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Фізичний, нервово-психічний розвиток і захворюваність дітей, які перенесли гемолітичну хворобу новонароджених: Автореф. дис… канд. мед. наук / Т.І.

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IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO

?i. aeaae. I.I.AIAIIIEUeOess

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

IECA?IA Oaia?a ?aai?aia

OAeE 616–053.2/.37–071:616.155.06

O?ce/iee, ia?aiai-ineo?/iee ?icaeoie

? caoai?thaai?noue ae?oae, ye? ia?aianee

aaiie?oe/io oai?iao iiaiia?iaeaeaieo

– iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

Aeena?oaoe?eia ?iaioa aeeiiaia a Oe?a?inuee?e iaaee/i?e noiiaoieia?/i?e
aeaaeai?? IIC Oe?a?ie (i. Iieoaaa)

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?

Oanaiei Ia??y ?aaai?aia,

caa?aeoth/a eaoaae?ith i?iiaaeaaoeee aeeoy/eo oai?ia c aeiaeyaeii ca
ae?oueie Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai?? IIC Oe?a?ie
(i. Iieoaaa)

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

Oyaeea Ieaenaiae?a Aanee?aia,

caa?aeoth/a eaoaae?ith iaae?ao??? ?1

Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo

?i. aeaae.I.I.Aiaiiieueoey IIC Oe?a?ie;

aeieoi? iaaee/ieo iaoe, i?ioani?,

Noe?ia Ieaia A?eai??aia,

eaoaae?a iaiiaoieia?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii?
ina?oe ?i. I.E.Ooieea

IIC Oe?a?ie (i.Ee?a)

I?ia?aeia onoaiiaa: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC
Oe?a?ie, eaoaae?a oieoaeueii? iaae?ao??? ?1, i.Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny “_30_”__aa?aniy_________1999 ?. i 1330 aiae. ia
can?aeaii? niaoe?ae?ciaaii? ?aaee Ae 26.003.02 i?e Iaoe?iiaeueiiio
iaaee/iiio oi?aa?neoao? ?i. aeaae. I.I.Aiaiiieueoey (252004, i. Ee?a,
aoeuea. O.Oaa/aiea, 17, aoaeeoi??y oa?aiaaoe/ii? ee?i?ee).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? oi?aa?neoaoo (252057,
i. Ee?a, aoe. Ciieia?/ia, 3).

Aaoi?aoa?ao ?ic?neaiee “_27_” na?iiy________1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? ?aaee Ae 26.003.02

aeieoi? iaaee/ieo iaoe Nae?eae N.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Aaiie?oe/ia oai?iaa ieiaea ? iiaiia?iaeaeaiiai
(AOI), yea aeieea? aiane?aeie ianoi?niino? iaoa?? ? aeeoeie ca
a?eo?ioeeoa?ieie aioeaaiaie, noaa?eueii iin?aea? a no?oeoo??
ia?eiaoaeueii? caoai?thaaiino? 5–6 i?noea (E.N. Ia?neaieiia e niaao.,
1981; Oi?ka A. at a1., 1991), ia ?? aeieth i?eiaaea? aeecueei 8%
ia?eiaoaeueieo ao?ao (A.A.Naaeueia, 1993; R.G.Iughes at al., 1994).

Aeooaeuei?noue i?iaeaie AOI iaoiiaeaia oaeiae a?aenooi?noth a oaia??oi?e
/an a Oe?a?i? oaiaeaioe?? aei cieaeaiiy caoai?thaaiino? ia aeaio
iaoieia?th (A.I. Aeecee ? ni?aaao., 1993; I.A. Noe?ia, 1995).

Caaaeyee ai?iaaaeaeaiith a i?aeoeeo ioi?iie caei?ia’y iiaeo iaoiae?a
i?io?eaeoeee, ae?aaiinoeee ? e?eoaaiiy ?ci?ioiiiai eiioe?eoo a inoaii?
aeanyoe??//y ?noioii cieceeanue ?aiiy iaiiaoaeueia nia?oi?noue ?
e?euee?noue aaaeeeo oneeaaeiaiue aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo.

A?aeiii, ui ia?eiaoaeueia iaoieia?y aeeeeea? ii?ooaiiy aaeaioaoe?? a
iaiiaoaeueiiio ia??iae? ? iiaea iaaaoeaii a?aeaeaaoeny a iiaeaeueo?
ia??iaee aeeoeinoaa (Ae.O. Ae?aaaeue ? ni?aaao. , 1992; I. A. No?ie,
1997; I. N. ???ar at al., 1987). Aeey ae?oae, ye? caciaee aieeao
iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a, ? oa?aeoa?iei ?icaeoie
aeecaaeaioaoe?eiiai neiae?iio, ?aii? aeieeiaiiy ? a?eueo oyaeeee ia?aa?a
o?ii?/ieo caoai?thaaiue, ??ciiiai?oi? ii?ooaiiy o?ce/iiai ?
ia?aiai-ineo?/iiai ?icaeoeo (I.A. Aanaeia e niaao., 1996; O.A.Naiaeoeye,
1995; I.A.Oaeaoeeay e niaao., 1995). Iaeiae, aei inoaiiueiai /ano oaaao
iaoeiaoe?a ? oao?aoe?a i?aeoe/ii? ioi?iie caei?ia’y i?e aea/aii?
i?iaeaie aieeao ia?eiaoaeueii? iaoieia?? ia noai caei?ia’y aeeoeie
caeaa?eueoiai i?eaa?oaee ieoaiiy oiene/ii? ae?? a?ia?a?e??oa?iai??, yea
aeieea? i?e AOI, ia oeaio?aeueio ia?aiao nenoaio (OeIN) (A.
Aeiaaeainueea e niaao., 1990; A. E. Aai?iaa e niaao., 1986). O aaeee?e
e?eueeino? oaeeo aeine?aeaeaiue, i?iaaaeaieo o 60-80-o ?ieao, aena?oeai?
iane?aeee yaea?ii? aeiaoyieoe? aai ?ioeo aaaeeeo o?aaeaiue OeIN i?e
aaiie?oe/i?e oai?ia? iiaiia?iaeaeaieo (A. I. Aieueaeaiaa?a e niaao.,
1974; I. Aggers at al., 1963).

A oie aea /an aeine?aeaeaiiy, i?iaaaeai? a inoaii? aeanyoe??//y, aeiaaee
iayai?noue o i?aai?ci? iiaiia?iaeaeaieo, ye? ?icaeaaeeny a oiiaao
?ioiieiioe?eoii? aaa?oiino?, ii?ooaiue ?ioiiaaiaco (I. I. Eaai?eia e
niaao., 1993; I. N. Dooren at al., 1993; I. J. Judd at al., 1990),
i?ioean?a IIE (E. O. Aoe??iei ? ni?aaao., 1990; R. Arann? at al., 1988)
? /eneaiieo ?iceaae?a aiiainoaco (I. N. ?oa?ia, 1995; A. N. Oai e
niaao., 1989). Ona aeuacacia/aia iiaea aieeaaoe ia iiaeaeueoee ?icaeoie
? noai caei?ia’y ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo. Aeoiaey/e c oeueiai, ie aaaaeaee ca aeioe?eueia
aea/aiiy iniaeeainoae o?ce/iiai ?icaeoeo, noaiiaeaiiy ia?aiai-ineo?/iiai
noaoono, caoai?thaaiino? oaeeo ae?oae. Iaoa aeine?aeaeaiiy ? neeaaeiaith
/anoeiith eiieo?nii? iaoeiai-aeine?aeii? ?iaioe IIC Oe?a?ie ?
aea?aeaaii? ?a?no?aoe?? 0195 O 026213 “Cia/aiiy ?ioiieo,
a?eueii?aaeeeaeueieo oa aaiieiaaoethth/eo iaoai?ci?a o iaoiaaiac?
caoai?thaaiue i?aai?a aeeoaiiy o iiaiia?iaeaeaieo ? ae?oae ?aiiueiai
a?eo, yeei i?iaiaeeeanue ooo/ia aaioeeyoe?y eaaaiue. ?ic?iaea iaoiae?a
iaoiaaiaoe/ii? ei?aeoe?? aeyaeaieo ci?i c iine?aeoth/ei aeine?aeaeaiiyi
caoai?thaaiino? oa ia?aiai-ineo?/iiai ?icaeoeo ae?oae”.

Iaoa ?iaioe. ?ic?iaeoe oa ia??oiooaaoe caoiaee uiaei ?aaa?e?oaoe??
ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, o?aoiaoth/e
aieea oe??? iaoieia?? ia o?ce/iee, ia?aiai-ineo?/iee ?icaeoie oa
caoai?thaai?noue ae?oae ?aiiueiai a?eo a caeaaeiino? a?ae aeaeo
?ci?ioiiiai eiioe?eoo, ia?aa?ao oai?iae oa iayaiino? iaoyaeoth/eo
ia?eiaoaeueieo /eiiee?a.

Caaea/? aeine?aeaeaiiy.

1. I?iaiae?coaaoe aeeiai?eo caoai?thaaiino?, nia?oiino? oa eaoaeueiino?
a?ae aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo a Iieoaanuee?e iaeano? ca
inoaii? 13 ?ie?a.

2. Aea/eoe iniaeeaino? ia?aa?ao AAI-AOI oa Rh-AOI a caeaaeiino? a?ae
aieeao iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a.

3. Aeaoe ioe?ieo o?ce/iiai ?icaeoeo ae?oae c AOI i?e ia?iaeaeaii? oa a
eaoaiiac? c a?aooaaiiyi oi?ie oa ia?aa?ao caoai?thaaiiy.

4. Ioe?ieoe ia?aiai-ineo?/iee ?icaeoie ae?oae ?aiiueiai a?eo, ye?
ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, a?aoiaoth/e iniaeeaino?
ia?eiaoaeueiiai ia??iaeo, oi?io oa ia?aa?a oai?iae, aeai?
iae?iniiia?ao?/iiai aeine?aeaeaiiy, i?iaaaeaiiai a aeeiai?oe?.

5. Aea/eoe iiaeaeueoo caoai?thaai?noue ae?oae i?ney ia?aianaii?
aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo oi?iaeiaae ia?oeo o?ueio ?ie?a
aeeooy.

Iaoeiaa iiaecia.

1. Aia?oa aea/aia ai?aeai?ieia?y aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo a
Iieoaanuee?e iaeano?, aecia/aii oa?aeoa? oa iniaeeaino? aeeiai?ee
caoai?thaaiino?, nia?oiino? oa eaoaeueiino? a?ae AOI ca ia??iae c 1985
?. ii 1997 ?., ui aea? iiaeeea?noue aecia/eoe aeooaeuei?noue aeaii?
i?iaeaie aeey cacia/aiiai ?aa?iio, ?ic?iaeoe caoiaee, ni?yiiaai? ia
i?io?eaeoeeo ? ciaioaiiy caoai?thaaiino? oa ?iaae?aeecaoe?? a?ae AOI.

2. Ia iniia? eiiieaeniiai ianoaaeaiiy a aeeiai?oe? aia?oa aecia/aii
iniaeeaino? iaaaoeaiiai aieeao aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo ia
o?ce/iee ?icaeoie ae?oae ?aiiueiai a?eo.

3. Aeiaaaeaii iayai?noue ca’yceo ii?ooaiue ia?aiai-ineo?/iiai ?icaeoeo
ae?oae, ye? ia?aianee AOI, c aaaee?noth ia?aa?ao ia?eiaoaeueiiai
ia??iaeo ? o?eaae?noth i?e?iaeiiai aeaiaeiaoaaiiy. Aia?oa i?iaaaeaii
aecia/aiiy a?oie ia?aiai-ineo?/iiai ?icaeoeo oa eiao?oe??ioo
ineoiiioi?iiai ?icaeoeo (QD) o ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo.

4. Ia iniia? aecia/aiiy aca?iica’yceo i?ae aeaieie iae?iniiia?ao?/iiai
aeine?aeaeaiiy a iaiiaoaeueiiio ia??iae?, aaaee?noth o?aaeaiiy
oeaio?aeueii? ia?aiai? nenoaie oa iniaeeainoyie ia?aiai-ineo?/iiai
?icaeoeo ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo,
aia?oa aeiaaaeaia aeioe?euei?noue i?iaaaeaiiy iae?iniiia?ao?/iiai
ianoaaeaiiy a aeeiai?oe? o aeaiiai eiioeiaaioo iaoe??io?a, iacaeaaeii
a?ae aeaeo ?ci?ioiiiai eiioe?eoo oa ioe?iee ca oeaeith Aiaa? i?e
ia?iaeaeaii?.

5. Anoaiiaeaii iayai?noue ca’yceo i?ae aenieei ??aiai caoai?thaaiino?
i?ioyaii ia?oeo o?ueio ?ie?a aeeooy oa iniaeeainoyie ia?aa?ao aioa- ?
iaiiaoaeueiiai ia??iaeo, aeaeii e?eoaaiiy ? o?eaae?noth i?e?iaeiiai
aeaiaeiaoaaiiy o ae?oae, ye? ia?aianee aaiie?oe/io oai?iao
iiaiia?iaeaeaieo. Aeiaaaeaia ?ieue oe??? iaoieia?? o oi?ioaaii?
eiioeiaaioo ae?oae, ye? /anoi oai??thoue ia ?ani??aoi?io iaoieia?th.

I?aeoe/ia cia/aiiy ?iaioe.

1. Aeiaaaeaii iaiao?aei?noue i?iaaaeaiiy aeeniaina?iiai iaaeyaeo
iaae?ao?a ? iaa?ieiaa ca ae?oueie i?ney ia?aianaii? aaiie?oe/ii? oai?iae
iiaiia?iaeaeaieo oi?iaeiaae ia?oeo o?ueio ?ie?a aeeooy.

2. Iaa?oioiaaii aeioe?euei?noue i?iaaaeaiiy iae?iniiia?ao?/iiai
aeine?aeaeaiiy a aeeiai?oe? a on?o ae?oae c aaiie?oe/iith oai?iaith
iiaiia?iaeaeaieo iacaeaaeii a?ae aeaeo ?ci?ioiiiai eiioe?eoo oa ioe?iee
ca oeaeith Aiaa? i?e ia?iaeaeaii?.

3. Aecia/aii iaaaoeaiee aieea ?aiiueiai ooo/iiai aeaiaeiaoaaiiy ia
caei?ia’y ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo,
?ic?iaeai? ?aeiiaiaeaoe?? uiaei caaacia/aiiy i?e?iaeiiai aeaiaeiaoaaiiy
ae?oae c AOI.

4. Ia i?aenoaa? io?eiaieo aeaieo ia?aaeaa/a?oueny ai?iaaaeeoe a i?aeoeeo
ioi?iie caei?ia’y caoiaee uiaei ?aaa?e?oaoe?? ae?oae ?aiiueiai a?eo
i?ney ia?aianaii? aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo c o?aooaaiiyi
aeyaeaieo iaoieia?/ieo ci?i oeaio?aeueii? ia?aiai? nenoaie, iniaeeainoae
noaiiaeaiiy ia?aiai-ineo?/iiai noaoono, aeeiai?ee o?ce/iiai ?icaeoeo oa
caoai?thaaiino?.

Iniaenoee aianie aaoi?a a ?ic?iaeo iaoeiaeo ?acoeueoao?a. Iniaenoee
aianie aaoi?a iieyaa? o aeeiiaii? ?ioi?iaoe?eiiai iiooeo ? aiae?c?
iaoeiai? e?oa?aoo?e c i?iaeaie, aea/aii? oa i?iaaaeaii? aiae?co
iniaeeainoae aeeiai?ee caoai?thaaiino?, nia?oiino? ? eaoaeueiino? a?ae
aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo o Iieoaanuee?e iaeano? ca ia??iae
c 1985 ?ieo ii 1997 ??e. Aaoi?eith iniaenoi i?iaaaeaiee eiiieaen
aeine?aeaeaiue c aea/aiiy o?ce/iiai, ia?aiai-ineo?/iiai ?icaeoeo,
caoai?thaaiino? oa ioe?iea noaio caei?ia’y ae?oae, ye? ia?aianee AOI,
nenoaiaoeciaai? oa ocaaaeueiai? io?eiai? ?acoeueoaoe, i?iaaaeaia ?o
noaoenoe/ia ia?iaea, noi?ioeueiaai? aeniiaee oa i?aeoe/i?
?aeiiaiaeaoe??.

Ai?iaaoe?y ?iaioe oa ai?iaaaeaeaiiy a i?aeoeeo ioi?iie caei?ia’y.
Aieiai? iieiaeaiiy ?iaioe oa ?acoeueoaoe aeine?aeaeaiue aeiiia?aeaeeny ?
iaaiai?thaaeeny ia can?aeaiiyo Iieoaanueeiai iaeaniiai oiaa?enoaa
iaiiaoieia?a (1994, 1995, 1997 ??.), can?aeaiiyo Iieoaanueeiai i?nueeiai
oiaa?enoaa iaae?ao??a (1995, 1996, 1997 ??.), iaeani?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? aeooa??a-a?iaeieia?a oa iaiiaoieia?a,
i?enay/ai?e i?iaeai? aaiie?oe/ii? oai?iae iiaiia?iaeaeaieo (1997 ?.), ia
iaoeiai-i?aeoe/i?e eiioa?aioe?? c i?aeia?iaeiith o/anoth “Oa?/oaaiiy
caei?iai? oa oai?i? aeeoeie” (Oa?e?a, 1999 ?.), ia iaoeiai-i?aeoe/i?e
eiioa?aioe?? “E?eoaaiiy oa i?io?eaeoeea caoai?thaaiue i?aai?a aeeoaiiy o
ae?oae” (Iieoaaa, 1999 ?.).

Io?eiai? ?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a ?iaioo a?aeae?eaiiy
iaoieia?? iiaiia?iaeaeaieo Aeeoy/i? i?nueei? ee?i?/ii? e?ea?i? ?
aeeoy/eo iie?ee?i?e i.Iieoaae, iieiaiaeo a?aeae?eaiue ? aeeoy/eo
eiinoeueoaoe?e Oeaio?aeueieo ?aeiiieo e?ea?aiue Iieoaanueei? iaeano?,
a?aeae?eaiiy ae?oae ?aiiueiai a?eo aeeoy/i? i?nueei? ee?i?/ii? e?ea?i?
i. *a?i?aoe?, i?i ui na?ae/aoue a?aeiia?aei? aeoe ai?iaaaeaeaiiy.

Iniiai? iieiaeaiiy aeena?oaoe?? aeeth/ai? aei eo?no eaeoe?e ? i?aeoe/ieo
caiyoue aeey nooaeaio?a iaaee/iiai oaeoeueoaoo, a oaeiae neooa/?a
oaeoeueoaoo i?neyaeeieiiii? i?aeaioiaee e?ea??a ia eaoaae??
i?iiaaeaaoeee aeeoy/eo oai?ia c aeiaeyaeii ca ae?oueie Oe?a?inueei?
iaaee/ii? noiiaoieia?/ii? aeaaeai??, aei eo?no eaeoe?e ? i?aeoe/ieo
caiyoue ia eaoaae?? iaae?ao??? ?2 Aoeiaeinueei? iaaee/ii? aeaaeai??.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaai? 5 iaoeiaeo ?ia?o,
a oiio /ene? 3 iaoeia? noaoo? o aeaeaiiyo, ?aeiiaiaeiaaieo AAE Oe?a?ie,
1 ?iaioa – o iaoa??aeao iaoeiaiai eiia?ano, 1 – o oacao
iaoeiai-i?aeoe/ii? eiioa?aioe??.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 161
noi??ioe? iaoeiiieniiai oaenoo ? neeaaea?oueny ?c anooio, iaeyaeo
e?oa?aoo?e, iieno aeei?enoaieo iaoiae?a oa iaoiaeee, 5-oe ?icae?e?a c
aeeeaaeaiiyi ?acoeueoao?a aeanieo aeine?aeaeaiue, caeeth/aiiy,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e. ?iaioo
?ethno?iaaii 24 oaaeeoeyie ? 17 iaethieaie, ye? caeiathoue 31 ie?aio
noi??ieo. Nienie e?oa?aoo?e aeeeaaeaiee ia 28 noi??ieao ? aeeth/a? 261
aeaea?aei, c ieo 91– ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aoei ianoaaeaii 150
iiaiia?iaeaeaieo c ??cieie aa??aioaie AOI. Eiio?ieueio a?oio neeaee 50
iiaiia?iaeaeaieo a?ae ?ioiinoi?nii? aaa?oiino? (c ieo 43 aeiiioaieo ? 7
iaaeiiioaieo). Ia?oo a?oio neeaee 99 ae?oae c aaiie?oe/iith oai?iaith ca
nenoaiith AAI (AAI-AOI) (c ieo 91 aeiiioaia aeeoeia ? 8 iaaeiiioaieo).
Aei ae?oai? a?oie aoei aeeth/aii 51 iiaiia?iaeaeaiiai c aaiie?oe/iith
oai?iaith ca nenoaiith ?acon (Rh-AOI) (c ieo aeiiioaieo – 38,
iaaeiiioaieo – 13). A ia??iae? iiaiia?iaeaeaiino? an?i ae?oyi
i?iaiaeeeinue ee?i?/ia ianoaaeaiiy, yea aeeth/aei cae?aiiy aiaiiaco,
ia’?eoeaia ianoaaeaiiy, eaai?aoi?i? oa ?ino?oiaioaeuei? iaoiaee
aeine?aeaeaiiy. I?e ia?iaeaeaii? aecia/aany ??aaiue ? aa?iii?ei?noue
o?ce/iiai ?icaeoeo o a?aeiia?aeiino? aei oa?i?io aanoaoe?? oa noao?
aeeoeie. 67 ae?oyi c AOI aoei i?iaaaeaii iae?iniiia?ao?/ia
aeine?aeaeaiiy ia oeueo?acaoeiaiio ae?aaiinoe/iiio aia?ao? SSD-725 o??ie
“Alika” (ssiii?y).

Eaoaiianoe/ia niinoa?aaeaiiy o aeeiai?oe? i?iaiaeeeinue ca 112 ae?oueie,
ye? ia?aianee AOI (81 ca nenoaiith AAI, 31- ca nenoaiith ?acon) ? 50
iaetheaie eiio?ieueii? a?oie i?ioyaii ia?oiai ?ieo aeeooy; aei aeaio
?ie?a – ca 85 ae?oueie i?ney AOI (58 – AAI-AOI, 27 – Rh-AOI); 44 – c
eiio?ieueii? a?oie; aei o?ueio ?ie?a niinoa?aaeaiiy o?eaaei ca 58
ae?oueie i?ney AOI (36 ca nenoaiith AAI, 22 – ca nenoaiith ?acon) ? 36
iaetheaie eiio?ieueii? a?oie.

O i?ioean? eaoaiianoe/iiai niinoa?aaeaiiy ioe?ithaaee ??aaiue ?
aa?iii?ei?noue o?ce/iiai ?icaeoeo, ??aaiue ? aa?iii?ei?noue
ia?aiai-ineo?/iiai ?icaeoeo, ooieoe?iiaeueiee noai i?aai?a ? nenoai,
?acenoaioi?noue ? ?aaeoeai?noue i?aai?cio aeeoeie, caoai?thaai?noue. O
ae?oae ia?oiai ?ieo aeeooy aecia/aee a?oio ia?aiai-ineo?/iiai ?icaeoeo
(A.A.Iaiothoeia e niaao., 1984), ia/enethaaee eiao?oe??io ineoiiioi?iiai
?icaeoeo QD (O.?.Iiioaiia?e, 1993). A a?oe? 1, 2, ? 3 ?ie?a aecia/aee
a?oio caei?ia’y aeeoeie.

Aea/aiiy ? aiae?c aeeiai?ee iieaciee?a caoai?thaaiino?, nia?oiino? ?
eaoaeueiino? a?ae AOI iiaiia?iaeaeaieo Iieoaanueei? iaeano? ca ia??iae c
1985 ii 1997 ??e i?iaiaeeee ia i?aenoaa? aeaieo iaeaniiai oeaio?o
iaaee/ii? noaoenoeee.

Iaea?aeai? ?acoeueoaoe ee?i?/ieo, eaai?aoi?ieo oa ?ino?oiaioaeueieo
aeine?aeaeaiue ii?aoeueiaai? iaoiaeii aa??aoe?eii? noaoenoeee
(I.I.I?ioea? ? ni?aaao., 1991) ca aeiiiiiaith IAII ?AI ?N ? i?ia?aie
“Statistica for Windows. Release 4.3” (StatSoft). Aeiaeaoeiai i?iaiaeeee
ei?aeyoe?eiee aiae?c.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. Iaie aoee i?iaiae?ciaai?
iieacieee caoai?thaaiino?, nia?oiino? ? eaoaeueiino? a?ae AOI ca
nenoaiith ?acon ? AAI a Iieoaanuee?e iaeano? ca ia??iae c 1985 ii 1997
??e. Na?aaeiuei??/iee iieaciee caoai?thaaiino? ia AOI a oeae ia??iae
neeaa 6,58±0,29 %i, ui ia a?ae??ciy?oueny a?ae aeaieo aeine?aeaeaiue,
i?iaaaeaieo o ?ioeo ?aa?iiao (A?y?a I.E. ? ni?aaao. 1992; Dudin A. A. at
al. , 1993). Ne?ae a?aecia/eoe, ui i?aeaeuaiiy iieacieea caoai?thaaiino?
ia aaiie?oe/io oai?iao iiaiia?iaeaeaieo a?ae 5,77 %i a 1985 aei 8,14 %i
a 1997 a?aeaoaaeiny ia?aeaeueii ?c ?inoii caaaeueii? caoai?thaaiino?
iiaiia?iaeaeaieo.

O no?oeoo?? caoai?thaaiino? iiaiia?iaeaeaieo a ?aiiueiio iaiiaoaeueiiio
ia??iae? AOI i?ioyaii ia??iaeo, ui aea/aany, iino?eii iin?aea? 6 i?noea
? noaiiaeoue aeecueei 5%. A oie aea /an a?aeaoeiny cia/ia cieaeaiiy
iieaciee?a nia?oiino? ? eaoaeueiino? a?ae AOI ae?oae a ?aiiueiio
iaiiaoaeueiiio ia??iae?.

Io?eiai? aeai? na?ae/aoue i?i c?inoaiiy eiioeiaaioo ae?oae, ye?
ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, ui iaoiiaeth?
aeooaeuei?noue ieoaiue, iia’ycaieo c aieeaii AOI ia iiaeaeueoee ?icaeoie
? noai caei?ia’y aeeoeie. I?e i?iaaaeaii? ee?i?/ieo niinoa?aaeaiue a
iniiao ca?oioaaiiy eiioeiaaioo iiaiia?iaeaeaieo aoea iieeaaeaia
eeaneo?eaoe?y AOI, cai?iiiiiaaia A. A. Aeia?ii?aaiaei, I. I. Oaaaeiaei
(1983).

Aea/aiiy aiaiiaco iieacaei, ui c 150 ianoaaeaieo ae?oae c AOI 52 (34,7
%) ia?iaeeeeny a?ae ia?oi? aaa?oiino?, 98 (65,3%) – a?ae iiaoi?ii?.
Oaeoi?e aioa- oa/aai ?io?aiaoaeueiiai ?eceeo aoee aeyaeai? a on?o
iiaiia?iaeaeaieo. Iaoyaeaiee aeooa?nueeee ? a?iaeieia?/iee aiaiiac iaee
78 (52,0%) ae?iie – 49 (49,5%) c AAI- ? 29 (56,9%) c Rh-ianoi?ni?noth.
Iaoyaeai?noue aeooa?nueeiai ? a?iaeieia?/iiai aiaiiaco i?iyaeyeany
aaaaoi?aciaeie iaaee/ieie aai?oaie o 45 (30,0%) ae?iie – o 30 (30,3%) c
AAI- oa 15 (29,4%) c Rh-ianoi?ni?noth. Naiia?euei? aeeeaei? iaee i?noea
o 15 (10,0%) iaeaooi?o iaoa??a (c ieo 9 (9,1%) c AAI- ? 6 (11,8%) c
Rh-ianoi?ni?noth). Aioaiaoaeueia caaeaaeue ieiaea aoea o 8 (5,3%)
ae?iie. Ae?oae c AOI a?ae iiia?aaei?o aaa?oiinoae iaee 26 (17,3%) (8
(8,1%) c AAI- ? 14 (27,5%) c Rh-ianoi?ni?noth) ae?iie.

Ia?ea?e ?ci?ioiiiai eiioe?eoo i?ae /an oaia??oiuei? aaa?oiino? aoee
aeyaeaii? o 79 ae?iie (44 ca nenoaiith AAI, 35 ca nenoaiith ?acon), e??i
oiai a?aecia/aeeny ?io? oneeaaeiaiiy aaa?oiino? (oieneeic – 28,7%,
caa?ica ia?a?eaaiiy – 23,3%, aiai?y – 24,0%). O a?eueoino? aeiaaee?a a
iaei??? ? o??? ae ae?iee iaei i?noea ii?aeiaiiy aeae?eueeio iaoyaeoth/eo
/eiiee?a. ?io?aiaoaeueia iaoieia?y aoea aeyaeaia o 89 (50 c AAI ? 39 c
Rh-ianoi?ni?noth) ae?iie (59,3%), ye? ia?iaeeee ae?oae c AOI.

Io?eiai? aeai? i?aeoaa?aeaeothoue ?ieue iaoyaeoth/eo ia?eiaoaeueieo
/eiiee?a, ye? iiaeeaeththoue aaaee?noue ia?aa?ao aaiie?oe/ii? oai?iae
iiaiia?iaeaeaieo (I. I. Oaaaeia, 1988; I. E. A?y?a ? ni?aaao., 1992; J.
Garratty, 1984), oneeaaeiththoue i?ioean iaiiaoaeueii? aaeaioaoe??, a
oaeiae iiaeooue iani?eyoeeai iicia/aoeny a iiaeaeueoiio ia ?icaeoeo ?
noai? caei?ia’y aeeoeie (?. A. Caieaae/, 1997; A. I. Na?aethe ? ni?aaao.
, 1997).

I?e i?iaaaeaii? ee?i?/iiai ianoaaeaiiy ae?oae a iaiiaoaeueiiio ia??iae?
aeiaoooia oi?ia AOI aoea ae?aaiinoiaaia o 75 ae?oae (57 ca nenoaiith AAI
? 18 ca nenoaiith ?acon), aeiaoooii-aiai?/ia o 72 ( c ieo 42 ca
nenoaiith AAI ? 30 ca nenoaiith ?acon), iaa?yeiaa oi?ia aoea o?eueee o 3
iiaiia?iaeaeaieo c Rh-AOI. O 47 iaiiaeyo (21 c AAI- ? 26 c Rh-AOI)
caoai?thaaiiy iaei aaaeeee ia?aa?a, o 85 (60 c AAI- ? 25 c Rh-AOI) –
na?aaeiuei? aaaeeino?. Eaaeee ia?aa?a caoai?thaaiiy a?aecia/aany eeoa o
18 iiaiia?iaeaeaieo c AAI-AOI. Ca oeaeith Aiaa? c ioe?ieith ieae/a 7
aae?a ia?iaeeeeny 20 ae?oae ( c ieo 10 c AAI-AOI; 10 c Rh-AOI). A
ii?aeiaii? c aenieei ??aiai iai?yii? a?ia?a?e??oa?iai?? oa aieeaii
iaoyaeoth/eo ia?eiaoaeueieo /eiiee?a, iayai?noue ano?en?? i?e
ia?iaeaeaii? iaaaoeaii iicia/aeany ia noai? oeaio?aeueii? ia?aiai?
nenoaie (OeIN) iiaiia?iaeaeaieo c AOI.

O aino?iio ia??iae? AOI on? ianoaaeai? iaie ae?oe iaee i?iyae o?aaeaiiy
oeaio?aeueii? ia?aiai? nenoaie o aeaeyae? neiae?ii?a i?aeaeuaii?
ia?aiai-?aoeaeoi?ii? caoaeeeaino? aai i?eai?/aiiy, i’yciai? aeenoii??,
noaeiiiiai neiae?iio. Nooi?iue o?aaeaiiy OeIN aoea i?aeoaa?aeaeaia
ia’?eoeaieie aeaieie, io?eiaieie i?e iae?iniiia?ao?/iiio ianoaaeaii?
(INA). Ii?ooaiiy ?oai?/ii-a?iiene/iiai, aaii?aa?/iiai aai ii?aeiaiiai
oa?aeoa?o aoee aeyaeai? o 91,0% ianoaaeaieo ae?oae, iacaeaaeii a?ae
aeaeo ?ci?ioi?caoe?? oa ioe?iee ca oeaeith Aiaa?.

Iacaaaeath/e ia i?iaaaeai? ia ia?oiio ?ioe? aeeooy e?eoaaiiy ?
?aaa?e?oaoe?th, iaeaea /aa?oue (24,1%) ianoaaeaieo ae?oae o a?oe? 1 ?ieo
iaee iaa?ieia?/i? ?iceaaee ? aeiaaaee iiaeaeueoiai aeeniaina?iiai
iaaeyaeo o iaa?ieiaa c i?eaiaeo a?aoii-a?ae?ioeaoaeueiiai neiae?iio,
neiae?iio i?aeaeuaii? ia?aiai-?aoeaeoi?ii? caoaeaeoaaiino?, noaeiiiiai
neiae?iio. A iaei??? aeeoeie, yea ia?iaeeeany iaaeiiioaiith ? ia?aianea
aaaeeo oi?io Rh-AOI, ?icaeioany aeeoy/ee oea?aa?aeueiee ia?ae?/.

I?e i?iaeiaaeaii? niinoa?aaeaiiy a aeeiai?oe? iaie aecia/aii, ui 9
ae?oae, yeeo a a?oe? 1 ?ieo aoei ciyoi c aeeniaina?iiai iae?eo o
iaa?ieiaa, ia ae?oaiio oa o?aoueiio ?ioe? aeeooy iio?aaothoue
iaa?ieia?/iiai ianoaaeaiiy, e?eoaaiiy ? ?aaa?e?oaoe??. A ieo aoei
ae?aaiinoiaaii anoaiiiaa?ioe/iee neiae?ii oa neiae?ii
aaaaoi-a?noea?aeueii? aeenooieoe??. Io?eiai? iaie aeai? ni?aiaaeathoue c
aeoieith I. A. Oaeaoeueei? ? ni?aaaoi??a (1995) uiaei ?icaeoeo
aeecaaeaioaoe?eiiai neiae?iio o ae?oae c a?eueo eaaeeie oi?iaie
ia?eiaoaeueiiai o?aaeaiiy OeIN, ye? caeeoathoueny iaae?aaiinoiaaieie i?e
?aiiueiio i?eieiaii? iaa?ieia?/iiai iaaeyaeo.

Iaai? iniaeeaino? iaee i?noea ? a ia?aiai-ineo?/iiio ?icaeoeo ae?oae
i?ney ia?aianaii? AOI (oaae. 1), o?eueee 45,5% c ieo o a?oe? 1 ?ieo aoei
a?aeianaii aei ? a?oie ia?aiai-ineo?/iiai ?icaeoeo (o eiio?ieuei?e a?oi?
– 78,0% ae?oae). I?ioyaii ia?oiai ?ieo aeeooy o ieo aecia/aeiny a?eueo
iia?eueia oi?ioaaiiy ?ooiai? ooieoe??: 27,2% iaethe?a, ye? ia?aianee
AAI- oa 35,5% – Rh-AOI, ii/aee o?eiaoe aieiao i?ci?oa, i?ae ?o
iaeiie?oee; neae?oe, noiyoe oa oiaeeoe ?c cao?eieith ia 1-2 ai?e?ecia?
oa?i?ie ii/aee 13,5% ae?oae i?ney AAI- ? 12,9% – i?ney Rh-AOI.

Oaaeeoey 1

Ioe?iea ia?aiai-ineo?/iiai ?icaeoeo ianoaaeaieo ae?oae o a?oe? 1 ??e

Ae?oe c AOI

?iciiae?e ae?oae ca a?oiaie ?icaeoeo I a?oia

( n=81) II a?oia

(n=31) * Anueiai (n=112) III a?oia

(n=50)

Aan. % Aan. % Aan. % Aan. %

I a?oia: 38 46,9 13 41,9 51 45,5 39 78,0

1. Ae?oe c aeia?aaeaeaiiyi ?icaeoeo:

a) aenieee ?icaeoie 0 0 0 0 0 0 1 2,0

a) i?enei?aiee ?icaeoie 0 0 0 0 0 0 0 0

2. Ae?oe c iaaa?iii?eiei aeia?aaeaeaiiyi 1 1,2 0 0 1 1,8 4 8,0

3. Ae?oe c ii?iaeueiei ?icaeoeii 37 45,6 13 41,9 50 44,6 34 68,0

II a?oia: 37 45,6 15 48,4 52 46,4 11 22,0

1. Ae?oe ?c cao?eieith a ?icaeoeo ia 1 aiie?eciaee oa?iii

a) I nooiaiy 8 9,9 9 29,0 17 6,3 3 6,0

a) II nooiaiy 0

3 9,6 3 2,7 0 0

a) III nooiaiy 1 1,2 0 0 1 0,9 0 0

2. Ae?oe c iaoeiiaei iaaa?iii?eiei ?icaeoeii 28 34,5 3 9,6 31 27,7 8
16,0

III nooi?iue 6 7,4 2 6,5 8 7,1 0 0

1. Ae?oe ?c cao?eieith a ?icaeoeo ia 2 ai?e?eciaeo oa?i?ie:

a) I nooiaiy 4 4,9 0 0 4 3,6 0 0

a) II nooiaiy 2 2,5 1 3,2 3 27,0 0 0

a) III nooiaiy 0 0 0

0

0 0

2. Ae?oe c iaoeiiaei ieaeiueiaa?iii?eiei ?icaeoeii 0

0 1 3,2 1 0,9 0 0

IV a?oia: 0 0 0 0 0 0 0 0

Iaaeia? noaie

Ae?oe ?c cao?eieith a ?icaeoeo ia 3 ai?e?ecia? oa?i?ie

I?ei?oea: * – aeeth/ath/e aeeoeio c AeOeI, a?oia II? yei? ia
aecia/aeanue.

I?e aeine?aeaeaii? aiioe?eii-aieueiai? noa?e a ia?oiio i?a??//? aeeooy o
10,0% iaiiaeyo, ye? ia?aianee AOI, aeyaeaia aiioe?eia iano?ee?noue,
iaaaoeai? aiioe?ei? ?aaeoe?? aai ieya?noue. A ae?oaiio i?a??//? iaethee,
ye? ia?aianee AOI, iaee iaai? o?oaeiiu? o anoaiiaeaii? ciai?oi?o
eiioaeo?a. I?ioyaii ia?oiai ?ieo aeeooy o 27,2% ae?oae i?ney AAI- ?
16,1% i?ney Rh-AOI aoei aecia/aii cao?eieo a oi?ioaaii? aeoeaii? iiae,
ui oaeiae oneeaaeithaaei ?o iiaeaeueoo nioe?aeueio aaeaioaoe?th.
Cia/aiiy eiao?oe??ioo ineoiiioi?iiai ?icaeoeo QD o a?oe? 1 ?ieo o
ae?oae, ye? ia?aianee aaiie?oe/io oai?iao iiaiia?iaeaeaieo, aoei
a??ia?aeii ieae/ei (96,5) o ii??aiyii? c ae?oueie eiio?ieueii? a?oie
(99,2).

?ao?iniaeoeaiee aiae?c aeaieo INA-ianoaaeaiiy iiaiia?iaeaeaieo c AOI
iieacaa, ui o 88,9% ae?oae, ye? iaee cao?eieo ia?aiai-ineo?/iiai
?icaeoeo ia ia?oiio ?ioe? aeeooy, aoee aeyaeai? a iaiiaoaeueiiio
ia??iae? o? /e ?io? ii?ooaiiy OeIN. Aecia/aii, ui e??i iaoyaeoth/eo
/eiiee?a ia?eiaoaeueiiai ia??iaeo, cia/iee aieea ia ia?aiai-ineo?/iee
?icaeoie ae?oae, ye? ia?aianee AOI, ia? i?iaaaeaiiy e?eoaaiiy c
o?aooaaiiyi aeaieo iae?iniiia?ao?? ? o?eaae?noue i?e?iaeiiai
aeaiaeiaoaaiiy (R=0,38, ?

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