.

Профілактика гіпогалактії у жінок з анемією вагітних: Автореф. дис… канд. мед. наук / Р.А. Васюк, Київ. мед. акад. післядиплом. освіти ім. П.Л.Шупик

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16

I?I?NOA?NOAI IOI?IIE CAeI?IAss OE?A?IE

EE?ANUeEA IAAeE*IA AEAAeAI?ss I?NEssAeEIEIIII? INA?OE ?i.I.E.OOIEEA

AANTHE ?ONEAIA AIAOIE??AIA

OAeE 612.664 : 616 – 076.5 : 618.73

I?IO?EAEOEEA A?IIAAEAEO?? O

AE?IIE C AIAI??TH AAA?OIEO

14.01.01 – aeooa?noai oa a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Ee?a– 1999

Aeena?oaoe??th ? ?oeiien

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

IAOEIAEE EA??AIEE:

/eai-ei?.AII Oe?a?ie oa ?in??, IAI Oe?a?ie, aeieoi? iaaee/ieo iaoe,
i?ioani? Oeiioaiei Eaii?ae Aaneeueiae/

IO?Oe?EI? IIIIAIOE:

aeieoi? iaaee/ieo iaoe, Nai/oe Aiaoie?e sseiae/, caa?aeoaa/ eaoaae?e
aeooa?noaa oa a?iaeieia?? iaaee/iiai ?inoeoooo Oe?a?inueei? anioe?aoe??
ia?iaeii? iaaeeoeeie;

aeieoi? iaaee/ieo iaoe, AEoe Na?oeaia ?aai?aia, aeioeaio eaoaae?e
aeooa?noaa oa a?iaeieia?? ?1 A?iieoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i.I.?.Ie?iaiaa IIC Oe?a?ie

I?IA?AeIA ONOAIIAA:

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

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 11 ” _aeiaoiy_ 1999 ?ieo

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 ca aae?anith: 254112, i.Ee?a, aoe.Aei?iaiaeeoeueea,9.

C aeena?oaoe??th iiaeia iciaeiieoeny a 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 “_6_” _aa?aniy_ 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio Aaicaeye I.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Na?aae i??i??oaoieo iaoeiaeo iai?yie?a aenia?oe
AIIC (1996) aeae?eythoue aeine?aeaeaiiy, iiaycai? c ioi?iiith caei?iay
ae?iie a i?neyiieiaiaiio ia??iae?, aaaeeea?oith i?iaeaiith yeiai ?
a?iiaaeaeo?y, yea cono??/a?oueny a?ae 30% aei 70% a?ae /enea an?o
iaoa??a, ye? aiaeothoue iiaiia?iaeaeaieo (N.I.Aaeaeoeia,1996;
E.?.Ooo/aiei oa ni?aaao.,1996; O.D.Almedia,1991). A?oaeia aiaeoaaiiy
?icaeyaea?oueny ye iaa?ae?iia /anoeia ?ai?iaeoeoeaiiai i?ioeano, yeee ?
?aeaaeueiei niiniaii aiaeoaaiiy aeeoeie. A iao /an a aeiiii?/ii ?
nioe?aeueii ?icaeiooeo e?a?iao a?aei?/a?oueny no?eea oaiaeaioe?y aei
ca?eueoaiiy a?oaeiiai aiaeoaaiiy, a oaeiae i?eae?ey?oueny aaeeea oaaaa
eiai ioi?ii? (A.I.Naaaeue?aa oa ni?aaao.,1991; I.ss.Nooaeaieeei oa
ni?aaao.,1991).

Iaei??th c aieiaieo i?e/ei a?aeiiae a?ae a?oaeiiai aiaeoaaiiy ?
iaaeinoaoiy nae?aoe?y iieiea (A.E.Aeeiia oa ni?aaao.,1988). A?iiaaeaeo?y
? aeeeeeaiee iath ?aii?e ia?ao?ae ia ooo/ia aiaeoaaiiy iani?eyoeeai
a?aeia?aaeo?oueny ia ?icaeoeo ? caei?ia? aeeoeie, a oaeiae ia yeino?
eiai aeeooy (E.I.Ai?iioeia oa ni?aaao., 1993; I.E.A?yaa oa
ni?aaao.,1994). Ca inoaii? aeanyoe??//y a?eueo?noue
ee?i?ei-o?c?ieia?/ieo aeine?aeaeaiue iiaycaii c ?ic?iaeith
aiaeie?eiieia?/ieo aniaeo?a aeaii? i?iaeaie (O.A.E?aaoeiaa, 1992;1995).
Iaeiae, aoaeoeai?noue aaeaeaaoieo iaaeeeaiaioicieo iaoiaeee ?
aeinoaoiuei aeeneon?eiith, ui iiaycaii ?c neeaaei?noth iae?iaoii?aeueii?
?aaoeyoe??, iaiaeiicia/i?noth o?aeoiaee ?yaeo ieoaiue, ye? noinothoueny
iaoiaaiaco a?iiaaeaeo??, a oaeiae /anoi iao?eaaeei iiceoeaiei aoaeoii
(N.I.Aaeaeoeia, 1990;1996).

Ca inoaii? ?iee o a?o/eciyi?e ? ca?oa?aei?e e?oa?aoo?? cyaeeeny aeai?
i?i aieea aeno?aaai?oaeueii? ? aeooa?nueei? iaoieia?? ia ee?i?/iee
ia?aa?a i?neyiieiaiaiai ia??iaeo, a oiio /ene? ? eaeoiaaiac
(A.I.Aaeno?oe oa ni?aaao.,1996; A.ss.Nai/oe,1996). I?e oeueiio, naiei
?iciianthaeaeaiei oneeaaeiaiiyi aaa?oiino? a iao /an ? aiai?y, /anoioa
yei? neeaaea? aei 70% (O.A.E?aaoeiaa, 1992;1995). Caaaeueiia?aeiiei ? o?
oaeoe, ui aiai?y aaa?oieo i?ecaiaeeoue aei ?icaeoeo oaoiieaoeaioa?ii?
iaaeinoaoiino? c oi?ioaaiiyi neiae?iio cao?eiee aioo??oiueioo?iaiiai
?icaeoeo ieiaea. E??i oiai, o ae?iie oe??? a?oie i?aeaeuo?oueny ?ecee
aeieeiaiiy ??cieo aiiiae?e iieiaiai? ae?yeueiino? ? i?neyiieiaiaeo
ai?eii-naioe/ieo oneeaaeiaiue (I.I.Oaooiai oa ni?aaao.,1994;
I.I.Eoiiiaeoeueeee,1996). Ii?yae c oeei, iaeiei ?c iaeiaio aea/aieo
ieoaiue aeaii? i?iaeaie ? noaiiaeaiiy eaeoaoe?? i?e oe?e iaoieia??.
Iiiaeeiie? ioae?eaoe?y, c oeueiai i?eaiaeo, iinyoue noia?a/eeaee
oa?aeoa?. Ana oea, aacoiiaii, na?ae/eoue i?i aeooaeuei?noue ia?aiiai
iaoeiaiai iai?yieo.

Caycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeeiiaia
iaoeiai-aeine?aeia ?iaioa ? o?aaiaioii iaoeiai? ?iaioe eaoaae?e
aeooa?noaa oa a?iaeieia?? ?1 Ee?anueei? iaaee/ii? aeaaeai??
i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea, ? ae.?. 0196 40 10590.

Iaoa ?iaioe ? caaea/? aeine?aeaeaiiy:

Iaoa ?iaioe: cieaeaiiy /anoioe a?iiaaeaeo?? o ae?iie c aiai??th aaa?oieo
ia i?aenoaa? aea/aiiy iniaeeainoae iaoiaaiaco ? ?ic?iaee eiiieaeno
i?io?eaeoe/ii- e?eoaaeueieo caoiae?a c aeei?enoaiiyi iaaeeeaiaioicieo ?
iaiaaeeeaiaioicieo cania?a.

Caaea/? aeine?aeaeaiiy:

1. Aea/eoe iniaeeaino? noaiiaeaiiy eaeoaoe?? o ae?iie c aiai??th
aaa?oieo ??ciiai nooiaiy oyaeeino?.

2. Cynoaaoe aca?iicaycie i?ae nooiaiai ae?aaeaiino? oaoiieaoeaioa?ii?
iaaeinoaoiino? ? iniaeeainoyie eaeoaoe?? o ae?iie c aiai??th aaa?oieo.

3. Cai?iiiioaaoe iaoiaeeeo i?iaiicoaaiiy ia?aeiii? a?iiaaeaeo?? i?e
aiai?? aaa?oieo c o?aooaaiiyi nooiaiy ?? oyaeeino? ? noaio
oaoiieaoeaioa?iiai eiiieaeno.

4. ?ic?iaeoe e ai?iaaaeeoe a ee?i?/io i?aeoeeo eiiieaen
i?io?eaeoe/ii-e?eoaaeueieo caoiae?a uiaei cieaeaiiy a?iiaaeaeo?? o
ae?iie c aiai??th ?c canoinoaaiiyi iaaeeeaiaioicii? ei?aeoe?? oa
iaiaaeeeaiaioicieo iaoiae?a.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a. Aia?oa aea/aii iniaeeaino?
noaiiaeaiiy eaeoaoe?? oa ?? noai o ae?iie c aiai??th aaa?oieo a
caeaaeiino? a?ae nooiaiy ?? oyaeeino?, iniaeeainoae ia?aa?ao aaa?oiino?,
iieia?a, i?neyiieiaiaiai oa iaiiaoaeueiiai ia??iae?a, a oaeiae noaio
eaeoaoe?? i?e aiai?? aaa?oieo ??ciiai nooiaiy oyaeeino?. Aia?oa
onoaiiaeaiee aca?iicaycie i?ae nooiaiai ae?aaeaiino? a?iiaaeaeo?? oa
noaiii oaoiieaoeaioa?iiai eiiieaeno o ae?iie c ??cieie nooiaiyie
oyaeeino? aiai?? c canoinoaaiiyi aoia?ao?/ieo, aeiiiea?iiao?e/ieo ?
?aae?i?ioiieia?/ieo aeine?aeaeaiue, ui aeicaieeei ?icoe?eoe aeai? i?i
iaoiaaiac ia?aeiii? a?iiaaeaeo?? o ia?ai?iaeyueo ae?iie.

Aia?oa iaoeiai iaa?oioiaaia iaoiaeeea eiiieaenii? iiaoaiii? i?io?eaeoeee
ia?aeiii? a?iiaaeaeo?? o ae?iie c aiai??th aaa?oieo ??ciiai nooiaiy
oyaeeino?.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. Oaeineiiaeaia iaoiaeeea
ei?aeoe?? oaoiieaoeaioa?ii? iaaeinoaoiino? o ae?iie c aiai??th ??ciiai
nooiaiy oyaeeino?, yeo iaiao?aeii i?iaiaeeoe i?ae eiio?ieai ee?i?/ieo,
aoia?ao?/ieo, aeiiiea?iiao?e/ieo ? ?aae?i?ioiieia?/ieo iieaciee?a.

?ic?iaeai? oa ai?iaaaeaeai? i?aeoe/i? ?aeiiaiaeaoe?? uiaei cieaeaiiy
/anoioe ia?aeiii? a?iiaaeaeo?? i?e aiai?? aaa?oieo ??ciiai nooiaiy
oyaeeino? ia i?aenoaa? eiiieaeniiai aeei?enoaiiy ei?aeoe??
oaoiieaoeaioa?ii? iaaeinoaoiino? ? i?noeaai? aicae?? ia iiei/i? caeice
iiey?eciaaiiai na?oea iecueei? aia?a??.

Iniaenoee aianie caeiaoaa/a. Ieaioaaiiy ? i?iaaaeaiiy an?o
aeine?aeaeaiue aeeiiaii aeena?oaioii ca ia??iae c 1997 ii 1999 ?.?.
Aaoi?ii i?iaaaeaii ee?i?ei-eaai?aoi?ia ? ooieoe?iiaeueia ianoaaeaiiy 120
ae?iie c aiai??th aaa?oieo ??ciiai nooiaiy aaaeeino?. Naiino?eii
i?iaaaeaii caai? ? i?aeaioiaea a?ieia?/iiai iaoa??aeo. An? eaai?aoi?i? ?
ooieoe?iiaeuei? iaoiaee aeine?aeaeaiiy aeeiiai? aaciina?aaeiuei aaoi?ii.

Aaoi?ii ?ic?iaeaia iaoiaeeea iiaoaiii? i?io?eaeoeee ia?aeiii?
a?iiaaeaeo?? i?e aiai?? aaa?oieo ??ciiai nooiaiy oyaeeino? ia i?aenoaa?
aeei?enoaiiy iaaeeeaiaioicieo ? iaiaaeeeaiaioicieo cania?a. Noaoenoe/ia
iai?iaea io?eiaieo ?acoeueoao?a i?iaaaeaia aeeeth/ii aaoi?ii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe??
aeiiia?aeaeeny oa iaaiai?thaaeeny ia can?aeaii? ??? ieaioia anioe?aoe??
aeooa??a-a?iaeieia?a Oe?a?ie (aa?anaiue 1999, Oaeai?iae); ia can?aeaii?
anioe?aoe?? aeooa??a-a?iaeieia?a Ee?anueei? iaeano? (a?oaeaiue, 1998) oa
ia can?aeaii? i?iaeaiii? eii?n?? “Aeooa?noai oa a?iaeieia?y” Ee?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea (aa?acaiue,
1999).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 7 ae?oeiaaieo i?aoeue.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 123 noi??ieao
iaoeiiieno, neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, ?icae?eo
iaoiae?a aeine?aeaeaiiy, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, ?o
iaaiai?aiiy, aeniiae?a ? iieaae/eea e?oa?aoo?e, yeee i?noeoue 98
a?o/eciyieo ? 82 ca?oa?aeieo aeaea?aea. ?iaioa ?ethno?iaaia 30
oaaeeoeyie ? 16 iaethieaie.

Iniiaiee ci?no ?iaioe

Ia?eo, iaoiaee oa iaoiaeieia?y aeine?aeaeaiue. Aeey ae??oaiiy
iinoaaeaii? iaoe ? caaea/ ie ianoaaeeee 150 aaa?oieo ? ii?iae?eue. 30 –
neeaee eiio?ieueio a?oio, ye? aoee ?ic?iaeaeai? /a?ac i?e?iaei? iieiaia?
oeyoe ? ia iaee aeooa?nueei? aai niiaoe/ii? iaoieia??. 120 ae?iie ?c
cae?ciaeao?oeeoiith aiai??th aaa?oieo, ?ic?iaeaeai? /a?ac i?e?iaei?
iieiaia? oeyoe, aoee ?iciiae?eai? ia aea? aaeee? a?oie (ii 60 ae?iie) a
caeaaeiino? a?ae nooiaiy oyaeeino?: ?-?? no. – 50,0% ? ???-?V no. –
50,0%. E??i oiai, ie ?iciiae?eeee ?o ia aea? i?aea?oie ii 30 ae?iie a
caeaaeiino? a?ae aeei?enoiaaii? iaoiaeeee aaaeaiiy aaa?oiino?, a aieiaia
– a?ae eiiieaeno i?io?eaeoe/ii-e?eoaaeueieo caoiae?a c iaoith
noeioeyoe?? eaeoaoe?? a i?neyiieiaiaiio ia??iae?. Ioaea, ie i?iaiaeeee
aeine?aeaeaiiy a 5 a?oiao ii 30 ae?iie a eiaei?e: eiio?ieueia; aiai?y
?-?? no. – caaaeueiii?eeiyoa aaaeaiiy; aiai?y ?-?? no. – ca iaoith
iaoiaeeeith; aiai?y ???-?V no. – caaaeueiii?eeiyoa aaaeaiiy; aiai?y
???-?V no. – ca iaoith iaoiaeeeith.

Na?aae iniiaieo iiiaio?a aeei?enoiaaii? iaie e?eoaaeueii-i?io?eaeoe/ii?
iaoiaeeee iaiao?aeii aeae?eeoe eiiieaenio i?io?eaeoeeo ? e?eoaaiiy
oaoiieaoeaioa?ii? iaaeinoaoiino? aiaeii/an ?c caaaeueiii?eeiyoei
e?eoaaiiyi aiai?? aaa?oieo (A.ss.Nai/oe,1996). A eiiieaen
i?io?eaeoe/ii-e?eoaaeueieo caoiae?a i?ae /an aaa?oiino? aeeth/aee
?aoe?iiaeueio ae??oioa?ai?th; eaa?oeaoei – i?aia?ao, ui ia?
aioeieneaeaioi? ? ?ioiiei?eaoth/? aeanoeaino?; oeeoio?ii N /e aaia-ia?oe
– caniae, ui iie?auothoue a?ineioac a?eea a ieaoeaio?; ?aiiie?aethe?i a
eiiieaen? c eo?aioeeii – aeey iie?auaiiy iaoeiai-ieaoeaioa?iiai
e?iaiia?ao. O?eaae?noue ? ye?noue i?iaaaeaiiy e?eoaaeueii-i?io?eaeoe/ieo
caoiae?a caeaaeaea, a ia?oo /a?ao, a?ae nooiaiy oyaeeino? aiai??, a
oaeiae a?ae ?acoeueoao?a aeiaeaoeiaeo iaoiae?a aeine?aeaeaiiy:
aaiaoieia?/iiai ? aiaeie?eiieia?/iiai noaoono, aoia?ao?? ?
aeiiiea?iiao???, ui aeeiai?/ii aeei?enoiaoaaeeny oi?iaeiaae an???
aaa?oiino?. Caaaeueiii?eeiyoa iaoiaeeea i?io?eaeoeee ia?aeiii?
a?iiaaeaeo?? iieyaaea o aeei?enoaii? ae??oioa?ai??, e?ii?ai? eeneioe,
eiea?aien?eace, a?oai?i?a a?oie ? oa A, a oaeiae ae?y oeueo?acaoeo ia
iiei/i? caeice. C iaoith i?io?eaeoeee ia?aeiii? a?iiaaeaeo?? a
i?neyiieiaiaiio ia??iae? canoiniaoaaee eaa?oeaoei oi?iaeiaae 10-14 aei?a
o oa?aiaaoe/iiio aeicoaaii? ? i?noeaao ae?th ia iiei/i? caeice eaiie
“Bioptron 2” o niieo/aii? c Oxy Spray (o??ia “Zepter”) ii 5 oaeeei
/a?ac 12 aiaeei i?ioyaii 5-7 ae?a. “Bioptron 2” aei?ii?ith?
iiey?eciaaia na?oei iecueei? aia?a?? ? a oe?ieiio ae?aiacii? (400-2000
iaiiiao??a), ui ae?? ia iaia?aie ee?oei ? ca?eueoo? e?euee?noue
?ioii?aaoeyoi?ieo ee?oei. E??i oiai, iie?auo?oueny i?e?ioee?eoeyoe?y a
oeaieiao oa i?aeneeth?oueny ?iciiiaeaiiy o?a?iaeano?a. Niieo/aia
aeei?enoaiiy Oxy Spray ni?ey? ianeuaiith oeaiei eeniai ? iie?auo?
i?iieei?noue noaeeiii? no?iee. Eaiia “Bioptron 2” io?oe?eii
ca?a?no?iaaia ? aeicaieaia aei canoinoaaiiy IIC Oe?a?ie.

Oeueo?acaoeiaa ieaoeaioia?ao?y i?iaiaeeeany ia aia?ao? “Toshiba”
(ssiii?y).

Aeey ioe?iee iaoeiai-ieaoeaioa?iiai oa ieiaeiai-ieaoeaioa?iiai
e?iaiia?ao i?iaaaeaia ?a?no?aoe?y e?eaeo oaeaeeinoae e?iaioieo a a?oa???
ioiiaeie oa ai?o? ieiaea ia aia?ao? neeaaeiiai neaioaaiiy “Combizon-250”
(Aano??y), yeee iniauaiee aeoieaeniei ?iioeueniei aeiiea?ianeei aeieii
“Doppler-300”. Aeey ioe?iee ia?eoa??eiiai noaeeiiiai iii?o aecia/aee
nenoiei-ae?anoiee/ia a?aeiioaiiy (N/Ae) ca iaoiaeeeith D.Stuart
et.al.(1990); ?iaeaen ioeuenaoe?? (?I) ca iaoiaeeeith R.Gosliug, D.King
(1988) oa ?iaeaen ?acenoaioiino? (??) ca iaoiaeeeith L.Pourcelot et.al.
(1987).

I?e aea/aii? ai?iiiaeueieo aca?iia?aeiioaiue a nenoai?
iaoe-ieaoeaioa-ie?ae aecia/aee a ne?iaaooe? e?ia? ?aae?i?ioiieia?/iei
iaoiaeii ??aaiue ianooiieo ai?iii?a: ano?aae?ieo, i?iaanoa?iio,
i?ieaeoeio, oi??ii?/iiai aiiaaeio?ii?io oa ieaoeaioa?iiai eaeoiaaio
(A.A.?aci?eiaa, 1990).

Aeey a?eueo aeaoaeueiiai aea/aiiy noaio eaeoaoe?? ie aaaaeaee ca
aeioe?eueia aea/aoe a aeeiai?oe? i?neyiieiaiaiai ia??iaeo (1, 3, 7 ? 14
aeiaa) ?yae iieaciee?a, a?aeia?aaeoth/eo i?noeaa? ci?ie aaciina?aaeiuei
a iaoa?einueeiio iieioe?.

Aea/aiiy ai?noo caaaeueiiai a?eea oa e?i?ae?a i?iaiaeeeiny ca
caaaeueiii?eeiyoith iaoiaeeeith (E.A.A?oaaneee, 1989). Aecia/aiiy
iiei/iiai oeoe?o (eaeoice) i?iaiaeeee eiaeiiao?e/iei iaoiaeii
(A.I.Oaeea?ia oa ni?aaao., 1988), eaca?io – iaoiaeii iaeo?ae?caoe??
(Ae.I.Oa?aeiai oa ni?aaao., 1987).

Aecia/aiiy a?oai?i?a N oa ? a iieioe? i?iaiaeeeiny ca iaoiaeeeith
S.J.Omage et.al (1989) oa ?.A.Eocueiaiei oa ni?aaao. (1993)
niaeo?ioioiiao?e/iei iaoiaeii. Eiioeaio?aoe?? ?ioiiaeiaoe?i?a eean?a G,
A, M oa nae?aoi?iiai IgA a iieioe? aecia/aee iaoiaeii ?ioiioa?iaioiiai
aiae?co (E.I.I?ici?ianueea oa ni?aaao.,1993), a eiioeaio?aoe??
eaeoioa?eio aecia/aee iaoiaeii ?aae?aeueii? ?ioiiaeeooc?? a aae? ca
iaoiaeeeith V.Mancini et.al. (1988). ?acoeueoaoe ?aaeoe?e a?aoiaoaaee
aei??thaaiiyi ae?aiao?o e?eaoeue i?aoeei?oaoe?? oa ia/enethaaee ia
eiiithoa?? a i?ia?ai? “Tetrasoft”.

Iaoaiaoe/io ia?iaeo io?eiaieo ?acoeueoao?a i?iaiaeeee ca?aeii
?aeiiaiaeaoe?e I.I.I?ioea?a oa ni?aaao. (1997). I?e oeueiio
aeei?enoiaoaaee eiiithoa? “Pentium-150” c i?ia?aiith “Microsoft Word
7.0”. A?ao?ee aoaeoaaee ca aeiiiiiaith i?ia?aie “Microsoft Excel 7.0”.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. I?aeaeuaiiy aoaeoeaiino?
i?io?eaeoe/ii- e?eoaaeueieo caoiae?a o ae?iie c aenieei ?eceeii ?icaeoeo
a?iiaaeaeo?? ? aaaeeea?eoith i?iaeaiith no/anii? ia?eiaoieia??
(O.A.E?aaoeiaa, 1995; N.I.Aaeaeoeia,1996; J.J.Thorpe-Beeston
et.al.,1992). Oea coiiaeaii, a ia?oo /a?ao, oei iiiaioii, ui ye?noue
aeeooy aeeoeie caeaaeeoue a?ae aaeaeaaoiino? i?ioean?a iinoiaoaeueii?
aaeaioaoe??, na?aae yeeo i?ia?aeia i?noea a?aeaiaeeoueny a?oaeiiio
aiaeoaaiith, a oaeiae ye?niei oa?aeoa?enoeeai a?oaeiiai iieiea
(A.E.Aeeiia oa ni?aaao., 1988; I.I.Aeaena?a oa ni?aaao.,1994).

I?iaeaia aiai?? aaa?oieo ? oe?iei aea/aiith a no/aniiio aeooa?noa?
(A.ss.Nai/oe,1996; O.D.Almedia,1991). Aaaaoi iaoeiaeo eieaeoea?a ye o
ian a e?a?i?, oae ? ca ei?aeiiii iino?eii i?aoeththoue iaae ??
ae??oaiiyi. A iaoo ? caaea/? iaoiai iaoeiaiai aeine?aeaeaiiy ia aoiaeeei
i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy aeaii? iaoieia??. I?e ae??oaii?
ieoaiiy i?io?eaeoeee a?iiaaeaeo?? o ae?iie oe??? a?oie ie aaaaeaee
iiaeeeaei i?ae?eoe aei aeeiiaiiy iinoaaeaii? iaoe /a?ac aaeaeaaoio
i?io?eaeoeeo oaoiieaoeaioa?ii? iaaeinoaoiino? c ianooiiei ia?aoiaeii ia
i?neyiieiaiaee ia??iae c aeei?enoaiiyi iaaeeeaiaioicieo ?
iaiaaeeeaiaioicieo cania?a, oei a?eueoa, ui aia?oa aoee aea/ai?
iiaeeea?noue i?noeaaiai aeei?enoaiiy iiey?eciaaiiai na?oea iecueei?
aia?a??.

Oi?eath/enue ieoaiue ee?i?/ii? oa?aeoa?enoeee ianoaaeaieo ae?iie
iaiao?aeii a?aei?oeoe oo iniaeea?noue, ui ?icaeoie aiai?? aaa?oieo
aoaeue-yeiai nooiaiy aaaeeino? a?aeaoaa?oueny /ano?oa o thieo ? a?eiaeo
ia?ai?iaeyueo (a?ae 23,3% aei 33,3%), a oaeiae ia oii? cia/iiai /enea
aioo??oiueiiaoeiaeo ao?o/aiue c i?eaiaeo a?oeo?oe?eieo, ieiia?eueieo oa
i?ci?o aai?o?a (a?ae 63,3% aei 76,7%). E??i oiai, iaiao?aeii a?aei?oeoe
? nooo?aee ??aaiue oiiiai? aeno?aaai?oaeueii? iaoieia??, a?ae /anoioe
yei? caeaaeaea nooi?iue aaaeeino? ianooiii? aiai??. Oae, yeui o ae?iie c
aiai??th ?-?? no. /anoioa aaaaoinoaeeiii? aeenoii?? neeaea 30,0%;
o??aioieneeico ? i??eiiao?eoo – ii 13,3%, oi i?e aiai?? ???-?V no.
ii?yae c ieie iaee i?noea ?aaiaoeci, oeoe?iaee ae?aaao oa aa?eeicia
oai?iaa (ii 13,3%). I?e oeueiio, noia?iee iieaciee c??n c 46,7% aei
70,0% i?e oyaeeeo oi?iao aiai??. Anoaiiaeai? iaie iniaeeaino? aoee ?
?ai?oa a?aei?/ai? a e?oa?aoo?? (I.I.Oaooiai oa ni?aaao.,1991; B.Abramis
et.al.,1989). sse nioe?aeueiee oaeoi?, oae ? iayai?noue iani?eyoeeaiai
i?aii?a?aeiiai oiio ? nooo?aei oaeoi?ii ?eceeo ?icaeoeo aiai?? aaa?oieo.
Ooo oaeiae iaiao?aeii a?aei?oeoe oie oaeo, ui i?e ?iciiae?eaii? ae?iie
ca a?oieie aoa iiai?noth aeiaea?aeaiee i?eioeei ?aiaeii?i?caoe??, yeee ?
iaiayceiaith oiiaith aeey i?iaaaeaiiy iaoeiaeo aeine?aeaeaiue
(I.I.I?ioea? oa ni?aaao.,1992).

I?e aiae?c? iniaeeainoae ee?i?/iiai ia?aa?ao ?? iieiaeie aaa?oiino? ie
aaaaeaee ca iaiao?aeia oaeiae aeaoaeueii coieieoeny ia noai?
oaoiieaoeaioa?iiai eiiieaeno, a?ae nooiaith eiiiainaoe?? yeiai
caeaaeeoue ? ??aaiue ia?aeiii? a?iiaaeaeo?? (I.I.Eoiiiaeoeueeee,1996;
?.I.Ia?aieiaa,1998). E??i oiai, ian ooo, aacoiiaii, oe?eaaeei ieoaiiy
ioe?iee aoaeoeaiino? oaeineiiaeaii? iaie iaoiaeeee i?io?eaeoeee
oaoiieaoeaioa?ii? iaaeinoaoiino? o ae?iie c aiai??th aaa?oieo ??ciiai
nooiaiy oyaeeino?.

Na?aae an?o 120 oai?eo c aiai??th aaa?oieo, ?? ? no. iaea i?noea a
30,8% aeiaaee?a; ?? no. – a 19,2%; ??? no. – a 37,5% ? ?V no. – a 12,5%
niinoa?aaeaiue. I?e ioe?ioe? /anoioe aeooa?nueeeo ? ia?eiaoaeueieo
oneeaaeiaiue a ?? iieiaei? aaa?oiino?, ia a?aei?io a?ae ?, aoei
anoaiiaeaii ?yae iniaeeainoae, iiaycaieo c iaoiaeeeith ?? aaaeaiiy. Oae,
o ae?iie c eaaeith oi?iith aiai?? (?-?? no.) iaea?eueo ae?aaeai?
a?aei?ie a?aei?/ai? a /anoio? ?icaeoeo i?iya?a oaoiieaoeaioa?ii?
iaaeinoaoiino? (63,3% i?ioe 33,3%; ?0,05), oi ??aaiue cao?eiee aioo??oiueioo?iaiiai ?icaeoeo ieiaea aoa
ia ii?yaeie aeua i?e caaaeueiii?eeiyo?e iaoiaeeoe? aaaeaiiy (43,3%
ii??aiyii c 16,7%; ?0,05), a oie /an ye cao?eiea
aioo??oiueioo?iaiiai ?icaeoeo ieiaea (53,3% i?ioe 33,3%; ?0,05).

A?aoiaoth/e iayai?noue ae?aaeaiiai aca?iicayceo i?ae ooieoe?iiaeueiei
noaiii a?iioaeaii-a?iio?ca?ii? iaeano? ? oaoiieaoeaioa?iiai eiiieaeno c
iaeiiai aieo ? eaeoiaaiacii c ?ioiai (O.Ae.O?aayiei oa ni?aaao.,1991;
E.?.Ooo/aiei oa ni?aaao.,1996) ia iniaeeao oaaao caneoaiaothoue
?acoeueoaoe i?iaaaeaieo ?aae?i?ioiieia?/ieo aeine?aeaeaiue. I?e oeueiio,
o ae?iie c aiai??th ?-?? no. a 27-28 oeaei?a iai ia aaeaeiny anoaiiaeoe
aeinoia??ieo a?aei?iiinoae i?ae eiio?ieueiith ? aeaiia iniiaieie a?oiaie
(?>0,05). A ianooiiee aeine?aeaeoaaiee oa?i?i (32-33 oeae.) iiaeia aoei
a?aei?oeoe aeinoia??i? ci?ie c aieo aiaeie?eiieia?/iiai noaoono, ye?
ae?aaeaeeny a a?eueo iecueeiio ai?no? ano?aae?ieo (aei 63,712,18
iiieue/e; ?0,05),
a oie /an ye ia oii? caaaeueiii?eeiyoi? oa?ai?? aiie iineee ae?aaeaiee
oa?aeoa?: ano?aae?ie – aei 62,432,12 iiieue/e; (?0,05); a?iioii?/i? e?iaioa/? (16,7% ? 13,3%; ?>0,05) ? o?aaie iyeeo
oeaiei iieiaiaeo oeyo?a (40,0% ? 36,7%; ?>0,05). Ii??aiyii c oeei,
/anoioa ia?aae/aniiai ?ic?eao ieiaeiaeo iaieiiie iaea i?noea i?e
caaaeueiii?eeiyo?e iaoiaeeoe? aaaeaiiy aaa?oiino? (33,3% i?ioe 23,3%;
?0,05). Aacoiiaii, ia an? aeiaaeee
oneeaaeiaiue, ui ?icaeioeeny, iiaeia iaeiinoaeii caycaoe c
oaoiieaoeaioa?iith iaaeinoaoi?noth, iaeiae anoaiiaeai? ee?i?/i?
a?aei?iiino? ? aeinoia??ieie, ui aeaco? ia aoaeoeai?noue i?iiiiiaaii?
oaeineiiaeaii? iaoiaeeee.

Na?aae ??cieo aeae?a iaoieia?? aaa?oiino?, iaea?eueo iani?eyoeeaith c
ia?eiaoaeueii? iiceoe?? ? aiai?y aaa?oieo (E.?.Ooo/aiei oa
ni?aaao.,1991;1996). Iienai? aeua a?aei?iiino? ee?i?/iiai ia?aa?ao
iieia?a, i?e?iaeiuei a?aeia?aaeoaaeenue ? ia noai? ? caoai?thaaiino?
iiaiia?iaeaeaieo. Oae, i?aeoaa?aeaeaiiyi oeueiio ? ??cieoey ano?en??
iiaiia?iaeaeaieo i?e ?ic?iaeaeaii? ae?iie c aiai??th ?-?? no. (56,7%
ii??aiyii c 26,7%; ?0,05), a
i?e aiai?? ???-?V no., aeinoia??ii i?aeaeueoe a?aeiinii
caaaeueiii?eeiyoi? iaoiaeeee (aei 354,7131,22 ie; ?0,05); eaeoioa?eio (aei
3,310,21 a/e; ?>0,05) ? IgM (aei 0,510,05 a/e; ?>0,05). Ia 7 aeaiue iaei
i?noea a?aeiiaeaiiy ??aiy a?oai?i?a “N” (aei 76,797,23 ieiieue/e;
?>0,05) ? “?” (aei 3,010,23 a/e; ?>0,05), a oaeiae, ui aeoaea aaaeeeai ?
ai?noo i?ieaeoeio a ne?iaaooe? e?ia? (aei 4873,83352,75 iIA/e; ?0,05); ii?iae?caoe?? a
iueiio ai?noo a?eea (aei 20,811,42 a/e; ?>0,05); eaeoioa?eio (aei
3,310,21 a/e; ?>0,05); IgM (aei 0,510,05 a/e; ?>0,05); a?oai?i?a “N”
(aei 76,797,23 ieiieue/e; ?>0,05) ? “?” (aei 3,010,23 a/e; ?>0,05), a
oaeiae ??aith i?ieaeoeio a ne?iaaooe? e?ia? (aei 4873,83352,75 iIA/e;
?>0,05).

7. Ia oii? canoinoaaiiy eiiieaenii? i?io?eaeoeee ia?aeiii? a?iiaaeaeo??
o ae?iie c aiai??th aaa?oieo ???-?V no. aeinoia??ii i?aeaeuo?oueny c 3
aeiy i?ney iieia?a ai?no a iieioe? caaaeueiiai a?eea (aei 16,121,34 a/e;
?

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