?INOEOOO O?IEIA?? OA IAO?IEIA??

AII OE?A?IE

NOOIIEEI NA?A?E AAeIEUeOIAE*

OAeE 616.61-007.42-089

IIAEE IAOIAe I?AeAEUAIIss

AOAEOEAIINO? E?EOAAIIss IAO?IIOICO

14.01.06 – o?ieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e aeaaeai?? IIC
Oe?a?ie.

Iaoeia? ea??aieee:

aeieoi? iaaee/ieo iaoe, i?ioani? Etheueei Ieaen?e Ieaen?eiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Caii??cueeiai ?inoeoooo oaeineiiaeaiiy
e?ea??a

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? AEeea Aaneeue Aaneeueiae/, eaoaae?a
o?ieia?? Ee?anueei? aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC
Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani? Iaiai?i Aieiaeeie? ?icoiieeiae/,
caa?aeoaa/ eaoaae?e o?ieia?? oa iieieia?? Eoaainueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo

I?ia?aeia onoaiiaa:

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y

Caoeno a?aeaoaeaoueny » 27 » ea?oiy 1999 ?. i 10-00 aiae ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee (Ae.26.615.01) i?e ?inoeooo? o?ieia?? oa
iao?ieia?? AII Oe?a?ie ca aae?anith: 254053, i. Ee?a, aoe. TH.
Eioethaeinueeiai, 9-A. C aeena?oaoe??th iiaeia iciaeiieoeny o
a?ae?ioaoe? ?inoeoooo.

Aaoi?aoa?ao ?ic?neaiee “ 17 ” aa?aciy 1999 ?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe Aieei I.?.

caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie. O??o?a?/ia e?eoaaiiy iao?iioico caeeoa?oueny aei
e?ioey ia ae??oaiith i?iaeaiith. Iaoieia?/ii ?ooeeaa ie?ea ?
?iciianthaeaeaiei caoai?thaaiiyi ? cono??/a?oueny o 15 % ae?iie ? aei 2
% /ieia?e?a. Aeyaeaia aeniea /anoioa oeueiai caoai?thaaiiy o ae?oae (6-7
% oeii/ee?a ? 16-20 % ae?a/ao) (A.A. Etheueei, A.O. Aiceaiia, 1984; G.W.
Heise, 1990). O 60-70 % aeiaaee?a iao?iioic o?aaea? ethaeae iaea?eueo
i?aoeacaeaoiiai a?eo – 20-50 ?ie?a (Oe.E. Ai?aeeaaneee, I.I. Aaeoi,
1989). Cia/ia /anoioa oa aaaee?noue oneeaaeiaiue i?e i?ia?anoaaii?
caoai?thaaiiy aecia/athoue iani?eyoeeaee i?iaiic – a?eueo 20 % oai?eo
noathoue ?iaae?aeaie (O.E. Oiionye, 1990).

E?eoaaiiy iao?iioico a iao /an iaaeinoaoiuei aoaeoeaia. A a?eueoino?
aeiaaee?a aaoi?aie iia?aoeaieo ao?o/aiue a?eueoa oaaae i?eae?ey?oueny
??oaiith oaoi?/iiai aieo ieoaiiy ? a iaioiio nooiai? – eiai
aiaoiii-o?c?ieia?/iiio iai?yieo. A?eueo?noue ?c ?nioth/eo cania?a
iia?aoe?e oaoi?/ii neeaaei? oa iao?c?ieia?/i?. ?o aeeiiaiiy ia
caaacia/o? a?aeiiaeaiiy i?e?iaeii?, o?c?ieia?/ii? ?ooiiino? ie?ee, ui
iaaaoeaii aieeaa? ia ii?iae?caoe?th ?? aaii- oa o?iaeeiai?ee (O.E.
Oiionye, 1990). Oea noaei i?e/eiith ?nioaaiiy aaeeei? e?eueeino? cania?a
o?enaoe?? ie?ee ? aeinoaoiuei iecueei? aoaeoeaiino? e?eoaaiiy.
Cai?iiiiiaai? caniae iia?aoe?e ? ?o iiaeeo?eaoe?? aeicaieythoue aeinyaoe
aeia?eo a?aeaeaeaieo ?acoeueoao?a o 39,4-82,4 % (O.E. Oiionye, 1990), a
iia??oaiiy noaio oai?eo oa ?aoeeaeeae caoai?thaaiiy a?aecia/athoueny a
10,7-16,9 % (A.I. Ae?e/, 1989).

Inoaoi/ii ia ae??oaii ? ieoaiiy i?i iieacaiiy aei iia?aoeaiiai e?eoaaiiy
oai?eo ia iao?iioic. I?eeiyoa oaeoeea, yea ia?aaeaa/a? i/?eoaaiiy iiyae
o oai?eo oneeaaeiaiue aai ae?aaeaiiai aieueiaiai neiae?iio, ii?yae ?c
i?iaaaeaiiyi iaaei?aaaeaii o?eaaei? eiina?aaoeaii? oa?ai?? i?ecaiaeeoue
aei iiyae o oai?eo no?eeeo, a ?ieiee ? iacai?ioieo ci?i a iiouai?e
ie?oe?, ui iia??oo? noai oai?eo ? ?acoeueoaoe iia?aoe??. Aeiooaia
o?eaaea (12-21 aeiae) (A.I. Oeaaaa, 1989; O.E. Oiionye, 1990)
aeio?eioaaiiy iino?eueiiai ?aaeeio i?ney iao?iiaen?? i?aeaeuo? ?ecee
aeieeiaiiy oneeaaeiaiue c aieo ??cieo i?aai?a ? nenoai, iaaaoeaii
aieeaa? ia a?aeiiaeaiiy aaii- oa o?iaeeiai?ee o?eniaaii? ie?ee oa ia
iaeoaeaiiy oai?eo a oe?eiio (O.E. Oiionye, 1990). O?eaaea ao?aoa
i?aoeacaeaoiino? (2-4 i?nyoe?) (A.A. Ai?aa/aa, 1986) oa iaiao?aei?noue
ciaioaiiy iaaaioaaeaiue ia i?ioyc? anueiai aeeooy ia??aeei aeiooothoue
oai?eo ci?ieoe i?ioan?th, iia??oothoue iiaeeea?noue o?oaeiai? oa
nioe?aeueii? ?aaa?e?oaoe??. Iiaia o?oaeiaa ?aaa?e?oaoe?y i?ney o?enaoe??
ie?ee ?nioth/eie caniaaie noaiiaeoue 48-82 % (A.I. Ae?e/, 1989).
Aeiooai? ci?ieoe oa?aeoa? o?oaeiai? ae?yeueiino? 40-50 % iia?iaaieo
oai?eo (O.E. Oiionye, O.E. Iai/o?, I.A. Caeye, 1993).

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

?iaioa ? naiino?eiith /anoeiith eiiieaenii? oa eiieo?nii? oaie IIC
Oe?a?ie. Oeo? AE – 16, aea?aeaaiee ?a?no?aoe?eiee iiia? – 0196 E 013010.

Iaoa aeine?aeaeaiiy. I?aeaeueoe iaaee/io ? nioe?aeueio aoaeoeai?noue
e?eoaaiiy oai?eo ia iao?iioic oeyoii canoinoaaiiy iiaiai o??o?a?/iiai
iaoiaeo iao?iiaen??, yeee caaacia/eoue ii?iae?caoe?th neioii?? ie?ee c
iaae?eiith ?? o?enaoe??th oa a?aeiiaeaiiyi o?c?ieia?/ii? ?ooeeaino?.

Caaea/? aeine?aeaeaiiy.

1. Aea/eoe noai oai?eo oa ooieoe?iiaeueiee noai ie?ie i?e iao?iioic?.

2. ?ic?iaeoe ? ai?iaaaeeoe a ee?i?eo iiaee iaoiae o?enaoe?? ie?ee o
oai?eo ia iao?iioic.

3. ?ic?iaeoe iieacaiiy aei canoinoaaiiy ?ic?iaeaiiai caniao iao?iiaen??
ia iniia? aea/aiiy iniaeeainoae caoai?thaaiiy, aeecueeeo ? a?aeaeaeaieo
?acoeueoao?a e?eoaaiiy.

4. I?iaanoe ii??aiyeueio ioe?ieo aoaeoeaiino? ?nioth/eo o??o?a?/ieo
iaoiae?a e?eoaaiiy iao?iioico oa ?ic?iaeaiiai iaoiaeo.

5. Aea/eoe ieoaiiy iaaeeei-nioe?aeueii? ?aaa?e?oaoe?? oai?eo i?ney
iao?iiaen?? c aeei?enoaiiyi ?ic?iaeaiiai iaoiaeo.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. ?ic?iaeaiee ? ai?iaaaeaeaiee
iiaee iaoiae iao?iiaen??, yeee a?aeiia?aea? iaiao?aeiei aeiiaai aei
oeueiai aeaeo iia?aoe?e, aeicaiey? a?aeiiaeoe ii?iaeueia iieiaeaiiy
ie?ee, ii?iae?co? ?? ooieoe?th oa caaacia/o? o?c?ieia?/io ?ooeea?noue.
Iaa?oioiaaia iiaeeea?noue aeei?enoaiiy iaoiaeo ye i?e iiouaii?, oae ?
i?e ??cieo aeaeao ?ioaoe?? ie?ee, a oaeiae aeeiiaiiy iaeii/anii ?ioeo
ei?aaoth/eo iia?aoe?e ia ie?oe?. Can?a iiaea aooe canoiniaaiei o yeino?
caaa?ooth/iai aoaio i?ney ?ioeo iia?aoe?e ia aa?oi?o na/iaeo oeyoao.
Aeiaaaeaii, ui canoinoaaiiy cai?iiiiiaaiiai iaoiaeo a cia/i?e i???
ni?ey? cai?ioiiio ?icaeoeo iaoieia?/iiai i?ioeano a ie?oe?. Iaa?oioiaai?
iieacaiiy aei iia?aoeaiiai ao?o/aiiy, ui iiia?aaeaeo? ?icaeoie no?eeeo,
iacai?ioieo ci?i o ie?oe? oa iie?auo? ?acoeueoaoe e?eoaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. O ee?i?/io i?aeoeeo
ai?iaaaeaeaiee iaoiae o?enaoe?? ie?ee i?e iao?iioic?, yeee aea?aeii
a?ae??ciy?oueny a?ae ?ioeo ? a iaea?eueoiio nooiai? a?aeiia?aea?
no/aniei aeiiaai. Iaoiae iaei o?aaiaoe/iee oa iaae?eiee ye o aeecuee?,
oae ? o a?aeaeaeai? no?iee niinoa?aaeaiiy. Cai?iiiiiaaiee iaoiae
iao?iiaen?? aeicaiey? canoiniaoaaoe eiai i?e niieo/aii? iiouaiiy oa
?ioaoe?? ie?ee, iaeii/anii i?iaiaeeoe ?io? ei?aaoth/? iia?aoe?? i?e
oneeaaeiaiiyo iao?iioico oa noiooi?o caoai?thaaiiyo. Oaoi?/ia i?inoioa,
oi?aa?naeuei?noue ? a?aenooi?noue iaiao?aeiino? a niaoe?aeueiiio
?ino?oiaioa??? nei?i/othoue /an ia i?iaaaeaiiy iia?aoe?? oa ?iaeyoue ??
eaaei cae?eniaiiith aeey iia?oth/eo o?ieia?a, ui ni?ey? oe?ieiio
ai?iaaaeaeaiith iaoiaeo a i?aeoeeo. ?ic?iaeaiee iaoiae iao?iiaen??
aeicaiey? aeoeaii i?iaiaeeoe i?neyiia?aoe?eiee ia??iae ? i?ae?eiaoe
oai?eo c e?aeea a ia?oo aeiao i?ney iia?aoe??, ui iiceoeaii aieeaa? ia
a?aeiiaeaiiy ooieoe?? o?eniaaii? ie?ee oa ia noai oai?eo a oe?eiio,
nei?i/o? oa?i?ie i?neyiia?aoe?eiiai ia?aaoaaiiy oai?eo o a?aeae?eaii?
aei 7-9 ae?a, ciaioo? oa?i?ie oei/aniai? iai?aoeacaeaoiino? oa aeicaiey?
iia?iaaiei oai?ei a a?eueoino? aeiaaee?a aeo?eioaaoe aenie? o?ce/i?
iaaaioaaeaiiy, ui iaaea? iiaeeea?noue caa?aaoe eieeoi? i?noea ?iaioe oa
niaoe?aeuei?noue ? iie?auo? o?oaeiao oa nioe?aeueio ?aaa?e?oaoe?th
oai?eo.

Iniaenoee aianie caeiaoaa/a. Aeena?oaioii ia?niiaeueii i?iaaaeaii
oai?aoe/ia iaa?oiooaaiiy iiaiai iaoiaeo o?enaoe?? ie?ee, aeeiiai?
iia?aoeai? ao?o/aiiy ii ?ic?iaeai?e iaoiaeeoe?. I?iaiae?ciaaia iaoeiaa
e?oa?aoo?a c i?iaeaie, ui aea/a?oueny, i?iaaaeaiee
iaoaioii-?ioi?iaoe?eiee iiooe, naiino?eii aeeiiai? iaaeeei-noaoenoe/i?,
ee?i?ei-eaai?aoi?i?, ?aioaaiieia?/i?, ?aae?ieia?/i? oa oeueo?acaoeia?
aeine?aeaeaiiy. I?iaaaeaia iaaeeei-noaoenoe/ia ia?iaea io?eiaieo
?acoeueoao?a, iaienai? an? ?icae?ee ?iaioe, noi?ioeueiaai? aeniiaee oa
i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeeeaaeai? oa iaaiai?ai? ia: 1) can?aeaiiyo iaoeiai-iaaee/iiai
oiaa?enoaa o?ieia?a Iieoaanueei? iaeano? (Iieoaaa, 1995, 1996, 1997,
1998); 2) ia i?ae?aa?iiaeuei?e eiioa?aioe?? o?ieia?a (Oa?e?a, 1995,
1996); 3) ia iaoeia?e eiioa?aioe?? (Iieoaaa, 1996).

Ioae?eaoe??. Ca?aeii oaie aeena?oaoe?? iioae?eiaaii 8 iaoeiaeo ?ia?o,
io?eiaiee iaoaio ia aeiao?ae.

No?oeoo?a oa ianya aeena?oaoe?eii? ?iaioe. Aeena?oaoe?y iiaoaeiaaia ca
noaiaea?oiei i?eioeeiii ? aeeeaaeaia ia 163 iaoeiiienieo noi??ieao,
neeaaea?oueny c anooio, 5 ?icae?e?a, aeniiae?a, nieneo aeei?enoaieo
aeaea?ae, yeee ai?uo? 401 aeaea?aei (c ieo: 271 a?o/eciyieo ? 130
?iicaiieo). ?iaioa ?ethno?iaaia 25 oaaeeoeyie oa 20 iaethieaie.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy. Ca iaoa??aeaie aeena?oaoe??
a ee?i?/io i?aeoeeo iaeaniiai ? i?ae?aeiiieo o?ieia?/ieo a?aeae?eaiue
Iieoaanueei? iaeano? ai?iaaaeaeaiee iiaee iaoiae iao?iiaen??, iieacaiiy
aei eiai aeeiiaiiy oa iniaeeaino? aaaeaiiy i?neyiia?aoe?eiiai ia??iaeo.
Iaoa??aee aeena?oaoe?? ai?iaaaeaeai? a i?ia?aio i?aeaioiaee e?ea??a a
ee?i?oe? o?ieia?? Caii??cueeiai ?inoeoooo i?neyaeeieiiii? i?aeaioiaee
e?ea??a, a oaeiae aeei?enoiaothoueny i?e i?iaaaeaii? i?aeoe/ieo caiyoue
oa /eoaii? eaeoe?e ii o?ieia?? aeey nooaeaio?a Oe?a?inueei? iaaee/ii?
noiiaoieia?/ii? aeaaeai??.

Iniiaiee ci?no ?iaioe

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. ?iaioa i?iaaaeaia ia ee?i?/iiio
iaoa??ae?. Ia?aa?a iao?iioico aea/aiee o 249 oai?eo, ye? e?eoaaeeny ia
i?ioyc? 20 ?ie?a a o?ieia?/ieo a?aeae?eaiiyo Iieoaanueei?, Caii??cueei?
oa Aei?i?iiao?ianueei? iaeanoae. Na?aae ieo ae?iie 148 (79,5 %),
/ieia?e?a — 51 (20,5 %). Iaea?eueoo e?euee?noue oai?eo neeaee iniae a
a?oe? 21-30 ?ie?a — 57 (22,9 %) ? 31-40 ?ie?a — 79 (31,7 %).

I?iiia?iaaii 188 ?c 249 oai?eo. Ca iaoiaeii Rivoir-Ieoaey-Eiiaoe?ia
i?iiia?iaaii 43 oai?eo, ca aeiiiiiaith eeaioy c ie?eiai? oanoe?? – 41.
Ca aeaniith iaoiaeeeith, ?ic?iaeaiith a o?ieia?/i?e ee?i?oe?
Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai?? o?enaoe?y ie?ee
aeeiiaia o 92 oai?eo. Oaoi?ea ?ic?iaeaii? iaie iao?iiaen?? iieyaa? a
ne?aeoth/iio (iae. 1).

Eini-iiia?a/iei aeinooiii, i?ney ?icn?/aiiy oe??e, i?aeoe??ii?
ee?oeiaeie, ciai?oiuei? oa aioo??oiuei? eineo, iiia?a/iiai i’yc?a
aeeaioa ?ice?eaathoue iica/a?aaiee i?ino??. ?aoaeueii aeae?eythoue ie?eo
oa na/ia?ae a?ae ee?oeiaeie oa ?oaoeaaeo c?iuaiue. A?ae ee?oeiaeie
aeae?eythoue ae?eyieo a?ey nooiaeeeueieo i?aeie ae?ao?aaie, aei yei?
aoaea o?enoaaoeny ie?ea. Ii caaei?e iiaa?oi? ai?iaeiaae, no?aeeaie ii
2-2,5 ni, i?ae o?a?iciith eainoeith ie?ee i?iaiaeyoue o?e eaanaiia?
ieoee ? 6 aai ? 8 a?ae ieaeiueiai iiethno aei aa?oiueiai, yeeie
o?enothoue ie?eo aei i?aeie ae?ao?aaie. Caa’ycoth/e oae a?ey ieaeiueiai
iiethno, anoaiiaeththoue ie?eo a ii?iaeueia aiaoii?/ia iieiaeaiiy. I?e
oeueiio ie?eia? noaeeie oa na/ia?ae ia iiaeii? aooe aeaoi?iiaaieie aai
iaoyaiooeie. Aa?oi?e iiethn oi?ea?oueny ae?ao?aaie. I?ney o?enaoe??
ie?ee a?aeiiaeth?oueny ?? aiaoii?/ia iieiaeaiiy oa aeeoaeueia
?ooeea?noue. Iia?aoe?th cae?i/othoue ooeaaiiyi ?aie c ae?aioaaiiyi
iicai/a?aaeiiiai i?inoi?o iie?oei?a?i?eiaei ae?aiaaeai.

?io? iaoiaee, ye? canoiniaoaaeenue aeey o?enaoe?? ie?ee, iieyaaee a
ne?aeoth/iio. O 4 oai?eo aeeiiaia iao?iiaen?y eaanaiiaeie ieoeaie aei
XII ?aa?a, o 5 — eaanaiiaeie ieoeaie aei iiia?aeiaiai i’yca, o 1 – ca
iaoiaeii Oaaei?iaa – Aeueaa?aia, o 2 – ca iaoiaeii Ai?aoa.

Ianoaaeaiiy oai?eo i?iaiaeeee eiiieaenii, c aeei?enoaiiyi
caaaeueiiee?i?/ieo, eaai?aoi?ieo, ?aioaaii?aae?ieia?/ieo iaoiae?a oa
oeueo?acaoeiaiai neaioaaiiy na/iaea?aeieo oeyo?a.

Caaaeueio aaiiaeeiai?eo ioe?ithaaee ii aeaiei aei??o a?oa??aeueiiai
oeneo a i?oi- ? ee?iinoac?, aaciina?aaeiuei oa i?ney o?ce/iiai
iaaaioaaeaiiy, oa aeaeo?iea?ae?ia?ai?. Iaeueiaoe?th ie?ie aeeiioaaee a
o?ueio iieiaeaiiyo oai?iai: a ai?eciioaeueiiio, aa?oeeaeueiiio oa ia
i?ioeeaaeiiio aioe?. Eaai?aoi?ieie iaoiaeaie cae?enithaaee
aeine?aeaeaiiy e?ia? oa na/?. Ooieoe?th ie?ie aecia/aee ca eeoai/eiaith
o?eueo?aoe??th oa eaiaeueoeaaith ?aaani?aoe??th, ca aeiiiiiaith i?iae
N.N.Ceiieoeueeiai An?i oai?ei i?iaiaeeee aaeoa??ieia?/ia aeine?aeaeaiiy
na/?. Aeoeai?noue a na/? oa?iaioo aaia-aeooai?eo?ainiaioeaeace (E.O.
2.3.2.1.) aecia/aee ii iaoiaeeoe? Szasz (1969); aeoeai?noue
eaeoeeiai?iiiaioeaeace (E.O. 3.4.1.1.) aecia/aee, canoiniaoth/e noano?ao
L-eaeoe?e-a?ae?aceae c aeei?enoaiiyi LAP-test ii iaoiaeeoe? Haschen R.S.
et all. (1968); aeoeai?noue eaoaineio D (E.O. 3.4.22.2) aecia/aee
iaoiaeii Puson M.L (1979).

?aae?i?cioiiio ?aiia?ao?th i?iaiaeeee ca aeiiiiiaith
?aae?iae?aaiinoe/iiai aia?aoo EI?Ae?-1 ? ?aiia?aoa o??ie “Aaia” (AI?). A
yeino? ?aae?ioa?i-i?aia?aoo aeei?enoiaoaaee 131I-a?io?ai. C iaoith
aea/aiiy aoaeoeaiiai ie?eiaiai ieaciioieo (AII) ?aiia?aie aiae?coaaee
ie?aii. ?aioaaiieia?/ia aeine?aeaeaiiy ai?uoaaei aene?aoi?io o?ia?ao?th
a ai?eciioaeueiiio oa aa?oeeaeueiiio iieiaeaiiyo oai?iai, c aei??ii
ieneia-na/ia?aeiiai eooa (INE) oa eooa ?ioaoe?? ie?ee oa ia/eneaiiyi
?aii-ei?oeeaeueiiai ?iaeaeno (?E?). Oeueo?acaoeiaa aeine?aeaeaiiy oai?eo
i?iaiaeeee ca aeiiiiiaith aia?aoo Sonoline-1 c naeoi?aeueiei aeao/eeii
3,5/5 o??ie C?iain (Aa?iai?y).

?acoeueoaoe aeanieo aeine?aeaeaiue. Ca?aeii o?eaaeino? caoai?thaaiiy
ianoaaeai? oai?? aoee iiae?eai? ia 4 a?oie: oae?, ui oai??thoue iaioa 1
?ieo, 1-3 ?iee, 3-5 ?ie?a ? iiiaae 5 ?ie?a. ?iciiae?e oai?eo uiaei
icia/aieo a?oi aeyaeany i?eaeecii iaeiaeiaei. Iae/ano?oei neiioiiii
caoai?thaaiiy aeyaeany aieth/ee neiae?ii, ui aeyaeaiee o 143 (57,9 %)
oai?eo. Aeeco??/i? yaeua, niieo/ai? c ieth/ei aieai o iiia?aeo oa
ia??iaee/iei i?aeaeuaiiyi oaiia?aoo?e o?ea a?aecia/eee 6 (2,4 %) oai?eo.
Aeeno?io?/i? ci?ie i?iea?aea aeyaeai? o 40 (16 %) oai?eo.
O?aiceoi?ii-a?oa??aeueio a?ia?oaic?th aecia/aee o 15 (6 %) oai?eo,
no?eeo -o 6 (2,4 %). I?e ianoaaeaii? c aeei?enoaiiyi i?iae c o?ce/iei
iaaaioaaeaiiyi a?oa??aeueia a?ia?oaic?y aeyaeaia o 25 (10,1 %) oai?eo. C
ieo o?aiceoi?ia a?ia?oaic?y neeaea 8 % (20 oai?eo), no?eea – 2 % (5).
?iceaaee oeoieiai-eeoeiaiai o?aeoo aeyaeai? o 11 (4,5 %) oai?eo,
ia?aiai? nenoaie — o 7 (2,8 %) oai?eo.

Eaai?aoi?i? aeine?aeaeaiiy e?ia? ia aeyaeee iaoieia?? o 153 (61,5 %)
oai?eo, a?aeoeeaiiy a?ae ii?ie aeyaeai? o 89 (35,7 %) oai?eo: aiai?y – o
13 (5,2 %) oai?eo, ca?eueoaiiy eaeeioeeo?a – o 2 (0,8 %), ca?eueoaiiy
OIA – o 48 (19,3 %). Ii?iaeuei? aiae?ce na/? i?e ianoaaeaii? aeyaeai? o
115 (46,2 %) oai?eo. Iaoieia?/i? ci?ie aeyaeai? o 134 (53,8 %) oai?eo:
i?ioa?io??y – o 83 (33,3 %), eaeeioeeoo??y – o 124 (50 %),
a?eo?ioeeoo??y – o 113 (45,4 %), o oiio /ene? iae?iaaiaoo??y – o 8
(3,2%), oeee?iae?o??y – o 12 (4,8 %), aaeoa??o??y – o 38 (15,3 %). I?e
aeine?aeaeaii? na/? ca iaoiaeii I.C.Ia/eii?aiei iaoieia?/ii cia/oua
eaeeioeeoo??y aeyaeaia o 150 (60 %) oai?eo, a?eo?ioeeoo??y — o 65 (26%)
oai?eo. I?e a?io?i?/iiio aeine?aeaeaii? e?ia? i?aeaeuaiiy ??aiy na/iaeie
e e?aaoei?io aeyaeaia eeoa o 1 (0,4 %) oai?iai. Aeine?aeaeaiiy
ia?oe?aeueieo ie?eiaeo ooieoe?e ii ee??aino aiaeiaaiiiai e?aaoei?io
aeyaeei iacia/i? ii?ooaiiy eeoa o 3 (1,2 %) oai?eo c ?aeeiith ie?eith.
Iaoieia?/ii cia/oua aaeoa??o??y aeyaeaia o 129 (51,6 %) oai?eo. A
iniiaiiio i?e?iaia oei?a aen?aaeany o oai?eo c oneeaaeiaiiyie aieiaiiai
caoai?thaaiiy i??eiiao?eoii ? iao?ie?o?acii. O oai?eo c iaoneeaaeiaieie
oi?iaie caoai?thaaiiy aaeoa??o??y ia niinoa??aaeany, aai ciaoiaeeeany ia
aeie?eoe/iiio ??ai?.

I?e aeei?enoaii? aene?aoi?ii? o?ia?ao?? ciaioaiiy ?ici???a iiouaii?
ie?ee aeyaeaii o 8 (3,2 %) oai?eo, i??eiaeoac?y — o 105 (42,1 %),
ne?o/aiee na/ia?ae — o 169 (67,9 %), iciaee o?ii?/iiai i??eiiao?eoo — o
133 (53,4 %). Eiie?aiaioe aeyaeai? o 25 (10 %) oai?eo, a?ae?iiao?ioe/ia
o?ainoi?iaoe?y — o 24 (9,6 %). Aeey oai?eo c ia?oei nooiaiai iiouaiiy
aaee/eia ieneiai-na/ia?aeiiai eooa eieeaa?oueny a iaaeao 100-1100, a eoo
?ioaoe?? neeaaea? 300. I?e ae?oa?e noaae?? a aa?oeeaeueiiio iieiaeaii?
o?ea aaee/eia ieneiai-na/ia?aeiiai eooa neeaea 70-900, eoo ?ioaoe?? —
30-450. A o?ao?e noaae?? oe? iieacieee neeaee a?aeiia?aeii iaioa 700 ?
a?eueoa 450. O oai?eo c iaoneeaaeiaiei ia?aa?aii caoai?thaaiiy ?E? ia
ia?aaeuoaaa ii?io ? neeaaeaa 0,34-0,36. O oai?eo c oneeaaeiaiith oi?iith
niinoa??aaeeny a?aeoeeaiiy a?ae ii?ie – ?E? eieeaaany a?ae 0,4 aei 0,48.
Iaea?eueoiai cia/aiiy ?E? iaaoa i?e ae?aci?e a?ae?iiao?ioe/i?e
o?ainoi?iaoe?? ? aeiaaio?eaaeiio o?ii?/iiio i??eiiao?eo?.

Ca ?acoeueoaoaie ?aae?iioee?aeieo aeine?aeaeaiue aaaeo/eie iciaeaie aeey
iaoieia?/ii ?ooiii? ie?ee ? ciaioaiiy iaa?no?aeueiiai e?iaioieo,
ia??aiii??i?noue ? oiia?eueiaiiy na/iaeae?eaiiy, ii?ooaiiy
ooieoe?iiaeueii? ni?iiiaeiino? ie?ee. O oai?eo c oneeaaeiaiei ia?aa?aii
caoai?thaaiiy aeyaeai? a?eueo cia/i? ii?ooaiiy e?iaiia?ao, o?iaeeiai?ee
? iineaaeaiiy ooieoe?iiaeueii? ni?iiiaeiino? ia?aio?ie. Ae?aci?noue oeeo
ii?ooaiue caeaaeaee a?ae nooiaith, oa?aeoa?o ? o?eaaeino? iaoieia?/iiai
i?ioeano.

Oeueo?acaoeia? aeine?aeaeaiiy i?iaaaeai? 75 oai?ei. Aeei?enoaiiy oeueiai
iaoiaeo aeicaieeei anoaiiaeoe oaeo iiouaiiy ie?ee o 55 (71,5 %) oai?eo.
Ciaioaiiy oiaueie ia?aio?ie aeyaeaia o 11 (14,6 %) oai?eo, ca?eueoaiiy
oiaueie ia?aio?ie — o 2 (2,6 %), ii?iaeueia oiaueia — o 70 (93,3 %).
Aeaoi?iaoe?y /aoeiai-ieneiai? nenoaie o aeaeyae? i??eiaeoac??,
a?ae?ieae?eica aeyaeaia o 64 (85,4 %) oai?eo.

O?ii?/iee i??eiiao?eo aeyaeaiee o 60,7 % oai?eo, a?ae?iiao?ic — o 8,4
%,iao?iaaiia a?ia?oaic?y – o 10 %, iao?ie?o?ac – o 8,5 %, oi?i?eaeuei?
e?iaioa/? – o 4 %, ae?aaeaiee aieueiaee neiae?ii – o 57,9 %.

Aeey aiae?co ee?i?/iiai ia?aa?ao iao?iioico oai?? aoee iiae?eai? ia
a?oie a caeaaeiino? a?ae nooiaith iiouaiiy ie?ee oa o?eaaeino?
caoai?thaaiiy. Aeyaeaii, ui /anoioa ae?aaeaiiai aieueiaiai neiae?iio
aeey oai?eo eiaeiiai nooiaith a oe?eiio i?aeaeuoaaeanue ii i???
ca?eueoaiiy o?eaaeino? caoai?thaaiiy. I?e oeueiio iaeiaioa /anoioa
aieueiaiai neiae?iio aeyaeaia o oai?eo c 1 nooiaiai – 32,5 %, iaea?eueoa
– ?c 3 nooiaiai iiouaiiy ie?ee – 69 %. Aeyaeaia oaiaeaioe?y caeaaeiino?
ee?i?/ieo i?iya?a caoai?thaaiiy a?ae nooiaith iiouaiiy ie?ee oa
o?eaaeino? caoai?thaaiiy a oe?eiio oa?aeoa?ia e aeey oaeiai oneeaaeiaiiy
iao?iioico, ye o?ii?/iee i??eiiao?eo. Na?aae oai?eo c 1 nooiaiai
iao?iioico oea oneeaaeiaiiy cono??/a?oueny a 37,5 %, a?aeiia?aeii aeey
oai?eo 2 oa 3 nooiaiae oe? iieacieee neeaee 65,1 % oa 72,2 %. Aiaeia?/ia
oaiaeaioe?y caa??aa?oueny ? aeey ?ioeo oneeaaeiaiue iao?iioico (oaae.
1). ?c 1 nooiaiai iao?iioico aoei i?iiia?iaaii 40 % oai?eo, ?c 2
nooiaiai – 81,1 %, ?c 3 – 91,9 %. Cieaeaiiy i?aoeacaeaoiino? na?aae
oai?eo a caeaaeiino? a?ae noaae?? neeaei: 20 %, 42,9 % oa 37,8 %
a?aeiia?aeii.

Oaaeeoey 1

Oa?aeoa?enoeea /anoioe ?icaeoeo aieueiaiai neiae?iio

oa oneeaaeiaiue iao?iioico a caeaaeiino? a?ae

nooiaith ?ooeeaino? ie?ee

Aieueiaee neiae?ii oa oneeaaeiaiiyNooi?iue iiouaiiy ie?ee

(e?euee?noue oai?eo a %)123Aieueiaee neiae?ii32,562,969,0O?ii?/iee
i??eiiao?eo37,565,172,2Iao?iaaiiy
a?ia?oaic?y2,512,66,8Iao?ie?o?ac5,08,017,0Oi?i?eaeueia
e?iaioa/a2,55,1-A?ae?iiao?ic2,59,113,6

Aeine?aeaeaiiy iieacaei, ui o oai?eo c iaioei nooiaiai iiouaiiy ie?ee oa
ei?ioeei aiaiiacii caoai?thaaiiy i?io?eaei c iacia/ii ae?aaeaieie
ee?i?/ieie i?iyaaie oa iaioith e?euee?noth oneeaaeiaieo oi?i. ? iaaiaee,
c ca?eueoaiiyi o?eaaeino? caoai?thaaiiy oa nooiaiai ?ooiiino? ie?ee
caoai?thaaiiy iaaoaa? ae?aaeaii? ee?i?/ii? oa/?? c aaeeeith e?euee?noth
oneeaaeiaiue, ye? oyaeei i?io?eathoue. Oae, iaa?oue na?aae oai?eo c
ia?oei nooiaiai iiouaiiy ie?ee, ye? oai??thoue a?eueoa ?ieo, /anoioa
oneeaaeiaiiai ia?aa?ao caoai?thaaiiy noa? aeinoaoiuei aenieith ?
neeaaea? 38,5 %, a o iaoe??io?a c ae?oaei nooiaiai, oai??th/eo oaeee aea
/an, oeae iieaciee aeinyaa? 100 %. Oaeei /eiii, /ei a?eueoa no?ie
caoai?thaaiiy (iaa?oue i?e ? nooiai? iao?iioico) oa nooiaiue iiouaiiy
ie?ee, oei /ano?oa ?icaeaathoueny oneeaaeiaiiy.

I?e ianoaaeaii? oai??, iia?iaai? ca iaoiaeii Rivoir-Ieoaey-Eiiaoe?ia,
neeaee ia?oo a?oio niinoa?aaeaiiy; ca aeiiiiiaith eeaioy c ie?eiai?
oanoe?? – ae?oao; ca aeaniith iaoiaeeeith – o?aoth; ca ?ioeie iaoiaeaie
– /aoaa?oo. An? aeine?aeaeaiiy i?iaiaeeee aei iia?aoe??, /a?ac 3, 6, 12
i?nyoe?a oa a a?eueo a?aeaeaeai? no?iee. Aeey ii??aiyiiy ?acoeueoao?a
e?eoaaiiy aoea aea/aia aeeiai?ea eaeeioeeoo???, a?eo?ioeeoo???,
i?ioa?io???, aieueiaiai neiae?iio, aoaeoeaiiai ie?eiaiai ieaciiia?ao oa
oa?iaioo??? o oai?eo an?o a?oi.

E?euee?noue oai?eo c i?aeaeuaiith eaeeioeeoo???th eieeaaeany aei
iia?aoe?? a?ae 25 aei 39,5 %. A iine?aeoth/iio niinoa??aaeany no?eea
oaiaeaioe?y aei ii?iae?caoe?? iieaciee?a na/?. A iaea?eueo?e i??? oea
a?aeaoaaeinue o iaoe??io?a, iia?iaaieo ca iaoiaeii
Rivoir-Ieoaey-Eiiaoe?ia oa ?ic?iaeaiei iaie iaoiaeii, neeaaeath/e /a?ac
??e a?aeiia?aeii 4,7 % oa 5,4 %.

I?aeaeuaiee ??aaiue a?eo?ioeeoo??? ia?aae iia?aoe??th a ia?oeo o?ueio
a?oiao eieeaaany a iaaeao 65,1 – 73,2 %. A /aoaa?o?e a?oi? a?i aoa
iaioei, aea e e?euee?noue niinoa?aaeaiue a oe?e a?oi? aoea cia/ii
iaioith. *a?ac 12 i?nyoe?a iaea?eueoei oeae iieaciee aoa o ae?oa?e a?oi?
— 26,8 %, iaeiaioei — o o?ao?e–8,7 %.

I?ioa?io??y aei iia?aoe?? niinoa??aaeanue a iaaeao a?ae 19,6 % oai?eo o
o?ao?e a?oi? aei 29,3 % o ae?oa?e. A e?ioe? aeine?aeaeaiiy iaeiaioee
??aaiue i?ioa?io??? aeyaeaiee o ae?oa?e oa o?ao?e a?oiao — 2,4 % oa 2,2
% oai?eo a?aeiia?aeii. Oaeei /eiii, e?aueie ca aeaieie aeeiai?ee
i?ioa?io??? aoee ?acoeueoaoe iia?aoe?? ca aeiiiiiaith eeaioy c ie?eiai?
oanoe?? oa ca ?ic?iaeaiei iaoiaeii.

E?euee?noue oai?eo c aieueiaei neiae?iiii aei iia?aoeaiiai ao?o/aiiy
ciaoiaeeeanue i?eaeecii ia iaeiiio ??ai? — a?ae 73,2 % aei 81,5 %. I?ae
e?iaoeue aeine?aeaeaiiy aieueiaee neiae?ii iaea?eueo /anoi niinoa??aaany
a /aoaa?o?e a?oi? — o 25 % oai?eo, iaeiaio /anoi — a o?ao?e – o 7,6 %.

Noai aaiiaeeiai?ee ioe?ithaaany ca aeaieie aoaeoeaiiai ie?eiaiai
ieaciiia?ao a iia?iaai?e ? i?ioeeaaei?e ie?eao (oaae. 2).

Aei iia?aoe?? ca iaoiaeii Rivoir-Ieoaey-Eiiaoe?ia AII ia noi?ii?
iiouaii? ie?ee aoa ??cei ciaioaiei ? neeaaeaa 157 22 ie/oa, a
i?ioeeaaeii? — a 2,2 ?ace a?eueoei. Noia?iee AII aoa ciaioaiei aei 512
ie/oa. I?ney iao?iiaen?? AII iia?iaaii? ie?ee iinooiiai ca?eueooaaany ?
aeinya 227 40 ie/oa. (76 % a?ae ii?ie). A eiio?eaoa?aeuei?e ie?oe? AII
ciaiooaaany ? /a?ac 12 i?nyoe?a aei??aithaaa 325 35 ie/oa. Noia?iee AII
/a?ac 12 i?nyoe?a iaaoa iaeneiaeueiiai cia/aiiy. Iiai?noth ye noia?iee,
oae ? ?icae?eueiee ieaciiia?a aei e?ioey ianoaaeaiiy ia iiaa?ioeeny aei
ii?iaeueieo iaae.

Oaaeeoey 2

Iieacieee AII o i?iiia?iaaieo oai?eo (ie/oa.)

Iaoiae iia?aoe??Oa?i?ie ianoaaeaiiyAei iia?aoe??*a?ac 12
i?nyoe?aIiouaii? ie?eeI?ioeeaaeii? ie?eeNoia?iee ieaciiia?aIiouaii?
ie?eeI?ioeeaaeii? ie?eeNoia?iee
ieaciiia?aRivoir-Ieoaey-Eiiaoe?ia15722355 2851222 40325 35552Eeaioai c
ie?eiai? oanoe??149 9360 24509210 26318 33528Aeaniee iaoiae164 26368
17532249 31336 14589?io? iaoiaee153 16369 32522189 23335 36524

O ae?oa?e a?oi? oai?eo, iia?iaaieo ca aeiiiiiaith eeaioy c ie?eiai?
oanoe??, aei iia?aoe?? AII iiouaii? ie?ee aoa aaea?/? ciaioaiei, a
i?ioeeaaeii? — ca?eueoaiei aei 360 24 ie/oa. Noia?iee ieaciiia?a
neeaaeaa 509 ie/oa. Aei e?ioey ianoaaeaiiy oe? iieacieee neeaee
a?aeiia?aeii 210 26 ie/oa, 318 33 ie/oa. oa 528 ie/oa., ui a??oa, i?ae
a iiia?aaei?e a?oi?.

O oai?eo, iia?iaaieo ca ?ic?iaeaiei iaie iaoiaeii, ye ? a iiia?aaei?o
a?oiao, AII iiouaii? ie?ee aoa cia/ii i?eai?/aiei — 164 26 ie/oa. Aei
e?ioey ianoaaeaiiy a?i ca?eueoeany aei 249 31 ie/oa. Ieaciiia?a
i?ioeeaaeii? ie?ee iaea?eueoei aoa aei iia?aoe?? — 368 17 ie/oa.
Iaeiaioiai cia/aiiy a?i aeinya /a?ac 6 i?nyoe?a. Noia?iee ie?eiaee
ieaciiia?a /a?ac 12 i?nyoe?a i?ney iia?aoe?? ca?eueoeany a iaea?eueoiio
nooiaith na?aae an?o a?oi — aei 585 ie/oa. Oaeei /eiii, iao?iiaen?y
cia/ii iie?aueea ia o?eueee ieaciiia?a iiouaii? ie?ee, aea e noia?iee
AII.

A inoaii?e a?oi? ieaciiia?a iiouaii? ie?ee aei iia?aoe?? aoa oaeiae
??cei ciaioaiei. *a?ac 12 i?nyoe?a a?i ca?eueoeany aei 189 23 ie/oa.
I?ioeeaaeiith aoea aeeiai?ea ieaciiia?ao eiio?eaoa?aeueii? ie?ee — AII
ciaioeany, a /a?ac 12 i?nyoe?a ca?eueoeany, aea ia aeinya
aeiiia?aoe?eiiai ??aiy. Iaea?eueoa cia/aiiy noia?iiai AII aoei aecia/aii
/a?ac 12 i?nyoe?a i?ney iia?aoe?? – 524 ie/oa, ui neeaei iaeiaioee
iieaciee na?aae on?o a?oi.

Oaeei /eiii, aei??e aoaeoeaiiai ie?eiaiai ieaciiia?ao i?e ??cieo
iaoiaeao iao?iiaen?? aeiaaee, ui ieaciiia?a a iiouai?e ie?oe?
i?eai?/o?oueny iaeaea aaea?/? a ii??aiyii? ?c caei?iaith. Iao?iiaen?y,
aeeiiaia ethaei iaoiaeii, iie?auo? AII a iia?iaai?e ie?oe?. *a?ac 6 oa
12 i?nyoe?a iaea?eueoei AII aoa i?ney iao?iiaen?? ca
Rivoir-Ieoaeai-Eiiaoe?iei oa ca ?ic?iaeaiei iaie iaoiaeii. Aoaeoeaiee
ie?eiaee ieaciiia?a i?ioeeaaeii? ie?ee aei iia?aoe?? aoa eiiiainaoi?ii
ca?eueoaiei. I?ney iia?aoe??, ii i??? ii?iae?caoe?? e?iaiia?ao
iia?iaaii? ie?ee, e?iaiia?a o i?ioeeaaei?e ie?oe? ciaiooaaany. Noia?iee
ieaciiia?a, ciaioaiee aei iia?aoe??, iiaeae? c?inoaa ? iaea?eueoei aoa
/a?ac 12 i?nyoe?a o oai?eo, yeei aoea i?iaaaeaia iao?iiaen?y ca iaoiaeii
Rivoir-Ieoaey-Eiiaoe?ia oa ca ?ic?iaeaiei iaie iaoiaeii. I?e aeeiiaii?
iao?iiaen?? ca iaoei iaoiaeii oeae iieaciee aoa aeaui e?auei.

C iaoith aeine?aeaeaiiy nooiaiy ?aa?ano iaoieia?/iiai i?ioeano iaie
aea/aia aeoeai?noue oa?iaio?a – aaia-aeooai?eo?ainiaioeaeace (AAOI),
eaeoeeiai?iiiaioeaeace (EAI) oa eaoaineio Ae a na/? oai?eo ia?oeo o?ueio
a?oi (oaae. 3).

Aeoeai?noue AAOI aei iia?aoe?? o an?o oai?eo aoea aeua eiio?ieueiiai
cia/aiiy (eiio?ieue 7,96 0,54 ieeao/e; p0,3). Aei e?ioey ianoaaeaiiy
aeoeai?noue oa?iaioo ciaioeeanue, aea a oe?eiio caeeoeeanue
i?aeaeuaiith. Iaeiaioa aeoeai?noue niinoa??aaeanue o oai?eo, ye?
iia?iaai? ca iaoiaeii Rivoir–Ieoaey-Eiiaoe?ia — 9,83 1,17 ieeao/e. A
inoaii?o aeaio a?oiao oe? iieacieee neeaee a?aeiia?aeii 10,23 1,39
ieeao/e oa 10,15 1,06 ieeao/e.

Aeoeai?noue EAI aei iia?aoe?? oaeiae cia/ii ia?aaeuoaaea ii?io o an?o
a?oiao. Iiaeae? aeoeai?noue aiceio ??cei ciaiooaaeanue, aea ? i?ae
e?iaoeue aeine?aeaeaiiy o oai?eo ia?oi? oa ae?oai? a?oi aeaui
ia?aaeuoaaea eiio?ieue (661 36 ieao/e). Aeoeai?noue EAI o oai?eo, yeei
i?iaaaeaia iao?iiaen?y ca ?ic?iaeaiei iaie iaoiaeii, /a?ac 12-e i?nyoe?a
ia a?ae??ciyeanue a?ae eiio?ieth.

Oaaeeoey 3

Iieacieee aeoeaiino? oa?iaio?a na/? o i?iiia?iaaieo oai?eo

Iaoiae iia?aoe??Oa?i?ie ianoaaeaiiyAei iia?aoe??*a?ac 12 i?nyoe?aAAOI,

ieeao/eEAI,

ieao/eEaoainei Ae,

iae. aeo. AAAOI,

ieeao/eEAI,

ieao/eEaoainei Ae,

iae. aeo. ARivoir-

Ieoaey-Eiiaoe?ia18,31 2,151057 982,519 0,2789,83 1,17738 510,936
0,087Eeaioai c ie?eiai?

oanoe??17,96 2,341084 1032,113 0,32410,23 1,39806 730,886 0,098Aeaniee

iaoiae7,65 1,9817 1092,29 0,2950,15 1,06720 630,859 0,066

Iaea?eueo nooo?ai, ii??aiyii c ?ioeie oa?iaioaie, aoea i?aeaeuaia
aeoeai?noue eaoaineio Ae. Aei e?ioey ianoaaeaiiy aeoeai?noue
ciaioo?oueny, aea ia?aaeuo? ii?io: o oai?eo ia?oi? a?oie — ia 34 %, o
ae?oai? — .aei??aith? – 0,886 0,98 A, o oai?eo, iia?iaaieo ca
?ic?iaeaiei iaie iaoiaeii neeaaea? 0,859 0,066 A (eiio?ieue – 0,698
0,044 A).

Oaeei /eiii, canoinoaaiiy ??cieo iaoiae?a o?enaoe?? ie?ee i?ecaiaeeoue
aei iie?auaiiy ooieoe?iiaeueiiai noaio inoaiiuei?. *a?ac 12 i?nyoe?a
i?ney iia?aoeaiiai ao?o/aiiy aeoeai?noue AAOI ? EAI aoea iaeiaioith o
oai?eo, iia?iaaieo ca iaoiaeii Rivoir–Ieoaey–Eiiaoe?ia oa ca ?ic?iaeaiei
iaie iaoiaeii, a eaoaineio Ae — o oai?eo, iia?iaaieo ca aeiiiiiaith
eeaioy c ie?eiai? oanoe?? oa ca ?ic?iaeaiei iaie iaoiaeii. Oe? aeai?
na?ae/aoue, ui canoinoaaiiy ?ic?iaeaiiai iaie iaoiaeo iao?iiaen??
caaacia/o? aeaui e?au? iieacieee a?aeiiaeaiiy ooieoe?iiaeueiiai noaio
iia?iaaii? ie?ee a ii??aiyii? c ?ioeie.

Ia?aa?a i?neyiia?aoe?eiiai ia??iaeo i?ney aeei?enoaiiy ?ic?iaeaiiai iaie
iaoiaeo iao?iiaen?? aea?aeii a?ae??ciyany a?ae aiaeia?/iiai i?e
aeei?enoaii? ?ioeo iaoiae?a. Iino?eueiee ?aaeei 95,6 % iia?iaaieo oai?eo
aeio?eioaaeenue ia i?ioyc? iaei??? aeiae i?ney iia?aoe??. Na?aaei?e
i?neyiia?aoe?eiee e?aeei-aeaiue neeaa 8,8. Aei ?iaioe /a?ac 1-1,5
i?nyoey i?enooieee 81,8 % oai?eo , ?io? 18,4 % – /a?ac 2 i?nyoey.
Caa?aaee iiia?aaei? i?noea ?iaioe 57 oai?eo, ui neeaaea? 95,2 % iiaii?
o?oaeiai? ?aaa?e?oaoe??.

A?aeaeaeai? ?acoeueoaoe iia?aoeaiiai e?eoaaiiy aea/ai? o 60 oai?eo.
Aeia?? ?acoeueoaoe io?eiai? o 88,4 % oai?eo, caaeia?euei? – o 3,3 %. O
76,5 % oai?eo o?eaae?noue caoai?thaaiiy ia ia?aaeuoaaea 3-5 ?ie?a.
Na?aae oai?eo o a?oe? a?ae 20 aei 40 ?ie?a caaeia?euei? ?acoeueoaoe
io?eiai? o 75,1 %, i?ney 40 ?ie?a – o 16,7 %.

Aeey ii??aiyeueiiai aea/aiiy aoaeoeaiino? ?ic?iaeaiiai iaie iaoiaeo
iao?iiaen?? aoei i?iaaaeaii aea/aiiy a?aeaeaeaieo ?acoeueoao?a e?eoaaiiy
35 oai?eo, ye? aoee iia?iaai? ca iaoiaeii Rivoir-Ieoaey-Eiiaoe?ia, oa 32
oai?eo, ye? aoee iia?iaai? ca aeiiiiiaith oanoe?aeueiiai eeaioy ia
i?aeoe? (c f.prerenalis).

Na?aaeiy o?eaae?noue aeio?eiaiiy iino?eueiiai ?aaeeio oai?eie, ye? aoee
iia?iaai? ca iaoiaeii Rivoir-Ieoaey-Eiiaoe?ia, neeaea 16,6 aei?a.
Na?aaei?e i?neyiia?aoe?eiee e?aeei-aeaiue neeaa 17,8. Aeia?? a?aeaeaeai?
?acoeueoaoe io?eiai? o 85,2% oai?eo, caaeia?euei? – o 8,9 %,
iacaaeia?euei? – o 5,7 %. A oe?eiio oa?i?ie oei/aniai?
iai?aoeacaeaoiino? neeaee: a?ae 6 aei 8 iaae?eue — o 20 %); a?ae 8 aei
10 – o 34,3 %; a?ae 10 aei 12 – o 42,9 %; a?ae 12 aei 14 – o 2,86 %.

Aeey oai?eo, ye? iia?iaai? ca aeiiiiiaith oanoe?aeueiiai eeaioy ia
i?aeoe?, na?aaeiy o?eaae?noue aeio?eiaiiy iino?eueiiai ?aaeeio neeaea
6,6 aei?a. Na?aaeiy o?eaae?noue i?neyiia?aoe?eiiai e?aeei-aeiy neeaea
18,7. Aeia?? a?aeaeaeai? ?acoeueoaoe io?eiai? o 78 % oai?eo,
caaeia?euei? – o 15,6%, iacaaeia?euei? – o 6,4%. ?acoeueoaoe
aeine?aeaeaiiy aeicaieythoue aaaaeaoe ?ic?iaeaiee iaie iaoiae o?enaoe??
ie?ee aoaeoeaiei iaoiaeii aeai?o e?eoaaiiy oa ?aaa?e?oaoe?? oai?eo ia
iao?iioic.

AENIIAEE

1. Iao?iioic aeeeeea? a iiouai?e ie?oe? no?ee? ooieoe?iiaeuei? ?
i?aai?/i? ii?ooaiiy, ae?aaeai?noue yeeo ciaoiaeeoueny a i?yi?e
caeaaeiino? a?ae nooiaith iiouaiiy ie?ee, o?eaaeino? caoai?thaaiiy oa
a?eo oai?eo.

2. Aoaeoeaiei e?eoaaiiyi, yea aeicaiey? aeinyaoe iaee?aueo ee?i?/ieo
?acoeueoao?a ? nioe?aeueii? ?aaa?e?oaoe?? oai?eo ia iao?iioic ?
iia?aoeaia ao?o/aiiy. O?eaaea eiina?aaoeaia e?eoaaiiy ca?eueoo?
e?euee?noue oneeaaeiaiue caoai?thaaiiy.

3. Iao?iiaen?y ia a iiai?e i??? a?aeiiaeth? ooieoe?th iiouaii? ie?ee.
Nooi?iue a?aeiiaeaiiy a cia/i?e i??? caeaaeeoue a?ae iaoiaeo
iao?iiaen??.

4. Iieacaiiyie aei iia?aoe?? ?: 1) ae?oaee nooi?iue caoai?thaaiiy (ca
eeaneo?eaoe??th I.I.Eiiaoe?ia) c ee?i?/ieie i?iyaaie aai
ooieoe?iiaeueieie ?iceaaeaie; 2) o?ao?e nooi?iue caoai?thaaiiy; 3)
oneeaaeiaiiy iao?iioico oa ae?aaeaiee aieueiaee neiae?ii. Oai?? ia
iao?iioic ia?oiai oa ae?oaiai nooiaith aac ee?i?/ieo i?iya?a ?
ooieoe?iiaeueieo ?iceaae?a neeaaeathoue a?oio ?eceeo ? iiaeii?
ia?aaoaaoe ia aeeniaina?iiio niinoa?aaeaii?.

5. Iao?iiaen?y eaanaiiaeie ieoeaie aei i?aeie ae?ao?aaie — aoaeoeaiee
iaoiae e?eoaaiiy iao?iioico, yeee aeicaiey? iaae?eii o?enoaaoe ie?eo a
aea?aiiio iieiaeaii? ?c caa?aaeaiiyi ?? o?c?ieia?/ii? ?ooeeaino?, ui
ni?ey? ii?iae?caoe?? ?? ooieoe?iiaeueiiai noaio.

6. Cai?iiiiiaaiee iaoiae o?enaoe?? ie?ee aeicaiey? i?ae?eiaoe oai?eo ?c
e?aeea /a?ac aeiao i?ney iia?aoe??, ui ni?ey? iie?ioaiith ooieoe??
o?eniaaii? ie?ee, iiia?aaeaeo? oneeaaeiaiiy c aieo ?ioeo i?aai?a ?
aeicaiey? aeinyaiooe a?eueo aenieeo aeecueeeo ? a?aeaeaeaieo (88,4 %)
?acoeueoao?a e?eoaaiiy.

7. Canoinoaaiiy ?ic?iaeaiiai iaoiaeo iao?iiaen?? cieaeo? oa?i?ie
oei/aniai? iai?aoeacaeaoiino? aei 4-6 oeaei?a i?ney iia?aoe??, aeicaiey?
caa?aaoe eieeoi?e aeae o?oaeiai? ae?yeueiino?, ui cia/ii i?aeaeuo?
??aaiue nioe?aeueii? ?aaa?e?oaoe??. Iiaia o?oaeiaa ?aaa?e?oaoe?y
a?aecia/a?oueny o 91,2 % oai?eo.

I?AEOE*I? ?AEIIAIAeAOe??

1. C iaoith i?aeaeuaiiy iaaee/ii? ? nioe?aeueii? aoaeoeaiino? e?eoaaiiy
oai?eo ia iao?iioic ?aeiiaiaeo?oueny aeei?enoiaoaaoe cai?iiiiiaaiee
iiaee iaoiae iao?iiaen??.

2. Aeey cieaeaiiy i?neyiia?aoe?eieo oneeaaeiaiue iaiao?aeii
ei?enooaaoeny iaoeiai iaa?oioiaaieie ? cai?iiiiiaaieie iieacaiiyie aei
iao?iiaen??.

3. Aeey i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oa yeino? nioe?aeueii? ?
o?oaeiai? ?aaa?e?oaoe?? iaiao?aeii aeio?eioaaoenue iaoeiai
iaa?oioiaaiiai oa?i?io ? iaoiaeo e?eoaaiiy oai?eo a i?neyiia?aoe?eiiio
ia??iae?.

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

1. Ia?oii/oe A.C., Nooiieei N.A. O??o?a?/iee can?a e?eoaaiiy iao?iioico
c o?enaoe??th ie?ee aei nooiaeeeueieo i?aeie ae?ao?aaie // O?ieia?y. –
O.2, N 2. – 1998. – N.34-37.

2. Nooiieei N.A. Uiaei ee?i?/iiai ia?aa?ao oa ?acoeueoao?a o??o?a?/iiai
e?eoaaiiy iaoieia?/ii ?ooeeai? ie?ee // O?ieia?y. – O.2, N 2. – 1998. –
N.38-41.

3. Nooiieei N.A. A?aeaeaeai? ?acoeueoaoe o??o?a?/iiai e?eoaaiiy
iao?iioico // O?ieia?y. – O.2, N 3. – 1998. – N.48-51.

4. Nooiieei N.A. Ioaeaeaiiua ?acoeueoaou iia?aoeaiiai ea/aiey iao?iioica
// Aanoiee i?iaeai aeieiaee e iaaeeoeeiu. – Aui. 26. — 1997. –
N.100-107.

5. Ia?oii/oe A.C., Ne?eiieeia I.N., Nooiieei N.A. Niin?a e?eoaaiiy
iao?iioico // Iaoaio ia aeiao?ae N 18211 A. — Oe?a?ia, IE? 5 A61 A17/00.
— 25.12.97.

6. Aa?oianeay A.I., Oienoaiei E.A., Nooiieei N.A. ?aaaeeeoaoeey
aieueiuo, no?aaeathueo iao?iioicii n iaino?aieai ieaeiiao?eoa // Nai?iee
iao/iuo o?oaeia 3-e iaae?aaeiiaeueiie iao/ii-i?aeoe/aneie eiioa?aioeee
o?ieiaia: “Ino?ue ieaeiiao?eo“. – Oa?ueeia. – 1995 – N.126-130.

7. Nooiieei N.A. Ea/aiea aaci?aiaeueiie aeia?oaicee o aieuei?o
iao?iioicii // Nai?iee iao/iuo o?oaeia 4-e iaaeaeoia?iaeiie
iao/ii-i?aeoe/aneie eiioa?aioeee o?ieiaia: ”Iao?iaaiiay aeia?oaicey“. –
Oa?ueeia. – 1996. – N.62-63.

8. Ia?oii/oe A.C., Nooiieei N.A. E aii?ino iia?aoeaiiai ea/aiey
iao?iioica // Iaoa??aee aeiiia?aeae iaoeiai? eiioa?aioe??: “Aeooaeuei?
ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/aniiio ??ai?”. –
Iieoaaa. – 1996. – N.297-298.

9. Nooiieei N.A. E i?iaeaia ea/aiey iaoieiae/anee iiaeaeaeiie ii/ee //
Iaoa??aee aeiiia?aeae iaoeiai? eiioa?aioe??: “Aeooaeuei? ieoaiiy
oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/aniiio ??ai?”. – Iieoaaa. –
1996. – N.395.

AIIOAOe?ss

Nooiieei N.A. Iiaee iaoiae i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy
iao?iioico. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.06 – o?ieia?y. – ?inoeooo o?ieia?? ?
iao?ieia?? AII Oe?a?ie, 1999.

Aeena?oaoe?y i?enay/aia ieoaiiyi i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy
iao?iioico ia i?aenoaa? /?oeiai aecia/aiiy iieacaiue aei iia?aoeaiiai
ao?o/aiiy oa canoinoaaiiy iiaiai iaoiaeo iao?iiaen??. A ?iaio?
i?iaaaeai? aeine?aeaeaiiy ee?i?/iiai ia?aa?ao iao?iioico oa aiae?c
?acoeueoao?a o??o?a?/iiai e?eoaaiiy oai?eo ca aeiiiiiaith iiaiai iaoiaeo
o?enaoe?? ie?ee. Iieacaii, ui oneeaaeiaiiy caoai?thaaiiy oa aieueiaee
neiae?ii ?icaeaathoueny i?iii?oe?eii nooiaith iiouaiiy ie?ee oa
o?eaaeino? caoai?thaaiiy. Nai?/anii aeeiiaia iao?iiaen?y i?ecaiaeeoue
aei iie?auaiiy ooieoe?iiaeueiiai noaio ie?ee oa caiia?aa? ?icaeoeo
oneeaaeiaiue caoai?thaaiiy. Iaa?oioiaaia iaiao?aei?noue ?aiiueiai
iia?aoeaiiai e?eoaaiiy oa noi?ioeueiaai? iia? iieacaiiy aei iia?aoe??.

?ic?iaeaiee iaoiae o?enaoe?? ie?ee aei nooiaeeeueieo i?aeie ae?ao?aaie
nooo?ai i?aeaeuo? aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oa ??aaiue
nioe?aeueii? ?aaa?e?oaoe?? oai?eo ia iao?iioic. Aeia?? a?aeaeaeai?
?acoeueoaoe io?eiai? o 88,4 % oai?eo. Iiaia o?oaeiaa ?aaa?e?oaoe?y
neeaea 95,2 %.

Eeth/ia? neiaa: iaoieia?/ii ?ooeeaa ie?ea, iao?iiaen?y, o??o?a?/ia
e?eoaaiiy.

Nooiieei N.A. Iiaue iaoiae iiauoaiey yooaeoeaiinoe ea/aiey iao?iioica. –
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.06 – o?ieiaey. – Einoeooo o?ieiaee e iao?ieiaee
AII Oe?aeiu, 1999.

Aeenna?oaoeey iinayuaia aii?inai iiauoaiey iaaeeoeeineie e nioeeaeueiie
yooaeoeaiinoe ea/aiey aieueiuo iao?iioicii ia iniiaa /aoeiai
ii?aaeaeaiey iieacaiee e iia?aoeaiiio aiaoaoaeuenoao e eniieueciaaiey
iiaiai iaoiaea iao?iiaenee.

Eeeie/aneia oa/aiea iao?iioica eco/aii o 249 aieueiuo. AEaiueiu
ninoaaeee 79,5 % aieueiuo, ioae/eiu – 20,5 %. Aieueoay /anoue aieueiuo
iaoiaeeeanue a aic?anoa 21-30 eao – 22,9 % e 31-40 eao – 31,7 %. Aeey
enneaaeiaaiey a aeeiaieea eniieueciaaeenue iauaeeeie/aneea,
eaai?aoi?iua, ?aioaaii?aaeeieiae/aneea iaoiaeu e oeueo?acaoeiaia
neaie?iaaiea. Iieacaii, /oi /anoioa ?acaeoey aieaaiai neiae?iia e
ineiaeiaiee caaieaaaiey, yaeythueony i?e/eiie aicieeiiaaiey a iiouaiiie
ii/ea au?aaeaiiuo e ca/anooth iaia?aoeiuo iaoieiae/aneeo eciaiaiee,
aic?anoaao n oaaee/aieai noaiaie iiouaiey ii/ee, aeeeoaeueiinoe
caaieaaaiey e aic?anoa aieueiuo. Aeeeoaeueiay eiina?aaoeaiay oa?aiey
i?eaiaeeo e oooaeoaieth ooieoeeiiaeueiiai ninoiyiey iiouaiiie ii/ee e
oaaee/eaaao /enei ineiaeiaiee caaieaaaiey. Iieacaii, /oi yooaeoeaiui
ea/aieai, iicaieythuei aeinoe/ue iaeeo/oeo eeeie/aneeo ?acoeueoaoia e
nioeeaeueiie ?aaaeeeoaoeee aieueiuo iao?iioicii yaeyaony naiaa?aiaiiia
iia?aoeaiia aiaoaoaeuenoai.

Ia iniiaa eco/aiey iniaaiiinoae oa/aiey caaieaaaiey, aeeaeaeoeo e
ioaeaeaiiuo ?acoeueoaoia ea/aiey iainiiaaiu e noi?ioee?iaaiu iieacaiey e
iia?aoeee.

?ac?aaioai e aiaae?ai a eeeie/aneoth i?aeoeeo iiaue iaoiae iao?iiaenee,
caeeth/athueeny a oeenaoeee iiaeaeaeiie ii/ee e nooiaeeeueiui iiaeeai
aeeao?aaiu n iiiiuueth eaanaiiauo ieoae, i?iaaaeaiiuo ii caaeiae
iiaa?oiinoe ii/ee iiaeeainoeueii, a i?iaeieueiii iai?aaeaiee.

I?iiia?e?iaaii 188 aieueiuo iao?iioicii, ec ieo ii iaoiaeo
Rivoir-Iuoaey-Eiiaoeeia – 43 aieueiuo, n iiiiuueth eineooa ia iiaeea ec
ii/a/iie oanoeee – 41, ?ac?aaioaiiui iaoiaeii – 92, ae?oaeie iaoiaeaie –
12.

I?iaaaeaiiue n?aaieoaeueiue aiaeec aeeaeaeoeo e ioaeaeaiiuo ?acoeueoaoia
ea/aiey n eniieueciaaieai oeacaiiuo iaoiaeia iao?iiaenee iieacae, /oi
?ac?aaioaiiue iaoiae oeenaoeee ii/ee nouanoaaiii iiauoaao yooaeoeaiinoue
oe?o?ae/aneiai ea/aiey e o?iaaiue nioeeaeueiie ?aaaeeeoaoeee aieueiuo
iao?iioicii. Iaoiae iicaieyao iaaeaaeii oeene?iaaoue ii/eo a aua?aiiii
iieiaeaiee n nio?aiaieai aa oeceieiae/aneie iiaeaeaeiinoe, /oi
niinianoaoao ii?iaeecaoeee aa ooieoeeiiaeueiiai ninoiyiey.

?ac?aaioaiiue iaoiae iao?iiaenee oa?aeoa?ecoaony aiciiaeiinoueth
aeoeaiiai aaaeaiey ?aiiaai iineaiia?aoeeiiiiai ia?eiaea. 95,6 % aieueiuo
niaethaeaee iinoaeueiue ?aaeei a oa/aiea iaeieo nooie iinea iia?aoeee,
/oi ia 11-19 nooie iaiueoa, /ai iinea iao?iiaenee ii iaoiaeo
Rivoir-Iuoaey-Eiiaoeeia e eniieueciaaiey eineooa ia iiaeea ec ii/a/iie
oanoeee. Aeaeaaoaeueiay aeoeaiinoue aieueiuo niinianoaoao oeo/oaieth
ooieoeeiiaeueiiai ninoiyiey iia?e?iaaiiie ii/ee e i?aaiecia a oeaeii,
/oi i?aaeoi?aaeaeaao aicieeiiaaiea ineiaeiaiee ni noi?iiu ae?oaeo
i?aaiia e nenoai. N?aaeiee iineaiia?aoeeiiiue eieei-aeaiue ninoaaee 8,8.

Iieo/aiu aieaa aunieea ioaeaeaiiua ?acoeueoaou ea/aiey. Oi?ioea
?acoeueoaou ioia/aiu o 88,4 % aieueiuo, oaeiaeaoai?eoaeueiua – o 3,3 %.
O 76,5 % aieueiuo n oi?ioeie ?acoeueoaoaie aeeeoaeueiinoue caaieaaaiey
iaoiaeeeanue a i?aaeaeao 3-5 eao.

N?iee a?aiaiiie iao?oaeiniiniaiinoe iinea iia?aoeee o 81,8 % aieueiuo
ninoaaeee 4-6 iaaeaeue, /oi ia 2-4 iaaeaee iaiueoa, /ai i?e
eniieueciaaiee n?aaieaaaiuo iaoiaeia.

Aieueoeinoai iia?e?iaaiiuo aieueiuo a aeaeueiaeoai nio?aieee i?aaeiaa
ianoi ?aaiou e oa?aeoa? o?oaeiaie aeayoaeueiinoe. Iieiay o?oaeiaay
?aaaeeeoaoeey ianooieea o 95,2 % aieueiuo.

Iieo/aiiua ?acoeueoaou enneaaeiaaiey iicaieytho n/eoaoue ?ac?aaioaiiue
iaoiae oeenaoeee ii/ee e nooiaeeeueiui iiaeeai aeeao?aaiu yooaeoeaiui
iaoiaeii auai?a ea/aiey e ?aaaeeeoaoeee aieueiuo iao?iioicii.

Eeth/aaua neiaa: iaoieiae/anee iiaeaeaeiay ii/ea, iao?iiaeney,
oe?o?ae/aneia ea/aiea.

Sukhomlin S.A. A new method for increasing the effectiveness of the
treatment of nephroptosis. – Manuscript.

Thesis for a candidate’s of medical sciences degree in speciality
14.01.06 – urology. – Institute of urology and nephrology of AMS of
Ukraine, Kyiv, 1999.

The thesis is devoted to the problems of increasing the effectiveness of
the treatment of nephroptosis on the basis of an exact determination of
the indices for a surgical intervention and the use of a new method of
nephropexy. This paper deals with the research work that has been
performed on the clinical course of nephroptosis and the analysis of the
results of surgical treatment of the patients with the help of a new
method of fixation of the kidneys. It demonstrates that complications of
the sickness and the pain syndrome develop proportionally to the degree
of nephroptosis and to the duration of the sickness. A nephropexy
performed in time leads to an improvement of the functional state of the
kidney and prevents the development of complications of the sickness.
The necessity for an early surgical treatment is substantiated and new
indices for surgical treatment are formulated.

A new method of fixation of the kidneys by attaching them to the
tendinous cruses of the diaphragm has been worked out. It greatly
increases the effectiveness of surgical treatment and the level of
social rehabilitation of the patients suffering from nephroptosis.

Good distant results have been obtained for 88,4 % of the patients.
Vocational rehabilitation reached a level of 95,2 %.

Key words: pathologically movable kidney, surgical treatment,
nephropexy.

Noaia o?enaoe?? ie?ee eaanaiiaeie ieoeaie aei ae?ao?aaie

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?I???Yp????Yp????(???p??Y????????°p??1 – ie?ea; 2 – eaanaiia?
ieoee; 3 – nooiaeeeueia /anoeia ae?ao?aaie

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