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Раптова серцева смерть гірників вугільних шахт Донбасу (розповсюдженість, патогенез, прогноз, профілактика): Автореф. дис… д-ра мед. наук / В.В. Чер

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OA?EIANUeEEE AeA?AEAAIEE IAAeE*IEE OIIAA?NEOAO

*A?EANIA AIEIAeEIE? AIEIAeEIE?IAE*

OAeE 611.1-053.6-037:616-018-2

?AIOIAA NA?OeAAA NIA?OUe A??IEE?A AOA?EUeIEO OAOO AeIIAANO

(?iciianthaeaeai?noue, iaoiaaiac, i?aiic, i?io?eaeoeea)

14.01.11. – ea?ae?ieiaiy

AAOI?AOA?AO

aeena?oaoei? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

OA?EIA – 1999

Aeena?oaoei?th ? ?oeiien.

?iaioa aeeiiaia a AeI IAe? iaaeeei-aeieia?/ieo i?iaeai Aeiiaano oa
aoa?eueii? i?iieneiaino? IIC Oe?a?ie, i. Oa?e?a.

Iaoeiaee eiinoeueoaio- aeaaeai?e IAI ?AII Oe?a?ie aeieoi? iaaee/ieo
iaoe, i?ioani? Iaea E.O.

Ioioeieii iiiiaioe – aeieoi? iaaee/ieo iaoe Eieii??oeue A?eoi??y
Aieiaeeie??aia

Aeiiaoeueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, i?ioani? eaoaae?e aioo??oi?o oai?ia ? 2

– aeieoi? iaaee/ieo iaoe, i?ioani? Eiaaeueiaa I.A. Oa?e?anueeee
aea?aeaaiee iaaee/iee oi?aa?neoao IIC Oe?a?ie,. Oa?e?a, caa eaoaae?ith
i?iiaaeaaoeee aioo??oi?o oai?ia

aeieoi? iaaee/ieo iaoe, ?a/?inueeee ?.Ae. Noinueeee aea?aeaaiee
iaaee/iee oi?aa?neoao IIC Oe?a?ie, i. Noie

I?iaiaeia onoaiiaa: Oe?a?inueeee IAe? ea?ae?ieia?? ?i. I.Ae.No?aaeanea,
i. Ee?a

Caoeno aiaeaoaeaoueny “27” o?aaiy 1999 ?. i 13.30 aiaeei? ia caniaeaiii
niaoeiaeiciaaii? a/aii? ?aaee Ae 64.600.04 i?e Oa?eianueeiio
aea?aeaaiiio iaaee/iiio oiiaa?neoaoi (310022, i. Oa?eia, i?. Eaiiia, 4).

C aeena?oaoei?th iiaeia iciaeiieoeny o aiaeiioaoei Oa?eianueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo (310022, i. Oa?eia, i?. Eaiiia, 4).

Aaoi?aoa?ao ?icineaiee “24” eaioiy 1999 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee

aeioeaio
______________________ E.I.Ia/a?aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Na?oeaai-noaeeii? caoai?thaaiiy ? iaei??th ?c
aeooaeueieo i?iaeai a iaaee/i?e iaooe? ? ioi?ii? caei?ia’y. Iei? aiia
aeeoea ca iaaee/i? ?aiee ? noaea aea?aeaaiith, ui coiiaeth?oueny
c?inoaiiyi caoai?thaaiino? ? nia?oiino? a?ae oeeo caoai?thaaiue,
cia/ieie o?oaeiaeie ao?aoaie aiane?aeie oei/aniai? iai?aoeacaeaoiino?,
?aiiuei? ?iaae?ae?caoe?? ? c?inoaiiy /enea aeiaaee?a ?aioiai?
na?oeaai? nia?o? (?.A. Iaaiia, 1996).

Ca?ac a?eueoa i?ae 2/3 nia?oaeueieo aeiaaee?a a?ae caoai?thaaiue
nenoaie e?iaiia?ao i?eiaaea? ia ?ON, AO, noaeeii? iioeiaeaeaiiy
iiceo. (I.O. Aic?aiia, 1995, E.O. Iaea 1995). Iaea?eueo /anoi a
no?oeoo?? na?oeaai-noaeeiieo caoai?thaaiue cono??/a?oueny ?ON (A.N.
AEoeianueeee, 1996).

Iacaaaeath/e ia aeinyaioo? oni?oe o aea/aii? iaoai?ci?a aino?i?
iaoieia?? na?oeaai-noaeeiii? nenoaie ? a iaaeaii? iaa?aeeeaaeii?
ea?ae?ieia?/ii? aeiiiiiae, i?iaeaia i?io?eaeoeee ?aioiai? na?oeaai?
nia?o? caeeoa?oueny aeooaeueiith (J. Bigger, 1984; L.A.
Cupples, 1992; I.A. Iaco?, 1995).

Iniaeeai aaaeeeaei ? aea/aiiy oeueiai ieoaiiy uiaei a??iee?a
Aeiiaano, ye? i?aeeyaathoue aieeao eiiieaeno oe?aeeeaeo oaeoi??a
ae?iaie/iai na?aaeiaeua aoa?eueieo oaoo (I.?. A?eion, 1983; A.I.
Eiaaoeue, 1996).

Oiiae i?aoe? o aoa?eueieo oaooao Aeiiaano oa?aeoa?ecothoueny
i?enooi?noth aaaaoueio iaaacia/ieo ? oe?aeeeaeo ae?iaie/eo oaeoi??a,
ui iaaeathoue iiaaiiai aieeao ia i?aai?ci: aeniea oaiia?aoo?a (aei +35
N), a?aeiinia aieia?noue (aei 100 %) ? caieeai?noue iia?o?y (aei 1000
ia/i) ?ia?oie/i? ciie, ?ioaineaiee ooi (aei 113 aeAA), caaaeueia ?
eieaeueia a?a?aoe?y, ia?aiaaee aa?iiao?e/iiai oeneo i?ae /an nioneo
aei oaooe /e i?aeeiio, ui aeinyaathoue 9 ii ?o. no. ia eiaei? 100 i
aeeaeie (Ae.I. Eanoeia, 1988; I.?. I?iyeei, ?.A. Oeoeae, 1989).
A?aecia/aii oaeiae cieaeaiiy ci?noo eenith a iia?o??, iayai?noue
aeaeo?iiaai?oii? ?aae?aoe?? ? oe?eiai ?yaeo ?ioeo oaeoi??a. O
oaoiieia?? aeiaoaaiiy aoa?eey cia/ia i?noea i?iaeiaaeo? caeiaoe
?o/ia o?ce/ia i?aoey, ui eeaneo?eo?oueny ye aeoaea aaaeea ?
iai?oaeaia. Iino?eia iaaaciaea ?icaeoeo aaa??eii? neooaoe?? ni?ey?
iiya? “no?ano i/?eoaaiiy”, ui ? iaeiei ?c aeae?a ineoiaiioe?eiiai
iai?oaeaiiy (I.I. Iaaaeaoeeyi ? ?i., 1991).

Aeacai? ae?iaie/? oaeoi?e aenoaathoue aenie? aeiiae aei i?aai?cio
ethaeeie, aeeeeeath/e iaiii??io ooieoe?iiaeueio iai?oao ?
ni?eyth/e oaeei /eiii ?icaeoeo ? oaeaeeiio i?ia?anoaaiith ye
i?ioan?eieo, oae ? ae?iaie/i iaoiiaeaieo caoai?thaaiue (I.O. ?ci??ia,
1997). Aeiaaaeaii (O.O. C?iaa?, ?.N. Ni?ie?i, 1983; A.I. Aaeooeeia,
1995), ui o a??iee?a aeeaieeo aoa?eueieo ai?eciio?a aeua
caoai?thaai?noue, ?iaae?aei?noue ? nia?oi?noue. A?aecia/aii c?inoaiiy
caoai?thaaiino? ? oaiaeaioe?y “iiieiaeaeaiiy” na?oeaai-noaeeiii?
iaoieia??. Ii/ano?oaee aeiaaeee ?ioa?eoo i?iea?aea (?I) ? ?aioiai?
na?oeaai? nia?o? (?NN), ia??aeei ia ?iai/eo i?noeyo, ui iana cia/io
nioe?aeueii-aeiiii?/io oeiaeo aaeoc? ? aea?aeaa? a oe?eiio (A.I.
Eiaaoeue oa ?i., 1992). A oie aea /an caeeoa?oueny iaaea/aiith ?ieue
i?ioan?eii-ae?iaie/eo oaeoi??a aoa?eueieo oaoo ye iiaeeeaeo oaeoi??a
?eceeo ?icaeoeo na?oeaai-noaeeiieo caoai?thaaiue o a??iee?a. A?aenooi?
iaoiaee/i? i?aeoiaee, ye? aeicaieythoue aeaoe e?euee?nio ioe?ieo
iaeiai? o/ano? iaea?eueo aaaeeeaeo oaeoi??a ae?iaie/iai na?aaeiaeua,
a oaeiae ?o niieo/aiue. Ia anoaiiaeai? noaaeia? ei?aeiie, ui
caaacia/othoue “aianaiiy” ae?iaie/eo oaeoi??a aei /enea
ao?i-iaoiaaiaoe/ieo oaeoi??a. O ca’yceo c iaaeiioe?ieith cia/ou?no?
i?ioan?eii-ae?iaie/eo oaeoi??a, caeeoathoueny iaae??oaieie /eneaii?
aniaeoe i?io?eaeoeee na?oeaai-noaeeiieo caoai?thaaiue, a oaeiae
nioe?aeueii-o?oaeiai?, iaaee/ii? ? ineoieia?/ii? ?aaa?e?oaoee??
a??iee?a.

Iacaaaeath/e ia aeooaeuei?noue i?iaeaie, ca?ac iaaea?oueny
iaaeinoaoiuei oaaae aea/aiith ieoaiue ?aioiai? na?oeaai? nia?o?
?ia?oiee?a aoa?eueieo i?aei?e?inoa. I?aeoe/ii a?aenooi? aeine?aeaeaiiy
ii aea/aiith iniaeeainoae ao?ieia?? ?aioiai? nia?o?, iaoai?cio ??
?icaeoeo, ye? iieyaathoue o aeyaeaii? neeaaeiiai eiiieaeno ee?i?/ieo,
ooieoe?iiaeueieo, iaoaaie?/ieo ? iaoiii?oieia?/ieo ci?i, aecia/aii? ?o
?ie? ? i?noey o neeaaeiiio iaoiaaiaoe/iiio ?yae? i?e/eiii-iane?aeeiaeo
aca?iia?aeiinei.

Aeine?aeaeaiiy iieacaee, ui o?aaeeoe?ei? oi?ie i?aai?caoe?? iaaee/ii?
aeiiiiiae a??ieeai ii iiia?aaeaeaiith ?aioiai? na?oeaai? nia?o?, a
oiio /ene? e iaa?aeeeaaeii? ea?ae?ieia?/ii?, noaee iaeiaoaeoeaieie
/a?ac oaeaeeee ?icaeoie iaoaaie?/ieo ii?ooaiue a i?iea?ae? ?
?icaeoie iaiii?aaieo iioeiaeaeaiue a oiiaao aieeao ia i?aai?ci
oaeoi??a oaooiiai na?aaeiaeua. Oea ?iaeoue aeooaeueiei iiaeaeueoa
oaeineiiaeaiiy ?nioth/eo ? ?ic?iaeo iiaeo oi?i ? iaoiae?a
iaaeeei-nioe?aeueii? i?io?eaeoeee aeaii? iaoieia??.

Ia nueiaiaei? a Oe?a?i?, ye ? a ?ioeo aea?aeaaao NIAe, a?aenooi?
iaoeia? iaaee/i? oaoiieia??, ye? ?ic?iaeai? ia i?aenoaa? aeei?enoaiiy
eiii’thoa?ieo aenia?oieo nenoai ? i???ioiaai? ia ?aiith ae?aaiinoeeo ?
i?io?eaeoeeo na?oeaai-noaeeiieo caoai?thaaiue o ianaeaiiy, a oiio
/ene? ? i?aoe?aiee?a i?iieneiaeo i?aei?e?inoa. A?aenooi?noue oeeo
oaoiieia?e ?iaeoue aaae/ith noaiaea?oecaoe?th ?acoeueoao?a ye
iiioeyoe?eieo, oae ? ee?i?ei-ooieoe?iiaeueieo aeine?aeaeaiue, a oaeiae
?iaeoue i?aeoe/ii iaiiaeeeaei noai?aiiy ?aeeieo aaeocaaeo ?aa?no??a
(aaie?a aeaieo) aeiaaee?a ?aioiai? nia?o? i?aoe?aiee?a.

Ae??oaiiy an?o oeeo ieoaiue aoaea ni?eyoe ?ic?iaoe? a?eueo aoaeoeaieo
oi?i ? iaoiae?a iaaeaiiy iaaee/ii? aeiiiiiae i?e na?oeaai-noaeeii?e
iaoieia??, a oaeiae i?aeaeuaiith yeino? i?io?eaeoe/ieo ? e?eoaaeueieo
caoiae?a, ui aeicaieeoue cieceoe /anoioo ?icaeoeo ?aioiai? na?oeaai?
nia?o? na?aae a??iee?a.

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

Aeaia ?iaioa ia? ca’ycie c ieaiii ? iai?yieaie iaoeiai-aeine?aeieo
?aa?o IAe? iaaeeei-yeieia?/ieo i?iaeai Aeiiaano oa aoa?eueii?
i?iieneiaino?, (i. Aeiiaoeuee), aeeiiaieo ii caiiaeaiith I?iaoaeai?iio ?
I?icae?aao Oe?a?ie a 1989 – 1998 ?.?. :

N Ae? 01880007953 “?ac?aaioaoue iaoiae i?ioeeaeoeee a?eoiee i?e
eoaie/aneie aieacie na?aeoea o ai?ii?aai/eo aeoaieeo oaieueiuo oaoo n
oeaeueth i?aaeoi?aaeaeaiey aiacaiiie nia?oe”;

N Ae? 01910016755 “Ii?aaeaeeoue ?ieue i?iecaiaenoaaiiuo oaeoi?ia
aeoaieeo oaieueiuo oaoo a ?acaeoee eoaie/aneie aieacie na?aeoea o
ai?ii?aai/eo e oniaa?oainoaiaaoue nenoaio eo o?oaeiaie ?aaaeeeoaoeee”;

N Ae? 01910040783 “Oniaa?oainoaiaaoue e aiaae?eoue nenoaio ieacaiey
iaioeiaeiie iiiiue ai?ii?aai/ei oaieueiuo oaoo n ino?ie
na?aea/ii-ninoaeenoie iaoieiaeae”;

N Ae? 0193U029006 “?ac?aaioaoue e?eoa?ee i?iaiice?iaaiey e iaoiaeeeo
?anneaaeiaaiey neo/aaa aiacaiiie na?aea/iie nia?oe ai?ii?aai/eo
oaieueiuo oaoo n oeaeueth oniaa?oainoaiaaiey e aiaae?aiey nenoaiu
aeeooa?aioee?iaaiiie i?ioeeaeoeee”;

N Ae? 0193U033427 “?ac?aaioaoue e aiaae?eoue oaoiieiaeth ii ?aiiae
aeeaaiinoeea e i?ioeeaeoeea eioa?eoa ieiea?aea, aiacaiiie ei?iia?iie
nia?oe e iicaiaiai einoeueoa o i?iiuoeaiiuo ?aai/eo ia iniiaa nicaeaiey
eiiiuethoa?iie yenia?oiie aeeaaiinoe/aneie nenoaiu”;

N Ae? 0195U000581 “Ii?aaeaeeoue ?ieue i?ioanneiiaeueii-i?iecaiaenoaaiiuo
oaeoi?ia a ?acaeoee e i?ia?anne?iaaiee iniiaiuo na?aea/ii-ninoaeenouo
caaieaaaiee o ai?ii?aai/eo oaieueiuo oaoo Aeiiaanna, oniaa?oainoaiaaoue
e aiaae?eoue nenoaio ia?ii?eyoee ii ieacaieth iiiiue, ea/aieth,
i?ioeeaeoeea”.

Iaoa ?iaioe. Anoaiiaeoe ao?i-iaoiaaiaoe/i? iniaeeaino? ?aioiai?
na?oeaai? nia?o? o a??iee?a aoa?eueieo oaoo Aeiiaano, iaa?oiooaaoe
e?eoa??? i?iaiicoaaiiy ?eceeo ?? ?icaeoeo ? nenoaio eiiieaenii?
iaaeeei-nioe?aeueii? i?io?eaeoeee.

Caaaeaiiy aeine?aeaeaiiy. Aeey cae?eniaiiy iinoaaeaii? iaoe
ae??ooaaeeny oae? caaaeaiiy:

1. Anoaiiaeoe /anoioo ?aioiai? na?oeaai? nia?o? na?aae a??iee?a
aoa?eueieo oaoo c ??ciiiai?oieie a??ie/i-aaieia?/ieie ? oaoiieia?/ieie
iniaeeainoyie caaaeyee ?ao?iniaeoeaiiio aeine?aeaeaiith.

2. Anoaiiaeoe ?ieue i?ioan?eii-ae?iaie/eo oaeoi??a ?eceeo a ?icaeoeo
?aioiai? na?oeaai? nia?o? a??iee?a aoa?eueieo oaoo Aeiiaano.

3. ?ic?iaeoe eeaneo?eaoe?th oaeoi??a ?eceeo e ?aioiai? na?oeaai?
nia?o?.

4. Iaa?oiooaaoe iiaeeea?noue a?aeianaiiy ?aioiai? na?oeaai? nia?o?
a??ie/eo ?ia?oiee?a aei /enea noai?a, iia’ycaieo c ae??th
i?ioan?eii-ae?iaie/eo oaeoi??a aoa?eueieo oaoo.

5. ?ic?iaeoe e ai?iaaaeeoe e?eoa??? i?iaiicoaaiiy, eiii’thoa?iee ?aa?no?
? aenia?oio nenoaio ?aioiai? na?oeaai? nia?o? a??iee?a aoa?eueieo
oaoo.

6. ?ic?iaeoe e ai?iaaaeeoe nenoaio eiiieaenii? iaaeeei-nioe?aeueii?
i?io?eaeoeee ?aioiai? na?oeaai? nia?o? o a??iee?a aoa?eueieo oaoo.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa ia i?aenoaa?
ai?aeai?ieia?/iiai i?aeoiaeo anoaiiaeai? caeiiii??iino? oi?ioaaiiy
/anoioe ? aeeiai?ee ?aioiai? na?oeaai? nia?o? na?aae a??iee?a
aoa?eueieo oaoo Aeiiaano.

Ia i?aenoaa? nenoaiiiai aiae?co, eiiieaeniiai ee?i?ei-ooieoe?iiaeueiiai,
a?io?i?/iiai, iaoiii?oieia?/iiai ? a?noio?i?/iiai iaoiae?a
aeine?aeaeaiiy aea/ai? iniaeeaino? iaoiaaiaco ?aioiai? na?oeaai?
nia?o? o a??iee?a.

Ooi/iaii oa?aeoa? iaoaaie?/ieo ii?ooaiue ? ?o ?ieue o aeieeiaii?
aeeoo?aiiaaacia/ieo ii?ooaiue ?eoio na?oey. Iaa?oioiaaia ?ieue ci?i o
i?ia?aei?e ia?aia?e nenoai? na?oey (ea?ae?iiae?iiao?? ?
ea?ae?iiae?iaeeno?io??) a iaoiaaiac? ?NN o a??iee?a.

Aecia/ai? i?noea ? ?ieue i?ioan?eii-ae?iaie/eo oaeoi??a ye iiaeeeaeo
oaeoi??a ?eceeo ?NN.

?ic?iaeai? eeaneo?eaoe?? ?aioiai? nia?o? ? oaeoi??a ?? ?eceeo,
aeei?enoai? i?e noai?aii? aaeocaaiai eiii’thoa?iiai ?aa?no?o.

Iaoeiai iaa?oioiaai? e?eoa??? ?iaeea?aeoaeueiiai e iiioeyoe?eiiai
i?iaiicoaaiiy ?eceeo ?icaeoeo ?NN o a??iee?a.

Iaa?oioiaaia iaiao?aei?noue aeei?enoaiiy a nenoai? eiiieaenii?
i?io?eaeoeee ?NN ?iaeea?aeoaeueii-a?oiiaiai i?aeoiaeo aei aeai?o
aioea?eoi?/iiai e?eoaaiiy aeeoo?aiiaaacia/ieo ii?ooaiue ?eoio na?oey
a??iee?a c aeei?enoaiiyi aino?eo e?ea?nueeeo oano?a (AEO) a
aiaoeaoi?ieo oiiaao.

Anoaiiaeaii i?ioe?oai?/iee aoaeo ?iae?iee ?iciai? ? ?aeiiaiaeiaaii ??
aeei?enoaiiy o noai? i?io?eaeoeee ?NN o a??iee?a ye aioeieneaeaioiiai,
iaia?aiinoaa?e?coth/iai e i?ioe?oai?/iiai caniao.

Iaa?oioiaai? e ?ic?iaeai? iniiai? i?eioeeie iaaeaiiy iaa?aeeeaaeii?
ea?ae?ieia?/ii? aeiiiiiae a??ieeai c aino?ith na?oeaai-noaeeiiith
iaoieia??th.

C?iaeaii oai?aoe/ia iaa?oiooaaiiy a?aeianaiiy aeiaaee?a ?aioiai?
na?oeaai? nia?o? a??iee?a i?ae /an ?iaioe a i?aecaiieo oiiaao aei
/enea noai?a, iia’ycaieo ?c ae?iaieoeoaii.

Aia?oa iaoeiai ?ic?iaeai? ?iaeea?aeoaeuei? ? iiioeyoe?ei? i?iaiinoe/i?
e?eoa??? ?eceeo ?icaeoeo ?aioiai? na?oeaai? nia?o? o a??iee?a, ye?
?aae?ciaai? o aeaeyae? eiii’thoa?ii? aenia?oii? ae?aaiinoe/ii?
nenoaie “CARD 1.0”.

Iaa?oioiaaia aoaeoeaia nenoaia eiiieaenii? iaaeeei-nioe?aeueii?
i?io?eaeoeee ?NN o a??iee?a aoa?eueieo oaoo.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Iaa?oioiaai? e
ai?iaaaeaeai? a i?aeoeeo e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a, ui
ianeoaiaothoue a??iee?a aoa?eueieo oaoo, e?eoa??? i?iaiico ?eceeo
?aioiai? na?oeaai? nia?o? o aeaeyae? eiii’thoa?ii? aenia?oii? nenoaie
“CARD 1.0”.

Ia i?aenoaa? anoaiiaeaieo caeiiii??iinoae ? ?ie? i?ioan?eii-ae?iaie/eo
oaeoi??a aoa?eueieo oaoo o ?icaeoeo ?aioiai? na?oeaai? nia?o? a??iee?a
iaa?oioiaaii a?aeianaiiy ?? aei /enea noai?a, iia’ycaieo ?c
ae?iaieoeoaii, ui ? caoaa?aeaeaii Iinoaiiaith Eaa?iaoo I?i?no??a
Oe?a?ie N 97 a?ae 23 ethoiai 1994 ?. “I?i aianaiiy aeiiiaiaiiy aei
Iieiaeaiiy i?i ?icne?aeoaaiiy oa iae?e iauanieo aeiaaee?a, i?ioan?eieo
caoai?thaaiue ? aaa??e ia i?aei?e?inoaao, a onoaiiaao ? i?aai?caoe?yo”.

Iaa?oioiaaii aeei?enoaiiy i?e?iaeiiai aioeieneaeaioa ?iae?iee ?iciai?
aeey aoi?eiii? i?io?eaeoeee ?ON o a??iee?a (Iaoaio ?in?enueei?
Oaaea?aoe?? N2022561 – “I?ioe?oai?/iee can?a” a?ae 15.11.94 ?.).

Aeaeai? ?ino?oeoeaii-iaoiaee/i? aeieoiaioe:

1. IINOAIIAA Eaa?iaoo I?i?no??a Oe?a?ie N 97 a?ae 23 ethoiai 1994 ?.
“I?i aianaiiy aeiiiaiaiiy aei Iieiaeaiiy i?i ?icne?aeoaaiiy oa iae?e
iauanieo aeiaaee?a, i?ioan?eieo caoai?thaaiue ? aaa??e ia
i?aei?e?inoaao, a onoaiiaao ? i?aai?caoe?yo”.

2. Iaoiaee/i? ?aeiiaiaeaoe?? “I?ioeeaeoeea eoaie/aneie aieacie na?aeoea
o ai?ii?aai/eo oaieueiuo oaoo”, Aeiiaoeuee, 1991 ?.

3. Iaoiaee/i? ?aeiiaiaeaoe?? “Eiiieaeniay ?aaaeeeoaoeey ai?ii?aai/eo
oaieueiuo oaoo, no?aaeathueo eoaie/aneie aieaciueth na?aeoea”,
Aeiiaoeuee, 1993 ?.

4. “Iiniaea ii ieacaieth iaioeiaeiie iiiiue i?e ?acaeoee ino?ie
na?aea/ii-ninoaeenoie iaoieiaee o oaooa?ia ia ?aai/ai ianoa”,
Aeiiaoeuee, 1994 ?.

5. Iaoiaee/i? ?aeiiaiaeaoe?? “?anneaaeiaaiea neo/aaa aiacaiiie
na?aea/iie nia?oe ?aai/eo i?aaei?eyoee oaieueiie i?iiuoeaiiinoe”
Aeiiaoeuee, 1996 ?.

6. Iaoiaee/i? ?aeiiaiaeaoe?? “I?ioeeaeoeea caaieaaaaiinoe,
eiaaeeaeiinoe e nia?oiinoe ai?ii?aai/eo io na?aea/ii-ninoaeenouo
caaieaaaiee”, Aeiiaoeuee, 1996 ?.

?acoeueoaoe aeaii? ?iaioe ai?iaaaeaeai? o 23 ae?iaie/eo
aoa?eueieo ia’?aeiaiiyo ? aea?aeaaieo oieae?iaiaeo eiiiai?yo
Oe?a?ie, a e?eoaaeueii-i?io?eaeoe/ieo caeeaaeao Aeiiaoeueei? oa
Eoaainueei? iaeanoae, Oeaio?aeueio ee?i?/io e?ea?ith i.Eoaainueea, OIC
i.Aeiiaoeueea, iaaee/i? neoaeae a??ii?yooaaeueiee?a Aeiiaoeueei?,
Eoaainueei?, Aei?i?iiao?ianueei?, Euea?anueei?, iaeanoae. ?
ocaaaeueithth/? aeoe ai?iaaaeaeaiiy.

?ic?iaeai? e ai?iaaaeaeai? i?iiiceoe?? ii oaeineiiaeaiith iaaee/ii?
aeiiiiiae a??ieeai ?c na?oeaai-noaeeiiith iaoieia??th: nenoaia
aeeniaina?iiai niinoa?aaeaiiy ca a??ieeaie ?c ?ON, aei yeiai aoiaeeoue
?aiiy ae?aaiinoeea, i?io?eaeoeea ? i?aoeaaeaoooaaiiy c iaoith
caiia?aaiiy ?icaeoeo aeeoo?aiiaaacia/ieo oneeaaeiaiue ? caoiaee ii
aaeineiiaeaiith iaaeaiiy iaa?aeeeaaeii? ea?ae?ieia?/ii? aeiiiiiae i?e
aeai?e iaoieia??.

Iniaenoee aianie caeiaoaa/a. Aeena?oaioii cae?enithaaany ca?? ia?aeiiiai
iaoa??aeo – aeeii??iaea aeaieo ?c i?ioieie?a noaeiai-iaaee/iiai
ianoaaeaiiy o?oi?a i?e ?aioia?e na?oeaa?e nia?o? a??iee?a ? /ieia?e?a
caaaeueii? iiioeyoe??, aeeii??iaea aeaieo ?c iaaee/ii? aeieoiaioaoe??
iaaea?eaaae a??ii?yooaaeueiee?a oa e?ea?i? oaeaeei? iaaee/ii?
aeiiiiiae i. Aeiiaoeueea, ?ic?iaea oi?i i?ioieie?a, oaaeeoeue eiae?a ?
aianaiiy ?ioi?iaoe?? aei eiii’thoa?ieo aac aeaieo.

Naiino?eii i?iaaaeaii ee?i?ei-ooieoe?iiaeueia ianoaaeaiiy a??iee?a c
?ON i?e aea/aii? ae?? aioea?eoi?/ieo i?aia?ao?a o noaoe?iia?? ?
ae?iaie/eo oiiaao; ?acoeueoaoe aeine?aeaeaiue aoee aianai? aei
eiii’thoa?ii? aace aeaieo ? iaoaiaoeei-noaoenoe/ii i?iaiae?ciaai?.

Naiino?eii ?ic?iaeai? oaeoi?i? iiaeae? aieeao i?ioan?eii-ae?iaie/eo
oaeoi??a aoa?eueieo oaoo ia a??ieeao ? i?iaiinoe/i? iiaeae? ?icaeoeo
?NN o ieo.

Naiino?eii i?aeaioiaeai? ae??oaeuei? i?aaeea e a?o?oaeoo?a iiaeoe?a aeey
aenia?oii? nenoaie “CARD 1.0”.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeine?aeaeaiiy aoee
aeieeaaeai? ? iaaiai?ai? :

1. Ia i?aeia?iaei?e eiioa?aioe?? “Iaaeeoeeia o?oaea a o?aoueai
ouny/aeaoee”, 23-25 ea?oiy 1998 ?., Iineaa.

2. Ia iaoeiai-i?aeoe/i?e eiioa?aioe?? c i?aeia?iaeiith o/anoth
“Aeooaeueiua aii?inu i?ioeeaeoeee iaeioaeoeeiiiuo caaieaaaiee”, 14-16
a?oaeiy 1993 ?., Iineaa, Aea?aeaaiee IAeOe i?io?eaeoe/ii? iaaeeoeeie.

3. Ia Ananithci?e iaoeia?e eiioa?aioe?? “O?oae, yeieiaey e caei?iauea
oaooa?ia”, 21-22 o?aaiy 1991 ?., Aeiiaoeuee.

4. Ia ia’?aeiaiiio can?aeaii? ?IE “Aeaeaia o?oaea e i?iocaaieaaaiey” ?
“Ea?aeeieiaey”, i?ioieie a?ae 12-13 o?aaiy 1994 ?. N1.

5. Ia Anaoe?a?inuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? c i?aeia?iaeiith
o/anoth, i?enay/ai?e 70-??//th Aeiiaoeueeiai IAe? a?a??ie i?aoe? ?
i?iocaoai?thaaiue “Aeooaeueiua aii?inu aeaeaiu o?oaea, i?ioiaoieiaee e
iaaeeoeeineiai iaania/aiey o?oaeyueony i?iiuoeaiiuo i?aaei?eyoee ia
nia?aiaiiii yoaia ?acaeoey oicyenoaaiiiai eiiieaena Aeiiaanna”,
Aeiiaoeuee, 1995 ?.

6. Ia ?anioae?eainueeiio nai?ia?? “Ninoiyiea caei?iauey oaooa?ia e
aii?inu aai io?aiu ia nia?aiaiiii yoaia ?acaeoey io?anee”, Aeiiaoeuee,
1994 ?.

7. Ia iaeani?e iaoeiai-i?aeoe/i?e eiioa?aioe?? “Oi?iu, iaoiaeu e iooe
niaa?oainoaiaaiey iaaeeei-i?ioeeaeoe/aneiai ianeoaeeaaiey o?oaeyueony”,
Aeiiaoeuee ,1989 ?.

8. Ia oiaa?enoa? ea?ae?ieia?a ? oa?aiaao?a Aeiiaoeueei? iaeano?
(Aeiiaoeuee, 1996 ?.).

Iniiai? iieiaeaiiy aeena?oaoe?? a?aeia?aaeai? o 2-o iiiia?ao?yo, a
oaeiae o 28 ae?oea?nueeeo ?iaioao a oeaio?aeueieo iaaee/ieo aeo?iaeao
? ca??ieeao, 1 aaoi?nueeiio na?aeioeoa?.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 310
noi??ieao iaoeiiieniiai oaenoo ? neeaaea?oueny ?c anooio, oanoe
?icae?e?a, aeniiae?a, nieneo aeei?enoaii? e?oa?aoo?e ? aeiaeaoe?a.
?iaioa ?ethno?iaaia 42 oaaeeoeyie (40 noi??iie) ? 39 iaethieaie (30
noi??iie). A?ae?ia?ao?/iee iieaae/ee e?oa?aoo?e i?noeoue 266 aeaea?ae, a
oiio /ene? – 203 aeaea?aea a?o/eciyieo oa 63 aeaea?aea ca?oa?aeieo
aaoi??a (ui neeaaea? 27 noi??iie).

CI?NO AeINE?AeAEAIIss

Iaoa??ae ? iaoiaee. Ca ia??iae 1987-1996 ?.?. ca iaoa??aeaie
Aeiiaoeueeiai iaeaniiai ? i?nueeeo ath?i noaeiai-iaaee/ii? aenia?oece
aea/aia /anoioa aeiaaee?a ?NN na?aae a??iee?a aoa?eueieo oaoo Aeiiaano
(A a?oia, n=737), ? /ieia?e?a, ye? ia i?aoethaaee o aoa?euei?e
i?iieneiaino?, aea i?iaeeaaee a oeueiio ae ?aa?ii? (A a?oia, eiio?ieue
n=1648 aeiaaee?a).

Aeeii??iaai? a iaeanieo ? i?nueeeo ath?i noaeiai-iaaee/ii? aenia?oece
aeiaaeee ?NN a??iee?a oaoo ae?iaie/eo ia’?aeiaiue (AI) ii aeaeiaooeo
aoa?eey Aeiiaoeueei? iaeano?, a oaeiae “Naa?aeeianueeaoa?eey”
(Eoaainueea iaeanoue), “Aoeiaaoa?eey” ? “?inoiaaoa?eey” (?in?y,
?inoianueea iaeanoue). Ca aeecueeei aaia?ao?/iei iieiaeaiiyi ?
noiaeeie a??ie/i-aaieia?/ieie oiiaaie caeiaooeo aoa?eey oieae?iaia?
eiiiai?? ia’?aeiai? a o?noue a?oi (oaae.1). Anueiai ii Aeiiaoeuee?e ?
Eoaainuee?e iaeanoyo i?iaiae?ciaaii 963 i?ioieiee ?icoeio, aea aoee
iaea?eueo iiaii i?aaenoaaeai? ?acoeueoaoe noaeiai-iaaee/iiai ianoaaeaiiy
o?oia: ci?ie a ei?iia?ieo a?oa??yo, iae?i- ? i?e?ineii?/i? ci?ie i’yco
na?oey ie?aii a i?aaiio ? e?aiio oeoii/eao, i?aeoeoii/eiaiio
ia?aoei?, ia?aaena?aeyo.

Aeey ii??aiyeueiiai aiae?co iaoiii?oieia?/ieo ci?i a na?oeaai-noaeeii?e
nenoai? aoee acyo? i?ioieiee noaeiai-iaaee/iiai ianoaaeaiiy 200
aeiaaee?a, noi?iiaaieo ca a?oiaie:

I a?oia – aeiaaeee ?NN a??iee?a aoa?eueieo oaoo AI “Aeiiaoeueeaoa?eey” –
50 aeiaaee?a.

II a?oia – aeiaaeee nia?o? a??iee?a AI “Aeiiaoeueeaoa?eey” a?ae
oaooii? o?aaie – 50 aeiaaee?a.

III a?oia – aeiaaeee ?NN /ieia?e?a caaaeueii? iiioeyoe?? i.
Aeiiaoeueea, ye? ca aeeooy ia caeiaeeny aaaeeith o?ce/iith i?aoeath
– 50 aeiaaee?a.

IV a?oia – /ieia?ee caaaeueii? iiioeyoe?? i. Aeiiaoeueea, ye? ca aeeooy
ia caeiaeeny aaaeeith o?ce/iith i?aoeath ? eio?? caaeioee i?e o?aai?
– 50 aeiaaee?a.

O an?o aeiaaeeao, ?acii c e?ea?yie-noaeiaaeaenia?oaie Aeiiaoeueeiai
iaeaniiai ath?i noaeiai? iaaeeoeeie, i?iaaaeaii ie?aia caaaeoaaiiy
/anoei na?oey, ii?oiiao?e/ia aecia/aiiy eiao?oe??ioo caa?aaeaiiy
i?ina?oo ei?iia?ieo a?oa??e, ?ic?aoiaoaaany ?iaeaen e?iaicaaacia/aiiy
na?oey (?EN) – e?euee?noue iane na?oey (a a?aiao), yea eaeaoueny ia 1 ii
ae?aiao?o i?ina?oo a?ioeaaeo a?oa??e (A.I. E?ooeoe, 1979).

Oaaeeoey 1

?iciiae?e aeiaaee?a ?NN ?ia?oiee?a ae?iaie/eo ia’?aeiaiue ii
aeaeiaoaaiith aoa?eey ??ciiiai?oieo ?aa?ii?a Aeiiaano

A?oie oaoo,

(aeiaaeee ?NN)Oieae?iaia? eiiiai??,

ui oa?eoee aei a?oieI

n=266“Aeiiaoeueeaoa?eey”, “Iae??aaoa?eey”

(Aeiiaoeueea iaeanoue)II

n=102“Oi?acaio?aoeeo”, “Oaooa?nueeaoa?eey”, “Ieoya?aoa?eey”

(Aeiiaoeueea iaeanoue)III

n=330“A?oaiaoa?eey”, “Aeca?aeeinueeaoa?eey”, “I?aeaeii?e?aecaaoa?eey”

(Aeiiaoeueea iaeanoue)IV

n=39“E?aniia?i?enueeaoa?eey”, “Aeia?iiieeyaoa?eey”

(Aeiiaoeueea iaeanoue)V

n=171“Aoeiaaoa?eey”, “?inoiaaoa?eey”

(?inoianueea iaeanoue)VI

n=55“Naa?aeeiaaoa?eey”

(Eoaainueea iaeanoue)

O ca’yceo c oei, ui c 1994 ?ieo aeiaaeee ?NN a??iee?a, ui aoee
ca?a?no?iaai? ca ie?aieo ianoaaei, a?aoiaothoueny iia’ycaieie ?c
ae?iaieoeoaii ? iaeaaeaoue niaoe?aeueiiio ?icne?aeoaaiith (Iinoaiiaa
Eaa?iaoo I?i?no??a Oe?a?ie N 623 a?ae 10 na?iiy 1993 ?ieo), ie?aii
i?iaiae?ciaaii 202 aeoa niaoe?aeueiiai ?icne?aeoaaiiy aeiaaee?a ?NN
a??iee?a aoa?eueieo oaoo Aeiiaoeueei? ? Eoaainueei? iaeanoae ?c a?o?a?a
Aea?aeiaaeyaeioi?iii?aoe?.

A 15 aeiaaeeao ?NN a??iee?a, ?acii c e.a.i. Ianyi?eiaith O.I., aoei
i?iaaaeaii a?noio?i?/ia aeine?aeaeaiiy: aecia/aee a ??cieo ae?eyieao
na?oeaaiai i’yca iayai?noue EAeA, NAeA, IAAeO, IAAeOI, oeAIO, oeAIO
?aae?i?ioiiei iaoiaeii ?c aeei?enoaiiyi noaiaea?oieo iaai??a ?aaeoea?a
(A. O?eiaeue, 1987; A.A. Oea/iaa ? ?i., 1983).

A?noieia?/ia aea/aiiy i?ia?aeii? nenoaie na?oey i?iaaaeaii o 15
aeiaaeeao ?NN a??iee?a oaoo AI Aeiiaoeueeaoa?eey ca iaoiaeeeith
A?eueoianueeiai-A?in o iiaeeo?eaoe?? A.?. Eaa?aioue?aa (1971).
O?enoaaee aooiin?eiee iaoa??ae o 12% ?ic/ei? oi?iae?io. Aeey
?ii?aaiaoe?? aeei?enoiaoaaee 20% ?ic/ei acioiieeniaaiai n??aea, a
?acoeueoao? /iai aeaiaioe i?ia?aeii? nenoaie na?oey aeyaeythoueny o
aeaeyae? /i?ieo ooai?aiue ia caaaeueiiio na?oeiio oii?. A?noieia?/ia
aeine?aeaeaiiy aeeiiaii ?acii c ae.i.i. THe?o I.?.

Ianoaaeie nia?o? aea/aeenue ca i?ioieieii noaeiai-iaaee/iiai ?icoeio
? aeoii niaoe?aeueiiai ?icne?aeoaaiiy aeiaaeeo nia?o? a??ieea.

Aeai? i?ioia?o?ooo e nai?oa?ii-a?a??i?/ieo oiia i?aoe? ia inoaiiueiio
?iai/iio i?noe? ?aioiai iiia?eiai a??ieea aeeii??iaoaaee ?c
aeieoiaioaoe?? a?aeae?e?a eaae??a ? oaoi?ee aaciaee oaoo.

C iaoith aea/aiiy aieeao aae?iiaai?oieo oaeoi??a ia aeeiai?eo aeiaaee?a
?NN aeeii??iaoaaee ?c ui??/ieo ano?iiii?/ieo ca??iee?a cia/aiiy /enea
Aieueoa (W), ye ?acoeueoao oa?aeoa?enoeee niiy/ii? aeoeaiino?:

W = f + 10g,

aea f – caaaeueia /enei niiy/ieo ieyi;

g – /enei noai?aieo ieie a?oi, ui niinoa??aathoueny ia Niioe? ia
aeaiee iiiaio /ano.

Iaoa??aee aeine?aeaeaiue c iaaeaiiy iaa?aeeeaaeii? iaaee/ii? aeiiiiiae
a??ie/ei ?ia?oieeai c aino?ith na?oeaai-noaeeiiith iaoieia??th. Ca
niaoe?aeueii ?ic?iaeaiith ea?oith aenia?oii? ioe?iee iaaeaiiy
iaa?aeeeaaeii? aeiiiiiae i?iaiae?ciaai? noai oai?iai ? oa?i?ie iaaeaiiy
aeiiiiiae iaaee/ieie a?eaaaeaie a??ii?yooaaeueiee?a Aeiiaoeueei?
iaeano? a??ieeai c aino?ith na?oeaai-noaeeiiith iaoieia??th ia
?iai/iio i?noe? aai a oiiaao oaooiiai iaaeioieoo ca ia??iae 1986-1990
?.?. Anueiai i?iaiae?ciaaii 298 aeiaaee?a. Aenia?oia ioe?iea
cae?enithaaeanue aenia?oaie a neeaae?: ia/aeueieea iaaee/ii? neoaeae
a??ii?yooaaeueiee?a, e?ea?y-?aai?iaoieiaa ? e?ea?y-ea?ae?ieiaa.

I?e oeueiio ei?enooaaeeny ?nioth/eie aeiiaaie ii ianyao iaaeaiiy
aeiaini?oaeueii? iaa?aeeeaaeii? aeiiiiiae ? iin?aieeii c iaaeaiiy ia?oi?
iaaee/ii? aeiiiiiae i?e aaa??yo a oaooao.

Aeey ioe?iee yeino? iaaeaiiy iaa?aeeeaaeii? aeiiiiiae a??ieeai
ea?ae?ieia?/ieie a?eaaaeaie “oaeaeei? aeiiiiiae” aoea aea/aia iaaee/ia
aeieoiaioaoe?y e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae i. Aeiiaoeueea ca
ia??iae 1986-1990 ?.?. – 200 ?noi??e oai?iae a??iee?a c aino?ith
na?oeaai-noaeeiiith iaoieia??th.

Iaoa??aee ? iaoiaee aeine?aeaeaiiy ae?? iaaeeeaiaioicieo i?aia?ao?a. C
iaoith aea/aiiy ae?? aioea?eoi?/ieo i?aia?ao?a a noaoe?iia?? ?
ae?iaie/eo oiiaao i?iaaaeaii aeine?aeaeaiiy ia 80 a??ieeao aeeaieeo
aoa?eueieo oaoo iniiaieo i?ioan?e – a??ieee i/enieo caai?a (A?IC),
i?io?aeieee o a?oe? 35-49 ?ie?a. C ieo 10 /ieia?e – caei?ia? a??ieee,
neeaee eiio?ieueio a?oio, ?io? 70 – c o?ii?/iith ?ON aac iciae
iaaeinoaoiino? e?iaiia?ao. O aeine?aeaeaiiy aoee acyo? eeoa oai?? c
iiceoeaiith aaeia?aiiao?e/iith i?iaith (AAI), yeo i?iaiaeeee ca
caaaeueiii?eeiyoeie e?eoa??yie (Ae.I. A?iiia, 1979).

I?e oi?ioaaii? a?oi ea?oaaeenue i?eioeeiii ?iaeea?aeoaeueii?
?aiaeii?caoe?? – ?icae?eaiiy oai?eo ?ON ia oeo, ooi e?eoaaany – Ia
a?oia – 24 /ieia?ea, ? oeo, ooi ia e?eoaaany – Ia a?oia – 10 /ieia?e ca
oaeeie iniiaieie iciaeaie : noaae ?iaioe a i?aecaiieo oiiaao, a?e,
i?ioan?y, oa?aeoa? ia?aa?ao ?ON, oei aaiiaeeiai?ee ? a?aenooi?noue
noiooi?o caoai?thaaiue. Ca aeiiiiiaith oeueiai i?eeiio aeinyaaeanue
caaeainiaai?noue no?oeoo?e a?oi oai?eo ca aoaeue-yeeo niieo/aiue
?aiaeii?ciaaieo iciae. Aei iaio a?oi aianai? oai?? ?ON c oeoii/eiaeie
aeno?anenoieaie aenieeo a?aaeaoe?e (3-5). A??ieee, o yeeo aoea
iiceoeaia AAI i?iaa ? aoee a?aenooi? oeoii/eia? aeno?anenoiee aenieeo
a?aaeaoe?e, neeaaeaee II a?oio (36 /ieia?e?a). Oai?? Ia a?oie
iaea?aeoaaee aioea?eoi?/i? i?aia?aoe ia?oiai eeano (?ia?a?oi?e
oaeaeeiai iao???aiai eaiaeo). ?c oeueiai eeano i?aia?ao?a aea?aii 4-e
: aeeai?i?i, aoiic?i, aoaoeec?i, ?eoi?eai. Oai?? II a?oie io?eioaaee
iiiioa?ai?th ei?eioa?ii.

Ia?o? 48 aiaeei a ee?i?oe? oai?? ia i?eeiaee ea?ae?io?iiieo
i?aia?ao?a. A oeae ia??iae ?i i?iaiaeeee iiaeeaeaia
ee?i?ei-ooieoe?iiaeueia ianoaaeaiiy, yea neeaaeaeiny ?c cae?aiiy nea?a,
aiaiiaco caoai?thaaiiy ? aeeooy, ia’?eoeaieo aeaieo, ioe?iee
oiea?aioiino? aei o?ce/iiai iaaaioaaeaiiy ? aecia/aiiy ooieoe?iiaeueiiai
eeano (OE) ca aeiiiiiaith AAI.

Aioea?eoi?/ia aoaeoeai?noue i?aia?ao?a ioe?ithaaeanue /a?ac e?eueea
aoai?a. Ia I aoai? aecia/aee aoaeoeai?noue i?aia?ao?a a noaoe?iia??
oeyoii i?iaaaeaiiy aeei?enoaiiyi aino?eo e?ea?nueeeo oano?a c ?aciaei
aei?iaoaaeueiei i?ecia/aiiyi iine?aeiaii eiaeiiai ?c aioea?eoi?/ieo
i?aia?ao?a a aeic?, ui aei??aithaaea 50 % a?ae na?aaeiuei? aeiaiai?
aeice (iaaaioaaeia aeica). Oea neeaei aeey ?eoi?eaio 300 ia, aeeai?i?io
50 ia, aoiic?io 200 ia, aoaoeec?io 100 ia. ?ioa?aae i?ae i?eeiiii
ie?aieo i?aia?ao?a neeaaeaa 24 aiaeeie. E?eoa???i iiaii? aioea?eoi?/ii?
aoaeoeaiino? i?aia?ao?a aoei cieaeaiiy caaaeueii? e?eueeino?
oeoii/eiaeo aeno?an?noie: 2 a?aaeaoe?? ia 70 ? a?eueoa a?aenioe?a ? 100
% cieuaiiy oeoii/eiaeo aeno?an?noie 3-5 a?aaeaoe?e. Ca iayaiino?
iiceoeaiiai aioea?eoi?/iiai aoaeoo oai?? i?ioyaii 2 oeaei?a a oiiaao
noaoe?iia?o ?aaoey?ii i?eeiaee ?iaeea?aeoaeueii i?ae?a?aiee i?aia?ao o
iiai?e aeiaia?e aeic? (3 ?ace ia aeaiue /a?ac 6 aiaeei) ca cae/aeiith
noaiith.

A oeae ia??iae /ano ioe?ithaaee no?ee?noue aioea?eoi?/iiai aoaeoo,
iiaeeea? oneeaaeiaiiy ? a?eoiiaaii?noue i?aia?aoo. Ca iayaiino?
aieueiaiai neiae?iio aei noaie e?eoaaiiy aeiaeaaaee aioeaia?iaeuei?
i?aia?aoe (i?o?aoe, aioaaii?noe eaeueoe?th) a caaaeueiii?eeiyoeo
aeicao.

I?ney aeienee ?c noaoe?iia?o i?iaeiaaeoaaee e?eoaaiiy aiaoeaoi?ii aei
io?eiaiiy no?eeiai aoaeoo. Ia oeueiio aoai? cae?enithaaee eiio?ieue ca
aoaeoeai?noth i?aia?aoo, i?ae?a?aiiai a noaoe?iia??, oeyoii iiaoi?iiai
aino?iai e?ea?nueeiai oanoo o ae?iaie/eo oiiaao ia oii? ?iai/iai
iaaaioaaeaiiy. E?eoa???i iiceoeaiiai aioea?eoi?/iiai aoaeoo i?aia?aoo
a?aoiaoaaeinue iiaia cieuaiiy oeoii/eiaeo aeno?anenoie 2-5 a?aaeaoe?e.

O aeiaaeeo cieaeaiiy oa?aiaaoe/ii? aoaeoeaiino? i?aia?ao?a cae?enithaaee
ei?aeoe?th aeice, e?aoiino? i?eeiio e i?ecia/aee eiia?iaoe?th
i?aia?ao?a c iiaeaeueoith aei?iaeith ?iaeea?aeoaeueii? noaie aeey
aiaoeaoi?ieo oiia.

I?e i?aeai?? i?aia?ao?a, ?o aeicoaaiue ? ia??iaee/iino? i?eeiio
a?aoiaoaaee iaoiaaiaoe/i? iniaeeaino? ?icaeoeo ii?ooaiue ?eoio na?oey
(I.A. Iaco?, 1995).

I?iaa c aeiciaaiei o?ce/iei iaaaioaaeaiiyi – aaeia?aiiao??y
i?iaiaeeeanue ia aaeia?aiiao?? “Tuntury” (O?ieyiae?y). ?a?no?aoe?th AEA
i?iaiaeeee ia 6-eaiaeueiiio aeaeo?iea?ae?ia?ao? 6-NEK-1 (I?ia//eia) a 12
noaiaea?oieo a?aeaaaeaiiyo o niiei? oa i?ae /an aacia?a?aii c?inoath/iai
iinooiiaiai iaaaioaaeaiiy. Ii/aoeiaa iaaaioaaeaiiy neeaaeaei 25-50 Ao,
i?oei?noue iaaaioaaeaiiy ca?eueooaaee eiaei? 3 oaeeeie ia 100 % aei
io?eiaiiy noaiaeneiaeueii? *NN aai iiyae e?eoa???a coieiee i?iae.

Noai aaiiaeeiai?ee aea/aee ca aeiiiiiaith aoiea?ae?ia?ao?? (AoiEA) ia
aia?ao? “O’theao-Iaea?ae” (NOA) c ia?iaeith ?acoeueoao?a ? ?o aiae?cii
ca caaaeueiii?eeiyoith iaoiaeeeith (I.I. Iooa?eyiia, 1987).

Ia an?o aoaiao aeine?aeaeaiiy aeey eiio?ieth ca aoaeoeai?noth
i?aia?ao?a aeei?enoiaoaaee oieoa?ianueea iii?oi?oaaiiy (OI AEA) ca
aeiiiiiaith aia?aoo “E?ioa-IO” (?in?y) c iiaeaeueoith ioe?ieith
ii?ooaiue ?eoio na?oey ca eeaneo?eaoe??th B. Lown e M. Wolf (1971).
E??i oiai, i?e aini?oae?caoe?? aei noaoe?iia?o, aeienoe? ? a e?ioe?
30-aeaiiiai eo?no aiaoeaoi?iiai e?eoaaiiy, i?iaiaeeany iiaoi?iee
eiiieaen ee?i?ei-ooieoe?iiaeueieo aeine?aeaeaiue.

A?io?i?/i? aeine?aeaeaiiy i?aaenoaaeai? aecia/aiiyi iniiaieo iieaciee?a
e?i?aeiiai iai?io: ??aiy o?eae?oea?eae?a o ne?iaaooe? e?ia? ca
aeiiiiiaith noaiaea?oieo iaai??a o??ie Eaoaia (*ao?y), caaaeueiiai
oieanoa??io ? eiai o?aeoe?e, iaanoa?eo?eiaaieo aee?ieo eeneio,
aoa?iaaiieo eeiii?ioa?ae?a, iieaciee?a ?ioaineaiino? IIE (eiioeaio?aoe?y
iaeiiiaiai aeeaeueaeaa?aea ? ia?ieneaeacia aeoeai?noue e?ia?) ca
noaiaea?oieie iaoiaeeeaie (A.A Aaa?eeia, 1988; ?.O. Aeaaeaeaieiaa, 1990;
Ae. I?ae, 1979).

Ca aeiiiiiaith noaiaea?oieo ?aae?i?ioiieo iaai??a aea/aee ci?no a e?ia?
ai?iii?a (O.?. Aa?aa?,1980;A.A. Oea/iaa ? ?i., 1983): ?inoe?io – iaa??
?inoe?i-??A (?inoeooo ?cioii?a, Aoaeaiaoo), ei?oecieo – iaa?? Amerlex
Cortisol RIA kit o??ie “Amersham”, AEOA – iaa?? o??ie “Lachema”, NOA –
iaa?? o??ie “Lachema”, IO – iaa?? o??ie “Lachema, EO – iaai?o RIA-mat
Calcitonin 2 o??ie “Sangtec”, (I?ia//eia), oanoinoa?iio – iaa?? o??ie
“Lachema”, aeueaeinoa?iio – iaa??- Aldosteron, o??ie “Diagnostic Product
Corporation”.

A?io?i?/i? aeine?aeaeaiiy e?ia? i?iaiaeeeenue ia aac? ae?aaiinoe/iiai
oeaio?o i. Aeiiaoeueea ia aia?aoo?? o??ie “Kone-diagnostiks”
(O?ieyiae?y).

An? caniae aei??thaaiue, ui aeei?enoiaoaaeenue i?e i?iaaaeaii?
aeine?aeaeaiue nai?/anii iao?ieia?/ii eiio?iethaaeenue.

C iaoith aea/aiiy i?ioe?oai?/ii? ae?? nie?oiaiai aeno?aeoo ?iae?iee
?iciai? o a??iee?a c ?ON aoea noi?iiaaia a?oia oaooa??a c aeaiith
iaoieia??th (25 /ie.), ye? i?eeiaee ia ia?oiio aoai? aeey ii??aiyiiy
a?oai?i A (aeueoa-oieioa?ieaoeaoao) aac ?ioeo i?aia?ao?a, a iio?i /a?ac
i?nyoeue ?i aoei i?iaaaeaii eo?n iiiioa?ai?? aeno?aeoii ?iae?iee
?iciai?. Aeno?aeo ?iae?iee ?iciai? canoiniaoaaany ia?i?aeueii ii 15
e?aiaeue 3 ?ace ia aeiao i?ioyaii 14 aei?a, aeueoa-oieioa?ieaoeaoao –
ia?i?aeueii ii 0,2 a 3 ?ace ia aeiao i?ioyaii 14 aei?a.

Iaoaiaoeei-noaoenoe/i? iaoiaee aiae?co ?acoeueoao?a aeine?aeaeaiiy. Aeey
ioe?iee io?eiaieo ?acoeueoao?a aeine?aeaeaiiy aoee noi?iiaai?
eiii’thoa?i? aace aeaieo: 1. Ee?i?ei-ooieoe?iiaeueieo – “KLIN”,
noaeiai-iaaee/ieo – “SADD” ? ii iaaeaiith iaa?aeeeaaeii?
ea?ae?ieia?/ii? aeiiiiiae – “VGSO” ? “SP” c iiaeaeueoei eiaeoaaiiyi ?
caianaiiyi ?acoeueoao?a aeeii??iaee aei ieo.

Iaoaiaoeei-noaoenoe/iee aiae?c i?iaaaeaii ca aeiiiiiaith i?ia?aie
Statistica for Win95 ia ia?niiaeueiiio eiii’thoa?? ?entium 100
(aecia/aiiy na?aaeiuei? a?eoiaoe/ii? ? eaaae?aoe/iiai a?aeoeeaiiy,
iiaeeea?noue iiieeee, ia?aa??ea noaoenoe/ii? a?iioace i?i ??ai?noue
na?aaei?o ca e?eoa???i No’thaeaioa, ei?aeyoe?eiee aiae?c oa ?i.) (?.A.
Aoaea?, 1991).

Iaaee/ia eiii’thoa?ia aenia?oia nenoaia “CARD 1.0” ?ic?iaethaaeanue
?acii c iaoaiaoeeii-i?ia?ai?noii, e.o.-i.i. Ea?aaao I.I. ca aeiiiiiaith
i?ia?aie “Delphi 2.0”.

?ACOEUeOAOE AEANIEO AeINE?AeAEAIUe

Aeine?aeaeaiiy iieacaee, ui ia oaooao c e?ooei caeyaaiiyi aoa?eueieo
ieano?a (Oeaio?aeueiee Aeiiaan) /anoioa aeiaaee?a ?NN na?aae a??iee?a
aeinyaa? a na?aaeiueiio 60,7 ia 100 oen., na?aae oaooa??a iniiaieo
i?ioan?e (II) – 74,0 ? aeiiii?aeieo i?ioan?e (AeI) – 46,0 (p800
i)0,68- 12.Iieia? aoa?euei? ieanoe -0,20- 13.E?ooiiaaeoth/e aoa?euei?
ieanoe0,47- 14.Oaiia?aoo?a i?e?iee?iaoo (aei 26 N)-0,12- 15.Oaiia?aoo?a
i?e?iee?iaoo (a?eueoa 26 N)0,65- 16.Aaaee?noue i?aoe?0,78-
Caaaeueiiiiioeyoe?ei? oaeoi?e17.Aaaeea niaaeeia?noue0,3518.Oe?aeeea?
cae/ee (iae?iiy, aaeeaaiiy aeeiaieth)0,30- 19.A?oa??aeueia a?ia?oaic?y-
0,4120.?oai?/ia oai?iaa na?oey- 0,4721.Ii?ooaiiy i?ia?aeiino?
i?iea?aeo- 0,3522.Ianiaoeeo?/i? ci?ie ia AEA-
0,20Nioe?aeueii-ineoieia?/i? oaeoi?e23.Oaeoi? nioe?aeueii?
iai?oaeaiino? a?ae 21 aei 30 aae?a0,29- Einiio?ce/i? oaeoi?e24.Niiy/ia
aeoeai?noue aeniea (ca /eneii Aieueoa)0,15- 25.Naciii?noue0,21-

Iaea?eueo iiaeeeaei i?iaiinoe/iei aa??aioii ? ianei?noe/iee i?iaiic,
i?e yeiio /anoioa aeiaaee?a ?aioiai? nia?o? iiaeiia c?inoe ia 45 %.

Aeyaeaii, ui iaaaoeaiee aieea i?ioan?eii-ae?iaie/eo oaeoi??a ia noai
na?oeaai-noaeeiii? nenoaie aeyaey?oueny a ?icaeoeo aeeno?io?/ieo
ci?i a i?iea?ae?, ii?ooaiiyo ?eoio ? i?ia?aeiino? na?oey. Iaea?eueo
/ano?oith oi?iith ii?ooaiue ?eoio na?oey o oaooa??a c ?ON aoee
oeoii/eia? aeno?anenoiee (OA) 2-5 a?aaeaoe?e.

?acoeueoaoe AAI o oai?eo c ?ON, oneeaaeiaiith ii?ooaiiyie ?eoio na?oey,
aeyaeee, ui a ieo aoea iaeiaioa ii?iaiaa i?oei?noue iaaaioaaeaiiy a
ii??aiyii? ?c caei?iaeie a??ieeaie ? iniaaie c ?ON, aea aac ii?ooaiue
?eoio na?oey. Aeinoia??ii ieae/a aeyaeany aeeiiaiee ieie ianya ?iaioe ?
cia/aiiy ?iaeaeno aia?aiaeo?ao, ui na?ae/eoue i?i oa, ui aeey aeeiiaiiy
iaaaioaaeaiiy ia a?eueo iecueeiio ii?ic? i?oeiino? ieie aeo?a/a?oueny
a?eueoa aia?a??, ui aiai?eoue i?i aeenaaeain iai?io iae?ia?a?a o
i?iea?ae?.

I?e ??aeeeo iiiioiiieo OA aeyaeaii o?niee iiceoeaiee ei?aeyoe?eiee
ca’ycie i?ae cia/aiiyi OI, EAeI ? noia?iith /anoioith OA (r=+0,35
e r=+0,43, p

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