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

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

IIEIEIA?? ? ?AAe?IEIA??

E?ANTHE Ieaenaiae? Aiaoie?eiae/

OAeE 616.127-002-005-073.75

EIIIEAENIA AOI-?AAe?IIOEE?AeIA Ae?AAIINOEEA

II?OOAIUe AAIIAeEIAI?EE O OAI?EO IA I?IEA?AeEO

14.01.23 — i?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia o A?enueeiai-iaaee/iiio ?inoeooo?

Oe?a?inueei? a?enueeiai-iaaee/ii? aeaaeai??, Oe?a?inueeiio IAe?
ea?ae?ieia?? ?i.aeaae. I.Ae.No?aaeanea

Iaoeia? ea??aieee:

aeieoi? iaaee/ieo iaoe, i?ioani? Oeeaaieia Aiaoie?e Oeiio?eiae/-
i?ioani? eaoaae?e a?enueeiai? oieneeieia??, ?aae?ieia?? ? iaaee/iiai
caoenoo A?enueeiai-iaaee/iiai ?inoeoooo OAIA

aeieoi? iaaee/ieo iaoe, i?ioani? Ai?iieia Eaii?ae Aai?a?eiae/- ea??aiee
a?aeae?eaiiy na?oeaai? iaaeinoaoiino? Oe?a?inueeiai IAe?
ea?ae?ieia?? ?i.aeaae. I.Ae.No?aaeanea

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Oeoe?ia Aaeaioeia Aieiaeeie??aia —
aieiaiee iaoeiaee ni?a?ia?oiee, eiinoeueoaio a?aeae?eo ?aae?aoe?eii?
iieieia?? oa yaea?ii? iaaeeoeeie Oe?a?inueeiai IAe? iieieia?? oa
?aae?ieia?? IIC Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani? Neaaiia Aaeaioei Ieeieaeiae/
-i?ia?aeiee iaoeiaee ni?a?ia?oiee eaai?aoi??? ?aae?ieia?? IAe?
aiaeie?eiieia?? ? iai?io ?a/iaei ?i. A.I. Eii?na?aiea AII Oe?a?ie

I?ia?aeia onoaiiaa — Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe
?i.I.E.Ooieea (eaoaae?a iaaee/ii? ?aae?ieia??) IIC Oe?a?ie

Caoeno a?aeaoaeaoueny « 26 » eenoiiaaea 1998?. i 13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.619.01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? iieieia?? oa ?aae?ieia?? IIC
Oe?a?ie (252022, i. Ee?a, aoe. Eiiiiiniaa, 33/43).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iieieia?? oa ?aae?ieia?? IIC Oe?a?ie

(i. Ee?a, aoe. Eiiiiiniaa, 33/43).

Aaoi?aoa?ao ?ic?neaiee «25» aeiaoiy 1998?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee

aeieoi? iaaee/ieo iaoe Aeeeai ?.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

Nai?/ania eiiieaenia ae?aaiinoeea oa aaeaeaaoia e?eoaaiiy i?iea?aeeoo,
ye iaeiioe?ai?oi? iaei?iia?iaaiii? iaoieia?? na?oeaaiai i`yco,
aeooaeuei? o ca`yceo c eiai aaaeeei ee?i?/iei ia?aa?aii oa iani?eyoeeaei
i?iaiicii (E.A.Iaoiaiei, 1981; TH.E.Iiaeeia e niaao.,
1985I.C.Caoa?/aiei, 1984; I.A.?eeyo ? ni?aaao., 1994, 1995; I.?.
Iaeaaa e niaao., 1982, 1983, 1997; I.N. Eaiaiaoeueeee ? ni?aaao.,
1998; J.B.O`Connel et al., 1984, 1994).

Neeaaei?noue oa aaaaoieiiiiiaioi?noue iaoiaaiaco iaaeinoaoiino?
e?iaiia?ao (IE) i?e oeeo caoai?thaaiiyo i?aeiinyoue ae??oaiiy cacia/aii?
i?iaeaie ia iaaeeei-a?ieia?/iee ??aaiue, ine?eueee ?aaeoe?y
aaiiaeeiai?ee ia caiaeueiee i?ioean oa ii?ooaiiy ianinii? ooieoe??
na?oeaaiai i`yco a?aeaoaa?oueny ca caeiiaie oe?e?nii? ooieoe?iiaeueii?
nenoaie (I.E.Oo?eaei ? ni?aaao., 1985; A.E.*acia, 1993; E.O.Iaeay, 1994,
1996; N.Aeae.Aieea ? ni?aaao., 1995; E.A.Ai?iieia ? ni?aaao., 1995;
?.N.*aeiai, 1995; K.Weber, D.Villarreal,1993; H.Feigenbaum,1996).

Caaaeueiiaeciaieie iaoiaeaie aeine?aeaeaiiy, ui aeicaieythoue
ia`?eoeaii ioe?ieoe aaiioee?eoeyoi?i? ?iceaaee aaeeeiai oa iaeiai e?e
e?iaiia?ao, ? ciiaeoaaiiy ii?iaeiei na?oey oa iaa?no?aeueieo noaeei a
eiiieaen? c aia?ia?ao??th (C.N.Oeaeaeiaa,1996).

Aiaeii/an, i?eoeeueieee ?ioa?aaioe?eii? ae?aaiinoeee ii?ooaiue
aaiiaeeiai?ee aeiooai? aeciaoe aacia?a/i? ia?aaaae ia?iaaceaieo niinia?a
ianoaaeaiiy oai?eo- aoiea?ae?ia?ao?? oa ?aae?iea?ae?ia?ao??
(A.A.Na?a??iei, 1991; O.I.Neaa/aiei, Ae.N.Ia/aa e niaao., 1991)
ia?oi/a?aiai, caaaeyee iiai?e a?aenooiino? aoaeue-yeeo oneeaaeiaiue i?e
aiaeia?/iiio ianyc? io?eiaii? ?ioi?iaoe??.

Iacaaaeath/e ia aeineoue oe?iea ai?iaaaeaeaiiy ?aae?iioee?aeieo oa
oeueo?acaoeiaeo aeine?aeaeaiue a oiiaao ea?ae?ieia?/ieo ee?i?e, a?aeii?
eeoa iiiaeeiie? iaoeia? ioae?eaoe??, ui i?enay/ai? ?o eiiieaeniiio
canoinoaaiith o oai?eo ia i?iea?aeeo (A.O.Oeeaaieia,1983;
I.C.Caoa?/aiei, 1984).

Iniiaiith i?e/eiith iaoooaaiiy oao?aoe?a aeniei/ooeeaei, caeaoiei
iaaeaoe ?ioaa?aeueio oa ?icae?eueio ioe?ieo aaiiaeeiai?ee ae?aaiinoe/iei
eiiieaenii ne?ae aeciaoe o?c?ieia?/io iaaaeaeaaoi?noue a?aeiieo iaoiaeee
?aae?iea?ae?ia?ao?? oa ?aae?ioee?eoeia?ao??. Iaiaeii/ania aecia/aiiy
ia?aiao??a ooieoe?? na?oey oa ia?eoa?e/iiai e?iaiia?ao oo?oaeith?
anoaiiaeaiiy aca?iica’yceo aeyaeaieo a?aeoeeaiue ? ia?aaeaa/a? aeaa-o?e
iine?aeiaieo aaaaeaiiy ?OI.

Onoiaiiy oeueiai iaaeie?eo noai?th? oiiae aeey ?ic?iaee niiniao
ia?iaaceaii? ?ioaa?aeueii? ioe?iee ii?ooaiue oeaio?aeueii? oa
ia?eoa?e/ii? aaiiaeeiai?ee o oai?eo ia i?iea?aeeo; aecia/eoe e?eoa???
ie?aieo aaiiaeeiai?/ieo oei?a oa noaae?e IE; aea/eoe iaoiaaiaoe/i? oa
eiiiainaoi?i? iaoai?cie oi?ioaaiiy neiae?iio IE oa eiio?iethaaoe
aoaeoeai?noue eiai e?eoaaiiy.

Aino?ioa i?iaeaie, iaiao?aei?noue ?? iaa?aeeeaaeiiai ae??oaiiy
iiaeeaeth?oueny ua e oei, ui cia/ia /anoeia oai?eo ia i?iea?aeeo-
aei?inea /anoeia ianaeaiiy i?aoeacaeaoiiai a?eo, eaae?o?eiaaia a
i?ioan?eiiio a?aeiioaii?. Iaaeaeue, aeoaea /anoi coneeey oao?aoe?a o
aeiaaio?eaaeiio i?ioean? e?eoaaiiy oa ?aaa?e?oaoe?? caiaeyoueny ia
i?aaoeue oe?ieei niaeo?ii a?aeaeaeaieo iane?aee?a, aae aei
?iaae?ae?caoe?? iaoe??io?a (TH.?.Iiaeeia, I.A.Nooeiaa, 1985;
O.?.Eiia?ia, 1991; ?.E. Anaoethe, 1995).

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

Aeena?oaoe?eia ?iaioa aeeiiaia ye o?aaiaio eiiieaenii? oaie IAe?
eaoaae?e a?enueeiai? oa?ai?? A?enueeiai-iaaee/iiai ?inoeoooo OAIA oa
a?aeae?eo na?oeaai? iaaeinoaoiino? Oe?a?inueeiai IAe? ea?ae?ieia??
?i.aeaae I.Ae.No?aaeanea AII Oe?a?ie «?ic?iaeoe iia? iaoiaaiaoe/ii
iaa?oioiaai? iaoiaee e?eoaaiiy oai?eo c o?ii?/iith na?oeaaith
iaaeinoaoi?noth ??ciiai aaiaco» ? aea?ae. ?a?no?aoe?? 0196 E 005233.

Iaoa aeine?aeaeaiiy. I?aeaeueoe aoaeoeai?noue ae?aaiinoeee ?iceaae?a
oeaio?aeueii?, ?io?aea?ae?aeueii? oa ?aa?iia?ii? (iiceiai?,
ea?ae?iii?oaeueii?, aaeeeiai ? iaeiai eiea e?iaiia?ao) aaiiaeeiai?ee o
oai?eo ia i?iea?aeeo /a?ac canoinoaaiiy eiiieaeniiai
aoi-?aae?iioee?aeiiai aeine?aeaeaiiy (neio?iiia ?aae?ioee?eoeia?ao?y,
aoiea?ae?ia?ao?y).

Caaaeaiiy aeine?aeaeaiiy:

1.?ic?iaeoe iaoiaeeeo neio?iiii? ?aae?ioee?eoeia?ao?? (N?OeA), aecia/eoe
?? i?eaeaoi?noue aeey ioe?iee ia`?iieo ? oaeaee?nieo iieaciee?a
oeaio?aeueii? oa ?aa?iia?ii? aaiiaeeiai?ee o oai?eo ia i?iea?aeeo.

2.Ia iniia? iieaciee?a N?OeA a?aeie?aieoe iciaee oei?a aaiioee?eoeyoe??
oa ?ic?iaeoe iiiia?aie aeey ?o aecia/aiiy.

3.Aeei?enoiaoth/e ?acoeueoaoe eiiieaeniiai aoi-?aae?iioee?aeiiai
aeine?aeaeaiiy, iiaeeaeoe oyaeaiiy i?i ?aae?caoe?th ie?aieo
eiiiainaoi?ii-i?enoinoaaeueieo iaoai?ci?a ia ??cieo noaae?yo noaiiaeaiiy
iaaeinoaoiino? e?iaiia?ao o oai?eo ia i?iea?aeeo.

4.Aea/eoe ca aeiiiiiaith N?OeA oa?aeoa? oa ae?aaeai?noue ii?ooaiue
iiceiaiai e?iaioieo o oai?eo ia i?iea?aeeo a caeaaeiino? a?ae noaae??
IE.

5.Aecia/eoe ?ieue oa i?noea aoiea?ae?ia?ao?? oa neio?iiii?
?aae?ioee?eoeia?ao?? a eiiieaen? ae?aaiinoe/ieo caoiae?a o oai?eo ia
caiaeueia a?aaeaiiy i?iea?aea, ui oneeaaeiaia iaaeinoaoi?noth
e?iaiia?ao.

Iaoeiaa iiaecia.

1.Aia?oa o a?o/eciyi?e i?aeoeoe? cai?iiiiiaaii ? ai?iaaaeaeaii iaoiaeeeo
neio?iiiiai ?aae?ioee?eoeia?ao?/iiai aeine?aeaeaiiy oeaio?aeueii? oa
?aa?iia?ii? aaiiaeeiai?ee. ?? aeei?enoaiiy aeicaieeei ia’?eoeaii oa
aaeaeaaoii ioe?ithaaoe ?iceaaee oeaio?aeueiiai ? ?aa?iia?iiai e?iaiia?ao
caaaeyee neio?iii?e ?a?no?aoe?? a?aeiia?aeieo ia?aiao??a a iaeei ? oie
aea /an, a iaeiaeiaeo o?c?ieia?/ieo oiiaao

2.Ca aeiiiiiaith N?OeA aecia/aii iayai?noue, e??i a?ia?- oa
a?iie?iaoe/iiai, ia?aaeienaeueieo oei?a aaiiaeeiai?ee, aeey yeeo ca oiia
ii?iaeueieo iieaciee?a caaaeueiiai ia?eoa?e/iiai iii?o i?eoaiaii?
i?aeaeuaiee (?-ia?aaeienaeueiee oei) aai cieaeaiee (?? ia?aaeienaeueiee
oei) oaeeeiiee ia`?i.

3.Aia?oa ca aeiiiiiaith ia’?eoeaiiai ?aae?iioee?aeiiai iaoiaeo
aeine?aeaeaiiy (neio?iiia ?aae?ioee?eoeia?ao?y) aeiaaaeaii iayai?noue
?iceaae?a oea?aa?aeueiiai ? ea?ae?iii?oaeueiiai e?iaiia?ao o oai?eo ia
i?iea?aeeo, ui oneeaaeiaiee IE.

4.Ia iniia? ?acoeueoao?a eiiieaeniiai aoi-?aae?iioee?aeiiai
aeine?aeaeaiiy iiaeeaeaii oyaeaiiy i?i aeaye? iaoiaaiaoe/i? aniaeoe
oi?ioaaiiy neiae?iio iaaeinoaoiino? e?iaiia?ao o oai?eo ia i?iea?aeeo;
aecia/ai? iniaeeaino? ?aae?caoe?? eiiianaoi?ii-i?enoinoaaeueieo
iaoai?ci?a i?e ??cieo oeiao aaiioee?eoeyoe?? oa noaae?yo IE.

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

1.Cai?iiiiiaaia iaoiaeeea neio?iiii? ?aae?ioee?eoeia?ao??, yea aeicaiey?
io?eiaoe ia’?eoeaio ?ioi?iaoe?th i?i noai oeaio?aeueii? ? ?aa?iia?ii?
aaiiaeeiai?ee i?ioyaii iaeiiai aeine?aeaeaiiy, noai?th? oiiae aeey
aeaie?aoiiai ciaioaiiy i?iiaiaaiai iaaaioaaeaiiy oa o?eaaeino?
ianoaaeaiiy oai?eo.

2.?ic?iaeaii iaoeiai iaa?oioiaaiee aeai?eoi canoinoaaiiy
aoiea?ae?ia?ao?? oa neio?iiii? ?aae?ioee?eoeia?ao??? a eiiieaeniiio
ianoaaeaii? oai?eo ia i?iea?aeeo.

3.Ia iniia? noaoenoe/ii aeinoaoiuei? e?eueeino? niinoa?aaeaiue aaoi?ii
/?oei aecia/ai? ?aae?iioee?aei? e?eoa??? noaae?e IE oa oei?a
aaiioee?eoeyoe??. Inoaii? aeeeaaeai? o aeaeyae? c?o/ieo aeey
iianyeaeaiiiai aeei?enoaiiy iiiia?ai.

4.I?iaaaeai? iaoeia? aeine?aeaeaiiy ia?aeiieeai aeiaiaeyoue
aeioe?euei?noue ?ioaa?aeueii? ioe?iee ?iceaae?a oeaio?aeueii? oa
ia?eoa?e/ii? aaiiaeeiai?ee o oai?eo ia i?iea?aeeo. Eeoa ca oeeo oiia
noa? iiaeeeaei ia?aiiy aaeaeaaoiiai iaoiaaiaoe/iiai e?eoaaiiy, ioe?iea
eiai aoaeoeaiino?, aecia/aiiy nooiaiy iai?aoeacaeaoiino?
(?iaae?aeiino?) iaoe??io?a.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy a i?aeoeeo.

?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a i?aeoe/io ae?yeuei?noue
a?aeae?eaiiy ?aae?iioee?aeii? ae?aaiinoeee Aieiaiiai a?enueeiaiai
ee?i?/iiai aini?oaeth II Oe?a?ie, eaai?aoi??? ?aae?iioee?aeieo iaoiae?a
aeine?aeaeaiiy iaoeiai-aeine?aeiiai ?inoeoooo ?i.aeaae. I.Ae.
No?aaeanea, ?aae?ieia?/iiai a?aeae?eaiiy *a?i?a?anueei? iaeanii?
e?ea?i?.

Iniiai? iieiaeaiiy ?iaioe aeei?enoiaothoueny a iaa/aeueiiio i?ioean? ia
eaoaae?? a?enueeiai? oa?ai?? A?enueeiai-iaaee/iiai ?inoeoooo
Oe?a?inueei? A?enueeiai-iaaee/ii? aeaaeai??.

Iniaenoee aianie caeiaoaa/a:

Aaoi?ii ?ic?iaeaii ? ai?iaaaeaeaii niin?a neio?iiii?
?aae?ioee?eoeia?ao??, ui aeicaiey? io?eiaoe ia’?eoeaio ?ioi?iaoe?th i?i
noai oeaio?aeueii? ? ?aa?iia?ii? aaiiaeeiai?ee i?ioyaii iaeiiai
aeine?aeaeaiiy, ciaioeoe i?iiaiaaa iaaaioaaeaiiy oa o?eaae?noue
ianoaaeaiiy oai?iai aaeai?

Iniaenoi aeeiiai? an? aoiea?ae?ia?ao?/i? aeine?aeaeaiiy, ?ioa?i?aoiaai?
?acoeueoaoe ?aae?iioee?aeieo aeine?aeaeaiue, ioe?iai? ye?ni? oa
ia/eneai? e?euee?ni? iieacieee, ui oa?aeoa?ecothoue noai oeaio?aeueii?,
?io?aea?ae?aeueii? oa ?aa?iia?ii? aaiiaeeiai?ee. Aea/aii aeaye? aniaeoe
iaoai?cio ?icaeoeo ii?ooaiue aaiioee?eoeyoe?? o oai?eo ia i?iea?aeeo,
oneeaaeiaiee iaaeinoaoi?noth e?iaiia?ao; ?ic?iaeaii iiiia?aio aecia/aiiy
oei?a aaiioee?eoeyoe?? ca ?acoeueoaoaie N?OeA; ?ic?iaeaii iaoeiai
iaa?oioiaaiee aeai?eoi canoinoaaiiy neio?iiii? ?aae?ioee?eoeia?ao?? a
eiiieaeniiio ianoaaeaii? oai?eo ia i?iea?aeeo ?c iaaeinoaoi?noth
e?iaiia?ao.

I?aeaioiaeaii aei ae?oeo 3 noaoo?, 7 oac aeiiia?aeae.

Ai?iaaoe?y ?iaioe.

Iniiai? iieiaeaiiy aeena?oaoe?? i?aaenoaaeai? o aeaeyae? aeiiia?ae? ?
iaaiai?ai? ia: Oe?a?inueeiio eiia?an? ?aae?ieia?a Oe?.’95 ( i.Ee?a,
1995?.); iaoeiai-i?aeoe/ieo eiioa?aioe?yo: «Nia?aiaiiua aniaeou
aiaiiie iaaeeoeeiu» ( i.Ee?a, 1995?.); «Aeooaeuei? i?iaeaie
a?enueeiai? iaaeeoeeie» (i.Ee?a, 1995?.); «I?iaeaiu aiaiiiai
cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey»( i.Ee?a, 1996?.); «I?iaeaiu
iaaeeoeeineiai iaania/aiey aiaiiineoaeaueo, i?iaeeaathueo ia
?aaeeiaeoeaii caa?yci?iiuo oa??eoi?eyo» (i.??i?iue, 1997?.); «I?iaeaiu
aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey» (i.Ee?a, 1998?.) .

?iaioa i?ieoea ai?iaaoe?th ia ni?eueiiio can?aeaii? eaoaae?
a?enueeiai? oa?ai?? A?enueeiai — iaaee/iiai ?inoeoooo Oe?a?inueei?
a?enueeiai — iaaee/ii? aeaaeai??, aini?oaeueii? oa?ai?? IIO, eaai?aoi???
?aae?iioee?aeieo iaoiae?a aeine?aeaeaiiy ? a?aeae?eaiiy na?oeaai?
iaaeinoaoiino? Oe?a?inueeiai IAe? ea?ae?ieia?? ?i. aeaae.
I.Ae.No?aaeanea, ?aae?ieia?/iiai a?aeae?eaiiy AAEA, eaai?aoi???
?aae?aoe?eii? iaaeeoeeie a?aeae?eo iaaeeei-i?io?eaeoe/ieo aeenoeeie?i
AI? OAIA, aenia?oi?e ?aae? i?e niaoe?ae?ciaai?e a/ai?e ?aae?
Oe?a?inueeiai IAe? iieieia?? oa ?aae?ieia?? Ae 26.619.01.

Ioae?eaoe??.

?acoeueoaoe iaoeiaeo aeine?aeaeaiue aeeeaaeaii a 10 ioae?eaoe?yo: 3
noaooyo, 7 oacao aeiiia?aeae.

No?oeoo?a ? ianya ?iaioe.

Aeena?oaoe?y i?noeoue anooi, iaeyae iaoeiai? e?oa?aoo?e, o?e ?icae?ee
aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiaee, i?aeoe/i? ?aeiiaiaeaoe??,
nienie aeei?enoaieo iaoeiaeo aeaea?ae (225 iaeiaioaaiue). ?iaioa
aeeeaaeaia ia 171 noi??ioe? iaoeiiieniiai oaenoo, aeeth/a? 26 oaaeeoe?,
18 ?ethno?aoe?e.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy

O 167 /ieia?e?a a?eii a?ae 18 aei 58 ?ie?a, oai?eo ia i?iea?aeeo,
oneeaaeiaiee IE, aea/ai? iieacieee oeaio?aeueii?, aioo??oiueina?oeaai?,
?aa?iia?ii? (aaeeeiai ? iaeiai eiea e?iaiia?ao, oea?aa?aeueii?,
ea?ae?iii?oaeueii?) aaiiaeeiai?ee. Ia iniia? aeaoaeueiiai aea/aiiy
ee?i?/ieo aeaieo on? oai?? aoee ?iciiae?eai? ia a?oie a caeaaeiino? a?ae
noaae?? IE ca eeaneo?eaoe??th I.Ae.No?aaeanei- A.O.Aaneeaiei (oaae.1).

Oaaeeoey 1

?iciiae?e oai?eo ia i?iea?aeeo ca a?eii oa noaae??th IE

A?e

(?iee) IE I co.

n=72 IE II A co.

n=69 IE IIA- III co.

n=26

Aan. % Aan. % Aan. %

Aei 20

21-30

31-40

Noa?o? 40 14

39

16

3 19,4

54,2

22,2

4,2 12

28

25

4 17,4

40,6

36,2

5,8 1

4

14

7 3,8

15,5

53,8

26,9

Na?aaei?e a?e

(I±m)

26,0±2,6

24,3±3,0

36,0±2,7

Aei eiio?ieueii? a?oie oa?eoei 20 /ieia?e?a a?aeiia?aeiiai aei a?oie
niinoa?aaeaiiy a?eo.

On? oai?? i?ioiaeeee eiiieaenia caaaeueiiee?i?/ia oa niaoe?aeueia
ianoaaeaiiy ? e?eoaaiiy ia aac? Aieiaiiai a?enueeiaiai ee?i?/iiai
aini?oaeth II Oe?a?ie ? iaoeiai-aeine?aeiiai ?inoeoooo ea?ae?ieia??
?i. aeaae. I.Ae.No?aaeanea.

Ee?i?/iee ae?aaiic i?iea?aeeoo anoaiiaethaaee ia iniia? aeaieo
ee?i?/iiai, eaai?aoi?iiai ? ?ino?oiaioaeueiiai iaoiae?a aeine?aeaeaiiy c
a?aooaaiiyi e?eoa???a ae?aaiinoeee i?iea?aeeo?a Iueth — Ei?enueei?
Anioe?aoe?? ea?ae?ieia?a

(1964 ?.).

Aeey ?ioaa?aeueii? ioe?iee noaio oeaio?aeueii? oa ia?eoa?e/ii?
aaiiaeeiai?ee canoiniaoaaee ?ic?iaeaio iaie iaoiaeeeo neio?iiii?
?aae?ioee?eoeia?ao?? (N?OeA) a eiiieaen? c aoiea?ae?ia?ao??th.

Neio?iiia ?a?no?aoe?y e?eaeo «aeoeai?noue-/an» cae?enithaaeanue ia
aia?ao? O? 1-1 i?ney aiethniiai aaaaeaiiy 131?-ANE (?c ?ic?aooieo 10-15
eAe ia e?eia?ai iane; i?iiaiaaa iaaaioaaeaiiy — 0,35-0,45 iCa) ca
aeiiiiiaith noeeioeeyoe?eieo aeaoaeoi??a: 1- ia ??ai? ?V i?ae?aaa?iiai
i?ii?aeeo ii e?a?e ia?anoa?iaeuei?e e?i?? (i?aea?ae?aeueia e?eaa-?EA);
2- o VIII i?ae?aaa?iiio i?ii?aeeo ii i?aa?e ia?aaei?e aen?ey?i?e e?i?? (
ea?ae?i-ii?oaeueia e?eaa- ?EIA), 3- a ae?eyioe? aaeeeiai iioeee/iiai
aoa?a (oea?aa?aeueia e?eaa ?OeA). C iaoith ciaioaiiy i?iiaiaaiai
iaaaioaaeaiiy ia ueoiaeaeio caeico oai?iio ca 3-5 aei?a aei ianoaaeaiiy
i?ecia/aany ?ic/ei Ethaiey ii 5-8 e?aiaeue 3 ?ace ia aeiao.

Ioe?iea ?ioi?iaoe?? caiaeeeanue aei aei??thaaiiy oeeo?iaeo iieaciee?a ?
iieno ciai?oi?o iciae e?eaeo. Aecia/aeenue ia?aiao?e aaiiaeeiai?ee:
oe a i o ? a e ue i i ? — oaea?iee ia’?i (OI), oaeeeiiee ia’?i (OI),
na?aaei?e a?oa??aeueiee oene (AOn?), caaaeueiee ia?eoa?e/iee ii?? (CII),
eiao?oe??io aoaeoeaiino? oee?eoeyoe?? (EAOe), ?iaioa na?oey (AN),
/anoioa na?oeaaeo nei?i/aiue (*NN), ia’?i oee?eoethth/i? e?ia?
(IOeE), /an iiaiiai eieiiaa?oo ?OI (Oi); i a e i a i e i e a e ? i
a i i a ? a o — ia’?i oee?eoethth/i? e?ia? a eaaaiyo (IOeEe), /an
eieiiaa?oo ?OI ii iaeiio eieo e?iaiia?ao (Oie), a?aenioeiaa
a?aeiioaiiy IOeEe aei IOeE; e a ? ae ? i i i ? o a e ue i i ?
(EIE); i i c e i a i ? — a?oa??aeueiee i?eo?e (Ai?), eai?ey?iee e?iaio?e
(Ee), aaiiciee a?aeo?e (Aao), /an caaaeueii? oee?eoeyoe?? ?OI (*COe).
Oe? aeai? aeicaieyee noaeeoe i?i ia’?ii? oa oaeaee?ni? iieacieee
aaiiaeeiai?ee aaeeeiai ? iaeiai eiea e?iaiia?ao, a oaeiae ?aa?iia?ii?
aaiioee?eoeyoe??. I?e/iio, oaeaee?noue iiceiaiai e?iaioieo ye noia?ii,
oae ? ie?aii ca oacaie — a?oa??aeueiith, eai?ey?iith ? aaiiciith.
Iienoth/e ciai?oi? iciaee, a?aoiaoaaeenue aiie?ooaea, oi?ia, e?ooecia
i?aeeiio ? niaaeo ?OeA- e?eai?.

Oeueo?acaoeia? aeine?aeaeaiiy i?iaiaeeeenue ca aeiiiiiaith aia?aoo
«SIM 5000 PLUS BIOMEDIKA» (?oae?y) a I- ? A — ?aaeeiao ca
caaaeueiii?eeiyoeie iaoiaeeeaie. Aecia/aeenue iieacieee
aioo??oiueina?oeaai? aaiiaeeiai?ee: e?ioeaai- nenoie?/iee (EN?),
e?ioeaai-ae?anoie?/iee (EAe?) ?ici??e e?aiai oeoii/ea (EO);
e?ioeaai-nenoie?/iee (ENI), e?ioeaai-ae?anoie?/iee (EAeI) ia’?ie EO;
o?aeoe?y aeeeaeo EO (OA); oaeaee?noue oee?eoey?iiai aei?i/aiiy aieieii
i?iea?aea (Vcf); ia?aaeiuei-caaei? ?ici??e e?aiai ia?aaena?aey (EI),
i?aaiai oeoii/ea a ae?anoieo (Ae?IO), i?aeoeoii/eiai? ia?aoeiee (IOIae),
caaeiuei? no?iee EO a ae?anoieo (CNEOae); aeneo?n?y IOI (AIOI),
caaeiuei? no?iee EO (ACN).

Noaoenoe/io ia?iaeo ee?i?/ieo ? ?ino?oiaioaeueieo aeaieo i?iaiaeeee
iaoiaeaie aa??aoe?eii? noaoenoeee ia AII 11/34a. Ia/enethaaeenue
aeinoia??i?noue ??cieoe? iieaciee?a i?ae aea??eaie ca e?eoa???i t-oanoo
c aecia/aiiyi nooiai?a naiaiaee ca Nouethaeaioii.

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

Aeey aecia/aiiy oeio aaiioee?eoeyoe?? iaoiaeii N?OeA iaie aoea
?ic?iaeaia iiiia?aia (?en. 1), a iniiao yei? aoei iieeaaeaia
ni?aa?aeiioaiiy iieaciee?a oaeeeiiiai ia`?io (OI) ? caaaeueiiai
ia?eoa?e/iiai iii?o (CII) . Ie??i a?ia?- oa a?iie?iaoe/iiai,
a?aeie?aieai? ia?aaeienaeuei? oeie aaiioee?eoeyoe??.

OI e/oa CII aeei.n.

ni-5 CII OI e/oa

10,0 0 10,0

9,0 200 9,0

A?IA?E?IAOE*IEE

8,0 400 8,0

I IA?AAeIENAEUeIEE

7,0 600 7,0

6,7 6,7

6,0 800 6,0

1050

5,0 1000 ?1050 5,0

II?IIE?IAOE*IEE

4,0 1200 4,0

1350

3,0 1400 ?3,3 3,0

?3,3 ?1350 II IA?AAeIENAEUeIEE

2,0 1600 2,0

A?IIE?IAOE*IEE

1,0 1800 ? 1,0

?en 1. Iiiia?aia aeey aecia/aiiy oei?a aaiioee?eoeyoe??

Ni?anoaaeaiiy oei?a aaiioee?eoeyoe?? oa noaae?e IE (oaae.2) aeicaieeei
i?inoaaeeoe caeiiii??i?noue ?o o?ainoi?iaoe?? a?ae a?ia?e?iaoe/iiai
/a?ac ia?aaeienaeuei? aei a?iie?iaoe/iiai ?c iiaeeaeaiiyi iaaeinoaoiino?
e?iaiia?ao.

Oaaeeoey 2

?iciiae?e oai?eo ia i?iea?aeeo

ca noaae??th IE oa oeiii ii?ooaiiy aaiioee?eoeyoe??

Oei Noaae?y IE

aaiioee?eoeyoe?? ? (n=72) IIA (n=69) IIA-III (n=26)

Aan. % Aan. % Aan. %

A?ia?e?iaoe/iee 33 45,8 26 37,7 — —

? -ia?aaeienaeueiee 16 22,2 11 15,9 — —

??-ia?aaeienaeueiee 9 12,5 14 20,3 1 3,8

A?iie?iaoe/iee 14 19,4 18 26,1 25 96,2

E?ea? N?OeA o oai?eo ia i?iea?aeeo, oneeaaeiaiee OIE I no., c ??cieie
oeiaie aaiioee?eoeyoe?? iaee /?oe?, ae?aci? aiie?ooaee oaeeue c ??ciith
?o aenioith. Aeno?aei? ? ieco?aei? ae?eyiee iaee aeinoaoith e?ooecio.
Iaeiae o oai?eo c a?ia?e?iaoe/iei oa ?-ia?aaeienaeueiei oeiii
aaiiaeeiai?ee a?aei?/aeinue caeeaeaiiy i?aai? ? e?ai? oaeeue ?EA. O
oai?eo c a?iie?iaoe/iei oa ??-ia?aaeienaeueiei oeiii aaiioee?eoeyoe??
a?aei?/aeinue cia/ia ca?eueoaiiy i?aai? oaee? ?EA, ui na?ae/eei i?i
?icoe?aiiy i?aaeo eaia? na?oey.

?acoeueoaoe eiiieaeniiai i?iiaiaaiai aeine?aeaeaiiy e?euee?nieo
ia?aiao??a aaiioee?eoeyoe?? o oai?eo ia i?iea?aeeo c IE I no. (oaae.3)
aeicaieeee aeiaanoe, ui, iaa?oue i?e ii/aoeiaeo ii?ooaiiyo, o
a?aeiia?aeue ia iaoieia?/iee i?ioean o i?iea?ae? aeieeathoue
eiiiainaoe?ei? ci?ie an??? na?oeaai-noaeeiii? nenoaie, ye?
?icoe?ithaaeenue ye eiiiainaoi?ii-i?enoinoaaeuei?. ?o oa?aeoa? a
cia/i?e i??? aecia/aany oeiii aaiiaeeiai?ee. Oae, o oai?eo c
a?ia?e?iaoe/iei oa ?-ia?aaeienaeueiei oeiii aaiiaeeiai?ee ca?a?no?iaaii
/?oeo oaiaeaioe?th, aai aeinoia??ia ca?eueoaiiy, /anoioe na?oeaaeo
nei?i/aiue (*NN), na?oeaaiai aeeeaeo (OI) oa oaea?iiai ia`?io (OI) o
ii??aiyii? c eiio?ieueiith a?oiith. Aeey a?iie?iaoe/iiai oa
??-ia?aaeienaeueiiai oei?a aaiiaeeiai?ee o oai?eo ia i?iea?aeeo c IE ?
no. i?eoaiaiia ciaioaiiy aeuacacia/aieo iieaciee?a.

Aiaeii/an, CII o oai?eo c a?ia?e?iaoe/iei oeiii aaiiaeeiai?ee iaa
oaiaeaioe?th aei cieaeaiiy (?=0,05); i?e ia?aaeienaeueieo oeiao ia
aeoiaeea ca iaae? aaee/ei eiio?ieueii? a?oie; i?e a?iie?ia/iiio — aoa
aeinoia??ii i?aeaeuaiei (?<0,001). A?aeiia?aeii, /an iiaiiai eieiiaa?oo ?OI (Oi) aoa aeinoia??ii oiia?eueiaiei o?eueee o oai?eo c a?iie?iaoe/iei oeiii aaiiaeeiai?ee (?<0,05). Na?aae aaaaoueio eiiiainaoe?eieo c?ooaiue a noai? aaiiaeeiai?ee ci?ia IOeE caeia? iaeia c /?eueieo i?noeue. Ca aeaieie iaoiai aeine?aeaeaiiy o oai?eo ia i?iea?aeeo c IE I no. oeae iieaciee aeinoia??ii ia?aaeuoaaa eiio?ieueiee eeoa i?e a?ia?e?iaoe/iiio oei? aaiiaeeiai?ee ? neeaaeaa a na?aaeiueiio 73,7±1,2 ie/ea (?<0,05). O iaoe??io?a c ia?oei ia?aaeienaeueiei oeiii a?i iaa oaiaeaioe?th aei i?aeaeuaiiy ? aoa cieaeaiei o in?a c a?iie?iaoe/iei oa ae?oaei ia?aaeienaeueiei oeiii. Aaee/eia a?oa??aeueiiai oeneo (AOn?) o oai?eo ia i?iea?aeeo c IE I no. i?e an?o oeiao aaiioee?eoeyoe?? ia a?ae??ciyeanue aeinoia??ii a?ae eiio?ieueieo aaee/ei. I?i iaaeinoaoith aoaeoeai?noue aaiiaeeiai?ee a oe?eiio na?ae/eee aaee/eie EAOe oa AN, ye? aeinoia??ii aoee cieaeai? o an?o oai?eo. Iaaiee ?ioa?an o oai?eo ia i?iea?aeeo i?aaenoaaeya aiae?c /aniaeo ? ia'?iieo iieaciee?a iaeiai eiea e?iaiia?ao. IOeEe iaa oaiaeaioe?th aei ca?eueoaiiy, a o iaoe??io?a c ia?oei ia?aaeienaeueiei oeiii aaiiaeeiai?ee aeinoia??ii (p<0,01) a?ae??ciyany a?ae iieacieea eiio?ieueii? a?oie. Iiaiee eieiiaa?o ?OI ii iaeiio eieo (Oie) a on?o niinoa?aaeaiiyo aoa oiia?eueiaiei, i?e ia?oiio ia?aaeienaeueiiio oa a?iie?iaoe/iiio oeiao aaiiaeeiai?ee - aeinoia??ii (?<0,05). Ea?ae?iii?oaeueiee e?iaio?e (EIE) o an?o oai?eo oe??? a?oie, ca aeiyoeii II - ia?aaeienaeueiiai, oaeiae aoa nooo?ai oiia?eueiaiee ? aeinoia??ii a?ae??ciyany a?ae iieaciee?a eiio?ieueii? a?oie. Iacia/i? ci?ie oaeaee?nieo iieaciee?a aaiiaeeiai?ee a noaeeiao, ye? caaacia/othoue aaiicia iiaa?iaiiy e?ia? aei na?oey, iiaeooue na?ae/eoe i?i oa, ui inoaii? a ni?iiic? caaacia/eoe aaeaeaaoiee ia'?iiee e?iaio?e. Iiceiaa aaiioee?eoeyoe?y o an?o oai?eo ia i?iea?aeeo aaea i?e ? noaae?? IE aoea ci?iaiith. Aeinoia??ii ca?eueooaaany /an caaaeueii? oee?eoeyoe??. Ia?aaaaeiee aianie aeeaaeaea a?oa??aeueia oaca iiceiaiai oeeeeo. Aeine?aeaeaiiy aioo??oiueina?oeaai? aaiiaeeiai?ee o oe??? eaoaai??? iaoe??io?a aeyaeei oaiaeaioe?th aei ca?eueoaiiy ?ici???a ? ia'?i?a ea?ae?aeueieo ii?iaeiei. Nei?ioeeaa caeaoi?noue na?oey aoea aeinoia??ii i?eai?/aia o oai?eo c ia?aaeienaeueiei ? a?iie?iaoe/iei oeiii aaiiaeeiai?ee (?<0,05). A?ia?o?io?y i?iea?aea i?iyaeyeanue o ca?eueoaii? oiaueie caaeiuei? no?iee e?aiai oeoii/ea a ae?anoieo. O?aeoe?y aeeeaeo (OA EO) inoaiiueiai iaea oaiaeaioe?th aei cieaeaiiy, i?ioa o an?o niinoa?aaeaiiyo ia ia?aoeiaea caaaeueiii?eeiyoi? aeene?ei?iaoe?eii? aaee/eie (50%). Iciaeith iai?oaeaiiai noaio eiiiainaoe?eieo iaoai?ci?a c aieo i?aaiai oeoii/ea aoei iioiauaiiy eiai ia?aaeiuei? no?iee (INIO) ? ca?eueoaiiy caaaeueiiai ?ici??o a ae?anoieo. Oaeei /eiii, i?e ii/aoeiaeo noaae?yo IE o oai?eo ia i?iea?aeeo ia?aaaaea? a?ia?e?iaoe/iee oei aaiiaeeiai?ee. Eiiiainaoe?y ?? ?iceaaeo i?ioiaeeoue ca ?aooiie, ye ea?ae?aeueieo, oae ? aeno?aea?ae?aeueieo iaoai?ci?a. Nooi?iue ooieoe?iiaeueieo ci?i iaeiai ? aaeeeiai eiea e?iaiia?ao ia i?ecaiaeeoue aei ii?ooaiiy aaiiciiai iiaa?iaiiy e?ia? aei na?oey, a aeinoaoiy i?iioeueneaia caeaoi?noue i?iea?aea caaacia/o? caaeia?eueio ianinio ooieoe?th na?oey. E?euee?ni? iieacieee oeaio?aeueii? aaiiaeeiai?ee i?e IE IIA no. oaeiae caeaaeaee a?ae oeio aaiioee?eoeyoe?? c aiaeia?/ieie aei ? noaae?? ci?iaie. I?ioa, ?o ae?aaeai?noue aoea a?eueo nooo?aith ? aeinoia??ii a?ae??ciyeanue a?ae iiia?aaeiuei? a?oie. A ia?a?iciiae?e? oai?eo ca oeiii aaiiaeeiai?ee a iaaeao a?oie i?inoaaeoaaeanue oaiaeaioe?y aei ca?eueoaiiy ieoiii? aaae aeiaaee?a ??-ia?aaeienaeueiiai oa a?iie?iaoe/iiai oeio (20,3% oa 26,1% i?ioe 12,5% oa 19,4%). Cia/ia c?inoaiiy iieacieea IOeEe a % a?ae IOeE (14,5±0,7 (?<0,001) i?e a?ia?e?iaoe/iiio; 15,1±0,8 (?<0,0001) i?e I -ia?aaeienaeueiiio; 15,7±0,3 (?<0,0001) i?e II-ia?aaeienaeueiiio; 16,2±0,7 (?<0,0001) i?e a?iie?iaoe/iiio oei? aaiiaeeiai?ee), cieaeaiiy EAOe (1,3±0,14 oa-1 (?<0,01); 1,23±0,9 oa-1 (?<0,01); 0,94±0,8 oa-1 (?<0,001); 0,7±0,1 oa-1 (?<0,001) a?aeiia?aeii), AN(5,8±0,3 eai/oa (?<0,01); 5,9±0,5 eai/oa (?<0,01); 2,7±0,7 eai/oa (?<0,001); 2,6±0,7 eai/oa (?<0,001) a?aeiia?aeii), OA (60,5±2,4% (?>0,1); 57,3±1,8% (?<0,05); 50,2±2,8% (?<0,001); 48,3±1,9% (?<0,001) a?aeiia?aeii), Vcf (1,14±0,02 n-1 (?<0,05); 0,85±0,03 n-1 (?<0,05); 0,77±0,03 n-1 (?<0,0001); 0,71±0,02 n-1 (?<0,05) a?aeiia?aeii), oaiaeaioe?y aei cieaeaiiy OI (3,5±0,2 e/oa (?<0,0001)-i?e II-ia?aaeienaeueiiio; 3,8±0,2 e/oa (?<0,001)-i?e a?iie?iaoe/iiio), oiia?eueiaiiy oaeaeeino? e?iaioieo ii aaeeeiio ? iaeiio eieo na?ae/eee i?i oa, ui eiiiainaoe?ei? ?aca?ae nenoaie e?iaiia?ao o oai?eo ia i?iea?aeeo c IE II A no. iaaei??ii iai?oaeai? ? ciaoiaeyoueny ia iaae? aeniaaeaiiy. Eiiiainaoe?y aaiiaeeiai?/ieo c?ooaiue aeinyaa?oueny ca ?aooiie iia?e?caoe?? aeno?aea?ae?aeueieo oaeoi??a (CII, IOeE, IOeEe). Ca?eueoaiiy iieacieea IOeEe a % a?ae IOeE na?ae/eoue i?i oa, ui i?aai?ci iaiaaa?oueny ciaioeoe iaaaioaaeaiiy ia i?iea?ae, aeaiiioth/e e?ia a ia?aio?iaoicieo i?aaiao. O 26 oai?eo aeeoociei i?iea?aeeoii oeio O?aeea?a c IE IIA-III no. iieacieee eiiieaeniiai aoi-?aae?iioee?aeiiai aeine?aeaeaiiy na?ae/eee i?i aeniaaeaiiy ?aca?aieo iiaeeeainoae i?iea?aea. Ia?aaaaeio a?eueo?noue niinoa?aaeaiue neeaaeaa a?iie?iaoe/iee oei aaiiaeeiai?ee (96,2%). I?e ae?aci?e aeaeiiiainaoe?? na?oeaai? ae?yeueiino? iaaia ?aeue?oi?noue ?EA ao?a/aeanue (??cea iieia?noue aeno?aeieo ? ieco?aeieo /anoei, ?icoyaioo?noue ? caeaaeai?noue i?e?a, ia /?oe? eiioo?e n?aeeiaeie). I?i?iaeueiee ??aaiue aaiioee?eoeyoe?? caaacia/oaaany, eiia??ii, ca ?aooiie aeoeaii? o/ano? aeno?aea?ae?aeueieo iaoai?ci?a. Aaee/eia caaaeueiiai ia?eoa?e/iiai iii?o aoea cia/ii ca?eueoaiith ? eieeaaeanue a iaaeao a?ae 3090,0 aei 5200,0 aeei.n.ni-5 . Ca?eueoaiiy CII i?e ??cei cieaeaiiio OI o oai?eo c OIE IIA- III no., ?icoe?ithaaee ye eiiiainaoi?io ?aaeoe?th, ni?yiiaaio ia i?aeo?eieo iaeaaeiiai ??aiy na?aaeiueiai a?oa??aeueiiai oeneo, ei?iia?iiai ? iiceiaiai e?iaiia?ao. Cia/ia ciaioaiiy IOeE (51,0±0,1 ie/ea) oaeiae aeciaaaee ca eiiiainaoe?eiee oaeoi?, yeee ?aae?co?oueny caeaoi?noth ia?aio?iaoicieo i?aai?a (eaaai?, ia/?iea) aeeiioaaoe ooieoe?th aeaii e?ia?. *ioe?ueio?aciaa oiia?eueiaiiy iieacieea ea?ae?iii?oaeueiiai e?iaioieo (88,3±2,8 n, i?e eiio?ie? 23,8±1,5 n) na?ae/eei i?i cia/ia ii?ooaiiy aaiioee?eoeyoe?? ii aaeeeiio eieo e?iaiia?ao. Iiceiaa aaiiaeeiai?ea o oai?eo ia i?iea?aeeo c IE IIA- III no. aoea cia/ii c?ooaia. Niinoa??aaeinue oiia?eueiaiiy an?o oac iiceiaiai oeeeeo: a?oa??aeueii?, eai?ey?ii?, aaiicii?. *an caaaeueii? oee?eoeyoe?? ?OI o iiceiaiio aanaei? aoa oiia?eueiaiee aaeai?. I?e aoiEA- aeine?aeaeaii? niinoa??aaee cia/ia ca?eueoaiiy ?ici???a e?aiai oeoii/ea ( EN? - 5,0±0,2 ni, ?<0,0001; EAe?- 5,8±0,34 ni, ?<0,0001); oa eiai ia'?i?a (ENI -,0±6,2 ie, ?<0,0001; EAeI- 179,0±15,8 ie, ?<0,0001; EI - 4,5±0,28 ni, ?<0,0001). A oe?e a?oi? iaoe??io?a aeyaeai? iaeieae/? iieacieee nei?ioeeai? caeaoiino? i?iea?aea - Vcf (0,42±0,1 n-1 , ?<0,001). Ni?aa?aeiioaiiy ae?anoie?/iiai ?ici??o e?aiai oa i?aaiai oeoii/e?a noaiiaeei 1:1,8 i?ioe 1:2,6 o eiio?ieuei?e a?oi? ? na?ae/eei i?i ia?aaaaeio ae?eyoaoe?th i?aaeo a?aeae?e?a na?oey iaae e?aeie. ?icoe?aiiy eaia? na?oey ? cia/ia cieaeaiiy nei?ioeeai? caeaoiino? i?iea?aea o oai?eo c aaaeeith oi?iith i?iea?aeeoo eia?/ii caeiiii??i? ? ocaiaeaeothoueny c caaaeueiii?eeiyoei oyaeaiiyi i?i iane?aeee aeeoociiai a?aaeaiiy na?oeaaiai i`yco. Ia i?aenoaa? i?iaaaeaieo aeine?aeaeaiue cai?iiiiiaaii aeai?eoi canoinoaaiiy aoiea?ae?ia?ao?? oa N?OeA a eiiieaeniiio ianoaaeaii? oai?eo ia i?iea?aeeo. An? ae?aaiinoe/i? caoiaee aeioe?eueii ?iciiae?eeoe ia o?e iine?aeiaieo aoaie, eiaeai c yeeo iiaeeaeth? oa ooi/ith? ?acoeueoaoe iiia?aaeiueiai aae aei io?eiaiiy ?ioaa?aeueii? ioe?iee ?iceaae?a ooieoe?iiaeueii? nenoaie e?iaiia?ao oa aea/aiiy iaoai?ci?a ?o eiiiainaoe?? (oaae. 4). Oaaeeoey 4 Aeai?eoi canoinoaaiiy aoi-?aae?iioee?aeiiai aeine?aeaeaiiy i?e ianoaaeaii? oai?eo ia i?iea?aeeo ?c iaaeinoaoi?noth e?iaiia?ao Aoai ianoaaeaiiy Iaoa aeine?aeaeaiiy Iaoiaee aeine?aeaeaiiy Iieacieee, ui aecia/athoueny I Aeyaeaiiy iciae caoai-?thaaiiy na?oeaaiai i`yca oa iiia?aaei? aecia/aiiy noaae?? IE ca A.O.Aane-eaiei- I.Ae.No?aaeanei Caaaeueiiee?-i?/ia, AEA Ee?i?/i? neiioiie iaaeinoaoiino? e?iaiia?ao, cie?aia, iaiaaea-iiy o?ce/ii? aeoeaiino?, caaeeo-ea, i?aeaeuaia noiiethaai?noue II Ioe?iea nei?ioeeai? oa ianinii? ooieoe?? na?oey AoiEA OA, Vcf, ?ici??e ii?iaeiei na?oey III ?ioaa?aeueia ioe?iea nenoaie e?iaiia?ao oa ooi/iaiiy noaae?? IE: a) aecia/aiiy oeio aaiiaeeiai?ee; a) ioe?iea e?i?aiia?ao ii aaeeeiio eieo; a) ioe?iea e?i?aiia?ao ii iaeiio eieo; a)ioe?iea ea?ae?iii?oaeue- iiai e?iaioieo; ae) ioe?iea iicaiaiai e?iaioieo N?OeA ?EA ?EA ?EA ?EIA ?OeA IE CII, OI Oi Oie, IOeEe, IOeEe a % a?ae IOeE EIE Ai?, Ee, Aao, *COe AENIIAEE 1. Cai?iiiiiaaia iaoiaeeea neio?iiii? ?aae?ioee?eoeia?ao?? ni?ey? i?aeaeuaiith ia'?eoeaiino? io?eiaii? ?ioi?iaoe?? i?i noai oeaio?aeueii? oa ?aa?iia?ii? aaiiaeeiai?ee, ine?eueee ?? ia?aiao?e ?a?no?othoueny iaeiiiiiaioii a iaeiaeiaeo o?c?ieia?/ieo oiiaao. I?iiaiaaa iaaaioaaeaiiy oa o?eaae?noue aeine?aeaeaiiy ciaioothoueny aaeai?. 2. Ianoaaeaiiy oai?eo ia i?iea?aeeo ?c canoinoaaiiyi N?OeA aeicaieeei aecia/eoe iayai?noue, e??i a?ia?- oa a?iie?iaoe/iiai, aeaio ia?aaeienaeueieo oei?a aaiiaeeiai?ee. Ca oiia ii?iaeueiiai iieacieea caaaeueiiai ia?eoa?e/iiai iii?o (1050 - 1350 aeei/n.ni-5) aeey ?-ia?aaeienaeueiiai oeio i?eoaiaiia i?aeaeuaiiy (>6,7 e/oa.), a aeey
??-ia?aaeienaeueiiai oeio — cieaeaiiy (<3,3 e/oa.) oaeeeiiiai ia`?io. 3. A i?ioean? noaiiaeaiiy ? i?ia?anoaaiiy iaaeinoaoiino? e?iaiia?ao o oai?eo ia caiaeueia a?aaeaiiy i?iea?aea ianoa? nooi?i/aoa aaeaioeaia ia?aaoaeiaa oei?a aaiioee?eoeyoe?? a ianooii?e iine?aeiaiino?: a?ia?e?iaoe/iee (IE ? no.- 45,8%, IE ??A no. -37,7%); ?-ia?aaeienaeueiee (IE ? no. - 22,2%, IE ??A no. -15,9%); ??-ia?aaeienaeueiee (IE ? no.- 12,5%, IE ??A no.- 20,3%); a?iie?iaoe/iee (IE ? no. 19,4%, IE ??A no.- 26,1%, IE ??A-??? no.- 96,2%). 4. Eiiieaenia canoinoaaiiy aoi-?aae?iioee?aeieo aeine?aeaeaiue aeicaieeei aeiaanoe, ui oa?aeoa? ea?ae?aeueieo oa aeno?aea?ae?aeueieo i?enoiniaii-eiiiainaoe?eieo iaoai?ci?a aaeaioaoe?? ooieoe?iiaeueii? nenoaie e?iaiia?ao aecia/athoue noaae?th IE oa oei aaiioee?eoeyoe??. O oai?eo ia i?iea?aeeo c IE ? no. i?e a?ia?e?iaoe/iiio oa ?-ia?aaeienaeueiiio oei? aaiioee?eoeyoe?? ca?eueoothoueny *NN, OI, OI oa IOeE, ciaioo?oueny CII. Aeey a?iie?iaoe/iiai oa ??-ia?aaeienaeueiiai oei?a aaiioee?eoeyoe?? oa?aeoa?i? ae?aiao?aeueii-i?ioeeaaei? ci?ie. C iiaeeaeaiiyi iaaeinoaoiino? e?iaiia?ao ciaioaiiy iaaaioaaeaiiy ia i?iea?ae, caaacia/aiiy iaeaaeiiai a?oa??aeueiiai oeneo, ei?iia?ii? oa iiceiai? aaiioee?eoeyoe?? aeinyaa?oueny, ia?aaaaeii, aeaiiioaaiiyi e?ia? a ia?aio?iaoicieo i?aaiao oa noacii a ?ie?nieo noaeeiao (i?aeaeuaiiy CII oa IOeEe a % a?ae IOeE a ii?aeiaii? c? ciaioaiiyi OI, IOeE oa oiia?eueiaiei EIE). 5. Oea?aa?aeueiee e?iaiia?a, iacaaaeath/e ia naith aaoiiiii?noue, ci?ith?oueny i?e an?o noaae?yo IE, i?e/iio, ia ii/aoeiaeo noaae?yo (?-??A) -ia?aaaaeii ca ?aooiie a?oa??aeueii?, a i?e a?eueo oyaeeeo (??A-???) noaae?yo- ca ?aooiie aaiicii? ? eai?ey?ii? oac iiceiaiai oeeeeo. 6. A caaaeueiiio ae?aaiinoe/iiio eiiieaen? ianoaaeaiiy oai?eo ia i?iea?aeeo aoiea?ae?ia?ao?th ne?ae aeeiioaaoe ye ?? aoai aeine?aeaeaiiy c iaoith aecia/aiiy nei?ioeeai? oa ianinii? ooieoe?? na?oey. N?OeA aeioe?eueii canoiniaoaaoe ia ??? ae?aaiinoe/iiio aoai? aeey ?ioaa?aeueii? ioe?iee noaio ooieoe?iiaeueii? nenoaie e?iaiia?ao, oi/iiai aecia/aiiy oeio aaiioee?eoeyoe?? oa noaae?? IE. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe?? 1. E?anthe A.A. Eo/aaua iaoiaeu a ii?aaeaeaiee iaeioi?uo iieacaoaeae o aieueiuo ieiea?aeeoii // A?niee iaoeiaeo aeine?aeaeaiue.- 1998.-? 1-2.-N.53-56. 2. E?anthe I.A. ?aae?ioee?eoeia?ao?y i?e aecia/aii? aeayeeo iieaciee?a aaiiaeeiai?ee o oai?eo ia ?ae?iiaoe/iee i?iea?aeeo Aa?aiiaa - O?aeea?a // Oe?a?inueeee ?aae?ieia?/iee aeo?iae. - 1998.- ?1.- N.27-29. 3. E?anthe A.A., Eeueyo I.A., Oeuaaieia A.O. Iieacaoaee aioo?ena?aea/iie aaiiaeeiaieee o aieueiuo eioaeoeeiiii- aeea?ae/aneei ieiea?aeeoii // Ca??iee iaoeiaeo i?aoeue Oe?a?inueei? a?enueeiai-iaaee/ii? aeaaeai?? «I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey». Iiae ?aae. i?io. A.ss.Aaeiai.- E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.-1996.-N.140- 143. 4. E?anthe A.A., Ai?iieia E.A. ?aaeeioee?eoeia?aoey eae iaoiae ioeaiee oeaio?aeueiie e ?aaeiia?iie aaiiaeeiaieee i?e iaaeinoaoi/iinoe e?iaiia?auaiey // Oace aeiiia?aeae Oe?a?inueeiai Eiia?ano ?aae?ieia?a (Oe?'95).- E.- 1995.-N.30. 5. E?anthe A.A., Ai?iieia E.A., Ei?/einueea I.?. Ioeaiea oeaio?aeueiie e ?aaeiia?iie aaiiaeeiaieee i?e iaaeinoaoi/iinoe e?iaiia?auaiey iaoiaeii ?aaeeiea?aeeia?aoee // Oace aeiiia?aeae iaoeiai-i?aeoe/ii? eiioa?aioe?? «Nia?aiaiiua aniaeou aiaiiie iaaeeoeeiu». - E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.-1995.-N.90. 6. E?anthe I.A., Ei?/einueea I.?., *iaai A.?. Aeine?aeaeaiiy ea?ae?iii?oaeueiiai e?iaioieo o oai?eo c ?ae?iiaoe/iei i?iea?aeeoii oeio Aa?aiiaa - O?aeea?a // Oace aeiiia?aeae iaoeiai-i?aeoe/ii? eiioa?aioe?? «Aeooaeuei? i?iaeaie a?enueeiai? iaaeeoeeie».-E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.-1995. -N.104-105. 7. E?anthe I.A., Ei?/einueea I.?., *iaai A.?. ?aae?ioee?eoeia?ao?y i?e aecia/aii? iiceiaiai e?iaioieo ca aeiiiiiaith aeueaoi?io ne?iaaoee e?ia? ethaeeie i?/aiiai 131J // Oace aeiiia?aeae iaoeiai-i?aeoe/ii? eiioa?aioe?? «Aeooaeuei? i?iaeaie a?enueeiai? iaaeeoeeie».- E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.-1995.-N.103-104. 8. E?anthe I.A., Oeeaaieia A.O. Noai aaiiaeeiai?ee o oai?eo aaaeeei aeeoociei i?iea?aeeoii oeio Aa?aiiaa - O?aeea?a // Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? «I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey». Iiae ?aae. i?io. A.ss.Aaeiai.- E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.- 1996.-N.120-122. 9. E?anthe I.A., Oeeaaieia A.O., Ai?iieia E.A., Nieiaeyiieeiaa I.?., *iaai A.?. ?aae?ioee?eoeia?ao?y i?e aecia/aii? aeayeeo iieaciee?a aaiiaeeiai?ee o oai?eo c iaaeinoaoi?noth e?iaiia?ao // Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? «I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey». Iiae ?aae. i?io. A.ss.Aaeiai.- E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.- 1996.-N.124-126. 10. E?anthe I.A., Ai?iieia E.A., A?eceinueea ss.I., ?ae ?.N. Noai aioo??oiueina?oeaai? aaiiaeeiai?ee o oai?eo c o?ii?/iith na?oeaaith iaaeinoaoi?noth ca aeaieie oeueo?acaoeiaiai iaoiaeo aeine?aeaeaiiy na?oey // Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? «I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey». Iiae ?aae. i?io. A.ss.Aaeiai.- E.: Oe?a?inueea a?enueeiai-iaaee/ia aeaaeai?y AAIO II Oe?a?ie.-1996.-N.143-145. AIIOAOe?ss E?anthe I.A. Eiiieaenia aoi-?aae?iioee?aeia ae?aaiinoeea ii?ooaiue aaiiaeeiai?ee o oai?eo ia i?iea?aeeo.-?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.23 - i?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y. - Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iieieia?? oa ?aae?ieia?? IIC Oe?a?ie, Ee?a, 1998. Aeena?oaoe?th i?enay/aii i?aeaeuaiith aoaeoeaiino? ae?aaiinoeee ii?ooaiue oeaio?aeueiiai oa ia?eoa?e/iiai e?iaiia?ao o oai?eo ia i?iea?aeeo. Ia i?aenoaa? ianoaaeaiiy 167 oai?eo a 20 in?a eiio?ieueii? a?oie cai?iiiiiaaia iaoiaeeea neio?iiii? ?aae?ioee?eoeia?ao??. Aecia/aii iayai?noue, e??i a?ia?- oa a?iie?iaoe/iiai, aeaio ia?aaeienaeueieo oei?a aaiiaeeiai?ee. Aeiaaaeaii, ui a i?ioean? noaiiaeaiiy ? i?ia?anoaaiiy iaaeinoaoiino? e?iaiia?ao a?aeaoaa?oueny noi?i/aoa aaeaioeaia ia?aaoaeiaa oei?a aaiioee?eoeyoe?? a ianooii?e iine?aeiaiino?: a?ia?e?iaoe/iee ?-ia?aaeienaeueiee; ??-ia?aaeienaeueiee; a?iie?iaoe/iee. I?iaeaiiino?iaaia caeaaei?noue oa?aeoa?o ea?ae?aeueieo oa aeno?aea?ae?aeueieo i?enoiniaii-eiiiainaoe?eieo iaoai?ci?a aaeaioaoe?? ooieoe?iiaeueii? nenoaie e?iaiia?ao a?ae noaae?? iaaeinoaoiino? e?iaiia?ao oa oeio aaiioee?eoeyoe??. ?ic?iaeaii iaoeiai iaa?oioiaaiee aeai?eoi canoinoaaiiy aoiea?ae?ia?ao?? oa neio?iiii? ?aoe?ioee?eoeia?ao?? a i?ioean? eiiieaeniiai ianoaaeaiiy oai?eo ia i?iea?aeeo. Eeth/ia? neiaa: neio?iiia ?aae?ioee?eoeia?ao?y, aoiea?ae?ia?ao?y, i?iea?aeeo, iaaeinoaoi?noue e?iaiia?ao, oeaio?aeueia, ?io?aea?ae?aeueia ? ?aa?iia?ia aaiiaeeiai?ea, oeie aaiiaeeiai?ee. AIIIOAOeEss E?anthe A.A. Eiiieaeniay yoi-?aaeeiioeeeaeiay aeeaaiinoeea ia?ooaiee aaiiaeeiaieee o aieueiuo ieiea?aeeoii.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/?iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.23 - eo/aaay aeeaaiinoeea, eo/aaay oa?aiey. - Oe?aeineee iao/ii-enneaaeiaaoaeueneee einoeooo iieieiaee e ?aaeeieiaee IC Oe?aeiu, Eeaa, 1998. Aeenna?oaoeey iinayuaia iiauoaieth yooaeoeaiinoe aeeaaiinoeee ia?ooaiee oeaio?aeueiiai e ia?eoa?e/aneiai e?iaiia?auaiey o aieueiuo ieiea?aeeoii. Ia iniiaaiee ianeaaeiaaiey 167 aieueiuo e 20 eeoe eiio?ieueiie a?oiiu i?aaeeiaeaia iaoiaeeea neio?iiiie ?aaeeioee?eoeia?aoee. Ii?aaeaeaii iaee/ea, e?iia aeia?- e aeiieeiaoe/aneiai, aeaoo ia?aaeienaeueiuo oeiia aaiiaeeiaieee. Aeieacaii, /oi a i?ioeanna noaiiaeaiey e i?ia?anne?iaaiey iaaeinoaoi/iinoe e?iaiia?auaiey i?ienoiaeeo nooiai/aoay aaeaioeaiay ia?ano?ieea oeiia aaiiaeeiaieee a iineaaeiaaoaeueiinoe: aeia?eeiaoe/aneee, ?-ia?aaeienaeueiue, ??-ia?aaeienaeueiue, aeiieeiaoe/aneee. I?iaeaiiino?e?iaaia caaeneiinoue oa?aeoa?a ea?aeeaeueiuo e yeno?aea?aeeaeueiuo eiiiainaoi?ii-i?eniiniaeoaeueiuo iaoaieciia aaeaioaoeee ooieoeeiiaeueiie nenoaiu e?iaiia?auaiey io noaaeee iaaeinoaoi/iinoe e?iaiia?auaiey e oeia aaiioee?eoeyoeee. ?ac?aaioai iao/ii iainiiaaiiue aeai?eoi eniieueciaaiey yoiea?aeeia?aoee e neio?iiiie ?aaeeioee?eoeia?aoee a eiiieaeniii ianeaaeiaaiee aieueiuo ieiea?aeeoii. Eeth/aaua neiaa: neio?iiiay ?aaeeioee?eoeia?aoey, yoiea?aeeia?aoey, ieiea?aeeo, iaaeinoaoi/iinoue e?iaiia?auaiey, oeaio?aeueiay, eio?aea?aeeaeueiay e ?aaeiia?iay aaiiaeeiaieea, oeiu aaiiaeeiaieee. SUMMARY Krasjuk A.A. The complex echo-radionuclide diagnostics of haemodynamical disorders in patients with myocarditis .- Manuscript. Thesis for the Degree of Candidate of Medical Sciences on speciality 14.01.23 - radiodiagnostics, radiotherapy. - Ukrainian Scientific Research Institute of Oncology and Radiology, Ministry of Health of Ukraine, Kyiv, 1998. Thesis is devoted to the increasement of diagnostics effectiveness of central and peripheric blood circulation in patients with myocarditis. On the basis of investigation of 167 patients and 20 persons of control group the methodics of synchronic radiocirculation is worked out. It is proved that stepped adaptive reconstruction of haemodynamic types in the process of forming and progressing of blood circulation failure takes place in such sequence: hyperkinetic, I-paradoxal, II-paradoxal, hypokinetic ones. The dependence of character of cardiac and extracardiac compensatory-adaptive mechanisms of adaptation of functional systems of blood circulation from the stage of blood circulation failure and haemocirculation type is demonstrated. The scientifically based algorithm of echocardiography and synchronic radiocirculography in complex investigation of patients with myocarditis is worked out. Key words: synchronic radiocirculography, echocardiography, myocarditis, blood circulation failure, central, intracardial and regional haemodynamics, haemodynamic types.

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