.

Імуномодулятори при лікуванні хронічних запальних процесів шийки матки: Автореф. дис… канд. мед. наук / Л.Ю. Петрівська, Київ. мед. акад. післядипло

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

EE?ANUeEA IAAeE*IA AEAAeAI?ss I?NEssAeEIEIIII? INA?OE

?I. I.E.OOIEEA

IAO??ANUeEA E?Ae?ss TH???AIA

OAeE: 618.146-085+615.27

?IOIIIIAeOEssOI?E I?E E?EOAAII? O?II?*IEO CAIAEUeIEO I?IOeAN?A
OEEEE IAOEE

14.01.01 – aeooa?noai ? a?iaeieia?y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia ia eaoaae?? aeooa?noaa ? a?iaeieia?? ?1 Ee?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea.

IAOEIAEE EA??AIEE:

aeieoi? iaaee/ieo iaoe, i?ioani? Eaoo Noai?neaa Na?a?eiae/, 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.

IO?Oe?EI? IIIIAIOE:

aeieoi? iaaee/ieo iaoe, /eai-ei?. AII ? IAI Oe?a?ie, /eai-ei?. AII
?in??, i?ioani? eaoaae?e a?enueeiai? o??o?a?? A?enueeiai-iaaee/ii?
aeaaeai?? I?i?noa?noaa iai?iie Oe?a?ie Oeiioaiei Eaii?ae Aaneeueiae/,

aeieoi? iaaee/ieo iaoe, i?ioani? ?aaithoa E?ae?y ?aai?aia, caa?aeoaa/
a?aeae?eaiiyi ?aaa?e?oaoe?? ?ai?iaeoeoeaii? ooieoe?? ae?iie ?inoeoooo
iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie.

I?IA?AeIA ONOAIIAA:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. aeaae. I.I.Aiaiiieueoey IIC
Oe?a?ie (Ee?a), eaoaae?a aeooa?noaa ? a?iaeieia?? ?1

Caoeno a?aeaoaeaoueny “__29__” _______09_________ 1999 ?. i 12 aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae26.613.02 i?e Ee?anuee?e
iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie
(254112, i.Ee?a-112, aoe. Aei?iaiaeeoeueea, 9)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie (254112,
i.Ee?a-112, aoe. Aei?iaiaeeoeueea, 9)

Aaoi?aoa?ao ?ic?neaiee “28” _______08________ 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

e.i.i., aeioeaio AAICAessE I.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

A no?oeoo?? a?iaeieia?/ieo caoai?thaaiue ?ai?iaeoeoeaiiai a?eo
aeia?iye?ni? iaoieia?/i? i?ioeane oeeee iaoee, aei yeeo iaeaaeaoue ?
caiaeuei? i?ioeane – oea?a?oeeo, aiaei- ? aecioea?a?oeeo, neeaaeathoue
10-15,7% (A.?.Ae/eia oa ni?aaao., 1990; E.N.Oooiaa oa ni?aaao., 1994) ?,
ca aeaieie ?.A.Eioaiaae/ (1983), iaieiathoue 80-85% iaoieia?? oeeee
iaoee.

Ca o?eaaeei caiaeaiiyi oeeee iaoee o?ii?/iee aiaei- ? aecioea?a?oeeo
ia??aeei niinoa?iaathoue o ii?aeiaiii c inaaaeia?ic??th, eieuei?oii,
aaeiaeneoii oa ?ioeie caiaeueieie i?ioeanaie aai?oae?e
(E.I.Aaneeaanueea, 1989; A.I.Niaoiee oa ni?aaao., 1990;
A.I.No?oaaoeueeee, 1997).

Nai?/ania ? aoaeoeaia e?eoaaiiy oai?eo c o?ii?/ieie caiaeueieie
i?ioeanaie (OCI) oeeee iaoee ? aaaeeeaei caaaeaiiyi o a?iaeieia?/i?e
i?aeoeoe?, iniaeeai c iiaeyaeo ia a?aeaeaeai? iane?aeee ?ii?coth/iai
aei?ii?ithaaiiy i?ney aaa??? ia *AAN (A.?.AEanoeiaa oa ni?aaao., 1994;
E.?.?aaithoa, 1996).

Ca no/anieo oiia, /a?ac iani?eyoeea? aeieia?/i? ? ae?iaie/? oaeoi?e,
aacnenoaiia ? ia caaaeaee ?aoe?iiaeueia aeei?enoaiiy iaaeeeaiaioicieo
cania?a, iniaeeai aioeaaeoa??aeueieo i?aia?ao?a, niinoa?aaeaii
i?eai?/aiiy ye ianiaoeeo?/iiai (cieaeaiiy aeoeaiino? oaaioeeo?a,
e?cioeeio, eiiieaiaioa?ii? aeoeaiino? ne?iaaoee e?ia?), oae ?
niaoeeo?/iiai ?ioi?oaoo (ooai?aiiy aioeo?e-AO) (I.E.Iiaiae?i oa
ni?aaao., 1991; TH.A.Oea?e?a oa ni?aaao., 1991). sse iane?aeie –
ca?eueoaiiy /enea o?ii?/ieo oi?i caiaeaiiy aioo??oi?o aai?oae?e.
Aiaeii/an ?o caoyaeiee ia?aa?a ni?e/eiy? ciiie a ia?aia?e, aiaeie?eii?e,
?ioii?e oa noaeeii?e nenoaiao i?aai?cio ae?iie (E.A.Oeiioaiei oa
ni?aaao., 1988; A.A.N??ia oa ni?aaao., 1997)

Ioaea, caiaeaiiy noaoaaeo i?aaiia ne?ae ?icaeyaeaoe o eiiieaeni
neiae?iio nenoaiii? caiaeueii? aiaeiiaiaei (NNCA), ye caaaeueiee
iaoieia?/iee i?ioean (A.?.Aiaeyaeeia oa ni?aaao., 1990; A.A.N??ia oa
ni?aaao., 1995). Oiio i?e oa?ai?? OCI aioo??oi?o noaoaaeo i?aai?a
?aoe?iiaeueii aeei?enoiaoaaoe oae? e?eoaaeuei? ae??, ye? aoaeooue
iiceoeaii aieeaaoe ia o?eueee aaciina?aaeiuei ia caiaeueia aiaieua, aea
? ia ooieoe?? nenoai, ui aoi?eiii aoyaioo? a iaoieia?/iee i?ioean
(I.A.Eaieai oa ni?aaao., 1992).

Iniaeeao ?ieue a caiaeuei?e ?aaeoe?? a?ae?a?a? ?ioi?oao. ?icaeoie o
oai?eo aoi?eiiiai ?ioiiaeao?oeeoiiai noaio (?AeN) aaaaea?oueny iaei??th
c i?e/ei ?icaeoeo o?ii?/iiai i?ioeano oa neeaaeiino? eiai e?eoaaiiy
(I.E.Iiaiae?i oa ni?aaao., 1991; I.E.Iaoa??aa oa ni?aaao., 1995).

A?aeiii, ui ia iniia? aeaoaeo?a ?ioi?oaoo eaaei aeieea? iiaeaeueoa
o?ii?caoe?y iniiaiiai i?ioeano, ia?aa?a caoai?thaaiiy noa? aai?oeaiei,
caoyaeiei ? /anoi ?aoeeaeeaoth/ei (A.I.C?ineia oa ni?aaao., 1993;
A.I.Niaoiee oa ni?aaao., 1995).

Anoaiiaeaii, ui IAeN iiaea a?ae?a?aaaoe iano?eueee nooo?aa cia/aiiy, ui
iaeia eiai onoiaiiy i?ecaiaeeoue aei aecaei?iaeaiiy oai?eo
(A.A.Ia?aaea??e oa ni?aaao., 1995).

Aeiaaaeaii, ui caiaeuei? i?ioeane a oeeoe? iaoee ? iaeii/ania
iineaaeaiiy ?ioiieia?/iiai caoenoo i?e o?eaaeiio ia?aa?ao caiaeueiiai
i?ioeano, iiaeooue aooe i?e/eiith ia?aaeiooeeiieo ? iooeeiieo i?ioean?a
aai noiooi?ie ?i (E.I.Aai?ia oa ni?aaao., 1984; A.?.Ae/eia, 1989).

Inaaaeia?ic?y oeeee iaoee o ae?iie /anoi ? i?e/eiith aacie?aeiino? e
ianyaeiiai ia?aeieo oneeaaeiaiue ca iiaiaeiith aaa?oiinoth. Oae, a?eueoa
i?ae o 30% ae?iie c aacie?aei?noth ? o 52,2% ae?iie c iaaeiiooaaiiyi
aaa?oiino? aeyaeaii aiaeioea?a?oeeoe ? inaaaeia?ic?? oeeee iaoee
(A.?.I?eyiianueeee oa ni?aaao., 1990).

Ioaea, aeooaeuei?noue i?iaeaie e?eoaaiiy OCI oeeee iaoee iaoiiaeaia
ii??aiyii aaeeeith /anoioith oeeo caoai?thaaiue, iaaeinoaoiueith
aoaeoeai?noth e?eoaaiiy, aenieei a?aenioeii ?aoeeaeea?a caoai?thaaiiy
i?ney eiina?aaoeaiiai e?eoaaiiy, iaaiith a??ia?aei?noth ?o
iae?ai?caoe??, a oaeiae ii?ooaiiyi ?ai?iaeoeoeaii? ooieoe?? ? cieaeaiiyi
i?aoeacaeaoiino? ae?iie.

Aa?o/e aei oaaae aoaeoe iie?i?aaiac??, iie?nenoaiiee oa?aeoa? caiaeaiiy
oa oneeaaeiaiiy, aei yeeo i?ecaiaeyoue OCI oeeee iaoee, i?aeoe/ii
aaaeeeaei ? aea/aiiy ?ioiieia?/ieo aniaeo?a i?e aeai?e iaoieia??.
Aaeaeaaoieie o aeaiiai eiioeaaioo oai?eo iathoue aooe iaoiaee ei?aeoe??
?ioiii? nenoaie, i?ioa aoaeoe ?ioiiiiaeoethth/eo cania?a aea/ai?
iaaeinoaoiuei, a iaea?aeai? aeai? aeineoue noia?a/eea? (A.I.C?ineia oa
ni?aaao., 1993).

Na?aae caniaia iioiiiiaeoethth/iai aieeao iaeiaea/aiei ? iaoiae
i?e?ioaeeueiai? ?aciiainii? oa?ai?? (I?O). I?O – oea ei?aeoe?y ii?ooaieo
ooieoe?e i?aai?a ? nenoai i?aai?cio oeyoii aieeao ia a?ieia?/ii aeoeai?
oi/ee (AAO) iecueei?ioaineaiei aeaeo?iiaai?oiei aei?ii?ithaaiiyi
iaaecae/aeii aeniei? /anoioe (AIA ICA*) (N.I.N?oueei oa ni?aaao., 1994).

? aeoiea, ui aeei?enoaiiy ?aoeaenioa?ai?? ? e?ea?nueeeo i?aia?ao?a
iineeth? e?eoaaeueiee aoaeo, i?ecaiaeeoue aei ciaioaiiy /anoioe
?aoeeaeea?a caaaeyee neia?a?cio /eiiee?a (A.O.E?ueinueeee oa ni?aaao.,
1989; ?.C.Naiinthe, 1995).

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

Aeena?oaoe?eia ?iaioa Iao??anueei? E.TH. “?ioiiiiaeoeyoi?e i?e e?eoaaii?
o?ii?/ieo caiaeueieo i?ioean?a oeeee iaoee” aeeiiaia ia aac? eaoaae?e
aeooa?noaa ? a?iaeieia?? ?1 EIAII o a?aeiia?aeiino? c aeiaaio?eaaeith
i?ia?aiith: “E?eoaaiiy ? ?aaa?e?oaoe?y ooieoe?e ae?ii/eo noaoaaeo
i?aai?a”.

Iaoa ? caaea/? aeine?aeaeaiiy.

I?aeaeueoe aoaeoeai?noue e?eoaaiiy oai?eo ia OCI oeeee iaoee caniaii
aeei?enoaiiy a eiiieaeniiio e?eoaaii? eiia?iiaaii? ae?? I?O ?
iaoeeo?aoeeeo.

Ca?aeii c iaoith iinoaaeaii oae? caaea/?:

1. Aeine?aeeoe e?euee?ni? ? ye?ni? iieacieee ee?oeiiiai ?ioi?oaoo o
oai?eo ia OCI oeeee iaoee aei i iiney eieoaaiiy ?ioiiiiaeoethth/eie
caniaaie (I?O, iaoeeo?aoeeeii).2. Aeaoe eeiiiei-eaai?aoi?io
oa?aeoa?enoeeo aaciina?aaeiio i aiaeaeaeaieo ianeiaeeia eieoaaiiy.

3. Aecia/eoe iieacaiiy e iinoea iioiiiiaeoethth/i? oa?aii? (I?O i
iaoeeo?aoeeeo) o eiiieaeniiio eieoaaiii OCI oeeee iaoee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Aia?oa canoiniaaii aeaeo?iiaai?oia aei?ii?ithaaiiy iaaecae/aeii aeniei?
/anoioe ia oei oa?aii? ianoa?i?aeiei iioiiiiaeoeyoi?ii iaoeeo?aoeeeii o
eiiieaeniiio e?eoaaii? OCI oeeee iaoee, ?ic?iaeaii iaoiaeeeo
aeei?enoaiiy.

Ia iiaenoaai no/anieo aeineiaeaeaiue ? eiia?iiaaii? ae?? I?O ?
iaoeeo?aoeeeo o eiiieaen? e?eoaaiiy OCI oeeee iaoee iaea?aeai? iia?
aeieace i?i e?euee?niee ? ooieoe?iiaeueiee noai ee?oeiiiai ?ioi?oaoo o
oai?eo c aeaiith iaoieia??th.

Anoaiiaeaii a??ia?aeia i?eai?/aiiy O-eaiee ?ioi?oaoo o oai?eo ia OCI
oeeee iaoee, ui ? i?aenoaaith aei canoinoaaiiy o eiiieaen? e?eoaaeueieo
cania?a ?ioiiiiaeoethth/eo /eiiee?a.

Cai?iiiiiaaii iiaee ia?iaaceaiee iaoiae e?eoaaiiy OCI oeeee iaoee, yeee
aea? iiaeeea?noue aiaeii/an e?eoaaoe noiooi? caoai?thaaiiy aai?oae?e, ui
ni?ey? caiia?aaiith ?aoeeaeeaai.

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

?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue aeacothoue ia oa, ui OCI oeeee
iaoee aeieeathoue ia oe? aoi?eiieo ?ioiiaeao?oeeo?a ? aeei?enoaiiy
?ioiiiiaeoeyoi??a i?e e?eoaaii? oe??? iaoieia?? ? aeioe?eueiei.
Aiaeii/an i?iaaaeaii e?eoaaiiy noiooi?o caoai?thaaiue: o?ii?/iiai
aaeiaeneoo, eieuei?oo, inaaaeia?ic?? oeeee iaoee, aacie?aeiino?,
ii?ooaiiy iaino?oaeueiiai oeeeeo. Anoaiiaeaii a??ia?aeiee aieea
eiia?iiaaii? ae?? I?O ? iaoeeo?aoeeeo a eiiieaen? e?eoaaeueieo cania?a
i?e OCI oeeee iaoee ia iie?auaiiy ?acoeueoao?a. A ?iaio? iiaeaii
i?aeoe/i? ?aeiiaiaeaoe?? ii aeei?enoaiith I?O ? iaoeeo?aoeeeo i?e
e?eoaaii? OCI oeeee iaoee. Aeai?, iaea?aeai? a ?acoeueoao? aeeiiaiiy
?iaioe, aeicaieeee ?aeiiaiaeoaaoe ? ai?iaaaeeoe ?ic?iaeaiee iaoiae a
i?aeoeeo Ee?anueei? i?nueei? ee?i?/ii? e?ea?i? ?2, oieoaeth N?oueei-I?O
a Aeiiaoeueeo.

Iniaenoee aianie caeiaoaa/a.

?iaioa aeena?oaioa ? naiino?eiei iaoeiaei aeine?aeaeaiiyi c aeeaieei
aiae?cii ee?i?/iiai iaoa??aeo. C?iaeaii a?o?aii-noaoenoe/iee iiooe
caoai?thaaiino? e oaeoi??a aieeao ia ye?noue aeeooy i?ioyaii 1992-1996
?.?. 4817 oai?eo ia o?ii?/i? caiaeuei? i?ioeane aai?oae?e. I?iaaaeaii
ee?i?ei-eaai?aoi?ia ianoaaeaiiy 130 ae?iie, c ieo 120 oai?eo ia o?ii?/i?
caiaeuei? i?ioeane oeeee iaoee. Naiino?eii i?iaaaeaii caa?? e?ia? aeey
oeeoi?ioiio?i?/iiai aeine?aeaeaiiy. Aaoi?ii ?ic?iaeaii iaoiaeeeo iiaiai
ia?iaaceaiiai iaoiaeo e?eoaaiiy – canoinoaaiiy eiia?iiaaii? ae?? I?O ?
iaoeeo?aoeeeo o eiiieaen? e?eoaaeueieo cania?a OCI oeeee iaoee.

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

Iaoa??aee aeena?oaoe?? aeiiia?aeaeeny ia O eiioa?aioe?? iieiaeeo
a/aieo-iaaeee?a Oe?a?ie (A?iieoey, aa?anaiue, 1989), ia XVIII
iaoeiai-i?aeoe/i?e eiioa?aioe?? iieiaeeo a/aieo ? niaoe?ae?no?a EAe?OE
(Ee?a, 1990).

Ioae?eaoe??.

?acoeueoaoe aeena?oaoe?? iioae?eiaaii a 3 noaooyo o iaoeiaeo aeo?iaeao,
1 noaoo? o ca??ieeo iaoeiaeo i?aoeue, 2 oacao eiioa?aioe?e, 1
aaoi?nueeiio na?aeioeoa? oa 1 ?ioi?iaoe?eiiio eeno?.

No?oeoo?a aeena?oaoe??.

Aeena?oaoe?y aeeeaaeaia ia 125 noi??ieao iaoeiiieno, neeaaea?oueny c
anooio, iaeyaeo e?oa?aoo?e, ?icae?eo, i?ena`y/aiiio iaoiaeai
aeine?aeaeaiiy ? e?eoaaiiy, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, ?o
iaaiai?aiiy, caeeth/aiiy, aeniiae?a oa nieneo aeei?enoaieo aeaea?ae (167
a?o/eciyieo ? 72 ca?oa?aeieo). ?iaioa ?ethno?iaaia 27 oaaeeoeyie ? 11
?enoieaie.

INIIAIEE CI?NO ?IAIOE

Iaoa??ae ? iaoiaee aeine?aeaeaiiy.

Ca?aeii c iaoith ? caaea/aie aeine?aeaeaiue ianoaaeaii 120 oai?eo ia OCI
oeeee iaoee ? 10 caei?iaeo ae?iie, yeeo ?iciiae?eaii ia 4-e a?oie:

– ia?oa (iniiaia) a?oia – 75 oai?eo, a eiiieaeniiio e?eoaaii? yeeo
aeei?enoaii eiia?iiaaiee iaoiae – ae?th I?O ? iaoeeo?aoeeeo (10% iacue);

– ae?oaa a?oia – 25 oai?eo, a eiiieaeniiio e?eoaaii? yeeo canoiniaaii
iaoiae I?O;

– o?aoy a?oia – 20 oai?eo, ?i i?iaaaeaii e?eoaaiiy iaaeeeaiaioiciei
iaoiaeii;

– /aoaa?oa a?oia – 10 i?aeoe/ii caei?iaeo ae?iie (eiio?ieueia).

Eiiieaenia oa?ai?y OCI oeeee iaoee aeeth/aea: caaaeueiici?oeithth/a,
i?noeaaa e?eoaaiiy, a oaeiae onoiaiiy noiooi?o caoai?thaaiue.

Caaaeueiici?oeithth/a oa?ai?y – ?ioiiiiaeoeyoi?e (oieioa?iea aoeaoao –
ii 100ia ia aeiao, 12 aei?a; ?ioiae – ii 10 e?aiaeue 2 ?ace ia aeaiue,
30 aei?a).

I?noeaaa e?eoaaiiy – ni?eioethaaiiy aaa?ie ? oeeee iaoee (i?aia?aoii
“?aeooai” – ii 2no.e. ia 1e aiaee, 2 ? ia aeaiue, 5% ?ic/eiii
a?ae?iea?aiiaoo iao??th, ?ic/eiii oo?aoeee?io (1:5000); 1% ?ic/eiii
oei?io?e?ioo, ianoi?i /enoio?eo) ? iacaa? oaiiiie ?12 (c iaeai?oiaei
ianeii, 5-10ie ia oaiiii, 10% neioii?oeeiiaith aioeuen??th, iaaeii c
?ea`y/ei aee?ii 1:1).

I?e iayaiino? ae??aeaeaeiaiai eieuei?oo oai?ei aeiaeaoeiai aoei
i?ecia/aii niaoe?aeueia e?eoaaiiy: i?aia?aoe “Iie?aeeiaen” (aaa?iaeuei?
na?/ee, ?12), “Aaoaaeei” (?6), “Eaiae?aaia” (?6), ciacoaaiiy aaa?ie 1%
?ic/eiii iaoeeaiiaiai neiueiai, 20% ?ic/eiii ao?e a ae?oea?ei?.

Iaiao?aeii a?aei?oeoe, ui i?e iayaiino? o?ii?/iiai aaeiaeneoo a
eiiieaen? e?eoaaeueieo caoiae?a oai?eo ? oa ?? a?oie aaaeo/ei
eiiiiiaioii aoea I?O. Iaea?eueo aaaiiee iaaeeeaiaioiciee aieea i?eiaaeaa
ia oai?eo ???-i? a?oie, aea canoiniaaii: aioeaaeoa??aeuei? i?aia?aoe
(a?naioie – ii 2oaae. o 2?, i?ioyaii 5 aei?a, oo?acie?aeii – ii 0,1a o
4?, i?ioyaii 7 aei?a); aeanainea?e?coth/? (oaaaa?e – ii 1 oaae.o3 ?, 7
aei?a); ciaaiethth/? (aiaeuea?i – 50% ?ic/ei – 2,0ie); a?iaaii?
noeioeyoi?e (ieaciie – ii 1ie i?aeoe??ii, 20 aei?a); a?oai?ie (a?oie A –
ii 1ie, 20 aei?a, anei?ooei – ii 0,5 o 3?, 30 aei?a); caniie?eeea?
(iano?e ionoe?ieea – ii 30 e?aiaeue o 2?, 12 aei?a).

A eiiieaeni?e oa?ai?? oai?eo ia OCI oeeee iaoee ? oa ?? a?oie ca o/anoth
I?O aeei?enoaii aaia?aoi?e AIA ICA* aeaio oei?a: eiaa?aioieo eieeaaiue –
A4-142 (ae?aiacii /anoio – 53,57-78,33Aaoe), ?aaeei ?iaioe – aea??
?aciiainii? /anoioe; ? “a?eiai” ooio – “Ii??a-1” (ae?aiacii /anoio –
53-78Aaoe) ? “Ii??a-3” (ae?aiacii /anoio – 55-65Aaoe), ?aaeei ?iaioe –
aaoiiaoe/iee aea?? /anoioe.

*anoioa, ia ye?e iaea?eueo ae?aaeaia eiioi?oia naini?ia ?aaeoe?y
(a?ae/oooy oaiea, a?a?aoe??, eaaeiai ianaaeo oa ?i.), ui eieae?coaaeany
aieco aeeaioa aai aeecueei aei iueiai, iaea?aeaea iacao ?aciiainii?.

Aea?? ?aciiainii? oa?aiaaoe/ii? /anoioe ? iaeiei ?c iaeaaaeeea?oeo
aoai?a, yeee cia/iith i??ith aecia/a? oni?o e?eoaaiiy oeei iaoiaeii a
oe?eiio.

Aea?? oi/ie aieeao AIA ii-ae?aiaciio i?iaaaeaii ca i?aaeeaie no/anii?
?aoeaenioa?ai??. I?aeoaa?aeaeaii aeoieo (?.E.Ia/a?ao oa ni?aaao., 1993),
ui iniiaiith oi/eith i?e e?eoaaii? iaoieia?? oeeee iaoee ? RP6
(naiue-?iue-oecyi), yea ? niaoeeo?/iith i?e an?o a?iaeieia?/ieo
caoai?thaaiiyo. Oi/ea ia?eae?aio na/iaiai i?oo?a V32 (oee-eyi) ia?
oaeiae niaoeeo?/ia i?ecia/aiiy i?e e?eoaaii? an?o caoai?thaaiiue
noaoaai? noa?e. E??i ieo, aeey e?eoaaiiy OCI aai?oae?e aeei?enoaii oae?
oi/ee iiia?aeiai-o?aaoiai? ae?eyiee: V23, V25-V34, T2-T4; ieaei?o
e?ioe?aie: RP9, RP10, E36, R7, V60; aeeaioa: I2, I4, R11, R13 oa ?i.

Naaine I?O i?iaiaeeee uiaeaiii, ii 20-30 oaeeei, 10 naain?a ia eo?n.
E?eoaaiiy i?iaiaeeee o ia?o?e iieiaei? aeiy, a?aoiaoth/e iaeneiaeueio
aeoeai?noue ia?eae?aio naeac?iee c 9 aei 11 aiaeeie, oae ye iaei??th c
iniiaieo aea?aieo oi/ie aoea oi/ea RP6 oeueiai ia?eae?aio.

Caeaaeii a?ae ii/aoeiaiai noaio ?ioiii? nenoaie, ieiu? o?aaeaiiy oeeee
iaoee, iayaiino? ? ae?aaeaiino? noiooi?o caoai?thaaiue, i?iaiaeeee a?ae
1 aei 3 eo?n?a e?eoaaiiy, ye? iiaoi?yee /a?ac 3-4 oeaei?.

Ne?ae i?aee?aneeoe, ui aea?? oi/ie aoa ?iaeea?aeoaeueiee, c a?aooaaiiyi
noiooi?o caoai?thaaiue ? noa`?eoeaieo nea?a oai?eo, ia aieueoa 5-6 oi/ie
ia naain.

Eiiieaenia ianoaaeaiiy on?o oai?eo aeeth/aei: aeai? aiaiiaco,
a?iaeieia?/iee iaeyae, aaeoa??ineii?/ia ? aaeoa??ieia?/ia aeine?aeaeaiiy
i?e?ia?ioeeiico aaa?ie ? eaiaeo oeeee iaoee, oeeoieia?/ia aeine?aeaeaiiy
aaa?iaeueieo iace?a, ?icoe?aio eieueiineii?th, a?io?i?/iee ?
oeeoi?ioiio?i?/iee aiae?c e?ia? ia ii/aoeo ? a e?ioe? e?eoaaiiy.

Nea?ae oai?eo aoee ia iaoieia?/i? aeae?eaiiy (a?e?) ?c noaoaaeo oeyo?a –
neecenoi-iooiiai ? neecenoi-ai?eiiai oa?aeoa?o, ia??iaee/iee naa?a?ae o
i?oa?; i?e iayaiino? o?ii?/iiai aaeiaeneoo – ieth/? aie? aieco aeeaioa ?
a iiia?aeo, iaino?oaoei? c aieueiaeie aiae/oooyie (47%), ae?aaeaiee
ia?aaeiaino?oaeueiee neiae?ii (24%).

Iaeaea an? oai?? a?aei?/aee a oiio /e ?ioiio nooiai? ae?aaeaiino?
aaaaoaoeaii-noaeeii? ? iaa?ioe/i? ii?ooaiiy: i?aeaeuaio iiae?aceea?noue,
oaeaeeo aoiio, cieaeaio i?aoeacaeaoi?noue, aeai?an?th, ii?ooaiiy nio,
eaa?euei?noue ia?aiai? nenoaie, aieiaiee a?eue.

Iiae /an aiiaeieiai/iiai iaeyaeo aeyaeaii, ui oeeea iaoee i?e
ianiaoeeoi/iiio oea?aioeeoi i eieueiioi aiia?aiiaaia, ia?iaeei ia oiii
na?icii-aiieieo aeaeieaiue aoei aeaeii aeieyiee, ui e?iaioi/eee.
Aiia?aiiy oeeee iaoee i aaaiie iaea aiaieuaaee aai aeeoociee oa?aeoa?.
Aeci- i aiaeioea?aioeeo aicoaeueii a o?iii/iie noaaei? – ia ae?aaeaia
aiia?aiiy, aeaeieaiiy c oea?aieaeueiiai eaiaeo iooiiaaoi. Inaaaeia?iciy
oeeee iaoee iae?ineiii/ii iaea aeaeyae yne?aai-/a?aiiiai eieuei?o c
ae?iaiica?ienoei “aa?oaoiei” ?aeue?oii. Oi?ia i aaee/eia aoee ?icii. I?e
o?iii/iiio aaeiaeneoi iiae /an aaaiiaeueiiai iaeyaeo iaeueioaaee
iaaaeeea caieueoaiiy i?eaeaoeia iaoee, ouieueiaiiy, /ooeeainoue aai
aieth/inoue ?iciiai nooiaiy ae?aaeaiinoi.

Eieae?caoe?th iaoieia?/iiai i?ioeano ia aaa?iaeuei?e /anoei? oeeee iaoee
aecia/aee ii ciiao (oiiai? iicia/aiiy, ca?aeii c ?aeiiaiaeaoe?yie
?.A.Eioaiaae/, 1984). Ia?oa ciia – oee?eoey?ii iaae?oae ciai?oiueiai
c?ao, o?aoy – ii e?iao oeeee, ae?oaa – i?ae ia?oeie aeaiia.

Ee?i?/i? a?oie oai?eo ca a?eii (?ai?iaeoeoeaiee – a?ae 23 aei 40 ?ie?a),
o?eaae?noth caoai?thaaiiy (3-5 ?ie?a), iayai?noth noiooi?o caiaeueieo
i?ioean?a aai?oae?e (inaaaeia?ic?y oeeee iaoee, o?ii?/iee aaeiaeneo ?
eieuei?o), e?eoaaiiy a ieioeiio (eiina?aaoeaia, AeAE) aoee iiae?ai?, ui
aeicaieeei i?iaiaeeoe ii??aiyeueio ioe?ieo aoaeoeaiino? iaoiae?a
e?eoaaiiy.

?acoeueoaoe e?eoaaiiy ioe?ithaaee c?aco i?ney e?eoaaiiy, /a?ac 2 oeaei?,
6 iinyoeia ? /a?ac 1 ?ie. I?e oeueiio a?aoiaaii iieacieee ?ioiii?
nenoaie ? ee?i?/io ea?oeio iaoe??ioie.

Aecaei?iaeaiiy ?icoeiiaii, eiee i?ae /an oeeoiiioiioiii/ieo
aeineiaeaeaiue aeyaeaii ae?aaeaio oaiaeaioeith aei ii?iaeicaoei? aai
ii?iaeicaoeith iieacieeia O-eaiee iioiioaoo. Niinoa?aaeaii oaeiae
oi?ioee caaaeueiee noai, aiaenooi?noue iaoieiai/ii? nae?aoei?, aiia?aii?
oeeee iaoee i noiiie aaaiie, iiae /an eieueiineiii? – aeeoocia
iaoaieaciy oeeeiiae?e/iiai aiioaeith aai oeeea iaoee iie?eoa
aaaaoioa?iaei ieineei aiioaei?i; ia?oee oei oeeoia?aie, i?eaeaoee iaoee
i?e iaeyaei – iaaieth/i, aiaenooiinoue oyaeenoinoi ?o, neeaiiiiy
aeeaiei.

E?eoa??yie iie?auaiiy aoee: iiceoeai? ci?ie a ?ioiiiio noaoon?, oi?ioee
caaaeueiee noai, ciaioaiiy iaoieiai/ii? nae?aoei? (neec ?c iooiiai
noaaaa a?eueo i?ici?ei), aiia?aii? oeeee iaoee, ieiui aeoiii?
(a?coaeueii ? eieueiineii?/ii), e??i oiai i?e eieueiineii??
niinoa?aaeaii iaoaieac?th oeee?iae?e/iiai ai?oae?th, iacae?i/aio
aeia?iye?nio ciio o?ainoi?iaoe??. A?aei?/aii ciaioaiiy aieueiaiai
neiae?iio i?e noiooiueiio aaeiaeneoi, ciiie aaeoa?ineiii/iiai
aeineiaeaeaiiy aaaiiaeueieo iaceia (ciaioaiiy eaeeioeeo?a) ?
oeeoieiai/ii? ea?oeie (iaoaieaciy oeeeiiae?e/iiai aiioaeith, iiyaa
iae?ioaaia).

Eieoaaiiy aaaaeaee iaaoaeoeaiei, eiee aoei niinoa?aaeaii a`yeo
aiioaeicaoeith i?e noiooi?e inaaaeia?ici? oeeee iaoee iiney aeaio eo?nia
eieoaaiiy (ia oii? ae?aaeaii? a?ia?o?io?? oeeee iaoee).

Aei oaaae a?aee oaeiae ?aoeeaeeae caoai?thaaiiy ? o?eaae?noue ?ai?n??.

Ioe?ieo ?ioiiiai noaoono oai?eo i?iaaaeaii ia iniia? aecia/aiiy oaeeo
ia?aiao??a: O-, A-, I-e?ioioeeo?a (iiioeyoe?eiee neeaae O-eaiee
?ioi?oaoo), O-oaeia??a, O-noi?ani??a, O-e?ea??a (noaiiioeyoe?eiee neeaae
e?ioioeeo?a), ?ioii?aaoeyoi?iiai eiao?oe??ioo, A-aeoeaieo ee?oei, ?IE.
Aeine?aeaeaii oaeiae eaeeia?aio.

Aeineiaeaeaiiy iiioeyoe?eiiai ? noaiiioeyoe?eiiai neeaaeo e?ioioeeo?a
i?iaaaeaii oeeoi?ioiio?i?/iei iaoiaeii (A.N.ssiianueea, I.I.Oa?aae?e,
1990).

Niin?a iieyaa? a oiio, ui oeyoii ?ieoaaoe?? iace?a a na?aaeiaeu?, ui
i?noeoue iaooie AS-oinoao, ia?a?icai?e?i, acioiieeneee iao??e ?
aoeaoaoiee aooa?, c ianooiiei aeioa?aoaaiiyi yaea? 1% ?ic/eiii
iaoeeaiiaiai caeaiiai, a?aeieoiai oei?ioi?iii a?ae o?ieaoiai? o?aeoe??,
? ?aeaioeo?eaoe?? ee?oei ca ?ici??aie ? iayai?noth caoa?aiaaieo a?aioe ?
e?cinii, a iaeei i?eeii iiaeia iaea?aeaoe iiaio ? ai?iaiaeio
?ioi?iaoe?th i?i iiioeyoe?? ? noaiiioeyoe?? O-e?ioioeeo?a, ui ?iaeoue
iaoiae c?o/iei ? ?ioi?iaoeaiei i?e ?ioiieia?/iiio aeine?aeaeaii?.

Aaee/eio ?ioii?aaoeyoi?iiai eiao?oe??ioo, ui oa?aeoa?eco? ?ioiieia?/i?
i?ioeane, aecia/aii a?aeiioaiiyi Oo/On.

Aeoeai?noue eenei? oinoaoace (EO) aecia/aii ca iaoiaeii D.E.Goldberger,
T.Barka (1962), i?e yeiio aeyaeaii aeoeai?noue an?o ia?eoa??eieo
eaeeioeeo?a ? o?iiaioeeo?a.

Aeine?aeaeaiiy noeoeeiaoaeaa?ae?iaaiace i?iaaaeaii ca iaoiaeii
A.I.Ia?oeeniaa (1969). Ca?aeii c oeei iaoiaeii, N-i?o?ioao?acie?e
o?ieaoiaee i?e a?aeiiaeaii? ooai?th? a ee?oei? aaeee? eoeaiiae?ai?
a?aioee oi?iacaia. Ii e?eueeino? a?aioe oi?iacaia ? aecia/aii
aeoeai?noue oa?iaioo. E?ioioeeoe, ye? i?noeee aei 9 a?aioe, a?aeianaii
aei ee?oei c iecueeith aeoeai?noth, a?ae 10 aei 19 a?aioe – c iii??iith,
a?ae 20 ? a?eueoa a?aioe – c aenieith aeoeai?noth (a ii?i? ?A NAeA=15-17
%).

Ai?no AeIE aecia/aii ca iaoiaeii A?aoa (1940). I?e aeai?e ?aaeoe?? AeIE
a aoeaoaoiiio aooa?? (PH 5,0 ? 5,4) aoea caoa?aiaaia a caeaiee eie?? 1%
?ic/eiii iaoeeaiiaiai caeaiiai. Ii nooiaith yne?aaino? aecia/aii
a?noio?i?/iee iieaciee (a ii?i? AOI AeIE=1,7-1,9).

IIE aecia/aii /anoeith a?ae ae?eaiiy caaaeueii? eieueeino? o?iiaioeeoia,
ui i?eeeiaea aei eiioioeeoia, ia eieueeinoue eiioioeeoia
(oeeoiiioiioiii/iee iaoiae, 1990).

Iaoa??aee aeine?aeaeaiiy i?aeaeaii iaoaiaoe/iiio aiae?co, ui i?iaiaeeany
ia ia?niiaeueiiio eiii`thoa?? ca aeiiiiiaith noaoenoe/iiai iaeaoo
“STATGRAPHICS”.

A??ia?aei?noue ii??aiyeueieo a?oi cana?ae/aii c oi/i?noth aei 0,05 oa
0,01, aea:

?(*) – iieaciee a??ia?aeiino? a?aei?iiinoae a?aeiinii i?aeoe/ii
caei?iaeo ae?iie;

?1(^) – iieaciee a??ia?aeiino? a?aei?iiinoae i?ney e?eoaaiiy.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy.

Aeey oa?aeoa?enoeee ?ioiiiai noaoono iaea?eueo ?ioi?iaoeaiith ? eaiea
O-e?ioioeeo?a c ?aaoeyoi?ieie aeanoeainoyie O-oaeia??a ? O-noi?ani??a.
Ee?oeiiiio ?ioi?oaoo iaeaaeeoue ae??oaeueia cia/aiiy o cae?eniaii? an?o
?ioiieia?/ieo ?aaeoe?e (I.A.Oa?o, 1989; A.I.*a?aae??a oa ni?aaao.,
1989). Oiio oae aaaeeeaeie ? aeine?aeaeaiiy naia O-eaiee ?ioi?oaoo.

?ioiieia?/i? aeine?aeaeaiiy aei ii/aoeo e?eoaaiiy o o?ueio a?oiao oai?eo
iieacaee cieaeaiiy O-e?ioioeeo?a (22,1±0,58%; 20,0±0,79% ? 27,5±1,28%
a?aeiia?aeii i?ioe 34,4±0,88% o a?oi? i?aeoe/ii caei?iaeo ae?iie;
?0,05) ?
ca?eueoaiee ?IE (26,5±1,13%; 29,6±1,62% ? 21,2±1,35% – o oai?eo i?ioe
13,8±2,56% o i?aeoe/ii caei?iaeo ae?iie; ?? ??????????????? ???????????yyy????.????1?????? ??????? @???&??yyyy?????Ayyy&??????AE?????&? ?MathType??P????u?th??????A ?acoeueoao? i?iaaaeaiiai aaeoa??ineii?/iiai ? aaeoa??ieia?/iiai aeine?aeaeaiiy iace?a o an?o oai?eo I oa II a?oie i?ney e?eoaaiiy a?aei?/aii ciaioaiiy eaeeioeeo?a, ai?oae?aeueieo ee?oei, anioe?aoe?e i?e?ia?a, iaoiaaiii? oei?e ? ca?eueoaiiy iae?aaoii? oei?e. O ??? a?oi? oaeo ea?oeio niinoa?aaeaii o 17 oai?eo (85%). I?ney i?iaaaeaiiai e?eoaaiiy an? oeeoieia?/i? iacee oai?eo ? oa ?? a?oie a?aeiineeenue aei ? oeio ca eeaneo?eaoe??th Iaiai?eieao, o ??? a?oi? – o 15% aeyaeaii iiaoi?ii ?? oei iaceo. Ioaea, aiae?c aaciina?aaei?o ? a?aeaeaeaieo ?acoeueoao?a e?eoaaiiy oai?eo ia OCI oeeee iaoee iieacaa, ui iaea?eueo aoaeoeaiei ? eiia?iiaaiee iaoiae e?eoaaiiy. Aea/aii i aoaeoeai?noue aieeao e?eoaaiiy a o?ueio a?oiao ia iioiio nenoaio aeiiie. Anoaiiaeaii, ui a a?oiao, aea aeei?enoaii I?O ? eiia?iiaaiee iaoiae, niinoa?aaeaii ae?aaeaio oaiaeaioe?th aei ii?iae?caoe?? iieaciee?a ee?oeiiiai ?ioi?oaoo, a oaeiae ii?iae?caoe?th ie?aieo c ieo. Iniaeeai /?oei oae? ci?ie niinoa?aaeaii a ? a?oi?. Ia i?ioeaaao iaoiaeai c aeei?enoaiiyi o eiiieaeniiio e?eoaaii? ?ioiiiiaeoeyoi??a (I?O ? iaoeeo?aoeeeo), iaaeeeaiaioicia oa?ai?y ia o?eueee ia onoaaea ?ioiieo ii?ooaiue, aea e a aeayeee i??? iineethaaea ?o. A ia?oo /a?ao oea noino?oueny ee?oei-aoaeoi??a ?ioiii? nenoaie – O-e?ioioeeo?a. Oae, a?aeiiniee ai?no oeeo ee?oei o oai?eo I oa II a?oii ca?eueoeany (?10,05) ? oaiaeaioe?y (?10,05).

Aiaeii/an a III a?oi? niinoa?aaeaii iaio ae?aaeaio i?ioecaiaeueio ae?th,
ine?eueee na?aaeiy e?euee?noue A-e?ioioeeo?a ciaioeeanue iacia/ii (c
33,7±2,0% aei 32,0±1,67% i?ioe 23,5±2,18%; ?0,05), ianooo?aei aoei ? cieaeaiiy ?IE (c
21,2±1,35% aei 18,2±1,18% i?ioe 13,8±2,56%; ?>0,05).

Aaaeeeai a?aei?oeoe, ui aeei?enoaiiy ?ioiiiiaeoeyoi??a o I (I?O ?
iaoeeo?aoeeeo) oa II (I?O) a?oiao ni?eyei c?inoaiith ? ooieoe?iiaeueii?
aeoeaiino? e?ioioeeo?a, ui iaea?eueo ae?acii niinoa?aaeaii a ? a?oi?
oai?eo.

NAeA ? ia?ea?iei oa?iaioii oeeeeo E?aana. Ine?eueee oa?iaio eaoae?co?
i?ioeane a?ieia?/iiai ieeneaiiy (Lojda Z. oa ni?aaao; 1979), oi
ca?eueoaiiy IA NAeA na?ae/eoue i?i iineeaiiy aia?aaoe/iiai iai?io o
ee?oeiao.

I.?.Eaiaioa? (1984) aeaco? ia oa, ui NAeA – iaeia c oa?aeoa?enoee
c??eiai ai?oae?th. Ioaea, iiaeia aaaaeaoe, ui I?O (ae?y iaoeeo?aoeeeo
i?e iaoieia?? oeeee iaoee a?aeiia ?ai?oa) aieeaa? ia ?aaaia?aoe?th
oeaiei. Iniaeeai iii?oia ca?eueoaiiy IA NAeA i?ae /an aeei?enoaiiy
eiia?iiaaii? ae?? ?ioiiiiaeoeyoi??a (c 4,3±0,18iaei. aei 9,8±0,33iaei. ?
c 3,9±0,23iaei. aei 7,9±0,3iaei. i?ioe 6,4±0,25iaei. o eiio?ie?;
?0,05).

C iiaeyaeo ia aoaeo ca?eueoaiiy e?ciniiaeueiiai oa?iaioo, ui ia?
a?aeiioaiiy aei oaaioeeoico (O.Eoiia, 1980), iiaeia ia?aaeaa/eoe aieea
I?O ? eiia?iiaaii? eiai ae?? ia ianiaoeeo?/iee ?ioi?oao.

Ne?ae caa?iooe oaaao ia oa, ui oaiiiaia iiaeeoeue Ia?oeeniaa (ciaioaiiy
aiaeii/an IA NAeA aai eiai iaci?iiee iecueeee ii/aoeiaee ??aaiue ?
ca?eueoaiiy AOI EO), yeee aeaco? ia iani?eyoeeaee i?iaiic caoai?thaaiiy,
ia niinoa??aaeiny a aeiaeiiio aeiaaeeo, a iaaiaee, aiaeii/aii aiaeii/an
caieueoaiiy IA NAeA i AOI EO, ui naiae/eei i?i oi?ioee i?iaiic.

A III a?oi? ia aeyaeaii iiceoeaiiai aieeao e?eoaaiiy ia ooieoe?iiaeueio
caeaoi?noue e?ioioeeo?a, ine?eueee ia aoei aeinyaiooi ??aiy oa?iaio?a o
i?aeoe/ii caei?iaeo ae?iie (IA NAeA – 5,3±0,31iaei. i?ioe 6,4±0,25iaei.;
?

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