?INOEOOO IAAe?AO???, AEOOA?NOAA OA A?IAEIEIA??

AEAAeAI?? IAAeE*IEO IAOE OE?A?IE

E?IOIAEUe ??EIA IAO??AIA

OAeE 616-053.1:616-001.8/-037-084

I?IAIICOAAIIss ?IO?AIAOAEUeII? A?IIEN??

IEIAeA OA I?IO?EAEOEEA I?NEssA?IIENE*II? OeA?AA?AEUeII? IAOIEIA?? O
Ae?OAE

14.01.01 — Aeooa?noai oa a?iaeieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Eoaainueeiio Aea?aeaaiiio iaaee/iiio oi?aa?neoao? IIC
Oe?a?ie

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? EAUEINUeEEE IAO?I OAAe?EIAE*
Eoaainueeee Aea?aeaaiee iaaee/iee oi?aa?neoao IIC Oe?a?ie, caa?aeoth/ee
eaoaae?ith aeooa?noaa oa a?iaeieia?? e?eoaaeueiiai oaeoeueoaoo

Io?oe?ei? iiiiaioe:

— aeieoi? iaaee/ieo iaoe, i?ioani?, /eai-ei?aniiiaeaio AII Oe?a?ie
NOAIAIE?ANUeEA AAEEIA EINOssIOEI?AIA Iaoe?iiaeueiee iaaee/iee
oi?aa?neoao ?i. aeaae. I.I.Aiaiiieueoey (i.Ee?a), i?ioani? eaoaae?e
aeooa?noaa oa a?iaeieia??

— aeieoi? iaaee/ieo iaoe, i?ioani? OEUAIEI AAEAIOEIA AIAe???AIA
Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC Oe?a?ie,
caa?aeoth/a eaoaae?ith a?aeae?eo iaiiaoieia?? oa oieoaeueii? iaae?ao???
? 2

I?ia?aeia onoaiiaa:

Ee?anueea Aea?aeaaia Iaaee/ia Aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.
Ooieea IIC Oe?a?ie, eaoaae?a aeooa?noaa oa a?iaeieia?? ? 2

Caoeno aeena?oaoe?? a?aeaoaeaoueny “23” 03 1999 ?ieo i 13
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.26.553.01 ii
caoenoo aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoe?aeueiinoyie «Iaae?ao??y «, «Aeooa?noai oa a?iaeieia?y» i?e
?inoeooo? iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i.
Ee?a, aoe. Iaio?euenueeiai, 8).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? ?inoeoooo iaae?ao???,
aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i. Ee?a, aoe.
Iaio?euenueeiai, 8).

Aaoi?aoa?ao ?ic?neaiee “18” 02 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee Eaaoi?ia E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Aenieee aiaenioie (13,6% ca aeaieie AIIC) oaeeo
oneeaaeiaiue iieiaia, ye aino?a aioo?ioiueioo?iaia aiiieniy ieiaea, oa
cia/ia eieueeinoue aeioae c iineyaiiiene/iith oea?aa?aeueiith
iaoieiai?th aecia/athoue aeooaeueiinoue eiiieaeniiai aea/aiiy i?e/ei
aino?eo ii?ooaiue iaoa?einueei-ieiaeiaiai e?iaiiaiao i?ae /an iieia?a,
aieeao ?io?aiaoaeueii? a?iien?? ieiaea ia aaeaioaoeith iiaiia?iaeaeaiiai
aei oiia iicaoo?iaiiai aeeooy c iaoith aaeineiiaeaiiy oaeoeee aaaeaiiy
iieiaia, iaoiaeia i?ioieaeoeee iaoieiai? oeaio?aeueii? ia?aiai? nenoaie
oa ?aaaieioaoei? aeioae c ii?ooaiiyie ineoiaiioe?eiiai ?icaeoeo oa
caei?ia’y (I.A.O?ieiaa e niaao., 1990; Y.F.Tashinowsky, 1996;
W.Armstrong, 1997).

A aeinooiiie eioa?aoo?i ? iacia/ia eieueeinoue ?iaio, i?enay/aieo
aea/aiith oaeoi?ia ?eceeo aeieeiaiiy aioo?ioiueioo?iaii? aiiieni?,
aeineiaeaeaiith aieeao aoaeoeaiinoi aaeaioaoei? iiaiia?iaeaeaiiai iiney
?io?aiaoaeueii? a?iien?? ia aeieeiaiiy oea?aa?aeueii? iaoieiai?
?iciiai nooiaiy oyaeeinoi. I?e oeueiio iaaeinoaoiuei ?ice?eoi eaiee
iaoiaaiaco oea?aa?aeueieo ?iceaaeia aiiiene/iiai aaiaco
ooieoeiiiaeueiiai oa i?aaii/iiai oa?aeoa?o (I.E.Oa?aoianeee e niaao.,
1990; S.Ferenc, 1997). Oiio ?ic?iaea niinia?a i?iaiicoaaiiy
?io?aiaoaeueii? a?iien?? oa nai?/anieo caoiae?a ?? i?io?eaeoeee,
oaeineiiaeaiiy iaoiae?a ?ioaineaii? oa?ai?? iiaiia?iaeaeaieo, ye?
ia?aianee a?iien?th, ? aeooaeueiei caaaeaiiyi no/aniiai aeooa?noaa oa
iaae?ao???.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie, ieaiaie ?iaioe onoaiiae
aeeiiaaoey. ?iaioa aeeiiaia a ?aieao eiiieaenii? iaoeiai-aeine?aeii?
oaie IIC «Aieea iani?eyoeeaeo oaeoi??a ia niaoeeo?/i? ooieoe?? ae?ii/iai
i?aai?cio oa aeieeiaiiy ia?eiaoaeueii? iaoieia?? ieiaea», ?
aea?ae-?a?no?aoe?? 0194V040679. Aaoi? ? aeeiiaaoeai oaie.

Iaoa aeine?aeaeaiiy. Oaeineiiaeaiiy niinia?a i?iaiicoaaiiy aino?i?
a?iien?? ieiaea i?ae /an iieia?a oa ?ic?iaea iiaeo iaoiae?a ?ioaineaii?
oa?ai?? i?neya?iiene/ieo noai?a iiaiia?iaeaeaieo o ?aiiueiio
iaiiaoaeueiiio ia??iae? aeey cieaeaiiy ??aiy ?io?aiaoaeueii? nia?oiino?,
ciaioaiiy e?eueeino? oea?aa?aeueii? iaoieia?? o ae?oae.

Caaaeaiiy aeine?aeaeaiiy.

1. Anoaiiaeoe oaeoi?e, ui ni?eythoue aeieeiaiith aino?i? ?io?aiaoaeueii?
a?iien?? ieiaea, yea a iiaeaeueoiio coiiaeea o iiaiia?iaeaeaieo
oea?aa?aeueio iaoieia?th ??ciiai nooiaiy oyaeeino?, oeyoii
?ao?iniaeoeaiiai aiae?co ?noi??e iieia?a a?o?ao iieiaiaeo aoaeeie?a i.
Eoaainueea.

2. Caeienieoe eeiiiei-noaoenoe/iee aiaeic ia?aa?ao iieiaia, oneeaaeiaieo
?io?aiaoaeueiith a?iien??th, oa ?aiiueiai iaiiaoaeueiiai ia?iiaeo
iiaiia?iaeaeaieo, yei ia?aianee aiiienith oa iaee a iiaeaeueoiio
iaoieiaith OeIN.

3. Aea/eoe aca?iica’ycie ii?ooaiue i?ioean?a iaoaaie?/ii? oa
ea?ae?i-?ani??aoi?ii? aaeaioaoe?? aeiiioaiiai iiaiia?iaeaeaiiai i?ney
a?iien?? c? nooiaiai oyaeeino? i?neya?iiene/ieo o?aaeaiue OeIN aeeoeie.

4. I?iaanoe iaoiainoieiai/ia aeineiaeaeaiiy ieaoeaio aiae ii?iaeieue c
aino?eie ii?ooaiiyie iaoeiai-ieaoeaioa?iiai oa ieaoeaioa?ii-ieiaeiaiai
e?iaiiaiao.

5. Aeineiaeeoe eeneioii-eoaeiee oa aaciaee aiiainoac a ?aiiueiio
iaiiaoaeueiiio ia?iiaei o aeioae c iineyaiiiene/ieie ii?ooaiiyie OeIN.

6. Aea/eoe iieacieee aaiiaeeiaii/ii? aaeaioaoei? iiaiia?iaeaeaieo iiney
aino?i? eeniaai? iaaeinoaoiinoi i?ae /an iieia?a.

7. Oaeineiiaeeoe ianya oa oa?aeoa? iioaineaii? oa?aii? iiaiia?iaeaeaieo,
yei ia?aianee ?io?aiaoaeueio a?iien?th, c iaoith ei?aeoei? iaoaaiei/ieo
oa aaiiaeeiaii/ieo ?iceaaeia o ?aiiueiio iaiiaoaeueiiio ia?iiaei.

Iaoeiaa iiaecia ?iaioe. Aia?oa aecia/ai? oaeoi?e ?eceeo uiaei
aeieeiaiiy ?io?aiaoaeueii? a?iien??, aeaii eiiieaenio ioeiieo aieeao
aiiieni? ye ianeiaeeo aino?iai ii?ooaiiy ieaoeaioa?ii-ieiaeiaiai oa
iaoeiai-ieaoeaioa?iiai e?iaiiaiao ia aeieeiaiiy oea?aa?aeueii?
iaoieiai? i?aaii/iiai oa ooieoeiiiaeueiiai oa?aeoa?o o aeeoeie a
iiaeaeueoiio.

Aea/aii aca?iica’ycie ii?ooaiue i?ioean?a iaoaaie?/ii? oa
ea?ae?i-?ani??aoi?ii? aaeaioaoe?? aeiiioaieo iiaiia?iaeaeaieo i?ney
a?iien?? c? nooiaiai oyaeeino? i?neya?iiene/ieo o?aaeaiue OeIN aeeoeie.

Anoaiiaeaii ca’ycie iiae nooiaiai iaoieiai/ieo ciii o oeaiei? ieaoeaioe
oa aoaeoeaiinoth iaoaaie?/ii? e ea?aeii-?anii?aoi?ii? aaeaioaoe??
iiaiia?iaeaeaiiai.

I?aeoe/ia cia/aiiy ?acoeueoaoia ?iaioe. Anoaiiaeai? e?eoa??? oi?ioaaiiy
a?oi i?aeaeuaiiai ?eceeo na?aae aaa?oieo uiaei ?icaeoeo aino?iai
ii?ooaiiy iaoa?einueei-ieiaeiaiai e?iaiiaiao i?ae /an iieia?a.

Aecia/aii iniiaii oaeoi?e, ui aieeaathoue ia oa?aeoa? iiceiaiai
e?iaiieeio o iiaiia?iaeaeaieo, ye? ia?aianee ?io?aiaoaeueio a?iien?th,
oa coiiaeththoue aenieee ?ecee iioeiaeaeaiue OeIN a iiaeaeueoiio.

Aaeineiiaeaia oa ai?iaaaeaeaia o i?aeoeeo oaeoeea aaaeaiiy iieiaia oa
?aiiueiai iaiiaoaeueiiai ia?iiaeo, ui aeicaiey? io?eiaoe iiceoeaii
?acoeueoaoe aiaeiinii ii?iaeicaoei? aaeaioaoei? aeeoeie a ia?oi aeii
iiney ia?iaeaeaiiy oa caiiaiaoe a iaeaooiueiio oyaeeei oi?iai
oea?aa?aeueieo ii?ooaiue.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiue o i?aeoeeo. ?acoeueoaoe
aeena?oaoei? ai?iaaaeaeaii a eieoaaeueiee i?ioean iieiaiaeo aoaeeieia
ii. Eoaainueea, Aeiiaoeueea oa Oa?eiaa, aiaeaeieaiiyo iioaineaii?
oa?aii? iiaiia?iaeaeaieo oa iaoieiai? iiaiia?iaeaeaieo Eoaainueeiai
Oeaio?o ioi?iie iaoa?einoaa i aeeoeinoaa oa a o/aiaee i?ioean ia
eaoaae?ao aeooa?noaa oa aiiaeieiai?, iaaeiao?i? Eoaainueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo.

Ai?iaaoeiy ?iaioe. Iaoa?iaee oa ?acoeueoaoe ?iaioe iaaiai?aii oa
aeiiia?aeaeeny ia iaeaniie iaoeiai-i?aeoe/iie eiioa?aioei? c iioaineaii?
oa?ai?? iiaiia?iaeaeaieo (Oa?eia, 1994); iaoeiai-i?aeoe/iie eiioa?aioei?
“Aiiieniy ieiaea. Anoieniy iiaiia?iaeaeaiiai” (Eoaainuee, 1995);
iaoeiai-i?aeoe/iie eiioa?aioei?, i?enay/aiie 100-?i//th 4-? eiea?ii i.
Eoaainueea (Eoaainuee, 1995); iaeaniie iaoeiai-i?aeoe/iie eiioa?aioei?
“?aaiiiaoeiy iiaiia?iaeaeaieo” (Eoaainuee, 1996); ia ?V Anana?oiueiio
eiia?an? “Heart Failure” (???onaeei, ?c?a?eue, 1996); ia V Anana?oiueiio
eiia?an? “Heart Failure” (Aaoeiaoii, NOA, 1997); ia V?? I?aeia?iaeiiio
neiiic?oi? “Cardiovascular Farmacotherapy” (???onaeei, ?c?a?eue, 1997).

Iniaenoee aianie caeiaoaa/a a ?ic?iaeo iaoeiaeo ?acoeueoao?a.
Aeena?oaioii iniaenoi i?iaaaeaii aiaeic icoi?ie iieiaia ianoaaeaieo
aeiiie, inoi?ie ?icaeoeo iiaiia?iaeaeaieo oa inoi?ie oai?iae aeioae;
caeieniaii iino?oiaioaeueii oa eaai?aoi?ii iaoiaee ianoaaeaiiy aeiiie
i?ae /an iieia?a oa iiaiia?iaeaeaieo i?ae /an ?aiiueiai iaiiaoaeueiiai
ia??iaeo.

A?aea o/anoue o iaoiainoieiai/iiio aeineiaeaeaiii ieaoeaio aiae
ii?iaeieue c aino?eie ii?ooaiiyie iaoeiai-ieaoeaioa?iiai oa
ieaoeaioa?ii-ieiaeiaiai e?iaiiaiao oa i?iaaaeaiii aenia?eiaioo ia
eaai?aoi?ieo oaa?eiao.

Cai?iiiiiaaii i ai?iaaaeaeaii iaoiae eieoaaiiy a ?aiiueiio
iaiiaoaeueiiio ia?iiaei aeioae, yei ia?aianee ?io?aiaoaeueio a?iien?th.

I?inoaaeaii oi?iaeiaae 3-5 ?ie?a ineoiaiioe?eiee oa o?ce/iee ?icaeoie
ae?oae, ye? ia?aianee ?io?aiaoaeueio a?iien?th.

Aaoi?ii iniaenoi i?iaaaeaii iaoaiaoe/io ia?iaeo io?eiaieo ?acoeueoaoia.

Ioaeieaoei?. Ca aeaieie aeena?oaoei? iioaeieiaaii 10 ?ia?o, c ieo 5
noaoae a aeo?iaeao oa 5 oac o a?o/eciyieo oa ca?oa?aeieo aeaeaiiyo.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny c anooio,
iaeyaeo e?oa?aoo?e, iaoa??ae?a ? iaoiae?a aeine?aeaeaiiy, 4-o ?icae?e?a
aeanieo niinoa?aaeaiue, aiae?co oa ocaaaeueiaiiy io?eiaieo
?acoeue-oao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, ia?ae?eo
aeei?enoaieo aeaea?ae e?oa?aoo?e. ?iaioa aeeeaaeaia ia 149 noi??ieao
iaoeiiieniiai oaenoo, ?ethno?iaaia 28 oaaeeoeyie, 12 ?enoieaie, ye?
?ici?uai? ia 40 noi??ieao. Aei a?ae?ia?ao?/iiai ia?ae?eo aeeth/ai? 133
a?o/eciyieo ? 82 ca?oa?aeieo aeaea?aea, ye? caeiathoue 15 noi??iie.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy. Aeey aeinyaiaiiy iaoe ? ae??oaiiy
iinoaaeaieo caaaeaiue iaie aoei aea/aii ia?aaia aaaioiinoi oa iieiaia,
oneeaaeiaieo ?io?aiaoaeueiith a?iien??th ieiaea o 204 aeiiie.
A?aoiaoaaeeny aie, aeaii niiaoe/iiai oa aeooa?nueei-aiiaeieiai/iiai
aiaiiaco, aea/aeeny oaeiae iiaooiai oa ae?iaie/i oaeoi?e, yei
aieeaathoue ia ia?aaia aaaioiinoi oa iieiaia. 50 aeiiie c ii?iaeueiei
ia?aaiaii aaaioiinoi oa iieiaia neeaaeaee eiio?ieueio a?oio. Ic 204
aeiaaeeia ?io?aiaoaeueii? a?iien?? ieiaea I nooi. oyaeeino?
ca?a?no?iaaii o 88 (43,1%) ae?iie, II — nooi. o 71 (34,8%) oa III nooi.
oyaeeinoi — o 45 (22,1%) ae?iie.

Ae?aaiic ?io?aiaoaeueii? a?iien?? anoaiiaethaaany ia i?aenoaa? ci?ie *NN
ieiaea i?ae /an iieia?a ca aeaieie iii?oi?iiai aeine?aeaeaiiy ca
iaoiaeii ea?ae?ioieia?ao?? (EOA) ia aia?ao? “Cardiotocotest”.

I?ioeane aaeaioaoei? aea/aeeny o 118 aeioae aiae ianoaaeaieo aeiiie. 88
c ieo i?ae /an iieia?a ia?aianee aiienth I-III nooiaiy oyaeeinoi. O oeeo
aeioae a iiaeaeueoiio ?icaeioeanue oea?aa?aeueia iaoieiaiy, ca nooiaiai
oyaeeinoi yei? aiie aoee ?iciiaeieaii ia o?e a?oie. ?-o a?oio neeaaeaee
44 aeeoeie aieii aiae 4 iinyoea aei 4 ?ieia, yei ia nueiaiaeiy ia iaee
iaoieiai? OeIN, aai a ieo aiaeii/aeeny iacia/ii, ia?aaaaeii
ooieoeiiiaeueiiai oa?aeoa?o, i?neyaiiiene/ii ii?ooaiiy. Aei ??-? a?oie
oaieoee 24 aeeoeie aieii aiae 2 iinyoea aei 5 ?ieia c i?neyaiiiene/ieie
ii?ooaiiyie na?aaeiueiai nooiaiy oyaeeinoi, oaeeo ye eiiiainiaaia
a?ae?ioeaoae?y, ii?ooaiiy na/iaeae?eaiiy oa ?io., ???-y a?oia
neeaaeaeany c 20 iaoei?ioia aieii aiae 1 iinyoey aei 5 ?ieia, o yeeo
?icaeioeenue oyaeei oea?aa?aeueii ii?ooaiiy aianeiaeie ?io?aiaoaeueii?
a?iien?? (aeeoy/ee oea?aa?aeueiee ia?ae?/, aeaeiiiainiaaia
a?ae?ioeaoae?y oiui). Eiio?ieueio a?oio neeaee 30 aeioae, ia?iaeaeaieo
aiae iaoa?ia i?e oiciieiai/iiio ia?aa?ao iieia?a. Noai ieiaeia onio a?oi
a aioaiaoaeueiiio ia?iiaei ?icoeiithaaany ye caaeiaieueiee — aeiaaiic
o?iii/ii? aioo?ioiueioo?iaii? aiiieni? ieiaea ia aenoaaeyany.

Aeey ioe?iee aoaeoeaiino? cai?iiiiiaaii? oa?ai?? iiaiia?iaeaeaii, ye?
ia?aianee a?iien?th, ca iaoiaeii ?aiaeii?caoe?? aoee ?iciiaeieaii ia
aeai a?oie. Iniiaio a?oio neeaaeaee 48 aeioae, yei io?eioaaee ii?yae c
caaaeueiii?eeiyoeie caniaaie eieoaaiiy eeniaai? iaaeinoaoiinoi
eiiaiiaoeith i?aia?aoia — iinoaiii, aeiiaoinoii i ?ic/ei «Eaeoanie».
?inoaiii — eiia?iiaaiee i?aia?ao o??ie «Hafslung Ltd», aeoeai?
eiiiiiaioe yeiai noaa?e?cothoue iaoai?cie aaoi?aaoeyoe?? oea?aa?aeueiiai
oa ea?ae?aeueiiai e?iaiieeio, c oni?oii canoiniao?oueny ca?oa?aeieie
e?ea?yie. Ae?iaoinoii, noai?aiee oa aea/aiee eacainueeeie o?i?eaie oa
oa?iaeieiaaie, ni?ey? e?ea?aeaoe?? iaoaaie?/iiai aoeeaeico, oe?iei
aeei?enoiao?oueny o ee?i?eao ?in??. Ie aia?oa cai?iiiioaaee ? ee?i?/ii
aei?iaoaaee eiia?iaoe?th oeeo i?aia?ao?a. ?aooa 40 aeioae neeaaeaee
a?oio niianoaaeaiiy i io?eioaaee oieueee caaaeueiii?eeiyoa eieoaaiiy
aeaii? iaoieiai? (ieneaaiioa?aiiy, ?ic/ei aetheice, eiea?aieneeaca,
caniae aeey iie?auaiiy iiceiaiai e?iaiiaao, ?ic/ei aeueaoiiio, ieacie,
ea?aeiioiii/ii caniae).

Aoaeoeaiinoue i?ioeania iaoaaiei/ii? oa ea?aeii-?anii?aoi?ii?
aaeaioaoei? iiaiia?iaeaeaieo, yei ia?aianee ?io?aiaoaeueio a?iien?th,
ioe?-ithaaeany ca aeeiaiieith eeneioii-eoaeiiai noaio, ?iaiy aacia e?iai
i?ioyaii ?aiiueiai iaiiaoaeueiiai ia?iiaeo, i?iaiaeeeiny aecia/aiiy
eiioeaio?aoei? aetheice e?iai, ??aiy aaiaoie?eoo. Aea/aeany aene?aoi?ia
ooieoeiy ie?ie: o?aoiaoaaeeny iieacieee aene?aoei? acioo na/iaeie oa
?iaaiue iaaecia/aiiai acioo na/i, aecia/aany aeio?ac. ?a?no?oaaeany
aeeiai?ea /anoioe aeeoaeueieo ?oo?a, /anoioa na?oeaaeo nei?i/aiue,
a?oa??aeueiee oene. Aeey aeyaeaiiy i?neya?iiene/ieo iaoieia?/ieo
i?ioean?a

aieiaiiai iiceo on?i iiaiia?iaeaeaiei i?ioyaii ?aiiueiai iaiiaoaeueiiai
ia??iaeo 2 ?ace i?iaiaeeeiny iae?iniiia?ao?/ia aeine?aeaeaiiy iiceo
/a?ac aaeeea o?i’y/ei ia aia?ao? “Aloka SES-630”, a ae?oyi c oyaeeeie oa
na?aaeiueiai nooiaiy oyaeeino? iioeiaeaeaiiyie OeIN — yaea?ii-iaai?oia
?aciiainia oiiia?ao?y (ssI?-O) oiiia?aoii “Tomikon”.

Oni ianoaaeaii iiaiia?iaeaeaii, yei ia?aianee aiiienith o iieiaao, aoee
eiinoeueoiaaii iaa?iiaoieiaii, ea?aeiieiaii, o aeiaaeeo iaiaoiaeiinoi —
iooaeueiieiaii, i?oiiaaeii-o?aaiaoieiaii.

Iaoa?iaeii aeey ii?oiooieoeiiiaeueieo iaoiaeia aeineiaeaeaiiy aoee 38
ieaoeaio, io?eiaii i?ae /an iieia?a, oneeaaeiaieo ?io?aiaoaeueiith
a?iien??th ieiaea. Io?eiaii ?acoeueoaoe ii?iaithaaee c aeaieie
aeineiaeaeaiiy 10 ieaoeaio aiae aeiiie c oiciieiai/iei ia?aaiaii
aaaioiinoi oa iieiaia (eiio?ieue). Ie?aio a?oio neeaaeaee ieaoeaioe
uo?ia eiii? «Ainoa?» ic iiaeoeueiaaiith aino?ith aiiieni?th i?ae /an
iieia?a i?ioyaii 2 aiaeei (5) oa 3 eiio?ieueii ieaoeaioe (aac
iiaeoeyoei? aino?i? eeniaai? iaaeinoaoiinoi).

Iae?ineiii/ia aeineiaeaeaiiy ieaoeaioe aeeth/aei ?? caaaeoaaiiy,
aeii?thaaiiy oa iienaiiy oi?ie, i?ee?iieaiiy ioiiaeie, iayaiinoi
iioa?eoia, eaaa?i, aaiaoii, eaeueoeeiaoia. I?iaiaeeee na?oeiao oa
aeaeo?iiio i?e?ineii?th c??c?a ic ?icieo aiaeaeieia ieaoeaioe
(oeaio?aeueiiai, ia?aoiaieieaeueiiai, ia?eoa?e/iiai), oioia?aooaaiiy
i?iaiaeeee a aeaeo?iiiiio iie?ineiii oi?ie «Philips».

I?iaiicoaaiiy i?iaiaeeee ca iaoiaeii Aae?na.

Aeey ia’?eoea?caoei? io?eiaieo ?acoeueoaoia i?iaaaeaii iaoaiaoe/io
ia?iaeo aeaieo c aeei?enoaiiyi iaoiaeia aa?iaoeieii? noaoenoeee.

Iniiai? ?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. I?e aea/aiii
niiaoe/iiai, aeooa?nueei-aiiaeieiai/iiai aiaiiaco,
nioeiaeueii-aiai?ii/iiai noaoono, ia?aaiao aaaioiinoi oa iieiaia o
aeiiie c aino?ith iio?aiaoaeueiith aiiieni?th oa i?e ii?iaiyiii aeaieo
iieacieeia c a?oiith eiio?ieth aiaeii/aii, ui eaaeee nooiiiue aiiieni?
i?ae /an iieia?a /anoioa aeeeeeathoue aoi?eiia neaainoue iieiaiai?
aeiyeueiinoi (19,3%) oa aaniethoii ei?ioea ioiiaeia (14,8%); i?e/eiaie
?io?aiaoaeueii? a?iien?? na?aaeiueiai nooiaiy oyaeeinoi /anoioa ? oaciai
ia?aaeeaaeaiiy (19,8%) oa aeeneii?aeeiaoe?y iieiaiai? aeiyeueiinoi
(16,9%), a oyaeei? aiiieni? — aeiaaeiiiy iaoaeue ioiiaeie (28,9%),
ia?aae/ania aiaeoa?oaaiiy ii?iaeueii ?icoaoiaaii? ieaoeaioe (13,3%).

Iieiae /anoioa oneeaaeiththoueny ?io?aiaoaeueiith a?iien??th ieiaea o
aieiaeo ii?iaeieue, a oaeiae o aeiiie c iaie?aei?noth, eana?aaei
?icoeiii a aiaiiac? ? ii?ooaiiyie iaino?oaeueii? ooieoei?, yei
i?iyaeythoueny a?iiiaino?oaeueiei neiae?iiii, a oaeiae o ae?iie, ye?
iathoue oae? oneeaaeiaiiy aaa?oiino?, ye caa?ica ia?a?eaaiiy, aiai?y.
Oaeei /eiii, aeiiee oeeo eaoaai?ie iiaeiii aooe aiaeianaii aei a?oie
?eceeo uiaei ?icaeoeo ?io?aiaoaeueii? a?iien?? (oaae. 1); ?i iaiaoiaeii
i?iaiaeeoe i?ioieaeoeeo oaoiieaoeaioa?ii? iaaeinoaoiinoi i?ae /an
iieia?a, a oaeoeea aaaeaiiy iieiaia iiaeiia ia?aaeaa/aoe i?iaaaeaiiy
iia?aoeaiiai ?ic?iaeaeaiiy.

I?e iae?i- i iie?ineiii/iie ioeiioei ieaoeaio ae?iie c ?io?aiaoaeueiith
a?iien??th, ae?oe yeeo iathoue iacia/i? ii?ooaiiy OeIN ooieoe?iiaeueiiai
oa?aeoa?o, anoaiiaeaii, ui i?e ?icaeoeo aaii/ii oa oeaieiii? aiiieni? o
ieaoeaio? aiaeaoaathoueny eiiiainaoi?ii-i?enoinoaaeuei? i?ioeane,
ni?yiiaaii ia ai?ioueao c eeniaaith iaaeinoaoiinoth. A iniiai oeeo
?aaeoeie eaaeeoue caieueoaiiy ei?enii? ieiui eaiiey?iiai ?onea ye ca
?aooiie ?icaeoeo iiaiie?ia’y i, ye ianeiaeeo, caieueoaiiy ieiui
neioeeoiieaiiey?ieo iaia?ai, oae i caieueoaiiy ieiui aiaeioaeiioeeoia.
Oeueiio ni?ey? caieueoaiiy eieueeinoi iie?iiiiioeeoicieo aaceeoe.
Iaeiae, a oeaieiao ieaoeaioe ae?iie, ae?oe yeeo iathoue oyaeeo
i?neya?iiene/io oea?aa?aeueio iaoieia?th, niinoa?iaaeeny
aeacaaeaioaoeieii i?ioeane, yei iieyaathoue a ?icaeoeo aeueoa?iaoeaieo
i?ioeania (aeano?oeoeiy i?aaiae).

A ?acoeueoaoi aea/aiiy eeneioii-eoaeiiai noaio e?iai o iiaiia?iaeaeaieo
a ?aiiueiio iaiiaoaeueiiio ia?iiaei anoaiiaeaii, ui o an?o aeioae iiney
ia?iaeaeaiiy aiaeii/a?oueny noai aoeeaeico, yeee i?e oiciieiai/ieo
iieiaao iineoue ?anii?aoi?ii-iaoaaiei/iee oa?aeoa? (noaia 1). A eiioe?
ia?oi? — ia ii/aoeo ae?oai? aeiae niinoa?iaaoueny eiiiainaoeiy
aoeeaeico: ?I2 e?iai iiaeaeuo?oueny aei 72,41,9 ii ?o.no., ?I e?iai
aeinyaa? ?iaiy 7,36. O aeioae eiio?ieueii? a?oie ia 4-oo aeiao
aiaeii/aeiny iineeaiiy aoeeaeico. Oea iia’ycaii c oei, ui nenoaie
?aaoeyoei? eeneioiiai-eoaeiiai aiiainoaco a ia?iiaei iiaiia?iaeaeaiinoi
ciaoiaeyoueny a noaii ooieoeiiiaeueii? ianoieeinoi. I?ioyaii ianooiieo
aeia iieacieee e?iai iaaeeaeaeeny aei aiaeiai/ieo o aei?ineeo
(A.I.Iaea?ia, 1992). Ua aieueo ae?aaeaiee nooiiiue ooieoeiiiaeueii?
ianoieeinoi ?aaoethth/eo nenoai aoa o aeioae, yei ia?aianee
?io?aiaoaeueio a?iien?th, i?i ui na?ae/eoue aeeiaiiea eeneioii-eoaeiiai
noaio e?iai.

Oae, o iaoei?ioia, o yeeo iaaeae? ?icaeioeeny i?neyaiiiene/ii ii?ooaiiy
OeIN eaaeiai nooiaiy oyaeeinoi, ia 4-5-oo aeiao aeeooy niinoa?iaaany
noai eiiiainiaaiiai aoeeaeico; o aeioae c oea?aa?aeueieie ii?ooaiiyie
na?aaeiueiai nooiaiy oyaeeinoi ia 3-4-oo aeiao — noai noaeiiiainiaaiiai,
a ia 7-e aeaiue aeeooy — eiiiainiaaiiai aoeeaeico.

Oaaeeoey1

Oaeoi?e ?eceeo uiaei aeieeiaiiy ?io?aiaoaeueii?

a?iien?? ieiaea

Oaeoi?e ?eceeo ?io?aiaoaeueii?

a?iien?? ieiaeaAaa?oi? iniiaii? a?oie (n=204)Aaa?oi? eiio?ieueii? a?oie
(n=50)aan.%aan.%A. Nioe?aeueii-iiaooia?:

— a?e iaioa 17 ?ie?a

— a?e a?eueoa 30 ?ie?a

— i?ioan?ei? oe?aeeeaino?

— iacaaeia?euei? oiiae iiaooo

— oe?aeeea? cae/ee (iae?iiy,aaeeaaiiy aeeiaieth)

24

36

80

46

25

11,8

17,7

39,4

22,6

12,3

5

5

9

10

5

10,0

10,0*

18,0*

20,0

10,0A. Oneeaaeiaiee niiaoe/iee aiaiiac:

— a?iioieaaaiaa? caoai?thaaiiy

— aaaaoinoaeeiia aeenoii?y

— caoai?thaaiiy na?oey oa noaeei

— o?ii?/i? caoai?thaaiiy oeoieiai-eeoeiaiai o?aeoo

— caoai?thaaiiy ie?ie

31

39

25

40

32

15,2

19,2

12,3

19,6

12,7

7

4

8

5

14,0

8,0*

16,0

10,0A. Iaoyaeaiee aeooa?nueei-a?iaeieia?/iee aiaiiac:

— ii?ooaiiy iaino?oaeueii? ooieoe??

— iia?aoeaia e?eoaaiiya?iaeieia?/ieo caoai?thaaiue

— eana??a ?icoei

— ooo/i? aai?oe

— caiaeuei? caoai?thaaiiy aioo??oi?o noaoaaeo i?aai?a

— iaie?aei?noue

122

18

21

70

40

20

59,8

8,8

10,3

34,3

19,6

9,8

20

4

11

17

9

1

40,0*

8,0

22,0*

34,0

18,0

3,3*A. Oneeaaeiaiiy aeaii? aaa?oiino?:

— ?aii?e oa i?ci?e aanoice

— i??eiiao?eo aaa?oieo

— caa?ica ia?a?eaaiiy aaa?oiino?

— aino?a ?ani??aoi?ia a??onia

— ?ioaeoe?y

— aiai?y

70

46

30

42

172

34,3

22,6

14,7

20,6

84,3

16

6

11

30

32,0

12,0*

22,0

60,0*

I?ei?oea: * – aeinoia??i?noue ??cieoe? (?<0,05) i?ae iieacieeaie iniiaii? oa eiioieueii? a?oi picscalex94010009000003087b0000a1008600000000000400000003010800050000000 b0200000000050000000c02010001000400000003010800050000000b020000000005000 0000c0201000100050000000c02803ea02e050000000b020000000004000000060101000 7000000fc020100000000000000040000002d01000009000000fa0200000700000000000 0002200040000002d01010008000000250302005325e02c5325dd1f09000000fa0200000 0000000000000002200040000002d01020007000000fc020000ffffff000000040000002 d0103000400000006010200040000000601020007000000fc02000000000000000004000 0002d01040009000000fa02050000000000ffffff002200040000002d010500100000002 4030600e902dd1fd302dd1fd302e02cff02e02cff02dd1fe902dd1f040000002d0103000 40000002d010200040000000601020004000000060101000400000006010200040000000 6010200040000002d010400040000002d0105001000000024030600c026dd1faa26dd1fa a26e02cd626e02cd626dd1fc026dd1f040000002d010300040000002d010200040000000 60102000400000006010100040000002d01000009000000fa02000007000000000000002 200040000002d01060008000000250302004324282d4324de2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d01070008000000250302002e23282d2e23de2c040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d01080008000 000250302002522282d2522de2c040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d0109000800000025030200f 71f282df71fde2c040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d010a0008000000250302000921282d0921d e2c040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d010b000800000025030200e61e282de61ede2c040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d010c000800000025030200d31d282dd31dde2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d010d000800000025030200c21c282dc21cde2c040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d010e0008000 00025030200af1b282daf1bde2c040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d010f0008000000250302009 619282d9619de2c040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d01100008000000250302009d1a282d9d1ad e2c040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d01110008000000250302006717282d6717de2c040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d01120008000000250302005516282d5516de2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d01130008000000250302004f15282d4f15de2c040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d01140008000 000250302007a18282d7a18de2c040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d01150008000000250302002 013282d2013de2c040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d01160008000000250302003214282d3214d e2c040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d01170008000000250302000f12282d0f12de2c040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d0118000800000025030200fc10282dfc10de2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d0119000800000025030200ea0f282dea0fde2c040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d011a0008000 00025030200d80e2b2dd80ee12c040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d011b000800000025030200c 60d282dc60dde2c040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d011c000800000025030200b40c282db40cd e2c040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d011d000800000025030200a20b282da20bde2c040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d011e000800000025030200900a282d900ade2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d011f0008000000250302007e09282d7e09de2c040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d01200008000 000250302006b08282d6b08de2c040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d01210008000000250302005 a07282d5a07de2c040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d01220008000000250302005a07282d5a07d e2c040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d01230008000000250302004806282d4806de2c040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d01240008000000250302003605282d3605de2c040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d01250008000000250302002404282d2404de2c040000002d010200040000002d0103000 4000000060102000400000006010200040000002d010400040000002d010500100000002 4030600e902e02ce902f62cc126f62cc126c92ce902c92ce902e02c040000002d0103000 40000002d01020004000000060102000400000006010100040000002d01000009000000f a02000007000000000000002200040000002d0126000800000025030200c226fe29ea02f e29040000002d010200040000002d010300040000002d01000009000000fa02000007000 000000000002200040000002d0127000800000025030200c2268b28ea028b28040000002 d010200040000002d010300040000002d01000009000000fa02000007000000000000002 200040000002d0128000800000025030200c2261927ea021927040000002d01020004000 0002d010300040000002d01000009000000fa02000007000000000000002200040000002 d0129000800000025030200c226a725ea02a725040000002d010200040000002d0103000 40000002d01000009000000fa02000007000000000000002200040000002d012a0008000 00025030200c1263524e9023524040000002d010200040000002d010300040000002d010 00009000000fa02000007000000000000002200040000002d012b000800000025030200c 126c322e902c322040000002d010200040000002d010300040000002d01000009000000f a02000007000000000000002200040000002d012c000800000025030200c1265121e9025 121040000002d010200040000002d0103000400000006010200040000000601020004000 0002d010400040000002d0105001000000024030600e902df1fe902f51fc126f51fc126c 91fe902c91fe902df1f040000002d010300040000002d010200040000000601020004000 0000601010012000000fb0249ff5100840384039001000000cc07000222417269616c204 3797200cc00040000002d012d0010000000fb021400090000000000bc02000000cc01020 22253797374656d00cc040000002d012e00040000002d012d0013000000fb02000000000 00000000000000000cc00000001436f7572696572204e657700cc00040000002d012f000 4000000f0012d0012000000fb0249ff5100840384039001000000cc07000222417269616 c2043797200cc0d040000002d012d0005000000090200000000040000002e01180004000 0000201010009000000320ab32cf32501000000e400e90209000000320a482cf32501000 000ee00e90209000000320ae32bf32501000000e100e90209000000320a7e2bf32501000 000e000e90209000000320a192bf325010000002000e90209000000320ab32c952601000 000e600e90209000000320a392c952601000000e800e90209000000320ad32b952601000 000f200e90209000000320a7f2b952601000000f200e90209000000320a2b2b952601000 000ff00e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 000090200000000040000002e011800040000000201010009000000320a7b295d2601000 0003100e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 000090200000000040000002e011800040000000201010009000000320a07285d2601000 0003200e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 000090200000000040000002e011800040000000201010009000000320a93265d2601000 0003300e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 000090200000000040000002e011800040000000201010009000000320a2a255d2601000 0003400e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 000090200000000040000002e011800040000000201010009000000320aaa235d2601000 0003500e902040000002d012e0004000000f0012d0012000000fb022fff5c00840384039 001000000cc07000222417269616c2043797200cc00040000002d012d00040000002d012 e00040000002d012d00040000002d012e0004000000f0012d0012000000fb022fff5c008 40384039001000000cc07000222417269616c2043797200cc0d040000002d012d0005000 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Cieaeaiiy aiaenioeo iane/aiiy oeaiei eeniai (i?e aenieiio ??ai? ?NI2) o aeioae ???-? a?oie ? aeieacii aaeueioaaiiy eiai ooeeicaoei?, ui ? eiiiainaoi?ii-i?enoinoaaeueiei iaoaiiciii oeaiei o aiaeiiaiaeue ia aino?o aiiienith. O iiaiia?iaeaeaieo, yei ia?aianee ?io?aiaoaeueio a?iien?th, oaeaeei aiaeaoaa?oueny aiaeiiaeaiiy ?iaiy ?I2 e?iai. O ae?oae ?-? a?oie a?aei?/aeany iacia/ia eeniaaa caai?aiaaiinoue ii?iaiyii c iieacieeaie iiaiia?iaeaeaieo II-? oa III-? a?oi. O ae?oae ?-? a?oie iane/aiiy oeaiei eeniai iiaeaeuoaaeiny aianeiaeie aeeth/aiiy iaoaiiciia iaoaaiei/ii? eiiiainaoei?. O aeioae c oyaeeeie oea?aa?aeueieie ii?ooaiiyie iane/aiiy eeniai e?iai aiaeaoaaeiny iaio iioaineaii /a?ac cieaeaiiy ?iaiy aoaeoeaiinoi eiiiainaoi?ieo iaoaiiciia i, iiaeeeai, aieueo aeoeaio eiai ooeeicaoeith oeaieiaie. Iai?eeiioe? ?aiiueiai iaiiaoaeueiiai ia?iiaeo a ?-e i ??-e a?oiao aeioae ?I2 i ?NI2 iaaeeaeathoueny aei aiaeiai/ieo o aeioae eiio?ieueii? a?oie. Caa?aaeaiiy iecueeiai cia/aiiy iieaciee?a AA, SB, ?I2 i aenieiai ?iaiy ?NI2 o ae?oae ???-? a?oie oi?iaeiaae ia?oiai oeaeiy aeeooy naiae/eoue i?i cia/ia cieaeaiiy eiiiainaoi?ieo iiaeeeainoae i?aaiicio o aeioae, yei ia?aianee a?iien?th. Oaeei /eiii, nooiiiue c?eao eiiiainaoi?ieo iiaeeeainoae aieeaa? ia oi?ioaaiiy o aeeoeie iaoieiai OeIN, oiio ui o?aaeaiiy iiceo aiaeaoaaoueny ia oieueee a iiiaio aiiiene/iiai aieeao, aea e iiae /an ?aiiueiai iinoaiiiene/iiai ia?iiaeo, eiee no?aaeaea? eiai aiiainoac. Iieacieee oiceei-oiii/iiai aiiainoaco iiaeooue neoaeeoe e?eoa?i?i aoaeoeaiinoi aaeaioaoei? iiaiia?iaeaeaiiai. Naia ii?ooaiiy aiiainoaco coiiaeththoue /eneaiii iaa?ieiai/ii ?iceaaee, yei ie niinoa?iaaee o oeeo aeioae a iiaeaeueoiio. Aieueoa o?eaaeinoue i ae?aaeaiinoue aiiienaii? oa aoeeaeioe/ieo c?ooaiue iaoaaiei/iiai i ?anii?aoi?ii-iaoaaiei/iiai aaiaco coiiaeththoue iaaeae? aenieee ?ecee ?icaeoeo o oaeeo aeioae oyaeei? oea?aa?aeueii? iaoieiai?. I?e aea/aiii ?iaiy aeieaii? o an?o aeioae, yei ia?aianee ?io?aiaoaeueio a?iien?th, anoaiiaeaii aenieee ai?no aetheice a ioiiaeiiie e?iai i, iaaiaee, ?icaeoie cia/ii? aiiiaeieaii? ia ia?oo aeiao aeeooy. Aeaiee oaeo iiaeia iiynieoe aaaaeaiiyi eiioeaio?iaaieo ?ic/eiia aetheice aeiieai, iieiae o yeeo oneeaaeieeeny oaoiieaoeaioa?iith iaaeinoaoiinoth. Ooo/ia aiia?aeieaiiy i?ae /an iieia?a i?ecaiaeeoue aei aiia?aeieaii? ieiaea. Aianeiaeie noeioeyoei? eeioei iiaeoeoieiai? caeice ieiaea nae?aoo?oueny cia/ia eieueeinoue iinoeiio, ui ni?ey? aiiiaeieaii? iiaiia?iaeaeaiiai c ?icaeoeii aiaeiiaiaeii? eeiii/ii? ea?oeie. O anio ianoaaeaieo aeioae c ?io?aiaoaeueiith aiiieni?th a ?aiiueiio iaiiaoaeueiiio ia?iiaei niinoa?iaaeeny nooo?ai aaiiaeeiaii/ii ii?ooaiiy, nooi?iue oyaeeino? yeeo caeaaeaa aiae i?e/ei aiiieni? oa aecia/aany iaoaaiei/ieie c?ooaiiyie, ui ?icaeioeeny iiae aieeaii eeniaai? iaaeinoaoiinoi. O iaoei?ioia II-? i III-? a?oi ca aeaieie aoiea?aeiineiii? oa AEA ?a?no?oaaeeny iciaee na?oeaai-noaeeiii? iaaeinoaoiinoi (iaoieiai/ia iaaaioaaeaiiy i?aaeo aiaeaeieia na?oey, oiiaieueiaia i?iaaaeaiiy caoaeaeaiiy ii iiiea?aeo, cieaeaiiy aieueoaaeo coaoeia). O anio iiaiia?iaeaeaieo aecia/aeiny cieaeaiiy aeio?aco oa iiaeaeuaiiy aaiaoie?eoiiai /enea. Oae, a ?aiiueiio iaiiaoaeueiiio ia??iae? o aeioae c eaaeei i na?aaeiii nooiaiyie oyaeeinoi oea?aa?aeueieo ii?ooaiue a?iiene/iiai aaiaco c?inoaiiy aaiaoie?eoiiai /enea aiaeaoaaeiny ca ?aooiie eiiiainiaaiiai caieueoaiiy ia’?io a?eo?ioeeoia, a o ae?oae c oyaeeith iaoieia??th OeIN - aianeiaeie aeoiaeo ?iaeei? /anoeie e?iai c noaeeiiiai ?onea iiae /an iiaeaeuaiiy ?o i?iieeiinoi. Aino?a eeniaaa iaaeinoaoiinoue i?ae /an iieia?a aieeaaea a iiaeaeueoiio o aeioae ia ooieoeith ie?ie, cie?aia oieueo?aoeith o eeoai/eao. sseui o iaoei?ioia c ?io?aiaoaeueiith a?iien??th eaaeiai i na?aaeiueiai nooiai?a oyaeeinoi ??aaiue acioo na/? e e?aaoei?io noaoenoe/ii aeui aiae oaeeo o aeioae eiio?ieueii? a?oie, oi o iiaiia?iaeaeaieo c aiiieni?th oyaeeiai nooiaiy, o yeeo iaaeae? ?icaeioeanue oyaeea iaoieiaiy OeIN, a ?aiiueiio iaiiaoaeueiiio ia?iiaei niinoa?iaaeiny cieaeaiiy oeeo iieaciee?a ii?iaiyii c oaeeie o aeioae eiio?ieueii? a?oie. Oea naiae/eoue i?i iani?eyoeeaee aieea eeniaai? iaaeinoaoiinoi ia oeaieiiee eaoaaieici, yeee i?eai?/o? aene?aoi?io ooieoeith ie?ie i ni?ey cao?eioe? i?iaeoeoia acioenoiai iaiiio a i?aaiicii. I?ioyaii ?aiiueiai iaiiaoaeueiiai ia?iiaeo o iiaiia?iaeaeaieo, yei ia?aianee ?io?aiaoaeueio a?iien?th, niinoa?iaaeanue aiaeiinii oaeaeea ii?iaeicaoeiy iieacieeia AEA, a?oa??aeueiiai oeneo, /anoioe na?oeaaeo nei?i/aiue, i, iaaiaee, o?eaaei caa?iaaeeny iciaee ii?ooaiiy aiiainoaco, yei naiae/eee i?i iecueeo aoaeoeaiinoue iaoaaiei/ii? aaeaioaoei?. Oea aeicaiey? c?iaeoe aeniiaie i?i i?ia?aeio ?ieue ?iceaaeia iaoaaieicio a iino?aaiiiaoeieiiio ia?iiaei o oi?ioaaiii oyaeeeo i?neya?iiene/ieo oea?aa?aeueieo ii?ooaiue. Cia/io ?ieue o aecia/aiii nooiaiy oyaeeinoi iioeiaeaeaiue iiceo oa i?iaiic? ?icaeoeo ia?eiaoaeueii? iaoieiai? OeIN o ae?oae, yei ia?aianee ?io?aiaoaeueio a?iien?th, aiaeia?a? iae?iniiia?aoi/ia aeineiaeaeaiiy. A ?acoeueoaoi i?iaaaeaiiy iae?iniiia?ao?? oa yaea?ii-iaai?oii? ?aciiainii? oiiia?ao?? aeyaeaii, ui o 18 (20,4%) aeioae ic /enea ianoaaeaieo i?aaii/ia iaoieiaiy ia aecia/aeany; o 10 (11,3%) - ia ia?oiio oeaeii aeeooy niinoa?iaaeeny iciaee iacia/iiai iaa?yeo iiceo, yei eieaiaeoaaeeny ia iiiaio i?iaaaeaiiy iiaoi?iiai aeineiaeaeaiiy iai?eeiioe? ?aiiueiai iaiiaoaeueiiai ia?iiaeo. Iaaeae? o ieo ?icaeioeenue eaaei, a iniiaiiio ooieoeiiiaeueiiai oa?aeoa?o, oea?aa?aeueii ii?ooaiiy. O 26 (29,5%) ae?oae ca aeaieie iae?iniiia?ao?? ? ssI? oiiia?ao?? aeyaeyeiny neiao?e/ia niaaeaiiy oeoii/eia, ia?iaiiii?iinoue eiioo?ia noaeeiieo nieaoaiue, yei caa?iaaeeny ia iiiaio ae?oaiai ianoaaeaiiy. O 21 (80,7%) iaoei?ioa ?c 26 ?icaeioeanue iaoieiaiy OeIN na?aaeiueiai nooiaiy oyaeeinoi i o 5 (19,3%) - iiiiiaeueii ?iceaaee, yei eieaiaeoaaeeny ia ia?oiio iia?i//i aeeooy (iinoaiiiene/iee neiae?ii iiaiia?iaeaeaiiai). O 8 (9,5%) iiaiia?iaeaeaieo i?e i?iaaaeaiii ssI? oiiia?ao?? oa INA aecia/aeeny iciaee noaa?aoii?aeaeueieo e?iaiaeeeaia; 75,0% c ieo iaee a iiaeaeueoiio iaoieiaith OeIN oyaeeiai nooiaiy (aeeoy/ee oea?aa?aeueiee ia?aei/, aiieainiy); 25,0% - na?aaeiueiai nooiaiy (cao?eiea ineoiaiioeieiiai ?icaeoeo, aaiiaiiiniy). Ua o 12 (13,7%) ae?oae, yei a ?aiiueiio iaiiaoaeueiiio ia?iiaei iaee iciaee aaio?eeoeiaeeeyoaoei?, iinoioaii/ii eaeiiaeyoeieii einoe, iaea iinoea oyaeea iaoieiaiy OeIN (aiae?ioeaoaeiy, aeeoy/ee oea?aa?aeueiee ia?aei/, aiieainiy). ?acoeueoaoe i?iaaaeaieo aeineiaeaeaiue noiniaii iaoaaiei/ii? aaeaioaoei? aeioae, yei ia?aianee ?io?aiaoaeueio a?iien?th, aeathoue iiaenoaao aaaaeaoe, ui iioaineaia oa?aiiy oeeo iiaiia?iaeaeaieo iiaeiia ii/eiaoeny, ianaiia?aae, c ei?aeoei? eeneioii-eoaeiiai aiiainoaco, noaa?e?caoe?? iaoai?ci?a aaoi?aaoeyoe?? oea?aa?aeueiiai oa ea?ae?aeueiiai e?iaiieeio aeey caiia?aaiiy ?icaeoeo oyaeeeo iaoieiai/ieo ciii aieiaiiai iiceo. Aeey ei?aeoei? iaoaaiei/ieo i aaiiaeeiaii/ieo ?iceaaeia, iie?auaiiy iiceiaiai e?iaiieeio o ianoaaeaieo iiaiia?iaeaeaieo iaie aeiaaaeaia aeioeieueiinoue aeei?enoaiiy i?aia?aoia iinoaiii, ae?iaoinoii o eiiieaen? c ?ic/eiii "Eaeoanie". ?inoaiii aaiaeeee o aeaeyaei 1% ?ic/eio aeai/i ia aeiao aioo?ioiueiaaiii (aeicith 0,1 ie ia 1 ea iane aeeoeie, ?icaaaea-iiai o 5% ?ic/ei? aetheice aai oiciieiai/iiio ?ic/ei?) i?ioyaii 2-3-o aeiia; iioii - aioo?ioiueii'yciai oi?th ae aeicith i?ioyaii 4-10 aeia; ae?iaoinoii – o aeaeyaei 15% ?ic/eio ona?aaeeio aeicith 40 ia/ea/aeiao 4-5 ?acia ia aeaiue ca 10 oaeeei aei aiaeoaaiiy, ?ic/ei "Eaeoanie" – o aaio e?aiaeueii ii 10 ie/ea aeai/i ia aeiao i?ioyaii ia?oeo aeaio aeiia i 1 ?ac ia aeiao o ianooii? 3-4 aeii (oaeaeeinoue aaaaeaiiy - 30 e?aiaeue ca oaeeeio). I?e aeei?enoaiii aeaiiai eiiieaeno i?aia?aoia ii?yae ?c caaaeueiii?eeiyoith oa?aii?th iineyaiiiene/iiai neiae?iio (iniiaia a?oia) aiaeaoaaeinue aieueo oaeaeea cieeiaiiy iaoaaiei/iiai aoeeaeico (oaae. 2) oa aiaeiiaeaiiy iieacieeia aiiainoaco, iiae o iaiiaeyo a?oie niianoaaeaiiy, ye? io?eioaaee oieueee caaaeueiii?eeiyoa eieoaaiiy. Oaaeeoey 2 Aieea ??cieo iaoiae?a e?eoaaiiy ia ??aaiue AA ? ?I e?ia? iiaiia?iaeaeaieo, ye? ia?aianee ?io?aiaoaeueio a?iien?th (Mm) Iieaciee ?IA?eeiio?ieueiaaei e?eoaaiiyi?ney e?eoaaiiyae?oae, aeiaaa?oia (n=30)(n=88)iniiaia a?oia (n=48)a?oia ni?anoaa-eaiiy (n=40)17,250,067,190,05*7,240,06^’7,220,05*27,360,067,260,04*7,320,03^’7 ,310,07*37,340,037,280,02*7,340,04^’7,320,08*47,370,047,310,04*7,380,05^ ’7,350,06*57,400,037,360,05*7,400,06^’7,380,05*67,430,027,380,08*7,420,0 4^’7,400,05*77,420,037,380,08*7,430,02^’7,420,04* Ai?no AA a e?ia? (iiieue/e)A?eeiio?ieueiaaei e?eoaaiiyi?ney e?eoaaiiyae?oae, aeiaaa?oia (n=30)(n=88)Iniiaia a?oia (n=48)a?oia ni?anoaa-eaiiy (n=40)1-11,400,11-14,600,12*-11,800,06^’-12,400,12*2-9,610,08-14,100,30* -10,300,35^’-12,500,19*^3-9,000,14-13,100,11*-11,000,02^’-11,300,08*^4-7 ,010,09-11,800,09*-9,280,09*^’-10,900,08*5-7,100,09-11,000,21*-9,140,02* ^’-10,000,04*6-7,100,05-10,000,03*-8,640,06^’-9,200,25*^7-7,210,06-9,280 ,98*-8,000,99^’-9,400,08*I?ei?oee: 1. * – aeinoia??i?noue ??cieoe? (?<0,05) a?aeiinii iieaciee?a eiio?ieueii? a?oie; 2. ^ – aeinoia??i?noue ??cieoe? (?<0,05) iieaciee?a a?aeiinii oaeeo aei e?eoaaiiy; 3. ‘ – aeinoia??i?noue ??cieoe? (?<0,05) iieaciee?a iniiaii? oa a?oie ni?anoaaeaiiy i?ney e?eoaaiiy. O iiaiia?iaeaeaieo iniiaii? a?oie a ?aiiueiio iaiiaoaeueiiio ia?iiaei oaeaeoa iie?auoaaany caaaeueiee noai i eieaiaeoaaeany iaa?ieiai/ia neiioiiaoeea. Ii?yae c oeei o ieo aiaeii/aeiny c?inoaiiy aeio?aco c /ioeith oaiaeaioei?th aei eiai ii?iaeicaoei?. Iaeneiaeueia ao?aoa iane o?ea aeioae iniiaii? a?oie ia ia?aaeuoaaea 5,80,3% aiae ii/aoeiai?, a oie /an ye o ae?oae a?oie ni?anoaaeaiiy oeae iieaciee aei??aithaaa 7,10,4% (?0,05). Ia i?aenoaa? ?acoeueoao?a, i?inoaaeaieo oi?iaeiaae 3-5 ?ie?a, iiaeia aaaaeaoe, ui ?ic?iaeaia oa canoiniaaia noaia eieoaaiiy iineyaiiiene/ieo noaiia ia aeeeth/a? iaoieiai? OeIN, ona ae eieueeinoue oyaeeeo oea?aa?aeueieo ii?ooaiue a a?oii aeioae, yei io?eiaee oei i?aia?aoe, aoea cia/ii ieae/a (12,1%) ii?iaiyii c a?oiith aeioae, yeei i?iaiaeeeany o?eueee caaaeueiii?eeiyoa oa?aiiy (21,4%, ?0,05). AENIIAEE 1. Aino?a eeniaaa iaaeinoaoiinoue ieiaea i?ae /an iieia?a /anoioa iia'ycaia c aiiiaeiyie iieiaiai? aeiyeueiinoi (23,5%), oaciaeie ia?aaeeaaeaiiyie (12,8%), ia?aae/aniei aiaeoa?oaaiiyi ii?iaeueii ?icoaoiaaii? ieaoeaioe (12,0%). 2. Ca iaoiaeii i?iaiicoaaiiy aecia/aii, ui oaeoi?aie ?eceeo ?icaeoeo iio?aiaoaeueii? aiiieni? ieiaea ? iaoyaeaiee aiiaeieiai/iee aiaiiac aeiiie (eana??a ?icoei, ii?ooaiiy iaino?oaeueii? ooieoei?, iaieiaei?noue), oneeaaeiaiiy aeaii? aaaioiinoi (caa?ica ia?a?eaaiiy, cae?ciaeao?oeeoia aiaiiy aaaioieo) oa nioeiaeueii-iiaooiai oaeoi?e (aieiai ia?ai?iaeyu?, i?aoey ia oeiaeeeaiio ae?iaieoeoai). Oaeoeea aaaeaiiy iieia?a o ae?iie c a?oi ?eceeo uiaei ?icaeoeo aino?i? a?iien?? ieiaea iiaeiia ia?aaeaa/aoe i?io?eaeoeeo ii?ooaiue iaoa?einueei-ieiaeiaiai e?iaiia?ao oa nai?/aniee ia?aaeyae o a?e iia?aoeaiiai ?ic?iaeaeaiiy oeyoii eana?aaa ?icoeio. 3. Nooi?iue iioeiaeaeaiue OeIN o ae?oae, ye? ia?aianee ?io?aiaoaeueio a?iien?th, caeaaeeoue ia no?eueee a?ae ?? o?eaaeino? oa nooiaiy oyaeeino?, ne?eueee a?ae aoaeoeaiino? i?ioean?a iaoaaie?/ii? oa ea?ae?i-?ani??aoi?ii? aaeaioaoe?? iiaiia?iaeaeaieo o ?aiiueiio iaiiaoaeueiiio ia??iae?. 4. Aaii/ia e oeaieiia aiiieniy a ieaoeaioao i?eaiaeeoue aei ?icaeoeo i?enoinoaaeueieo i?ioeania, yei ni?yiiaaii ia eiiiainaoeith aiiieni? ieiaea. I?e oyaeeie aiiieni? ciinoa?iaathoueny ?aaeoei?, yei iieyaathoue o ?icaeoeo aeueoa?aoeaieo i?ioeania, nooiiiue ae?aaeaiinoi yeeo aecia/a? ?iaaiue ii?ooaiue aiiainoaco iiaiia?iaeaeaiiai o ia?oi /ane aeeooy oa aeieeiaiiy a iiaeaeueoiio oea?aa?aeueii? iaoieia?? ??ciiai nooiaiy oyaeeino?. 5. O ae?oae, ye? ia?aianee ?io?aiaoaeueio a?iien?th, i?e a?aenooiino? a?aeoeeaiue a?ae a?eiai? ii?ie ia INA oa i?e i?i?iaeueieo ee?i?/ieo i?iyaao iaoieia?? OeIN, a ia?o? aeiae i?ney ia?iaeaeaiiy ne?ae ?icoe?ithaaoe oeae noai ye iaa?ieia?/iee aeeno?an–neiae?ii, a ia ye ia?eiaoaeueio aioeaoaeiiao?th, ? i?ecia/aoe iaiaaeaio iaoiaaiaoe/io oa?ai?th. 6. Aeei?enoaiiy i?aia?aoia iinoaiii, ae?iaoinoii oa ?ic/eio "Eaeoanie" a oa?aii? iineyaiiiene/ieo noaiia iiaeaeuo? oaeaeeinoue eieaiaeaoei? iaoaaiei/iiai aoeeaeico, iaaea? iiceoeaio aaiiaeeiaii/io oa aeaceioieneeaoeieio aeith, iie?auo? iiceiaee e?iaiiaia i, oaeei /eiii, ? iaoiaeii i?ioieaeoeee oyaeeeo oea?aa?aeueieo ii?ooaiue. I?AEOE*II ?AEIIAIAeAOeI? 1. Aei a?oie ?eceeo uiaei ?icaeoeo aino?i? ?io?aiaoaeueii? a?iien?? iio??aii a?aeiineoe ae?iie c iaie?aei?noth a aiaiiac?, ii?ooaiiyie iaino?oaeueii? ooieoe??, ye? i?iyaeythoueny a?iiiaino?oaeueiei neiae?iiii, a oaeiae aaa?oieo, ye? iaee caa?ico ia?a?eaaiiy, aiai?th. 2. Onii ?iaeieeyi, aeeth/aiei aei a?oie ?eceeo uiaei ?icaeoeo iio?aiaoaeueii? aiiieni? ieiaea, iaiaoiaeii i?iaiaeeoe i?ioieaeoeeo ii?ooaiue iaoa?einueei-ieiaeiaiai e?iaiiaiao i?ae /an iieia?a i nai?/anii ia?aaeyaeaoe oaeoeeo aaaeaiiy iieiaia o aie iia?aoeaiiai ?ic?iaeaeaiiy. Oeei aeiieai o iieiaao ?aeiiaiaeo?oueny i?iaaaeaiiy ea?aeiioieia?aoi? c iaoith nai?/anii? aeiaaiinoeee oa ooi/iaiiy nooiaiy oyaeeinoi ?io?aiaoaeueii? a?iien?? ieiaea. 3. Iiaiia?iaeaeaiei, yei ia?aianee aino?o iio?aiaoaeueio aiiienith, iaiaoiaeii i?iaiaeeoe eiiieaenia ianoaaeaiiy, yea aeeth/a? iaia'yceiaa aecia/aiiy eeneioii-eoaeiiai oa aaciaiai neeaaeo e?iai aeey i?iaaaeaiiy iaaiaeeeaaeii? oa iaa?oioiaaii? ei?aeoei? aiiainoaco. 4. Aeioeieueii caeienithaaoe iae?iniiia?aoi/ia aeineiaeaeaiiy onii iiaiia?iaeaeaiei, yei ia?aianee ?io?aiaoaeueio a?iien?th, c iaoith aieueo oi/ii aeiaaiinoeee nooiaiy iioeiaeaeaiiy iiceo, i?iaiicoaaiiy ?icaeoeo iaoieiai? OeIN oa i?ecia/aiiy iaoiaaiaoe/ii oa?aii?. 5. Aei eiiieaeno eieoaaiiy iineyaiiiene/ieo noaiia o aeioae, yei ia?aian-ee i?ae /an iieia?a aino?o aiiienith, aeey ii?iaeicaoei? aiiainoaco i iie?auaiiy aaiieieai?iaeeiaiiee iaiaoiaeii aeeth/aoe i?aia?aoe: iinoaiii (o aeaeyaei 1% ?ic/eio aeai/i ia aeiao aioo?ioiueiaaiii aeicith 0,1 ie ia 1 ea iane aeeoeie, ?icaaaeaiiai o 5% ?ic/ei? aetheice aai oiciieiai/iiio ?ic/ei?) oi?iaeiaae 2-3-o aeiia; iioii - aioo?ioiueii'yciai oi?th ae aeicith i?ioyaii 4-10 aeia); ae?iaoinoii (o aeaeyaei 15% ?ic/eio ona?aaeeio aeicith 40 ia/ea/aeiao 4-5 ?acia ia aeaiue ca 10 oaeeei aei aiaeoaaiiy) oa ?ic/ei "Eaeoanie" (o aaio e?aiaeueii ii 10 ie/ea aeai/i ia aeiao i?ioyaii ia?oeo aeaio aeiia oa 1 ?ac ia aeiao o ianooii? 3-4 aeii, oaeaeeinoue aaaaeaiiy - 30 e?aiaeue ca oaeeeio). NIENIE IIOAE?EIAAIEO AAOI?II I?AOeUe CA OAIITH AeENA?OAOe?? 1. ?aaoeyoeey aiaeii-yeaeo?ieeoiiai iaiaia o iiai?iaeaeaiiuo iinea ino?ie aeiienee // Iaaeeao?ey. - 1993. - ? 3.- N. 29-31 (Ni?aaao.: I.O.Eaueinueeee). 2. ?ioaineaia oa?ai?y iinoa?iiene/ieo noai?a o iiaiia?iaeaeaieo // Iaae?ao??y, aeooa?noai oa a?iaeieia?y. - 1994. - ? 4. - N. 8-10. 3. Iniaaiiinoe ea?aeei-aaneoey?iie aaeaioaoeee iiai?iaeaeaiiuo, ia?aianoeo ino?oth eio?aiaoaeueioth aeiieneth // Iaaeeao?ey. - 1994. - ? 2. - N. 21-22. 4. Aieea oe?aeeeaeo ae?iaie/eo oaeoi??a ia ia?aa?a caa?ice ia?a?eaaiiy aaa?oiino? o ia?ai?iaeyueo ??cieo a?eiaeo a?oi: Ca. “Iaaeiiooaaiiy aaa?oiino?”, aei.1, - 1997. - N. 210-212. (Ni?aaao.: I.A.Ei?i??oeue, A.A.Iaeaaiiiaa). 5. ?ieue iae?iniiia?aoee a aeeaaiinoeea noaiaie oyaeanoe ia?eia-oaeueiie iaoieiaee OeIN iiai?iaeaeaiiuo, ia?aianoeo ino?oth aeiieneth a ?iaeao // Iaoa?eaeu thaeeaeiie iao/ii-i?aeo. eiioa?aioeee, iinay-uaiiie 100-eaoeth ni aeiy iniiaaiey 4 AA a. Eoaainea, 1996.- N.36. 6. Iniaaiiinoe oa/aiey aa?aiaiiinoe e ?iaeia a thiii aic?anoa. // Aeooaeueiua aii?. io?aiu caei?iauey aeaoae e iiae?inoeia Aeiiaanna. - 1996. - Aui.1,- N.75-77. (Ni?aaao.: A.A.N?i?ie, A.A.Iaeaaiiiaa). 7. Responce of intrauterine fetus to the heart valvular disease of mothers // Math. 4th World Congress in Heart Failure Jerusalem, Israel.- 1996 / Abs. ?1127. - V.5. - P. 810-811. 8.Using of pancuronii-bromidi /pavulon/ in artificial pulmonary ventilation in newborns with persistense of fetal circulation syndrome // Math. 7th International Symposium on Cardiovascular Pharmacotherapy. Jerusalem, Israel.- 1997.- V.11. - P.97. 9. Affect of acute intrapartum intrauterine hypoxia to cardiovascular adaptation of full-term newborn infants. // Math. 5th World Congress on Heart Failure, Washington, USA.- 1996.- Abs. ?1501. -V.9. - P.72-73. 10. Treatment of pregnants with intrauterine fetal hypoxia related by chronic cardiac insufficiency. // 7th International Symposium on Cardiovascular Pharmacotherapy. Jerusalen, Israel, 1997. - V.21. - P. 412-413. (Ni?aaao.: I.O.Eaueinueeee) AIIOAOe?ss E?ioiaeue ??eia Iao??aia. I?iaiicoaaiiy ?io?aiaoaeueii? a?iien?? ieiaea oa i?io?eaeoeea i?neya?iiene/ii? oea?aa?aeueii? iaoieia?? o ae?oae. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca oaoii 14.01.01 - Aeooa?noai oa a?iaeieia?y. - ?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? Aeaaeai?? iaaee/ieo iaoe Oe?a?ie. Ee?a, 1998. Aeena?oaoe?y i?enay/aia aea/aiith i?e/ei aeieeiaiiy ?io?aiaoaeue-ii? a?iien?? ieiaea oa ee?i?ei-eaai?aoi?iei aeine?aeaeaiiyi aiiainoaco ? iieaciee?a ea?ae?i-?ani??aoi?ii? aaeaioaoe?? iiaiia?iaeaeaieo i?ney oo?iaii? a?iien?? oa ano?en??. Aecia/aii oaeoi?e ?eceeo aeieeiaiiy a?iien?? ieiaea o ae?iie i?ae /an iieia?a oa anoaiiaeaii, ui /an ? ??aaiue ?oaeoeaiino? iaoaaie?/ii? oa ea?ae?i-?ani??aoi?ii? aaeaioaoe?? iiaiia?iaeaeaieo a?ae?a?athoue caaaeueio ?ieue a iaoiaaiac? i?neya?iiene/ieo ii?ooaiue OeIN o ae?oae, ye? ia?aianee ?io?aiaoaeueio a?iien?th. ?ic?iaeaia oa ai?iaiaaia o ee?i?oe? noaia oa?ai?? iiaiia?iaeaeaieo c i?neya?iiene/iei noaiii a ia?oo aeiao aeeooy c aeei?enoaiiyi eiiieaeno i?aia?ao?a ?inoaiii, ae?iaoinoii oa ?ic/eio “Eaeoanie”. Aeiaaaeaii, ui aeaia noaia ? ?oaeoeaiei iaoiaeii i?io?eaeoeee oyaeeeo ii?ooaiue OeIN o ae?oae. Eeth/ia? neiaa: ?io?aiaoaeueia a?iien?y, iinoa?iiene/i? oea?aa?aeuei? ii?ooaiiy, iaoaaie?/ia aaeaioaoe?y. ANNOTATION Krokhmal Irina Petrovna. Prognosis of intranatal fetal hypoxia and prophylaxis of posthypoxian cerebral pathology in children.- Manuscript. Thesis for a candidates degree by speciality 14.01.01. - Gynecology and Obstetrics. - Institute of Pediatrics, Obstetrics & Gynecology, Academy of Medical Science of Ukraine. Kiev, 1998. We determined risk’s factors of hypoxia apperance in labors and it was established, that the lowering of methabolic adaptational level, the increase of homeostasis indicators normalization time after intrapartum hypoxia, playes the main role in the pathogenesis of central nervous system’s disturbances in children. We approve in clinical conditions the theraputic measures in early posthypoxian neonatal period the sheme,including the preparation instenon, dimephosfon and solutio “Lactasolum”, which supplements traditional therapia of posthypoxian neonatal syndrome. The prepositional sheme influences rapidity of methabolic acydosis removal, like this, it is an effective measures for prevention of hard posthypoxian cerebral pathology. Key words: intrapartum hypoxia, posthypoxian cerebral pathology, methabolic adaptation. AIIIOAOeEss E?ioiaeue E?eia Iao?iaia. I?iaiice?iaaiea eio?aiaoaeueiie aeiienee ieiaea e i?ioeeaeoeea iinoaeiiene/aneie oea?aa?aeueiie iaoieiaee o aeaoae.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01 - Aeooa?noai e aeiaeieiaey.- Einoeooo iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII Oe?aeiu. Eeaa, 1998. Aeenna?oaoeey iinayuaia eco/aieth oaeoi?ia, niinianoaothueo aicieeiiaaieth ia?ooaiee iaoa?einei-ieiaeiaiai e?iaiia?auaiey a ?iaeao, i?iaiice?iaaieth eio?aiaoaeueiie aeiienee ieiaea. Ii aeaiiui eeeieei-eaai?aoi?iuo, eino?oiaioaeueiuo enneaaeiaaiee aiiainoaca e iieacaoaeae ea?aeei-?anie?aoi?iie aaeaioaoeee iiai?iaeaeaiiuo, ia?aianoeo eio?aiaoaeueioth aeiieneth, ii?aaeaeaiu iniiaiua iaoiaaiaoe/aneea oaeoi?u ?acaeoey iinoaeiiene/aneie oea?aa?aeueiie iaoieiaee ?acee/iie noaiaie oyaeanoe. ?ac?aaioaiu iaoiaeu eioaineaiie oa?aiee iiai?iaeaeaiiuo a ?aiiai iino?aaieiaoeeiiiii ia?eiaea, iicaieythuea nieceoue o?iaaiue ia?eiaoaeueiie caaieaaaaiinoe e nia?oiinoe. A ?acoeueoaoa i?iaaaeaiiuo enneaaeiaaiee auyniaiu iaeaieaa /anoua i?e/eiu ?acaeoey eenei?iaeiie iaaeinoaoi/iinoe ieiaea a ?iaeao: aiiiaeee ?iaeiaie aeayoaeueiinoe (36,2%), oaciaua i?aaeeaaeaiey ieiaea (19,8%), i?aaeaeaa?aiaiiay ioneieea ii?iaeueii ?aniieiaeaiiie ieaoeaiou (13,3%). Eco/aeenue aeooa?nei-aeiaeieiae/aneee, niiaoe/aneee aiaiiac, nioeeaeueii-auoiaua oaeoi?u, iniaaiiinoe oa/aiey aa?aiaiiinoe 204 aeaiuei, ?iaeu eioi?uo ineiaeieeenue eio?aiaoaeueiie aeiieneae. I?e i?iaaaeaiee i?iaiice?iaaiey aeiienee, i?iaiaeeiiai iaoiaeii Aaeana, ii?aaeaeaii, /oi oaeoi?aie ?enea yaeythony ni/aoaiea i?eciaeia – ioyaiuaiiue aeooa?nei-aeiaeieiae/aneee aiaiiac: eana?aai na/aiea, aanieiaeea, ia?ooaiea iaino?oaeueiie ooieoeee; ineiaeiaiey aeaiiie aa?aiaiiinoe: oa?ica i?a?uaaiey, aeaeaciaeaoeoeeoiay aiaiey; nioeeaeueiua oaeoi?u: aic?ano aieaa 30 eao, ?aaioa ia a?aaeiii i?iecaiaenoaa. Iaoiaeaie naaoiaie e yeaeo?iiiie iee?ineiiee i?iaiaeeeanue ioeaiea ieaoeaio aeaiuei ?iaeu eioi?uo ineiaeieeenue eio?aiaoaeueiie aeiieneae e e?un eeiee “Aenoa?” n yenia?eiaioaeueii niiaeaee?iaaiiie aeiieneae. Aeieacaii, /oi aaie/aneay e oeaiaaay aeiieney i?eaiaeeo e ?acaeoeth eiiiainaoi?iuo i?ioeannia a ieaoeaioa, iaania/eaathueo iiaeaea?aeaiea ii?iaeueiiai aiiainoaca i?aaiecia ieiaea. I?e oyaeaeie aeiienee a oeaiyo ieaoeaiou ?aaeno?e?othony aeano?oeoeaiua i?ioeannu, noaiaiue au?aaeaiiinoe eioi?uo iaoneiaeeaaao ia?ooaiey ooieoeee i?aaiecia ?aaaiea a ia?eiaea ?aiiae aaeaioaoeee e ?acaeoea o iaai a aeaeueiaeoai oea?aa?aeueiie iaoieiaee. Eco/aeenue a aeeiaieea i?ioeannu iaoaaiee/aneie e ea?aeei-?anie?aoi?iie aaeaioaoeee 118 iiai?iaeaeaiiuo, iino?aaeaaoeo io aeiienee. Ii?aaeaeyeenue iieacaoaee eeneioii-iniiaiiai ninoiyiey e aaciaiai ninoaaa e?iae, iniiaiua aeioeie/aneea iieacaoaee, ioeaieaaeanue yene?aoi?iay ooieoeey ii/ae. Aeey ioeaiee ninoiyiey na?aea/ii-ninoaeenoie e oeaio?aeueiie ia?aiie nenoaiu i?iaiaeeeenue eino?oiaioaeueiua enneaaeiaaiey: yeaeo?iea?aeeia?aoey, iae?iniiia?aoey, yaea?ii-iaaieoiay ?aciiainiay oiiia?aoey iicaa. Naeaeai auaiae i oii, /oi noaiaiue n?uaa eiiiainaoi?iuo aiciiaeiinoae i?aaiecia iiai?iaeaeaiiiai aeeyao ia oi?ie?iaaiea o ?aaaiea iaoieiaee oeaio?aeueiie ia?aiie nenoaiu, oae eae iia?aaeaeaiea iicaa i?ienoiaeeo ia oieueei a iiiaio aeiiene/aneiai aeeyiey, ii e ai a?aiy ?aiiaai iinoaeiiene/aneiai ia?eiaea, eiaaea no?aaeaao aai aiiainoac. Iieacaoaee oeceei-oeie/aneiai aiiainoaca iiaoo neoaeeoue e?eoa?eai yooaeoeaiinoe aaeaioaoeee iiai?iaeaeaiiiai. Eiaiii ia?ooaiea aiiainoaca iaoneiaeeaaao iiiai/eneaiiua iaa?ieiae/aneea ia?ooaiey, iaaethaeaaiua o ianeaaeiaaiiuo aeaoae a aeaeueiaeoai. Aeeeoaeueiinoue e au?aaeaiiinoue aeiienaiee e aoeeaeioe/aneeo naeaeaia iaoaaiee/aneiai e ?anie?aoi?ii-iaoaaiee/aneiai aaiaca iaoneiaeeaatho a aeaeueiaeoai aunieee ?ene ?acaeoey o aeaoae oyaeaeie oea?aa?aeueiie iaoieiaee. Oaeei ia?acii, oyaeanoue iinoaeiiene/aneeo iia?aaeaeaiee OeIN caaeneo ia noieueei io aeeeoaeueiinoe e oyaeanoe aeiienee, neieueei io yooaeoeaiinoe i?ioeannia iaoaaiee/aneie e ea?aeei-?anie?aoi?iie aaeaioaoeee iiai?iaeaeaiiiai a ia?aua aeie aeecie. Ia i?ioyaeaiee ?aiiaai iaiiaoaeueiiai ia?eiaea o iiai?iaeaeaiiuo, ia?aianoeo aeiieneth, ioia/aeanue ioiineoaeueii auno?ay ii?iaeecaoeey iieacaoaeae yeaeo?iea?aeeia?aiiu, a?oa?eaeueiiai aeaaeaiey, /anoiou na?aea/iuo nie?auaiee e aeeeoaeueii nio?aiyeenue i?eciaee ia?ooaiee aiiainoaca, naeaeaoaeuenoaothuea i ieceie yooaeoeaiinoe iaoaaiee/aneie aaeaioaoeee. Aeaiiue oaeo iicaieyao naeaeaoue auaiae i aaaeouae ?iee ia?ooaiee iaoaaieecia a iino?aaieiaoeeiiiii ia?eiaea a oi?ie?iaaiee oyaeaeie iinoaeiiene/aneie iaoieiaee OeIN. Aeey ei??aeoeee iaoaaiee/aneeo e aaii?aieiae/aneeo ia?ooaiee, oeo/oaiey iicaiaiai e?iaiia?auaiey aeieacaia oeaeaniia?aciinoue eniieueciaaiey i?aia?aoia einoaiii, aeeiaoinoii a eiiieaena n ?anoai?ii “Eaeoinie” ia?yaeo n iauai?eiyoie noaiie ea/aiey iinoaeiiene/aneiai neiae?iia iiai?iaeaeaiiuo. ?acoeueoaou iyoeeaoiaai iaaethaeaiey ca aeaoueie, ia?aianoeie eio?aiaoaeueioth aeiieneth, aeieacuaatho, /oi ?ac?aaioaiioth e eeeie/anee ai?iae?iaaiioth noaio iiaeii n/eoaoue iaeiei ec yooaeoeaiuo iaoiaeia i?ioeeaeoeee oyaeaeie iinoaeiiene/aneie oea?aa?aeueiie iaoieiaee o aeaoae. Eeth/aaua neiaa: eio?aiaoaeueiay aeiieney, iinoaeiiene/aneay oea?aa?aeueiay iaoieiaey, iaoaaiee/aneay aaeaioaoeey.

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