 na?ae/eoue i?i iaoieia?/i? ci?ie aiiainoaco, ye?
aeieeathoue i?e o?aaeai? ie?ie. Aeenooieoe?y aeae?eueii? nenoaie
a?ae?a?a? ia?oi/a?aiao ?ieue o oi?ioaaii? neiae?iio A? acaaae?, ? o
oai?eo ia OeAe iniaeeai.

Iaeiaeiai cia/ia i?aeaeuaiiy ??aiy NII1 ? NII2 o oai?eo ia NAeN
na?ae/eoue i?i oi?aa?naeueia o?aaeaiiy a?eueoino? i?aai?a oa nenoai o
ieo aiane?aeie ?nioth/iai iaeiiiainiaaiiai OeAe ? aia?iiao?e.

O oai?eo ia NAeN i?e OeAe ? ? ?? oeio aeyaeaii i?aeaeuaiiy ??aiy A??
(oaae. 1). Oea na?ae/eoue i?i oa, ui i?e aiaeioienai?? iioeiaeaeothoueny
iaia?aie a?eo?ioeeo?a ? ii?ooo?oueny ?o aaeni?aoe?eia caeaoi?noue. A??
aoa aeinoia??ii aeuei a?ae ii?ie eeoa o a?oiao oai?eo ia NAeN, a i?e
OeAe iaio oei?a aac o?aaeaiue IE ? i?e iae?oa?oth/iio aoa?ineea?ic? IE
aeaiee iieaciee ciaoiaeeany a iaaeao ii?ie (p > 0,01).

Iaeiie/aiiy a i?aai?ci? oiene/ieo iaoaaie?o?a, a ia?oo /a?ao NII,
iaaaoeaii aieeaa? ia iai?ii? i?ioeane ? i?eai?/o? ae?yeuei?noue ?ioiii?
nenoaie. Aeyaeaii cia/i? ci?ie ee?oeiii? eaiee ?ioi?oaoo o an?o a?oiao
ianoaaeaieo oai?eo ?c NAeN (oaae. 2). O ieo ciaioo?oueny e?euee?noue
caaaeueieo O-e?ioioeeo?a, “aeoeaieo” O-e?ioioeeo?a, O?-?OE, O*-?OE. Oe?
ci?ie aoee a?eueo ae?aaeaieie, i?ae o a?oiao oai?eo ia OeAe aac NAeN,
/e ia iae?oa?oth/ee aoa?ineea?ic IE.

O oai?eo ia NAeN i?aeaeuaia e?euee?noue I-ee?oei. Ca ?aooiie
a?eueo cia/iiai ciaioaiiy e?eueeino? O*-?OE ni?aa?aeiioaiiy
O-oaeia?e/O-noi?ani?e aoei a?eueoei ii?ie o an?o a?oiao ianoaaeaieo
oai?eo c iaeneiaeueiei cia/aiiyi i?e NAeN.

Aeine?aeaeaiiy oaeoi??a aoii?aeueiiai ?ioi?oaoo ia aeyaeee
aeinoia??ieo ci?i e?eueeino? AA-?OE a ia?eoa?e/i?e e?ia?. A?aeiinia
e?euee?noue A-e?ioioeeo?a a aeiaei?e ?c ianoaaeaieo a?oi ia aeoiaeeea ca
iaae? ii?ie. I?e iayaiino? NAeN i?inoaaeaia eeoa oaiaeaioe?y aei
ciaioaiiy e?eueeino? Ig G ? ca?eueoaiiy ai?noo Ig A. Aeyaeaii
aeinoia??ia i?aeaeuaiiy ai?noo Ig I i?e iayaiino? NAeN (p < 0,001 o ?, ?? ? VI a?oiao). E?euee?noue Ig I aoea aeuith i?e iayaiino? NAeN, ii??aiyii c a?oiaie oai?eo ia OeAe a?aeiia?aeiiai oeio aac o?aaeaiue IE. I?iaaaeaieie aeine?aeaeaiiyie anoaiiaeaii aeinoia??ia i?aeaeuaiiy e?eueeino? Oe?E ? cieaeaiiy ??aiy eiiieaiaioo o an?o a?oiao oai?eo. I?i aaaiio ?ieue Oe?E a iaoiaaiac? ?icaeoeo NAeN na?ae/eoue aeyaeaiee iaie oaeo aeinoia??iiai i?aeaeuaiiy ??aiy oeueiai iieacieea o oai?eo ia NAeN ii??aiyii c oai?eie ia OeAe aac NAeN. Aeaia caeiiii??i?noue niinoa??aaeanue ye o a?oi? oai?eo ia OeAe ? oeio, oae ? ?? oeio, oiaoi ? o oeo oai?eo, ui ia io?eioaaee aeciaaiiee ?inoe?i (?ioii? eiiieaene ?inoe?i-aioeo?ei). Aenieee ai?no Oe?E iiaea aenooiaoe ia ia?oeo ii?ao ye i?e/eia aia?iiao?e acaaae? ? o?aaeaiue IE cie?aia. E??i oiai, aenieee ??aaiue Oe?E o oai?eo ia NAeN coiiaeaiee iayai?noth ai?eii-iae?ioe/iiai aiaieua ia nooii?. Iaoiaaiaoe/ia ?ieue nenoaie eiiieaiaioo a ?icaeoeo NAeN, ia cian?i c?icoi?ea. Iaie aeyaeaii aeinoia??ia cieaeaiiy ??aiy eiiieaiaioo o an?o oai?eo, e??i ??? a?oie (n = 13, p > 0,05).
Iaeneiaeueii iecueeee ??aaiue eiiieaiaioo aeyaeany o a?oiao oai?eo ia
NAeN.

A oiiaao ?ioiiaeao?oeeoo iaea?eueo /ooeeaeie aei aieeao oienei?a,
oee?eoethth/eo a i?aai?ci?, ? a?ieia?/i? iaia?aie. Noai ee?oeiieo
iaia?ai /anoeiai ?aaoeth?oueny i?ioeanaie IIE ? AINC. I?e iayaiino? NAeN
??aaiue IAeA aeyaeany aeinoia??ii aeuei, i?ae o oai?eo ia OeAe
a?aeiia?aeiiai oeio. Oea na?ae/eoue i?i aeiaeaoeiao aeoeaaoe?th
i?ioean?a IIE o oai?eo ia ae?aaao, oneeaaeiaiee NAeN. Aeoeai?noue
eaoaeace aeyaeeanue aeinoia??ii ieae/ith ii?ie eeoa o a?oi? oai?eo ia
OeAe ? oeio ?c NAeN.

AINC caeaoia ooee?coaaoe ia?aeeni? niieoee. Oeei cieaeo?oueny ?o
iioeiaeaeoth/a ae?y ia ee?oeii? iaia?aie. I?e OeAe aeoeai?noue AINC
cieaeo?oueny. Iaie aecia/aany ??aaiue NIAe ? OeI. ??aaiue NIAe-
eeth/iaiai aioo??oiueiee?oeiiiai oa?iaioo AINC — o oai?eo ?c NAeN aoa
ieae/ei, i?ae i?e OeAe a?aeiia?aeiiai oeio aac NAeN.

Cieaeaiiy ??aiy NIAe coiiaeaii, iaiaaii, ?ia?aoaaiiyi oa?iaioo c?
noi?iie ia?aeeno ? a?eueieo ?aaeeeae?a, ui iino?eii aea?eueiythoueny a
e?ia. A a?eo?ioeeoao NIAe aaeueio? i?ioean ieeneaiiy aaiiaeia?io a
iaoaaiiaeia?i ? caoeua? a?eo?ioeeoa?i? iaia?aie a?ae e?ceno. Cieaeaiiy
aeoeaiino? oeueiai oa?iaioo ni?ey? ii?ooaiith no?oeoo?e iaia?ai
a?eo?ioeeo?a ? i?aeaeuai?e ?o ?oeiaoe??. Oeae i?ioean ? iaei??th c
i?e/ei aeieeiaiiy aiai??, yea caaaeaee i?enooiy o oai?eo ia NAeN.

Ai?no a e?ia? iniiaiiai ne?iaaoeiaiai aioeieneaeaioo — OeI aeyaeany
aeinoia??ii i?aeaeuaiei o an?o a?oiao oai?eo. Aea e anoaiiaeaii
aeinoia??ia i?aeaeuaiiy ai?noo OeI i?e iayaiino? NAeN ii??aiyii c
oai?eie ia OeAe a?aeiia?aeiiai oeio, ia oneeaaeiaiiai NAeN (p < 0,001 i p < 0,02). ??aaiue OeI o a?oi? oai?eo iae?oa?oth/ei aoa?ineea?icii IE aoa aeuei, i?ae o oai?eo ia OeAe, aea ieae/ei, i?ae o a?oiao ?c NAeN. Cia/ia i?aeaeuaiiy ??aiy OeI i?e iayaiino? NAeN iiaeia ?icaeyaeaoe ye eiiiainaoi?io ?aaeoe?th ia aenieo aeoeai?noue IIE. Ni?aa?aeiioaiiy IAeA/NIAe oa OeI/NIAe cia/ii i?aeaeuoaaeinue i?e iayaiino? NAeN. Oea na?ae/eoue i?i ae?aaeaiee aeenaaeain i?ae iicaee?oeiiei ? aioo??oiueiee?oeiiei eiiiiiaioaie AINC, a oaeiae i?i iaa?aeiia?aei?noue i?ae IIE ? nenoaiith AINC. Ana oea i?eaiaeeoue aei aeaci?aai?caoe?? neeaaeii? no?oeoo?ii-ooieoe?iiaeueii? nenoaie iaia?ai ee?oei ? iiaeeaeth? iaoieia?/i? i?ioeane a oeaieiao noiie. ?ioaineai?noue iai?iieo ?aaeoe?e a oeaieiao, ??aaiue ieenii-a?aeiiaieo i?ioean?a a ieo o aaeee?e i??? caeaaeeoue a?ae iayaiino? noeueoa?ae?eeueieo SI-niieoe. Ai?no a e?ia? SI-a?oi aeyaeany i?aeaeuaiei o oai?eo ia OeAe. O oai?eo ?c NAeN ai?no SI-a?oi a e?ia? oaeiae i?aeaeuaiee ii??aiyii c ii?iith (p < 0,05 i p < 0,02), a i?e iae?oa?oth/iio aoa?ineea?ic? IE oeae iieaciee a?ae ii?ie aeinoia??ii ia a?ae??ciyany. C o?aooaaiiyi aeaieo ee?i?ei-eaai?aoi?ieo aeine?aeaeaiue iiaeia noaa?aeaeoaaoe, ui NAeN ? i?iyaii aaaeeino? ee?i?/iiai ia?aa?ao OeAe, i?e?iaia?iiao?e ? iae?iaia?iiao?e, i?ia?anoth/iai ? aeiaaio?eaaeiai aiaeioieneeico. A?i noi?iaiaeaeo?oueny ii?ooaiiyi ieenii-a?aeiiaieo i?ioean?a, cia/iei i?eai?/aiiyi ee?oeiii? eaiee ?ioi?oaoo, nooo?aeie ci?iaie aoii?aeueiiai ?ioi?oaoo, i?aeaeuaiiyi aeoeaiino? IIE ? ineaaeaiiyi AINC. Ee?i?/ia ioe?iea io?eiaieo ?acoeueoao?a aeine?aeaeaiue, aiae?c ?nioth/eo iaoiae?a aeaoieneeaoe?? aeicaieeee i?eeoe aei aeniiaeo i?i aeioe?euei?noue canoinoaaiiy aioa?ini?aaio?a o aeaii? eaoaai??? oai?eo. O ca’yceo c aeyaeaieie cia/ieie c?ooaiiyie a ?ioii?e nenoai? ianoaaeaieo oai?eo ae??oaii a eiiieaeniiio e?eoaaii? aeei?enoaoe aioa?ini?aaio c ?ioiiiiaeoethth/ith ae??th. Oaeei ni?aaioii ? Neeea?ae I, aei neeaaeo yeiai aoiaeeoue ?ioiiiiaeoeyoi? ao?iaoeay io?io?ia. A ee?i?/ieo oiiaao o 100 oai?eo ia NAeN aea/aee aeeiai?eo iniiaieo iieaciee?a A?, ?ioiiiai noaoono, IIE ? AINC a caeaaeiino? a?ae aeaeo noiniaaii? oa?ai??. Ii??aithaaeenue ?acoeueoaoe e?eoaaiiy oai?eo ?, ?? ? V? a?oi (a?aeiia?aeii 20, 50 ? 30 /ieia?e). ?acoeueoaoe e?eoaaiiy cana?ae/eee aenieo aoaeoeai?noue aioa?ini?aaioa Neeea?ae I. O an?o oai?eo i?ney 10-aeaiiiai i?eeiio i?aia?aoo iie?auoaaeinue naiiii/oooy, ii?iae?coaaany aiaoeo, iie?auoaaany ae?eai?/iee i?io?eue oa ee?i?/iee ia?aa?a ?aiaaiai i?ioeano. A aeiaeiiio aeiaaeeo ia cana?ae/aii iia?/iiai aoaeoo a?ae i?eeiio i?aia?aoo. A?aei?/aii iiceoeaiee aieea aioa?ini?aoe?? ia caaaeueiiee?i?/i? ? a?io?i?/i? iieacieee e?ia?, oi/a ia o an?o aeiaaeeao aiie ii?iae?coaaeeny iiai?noth. Aecia/aiiy aeeiai?ee ??aiy NII a eiio?ieueieo a?oiao cana?ae/eei eiai cieaeaiiy a ii??aiyii? c iieacieeaie aei e?eoaaiiy. Iaeiae iaaaaaoi cia/i?oei oeae aoaeo aoa o oai?eo, ye? io?eioaaee Neeea?ae I (oaae. 1). O?eueee o oe?e a?oi? iieaciee NII1 iiai?noth ii?iae?coaaany ? aeinoia??ii a?ae??ciyany a?ae iieacieea NII1 i?ney o?aaeeoe?eii? oa?ai??. I?ney aioa?ini?aoe?? NII2 noaiiaeee 167,846,18 oi.iae i?ioe 21811,47 oi.iae. a ? a?oi? (p < 0,001) ? i?ioe 190,975,52 oi.iae. a ?? a?oi? (p < 0,05). Iieaciee A?? i?ney e?eoaaiiy ciaiooaaany o an?o a?oiao, iaeiae iaeieae/ei a?i aeyaeany a a?oi? oai?eo, ui io?eioaaee Neeea?ae I: 32,380,89 % i?ioe 38,15+1,23 % ? 35,391,17 % (oaae. 1). Oaeei /eiii, canoinoaaiiy ni?aaioo Neeea?ae I a eiiieaen? e?eoaaiiy NAeN aeicaiey? ii?iae?coaaoe ai?no NII a e?ia?, ciaioeoe A? o oai?eo. Neeea?ae I iaa iiceoeaiee aieea ia iieacieee ?ioi?oaoo. O a?oi? oai?eo, ye? io?eioaaee oeae ni?aaio, ii?iae?coaaeanue e?euee?noue A-?OE, AA-?OE, O*-?OE, O?-?OE (o a?aeiinieo oa aaniethoieo cia/aiiyo) a iaaaaaoi a?eueo?e i???, i?ae a ?ioeo a?oiao oai?eo (oaae. 2). A aoii?aeuei?e eaioe? ?ioi?oaoo i?ae ae??th Neeea?aeo I aeyaeaii iaea?eueo cia/ia ciaioaiiy e?eueeino? Ig I: 2,090,16 a/e ii??aiyii c 2,330,12 a/e a ? a?oi? ? 2,220,15 a/e a ?? a?oi? , a oaeiae Oe?E e?ia?: 95,177,09 oi.iae. i?ioe 133,1310,83 oi.iae. a ? a?oi? (p < 0,01) ? 112,644,79 oi.iae. a ?? a?oi? (p < 0,05). O oai?eo, ui io?eioaaee ni?aaio, ??aaiue eiiieaiaioo c??n cia/ii a?eueoa, i?ae o iaoe??io?a i?ney o?aaeeoe?eii? oa?ai??: 217,875,82 aai.iae. ii??aiyii c 185,1314 aai.iae. a ? a?oi? (p < 0,05) ? ii??aiyii c 204,678,48 aai.iae. a ?? a?oi? (p > 0,05).

I?ae ae??th aioa?ini?aoe?? o oai?eo ia NAeN iie?auoaaeenue iieacieee
IIE ? AINC. A a?oi? oai?eo, ye? io?eioaaee Neeea?ae I, ??aaiue NIAe
c??n iaea?eueo aaaiii ii??aiyii c ?ioeie a?oiaie, a oe?e aea a?oi?
nooo?a?oa ciaioeeanue eiioeaio?aoe?y OeI: 240,688,31 a/e i?ioe
319,9412,75 a/e a ? a?oi? (p < 0,001) ? 284,5611,06 a/e o ?? a?oi? (p < 0,01). Ia aeeiai?eo IAeA ? ??aaiue SI-a?oi ni?aaio iniaeeai ia aieeaaa. Iia?aoeai? ao?o/aiiy i?iaaaeai? o 93 oai?eo (91,2 %). A ia?o?e a?oi? iia?aoe?? aeeiiai? o 19 oai?eo (90,5 %), a ae?oa?e a?oi?- o 48 oai?eo (94,1 %), a oino?e a?oi? – o 26 iaoe??io?a (86,7 %). I?e iaa?iiaoe/ii-?io?eiaai?e oi?i? NAeN canoiniaoaaee o??o?a?/i? ia?iaee, iae? aiiooaoe??, ?ice?eooy oa ae?aioaaiiy ai?eiee?a. A aeiaeiiio aeiaaeeo a oaeeo oai?eo ia i?iaiaeeeanue aeniea aiiooaoe?y. ?oai?/ii-aaia?aiicia oa ci?oaia oi?ie NAeN i?iyaeyeenue, ye i?aaeei, aaia?aiith iaeiiai /e e?eueeio iaeueoe?a, aai /anoeie nooii?, a oaeiae ai?eieie ?aiaie ia nooii?. A a?eueoino? aeiaaee?a niinoa??aaeanue aieiaa aaia?aia iaeueoe?a c iciaeaie ?io?eoaaiiy. A ? a?oi? aoei 4 oai?eo c ?oai?/ii-aaia?aiiciith oi?iith NAeN, a ?? a?oi? - 36 oaeeo oai?eo, a VI a?oi? - 14 oai?eo. I?e aaia?ai? iaeiiai iaeueoey aeeiioaaee aiiooaoe?th iaeueoey, i?e iio?aa? o??o?a?/io ia?iaeo ? ?aiith aooiaea?iiieanoeeo. I?e o?aaeaii? e?eueeio iaeueoe?a, aaeeeeo ai?eieo ?aiao aeenoaeueii? /anoeie noiie iia?aoe??th aeai?o aoea o?ainiaoaoa?caeueia aiiooaoe?y, yea aeicaiey? iaeneiaeueii aeaeaeeoe nooiaeeeee, ae?aioaaoe iaae?aeueiee ? eaoa?aeueiee i?inoi?e noiie ? caa?aaoe ?? iii?io ooieoe?th. I?e iaaoaeoeaiino? iaeeo aiiooaoe?e, o??o?a?/ieo ia?iaie, iae?aeoii?e aeeiioaaee aenie? aiiooaoe?? ia ??ai? aii?eee /e noaaia. I?iaiae?ciaaii ?acoeueoaoe o??o?a?/iiai e?eoaaiiy NAeN a a?oiao, aea canoiniaoaaeanue o?aaeeoe?eia oa?ai?y ? a V? a?oi?. Anoaiiaeaii, ui i?eeii aioa?ini?aaioo Neeea?ae I ia i?ioyc? 10 aei?a aeicaiey? ciaioeoe /anoeo aenieeo aiiooaoe?e na?aae on?o iia?aoe?e c 37,5 % aei 28,6 %. O oai?eo, ye? io?eioaaee ni?aaio, ciaioeeanue e?euee?noue e?aeei-aei?a (ia 3,2 e?aeei-aei? i?e NAeN ia oii? OeAe ? oeio ? ia 2,2 e?aeei-aei? - ia oii? OeAe ?? oeio), a oaeiae cieceeanue i?neyiia?aoe?eia eaoaeuei?noue ? nia?oi?noue i?ioyaii ?ieo i?ney e?eoaaiiy. AENIIAEE 1. NAeN ?icaeaa?oueny i?e noaeiiiainaoe?? aai aeaeiiiainaoe?? OeAe ia oe? ae?aaaoe/ii? iao?iiao??, ea?ae?ii?iiao??, iie?iae?iiao??. 2. Oi?ia NAeN caeaaeaea a?ae oeio OeAe: i?e ? oei? OeAe iaea?eueo /anoi aeieeaea iaa?iiaoe/ii-?io?eiaaia oi?ia NAeN, a i?e OeAe ?? oeio - ?oai?/ii-aaia?aiicia oi?ia. Aieueiaee neiae?ii i?e ?oai?/ieo oi?iao NAeN iaioa ae?aaeaiee, i?ae i?e iae?oa?oth/iio aoa?ineea?ic? IE ???-IV no. 3. Oa?aeoa?iith iciaeith NAeN i?e iaa?iiaoe/ii-?io?eiaai?e oi?i? ? iayai?noue o?io?/ieo ae?acie ia noii?, a i?e ?oai?/ii-aaia?aiici?e oi?i? – ai?eieo ?ai ia noii?, aaia?aie iaeueoe?a /e noiie. I?e ci?oai?e oi?i? NAeN o?io?/i? ae?acee /e ai?ei? ?aie noiie cono??/athoueny iaeiaeiai /anoi. 4. ?icaeoie NAeN noi?iaiaeaeo?oueny A?, yea ae?aaiinoo?oueny o 100 % aeiaaee?a ? ia?ea?aie yei? ? ??aaiue NII e?ia? oa A??. Neiae?ii A? i?e NAeN ae?aaeaiee a a?eueo?e i???, ii??aiyii c oai?eie iae?oa?oth/ei aoa?ineea?icii IE ???-?V no., a oaeiae ii??aiyii c oai?eie noaeiiiainiaaiith ? aeaeiiiainiaaiith oi?iaie OeAe aac NAeN. 5. NAeN noi?iaiaeaeo?oueny a?eueo aaaiiei i?eai?/aiiyi ee?oeiiiai ?ioi?oaoo, a?eueo cia/oueie ci?iaie aoii?aeueiiai ?ioi?oaoo ii??aiyii c oai?eie ia OeAe aac ai?eii-iae?ioe/ieo o?aaeaiue noiie ? oai?eie ia iae?oa?oth/ee aoa?ineea?ic IE ???-?V no. E?euee?noue A-e?ioioeeo?a o aeacaieo a?oiao oai?eo ia a?ae??ciy?oueny a?ae eiio?ieueieo iieaciee?a. 6. Ai?eii-iae?ioe/iee i?ioean ia noii? i?e OeAe ia?aa?aa? ia oii? i?aeaeuaiiy aeoeaiino? IIE ? i?eai?/aiiy AINC ii??aiyii c oai?eie ia noaeiiiainiaaio oa aeaeiiiainiaaio oi?ie OeAe ? ia iae?oa?oth/ee aoa?ineea?ic IE ???-?Vco. 7. Canoinoaaiiy a eiiieaen? e?eoaaiiy NAeN aioa?ini?aaioo Neeea?ae I ni?ey? iie?auaiith caaaeueiiai noaio oai?eo, i?enei?aiith eiiiainaoe?? OeAe, ii?iae?caoe?? iieaciee?a ee?oeiiiai ? aoii?aeueiiai ?ioi?oaoo, IIE ? AINC, ciaioaiith ??aiy A? o oai?eo. 8. Canoinoaaiiy aioa?ini?aoe?? aeicaieeei ciaioeoe /anoeo aenieeo aiiooaoe?e o oai?eo ia NAeN, o?eaae?noue e?eoaaiiy, i?neyiia?aoe?eio eaoaeuei?noue i?e aeai?e iaoieia??. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe?? 1. I?ieii/oe A.?., E?uaiei I.I. Aoii?aeueiee ?ioi?oao o oai?eo ia oeoe?iaee ae?aaao c neiae?iiii ae?aaaoe/ii? noiie// Ee?i?/ia o??o?a?y.-1997.-N 7-8.- C.76. 2. O?aeeianueeee A.I., I?ieii/oe A.?. Iniaeeaino? ee?oeiiiai ?ioi?oaoo o oai?eo ia oeoe?iaee ae?aaao c neiae?iiii ae?aaaoe/ii? noiie oa eiai ei?aeoe?y ca aeiiiiiaith aioa?ini?aaioo Neeea?ae I// Ee?i?/ia o??o?a?y.- 1997.- N11-12.- C 45-46. 3. I?ieii/oe A.?. Ei?aeoe?y ?ioi?oaoo aioa?ini?aaioii "Neeea?ae I" o oai?eo c neiae?iiii "ae?aaaoe/ia nooiiy"// Oa?iaoeaaoe/iee aeo?iae.- 1997.-? 3.- N.70-71. 4. O?aeeianueeee A.I., I?ieii/oe A.?., E?uaiei I.I. Canoinoaaiiy aioa?ini?aaioo "Neeea?ae I" a eiiieaen? e?eoaaiiy neiae?iio ae?aaaoe/ii? noiie// Ee?i?/ia o??o?a?y.- 1997.- ?11-12.-N.39-40. AIIOAOe?ss I?ieii/oe A.?. Ee?i?ei-eaai?aoi?i? oa ?ioiieia?/i? iniaeeaino? ia?aa?ao ? ei?aeoe?? neiae?iio ae?aaaoe/ii? noiie ia aoai? eiai o??o?a?/iiai e?eoaaiiy. 14.01.03 - o??o?a?y. Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i. ?.ss.Ai?aa/aanueeiai. Oa?iii?eue. 1998. A ?acoeueoao? aeine?aeaeaiiy anoaiiaeaii, ui neiae?ii ae?aaaoe/ii? noiie aeieea? ia oii? noaeiiiainiaaiiai /e aeaeiiiainiaaiiai oeoe?iaiai ae?aaaoo ? noi?iaiaeaeo?oueny ae?aaeaiith aiaeiaaiiith ?ioieneeaoe??th, aeoeaaoe??th ia?aeeniiai ieeneaiiy e?i?ae?a, i?eai?/aiiyi aioeieneaeaioii? nenoaie caoenoo. Ni?eythoue aeieeiaiith neiae?iio ae?aaaoe/ii? noiie ci?ie c? noi?iie ?ioiiiai noaoono: ??cea i?eai?/aiiy ee?oeiii? eaiee ?ioi?oaoo, ii?ooaiiy ni?aa?aeiioaiiy i?ae noaiiioeyoe?yie O-e?ioioeeo?a oa ciaioaiiy e?eueeino? ?ioii?aaoeyoi?ieo O-ee?oei, a oaeiae cieaeaiiy oeo?o eiiieaiaioo, ca?eueoaiiy e?eueeino? Ig I ? oee?eoethth/eo ?ioiieo eiiieaen?a. Ana oea cia/ii ciaioo? ii??i?noue oeaiei aei i?e?ii?aai?ci?a ? ni?ey? i?ia?anoaaiith ai?eii-iae?ioe/iiai i?ioeano ia noii?. I?inoaaeaii iiceoeaio ae?th aioa?ini?aaioa Neeea?ae I ia aeacai? iieacieee. Iaoiaaiaoe/ii iaa?oioiaaia canoinoaaiiy oa aeiaaaeaia ee?i?/ia aoaeoeai?noue aioa?ini?aaioa Neeea?ae I a eiiieaen? e?eoaaiiy oai?eo ia neiae?ii ae?aaaoe/ii? noiie. Eeth/ia? neiaa: ae?aaaoe/ia noiia, o??o?a?/ia e?eoaaiiy, aiaeiaaiia ?ioieneeaoe?y, ?ioiiee noaoon, ia?aeenia ieeneaiiy e?i?ae?a, aioeieneaeaioia nenoaia caoenoo, aioa?ini?aoe?y, Neeea?ae I. AIIIOAOeEss I?ieii/oe A.E. Eeeieei-eaai?aoi?iua e eiioiieiae/aneea iniaaiiinoe oa/aiey e ei??aeoeee neiae?iia aeeaaaoe/aneie noiiu ia yoaia aai oe?o?ae/aneiai ea/aiey. 14.01.03 - oe?o?aey. Oa?iiiieueneay ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey ei. E.ss.Ai?aa/aaneiai. Oa?iiiieue. 1998. A ?acoeueoaoa enneaaeiaaiey onoaiiaeaii, /oi neiae?ii aeeaaaoe/aneie noiiu aicieeaao ia oiia noaeiiiaine?iaaiiiai eee aeaeiiiaine?iaaiiiai naoa?iiai aeeaaaoa e nii?iaiaeaeaaony au?aaeaiiie yiaeiaaiiie eioieneeaoeeae, aeoeaaoeeae ia?aeeniiai ieeneaiey eeieaeia, oaiaoaieai aioeieneaeaioiie nenoaiu caueou. Niinianoaotho aicieeiiaaieth neiae?iia aeeaaaoe/aneie noiiu eciaiaiey ni noi?iiu eiioiiiai noaoona: ?aceia oaiaoaiea eeaoi/iiai caaia eiioieoaoa, ia?ooaiea niioiioaiey iaaeaeo noaiiioeyoeeyie O-eeioioeeoia e oiaiueoaiea eiee/anoaa eiioii?aaoeyoi?iuo O-eeaoie, a oaeaea nieaeaiea oeo?a eiiieaiaioa, oaaee/aiea eiee/anoaa Ig I e oee?eoee?othueo eiioiiuo eiiieaenia. Ana yoi cia/eoaeueii oiaiueoaao nii?ioeaeyaiinoue oeaiae e iee?ii?aaieciai e niioonoaoao i?ia?anne?iaaieth aiieii-iae?ioe/aneiai i?ioeanna ia noiia. Onoaiiaeaii iieiaeeoaeueiia aeeyiea yioa?ini?aaioa Neeea?ae I ia eco/aaiua iieacaoaee. Iaoiaaiaoe/anee iainiiaaii i?eiaiaiea, a oaeaea aeieacaia eeeie/aneay yooaeoeaiinoue yioa?ini?aaioa Neeea?ae I a eiiieaena ea/aiey aieueiuo n neiae?iiii aeeaaaoe/aneie noiiu. Eeth/aaua neiaa: aeeaaaoe/aneay noiia, oe?o?ae/aneia ea/aiea, yiaeiaaiiay eioieneeaoeey, eiioiiue noaoon, ia?aeeniia ieeneaiea eeieaeia, aioeieneaeaioiay nenoaia caueou, yioa?ini?aoeey, Neeea?ae I. SUMMARY Prokopchuk A.I. Clinical, laboratory and immunological features of diabetic foot syndrome current and correction of them at a stage of its surgical treatment. 14.01.03 - surgery. Oarnopil state medical academy named after I.Gorbachevsky. Oarnopil. 1998. As a result of research is established, that diabetic foot syndrome developes on a background of the unsufficiently compensated or non compensated diabetes mellitus and is accompanied by expressed endogen intoxication, high activity of lipid peroxidation, depression of antioxydant system of protection. Changes of immune status: a sharp oppression cellular immunity, infringement of a parity ratio and reduction of quantity of the immunoregulatory T-cells and also reduction of the complement titr and increase of Ig M amount and circulating immun’s complexes further to development of diabetic foot. All this considerably reduces opportunity of tissues to microorganisms and accompanies progress of purulently - necrotic process in diabetic foot. The positive influence of enterosorbent Sillard P on the main parameters is established. The application is grounded and the clinical effect of enterosorbtion by Sillard P is proved in the complex of treatment of patients with sindrome of diabetic foot. Key words: diabetic foot, syrgical treatment, endogen intoxication, immune status, lipid peroxidation, antioxydant system of protection, enterosorbtion, Sillard P. Oaaeeoey 1. Iieacieee aiaeiaaiii? ?ioieneeaoe?? aei ? i?ney ??cieo aeae?a e?eoaaiiy A?oie oai?eoIieaciee? a?oia?? a?oiaVI a?oiaIi?ianMmpnMmpnMmpnMmNII1, oi.iae.aei e?eoaaiiy20545,726,69<0,00150526,817,84< 0,00130460,8315,89<0,00122327,81,62I?ney e?eoaaiiy16447,8819,22<0,0136390,2813,15< 0,0130348,4311,36>0,1NII2,
oi.iae.aei e?eoaaiiy20257,310,59<0,00150261,1410,79< 0,00130227,659,87<0,00122147,41,47I?ney e?eoaaiiy16218,011,47>0,0136190,975,52<0,0130167,846,18<0,01A??aei e?eoaaiiy2043,841,43<0,015042,950,95<0,0013042,611,17<0,012237,121,43I?n ey e?eoaaiiy1638,351,23>0,13635,391,17>0,13032,380,89>0,1? —
aeinoia??i?noue ??cieoe? iieaciee?a oai?eo c ii?iith

Oaaeeoey 2.

Iieacieee ee?oeiii? e?iee ?ioi?oaoo aei ? i?ney e?eoaaiiy

A?oie oai?eoIieaciee? a?oia?? a?oiaVI a?oian%aan., o109/en%aan., aan.,
o109/en%aan., aan., o109/eO-caaaeuei? aei
e?eoaaiiy2038,30,70,830,085039,690,570,80,053039,630,770,880,06O-caaaeue
i? i?ney
e?eoaaiiy1642,940,810,990,083645,420,620,940,053048,570,461,080,07?< 0,001> 0,05< 0,001< 0,05< 0,001< 0,05O-aeoeai? aei e?eoaaiiy2020,40,60,480,055020,820,420,420,033020,570,550,460,04O-aeoeai ? i?ney e?eoaaiiy1623,690,450,550,053624,470,380,510,033026,130,470,580,04?< 0,001> 0,05< 0,001< 0,05< 0,001< 0,05I-ee?oeie aei e?eoaaiiy2041,41,340,910,15040,560,790,810,063040,470,040,90,07I-ee?oeie i?ney e?eoaaiiy1634,811,220,80,073633,750,770,690,043030,50,550,680,05?< 0,01> 0,1< 0,001> 0,05< 0,001< 0,02? - aeinoia??i?noue ??cieoe? iieacieea c iieacieeii aei e?eoaaiiy

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