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Клінічні та параклінічні прояви залізодефіцитної анемії у дітей і методи їх корекції: Автореф. дис… канд. мед. наук / Н.Ю. Щербатюк, Ін-т педіатрії,

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?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia??

Aeaaeai?? iaaee/ieo iaoe Oe?a?ie

Ua?aaothe Iaoae?y TH???aia

OAeE 616.155.194.8–085–053.2

Ee?i?/i? oa ia?aee?i?/i? i?iyae

cae?ciaeao?oeeoii? aiai?? o ae?oae

? iaoiaee ?o ei?aeoe??

14.01.10 – iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e aeaaeai??
?i. ?.ss.Ai?aa/aanueeiai IIC Oe?a?ie

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani?, /eai-ei?aniiiaeaio AII Oe?a?ie

Ni?yi ?aai Naiaiiae/,

Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i. ?.ss.Ai?aa/aanueeiai
IIC Oe?a?ie,

caa?aeoaa/ eaoaae?e aeeoy/eo oai?ia e?eoaaeueiiai oaeoeueoaoo

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani?

Ioo Aaeaioeia Aeieo??aia,

?inoeooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie,

ea??aiee a?aeae?eaiiy o?c?ieia?? ? iaoieia?? ae?oae ?aiiueiai a?eo;

aeieoi? iaaee/ieo iaoe, i?ioani?

Aaaaoei Aieiaeeie? A?eai?iae/,

aee?aeoi? ?inoeoooo ee?i?/ii? ?aae?ieia?? IOe?I AII Oe?a?ie

I?ia?aeia onoaiiaa:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC
Oe?a?ie, i. Ee?a, eaoaae?a iaae?ao??? ?1

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 26 ” aeiaoiy  1999  ?ieo i 13
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee (Ae 26.553.01) ii
caoenoo aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoe?aeueiinoyie “Iaae?ao??y”, “Aeooa?noai ? a?iaeieia?y” 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 iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
iaae?ao???, aeooa?noaa ? a?iaeieia?? AII Oe?a?ie (252050, i. Ee?a,
aoe. Iaio?euenueeiai, 8)

Aaoi?aoa?ao ?ic?neaiee “ 29 ” /a?aiy 1999 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee Eaaoi?ia E.A.

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue i?iaeaie. Cae?ciaeao?oeeoia aiai?y (CAeA) ? iaei??th c
iaea?eueo iioe?aieo oi?i CAeA, yea ?a?no?o?oueny o 20% ianaeaiiy ieaiaoe
(AIIC, 1991). Na?aae ae?oae aeao?oeeo cae?ca (AeC) ? iia’ycaia c iei
aiai?y cono??/athoueny a e?a?iao c aenieei aeiiii?/iei ??aiai o 7-12% ?
a?ey 50% – o iaei?icaeiaieo ?aa?iiao (Pyne Kirk, S.Munsey, M.D.Wheby,
1996). *anoioa CAeA o ae?oae e?a?i NIAe eieeaa?oueny a iaaeao 10-70%
(E.A.Aeiaeaai, A.E.Aenaeueiee, 1998), a na?aae aini?oae?ciaaieo aei
noaoe?iia?o oey iaoieia?y ae?aaiinoo?oueny a 52-62% (E.I.Eacaeiaa,
1997). Caoai?thaai?noue ia CAeA ii Oa?iii?euenuee?e iaeano? ia?
oaiaeaioe?th aei ?inoo ? neeaaeaea a 1997?. 98.5 ia 1000 aeeoy/iai
ianaeaiiy. sseui acyoe aei oaaae, ui eaoaioiee AeC cono??/a?oueny a
2-2.5 ?ace /ano?oa CAeA, oi iioe?ai?noue neaea?iiai?? ? eaoano?io?/ii
aenieith (E.N.Eaaeiaei, I.E.Iao?aaaiei, I.E.Noa?iaieoia, 1996).

Ae?oe aoaeue-yeiai a?eo noeeuei? aei ?icaeoeo CAeA caaaeyee ?yaeo
ia?aaeoiia, na?aae yeeo i?ia?aeia cia/aiiy iathoue iniaeeaino?
noaiiaeaiiy ooieoe?? a?eo?ioeeoa?ii? nenoaie, iai?i cae?ca oa oaiie
?inoo (I.I.Iaaeiaa, 1996, M.Karr, G.Alperstein, J.Causer, 1996).
Iae/ano?oa AeC aeieea? a ia?o? aeaa ?iee aeeooy (o 40-50% ae?oae) ?
ia??iaee o?c?ieia?/iiai aeoyaaiiy, eiee CAeA aeyaey?oueny o 1/3-1/4
ianoaaeaieo (N.A.Aethea?aaa, 1995). Inoaii?i /anii niinoa??aa?oueny
cia/ia ca?eueoaiiy CAeA na?aae ae?oae aeioe?eueiiai ? oe?eueiiai a?eo,
ui a iaai?e i??? coiiaeaii nioe?aeueieie e aeieia?/ieie iaaa?acaeaie
(A.A.Aaaaoei, 1994).

Oai?aoe/ia ? i?aeoe/ia cia/aiiy eiea i?iaeai, iia’ycaieo ?c CAeA,
aecia/a?oueny ia o?eueee ?? cia/iith iioe?ai?noth, aea ? oeie
iaaaoeaieie aieeaaie, ye? ni?e/eith? AeC ia ??ci? nenoaie oa ooieoe??
i?aai?cio. Ee?i?/i? niinoa?aaeaiiy e aenia?eiaioaeuei? ?iaioe
iieacothoue, ui AeC i?aeaeuo? noeeuei?noue ae?oae aei ?ioaeoe?eieo
caoai?thaaiue (E.I.Eacaeiaa, E.I.Iae?ooei, 1992, O.C.Ia?/aiei, 1983),
ni?ey? oi?ioaaiith o?ii?/ieo aiaieu ?ioaeoe??, aaeueio? o?ce/iee ?
ia?aiai-ineo?/iee ?icaeoie, cieaeo? iiaeeea?noue ?icoiiai? ae?yeueiino?,
ciaioo? oiea?aioi?noue aei o?ce/ieo iaaaioaaeaiue, aaaea aei iiyae
aeaaaia?aoeaii-aeeno?io?/ieo i?ioean?a o o?aaiiio eaiae? oa i’ycia?e
nenoai? (E.I.?aoaoe?ia, N.A.Aaethe, 1991).

Iayaia o?aaeeoe?eia e?eoaaiiy oai?eo ia CAeA ? iaaeinoaoiuei aoaeoeaiei
? iaoyaeeeaei aeey aeeoeie. Aeiaaio?eaae? eo?ne oa?ioa?ai?? iiaeooue
aeaaaoe iaaaoeai? iia?/i? ?aaeoe?? (ss.A.Oi?ooia, 1998, C.Montecuclo,
R.Caparali, R.Invenuzzi, 1995), a iecueeee e?eoaaeueiee aoaeo ia??aeei
coiiaeaiee a?aenooi?noth eiiieaeniiai i?aeoiaeo aei ?aaa?e?oaoe??. Oiio
iiooe iiaeo iaoiae?a oa?ai?? aai oaeeo, ui iineeththoue aoaeo
o?aaeeoe?eiiai e?eoaaiiy, ? aeooaeueiei.

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

Aeaia ?iaioa ? o?aaiaioii ieaiiai? oaie eaoaae?e aeeoy/eo oai?ia
Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai??
?i. ?.ss.Ai?aa/aanueeiai “Aiaeiaaiia ?ioieneeaoe?y o ae?oae ?c ??ciith
iaoieia??th oa ?? aieea ia iaoiaaiaoe/i? iaoai?cie ? ee?i?/i? i?iyae
caoai?thaaiue”, ? aea?aeaaii? ?a?no?aoe?? – 0196V023277.

Iaoa ?iaioe: aaeineiiaeeoe iaoiaaiaoe/io oa?ai?th cae?ciaeao?oeeoieo
aiai?e o ae?oae oeyoii aeei?enoaiiy /a?acoe??iiai iaai?oieaca?iiai
ii?ii?iaiiy e?ia? (*IEIE) oa a?oai?io A.

Caaea/? aeine?aeaeaiiy.

Aea/eoe iniaeeaino? ee?i?/ieo i?iya?a, iieaciee?a ?ioi?oaoo, ia?aeeniiai
ieeneaiiy e?i?ae?a (IIE), aiaeiaaiii? ?ioieneeaoe?? (A?) o ae?oae,
oai?eo ia CAeA, o caeaaeiino? a?ae a?eo, nooiaiy oyaeeino?, o?eaaeino?
caoai?thaaiiy oa oiiiai? iaoieia??.

?ic?iaeoe e?eoa??? ae?aaiinoeee neiae?iio aiaeiaaiii? ?ioieneeaoe??
(NA?) o ae?oae, oai?eo ia CAeA.

Aecia/eoe iniaeeaino? aieeao o?aaeeoe?eii? oa?ai?? ia ee?i?/i? i?iyae,
noai ?ioi?oaoo, IIE, A? o oai?eo ae?oae.

Aeine?aeeoe aoaeoeai?noue ? iniaeeaino? aieeao ia ee?i?/iee ia?aa?a
CAeA, iieacieee ?ioi?oaoo, IIE, A? o?aaeeoe?eii? oa?ai?? CAeA oa i?e ??
ii?aeiaii? c *IEIE ? a?oai?iii A; a oaeiae ii??aiyoe aeeiai?eo
aeuaaeacaieo iieaciee?a i?ae a?oiaie ae?oae, ye? io?eioaaee o?aaeeoe?eia
? eiiieaenia e?eoaaiiy CAeA.

?ic?iaeoe i?aeoe/i? ?aeiiaiaeaoe?? uiaei canoinoaaiiy *IEIE ? a?oai?io A
a eiiieaeniiio e?eoaaii? oai?eo ia CAeA ae?oae.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Aia?oa ia iniia? ee?i?ei-eaai?aoi?iiai ianoaaeaiiy c aeei?enoaiiyi
iieaciee?a ?ioi?oaoo, IIE, A? iaoiaaiaoe/ii iaa?oioiaaii o ae?oae,
oai?eo ia CAeA na?aaeiueiai oa oyaeeiai nooiai?a, ?icaeoie neiae?iio
aiaeiaaiii? ?ioieneeaoe?? ? iieacaii eiai aieea ia ?icaeoie CAeA.

Aeiaaaeaia iiaeeea?noue iaiaaeeeaiaioicii? ?aaoeyoe?? iaoaaie?/ieo
ii?ooaiue (aeoeaiino? IIE, ??aiy A?), ?ioiiiai noaoono oeyoii
canoinoaaiiy *IEIE ? a?oai?io A o ae?oae, oai?eo ia CAeA.

Aia?oa aeyaeaii oa?aiaaoe/iee aoaeo a?ae ii?aeiaiiai canoinoaaiiy *IEIE
? a?oai?io A a eiiieaeniiio e?eoaaii? ae?oae, oai?eo ia CAeA, caaaeyee
aeoeaaoe?? ee?oeiieo oa?iaio?a iecueei?ioaineaiei eaca?iei
aei?ii?ithaaiiyi ? aioeieneaeaioi?e ae?? a?oai?io A, ui a naith /a?ao
ni?ey? noaa?e?caoe?? ee?oeiieo iaia?ai, ciaioo? iaeiie/aiiy oiene/ieo
iaoaaie?o?a, noeioeth? ?ioii? ?aaeoe??.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a.

Ia i?aenoaa? i?iaaaeaieo aeine?aeaeaiue ?ic?iaeaii oa cai?iiiiiaaii aeey
ai?iaaaeaeaiiy a i?aeoeeo iaoeiai iaa?oioiaai? iia? iaoiaee e?eoaaiiy
CAeA o ae?oae, ye? ia?aaeaa/athoue ei?aeoe?th ?ioiieia?/ieo ii?ooaiue,
neiae?iio A?, IIE oeyoii noi?niiai aeei?enoaiiy *IEIE ? a?oai?io A ia
oii? o?aaeeoe?eii? oa?ai??.

Aianai? aeiiiaiaiiy aei eaai?aoi?ieo iaoiae?a ?aiiuei? ae?aaiinoeee AeC
ca aeiiiiiaith aecia/aiiy a?eo?ioeeoa?ieo ?iaeaen?a.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe a i?aeoeeo.

?acoeueoaoe iaoeiaeo aeine?aeaeaiue, ye? a?aeia?aaeai? a aeena?oaoe??,
ai?iaaaeaeai? a i?aeoeeo ?iaioe iaeanieo ? i?nueeeo aeeoy/eo e?ea?aiue,
a oaeiae iaeaniiai aoaeeieo aeeoeie i?no Oa?iii?eue ? ??aia.

Oai?aoe/i? iieiaeaiiy oa i?aeoe/i? ?aeiiaiaeaoe?? aeena?oaoe?? aeeth/ai?
a oeeee eaeoe?e oa i?aeoe/ieo caiyoue c iaae?ao??? aeey nooaeaio?a ia
eaoaae?? aeeoy/eo oai?ia iaaee/iiai oaeoeueoaoo Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?.ss.Ai?aa/aanueeiai.

Aeaeaii: Iaoiaeeea canoinoaaiiy /a?acoe??ii? iaai?oieaca?ioa?ai?? a
eiiieaeniiio e?eoaaii? cae?ciaeao?oeeoii? aiai?? o ae?oae // ?ioi?i.
eeno ?55-98.– 2n.: Iioae. 02.07.98. (Ni?aaao.: Ni?yi ?.N.).

Iniaenoee aianie aeena?oaioa.

I?iaaaeaii ee?i?/ia niinoa?aaeaiiy, e?eoaaiiy e aiae?c eaai?aoi?ieo
iieaciee?a o 167 ae?oae, oai?eo ia aiai?th. Onoaiiaeaiee aca?iica’ycie
i?ae ee?i?/ieie i?iyaaie CAeA ? iieacieeaie iai?io cae?ca, ?ioi?oaoo,
IIE, A?. Iieacaiee nooi?iue iaoaaie?/ieo ii?ooaiue o caeaaeiino? a?ae
AeC. ?ic?iaeaii ee?i?ei-eaai?aoi?iee eiiieaen, oa?aeoa?iee aeey
neiae?iio A?. Iaa?oioiaai? ? ?ic?iaeai? noaie eiiieaenii? oa?ai?? CAeA c
aeei?enoaiiyi *IEIE ? a?oai?io A. I?iaaaeaia noaoenoe/ia ia?iaea
io?eiaieo ?acoeueoao?a, ?ic?iaeai? i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?iaioe.

Iniiai? iieiaeaiiy oa ?acoeueoaoe aeine?aeaeaiue aeena?oaoe?eii? ?iaioe
iaaiai?ai? ia iaoeiaiio can?aeaii? eaoaae? aeeoy/eo oai?ia iaaee/iiai
oaeoeueoaoo, iaae?ao??? oaeoeueoaoo i?neyaeeieiiii? ina?oe, iaoieia?/ii?
o?c?ieia?? Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai??
?i. ?.ss.Ai?aa/aanueeiai (1998?.).

Iaoa??aee aeena?oaoe?? iaaiai?ai? ia iaoeiaeo eiioa?aioe?yo “Caeiaooee
ee?i?/ii? oa aenia?eiaioaeueii? iaaeeoeeie” (Oa?iii?eue, 1997, 1998??.),
I?aeia?iaeiiio iaaee/iiio eiia?an? nooaeaio?a ? iieiaeeo a/aieo
(Oa?iii?eue, 1997, 1998??.), iaoeiai-i?aeoe/i?e eiioa?aioe?? “No/ani?
i?iaeaie aaiaoieia?? oa o?ainooc?ieia??” (Ee?a, 1998?.), ??-?e
eiioa?aioe?? Anioe?aoe?? aeeoy/eo e?ea??a Oe?a?ie
“E?eoaaeueii-i?io?eaeoe/ia oa?/oaaiiy oa i?ia?ioeee a iaae?ao???” (Ee?a,
1998?.), iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? ieoaiiy ee?i?/ii?
iaaeeoeeie oa aeieia??” (Iieoaaa, 1998?.), ee?i?/i?e eiioa?aioe??
Anioe?aoe?? aeeoy/eo e?ea??a iaeano? (1997, 1998??.).

Ioae?eaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 15 ?ia?o: 5 noaoae o i?ia?aeieo
aeo?iaeao, 2 – o ca??ieeao iaoeiaeo i?aoeue, 4 – o iaoa??aeao, 4 – o
oacao iaoeiai-i?aeoe/ieo eiioa?aioe?e.

Ianya ? no?oeoo?a aeena?oaoe??.

Aeena?oaoe?y aeeeaaeaia ia 165 noi??ieao iaoeiiieno. Neeaaea?oueny c?
anooio, iaeyaeo e?oa?aoo?e, iieno iaoa??ae?a oa iaoiae?a aeine?aeaeaiiy,
2 ?icae?e?a aeanieo aeine?aeaeaiue, iaaiai?aiiy ?acoeueoao?a, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e, ia?ae?eo aeei?enoaieo aeaea?ae, yeee aeeth/a?
223 iaeiaioaaiiy (c ieo oe?a?inueeith oa ?in?enueeith iiaaie – 168,
?iicaiieie – 55) ? caeia? 20 noi??iie. ?iaioa ?ethno?iaaia 36
oaaeeoeyie, 15 ?enoieaie, ye? caeiathoue 52 noi?i?ee.

Ci?no ?iaioe

Ia’?eo ? iaoiaee aeine?aeaeaiiy.

O ?iaio? iaaaaeai? ?acoeueoaoe aeine?aeaeaiue i?ioyaii 1996-1998??. o
167 ae?oae, oai?eo ia CAeA, o a?oe? a?ae 3 aei 14 ?ie?a. Ee?i?/ia ?
eaai?aoi?ia ianoaaeaiiy ae?oae i?iaiaeeeinue o Oa?iii?euenuee?e iaeani?e
? i?nuee?e aeeoy/?e e?ea?i?, Oa?iii?euenueeiio ? ??aiainueeiio aoaeeieo
aeeoeie, ??aiainueeiio ee?i?/iiio e?eoaaeueii-ae?aaiinoe/iiio oeaio??.

I?e anoaiiaeaii? ae?aaiico a?aoiaoaaee aiaiiac, aeai?
caaaeueiii?eeiyoiai ia’?eoeaiiai ianoaaeaiiy i?aai?a ? nenoai,
eaai?aoi?i? e ?ino?oiaioaeuei? aeine?aeaeaiiy, ?acoeueoaoe iaeyaeo
noi?aeieo niaoe?ae?no?a.

?c eaai?aoi?ieo ianoaaeaiue, e??i caaaeueiiai aiae?co e?ia?, na/?, eaeo,
ioe?ithaaee a?io?i?/i? iieacieee (aetheica e?ia?, a?e??oa?i, a?eie ?
eiai o?aeoe??, o?ainai?iace), aaiaoie?eo (Ht), a oaeiae aecia/aee
a?eo?ioeeoa?i? ?iaeaene: na?aaei?e ia’?i a?eo?ioeeoa (MCV), na?aaei?e
ai?no aaiiaeia?io a a?eo?ioeeo? (INI), na?aaeith eiioeaio?aoe?th
aaiiaeia?io a a?eo?ioeeo? (ININ), ?iaeaen ?iciiae?eo a?eo?ioeeo?a (RDW).
Aeacai? aeai? io?eioaaee ia aaiaoieia?/iiio aiae?caoi?? Micros Cobas
o??ie “Roche” aai ?ic?aooieiaei iaoiaeii. Ioe?ithaaee ai?no cae?ca
ne?iaaoee e?ia? (CN) ? caaaeueio cae?cia’ycoth/o caeaoi?noue ne?iaaoee
(CCCN), ye? aecia/aee ca aeiiiiiaith iaai??a A?i-Ea-Oano o??ie “Eaoaia”.

Ae?aoiaoaaee oaeiae eiao?oe??io iane/aiiy o?ainoa?eio (EIO) cae?cii:

Ae?aaiic aiai?? aenoaaeyee o a?aeiia?aeiino? c ?aeiiaiaeaoe?yie AIIC
(1973).

Aeey ioe?iee ?ioiieia?/iiai noaoono ianoaaeaieo ae?oae aecia/aee O
(A-?OE), A (AAN-?OE) oa ioeueia? (0) – e?ioioeeoe ca iaoiaeii
N.F.Mendes et al. (1973) o iiaeeo?eaoe?? O.?.A??oeii? ? ni?aaao. (1984).
“Aeoeai?” O-e?ioioeeoe (AA-?OE) i?ae?aoiaoaaee ca iaoiaeii L.Wybran
(1973). Noaiiioeyoe?? ?aaoeyoi?ieo O-e?ioioeeo?a aecia/aee ca ?o
/ooeea?noth aei oaio?e?io ca iaoiaeii J.Limatibul et al.(1978):
O-noi?ani?e (O*-?OE) – oaio?e?i/ooeea?, O-oaeia?e (O?-?OE) –
oaio?e?i?acenoaioi?. Aeanoeaino? A-e?ioioeeo?a ioe?ithaaee ca
iieacieeaie ?ioiiaeiaoe?i?a eean?a G, A, I iaoiaeii ?aae?aeueii?
?ioiiaeeooc?? a aae? G.Manchini et al. (1965).

Nooi?iue ae?aaeaiino? iaia?aiiaeano?oeoeaieo i?ioean?a i?iaiaeeeinue
aecia/aiiyi iaeiiiaiai aeeaeueaeaa?aeo (IAeA) ca iaoiaeii ?.Ae.Noaeueii?
(1977).

Ioe?ieo aioeieneaeaioii? nenoaie caoenoo (AINC) i?aai?cio i?iaiaeeee ca
iieacieeaie noia?ieneaeaeeniooace (NIAe), yeo aecia/aee a a?eo?ioeeoao
ca iaoiaeii N.*aaa?e ? ni?aaao. (1985) o iiaeeo?eaoe?? I.A.Aeoa?i?ii?
(1993), eaoaeace (E) ? oea?oeiieaci?io (OeI) o ne?iaaooe? e?ia? ca
iaoiaeii N.?aaeia (1987).

Aeey aeine?aeaeaiiy neiae?iio aiaeiaaiii? ?ioieneeaoe?? (A?)
i?iaiaeeeinue aecia/aiiy a a?eo?ioeeoao iieaeoe na?aaeiuei? iane (INI)
ca iaoiaeeeith I.?.Ee?a?aa ? ni?aaa. (1990). I?e aeiaaeei? oaee? 254 ii
aecia/aee INI1, ui i?noyoue ioeeaioeaee, i?e aeiaaeei? oaee? 280 ii, –
INI2, ui i?noyoue a?iiaoe/i? eeneioe. A?eo?ioeeoa?iee ?iaeaen
aiaeiaaiii? ?ioieneeaoe?? (A?A?) anoaiiaethaaee ca iaoiaeii
A.A.Oiaaeaa?aa ? ni?aaao. (1988).

Noaoenoe/ia ia?iaea aeaieo aeine?aeaeaiue i?iaiaeeeany ca aeiiiiiaith
i?eeeaaeieo noaoenoe/ieo i?ia?ai ia ia?niiaeueiiio eiii’thoa?? oeio ?AI.

Eiio?ieueio a?oio neeaee 20 ae?oae a?eii a?ae 3 aei 14 ?ie?a aac
ee?i?/ieo ? eaai?aoi?ieo iciae CAeA oa noiooiuei? iaoieia??.

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

O 55.09% ianoaaeaieo ae?oae ae?aaiinoiaaii CAeA ? nooiaiy (? a?oia), o
27.54% – CAeA ?? nooiaiy (?? a?oia), o 17.37% – CAeA ??? nooiaiy (???
a?oia). Oeii/ee?a aoei 49.7%, ae?a/aoie – 50.3%.

Aeine?aeaeaiiy iieacaee, ui an? nooiai? oyaeeino? CAeA cono??/aeeny
/ano?oa a oeii/ee?a o a?oe? 3-5 ?ie?a, a a ae?a/aoie – o a?oe? 6-14
?ie?a.

I?ia?aoe ioe?ieo aiaiiaco ianoaaeaieo ae?oae, aoei anoaiiaeaii
iaaeaaiiieo//y a aioa- ? iaiiaoaeueiiio ia??iae? a 76.64% aeiaaeeao.
Aiai?y o iaoa?? i?ae /an aaa?oiino? anoaiiaeaia a 73.75% ae?oae 3-5
?ie?a ? a 64.37% ae?oae 6-14 ?ie?a. Ia ia?oiio ?ioe? aeeooy o 2/3 ae?oae
a?aecia/aeenue a?aeoeeaiiy a i?aii?a?aeiiio oii?: oae, ia ooo/iiio
aeaiaeiaoaaii? ia?aaoaaei 63.47% ae?oae.

Aeiaaio?eaaeee AeC iaaaoeaii iicia/aany ia ooieoe?iiaeueiiio noai?
i?aai?a ? nenoai, oi?ioaaii? noiooiuei? aino?i? oa o?ii?/ii?
?ioaeoe?eii? iaoieia?? (61.08%), yea a iaeieo aeiaaeeao ia?aaeoaaea
?icaeoeo CAeA (46.71%), a a ?ioeo – ?icaeaaeany ia ?? oii? (53.29%).

Ee?i?/ia ea?oeia ianoaaeoaaieo oai?eo oa?aeoa?ecoaaeany iie?ii?o?ciii
noa’?eoeaieo ? ia’?eoeaieo iciae caoai?thaaiiy, ye? iiaeia ia’?aeiaoe a
oae? neiae?iie: aiaeiaaiii? ?ioieneeaoe??, neaea?iiai?/iee,
na?oeaai-noaeeiiee.

Ae?aaeai?noue oeeo neiae?ii?a caeaaeaea a?ae nooiaiy CAeA, a?eo ae?oae,
o?eaaeino? caoai?thaaiiy oa iayaiino? noiooiuei? ?ioaeoe?eii? iaoieia??.

I?e a?iien??, yea ? iaoiaaiaoe/iith iniiaith CAeA, noai?ththoueny oiiae
aeey iaeiie/aiiy aiaeiaaiieo oienei?a, i?iyaii /iai ? neiae?ii
aiaeiaaiii? ?ioieneeaoe?? (NA?), yeee aoa iaeiioe?ai?oei ? niinoa??aaany
o 66.46% ianoaaeaieo ae?oae. Oea aoee ae?oe, oai?? ia CAeA na?aaeiueiai
oa oyaeeiai nooiai?a. Ee?i?/i? iciaee NA? aoee iie?ii?oieie ? iaee
ianiaoeeo?/iee oa?aeoa?. Anoaiiiaa?ioe/i? neiioiie (eaie?noue,
ae?ao?aeea?noue, caiaii?i/aiiy, aieiaiee a?eue) o?aeooaaeenue ye iaei? c
ia?oeo i?iya?a NA? (?.N.Ni?yi, 1994, 1998). I?e ia’?eoeaiiio ianoaaeaii?
a ae?oae, oai?eo ia CAeA, aoee ciaeaeai? iciaee o?ii?/ii? ?ioieneeaoe??:
ia?ei?aeueia oa ia?ei?a?oaeueia ae?ae?noue ? n???noue, ?icoe?aiiy
eai?ey?ii? n?oee a i?aeeiiaoeia?e ae?eyioe?, ui oaeiae ? iciaeaie A?.

Neaea?iiai?/iee neiae?ii (64.67%), yeee aeeth/aa ci?ie oe??e oa ??
i?eaeaoe?a, o ae?oae c oyaeeei nooiaiai CAeA cono??/aany a 3.7 ?ac?a
/ano?oa, i?ae i?e eaaeiio nooiai? CAeA. C iiaeeaeaiiyi AeC ci?ithaaany
oaeiae oa?aeoa? neiioii?a oeueiai neiae?iio. sseui i?e eaaeiio nooiai?
ia?aaaaeaea iii??ia ae?ae?noue neeciaeo ? oe??ieo iie?ea?a, oi i?e
na?aaeiueiio ? oyaeeiio nooiai? CAeA oe??a iaaoaaea n??iai a?aeo?ieo,
ia?inoaee o?io?/i? ?iceaaee, noo?noue ? eouaiiy oe??e (44.91%), aiaieua
aeai?aiaioaoe?? (2.99%), iiaaiee ??no, eaie?noue ? aeiaaeaiiy aieinny
(27.42%).

Aei i?iya?a neaea?iiai?/iiai neiae?iio oaeiae a?aeiinyoueny
ai?oae?aeuei? ?iceaaee. Oae, o 9.41% ae?oae 3-5 ?ie?a a?aecia/aeiny
niioai?aiiy niaeo ? aiaoeoo: ae?oe ?ee e?aeaeo, iai??, caieth.

A ianoaaeaieo ae?oae anoaiiaeaii o?aaeaiiy neeciaeo iaieiiie
oeoieiai-eeoeiaiai o?aeoo, ui i?iyaeyeinue aiaoey?iei noiiaoeoii
(4.79%), caeaaeaeai?noth neeciai? yceea (17.36%) aioa?iiao??th (30.4%),
noaao?io?/iei aano?iaeoiaeai?oii (17.24%), i?aeoaa?aeaeaiei
?acoeueoaoaie aano?iaeoiaeaiineii??.

Aiai?/ia a?iien?y, a oaeiae cieaeaiee a ?acoeueoao? AeC neioac
i?iaeia?io ? cae?ciai?nieo oa?iaio?a (A.A.Aoaeaiia, A.A.Nayaeia,
A.O.Oo?aaa, 1991), cia/ii aieeaathoue ia ooieoe?th na?oeaaiai i’yco.
Na?oeaai-noaeeiiee neiae?ii ae?aaiinoiaaii 43.11% oai?eo ae?oae. Oea
aoee ae?oe ia?aaaaeii c ae?oaei ? o?ao?i nooiaiai CAeA.

I?iyaii na?oeaai-noaeeiiiai neiae?iio aoee nea?ae ea?ae?aeueiiai
oa?aeoa?o (64.36%) , a oaeiae o?c?eaeuei? ci?ie: ineaaeaiiy na?oeaaeo
oii?a (43.81%), oao?ea?ae?y (37.5%), iineaaeaiiy ia?oiai oiio ?
nenoie?/iee ooi iaae aa?o?aeith na?oey (60.83%). O 17.4% anoaiiaeaii
?icoe?aiiy ae?ai a?aieoe? na?oey.

AEA oa?aeoa?ecoaaeanue cieaeaiiyi aieueoaaeo coaoe?a, ?icoe?aiiyi coaoey
? (14.8%), cieaeaiiyi aai aeaioaci?noth coaoey O (24.63%), aeai?an??th
naaiaioo S-O (27.3%).

Eaai?aoi?ia ianoaaeaiiy oai?eo ae?oae aeicaieeei aeae?eeoe oae?
iieacieee aaiiaeia?io (Hb) ? a?eo?ioeeo?a i?e ??cieo nooiaiyo CAeA. I?e
eaaeiio nooiai? CAeA ??aaiue Hb neeaaeaa 92-117 a/e, e?euee?noue
a?eo?ioeeo?a – 3.8-4.2·1012/e. Na?aaei?e nooi?iue CAeA oa?aeoa?ecoaaany
eieeaaiiyi Hb 75-92 a/e, a?eo?ioeeo?a – 2.6-3.8·1012/e. I?e oyaeeiio
nooiai? ??aaiue Hb aoa ieae/a 75 a/e, a?eo?ioeeo?a – ieae/a 2.7·1012/e.

I?e ioe?ioe? a?eo?ioeeoa?ieo ?iaeaen?a e?ia? a?aecia/aii, ui aiai?y iaea
a?iio?iiiee i?e?ioeeoa?iee oa?aeoa?, oae, c ia?inoaiiyi oyaeeino? CAeA
ciaiooaaeeny MCV, MCH, MCHC, ia?inoaa ai?cioeeoic.

MCV noaiiaea i?e oyaeeiio nooiai? CAeA 61.69±1.00 oe, a i?e eaaeiio ?
na?aaeiueiio nooiaiyo – 78.57±0.58 oe ? 75.88±0.86 oe a?aeiia?aeii; o
eiio?ie? – 83.45±0.44 oe (P0.05), oiae? eiee a ?? ? ???
a?oiao niinoa??aaeinue ?o aeinoia??ia i?aeaeuaiiy (P0.05). E??i
oiai, o ae?oae ??? a?oie iieacieee aeinoia??ii ia a?ae??ciyeenue a?ae
cia/aiue o eiio?ieuei?e a?oi? (P>0.05), e??i RDW (P0.05).

*IEIE o ii?aeiaii? c a?oai?iii A, yeee aieiae?? aioeieneaeaioiith
ae??th, i?eaiaeeei aei ii?iae?caoe?? ye?nieo ? e?euee?nieo iieaciee?a
ia?eoa?e/ii? /a?aiii? e?ia?, CN, CCCN, EIO. Oea a?aeaoaa?oueny /a?ac
noeioeyoe?th a?eo?iiiaca oa aaiiaeia?iiooai?aiiy I?EA (E.?.?iiai/oe ?
ni?aaao., 1997, ?.C.Naiinthe ? ni?aaao., 1997, N.A.Oi?eue, 1994).

Canoinoaaiiy *IEIE iiceoeaii aieeioei ia ee?oeiio oa aoii?aeueio eaiee
?ioi?oaoo. Oae, niinoa??aaeinue aeinoia??ia i?aeaeuaiiy (P0.05), a o a?aeiinieo cia/aiiyo
aoa aeinoia??ii aeuei, i?ae o ?? oa ? a?oiao (P0.05). ??cieoey o ??ai? Ig G oa Ig M i?ae a?oiaie
aoea aeinoia??iith (P0.05), oi/a a ??? a?oi? aiie noaee
aeeae/eie aei ii?ie ? aeinoia??ii ia a?ae??ciyeeny a?ae cia/aiue o
eiio?ieuei?e a?oi? (P>0.05).

Uiaei aeeiai?ee iieaciee?a NA? – INI, oi a ae?oae ia?oi? a?oie i?ae
aieeaii aaciaiai e?eoaaiiy CAeA niinoa??aaeiny ciaioaiiy (P0.05), oaeiae iacia/ii
ciaioeany A?A? (P>0.05).

O ?? oa ??? a?oiao niinoa??aaeiny aeinoia??ia cieaeaiiy oeeo o?ueio
iieaciee?a (P

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