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Прогнозування інтранатальної гіпоксії плода та профілактика післягіпоксичної церебральної патології у дітей: Автореф. дис… канд. мед. наук / І.П. Кр

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?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? (?

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