AeI?I?IIAO?IANUeEA AeA?AEAAIA IAAeE*IA

AEAAeAI?ss

OAeE 616.33-022.44-06-055.1-89.85,-07

AANEEEOEI ?IIAI EINEIIAE*

EE?I?EI-II?OIEIA?*IA IAA?OIOOAAIIss IAOIAe?A

IIOEI?CAOe?? E?EOAAIIss AE?ACEIAI? OAI?IAE OEOIEA

14.01.03 – o??o?a?y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Aei?i?iiao?ianuee-1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai??
IIC Oe?a?ie

Iaoeiaee ea??aiee: Eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, aeieoi?
iaaee/ieo iaoe, aeioeaio Aeanyoa?ee Aieiaeeie? ?aaiiae/,

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y, caa?aeoaa/ eaoaae?e
o??o?a??, o?aaiaoieia?? oa i?oiiaae?? OII

Io?oe?ei? iiiiaioe: Eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, caneoaeaiee
ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe, i?ioani?
Eoiaeueoeia Aieiaeeie? ?aaiiae/, Oa?e?anueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, caa?aeoaa/ eaoaae?e o??o?a?/ieo oai?ia

Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Aiiaea?aiei Ieeiea Iaoa?eiae/, Aei?i?iiao?ianueea aea?aeaaia
iaaee/ia aeaaeai?y, caa?aeoaa/ eaoaae?e o??o?a?/ieo oai?ia

I?ia?aeia onoaiiaa: ?inoeooo ee?i?/ii? oa aenia?eiaioaeueii? o??o?a??
AII Oe?a?ie, a?aeae?e iaoieia?? i?aai?a o?aaeaiiy,

i. Ee?a

Caoeno a?aeaoaeaoueny “12” aeiaoiy 1999 ?ieo i 13 aiaeei?

ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 08. 601.01 o
Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai?? ca aae?anith: 49044,
i. Aei?i?iiao?ianuee, aoe.Aeca?aeeinueeiai, 9

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai?? (49044, i. Aei?i?iiao?ianuee, aoe.
Aeca?aeeinueeiai, 9).

Aaoi?aoa?ao ?ic?neaiee “10” aa?aniy 1999 ?.

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
Oea/aiei A.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Ia no/aniiio aoai? caoai?thaai?noue ianaeaiiy ia
ae?aceiao oai?iao a Oe?a?i? ia? oaiaeaioe?th aei c?inoaiiy (A.I.
sseiaaiei oa ?io., 1998; ss.N. Oeeiia?iai, 1998). Ca inoaii? ?iee
c?icea e?euee?noue ae?oae c caoai?thaaiiyie i?aai?a o?aaeaiiy, a oiio
/ene? c ae?aceiaith oai?iaith oeoiea (I.TH. A?eioniaa, A.A. Aaeaeae,
1999). Iii?oii ca?eueoo?oueny e?euee?noue oaeeo ?? oneeaaeiaiue, ye
ae?aceia? e?iaioa/? oa i?i?eai? ae?acee (A.?. Eoiaeueoeia oa ?io., 1993;
A.A. Oae?iia oa ?io., 1994). ?acii c oei, ieoaiiy o??o?a?/iiai e?eoaaiiy
ae?aceiai? oai?iae (AO) acaaae? ? cie?aia – oeoiea (AOO), a cia/i?e i???
caeeoathoueny aeeneooaaaeueieie ? a ia?oo /a?ao coiiaeai? aeai?ii
no?ie?a oa niinia?a o??o?a?/ieo ao?o/aiue (A.A. A?aoonue oa ?io., 1992).

Oe?iea ai?iaaaeaeaiiy aiaeineii?/ieo iaoiae?a ae?aaiinoeee oa e?eoaaiiy,
i?aaiicaa??aath/eo iia?aoe?e, oaoi?/ia aaeineiiaeaiiy o??o?a?/ieo
ao?o/aiue caaacia/eee iie?ioaiiy aaciina?aaei?o oa a?aeaeaeaieo
?acoeueoao?a e?eoaaiiy aeacaii? iaoieia?? (?.A. Etheueei oa ?io., 1991;
A.O. Na?iei, A.N. Iie?ieaae/, I.I. Ionoia?o, 1995). Iaeiae, iaa?oue
oaoi?/ii i?aaeeueia aeeiiaiiy inoaii?o ia caaaeaee caaacia/o? iiaiiai
e?eoaaeueiiai aoaeoo, ine?eueee a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?
iathoue i?noea a?ic??, caiaethaaeueii-aeeno?io?/i? ci?ie neeciai?
iaieiiee oeoiea (A.E. E?iaeiae/, Ae.?. Oiia, 1995). I?e oeueiio,
iaaeinoaoiuei aena?oeaia ?ieue ?ioaeoe?? Helicobacter pylori i?e
aeieeiaii? iinoaaaioii?/ieo oneeaaeiaiue (?.?. A?eoeaiei oa ?io., 1996).

A?aeiiino? i?i ii?oieia?/i? iniaeeaino? caai?iiy ae?aceiaeo aeaoaeo?a
aena?oeai? ia iiaii, iinyoue a?eueoa oai?aoe/iee, i?ae i?eeeaaeiee
oa?aeoa? (A.I. Oniainueeee, 1986; TH.A. Aaeaea?, 1990), oi/a aeia?a
a?aeiia ??cieoey ii?oieia?/ieo ci?i neeciai? iaieiiee oeoiea oa
aeaaiaaeoeyoeiaei? eeoee (AeIE) a ?ac? aeieeiaiiy AO. Oae, aeey ae?acee
oeoiea oa?aeoa?i? ii?oieia?/i? ci?ie c iciaeaie a?iio?io?/iiai aano?eoo,
oiae? ye i?e eieae?caoe?? ae?acee a AeIE oa?aeoa?iei ? a?ia?o?io?/iee
noai neeciai? iaieiiee (?.A. Ca??eia, TH.E. Iao?ia, I.I. I?iooeei,
1990; A.O. Na?iei, A.I. *i?iia?iaee, A.?. Nooiaeiey, 1991).
Caaaeueiia?aeiieie ? e iaoiaaiaoe/i? a?aeiiino? ?icaeoeo ae?acee oeoiea
? AeIE, ui iio?aao? aeeoa?aioe?eiaaiiai aea/aiiy AO c o?aooaaiiyi
eieae?caoe?? iaoieia?/iiai aeaoaeoo (I.ss. A?eai?(?a, A.A. ?naeia,
1990).

?aca?aaie aeey iie?ioaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy AOO
iiaeooue aooe aeeoa?aioe?eiaaiee i?aeo?ae aei ae?aaiinoeee ??
eieae?caoe??, oneeaaeiaiue oa aeai?o iaoiae?a iaiao?aeiiai e?eoaaiiy
(A.Ae. A?aoonue oa ?io., 1992). Aeooaeueiei nueiaiaei? oa ia?niaeoeaiei
? iiaeaeueoa ?ic?iaea ? ai?iaaaeaeaiiy eiiieaenieo iaoiae?a e?eoaaiiy
ae?aceiai? oai?iae c aeei?enoaiiyi o?ce/ieo oaeoi??a aieeao oa
niaoeeo?/ieo aioeaaeoa??aeueieo cania?a (I.A. Iin-eaanueeee, 1991; ?.E.
Aa?oieac, ss.N. Aa?acieoeueeee, I.?. Oaaae?i, 1992; ?.?. A?eoeaiei oa
?io., 1997), aaeineiiaeaiiy ee?i?ei-i?aai?caoe?eieo caoiae?a oa
?icoe?aiiy aenia?eiaioaeueieo aeine?aeaeaiue ae?aceiai? oai?iae (A.E.
Ao?/einueeee, 1990; I.A. Ia?aaea??e oa ?io., 1997).

Ana aeuaneacaia na?ae/eoue i?i iaaeinoaoith ae??oai?noue aeaii?
i?iaeaie, i?aee?aneth? ?? aeooaeuei?noue ? coiiaeth? iaiao?aei?noue
iiaeaeueoi? ?ic?iaee oa aea/aiiy.

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

Aeena?oaoe?y aeeiiaia o a?aeiia?aeiino? c ieaiii iaoeiaeo aeine?aeaeaiue
Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii? aeaaeai?? ? ? /anoeiith
iaoeiai-aeine?aeii? oaie eaoaae?e o??o?a??, o?aaiaoieia?? oa i?oiiaae??
oaeoeueoaoo i?neyaeeieiiii? ina?oe e?ea??a AeAeIA “I?aai?caoe?ei? ?
ee?i?/i? aniaeoe iie?auaiiy yeino? iaaeaiiy iaaee/ii? aeiiiiiae oai?ei c
aino?eie o??o?a?/ieie caoai?thaaiiyie i?aai?a /a?aaii? ii?iaeieie”
(iiia? aea?aeaaii? ?a?no?aoe?? 0199V002122).

Iaoa ? caaaeaiiy aeine?aeaeaiiy. Iaoith aeaiiai aeine?aeaeaiiy aoei
aecia/aiiy iaoiae?a iioei?caoe?? o??o?a?/iiai e?eoaaiiy ae?aceiai?
oai?iae oeoiea ia iniia? ?o ee?i?ei-ii?oieia?/iiai iaa?oiooaaiiy.

Aeey aeinyaiaiiy iinoaaeaii? iaoe aoee aecia/ai? ianooii? caaaeaiiy:

1. Aecia/eoe iniiai? oaiaeaioe?? caoai?thaaiino? oa ?iciianthaeaeaiiy
ae?aceiai? oai?iae oeoiea na?aae ianaeaiiy i. Aei?i?iiao?ianueea, ??
ia?aaaaei? ao?ieia?/i? /eiieee.

2. I?iaiae?coaaoe ?acoeueoaoe o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae
oeoiea a e?eoaaeueieo caeeaaeao i. Aei?i?iiao?ianueea a caeaaeiino?
a?ae aeaeo oneeaaeiaiiy oa niiniao iia?aoeaiiai ao?o/aiiy.

3. Ia iniia? aea/aiiy noaoenoe/ieo oa ee?i?ei-aiaiianoe/ieo
oa?aeoa?enoee iaa?oiooaaoe eiioeaioe?th canoinoaaiiy i?aaiicaa??aath/eo
iaoiae?a e?eoaaiiy ae?aceiai? oai?iae oeoiea.

4. Aecia/eoe iniiai? ii?oieia?/i? e?eoa??? aoaeoeaiino? o??o?a?/iiai
e?eoaaiiy ae?aceiai? oai?iae oeoiea oa iiaeeeaino? i?enei?aiiy
i?ioean?a ?aaaia?aoe?? i?ney iia?aoeaieo ao?o/aiue.

5. Iae?aneeoe oeyoe iioei?caoe?? o??o?a?/iiai e?eoaaiiy ae?aceiai?
oai?iae oeoiea c o?aooaaiiyi ?? ee?i?ei-ai?aeai?ieia?/ieo oa
ii?oieia?/ieo iniaeeainoae.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa aoee aecia/ai? oa
ocaaaeueiai? oaiaeaioe?? uiaei caoai?thaaiino? oa no?oeoo?ieo ci?i
ae?aceiai? oai?iae oeoiea na?aae ianaeaiiy i. Aei?i?iiao?ianueea ca
inoaii? i(youe ?ie?a. Aeyaeaii, ui c?inoaiiy caoai?thaaiino? aeacaii?
iaoieia?? a?aeaoaa?oueny ca ?aooiie oai?eo iieiaeiai a?eo, ia?aaaaeii a
i?iieneiai aeoeaieo ?aa?iiao, i?e oeueiio, niinoa??aa?oueny ca?eueoaiiy
a?aenioea ?? oneeaaeiaieo oi?i.

Aia?oa aoa i?iaaaeaiee ii??aiyeueiee aiae?c ?acoeueoao?a iia?aoeaieo
ao?o/aiue, aeeiiaieo ?acaeoe?eieie oa i?aaiicaa??aath/eie iaoiaeaie,
yeee cana?ae/ea, ui a?aeaeaeai? ?acoeueoaoe iaio iaoiae?a ia iathoue
nooo?aeo a?aei?iiinoae. I?iaaaeaia aenia?eiaioaeueia aeine?aeaeaiiy
aia?oa aeicaieeei aecia/eoe ii?oieia?/i? e?eoa??? aoaeoeaiino? e?eoaaiiy
ae?aceiai? oai?iae oeoiea.

Cai?iiiiiaai? i?ea?iaeuei? iaoiaeeee e?eoaaiiy ae?aceiai? oai?iae oeoiea
c aeei?enoaiiyi o?ce/ieo oaeoi??a. Caiaoaioiaai? “Niin?a e?eoaaiiy
ae?acee oeoiea e aeaaiaaeoeyoeiaei? eeoee oa i?eno??e aeey eiai
aeei?enoaiiy” (iiceoeaia ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ?10325,
1999), yeee a?oioo?oueny ia aeei?enoaii? EO*-aei?ii?ithaaiiy, a oaeiae
“I?eno??e aeey aeaeo?ioi?aco, ia?aaaaeii a eiiieaeni?e o?c?ioa?ai??”
(iiceoeaia ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 13866, 1999).

Iaa?oioiaai? oa cai?iiiiiaai? oeyoe iioei?caoe?? e?eoaaiiy ae?aceiai?
oai?iae oeoiea.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Oeyoii noaoenoe/ieo ?
ee?i?ei-aiaiianoe/ieo aeine?aeaeaiue aeiaaaeaia iaiao?aei?noue iineeaiiy
oaaae aei ae?aaiinoeee, aaeaeaaoii? oa?ai?? oa i?io?eaeoeee ae?aceiai?
oai?iae oeoiea. Nooo?aee ??no caoai?thaaiino? na?aae ethaeae iieiaeiai
a?eo oa i?aee?oe?a, ca?eueoaiiy oneeaaeiaiue oai?iae iio?aao? iiooeo
iiaeo i?aai?caoe?eii-oaeoe/ieo oi?i ?? ?aiiuei? ae?aaiinoeee, noai?aiiy
no/anieo ae?aaiinoe/ieo i?ia?ai c aeei?enoaiiyi oanoo ia iayai?noue
oae?eiaaeoa??ico.

Aecia/aiiy ai?aeai?ieia?/ii? caeaaeiino? /anoioe caoai?thaaiino? ia
ae?aceiao oai?iao oeoiea a?ae oiia iaoeaiiy aeiaaa? iineeaii? oaaae ia
o?eueee ?aa?iiaeueii? aiaoeaoi?ii-iie?ee?i?/ii? neoaeae, a e
ae?eueie/ieo e?ea??a, ea??aiee?a i?aei?e?inoa oa o/aiaeo caeeaae?a.

A?aenooi?noue nooo?aeo a?aei?iiinoae i?ae a?aeaeaeaieie ?acoeueoaoaie
?acaeoe?eieo oa i?aaiicaa??aath/eo iaoiae?a o??o?a?/iiai e?eoaaiiy
aeicaieythoue cai?iiiioaaoe ?o ye aeueoa?iaoeai? a iia?aoeaiiio
e?eoaaii? oneeaaeiaiue ae?aceiai? oai?iae oeoiea.

?ic?iaeaiee oa ai?iaaaeaeaiee niin?a e?eoaaiiy ae?aceiai? oai?iae oeoiea
e aeaaiaaeoeyoeiaei? eeoee oa i?eno??e aeey eiai cae?eniaiiy aeicaiey?
aac nooo?aeo iaoa??aeueieo cao?ao iie?ioeoe caai?iiy ae?acee oeoiea, a
oaeiae i?enei?eoe ?aia?aoeai? i?ioeane i?ney iia?aoeaiiai ao?o/aiiy.
Cai?iii-iiaaiee i?eno??e aeey aeaeo?ioi?aco ?icoe?th? iiaeeeaino?
o?c?ioa?a-iaaoe/iiai e?eoaaiiy, aeicaiey? i?noeaaa aeei?enoaiiy
aeaea?a?io iaeii/anii c EO*-aei?ii?ithaaiiyi ?, oei naiei, aea? ciiao
iie?ioeoe ?acoeueoaoe e?eoaaiiy ae?aceiai? oai?iae oeoiea.

Iaea?aeai? ?acoeueoaoe noaoenoe/ieo, ee?i?ei-aiaiianoe/ieo oa
ii?oieia?/ieo aeine?aeaeaiue ae?aceiai? oai?iae oeoiea, aeiaeaoeia?
niiniae ?? e?eoaaiiy oe?iei ai?iaaaeaeai? a i?aeoeeo.

?acoeueoaoe i?aaenoaaeaii? iaoeiai? ?iaioe ai?iaaaeaeai? a o/aiao ?iaioo
Aei?i?iiao?ianueei? (aeo ai?. a?ae 26.11.1998), Oa?iii?euenueei? (aeo
ai?. a?ae 25.02.1999) iaaee/ieo aeaaeai?e, a i?aeoe/io ?iaioo
Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo aano?iaioa?ieia?? (aeo ai?.
a?ae 20.12.1998), o??o?a?/ieo a?aeae?eaiue iaeanii? e?ea?i? ?i. ?. ?.
Ia/i?eiaa i. Aei?i?iiao?ianueea (aeo ai?. a?ae 24.12.1998), ee?i?/ii?
e?ea?i? ? 6 i. N?ioa?iiiey (aeo ai?. a?ae 08.01.1999), ? 8 i. E?eaiai
?iaa (aeo ai?. a?ae 14.01.1999).

Iniaenoee aianie aeena?oaioa. Ia iniia? aiae?co e?oa?aoo?ieo aeaieo
aaoi?ii ni?eueii c ea??aieeii noi?ioeueiaai? iaoa ? caaaeaiiy
aeine?aeaeaiiy. Aea?? iaoiae?a aeine?aeaeaiiy, ?ic?iaea
ee?i?ei-aiaiianoe/ieo aieao, noaoenoe/ia ia?iaea oa aiae?c oeeo?iaiai
iaoa??aeo aaoi?ii c?iaeai? naiino?eii.

A ?ic?iaoe? oa ai?iaaaeaeaii? niiniao e?eoaaiiy ae?aceiai? oai?iae
oeoiea e aeaaiaaeoeyoeiaei? eeoee oa i?eno?ith aeey eiai cae?eniaiiy 80%
iaeaaeeoue aaoi?o aeena?oaoe??. A ?ic?iaoe? i?eno?ith aeey aeaeo?ioi?aco
60% iaeaaeeoue aeena?oaioo.

A i?iaaaeaii? ii?oieia?/ieo aeine?aeaeaiue, aecia/aii? iaoiaeee e ieaio
?o i?iaaaeaiiy aeena?oaio io?eioaaa aeiiiiiao i?ioani?a I?oaeiaa A.Ae.
(eaoaae?a ii?iaeueii? aiaoii?? ethaeeie AeAeIA).

A noi?nieo ioae?eaoe?yo, yeeo 4, aaoi?o iaeaaeeoue 50-80% ?aeae oa
?ic?iaie.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. ?acoeueoaoe aeine?aeaeaiiy
aeieeaaeai? ia iaoeiaeo eiioa?aioe?yo a/aieo Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai?? (1997-1998), ia iaoeiai-i?aeoe/i?e
eiioa?aioe??, i?enay/ai?e 25-oe ??//th noai?aiiy oaeoeueoaoo
i?neyaeeieiiii? ina?oe e?ea??a AeAeIA (E?eaee ??a, 1998), ia
?anioae?eainuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeinyaiaiiy oa
iaae??oai? ieoaiiy aano?iaioa?ieia??” (Oa?e?a, 1998), ia ??-io
Iaoe?iiaeueiiio eiia?an? aiaoii?a, a?noieia?a ? aia??ieia?a Oe?a?ie
(Eoaainuee, 1998), ia iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aano?iaioa?ieia?y
”, i?enay/ai?e 20-oe ??//th eaoaae?e aano?iaioa?ie?a? AeAeIA
(Aei?i?iiao?ianuee, 1999), ia oaoiaiio nai?ia?? niaoe?aaee Ae 08.601.01
o Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai?? a?ae 14.06.1999.

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 13 i?aoeue, ?c ieo 8 o
iaoeiaeo oaoiaeo aeaeaiiyo (6 naiino?eii), inoaii? – o oacao eiia?an?a
oa eiioa?aioe?e (3 – naiino?eii).

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?eia ?iaioa aeeeaaeaia
oe?a?inueeith iiaith ia 143 noi??ieao iaoeiiieno oa neeaaea?oueny ?c
anooio, iaeyaeo e?oa?aoo?e, aeeeaaeaiiy iaoa??ae?a ? iaoiae?a
aeine?aeaeaiiy, 3 ?icae?e?a aeanieo aeine?aeaeaiue, aiae?co oa
ocaaaeueiaiiy ?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e oa
nieneo e?oa?aoo?e. A?ae?ia?ao?/iee aeac?aiee i?noeoue 222 aeaea?aea.
?iaioa ?ethno?iaaia 27 oaaeeoeyie oa 27 ?enoieaie, ye? caeiathoue 26
noi??iie.

INIIAIEE CI?NO ?IAIOE

Iaoa??ae oa iaoiaee aeine?aeaeaiiy. ?iaioa ? ?acoeueoaoii
ee?i?ei-aiaiianoe/iiai ianoaaeaiiy 128 oai?eo, ye? aoee iia?iaai? a
o??o?a?/ieo noaoe?iia?ao i. Aei?i?iiao?ianueea a oa?i?ie c 1993 ii 1997
?.?. c i?eaiaeo ae?aceiai? oai?iae oeoiea (AOO). A?e oai?eo aoa a?ae 21
aei 60 ?ie?a, 85 /ieia?e?a oa 43 ae?iee. On? oai?? aoee iia?iaai?
?acaeoe?eieie ? i?aaiicaa??aath/eie niiniaaie c i?eaiaeo oneeaaeiaiue
aeacaii? iaoieia?? ae?aceiaith e?iaioa/ath, ianoaaeai? a oa?i?i a?ae 1
aei 3 ?ie?a i?ney o??o?a?/iiai ao?o/aiiy.

Ii?yae c oeei, aoa aeei?enoaiee noaoenoe/iee aiae?c ?iciianthaeaeaiino?
AOO na?aae iaoeaioe?a i. Aei?i?iiao?ianueea ia aac? noaoenoe/ieo
oaeii?a, ca?o?a noaoenoe/iiai a?aeae?eo oi?aae?iiy i?nueeiai a?aeae?eo
ioi?iie caei?ia’y ca oa?i?i 1994-1998 ?iee. A ca(yceo c a?aenooi?noth
iaiao?aeiiai ia’?io e?euee?nii? ? ye?nii? ?ioi?iaoe?? ?c aeacaii?
io?oe?eii? aeiiia?aeii-iae?eiai? aeieoiaioaoe??, ia iniia?
?aeiiaiaeaoe?e TH.I. Eeneoeeia (1987), aoee aeei?enoai? aea??eia?
aeine?aeaeaiiy, cie?aia ii niaoe?aeueii noai?ai?e i?ia?ai? o aeaeyae?
aeiaiaeo oa i?ny/ieo “c??c?a” iieaciee?a caa?iaiue oai?eo ia AOO aei
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a i?noa. Aeey ?o ?aae?caoe?? aoee
?ic?iaeai? iia? aieaoe-ea?oe o?ueio oei?a, ye? aoee caiiaiai? oeyoii
aeeii?thaaiiy aeaieo ?c ?noi??e oai?ia. Oea: 1) aieaoa “aiaoeaoi?iiai”,
2) “noaoe?iia?iiai” oai?iai oa 3) aieaoa aeey aenia?oii? ioe?iee yeino?
o??o?a?/iiai e?eoaaiiy. Anueiai aoei i?iaiae?ciaaii 2160 aieao.

A ?iaio? aeei?enoiaoaaeenue caaaeueiia?aeii? niiniae ?acaeoe?? oeoiea
oa i?aaiicaa??aath/? iia?aoe??. Na?aae ?acaeoe?eieo niinia?a aoee
canoiniaai?: ?acaeoe?y oeoiea ii niiniao A?eue?io-1, A?eue?io-2,
naeoi?aeueia ?acaeoe?y. Na?aae i?aaiicaa??aath/eo aoee — aio?oiaeoii?y c
aaaioii??th, noeiaiiy ae?acee c aaaioii??th, i?ioeaaiiy ae?acee c
aaaioii??th, aano?ioii?y c i?ioeaaiiyi ae?acee oa aaaioii??th.

Aeey iie?ioaiiy yeino? caai?iiy ae?acee ? nei?i/aiiy oa?i?i?a
ia?aaoaaiiy oai?eo o noaoe?iia?ao, iaie cai?iiiiiaaiee iiaee niin?a
e?eoaaiiy ae?acee oeoiea, yeee aeeth/aa aeiaeaoeiaa ii?aeiaiiy
EO*-oa?ai?? c aieeioa?ai??th a iaeiiio naain?, a i?ii?aeia e?ea?nueea
na?aaeiaeua – 0,1% ?ic/ei aeaea?a?io — aeei?enoiaoaaee iaeii/anii ye
oi?aoe/iee, oae ? aioeaaeoa??aeueiee aaaio. Aeey ?aae?caoe??
cai?iiiiiaaiiai niiniao ei?en-ooaaeeny ?ic?iaeaiei iaie i?eno?i?i.

C iaoith aecia/aiiy iiceoeaii? ae?? o?ce/ieo oaeoi??a ia caai?iiy
ae?acee oeoiea aoei i?iaaaeaia aenia?eiaioaeueia aeine?aeaeaiiy.
Iaoa??aeii aeey ii?oieiai-aenia?eiaioaeueiiai aea/aiiy i?ioean?a
?aaaia?aoe?? aoee a?e? aacii?iaei? uo?? c ooo/ii io?eiaiei ae?aceiaei
aeaoaeoii neeciai? iaieiiee oeoiea ca?aeii c ?aeiiaiaeaoe?yie Ieaaa
(?.I. Aaeaaeia oa ?io, 1991). Anueiai aoei aea/aii 35 oaa?ei,
?icae?eaieo ia 3 a?oie. Caai?iiy ae?acee oeoiea ia?oi? a?oie i?ioiaeeei
naiino?eii, aac o??o?a?/ieo ao?o/aiue. Ae?oa?e a?oi? uo??a aoea
i?iaaaeaia aaaioii?y, a o?ao?e – aaaioii?y, ii?aeiaia c EO*-icao/aiiyi.
An? ii?oieia?/i? aeine?aeaeaiiy i?iaiaeeeenue ia aac?
iaoeiai-aeine?aeii? eaai?aoi??? eaoaae?e ii?iaeueii? aiaoii?? ethaeeie
Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii? aeaaeai??.

I?ney aenia?eiaioaeueiiai aei?iaoaaiiy iaoiae aoa aeei?enoaiee a
ee?i?/ieo oiiaao o 46 oai?eo, ye? e?eoaaeenue c i?eaiaeo caaino?aiue
ae?aceiai? oai?iae oeoiea, aai i?ney eiina?aaoeaii? coieiee ae?aceiai?
e?iaioa/?. Cai?iiiiiaaiei niiniaii aeiiiaithaaee eiiieaenio
iaaeeeaiaioicio oa?ai?th ? aeei?enoiaoaaee eiai a no?ie a?ae 7 aei 10
ae?a. A?eueoa iieiaeia oai?eo io?eioaaea aeiaeaoeiao oa?ai?th
aeaea?a?iii ii 1 ia 2 ?ace ia aeiao aei iiaii? ?aaaia?aoe?? ae?aceiaiai
aeaoaeoo. Aei ii/aoeo e?eoaaiiy, a eiai i?ioean? oa i?ney i?iaiaeeeinue
ianoaaeaiiy oai?eo ia iayai?noue i?e?ioei?e Helicobacter pylori (I?).

Aecia/aiiy ia?nenoaioe?? i?ei?e/ieo I? a neecia?e iaieiioe? oeoiea
i?iaiaeeeinue ca?aeii c ?aeiiaiaeaoe?yie I.ss. A?eai?(?aa, A.I.
sseiaaiei (1995), ?.?. A?eoeaiei oa ?io. (1997).

O a?aeiia?aeiino? c iaoith ? caaaeaiiyie aeine?aeaeaiiy aoa aeei?enoaiee
eiiieaen iaoiae?a e?euee?nii? ii?oieia??, a oaeiae ?yae iaoiae?a
a?noieia?/iiai ? iaoaiaoe/iiai aiae?c?a.

Iaiao?aei? aei??thaaiiy i?iaiaeeee ia a?noieia?/ieo, iai?aoiieeo c??cao,
ei?ic?eieo i?aia?aoao i?e?inoaeei oeoiea. Inoaii? aoee io?eiai?
?i(?eoe??th ia?aaeiie?ia?eciaaiei iaoeeiaoae?eeaoii (ss.E. Ea?aaaiia oa
?io.,1980).

Aeey iaoaiaoe/ii? ia?iaee io?eiaieo aeaieo aeei?enoiaoaaee noaiaea?oi?
i?ioeaaeo?e a?iiao?e/iiai oa aeenia?n?eiiai aiae?c?a (A.A. Aaoaiae?eia,
1990; A.O. Eae?i, 1990). Iaiao?aei? ?ic?aooiee aoee aeeiiai? ia AII ?AI
“?entium” i?e aeei?enoaii? a?aeiia?aeieo i?ia?ai.

?acoeueoaoe AEANIEO aeine?aeaeaiue

?acoeueoaoe iniaenoeo aeine?aeaeaiue aeeeaaeai? o 3-o ?icae?eao
a?aeiia?aeii aei iniiaieo iai?yie?a iaoeiaeo ?ic?iaie. Ia?oee ?icae?e
i?enay/aiee noaoenoe/ii-ai?aeai?ieia?/iei aeine?aeaeaiiyi oa aiae?co
iniiaieo oaiaeaioe?e caoai?thaaiino? ae?aceiai? oai?iae na?aae ianaeaiiy
i. Aei?i?iiao?ianueea. Anoaiiaeaii, ui ca inoaii? 5 ?ie?a /enei
ca?a?no?iaaieo oai?eo ia ia? ca?eueoeeinue ia 4,4%. Caa?oa? ia naaa
oaaao ca?eueoaiiy iieacieea ia?aeiii? caoai?thaaiino?, yeee neeaaeaa
21,6 ia 10 oeny/ ianaeaiiy a 1998 ?ioe?, ui ii a?aeiioaiith aei 1994
?ieo iaei i?e??no ia 22,7%, oiaoi iaeaea ia /aoaa?oue. E??i oiai, cia/ii
ca?eueoeeanue e?euee?noue oai?eo, ye? ciaoiaeeeenue ia aeeniaina?iiio
iae?eo. I?e??no oeueiai iieacieea noaiiaea o 1998 ?. 6,5%.

Na?aae ae?oae oa i?aee?oe?a aei 14 ?ie?a ?iciianthaeaeai?noue ae?aceiai?
oai?iae a 1998 ?. ca?eueoeeanue ii a?aeiioaiith aei 1994 ?. ia 19,4%, a
oiio /ene? c aia?oa anoaiiaeaiei ae?aaiicii – ia 85,7%, oiaoi a 2 ?ace,
ui cia/ii ia?aaa?oo? cia/aiiy oeueiai iieacieea ii Oe?a?i?. ?acii c oei,
/enei i?aee?oe?a, ye? noiyoue ia aeeniaina?iiio iae?eo ciaioeeinue ca
inoaii? 5 ?ie?a ia 2,4%. sse na?ae/aoue ?acoeueoaoe aeiaiaiai c??co,
ae?aceiaa oai?iaa oeoiea ca inoaii? ?iee “iiiieiaeoaea”. ?c caaaeueii?
e?eueeino? oai?eo, ye? caa?ioeenue aei e?eoaaeueieo caeeaae?a i?ioyaii
iaei??? aeiae, a iniiaiiio aoee iieiae? ethaee oa na?aaeiueiai a?eo
(oaae. 1).

Oaaeeoey 1.

?iciiae?e oai?eo ia ae?aceiao oai?iao oeoiea na?aae ianaeaiiy i.
Aei?i?iiao?ianueea ii a?eo ? noao? o a?aenioeao (?(I?)

? i/i A ? e % a?ae caaaeueii? e?eueeino? N o a o ue

*ieia?/a AE?ii/a

1. aei 14 ?ie?a 1,76(0,11 0,93(0,09 0,83(0,05

2. 15- 19 ?ie?a 10,64(1,35 12,21(1,62 4,36(1,04

3. 20-29 ?ie?a 17,36(1,18 13,74(1,72 3,02(0,08

4. 30-39 ?ie?a 20,25(1,64 11,53(1,78 7,62(1,34

5. 40-49 ?ie?a 22,53(2,44 14,85(1,65 5,79(1,12

6. 50 ?ie?a ? a?eueoa 27,55(1,98 16,72(1,45 7,68(1,76

Aeey /ieia?e?a iaea?eueo o?aceeaith ii a?aeiioaiith aei ae?aceiai?
oai?iae oeoiea ? a?eiaa a?oia 40-49 ?ie?a, a aeey ae?iie — 30-39 ?ie?a.
Iio?i niinoa??aaeanue ?ioa caeiiii??i?noue. Aeaia iaoieia?y
ca?eueooaaeanue na?aae iaoeaioe?a a?eii 50 ?ie?a ? a?eueoa. Oeae oaeo
iiaea aooe coiiaeaiee ?iaiethoeaieie ci?iaie no?oeoo?ieo eiiiiiaio?a
no?iee oeoiea oa eiai noaeeiii? nenoaie (A.I. Iaei?ia, O.I. Iaiaoeoeia,
1991).

Ie?aii? oaaae caneoaiao? aiae?c /eiiee?a, ye? i?eaaee aei iiyae
ee?i?/ieo neiioii?a AOO. Oae, oa?aeoa?enoeea ao?ieia?/ieo oaeoi??a
aeicaieeea aecia/eoe, ui aeey a?eueoino? a?eiaeo ? nioe?aeueieo a?oi
oaeoi?ii aieeao ia ??aaiue ? no?oeoo?o ?iciianthaeaeaiino? iaoieia??
i?aai?a o?aaeaiiy ? iia??oaiee noai oa?/oaaiiy. Cie?aia, a?eueo?noue
iain?iia??a no?aaeaeathoue ia ae?aceo naia caaaeyee aeacaiiio oaeoi?o.

Aaaeeeaei oaeoi?ii aieeao aeey /ieia?e?a 30-39 ?ie?a, ?ia?oiee?a
i?aei?e?inoa ? aac?ia?oieo, ? ceiaaeeaaiiy aeeiaieai. Ia inoaiiueiio
i?noe? aoee ae?iaie/? eiioe?eoe, ye? nooo?ai ia?aaaaeaee na?aae
/ieia?e?a – ?ia?oiee?a i?iieneiaeo i?aei?e?inoa 30-39 ?ie?a.

Aieaoia ioe?iea aieeao ao?ieia?/ieo oaeoi??a ia aeieeiaiiy AOO na?aae
/ieia?e?a o 17% aeiaaee?a aoea iia(ycaia c ae?iaie/eie /eiieeaie.
Cia/iee c??no aeacaiiai iieacieea ? i?e noaae? a?ae 3 aei 5 ?ie?a, a
iaeneiaeueiiai cia/aiiy a?i iaaoa i?e noaae? 11 ?ie?a. A iiaeaeueoiio
a?aei?/a?oueny aeayea noaa?e?caoe?y ??aiy ?iciianthaeaeaiino? AOO.

Aieea n?iaeieo eiioe?eo?a /ano?oa iaa i?noea na?aae o/i?a oa nooaeaio?a
15-19 ?ie?a oa in?a c??eiai a?eo (40-49 ?ie?a), ia?aaaaeii aeey
?ia?oiee?a i?aei?e?inoa ? aac?ia?oieo. Iai?oaeaia o?ce/ia i?aoey iaea
i?noea ye ao?ieia?/iee oaeoi? aeey aeieeiaiiy AOO oa ?? oneeaaeiaiue
na?aae /ieia?e?a – ?ia?oiee?a i?aei?e?inoa 40-49 ?ie?a (?en.1), a
iai?oaeaia ?icoiiaa i?aoey – na?aae ae?iie neoaeaiaoe?a 20-29 ? 40-49
?ie?a.

I?iaiaey/e noaoenoe/iee aiae?c caa?iaiue oai?eo ia AOO aei
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a i. Aei?i?iiao?ianueea, aoei
aecia/aii, ie??i aeacaii? iaoieia??, ua e ?yae noiooi?o caoai?thaaiue,
ye? iia??ooaaee noai caei?ia(y oai?eo, iio?aaoaaee aeiaeaoeiaeo
ae?aaiinoe/ieo oa e?eoaaeueieo caoiae?a. Ia?aaaaaee o?ii?/iee
iaie?aaoeo, oee?ic ia/?iee, o?ii?/iee oieaoeenoeo, o?ii?/iee eie?o oa
?io?.

Aiae?c oneeaaeiaiue ae?aceiai? oai?iae oeoiea aeicaieea aecia/eoe, ui
ieoiia aaaa oai?eo c i?i?eaiith ae?aceith iaea oaiaeaioe?th aei
ca?eueoaiiy, aeinyaath/e a 1998 ?ioe? 7,9%, ui a ii??aiyii? aei 1994
?ieo noaiiaeei i?e??no ia 2,2%. Aeaui ?ioith ? oa?aeoa?enoeea
noaoenoe/ieo aeaieo a?aeiinii oai?eo ia AOO, oneeaaeiaii? ae?aceiaeie
e?iaioa/aie. Caaaeueia aeeiai?ea iieacieea oaeeo oai?eo iaea
oaiaeaioe?th aei ciaioaiiy ca 1994-1998 ?.?., oiae? ye ?o ieoiia aaaa
na?aae caaaeueiiai /enea oai?eo ca?eueoeeanue ia 1,9% a ii??aiyii? c
1997 ?.

Iaaaaeai? oaeoe noaoenoe/ii-ai?aeai?ieia?/ieo aeine?aeaeaiue na?ae/aoue
i?i oa, ui ae?aceiaa oai?iaa oeoiea caneoaiao? ie?aii? oaaae aeey
iiaeaeueoeo aeine?aeaeaiue. Iniiaieie oaiaeaioe?yie a ?? caoai?thaaiino?
? iii?oia c?inoaiiy a?aenioea oai?eo na?aae i?aee?oe?a oa in?a
iieiaeiai a?eo, c?inoaiiy oneeaaeiaieo oi?i oai?iae, ye? iio?aaothoue
o??o?a?/iiai e?eoaaiiy.

I?iaaaeai? noaoenoe/i? aeine?aeaeaiiy na?ae/aoue i?i oa, ui ca inoaii? 5
?ie?a iieacieee o??o?a?/iiai e?eoaaiiy ae?aceiai? oai?iae a i.
Aei?i?iiao?ianuee iathoue iiceoeaio oaiaeaioe?th. Oae, caaaeueia
eaoaeuei?noue ca iacaaiee oa?i?i ciaioeeanue a 1,5 ?ace. Ieoiia aaaa
i?aaiicaa??aath/eo iia?aoeaieo ao?o/aiue eieeaaeanue a?ae 21,4 aei
28,8%, aeinyaath/e a 1998 ?ioe? 32,03%. Ca inoaii? 5 ?ie?a caaaeueia
e?euee?noue oai?eo ia ae?aceiao oai?iao, oneeaaeiaio e?iaioa/ath,
ciaioeeanaue a?ae 676 aei 467, ui neeaaea? 69%.

A?aoiaoth/e oa, ui no/aniee aoai o??o?a?? ae?aceiaeo e?iaioa/
oa?aeoa?eco?oueny ia?aoiaeii a?ae aeoeaii-ae/?eoaaeueii? oaeoeee aei
?iaeea?aeoaeueii-aeoeaii? oa iiaeaeueoei ai?iaaaeaeaiiyi
i?aaiicaa??aath/eo iaoiae?a o??o?a?/iiai e?eoaaiiy (A.A. Caeoeaa oa
?io., 1994; A.?. Aeanyoa?ee, 1996), iaaiee iaoeiaee ?ioa?an iaei
aea/aiiy ?acoeueoao?a i?aaiicaa??aath/eo ao?o/aiue o oai?eo ia ae?aceiao
oai?iao oeoiea. Ie i?iaaee iaeii/anii aiae?c ?noi??e oai?ia oa aieao
ioe?iee ?acoeueoao?a o??o?a?/iiai e?eoaaiiy AOO ??cieie niiniaaie (oaae.
2). Aeey ioe?iee iane?aee?a e?eoaaiiy aoea aeei?enoaia oeaea Visic a
iiaeeo?eaoe?? TH.I. Iaioee??aa, A.A. A??iaa?aa (1979). sse aeaeii c
oaaeeoe?, ?acaeoe?eieo iia?aoe?e aoei aeeiiaii 62, i?aaiicaa??aath/eo —
55, 18 iia?aoeaieo ao?o/aiue aoee aeeiiai? ca aeiooaieie iieacaiiyie,
aiie iineee iae?aoeaiee oa?aeoa?. Ia?aaaaeia a?eueo?noue (80%)
i?aaiicaa??aath/eo iia?aoeaieo ao?o/aiue aoee aeeiiai? c
aeaionoi?iiiueith noiaao?iaith i?aeae?ao?aaiaeueiith aaaioii??th, a a
inoaii?o 20% aeiaaee?a aoea aeeiiaia naeaeoeaia aeaionoi?iiiy aaaioii?y.

Oaaeeoey 2

Caeaaei?noue ?acoeueoao?a e?eoaaiiy oai?eo ia AOO, oneeaaeiaio
e?iaioa/ath, a?ae aeaeo iia?aoeaiiai ao?o/aiiy

? i/i Aeae iia?aoe?? E?euee?-

noue

oai?eo Ioe?iea ?acoeueoao?a

a?aei?i-

ii aeia?a caaeia?-

eueii iacaaei-

a?eueii

1. ?acaeoe?y ii A?eue?io 1 19 9 4 5 1

2. ?acaeoe?y ii A?eue?io 2 43 10 13 16 4

3. Naeoi?aeueia

?acaeoe?y oeoiea 9 — 1 3 5

4. Noeiaiiy ae?acee

c aaaioii??th 12 5 — 6 1

5. Aio?oi?acaeoe?y

c aaaioii??th 36 9 23 3 1

6. I?ioeaaiiy ae-

?acee c aaaioii??th 7 — 2 2 3

7. Aano?ioii?y c i?i-oeaaiiyi ae?acee 2 — — — 2

Anueiai 128 33 43 35 17

I?iaaaeaiee ee?i?ei-aiaiianoe/iee aiae?c na?ae/eoue i?i oa, ui
a?aeaeaeai? ?acoeueoaoe ?acaeoe?eieo oa i?aaiicaa??aath/eo iia?aoeaieo
ao?o/aiue nooo?ai ia a?ae??ciyeenue, a?aenioie iacaaeia?eueieo
?acoeueoao?a i?ney ?acaeoe?eieo ao?o/aiue nyaaa 4,7%, a i?ney
i?aaiicaa??aath/eo –3,9%.

A?eueo aeaoaeueiee aiae?c a?aeaeaeaieo ?acoeueoao?a aecia/ea ia?aaaae
i?aaiicaa??aath/eo iia?aoeaieo ao?o/aiue iaae ?acaeoe?eieie niiniaaie.
Aeieacaie oeueiai aoei oa, ui oa?i?i iai?aoeacaeaoiino? i?ney ia?oeo aoa
a 2,5 ?ace iaioa, i?ae i?ney ?acaeoe?eieo ao?o/aiue. I?iaaaeaiiy
inoaii?o cioneei iaoe??io?a ci?ieoe naith i?ioan?eio ae?yeuei?noue a 4
?ace a?eueoa, i?ae i?ney i?iaaaeaiiy i?aaiicaa??aath/eo iia?aoe?e.
Iaiao?aei?noue aeoiaeo ia ?iaae?aei?noue iaea i?noea a 3 ?ace a?eueoa o
oai?eo i?ney i?iaaaeaiiy ?i ?acaeoe?eieo ao?o/aiue, i?ae i?e
i?aaiicaa??aath/eo iia?aoeaieo ao?o/aiiyo.

?c 128 oai?eo iae?aoeai? ao?o/aiiy aoee aeeiiai? 18 oai?ei (14,1%). O
10 ?c ieo iaa i?noea ?aoeeaeea ae?acee oeoiea (7,5%). sse c(ynoaaei
aea/aiiy ?noi??e oai?ia, on? iaoe??ioe i?ney iae?aoeaieo ao?o/aiue
i?aeoe/ii ia io?eioaaee iiaiioe?iii? i?ioeae?aceiai? oa?ai??.

A iiooeao oeyo?a iioei?caoe?? e?eoaaiiy ae?aceiai? oai?iae oeoiea ie
ai?iaaaeeee no/anio eiina?aaoeaio oa?ai?th oa aeiiiaieee ??
caiaoaioiaaiei “Niiniaii e?eoaaiiy ae?acee oeoiea e aeaaiaaeoeyoeiaei?
eeoee oa i?eno?i?i aeey eiai canoinoaaiiy” (iiceoeaia ??oaiiy i?i
aeaea/o iaoaioo ia aeiao?ae ?10325, 1999). A eiai iniia? eaaeaei
aeei?enoaiiy ia oii? aacenii? ? “iio??eii?” aioeoae?eiaaeoa?ii? oa?ai??
aeaeo?ioi?aco 0,1% ?ic/eio aeaea?a?io c iaeii/aniei naainii
EO*-aei?ii?ithaaiiy ia a?ieia?/ii-aeoeai? oi/ee ? ciie Caoa?(?ia-Aaaea.
Eiina?aaoeaia e?eoaaiiy aoei iieacaia o an?o aeiaaeeao coieiaii?
e?iaioa/? ca oiiae iaae?eiiai aaiinoaco, eiee e?iaioa/a niinoa??aaeanue
aia?oa (21 oai?ee), o oai?eo c /a?aiaei caaino?aiiyi ae?aceiai? oai?iae
oeoiea i?e aeaaiino? caoai?thaaiiy a?ae 1 aei 5 ?ie?a (25 oai?eo). Aeey
oai?eo aeacaii? a?oie a on?o aeiaaeeao caaino?aiiy i?io?eaei c iii?oieie
i?iyaaie aano?iaeoiaeai?oo. Ianooiio – eiio?ieueio a?oio – neeaaeaee 20
oai?eo c caaino?aiiyi ae?aceiai? oai?iae oeoiea, ye? io?eioaaee
eiiieaenio oa?ai?th aac iaoiai “niiniao” (oaae.3).

Oaaeeoey 3

Na?aaei? oa?i?ie ?iaiethoe?? iniiaieo ee?i?/ieo i?iya?a o oai?eo,
io?eioaaaoeo aioeae?aceiao oa?ai?th, ii?aeiaio c aeaeo?ioi?acii
aeaea?a?io oa iaeii/aniith EO*-oa?ai??th ia a?ieia?/ii-aeoeai? oi/ee ?
ciie Caoa?(?ia-Aaaea oa oai?eo eiio?ieueii? a?oie

? i\i Neiioiie A?oie oai?eo

C coieiaiith

e?iaioa/ath

(n=21) C /a?aiaei caaino?ai-

iyi ae?acee

(n=25) Eiio?ieueia a?oia

(n=20)

1. Aieueiaee 3,9(0,4 5,3(0,9 5,6(0,6

2. Aeeniaioe/iee 7,2(0,6 8,8(0,7 9,2(1,2

3. Iaeueiaoi?ia aieth/?noue 7,3(1,2 8,6(1,1 9,1(1,1

4. Neiioii Iaiaeaey 7,0(1,3 7,8(0,8 8,0(0,7

A ?acoeueoao? aeacaiiai e?eoaaiiy, o an?o oai?eo cieeee yaeua aino?iai
oae?eiaaeoa?iiai caiaeaiiy. A a?iioaoao anoaiiaeaia nooo?aa iineaaeaiiy
iciae?a caiaethaaeueii-aeeno?io?/ieo ci?i: ciaioaiiy
iie?ii?oii-ee?oeiii? ?io?eueo?aoe??, a?aenooi?noue a ieo iaeo?io?e?a,
aiceiio?e?a, ciaioaiiy aaeoie?caoe?? i?ei?e/ieo caeic. A e?ioe?
aioeae?aceiai? oa?ai?? ia aecia/aeenue aeiaaeee “i(yeiai”
oae?eiaaeoa?iiai caiaeaiiy.

Aiaeineii?/ia ianoaaeaiiy /a?ac 14-18 ae?a iieacaei, ui caai?iiy ae?acee
oeoiea aecia/aeinue o 100% oai?eo c coieiaiith e?iaioa/ath, o 23 (92%) —
a a?oi? oai?eo c ?aoeeaeeaaie ae?acee, a oie /an ye a eiio?ieuei?e
a?oi? caai?iiy ae?acee iaei i?noea o 16 (80%) oai?eo.

Aeia?? oa a?aei?ii? ?acoeueoaoe eiiieaeniiai eiina?aaoeaiiai e?eoaaiiy
ae?aceiai? oai?iae oeoiea aeathoue i?aenoaae aaaaeaoe aeioe?eueiei eiai
canoinoaaiiy ia o?eueee i?e eiina?aaoeaiiio e?eoaaii? AOO, aea e oai?ei,
yeei aoee aeiooaii aeeiiai? iae?aoeai? ao?o/aiiy, iai?aaeai? o?eueee ia
coieieo e?iaioa/?.

Iaoa??aee ii?oieia?/ieo oa aenia?eiaioaeueieo aeine?aeaeaiue iaaaaeai? a
?icae?e? 5. Ia a?eeo uo?ao aoea a?aei?aoeueiaaia aenia?eiaioaeueia
iiaeaeue ae?acee oeoiea ca iaoiaeeeith Ieaaa. A ia?o?e aeine?aei?e
(eiio?ieuei?e) a?oi? aoee aea/ai? ii?oieia?/i? ci?ie a cii? ae?aceiaiai
aeaoaeoo a aeeiai?oe? caai?iiy aac canoinoaaiiy o??o?a?/iiai e?eoaaiiy.
A ae?oa?e a?oi? ci?ie ii?oieia?/ieo i?iya?a a?aeaoaaeenue ca oiiae
aeei?enoaiiy aaaioii??. O?ao?e a?oi? aenia?eiaioaeueieo oaa?ei
i?iaiaeeeinue ii?aeiaiiy aaaioii?? c canoinoaaiiyi o?ce/ieo oaeoi??a
aieeao (EO*-aei?ii?ithaaiiy ii ae?aiaciio).

Canoinoaaiiy o??o?a?/iiai niiniao ia iniia? aaaioii?? caaacia/eei iiyao
iiceoeaieo ?aaaia?aoi?ieo ci?i ia 7 aeiao aenia?eiaioo. Aeei?enoaiiy
o??o?a?/iiai niiniao, ii?aeiaiiai c EO*-aei?ii?ithaaiiyi, caaacia/eei
iiceoeaiee ia?aa?a ?acoeueoao?a caai?iiy oaea ia 3 aeiao, a ia 5 aeiao
aenia?eiaioo iieacieee aeeaeie ? ieiu? ae?aceiaiai aeaoaeoo iaaoee
oaiaeaioe?? aei ciaioaiiy a ii??aiyii? c ?acoeueoaoaie, io?eiaieie a
eiio?ie? ? i?e canoinoaaii? aaaioii??. A oeae oa?i?i ianya u?eueiino?
eai?ey??a ciaioeany ? neeaaeaa 3,48(0,19 ii3/ii3, iaaeeceaoenue aei
ii?iaeueieo aaee/ei (3,11(0,21 ii3/ii3). Ii?yae c oeei iaei i?noea
ciaioaiiy iaa?yeo neeciai? iaieiiee oeoiea a ae?eyioe? ae?acee.

Ioe?iea ?aaaia?aoi?ieo aeanoeainoae ee?oeiieo eiiiiiaio?a neeciai?
iaieiiee i?e aeei?enoaii? ??cieo niinia?a e?eoaaiiy iieacaea, ui i?e
o??oa?/iiio niinia?, ii?aeiaiiio c o?ce/ieie oaeoi?aie aieeao, iaei
i?noea nooo?aa cieaeaiiy nooiaiy iaaooaiiy ee?oei iie?eaiiai ?
caeicenoiai ai?oae?th, a oaeiae ciaioaiiy ia(?io ai?oae?aeueieo yaea? ia
i?ioyc? ia?oi? iaae?e? aenia?eiaioo (?en. 2). A ca(yceo c oeei,
yaea?ii-oeeoiieaciaoe/ia ni?a-a?aeiioaiiy ai?oae?ioeeo?a naia ca oeae
oa?i?i ?icaeoeo iaoieia?/iiai i?ioeano nooo?ai cieaeoaaeinue.

Aeae? ia?inoaiiy eiiiainaoi?ii-a?aeiiaethaaeueieo i?ioean?a ana a?eueoa
iineethaaeinue. Oae, yaea?ii-oeeoiieaciaoe/ia ni?aa?aeiioaiiy iie?eaieo,
caeicenoeo ai?oae?aeueieo ee?oei ii/aei noaoenoe/ii cia/eii ia?aaaaaoe
iaae eiio?ieueieie aaee/eiaie, ui na?ae/eoue i?i i?aeaeuaiiy
ooieoe?iiaeueii? aeoeaiino? aeacaieo ee?oei a cii? iaoieia?/iiai aiaieua
iaaeiei caaith/i? ae?acee. Aeieacii oeueiai ? iiceoeaiee ia?aa?a
i?ie?oa?aoeaii? aeoeaiino? ai?oae?y a ia?eoeueoea?ici?e cii?, yeee
caaacia/oaaa i?enei?aiiy ai?oae?caoe?? ae?aceiaiai aeaoaeoo.
Aeei?enoaiiy EO*-aei?ii?ithaaiiy caaacia/eei ia i?ioyc? ia?oi? iaae?e?
aenia?eiaioo iayai?noue /eneaieo i?oioe/ieo o?ao? ia o?eueee
ai?oae?aeueieo ee?oei, aea e i?ioeeo?a, ui noi?iaiaeaeoaaeinue
iinooiiaei a?aeiiaeaiiyi no?oeoo?e i’yciai? iaieiiee no?iee oeoiea.
Cia/ii ?ai?oa i?ae a eiio?ie?, a naia a e?ioe? ia?oi? iaae?e?, a cii?
ae?aceiaiai o?aaeaiiy iaei i?noea ?ioaineaia oi?ioaaiiy a?aioeyoe?e. A
neeaae? a?aioeyoe?eii? oeaieie, yea ciaiooaaeanue a ia`?i?, iaee i?noea
ai?oae?i?aei? aeaiaioe, ui i?eeiaee o/anoue a ?icaeoeo eiiiainaoi?ieo ?
a?aeiiaethaaeueieo i?ioeanao neeciai? iaieiiee oeoiea.

C?noaaeaiiy ii?oieia?/ieo iciae caai?iiy ae?aceiaiai aeaoaeoo o uo??a
aeicaieeei aecia/eoe ia?aaaao aoaeoeaiino? e?eoaaiiy o??o?a?/iei
niiniaii, ii?aeiaiei c o?ce/ieie oaeoi?aie aieeao, iaae e?eoaaiiyi
o?eueee o??o?a?/iei niiniaii c i?iaaaeaiiyi naeaeoeaii? aaaioii??.
Oiaoi, i?eaaaeai? aeua no?oeoo?ii-ooieoe?iiaeuei? ci?ie aecia/eee
iiceoeaiee aieea EO*-aei?ii?ithaaiiy ia noeioeyoe?th
aaeaioi?ii-eiiiainaoi?ieo ?aaeoe?e i?e ae?aceiaiio o?aaeaii? neeciai?
iaieiiee i?ei?iaio?aeueiiai a?aeae?eo oeoiea.

Oaeei /eiii, i?iaaaeaia aenia?eiaioaeueia aeine?aeaeaiiy aeicaieeei
aecia/eoe aeinoia??i? ci?ie eiiiiiaio?a neeciai? iaieiiee oeoiea a
caeaaeiino? a?ae niinia?a e?eoaaiiy ? ia?aa?ao /ano. A naith /a?ao, oea
aeicaieeei aeaanoe ii?oieia?/i? e?eoa??? ioe?iee e?eoaaiiy ae?aceiaiai
aeaoaeoo o??o?a?/ieie niiniaaie, ye? aeioe?eueii ?icae?eeoe ia aea?
a?oie. Aei ia?oi? a?oie aoee a?aeianai? iae?ineii?/i? oa?aeoa?enoeee:
aeeaeia ? ieiua ae?acee, iayai?noue iaa?yeo ? eiai ?ici??e, eie??, oi?ia
? ?ici??e ?oaoey. Aei ae?oai? a?oie a?aeianai? i?e?ineii?/i?
oa?aeoa?enoeee: ia(?iia u?euei?noue eai?ey??a neeciai? iaieiiee, ia(?i
ai?oae?ioeeo?a iie?eaiiai ? caeicenoiai ai?oae?th, a oaeiae ?o yaea?,
yaea?ii-oeeoiieaciaoe/iee ?iaeaen.

AENIIAEE

1. Ca inoaii? ?iee a?aei?/a?oueny oaiaeaioe?y aei c?inoaiiy e?eueeino?
oai?eo ia ae?aceiao oai?iao oeoiea, /enei yeeo a i. Aei?i?iiao?ianueeo a
2 ?ace ia?aaa?oo? na?aaei?e iieaciee ii Oe?a?i?. Ca?eueoaiiy
caoai?thaaiino? ia ae?aceiao oai?iao oeoiea ia? i?noea a i?iieneiai
aeoeaieo ?aeiiao na?aae ianaeaiiy c iacaaeia?eueieie iiaooiaeie oiiaaie.
Oa?aeoa?iei ? oe?ieee a?eiaee ae?aiacii oa c?inoaiiy caoai?thaaiino?
na?aae iieiaeeo in?a oa i?aee?oe?a.

2. Aiae?c a?aeaeaeaieo ?acoeueoao?a o??o?a?/iiai e?eoaaiiy oneeaaeiaieo
oi?i ae?aceiai? oai?iae oeoiea na?ae/aoue i?i a?aenooi?noue nooo?aeo
a?aei?i-iinoae i?ae ?acaeoe?eieie oa i?aaiicaa??aath/eie niiniaaie
iia?aoeaieo ao?o/aiue. Iacaaeia?euei? ?acoeueoaoe a no?iee a?ae 1 aei 3
?ie?a neeaee 4,7% i?e ?acaeoe?eieo oa 3,9% i?e i?aaiicaa??aath/eo
iia?aoe?yo.

3. Na?aae ii?oieia?/ieo iciae caai?iiy ae?acee oeoiea a oiiaao
aenia?eiaioo i?ia?aeieie aoee iieacieee ia(?iii? u?eueiino? eai?ey??a,
?ici???a ee?oei iie?eaiiai oa caeicenoiai ai?oae?th, ?o yaea?.
A?aoiaoth/e ?o niaoeeo?/i?noue oa noae?noue, aiie iiaeooue aooe
aeei?enoai? ye ii?oieia?/i? e?eoa??? e?eoaaiiy ae?aceiai? oai?iae
oeoiea.

4. Canoinoaaiiy ?ic?iaeaiiai niiniao e?eoaaiiy ae?aceiai? oai?iae oeoiea
oa i?eno?ith aeey eiai aeei?enoaiiy (caoeuaiee iaoaioii Oe?a?ie), yeee
a?oioo?oueny ia ii?aeiaii? o?ce/ieo oaeoi??a oa i?noeaaei aeei?enoaiiyi
aeaea?a?io, ia o?eueee i?enei?th? caai?iiy ae?acee, a e caaacia/o?
i?enei?aiiy ?aaaia?aoi?ieo i?ioean?a a ?aiiueiio i?neyiia?aoe?eiiio
ia??iae?. Niin?a ? i?inoei, aeaoaaei, aacia/iei ? aoaeoeaiei, iiaea aooe
aeei?enoaiee a eiiieaeniiio e?eoaaii? ae?acee oeoiea, a oaeiae i?ney
iia?aoeaieo ao?o/aiue.

5. ?acoeueoaoe ?iaioe aeicaieythoue cai?iiiioaaoe aieiai? oeyoe
iioei?caoe?? e?eoaaiiy ae?aceiai? oai?iae oeoiea: — i?iaaaeaiiy ?aiiuei?
ae?aaiinoeee iaoneeaaeiaieo oi?i oeyoii oe?eani?yiiaaiiai ianoaaeaiiy
i?aee?oe?a oa i?aai?ciaaieo a?oi iieiae? c aeei?enoaiiyi oano?a ia
Helicobacter pylori; — i?e oneeaaeiaiiyo ae?aceiai? oai?iae oeoiea a
iaa?aeeeaaeieo oiiaao, ia??ai? c ?acaeoe?eieie niiniaaie o??o?a?/iiai
ao?o/aiiy, aeei?enoaiiy i?aaiicaa??aath/eo iaoiae?a, oiiaaie aeey yeeo ?
aio?aeueia eieae?caoe?y ae?acee oa a?aenooi?noue i?aeic?e ia
iae?ai?caoe?th; — i?noeaaa aeei?enoaiiy aeaea?a?io a ii?aeiaii? c
o?ce/ieie oaeoi?aie aeicaiey? iii?oii i?enei?eoe caai?iiy ae?acee, a
oaeiae ?aia?aoeai? i?ioeane i?ney iia?aoeaiiai ao?o/aiiy ia oeoieo.

NIENIE IAOEIAEO I?AOeUe, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??

1. Aaneeeoei ?.E. Ii?oi-ooieoeeiiaeueiua e?eoa?ee ea/aiey ycaaiiie
aiea-cie aeaeoaeea//A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1998. — ?18.
– N. 70-72.

2. Aaneeeoei ?.E. Iaeiiiiiaioiia eniieueciaaiea eaeioa?aiee e
EA*-iaeo/aiey aeieiae/anee aeoeaieo oi/ae a ea/aiee ycaaiiie aieacie
aeaeoaeea// A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1998. — ?22. – N.
102-104.

3. Aaneeeoei ?.E. Noaoenoe/aneee aiaeec ?ani?ino?aiaiiinoe ycaaiiie
aieacie aeaeoaeea ii aeaiiui aieaoe?iaaiey// A?niee i?iaeai a?ieia?? ?
iaaeeoeeie. – 1999. — ?2. – N. 42-44.

4. Aaneeeoei ?.E. Aecia/aiiy e?eoa???a aoaeoeaiino? e?eoaaiiy
o??o?a?/ieie ? oa?aiaaoe/ieie niiniaaie ae?aceiai? oai?iae
oeoiea//A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1999. — ?5. – N. 25-27.

5. Aaneeeoei ?.E. E?eoa??? aoaeoeaiino? e?eoaaiiy ae?aceiai? oai?iae
oeoiea o??o?a?/ieie niiniaaie//Oieoaeueia o??o?a?y.- 1999. -? 1.- N.
53-56.

6. Iaea?/oe A.E., Aaneeeoei ?.E., Aeaeeaei A.I., Ianoa?aiei Ae.A.,
Aa?acieoeeee A.ss. Ea/aiea ycaaiiie aieacie o aieueiuo, iiaeaa?aoeony
i?aaiinio?aiythuei iia?aoeaiui aiaoaoaeuenoaai//Aano?iaioa?ieia?y.
I?aea?aeii/ee ca??iee, i?enay/aiee 20-??//th eaoaae?e aano?iaioa?ieia??
Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii? aeaaeai??. —
Aei?i?iiao?ianuee, 1999. – aei. 28. – N. 201-205.

7. Aaneeeoei ?.E., Iaea?/oe A.E., Aeaeeaei A.I., Ianoa?aiei Ae.A.
Iioeiecaoeey iaoiaeia ea/aiey ycaaiiie aieacie o eeoe, ia?aianoeo
i?aaiinio?aiythuea iia?aoeee //Aano?iaioa?ieia?y. I?aea?aeii/ee ca??iee,
i?enay/aiee 20-??//th eaoaae?e aano?iaioa?ieia?? Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai??. — Aei?i?iiao?ianuee, 1999. – aei. 29. –
N. 15-17.

8. Aaneeeoei ?.E. Ii??aiyeueia oa?aeoa?enoeea aoaeoeaiino? e?eoaaiiy
ae?aceiai? oai?iae oeoiea o??o?a?/ieie niiniaaie//Aoeiaeinueeee
iaaee/iee a?niee. — *a?i?aoe?, 1999. — ?2. – N. 65-72.

9. Aaneeeoei ?.E. Yooaeoeaiinoue oece/aneeo iaoiaeia ea/aiey ycaaiiie
aieacie aeaeoaeea//Iao. iaoeiaeo i?aoeue ?ani. iaoe.-i?aeo. eiio.
“Aeinyaiaiiy oa iaae??oai? ieoaiiy aano?iaioa?ieia??. – Oa?e?a, 1998. –
N. 29.

10. Aeanyoa?ee A.?., Aaneeeoei ?.E. Caaaeueii-ee?i?/i? aniaeoe ianeaieo
oeoieiai-eeoeiaeo e?iaioa//Ca. ?ia?o iaeoiai? eiio., i?ena. 25-??//th
OII AeAeIA “Aeooaeuei? i?iaeaie i?neyaeeieiiii? ina?oe”. – E?eaee ??a,
1998. – N. 69-71.

11. Aaneeeoei ?.E. Ioe?iea ?acoeueoao?a e?eoaaiiy ae?aceiai? oai?iae
oeoiea , oneeaaeiaii? e?iaioa/ath/ Ca. ?ia?o iaeiai? eiio., i?ena.
25-??//th OII AeAeIA “Aeooaeuei? i?iaeaie i?neyaeeieiiii? ina?oe”. –
E?eaee ??a, 1998. – N. 73-74.

12. Aaneeeoei ?.E. Ii?oieiae/aneea e?eoa?ee eniieueciaaiey oece/aneeo
oaeoi?ia aeey ea/aiey ycaaiiie aieacie aeaeoaeea/Ca. iaoe. i?aoeue ??
Iaoe?iiaeueiiai eiia?ano aiaoii?a, a?noieia?a, aia??ieia?a ?
oiiia?aoiaiaoii?a Oe?a?ie “Aeooaeuei? ieoaiiy ii?oieia??”. Eoaainuee,
16-19 aa?aniy 1998 ?. – Eoaainuee, 1998. – N. 36-37.

13. Aeanyoa?ee A.E., Oaae/aiei I.I., Aaneeeoei ?.E. Eniieueciaaiea
ieneyoeee?aoiaea aeey ei??aeoeee iinoaaii??aae/aneiai neiae?iia o
aieueiuo ineiaeiaiiie ycaaiiie aieaciueth//O?oaeu E?uineiai iaae.
oieaa?neoaoa ei. Aai?aeaaneiai. — Neioa?iiieue, 1999. – O.135. – *. O. –
N. 72-77.

AIIOAOe?ss

Aaneeeoei ?.E. Ee?i?ei-ii?oieia?/ia iaa?oiooaaiiy iaoiae?a iioei?caoe??
e?eoaaiiy ae?aceiai? oai?iae oeoiea. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.03. – o??o?a?y. – Aei?i?iiao?ianueea
aea?aeaaia iaaee/ia aeaaeai?y, Aei?i?iiao?ianuee, 1999.

Aeena?oaoe?y i?enay/aia ieoaiiyi ae?aceiai? oai?iae oeoiea ethaeae
??cieo a?eiaeo a?oi oa aenia?eiaioaeueieo oaa?ei – uo??a. A ?iaio? aoa
i?iaaaeaiee aiae?c ?iciianthaeaeaiino? ae?aceiai? oai?iae oeoiea na?aae
ianaeaiiy, noaio ee?i?ei-i?aai?caoe?eieo caoiae?a uiaei iaaeaiiy
ae?aaiinoe/ieo oa e?eoaaeueieo iineoa a iie?ee?i?/ieo oa noaoe?iia?ieo
caeeaaeao. Aeeeaaeai? aeai? i?i aieea ao?ieia?/ieo /eiiee?a ia aeacaio
iaoieia?th oa ?? oneeaaeiaiiy. I?iaaaeaia ii??aiyeueia oa?aeoa?enoeea
aoaeoeaiino? ?? e?eoaaiiy ?acaeoe?eieie oa i?aaiicaa??aath/eie
niiniaaie. I?aaenoaaeai? e?euee?ni? aeai? i?i iiceoeaiee aoaeo a
?aaaia?aoe?? ae?aceiaiai aeaoaeoo i?e ii?aeiaii? c aeaeo?ioi?acii 0,1%
?ic/eio aeaea?a?io c EO*-aei?ii?ithaaiiyi ia a?ieia?/ii-aeoeai? oi/ee oa
ciie Caoa?(?ia-Aaaea. Iniiai? ?acoeueoaoe ?iaioe aoaeooue ei?enieie aeey
o??o?a?a, aano?iaioa?ieia?a.

Eeth/ia? neiaa: ae?aceiaa oai?iaa, ae?acea, oeoiie, ?aaaia?aoe?y,
?acaeoe?y, EO*-aei?ii?ithaaiiy.

AIIIOAOeEss

Aaneeeoei ?.E. Eeeieei-ii?oieiae/aneia iainiiaaiea iaoiaeia
iioeiecaoeee ea/aiey ycaaiiie aieacie aeaeoaeea. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.03 – oe?o?aey. – Aeiai?iiao?ianeay
ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey, Aeiai?iiao?iane, 1999.

Aeenna?oaoeey iinayuaia aii?inai ycaaiiie aieacie aeaeoaeea ethaeae
?aciuo aic?anoiuo a?oii e yenia?eiaioaeueiuo aeeaioiuo – e?un. A ?aaioa
aue i?iaaaeai aiaeec ?ani?ino?aiaiiinoe ycaaiiie aieacie aeaeoaeea
n?aaee ianaeaiey, ninoiyiey eeeieei-i?aaiecaoeeiiiuo ia?ii?eyoee,
eanathueony iaania/aiey aieueiuo aeeaaiinoe/aneeie e ea/aaiuie oneoaaie
a oneiaeyo iieeeeeiee, noaoeeiia?ia. Iieacaii, /oi iaeaieaa
iiaeaa?aeaiiuie ycaaiiie aieacie aeaeoaeea yaeythony ioae/eiu a aic?anoa
40-49 eao e aeaiueiu 30-39 eao. Oa?aeoa?enoeeie yoeieiae/aneeo oaeoi?ia
onoaiiaeaii, /oi aeey aieueoeinoaa aic?anoiuo a?oii oaeoi?ii aeeyiey ia
o?iaaiue e no?oeoo?o ?ani?ino?aiaiiinoe iaoieiaee i?aaiia
ieuaaa?eoaeueiie nenoaiu anoue oooaeoaiiia ninoiyiea ieoaiey. A
/anoiinoe, aieueoeinoai iaineiia?ia no?aaeaao ycaaiiie aieaciueth
aeaeoaeea eiaiii aeaaiaea?y oeacaiiiio oaeoi?o. Aeeyiea naiaeiuo
eiioeeeoia /aua eiaei ianoi, eae yoeieiae/aneee oaeoi? aeey
aicieeiiaaiey ycaaiiie aieacie aeaeoaeea e aa ineiaeiaiee, n?aaee
ioae/ei ?aai/eo 40-49 eao, a iai?yaeaiiue oinoaaiiue o?oae – n?aaee
aeaiuei neoaeaueo 20-29 eao e 40-49 eao. Nouanoaaiiue ?ino iaaaoeaiiai
aeeyiey i?iecaiaenoaaiiuo oaeoi?ia aue ioia/ai i?e noaaea 3-5 eao, a
iaeneiaeueiiai cia/aiey iie aeinoeaaee i?e noaaea 11 eao. N?aaee
niioonoaothueo caaieaaaiee, eioi?ua oooaeoaee ninoiyiea caei?iauey
aieueiuo, o?aaiaaee aeiiieieoaeueiuo aeeaaiinoe/aneeo e ea/aaiuo
ia?ii?eyoee, auee o?iie/aneee iaie?aaoeo, oee??ic ia/aie, o?iie/aneee
oieaoeenoeo, eieeo e ae?oaea. Aiaeec ineiaeiaiee ycaaiiie aieacie
aeaeoaeea iicaieee onoaiiaeoue, /oi eiee/anoai aieueiuo n i?iaiaeiie
ycaie oaaee/eeinue, aeinoeaay a 1998 a. 7,9%. Iauay aeeiaieea aieueiuo n
ycaaiiuie e?iaioa/aieyie ca ia?eiae 1994-1998 a.a. eiaea oaiaeaioeeth e
oiaiueoaieth, iaeiaei eo oaeaeueiue aan n?aaee iauaai /enea ycaaiiuo
aieueiuo oaaee/eeny ia 1,9%. I?iaaaeaia n?aaieoaeueiay oa?aeoa?enoeea
yooaeoeaiinoe ea/aiey ycaaiiie aieacie aeaeoaeea ?acaeoeeiiiuie e
i?aaiinio?aiythueie niiniaaie. Aiaeec ioaeaeaiiuo ?acoeueoaoia
onoaiiaee, /oi n?iee iao?oaeiniiniaiinoe iinea i?iaaaeaiey
i?aaiinio?aiythueo iia?aoeee auee a 2,5 ?aca iaiueoeie, /ai iinea
?acaeoeeiiiuo aiaoaoaeuenoa. I?iaaaeaiea iineaaeieo i?eaaei e
iaiaoiaeeiinoe niaiu i?ioanneiiaeueiie aeayoaeueiinoe a 4 ?aca aieueoa,
/ai iinea i?iaaaeaiey i?aaiinio?aiythueo iia?aoeee. Iaiaoiaeeiinoue
auoiaea ia eiaaeeaeiinoue auea a 3 ?aca aieueoae o aieueiuo iinea
i?iaaaeaiey ei ?acaeoeeiiiuo aiaoaoaeuenoa. I?aaenoaaeaiu eiee/anoaaiiua
aeaiiua i iieiaeeoaeueiii aoaeoa a ?aaaia?aoeee ycaaiiiai aeaoaeoa a
niaaeeiaiee n aeaeo?ioi?acii 0,1% ?anoai?a aeaea?aeia e EA*-iaeo/aieai
aeieiae/anee-aeoeaiuo oi/ae e cii Caoa?ueeia-Aaaea. A ?acoeueoaoa
oeacaiiiai ea/aiey o anao enneaaeoaiuo aieueiuo en/acee yaeaiey ino?iai
oaeeeiaaeoa?iiai ainiaeaiey. A aeiioaoao eiaei ianoi nouanoaaiiia
ineaaeaiea i?eciaeia ainiaeeoaeueii-aeeno?ioe/aneeo eciaiaiee:
oiaiueoaiea iieeii?oii-eeaoi/iie eioeeueo?aoeee, ionoonoaea a iae
iaeo?ioeeia, yiceiioeeia, oiaiueoaiea aaeoieecaoeee ieei?e/aneeo aeaeac.
Nouanoaaiii nieceeinue /enei aieueiuo n aieaaui, aeeniaioe/aneei
neiioiiii, iaeueiaoi?iie aieaciaiiinoueth e neiioiiii Iaiaeaey.
Yiaeineiie/aneia enneaaeiaaiea ycaaiiuo aieueiuo /a?ac 14-18 nooie
iieacaei, /oi caaeeaeaiea ycau ii?aaeaeyeinue o 100% iaoeeaioia n
inoaiiaeaiiui e?iaioa/aieai e 92% aieueiuo n ?aoeeaeeaaie ycau.
I?iaaaeaiiia yenia?eiaioaeueiia enneaaeiaaiea ia aaeuo aanii?iaeiuo
e?unao naeaeaoaeuenoaoao i oii, /oi iaeaieaa noaaeeueiuie e
iieacaoaeueiuie ii?oieiae/aneeie oa?aeoa?enoeeaie ?aaaia?aoeee ycaaiiiai
aeaoaeoa auee iieacaoaee ieiuaaee e aeoaeiu ycau, iaee/ea ioaea e
oi?ie?iaaiea ?oaoea. Ia iee?ineiie/aneii o?iaia – yoi iieacaoaee
iauaiiie ieioiinoe eaieeey?ia, ?acia?ia eeaoie iie?iaiiai, aeaeacenoiai
yieoaeey, eo yaea?. Auoaoeacaiiua i?eciaee iiaoo auoue eniieueciaaiu eae
ii?oieiae/aneea e?eoa?ee ioeaiee yooaeoeaiinoe i?ioeaiycaaiiiai ea/aiey.
Yenia?eiaioaeueiia eco/aiea iniaaiiinoae ?aaaia?aoeee eneonnoaaiiiai
ycaaiiiai aeaoaeoa o e?un, i?e eniieueciaaiee oe?o?ae/aneiai niiniaa,
iauaaeeiaiiiai n EA*-eceo/aieai aeeaiaciiii 53,53 AAoe,
naeaeaoaeuenoaoao i aai aunieie yooaeoeaiinoe e noeioee?othuae ?iee
iineaaeiaai. Oae, eniieueciaaiea oieueei oe?o?ae/aneiai niiniaa n
aaaioiieae iaania/eei ia/aei iieiaeeoaeueiuo ?aaaia?aoi?iuo eciaiaiee ia
7 nooee yenia?eiaioa. Ia/eiay n yoiai n?iea, eiaei ianoi oiaiueoaiea
aeoaeiu e ieiuaaee ycaaiiiai aeaoaeoa, ii?iaeecaoeey iieacaoaey
ieioiinoe eaieeey?ia, nouanoaaiiia nieaeaiea noaiaie iaaooaiey eeaoie
iie?iaiiai e aeaeacenoiai yieoaeey, noaoenoe/anee aeinoiaa?iia nieaeaiea
iauaia yaea? oeacaiiuo eeaoie. Iauaaeeiaiea oe?o?ae/aneiai ea/aiey n
naainaie EA*-eceo/aiey n aeeaiaciiii 53,53 AAoe iaania/eei aeinoiaa?iia
oiaiueoaiea oeacaiiuo iieacaoaeae, ia/eiay n 5 nooie yenia?eiaioa.
Iniiaiua ?acoeueoaou ?iaioe aoaeoo iieaciuie aeey oe?o?aia,
aano?iyioa?ieiaia.

Eeth/aaua neiaa: ycaaiiay aieaciue, ycaa, aeaeoaeie, ?aaaia?aoeey,
?acaeoeey, EA*-eceo/aiea.

R.I.Vasilishin. Clinico-morphologic basing of treatment optimization
methods in case of stomach peptic ulcer – Manuscript.

Thesis for a higher medical degree on a speciality 14.01.03 – Surgery.
Dniepropetrovsk State Medical Academy, Dniepropetrovsk. 1999.

The dissertation is devoted to the problems of peptic ulcer of stomach
in patients of different age groups and experimental animals – rats. The
analysis of peptic ulcer of stomach spreading among population and the
condition of clinico-organizing measures concerning providing of
diagnostic and medical services in out-patient and in-patient
departments was investigated in this research. Data about etiologic
influence to the mentioned pathology and its complication have been
expounded. Comparative description of efficiency of its treatment with
the help of resectional and saveorganic methods has been made.
Quantitative data about positive effect in regeneration of ulcerative
defect in connection with 0.1% solution of dalarginum with low-frequency
radiation into biologically active foci and Zakharin – Head area were
demonstrated. The basic results of dissertation will be useful for
surgeons and gastroenterologists.

Key-words: peptic ulcer, ulcer, stomach, regeneration, resection,
low-frequency radiation.

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