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
Oiaeue Ieaa Aieiaeeie?iae/
OAeE: 611.4..616-002.5-089.001.5
INIAEEAINO? OA AOAEOEAI?NOUe O??O?A?*IIAI
E?EOAAIIss OAI?EO IA OOAA?EOEUeIC
AIOO??OIUeIA?OAeIEO E?IOAOE*IEO AOCE?A
14.01.03 – o??o?a?y
Aaoi?aoa?ao
aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy
eaiaeeaeaoa iaaee/ieo iaoe
Ee?a – 1999
Aeena?oaoe??th ? ?oeiien
?iaioa aeeiiaia o a?aeae?eaii? oi?aeaeueii? o??o?a?? ?inoeoooo
ooec?ao??? ? ioeueiiiieia?? ?i. aeaae. O.A. ssiianueeiai AII Oe?a?ie
IAOEIAEE EA??AIEE:
aeieoi? iaaee/ieo iaoe, i?ioani?, eao?aao Aea?aeaaii? i?ai?? Oe?a?ie a
aaeoc? iaoee ? oaoi?ee, caa?aeoaa/ a?aeae?eaiiy oi?aeaeueii? o??o?a??
?inoeoooo ooec?ao??? ? ioeueiiiieia?? ?i. aeaae. O.A.ssiianueeiai AII
Oe?a?ie ?aae?iiia Ai?en Aaneeueiae/
IO?Oe?EI? IIIIAIOE:
aeieoi? iaaee/ieo iaoe, i?ioani? A?eee Aieiaeeie? sseiae/, ia/aeueiee
Aieiaiiai a?enueeiaiai iaaee/iiai oi?aae?iiy I?i?noa?noaa iai?iie
Oe?a?ie, aieiaiee o??o?a Ca?ieieo nee Oe?a?ie, Caneoaeaiee e?ea?
Oe?a?ie, aaia?ae-eaeoaiaio iaaee/ii? neoaeae;
aeieoi? iaaee/ieo iaoe, i?ioani?, /eai-ei?aniiiaeaio AII Oe?a?ie Aaioe
Aaeaioei Eaii?aeiae/, ea??aiee a?aeae?eo oi?aeaeueii? iieieia??
Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo iieieia?? ? ?aae?ieia?? IIC
Oe?a?ie.
I?IA?AeIA ONOAIIAA:
Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I.Aiaiiieueoey IIC Oe?a?ie
(eaoaae?a oaeoeueoaonueei? o??o?a?? ? 1)
Caoeno a?aeaoaeaoueny “__18__”____10_______1999 ?. i _11__aiaeei? 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 iciaeiieoenue o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe (i. Ee?a, aoe. Aei?iaiaeeoeueea, 9)
Aaoi?aoa?ao ?ic?neaiee “_17__”____09_______1999 ?.
A/aiee nae?aoa? niaoe?ae?ciaaii?
a/aii? ?aaee e. i. i., aeioeaio Aaicaeye I.I.
CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE
Aeooaeuei?noue oaie. Ia aeeaey/enue ia oe?ieee niaeo? ?ic?iaeaieo
aa??aio?a e?eoaaiiy oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a (OAEA), caeeoa?oueny a?aee?eoei iniiaia ieoaiiy – i?i
iaiao?aei?noue, iieacaiiy, oaoi?eo oa iioeiaeueiee oa?i?i i?iaaaeaiiy
o??o?a?/iiai ao?o/aiiy (Aanueue A.O., 1992). E?aeiuei noia?a/ieie ?
aeoiee aeine?aeiee?a i?i ni?aa?aeiioaiiy eiina?aaoeaii? oa ?aaeeeaeueii?
oa?ai?? a e?eoaaii? aeaii? iaoieia?? (Aeiia?aaeiaa O.E. c ni?aaao.,
1991, Oauaiei TH.?. c ni?aaao., 1998) Aein? ia i?iaiaeeany aiae?c
oneeaaeiaiue o??o?a?/iiai e?eoaaiiy oai?eo ia OAEA c a?aooaaiiyi aeaeo
e?eoaaiiy, eiai aoaeoeaiino?, oaeoi??a, ye? ni?e/eieee aeieeiaiiy
oneeaaeiaiue, a?aenooi? aeai? i?i ioe?ieo ni?aa?aeiioaiiy o??o?a?/iiai
?eceeo c iaiao?aei?noth aeeiiaiiy o??o?a?/iiai ao?o/aiiy. C’yaeeeny
oe?ie? iiaeeeaino? aei aaeineiiaeaiiy oaoi?ee aeeiiaiiy iia?aoe?e c
aeei?enoaiiyi no/anieo iaaee/ieo oaoiieia?e (A.A.?aaeiiiia c ni?aaao.,
1994). Ona aeuaaeeeaaeaia iaoiiaeth? aeooaeuei?noue iinoaaeaiiai
ieoaiiy.
Ca`ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa aeeiiaia
o iaaeao aaeocaai? i?ia?aie iaoeiaeo aeine?aeaeaiue AII Oe?a?ie.
Iaoa??aee aeine?aeaeaiue oa?eoee aei caeeth/ieo ca?o?a i?i IAe?
IE.92.37.051 “?ic?iaea iaoiaeo eiiieaeniiai o??o?a?/iiai e?eoaaiiy
aii??i ieaa?e ia iniia? iiaioiiaen?? oa aiaeiianieiai? oa?ai??”, N
aea?ae. ?a?no?aoe?? 0193U032677; A.95.05 “?ic?iaeoe caoiaee c
i?io?eaeoeee i eieoaaiiy ai?eii-caiaeueieo oneeaaeiaiue a ?aiiueiio
i?neyiia?aoe?eiiio ia??iae? i?ney iiaaiiiaeoii?e ia iniia? noeioeyoe??
?aia?aoe?? eoene a?iioo c aeiiiiiaith a?ii?aai?/ieo iie?ia??a i
oeueo?ao?ieaoiaiai ii?ii?iaiiy ieaa?aeueiiai ai?noo”, N aea?aeaaii?
?a?no?aoe??: 0193U032677, ui aeeiioaaeenue o a?aeae?eaii? oi?aeaeueii?
o??o?a?? ?inoeoooo ooec?ao??? ? ioeueiiiieia?? ?i. O.A.ssiianueeiai AII
Oe?a?ie.
Iaoa ? caaea/? aeine?aeaeaiiy.
Iaoa aeine?aeaeaiiy: i?aeaeuaiiy aoaeoeaiino? o??o?a?/iiai e?eoaaiiy
oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a ia iniia?
?ic?iaee aeeoa?aioe?eiaaieo iieacaiue aei iia?aoeaieo ao?o/aiue c
a?aooaaiiyi iniaeeainoae ia?aa?ao caoai?thaaiiy ? ?eceeo iiaeeeaeo
oneeaaeiaiue e?eoaaiiy, iioei?caoe?? oaoi?ee o??o?a?/ieo ao?o/aiue,
oaeoeee ia?aaeiia?aoe?eii? i?aeaioiaee ? i?neyiia?aoe?eiiai e?eoaaiiy.
Caaea/? aeine?aeaeaiiy.
1. I?iaiae?coaaoe ?acoeueoaoe o??o?a?/iiai e?eoaaiiy oai?eo ia
ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a c o?aooaaiiyi
aieiaieo oaeoi??a, ui aieeaathoue ia aea?? iaoiaeo e?eoaaiiy, eiai
?acoeueoaoe e aoaeoeai?noue.
2. I?iaiae?coaaoe /anoioo ? oa?aeoa? oneeaaeiaiue o??o?a?/iiai e?eoaaiiy
oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a.
3. ?ic?iaeoe e?eoa??? ioe?iee ?eceeo iiaeeeaeo ?io?a- oa
i?neyiia?aoe?eieo oneeaaeiaiue i?e o??o?a?/iiio e?eoaaii? oai?eo ia
ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a ? niin?a ?o
i?iaiicoaaiiy.
4. Aea/eoe iiaeeea?noue canoinoaaiiy no/anieo iia?aoe?eieo oaoiieia?e
(eaca?ia ii?ii?iaiiy, oeueo?acaoeiaa eaa?oaoe?y [OCE], i?noeaaa
?io?aiia?aoe?eia canoinoaaiiy aeeiaoeenoeueoieneaeo [AeINI] ?c
?eoaii?oeeiii) aeey iiia?aaeaeaiiy i?neyiia?aoe?eieo oneeaaeiaiue
o??o?a?/iiai e?eoaaiiy oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a.
5. Aea/eoe iiaeeeaino? e?ioio?iiii? oa?ai?? aeey ia?aaeiia?aoe?eii?
i?aeaioiaee ? i?neyiia?aoe?eiiai e?eoaaiiy oai?eo ia ooaa?eoeueic
aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a.
6. Aea/eoe aoaeoeai?noue aeaia?aaoe?? ei?aiy eaaai? ? neiiaoaeoii?? i?e
o??o?a?/iiio e?eoaaii? oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a, oneeaaeiaiee a?iio?aeueiith anoiith ?
a?iioiiano?oeoeaiei neiae?iiii.
7. Aea/eoe a?aeaeaeai? ?acoeueoaoe o??o?a?/iiai e?eoaaiiy OAEA uiaei
iaaee/ii?, nioe?aeueii? ? o?oaeiai? ?aaa?e?oaoe??.
Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa ?ic?iaeai?
aeeoa?aioe?eiaai? e?eoa??? iaiao?aeiino? oa aeioe?eueiino? o??o?a?/iiai
e?eoaaiiy oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a
oa ioe?iee ?eceeo aeieeiaiiy ?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue.
Iaa?oioiaai?, ?ic?iaeai? ? ai?iaiaai? iaoiaee ?io?aiia?aoe?eiiai
aeei?enoaiiy eaca?iiai neaeueiaey, oeueo?acaoeiai? eaa?oaoe?? oa
i?noeaai? ia?iaee eiaea aeaeaeaiiai e?ioaoe/iiai aocea AeINI c
?eoaii?oeeiii, a oaeiae canoinoaaiiy e?ioio?iiii? oa?ai?? a ia?aae- oa
i?neyiia?aoe?eiiio ia??iae? i?e o??o?a?/iiio e?eoaaii? oai?eo ia
ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a; iaoeiai
iaa?oioiaaia aeioe?euei?noue aeei?enoaiiy naeaeoeaii? neiiaoaeoii?? oa
aeaia?aaoe?? ei?aiy eaaai? i?e o??o?a?/iiio e?eoaaii? oai?eo ia
ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a, oneeaaeiaiee
a?iio?aeueiith anoiith oa o?ii?/iei a?iio?oii c a?iioiiano?oeoeaiei
neiae?iiii.
I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ia iniia? canoinoaaiiy
iiaeo iaaee/ieo oaoiieia?e aeinyaiooi ciaioaiiy ?io?a- oa
i?neyiia?aoe?eieo oneeaaeiaiue, ui i?eaaei aei nei?i/aiiy oa?i?io
ciaoiaeaeaiiy oai?eo o noaoe?iia?? oa ?iaae?aeecaoe?? iia?iaaieo.
?ic?iaeai? iaoiaeeee ai?iaaaeaeai? a ee?i?/io i?aeoeeo ? oa ??
o??o?a?/iiai a?aeae?eaiue ?OI ?i. O.A.ssiianueeiai AII Oe?a?ie,
oi?aeaeueieo a?aeae?eaiue Ee?anueeiai i?nueeiai ioeueiiiieia?/iiai
oeaio?o IIC Oe?a?ie, oi?aeaeueiiai a?aeae?eaiiy iaoeiai-aeine?aeiiai
?inoeoooo iieieia?? ? ?aae?ieia?? IIC Oe?a?ie (aeoe ai?iaaaeaeaiiy ?? 8,
9, 28, 34). Canoinoaaiiy ?acoeueoao?a ?iaioe iiaeeeaa o oi?aeaeueieo
a?aeae?eaiiyo i?nueeeo, iaeanieo oa ?anioae?eainueeeo
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a.
Iniaenoee aianie caeiaoaa/a. Aaoi? i?eeiaa aaciina?aaeith o/anoue a
i?aai?caoe??, ieaioaaii? oa aeeiiaii? aeaii? iaoeiai-aeine?aeii? ?iaioe.
? iniiaiei aaoi?ii an?o aeeeaaeaieo o ?iaio? iieiaeaiue. Caeiaoaa/
iniaenoi aeeiiaa o??o?a?/ia e?eoaaiiy 74 (54,4 %) oai?eo, ca??,
noaoenoe/io ia?iaeo, ?ioa?i?aoaoe?th aeaieo aeine?aeaeaiue, oi?ioaaiiy
aeniiae?a oa ?aeiiaiaeaoe?e, oaenoiaa oa a?ao?/ia ioi?ieaiiy ?iaioe.
Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. ?acoeueoaoe aeine?aeaeaiue aoee
i?aaenoaaeai? o iaoa??aeao IX iaoeiai-i?aeoe/ii?. eiioa?aioe?? ii
a?oaei?e o??o?a?? “Aeooaeueiua aii?inu oe?o?aee eaaeeo ia nia?aiaiiii
yoaia”(Euea?a, 1990), II Ananithciiai Eiia?ano ii caoai?thaaiiyi i?aai?a
aeeoaiiy (*aeya?inuee, 1991), I c’?caeo ooec?ao??a oa ioeueiiiieia?a
Oe?a?ie (Aiiieoey, 1993), I I?aeia?iaeiiai eiia?ano nooaeaio?a i
iieiaeeo a/aieo (Oa?iiiieue, 1997) ca??ieeo iaoeiaeo i?aoeue ?? c`?caeo
ooec?ao??a ? ioeueiiiieia?a Oe?a?ie (Ee?a, 1998). Iaoa??aee aeena?oaoe??
aeiiia?aeaeeny ia ?? c`?cae? ooec?ao??a ? ioeueiiiieia?a Oe?a?ie (Ee?a,
1998), a oaeiae, iaiaeii?aciai, ia iaoeiai-i?aeoe/ieo eiioa?aioe?yo ?OI
AII Oe?a?ie i?ioyaii 1993-1998 ??. Io?eiaii iaoaio Oe?a?ie ia aeiao?ae,
ui aoa ?ic?iaeaiee o i?ioean? aeeiiaiiy ?iaioe, aeaeaii ?ioi?iaoe?eiee
eeno.
Ioae?eaoe??. Iaoa??aee aeena?oaoe?? aeeeaaeai? o 4 aeo?iaeueieo noaooyo,
4 oacao aeiiia?aeae ? 1 iaoaio? Oe?a?ie, nienie yeeo iaaaaeaii a e?ioe?
aaoi?aoa?aoo.
No?oeoo?a aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny c anooio, /ioe?ueio
?icae?e?a aeanieo aeine?aeaeaiue, aeniiae?a, ia?ae?eo aeei?enoaii?
e?oa?aoo?e (165 ?ia?o a?o/eciyieo oa 44 – ca?oa?aeieo aaoi??a).
Aeena?oaoe?th aeeeaaeaii ia 164 noi??ieao ae?oeiaaiiai oaenoo,
i?i?ethno?iaaii 27 oaaeeoeyie, 10 ?enoieaie.
INIIAIEE CI?NO ?IAIOE
Ia’?eoii aeine?aeaeaiiy aoee 136 oai?eo ia OAEA, ui ciaoiaeeeeny ia
noaoe?iia?iiio e?eoaaii? a ?inoeooo? ooec?ao??? ? ioeueiiiieia?? AII
Oe?a?ie, Oa?niinueeiio oa Ieeiea?anueeiio iaeanieo i?ioeooaa?eoeueicieo
aeeniaina?ao c 1970 ii 1997 ?.
Na?aae ianoaaeaieo ? iia?iaaieo aoei 49 (36,0 %) /ieia?e?a oa 87 (64,0
%) ae?iie o a?oe? a?ae 4 aei 57 ?ie?a. Na?aaei?e a?e oai?eo neeaa (30,8
4,1) ?ie?a. ?iciiae?e oai?eo ii noao? oa a?eo iiaeaii a oaaeeoe? 1.
?c 136 oai?eo 106 (78 %) aoee i?aoeacaeaoiiai a?eo a?ae (20 aei 50
?ie?a). Na?aae iia?iaaieo, aoei 14 (10,3 %) ae?oae ? i?aee?oe?a o
a?oe? aei 16 ?ie?a.
Oaaeeoey 1
?iciiae?e oai?eo, iia?iaaieo ?c i?eaiaeo ooaa?eoeueico
aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a, ca noaooth ? a?eii
53,7 % iia?iaaieo oai?eo niinoa??aaeeny ? e?eoaaeeny a
i?ioeooaa?eoeueicieo aeeniaina?ao aei 6 i?nyoe?a ? aoee iai?aaeai? a
?inoeooo aeey o??o?a?/iiai ao?o/aiiy a ca’yceo c a?aenooi?noth aeeiai?ee
a?ae i?iaaaeaii? o?i?ioa?ai?? aai /a?ac iayai?noue aacoiiaii iaiai?ioieo
?aioaaiieia?/ieo iciae ? oneeaaeiaiiai ia?aa?ao i?ioeano. A?ae 6
i?nyoe?a aei 1 ?ieo e?eoaaeiny i?ioeooaa?eoeueicieie i?aia?aoaie 31
(22,8 %), a?eueoa ?ieo 25 (18,4 %) iia?iaaieo.
O?eaae?noue caoai?thaaiiy iaoe??io?a, aei iaaeoiaeaeaiiy a ee?i?eo, aoea
??ciiiai?oiith. Caa?oa? ia naaa oaaao oie oaeo, ui a?eueo 1/3 iaoe??io?a
(36,1 %) aoei iia?iaaii /a?ac 3 i?nyoe? i?ney aeyaeaiiy
aioo??oiueia?oaeii? iaoieia??. Ua 17,2 % aoee iia?iaai? /a?ac i?a?ieo
a?ae iiiaioo aeyaeaiiy caoai?thaaiiy. Oaeei /eiii, 53,7 % iia?iaaieo
iaie oai?eo niinoa??aaeeny a ??ciiiai?oieo i?ioeooaa?eoeueicieo
onoaiiaao onueiai aeae?eueea i?nyoe?a ? aoee ia?aaaaeai? a ?inoeooo aeey
o??o?a?/iiai ao?o/aiiy. I?ioa, a?eueoa i?ae o 30 % oai?eo aeaaieia
aeyaeaiiy aioo??oiueia?oaeii? iaoieia?? ia?aaeuoaaea 1-3 ?ieo.
25 oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a
iinooiaee aei ee?i?ee c ae?aaiicii, ui, a iiaeaeueoiio, aeyaeany
iiieeeiaei. *ano?oa anueiai (10,3 %) oai?? iai?aaeyeeny aei noaoe?iia?o
c ae?aaiicii iooeeie eaaai?, ??aeoa (3,7 %) –ooaa?eoeueiie eaaai?. Eeoa
a iiiaeeiieeo aeiaaeeao, oao?aoeyie, ui iai?aaeyee oai?eo,
onoaiiaethaaany ae?aaiic e?noe iaaeeno?iiy aai oa?aoiie. A iaeiiio
aeiaaeeo OAEA ?ioa?i?aooaaany ye iaiaaeaia aii??ia ieaa?e.
Aeei?enoiaoth/e iiaiee ianya ianoaaeaiiy, a oaeiae aacoth/enue ia
aeina?ae? ee?i?ee a a?eueoino? aeiaaee?a (56,0 %), ae?aaiic OAEA o
noaoe?iia?? aoa aa?eo?eiaaiee aei iia?aoe?? (oaae. 2). I?ioa, o 11
(44,0 %) ?c aeuaaeacaieo 25 iia?iaaieo ae?aaiic aoa ooi/iaiee eeoa i?ae
/an iia?aoe??. C ?o /enea a 6 aeiaaeeao (54,5 %) ae?aaiic OAEA
aenoaaeyany eiieo?oth/ei. O 5 oai?eo o?aaeai? e?ioaoe/i? aocee aei
iia?aoe?? aoee iiieeeiai i?eeiyo? ca aeia?iye?nio iooeeio eaaeiai,
a?oaeii? no?iee aai ?aoaioe?eio e?noo (3,7 %). Iieaciee 3,7 % ? ?
iiieeeith ae?aaiinoeee, ine?eueee aa??aio?a, eiee ia?aae iia?aoe??th
anoaiiaethaaany ae?aaiic OAEA, a i?ae /an iia?aoe?? aeyaeyeany ?ioa
iaoieia?y ia aoei.
Oaaeeoey 2
Iaa?aeiia?aei?noue ae?aaiic?a i?e iai?aaeaii? oa ia?aae iia?aoe??th o
oai?eo iia?iaaieo ?c i?eaiaeo ooaa?eoeueico aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a
Iaeiioe?ai?oeie nea?aaie, ye? cono??/aeenue o oai?eo ia OAEA aoee:
cieaeaiiy aiaoeoo (77,9 %), neaae?noue (33,0 %), i?aeaeuaia i?oeea?noue
(30,1 %), caaeooa i?e o?ce/iiio iaaaioaaeaii? (34,6 %), ??cii?
?ioaineaiino? eaoaeue (47,8 %), aie? a a?oaei?e ee?ooe? (47,0 %),
noaoaa?ee?oao (20,6 %).
O 25 (18,4 %) oai?eo ae?aaiic iai?aaeyth/i? onoaiiae iio?aaoaaa
ooi/iaiiy, caaaeueia iiieeea ae?aaiinoeee i?ney canoinoaaiiy iiaiiai
ianyao ae?aaiinoe/ieo iaoiae?a neeaea 3,7 %.
O?a?ia?iioineii?y aeeiiaia 82 (60,3 %) oai?ei. ?? ?acoeueoaoe iiaeai? a
oaaeeoe? 4.
Oaaeeoey 3
?acoeueoaoe o?a?ia?iioineii?? a oai?eo ooaa?eoeueicii
aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a
Aiae?c ?acoeueoao?a o?a?ia?iioineii?? o oai?eo OAEA na?ae/eoue, ui ci?ie
caiaeueiiai oa?aeoa?o o aeaeyae? aeeooc?eiiai aai eieaeueiiai
aiaeia?iio?oo aoee a 65 (79, 3 %) ianoaaeaieo. O 17 (12,5%) iaoe??io?a
c?iaeaiee caa?? aeey aeine?aeaeaiiy i?iieaieo aiae a?iio?a. I?e oeueiio
iaoiaeii oeioaoe?? a 4 (23,5 %) oai?eo, a iaoiaeii iin?ao a 7 (41,2 %)
aeyaeai? i?eiaaeoa??? ooaa?eoeueico.
IAO a iie?io? oa i?iieaieo aiaeao a?iio?a aoee aeyaeai? o 15 (11,0 %)
oai?eo; iaoiaeii oeioaoe?? – o 6 (4,4 %) iaoe??io?a. C ieo o 7 (5,1 %)
i?e aaaaoi?aciaiio aeine?aeaeaii? iaoiaeii aaeoa??ineii?? IAO ia aoee
aeyaeai?, ?, ?o iayai?noue aaeaeiny aecia/eoe eeoa i?e iin?a? oa?eioeiiy
ia u?eueia na?aaeiaeua. A ?ioeo 3 (2,2 %) aeiaaeeao IAO aoee aecia/ai?
a cieaao c a?iio?a, acyoeo i?ae /an o?a?ia?iioineii??. Oa?aeoa?ii, ui o
an?o 15 /ieia?e i?e/eiith aaeoa??iaeae?eaiiy aoa aai niaoeeo?/iee
i?ioean a a?iioao ?io?eueo?aoeaiiai oa?aeoa?o – o 8 (5,9 %), aai
ae?aceiai-iae?ioe/i? ci?ie a ?acoeueoao? a?iioiia?oi?aoe?? c aeae?eaiiyi
eacaiciiai ai?noo e?ioaoe/iiai aocea – o 7 (5,1 %) /ieia?e.
Ianiaoeeo?/ia iaoiaaiia i?e?ioei?a oei?a o oa?eioeii? aoea aecia/aia
i?e?ia?ieia?/iei iaoiaeii o 37 (27,2 %) oai?eo. O 24 (78,4 %)
iaoe??io?a aecia/aeany iaoiaaiia a?ai – iaaaoeaia i?e?ioei?a: E. coli-o
15 (62,5 %) oai?eo, Proteus mirabilis – o 4 (16,7 %) oai?eo, Klebsiella
pneumoniae – o 3 (12,5 %), Pseudomonas auruginosae – o 2 (8,3 %). O
?ioeo 13 (21,6 %) aecia/aeany oiiaii iaoiaaiia a?ai – iiceoeaia eieeiaa
oei?a: Staphylococcus aureus, Streptococcus pyogenes .
Iienoth/e eieae?caoe?th AEA, ie aeei?enoiaoaaee I?aeia?iaeio
eeaneo?eaoe?th (1998), yeo aaaaea?ii iaea?eueo i?eeiyoith aeey
iianyeaeaiii? o??o?a?/ii? ae?yeueiino? (oaae. 4). I?aaia?/ia
eieae?caoe?y e?ioaoe/ieo aoce?a niinoa??aaeanue o 109 (80,1 %) oai?eo,
e?aia?/ia – o 18 (13,2 %). O 12 (8,8 %) iaoe??io?a aoea aeaia?/ia
eieae?caoe?y AEA.
Noaia ia?aaeiia?aoe?eii? i?aeaioiaee oai?eo ia OAEA neeaaeaeany c
eiiieaeno caoiae?a, ni?yiiaaieo ia e?ea?aeaoe?th aai ciaioaiiy nooiaiy
?ioieneeaoe??, iie?ioaiiy caaaeueiiai noaio oai?eo, ii?iae?caoe?th
niaoeeo?/ii? ? caaaeueii? ?aaeoeaiino? i?aai?cio oa i?aeaeuaiiy eiai
ii??iino?, ii?iae?caoe?th ooieoe?? aioo??oi?o i?aai?a ? nenoai.
Oaaeeoey 4
Eieae?caoe?y aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a o iia?iaaieo ?c
i?eaiaeo ooaa?eoeueico aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a
?icoaooaaiiy aoce?a E?euee?noue niinoa?aaeaiue Aan. % O?aoaaeuei? 77
56,6 O?aoaia?iio?aeuei?
-aa?oi?
-ieaei? 35
14
21 25,7
10,3
15,4 A?iioiioeueiiiaeuei?1611,8 Ioeueiiiaeuei?42,9 A?oo?eaoe?ei?85,9
Ae?ao?aaiaeuei?64,4 I?ae?aaa?i?10,7 Ai?oaeuei? 1 0,7 Onueiai 148 100,0
I?ei?oea.
O 12 ?c 136 oai?eo aoea aeaia?/ia eieae?caoe?y e?ioaoe/ieo aoce?a.
Aeoiaey/e c iaeaeeae/eo ? a?aeaeaeaieo ?acoeueoao?a o??o?a?/iiai
e?eoaaiiy oai?eo ia OAEA, iaie aecia/ai? nai? iieacaiiy ? i?ioeiieacaiiy
aei iiae?aieo iia?aoe?e.
Aaniethoi?:
· iaeiia?/iee aai aeaia?/iee eacaiciee i?ioean o aioo??oiueia?oaeieo
e?ioaoe/ieo aoceao aac oaiaeaioe?? aei ?icniieooaaiiy i?ney o?eaaei?
o?i?ioa?ai??, i?e iayaiino? no?eeeo neiioii?a ?ioieneeaoe??;
· iaeiia?/iee aai aeaia?/iee eacaic aioo??oiueia?oaeieo e?ioaoe/ieo
aoce?a c oneeaaeiaiei, i?ia?anoth/ei aai ?aoeeaeeaoth/ei ia?aa?aii,
iaiai?ioieie ci?iaie o?aoaia?iio?aeueiiai aea?aaa.
A?aeiini?:
· iayai?noue iaeeie/ieo eacaicieo aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a
iaeii- aai aeaia?/ii? eieae?caoe?? c ?ici??aie 2 – 3 ni, aac iciae
niaoeeo?/ii? ?ioieneeaoe?? e aeoeaiino? ooaa?eoeueiciiai i?ioeano a
ia?aio?i? eaaeiai ? o?aoaia?iio?aeueiiio aea?aa?.
A?aeiinieie i?ioeiieacaiiyie (e??i iaa?aeeeaaeieo noai?a) aei iia?aoe??
c i?eaiaeo ooaa?eoeueico aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a ?:
· aeainoi?iii? iiiaeeii? eacaici? aioo??oiueia?oaei? e?ioaoe/i? aocee ia
oii? aeoeaiino? niaoeeo?/iiai i?ioeano ? ae?aaeaii? ?ioieneeaoe??;
· iayai?noue iaeo?aaaeueieo noiooi?o caoai?thaaiue ?ioeo i?aai?a ?
nenoai, ui noai?ththoue iaaei?aaaeaiee ?ecee iia?aoeaieo ao?o/aiue;
· aaa?oi?noue.
Ii a?aeiiniei i?ioeiieacaiiyi a?aeiiaeaii a iia?aoeaiiio e?eoaaii? 9
(17,6 %) iaoe??ioai o ca’yceo c aaaee?noth ia?aa?ao noiooiuei? iaoieia??
(o?ii?/ia eaaaiaai-na?oeaaa iaaeinoaoi?noue, aeaeiiiainiaaiee oeoe?iaee
ae?aaao, eiia?iiaaia i?o?aeueia aaaea).
C iaoith ioe?iee ?eceeo aeieeiaiiy i?neyiia?aoe?eieo oneeaaeiaiue ?
iiaeeeaino? iaoyaeaiiai ia?aa?ao ?aiiueiai i?neyiia?aoe?eiiai ia??iaeo
i?e o??o?a?/iiio e?eoaaii? OAEA iaie aoei c?iaeaia ocaaaeueiaiiy aeaieo
??cieo aeine?aeiee?a i?i aca?iica’ycie iayaiino? ? ae?aciino? oeo aai
?ioeo neiae?ii?a o ee?i?oe? OAEA ?c aeieeiaiiyi oneeaaeiaiue i?e
o??o?a?/iiio e?eoaaii? inoaiiueiai. O ?acoeueoao? aoea ?ic?iaeaia
nenoaia aaeueii? ioe?iee ia?aaeaa/oaaiiai ?eceeo iia?aoe?? c i?eaiaeo
OAEA. Iaie i?iaiae?ciaaia iiiaeeia iciae, ui a?aeia?aaeaee caaaeueiee
noai oai?eo, ee?i?/i? i?iyae, iioe?ai?noue ? ae?aci?noue iaoieia?/iiai
i?ioeano. O eiaei?e c iciae aoee aeae?eai? o?e uaae?, a?ae ni?eyoeeai?
aei iani?eyoeeai?, ui a?aeiia?aeaee oiiaiei aaeai a?ae iaeiiai aei
o?ueio. A?aeiia?aeii, ca aeanyoueia e?eoa??yie eiaeai oai?ee iaae?aa
noio aae?a a?ae 10 (yeui ae?aci?noue e?eoa??th aoea i?i?iaeueiith) aei
30 (i?e iaeneiaeuei?e ae?aciino? eiaeiiai e?eoa??th). I?e 10 aaeao
?ecee aecia/aany ye i?i?iaeueiee aai I nooiaiy, (ie ia aaaaea?ii ca
iiaeeeaa aeae?eyoe ioeueiaee nooi?iue, aeoiaey/e c oiai, ui aoaeue-yea
o??o?a?/ia ao?o/aiiy iia’ycaia c aecia/aiei ?eceeii), i?e 11-20 aaeao –
II nooi?iue, ? i?e 21-30 aaeao – III nooi?iue ?eceeo.
Uia ia?aa??eoe aoaeoeai?noue ?ic?iaeaii? nenoaie, ?ao?iniaeoeaii, ca
aeaieie aeiiia?aoe?eiiai ianoaaeaiiy, o a?aeiia?aeiino? c? nooiaiyie
?eceeo, ?ic?aoiaaieie ii ?ic?iaeai?e oeae?, aoee noi?iiaai? o?e a?oie
(78 /ie.) oai?eo: 52,9 % – c ia?oei, 33 % – ?c ae?oaei ? 14 % ?c o?ao?i
nooiaiai ?eceeo aeieeiaiiy oneeaaeiaiue. Aeae? aoei i?iaaaeaii iae?e
?aaeueii aeieeeeo oneeaaeiaiue o aeacaieo oai?eo. Aeey ioe?iee
aeinoia??iino? e ?ioi?iaoeaiino? ?ic?iaeaii? i?iaiinoe/ii? oeaee,
io?eiai? aeai?, uiaei iayaieo oaeoi??a ?eceeo ? aeieeeeo i?ney iia?aoe?e
oneeaaeiaiue, aoee i?aeaeai? noaoenoe/iiio aiae?co, ui iieyaaa o
?ic?aooieo na?aaeiuei? e?eueeino? aae?a, na?aaeiuei? iioeaee
aeuaaeacaii? na?aaeiuei? aaee/eie, m; ei?aeyoe?? i?ae e?euee?noth aae?a
? /eneii oneeaaeiaiue, r, e?eoa??th aeinoia??iino? ?icoiaeaeaiue Oae/a,
?ioi?iaoeaiino? na?aaeiuei? aaee/eie iaa?aieo aae?a ii Eoeueaaoo, j.
?ioi?iaoeai?noue oeaee o an?o a?oiao aeyaeeany i?eaeecii ??aiith ? a
aeinoaoiueiio nooiai? aeinoia??iith. Oeaea aoea canoiniaaia i?e
i?aeaioiaoe? ? i?iaaaeaii? o??o?a?/iiai ao?o/aiiy a 42 oai?eo i?ioyaii
inoaii?o 6 ?ie?a. Caaaeyee nai?/ani?e ioe?ioe? nooiaiy ?eceeo ia
i?aenoaa? ?ic?iaeaii? oeaee a 78 % aeiaaeee aaeaeiny oieeiooe
i?iaiiciaaieo oneeaaeiaiue.
I?e aiae?c? noiooi?o caoai?thaaiue o ianoaaeaieo oai?eo anoaiiaeaii, ui
o 57 (41,9 %) iaoe??io?a ?ai?oa aoa aeyaeaiee o?ii?/iee a?iio?o. I?e
aeine?aeaeaii? OCAe o 44 (32,4 %) /ieia?e aoee aeyaeai? aaioeeyoe?ei?
ii?ooaiiy ??ciiai nooiaiy ae?aciino?, na?aae yeeo iaea?eueo iioe?aiei
aeyaeany a?iioiiano?oeoeaiee neiae?ii. Aeuaaeacai? oai?? aoee
?iciiae?eai? ia aea? a?oie. 19 (43,2 %) oai?ei (I a?oia) aieiaiee aoai
iia?aoe?? aeiiiaithaaany aeaia?aaoe??th ei?aiy eaaai? ? naeaeoeaiith
neiiaoaeoii??th. II a?oio neeaee 25 (56,8 %) /ieia?e, yeei ae?oaee aoai
iia?aoe?? ia canoiniaoaaany. 29 (21,3 %) oai?ei, o yeeo, ca aeaieie OAN,
aoa aeyaeaiee aiaeia?iio?o II-III nooiaiy, i?iaiaeeeany naiaoe?y aei
iiaiiai cieeiaiiy caiaeueiiai i?ioeano, ui caeiaei, a na?aaeiueiio,
10-15 aei?a a?ae ii/aoeo e?eoaaiiy. O oai?eo ?c ooaa?eoeueiciei
aiaeia?iio?oii eo?n e?eoaaiiy neeaa 20-30 aei?a, a i?e
ae?aceiai-iae?ioe/ieo ci?iao neeciai? iaieiiee – aei 45 aei?a.
Ia?aaeiia?aoe?eia i?aeaioiaea 7 (5,1 %) oai?eo a?iio?aeueiith anoiith
ia?aaeaa/aea eiinoeueoaoe?th aea?aieiaa ? ei?aeoe?th ai?iiiaeueii?
oa?ai??.
Oaoi?ea aeeiiaiiy aeaia?aaoe?? ? naeaeoeaii? neiiaoaeoii?? iieyaaea a
ianooiiiio. Aieiaiee a?iio aeae?eyany a?ae iaaeieeoiuei? ee?oeiaeie.
I?iaaaeeeany nooe?eueia oee?eoey?ia ae?aoa?iieiaaoeyoe?y eiai iiaa?oi?
i?e a?aeoiaeaeai? a?ae a?oo?eaoe?? o?aoa? c iaoith ia?aoeio an?o a?eie
aeoeath/iai ia?aa, aeeth/ath/e ae??ai?. Aeey ia?aoeio iiai?ioieo a?eie
aeoeath/iai ia?aa iaia’yceiaith aoea ?oeiaoe?y ieaeiuei? eaaaiaai?
iecee.
O ia?o?e a?oi?, i?ney iia?aoe??, i?enooie yaeooe ?aoeeaeeaoaaee o 11
oai?eo (57,9). O a?eueo a?aeaeaeai? oa?i?ie i?ney iia?aoe?? (1 – 2
?iee), e?euee?noue oai?eo, ui i?aae’yaeyee nea?ae ia i?enooie yaeooe,
ca?eueoeeiny ia 34,7 % a?ae /enea ianoaaeaieo iiaoi?ii.
O oai?eo ae?oai? a?oie a?iioiiano?oeoe?y ??ciiai nooiaiy ae?aciino? a
i?neyiia?aoe?eiiio ia??iae? niinoa??aaeany o 21 (84,0 %) aeiaaeeo. I?e
oeueiio iaiao?aei?noue canoinoaaiiy ei?oeeinoa?i?aeieo i?aia?ao?a o on?o
oai?eo caa??aaeany aae aei aeienee c? noaoe?iia?o. I?e iiaoi?ieo
ianoaaeaiiyo o a?aeaeaeai? oa?i?ie i?ney iia?aoe??, ?noioii? aeeiai?ee o
ia?aa?ao a?iioiiano?oeoeaiiai neiae?iio ia niinoa??aaeiny.
I?e aiae?c? ia?aiao??a ooieoe?? ciai?oiueiai aeeoaiiy (OCAe) iaea?eueoa
?ethno?aoeaiith aeyaeeany aeeiai?ea aaee/ei IOA1 (ia’?i oi?niaaiiai
aeaeeoo ca ia?oo naeoiaeo), IIO50 (iaeneiaeueia ia’?iia oaeaee?noue
iia?o?yiiai iioieo ia ??ai? 50 % aeaeeoo) ? IIO25 (iaeneiaeueia ia’?iia
oaeaee?noue iia?o?yiiai iioieo ia ??ai? 25 % aeaeeoo). O oai?eo I a?oie
IOA1 aei iia?aoe?? neeaa 70, 1 ± 3,6 % iaeaaeiiai ?ici??o. O ?aiiueiio
i?neyiia?aoe?eiiio ia??iae? oeae iieaciee cieceany iacia/ii aei 68,3 ±
4,1 %, iaaeae? iaa oaiaeaioe?th aei ca?eueoaiiy ? aeinya i?e aeienoe?
73,8 ± 3,3 %. Oaeaee?ni? iieacieee IIO50 ? IIO25, ui a?aeaeaaee noai
a?iio?aeueii? i?io?aeiino? ia ??ai? na?aaei?o ? aeenoaeueieo a?iio?a,
ci?ithaaeeny ia aeinoia??ii. IIO50 ci?ithaaeany ??ciiiai?aaeaii, IIO25
ca?eueooaaeany o a?eueoino? (76,0 %) iia?iaaieo.
O oai?eo 2 a?oie aeiiia?aoe?ei? iieacieee IOA1 aoee ii??aiyi? c
aiaeia?/ieie a 1 a?oi? ? neeaee 69,2 ± 3,4 % a?ae iaeaaeieo ?ici???a. O
oie aea /an, o ?aiiueiio i?neyiia?aoe?eiiio ia??iae? IOA1 o oe?e a?oi?
cieceany aei 68,1 ± 3,9 %, a i?e aeienoe? neeaa 68,8 ± 3,3 %; IIO50
?noioii cieceeany, aeinyaioaoe o?eueee aeiiia?aoe?eiiai ??aiy o
a?aeaeaeaiiio ia??iae?, IIO25 oaeiae iacia/ii cieceeany.
C iaoith ii??aiyeueii? ioe?iee aoaeoeaiino? iaoiaeee oioaeueiiai ?
noaoioaeueiiai aeaeaeaiiy aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a (AEA)
iaie ianoaaeaii 80 oai?eo, iia?iaaieo ?c i?eaiaeo OAEA. C ieo 42 (1
a?oia) aeaeaeaiiy AEA i?iaiaeeeiny iiai?noth, 38 (2 a?oia)
iiaeoeaeoii?y aoea aeeiiaia noaoioaeueii. A?aoiaoaaeiny aeieeiaiiy
oneeaaeiaiue i?ae /an ? i?ney iia?aoe??. Aeyaeeiny, ui ?io?aiia?aoe?ei?
oneeaaeiaiiy o 1-e a?oi? niinoa??aaeeny iaeaea a 2 ?ace /ano?oa.
Oneeaaeiaiiy iineee o?aaiaoe/iee oa?aeoa? ? iaoiiaethaaeeny
iaiao?aei?noth o aeae?eaii? e?ioaoe/ieo aoce?a ?c c?iuaiue c
iaaeieeoi?ie oeaieiaie ?aeeiei aeieii ? aac ?oiueiai ne?anaiiy. Onueiai
?io?aiia?aoe?ei? oneeaaeiaiiy aeieeee o 9 (21,4 %) oai?eo. A oie aea
/an, oneeaaeiaiiy ai?eii-caiaeueiiai oa?aeoa?o a i?neyiia?aoe?eiiio
ia??iae? a 2-e a?oi? niinoa??aaeeny ia 15 % /ano?oa, i?ae o 1-e. Aiie
aeieeaee a ?acoeueoao? ?io?aiia?aoe?eiiai ?io?eoaaiiy ieaa?aeueii?
ii?iaeieie eacaiciei ai?noii aeaeaethaaiiai aocea. ?io?aiia?aoe?ei?
oneeaaeiaiiy o aeae? ooeiaeaeaiiy i?aai?a ? oeaiei o 2-e a?oi? iiai?noth
aoee a?aenooi?.
Aeoiaey/e c oeueiai, c iaoith iiia?aaeaeaiiy i?neyiia?aoe?eieo
ai?eii-caiaeueieo oneeaaeiaiue i?e noaoioaeueiiio aeaeaeaii? AEA iaie
aoee ?ic?iaeai?, ai?iaiaai? ? ai?iaaaeaeai? ianooii? iaoiaeeee:
· aeaeaeaiiy aocea ?c aeei?enoaiiyi o??o?a?/iiai eaca?iiai neaeueiaey;
· aie?eaoe?y a eiaea aeaeaeaiiai aocea aeeiaoeenoeueoieneaeo c
?eoaii?oeeiii;
· oeueo?acaoeiaa eaa?oaoe?y ieaa?aeueii? ii?iaeieie.
?icoieoniaaiee i?ii?iue eaca?a aeei?enoiaoaaany iaie a oiiaao ae?aaeaieo
c?iuaiue aeaeaethaaiiai aocea (aoce?a) ?c ia?aaeeaaea/eie noaeeiaie ?,
a?aeiia?aeii aenieei ?eceeii o?aaiaoecaoe?? inoaii?o. Aeaea?aeii
aei?ii?ithaaiiy neoaeeea eaca?ia onoaiiaea EAI-703. Eaca?iee i?ii?iue
?icoieoniaoaaee niaoe?aeueii neiino?oeiaaiith iaie ?icoieoniaoth/ith
ianaaeeith. Iaoiaeeea iieyaaea o aen?/aii? eaca?iei neaeueiaeai /anoeie
aeae?eaii? eainoee c iiaeaeueoith ia?iaeith ae?eyiie, ui caeeoeeeny, c
iaoith aeia?thaaiiy ai?eii-iae?ioe/ii? i?iaaiii? iaieiiee e
aaeaeaaoiiai aaiinoaco.
O iniiao iaoiaeeee o?i?/ii? naiaoe?? eiaea aeae?eaiiai e?ioaoe/iiai
aocea aoei iieeaaeaia aeei?enoaiiy aioenaioe/ieo ? i?ia?aeieeiaeo
aeanoeainoae AeINI, ui caaacia/othoue o?eaaea caa?aaeaiiy a oeaieiao
eaaei ?ic/eiiiai a iueiio aoaeoeaiiai o a?aeiioaii? niaoeeo?/ii? ?
ianiaoeeo?/ii? i?e?ioei?e aioea?ioeea aaeoa?eoeeaeii? ae?? ?eoaii?oeeio.
Iaoiaeeea iieyaaea a ianooiiiio. O 100%-iiio AeINI ?ic/eiyee ii?ioie
?eoaii?oeeio aeey noai?aiiy 0,06 % ?ic/eio. Iio?i aei ooai?aiiai
?ic/eio aeiaaaeyee 0,9 % o?c?ieia?/iee ?ic/ei ?c ?ic?aooieo 1:1,
iaea?aeoth/e i?e oeueiio 50 % ?ic/ei AeINI c 0,03 % ?eoaii?oeeiii.
Ia?eaaee oaiiii, cii/aiee i?eaioiaaiei ?ic/eiii, i?eeeaaeaee a eiaea
aeaeaeaiiai aocea ia 15-20 oaeeei.
C iaoith ?io?aiia?aoe?eii? naiaoe?? ieaa?aeueii? ii?iaeieie i?e
noaoioaeueiiio aeaeaeaii? e?ioaoe/iiai aocea, iaie aoea ai?iaiaaia
iaoiaeeea ?? oeueo?acaoeiai? eaa?oaoe?? (OCE). Aeei?enoiaoaaeiny
aeaea?aei oeueo?acaoeo O?NE-7I-18, ui aaia?o? eieeaaiiy c aiie?ooaeith
30-80 iei ? /anoioith 27 eAoe. Ii?iaeieia caiiaithaaeany ?ic/eiii
aioenaioeea (0,02 % ?ic/ei oei?aaeneaeeio, aai 0,04 % ?ic/ei
aeaeaiaoieneio) ?c aeiaeaaaiiyi 2,0 a eaiai?oeeio e icao/oaaeany ca
aeiiiiiaith niaoe?aeueiiai iaeiia/ieea, c’?aeiaiiai c aaia?aoi?ii
oeueo?acaoeiaeo oaeeue. Na?aaeiy o?eaae?noue iai?ioeyoe?? neeaaeaea 5
oaeeei (aeoiaey/e c /ano aeinyaiaiiy noa?eeueiino? ca aeaieie
aaeoa??ieia?/ieo aeine?aeaeaiue i?e aeei?enoaii? aeacaii? iaoiaeeee a
e?eoaaii? aii??ie ieaa?e).
Iaaaaeai? iaoiaeeee aoee canoiniaai? o 32 oai?eo (3 a?oia). I?e ?o
canoinoaaii? aeuaaeacaieo oneeaaeiaiue i?aeoe/ii ia niinoa??aaeiny,
oaeoi?e, iaoyaeoth/? ia?aa?a i?neyiia?aoe?eiiai ia??iaeo niinoa??aaeeny
iaeaea a aeaa ?ace ??aeoa, i?ae i?e o?aaeeoe?eiiio aeeiiaii? iia?aoe?e.
*anoioa aeieeiaiiy iani?eyoeeaeo oaiaeaioe?e ? oneeaaeiaiue o??o?a?/iiai
e?eoaaiiy oai?eo OAEA i?e canoinoaaii? ?ic?iaeaieo iiaeeo?eaoe?e
iia?aoe?e cieceeany c 28,6 – 28,9 % aei 5,4 %.
C iaoith aea/aiiy iiaeeeainoae canoinoaaiiy iai?yiiai aiaeie?ioaoe/iiai
aaaaeaiiy aeey noai?aiiy aeinoaoi?o eiioeaio?aoe?e aioea?ioee?a o
aioo??oiueia?oaeieo e?ioaoe/ieo aoceao, aeine?aeaeoaaeiny ooai?ai?
a?aeiia?aeii oeyoai aaaaeaiiy, eiioeaio?aoe?? aioea?ioeea o 50 oai?eo,
(oaae. 5) iia?iaaieo ?c i?eaiaeo ianiaoeeo?/ieo caoai?thaaiue i?aai?a
a?oaeii? ii?iaeieie, ?c /enea eio?eo 10 (1 a?oia) iaoe??ioai eaiai?oeei
o aeic? 20 ia/ea iane o?ea oaiaeeany aioo??oiueii’yciai, 10 (2 a?oia) –
e?ioio?iiii, 10 (3 a?oia) – e?ioio?iiii c iaaeeeaiaioiciith
e?ioinoeioeyoe??th, 10 (4 a?oia) – e?ioio?iiii c o?ce/iith
noeioeyoe??th, 10 (5 a?oia) – aaciina?aaeiuei a e?ioaoe/i? noaeeie.
Oaaeeoey 5
Eiioeaio?aoe?y aioea?ioeea a a?ieia?/ieo na?aaeiaeuao i?aai?cio i?e
??cieo niiniaao eiai aaaaeaiiy (iea/ie)
A?ieia?/ia na?aaeiaeua A?oie oai?eo 12345 E?ia ia?eoa?e/ii? aaie 12,7 ±
4,922,1± 5,929,3± 8,134,6± 9,938,7± 2,5* O?aaeaia eaaaiaaa oeaieia 74,6±
4,9105,3± 5,5111,3± 7,9*132,2 ± 8,0*139,4 ± 8,7* Aioo??oiueia?oaeiee
e?ioaoe/iee aocie 121,8 ± 9,1147,5± 9,6189,1± 9,8*229,9± 10,1*237,5 ±
10,3* I?ei?oea.
* – aeinoia??ia a?aei?ii?noue o ii??aiyii? c ia?oith a?oiith.
sse i/aaeaeii c oaaeeoe? 5, iaeiaioa eiioeaio?aoe?y aioea?ioeea o an?o
aeine?aeaeoaaieo na?aaeiaeuao ooai?thaaeany i?ney eiai
aioo??oiueii’yciaiai aaaaeaiiy. Iai?yia aiaeie?ioaoe/ia aaaaeaiiy (2
a?oia) ii nai?o ?acoeueoaoao iaaeinoia??ii a?ae??ciyeiny a?ae
aioo??oiueii’yciaiai. Aeinoia??ia a?aei?ii?noue aeine?aeaeoaaiiai
iieacieea a?ae io?eiaiiai i?e o?aaeeoe?eiiio oaaaeaii? niinoa??aaeiny a
3 – 5 a?oiao (e??i ?acoeueoaoo aecia/aiiy eiioeaio?aoe?? a eaaaiaa?e
oeaiei?, ui a 3 a?oi? a?ae??ciyeiny iaaeinoia??ii.
Oaeei /eiii, iai?yia aiaeie?ioaoe/ia aaaaeaiiy aioea?ioeeo c
canoinoaaiiyi iaaeeeaiaioicii? ? o?ce/ii? e?ioinoeioeyoe?? aeicaieeei
ooai?thaaoe a e?ia?, eaaaiaa?e oeaiei? oa e?ioaoe/iiio aoce?
eiioeaio?aoe?th i?aia?aoo, ui aoea ?noioii aeuith, i?ae i?e
aioo??oiueii’yciaiio aaaaeaii? ? oe?eeii ni?aiinoaaeiith c ??aiai, ui
ooai?thaaany i?e i?yiiio aiaeie?ioaoe/iiio aaaaeaii?.
Aenie? eiioeaio?aoe?? i?aia?aoo a e?ioaoe/iiio aoce?, ui ooai?thaaeeny
i?e aiaeie?ioaoe/iiio aaaaeaii?, aeathoue i?aenoaao aeey aeine?aeaeaiiy
ee?i?/ii? aoaeoeaiino? e?eoaaiiy caoai?thaaiue c ?ioaeoe?eiei o?aaeaiiyi
e?ioaoe/ieo aoce?a ia i?aenoaa? e?ioio?iiiiai aaaaeaiiy.
I?e ioe?ioe? ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo ie a?aoiaoaaee, e??i
aeieeeeo oneeaaeiaiue, iayai?noue oaeoi??a, ui eiai iaoyaeoaaee. O
ca’yceo c oeei, ii e?eueeino? ? yeino? aeae?ethaaiiai aenoaeaoo,
oa?i?iai aeaeaeaiiy ae?aiaaeieo o?oaie ? e?eueeino? ioieoe?e
ieaa?aeueii? ii?iaeieie i?ney aeaeaeaiiy ae?aiaae?a, ie aecia/eee o?e
a?oie oai?eo. O I a?oio aa?eoee 62 (45,6 %) oai?eo, o yeeo i?e
iiaeoeaeoii?? ia aoei ?io?eoaaiiy ieaa?aeueii? ii?iaeieie. Ae?oao a?oio
neeaee 32 (23,5 %) /ieia?ea, o yeeo i?ae /an iia?aoe?? c iaoith
i?io?eaeoeee ai?eii-naioe/ieo oneeaaeiaiue aeei?enoiaoaaee
?icoieoniaaiee eaca?iee i?ii?iue, oeueo?acaoeiao eaa?oaoe?th
ieaa?aeueii? ii?iaeieie, aie?eaoe?? AeINI c ?eoaii?oeeiii o eiaea
aeaeaeaiiai e?ioaoe/iiai aocea. O III a?oio aa?eoee 42 (30,9 %) oai?eo,
o yeeo i?e ?io?eoaaii? ieaa?aeueii? ii?iaeieie aeeiioaaeeny o?aaeeoe?ei?
caoiaee uiaei ?? naiaoe?? (oaae. 6).
Oaaeeoey 6
Ii??aiyeueia oa?aeoa?enoeea i?neyiia?aoe?eieo ai?eii-caiaeueieo
oneeaaeiaiue a iia?iaaieo ?c i?eaiaeo ooaa?eoeueico aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a
Iieacieee A?oie oai?eo II I III II+III E?euee?noue oai?eo62324274
E?euee?noue oneeaaeiaiue 4268 % oneeaaeiaiue aei caaaeueii? e?eueeino?
oai?eo 2,91,54,45,9 % oneeaaeiaiue aei e?eueeino? oai?eo o a?oi?
6,46,314,310,8 I?ei?oee:
1) I – a?oia oai?eo aac ai?eii-caiaeueieo oneeaaeiaiue
2) II – a?oia oai?eo ?c i?neyiia?aoe?eieie ai?eii-caiaeueieie
oneeaaeiaiiyie a yeee i?ae /an iia?aoe?? canoiniaoaaeeny iia? o??o?a?/i?
oaoiieia??
3) III- a?oia oai?eo ?c i?neyiia?aoe?eieie ai?eii-caiaeueieie
oneeaaeiaiiyie a yeee i?ae /an iia?aoe?? ia canoiniaoaaeeny iia?
o??o?a?/i? oaoiieia??
4) II+III – noia?i? iieacieee ae?oai? ? o?aouei? a?oi
O ia?o?e a?oi? ?ioaeoe?eieo oneeaaeiaiue ia niinoa??aaeiny. A II a?oi?
a?aecia/aii aeaa oneeaaeiaiiy, o 3 – 6 oneeaaeiaiue. I?e ii??aiyii?
e?eueeino? aeacaieo oneeaaeiaiue o a?oiao, ?icoiaeaeaiiy aeyaeeeny
iaaeinoia??ieie (?>0,05) o ca’yceo c iaaeinoaoi?i e?euee?niei neeaaeii,
i?ioa /?oea oaiaeaioe?y aei cieaeaiiy /enea ?ioaeoe?eieo oneeaaeiaiue,
i?e canoinoaaii? ?icoieoniaaiiai eaca?iiai i?iiaiy, oeueo?acaoeiai?
eaa?oaoe?? ieaa?aeueii? ii?iaeieie, aie?eaoe?? AeINI c ?eoaii?oeeiii o
eiaea aeaeaeaiiai e?ioaoe/iiai aocea, aeicaiey? aaaaeaoe ca aeioe?eueia
aeei?enoaiiy iieacaieo iaoiaeee.
Na?aae oneeaaeiaiue, ia ia?oiio i?noe? aoei iaaii?iiy i?neyiia?aoe?eii?
?aie o 3 (2,2 %) oai?eo, aioo??oiueiieaa?aeueia aaiaoiia – o 2 (1,5 %),
iaaii?iiy caeeoeiai? ieaa?aeueii? ii?iaeieie – o 2 (1,5 %), ia?eea?aeeo
– o 1 (0,7 %), iani?iiiaei?noue ia?aio?ie eaaai? – o 1 (0,7 %) oai?iai.
A on?o aeuaaeacaieo aeiaaeeao i?iaiaeeeany aeoeaia o??o?a?/ia oaeoeea.
Oi?aeioii?y a ca’yceo c aioo??oiueiieaa?aeueiith e?iaioa/ath, ui
i?iaeiaaeoaaeanue, aeeiiaia iaei?e oai??e /a?ac /ioe?e aiaeeie i?ney
iniiaii? iia?aoe??. Aeaeaeaii 700 ie caonoe?a e?ia?, aeaea?aei
e?iaioa/? ia anoaiiaeaii. Oai?ei, o yeeo niinoa??aaeanue oaiaeaioe?y
aei ia?inoaiiy e?eueeino? eaeeioeeo?a o ieaa?aeueiiio a?aeae?ethaaiiio,
aeeiioaaeiny i?iieaaiiy ieaa?aeueii? ii?iaeieie ?ic/eiaie aioenaioee?a
(oei?aaeneaeei, aeaeaiaoienei, ?ic/ei eae?th ia?iaiaaiaoo) ?c ianooiiei
aaaaeaiiyi ?ic/ei?a aioea?ioee?a. I?e ciaioaii? e?eueeino? eaeeioeeo?a
aei 5-8 o iie? ci?o, ae?aiaae? aeaeaeyeeny. Iacaaaeath/e ia aeoeai?
caoiaee ii iiia?aaeaeaiith iaaii?iiy, o 2 (1,5 %) iaoe??io?a ?icaeeany
aino?a aii??ia ieaa?e. O iaei??? oai?i? ?? aaeaeiny e?ea?aeoaaoe
eiina?aaoeaieie iaoiaeaie, o ae?oaiai oai?iai caiaeii aeeiiaia
ei?eaoth/a oanoe?aaa?ia aa?oiueicaaeiy oi?aeiieanoeea. O 1 (0,7 %)
oai?iai, eio?iio e??i aeaeaeaiiy AEA c?iaeaia /anoeiaa ?acaeoe?y S1 ?c
i?eaiaeo ooaa?eoeueiie, ia ae?oao aeiao i?ney iia?aoe??, aeeiiaia
?aoi?aeioii?y c i?eaiaeo aino?i? iani?iiiaeiino? ia?aio?ie eaaai?.
Aoaeaeoac eaaai? a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? aeiee o 6 (4,4
%) oai?eo, oneeaaeiaiiy aoei onoiooi e?eoaaeueieie o?a?ia?iioineii?yie.
I?ioyaii 7-10 aei?a aaeaeiny e?ea?aeoaaoe aino?o iiaaiii?th ia noi?ii?
iia?aoe?? o 3 oai?eo ? aeaia?/io – o 2. O iaeiiai oai?iai aeieeea
iaiao?aei?noue o aeeiiaii? aaaaoiaoaiiiai o??o?a?/iiai e?eoaaiiy, ui
caaa?oeeiny o?ainae?ao?aaiaeueiith iiaioiiaen??th caeeoeiai? ii?iaeieie.
Aiae?c a?aeaeaeaieo ?acoeueoao?a cana?ae/ea ianooiia. Caaino?aiiy
niaoeeo?/iiai i?ioeano, a oaeiae ?aii?o ? i?ci?o ?aoeeaeea?a o
iia?iaaieo oai?eo ia aoei. Caaaeueiee noai 95,7 % oai?eo o
a?aeaeaeaiiio ia??iae? aoei oe?eeii caaeia?eueiei, nea?a, iia’ycaieo ?c
ia?aianaiith iia?aoe??th ia a?aecia/aeiny. O an?o e?eiaaieo iaoe??io?a o
iiaeaeueoiio ia aeieeaei iaaee/ieo /e nioe?aeueii-iiaooiaeo
neeaaeiiu?a, iia’ycaieo i? c ia?aianaiei OAEA, i? c aeeiiaiei
o??o?a?/iei ao?o/aiiyi.
Aeuaaeeeaaeaia cana?ae/eei aoaeoeai?noue ? aeioe?euei?noue o??o?a?/iiai
e?eoaaiiy OAEA ca oiiae aeeoa?aioe?eiaaiiai i?aeoiaeo aei eiai
i?ecia/aiiy, a oaeiae aeeiiaiiy caoiae?a ii caaacia/aiith i?i?iaeueiiai
?eceeo iia?aoe??.
aeniiaee
1. O??o?a?/ia e?eoaaiiy eacaicii-iae?ioe/ii? oi?ie ooaa?eoeueico
aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a ?c i?ia?anoth/ei ? oneeaaeiaiei
ia?aa?aii iio?aao? aeeoa?aioe?eiaaiiai i?aeoiaeo c o?aooaaiiyi a?eo
oai?eo, ui noi?iaiaeaeothoue caoai?thaaiue ? aoaeoeaiino? i?iaaaeaii?
eiiieaenii? i?ioeooaa?eoeueicii? oa?ai??.
2. ?ic?iaeaia aaeueia oeaea ioe?iee nooiaiy (I, II, III) ?eceeo
iia?aoeaiiai e?eoaaiiy aeicaiey? caaacia/eoe aeeoa?aioe?eiaaiee i?aeo?ae
aei aeai?o iieacaiue, ianyao ? oaeoeee o??o?a?/iiai ao?o/aiiy, a oaeiae
caiia?aoe aeieeiaiiy ?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue.
3. Noaoioaeueia aeaeaeaiiy e?ioaoe/ieo aoce?a aei?aaaeaii i?e oaoi?/ii
neeaaeieo aa??aioao iiaiiai ?o aeaeaeaiiy. Aenieiaoaeoeaieie, aeey
i?io?eaeoeee ?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue, ? eiia?iiaai?
o?ceei-o?i?/i? iaoiaee naiaoe?? no?iee aocea, ui caeeoeeany, ?c
aeei?enoaiiyi ?icoieoniaaiiai eaca?iiai i?iiaiy e aie?eaoe?e AeINI c
?eoaii?oeeiii.
4. Oeueo?acaoeiaa eaa?oaoe?y ieaa?aeueii? ii?iaeieie, i?e ??
?io?aiia?aoe?eiiio canoinoaaii? a na?aaeiaeu? ?ic/ei?a aioenaioee?a,
aeicaiey? cieceoe nooi?iue ?eceeo aeieeiaiiy i?neyiia?aoe?eieo
ai?eii-caiaeueieo oneeaaeiaiue.
5. Naeaeoeaia neiiaoaeoii?y c aeaia?aaoe??th ei?aiy eaaai?, i?e
o??o?a?/iiio e?eoaaii? oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo
e?ioaoe/ieo aoce?a ?c noiooiueith a?iio?aeueiith anoiith aai o?ii?/iei
a?iio?oii ?c a?iioiiano?oeoeaiei neiae?iiii, aeicaiey? cieceoe nooi?iue
ae?aciino? a?iioiiano?oeoe?? a ?aiiueiio ? a?aeaeaeaiiio
i?neyiia?aoe?eiiio ia??iae? o 60 % oai?eo.
6. Iai?yia aiaeie?ioaoe/ia aaaaeaiiy aioeaaeoa??aeueieo i?aia?ao?a ia
oii? o?ce/ii? oa o?i?/ii? e?ioinoeioeyoe?? noai?th? a?eueo aenieo
eiioeaio?aoe?th aioea?ioee?a o aioo??oiueia?oaeieo e?ioaoe/ieo aoceao, o
ii??aiyii? c ia?aioa?aeueieie niiniaaie ?o aaaaeaiiy, ui aeicaiey?
?aeiiaiaeoaaoe oeae iaoiae i?e e?eoaaii? on?o oi?i OAEA, iniaeeai, i?e
i?aeaioiaoe? oai?eo aei iia?aoeaiiai ao?o/aiiy.
7. ?ic?iaeaiee aeai?eoi a?aeai?o oai?eo aeey iia?aoeaiiai e?eoaaiiy,
aeai?o oaoi?/ieo aa??aio?a o??o?a?/iiai ao?o/aiiy, iaoiae?a i?io?eaeoeee
?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue, caaacia/ea a?aenooi?noue oeeo
oneeaaeiaiue, a oaeiae iia’ycaieo ?c ieie eaoaeueieo aeoiae?a.
nienie iioae?eiaaieo i?aoeue ca oaiith aeena?oaoe??
1. Oiaeue I.A. A?aeaeaeaiee ?acoeueoao o??o?a?/iiai e?eoaaiiy oai?eo ia
ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a // Ee?i?/ia
o??o?a?y. – 1998. – ? 9-10. – N.45 – 46.
2. Oiaeue I.A. Iniaaiiinoe e ineiaeiaiey oe?o?ae/aneiai ea/aiey aieueiuo
ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia // Oe?a?inueeee
ioeueiiiieia?/iee aeo?iae. – 1998.- ? 2. – N. 68-69.
3. Oiaeue I.A., Eaeaaooa E.A. Oe?o?ae/aneia ea/aiea aieueiuo
ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia n niioonoaothuae
a?iioeaeueiie anoiie e o?iie/aneei a?iioeoii n a?iioiiano?oeoeaiui
neiae?iiii // Oe?a?inueeee ioeueiiiieia?/iee aeo?iae. – 1998. – ? 4.-
N.52-55.
4. Niin?a o??o?a?/iiai e?eoaaiiy iino?acaeoeieii? aii??ie ieaa?e c
a?iio?aeueiith ii?eoeath / ?.A.Eaeaaooa, A.A.?aaeiiiia, TH.A. Eiainia,
I.A.Oiaeue // I?iieneiaa aeani?noue. – 1998. – ? 1. – N .
5. Oiaeue I.A., Eaeaaooa ?.A. Aoaeoeai?noue o??o?a?/iiai e?eoaaiiy
oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a //
Aaeeoeueeee e?ea?nueeee a?niee. – 1998. – O.5, ?.3. – N.89-91.
6. Oiaeue I.A., Eaeaaooa ?.A., ?aae?iiia A.A. ?acoeueoaoe aeei?enoaiiy
no/anieo o??o?a?/ieo oaoiieia?e aeey i?io?eaeoeee ai?eii-caiaeueieo
oneeaaeiaiue o oai?eo, iia?iaaieo c i?eaiaeo ooaa?eoeueico
aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a // Iaoa??aee iaoeiaeo i?aoeue
?? c`?caeo ooec?ao??a ? ioeueiiiieia?a Oe?a?ie. – Ee?a, 1998. – N. 93.
7. Oiaeue I.A., Eaeaaooa ?.A., ?aae?iiia A.A. ?acoeueoaoe o??o?a?/iiai
e?eoaaiiy oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo
aoce?a, oneeaaeiaiee a?iio?aeueiith anoiith oa a?iioiiano?oeoeaiei
neiae?iiii. // Iaoa??aee iaoeiaeo i?aoeue ?? c`?caeo ooec?ao??a ?
ioeueiiiieia?a Oe?a?ie. – Ee?a,1998. –N. 94.
8. I?io?eaeoeea i eieoaaiiy aiieii-caiaeueieo oneeaaeiaiue i?ney
iiaaiiiaeoii?e / A.A.?aaeiiiia, TH.A.Eiainia, ?.A.Eaeaaooa,
I.A.Aa?aaeia, ss.I.Aieioei, I.A. Oiaeue // Iioi?i. eeno. – Ee?a, 1997.
– 2 n.
9. O?ainaeeao?aaiaeueiay iiaioiiaeney i?e o?iie/aneeo yiieaiao ieaa?u n
a?iioeaeueiui naeuai / E.A.Eaeaaooa, A.A.?aaeeiiia, TH.A.Eiainia,
I.A.Oiaeue, E.A.Aa?aaeiay // I I?aeia?iaeiee eiia?an nooaeaio?a i
iieiaeeo a/aieo: Oac. aeii. – Oa?iiiieue, 1997. – N. 186.
aiioaoe?y
Oiaeue I.A. Iniaeeaino? oa aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oai?eo
ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a. – ?oeiien.
Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.03 – o??o?a?y. – Ee?anueea iaaee/ia aeaaeai?y
i?neyaeeieiiii? ina?oe ?i. I.E.Ooi?ea IIC Oe?a?ie, Ee?a, 1999.
Aeena?oaoe?y i?enay/aia i?aeaeuaiith aoaeoeaiino? o??o?a?/iiai e?eoaaiiy
oai?eo ia ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a. A ?iaio?
i?iaaaeaii aiae?c oaeoi??a, ui aieeaathoue ia aea?? iaoiaeo e?eoaaiiy,
eiai ?acoeueoaoe e aoaeoeai?noue, /anoioo ? oa?aeoa? oneeaaeiaiue
o??o?a?/ieo ao?o/aiue, ?ic?iaeaii e?eoa??? ioe?iee ?eceeo ?io?a- oa
i?neyiia?aoe?eieo oneeaaeiaiue, iaoiaeeee ?o o??o?a?/ii? i?io?eaeoeee,
aea/aii a?aeaeaeai? ?acoeueoaoe. Ca ?acoeueoaoaie e?eoaaiiy 136 oai?eo
caaino?aiiy niaoeeo?/iiai i?ioeano, a oaeiae ?aii?o ? i?ci?o ?aoeeaeea?a
ia aoei. Caaaeueiee noai 95,7 % iaoe??io?a o a?aeaeaeaiiio ia??iae?
aeyaeany caaeia?eueiei, nea?a, iia’ycaieo ?c ia?aianaiith iia?aoe??th ia
aoei, ui cana?ae/eei aoaeoeai?noue ? aeioe?euei?noue o??o?a?/iiai
e?eoaaiiy aeacaii? iaoieia?? ca oiiae aeeoa?aioe?eiaaiiai i?aeoiaeo aei
eiai i?ecia/aiiy, a oaeiae aeeiiaiiy caoiae?a ii caaacia/aiith
i?i?iaeueiiai ?eceeo iia?aoe??.
Eeth/ia? neiaa: ooaa?eoeueic aioo??oiueia?oaeieo e?ioaoe/ieo aoce?a,
o??o?a?/ia e?eoaaiiy.
summary
Khmel O.V. Peculiarities and efficacy of surgical treatment of patients
with intrathoracic lymphatic nodes tuberculosis. – Manuscript.
The thesis to obtain the Dagraa of Doctor of Medical Science in
specialty 14.0.03 – surgery. Kiev Medical Academy for Postgraduate
Education named by P.L.Shupik of Ministry of Health of Ukraine, Kiev,
1999.
The dissertation is devoted to improvement of surgical treatment of
patients suffering tuberculosis of intrathoracic lymphatic nodes. There
have been studied the factors, influencing the choice of appropriate
therapy, results and efficacy of treatment, the rate and character of
postoperative complications. There were worked out the criteria for
evaluation of risk of pre- and postoperative complications and proposed
prophylactic measures. There were also studied the remote results of
treatment.
In the group of 136 patients there was not registered the exacerbation
of tuberculosis as well as early or late relapses. In remote period the
general status of 95,7% of patients was satisfactory. The patients
didn’t complaint of any manifestation of infection. The results obtained
suggested the efficacy and expedience of surgical treatment of pulmonary
lymphatic nodes tuberculosis. They highlighted the necessity of
differentiated application of this method and strict execution of
prophylactic procedures to minimize the risk of an intervention.
Key words: tuberculosis, intrathoracic lymphatic nodes, surgical
treatment
AIIIOAOeEss
Oiaeue I.A. Iniaaiiinoe e yooaeoeaiinoue oe?o?ae/aneiai ea/aiey aieueiuo
ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia. – ?oeiienue.
Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.03 – oe?o?aey. – Eeaaneay
iaaeeoeeineay aeaaeaiey iineaaeeieiiiiai ia?aciaaiey ei. I.E.Ooieea IC
Oe?aeiu, Eeaa, 1999.
Aeenna?oaoeey iinayuaia iiauoaieth yooaeoeaiinoe oe?o?ae/aneiai ea/aiey
aieueiuo ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia. A ?aaioa
i?iaaaeaii eco/aiea oaeoi?ia, aeeythueo ia auai? iaoiaea ea/aiey, aai
?acoeueoaou e yooaeoeaiinoue, /anoioo e oa?aeoa? ineiaeiaiee
oe?o?ae/aneeo aiaoaoaeuenoa.
Aue i?iecaaaeai aiaeec iniaaiiinoae aicieeiiaaiey, eieaeecaoeee,
oa/aiey, ooaa?eoeaca aioo?ea?oaeiuo eeioaoe/aneeo oceia o 136 aieueiuo,
eo aeiiia?aoeeiiiiai ea/aiey, i?aaeiia?aoeeiiiie iiaeaioiaee,
oaoie/aneeo iniaaiiinoae e ineiaeiaiee iia?aoeee, oaeoeee aaaeaiey
iineaiia?aoeeiiiiai ia?eiaea o aeaiiiai eiioeiaaioa. Ia iniiaaiee
?acoeueoaoia yoiai aiaeeca, i?aaeeiaeaiu iieacaiey e i?ioeaiiieacaiey e
oe?o?ae/aneiio ea/aieth aieueiuo ooaa?eoeacii aioo?ea?oaeiuo
eeioaoe/aneeo oceia e iaoiaeeee eo oe?o?ae/aneie i?ioeeaeoeee.
Ii iniiaa iaiauaiey eeoa?aoo?iuo aeaiiuo e ?acoeueoaoia nianoaaiiuo
iaaethaeaiee i acaeiinayce iaee/ey e au?aaeaiiinoe ii?aaeaeaiiuo
neiioiiia e neiae?iiia a oa/aiee ooaa?eoeaca aioo?ea?oaeiuo
eeioaoe/aneeo oceia n aicieeiiaaieai ineiaeiaiee i?e oe?o?ae/aneii
ea/aiee iineaaeiaai, auea ?ac?aaioaia aaeueiay oeaea ioeaiee ?enea
eio?a- e iineaiia?aoeeiiiuo ineiaeiaiee iia?aoeaiiai aiaoaoaeuenoaa.
Aeaiiua i oaeoi?ao ?enea, a niiinoaaeaiee n iaaethaeaaoeieny
ineiaeiaieyie, iieo/aiiua a ?acoeueoaoa ?ao?iniaeoeaiiai i?eiaiaiey
?ac?aaioaiiie oeaeu e eiaaoaeny auai?ea aieueiuo, auee iiaeaa?aioou
noaoenoe/aneiio aiaeeco. Auea iaoaiaoe/anee aeieacaia aaeaeaaoiay
eioi?iaoeaiinoue i?aaeeiaeaiiie nenoaiu, /oi iicaieeei iaania/eoue
aeeooa?aioee?iaaiiue iiaeoiae e auai?o iieacaiee, iauaia e oaeoeee
oe?o?ae/aneiai ea/aiey e i?aaeoi?aaeaeaoue aicieeiiaaiea eio?a- e
iineaiia?aoeeiiiuo ineiaeiaiee.
I?iecaaaeai aiaeec ?acoeueoaoia oioaeueiiai e noaoioaeueiiai oaeaeaiey
eeioaoe/aneeo oceia. Aeieacaii i?aeiouanoai noaoioaeueiiai oaeaeaiey i?e
oneiaee i?eiaiaiey naiaoeee eioeoee?iaaiiie ieaa?aeueiie iieinoe
eiiaeie?iaaiiuie oeceei-oeie/aneeie iaoiaeaie (naiaoeey inoaaoaeny
noaiee ocea ?anoieone?iaaiiui eaca?iui eo/ii e aiieeeaoeey AeINI n
?eoaiieoeeiii). Onoaiiaeaia aunieay yooaeoeaiinoue oeueo?acaoeiaie
eaaeoaoeee n eniieueciaaieai ?anoai?ia aioenaioeeia i?e eioeoee?iaaiee
ieaa?aeueiie iieinoe ai a?aiy iia?aoeee, aeey nieaeaiey /anoiou
aicieeiiaaiey iineaiia?aoeeiiiuo aiieii-ainiaeeoaeueiuo ineiaeiaiee.
Iao/ii iainiiaaia e iiaeoaa?aeaeaia oeaeaniia?aciinoue aeaia?aaoeee
ei?iy eaaeiai e naeaeoeaiie neiiaoyeoiiee i?e oe?o?ae/aneii ea/aiee
aieueiuo ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia n
niioonoaothuae a?iioeaeueiie anoiie eee o?iie/aneei a?iioeoii n
a?iioiiano?oeoeaiui neiae?iiii, iicaieeaoea aeiaeoueny nieaeaiey noaiaie
au?aaeaiiinoe a?iioiiano?oeoeee a ?aiiai e ioaeaeaiiii
iineaiia?aoeeiiiii ia?eiaea o 60 % aieueiuo.
I?iecaaaeaia ioeaiea oa/aiey ?aiiaai iineaiia?aoeeiiiiai ia?eiaea n
o/aoii oaeoi?ia, ioyaiuaaoeo aai e aicieeoeo ineiaeiaiee. Onoaiiaeaii,
/oi, iaeaieaa /anoi, iaaeaaii?eyoiua yaeaiey iinea iia?aoeee
iaaethaeaeenue i?e eio?aiia?aoeeiiiii eioeoee?iaaiee ieaa?aeueiie
iieinoe. A oiaea a?aiy, i?eiaiaiea eiiaeie?iaaiiie oeceei-oeie/aneie
naiaoeee ieaa?aeueiie iieinoe ii ?ac?aaioaiiui iaoiaeeeai, iaania/eei
nouanoaaiiia nieaeaiea eiee/anoaa, eae iineaiia?aoeeiiiuo ineiaeiaiee,
oae e auoaoeacaiiuo ioyaiuathueo oaeoi?ia.
Ia iniiaaiee eco/aiey aiciiaeiinoae ?acee/iuo niiniaia
yiaeieeioaoe/aneiai aaaaeaiey a nicaeaiee eiioeaio?aoeee aioeaeioeeia a
i?aaiao a?oaeiie iieinoe onoaiiaeaia aunieay yooaeoeaiinoue iai?yiiai
yiaeieeioaoe/aneiai aaaaeaiey aioeaaeoa?eaeueiuo i?aia?aoia ia oiia
oece/aneie e oeie/aneie eeioinoeioeyoeee, iiauoaaoeo eiioeaio?aoeeth
aioeaeioeeia ai aioo?ea?oaeiuo eeioaoe/aneeo oceao a n?aaiaiee n
ia?aioa?aeueiuie niiniaaie eo aaaaeaiey, /oi iicaieeei ?aeiiaiaeiaaoue
yoio iaoiae i?e ea/aiee anao oi?i ooaa?eoeaca aioo?ea?oaeiuo
eeioaoe/aneeo oceia, iniaaiii i?e iiaeaioiaea aieueiuo e iia?aoeaiiio
aiaoaoaeuenoao.
Eco/aiu ioaeaeaiiua ?acoeueoaou oe?o?ae/aneiai ea/aiey 86 aieueiuo
ooaa?eoeacii aioo?ea?oaeiuo eeioaoe/aneeo oceia. Iaino?aiey
niaoeeoe/aneiai i?ioeanna, a oaeaea ?aiieo e iicaeieo ?aoeeaeeaia ia
auei. Iauaa ninoiyiea 95,7 % ianeaaeiaaiiuo iaoeeaioia a ioaeaeaiiii
ia?eiaea ieacaeinue oaeiaeaoai?eoaeueiui, aeaeia, naycaiiuo n
ia?aianaiiie iia?aoeeae ia auei, /oi naeaeaoaeuenoaiaaei ia
yooaeoeaiinoe e oeaeaniia?aciinoe oe?o?ae/aneiai ea/aiey oeacaiiie
iaoieiaee i?e oneiaee aeeooa?aioee?iaaiiiai iiaeoiaea e aai iacia/aieth,
a oaeaea auiieiaiey ia?ii?eyoee ii iaania/aieth ieieiaeueiiai ?enea
iia?aoeee.
Aeaaiaea?y i?eiaiaieth ?ac?aaioaiiuo iaoiaeee a eeeie/aneeo oneiaeyo,
aeinoeaiooi nieaeaiea eio?a- e iineaiia?aoeeiiiuo ineiaeiaiee, /oi
iaania/eei nie?auaiea no?iea i?aauaaiey aieueiuo a noaoeeiia?a e
oeo/oaiea ioaeaeaiiuo ?acoeueoaoia iia?aoeee. Eniieueciaaiea
?acoeueoaoia ?aaiou aiciiaeii a oi?aeaeueiuo ioaeaeaieyo ai?iaeneeo,
iaeanoiuo e ?anioaeeeaineeo ea/aaii-i?ioeeaeoe/aneeo o/?aaeaeaiee.
Eeth/aaua neiaa: ooaa?eoeac aioo?ea?oaeiuo eeioaoe/aneeo oceia,
oe?o?ae/aneia ea/aiea.
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