.

Прогнозування, профілактика і обгрунтування патогенетичної терапії у жінок з поєднаними формами неплідності: Автореф. дис… д-ра мед. наук / А.Г. Кор

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

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

EI?IAOeUeEA AEEA A?EAI??AIA

OAeE 618.17.171-08-089-084.

I?IAIICOAAIIss, I?IO?EAEOEEA ? IAA?OIOOAAIIss

IAOIAAIAOE*II? OA?AI?? O AE?IIE C II?AeIAIEIE

OI?IAIE IAIE?AeIINO?

14.01.01 – aeooa?noai ? a?iaeieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a – 1998

Aeena?oaoe?y ? ?oeiienii

?iaioa aeeiiaia a ?inoeooo? iaae?ao???, aeooa?noaa oa a?iaeieia?? AII
Oe?a?ie.

Iaoeia? eiinoeueoaioe:

aeieoi? iaaee/ieo iaoe, i?ioani?

?AAITHOA E?Ae?ss ?AAI?AIA

?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie

caa?aeoaa/ a?aeae?eaiiy ?aaa?e?oaoe?? ?ai?iaeoeoeaii? ooieoe?? ae?iie

aeieoi? iaaee/ieo iaoe, i?ioani?

*A?IEOIA A?EOI? IAAEIAE*

?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie

caa?aeoaa/ eaai?aoi??? ?ioiieia??

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. I.I.Aiaiiieueoey (i.Ee?a),
IIC Oe?a?ie

i?ioani? eaoaae?e aeooa?noaa oa a?iaeieia?? N1

aeieoi? iaaee/ieo iaoe, i?ioani?

O?AI*OE AIAOIE?E THOEIIAE*

Oa?iii?euenueea Aea?aeaaia iaaee/ia aeaaeai?y ?i. ?.ss.Ai?aa/aanueeiai
IIC Oe?a?ie

i?ioani? eaoaae?e aeooa?noaa ? a?iaeieia?? iaaee/iiai oaeoeueoaoo

aeieoi? iaaee/ieo iaoe, i?ioani?

Ae?AIEE AAI?A?E IEEIEAEIAE*

?inoeooo o?ieia?? ? iao?ieia?? AII Oe?a?ie

caa?aeoaa/ eaai?aoi??? ?ioiieia??

I?ia?aeia onoaiiaa – Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe
?i. I.E.Ooieea IIC Oe?a?ie, eaoaae?a aeooa?noaa oa a?iaeeia?? ?1

Caoeno a?aeaoaeaoueny “9” eenoiiaaea 1998 ?ieo ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee ii caoenoo aeena?oaoe?e ia caeiaoooy
iaoeiaiai nooiaiy aeieoi?a iaoe ca niaoe?aeueiinoyie “Iaae?ao??y”,
“Aeooa?noai ? a?iaeieia?y” (Ae 26.553.01) 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 “16” aeiaoiy 1998 ?ieo

A/aiee nae?aoa?

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

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. ?ai?iaeoeoeaia caei?ia’y aecia/athoue ye
noai, a yeiio ?ai?iaeoeoeaiee i?ioean cae?enith?oueny o iiaiiio
o?ce/iiio, ineo?/iiio, nioe?aeueiiio aeaaiiieo//?. Iaeiei ?c ae?eiaeo
oaeoi??a, yeee a?ae’?iii aieeaa? ia ?ai?iaeoeoeaia caei?ia’y oea
iaie?aeiee oetha, caaaeueia /anoioa yeiai neeaaea? a?ae 10,0 aei
20,0 % (O.ss. Ioaie/ieeiaa, 1991; A.I.Aaioeeianueeee, 1994;
E.?.?aaithoa, 1995, 1996; C.A.Oe??ye-Ieaeiee, 1996; Michel F. et
al.,1993).

Iniaeeao o?eaiao aeeeeea? iaie?aei?noue o ae?iie, yea
cono??/a?oueny ii aeaieo ??cieo aaoi??a a?ae 47,5 % aei 70,0 % a
no?oeoo?? iaie?aeieo oetha?a (E.A.Aiae, 1990; E.A.Aiioei ?
I.A.Eiiiaaeia, 1992; R.I. Peperell et al.,1986).

??ciiiai?oi?noue iaoiaee/ieo i?aeoiae?a aei a?aeoai?aiiy
?ai?iaeoeoeaii? ooieoe?? oa ?o iaaeniea aoaeoeai?noue aeaco? ia
a?aenooi?noue ?nioaaiiy /?oeeo ciaiue ao?ieia?/ieo ? iaoiaaiaoe/ieo
iaoai?ci?a iioeiaeaeaiiy. Oey i?iaeaia noa? ua neeaaei?oith, eiee
i?e/eiith iaie?aeiino? ? 2, 3 a oi ? 4 /eiieee ? iinoa? ieoaiiy
aecia/aiiy iniiaiiai ?c ieo (A.I.Niaoiee e E.A.Ooieeiae/, 1990;
A.I.Aaneaeia, 1990; O.ss.Ioaie/ieeiaa, 1991; E.?.?aaithoa ? A.A.
Ei?iaoeueea, 1995).

Oea a ia?oo /a?ao noino?oueny iaoiaaiaco ii?ooaiiy ?ai?iaeoeoeaii?
ooieoe??, aiane?aeie ia?aianaiiai caiaeueiiai i?ioeano aai?oae?e (CIA) a
ii?aeiaii? c niaeeiaith oai?iaith i?aai?a iaeiai oaco oa /a?aaii?
ii?iaeieie, neiae?iiii iie?e?noicieo y?/iee?a (NIEss), aai?oaeueiei
aiaeiiao??icii (AA), o?a?ii?iiith iaoee (OI); ?ic?iaee iaoiae?a
ae?aaiinoeee, i?iaiicoaaiiy oa aeeoa?aioe?eiaaiiai i?aeoiaeo aei
??cieo iaoiae?a e?eoaaiiy oa i?io?eaeoeee.

Na?aae i?e/ei iaie?aeiino? a inoaii? ?iee cia/io oaaao noaee
i?eae?eyoe ?ioiieia?/iiio oaeoi?o (C.I.Aeoainna?neay, 1987;
A.I.*a?iuoia e E.E.Aaeaieia, 1988; I.A.Oaeo, 1989).

sseui oa?aeoa?enoeea i?noeaaeo niaoeeo?/ieo ? ianiaoeeo?/ieo
oaeoi??a caoenoo ? ?o oeeee?/ieo ci?i o caei?iaeo ae?iie
oa?oeeueiiai a?eo ? c ii?ooaiith ?ai?iaeoeoeaiith ooieoe??th i?e ie?aieo
aeaeao iaoieia?? aena?oeaia aeinoaoiuei aeaoaeueii (A.I.Naaaeueaaa e
E.A.Aioiiia, 1987; A.I.*a?iuoia, 1987,1988; E.E.Eaaithoa, 1992), oi
noai ?ioiiiai aiiainoaco a ne?iaaooe? e?ia? (NE), ia??oiiaaeuei?e (I?)
oa oie?eoey?i?e (O?) ??aeeiao aea/aiee cia/ii iaioa e iineoue
noia?a/eeaee oa?aeoa?.

Ia ?ice?eoith caeeoa?oueny ?ieue aaiiaeeiai?/ieo ? o?io?/ieo
?iceaae?a a aiaieu? iioeiaeaeaiiy ia aiaeie?eiii-?ioiiee aiiainoac
i?aai?cio ae?iee c ii?ooaiith ?ai?iaeoeoeaiith ooieoe??th.

Na?aae aaaaoueio ieoaiue i?iaeaie ii?aeiaieo oi?i
iaie?aeiino? iica oaaaith caeeoathoueny ieoaiiy iaoaaie?/ieo
iniaeeainoae a?ieia?/ieo oeaiei ? cie?aia, ?o aia?aaoe/iee iai?i, noai
i?i-oa aioeieneaeaioii? nenoai a e?ia? ? iniaeeai a oeaiei?
aiaeiiao??th.

I?e oeueiio iaeaea ia a?aoiao?oueny ii?oieia?/ia oa oeeoiaaiaoe/ia
ioe?iea iiaiioe?iiino? iioeeo?a, ?o nooi?iue c??eino? ? iiaeeea?noue
oe?eueiai? ?aaoeyoe?? aaiaoiaaiaco. I?io?eaeoeea, ae?aaiinoeea ?
e?eoaaiiy oeeo c?ooaiue, iniaeeai ia ?aii?o noaae?yo caoai?thaaiiy
i?aaenoaaey? cia/i? o?oaeiiu?.

Aiae?c e?oa?aoo?e iieacaa, ui ieoaiiy i?i aeei?enoaiiy oiai /e
?ioiai iaoiaeo e?eoaaiiy, ii/a?aiaino? eiai aeei?enoaiiy, iaaeo
eiina?aaoeaii? oa?ai?? ? iiaeeeaino? ia?aoiaeo aei o??o?a?/ii?
?aaa?e?oaoe?? aai aeei?enoaiiy iiaeo ?ai?iaeoeoeaieo oaoiieia?e
caeeoa?oueny ia cian?i ae??oaiei. Oiio aiae?c a?aeaeaeaieo ?acoeueoao?a
o??o?a?/iiai oa eiina?aaoeaiiai e?eoaaiiy ii?aeiaieo oi?i ae?ii/i?
iaie?aeiino? c oe?eeth i?iaiicoaaiiy eiai aoaeoeaiino? i?aaenoaaey?
aacnoii?aiee i?aeoe/iee ? oai?aoe/iee ?ioa?an.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Ia?aiee iai?yiie aeine?aeaeaiiy o?nii iia’ycaiee c ieaiaie iaoeiai
aeine?aeieo ?ia?o ?IAA AII Oe?a?ie ( ? aea?ae?a?no?aoe?? 01.93.E
036275;

? 01.96.E 006280 ).

Iaoa ?iaioe. I?aeaeueoe aoaeoeai?noue ae?aaiinoeee oa e?eoaaiiy
iaie?aeiino? o oetha? ia iniia? iiaeeaeaiiai, eiiieaeniiai aea/aiiy
i?e/ei, iaoai?ci?a ?? ?icaeoeo ? noai?aiiy aeai?eoio i?iaiicoaaiiy
aoaeoeaiino? e?eoaaiiy, ui ni?eyoeia iaoeiaiio iaa?oiooaaiith ?
?ic?iaoe? aeeoa?aioe?eiaaieo iaoiae?a i?io?eaeoeee ? e?eoaaiiy
ii?aeiaieo oi?i iaie?aeiino? o oetha?.

Caaea/? aeine?aeaeaiiy.

1. Aea/eoe no?oeoo?o ? i?e/eie iaie?aeiino? a oetha? ia iniia?
ee?i?ei-noaoenoe/iiai aiae?co ?noi??e oai?iae ae?iie c iaie?aei?noth.

2. Aeaoe eiiieaenio ioe?ieo ooieoe?iiaeueiiai noaio
aioo??oi?o noaoaaeo i?aai?a ia iniia? aia?aoieo iaoiae?a
aeine?aeaeaiiy.

3. Aeynieoe ?ieue ?ioiieo, aiaeie?eiieo, a?io?i?/ieo oaeoi??a a
iaoiaaiac? ii?aeiaieo oi?i iaie?aeiino?.

4. Aea/eoe ooieoe?iiaeueiee noai ? aia?aaoe/iee iioaioe?ae
i?aaio-i?oai? – aiaeiiao??th o ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino?.

5. Aea/eoe oie?eoei- ? iiaaiac ? aeaoe oeeoiii?oieia?/io ?
oeeoiaaiaoe/io oa?aeoa?enoeeo iioeeo?a o ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino? a aeeiai?oe? iaino?oaeueiiai oeeeeo ? e?eoaaiiy.

6. ?ic?iaeoe aeeoa?aioe?eii-ae?aaiinoe/i? oaaeeoe?, e?eoa???
?aiiuei? ae?aaiinoeee ? aeai?eoie i?iaiicoaaiiy aoaeoeaiino? e?eoaaiiy
iaie?aeiino? a oetha?.

7. Iaoeiai iaa?oiooaaoe, ?ic?iaeoe ? ao?eeoe eiiieaen
i?aai?caoe?eieo, i?io?eaeoe/ieo ? e?eoaaeueieo caoiae?a, iai?aaeaieo
ia iiia?aaeaeaiiy ? oa?ai?th ii?aeiaieo oi?i iaie?aeiino? a
oetha?.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. O ?iaio? aia?oa:

– i?iaaaeaii eiiieaenia ee?i?ei-ia?aee?i?/ia ianoaaeaiiy ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? ? aecia/ai? iniiai? ? ae?oai?yaei?
/eiieee, ui iaaaoeaii aieeaathoue ia ?ai?iaeoeoeaio ooieoe?th ae?iee;

– oeyoii aeeiai?/iiai iine?aeiaiiai ianoaaeaiiy ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? c aeei?enoaiiyi no/anieo iaoiae?a
aeine?aeaeaiiy /ae?a?oaeueia noao?aeoe?eia
a?aeaiiao?inaeuei?iaia?ao?y (AeNAIN), aia?ia?ao?y (AeNA),
eaia?ineii?y (EN), a?noa?ineii?y (AN)/ anoaiiaeai? ia o?eueee
aiaoii?/i? ? ooieoe?iiaeuei? ci?ie a i?aaiao ? nenoaiao, aea e
aecia/aia eieae?caoe?y ? aeeaeia iioeiaeaeaiiy, ui aaaeeeai i?e
iiaeaeueo?e ?ic?iaoe? oaeoeee ei?aeoe?? aeyaeaieo ci?i;

– aeyaeai? iia? aeai? i?i aieea ??cieo iioeiaeaeoth/eo oaeoi??a ia
?icaeoie ? i?noea i?iaeoeoe?? aioenia?iaeueii? ?cinainea?e?caoe??,
aaoi?ioiieo ?aaeoe?e aei oeaieie y?/ieea o iaie?aeieo ae?iie,
yea iia’ycaia c iecueeei ??aiai NAe4 ia ii/aoeo ? a e?ioe?
iaino?oaeueiiai oeeeeo c iacia/iei i?aeaeuaiiyi eiai a ia??iaoeyoi?iee
ia??iae, i?eai?/aiiyi i?iaeoeoe?? i?iaanoa?iio, cieaeaiiyi ??ai?a
?ai?iaeoeoeaieo a?ee?a ??12 ? ??14;

– anoaiiaeaia ?icaaeainiaai?noue iieaciee?a ee?oeiiiai
caaaeueiiai ?ioi?oaoo a a?ieia?/ieo ??aeeiao a aeeiai?oe?
iaino?oaeueiiai oeeeeo, a?aenooi?noue noi?an?? a ia??iaoeyoi?iee
ia??iae o ae?iie c o?eaaeei i?io?eaiiyi caiaeueiiai i?ioeano ?
aiaeiiao??icii;

– anoaiiaeai? cia/i? ci?ie a?iio?ca?ii-aiiaaeii? nenoaie o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino?, ye? ia iaeiicia/i? ? caeaaeaoue a?ae
aeaeo iaoieia??, aeeaeie iioeiaeaeaiiy oiai /e ?ioiai i?aaio,
o?eaaeino? caoai?thaaiiy, ii?aeiaiiy aeae?eueeio /eiiee?a;

– ia iniia? aea/aiiy aia?aaoe/iiai iai?io a i?aai?-i?oai? o
ae?iie c ii?aeiaieie oi?iaie iaie?aeiino? iieacaii a?ae’?iiee aieea
a?iiene/ieo ii?ooaiue a aiaeiiao???, anoaiiaeaia aeoeaaoe?y i?ioean?a
ia?aeeniiai ieeneaiiy e?i?ae?a ia oii? ?icaaeainiaaii? ?aaoeyoe?? oa
i?eai?/aiiy nenoaie aioeieneaeaioiiai caoenoo a ??cieo a?ieia?/ieo
na?aaeiaeuao ? aeieacaia ?ieue oeeo ii?ooaiue a aeieeiaii? iaie?aeiino?
ia ??ai? i?aeaoe?? caie?aeiaii? yeoeaee?oeie;

– aea/ai? iniaeeaino? oie?eoei- ? iiaaiaco o ae?iie c
iaie?aei?noth ii?aeiaiiai aaiaco ia iniia? eiiieaeniiai aeei?enoaiiy
oeueo?acaoeiaeo, oeeoiaaiaoe/ieo, oeeoiii?oieia?/ieo ?
oeueo?ano?oeoo?ieo iaoiae?a aeine?aeaeai-iy ? iieacaii iiceoeaiee aieea
aioo??oiueiaaiiiai eaca?iiai ii?ii?iaiiy e?ia? ia o?eueee ia
ai?iiiaeueiee aiiainoac ae?iee, aea ? cia/ii ciaioo? aeaaaia?aoeai?
ci?ie yaea?iiai iaoa??aeo iioeeoo.

– ?ic?iaeai? aeai?eoie i?iaiicoaaiiy aoaeoeaiino? e?eoaaiiy ae?iie
c ii?aeiaieie oi?iaie iaie?aeiino?, aeei?enoaiiy yeeo aeicaiey? nooo?ai
i?aeaeueoe i?ioeaio iiceoeaieo ?acoeueoao?a ? cai?iiiiiaai? iia?
e?eoa??? ae?aaiinoeee ii?aeiaieo oi?i iaie?aeiino?, ii/a?aia?noue
iaoiae?a ianoaaeaiiy a caeaaeiino? a?ae aeaeo iaoieia??, yeee aeeeeea?
ii?ooaiiy ?ai?iaeoeoeaii? ooieoe??;

– aaeineiiaeaia ? iaoeiai iaa?oioiaaia eiioeaioe?y iiaoaiiiai,
aeeoa?aioe?eiaaiiai, c o?aooaaiiyi ao?ieia?/ieo ? iaoiaaiaoe/ieo
/eiiee?a i?aeoiaeo aei nenoaie caoiae?a ii i?io?eaeoeoe? ? e?eoaaiith
ae?iie c iaie?aei?noth ii?aeiaiiai aaiaco, ui aeicaiey? cia/ii
i?aeaeueoe i?ioeaio iiceoeaieo ?acoeueoao?a.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Iaa?oioiaaia
iaiao?aei?noue i?iaaaeaiiy iiaoaiiiai ee?i?ei-ia?aee?i?/iiai
ianoaaeaiiy iaie?aeii? ae?iee c iaoith aecia/aiiy iniiaii? ?
ae?oai?yaeii? i?e/eie iaie?aeiino?, aeeaeie iioeiaeaeaiiy i?aai?a ?
nenoai, ye? iaaaoeaii aieeaathoue ia ?ai?iaeoeoeaio ooieoe?th, a oaeiae
nai?/aniiai i?iaaaeaiiy nenoaie i?io?eaeoe/ieo ? e?eoaaeueieo
caoiae?a, ui cieaeothoue aai onoaathoue i?e/eie ye? i?ecaiaeyoue
aei iaie?aeiino?. ?ic?iaeaia ? cai?iiiiiaaia aeey canoinoaaiiy a
i?aeoe/i?e ioi?ii? caei?ia’y nenoaia aaoiiaoeciaaiiai
ee?i?ei-ia?aee?i?/iiai oanooaaiiy, ii/eiath/e c ae?ii/i? eiinoeueoaoe??
? cae?i/oth/e niaoe?ae?ciaaieie noaoe?iia?ieie a?aeae?eaiiyie.

?ic?iaeaia ? iaoeiai iaa?oioiaaia aeeoa?aioe?eiaaia oa?ai?y
??cieo oi?i ae?ii/i? iaie?aeiino? c o?aooaaiiyi ii?aeiaiiy o??? /e ?ioi?
iaoieia??, o?eaaeino? iaie?aeiino? ui i?ecaiaeeoue aei i?aeaeuaiiy
?acoeueoao?a e?eoaaiiy.

Cai?iiiiiaai? iia? iaoiaeeee ae?aaiinoeee iaie?aeiino? o ae?iie
ia ?aii?o aoaiao caoai?thaaiiy c aeei?enoaiiyi no/anieo
eiii’thoa?ii-aiaeiaaneoey?ieo iaoiae?a aeine?aeaeaiiy ? aea/aiiyi
ii?oiooieoe?iiaeueieo ci?i i?aaio-i?oai? (aiaeiiao??e), ui ni?ey?
aecia/aiith iniiaii? i?e/eie ii?ooaiiy ?ai?iaeoeoeaii? ooieoe?? ?
nai?/anii i?ecia/eoe aaeaeaaoio oa?ai?th.

?ic?iaeai? ? aaeineiiaeai? oa?i?ie ? e?eoa??? eiina?aaoeaii?
oa?ai?? ii?aeiaieo oi?i ae?ii/i? iaie?aeiino?, o??o?a?/iiai
e?eoaaiiy, a oaeiae iieacaiiy ? i?ioeiieacaiiy aei ooo/ii?
?inai?iaoe?? aeiii?nueeith aai nia?iith /ieia?ea, aeno?aei?ii?aeueiiai
caie?aeiaiiy.

Iniiai? i?eioeeie iiaoaiiiai ianoaaeaiiy ? aeeoa?aioe?eiaaiiai
e?eoaaiiy ae?iie c ii?aeiaieie oi?iaie iaie?aeiino? ai?iaaaeaeai? a
i?aeoeeo ?iaioe ae?ii/eo eiinoeueoaoe?e.th aeooa?nueei-a?iaeieia?/ieo
noaoe?iia?ao, Aeiiaoeueei?, Caii??cueei? oa Oa?iii?euenueei? iaeanoae,
aeeth/ai? a oeeee eaeoe?e eo?n?a ?ioi?iaoe?? oa noaaeoaaiiy c
aeooaeueieo ieoaiue aeooa?noaa oa a?iaeieia?? i?e ?inoeooo? iaae?ao???,
aeooa?noaa oa a?iaeieia?? AII Oe?a?ie.

Ca iaoa??aeaie aeena?oaoe?? io?eiaii 3 iaoaioe ia aeiaoiaee: ?1412793 SU
“Niinia i?ioeeaeoeee niaa/iiai i?ioeanna a?thoiie iieinoe a
iineaiia?aoeeiiiue ia?eiae”, 1988; ?96125004 UA “Niin?a i?iaiicoaaiiy
aoaeoeaiino? e?eoaaiiy iaie?aeiino? o ae?iie”, 1997; ?95041759 UA
“Niin?a ae?aaiinoeee iaie?aeiino?”, 1998.

Ai?iaaoe?y ?iaioe. Iaoa??aee aeena?oaoe?? aeiiia?aeaeeny ia ?
c’?cae? aeooa??a-a?iaeieia?a Oo?eiai?noaio (Aooaaaae, 1988), ia
can?aeaii? i?nueeiai oiaa?enoaa aeooa??a-a?iaeieia?a (Ee?a, 1989),
neiiic?oi? ii i?iiaiaa?e ae?aaiinoeoe? (Ee?a, 1989), ia ?O ananithciiio
neiiic?oi? c i?aeia?iaeiith o/anoth “?ioiieia?y ?ai?iaeoeoe??” (Ee?a,
1990), ia iaoeiai-i?aeoe/i?e eiioa?aioe?? aeooa??a-a?iaeieia?a Oe?a?ie
(Aeiiaoeuee, 1994), ?O anana?oiueiio, ?? ?a?iiaenueeiio eiia?anao
aeooa??a-a?iaeieia?a (?niai?y, 1995), neiiic?oi? c i?aeia?iaeiith
o/anoth “Aeiiii?aei? ?ai?iaeoeoeai? oaoiieia??” (Ee?a, 1995)
neiiic?oi? c i?aeia?iaeiith o/anoth ii ?ioiieia?? (Ee?a, 1996), O
c’?cae? aeooa??a-a?iaeieia?a Oe?a?ie (Iaeana, 1996), ieaioi?
aeooa??a-a?iaeieia?a Oe?a?ie (*a?i?aoe?, 1997), iaoeiai-i?aeoe/i?e
eiioa?aioe?? “Aeooaeuei? ieoaiiy o??o?a??”
(Ee?a-Oiaeueieoeueeee-A?iieoey, 1997).

Iaoa??aee aeena?oaoe?? a?aeia?aaeai? a iaoiaee/ieo ?aeiiaiaeaoe?yo
“Iaoiaeu aeeaaiinoeee, ea/aiey e i?eioeeiu aeeniaina?ecaoeee aeaaooae e
aeaiuei, oa?iaeaaiuo ii ia?ooaieth ?ai?iaeoeoeaiie ooieoeee” (Eeaa, 1991
/ ni?aaao. E.?.?aaithoa, A.?.A?euaiei, ss.I.Nieuenueeee,
TH.I.A?oiei-Aieueoiaa, ?.A.Aiae, A.N.Aeoa/ae, A.O.Iaoa?ao?anueea,
I.O.Eaueinueeee, TH.?.Ia?auoe, C.I.Aeoainna?neay, A.A *oa, I.N.
Niaae?e), “Iaiaaeeeaiaioici? iaoiaee e?eoaaiiy caaaeueieo caoai?thaaiue
aai?oae?e (Ee?a, 1993 /ni?aaao. A.?. A?euaiei, E.?.?aaithoa,
A.?.Aeoa/ae, C.I.Aeoaina?nueea).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 29 i?aoeue, ?c
ieo 10 noaooae, 3 iaoaioe, 2 – a iaoeiaeo ca??ieeao, 14 – a oacao ?
iaoa??aeao aeiiia?aeae iaoeiaeo eiioa?aioe?e.

Ianya oa no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 308
noi??ieao iaoeiiieniiai oaenoo, ?ethno?iaaia 22 iaethieaie ? 56
oaaeeoeyie, ye? caeiathoue 40 noi??iie. Neeaaea?oueny ?c anooio,
iaeyaeo e?oa?aoo?e, 7 ?icae?e?a aeanieo aeine?aeaeaiue,
caeeth/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e,
yeee aeeth/a? 450 aeaea?ae a?o/eciyieo oa ca?oa?aeieo aaoi??a, ui
caeiathoue 47 noi??iie.

Iniaenoee aianie caeiaoaa/a. I?iaaaeaii aeaoaeueiee
ee?i?ei-ia?aee?i?/iee aiae?c ianoaaeaiue 500 oai?eo c ii?aeiaieie
oi?iaie iaie?aeiino?. Aaoi? ?ic?iaea aeai?eoi i?iaiicoaaiiy
aoaeoeaiino? e?eoaaiiy iaie?aeiino?, aecia/ea e?eoa??? ae?aaiinoeee ia
?aii?o aoaiao caoai?thaaiiy ? i?ney e?eoaaiiy. Cai?iiiioaaa ?
ai?iaaaeea iia? iaoiaeeee ae?aaiinoeee ooieoe?iiaeueiiai noaio
iaoeiaeo o?oa oa aaiiaeeiai?ee i?aai?a iaeiai oaco c aeei?enoaiiyi
iiaeo eiii’thoa?ii-aiaeiaaneoey?ieo iaoiae?a aeine?aeaeaiiy. Anoaiiaea
iia? e?eoa??? ae?aaiinoeee iaie?aeiino? ii?aeiaiiai aaiaco,
aeeth/ath/e i?aaie-i?oai? (y?/ieee, aiaeiiao??e). ?ic?iaea iia? noaie
?iaeoeoe?? iaoeyoe??, aeeth/ath/e iaai?iiiaeuei? iaoiaee. Aea/ea
oeeoiii?oieia?/i? ? oeeoiaaiaoe/i? iniaeeaino? iioeeoo o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino?. ?ic?iaea ? iaa?oiooaaa iaoiaee
i?io?eaeoeee ? e?eoaaiiy iaie?aeiino? o ae?iie. I?ia?a aeeiai?/ia
niinoa?aaeaiiy ae?iie a i?ioean? eiina?aaoeaii? oa o??o?a?/ii?
?aaa?e?oaoe?e. Aeeiiaa iniiaio /anoeio aia?ia?ao?/ieo,
a?aeaiiao?i-naeuei?iaia?ao?/ieo, aiaeineii?/ieo iaoiae?a
aeine?aeaeaiiy. Aea/aa ca aeiiiiiaith noao?aeoe?eii?
ae?a?oaeueii? aia?ia?ao?? aaiiaeeiai?eo i?aai?a iaeiai oaco o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? ? aecia/ea oa?aeoa?i? aia?ia?ao?/i?
iciaee aeey ??cii? iaoieia??, aeeth/ath/e o?ii?/iee caiaeueiee
i?ioean aai?oae?e, neiae?ii iie?e?noicieo y?/iee?a, o?a?ii?iio iaoee
oa aai?oaeueiee aiaeiiao??ic. ?ioa?i?aooaaa iaea?aeai? ?acoeueoaoe,
c?iaea aeniiaee ? ?ic?iaea i?aeoe/i? ?aeiiaiaeaoe??.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeey ae??oaiiy iinoaaeaieo
caaaeaiue iaie anaa?/ii ianoaaeaii 500 ae?iie c iaie?aei?noth
ii?aeiaiiai aaiaco, a oiio /ene? 190 ae?iie, o yeeo iaie?aei?noue
aoea iaoiiaeaia o?ii?/iei naeuei?ia?oii a ii?aeiaii? c
ia??naeuei?ia?oii (? ee?i?/ia a?oia), 142 ae?iee, o yeeo iaie?aei?noue
aeieeea aiane?aeie o?eaaeiai o?ii?/iiai naeuei?ia?oo ? aoi?eiii
iaoiiaeaiiai NIEss (?? ee?i?/ia a?oia), 77 ae?iie c NIEss a ii?aeiaii?
c o?ii?/iei naeuei?ia?oii (??? ee?i?/ia a?oia), 45 ae?iie o yeeo
iaie?aei?noue caiaeueiiai aaiaco aoea ii?aeiaia c AA (IV ee?i?/ia a?oia)
? 46 iaie?aeieo ae?iie aea o?ii?/iee naeuei?ia?o ii?aeioaaany c OI (V
ee?i?/ia a?oia). A?oio eiio?ieth ii aeiaeaoeiaeo iaoiaeao
aeine?aeaeaiue neeaee 132 ae?iee c iaii?ooaiith ?ai?iaeoeoeaiith
ooieoe??th.

Ianoaaeaiiy i?iaiaeeeenue a a?aeae?eaii? ?aaa?e?oaoe??
?ai?iaeoeoeaii? ooieoe?? ae?iie ?inoeoooo iaae?ao???, aeooa?noaa oa
a?iaeieia?? AII Oe?a?ie (ea??aiee – i?io. E.?.?aaithoa).

?acoeueoaoe ianoaaeaiiy ? e?eoaaiiy ae?iie iaeiie/oaaeenue ca
aeiiiiiaith niaoe?aeueii ?ic?iaeaii? oi?iae?ciaaii? ?noi??? oai?iae.

O an?o ae?iie ii?yae ?c caaaeueiii?eeiyoeie ee?i?ei-eaai?aoi?ieie
? ?ino?oiaioaeueieie aeine?aeaeaiiyie i?iaiaeeeenue niaoe?aeuei?
iaoiaee aeine?aeaeaiiy ?ai?iaeoeoeaii? ooieoe?? ae?iee (?ioiieia?/i?,
aiaeie?eiieia?/i?, a?io?i?/i?, ii?oieia?/i?, ?aioaaiieia?/i?,
aia?ia?ao?/i?, aiaeineii?/i?, aoia?ao?/i?, oa?iia?ao?/i?).

Ooieoe?iiaeueiee noai y?/iee?a ioe?ithaaany ca ?acoeueoaoaie oano?a
ooieoe?iiaeueii? ae?aaiinoeee.

Oa?oeeuei?noue /ieia?ea aecia/aeanue ca ?acoeueoaoaie nia?iia?ai c
o?aooaaiiyi ?aeiiaiaeaoe?e AIIC.

Aeey aecia/aiiy aiaoii?/ieo ? ooieoe?iiaeueieo ci?i iaoee, iaoeiaeo
o?oa, e??i caaaeueiii?eeiyoeo ?aioaaiieia?/ieo aeine?aeaeaiue
(iao?inaeuei?iai-a?ao?y, iaeuea?ia?ao?y, a?eiino?anoia a?iaeia?ao?y)
iaie aeei?enoiaoaaeanue ae?a?oaeueia noao?aeoe?eia
a?aeainaeuei?iaia?ao?y (AeNAINA) ia aia?ia?ao? o??ie “Simens”
(I?ia//eia).

Aeey aea/aiiy aaiiaeeiaieee i?aai?a iaeiai oaco aeei?enoiaoaaee
AeNA. E??i oiai, iaoiae AeNA ii?aeioaaany c AeNAINA.

Ii?yae c oeei ie canoiniaoaaee aiaeineii?/i? iaoiaee
aeine?aeaeaiiy (EN ? AN) ca aeiiiiiaith eaia?ineiia ? a?noa?ineiia o??ie
“Karl Storz” (I?ia//eia).

Aeey ioe?iee ooieoe?iiaeueiiai noaio y?/iee?a aeei?enoiaoaaee
oeueo?acaoeiaee iii?oi?eia ca aeiiiiiaith aia?aoo “Aloka-SSD-256”
(ssiii?y) c naeoi?aeueiei aeao/eeii c /anoioith 3,5 iAoe.

A aeeiai?oe? iaino?oaeueiiai oeeeeo ? a i?ioean? e?eoaaiiy
i?iaiaeeee aecia/aiiy ano?aae?ieo, i?iaanoa?iio, oanoinoa?iio,
ethoai?coth/iai (EA) oa oie?eoeinoeioethth/iai ai?iii?a (ONA),
i?ieaeoeio a ne?iaaooe? e?ia? ?aae?i?ioiieia?/iei iaoiaeii.

?ioiieia?/i? aeine?aeaeaiiy i?iaiaeeee a aeeiai?oe?
iaino?oaeueiiai oeeeeo a NE, I?, O?, OeN ianoaaeaieo ae?iie. Aecia/aee
??ai? ?ioiiaeiaoe?i?a iaoiaeii ?aae?aeueii? ?ioiiaeeooc?? ii Mancini
et al. (1965), e?cioeeio – iaoiaeii ?aae?aeueii? ?ioiiaeeooc?? a aae?
i?e?iiaoiaeii ii I.N. Iioaaeei?e ? ni?aaao.(1979). Noaiiioeyoe?eiee
neeaae e?ioioeeo?a aea/aee ca aeiiiiiaith iaoiaeo i?ioi/ii?
oeeoioeoi?eiao??? ia oeeoioeoi?eiao?? “Fascan” o??ie “Becton Discinson”
c canoinoaaiiyi iiiieeiiaeueieo aioeo?e.

Aeey aea/aiiy aaoinainea?e?caoe?? aea/aee aioeo?ea aei
iaa??aeueieo aioeaai?a ca iaoiaeeeith A.Sacco,(1987) ? aei
a?aioeueicieo ee?oei c canoinoaaiiyi e??inoaoieo c??c?a y?/ieea.

Ooieoe?iiaeueio aeoeai?noue O-e?ioioeeo?a ioe?ithaaee ii
caaaeueii-i?eeiyoiio iaoiaeo c aeei?enoaiiyi o?oiaaiaaetho?i?ia o??ie
“Difco”. ??ai? ?ai?iaeoeoeaieo a?ee?a – ieaoeaioa?iiai i?e?iaeiaoe?io
(??13) oa i?e?iaeiaoe?io oa?oeeueiino? (??14 ) aecia/aee
?ioiioa?iaioiei iaoiaeii c aeei?enoaiiyi iaai??a III “Aeeaaiinoeeoi”
(Iineaa).

I?eaeeoo?aa oeeoiii?oieia?/ia aeine?aeaeaiiy iioeeo?a
i?iaiaeeeinue ca iaoiaeeeith Tarkowski A. (1966) i?ae eiio?ieai
noa?aii?e?ineiia c aeei?enoaiiyi aeaeo?iiiiai i?e?ineiia “I-600”.

Aeoeai?noue oa?iaio?a aeeoaeueiiai eaioethaa a aiaeiiao???
aea/aeenue ia 19-23 aei? iaino?oaeueiiai oeeeeo oeyoii aecia/aiiy
aeoeaiino? IAAeI-aeaa?ae?iaaiace (Shats et al.,1963),
noeoeeiao-aeaa?ae?iaaiace (King, 1963), oeeoio?ii-c-ieneaeace (Watrom
D.S. et al.,1967), IAAeI-noeoeeiao-oeeoio?ii-N-?aaeoeoace (Bernstein
I.D. et al., 1978).

A NE, iaia?aiao a?eo?ioeeo?a ? aaiiaaiaoao aiaeiiao??th
ianoaaeaieo ae?iie aea/aee iniaeeaino? niaeo?o iaeo?aeueieo e?i?ae?a
oa oinoie?i?ae?a ca?aeii ?aeiiaiaeaoe?e Eaeona (1973).

On? iaea?aeai? aeai? ee?i?ei-ia?aee?i?/ieo aeine?aeaeaiue
ia?iaeaii iaoiaeii aa??aoe?eii? noaoenoeee, ei?aeyoe?eiiai
aiae?co. Aeai?eoi i?iaiicoaaiiy aoaeoeaiino? e?eoaaiiy ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? noai?aiee ia iniia? ia?aiao?e/ii?
i?ioeaaeo?e ?ici?ciaaaiiy, ?ic?iaeaii? A.A.Aoaea?ii (1990).

Iaoaiaoe/ia ia?iaea iaea?aeaieo ?acoeueoao?a aeeiioaaeanue ca
aeiiiiiaith niaoe?aeueii ?ic?iaeaiiai i?ia?aiiiai caaacia/aiiy, ui
?aae?co? aeuaaeacai? iaoiaee ? aeai?eoi i?iaiicoaaiiy ia IAII ?AI
?N/AO.

?acoeueoaoe aeanieo aeine?aeaeaiue oa ?o iaaiai?aiiy. Aiae?c
io?eiaieo aeaieo iieacaa, ui an? ianoaaeai? ae?iee aoee a
?ai?iaeoeoeaiiio a?oe? a?ae 17 aei 40 ?ie?a.

Ee?i?/ia ea?oeia ae?ii/i? iaie?aeiino? ii?aeiaiiai aaiaco
iaoiiaeaia oeie iaoieia?/ieie ci?iaie a i?aaiao ? nenoaiao, ye?
aeeeeeathoue oeth iaoieia?th. sseui aeey oai?eo ?, ?? ee?i?/ii?
a?oie oa?aeoa?i? iciaee o?eaaeiai caiaeueiiai i?ioeano – ae?aaeai?
aiaoii?/i? ci?ie i?aai?a iaeiai oaco, aoi?eiia aeenooieoe?y
aiaeie?eiii? nenoaie, oi aeey oai?eo c NIEss a ii?aeiaii? c caiaeueiei
i?ioeanii (??? ee?i?/ia a?oia) oa?aeoa?i? i?ci? iaia?oa, ii?ooaiiy
iaino?oaeueii? ooieoe?? ii oeio ie?ai-, aiaii?a?, ia?aaaaa ia?aeiii?
iaie?aeiino? iaae aoi?eiiith (iaeaea a 3 ?ace), ae?aaeaiee a??nooiee
neiae?ii, a?iiieac?y iaoee.

Aeey iaoe??ioie c aaeaiii?icii oa o?a?ii?iiith iaoee (?V oa V
ee?i?/ieo a?oi) oa?aeoa?i? – ia?aaaaeii aoi?eiia
iaie?aei?noue, iayai?noue a aiaiiac? ooo/ieo aai?o?a, ii?ooaiiy
iaino?oaoe?? ii oeio a?ia?iie?iaii?a?, iaii?aa??, aeueaiaeeniaii?a?,
ca?eueoaiiy ?ici???a iaoee, ?? iaiaeii??aei?noue.

I?i ooieoe?iiaeueiee noai iaoeiaeo o?oa oa aaiiaeeiai?eo i?aai?a
iaeiai oaco o ianoaaeaieo ae?iie ie noaeeee ca aeaieie AeNAINA ? NAeA.

I?iaaaeaiee aiae?c a?aeaia?ai, a naia eiio?anooaaiiy ii?iaeieie
iaoee, aeicaieea aeae?eeoe aeae?eueea aa??aio?a ?aioaaiieia?/ii?
ea?oeie, oa?aeoa?ieo aeey oai?eo IV i V ee?i?/ieo a?oi, oae ye aeey
oai?eo ?, ??, ??? ee?i?/ieo a?oi, noai iaoee i?/ei ia a?ae??ciyany a?ae
?acoeueoao?a INA.

Oe?iiei ae?aaiinoe/iei iaoiaeii aeyaeeinue AeNAINA i?e
ae?aaiinoeoe? i?io?aeiino? iaoeiaeo o?oa o ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino?. I?io?aeieie o?oae aoee o 19,4 % ae?iie – ?, 11,9 % –
??, 90,0 % – ???, 10,0 % – IV i 55,6 % – V a?oi, aea a a?eueoino?
oai?eo, e??i oai?eo c NIEss ? o?ii?/iei naeuei?ia?oii (O a?oia) o?oae
aoee /anoeiai i?io?aeieie aai iai?io?aeieie.

sseui aeey oai?eo ? ? ?? ee?i?/ii? a?oie (23,0 %; 23,8 %,
a?aeiia?aeii), o?oae oa?aeoa?ecoaaeenue ianeio?iiiei /ioeiiiae?aiei
caiiaiaiiyi iaio o?oa, ooai?aiiyi naeoinaeuei?ien?a (19,4 %; 33,3 %,
a?aeiia?aeii), oi aeey oai?eo c aai?oaeueiei aiaeiiao??icii a
ii?aeiaii? c OCIANI ( IV a?oia) iai?io?aei?noue niinoa??aaeanue a
?io?aio?aeueiiio ? ?noi?/iiio a?aeae?e?(10,0 % ? 13,3 %,
a?aeiia?aeii) c iiiaeeiieie o?nooeaie a ?noi?/i?e /anoei? o?oae ( 56,6
%).

Aeey aea/aiiy aaiiaeeiai?ee i?aai?a iaeiai oaco o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? aoei canoiniaaii AeNA, yea
aeeth/aea a naaa caaaeueio, naeaeoeaio ? noia?naeaeoeaio
aia?ia?ao?th. sse?nio oa?aeoa?enoeeo aia?ia?ai i?iaiaeeee a
a?oa??aeuei?e, ia?aio?iaoici?e ? aaiici?e oacao aeine?aeaeaiiy.

A caeaaeiino? a?ae oa?aeoa?o noaeeiieo ci?i aia?ia?aie oai?eo
c o?ii?/iei naeuei?ia?oii, ia??naeuei?ia?oii ? aoi?eiiei NIEss aoee
?icae?eai? ia aeaa oeie.

Aeey ? oeio oa?aeoa?iee ii?iiaaneoey?iee oei e?iaiiinoa/aiiy, yeee
oa?aeoa?ecoaaany /?oeeie eiioo?aie ye noaeei ? ? ?? ii?yaeeo, oae ?
noaeei ??? ? IV ii?yaeeo. A ia?aio?iaoicio oaco aeine?aeaeaiiy
niinoa??aaeanue ?icaaeoaeaia n?oea eai?ey?ieo noaeei o aeaeyae? “oooiai?
yaiaee”, yea iaiaaeo?oueny iaoeith ? y?/ieeaie.

?? oei aia?ia?ai iaa oa?aeoa?i? aia?ia?ao?/i? iciaee: ?icoe?aiiy
noaeei ?? ? ??? ii?yaeeo c caoaeaiiyi noaeei IV ii?yaeeo,
ianeiao?e/i?noue noaeeiieo ci?i, ca?aei?iiyi eai?ey?ieo noaeei IV
ii?yaeeo a ia?aio?iaoicio oaco.

I?e i?iaaaeaii? ee?i?ei-aia?ia?ao?/ieo ia?aeaeae anoaiiaeaii, ui
aeey ae?iie c ? oeiii aia?ia?ai oa?aeoa?ia o?eaae?noue iaie?aeiino?
a?ae 1 aei 4 ?ie?a, ooieoe?iiaeuei? ci?ie a i?aaiao ? nenoaiao, a oie
/an ye o ae?iie c ?? oeiii aia?ia?ai o?eaae?noue iaie?aeiino? aoea a?ae
7 aei 11 ?ie?a, niinoa??aaeenue a?oa? aiaoii?/i? ci?ie aioo??oi?o
noaoaaeo i?aai?a, ye? i?aeoaa?aeeeeny i?ae /an eaia?ineii?? ?
o??o?a?/iiai ao?o/aiiy.

Aia?ia?aie o oai?eo c NIEss (O a?oia) iaee ii?iiaaneoey?iee oei
e?iaiiinoa/aiiy.

Aia?ia?ao?/i? aeine?aeaeaiiy o oai?eo c aai?oaeueiei
aiaeiiao??icii /e o?a?ii?iiith iaoee (IV i V a?oie) aeicaieeee aeyaeoe
aiaeiiao??i?aei? ?io?eueo?aoe, iaaeo ?icaaeoaeaiino?, a?coae?coaaoe
e?iaiiinoa/ath/? a?oa??aeuei? noaeeie, aaie, ii yeeo a?aeaoaa?oueny
a?aeoie e?ia?. Oea aeicaieeei anoaiiaeoe oiiia?aoiaiaoii?/i?
ni?aa?aeiioaiiy aoce?a aai aiaeiiao??i?aeiiai ?io?eueo?aoo c noaeeiaie
iaeiai oaco. E??i oiai, a i?ioean? aeine?aeaeaiiy ie ciiaee
i?iaiae?coaaoe o?ae na/iaiae?a, ye? a?coae?coaaeenue ia 5 oaeeei?
aeine?aeaeaiiy.

I?e aoceoaaoeo OI aeyaeaii iaeiia?/ia aai aeaia?/ia ?icoe?aiiy
a?oa??aeueieo noaeei ?? ? ??? ii?yaee?a c ?icaaeoaeai?noth noaeei IV
i V ii?yaee?a ? iiyaith iiaeo noaeei ? ooai?aiiyi eai?ey?ii-aaiicieo
eaaoi, ?icoe?aiiyi aai.

Iaea?aeai? aeai? i?i aaiiaeeiai?eo i?aai?a iaeiai oaco o ae?iie
c iaie?aei?noth caiaeueiiai aaiaco aeicaieeee i?eionoeoe, ui
a?iiene/i? yaeua a i?aaiao i?oaiyo i?ecaiaeyoue aei ii?ooaiiy
aaaaoueio ooieoe?e noaoaaiai aia?aoo o ae?iie, a oiio /ene?
?ai?iaeoeoe??.

Aiaoiii-ooieoe?iiaeueiee noai aioo??oi?o i?aai?a ianoaaeaieo ae?iie
ioe?ithaaee ca aeaieie EA ? AN.

Eaia?ineii?th i?iaaaeaii o 145 ae?iie – aea iaeiith ?c i?e/ei
iaie?aeiino? aoei OCA, c ieo o 19 (13,1 %) aoa niaeeiaee i?ioean iaeiai
oaco (? ee?i?/ia a?oia); o 57 (39,3 %) – aoi?eiiee NIEss (?? a?oia);
o 18 (12,4 %) – ia?aeiii neiae?ii iie?e?noicieo y?/iee?a (???
a?oia); o 41 ( 29,1 %) aai?oaeueiee aiaeiiao??ic (IV a?oia);
o 10 (6,1 %) o?a?ii?iia iaoee (V a?oia).

Aeey aecia/aiiy aioo??oiueiiaoeiai? iaoieia?? o 200 oai?eo c
ii?aeiaieie oi?iaie iaie?aeiino? i?iaaaeaia ??aeeiia AN.

?acoeueoaoe AN iieacaee, ui a 26,0 % aeiaaee?a aeyaeaia
a?ia?ieac?y aiaeiiao??th; o 15,0 % – iie?ie aiaeiiao??th; 7,0 % –
i?aeneecia? o?a?iiaoici? aocee; 6,0 % – aiaeiiao??i?aei? oiaee; 3,0 % –
aioo??oiueiiaoeia? neiao??; 15,0 % – a?iio?io?y ? ao?io?y aiaeiiao??th;
o 1,0 % – aiiiae?y ?icaeoeo iaoee; o 3,0 % – aeaoi?iaoe?? iaoee ca
?aooiie ?ioa?io?aeueieo o?a?iiaoicieo aoce?a; o 13,0 % – a?ia?ieac?y
aiaeiiao??th c iie?iicieie ?ic?inoaiiyie.

I?e a?noieia?/iiio aeine?aeaeaii? iaea?aeaiiai iaoa??aeo o 24, 0
% ae?iie aeyaeaia caeicenoa a?ia?ieac?y aiaeiiao??th c nae?aoi?iith
o?anoi?iaoe??th caeic; o 13,0 % – caeiceno? iie?ie; o 7,0 % –
aeenieanoe/iee aiaeiiao??e ano?iaaiiiai oeio; o 14,0 % – a?iiieac?y oa
ao?io?/i? ci?ie aiaeiiao??th. O 3,0 % ii?yae c ao?io??th aiaeiiao??th
iaa i?noea neea?ic no?iie ? o 2,0 % ianoaaeaieo ae?iie aoea aeyaeaia
aoeiiaa oi?ia caeicenoi-eenoicii? a?ia?ieac?? aiaeiiao??th. O 27,0
% ae?iie a?aei?/aeenue iciaee o?ii?/iiai ?aoeeaeeaoth/iai
aiaeiiao??ico. Eeoa o 5,0 % ae?iie ca aeaieie iaoia?noieia?/iiai
aeine?aeaeaiiy aiaeiiao??e a aeoe??aeao aoa i?ciuei? oace nae?aoe??.

Oaeei /eiii, i?iaaaeai? ?ino?oiaioaeuei? aeine?aeaeaiiy o oai?eo
c ii?aeiaieie oi?iaie iaie?aeiino? aeicaieeee aecia/eoe ii/a?aia?noue ?
?ioi?iaoeai?noue iaoiae?a aeine?aeaeaiiy a caeaaeiino? a?ae ii?aeiaiiy
o??? /e ?ioi? iaoieia??, yea i?ecaaea aei iaie?aeiino?. Oae, aeey ae?iie
c o?ii?/iei naeuei?ia?oii ? ia??naeuei?ia?oii ? aoi?eiiei
neiae?iiii iie?e?noicieo y?/iee?a ianoaaeaiiy ne?ae ii/eiaoe c
oano?a ooieoe?iiaeueii? ae?aaiinoeee, oeueo?acaoeiaiai aeine?aeaeaiiy
i?aai?a iaeiai oaco oa iao?inaeuei?iaia?ao??, AeNAINA, oi aeey ae?iie
c neiae?iiii iie?e?noicieo y?/iee?a a ii?aeiaii? c o?ii?/iei
naeuei?ia?oii iaia’yceiaei ? i?iaaaeaiiy a?eiio?anoii?
a?iaeia?ao??, iaeuea?ia?ao??, aaaeaii EN. Ia?aaaaith
eaia?ineii?/iiai aeine?aeaeaiiy ? eiai ii?aeiaiiy c i?iaaaeaiiyi
o??o?a?/ii? ei?aeoe?? (ae?aoa?iiioieoo?a aai ae?aoa?iieaooa?ecaoe?y
y?/iee?a, naeuei?iaiiaa??ie?c?n).

O ae?iie c aai?oaeueiei aiaeiiao??icii ? o?a?ii?iiith iaoee (IV i
V ee?i?/i? a?oie) ianoaaeaiiy iaiao?aeii aeiiiaieoe ca ?aooiie
a?noi?ineii??, a?noieia?/iei aeine?aeaeaiiyi aiaeiiao??th,
aia?ia?ao??.

Aea/aiiy ee?oeiiiai oa aoii?aeueiiai ?ioi?oaoo o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? iieacaei cieaeaiiy caaaeueii? oa
i?noeaai? ianiaoeeo?/ii? ?acenoaioiino?, a oaeiae ii?ooaiiy a O- e
A-nenoai? ?ioi?oaoo.

Aiae?c noaio ?ioiiiai noaoono ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino? na?ae/aoue i?i iayai?noue o ieo iaaieo ci?i ?ioiieia?/ieo
iieaciee?a. A ia?oo /a?ao cieaeaiiy i?ioeaioiiai ai?noo O- oa
A-e?ioioeeo?a a ne?iaaooe? e?ia? iaea?eueo ae?aaeaia a a?oi? ae?iie c
aiaeiiao??icii ( 40,4+0,6 % ? 14,9+0,4 %, a?aeiia?aeii, i?ioe 53,7+0,7
% ? 23,3+0,7 % a eiio?ie?).

A ca’yceo c a?aenooi?noth nooo?aeo ci?i ee?oeiiiai oa
aoii?aeueiiai ?ioi?oaoo a a?ieia?/ieo ??aeeiao a caeaaeiino? a?ae
ee?i?/ieo a?oi, iiaeaeueo? aeai? aeeeaaeai? a caeaaeiino? a?ae ci?i
aioenia?iaeueii? ?cinainea?e?caoe??.

I?e aea/aii? aioenia?iaeueii? nainea?e?caoe?? anoaiiaeaii, ui
nia?i?iia?e?coth/? aioeo?ea (N?AO) a NE aeyaeai? o 14,4 % ae?iie, a
OeN – o 44,7 % ae?iie, a O? – o 22,4 % ? a I? – o 25,0 % N?AO
iaeii/anii a on?o noano?aoao aoee aeyaeai? o?eueee o 2,6 % oai?eo, a
OeN ? I? – o 15,8 % ae?iie, a OeN ? O? – o 4,0 % ae?iie, a O? ? I? – o
4,0 %.

Ni?anoaaeaiiy noaio i?noeaaeo oaeoi??a caoenoo c i?iaeoeoe??th
N?AO, na?ae/aoue, ui i?iaeoeoe?y N?AO a oea?a?eaeueiiio neeco
iia’ycaia c iaaeinoaoi?noth i?noeaaiai ?ioi?oaoo, a naia, c iecueeei
??aiai nae?aoi?iiai IgA.

Iao? aeai? oaeiae na?ae/aoue i?i ?nioaaiiy oe???
caeiiii??iino? ? aeey iieaciee?a ?ioi?oaoo a I? ? O?, ine?eueee
iayai?noue N?AO a I? ? O? iia’ycaia oaeiae c ae?aaeaiei cieaeaiiyi
??ai?a SIgA, IgA ? e?cioeeio.

Oaeei /eiii, iaaeinoaoi?noue i?noeaaiai ?ioi?oaoo yaey?oueny
ni?eyoeeaei oiiii aeey ?icaeoeo i?noeaai? aioenia?iaeueii?
?cinainea?e?caoe??.

I?e aea/aii? i?noeaaiai ? aoii?aeueiiai ?ioi?oaoo a caeaaeiino?
a?ae oace iaino?oaeueiiai oeeeeo anoaiiaeaii, ui o ae?iie c
ii?aeiaieie oi?iaie iaie?aeiino? a?aenooi? /?oei ae?aaeai? ci?ie
??ai?a O- ? A-e?ioioeeo?a a caeaaeiino? a?ae oace iaino?oaeueiiai
oeeeeo. Oea a?aeiineoueny ye aei ?o iieaciee?a a NE, oae ? aei
iieaciee?a O? ? I?.

I?iaaaeai? aeine?aeaeaiiy ?ioiiaeiaoe?i?a ? e?cioeeio a ne?iaaooe?
e?ia? ? oea?a?eaeueiiio neeco na?ae/aoue i?i a?aenooi?noue noi?anoaaiiy
?ioiii? a?aeiia?ae?, ye? iaiao?aei? a ia??iaoeyoi?iee ia??iae aeey
ii?iaeueiiai o?ainii?oo nia?i??a. I?aeaeuaiiy IgI a OeN ? I? iiaea
ni?eyoe aeoeaaoe?? aoaeoi?ieo ?ioiieo iaoai?ci?a, iai?aaeaieo ia
ae?i?iaoe?th nia?iaeueieo aioeaai?a.

I?e aea/aii? aaoi?ioiii? aa?an?? o ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino? anoaiiaeaii, ui o 31,5 % ae?iie aeyaeai? aaoiaioeo?ea aei
Zona pellucida (ZP) yeoeaee?oeie, o – 10,5 % aaoiaioeo?ea aei
a?aioeueicieo ee?oei, a oiio /ene? o 5,2 % aioeo?ea aeyaeai? iaeii/anii
aei ZP ? a?aioeueicieo ee?oei.

Aeeiai?/ia aea/aiiy ??ai?a ?aaoeyoi?ieo noaiiioeyoe?e
O-e?ioioeeo?a ia i?ioyc? iaino?oaeueiiai oeeeeo aeyaeei cia/i? c?ooaiiy
a iai?yieo ci?i o ae?iie c aaoi?ioiieie ?aaeoe?yie (Oaae. 1).

Oae, a a?oi? ae?iie c aaoiaioeo?eaie iaeieae/? ??ai? NAe4+
aeyaeyeenue ia ii/aoeo oa a e?ioe? oeeeeo. A na?aaeei? oeeeeo, oiaoi
a ia??iaoeyoi?iiio ia??iae?, iaei eeoa cia/ia i?aeaeuaiiy a?aeiiniiai
ai?noo oe??? noaiiioeyoe?? O-e?ioioeeo?a, i?e/iio iaea?eueo ae?aaeaia
oea i?aeaeuaiiy ia I-aeaiue. I?ney iaoeyoe?? ??aaiue NAe4+
(O-oaeia??a) cieaeoaaany.

O iaie?aeieo ae?iie aac aaoi?ioiieo ?aaeoe?e oa o caei?iaeo
a?aeiiniee ai?no NAe4+ (O-oaeia??a) ia? cai?ioio iai?aaeai?noue a
aeeiai?oe? oeeeeo. Iaea?eueo aenie? eiai cia/aiiy oa?aeoa?i? aeey
ii/aoeo oa e?ioey oeeeeo, a a ia??iaoeyoi?iiio ia??iae? oeae iieaciee
cia/ii cieaeo?oueny, c aenieei nooiaiai a??ia?aeiino?. sse ? a
aeiaaeeo c NAe4+ -e?ioioeeoaie, iaea?eueo aecia/ai? oe? ci?ie ia
0-aeaiue.

Oaaeeoey 1 – A?aeiiniee ai?no ?aaoeyoi?ieo noaiieyoe?e O-e?ioioeeo?a oa
?o ni?aa?aeiioaiiy a aeeiai?oe? iaino?oaeueiiai oeeeeo o iaie?aeieo oa
caei?iaeo ae?iie, (a?aei. %)

?ioiieia?/-i? iieacieeeA?oia oai-?eonAeaiue iaino?oaeueiiai oeeeeo

8(1)-1(2)?1-20(3)?1-3+1(4)?1-421(5)?3-526(5)?3-5)O-oaeia-a2433.0+2.941.8
+2.50.0532.7+3.80.0542.4+2.80.138.6+3.0>0.0543.4+1.9
0.0519.1+1.4>0.0522.3+3.
6>0.0520.8+3.1>0.0519.2+2.5>0.05(NAe8
-a1626.6+2.426.5+2.4>0.0525.5+2.7>0.0524.8+1.5>0.0524.8+1.6>0.0522.3+1.6
>0.05e?ioioeeoe)a1032.7+2.333.4+3.7>0.0532.3+4.3>0.0531.6+3.8>0.0531.6+2
.7>0.0532.8+3.4>0.05NAe4/NAe8a241.80+0.182.86+0.470.051.97+0.49>0.052.09+0.36>0.05a161.76+0.161.25+0.180
.051.06+0.170.051.45+0.23>0.051.36+0.20? ???4???&????????&? ?yyyy????Word?Microsoft Word?????????? ;~???u?????????????I???Courier New?I????-?????????ue??yyy??????-? ???!??? ?en.1. ??ai? ?ai?iaeoeoeaieo a?ee?a (??12, ??14) a aeeiai?oe? iaino?oaeueiiai oeeeeo o iaie?aeieo ae?iie c aaoi?ioiieie ?aaeoe?yie aei iaa??aeueieo aioeaai?a oa aac ieo, a?aei.% caaaeueiiai ?ioiinoi?aneaiiai oiio a oie /an, eiee iiaeeeaa caie?aeiaiiy, c iaoith iiia?aaeaeaiiy aa?an?? i?ioe nia?iaeueieo aioeaai?a oa, yeui caie?aeiaiiy a?aeaoeiny, a?aeoi?aiaiiy caie?aeiaii? yeoeaee?oeie, yea ua ia ciaoiaeeoueny i?ae caoenoii oaoi-ieaoeaioa?iiai eiiieaeno, ianoi?iiaaiiai ia oeae /an. Iniiaiei i?ia?aeiei oaeoi?ii noai?aiiy ?ioiinoi?aneaiiai ioi/aiiy ? iioeiaeueiee ai?iiiaeueiee oii. Iaie iieacaii, ui o ae?iie c aaoi?ioiiei ii?aaeaiiyi ZP oa ai?iiiii?iaeoeoth/eo no?oeoo? y?/ieea - a?aioeueicieo ee?oei, cia/ii i?eai?/aia i?iaeoeoe?y i?iaanoa?iio, ?ioiinoi?aneaia ?ieue yeiai aaea aeiaaaeaia. Iaaeinoaoi?noue oi?ioaaiiy ?ioiinoi?aneaiiai oiio aeeeeeaia ia eeoa aeao?oeeoii i?iaanoa?iio, a e cieaeaieie ??aiyie ?ai?iaeoeoeaieo a?ee?a ??12 oa iniaeeai ??14, ui a?ae?a?athoue ?ieue aiaeiaaiieo ?ioii?aaoeyoi??a ?ai?iaeoeoeaiiai i?ioeano. O ae?iie aac aaoi?ioiieo ?aaeoe?e aei no?oeoo? y?/ieea i?iaeoeoe?y oeeo a?ee?a ciaoiaeeoueny ia aenieiio ??ai? ?, ine?eueee aiia ? ai?iiiicaeaaeiei i?ioeanii, iia'ycaia c ii?iaeueiei ooieoe?iioaaiiy y?/ieea. I?e aaoi?ioiiiio o?aaeaii? iaa??aeueieo no?oeoo? ii?ooo?oueny ia eeoa i?iaeoeoe?y i?iaanoa?iio, aea ?, aiane?aeie iaaeinoaoiueiai noeioethth/iai neaiaeo, cieaeo?oueny i?iaeoeoe?y ?ai?iaeoeoeaieo a?ee?a. Aea iiaeia neacaoe, ui iaaeinoaoi?noue ai?iiiaeueiiai neaiaeo ia ? ?aeeiith i?e/eiith cieaeaiiy neioaco ??12 oa ??14. Iaaeinoaoi?noue i?iaeoeoe?? ?ioiinoi?aneaieo ?ai?iaeoeoeaieo a?ee?a a naith /a?ao ? oaeoi?ii, ui i?aeneeth? iai?oaeai?noue aaoi?ioiieo ?aaeoe?e oa ni?ey? i?aeaeuaiith oeo?o aaoiaioeo?e aei ZP, caieeath/e, oaeei /eiii, oeaia eiei aaoi?ioiiiai o?aaeaiiy y?/ieea. O oai?eo c ii?aeiaieie oi?iaie iaie?aeiino?, ia? i?noea cia/ia ii?ooaiiy ooieoe?iiaeueiiai noaio a?iio?ca?ii-y?/ieeiai? nenoaie. Eeoa o ae?iie, ye? oai??thoue o?oaiith ? ia?eoiiaaeueiith iaie?aei?noth (? ee?i?/ia a?oia) nae?aoe?y noaoaaeo ai?iii?a iaeaea ia a?ae??ciy?oueny a?ae nae?aoe?? o ae?iie c iaii?ooaiith ?ai?iaeoeoeaiith ooieoe??th, a naia, caa??aa?oueny iaoeyoi?iee i?e ano?aae?ieo, c ianooiiei eiai niaaeii, noaa?e?coth/enue ia 21-23 aeaiue oeeeeo, ? aeaioaci?noue nae?aoe?? i?iaanoa?iio c i?eii ia 21-23 aeaiue oeeeeo, oiaoi a ia??iae ?icea?oo "aeiaoiai o?ea". O ieo caa??aa?oueny oeeee?/i?noue a aeae?eaii? aiiaaeio?iiieo ai?iii?a ? iacia/ia cieaeaiiy i?eo EA ? ONA a ia??iaoeyoi?iee ia??iae, ui na?ae/eoue i?i ooieoe?iiaeueiee oa?aeoa? ci?i aiiaaeio?iiii? ooieoe?? a?iio?ca. O oai?eo aea OCIANI ii?aeioaaany c niaeeiaith oai?iaith i?aai?a iaeiai oaco, aoi?eiiei neiae?iiii iie?e?noicieo y?/iee?a (?? a?oia) ai?no ano?aae?ieo ? i?iaanoa?iio aoa cia/ii ieae/ei ? iinea iiiioiiiee oa?aeoa?. Cieaeaia nae?aoe?y noaoaaeo ai?iii?a aoea iaaeinoaoiueith aeey ia??iaoeyoi?iiai aeeeaeo EA ? o oaeeo oai?eo ia ianooiaea iaoeyoe?y. Aeey ieo oa?aeoa?ii iiiioiii?noue aeae?eaiiy ye EA oa ? ONA a on? oace iaino?oaeueiiai oeeeeo. O iaie?aeieo ae?iie c NIEss, AA a ii?aeiaii? c OCIA niinoa??aaeanue iiiioiii?noue a aeae?eaii? ano?aae?ieo a e?ia?, ??cea iaaeinoaoi?noue i?iaanoa?iio ia 22-23 aeaiue oeeeeo, iniaeeai o ae?iie c NIEss, i?aeaeuaia eiioeaio?aoe?y EA, ONA ia i?ioyc? anueiai iaino?oaeueiiai oeeeeo. O oai?eo, aea iaie?aei?noue aeieeaea ia oii? OCIA a ii?aeiaii? c OI ( V ee?i?/ia a?oia) a?aei?/aii ??cea i?aeaeuaiiy aacaeueiiai ??aiy ano?iaai?a c a?aeiinii iecueeei ??aiai i?iaanoa?iio. Ne?ae cacia/eoe, ui ii?ooaiiy a?iioaeaii-a?iio?ca?ii? nenoaie o oai?eo c o?a?ii?iiith iaoee a ii?aeiaii? c OCIA iaaaoeaii aieeaathoue ia i?ioeane ?ai?iaeoeoe?? ? iaaoaathoue oa?aeoa?o naiino?eiiai caoai?thaaiiy. I?i oea oaeiae na?ae/eoue a?aenooi?noue aaeueioth/i? ae?? noaoaaeo ai?iii?a ia aiiaaeio?iii?. I?i no?oeoo?ii-ooieoe?iiaeuei? ci?ie aiaeiiao??th ie noaeeee ii aeoeaiino? oa?iaio?a aeeoaeueii? nenoaie (IAAeI-aeaa?ae?iaaiace, oeeoio?iiieneaeace, IAAeI-?aaeoeoace, noeoeeiao-oeeoio?iiieneaeace, noeoeeiao-aeaa?ae?iaaiace). I?iaaaeai? iaie aeine?aeaeaiiy iieacaee, ui a aiaeiiao??? ae?iie c iaii?ooaiith ?ai?iaeoeoeaiith ooieoe??th ia?aaaaeathoue i?ioeane aa?iaiiai ieeneaiiy. Ia oea aeacothoue aenie? iieacieee aeoeaiino? oa?iaio?a a IAAeI-aeaa?ae?iaaiacieo (IAAeI-AeA) oa oeeoio?iiieneaeacieo ?aaeoe?yo. Ii??aiyeueiee aiae?c io?eiaieo aeaieo aeyaea, ui ??aaiue IAAeI-?aaeoeoace aeinyaaa 21,7 % a?ae oaeaeeino? o?ainii?oo a?aeiiaethth/eo aea?aaeaio?a IAAeI-aeaa?ae?iaaiace. O ae?iie, aea o?ii?/iee caiaeueiee i?ioean aai?oae?e ii?aeioaaany c niaeeiaei i?ioeanii ? aoi?eiiei neiae?iiii i?ie?e?noicieo y?/iee?a, niinoa??aaeanue cia/ia ?ioaineo?eaoe?y aeaeo?io?ainii?oieo i?ioean?a a aiaeiiao??? ii??aiyii c ?o ia?aiao?aie a eiio?ieuei?e a?oi?. Inoaii? i?aeoaa?aeaeo?oueny i?aeaeuaiiyi a 4,5 ?ace aeoeaiino? IAAeI-aeaa?ae?iaaiace a aiaeiiao??? (0,521+0,117 i?ioe 0,115+0,054 ieiieue IAAeI - ia a?eeo oa.) ? a i?aeaeuaii? aaee/ei noeoeeiaoaeaa?ae?iaaiace a 1,7 ?ace. I?iaaaeaiee aiae?c, iai/ii aena?oeth? ?iceii?aeeiiaai?noue ie?aieo ae?eyiie aeaeo?io?ainii?oiiai oeyoo a aiaeiiao??? i?e o?ii?/ieo caiaeueieo i?ioeanao. Iiaeeeai naia ?icaaeainiaai?noue a aeai?e nenoai? ? iaei??th c i?e/ei cieaeaiiai aia?aaoe/iiai iioaioe?aeo aiaeiiao??th oa ii?ooaiue a iueiio oiia aeey i?aeaoe?? caie?aeiaii? yeoeaee?oeie. Noiniaii oai?eo ??? ee?i?/ii? a?oie, oi a ?o aiaeiiao??? ia?aaaaeaee i?ioeane aa?iaiiai ieeneaiiy, ? aeoeai?noue IAAe I-aeaa?ae?iaaiace neeaea 0,116+0,051 ieiieue IAAe I ia a?eea oa., IAAe I-oeeoio?ii-n-?aaeoeoace 0,021+0,003 ia a?eea oa., noeoeeiao-n-?aaeoeoace - 0,260+0,36 ieiieue-oeeo.n.ia a?eea oa., noeoeeiao-aeaa?ae?iaaiace ieiieue ia a?eea oa. ? oeeoio?iiieneaeace 1,221+0,100 ieiieue oeeo.n.ia a?eea oa. i?ioe oeeo aea iieaciee?a a eiio?ie?, a?aeiia?aeii 0,115+0,054 ; 0,025+0,005; 0,58+0,031; 0,320+0,067; 1,231+0,190 (P>0,05).

Iniaeeaino? niaeo?a iaeo?aeueieo e?i?ae?a ? oinoie?i?ae?a o ae?iie
c ii?aeiaieie oi?iaie iaie?aeiino? aea/aee a ne?iaaooe? e?ia?, iaia?aiao
a?eo?ioeeo?a ? aiiiaaiaoao aiaeiiao??th.

A ca’yceo c a?aenooi?noth noaoenoe/ii? ??cieoe? i?ae iieacieeaie ii
ee?i?/iei a?oiai iiaeaeueoa aeeeaaeaiiy iaoa??aeo aoaea i?ae ae?ieaie
c iaii?ooaiith ?ai?iaeoeoeaiith ooieoe??th ? ii?aeiaieie oi?iaie
iaie?aeiino?.

Iaie a?aei?/aii nooo?aa cieaeaiiy ai?noo oinoie?i?ae?a a
ne?iaaooe? e?ia? ? aiaeiiao??? o ae?iie c ii?aeiaieie oi?iaie
iaie?aeiino?.

Ii??aiyeueiee aiae?c aaee/ei o?aeoe?e iaeo?aeueieo e?i?ae?a a
oeaiei? aiaeiiao??th na?ae/eoue i?i nooo?a? ci?ie a eiioeaio?aoe??
oinoie?i?ae?a, a?eueieo aee?ieo eeneio ? o?eae?oea??ae?a. O oai?eo
ae?iie, i?e i?aeoe/ii, ??aiicia/iiio cieaeaii? ia?oeo aeaio c ieo (
a?aeiia?aeii ia 33,0 % ? 35,0 %) ??aaiue o?eae?oea??ae?a
ia?aaeuoaaa aiaeia?/i? iieacieee a oeaiei? aiaeiiao??th a eiio?ie? a 2,3
?ace. Ai?no noa?ei?a ye a?eueieo, oae ? ?o ao???a a aiaeiiao??? ia
ci?ithaaany.

Iaiao?aeii i?aee?aneeoe /?oeo ci?io aaee/ei a?aeiioaiiy a?eueieo
aee?ieo eeneio aei o?eae?oea??ae?a a aiaeiiao???, neeaaoe 4,97 aeey
ae?iie eiio?ieueii? a?oie ? eeoa 1,36 – aeey ae?iie c ii?aeiaieie
oi?iaie iaie?aeiino?. Iaei??th ?c i?e/ei cieaeaiiy caian?a aee?ieo
eeneio iiaea aooe ii?ooaiiy i?ioean?a ?o neioaco, yeee caaacia/o?oueny
a?aeiiaeaieie oi?iaie IAAeO aai ?ioaineaia ?o aeei?enoaiiy a
ooieoe?iioaaii? inoaii?o aeaio aia?aii?iaeoeoth/eo ae?eyieao
aeeoaeueiiai eaioethaa.

Ia iaoo aeoieo aeao?oeeo aee?ieo eeneio, yeee ie eiinoaoo?i,
ii?ooo? i?ioean i?iieeeeaino? iaia?aiieo no?oeoo?, ui ci?ith?
i?e?ia’yce?noue iaia?ai.

Iieacieeii, yeee oa?aeoa?eco? a cia/i?e i??? u?euei?noue iaia?aie,
? iiey?ia ni?aa?aeiioaiiy oieanoa?eio ? oinoie?i?ae?a.
?ic?aoiaai? iaie aaee/eie i?ioeaioieo ni?aa?aeiioaiue oeeo eiiiiiaio?a
e?i?ae?a aeicaieythoue aiai?eoe i?i ou?eueiai?noue iaia?ai, a
aeoiaey/e c oeueiai ? i?i cieaeaiiy o?ainii?oieo ?? ooieoe?e (
1,14+0,10 o caei?iaeo ae?iie ? 1,50+0,14 o ae?iie c ii?ooaiith
?ai?iaeoeoeaiith ooieoe??th, P

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