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Особливості пізньої постнатальної адаптації новонароджених з постгіпоксичними кардіопатіями та шляхи їх корекції: Автореф. дис… канд. мед. наук / Б.

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?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia??

Aeaaeai?? iaaee/ieo iaoe Oe?a?ie

IAAEEE?ANUeEA Aiaaeaiia Ieoaee?aia

OAeE [616-053.35+616-071+612.015+616.1]:616-003.96

INIAEEAINO? I?CIUeI? IINOIAOAEUeII? AAeAIOAOe?? IIAIIA?IAeAEAIEO C
IINOA?IIENE*IEIE EA?Ae?IIAO?ssIE OA OEssOE ?O EI?AEOe??

14.01.10 – iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a- 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?aaii-O?aie?anuee?e aea?aeaai?e iaaee/i?e aeaaeai??
IIC Oe?a?ie.

Iaoeiaee ea??aiee:

– aeieoi? iaaee/ieo iaoe, i?ioani?, Aieinyiei ?iiaia Iao??aia,
?aaii-O?aie?anueea aea?aeaaia iaaee/ia aeaaeai?y IIC Oe?a?ie,
caa?aeoth/a eaoaae?ith aeeoy/eo oai?ia

Io?oe?ei? iiiiaioe:

– aeieoi? iaaee/ieo iaoe, i?ioani?, Iaeaeaiiee A?oae?e A?eai?iae/,
Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.I.I.Aiaiiieueoey IIC Oe?a?ie,
caa?aeoth/ee eaoaae?ith iaae?ao??? ? 4;

– aeieoi? iaaee/ieo iaoe, i?ioani? Oea/aiei Na?oeaia Eoci?i?/ia,
Euea?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i. Aeaieea Aaeeoeueeiai
IIC Oe?a?ie, caa?aeoth/a eaoaae?ith oaeoeueoaonueei? ? aini?oaeueii?
iaae?ao???.

I?ia?aeia onoaiiaa:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea IIC
Oe?a?ie, eaoaae?a iaiiaoieia??.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “18” o?aaiy 1999 ?ieo i 13 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.553.01 ii caoenoo
aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoe?aeueiinoyie “Iaae?ao??y”, “Aeooa?noai ? a?iaeieia?y” i?e ?inoeooo?
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i.Ee?a,
aoe.Iaio?eueneiai,8).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i.Ee?a,
aoe.Iaio?eueneiai,8).

Aaoi?aoa?ao ?ic?neaiee “17” ea?oiy 1999 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee
Eaaoi?ia E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie.

A no?oeoo?? i?e/ei ia?eiaoaeueii? nia?oiino? iaeia c ia?oeo i?noeue
caeia? a?iien?y, ui noi?iaiaeaeo?oueny oyaeeeie ii?ooaiiyie c aieo
ia?aiai?, na?oeaai-noaeeiii? oa ?ioeo nenoai i?aai?cio (I.I.Oaaaeia ?
ni?aaao., 1990; I.I. Eoe’yiiaa ? ni?aaao., 1991). A Oe?a?i? ??aaiue
caoai?thaaiino? ia a?iien?th ieiaea oa ano?en?th iiaiia?iaeaeaieo
neeaaea? 97 ia 1000 iiaiia?iaeaeaieo aeeaeie, oiaoi eiaeia aeanyoa
aeeoeia ii?iaeaeo?oueny c i?iyaaie a?iien??, ui i?ecaiaeeoue o /anoeie
ae?oae aei ?iaae?aeiino? (I.A.Noe?ia, 1995).

A i?ioeanao aaeaioaoe?? iiaiia?iaeaeaieo ae?oae, ui ia?aianee a?iien?th,
/?eueia i?noea caeia? aaeaioaoe?y nenoaie e?iaiia?ao, a?ae aoaeoeaiino?
?iaioe yei? aaaaoi a /iio caeaaeeoue ooieoe?iioaaiiy ?ioeo i?aai?a ?
nenoai (E.O.Eiiaei, 1989; A.A.I?aoia, 1996; H.Rigatto, 1996).

Iaoeia? aeine?aeaeaiiy iieacaee, ui a?iiene/i? o?aaeaiiy na?oey
noaiiaeyoue aaeeeo ? na?eicio i?iaeaio a iaiiaoieia?? ? iiaeooue
coiiaethaaoe na?oeaai-noaeeiio iaoieia?th a a?eueo noa?oiio a?oe?
aeeoeinoaa ? o aei?ineeo (A.A.I?aoia, 1996). Oiio aeaia i?iaeaia ia? ia
eeoa iaaee/ia, a e nioe?aeueia cia/aiiy.

Aeeeaaeaia aeeeoo? iaiao?aei?noue iiaeeaeaiiai aea/aiiy iaoiaaiaoe/ieo
iaoai?ci?a a?iiene/ieo o?aaeaiue na?oeaai-noaeeiii? nenoaie, a oaeiae
iiooe ia?ea??a aeeaeie ? ?ioaineaiino? iioeiaeaeaiue na?oey o
iiaiia?iaeaeaieo ae?oae, ui ia?aianee a?iien?th. A aeinooii?e e?oa?aoo??
aea/aiiy aaeaioaoe?? na?oeaai-noaeeiii? nenoaie o iiaiia?iaeaeaieo
ae?oae i?iaiaeeeinue a ia?o? aiaeeie ? aei? ?o aeeooy (E.O.Eiiaei, 1989;
I.I.Ni?oiay, 1989). Oiio aaaeeeaei ? aea/aiiy i?ciuei? iinoiaoaeueii?
aaeaioaoe?? iiaiia?iaeaeaieo c iinoa?iiene/ieie ea?ae?iiao?yie, aaeaea
i?ci?e iaiiaoaeueiee ia??iae ia? aaaeeeaa cia/aiiy aeey aeeoa?aioe?eii?
ae?aaiinoeee a?aeoeeaiue oa ?o nai?/anii? ei?aeoe??.

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

I?aaenoaaeaia i?aoey ? /anoeiith ieaiiai? eiiieaenii?
iaoeiai-aeine?aeii? ?iaioe ia oaio “Ee?i?ei-iaoiaaiaoe/i? iniaeeaino?
i?ciueiai iaiiaoaeueiiai ia??iaeo o aeiiioaieo iiaiia?iaeaeaieo ae?oae c
ii?ooaiiyie aaeaioaoe?? a ia?o? aei? aeeooy”, yea aeeiio?oueny ia
eaoaae?? iaae?ao??? ?aaii – O?aie?anueei? aea?aeaaii? iaaee/ii?
aeaaeai??, a ?aieao i?ia?aie “Ae?oe Oe?a?ie” (aioo??oiy ?a?no?aoe?y
01.10.034.96I) oa neeaaeiaith iniiaiiai iaoeiaiai iai?yieo aeaaeai??
“?ic?iaea iiaeo iaaee/ieo oaoiieia?e oa noaiaea?o?a yeino? ae?aaiinoeee
oa e?eoaaiiy iaeaaaeeea?oeo ia?ioaeoe?eieo caoai?thaaiue”, yeee
?ic?iaey?oueny aeaaeai??th a ?aieao i?aeia?iaeii? ?ioaa?aeueii? i?ia?aie
CINDI- AIIC-Oe?a?ia (1995-2000).

Iaoa aeine?aeaeaiiy.

Aaeineaiaeaiiy eiiieaenii? ae?aaiinoeee iinoa?iiene/ieo ea?ae?iiao?e oa
i?aeaeuaiiy aoaeoeaiino? iaoiaaiaoe/ii? oa?ai?? ii?ooaiue aaeaioaoe??
na?oeaai – noaeeiii? nenoaie iiaiia?iaeaeaieo ae?oae o i?ciueiio
iaiiaoaeueiiio ia??iae?.

Caaea/? aeine?aeaeaiiy.

1. Aea/eoe iniaeeaino? ee?i?/ii? ea?oeie o iiaiia?iaeaeaieo ae?oae c
ia?eiaoaeueieie o?aaeaiiyie na?oey.

2. Aea/eoe iniaeeaino? oa?iaioaoeaiiai noaoono, cie?aia ??aiy
ea?ae?iniaoeeo?/ieo oa?iaio?a e?aaoeie?iace, eaeoaoaeaa?ae?iaaiace,
ania?oaoai?iio?ainoa?ace, aeai?iai?iio?ainoa?ace i?e ia?eiaoaeueieo
o?aaeaiiyo na?oey.

3. Aea/eoe ? cai?iiiioaaoe aeey i?aeoeee aeaye? aeaeo?iea?ae?ia?ao?/i?
e?eoa??? ioe?iee ae?yeueiino? na?oey o iiaiia?iaeaeaieo ae?oae c
iinoa?iiene/ieie ea?ae?iiao?yie.

4. Aea/eoe ? ioe?ieoe noai aaeaioaoe?eii-i?enoiniaaieo iaoai?ci?a
i?aai?cio iiaiia?iaeaeaieo ae?oae ia iniia? ea?ae?i?ioa?aaeia?ao??.

5. Aeaoe ii??aiyeueio ioe?ieo o?aaeeoe?eieo ? aaeineiiaeaieo iaoiae?a
e?eoaaiiy ia?eiaoaeueieo o?aaeaiue na?oey o iiaiia?iaeaeaieo ae?oae o
i?ciueiio iaiiaoaeueiiio ia??iae?.

Iaoeiaa iiaecia ?iaioe.

I?iaaaeaii eiiieaenia aeine?aeaeaiiy noaio na?oeaai-noaeeiii? nenoaie c
aecia/aiiyi oyaeeino? ia?aa?ao iinoa?iiene/ieo ea?ae?iiao?e o
iiaiia?iaeaeaieo a i?ciueiio iaiiaoaeueiiio ia??iae?.

Aeyaeaii caeaaei?noue i?ae ??aiai aeoeaiino? i?aaiiniaoeeo?/ieo
oa?iaio?a EE, EAeA, AnAO, AeAO a?ae aeaeo ia?aianaii? a?iien??.

Aia?oa aeine?aeaeaii noai aaeaioaoe?eieo iaoai?ci?a o iiaiia?iaeaeaieo c
iinoa?iiene/ieie ea?ae?iiao?yie a i?ciueiio iaiiaoaeueiiio ia??iae? ia
i?aenoaa? ea?ae?i?ioa?aaeia?ao??.

Aea/aii aeaeo?iea?ae?ia?ao?/i? e?eoa??? ioe?iee ae?yeueiino? na?oey c
o?aooaaiiyi aeaeo ia?aianaii? a?iien?? o iiaiia?iaeaeaieo c
iinoa?iiene/ieie ea?ae?iiao?yie.

I?iaaaeaia ii??aiyeueia ioe?iea aoaeoeaiino? eiiieaeniiai e?eoaaiiy c
canoinoaaiiyi ii?aeiaiiy i?aia?ao?a ?eaienei ? oeeoio?ii N.

I?aeoe/ia cia/aiiy ?acoeueoao?a ?iaioe.

I?aeoe/ia oe?ii?noue ?iaioe iieyaa? a ?ic?iaoe? ae?aaiinoe/ieo
oano?a, ye? aecia/athoue nooi?iue oyaeeino? ia?aa?ao iinoa?iiene/ieo
ea?ae?iiao?e. ??aaiue aeoeaiino? e?aaoeie?iace oa eaeoaoaeaa?ae?iaaiace
iiaea aooe aeei?enoaiei ye /ooeeaee oano aeeaeie o?aaeaiiy
na?oeaai-noaeeiii? nenoaie o iiaiia?iaeaeaieo. Ea?ae?i?ioa?aaeia?ao?y o
iiaiia?iaeaeaieo a i?ciueiio iaiiaoaeueiiio ia??iae? iiaea aooe
aeei?enoaia aeey ae?aaiinoeee iai?oaeaiiy i?ioean?a aaeaioaoe??
na?oeaai-noaeeiii? nenoaie. Io?eiai? ?acoeueoaoe iaa?oiooaaee
iiaeeea?noue eiiieaeniiai canoinoaaiiy ?eaieneio oa oeeoio?iio N a
oa?ai?? iinoa?iiene/ieo ea?ae?iiao?e. Aeei?enoaiiy ?eaieneio oa
oeeoio?iio N aeicaiey? aeinyaiooe iie?ioaiiy ?acoeueoao?a eiiieaenii?
oa?ai?? ? ni?ey? ?aa?ano ea?ae?aeueieo neiioii?a, nei?i/aiith
o?eaaeino? ia?aaoaaiiy a noaoe?iia??, ui ia? aeiiii?/io aeaiaeo ?
ciaioo? ?ecee aioo??oiueie?ea?iyiiai ?io?eoaaiiy.

I?aeaioiaeaii oa iioae?eiaaii ?ioi?iaoe?eiee eeno “Iaoiae canoinoaaiiy
eiiieaeno oeeoio?ii N oa ?eaieneio o e?eoaaii? ia?eiaoaeueieo o?aaeaiue
na?oey o iiaiia?iaeaeaieo ae?oae a i?ciueiio iaiiaoaeueiiio ia??iae?” (?
31-97).

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiue o i?aeoeeo.

?acoeueoaoe aeine?aeaeaiiy cai?iaaaeaeai? a i?aeoeeo ?iaioe
?aaii-O?aie?anueei? iaeanii? ee?i?/ii? e?ea?i? oa ?aaii-O?aie?anueeiai
iaeaniiai ia?eiaoaeueiiai oeaio?o, ?aeiiieo e?ea?aiue i.Aaee/a,
i.Iaaea??ie, i.Aiai?iae/aie ?aaii-O?aie?anueei? iaeano?, i.?aaeeaee?a
??aiainueei? iaeano?.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii iniaenoi i?iaaaeai? ee?i?/i? niinoa?aaeaiiy oa ianoaaeaiiy
ae?oae. Cae?eniai? eaai?aoi?i? aeine?aeaeaiiy (aecia/aiiy aeoeaiino?
i?aaiiniaoeeo?/ieo oa?iaio?a EE, EAeA, AnAO, AeAO).

Aeine?aeaeaii ca’ycie i?ae ia?aiao?aie, ui aea/aeenue, c?iaeaia
noaoenoe/ia ia?iaea, ocaaaeueiaiiy io?eiaieo ?acoeueoao?a c o?aooaaiiyi
aoaeoeaiino? cai?iiiiiaaieo oa?aiaaoe/ieo eiiieaen?a.

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

?acoeueoaoe aeine?aeaeaiue, ui aeeth/ai? aei aeena?oaoe?? ii?eethaeiaii
ia iaoeiai-i?aeoe/iiio oiaa?enoa? iaae?ao??a (i.?aaii-O?aie?anuee, 1998
??e), eo?nao i?aeaeuaiiy eaae?o?eaoe?? iaae?ao??a oa iaiiaoieia?a
(1997), 29-?e iaeani?e eiioa?aioe?? iieiaeeo a/aieo-iaaeee?a
(?aaii-O?aie?anuee, 1998) oa ia iaaee/i?e eiioa?aioe?? nooaeaio?a oa
iieiaeeo e?ea??a (Lublin, Poland, 1998).

Ioae?eaoe??.

Ca oaiith aeena?oaoe?eii? ?iaioe iaae?oeiaaii 8 ?ia?o, ?c ieo 5 noaoae a
aeo?iaeao ? 3 oace o a?o/eciyieo oa ?iicaiieo ca??ieeao iaoeiaeo
i?aoeue.

Ia’?i ? no?oeoo?a aeena?oaoe??.

Aeena?oaoe?y neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, iaoa??ae?a ?
iaoiae?a aeine?aeaeaiiy, 2 ?icae?e?a aeanieo niinoa?aaeaiue, aiae?co oa
iaaiai?aiiy io?eiaieo ?acoeueoao?a, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, nieneo aeei?enoaieo aeaea?ae. ?iaioa aeeeaaeaia ia 144
noi??ieao iaoeiiieniiai oaenoo, ?ethno?iaaia 24 oaaeeoeyie, 7
iaethieaie, ye? ?ici?uai? ia 10 noi??ieao. A?ae?ia?ao?/iee ia?ae?e
aeeth/a? 325 aeaea?ae, c ieo 214 a?o/eciyieo ? 111 ca?oa?aeieo, ? caeia?
35 noi??iie.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee ianoaaeaiiy.

Aeey aeinyaiaiiy iaoe oa ae??oaiiy iinoaaeaieo caaaeaiue
i?iaaaeaii eiiieaenia ee?i?ei-ooieoe?iiaeueia ianoaaeaiiy 132
iiaiia?iaeaeaiei ae?oyi, ye? ia?aaoaaee ia noaoe?iia?iiio e?eoaaii? o
a?aeae?eaii? iaoieia?? iiaiia?iaeaeaieo ae?oae iaeanii? aeeoy/i?
ee?i?/ii? e?ea?i? i. ?aaii-O?aie?anueea c i?eaiaeo iinoa?iiene/ieo
ea?ae?iiao?e. Na?aaei?e oa?i?i aanoaoe?? iiaiia?iaeaeaieo ae?oae
noaiiaea 39,4±0,47 oeaei?a. A?oiith ii??aiyiiy aoee 30 caei?iaeo
aeiiioaieo ae?oae, o yeeo aioa – oa iaiiaoaeueiee ia??iaee i?io?eaee
aac ii?ooaiue.

Eiiieaen ee?i?/iiai ianoaaeaiiy neeaaeaany c caaaeueiii?eeiyoeo
iaoiae?a: aiaiiaco, ia’?eoeaieo aeaieo. Aecia/aany iaa?ieia?/iee noaoon
iiaiia?iaeaeaieo.Ooieoe?iiaeueia ? eaai?aoi?ia ianoaaeaiiy
na?oeaai-noaeeiii? nenoaie i?iaiaeeee a aeeiai?oe? i?ciueiai
iaiiaoaeueiiai ia??iaeo ia ia?oo oa /ioe?iaaeoeyoo aeiae ia?aaoaaiiy a
noaoe?iia??.

I?iaiaeeeenue ianooii? niaoe?aeuei? ianoaaeaiiy:

1. Aecia/aiiy aeoeaiino? EE ? EAeA.Aecia/aiiy aeoeaiino? oeeo aicei?a
i?iaiaeeeiny ca iaoiaeeeith o??ie “ Eagle diagnostics” (NOA) ia aia?ao?
“ STAT FAX 1904 PLUS”. Ia/eneaiiy ?acoeueoao?a cae?enithaaeiny ca
aeiiiiiaith noaiaea?oieo i?ia?ai.

2. Aecia/aiiy aeoeaiino? AnAO ? AeAO. Aecia/aiiy aeoeaiino?
aeai?iai?iio?ainoa?ace oa ania?oaoai?iio?ai–noa?ace i?iaiaeeeiny ca
aeiiiiiaith iaai?o ?aaeoea?a aeey aecia/aiiy aeoeaiino? aeuaiacaaieo
oa?iaio?a iaoeiai-ae?iaie/i? o??ie “ SIMKO Ltd.”. A iniia? aecia/aiiy
caeeaaeaiee oi?o?eiaaiee aeei?o?ioai?ea?ae?aceiiaee iaoiae ?aeoiaia –
O?aieaey.

3. Aeaeo?iea?ae?ia?ao?y. Caien aeaeo?iea?ae?ia?aie i?iaiaeeany ia
aia?ao? “Yeaeo?iea?aeeia?ao YE 1O – 03I” a o?ueio noaiaea?oieo
a?aeaaaeaiiyo a?ae e?ioe?aie oa a?oaeieo a?aeaaaeaiiyo. Ca aeaieie AEA
aecia/aee ii?ooaiiy ?eoio ? i?ia?aeiino?, iciaee a?ia?o?io?? ?
ia?aaaioaaeaiiy i?iea?aeo oeoii/e?a, ci?ie aeaeo?e/ii? nenoiee,
ii?ooaiiy i?ioean?a ?aiiey?ecaoe??.

4. Ea?ae?i?ioa?aaeia?ao?y. Ea?ae?i?ioa?aaeia?ao?y i?iaiaeeeanue ia
aia?ao? “Yeaeo?iea?aeeia?ao YE 1O – 03I”, aeio?eioth/enue oiia, ye i?e
i?iaaaeaii? aeaeo?iea?ae?ia?ao??. Caien ea?ae?ia?aie i?iaiaeeany o ??
noaiaea?oiiio a?aeaaaeaii?, aacia?a?aii caienoth/e ia iaioa 110
ea?ae?ioeeee?a. Aei??thaaee ?ioa?aaee R – R, caienoth/e ?o a
noaoenoe/iee ?yae. Aiae?c ea?ae?ia?aie i?iaiaeeany ?o/iei niiniaii c
aecia/aiii ianooiieo iniiaieo iieaciee?a: Ii – iiaea, AIi –
aiie?ooaea iiaee, O aa??aoe?eiee ?iciao, ?I ?iaeaen iai?oae.

5. Oeueo?acaoeiaa neaioaaiiy na?oey. Aoiea?ae?ia?ao?y i?iaiaeeeanue ia
aia?ao? Alina 630 naeoi?aeueiei aeao/eeii c iiooaei?noth 5,0 iAoe a
caoaiiaiiio oaieiio i?ei?uaii?. A ?iaio? aoee aeei?enoai?
aoiea?ae?ia?ao?/i? iieacieee, ui oa?aeoa?ecothoue ooieoe?iiaeuei?
aeanoeaino? e?aiai oeoii/ea: e?ioeaai – nenoie?/iee oa e?ioeaai –
ae?anoie?/iee ia’?ie, oaea?iee ia’?i, oaeeeiiee ia’?i, o?aeoe?y aeeeaeo.

6. Oeueo?acaoeiaa ianoaaeaiiy aieiaiiai iiceo. Iae?iniiia?ao?y
i?iaiaeeeany aia?aoii Alina-630 o o?iioaeuei?e oa ia?anaa?oaeuei?e
ieiueiao c aeai/eeii iiooaei?noth 5,0 ? 7,5 iAoe. A ?acoeueoaoao
ianoaaeaiiy i?eeiaeenue aei oaaae ae?aiao? oeoii/e?a, noai noaeeiieo
nieaoaiue, neea ioeuenaoe?? noaeei. I?e aiae?c? oeeo aeaieo aeae?eyee
/ioe?e nooiai? ia?e – ?io?aaaio?eeoey?ieo e?iaiaeeea?a.

?aioaaiieia?/ia aeine?aeaeaiiy i?aai?a a?oaeii? ee?oee c aecia/aiiyi
ea?ae?i-oi?aeaeueiiai ?iaeaeno i?iaiaeeeinue ca iieacaiiyie.

Aeey ei?aeoe?? aeyaeaieo a?aeoeeaiue aoei cai?iiiiiaaii aeeth/aiiy a
eiiieaen e?eoaaeueieo caoiae?a i?aia?ao?a ?eaienei oa oeeoio?ii N. Aeey
ioe?ithaaiiy aoaeoeaiino? cai?iiiiiaaii? oa?ai?? iiaiia?iaeaeai?
iaoiaeii ?aiaeii?caoe?? aoee ?iciiae?eai? ia /ioe?e a?oie. Ia?oa a?oia
aeeth/aea 30 ae?oae, ui io?eiaee caaaeueiii?eeiyoa e?eoaaiiy; ae?oaa –
33 iiaiia?iaeaeaieo, aei e?eoaaiiy yeeo aeeth/eee ?eaienei; o?aoy – 35
ae?oae, yeei aei aacenii? oa?ai?? aeeth/eee oeeoio?ii N; /aoaa?oa – 34
iiaiia?iaeaeaieo aei e?eoaaiiy yeeo aeeth/aii ?eaienei ? oeeoio?ii N. A
iniiao aeai?o i?aia?ao?a iieeaaeaii ?o iaoai?ci ae??. Aoaeoeai?noue
i?ioean?a i?ciuei? iinoiaoaeueii? aaeaioaoe?? iiaiia?iaeaeaieo c
iinoa?iiene/ieie ea?ae?iiao?yie ioe?ithaaeanue ca aeeiai?eith ee?i?/ieo,
eaai?aoi?ieo oa ?ino?oiaioaeueieo iieaciee?a.

Io?eiai? a i?ioean? niinoa?aaeaiue /eneia? aeai? ia?iaeyeenue iaoiaeaie
iaoaiaoe/ii? noaoenoeee c ?ic?aooieii na?aaei?o aaee/ei, na?aaei?o
eaaae?aoe/ieo a?aeoeeaiue, ye? a?aeiia?aeaee iieacieeai o oai?eo oa
caei?iaeo ae?oae. Aeey ioe?iee a??ia?aeiino? a?aei?iiino? ii??aithaaieo
iieaciee?a aeei?enoiaoaaany e?eoa??e Nouethaeaioa. Io?eiai? a?aei?iiino?
aeciaaaeenue ia aeiaaeeiaeie, yeui ?iia??i?noue (?) ia ia?aaeuoaaea
0,05.

Iniiai? ?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy.

Aiaiianoe/i? aeai? na?ae/aoue i?i oa, ui cia/ia /anoeia ae?oae ( 46,8 %)
ia?iaeeeanue a?ae ia?oi? aaa?oiino? o iaoa??a a?eii 20-21 ??e. Ia
aeeaey/enue ia iioeiaeueiee aeey ia?iaeaeaiiy aeeoeie a?e, o?c?ieia?/ia
i?io?eaiiy aaa?oiino? niinoa??aaeinue eeoa o 28,03 % ae?iie, o ?aooe
a?aei?/aii ??ciiiai?oi? oneeaaeiaiiy a ia?aa?ao aaa?oiino?. Iaea?eueo
/anoi cono??/aeenue aiai?y ??ciiai nooiaiy oyaeeino? (o 82 ae?iie, ui
noaiiaeoue 62,12 %), caa?ica ia?a?eaaiiy aaa?oiino? ( o 28,03 % ),
iao?iiao?y aaa?oieo – 18,94%. O 54% ae?iie niinoa??aaeiny ii?aeiaiiy
aeaio ? a?eueoa oneeaaeiaiue. Eiinoaoiaaii iaoyaeaiee aeooa?nueeee
aiaiiac o 15,91 % ae?iie. I?ae /an o?c?ieia?/ieo iieia?a ia?iaeeeenue 28
ae?oae, 15 ae?oae (11,36%) – i?ae /an iia?aoe?? eana?nueeiai ?icoeio, a
n?aeie/iiio ia?aaeeaaeaii? – 18 iiaiia?iaeaeaieo. Ia?aa?a iieia?a
oneeaaeithaaany iae/ano?oa neaa?noth ?iaeiai? ae?yeueiino? (30,30%) aai
no??ie?noth iieiaiaeo nee (10,61%), o 6, 06% aeiaaee?a niinoa??aaeanue
e?iaioa/a.

Aiae?coth/e aeai? uiaei aeeoo?caeaoiino? iiaiia?iaeaeaieo iaiiaeyo ca
oeaeith Aiaa? ia ia?o?e oaeeei? aeeooy, ie a?aei?oeee, ui cia/ia /anoeia
ae?oae (38,64 %) ia?iaeeeanue a iii??i?e, 24,24 % – a oyaee?e
ano?en??. Na?aaeiy iana o?ea ae?oae i?e ia?iaeaeaii? noaiiaeea
2759+124,3 a c eieeaaiiyie a?ae 1700 aei 3100 a.

Aiae?c io?eiaieo ee?i?/ieo aeaieo aeaco? ia ia?aaaaeaiiy a
iaa?ieia?/i?e neiioiiaoeoe? iciae i?eai?/aiiy OeIN – o 72 ?c 132
iaiiaeyo. Neiioiie i?aeaeuaii? caoaeeeaino? eiinoaoiaaii o 43
ianoaaeaieo ae?oae (32,58%).

O an?o ianoaaeaieo iaiiaeyo aoei ae?aaiinoiaaii neiioiie iinoa?iiene/ii?
ea?ae?iiao?? c ?icaeoeii na?oeaai-noaeeiii? iaaeinoaoiino? ?-??
A no. Ia?ei?aeueiee ?/aai ae?ioe?aiic eiinoaoiaaii o an?o ae?oae,
ineaaeaiiy na?oeaaeo oii?a aoei o 65 ae?oae (49,24%), iineeaiiy- o 21
(15,91%) iaiiaeyo, aoneoeueoaoeaia ea?oeia ii oeio “aia??iea?ae??”
aeyaeaia o – 8 iaiiaeyo (6,06%). Ci?ie c aieo /anoioe na?oeaaeo
nei?i/aiue a?eueoa 160 oaea??a a 1 oa. eiinoaoiaaii o 90 iaiiaeyo
(68,18%), iaioa 120 oaea??a ca 1 oa.- o 32 (24,24%). Ca?eueoaiiy
?ici???a ia/?iee niinoa??aaeinue o a?eueoino? ae?oae – 92 iaiiaeyo, oea
neeaaeaei 69,69%. Nenoie?/iee ooi iaae aa?o?aeith na?oey eiinoaoiaaii o
37 ae?oae (28,03%). A?aeiinii ??aeei – o 23 iiaiia?iaeaeaieo, ui
noaiiaeoue 17,42%, niinoa??aaeenue iaa?yee /e ianoici?noue. Aoei
aeyaeaii caeaaei?noue i?ae oyaee?noth iinoa?iiene/ieo ea?ae?iiao?e oa
iayai?noth ea?ae?aeueieo neiioii?a. O iiaiia?iaeaeaieo c oyaeeei
ia?aa?aii iinoa?iiene/ieo ea?ae?iiao?e oao?ea?ae?y cono??/a?oueny
/ano?oa (75,86%) a ii??aiyii? c aeoaea oyaeeei ia?aa?aii caoai?thaaiiyi
(55,26%). A?aaeeea?ae?y, iaaiaee, o ae?oae c aeoaea oyaeeei ia?aa?aii
iinoa?iiene/iiieo ea?ae?iiao?e cono??/a?oueny a 44,74 % aeiaaee?a a
ii??aiyii? c ae?oueie c oyaeeei ia?aa?aii – 17,24%. Iaeiaeiai ii /anoio?
o ae?oae c oyaeeei ? aeoaea oyaeeei ia?aa?aii ea?ae?iiao?e cono??/aany
neiioii ca?eueoaiiy ?ici???a ia/?iee – 71,26% ? 71,05% a?aeiia?aeii.
Iaa?yee cono??/aeenue /ano?oa o ae?oae c aeoaea oyaeeei ia?aa?aii
caoai?thaaiiy.

Na?aaei?e iieaciee caaaeueii? aeoeaiino? EE o oai?eo ae?oae noaiiaea
1518,32±38,7 ieao/e, EAeA –2848,08±56,7 ieao/e (i?e ii??aiyii? ?c
caei?iaeie ae?oueie a?aeiia?aeii: 349,16±48,9 ieao/e oa 788,95±64,3
ieao/e, ?0,05)
? noaiiaea 473,79±37,6 o.i. A oeeo iaiiaeyo io?eiai? aeai? ne?ae
?icoe?ithaaoe ye ia?aiai?oaeaiiy ?aaoeyoi?ieo iaoai?ci?a.

Io?eiai? ii AoiEA aeai? aeacothoue ia oa, ui o iiaiia?iaeaeaieo ae?oae
i?ney ia?aianaii? a?iien?? aeieeathoue ii?ooaiiy ianinii? ooieoe??
na?oey, na?ae/aiiyi /iai ? aeinoia??ia (? 0,05). O iaiiaeyo, ye? io?eioaaee
oeeoio?ii N, aeoeai?noue AnAO i?ney i?iaaaeaii? oa?ai?? noaiiaeea
0,520,14 ieiieue/e. Aiaeia?/i? aeai? ie io?eiaee i?e aecia/aii?
aeoeaiino? AeAO. O ae?oae /aoaa?oi? a?oie ( c aeeth/aiiyi ?eaieneio ?
oeeoio?iio N) ??aaiue AeAO aeinoia??ii (? 0,05).

A i?ioean? e?eoaaiiy iinoa?iiene/ieo ea?ae?iiao?e c aeeth/aiiyi
i?aia?ao?a ?eaienei ? oeeoio?ii N iie?auothoueny aeaeo?iea?ae?ia?ao?/i?
iieacieee. Neioniaa oao?ea?ae?y caeeoa?oueny o 28,57 % iiaiia?iaeaeaieo
ia?oi? a?oie, oiae? ye a iaiiaeyo ae?oai? oa o?aouei? a?oie aeaiee
iieaciee ? cia/ii ieae/ei – 13,79 % ? 7,40% a?aeiia?aeii. O iaiiaeyo
/aoaa?oi? a?oie neioniaa oao?ea?ae?y caeeoa?oueny a 3,57% aeiaaee?a.
Ne?ae a?aei?oeoe, ui i?iaaaeaia oa?ai?y aieeaa? ia ii?ooaiee ?eoi
na?oey, aeyaeaiee o 36 ianoaaeaieo iaiiaeyo. Iaeiae, o 5
iiaiia?iaeaeaieo ia?oi? a?oie, ui noaiiaeoue 17,86% , neioniaa a?eoi?y
caeeoa?oueny ? i?ney e?eoaaiiy. I?ney i?iaaaeaiiai e?eoaaiiy neioniao
a?eoi?th eiinoaoiaaii o 3 ae?oae ( 10,39 %) ae?oai? a?oie ? o 3 ae?oae (
11,11 %) o?aouei? a?oie. Neioniaa a?eoi?y caeeoeeanue o iaeii? aeeoeie
(3,57%) /aoaa?oi? a?oie. Iacaeaaeii a?ae i?iaaaeaii? oa?ai?? neioniao
a?eoi?th, eiinoaoiaaio o 20 iaiiaeyo i?e iinooieaii? o noaoe?iia?, ie
ia aeyaeee i? a iaei??? ianoaaeaii? aeeoeie.

A i?ioean? i?iaaaeaiiai e?eoaaiiy a?aeaoaa?oueny ii?iae?caoe?y i?ioean?a
?aiiey?ecaoe??. Oae, o 13 iiaiia?iaeaeaieo (46,43%), yeei aei e?eoaaiiy
aoei aeeth/aii oeeoio?ii N ? ?eaienei a eiiieaen?, ii?iae?co?oueny
aiie?ooaea coaoey O o V5 (2,7+0,04), eiinoaoiaaii iiaa?iaiiy naaiaioo
S-T ia ?cie?i?th.

Aeeth/aiiy a eiiieaenio oa?ai?th oeeoio?iio N ? ?eaieneio iiceoeaii
aieeioei ia iieacieee aoiea?ae?ineii??: ia ianinio ooieoe?th na?oey,
nei?ioeeao caeaoi?noue i?iea?aeo e?aiai oeoii/ea, ciaioaiiy ae?eyoaoe??
ii?iaeieie e?aiai oeoii/ea. Iniiai? iieacieee aoiea?ae?ineii??
ci?iththoueny ia aeinoia??ii ( ?>0,05) o iaiiaeyo ia?oi? a?oie, ye?
io?eioaaee o?aaeeoe?eio oa?ai?th. O ae?oae, aei e?eoaaiiy yeeo aeeth/aii
o?eueee ?eaienei, iniiai? ia?aiao?e iaaeeaeathoueny aei ii?iaeueieo
iieaciee?a ? noaiiaeyoue ENI 11,29+0,44 ie, ui a ii??aiyii? c
aiaeia?/iei iieacieeii aei e?eoaaiiy (12,47+0,24 ie) ci?ith?oueny ia
aeinoia??ii. O iiaiia?iaeaeaieo oe??? a?oie oaea?iee ia’?i ci?ith?oueny
(ca?eueoo?oueny) aeinoia??ii (?0,05) ? noaiiaea 11,02+0,31 ie. O ae?oae, ye? io?eioaaee eiiieaenii
?eaienei ? oeeoio?ii N a e?eoaaii?, ie anoaiiaeee cieaeaiiy
e?ioeaai-nenoie?/iiai ia’?io c 6,85±0,27 ie aei 3,13±0,16 ie, ui aeaco?
ia iie?auaiiy ooieoe?? aeeeaeo. O ae?oae oe??? ae a?oie anoaiiaeaii
ciaioaiiy e?ioeaai-ae?anoie?/iiai ia’?io c 12,28±0,21 ie aei 10,24±0,27
ie, ui aeaco? ia

ciaioaiiy aeeeyoaoe?? ii?iaeieie e?aiai oeoii/ea.

?en.1. Aeeiai?ea o?aeoe?? aeeeaeo a i?ioean? e?eoaaiiy

Aei e?eoaaiiy1 – o?aaeeoe?eia oa?ai?y2 – c aeeth/aiiyi ?eaieneioI?ney
e?eoaaiiy3 – c aeeth/aiiyi oeeoio?iio N4 – c aeeth/aiiyi ?eaieneio ?
oeeoio?iio N

I?i iie?auaiiy nei?ioeeai? caeaoiino? i?iea?aeo na?ae/eoue aeinoia??ia
(?0,05).

A i?ioean? e?eoaaiiy ciaioeeanue (c 21% aei 13%) e?euee?noue ae?oae c
iciaeaie aioo??oiuei/a?aiii? a?ia?oaic??. Iciaee I?AE III-IY no.
eiinoaoiaaii o 16% iiaiia?iaeaeaieo i?ney i?iaaaeaii? oa?ai??.
Ciaioeeanue e?euee?noue ae?oae c iciaeaie I?AE I-II no. I?ney
i?iaaaeaiiai e?eoaaiiy aeyaeaii 30 iiaiia?iaeaeaieo ae?oae aac
iaoieia?/ieo a?aeoeeaiue ia iae?iniiia?ai?.

Iaie i?iaiaeeeinue eaoaiianoe/ia (/a?ac 3 i?nyoe? i?ney aeienee c
noaoe?iia?o) niinoa?aaeaiiy ca 18 ae?oueie c iinoa?iiene/ieie
ea?ae?iiao?yie, o yeeo i?ney i?iaaaeaii? oa?ai?? caeeoeeenue
noaai?iae?iaeuei? eenoe. O?ce/iee oa ia?aiai-ineo?/iee ?icaeooie oeeo
iaiiaeyo a?aeiia?aea? a?eo. I?e i?iaaaeaii? caaaeueiiee?i?/ieo,
eaai?aoi?ieo ianoaaeaiue o oeeo ae?oae ci?i ia aoei aeyaeaii.
Aeaeo?iea?ae?ia?ao?/i? oa aoiea?ae?ia?ao?/i? iieacieee a?aeiia?aeaee
a?eiaei ii?iai. I?e i?iaaaeaii? iae?iniiia?ao?? o an?o iaiiaeyo
eiinoaoiaaii, ui iae?iniiia?ao?/ia ea?oeia aoea aac iaoieia?/ieo
a?aeoeeaiue. Aeaiee oaeo aeicaiey? aaaaeaoe aeyaeai? noaai?iae?iaeuei?
eenoe iani?aaaei?ie eenoaie, ye? ia aieeaathoue ia o?ce/iee oa
ia?aiai-ineo?/iee ?icaeoie iaiiaeyo.

AENIIAEE.

1. O?ii?/ia aioo??oiueioo?iaia a?iien?y ? / aai aino?a ano?en?y a
iieiaao ? i?e/eiith ii?ooaiiy aaeaioaoe?? na?oeaai-noaeeiii? nenoaie o
iiaiia?iaeaeaieo ae?oae a i?ciueiio iaiiaoaeueiiio ia??iae? ?
i?ecaiaeeoue aei aeieeiaiiy iinoa?iiene/ieo ea?ae?iiao?e.

2. Iinoa?iiene/i? ea?ae?iiao?? o iiaiia?iaeaeaieo iaiiaeyo a i?ciueiio
iaiiaoaeueiiio ia??iae? oa?aeoa?ecothoueny oe?aiicii, ii?ooaiiyi /anoioe
? neee na?oeaaeo nei?i/aiue, aaiaoiiaaae??th, ae?aaeai?noue yeeo
caeaaeeoue a?ae oyaeeino? ia?aa?ao caoai?thaaiiy.

3. O iiaiia?iaeaeaieo ae?oae c iinoa?iiene/ieie ea?ae?iiao?yie
anoaiiaeaii i?aeaeuaiiy ??aiy aeoeaiino? e?aaoeie?iace,
eaeoaoaeaa?ae?iaaiace a 4 ?ace, ania?oaoai?iio?ainoa?ace,
aeai?iai?iio?ainoa?ace a 2,6 ?ace a ii??aiyii? c caei?iaeie
iiaiia?iaeaeaieie ae?oueie. Aecia/aiiy aeoeaiino? aicei?a EE ? EAeA ?
/ooeeaei oanoii aeeaeie o?aaeaiiy na?oeaai-noaeeiii? nenoaie o
iiaiia?iaeaeaieo a iinoiaoaeueiiio ia??iae?.

4. Ooieoe?iiaeuei? ci?ie na?oeaai-noaeeiii? nenoaie i?e iinoa?iiene/ieo
ea?ae?iiao?yo eiinoaooaaeenue ia AEA o 93% iiaiia?iaeaeaieo ae?oae ?
i?iyaeyeenue ii?ooaiiyi ?eoio ? i?ioean?a ?aiiey?ecaoe??, aeieaaeaie
i?aai? ? e?ai? i?aeie io/ea A?nna, ii?ooaiiyie ao??i- aaio?eeoey?ii?
i?ia?aeiino?.

5. Ea?ae?i?ioa?aaeia?ao?y ? /ooeeaei ae?aaiinoe/iei iaoiaeii aeey
aecia/aiiy iai?oaeaiiy aaeaioaoe?eieo iaoai?ci?a o iiaiia?iaeaeaieo
iaiiaeyo a i?ciueiio iaiiaoaeueiiio ia??iae?, ui i?iyaey?oueny
aeoeaaoe??th oeaio?aeueiiai ? cieaeaiiyi aeoeaiino? aaoiiiiiiai eiioo?o
?aaoeyoe??. O 32% ianoaaeaieo iaiiaeyo, ca aeaieie E?A, eiinoaooaaeinue
ia?aiai?oaeaiiy ?aaoeyoi?ieo iaoai?ci?a.

6. Aeeth/aiiy a eiiieaenio oa?ai?th ?eaieneio ? oeeoio?iio N i?eaiaeeoue
aei iie?auaiiy aoaeoeaiino? e?eoaaiiy, a naia: i?enei?aiiy ?aa?ano
ea?ae?aeueieo ? iaa?ieia?/ieo ii?ooaiue, ca?eueoaiiy na?aaeiueiaeiaiaiai
i?e?inoo iane o?ea, ciaioaiiy e?eueeino? aei?a, i?iaaaeaieo a
noaoe?iia??, ii?iae?caoe?? ??aiy aeoeaiino? EE, EAeA, AnAO ? AeAO oa
iie?auaiiy iieaciee?a aeaeo?iea?ae?ia?ao??, ea?ae?i?ioa?aaeia?ao??,
aoiea?ae?ia?ao??, iae?iniiia?ao??.

7. Eiiieaenia ii?aeiaiiy i?aia?ao?a ?eaienei oa oeeoio?ii N ia oe?
aacenii? oa?ai?? o iiaiia?iaeaeaieo c oyaeeei ia?aa?aii ea?ae?iiao?e
aaaea aei nei?i/aiiy ia?aaoaaiiy oai?eo ae?oae a noaoe?iia?? ia 20%, ui
ia? aeiiii?/io ia?aaaao. Cai?iiiiiaaiee eiiieaen e?eoaaeueieo caoiae?a
aeey ei?aeoe?? iinoa?iiene/ieo ea?ae?iiao?e o iiaiia?iaeaeaieo iiaea
aooe ?aeiiaiaeiaaiee aeey i?aeoe/ii? ?iaioe.

I?aeoe/i? ?aeiiaiaeaoe??.

1.Eiiieaenia aea/aiiy noaio na?oeaai-noaeeiii? nenoaie o
iiaiia?iaeaeaieo aeicaiey? ei?aaoaaoe oa?ai?th ? i?aeaeueoe ??
aoaeoeai?noue.

2.?aeiiaiaeiaaii aeey ioe?iee noaio aaeaioaoe?eii-i?enoiniaaieo
iaoai?ci?a o iiaiia?iaeaeaieo a iinoiaoaeueiiio ia??iae? canoiniaoaaoe
ea?ae?i?ioa?aaeia?ao??, aeaeo?iea?ae?ia?ao??, aoiea?ae?ia?ao??.

3.?aeiiaiaeiaaii canoinoaaiiy eiiieaeniiai ee?i?ei-ia?aee?i?/iiai
ianoaaeaiiy iiaiia?iaeaeaieo ae?oae a i?ciueiio iaiiaoaeueiiio ia??iae?
aeey aeyaeaiiy iinoa?iiene/ieo ea?ae?iiao?e ia oe? ia?eiaoaeueieo
o?aaeaiue iiceo, yea aeeth/a? aecia/aiiy aeoeaiino? i?aaiiniaoeeo?/ieo
oa?iaio?a e?aaoeie?iace, eaeoaoaeaa?ae?iaaiace,
ania?oaoai?iio?ainoa?ace, aeai?iai?iio?ainoa?ace.

4.C iaoith ei?aeoe?? iinoa?iiene/ieo ea?ae?iiao?e cai?iiiiiaaii
eiiieaen e?eoaaeueieo cania?a c aeeth/aiiyi ?eaieneio ? oeeoio?iio N. 2%
?ic/ei ?eaieneio ?aeiiaiaeiaaii canoiniaoaaoe o aeic? 30-40 ia/ea, eo?n
e?eoaaiiy – 4-5 oeaei?a. Oeeoio?ii N i?iiiio?oueny a aeic? 2,5 ia/ea
0,25% ?ic/eio, eo?n- 6-10 aei?a. Aeth/aiiy a eiiieaenio oa?ai?th
?eaieneio ? oeeoio?iio N aeicaiey? i?aeaeueoe aoaeoeai?noue
?aaa?e?oaoe?? oai?eo c iinoa?iiene/ieie ea?ae?iiao?yie.

Nienie iioae?eiaaieo aaoi?ii i?aoeue ca oaiith aeena?oaoe??.

1. Aei ieoaiiy i?i ae?aaiinoeeo ia?eiaoaeueieo o?aaeaiue na?oeaai –
noaeeiii? nenoaie o iiaiia?iaeaeaieo o i?ciueiio iaiiaoaeueiiio ia??iae?
//Iaae?ao??y, aeooa?noai oa a?iaeieia?y. – 1997. – N6. – N. 16 – 18/
Ni?aaao.Aieinyiei ?.I., Iaao?ye A.?./.

2. Iaoiaaiac oa ae?aaiinoeea o?aaeaiue na?oey ieiae?a ? iiaiia?iaeaeaieo
ae?oae // Aaeeoeueeee e?ea?nueeee a?niee. – 1997. – Oii 4. – /enei 1. –
N.116 – 118/Ni?aaao. Aieinyiei ?.I., Iaao?ye A.?./ .

3. E?eoaaiiy ii?ooaiue aaeaioaoe?? na?oeaai – noaeeiii? nenoaie o
iiaiia?iaeaeaieo ae?oae a i?ciueiio iaiiaoaeueiiio ia??iae? c
aeeth/aiiyi i?aia?aoo “?eaienei” //Aaeeoeueeee e?ea?nueeee a?niee. –
1997. – Oii 4 . – /enei 4. – N. 45 – 47.

4. Ia?eiaoaeuei? o?aaeaiiy na?oey o ae?oae c aioo??oiueioo?iaiith
a?iio?io??th // I?aeoe/ia iaaeeoeeia. – 1998. – N 1 – 2. – N. 46 – 48.

5. Caninoaaiiy oeeoio?iio N ? ?eaieneio a e?eoaaii? iinoa?iiene/ieo
o?aaeaiue na?oey o iiaiia?iaeaeaieo ae?oae. // Iaae?ao??y, aeooa?noai oa
a?iaeieia?y. – 1998. – N4. – N.68.

6. Aei ieoaiiy i?i aieea a?iien?? ia noai na?oeaai – noaeeiii? nenoaie o
iiaiia?iaeaeaieo ae?oae // Ca. i?aoeue iieiaeeo a/aieo. – 29 iae.iaoeiaa
eiio. iieiaeeo a/aieo iaaeee?a, 1997 – N. 50.

7. Aeaye? aniaeoe aeieeiaiiy ia?eiaoaeueieo o?aaeaiue na?oey o
iiaiia?iaeaeaieo ae?oae oa ?o iane?aeee // Oai aea. – N.51.

8. Clinical – laboratory aspects of posthypoxycal cardiopathies in small
– for – gestational age newborns //Internat. Med.Conference for students
and young doctors. – Lublin (Poland). – 1998. – P.153.

Aiioaoe?y

Iaaeee?anueea A.I. Iniaeeaino? i?ciuei? iinoiaoaeueii? aaeaioaoe??
iiaiia?iaeaeaieo c iinoa?iiene/ieie ea?ae?iiao?yie ? oeyoe ?o
ei?aeoe??.-?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.10 – iaae?ao??y. – ?inoeooo iaae?ao???,
aeooa?noaa oa a?iaeieia?? AII Oe?a?ie, Ee?a, 1999.

Aeena?oaoe?th i?enay/aii ieoaiiyi aea/aiith i?ciuei? iinoiaoaeueii?
aaeaioaoe?? iiaiia?iaeaeaieo ae?oae c iinoa?iiene/ieie ea?ae?iiao?yie. A
?iaio? ?ic?iaeaii eiiieaenia ee?i?ei-ia?aee?i?/ia ianoaaeaiiy
iiaiia?iaeaeaieo ae?oae c iinoa?iiene/ieie ea?ae?iiao?yie, yea
aeeth/aei:caaaeueiii?eeiyo? ee?i?/i? aeine?aeaeaiiy, aecia/aiiy
aeoeaiino? ea?ae?iniaoeeo?/ieo oa?iaio?a e?aaoeie?iace,
eaeoaoaeaa?ae?iaaiace, ania?oaoai?iio?ainoa?ace, aeai?iai?iio?ainoa?ace;
?ino?oiaioaeuei? iaoiaee aeine?aeaeaiiy na?oeaai-noaeeiii? nenoaie
(aeaeo?iea?ae?ia?ao?th, ea?ae?i?ioa?aaeia?ao?th, aoiea?ae?ia?ao?th).
Aeine?aeaeaiiy oeaio?aeueii? ia?aiai? nenoaie i?iaiaeeee i?e aeiiiiic?
iae?iniiia?ao??. Eiiieaenia aeine?aeaeaiiy na?oeaai-noaeeiii? nenoaie o
iiaiia?iaeaeaieo ae?oae aea? iiaeeea?noue ?aiiuei? ae?aaiinoeee
iinoa?iiene/ieo ea?ae?iiao?e. Cai?iiiiiaaii aeeth/aiiy i?aia?ao?a
oeeoio?ii N ? ?eaienei a eiiieaenio oa?ai?th iinoa?iiene/ieo o?aaeaiue
na?oey, ui iie?auo? e?eoaaeueiee aoaeo ? aaaea aei nei?i/aiiy
ia?aaoaaiiy oai?eo a noaoe?iia??, ui aeiiii?/ii c?o/ii ? ciaioo? ?ecee
aioo??oiueie?ea?iyiiai ?io?eoaaiiy. Iniiai? ?acoeueoaoe i?aoe? ciaeoee
ai?iaaaeaeaiiy a i?aeoeoe? iieiaiaeo aoaeeie?a, a?aeae?eaiue iaoieia??
iiaiia?iaeaeaieo ae?oae.

Eeth/ia? neiaa: iiaiia?iaeaeai? iaiiaeyoa, iinoa?iiene/i? ea?ae?iiao??,
a?iien?y, i?ci?e iaiiaoaeueiee ia??iae.

Aiiioaoeey

Iaaeeeianeay A.I. Iniaaiiinoe iicaeiae iinoiaoaeueiie aaeaioaoeee
iiai?iaeaeaiiuo n iinoaeiiene/aneeie ea?aeeiiaoeyie e iooe eo
ei??aeoeee.- ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.10 – Iaaeeao?ey.- Einoeooo iaaeeao?ee,
aeooa?noaa e aeiaeieiaee AII Oe?aeiu, Eeaa, 1999.

Aeenna?oaoeey iinayuaia aii?inai eco/aiey iiciae iinoiaoaeueiie
aaeaioaoeee iiai?iaeaeaiiuo aeaoae n iinoaeiiene/aneeie ea?aeeiiaoeyie.
Iniiaiui caaiii iaoiaaiaca iinoaeiiene/aneeo ea?aeeiiaoee yaeyaony
aeiieney. Enneaaeiaaiey i?iaaaeaiu o 132 aeiiioaiuo iiai?iaeaeaiiuo,
ia?aianoeo aeiieneth, a iicaeiai iaiiaoaeueiii ia?eiaea. A ?aaioa
?ac?aaioaii eiiieaeniia eeeieei-ia?aeeeie/aneia enneaaeiaaiea
iiai?iaeaeaiiuo aeaoae n iinoaeiiene/aneeie ea?aeeiiaoeyie, eioi?ia
aeeth/aei: iauai?eiyoua eeeie/aneea enneaaeiaaiey, ii?aaeaeaiea
aeoeaiinoe ea?aeeiniaoeeoe/aneeo oa?iaioia e?aaoeieeiacu,
eaeoaoaeaaeae?iaaiacu, ania?oaoaieiio?ainoa?acu, aiaieiaieiio?ainoa?acu;
eino?oiaioaeueiua iaoiaeu enneaaeiaaiey na?aea/ii-ninoaeenoie nenoaiu
(aeaeo?iea?aeeia?aoeth, ea?aeeieioa?aaeia?aoeth, yoiea?aeeia?aoeth).
Enneaaeiaaiea OeIN i?iaiaeeee i?e iiiiue iae?iniiia?aoee. Eiiieaeniia
enneaaeiaaiea na?aea/ii-ninoaeenoie nenoaiu o iiai?iaeaeaiiuo aeaoae a
iicaeiai iaiiaoaeueiii ia?eiaea i?aaenoaaeyao aiciiaeiinoue ?aiiae
aeeaaiinoeee iinoaeiiene/aneeo ea?aeeiiaoee. Enneaaeiaaiey iieacaee, /oi
iinoaeiiene/aneea ea?aeeiiaoee o iiai?iaeaeaiiuo oa?aeoa?ecothony
oeeaiicii, ia?ooaieyie /anoiou e neeu na?aea/iuo nie?auaiee,
aaiaoiiaaaeeae, ea?aeeiiaaaeeae, au?aaeaiiinoue eioi?uo caaeneo io
oyaeanoe oa/aiey caaieaaaiey. I?e i?iaaaeaiee yeaeo?iea?aeeia?aoee o 93%
iiai?iaeaeaiiuo n iinoaeiiene/aneeie ei?aeeiiaoeyie auyaeaiu aeieaaeu
eaaie e i?aaie iiaeae io/ea Aenna, iaoieiae/aneia ioeeiiaiea
yeaeo?e/aneie ine na?aeoea ai?aai, oaeeeiaiea eioa?aaea P – Q, nieaeaiea
aieueoaaea coaoeia YEA, ia?ooaiey ?eoia. O /anoe aeaoae, ia?aianoeo
o?iie/aneoth aioo?eoo?iaioth e niaoaiioth aeiieneth, auyaeaii ia?ooaiea
i?ioeannia ?aiiey?ecaoeee. O ianeaaeiaaiiuo aeaoae eiinoaoe?iaaii
iiauoaiea o?iaiy aeoeaiinoe ea?aeeiniaoeeoe/aneeo yiceiia e?aaoeieeiacu,
eaeoaoaeaaeae?iaaiacu a 4 ?aca, ania?oaoaieiio?ainoa?acu,
aiaieiaieiio?ainoa?acu a 2,6 ?aca i?e n?aaiaiee ni caei?iauie
iiai?iaeaeaiiuie aeaoueie, /oi iiaeao neoaeeoue /oanoaeoaeueiui oanoii
aeoaeiu ii?aaeaiey na?aea/ii-ninoaeenoie nenoaiu o iiai?iaeaeaiiuo a
iicaeiai iaiiaoaeueiii ia?eiaea. A ?aaioa auyaeaia caaeneiinoue iaaeaeo
aeaeii ia?aianaiiie aeiienee e noaiaiueth oyaeanoe ii?aaeaiee
na?aea/ii-ninoaeenoie nenoaiu. A ?acoeueoaoa i?iaaaeaiiuo enneaaeiaaiee,
ii aeaiiui ea?aeeieioa?aaeia?aoee, auyaeaii iai?yaeaiea i?ioeannia
aaeaioaoeee na?aea/ii-ninoaeenoie nenoaiu e oneiaeyi aiaoo?iaiie aeecie.
Aiaeec iae?iniiia?aii aeaoae, ia?aianoeo aeiieneth, iieacae iaee/ea
ia?e-eio?aaaio?eeoey?iuo e?iaieceeyiee ?acee/iuo noaiaiae. I?aaeeiaeaii
aeeth/aiea i?aia?aoia oeeoio?ii N, ?eaienei a eiiieaenioth oa?aieth
iinoaeiiene/aneeo ii?aaeaiee na?aeoea, /oi oeo/oaao ea/aaiue aooaeo e
aaaeao e nie?auaieth i?aauaaiey aieueiuo a noaoeeiia?a, /oi yeiiiie/anee
auaiaeii e oiaiueoaao ?ene aioo?eaieueie/iiai eioeoee?iaaiey.
Enneaaeiaaiey iieacaee, /oi iaeaieaa yooaeoeaiui auei eiiieaeniia
eniieueciaaiea i?aia?aoia ?eaienei e oeeoio?ii N ia oiia iauai?eiyoie
oa?aiee. Iieacaii, /oi aeeth/aiea ?eaieneia e oeeoio?iia N a
eiiieaenioth oa?aieth iinoaeiiene/aneeo ea?aeeiiaoee aaaeao e aieaa
auno?iio ?aa?anno ea?aeeieiae/aneeo neiioiiia. Ia oiia i?iaaaeaiiie
oa?aiee o?iaaiue eco/aaiuo oa?iaioia iiieaeaeny o anao ianeaaeiaaiiuo
aeaoae, ii iieacaoaee eiinoaoe?iaaiua o iiai?iaeaeaiiuo n ?eaieneiii e
oeeoio?iiii N a eiiieaeniie oa?aiee. Iinea i?iaaaeaiiie oa?aiee n
aeeth/aieai ?eaieneia e oeeoio?iia N oiaiueoaaony eiee/anoai
iaoieiae/aneeo ioeeiiaiee ia yeaeo?iea?aeeia?aiia, ii?iaeece?othony
iniiaiua iieacaoaee yoiea?aeeia?aoee. A ?aaioa i?iaiaeeeinue
eaoaiianoe/aneia iaaethaeaiea ca aeaoueie, eioi?ua ia?aianee
iinoaeiiene/aneea ea?aeeiiaoee. Iniiaiua ?acoeueoaou ?aaiou iaoee
i?eiaiaiea a i?aeoeea ?iaeeeueiuo aeiiia, ioaeaeaiee iaoaeiaee
iiai?iaeaeaiiuo aeaoae.

Eeth/aaua neiaa: iiai?iaeaeaiiua aeaoe, iinoaeiiene/aneea ea?aeeiiaoee,
aeiieney, iiciee iaiiaoaeueiue ia?eiae.

Annotation

B.Pavlykivska.Peculiarities of late postnatal adaptation in newborns
with posthypoxical cardiopathy and ways of their correction.- The
manuscript.

Dissertation for the academic degree of candidate of medical sciences by
speciality 14.01.10. – Pediatrics. – Institute of Pediatrics, Obstetrics
and Gynecology, Academy of Medical Science of Ukraine, Kiev, 1999.

Dissertation is dedicated to the questions of posthypoxical
damage of cardio-vascular system in newborns in late neonatal period.
Complex clinic-paraclinic observation of newborns with posthypoxical
cardiopathy is made in the dissertation and including: complex clinical
observation, definition of activity of cardiospecifical ferments
creatinkinazae, lactatdehydrogenazae, aspartataminotranspherazae,
alaninaminotranspherazae; electrocardiographia, cardiointervalographia,
echocardiographia. It gives possibility to do an early diagnose and to
correct in time in newborns in late neonatal period. It is proposed to
use medicine citohrom C and ryboxin in complex therapy of perinatal
heart damage that gives better effect. Main results of work have found
inculation in work of perinatal centres, departments of pathology in
newborns.

Key-words: newborns, posthypoxical cardiopathy, hypoxia, late
neonatal period.

Ia?ae?e oiiaieo iicia/aiue

AeAO – aeai?iai?iio?ainoa?aca

AnAO – ania?oaoai?iio?ainoa?aca

AEA – aeaeo?iea?ae?ia?ao?y

AoiEA – aoiea?ae?ia?ao?y

E?A – ea?ae?i?ioa?aaeia?ao?y

EE – e?aaoeie?iaca

EAeA – eaeoaoaeaa?ae?iaaiaca

INA – iae?iniiia?ao?y

I?AE – ia?e- ?io?aaaio?eeoey?i? e?iaiaeeeae

OeIN – oeaio?aeueia ia?aiaa nenoaia

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