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

Aea?aeaaia i?aei?e?inoai

“Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo ii?nueei? iaaeeoeeie”

Ia i?aaao ?oeiieno

EI?IOA?AA Ieaia Aeaaeeneaa?aia

OAeE: 616.61-002.3:656.61-051-07-08

INIAEEAINO? Ae?AAIINOEEE OA E?EOAAIIss

I??EIIAO?EOO O II?ssE?A

14.01.34 — aa?aoe?eia, eini?/ia oa ii?nueea iaaeeoeeia

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Aea?aeaaiiio i?aei?e?inoa? “Oe?a?inueeee
iaoeiai-aeine?aeiee ?inoeooo ii?nueei? iaaeeoeeie” ? ia eaoaae??
ii?nueei? iaaeeoeeie oa i?ioan?eieo oai?ia Iaeanueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo IIC Oe?a?ie.

Iaoeiaee ea??aiee

aeaaeai?e AII Oe?a?ie, Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie,
aeieoi? iaaee/ieo iaoe, i?ioani? Eiaaiei Aiaoie?e Ieaenaiae?iae/,

aee?aeoi? AeI “Oe?a?inueeee IAe? ii?nueei? iaaeeoeeie”.

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? ?oaeaiei A?eoi? A?eai?iae/, i?ioani?
eaoaae?e ii?nueei? iaaeeoeeie oa i?ioan?eieo oai?ia IAeIO, cai?niee
aee?aeoi?a ii iaooe? AeI “Oe?a?inueeee IAe? ii?nueei? iaaeeoeeie”,
ae?eniee /eai Iueth-ei?enueei? Aeaaeai?? Iaoe.

eaiaeeaeao iaaee/ieo iaoe, noa?oee iaoeiaee ni?a?ia?oiee

No??eaeaiei Oaoyia Aanee?aia, ea??aiee eaai?aoi??? a?a??ie ieoii? aiaee
AeI “Oe?a?inueeee IAe? iaaeeoeeie o?ainii?oo IIC Oe?a?ie”,

/e.-ei?. I?aeia?iaeii? Aeaaeai?? Iaoe Aeieia?? oa Aaciaee
AEeoo?ae?yeueiino?.

I?ia?aeia onoaiiaa

Oa?e?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe, i. Oa?e?a.

Caoeno a?aeaoaeaoueny “ 30 ” eenoiiaaea 1999 ?. i 13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.41.617.01 i?e Aea?aeaaiiio
i?aei?e?inoa? “Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo ii?nueei?
iaaeeoeeie” ca aae?anith: 65049, i. Iaeana, aoe. Noaeiiaoae?aaeueia, 1.

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo ii?nueei? iaaeeoeeie (65049, i. Iaeana,
aoe. Noaeiiaoae?aaeueia, 1).

Aaoi?aoa?ao ?ic?neaiee “11” aeiaoiy 1999 ?ieo.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio Ieaoue?aa I.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

Iniaeea? oiiae i?aoe? ia ii?? ? i?e/eiith iecee caiaeueieo
caoai?thaaiue, a ia?oo /a?ao aeeoaeueii? nenoaie, ui coiiaeaii
iaaaoeaiei aieeaii ??ceeo ci?i ee?iaoiaaia?ao?/ieo oiia oa iniaeeainoyie
ae?iaie/iai na?aaeiaeua [Iiiaoia n niaao., 1976; Aa?aeuoaa A.A. n
niaao., 1984; Aaneeueaa Ae.A. n niaao., 1985; Eiaaiei A.A., Aniieia
A.E., 1986; 1991; Aia?ee E.I., 1999].

Cia/ii iaioa ? a e?oa?aoo?? aeaieo uiaei no?oeoo?e oa
?iciianthaeaeaiino? caiaeueieo caoai?thaaiue ie?ie oa na/iaeae?eueii?
nenoaie o ii?ye?a. ?aenia? ae oiiae, iniaeeai a ieaai?/ieo ?aenao,
noai?ththoue oae? neooaoe??, ye? ae?ae iani?eyoeea? aei aieeao ia oe?
nenoaie [A?a/ TH.E., Aieoaiei A.I. n niaao., 1992; Iaoi/ei TH.A. n
niaao., 1995; Eeniaae A.A., 1993].

A Oe?a?i? o?ii?/iee i??eiiao?eo iaeaaeeoue aei iaea?eueo
?iciianthaeaeaieo caoai?thaaiue ie?ie [Aeooea ?.ss., Iao?oo E.?., Iathe
I.?., 1996; Ie??a E.A., 1997]. No?aaeaeathoue ia oeth oai?iao a?ey 30
oen aei?ineeo ethaeae [Oea?aiei A.E., 1995], i?e/iio iioe?ai?noue eiai a
Oe?a?i? ca inoaii? 5 ?ie?a o na?aaeiueiio c?inea ia 47%, a
?iciianthaeaeai?noue oai?iae a ie?aieo ?aa?iiao e?a?ie aeinyaa? 748 ia
100 oen ianaeaiiy [Iaaeiaa E.I., Ai?cuo I.A., 1995]. Ca /anoioith OI
iin?aea? ae?oaa i?noea i?ney aino?eo ?ani??aoe?eieo a??onieo ?ioaeoe?e ?
ia?oa — na?aae caoai?thaaiue ie?ie [Ie??a E.A. ?c ni?aaao., 1995;
Ooeooei A.E., 1996; Oa?aaaa E.A. n niaao., 1995].

Ia?aaoaaiiy o?eaaeee /an a oiiaao noaeia oaeiae coiiaeth? iaiao?aei?noue
aeyaeaiiy o ii?ye?a i?e i?ioaeiai?ao ii/aoeiaeo noaae?e aoaeue-yeeo
caoai?thaaiue, a o./. ? ie?ie, oa ?oiueiai eaoaioiiai ia?aa?ao c
i??eoaaiue, uia caiia?aoe caaino?aiiyi caoai?thaaiue o ?aen?.

I?ioa o aeaiee /an iaia? nenoaiieo i?aeoiae?a aei aeeaieiai aiae?co
ooieoe?iiaeueiiai noaio ie?ie oa cania?a aeyaeaiiy i?eoiaaii? iaoieia??
ie?ie, ui aaniethoii iaiao?aeii.

C oeeo i??eoaaiue iaoa ?iaioe iieyaaea a ?ic?iaoe? oa ai?iaaaeaeaii? a
ee?i?/io i?aeoeeo ii?nueei? iaaeeoeeie oeyo?a oa cania?a oaeineiiaeaiiy
ae?aaiinoeee oa e?eoaaiiy i??eiiao?eoo.

Aeey aeinyaiaiiy iaoe ae??ooaaeenue ianooii? caaaeaiiy:

1. Aea/eoe no?oeoo?o oa ?iciianthaeaeai?noue caiaeueieo caoai?thaaiue
ie?ie oa na/iaeae?eueii? nenoaie o ii?ye?a.

2. Aea/eoe caoai?thaai?noue ia i??eiiao?eo o i?aaenoaaiee?a ??cieo
ii?nueeeo i?ioan?e.

3. Aea/eoe aieea o?eaaeiai ?aeno ia ooieoe?iiaeueiee noai oa
caoai?thaai?noue ia caiaeuei? i?ioeane ie?ie o ii?ye?a.

4. Aea/eoe aieea eieaeueiiai a?ae’?iiiai oeneo ia ooieoe?iiaeueiee noai
ie?ie caei?iaeo in?a.

5. ?ic?iaeoe iaoiaeeeo ?aiiuei? ae?aaiinoeee o?ii?/iiai eaoaioiiai
i??eiiao?eoo ia i?aenoaa? i?ia?aiiaaii? aaeooi-ae??;

6. ?ic?iaeoe iaoiaeeeo OC-aeine?aeaeaiiy aeey aeeoa?aioe?eii?
ae?aaiinoeee o?ii?/iiai eaoaioiiai i??eiiao?eoo ?aii?o noaae?e ia?aa?ao
oa oa?i?io oeueiai caoai?thaaiiy a?eueoa e?eueeio ?ie?a ?c aeei?enoaiiyi
iaoiaeeee aeiciaaiiai aiaeiiai iaaaioaaeaiiy.

7. ?ic?iaeoe iaoiaeeeo eiia?iiaaiiai e?eoaaiiy i??eiiao?eoo ?c
aeei?enoaiiyi eieaeueiiai a?ae’?iiiai oeneo oa aea/eoe ?? aieea ia
na/iaeae?eueio nenoaio.

8. ?ic?iaeoe i?iiiceoe?? uiaei i?ioan?eiiai aeiai?o ii?ye?a i?e
i??eiiao?eo?.

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

Aeaia ?iaioa yaey?oueny /anoeiith ieaio iaoeiai-aeine?aeieo ?ia?o, ye?
aeeiiothoueny a Aea?aeaaiiio i?aei?e?inoa? “Oe?a?inueeee
iaoeiai-aeine?aeiee ?inoeooo ii?nueei? iaaeeoeeie” oa ieaiiaeo iaoeiaeo
?ia?o eaoaae?e ii?nueei? iaaeeoeeie oa i?ioan?eieo oai?ia Iaeanueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a.

Iieacaii, ui caoai?thaai?noue o ii?ye?a ia caiaeuei? i?ioeane ie?ie oa
na/iaeae?eueii? nenoaie aeua, i?ae o iaoeaioe?a i?eaa?aaeii? ciie.

Anoaiiaeaii, ui cia/ia aeiey a no?oeoo?? caoai?thaaiino? i?eiaaea? ia
i??eiiao?eo. Iieacaii, ui /ano?oa ia i??eiiao?eo oa ?io? caiaeuei?
i?ioeane ie?ie no?aaeaeathoue /eaie iaoeiii? oa iaeoaii? eiiaiae.

Anoaiiaeaii, ui i?aoey a oiiaao o?eaaeiai ieaai?/iiai ?aeno i?ecaiaeeoue
aei iii??iiai ii?ooaiiy ooieoe?? ie?ie oa ii/ano?oaiiy ?cieueiaaiiai
na/iaiai neiae?iio.

Aia?oa aeine?aeaeaii aieea eieaeueiiai a?ae’?iiiai oeneo ia
ooieoe?iiaeueiee noai ie?ie o caei?iaeo in?a.

Aia?oa iaa?oioiaaia iiaeeea?noue ae?aaiinoeee eaoaioiiai ia?aa?ao
i??eiiao?eoo i?e i?iaaaeaii? i?iae c eieaeueiei a?ae’?iiei oeneii o
ii?ye?a ia oe? ?cieueiaaiiai na/iaiai neiae?iio.

Iaa?oioiaaia oa aeieacaia iiaeeea?noue aeeoa?aioe?eii? ae?aaiinoeee
o?ii?/iiai eaoaioiiai i??eiiao?eoo ?aii?o noaae?e ia?aa?ao c? noaae?yie
oeueiai caoai?thaaiiy oa?i?io a?eueoa e?eueeio ?ie?a i?e
oeueo?acaoeiaiio aeine?aeaeaii? a oiiaao aiaeiiai iaaaioaaeaiiy.

Aia?oa iieacaii, ui aeeth/aiiy aei eiia?iiaaii? oa?ai?? i??eiiao?eoo
oa?aiaaoe/ieo oeeee?a c eieaeueiei a?ae’?iiei oeneii cia/ii nei?i/o?
oa?i?i e?eoaaiiy oa i?aeaeuo? eiai aoaeoeai?noue.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

?ic?iaeai? ?aeiiaiaeaoe?? uiaei i?aeaeuaiiy aoaeoeaiino? ae?aaiinoeee
i??eiiao?eoo i?e i?ioan?eiiio aeiai??.

?ic?iaeai? oa ai?iaaaeaeai? a i?aeoeeo ii?nueei? iaaeeoeeie
ae?aaiinoe/i? iaoiaeeee ?c aeei?enoaiiyi eieaeueiiai a?ae’?iiiai oeneo
oa aiaeiiai iaaaioaaeaiiy i?e ae?aaiinoeoe? i??eiiao?eoo.

Cai?iiiiiaaia eiiieaenia e?eoaaeueia noaia oa?ai?? i??eiiao?eoo ?c
canoinoaaiiyi eieaeueiiai a?ae’?iiiai oeneo.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii aecia/aia iaoa, caaaeaiiy oa neeaaeaii aeaoaeueiee ieai
aeine?aeaeaiiy. O ?aeniaeo oa aa?aaiaeo oiiaao iniaenoi i?iaaaeai?
ee?i?/i? oa eaai?aoi?i? ianoaaeaiiy, i?iaiae?ciaai? noaoenoe/i?
iaoa??aee iie?ee?i?/iiai aei?iaeo. Aaoi? i?aai?coaaea, aeeiiaea oa
ii?aoethaaea cao?eniaai? ?acoeueoaoe ii aeei?enoaieo iaoiaeeeao
eieaeueiiai a?ae’?iiiai oeneo oa aeiciaaiiai aiaeiiai iaaaioaaeaiiy ? ia
iniia? io?eiaieo ?acoeueoao?a iaa?oiooaaea aeioe?euei?noue
ai?iaaaeaeaiiy oeeo iaoiaeee oa aeeoa?aioe?eii? ae?aaiinoeee o?ii?/iiai
i??eiiao?eoo ii/aoeiaiai aa??aioo oa oa?i?i?a a?eueoa e?eueeio ?ie?a ye
a eiiieaen ianoaaeaiiy i?e i?ioan?eieo aeiai?ao, oae ? a
caaaeueiiiie?ee?i?/io i?aeoeeo. Aaoi? naiino?eii i?iaaea noaoenoe/io
ia?iaeo iaea?aeaieo ?acoeueoao?a, c?iaeea aeniiaee, aeaea i?aeoe/i?
?aeiiaiaeaoe??.

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

Iniiai? iieiaeaiiy ? aeniiaee ?iaioe aeeeaaeai? ia 25-io I?aeia?iaeiiio
eiia?an? c i?ioan?eieo caoai?thaaiue 15-20 aa?aniy 1996 ?ieo o
Noieaieuei?, 5-io I?aeia?iaeiiio neiiic?oi? ii ii?nuee?e iaaeeoeei? 8-12
o?aaiy 1999 ?ieo o Eiiaeii?, a iaoa??aeao Ae?oai? Oe?a?inueei?
i?aeia?iaeii? eiioa?aioe?? “Aeooaeuei? i?iaeaie ii?nueei? iaaeeoeeie”
17-19 aa?aniy 1997 ?ieo a i. Iaean?, iaoeiaeo eiioa?aioe?yo
Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo ii?nueei? iaaeeoeeie oa
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

Ioae?eaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 5 iaoeiaeo i?aoeue, na?aae yeeo 3 o
i?ioan?eieo iaoeiaeo aeo?iaeao, 2 – a oacao ca??iee?a iaoeiaeo i?aoeue,
a oaeiae io?eiaii 2 iaoaioe ia aeiao?ae.

No?oeoo?a oa ianya aeena?oaoe??.

Aeena?oaoe?y aeeeaaeaia ia 128 noi??ieao oaenoo ? neeaaea?oueny c?
anooio, iaeyaeo e?oa?aoo?e, iaoa??ae?a oa iaoiae?a aeine?aeaeaiiy, 5
aeaa ?acoeueoao?a aeanieo aeine?aeaeaiue, i?aenoieo, aeniiae?a oa nieneo
aeei?enoaii? e?oa?aoo?e, yeee aeeth/a? 302 aeaea?aea, c yeeo
oe?a?inueeeo oa ?in?enueeeo 230 oa 72 ?ioiiiaieo. ?ethno?iaaiee iaoa??ae
iiaeaii 25 oaaeeoeyie, 42 ?ethno?aoe?yie.

INIIAIEE CI?NO ?IAIOE

Iaoiaee, eiioeiaaio oa ia’?i aeine?aeaeaiue.

A?aeiia?aeii aei iaoe oa caaaeaiue ?iaioe i?iaaaeaii ianoaaeaiiy 382
in?a ieaaneeaaeo i?e ieaiiaeo i?ioaeiai?ao a oiiaao iie?ee?i?ee
ieaaneeaaeo Ae?aaiinoe/iiai oeaio?o *i?iiii?nueei? oeaio?aeueii?
ee?i?/ii? aanaeiiai? e?ea?i? ia aiaeiiio o?ainii?o? AeI “Oe?a?inueeee
iaoeiai-aeine?aeiee ?inoeooo ii?nueei? iaaeeoeeie”, a oaeiae /eai?a
ae?iaaeo a noaeiia?e aiaoeaoi??? ?eaii?iieneiai? aace “Ainoie” aei oa
i?ney aeiaaio?eaaeiai ieaai?/iiai ?aeno. Ianoaaeaiiy ooieoe?iiaeueiiai
noaio ie?ie /eai?a ae?iaaeo a noaeiia?e aiaoeaoi??? ?eaii?iieneiai?
aace “Ainoie” i?iaaaeaii ?acii c ani??aioii N.?. Eiie?iei.

On?o ii?ye?a ianoaaeoaaee ee?i?/ii oa eaai?aoi?ii. A caeaaeiino? a?ae
ae??oaiiy oeo, /e ?ioeo caaaeaiue iaoeiai? ?iaioe ianoaaeoaai?
?iciiae?eyeenue ia a?oie ca ii?nueeei oaoii, ca a?eii oa ca noaaeai
i?aoe? ia ii??.

Ooieoe?iiaeueiee noai ie?ie aecia/aee ca ?acoeueoaoaie aeiaiaiai oa
aiaeiiai ae?o?aco, ii?oiiao?e/ieo ia?aiao??a, e?euee?niiai oa ye?niiai
neeaaeo na/?, cie?aia, ca iieacieeaie na/iaiai inaaeo. I?iaiaeeee i?iao
Ia/eii?aiei. Aei??thaaee eeoai/eiao o?eueo?aoe?th ii ee??aino
aiaeiaaiiiai e?aaoei?io, ?ic?aoiaoaaee eaiaeueoeaao ?aaani?aoe?th aiaee
oa iao??th. An?i i?iaiaeeee oeueo?acaoeiaa aeine?aeaeaiiy ie?ie oa
na/iaeae?eueii? nenoaie. Aeine?aeaeaiiy i?iaaaeaii aia?aoii “Aeiea-630”
c eiiaaeniei aeao/eeii 3.5 iaoe ca eeane/iith iaoiaeeeith a iieiaeaii?
eaaea/e ia aioe?, aai ai??eeoeue.

?ic?iaeaii iaoiaeeeo oeueo?acaoeiaiai aeine?aeaeaiiy ie?ie ?c 2% aiaeiei
iaaaioaaeaiiyi a?ae iane o?ea iaoe??ioa, yeo aeei?enoaee aeey
aeeoa?aioe?eii? ae?aaiinoeee ??cieo oa?i?i?a ia?aa?ao o?ii?/iiai
i??eiiao?eoo.

Ie??i oeueiai, ?ic?iaeaia iaoiaeeea ia i?aenoaa? oa o a?aeiia?aeiino? c
«Iaoiaee/aneeie ?aeiiaiaeaoeeyie ii i?eiaiaieth eieaeueiiai
io?eoeaoaeueiiai aeaaeaiey a ea/aiee o?oaiiai aanieiaeey» (Eeaa, 1996).

Inoaiiy iaoiaeeea i?ecia/aia aeey ae?aaiinoeee eaoaioiiai i??eiiao?eoo
oa ?iaeea?aeoaeueiiai aeei?enoaiiy oa?ai?? eieaeueiei a?ae’?iiei oeneii
(EAO) o eiiieaeniiio e?eoaaii? o?ii?/iiai i??eiiao?eoo ? iieyaa? a ae??
eiie?aoieo aaee/ei EAO ca aeaieie noao?, a?eo, iane o?ea, c?inoo
iaoe??ioa. Iio??aii aeiiiaieoe, ui oey ae iaoiaeeea ia?aaeaa/o?
iiaeaeueoo ei?aeoe?iaeo aaee/eie EAO a caeaaeiino? a?ae ?aaeoe??
na?oeaai-noaeeiii? nenoaie, ye a?aeia?aaeaiiy ooieoe?iiaeueiiai noaio
i?aai?cio, oa a?aoiao? i?ioeiieace.

Ianoaaeoaai? io?eioaaee eo?n i?ioeaaeo? EAO a eiia?iiaai?e eaia??
ciiaeueii? aeaeiii?an?? i?e iino?eiiio (IEAO) aai ia?a?aiiio ?aaeei?
(I?EAO) ai?iaeiaae 3-o aei?a uiaeaiii c iiaeaeueoei aeiaeaoeiaei
3-?aciaei aeei?enoaiiyi c ?ioa?aaeaie 48 aiaeei. I?EAO — o ?aaeei?
?ic??aeaeaiiy aeo?eiee 8 e?eiianeaeae (EIa), /ano aeo?eiee 20 naeoiae oa
o?eaaeino? i?ioeaaeo?e 15 oaeeei. O aeiaaeeo IEAO o?eaae?noue 1-e
i?ioeaaeo?e noaiiaeea 5 oaeeei, 2-e — 10 oaeeei.

Io?eiai? ?acoeueoaoe i?iaiae?ciaai? ca aeiiiiiaith iaoiae?a noaoenoe/ii?
ia?iaee [Aaeeiai ?., 1987; Iinia A.I., 1990; ?aoia? I.ss., Aeyeaia
Ae.-I.A., 1989].

?ACOEUeOAOE AeINE?AeAEAIIss OA ?O IAAIAI?AIIss

Io?eiai? aeai? na?ae/aoue i?i oa, ui caiaeuei? caoai?thaaiiy ie?ie oa
an??? na/iaeae?eueii? nenoaie o ii?ye?a cono??/athoueny /ano?oa, i?ae o
i?aaenoaaiee?a aa?aaiaeo i?ioan?e oa iaoeaioe?a i?eaa?aaeii? ciie.

Oae, yeui o 1996 ?ioe? caoai?thaai?noue ia ie?ee o ?ai?enueeiio ?aeii?
Iaeanueei? iaeano? noaiiaeea 700,0, a o Ia?ae?iiieuenueeiio – 793,1 ia
100 oeny/ ianaeaiiy, oi eeo ca noaooaeiiaie iie?ee?i?ee ieaaneeaaeo a
oiio ae eaeaiaea?iiio ?ioe? eiinoaoiaaii 928 aeiaaee?a caoai?thaaiue
ii?ye?a ia oai?iae ie?ie, ui noaiiaeei 3076,1 ia 100 oeny/ ieaaneeaaeo.
O ne?aeoth/iio 1997 ?ioe? oeae aea iieaciee ii oeo aea ?aeiiao
Iaeanueei? iaeano? noaiiaea a?aeiia?aeii 799,1 oa 937,2, a o ii?ye?a —
3504,3 ia 100 oeny/ (ianaeaiiy a i?eaa?aaeieo ?aeiiao iaeano?, /e
/enaeueiino? ieaaneeaaeo o ii?ye?a) (?en.1).

?en.1. Aeeiai?ea caoai?thaaiino? ia ie?ee ca 1996-1997 ??.

(ia 100 oen ianaeaiiy /e /enaeueiino? ieaaneeaaeo o ii?ye?a).

Aeiey i??eiiao?eoo o no?oeoo?? caiaeueieo caoai?thaaiue ie?ie o ii?ye?a
noaiiaeea 16,8%, 19,5% oa 18,3% a?aeiia?aeii o o?ueio ca?oieo ?ieao a
ii?yaeeo c?inoaiiy.

I?aoey i?ioyaii ?ieo ia noaei? a oiiaao ieaai?/iiai ?aeno aieeaa? ia
ooieoe?th ie?ie oaeei /eiii, ui i?ecaiaeeoue aei oaiaeaioe?? cieaeaiiy
eeoai/eiai? o?eueo?aoe?? c 108,7±8,5 ie/oa aei 98,6±6,5 ie/oa oa oaeiai
ae iai?yieo ci?ie eaiaeueoeaai? ?aaani?aoe?? aiaee c 99,02±0,08% aei
98,5±0,05%. I?e oeueiio ?aaani?aoe?y iao??th c?inoaea c 99,18±0,02 aei
99,25±0,02 iiieue (P<0,05). O ianoaaeoaaieo ii?ye?a i?ney ?aeno cia/ii /ano?oa, i?ae o aei?aeniaiio ianoaaeaii?, aeyaey?oueny ?cieueiaaiee na/iaee neiae?ii, ui noi?iaiaeaeo?oueny aei iaaii? i??e i?ioa?io???th, eaeeioeeoo???th, e?enoaeo???th, eiinoaooaaee iaa?oue i?eoo??th, i?ioa i?aeoe/ii i?eiee ia aoei nea?a a?ae ii?ye?a ia noai caei?ia’y oa ee?i?/ieo iciae i??eiiao?eoo o ieo. Aeey iiaeaeueoi? aeaoae?caoe?? aeyaeaiiai noaio ie?ie ?acii c N.?.Eiie?iei aeeiiaee o 52 iaoe??io?a OC-ae?aaiinoeeo ?c aeei?enoaiiyi iaoiaeeee aeiciaaiiai aiaeiiai iaaaioaaeaiiy, ui aeaei iiaeeea?noue o 28 iaoe??io?a aeyaeoe OC-ci?ie, oa?aeoa?i? aeey o?ii?/iiai eaoaioiiai i??eiiao?eoo ii/aoeiaeo noaae?e ?icaeoeo. I?e i?ioaeiai?? caaaeaee aeyaey?oueny a?oia ii?ye?a, o yeeo ia??iaee/ii a caaaeueieo aiae?cao na/? eiinoaoo?oueny eaeeioeeoo??y oa i?ioa?io??y, a oanoii ii Ia/eii?aiei e?euee?ni? iieacieee oi?iaieo aeaiaio?a e?ia? a iaeeieoe? ia’?io na/? ciaoiaeeii a iaaeao ii?ie. Oiaoi, aiia caeeoa?oueny iaaeinoaoiuei ?ioi?iaoeaiith ? ia aea? /?oeiai aecia/aiiy i?i iayai?noue (/e a?aenooi?noue) caiaeueiiai i?ioeano ie?ee. Aea ine?eueee iayai?noue eaeeioeeoo??? oa i?ioa?io??? ia aeeeth/a? eaoaioiiai ia?aa?ao i??eiiao?eoo, oi a oaeiio aeiaaeeo aeey ooi/iaiiy aeei?enoiaothoue i?iaieaoe?ei? oanoe i??iaaiaeiaee /e i?aaei?cieiiiaee. ?c a?aooaaiiyi aea o??? ianoaaeie, ui inoaii? oanoe ia aeineoue niaoeeo?/i?, oa ua e iiaeooue aooe iiceoeaieie i?e o?ii?/iiio o?ao?eo?, i?inoaoeo?, o?ii?/iiio aeiia?oeiiao?eo? (Oa?aaaa E.A., Iooei I.A., 1986), ? ?oi? aeeiiaiiy ia caaaeaee iiaeeeaa (/e ia aeioe?eueia) i?e i?iaaaeaii? i?ioaeiai?o, - iinoaea ae?iaie/a iio?aaa ?ic?iaeoe a?eueo ?ioi?iaoeaiee oano aeey ae?aaiinoeee eaoaioiiai i??eiiao?eoo, iniaeeai ii/aoeiaeo noaae?e. Oaeei oanoii ie ia?aee i?iao ?c aeei?enoaiiyi eieaeueiiai a?ae’?iiiai oeneo ia iaeanoue /a?aaii? ii?iaeieie oa ie?ie. Aeey oeueiai nii/aoeo aea/eee aieea EAO ia ooieoe?iiaeueiee noai ie?ie oa aeae?eaiiy eaeeioeeo?a oa a?eo?ioeeo?a o 17 i?aeoe/ii caei?iaeo in?a o ?aaeei? ?ic??aeaeaiiy aeo?eiee 8 e?eiianeaeae (EIa), /ano aeo?eiee 20 naeoiae oa o?eaaeino? i?ioeaaeo?e 15 oaeeei. I?e oeueiio aeyaeee, ui EAO i?ecaiaeeoue aei i?aeaeuaiiy eeoai/eiai? o?eueo?aoe?? ia 5,2±0,6 ie/oa, cieaeaiiy eaiaeueoeaai? ?aaani?aoe?? aiaee ia 0,2±0,014% oa c?inoaiiy ae?o?aco ia 11,0±2,1 ie/24 aiae. O caaaeueiiio aiae?c? na/? nooo?aeo ci?i ia aoei a?aei?/aii, a aeeiiaiiyi i?iae ii Ia/eii?aiei ciaeaeaii c?inoaiiy eaeeioeeoo??? oa a?eo?ioeeoo??? a?ae 9% aei 25% niinoa?aaeaiue (oaae.1). Oaaeeoey 1 Ci?ie iieaciee?a o?ia?aie a ?acoeueoao? aieeao eieaeueiiai a?ae’?iiiai oeneo ia iaeanoue /a?aaii? ii?iaeieie oa ie?ie IieacieeA?oia ianoaaeaieo (N=17)aei A/Ii?ney A/IA?eie 0,0078±0,00040,0116±0,0062I?ici??nouen=3 (17,6%)n=4 (23,5%)U?euei?noue1,019±0,0011,019±0,002Eaeeioeeoe3,6±0,95,3±1,2A?eo?ioe eoe0,66±0,241,32±0,37Ai?oae?e1,82±0,572,47±0,40Aaeoa???n=1 (5,9%)n=5 (29,4%)Nie?: a?aenooi? iaei aaaaoi4 (23,5%) 8 (47,1%) 4 (23,5%)4 (23,5%) 8 (47,1%) 4 (23,5%) I?ei?oee: 1. A/I - aaeooi - i?iaieaoe?y; 2. ne??cue ca 100% i?eeiyoa /enaeuei?noue a?oie (N). I?e a?eueoeo ?aaeeiao EAO oa?aeoa? aieeao ia ooieoe?th ie?ie ia ci?ieany, ? o iiaeaeueoiio aeei?enoiaoaaee aeuaiienaiee ?aaeei EAO. I?eiaa?aeii aeey ii??aiyiiy ?acoeueoao?a aieeao oanoo eieaeueiiai a?ae’?iiiai oeneo c i?aaei?cieiiiaei o 13 iaoe??io?a aeeiiaee i?iao c EAO, a /a?ac 24 aiaeeie – c i?aaei?cieiiii. Iieacaii, ui o an?o iaoe??io?a oi/ a iaeiiio c /ioe?ueio aiae?c?a na/? ii Ia/eii?aiei iiaeaith?oueny eaeeioeeoo??y oa c?inoa? aeaaaeaiiy c na/ath a?eo?ioeeo?a (oaae.2) ia oe? i?aaei?cieiio, oae ? oanoii EAO oaeiae o an?o eiinoaooaaee c?inoaiiy i?ioa?io???, a?eo?ioeeoo??? oa iiaeai?iiy eaeeioeeoo??? aiae?cii na/? ii Ia/eii?aiei. Ioaea, i?iaa c EAO ? iaae?eiei caniaii aeyaeaiiy eaoaioiiai ia?aa?ao caiaeueieo caoai?thaaiue ie?ie. Oaaeeoey 2 ?acoeueoaoe ii??aiyiiy i?iae c eieaeueiei a?ae’?iiei oeneii ? i?aaei?cieiiiaiai oanoo Aaeooi - i?iaieaoe?yI?aaei?cieiiiaee oanoE?euee?noue ianoaaeaieo iaoe??io?a1313E?euee?noue iaoe??io?a c iiaeai?iiyi /enea eaeeioeeo?a1313E?euee?noue iaoe??io?a c? c?inoaiiyi a?eo?ioeeo- oa i?ioa?io???75A?aenioie ca?eueoaiiy eaeeioeeoo??? o a?oi?100%100% I?aeoaa?aeaeaiiyi iaae?eiino? aoei e oa, ui o 9 iaoe??io?a c oe??? ae a?oie i?e aeeiiaii? i?iae c aiaeiei iaaaioaaeaiiyi o an?o ca?a?no?iaaia caeeoeiaa ?icoe?aiiy *EN o ia??iae ii?iae?caoe?? ae?o?aco. O ?ac? iayaiino? ee?i?/ieo iciae caiaeueiiai i?ioeano oa OC-iciae i??eiiao?eoo – ?icoe?aiiy *EN,- iinoa? caieoaiiy i?i ooi/iaiiy ae?aaiico i?ae aia?oa aeyaeaiei ? aeaaii ?nioth/ei o?ii?/iei i??eiiao?eoii. Iaie iinooeiaaii iieiaeaiiy, ui i?e o?ii?/iiio i??eiiao?eo?, oa?aeoa?iith iciaeith yeiai ? ?icaeoie niieo/ii? oeaieie a *EN oa ie?eia?e ia?aio?i?, aeanoe/i? iiaeeeaino? *EN aoaeooue cieaeai? ii??aiyii c oaeeie ae o caei?iaeo in?a. O iiaeaeueoiio iaie aeiaaaeaii, ui ia aenio? iaeneiaeueiiai aiaeiiai iaaaioaaeaiiy i?e o?ii?/iiio i?ioean? ?ici??e *EN i?aeoe/ii ia ca?eueoothoueny (?en. 2; 3) ? caeeoathoueny ia oiio ae ??ai? o ia??iae ii?iae?caoe?? ae?o?aco (?en. 4). ?en.2. Aoia?aia ie?ee aei aiaeiiai iaaaioaaeaiiy. ?en.3. Aoia?aia ie?ee ia aenio? iaeneiaeueiiai aiaeiiai iaaaioaaeaiiy. Oea aeicaieeei c?iaeoe aeniiaie, ui ia a?aei?io a?ae iaaeaaii ?nioth/iai caiaeueiiai i?ioeano a *EN aeiaaio?eaaeee o?ii?/iee i??eiiao?eo noi?iaiaeaeo?oueny cia/iith ao?aoith aeanoe/iino? no?oeoo? *EN, i?e?aeio?oueny ?ea?aei?noue, ui na?ae/eoue i?i ?icaeoie niieo/ii? oeaieie, iiaeeeai, eieaaaio, a *EN oa iiceia?e ?a/iaei? ie?ee. ?en.4. Aoia?aia ie?ee /a?ac 30 oaeeei i?ney aeii?iaeiaiiy na/iaiai i?oo?a. C iai??ii i?aeaeueoe aoaeoeai?noue e?eoaaiiy i?e ii/aoeiaeo noaae?yo eaoaioiiai ia?aa?ao i??eiiao?eoo aeine?aeaeaiiy iaie cai?iiiiiaaii aeeth/eoe a eiiieaen e?eoaaiiy ?acii c aeeiiaiiyi eieaeueiiai a?ae’?iiiai oeneo noeueoai?eai?aeiee i?aia?ao noiao?ie?i (oai?nueeee oa?iaoeaaoe/iee caaiae “AA?N”), yeee aeeth/a? 400 ia noeueoaiaoienacieo oa 80 ia o?eiaoii?eio a iaei?e oaaeaooe?, ? i?ecia/a?oueny a aeic? 1920 ia ia aeiao ca aeaa i?eeiie ii 960 ia. Aeey niinoa?aaeaiiy acyoi 3 a?oie iaoe??io?a: 1 a?oia (27 iaoe??io?a) – eiiieaenia e?eoaaiiy aac aeei?enoaiiy EAO oa noiao?ie?io; 2 a?oia (33 iaoe??ioa) – c aeei?enoaiiyi noiao?ie?io oa 3-y a?oia (36 iaoe??io?a) ?c aeei?enoaiiyi iaeii/anii noiao?ie?io oa EAO. Aoaeoeai?noue e?eoaaiiy ioe?ithaaeanue ca eiiieaenii eaai?aoi?ieo iieaciee?a, ye? aeeth/aee ioe?ieo ee?i?/ii? neiioiiaoeee a aeeiai?oe? caoai?thaaiiy, caaaeuei? aiae?ce e?ia? oa na/?, aeai? o?ia?ai i?ney i?iaaaeaiiy i?iaieaoe?eieo i?ia o aeeiai?oe? (ia?aae ii/aoeii oa?ai??, ia oe? e?eoaaiiy oa /a?ac 2-3 aeiae i?ney cae?i/aiiy eo?no e?eoaaiiy). I?e oeueiio /a?ac 2-3 aeiae i?ney cae?i/aiiy eo?no e?eoaaiiy a ae?oa?e oa o?ao?e a?oiao niinoa?aaeaiiy aeyaeaii, ui o ia?aaaaeii? a?eueoino? ianoaaeoaaieo (81%) cieaeoaaany a a?eueo?e i??? ae?anoiee/iee oa a iaio?e i??? nenoiee/iee a?oa??aeueiee oene, ca?eueooaaany aeiaiaee ae?o?ac c ia?aaaaeiei a?aenioeii aeaiiiai ae?o?aco - a?eueo ?aeue?oii a o?ao?e a?oi?. A caaaeueieo aiae?cao e?ia? cieaeoaaeanue OIA a na?aaeiueiio ia 4-5 ii/aiae., eaeeioeeoic a na?aaeiueiio ia 2-3 a/e a ae?oa?e oa o?ao?e a?oiao niinoa?aaeaiiy. I?e oeueiio ii?iae?coaaany iaee/eiyaea?iee cnoa c 5-6% aei 2-3% a oeeo aea a?oiao. A caaaeueieo aiae?cao na/? ciaiooaaeanue e?euee?noue oi?iaieo aeaiaio?a c 4-5 eaeeioeeo?a oa 3-4 a?eo?ioeeo?a o iie? ci?o a?aeiia?aeii aei 2-3 eaeeioeeo?a oa 1-2 a?eo?ioeeo?a a?aeiia?aeii a oeeo aea a?oiao. Aiae?cii ii Ia/eii?aiei eiinoaoiaaii ciaioaiiy eaeeioeeo?a i?aeoe/ii o eiaeiiai a 2-e oa 3-e a?oiao iaeaea aaea?/?, iaa?oue i?e aeno?aeiiio /ene? aei 4 oeny/ a 1 ie na/?. Ieoiia aaaa na/? i?e oeueiio i?iyaeea oaiaeaioe?th aei c?inoaiiy c 10073 aei 10112. Ciaioeany a?aenioie iiiooi?iiy na/? o iaoe??io?a c a?eueo ae?acieie ci?iaie a o?ao?e a?oi? niinoa?aaeaiiy. Ocaaaeueithth/e aeuaaeeeaaeaia, eiinoaoo?ii, ui iaie aia?oa ?ic?iaeaia noaia e?eoaaiiy o?ii?/iiai i??eiiao?eoo, yea aeeth/aea i?ecia/aiiy EAO, aa?o/e aei oaaae aeai? i?i aeoea?caoe?th e?iaiia?ao a ie?eao i?ae eiai aieeaii, ai?iaeiaae 3-o aei?a uiaeaiii c iiaeaeueoei aeiaeaoeiaei 3-?aciaei aeei?enoaiiyi c ?ioa?aaeii a 1 aeaiue. Ae?enii, yeui i?ney ia?oiai naaino EAO eaeeioeeoo??y oa a?eo?ioeeoo??y c?inoaee, oi o o?aoeie oai?eo i?ney o?aoueiai naaino i?aeoe/ii ii?iae?coaaany na/iaee neiae?ii, a o ?aooe aeaio o?aoei a?i oaea ia ?a?no?oaaany o iaoieia?/iiio aa??aio? i?ney i’yoiai naaino. Oaeei /eiii, aeey ae?aaiinoeee eaoaioiiai ia?aa?ao i??eiiao?eoo i?e i?ioaeiai?ao o ii?ye?a ?aeiiaiaeo?oueny aeei?enoiaoaaoe i?iaieaoe?eiee ae?aaiinoe/iee oano c EAO, ui aeicaiey? aeyaeoe caiaeuei? yaeua o ie?eao ii c?inoaiith eaeeioeeoo??? oa a?eo?ioeeoo???. C iaoith i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy eaoaioiiai i??eiiao?eoo i?iiiio?oueny a eiiieaenio oa?ai?th ?acii c aioeaaeoa??aeueiith oa?ai??th aeeth/aoe EAO, ui noeioeth? e?iaiieei a ie?eao oa ni?ey? i?aeaeuaiith aoaeoeaiino? e?eoaaeueiiai aieeao. AENIIAEE 1. Caoai?thaaiiy caiaeueieie oai?iaaie ie?ie iin?aea? iyoa i?noea o no?oeoo?? caoai?thaaiue ii?ye?a ? ia?aaaaea? aeai?, i?eoaiaii? aeey iaoeaioe?a i?eaa?aaeieo ?aa?ii?a. Iaea?eueoee a?aenioie na?aae caiaeueieo caoai?thaaiue ie?ie o ii?ye?a caeia? i??eiiao?eo, ia yeee /ano?oa no?aaeaeathoue ii?yee iaoeiii? oa iaeoaii? eiiaiae. 2. *anoioa ?cieueiaaiiai na/iaiai neiae?iio o ii?ye?a i?ney ieaai?/iiai ?aeno c?inoa? ia 8%, c aieo ooieoe?iiaeueiiai noaio ie?ie a?aei?/a?oueny ciaioaiiy eeoai/eiai? o?eueo?aoe?? oa eaiaeueoeaai? ?aaani?aoe?? aiaee c ia?aeaeueiei c?inoaiiyi ?aaani?aoe?? iao??th. 3. ?aaeei eieaeueiiai a?ae’?iiiai oeneo ia 5% ca?eueoo? eeoai/eiao o?eueo?aoe?th, ae?o?ac, ciaioo? eaiaeueoeaao ?aaani?aoe?th aiaee oa ca?eueoo? aei 20% a?ae aeo?aeiiai ??aiy i?ioa?io??th, eaeeioeeoo??th oa a?eo?ioeeoo??th. 4. O iaoe??io?a c ?cieueiaaiei na/iaei neiae?iiii i?iaa eieaeueiiai a?ae’?iiiai oeneo aeicaiey? aeyaeyoe caiaeueiee i?ioean i?e iiaeai?ii? eaeeioeeoo??? oa aeayeiio i?aeaeuaii? a?eo?ioeeoo???, ui i?aeoaa?aeaeo?oueny iiceoeaiei i?iaieaoe?eiei i?aaei?cieiiiaei oanoii. 5. Aea/aiiy ?ici???a /aoa/ii-eioaieiai? nenoaie ?c aeei?enoaiiyi oeueo?acaoeiai? ae?aaiinoeee i?e aeiciaaiiio aiaeiiio iaaaioaaeaii? aeicaiey? i?iaiaeeoe aeeoa?aioe?eio ae?aaiinoeeo o?ii?/iiai eaoaioiiai i??eiiao?eoo a caeaaeiino? a?ae oa?i?io o?eaaeino? caoai?thaaiiy. 6. Aeeth/aiiy a eiiieaenio oa?ai?th i??eiiao?eoo eieaeueiiai a?ae’?iiiai oeneo cia/ii i?aeaeuo? aoaeoeai?noue e?eoaaiiy oa i?enei?th? iaeoaeaiiy. 7. I?e i?ioaeiai?ao o aeiaaeeo aeyaeaiiy ?cieueiaaiiai na/iaiai neiae?iio ne?ae ?aeiiaiaeoaaoe i?iao c eieaeueiei a?ae’?iiei oeneii oa oeueo?acaoeiao ae?aaiinoeeo i?e aiaeiiio iaaaioaaeaii?. Nienie ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe?? 1. Ninoiyiea ii/aiieiaie nenoaiu o ii?yeia a aei?aeniaii ia?eiaea // A?niee ii?nueei? iaaeeoeeie.- 1997.- N.10-13 [niaao. Aiaeaiei A.E., Eiieei N.E., Oaaei?oe A.N., Naaeoeeee E.A.]. 2. Ia iieieiae/aneie ianoi?iaeaiiinoe a?a/a i?ioioai?iie eiiennee // A?niee ii?nueei? iaaeeoeeie.- 1997.- N.15-16 [niaao. Eiieei N.E., Aoeue/aiei TH.E.]. 3. Oeueo?acaoeiaay aecoaeecaoeey ii/a/iuo no?oeoo? a caaeneiinoe io eioaineaiinoe aeeo?aca // A?niee ii?nueei? iaaeeoeeie.- 1998.- ?4.- N.157-158 [niaao. Eiieei N.E., Aiaoeaiei I.A.]. 4. Niin?a ae?aaiinoeee iiaeai?iiy ie?ee // Iiceoeaia ??oaiiy ia aeaea/o iaoaioa ii cayaoe? ? 98074040 a?ae 22.01.1999 ?. [ni?aaao. Aiaeaiei A.?., Eiie?i N.?., Oaaei?oe I.N.]. 5. Niin?a ae?aaiinoeee eaoaioiiai ia?aa?ao o?ii?/iiai i??eiiao?eoo // Iiceoeaia ??oaiiy ia aeaea/o iaoaioa ii cayaoe? ? 98126623 a?ae 22.01.1999 ?. [ni?aaao.Aiaeaiei A.?., Eiie?i N.?., Aoeue/aiei TH.?.]. 6. Urogenital System Conditions in Fishermen // 5th International Symposium on maritime health, London, may 8 - 12, 1999. - P.14 [niaao. Aiaeaiei A.E., Eiieei N.E.]. 7. Adaptation trace reactions to the conditions of the tropics in seafarer // 25th International Congress on Occupational Health, Stockholm, sept. 15 - 20, 1996. - P.8 [niaao. Aiaeaiei A.E., A?a/ TH.E., Eiieei N.E.]. AIIOAOe?ss Ei?ioa?aa I.A. Iniaeeaino? ae?aaiinoeee oa e?eoaaiiy i??eiiao?eoo o ii?ye?a. ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.34 – aa?aoe?eia, eini?/ia ? ii?nueea iaaeeoeeia. AeI “Oe?a?inueeee IAe? ii?nueei? iaaeeoeeie”. Iaeana, 1999. Aeena?oaoe?y i?enay/aia ?ic?iaoe? ae?aaiinoe/ieo niinia?a aeyaeaiiy ia?aeiii oa aoi?eiii o?ii?/ieo eaoaioieo i??eiiao?eo?a ia ii/aoeiaeo aoaiao ?oiueiai ?icaeoeo ? iiooeo iaoiae?a e?eoaaiiy oeueiai caoai?thaaiiy. ?acii c oeei, aea/aii ooieoe?iiaeueiee noai ie?ie oa ci?ie inoaiiueiai i?ae aieeaii o?eaaeiai ieaai?/iiai ?aeno o ii?ye?a ??cieo i?ioan?e, ii?nueeiai noaaeo oa a?eo. ?ic?iaeaii ae?aaiinoe/io iaoiaeeeo aeey aeyaeaiiy o?ii?/iiai i??eiiao?eoo ?c aeei?enoaiiyi aeiciaaiiai aiaeiiai iaaaioaaeaiiy c i???ioiaiei aecia/aiiyi aeaaiino? caoai?thaaiiy a caeaaeiino? a?ae oiio caa?aaeaiiy /e ao?aoe aeanoe/iino? /aoa/ii-eioaii/iith nenoaiith. A?aei?/aia cia/ia ao?aoa aeanoe/iino? /aoa/ii-eioaii/iith nenoaiith ie?ee o iaoe??io?a o?eaaeiai oa?i?io ia?aa?ao i??eiiao?eoo, ui aecia/aii iaie, ye neiioii ?ea?aeiino?. ?ic?iaeaia oa ai?iaaaeaeaia o i?aeoeeo e?eoaaeueia iaoiaeeea o?ii?/iiai i??eiiao?eoo o ii?ye?a ?c aeei?enoaiiyi o eiiieaen? aioeaaeoa??aeueieo cania?a oa eieaeueiiai a?ae’?iiiai oeneo ia iaeanoue /a?aaii? ii?iaeieie oa i?aai?a iaeiai oaco. Iieacaii, ui oea i?ecaiaeeoue aei ae?aaeaii? naiaoe?? na/iaiai neiae?iio i?ae aieeaii eieaeueiiai a?ae’?iiiai oeneo a iaeano? i?aai?a iaeiai oaco a eiiieaen? c aioeaaeoa??aeueiith oa?ai??th. EETH*IA? NEIAA: o?ii?/iee i??eiiao?eo, ae?aaiinoeea, e?eoaaiiy, eieaeueiee a?ae’?iiee oene, ii?yee. AIIIOAOeEss Ei?ioaaaa A.A. Iniaaiiinoe aeeaaiinoeee e ea/aiey ieaeiiao?eoa o ii?yeia. ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.34 – aaeaoeeiiiay, einie/aneay e ii?neay iaaeeoeeia. Ainoaea?noaaiiia i?aaei?eyoea “Oe?aeineee IEE ii?neie iaaeeoeeiu”. Iaeanna, 1999. Aeenna?oaoeey iinayuaia ?ac?aaioea aeeaaiinoe/aneeo iaoiaeia ia?ae/ii eee aoi?e/ii o?iie/aneeo eaoaioiuo ieaeiiao?eoia ia ia/aeueiuo yoaiao ?acaeoey n ia?aeeaeueiui eco/aieai ooieoeeiiaeueiiai ninoiyiey ii/ae e eciaiaiee iineaaeiaai iiae aeeyieai aeeeoaeueiiai ieaaie/aneiai ?aena o ii?yeia ?acee/iuo i?ioannee, ii?neiai noaaea e aic?anoa. ?ac?aaioaia e aiaae?aia aeeaaiinoe/aneay iaoiaeeea aeey auyaeaiey o?iie/aneiai eaoaioiiai ieaeiiao?eoa n eniieueciaaieai aeice?iaaiiie aiaeiie iaa?ocee n i?eaioe?iai/iui ii?aaeaeaieai aeaaiinoe caaieaaaiey, eae ?aiieo, oae e iicaeieo noaaeee, a caaeneiinoe io oiia nio?aiiinoe eee iioa?e yeanoe/iinoe a /aoa/ii-eioaii/iie nenoaia. Ioia/aia cia/eoaeueiay iioa?y yeanoe/iinoe /aoa/ii-eioaii/iie nenoaiie ii/ee o iaoeeaioia aeeeoaeueiiai n?iea oa/aiey ieaeiiao?eoa, /oi iacaaii iaie neiioiiii ?eaeaeiinoe. Eco/aii aeaenoaea eieaeueiiai io?eoeaoaeueiiai aeaaeaiey ia ooieoeeiiaeueiia ninoiyiea ii/ae caei?iauo eeoe. Auneacaii e iainiiaaii i?aaeiieiaeaiea i aeeyiee i?ia?aiie?oaiiai aaeooiiiai aicaeaenoaey ia ii/aauaeaeeoaeueioth nenoaio n oeaeaaui eniieueciaaieai aeaiiiai aicaeaenoaey a aeeaaiinoeea e ea/aiee. I?iaaaeaii n?aaieoaeueiia enneaaeiaaiea aeeaaiinoe/aneie oeaiiinoe eieaeueiiai io?eoeaoaeueiiai aeaaeaiey ia ciio ii/ae e i?aaeiecieiiiaiai oanoa aeey auyaeaiey eaeeioeeoo?ee e i?ioaeio?ee. Iieacaii, /oi eieaeueiia io?eoeaoaeueiia aeaaeaiea aucuaaao aeoeaecaoeeth eaeeioeeoo?ee o aieueiuo o?iie/aneei eaoaioiui ieaeiiao?eoii, e yoi niaiaaeaao n ?acoeueoaoaie enneaaeiaaiey ii i?aaeiecieiiiaiio oanoo o aiaeiae/iuo iaoeeaioia. Aia?aua ?ac?aaioaia e aiaae?aia iaoiaeeea ea/aiey o?iie/aneiai ieaeiiao?eoa o ii?yeia n eniieueciaaieai a eiiieaena aioeaaeoa?eaeueiuo n?aaenoa e eieaeueiiai io?eoeaoaeueiiai aeaaeaiey ia iaeanoue a?thoiie iieinoe e i?aaiia iaeiai oaca. Iainiiaai iioeiaeueiue ?aaeei i?eiaiaiey eieaeueiiai io?eoeaoaeueiiai aeaaeaiey n ii?aaeaeaiiui o?iaiai iineaaeiaai, a oaeaea a?aiaiai e e?aoiinoueth aicaeaenoaey ia ciio ii/ae. Iaaeyaeii au?aaeaia naiaoeey ii/aaiai neiae?iia iiae aeeyieai eieaeueiiai io?eoeaoaeueiiai aeaaeaiey a iaeanoe i?aaiia iaeiai oaca a ni/aoaiee n aioeaaeoa?eaeueiie oa?aieae. Eieaeueiia io?eoeaoaeueiia aeaaeaiea a aeeaaiinoeea e ea/aiee eaoaioiuo oi?i o?iie/aneiai ieaeiiao?eoa i?eiaiyeinue a iinoiyiiii e i?a?uaenoii ?aai/eo ?aaeeiao. A neo/aa iinoiyiiiai ?aaeeia aeeeoaeueiinoue 1-e i?ioeaaeo?u ninoaaeyea 5 ieioo, 2-e i?ioeaaeo?u - 10 ieioo. Ia?aiao?u i?a?uaenoiai ?aaeeia - ?ac?aaeaiea auaea?aeee 8 eeeiianeaeae, a?aiy auaea?aeee 20 naeoiae e aeeeoaeueiinoue i?ioeaaeo?u 15 ieioo. Ianeaaeiaaiiua iieo/aee eo?n i?ioeaaeo? eieaeueiiai io?eoeaoaeueiiai aeaaeaiey a eiiaeie?iaaiiie eaia?a ciiaeueiie aeaeiii?annee ii neaaeothuae noaia: ia?aua 3 i?ioeaaeo?u aaeaaeiaaii, neaaeothuea 3 i?ioeaaeo?u - /a?ac aeaiue n eioa?aaeii 48 /ania. I?aaeeiaeaiiua aeeaaiinoe/aneea iaoiaeeee yaeythony aeinoaoi/ii eioi?iaoeaiuie, aaniethoii aaciianiuie aeey i?aaiecia ianeaaeoaiiai iaoeeaioa, a eo ni/aoaiea a eiiieaena aeeaaiinoe/aneeo i?ioeaaeo? iaoeaeaii ia aieaa oe?ieoth auyaeyaiinoue eaoaioii i?ioaeathueo ainiaeeoaeueiuo caaieaaaiee ii/ae. Eniieueciaaiea i?e i?ioioai?ao i?iau n i?ia?aiie?oaiui aaeooi-aicaeaenoaeai iicaieyao iia?aoeaii auyaeoue ne?uoua oi?iu ieaeiiao?eoa, /oi iaania/eo aieaa ea/anoaaiiue i?ioioai? ii?yeia. EETH*AAUA NEIAA: o?iie/aneee ieaeiiao?eo, aeeaaiinoeea, ea/aiea, eieaeueiia io?eoeaoaeueiia aeaaeaiea, ii?yee. SUMMARY Korotayeva E.V. The features of pyelonephritis’ diagnostics and treatment in seafarers. Manuscript. Thesis for the competition of a candidate’s degree in medicine. Speciality 14.01.34. – aircraft, space and maritime medicine. – Ukrainian Scientific Research institute of the maritime medicine, Odessa, 1999. The work is dedicated to the development of diagnostic revelation methods of primary or secondary chronic latent pyelonephritis with additional study of renal functional activity state. Also the changes of renal functional activity under the influence of long-time ocean voyage in seafarers of different occupations, length of service and age were studied. The methods of chronic pyelonephritis’ diagnostics were developed, using the dosed water load, with approximate determination of disease duration according to the safety or elasticity loss in structure of pyelocalic system. The chronic pyelonephritis’ treatment program in seafarers was developed. It consists of the complex use of antibacterial drugs and local negative pressure applied on the abdominal cavity and pelvic organs area. The significant loss of renal pyelocalic system elasticity was marked in patients with long pyelonephritis course. These changes we have named the rigidity syndrome. Also under the influence of complex use of antibacterial drugs and local negative pressure applied on the pelvic organs area the sanitation of urinary syndrome was observed. KEY WORDS: chronic pyelonephritis, diagnostics, treatment, local negative pressure, seafarers.

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