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

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I.Aiaiiieueoey

NAION?AA Ieaia Noai?neaa?aia

OAeE 616.33 – 002.2 — 091

IAOIII?OIC O?II?*IIAI AANO?EOO O A?ENUeEIAINEOAEAIAOe?A — E?EA?AeAOI??A
IANE?AeE?A AAA??? IA *I?IIAEEUeNUeE?E AAN

14.03.02 — Iaoieia?/ia aiaoii?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a ?inoeooo? aeieia?/ii? iaoieia?? ethaeeie (i. Ee?a)

Iaoeiaee ea??aiee — aeieoi? iaaee/ieo iaoe

Oa?auaiei Aaeaioeia Iaae?aia,

aee?aeoi? ?inoeoooo aeieia?/ii? iaoieia?? ethaeeie

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

Caaei?iaeia Oaia?a Aeaiee?aia,

ea??aiee eaai?aoi??? ii?oieia?? ?inoeoooo iaae?ao???, aeooa?noaa oa
a?iaeieia?? AII Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani?

Nooi?ia Ieaenaiae?a Naiai?aia,

iaoeiaee eiinoeueoaio eaai?aoi??? ii?oieia?? ? oeeoieia??
?inoeoooo aa?iioieia?? AII Oe?a?ie

I?ia?aeia onoaiiaa: Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao IIC
Oe?a?ie, eaoaae?a iaoieia?/ii? aiaoii?? (i. Oa?e?a)

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 20 ” o?aaiy 1999 ?. i 13-30
aiaeei? ia can?aeaii? Niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.003.04 i?e
Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao? ?i. I.I.Aiaiiieueoey IIC Oe?a?ie
(i. Ee?a, i?. Ia?aiiae, 34).

C aeena?oaoe??th iiaeia iciaeiieoeny o iaoeia?e a?ae?ioaoe?
Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo ?i. I.I.Aiaiiieueoey IIC Oe?a?ie
(i. Ee?a, i?. Ia?aiiae, 34).

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

A/aiee nae?aoa?

Niaoe?ae?ciaaii? ?aaee,

aeieoi? iaaee/ieo iaoe, i?ioani? A.A.*a?eania

18

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue ?iaioe. Iaeiei c iaaeeei-a?ieia?/ieo iane?aee?a aaa??? ia
*i?iiaeeuenuee?e aoiii?e aeaeo?inoaioe?? 26 ea?oiy 1986 ?ieo ?
iaoiii?oic niiaoe/ieo caoai?thaaiue o iino?aaeaeaeeo, yeee iieyaa? a
o?ainoi?iaoe?? no?oeoo?e caaaeueii? caoai?thaaiino? oa ci?i?
«eeane/iiai» ia?aa?ao ie?aieo iaaeoa (?iiaiaiei A.A. e niaao., 1992;
Nieaeaiei TH.I. e niaao., 1993; Aaeiieay O.A. e niaao., 1996; oa ?i.).
Iaaaaeai? a e?oa?aoo?? ?acoeueoaoe ai?aeai?ieia?/ieo niinoa?aaeaiue
cana?ae/othoue iayai?noue i?ney /i?iiaeeuenueei? eaoano?ioe /?oei?
oaiaeaioe?? aei ?inoo aano?iaioa?ieia?/ii? iaoieia??, cie?aia o?ii?/iiai
aano?eoa (OA). Caaaeueiiaeciaiei ia nueiaiaei? oaeoii ? ? iaoeiiaa
ee?i?/ia ea?oeia oeueiai caoai?thaaiiy o e?ea?aeaoi??a iane?aee?a aaa???
(EIA) oa iaoeaioe?a ?aae?aoe?eii-caa?oaeiaieo oa?eoi??e (Aa?ueyooa? A.A.
e niaao., 1995; sseeiaiei Ae.I. e niaao., 1995; Aaeiieay O.A. e niaao.,
1996; oa ?i.). Iaeiae na?ae/aiiy uiaei no?oeoo?iiai i?aea?oioy
iaoiii?oico OA ? o?aaiaioa?ieie ? iaiaeiicia/ieie (Etha/aiei I.I. e
niaao., 1990; Aii/a?ee E.E., 1991, 1992; Aeaaoy?aaa E.A. e niaao., 1992,
1993; oa ?i.).

sse a?aeiii, ee?i?/ia ea?oeia caoai?thaaiiy caeaaeeoue a?ae
ni?aa?aeiioaiiy aeeaeie iioeiaeaeaiiy oeaiei oa nooiaith eiai
eiiiainaoe??. O in?a, eio?? i?aeiaee aieeao «/i?iiaeeuenueeiai oaeoi?a»,
aeieeiaiiy ? ?icaeoie iaaeoa a?aeaoaa?oueny ca oiia ii?ooaii?
?aaeoeaiino? i?aai?cio, ui aeaeici?ith? o ieo oa?aeoa? oeiiaeo
eiiiainaoi?ii-i?enoinoaaeueieo ?aaeoe?e. I?e oeueiio, a?aeiia?aeii,
o?ainoi?iothoueny ? ee?i?/i? i?iyae iaoieia?/ieo i?ioean?a, aeieeathoue
ia’?eoeai? o?oaeiiu? ?o ae?aaiinoeee ? e?eoaaiiy. Aea/aiiy
ee?i?ei-ii?oieia?/ieo iniaeeainoae OA o aeacaiiai eiioeiaaioo iaoe??io?a
ni?eyoeia aeeaieiio ?icoi?iith iaoai?ci?a ?iaeoeiaaiiai iaoiii?oico
caoai?thaaiiy aeey iaoeiai? a?aoiaioaoe?? iioeiaeueii?
e?eoaaeueii-ae?aaiinoe/ii? oaeoeee.

Aeooaeuei?noue aea/aiiy i?e/ei, iaoai?ci?a ? i?iya?a iaoiii?oico OA
i?aee?aneth?oueny i??i?eoaoi?noth o?aaeaiue oeoieiai-eeoeiaiai o?aeoo ye
aa?’??a ia oeyoo iaaeoiaeaeaiiy a i?aai?ci ethaeeie ?aae?iioee?ae?a oa
?ioeo enaiia?ioee?a, a oaeiae iaaecae/aeii oe?ieith ?iciianthaeaeai?noth
caoai?thaaiiy a iiioeyoe??.

O?niee aiaoii?/iee ? o?c?ieia?/iee aca?iica’ycie oeoiea ?
aeaaiaaeoeyoeiaei? eeoee (AeIE) aecia/a? niieo/ai?noue iaoieia?/ieo
i?ioean?a o aeacaieo i?aaiao, a, a?aeiia?aeii, a?eueoo ??ciiiai?oi?noue
ee?i?/ii? neiioiiaoeee i?e ?o iaoieia??. C oe??? oi/ee ci?o o oai?eo ia
o?ii?/iee aano?eo aeioe?eueii i?iaiaeeoe ii?oieia?/ia aeine?aeaeaiiy
oaeiae ? a?iioao?a neeciai? iaieiiee (NI) AeIE.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa ?
o?aaiaioii iaoeiai? i?ia?aie ?AIE «No?oeoo?ia i?aea?oioy iaoiii?oico
caoai?thaaiue o in?a, ui iino?aaeaeaee aiane?aeie aaa??? ia
*i?iiaeeuenuee?e AAN 1986 ?ieo» (? aea?aeaaii? ?a?no?aoe?? 01974007676).

Iaoa ?iaioe — aecia/eoe iniaeeaino? iaoiii?oieia?/ieo ci?i neeciaeo
iaieiiie oeoiea ? aeaaiaaeoeyoeiaei? eeoee ? ?o niieo/ai?noue c
ee?i?/ieie aeaieie i?e o?ii?/iiio aano?eo? o a?enueeiaineoaeaiaoe?a —
e?ea?aeaoi??a iane?aee?a /i?iiaeeuenueei? eaoano?ioe aeey iaoeiai?
a?aoiaioaoe?? i?eioeei?a e?eoaaeueii? oaeoeee c o?aooaaiiyi iaoiii?oica
aeacaiiai caoai?thaaiiy.

Iniiai? caaaeaiiy aeine?aeaeaiiy:

1. C?noaaeoe ?acoeueoaoe iniiaieo ee?i?ei-eaai?aoi?ieo iaoiae?a
aeine?aeaeaiiy o oai?eo ia o?ii?/iee aano?eo c o?aooaaiiyi
?aae?aoe?eiiai oaeoi?a a aiaiiac?.

2. Cae?enieoe eiiieaeniee no?oeoo?iee aiae?c ci?i neeciaeo iaieiiie
oeoiea ? aeaaiaaeoeyoeiaei? eeoee o a?enueeiaineoaeaiaoe?a —
e?ea?aeaoi??a iane?aee?a aaa???, ye? no?aaeaeathoue ia o?ii?/iee
aano?eo.

3. Aeine?aeeoe iaoiii?oieia?/i? ci?ie neeciaeo iaieiiie oeoiea ?
aeaaiaaeoeyoeiaei? eeoee o in?a eiio?ieueii? iicieia?/ii? a?oie ?
c?noaaeoe ?o c iaoiii?oieia?/ieie aea?aaeaioaie o?ii?/iiai aano?eoa o
iaoe??io?a, eio?? i?aeiaee ?aae?aoe?eiiio aieeao.

4. Aecia/eoe no?oeoo?i? i?iyae iaoiii?oico o?ii?/iiai aano?eoo o
a?enueeiaineoaeaiaoe?a — e?ea?aeaoi??a iane?aee?a aaa??? ? iaa?oiooaaoe
ie?ai? iai?yiee iioei?caoe?? e?eoaaeueii-i?io?eaeoe/ii? oaeoeee o
aeacaiiai eiioeiaaioa iaoe??io?a.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa a ?acoeueoao?
c?noaaeaiiy aeaieo iniiaieo ee?i?ei-eaai?aoi?ieo iaoiae?a aeine?aeaeaiiy
? eiiieaeniiai ii?oieia?/iiai aiae?co aano?i- ? aeoiaeaiia?iioao?a,
acyoeo o e?ea?aeaoi??a c aa?eo?eiaaiith aeicith ii?ii?iaiiy ? iaoe??io?a
aac ?aae?aoe?eiiai /eiieea a aiaiiac?, io?eiai? a?aeiiino? uiaei
no?oeoo?ieo i?iya?a iaoiii?oico o?ii?/iiai aano?eoa o EIA: 1) 
ia?aaaaeaiiy iaiaano?eoo; 2) ?iaac?y Helicobacter pylori (I?) o aeanio
ieanoeieo NI oeoiea; 3) a?eueoa ae?aaeai?noue aeen?aaaia?aoi?ieo ci?i
oeoieiaiai ai?oae?th; 4) o?ainoi?iaoe?y e?iaoeee caiaeueiiai i?ioeano;
5) ae?aci?oa iaoieia?y i?e?ioee?eoeyoe??; 6) a?ia?ieac?y ia???oaeueieo
ee?oei c aaeoie?caoe??th ?o oeeoiieacie; 7) ?ioaineo?eaoe?y
?iaiethoeaieo i?ioean?a o NI oeoiea. Cai?iiiiiaai? a?iioaoe/i? noaie
iaoi- ? ii?oiaaiaco ii?ooaiue a NI oeoiea ? AeIE i?e o?ii?/iiio aano?eo?
o in?a, ye? i?aeiaee ae?? ?aae?aoe??.

?acoeueoaoe iaoeiaiai iiooeo cia/ou? aeey o?aeooaaiiy iaoai?ci?a
?iaeoeiaaiiai iaoiii?oico caiaeueieo i?ioean?a, ui eieae?cothoueny a
neeciaeo iaieiieao ?ioeo i?aai?a, aia??i- ? o?eiaaiaoe/ii nii??aeiaieo
ia’?eoai aeaiiai aeine?aeaeaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. O a?aeiia?aeiino? c
iio?aaaie i?aeoe/ii? ioi?iie caei?ia’y ia i?aenoaa? aa?eo?eiaaieo
ee?i?ei-iaoiii?oieia?/ieo iniaeeainoae OA o EIA noi?ioeueiaai?
?aeiiaiaeaoe?? noiniaii iioei?caoe?? e?eoaaeueii-ae?aaiinoe/ii?
aeiiiiiae aeacaiiio eiioeiaaioo oai?eo. A?aoiaioiaaia iaiao?aei?noue
i?iaaaeaiiy aeeniaina?ieo iaeyae?a oe??? eaoaai??? iaoe??io?a, ye?
ia?aaeaa/athoue o?a?iacioaaiaano?iaeoiaeaiineii?th (OAAAeN) c a?iin??th
? ioe?ieith oeoieiai? nae?aoe??.

Iaa?oioiaaia aeioe?euei?noue aeeth/aiiy aei noaie aioeaae?eiaaeoa?ii?
oa?ai?? aioea?ioee?a, eio?? aeia?a i?iieeathoue aei aeanii? ieanoeiee
NI. Aeoiaey/e c ?acoeueoao?a aeaiiai aeine?aeaeaiiy, iaoiaaiaoe/ia
e?eoaaiiy e?ea?aeaoi??a, oai?eo ia OA, iiaeiii aooe ni?yiiaaiei ia
aeoea?caoe?th oeoieiai? oeeoii?ioaeoe??.

I?aeoe/io cia/ou?noue ia? anoaiiaeaiee oaeo ?ioaineo?eaoe??
?iaiethoeaieo i?ioean?a o e?ea?aeaoi??a, yeee iiaeiai a?aoiaoaaoenue a
ae?aaiinoe/iiio aeai?eoi? uiaei icia/aiiai eiioeiaaioa in?a.

Ioe?iaia ?ioi?iaoeai?noue ? a?aoiaioiaaia aeioe?euei?noue aeei?enoaiiy
?yaeo a?noio?i?/ieo iaoiaeee i?e aeine?aeaeaii? aano?i- ?
aeoiaeaiia?iioao?a, io?eiaieo a?ae EIA, cie?aia, n??aeaiiy ca
Aa?o?iii-Noa??? aeey ioe?iee ?io?eiaaiino? NI aaeoa??yie HP, a oaeiae
iioa?aoaaiiy aeueoe?aiiaei nei?i i?e pH 2,5 oa 1,0 aeey
aeeoa?aioe?thaaiiy oeio eeoeiai? iaoaieac??.

Iniaenoee aianie caeiaoaa/a. Aeena?oaio iniaenoi aeeiiaea an?
ii?oieia?/i? aeine?aeaeaiiy, nenoaiaoecoaaea iieacieee, io?eiai? i?e
ee?i?ei-eaai?aoi?iiio ianoaaeaii? oai?eo, cae?enieea aiae?c oa
noaoenoe/io ia?iaeo iaea?aeaieo ?acoeueoao?a, noi?ioethaaea iniiai?
aeniiaee oa ?aeiiaiaeaoe??. Aeaeo?iiiii?e?ineii?/i? aeine?aeaeaiiy aaoi?
aeeiiaea ia aac? IAeE aeaeo?iiii? i?e?ineii?? ? o?ceei-oaoi?/ieo
iaoiae?a aeine?aeaeaiiy ?inoeoooo aeieia?/ii? iaoieia?? ethaeeie
(ea??aiee — e.a.i. O.I.Naaaaea). Aaoi? ue?i aaey/ia ni?a?ia?oieeai
aeuaiacaaii? eaai?aoi??? ca oaaao aei ?? aeine?aeaeaiue oa aeiiiiiao.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy ?iaioe
aeiiia?aeaeeny ? iaaiai?thaaeeny ia 1 c’?cae? I?aeia?iaeiiai nithco
anioe?aoe?e iaoieiaiaiaoii?a (i. Iineaa, 1995 ?.), iaoeiai-i?aeoe/i?e
eiioa?aioe?? A?enueeiai-iaaee/iiai oi?aae?iiy NA Oe?a?ie
”Iaaeeei-aeieiae/aneea iineaaenoaey *a?iiaueueneie eaoano?iou 10 eao
nionoy. Aeooaeueiua aii?inu aiaiiie iaaeeoeeiu niaoeneoaea Oe?aeiu” (i.
Ee?a, 1996 ?.), can?aeaiiyo aenia?oii? eii?n?? “Iaoieia?/ia aiaoii?y”
(i. Ee?a, 1996 ?. ? 1997 ?.), iaoeiai-i?aeoe/i?e eiioa?aioe??
“Aeooaeuei? ieoaiiy ?ioaeoieia??, ai?aeai?ieia?? ? i?e?ia?ieia??” (i.
Ee?a, 1998 ?.), 6 eiia?an? iaoieia?a Oe?a?ie “Noaeeii? ? iieieia?/i?
caoai?thaaiiy: ii?oiaaiac ? aeieia?/iee iaoiii?oic” (i. A?iieoey, 1998
?.), ?anioae?eainuee?e oeie? iieiaeeo niaoe?ae?no?a-iaoiii?oieia?a (i.
Iaeana, 1998 ?.), iaoeiaeo nai?ia?ao ? eiioa?aioe?yo ?inoeoooo
aeieia?/ii? iaoieia?? ethaeeie (i. Ee?a, 1995-1998 ??.), a oaeiae
cayaeai? a iaoa??aeao iaoeiai-i?aeoe/ii? eiioa?aioe?? “*a?iiaueueneay
eaoano?ioa: i?iaiic, i?ioeeaeoeea, ea/aiea e iaaeeei-nioeeaeueiay
?aaaeeeoaoeey iino?aaeaaoeo” (i. I?inuee, 1994), iaoeiai-i?aeoe/i?e
eiioa?aioe?? IIC Oe?a?ie (i. Ee?a, 1995 ?.), iaoeiai? eiioa?aioe??
I?aeia?iaeiiai ?inoeoooo Aeieia?? ? ?aeo (Oo?a//eia, 1995 ?.), XII
I?aeia?iaeiiio eiia?an? ?ioa?iaoe?iiaeueii? Aeaaeai?? Iaoieia?? (i.
I?oeoea, 1998 ?.).

Ai?iaaaeaeaiiy a i?aeoeeo. ?acoeueoaoe ?iaioe aeei?enoiaothoueny a
iianyeaeaii?e ae?yeueiino? ?inoeoooo aeieia?/ii? iaoieia?? ethaeeie, aea
cina?aaeaeai? ii?oieia?/i? aeine?aeaeaiiy ee?i?/iiai iaoa??aeo EIA, ye?
ia?aaoaathoue ia ianoaaeaii? ? e?eoaaii? a ee?i?eao Iaoeiaiai oeaio?o
?aae?aoe?eii? iaaeeoeeie AII Oe?a?ie ? Aieiaiiai ee?i?/iiai oieoaeth II
Oe?a?ie, a oaeiae cai?iaaaeaeai? o ee?i?/io i?aeoeeo iaoieiaiaiaoii?/ieo
a?aeae?eaiue ? eaai?aoi??e oeyoii aena?oeaiiy a i?ia?ai?
?anioae?eainueei? oeiee iieiaeeo niaoe?ae?no?a – iaoiii?oieia?a
(i. Iaeana, 1998 ?.).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 16 iaoeiaeo ?ia?o, a
oiio /ene? 4 iaoeia? noaoo? o oaoiaeo aeaeaiiyo, ?aeiiaiaeiaaieo AAE
Oe?a?ie.

Ianya ? no?oeoo?a ?iaioe. Iniiaiee oaeno aeena?oaoe?? aeeeaaeaiee ia 119
noi??ieao ? neeaaea?oueny c? anooio, iaeyaeo e?oa?aoo?e, ?icae?eo
“Iaoa??ae ? iaoiaee”, 3 ?icae?e?a aeanieo aeine?aeaeaiue, iaaiai?aiiy
io?eiaieo aeaieo, aeniiae?a, nieneo e?oa?aoo?e (423 aeaea?aea; cie?aia
272 oe?a?inueeith oa ?in?enueeith iiaaie). ?iaioa i?noeoue 3 oaaeeoe? ?
71 ?ethno?aoe?th (a?ao?ee, i?e?ioioia?ao??).

Iaoa??ae ? iaoiaee aeine?aeaeaiiy

Iaoa??aeii aeey ii?oieia?/iiai aeine?aeaeaiiy neoaoaaee aano?i- ?
aeoiaeaiia?iioaoe, io?eiai? i?e OAAAeN a?ae 77
a?enueeiaineoaeaiaoe?a-EIA c aa?eo?eiaaiith aeicith ii?ii?iaiiy, oai?eo
ia OA, a oaeiae 34 iaoe??io?a iicieia?/ii? eiio?ieueii? a?oie (EA).
Cia/aiiy aeic ciai?oiueiai ii?ii?iaiiy ciaoiaeyoueny a iaaeao 1,2 — 54,6
nA?. Eiio?ieueio a?oio neeaee a?enueeiaineoaeaiaoe?, iaaeoae? ia OA, ye?
ia i?eeiaee o/ano? a e?ea?aeaoe?? iane?aee?a /i?iiaeeuenueei? eaoano?ioe
? ia i?iaeeaaee ia ?aae?aoe?eii caa?oaeiaieo oa?eoi??yo. Ca?aeii
eaoaiiaca, iaoe??ioe iaio a?oi caoai??ee ia OA i?ney 1986 ?. A?oie
iaeii??aei? ca noaooth (/ieia?ee) oa i?ioan?eii-iiaooiaei ia?aiao?ai.
Na?aaei?e a?e EIA — 45,600,86 ?ie?a, in?a EA — 39,201,12 ?ie?a.

Oaeiae aoa i?iaaaeaiee noaoenoe/iee aiae?c oi?iae?ciaaieo oaiaoe/ieo
ea?o «?aae?iaano?iaioa?ieia?y» (Eaoaae?a a?enueeiai? oa?ai?? i?e OAeIO),
ui a?aeia?aaeathoue ?aae?aoe?eiee aiaiiac oa ?acoeueoaoe ee?i?/iiai
ianoaaeaiiy iaoe??io?a iaio a?oi (EIA — 98 in?a, EA — 34 iniae).
Aeacaiee o?aaiaio aeine?aeaeaiiy aeeiiaii ni?eueii c e?ea?ai
aano?iaioa?ieia?/iiai a?aeae?eaiiy Aieiaiiai a?enueeiaiai ee?i?/iiai
oieoaeth II Oe?a?ie iaei?ii iaaee/ii? neoaeae eaiaeeaeaoii iaaee/ieo
iaoe Neey?ii N.?. Ee?i?/ia niinoa?aaeaiiy aeeth/aei caaaeueiee iaeyae oa
iieooaaiiy iaoe??io?a, caaaeueiee oa a?io?i?/iee aiae?ce e?ia?,
aecia/aiiy iieaciee?a caaaeueiiai ?ioi?oaoo, oeueo?acaoeiaa
aeine?aeaeaiiy aaiaoia?e?a?ii? nenoaie, i?aeoeoieiai? caeice ? ie?ie,
OAAAeN c iae?ineii?/iith ioe?ieith noaio NI oeoiea, AeIE oa a?iin??th.
Iinoaiiaea aiaeineii?/iiai ae?aaiica i?iaiaeeeanue ca?aeii «Ianoaaeaieth
ii yiaeineiiee a ea/aaiuo o/?aaeaeaieyo NA e AIO».

Aaoi? aeneiaeth? ue?o aaey/i?noue ca eiinoeueoaoeaio aeiiiiiao i?e
aeeiiaii? aeine?aeaeaiue aeieoi?o iaaee/ieo iaoe, i?ioani?o, caa?aeoaa/o
eaoaae?ith aini?oaeueii? oa?ai?? ? 1 Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i. I.I.Aiaiiieueoey Aiinia?e Eaoa?ei? Ieeiea?ai?.

A?iioaoe io?eioaaee c ooiaeaeueiiai ? aio?aeueiiai a?aeae?e?a oeoiea, a
oaeiae c i?ieneiaeueiiai a?aeae?eo AeIE. Caaaeueia e?euee?noue
aeine?aeaeaieo aano?i- ? aeoiaeaiia?iioao?a — 294 (oaae.1).

A?iin?eiee iaoa??ae o?enoaaee a 10 % ?ic/ei? iaeo?aeueiiai oi?iae?io ?
i?iaiaeeee a?noieia?/io ia?iaeo. C??ce caaa?aethaaee aaiaoienee?iii ?
aiceiii, a oaeiae ca aeiiiiiaith ?yaeo a?noio?i?/ieo iaoiae?a
(PAS-?aaeoe?y, iaoiaeeee Iio??, Oiia-Iaiiaiaaeia, MSB, oa?aoaaiiy
aeueoe?aiiaei nei?i i?e ?I 1,0 ? 2,5, n??aeaiiy ca Aa?o?iii-Noa???).
*anoeia a?iioao?a aeine?aeaeaia ca aeiiiiiaith aeaeo?iiii? i?e?ineii?? ?
a?noiaaoi?aae?ia?ao??.

Oaaeeoey 1.

I?aaii-oiiia?ao?/ia ?iciiae?eaiiy a?iin?eiiai iaoa??aeo a a?oiao
ianoaaeaieo oai?eo (n=294)

EE?I?*IA A?OIAA?AeAe?EE OEOIEIAI-EEOEIAIAI
O?AEOOOEOIIEAeaaiaaeoeyoe-iaea eeoeaOoiaeaeueiee a?aeae?eAio?aeueiee
a?aeae?eEIA687364EA312830Anueiai9910194

Aeey aeaeo?iiii-i?e?ineii?/iiai aiae?ca a?iioaoe o?enoaaee a 1,6 %
?ic/ei? aeooa?aeueaeaa?aea ia 0,1 I oinoaoiiio aooa?? c ?I 7,4,
i?iieaaee a oeueiio ae aooa??, aeio?eniaoaaee a 2 % ?ic/ei? /ioe?eieeno
ini?th, ciaaiaeaeoaaee ? caeeaaee a noi?o aiii-a?aeae?o. Ia
oeueo?ai?e?ioii? LKB-8800 111 aeaioiaeyee nii/aoeo iai?aoiie? c??ce, ye?
i?ney oa?aoaaiiy iaoeeaiiaei nei?i aea/aee ca aeiiiiiaith na?oeiiioe/ii?
i?e?ineii??. I?ney i?eoe?eueii? caoi/ee aeiea io?eioaaee oeueo?aoiie?
c??ce, eiio?anoiaai? iio?i o?ai?eaoeaoaoii ? oeeo?aoii naeioeth.
I?aia?aoe aea/aee a aeaeo?iiiiio i?e?ineii? AI-400O ca i?enei?thth/i?
iai?oae 60 eA. Iaoa??ae aeieoiaiooaaee o aeaeyae? iaaaoea?a ?
oioia?aeaeoe?a.

A?noiaaoi?aae?ia?ao?th cae?enithaaee oeyoii iie?eooy c??c?a ??aeeith
oioiaioeuen??th oeio I eiiiai?? «Eiaeae». Aeaia?ao?iiaai? a eneeie?
i?aia?aoe ia 1 n caio?thaaee a ??aeeo aioeuen?th, ?ic?a??oo aei 40-45 N
? ?icaaaeaio aeenoeeueiaaiith aiaeith o ni?aa?aeiioaii? 1:1. *a?ac 4-8
oeaei?a ?o i?iyaeyee a ai?aeieiaiio i?iyaieeo ? cae??ieyee a 30 %
?ic/ei? o?inoeueoaoa iao??y, i?ney /iai oa?aoaaee aaiaoienee?iii-aiceiii
? caeeth/aee a aaeuecai. A yeino? eiio?ieueieo ia’?eo?a
aeei?enoinoaaeenue iie?eo? aioeuen??th i?aaeiaoi? neaeueoey aac
a?noieia?/ieo c??c?a.

Iinoaiiaea iaoiii?oieia?/iiai ae?aaiica OA aoaeoaaeanue ia i?eioeeiao
«N?aeiaenueei? nenoaie». Aa?eo?eaoe?y iaoieia?/ieo ci?i NI AeIE
aacoaaeanue ia e?eoa??yo caaaeueiii?eeiyoi? eeaneo?eaoe??, ca?aeii yei?
aeae?eyee o?ii?/iee aeoiaeai?o aac ao?io?? NI (iiaa?oiaaee oa aeeoociee)
? ao?io?/iee (c ia?aaaaeiith ao?io??th e?eio aai ai?neiie). Aeiaeaoeiai
a NI oeoiea ? AeIE iai?ae?euee?nii ioe?ithaaeenue aeeno?io?/i? ?
aeen?aaaia?aoi?i? ci?ie ai?oae?y, neeaae caiaeueiiai ee?oeiiiai
?io?eueo?aoa, ae?aaeai?noue e?ioioeeoa?ii? ?io?eueo?aoe?? ai?oae?y,
a?ia?ieac?y e?ioi?aeieo oie?eoe?a, no?oeoo?i? iciaee iaoieia??
i?e?ioee?eoeyoe??.

?acoeueoaoe ii?oieia?/iiai aeine?aeaeaiiy aeieoiaioiaai? a
oi?iae?ciaaieo ea?oao iae?eo aeaieo ? ia?iaeai? noaiaea?oieie iaoiaeaie
aa??aoe?eii? noaoenoeee (I?ioea? I.I. oa ni?aaao., 1991).

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy

Noaoenoe/iee aiae?c aeaieo ee?i?/iiai ianoaaeaiiy oai?eo iniiaii? oa
eiio?ieueii? a?oi iieacaa, ui o e?ea?aeaoi??a ia? i?noea ee?i?/iee
iaoiii?oic OA, yeee iieyaa? a ianooiiiio:

1) Caoai?thaaiith aeanoea? neiae?iiieia?/i? iniaeeaino? — iaaeyaeii
a?eueo aeniea aeni?an?y aieueiaiai neiae?iio (83 % i?ioe 76 % a EA,
p<0,05), aeinoia??ii /ano?oa cono??/athoueny anoaii-iaa?ioe/iee neiae?ii (95 % o ii??aiyii? c 32 % a eiio?ie?, p<0,001) oa eeoeiaa aeeniain?y (92 % i?ioe 50 % a EA, p<0,001). 2) O?ii?/iiio aano?eoo, ye ? o?ii?/iiio aeoiaeai?oo, /ano?oa, o ii??aiyii? c iicieia?/iei eiio?ieai, i?eoaiaiia noiooiy iaoieia?y i?aeoeoieiai? caeice ? i?aai?a aaiaoi-a?e?a?ii? nenoaie. Ca aeaieie niiia?ao?/iiai aeine?aeaeaiiy, ci?ie ia/?iee i?inoaaeai? o 65 % a?ae /enea ianoaaeaieo EIA, iaoieia?y aeia/iiai i?oo?a - o 59 %, i?aeoeoieiai? caeice - o 82 % (a eiio?ie? - 6 %, 32 % ? 18 % a?aeiia?aeii, p aeey an?o iieaciee?a <0,001). 3) Ca aeaieie OAAAeN, o e?ea?aeaoi??a niinoa??aa?oueny ?aii?e ?icaeoie ao?io?/iiai aano?eoa (68 % o ii??aiyii? c 12 % a EA, p<0,001) ? ao?io?/iiai aeoiaeai?oa (26 % i?ioe 3 % a eiio?ie?, p<0,001), ye? noi?iaiaeaeothoueny ii?ooaiiyie aano?iaeoiaeaiaeueii? iioi?eee. Aeoiaeaii-aano?aeueiee ?aoethen a?aei?/aany a iniiai?e a?oi? iaoe??io?a a?eueo, i?ae oo?e/? /ano?oa, ai?ae a eiio?ie? - 49 % e 15 % niinoa?aaeaiue a?aeiia?aeii, p<0,001. Aeey e?ea?aeaoi??a oa?aeoa?ia oaeiae ii?ooaiiy nae?aoi?ii? ooieoe?? oeoiea - cieaeaiiy i?ioyaeiino? oiiaii? eeneioiooai?thth/i? ciie ? i?aeaeuaiiy ?I oeoieiaiai ai?noo, noaoenoe/ii aeinoia??ia ia?aaaaeaiiy a?ii- ? aiaoeeaeieo noai?a (62 % o ii??aiyii? c 21 %-i eiio?ieueiei iieacieeii, p<0,001). 4) A?aei?/a?oueny aeniea /anoioa a?iceaieo o?aaeaiue NI oeoiea ? AeIE. A iniiai?e a?oi? /anoioa aeyaeaiiy a?ic?e NI oeoiea a 7 ?ac?a ia?aaaaeaea eiio?ieuei? cia/aiiy (21 % e 3 % a?aeiia?aeii, p<0,001). Iieacieee aeyaeaiiy a?iceaiiai aeoiaeai?oa o ii??aithaaieo a?oiao ??cieeenue ia oae nooo?ai (18 % - EIA, 15 % - EA, p>0,05).

5) Iathoue i?noea iniaeeaino? eaai?aoi?ieo iieaciee?a e?ia? —
noaoenoe/ii aeinoia??ia (p<0,001) cieaeaiiy a ne?iaaooe? e?ia? e?ea?aeaoi??a ai?noo oea?oeiieaci?ia ? cae?ca, i?aeaeuaiiy - aeai?iai?iio?ainoa?ace, ai?eace ? 2-aeiaoe?i?a. O oai?eo iniiaii? a?oie i?inoaaeai? oaeiae oaiaeaioe?y aei cieaeaiiy aaniethoii? e?eueeino? O-e?ioioeeo?a ? iaaeyaeia i?aeaeuaiiy aaniethoiiai /enea A-e?ioioeeo?a e?ia?. ?acoeueoaoe eiiieaeniiai no?oeoo?iiai aiae?co a?iin?eiiai iaoa??aeo iieacaee, ui i?aeoe/ii o an?o ianoaaeaieo iaoe??io?a iaa i?noea OA, anioe?eiaaiee c I?, a oaeiae aoee i?enooi? ??ci? oi?ie o?ii?/iiai aeoiaeai?oa. Oeiia? no?oeoo?i? aea?aaeaioe oeeo niieo/aieo caoai?thaaiue o EIA a?ae??ciyeenue a?ae oaeeo a iicieia?/iiio eiio?ie? ca /anoioith aeyaeaiiy, nooiaiai ae?aaeaiino? ? nai???aei?noth ii?aeiaiue. A oe?eiio, iaie aecia/ai? ianooii? iaoiii?oieia?/i? iniaeeaino? OA o iaoe??io?a c ?aae?aoe?eiei oaeoi?ii a aiaiiac?: 1) Noaoenoe/ii aeinoia??ia ca?eueoaiiy /enea aeiaaee?a iaiaano?eoa (93 % i?ioe 71 % a eiio?ie?, p<0,01), ui a?aeia?aaea? oaeaeea ?iciianthaeaeaiiy caiaeaiiy oa ?io?eoaaiiy ii NI oeoiea a i?ieneiaeueiiio iai?yieo. 2) Aeeaiea ?iaac?y i?e?ii?aai?ci?a Helicobacter pylori a NI oeoiea: a oanoe aano?ia?iioaoao aaeoa??? aeyaeai? o aeani?e ieanoeioe?. Aeaiee oaiiiai ?icoe?iaii iaie ye iai?yio iciaeo iayaiino? o EIA ?ioiiaeao?oeeoo. I?enooi?noue i?e?ii?aai?ci?a oneeaaeith? aioeaaeoa??aeueio iaaeeeaiaioicio oa?ai?th OA, iaoiiaeth? o?eaaeo ia?nenoaioe?th aaeoa??e ? i?aeo?eiaiiy aeoeaiiai caiaeaiiy. 3) A?eueoa ae?aaeai?noue oeiiaeo aeey OA aeen?aaaia?aoi?ieo ci?i ai?oae?y (ao?io?/ieo, a?ia?ieanoe/ieo, iaoaieanoe/ieo), ui a?aeia?aaea? aaae/ee ia?aa?a caoai?thaaiiy. Cie?aia, aeinoia??ii /ano?oa o iaaeoaeeo iniiaii? a?oie a?aei?/aeanue eeoeiaa iaoaieac?y oeoieiaiai ai?oae?th (aio?oi - 10 % a?iioao?a i?e a?aenooiino? a eiio?ie?, p<0,01; ooiaeaeueiee a?aeae?e - 6 % i?ioe 3 % a EA, p>0,05), i?e/iio ia?aaaaeii
iaiiaia; i?inoaaeaia oaiaeaioe?y aei ca?eueoaiiy /anoioe ao?io?/iiai
aio?aeueiiai aano?eoa: 93 % o ii??aiyii? c 72 % a eiio?ie?, p<0,05. Ca oiia a?eueoi? ae?aaeaiino? aeen?aaaia?aoi?ieo ci?i ai?oae?y a NI oeoiea iiaeia i?eionoeoe ? a?eueo aeeaie? ii?ooaiiy oeoieiai? oeeoii?ioaeoe?? o EIA. Oea, a naith /a?ao, neoao? iaoiaaiaoe/iei aacenii aeey ?icaeoeo a?iceaieo o?aaeaiue NI, iaa?oue ca oiia cieaeaii? eeneioiino?. 4) O?ainoi?iaoe?y e?iaoeee caiaeueiiai i?ioeana ia oii? ci?iaii? ?ioiieia?/ii? ?aaeoeaiino?. Oae, a a?oi? EIA aeaui /ano?oa cono??/aeenue ? aoee a?eueoa ae?aaeaieie iciaee iai?oaeaiiai ?ioiiaaiaca o aeaeyae? a?ia?ieac?? e?ioi?aeieo oie?eoe?a (a aio?oi? - 32 % i?ioe 22 % a EA, p>0,05) c e?ioiieaciioeeoa?iith o?ainoi?iaoe??th ? iaeiie/aiiyi
ieaciaoe/ieo ee?oei (a o?e? oeoiea — 77 % o ii??aiyii? c 48 % a
eiio?ie?, p<0,01; a aio?oi? - 79 % ? 61 % a?aeiia?aeii, p>0,05),
i?aeaeuaiith ?io?eueo?aoe??th NI o?eueoeyie ?onnaey, /anoi — i?e
iacia/i?e eieii?caoe?? I? aai ca a?aenooiino? aaeoa??e. E??i oiai, iaea
i?noea cia/i?oa aeii?oea aiceiio?eueieo a?aioeioeeo?a a neeaae?
caiaeueiiai ee?oeiiiai ?io?eueo?aoa a NI oeoiea ? AeIE. Oaea ii?aeiaiiy
iciae oa?aeoa?ia aeey ?ioiiiai caiaeaiiy, i?e/iio, ?iia??ii, c
ae?aaeaiei aooi?ioiiei eiiiiiaioii. Aooi?ioi?caoe?y, yea aeieea?
aoi?eiii ia oe? ii?ooaiue a nenoai? ?ioi?oaoo, iaoiiaeth?
iaaeineiiae?noue oaaioeeoico oa ?aia?aoe??, a, a?aeiia?aeii, o?eaaeee,
?acenoaioiee aei o?aaeeoe?eii? oa?ai??, ia?aa?a OA (ca ee?i?/ieie
aeaieie), a?eueo oaeaeea ?iciianthaeaeaiiy caiaeueiiai i?ioeano a
i?ieneiaeueiiio iai?yieo. I?e oeueiio o EIA a?aei?/aeanue ? ae?aci?oa,
i?ae o oai?eo EA, ?io?eueo?aoe?y NI oeoiea iaeo?io?eueieie
a?aioeioeeoaie, yea a?aeia?aaea? a?eueoee nooi?iue aeoeaiino? aano?eoa.

5) Aeua aeni?an?y no?oeoo?ieo aea?aaeaio?a iaoieia?? i?e?ioee?eoeyoe?? a
NI oeoiea ? AeIE, i?aaenoaaeaieo caoaeaiiyi ? caiono?iiyi i?ina?o?a
a?oa??ie, ae?aaeaiith a?ia?ai??th aaiicii? eaiee (a NI ooiaeaeueiiai
a?aeae?ea — 79 % niinoa?aaeaiue i?ioe 48 % a eiio?ie?, p<0,001; a NI aio?oia - 77 % o ii??aiyii? c 57 % a EA, p>0,05), a oaeiae iciaeaie
ii?ooaiiy ?aieia?/ieo aeanoeainoae e?ia? — noacii, neaaeaeai, aaeaac??th
a?eo?ioeeo?a aei ee?oei aiaeioae?th. Aeyaeaiiy aeacaii?
aioo??oiueinoaeeiii? iaoieia?? a NI ooiaeaeueiiai a?aeae?ea oeoiea o EIA
c aenieei nooiaiai aeinoia??iino? ia?aaeuoaaei aiaeia?/iee eiio?ieueiee
iieaciee (46 % i?ioe 16 %, p<0,001). A NI aio?oia oae? ii?ooaiiy i?e?ioee?eoeyoe?? oaeiae aeaui /ano?oa a?aei?/aeenue o e?ea?aeaoi??a, i?ae a EA (64 % e 46 % a?aeiia?aeii, p>0,05).

6) ?ioaineo?eaoe?y i?ioean?a noa??iiy a NI oeoiea EIA, i?i ui na?ae/aoue
aeyaeai? iaie oa?aeoa?i? ?iaiethoeai? ci?ie ?? eai?ey??a ?
ai?oae?aeueii? aenoeeee. Aei inoaii?o a?aeiinyoueny ca?eueoaiiy /enea
ee?oei iiaa?oiaai-yieiaiai ai?oae?th c iciaeaie noa??iiy, ?o
eieae?caoe?y a aeeaei? yiie ? ia aieiaeo iiaa?oiyo aaeee?a, ii?ooaiiy
eiioaeo?a ai?oae?ioeeo?a c aacaeueiith iaia?aiith (ui ia?aaeo?
a?aeoi?aiaiith), /anoa aeyaeaiiy i??e?iiiiae?aieo no?oeoo? a aieiaieo ?
ia???oaeueieo aeaiaeoeioeeoao. sse iieacieee i?enei?aiiai noa??iiy
aeaiiino?aoeai? aaaaoioa?ia?noue aacaeueii? iaia?aie e?iaiiinieo
eai?ey??a — ?acoeueoao ci?ie aeae?eueeio aaia?aoe?e aiaeioae?ioeeo?a, a
oaeiae iiyaa a oeeoiieaci? aiaeioae?aeueieo ee?oei e?i?aeieo aeeth/aiue.
«Iinoa??iiy» iiaa?oiaai-yieiaiai ai?oae?th iineaaeth? i?ioaeoeaio
ooieoe?th neeciai-a?ea?aiiaoiiai aa?’??a, ui i?aeaeuo? a?aceea?noue NI
oeoiea o a?aeiioaii? oaeoi??a aa?an??.

7) A?ia?ieac?y ia???oaeueieo ee?oei c aaeoie?caoe??th ?o oeeoiieacie —
oa?aeoa?iee iaoieia?/iee i?ioean, yeee iaa i?noea eeoa o
iaoe??io?a-e?ea?aeaoi??a. Aaeoie?caoe?y oeeoiieacie — iiaeeeaee
?acoeueoao ieenii? aeano?oeoe?? iaia?ai i?aaiae — neoao?
iaoiii?oieia?/iei noano?aoii cieaeaii? eeneioii?iaeoeoe??, yea /anoi
niinoa??aa?oueny o EIA i?e OA.

8) A?eueoa ae?aaeai?noue oeiiaeo no?oeoo?ieo aea?aaeaio?a o?ii?/iiai
aeoiaeai?oa, noiooiueiai OA. A aeaiiio ?aeo?n? iaea?eueo iieaci?
iniaeeaino? caiaeueii? ?aaeoe?? (oaiaeaioe?y aei ca?eueoaiiy e?eueeino?
niinoa?aaeaiue aeoeaiiai aeoiaeai?oa: 79 % a?iioao?a i?ioe 57 % a
eiio?ie?, p<0,05), a oaeiae ii?ooaiiy i?e?iaaiiaeeiai?ee a NI AeIE (/anoioa aaiicii? a?ia?ai?? a a?oi? EIA aeinoia??ii aeua ca aiaeia?/iee iieaciee a EA: 85 % e 53 % a?aeiia?aeii, p<0,001). Iciaee ii?ooaiiy ?aieia?/ieo aeanoeainoae e?ia? o e?ea?aeaoi??a aecia/aeanue iaaeyaeii /ano?oa, i?ae o eiio?ie? – 61 % e 43 % i?e p>0,05.

Ia?a?aoiaai? no?oeoo?i? i?iyae ?iaeoeiaaiiai iaoiii?oica OA o EIA
nenoaiaoeciaai? a oaae.2.

C iaoith aeyaeaiiy ?iei?ii?iaaieo aeaea?ae ?aae?iaeoeaiiai
aei?ii?ithaaiiy aeey aa?eo?eaoe?? aai ni?inooaaiiy ?aae?aoe?eiiai
noeioea (?iaeoeoi?a) o a?aeiioaii? iaoieia?/ieo i?ioean?a, ye?
?icaeyaeathoueny, iaie aoa canoiniaaiee iaoiae a?noiaaoi?aae?ia?ao??.
Iaeiae iecueea /anoioa niinoa?aaeaiue aaoia?ao?a a aeine?aeaeoaaiiio
iaoa??ae? ia aeicaieeea io?eiaoe noaoenoe/ii aeaaaeai? aeai? uiaei
ia?aaaaeii? eieae?caoe?? aei?ii?ithaa/?a.

Oaeei /eiii, i?inoaaeaiei iaie ee?i?ei-ii?oieia?/iei iniaeeainoyi OA o
EIA ye i?iyaai iaoiii?oico caoai?thaaiiy ia i?eoaiaiia niaoeeo?/i?noue
uiaei aeiaaiiiai ?iaeoeoi?a. Nai???aei?noue aeueoa?aoeaieo ?
eiiiainaoi?ii-i?enoinoaaeueieo i?ioean?a a NI oeoiea o oeeo iaoe??io?a
na?ae/eoue i?i ii?ooaio caeaoi?noue i?aai?cia i?aeo?eioaaoe
no?oeoo?ii-ooieoe?iiaeueiee aiiainoac. Iie?aaeaioi?noue
«/i?iiaeeuenueeiai oaeoi?a» ? a?aeiinia aeaai?noue eiai aieeao
aecia/athoue ianiaoeeo?/iee oa?aeoa? ?iaeoeiaaieo ? noeioeueiaaieo iei
iaoieia?/ieo i?ioean?a ye eiiiiiaio?a ee?oeiiiai ? nenoaiiiai no?ano.

Oaaeeoey 2.

No?oeoo?i? i?iyae iaoiii?oico o?ii?/iiai aano?eoa o e?ea?aeaoi??a
iane?aee?a aaa??? ia *AAN

?ioaa?aeuei? iaoieia?/i? noaie Iaoiii?oieia?/i? iciaeeIniaeeaino?
?ioaeoe?? Helicobacter pylori1. ?iaac?y aaeoa??e o aeanio ieanoeieo
neeciai? iaieiiee oeoieaOiiia?ao?/i? iniaeeaino? caoai?thaaiiy1.
Ia?aaaaeaiiy iaiaano?eoaO?ainoi?iaoe?y e?iaoeee caiaeueiiai i?ioeano1.
A?eueoa ae?aaeai?noue -a?ia?ieac?? MALT -?io?eueo?aoe??
neeciai? iaieiiee o?eueoeyie ?onnaey ? aiceiio?eueieie
a?aioeioeeoaie

2. A?eueoa aeoeai?noue aano?eoaIniaeeaino? aeen?aaaia?aoi?ieo ci?i
oeoieiaiai ai?oae?th1. A?eueoa ae?aaeai?noue a?ia?ieac?? iiaa?oiaaiai ?
yieiaiai ai?oae?y

2. A?eueo /anoa aeyaeaiiy

-ao?io?/iiai aio?aeueiiai aano?eoa -eeoeiai? iaoaieac??, ia?aaaaeii
iaiiaii?Nai???aei?noue iaoieia?? i?e?ioee?eoeyoe?? a neecia?e iaieiioe?
oeoiea1. A?eueo /anoa aeyaeaiiy ? a?eueoa ae?aaeai?noue

-aaiinoaco, neaaeaeo, aaeaac?? a?eo?ioeeo?a aei ee?oei aiaeioae?th

-aeeno?io?/ieo ci?i aiaeioae?th

-aaiicii? a?ia?ai??

-caoaeaiiy ? caiono?iiy i?ina?o?a a?oa??ie?ioaineo?eaoe?y
?iaiethoeaieo i?ioean?a a neecia?e iaieiioe? oeoiea1. Ca?eueoaiiy
e?eueeino? ai?oae?ioeeo?a c iciaeaie iinoa??iiy

2. Aaaaoioa?ia?noue aacaeueii? iaia?aie e?iaiiinieo eai?ey??a

3. E?i?aei? aeeth/aiiy a oeeoiieaci? aiaeioae?ioeeo?aAeueoa?aoeai? ?
eiiiainaoi?ii-i?enoinoaaeuei? ci?ie, oa?aeoa?i? aeey EIA1. A?ia?ieac?y
ia???oaeueieo ee?oei c aaeoie?caoe??th ?o oeeoiieacieA?eueoa
ae?aaeai?noue no?oeoo?ieo aea?aaeaio?a noiooiueiai o?ii?/iiai
aeoiaeai?oo1. A?eueo /anoa aeyaeaiiy aeoeaiiai aeoiaeai?oo

2. *ano?oa aeyaeaiiy ? a?eueoa ae?aaeai?noue ii?ooaiue i?e?ioee?eoeyoe??
o neecia?e iaieiioe? aeaaiaaeoeyoeiaei? eeoee

AENIIAEE

1. O e?ea?aeaoi??a iane?aee?a /i?iiaeeuenueei? eaoano?ioe ia? i?noea
ee?i?/iee iaoiii?oic o?ii?/iiai aano?eoo, ui, ii??aiyii c iicieia?/iei
eiio?ieai, i?iyaey?oueny a?eueoith /anoioith ? ae?aaeai?noth: ao?io?/ieo
oi?i caoai?thaaiiy, a?iceaieo o?aaeaiue neeciai? iaieiiee oeoiea,
ao?io?/ieo ? a?iceaieo ci?i neeciai? iaieiiee aeaaiaaeoeyoeiaei? eeoee,
a?ii- ? aiaoeeaeieo noai?a, aieueiaiai oa anoaii-iaa?ioe/iiai
neiae?ii?a, eeoeiai? aeeniain??, niieo/aii? iaoieia?? i?aai?a o?aaii?
nenoaie.

2. Ca ?acoeueoaoaie eiiieaeniiai ii?oieia?/iiai aeine?aeaeaiiy
a?iioao?a o an?o ianoaaeaieo e?ea?aeaoi??a ae?aaiinoiaaii o?ii?/iee
aano?eo, anioe?eiaaiee c Helicobacter pylori, c aeeaieith ?iaac??th
i?e?ii?aai?ci?a o neeciao iaieiieo oeoiea.

3. O iaoe??io?a-e?ea?aeaoi??a, a ii??aiyii? c eiio?ieueiith
iicieia?/iith a?oiith, a?aei?/aii noaoenoe/ii aeinoia??ia ca?eueoaiiy
/enea aeiaaee?a iaiaano?eoa, ui a?aeia?aaea? ?iciianthaeaeaiiy caiaeaiiy
oa ?io?eoaaiiy ii neecia?e iaieiioe? oeoiea a i?ieneiaeueiiio iai?yieo.

4. A?eueoa ae?aaeai?noue, ii??aiyii c iicieia?/iei eiio?ieai,
aeen?aaaia?aoi?ieo ci?i ai?oae?th neeciai? iaieiiee oeoiea, cie?aia
eeoeiai? iaoaieac?? (a iniiaiiio — iaiiaii?), iia’ycaia c aaae/ei
ia?aa?aii iaaeoae o e?ea?aeaoi??a, ui cana?ae/aii ?acoeueoaoaie
ee?i?/ieo aeine?aeaeaiue.

5. Oa?aeoa?iei no?oeoo?iei i?iyaii aeueoa?aoe?? oa iaoieia??
?aaaia?aoe?? oeoieiaiai ai?oae?th o in?a, ye? a?aee o/anoue a
e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN, ? a?ia?ieac?y ia???oaeueieo
aeaiaeoeioeeo?a, yea ii?aeio?oueny c aaeoie?caoe??th ?o oeeoiieacie, ui,
?iia??ii, aieeaa? ia ii?ooaiiy eeneioii?iaeoeoth/i? ooieoe?? oeoiea.

6. O?ii?/ia caiaeaiiy neeciaeo iaieiiie oeoiea ? aeaaiaaeoeyoeiaei?
eeoee o e?ea?aeaoi??a iane?aee?a aaa???, o ii??aiyii? c iaoe??ioaie
eiio?ieueii? a?oie, a?ae??ciy?oueny a?eueoith ae?aaeai?noth ?
oa?aeoa?eco?oueny aeeaieeie ii?ooaiiyie i?e?ioee?eoeyoe??.

7. A neecia?e iaieiioe? oeoiea iaoe??io?a — e?ea?aeaoi??a i?enooi?
no?oeoo?i? i?iyae ?ioaineo?eaoe?? ?iaiethoeaieo i?ioean?a, ii??aiyii c
aaeaeaaoiei ca a?eii iicieia?/iei eiio?ieai: ca?eueoaiiy e?eueeino?
ai?oae?ioeeo?a c iciaeaie iinoa??iiy, aaaaoioa?ia?noue aacaeueii?
iaia?aie e?iaiiinieo eai?ey??a, e?i?aei? aeeth/aiiy a oeeoiieaci?
aiaeioae?ioeeo?a.

8. Iaoiii?oic o?ii?/iiai aano?eoo o o/aniee?a e?ea?aeaoe?? iane?aee?a
aaa??? ia *AAN iieyaa? a o?ainoi?iaoe?? oeiiaeo aeey caoai?thaaiiy
aeueoa?aoeaieo oa eiiiainaoi?ii-i?enoinoaaeueieo i?ioean?a ? ia
noi?iaiaeaeo?oueny niaoeeo?/ieie no?oeoo?ieie ci?iaie.

I?AEOE*I? ?AEIIAIAeAOe??

1. I?e ianoaaeaii?, e?eoaaii? oa aeeniaina?ecaoe?? oai?eo ia o?ii?/iee
aano?eo c ?aae?aoe?eiei /eiieeii a aiaiiac? iaiao?aeii a?aoiaoaaoe
iayai?noue o ieo iaoiii?oico aeacaiiai caoai?thaaiiy, ui ia?aaeaa/a?
ia?aaeyae o?aaeeoe?eieo ae?aaiinoe/ieo caoiae?a ? oa?aiaaoe/ieo noai
aeey iioei?caoe?? e?eoaaeueii-i?io?eaeoe/ii? oaeoeee.

2. Aeey aeeiai?/iiai niinoa?aaeaiiy ca oai?eie ? aecia/aiiy
aoaeoeaiino? e?eoaaiiy o?ii?/iiai aae?eiaaeoa?iiai aano?eoa aeioe?eueia
a?eueo oe?iea aeei?enoaiiy ii?oieia?/ieo iaoiae?a aeyaeaiiy Helicobacter
pylori a a?iin?eiiio iaoa??ae?, ye? aeicaieythoue e?euee?nii ?
oiiia?ao?/ii ioe?ieoe ?io?eiaai?noue neeciai? iaieiiee oeoiea aeacaieie
i?e?ii?aai?ciaie. Cie?aia, ?aeiiaiaeiaaii canoinoaaiiy iaoiaea n??aeaiiy
ca Aa?o?iii-Noa??? ye aeineoue /ooeeaiai ? iaae?eiiai.

3. I?iaiinoe/ia cia/aiiy iaiiaii? eeoeiai? iaoaieac?? a ?aeo?n?
eaioea?iaaiaco iio?aao? ?? iaia’yceiai? ?aeaioeo?eaoe??. I?aeaeuaia
aeyaeaiiy eeoeiai? iaoaieac?? o e?ea?aeaoi??a iane?aee?a aaa??? aecia/a?
iaiao?aei?noue aeei?enoaiiy i?e aea/aii? aano?ia?iioao?a a?noio?i?/ieo
iaoiaeee. Aeey aeeoa?aioe?thaaiiy oeio eeoeiai? iaoaieac?? ?ioi?iaoeaia
iioa?aoaaiiy i?e?ii?aia?ao?a aeueoe?aiiaei nei?i i?e ?I 2,5 ? 1,0.

4. Iaaeeeaiaioicia e?eoaaiiy oai?eo ia o?ii?/iee aano?eo iiaeiii aooe
ni?yiiaaiei ia cieuaiiy a neecia?e iaieiioe? oeoiea Helicobacter pylori.
A?aoiaoth/e ?iia??i?noue eieae?caoe?? aaeoa??e o aeani?e ieanoeioe?
neeciai? iaieiiee oeoiea, aei noai aioeaae?eiaaeoa?ii? oa?ai?? aeey
e?ea?aeaoi??a iane?aee?a aaa??? aeioe?eueii aeeth/aoe i?aia?aoe, ui
aeia?a ?aci?aothoueny.

5. ?iciianthaeaeai?noue a?iceaieo o?aaeaiue neeciai? iaieiiee oeoiea ?
aeaaiaaeoeyoeiaei? eeoee i?e o?ii?/iiio aano?eo? o iaoe??io?a c
?aae?aoe?eiei /eiieeii a aiaiiac? iaoiiaeth? iaiao?aei?noue aeeth/aiiy
aei noaie e?eoaaiiy cania?a, ye? iie?auothoue oeeoii?ioaeoe?th ca
?aooiie aeoeaaoe?? an?o ?? eaiie.

6. Aa?o/e aei oaaae ?iia??i?noue ?aiiueiai ?icaeoeo ao?io?/iiai
iaiaano?eoa, ae?aceiai? oai?iae, neiae?iia Oi?aeaia, a oaeiae nooo?aee
?ecee aeieeiaiiy ceiye?nii? e?ioiie ? ?aeo oeoiea o e?ea?aeaoi??a,
oai?eo ia o?ii?/iee aano?eo, oeueiio eiioeiaaioo iaoe??io?a iaiao?aeia
ui??/ia i?iaaaeaiiy aeeniaina?ieo iaeyae?a, ye? aeeth/athoue
o?a?iacioaaiaano?iaeoiaeaiineii?th c i?eoe?eueiith a?iin??th ?
aeine?aeaeaiiyi eeneioii?iaeoeoth/i? ooieoe?? oeoiea.

7. ?ioaineo?eaoe?y ?iaiethoeaieo i?ioean?a, aeyaeaia iaie o a?aeiioaii?
neeciai? iaieiiee oeoiea, yea ?aae?co?oueny ia nenoaiiiio ??ai?
iaa?aeiia?aei?noth oaeoe/iiai oa a?ieia?/iiai a?eo e?ea?aeaoi??a,
iiaeiia a?aoiaoaaoenue o ae?aaiinoe/ieo aeai?eoiao uiaei aeacaiiai
eiioeiaaioa iaoe??io?a.

Nienie iniiaieo ioae?eaoe?e ii oai? aeena?oaoe??

1. Naionaaa A.N. Oaiiiai aaeoieecaoeee ia?eaoaeueiuo eeaoie i?e
o?iie/aneii aano?eoa o aiaiiineoaeaueo – eeeaeaeaoi?ia iineaaenoaee
aaa?ee ia *AYN // Aanoiee ii?oieiaee.- 1998.- ? 2.- N.202-204.

2. Naionaaa A.N. Ii?oieiae/aneay aeeaaiinoeea eioaeoeee Helicobacter
pylori a neecenoie iaiei/ea aeaeoaeea i?e o?iie/aneii aano?eoa //
A?a/aaiia aeaei.- 1998.- ? 2.- N.45-48.

3. Naionaaa A.N., Oa?auaiei A.I., Ii?ic A.C. Eioaineoeeaoeey
eiaiethoeaiuo i?ioeannia a eeaoi/iuo iiioeyoeeyo no?oeoo?iuo eiiiiiaioia
neecenoie iaiei/ee aeaeoaeea eeoe, iiaeaa?aoeony ?aaeeaoeeiiiiio
aicaeaenoaeth // Aanoiee ii?oieiaee.- 1998.- ? 2.- N.179-180.

4. Naion?aa I.N., Oa?auaiei A.I. Ii?oiaaiac iaoieia?/ieo i?ioean?a o
neecia?e iaieiioe? oeoiea i?e o?ii?/iiio aano?eo? o e?ea?aeaoi??a
iane?aee?a aaa??? ia *AAN // E?ea?nueea ni?aaa.- 1998.- ? 6.- N. 7-10.

5. Aeaaoy?aaa E.A., Naionaaa A.N., Ii?ic A.C., Neey? N.E. sscaaiiay
aieaciue o eeeaeaeaoi?ia aaa?ee ia *AYN: eeeieei-ii?oieiae/aneea
ia?aeeaee // 1 nuacae Iaaeaeoia?iaeiiai nithca annioeeaoeee
iaoieiaiaiaoiiia.- Iineaa.- 1995.- N.44-45.

6. Aeaaoy?ueiaa E.A., Naion?aa I.N., Naaaaea O.I. Iaoiii?oic aeayeeo
caoai?thaaiue oeoiea ? aeaaiaaeoeyoeiaei? eeoee, ?iaeoeiaaiee
/i?iiaeeuenueeith eaoano?ioith: iaoia?noieia?/i? niinoa?aaeaiiy // Acta
Medica Leopoliensia.-1997.-V.3, ? 1-2.-N.49-53.

7. Ieoaeee/aiei A.A., Ia/aaeaiei A.E., Ii?oyiei I.I., Oa?auaiei A.I.,
Eiioeaae/ E.A., Naionaaa A.N. Eciaiaiea iieacaoaeae nei?iiinoeaeiie
nia?oiinoe e eo naycue n iineaaenoaeyie aaa?ee ia *AYN //
Iao/ii-i?aeoe/aneay eiioa?aioeey Ieicae?aaa Oe?aeiu.-Eeaa.- 1992.-
N.150.

8. Naionaaa A.N., ?a/eaa N.ss. Aeen?aaaia?aoi?iua eciaiaiey yieoaeey
neecenoie iaiei/ee aeaeoaeea e yieaea?iena o aiaiiineoaeaueo –
eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN // Iaoa?eaeu 1 eiia?anna
ii?oieiaia Aaea?one.-Oii.2.-Ieine.-1996.-N.73-74.

9. Naionaaa A.N., Neey? N.E. E aii?ino i ii?oiooieoeeiiaeueiuo
iniaaiiinoyo o?iie/aneeo aano?eoia e aano?iaeoiaeaieoia o
aiaiiineoaeaueo – eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *AYN //
Yeieiae/aneay aio?iiieiaey.-Ieine: Ecaeaoaeuenoai Aaei?onneiai eiieoaoa
“Aecaoe? *a?iiauey”.- 1996.- N. 204-209.

10. Naion?aa I.N. Aeaye? iniaeeaino? iaoiaaiaco o?ii?/iiai aano?eoa o
e?ea?aeaoi??a iane?aee?a aaa??? ia *AAN a aniaeo? iaoiii?oico
caoai?thaaiiy // I?iaeaie no/anii? aeieia??.- Euea?a.- 1997.- N.124-126.

11. Naion?aa I.N. I?i i?aeaeuaiee ?ecee iieiaaiaca a neecia?e iaieiioe?
oeoiea i?e o?ii?/iiio aano?eo? o e?eaeaeaoi??a iane?aee?a aaa??? ia *AAN
// Noaeeii? ? iieieia?/i? caoai?thaaiiy: ii?oiaaiac oa aeieia?/iee
iaoiii?oic: Iaoa??aee 6 Eiia?ano iaoieia?a
Oe?a?ie.-A?iieoey.-1998.-N.35-38.

12. Oa?auaiei A.I., Aeaaoy?aaa E.A., Aaeaoei E.A., Aiaiiieaoe I.A.,
Naionaaa A.N., Ii?oyiei I.I., Iaieoa O.A. Iaeioi?ua oaiaeaioeee
iaoiii?oica caaieaaaiee o /aeiaaea iinea aaa?ee ia *a?iiaueueneie AYN //
Iaaeaeoia?iaeiay eiioa?aioeey ii i?iaeaiai iaaeeoeeiu eaoano?io.- Oii
2.- Eeaa.- 1992.- N.32-33.

13. Oa?auaiei A.I., Aeaaoy?ueiaa E.A., Naion?aa I.N., Eiceiaa O.A.,
Naaaaea O.I., Caeainueea O.N. Iaoiaee/ia caaacia/aiiy aeine?aeaeaiiy
aano?i- oa aeoiaeaiia?iioao?a o in?a, ui iino?aaeaeaee a ?acoeueoao?
aaa??? ia *AAN // Noaeeii? ? iieieia?/i? caoai?thaaiiy: ii?oiaaiac oa
aeieia?/iee iaoiii?oic: Iaoa??aee 6 Eiia?ano iaoieia?a
Oe?a?ie.-A?iieoey.-1998.-N.44-47.

14. Aeaaoy?ueiaa E.A., Naion?aa I.N., Naaaaea O.I. No?oeoo?i? i?iyae
iaoiii?oico aeayeeo caoai?thaaiue oeoiea ? aeaaiaaeoeyoeiaei? eeoee,
iia’ycaiiai c *i?iiaeeuenueeith eaoano?ioith // Iaaeeei-aeieiae/aneea
iineaaenoaey *a?iiaueueneie eaoano?iou 10 eao nionoy. Aeooaeueiua
aii?inu aiaiiie iaaeeoeeiu niaoeneoaea Oe?aeiu: Iaaeaeoia?iaeiay
iao/ii-i?aeoe/aneay eiioa?aioeey (19-20 ai?aey 1996 aiaea).-Eeaa:
Aaiaca.-1997.-N.93-94 .

15. Degtiariova L..V., Segeda T.P., Samuseva E.S., Moroz G.Z. Peptic
ulcer disease in liquidators of the Chornobyl accident: morphological
studies:Abstract // Pathology research and
practic.-1995.-Vol.191.-P.650-651.

16. Samouseva E. Peculiarities of a Helicobacter pylori infection in
chronic gastritis in liquidators of Chernobyl accident consequences:
Abstract // Clinical and Experimental pathology.- 1998.- V.46.- P.383.

AIIOAOe?ss

Naion?aa I.N. Iaoiii?oic o?ii?/iiai aano?eoo o a?enueeiaineoaeaiaoe?a –
o/aniee?a e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN.-
?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.03.02. – iaoieia?/ia aiaoii?y.- ?inoeooo
aeieia?/ii? iaoieia?? ethaeeie, Ee?a, 1999.

Aeena?oaoe?y i?noeoue ?acoeueoaoe c?noaaeaiiy aeaieo iniiaieo
ee?i?ei-eaai?aoi?ieo iaoiae?a aeine?aeaeaiiy ? eiiieaeniiai
ii?oieia?/iiai aiae?co aano?i- oa aeoiaeaiia?iioao?a, io?eiaieo a?ae
e?ea?aeaoi??a c aa?eo?eiaaiith aeicith ii?ii?iaiiy, oai?eo ia o?ii?/iee
aano?eo, a oaeiae iaoe??io?a iicieia?/ii? eiio?ieueii? a?oie. Aecia/ai?
no?oeoo?i? i?iyae ?iaeoeiaaiiai iaoiii?oico o?ii?/iiai aano?eoa o in?a,
ye? i?aeiaee ae?? “/i?iiaeeuenueeiai oaeoi?a”. I?inoaaeaia
?ioaineo?eaoe?y ?iaiethoeaieo i?ioean?a o neecia?e iaieiioe? oeoiea o
iaaeoaeeo ?c ?aae?aoe?eiei /eiieeii a aiaiiac?. Cai?iiiiiaai?
a?iioaoe/i? noaie iaoi- ? ii?oiaaiaco ii?ooaiue o neeciaeo iaieiieao
oeoiea ? aeaaiaaeoeyoeiaei? eeoee i?e o?ii?/iiio aano?eo? o
e?ea?aeaoi??a. Iaa?oioiaai? ?aeiiaiaeaoe?? uiaei iioei?caoe??
e?eoaaeueii-i?io?eaeoe/ii? oaeoeee aeacaiiio eiioeiaaioia? iaoe??io?a ?c
o?aooaaiiyi iaoiii?oico caoai?thaaiiy. Ioe?iaia ?ioi?iaoeai?noue oa
a?aoiaioiaaia iaiao?aei?noue canoinoaaiiy ?yaeo a?noio?i?/ieo iaoiaeee
i?e aeine?aeaeaii? aano?i- ? aeoiaeaiia?iioao?a, io?eiaieo a?ae
e?ea?aeaoi??a iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN.

Eeth/ia? neiaa: e?ea?aeaoi?e iane?aee?a aaa??? ia *AAN, o?ii?/iee
aano?eo – iaoiii?oic — a?iin?eia ae?aaiinoeea – e?eoaaiiy, noa??iiy
i?aai?cio.

AIIIOAOeEss

Naionaaa A.N. Iaoiii?oic o?iie/aneiai aano?eoa o aiaiiineoaeaueo –
o/anoieeia eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN.-
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.03.02. – iaoieiae/aneay aiaoiiey. – Einoeooo
yeieiae/aneie iaoieiaee /aeiaaea, Eeaa, 1999.

Aeenna?oaoeey niaea?aeeo ?acoeueoaou niiinoaaeaiey aeaiiuo iniiaiuo
eeeieei-eaai?aoi?iuo iaoiaeia enneaaeiaaiey e eiiieaeniiai
ii?oieiae/aneiai aiaeeca 200 aano?i- e 94 aeoiaeaiiaeiioaoia, iieo/aiiuo
io 77 eeeaeaeaoi?ia n aa?eoeoee?iaaiiie aeicie iaeo/aiey, aieueiuo
o?iie/aneei aano?eoii, e 34 iaoeeaioia iicieiae/aneie eiio?ieueiie
a?oiiu. Cia/aiey aeic aiaoiaai iaeo/aiey eeeaeaeaoi?ia — a i?aaeaeao
1,2-54,6 nA?. Eiio?ieueioth a?oiio ninoaaeee aiaiiineoaeauea, aieueiua
o?iie/aneei aano?eoii, ia i?eieiaaoea o/anoey a eeeaeaeaoeee
iineaaenoaee /a?iiaueueneie eaoano?iou e ia i?iaeeaaaoea ia
?aaeeaoeeiiii-caa?yciaiiuo oa??eoi?eyo. Niaeanii eaoaiiaca, iaoeeaiou
iaaeo a?oii caaieaee o?iie/aneei aano?eoii iinea 1986 aiaea. A?oiiu
iaeii?iaeiu ii iieo, aic?anoo e i?ioanneiiaeueii-auoiaui ia?aiao?ai.
Eniieueciaaiu ?acoeueoaou eiiieaeniiai eeeie/aneiai ianeaaeiaaiey,
aeeth/aaoaai iauee iniio? e ii?in aieueiuo, iauee e aeioeie/aneee
aiaeecu e?iae, ii?aaeaeaiea iieacaoaeae iauaai eiioieoaoa,
oeueo?acaoeiaia enneaaeiaaiea aaiaoiaeeea?iie nenoaiu, iiaeaeaeoaei/iie
aeaeacu e ii/ae, oea?iycioaaiaano?iaeoiaeaiineiieth n iae?ineiie/aneie
ioeaieie ninoiyiey neecenoie iaiei/ee aeaeoaeea e aeaaiaaeoeaoeia?noiie
eeoee e aeiineae. A ?acoeueoaoa niiinoaaeoaeueiiai aiaeeca onoaiiaeaii,
/oi o eeeaeaeaoi?ia iineaaenoaee /a?iiaueueneie eaoano?iou eiaao ianoi
eeeie/aneee iaoiii?oic o?iie/aneiai aano?eoa, /oi, ii n?aaiaieth n
iicieiae/aneei eiio?ieai, i?iyaeyaony aieueoae /anoioie e
au?aaeaiiinoueth ao?ioe/aneeo oi?i caaieaaaiey, y?iceaiuo ii?aaeaiee
neecenoie iaiei/ee aeaeoaeea, ao?ioe/aneeo e y?iceaiuo eciaiaiee
neecenoie iaiei/ee aeaaiaaeoeaoeia?noiie eeoee, aeii- e aiaoeeaeiuo
ninoiyiee, aieaaiai e anoaii-iaa?ioe/aneiai neiae?iiia, eeoa/iie
aeeniainee, ni/aoaiiie iaoieiaee i?aaiia ieuaaa?eoaeueiie nenoaiu.
Ii?aaeaeaiu no?oeoo?iua i?iyaeaiey eiaeooee?iaaiiiai iaoiii?oica
o?iie/aneiai aano?eoa o eeoe, iiaeaa?aoeony aicaeaenoaeth
“/a?iiaueueneiai oaeoi?a”: i?aiaeaaeaiea iaiaano?eoa, eiaacey
Helicobacter pylori a nianoaaiioth ieanoeieo neecenoie iaiei/ee
aeaeoaeea, aieueoay au?aaeaiiinoue aeen?aaaia?aoi?iuo eciaiaiee
aeaeoaei/iiai e eeoa/iiai yieoaeey (aeia?ieacee, ao?ioee, eeoa/iie
iaoaieacee), iniaaiiinoe o?iie/aneiai ainiaeaiey, aeoaieea ia?ooaiey
iee?ioee?eoeyoeee. Onoaiiaeaia eioaineoeeaoeey eiaiethoeaiuo i?ioeannia
a neecenoie iaiei/ea aeaeoaeea (oaaee/aiea eiee/anoaa yieoaeeioeeoia n
i?eciaeaie iinoa?aiey, iiiaineieiinoue aacaeueiie iaia?aiu e?iaaiiniuo
eaieeey?ia, eeieaeiua aeeth/aiey a oeeoiieacia yiaeioaeeioeeoia). O eeoe
n ?aaeeaoeeiiiui oaeoi?ii a aiaiiaca i?ineaaeaii oa?aeoa?iia no?oeoo?iia
i?iyaeaiea aeueoa?aoeee e iaoieiaee ?aaaia?aoeee aeaeoaei/iiai yieoaeey
— aeia?ieacey ia?eaoaeueiuo eeaoie n aaeoieecaoeeae eo oeeoiieaciu. N
oeaeueth auyaeaiey eiei?ii?e?iaaiiuo enoi/ieeia ?aaeeiaeoeaiiai
eceo/aiey aeey aa?eoeeaoeee eee ii?iaa?aeaiey ?aaeeaoeeiiiiai noeioea
(eiaeoeoi?a) ii ioiioaieth e ?anniao?eaaaiui iaoieiae/aneei i?ioeannai
eniieueciaai iaoiae aenoiaaoi?aaeeia?aoee. Iaeiaei ieceay /anoioa
iaaethaeaiee aaoia?aoia a enneaaeoaiii iaoa?eaea ia iicaieeea iieo/eoue
noaoenoe/anee aeinoiaa?iuo aeaiiuo eanaoaeueii i?aeiouanoaaiiie
eieaeecaoeee eceo/aoaeae. I?aaeeiaeaiu aeiioaoe/aneea noaiu iaoi- e
ii?oiaaiaca ia?ooaiee a neecenouo iaiei/eao aeaeoaeea e
aeaaiaaeoeaoeia?noiie eeoee i?e o?iie/aneii aano?eoa o eeeaeaeaoi?ia.
Onoaiiaeaii, /oi eeeieei-ii?oieiae/aneei iniaaiiinoyi o?iie/aneiai
aano?eoa o eeeaeaeaoi?ia iineaaenoaee aaa?ee eae i?iyaeaieyi iaoiii?oica
caaieaaaiey ia naienoaaiia niaoeeoe/iinoue ii ioiioaieth e yeiaaiiiio
eiaeoeoi?o. Naiaia?acea aeueoa?aoeaiuo e
eiiiainaoi?ii-i?eniiniaeoaeueiuo i?ioeannia a neecenoie iaiei/ea
aeaeoaeea o yoeo iaoeeaioia naeaeaoaeuenoaoao i ia?ooaiiie niiniaiinoe
i?aaiecia iiaeaea?aeeaaoue no?oeoo?ii-ooieoeeiiaeueiue aiiainoac.
Iainiiaaiu ?aeiiaiaeaoeee ii iioeiecaoeee ea/aaii-i?ioeeaeoe/aneie
iiiiue oeacaiiiio eiioeiaaioo iaoeeaioia n o/aoii iaoiii?oica
caaieaaaiey. A /anoiinoe, a?aoiaioe?iaaiu iaiaoiaeeiinoue i?iaaaeaiey
aeeniaina?iuo iniio?ia, i?aaeoniao?eaathueo
oea?iycioaaiaano?iaeoiaeaiineiieth n aeiineae e ioeaieie aeaeoaei/iie
nae?aoeee, oeaeaniia?aciinoue aeeth/aiey a noaio aioeaaeeeiaaeoa?iie
oa?aiee aioeaeioeeia, oi?ioi i?iieeathueo a nianoaaiioth ieanoeieo
neecenoie iaiei/ee aeaeoaeea, e eaea?noaaiiuo n?aaenoa, aeoeae?othueo
ana caaiuey aeaeoaei/iie oeeoii?ioaeoeee. Ioeaiaia eioi?iaoeaiinoue e
a?aoiaioe?iaaia iaiaoiaeeiinoue eniieueciaaiey ?yaea aenoioeie/aneeo
iaoiaeee i?e enneaaeiaaiee aano?i- e aeoiaeaiiaeiioaoia, iieo/aiiuo io
eeeaeaeaoi?ia iineaaenoaee aaa?ee ia *a?iiaueueneie AYN, a oii /enea
na?aa?aiey ii Aa?oeio-Noa??e aeey ioeaiee eioeoee?iaaiiinoe neecenoie
iaiei/ee aaeoa?eyie Helicobacter pylori, a oaeaea ie?anee aeueoeeaiiaui
neiei i?e pH 2,5 e 1,0 n oeaeueth aeeooa?aioee?iaee oeia eeoa/iie
iaoaieacee.

Eeth/aaua neiaa: eeeaeaeaoi?u iineaaenoaee aaa?ee ia *AYN, o?iie/aneee
aano?eo – iaoiii?oic — aeiineeiay aeeaaiinoeea – ea/aiea, noa?aiea
i?aaiecia.

Annotation

Samouseva O.S. Pathomorphosis of chronic gastritis in militarians –
participants of Chornobyl accident sequels liquidation.- Manuscript.

Dissertation for scientific degree of candidate of medical science.-
14.03.02 – pathology.- Institute of human ecological pathology, Kiev,
1999.

The dissertation contains results of comparing of main clinic and
laboratory investigation methods data and complex morphological analysis
of gastric and duodenal biopsies, obtained from liquidators with
verified irradiation doze, suffered from chronic gastritis, and patients
of nozological control group. Structural manifestations of induced
pathomorphosis of chronic gastritis in persons influenced by “Chernobyl
factor” were defined. Intensification of ageing processes in gastric
mucousa in patients with radiation factor in anamnesis was revealed.
Hypothetical schemes of patho- and morphogenesis of violations in
gastric and duodenal mucousa in chronic gastritis in liquidators were
suggested. Recommendations about optimisation of treatment and
prophylactics of mentioned contingent were formulated with taking into
consideration disease pathomorphosis. Informativity of several
hystochemical methods in investigation of gastric and duodenal biopsies
obtained from liquidators of Chernobyl accident sequels was evaluated.

Key words: liquidators of Chernobyl accident sequels, chronic gastritis
– pathomorphosis — biopsy diagnostics – treatment, ageing of organism.

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