?INOEOOO IAAe?AO???, AEOOA?NOAA OA A?IAEIEIA??
AEAAeAI?? IAAeE*IEO IAOE OE?A?IE
Aeueii?ia Oaoyia Ieeiea?aia
OAeE 618.39 – 021.3:616.155.25 – 097
CAE*IA IAAEIIOOAAIIss AAA?OIINO?
? AIOEOINOIE?I?AeIEE NEIAe?II
14.01.01. – aeooa?noai ? a?iaeieia?y
Aaoi?aoa?ao
aeena?oaoe?? ia caeiaoooy iaoeiaiai
nooiaiy aeieoi?a iaaee/ieo iaoe
Ee?a – 1999
Aeena?oaoe?y ? ?oeiienii.
?iaioa aeeiiaia a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i. I.Ai?ueeiai IIC Oe?a?ie.
Iaoeiaee eiinoeueoaio:
*aeea Aieiaeeie? Ee?eeiae/ aeieoi? iaaee/ieo iaoe, i?ioani?, caneoaeaiee
ae?y/iaaeeoeeie oa oaoi?ee Oe?a?ie, caa?aeoaa/ eaoaae?e aeooa?noaa,
a?iaeieia?? oa ia?eiaoieia?? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i. I.Ai?ueeiai IIC Oe?a?ie.
Io?oe?ei? iiiiiaioe:
Noaiaie?anueea Aaeeia Einoyioei?aia aeieoi? iaaee/ieo iaoe,
i?ioani?, /eai-ei?aniiiaeaio IAI ? AII Oe?a?ie, i?ioani? eaoaae?e
aeooa?noaa ? a?iaeieia?? ?1 Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo ?i.
I.I. Aiaiiieueoey IIC Oe?a?ie (i. Ee?a)
Eaoo Noai?neaa Na?a?eiae/ aeieoi? iaaee/ieo iaoe, i?ioani?,
caa?aeoaa/ eaoaae?e aeooa?noaa ? a?iaeieia?? ?1 Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie (i.Ee?a);
E?nyieE Ieeiea ?aaiiae/ aeieoi? iaaee/ieo iaoe, i?ioani?,
caa?aeoth/ee a?aeae?eii iae?i?ioiieia?? ?inoeoooo iae?io??o?a?? AII
Oe?a?ie (i. Ee?a)
I?ia?aeia onoaiiaa:
Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC Oe?a?ie,
eaoaae?a aeooa?noaa oa a?iaeieia??
Caoeno a?aeaoaeaoueny “14” na?iiy 1999 ?ieo i 13 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee ?c caoenoo aeena?oaoe?e ia caeiaoooy
iaoeiaiai nooiaiy aeieoi?a iaaee/ieo 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 8 eeiiy 1999 ?ieo
A/aiee nae?aoa?
niaoe?ae?ciaaii? a/aii? ?aaee
E.A.Eaaoi?ia
CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE
Aeooaeuei?noue oaie. Iaaeiiooaaiiy aaa?oiino? ? iaei??th c aeooaeueieo
i?iaeai no/aniiai aeooa?noaa /a?ac eiai i?yiee ca’ycie c ia?eiaoaeueiith
caoai?thaai?noth oa nia?oi?noth ? iio?aao? oaaaeiiai aea/aiiy aeey
i?io?eae-oeee naii/eiieo aai?o?a, ia?aae/anieo iieia?a oa ia?iaeaeaiiy
iaeiaaaiieo ae?oae. *anoioa oeueiai oneeaaeiaiiy caeeoa?oueny
noaa?eueiith i?ioyaii aaaaoueio ?ie?a ? neeaaea? 15-25 % an?o aaaeaieo
aaa?oiinoae. Aeecueei 25 % aeiaaee?a ia-aeiiooaaiue neeaaea? cae/iee
aeeeaeaiue, yeei aaa?oi?noue ia?a?eaa?oueny ia ? o?eiano?? ca oeiii
ia?icaeiooi? aaa?oiino? (Eoiaie A.I. oa ?i., 1999; Eaiae?ia I.I., 1999;
A?iiuei A.E., 1997; Neaeaeueieeiaa A. I., 1996).
O?aaeeoe?eia eiiieaenia ianoaaeaiiy, ui aeeth/a? aeine?aeaeaiiy
o?iii-nii, ai?iiiaeueiiai oiio iaoa??, ioe?ieo iaoi/ieo oa
oea?a?eaeueieo ii?o-oaiue, i?e?iaaeoa??ieia?? aai?oaeueiiai o?aeoo
aeicaieythoue ooi/ieoe i?e/eio iaaeiiooaaiiy ia a?eueoa, i?ae o 60 % ia?
(Ianiiia A.E. e ae?., 1998; Iaeaoea-?ey A.Ae. e ae?., 1993).
Ao?ieia?/i? oaeoi?e a?eueoino? oaoaeueieo ao?ao caeeoathoueny
iaa?aei-ieie oa oa?aeoa?ecothoueny ye ?ae?iiaoe/i?. A inoaii?e /an
?ae?iiaoe/ia iaae-iiooaaiiy ?yae a?o/eciyieo oa ca?oa?aeieo aaoi??a
iia’ycothoue c iayai?noth o ae?iie aooi?ioiiiai noaio, eio?ee ee?i?/ii
ia i?iyaey?oueny, ? iaoe??ioee ii-/oaathoueny oe?eeii caei?iaeie.
Iaeiae, c ianoaiiyi aaa?oiino? eiaeia aooi-?ioiia caoai?thaaiiy ?c noaio
?ai?n?? ia?aoiaeeoue a caaino?aiiy, oeo? aooi-aioeo?e oa ?o aa?an?y
c?inoathoue, ianoa? ia?a?eaaiiy aaa?oiino?. A 1986 ?ioe? aiae?enuee?
aeine?aeieee iienaee neiioiiieiiieaen, iacaaiee ieie ye
aioe-oinoie?i?aeiee neiae?ii (AON), iniiaieie i?iyaaie yeiai ?:
?ai?iaeoeoeai? ao?aoe aoaeue-yeiai no?ieo aanoaoe??, o?iiaice ??cii?
eieae?caoe??, o?iiaioeeoi-iai?y, iayai?noue a e?ia? niaoeeo?/ieo
aioeoinoie?i?aeieo aioeo?e (AOEA). *anoioa AON o iaoe??ioie c
ia?eiaoaeueieie ao?aoaie neeaaea? ca aeaieie ??c-ieo aaoi??a
(?iaeeianueea I.I., 1998; Iiiiia?aaa E.A., 1997; Hughes G.R.V., Harris
E. N., Gharavi A. E., 1986) a?ae 27 aei 41 %. I?ioa, ao?ieia?y oa
iaoiaaiac oeueiai caoai?thaaiiy aei oaia??oiueiai /ano ua ia aea/ai? aei
e?ioey. Iaoeiaee oa i?aeoe/iee ?ioa?an aeeeeea? aea/aiiy iniaeeainoae
aaia?aoeaii? ooie-oe??, ia?aa?a aaa?oiino? e iieia?a, a oaeiae noai
iiaiia?iaeaeaieo o oe??? a?oie ae?iie. Aeai? e?oa?aoo?e a oeueiio
iai?yi? ia/eneaii? oa noia?a/i?.
Ia aeine?aeaeaii ieoaiiy i?i aieea nioe?aeueii-aeieia?/ieo oaeoi??a ye
ni?eyoeeaeo /eiiee?a aeieeiaiiy ? ?icaeoeo AON /a?ac iioeiaeaeaiiy
?ioi-ii? nenoaie i?aai?cio. Ia aena?oeaii oae? i?iaeaie, ye e?eoa???
i?ieiiaaoe?? oa iniaeeaino? oa?ai?? a ? o?eiano?? aaa?oiino? i?e
?aoeeaeeaoth/?e caa?ic? ia-?a?eaaiiy aaa?oiino?, ?aoe?iiaeuei? niiniae
?ic?iaeaeaiiy, ioe?iea noaio caei-?ia’y iiaiia?iaeaeaiiai oa iaoiaee
ei?aeoe?? aeyaeaieo ii?ooaiue. Iaia? aea-ieo i?i ineoiaiioe?eiee noai
iaoe??ioie c AON a ia??iae ieaioaaiiy aaa?o-iino?, a oaeiae a?aenooiy
/?oea i?ia?aia ineoioa?aiaaoe/ii? ?aaa?e?oaoe??. Iniaeeai? oaaae
caneoaiao? i?iaeaia aca?iica’yceo ineoiaiioe?eiiai noaoo-no c
ai?iiiaeueiith oa ?ioiiith nenoaiaie ? ?ieue o?ii?/iiai no?ano a
iaoiaa-iac? aeieeiaiiy aooi?ioiieo ii?ooaiue ye i?e/eie ia?eiaoaeueieo
ao?ao i?e AON.
Aeooaeueieie aei oeueiai /ano caeeoathoueny oae? ieoaiiy, ye
ae?aaiinoeea oa e?eoaaiiy AON iica ? i?ae /an aaa?oiino?, iaoiaee
i?iaiicoaaiiy e eiio?i-eth ca aoaeoeai?noth i?ecia/aii? oa?ai??,
i?io?eaeoeea oneeaaeiaiue iieiaiai-ai aeoo ? ?aoe?iiaeueia ?ic?iaeaeaiiy
oeueiai eiioeiaaioo ae?iie, ?ic?iaea i?ei-oeei?a iioeiaeueieo
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a c iaoith cieaeaiiy ia?eiaoaeueii?
caoai?thaaiino? oa nia?oiino?.
Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Ia?aiee
iai?yiie aeine?aeaeaiiy o?nii iia’ycaiee c ieaiii iaoeiai-aeine?aeieo
?ia?o Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I.
Ai?ueeiai oa iaoeiai-aeine?aeiiai ?inoeoooo iaaee/ieo i?iaeai n?i’?
(oaia “Aacia/ia iaoa?einoai a?ae caie?aeiaiiy aei ia?iaeaeaiiy”, ?
aea?ae?a?no?aoe?? 0197V002121).
Iaoa ?iaioe. ?ic?iaea iaoeiai-iaa?oioiaaieo noai ae?aaiinoeee,
e?eoaaiiy, i?io?eaeoeee oa i?aeaioiaee caieaiiaaii? aaa?oiino? o ae?iie
c? cae/iei iaaeiiooaaiiyi aaa?oiino? (CIA) i?e AON aeey cieaeaiiy
/anoioe ia?eiaoaeueieo ao?ao.
Caaea/? aeine?aeaeaiiy.
I?iaanoe ?ao?iniaeoeaiee ee?i?ei-noaoenoe/iee aiae?c ia?aa?ao
aa-a?oiino?, iieia?a, /anoioe ia?eiaoaeueieo ao?ao o ae?iie c? CIA,
iaoiiaeaiei AON.
Aea/eoe nioe?ieia?/i? oaeoi?e a a?oiao aaa?oieo ae?iie, ui oai??thoue ia
CIA aeey anoaiiaeaiiy ai?aeai?ieia?/ieo i?e/ei iaaeiiooaaiiy aaa?oiin-o?
a Aeiiaoeueeiio ?aa?ii?.
?ic?iaeoe aeey i?aeoe/iiai aeooa?noaa oa canoinoaaoe iaoiaee
ae?aa-iinoeee oa i?eioeeie ?aaa?e?oaoe?? AON ye iaei??? c i?e/ei
?ae?iiaoe/iiai iaaeiiooaaiiy aaa?oiino?, i?iaanoe
e?eoaaeueii-i?io?eaeoe/i? caoiaee ye ia noaae?? ieaioaaiiy aaa?oiino?,
oae ? c ?? ianoaiiyi.
C’ynoaaoe iniaeeaino? ?ioiiiai noaoono, nainea?e?caoe?? aei oaoaeueieo
aioeaai?a, iieacieee nenoaie aiiainoaco iica oa i?ae /an aaa?oiino? oa
?o aca?-iica’ycie c aaeaioeaieie ? noa?i?aeieie ai?iiiaie, iaae?aoi?aie
no?ano a ca-eaaeiino? a?ae oace iaino?oaeueiiai oeeeeo oa no?ie?a
aanoaoe??.
Aea/eoe ineoiaiioe?eiee noaoon iaoe??ioie c? CIA i?e AON oa ia oe?e
iniia? ?ic?iaeoe niaoe?aeueio i?ia?aio ineoioa?aiaaoe/ii? ?aa?e?oaoe??
iiae-?oaeiuei? ia?e a ia??iaee ieaioaaiiy aaa?oiino? oa ?? ianoaiiy.
Aeyaeoe iniaeeaino? noaio oaoiieaoeaioa?iiai eiiieaeno aaa?oieo c AON oa
?ic?iaeoe e?eoa??? i?iaiicoaaiiy eiai iaaeinoaoiino? oa aoaeoeaii-no?
e?eoaaiiy.
Ae?iaeoe oaeoeeo aaaeaiiy aaa?oiino? oa iieia?a, ?aoe?iiaeueii?
aeiiiei-aiai? i?aeaioiaee iaoe??ioie c AON ia i?aenoaa? aeyaeaieo
oneeaaeiaiue aaa?oii-no? ? iieia?a ca oiiae eiio?ieth ai?iiiaeueieo,
?ioiieia?/ieo, a?io?i?/ieo iieaciee?a oa ooieoe?iiaeueieo
aeine?aeaeaiue.
Cae?enieoe eiiieaenia ianoaaeaiiy iiaiia?iaeaeaieo o ?aiiueiio oa
i?c-iueiio iaiiaoaeueiiio ia??iaeao, aeeth/ath/e aea/aiiy ?ioiiiai
noaoono oa ineoiniiaoe/iiai ?icaeoeo.
Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. O ?iaio? aia?oa ia no/an-iiio
iaoiaee/iiio ??ai? ?ic?iaeaii iieiaeaiiy aaaeeeai? iaaeeei-nioe?aeueii?
i?iaeaie aaa?oiino? ? iieia?a o ae?iie c ?ae?iiaoe/iei iaaeiiooaaiiyi c
ae-eeaaeaiiyi ee?i?ei-oai?aoe/ieo aniaeo?a aeieeiaiiy oa ?icaeoeo AON,
eiai aieeao ia ?ai?iaeoeoeaio oa ae?oi?iaeio ooieoe?th ae?iie, a oaeiae
ia noai caei-?ia’y ae?oae:
Anoaiiaeaii oa?aeoa?i? iniaeeaino? ?ioiiiai noaoono, nainea?e?caoe?? aei
oaoaeueieo aioeaai?a, iieacieee nenoaie aiiainoaco iica oa i?ae /an
aaa?o-iino? oa ?o aca?iica’ycie c aaeaioeaieie ? noa?i?aeieie ai?iiiaie,
iaae?aoi-?aie no?ano a caeaaeiino? a?ae oace iaino?oaeueiiai oeeeeo,
no?ieo aanoaoe?? ? ia oe?e i?aenoaa? ?ic?iaeaii eiioeaioe?th aeieeiaiiy
oa ?icaeoeo AON.
Aecia/aii e iaa?oioiaaii /eiieee, ui aieeaathoue ia iaaeiiooaaiiy
aaa?oiino? o iaoe??ioie c AON, ? ?ic?iaeaii niin?a i?io?eaeoeee
iaaeiioo-aaiiy aaa?oiino? ia aoai? ieaioaaiiy, ui aeeth/a? iaoiae
aoa?aioii? oa?ai?? (cayaea ? 98062877, ??oaiiy i?i aeaea/o iaoaioo
Oe?a?ie ia aeiao?ae a?ae 26.11.98).
Noai?aii niin?a e?eoaaiiy iaaeiiooaaiiy aaa?oiino? i?e AON, ui aeeth/a?
canoinoaaiiy aoa?aioieo iaoiae?a c ianooiiith ei?aeoe??th ?ioiiiai
aiiainoaco (a.n. N?N? ? 1733002 iioae. 15.01.92 oa cayaea ? 97126306,
??-oaiiy i?i aeaea/o iaoaioo Oe?a?ie ia aeiao?ae a?ae 28.10.98).
?ic?iaeaii oa canoiniaaii i?ia?aio e?eoaaiiy oa i?aeaioiaee iaoe??ioie c
AON aei iieia?a, ui aeeth/a? iie?ioaiiy e?iaiia?ao, ei?aeoe?th
aaiinoac?ieia?/ieo oa ?ioiieia?/ieo ii?ooaiue, a oaeiae
ineoioa?aiaaoe/io ?aaa?e?oaoe?th (iaoaio Oe?a?ie ia aeiao?ae ? 25666,
iioae. 30.10.98).
?ic?iaeaii eiii’thoa?eciaaio i?ia?aio ae?aaiinoeee ? i?iaiicoaaiiy
?acoeueoaoo aaa?oiino? oa iieia?a o iaoe??ioie c AON ia iniia? aea/aiiy
oa?ae-oa?o ii?ooaiue a nenoai? iaoe-ieaoeaioa-ie?ae (cayaea ? 98063394,
??oaiiy i?i aeaea/o iaoaioo Oe?a?ie ia aeiao?ae a?ae 26.11.98).
I?iaaaeaii eiiieaenia ianoaaeaiiy ae?oae, yeeo ia?iaeeee iaoa?? c AON,
?ic?iaeaii ? cai?iiiiiaaii eiiieaenio i?ia?aio i?io?eaeoeee
one-eaaeiaiue a ?aiiueiio iaiiaoaeueiiio ia??iae?.
I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. ?aeiiaiaeiaaii ia-a?oioiaai?
e?eoa??? ae?aaiinoeee oa eeaneo?eaoe?? AON. Cai?iiiiiaaii nenoa-io
iiaoaiii? aeeniaina?ecaoe?? oa eiiieaenii? ?aaa?e?oaoe?? iaoe??ioie ia
noaae?? ieaioaaiiy aaa?oiino?. Ai?iaaaeaeaii nenoaio aaoiiaoeciaaii?
aeeoa?aioe?eii? ae?aaiinoeee iaaeiiooaaiiy aaa?oiino? o iaoe??ioie c
AON. ?aeiiaiaeiaaii eiiieaenio e?eoaaeueio i?ia?aio, ui canoiniao?oueny
i?ae /an aaa?oiino? iaoe?-?ioie c AON, aeeth/a? ?ai,- ?ioiiei?aeoe?th,
naeaeoeaiee ieaciaoa?ac, e?eo-aaiiy oaoiieaoeaioa?ii? iaaeinoaoiino?
(OII), ?aoa?aeaoe?? ieiaea oa caaacia-/o? ia?iaeaeaiiy caei?iai?
aeeoeie, caiaeeoue aei i?i?iaeueieo oneeaaeiaiiy o noa-i? ?iae?ee?. Ia
iniia? ?ic?iaeaii? iaoiaeeee aeeoa?aioe?eii? ae?aaiinoeee, eii-ieaeniiai
e?eoaaiiy oa i?io?eaeoeee iaaeiiooaaiiy aaa?oiino? o iaoe??ioie c? CIA
i?e AON iie?ioaii aaiiaeeiai?/i? i?ioeane a nenoai?
iaoe-ieaoeaioa-ie?ae, o?io?/io ? ai?iiiaeueio ooieoe?? ieaoeaioe, ui
cieceei /anoioo aioo??o-iueioo?iaii? a?iien?? ieiaea oa caaacia/eei
ii?iaeueiee ?icaeoie aeeoeie.
Ai?iaaaeaeaiiy. Oai?aoe/i? iieiaeaiiy ? i?aeoe/i? ?aeiiaiaeaoe??
aeei-?enoiaothoueny a ?iaio? ae?ii/?o eiinoeueoaoe?e, iieiaiaeo oa
a?iaeieia?/ieo a?aeae?eaiue i. Aeiiaoeueea e Aeiiaoeueei?,
Aei?i?iiao?ianueei? oa Iaeanueei? iaeanoae, Aeiiaoeueeiai aea?aeaaiiai
?aa?iiaeueiiai oeaio?o ioi?iie iaoa?einoaa oa aee-oeinoaa, Oe?a?inueeiai
IAe? iaaee/ieo i?iaeai n?i(?, a oaeiae canoiniaothoueny a o/aiaiio
i?ioean? ia eaoaae?? aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? OII
Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.
Iniaenoee aianie caeiaoaa/a. I?iaaaeaii aeaoaeueiee ee?i?/iee aiae?c
iniaeeainoae ia?aa?ao aaa?oiino? ? iieia?a, noaio ieiae?a ?
iiaiia?iaeaeaieo o ae?iie c? CIA, i?e/eiith yeiai ? AON. ?ic?iaeaii
aeai?eoi ne?ei?iaiaiai ianoaaeaiiy iaoe??ioie c AON aei aaa?oiino? oa
i?ae /an ?? ia?aa?ao, aecia/aii e?eoa??? ioe?iee nooiaiy i?iyao o ieo
ineoiaiioe?eii? iai?oae (IAI), ai?ii-iaeueieo oa ?ioiieia?/ieo ci?i ? ia
oe?e i?aenoaa? iaa?oioiaaii iaoiaaiac ?ic-aeoeo cae/iiai aeeeaeiy.
Cai?iiiiiaaii iiaee i?aeo?ae aei ioe?iee ?ioiieia?/-iiai noaio,
aaiinoac?ieia?/ieo iieaciee?a, IAI oa ?o ei?aeoe?? i?ae /an ieaio-aaiiy
oa ia?aa?ao aaa?oiino?. ?ic?iaeaii ? iaa?oioiaaii iiaoaiiee eiiieaen
aeiiieiaiai? i?aeaioiaee aaa?oieo, ui iaee a aiaiiac? CIA oa ia?aaoaaee
i?ae aieeaii IAI ? iani?eyoeeaeo nioe?ieia?/ieo /eiiee?a. I?iaaaeaii
niinoa?a-aeaiiy ca noaiii aaa?oieo c AON a aeeiai?oe? ? aeeiiaii iniiaio
/anoeio i?aai?caoe?eieo i?aeoiae?a aei aeai?o iaoe??ioie, ?ic?iaee
aeai?eoio ianoa-aeaiiy, iaoith yeiai ? aeyaeaiiy AON. Aaoi? ?ic?iaea
iaoiaeeeo cae?eniaiiy aoa?aioieo iaoiae?a e?eoaaiiy – ieaciaoa?aco oa
ieaciini?aoe??. Iaa?oi-oiaaii iaoai?ci aieeao ia i?aai?ci oa
aoaeoeai?noue canoinoaaiiy ieaciaoa-?aco oa ieaciini?aoe?? i?e e?eoaaii?
oa i?io?eaeoeoe? AON oa eiai oneeaae-iaiue: OII, aioo??oiueioo?iaii?
a?iien?? oa a?iio?io?? ieiaea. ?ioa?i?aoiaaii iaea?aeai? ?acoeueoaoe,
c?iaeaii oai?aoe/i? aeniiaee ? ?ic?iaeaii i?aeoe/i? ?aeiiaiaeaoe??.
Ai?iaaoe?y ?iaioe. Iaoa??aee aeena?oaoe?? aeiiia?aeaeenue ia O c’?cae?
aeooa??a-a?iaeieia?a Oe?a?ie (Iaeana, 1996); i?aeia?iaeieo: “World
Apheresis association 6-th International Congress Florence, Italy”
(Oei?aioe?y,1996) oa “World Conference The ovary: Regulation d?sfunction
and treatment, Marco Island, Florida, USA” (Marco Island, 1996),
Ni?euei?e oe?a?inueei-i?iaoeuee?e eiioa?aioe?? “No/ani? i?iaeaie
?ioaeoieia?? a aeooa?noa? oa a?iaeieia??” (Aeiiaoeuee, 1996), Ieaioi?
anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie “Iaaeii-ooaaiiy aaa?oiino?”
(*a?i?aoe?, 1997), O?? Eiia?an? ?a?iiaenueei? anioe?aoe??
aeooa??a-a?iaeieia?a, Aeai?y (1997, Eiiaiaaaai); Ieaioi? anioe?aoe??
aeooa??a-a?iaeieia?a Oe?a?ie “Eana?nueeee ?icoei a no/aniiio aeooa?noa?”
(1998, ?a-iaoi??y), Can?aeaii? A/aii? ?aaee IAe? iaaee/ieo i?iaeai n?i’?
(Aeiiaoeuee, 1998).
Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 32 i?aoe?, c ieo: 1
iiii-a?ao?y, 23 noaoo?, 5 oac iaoeiaeo eiioa?aioe?e oa c(?cae?a. Ca
iaoa??aeaie ?iai-oe io?eiaii 1 aaoi?nueea na?aeioeoai N?N? ? 1733002,
“Niinia ea/aiey oa?i-cu i?a?uaaiey aa?aiaiiinoe”, 1992, oa 2 iaoaioe
Oe?a?ie ia aeiaoiaee ?25666A, “Niin?a i?aeaioiaee aaa?oii? aei iieia?a”,
1999; ? 25676A, “Niin?a aaaeaiiy iieia?a i?e aeeneii?aeeiiaai?e
iieiaia?e ae?yeueiino?”, 1999.
Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 305 a?eooao
iaoeiiieniiai oaenoo, i?i?ethno?iaaia 21 ?enoieii ? 50 oaaeeoeyie.
Neea-aea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 6 ?icae?e?a aeanieo
aeine?aeaeaiue, caeeth-/aiiy, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e,
nieneo e?oa?aoo?e c 350 aeaea?ae, ui aeeth/a? 132 a?o/eciyiiai oa 218
ca?oa?aeieo aaoi??a.
CI?NO ?IAIOE
Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeey ae??oaiiy iinoaaeaieo
caaaeaiue i?iaaaeaii nioe?ieia?/ia oa ee?i?ei-noaoenoe/ia ne?ei?iaiaa
ianoa-aeaiiy 1127 iaoe??ioie, ui i?iaeeaathoue a ?icaeiooeo i?iieneiaeo
?aa?iiao Aeiiaoeueei? iaeano? c oa?aeoa?iei aeey no/aniiai ?icaeoeo
noni?euenoaa eiii-eaenii nioe?aeueii-aeiiii?/ieo, aeieia?/ieo i?iaeai,
aenieith IAI, ui aieeaathoue ia noai o?ce/iiai oa ineo?/iiai caei?ia’y
ae?iie o ?ai?iaeoeoea-iiio ia??iae?. Ia ia?oiio aoai? aoei i?iaaaeaii
?ao?iniaeoeaiee aiae?c ia-?aa?ao aaa?oiino?, iieia?a, i?neyiieiaiaiai
ia??iaeo oa noaio iiaiia?iaeaeaieo ca aeaieie ?noi??e iieia?a
iaoe??ioie, ui iaee a aiaiiac? CIA (750 ae?iie). Aoei aeyaeaii, ui o 280
(37,3%) c ieo i?e/eio ?ai?iaeoeoeaieo ao?ao anoa-iiaeoe ia aaeaeinue.
Oe? iaoe??ioee aoee acyo? ia aeeniaina?iee iae?e a Aeiiaoeue-eiio
aea?aeaaiiio ?aa?iiaeueiiio oeaio?? ioi?iie iaoa?einoaa oa aeeoeinoaa,
aea ?i aoei i?iaaaeaii eiiieaenia iiaeeaeaia ianoaaeaiiy c iaoith
anoaiia-eaiiy ae?enieo i?e/ei naii/eiiiai ia?a?eaaiiy aaa?oiino?. Aeey
iiaeeaeaii-ai ianoaaeaiiy ?ioiiiai, ai?iiiaeueiiai, aaiinoac?ieia?/iiai
oa ineoiaii-oe?eiiai noaio aoei a?ae?a?aii 140 ae?iie c iiceoeaiith
?aaeoe??th ia aia/aei-aee aioeeiaaoeyio (AA). Ianoaaeaiiy oa e?eoaaiiy
oeeo iaoe??ioie i?iaiaeeee-ny iica ? i?ae /an aaa?oiino?. A caeaaeiino?
a?ae niiniao ?aaa?e?oaoe??, ui canoini-aoaaeanue, aiie aoee ?icae?eai?
ia 2 a?oie. A?oie aeiae?aeenue ca aeia?ia?eueiei ne?iei aeai?ii. ? a?oio
neeaee 80 iaoe??ioie, eio?ei aoea i?iaaaeaia ?aaa?-e?oaoe?y aei ianoaiiy
ianooiii? aaa?oiino?. Eiiieaen e?eoaaeueieo caoiae?a aeeth/aa
?ic?iaeaiee niin?a i?aeaioiaee aei aaa?oiino? (cayaea ia aeiao?ae
?98062877, ??oaiiy i?i aeaea/o iaoaioo Oe?a?ie a?ae 26.11.98). Iaaeae?
80 ia-oe??ioeai ? a?oie i?ney ianoaiiy aaa?oiino? aoei cae?eniaii
e?eoaaiiy AON (cayaea ia aeiao?ae ? 97126306, ??oaiiy i?i aeaea/o
iaoaioo Oe?a?ie a?ae 28.10.98, iaoaio Oe?a?ie ? 25666, iioae. 30.10.98)
ca ?ic?iaeaiith i?ia?a-iith, ui aeeth/aea ei?aeoe?th oneeaaeiaiue
ia?aa?ao aaa?oiino?, oaeoeeo aaaeaiiy oa aea?? iaoiaeo ?ic?iaeaeaiiy, a
oaeiae ee?i?/ia oa eaai?aoi?ia ianoaaeaiiy iiaiia?iaeaeaieo (78
iaiiaeyo), ui ia?iaeeeenue a?ae oeeo iaoa??a, oa e?eoaaiiy ae?oae o ?ac?
aeieeiaiiy oneeaaeiaiue a ?aiiueiio iaiiaoaeueiiio ia??iae?. ?? a?oio
neeaee 60 iaaaa?oieo ae?iie, yeeo aoei ianoaaeaii o?aaeeoe?eiei
niini-aii. Cai?iiiiiaaia i?ia?aia ?aa?e?oaoe?? ca ?ic?iaeaiith
iaoiaeeeith aei oeeo iaoe??ioie ia canoiniaoaaeanue, ianoaiiy aaa?oiino?
ia ieaioaaeinue ? aoei niiioaiiei. I?e iiya? oneeaaeiaiue ia?aa?ao
aaa?oiino? (a?eue, e?iaiiacaiiy oa ?i.) oeth a?oio ae?iie e?eoaaee oae,
ye o?aaeeoe?eii i?eeiyoi e?eoaaoe a nenoai? ioi?iie caei?ia’y caa?ico
ia?a?eaaiiy aaa?oiino? (Neaeaeueieeiaa A.I., 1986). Ianoaaeaiiy
iiaiia?iaeaeaieo (36 ae?oae) a?ae iaoa??a ?? a?oie aoei oei naiei, ui ?
ae?oae a?ae iaoa??a ? a?oie. Aiaeia?/i? aeine?aeaeaiiy i?iaaaeaii a
a?oi? ni-iaoe/ii caei?iaeo ae?iie (iaaaa?oieo – 20, aaa?oieo – 30) oa
?oi?o iiaiia?iae-aeaieo ae?oae (30 iaiiaeyo).
I?e aea/aii? nioe?aeueii-ineoieia?/iiai ooieoe?iioaaiiy iniaenoino?
ioe?ithaaee iniaenoo oa ?aaeoeaio o?eaiaei?noue a aaeao ii oeae?
?.Ae.Ni?eaa?-aa?a a iiaeeo?eaoe?? TH.E.Oai?ia (1976). Nooi?iue IAI
aecia/aee ca iaoiaeii eieuei?iaiai aeai?o (oano Ethoa?a) c e?euee?nieie
iieacieeaie (eiao?oe??ioe Aieueiaoa?a oa Oeiioa). Aaaaoaoeaio eaieo oa
noai aaeaioeaieo ?aaeoe?e ioe?-ithaaee ca iaoiaeii A.I.Aaeia (1981) c
ia/eneaiiyi ?iaeaeno Ea?aei. Aeaeo-?e/io aeoeai?noue iiceo ioe?ithaaee
ca aeaeo?iaioeaoaeia?aiith (AAA) a noai? o?c?ieia?/iiai niieith oa ia
oe? ooieoe?iiaeueieo iaaaioaaeaiue o iaaaa?oieo, aaa?oieo (?, ??, ???
o?eiano?) aei oa i?ney e?eoaaiiy. Aeine?aeaeaiiy ai?iiiaeue-iiai noaoono
aeeiiaii ca iaoiaeeeith ?aae?i?ioiieia?/iiai aiae?co. Aeioai?i,
aae?aiae?i, ii?aae?aiae?i a na/? aecia/aee ca iaoiaeii A.O.Iaoe?ii? oa
O.A.?ioiaiiai?. Iieacieee ai?iii?a oaoiieaoeaioa?iiai eiiieaeno oa
a?ee?a aaa?oiino? – aeueoa2-i?e?iaeiaoe?i oa?oeeueiino? (AIAO),
o?ioiaeanoe/iee aaoa1-aeiaoe?i (OAA), ieaoeaioa?iee
aeueoa1-i?e?iaeiaoe?i (IAIA), – aecia-/aee ?ioiioa?iaioiei niiniaii. I?e
aeine?aeaeaii? ?ioiiiai noaoono aecia-/aee ??aaiue ai?noo eaeeioeeo?a
ca aeiiiiiaith eaia?e Ai?y?aa (Aa?ai/ai-ei A.A., 1991).
Aeeoa?aioe?eiee ?ic?aooiie eaeeioeeoa?ii? oi?ioee i?iai-aeeee
oi?o?eiaaiei iaoiaeii ii?oieia?/iiai aeine?aeaeaiiy oi?iaieo aeaia-o?a
e?ia? c i?eaiooaaiiyi aaiaoieia?/iiai iacea (Aa?ai/aiei A. A., 1991).
Iieacieee aeni?an?? iiiiioeeaa?aie e?ia? iieaeoe CD3, CD4, CD8, CD16,
CD22 aecia/aee ca aeiiiiiaith a?aeiia?aeieo iiiieeiiaeueieo aioeo?e a
?aaeoe?? i?yii? ethi?ianoeaioe??. ??aaiue ?ioiieo eiiieaen?a aecia/aee
ca iaoiaeii TH.A.A?eiaae/a, A.I.Aeouei?iaa, 1981. Oaaioeeoa?ia
aeoeai?noue iaeo?io?e?a ia?aa??yeanue /a?ac oano c i?o?inei?i
oao?acie??i (A.I.Park, 1968). Ai?no ?io-iiaeiaoe?i?a G, A, M aecia/aee
niiniaii ?aae?aeueii? ?ioiiaeeooc?? (G.Man-chini et al., 1965).
Eiioeaio?aoe?y IgE anoaiiaethaaeanue ca aeiiiiiaith ?ioii-oa?iaioiiai
iaoiaeo. ??aaiue aioeo?e aei oinoie?i?ae?a eean?a IgG oa IgM ae-cia/aee
ca aeiiiiiaith ?ioiioa?iaioieo iaai??a ae?iaieoeoaa “Rad” (?in?y).
Ooieoe?iiaeueio aeoeai?noue O-ee?oeiiiai ?ioi?oaoo aecia/aee ca
Hangerford (1959, 1960), ?ioiieaeeie?c aei aioeaai?a eeoeiai? iaee/ee oa
noao?eieieo – ca O?aaee?iei (1975). Aaiie?oe/ia aeoeai?noue
eiiieaiaioo aecia/aeanue ca 50 % aaiie?co oi?o?eiaaiei iaoiaeii
(Aa?ai/aiei A. A., 1991).
Nainea?e?caoe?th aei oaoaeueieo aioeaai?a ieiaea (na?oea, eaaai?, ie?ee)
oa ieaoeaioe aecia/aee ca ?aaeoe??th aaeueioaaiiy i?a?aoe??? e?ioioeeo?a
oa cai?iiiiiaaiei iieacieeii eiiieaenii? nainea?e?caoe?? (IEN) aei
/ioe?ueio aioeaai?a (cayaea ia iao. Oe?a?ie ? 98063394, ??oaiiy i?i
aeaea/o iaoaioo a?ae 26.11.98), yeee ?ic?aoiaoaaee ca oi?ioeith:
aea n – /enei aioeaai?a, IMi – ?iaeaen i?a?aoe?? c aioeaaiii. I?e
cia/aii? IENna?iee eiio?ieue, ine?eueee aiie neeaaeaee
a?oio ?eceeo: ?nioaaea caa?ica ia-aeiiooaaiiy aaa?oiino?, ?icaeiaiiy
aanoico, OII, o?iiaiaiaie?/ieo on-eeaaeiaiue, ii?ooaiue ia?aa?ao
iieiaiai? ae?yeueiino?. Iaoe??ioee aini?oae?coaa-eenue a niaoe?ae?ciaai?
a?aeae?eaiiy iaoieia?? aaa?oiino? aeey i?io?eaeoeee ? e?eo-aaiiy
iiaeeeaeo oneeaaeiaiue, anaa?/iiai ianoaaeaiiy i?aai?cio oa aiae?co
io-?eiaieo ?acoeueoao?a.
Ae?oaee aoai e?eoaaiiy cae?enithaaee i?ioyaii anueiai no?ieo aanoaoe??,
caaaeath/e ia iniaeeaino? ia?aa?ao AON i?ae /an aaa?oiino?. E?eoaaiiy
i?iai-aeeee a e?eoe/i? no?iee aaa?oiino?, eiee ii/eiaeeny
aeacaaeaioaoe?ei? i?ioeane oa ?icaeaaeanue caa?ica ia?a?eaaiiy
aaa?oiino?, OII, C?I, oyaee? oi?ie aan-oico, o?iiaiaiaie?/i?
oneeaaeiaiiy aoaeue-yei? eieae?caoe??, ui ? oa?aeoa?iei aeey AON. Oe?
no?iee: 6-7 oeaei?a, 10-12 oeaei?a, 24-26 oeaei?a, 30-32 oeaei?
aan-oaoe??. E?eoaaiiy i?iaiaeeee i?ae eiio?ieai aaiinoac?ieia?/ieo,
?ioiieia?/-ieo, ai?iiiaeueieo aeine?aeaeaiue iieaciee?a i?aai?cio
aaa?oii?, a oaeiae OCAe oa EOA ieiaea.
?aiei?aaoth/a oa?ai?y aoea aoaeoeaiith i?e ii?aeiaii? aioeaa?aaaio-ieo
oa ?aiei?aaoth/eo i?aia?ao?a: ?aiiie?aetheei, 400,0 ie a/a ? 5 a
ii?ae-iaii? c eo?aio?eii, 2 ie ia 450,0 ie o?c?ieia?/iiai ?ic/eio a/a ?
5 (oe? i?a-ia?aoe aaiaeyoue ii /a?c? c ?ioa?aaeii 1-2 aei?); na?i?ii, 4
ia ia 200 ie o?c?i-eia?/iiai ?ic/eio a/a ? 3 /a?aothoue c ?aiaethiaiii,
400,0 ie a/a ? 3, 1 ?ac ia 3 aei?; o?aioae, 1 ie ia 500,0 ie
o?c?ieia?/iiai ?ic/eio a/a ? 3 /a?aothoue c aaiiaeacii, 400,0 ie a/a ?
3, 1 ?ac ia 3 aei?. Eo?n e?eoaaiiy 10-12 ?iooc?e.
Ei?oeeinoa?i?aeia oa?ai?y a?oiooaaeanue ia i?eeii? aeaenaiaoaciio a
oaaeaoeao ii 0,5 ia 1 ?ac ia i?/. Aeey oeo, ooi i?eeiaa aeaenaiaoacii
i?ae /an eo?no ?aaa?e?oaoe?? ca 3-4 i?nyoe? aei aaa?oiino?, aeico
ciaiooaaee aei 0,4-0,5 oaae. ia i?/ i?ioyaii 3-4 oeaei?a.
?ioiiaeiaoe?i ethaeeie ieaoeaioa?iee i?ecia/aee a e?eoe/i? no?iee
aa-noaoe?? a aeic? 4,5ie ? 3 c ?ioa?aaeii a 2 aei?. Aeueoa?iaoeaiei aoa
?ioiiaeiao-e?i aeey a/a aaaaeaiiy ii 50 ie ia 150 ie o?c?ieia?/iiai
?ic/eio, 3-5 ?i’?eoe?e.
I?ecia/aee ieaciaoa?ac oa ieaciini?aoe?th, ae?y yeeo ni?eyea cieaeai-ith
a’yceino? e?ia?, iie?ioaiith i?e?ioee?eoeyoe??, oeaieiiiai iaoaaie?cio,
ooieoe?iioaaiiy ?ioiii? nenoaie. I?iaiaeeee 3-4 naaine c ia?a?aaie a 2-3
aei?. Ca naain aeaeaeyee 900-1100 ie e?ia?, cai?ithth/e e?enoaei?aeieie
?ic/e-iaie. I?e ieaciini?aoe?? a?aeie?aieaio iaoiaeii a?aa?oaoe?eii?
o??o?a?? ieac-io ia?aioneaee /a?ac aieieienoee aeae?aaiaeecoth/ee
ieaciini?aaio, i?ney /iai i/euaio ieacio iiaa?oaee o aaio iaoe??ioee.
Aioeeiaaoeyioia oa?ai?y cae?enithaaeanue ca ?aooiie i?eeiio
o?aene-ia?eio, 0,3-0,6ia 1 ?ac ia aeaiue, i/o, 1-5 oeaei?a i?ae
eiio?ieai aaiinoac?ia?a-ie (oaae.3).
E?eoaaiiy OII ii/eiaee c ? o?eiano?o aaa?oiino?. Aiii aeeth/aei i?eeii
i?aia?ao?a iaoaaie?e?a: anaioe?aea, 5,0ie+5,0ie aooie?ia? a/a,
iia?eue-ii, ? 5-10 aai e?iinoaa?e, 5,0 ie+5,0 ie aooie?ia? a/a, ? 5-10
(aeae? ua 10-15 aei?a i?iaeiaaeoaaee i?eeii oeeo aea i?aia?ao?a
ia?i?aeueii); anei?a?iiai? ee-neioe, 4,0 ie (5 %), a/i, ? 10-15 oa
AOO, 1 ie a/i /e eiea?aieneeace, 100,0 ie a/a ?10-15; cae?ca oa oie??ai?
eeneioe: oaoie ii 1 eainoe? 3 ?ace ia aeaiue, 20-30 aei?a.
I?ioyaii anueiai no?ieo aanoaoe?? (iniaeeai a ?, ??? o?eiano?ao oa
ia?aae iieiaaie) i?iaiaeeee naaine ineoioa?ai?? c canoinoaaiiyi oa?ai??
aeey ?aeae-naoe?? oa aeaeo?inio.
Iaie ?ic?iaeaii oaeoeeo aaaeaiiy aaa?oiino? oa iieia?a o iaoe??ioie c
AON. I?e iayaiino? aioeo?e aei an?o iniiaieo iaia?aiieo oinoie?i?ae?a
aai iiceoeaii? ?aaeoe?? ia AA e?eoaaiiy iaiao?aeii i?iaiaeeoe, ye
a?aecia/aii ?ai?oa, i?ae eiio?ieai OCAe, EOA ieiaea, aaiinoac?ieia?/ieo
oa ?ioiieia?/ieo iieaciee?a. Iieiae iiaeia i?iaiaeeoe eiina?aaoeaii i?e
a?aenooi?no? aeooa?-nueeeo oneeaaeiaiue (aocueeee oac, aaeeeee ie?ae oa
?i.). Eiee a aiaiiac? aoee o?iiaioe/i? aai aaneoey?i? oneeaaeiaiiy
??cii? eieae?caoe??, e?eoaaiiy ne?ae i?iaiaeeoe a iiaiiio ianyc? c
iaia’yceiaei aeeiiaiiyi ieaciaoa?aco oa ieaciini?aoe??. I?e iayaiino?
C?I ? i?ciueiai aanoico o?aaa noaaeoe ieoaiiy i?i eana??a ?icoei a
ca’yceo c iaaoaeoeai?noth e?eoaaiiy AON; i?e ii?aeiai-i? i?ciueiai
aanoico, C?I, iaei- aai aaaaoiaiaeaey i?ney iaaeiaai? i?aeaioiaee c
iaia’yceiaei i?iaaaeaiiyi ieaciaoa?aco oa ieaciini?aoe?? iaiao?aeii
?iaeoe eana??a ?icoei c iaia’yceiaith i?io?eaeoeeith o?iiaiaiaie?/ieo
oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? ia i?ioyc? 2-3 oeaei?a i?ae
eiio?ieai aaiinoa-c?ia?ai ? oeo?o AOEA. Aiae?c io?eiaieo ?acoeueoao?a
aeicaieea c?iaeoe aeniiaie, ui i?iaaaeaiee eiiieaen
e?eoaaeueii-i?io?eaeoe/ieo caoiae?a ae-yaeany aoaeoeaiei. Iieacieee
aaiinoac?ieia?/iiai, ?ioiiiai oa ai?ii-iaeueiiai noaoon?a aaa?oieo ?
a?oie iaaeeaeaeeny aei iieaciee?a, ui niinoa??-aaeeny a a?oi? ae?iie c
o?c?ieia?/iei ia?aa?aii aaa?oiino?. Aiaeia?/i? iieac-ieee iaoe??ioie ??
a?oie aoee cia/ii a??o? (oaae. 4,5). A ? a?oi? iaoe??ioie /anoioa
oneeaaeiaiue ia?aa?ao oaia??oiuei? aaa?oiino? aoea a??ia?aeii ieae/ith a
ii??aiyii? c ?? a?oiith (?en.12).
A a?oi?, aea i?iaiaeeee eiiieaen cacia/aieo e?eoaaeueii-i?io?eaeoe/-ieo
caoiae?a aei oa i?ney ianoaiiy aaa?oiino?, a?ae 80 aaa?oieo iaoa??a
ia?iaee-einue 78 aeeoo?caeaoieo ae?oae, o 2 aaa?oieo noaany i?ci?e
naii/eiiee aai?o ca oeiii caaia?ei? aaa?oiino? a oa?i?i? 18-24 oeaei?
aanoaoe??, ca?a?no?iaaii aioaiaoaeueio caaeaaeue ieiaea o 1 c aea?ei?
i?e ia?aae/anieo iieiaao. A a?oi? aaa?oieo, ye? io?eioaaee
caaaeueiii?eeiyoo oa?ai?th caa?ice ia?a?eaaiiy aa-a?oiino?, ?acoeueoao
aoa ?ioee: a ? o?eiano?? ia?a?aaeiny 14 aaa?oiinoae c 60 (23,3 %),
i?ci?e naii/eiiee aai?o noaany o 10 (16,7 %) iaoe??ioie, o 10 (16,7
%) a?aeaoeenue ia?aae/ani? iieiae, 5 iiaiia?iaeaeaieo iiia?ee /a?ac 2
aeiae i?ney ia?iaeaeaiiy a?ae neiae?iio aeeoaeueieo ?iceaae?a (NAe?) oa
iaaeinoao-iino? e?iaiia?ao a iiceo, 16 ae?oae ia?aaaee aeey iiaeaeueoiai
e?eoaaiiy a iaeanio aeeoy/o e?ea?ith (?en.13). I?e aeine?aeaeaii? noaio
caei?ia’y iiaiia-?iaeaeaieo a?ae iaoa??a c AON anoaiiaeaii, ui o ae?oae,
iaoa?? yeeo e?eoaaeenue ca ?ic?iaeaiith iaoiaeeeith, ia?aa?a ?aiiueiai
iaiiaoaeueiiai ia??iaeo oa?ae-oa?ecoaaany eiiiainiaaiei ii?ooaiiyi
a?ieia?/ieo i?ioean?a, /anoioa ca-oai?thaaiue o ieo aoea cia/ii iaioith,
i?ae o ae?oae, iaoa?? yeeo iaea?aeaee ca-aaeueiii?eeiyoo oa?ai?th (?en.
14).
Io?eiaia ee?i?/ia ?ioi?iaoe?y i?i aeieeiaiiy, ?icaeoie oa ee?i?/i?
i?iyae AON a aeooa?nuee?e i?aeoeoe?, a oaeiae ?ic?iaeaiee ?
ai?iaaaeaeaiee eiiieaen i?io?eaeoe/ieo, ?aaa?e?oaoe?eieo oa e?eoaaeueieo
caoiae?a aea? iiae-eea?noue cieceoe ieoiio aaao oneeaaeiaiue aaa?oiino?,
ia?eiaoaeueii? caoai?th-aaiino? oa nia?oiino?
AENIIAEE
AON cono??/a?oueny o 37,3% ae?iie c ia?eiaoaeueieie ao?aoaie iayniiai
aaiaco, noi?iaiaeaeo?oueny iaoieia?/iith aeoea?caoe??th
aioo??oiueinoaeeiiiai cn?aeaiiy e?ia?, ci?iith O-, A-ee?oeiiiai oa
aoii?aeueiiai ?ioi?oaoo, ineoi-iae?iaaaaoaoeaieie ii?ooaiiyie ca oeiii
o?ii?/iiai no?ano aiane?aeie ia-?aae?ciaaiiai iaoa?einoaa.
Iniiaiei ni?eyoeeaei oaeoi?ii aeey ?icaeoeo AON ? o?ii?/ia ?ioae-oe?y
(oiiceeiaaiia – 60,0 %, OeIA, aa?iaoe/ia – 34,3 %, o?iaai?oaeueia –
20,1 %), yea i?ecaiaeeoue aei ?icaeoeo aoi?eiii? ?ioiieia?/ii?
iaaeinoaoiino? c ianooiiei ii?ooaiiyi ?ai?iaeoeoeaii? ooieoe??.
Iae/ano?oeie oneeaaeiaiiyie aaa?oiino? i?e AON ? caa?ica ?? ia?a?e-aaiiy
(48,9 %), OII (88,9 %), C?I (33,3 %), aioo??oiueioo?iaia caaeaaeue
ieiaea (111,1(), o?iiaiaiaie?/i? oneeaaeiaiiy o iaoa?? (7,5 %).
O iaoe??ioie c AON i?ae /an aaa?oiino? oa iica iath aeyaeaii ca?eueoaiiy
ai?noo CD3, CD16, ca?eueoaiiy a?aeiioaiiy CD4/CD8 ca ?aooiie cieaeaiiy
CD8. Aeyaeaii ca?eueoaiiy Oe?E oa cieaeaiiy eiiieaiaioo, iaoieia?/io
nainea?-e?caoe?th aei oaoaeueieo aioeaai?a (IEN i?aeaeuo?oueny a 2 oa
a?eueoa ?ac?a).
Ia?eiaoaeuei? ao?aoe o iaoe??ioie c AON aeeeeeathoue IAI, eio?a
aeya-ey?oueny /a?ac ?icaeoie o?eaiaeii-iaa?ioe/ieo ?iceaae?a, ui ni?ey?
c?inoai-ith eiioeaio?aoe?? a e?ia? ai?iii?a oa iaae?aoi??a no?ano,
?a?no?othoueny iciaee aeacaaeaioaoe?? ia AAA aae aei c?eao aaa?oiino?.
Ca aeaieie aaiinoac?ieia?/iiai iii?oi?eiao c ? o?eiano?o aaa?oiino?
a?aecia/athoueny ci?ie iieaciee?a e?ia? o aeaeyae? a?ia?aa?aaaoe??
o?iiaioeeo?a, a?ia?eiaaoeyoe?? a ieaci? oa iiyae iaoieia?/ieo ia?ea??a
neiae?iio aeenai?ii-aaiiai aioo??oiueinoaeeiiiai cai?oaiiy e?ia? a ?? oa
??? o?eiano?ao.
Ii?oieia?/i? oa a?noio?i?/i? aeine?aeaeaiiy ieaoeaioe i?aeoaa?aeeee
iea-oeaioa?io iaaeinoaoi?noue ??ciiai nooiaiy ae?aciino?, yea
?icaeaaeanue c ? o?e-iano?o aaa?oiino? ? oa?aeoa?ecoaaeanue cieaeaiiyi
??aiy eiioeaio?aoe?? OAA, AIAO, A3, IE, i?aeaeuaiiyi ??aiy IAIA,
a?iien??th oa C?I.
Eiiieaenia oa?ai?y, yea ni?yiiaaia ia iie?ioaiiy ?ioiiiai,
ai?ii-iaeueiiai, aaiinoac?ieia?/iiai oa in?oiaiioe?eiiai noaoono ?
ooieoe?? oaoiiea-oeaioa?iiai eiiieaeno o iaoe??ioie c AON, ni?ey?
cieaeaiith oneeaaeiaiue aa-a?oiino? oa ia?iaeaeaiith aeeoo?caeaoieo
ae?oae a 97,5 % aeiaaee?a.
O ae?oae a?ae iaoa??a c AON, ui i?eeiaee eiiieaenio oa?ai?th, a
iai-iaoaeueiiio ia??iae? niinoa??aaeiny cieaeaiiy /anoioe
?ioaeoe?eii-caiaeueieo caoai?thaaiue, ano?en??, ii?ooaiiy iiceiaiai
e?iaiia?ao, neiae?iio i?aeaeua-ii? ia?aiai-?aoeaeoi?ii? caoaeaeaiino? oa
iie?ioaiiy iieaciee?a ?ioiiiai noaoono a ii??aiyiiy c iiaiia?iaeaeaieie,
iaoa?? yeeo io?eioaaee o?aaeeoe?e-ia e?eoaaiiy.
I?AEOE*I? ?AEIIAIAeAOe??
Iaoe??ioeai, ye? iathoue iaoyaeaiee aeooa?nueeee aiaiiac (CIA, neiae?ii
C?I, oyaee? oi?ie i?ciueiai aanoico, aioaiaoaeueia caaeaaeue ieiaea oa
?aiiy iaiiaoaeueia nia?oue iiaiia?iaeaeaiiai iaynii? ao?ieia??,
o?iiaiaiaie?/i? ai?ciaee ??ciiiai?oii? eieae?caoe??, i?enooi?noue OeIA,
o?ii?/iiai aeaeiiiaini-aaiiai oiicee?oo, aea?a?/ieo oneeaaeiaiue)
iieacaia ne?ei?iaiaa ianoaaeaiiy ia iayai?noue AON (aecia/aiiy AA, AEEA
IgG+I, AOEA IgG+I) aei ianoai-iy aaa?oiino? /e c ia?oeo ?? oeaei?a.
An?i iaoe??ioeai c AON iaiao?aeii i?iaiaeeoe ne?ei?iaiaa ianoaaeaiiy
ineoiaiioe?eiiai noaio (oanoe Ni?eaa?aa?a oa Ethoa?a) oa aaaaoaoeaii?
ia?-aiai? nenoaie (oano Aaeia, ?iaeaen Ea?aei) ia aoai? ieaioaaiiy oa c
ianoaiiyi aaa?oiino? aeey nai?/aniiai i?iaaaeaiiy ineoioa?aiaaoe/ii?
?aaa?e?oaoe??.
I?ia?aio e?eoaaeueii-?aaa?e?oaoe?eieo caoiae?a, ui aeeth/a? ?ai,-
?ioii-ei?aeoe?th, canoinoaaiiy aioeaa?aaaioieo oa aioeeiaaoeyioieo
i?aia?ao?a, aoa?aioi? iaoiaee (ieaciaoa?ac oa ieaciini?aoe?th),
iaiao?aeii cai?iaaaeaeo-aaoe ca 4-6 i?nyoe?a aei aaa?oiino? iaoe??ioie.
I?e ii?iae?caoe?? iieaciee?a ?ioii- oa aaiinoac?ia?aie iiaeia
?aeiiaiaeoaaoe ieaioaaiiy aaa?oiino?.
C ianoaiiyi aaa?oiino? ?aeiiaiaeo?oueny i?ecia/aoe ia iaioa 4-o eo?n?a
e?eoaaiiy a e?eoe/i? no?iee aaa?oiino? (6-7, 10-12, 24-26 oa 30-32
oeae.) ca oiiae eiio?iethaaiiy aaiinoac?i- oa ?ioiia?aie, ia?ea??a AON,
EOA oa OCAe. I?e iiaeeeaino? oaeiae i?iaiaeeoe ai?iiiaeueiee iii?oi?eia:
OII (A2, A3, I, IE, OAA), E, oanoinoa?ii.
Aeey a?eueo aoaeoeaii? ei?aeoe?? aaiinoac?ieia?/ieo iieaciee?a
?aei-iaiaeo?oueny ii?aeiaiiy aioeaa?aaaio?a c o?aeneia?eiii oa
aoa?aioieie ia-oiaeaie.
I?e aeai?? oaeoeee aaaeaiiy aaa?oiino? oa iaoiae?a ?ic?iaeaeaiiy
iaoe??i-oie c AON o?aaa a?aoiaoaaoe aeae neiae?iio, ii?aeiaiiy eiai c
o?iiaioe/-ieie ai?ciaeaie a aiaiiac?, noaiii ieiaea oa iayai?noth OII.
Eiina?aaoeaia aaaeaiiy iieia?a aeicaieaii i?e iaiaoyaeaiiio ia?aa?ao
AON, eiiiainiaa-iiio noai? ieiaea, a?aenooiino? neiae?iio C?I oa
aanoico. I?e iayaiino? OeIA, o?iiaioe/ieo ai?ciae?a a aiaiiac?, aanoico,
noa- oa aeaeiiiainiaaieo noai?a ieiaea a ii?aeiaii? (aai aac) ?c
cao?eieith eiai ?icaeoeo, a oaeiae iaaoaeoea-iiio e?eoaaii?
aaiinoac?ieia?/ieo ii?ooaiue ?aeiiaiaeo?oueny aeeiioaaoe iia?aoeaia
?ic?iaeaeaiiy oeyoii iia?aoe?? eana?nueeiai ?icoeio.
O iaoe??ioie c AON i?ney iieia?a ?aeiiaiaeo?oueny i?iaeiaaeeoe
ei?oe-einoa?i?aeio, aioeaa?aaaioio oa?ai?th c iaia’yceiaei i?iaaaeaiiyi
1-2 naain?a ieaciaoa?aco a i?neyiieiaiaiio ia??iae? i?ae eiio?ieai
aaiinoac?i-a?aie oa ia?ea??a AON aei aeinyaiaiiy ieie iaaaoeaieo
cia/aiue.
Iiaiia?iaeaeaiei a?ae iaoa??a c AON i?e iiaeeeaino? i?iaiaeeoe
?io-iieia?/i? oa aaiinoac?ieia?/i? ianoaaeaiiy. C iaoith i?io?eaeoeee ?
e?eo-aaiiy ?aeiiaiaeo?oueny ei?aeoe?y aeyaeaieo ii?ooaiue, a oaeiae
aeeniaina?iee iaaeyae iaae?ao?a.
NIENIE ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??
Eioaeoieiaey a aeooa?noaa e aeiaeieiaee / Iiae ?aae.i?io.*aeee A.E.–
Aeiiaoee, 1998. – N.97-131. (Niaao. Eioaiei A.A., *a?iiuo N.A.,
Aioiiiaa I.E.).
I?eiaiaiea ieaciaoa?aca a ?aaaeeeoaoeee e eiiieaeniie oa?aiee i?eau/iiai
iaauiaoeaaiey aa?aiaiiinoe, iaoneiaeaiiiai eiioiieiae/aneei eiioeeeoii
?acee/iiai aaiaca // Iaaeeei-nioeeaeueiua i?iaeaiu naiuee. – 1996.– O.1,
? 1.– N.51-55.
Iiuo eniieueciaaiey eiiaeie?iaaiiiai ieceieioaineaiiai eaca?iiai
eceo/aiey a ?aaaeeeoaoeee aeaiuei n ia?ooaieai aaia?aoeaiie ooieoeee //
Iaaeeei-nioeeaeueiua i?iaeaiu naiuee.– 1997.– O.2, ? 1.– N. 48-51.
Iaoiaeu a?aaeoaoeeiiiie oe?o?aee e?iae a i?ioeeaeoeea e ea/aiee
aiieii-naioe/aneeo caaieaaaiee (ANC) a aeooa?noaa e aeiaeieiaee //
Iaaeeei-nioeeaeueiua i?iaeaiu naiuee. – 1997. – O.2, ? 2.– N. 121-126.
(Niaao. *a?iiuo N.A, Iiaeeaaeeia E.A., AEo?aaea A.A.).
?ieue aeiioeca?ii-oe?aieaeiie nenoaiu o aieueiuo n ia?ooaieai
?ai?iaeoeoeaiie ooieoeee // A?o. eeei. yeni. iaae. – 1997.– O.6, ? 1.–
N. 45-48.
Iniaaiiinoe iae?iaoii?aeueiuo e ineoiaaaaoaoeaiuo ia?ooaiee o iaoeeaioie
n i?eau/iui iaauiaoeaaieai aa?aiaiiinoe a aiaiiaca // Aanoiee i?iaeai
aeieiaee e iaaeeoeeiu.– 1998. – ? 12.– N. 4-13.
Ninoiyiea ooieoeee oaoiieaoeaioa?iiai eiiieaena i?e aioeoinoieeieaeiii
neiae?iia // Iaaeeei-nioeeaeueiua i?iaeaiu naiuee.– 1998.– O.3, ? 1.– N.
10-14.
Eeeieei-eiioiieiae/aneea iniaaiiinoe aaeaioaoeee iiai?iaeaeaiiuo,
?iaeeaoeony io iaoa?ae n i?eau/iui iaauiaoeaaieai // Aanoiee i?iaeai
aeieiaee e iaaeeoeeiu.– 1998.– ? 13. – N. 9-14.
Aaeoa?eaeueiue aaaeiic a nia?aiaiiuo aeooa?noaa e aeiaeieiaee //
Iaaeeei-nioeeaeueiua i?iaeaiu naiuee.– 1998.– O.3, ? 2.– N. 69-79.
(Niaao. sseiaeaaa Y.A., Ieeeiaiei I.I.).
No/ania i?io?eaeoeea oa e?eoaaiiy cae/iiai iaaeiiooaaiiy aaa?oiino? c
aeei?enoaiiyi ieaciaoa?aco // Iaae?ao??y, aeooa?noai oa a?iaeieia?y.–
1999.– ? 1.– N. 88-90.
Iniaaiiinoe eiioiieiae/aneie ?aaeoeaiinoe o iaoeeaioie n iaauiaoeaaieai
aa?aiaiiinoe aooieiioiiiai aaiaca // A?niee i?iaeai a?ieia?? ?
iaaeeoeeie. – 1999. – ? 6.– N. 18-21.
Ecinaineaeeecaoeey oaoaeueiuie aioeaaiaie a nenoaia iaoue-ieiae i?e
i?eau/iii iaauiaoeaaiee // A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1999.
–? 7.– N. 4-7.
?ieue iaaeeei-nioeeaeueiuo oaeoi?ia a iaoiaaiaca iaauiaoeaaiey
aa?aiaiiinoe // Aanoiee yieaeaieieiaee e aeaeaiu. – 1999. – O.3, ? 2. –
N. 140-143.
I?ioeeaeoeea ineiaeiaiee aa?aiaiiinoe o aeaiuei n i?eau/iui
iaauiaoeaaieai aa?aiaiiinoe i?e aioeoinoieeieaeiii neiae?iia // Aanoiee
yieaeaieieiaee e aeaeaiu. – 1999. – O. 3, ? 1. – N. 195-199.
Iniaeeaino? aaeaioaoe?? iiaiia?iaeaeaieo, ye? ia?iaeeeeny oeyoii
eana?aaiai ?icoeio a?ae iaoa??a ?c cae/iei iaaeiiooaaiiyi aaa?oiino? //
A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1999. – ? 8.– N. 16-18.
Nia?aiaiiua aniaeou oa?iaeioa?aiee iaauiaoeaaiey aa?aiaiiinoe //
Oa?iaeieia?/iee a?niee. – 1999. – ? 2. – N. 52-54.
I?eiaiaiea eioa?oa?iia a aeooa?noaa e aeiaeieiaee // A?niee i?iaeai
a?ieia?? ? iaaeeoeeie. – 1999. – ? 12.– N. 11-17. (Niaao. Aaiieeiaa
O.A.).
A.n. 1733002 NNN?, IEE A61E39/395. Niinia ea/aiey oa?icu i?a?uaaiey
aa?aiaiiinoe / ? 4472632; Cayae. 08.09.89; Iioae. 15.05.92., Athe. ? 18.
– 4 n. (Ni?aaao. Nioei A.A., Eoeee A.N.).
Iao. 25676A Oe?a?ia, IIE A61E31/445, 31/55, 311/557, 37/34. Niin?a
aaaeaiiy iieia?a i?e aeeneii?aeeiiaai?e iieiaia?e ae?yeueiino? / ?
97105029; Cayae. 14.10.97; Iioae. 30.10.98, Athe.–1999.– ? 1.– 3 n.
(Ni?aaao. *aeea A.E., Eaaoaiei A.I., sseiaeaaa A.A.).
Iao. 25666A Oe?a?ia, IIE A61I1/38, A61E31/00, 33/26, 37/04, 37/40.
Niin?a i?aeaioiaee aaa?oii? aei iieia?a / ?98041663; Cayae. 01.04.98;
Iioae. 30.10.98; Athe.–1999.– ? 1.– 3 n.
Oniaoe e i?iaeaiu a aeeaaiinoeea e ea/aiee aioeoinoieeieaeiiai neiae?iia
a aeooa?neie i?aeoeea // Iaaeeei-nioeeaeueiua i?iaeaiu naiuee. – 1998. –
O. 3, ? 1. – N. 62-71.
Ninoiyiea ?ai?iaeoeoeaiie nenoaiu o aieueiuo n ia?ooaieai ooieoeee
ueoiaeaeiie aeaeacu // Aanoiee iiauo iaaeeoeeineeo oaoiieiaee. – 1998. –
O.5, ? 2. – N. 45-48.
I?iaeo ?ai?aaiecaoeee aeooa?nei-aeiaeieiae/aneie neoaeau ii ieacaieth
ieaiiaie e yeno?aiiie ea/aaii-i?ioeeaeoe/aneie iiiiue
?iaeianiiiiaaoaeueiui o/?aaeaeaieyi Aeiiaoeeie iaeanoe//
Iaaeeei-nioeeaeueiua i?iaeaiu naiuee. – 1997. – O. 2, ? 1. – N. 88-91.
(Niaao. *aeea A.E., sseiaeaaa Y.A., Eaaoaiei A.I., Eoa?ae E.A.,
Iiaeeaaeeia E.A.).
Aeeyiea iai?a?uaiiai iaia?aiiiai ieaciaoa?aca ia
eiioiiaaiinoaceieiae/aneea acaeiiioiioaiey o aa?aiaiiuo n IIA-aanoicii//
Iaaeeei-nioeeaeueiua i?iaeaiu naiuee.– 1998.– O.3, ?2. – N. 24-28.
(Niaao. *aeea A.E., ?acie/aiei I.A.).
Iiaee iaoiae i?iaiicoaaiiy oa eiio?ieth i?e e?eoaaii? iaaeiiooaaiiy
aaa?oiino? / Iaaeiiooaaiiy aaa?oiino?: Ca.iaoe.i?. – Ee?a, 1997. – N.
116-118.
No/ani? i?aeoiaee aei ae?aaiinoeee oa e?eoaaiiy cae/iiai iaaeiiooaaiiy
aaa?oiino? / Iaaeiiooaaiiy aaa?oiino?: Ca. iaoe. i?. – Ee?a, 1997. – N.
419-421. (Ni?aaao. *aeea A.E., Eaaoaiei A.I.).
Iniaeeaino? aaeaioaoe?? iaiiaeyo, ye? ia?iaeeeeny oeyoii eana?nueeiai
?icoeio a?ae iaoa??a ?c cae/iei iaaeiiooaaiiyi aaa?oiino? a aiaiiac?:
Ca. iaoe. i?. – Neioa?iiieue, 1998. – N. 110-113.
Aooiaaiio?ainooc?y i?e ieaiiaiio aaaeii?iaeueiiio ?ic?iaeaeaii?: Ca??iee
iaoeiaeo i?aoeue. – Neioa?iiieue, 1998. – N. 373-377. (Ni?aaao. *a?iieo
N.A., Iiaeeueiae?ia ?.I., ?iaiaa I.I.).
Diagnostics and treatment of chlamydia infection in women with preterm
labor // Infectious Diseases in Obst. and Gyn. – 1996. – Vol. 4, ? 3. –
P. 206-208 (Ni?aaao. Yakovleva I.B.).
Anticoagulant lupus type like cause of abortion // Acta Obst. et Gyn.
Scandinavica. – 1997. – Vol. 76, S.167:1. – P. 63.
Immunological conflict during pregnancy: New approach to diagnosis and
treatment// Acta Obst. et Gyn. Scandinavica. – 1997.– Vol. 76, S. 167:5.
– P. 78-79. (Ni?aaao. Chaika V.K.).
I?eiaiaiea yooa?aioiuo iaoiaeia a ea/aiee aiieii-naioe/aneeo caaieaaaiee
a aeiaeieiaee // AEo?iae aeooa?noaa e aeaineeo aieaciae. – 1998. –
Niaoe. aui. – N. 189-190. (Niaao. *a?iiuo N.A., Eio?ia E.TH.).
AIIOAOe?ss
Aeueii?ia O.I. Cae/ia iaaeiiooaaiiy aaa?oiino? ? aioeoinoie?i?aeiee
neiae?ii. – ?oeiien.
Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe c?
niaoe?aeueiino? 14.01.01. aeooa?noai ? a?iaeieia?y. ?inoeooo iaae?ao???,
aeooa?-noaa ? a?iaeieia?? Aeaaeai?? iaaee/ieo iaoe Oe?a?ie, Ee?a, 1999
?.
Aeena?oaoe?th i?enay/aii ieoaiiyi ae??oaiiy aaaeeeai?
iaaeeei-nioe?a-eueii? i?iaeaie: aaa?oiino? ? iieia?a. A ?iaioo aeeth/aii
ee?i?ei-oai?aoe/i? aniaeoe aeieeiaiiy, ?icaeoeo aioeoinoie?i?aeiiai
neiae?iio oa eiai aieeao ia ?ai?iaeoeoeaio oa ae?oi?iaeio ooieoe?th
ae?iie, a oaeiae ia noai caei?ia’y ?o-i?o ae?oae.
I?iaaaeaii nioe?ieia?/ia oa ee?i?ei-noaoenoe/ia ne?ei?iaiaa ianoa-aeaiiy
1127 iaoe??ioie, ui i?iaeeaathoue a ?icaeiooeo i?iieneiaeo ?aa?iiao
Aeiiaoeueei? iaeano?. Aecia/aii caeiiii??iino? oa aeyaeaii
i?e/eiii-iane?ae-eia? ca’ycee i?ae ??aiai ineoiaiioe?eiiai no?ano oa
iayai?noth a e?ia? AA, ??aiai ineoiaiioe?eiiai no?ano ? ?icaeoeii o
aaa?oieo oaoiieaoeaioa?ii? iaaeinoaoiino?, ui aeieea? ia oe?
iaoi/ii-ieaoeaioa?ii-ieiaeiaiai e?iaiia?-ao oa noi?iaiaeaeo?oueny
oneeaaeiaiiyie ia?aa?ao aaa?oiino? ? iieia?a. Cai?i-iiiiaaii iiaee
iai?yiie o anoaiiaeaii? i?e/ei ?ae?iiaoe/iiai iaaeiioo-aaiiy aaa?oiino?
– ae?aaiinoeea aioeoinoie?i?aeiiai neiae?iio. ?ic?iaeaii eiiieaen
i?io?eaeoe/ieo, ?aaa?e?oaoe?eieo oa e?eoaaeueieo caoiae?a o ?ac?
?ioiieiioe?eoii? aaa?oiino?, yeee aeicaiey? cieceoe ieoiio aaao
oneeaaeiaiue aaa?oiino?, ia?eiaoaeueii? caoai?thaaiino? oa nia?oiino?.
Eeth/ia? neiaa: aioeoinoie?i?aeiee neiae?ii, cae/ia iaaeiiooaaiiy
aaa?oiino?, ?ioiiee eiioe?eo, ?aaa?e?oaoe?y, ae?aaiinoeea, e?eoaaiiy,
i?io?-eaeoeea.
AIIIOAOeEss
Aeaieia O.I. I?eau/iia iaauiaoeaaiea aa?aiaiiinoe e aioeoinoieeieaeiue
neiae?ii. – ?oeiienue.
Aeenna?oaoeey ia nieneaiea o/aiie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii
niaoeeaeueiinoe 14.01.01. – aeooa?noai e aeiaeieiaey. – Einoeooo
iaaeeao?ee, aeooa?noaa e aeiaeieiaee Aeaaeaiee iaaeeoeeineeo iaoe
Oe?aeiu, Eeaa, 1999 a.
Aeenna?oaoeey iinayuaia aii?inai aaaeiie iaaeeei-nioeeaeueiie i?iaeaiu:
aa?aiaiiinoe e ?iaeia o aeaiuei n eaeeiiaoe/aneei iaauiaoeaaieai e
niaea?aeeo eeeieei-oai?aoe/aneea aniaeou aicieeiiaaiey, ?acaeoey
aioeoinoieeieaeiiai neiae?iia e aai aeeyiey ia ?ai?iaeoeoeaioth e
aeaoi?iaeioth ooieoeeth aeaiuei, a oaeaea ia ninoiyiea caei?iauey eo
aeaoae.
I?iaaaeaii nioeeieiae/aneia e eeeieei-noaoenoe/aneia ne?eieiaiaia
ianeaaeiaaiea 1127 iaoeeaioie, i?iaeeaathueo a ?acaeouo i?iiuoeaiiuo
?aaeiiao Aeiiaoeeie iaeanoe. Aeaiiua enneaaeiaaiey iieacaee, /oi a 37,3
% yoeieiaey i?eau/iiai iaauiaoeaaiey aa?aiaiiinoe auea iaoneiaeaia
iaee/eai o iaoeeaioie aioeoinoieeieaeiuo aooiaioeoae. I?e oaeoaeaiiii
ianeaaeiaaiee aeaiuei yoie eaoaai?ee auyaeaia iiauoaiiay /anoioa
o?iie/aneie aaeoa?eaeueiie e ae?oniie eioaeoeee, o eaaeaeie o?aoueae
ioia/aeanue iieeaaeaioiay aeea?aey (32,1 %). Ec aeiaeieiae/aneeo
caaieaaaiee ia ia?aii ianoa auee o?iie/aneea ?aoeeaeeae?othuea
aaeiaeneou (44,3 %), o?iaaieoaeueiay eioaeoeey (20,8 %), aa?iaoe/aneay
eioaeoeey iaaethaeaeanue a 34,3% neo/aaa. Iaeaieaa /anouie ineiaeiaieyie
aa?aiaiiinoe auee: ?aoeeaeeae?othuay oa?ica i?a?uaaiey aa?aiaiiinoe
(48,9 %), aanoic II iieiaeiu aa?aiaiiinoe (16,7 %), neiae?ii caaea?aeee
aioo?eoo?iaiiai ?acaeoey ieiaea (33,3 %), oaoiieaoeaioa?iay
iaaeinoaoi/iinoue (88,9 %). I?e ioeaiea ninoiyiey caei?iauey
iiai?iaeaeaiiuo ioia/aia neaaeothuay no?oeoo?a caaieaaaaiinoe a ?aiiai
iaiiaoaeueiii ia?eiaea: aeiio?ioey (33,3%), ia?ooaiea iicaiaiai
e?iaiia?auaiey (48,5 %), neiae?ii aeuoaoaeueiuo ?anno?ienoa (30,3 %).
Aeeaaiinoeea aioeoinoieeieaeiiai neiae?iia aeeth/aea na?ieiae/aneia
ii?aaeaeaiea niaoeeoe/aneeo aioeoinoieeieaeiuo aioeoae, a oaeaea
ii?aaeaeaiea eaieeiiaiai a?aiaie a ni/aoaiee n eeeie/aneeie i?eciaeaie:
ia?eiaoaeueiua iioa?ie ?acee/iiai n?iea aanoaoeee e o?iiaicu aai e
a?oa?ee ethaie eieaeecaoeee.
I?e ianeaaeiaaiee iauaai eiioiiiai noaoona auyaeaii, /oi aia
aa?aiaiiinoe o iaoeeaioie n aioeoinoieeieaeiuie aioeoaeaie eiathony
i?eciaee ia?ooaiey eiioiieiae/aneiai aiiainoaca ii oeio aoi?e/iiai
eiioiiaeaoeoeeoa, n ianooieaieai aa?aiaiiinoe eciaiaiey eiioiiiai
noaoona iiaeii ?anoeaieoue eae oneeaiiue oei eiioiiiai ioaaoa aac
aeinoaoi/iie eiioiinoi?annee, oa?aeoa?iie aeey oeceieiae/aneie
aa?aiaiiinoe. I?e eco/aiee ai?iiiaeueiiai i?ioeey iaoeeaioie n AON ia
auyaeaii aeinoiaa?iuo eciaiaiee, iaeiaei niaea?aeaiea ai?iiiia e
iaaeeaoi?ia no?anna auei iiauoaii ia 30-40 % ii n?aaiaieth n ii?iie, /oi
oeacuaaei ia au?aaeaiiia ineoiyiioeeiiaeueiia iai?yaeaiea.
Iaaethaeaeanue oaniay ei??aeyoeeiiiay caaeneiinoue iaaeaeo noaiaiueth
ineoiyiioeeiiaeueiiai iai?yaeaiey e iieacaoaeyie aaiinoaca,
eiioiieiae/aneie ?aaeoeaiinoe e ninoiyieai ?ai?iaeoeoeaiie ooieoeee.
Ii?aaeaeaiu caeiiiia?iinoe ?acaeoey e auyaeaiu i?e/eiii-neaaenoaaiiua
nayce iaaeaeo iaee/eai AON e o?iaiai ia?eiaoaeueiuo iioa?ue, ?acee/iuo
aeooa?neeo ineiaeiaiee aneaaenoaea ?acaeoey aaiinoaceieiae/aneeo
ia?ooaiee nenoaiiiai oa?aeoa?a, a iniiaa eioi?uo eaaeeo aooieiioiiue
i?ioeann, eioi?ue n ianooieaieai aa?aiaiiinoe aeoeaece?oaony. Aicieeatho
ia?ooaiey iaoi/ii-ieaoeaioa?iiai e?iaiia?auaiey n ?acaeoeai OII,
yiaeie?eiiie e o?ioe/aneie ooieoeee ieaoeaiou, nii?iaiaeaeathueany
ineiaeiaieyie oa/aiey aa?aiaiiinoe aieioue aei ianooieaiey aa i?a?uaaiey
e aioo?eoo?iaiie aeaaee ieiaea. I?aaeeiaeaii iiaia iai?aaeaiea a
onoaiiaeaiee i?e/ei eaeeiiaoe/aneiai iaauiaoeaaiey aa?aiaiiinoe –
aeeaaiinoeea aioeoinoieeieaeiiai neiae?iia. ?ac?aaioai eiiieaen
i?ioeeaeoe/aneeo, ?aaaeeeoaoeeiiiuo e ea/aaiuo ia?ii?eyoee a neo/aa
eiioiieiioeeeoiie aa?aiaiiinoe, eioi?ue aeaao aiciiaeiinoue nieceoue
oaeaeueiue aan ineiaeiaiiie aa?aiaiiinoe, ia?eiaoaeueiie caaieaaaaiinoe
e nia?oiinoe.
Eeth/aaua neiaa: aioeoinoieeieaeiue neiae?ii, i?eau/iia iaauiaoeaaiea
aa?aiaiiinoe, eiioiiue eiioeeeo, ?aaaeeeoaoeey, aeeaaiinoeea, ea/aiea,
i?ioeeaeoeea.
SUMMARY
Dyomina T. N Habitual incomplete pregnancy and Antiphospholipid
Syndrome. – Manuscript.
Thesis for a doctor’s degree of medicine according to speciality
14.01.01. – Obstetrics and Gynecology. – Institute of Pediatry,
Obstetrics and Gynecology of the Academy of medical sciences of Ukraine,
Kiev, 1999.
The thesis is devoted to solution of the important medical and social
problem – pregnancy and labor of the women with ideopathic unbearance
and includes clinical and theoretic aspects of the appearance,
development of antiphospholipid syndrome and its influence to the
reproductive and genital functions of women and also to the health
condition of their children.
It has been conducted the social, clinical and statistic screening
investigation of 1127 women patients living in the industry developed
Donetsk region. There have been revealed the dependences, causal and
consequent relationships between the rate of psychoemotional stress and
the presence of lupus anticoagulant in the blood, the level of
psychoemotional stress and development at pregnant women of
fetoplacental incompetence arising on the background of
utterusplacentafetus circulation of the blood, endocrine and trophic
function of placenta, that are accompanied by complications of the
pregnancy and labor course.
It has been suggested a new direction in the establishment of reasons of
idiopathic unbearable pregnancy is a diagnostics of antiphospholipid
syndrome. A complex of prophilactic, rehabilitation and medical measures
is worked out for a case of immunoconflict pregnancy that gives
possibility to reduce the rate of complicated pregnancy, perinatal
sickness rate and mortality.
Key words: antiphospholipid syndrome, unbearable pregnancy, immune
conflict, rehabilitation, diagnostics, treatment, prophilaxis.
IA?AE?E OIIAIEO IICIA*AIUe
AEEA – aioeea?ae?ie?i?iia? aioeo?ea
AEOA – aae?aiiei?oeeio?iiiee ai?iii
AIAO – aeueoa2-i?e?iaeiaoe?i oa?oeeueiino?
AOEA – aioeoinoie?i?aei? aioeo?ea
AON – aioeoinoie?i?aeiee neiae?ii
A*O* – aeoeaiaaiee /anoeiai o?iiaiieanoeiiaee /an
AA – aia/aeiaee aioeeiaaoeyio
AAA – aeaeo?iaioeaoaeia?aia
A2 – ano?aae?ie
A3 – ano??ie
CIA – cae/ia iaaeiiooaaiiy aaa?oiino?
C?I – cao?eiea ?icaeoeo ieiaea
E – ei?oecie
I – i?iaanoa?ii
IAIA – ieaoeaioa?iee aeueoa1-i?e?iaeiaoe?i
IAI – ineoiaiioe?eia iai?oaa
IE – ieaoeaioa?iee eaeoiaai
IIE – ii?ooaiiy iiceiaiai e?iaiia?ao
NAe? – neiae?ii aeeoaeueieo ?iceaae?a
OAA – o?ioiaeanoe/iee aaoa1-aeiaoe?i
OOA – oe?aio?iiiee ai?iii
O3 – o?eeiaeoe?ii?i
O4 – oe?ienei
OII – oaoiieaoeaioa?ia iaaeinoaoi?noue
Oe?E – oee?eoethth/? ?ioii? eiiieaene
OeIA – oeeoiiaaaeia??on
?io? nei?i/aiiy aaaaeathoueny caaaeueiiaaeeaaieie.
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