.

Профілактика гнійно-запальних ускладнень у жінок після кесарського розтину: Автореф. дис… канд. мед. наук / Г.З. Полякова, Вінниц. держ. мед. ун-т.

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

A?IIEOeUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

Iieyeiaa Aaeeia C?iia??aia

OAeE: 618.5-089.61:616-002.3-085.831.4/.6-083

I?io?eaeoeea ai?eii-caiaeueieo oneeaaeiaiue o ae?iie

i?ney eana?nueeiai ?icoeio

14.01.01 – aeooa?noai ? a?iaeieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

A?iieoey – 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia ia eaoaae?? aeooa?noaa oa a?iaeieia?? ?1 Aoeiaeinueei?
aea?aeaaii? iaaee/ii? aeaaeai??

Iaoeiaee ea??aiee aeieoi? iaaee/ieo iaoe, i?ioani? THcueei Ieaenaiae?
Ieoaeeiae/,

caa.eaoaae?ith aeooa?noaa oa a?iaeieia?? ?1 Aoeiaeinueei? aea?aeaaii?
iaaee/ii? aeaaeai??

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Aaeiae/aiei TH??e Iao?iae/, caa?aeoaa/
eaoaae?ith aeooa?noaa oa a?iaeieia?? ?3 ?inoeoooo i?neyaeeieiiii? ina?oe

aeieoi? iaaee/ieo iaoe, i?ioani? Aaeno?oe Aiaoie?e Ieeeoi?iae/,
caa?aeoaa/ eaoaae?ith aeooa?noaa oa a?iaeieia?? ?1 A?iieoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao
?i.Aeaae.I.I.Aiaiiieueoey, eaoaae?a aeooa?noaa oa a?iaeieia?? ?3, IIC
Oe?a?ie, i.Ee?a.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “29”a?oaeiy 1998 ?ieo i 1200 ia
can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee E.05.600.01 i?e A?iieoeueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? (286018, i.A?iieoey, aoe.Ie?iaiaa,
56).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? A?iieoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.?.Ie?iaiaa (286018,
i.A?iieoey, aoe.Ie?iaiaa, 56).

Aaoi?aoa?ao ?ic?neaiee “_21_”eenoiiaaea 1998 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? A/aii? ?aaee

e.i.i., aeioeaio I.?.Iieeaeueei

wmetafile8? ??T?????????????
???????????yyy????.????1?????????????
???&??yyyy?????Ayyy¦yyya???AE?????&?
?MathType??P????&??yyyy??????????????CAAAEUeIA OA?AEOA?ENOEEA
?IAIOE.

Aeooaeuei?noue ? nooi?iue aeine?aeaeaiino? oaie aeena?oaoe??. Inoaii?ie
?ieaie niinoa??aa?oueny cia/ia c?inoaiiy /anoioe eana?nueeiai ?icoeio,
yeee noaa iaei??th c iaeiioe?ai?oeo iia?aoe?e a aeooa?nuee?e i?aeoeoe?.
Oea iia’ycaii c oe?ieei ai?iaaaeaeaiiyi nenoaie aeyaeaiiy a?oi aenieiai
?eceeo ca ??cieie aeaeaie aeooa?nueei? oa aeno?aaai?oaeueii? iaoaeia??,
?aiiueith ae?aaiinoe-eith a?iien?? ieiaeo, a oaeiae ?yaeii oaeoi??a, ui
iaoiiaeththoue iaiao?aei?noue ?ic?iaeaeaiiy iia?aoeaiei oeyoii (Aiae?aaa
A.A., 1990; Aaeiae/aiei TH.I., 1991; Ea?aiaeaoia A.E., Iaoooia A.A.,
1997; Naaeoeeay E.E., 1998).

Ia aeeaey/enue ia aaeineiiaeaiiy oaoi?ee iia?aoe??, ai?iaaaeaeaiiy
aaaaoi/eneaiieo iaoiae?a i?io?eaeoeee oa e?eoaaiiy ai?eii-caiaeueieo
oneeaaeiaiue i?ney eana?nueeiai ?icoeio, /anoioa ai?eii-caiaeueieo
caoai?thaaiue a aeooa?noa? caeeoa?oueny aeineoue aenieith ? ia ia?
oaiaeaioe?? aei cieaeaiiy (Na?ia A.I., 1989; A?euaiei A.E., 1991;
Naaaeueaaa A.I. oa ni?aaao., 1991).

Oaiaeaioe?y aei ciaioaiiy aoaeoeaiino? o?aaeeoe?eii?
aioea?ioeeioa?ai?? o i?io?eaeoeoe? oa e?eoaaii? ai?eii-caiaeueieo
oneeaaeiaiue i?ney eana?nueeiai ?icoeio iia’ycaia, a ia?oo /a?ao, ?c
c?inoaiiyi aioea?ioeei-?acenoaioieo ooai?a aaeoa??e (Eaae??a I.A. oa
ni?aaao.,1990; Ea?aiaeaoia A.E. oa ni?aaao., 1997). Caneoaiao? ia oaaao
? cieaeaiiy ?ioiieia?/iiai noaoono ii?iae?eue aiane?aeie i?aeaeuaii?
aea?a?caoe?? i?aai?cio. Iaiao?aeii i?aee?aneeoe, ui ?acii c
ooeiaeaeoth/ei aoaeoii ia aaeoa??aeueio ee?oeio, aioea?ioeee ua e
iaaaoeaii aieeaathoue ia i?aai?ci iaoa?? oa ieiaeo – ii?ooothoue
?ioi?oao, aeeeeeathoue aeecaaeoa??ic, i?eici? o?aaeaiiy oa ?ioa (Neaiuo
A.N., 1986; Naiieeiaa E.A., 1987; Noaiaieianeay A.E., Nieueneee ss.I.,
1989; Oeiioaiei E.A., Aaeiae/aiei TH.I.; 1990).

Aeooaeuei?noue oe??? i?iaeaie iio?aao? iiooeo iiaeo niinia?a ae?? ia
aioo??oi? ?aca?ae oa ?aaoeyoi?i? nenoaie i?aai?cio ae?iee c iaoith
cieaeaiiy i?neyiia?aoe?eieo caiaeueieo oneeaaeiaiue. Iaeiei c oaeeo
niinia?a ? ia?aeeaaiiy aooie?ia?, ii?ii?iaii? oeueo?ao?ieaoiaeie
i?iiaiyie (AOOIE). A inoaii? ?iee anoaiiaeaii, ui iaoai?ciii
e?eoaaeueii? ae?? aeacaiiai iaoiaeo yaey?oueny ?ioiinoeioeyoe?y,
ei?aeoe?y i?e?ioee?eoeyoe?? oa aa?aaaoiiai noaio e?ia?,
aeac?ioieneeaoe?y (*a?iuoia A.I.; Aooeiaa I.E.,1985; Pelissier N., 1989;
Oaiioieeia TH.A.,1989; Knudsen A., 1991;).

Oeae iaoiae ciaeoia oe?iea canoinoaaiiy o o??o?a?/i?e i?aeoeoe?,
oa?ai??, o?ieia??, oieneeieia??, aea?iaoieia??, iaeiae aeei?enoaiiy eiai
a aeooa?nuee?e i?aeoeoe? aei oeueiai /ano cono??/a?oueny aeineoue ??aeei
(Aeaenaiae?iaa I.I., 1981; Oaiioieeia TH.A. 1988; Aieiaei A.A., 1991;
Ea?aiaeaoia A.E., Iaoooia A.A., 1997).

O a?o/eciyi?e oa ca?oa?aei?e e?oa?aoo?? aei inoaiiueiai /ano aoee eeoa
iiiaeeiie? iia?aeiieaiiy i?i canoinoaaiiy AOOIE aeey cieaeaiiy /anoioe
oneeaaeiaiue i?ney eana?nueeiai ?icoeio. I?e oeueiio iaaeinoaoiuei
aea/aii ieoaiiy i?i iaoiaeeeo canoinoaaiiy AOOIE, e?aoi?noue i?iaaaeaiiy
i?ioeaaeo?e, ana ua iaei aeaieo i?i eiai aieea ia noai aiaeiaaiii?
?ioieneeaoe?? i?aai?cio, i?ioean?a ia?ieneaeiiai ieeneaiiy e?i?ae?a,
aioeieneaeaioiiai caoenoo. Iii?ae oei, aeai? e?oa?aoo?e ii canoinoaaiith
AOOIE a o??o?a??, o?ieia??, ea?ae?ieia??, ea?ae?io??o?a??, na?ae/aoue
i?i aenieo e?eoaaeueio oa i?io?eaeoe/io aoaeoeai?noue oeueiai iaoiaeo.

Ana oea coiiaeth? iaiao?aei?noue eiiieaeniiai aea/aiiy iaoiaeo AOOIE o
a?oi? ii?iae?eue c ?eceeii ?icaeoeo ai?eii-caiaeueieo oneeaaeiaiue i?ney
eana?nueeiai ?icoeio, aeyniaiiy eiai ia?aaaa oa iaaeie?e?a i?e
canoinoaaii? o i?neyiia?aoe?eiiio ia??iae?.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y
yaey?oueny /anoeiith eiiieaenii? Aea?aeaaii? i?ia?aie “I?iaeaie
iaoa?einoaa, aeeoeinoaa oa ?iaeeie a no/anieo nioe?aeueii-aeiiii?/ieo
oiiaao Oe?a?ie” (? aea?aeaaii? ?a?no?aoe?? 0196 U 018907) ? aeeiiaia
a?aeiia?aeii aei ieaio iaoeiaeo aeine?aeaeaiue eaoaae?e aeooa?noaa oa
a?iaeieia?? ?1 Aoeiaeinueei? aea?aeaaii? iaaee/ii? aeaaeai??.

Iaoa ? caaea/? aeine?aeaeaiiy. Cieaeaiiy /anoioe ? oyaeeino?
ai?eii-caiaeueieo oneeaaeiaiue i?ney eana?nueeiai ?icoeio ca aeiiiiiaith
aooio?ainooc?? e?ia?, ii?ii?iaii? oeueo?ao?ieaoiaeie i?iiaiyie (AOOIE)
aei oa i?ney iia?aoe??.

Aeey aeinyaiaiiy aeuaaeacaii? iaoe aoee iinoaaeai? oae? caaea/?:

1. ?ic?iaeoe oa ai?iaaaeeoe o e?eoaaeueio i?aeoeeo iieace aei
i?io?eaeoe/iiai canoinoaaiiy AOOIE oa iaoiaeeeo eiai aeei?enoaiiy o
ii?iae?eue c a?oie ?eceeo ?icaeoeo ai?eii-caiaeueieo oneeaaeiaiue.

2. Aecia/eoe iniaeeaino? ee?i?/iiai ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo
o ii?iae?eue c a?oie ?eceeo ?icaeoeo ai?eii-caiaeueieo oneeaaeiaiue ia
oii? canoinoaaiiy AOOIE.

3. I?iaanoe eiiieaenio ioe?ieo aieeao i?io?eaeoe/iiai canoinoaaiiy AOOIE
ia oaeoi?e ianiaoeao?/ii? ?acenoaioiino?, ia?ieneaeia ieeneaiiy
e?i?ae?a, aioeieneaeaioiee caoeno oa ai?no “na?aaei?o iieaeoe” o
ne?iaaooe? e?ia? ii?iae?eue i?ney eana?nueeiai ?icoeio.

4. Ioe?ieoe ee?i?/io oa iaaeeei-aeiiii?/io aoaeoeai?noue cai?iiiiiaaii?
iaoiaeeee i?io?eaeoeee ai?eii-caiaeueieo oneeaaeiaiue i?ney
eana?nueeiai ?icoeio.

5. Iaa?oiooaaoe iiaeeea?noue oa aeioe?euei?noue canooaaiiy AOOIE aeey
i?io?eaeoeee ai?eii-caiaeueieo oneeaaeiaiue i?ney eana?nueeiai ?icoeio.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Ia iniia? ioe?iee cia/aiiy
oaeoi??a aoii?aeueiiai ianiaoeeo?/iiai caoenoo oa ?ie? i?ioean?a
ia?ieneaeiiai ieeneaiiy e?i?ae?a, aioeieneaeaioiiai caoenoo oa ??aiy
“na?aaei?o” iieaeoe a ?icaeoeo ai?eii-caiaeueieo oneeaaeiaiue i?ney
eana?nueeiai ?icoeio ai?iaaaeaeaii eiiieaenia canoinoaaiiy OOI aooie?ia?
a aei- oa i?neyiia?aoe?eiiio ia??iae? aeey i?io?eaeoeee
ai?eii-caiaeueieo oneeaaeiaiue.

Aia?oa aeaia oa?aeoa?enoeea aieeao AOOIE ia oaeoi?e ianiaoeeo?/ii?
?acenoaioiino?, ia?ieneaeia ieeneaiiy e?i?ae?a, aioeieneaeaioiee caoeno
oa ai?no “na?aaei?o iieaeoe” i?e eiai iaeiie?aoiiio canoinoaaii? aei oa
i?ney iia?aoe?? eana?nueeiai ?icoeio.

Ae?noaei iiaeaeueoee ?icaeoie eiinoaoaoe?y oaeoo aoaeoeaiino?
canoinoaaiiy AOOIE c iaoith i?io?eaeoeee ai?eii-caiaeueieo oneeaaeiaiue
i?ney eana?nueeiai ?icoeio.

Aaeineiiaeaia iaoiaeeea canoinoaaiiy AOOIE aeey i?io?eaeoeee
ai?eii-caiaeueieo oneeaaeiaiue i?ney eana?nueeiai ?icoeio, aeiaaaeaia
eiai aeniea aoaeoeai?noue i?e iaeiie?aoiiio canoinoaaii? aei oa i?ney
iia?aoe?? ia iniia? ee?i?/iiai iaoa??aeo eiiieaenii? ioe?iee oaeoi??a
ianiaoeeo?/ii? ?acenoaioiino?, ia?ieneaeiiai ieeneaiiy e?i?ae?a,
aioeieneaeaioiiai caoenoo oa ai?noo “na?aaei?o iieaeoe”.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ia iniia? io?eiaieo
?acoeueoao?a oaeineiiaeaia ? cai?iaaaeaeaia iaoiaeeea i?io?eaeoe/iiai
canoinoaaiiy AOOIE aeey iiia?aaeaeaiiy ai?eii-caiaeueieo oneeaaeiaiue
i?ney eana?nueeiai ?icoeio. Aeiaaaeaia aeia?a ia?aiinei?noue,
a?aenooi?noue iia?/ieo aoaeo?a oa aeioe?euei?noue aeeth/aiiy oeueiai
iaoiaeo a e?eoaaeueii-i?io?eaeoe/iee eiiieaen aei oa i?ney eana?nueeiai
?icoeio o ae?iie c a?oie ?eceeo ?icaeoeo ai?eii-caiaeueieo
caoai?thaaiue.

Aiae?c ee?i?/iiai ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo o ii?iae?eue
i?ney eana?nueeiai ?icoeio, yeei c i?io?eaeoe/iith iaoith canoiniaoaaee
AOOIE, ?ice?eaa? iiaeeea?noue aeey iiaeo i?aai?caoe?eieo oa iaoiaee/ieo
i?aeoiae?a i?e ae??oaii? oe??? neeaaeii? i?iaeaie.

Aecia/aia iine?aeiai?noue oa oa?aeoa? ci?i oaeoi??a aoii?aeueiiai
ianiaoeeo?/iiai caoenoo, i?ioean?a ia?ieneaeiiai ieeneaiiy e?i?ae?a a
?icaeoeo ai?eii-caiaeueieo oneeaaeiaiue i?ney eana?nueeiai ?icoeio.
Ioe?iai? iaea?eueo ?ioi?iaoeai? iciaee aaaeeino? ii?ooaiue, ui aea?
iiaeeea?noue ia’?eoeaii ioe?ieoe ia?aa?a i?neyiia?aoe?eiiai ia??iaeo,
iiceoeaiee aieea AOOIE oa iaiao?aei?noue canoinoaaiiy ?ioeo e?eoaaeueieo
caoiae?a.

Aeiaaaeaii oe?eeiaeoo ia?aaaao cai?iiiiiaaiiai
e?eoaaeueii-i?io?eaeoe/iiai eiiieaeno ca?aeii eiiieaenii? ee?i?/ii?
ioe?iee oa iiceoeaieo ci?i eaai?aoi?ieo iieaciee?a, ui oa?aeoa?ecothoue
nooi?iue ae?aaeaiino? ai?eii-caiaeueiiai i?ioeano.

Ai?iaaaeaeaiiy oe??? iaoiaeeee o e?eoaaeueio i?aeoeeo i?iaeaiiino?oaaei
?? aenieo ee?i?/io oa iaaeeei-aeiiii?/io aoaeoeai?noue. Io?eiai?
?acoeueoaoe aeicaieythoue ?aeiiaiaeoaaoe ?ic?iaeaio iaie iaoiaeeeo aeey
i?io?eaeoeee ai?eii-caiaeueieo oneeaaeiaiue i?ney eana?nueeiai ?icoeio.

?acoeueoaoe aeine?aeaeaiue oa ?ic?iaeaia iaoiaeeea ai?iaaaeaeai? o
?iaioo iieiaiaeo aoaeeie?a ?1 oa ?2 i.*a?i?aoe?, Noi?iaeeiaoeuee?e Oe?E,
iaaeaaia?/iee i?ioean ia eaoaae?ao aeooa?noaa ? a?iaeieia?? ?1 oa ?2
Aoeiaeinueei? aea?aeaaii? iaaee/ii? aeaaeai??.

Iniaenoee aianie caeiaoaa/a. Aeena?oaioii naiino?eii i?iaaaeaii a?aea??
? oi?ioaaiiy eiio?ieueii? oa iniiaii? a?oi ae?iie, caa?? iaoa??aeo aeey
aeine?aeaeaiue; ?ic?iaeaia oa iaa?oioiaaia oaeoeea ianoaaeaiiy oa
e?eoaaiiy ae?iie c ai?eii-caiaeueieie oneeaaeiaiiyie i?ney eana?nueeiai
?icoeio. Ca eiai o/anoth aeeiiai? ee?i?/i?, a?io?i?/i?, i?e?ia?ieia?/i?
oa ?ioiieia?/i? aeine?aeaeaiiy, a oaeiae i?iaaaeaii aiae?c oa
ocaaaeueiaiiy ?acoeueoao?a, cae?eniaii noaoenoe/io ia?iaeo iaea?aeaieo
aeaieo, noi?ioeueiaai? iieiaeaiiy oa aeniiaee aeena?oaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaaiai?aiiy iaoa??ae?a ?iaioe
a?aeaoeiny ia iaoeiai-i?aeoe/ieo eiioa?aioe?yo (*a?i?aoe?, 1994),
“Aeooaeuei? i?iaeaie aeooa?noaa ? a?iaeieia??”(*a?i?aoe?, 1997),
anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie (E?ei, 1998), ia ni?eueiiio
can?aeaii? eaoaae? aeooa?noaa ? a?iaeieia?? ?1 oa ?2 Aoeiaeinueei?
aea?aeaaii? iaaee/ii? aeaaeai??, ia can?aeaii? anioe?aoe??
aeooa??a-a?iaeieia?a *a?i?aaoeueei? iaeano?.

Ioae?eaoe??. C oaie aeena?oaoe?? iioae?eiaaii 5 ?ia?o, c ieo o?e a
iaoeiaeo iaaee/ieo aeo?iaeao.

No?oeoo?a oa ia’?i aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 157
noi??ieao iaoeiiieniiai oaenoo. Aiia neeaaea?oueny ?c anooio, ?icae?eo
iaeyaeo e?oa?aoo?e, ?icae?eo iaoa??ae?a oa iaoiae?a aeine?aeaeaiue,
aeaio ?icae?e?a aeanieo aeine?aeaeaiue, aiae?co oa ocaaaeueiaiue
?acoeueoao?a aeine?aeaeaiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
nieneo aeei?enoaieo aeaea?ae, ui i?noeoue 193 a?o/eciyieo oa 47
ca?oa?aeieo aaoi??a. Aeena?oaoe?y ?ethno?iaaia 54 oaaeeoeyie oa 2
?enoieaie.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiue. Uia aeinyaoe iaoe aeine?aeaeaiiy ?
ae??oeoe iinoaaeai? caaea/? iaie aoei i?iaaaeaii ee?i?ei-eaai?aoi?ia
ianoaaeaiiy 313 aaa?oieo ? ii?iae?eue. AE?iee, ui niinoa??aaeeny, aoee
iiae?eai? ia aea? ee?i?/i? a?oie.

A ia?oo a?oio oa?eoee 211 aaa?oieo, iieiae yeeo a?aeaoeeny oeyoii
eana?nueeiai ?icoeio a ieaiiaiio ii?yaeeo. A oe?e a?oi? o 111 ae?iie
(iniiaia i?aea?oia) OOI aooie?ia? i?iaiaeeeiny ia ?ai?oa, i?ae ca 1-2
aeiae aei eana?nueeiai ?icoeio; 100 iaoe??ioie aoee eiio?ieai, oiaoi aac
OOI aooie?ia?.

Ae?oao ee?i?/io a?oio neeaee 102 ii?iae?ee?, ye? oaae iaee iieiae
oeyoii eana?nueeiai ?icoeio, i?iaaaeaiiai a i?ioean? iieia?a. A oe?e
a?oi? aeey 52 ii?iae?eue (iniiaia i?aea?oia) i?iaaaeaii i?io?eaeoeeo
caiaeueieo ?ioaeoe?eieo i?neyiia?aoe?eieo oneeaaeiaiue iaoiaeii OOI
aooie?ia? a 1 aeiao i?ney eana?nueeiai ?icoeio. Eiio?ieai aoee 50
iaoe??ioie aac OOI aooie?ia?.

Iaoe??ioee eiio?ieueieo i?aea?oi aoee ?aeaioe/i? iniiai?e a?oi? ca
aiaiiacii, a?eii, iieacaie aei iieia?a oa ?i. An? ae?iee, ui
niinoa??aaeeny, ?iciiae?eai? ca nooiaiai ?ioaeoe?eiiai ?eceeo
a?aeiia?aeii aei eeaneo?eaoe??, ?ic?iaeaii? Ia???aith E.N. o 1985?.
Noai iaoa?? ? ieiaeo ioe?ithaaany ca aeaieie ee?i?ei-eaai?aoi?ieo oa
a?io?i?/ieo aeine?aeaeaiue. Canoiniaoaaeiny oeueo?acaoeiaa neaioaaiiy oa
ea?ae?iiii?oi?ia aeine?aeaeaiiy noaio ieiaeo.

Eana?nueeee ?icoei i?iaiaeeany ca caaaeueiith iaoiaeeeith oeyoii
iiia?a/iiai ?ic??co o ieaeiueiio iaoi/iiio naaiaio? ca Aonaeiaei. Iaoeo
caoeaaee eaoaooiaei aeai?yaeiei oaii. Eaia?ioii?y aeeiioaaeany ?ic??cii
Ioaiiaiooeey, a i?e iiaoi?iiio eana?nueeiio ?icoei? ii?yae c
ieaeiueina?aaeeiiei /a?aai?icoeiii i?iaiaeeany oaeee aea ?ic??c ia oe???
?c ?icn?/aiiyi noa?iai ?oaoey noa?iai ?oaoey.

I?neyiia?aoe?eia niinoa?aaeaiiy aoei iaeiaeiaei o an?o ee?i?/ieo
a?oiao. ?aii?e i?neyiia?aoe?eiee ia??iae i?ioiaeea o iaeao? ?ioaineaii?
oa?ai?? i?ioyaii 1-3 ae?a, iio?i ii?iae?ee? ciaoiaeeeeny a
i?neyiieiaiaiio a?aeae?eaii? aei aeienee. O aeiaaeeo oneeaaeiaiiy o
i?neyiia?aoe?eiiio ia??iae? ae?ieo ia?aaiaeeee a iana?aaoe?eia
a?aeae?eaiiy, aea i?ecia/aeany oa?ai?y a caeaaeiino? a?ae aeaeo
iaoieia??.

OOI aooie?ia? i?iaiaeeee ca aeiiiiiaith aia?aoo “?CIEUeAeA” ca 1 – 2
aeiae aei iia?aoe?? oa 1 – 2 aeiao i?ney iia?aoe?? ?c ?ic?aooieo 1 – 1,5
ie/ea, a aeic? 8 Aeae/i2 , aeiaaeeia oaee? 254 ii, o?eaae?noue
i?ioeaaeo?e 15 – 20 oa.

Ioe?ieo ee?i?/ii? aoaeoeaiino? AOOIE c iaoith i?io?eaeoeee
i?neyiia?aoe?eieo caiaeueieo ?ioaeoe?eieo oneeaaeiaiue i?iaiaeeee ia
iniia? aeeiai?/iiai ee?i?ei – eaai?aoi?iiai niinoa?aaeaiiy. Aoei
aeine?aeaeaii aeeiai?eo oaeoi??a ianiaoeeo?/ii? ?acenoaioiino?
i?aai?cio, ia?ieneaeiiai ieeneaiiy e?i?ae?a (IIE), aioeieneaeaioiiai
caoenoo (AIC) oa ai?noo “na?aaei?o iieaeoe” o ne?iaaooe? e?ia?
ii?iae?eue aei oa i?ney eana?nueeiai ?icoeio. Aeey oeueiai na?aae ae?iie
iniiaii? i?aea?oie (c AOOIE) ??-i? ee?i?/ii? a?oie aeae?eaii 8 ae?iie c
oneeaaeiaiei ia?aa?aii i?neyiia?aoe?eiiai ia??iaeo oa 18 iaoe??ioie c
iaoneeaaeiaiei eiai ia?aa?aii, a a eiio?ieuei?e a?oi? (aac AOOIE) 18
ae?iie c iaoneeaaeiaiei ia?aa?aii i?neyiia?aoe?eiiai ia??iaeo oa 12 – c
oneeaaeiaiiyie. Aeeiai?eo ai?noo iieaciee?a, ui aeine?aeaeoaaeenue,
niinoa??aaee aei iia?aoe??, a oaeiae o 1-o, 3-th oa 9-o aeiae
i?neyiia?aoe?eiiai ia??iaeo.

Ie??i noaiaea?oieo eaai?aoi?ieo aeine?aeaeaiue (ee?i?/i? oa a?io?i?/i?
aiae?ce e?ia?, eaeeioi?ioea, iacee ?c aaa?ie ia oei?o, can?ae ia oei?o
oa /ooeea?noue aei aioea?ioee?a) aeine?aeaeoaaeeny oaeoi?e
aioeieneaeaioiiai (-oieioa?ie, ?aoeiie) ? aoii?aeueiiai ianiaoeeo?/iiai
caoenoo (e?cioeei, -e?cei, eiiieaiaio, aaeoa?eoeeaeia aeoeai?noue
ne?iaaoee e?ia?). ?ioaineai?noue i?ioean?a ia?ieneaeiiai ieeneaiiy
e?i?ae?a ioe?ithaaeany ca iaeiie/aiiyi a e?ia? ia?aeiieo (ae??iiaeo
eii’thaao?a) ? e?ioeaaeo (iniia Oeooa) i?iaeoeo?a IIE. I?i noai
aiaeiaaiii? ?ioieneeaoe?? a i?aai?ci? ?iaeee aeniiaie ca
eiioeaio?aoe??th a e?ia? “iieaeoe na?aaeiuei? iane” aai “na?aaei?o
iieaeoe”.

E?euee?nia aecia/aiiy ai?noo e?cioeeio o ne?iaaooe? e?ia? i?iaiaeeee ca
iaoiaeeeith E.A.Eaa?aiiiiai? ? C.A.??iieue?ai?, -e?ceio –
oioiiaoaei-iao?e/iei iaoiaeii, yeee a?oioo?oueny ia aecia/aii? iioe/ii?
aonoeie aoeueeiio Eieueaaea i?e ?ino? a iueiio n?iii? iaee/ee c
aeiaeaaaiiyi ? aac aeiaeaaaiiy aeine?aeaeoaaii? ne?iaaoee;
aaeoa?eoeeaeio aeoeai?noue ne?iaaoee (AAN) – oioiiaoaeiiao?e/iei
iaoiaeii, ye iaea?eueo aeinooiiei ? i?eaeaoiei aeey ianiaeo
aeine?aeaeaiue, a eiiieaiaio o ne?iaaooe? e?ia? – aaiie?oe/iei iaoiaeii
oeo?oaaiiy ca 50 % aaiie?co. Ioe?ieo noaio aiaeiaaiii? ?ioieneeaoe??
(aai ??aiy oienai??) aeine?aeaeoaaee ca aeeiai?eith eiioeaio?aoe?? o
ne?iaaooe? e?ia? “na?aaei?o iieaeoe” (NI) ca ne?ei?ia-iaoiaeeeith
I.?.Aaa???eyi ? A.?.E?iaoiai?. Aei??thaaiiy i?iaiaeeee ia
niaeo?ioioiiao?? NO-26 ia aeiaaeei? oaee? =254 ii. Eiioeaio?aoe?th
a?eueiiai -oieioa?ieo ?ic?aoiaoaaee ca eae?a?iai/iith e?eaith, aeey
iiaoaeiae yei? aeei?enoiaoaaee noaiaea?oiee ?ic/eiiee -oieioa?ieo, eiee
ai?no inoaiiueiai ciaoiaeeany a iaaeao a?ae 10 aei 100 iea o i?ia?.
E?ioeaa? i?iaeoeoe IIE – i?iaeoeoe aca?iiae?? ei?ioeieaioethaiaeo
aeeaeueaeaa?ae?a c ai?iioinoie?i?aeaie – ?a?no?oaaee ca niaeo?ii
oeoi?anoeaioe?? ?ic/ei?a e?i?ae?a o oei?ioi?i? c iaeneioiii caoaeaeaiiy
oeoi?anoeaioe?? i?e =360ii ? iaeneioiii aei?ii?ithaaiiy a iaeano?
420-440 ii ia niaeo?ioethi?eiao?? “Aminco-Bouman”. Aecia/aiiy ?aoeiieo
i?iaiaeeee ia niaeo?ioeoi?eiao?? i?e iaeneioiao caoaeaeaiiy ?
aei?ii?ithaaiiy oeoi?anoeaioe?? (340 ? 490 ii a?aeiia?aeii).

Io?eiai? oeeo?ia? aeai? ?acoeueoao?a aeine?aeaeaiiy noaoenoe/ii
ia?iaey-eenue caaaeueiii?eeiyoeie iaoiaeaie aa??aoe?eii? noaoenoeee c
aecia/aiiyi aeinoia??iino? ca e?eoa???i No’thaeaioa-O?oa?a. I?e
noaoenoe/i?e ia?iaoe? iaoa??ae?a aeine?aeaeaiiy aecia/aeeny na?aaei?
a?eoiaoe/ia cia/aiiy (I), na?aaeiueieaaae?aoe/ia a?aeoeeaiiy (),
na?aaeiy iiieeea na?aaeiueiai a?eoia-oe/iiai cia/aiiy (), e?eoa??e
No’thaeaioa – oa nooi?iue aeinoia??iino? (?).

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. Aiae?c ee?i?/ii?
oa?aeoa?enoeee aaa?oieo oa ii?iae?eue a eiaei?e c a?oi oa a ?oi?o
i?aea?oiao iieacaa, ui a ? a?oi? oea aoee iaoe??ioee noa?oa 30-oe ?ie?a
(64,8 % iniiaia i?aea?oia oa 60,0 % eiio?ieueia), a a ?? aei 30-oe
?ie?a (57,7 % oa 46,0 % a?aeiia?aeii). Ii /anoio? aai?oaeueii? oa
aeno?aaai?oaeueii? iaoieia?? ??cieoe? a i?aea?oiao ia aoei.

A caeaaeiino? a?ae nooiaiy ?ioaeoe?eiiai ?eceeo, a ? a?oi? ? nooi?iue
niinoa??aaany a iniiai?e i?aea?oi? o 30,6 4,4 %, a a eiio?ieuei?e – o
31,0 4,6 % (?>0,05), ??? nooi?iue – o 58,4 4,7 % oa 59,0 4,9 %
(?>0,05), ?V nooi?iue – o 9,9 3,0 % oa 10,0 3,0 % (?>0,05). A ??
ee?i?/i?e a?oi? a?aeiia?aeii: ??? nooi?iue – o 30,2 6,4 % oa 36,0 6,8
% (?>0,05), V nooi?iue – o 69,8 6,4 % oa 64,0 6,6 % (?>0,05).

?iae?ee? c V nooiaiai ?eceeo ca aacaiaeiei i?ii?aeeii ?icae?eeeenue oae:
6 – 10 aiae. – 7,5 3,7 % oa 10,0 4,2 % (?>0,05), 10 – 14 aiae – 54,3
6,9 % oa 48,0 7,1 % (?>0,05), 14 – 18 aiae. – 7,5 3,7 % oa 6,0 3,4 %
(?>0,05). Oiaoi nooo?ai? ??cieoe? ia a?aei?/aii.

Ia aoei a?aei?/aii iaie ??cieoe? ii i?aea?oiai na?aae oneeaaeiaiue
aaa?oiino?. Ia?aaaaeaee a ? ee?i?/i?e a?oi? caa?ica ia?a?eaaiiy
aaa?oiino? (26,2 4,2 % oa 27,0 4,4 %) oa i?ci?e aanoic (25,2 4,1 oa
24,0 4,3 %), a a ?? a?oi? – aanoice ia?oi? iieiaeie aaa?oiino? (28,9
6,3 % oa 6,2 %) oa aiai?? (21,0 5,6 % oa 20,0 5,7 % a?aeiia?aeii).

Iieacaie aei ieaiiaiai eana?nueeiai ?icoeio, a iniiaiiio, aoee ?oaaoeue
ia iaooe? (47,3 5,1 % oa 41,0 4,9 %) oa noeoii?noue a?aeiinieo
iieac?a (31,2 4,8 % oa 37,0 4,8 % ), a a ?? ee?i?/i?e a?oi? –
neaae?noue iieiaiai? ae?yeueiino? (28,1 6,2% oa 28,0 6,4 %),
a?aeoa?oaaiiy ii?iaeueii ?icoaoiaaii? ieaoeaioe (26,9 6,1% oa 20,0 5,7
%), ee?i?/ii aocueeee oac (13,5 4,7% oa 10,0 4,2 %) oa aeaye? ?io?.

Na?aaeiy e?iaiao?aoa a ? a?oi? neeaea 650 125 ie a iniiai?e oa 710 130
ie a eiio?ieuei?e i?aea?oiao (?>0,05). O aeaio aeiaaeeao o ?? a?oi?
e?iaiao?aoa aoea a?eueoa 1000 ie o ca’yceo c ia?aae/aniei a?aeoa?oaaiiyi
ieaoeaioe.

Aiae?c ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo o ae?iie i?ney ieaiiaiai
eana?nueeiai ?icoeio c AOOIE aei iia?aoe?? iieacaa, ui caaaeueia
e?euee?noue oneeaaeiaiue a??ia?aeii iaioa (7,5 2,7 % oa 32,0 4,7 % a
eiio?ie?, ?0,05).

Oaeei /eiii, i?iaaaeai? iaie aeine?aeaeaiiy ee?i?/ii? aoaeoeaiino? AOOIE
na?ae/aoue i?i aenieo aoaeoeai?noue iaoiaeo iaa?oue i?e iaeiie?aoiiio
canoinoaaii? eiai c iaoith i?io?eaeoeee. E?euee?noue ai?eii-caiaeueieo
oneeaaeiaiue a??ia?aeii ciaioo?oueny. A?aei?/aia a?eueoa aoaeoeai?noue
iaoiaeo i?e canoinoaaii? eiai ia?aae ieaiiaei eana?nueeei ?icoeiii.

Aea/aiiy aieeao AOOIE ia oaeoi?e aoii?aeueiiai ianiaoeeo?/iiai caoenoo,
i?ioeane ia?ieneaeiiai ieeneaiiy e?i?ae?a, noai aioeieneaeaioiiai
caoenoo ? ai?no “na?aaei?o iieaeoe” aoei i?iaaaeaii a ?? ee?i?/i?e a?oi?
(AOOIE a ia?oo aeiao i?ney o?aaioiiai eana?nueeiai ?icoeio) o 18
iaoe??ioie c iaoneeaaeiaiei ia?aa?aii i?neyiia?aoe?eiiai ia??iaeo oa o 8
c ai?eii-caiaeueieie oneeaaeiaiiyie (oaaeeoey).

Ai?no e?cioeeio, -e?ceio, AAN oa eiiieaiaioo a ne?iaaooe? e?ia? ae?iie
aei iia?aoe?? oa ia ia?oo aeiao i?ney ia? a iaio i?aea?oiao aoee
iaeiaeiaeie. O?eueee o ii?iae?eue c oneeaaeiaiiyie a ia?oo aeiao ??aaiue
AAN a??ia?aeii i?aeaeuoaaany (p

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