.

Лікування і профілактика гострого деструктивного лактаційного маститу та його ускладнень (Клініко-лабораторне дослідження): Автореф. дис… д-ра мед.

Язык: украинский
Формат: реферат
Тип документа: Word Doc
122 4141
Скачать документ

14

I?i?noa?noai ioi?iie caei?ia`y Oe?a?ie

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe

?i. I.E. Ooieea

EOCI?OeIA Aiaoie?e sseeiiae/

OAeE 618.19-002-085

E?eoaaiiy ? i?io?eaeoeea aino?iai aeano?oeoeaiiai

eaeoaoe?eiiai ianoeoo oa eiai oneeaaeiaiue

(Ee?i?ei-eaai?aoi?ia aeine?aeaeaiiy)

14.01.03 – o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e aeaaeai??

(i. Iieoaaa) IIC Oe?a?ie (?aeoi? – aeieoi? iaaee/ieo iaoe,

i?ioani? I.N. Ne?eii?eia)

Iaoeiaee eiinoeueoaio: aeieoi? iaaee/ieo iaoe, i?ioani? A?eaiei ?aai
Ieaen?eiae/ – caa?aeoaa/ eaoaae?ith aini?oaeueii? o??o?a?? OINA.

Io?oe?ei? iiiiaioe:aeieoi? iaaee/ieo iaoe, i?ioani? Oiiaooe ?aai
I?ieiiiae/, aieiaiee o??o?a e?eoaaeueii-icaei?ia/iai ia`?aeiaiiy i?e
Eaa?iao? I?i?no??a Oe?a?ie.

Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? *a?aiueei Iaea? Iao?iae/, i?ioani? eaoaae?e o??o?a?/ieo
caoai?thaaiue Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo ?i.aeaae. I.I.
Aiaiiieueoey IIC Oe?a?ie.

Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Aeaoeaiei Ai?en Iaea?iae/, caa?aeoaa/ eaoaae?ith o??o?a?? oa
i?ieoieia?? Oa?e?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe IIC
Oe?a?ie.

I?ia?aeia onoaiiaa:Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC
Oe?a?ie, eaoaae?a aini?oaeueii? o??o?a?? ?1

Caoeno a?aeaoaeaoueny 05.11. 1999 ?. i 11 aiae. ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.613.02 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, aoe. Aei?iaiaeeoeueea, 9)

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea (i. Ee?a, aoe.
Aei?iaiaeeoeueea, 9).

Aaoi?aoa?ao ?ic?neaiee 04.10. 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.613.02,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio

Aaicaeye I.I.

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie. Aino?ee eaeoaoe?eiee ianoeo (AEI) caeeoa?oueny
iaei??th ?c aeooaeueieo i?iaeai o??o?a??. ?ao?aeoa?i?noue caoaeiee?a
caiaeaiiy a eaeooth/?e iiei/i?e caeic? (IC) aei aioeaaeoa??aeueieo
i?aia?ao?a, aoi?eiiee ?ioiiaeao?oeeo o ii?iae?eue i?ney aaa?oiino? ?
iieia?a, iineeaia aea?a?caoe?y i?aai?cio, iaaaoeaiee aieea
nioe?aeueii-aeiiii?/ieo oaeoi??a, iaoiiaeththoue ?iciianthaeaeai?noue ?
oyaee?noue ia?aa?ao eaeoaoe?eieo ianoeo?a (Ainoeuaa A.E. ? ni?aaao.,
1988; Eiinoaioeiia A.E., 1990; Nianeaoeaa TH.A., 1995; Na?a??iei N.I.,
1997).

Inoaii?i /anii ia?aaaaeathoue oai?? c iioe?aieie aeano?oeoeaieie
o?aaeaiiyie IC oa iaoyaeaiei ee?i?/iei ia?aa?aii caoai?thaaiiy
(Aiiaea?aiei I.I. ? ni?aaao., 1989; Eooooaa O.O. ? ni?aaao., 1990;
Oaiiaae N.Ae., 1990; Ianeia A.A., 1992; Eie?i A.O., 1997; Dahlen H.,
1993; Jonson S., Pulkkinen M.O., 1994).

Niinoa??aa?oueny cia/ia e?euee?noue ii/aoeiaeo oi?i caoai?thaaiiy oa ?o
ia?ao?ae a aeano?oeoeai?, yeee aeinyaa? 24%-49% (Aaeaeoeia N.I. ?
ni?aaao., 1990; Aiiaea?aa A.?. ? ni?aaao., 1992).

?ic?iaea ? ai?iaaaeaeaiiy a ee?i?/io i?aeoeeo no/anieo iaoiae?a
ae?aaiinoeee oa aeoeaiiai o??o?a?/iiai e?eoaaiiy oai?eo AEI iie?aueee ?o
?acoeueoaoe (Iaoyoei ?.I. ? ni?aaao., 1980; ss?ai/oe A.ss., 1981;
Ia?oeaithe N.I., 1982; *a?aiueei I.I. ? ni?aaao., 1983; Aeoaeaiei A.?. ?
ni?aaao., 1984; Eiinoaioeiia A.E. ? ni?aaao., 1994; Eooooaa O.O. ?
ni?aaao., 1995).

Iaeiae, caeeoa?oueny cia/iee a?aenioie oneeaaeiaiue AEI. Oae, o
5,8%-20,7% oai?eo a i?neyiia?aoe?eiiio ia??iae? oi?iothoueny iiei/i?
naeu? (Oaeo? I.I., 1976; Aooaiei A.O. ? ni?aaao., 1977), o 6%-23% –
aeieeathoue ?aoeeaeeae caoai?thaaiiy (Aaeieo?ia TH.I. ? ni?aaao., 1984;
Eiinoaioeiia A.E., 1990). Caa??aa?oueny cia/iee a?aenioie eaoaeueiino?
(0,3%-1,8%), aieiaiei /eiii ca ?aooiie naineno, /anoioa yeiai neeaaea?
10%-23% (Aeoaeaiei A.?. ? ni?aaao., 1982; Eenae C.A. ? ni?aaao., 1987;
Eooooaa O.O. ? ni?aaao., 1990; No?o/eia A.?. ? ni?aaao., 1991).

O 16%-76% oai?eo oi?iothoueny einiaoe/i? aeaoaeoe o aeaeyae? ?oaoe?a,
aoyae?iiy ninea, aeaoi?iaoe?? oa ciaioaiiy ia’?io IC (THoo?i A.?. ?
ni?aaao., 1982; Noi?iaeoe A.O. ? ni?aaao., 1987; Oaeiae A.I. ? ni?aaao.,
1988). I?e aeeiiaii? iia?aoeaieo ao?o/aiue ia caaaeaee a?aoiaothoueny
ia?niaeoeae ieanoe/ieo iia?aoe?e (Aeoiaanueeee I.I. ? ni?aaao., 1987).

I/aaeaeii, ui aeoeaia o??o?a?/ia e?eoaaiiy oai?eo AEI iio?aao?
iiaeaeueoiai oaeineiiaeaiiy ye ia aoai? o??o?a?/ii? ia?iaee, oae ? ca
?aooiie aeei?enoaiiy no/anieo iaoiae?a o?ce/iiai aieeao ia ai?eio ?aio.

Ioe?ieaoe e?oa?aoo?i? aeai?, ie i?eeoee aei aeniiaeo i?i iaiao?aei?noue
i?iaaaeaiiy aeine?aeaeaiue, ni?yiiaaieo ia aea/aiiy iaoiaaiaco AEI ?
eiai oneeaaeiaiue, iniaeeainoae ee?i?/iiai ia?aa?ao a no/anieo oiiaao,
?ic?iaeo iiaeo oa oaeineiiaeaiiy a?aeiieo iaoiae?a i?io?eaeoeee ?
e?eoaaiiy, ui aeicaieeoue iie?aueoe ?o ?acoeueoaoe.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aeeiiaia a?aeiia?aeii ieaio IAe? Oe?a?inueei? iaaee/ii?
noiiaoieia?/ii? aeaaeai?? (i. Iieoaaa) ca oaiith “Caiaeuei? oa
iacaiaeuei? oai?iae i?aai?a ? nenoai ethaeeie, ui oi?iothoueny i?ae
aieeaii aeieia?/ieo, no?aniaeo, ?ioiieo, iaoaaie?/ieo oa ?ioaeoe?eieo
oaeoi??a. Noai aaii-, aiiainoaco, aaiiaeeiai?ee i?e canoinoaaii?
o?aaeeoe?eieo oa iao?aaeeoe?eieo cania?a e?eoaaiiy” (Aea?ae. ?a?no?
?019800013A a?ae 20.01.98 ?.)

Iaoa ?iaioe. Iie?aueoe ?acoeueoaoe e?eoaaiiy oai?eo AEI oeyoii ?ic?iaee
? ai?iaaaeaeaiiy a i?aeoeeo iioeiaeueieo iaoiae?a e?eoaaiiy ?
i?io?eaeoeee aeano?oeoeaieo oi?i caoai?thaaiiy oa eiai oneeaaeiaiue.

Aeey aeinyaiaiiy aeaii? iaoe aoee iinoaaeai? ianooii? caaea/?:

1. Aea/eoe iniaeeaino? ee?i?/iiai ia?aa?ao AEI a no/anieo oiiaao, eiai
ao?ieia?/io no?oeoo?o oa ii?oieia?/i? ci?ie a IC o oai?eo c ??cieie
oi?iaie caoai?thaaiiy.

2. ?ic?iaeoe eeaneo?eaoe?th aino?iai eaeoaoe?eiiai ianoeoo.

3. Aecia/eoe iaea?eueo ?ioi?iaoeai? e?eoa??? aeeoa?aioe?eii?
ae?aaiinoeee ii/aoeiaeo (na?icii-?io?eueo?aoeaieo) oa aeano?oeoeaieo
oi?i caoai?thaaiiy.

4. Aeine?aeeoe ia?aa?a ?aiiaiai i?ioeano o oai?eo aeano?oeoeaiei AEI oa
aieea ia iueiai iaoa?einueeiai iieiea (II), e??iia?iaee, oeueo?acaoeiai?
eaa?oaoe?? ?ai a caeaaeiino? a?ae ia’?io o??o?a?/ii? ia?iaee ai?eiiai
ina?aaeeo.

5. Aea/eoe noai ia?aeeniiai ieeneaiiy e?i?ae?a (IIE), aioeieneaeaioiiai
caoenoo (AC), aaiinoaco, ?ioiiiai noaoono o oai?eo c ??cieie
ee?i?ei-ii?oieia?/ieie oi?iaie caoai?thaaiiy oa iiaeeeaino? ei?aeoe?? ?o
ii?ooaiue oeyoii aeei?enoaiiy aioeieneaeaio?a (-oieioa?ieo-aoeaoaoo,
aiienei?io) oa ?ioiinoeioeyoi?o oeiae?io.

6. Aeine?aeaeaiiyie “in vitro” aea/eoe aaiieiaaoeyoe?ei? oa
o?a?eiie?oe/i? aeanoeaino? oeaieie iiei/ii? caeice ? iaoa?einueeiai
iieiea.

7. Aecia/eoe iaea?eueo aoaeoeai? iaoiaee o??o?a?/iiai e?eoaaiiy oai?eo
AEI, oaeineiiaeeoe ie?ai? aeaiaioe ?o aeeiiaiiy c o?aooaaiiyi
oiiia?aoi-aiaoii?/ii? no?oeoo?e IC oa iaa?oiooaaoe nenoaio caoiae?a,
iai?aaeaieo ia iiia?aaeaeaiiy einiaoe/ieo aeaoaeo?a.

8. Ia i?aenoaa? i?iaaaeaieo aeine?aeaeaiue ?ic?iaeoe iaoiaee e?eoaaiiy,
i?io?eaeoeee aeano?oeoeaiiai AEI ? eiai oneeaaeiaiue oa ioe?ieoe ?o
aoaeoeaiino?.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Anoaiiaeaii, ui iniaeea?noth
AEI a no/anieo oiiaao ? ”ia?aaoaeiaa” eiai no?oeoo?e ca ?aooiie
ca?eueoaiiy /anoioe ai?eii-?io?eueo?aoeaieo, ci?oaieo oi?i caoai?thaaiiy
c iioe?aieie, aaaaoiina?aaeeiaeie oa noaa?aiey?ieie o?aaeaiiyie ia oii?
ciaioaiiy caaaeueii? e?eueeino? oai?eo. ?ic?iaeaia eeaneo?eaoe?y AEI c
o?aooaaiiyi ee?i?ei-ii?oieia?/ii? oi?ie caoai?thaaiiy, oyaeeino? eiai
ia?aa?ao, ?iciianthaeaeaiino? i?ioeano a IC, ?ioaineaiino? eaeoaoe?? oa
oneeaaeiaiue.

Anoaiiaeaii, ui ii?oieia?/i? ci?ie a IC i?e ii/aoeiaeo
(na?icii-?io?eueo?aoeaieo) oi?iao AEI oa?aeoa?ecothoueny
i?e?ioee?eoeyoi?ieie ii?ooaiiyie, aeano?oeoe??th aacaeueieo iaia?ai,
aeaneaaiaoe??th iie??aiiai ai?oae?th no?iee neion?a, iaeiie/aiiyi
ee?oeiieo ?io?eueo?ao?a, iaa?yeii oa ?icaieiei?iiyi i?ae/anoi/eiaeo
ia?aoeiie.

Aeyaeaii iineeaiiy IIE, cieaeaiiy AC o oai?eo aeano?oeoeaiei AEI, ui
noi?iaiaeaeo?oueny aaiieiaaoeyoe?eieie ?iceaaeaie o aeaeyae?
a?ia?eiaaoeaaaeueiino?, cieaeaiiy aeoeaiino? o?a?eiie?co, AeAC-neiae?iio
ia oii? ??ciiiai?aaeaieo ii?ooaiue ee?oeiiiai oa aoii?aeueiiai
?ioi?oaoo.

Aia?oa ia i?aenoaa? aeine?aeaeaiue “in vitro” anoaiiaeaii, ui aeno?aeo
oeaieie IC ni?e/eiy? aaiieiaaoeyoe?eiee oa o?a?eiie?oe/iee aieea ia
iecueeio?iiaioeeoa?io aeiii?nueeo ieacio. I?e a?aenooiino? nooo?aiai
aieeao ia o?a?eiie?c II ca ?acoeueoaoaie o?iiaiaeanoia?ao?/ieo
aeine?aeaeaiue iineeth? eiaaoeyoe?th, aeanoe/i?noue, i?oei?noue
e?ia’yiiai cai?oeo, eiai ?ao?aeoe?th c no?ieith noaeeie ?, a?aeiia?aeii,
?? iaoo?aoe?th, ui caaacia/o? a?eueo iaae?eiee aaiinoac.

Anoaiiaeaii, ui aieea II ia ia?aa?a ?aiiaiai i?ioeano ia? oaciaee
oa?aeoa? ? aecia/a?oueny iiaeiaaeai?noth eiai ae?? oa ?ioaineai?noth
eaeoaoe??. Aeyaeaia ei?ioei/ania ni?eyoeeaa ae?y na?aeiaeae?eaiiai II o
aeaeyae? iineeaiiy i?ioean?a i/euaiiy ? ?aaaia?aoe?? a ?ai? a oiiaao ??
aaeaeaaoiiai ae?aioaaiiy. E??iia?iaea ?ai c o?aooaaiiyi ia`?io
o??o?a?/ii? ia?iaee (?icoei ai?eieo ina?aaee?a) iaiaaeo?
e??iaeano?oeoeaiee aieea ia?i??aeeiiiai acioo.

Aeei?enoaiiy aioeieneaeaioo aiienei?io a eiiieaeni?e oa?ai?? oai?eo AEI,
cie?aia ii/aoeiaeo oi?i, ii?iae?co? iieacieee IIE, noaa?e?co? AC,
cieaeo? aaiieiaaoeyoe?eiee oa i?aeaeuo? o?a?eiie?oe/iee iioaioe?ae
e?ia?, ni?ey? ?aa?ano eaeoinoaco, a?aeiiaeaiith eaeoaoe??, ui aeicaiey?
eiinoaooaaoe eiai iaiii?ioaeoi?iee aoaeo.

?ic?iaeaia oa ai?iaaaeaeaia a ee?i?/io i?aeoeeo iiaa eiino?oeoe?y
oo?eioaa/a aeey o?enaoe?? IC i?ney iia?aoe?? (a. n. ia aeiao?ae ?1544424
a?ae 23.02.90 ?.), aeei?enoaiiy yeiai iie?auo? einiaoe/i? ?acoeueoaoe
e?eoaaiiy, caaacia/o? aeiiii?th ia?aa’yci/iiai iaoa??aeo.

Aeei?enoiaoth/e ?iaeea?aeoaeueiee i?aeo?ae aei aeai?o iia?aoeaieo
ao?o/aiiue, iaa?oioiaaiee ?o i?aaiicaa??aath/ee oa?aeoa? o oai?eo c
iaiaaeaieie aeano?oeoeaieie o?aaeaiiyie ca ?aooiie aeeiiaiiy c
o?aooaaiiyi oiiia?aoi-aiaoii?/ii? no?oeoo?e IC oa ?ic?iaee iaoiae?a
i?io?eaeoeee oneeaaeiaiue.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ia i?aenoaa? i?iaaaeaieo
aeine?aeaeaiue aea/ai? iniaeeaino? ee?i?/iiai ia?aa?ao AEI a no/anieo
oiiaao.

?ic?iaeaia eiiieaenia eeaneo?eaoe?y AEI, yea aeicaiey? aaeaeaaoii
ioe?ieoe noai oai?eo, noi?ioethaaoe ae?aaiic, aecia/eoe ?aoe?iiaeueia
iia?aoeaia ao?o/aiiy ? a?aeiia?aeio i?ia?aio eiina?aaoeaiiai e?eoaaiiy.

?ic?iaeaiee aoaeoeaiee iaoiae e?eoaaiiy oai?eo ii/aoeiaeie oi?iaie AEI
oeyoii aeei?enoaiiy aioeieneaeaio?a (aiienei?io, -oiei-oa?ieo aoeaoaoo)
oa ?ioiinoeioeyoi?o oeiae?io.

Aecia/ai? aeeoa?aioe?eii-ae?aaiinoe/i? e?eoa??? ii/aoeiaeo
(na?icii-?io?eueo?aoeaieo) oa aeano?oeoeaieo oi?i caoai?thaaiiy.

Aeae?eai? a?oie oai?eo i?aeaeuaiiai ?eceeo ?icaeoeo ai?eii-naioe/ieo
oneeaaeiaiue, ?aoeeaeea?a caoai?thaaiiy, iiei/ieo naeu?a (IN),
i?neyiia?aoe?eieo e?iaioa/.

Oaeineiiaeai? ie?ai? aeaiaioe iia?aoeaieo ao?o/aiue i?e iaiaaeaieo
aeano?oeoeaieo o?aaeaiiyo c o?aooaaiiyi oiiia?aoi-aiaoii?/ii? no?oeoo?e
IC. Aecia/ai? iieacaiiy oa oaoi?/ii oaeineiiaeaia ?aa?c?y IC.

Ii?aoeueiaai? iioeiaeuei? iaoiaee o?ce/iiai aieeao (e??iia?iaea,
oeueo?acaoeiaa eaa?oaoe?y ?ai) a caeaaeiino? a?ae ia’?io o??o?a?/ii?
ia?iaee ai?eiiai ina?aaeeo.

Noai?aia iiaa eiioeaioe?y ?icaeoeo i?neyiia?aoe?eieo e?iaioa/ o oai?eo
aeano?oeoeaiei AEI, ?ic?iaeai? aoaeoeai? iaoiaee ?o i?io?eaeoeee oa
e?eoaaiiy.

Ai?iaaaeaeaiee a ee?i?/io i?aeoeeo iaoiae noaiia?aoe?eii? i?io?eaeoeee
iiei/ieo naeu?a (IN) oa ?o ?aiiueiai e?eoaaiiy c aeei?enoaiiyi
e??iaieeao, cania?a iineethth/eo ?aaaia?aoeai? i?ioeane a ?ai?.

?ic?iaeai? i?iaiinoe/i? e?eoa??? ?icaeoeo einiaoe/ieo aeaoaeo?a IC,
noaie eiiieaeniiai e?eoaaiiy ? i?io?eaeoeee AEI oa eiai oneeaaeiaiue.

Cai?iiiiiaaia nenoaia caoiae?a, iai?aaeaieo ia iiia?aaeaeaiiy aai
iaiaaeaiiy einiaoe/ieo aeaoaeo?a IC.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? a ee?i?/io i?aeoeeo
e?eoaaeueieo onoaiia i. Iieoaae (1, 2 i?nueea ee?i?/ia e?ea?iy, i?nueeee
iieiaiaee aoaeeiie, Iieoaanueea Oe?EE). Aeeeaaeai? a aeai?e ?iaio?
iieiaeaiiy aeeth/ai? a eaeoe?eiee eo?n ? ciaoiaeyoue a?aeia?aaeaiiy i?e
i?iaaaeaii? i?aeoe/ieo caiyoue ia eaoaae?? o??o?a?/ieo oai?ia OINA.

Iniaenoee aianie caeiaoaa/a. A i?ioean? aeeiiaiiy aeena?oaoe?? aaoi?
a?ae?a?aa ? e?eoe/ii i?iaiae?coaaa anth iayaio e?oa?aoo?o ca oaiith
aeena?oaoe??, i?ia?a ?ioi?iaoe?eiee iiooe, cai?iiiioaaa aieiaio iaoo ?
?ic?iaea i?ia?aio aeine?aeaeaiue, iaa?aa ee?i?/iee iaoa??ae. Aaoi?
iniaenoi aeeiiaa 165 (38,5%) iia?aoeaieo ao?o/aiue o oai?eo
aeano?oeoeaiei AEI, cae?eniea caa?? iaoa??aeo aeey a?noieia?/ieo,
i?e?ia?ieia?/ieo oa eaai?aoi?ieo aeine?aeaeaiue. Ie?ai? o?aaiaioe, oae?
ye ?I-iao??y ?ai, aeei?enoaiiy ia?i??aeeiiiai acioo i?e o??o?a?/iiio
e?eoaaii? oai?eo AEI aeeiiai? ?acii c ani??aioii ?.A. Oaiaiiaei.
Naiino?eii i?ia?a noaoenoe/io ia?iaeo, aiae?c oa ?ioa?i?aoaoe?th
io?eiaieo ?acoeueoao?a ca aeiiiiiaith niaoe?aeueieo i?ia?ai ia
ia?niiaeueiiio eiii’thoa?? Pentium ??-266.

On? iieiaeaiiy, aeianai? ia caoeno, aeniiaee, i?aeoe/i? ?aeiiaiaeaoe??
?ic?iaeai? aaoi?ii iniaenoi.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeiiia?aeaeeny oa iaaiai?thaaeeny ia i?aenoieiaeo iaoeiai-i?aeoe/ieo
eiioa?aioe?yo Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai?? oa
Iieoaanueeiai iaeaniiai oiaa?enoaa o??o?a?a (1987, 1988, 1989, 1992,
1993, 1996, 1997 ?.?.), Ananithci?e eiioa?aioe?? “Oe?o?ae/aneee nainen”
(Ooea, 1989 ?.), Ananithci?e eiioa?aioe?? “Nia?aiaiiua iiaeoiaeu e
?ac?aaioea yooaeoeaiuo ia?aayci/iuo n?aaenoa e oiaiuo iaoa?eaeia”
(Iineaa, 1989 ?.), Ananithci?e eiioa?aioe?? “Aeooaeueiua aii?inu
nainenieiaee” (Oaeeene, 1990 ?.), Ananithciiio neiiic?oi? “Eiaeiay
ieanoeea a aiieiie oe?o?aee” (Iineaa, 1990 ?.), ? Iaoe?iiaeueiiio
eiia?an? aiaoii?a, a?noieia?a, aia??ieia?a ? oiiia?aoiaiaoii?a Oe?a?ie
(?aaii-O?aie?anuee, 1991 ?.), ?? eiia?an? o??o?a?a Oe?a?ie (Aeiiaoeuee,
6-9 aeiaoiy 1998 ?.), ia i?aeeaoaae?aeueieo can?aeaiiyo ni?a?ia?oiee?a
eaoaae? o??o?a?/ieo oai?ia, caaaeueii?, aini?oaeueii?, oaeoeueoaonueei?
o??o?a??, aeooa?noaa ? a?iaeieia?? OINA i?e o/ano? e?ea??a o??o?a?/ieo
a?aeae?eaiue iaeanii?, 1 ? 2 i?nueeeo oa Iieoaanueei? oeaio?aeueii?
?aeiiii? e?ea?aiue (1996, 1998 ?.?.).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 43 iaoeia? ?iaioe:
?c ieo 18 noaoae a iaoeiaeo aeo?iaeao, 25 – a iaoa??aeao ? oacao
iaoeiaeo eiioa?aioe?e, neiiic?oi?a, c’?cae?a, eiia?an?a. Io?eiaia 1
aaoi?nueea na?aeioeoai ia aeiao?ae, 2 i??i?eoaoi? aeia?aeee oa 8
?aoe?iiae?caoi?nueeeo i?iiiceoe?e.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 336
noi??ieao iaoeiiieniiai oaenoo ? neeaaea?oueny c anooio, iaeyaeo
e?oa?aoo?e, 10 ?icae?e?a aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo aeei?enoaii? e?oa?aoo?e, yeee i?noeoue
500 aeaea?ae, a oiio /ene?, 150 ?iicaiieo. ?iaioa ?ethno?iaaia 39
oaaeeoeyie ? 32 iaethieaie.

Iniiaiee ci?no ?iaioe

Ia’?eo, iaoiaee oa iaoiaeieia?y aeine?aeaeaiiy.

Ianoaaeaii 642 oai?eo AEI, ye? ciaoiaeeeenue ia noaoe?iia?iiio e?eoaaii?
a ee?i?oe? o??o?a?/ieo oai?ia OINA c 1978 – ii 1997 ?.?.

A ee?i?/i?e i?aeoeoe? aeei?enoiaoaaee noai?aio iaie eeaneo?eaoe?th AEI.

Eiiieaenia eeaneo?eaoe?y aino?iai eaeoaoe?eiiai ianoeoo:

?. Ee?i?ei-ii?oieia?/i? oi?ie: 1 – na?iciee; 2 – ?io?eueo?aoeaiee; 3 –
na?ic-ii-?io?eueo?aoeaiee; 4 – ai?eiee (aanoeaaeoth/ee,
?io?eueo?aoeaii-ai?e-iee, oeaaiiiiciee, ai?eii-iae?ioe/iee); 5 –
aaia?aiiciee (aaia?aiicii-iae?ioe/iee); 6 – e?oe/iee; 7 – ci?oaiee.

??. Ca eieae?caoe??th oa aeeaeiith o?aaeaiiy: 1 – e?ainoi?iii?e,
i?aainoi?iii?e, aeainoi?iii?e; 2 – noaa?aiey?iee; 3 – i?aeoe??iee; 4 –
?io?aia-ia?iee; 5 – ?ao?iiaia?iee; 6 – ci?oaiee; 7 – oioaeueiee
(iaiianoeo).

???. Ca oa?aeoa?ii o?aaeaiiy: 1 – aeeoociee; 2 – ina?aaeeiaee
(iiiiina?aaeeiaee, iie?ina?aaeeiaee).

IV. Ca ?iciianthaeaeai?noth: 1 – a iaaeao 1 eaaae?aioo; 2 – a iaaeao 2
eaaae?aio?a; 3 – a iaaeao 3 aai 4 eaaae?aio?a.

V. Ca ee?i?/iei ia?aa?aii: 1 – eaoaioiee; 2 – a?aaeoeaiee; 3 –
a?ia?a?a?/iee; 4 – aeeneaae/iee; 5 – ?aoeeaeeaiee.

VI. Ca nooiaiai oyaeeino? ia?aa?ao: 1 – eaaeee; 2 – na?aaeiuei?
oyaeeino?; 3 – oyaeeee; 4 – ae?ae oyaeeee (oa?i?iaeueiee).

VII. Ca ?ioaineai?noth eaeoaoe??: 1 – a?iiaaeaeoe/iee; 2 –
ii?iiaaeaeoe/iee; 3 – a?ia?aaeaeoe/iee.

VIII. Ca oa?aeoa?ii oneeaaeiaiiy: 1 – ai?eii-caiaeuei?; 2 – nainen; 3 –
e?iaioa/a; 4 – iiei/i? naeu?; 5 – ii?ooaiiy eaeoaoe?eii? ooieoe??; 6 –
einiaoe/i? aeaoaeoe; 7 – iiei/i? e?noe (aaeaeoioeaea).

I?aaenoaaeaia eeaneo?eaoe?y noai?aia ia i?aenoaa? ?nioth/eo, aeanieo
ee?i?/ieo niinoa?aaeaiue ? ia i?aoaiaeo? ia aaccaia?a/i?noue oa
caeeth/i?noue aa??aioo.

An? oai?? aoee ?iciiae?eai? ia 2 a?oie a?aeiia?aeii ia??iaeai
ianoaaeaiiy oa iaoiaeai e?eoaaiiy. Ia?oo a?oio neeaee 298 (46,4%)
oai?eo, ye? e?eoaaeenue a ia??iae c 1978 – ii 1985 ?.?. ca
caaaeueiii?eeiyoith iaoiaeeeith. ?c ieo, 200 (31,2%) oai?eo c
aeano?oeoeaieie ? 98 (15,3%) – ii/aoeiaeie (na?icii-?io?eueo?aoeaieie)
oi?iaie caoai?thaaiiy. Aei 2-i? a?oie oa?eoee 344 (53,6%) ae?iee,
e?eoaaiiy yeeo i?iaiaeeeinue c 1986 – ii 1997 ?.?. c aeei?enoaiiyi
?ic?iaeaieo iaie iaoiae?a. Na?aae ieo, 229 (35,7%) oai?eo c
aeano?oeoeaieie ? 115 (17,9%) – ii/aoeiaeie oi?iaie AEI.

A?eueo?noue ianoeo?a aeieeee /a?ac 1-2 oeaei? i?ney iieia?a ? o?eueee
279 (43,5%) oai?eo iaio a?oi iio?aieee aei ee?i?ee /a?ac 2-3 aei? i?ney
ii/aoeo caoai?thaaiiy. Ia?o? iieiae aoee o 199 (66,7%) oai?eo 1 a?oie ?
205 (59,6%) – ae?oai?.

A?eiaee ae?aiacii oai?eo eieeaaany a iaaeao 18-40 ?ie?a.
Ee?i?ei-ii?oieia?/ia no?oeoo?a caoai?thaaiiy i?aaenoaaeaia a oaaeeoe? 1.

Aeieeiaiith ianoeoo ni?eyee ia?aianai? caoai?thaaiiy, oieneeice ? oa ??
iieiaeie aaa?oiino?; oneeaaeiaiiy i?neyiieiaiaiai ia??iaeo: cano?e
iieiea, o??ueie nine?a, e?iaioa/?, aiaeiiao?eoe. O a?eueoino? oai?eo
iaio a?oi (94,2%; 82,6%) caoaeieeii eaeoaoe?eiiai ianoeoo aoa cieioenoee
noao?eieie

Oaaeeoey 1

Ee?i?ei-ii?oieia?/ia no?oeoo?a aino?iai eaeoaoe?eiiai ianoeoo

I?ei?oea: n – e?euee?noue oai?eo.

(Staphylococus aureus), aeae?eaiee ?c aiith a aeaiue aeeiiaiiy
iia?aoeaiiai ao?o/aiiy.

O oai?eo 2-i? a?oie i?aeaeueeanue ieoiia aaaa a?aiiaaaoeaii? i?e?ioei?e
(i?ioath, neiueiai?eii? oa eeoa/ii? iaee/ie), cie?aia, a ii?aeiaii? c
noao?eieieii (8,8%). Ca?eueoeeanue /anoioa ai?eii-?io?eueo?aoeaieo,
ci?oaieo oi?i caoai?thaaiiy c iioe?aieie, aaaaoiina?aaeeiaeie,
noaa?aiey?ieie o?aaeaiiyie ia oii? ciaioaiiy caaaeueii? e?eueeino?
oai?eo.

I?ia?aia eaai?aoi?ieo aeine?aeaeaiue aeeth/aea iieacieee IIE, AC,
?ioiiiai noaoono, aaiieiaaoeyoe?? oa o?a?eiie?co o ii??aiyii? c oaeeie
30 ae?iie-aeiii??a noaioe?? ia?aeeaaiiy e?ia? (1 eiio?ieueia a?oia) oa
34 ii?iae?eue a?aeiia?aeieo no?ie?a i?neyiieiaiaiai ia??iaeo (2
eiio?ieueia a?oia).

O 97 oai?eo AEI (36 – ii/aoeiaei, 61 – aeano?oeoeaiei) aecia/aee a e?ia?
iieacieee IIE ? AC, a naia: niiioaiiee aaiie?c a?eo?ioeeo?a – NAA (Jager
F.N., 1966), ai?no iaeiiiaiai ae?aeueaeaa?aeo – IAeA (Aeaaeeie?ia TH.A.,
A?/aeia A.?., 1972), ae??iiaeo eii’thaao – AeE (Aaa?eeia A.A. ?
ni?aaao., 1981), aeoeai?noue noia?ieneaeaeeniooace – NIAe (Misra M.P.,
Fridovinh L., 1972), oea?oeiieacieio – OeI (Shimizu M., 1961), eaoaeace
(eaoaeaciee ?iaeaen) – E? (Aao A.I., Coa?iaa N.C., 1988).

O 92 oai?eo AEI (36 – ii/aoeiaei, 56 – aeano?oeoeaiei) aea/ai? iieacieee
eiaaoeia?aie, ye? aeeth/aee e?euee?noue o?iiaioeeo?a oa ?o aa?aaaoe?ei?
aeanoeaino? (Ethnia A.E. ? ni?aaao., 1971), /an ?aeaeueoeeo?eaoe??
ieacie (Bergerhof H.P., Roka L., 1954), i?io?iia?iiaee (Quick A.I.,
1954) oa o?iia?iiaee /an (Szima E., 1957), aeoeaiaaiee /anoeiai
o?iiaiieanoeiiaee /an – A*O* (Bigs R., 1976), eiioeaio?aoe?th
o?a?eiiaaio (Eioiaueeiaa I.A. ? ni?aaao., 1966), /an e?ceno
aoaeiaoe?iiaiai cai?oeo (Kowarryk K., Buluk K., 1954), aeoeai?noue
aioeo?iia?io AO-??? (Hensen A., Loeliger E.A., 1967), ai?no i?iaeoeo?a
aeaa?aaeaoe?? o?a?eiiaaio – IAeO (Aaeoaea A.I., Aa?eaaai C.N., 1980).

O 58 oai?eo AEI (35 – ii/aoeiaei ? 23 – aeano?oeoeaiei) i?iaaaeai?
?ioiieia?/i? ianoaaeaiiy c aeei?enoaiiyi ?ioiia?aie 1-ai ??aiy (E?a?ae?a
E.A., Iiiye?ia ?.Ae., 1994). Aecia/aee caaaeueio e?euee?noue eaeeioeeo?a
oa ?o iiioeyoe?? (Iaiueoeeia A.A. ? ni?aaao., 1987), e?ioioeeoia?aio c
aeeoa?aioe?eiaaiei i?aee?eii O-e?io., A-e?io., O-oaei., O-noi?.,
O-oaei./O-noi?. a ?aaeoe?yo ?icaoeiooai?aiiy (E?a?ae?a E.A., Iiiye?ia
?.Ae., 1994). Ai?no ?ioiiaeiaoe?i?a (IgA, IgM. IgG) o ne?iaaooe? e?ia?
oa IgA a iieioe? aecia/aee ca iaoiaeii iaeiii??ii? ?aae?aeueii?
?ioiiaeeooc?? a aaa?iaiio aae? ca Manchini (Iaiueoeeia A.A. ? ni?aaao.,
1987). ??aaiue oee?eoethth/eo ?ioiieo eiiieaen?a (Oe?E) o ne?iaaooe?
e?ia? aeine?aeaeoaaee iaoiaeii i?aoeei?oaoe?? c 3,5% oa 7% ?ic/eiaie
iie?aoeeaiae?eieth (Iaiueoeeia A.A. ? ni?aaao., 1987). Oaaioeeoa?io
aeoeai?noue iaeo?io?eueieo a?aioeioeeo?a – ca INO-oanoii
(Eiaeinueeee A.A. ? ni?aaao., 1978). Nooi?iue iia?e?caoe??
iie?ii?oiioeeaa??a – ca iiaeeo?eiaaiei eaeeioeeoa?iei ?iaeaenii
?ioieneeaoe?? – IE?? (Ooiaeei A.I., 1996).

*ooeea?noue i?e?ioei?e aei aioea?ioee?a aecia/aee iaoiaeii noaiaea?oieo
aeene?a (Iaaaoei N.I. ? ni?aaao., 1982).

O 22 oai?eo aeano?oeoeaiei AEI aeine?aeaeaiiyie “in vitro” aea/ai?
aaiieiaaoeyoe?ei? oa o?a?eiie?oe/i? aeanoeaino? oeaieie IC oa II.
Aeaioiaeaiee aeno?aeo ?c oeaieie IC, acyoi? c ae?eyiee a?ey ai?eiiai
ina?aaeeo, aeei?enoiaoaaany a ?icaaaeaii? (1:10), (1:20), a II –
oe?eueiei oa a ?icaaaeaii? (1:10). Aeine?aeaeoaaee iieacieee cai?ooth/i?
oa o?a?eiie?oe/ii? aeoeaiino? iecueeio?iiaioeeoa?ii? aeiii?nueei? ieacie
oa ?o ci?ie i?ney aeiaeaaaiiy aei ia? 0,1 ie aeno?aeoo aai II o
a?aeiia?aeieo eiioeaio?aoe?yo. Aeey eiio?ieth aeei?enoiaoaaee aeno?aeo
oeaieie IC iiia?eeo a?ae iaoieia??, ia iia’ycaii? c caoai?thaaiiyie
oeueiai i?aaio oa II ae?iie o i?neyiieiaiaiio ia??iae?.

Iaoai?ci aaiinoaoe/iiai aieeao II aea/aee ca aeiiiiiaith
o?iiaiaeanoia?ao?/ieo aeine?aeaeaiue ia aia?ao? “O?iiaiaeanoia?ao-2”.

O 67 (19,8%) oai?eo 2 a?oie i?iaaaeai? aeine?aeaeaiiy eaeoio?iiiiai
ai?iiio (i?ieaeoeio) a ne?iaaooe? e?ia? ?aae?i?ioiiei iaoiaeii ca
aeiiiiiaith oano-iaai??a o??ie CIS (O?aioe?y), o 37 (10,8%) – i?ney
i?eeiio ia?eiaeaeo (a?iiie??ioeio). O 98 (15,2%) oai?eo i?iaaaeaia
oeueo?acaoeiaa ianoaaeaiiy ia?aeaeueieo ae?eyiie IC ca aeiiiiiaith
e?i?eiiai neaia?o oeio Tochiba SAL 35 “A” (ssiii?y).

O 7 oai?eo ii/aoeiaeie oi?iaie AEI i?iaaaeaia ioieoe?y ?io?eueo?aoo IC c
acyooyi a?iioao?a aeey a?noieia?/ieo aeine?aeaeaiue o 5, – i?e
a?aenooiino? ai?eiiai ai?noo niaoe?aeueiith aieeith “Disposable Biopsy
needle” (Beraha) o??ie Travenol. O 11 oai?eo ai?eiei AEI iaoa??ae aeey
a?noieia?/iiai aeine?aeaeaiiy ?c ae?eyiie IC a?ey ai?eiiai ina?aaeeo
iaea?aeaee a?aee?eoei iaoiaeii i?ae /an iia?aoeaiiai ao?o/aiiy. Oiaoi/ee
oeaieie IC o?enoaaee a 10% ?ic/ei? iaeo?aeueiiai oi?iae?io, a oaeiae
o?enaoi?a Ea?ioa c iine?aeoth/ith ia?ao?iiaith i?iaiaeeith. C??ce
caaa?aethaaee aaiaoienee?iii ? aiceiii, i?e?iooeneiii ii aai-A?ciio.

Ia 1, 3, 5, 7-8 oa 11-12 aeiao i?ney iia?aoe?? aecia/aany ?I ?aiiaiai
na?aaeiaeua ca aeiiiiiaith ?iiii??a oi?aa?naeueiiai YA-74.

Ia?aeaeueii i?iaiaeeeenue oeeoieia?/i? aeine?aeaeaiiy ?aiiaeo a?aeaeoe?a
ca Iie?ianueeith I.?. oa Iaea?iaei I.N. (1942). Ciaeaeai? oeeoieia?/i?
ci?ie aoee aeae?eai? a iniiai? oeie oeeoia?ai: iae?ioe/iee (IO),
aeaaaia?aoeaii-caiaeueiee (AeCO), caiaeueiee (CO),
caiaeueii-?aaaia?aoeaiee (C?O) oa ?aaaia?aoeaiee (?O).

Iaea?aeai? ?acoeueoaoe ia?iaeyeenue oeyoii aa??aoe?eii-noaoenoe/iiai
aiae?co ca aeiiiiiaith AAI AN-1020 c ioe?ieith ??cieoe? ii??aithaaeueieo
iieaciee?a ca ia?aiao?e/iei e?eoa???i No’thaeaioa. Aiae?c oa
?ioa?i?aoaoe?y io?eiaieo aeaieo i?iaaaeai? ca aeiiiiiaith niaoe?aeueieo
i?ia?ai ia eiii’thoa?? Pentium-??-266.

Iniiai? ?acoeueoaoe aeine?aeaeaiue.

Ii?oieia?/i? aeai?. Aiae?c na??? ioieoe?eieo a?iin?e ?io?eueo?ao?a IC
i?e ii/aoeiaeo oi?iao AEI na?ae/aoue, ui a noaeeiao i?e?ioee?eoeyoi?iiai
?onea niinoa??aa?oueny a?ia?ai?y, a aaioeao – noace, i?noeyie – o?iiae,
e?iaiaeeeae, neaaeaeoaaiiy oi?iaiieo aeaiaio?a e?ia?. A e?ioeaaiio
i?aenoieo oea i?ecaiaeeoue aei i?aeaeuaiiy i?iieeiino? noaeei oa
aenoaeaoe?? ieacie a iaaeieinoaeeiia na?aaeiaeua, ui aeeeeea? iaa?ye oa
?icaieiei?iiy niieo/ii? oeaieie ia oii? iaeiie/aiiy ee?oeiieo
?io?eueo?ao?a, a ciiao yeeo niinoa??aa?oueny aeano?oeoe?y aacaeueieo
iaia?ai no?iee neion?a, iae?ic eiai iie??aiiai ai?oae?th c
aeaneaaiaoe??th oa oi?ioaaiiyi i?e?ia?ic?e. Aeyaey?oueny ia??aiii??ia
caoaeaiiy i?ina?oo neion?a, iaeiie/aiiy a ?o ii?iaeiei? cao?aeaeaiiai
iieiea oa na?iciiai aenoaeaoo c iiiaeeiieeie iaeo?io?eaie, iae?ioaaaie,
e?ioioeeoaie oa ceouaieie ai?oae?ioeeoaie, ui a?aeiia?aea?
na?icii-aeaneaaiaoeaiiio neioneoo. I?e a?noieia?/iiio aeine?aeaeaii?
i?aia?ao?a, acyoeo iaoiaeii a?aee?eoi? a?iin?? i?ney ?icoeio ai?eiee?a,
aeyaeythoueny ie?ai? ae?eyiee c aeaiaioaie ai?eiiai aenoaeaoo,
aeano?oeoe??th i?aeaeueaaiey?ieo ia?aoeiie, aeaneaaiaoe??th
nae?aooth/iai ai?oae?th, a?ia?ai??th oa iaa?yeii i?ae/anoi/eiai?
niieo/ii? oeaieie, ui iaoiiaeth? ao?aoo ooieoe?iiaeueii? iiaeeeaino?
nae?aooaaoe iieiei.

I?ney ?aaeeeaeueii? o??o?a?/ii? ia?iaee ai?eieo ina?aaee?a
niinoa??aa?oueny caa?aaeaiiy a?noiooieoe?iiaeueii? no?oeoo?e /anoi/ie
eaeooth/i? IC.

Iaea?aeai? aeai? aeicaieythoue c?iaeoe aeniiaie, ui ii?oieia?/i? ci?ie a
IC oai?eo ii/aoeiaei AEI a?aeiia?aeathoue i?iyaai na?iciiai caiaeaiiy c
o?aaeaiiyi an?o ?? no?iiaeueieo aeaiaio?a, iie??aiiai ai?oae?th no?iee
neion?a oa i?aeoaa?aeaeothoue aoaeoeai?noue ?aaeeeaeueii? o??o?a?/ii?
ia?iaee ai?eieo ina?aaee?a.

A?eueii?aaeeeaeueia ieeneaiiy e?i?ae?a, aioeieneaeaioiee caoeno,

aaiieiaaoeyoe?y, o?a?eiie?c oa ?ioiiee noaoon o oai?eo AEI

?acoeueoaoe aeine?aeaeaiue na?ae/aoue, ui i?e ii/aoeiaeo
(na?icii-?io?eueo?aoeaieo) oi?iao AEI niinoa??aa?oueny i?aeaeuaiiy IAeA
/a?ac 1,5 aiae. ?ie. (4,58 0,02 ieiieue/e; ? 0,5) a?aeiinii iaio eiio?ieueieo a?oi.
Aeine?aeaeaiiy i?e?ioee?eoeyoi?iiai aaiinoaco o oeeo oai?eo na?ae/aoue
i?i iineeaiiy aa?aaaoe?eii? aeoeaiino? o?iiaioeeo?a: cieaeaiiy /ano
aa?aaaoe?? (9,1 0,72 oa.; ? 0,1) a?ae oaeiai
eiio?ieueii? a?oie. Aeine?aeaeaiiyie ee?oeiiiai ?ioi?oaoo anoaiiaeaii
cieaeaiiy a?aenioeiaiai ai?noo O-e?io. (25,4 3,12%; ?  0,002). Iieaciee o?iia?iiaiai /ano
cieceany aei 26,1 1,86 nae. (? = 0,01) ? 28,6 1,12 nae. (? 0,02) oa
iaeneiaeueii? i?oeiino? cai?oeo (“A” – 139,6 18,9 ii; ? > 0,02)
a?aeiinii eiio?ieueieo. Ioaea, II iineeth? aaiieiaaoeyoe?th,
aeanoe/i?noue, i?oei?noue e?ia’yiiai cai?oeo, ?ao?aeoe?th ?c no?ieith
noaeeie c ianooiiith ?? iaoo?aoe??th, caaacia/oth/e a?eueo iaae?eiee
i?noeaaee (?aiiaee) aaiinoac.

E?eoaaiiy oai?eo aino?ei eaeoaoe?eiei ianoeoii

Ii/aoeia? (na?icii-?io?eueo?aoeai?) oi?ie.

E?eoaaiiy oai?eo ii/aoeiaei AEI iaio a?oi aeeth/aei aioeaaeoa??aeueio,
aeaceioieneeaoe?eio oa?ai?th, aaeaeaaoia coe?aeaeoaaiiy iieiea,
?aaoeyoe?th eaeoaoe??, o?c?ioa?aiaaoe/i? i?ioeaaeo?e (OOI, OA*,
oeueo?acaoe, aeaeo?ioi?aoe/ia aaaaeaiiy aioea?ioee?a, ae?iaeeiai?/i?
oiee Aa?ia?a).

Aioea?ioeeaie aeai?o aoee iai?aneioaoe/i? oa iai?oeee?iacino?ee?
iai?oeee?ie (iaoeoeee?i, ienaoeee?i, ae?eeienaoeee?i). I?ecia/aiee
aioea?ioee aeei?enoiaoaaee iaeii/anii aeaeo?ioi?aoe/ii.

O 10 (10,2%) oai?eo ia?oi? ? 15 (13%) – ae?oai? a?oie, ?acenoaioieo aei
e?eoaaiiy, i?eieiyee eaeoaoe?th ia?eiaeaeii ii 2,5 ia 2 ?ace ia aeiao
(i?ioyaii 10-14 aei?a). O 12 (10,4%) oai?eo 2 a?oie c a?ia?aaeaeo??th oa
ae?aciei eaeoinoacii i?iaiaeeeanue ?aaoeyoe?y eaeoaoe?? c iaoith ??
i?eai?/aiiy ia?eiaeaeii ii 2,5 ia 2 ?ace ia aeiao i?ioyaii 2-3 aei?a.

Aioo??oiueiaaiii aaiaeeee 5% ?ic/ei aetheice, aaiiaeac (iaiaaiiaeac),
o?c?ieia?/iee ?ic/ei iao??th oei?eaeo (aai ?eiaa?-Eiea),
caaaeueiici?oeithth/? i?aia?aoe (Vit A1, A6, N). O 32 (32,6%) oai?eo
1-i? a?oie ? 36 (31,3%) – ae?oai? aeei?enoiaoaaee aioeieneaeaio – 50%
?ic/ei -oieioa?ieo aoeaoaoo ii 1 eain. 3 ?ace ia aeiao (i?ioyaii 8-10
aei?a). E?eoaaiiy oai?eo 2-i? a?oie aeiiiaithaaee i?ecia/aiiyi
aiienei?io 1% 2,0 2 ?ace ia aeiao, ?ioiiiiaeoeyoi?o oeiae?io ii 10 ia
1 ?ac ia aeiao aioo??oiueii’yciai (i?ioyaii 7-8 ae?a). I?e oeueiio o 41
(35,7%) oai?i? aeei?enoiaoaaee aiienei?i, o 38 (33%) – aiienei?i ?
oeiae?i ? o 36 (31,3%) – aiienei?i, -oieioa?ie aoeaoao oa oeiae?i. I?e
e?eoaaii? oai?eo 2-i? a?oie aeaeo?ioi?ac aioea?ioee?a a ciio
?io?eueo?aoo ii?aeioaaee c oeueo?acaoeii ca eaa?eueiith iaoiaeeeith oa
ae?iaeeiai?/ieie oieaie (/a?ac aeaiue). A ?aii? no?iee caoai?thaaiiy
(iniaeeai i?e u?eueieo ?io?eueo?aoao) i?ecia/aee OA*-oa?ai?th.

I?e aeine?aeaeaii? iieaciee?a aoii?aeueiiai ?ioi?oaoo o oai?eo iaio a?oi
ia 7-8 aeiao e?eoaaiiy aeyaeaia iacia/ia oaiaeaioe?y aei cieaeaiiy IgA,
IgM, IgG (?
0,002) i?e iaci?ii?e aeoeaiino? NIAe (1,12 0,18 oi. iae.; ? 0,002) oa i?aeaeuaiiy NIAe (1,29 0,12 oi. iae.; ? 0,002), caa?aaeaiiy a?aeiinii aenieiai ??aiy IgA – 1,48 0,38
ia/e (? > 0,5), cieaeaiiy IE?? (2,8 0,22; ? > 0,002) na?ae/aoue i?i
iiceoeai? ci?ie a aoii?aeuei?e eaioe? ?ioi?oaoo. Aeyaeaii cieaeaiiy
?ioaineaiino? IIE (iaeiie/aiiy IAeA /a?ac 1,5 aiae. ?ie. – 4,60 1,16
ieiieue/e; ?

Нашли опечатку? Выделите и нажмите CTRL+Enter

Похожие документы
Обсуждение

Ответить

Курсовые, Дипломы, Рефераты на заказ в кратчайшие сроки
Заказать реферат!
UkrReferat.com. Всі права захищені. 2000-2020