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Інтраплевральна сорбційна детоксикація в комплексному лікуванні ускладнених форм гострої деструктивної пневмонії у дітей: Автореф. дис… канд. мед. н

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

IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO ?i. I.I. AIAIIIEUeOess

OAeE 616.24-002.3-053.1-08

E?AA*OE Ai?en Ieaenieiae/

?IO?AIEAA?AEUeIA NI?AOe?EIA AeAOIENEEAOe?ss

A EIIIEAENIIIO E?EOAAII? ONEEAAeIAIEO OI?I

AINO?I? AeANO?OEOEAII? IIAAIIII? O AeIOAE

14.01.09 – aeeoy/a oi?o?aiy

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe
?i. I.E. OOIEEA IIC Oe?a?ie.

IaoeiaeE ea?iaiee:

eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, caneoaeaiee e?ea? Oe?a?ie,
eaiaeeaeao iaaee/ieo iaoe, i?ioani? Aiaoie?e Aaneeueiae/ Iaea?ia,
caa?aeoaa/ eaoaae?e ioeueiiiieia?? 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, i?ioani? Aeaieei THe?aiiae/ E?ea/aiy, caa?aeoaa/
eaoaae?ith aeeoy/i? o??o?a?? Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo ?i.
I.I.Aiaiiieueoey, Aieiaiee aeeoy/ee o??o?a IIC Oe?a?ie

aeieoi? iaaee/ieo iaoe, i?ioani? Ai?en Aaneeueiae/ ?aae?iiia, caa?aeoaa/
a?aeae?eo oi?aeaeueii? o??o?a?? Iaoeiai-aeine?aeiiai ?inoeoooo
oo?c?ao??? ? ioeueiiiieia?? ?i. O.A. ssiianueeiai AII Oe?a?ie, Aieiaiee
oi?aeaeueiee o??o?a IIC Oe?a?ie

I?IA?AeIA ONOAIIAA:

Ee?anueeee iaoeiai-aeine?aeiee ?inoeooo ee?i?/ii? oa aenia?eiaioaeueii?
o??o?a?? AII Oe?a?ie (i. Ee?a), a?aeae?e oi?aeaeueii? o??o?a??.

Caoeno a?aeaoaeaoueny “9” aa?aniy 1999 ?ieo i 1330 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26. 003. 03 i?e Iaoe?iiaeueiiio
iaaee/iiio oi?aa?neoao? ?i. I.I. Aiaiiieueoey IIC Oe?a?ie (252004,
i.Ee?a, aoeueaa? Oa?ana Oaa/aiea, 13).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i.I.I.Aiaiiieueoey (252057, i.Ee?a,
aoe.Ciieia?/ia, 3).

Aaoi?aoa?ao ?ic?neaiee “25” /a?aiy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe ss.I. Aioianueeee

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Aino?a aeano?oeoeaia iiaaiii?y ? iaeiei c iaeaieueo
aaaeeeo caoai?thaaiue i?aai?a aeeoaiiy o aeioae. Caoai?thaaiiy
oa?aeoa?eco?oueny cia/iei ?iciianthaeaeaiiyi, iaaeoi aaaeeei ia?aaiaii,
iniaeeai a ?aiiueiio aeeoy/iio aioei, aenieei a?aenioeii o?iiicaoei?
14,5% (I.?. ?ieeoeeee, 1988, A.A.Eeeiaiia, E.?.Iai?iaeieeiaa,
Ae.I.?oaeaeiaa, 1990) i ?iaiai eaoaeueiinoi a?ae 0,8 aei 10% (TH.O.
Enaeia, A.E. Aa?anueeei, Y.A. Noaiaiia, 1978; I.?. ?ieeoeeee, A.A.
Aeeioeaa, I.I. A?aaiaa e ae?., 1988; I.TH. Aaiieeia, TH.I. Aa?athoei,
A.O. Aei?iiei, 1990; A.E. Eoeiineee, Ae.A. Aaeie?eieoeeee, I.A.
Aeaenaaaa e ae?., 1992).

I?noeaaa aiaieua ?ioaeoe?? ? iia’ycaiee c iei oaeoi? ?aci?aoe?? i?e
aiieii-aeano?oeoeaieo caoai?thaaiiyo i?aai?a aeeoaiiy iin?aeathoue
ia?oi/a?aiaa cia/aiiy, iaoiiaethth/e nooiiiue oienaii? i aaaeeinoue
ia?aaiao caoai?thaaiiy.

Aieiaiei i?eioeeiii o e?eoaaii? aino?i? aeano?oeoeaii? iiaaiii?? ?
ii?aeiaiiy iaoiae?a oa cania?a ?ioaineaii? oa?ai?? c ?aoe?iiaeueiith
o??o?a?/iith oaeoeeith.

A inoaiii ?iee c iaoith aeaoieneeaoei? i?aaiicio i?e aiieii-naioe/ieo
caoai?thaaiiyo ii/aee oe?iei aeei?enoiaoaaoe aeno?aei?ii?aeueii
ni?aoeieii iaoiaee: aaiini?aoeith, eiioini?aoeith, ieaciaoa?ac,
aioa?ini?aoe?th. Ei?aaoth/e oaeoi? ?aci?aoei?, oe? iaoiaee iiaaeththoue
eiai, aea ia onoaathoue.

?ic?iaea iiaeo cania?a ? iaoiae?a naiaoe?? iinoeaaiai aiaieua iioaeoei?
ye iniiaii? iaoiaaiaoe/ii? eaiee aiieiiai i?ioeano i?e e?eoaaii?
oneeaaeiaieo oi?i aino?i? aeano?oeoeaii? iiaaiii?? o ae?oae yaey? niaith
iaaecae/aeii aeooaeueio i?iaeaio.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa ? o?aaiaioii ni?eueii? iaoeiai-aeine?aeii? ?iaioe eieaeoea?a
eaoaae?e ioeueiiiieia?? EIAII oa ?inoeooo?a IAI Oe?a?ie (o?i?? iiaa?oi?;
i?e?ia?ieia?? oa a??onieia??; oa?iaeieia?? ? oieneeieia??), yea
aeeiioaaeanue a ?aieao i?ia?aie Aea?aeaaiiai eii?oaoo Oe?a?ie c ieoaiue
iaoee oa oaoiieia??, i?iaeo 1.2.7.26 / 2202 ‘’?io?aei?ii?aeueia
ni?aoe?eia aeaoieneeaoe?y a a?oaei?e o??o?a??’’, c 1992 ii 1996 ??.
(Iinoaiiaa ?12 a?ae 04.05.1992 ?., caoaa?aeaeaia iaaee/iith ?aaeith IIC
Oe?a?ie). Iiia? aea?ae?a?no?aoe?? 0197 EI 14700.

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith ?iaioe ? iieiioaiiy aoaeoeaiinoi
eieoaaiiy aiaeiaaiiiai oiene/iiai neiae?iio i?e oneeaaeiaieo oi?iao
aino?i? aeano?oeoeaii? iiaaiii?? o aeioae oeyoii aeeth/aiiy o
o?aaeeoeieiee eiiieaen eieoaaiiy ni?aaioo aeey ?io?aieaa?aeueii?
ni?aoe?eii? aeaoieneeaoe??. Aeey aeinyaiaiiy iaoe aoee iinoaaeai? oae?
caaea/i:

1. Aea/eoe aeith ni?aaioo (aenieiaeenia?niiai e?aiiacaio) ia i?aaiici
aeine?aeieo oaa?ei i?e aioo?ioiueiieaa?aeueiiio aaaaeaiii.

2. Iaa?oiooaaoe canoinoaaiiy ?io?aieaa?aeueii? ni?aoe?eii?
aeaoieneeaoe?? aeey eieoaaiiy oneeaaeiaieo oi?i aino?i? aeano?oeoeaii?
iiaaiii?? o aeioae.

3. Ii?aoethaaoe iaoiaeeeo ?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe??,
aecia/eoe iieacaiiy oa i?ioeiieacaiiy, iioeiaeueio eiioeaio?aoeith,
aeniiceoe?th oa oi?io canoinoaaiiy ni?aaioo.

4. I?iaanoe eeiii/ia aea/aiiy aoaeoeaiinoi ?io?aieaa?aeueii? ni?aoe?eii?
aeaoieneeaoe?? i?e eieoaaiii oneeaaeiaieo oi?i aino?i? aeano?oeoeaii?
iiaaiii?? o aeioae a caeaaeiinoi aiae oi?ie oneeaaeiaiiy.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa ?ic?iaeaii oa
ai?iaaaeaeaii a ee?i?/io i?aeoeeo ai?eii? oi?aeaeueii? o??o?a?? iaoiae
?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe?? aeey e?eoaaiiy ai?eieo
caoai?thaaiue eaaaiue oa ieaa?e, ii?aoeueiaaii iaoiaeeeo, aecia/ai?
iieacaiiy oa i?ioeiieacaiiy, iioeiaeuei? eiioeaio?aoe?y, aeniiceoe?y, oa
oi?ia canoinoaaiiy ni?aaioo. Aeiaaaeaii, ui canoinoaaiiy
?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe?? c aeei?enoaiiyi ni?aaioo
ciaioo? oa?i?i e?eoaaiiy oai?eo oa caiia?aa? ?icaeoeo aaaeeeo oiene/ieo
oneeaaeiaiue oa a?aeaeaeaieo iaaaoeaieo iane?aee?a. ?ic?iaeaiee iaoiae ?
iiaei iai?yieii a iaoeiaiio ae??oaii? i?iaeaie onoiaiiy yaeu oienai??.
Iiaecia i?iaaaeaieo aeine?aeaeaiue i?aeoaa?aeaia aeaiia iaoaioaie
Oe?a?ie oa aeaiia ?in?enueei? Oaaea?aoe??.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Iaoiae ?io?aieaa?aeueii?
ni?aoe?eii? aeaoieneeaoe?? ? i?eaeaoiei aeey oe?ieiai aeei?enoaiiy a
i?io?eueieo a?aeae?eaiiyo aeey e?eoaaiiy oai?eo c ai?eieie
caoai?thaaiiyie i?aai?a a?oaeii? ee?oee. Ii?aoeueiaaia iaoiaeeea
a?aecia/a?oueny i?inoioith oa aeinooii?noth. Canoinoaaiiy
?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe?? aeicaieeei nei?ioeoe ianya
aioeaaeoa??aeueii?, ?iooc?eii? oa iineiae?iiii? iaaeeeaiaioicii?
oa?ai??, oa?i?ie naiaoe?? ? ae?aioaaiiy ai?eieo aiaieu, cae?eooy
a?iioi-ieaa?aeueieo niieo/aiue.

Aeeth/aiiy iaoiaeo ?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe?? a
eiiieaen e?eoaaeueieo caoiae?a i?e e?eoaaii? oneeaaeiaieo oi?i aino?i?
aeano?oeoeaii? iiaaiii?? o ae?oae aeicaieeei aeinyaoe cia/iiai
iaaeeei-aeiiii?/iiai aoaeoo.

Iaoiae ai?iaaaeaeaii a i?aeoe/io ae?yeuei?noue Iaoeiai-i?aeoe/iiai
oeaio?o “Oi?aeaeueia o??o?a?y ? ioeueiiiieia?y” i. Ee?aa, a aeeoy/eo
o??o?a?/ieo a?aeae?eaiiyo Caea?iaonueei? oa ??aiainueei? iaeanieo
aeeoy/eo e?ea?aiue, aeeth/aii a iaa/aeueiee i?ioean ia eaoaae??
ioeueiiiieia?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe IIC
Oe?a?ie.

Iniaenoee aianie caeiaoaa/a. Aaoi? aeena?oaoe?? ? iniiaiei ?ic?iaieeii
on?o aeeeaaeaiieo a ?iaio? ii/eiaiue, iieiaeaiue, ao?eaiue, aeniiae?a oa
?aeiiaiaeaoe?e. Iniaenoi aaoi?ii aeeiiaii e?oa?aoo?iee oa iaoaioiee
iiooe, ?ic?iaeo a?o?aiiai iaoa??aeo – 264 (100%) ?noi??? oai?ia. A?ey
90% aenia?eiaioaeueieo aeine?aeaeaiue c aea/aiiy aeanoeainoae ni?aaioo
i?e ?io?aieaa?aeueiiio eiai aaaaeaii? aeine?aeiei oaa?eiai aeeiiaii ca
o/anoth caeiaoaa/a. Aaoi?ii iniaenoi i?iaaaeaii ianoaaeaiiy oa e?eoaaiiy
oai?eo iniiaii? oa eiio?ieueii? a?oi, aea/aii a?aeaeaeai? ?acoeueoaoe.
Iniaenoi i?aeaioiaeaii aei ae?oeo noaoo?, oace, ee?i?/io /anoeio cayaee
ia io?eiaiiy iaoaio?a oa aaoi?aoa?ao.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iaoa??aee ii oai?
aeena?oaoe?? aeeeaaeaii ia ? ? ?? c’?caeao oo?c?ao??a ? ioeueiiiieia?a
Oe?a?ie (A?iieoey, 1993; Ee?a, 1998); ia iaoeiai-i?aeoe/i?e
eiioa?aioe??, i?enay/ai?e 75-??/iiio tha?eath EAe?OE (Ee?a, 1993); ia
iaoeiai-i?aeoe/i?e eiioa?aioe?? a/aieo EAe?OE ii cae?i/aieo oa
ia?ao?aeieo oaiao iaoeiai-aeine?aeieo ?ia?o (Ee?a, 1995); ia ia?o?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “A?ini?aoe?ei? iaoiaee ? i?aia?aoe a
i?io?eaeoe/i?e oa e?eoaaeuei?e i?aeoeoe?” (Ee?a,1997).

Ioae?eaoe??. Ii oai? aeena?oaoe?? iioae?eiaaii 12 iaoeiaeo i?aoeue, c
yeeo 3 noaoo? a aeo?iaeao, 3 o oacao c’?cae?a, eiia?an?a ? eiioa?aioe?e,
2 a ca??ieeao iaoeiaeo i?aoeue, 4 iaoaioe.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny ?c anooio, 4
?icae?e?a, caeeth/aiiy, aeniiae?a ? nieneo aeei?enoaieo aeaea?ae (108
i?aoeue a?o/eciyieo ? 43 ?iicaiieo aaoi??a). Aeena?oaoe?y aeeeaaeaia ia
149 noi??ieao iaoeiiieniiai oaenoo, ?ethno?iaaia 30 oaaeeoeyie oa 13
?enoieaie.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Cai?iiiiiaaia iaie aeeth/aiiy
ni?aoe?eii? aeaoieneeaoe?? o eiiieaen o?aaeeoe?eiiai e?eoaaiiy ae?oae,
oai?eo ia aino?o aeano?oeoeaio iiaaiii?th (AAeI), iaoiiaeei ?aoaeueiee
i?aeo?ae aei aeai?o aeania ni?aoe?eiiai iaoa??aeo. sse ni?aaio iaie
ia?aii aii?oiee aenieiaeenia?niee e?aiiacai (AAeE) Neeea?ae I, ui
aeionea?oueny o aeaeyae? ii?ioeo Eaeonueeei
aeine?aeii-aenia?eiaioaeueiei caaiaeii IIOE “O?i?y iiaa?oi?” oa
aeicaieaiee aeey canoinoaaiiy o iaaee/i?e i?aeoeoe? oa?iaeiiaeiith
noaooath OON 42O-42-94, caoaa?aeaeaiith Oa?iaeiiaeiei eii?oaoii IIC
Oe?a?ie 14.03.94 ?.; iaeacii IIC Oe?a?ie ? 19 a?ae 31.05.95 ?.;
?ino?oeoe??th ii aeei?enoaiith Neeea?aeo I. ?a?no?aoe?eiee ? 95/ 19/ 2.

Oeae ni?aaio oa?aeoa?eco?oueny aenieei nooiaiai /enoioe – ai?no SiO2 ia
iaio 99,9%. Ai?no aeii?oie ieneae?a aethi?i?th, oeoaio ? cae?ca – ia
a?eueoa i?ae 0,05, 0,02 ? 0,003%, a?aeiia?aeii. Ianeiia iana 40-60 a/e;
ieoiia iiaa?oiy 300 i2/a; ia?aeii? /anoee iathoue ae?aiao? 9 -10 ii.
Eiioeaio?aoe?y neeaiieueieo a?oi, ye? ? aieiaieie ni?aoe?eieie
oeaio?aie, noaiiaeoue 0,7-0,8 iiieue/a; caaaeueiee ai?no aiaee ia
iiaa?oi? ni?aaioo neeaaea? 3-4%.

Aea/aiiy iaoeiaeeeainoi ni?aaioo aeeiioaaeinue c o?aooaaiiyi ?nioth/eo
aeiia IIC Oe?a?ie aei ?ic?iaee iiaeo e?ea?nueeeo cania?a. O?eaae?noue
aeine?aeaeaiiy ? caai?o iaoa?iaeo aoee coiiaeai? aeiiaaie aenia?eiaioo,
a?aeiia?aeaee ?aeiiaiaeaoe?yi GLP.

Ine?eueee ?io?aieaa?aeueia ni?aoe?eia aeaoieneeaoe?y (?INAe) ia?aaeaa/a?
aaaaeaiiy ni?aaioo a ieaa?aeueio ii?iaeieio, iaei cia/aiiy aea/aiiy eiai
aei? a aino?iio oa o?iii/iiio aenia?eiaioao ia oaa?eiao a eiie?aoieo
oiiaao.

A?aoiaoth/e oa, ui iieai ee?i?/iiai ao?o/aiiy ? i?aaie aeeoaiiy,
iaa?oioiaaiei ? aea?? aaaaeaiiy ni?aaioo o oi?i? noniaic??. Ia a?aei?io
a?ae iienaieo o e?oa?aoo?? noniaic?e Neeea?aeo I, iaie c aeei?enoaiiyi
aioaea?nueeiai iaeaaeiaiiy cacaeaeaa?aeue aiooaaeeny noaa?e?ciaai?
aiaei? noniaic?? c ??cieie eiioeaio?aoe?yie ni?aaioo, ye? iathoue aenieo
naaeeiaioaoe?eio no?ee?noue oa caa??aathoue noaa?eueio aaeni?aoe?eio
caeaoi?noue i?ioyaii o?eaaeiai /ano. Noaa?e?ciaai? noniaic?? Neeea?aeo I
oa?aeoa?ecothoueny aenieei nooiaiai aeenia?niino? ? iaeii??aeiino? –
98-99% /anoie oaa?aei? oace iathoue ?ici?? 20-30 ii. Iaeneiaeueia
aaeni?aoe?y ae/iai ne?iaaoeiaiai aeueaoi?io i?e ?I 4,8-5,0 noaiiaeoue
550-640 ia/a ye aeey na?aeiaeaioiaeaieo noniaic?e, oae ? aeey oeo, ui
caa??aaeeny i?ioyaii e?eueeio ?ie?a. Noa?eeueiee e?ea?nueeee can?a
aaiaeeany ?io?aieaa?aeueii. Aecia/aii, ui aaeni?aoe?eia ??aiiaaaa
anoaiiaeth?oueny oaeoe/ii o ia?o? 5 -10 oa., ui aiai?eoue i?i aenieo
oaeaee?noue aaeni?aoe?? a?eeo.

Aeineiaee i?iaaaeaii ia 350 aieeo uo?ao eiii? Ainoa?, iaio noaoae,
ianith oiea 180,0 – 250,0 a., 150 ieoao, ianith 20,13,3 a., oa 10
aacii?iaeieo eioao, yei oo?eioaaeenue a oiiaao noaiaea?oiiai
eaai?aoi?iiai oo?eiaiiy oa ?aoeiiio.

A ?iaioi aeei?enoaii noaiaea?oii oa?iaeieiai/ii, oieneeieiai/ii,
iioiieiai/ii, oiceei-oiii/ii, iaoiii?oieiai/ii oa ii. iaoiaee
aeineiaeaeaiue.

I?iaaaeaii aeineiaeaeaiiy caaaeueii-oa?iaeieiai/ii? aei? oa
?ioiioiene/iino? i?aia?aoo i?e ?io?aieaa?aeueiiio aaaaeaii? a ?icieo
eiioeaio?aoeiyo oa aeniiceoe?yo c aea/aiiyi ciii iiaaaeiiee,
aei?caeaoiinoi, noaio i?aaiia aeeoaiiy, na?oeaai? aeiyeueiinoi, ciiie
na/iaeaeieaiiy, aeaoaeaoei?, iniiaieo iieacieeia ia?eoa?e/ii? e?iai oa
ii.

Ee?i?/i? aeine?aeaeaiiy iieaciee?a ia?aa?ao ? e?eoaaiiy oneeaaeiaieo
oi?i aino?i? aeano?oeoeaii? iiaaiii?? o ae?oae aeeiiaii ia aeaio a?oiao
oai?eo aeioae. Caaaeueia eieueeinoue niinoa?aaeaiue neeaea 264 oai?eo.
On? oai?? io?eioaaee eiiieaenia o?aaeeoe?eia e?eoaaiiy, 62 oai?ei a
o?aaeeoe?eio noaio e?eoaaiiy aeeth/aee iaoiae ?INAe.

Oai?ei i?iaiaeeeenue eeiii/ii, ?aioaaiieiai/ii, ooieoe?iiaeuei?,
aaeoa?iieiai/ii, oeeoieiai/ii, iioiieiai/ii, caaaeueiieaai?aoi?i? oa
?ino?oiaioaeuei? aeineiaeaeaiiy.

Ani io?eiaii a oiaei aenia?eiaioo oa ee?i?/iiai aei?iaiaoaaiiy
?acoeueoaoe a?oioaaeenue, caiaeeeenue o oaaeeoei oa noaoenoe/ii
ia?iaeyeenue ia i?i?AII ca i?ia?aiaie JDIF i OE?.

?acoeueoaoe aenia?eiaioaeueiiai aea/aiiy aieeao ni?aaioo ia aeayei
iaaeeei-aiieiai/ii iieacieee caei?ia’y eaai?aoi?ieo oaa?ei i?e
?io?aieaa?aeueiiio aaaaeaii?. Aiae?c o?c?ieia?/ieo eieeaaiue iieaciee?a
ii?oieia?/iiai neeaaeo ia?eoa?e/ii? e?ia?, o?eaaeino? aaenaiaeiaiai nio,
cia/aiiy noiaoe?eii-ii?iaiaiai iieacieea, noaio na?oeaai? ae?yeueiino?
(e?euee?noue na?oeaaeo nei?i/aiue ia oaeeeio) na?ae/eoue, ui ?aaeoe?y
i?aai?cio oaa?ei ??cieo aeae?a ia aioo??oiueiieaa?aeueia oa ia?i?aeueia
aaaaeaiiy ni?aaioo ia iiaea ?icaeyaeaoenue ye iaoieia?/ia.

Aecia/aii, ui a caeaaeiino? a?ae e?eueeino? ni?aaioo, aaaaeaiiai o
ieaa?aeueio ii?iaeieio, e?euee?noue a?aeniieoaii? ??aeeie c e?ea?nueeei
caniaii caeaaeaea a?ae oa?i?io ciaoiaeaeaiiy noniaic?? a ieaa?aeuei?e
ii?iaeiei?. Aenia?eiaioaeueii anoaiiaeaii, ui iioeiaeueia aeniiceoe?y
ciaoiaeaeaiiy ??aeeie c e?ea?nueeei caniaii o ieaa?aeuei?e ii?iaeiei?
neeaaea? 5-10 oaeeei.

Aeai? aenia?eiaioaeueiiai aea/aiiy ae?? ni?aaioo i?aeoaa?aeaeaii
iaoiii?oieia?/ieie aeine?aeaeaiiyie. Aaaaeaiiy noniaic?? AAeE a
ieaa?aeueio ii?iaeieio o noaoiene/ieo aeicao ia aeeeeea? no?oeoo?ieo
ci?i na?oeaai-noaeeiii?, eaaaiaai?, na/i-noaoaai? nenoai. Ia aeyaeaii
iaoieia?/ieo ci?i o ia/?ioe?, ie?eao, naeac?ioe?, iaaeie?eiaeo caeicao.
I?e aeic? 5 ia/ea ia niinoa??aaeiny cia/ieo a?aei?iiinoae o no?oeoo??
ieaa?e a ii??aiyii? c ?ioaeoieie uo?aie. Ci?ie o ieaa?? iaee
aeicicaeaaeiee aoaeo ae??.

Iaa?oiooaaiiy iiaeeeainoi canoinoaaiiy iio?aieaa?aeueii? ni?aoeieii?
aeaoieneeaoei? i?e eieoaaiii aiieii-caiaeueieo caoai?thaaiue i?aaiia
aeeoaiiy. Aeiaaaeaia iaoe?aeeea?noue canoinoaaiiy ni?aaioo o
iiaeaeueiiio aenia?eiaio?, oa oi?eaeuei? aeanoeaino? eiai
(iaeii??aei?noue, oa?i?/ia, a?ieia?/ia, o?i?/ia oa ?aae?aoe?eia
no?ee?noue) caaacia/othoue iiaeeea?noue canoinoaaiiy ni?aaioo o
iaaee/i?e i?aeoeoe?. AAeE oa?aeoa?eco?oueny aenieith ni?aoe?eiith
?ii?noth ii a?aeiioaiith aei a?ee?a – 500-700 ia/a ? i?e?ia?a – 108-1010
i?e?iaieo o?e/a, iacaeaaeii a?ae ?o aeaeiai? iaeaaeiino?, oe?ieei
aaeni?aoe?eiei niaeo?ii. Aaeni?aoe?y a?ee?a (aeueaoi?ie, aeiaoe?ie,
?ioiiaeiaoe?ie); oa?iaio?a (iainei, ai?eaca, o?einei, eaoaeaca);
ai?iieeneio oa ?ioeo niieoe ia? i?noea a oe?ieiio ?ioa?aae? pH (a?ae 2
aei 8), ui ioiieth? ? o?c?ieia?/iee ae?aiacii. Iaeneiaeuei?e aaeni?aoe??
a?aeiia?aea? pH=6,4. Iniioe/ia aeoeai?noue aenieiaeenia?niiai e?aiiacaio
neeaaea? 500% (Aeea? ?., 1982).

Ca?aeii c e?oa?aoo?ieie aeaieie i?aia?aoe ia iniia? aii?oiiai AAeE
aeyaeythoue aenieo aoaeoeai?noue i?e ?o aeei?enoaii? o eiiieaeniiio
e?eoaaii? ai?eii-caiaeueieo, ?ioaeoe?eieo, iieieia?/ieo ? aeayeeo ?ioeo
caoai?thaaiue, aeia?a ia?aiinyoueny oai?eie, i?e ?o canoinoaaii? ia
niinoa??aaeinue aea?a?/ieo ?aaeoe?e, iia?/ieo yaeu oa oneeaaeiaiue.

Iaa?oiooaaiiy oa ii?aoethaaiiy iaoiaeeee iio?aieaa?aeueii? ni?aoeieii?
aeaoieneeaoei?, aecia/aiiy iioeiaeueii? eiioeaio?aoei? ni?aaioo,
aeniiceoei? oa oi?ie eiai canoinoaaiiy. Ii?iaithth/e aeineiaeii oa
eiio?ieueii aenia?eiaioe, iaie aoei anoaiiaeaii, ui aeey IINAe
iioeiaeueiith ? 0,5%-a noaa?e?ciaaia noniaic?y aenieiaeenia?niiai
aii?oiiai e?aiiacaio, a aeniiceoe?y – 4-5 oaeeei ia?aaoaaiiy noniaici? o
ii?iaeieii ieaa?e i?e iaeii?aciaiio aaaaeaiii.

Iaoiaeeea ?INAe aeeth/a?:

1. Aaaaoi?aciaa o?aeoe?eia i?iieaaiiy ai?eiiai aiaieua ?ic/eiii
aioenaioeeo (oo?aoeee?i 1:5000, a?oo?ai, o?eoo?ai, 0,02% ?ic/ei
oei?aaeneae?io a?aetheiiaoo oa ?i.) aei io?eiaiiy i?iieaii? ??aeeie,
?aeaioe/ii? ca eieuei?ii oa eiinenoaioe??th o?e, ui aaiaeeeanue.

2. Aioo??oiueiii?iaeieiio (ii?iaeieia ieaa?e) aianoac?th 0,25% – 0,5%
?ic/eiii iiaiea?io aai ?ioei i?noeaaei aianoaoeeii, yeee aaiaeeoueny
/a?ac ae?aiaae o a?eia?e aeic? oa c aeniiceoe??th a 5 – 10 oaeeei.

3. Uiaeaiia iaeii-, aeai?aciaa o?aeoe?eia i?iieaaiiy ai?eiiai aiaieua
0,5%-th noniaic??th ni?aaioo c aeniiceoe??th a 3 – 5 oaeeei.

4. Iiaoi?ia o?aeoe?eia i?iieaaiiy ii?iaeieie ?ic/eiii aioenaioeeo aei
/enoi? i?iieaii? ??aeeie c iaoith aeieaaiiy niieoe „ni?aaio –
iaoieia?/iee noano?ao”.

Iieacaiiy oa i?ioeiieacaiiy aeey canoinoaaiiy iaoiaeo iio?aieaa?aeueii?
ni?aoeieii? aeaoieneeaoei?. Iieacaiiyi aeey canoinoaaiiy iaoiaeo IINAe ?
iayaiinoue aiieii-aeano?oeoeaiiai i?ioeano a eaaaiyo oa eiai
oneeaaeiaiue o aeaeyaei aanoeano eaaaiue, i?ioi?aeno (IiO) ?
i?iiiaaiioi?aeno (IIO).

I?iaaaeaiiy IINAe i?ioeiieacaia i?e aiia?oa?ii/ieo noaiao;
iaaaeaeaaoiiio ae?aioaaiii aiieiiai aiaieua; iacaaeiaieueiiio
ooieoeiiioaaiii ae?aiaaeo (-ia); aiaenooiinoi iiaeeeainoi aeoeaii?
anii?aoei? aiinoo aiieii? ii?iaeieie oa i?iieaii? ?iaeeie.

?aoaeueia i?iaaaeaiiy naainia aeicaiey? aeaeaeeoe c aiaieua iioaeoei?
iaeneiaeueio eieueeinoue iie?iaieo oie, oieneiia, oa?iaioia oa iioeo
aa?aneaieo ?a/iaei, a ei?ioeee oa?iii cieceoe oaii ?o ?aci?aoei?, a
c?aooith – ia?a?aaoe iaoieiai/io eaieo.

Iieacieeaie aeey aiaeiiie iaoiaeo i?aaeee: aiaenooiinoue aenoaeaoei?,
ii?iaeicaoeiy aiioiii/ieo oa oeeoieiai/ieo iieacieeia caiaeueiiai
i?ioeano a i?iieaiie ?iaeeii c aiaieua iioaeoei?, cieaeaiiy oaiia?aoo?e
oiea aei noaoaa?eeueieo cia/aiue, iiceoeaia aeeiaiiea ?aioaaiieiai/ii?
ea?oeie oa eaai?aoi?ieo iieacieeia e?iai, eeiii/ia iieiioaiiy noaio
oai?iai.

Eeiii/ia ioeiiea aoaeoeaiinoi canoinoaaiiy ?io?aieaa?aeueii? ni?aoe?eii?
aeaoieneeaoe??. Ca a?n?i ?ie?a ?iaioe Ee?anueeiai IIOe „Oi?aeaeueia
o??o?a?y oa ioeueiiiieia?y” aei ??cieo oi?i aino?i? aaeoa??aeueii?
aeano?oeoe?? eaaaiue iaeaaeaei a?eueoa 8% caa?iaiue ca i?io?eueiith
iaaee/iith aeiiiiiaith, c yeeo 46,3% neeaaeaee oai?? c i?i- oa
i?iiiaaiioi?aenii. Na?aae oai?eo ia?aaaaeaee ae?oe o a?oe? aei o?ueio
?ie?a (57,2%), oaae. 1.

Aeaia?/ia o?aaeaiiy eaaai?a niinoa??aaeinue o 140 (53%) iaoe??io?a, c
yeeo 3,8% aini?oae?ciaai? o ae?ae aaaeeiio noai?. Aaaee?noue noaio
iaoiiaethaaeanue ae?aci?noth yaeu aino?i? aeeoaeueii? iaaeinoaoiino?,
aiaeioieneeico, ii?ooaiiyie ooieoe?iiaeueiiai noaio ??cieo i?aai?a ?
nenoai oa oa?aeoa?ii ooeiaeaeaiiy eaaaiue.

Na?aae aini?oae?ciaaieo a ee?i?eo ae?oae c AAeI ia?aaaaeaee iaoe??ioe, o
yeeo a aiaiiac? ?a?no?oaaeenue /ano? A?A?, caiaeaiiy eaaaiue, yaeua
aenoaeaoeaii-eaoa?aeueiiai ae?aoaco, ?ao?o, a?iio?io?y.

Oaaeeoey 1

?iciiae?e ae?oae, oai?eo ia aino?o aeano?oeoeaio iiaaiii?th, ca noaooth
? a?eii

?ieeniinoa-?aaeaiueE?eue-e?noueoai?eoNoaoueA?eoeii.ae?a/.aei

3 i?n.3-6

i?n.6-12i?n.1-3?iee3-5?ie?a5-7?ie?a7-14?ie?a1990452322004251024199149262
300227122519923314190121112341993451728102237391994241014003130261995211
38010121431996201640028316199727151200212634?acii:2641341301217131512141
%10050,849,20,40,86,449,619,38,015,5A?eueo?noue nea?a o ae?oae
iaoiiaeaia neiae?iiii aiaeiaaiii? ?ioieneeaoe??, ui aeiee ia oii?
ai?eii-naioe/iiai i?ioeano. Ae?aaiinoeea caoai?thaaiiy o ae?oae
a?oiooaaeany ia aeine?aeaeaii? ee?i?/ii? neiioiiaoeee, ?aioaaiieia?/ieo
aeaieo, eaai?aoi?ieo oa niaoe?aeueieo (a?iioineii?y, oi?aeineii?y,
ieaa?aeueia ioieoe?y) iaoiaeao aeine?aeaeaiiy. Aieiaiei ae?aaiinoe/iei
iaoiaeii ? ?aioaaiieia?/ia aeine?aeaeaiiy, yea i?iaiaeeoueny o
aa?oeeaeueiiio iieiaeaii? a aeaio i?iaeoe?yo oa aecia/a?
?iciianthaeaeai?noue i?ioeano oa oa?aeoa? ooeiaeaeaiiy eaaaiue.
Caeaa?eueoiai i?ioeane iaa?aeeeaaeii? ae?aaiinoeee oa ?ioaineaii?
oa?ai?? AAeI o ae?oae i?iaiaeyoueny iaeii/anii. I?e neiae?ii?
aioo??oiueiieaa?aeueiiai iai?oaeaiiy i?ney oa?i?iiai?
e?eoaaeueii-ae?aaiinoe/ii? ioieoe?? oa ae?aioaaiiy ieaa?aeueii?
ii?iaeieie i?iaiaeyoue eaoaoa?ecaoe?th i?aeaeoaeeiai? aaie ia noi?ii?
a?eueoiai ooeiaeaeaiiy eaaaiue c iaoith caaacia/aiiy ?ioaineaii?
oa?ai??. O aeiaaeeo, eiee i?aaaeththoue yaeua aino?i? aeeoaeueii?
iaaeinoaoiino? oa aiaeiaaiii? ?ioieneeaoe??, nii/aoeo i?iaiaeyoueny
ae?aaiinoe/i? caoiaee, caaacia/o?oueny aaiiciee aeinooi /a?ac
oeaio?aeueio noaeeio, a iio?i i?iaiaeyoueny ioieoe?y oa ae?aioaaiiy
ai?eiiai aiaieua.

I?ia?aeia i?noea a ao?ieia?? AAeI a?ae?a?a? noao?eieie, yeee aen?aaany o
27,6% aeiaaee?a, oa anioe?aoe?? eiai c a?aiiaaaoeaiith oei?ith. A
caeaaeiino? a?ae i?noey caai?o iaee i?noea e?euee?ni? eieeaaiiy
a?aiiiceoeaii? oa a?aiiaaaoeaii? i?e?ioei?e. Iaeiae caaaeueiith
caeiiii??i?noth ne?ae aaaaeaoe c?inoaiiy aianeo a?aiiaaaoeaii?
i?e?ioei?e o ?icaeoie AAeI o ae?oae. Iiaia ?acenoaioi?noue aeyaeaia o
31,7% aeiaaee?a. Oea iaei i?aeoe/ia cia/aiiy a ieai? i?aeai?o
aioea?ioee?a. A?aeiia?aeii aei i?iaiae?ciaaiieo aioea?ioeeia?ai
iaea?eueo aoaeoeaiei aeyaeany aaioai?oeei (28,5%).

Caaaeueia noaia o?aaeeoe?eiiai e?eoaaiiy oneeaaeiaieo oi?i aino?i?
aeano?oeoeaii? iiaaiii?? ia?aaeaa/a?: aieea ia ai?eia aiaieua ca
aeiiiiiaith iaoiae?a iaei? o??o?a?? (ioieoe??, i?e?i-, iiii-,
aaaaoi?acia? ae?aioaaiiy, oi?aeineii?y) c iaeii/aniith oa ianooiiith
naiaoe??th ai?eiiai aiaieua; ?aoe?iiaeueio aioea?ioeeioa?ai?th;
?iooc?eio oa?ai?th, ni?yiiaaio ia aeac?ioieneeaoe?th,
aeanainea?e?caoe?th, ei?aeoe?th aiaeii-aeaeo?ie?oiiai iai?io;
?ioiiiiaeoethth/o oa?ai?th; onoiaiiy a?iioiiano?oeoeaieo yaeu oa
iineiae?iiio oa?ai?th.

Canoinoaaiiy o?aaeeoeieii? noaie eieoaaiiy AAeI o aeioae aeicaieeei
aeinyaoe ciaioaiiy a?aenioeo o?ii?caoe?? oa eaoaeueiino?. ?acii c oei
cia/iee oa?iii eieoaaiiy oai?eo (aei 40 aeia ia?aaoaaiiy a eiea?ii)
iaoiiaethaaa nooo?ai aeiiiii/ii aeo?aoe. Ana oea niiioeaei aei
oaeineiiaeaiiy iaoiaeia aieeao ia iaeio c iioe?aieo iaoieiaie aeeoy/i?
ioeueiiiieiai?.

Ii/eiath/e c 1991 ?ieo, c iaoith naiaoe?? ai?eieo aiaieu oa i?ioeae??
?icaeoeo oienai??, a?aei?aoeueiaaii oa ai?iaaaeaeaii a ee?i?/io i?aeoeeo
iaoiae ?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe??, yeee canoiniaaii
i?e eieoaaiii 62 oai?eo AAeI, oneeaaeiaiith IiO o 35 i IIO o 27 oai?eo.

C iaoith aea/aiiy aoaeoeaiinoi iaoiaeo IINAe i?e eieoaaiii oai?eo
oneeaaeiaieie oi?iaie AAeI i?iaaaeaii ii?iaiyeueiee aiaeic eeiii/iiai
ia?aaiao oa ianeiaeeia caoai?thaaiiy a aeaio a?oiao oai?eo, aiaeiai/ieo
ca eieueeiniei oa a?eiaei neeaaeii, aaaee?noth ia?aaiao caoai?thaaiiy,
oa?aeoa?ii oneeaaeiaiue oa ia’?iii o?aaeaiiy, a oaeiae ia’?iii aaceniiai
caaaeueiiai oa iinoeaaiai eieoaaiiy. A eiaeio c oeeo a?oi aeeth/aii ii
25 oai?eo, yei i?ieoee iiaiee eo?n ianoaaeaiiy. Oai?i iaio a?oi ca
oa?aeoa?ii eaaaiaai-ieaa?aeueieo oneeaaeiaiue iiaeieaii ia aeai
iiaea?oie: oai?i c AAeI, oneeaaeiaiith IiO, oa oai?i, o yeeo AAeI
oneeaaeieeanue IIO, oaae. 2.

A a?oi? oai?eo, noaia o?aaeeoe?eiiai e?eoaaiiy yei? aeeth/aea iaoiae
?INAe, i?iaaaeaii 208 naainia. O iiaea?oii oai?eo c IiO i?iaaaeaii 55
naainia, a iiaea?oii c IIO 153 naaine. Eieueeinoue naainia ia iaeiiai
oai?iai a oeeo iiaea?oiao neeaea aiaeiiaiaeii 5,0 oa 11,0, a a
na?aaeiueiio 8,3 naaina.

Oa?iii naiaoe?? ? cae?eooy ai?eieo aiaienuee ? iaeaieueo iai/iei
iieacieeii aoaeoeaiinoi iaoiaeo IINAe ? aeaiiino?o?oueny oaeeie aeaieie.
Naiaoe?y ? cae?eooy aiieieo aiaienuee o oai?eo c IiO caeienithaaeinue a
na?aaeiueiio 10,4 aeiae. A a?oii oai?eo ye?e ia i?iaiaeeeanue ?INAe oeae
iieaciee neeaa 17,6 aeiae, ui ia 7,2 aeiae aieueoa. A oeie aea a?oii c
IIO oa?iii naiaoe?? ? cae?eooy aoa aieueoee ia 4,3 aeiae.

Oaaeeoey 2

Na?aaei? iieacieee ?acoeueoao?a e?eoaaiiy oai?eo aino?ith

aeano?oeoeaiith iiaaiii??th

Iieacieee

(e?euee?noue aei?a)Iniiaia a?oiaEiio?ieueia a?oiaOa?aeoa?
oneeaaeiaiueOa?aeoa?
oneeaaeiaiueI?OIIOcaaaeiiI?OIIOcaaaeiiN=11N=14N=25N=11N=14N=25E?euee?nou
e e?aeei-aei?a28,039,6434,5234,2149,1840,80Oa?i?i
naiaoe??10,3630,6421,7217,6434,9125,24Oa?i?i ?ioaineaii?
oa?ai??10,3613,2912,0012,2114,8213,36Oa?i?i ii?iae?caoe??
oaiia?aoo?e11,1819,6415,9216,4022,3618,88Oa?i?i ii?iae?caoe?? iieaciee?a
e?ia? (eaeeioeeoe, OIA)18,3629,6424,6824,7932,0027,96Oa?i?i cae?eooy
AIN-17,6417,64-23,9223,92

Io?eiaii aeaii aeacothoue, ui iaoiae IINAe iaeaieueo aoaeoeaiee o oai?eo
c AAeI, oneeaaeiaiith IiO. Iaioa aoaeoeaiinoue iaoiaeo o oai?eo c IIO
aeeeeeaea caieueoaiiy eieueeinoi naainia IINAe a 2,8 ?ace i aoea
iaoiiaeaia aanoeaaeoaaiiyi i iayaiinoth a?iioiieaa?aeueieo niieo/aiue
(AIN), yei i?aeo?eioaaee iinoieia ?aiioaeoaaiiy ieaa?aeueii? ii?iaeieie.
Iayaiinoue AIN caieueooaaea oa?iii naiaoe?? aiieieo aiaienuee a
eiio?ieueiie a?oii a 2 ?ace, a a iniiaiie – a 3 ?ace.

Iacaaaeath/e ia oa, ui AIN ciaioothoue aoaeoeaiinoue iaoiaeo IINAe,
canoinoaaiiy eiai a oeeo aeiaaeeao aeicaieeei cia/iith ii?ith nei?ioeoe
oa?iii ?o cae?eooy. Oae, a a?oii oai?eo yeei i?iaiaeeeanue ?INAe
na?aaeiie oa?iii cae?eooy AIN neeaa 17,6 aeiae, ui ia 6,3 aeiae iaioa
iiae o a?oii aac ?INAe.

Aoaeoeaiinoue iaoiaeo IINAe iiaeoaa?aeaeo?oueny oaeiae nei?i/aiiyi
oa?iiio i?iaaaeaiiy iioaineaii? iioocieii? oa?aii? oa ia?aaoaaiiy
oai?iai a noaoeiiia?i a na?aaeiueiio ia 6,3 eiaeei-aeiia.

Canoinoaaiiy iaoiaeo IINAe aeicaieeei oaeiae ciaioeoe eieueeinoue
iiaoi?ieo ae?aioaaiue. Iieacaiiyie aeey aaaaoi?aciaeo ae?aioaaiue aoee
?aaanoeaaeoaaiiy, ieaioo/aiiy aiieieo ii?iaeiei, o?eaaea ia?ici?aaeaiiy
eaaaii, iaoiiaeaia ?iciianthaeaeaiei ceo/iei i?ioeanii a ieaa?aeueiie
ii?iaeieii. A a?oii c ?INAe iiaoi?i? ae?aioaaiiy aeeiiai? o 4, aac ?INAe
– o 9 oai?eo. Ciaioaiiy eieueeinoi iiaoi?ieo ae?aioaaiue a a?oii c ?INAe
ie iiynith?ii aeai?ioaiiicoth/ith oa i?ioecaiaeueiith aei?th ni?aaioo.
Caaaeyee aenie?e ni?aoeiei?e ?iiino? ii aiaeiioaiith aei aieeia i aiaee,
aii ni?iiiaeiee o ei?ioeee oa?i?i ciaioeoe iaa?ye oeaiei o aiaieu?
caiaeaiiy i aeaeaeeoe aaeeeo eieueeinoue aieeiaeo ?a/iaei ic ai?eiiai
aiaieua, eieaiaeoth/e oeei oiiae aeey ?icaeoeo ceo/iiai i?ioeano oa
?aaanoeaaeoaaiiy.

Eeiii/ia aoaeoeaiinoue iaoiaeo IINAe a eiiieaeniie oa?aii? oai?eo
oneeaaeiaieie oi?iaie AAeI aoea iiaeoaa?aeaeaia iieacieeaie
ooieoeiiiaeueii? aeoeaiinoi oaaioeeoia, iioa?oa?iiiaiai noaoono, oaeoi?o
iae?ico iooeeie oa iioa?eaeeiio-2. ?iaii aaeoa?eoeeaeii? aeoeaiinoi
(niiioaiiee oa noeioeueiaaiee INO-oano) iiiioeeoia i iaeo?ioieia, yei
aecia/athoueny ca ooieoeiiiaeueiei ?aca?aii, ?icei c?inoaee iiney
i?iaaaeaiiy IINAe. Ii?iaeicoaaeanue oaeiae i oaaioeeoa?ia ooieoeiy.
Iniaeeai oea oa?aeoa?ii aeey iaeo?ioieueieo a?aioeioeeoia. I?iaaaeaii
aeineiaeaeaiiy ia?aeiiothoue, ui canoinoaaiiy IINAe ? iiceoeaiei o
iai?yii aieeao ia niaoeeoi/ii i ianiaoeeoi/ii iieacieee iioiieiai/ii?
?aaeoeaiinoi i?aaiicio aeioae.

Oaeei /eiii, aeeth/aiiy ni?aaioo o eiiieaen o?aaeeoe?eiiai e?eoaaiiy
oneeaaeiaieo oi?i aino?i? aeano?oeoeaii? iiaaiii?? o ae?oae ni?eyei
aieueo oaeaeeiio cieeiaiith eeiii/ieo i?iyaia iioieneeaoei?, aino?i?
aeeoaeueii? iaaeinoaoiino?, aaiiaeeiaii/ieo ii?ooaiue. IINAe aeicaieeea
i?aeaeueoe ye?noue e?eoaaiiy oai?eo iniiaii? a?oie i?e nooo?aiio
nei?i/aii? eiai oa?i?io, iiia?aaeeoe ?icaeoie aaaeeeo oneeaaeiaiue oa
a?aeaeaeaieo iaaaoeaieo iane?aee?a. Oaeineiiaeaiee iaoiae ia? ii?yae c
ee?i?/ieie cia/i? aeiiii?/i? ia?aaaae. Io?eiai? ?acoeueoaoe ?
e?eoa??aeueiith iciaeith aeineiiaeino? oa ia?niaeoeaiino? ai?iaaaeaeaiiy
iaoiaeo ?INAe a ee?i?/io i?aeoeeo. Oeae iaoiae ? iiaei iaoeiaei
iai?yieii iiaeaeueoiai ?icaeoeo aeine?aeaeaiue ni?aoe?eii?
aeaoieneeaoe?? a ai?ei?e oi?aeaeuei?e o??o?a??.

Aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe e?eoaaiiy. A ?acoeueoao?
canoinoaaiiy oaeineiiaeaiiai iaoiaeii ?INAe eiiieaeniiai e?eoaaiiy
oneeaaeiaieo oi?i AAeI o ae?oae on? oai?? aeienai? a caaeia?eueiiio
noai?, iacaaaeath/e ia oa?i?ie aini?oae?caoe?? (o a?eueoino? aeiaaee?a –
i?ci?), oi?io o?aaeaiiy eaaaiue oa aeae oneeaaeiaiue. ?acoeueoaoe
e?eoaaiiy ioe?iai? ye aeia??. Aeiaaeeia eaoaeueiiai ia?aaiao AAeI ia
niinoa?iaaeinue. Io?eiai? aeai? uiaei a?aeaeaeaieo iane?aee?a
aeicaieythoue iaa?oioiaaii ae?eoe oaeiai aeniiaeo: ae?oe, ye?
ia?aoai??ee oneeaaeiaieie oi?iaie aino?i? aeano?oeoeaii? iiaaiii??
aeia?a i?aeaeathoueny ?aaa?e?oaoe??.

A E N I I A E E

1. Aino?a aeano?oeoeaia iiaaiii?y o ae?oae ? aaaeeei ai?eii-naioe/iei
caoai?thaaiiyi, ae?aaiinoeea yeiai aaco?oueny ia ee?i?/ieo,
?aioaaiieia?/ieo oa ?ino?oiaioaeueieo iaoiaeao aeine?aeaeaiiy.
Canoinoaaiiy o?aaeeoe?eii? noaie e?eoaaiiy aeicaiey? io?eiaoe oi?io?
?acoeueoaoe. ?acii c oei, caniae aieeao ia i?noeaa? aiaieua ?ioaeoe??
aeiaaathoue iiaeaeueoiai oaeineiiaeaiiy. Iaie cai?iiiiiaaii, ?ic?iaeaii
oa ai?iaaaeaeaii o ee?i?/io i?aeoeeo iiaee iaoiae aieeao
(?io?aieaa?aeueia ni?aoe?eia aeaoieneeaoe?y) ia ai?ei? aiaieua i?e
e?eoaaii? oneeaaeiaieo oi?i aino?i? aeano?oeoeaii? iiaaiii?? o ae?oae c
iaoith caiia?aaiiy oa onoiaiiy yaeu oienai??.

2. I?iaaaeaii aenia?eiaioaeuei? aeine?aeaeaiiy ae?? ni?aaioo ia
eaai?aoi?ieo oaa?eiao, ye? aeiaaee iiaeeea?noue canoinoaaiiy eiai ye
e?ea?nueeiai caniao aeey ?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe??.

3. Aeine?aeaeaiiyie i?ioean?a ?aa?an?? ee?i?/ieo i?iya?a ?ioieneeaoe??
anoaiiaeaii, ui ?io?aieaa?aeueia ni?aoe?eia aeaoieneeaoe?y c
aeei?enoaiiyi aenieiaeenia?niiai e?aiiacaio aaciina?aaeiuei o ai?eiiio
aiaieu? aeicaiey? ia?a?aaoe iaoiaaiaoe/io eaieo ai?eiiai i?ioeano oeyoii
caiia?aaiiy ?aci?aoe??.

4. Iieacaii, ui ?ic?iaeaiee iaoiae ?io?aieaa?aeueii? ni?aoe?eii?
aeaoieneeaoe?? i?e e?eoaaii? oneeaaeiaieo oi?i aino?i? aeano?oeoeaii?
iiaaiii?? o ae?oae i?aeoe/ii ia ia? i?ioeiieacaiue, ia
noi?iaiaeaeo?oueny oneeaaeiaiiyie, i?eoaiaiieie ?ioei aeno?a- oa
?io?aei?ii?aeueiei iaoiaeai aeaoieneeaoe??, caiia?aa? ?icaeoeo aaaeeeo
oiene/ieo oneeaaeiaiue oa iaaaoeaieo a?aeaeaeaieo iane?aee?a, nei?i/o?
oa?i?i e?eoaaiiy.

5. Iaoiae ? aeiiii?/ii aei?aaaeaiei, ine?eueee a?oioo?oueny ia
aeei?enoaii? iaaei?iaiai, aeieia?/ii /enoiai oa iaoe?aeeeaiai
a?o/eciyiiai ni?aaioo, i?inoee o oaoi?/iiio aeeiiaii?, ia aeiaaa?
niaoe?aeueiiai caaacia/aiiy.

NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??

1. Eio?aieaa?aeueiay ni?aoeeiiiay aeaoieneeaoeey a eiiieaeniii ea/aiee
ino?uo aeano?oeoeaiuo iiaaiiiee o aeaoae // Eeei. oe?o?aey. – 1993. –
?2. – N. 39 – 42. Niaaoi?u: Nieo? I.I., Iaea?ia A.I., Nieaae I.ss.,
Iiaa?aaa A.I., Aaiiaa E.A.

2. Yooaeoeaiinoue eaeeeioa?iia i?e aiieii-naioe/aneeo caaieaaaieyo //
Eeei. oe?o?aey. – 1994. – ?5. – N. 56 – 58. Niaaoi?u: Nieaae I.ss.,
Aaiiaa E.A., sseiaaiei E.O., Iaea?ia A.A. e ae?.

3. Aeei?enoaiiy aa?ineeo a eiiieaeniiio e?eoaaii? ai?eiiai iaae?anoei?oo
oa eiai oneeaaeiaiue o ae?oae // E?ee. – 1995. – ?6. – N. 89 – 91.
Niaaoi?u: Iaea?ia A.A., Nieo? I.I., Ni?aae I.ss , Ooiaeei A.I.

4. Iaoaio 2064799. ?inneeneay Oaaea?aoeey, IEI 6 A 61 I 31/00, A 61 E
31/695, A 61 A 17/00. Niinia ea/aiey aiieiuo caaieaaaiee eaaeeo e ieaa?u
/ Cayaea ? 5046914. Cayaeaii 10.06.92. Iioae. 10.08.96. Athe. ? 22. – 10
n. Niaaoi?u: Nieo? I.I., Iaea?ia A.A., *oeei A.A., Ai?iiei A.O., Nieaae
I.ss. (Oe?aeia).

5. Iaoaio 15797. Oe?a?ia, IIE 5 A 61 E 33/00. Niin?a e?eoaaiiy ai?eieo
caoai?thaaiue eaaai?a oa ieaa?e / Cayaea ? 93005893. Cayaeaii 14.09.93.
Iaae?oe. 30.06.97. Athe. ? 3. – 10 n. Niaaoi?u: Nieo? I.I., Iaea?ia
A.A., *oeei I.I., Ai?ii?i ?.I., Ni?aae I.ss. (Oe?a?ia).

6. Iaoaio 2064798. ?inneeneay Oaaea?aoeey, IEE 6 A 61 I 31/00, A 61 E
31/695, A 61 A 17/00. Niinia ea/aiey aiieiiai iaaeeanoeieoa / Cayaea ?
5046913. Cayaeaii 10.06.92. Iioae. 10.08.96. Athe. ? 22. – 12 n.
Niaaoi?u: Nieo? I.I, Iaea?ia A.A., *oeei A.A., Ai?iiei A.O., Nieaae
I.ss. (Oe?aeia).

7. Iaoaio 15796. Oe?a?ia, IIE 5 A 61 E 33/00. Niin?a e?eoaaiiy ai?eiiai
iaae?anoei?oo / Cayaea ? 93005892. Cayaeaii 14.09.93. Iaae?oe. 30.06.97.
Athe. ? 3. – 12 n. Niaaoi?u: Nieo? I.I., Iaea?ia A.A., *oeei I.I.,
Ai?ii?i ?.I., Ni?aae I.ss. (Oe?a?ia).

8. Eio?aei?ii?aeueiay ni?aoeeiiiay aeaoieneeaoeey a eiiieaeniii ea/aiee
aiieii-aeano?oeoeaieo caaieaaaiee i?aaiia a?oaeiie eeaoee o aeaoae //
Nai?iee iao/iuo o?oaeia nio?oaeieeia, iinayuaiiue 75-eaoiaio thaeeath
Eeaaneiai ainoaea?noaaiiiai einoeoooa oniaa?oainoaiaaiey a?a/ae. – Eeaa,
1993. – N. 82 – 83. Niaaoi?: Nieo? I.I.

9. Aeei?enoaiiy aa?ineeo a eiiieaeniiio e?eoaaii? oneeaaeiaieo oi?i
aino?i? aeano?oeoeaii? iiaaiii?? o ae?oae // Ca??iee iaoeiaeo i?aoeue
iaoeiai-i?aeoe/ii? eiioa?aioe??: ’’A?ini?aoe?ei? iaoiaee ? i?aia?aoe a
i?io?eaeoe/i?e oa e?eoaaeuei?e i?aeoeoe?’’. – Ee?a, 1997. – N. 62 – 64.
Ni?aaaoi?e: Iaea?ia A.A., Nieo? I.I., Ni?aae I.ss., Ooiaeei A.I.,
Ai?ii?i ?.I.

10. Eio?aieaa?aeueiay ni?aoeeiiiay aeaoieneeaoeey a a?oaeiie oe?o?aee //
III Iaoeeiiaeueiue eiia?ann ii aieaciyi i?aaiia aeuoaiey.
’’Ioeueiiiieiaey’’, i?eeiaeaiea 4/92. – Naieo-Iaoa?ao?a. – 1992. – N.
620. Niaaoi?u: Iaea?ia A.A., Nieo? I.I.

11. Eiiieaeniia ea/aiea ino?uo aiieii-ainiaeeoaeueieo caaieaaaiee eaaeeo
e ieaa?u o aeaoae // Oacenu aeieeaaeia I nuacaea ooeceao?ia e
ioeueiiiieiaia Oe?aeiu. – Aeiieoea, 1993. – N. 119 – 120. Niaaoi?u:
Nieo? I.I., Nieaae I.ss., Eicoa A.I.

12. Eeeie/aneia cia/aiea oeueo?aoeieaoiaiai iaeo/aiey e?iae o aeaoae n
aiieii-ainiaeeoaeueiuie caaieaaaieyie ieaa?u e eaaeeo // Oacenu
aeieeaaeia I nuacaea ooeceao?ia e ioeueiiiieiaia Oe?aeiu. – Aeiieoea,
1993. – N. 211-212. Niaaoi?u: Oaeiai A.N., Nieo? I.I.

AIIOAOe?ss

E?aa/oe A.I. ?io?aieaa?aeueia ni?aoe?eia aeaoieneeaoe?y a eiiieaeniiio
e?eoaaii? oneeaaeiaieo oi?i aino?i? aeano?oeoeaii? iiaaiiii? o aeioae. –
?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.09. – aeeoy/a o??o?a?y. – Iaoe?iiaeueiee
iaaee/iee oi?aa?neoao ?i. I.I.Aiaiiieueoey IIC Oe?a?ie, Ee?a, 1999.

Aeena?oaoe?th i?enay/aii ieoaiiyi iiooeo oa ii?aoethaaiiy iiaeo
aenieiaoaeoeaieo cania?a ? iaoiae?a aieeao ia ai?eia aiaieua.

Cai?iiiiiaaii, ii?aoeueiaaii oa canoiniaaii o ee?i?oe? iaoiae
?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe??, yeee aaco?oueny ia
aioo??oiueiii?iaeieiiiio (ieaa?a, aanoean) canoinoaaii? ni?aaioo ia
iniia? aenieiaeenia?niiai aii?oiiai e?aiiacaio. Iaoiae ia?aaeaa/a?
naiaoe?th ai?eieo aiaieu 0,5%-th noniaic??th ni?aaioo ca niaoe?aeueiith
iaoiaeeeith. Aecia/aii iieacaiiy, i?ioeiieacaiiy, iioeiaeuei?
eiioeaio?aoe?th, aeniiceoe?th, oi?io aaaaeaiiy ni?aaioo.

Canoinoaaiiy ?io?aieaa?aeueii? ni?aoe?eii? aeaoieneeaoe?? ia oii?
o?aaeeoe?eiiai eiiieaeniiai e?eoaaiiy oneeaaeiaieo oi?i aino?i?
aeano?oeoeaii? iiaaiii?? o ae?oae aeicaieeei ciaioeoe ia’?i ? oa?i?ie
aioeaaeoa??aeueii?, ?iooc?eii? oa iineiae?iiii? iaaeeeaiaioicii?
oa?ai??, o?eaae?noue ae?aioaaiiy oa naiaoe?? ai?eieo aiaieu, cae?eooy
a?iioiieaa?aeueieo niieo/aiue, iiia?aaeeoe ?icaeoie aaaeeeo naioe/eo
neiae?ii?a oa ?ioeo oneeaaeiaiue, nei?ioeoe oa?i?ie e?eoaaiiy.

Eeth/ia? neiaa: aino?a aeano?oeoeaia iiaaiii?y, ni?aaio,
?io?aieaa?aeueia ni?aoe?eia aeaoieneeaoe?y, naiaoe?y ai?eieo aiaieu.

AIIIOAOeEss

E?aa/oe A.A. Eio?aieaa?aeueiay ni?aoeeiiiay aeaoieneeaoeey a eiiieaeniii
ea/aiee ineiaeiaiiuo oi?i ino?ie aeano?oeoeaiie iiaaiiiee o aeaoae. –
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.09 – aeaoneay oe?o?aey. – Iaoeeiiaeueiue
iaaeeoeeineee oieaa?neoao ei. A.A. Aiaiiieueoea IC Oe?aeiu, Eeaa, 1999.

Aeenna?oaoeey iinayuaia aii?inai iienea e ?ac?aaioee iiauo
aunieiyooaeoeaiuo n?aaenoa e iaoiaeia aicaeaenoaey ia aiieiue i/aa.

A yenia?eiaioaeueiii ?acaeaea ?aaiou eco/aii aeaenoaea
aunieiaeenia?niiai aii?oiiai e?aiiacaia ia i?aaieci ?acee/iuo aeaeia
aeeaioiuo i?e aioo?eieaa?aeueiii aaaaeaiee. Aeieacaii ionoonoaea
iaoieiae/aneiai aeaenoaey ni?aaioa a eiie?aoiuo oneiaeyo. Ii?aaeaeaiu
iioeiaeueiua: eiioeaio?aoeey, yeniiceoeey, oi?ia aaaaeaiey i?aia?aoa.
Iainiiaaia aiciiaeiinoue aioo?eieaa?aeueiiai i?eiaiaiey ni?aaioa n
oeaeueth ni?aoeeiiiie aeaoieneeaoeee a eeeie/aneie i?aeoeea.

I?aaeeiaeai, ?ac?aaioai e i?eiaiai a eeeieea iaoiae eio?aieaa?aeueiie
ni?aoeeiiiie aeaoieneeaoeee, aace?othueeny ia aioo?eiieinoiii (ieaa?a,
aanoeann) i?eiaiaiee aunieiaeenia?niiai aii?oiiai e?aiiacaia.

A eeeie/aneii ?acaeaea ?aaiou eceiaeaiu ?acoeueoaou ea/aiey 264 aieueiuo
aeaoae ineiaeiaiiuie oi?iaie ino?ie aeano?oeoeaiie iiaaiiiee n
eniieueciaaieai o?aaeeoeeiiiie e oniaa?oainoaiaaiiie iaoiaeii
eio?aieaa?aeueiie ni?aoeeiiiie aeaoieneeaoeee noai eiiieaeniiai ea/aiey.
I?aaenoaaeaia n?aaieoaeueiay oa?aeoa?enoeea yoeo noai. Eceiaeaia
iaoiaeeea eio?aieaa?aeueiie ni?aoeeiiiie aeaoieneeaoeee n
eniieueciaaieai aunieiaeenia?niiai aii?oiiai e?aiiacaia, eioi?ay
aeeth/aao: aaeaeaaoiia ae?aie?iaaiea aiieiiai i/aaa (ieaa?aeueiay
iieinoue, iieinoue aanoeanna); naiaoeeth aiieiuo i/aaia ?anoai?aie
aioenaioieia aei /enouo i?iiuaiuo aiae; aioo?eiieinoioth aiaioaceth
ianoiui aianoaoeeii; naiaoeeth aiieiuo i/aaia 0,5%-e noniaiceae
ni?aaioa; iiaoi?iia i?iiuaaiea aiieiuo i/aaia ?anoai?aie aioenaioeeia.
Ii?aaeaeaiu iieacaiey e i?ioeaiiieacaiey, i?iaeieaeeoaeueiinoue
i?eiaiaiey iaoiaea.

I?eiaiaiea eio?aieaa?aeueiie ni?aoeeiiiie aeaoieneeaoeee ia oiia
o?aaeeoeeiiiiai eiiieaeniiai ea/aiey ineiaeiaiiuo oi?i ino?ie
aeano?oeoeaiie iiaaiiiee o aeaoae iicaieeei iieo/eoue iieiaeeoaeueiua
?acoeueoaou o anao 62 aieueiuo, i?iea/aiuo ii oniaa?oainoaiaaiiie noaia.
Iaoiae iicaieee oiaiueoeoue iauai e n?iee aioeaaeoa?eaeueiie,
eiooceiiiie e iineiae?iiiie iaaeeeaiaioiciie oa?aiee,
i?iaeieaeeoaeueiinoue ae?aie?iaaiey e naiaoeee aiieiuo i/aaia, cae?uoea
a?iioiieaa?aeueieo niiauaiee, i?aaeoi?aaeeoue ?acaeoea oyaeaeuo
oiene/aneeo neiae?iiia e ae?oaeo ineiaeiaiee, nie?aoeoue n?iee ea/aiey.

Eeth/aaua neiaa: ino?ay aeano?oeoeaiay iiaaiiiey, ni?aaio,
eio?aieaa?aeueiay ni?aoeeiiiay aeaoieneeaoeey, naiaoeey aiieiuo i/aaia.

SUMMARY

Borys O. Kravchuk. Intrapleural Sorptive Detoxication in Complex
Treatment of Complicated Acute Destructive Pneumonias in Children. –
Typescript.

Thesis for conferring a Degree of Candidate of Medical Science on the
specialized field: 14.01.09 – Children’s Surgery. – The O.O. Bohomolets
National Medical University, Ministry of Public Health of Ukraine, Kyiv,
1999.

The given thesis is intended to investigate and improve novel highly
efficient remedies and methods aimed to effect a suppurative focus.
Method of intrapleural sorptive detoxication aiming the intracavitary
(pleura, abscess) application of an adsorbent based on highly dispersed
amorphous silica is suggested, developed and clinically introduced. The
method suggests a suppurative foci sanitation with 0.5% adsorbent
suspension applied by a special procedure. Indications,
contraindications, optimum concentrations, exposure, adsorbent injection
form are determined.

Intrapleural sorptive detoxication applied against the background of
conventional complex treatment of acute destructive pneumonia in
children enabled to decrease volumes and terms of antibacterial infusive
and by-syndrom drug therapy, prolongation of suppurative foci drainage
and sanitation, to achieve bronchopleural connections closure, to
prevent severe toxic syndroms and other complications development, to
shorten terms of treatment.

Key words: acute destructive pneumonia, adsorbent, intrapleural sorptive
detoxication , suppurative foci sanitation.

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