?INOEOOO O?IEIA?? OA IAO?IEIA?? AII
OE?A?IE

I?A*EIANUeEEE Aaeaioei
Aaeaioeiiae/

OAeE 616.617 -089

IIEACAIIss AeI ?IOANOEIAEUeII? IEANOEEE NA*IAIAeO

OA ?? INIAEEAINO?

14.01.06 — o?ieia?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? o?ieia?? oa iao?ieia?? AII Oe?a?ie

iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe Noaoianueeee Aaeoa?ae
Ieaenaiae?iae/, ?inoeooo o?ieia?? oa iao?ieia?? AII Oe?a?ie, caa?aeoaa/
a?aeae?eaiiyi ieanoe/ii? oa a?aeiiaethaaeueii? o?ieia??

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Na?iye Iao?i Noaiaiiae/, Aeiiaoeueeee
aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?ith o?ieia??

aeieoi? iaaee/ieo iaoe, i?ioani? Iaiai?i Aieiaeeie? ?icoiieeiae/,
Eoaainueeee aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?ith
o?ieia?? oa iieieia??

I?ia?aeia onoaiiaa Aei?i?iiao?ianueea iaaee/ia aeaaeai?y, eaoaae?a
o?ieia??, IIC Oe?a?ie, i.Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny “ 18 ” o?aaiy 1999?. i 10 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.615.01 i?e ?inoeooo?
o?ieia?? oa iao?ieia?? AII Oe?a?ie ca aae?anith: 254053, Ee?a, aoe.
TH.Eioethaeinueeiai, 9A.

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? ?inoeoooo o?ieia??
oa iao?ieia?? AII Oe?a?ie.

Aaoi?aoa?ao ?ic?neaiee “ 15 ” ethoiai 1998?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe________________________Aieei I.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. ?aeiino?oeoeaia oi?o?aiy na/iaea?aeieo oeyo?a
— iaeia c iaeaeooaeueiioeo i?iaeai a o?ieiai?. Ao?aoa aaeaeaaoii?
ooieoei? na/iaiaeo aaeueie na?eiciee iaoieiai/iee noai, ui /anoi
aecia/a? aaconiioiinoue eiina?aaoeaieo i iia?aoeaieo iaoiaeia
eieoaaiiy. Ca inoaiii aeanyoe?i//y caaaeyee iiaei oniioai, aeinyaiooei o
aea/aiii ii?iaeueii? oa iaoaeiai/ii? oiciieiai? ie?ie i aa?oiio
na/iaeaiaeieo oeyoia c?inea eieueeinoue iaoiaeia i?ioacoaaiiy
na/iaiaeo, aea neiae eiinoaooaaoe, ui aeeaieiai aiaeico ?o aoaeoeaiinoi
a eioa?aoo?i ia i?iaaaeaii.

Caiiio na/iaiaeo aiae?iceii oiieiai eeoa/ieea aia?oa aeeiiaa Shomaker a
1906 ?ioei. A iiaeaeueoi 50 ?ieia c’yaeyeenue iiiaeeiiei
ioaeieaoei? a eioa?aoo?i ( R. Nissen, 1940; F.J. Rack, F.A. Simone,
1954; W.C. Baum, 1954). ? o?eueee oeiea W.E.Goodvin aeaoaeueii
?ic?iaeea oaoiieo iioanoeiaeueii? ieanoeee i oei naiei ?icoe?eea
iieacaiiy, ui aei ?? cai?iaaaeaeaiiy (W.E.Goodvin, 1959; W.E.Goodvin,
1961). I?ioa, ne?ae cacia/eoe, ui c eiaeiei aeanyoe??//yi iieacaiiy
iino?eii ci?iththoueny. Oae, ia i?ioyc? inoaii?o 15 ?ie?a, ia
iioae?eiaaii ?ia?o ii aeeiiaiith eeoeiai? ieanoeee c i?eaiaeo
na/ieai’yii? oai?iae. Aea oae? caoai?thaaiiy, ye ooaa?eoeueic,
a?eueaa?oeeic oa o?aaiaoe/ia iioeiaeaeaiiy na/iaiaeo yaeythoueny iaeiei
c iieacaiue aei i?ioacoaaiiy o?aoa?o ( A.N. Ea?iaiei, 1989; E.N.
Eaiuoai, 1995; A.A. Shokeir, 1991; E.D. Yeboah, 1993; R.Aboutaieb,
S.Bennani 1996).

Aeey aeinyaiaiiy oei?? iaoe aeei?enoiaoaaee naii ?icii oeaieie — aiae
noaeei, oaeiii?aeo o?oa, aiaiaeeena, oei?e, aei neea, IOOA oa iioeo
neioaoe/ieo iaoa??aeia( J.F. Glenn, 1983; E.S. Sabanegh, 1996). Iaeiae
oei ni?iae ia aeaee iaeaaeiiai ee?i?/iiai aoaeoo.

A naith /a?ao, oiieee eeoa/iee ca nai?ie aiaoiii-ooieoe?iiaeueieie
oa?aeoa?enoeeaie yaey?oueny iaea?eueo i?eeiyoiei iaoa??aeii aeey
?aeiino?oeoe?? na/iaea?aeiiai o?aeoo, cie?aia na/iaiaeo (D.E. Bejany,
1991; A.A. Shokeir, 1995). An?i a?aeiia aeei?enoaiy eeoaiai? eeoee aeey
cai?uaiy na/iaiai i?oo?a, na/iaiaeo aai oiai /e ?ioiai aeaeo
aea?eaaoe?? na/?. Aea ne?ae cacia/eoe, ui oe? iia?aoe?? c-ca nai??
neeaaeiino? ciaeoee iaeaaeia i?noea o?eueee a ie?aieo o?ieia?/ieo
oeaio?ao. Iaoii?noue eeiiiea ieanoe/ii? oa aiaeiiaethaaeueii? o?ieiai?
?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie ia i?ioyci inoaiiio 20
?ieia aeei?enoiao? iioanoeiaeueio ieanoeeo na/iaiaeo, ui aeicaieeei
iaeiie/eoe iaeei c iaeaieueoeo eeiii/ieo iaoa?iaeia a Aa?ii?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiiaia ye o?aaiaio eiiieaenii? iaoeiai-aeine?aeii? oaie,
caoaa?aeaeaii? IIC Oe?a?ie, iiia? ?a?no?aoe?? 0186.0060583.

Iaoa aeineiaeaeaiiy. I?aeaeueoe aoaeoeai?noue i?ioacoaaiiy na/iaiaeo
oeyoii aaeineiiaeaiiy iieacaiue oa iia?aoeaii? oaoi?ee cai?uaiiy eiai
eeoaiaith eeoeith.

Caaea/i aeineiaeaeaiiy:

1. Aea/eoe eeiiiei-aiaoiii-ooieoeiiiaeueii iniaeeainoi na/iaeaiaeii?
nenoaie o oai?eo aei — oa iiney iioanoeiaeueii? ieanoeee na/iaiaeo.

2. Iioei?coaaoe iieacaiiy oa i?ioeiieacaiiy aei eeoeiai? ieanoeee
na/iaiaeo.

3.?ic?iaeoe aeiiae aei oi?o?ai/ii? oaoiiee caiiuaiiy na/iaiaeo
aiae?iceii oiiei? eeoee.

4. Anoaiiaeoe oneeaaeiaiiy eeoeiai? ieanoeee na/iaiaeo.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

?ic?iaeai? iieacaiiy aei ?ioanoeiaeueii? ieanoeee na/iaiaeo i?e eiai
o?aaiaoe/iiio iioeiaeaeaii?, iaaao?aoa??, a?ae?iiao?ic? oa
?ao?iia?eoiiaaeueiiio o?a?ic?, ye? a?oioothoueny ia ooieoe?iiaeueiiio
noai? ie?ee oa iacai?ioi?o ci?iao na/iaiaeo.

?ic?iaeaii i?eioeeiiai iiaee niin?a eeoeiai-na/ii?oo?iaiai aianoiiico,
yeee ia?aaeaa/a? noai?aiiy aioe?aoetheniiai iaoai?cio oeyoii aeai?ioo oa
oi?ioaaiiy 2-o eaiae?a a oa?i?iaeuei?e /anoei? eeoeiaiai o?ainieaioaoo.

Aea/ai? ee?i?ei-aiaoiii-ooieoe?iiaeuei? iniaeeaino? ie?ee,
na/iaea?aeii? nenoaie oa eeoeiaiai o?ainieaioaoo i?ney ?ioanoeiaeueii?
ieanoeee na/iaiaeo.

Anoaiiaeai? oneeaaeiaiiy eeoeiai? ieanoeee na/iaiaeo oa cai?iiiiiaai?
oeyoe ?o ei?aeoe??.

Ia cia/iiio ee?i?/iiio iaoa??ae? aeinoia??ii aecia/aia oa aeiaaaeaia
aoaeoeai?noue ?ioanoeiaeueii? ieanoeee na/iaiaeo — iieacaii, ui
cai?uaiiy eiai eeoaiaith eeoeith ? aeueoa?iaoeaith iao?aeoii??.

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

Iaa?oioiaaii aeeiiaiiy iaea?eueo ?aiiueiai iia?aoeaiiai ao?o/aiiy.

?ic?iaeai? aeiiae, ui aei o??o?a?/ii? oaoiiee caiiuaiiy na/iaiaeo
aiae?iceii oiiei? eeoee.

Iaa?oioiaaii noai?aiiy aioe?aoetheniiai iaoai?cio i?e oi?ioaaii?
na/ia?aeii-eeoeiaiai oa eeoeiai-na/ii?oo?iaiai aianoiiico.

?ic?iaeaia eeaneo?eaoe?y na/ii?oo?iai-eeoeiaiai ?aoetheno.

?ic?iaeaii e?eoa??? ioe?iee aoaeoeaiino? ?ioanoeiaeueii? ieanoeee
na/iaiaeo.

?acoeueoaoe aeine?aeaeaiue ii aecia/aiith iieacaiue oa iniaeeaino?
?ioanoeiaeueii? ieanoeee na/iaiaeo aeei?enoiaothoueny a
iaoeiai-aeine?aeieoeuee?e ? e?eoaaeuei?e ?iaio? ?inoeoooo o?ieia?? oa
iao?ieia?? AII Oe?a?ie.

Iniaenoee aianie caeiaoaa/a. ?aeay aeena?oaoe?eii? ?iaioe cai?iiiiiaaia
iaoeiaei ea??aieeii. Caeiaoaa/aa? iaeaaeeoue ae??oaiiy caaea/ aaeaeaaoii
iao? aeena?oaoe?eii? ?iaioe oa iaoiaeieia?/ii? iniiae ?? aeeiiaiiy.
Aeena?oaio iniaenoi aecia/ea iieacaiiy ? i?ioeiieacaiiy oa iniaeeaino?
eeoeiai? ieanoeee na/iaiaeo, a oaeiae aeaa ioe?ieo aoaeoeaiino?
?ioanoeiaeueii? ieanoeee, anoaiiaea ?? oneeaaeiaiy. Ni?eueii c
ea??aieeii ?ic?iaeaii oa io?eiaii iaoaio ia aeiao?ae: niin?a noai?aiiy
eeoeiai-na/ii?oo?iaiai aianoiiico oa, i?iaaaeaii oi?ioethaaiiy iaoeiaeo
iieiaeaiue ? aeniiae?a.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeiiia?aeaeenue ia ?? eiia?an? o?ieia?a Eacaonoaio (Aeia-Aoe,1995); ?
i?aeia?iaeiiio c’?cae? iieiaeeo a/aieo (Oa?iii?eue,
1997);iaoeiai-i?aeoe/i?e eiioa?aioe?? o?ieia?a Ee?anueei? iaeano? (Ee?a,
1998); iaoeiaiio can?aeaii? ?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie
(Ee?a, 1998).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 7 iaoeiaeo ?ia?o, c
yeeo 3 — a iaoeiaeo oaoiaeo aeaeaiiyo o aeaeyae? aeo?iaeueieo noaoae, a
oaeiae io?eiaii iaoaio ia aeiao?ae: niin?a noai?aiiy
eeoeiai-na/ii?oo?iaiai aianoiiico ? 24871A.

No?oeoo?a aeena?oaoe??. ?iaioa neeaaea?oueny c anooio, 4 ?icae?e?a
(iaeyae e?oa?aoo?e ii oai? e 3 ?icae?ee ?c ?acoeueoaoaie iniaenoeo
aeine?aeaeaiue), caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
nieneo e?oa?aoo?e oa aeiaeaoe?a. Aeena?oaoe?th aeeeaaeaii ia 170
noi??ieao iaoeiiieniiai oaenoo, ?ethno?iaaii 27 oaaeeoeyie e 69
iaethieaie. A?ae?ia?ao?y i?noeoue 275 aeei?enoaieo iaoeiaeo aeaea?ae (
105 a?o/eciyieo, o oiio /ene? e?a?i NIAe, oa 170 ?iicaiieo aaoi??a) ?
caeia? 22 noi??iee.

INIIAIEE CI?NO

Ee?i?/iee iaoa?iae ? iaoiaee aeineiaeaeaiue. A iniiao aeena?oaoei?
iieeaaeaii ?acoeueoaoe eiiieaeniiai ianoaaeaiiy 93 oai?eo, eio?ei aoea
aeeiiaia eeoeiaa ieanoeea na/iaiaeo. Ani aiie aoee i?iiia?iaaii a
eeiiioe? ieanoe/ii? oa aiaeiiaethaaeueii? o?ieiai?, iinoeoooo
o?ieiai? oa iao?ieiai? AII Oe?a?ie a ia?iiae c 1971 ii 1997 ?ie.

C caaaeueii? eieueeinoi oai?eo /ieiaieia aoei 40 (43%), aeiiie —
53(57%). Oai?i aoee ca aieii aiae 5 aei 58 ?ieia oa na?aaeiie
aie aiaeiiaiaeii 30,5+/-1,3 ?ieia. Aiaeic aeaieo iieaa, ui aieueoinoue
(90%) neeaee iaoei?ioe aieii aiae 10 aei 50 ?ieia.

I?aaeiaoii aea/aiiy aoee oai?i, a eio?eo iaea iinoea iaeii- (50) oa
aeainoi?iiiy (33) iaoieiaiy, a oaeiae iaoieiaiy na/iaiaeo ?aeeii? ie?ee
(10).

Eiio?ieueia ianoaaeaiiy i?iaaaeaii o 75(80,6%) iaoe??io?a, a no?iee
a?ae 6 i?nyoe?a aei 16 ?ie?a. A?aeaeaeai? ?acoeueoaoe i?inoaaeai? i?ney
??cieo aeae?a cai?uaiiy na/iaiaeo eeoeiaei o?ainieaioaoii. A 44(58,7%)
aeiaaeeao aiae?c aoa i?iaaaeaiee o iaoe??io?a i?ney iaiiaiiai cai?uaiiy
na/iaiaeo ? a 31(41,3%) — i?ney oioaeueiiai.

Iniaeeainoi eeiii/iiai ia?aaiao caoai?thaaiue o oai?eo, yeei
ieaioaaeanue, /e aoea aeeiiaia iioanoeiaeueia ieanoeea na/iaiaeo,
iio?aaoaaee ciaoeiaeueiiai eeiiiei-eaai?aoi?iiai,
?aioaai-?aaeiieiai/iiai, ooieoeiiiaeueiiai oa iaoi-ii?oieiai/iiai
iaoiaeia aeineiaeaeaiiy. Aeiaaiinoe/ii iaoiaee, ui aoee canoiniaaii i?e
ianoaaeaiii oei?? eaoaai?i? oai?eo ia?aneiaeoaaee neiaeoth/i oeie?:

?iciiciaaaiiy iniiaiiai caoai?thaaiiy oa ooi/iaiiy iniaeeainoae
ii?ooaiiy o?iaeeiaiiee;

ioeiiea ooieoei? ie?ie;

oa?aeoa?enoeea aiaoiii-ooieoeiiiaeueieo ciii aa?oiio na/iaeaiaeieo
oeyoia i?ney eeoeiai? ieanoeee na/iaiaeo.

?acoeueoaoe eeiii/ieo ianoaaeaiue aoee noaoenoe/ii ia?iaeaii. Aeey
oei?? oeiei oa noaiaea?oecaoei? yeinieo iieacieeia aoea ?ic?iaeaia
oi?iaeiciaaia inoi?iy oai?iae, eio?a neeaaeaeanue c 15 ?icieo
aiaeaeieia.

Eiaeai ?icaeie aeeth/a? a naaa ?yae iieacieeia, yei a noii neeaee 250.
Neiae aiaeiioeoe, ui inoi?iy oai?iae ia?aaeaa/aea ?a?no?aoeith aeaieo
i?e iiaoi?iiio iinooieaii a eeiiieo.

Aanue ia’?i iaoa?iaeo aoa aianaiee a ia?niiaeueiee eiiithoa? oeio IBM
PC/XT 486 oi?ie «Samsung». Aeey ia?iaee iaoa?iaeo aoea aeei?enoaia
aiaeienueea i?ia?aia CSS, ui ia?aaeaa/a? iaeiie/aiiy aace aeaieo,
noaoenoe/iee aiaeic c oeeo?iaith oa a?aoi/iith ia?iaeith.

?acoeueoaoe aeanieo aeine?aeaeaiue.

Aiaeic eeiii/iiai iaoa?iaeo aeicaieea aeaeieeoe 4 a?oie oai?eo a
caeaaeiinoi aiae caoai?thaaiiy (oaae.1).

Oaaeeoey 1

?iciiaeie oai?eo a caeaaeiinoi aiae
caoai?thaaiiy

Caoai?thaaiiy Eieueeinoue oai?eo A?aenioie

Iaaao?aoa? 65 69,9+/-5

O?aaia na/iaiaeo 18 19,3+/-4

?ao?iia?eoiiaaeueiee oia?ic 4 4,3+/-2

Aiae?iiao?ic 6 6,5+/-2

Anueiai 93 100%

sse aeaeii c oaaeeoei, iaeaieueoo eeiii/io a?oio neeaaeaee oai?i ia
iaaao?aoa? 65(69,9+/-5%), yeee iiae?eyany ia iano?oeoeaiee 49(52,7%) oa
?aoethenoth/ee 16(17,2%).

O?aaia na/iaiaeo aeiaaiinoiaaia o 18(19,3%) oai?eo oa
oa?aeoa?ecoaaeanue iayaiinoth na/iai? ii?eoe? na/iaiaeo oa ie?ee, ui
aeieeea a ?acoeueoaoi ciaiioiuei? o?aaie o 3, aai ae iia?aoeaiiai
ao?o/aiiy o 15 iaoei?ioia. Iaea?eueo /anoeie aoee na/ia?aeii-oe??i?
91,7% ii?eoe?.

Iayaiinoue ?ao?iia?eoiiaaeueiiai oia?ico iineyiia?aoeieiiai aaiaco iaea
iinoea o 2 oai?eo, oa ua o 2 iiney i?iiaiaai? oa?aii?.

I?e/eiith ?icaeoeo ?aoeeaeeaiiai aiae?iiao?ico noaea no?eeoo?a INN,
ia?eiaeueaeeaeueii oa ia?eo?aoa?aeueii c?iuaiiy iiney ieanoeee INN
oa ooai?aiiy a iineyiia?aoeieiiio ia?iiaei na/iai? ii?eoei 16,7%;
aoi?eiiiai aiae?iiao?ico noaa ?ao?iia?eoiiaaeueiee oia?ic 50,0%, oa
no?eeoo?a INN, ia?eiaeueaeeaeueii i ia?eo?aoa?aeueii c?iuaiiy 33,3%. O
an?o 6 oai?eo iaa i?noea a?ae?iiao?ic ??? noaae??, ui oa?aeoa?ecoaaany
ae?aaeaiei cieaeaiiyi ooieoe?? ie?ee, iayai?noth aoi?eiii-o?ii?/iiai
i??eiiao?eoo.

Ne?ae cacia/eoe, ui o 50,5+/-5% oai?eo iia?aoeaii ao?o/aiiy ia
na/iaeaiaeieo oeyoao ia aeaee aoaeoo, i?e/iio a 42,6% aeiaaee?a aoee
aeeiiai? ieanoe/ii iia?aoei?, ye? iiai?oeee aiaoiii-ooieoeiiiaeueii
ciiie oa i?ecaaee aei iaio?aeiino? aeeiiaiiy iioanoeiaeueii? ieanoeee
na/iaiaeo.

ssaeua o?iii/ii? ie?eiai? iaaeinoaoiinoi a iniiaiiio iaee iinoea i?e
aeainoi?iiiie iaoieiai? 31,2% aai iaoieiai? na/iaiaeo ?aeeii? ie?ee
10,8%. I?e/iio eaoaioia noaaeiy aeyaeaia o 33, eiiiainiaaia — o 12,
iioa?iiooth/a — 5 oai?eo. ?icaeoie ie?eiai? iaaeinoaoiinoi iiynith?oueny
eiii?anieiei iioeiaeaeaiiyi ia?aioiie aianeiaeie o?iii/iiai noaco na/i
oa iayai?noth aoi?eiii-o?ii?/iiai i??eiiao?eoo.

Aeei?enoaiiy ?aae?iioee?aeii? ?aiia?ao?? oa aeeiai?/ii?
iao?inoeeioea?ao?? aeicaieeei o 53(57%) oai?eo io?eiaoe ?ioi?iaoe?th
i?i nae?aoi?ii-aene?aoi?io ooieoe?th eiaeii? ie?ee ie?aii oa i?i
o?iaeeiai?eo aa?oi?o na/iaea?aeieo oeyo?a. EO eieeaaeanue a oe?ieeo
iaaeao: a?ae 14,4 ie/oa aei 64,1 ie/oa oa oea aeaei iiaeeea?noue
ioe?ieoe ? aeae?eeoe o?e a?oie ooieoe?iiaeueiiai noaio ie?ee ia noi?ii?
caoai?thaaiiy:

1 a?oia (7 ie?ie) – ooieoe?y ie?ee caa?aaeaia, EO neeaea
45,0+\-0,9 ie/oa, aeinoia??ii? ??cieoe? oeueiai iieacieea ?c caei?iaith
ie?eith ia aoei (?>0,05);

2 a?oia (19 ie?ie) – ooieoe?y ie?ee cieaeaia, EO aei??aithaaea
35,5+/-5,1ie/oa, oeae iieaciee aeinoia??ii a?ae??ciyany a?ae
iiia?aaeiuei? a?oie (P<0,05); 3 a?oia (43 ie?ee) – ooieoe?y ie?ee cia/ii cieaeaia, aeaeiiiainiaaia, EO aei??aithaaea 23,2+/-4,6 ie/oa, oeae iieaciee aeinoia??ii a?ae??ciy?oueny a?ae iiia?aaeiuei? a?oie ( ?<0,05). I?iaaaeai? ?aae?iioee?aei? aeine?aeaeaiiy aeacothoue ia i?yio caeaaei?noue ooieoe?? ie?ee a?ae “o?ainii?oii?” iiaeeeaino? na/iaiaeo, yeo aea/aee ca aeiiiiiaith ?aioaaiieia?/ieo iaoiae?a. Iniiaia cia/aiiy a aecia/aiii iniaeeainoae iaoieia?? na/iaiaeo iaea aene?aoi?ia o?ia?aoiy. Ca ?? aeiiiiiaith aecia/aee /an oa iioaineaiinoue eiio?anooaaiiy /aoie, ie?eiai? ienee, na/iaiaeo oa na/iaiai iioo?a; nooiiiue aeeeyoaoei? na/iaeaiaeieo oeyoia, ?o oiion oa nei?ioeeao caeiaiinoue; eiioiao?aoeith, i?ioyaeiinoue oa i?e/eio iano?oeoei? na/iaiaeo. Oeae iaoiae ia aoa canoiniaaiee o?eueee o 6 oai?eo a ca'yceo c iiaeaeuaiith /ooeeainoth aei eiaeenoeo i?aia?aoia. Ca iayaiino? iaaao?aoa?o ci?ie a na/iaiae? oa?aeoa?ecoaaeenue ae?aaeaiith aeoac??th a i/3 a?ae 15,7+/- 4,1 aei 32,3+/-2,3ii, a a a/3 a?ae 3,1+/-0,3 aei 18,6+/-1,5ii. Ii/aoie eiio?anooaaiiy neeaaeaa a?ae 17,1+/-2,2 aei 21,5+/-3,0oa. O?aaia na/iaiaeo oa?aeoa?ecoaaeinue ??aiii??iith eiai aeoac??th 8 - 15ii ia anueiio i?ioyc? a?ae ??aiy iioeiaeaeaiiy, ui neeaaeaa 8 - 24 ni a?ae a?/ea. I?e/iio o?aaia i/3 na/iaiaeo ia ??ai? caeooaeiieo noaeei iaea iinoea o 12, n/3 o 4, a a/3 o 2 oai?eo. Noiae?noue aiaoii?/ieo ci?i aeicaieeea ia’?aeiaoe oai?eo ia a?ae?iiao?ic oa ?ao?iia?eoiiaaeueiee o?a?ic a iaeio a?oio. Aene?aoi?ia o?ia?ao?y i?e oeeo caoai?thaaiiyo oa?aeoa?ecoaaeanue ae?aaeaiith aeoac??th *IN ie?ee o an?o oai?eo, iayai?noth iao?inoii?/iiai ae?aiaaeo a 4, oa iayaiino? o 3 na/iai? ii?eoe? c 10 aeiaaee?a, a oaeiae aeaoi?iaoe??th na/iaiaeo ia anueiio i?ioyc? o 8 iaoe??io?a. Aeeeth/aiiy iaei i?noea o 2 oai?eo ia ?ao?iia?eoiiaaeueiee o?a?ic, o aeaeyae? oaciaiai oeaetheeoo, ui aeeeeeaa caoaeaiiy oa ao?aoo ia?enoaeueoeee oaciaeo a?aeae?e?a na/iaiae?a. Aiae?coth/e aiaoiii-ooieoe?iiaeuei? ci?ie na/iaeae?eueii? nenoaie a 4 ee?i?/ieo a?oiao anoaiiaeaii iieacaiiy aei ?ioanoeiaeueii? ieanoeee na/iaiaeo: caa?aaeaia ooieoe?y ie?ee (EO > 20 ie/oa);

ao?aoa o?ainii?oii? ooieoe?? na/iaiaeo, aiane?aeie iacai?ioi?o ci?i a
eiai no?ioe?;

a?aenooi?noue ieanoe/ieo iia?aoe?e, aeicaieyth/eo a?aeiiaeoe ianaae na/?
ca aeiiiiiaith oeaiei na/iaea?aeii? nenoaie.

Aeoiaey/e ?c ciaiue o?c?ieia?? oa iaoio?c?ieia?? OEO oa na/iaea?aeii?
nenoaie, cai?uaiiy na/iaiaeo a?ae??ceii oiiei? eeoee ia aeei?enoiaoaaee
i?e:

eeoai/eia?e oieueo?aoei? < 20 ie/oa ia noi?iii o?aaeaiiy; ?io?aaaceeaeuei?e iano?oeoei?; niaeeia?e oai?ia?; oai?ia? E?iia; iaee?iii? III nooiaith; aeaeiiiainaoei? noiooiio caoai?thaaiue. A caeaaeiino? a?ae caoai?thaaiiy oa nooiaiy aiaoiii-ooieoe?iiaeueieo ci?i iae?aany oie /e ?ioee aeae cai?uaiiy o?aoa?o: naaiaioa?ia ieanoeea, ui ia?aaeaa/a? caiiuaiiy i/3 na/iaiaeo, noaoioaeueia - caiiuaiiy ieaeiio 2/3 oa, oioaeueia - caiiuaiiy anueiai na/iaiaeo aiae?iceii eeoaiai? eeoee (oaae. 2). Oaaeeoey 2 Aeaee ?ioanoeiaeueii? ieanoeee na/iaiaeo a caeaaeiino? a?ae caoai?thaaiiy Caoai?thaaiiy Naaiaioa?ia Noaoioaeueia Oioaeueia Iaaao?aoa? 18 25 22 O?aaia na/iaiaeo 4 6 8 ?ao?iia?eoiiaaeueiee o?a?ic 2 1 1 A?ae?iiao?ic 6 Anueiai 24 32 37 I?e a?ae?iiao?ic? aeeiioaaeanue aeeeth/ii oioaeueia eeoeiaa ieanoeea, ui ? iiai?noth c?icoi?eei oa caeiiii??iei. C-ca iayaiino? o?aaie na/iaiaeo, a oaeiae i?e ?ao?iia?eoiiaaeueiiio o?a?ic?, aeae ?ioanoeiiieanoeee caeaaeaa a?ae ??aiy iioeiaeaeaiiy, aaee/eie ?iciianthaeaeaiiy neea?ioe/ieo ci?i a cai/a?aaeiiiio i?inoi?? ?, ye iane?aeie nooiaiy o?aaeaiiy na/iaiaeo. Ui ae noino?oueny iaaao?aoa?o, oi aea?? aeaeo eeoeiai? ieanoeee caeaaeaa a?ae nooiaiy ii?ooaiiy ia?enoaeueoeee, ui noi?iaiaeaeoaaeanue ao?aoith nei?i/oaaeueii? cae?aiino? /anoeie aai ae anueiai o?aoa?o. sse aeaeii c (oaae.2), noaoioaeueia oa naaiaioa?ia eeoeiaa ieanoeea aoea canoiniaaia o 56(60,2%) oai?eo, ? o?eueee a 39,8% aeiaaee?a - oioaeueia. Ne?ae a?aei?oeoe, ui i?e aeaia?/i?e iaoieia?? 33(35,5%), iio??aii a?aoiaoaaoe ooieoe?th eiaeii? ie?ee oa noai na/iaiae?a ie?aii. Noiniaii eeoeiai? ieanoeee na/iaiaeo ?aeeii? ie?ee 10(10,7%), aeinaiae eeiiiee aeiaiaeeoue, ui aiia noaea aeueoa?iaoeaith iiaeeooaa?e iao?inoii?? (4) oa o?aoa?ieooaiainoii?? (3) ? yaey?oueny iia?aoei?th aeai?o. Iayaiinoue o 27(36%) oai?eo a aiaeaeaeaiiio iineyiia?aoeieiiio ia?iiaei ?aoetheno oa aiaeic aaaaoi/eneaiieo aeaea?ae iioi?iaoei?, naiae/eee i?i iaiaoiaeiinoue noai?aiiy aoaeoeaiiai aioe?aoetheniiai caoenoo eeoeiai-na/ii?oo?iaiai aianoiiico. Oiio iaie noai?aii iiaee niin?a eeoeiai-na/ii?oo?iaiai aianoiiico a iniiao yeiai iieeaaeaii i?eioeei aioe?aoetheniiai caoenoo ?ic?iaeaiiai I.O.Aic?aiiaei oa A.I.Noaoianueeei i?e OOeIN, yeee iinoeoue a niai neiaeoth/i iniiaii iiiaioe: I?iaiaeeoueny ?acaeoeiy 3-4 ni a?eaei oa?iiiaeueii? /anoeie eeoee (?en.1). ?en.1 ?acaeoe?y a?eae? oa?i?iaeueii? /anoeie eeoee. Aaee/eia ?acaeoei? caeaaeeoue aiae aiaoiii/ieo iniaeeainoae aaneoey?ecaoei? eeoee, a oaeiae oiaueie noiiee na/iaiai iioo?a oa iiaeai?ii? aeiaaeeie aeaa?iooi? neeciai? iaieiiee eeoee, iaiaoiaeii? aeey iiaeaeueoiai oi?ioaaiiy iaiaeaoee “?iea?aei”. Aeenoaeueiee eiiaoeue o?ainieaioaoo ia i?ioyci 3-4 ni aeaa?oa?oueny neeciaith iaieiieith iaciaii (?en.2). ?en.2 Aeaa?oaiiy neeciai? iaieiiee aeenoaeueiiai e?ioey o?ainieaioaoo. Iiacaeiaaeiii ?ic?icii ia 12 oa 6 aiaeei neeciaee oa? aeaa?iooi? /anoeie eeoee ?icniea?oueny ia i?ioyci 1,5-2 ni (?en.3). ?en.3 ?icn?eaiiy neeciai? aeaa?iooi? /anoeie o?ainieaioaoo. Ne?aeoth/ei aoaiii iia?aoe?? ? iaeeaaeaiiy ?io?a?eaaeueiiai iaia?a?aiiaoceiaiai oaa a?ae iniiae aeaa?iooi? /anoeie eeoee-o?ainieaioaoo c iinooiiaei a?aeaa?oaiiyi ?? a aeenoaeueiiio iai?yieo. I?e oaoi?/iiio aeeiiaiii oeueiai i?eeiio iaiaoiaeii aeio?eioaaoenue neiao?e/iinoi iaeeaaeaiiy oaia, uia caiiaiaoe aio?e?iaaiith eeoee-na/iaiaeo (?en.4). ?en.4 Iaeeaaeaiiy ?io?a?eaaeueiiai iaia?a?aiiaoceiaiai oaa. Oa?iiiaeueii 1-2 ni caeeoathoueny aac iio?aieaaeueiiai oaa aeey iiaeaeueoiai iiaeaethaaiiy aioe?aoethenii? iaiaeaoee. Iiney oeueiai aeenoaeueia /anoeia o?ainieaioaoo iiaaaiio?oueny a na/iaee iioo? ia eiai caaeith noiieo (?en.5). ?en.5 Oi?ioaaiiy eeoeiai-na/ii?oo?iaiai aianoiiico. A?oeoioeieia ai/ei oienothoue ie?aieie aoceiaeie oaaie aei neeciai? iaieiiee c aeiaeaoeiaei iiaeaethaaiiyi aioe?aoethenii? “iaiaeaoee ?iea?aei”. Inoaiiy aei? ye aeiiiiiaeiee aioe?aoetheniee iaoaiici - eeaiai, ui iineaaeth? ?aoethen na/i a ieaaeueiee naaiaio. Aeaiaioa?ii iiae?aooiee iieacothoue, ui aiae?iaeeiaii/iee iii? a?oeoioeieiiai na/iaiaeo c iio?aieaaeueiei oaii o 8 ?acia a?eueoa, iiae aac iueiai. Ia?aaaae noai?aiiai iaie eeoeiai-na/ii?oo?iaiai aianoiiico ia?aae iioeie niiniaaie iiaeaethaaiiy: caa?iaa? oeieiniinoue noiiee eeoee, aeinoaoith aeiaaeeio a?eaei, ui ia? ae?ae aaaeeeaa cia/aiiy aeey caa?aaeaiiy aeoeaii? ia?enoaeueoeee, e?iaiiinoa/aiiy oa iia?aaoei?; noai?aiiy aeaio eaiaeia iie?auo? ianaae na/i, oeyoii cieaeaiiy iii?o oa?iiiaeueii? /anoeie eeoee ; iio?aieaaeueiee oia a ii?aeiaiii eiai c “iaiaeaoeith ?iea?aei” noai?th? iaaeieiee aioe?aoetheniee iaoaiici. Iaoiaeeea cai?uaiiy na/iaiaeo a?ae??ceii oiiei? eeoee aeiaaa? a?ae o?ieiaa ciaiue oa iaae/e?a, yeeie aieiae?? aaaeii?iaeueiee o??o?a. Oniio iia?aoei? caeaaeeoue aiae neiaeoth/eo iiiaioia: 1. Naaiaio eeoee ia neiae aiaenieaoe aeineoue aeecueei aiae Aaoaii?ai? caneiiee. Iioeiaeueiith ? aiaenoaiue 50 - 70 ni aiae oianoiai eeoa/ieea, ineieueee neiia eeoea oa oa?iiiaeueia /anoeia oiiei? eeoee iathoue niieueio iia?aaoeith oa e?iaiiinoa/aiiy. 2. Eeoeiaee o?ainieaioao iiaeiai iaoe iioeiaeueio aeiaaeeio, oae ye caaeiaaee naaiaio iiaea noaoe i?e/eiith iacaaeiaieueieo o?iaeeiaii/ieo yeinoae oa aeyaeoenue i?e/eiith aoeeaeico, iniaeeai i?e aeaiai/iie iaoieiai?, /e o?aaeaii? ?aeeii? ie?ee, eiee ooieoeiy ie?ie cieaeaia. 3. I?e caiiuaiii iaio na/iaiaeia aeioeieueii aeei?enoiaoaaoe ?aeeiee eeoeiaee o?ainieaioao, c canoinoaaiiyi A?aoiianueeiai aianoiiico . 4. A?oeoioeieiee na/iaiae ?iciiuo?oueny ana?aaeeii /a?aaii? ii?iaeieie, ?ciia?enoaeueoe/ii, ineieueee oea iaeaieueo oiciieiai/ii. 5. Aianoiiice iiae naaiaioii eeoee oa na/iaeaiaeieie oeyoaie iio?iaii iaeeaaeaoe a aeaa oa?e, oa ?ici?uoaaoe ?o aeno?aia?eoiiaaeueii. 6. Oi?ioaaiiy na/ia?aeii-eeoeiaiai aianoiiico ia?aaeaa/a? noai?aiiy aioe?aoetheniiai iaoaiicio ii oeio “eiiaoeue a eiiaoeue” aai “eiiaoeue a aie”. 7. Aianoiiic naaiaioo eeoee c na/iaei iioo?ai iiaeiai ?iciiuoaaoenue yeiiiaa aeeae/a aei aeia na/iaiai iioo?a. 8. Oi?ioaaiiy eeoeiai-na/iiioo?iaiai aianoiiico iiaeiii ia?aaeaa/aoe noai?aiiy aioe?aoetheniiai iaoaiicio. 9. A?oeoioeieiee na/iaiae oa aianoiiice a ?aiiie iineyiia?aoeieiee ia?iiae iiaeii? aooe ae?aiiaai?, oae ye eeoeiaee o?ainieaioao a iaeaeeae/ee iineyiia?aoeieiee ia?iiae aeaeiey? aaaaoi neeco. *an ia?aaoaaiiy oai?iai a noaoeiiia?i caeaaeaa aiae ia'?io iia?aoei? oa aiaoiii-ooieoeiiiaeueieo ciii a na/iaeaeieueiie nenoaii i neeaaeaa a na?aaeiueiio 23,2+/-1,3 aeii. Aiaeicoth/e e?aeei-aeaiue a caeaaeiinoi aiae noi?iie caiiuaiiy ie ia iiiioeee aaeeei? ?icieoei. O 31(33,3%) oai?eo iineyiia?aoeieiee ia?iiae i?ioieaa aac oneeaaeiaiue oa eiaeei-aeaiue neeaaeaa 15,6+/-1,3 aeiia. O 62(66,7%) oai?eo a iineyiia?aoeieiiio ia?iiaei iaee iinoea ?iciiiaiioii oneeaaeiaiiy, yei caieueooaaee eiaeei-aeaiue, a a ?yaei aeiaaeeia aoee i?e/eiith iiaoi?ii? iia?aoei?. Iaeaieueo /anoei iineyiia?aoeieiei oneeaaeiaiiyi 38(40,9+/-5%) aoa aoi?eiii-o?iii/iee ii?eiiao?eo a noaaei? caaino?aiiy. Oea iiynith?oueny oei, ui a aieueoinoi aeiaaeeia iioanoeiaeueia ieanoeea na/iaiaeo aeeiioaaeinue ia oiii iioaeoei? na/iaeaiaeieo oeyo?a a 95,7% aeiaaee?a, a oaeiae i?e ae?aaeaieo ciiiao a na/iaeaiaeieo oeyoao 87,1%. Ia iniiai aeinaiaeo ie anoaiiaeee, ui iiney iioanoeiaeueii? ieanoeee na/iaiaeo, caiaeueiee i?ioean iaiaoiaeii eieoaaoe aei iiaii? eiai eieaiaeaoei?. Oieueee noieea onoiaiiy na/iai? iioaeoei? ? i?eaiaeii aei aiaeiiie aioeaiioeeia. A oeo aeiaaeeao, eiee iaaaeaaaeinue iiaiinoth aeeiiaoe aeua cacia/aii? aeiiae, iaiaoiaeii aeeeth/eoe oneeaaeiaiiy iia?aoei? - ?aoeeaeeaio iano?oeoeith, na/iiioo?iai-ieneiaee ?aoethen oa iioi. Iineyiia?aoeieiee ia?iiae /anoi oneeaaeithaaany caaino?aiiyi ie?eiai? iaaeinoaoiinoi 19(20,4+/-4%). sse i?aaeei, aiia aeieeaea o oai?eo c aeaiai/iith iaoieiai?th ie?ie aai iiney iioanoeiaeueii? ieanoeee na/iaiaeo ?aeeii? ie?ee. Oea oneeaaeiaiiy i?e oniioii aeeiiaiie iia?aoei? iineoue oei/aniaee oa?aeoa?. I?ioa o?eaaeinoue OII caeaaeeoue aiae aeoeaiinoi ii?eiiao?eoo oa aoaeoeaiinoi eiai eieoaaiiy. Aiaeaeaeaii ?acoeueoaoe aoee aea/aii o 75 (80,6+/-4%), a n?iee aiae 6 iinyoeia aei 16 ?ieia. Ne?ae cacia/eoe, ui ia i?ioyci 6 iinyoeia aiaeiiaeth?oueny ooieoeiy ie?ee, a oaeiae i?iyaeythoueny ani oneeaaeiaiiy, iaoiiaeaii caaino?aiiyi ii?eiiao?eoo, OII oa iaaeieieaie iia?aoeaii? oaoiiee. Ia aeaeue, a eioa?aoo?i aiaenooii ?aeei? i?eioeeie ioeiiee ?acoeueoaoia iioanoeiaeueii? ieanoeee na/iaiaeo, oae ye i iieacaiiy aei ia?. C-ca aiaenooiinoi aeaieo oiioieiaaiiai ia'?eoeaiiai eiio?ieth ca aiaeiiaeaiiyi o?iaeeiaiiee oa ooieoei? ie?ee eiio?ieueii ianoaaeaiiy i?iaiaeeeenue ii oie aea noaii, ui i aei iia?aoei?. Aoaeoeaiinoue eeoeiai? ieanoeee ioeiithaaeanue ii noeoiiinoi noa'?eoeaieo nea?a, aeaieo ia'?eoeaiiai ianoaaeaiiy, ooieoeiiiaeueiiai noaio ie?ie, ?ic?iaeaieo e?aoa?i?a aiaeiiaeaiiy o?iaeeiaiiee oa noaaei? aoi?eiii-o?iii/iiai ii?eiiao?eoo. A eiiieaeniie ioeiioei aiaeaeaeaieo ?acoeueoaoia oaeiae a?aoiaoaaany oa?aeoa? iiaoi?ieo iia?aoeaieo ao?o/aiue. Oiio aoea ?ic?iaeaia o?ueioaaeueia nenoaia ioeiiee aiaeaeaeaieo ?acoeueoaoia - aeia??, caaeiaieueii oa iacaaeiaieueii. Aeia?? ?acoeueoaoe: noa'?eoeaii nea?ae aiaenooii; ii?iaiyii c aeiiia?aoeieieie iieacieeaie ?aioaai-?aaeiieiai/iiai ianoaaeaiiy i?inoaaeo?oueny iiceoeaia aeeiaiiea aiaoiii-ooieoeiiiaeueieo ciii, yea caeeth/a?oueny a ii?iaeicaoei? ?icii?ia aai ciaioaiii aeoaci? /aoeiai-ieneiai? nenoaie ie?ee, iie?auaii? o?iaeeiaiiee oa ooieoei? ie?ee; oa?iaeinoeioeyoeiy ni?ey? aeaaaeaiith eiio?anii? ?a/iaeie c aa?oiio na/iaeaiaeieo oeyoia; na/iiioo?iai-eeoeiaee ?aoethen aiaenooiie; aoi?eiii-o?iii/iee ii?eiiao?eo a noaaei? ?ai?n?? aai eaoaioiiai caiaeaiiy, a aiaeicao na/i ia?iiaee/ii eaeeioeeoo?iy; OII 0-I no.; i?aoeacaeaoiinoue iaoei?ioa caa?aaeaia. Caaeiaieueii ?acoeueoaoe: noa'?eoeaii nea?ae ia ia?iiaee/ii aeieeath/ee aieue a iiia?aeo ieth/iai oa?aeoa?o; aiaoiii-ooieoeiiiaeueii iieacieee ie?ie aiaeiiaiaeathoue aeiiia?aoeieiei, ui naiae/eoue i?i noaaieicaoeith iaaooeo iaoaeiai/ieo ciii; iiaeeeaa iayaiinoue na/iiioo?iai-eeoeiaiai ?aoetheno I-II no.; ia?iiaee/ii aeieea? aoi?eiii-o?iii/iee ii?eiiao?eo a noaaei? caaino?aiiy, eio?ee iiaeaea?oueny aioeaaeoa?iaeueiie oa?aii?; OII I-II no.; i?aoeacaeaoiinoue aeaui cieaeaia. Iacaaeiaieueii ?acoeueoaoe: iino?eii oo?ao? ooiee aieue a iiia?aeo, i?aeaeuaiiy oaiia?aoo?e, caaaeueia neaaeinoue; ?aioaai-?aaeiiioeeiaeii iieacieee naiae/aoue i?i iiai?oaiiy oa i?ia?anoaaiiy aeoaci? /aoeiai-ieneiai? nenoaie ie?ie, iacaaeiaieueieo o?iaeeiaii/ieo aeanoeainoyo eeoeiaiai o?ainieaioaoo; iano?oeoeiy ia ?iaii iaeiiai c aianoiiicia aai na/iiioo?iai-eeoeiaee ?aoethen III no.; aoi?eiii-o?iii/iee ii?eiiao?eo a noaaei? caaino?aiiy; OII II-III no.; i?aoeacaeaoiinoue noieei cieaeaia. Iaia'yceiaith oiiaith iiceoeaiiai ?acoeueoaoo ? aiaeiiaeaiiy o?iaeeiaiiee, caa?aaeaiiy ooieoei? ie?ee oa ciaioaiiy aeoeaiinoi caiaeueiiai i?ioeano. ?acoeueoaoe i?aaenoaaeaii a (oaae.3). Oaaeeoey 3 Aoaeoeaiinoue iioanoeiaeueii? ieanoeee na/iaiaeo a caeaaeiinoi aiae ?? aeaeo ?acoeueoao Iioanoeiaeueia ieanoeea Eieueeinoue A?aenioie iia?aoei? naaiaio. noaoioae. oioae. oai?eo Aeia?ee 9 19 21 49 65,3+/-6 Caaeiaieueiee 6 2 8 16 21,3+/-5 Iacaaeiaieueiee 4 4 2 10 13,4+/-4 Anueiai 19 25 31 75 100% sse aeaeii c (oaae.3), iiceoeaiee ?acoeueoao io?eiaii o 65(86,7+/-4%) oai?eo. Oea naiae/eoue i?i aenieo aoaeoeaiinoue iioanoeiaeueii? ieanoeee na/iaiaeo, a oaeiae i?i oa, ui eeoaiaa eeoea ? iaee?auei a?oeoioeieiei o?aoa?ii. Aiaeic aeaiieo iieaco?, ui ia ia? i?yii? caeaaeiinoi iiae ?acoeueoaoii eeoeiai? ieanoeee oa, c iaeiiai aieo noi?iiith ?? aeeiiaiiy, a c iioiai aieo ?? aeaeo. Ne?ae cacia/eoe, ui ia io?eiaii iacaaeiaieueieo ?acoeueoaoia i?e aeaiai/iie aai iioanoeiaeueiie ieanoeoei ?aeeii? ie?ee. Aiae?c aoaeoeaiino? ?aeiino?oeoe?? o?aoa?o iieacaa, ui cieeiaiiy noa'?eoeaieo neiioiiia iiney iia?aoei? - oea ia?oa eeiii/ia iciaea, yea aeaco? ia aeia?? ?acoeueoaoe eieoaaiiy. Iniaeeai oeiiii aeaiii i?i aoaeoeaiinoue iioanoeiaeueii? ieanoeee na/iaiaeo aea? iai aeeiaii/ia noeeioea?aoiy oa aene?aoi?ia o?ia?aoiy, ii aeaiei yeeo iiaeia noaeeoe i?i ooieoeiiiaeueii iiaeeeainoi ie?ie, noai ?o *IN oa o?iaeeiaii/ii aeanoeainoi iiainoai?aiiiai a?oeoioeieiiai na/iaiaeo. Ciaioaiiy /aniaeo iieacieeia eiio?anooaaiiy aa?oiio na/iaeaiaeieo oeyoia coiiaeaii iie?auaiiyi ooieoei?, ciaioaiiyi aeoaci? ii?iaeieiii? nenoaie ie?ee, aiaeiiaeaiiy o?iaeeiaiiee aa?oiio na/iaeaiaeieo oeyoia, a oaeiae ciaioaiiyi iio?aethiiiaeueiiai oeneo. Aiaeiiaeaiiy o?iaeeiaiiee aa?oio na/iaeaiaeieo oeyoia iiaeia eiinoaooaaoe ii nooiaith eiio?anooaaiiy a?oeoioeieiiai na/iaiaeo. I?e /iio /ioei i?inoaaeo?oueny iaa?iaiii?iii?oeieia caeaaeiinoue iie?auaiiy ooieoei? ie?ee oa eiio?anooaaiiy eeoeiaiai o?ainieaioaoo. *ei iaioa ia na?i? aene?aoi?ieo o?ia?ai aeaeii a?oeoioeieiee na/iaiae, oei e?aua nae?aoi?ia-aene?aoi?ia ooieoeiy ie?ee. Oeae oaiiiai i?inoaaeo?oueny caaaeyee aeoeaiie ia?enoaeueoeoei, i?e oiiai c iaeiiai aieo, aiaenooiinoi noaiicoaaiiy ia ?iaii iaio aianoiiicia: na/ia?aeii-eeoeiaiai oa eeoeiai-na/iiioo?iaiai, a c iioiai aieo, aiaenooiinoi na/iiioo?iai-eeoeiaiai ?aoetheno. Iaeaeai aeuaaeacaii oiiae ii?ooothoue ianaae na/i i oei naiei aieeaathoue ia ?acoeueoao iioanoeiaeueii? ieanoeee o?aoa?o. I?e aeia?iio ?acoeueoaoi oi?o?ai/ii? ei?aeoei? iaoieiai? na/iaiaeo, eeoeiaee o?ainieaioao i?aeoe/ii ia eiio?anoo?oueny. O 27(36+/-6%) oai?eo o aiaeaeaeaiiio iineyiia?aoeieiiio ia?iiaei iaa i?noea na/ii?oo?iai-eeoeiaee ?aoethen. Aiaeico oeueiai oneeaeiaiiy a naioiaie eioa?aoo?i ia ia?. Oiio iaie ?ic?iaeaia oa cai?iiiiiaaia aeey i?aeoe/iiai ei?enooaaiiy niaoeiaeueia eeaneoieaoeiy na/iiioo?iai-eeoeiaiai ?aoetheno, yea neeaaea?oueny c 3 noaaeie: I - eiio?anoia ?a/iaeia aeiiaith? /anoeio aai ae aanue a?oeo?oe?eiee na/ia?ae. I?ioa, iiney iia?aoei? ia'?i *IN aiaeiiaiaea? aeiiia?aoeieiiio (15). II - eiio?anoia ?a/iaeia aeiiaith? aanue eeoeiaee o?ainieaioao oa /anoeiai na/ia?ae. Ia'?i ie?eiai? ienee oa /aoa/ie caeeoeany ia aeiiia?aoeieiiio ?iaii aai ae aeaui caieueoeany (8). III - eiio?anoia ?a/iaeia aeiiaith? aanue a?oeo?oe?eiee na/ia?ae oa /anoeiai /e iiaiinoth ie?eiao ieneo. Ia'?i *IN caieueoeany, a ooieoeiy ie?ee iiai?oeeanue ii?iaiyii c aeiiia?aoeieieie aeaieie (4). Niinia eeoeiai-na/ii?oo?iaiai aianoiiico c iio?aieaaeueiith ieanoeeith ii iaoiaeeoei eeiiiee aeei?enoaii o 14 oai?eo. A aiaeaeaeaiiio iineyiia?aoeieiiio ia?iiaei ianoaaeaii 9 iaoei?ioia. Ii a iaeiiio aeiaaeeo ia caoieniaaii ianeaiiai /e oi aeoeaiiai na/iiioo?iai-eeoeiaiai ?aoetheno. O anio aiaeii/aii iiceoeaiee ?acoeueoao, i?e/iio o 5 c ieo aeia?ee. Aiaeaeaeaii ?acoeueoaoe eeoeiai? ieanoeee na/iaiaeo aea/aii o 54(83,1%) oai?eo c iaaao?aoa?ii. Iiceoeaiee ?acoeueoao cao?eniaaii o 45(83,3%) iaoei?ioia. Aiae?c oai?eo c na/iaeie ii?eoeyie iieacaa, ui aoaeoeai?noue ?ioanoeiiieanoeee a oe?e a?oi? nyaa? 92,9%. Iiney eeoeiai? ieanoeee na/iaiaeo c i?eaiaeo ?ao?iia?eoiiaaeueiiai oia?ico aea/aii oa io?eiaii 2 iiceoeaieo ?acoeueoaoe. Noiniaii aoaeoeaiino? ?ioanoeiaeueii? ieanoeee o?aoa?o ca iayaiino? a?ae?iiao?ico ??? noaae?? ia oii? na/iaeo ii?eoeue o an?o 5(83,3%) oai?eo io?eiaii iiceoeaiee ?acoeueoao. Oniio eeoeiai? ieanoeee na/iaiaeo caeaaeeoue aiae i?aaeeueii? ioeiiee aiaoiii-ooieoeiiiaeueiiai noaio na/iaea?aeii? nenoaie, aeaaiinoi caoai?thaaiiy, iayaiinoi ii?eiiao?eoo oa iaoiaeeee iia?aoeaiiai ao?o/aiiy, ui ia? ia iaoi i?ioieaeoeeo oneeaaeiaiue. Ne?ae a?aei?oeoe, ui no/anii aeinyaiaiiy a iaeanoi aeiaaiinoeee, ?ic?iaeai? aoaeoeai? niiniae aioe?aoetheniiai caoenoo, a oaeiae oaia?ioii iiaeeeainoi aianoaciieiai? i ?aaiiiaoei? aeicaieythoue caanoe aei iiiiioio oi?o?ai/iee ?ecee oa iaaaea/i oei?? ?aeiino?oeoeaii? iia?aoei?. Iaeiie/aiee eeiii/iee aeinaiae caiiuaiiy na/iaiaeo aiae?iceii oiiei? eeoee aeicaiey? i?eeoe aei caeeth/aiiy, ui ia oaia?ioiie /an iaee?auei a?oeoioeieiei o?aoa?ii ? eeoaiaa eeoea. Oea coiiaeaii oaeeie ?? iniaeeainoyie, ye aeoeaia ia?enoaeueoeea, oi?ioa iia?euei?noue, caaeia?eueia aiaoii?/ia a?aeiia?aei?noue, a?aei?iia e?iaiiinoa/aiiy oa iaeiaioa aniieooth/a caeiaiinoue, ui aei aeaeo?ieioia. AENIIAEE Aiaoiii-ooieoe?iiaeuei? oa?aeoa?enoeee oa?i?iaeueiiai a?aeae?eo oiieiai eeoa/ieea oa o??o?a?/i? iiaeeeaino? aeacothoue ia oa, ui eeoaiaa eeoea a?aeiia?aea? aeiiaai aei aooio?ainieaioaoa aeey cai?uaiiy /anoeie aai anueiai na/iaiaeo. I?e iaaao?aoa?? eeoeiaa ieanoeea iieacaia ca iayaiino? aooieoe?iiaeueiiai na/iaiaeo c ao?aoith nei?i/oaaeueii? ooieoe?? aiane?aeie iae?ii’ycaai? aeenieac?? /e ?oaoeaai-neea?ioe/ieo ci?i oa iaaei??ii? aeoac?? (D > 2ni).

O?aaiaoe/ia iioeiaeaeaiiy na/iaiaeo i?ioyaei?noth iiiaae 8ni ?
iieacaiiyi aei eiai cai?uaiiy eeoeith.

?aoeeaeeaia caoaeaiiy INN ? /anoeie na/iaiaeo, ui oa?aeoa?eco?oueny
i?ioyaei?noth oa iacai?ioi?noth ci?i i?e a?ae?iiao?ic? ?
?ao?iia??oiiaaeueiiio o?a?ic? yaey?oueny iieacaiiyi aei ?ioanoeiaeueii?
ieanoeee na/iaiaeo.

Eeoeiai-na/ii?oo?iaee aianoiiic iiaeiai ia?aaeaa/aoe oi?ioaaiiy
aioe?aoetheniiai iaoai?cio oeyoii noai?aiiy iaiaeaoe c ?io?a?eaaeueiei
oaii.

Eeoeiaa ieanoeea na/iaiaeo oneeaaeith?oueny: caaino?aiiyi o?ii?/iiai
i??eiiao?eoo (40,9+/-5%), na/ii?oo?iai-eeoeiaei ?aoethenii (36,0+/-6%),
no?eeoo?ith na/ia?aeii-eeoeiaiai (4,3+/-2%) oa eeoeiai-na/ii?oo?iaiai
(1,3+/-1%) aianoiiico.

Iioanoeiaeueia ieanoeea i?e ao?ao? aaaeoaoi?ii? ooieoe?? na/iaiaeo
aiane?aeie iacai?ioi?o ci?i a eiai no?ioe? o 86,7+/-4% oai?eo aea?
iiaeeeainoue aiaeiiaeoe o?iaeeiaiieo oa caa?aaoe ooieoeiiioth/o
ie?eo.

I?AEOE*II ?AEIIAIAeAOeI?

Aiaoiii-ooieoeiiiaeueii ciiie a na/iaeaiaeieo oeyoao oa ie?eao i?e
iaoieiai? na/iaiaeo iaiaoiaeii aea/aoe ca aeiiiiiaith
?aioaai-?aaeiiioeeiaeieo iaoiaeia, yei ia?aaeaa/athoue aeiaaiinoeeo
caoai?thaaiiy i aeicaieythoue eiio?iethaaoe ooieoeith ie?ee oa
aiaeiiaeaiiy o?iaeeiaiiee a iineyiia?aoeieiiio ia?iiaei.

?acoeueoaoe eiiieaeniiai aea/aiiy aa?oiio na/iaeaiaeieo oeyoia, a
?icii no?iee caoai?thaaiiy, ia ?icieo noaaeiyo iaaao?aoa?o /e oi
aiae?iiao?ico, i?e o?aai? na/iaiaeo /e oi ?ao?iia?eoiiaaeueiiio o?a?ic?,
naiae/aoue i?i iaiaoiaeiinoue aeeiiaiiy iaeaieueo ?aiiueiai iia?aoeaiiai
ao?o/aiiy.

Caiiuaiiy iaeiiai aai iaio na/iaiaeia iiaeiii aeeiioaaoenue ca
aeiiiiiaith ?aeeiiai eeoeiaiai o?ainieaioaoo, ?iciiuaiiiai
iciia?enoaeueoe/ii a /a?aaiie ii?iaeieii, a i?e aeaia?/i?e oioaeuei?e
ieanoeoe? aeiaeaoeiai aeei?enoiaoth/e A?aoi?anueeee aianoiiic.

Oi?ioaaiiy na/ia?aeii-eeoeiaiai aianoiiico ia?aaeaa/a? noai?aiiy
aioe?aoetheniiai iaoaiicio ii oeio “eiiaoeue a eiiaoeue” aai “eiiaoeue
a aie”; iiaeaethaaiiy eeoeiai-na/iiioo?iaiai aianoiiico iio?aao?
aeeiiaiiy iio?aieaaeueii? ieanoeee ii iaoiaeeoei eeiiiee.

Aiae?c i?neyiia?aoe?eieo o?ao?ioeenoia?ai aeicaieea aeae?eeoe 3 noaae??
na/ii?oo?iai-eeoeiaiai ?aoetheno: ?no — eiio?anoia ?a/iaeia aeiiaith?
/anoeio aai ae aanue a?oeo?oe?eiee na/ia?ae, ia’?i *IN a?aeiia?aea?
aeiiia?aoe?eiiio; ??no — eiio?anoia ?a/iaeia aeiiaith? aanue eeoeiaee
o?ainieaioao oa /anoeio na/iaiaeo, ia’?i *IN caeeoeany ia
aeiiia?aoe?eiiio ??ai? aai ae aeaui ca?eueoeany; ???no — eiio?anoia
?a/iaeia aeiiaith? aanue a?oeo?oe?eiee na/ia?ae oa /anoeiai /e iiai?noth
ie?eiao ieneo, ia’?i *IN ca?eueoeany, a ooieoe?y ie?ee iia??oeeanue.

E?eoa?iyie ioeiiee aoaeoeaiinoi iioanoeiaeueii? ieanoeee na/iaiaeo
yaeythoueny: nea?ae, aiaoiii-ooieoeiiiaeueiee noai a?oeoioeieiiai
na/iaiaeo oa ie?ee ia noi?iii iia?aoei?, iayaiinoue
na/iiioo?iai-eeoeiaiai ?aoetheno oa ii?eiiao?eoo, i?e/iio iaia’yceiaith
oiiaith iiceoeaiiai ?acoeueoaoo ? caa?aaeaiiy ooieoei? ie?ee oa
aiaeiiaeaiiy o?iaeeiaiiee.

NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??

I?a/eianeee A.A. Ineiaeiaiey eioanoeiaeueiie ieanoeee ii/aoi/ieea // 1
I?aeia?iaeiee iaaee/iee eiia?an iieiaeeo a/aieo. Oace aeiiia?aeae. —
Oa?iii?eue.- 1997.- N.197.

Iaoaio ia aeiao?ae 24871A. Niin?a noai?aiiy eeoeiai-na/ii?oo?iaiai
aianoiiico // Oe?a?ia. — Ca’yaeaii 26.12.97; Iioae. 06.10.98.

Noaoianeee Y.A., I?a/eianeee A.A. Eeoa/iay ieanoeea ii/aoi/ieea //
Iaoa?eaeu ?? eiia?anna o?ieiaia Eacaonoaia. — Aeia-Aou.- 1995. —
N.112-113.

Noaoianeee Y.A., I?a/eianeee A.A., Aeiaa A.E. Iia?aoeaiia ea/aiea
i?oioiie/aneiai o?aoa?ioeaea // Ee?i?/ia o??o?a?y. — 1996.-? 7.- N.8-11.

Noaoianeee Y.A., I?a/eianeee A.A., Eioia A.A., Aeiaa A.E. Iieacaiey e
i?eiaiaieth eioanoeiaeueiie ieanoeee ii/aoi/ieea // Ee?i?/ia o??o?a?y. —
1997. -? 11-12.- N. 59-60.

Noaoianeee Y.A., I?a/eianeee A.A., Aeiaa A.E. I?ioeeaeoeea, aeeaaiinoeea
e ea/aiea iia?aaeaeaiee ii/aoi/ieea i?e iieiaeiaeieiae/aneeo iia?aoeeyo
// I Nuacae iieieiaia no?ai NIA. Iaoa?eaeu nuacaea. — Iineaa.-1996.-
N.472.

Noaoianeee Y.A., Aeiaa A.E., I?a/eianeee A.A., Eioia A.A. Iiaeaee?iaaiea
ii/aoi/ieea i?e o?aoa?ioeenoiiainoiiee // Ee?i?/ia o??o?a?y.- 1998.- ?
6.- N. 12-14.

I?a/eianueeee A.A. Iieacaiiy aei ?ioanoeiaeueii? ieanoeee na/iaiaeo oa
?? iniaeeaino?.- ?oeiien.

Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca
niaoe?aeuei?noth 14.01.06. — o?ieia?y.- ?inoeooo o?ieia?? oa iao?ieia??
AII Oe?a?ie, Ee?a, 1998.

Aeena?oaoe?th i?enay/aii ieoaiiyi i?aeaeuaiiy aoaeoeaiino? i?ioacoaaiiy
na/iaiaeo eeoaiaith eeoeith.

O ?iaio? aea/aii eeiiiei-aiaoiii-ooieoeiiiaeueii iniaeeainoi
na/iaeaiaeii? nenoaie o oai?eo aei — oa iiney iioanoeiaeueii? ieanoeee
na/iaiaeo. Iioei?ciaai? iieacaiiy oa i?ioeiieacaiiy aei eeoeiai?
ieanoeee na/iaiaeo. ?ic?iaeai? aeiiae aei oi?o?ai/ii? oaoiiee caiiuaiiy
na/iaiaeo aiae?iceii oiiei? eeoee. Anoaiiaeai? oneeaaeiaiiy eeoeiai?
ieanoeee na/iaiaeo.

Eeth/ia? neiaa: na/ia?ae, eeoaiaa eeoea, eeoeiaa ieanoeea.

I?a/eianeee A.A. Iieacaiey e eioanoeiaeueiie ieanoeea ii/aoi/ieea e aa
iniaaiiinoe. — ?oeiienue.

Aeena?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.06. — o?ieiaey.- Einoeooo o?ieiaee e iao?ieiaee
AII Oe?aeiu, Eeaa, 1998.

Aeena?oaoeey iinayuaia aii?inai iiauoaiey yooaeoeaiinoe i?ioace?iaaiey
ii/aoi/ieea iiaeacaeioiie eeoeie.

A ?aaioa eco/aiu eeeieei-aiaoiii-ooieoeeiiaeueiua iniaaiiinoe
ii/aauaiaeyuae nenoaiu o aieueiuo aei — e iinea eioanoeiaeueiie ieanoeee
ii/aoi/ieea. Iioeiece?iaaiu iieacaiey e i?ioeaiiieacaiey e
eioanoeiaeueiie ieanoeea ii/aoi/ieea. ?ac?aaioaiu o?aaiaaiey e
oe?o?ae/aneie oaoieea caiauaiey ii/aoi/ieea io?aceii oiieiai eeoa/ieea.
Onoaiiaeaiu ineiaeiaiey eeoa/iie ieanoeee ii/aoi/ieea.

Eeth/aaua neiaa: ii/aoi/iee, iiaeacaeioiay eeoea, eeoa/iay ieanoeea.

Mrachkovsky V.V. Depositions on intestinal ureteral replacement and
their distinctives. — Manuscript.

Thesis for a candidate’s of medical sciences degree in speciality
14.01.06 — urology.- Institute of Urology and Nephrology of AMS Ukraine,
Kiev, 1998.

The thesis is aimed in studying of effectiveness of ureter substitution
by ileum. In this study the clinical-anatomy-functional distinctives of
urinary system before- and after intestinal ureteral transplantation.
Depositions and cautions for ureter intestinal plastics were optimized.
The requirements for surgical technics replacement of ureteral by
segment of terminal ileum were elaborated. The complications of the
intestinal ureteral plastics were defined.

Key words: ureter, ileum, intestinal replacement.

___________________________________________

I?aeienaii aei ae?oeo 7.12.98?. Oi?iao 60o90/16.

Oi.ae?oe.a?e.1,0Iae.aeae.a?e.0,8.

Iaeeaae 300. Cai.33

___________________________________________

A?aeae?e iia?aoeaii? iie?a?ao??

Oeaio?o I?aeia?iaeii? ina?oe

227 — 12 — 75, 227 — 37 — 86

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