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Клініко-параклінічна характеристика віддалених результатів ‘хімічної екзогенної інтоксикації’: Автореф. дис… канд. мед. наук / Н.М. Шевчук, Ін-т пед

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

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

OAA*OE IAOAE?ss IE?II?AIA

OAeE:616.594.141-0.71-0.8..504.2 /477.85/

EE?I?EI-IA?AEE?I?*IA OA?AEOA?ENOEEA A?AeAeAEAIEO

?ACOEUeOAO?A “O?I?*II? AECIAAIII? ?IOIENEEAOe??”

– iaae?ao??y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a -1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Iaoeiai-aeine?aeiiio ?inoeoooo
iaaeeei-aeieia?/ieo i?iaeai IIC Oe?a?ie, i.*a?i?aoe?

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani? Aac?oeia Eaii?ae
Ieaen?eiae/, caa?aeoaa/ eaoaae?e aeeoy/eo oai?ia ?1
Aoeiaeinueei? aea?aeaaii? iaaee/ii? aeaaeai?? IIC
Oe?a?ie

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani? Oa?aoianueeee Ie?ii
Eaca?aae/ – caneoaeaiee ae?y/ iaoee Oe?a?ie, ea??aiee eaai?aoi???
iaoieia?/ii? o?c?ieia?? ? ee?i?/ii? oa?iaeieia?? ?inoeoooo Iaae?ao???,
aeooa?noaa oa a?iaeieia?? AII Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani? Aa?aaeiee Ay/aneaa Aieiaeeie?iae/ –
caa?aeoaa/ eaoaae?e iaae?ao??? ?2 Ee?anueei? aeaaeai?? i?neyaeeieiiii?
ina?oe ?i. I.E.Ooieea IIC Oe?a?ie

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.
I.I.Aiaiiieueoey IIC Oe?a?ie, eaoaae?a aeeoy/eo oai?ia ?2, IIC Oe?a?ie
i. Ee?a.

Caoeno a?aeaoaeaoueny “ 14 ” aa?aniy 1999 ?ieo i 13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.26.553.01 ?c caoenoo
aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ii
niaoe?aeueiinoyi “Iaae?ao??y”, “Aeooa?noai ? a?iaeieia?y” i?e ?inoeooo?
iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie (252050, i.Ee?a, aoe.
Iaio?euenueeiai,8).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? ?inoeoooo
iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie (252020, i.Ee?a,
aoe.Iaio?euenueeiai,8).

Aaoi?aoa?ao ?ic?neaiee “ 19 ” o?aaiy 1999 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee
E.A.Eaaoi?ia

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Aaaaoi/enaeuei? aeai? e?oa?aoo?e
na?ae/aoue i?i ??no caoai?thaaiino? ae?oae i?e iani?eyoeeaeo oiiaao
aeiae?eey [Aaa?eia A.E. e ae?., 1992 ., Eoe`yiiaa I.I., 1993.,
Bertazze P.A. et al., 1989., Bullinger M., 1989., Hoqan M.D.,
ct. al., 1990], no?oeoo?a yei? neeaaea?oueny ?c aaea a?aeiieo
iicieia?/i?eo oi?i [Iiaeeiaa A.I.1991,, Coaa?aiei I.A., 1993.,
Eooi?? ?.A., 1994., Aoeaoiaa A.I., 1994., Philip-Joet F.,1990.,
Helfenstein U. et al., 1991?]. ?ic?iaeai? i?eioeeie e?eoaaiiy oa
i?io?eaeoeee aeicaeaaeieo caoai?thaaiue aacothoueny ye ia i?eioeeiao
i?aeaeuaiiy ?acenoaioiino? i?aai?cio aei ae?? enaiia?ioee?a, oae ?
e?eoaaiiy aaea a?aeiieo iicieia?e [Oa?aoianueeee I.E.,1985., Aeaieniaa
I.O., 1993., Aeiioeiaa E.I., 1993., Coaa?aiei I.A., Kashimoto
T., 1989., Numan I.T., 1990., Packer L., 1991]. Aea a inoaii?e
/an a?aei?/aii iiyao iiaeo, iaa?aeiieo ?ai?oa
caoai?thaaiue

[ AIIC, AEaiaaa, 1992., Aaeueoeuaa TH.A.,1993], i?eeeaaeii yeeo
iiaea aooe “o?i?/ia ?ioieneeaoe?eia aeiiaoe?y” – “O?A” (yea ca
i?noeai ?? i?iyao oiiaii iacaaia “*a?i?aaoeueea o?i?/ia oai?iaa”-
“*OO”) [Ca?a?ii Ae.Ae.,1998]. I?e/eia ?? aeieeiaiiy aei
nueiaiaei?oiueiai aeiy caeeoa?oueny iaa?aeiiith [Oaoi/aiei
A.E.,1992., Eieineiaa I.E., 1995], a iane?aeee ua iaaeinoaoiuei
aea/ai?. Oi?eaeuei?noue oeueiai caoai?thaaiiy iaoiiaeea aeioe?euei?noue
iiaoaeiae e?eoaaeueii-?aaa?e?oaoe?eieo caoiae?a, aeei?enoiaoth/e
i?eioeeie i???ioaoe?? ia oai?iao [AIIC AEaiaaa, 1990], c a?aooaaiiyi
?acoeueoao?a ee?i?/iiai aoaiiiai ianoaaeaiiy.

Aeoiaey/e c aeuaaeacaiiai, iaie i?iaaaeaii aaaaoi??/ia
eaoaiianoe/ia niinoa?aaeaiiy ca ae?oueie, ye? ia?aianee “*OO” c
iaoith ioe?iee aoaeoeaiino? aeeniaina?iiai niinoa?aaeaiiy ca oe??th
a?oiith ae?oae, ui iiaea aooe aeei?enoaii aeey e?eoaaiiy iiae?aieo
caoai?thaaiue [AIIC, AEaiaaa,1992].

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie. Aeena?oaoe?eia ?iaioa
aeeiiaia a iaaeao eiiieaenieo oai iaoeiai-aeine?aeiiai ?inoeoooo
iaaeeei-aeieia?/ieo i?iaeai (IAe? IAI) IIC Oe?a?ie “ Eiiieaenia
ee?i?ei-a?a??i?/ia ioe?iea aeieia?/ii caeaaeii? iaoieia?? ia i?eeeaae?
?ioieneeaoe?eii? oa ina?aaeeiai? aeiiaoe?? o ae?oae i.*a?i?aoe? oa
iaeano?” (iiia? ?a?no?aoe?? 0193UO17668) oa “?ic?iaea eiioeaioe??
aeieia?/ii caeaaeii? iaoieia?? o ae?oae” (iiia? ?a?no?aoe??
?A01000019?), a oaeiae eiiieaenii? oaie Aoeiaeinueei? aea?aeaaii?
iaaee/ii? aeaaeai?? “Anaa?/ia aea/aiiy “o?i?/ii? ?ioieneeaoe?? c
neiae?iiii oioaeueii? aeiiaoe?? o ae?oae i.*a?i?aoe?” (iiia?
?a?no?aoe?? 0193UO41961).

Iaoa ?iaioe: oaeineiiaeaiiy aoaiieo e?eoaaeueii-?aaa?e?oaoe?eieo
caoiae?a ia iniia? aaaaoi??/iiai ee?i?ei-ia?aee?i?/iiai iii?oi?eiao
ca ae?oueie, ye? ia?aianee “*a?i?aaoeueeo o?i?/io oai?iao”.

Caaea/? aeine?aeaeaiue:

1. Ia i?aenoaa? ee?i?ei-ai?aeai?ieia?/iiai aiae?co c aeei?enoaiiyi
aeiaaio?eaaeiai ee?i?/iiai iii?oi??iao noaio nenoai oa i?aai?a, ui
caciaee iaea?eueo ae?aaeaieo iioeiaeaeaiue, aeyaeoe ee?i?ei-ia?aee?i?/i?
iniaeeaino? ia?aa?ao “*OO” a aino?iio ia??iae? caoai?thaaiiy.

2. A i?ioean? aeeniaina?iiai niinoa?aaeaiiy aecia/eoe ?ecee o?aaeaiiy
i?aai?a aeeoaiiy aaiaoia?e?a?ii? oa aaaaoaoeaii? ia?aiai? nenoai,
iieaciee?a ?ioiieia?/iiai noaio ? aeoeaiino? nenoaie IIE/AINC.

3. Aeoiaey/e ?c ?acoeueoao?a eiiieaeniiai ianoaaeaiiy ?ic?iaeoe
?iaeea?aeoaeuei? ?aaa?e?oaoe?ei? caoiaee c iine?aeoth/ith ioe?ieith ?o
aoaeoeaiino? oa aoaiiith ei?aeoe??th.

Iaoeiaa iiaecia ?iaioe. Aea/aii iniaeeaino? ia?aa?ao “o?i?/ii?
aeciaaiii? ?ioieneeaoe??” a i?ioean? aaaaoi??/iiai aeeniaina?iiai
niinoa?aaeaiiy ca ae?oueie, ye? ia?aianee oea caoai?thaaiiy.

A?aei?/aii, ui iaea?eueo /anoi iaoieia?/i? ci?ie o
?aeiiaaeanoeaio?a “OA?” ia aoaiao aeeniaina?ecaoe?? a?aei?/aeenue
c aieo i?aai?a aeeoaiiy, aaiaoia?e?a?ii?, aaaaoaoeaii? ia?aiai?
oa ?ioiii? nenoai, a oaeiae a nenoai? aioeieneaeaioiiai caoenoo.
Aeyaeaii, ui caoai?thaai?noue oa iioe?ai?noue aeacaii? iaoieia??
o ae?oae, ye? ia?aianee “*OO” ia an?o aoaiao aeeniaina?iiai
niinoa?aaeaiiy aoea aeua, i?ae a iiioeyoe?? ?o ?iaaniee?a.

Aia?oa ia iniia? aeiaaio?eaaeiai ee?i?/iiai iii?oi?eiao ca
a?oiith ?aeiiaaeanoeaio?a OA? aeyaeaii aoaeoeai?noue canoiniaaiiai
e?eoaaiiy a aino?iio ia??iae? caoai?thaaiiy. I?e oeueiio
anoaiiaeaii, ui iaea?eueo aeioe?eueiei a oeae ia??iae ?
canoinoaaiiy eiiieaeno i?aia?ao?a – aeueoa- oieioa?ieo, oi?o?ieo,
anaioe?aea, aeoeaiaaiiai aoa?eey.

A?aoiaoth/e iiaoaeiaai? ia iniia? aaaaoioaeoi?iiai aiae?co i?iaiinoe/i?
iiaeae? caoai?thaaiue i?aai?a aeeoaiiy, aaiaoia?e?a?ii?, aaaaoaoeaii?
ia?aiai? nenoai, i?iaaaeai? a?aeiia?aei? e?eoaaeueii-i?io?eaeoe/i?
caoiaee, ye? ioe?ithaaeenue oa ei?aaoaaeenue iiaoaiii a oiae?
aeeniaina?iiai niinoa?aaeaiiy.

I?aeoe/ia cia/aiiy ?iaioe. Cai?iiiiiaaii a i?aeoeoe? e?ea??a –
iaae?ao??a aeei?enoiaoaaoe aeyaeai? oa?aeoa?i? ci?ie a ?ioiiiio
noaoon? (a?ae`?iiee ?aca?a i?e?ia?oeeaeii? aeoeaiino? iaeo?io?e?a
a e?ia?) oa nenoaie IIE/AINC (oa?iaioe aeooao?iiiaiai oeeeeo
a?eo?ioeeo?a) ye niaoeeo?/i? iieacieee ?eceeo ?icaeoeo iaoieia?/ieo
i?iya?a o ?aeiiaaeanoeaio?a “*OO”.

Aeyaeaii, ui ?aeiiaaeanoeaioe “*OO” ? eiai?oith i?aeaeuaiiai
?eceeo o?ii?/ii? iaoieia??, yea ?icaeaa?oueny a iine?aeoth/iio
i?ney eaoaioiiai ia??iaeo oyaiiai aeaaiiieo//y, o ca`yceo c /ei
aiie i?aeeyaathoue niinoa?aaeaiith iaa?oue i?e a?aenooiino? o ieo
iaoieia?/ieo ci?i.

A?aeiia?aei? e?eoaaeueii-icaei?ia/? caoiaee aeioe?eueii i?iaiaeeoe
ye a aino?iio ia??iae? caoai?thaaiiy, oae ? ia aoaiao
?aaa?e?oaoe?? c a?aeiia?aeiith ei?aeoe??th ?o c o?aooaaiiyi
?iaeea?aeoaeueieo iniaeeainoae ?aaeoe?? i?aai?cio ia
iaaeeeaiaioici? (aeia/ia?ii?, aaiaoii?ioaeoi?i?, a?oai?ii?,
?ioiiei?eaoth/? i?aia?aoe) oa iaiaaeeeaiaioici? (o?c?ioa?aiaaoe/ia
e?eoaaiiy, o?oioa?ai?y, i?ia?aeuei? aiaee) caniae.

Ia i?eeeaae? oai?eo, ye? ia?aianee “OA?”, anoaiiaeaii, ui c naieo ?aii?o
aoai?a oeueiai caoai?thaaiiy aeioe?eueiei ? i?ecia/aiiy eiiieaeno
i?aia?ao?a aioeieneaeaio?a, ni?aaio?a, oa aaiaoii?ioaeoi??a (oi?o?ieo,
aeueoa-oieioa?ieo, anaioe?aea, aeoeaiaaiiiai aoa?eey).

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe. ?acoeueoaoe i?iaaaeaiiiai
aeine?aeaeaiiy ai?iaaaeaeai? o i?aeoeeo e?eoaaeueii-i?io?eaeoe/ii?
?iaioe iaeanii? aeeoy/i? e?ea?i? oa i?nueei? aeeoy/i? e?ea?i?
i.*a?i?aoe?, *a?i?aaoeueeiai iaeaniiai aeeoy/iai
?aae?aoe?eii-aeieia?/iiai aeeniaina?o, iaeanii? aeeoy/i? e?ea?i?
i.Oaeai?iae, iaeanii? aeeoy/i? e?ea?i? i.Iaeana.

Iniaenoee aianie caeiaoaa/a. Caaacia/ai? i?aai?caoe?ei? caoiaee ii
eiiieaeniiio aeeiiaiith ieaio aeeniaina?iiai niinoa?aaeaiiy ca
ae?oueie, ye? ia?aianee “*OO”. I?iaaaeaii eaoaiianoe/ia aeine?aeaeaiiy
/anoioe caoai?thaaiiue i?aai?a aeeoaiiy, aaiaoia?e?a?ii? oa
aaaaoaoeaii? ia?aiai? nenoaie o 90 ?aeiiaaeanoeaio?a “*OO” a
caeaaeiino? a?ae canoiniaaiiai a aino?ee ia??iae caoai?thaaiiy
e?eoaaiiy. Aea/ai? aeai? eiiieaeniiai ee?i?ei-ia?aee?i?/iiai
ianoaaeaiiy iino?aaeaeaeeo ye a aino?ee ia??iae caoai?thaaiiy,
oae ? i?e ?oa?aeiiio ianoaaeaii? a 1992 ?ioe? oa a oiae?
aeeniaina?iiai iaaeyaeo. C iaoith aea/aiiy aoaeoeaiino?
e?eoaaeueieo caoiae?a a aino?iio ia??iae? caoai?thaaiiy cae?eniaia
ioe?iea ci?i iieaciee?a eeniaaicaeaaeiiai iaoaaie?cio
iaeo?io?eueieo a?aioeioeeo?a e?ia? oa aeoeaiino? oa?iaio?a nenoaie
aeooao?iio. I?iaiae?ciaai? aeai? uiaei iiaeeeaiai aieeao ia
c?inoaiiy iieaciee?a caoai?thaaiino? i?aai?a aeeoaiiy,
aaiaoia?e?a?ii? ? aaaaoaoeaii? ia?aiai? nenoaie oe?aeeeaeo oiia
iaoeaiiy ae?oae (??aaiue caa?oaeiaiino? a?oioo nieyie aaaeeeo
iaoae?a oa ?aae?iioee?ae?a). ?ic?iaeaiee eiiieaen
e?eoaaeueii-icaei?ia/eo caoiae?a o ae?oae ?aeiiaaeanoeaio?a “*OO”
c caoai?thaaiiyie i?aai?a aeeoaiiy, ia?aiai? oa aaiaoia?e?a?ii?
nenoai, neeaaeai? ?iaeea?aeoaeuei? ieaie ?aaa?e?oaoe??, i?iaaaeaia
aoaiia ioe?iea ?o aoaeoeaiino?. Aeyaeaiee ca`ycie i?ae
oi?ioaaiiyie aiaieu o?ii?/ii? ?ioaeoe?? iiniaeioee, caoai?thaaiiyie
aaiaoia?e?a?iiai o?aeoo, aaaaoaoeaii? ia?aiai? nenoaie oa noaiii
eeniaaicaeaaeiiai iaoaaie?cio iaeo?io?e?a oa aeooao?iiiai? nenoaie
a?eo?ioeeo?a e?ia? oa iiaoaeiaai? i?iaiinoe/i? iaoaiaoe/i? iiaeae?
aeacaii? iaoieia??. Cae?eniaiee aiae?c an?o ?acoeueoao?a
aeeniaina?iiai niinoa?aaeaiiy oa ?o noaoenoe/ia ia?iaea.

Ai?iaaoe?y ?iaioe. Iaoa??aee aeena?oaoe?? i?aaenoaaeai? ia
Ananithci?e iaoeiai-i?aeoe/i?e eiioa?aioe?? c o/anoth ?iicaiieo
oao?aoe?a a i.*a?i?aoe? (1990), iaoeiai-i?aeoe/i?e eiioa?aioe?? a
i.Oa?iiiie? (27-28 aeiaoiy 1992?.), ?O c’?cae? aeeoy/eo e?ea??a Oe?a?ie
a i.Iaeana (1993), i?aeia?iaeiiio neiiic?oi? a i.*a?i?aoe? (1994),
iaoeiai-i?aeoe/ieo eiioa?aioe?yo, i?enay/aieo 120-??//th canioaaiiy
*a?i?aaoeueeiai aea?aeaaiiai oi?aa?neoaoo (1995) oa 75-??//th
Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo ioi?iie caei?ia`y
ae?oae oa i?aee?oe?a a i. Oa?eia? (1997).

Ioae?eaoe??. Iaoa??aee aeena?oaoe?? aeeeaaeai? a aeaa?
“I?neyiiaa” iiiia?ao?? Ae.Ae.Ca?a?ii oa A.I.Na?aethea “*a?i?aaoeueea
o?i?/ia oai?iaa” (Euea?a, 1998), 4 noaooyo oa 9 oacao.

Ia’i oa no?oeoo?a ?iaioe. ?iaioa neeaaea?oueny ?c anooio,
iaeyaeo e?oa?aoo?e, iienaiiy iaoa??ae?a oa iaoiae?a
aeine?aeaeaiiy, 2 ?icae?e?a aeanieo aeine?aeaeaiue, iaaiai?aiiy
io?eiaieo aeaieo, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e oa
iieacieea e?oa?aoo?e. Aeena?oaoe?y aeeeaaeaia ia 229 noi??ieao
eiii`thoa?iiai ae?oeo, ?ethno?iaaia 45 oaaeeoeyie oa 9 iaethieaie,
ye? caeiathoue 15 noi??iie. A?ae?ia?ao?y aeeth/a? 290 e?oa?aoo?ieo
aeaea?ae, ye? caeiathoue 29 noi??iie, ?c ieo 101 ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Ia’?i oa iaoiaee aeine?aeaeaiiy. C 1988 ii 1996 ??. aeeth/ii
i?iaaaeaiee ee?i?/iee iii?oi?eia ca noaiii caei?ia`y 90 ae?oae,
ye? ainaie 1988 ?. ia?aianee iaa?aeiia caoai?thaaiiy, ui
iai?oanooaaei ?aioiaith aeeoociith aeiiaoe??th, ineoiiaa?ieia?/ieie
?iceaaeaie, eaoa?aeueieie ci?iaie aa?oi?o aeeoaeueieo oeyo?a, yea
oiiaii iacaaii “o?i?/iith aeciaaiiith ?ioieneeaoe??th” (“OA?”)
aai, ca i?noeai i?iyao, “*a?i?aaoeueeith o?i?/iith oai?iaith “.
Aoaeoeai?noue aeeniaina?iiai niinoa?aaeaiiy ioe?ithaaeanue iiaoaiii
a oiiaii aeae?eai? ia??iaee – aino?ee ia??iae (c iiiaioo i?iyao
“*OO” aei a?aeiiaeaiiy ?inoo aieinny), a?aeiiaethth/ee ia??iae
(1989-1991), iiaeeaeaiiai ?oa?aeiiai ianoaaeaiiy (1992?.), ca
?acoeueoaoaie yeiai aoee ai?iaaaeaeai? ?iaeea?aeoae?ciaai?
e?eoaaeueii-?aaa?e?oaoe?ei? caoiaee, aoaiia ioe?iea aoaeoeaiino? oeeo
caoiae?a i?iaiaeeeanue a 1994 ?., a caeeth/ia – a 1996 ?. I?e
oeueiio canoiniaoaaee iaoiae “aeiaaeie-eiio?ieue” ?c aeio?eiaiiyi
iniiaieo i?aaee aeiaaeeiai? aea??ee i?e oi?ioaaii? a?oi (?o
ni?anoaaeai?noue, i?iaaaeaiiy e?eoaaiiy a iaeei ? oie aea /an,
iaeiicia/iinoue e?eoa???a caoai?thaaiiy, e?eoaaiiy oa eiai
aoaeoeaiino? [R.N. Fletcher et al., 1982]).

Aeoiaey/e c oiai, ui a aino?ee ia??iae “*OO” oai??
io?eioaaee ??ci? aa??aioe e?eoaaiiy, aoei noi?iiaaii 2 ee?i?/i?
a?oie niinoa?aaeaiiy,. Ia?oo a?oio noi?ioaaee 80 ae?oae, ye? a
aino?ee ia??iae “*OO” io?eioaaee aacenia e?eoaaiiy oa eiiieaen
i?aia?ao?a: anaioe?aea, oi?o?ie, aeueoa-oieioa?ie, aeoeaiaaia
aoa?eey). Aei ?? a?oie niinoa?aaeaiiy oa?eoee 10 oai?eo, yeei a
oeae aea ae ia??iae /ano aoei i?ecia/aii o?eueee “aacenia
e?eoaaiiy” (i?aai?caoe?y a?aeiia?aeiiai ?aaeeio ae??oioa?/oaaiiy,
iie?a?oai?ii? i?aia?aoe). Aoei a?aoiaaii, ui ? ee?i?/ia a?oia
?aeiiaaeanoeaio?a “*OO” a neeo ??cieo ianoaaei ca oa?aeoa?ii
e?eoaaiiy aoea iaiaeii??aeiith, oae ye 33 ?? i?aaenoaaieea
io?eiaee aanue eiiieaen i?aia?ao?a (?A i?aea?oia – “eiiieaen”),
16 oai?ei ?c canoiniaoaaee o?eueee anaioe?aea (?A i?aea?oia –
“anaioe?aea”), a 31 aeeoeia io?eioaaea oi?o?ie (?A i?aea?oia –
“oi?o?ie”).

Eiio?ieueieie ii a?aeiioaiith aei eaai?aoi?ieo iaoiae?a
ianoaaeaiiy oa ??aith caoai?thaaiino? aoee: a aino?iio ia??iae?
caoai?thaaiiy a 1988 ?. 52 i?aeoe/ii caei?ia? aeeoeie “Aoaeeieo
aeeoeie” i.*a?i?aoe?, a 1992 ?. – aeoiaaioe? aeeoy/eo
aeioe?eueieo onoaiia i?noa (1545 /ie.). a oaeiae 30 o/i?a
ia?oiai eeano oeiee-?ioa?iaoo aeey ne??o i.*a?i?aoe?, a i?e
ioe?ioe? aoaeoeaiino? ?aaa?e?oaoe?eieo caoiae?a (1994,1996??.) –
o/i? iaei??? ?c na?aaei?o oe?e i. *a?i?aoe? (1536 /ieia?e).

Aoea cae?eniaia eiiieaenia oa?aeoa?enoeea aeieia?/iiai noaio
i?noeue i?iaeeaaiiy ?aeiiaaeanoeaio?a “*OO” c ioe?ieith ai?noo
nieae aaaeeeo iaoae?a oa ?aae?iioee?ae?a a iia?o??, a?oio? oa
aiae?.

Ii?yae ?c caaaeueiiee?i?/ieie aeei?enoiaoaaee ianooii? iaoiaee
aeine?aeaeaiiy: a) ?ioiieia?/i? aeine?aeaeaiiy: oano iaeo?io?eueieo
a?aioeioeeo?a e?ia? c i?o?inei?i oa?acie??i (INO-oano) o niiioaiiiio oa
noeioeueiaaiiio aa??aioao ca iaoiaeii Park B.H. et al.(1968) o
iiaeeo?eaoe?? Eeeiiaa A.A. oa ni?aaao.(1968); oaaioeeoa?io aeoeai?noue
oa oaaioeeoa?ia /enei iaeo?io?euei?a e?ia? aecia/aee ca iaoiaeii
*a?iooaiei E.O.,Eiainiai? E.N. (1978); ?ioiiaeiaoe?ie ne?iaaoee e?ia?
eean?a G,M,A – ca Mancini G. et al.; A-?OE oa AAN-?OE – ca iaoiaeii
Jondal M. et al.,(1972) a iiaeeo?eaoe?? *a?iooaiei A.O. oa ni?aaao.
(1978); A-?OI-ca iaoiaeii Eiiao?ia I.A. ? ni?aaao.(1983); AAN-?OI – ca
Iao?iaei ?.A. oa ni?aaao. (1980); aecia/aiiy /ooeeaino? O-e?ioioeeo?a
aei oaio?e?io – ca Limatibul S. (1978); a) aecia/aiiy iieaciee?a
ia?aeeniiai ieeneaiiy e?i?ae?a (IIE) ne?iaaoee e?ia? oa aeooao?iiiai?
nenoaie a?eo?ioeeo?a e?ia?. ??aaiue iaeiiiaiai ae?aeueaeaa?aeo (IAeA) o
ieaci? e?ia? aecia/aee ca iioe/iei oanoii Aa?ao?aa o iiaeeo?eaoe??
Aiae?a?ai? E.?. (1988); ai?no a?aeiiaeaiiai aeooao?iio (GL-SH) o
a?eo?ioeeoao e?ia? – ca iaoiaeii O?aa?ii? I.A.(1955); aeoeaiino?
aeooao?iiia?ieneaeace (AI) o a?eo?ioeeoao e?ia? aecia/aee ca iaoiaeii
Ii?ia A.I. (1986); aeoeai?noue aeooao?ii-S-o?ainoa?ace (GL-S-T) o
a?eo?ioeeoao e?ia? – ca iaoiaeii Habig W.H.(1974); a) a?io?i?/ia
aeine?aeaeaiiy e?ia? i?iaaaeaii ia a?io?i?/iiio aiae?caoi?? “Ultra”
o??ie Kone (O?ieyiae?y), ?aaeoeae o??ie; a) ooieoe?iiaeuei?
aeine?aeaeaiiy: niiia?ao?/ia ianoaaeaiiy i?aai?a /a?aaii? ii?iaeieie,
na/iaeae?eaiiy oa ueoiiiae?aii? caeice i?iaiaeeee ia aia?ao?
“ALOCA-SSD-630” c eiiaaeniei ciiaeii ia 3,5 iAoe oa iaoai?/iei ciiaeii
ia 7,5iAoe; ae) oiion aaaaoaoeaii? ia?aiai? nenoaie aecia/aee ca
aaeueiith nenoaiith Aaeia A.I. oa ni?aaao. (1981)

Iaoaiaoe/iee aiae?c io?eiaieo aeaieo i?iaiaeeany c
aeei?enoaiiyi i?ia?ai aeey IE-54 (Eaaiia TH.E., 1993] oa iaeaoo
i?ia?ai “Statgraf” [A?eai?ueaa N.A., 1978] ia?aiao?e/ieie oa
iaia?aiao?e/ieie iaoiaeaie noaoenoeee ia eiii`thoa?? oeio ?AI, c
o?aooaaiiyi iaoiae?a ee?i?/ii? ai?aeai?ieia?? [ Fletcher
R.H.,1982].

?ACOEUeOAOE INIAENOEO AeINE?AeAEAIUe OA ?O IAAIAI?AIIss.

Aoea aenoiooa aeoiea, ui i?iaaaeaia a aino?ee ia??iae
“*OO” e?eoaaiiy iaei iaaiee aieea ia ia?aa?a oeueiai
caoai?thaaiiy aai eiai oneeaaeiaiue oa ?icaeoie ??ciiiai?oieo
iaoieia?/ieo i?ioean?a a a?eueo i?ciueiio ia??iae? niinoa?aaeaiiy.
Aeey i?aeoaa?aeaeaiiy oeueiai i?eiouaiiy aoee aea/ai? iniaeeaino?
caoai?thaaiino? ?aeiiaaeanoeaio?a “*OO” ia an?o aoaiao
aeeniaina?iiai niinoa?aaeaiiy (oaae.1).

Oaaeeoey 1 – ?iciianthaeaeai?noue iniiaieo caoai?thaaiue na?aae
?aeiiaaeanoeaio?a “*OO” o 1988-1996 ??. (%)

Iicieia?/i? oi?ie *anoioa aeiaaee?a (%)

?iee niinoa?aaeaiiy

1988 1989 1992 1994 1996

Aeeoociee cia (aeeoociee aiaeai?/iee cia, iiaycaiee c eiaeiith
iaaeinoaoi?noth -A 01.0) 1,1 5,5(3,8 16,6(3,9
22,2(4,4 27,7(4,7

ANAe (niiaoioi?ii? ?iceaaee F-45) 3,3(1,9 11,1( 3,3 38,9(5,1
20,0(4,2 17,7( 4,0

Anoaiiiaa?ioe/iee noai (iaa?anoai?y F-48) – 11,1( 3,3
3,6(2,2 8,9(3,0 6,6(2,6

O?ii?/iee oiicee?o (J-35) 13,3(3,5 12,2(3,4 18,8(4,1
20,0(4,2 13,3(3,5

Aaeaii?aei? aaaaoaoe?? (J-35.8) 12,2(3,4 20,0(4,2
24,4(4,5 23,3(4,4 13,3(3,5

*OO (a?iio?o, ia ooi/iaiee ye aino?ee aai o?ii?/iee J-40) 2,2( 1,6
10,0(3,1 8,9(3,0 2,3(1,6 –

Anoia ( J-45) 1,1 2,2 5,6(2,4 4,4(2,1

O?ii?/iee aano?iaeoiaeai?o (E 79.1) 6,8(2,6 6,8(2,6
3,3(1,9 6,6(2,9 10,0(3,1

O?ii?/iee oieaoeenoeo (E – 81.1) 23,3(4,5 28,8(4,7 38,8(5,1
33,3(4,9 36,6 (5,1

Aeene?iac?y aeia/iaea?ae. oeyo?a (E82.8) 6,6(2,2 8,0(4,7
14,4(1,5 33,3(4,9 36,6(5,1

Niaoeeo?/iee ?aaeoeaiee aaiaoeo (E-75.2) 6,8(2,6 6,8(2,6
6,8(2,6 – –

Ooieoe?iiaeueia caoai?th-aaiiy oeoieo (a?eue, eieae?ciaaiee o aa?oi?e
/anoei? aeeaioa E-10.1) 6,8(2,6 6,8(2,6 6,8(2,6
7,8(2,8 4,4(2,2

Iaa?iciiiae?aiee noai (ia?aici?noue E-45.0) 7,8(2,8 33,3(4,9
33,3(4,9 5,6(2,4 5,6(2,4

I?ei?oea: a aeoaeeao aeacai? iacae caoai?thaaiue ca?aeii IEO O
ia?aaeyaeo

A?aei?/aii, ui na?aae oai?eo ? a?oie niinoa?aaeaiiy o?ii?/iee
oieaoeenoioieaia?o aoa a iniiaiiio ca?a?no?iaaiee a 1988-1989 ??.
(32,5(5,2% niinoa?aaeoaaie), a na?aae oai?eo ?? a?oie – a 1990-1992??.
(50,0(18,9% aeiaaee?a).A ianooii? ?iee niinoa?aaeaiiy oey iaoieia?y iaea
oaiaeaioe?th aei caanaiiy aei 1994 ??. na?aae oai?eo an?o a?oi
niinoa?aaeaiiy, a o oai?eo ? a?oie niinoa?aeaiiy, o?ii?/iee
oieaoeenoioieaia?o ciaioeany iaeaea a 2 ?ace ii??aiyii c 1992?.
(23,7(4,8% oa 47,3(5,5% aeiaaee?a a?aeiia?aeii, ?oio0,05)
ii??aiyii c a?eueo i?ci?i i?ecia/aiiyi oeueiai i?aia?aoo (4,1(0,8
ieiieue/a Hb ?u=0,001) oa ? ?ioeie aa??aioaie e?eoaaiiy ( ?A-4,6(0,5
ieiieue/a Hb, ?A – 3,9(0,5 ieiieue/a Hb Pu ?A:?A+1
aecia/aeinue ye ?aaeueia iiaeeea?noue iaeiiai ?c aeacaieo
caoai?thaaiue, a “Y”

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