I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iaaee/ii? ?aaa?e?oaoe?? oa
eo?i?oieia??

Oa?oe/ia ?iae??a Ieaen??aia

OAeE 618.3:616.61-002.3-08:615.814.1

eiiieaenia e?eoaaiiy aaa?oieo,

oai?eo ia i??eiiao?eo, c aeei?enoaiiyi ?aoeaeoi?ii-ioieoo?ii?
o?c?ioa?ai??

14.01.33 — eo?i?oieia?y oa o?c?ioa?ai?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Iaeanueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? eaoaae?e o?c?ioa?ai??, iaaee/ii?
?aaa?e?oaoe?? oa eo?i?oieia?? Iaeanueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo Eaioe Aaaeei Aieiaeeie?iae/

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Ioaoaeianueeee Einei Ethaea?aiae/,
Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iaaee/ii? ?aaa?e?oaoe?? oa
eo?i?oieia??, aieiaiee iaoeiaee ni?a?ia?oiee ee?i?/iiai a?aeae?eo;

aeieoi? iaaee/ieo iaoe, i?ioani?, c. ae. i. o. Oe?a?ie,Caeeinueeee
Ieaenaiae? Ieaen?eiae/, Iaeanueeee aea?aeaaiee iaaee/iee oi?aa?neoao,
caa?aeoaa/ eaoaae?e ia?eiaoaeueii? iaaeeoeeie, aeeoy/i? oa i?aee?oeiai?
a?iaeieia??

I?ia?aeia onoaiiaa:

Oa?e?anueea aea?aeaaia iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe IIC
Oe?a?ie, eaoaae?a o?c?ioa?ai?? oa eo?i?oieia??, i. Oa?e?a

Caoeno aeena?oaoe?? a?aeaoaeaoueny “30” eenoiiaaea 1999 ?., i 10 aiaeei?
ia can?aeaii? Niaoe?ae?ciaaii? a/aii? ?aaee Ae.41.608.01 Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??
IIC Oe?a?ie (i. Iaeana, 65014,

Ea?iiioianueeee i?ia., 6)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??
ca aae?anith: 65014, Iaeana, Ea?iiioianueeee i?ia., 6

Aaoi?aoa?ao ?ic?neaiee “29” aeiaoiy 1999 ?.

A/aiee nae?aoa?

Niaoe?ae?ciaaii? a/aii? ?aaee:

eaiaeeaeao iaaee/ieo iaoe,

noa?oee iaoeiaee ni?a?ia?oiee Aeieo???aa A. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue aeine?aeaeaiiy. Aeno?aaai?oaeueia iaoieia?y ? iaei??th c
iniiaieo i?e/ei oneeaaeiaiue aanoaoe?eiiai i?ioeano, noaio ieiaeo ?
iiaiia?iaeaeaiiai, ia?eiaoaeueii? ? iaoa?einueei? caoai?thaaiino? ?
nia?oiino? (I. E. Iao?e/ei, 1994; E. A. Ooiaiiaa c ni?aaao., 1996; H. I.
J. Wildschut 1997) Oae, ca aeaieie I?i?noa?noaa ioi?iie caei?ia’y
Oe?a?ie, ca inoaii? i’youe ?ie?a ia 21 % ca?eueoeeany e?euee?noue
aeiaaee?a oneeaaeiaiue aaa?oiino?, iieia?a ? i?neyiieiaiaiai ia??iaeo
(A. O. Aic?aiia, 1997). Iaei??th c i?e/ei, ui coiiaeththoue
iani?eyoeeaee aieea ia ia?aa?a aaa?oiino? ? noai ieiaeo, ? caoai?thaaiiy
ie?ie (A. A. Eieiieeoeaaa ? ni?aaao., 1994 I. I. I?ciaa ? ni?aaao.,
1998)

Iaea?eueo /anoith ee?i?/iith oi?iith caoai?thaaiiy ie?ie o aaa?oieo
ae?iie ? i??eiiao?eo, ui aaaea aei iaaeiiooaaiiy aaa?oiino?, i?ci?o
aeeeae?a, ia?aae/anieo iieia?a (A. E. Oaaaae ? ni?aaao., I. A.
Nathe,1995; I. I. Cae?inueeee ? ni?aaao. 1998;. E. A. Ooiaiiaa ?
ni?aaao., 1998). Aeoiaey/e c iayaieo o e?oa?aoo?? caaaeaiue (I. ?.
Ianoa?ia ? ni?aaao., 1994; A. O. Aic?aiia ? ni?aaao., 1995; N. O.
Aeu-Ooo?? ? ni?aaao., 1996), anoaiiaeaii, ui iaei??th c iiaeeeaeo i?e/ei
?icaeoeo i??eiiao?eoo ? ii?ooaiiy ?ioiiiai noaoono i?aai?cio. I?ioa,
aeioaia? iaaeinoaoiuei ?ic?iaeai? iaoiaeieia?/i? i?eioeeie noeioeyoe??
aaeaioaoe?eieo, a oiio /ene? ? ?ioiieo iaoai?ci?a i?e aanoaoe?eiiio
i??eiiao?eo?. ?nioth/? iaoiaeeee ei?aeoe?? ii?ooaiue ?ioiii? nenoaie
iae/ano?oa ? neeaaeieie, caaaeueiiaeciaia oa?iaeioa?ai?y oe??? iaoieia??
ia? iecueeo aoaeoeai?noue, caeia? cia/io e?euee?noue /ano, ia??aeei aeey
e?eoaaiiy aaa?oieo aeei?enoiaothoueny aeaeaei ia caaaeaee aacia/i?
i?aia?aoe, ui ni?e/eiythoue iaaaoeaiee aieea ia o?eueee ia i?aai?ci
iaoa??a, a e ia i?aai?ci ieiaeo (TH. A. Aaeionia ? ni?aaao., 1998; F. V.
Bruchhausen, 1996). Oe? ianoaaeie ? iaoiiaeee iiooee iiaeo,
iao?aaeeoe?eieo i?aeoiae?a o e?eoaaii? aanoaoe?eieo i??eiiao?eo?a ?c
aeei?enoaiiyi o?c?ioa?aiaaoe/ieo oaeoi??a. Iaea?eueo ia?niaeoeaieie
/eiieeaie, ca iaoa??aeaie e?oa?aoo?e, a oaeiae, ia iao iiaeyae, ?
aeei?enoaiiy oeueo?acaoeo, i?e?iao?ioaeeueiai? oa?ai??, AeIO-,
NIO-oa?ai??, oeueo?ao?ieaoiaiai ii?ii?iaiiy e?ia? ? oaeiae
?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai??.

O ca’yceo c aeuaaeeeaaeaiei, c?icoi?eei ? iino?eiee ?ioa?an
o?c?ioa?aiaao?a, aeooa??a, iao?ieia?a aei iioei?caoe?? i?aeoiae?a o
e?eoaaii? aaa?oieo ?c caoai?thaaiiyie ie?ie. I?e oeueiio
aeine?aeaeothoueny iiaeeeaino? ciaioaiiy iaaeeeaiaioiciiai iaaaioaaeaiiy
c o?aooaaiiyi ii?ooaiiy ooieoe?? ie?ie, a oaeiae iiaeeeaiai
iani?eyoeeaiai aieeao ia ie?ae. Iniaeeai ia?niaeoeaieie a oeueiio ieai?
? ?ic?iaee eiiieaenieo, c canoinoaaiiyi iaiaaeeeaiaioicieo /eiiee?a,
noai e?eoaaiiy iaoieia?? aioo??oi?o i?aai?a, o oiio /ene? aanoaoe?eieo
i??eiiao?eo?a.

Iacaaaeath/e ia oa, ui ? aeayeee aeina?ae iaiaaeeeaiaioicieo cania?a
e?eoaaiiy oe??? iaoieia??, aieea ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? ia
i?aai?ci iaoa?? ? ieiaeo i?e aanoaoe?eiiio i??eiiao?eo? i?aeoe/ii ia
aeine?aeaeaiee, ia aea/ai? iaoai?cie eiai aieeao ia ?ioiiee noaoon
aaa?oii?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeine?aeaeaiiy ?
o?aaiaioii eiiieaenieo iaoeiai-aeine?aeieo ?ia?o eaoaae? o?c?ioa?ai??,
iaaee/ii? ?aaa?e?oaoe?? ? eo?i?oieia?? oa aeooa?noaa ? a?iaeieia??
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ? ? neeaaeiaith
/anoeiith aea?aeaaii? iaoeiai-oaoi?/ii? i?ia?aie “?ic?iaeoe oa
ai?iaaaeeoe iaoeia? iniiae i?aai?caoe?? ?aa?iiaeueiiai ia?eiaoaeueiiai
oeaio?o” (iiia? aea?aeaaii? ?a?no?aoe?? oaie UA 01000041 ?., oeo? — IE
91. 257).

Iaoa ?iaioe: Ia i?aenoaa? aea/aiiy iniaeeainoae ia?aa?ao aanoaoe?eiiai
i??eiiao?eoo, ioe?iee ae?? ??cieo aa??aio?a ?aoeaeoi?ii-ioieoo?ii?
o?c?ioa?ai?? iaa?oiooaaoe i?aeoiaee aei aeai?o
e?eoaaeueii-?aaa?e?oaoe?eiiai eiiieaeno c iaoith i?aeaeuaiiy
aoaeoeaiino? e?eoaaiiy.

3aaea/? aeine?aeaeaiiy:

1. Ioa?aeoa?ecoaaoe ee?i?ei-iaoiaaiaoe/i? iniaeeaino? aeieeiaiiy oa
ia?aa?ao aanoaoe?eiiai i??eiiao?eoo.

2. Aea/eoe ae?th ??cieo iaoiae?a ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? ia
aeeiai?eo ee?i?/ieo neiioii?a, iieaciee?a ?ioiii? nenoaie oa aeayeeo
a?io?i?/ieo iieaciee?a.

3. I?iaanoe ii??aiyeueiee aiae?c canoinoaaiiy ??cieo iaoiae?a
?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? o oai?eo ia aanoaoe?eiee
i??eiiao?eo, iaa?oiooaaoe aeei?enoaiiy iaea?eueo aoaeoeaiiai c ieo.

4. Anoaiiaeoe caaaeueiiee?i?/i?, a?io?i?/i? oa ?ioiieia?/i? e?eoa???
aoaeoeaiino? eiiieaeniiai e?eoaaiiy aaa?oieo c i??eiiao?eoii.

5. Iaa?oiooaaoe aeioe?euei?noue aeei?enoaiiy noai eiiieaeniiai e?eoaaiiy
oai?eo ia aanoaoe?eiee i??eiiao?eo c aeeth/aiiyi ?aoeaeoi?ii-ioieoo?ii?
o?c?ioa?ai??.

Iaoeiaa iiaecia. A ?acoeueoao? i?iaaaeaiiai aeine?aeaeaiiy aeyaeai?
oa?aeoa?i? iniaeeaino? ee?i?/iiai ia?aa?ao aanoaoe?eiiai i??eiiao?eoo,
aeaye? i?e/eie eiai aeieeiaiiy.

Io?eiai? iia? aeai? i?i ooieoe?iiaeueiee noai ?ioiii? nenoaie aaa?oieo c
i??eiiao?eoii. Aia?oa i?iaaaeaiee ii??aiyeueiee aiae?c ?ioiia?ai
caei?iaeo aaa?oieo oa oai?eo ia aanoaoe?eiee i??eiiao?eo. Aeyaeaii, ui
iaea?eueo ?ioi?iaoeaieie iieacieeaie ooieoe?iiaeueiiai noaio ?ioiii?
nenoaie oai?eo ? iieacieee INO-oanoo oa ??aaiue oee?eoethth/eo ?ioiieo
eiiieaen?a.

Aea/aii ae?th ??cieo aa??aio?a ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai??
(eaca?iioieoo?a, aieea ?io?a/a?aiiei eaca?iei ii?ii?iaiiyi ia ae?eyieo
i?iaeoe?? ie?ie, eiia?ioaaiiy niiniao /a?acoe??iiai eaca?iiai
ii?ii?iaiiy e?ia? c aieeaii ia ae?eyieo ie?ie) ia
ee?i?ei-eaai?aoi?ii-?ino?oiaioaeuei? iieacieee oai?eo c aanoaoe?eiei
i??eiiao?eoii.

Aeiaaaeaii, ui iiceoeaiee ?acoeueoao ae?? ?aoeaeoi?ii-ioieoo?ii?
o?c?ioa?ai?? a?aeaoaa?oueny caaaeyee i?eoaiaiiiio eiio
?ioiiiiaeoethth/iio aoaeoo: i?aeaeuaiith ai?noo O-eeioioeeo?a,
ii?iae?caoe?? ni?aa?aeiioaiiy noaiiioeyoe?e O-oaeia??a/O-noi?ani??a,
cieaeaiith ??aiy oee?eoethth/eo ?ioiieo eiiieaen?a.

I?iaaaeaiee ii??aiyeueiee aiae?c ae?? ??cieo e?eoaaeueieo eiiieaen?a,
ye? i?noyoue iaaeeeaiaioicia e?eoaaiiy oa iaeei c aa??aio?a
?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai??, na?ae/eoue, ui iaea?eueo aoaeoeaiei
aeyaeany aieea ?io?a/a?aiiiai eaca?iiai ii?ii?iaiiy ia oi/ee
aeoioieoo?e.

Aecia/ai? e?eoa??? aeinyaiaiiy ee?i?/ii? ?ai?n?? o oai?eo ia
aanoaoe?eiee i??eiiao?eo.

I?aeoe/ia cia/aiiy: Ii?aoeueiaaiee oa ai?iaiaaiee niin?a iaoiaaiaoe/iiai
e?eoaaiiy aaa?oieo c i??eiiao?eoii. Ia iniia? ii??aiyeueieo
aeine?aeaeaiue c aeei?enoaiiyi ??ciiiai?oieo aa??aio?a
?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? cai?iiiiiaaii niin?a aieeao ia oi/ee
aeoioieoo?e ?io?a/a?aiiei eaca?ii a eiiieaen? c iaaeeeaiaioiciei
e?eoaaiiyi, caaaeyee yeiio iie?auothoueny ?acoeueoaoe oa?ai??.

Neeaaeai? ?aoeaioe i?ecia/aiiy i?ioeaaeo? ?aoeaeoi?ii-ioieoo?ii?
o?c?ioa?ai?? c a?aooaaiiyi iie?a oa ae?eyiie aieeao, /anoioieo
ia?aiao??a aaia?aoe?? ?iioeuen?a ii?ii?iaiiy, a oiio /ene? ?
aeoioieoo?i? ?aoeaioe.

Aeyaeai? iaea?eueo ?ioi?iaoeai? iieacieee ooieoe?iiaeueiiai noaio
?ioiii? nenoaie oai?eo aeathoue iiaeeea?noue ia’?eoeaii ioe?ithaaoe
aoaeoeai?noue cae?enithaaiiai e?eoaaiiy.

?acoeueoaoe ?iaioe ai?iaaaeaeai? a i?aeoeeo Iaeanueeiai iaeaniiai
iieiaiaiai aoaeeieo, o?c?ioa?aiaaoe/iiai a?aeae?eaiiy Iaeanueei?
iaeanii? ee?i?/ii? e?ea?i?, a iaa/aeueiee i?ioean eaoaae? o?c?ioa?ai??,
iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??, aeooa?noaa oa a?iaeieia??
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

Iniaenoee aianie aaoi?a iieyaa? o iinoaiiaoe? caaaeaiue aeine?aeaeaiiy,
iaa?oiooaaii? oa ?ic?iaoe? iaoiae?a ?o ae??oaiiy, iaoeiaiio aiae?c? oa
?ioa?i?aoaoe?? io?eiaieo ?acoeueoao?a, o oi?ioethaaii? iniiaieo
iieiaeaiue oa aeniiae?a aeena?oaoe?eii? ?iaioe. Aaoi?ii naiino?eii
i?iaaaeai? iaoaioii-?ioi?iaoe?eiee iiooe, a?aea??, ianoaaeaiiy,
e?eoaaiiy aaa?oieo, noaoenoe/ia ia?iaea ?acoeueoao?a aeine?aeaeaiiy.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeeeaaeai? ia Ia?oiio i?aeia?iaeiiio neiiic?oi? “Caei?iauea a aa?iiiee”
(Ee?a, 1993); ia iaoeiai-i?aeoe/ii? eiioa?aioe?? “Aeooaeuei? ieoaiiy
iaaee/ii? ?aaa?e?oaoe?? (Iaie??a-Iaeana, 1994); ieaioi? i?aae?iiy
iaoeiaiai oiaa?enoaa aeooa??a-a?iaeieia?a Oe?a?ie “Oeyoe cieaeaiiy
iaoa?einueei? oa ia?eiaoaeueii? nia?oiino? i?e i?ci?o aanoicao aaa?oieo”
(Iieoaaa, 1994); I?aeia?iaeiiio eiia?an? “Aeooaeuei? ieoaiiy iaaeeoeeie”
(?aaii-O?aie?anuee, 1995); i?aeia?iaei?e eiioa?aioe?? ii canoinoaaiith
eaca??a o a?ieia?? oa iaaeeoeei? (Ee?a, 1995); oe?a?inueeiio ieaioi?
i?aae?iiy aeooa??a-a?iaeieia?a “Ai?eii-caiaethaaeuei? i?ioeane a
no/ani?e aeooa?nueei-a?iaeieia?/i?e i?aeoeoe?” (Caii??aeaey, 1995).

Ai?iaaoe?y i?iaaaeaia ia can?aeaiiyo eaoaae? o?c?ioa?ai??, iaaee/ii?
?aaa?e?oaoe?? ? eo?i?oieia??, oa aeooa?noaa ? a?iaeieia?? Iaeanueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo oa ee?i?/iiai a?aeae?eo
Oe?a?inueeiai IAe? iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iaae?oeiaaii 13 iaoeiaeo
i?aoeue, c ieo 4 — noaoo?, o oiio /ene? 3 — naiino?ei?.

Ianya ? no?oeoo?a ?iaioe. Aeena?oaoe?y aeeeaaeaia ia 142 noi??ieao
ae?oeiaaiiai oaenoo, neeaaea?oueny c anooio, i’yoe ?icae?e?a aeanieo
aeine?aeaeaiue, aiae?co e iaaiai?aiiy ?acoeueoao?a, aeniiae?a oa nieneo
aeei?enoaieo aeaea?ae. Aeena?oaoe?y ?ethno?iaaia 18 oaaeeoeyie, 10
?enoieaie, 1 oioia?ao??th. Nienie aeei?enoaieo aeaea?ae i?noeoue 246
iaeiaioaaiue, c ieo 186 a?o/eciyieo oa 60 ca?oa?aeieo aeaea?ae.

Iniiaiee ci?no ?iaioe

Iaoa??aee oa iaoiaee aeine?aeaeaiue. Aeey ??oaiiy iinoaaeaieo caaea/
aoei i?iaaaeaii aeeiai?/ia ianoaaeaiiy 151 aaa?oii?: 121 iaoe??ioea c
aino?ith na?iciith oi?iith i??eiiao?eoo oa 30 i?aeoe/ii caei?iaeo
aaa?oieo ae?iie c iaoneeaaeiaiei ia?aa?aii aanoaoe?eiiai ia??iaeo. An?o
aeine?aeaeaieo c i??eiiao?eoii a caeaaeiino? a?ae niiniao e?eoaaiiy aoei
?icae?eaii ia 4 a?oie.

? a?. — 30 aaa?oieo c i??eiiao?eoii, ui io?eioaaee o?aaeeoe?eio
iaaeeeaiaioicio oa?ai?th (aii?oeee?i, iae?i, 5-IIE, eo?aioee, ii-oia).

?? a?. — 28 aaa?oieo c i??eiiao?eoii, ye? io?eioaaee eiiieaenio
oa?ai?th, ui neeaaeaeany c iaaeeeaiaioiciiai e?eoaaiiy oa iaeiiai c
aa??aio?a ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? (?IO). Ii?ii?ithaa/
anoaiiaethaaany eiioaeoii, ia ae?eyieo ie?ee, ii o?e iiey ia eiaeio
(i???iooaaeeny ia eieae?caoe?th i?iaeoe?? ie?ie ca aeaieie OCAe).
*anoioa ne?aeoaaiiy ?iioeuen?a neeaaeaea: a ia?o? aeaa naaine 1500 Aoe,
a ianooii? aei? 600 Aoe, aeniiceoe?y ia iaeia iiea 2 oaeeeie, /an
i?ioeaaeo?e 12 oa., uiaeaiii, anueiai 7-10 i?ioeaaeo?.

??? a?. — 31 aaa?oia c i??eiiao?eoii, ye? io?eioaaee aeiaeaoeiai aei
o?aaeeoe?eii? iaaeeeaiaioicii? oa?ai?? eiia?iiaaio ?IO, yea i?noeea
/a?acoe??ia eaca?ia ii?ii?iaiiy e?ia? (*EIE) oa aieea ia ae?eyieo
i?iaeoe?e ie?ie (i?iaiaeeeany aiaeia?/ii aeuaiaaaaeai?e o ?? a?.); *EIE
i?iaiaeeeiny oeyoii iaeeaaeaiiy ii?ii?ithaa/a ia oe??i? iie?iae ae?oaiai
i?ae?aa??’y o e?ath a?oaeeie c aeaio aie?a ii/a?aiai, c /anoioith
ne?aeoaaiiy ?iioeuen?a 80 Aoe, aeniiceoe?y ia iaeia iiea 5 oa.,
caaaeueiee /an i?ioeaaeo?e 22 oa., uiaeaiii, anueiai 7-10 i?ioeaaeo?.

IV a?. — 32 aaa?oi? c i??eiiao?eoii, yeei iaaeeeaiaioicio oa?ai?th
niieo/aee c aieeaii ia oi/ee aeoioieoo?e (OA). Aeei?enoiaoaaee
ei?ii?aeuei? oi/ee caaeiueina?aaeeiiiai ia?eae?aio (O14), ia?eae?ai?a
ie?ie (R3, R7), na/iaiai i?oo?a (V23, V22, V25, V14, V28, V54),
ia?eae?ai ia?eea?aeo (MC6) ? ao?eeoey?i?: ie?ee, na/iaee i?oo?,
na/iaiaee, 55 (oaiue-iaiue), naeac?iea. Aeniiceoe?y ia iaeio oi/eo 2
oaeeeie, /anoioa ne?aeoaaiiy ?iioeuen?a 150 Aoe, uiaeaiii, 5-7
i?ioeaaeo?.

V a?. — neeaee 30 i?aeoe/ii caei?iaeo aaa?oieo c o?c?ieia?/iei ia?aa?aii
aaa?oiino?.

Aeine?aeaeai? iaee a?e 17-32 ?ie?a, oa?i?ie aanoaoe?? a?ae 20 aei 28
oeaei?a.

A ?iaio? aeei?enoai? oae? iaoiaee aeine?aeaeaiiy: caaaeueiiee?i?/i?,
a?io?i?/i?, ?ioiieia?/i?, caaaeueiee aiae?c na/?, i?iaa
Aeueiaeaea-Ia/eii?aiei, i?iaa Ceiieoeueeiai, iin?a na/? c aecia/aiiyi
nooiaith aaeoa??o???, aioea?ioeeia?aia, oeueo?acaoeiaa aeine?aeaeaiiy
ie?ie. Aeey i?iaaaeaiiy ?IO aeei?enoiaoaaany oa?aiaaoe/iee eaca?iee
aia?ao ia?ee “Oci?” c aeiaaeeiith oaee? 890,0 ii (?io?a/a?aiiiai
ae?aiaciio) aaia?oth/iai ?iioeuene a ?io?a/a?aii?e ae?eyioe? niaeo?o, c
iiooaei?noth io 2,8 aei 3,4 Ao eaca?iiai ii?ii?iaiiy.

Noai O ? A — nenoaie e?ioioeeo?a aecia/aee ca oaeeie iieacieeaie, ye
caaaeueia e?euee?noue O-ee?oei (Ocaa) ca iaoiaeii Felsburg et al.
(1976); O-ee?oeie c ?aoeaioi?aie aei Fc-o?aaiaio?a ?ioiiaeiaoe?i?a (Ig)
eean?a I (Om — ia?aaaaeii oaeia?e) oa IgG (Og — ia?aaaaeii noi?ani?e) ca
iaoiaeii A. N. Iaaethe ? ni?aaao. (1982); e?ioioeeoe, ui ooai?ththoue
?icaoee c aeanieie a?eo?ioeeoaie (A-?OE); caaaeueia e?euee?noue
A-e?ioioeeo?a (Acaa) ? oeo, ui ianooue ?aoeaioi?e aei ieoa/eo
a?eo?ioeeo?a (Am) ca iaoiaeii I. J. Forbers et al. (1976). C iaoith
ioe?iee oeioncaeaaeiiai eaioethao ?ioiii? nenoaie anoaiiaethaaee
ooieoe?iiaeueio aeoeai?noue ee?oei ca ?aaeoe??th aaeueioaaiiy i?a?aoe??
eaeeioeeo?a (?IAE) ca iaoiaeii O. I. E?eie?ii? ? ni?aaao. (1983), a
oaeiae oano a?aeiiaeaiiy ieo?ineiueiai oao?acie?th (INO-oano) ca
iaoiaeeeith B. H. Park et al. (1968) o iiaeeo?eaoe?? I. ?. A?eniaia oa
A. I. Iayinueeiai (1979). Oee?eoethth/? ?ioii? eiiieaene (Oe?E)
inaaeaeoaaee ?c ne?iaaoee e?ia? 7 % ?ic/eiii
iie?aoeeaieaeeeieth-6000(“Merck”). Eiioeaio?aoe?th ne?iaaoeiaeo
?ioiiaeiaoe?i?a (G, A, M) aecia/aee iaoiaeii ?aae?aeueii? ?ioiiaeeooc??
a aaa?iiio aae? ca G. Manchini et al. (1965). C iaoith e?euee?nii?
ioe?iee aeoeaieo iaeo?io?e?a aea/aee ?o niiioaiia ?icaoeiooai?aiiy
(Ns-POH), aeei?enoiaoth/e iaoiaeeee Anwar, Kay (1974) oa ?. A. Iao?iai?
(1980).

Iaea?aeai? oeeo?ia? aeai? ia?iaeyee ca iaoiaeaie aa??aoe?eii? noaoenoeee
c aeei?enoaiiyi e?eoa??th No’thaeaioa oa eiao?oe??io?a aa??aoe??.

?ACOEUeOAOE AeINE?AeAEAIIss

A on?o oai?eo i??eiiao?eo aeiee aia?oa i?ae /an oe??? aaa?oiino?.
Aaa?oi? ?c noiooi?i i?ci?i aanoicii, na/ieai?iiith oai?iaith, o?ii?/iei
i??eiiao?eoii aoee aeeeth/ai? c oeueiai aeine?aeaeaiiy aeey
iiia?aaeaeaiiy iai?aaeeueii? ?ioa?i?aoaoe?? ?ioiia?aie.

I?e aea/aii? aiaiiaco aaa?oieo c i??eiiao?eoii iii?/aii, ui c aeeoy/eo
?ioaeoe?e iaea?eueo /anoi cono??/aeanue a?o?yia a?nia (30,93 %), a c
caoai?thaaiue aioo??oi?o i?aai?a iaea?eueoa ieoiia aaaa aoea
caoai?thaaiue a?iioi-eaaaiaai? nenoaie (20,93 %). Aanoaoe?eiee
i??eiiao?eo iaea?eueo /anoi aeyaeyany o aaa?oieo A (???) a?oie e?ia?
(20,93 %) i?e 9,00 % o eiio?ie?. Aeyaeaia oaiaeaioe?y aei aeieeiaiiy
i??eiiao?eoo o ia?oiaaa?oieo (58,3 %).

Na?aae i?e/ei, ui ni?eyee ?icaeoeo i??eiiao?eoo, iaie aeyaeai?: thiee
a?e ia?oiia?iaeaeoth/eo (44,9 % aaa?oieo o a?oe? aei 20 ?ie?a), ?aii?e
ii/aoie noaoaaiai aeeooy (18,1±0,3 %,o oiio /ene? 38,3±0,2 % c 15
?ie?a), iecueeee nioe?aeueiee noaoon (87,5 %).

I?e aea/aii? nea?a aeyaeaii ia?aaaaeaiiy anoai?/iiai oa aieueiaiai
neiae?ii?a. I?e ia’?eoeaiiio aeine?aeaeaii? ?a?no?oaaee iiceoeaiee
neiioii Ianoa?iaoeueeiai. Aeine?aeaeaiiy e?ia? aeyaeei cnoa
eaeeioeeoa?ii? oi?ioee ae?ai, iiyao oa c?inoaiiy thieo oi?i eaeeioeeo?a,
ca?eueoaiiy OIA, “N”-?aaeoeaiee a?eie. Iino?eiei neiioiiii o 100 %
aaa?oieo c i??eiiao?eoii aoea eaeeioeeoo??y. Ne?ae a?aecia/eoe, ui
nooe?eueia eaeeioeeoo??y aoea a 61,3 % oai?eo. I?e aaeoa??ieia?/iiio
aeine?aeaeaii? na/? aaeoa??o??y a?aei?/aeany o 84,3 % iaoe??ioie ?c
i??eiiao?eoii ? i?e?iaia /enei ia?aaeuoaaei 500 oeny/ a 1ie (i?e
aecia/aii? /ooeeaino? aeae?eaieo ooai?a).

I?e iin?aao na/? a a?eueoino? aeiaaee?a aen?aaeany iiiieoeueoo?a (o 78,5
%) — eeoeiaa iaee/ea. A ?ioeo aeiaaeeao ciaoiaeeeany nei?ai?eia iaee/ea,
aioa?ieie, anioe?aoe?? i?e?ii?aai?ci?a, o iiiaeeiieeo aeiaaeeao
noao?eieie ? no?aioieie. I?e ooieoe?iiaeueiiio aeine?aeaeaii? ie?ie ca
aeiiiiiaith i?iae C?iieoeueeiai a?iinoaio??y niinoa??aaeany o 63 %
ae?iie c aanoaoe?eiei i??eiiao?eoii. Ae?aaeaia ?icoe?aiiy
/aoeiai-ieneiaiai eiiieaeno ca aeaieie niiia?ao?? ae?aaiinoiaaii a 90,1
% oai?eo, a?eueo i?ae o iieiaeie iaoe??ioie iaio ie?ie, c iioiauaiiyi ?o
no?iie.

I?e aeine?aeaeaii? iieaciee?a ?ioi?oaoo o aaa?oieo c i??eiiao?eoii i?e
iaaeoiaeaeaii? aei noaoe?iia?o a?aecia/aia o ii??aiyii? ?c caei?iaeie
aaa?oieie cieaeaiiy i?ioeaioii? e?eueeino? O-e?ioioeeo?a (53,8 ±1,17 oa
63,00±2,18 a?aeiia?aeii), (?<0,02), a oaeiae aeinoia??ia ciaioaiiy i?ioeaioii? e?eueeino? ?o aeoeaii? o?aeoe?? (35,0±0,83 oa 42,0 ±2,04), (?<0,01). Aiae?coth/e oaeia?ii-noi?ani?iee eiao?oe??io, ie aeyaeee aeinoia??ia (?<0,05) eiai cieaeaiiy o ii??aiyii? c eiio?ieai ca ?aooiie a?eueo iecueeiai i?ioeaioiiai ai?noo oaeia?ii? o?aeoe?? Tm (34,0±2,03 ? 43,0±1,89). I?e aeine?aeaeaii? oaaioeeoa?ii? aeoeaiino? eaeeioeeo?a a?aecia/aii cieaeaiiy aacaeueieo cia/aiue INO-oanoo o ii??aiyii? ?c cia/aiiyie eiio?ieueii? a?oie (9,36±0,55 oa 12,80±1,30 a?aeiia?aeii, ?<0,01), cieaeaiiy iieaciee?a noeioeueiaaiiai INO-oanoo aoei iaaeinoia??iei. Oea na?ae/eoue i?i i?eai?/aiiy iaoaaie?/ii? aeoeaiino? oaaioeeo?a i?e caa?aaeaiiio ?o ooieoe?iiaeueiiio iioaioe?ae?. O aaa?oieo ?c i??eiiao?eoii aeyaeeiny oaeiae aeinoia??ia (?<0,002) i?aeaeuaiiy ??aiy oee?eoethth/eo ?ioiieo eiiieaen?a (Oe?E) o ii??aiyii? ?c caei?iaeie aaa?oieie (11,72±0,9 oa 6,02±0,4 a?aeiia?aeii). ?io? iieacieee noaio ?ioiiiai noaoono aeinoia??ii? a?aei?iiino? a?ae iieaciee?a a?oie caei?iaeo aaa?oieo ia iaee. Iaiao?aeii a?aecia/eoe oie oaeo, ui iacaaaeath/e ia aeinoia??io ??cieoeth i?ae ie?aieie iieacieeaie ?ioiia?aie o aaa?oieo c i??eiiao?eoii oa caei?iaeo aaa?oieo, oe? a?aei?iiino? ia aeoiaeeee ca iaae? ii?iaeueieo aaee/ei aiaeia?/ieo iieaciee?a o iaaaa?oieo ae?iie. O oie naiee /an, ia?aaeuaiiy ??aiy Oe?E oa cieaeaiiy iieaciee?a niiioaiiiai INO-oanoo ciaoiaeeeiny ca iaaeaie caaaeueiii?eeiyoeo aaee/ei iaaaa?oieo. Aa?oi a?aecia/eoe, ui ?acoeueoaoe i?iaaaeaii? oa?ai?? a aeine?aeaeoaaieo a?oiao aeyaeeeny iaiaeii??aeieie. Oae, o oai?eo, ui io?eioaaee a eiiieaen? e?eoaaiiy ?IO, niinoa??aaeiny a?eueo ?aii? eoioaaiiy aieueiaiai neiae?iio ? neiioii?a ?ioieneeaoe??. Cieeiaiiy eeoiiaiee oa aie?a a iaeano? iiia?aeo o aaa?oieo ?c i??eiiao?eoii IV a?oie niinoa??aaeiny aaea e 3-4 aeith noaoe?iia?iiai e?eoaaiiy; o oai?eo ?? oa ??? a?oi — e 5-6 aeith ia?aaoaaiiy o noaoe?iia??, o oie /an ye o ? a?oi? o ?yaeo oai?eo a?ia?oa?i?y oa aie? a iiia?aeia?e iaeano? i?iaeiaaeoaaeeny ia i?ioyc? 10 ae?a a?ae ii/aoeo e?eoaaiiy. Ii?yae c iie?ioaiiyi ee?i?/iiai noaio oai?eo, a?aecia/aeany iiceoeaia aeeiai?ea aeine?aeaeoaaieo eaai?aoi?ieo iieaciee?a. Iaeaea o an?o iaoe??ioie ?-?V a?oi i?ney i?iaaaeaiiai eo?no e?eoaaiiy niinoa??aaeeny ii?iae?caoe?y e?eueeino? iaee/eiyaea?ieo eaeeioeeo?a, a-2- oa g-aeiaoe?i?a, oaiaeaioe?y aei ii?iae?caoe?? OIA. Ne?ae a?aecia/eoe, ui a ianoaaeaieo ?? oa IV a?oi cieaeaiiy iieaciee?a a-2- oa g-aeiaoe?i?a, e?euee?noue iaee/eiyaea?ieo eaeeioeeo?a aeinoia??ii (?<0,05) aoei a?eueo ae?aaeaii, /ei o aaa?oieo ? a?oie. Aeinoia??iiai ?icoiaeaeaiiy a aeeiai?oe? iieaciee?a OIA i?ae iaoe??ioeaie ?-IV a?oi o i?ioean? e?eoaaiiy iaie aeyaeaii ia aoei. Oaeiae ia aoei aeinoia??iiai ?icoiaeaeaiiy a aeeiai?oe? aeaieo iieaciee?a o ianoaaeaieo ??? a?oie a ii??aiyii? c iieacieeaie oai?eo ?, ?? oa IV a?oi. O i?ioean? e?eoaaiiy o an?o a?oiao, ui niinoa??aaeeny, ciaioeeany e?euee?noue oai?eo c aeyaeaiith eaeeioeeoo???th (aeea. ?en. 1). Ia 3-th aeiao eiiieaeniiai e?eoaaiiy a 77,6 % ae?iie c aanoaoe?eiei i??eiiao?eoii caa??aaeany eaeeioeeoo??y aac ?noioiiai ?icoiaeaeaiiy i?ae iieacieeaie ie?aieo a?oi. Aea aaea e 7-io aeith niinoa?aaeaiiy na?aae iaoe??ioie IV a?oie e?euee?noue aaa?oieo ?c eaeeioeeoo???th aoea aeinoia??ii (?<0,05) iaioa, i?ae na?aae ianoaaeaieo ?, ?? oa ??? a?oi. E 14-io aeith ia?aaoaaiiy o a?aeae?eaii? eaeeioeeoo??y a caaaeueiiio aiae?c? na/? ia aeyaeyeany a aeiaeii? ?c iaoe??ioie IV a?oie ? ?a?no?oaaeany a iiiaeeiieeo oai?eo ?ioeo a?oi. Aoea aeyaeaia iaiaeii??aei?noue nooiaiy ae?aciino? eaeeioeeoo??? a aeeiai?oe? e?eoaaiiy a iaoe??ioie ?-IV a?oi. Oae, ia 3-th aeiao eiiieaeniiai e?eoaaiiy o an?o aeine?aeaeoaaieo a?oiao a aiae?cao na/? ia?aaaaeaea nooe?eueia eaeeioeeoo??y (o na?aaeiueiio 51,50 %). C 7-ai aeiy niinoa?aaeaiiy na?aae ianoaaeaieo ?-??? a?oi iaoe??ioee ?c nooe?eueiith eaeeioeeoo???th neeaaeaee a?eueo 50 %. (? a?. — 30 %, ?? a?. — 28 %, ??? a?. — 32 %). O oie aea naiee /an o aaa?oieo IV a?oie ii?yae ?c aeinoia??iei (?<0,05) ciaioaiiyi e?eueeino? oai?eo ?c eaeeioeeoo???th, a?aenioeiaee ai?no aeyaeaii? nooe?eueii? eaeeioeeoo??? neeaa o?eueee 25 %. Ii?yae ?c ciaioaiiyi eaeeioeeoo??? a ianoaaeaieo I-IV a?oi a?aecia/aeany yaia oaiaeaioe?y i/euaiiy na/? a?ae i?e?ia?a, ui iiaeaii ia ?en. 2. sse aeaeii c io?eiaieo aeaieo, o iaoe??ioie IV a?oie iaea i?noea a?eueo ae?aaeaia oaiaeaioe?y aei noa?ee?caoe?? na/? a ii??aiyii? c oai?eie ?ioeo a?oi. I?e aeine?aeaeaii? ie?ie ca aeiiiiiaith i?iae Ceiieoeueeiai a aeeiai?oe? e?eoaaiiy a?aecia/aia ciaioaiiy e?eueeino? iaoe??ioie ?c aeyaeaiith a?iinoaio???th. E?eoa??yie aeinyaiaiiy ee?i?/ii? ?ai?n?? iaie aoei a?aoiaaii: — cieeiaiiy ee?i?/ieo neiioii?a caoai?thaaiiy (ii?iae?caoe?y oaiia?aoo?e o?ea, neiioii?a ?ioieneeaoe??, eoioaaiiy aieueiaiai neiae?iio, aeeco?e/ieo yaeu; — ii?iae?caoe?th eaeeioeeoa?ii? oi?ioee oa ni?aa?aeiioaiiy a?eeiaeo o?aeoe?e; — cieeiaiiy eaeeioeeoo??? o caaaeueiiio aiae?c? na/? oa ca Ia/eio?aiei; — cieeiaiiy aaeoa??o??? i?e aaeoa??ieia?/iiio aeine?aeaeaii? na/?; — ii?iae?caoe?th aai oaiaeaioe?th aei ii?iae?caoe?? iieaciee?a ?ioiia?aie. A?aei?/aii ii?iae?caoe?th aai oaiaeaioe?th aei ii?iae?caoe?? iniiaieo iieaciee?a ?ioi?oaoo. Oae, i?ney i?iaaaeaiiai e?eoaaiiy o iaoe??ioie ? oa ?? a?oi a?aenioeiaee ai?no caaaeueii? e?eueeino? O-e?ioioeeo?a (Ocaa) aoa a??ia?aeii ieae/ee (?<0,001), (48,0±2,06 oa 53,0±3,22 a?aeiia?aeii); IV a?oie a??ia?aeii aeuee (?<0,01) (72,0±2,42), i?ae o a?oi? eiio?ieth (63,0±2,18), a a ??? a?oi? a?aei?ii?noue aoea iaaeinoia??iith. Iaiao?aeii a?aecia/eoe, ui i?ney i?iaaaeaiiai e?eoaaiiy ianoaaeaieo ? a?oie ai?no aeaiiai iieacieea cieceany (?<0,02), a a oai?eo IV a?oie i?aeaeueany (?<0,001) o ii??aiyii? c aeo?aeieie aeaieie. Oaeiae, c io?eiaieo iaie aeaieo aeieeaa?, ui ii cae?i/aii? e?eoaaiiy caaaeueia e?euee?noue O -e?ioioeeo?a o aaa?oieo IV a?oie aoei a??ia?aeii aeua (?<0,001), i?ae a ?ioeo a?oiao oai?eo, a a ? a?oi? a??ia?aeii (?<0,002) ieae/a, i?ae o ??? oa IV a?oiao. Ai?no aeoeaii? o?aeoe?? O-e?ioioeeo?a o aaa?oieo ?, ??? a?oi cieceany, ?? oa IV a?oi — i?aeaeueany a ii??aiyii? c aeo?aeieie iieacieeaie, i?ioa ??aiy caei?iaeo aaa?oieo aeinya eeoa na?aaei?e iieaciee IV a?oie. Aeinoia??ia cieaeaiiy iieaciee?a Oia ? Tae o oai?eo ?-??? a?oi iiaea na?ae/eoe i?i iii??ia i?eai?/aiiy O-ee?oeiii? eaiee ?ioi?oaoo o iane?aeie i?iaaaeaii? aioea?ioeeioa?ai?? a oai?eo ? a?oie ? iaaeinoaoiuei aoaeoeaiiio /e iaaoaeoeaiiio aieea? ia?aii? iaoiaeeee ?IO o iaoe??ioie ??? a?oie ia aeaio ?ioiio eaieo. Ai?no Om a??ia?aeii cieceeiny a oai?eo ? a?oie a ii??aiyii? c aeo?aeieie iieacieeaie (35,0±1,97 aei e?eoaaiiy ? 31,0±1,04 i?ney, ?<0,05), i?aeaeueeiny a iaoe??ioie IV a?oie (34,0±2,08 oa 52,0±2,35, ?<0,001), cieaeaiiy aeaiiai iieacieea o ?? oa ??? a?oiao aoei iaaeinoia??iei. Ne?ae cacia/eoe aeinoia??ia cieaeaiiy aaniethoiiai ai?noo noi?ani??a (Og) i?ney cae?i/aiiy e?eoaaiiy (0,32±0,02 ? 0,28±0,01, ?<0,05) o aaa?oieo ? a?oie, i?e noaoenoe/ii iaaeinoia??iiio i?ioeaioiiio ?o ciaioaii?. Iieaciee ni?aa?aeiioaiiy O-oaeia??a ? O-noi?ani??a ciaiooaaany c 1,97±0,01 aei 1,86±0,03 (?<0,002) o ? a?oi?; cieaeaiiy aoei iaaeinoia??iei o ?? oa ??? a?oiao ? c?inoaa ?c 1,86±0,07 aei 2,87±0,11 (?<0,002) a IV a?oi?. Aeaiee iieaciee oa?aeoa?eco?oueny aenieith /ooeea?noth aei an?o ci?i, ui a?aeaoaathoueny a i?aai?ci? ? i?e aaaeeiio ia?aa?ao caiaeueiiai i?ioeano iiaea noaaaoe iaioa iaeeieoe?. Iacaaaeath/e ia oa, ui aeaiee iieaciee ? iaea?eueoa oe?iiei aeey i?aeoeee, iaiao?aeii cacia/eoe, ui i?e an?e nai?e i?aeoe/i?e cia/eiino? a?i ia a?aeaeaa? ni?aaaeiueiai ni?aa?aeiioaiiy oaeia?iiai oa noi?ani?iiai aoaeoo a i?aai?ci? (E. I. Eaaaae?a, ?. Ae. Iiiye?ia, 1990). I?ney e?eoaaiiy cia/aiiy A0 oa Bm ia a?ae??ciyeiny a?ae iieaciee?a eiio?ieueii? a?oie (caei?iaeo). I?e aea/aii? eiioeaio?aoe?? ?ioiiaeiaoe?i?a aoei aeyaeaii aeinoia??ia ca?eueoaiiy ?ioiiaeiaoe?io G (?<0,001) o iaoe??ioie ?? oa ??? a?oi o ii??aiyii? c eiio?ieai, i?e oeueiio a ii??aiyii? c iieacieeaie aei e?eoaaiiy a?aei?iiino? oe? aoee iaaeinoia??i?. Ai?no ?ioiiaeiaoe?i?a A oa I o an?o a?oiao oa ?ioiiaeiaoe?io G a ? a?oi? aeyaeeeny aac aeinoia??ii? a?aei?iiino? c iieacieeaie eiio?ieueii? a?oie. O aeeiai?oe? e?eoaaiiy iaie aoei a?aecia/aia aeinoia??ia (?<0,01) ciaioaiiy eiioeaio?aoe?? ?ioiiaeiaoe?io G o oai?eo IV a?oie (aei e?eoaaiiy 10,83±1,11, i?ney e?eoaaiiy 7,02±0,70). ?ioeo aeinoia??ieo ci?i ai?noo ?ioiiaeiaoe?i?a o an?o a?oiao iaie aeyaeaii ia aoei. Ii??aithth/e iieacieee ?ioiiaeiaoe?i?a ii cae?i/aii? e?eoaaiiy i?ae a?oiaie aaa?oieo ?c i??eiiao?eoii aoei aeyaeaii aeinoia??ia (?<0,05) iaioa cia/aiiy ?ioiiaeiaoe?io G o iaoe??ioie IV a?oie. Oaeiae o i?aaenoaaiee?a ??? a?oie ai?no ?ioiiaeiaoe?io G aoei a??ia?aeii (p<0,02) aeua, i?ae o oai?eo ? a?oie. Iaiao?aeii a?aecia/eoe aeinoia??ia cieaeaiiy ??aiy Oe?E o iaoe??ioie ?? oa IV a?oi o ii??aiyii? c aeo?aeieie iieacieeaie (9,38±0,86 aei e?eoaaiiy ? 6,53±0,57; (?<0,01) i?ney e?eoaaiiy, 11,80±1,10 ? 5,12 ±1,35, ?<0,001 a?aeiia?aeii). I?ney i?iaaaeaiiai eo?no e?eoaaiiy ai?no Oe?E ii an?o /ioe?ueio a?oiao oaea a??ia?aeii ia a?ae??ciyany a?ae iieaciee?a eiio?ieueii? a?oie, a oaeiae i?ae niaith. Ii caaa?oaii? noaoe?iia?iiai aoaio e?eoaaiiy iieacieee ai?noo Ns-?II o iaoe??ioie ? a?oie aoee a??ia?aeii ieae/a, /ei o eiio?ieuei?e a?oi? aac ?icoiaeaeaiiy a i?aaenoaaiee?a ?ioeo a?oi. Iieacieee INO-oanoo a aeeiai?oe? e?eoaaiiy caeeoaeeny aac aeinoia??ieo ci?i, ca aeiyoeii aeinoia??iiai ca?eueoaiiy iieaciee?a niiioaiiiai INO-oanoo o aaa?oieo ?? a?oie (8,25±1,10 ? 10,75±0,48, ?<0,05), ? ca?eueoaiiy iieaciee?a niiioaiiiai e noeioeueiaaiiai INO -oanoo a oai?eo IV a?oie (aei e?eoaaiiy-9,36±0,55 oa 18,1±1,80; i?ney e?eoaaiiy 11,71±0,61 ? 25,10±1,32, ?<0,01 oa ?<0,002 a?aeiia?aeii). Iaiao?aeii a?aecia/eoe, ui i?ney e?eoaaiiy iieacieee INO-oanoo ia a?ae??ciyeeny a?ae a?aeiia?aeieo aaee/ei a a?oi? eiio?ieth, ui na?ae/eei i?i ciaioaiiy nooiaiy aiaeiaaiii? ?ioieneeaoe?? i?aai?cio. AENIIAEE 1. Aei i?e/ei, ui ni?eythoue ?icaeoeo aanoaoe?eiiai i??eiiao?eoo iaeaaeaoue: thiee a?e ia?oiia?iaeaeoth/eo, ?aii?e ii/aoie noaoaaiai aeeooy, iecueeee nioe?aeueiee noaoon, A(???) a?oia e?ia?, ia?aianai? caoai?thaaiiy: a?o?yia a?nia oa o?ii?/iee a?iio?o. 2. O oai?eo c aanoaoe?eiei i??eiiao?eoii niinoa??aa?oueny cieaeaiiy oaeoi??a ianiaoeeo?/ii? ?acenoaioiino? i?aai?cio, i?eai?/aiiy ee?oeiii? oa aoii?aeueii? eaiee ?ioi?oaoo, ui i?iyaey?oueny a cieaeaii? aacaeueieo oa noeioeueiaaieo cia/aiue INO-oanoo, ciaioaiiy caaaeueii? e?eueeino? O-e?ioioeeo?a oa ?o aeoeaii? o?aeoe??, cieaeaiiy oaeia?ii-noi?ani?iiai ni?aa?aeiioaiiy, ca?eueoaiiy ai?noo oee?eoethth/eo ?ioiieo eiiieaen?a. 3. Canoinoaaiiy o eiiieaeni?e oa?ai?? aaa?oieo c i??eiiao?eoii ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? i?aeaeuo? ?? aoaeoeai?noue, ni?ey? a?eueo oaeaee?e ?aa?an?? caoai?thaaiiy (eoioaaiiy aieueiaiai neiae?iio, neiioii?a ?ioieneeaoe??, cieeiaiiy eaeeioeeoo??? oa aaeoa??o???), ni?ey? nei?i/aiith no?ie?a e?eoaaiiy ia 5-7 aei?a. 4. Iiceoeaia ae?y ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? ia noai oai?eo c aanoaoe?eiei i??eiiao?eoii ?aae?co?oueny, a iniiaiiio, caaaeyee ?ioiiiiaeoethth/?e ae?? oeueiai oaeoi?o, ui i?iyaey?oueny a ii?iae?caoe?? ee?oeiii? eaiee ianiaoeeo?/ii? ?acenoaioiino? i?aai?cio (i?aeaeuaiiy iaoaaie?/ii? aeoeaiino? oaaioeeo?a ca iieacieeaie INO-oanoo), cieaeaiiy ??aiy Oe?E. Iaea?eueo ?ioi?iaoeaieie, ca?aeii iaoei aeaiei, aeyaeeenue iieacieee INO-oanoo oa ??aiy Oe?E. 5. E?eoa??yie aoaeoeaiino? i?iaaaeaiiai e?eoaaiiy c aeei?enoaiiyi ?IO iiaeia aaaaeaoe ii?iae?caoe?th oaeeo iieaciee?a ?ioiia?aie ye Ocaa., Oae., Om, Om/Og, IgG, Oe?E, Ns-POH, INO-oano. 6. I?e eiiieaeniiio e?eoaaii? aanoaoe?eiiai i??eiiao?eoo ?c canoinoaaiiyi ??cieo noai ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? aoei aeyaeaii, ui iaea?eueo ni?eyoeeaee iiceoeaiee ?acoeueoao aoa io?eiaiee i?e ae?? ia a?aeiia?aei? a?ieia?/ii aeoeai? oi/ee, ui i?aeoaa?aeaeo?oueny ye ee?i?/ieie, oae e ?ioiieia?/ieie ?acoeueoaoaie aeine?aeaeaiiy. Nienie I?AOeUe, iioae?eiaaieo ca oaiith aeena?oaoe?? 1. Ieciaa I. I., Oa?ou/iay E. A. I?eiaiaiea ieceieioaineaiiai eaca?iiai iaeo/aiey a eiiieaeniii ea/aiee aa?aiaiiuo, aieueiuo ieaeiiao?eoii// Aanoiee oeceioa?aiee e eo?i?oieiaee. — 1997. — ? 4. — N. 51–53. 2. Oa?ou/iay E. A. Ieceieioaineaiia eaca?iia eceo/aiea a eiiieaeniie oa?aiee aa?aiaiiuo, no?aaeathueo ieaeiiao?eoii //Iaaeeoeeineay ?aaaeeeoaoeey, eo?i?oieiaey, oeceioa?aiey. — 1998. — ? 2. — N. 33–35. 3. Oa?oe/ia ?. I. Canoinoaaiiy i?aoi?iiaaieo o?ce/ieo oaeoi??a o oa?ai?? aanoaoe?eiiai i??eiiao?eoo // Iaeanueeee iaaee/iee aeo?iae. — 1998. — ? 5. — N.67-68. 4. Oa?oe/ia ?.I. Canoinoaaiiy eaca?iiai ii?ii?iaiiy aeey e?eoaaiiy i??eiiao?eoo o aaa?oieo // A?niee iaoeiaeo aeine?aeaeaiue.– 1998. — ? 3-4 — N.135-136. 5. Iaiaaeeeaiaioiciay iinea?iaeiaay ?aaaeeeoaoeey o ?iaeeeueieoe / Io?aaneay A.I., Oiae E.A., ?uoeaoeeee A.I., Oa?ou/iay E.A.// Iaoa?eaeu Iaaeaeoia?iaeiiai oanoeaaey “Caei?iauea a aa?iiiee”.– Eeaa, 1993. — N.4. 6. Eaioe A.A., I?ciaa I.I, Oa?oe/ia ?.I. Aeina?ae aeei?enoaiiy iecueei?ioaineaiiai eaca?iiai ii?ii?ithaaiiy a e?eoaaii? i??eiiao?eo?a o aaa?oieo//Oace aeii. ?anioae?eainueei? ia?aaee-eiioa?aioe?? “Aeooaeuei? ieoaiiy iaaee/ii? ?aaa?e?oaoe??”. — i.Iaie??a, A?iieoeueei? iae., 1994, — N.63. 7. Ieciaa I.I., Eaaiia TH.I., Oa?ou/iay E.A. Aaaeaiea aa?aiaiiinoe o aeaiuei, no?aaeathueo caaieaaaieyie ii/ae// Iaoiae. ?aeiiaiaeaoeee iiae ?aae. i?io. Caii?iaeaia A.I. — Iaeanna. – 1994. – 20 n. 8. Iaiaaeeeaiaioiciay ei??aeoeey naiiaaiaca o aa?aiaiiuo aunieiai ?enea / Ieciaa I. I., Ai?iaeaiei A. A., Oiae E. A., Oa?ou/iay E. A.//Oac. aeiee. Ieaioia I?aaeaiey aeooa?ia-aeiaeieiaia Oe?aeiu. — Iieoaaa, 1994. — N. 24. 9. Iaiaaeeeaiaioici? oaeoi?e – aaaeeeaee eiiiiiaio no/anii? oa?ai?? aanoic?a / A. I. Caii?iaeai, I. I. Io?aanueea, ?. I. Oa?oe/ia, TH. I. ?aaiia, I. I. ?iaeeianueea, I. A. Ae?oo?n, I. A. Aaeion // Iaoa?. ieaioio i?aae?iiy aeooa??a-a?iaeieia?a Oe?a?ie “Oeyoe cieaeaiiy iaoa?einueei? oa ia?eiaoaeueii? nia?oiino? i?e i?ci?o aanoicao aaa?oieo”. — Iieoaaa, 1994. — N.43-44. 10. Oa?oe/ia ?.I., I?ciaa I.I. Ee?i?ei-ai?aeai?ieia?/i? aniaeoe i??eiiao?eoo o aaa?oieo// I?aeia?iaeiee Eiia?an Iieiaeeo A/aieo Oe?a?ioe?a “Aeooaeuei? ieoaiiy iaaeeoeeie”.– ?aaii-O?aie?anuee, 1995.– N.104. 11. Eaca?ioa?aiey a eiiieaeniii ea/aiee aa?aiaiiuo, no?aaeathueo ieaeiiao?eoii/ Oa?ou/iay E.A., Ieciaa I.I., Iinioiaa N.I., Ieaaeue O?aeuean N., Naaeiaue A.I. // Iaoa?eaeu Iaaeaeoia?iae. eiio. ii i?eiaiaieth eaca?ia a aeieiaee e iaaeeoeeia. — Eeaa, 1995. — N.152. 12. Eiiieaenia e?eoaaiiy i??eiiao?eo?a o aaa?oieo / Oa?oe/ia ?.I., I?ciaa I.I., ?iaeeianueea I.I., ?aaiia TH.I.//Oac. aeii. ieaioio i?aae?iiy aeooa?–a?iaeieia?a Oe?a?ie “Ai?eii-caiaethaaeuei? i?ioeane a no/ani?e aeooa?nueei-a?iaeieia?/i?e i?aeoeoe?”. — Caii??aeaey, 1995. — N.122-123. 13. Oa?ou/iay E.A., Ieciaa I.I., Iiiiaa E.I. I?eiaiaiea eio?ae?aniiai eaca?iiai eceo/aiey a eiiieaena ea/aaiuo ia?ii?eyoee o aa?aiaiiuo n aanoaoeeiiiui ieaeiiao?eoii //Eioi?iaoeeiiiue eenoie.– Iaeanna: IOeIOeYE, 1995. — 3 n. AIIOAOe?ss Oa?oe/ia ?.I. Eiiieaenia e?eoaaiiy aaa?oieo, oai?eo ia i??eiiao?eo, c aeei?enoaiiyi ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai??. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.33 – eo?i?oieia?y oa o?c?ioa?ai?y – Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia?? I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie, Iaeana, 1999. Aeena?oaoe?y i?enay/aia iaa?oiooaaiith i?aeoiae?a aei aeai?o e?eoaaeueii-?aaa?e?oaoe?eiiai eiiieaeno i?e aanoaoe?eiiio i??eiiao?eo? ia iniia? ae?? ??ciiiai?oieo aa??aio?a ?aoeaeoi?ii-ioieoo?ii? o?c?ioa?ai?? (?IO) (eaca?iioieoo?a; eaca?iee aieea ia ae?eyieo i?iaeoe?? ie?ie; eiia?iiaaiee aieea, yeee neeaaea?oueny c ii?aeiaiiy /a?acoe??iiai eaca?iiai ii?ii?ithaaiiy e?ia? oa ii?ii?ithaaiiy ae?eyiee i?iaeoe?e ie?ie). Aeyaeai? oa?aeoa?i? iniaeeaino? aeieeiaiiy oa ia?aa?ao aanoaoe?eiiai i??eiiao?eoo. C’yniaaii iaea?eueo ?ioi?iaoeai? iieacieee noaio ?ioiii? nenoaie aaa?oieo c aanoaoe?eiei i??eiiao?eoii. Iieacaii, ui aeei?enoaiiy a eiiieaeniiio e?eoaaii? aaa?oieo, oai?eo ia i??eiiao?eo, ?IO ni?ey? a?eueo oaeaee?e ?aa?an?? neiioii?a caoai?thaaiiy, nei?i/o? no?iee e?eoaaiiy, ni?ey? ii?iae?caoe?? ?ioiiiai noaoono. Aeyaeaii, ui ?c cai?iiiiiaaieo niinia?a e?eoaaiiy iaea?eueo aoaeoeaiei ? aieea ?io?a/a?aiiiai eaca?o ia oi/ee aeoioieoo?e. Eeth/ia? neiaa: i??eiiao?eo, aaa?oi?noue, ?ioi?oao, ?aoeaeoi?ii-ioieoo?ia o?c?ioa?ai?y. AIIIOAOeEss Oa?ou/iay E.A. Eiiieaeniia ea/aiea aa?aiaiiuo, aieueiuo ieaeiiao?eoii, n eniieueciaaieai ?aoeaeoi?ii-ioieoo?iie oeceioa?aiee. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.33 — eo?i?oieiaey e oeceioa?aiey. — Oe?aeineee iao/ii-enneaaeiaaoaeueneee einoeooo iaaeeoeeineie ?aaaeeeoaoeee e eo?i?oieiaee IC Oe?aeiu, Iaeanna, 1999. Aeenna?oaoeey iinayuaia iainiiaaieth iiaeoiaeia e auai?o ea/aaii-?aaaeeeoaoeeiiiiai eiiieaena i?e aanoaoeeiiiii ieaeiiao?eoa ia iniiaaiee ioeaiee aeaenoaey ?acee/iuo aa?eaioia ?aoeaeoi?ii-ioieoo?iie oeceioa?aiee (?IO) (eaca?iioieoo?a; eaca?iia aicaeaenoaea ia iaeanoue i?iaeoeee ii/ae; eiiaeie?iaaiiia aicaeaenoaea, ninoiyuaa ec ni/aoaiey /?aneiaeiiai eaca?iiai iaeo/aiey e?iae e iaeo/aiey iaeanoe i?iaeoeee ii/ae). Enneaaeiaaiey i?iaaaeaiu o 121 aa?aiaiiie aeaiueiu n ino?ie na?iciie oi?iie ieaeiiao?eoa e 30 i?aeoe/anee caei?iauo aa?aiaiiuo a n?iee aanoaoeee 20-28 iaaeaeue. A?oiio n?aaiaiey ninoaaeee aa?aiaiiua n ieaeiiao?eoii, iieo/athuea o?aaeeoeeiiioth iaaeeeaiaioicioth oa?aieth aac eniieueciaaiey ?IO. Ana aa?aiaiiua n ieaeiiao?eoii auee ?acaeaeaiu ia niiinoaaeiua ii aic?anoo, niioonoaothuei caaieaaaieyi, n?ieo aa?aiaiiinoe a?oiiu a caaeneiinoe io i?iaiaeeiiai ea/aiey. Onoaiiaeaiu iniaaiiinoe eeeie/aneiai oa/aiey aanoaoeeiiiiai ieaeiiao?eoa ia iniiaa eco/aiey eiioiiiai noaoona e niiinoaaeaiey n eeeieei-eaai?aoi?ii-eino?oiaioaeueiuie aeaiiuie aieueiuo e caei?iauo aa?aiaiiuo. A oiaea eco/aiey iaaeeei-aeieiae/aneiai e nioeeaeueii-aeaeaie/aneiai aiaiiaca auyaeaiu i?eciaee, i?aae?aniieaaathuea e aicieeiiaaieth ieaeiiao?eoa o aa?aiaiiuo. I?iaaaeai n?aaieoaeueiue aiaeec eiioiia?aii caei?iauo aa?aiaiiuo e aieueiuo aanoaoeeiiiui ieaeiiao?eoii. Iieo/aiu iiaua aeaiiua ia eciaiaiee ninoiyiey eiioiiie nenoaiu i?e aanoaoeeiiiii ieaeiiao?eoa. Aeieacaii, /oi iaeaieaa eioi?iaoeaiuie iieacaoaeyie yaeythony cia/aiey INO-oanoa e o?iaiy oee?eoee?othueo eiioiiuo eiiieaenia (OeEE). Eco/aii aeaenoaea ?acee/iuo aa?eaioia ?IO ia aeeiaieeo eeeie/aneeo neiioiiia, iieacaoaeae ninoiyiey eiioiiie nenoaiu, aeioeie/aneeo e eino?oiaioaeueiuo enneaaeiaaiee. Ioeaiaia yooaeoeaiinoue i?aaeeiaeaiiuo ea/aaii-?aaaeeeoaoeeiiiuo eiiieaenia, aeeth/athueo ?IO e iaaeeeaiaioiciia ea/aiea. Auei aeieacaii, /oi aeeth/aiea a iauee eiiieaen noaoeeiia?iiai ea/aiey aa?aiaiiuo, no?aaeathueo ieaeiiao?eoii, ?IO iiauoaao yooaeoeaiinoue ea/aiey, niinianoaoao aieaa auno?ie ?aa?annee neiioiiia caaieaaaiey (eoie?iaaiea aieaaiai neiae?iia, neiioiiia eioieneeaoeee e ii/aaiai neiae?iia), niinianoaoao nie?auaieth aeeeoaeueiinoe ea/aiey ia 5-7 aeiae, /oi iicaieyao oiaiueoeoue eaea?noaaiioth iaa?oceo ia i?aaieci iaoa?e e ieiaea. Iieiaeeoaeueiia aeeyiea E?E n i?eiaiaieai ?IO ia ninoiyiea aa?aiaiiuo n ieaeiiao?eoii ?aaeecoaony, a iniiaiii, aeaaiaea?y eiioiiiiaeoee?othuaio aeaenoaeth yoiai oaeoi?a. Yoi i?iyaeyaony a ii?iaeecaoeee eee oaiaeaioeee e ii?iaeecaoeee iniiaiuo iieacaoaeae eiioieoaoa. Aia?aua i?iaaaeai n?aaieoaeueiue aiaeec aeaenoaey ?acee/iuo aa?eaioia ?IO a eiiieaeniii ea/aiee aieueiuo aanoaoeeiiiui ieaeiiao?eoii. Onoaiiaeaii, /oi ec i?aaeeiaeaiiuo niiniaia ea/aiey iaeaieaa nouanoaaiiue iieiaeeoaeueiue ?acoeueoao aue iieo/ai i?e aicaeaenoaee ia oi/ee aeoioieoo?u (O14, R3, R7, V23, V22, V25, V14, V28, V54, MC6 e ao?eeoey?iua: ii/ee, ii/aaie iocu?ue, ii/aoi/ieee, 55 (oaiue-iaiue), naeacaiea). Onoaiiaeaii, /oi iaeiei ec aaaeiaeoeo e?eoa?eaa yooaeoeaiinoe i?iaaaeaiiiai ea/aiey ia?yaeo n en/aciiaaieai eeeie/aneeo neiioiiia caaieaaaiey, ii?iaeecaoeeae eaeeioeeoa?iie oi?ioeu e niioiioaiey aaeeiauo o?aeoeee, en/aciiaaiey eaeeioeeoo?ee e aaeoa?eo?ee neaaeoao n/eoaoue ii?iaeecaoeeth iieacaoaeae eiioiia?aiiu. Eeth/aaua neiaa: ieaeiiao?eo, aa?aiaiiinoue, eiioieoao, ?aoeaeoi?ii-ioieoo?iay oeceioa?aiey. SUMMARY Tertychnaya I. A. Complex treatment of the pregnant women were ill with pyelonephritis with use of reflexly-punctural physiotherapy. Thesis on competition for a scientific degree of the candidate of medical sciences on a speciality 14.01.33 – resort treatment and physiotherapy. - Ukrainian research institute of medical rehabilitation and resort treatment of Ministry of Public Health of Ukraine, Odessa, 1999. Dissertation is devoted to basing of approaches to choice of medically-rehabilitation complex attached to gestation pyelonephritis on action base of various variants of reflexly-punctural physiotherapy (RPP) (laseropunctura; laser influence on kidneys projection allotment; combined influence, which breaks down under combination of transcutanic laser blood irradiation and irradiation of kidneys projections allotment). It’s expressed typical peculiarities of beginnings and decursus of gestation pyelonephritis. It’s got new data about state of immune system for pregnant women with gestation pyelonephritis, the most informative indexes of its diagnostics are expressed. It’s shown, that use in complex cure pregnant with pyelonephritis, RPP contributes to the fastest regression of disease symptoms, shortens of the cure dates, contributes to considerable normalization of immune status. It’s set, that from offered cure methods the most effective is influence of infra-red laser on points of acupuncture. Key words: pyelonephritis, pregnancy, immunity, reflexly-punctural physiotherapy.

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