2

I?I?NOA?NOAI IOI?IIE CAeI?IA’ ss OE?A?IE

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao

?iai? I.I.Aiaiiieueoey

OAeE 616.3-616.61/.62]-007-053.1/.2-07-08

A’thi Aaea??e Aaneeueiae/

I?AeAEUAIIss AOAEOEAIINO? Ae?AAIINOEEE

OA E?EOAAIIss I?E?IAeAEAIEO AAAe ?ICAEOEO OEOIEIAI-EEOEIAIAI O?AEOO OA
NA*IAEAe?EUeII? NENOAIE O Ae?OAE

14.01.09 — aeeoy/a o??o?a?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien

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

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? Aeaaeaeaiei Ay/aneaa Ai?eniae/,
caa?aeoaa/ eaoaae?e aeeoy/i? o??o?a?? Oa?e?anueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo IIC Oe?a?ie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? E?ea/aiy Aeaieei THe?aiiae/, caa?aeoaa/
eaoaae?e aeeoy/i? o??o?a?? Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo IIC
Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani? Nieiaeia Aiaoie?e ?ai?iae/, caa?aeoaa/
eaoaae?e aeeoy/i? o??o?a?? Caii??aenueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo IIC Oe?a?ie

I?ia?aeia onoaiiaa: Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao ?i.
I.Ai?ueeiai IIC Oe?a?ie, eaoaae?a aeeoy/i? o??o?a??

Caoeno a?aeaoaeaoueny “2”aa?aniy 1999 ?ieo i “1330” aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee Ae 26.003.03 i?e
Iaoe?iiaeueiiio iaaee/iiio oi?aa?neoao? ?i. I.I.Aiaiiieueoey ca
aae?anith: 252004 i.Ee?a — 4, aoeueaa? O.Oaa/aiea, 17.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i. I.I.Aiaiiieueoey ca aae?anith: 252057 i.Ee?a
— 57, aoe. Ciieia?/ia, 1.

Aaoi?aoa?ao ?ic?neaiee “20” o?aaiy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? A/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
ss.I.A?oianueeee

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Ne?iii? oni?oe a ae?aaiinoeoe?, e?eoaaii? oa
i?io?eaeoeoe? i?e?iaeaeaieo aaae ?icaeoeo (IA?) a ae?oae aeaaee oeth
?iciianthaeaeaio iaoieia?th ia iaeia c ia?oeo i?noeue o aeeoy/?e
caoai?thaaiino?, ?iaae?aeiino? oa eaoaeueiino? (A. A. Aeaaeaeaiei,
1994).

Nioe?aeuei? oa aeieia?/i? i?iaeaie Oe?a?ie iaieio/a ni?eythoue
c?inoaiith aiiiae?e oa aaae ?icaeoeo, iiioeyoe?eia /anoioa yeeo ia ia?
oaiaeaioe?? aei cieaeaiiy ?, ca noia?ieie aeaieie A.?. Eacthea (1991),
eieeaa?oueny a?ae 2.7 aei 16.3%.

O aeeoy/eo o??o?a?/ieo a?aeae?eaiiyo iiaiia?iaeaeai? c IA? neeaaeathoue
iaea?eueo aaaeeo a?oio oai?eo (A. Oioianee, 1987). Ieoiia aaaa
eaoaeueieo iane?aee?a i?e IA? aeinyaa? /anii 90% oa a?eueoa (TH. O.
?naeia oa ni?aaao., 1988), o no?oeoo?? eaoaeueiino? i?e o??o?a?/ieo
caoai?thaaiiyo o ae?oae.

Aeyaeaia /?oea caeaaei?noue i?ae oa?i?iii iinoaiiaee ae?aaiico a
iiaiia?iaeaeaiiai oa iane?aeeii e?eoaaiiy. Oae, Ae.A.Oa?anueeee oa
ni?aaao. (1989) i?iaiae?coaaaoe oa?i?ie aini?oae?caoe?? iiaiia?iaeaeaieo
c IA? oeoieiai-eeoeiaiai o?aeoo (OEO) ? anoaiiaeee, ui ?nio? cia/iee
eiioeiaaio (35%) oai?eo, o??o?a?/ia iaoieia?y, o yeeo iaae?ao?aie aoea
cai?aeic?aia ?c cai?ciaiiyi. Ia ?acoeueoaoe o??o?a?/iiai e?eoaaiiy IA?
OEO o iiaiia?iaeaeaieo ae??oaeueia cia/aiiy ia? ?aiiy ae?aaiinoeea oeeo
aeae?a iaoieia?? (Langer J. C. et al., 1989). Ia i?aenoaa? aea/aiiy
ee?i?/ieo aeaieo, iaeaeeae/eo oa a?aeaeaeaieo ?acoeueoao?a e?eoaaiiy
iiaeia c?iaeoe aeniiaie, ui iei? ?aiiy ae?aaiinoeea IA? na/iaeae?eueii?
nenoaie (NAN) ciaoiaeeoueny ia iaaeinoaoiuei aenieiio ??ai? (A. N.
Ea?iaiei oa niaao., 1991 A. A. Eaioei, 1994). Aiiiae?? ie?ie oa na/iaeo
oeyo?a aeyaeyee i?e iaeueiaoe?? ia’?iiiai ooai?aiiy a /a?aai?e
ii?iaeiei? aai i?ney i?e?aeiaiiy oneeaaeiaiue o aeaeyae? aaiaoo???,
?ioaeoe?? na/iaea?aeieo oeyo?a (Gordon A. C. et al., 1988, E. A.
Aeaeue’Aaiiea oa ni?aao., 1989).

O ae?aaiinoeoe? oa e?eoaaii? o??o?a?/ieo aaae ?icaeoeo a
iiaiia?iaeaeaieo aeinyaiooi iaaieo oni?o?a, iaeiae i?neyiia?aoe?eia
eaoaeuei?noue ana ua caeeoa?oueny aeineoue aenieith, aeinyaath/e i?e
ie?aieo oi?iao 36-66% (A. A. Oeoiai oa ni?aaao., 1987).

Iaeiei c? oeyo?a iie?auaiiy ae?aaiinoeee oa e?eoaaiiy a no/anieo oiiaao
? i?aiaoaeueia ae?aaiinoeea IA?.

C on?o cania?a i?aiaoaeueii? ae?aaiinoeee aaae ?icaeoeo, eio??
iio?aaothoue o??o?a?/ii? ei?aeoe??, iaea?eueoiai ?iciianthaeaeaiiy
io?eiaei oeueo?acaoeiaa aeine?aeaeaiiy ieiaeo, ca aeiiiiiaith yeiai
iiaeia aeyaeoe 67-68% IA? ( ?. TH. Ai?ae??iei, 1992).

Aeoiaey/e ?c oeueiai, aaaeeeaei, ia iao iiaeyae, ? aea/aiiy iiaeeeaino?
iiaeaeueoiai aaeineiiaeaiiy cania?a i?a- oa i?neyiaoaeueii? ae?aaiinoeee
IA?, aeine?aeaeaiiy aeai?eoi?a niieo/aiino? ??ciiiai?oieo aaae c iaoith
aenieii?ioan?eiiai ae??oaiiy ieoaiiy i?i aeioe?euei?noue aeiiiooaaiiy
aaa?oiino? aai ae?i?iaoe?? ieiaeo, a oaeiae ?ic?iaea i?ia?ai
i?neyiaoaeueiiai niinoa?aaeaiiy oa e?eoaaiiy oaeeo ae?oae.

Ae??oaiiy iinoaaeaieo caaea/, ia iao iiaeyae, ? aeooaeueiei oa
nai?/aniei aeey ioi?iie caei?ia’y Oe?a?ie, a io?eiai? ?acoeueoaoe
iiaeooue aooe ai?iaaaeaeai? a ee?i?/io i?aeoeeo, ui, aacoiiaii,
aeicaieeoue iie?aueoe ?acoeueoaoe e?eoaaiiy ae?oae c IA?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiiaia a ?aieao eiiieaenii? oaie iaoeiai-aeine?aeii? ?iaioe
Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo “?ic?iaea cania?a
aaeineiiaeaiiy ae?aaiinoeee, e?eoaaiiy oa i?io?eaeoeee ai?eii-caiaeueieo
caoai?thaaiue, aaae ?icaeoeo i?aai?a /a?aaii? ii?iaeieie a ae?oae”, ?
ain?a?no?aoe?? 01950023465. Aeaia aeine?aeaeaiiy i?iaiaeeeiny o
a?aeiia?aeiino? c Aea?aeaaiith iaoeiai-oaoi?/iith i?ia?aiith “Caoeno
aaiioiiaeo ianaeaiiy Oe?a?ie”.

Oaia aeena?oaoe?? caoaa?aeaeaia ia can?aeaii? A/aii? ?aaee Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo 15.02. 1996 ?ieo, i?ioieie ? 2.

Iaoa aeine?aeaeaiiy. Iaoith ?iaioe ? iie?auaiiy ae?aaiinoeee oa
?acoeueoao?a e?eoaaiiy ae?oae c i?e?iaeaeaieie aaaeaie ?icaeoeo
oeoieiai-eeoeiaiai o?aeoo oa na/iaeae?eueii? nenoaie.

Aeey aeinyaiaiiy aeacaii? iaoe aoee iinoaaeai? oae? Caaaeaiiy
aeine?aeaeaiiy :

1. I?iaanoe ianoaaeaiiy, e?eoaaiiy oa niinoa?aaeaiiy ae?oae c
i?aiaoaeueii aeyaeaieie aaaeaie ?icaeoeo oeoieiai-eeoeiaiai o?aeoo oa
na/iaeae?eueii? nenoaie.

2. Aea/eoe ?acoeueoaoe e?eoaaiiy a?oie ae?oae c i?aiaoaeueii
ae?aaiinoiaaieie IA? oa ae?oae c aiaeia?/ii? iaoieia??th, aea
i?aiaoaeueia ae?aaiinoeea ia i?iaiaeeeany.

3. ?ic?iaeoe eiiieaeni? i?ia?aie ae?aaiinoeee IA? ia iniia?
i?aiaoaeueiiai oeueo?acaoeiaiai aeine?aeaeaiiy c iaoith ae??oaiiy
ieoaiiy i?i iiaeeea?noue o??o?a?/ii? ei?aeoe?? aaae.

4. Aea/eoe aeai?eoie niieo/aiino? ??ciiiai?oieo IA?.

5. Ai?iaaaeeoe ?acoeueoaoe aeine?aeaeaiiy a i?aeoeeo ioi?iie caei?ia’y
ae?oae.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa a o??o?a?? aeeoy/iai
a?eo ?ic?iaeaia aoaiia ae?aaiinoe/ia i?ia?aia IA?, ui aeeth/a? i?a– oa
i?neyiaoaeueia oeueo?acaoeiaa aeine?aeaeaiiy, oa aeeiai?/ia
niinoa?aaeaiiy ca ieie.

Ia iniia? oeueo?acaoeiai? ae?aaiinoeee aeine?aeaeaia aaiethoe?y aaae
?icaeoeo na/iaeae?eueii? nenoaie oa ?ic?iaeai? ee?i?/i? oa /ania?
e?eoa??? ?o o??o?a?/ii? ei?aeoe??.

Aia?oa i?iaaaeaia aeaoaeueia aea/aiiy aeai?eoi?a niieo/aiino? IA? OEO oa
NAN c aaaeaie ?icaeoeo ?ioeo i?aai?a oa nenoai, ye iaea?eueo
iani?eeyoeeaeo i?iaiinoe/ieo oaeoi??a ?eceeo aeey aeaeeaaiiy ae?oae.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ai?iaaaeaeaiiy a ee?i?/io
i?aeoeeo aoaiii? ae?aaiinoe/ii? i?ia?aie, a oaeiae eiinoeueooaaiiy ca
i?eioeeiii: “aaiaoee – aeeoy/ee o??o?a – aeooa? – aeeoy/ee o??o?a”
aeicaiey? i?aiaoaeueii ae?aaiinooaaoe IA? oeoieiai-eeoeiaiai o?aeoo oa
na/iaeae?eueii? nenoaie. Ia’?eoeai?, aeniei?ioi?iaoeai? aeai?
i?aiaoaeueii? ae?aaiinoeee aeiiiiaaathoue ae??ooaaoe ieoaiiy i?i
aeioe?euei?noue aeiiiooaaiiy aaa?oiino? oa iiaeaeueoi? o??o?a?/ii?
ei?aeoe?? aaae aai ae?i?iaoe?? ieiaeo. Oea, a caeaaeiino? a?ae aeaeo oa
oyaeeino? aaae ?icaeoeo, iiaeeeaino? o??o?a?/iiai e?eoaaiiy, aeicaieeei
cieceoe i?neyiia?aoe?eio eaoaeuei?noue i?e IA? OEO ia 31%.

Aeei?enoaiiy a aeeoy/?e o??o?a?/i?e i?aeoeoe? i?aiaoaeueii? ae?aaiinoeee
IA? ni?ey? nai?/aniiio aeeiiaiith ei?aeoe?? aaae aei ?oiueiai ee?ie/iiai
i?iyao oa oneeaaeiaiue. Oea cia/ii ciaioeei no?iee ii/aoeo e?eoaaiiy
iaoe??io?a c IA? OEO ia 20.05 aiaeeie, a c aaaeaie NAN c 5.6 ?ie?a aei
5.8 i?nyoey.

Iiaeeea?noue aeeiai?/iiai niinoa?aaeaiiy ca aaaeaie ?icaeoeo
na/inoaoaai? nenoaie aeicaiey? aeyaeoe a?oio ?eceeo oa aecia/eoe
iieacaiiy aeey ?aiiuei? ei?aeoe?? aaae, ui ciaioeei e?euee?noue
?ioaeoe?eieo oneeaaeiaiue o oeeo ae?oae ia 73% oa ni?eyei
iiia?aaeaeaiith ?icaeoeo iaiai?ioieo ii?oieia?/ieo ci?i a i?aaiao.

Iniiai? iieiaeaiiy aeena?oaoe?? aeei?enoiaothoueny a iaa/aeueiiio
i?ioean? ia eaoaae?ao aeeoy/i? o??o?a?? Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i. I.I.Aiaiiieueoey oa Oa?e?anueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo. ?ic?iaeai? caniae oaeineiiaeaiiy ae?aaiinoeee
IA? ai?iaaaeaeai? a ee?ie/io i?aeoeeo aeeoy/eo o??o?a?/ieo a?aeae?eaiue
Ee?aa, Oa?eiaa, Noi, *oao?aa.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?eia ?iaioa aeeiiaia iniaenoi
aaoi?ii ia eaoaae?? aeeoy/i? o??o?a?? Oa?e?anueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo (caa. eaoaae?ith – i?ioani? A. A. Aeaaeaeaiei)
ia aac? Iaeanii? aeeoy/i? ee?ie/ii? e?ea?i? ? 1 (aieiaiee e?ea? – I. A.
Caeoeaaa) oa a Oa?e?anueeiio i?aeiaeaniiio iaaeeei-aaiaoe/iiio oeaio??
(caa?aeoaa/ – i?ioani? ?. ss. A?a/ai?ia).

Aeena?oaioii iniaenoi i?iaaaeai? iaoaioiee iiooe oa aiae?c e?oa?aoo?e.
?ic?iaea i?ia?aie aeine?aeaeaiue, aeia??ea ee?i?/iiai iaoa??aeo,
i?iaaaeaiiy ee?i?/ieo ? iniiaieo eaai?aoi?ieo aeine?aeaeaiue aeeiiai?
aaoi?ii naiino?eii. Noaoenoe/ia ia?iaea, aiae?c oa ?ioa?i?aoaoe?y aeaieo
aeeiiai? aaoi?ii iniaenoi. Iieiaeaiiy, ui aeianai? ia caoeno, ?ic?iaeai?
aaoi?ii.

Ni?aaaoi?aie, aeacaieie a nieneo iioae?eiaaieo ?ia?o a aaoi?aoa?ao?
aeena?oaoe??, iaaeaia iaoeiai-eiinoeueoaoeaia aai i?aeoe/ia aeiiiiiaa.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy oa ?acoeueoaoe
aeena?oaoe?? iioae?eiaai? a 9 iaoeiaeo ?iaioao. Iaoa??aee aeena?oaoe??
aeiiia?aeaeeny ia i?aeia?iaeiiio neiiic?oi? “Oeueo?acaoeiaa ae?aaiinoeea
a ia??iaoieia??, aaiaoeoe? oa a?iaeieia??” (Oa?e?a, 1993);
iaoeiai-i?aeoe/i?e eiioa?aioe?? iaiiaoieia?a Oe?a?ie “Aeeoaeueia
iaaeinoaoi?noue, ii?ooaiiy aaiiaeeiai?ee oa ?io? aeooaeuei? ieoaiiy
iaiiaoieia??” (Oa?e?a, 1993); iaeani?e iaoeiai-i?aeoe/i?e eiioa?aioe??
“Iniiai? iai?yiee ?icaeoeo oa oaeineiiaeaiiy aeeoy/i? o??o?a?? ia
no/aniiio aoai?” (Noie, 1995); iaeani?e iaoeiai-i?aeoe/i?e eiioa?aioe??
aeeoy/eo o??o?a?a oa iaae?ao??a “I?iaeaie aeeoy/i? o??o?a??” (Oa?e?a,
1995); Ia?oiio eiia?an? Oe?a?inueei? Anioe?aoe?? oao?aoe?a
oeueo?acaoeiai? ae?aaiinoeee a ia?eiaoieia??, aaiaoeoe? oa a?iaeieia??
“Ie?ae ye iaoe??io” (Oa?e?a, 1997).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaai? 9 ae?oeiaaieo ?ia?o (3
noaoo? a iaoeiaeo aeo?iaeao, ?aeiiaiaeiaaieo AAE Oe?a?ie, 6 ioae?eaoe?e
a ca??eao iaoeiaeo ?ia?o, iaoa??aeao oa oacao neiiic?oi?a,
eiioa?aioe?e).

Ianya oa no?oeoo?a aeena?oaoe??. ?iaioa neeaaea?oueny c? anooio, 4
?icae?e?a, caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo
aeei?enoaii? e?oa?aoo?e oa aeiaeaoe?a.

Aeena?oaoe?y aeeeaaeaia ia 142 noi??ieao iaoeiiieniiai oaenoo,
?ethno?iaaia 24 oaaeeoeyie oa 18 iaethieaie.

Iieaae/ee e?oa?aoo?e i?noeoue 129 a?o/eciyieo oa 91 ?iicaiieo aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Iaoa??ae oa iaoiaee aeine?aeaeaiiy

Ee?i?/iee iaoa??ae neeaa: aaa?oi? c i?aiaoaeueii ciaeaeaieie IA?,
anueiai – 92; iiaiia?iaeaeai? c aeiiieiaiai aeyaeaieie aaaeaie ?icaeoeo
oa eiio?ieueia a?oia ae?oae, aea i?aiaoaeueia ae?aaiinoeea ia
i?iaiaeeeany.

*anoeia oeeo ae?oae ca /an ia?aaoaaiiy a noaoe?iia?? ianoaaeoaaeany oa
e?eoaaeany o?aaeeoe?eii (291 aeeoeia — eiio?ieueia a?oia). ?io? 76
ae?oae, o yeeo aoee a?aeii? ?acoeueoaoe i?aiaoaeueii? ae?aaiinoeee IA?,
neeaee iniiaio a?oio oai?eo. Iaeaea? a?oie o naith /a?ao neeaaeaeeny c
aeaio i?aea?oi, o caeaaeiino? a?ae aeyaeaii? iaoieia?? (OEO oa NAN).

Aeey aea/aiiy aeai?eoi?a niieo/aiino? ??ciiiai?oieo IA? iaie
aeine?aeaeai? a?o?ai? iaoa??aee ca ?acoeueoaoaie iaoieiaiaiaoii?/ieo
?icoei?a IAeEA ?1 i. Oa?eiaa, ca ia??iae c 1988 ii 1997 ?iee. Aea/aany
e?eoa??e iiiaeeiiino? aaae ?icaeoeo a oe?e a?oi? ae?oae.

Ca iniiao aoee acyo? iicieia?/i? iaeeieoe? IA? OEO, aaaee ?icaeoeo
ia?aaeiuei? /a?aaii? no?iee oa NAN.

?acoeueoaoe aeanieo aeine?aeaeaiue, ?o aiae?c oa iaaiai?aiiy

Aiae?coth/e a?e aaouee?a aeeoeie, io?eiaii ianooii? aeai?: a?eueo?noue
/ieia?e?a oa ae?iie a iaio a?oiao ciaoiaeeeeny a iioeiaeueiiio
ae?oi?iaeiiio a?oe? o ia?o?e a?oi? 72±8 % ae?iie oa 75±8 % /ieia?e?a, o
ae?oa?e — 82±5% oa 83±5% a?aeiia?aeii.

Na?aae iani?eyoeeaeo /eiiee?a, ui i?aeaeuothoue ?ecee aeieeiaiiy IA?,
a?aecia/aia: aeno?aaai?oaeueia iaoieia?y aaouee?a (a?ia?oii?/ia oai?iaa,
iaoieia?y na/iaeae?eueii? oa nenoaie o?aaeaiiy, aiai?y), aeyaeaia a
17±4% niinoa?aaeaiue, iaoyaeaiee a?iaeieia?/iee aiaiiac a ieioeiio
(aacie?aei?noue, caiaeuei? caoai?thaaiiy) — o 11±3%.

I?e aea/aii? aaiaoe/iiai aiaiiaco a 16±4% n?iae anoaiiaeaia iayai?noue
ae?oae c IA? (aaaee na?oey, ao?ac?? ??ciiiai?oieo a?aeae?e?a eeoeiaeea,
aiiiae?? NAN, a?ae?ioeaoae?y). O 4±2% niinoa?aaeaiue ?ai?oa
ia?iaeaeoaaeeny ae?oe c iiiaeeiieie i?e?iaeaeaieie aaaeaie ?icaeoeo
(IIA?).

I?ae /an ia?aa?ao iei?oiuei? aaa?oiino? a?aecia/aia aaeeea e?euee?noue
oneeaaeiaiue, ye? aeyaeai? o 75±5% ae?iie (oaoiieaoeaioa?ia
iaaeinoaoi?noue, caa?ica ia?a?eaaiiy aaa?oiino?, aaaaoiaiaeaey,
iaoa?einueei-ieiaeiaa ?ioaeoe?y, iaoieia?y ieaoeaioe, iaeiaiaeaey,
?ioiieiioe?eo). Aaaaoiie?aeia aaa?oi?noue ca?a?no?iaaia a 1±1% (iaeia
niinoa?aaeaiiy).

O 92-o ieiae?a ia iniia? iienaiiai eiiieaeno oeueo?acaoeiaeo ia?ea??a o
27 niinoa?aaeaiiyo (29±5%) ae?aaiinoiaai? aaaee ?icaeoeo OEO oa a 60
(65±5%) anoaiiaeai? aiiiae?? NAN. Aaaee ?icaeoeo, aea niieo/aeany
i?e?iaeaeaia iaoieia?y eeoeiaeea oa na/iaeo oeyo?a, iaie ?icoe?iai? ye
IIA?, oa aoee aeyaeai? o 5 ieiae?a (6±2%).

Aaaee ?icaeoeo OEO o nai?e i?aea?oi? ?iciiae?eeeeny ne?aeoth/ei /eiii:
ao?ac?y no?aaioiaeo — 1±1% niinoa?aaeaiue; i?e?iaeaeaia aeniea eeoeiaa
iai?io?aei?noue — 9±3%; i?e?iaeaeaia iecueea eeoeiaa iai?io?aei?noue —
10±4%; aii?aeoaeuei? aaaee — 1±1%; e?noicia iaoieia?y /a?aaii?
ii?iaeieie — 3±2%. I?e?iaeaeaia iaoieia?y ia?aaeiuei? /a?aaii? no?iee
i?aaenoaaeaia 5 niinoa?aaeaiiyie: aia??iiaeueiay a?eaea — 2 (2±2%),
aano?ioec?n ae?aaiinoiaaiee o 3-o ieiae?a (3±2%).

A?eueo ??ciiiai?oiith ea?oeiith i?aaenoaaeai? aaaee ?icaeoeo NAN.
I??eiaeoac?y ?cieueiaaii cono??/aeany a 21±4% niinoa?aaeaiue, i?e/iio a
16±4% i?ioean iinea aeaia?/iee oa?aeoa?.

A?ae?iiao?ic cono??/aany ?cieueiaaii o 23±4% ieiae?a: aeaia?/iee o 19±4%
oa iaeiia?/iee o 4±2%. A 6±2% niinoa?aaeaiue iaeiia?/iee a?ae?iiao?ic
niieo/aany c i??eiaeoac??th c i?ioeeaaeii? noi?iie.

Iaaao?aoa? o iiaaeiaii? c a?ae?iiao?icii oa (aai) i??eiaeoac??th
a?aecia/aiee c iaeiiai aieo o 7±3%, aeaia?/iee o 4±2%.

Iiaeai?iiy ie?ie oa na/iaeo oeyo?a aoei cai?aeic?aii a 2±2%
niinoa?aaeaiue.

I?e i?iaaaeaii? oeueo?acaoeiaiai, i?aiaoaeueiiai aeine?aeaeaiiy,
e?noicia iaoieia?y ie?ie aeyaeaia a 8±3%.

Iaoieia?y ciai?oi?o noaoaaeo i?aai?a niinoa??aaeany a 1±1% oa
i?aaenoaaeaia a?iiniaae??th.

Aeey ianoaaeaiiy oa e?eoaaiiy o anoaiiaeai? oa?i?ie iaae?eoei 76
iaoe??io?a, ui neeaei (83±4%) a?ae caaaeueii? e?eueeino? ae?oae c
aioaiaoaeueii anoaiiaeaieie IA?.

C i?aeic?ith ia IA? OEO oa IIA? aini?oae?ciaaii 29 iiaiia?iaeaeaieo
(91±5%) c 32 ieiae?a c i?aiaoaeueii aeyaeaiith iaoieia??th. ?c 60
ieiae?a c aioaiaoaeueii ae?aaiinoiaaieie aaaeaie NAN aeey ianoaaeaiiy
caa?ioeiny 47 iaoe??io?a (78±5%), o oiio /ene? iaeei c IIA?.

?c 29 oai?eo, i?e?iaeaeaia iaoieia?y OEO aoea aeyaeaia o 17 iaoe??io?a,
ui neeaei 59±9%.

Iaoieia?y no?aaioiaeo ciaeaeaia a 2 niinoa?aaeaiiyo (11±8%),
i?ei?inoaiic a 1 (6±6%), iai?io?aei?noue aeaaiaaeoeyoeiaei? eeoee a 6
(33±12%), ao?ac?y ii?iaeiuei? eeoee a 1 (6±6%), iiaeaiaiiy
iiia?aeiai-iaiaeiai? eeoee a 1 (6±6%).

E?noicia iaoieia?y /a?aaii? ii?iaeieie (e?ioaia?iia a?eae? eeoeiaeea oa
aioa?ie?noiia) aeyaeaia iaie o 2 iaoe??io?a (11±8%). I?e?iaeaeai? aaaee
ia?aaeiuei? /a?aaii? no?iee anoaiiaeai? o 5 oai?eo: 3 niinoa?aaeaiiy
aano?ioec?no oa 2 iioaeioeaea, ui a?aeiia?aeii neeaei 17±9% oa 11±8%. O
17 oai?eo aeyaeaii 18 aaae ?icaeoeo, oae ye o iaeiiai iaoe??ioa (6±6%)
iaee i?noea nenoaii? IA? (ii?aeiaiiy ao?ac?? no?aaioiaeo oa
aeaaiaaeoeyoeiaei? eeoee).

Iie?a?ae?aii?ii, ye iaeia c iaoiaiiiii?/ieo iciae i?e?iaeaeaii?
iaoieia?? OEO, o iaoeo aeine?aeaeaiiyo i?aiaoaeueii niinoa??aaany o
86±14% oai?eo c aenieith eeoeiaith iai?io?aei?noth, a ii a?aeiioaiith
aei an?o ae?oae c iaoieia??th OEO – 35±12%.

O 12 niinoa?aaeaiiyo, aea i?aiaoaeueii cai?aeic?aia iaoieia?y OEO, i?e
iiaeaeueoiio ianoaaeaii? iiaiia?iaeaeaieo, aaaee ?icaeoeo ia aoee
i?aeoaa?aeaeai?.

Ii a?aeiioaiith aei iiaiia?iaeaeaieo iniiaii? a?oie i?neyiaoaeueii ia
i?aeoaa?aeaeai?: ao?ac?y oianoi? eeoee (28±8%), iaoieia?y
aeaaiaaeoeyoeiaei? eeoee (7±5%), iaeii?aeueia iai?io?aei?noue oa e?noa
a?eae? eeoeiaeea a?aeiia?aeii ii 3±3%. I?eaa?oa? aei naaa oaaao oa, ui
aaa?oi?noue o ieo ia noi?iaiaeaeoaaeany aaaaoiaiaeaeyi.

IIA? iaie eiinoaoiaai? o 7 ae?oae (8±3%). ?c ieo a 2 niinoa?aaeaiiyo
(3±2%), iiiaeeii? aaaee ae?aaiinoiaai? i?aiaoaeueii oa o 5
iiaiia?iaeaeaieo (7±3%) — aeyaeai? i?neyiaoaeueii.

O II i?aea?oi? c i?e?iaeaeaiith iaoieia??th NAN iaie niinoa??aaeiny 46
iaoe??io?a (61±6%) a?ae caaaeueii? e?eueeino? ae?oae iniiaii? a?oie, a
oaeiae 1 — c IIA?.

O 15 (39±8%) ae?oae anoaiiaeaii ae?aaiic a?ae?iiao?ic o ca’yceo c
iaoieia??th ieneiai-na/iaiaeiiai naaiaioo, c ieo o 6 (40±3%)
niinoa??aaee i??eiaeoac?th, ui a iiaeaeueoiio iio?aaoaaei canoinoaaiiy
eiina?aaoeaii-i/?eoaaeueii? oaeoeee.

9 ae?oyi (60±13%), aeeiiaia iia?aoe?y Aiaea?naia-Oaeina c i?eaiaeo
a?ae?iiao?ico II nooiaiy.

I?oo?ii-na/iaiaeiee ?aoethen (IN?) ??cieo nooiai?a ae?aaiinoiaaiee iaie
o 8 oai?eo (21±7%). Ae?aaiic anoaiiaethaaany o an?o iaoe??io?a aei 2-o
i?ny/iiai a?eo. Oa?ai?th ii/eiaee c i?iaaaeaiiy 3-o eo?n?a
eiina?aaoeaiiai e?eoaaiiy. O ?acoeueoao? /iai no?eea cieeiaiiy ?aoetheno
a?aecia/aia o 4 oai?eo, ui neeaaea? 50±19% ae?oae c IN?. ?ioei ae?oyi
i?iaaaeaii iia?aoeaia e?eoaaiiy.

Iaie niinoa??aaeiny 5 ae?oae (11±5%), i?e/eiith o?aoa?ia?ae?iiao?ico a
yeeo aeyaeeany no?eeoo?a ?io?aio?aeueiiai a?aeae?eo na/iaiaea.

Aeaii ae?oyi (5±4%), a ia??iae? iiaiia?iaeaeaiino? iaeeaaeai?
?icaaioaaeoaaeuei? o?ao?ieooiiainoiie oa a iiaeaeueoiio i?iaaaeaia
ieanoe/ia iia?aoe?y ia na/iaeo oeyoao. O 3 (8±4%) oai?eo, noai ie?ie oa
na/iaiae?a, a oaeiae a?aenooi?noue i?iyaeaiiy i??eiiao?eoo aeicaieea
i?iaanoe iaeiiiiiaioii ?aeiino?oeoeaio iia?aoe?th.

O i?iaaaeaieo aeine?aeaeaiiyo iaie niinoa??aaeiny 5 ae?oae (11±5%) c
iiaeai?iiyi ie?ie oa na/iaiae?a.

E?noicia iaoieia?y ie?ie niinoa??aaeany iaie o 4-o oai?eo (11±5%), ye a
i?a — oae oa a i?neyiaoaeueiiio ia??iae? oa i?aaenoaaeaia
ioeueoee?noiciith aeenieac??th.

I?e ianoaaeaii? oa e?eoaaii? ae?oae c i?aiaoaeueii aeyaeaieie ci?iaie
NAN o 8 iaoe??io?a (18±6%), o?ieia?/ia iaoieia?y iiai?noth aeeeth/aia.

I?iaiaey/e aioaiaoaeueio ae?aaiinoeeo o 36 ieiae?a a?ae?iiao?ic
a?coae?coaaee a 66 ie?eao, c ieo i??eiaeoac?y — a 45 (68±6%). A
i?neyiaoaeueiiio ia??iae?, i?e ianoaaeaii? oeeo ae?oae, iaoieia?y a 29
(64±7%) ie?eao c 45 ia ciaeaeaia. Ioaea a 36±7% (P < 0.001) ae?aaiinoiaaieo i?aiaoaeueii i??eiaeoac?e i?e iiaeaeueoiio ee?i?/iiio niinoa?aaeaii? aeyaeai? o? aai ?io? aaaee ?icaeoeo oa aiiiae?? NAN. Oe?ii?noue i?ia?aie i?aiaoaeueii? ae?aaiinoeee IA? OEO iaie aecia/aeany a ii??aiyii? c eiio?ieueiith a?oiith oai?eo ca aeaiia e?eoa??yie: oa?i?ie aini?oae?caoe?? oa eaoaeuei?noue. C?noaaeyth/e oa?i?ie ii/aoeo e?eoaaiiy, anoaiiaeaii, ui aei 6 aiaeei c iiiaioo ia?iaeaeaiiy aini?oae?ciaaii 43±10% ae?oae iniiaii? a?oie oa 18.64% eiio?ieueii? (P < 0.001), aei 12 aiaeei - 29±8% oa 8.48% (P < 0.001) a?aeiia?aeii. Ioaea, aei 12 aiaeei aeeooy ia?aaaaeaii a??ia?aeii a?eueoa ae?oae iniiaiee a?oie (79±9% oa 27.12%, P < 0.001). Ca ae?oao iieiaeio aeiae aini?oae?ciaaia a?eueo?noue iaoe??io?a eiio?ieueii? a?oie (37.29% oa 18±7%, P < 0.001). Oaeei /eiii, ca ia?oo aeiao a??ia?aeii /ano?oa aini?oae?coaaeeny ae?oe iniiaii? a?oie (89±6% oa 64.41%, P < 0.001). I?ci?oa ia?oi? aeiae aeeooy a??ia?aeii /ano?oa iaaeoiaeeee iiaiia?iaeaeai? eiio?ieueii? a?oie (35.59% oa 11±6%, P < 0.001), ui aacoiiaii iaaaoeaii aieeaa? ia ?acoeueoaoe e?eoaaiiy. Na?aaei?e a?e aeeooy c iiiaioo ia?iaeaeaiiy aei aini?oae?caoe?? a a?oiao, ui ii??aiththoueny, neeaa 9.64 aiaeeie a iniiai?e oa 29.69 a eiio?ieuei?e (P < 0.001). Ae?oaei e?eoa???i ioe?iee ae??aino? i?aiaoaeueii? ae?aaiinoeee a iiaiia?iaeaeaieo c IA? OEO iaie acyoa i?neyiia?aoe?eia eaoaeuei?noue. A iniiai?e a?oi? nia?oi?noue neeaea 29±11%, oiae? ye a eiio?ieuei?e 60.45% (P < 0.01). Ioe?ithth/e aoaeoeai?noue i?aiaoaeueii? ae?aaiinoeee o oai?eo c IA? NAN, i?iaaaeaii ii??aiyeueiee aiae?c oa?i?i?a ii/aoeo e?eoaaiiy. ?c iniiaii? a?oie aini?oae?ciaaii 43±3% iiaiia?iaeaeaieo. Aei 6 i?nyoe?a aeeooy iaae?eoei 22±6%, ui acaaae? neeaei 65±7% iniiaii? a?oie oa 3.51% eiio?ieueii? (P < 0.001), aei 1 ?ieo a oe?eiio aini?oae?ciaaii 87± 5% oa 10.53% (P < 0.001) a?aeiia?aeii. Noa?oa 1 ?ieo a iniiai?e oa eiio?ieuei?e a?oiao ?icii/aoa e?eoaaiiy o 13±5% oa 14,03% (P < 0.001) oai?eo a?aeiia?aeii. Iiaeaeueoa ii??aiyiiy ia i?iaiaeeeiny, ai ae?oae noa?oa 2 ?ie?a a iniiai?e a?oi? ia aoei. Oaeei /eiii, oiae? ye iiai?noth i?iaaaeaii ianoaaeaiiy oa e?eoaaiiy a ae?oae iniiaii? a?oie aei 2-o ??/iiai a?eo, o eiio?ieuei?e oeae iieaciee neeaa 24,56 %. ?aooa ae?oae ii??aiyeueii? a?oie e?eoaaeeny a a?eueo a?aeaeaeai? no?iee, a 52,63 % - o oe?eueiiio a?oe?. Na?aaei?e a?e o oai?eo iniiaii? a?oie aoa 5.81 i?nyoey, a a eiio?ieuei?e a?oi? 5.61 ?ieo (P < 0.001). O ca'yceo c a?eueo i?ci?i ii/aoeii e?eoaaiiy, o eiio?ieuei?e a?oi? a??ia?aeii /ano?oa niinoa??aaee iano?oeoeaiee i??eiiao?eo (89.47%; 16±6%, P < 0.001) oa o?ii?/io ie?eiao iaaeinoaoi?noue (OII) (7.02%; 3±3%, P > 0.05).

O 12.28 % ae?oae eiio?ieueii? a?oie e?eoaaiiy c i?eaiaeo ?aoaioe?eii?
iaoieia?? ie?ie cae?i/oaaeiny iao?aeoii??th, oei /anii o
aeine?aeaeoaaieo ae?oae c iiae?aiith iaoieia??th i?aaiiaeiiny/a
iia?aoe?y ia aeeiioaaeany.

Ioaea, ?c canoinoaaiiyi i?aiaoaeueii? ae?aaiinoeee cia/ii cieceany a?e
ii/aoeo e?eoaaiiy, ciaioeeany ieoiia aaaa ae?oae c ?io?eoaaiiyi na/iaeo
oeyo?a oa OII, ?aoaioe?eia iaoieia?y ie?ie ia aeyaeyeany a oa?i?iaeuei?e
noaae??.

Oaeei /eiii, ii??aithth/e ?acoeueoaoe aeine?aeaeaiiue, anoaiiaeaii, ui
aoaeoeai?noue i?aiaoaeueii? ae?aaiinoeee a aeine?aeaeoaai?e a?oi? neeaea
74±5%, o oiio /ene? i?e aaaeao OEO-59±9%, a i?e aaaeao NAN — 83±5%.
Niaoeeo?/i?noue iaoiaeo ciaoiaeeeanue a iaaeao 95.89%.

Iie?auaiiy ?acoeueoao?a e?eoaaiiy ae?oae c IA? a cia/i?e i??? caeaaeeoue
a?ae iaeneiaeueii ?aiiueiai oa oi/iiai aeyaeaiiy eiea aaae ?ioeo i?aai?a
oa nenoai. O ca’yceo c oeei aeaia aeine?aeaeaiiy i?eioneaei aecia/aiiy
aeai?eoio niieo/aiino? ??ciiiai?oieo IA? c aaaeaie OEO oa NAN.

?cieueiaai? aaaee ?icaeoeo OEO cono??/aeeny o 134 oai?eo, ui neeaei
54.92%, nenoaii? IA? o 34 (13.93%) oa IIA? o 76 (31.15%).

Ii?aeiaiiy aaae OEO a?aecia/aii a 34.43% oai?eo, i?e/iio a 54±5% iaei
i?noea ii?ooaiiy i?io?aeiino? eeoie o ??ciiiai?oieo a?aeae?eao.

Iacaaa?oaiee iiai?io eeoeiaeea aa/eee o 19±4%, a oaeiae o an?o ae?oae c
iaoieia??th ia?aaeiuei? /a?aaii? no?iee, aeeaa?oeeoe Iaeeaey o 13±4%.

Iaoieia?y naeac?iee aeyaeaia o 4±2%, i?aeoeoieiai? caeice o 7±3%, a
oaeiae ii 1±1% — ia?nenooaaiiy aeiaoi/ii? i?ioiee oa iiaeai?iiy
ii?iaeiuei? eeoee.

I?e?iaeaeai? aaaee na?oey oa noaeei ciaeaeai? o 27.87% iaoe??io?a.
Aeaoaeoe i?aeoeoii/eiai? oa i?aeia?aaena?aeii? ia?aoeiie cao?eniaai? o
35±6% oa 10±4% a?aeiia?aeii, ii 8±3% — o?eeaia?iiai na?oey oa
ao??iaaio?eeoey?ii? eiioi?eaoe??, 4±2% — oao?aaea Oaeei, a?iiieac?y
e?ai? iieiaeie na?oey o 3±2%. Iaoieia?y ao??iaaio??eoey?iiai eeaiaia
ciaeaeaia o 6±3%, ia?nenooaaiiy aioaeiaiai i?ioieo o 3±2% oa o 1±1% —
aiaa??cia ei?iia?iiai neiona.

Iaoieia?y iaa?no?aeueieo noaeei ae?aaiinoiaaia a 21±5% iaoe??io?a,
i?e/iio o 80±11% c ieo — aaaee ai?oe.

IA? na/inoaoaai? nenoaie niinoa??aaeeny o 25.41% oai?eo, c ieo:
aaaiac?y, aeenieac?y, ioeueoee?noic ie?ee (26±5%), a?ae?iiao?ic (8±3%),
iano?oeoeaiee iaaao?aoa? (37±6%), o 5±3% — i?aeeiaiiiae?aia ie?ea oa o
3±2% — iiaeai?iiy na/iaeo oeyo?a.

Aaaee noaoaaeo i?aai?a i?aaenoaaeai? 11±4% niinoa?aaeaiiyie
e?eioi?o?cio, 6±3% a?iiniaae?? oa ii 2±2% — ao?ac?? i?oae oa ai?niaae??.

I?e?iaeaeai? aaaee eaaaiue oa ae?ao?aaie ca?a?no?iaai? o 7.79% ae?oae oa
neeaaeaeeny ?c: ii?ooaiiy eiaoeyoe?? eaaaiue (47±12%), a?iiieac??
eaaaiue (16±9%), aaaiac?? i?aaio (14±7%), a oaeiae 5±5% aiiiaeueiiai
a?aeoiaeaeaiiy aeieaaeo a?iio?a. Iaoieia?y ae?ao?aaie i?aaenoaaeaia
16±9% niinoa?aaeaiue o?ai?ei-ia?eea?ae?aeueii? oa 5±5% —
?ao?inoa?iaeueii? a?eae?.

Aaaee e?noeiai? nenoaie ciaeaeai? a 4.92% na?aae yeeo ii 17±11%
iie?aeaeoee??, aeaoi?iaoe?? a?oaeii? ee?oee, e?eaieaiino?, aeaoi?iaoe??
aa?oi?o e?ioe?aie, iiiaeeiieo eiio?aeoo? noaeia?a e?ioe?aie, a oaeiae
8±8% aeaoi?iaoe?? oa aeenieac?? ieaei?o e?ioe?aie.

O ?acoeueoao? aeine?aeaeaiiy anoaiiaeaii, ui aaaee ?icaeoeo OeIN
ciaeaeai? a 1.23% niinoa?aaeaiue oa aoee i?aaenoaaeai? i?e?ioeaoae??th
(67±33%), a oaeiae i?e?ia????th (33±33%). Oaeiae iaaaeeea e?euee?noue
a?aecia/aia aaae ?ioiii? nenoaie 0.82% (a?iiieac?y caa?oaeeiii? caeice)
oa i?e?iaeaeaieo aaae eeoeaai? /anoeie /a?aio — 0.41% (?iceieeia
aa?oiuei? aoae oa i?aeiaaaiiy).

O i?iaaaeaiiio aeine?aeaeaii? a 5.74% ciaeaeai? o?iiiniii? neiae?iie (14
niinoa?aaeaiue), ui ?iciiae?eeeeny oaeei /eiii: neiae?ii Aeaoia —
79±11%, neiae?ii Aaeaa?aena — 14±10% oa neiae?ii Iaoao — 7±7%.

?cieueiaai? aaaee NAN cono??/aeeny a 194 oai?eo, ui neeaei 81.51% oa a
neeaae? IIA? o 44 (18.49%).

Iaea?eueoa e?euee?noue aaae, ui ae?aaiinoothoueny i?e o?ieia?/i?e
iaoieia??, i?eiaaea? ia IA? OEO (16.81%). Aeaia a?oia aaae neeaaeaeany
?c: 32±8% niinoa?aaeaiue ao?ac?? aiona oa i?yii? eeoee, 18±6% –
iacaaa?oaiiai iiai?ioo eeoeiaeea, ii 10±5% – aeeaa?oeeoea Iaeeaey oa
ao?ac?? no?aaioiaeo, ii 5±3% – aano?ioec?na, aia??iiaeueii? a?eae?,
oai?iae A??noi?oiaa, ao?ac?? eeoaiai? eeoee, ii 2±2% – aoaeac??
no?aaioiaeo, o?a?ico i?aeoeoieiai? caeice, ioieiai? a?eae?, a?iiieac??
i’yc?a ia?aaeiuei? /a?aaii? no?iee.

I?e?iaeaeai? aaaee na?oey oa noaeei ca?a?no?iaai? o 10.08% ae?oae.
Aeaoaeoe i?aeoeoii/eiai? oa i?aeia?aaena?aeii? ia?aoeiie ciaeaeai? o
46±10% oa 12±7% ae?oae a?aeiia?aeii, ii 8±6% ooieoe?iioth/i? aioaeiai?
i?ioiee oa aiiiaeueiiai ae?aiaaeo eaaaiaaeo aai a ieaeith ii?iaeienoo, a
oaeiae ii 4±4% ao?ac?? e?aiai ao??iaaio??eoey?iiai ioai?o, eia?eoaoe??
oa aeaeno?aiiceoe?? ai?oe, caaaeueiiai a?oa??aeueiiai noiaao?a, noaiica
eaaaiaaeo a?oa??e, ai?eciioaeueiiai iieiaeaiiy na?oey.

Ii?aeiaiiy aaae na/inoaoaai? nenoaie a?aecia/aii o 6.72% oai?eo oa
i?aaenoaaeaia 25±11% niinoa?aaeaiiyie aaaiac?? ie?ee, 12±9% –
i?aeeiaiiiae?aii? ie?ee oa ii 6±6% – iao?iaeanoiie, a?iiieac??
iaaeie?eiaeea, e?noicii? aeenieac?? ie?ee.

Aaaee noaoaaeo i?aai?a i?aaenoaaeai? 25±11% niinoa?aaeaiiyie
e?eioi?o?cia, 12±9% – a?iiniaae??, 6±6% – ao?ac?? i?oae.

Aaaee e?noeiai? nenoaie ciaeaeai? o 3.36% iaoe??io?a, na?aae yeeo
aaaiac?y eoi?eea a?aecia/aia o 38±18%, ai?iieiiiae?aia a?oaeia ee?oea o
25±16%, ii 12±12% – a?aenooi?noue 4-6 ?aaa?, e?eaieai?noue, aeaoi?iaoe?y
aa?oi?o oa ieaei?o e?ioe?aie.

O 2.94% ae?oae anoaiiaeai? i?e?iaeaeai? aaaee OeIN, c ieo a?ae?ioeaoae?y
a 71±18%, ii 14±14% aeie?oioeaoae?? oa nieiiiiiceiai? a?eae?.

I?e?iaeaeai? aaaee eaaaiue ca?a?no?iaai? o 2.52% oai?eo oa i?aaenoaaeai?
67±21% niinoa?aaeaiiyie ii?ooaiiy eiaoeyoe?? eaaaiue, ii 17±17% noaiico
aieiaiiai a?iioo oa aiiiaeueiiai a?aeoiaeaeaiey a?iio?a.

Aaaee eeoeueiai? /anoeie /a?aio a?aecia/ai? a 1.68% ae?oae, ui
i?iyaeeiny ?iceieeiith oaa?aeiai oa i’yeiai i?aeiaaaiiy. Niinoa??aaeany
iaaaeeea e?euee?noue aaae ?ioiii? nenoaie (a?iiieac?y caa?oaeeiii?
caeice) oa o?iiiniiieo neiae?ii?a (oai?iaa Aeaoia) ii 0.42%.

On? aeuaiaaaaeai? aaaee oa ?oi? eiia?iaoe?? iaie aoee a?aeianai? aei
iaeeaneo?eiaaieo IIA?, ca aeiyoeii o?iiiniiieo neiae?ii?a.

Io?eiai? aeai? na?ae/aoue i?i oa, ui i?e iayaiino? IA? OEO oa NAN
iaiao?aeii oe?eani?yiiaaii i?iaiaeeoe ae?aaiinoeeo aaae ?icaeoeo ?ioeo
i?aai?a oa nenoai, ui iae/ano?oa c ieie niieo/athoueny. Oea ia?
i?aeoe/ia cia/aiiy aeey aeai?o o??o?a?/ii? oaeoeee i?e e?eoaaii? aeaii?
eaoaai??? oai?eo, ui iiaea aeyaeoe ae??oaeueia cia/aiiy a i?iaiinoe/iiio
ieai?.

C onueiai aeuaicia/aiiai aeo?ea?, ui ?ic?iaeai? ae?aaiinoe/i? e?eoa???
oa ia ?oi?e iniia? aaeineiiaeaia e?eoaaeueia oaeoeea i?aeaeueee
aoaeoeai?noue e?eoaaiiy ae?oae c IA? OEO oa NAN.

Aeniiaee

1. Aoaeoeai?noue i?aiaoaeueii? ae?aaiinoeee i?e?iaeaeaieo aaae ?icaeoeo
(IA?) oeoieiai-eeoeiaiai o?aeoo (OEO) neeaea 59±9%, a ae?aaiinoe/ia
oe?ii?noue i?aiaoaeueiiai aeyaeaiiy aaae na/iaeae?eueii? nenoaie (NAN)
a?aeiia?aeaea 83±6%.

2. Canoinoaaiiy i?aiaoaeueiiai oeueo?acaoeiaiai aeine?aeaiiy aeicaieeei
nei?ioeoe oa?i?ie ae?aaiinoeee IA? OEO ia 20.05 aiaeei, a aaaeaie NAN c
5.6 ?ie?a aei 5.8 i?nyoe?a oa cae?enieoe o??o?a?/io ei?aeoe?th aaae a
iioeiaeuei? no?iee aei iiyae ee?i?/ieo neiioii?a oa oneeaaeiaiue.

3. ?aiiy ae?aaiinoeea oa nai?/ania ei?aeoe?y aaae ?icaeoeo OEO, c
aeei?enoaiiyi noaiaea?oieo iia?aoeaieo ao?o/aiue, ni?eyea cieaeaiith
i?neyiia?aoe?eii? eaoaeueiino? a aeaiiai eiioeiaaioo oai?eo ia 31%.

4. I?aiaoaeueii ciaeaeai? i??eiaeoac?? a 36±7% niinoa?aaeaiue aoee
ne?aenoaii aaae oa aiiiae?e NAN. ?aii? aeyaeaiiy aaae NAN aeicaieeei
cieceoe i?iyae i??eiiao?eoo a ae?oae ia 73%, a oaeiae iiia?aaeeoe
?icaeoie oa?i?iaeueieo noaae?e a?ae?iiao?ico oa aeeeth/eoe o ca’yceo c
oeei iaiao?aei?noue iao?aeoii?e.

5. ?cieueiaai? aaaee ?icaeoeo OEO cono??/aeeny a 54.92% oai?eo, a
neeaae? nenoaiieo aaae — o 13.93% oa i?e iiiaeeiieo ii?aceao — o 31.15%
niinoa?aaeaiue. Aaaee ?icaeoeo NAN ?cieueiaaii cono??/athoueny a 81.51%,
a a neeaae? IIA? — a 18.49% niinoa?aaeaiue.

I?aeoe/i? ?aeiiaiaeaoe??

1. Ae?aaiinoeeo i?e?iaeaeaieo aaae OEO oa NAN iaiao?aeii ii/eiaoe c
i?aiaoaeueiiai ia??iaeo, a?aoiaoth/e aeinoaoiuei aenieo aoaeoeai?noue
oeueo?acaoeiaiai aeyaeaiiy oeeo aaae o ieiaea.

2. Aeey a/aniiai aeyaeaiiy aaae OEO oa NAN, ?aiiueiai e?eoaaiiy aei
iiyae ee?i?/ieo neiioii?a oa oneeaaeiaiue aeioe?eueii aaanoe
aeeniaina?ia niinoa?aaeaiiy ca ae?oueie aeeoy/ei o??o?aii a?ae?aco ae
i?ney ia?iaeaeaiiy.

3. Iiaiia?iaeaeaieo, o yeeo i?aiaoaeueii aeyaeai? o? aai ?io? aaaee
OEO, iaiao?aeii a ia?o? ae aiaeeie i?ney ia?iaeaeaiiy aini?oae?coaaoe a
niaoe?ae?ciaai? aeeoy/? o??o?a?/i? a?aeae?eaiiy aeey iiaeaeueoiai
ianoaaeaiiy, niinoa?aaeaiiy oa e?eoaaiiy.

4. Ae?oe c aaaeaie oa aiiiae?yie ?icaeoeo NAN iio?aaothoue
eiinoeueoaoe?? oa aeeiai?/iiai niinoa?aaeaiiy aeeoy/iai o??o?aa aai
o?ieiaa a?ae?aco i?ney aeienee c iieiaiaiai aoaeeieo.

5. O??o?a?/io ei?aeoe?th aaae ?icaeoeo NAN aeioe?eueii cae?enithaaoe a
iaea?eueo ?aii? oa?i?ie, ii/eiath/e c ia??iaeo iiaiia?iaeaeaiino?, ui
aeicaiey? iiia?aaeeoe a ieo ?icaeoie aaaeeeo iioeiaeaeaiue i?aai?a oa
?ioaeoe?eieo oneeaaeiaiue.

6. I?e aeai?? e?eoaaeueii? oaeoeee i?e aaaeao OEO oa NAN ne?ae
ei?enooaaoeny aeai?eoiii niieo/aiino? oa iiiaeeiiino? oeeo aaae, ui
aeicaieeoue i?aaeeueii aea?aoe oa?i?ie, anoaiiaeoe ia?oi/a?aia?noue oa
niin?a o??o?a?/ii? ei?aeoe??.

I?AOe?, IIOAE?EIAAI? CA OAIITH AeENA?OAOe??

1. A.A.Auethi.Iiiaeanoaaiiua e ni/aoaiiua ii?iee ?acaeoey ano?a/athueany
i?e a?iaeaeaiiuo aiiiaeeyo aeaeoaei/ii-eeoa/iiai o?aeoa // A?a/aaiay
i?aeoeea.- 1998.- ?3.- N. 65-67.

2. A.A.Auethi.I?aiaoaeueiay aeeaaiinoeea – iiaue oaa a ea/aiee
a?iaeaeaiiuo ii?ieia ?acaeoey ii/aauaeaeeoaeueiie nenoaiu o aeaoae //
A?niee i?iaeai a?ieia?? ? iaaeeoeeie.- 1998.- ? 20.- N. 89-92.

3. A.A.Aeaaeaeaiei, A.A.Auethi. Oeo/oaiea ?acoeueoaoia ea/aiey
a?iaeaeaiiuo ii?ieia aeaeoaei/ii-eeoa/iiai o?aeoa o aeaoae ia iniiaa eo
i?aiaoaeueiie aeeaaiinoeee // A?a/aaiay i?aeoeea.- 1998.- ?5.- N. 54-55.

4. A.I. Aaaaaeaeaiyi, A.A.Auethi. Cia/aiea i?aiaoaeueiie aeeaaiinoeee
iano?oeoeaiie iao?io?eia?iie iaoieiaee aeey ?aoaiey aii?inia
aeeniaina?ecaoeee aeaoae //Oacenu aeieeaaeia II iaaeaeoia?iaeiiai
neiiiceoia “I?iaeaiu eeeie/aneie aaiaoeee e i?aiaoaeueiie
aeeaaiinoeee”.- Oa?ueeia.- 1994.- N.6.

5. A.A.Aeaaeaeaiei, A.A.Eaioei, A.A.Auethi. I?aiaoaeueiay aeeaaiinoeea e
iinoiaoaeueiia iaaethaeaiea e ea/aiea aeaoae n a?iaeaeaiiuie ii?ieaie
?acaeoey // THaeeaeiue nai?iee iao/iuo o?oaeia, iinayuaiiue 10-eaoeth
eaoaae?u aeaoneie oe?o?aee CAIO.- Caii?iaeuea.- 1995.- N.27-28.

6. A.A.Auethi. Iaeioi?ua ?acoeueoaou aeeaaiinoeee e ea/aiey aeaoae n
i?aiaoaeueii auyaeaiiuie a?iaeaeaiiuie ii?ieaie ?acaeoey // Oace
aeiiia?aeae I Eiia?ano Oe?a?inueei? Anioe?aoe?? niaoe?ae?no?a
oeueo?acaoeiai? ae?aaiinoeee a ia?aiaoieia??, aaiaoeoe? oa a?iaeieia??.-
Oa?ueeia.- 1997.- N.74-75.

7. A.A.Eaioei, A.A.Auethi. Iiuo ea/aiey aeaoae n iano?oeoeaiie
a?iaeaeaiiie o?ieiae/aneie iaoieiaeae // Oace aeiiia?aeae I Eiia?ano
Oe?a?inueei? Anioe?aoe?? niaoe?ae?no?a oeueo?acaoeiai? ae?aaiinoeee a
ia?aiaoieia??, aaiaoeoe? oa a?iaeieia??.- Oa?ueeia.- 1997.- N.76.

8. A.A.Auethi. Aeeaaiinoeea e ea/aiea aeaoae n a?iaeaeaiiuie ii?ieaie
?acaeoey ii/aauaeaeeoaeueiie nenoaiu ia iniiaa oeueo?acaoeiaiai
enneaaeiaaiey ieiaea // “Iaaeeoeeia naaiaeiy e caao?a”, ia?eiaee/aneee
nai?iee ?aaio iieiaeuo o/aiuo e niaoeeaeenoia.- Oa?ueeia.- 1997.- Aui.
2.- N. 125-126.

9. A.A.Aeaaeaeaiei, TH.I.Iiiaiei, A.A.Aaaeaaiei, A.E.Aeeiia, A.A,Auethi.
A?iaeae?iiua ii?iee ?acaeoey, ano?a/athueany i?e a?iaeae?iiuo aiiiaeeyo
aeaeoaei/ii-eeoa/iiai o?aeoa o aeaoae a oneiaeyo yeieiae/aneeo ia?ooaiee
// International jurnal on immunorehbilitation. — 1999. — ?12. — P. 143.

aiioaoe?y

A’thi A.A. I?aeaeuaiiy aoaeoeaiino? ae?aaiinoeee oa e?eoaaiiy
i?e?iaeaeaieo aaae ?icaeoeo oeoieiai-eeoeiaiai o?aeoo oa na/iaeae?eueii?
nenoaie o ae?oae — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.09. — aeeoy/a o??o?a?y. — Oe?a?inueeee
iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.I.I.Aiaiiieueoey, Ee?a, 1999.

Caoeua?oueny iaoeiai-i?aeoe/ia ?iaioa, o ye?e ia iniia? i?aiaoaeueiiai
oeueo?acaoeiaiai aeine?aeaeaiiy ieiaeo ao?eaia a ee?i?/io i?aeoeeo
aoaiia ae?aaiinoe/ia i?ia?aia “aaiaoee-aeeoy/ee o??o?a-aeooa?-aeeoy/ee
o??o?a”.

?ic?iaeai? e?eoaaeueii-ae?aaiinoe/i? e?eoa???, aea/ai? aeai?eoie
niieo/aiino? i?e?iaeaeaieo aaae ?icaeoeo (IA?) i?aeaeueee aoaeoeai?noue
e?eoaaiiy ae?oae oe??? eaoaai???. I?e oeueiio nei?i/ai? no?iee
iaaeoiaeaeaiiy iiaiia?iaeaeaieo c IA? oeoieiai-eeoeiaiai o?aeoo (OEO) ia
20,05 aiaeeie oa cieaeaia i?neyiia?aoe?eia eaoaeuei?noue ia 31 %.

O ae?oae c IA? na/iaeae?eueii? nenoaie (NAN) ciaioai? no?iee ii/aoeo
e?eoaaiiy c 5,6 ?ie?a aei 5,8 i?nyoe?a, i?iyaeaiiy i??eiiao?eoo cieaeai?
ia 73%.

Anoaiiaeaii, ui IA? OEO oa NAN cono??/aeeny a neeaae? iiiaeeiieo
i?e?iaeaeaieo aaae ?icaeoeo o 31,15 % oa 18,49 % a?aeiia?aeii.

Eeth/ia? neiaa: ae?oe, i?e?iaeaeai? aaaee ?icaeoeo, oeoieiai-eeoeiaee
o?aeo, na/iaeae?eueia nenoaia, i?aiaoaeueia ae?aaiinoeea, o??o?a?/ia
e?eoaaiiy.

AIIIOAOeEss

Auethi A.A. Iiauoaiea yooaeoeaiinoe aeeaaiinoeee e ea/aiey a?iaeaeaiiuo
ii?ieia ?acaeoey aeaeoaei/ii-eeoa/iiai o?aeoa e ii/aauaeaeeoaeueiie
nenoaiu o aeaoae. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.09-aeaoneay oe?o?aey. — Oe?aeineee
iaoeeiiaeueiue iaaeeoeeineee oieaa?neoao ei. A.A.Aiaiiieueoea, Eeaa,
1999.

Caueuaaony iao/ii-i?aeoe/aneay ?aaioa, a eioi?ie ia iniiaa
i?aiaoaeueiiai oeueo?acaoeiaiai enneaaeiaaiey ieiaea aiaae?aia a
eeeie/aneoth i?aeoeeo yoaiiay aeeaaiinoe/aneay i?ia?aiia
“aaiaoee-aeaoneee oe?o?a-aeooa?-aeaoneee oe?o?a”.

A?iaeaeaiiua ii?iee ?acaeoey (AI?) o aeaoae, yaeyynue aanueia
?ani?ino?aiaiiie iaoieiaeae, auoiaeyo ia iaeii ec ia?auo iano a aeaoneie
caaieaaaaiinoe, eiaaeeaeiinoe e eaoaeueiinoe.

Aeaiiue eiioeiaaio ninoaaeyao iaeaieaa oyaeaeoth a?oiio aieueiuo a
aeaoneeo oe?o?ae/aneeo noaoeeiia?ao.

Iaaeaaii?eyoiua enoiaeu ea/aiey aeaoae n a?iaeaeaiiuie ii?ieaie ?acaeoey
aeaeoaei/ii-eeoa/iiai o?aeoa (AEEO) e ii/aauaeaeeoaeueiie nenoaiu (IAN)
ai iiiaii iaoneiaeaiu iicaeiei iinooieaieai, /oi i?eaiaeeo e ?acaeoeth
oyaeaeuo aeiiia?aoeeiiiuo ineiaeiaiee (anie?aoeeiiiay iiaaiiiey,
ia?eoiieo, iae?ic eeoa/ieea, o?iie/aneee ieaeiiao?eo, o?iie/aneay
ii/a/iay iaaeinoaoi/iinoue).

Aeey naiaa?aiaiiiai auyaeaiey AI? AEEO e IAN, ?aiiaai ea/aiey aei
iiyaeaiey eeeie/aneeo neiioiiia e ineiaeiaiee, oeaeaniia?acii aaanoe
aeeniaina?iia iaaethaeaiea ca ?aaaieii aeaoneei oe?o?aii, n?aco aea
iinea ?iaeaeaiey.

?ac?aaioaiiua ea/aaii-aeeaaiinoe/aneea e?eoa?ee, eco/aiiua aeai?eoiu
ni/aoaiiinoe ii?ieia ?acaeoey iiauneee yooaeoeaiinoue ea/aiey aeaoae
yoie eaoaai?ee. I?e yoii nie?auaiu n?iee iinooieaiey iiai?iaeaeaiiuo n
AI? AEEO ia 20,05 /ana e nieaeaia iineaiia?aoeeiiiay eaoaeueiinoue ia 31
%.

O aeaoae n AI? IAN oiaiueoaiu n?iee ia/aea ea/aiey n 5,6 eao aei 5,8
ianyoea, i?iyaeaiey ieaeiiao?eoa nieaeaiu ia 73 %. I?aaiioiinyuea
iia?aoeee ii iiaiaeo oa?ieiaeueiuo noaaeee aeae?iiao?ica eee aoi?e/iiai
nii?ueaaiey ii/ae a iniiaiie a?oiia ia i?aaei?eieiaeenue ec-ca
ionoonoaey iiaeiaiuo eciaiaiee.

Iiai?iaeaeaiiuo, o eioi?uo i?aiaoaeueii iaia?oaeaiu ii?iee ?acaeoey
AEEO, iaiaoiaeeii a ia?aua /anu iinea ?iaeaeaiey ainieoaeece?iaaoue a
niaoeeaeece?iaaiiua aeaoneea oe?o?ae/aneea ioaeaeaiey aeey aeaeueiaeoaai
ianeaaeiaaiey, iaaethaeaiey e ea/aiey.

Aeaoe n ii?ieaie e aiiiaeeyie ?acaeoey IAN o?aaotho eiinoeueoaoeee e
aeeiaie/aneiai iaaethaeaiey n?aco iinea auienee ec
?iaeianiiiiaaoaeueiiai o/a?aaeaeaiey.

Oe?o?ae/aneoth ei??aeoeeth ii?ieia IAN oeaeaniia?acii inouanoaeyoue a
iaeaieaa ?aiiea n?iee, ia/eiay n ia?eiaea iiai?iaeaeaiiinoe, /oi
iicaieyao i?aaeoi?aaeeoue o ieo ?acaeoea oyaeaeuo iia?aaeaeaiee i?aaiia
e eioaeoeeiiiuo ineiaeiaiee.

Oaeei ia?acii, aeeaaiinoeeo AI? AEEO e IAN iaiaoiaeeii ia/eiaoue n
i?aiaoaeueiiai ia?eiaea, o/eouaay aeinoaoi/ii aunieoth yooaeoeaiinoue
oeueo?acaoeiaiai auyaeaiey yoeo ii?ieia o ieiaea.

Onoaiiaeaii, /oi AI? AEEO e IAN ano?a/aeenue a ninoaaa iiiaeanoaaiiuo
a?iaeaeaiiuo ii?ieia ?acaeoey a 31,15 % e 18,49 % niioaaonoaaiii.

I?e auai?a ea/aaiie oaeoeee o aeaoae n AI? AEEO e IAN iaiaoiaeeii
iieueciaaoueny aeai?eoiii ni/aoaiiinoe e iiiaeanoaaiiinoe yoeo ii?ieia
?acaeoey, /oi iicaieyao i?aaeeueii aua?aoue n?iee, onoaiiaeoue
ia?aii/a?aaeiinoue e niinia oe?o?ae/aneie ei??aeoeee, i?iaiice?iaaoue
?acoeueoaou ea/aiey.

Eeth/aaua neiaa: aeaoe, a?iaeaeaiiua ii?iee ?acaeoey,
aeaeoaei/ii-eeoa/iue o?aeo, ii/aauaeaeeoaeueiay nenoaia, i?aiaoaeueiay
aeeaaiinoeea, oe?o?ae/aneia ea/aiea.

The summary

Vyun V.V. The increase of efficiency of diagnostic and treatment of
children congenital malformations of gastrointestinal tract and urinary
system. — Manuscript. Thesis for degree of Candidate of medical science
by speciality 14.01.09, pediatric surgery. — Ukrainian National Medical
University, Kiev, 1999.

The scientific practical work is placed for defence. Phasic diagnostic
program “specialist in genetics — pediatric surgeon — obstetrician —
pediatric surgeon” made on the basis of prenatal ultrasonic examination
of a fetus has been put into practice.

Elaborated treatment-and-diagnostic criterions and studied algorithms of
combinations of congenital malformations have increased the efficiency
of medical treatment for the patients of this category. Besides terms of
admitting to a hospital for the patients with congenital malformations
of gastrointestinal tract are reduced by 20.05 hours, postoperative
lethality is also reduced by 31 %.

Therms of beginning of the treatment for the children with congenital
malformations of urinary system are reduced from 5,6 years to 5,8 month,
manifestations of pyelonephritis are reduced by 73 %.

It is established that congenital malformations of gastro-intestianal
tract and urinary system were a part of multiple congenital
malformations by 31,15 % and 18,49 % correspondingly.

Key words: children, congenital malformations, gastro-intestinal tract,
urinary system, prenatal diagnostics, surgical treatment.

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