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

OE?A?INUeEA IAAeE*IA NOIIAOIEIA?*IA AEAAeAI?ss

Ia i?aaao ?oeiieno

OAeE 616.314-089.28:616.314.17-008.1-056

E??EUe Aiae??e Eineiiae/

AEEI?ENOAIIss IAOO?AEUeIEO COA?A

A I?OIIAAeE*IIIO E?EOAAII?

14.01.22-“Noiiaoieia?y”

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iieoaaa – 1999 ?.

Aeena?oaoe??th ? ?oeiien.

?iaioo aeeiiaii ia eaoaae?? i?oiiaaee/ii?ue noiiaoieia??

?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai??.

Iaoeiaee ea??aiee — aeieoi? iaaee/ieo iaoe, i?ioani?

IAAEAIEI Ieaen?e Aieiaeeie?iae/,

Ee?anueea iaaee/ia aeaeai?y i?neyaeeieiiii?

ina?oe, i?ioani? eaoaae?e i?oiiaaee/ii?

noiiaoieia??

Io?oe?ei? iiiiaioe — aeieoi? iaaee/ieo iaoe, i?ioani?

A?ECIAeOA Aaneeue ?aaiiae/,

Oa?e?anueeee ?inoeooo oaeineiiaeaiiy

e?ea??a, caa?aeoaa/ eaoaae?ith i?oiiaaee/ii?

noiiaoieia??

eaiaeeaeao iaaee/ieo iaoe, i?ioani?

IAE??A Aaeaioei Oaaei?iae/,

Euea?anueeee aea?aeaaiee iaaee/iee

oi?aa?neoao, caa?aeoaa/ eaoaae?ith

i?oiiaaee/ii? noiiaoieia??

I?ia?aeia i?aai?caoe?y – Iaoe?iiaeueiee iaaee/iee oi?aa?neoao

?i. aeaae. I.I.Aiaiiieueoey, eaoaae?a i?oiiaaee/ii? noiiaoieia??,
i.Ee?a.

Caoeno a?aeaoaeaoueny “ 1 ” /a?aiy 1999 ?ieo i 15-00 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee i?e Oe?a?inuee?e iaaee/i?e
noiiaoieia?/i?e aeaaeai?? (314024, i. Iieoaaa, aoe. Oaa/aiea, 23).

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Oe?a?inueei?
iaaee/ii? noiiaoieia?/ii? aeaaeai?? (i. Iieoaaa, aoe. Oaa/aiea, 23).

Aaoi?aoa?ao ?ic?neaii “ 24 ” ea?oiy 1999 ?ieo

A/aiee nae?aoa?

niaoe?ae?ciaaii? ?aaee, I.A.AIEIAEI

aeioeaio

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

A e o o a e ue i ? n o ue o a i e

Iio?aaa ethaeae a coaii?ioacoaaii? ca?eueoo?oueny iinooiiai c
a?eii. Aieiaieie i?e/eiaie ao?aoe coa?a no/anieo ethaeae ? oneeaaeiaiee
ea???n ? caoai?thaaiiy oeaiei ia?iaeiioo, ??aeoa o?aaie. I?e/iio
iaiao?aei?noue i?ioacoaaiiy aeieea? a cia/ii iieiaeoiio a?oe?, i?ae
?ai?oa.

Ia caaaeath/e ia cia/i? oni?oe i?oiiaaee/ii? noiiaoieia??, caeeoa?oueny
i?iaeaiith i?ioacoaaiiy iaaaeeeeo aeaoaeo?a o o?iioaeuei?e ae?eyioe?
coaiiai ?yaeo. A?aenooi?noue iaa?oue iaeiiai ia?aaeiueiai coaa
i?eaiaeeoue aei ii?ooaiiy ooieoe?e a?aeeonoaaiiy ?ae? ? iiaeaiiy oa
noai?th? iii?oiee anoaoe/iee aeaoaeo, ui ia? cia/iee ineoieia?/iee aieea
ia iaoe??ioa ? niiioea? eiai caa?oaoenue ca i?oiiaaee/iith aeiiiiiaith.
E??i oiai, iayai?noue o?iioaeueieo aeaoaeo?a coaieo ?yae?a ?iaeoue
i?aaenoaaiee?a aaaaoueio i?ioan?e i?ioan?eii iai?eaeaoieie (iaaeaaiae,
aeoi?e, eaeoi?e ? o.i.).

I?e i?ioacoaaii? oeeo aeaoaeo?a ia?aae noiiaoieiaii iinoathoue oae?
iniiai? i?iaeaie:

— aea?? eieuei?o ? oi?ie ooo/ieo coa?a o ?anoaa?aoe??;

— ocaiaeaeaiiy ieethc?eieo ? a?oeeoeyoe?eieo eiioaeo?a ?c
coaaie-aioaaii?noaie:

— ineoi-aiioe?eia ni?eeiyooy i?oiiaaee/ii? eiino?oeoe?? naiei iaoe?ioii.

sseui coae ao?a/ai? aiane?aeie oneeaaeiaiiai ea???no aai o?aaie, oi oe?
i?iaeaie iiaeia oni?oii ae??oeoe oeyoii canoinoaaiiy no/anieo anoaoe/ieo
iaci?iieo eiino?oeoe?e (iaoaei-ieanoianiaeo aai iaoaei-ea?ai?/ieo
iinoiaeaeieo i?ioac?a). Iaaeie?eii oeeo eiino?oeoe?e ? iaiao?aei?noue
cia/iiai c?oe?oiaoaaiiy iii?ieo coa?a, a a aaaaoueio aeiaaeeao ? ?o
aeaioeueiaoe?y. Cia/i? iiaeeeaino? aeey i?ioacoaaiiy oaeeo aeaoaeo?a
a?aee?eaa? coaia ?iieaioaoe?y oa aaeaaceai? iinoiaeaei? i?ioace, i?ioa
canoinoaaiiy oeeo iaoiae?a ia? ?yae iaiaaeaiue — aeao?oeeo e?noeiai?
oeaieie a i?noe? aeaoaeoo, ?ioiiee noaoon, a?e iaoe??ioa, aenioa iii?ieo
coa?a oa ?o no?ee?noue, iaaeineiiae?noue oaoiieia?e aeaioiaeaiiy.

I?e caoai?thaaiiyo oeaiei ia?iaeiioo oiiae i?ioacoaaiiy cia/ii
iia??oothoueny: iaeei aai a?oia coa?a iathoue iano?eueee neeueio
?ooii?noue, ui i?aeeyaathoue iaia’yceiaiio aeaeaeaiith, a ei?ai? coa?a,
ui iaiaaeothoue aeaoaeo, a o?e /e ?io?e i??? iaieai?, aiane?aeie /iai
aiie oaae iathoue ?-?? nooi?iue ?ooiiino?. Oaea ee?i?/ia ea?oeia
na?ae/eoue i?i a?aenooi?noue ?aca?aieo nee ia?iaeiioo oeeo coa?a ? ?o
iani?iiiaei?noue acyoe ia naaa aeiaeaoeiaa iaaaioaaeaiiy ye iii?e
iaci?iii? eiino?oeoe??. E??i oiai, ia iiiaio aeaeaeaiiy o?iioaeueieo
coa?a aiie iiaeooue aooe iii?aie aeey iinoiaeaeieo i?ioac?a, ui
cai?uothoue aeaoaeoe a aieiaeo ae?eyieao. A oeueiio aeiaaeeo aeieea?
iaiao?aei?noue ci?iaiiy oaeeo eiino?oeoe?e ? ia?ai?ioacoaaiiy ?c
aeeth/aiiyi an?o coa?a uaeaie a ?aeeiee i?ioac. Oea ia caaaeaee iiaeeeai
cae?enieoe /enoi c oaoi?/iiai aieo, ai coae ??cieo ooieoe?iiaeueieo a?oi
iathoue iaiaeiaeiao inueiao i???ioaoe?th ia uaeai?. Uia c?iaeoe an?
iii?e no?iai ia?aeaeueieie, aeiaiaeeoueny c?oe?oiaoaaoe cia/iee ia’?i
oaa?aeeo oeaiei, a oaea iai?ioeyoe?y i?ioeiieacaia iaoe??ioai iioeeiai
a?eo, ?c caaaeueiiniiaoe/ieie caoai?thaaiiyie. Aiane?aeie i?ia?anoth/i?
?aci?aoe?? e?noeiai? oeaieie i?e caoai?thaaiiyo ia?iaeiioo i?ney
aeaeaeaiiy o?iioaeueieo coa?a aeieeathoue aeaoaeoe aaeeeiai ?ici??o o
aa?oeeaeueiiio iai?yieo, ui noai?th? aeiaeaoeia? o?oaeiiu? aeey
anoaoe/iiai i?ioacoaaiiy — ooo/i? coae a i?noe? aeaoaeoo aeiaiaeeoueny
?iaeoe cia/ii aeiaoeie, i?ae i?e?iaei?.

Ie?aiith i?iaeaiith ? i?aea?? eieuei?o ooo/iiai coaa, iniaeeai i?e
iaiao?aeiino? cai?noeoe iaaaeeeee (a 1-2 coae) aeaoaeo, aaeaea i?e
i?iaaaeaii? ?anoaa?aoe?? an??? o?iioaeueii? a?oie ciai?oi?e aeaeyae
ethaeeie noai?th?oueny oaeoe/ii caiiai, oiio iia??oiino? o aecia/aii?
eieuei?o ianooo?a?. Iioe/ia oa?aeoa?enoeea ie?aii acyoiai i?e?iaeiiai
coaa iano?eueee neeaaeia, ui noai?ai? ia nueiaiaei? i?eeaaee ia
ni?iiiaei? oi/ii ?aeaioeo?eoaaoe coa a ?ioia?e ii?iaeiei? c iaeiei ?c
aoaeii?a noaiaea?oii? ?iceie??ee. Oiio a ee?i?/i?e i?aeoeoe? iaea?eueo
iioe?aiei caeeoa?oueny a?coaeueiee i?aea??, yeee a cia/i?e i???
noa’?eoeaiee ? caeaaeeoue a?ae ?iaeea?aeoaeueiiai eieuei?ini?eeiyooy ?
oiia ina?oeaiiy, aaeaea a?aeiii, ui ieanoiana oa ea?ai?ea ye aeaa
iniiaieo iaeeoethaaeueieo iaoa??aee, ii-??ciiio ni?eeiathoueny i?e
aeaiiiio oa ooo/iiio ina?oeaii?. ?ioee a?e oe??? i?iaeaie – oea a?eia?
ci?ie i?e?iaeieo coa?a. O iaoe??io?a noa?oiai a?eo ?o aeani? coae
noathoue oaii?oeie, ae?eaathoueny n?oeith ae??aieo o??uei, ia i?noeyo
ieethc?eieo eiioaeo?a c’yaeythoueny ??cei i?aiaioiaai? oanaoee. Ana oea
iaaea? ?i ?iaeea?aeoaeueieo iniaeeainoae, oiae? ye aacaeiaaiii aeeiiaia
e?eueea ?ie?a oiio iaoaeiea?ai?/ia ?anoaa?aoe?y ia ci?ithoueny a
eieuei?? ? oiio noa? iii?oiith ia oii? i?e?iaeieo coa?a.

?ioa i?iaeaia i?ioacoaaiiy – oea a?aeiiaeaiiy cae/ieo aeey iaoe??ioa
ieethc?eieo ? a?oeeoeyoe?eieo ni?aa?aeiioaiue, aei yeeo aaeaioiaaia eiai
coai-uaeaiiaa nenoaia. Ea?ai?/i? eiino?oeoe?? aeineoue neeaaeii
ei?aeooaaoe, aiie ia?aaaioaaeothoue iii?i? coae oa
ne?iiaai-ieaeiueiuaeaiiaee noaeia ? noe?athoue coae-aioaaii?noe.
Ieanoiania? ooo/i? coae, iaaiaee, /a?ac iaaei??ia noe?aiiy i?eaiaeyoue
aei ia?aae/anii? ao?aoe i?aeaeueaaiey?ii? aenioe, a aeey ia?aoe?aiiy
?ae? iaoe??io ciooaiee cae?enithaaoe a?eueoa aeoaaeueieo ?oo?a. I?ioean
aaeaioaoe?? aei i?ioaca, iacaeaaeii a?ae eiai eiino?oeoe??, a cia/i?e
i??? caeaaeeoue a?ae oiai, iane?eueee oi/ii a?aeei?aeoiaai? e?ea?ai ia
o?eueee oeaio?aeueia, aea ? an? ?io? niaa?aeiioaiiy coaieo ?yae?a. Naia
ia oeth iai?ioeyoe?th, ye i?aaeei, aeo?a/a?oueny a?eueo?noue ?iai/iai
/ano i?e i?eianoaaii? i?ioaca.

I?ioa iaa?oue aacaeiaaiii aeaioiaeaiee coaiee i?ioac noa? iai?eaeaoiei,
yeui iaoe??io ia ciiaea ni?eeiyoe eiai ineoieia?/ii, cie?eoenue ?c
iaiao?aei?noth iiyae a ?ioia?e ii?iaeiei? iaoaeaaeo aai ieanoianiaeo
eiino?oeoe?e, ui iiaeii? cai?ieoe eiai aeani? coae. Oiio cia/ia /anoeia
iaoe??io?a iaiaaa?oueny i?eoiaaoe a?ae ioi/oth/eo iayai?noue o ieo
aoaeue-yeeo i?oiiaaee/ieo eiino?oeoe?e ? a?aeaea? ia?aaaao iaoiaeai
e?eoaaiiy, ui caa??aathoue ?o aeani? coae.

Ie i?iiiio?ii ae??oaiiy eiiieaeno oeeo i?iaeai oeyoii aeaioiaeaiiy
o?aaeeoe?eieo ca oaoiieia??th i?ioac?a, aea c iao?aaeeoe?eiiai
eiino?oeoe?eiiai iaoa??aeo – ei?iieiaeo /anoei aeaeaeaieo coa?a. Aaeaea
i?e iaoieia?? ia?iaeiioo aeaeaeythoueny coae c i?aeoe/ii iaooeiaeaeaiith
ei?iieiaith /anoeiith, ye? a iiaeaeueoiio c iaoith i?ioacoaaiiy iaeaea
ia aeei?enoiaothoueny, ca aeiyoeii ie?aieo aeiaaee?a (Aoiaoeueeee ?.A.,
1984). Ine?eueee a e?oa?aoo?? iaie ia ciaeaeaii ?aeiiaiaeaoe?e ii
i?aeaioiaoe? aeaeaeaieo coa?a aei aaaaeaiiy a i?ioac, a oaeiae naii?
oaoiieia?? aeaioiaeaiiy oaeeo i?ioac?a, i?e ieaioaaii? aeaii? ?iaioe
aoei aeciaii aeooaeueiith ?ic?iaeo iaoiaeo i?oiiaaee/iiai e?eoaaiiy c
aeei?enoaiiyi aeaeaeaieo coa?a.

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

?iaioa aeeiiaia ye /anoeia eiiieaenii? iaoeiai-aeine?aeii? ?iaioe
eaoaae?e i?oiiaaee/ii? noiiaoieia?? ?aaii-O?aie?anueei? iaaee/ii?
aeaaeai?? “Ee?i?ei-aenia?eiaioaeueia iaa?oiooaaiiy iaoiae?a i?ioacoaaiiy
iinoiiiae?aieie ? ci?iieie ieanoei/aoeie i?ioacaie c aeei?enoaiiyi
oaeineiiaeaieo oaoiieia?e ?o aeaioiaeaiiy c iaoith ?aiiuei? ae?aaiinoeee
? i?io?eaeoeee coaii?ioacieo aeaoi?iaoe?e”, ?a?no?aoe?eiee ? EA 01002010
?.

I a o i th aeaii? ?iaioe ? iaa?oiooaaiiy ia iniia? aenia?eiaioaeueieo
aeaieo oa ee?i?/ieo niinoa?aaeaiue iiaeeeaino? aeei?enoaiiy aeaeaeaieo
coa?a a i?oiiaaee/iiio e?eoaaii?, a oaeiae ?ic?iaea eiino?oeoe?e oa
oaoiieia?? aeaioiaeaiiy i?ioac?a c iaoo?aeueieie coaaie.

Aeey aeinyaiaiiy oe??? iaoe iinoaaeai? oae? c a a ae a i i y:

1. Aecia/eoe iio?aao a ??cieo eiino?oeoe?eieo iaoa??aeao i?e
i?oiiaaee/iiio e?eoaaii?.

2. Aecia/eoe e?eoa??? a?aeai?o aeo?aeiiai iaoa??aeo.

3. Aeaoe o?ceei-o?i?/io oa?aeoa?enoeeo iaoo?aeueiei coaai ye
eiino?oeoe?eiiio iaoa??aeo.

4. Aea?aoe iioeiaeuei? oiiae eiina?aaoe?? aeaeaeaieo coa?a.

5. ?ic?iaeoe oaoiieia?th aeaioiaeaiiy i?ioac?a c aeei?enoaiiyi
iaoo?aeueieo coa?a a caeaaeiino? a?ae ee?i?/ii? neooaoe?? oa
eiino?oeoe?? i?ioaca.

6. Aeaoe ii??aiyeueio oa?aeoa?enoeeo i?ioac?a c iaoo?aeueieie coaaie ?
oeo, ui aeaioiaeai? ca o?aaeeoe?eieie iaoiaeeeaie.

I a o e i a a i i a e c i a aeeiiaii? ?iaioe iieyaa? a ianooiieo
iieiaeaiiyo :

— ia iniia? aenia?eiaioaeueieo aeaieo oa ia?aa??ee a i?aeoe/ieo oiiaao
aeiaaaeaia iiaeeea?noue aeei?enoaiiy ei?iieiaeo /anoei aeaeaeaieo coa?a
a i?oiiaaee/iiio e?eoaaii? ye iaeeoethaaeueiiai iaoa??aeo;

— aia?oa iieacaii iiaeeea?noue canoinoaaiiy aeaeaeaieo coa?a i?e
aeaioiaeaii? ci?iieo eiino?oeoe?e coaieo i?ioac?a;

— cai?iiiiiaaii oa aei?iaoaaii ia i?aeoeoe? ?aoe?iiaeueio oaoiieia?th
aeaioiaeaiiy iaci?iieo oa ci?iieo i?ioac?a c iaoo?aeueieie coaaie
(iaoaio ia aeiao?ae ? 22258 A a?ae 03.02.98);

— aeiaaaeaii aeioe?euei?noue aeei?enoaiiy neaaeeo ?ic/ei?a aeueaeaa?ae?a
(oi?iaeueaeaa?aeo oa aethoa?iaiai aeueaeaa?aeo ) aeey eiina?aaoe??
aeaeaeaieo coa?a ia?aae aaaaeaiiyi a i?ioac.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a

Cai?iiiiiaaii oaoiieia?? aeaioiaeaiiy iaci?iieo i?ioac?a (ooeooiaee coa,
iaci?iia oeia-i?ioac, aaeaaceaiee iinoiaeaeiee i?ioac, iinoiaeaeiee
i?ioac c o?enaoe??th ia ei?iieao oa iai?aei?iieao) oa ci?iieo i?ioac?a
(iaeee n?aeeiaeaeiee i?ioac c eeaia?iith aai caieiaith o?enaoe??th,
/anoeiaee ?iiaae?ao-i?ioac, athaaeueiee i?ioac, ieanoeieiaee i?ioac) c
aeei?enoaiiyi ei?iieiaeo /anoei aeaeaeaieo coa?a. A yeino? eiina?aaioa
aeey iaoo?aeueieo coa?a cai?iiiiiaaii aeei?enoaiiy neaaeeo (a
eiioeaio?aoe?? 0,5 – 2,0 %) ?ic/ei?a aeueaeaa?ae?a – oi?iaeueaeaa?aeo
aai aethoa?iaiai aeueaeaa?aeo.

?aeiiaiaeaoe?? uiaei aeaioiaeaiiy i?ioac?a c aeei?enoaiiyi ei?iiie
aeaeaeaieo coa?a, a?oioiaai? ia iaoa??aeao aeena?oaoe??, ai?iaaaeaeai? o
i?aeoeeo i?oiiaaee/ieo a?aeae?eaiue ?aaii-O?aie?anueei? i?nueei?,
?aaii-O?aie?anueei? iaeanii? noiiaoiie?ee?i?e, noiiaoiie?ee?i?ee
?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai??, a oaeiae a o/aiaee
i?ioean eaoaae? i?oiiaaee/ii? noiiaoieia?? ?aaii-O?aie?anueei?
aea?aeaaii? iaaee/ii? aeaaeai?? oa Euea?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a

Aenia?eiaioaeuei? oa ee?i?/i? aeine?aeaeaiiy, ?o ?ioa?i?aoaoe?y oa
iaa?oiooaaiiy iieiaeaiue, ui aeiinyoueny ia caoeno, cae?eniai? aaoi?ii
iniaenoi. Aenia?eiaioaeuei? aeine?aeaeaiiy a i?ioean? aeeiiaiiy ?iaioe
i?iaaaeai? ia eaoaae?? iaoaeio?ceee ?aaii-O?aie?anueeiai oaoi?/iiai
oi?aa?neoaoo iaooe ? aaco, eaoaae?? iaoieia?/ii? o?c?ieia??
?aaii-O?aie?anueei? iaaee/ii? aeaaeai?? oa a aaeoa??ieia?/i?e
eaai?aoi??? ?aaii-O?aie?anueei? nai?oa?ii-ai?aeai?ieia?/ii? noaioe??.
Ee?i?/i? niinoa?aaeaiiy i?iaaaeai? ia eaoaae?? i?oiiaaee/ii?
noiiaoieia?? ?aaii-O?aie?anueei? iaaee/ii? aeaaeai??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??

I?i i?aenoiee ?iaioe ii i??? aeeiiaiiy aeena?oaoe?? c?iaeaii
aeiiia?ae? ia can?aeaii? ?aaii-O?aie?anueeiai iaeaniiai
iaoeiai-i?aeoe/iiai oiaa?enoaa (i.?aaii-O?aie?anuee, 1993,1995,1996
?.?.), iaeani?e iaoeia?e eiioa?aioe?? iieiaeeo a/aieo-iaaeee?a
(i.?aaii-O?aie?anuee, 1995), i?aeeaoaae?aeueiiio can?aeaii? caa?aeoth/eo
eaoaae? i?oiiaaee/ii? noiiaoieia?? (i.?aaii-O?aie?anuee, 1995), iaoeia?e
eiioa?aioe?? “Aeooaeuei? ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia
no/aniiio ??ai?” (i.Iieoaaa, 1996), ia?oiio I?aeia?iaeiiio Eiia?an? c
i?iaeai coaii? o?ainieaioieia?? (Aaoei?oinoai, Ooa, 1994), 20-e
eiioa?aioe?? ?a?iiaenueei? Anioe?aoe?? noiiaoieia?a-ioiiaae?a
(I?ia//eia, Otha?iaai, 1996).

Ai?iaaoe?y aeena?oaoe?? a?aeaoeanue ia i?aeeaoaae?aeueiiio can?aeaii?
i?io?eueieo eaoaae? noiiaoieia?/iiai oaeoeueoaoo ?aaii-O?aie?anueei?
iaaee/ii? aeaaeai?? (i.?aaii-O?aie?anuee, 1998 ?.) oa can?aeaii?
ai?iaaoe?eii? ?aaee i?e Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e aeaaeai??
(Iieoaaa, ea?oaiue 1998).

Ioae?eaoe??

Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 9 ?ia?o, iaea?aeaii iaoaio ia
aeiao?ae ? 22258 A a?ae 03.02.98 “Niin?a i?ioacoaaiiy ?c aeei?enoaiiyi
ei?iiie iaoo?aeueieo coa?a”.

Ia`?i ?iaioe

Aeena?oaoe?y neeaaea?oueny ?c anooio, e?oa?aoo?iiai iaeyaeo, o?ueio
?icae?e?a aeanieo aeine?aeaeaiue, aiae?co io?eiaieo ?acoeueoao?a,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ? a?ae?ia?ao?/iiai iieaae/eea
e?oa?aoo?e, yeee aeeth/a? 156 iaeiaioaaiue iaoeiaeo i?aoeue a?o/eciyieo
oa 56 ca?oa?aeieo aaoi??a.

?iaioa aeeeaaeaia oe?a?inueeith iiaith ia 118 noi??ieao iaoeiiieno ?
aeeth/a? 12 oaaeeoeue oa 24 ?ethno?aoe??. Caaaeueiee ia’?i ?iaioe 143
noi??iee.

CI?NO ?IAIOE

Iaoa??ae ? iaoiaee aeine?aeaeaiiy:

Aeey ?aae?caoe?? iaoe ?iaioe oa iinoaaeaieo caaaeaiue aoei aeeiiaii
oaeee ia’?i aeine?aeaeaiue.

Aeey aecia/aiiy iniiaieo caeiiiii?iinoae iiyae i ?icaeoeo aeaoaeoia
coaieo ?yaeia a ?icieo aieiaeo a?oiao iaie i?iaiaeiciaaii 1100
aiaoeaoi?ieo ea?oie iaoei?ioia, a iaeiaeia?e i??? /ieia?e?a ? ae?iie, o
a?oe? a?ae 15 aei 76 ?ie?a, ui iaea?aeaee i?oiiaaee/ia eieoaaiiy a
eeiiioei eaoaae?e i?oiiaaee/ii? noiiaoieiai? IOIA i?ioyaii 1993-1995?.?.

Na?aaei? oa?i?ie ei?enooaaiiy oa i?e/eie ia?aae/anii? ia?a?iaee i?ioac?a
aea/aii ia iniia? iieooaaiiy oa ee?i?/iiai ianoaaeaiiy 512 iaoe??io?a,
ui caa?ioeenue ia iiaoi?ia e?eoaaiiy a i?oiiaaee/ia a?aeae?eaiiy
iie?ee?i?ee ?aaii-O?aie?anueei? iaaee/ii? aeaaeai??.

Aea/aiiy o?ceei-o?i?/ieo aeanoeainoae iaoo?aeueieo coa?a ye
eiino?oeoe?eiiai iaoa??aeo i?iaaaeaii ia 24 iaoo?aeueieo coaao,
aeaeaeaieo o iaoe??io?a iaio noaoae ??ciiai a?eo, aiane?aeie cia/ii?
?ooiiino? (??? no.) i?e eieae?ciaaiiio oa aaia?ae?ciaaiiio ia?aaeiioeo?,
a oaeiae c i?oiaeiioe/ieo i??eoaaiue. Aeey aeine?aeaeaiiy aeae?aee coae
c ?ioaeoiith ei?iieiaith /anoeiith aai iayai?noth iaaaeeeeo (aei 2 ii)
ea??icieo ii?iaeiei a i?eoeeeia?e ae?eyioe?. I?e oeueiio aea/aeanue
ci?ia i?e?ioaa?aeino? oeeo coa?a ia aoaiao aeaioiaeaiiy i?ioaco iaoiaeii
aaeaaethaaiiy /ioe?eeooii? aeiacii? i??ai?aee c eooii i?e aa?oei? 136 o
aanoeaoey?io iiaa?oith aeine?aeaeoaaiiai coaa ia i?eeaae? IIO-3.
Aaeaaceaia i?oei?noue c’?aeiaiiy iaoo?aeueiiai coaa c iniiaieie
aacenieie ieanoianaie (aa?y/i? oa oieiaeii? iie?ia?ecaoe??) o ii??aiyii?
?c ooo/ieie ieanoianiaeie ? oa?oi?iaeie, a oaeiae aaeaaceaia i?oei?noue
c’?aeiaiiy iaoo?aeueiiai coaa ?c iaoaeaaei ea?eanii i?e aeiiiiic?
ieiiaoaaeueieo iaoa??ae?a (eiiiiceo?a o?i?/iiai oa na?oeiaiai
oaa?ae?iiy, neei?iiia?iiai oa iie?ea?aieneeaoiiai oeaiaio?a)
i?iaiaeeeanue ia ?ic?eai?e iaoei? ?AI-500. No?ee?noue aeaeaeaieo coa?a,
aiiioiaaieo o ci?iiee i?ioac, aei aieeao o?i?/ieo aaaio?a ?ioiai?
ii?iaeieie (eoa?a, eeneio ? o.i.), aea/aeanue ia i?aenoaa? ci?ie
?ioaineaiino? aea?eueiaiiy ?ii?a Na2+ (a iea) iiaa?oiaaeie oa?aie
aiae? iaoiaeii “eeneioii? a?iin??” in vitro, a oaeiae i?iieeiino? aiae?
oeeo aea coa?a aeey ?ii?a 45Na2+ ca iaoiaeeeith (*eeeeei A.I., 1979)
i?ioyaii aoai?a aeaioiaeaiiy ci?iiiai i?ioaco.

Aeey iiooeo iioeiaeueieo oiia eiina?aaoe?? iaoo?aeueieo coa?a iaie
aei?iaoaaii e?eueea ?ic/ei?a, ui ?aeiiaiaeoaaeenue ??cieie aaoi?aie aeey
o?ainieaioaoe?? coa?a ? coaieo ca/aoe?a.

Ee?i?/i? aeine?aeaeaiiy i?iaaaeai? ia aeaio a?oiao iaoe??io?a, ii 20
/ie. o eiaei?e, iaei?e c yeeo i?ioace aeaioiaeyeenue ca cai?iiiiiaaiith
iaoiaeeeith, a ?io?e — ca o?aaeeoe?eieie oaoiieia?yie. I?ae /an
ee?i?/ieo niinoa?aaeaiue ie aecia/aee nooi?iue ?ooiiino? coa?a, aeeaeio
coai-ynaiii? eeoai?, nooi?iue e?iaioi/eaino? ynai oa nooi?iue ao?io??
aeueaaiey?iiai a?ae?inoea ca aeaieie Rtg-aeine?aeaeaiiy a cii?
eieae?caoe?? i?ioeano. E??i oiai, aeey ae?aaiinoeee caiaeueieo i?ioean?a
ynai iaaeiei iii?ieo coa?a ei?enooaaeenue iaoiaeii i?eaeeoo?aiai
caaa?aeaiiy ae?eiaaio ynai ca Oeee??ii-I?na??aei, noaio noaeeiii?
nenoaie — iaoiaeii aecia/aiiy no?eeino? eai?ey??a ynai ca
A.?.Eoeaaeaiei, aeey ?aiiuei? ae?aaiinoeee aiaieu aeai?ia?ae?caoe?? ia
iiaa?oi? aiae? coa?a, ai?uaieo a i?ioac — o?ainethi?ianoeaioiei
iaoiaeii. Ioe?ieo eeneioino?eeino? aiae? oeeo coa?a i?iaiaeeee ca
iaoiaeeeith A.?.Ieooei, a ia?inoaiiy iioaioe?eieo iiaeeeainoae
aeoaaeueieo i’yc?a i?ney iaeeaaeaiiy i?ioac?a ioe?ithaaee ca i?e?inoii
aiaoiaeeiaiiiao?e/ieo iieaciee?a a ae?eyioe? aeaoaeoo. I?e?ia?ieia?/iee
eiio?ieue iaoo?aeueieo coa?a, ai?uaieo a i?ioac, cae?enithaaee
eiioaeoiei iaoiaeii noa?eeueieie aeeneaie c iine?aeoth/ith ?ieoaaoe??th
? iin?aii ia ?aeaioeo?eaoe?ei? iiaeeai? na?aaeiaeua.

Io?eiai? ?acoeueoaoe:

Aeeii??oaaiiy aiaoeaoi?ieo ea?oie iieacaei, ui aeaoaeoe coa?a oa coaieo
?yae?a o aeeoae?a i.?aaii-O?aie?anueea oa iaeano? c’yaeythoueny o
iieiaeiio a?oe? (15-25 ?ie?a), ui iio?aao? ?aiiueiai i?oiiaaee/iiai
ao?o/aiiy.

Iaoe??ioe 1 a?eiai? a?oie (15-24 ?iee) a 21,4 % aeiaaee?a iathoue
aeaoaeoe oaa?aeeo oeaiei coa?a ? coaieo ?yae?a, na?aaeiy aaee/eia
aeaoaeoo — 0,6 oi.iae. ia 1 iaoe??ioa. O 2 a?eia?e a?oi? (25-34 ?iee)
aaee/eia iacai?uaiiai aeaoaeoo c?inoa? aei 5,5 oi.iae., a /anoioa
aeieeiaiiy — aei 82.8 %. O ianooiieo a?eiaeo a?oiao /anoioa aeieeiaiiy
aeaoaeo?a caeeoa?oueny aenieith (83,6-94,9 %), a na?aaeiy aaee/eia
aeaoaeoo iinooiiai c?inoa? a?ae 5,5 aei 14,4 oi.iae. ia 1 iaoe??ioa.

Aiae?c canoinoaaiiy ??cieo eiino?oeoe?eieo iaoa??ae?a, c?iaeaiee ca
aeaieie ?iaioe i?oiiaaee/iiai a?aeae?eaiiy ?aaii-O?aie?anueei? iaeanii?
noiiaoiie?ee?i?ee ca 1995 ??e, iieacaa ianooiiee ?iciiae?e
eiino?oeoeaieo iaoa??ae?a a iaci?iieo eiino?oeoe?yo : iaoae — 7860
iae.(56,2%), ieanoiana 503 iae.( 3,6%), oa?oi? — 10 iae.( 0,1%), iaoae +
ieanoiana — 5191 iae.(37.1%), iaoae + ea?aiiea — 418 iae.(3,0%). *anoea
eiiaiiiaaieo eiino?oeoeie (iaoae + ieanoiana aai oa?oi?) o ciiiieo
i?ioacao iiaiinoth i?eiaaea? ia athaaeueii eiino?oeoei?, ineieueee
ieanoeieiai i?ioace c iaoaeaaei aacenii o iianyeaeaiiie i?aeoeoei
iaeaea ia aeaioiaeythoueny, i neeaaea? 0,9% (10 ic 1164
i?ioacia). ?aooa eiino?oeoeie iiaeia aaaaeaoe /enoi ieanoianiaeie, yeui
ia a?aoe aei oaaae iaoae eeaia?ia (aeaioiaeaiiy ieanoeieiaeo i?ioacia c
oa?oi?iaeie coaaie a caioiie aeieoiaioaoei? ia caoieniaaii). Neiae
caoaaaeeoe, ui /anoea ieanoiane a ciiiieo eiino?oeoeiyo cia/ii
c?inoa? ca ?aooiie aaceno i?ioaco.

Aeey aecia/aiiy i?eaeaoiino? iaoo?aeueieo aeaeaeaieo coa?a aei
aeei?enoaiiy a i?oiiaaee/iiio e?eoaaii? iaie aoei aecia/aii e?eoa???
ioe?iee aeo?aeiiai iaoa??aeo: ?ioaeoi?noue (iaooeiaeaeai?noue ea??iciei
i?ioeanii) ei?iieiai? /anoeie coaa, ca aeiyoeii iaaaeeeeo ii?iaeiei a
i?eoeeeia?e ae?eyioe? ?ici??ii aei 2 ii ia aanoeaoey?i?e aai
ai?ieneiaeuei?e iiaa?oi? ea??icii? /e iaea??icii? ao?ieia??, ui
iio?aieythoue a ciio i?aia?oaaiiy i?ae /an i?aeaioiaee aei aaaaeaiiy
coaa a i?ioac; a?aenooi?noue oeaiaioieo aai aiaeueaaiiaeo ieiia;
caa?aaeaiiy i?e?iaeiiai eieuei?o oa aeeneo aiae?; a?aenooi?noue aeeaieeo
o??uei oa neie?a aiae?; noa?o?noue aiae? oa aeaioeio ia a?eueoa 1/3
ee?i?/ii? aenioe ei?iiee coaa.

Ia iaoo aeoieo, caaaeaiei aeua e?eoa??yi a?aeiia?aeathoue: coae c ??-???
nooiaiai ?ooiiino?, ui aeaeaeythoueny aiane?aeie ?oeioaaiiy ca’yceiaiai
aia?aoo coaa ? ao?io?? e?noeiai? eoiee i?e caoai?thaaii? oeaiei
ia?iaeiioo ( ia?iaeiioeo, ia?aaeiioic); coae, aeaeaeai? aiane?aeie
aino?i? o?aaie, ui i?eaaea aei a?aeeiio ei?iieiai? /anoeie coaa aai eiai
aeaeoo, eiee ?aiiceoe?y oeaie?a /e ?aieaioaoe?y c iaaieo i?e/ei
iaiiaeeea?; coae, ui aeaeaeythoueny i?ae /an iaoe?ieo iia?aoeaieo
ao?o/aiue ia uaeaiao c i?eaiaeo eeno oa iiaiooai?aiue; coae, aeaeaeai? c
i?oiaeiioe/ieo i??eoaaiue; ?ioaeoiee naeoe?eiee iaoa??ae.

Iniaeeaee ?ioa?an i?aaenoaaeythoue coae c ia?oi? a?oie, ine?eueee oea
iaea?eueo aeinooiiee iaoiae iaea?aeaiiy aaeeei? e?eueeino? i?aeoe/ii
?ioaeoieo coa?a, ui iathoue oi?io? iaoai?/i? oa anoaoe/i? iieacieee.

I?e aeai?? iioeiaeueiiai eiina?aaioa aeey aeaeaeaieo coa?a c iaoith ?o
iiaeaeueoiai aeei?enoaiiy a i?oiiaaee/ieo eiino?oeoe?yo ie aaaaeaee, ui
eiina?aoth/ee ?ic/ei iiaeiai a?aeiia?aeaoe oaeei aeiiaai: iaeneiaeueii
caa??aaoe iaoai?/i? aeanoeaino? oaa?aeeo no?oeoo? coaa, caaacia/oaaoe
aeinoaoi?e ??aaiue aeac?ioaeoe?? aeo?aeiiai iaoa??aeo, ia ci?ithaaoe
i?e?iaeia caaa?aeaiiy coaa, ia cae?enithaaoe oe?aeeeaiai aieeao ia
oeaieie ?ioiai? ii?iaeieie a i?ioean? aeieaaiiy i?e ooieoe?iioaaii?
i?ioaco. Caaaeaiei aeua e?eoa??yi a?aeiia?aeathoue neaae? (a
eiioeaio?aoe?? 0,5-2,0 %) ?ic/eie aeueaeaa?ae?a — oi?iaeueaeaa?aeo oa
aethoa?iaiai aeueaeaa?aeo, ye? ? iaea?eueo aeinooiieie aeey
ei?enooaaiiy.

Aeine?aeaeaiiy o?ceei-o?i?/ieo aeanoeainoae aeaeaeaieo coa?a, aaaaeaieo
o ci?iiee i?ioac, iieacaee, ui i?e?ioaa?ae?noue iaoo?aeueieo coa?a a
i?ioean? aeaioiaeaiiy i?ioaco cacia? iacia/ieo ci?i, caaaeii aiia
ca?eueoo?oueny ia 2-5 %.

?iie Na2+ iaeaea iaeiaeiai eaaei aea?eueiythoueny c iiaa?oiaaeo oa??a
aiae? a a?oi? ??coe?a oa ?eie. Aeaui a?eueoa aea?eueiaiiy ?ii?a Na2+ a
iaoeo aeine?aeaeaiiyo niinoa??aaeinue a a?oi? iiey??a oa i?aiiey??a.
??coe? ieaeiuei? uaeaie aea?eueiyee Na2+ eaaoa, i?ae ??coe? aa?oiuei?
uaeaie, a i?aiiey?e ? iiey?e — eaaoa ii??aiyii c ??coeyie, iaeiaeiaith
i??ith ia aa?oi?e oa ieaei?e uaeai?. I?e aea/aii? i?iieeiino?
aanoeaoey?ii? iiaa?oi? aiae? aeey 45Na2+ niinoa??aaeanue oa naia
oaiaeaioe?y, oiaoi i?iieei?noue ca?eueooaaeanue a iai?yieo a?ae ??coe?a
aei iiey??a ? aoea a?eueoith aeey ??coe?a ieaeiuei? uaeaie ii??aiyii c
??coeyie aa?oiuei? uaeaie. Aeniiceoe?y coa?a o eiina?aaio? (1,0 %
?ic/ei oi?iaeueaeaa?aeo) i?eaiaeeoue aei ciaioaiiy ?ioaineaiino?
aea?eueiaiiy ?ii?a Na2+ (aeey ??coe?a ieaeiuei? uaeaie 7,82 + 0,05 i?ioe
7,96 + 0,04, ?<0,05), a iie?ia?ecaoe?y aacenii? ieanoiane - aei eiai ca?eueoaiiy (8,38 + 0,01, P<0,001). I?ney o?enaoe?? i?ioaca c aeaeaeaieie coaaie a ?ioia?e ii?iaeiei? ?ioaineai?noue aeai?ia?ae?caoe?? i?iaeiaaeo? c?inoaoe (8,50 + 0,35). I?iieei?noue aiae? aeey ?ii?a 45Na2+ i?ioyaii oeueiai ae ia??iaeo iinooiiai ca?eueoo?oueny: i?ney ae?? eiina?aaioa (5,37 + 0,14 i?ioe 5,26 + 0,24), i?ney iie?ia?ecaoe?? aacenii? ieanoiane (6,01 + 0,25) oa i?ney o?enaoe?? i?ioaca a ?ioia?e ii?iaeiei? (6,80 + 0,28, ?<0,05 ). Ia?aeaeueii c iienaiei aeine?aeaeaiiyi ie niinoa??aaee, ui na?aeiaeaeaeaiee coa i?ioyaii ei?ioeiai ia??iaeo /ano ??cei ci?ith? nai? caaa?aeaiiy (noa? na?oe?oei ), iniaeeai a nooiio na?aaeiaeu? . I?ioa i?ney o?enaoe?? ci?iiiai i?ioaco c oaeei coaii a ?ioia?e ii?iaeiei? /a?ac iaaiee i?ii?aeie /ano (a?ae 3 aei?a aei 2 oeaei?a, caeaaeii a?ae oa?i?io aeniiceoe?? coaa a eiina?aaio?) a?i iiaa?oa? nai? i?e?iaeia caaa?aeaiiy ? ia ci?ith? eiai i?ioyaii aeiaaiai ia??iaeo /ano (iaeneiaeueiee ia??iae iaoeo niinoa?aaeaiue noaiiaeoue 5,5 ?ie?a). Ia??iae a?aeiiaeaiiy caaa?aeaiiy ni?aiaaea? c ia??iaeii noaa?e?caoe?? iieaciee?a ?ioaineaiino? aea?eueiaiiy oa iiaeeiaiiy ?ii?a Na2+. I?iaaaeaia aenia?eiaioaeueia aeine?aeaeaiiy aaeaaceaii? i?oeiino? c’?aeiaiiy oeio “coa-aacenia ieanoiana” oa “coa-iaoaeaaee ea?ean” iieacaei, ui aaeaaceaia i?oei?noue c’?aeiaiiy oeio “iaoo?aeueiee coa - aacenia ieanoiana” o cia/i?e i??? aeaoa?i?io?oueny iaoai?/ieie aeanoeainoyie naiiai aaceniiai iaoa??aeo. Aiia aeaui ieae/a a?ae i?oeiino? c’?aeiaiiy ieanoianiaiai coaa c aacenii (30 + 2,1 IIa i?ioe 50+1,4 IIa), i?ioa aeinoia??ii aeua a?ae c’?aeiaiiy oa?oi?iaiai coaa c aacenieie ieanoianaie (23 + 1,8 IIa, ?<0,05), ui aeicaiey? aaiaeeoe iaoo?aeueiee coa aaciina?aaeiuei a aacenio ieanoiano. ?oeioaaiiy c?acea c iaoo?aeueiei coaii i?e aei?iaoaaii? eaea a ia?aaaaei?e a?eueoino? aeiaaee?a a oiau? aaceniiai iaoa??aeo, ??aeoa ii e?i?? aaeaaceaiiai oaa, o c?ace?a c ieanoianiaeie coaaie - eeoa a oiau? aaceniiai iaoa??aeo, o c?ace?a c oa?oi?iaeie coaaie - eeoa ii e?i?? aaeaaceaiiai oaa. Aaeaaceaia i?oei?noue c’?aeiaiiy oeio “iaoo?aeueiee coa - iaoaeaaee ea?ean” aeinoia??ii aeua aeey EON, i?ae aeey IN, ia 18,5%. On? aei?iaoaai? eiiiiceoi? ieiiaoaaeuei? iaoa??aee iieacaee aenieo aaeaaceaio i?oei?noue (iiiaae 30 IIa), a neei?iiiia?i? oa iie?ea?aieneeaoi? iaoa??aee iiaeia ?aeiiaiaeoaaoe ye iaoiae aeai?o i?e ?iaeea?aeoaeuei?e iaia?aiineiino? iaoe??ioii eiiiiceoieo iaoa??ae?a. I?neino?oiaiaaa ia?iaea iaoaeaaiai ea?eano iie?auo? aaeaaceaio i?oei?noue c’?aeiaiiy ia 10-11% aeey EON ? 8-9% aeey IN. Iaoiaeeea i?ioacoaaiiy, ui i?iiiio?oueny, ia?aaeaa/a? aeaioiaeaiiy o?aaeeoe?eieo oei?a eiino?oeoe?e coaieo i?ioac?a, ye? a?ae??ciythoueny oei, ui a yeino? iaeeoethaaeueiiai iaoa??aeo a ieo aeei?enoai? ei?iieia? /anoeie aeaeaeaieo ethaenueeeo coa?a. A caeaaeiino? a?ae eiie?aoii? ee?i?/ii? neooaoe?? i?iiiio?oueny canoinoaaiiy oaeeo eiino?oeoe?e: cai?uaiiy aeaoaeoo ei?iieiai? /anoeie ie?aii acyoiai coaa ooeooiaith eiino?oeoe??th c iaeeoeueiaeith c iaoo?aeueiiai coaa; aeeth/aiiy iiiaeeiieiai aeaeaeaiiai coaa a iaci?iio oeio-i?ioac ca aeiiiiiaith eiiiiceoo; cai?uaiiy /anoeiaiai aeeth/aiiai aeaoaeoo coaiiai ?yaeo iaaaeeei? i?ioyaeiino? (1-2 coae) aaeaaceaiei iinoiaeaeiei i?ioacii, a yeiio ei?iieia? /anoeie aeaeaeaieo coa?a neoaeaoue aeey iaeeoethaaiiy i?ii?aeii? /anoeie; cai?uaiiy oaeiai ae aeaoaeoo ?ici??ii 1-4 coae iaci?iiei iinoiaeaeiei i?ioacii c o?enaoe??th ia iiaieo ei?iieao, a yeiio i?ii?aeia /anoeia iiaoaeiaaia c ei?iiie aeaeaeaieo coa?a; cai?uaiiy oaeiai ae aeaoaeoo coaiiai ?yaeo iaeei n?aeeiaeaeiei i?ioacii c eeaia?iith aai caieiaith o?enaoe??th; cai?uaiiy oaeiai ae aeaoaeoo coaiiai ?yaeo /anoeiaei ci?iiei ieanoeieiaei i?ioacii ii oeio ?iiaae?ao-i?ioaco; cai?uaiiy eiia?iiaaieo aeaoaeo?a coaieo ?yae?a /anoeiaei ci?iiei ieanoeieiaei aai athaaeueiei i?ioacii, a yeiio ooo/iee coaiee ?yae o o?iioaeuei?e ae?eyioe? iiaoaeiaaiee c aeaeaeaieo coa?a, a a aieia?e - ?c ooo/ieo (ieanoianiaeo aai oa?oi?iaeo); i?ioacoaaiiy iiai?noth aaccoai? uaeaie iiaiei ci?iiei i?ioacii oaeiai ae oeio i?e ia?aoiae? a?ae /anoeiaiai aei iiaiiai i?ioaco. Ee?i?/i? aeai? iaea?aeaii ia iniia? ianoaaeaiiy 45 iaoe??io?a, yeei aoei aeaioiaeaii iaci?ii? oa ci?ii? eiino?oeoe?? i?ioac?a ca ia??iae c 1993 ?. ii a?oaeaiue 1997 ?. Oa?i?ie niinoa?aaeaiiy o 16 iaoe??io?a ia?aaeuothoue 3 ?iee. ?c /enea i?eeiyoeo iaoe??io?a a?eii a?ae 15 aei 68 ?ie?a ae?iie aoei 25, /ieia?e?a - 20. O 3 aeiaaeeao cai?uaeenue aeaoaeoe, ui aeieeee ia aeaio uaeaiao, a ?aoo? aeiaaee?a - ia iaei?e uaeai?. Anueiai aoei aeaioiaeaii 48 i?ioac?a, a yeeo aeei?enoaii 81 aeaeaeaiee iaoo?aeueiee coa; c ieo 13 iaci?iieo i?ioac?a (27,1%) ? 35 ci?iieo i?ioac?a (72,9%). Iniiaio oaaao ie i?eae?eyee i?ioacoaaiith iaaaeeeeo (a?ae 1 aei 3 coa?a) aeaoaeo?a o?iioaeueii? ae?eyiee, ui aeieeathoue i?e aeaeaeaii? oeeo coa?a aiane?aeie caoai?thaaiue oeaiei ia?iaeiioo aai o?aaie. Iaeneiaeueiee oa?i?i niinoa?aaeaiiy ca ci?iiei i?ioacii athaaeueii? eiino?oeoe?? neeaaeaa 5,5 ?ie?a. A iaeiiio aeiaaeeo a?aeaoeinue a?ae’?aeiaiiy aeaio coa?a a?ae iaoaeaaiai ea?eano /a?ac 3 ?iee ooieoe?iioaaiiy i?ioaco, ui ie iiynith?ii iaaeineiiae?noth eiiiiceoo, yeee aoa canoiniaaiee aeey o?enaoe??. I?ney a?aeiia?aeii? ia?iaee coae aoee ciiao anoaiiaeai? ia ea?ean?, ? iaoe??io i?iaeiaaeoaaa oni?oii ei?enooaaoenue oei aea i?ioacii. Ee?i?/i? iaoiaee aeine?aeaeaiiy iieacaee, ui i?ioace, aeaioiaeai? c aeei?enoaiiyi iaoo?aeueieo coa?a, iathoue ?yae ia?aaaa iaae o?aaeeoe?eieie: aiie anoaoe/i?, a?eueo a?a??i?/i?, iaoe??ioe eaaoa ? oaeaeoa aaeaioothoueny aei ieo ? e?aua ni?eeiathoue ineoieia?/ii, i?ae iiai?noth “/oae?” ooo/i? coae. Aeieeiaiiy ea???no, a?aeeiio aiae? iaie ia niinoa??aaeinue i?ioyaii anueiai ia??iaeo niinoa?aaeaiiy. A i?ioean? aeaioiaeaiiy i?ioaco ie caoaaaeeee ci?io caaa?aeaiiy iaoo?aeueiiai coaa, ai?uaiiai a i?ioac: a?i ??cei a?e?? a?ae?aco ae i?ney aeaeaeaiiy, iniaeeai a nooiio na?aaeiaeu?, aea i?ney o?enaoe?? i?ioaco iinooiiai a?aeiiaeth? nai? caaa?aeaiiy. Ia??iae a?aeiiaeaiiy caaa?aeaiiy caeaaeeoue a?ae oa?i?io aeniiceoe?? coaa a eiina?aaio?, ? ni?aiaaea? ii /ano ?c noaa?e?caoe??th iieaciee?a aea?eueiaiiy ? iiaeeiaiiy ?ii?a eaeueoe?th. AENIIAEE 1. I?e aea/aii? iniaeeainoae i?oiiaaee/iiai e?eoaaiiy aeeoae?a i. ?aaii-O?aie?anueea oa iaeano? anoaiiaeaii aenieee a?aenioie iaoe??io?a c aeaoaeoaie coaieo ?yae?a o iieiaeiio a?oe?, ui iio?aaothoue ?aiiueiai i?oiiaaee/iiai ao?o/aiiy; eiino?oeoeaii na?aae iaci?iieo i?ioac?a, aeaioiaeaieo aeeoaeyi ?aa?iio, ia?aaaaeathoue ooaiiiaaii-iayi? ei?iiee ? iinoiaeaei? i?ioace (95,6%), a na?aae ci?iieo i?ioac?a - ieanoiania? ieanoeieia? i?ioace (99,1%); na?aae iaoa??ae?a i?e aeaioiaeaii? iaci?iio eiino?oeoe?e iae/ano?oa aeei?enoiaothoueny iaoaeaa? nieaae (56,2%), a ci?iieo - ieanoiane (99,1%). 2. Aeey aeei?enoaiiy a i?ioacoaaii? i?eaeaoi? ia?o ca ana coae naiiai iaoe??ioa c iaooeiaeaeaiith ei?iieiaith /anoeiith, aeaeaeai? aiane?aeie caoai?thaaiue ia?iaeiioo aai o?aaie, yeui eiina?aaoeai? iaoiaee e?eoaaiiy iaaeioe?euei?. 3. Aeine?aeaeaiiy iaoo?aeueieo coa?a ye eiino?oeoe?eiiai iaoa??aeo iieacaei, ui ca nai?ie o?ceei-o?i?/ieie iieacieeaie aiie caeiathoue i?ii?aeia iieiaeaiiy i?ae ieanoianiaeie oa oa?oi?iaeie ooo/ieie coaaie, ? oiio iiaeooue oni?oii canoiniaoaaoenue aeey a?aeaoaeiae aeaoaeo?a coaiiai ?yaeo o iaci?iieo oa ci?iieo eiino?oeoe?yo; ia aoaiao aeaioiaeaiiy i?ioaco ci?ith?oueny caaa?aeaiiy iaoo?aeueiiai coaa: a?i noa? na?oe?oei i?ney eiina?aaoe?? ? iinooiiai a?aeiiaeth? nai? i?e?iaeia caaa?aeaiiy i?ney o?enaoe?? i?ioaca a ?ioia?e ii?iaeiei? i?ioyaii ia??iaeo noaa?e?caoe?? iieaciee?a aea?eueiaiiy oa iiaeeiaiiy ?ii?a eaeueoe?th. 4. Aeey eiina?aaoe?? coa?a aeioe?eueii aeei?enoiaoaaoe neaae? (0,5-2,0 %) ?ic/eie aeueaeaa?ae?a - oi?iaeueaeaa?aeo oa aethoa?iaiai aeueaeaa?aeo, ye? caaacia/othoue aeinoaoi?e ??aaiue aeac?ioaeoe??, ni?eythoue caa?aaeaiith o?ceei-iaoai?/ieo aeanoeainoae coaa oa ia ci?iththoue a cia/i?e i??? eiai caaa?aeaiiy. 5. ?ic?iaeaia iaie iaoiaeeea ia?aaeaa/a? aeaioiaeaiiy o?aaeeoe?eieo oei?a iaci?iieo oa ci?iieo eiino?oeoe?e i?ioac?a ?c iaoo?aeueieie coaaie a yeino? iaeeoethaaeueiiai iaoa??aeo, c iacia/ieie ci?iaie o oaoiieia?? aeaioiaeaiiy, canoinoaaiiy yeeo ia iio?aao? aaeeeeo aeiiii?/ieo aeo?ao. 6. Ee?i?/ia canoinoaaiiy cai?iiiiiaaieo eiino?oeoe?e i?ioac?a oa eiai aiae?c iieacaee, ui aiie iathoue iaai? ia?aaaae iaae cae/ieie iaoiaeaie i?ioacoaaiiy, ine?eueee ciaioothoue e?euee?noue ei?aeoe?e, ni?eythoue oaeaeo?e aaeaioaoe?? iaoe??ioa ? iathoue anoaoe/iee aeaeyae. I?AEOE*I? ?AEIIAIAeAOe?? 1. I?e iayaiino? aeaoaeoo ei?iieiai? /anoeie o?iioaeueiiai coaa ?aeiiaiaeo?ii aeaioiaeaiiy ooeooiai? eiino?oeoe?? c aeei?enoaiiyi a?aeeaiaii? /anoeie a yeino? iaeeoethaaeueiiai iaoa??aeo. 2. I?e iayaiino? iaaaeeeeo (a 1-2 coae) aeaoaeo?a coaiiai ?yaeo o o?iioaeueiiio a?aeae?e? ?aeiiaiaeo?ii aeaioiaeaiiy iaci?iieo oa ci?iieo eiino?oeoe?e coaieo i?ioac?a ii oeio aaeaaceaiiai iinoiaeaeiiai i?ioaca, iaci?iii? oeie-i?ioaca, iinoiaeaeiiai i?ioaca c o?enaoe??th ia ei?iieao oa iai?aei?iieao, iaeiai n?aeeiaeaeiiai i?ioaca aai ?iiaae?ao-i?ioaca. I?e aeai?? eiie?aoii? ?c ia?a?aoiaaieo aeua eiino?oeoe?e ne?ae ea?oaaoenue ia?o ca ana noaiii coa?a, ui iaiaaeothoue aeaoaeo, iniaeeai ioe?ieoe ?o ?ooii?noue oa ?aca?ai? neee ia?iaeiioo, a oaeiae nooi?iue ao?io?? aeueaaiey?iiai ia?inoea. I?e aeaeaeaii? coa?a c i?eaiaeo caoai?thaaiue ia?iaeiioo ia?aaaao ne?ae a?aeaeaaaoe ci?iiei eiino?oeoe?yi. 3. I?e ii?aeiaii? aeaoaeo?a o o?iioaeuei?e oa aieia?e ae?eyieao ?aeiiaiaeo?ii aeaioiaeaiiy ieanoeieiaeo oa athaaeueieo eiino?oeoe?e, a yeeo o?iioaeueiee aeaoaeo a?aeiiaeaiee ei?iieiaeie /anoeiaie iaoo?aeueieo coa?a, a aieiaee - ooo/ieie ieanoianiaeie aai oa?oi?iaeie coaaie. 4. A yeino? eiina?aaioa aeey iaoo?aeueieo coa?a ?aeiiaiaeo?ii aeei?enoiaoaaoe neaae? ?ic/eie oi?iaeueaeaa?aeo aai aethoa?iaiai aeueaeaa?aeo. 5. Aeey iie?auaiiy o?enaoe?? iaoo?aeueiiai coaa a o?e? i?ioaco i?iiiio?ii a i?eoeeeia?e ae?eyioe? ?iaeoe onooi a oi?i? iaa?iaiiai eiiona, a a ei?aiaaee eaiae i?e eiai ieiiaoaaii? aaiaeeoe ae?ioyio iaoeth. NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe?? 1. Cai?uaiiy o?iioaeueieo aeeth/aieo aeaoaeo?a coaieo ?yae?a o iaoe??io?a ?c caoai?thaaiiyie oeaiei ia?iaeiioa //Iiaeie noiiaoieia??.-1997.-?1(10).-N.21-23. 2. Aea/aiiy i?ioean?a iai?io eaeueoe?th a iaoo?aeueieo coaao, ai?uaieo a ci?iiee i?ioac //Aaeeoeueeee e?ea?nueeee a?niee.- 1998.- O.5, /.1.- N.69-72. 3. ?ao?iniaeoeaiee iaeyae aeei?enoaiiy ??cieo eiino?oeoe?eieo iaoa??ae?a //Aaeeoeueeee e?ea?nueeee a?niee.- 1998.- O.5, /.1.- N.73-75. 4. Eniieueciaaiea anoanoaaiiuo coaia a i?oiiaaee/aneii ea/aiee //Nai?iee noaoae ia?aiai Iaaeaeoia?iaeiiai eiia?anna ii i?iaeaiai coaiie o?ainieaioieiaee.- Aaoei?oinoai, Ooa, 1994.- N.15-17, 89-90. / Ci?aaaoi? Iaaeaiei I.A./. 5. Iaoo?aeuei? coae ye eiino?oeoeaiee aeaiaio i?ioaca //Aeooaeuei? i?iaeaie i?oiiaaee/ii? noiiaoieia??.-Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe??, i.?aaii-O?aie?anuee, 1995.-N.49. 6. Canoinoaaiiy ci?iieo i?ioac?a c iaoo?aeueieie coaaie aeey cai?uaiiy iaeeo aeaoaeo?a o o?iioaeueiiio a?aeae?e? //Aeooaeuei? ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/aniiio ??ai?.- Iaoa??aee aeiiia?aeae iaoeiai? eiioa?aioe?? 20 o?aaiy 1996 ?ieo, Iieoaaa, 1996.-N.205-206. 7. Aeei?enoaiiy iaoo?aeueieo coa?a o neooii?ioacoaaii? // Aeooaeuei? ieoaiiy oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/aniiio ??ai?.- Iaoa??aee aeiiia?aeae iaoeiai? eiioa?aioe?? 20 o?aaiy 1996 ?ieo, Iieoaaa, 1996.-N.206. /Ni?aaaoi? Iaaeaiei I.A./. 8. Use of natural teeth in partial dentures //20 th Annual Conference European Prosthodontic Association (EPA).-Germany,Tubingen, 1996.-P.75. 9. Aeeiai?ea aeieeiaiiy aeaoaeo?a coaieo ?yae?a oa eiino?oeoeai? iniaeeaino? i?ioac?a, ui aeaioiaeythoueny aeeoaeyi i.?aaii-O?aie?anueea oa iaeano? //Ieoaiiy i?oiiaaee/ii? noiiaoieia??.- Ca??iee iaoeiaeo i?aoeue, Iieoaaa, 1997.- N.64-68. 10. Niin?a i?ioacoaaiiy ?c aeei?enoaiiyi ei?iiie iaoo?aeueieo coa?a. Iaoaio ia aeiao?ae ? 22258 A a?ae 03.02.98 IAeOeIA Oe?a?ie. AIIOAOe?ss E??eue A.E. Aeei?enoaiiy iaoo?aeueieo coa?a a i?oiiaaee/iiio e?eoaaii?.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.22 - noiiaoieia?y.- Oe?a?inueea iaaee/ia noiiaoieia?/ia aeaaeai?y, i.Iieoaaa, 1998. Aeena?oaoe?th i?enay/aii ieoaiiyi i?ioacoaaiiy iaoe??io?a i?ioacaie, aeaioiaeaieie c aeei?enoaiiyi ei?iieiaeo /anoei aeaeaeaieo i?e?iaeieo coa?a. Aea/aii aeeiai?eo aeieeiaiiy ? ?icaeoeo aeaoaeo?a coaieo ?yae?a oa iio?aao o ??cieo eiino?oeoe?eieo iaoa??aeao aeey aeaioiaeaiiy i?ioac?a o aeeoae?a i.?aaii-O?aie?anueea oa iaeano?. I?iaaaeaii aenia?eiaioaeueia aea/aiiy iaoai?/ieo oa o?ceei-o?i?/ieo aeanoeainoae iaoo?aeueieo coa?a ia aoaiao aeaioiaeaiiy i?ioaco. ?ic?iaeaii ?aoe?iiaeuei? oaoiieia?? aeaioiaeaiiy iaci?iieo oa ci?iieo eiino?oeoe?e coaieo i?ioac?a c aeei?enoaiiyi aeaeaeaieo coa?a. Iniiai? ?acoeueoaoe ?iaioe ciaeoee i?aeoe/ia canoinoaaiiy. Eeth/ia? neiaa: iaoo?aeuei? coae, i?oiiaaee/i? iaoiaee, iaci?ii? i?ioace, ci?ii? i?ioace, eiino?oeoe?eiee iaoa??ae. AIIIOAOeEss E?eeue A.E. Eniieueciaaiea anoanoaaiiuo coaia a i?oiiaaee/aneii ea/aiee.- ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.22- noiiaoieiaey.- Oe?aeineay iaaeeoeeineay noiiaoieiae/aneay aeaaeaiey, a.Iieoaaa, 1998. Aeenna?oaoeey iinayuaia aii?inai i?ioace?iaaiey iaoeeaioia i?ioacaie, ecaioiaeaiiuie n eniieueciaaieai ei?iieiauo /anoae oaeaeaiiuo anoanoaaiiuo coaia. Eco/aia aeeiaieea aicieeiiaaiey e ?acaeoey aeaoaeoia coaiuo ?yaeia e iio?aaiinoue a ?acee/iuo eiino?oeoeeiiiuo iaoa?eaeao aeey ecaioiaeaiey i?ioacia o aeeoaeae a.Eaaii-O?aieianea e iaeanoe. Onoaiiaeaii, /oi aeaoaeou coaia e coaiuo ?yaeia aicieeatho o aeeoaeae ?aaeiia a iieiaeii aic?anoa (?-?? aic?anoiua a?oiiu ii AIC), a yoi o?aaoao ?aiiaai i?oiiaaee/aneiai aiaoaoaeuenoaa. *anoioa aicieeiiaaiey aeaoaeoia ?acei aic?anoaao ai ?? a?oiia e a aeaeueiaeoai noaaeeece?oaony ia aunieii o?iaia (82,8 % - 97,8 %). Eiino?oeoeeiiii n?aaee ecaioaaeeaaaiuo coaiuo i?ioacia i?aiaeaaeatho ooaiiiaaii-iayiiua ei?iiee e iinoiaeaeiua i?ioacu (95,6 %) e ieanoianniaua ieanoeii/iua i?ioacu (99,1 %). N?aaee iaoa?eaeia aeey ecaioiaeaiey ianuaiiuo i?ioacia a iniiaiii eniieuecothony iaoaeee/aneea nieaau (56,2 %), a nuaiiuo – ieanoiannu (99,1 %). Yoi iaoneaaeeaaao iaaunieoth ynoaoe/iinoue ianuaiiuo i?ioacia e iaaeinoaoi/ioth i?i/iinoue nuaiiuo eiino?oeoeee. Aeey auyaeaiey aiciiaeiinoe eniieueciaaiey oaeaeaiiuo coaia naiiai iaoeeaioa eae eiino?oeoeeiiiiai iaoa?eaea i?e i?oiiaaee/aneii ea/aiee aicieeoaai aeaoaeoa i?iaaaeaii yenia?eiaioaeueiia eco/aiea eciaiaiey iaoaie/aneeo e oeceei-oeie/aneeo naienoa anoanoaaiiuo coaia ia yoaiao ecaioiaeaiey i?ioaca. Onoaiiaeaii, /oi iee?ioaa?aeinoue eiina?ae?iaaiiuo coaia a i?ioeanna ecaioiaeaiey e ooieoeeiie?iaaiey i?ioaca nouanoaaiii ia eciaiyaony (a iauai iia aic?anoaao ia 2 - 5 %). Aaeaaceiiiay i?i/iinoue niaaeeiaiey iaoo?aeueiiai coaa n aaceniuie ieanoiannaie ieaea, /ai ieanoianniaiai (30 + 2,1 IIa i?ioea 50+1,4 IIa), ii auoa, /ai oa?oi?iaiai (23 + 1,8 IIa, ?<0,05). Yoi iicaieyao aaiaeeoue iaoo?aeueiue coa iaiin?aaenoaaiii a aacen i?ioaca i?e ecaioiaeaiee nuaiiuo eiino?oeoeee. Aeey niaaeeiaiey iaoo?aeueiiai coaa n iaoaeee/aneei ea?eanii oeaeaniia?acii eniieueciaaoue eiiiiceoiua ieiiae?iai/iua iaoa?eaeu, eiathuea aaeaaceiiioth i?i/iinoue niaaeeiaiey n iaoaeeaie aieueoa 30 IIa. Aaeaaceiiiay i?i/iinoue niaaeeiaiey iaoo?aeueiiai coaa n eiaaeueoi-o?iiiauie nieaaaie auoa ia 18,5 % ii n?aaiaieth n ia?aeaaathuae noaeueth. Auaeaeaiea e iiaeiuaiea eiiia Na2+ iiaa?oiinoiuie neiyie yiaee iaoo?aeueiuo coaia, anoaaeaiiuo a i?ioac, ia ?acee/iuo yoaiao ecaioiaeaiey i?ioaca i?ienoiaeeo ia?aeeaeueii e naaeaine?iaaii. Yoe iieacaoaee noaaeeece?othony ia i?ioyaeaiee ii?aaeaeaiiiai ia?eiaea a?aiaie iinea oeenaoeee i?ioaca a iieinoe ?oa, eioi?ue caaeneo io i?iaeieaeeoaeueiinoe i?aauaaiey coaa a eiina?aaioa. Ia yoaiao ecaioiaeaiey i?ioaca eciaiyaony eioaineaiinoue ie?anee iaoo?aeueiiai coaa a i?ioaca: iinea eiina?aaioa ii noaiiaeony naaoeaa, a iioii iinoaiaiii ainnoaiaaeeaaao i?e?iaeiue oeaao. Oa?iei ainnoaiiaeaiey oeaaoa niaiaaeaao ni n?ieaie noaaeeecaoeee iieacaoaeae auaeaeaiey e iiaeiuaiey eiiia Na2+ . Aeey eiina?aaoeee coaia oeaeaniia?acii eniieueciaaoue neaaua (0,5 – 2,0 %) ?anoai?u aeueaeaaeaeia – oi?iaeueaeaaeaea eee aethoa?iaiai aeueaeaaeaea, eioi?ua iaania/eaatho aeinoaoi/iue o?iaaiue aeaceioaeoeee, niinianoaotho nio?aiaieth oeceei-iaoaie/aneeo naienoa coaa e ia eciaiytho a cia/eoaeueiie noaiaie aai ie?aneo. Eeeie/aneea aeaiiua iieo/aiu ia iniiaaiee ianeaaeiaaiey 45 iaoeeaioia, eioi?ui auei ecaioiaeaii 48 i?ioacia n 81 oaeaeaiiui coaii, a iniiaiii aeey aiciauaiey o?iioaeueiuo aeaoaeoia iaaieueoie i?ioyaeaiiinoe (1-2 coaa). Iaeneiaeueiue n?ie iaaethaeaiey ca i?ioacii athaaeueiie eiino?oeoeee ninoaaee 5,5 eao. ?ac?aaioaiiiay iaoiaeeea iiaeaioiaee oaeaeaiiuo coaia iicaieyao i?eiaiyoue eo eae eiino?oeoeeiiiue iaoa?eae i?e ecaioiaeaiee o?aaeeoeeiiiuo ianuaiiuo e nuaiiuo eiino?oeoeee coaiuo i?ioacia. Iniiaiua ?acoeueoaou ?aaiou iaoee i?aeoe/aneia i?eiaiaiea. Eeth/aaua neiaa: anoanoaaiiua coau, i?oiiaaee/aneea iaoiaeu, ianuaiiua i?ioacu, nuaiiua i?ioacu, eiino?oeoeeiiiue iaoa?eae. ANNOTATION. Kril A.J. Using natural teeth in prosthetic treatment.- Manuscript. A dissertation to obtain the scientific degree of candidate of science (medicine) in speciality 14.01.22 -stomatology, Ukrainian Medical Stomatological Academy, t. Poltava, 1998. The dissertation deals with prosthetic treatment of patients by dentures manufactured with use of crown portions of extracted natural teeth. Dynamics of the origin and development of the teeth rows defects and the requirements in different construction materials to make prosthesesfrom with citizens of Ivano-Frankivsk and Region were studied. An experimental study of mechanical and physicochemical properties of natural teeth at the stages of the prostheses manufacturing was carried out. Rational technologies to manufacture fixed and removable dentures with application of extracted teeth were elaborated. The main results of the work are being applied practically. Key words: natural teeth, prosthetic methods, fixed dentures, removable dentures, construction materials.

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