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OA?E?ANUeEEE AeA?AEAAIEE IAAeE/iee oi?aa?neoao

AEai Aa?oai ?eeiea

OAeE 618-14+618.15]-007-44-089=615-8

Iia?aoeaia e?eoaaiiy oa iiaoaiia ?aaa?e?oaoe?y ae?iie ae?oi?iaeiiai a?eo
c iiouaiiyi oa aeiaae?iiyi aioo??oi?o aai?oae?e

14.01.01 – aeooa?noai oa a?iaeieia?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a –1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?,
IIC Oe?a?ie.

Iaoeiaee ea??aiee – aeieoi? iaaee/ieo iaoe, i?ioani? Aiaaeaoe?i Ieeiea
A?eai?iae/, i?ioani? eaoaae?e aeooa?noaa oa a?iaeieia?? ?2 Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo

Io?oe?ei? iiiiaioe: – aeieoi? iaaee/ieo iaoe, i?ioani? Nicainueeee
Ieaenaiae? Ie?ineaaiae/, caa?aeoaa/ eaoaae?e caa?aeoaa/ eaoaae?e
aeooa?noaa oa a?iaeieia?? oaeoeueoaoo i?neyaeeieiiii? ina?oe
Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo

– aeieoi? iaaee/ieo iaoe, i?ioani? Ua?a?ia Ieeiea Ieaenaiae?iae/,
i?ioani? eaoaae?e aeooa?noaa oa a?iaeieia?? ?1 Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo

I?ia?aeia onoaiiaa – Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. aeaae.
I.I.Aiaiiieueoey, eaoaae?a aeooa?noaa oa a?iaeieia?? ?3, i. Ee?a.

Caoeno a?aeaoaeaoueny ” 9 ” a?oaeiy 1999 ?.  i 1200  aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? ?aaee Ae 64.600.01 i?e Oa?e?anueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? (310022, i. Oa?e?a, i?. Eai?ia, 4).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (310022, i. Oa?e?a, i?. Eai?ia,
4).

Aaoi?aoa?ao ?ic?neaiee ” 25 ” aeiaoiy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio I.I.Oaiueei

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie aeine?aeaeaiiy.

Na?aae ??ciiiai?oieo a?iaeieia?/ieo caoai?thaaiue iiouaiiy ? aeiaae?iiy
aioo??oi?o noaoaaeo i?aai?a caeiathoue iaeia c i?ia?aeieo i?noeue. Oey
iaoieia?y cono??/a?oueny o 5-30% ae?iie acaaae? e o 1,7-25% ae?iie
?ai?iaeoeoeaiiai a?eo [A.E.Eoeaeia, 1990, A.E.Aiaeyaeeia, 1990,
A.E.E?aniiiieuenueeee ? ni?aaao., 1993,1997] ? iia’ycaia c /anoeie
?iaeaie, iaaeinoaoiueith aeiiiiiaith a ?iaeao, o?aaiaoeciii i’yaeeo
?iaeiaeo oeyo?a, iniaeeainoyie o?ce/ii? i?aoe? [Aoyiiaa N.I. ? ni?aaao.,
1998. Diana M. Adams et al., 1989]. Inoaii?i /anii niinoa??aa?oueny
ca?eueoaiiy /anoioe iiouaiiy oa aeiaae?iiy aioo??oi?o aai?oae?e na?aae
ae?iie ?ai?iaeoeoeaiiai a?eo o ca’yceo c ?inoii e?eueeino? aaeeeeo
ieiae?a ? iaoieia?/ieo ?iae?a, a oaeiae i?ney iaeeaaeaiiy aeooa?nueeeo
ueioe?a oa ?ioeo aeooa?nueeeo iia?aoe?e [A.E.E?aniiiieuenueeee ?
ni?aaao., 1997, N.I.Aoyiiaa ? ni?aaao., 1998]. I?ieain iaoee ? no?iie
i?oae, ia??aeei, ? i?e/eiith oei/aniai? ? no?eei? ao?aoe
i?aoeacaeaoiino?, naenoaeueieo ?iceaae?a ? ii?ooaiue ae?oi?iaeii?
ooieoe??, a oaeiae noathoue i?e/eiith ineo?/ieo no?aaeaeaiue. Iiouaiiy
oa aeiaae?iiy aai?oae?e ni?eythoue ii?ooaiith e?iaiia?ao a iaeiio oac?,
i?ecaiaeyoue aei, oae caaiiai, aaiiciiai canoith, aiane?aeie /iai
ci?ith?oueny nae?aoi?ia ooieoe?y, ?eoi iaino?oaeueiiai oeeeeo a noi?iio
iiaeiaaeaiiy iaino?oaoe?e ? c?inoaiiy e?eueeino? e?ia?, ui ao?a/a?oueny
(aeia?iie?iaii?ay), cieaeo?oueny caeaoi?noue aei ia?iaeaeaiiy ae?oae
[A.E.E?aniiiieuenueeee ? ni?aaao., 1993; J.P.Theofrastous et al., 1996],
ci?iththoueny cai?oaeuei? aeanoeaino? e?ia? c oaiaeaioe??th aei
o?iiaiooai?aiiy, ii?ooothoueny ooieoe?? ie?ie oa na/iaea?aeieo oeyo?a
[A.A.Eai, 1986; O.E.Neaaaoaae/, 1986; J.S.Spence et al., 1994; R.Rourier
at al., 1998].

Iaea?eueo /anoei oneeaaeiaiiyi iiouaiiy oa aeiaae?iiy no?iie i?oae oa
iaoee ? iao?eiaiiy na/? i?e iai?oaeaii?: ?o /anoioa aeinyaa? 17-80%
[O.E.Neaaaoaae/, 1986; B.Blanc, 1985; H.Kolble, P.Riss, 1988;
R.J.Scotti, 1994; A.F.Hall et al., 1996]. Oiiia?aoi-aiaoii?/i?
aca?iia?aeiioaiiy noaoaaeo i?aai?a ci?iththoueny ? aeeeeeathoue
ii?ooaiiy naenoaeueii? ooieoe?? o ae?iie ?ai?iaeoeoeaiiai a?eo
[A.N.Aaneeue/aiei, 1990; A.E.E?aniiiieuenueeee ? ni?aaao., 1993].
Iniiaiei iaoiaeii e?eoaaiiy aeaii? iaoieia?? ? iia?aoeaia ao?o/aiiy.
Iaeiae /anoioa ?aoeeaeea?a aeinyaa? 65-75% [N.I.Aoyiiaa ? ni?aaao.,
1998; Diana M. Adams et al., 1989].

O?aaa a?aecia/eoe, ui ?ioiiee noaoon oai?eo, ieoaiiy e?eoaaiiy ?
?aaa?e?oaoe?? ae?iie ?ai?iaeoeoeaiiai a?eo aei- ? i?ney ieanoe/ieo
iia?aoe?e ia ieaeiueiio a?aeae?e? aai?oae?e iaaeinoaoiuei aea/ai?. E??i
oiai, ia aecia/ai? iieacieee e?iaiiaiiaiaiiy i’yc?a i?iiaaeeie
(?aiaacia?ao?y) i?e iiouaii? ? aeiaae?ii? no?iie i?oae ? iaoee.

A?aoiaoth/e aeacai? aeua aeai?, aeieea? iaiao?aei?noue oaeineiiaeaiiy
iaoiae?a iia?aoeaiiai e?eoaaiiy, i?io?eaeoeee ?aoeeaeea?a, a oaeiae
aoaeoeaieo iaiaaeeeaiaioicieo iiaoaiieo ?aaa?e?oaoe?eieo caoiae?a, ye?
aeicaieyoue i?enei?eoe iaeoaeaiiy oai?eo ae?iie ?ai?iaeoeoeaiiai a?eo,
iia?iaaieo c i?eaiaeo iiouaiiy ? aeiaae?iiy aioo??oi?o noaoaaeo i?aai?a.

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

Aeena?oaoe?eia ?iaioa aeeiiaia ia eaoaae?? aeooa?noaa ? a?iaeieia?? ?2
Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (caa.eaoaae?ith
caneoaeaiee ae?y/ iaoee oa oaoi?ee Oe?a?ie, i?io. I.A.Aiaaeaoe?i), ia
aac? a?iaeieia?/iiai a?aeae?eaiiy Oa?e?anueei? iaeanii? ee?i?/ii?
e?ea?i? a?aeiia?aeii aei ieaio eiiieaenii? IAe? OAeIO, eaoaae?e
aeooa?noaa ? a?iaeieia?? ?2 (? Ae? 1980002622).

Iaoa ? caaea/? aeine?aeaeaiiy.

Iaoa ?iaioe: oaeineiiaeaiiy iaoiae?a iia?aoeaieo ao?o/aiue,
i?io?eaeoe/ieo ? iaiaaeeeaiaioicieo iiaoaiieo ?aaa?e?oaoe?eieo caoiae?a,
ni?yiiaaieo ia a?aeiiaeaiiy ooieoe?iiaeueieo ii?ooaiue i’yc?a oaciaiai
aeia, a oaeiae ?ai?iaeoeoeaieo ? naenoaeueieo ii?ooaiue o ae?iie
ae?oi?iaeiiai a?eo i?ney ieanoe/ieo iia?aoe?e c i?eaiaeo iiouaiiy ?
aeiaae?iiy aioo??oi?o noaoaaeo i?aai?a.

Aeey aeinyaiaiiy iinoaaeaii? iaoe aoee aenoioo? oae? caaaeaiiy:

1. Aea/eoe ao?ieia?th iiouaiiy ? aeiaae?iiy aioo??oi?o noaoaaeo
i?aai?a o ae?iie ?ai?iaeoeoeaiiai a?eo.

2. Aeine?aeeoe ?ioiiee noaoon niinoa?aaeaieo a?oi ae?iie, o?aoiaoth/e
o?eaae?noue caoai?thaaiiy.

3. I?iaanoe ?aiaacia?ao?/i? aeine?aeaeaiiy c iaoith aea/aiiy e?iaiia?ao
i’yc?a oaciaiai aeia ? aoaeoeaiino? cai?iiiiiaaiiai e?eoaaiiy.

4. Oaeineiiaeaiiy iia?aoeaieo iaoiae?a e?eoaaiiy ae?iie
?ai?iaeoeoeaiiai a?eo c iiouaiiyi oa aeiaae?iiyi no?iie i?oae ? iaoee.

5. ?ic?iaeoe eiiieaenio iiaoaiio ?aaa?e?oaoe?th ae?iie aei- ? i?ney
iia?aoe?? c i?eaiaeo iiouaiiy ? aeiaae?iiy no?iie i?oae ? iaoee c
o?aooaaiiyi iaiaaeeeaiaioicieo caoiae?a e?eoaaiiy.

6. Aea/eoe iaeaeeae/? ? a?aeaeaeai? ?acoeueoaoe o??o?a?/iiai e?eoaaiiy
? ?aaa?e?oaoe?eieo caoiae?a o ae?iie, iia?iaaieo c i?eaiaeo iiouaiiy ?
aeiaae?iiy no?iie i?oae ? iaoee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Ia i?aenoaa? io?eiaieo ?acoeueoao?a aeine?aeaeaiue:

1. ?ic?iaeaii oaeoeeo e?eoaaiiy ? iiaoaiii? ?aaa?e?oaoe?? ae?iie
?ai?iaeoeoeaiiai a?eo c iiouaiiyi ? aeiaae?iiyi no?iie i?oae ? iaoee o
aei- ? i?neyiia?aoe?eiiio ia??iae?, yea ni?yiiaaia ia a?aeiiaeaiiy
ooieoe?iiaeueieo ii?ooaiue i’yc?a oaciaiai aeia c canoinoaaiiyi
iaiaaeeeaiaioicieo iaoiae?a e?eoaaiiy (aiaeii?oaiaee a?a?iianaae,
eieaeueia aaaeii?iaeueia aeaeiii?an?y, ia?ai?iia iaai?oi-,
eaca?ioa?ai?y, a?iioa?i?y, e?eoaaeueia a?iianoeea), aecia/aii
iioeiaeueiee ?aaeei e?eoaaiiy oai?eo c a?aooaaiiyi iieacaiue ?
i?ioeiieacaiue eiai canoinoaaiiy.

2. C’yniaaii aoaeoeai?noue e?eoaaiiy ca aeiiiiiaith ?aiaacia?ao?/iiai
aeine?aeaeaiiy e?iaiia?ao i’yc?a i?iiaaeeie aei- ? i?ney iia?aoe??.

3. Oaeineiiaeaii iia?aoeai? iaoiaee e?eoaaiiy ae?iie ?ai?iaeoeoeaiiai
a?eo c iiouaiiyi ? aeiaae?iiyi aioo??oi?o noaoaaeo i?aai?a c iae?eii
aiae?co iiia?aaei?o iia?aoe?e, a?eo oai?eo ? nooiaiy iiouaiiy ?
aeiaae?iiy.

4. Aea/ai? ?ioiieo noaoon ae?iie c iiouaiiyi oa a?iaae?iiyi aioo??oi?o
aai?oae?e.

5. Aea/ai? iaeaeeae/? oa a?aeaeaeai? ?acoeueoaoe iia?aoeaiiai e?eoaaiiy
? iiaoaiii? ?aaa?e?oaoe?? oai?eo noiniaii iiouaiiy oa aeiaae?iiy
aioo??oi?o aai?oae?e.

I?aeoe/ia cia/ei?noue iaea?aeaieo ?acoeueoao?a.

Io?eiai? ?acoeueoaoe aeine?aeaeaiue aeathoue iiaeeea?noue ?aeiiaiaeoaaoe
caeeaaeai ioi?iie caei?ia’y Oe?a?ie ? Eiiai-A?acaa?eue oe?iea
ai?iaaaeaeaiiy oaeineiiaeaiiai iaie iaoiaeo iia?aoeaiiai e?eoaaiiy ?
eiiieaenii? iiaoaiii? ?aaa?e?oaoe?? c canoinoaaiiyi iaiaaeeeaiaioicii?
oa?ai?? (e?eoaaeueia a?iianoeea, aiaeii?oaiaee a?a?iianaae, eieaeueia
aaaeii?iaeueia aeaeiii?an?y, iaai?oi- ? eaca?ioa?ai?y, a?iioa?i?y).
I?iiiiiaaiee iaoiae e?eoaaiiy iie?ioo? e?iaiia?a i?aai?a iaeiai oaco,
noeioeth? ooieoe?th y?/iee?a, ia? i?ioecaiaeueio oa ciaaiethth/o ae?th,
ui ni?ey? a?eueo oaeaeeiio a?aeiiaeaiith ii?ooaii? ?ai?iaeoeoeaii?
ooieoe??.

Iiaoaiia ?aaa?e?oaoe?y ae?iie ?ai?iaeoeoeaiiai a?eo aei- ? i?ney
ieanoe/ieo iia?aoe?e cieaeo? aeo?aoe ia e?eoaaiiy, ciaioo? o?eaae?noue
ia?aaoaaiiy ae?iie o noaoe?iia?? a 2 ?ace ? iiaea canoiniaoaaoeny a
aiaoeaoi?ieo oiiaao.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii naiino?eii aecia/aia oaia ?iaioe, iaa?oioiaai? iaoa oa ??
caaaeaiiy, i?iaiae?ciaai? aeaea?aea e?oa?aoo?e ii aeai?e i?iaeai?,
aeei?enoai? ee?i?ei-eaai?aoi?i? aeine?aeaeaiiy, ?ic?iaeai? iaoiaeeee
?aiaacia?ao?? e?iaiia?ao i’yc?a oaciaiai aeia, a?iioa?i??, oaeineiiaeaia
iaoiaeeea ieanoe/ieo iia?aoe?e ? aaio?io?enaoe?? eoeueo? oeeee iaoee /e
e?oaeeo ca’ycie iaoee aei aiiiaa?ico ia?aaeiuei? /a?aaii? no?iee
cai/a?aaeiii i?e iiouaii? ? aeiaae?ii? aioo??oi?o aai?oae?e.
Oaeineiiaeaii iaoiaee ?aaa?e?oaoe?? oai?eo aei- ? i?ney iia?aoe??.
Ocaaaeueiaii io?eiai? ?acoeueoaoe, noi?ioeueiaai? aeniiaee ? aeai?
i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??.

Iniiai? iieiaeaiiy ?iaioe aeiiia?aeaeeny ia i?aeia?iaei?e iaoeia?e
eiioa?aioe?? “No?aoaaey e oaeoeea ai?ueau n eioaeoeeiiiuie
caaieaaaieyie”, 27-29 aeiaoiy 1998 ?. (Oa?e?a, 1998), ia can?aeaii?
Oa?e?anueeiai iaaee/iiai iaoeiaiai oiaa?enoaa aeooa??a-a?iaeieia?a o
1998 ?., XII i?aeia?iaei?e iaoeiai-i?aeoe/i?e eiioa?aioe?? “I?eiaiaiea
eaca?ia a iaaeeoeeia e aeieiaee” 20-23 ea?oiy 1999 ?. (Oa?e?a, 1999),
neiiic?oi? c i?aeia?iaeiith o/anoth “Aanieiaeea: aniiiiaaoaeueiua
?ai?iaeoeoeaiua oaoiieiaee 2000” 27-29 o?aaiy 1999 (Ee?a, 1999).

Ioae?eaoe?? ca oaiith aeena?oaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 5 iaoeiaeo ?ia?o, ye? oe?eeii
a?aeia?aaeathoue ?? ai?no. O aeo?iaeao, ?aeiiaiaeiaaieo AAE Oe?a?ie,
iaae?oeiaaii 4 noaoo?.

Ianya oa no?oeoo?a aeena?oaoe??.

?iaioo aeeeaaeaii ia 154 noi??ieao iaoeiiieno, aiia neeaaea?oueny ?c
anooio, iaeyaeo e?oa?aoo?e (aea? aeaae), 5 ?icae?e?a aeanieo
aeine?aeaeaiue, caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
e?oa?aoo?iiai iieaae/eea, ui ai?uo? 115 a?o/eciyieo ? 93 ?iicaiieo
aeaea?aea. ?iaioo ?ethno?iaaii 24 oaaeeoeyie ? 19 iaethieaie.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy.

O ia??iae 1996-1999 ??. o a?iaeieia?/iiio a?aeae?eaii? iaeanii?
ee?i?/ii? e?ea?i? i. Oa?eiaa ciaoiaeeeiny ia e?eoaaii? 105 ae?iie a?eii
a?ae 20 aei 45 ?ie?a c ??ciei nooiaiai iiouaiiy ? aeiaae?iiy no?iie
i?oae ? iaoee. On? oai?? aoee iia?iaai?. Aeey ae??oaiiy iinoaaeaieo o
?iaio? caaea/ on? 105 ianoaaeaieo iaie ae?iie ?iciiae?eai? ia aea?
ee?i?/i? a?oie. Ia?oo neeaee 85 ae?iie ye?, e??i o?aaeeoe?eiiai io?eiaee
e?eoaaiiy ? ?aaa?e?oaoe?th ca iaoith iaoiaeeeith (iiaoaiia
?aaa?e?oaoe?y aei- ? i?ney iia?aoe??) – iniiaia a?oia. Ae?oaa a?oia
(eiio?ieueia a?oia) – 20 ae?iie, ui io?eiaee o i?neyiia?aoe?eiiio
ia??iae? o?aaeeoe?eio oa?ai?th. Aeiaeaoeiai ianoaaeai? 10 caei?iaeo
ae?iie (aac i?ieyino).

Oaaeeoey 1

A?eiaee neeaae ianoaaeaieo ae?iie.

A?oia A?e oai?eoAnueiaioai?eo20-25

?ie?a26-30

?ie?a31-35

?ie?a36-40

?ie?a41-45

?ie?aa a?oi?Iniiaia3816312785Eiio?ieueia1357420

AE?iie c iiouaiiyi no?iie i?oae aoei 37 (iniiaia a?oia -28, eiio?ieueia
a?oia – 9)), c iiouaiiyi no?iie i?oae oa o?a?ii?iiith iaoee – 42
(iniiaia a?oia – 36, eiio?ieueia – 6), c iiouaiiyi no?iie i?oae ?
aeiiaaoe??th oeeee iaoee – 20 (iniiaia a?oia – 15, eiio?ieueia – 5), c
iiaiei aeiaae?iiyi no?iie i?oae oa iaoee – 3 (iniiaia a?oia), c
iiouaiiyi no?iie i?oae oa ?aeoiaaa?iaeueieie naeuaie – 3 (iniiaia
a?oiia).

I?iaiaeeeenue ee?i?ei-eaai?aoi?i? ? ?ioiieia?/i? aeine?aeaeaiiy –
aecia/aee ?ioiiaeiaoe?ie A, I ? G, oee?eoethth/? ?ioii? eiiieaene
(Oe?E), ee?oeiiee ?ioi?oao; ?aiaacia?ao?y i’yc?a oaciaiai aeia aei
iia?aoe??, a i?neyiia?aoe?eiiio ia??iae?, i?ney e?eoaaiiy ?
?aaa?e?oaoe?eieo caoiae?a, a oaeiae a?noieia?/ia aeine?aeaeaiiy
aeaeaeaieo i?ae /an iia?aoe?? oeaiei. Aeey ioe?iee aoaeoeaiino?
iia?aoeaiiai e?eoaaiiy oa ?aaa?e?oaoe?? ae?iie ie aeei?enoiaoaaee iaoiae
oaieiaa/aiiy oeyoii ianoaaeaiiy ae?iie ia oaieia?ci?? “?oaei-IO”.

C iaoith e?eoaaiiy ? iiaoaiii? ?aaa?e?oaoe?? ae?iie ?ai?iaeoeoeaiiai
a?eo c iiouaiiyi ? aeiaae?iiyi no?iie i?oae oa iaoee a
i?neyiia?aoe?eiiio ia??iae? canoinoaaee: e?eoaaeueio a?iianoeeo (3
eiiieaene ai?aa – aei iia?aoe??, i?ney iia?aoe?? a noaoe?iia?? oa i?ney
aeienee ia aeiio), aiaeiaaa?iaeueiee a?a?iianaae (ianaae no?iie i?oae oa
i?iiaaeeie o?eaae?noth a?ae 10 aei 20 oaee – 8-10 naain?a), eieaeueio
aaaeii?iaeueio aeaeiii?an?th ia iec aeeaioa (aacia?a?aiee ?aaeei c
?ic??aeaeaiiyi 0,15-0,2 ea/ni2 ia i?ioyc? 10-30 oaeeei eo?nii a 12-15
aei?a), iaai?oi- ? eaca?ioa?ai?th (ii?ii?iaiiy ii 5 oaeeei ia i?ioyc?
5-8 aei?a), a?iioa?i?th (oaiia?aoo?a +10iN ia i?ioyc? 10-20 oaeeei –
8-10 naain?a).

Ee?i?ei-eaai?aoi?i? aeai?, io?eiai? i?e ianoaaeaii? ae?iie, i?aeeyaaee
noaoenoe/i?e ia?iaoe? c ia/eneaiiyi na?aaei?o aaee/ei ? iiieeie (I±m),
iieacieea a??ia?aeiino? ??cieoeue (?). ??cieoe? aeciaaaeeny a??ia?aeieie
i?e ?? ??e???-???????? ???????yyy????????????HI (iniiaia) a?oia II (eiio?ieueia) a?oia wmetafile8? ??W??????????? ???????yyy???????????? ????? ????'yy??? ????'yy?????????? ????yyy???? ???????'yy??? ????yyy???? ????????????????'yy??? ????yyy???? ????????????????'yy??? ????yyy???? ????????????ue???????????-?? ???u?????????"????-???? ???????????????$?3?.?E?!?…?!?s?.?3?.????ue??yyy??????-? ??? yyy???????????$?3?.?3??E??E?!?3?.????$?E?!?E??…??…?!?E?!? ???u??????????"????-?????????.?3????yyy????????!?E? ???!?…?????3?????E?????…????ue?????? ???-???? ??????????????????$?…?!?s?.?3?.?E?!?…?!? ???u?????????"????-?????????$?3?.?3??E??E?!?3?.????$?E?! ?E??…??…?!?E?!? ???u?????????"????-?????????-?????????? ??????????????$?`?.?`??q??q?!?`?.????-???? yyy????yyy????$?G?.?G??`??`?.?G?.????ue???????????-????ue ??????? ???-???? ??????????????$?`??q??X??G??`?????-?????? ???u??????????"????-?????? ???u??????????"????-????.?3????yyy?????????3????.?3 ????.?0?????3?????0????uoy??????Cia/ia iie?ioaiiy Iie?ioaiiy Aac ia?ai?i Iae.3. ?acoeueoaoe e?eoaaiiy ? ?aaa?e?oaoe?? ae?iie ae?oi?iaeiiai a?eo i?ney iia?aoe?? c i?eaiaeo iiouaiiy ? aeiaae?iiy aioo??oi?o noaoaaeo i?aai?a. *a?ac 2 i?nyoe? i?ney iia?aoe?? o oai?eo ia?oi? (iniiaii? a?oie) o 87,6% ia oa?iia?aiao o ae?eyioe? i?neyiia?aoe?eiiai ?oaoey ? a?ey?oaoe?ai? ae?eyiee a?aei?/ai? iaaaeee? /anoee i?aeaeuaiiai na?/aiiy iai?aaeeueii? oi?ie c /?oeith iaaeith. O cii? ?o i?iaeoe?? aeyaeaia iacia/ia aieth/?noue. O 77,4% ae?iie eiio?ieueii? a?oie, ui ia io?eiaee o i?neyiia?aoe?eiiio ia??iae? ?aaa?e?oaoe?eio oa?ai?th, ciaeaeaia aaeeea e?euee?noue cii i?aeaeuaiiai na?/aiiy ??cii? oi?ie oa no?oeoo?e, a?eue o aeaieo iaeanoyo, ui na?ae/eoue i?i ii?ooaiiy noaeeiiiai oiiono, iae?io?io?ee ? i?aeaeuaiiy oaiia?aoo?e, o ca’yceo c /ei aoei iio??aia aeiaeaoeiaa e?eoaaiiy. Aiae?c oa?iia?ai na?ae/eoue i?i aoaeoeai?noue ?ic?iaeaii? iaie iiaoaiii? iaiaaeeeaiaioicii? oa?ai??. Ca aeaieie eaoaiiaca ca 3 ?iee o iia?iaaieo iaie oai?eo ?aoeeaeea?a aeiaae?iiy aioo??oi?o aai?oae?e ia niinoa??aaeiny. Aeniiaee 1. Iiouaiiy ? aeiaae?iiy no?iie i?oae ? iaoee ni?aaeythoue oe?aeeeaee aieea ia ae?oi?iaeio ooieoe?th ae?iie, ?o ineoiaiioe?eiee noai, i?ecaiaeyoue aei naenoaeueieo ?iceaae?a. 2. I?oaia? ? eiia?iiaai? (aeaioaoaii?) ieanoe/i? iia?aoe?? a iaoeo iiaeeo?eaoe?yo aeicaieythoue i?aeaeueoe aoaeoeai?noue iia?aoeaiiai e?eoaaiiy ae?iie ae?oi?iaeiiai a?eo c iiouaiiyi ? aeiaae?iiyi aioo??oi?o aai?oae?e aei 92,3%. 3. Cai/a?aaeiia o?enaoe?y eoeueo? oeeee iaoee aei aiiiaa?ico ia?aaeiuei? /a?aaii? no?iee (ca aeiiiiiaith aeaio eai?iiiaeo e?aaoo?), e?ea?aeo? ?ecee i?ney iia?aoe?eieo oneeaaeiaiue c aieo eeoa/ieeo, o aeae? eiai cauaieaiiy ? caai?ioo, ? ? aoaeoeaiith o ieai? iiia?aaeaeaiiy ?aoeeaeea?a caoai?thaaiiy. 4. O i?neyiia?aoe?eiiio ia??iae? aiaeii?oaiaee a?a?iianaae o eiiieaen? c eieaeueiith aeaeiii?an??th, iaai?oioa?ai??th, eieaeueiith aeiioa?i??th, eaca?ioa?ai??th ? e?eoaaeueieie o?ce/ieie ai?aaaie ia? i?ioecaiaeueio oa ciaaiethth/o ae?th, i?aeaeuo? e?iaiia?a i?aai?a iaeiai oaco, iaiaaeo? aeieeiaiiy ?oaoeueiai-nia?/eiaeo ci?i, ni?aaey? ae?aaeaiee ii?iae?coth/ee aieea ia ineoiaiioe?eio, naenoaeueio, a i?e iayaiino? iaoee – iaino?oaeueio ? ae?oi?iaeio ooieoe?th ae?ii/iai i?aai?cio. 5. Canoinoaaiiy eiiieaeno ?aaa?e?oaoe?eieo iaiaaeeeaiaioicieo caoiae?a aei- ? i?ney iia?aoe?? o ae?iie c iiouaiiyi ? aeiaae?iiyi aioo??oi?o noaoaaeo i?aai?a nei?i/o? oa?i?i ia?aaoaaiiy iaoe??ioie o noaoe?iia?? a ii??aiyii? c caaaeueiii?eeiyoei aaaeaiiyi i?neyiia?aoe?eiiai ia??iaeo o aeaa-o?e ?ace ca ?aooiie a?eueo oaeaeei? ?aaaia?aoe?? oeaiei ? cieaeaiiy i?neyiia?aoe?eieo oneeaaeiaiue, i?aeaeuo? ?ioii?acenoaioi?noue i?aai?cio ca ?aooiie i?aeaeuaiiy ai?noo ?ioiiaeiaoe?i?a eean?a A,I oa G, a oaeiae cieaeaiiy ai?noo oee?eoethth/eo ?ioiieo eiiieaen?a, ii?iae?co? e?iaiia?a a iaeiio oac? oa i?iiaaeei?. 6. I?aaeeueiee aea?? iia?aoeaiiai e?eoaaiiy , a aeae? canoinoaaiiy eiiieaeno iaiaaeeeaiaioicieo iaoiae?a ?aaa?e?oaoe?? ni?ey? iiia?aaeaeaiith ?aoeeaeea?a iiouaiiy ? aeiaae?iiy aioo??oi?o aai?oae?e. I?aeoe/i? ?aeiiaiaeaoe?? 1. O ae?iie ae?oi?iaeiiai a?eo c aeiaae?iiyi aioo??oi?o aai?oae?e eiia?iiaai? (aeaioaoaii?) iia?aoe?? ? iaea?eueo aoaeoeaieie. 2. Canoinoaaiiy o?ce/ieo ai?aa ia?aae iia?aoe??th ni?ey? ci?oeiaiith neaeaoieo i’yc?a, ?icaeoeo ae?ao?aaiaeueiiai iiaeeoo ? o?aioaaiith na?oeaai-noaeeiii? nenoaie, a oaeiae ci?oeiaiith i’yc?a /a?aaiiai i?ano, oaciaiai aeia ? i?iiaaeeie. E?eoaaeueia a?iianoeea neeaaea?oueny c o?ueio aoai?a ai?aa: aei iia?aoe??, i?ney iia?aoe??: a) o noaoe?iia??, a) aiaoeaoi?ii-aaeiia. 3. Ii cae?i/aii? aeaio i?nyoe?a i?neyiia?aoe?eiiai ia??iaeo aeioe?eueii canoinoaaiiy eiiieaeniiai iaoiaeo ?aaa?e?oaoe?? c aeeth/aiiyi iaiaaeeeaiaioicieo iaoiae?a: aiaeii?oaiaee a?a?iianaae, eieaeueia aeaeiii?an?y ia ia?aaeith /a?aaio no?ieo, iaai?oi- ? eaca?ioa?ai?y ia iaeanoue i?neyiia?aoe?eiiai ?oaoeth, aiaeii?oaiaee a?a?iianaae no?iie i?oae oa i?iiaaeeie, a?iioa?i?y. 4. I?e i?iya? caeeoeiaeo yaeu caiaeaiiy, ii?ooaiiyo ?ai?iaeoeoeaii? ooieoe??, a oaeiae no?eeeo naenoaeueieo ?iceaae?a, eo?n iaiaaeeeaiaioicii? oa?ai?? ?aeiiaiaeiaaii iiaoi?eoe /a?ac aeaa i?nyoe?. 5. AE?ieai i?ney iia?aoe?? c i?eaiaeo iiouaiiy ? aeiaae?iiy aioo??oi?o noaoaaeo i?aai?a ?aeiiaiaeiaaii iaiaaeaiiy o?ce/iiai iaaaioaaeaiiy (ia a?eueoa 5-10 ea) i?ioyaii 4-5 i?nyoe?a i?neyiia?aoe?eiiai ia??iaeo. 6. Aeey eiio?ieth aoaeoeaiino? ?aaa?e?oaoe?eieo iaiaaeeeaiaioicieo cania?a o ae?iie i?ney iia?aoe?? iiaea aooe canoiniaaiee iaoiae oaieiaa/aiiy ? ?aiaacia?ao??. 7. O ae?iie ae?oi?iaeiiai a?eo c iiouaiiyi ? aeiaae?iiyi no?iie i?oae ? iaoee c iaoith a?aeiiaeaiiy ?ai?iaeoeoeaii? ooieoe?? aei- ? i?ney iia?aoe?? iaiao?aeii aecia/aoe iieacieee ?ioii?acenoaioiino? i?aai?cio – ?ioiiaeiaoe?ie, oee?eoethth/? ?ioii? eiiieaene ? iieacieee ee?oeiiiai ?ioi?oaoo. 8. Aeey ?ioiinoeioeyoe?? i?aai?cio ?aeiiaiaeiaaii i?iaanoe ?aaa?e?oaoe?ei? iaiaaeeeaiaioici? caoiaee (e?eoaaeueia a?iianoeea, aiaeii?oaiaee a?a?iianaae, iaai?oi- ? eaca?ioa?ai?y, eieaeueia a?iioa?i?y, aeaeiii?an?y). Nienie iioae?eiaaieo i?aoeue ca oaiith aeena?oaoe?? 1. ?eeiea AEai Aa?oai. /Ea/aiea e ?aaaeeeoaoeey aeaiuei aeaoi?iaeiiai aic?anoa iinea ieanoe/aneeo iia?aoeee aaieoaeee // A?a/aaiay i?aeoeea.– 1998.–?5.–N.16-17. 2. ?eeiea AEai Aa?oai. Iaiaaeeeaiaioiciua iaoiaeu ea/aiey a ?aaaeeeoaoeee aieueiuo iinea ieanoe/aneeo iia?aoeee aaieoaeee // A?niee i?iaeai a?ieia?? ? iaaeeoeeie.–1999.–?4.–N.17-22. 3. ?eeiea AEai Aa?oai. ?aiaacia?aoey iuooe oaciaiai aeia o aeaiuei n iiouaieai, auiaaeaieai iaoee e noaiie aeaaaeeua, iieo/aaoeo a iineaiia?aoeeiiiii ia?eiaea ?aaaeeeoaoeeiiiia iaiaaeeeaiaioiciia ea/aiea// A?niee i?iaeai a?ieia?? ? iaaeeoeeie.–1999.–?8.–N.19-23. 4. ?eeiea AEai Aa?oai, Oiioai Aa?a. Ninoiyiea eiioii?acenoaioiinoe i?aaiecia aeaiuei aei e iinea iia?aoeee ii iiaiaeo iiouaiey e auiaaeaiey aioo?aiieo iieiauo i?aaiia, iieo/aaoeo ?aaaeeeoaoeeiiioth iaiaaeeeaiaioicioth oa?aieth// Aenia?eiaioaeueia ? ee?i?/ia iaaeeoeeia.– 1999.–?2.–N.180-183. 5. Aiaaeaoe?i I.A., Iaeaia?/oe I.A., A?aa?ia A.A., ?eeiea AEai Aa?oai. Eaca?iay e eieaeueiay aeaaaeeuiay aeiioa?iey a eiiieaena ea/aiey aieueiuo n ainiaeaieai aioo?aiieo aaieoaeee// Oac.aeiee. XII iaaeae.iao/ii-i?aeoe/. eiio. “I?eiaiaiea eaca?ia a iaaeeoeeia e aeieiaee” 20-23 ai?aey 1999.Oa?e?a, 1999. – N.57-58. Aiioaoe?y ?eeiea AEai Aa?oai. Iia?aoeaia e?eoaaiiy oa iiaoaiia ?aaa?e?oaoe?y ae?iie ae?oi?iaeiiai a?eo c iiouaiiyi oa aeiaae?iiyi aioo??oi?o aai?oae?e.– ?oeiien. Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.01. - Aeooa?noai oa a?iaeieia?y. Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao. Oa?e?a, 1999. Aeena?oaoe?y ai?uo? ?acoeueoaoe ee?i?ei-eaai?aoi?ii-?ino?oiaioaeueiiai oa iia?aoeaiiai e?eoaaiiy oa iiaoaiii? ?aaa?e?oaoe?? i?e iiouaiiyo oa aeiaae?iiyo aioo??oi?o aai?oae?e o ae?iie ae?oi?iaeiiai a?eo. Ianoaaeaii 105 ae?iie ae?oi?iaeiiai a?eo c iiouaiiyi oa aeiaae?iiyi aioo??oi?o aai?oae?e, c ieo 85 iniiaii? a?oie ? 20 eiio?ieueii?, i?iaaaeaii ?aiaacia?ao?th i’yc?a oaciaiai aeia, aea/aii noai ?ioii?acenoaioiino? i?aai?cio. Iia?iaaii – 105 ae?iie ?ai?iaeoeoeaiiai a?eo c iiouaiiyi oa aeiaae?iiyi aai?oae?e – ieanoeea no?iie i?oae (cae??ieaiiy oanoe?e n?/iaiai i?oo?a o?ueiia eai?iiiaeie e?aaoo?aie, o?enaoe?y e?oaeeo ca’ycie aai eoeueo? oeeee iaoee aei aiiiaa?ico ia?aaeiuei? /a?aaii? no?iee). I?iaiaeeeinue iaiaaeeeaiaioicia oa ?aaa?e?oaoe?eia e?eoaaiiy iniiaii? a?oie. Ca iaoeie aeaieie i?ney e?eoaaiiy niinoa??aaeinue iie?ioaiiy aaiiae?iai?ee i’yc?a oaciaiai aeia ? i?iiaaeeie, ?ioiieia?/ieo iieaciee?a. A?aeiiaeaiiy i?aoeacaeaoiino? oa ii?ooaiiy ooieoe?? ca 2,5-5 i?nyoe?a o iniiaii? a?oie, ? a?eueo i?ae /a?ac 6 i?nyoe?a – a eiio?ieuei?e a?oi?. Aoaeoeai?noue e?eoaaiiy – 92,3%. Ia i?ioyc? 3 ?ie?a ?aoeeaeeae ia niinoa??aaeenue. Eeth/ia? neiaa: iiouaiiy oa aeiaae?iiy aai?oae?e, iia?aoe?y – ieanoeea no?iie i?oae, e?oae? ca’ycee iaoee, eoeueoy oeeee iaoee, aiiiaa?ic ia?aaeiuei? /a?aaii? no?iee, ?aiaacia?ao?y, ?ioii?acenoaioi?noue, ?aaa?e?oaoe?y. AiIioaoeey Eeeiea AEai Aa?oai. Iia?aoeaiia ea/aiea e iiyoaiiay ?aaaeeeoaoeey aeaiuei aeaoi?iaeiiai aic?anoa n iiouaieai e auiaaeaieai aioo?aiieo aaieoaeee.– ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01. - Aeooa?noai e aeiaeieiaey. Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao. Oa?ueeia, 1999. Aeenna?oaoeey niaea?aeeo ?acoeueoaou eeeieei-eaai?aoi?ii-eino?oiaioa?iiai, iia?aoeaiiai ea/aiey e iiyoaiiie ?aaaeeeoaoeee i?e iiouaieyo e auiaaeaieyo aioo?aiieo aaieoaeee o aeaiuei aeaoi?iaeiiai aic?anoa. Eeeie/anee ianeaaeiaaii 105 aeaiuei aeaoi?iaeiiai aic?anoa. Ec ieo 85 ninoaaeyee iniiaioth a?oiio e iinea iia?aoeee ii iaoae iiaeeoeeaoeee iieo/aee iaiaaeeeaiaioiciua e ?aaaeeeoaoeeiiiua ia?ii?eyiey. 20 aeaiuei (eiio?ieueiay a?oiia) iieo/aee o?aaeeoeeiiioth oa?aieth. Ia?yaeo n iauaeeeie/aneeie ianeaaeiaaieyie o iaaethaeaaiuo a?oii aeaiuei i?iaiaeeeinue eco/aiea eiioiieiae/aneeo (eeaoi/iua e aoii?aeueiua IgA, IgM, IgG), aaiiaeeiaie/aneeo (?aiaacia?aoey iuooe oaciaiai aeia e i?iiaaeiinoe) iieacaoaeae. A i?ioeanna ianeaaeiaaiey auyaeaii, /oi o aeaiuei n iiouaieyie e auiaaeaieyie aioo?aiieo aaieoaeee eiatho ianoi nieaeaiea eiioii?acenoaioiinoe i?aaiecia, ia?ooaiea aaiiaeeiaieee a iaeanoe oaciaiai aeia e i?iiaaeiinoe – e?iaiiaiieiaiea, aaiiciue canoie, ia?ooaiea ooieoeee ye/ieeia. Aeaiiua eeoa?aoo?u i aunieie /anoioa ?aoeeaeeaia (aei 70%) iiouaiey e auiaaeaiey noaiie aeaaaeeua e eoeueoy oaeee iaoee iinea iia?aoeee, a oaeaea ?acoeueoaou i?iaaaeaiiuo iaie enneaaeiaaiee yaeeenue iainiiaaieai aeey ?ac?aaioee e oniaa?oainoaiaaiey iaoiaeeee iia?aoeee e iaiaaeeeaiaioiciie ?aaaeeeoaoeee aeaiuei aeaoi?iaeiiai aic?anoa n iiouaieai e auiaaeaieai aioo?aiieo aaieoaeee. I?iaaaeaiiua iaie ieanoe/aneea iia?aoeee ia ia?aaeiae e caaeiae noaieao aeaaaeeua n oe?aieaieai oanoeee ii/aaiai iocu?y o?aiy eai?iiiauie eeaaoo?aie, iaaeaeaaaeeuioth aiiooaoeeth iaoee n oeenaoeeae eoeueoe oaeee iaoee e aiiiaa?ico ia?aaeiae a?thoiie noaiee (iiaea?thoeiii) eee e?oaeuo naycie iaoee iiaea?thoeiii iu ni/aoaee n iineaaeothuae ea/aaiie oeceoeueoo?ie (o?e eiiieaena oi?aaeiaiee), iaaieoi-eaca?iie oa?aieae, eieaeueiie aeiioa?ieae, aaaeiieiaeueiie aeaeiii?anneae e yiaeiaaaeiaeueiui aea?iiannaaeai. I?eiaiaiea iaiaaeeeaiaioiciuo e ?aaaeeeoaoeeiiiuo ia?ii?eyoee ii ?ac?aaioaiiie iaie iaoiaeeea niinianoaiaaei i?eaeeaeaieth iieacaoaeae eeaoi/iiai e aoii?aeueiiai eiioieoaoa, aaiiaeeiaieee iuooe oaciaiai aeia e i?iiaaeiinoe o aeaiuei aeaoi?iaeiiai aic?anoa (iniiaiay a?oiia) iinea iia?aoeee ii iiaiaeo iiouaiey e auiaaeaiey aioo?aiieo aaieoaeee e oaeiaui o caei?iauo aeaiuei. A oi aea a?aiy o aeaiuei eiio?ieueiie a?oiiu ioia/aiu oieueei oaiaeaioeee e ii?iaeecaoeee yoeo iieacaoaeae. I?eiaiaiea ?ac?aaioaiiuo e oniaa?oainoaiaaiiuo iia?aoeee ii iaoae iiaeeoeeaoeee, a oaeaea eiiieaena iaiaaeeeaiaioiciuo e ?aaaeeeoaoeeiiiuo ia?ii?eyoee iicaieeei i?aaeoi?aaeeoue ?aoeeaeeau iaoieiaee a oa/aiea 3-4 eao. Eeth/aaua neiaa: iiouaiey e auiaaeaiea aioo?aiieo aaieoaeee, ieanoeea noaiie aeaaaeeua, e?oaeua naycee iaoee, eoeueoy oaeee iaoee, aiiiaa?ic ia?aaeiae a?thoiie noaiee, ?aiaacia?aoey, eiioii?acenoaioiinoue, ?aaaeeeoaoeey. SUMMARY Illoye Jean Bertin. Surgical treatment and stage by stage rehabilitation of reproductive aged women with prolapse of internal genitals.– Manuscript. Thesis for a scientific degree of candidate of Medical Sciences by speciality 14.01.01 – Obstetric and Gynaecology. Kharkov State Medical University, 1999. Thesis contents the result of clinical-laboratorial, instrumental and surgical treatment, and stage by stage rehabilitation of reproductive aged women with prolapse of internal genitals. 105 reproductive aged women with prolapse of internal genitals were examined (85 women in main group and 20 in control group), rheovazography of Pelvic’muscles and immunoresistance of the system were studied. All 105 women were operated (plastical operation of vaginal walls, roborant of urinary bladder fascia with three Kapron Ligature, fixation of ligamentum teres or stump uteri to the front wall of abdominal aponeurosis). The main group was treated with non-medical method and rehabilitated after operation. By our data, after treatment we noted an improvement in the hemodynamics of Pelvic and perineum’s muscles, immunologic values. Recovery from failure of function to working ability took 2,5-5 months for the main group and more than 6 months for the control group. The efficiency of treatment is 92,3%. In a period of 3 years we noted no recurrence of illness. Key words: prolapse, genitals, plastical operation of vaginal walls, ligamentum teres of uteri, stump uteri, abdominal aponeurosis, rheovazography, immunoresistance, rehabilitation.

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