?INOEOOO OOEC?AO??? ? IOEUeIIIIEIA?? ?i. O.A. ssIIANUeEIAI AEAAeAI??
IAAeE*IEO IAOE OE?A?IE
AEOIAAIAOeUe ?aaai A?oae?eiae/
OAeE 612.112.94+616.155.32/-053.2:614.876
INIAEEAINO? NOAIIIOEssOe?EIIAI NEEAAeO E?IOIOeEO?A
IA?EOA?E*II? E?IA? Ae?OAE, ssE? I?IAEEAATHOUe IA OA?EOI??ssO ?C
I?AeAEUAIEI ??AIAI ?AAe?IIOEE?Ae?A
14.01.29. – ee?i?/ia ?ioiieia?y
AAOI?AOA?AO
aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy
eaiaeeaeaoa iaaee/ieo iaoe
Ee?a – 1998
Aeena?oaoe??th ? ?oeiien.
?iaioa aeeiiaia a ?inoeooo? iaae?ao???, aeooa?noaa ? a?iaeieia??
AII Oe?a?ie.
IAOEIA? EA??AIEE?:
aeieoi? iaaee/ieo iaoe, i?ioani? *a?ieoia A?eoi? Iaaeiae/,
?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie,
caa?aeoaa/ eaai?aoi??? ?ioiieia??;
aeieoi? iaaee/ieo iaoe Aioeie?i TH??e Aaiiaae?eiae/, ?inoeooo
iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie, ea??aiee
a?aeae?eaiiy ee?i?ei-?ioiieia?/ieo ? iaoaaie?/ieo ii?ooaiue o ae?oae.
IO?Oe?EI? IIIIAIOE:
aeieoi? iaaee/ieo iaoe, i?ioani? *oiae Aiaoie?e Aiae??eiae/,
?inoeooo ee?i?/ii? ?aae?ieia?? IOe?I AII Oe?a?ie, caa?aeoaa/ a?aeae?eo
ee?i?/ii? ?ioiieia??;
aeieoi? iaaee/ieo iaoe, i?ioani? Iaeeae?a Aaaeei Ieaen?eiae/,
Oe?a?inueeee iaoeiai-i?aeoe/iee oeaio? aiaeie?eiii? o??o?a?? oa
o?ainieaioieia?? aiaeie?eiieo i?aai?a ? oeaiei IIC Oe?a?ie;
canooiiee aee?aeoi?a.
I?IA?AeIA ONOAIIAA:
Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I. Aiaiiieueoey,
a?aeae?e aenia?eiaioaeueii? oa ee?i?/ii? ?ioiieia??.
Caoeno aeena?oaoe?? a?aeaoaeaoueny “18”_n?/iy_ 1999 ?ieo i 12
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.552.01 i?e
?inoeooo? ooec?ao??? ? ioeueiiiieia?? ?i. O.A. ssiianueeiai AII
Oe?a?ie (Aae?ana: 252000, i. Ee?a, INI-650, oca?c I?ioan?a ss?, 7).
C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
ooec?ao??? ? ioeueiiiieia?? ?i. O.A. ssiianueeiai AII Oe?a?ie (i.
Ee?a, oca?c I?ioan?a ss?, 7).
Aaoi?aoa?ao ?ic?neaiee “_7__”_a?oaeiy_ 1998 ?ieo.
A/aiee nae?aoa?
niaoe?ae?ciaaii? a/aii? ?aaee
Aaaioe?aa AE.A.
C A A A E Ue I A O A ? A E O A ? E N O E E A ? I A I O E
AEOOAEUeI?NOUe OAIE. ?aae?iioee?aeia caa?oaeiaiiy aeiae?eey ?
iaei??th c aieiaieo iaaaciae aeey iaeaooi?o iieie?iue (Muhlendahl
K.E., 1995). A oiiaao i?ieiiaiaaiiai ?aae?aoe?eiiai aieeao
iniaeeaiai cia/aiiy iaaoaa? aea/aiiy ii?ooaiue ?ioi?oaoo o ae?oae
(Eoeueyiiaa A.I., 1993). A?aeiii, ui 4 i?eueeiie iaoeaioe?a
eieeoiueiai N?N? caciaee ae?? iaeeo aeic ?aae?iioee?ae?a aiane?aeie
aaa??? ia *AAN (Aa?’yooa? A.A., 1996). O 1986 ?ioe? 1,5 i?eueeiia
aeeoae?a eieeoiueiai N?N? oa aeecueei 160 000 ae?oae, caciaee
cia/iiai ii?ii?iaiiy a?ae ?aae?ieiaeo (Iljin L., 1990; E?ooa?ueia ?.
A., 1996). Aiane?aeie i?aeaeuaii? e?eueeino? Cs-137(134) oa Sr-90 o
a?oio? oa i?iaeoeoao oa?/oaaiiy aeiaeaoeiaiai ii?ii?iaiiy caciathoue
aeeoae? ?aa?ii?a ?aae?aoe?eiiai caa?oaeiaiiy (Aa?’yooa? A.A., 1996).
Caoai?thaai?noue ae?oae, ye? i?iaeeaathoue ia oa?eoi??yo
?aae?aoe?eiiai caa?oaeiaiiy cia/ii c?inea, i?ae aei aaa??? ia *AAN,
aei oiai ae o naia oe??? iiioeyoe?? ae?oae i?aaaeth? iaoieia?y
aeeoaeueii? nenoaie (Noaiaiiaa A.E., 1991; Eoe’yiiaa I.I., 1996).
Cie?aia aeecueei 1/3 a?ae caaaeueii? e?eueeino? ae?oae, ye? caciaee
aieeao ii?ii?iaiiy o ??cieo aeicao oa iino?eii i?iaeeaathoue a
?aa?iiao ?aae?aoe?eiiai eiio?ieth, iathoue cia/i? ooieoe?iiaeuei?
ii?ooaiiy aeeoaeueii? nenoaie (Noaiaiiaa ?. ?., 1996).
Inoaii?ie ai?aeai?ieia?/ieie aeine?aeaeaiiyie aoa aeyaeaiee
aaciina?aaei?e ca’ycie i?ae ?aae?aoe?eiei caa?oaeiaiiyi i?ney aaa???
ia *AAN oa ?eceeii ?aeo ueoiaeaeii? caeice (UC) (Balter M., 1995,
Williams E.D., 1995). Aeia?a a?aeiii, ui e??i ?aeo UC ?ii?coth/a
?aae?aoe?y, cie?aia ?aae?iaeoeai? ?cioiie eiaeo, iiaeooue ni?e/eieoe
?icaeoie oe?ai?aeii? aeenooieoe??, iai?eeeaae a?iioe?ai?aeecio (Becker
D., 1989, Larsen P.R., 1982).
*i?iiaeeuenueea eaoano?ioa cioneea cana?aaeeoe oaaao iaae?ao??a oa
?ioiieia?a ia ??ciiiai?oieo oai?iaeeaeo noaiao, ye? caaaeii iiaeia
iia’ycaoe c ?iceaaeaie ?ioiii? nenoaie (Noaiaiiaa A.E., 1993; *oiae
A.A., 1992; *oiae A.A., 1998). I?ioa, aaciina?aaei?e ca’ycie i?ae
?aae?aoe?eiei ii?ii?iaiiyi ae?oae oa aoaeue-yeeie caoai?thaaiiyie,
ca aeiyoeii ?aeo UC, a oaeiae ci?iaie o ooieoe?iioaaii?
??cieo nenoai aeeoy/iai i?aai?cio, inoaoi/ii ia aeciaiee (O?iiueei
I.Ae., 1996). Oiio iaea?eueo iaa?oioiaaiei ? i?iaaaeaiiy
eiiieaenieo aeine?aeaeaiue noeoiiino? iieaciee?a ?ioiii? oa
a?iio?ci-oe?ai?aeii? nenoai. O?eueee oae? aeine?aeaeaiiy a
aeieia?/ii iani?eyoeeaeo ?aa?iiao e?a?ie aeaaeooue ciiao iaeaaiaeeoe
oe?eani?yiiaaio aeeniaina?ecaoe?th ? icaei?iaeaiiy ae?oae c ii?ooaiiyi
?ioiiiai noaoono. Ianaiia?aae i?iaaaeaiiy ?ioii-aiaeie?eiieia?/iiai
aeine?aeaeaiiy ?c ye?niei aeiciaei noi?iaiaeii iaaeanoue
iiaeeea?noue aea/eoe ?ioiiiaoieia?/i? i?ioeane, ye? coiiaeai?
aaciina?aaei?i aieeaii ?aae?aoe?eiiai ii?ii?iaiiy ia aeeoy/ee
i?aai?ci, oa iaa?oiooaaoe iiaeeeaee eiiieaen ?ioiiei?eaoth/eo
caoiae?a o iaeaooiueiio.
CA’ssCIE ?IAIOE C IAOEIAEIE I?IA?AIAIE, IEAIAIE, OAIAIE.
Aeena?oaoe?eia ?iaioa aeeiiaia a iaaeao Iaoe?iiaeueii? i?ia?aie
iaoeiai-aeine?aeieo ?ia?o uiaei i?i?i?caoe?? iane?aee?a aaa??? ia *AAN
*Ae 19.00.00.7891 N 01.91.00.42252 oa *Ae 01.96 N 01.96. U 016153.
IAOA AeENA?OAOe??. Ia i?aenoaa? ee?i?ei-?ioiieia?/iiai
aeine?aeaeaiiy ae?oae, ye? i?iaeeaathoue ia caa?oaeiaieo
?aae?iioee?aeaie oa?eoi??yo, aeyaeoe iiaeeeaee aeicicaeaaeiee aieea
?aae?aoe?eiiai ii?ii?iaiiy ia ?ioiio nenoaio, ai?no e?ioioeeoa?ieo
noaiiioeyoe?e ia?eoa?e/ii? e?ia?, a oaeiae ?ieue ie?aieo
e?ioioeeoa?ieo noaiiioeyoe?e uiaei iiaeeeaeo ci?i
ooieoe?iioaaiiy a?iio?ci-oe?ai?aeii? nenoaie.
CAAAeAIIss AeINE?AeAEAIIss:
1. I?iaanoe aeine?aeaeaiiy ??ai?a aieiaieo e?ioioeeoa?ieo
noaiiioeyoe?e ia?eoa?e/ii? e?ia? ae?oae, ui /anoi oai??thoue ia
?ani??aoi?i? caoai?thaaiiy (?? a?oia caei?ia’y) oa caei?iaeo ae?oae,
ye? i?iaeeaathoue o naeao, aea ianaeaiiy io?eiaei caaaeueia ?aae?aoe?eia
ii?ii?iaiiy a?ae Cs-137(134) oa Sr-90 ??ciiai nooiaiy;
2. Aeaoe oa?aeoa?enoeeo e?ioioeeoa?ieo noaiiioeyoe?e
ia?eoa?e/ii? e?ia? ae?oae ?c ??cieie ?iaeea?aeoaeueieie aeicaie
ii?ii?iaiiy UC a?ae ?aae?iaeoeaiiai eiaeo, ye? iino?eii i?iaeeaathoue
ia oa?eoi??yo ?aae?aoe?eiiai caa?oaeiaiiy;
3. I?iaanoe aeine?aeaeaiiy ooieoe?? a?iio?ci-oe?ai?aeii? nenoaie,
??ai?a aooiaioeo?e aei UC, a oaeiae oeueo?aniiia?ao?/ia aeine?aeaeaiiy
UC ae?oae ?c ??cieie aeicaie ii?ii?iaiiy UC a?ae I-131;
4. Aea/eoe o? ae nai? iieacieee o ae?oae, ui /anoi oai??thoue ia
?ani??aoi?i? caoai?thaaiiy (II a?oia caei?ia’y) oa caei?iaeo ae?oae,
ye? i?iaeeaathoue o naeao ia oa?eoi??yo, ui ia caciaee ?aae?aoe?eiiai
caa?oaeiaiiy aiane?aeie aaa??? ia *AAN.
IAOEIAA IIAECIA ?IAIOE. Aia?oa ca aeiiiiiaith no/anieo iaoiae?a
aeine?aeaeaiiy ?ioiii? nenoaie oa ye?niiai aeiciaiai noi?iaiaeo aoei
i?iaaaeaia aaaaoi??/ia aeine?aeaeaiiy iniaeeainoae ?ioi?oaoo oa noaio
a?iio?ci-oe?ai?aeii? nenoaie aeeoeie i?ae aieeaii ??cieo aeic
?aae?iioee?ae?a. Aia?oa iieacaii oaeiae ui:
1) cieaeaiiy a?aenioeo CD3+CD4+ T-ee?oei oaeia??a/?iaeoeoi??a
ni?aiaaea? ?c i?aeaeuaiiyi ??ai?a caaaeueiiai ii?ii?iaiiy
?aae?iioee?aeaie *i?iiaeeuenueeeo aeeeae?a o ae?aiacii? iaeeo aeic eeoa
o ae?oae, ye? /anoi oai??thoue ia ?ani??aoi?i? ?ioaeoe??. I?e oeueiio,
ianaiia?aae o oe?e a?oi? cia/ii ca?eueoaia e?euee?noue ae?oae ?c
iecueeei a?aenioeiaei ??aiai CD3+ T-ee?oei, aenieei a?aenioeiaei
??aiai CD16+ aai CD3-/CD16+,56+ ee?oei – i?e?iaeieo e?ea??a (IE) oa
aeiaaeeaie iie?e?ioaaeaiiiao??, ui iiaea aeacoaaoe ia ?icaeoie
caaaeueiiai aeecaaeaioaoe?eiiai neiae?iio;
2) o ae?oae, ye? caciaee aino?iai ii?ii?iaiiy UC, ?nio?
aeicicaeaaeia i?aeaeuaiiy ye a?aenioeiaiai ??aiy CD3+CD4+ T-ee?oei
oaeia??a/?iaeoeoi??a, oae ? CD3+CD4+/CD3+CD8+ ee?oeiiiai
ni?aa?aeiioaiiy, a oaeiae I-131 aeicicaeaaeia cieaeaiiy ye a?aenioeiaeo
??ai?a, oae ? aaniethoiiai ai?noo CD3+CD8+ T-ee?oei;
3) ?nio? iiceoeaia caeaaei?noue CD5+ B-Eo a?ae ??ai?a aioeo?e aei
i?e?iniiaeueiiai aioeaaio UC o ae?oae, ye? caciaee ii?ii?iaiiy UC a?ae
?aae?i?cioii?a eiaeo, ui i?aeoaa?aeaeo? aooi?ioiio i?e?iaeo
oe?ai?aeii? iaoieia??;
4) o ae?oae, ye? caciaee aieeao ii?ii?iaiiy UC a?ae
?aae?i?cioii?a eiaeo, cia/ii ca?eueoaia e?euee?noue na?iiiceoeaieo ca
oe?ai?aeieie aioeo?eaie in?a oa ??ai? oeeo aioeo?e iiceoeaii
ei?aeththoue ?c aeicaie I-131 ia UC;
5) o ae?oae, ye? caciaee aino?iai ii?ii?iaiiy UC, ?nio?
aeicicaeaaeia oaiaeaioe?y aei cieaeaiiy ??aiy a?eueiiai oe?ieneio, yea
na?ae/eoue i?i i?aeaeuaiiy ?eceeo ?icaeoeo a?iioe?ai?aeecio o oeeo
ae?oae;
6) iayai?noue cia/ieo ii?ooaiue aoino?oeoo?e UC o aeaeyae?
a?ia?aoiu?eueiino? ?c ae?eyieaie o?a?ico oa a?iiaoiu?eueiino?, o
ae?oae, ye? caciaee ii?ii?iaiiy UC a?ae I-131 o ??cieo aeicao,
ni?aiaaea? c oee?eoeyoe??th a e?ia? aooiaioeo?e aei UC.
I?AEOE*IA CIA*AIIss IAeA?AEAIEO ?ACOEUeOAO?A.
1. ?aeiiaiaeiaaii aeey iii?oi?eiao noaio caei?ia’y o ae?oae, ye?
caciaee ?aae?aoe?eiiai aieeao, ?ioiieia?/i? aeine?aeaeaiiy ?c
aea/aiiyi e?ioioeeoa?ieo noaiiioeyoe?e ia?eoa?e/ii? e?ia? c
/anoioith 1 ?ac ia ??e. Aiaeii/an ae?oe, o yeeo aeyaeai? iaoieia?/i?
ci?ie aoino?oeoo?e UC, iio?eaothoue aea?/? ia ??e oeueo?acaoeiaiai
aeine?aeaeaiiy UC, ianoaaeaiiy ooieoe?? a?iio?ci-oe?ai?aeii? nenoaie ?
iiaeeaeaiiai ?ioiieia?/iiai ianoaaeaiiy.
2. Iaa?oioiaaii ? i?aaenoaaeaii eaai?aoi?i? e??oa??? ioe?iee
ae?aaeaiiino? ?ioiieo ? aooi?ioiieo ii?ooaiue o ae?oae, ye? caciaee
?aae?aoe?eiiai iaaaioaaeaiiy. Ieie iiaeooue aooe ai?no CD3+CD4+ ee?oei
oa ??aaiue CD3+CD4+/CD3+CD8+ ee?oeiiiai ni?aa?aeiioaiiy.
I?aeoe/i? iieiaeaiiy aeena?oaoe?eii? ?iaioe a?aeia?aaeaeai? oaeiae
a iin?aieeo “Iniaeeaino? ia?aa?ao aaa?oiino?, ?iae?a, noaio
iiaiia?iaeaeaieo oa i?iya?a niiaoe/ii? ineoiiaa?ieia?/ii? iaoieia?? o
ae?oae, ye? caciaee ?aae?aoe?eiiai aieeao aiane?aeie *i?iiaeeuenei?
eaoano?ioe” (Ee?a, 1997).
INIAENOEE AIANIE CAeIAOAA*A. Ca?? iniiaiiai iaoa??aeo
i?ioyaii aeine?aeaeaiiy, inai?iiy iaoiae?a, i?iaaaeaiiy
aeine?aeaeaiue, aecia/aiiy iieaciee?a oa noaoenoe/ia ia?iaea
?acoeueoao?a cae?eniai? caeiaoaa/ai iniaenoi; ocaaaeueiaii io?eiai?
?acoeueoaoe oa noi?ioeueiaaii aeniiaee ? i?aeoe/i? ?aeiiaiaeaoe??.
AI?IAAOe?ss ?ACOEUeOAO?A AeENA?OAOe??. Io?eiai? ?acoeueoaoe
aeine?aeaeaiue ii?eethaeiaii ia: 9-io I?aeia?iaeiiio
?ioiieia?/iiio Eia?an? o Nai-O?aioeenei, NOA (23-29 eeiiy 1995 ?ieo);
I?aeia?iaei?e Eioa?aioe?? “One decade after Chernobyl: Summing
up the consequences of the accident”, A?aeaiue, Aano??y (8-12 o?aaiy,
1996 ?ieo); Iaoeiai-i?aeoe/i?e eiioa?aioe?? “A?aeaeaeai?
iane?aeee ii?ii?iaiiy a ?ioii?e oa aaiiiiaoe/i?e nenoaiao”, Ee?a,
Oe?a?ia (7-10 aeiaoiy 1996 ?ieo).
IOAE?EAOe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 12
iaoeiaeo ?ia?o.
NO?OEOO?A ? IANssA AeENA?OAOe??. Aeena?oaoe?y aeeeaaeaia ia 152
noi??ieao, ?ethno?iaaia 20 oaaeeoeyie oa 15 ?enoieaie ?
neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, iieno iaoa??ae?a ?
iaoiae?a aeine?aeaeaiiy, 2 ?icae?e?a aeanieo aeine?aeaeaiue,
iaaiai?aiiy ?acoeueoao?a, aeniiae?a ? i?aeoe/ieo ?aeiiaiaeaoe?e.
A?ae?ia?ao?/iee iieaae/ee i?noeoue 271 aeaea?aei, c ieo 129 – ?iicaiieo
aaoi??a.
I N I I A I E E C I ? N O ? I A I O E
IAOA??AEE ? IAOIAeE AeINE?AeAEAIIss. Aeine?aeaeaiiy aoaeo?a
?aae?iaeoeaiiai ii?ii?iaiiy aiane?aeie aaa??? ia *AAN 1986 ?ieo
aeeiioaaeinue c 1991 ii 1997 ??e. ?ioiieia?/ia ianoaaeaiiy aoei
i?iaaaeaii o 311 ae?oae oa i?aee?oe?a a?eii a?ae 6 aei 17 ?ie?a, ye?
iino?eii i?iaeeaaee o 15 ?aae?aoe?eii-caa?oaeiaiieo naeeuao
*a?i?a?anueei? oa Ee?anueei? iaeanoae oa 178 ae?oae a?eii a?ae 6 aei
14 ?ie?a, ye? i?iaeeaaee ia ia caa?oaeiaieo ?aae?iioee?aeaie
oa?eoi??yo Iieoaanueei? iaeano?. Ona aeine?aeaeaiiy oiiaii iiaeia
iiae?eeoe ia 2 aoaie. Ia ia?oiio aoai? (1991-1994 ??.) aea/aee aieea
iaeeo aeic ii?ii?iaiiy a?ae Cs-137(134)oa Sr-90 ia ?ioiio nenoaio
ae?oae. Ia ae?oaiio aoai? (1993-1997 ??.) aea/aee iniaeeaino?
?ioi?oaoo oa noai a?iio?ci-oe?ai?aeii? nenoaie o ae?oae ?c ??cieie
aeicaie ii?ii?iaiiy UC a?ae I-131.
Ia ia?oiio aoai? iniiaio a?oio neeaee 205 ae?oae a?eii a?ae 6 aei
14 ?ie?a, ye? iino?eii iaoeathoue ia oa?eoi??yo ?aae?aoe?eiiai
caa?oaeiaiiy. Ia i?aenoaa? aiae?co iniaenoeo iaaee/ieo ea?oie,
iaaee/iiai aiaiiaco, ee?i?/iiai niinoa?aaeaiiy i?ioyaii 1991-1994 ??.
oa caaaeueiiaeciaieo e?eoa???a (Loda F.A., 1972; Monto A.S., 1976) aiie
aoee iiae?eai? ia 2 a?oie, a naia: ae?oe, ye? /anoi oai??thoue ia
?ani??aoi?i? caoai?thaaiiy (Ae*O) oa caei?ia? ae?oe. Ae*O, ui i?iaeeaaee
iiaeeco *AAN, iaee 4 ? a?eueoa aeiaaee?a caoai?thaaiue ?ani??aoi?iiai
o?aeoo (ea?eiaio?aoa?o, a?iio?o, iiaaiii?y) ia ??e oa iaeaaeaee aei II
a?oie caei?ia’y. Ae?oe, ye? iaee o?ii?/io iaoieia?th
?ani??aoi?ieo oeyo?a oa ii?oieia?/i? ci?ie o eaaaiyo, ae?oe c
aea?a?/iei eiiiiiaioii aai III-IV a?oi caei?ia’y ia ianoaaeoaaeeny
? ia aoee aeeth/ai? o aeine?aeaeaiiy. O 1991-92 ??. ?ioiieia?/ia
aeine?aeaeaiiy aoei aeeiiaia na?aae 45 Ae*O oa 40 caei?iaeo
ae?oae iniiaii? a?oie. O 1993-94 ??. ?ioiieia?/ia aeine?aeaeaiiy
aoei aeeiiaii na?aae ?ioeo 71 Ae*O oa 49 caei?iaeo ae?oae iniiaii?
a?oie. A?oiith ii??aiyiiy oeueiai ?ioiieia?/iiai aeine?aeaeaiiy
aoee 148 ae?oae a?eii a?ae 6 aei 14 ?ie?a, ye? i?iaeeaaee o n?euenuee?e
i?noeaaino? Iieoaanueei? iaeano?. Ia i?aenoaa? oeo naieo iaoiae?a oa
e?eoa???a oe? ae?oe aoee oaeiae iiae?eai? ia Ae*O, ye? iaee ?? a?oio
caei?ia’y oa caei?iaeo ae?oae. O 1991-92 ??. Aeine?aeaeaiiy ai?noo
e?ioioeeoa?ieo noaiiioeyoe?e ia?eoa?e/ii? e?ia? aoei aeeiiaii
na?aae 25 Ae*O oa 36 caei?iaeo ae?oae a?oie ii??aiyiiy. O 1993-94 ??.
?ioiieia?/ia ianoaaeaiiy aoei i?iaaaeaii na?aae ?ioeo 42 Ae*O oa 45
caei?iaeo ae?oae a?oie ii??aiyiiy.
I?ae /an ee?i?ei-?ioiieia?/iiai ianoaaeaiiy an? ae?oe a?aea?aeoaaee
oeieo, ia iaee i?aeaeuaii? oaiia?aoo?e oa eaoeth oa ia io?eioaaee
e?eoaaiiy aoaeue-yeeie ?ioiinoi?aneaieie aai noa?i?aeieie i?aia?aoaie.
I?ioyaii o?ueio ?ie?a (1991-1993) na?aaeiy noia?ia aoaeoeaia
aea?aaeaioia aeica (NNAAAe) aioo??oiueiai ? ciai?oiueiai ii?ii?iaiiy
a?ae Ns-137(134) oa Sr-90 aeey ianaeaiiy, yea i?iaeeaaei a ianaeaieo
ioieoao aoea ioe?iaia IIC Oe?a?ie (oiaoi ia aoea
?iaeea?aeoaeueiith) ? ciaoiaeeeanue a iaaeao 0,57-7,6 iCa. Ca?aeii
c ii?iaie ?aae?aoe?eii? aaciaee Oe?a?ie (I?AO-97), ae?oe aoee iiae?eai?
ia aea? a?oie c NNAAAe 1,0 iCa.
Ia ae?oaiio aoai? ianoaaeaii 106 ae?oae oa i?aee?oe?a a?eii a?ae 7
aei 17 ?ie?a. Eiioeiaaioe aoee a?ae?a?ai? ia i?aenoaa? aiae?co
iniaenoeo iaaee/ieo ea?oie, iaaee/iiai aiaiiaco, ee?i?/iiai
ianoaaeaiiy, aea aac ciaiiy eaai?aoi?ieo oa oeueo?aniiia?ao?/ieo
aeaieo UC. An? aiie ia iaee a aiaiiac? aoaeue-yeeo o?ii?/ieo
caoai?thaaiue oa i?ae /an ianoaaeaiiy aoee caei?ia?. Ia i?aenoaa?
?iaeea?aeoaeueieo iiaeeiaieo aeic (?IAe) ia UC a?ae ?-131 (?IAe
iaaeai? a?aeae?eii aeiceiao??? oa ?aae?aoe?eii? a?a??ie IOe?I AII
Oe?a?ie) ae?oe oa i?aee?oee aoee iiae?eai? ia 3 a?oie. O I a?oi? aeice
ia UC a?ae I aoee 1,0 iCa o ii??aiyii? ?c Ae*O eiio?ieth (0,52 + 0,05 x 10 /L
i?ioe 0,33 + 0,03 x 10 /L, a?aeiia?aeii; P 1,0 iCa
aioeaaiaie Caei?ia? (n=45) Ae*O (n=42) Caei?ia? (n=17) Ae*O (n=34)
Caei?ia? (n=32) Ae*O (n=37)
CD3+ T-ee?oeie 66,9+0,8 66,9+0,9 68,1+,3 63,3+1,2*, # 66,4+1,3
63,5+0,9*
CD3+CD4+ ee?oeie 35,7+0,7 35,6+0,9 37,1+1,6 33,3+0,8# 36,2+1,3
31,3+0,9@, &
CD3+CD8+ ee?oeie 25,4+0,8 25,8+0,8 24,0+1,1 24,4+0,8 24,3+1,0 26,6+0,9
CD3+CD4+/ CD3+CD8+ ni?aa?aeiioaiiy 1,5+0,1 1,5+0,1 1,6+0,1 1,4+0,05
1,6+0,1 1,3+0,07**
CD19+ B-ee?oeie 15,8+0,7 16,0+0,7 15,4+0,9 16,9+0,6 14,1+0,8 16,3+0,8
CD3-/CD16+,56+ IE 11,4+0,7 11,3+0,7 10,5+1,2 13,5+1,2 12,8+1,1 13,9+1,0
I?ei?oee:
1.* – P 1,0 iCa;
5.** – P 1,0 iCa.
?en. 1. na?ae/eoue i?i a??ia?aeia c?inoaiiy, o ii??aiyii? ?c Ae*O
eiio?ieth, e?eueeino? aeiaaee?a ca?eueoaiiy i?aeiaa?iieo
ie?aeaeei ?/aai aaeaii?aeieo aaaaoaoe?e, a oaeiae ca?eueoaiiy
?ici??o aeayeeo a?oi ia?eoa?e/ieo
?en. 1. A?aenioie Ae*O ?c e?ioaaeaiiiao??th oa ??ciith NNAAAe
Cs-137(134) ? Sr-90 ca ?ieaie aeine?aeaeaiiy
e?ioaoe/ieo aoce?a na?aae Ae*O iniiaii? a?oie (P 1,0 iCa, a?aenioie ae?oae c oaeith ?aaeoe??th ia?eoa?e/ii?
e?ioaoe/ii? nenoaie aoa a??ia?aeii aeuei, i?ae na?aae Ae*O c NNAAAe 0,05). C ?ioiai aieo, o a?oi? ae?oae ?c aeicaie ii?ii?iaiiy iiiaae
2,0 A? ??aaiue a?eueiiai O4 aoa a??ia?aeii ieae/ei, i?ae o a?oi?
ii??aiyiiy (11,3 + 0,6 ieiie/e i?ioe 13,5 + 0,4 ieiie/e, a?aeiia?aeii;
P
2,0 A? ia UC oa ae?oae ye c aeicaie I-131 2,0 A?. Oea ?aae?coaaeiny o a??ia?aeii i?aeaeuaia
CD3+CD4+/CD3+CD8+ ee?oeiia ni?aa?aeiioaiiy o ae?oae c aeicaie ?-131 >
2,0 A? ia UC o ii??aiyii? c ae?oueie, ye? iaee aeice I-131 iaio i?ae
2,0 A? oa ae?oueie eiio?ieueii? a?oie. Aaniethoia e?euee?noue CD3+CD8+
ee?oei o ae?oae ?c aeicaie ?-131 ia UC > 2,0 A? (0,58 + 0,05 x 10 /L)
aoea a??ia?aeii ieae/ith, i?ae o ae?oae ?c aeicaie ?-131 ia UC 2,0 A?
aioeaaiaie (n=45) (n=49) (n=38) (n=19)
CD3+ T-ee?oeie 66,9+0,8 67,0+1,1 65,4+1,0 67,9+1,2
CD3+CD4+ ee?oeie 35,7+0.7 36,1+1.0 37,2+1.1 40,6+0,9*, #
ND3+CD8+ ee?oeie 25,4+0,8 26,4+0,7 25,0+0,8 22,3+0,9*
CD3+CD4+/ CD3+CD8+ ni?aa?aeiioaiiy 1,5+0,1 1,4+0,06 1,6+0,1 1,9+0,1@, #
CD19+ B-ee?oeie 15,8+0,7 13,2+0,6# 12,5+0,9# 13,2+0,7
CD3-CD16+,CD56+ IE 11,4+0,7 13,3+0,9 14,7+1,1# 12,1+0,9
I?ei?oee:
1.* – P
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