.

Фізичні фактори у комплексному лікуванні хворих на ішемічну хворобу серця у поєднанні з тиреоїдною патологією у осіб, що брали участь у ліквідації нас

Язык: украинский
Формат: реферат
Тип документа: Word Doc
122 2437
Скачать документ

2

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO IAAeE*II? ?AAA?E?OAOe?? OA
EO?I?OIEIA?? IIC OE?A?IE

EEEI*OE IEAA AIEIAeEIE?IAE*

OAeE 615.83: 616.12-005 616.441-002

O?CE*I? OAEOI?E O EIIIEAENIIIO E?EOAAII? OAI?EO IA ?OAI?*IO OAI?IAO
NA?Oess O II?AeIAII? C OE?AI?AeIITH IAOIEIA??TH O IN?A, UI I?EEIAEE
O*ANOUe A E?EA?AeAOe?? IANE?AeE?A AAA??? IA *AAN

14.01.33 – Eo?i?oieia?y oa o?c?ioa?ai?y

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

IAeANA – 1999

Aeena?oaoe?y ? ?oeiien

?iaioo aeeiiaii o Oa?e?anueeiio iaoeiai-aeine?aeiiio ?inoeooo? iaaee/ii?
?aae?ieia?? ?i. N.I.A?eai?’?aa IIC Oe?a?ie.

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, aeioeaio

?icae?euenueea Ieueaa Ieeiea?aia,

Oa?e?anueeee ?inoeooo oaeineiiaeaiiy

e?ea??a IIC Oe?a?ie, i?ioani? eaoaae?e

o?c?ioa?ai?? oa eo?i?oieia??

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

noa?oee iaoeiaee ni?a?ia?oiee

Aieioeia Ieaia Ai?en?aia,

Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo
iaaee/ii?

?aaa?e?oaoe?? oa eo?i?oieia?? IIC Oe?a?ie,

aieiaiee iaoeiaee ni?a?ia?oiee

a?aeae?eaiiy a?aeiiaiiai e?eoaaiiy

oai?eo oa?aiaaoe/iiai i?io?eth,

a oiio /ene? iioa?i?eeo aiane?aeie aaa??? ia
*AAN;

aeieoi? iaaee/ieo iaoe, i?ioani?

TH?eia Aeaaeeneaa Ieoaeeiae/,

Iaeanueeee aea?aeaaiee iaaee/iee

oi?aa?neoao, caa?aeoaa/ eaoaae?ith
oieoaeueii? oa?ai??

I?ia?aeia onoaiiaa: E?einueeee iaaee/iee oi?aa?neoao
?i.N.?.Aai?a??anueeiai IIC Oe?a?ie, eaoaae?a iaaee/ii? ?aaa?e?oaoe??,
o?c?ioa?ai?? oa eo?i?oieia?? oaeoeueoaoo i?neyaeeieiiii? ina?oe,
i.N?ioa?iiieue

Caoeno a?aeaoaeaoueny “ 19 ” ethoiai 1999 ?. i 13 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 41.608.01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??
IIC Oe?a?ie ca aae?anith: 270014, i.Iaeana, Ea?iiioianueeee i?ia., 6.

C aeena?oaoe??th iiaeia iciaeiieoeny o a?aeioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iaaee/ii? ?aaa?e?oaoe?? oa eo?i?oieia??
IIC Oe?a?ie, i. Iaeana, Ea?iiioianueeee i?ia., 6.

Aaoi?aoa?ao ?ic?neaiee ” 17 ” n?/iy 1999 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe,

noa?oee iaoeiaee ni?a?ia?oiee
Aeieo???aa A.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue oaie. O aeaiee /an i?iaeaia ?aaaieioaoei? inia, yei
caciaee aieeao iaeeo aeic iiiicoth/i? ?aaeiaoei?, ? aeooaeueiith oa
nioeiaeueii cia/ouith (I.I.Aiaeeueiaa, 1994; A.Ae.Oea?aai?iaeoeaa, 1996;
I.I.Ieeeiaiei oa ii., 1990-1997; A.I.Iaeueoeaa, 1996; A.I.Nuagu, 1995).

C?inoaiiy caoai?thaaiinoi oa iiaaeiaeiinoi na?aae eieaiaeaoi?ia
ianeiaeeia aaa?i? ia *AAN cia/iith ii?ith aecia/a?oueny iayaiinoth
na?oeaai-noaeeiii? oa oe?ai?aeii? iaoieiaie (A.Ae. Oea?aai?iaeoeaa,
1996; A.TH.?iiaiaiei, 1995).

O?oaeiiui eieoaaeueii? oaeoeee uiaei aeaii? eaoaai?i? inia
coiiaeththoueny iniaeeainoyie ?o eeiii/iiai i nioeiaeueiiai noaoono,
iaaeinoaoiueith iiaeaioiaeith i?aeoe/iiai eiea?y aei eieoaaiiy
ii?aeiaii? iaoieiai? oa ioeiiee aoaeoeaiinoi eieoaaiiy, /anoi
iaaaeaeaaoiith ?aaeoei?th oai?eo ia iaaeeeaiaioicia e?eoaaiiy.

O ?aaaieioaoei? inia, yei a?aee o/anoue o eieaiaeaoei? ianeiaeeia aaa?i?
ia *i?iiaeeuenueeie AAN, aaeeeiai cia/aiiy iaaoaathoue eieoaaeueii
oice/ii /eiieee, yeei aeanoeaa caaaeueia noeioethth/a,
aaeaioaoeieii-o?ioi/ia aeiy, caeaoiinoue ii?iaeicoaaoe ooieoeiiiaeueiee
noai na?oeaai-noaeeiii? i oe?ai?aeii? nenoai, ?aaoethaaoe iioiieiai/iee
noaoon, iioeiicoaaoe iaaeeeaiaioicio oa?aiith (E.Ae.Aaaia,
A.A.Eeoaeiaiei oa ii., 1994; I.I.Oiiacthe, A.A.Aaaaoei, I.A.Eiaiaea,
1997).

Eieoaaeuei? oice/ii oaeoi?e (EOO) aeineoue oe?iei i c aaeeeei oniioii
aeei?enoiaothoue o eieoaaiii i?aaii/ii? iaoieiai? iiiea?aea, cie?aia i?e
ioaii/iie oai?iai na?oey (ION), ia anio aoaiao ?aaaieioaoei?, o oiio
/enei o aino?iio ia?iiaei iioa?eoo iiiea?aea i na?oeaai? iaaeinoaoiinoi
(E.Ae.Oiiaeie, 1987; E.? Iioii, 1991-1997; I.I.Na?aaethe, 1991;
I.I.?icaeieuenueea, 1993; I.A.Aieioeia, 1996; I.E.Neaaec?anueea, 1998).

?acii c oei iayaiinoue iaoieiai? ueoiaeaeii? caeice, aei?aaaeaia
iieieiai/ia ianoi?iaeaiinoue na?aae eeiiioeinoia oa eo?i?oieiaia cia/ii
iaiaaeothoue cacoinoaaiiy oiciioa?aii? o aeaiiai eiioeiaaioo oai?eo
(I.I.?icaeieuenueea, N.I.?icaeieuenueeee, 1995-1997).

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

?acoeueoaoe aeena?oaoeieii? ?iaioe ? o?aaiaioii ieaiiai? IAe? “?aiiy
aeiaaiinoeea ii?ooaiue i?aoeacaeaoiinoi o iaoei?ioia ic caoai?thaaiiyie
na?oeaai-noaeeiii? nenoaie oa iaoieiai?th ueoiaeaeii? caeice o inia, ui
i?aoeththoue o noa?i aei? aeaea?ae iiiicoth/iai aei?iiiithaaiiy,
?ic?iaea oeyoia eieoaaiiy oa ?aaaie?oaoei?”, oeo? AI 34.00.5.95, ?
Aea?ae. ?a?no?aoei? 0196U018229, o ye?e iiooeoaa/ aoa niiaaeeiiaaoeai.
?iaioa aeeiioaaeanue ia aac? Oa?e?anueeiai iaoeiai-aeine?aeiiai
?inoeoooo iaaee/ii? ?aae?ieia?? IIC Oe?a?ie c o/anoth eaoaae?e
o?c?ioa?ai?? oa eo?i?oieia?? Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy
e?ea??a IIC Oe?a?ie.

Iaoa i caaaeaiiy aeineiaeaeaiiy

Iaoa ?iaioe – i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oai?eo ia ?oai?/io
oai?iao na?oey a ii?aeiaii? c oe?ai?aeiith iaoieia??th o in?a, ui a?aee
o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN, oeyoii
iaa?oiooaaiiy oa canoinoaaiiy o?ce/ieo oaeoi??a: ?iaaeyoe?e ?ciioeio,
neioni?aeaeueieo iiaeoeueiaaieo no?oi?a.

O caaaeaiiy aeine?aeaeaiiy aoiaeeei:

1. Aea/eoe noai na?oeaai-noaeeiii? ? oe?ai?aeii? nenoai o oai?eo ia
?oai?/io oai?iao na?oey a ii?aeiaii? c iaoieia??th ueoiaeaeii? caeice c
/enea in?a, ui a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN a Oe?a?i?, oa i?iaiae?coaaoe ioiieaiiy ?o
o?c?ioa?ai??th.

2. Iaa?oiooaaoe aea?? ? eiie?aoi? oiiae canoinoaaiiy ?iaaeyoe?e
?ciioeio oa neioni?aeaeueieo iiaeoeueiaaieo no?oi?a, o o./. ia oii?
oei?eaeieo iao???aeo aaii o oai?eo ia ?oai?/io oai?iao na?oey a
ii?aeiaii? c oe?ai?aeiith iaoieia??th.

3. Ioe?ieoe aoaeoeai?noue eiiieaeniiai e?eoaaiiy oai?eo ia ?oai?/io
oai?iao na?oey a ii?aeiaii? c oe?ai?aeiith iaoieia??th c aeei?enoaiiyi
?iaaeyoe?e ?ciioeio oa aiie?ioeuenoa?ai?? ia oii? oei?eaeieo iao???aeo
aaii.

4. Aecia/eoe iieacaiiy aeey i?ecia/aiiy ?iaaeyoe?e ?ciioeio oa
neioni?aeaeueieo iiaeoeueiaaieo no?oi?a oai?ei ia ?oai?/io oai?iao
na?oey a ii?aeiaii? c iaoieia??th ueoiaeaeii? caeice.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a

1. Aeyaeaii iniaeeaino? ee?i?/iiai noaio in?a, ye? caciaee ae?? iaeeo
aeic ?aae?aoe??, c ?ON a ii?aeiaii? c oe?ai?aeiith iaoieia??th oa
i?iaiae?ciaaii ioiieaiiy ?o o?c?ioa?ai??th.

2. Aia?oa anoaiiaeaii iaoai?cie aieeao ?ciioeio ca ??cieo oeyo?a
aaaaeaiiy ia ee?i?ei-aaiiaeeiai?/i? ia?aiao?e o in?a, ui a?aee o/anoue o
e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN. Aeiaaaeaii, ui ?ciioei a
?iaaeyoe?yo o ii??aiyii? c ae??th oaaeaoee a ?aciaeo aeicao eiia??ii
cieaeoaaa na?oeaaee aeeeae, oao?ea?ae?th oa i?aeaeuaiee oene a eaaaiaa?e
a?oa??? aac ci?ie noaio ia?eoa??eiiai e?iaiia?ao.

3. Oaeineiiaeaii oyaeaiiy uiaei iaoai?ci?a ee?i?ei-aaiiaeeiai?/ieo
aoaeo?a neioni?aeaeueieo iiaeoeueiaaieo no?oi?a (NIN) a ii??aiyii? c
ieaoeaai o aeine?aeaeoaaii? eaoaai??? oai?eo: NIN i?e ae?? ia a?oaeio
ee?oeo aeeeeeathoue ia?aaaaeii aioeaae?aia?ae/io ae?th, a ia ae?eyieo
ie?ie – iiceoeaiee “ia?eoa??eiee” aoaeo, ui iaa?oioiao? iiaeeea?noue oa
aeioe?euei?noue iine?aeiaii? ae?? oaeoi?a ia iaeaea? ciie.

4. Aeiaaaeaii i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy in?a, ui a?aee o/anoue
o e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN, oai?eo ia
?oai?/io oai?iao na?oey a ii?aeiaii? c oe?ai?aeiith iaoieia??th ?c
canoinoaaiiyi ?iaaeyoe?e ?ciioeio, neioni?aeaeueieo iiaeoeueiaaieo
no?oi?a, a o./. ia oii? oei?eaeieo iao???aeo aaii, ca ?aooiie iie?ioaiiy
ee?i?/iiai noaio, ii?iae?caoe?? oe?ai?aeiiai noaoono, cieaeaiiy aeice
-aae?aiiaeieaoi??a ? aioaaii?no?a eaeueoe?th oa ciaioaiiy iia?/ieo ae?e
oa?ii?aia?ao?a (L-oe?ieneio).

5. Iaaoei iiaeaeueoiai ?icaeoeo oyaeaiiy i?i aeioe?euei?noue
canoinoaaiiy aeine?aeaeoaaieo o?ce/ieo oaeoi??a o aeaii? eaoaai???
oai?eo oa aecia/aii a?aeiia?aei? iieacaiiy.

I?AEOE*IA CIA*AIIss ?IAIOE

1. I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a aecia/a?oueny:

1.1 ?ic?iaeith iaoai?ci?a ae?? oa eiie?aoieo ?aeiiaiaeaoe?e ii
ee?i?/iiio aeei?enoaiith ?iaaeyoe?eiiai niiniao aaaaeaiiy ?ciioeio oa
canoinoaaiith neioni?aeaeueieo iiaeoeueiaaieo no?oi?a ca i?ea?iaeueiei
iaoiaeii o oai?eo ia ?oai?/io oai?iao na?oey a ii?aeiaii? c oe?ai?aeiith
iaoieia??th.

1.2 Iaa?oiooaaiiyi aeeoa?aioe?eiaaieo i?aeoiae?a aei e?eoaaiiy ?oai?/ii?
oai?iae na?oey a ii?aeiaii? c iaoieia??th ueoiaeaeii? caeice ca ??cieo
ee?i?/ieo aa??aio?a.

1.3 Aoaeoeai?noth oa iieacaiiyie aeey aeei?enoaiiy i?iiiiiaaieo iaoiae?a
o?c?ioa?ai??.

2. Aeaeaii o/aiaee iin?aiee aeey e?ea??a “Aiie?ioeuenoa?ai?y oa
?iaaeyoe?? ?ciioeio a e?eoaaii? ea?ae?ioe?ai?aeii? iaoieia?? o in?a, ye?
a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e
AAN”-Oa?e?a, 1997.-14 n.

3. Aei aaeocaaiai ?a?no?o iiaiaaaaeaiue ? 8-9 ca 1998 ?. aianaii ”
Niin?a o?ceei-oa?iaeioa?ai?? ?oai?/ii? oai?iae na?oey c noiooiueith
oe?aiiao??th”.

4. Niiniae canoinoaaiiy ?iaaeyoe?e ?ciioeio, neioni?aeaeueieo
iiaeoeueiaaieo no?oi?a, a o. /. ia oii? oei?eaeieo iao???aeo aaii, aeey
eiiieaeniiai e?eoaaiiy oai?eo ia ?oai?/io oai?iao na?oey a ii?aeiaii? c
oe?ai?aeiith iaoieia??th c /enea in?a, ui a?aee o/anoue o e?ea?aeaoe??
iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN, ai?iaaaeaeai? a i?aeoeeo
?yaeo aeeniaina??a ?aae?aoe?eiiai caoenoo ianaeaiiy Oe?a?ie; aeeth/ai? o
iaa/aeueiee ieai ? i?ia?aie niaoe?ae?caoe?? oa oaeineiiaeaiiy e?ea??a ia
eaoaae?? o?c?ioa?ai?? ? eo?i?oieia?? Oa?e?anueeiai ?inoeoooo
oaeineiiaeaiiy e?ea??a IIC Oe?a?ie (oai?aoe/iee ? i?aeoe/iee eo?ne).

Iniaenoee aianie caeiaoaa/a

Iniaenoee aianie caeiaoaa/a iieyaa? o aeai?i oaie aeineiaeaeaiue,
i?iaaaeaiii iaeii?aciaeo i?ia oa aiaeici io?eiaieo ?acoeueoaoia,
iaienaiii noaoae, oac, iaa/aeueiiai iiniaieea i oaenoo iiaiaaaaeaiiy,
i?iaaaeaiii aiaeico i?iaeaie ca ?acoeueoaoaie caioia Aea?aeaaii?
iaaee/ii? noaoenoe/ii? ca?oiino? i a?oiaieo inoi?ie oai?ia, ioeiioei
aoaeoeaiinoi eieoaaiiy, ai?iaaaeaeaiii io?eiaieo ?acoeueoaoia o
i?aeoeeo.

AI?IAAOeIss ?ACOEUeOAOIA AeENA?OAOeI?

?acoeueoaoe aeena?oaoeieieo aeineiaeaeaiue aeiiiaiaeaeeny ia
iiaeeaoaae?aeueiiio caniaeaiii Oa?eianueeiai iaoeiai-aeineiaeiiai
iinoeoooo iaaee/ii? ?aaeiieiai? IIC Oe?a?ie 29 eaioiy 1998 ?ieo.

Ie??i oeueiai ?iaioa aeiiiaiaeaeany ia:

– caniaeaiii Oa?eianueeiai iaoeiaiai iaaee/iiai oiaa?enoaa
oiciioa?aiaaoia i eo?i?oieiaia;

– Iiaeia?iaeiiio eiia?ani c iaaee/ieo ianeiaeeia *i?iiaeeuenueei? oa
iioeo ?aaeiieiai/ieo aaa?ie (AEaiaaa, 1995 ?.);

– thaieaeiie eiioa?aioei? eo?i?oo “Aa?ac?anueei iiia?aeueii aiaee” (1997
?.);

– iaoeiai-i?aeoe/ieo eiioa?aioeiyo ic iiaeia?iaeiith o/anoth a Ee?ai,
Iaeani, a ?anioae?oe? Iieaeiaa (1997 ?.);

– II Iiaeia?iaeiiio eiia?ani “Iioii?aaaieioaoeiy i ?aaaieioaoeiy o
iaaeeoeeii” (Aioaeiy, Oo?a//eia, 1997 ?.);

– I Iaoeiiiaeueiiio eiia?ani eo?i?oieiaia i oiciioa?aiaaoia (Oi?eueiee,
1998 ?.).

Ioaeieaoei?

Ca iaoa?iaeaie aeena?oaoei? aeaeaii o/aiaee iiniaiee aeey eiea?ia,
iioae?eiaaii 3 noaooi o caoaa?aeaeaieo AAE Oe?a?ie aeaeaiiyo oa 7 oac?a
o iaoa?iaeao eiioa?aioeie, neiiicioiia, c’?caeia. Io?eiaii 1 iaoaio
Oe?a?ie.

NO?OEOO?A I IANssA AeENA?OAOeI?

Aeena?oaoeith aeeeaaeaii ia 144 noi?iieao iaoeiiieno, iethno?iaaii 21
oaaeeoeath oa 9 ?enoieaie. O ia? aoiaeyoue anooi, 3 ?icaeiee (iaeyae
eioa?aoo?e, iaoa?iaee i iaoiaee aeineiaeaeaiiy, ?acoeueoaoe
aeineiaeaeaiue), iaaiai?aiiy io?eiaieo ?acoeueoaoia, aeniiaee oa
i?aeoe/ii ?aeiiaiaeaoei?. Nienie oeeoiaaii? eioa?aoo?e iaei/o? 312
aeaea?ae, c yeeo 78 iaeaaeeoue ca?oaiaeiei aaoi?ai.

CIINO ?iaioe

Iaoa?iaee i iaoiaee

Aeey caeieniaiiy iinoaaeaii? iaoe i caaaeaiue aoei ianoaaeaii 204
oai?eo, /ieiaie?a c ION i oe?ai?aeiith iaoieia??th, na?aaeiie aie yeeo
neeaa 44,0 ± 2 ?iee. C ieo 174 aoee eieaiaeaoi?aie ianeiaeeia aaa?i? ia
*i?iiaeeuenueeie aoiiiie aeaeo?inoaioei?, 30 – i?aoethaaee o noa?i aei?
aeaea?ae iiiicoaaeueiiai aei?iiiiaiiy oa iaee i?ioanieiee noaae a?ae 3
aei28 ?ieia. Aeecueei 40 % iaoei?ioia c a?oie eieaiaeaoi?ia a?aee
o/anoue o ?iaioao ia *AAN o 1986 ?., 45% – c 1986 aei 1987 ??., 15% – o
1988-1989 ??. O 20% ianoaaeaieo aeico ii?iiiiaiiy anoaiiaeaii ia aoei, o
45% aiia neeaaeaea 10 nA?, o 20% – aei 25 nA?, o 15% – aieueoa oei??
aaee/eie.

A iniiaiie a?oii, ui neeaaeaeany c 91 oai?iai, aea/aee aoaeoeaiinoue
?ic?iaeaieo oic?ioa?aiaaoe/ieo niiniaia. I?e oeueiio o 31 iaoei?ioa
aeineiaeaeoaaee aoaeoeaiinoue aiieiioeuenoa?aii? i?e ae?? ia aeieyiee
a?oaeii? eeioee oa ie?ie; c ieo o 15 – ic canoinoaaiiyi oei?eaeieo
iao?i?aeo aaii, 33 oai?eo io?eioaaee ?iaaeyoe?? ?ciioeio. E??i oiai, o
20 iaoe??io?a oai?eo ia ?ON a ii?aeiaii? c A?O, ui iio?aaothoue
aeiaaino?ieiaiai canoinoaaiiy oe?ai?aeieo ai?iii?a (?c a?oie
ianoaaeaieo, yeei i?iaiaeeeeny iaeiie?aoi? i?iae), aea/aii aieea
noi?niiai canoinoaaiiy L-oe?ieneio oa ?iaaeyoe?e ?ciioeio. Ii?yae c oeei
o 20 oai?eo aoei ioeiiaii iniaeeainoi eeiiiei-aaiiaeeiai?/ii? aei?
iaeii?aciai? i?ioeaaeo?e NIN ca ?icieo oiiaao i?iaaaeaiiy (o aeieyioei
a?oaeii? eeioee oa ie?ie); o 27 iaoei?ioia – ?acoeueoaoe iaeii??
i?ioeaaeo?e iiaaeyoeie iciioeio.

Aei eiio?ieueii? a?oie oa?eoee 113 iaoe??io?a, ye? io?eioaaee
o?aaeeoeieia e?eoaaiiy. C ieo o 38 aecia/aeanue aoaeoeaiinoue
i?ioeaaeo?e ieaoeaai oa iaeii?aciaiai i?eeiyooy iciioeio ana?aaeeio. O
30 i?ioaniiiaeia ca ?aae?aoe?eiei /eiieeii ii?iaithaaeeny iniaeeainoi
eeiii/iiai noaio oa aeaii aeoiaeiiai ianoaaeaiiy 174 eieaiaeaoi?ia
ianeiaeeia aaa?i? ia *AAN.

Ca iniiaieie eeiiiei-iino?oiaioaeueieie ia?aiao?aie iniiaia i
eiio?ieueia a?oie aoee ?ai?acaioaoeaieie.

Aeey ioeiiee noaio na?oeaai-noaeeiii? nenoaie i aoaeoeaiinoi eieoaaiiy
oai?eo canoiniaoaaee oaei aeiaaiinoe/ii iaoiaee: aeaeo?iea?aeiia?aoith,
aaeia?aiiao?ith, oao?aiiey?io a?oaeio ?aia?aoith, iiei?aia?aoith i
o?iiiea?aeiiiao?ith, ia?eoa?e/io ?aiaacia?aoith oa ioeuenia?aoith,
?aiaioeaoaeia?aoith, aoiea?aeiia?aoith. Oe?ai?aeiee noaoon ioeiithaaee
ca ?acoeueoaoaie aeeiaii/iiai aicoaeueiiai iaeyaeo ueoiaeaeii? caeice,
?? oeueo?acaoeiaiai aeineiaeaeaiiy oa aeaieie ?aaeiiiioiieo iaoiaeia
aecia/aiiy ?iaiia ai?iiiia o ne?iaaooei e?iai. Oai?ei ic ina?aaeeiaeie
oe?aiiaoiyie aeeiioaaee anii?aoeieio ioieoeieio aiiinith ueoiaeaeii?
caeice iiae eiio?ieai OCAe c iiaeaeueoei oeeoieiai/iei aeineiaeaeaiiyi
ioieoaoo. I?e aoceiaiio aiei ca iieacaiiyie i?iaiaeeee ?aaeiiioeeiaeii
aeineiaeaeaiiy, o yei aoiaeeee ?aaeiieiaeiiaeeeaoeiy oa
aaiia-oiiia?aoi/ia aeineiaeaeaiiy caeice c oe?aio?iiiei ?OI.

Aeey noaoenoe/ii? ia?iaee ?acoeueoaoia aeineiaeaeaiiy aoei canoiniaaii
i?eaiiaeueii i?ia?aie oiceei-iaoaiaoe/ii? eaai?aoi?i? OIAeII? (caa.
eaai?aoi?i?th – ae.a.i., i?io. A.A.Ei?aaaei) ic aeei?enoaiiyi IAII.

Eieoaaeueii o?c?ioa?aiaaoe/ii niiniae ioiiethaaee:

Aiieiioeuenoa?aiith, ui iieyaa? o ae?? neioni?aeaeueieie iiaeoeueiaaieie
no?oiaie iineiaeiaii ia 2 ciie:

I – o?ainoi?aeaeueii, c ?iciiuaiiyi aeaeo?iaeia o iiaeeeth/e/iie
aeieyioei ni?aaa i iiaeeiiaoeiaie – eiai?o/, i?ioyaii 10-15 oaeeei;

II – o?ain?aiaeueii, c ?icoaooaaiiyi aeaeo?iaeia o aeieyioei i?iaeoei?
ie?ie iiia?a/ii (ii/a?aiai i?aai?o/ i eiai?o/) – ii 7 oaeeei c eiaeiiai
aieo.

I?e oeueiio NIN canoiniaothoue o ciiiiiio ?aaeeii, II ?iaeii ?iaioe i?e
/anoioi 30 aoe oa aeeaeii iiaeoeyoeie 95-100% i o?eaaeinoi
iaiiaia?iiaeia 2-3 naeoiaee. I?ioeaaeo?e i?iaiaeeee uiaeaiii aai /a?ac
aeaiue o eieueeinoi aiae 10 aei 20 ia eo?n eieoaaiiy, aeei?enoiaoth/e
na?ieii aio/eciyii aia?aoe “Aiieiioeuen”.

Iiaaeyoei? iciioeio c aeei?enoaiiyi:

– 2 ie 0,25 %-ai aiioeueiiai ?ic/eio ?a/iaeie ia iaeio i?ioeaaeo?o
o?eaaeinoth 10-15 oaeeei uiaeaiii o eieueeinoi 10 i?ioeaaeo?;

– aia?aoia oeueo?acaoeiaeo iiaaeyoeieieo oeio TUR-USI; “Ooiai” /e iioeo.

Oei?eaeii iao?i?ai aaiie ye oiiiaa oa?aiiy aiaeioneaeeny ca
o?aaeeoeieiith iaoiaeeeith o caaaeueiiio aa?iaioi i?e oaiia?aoo?i aiaee
37-380N, eiioeaio?aoei? niei 20 a/e, o?eaaeinoth 10 oaeeei, o eieueeinoi
10-20 aaii i?e uiaeaiiiio canoinoaaiii.

?acoeueoaoe aeineiaeaeaiue oa ?o iaaiai?aiiy

Aiaeic Aea?aeaaii? noaoenoe/ii? iaaee/ii? caioiino? oa ca?o?a
Oe?a?inueeiai ? iaeanieo aeeniaina??a ?aae?aoe?eiiai caoenoo ianaeaiiy
iieacaa, ui ?iaii caoai?thaaiinoi oa iiaaeiaeiinoi aianeiaeie ye ION,
oae i oe?ai?aeii? iaoieiai? ai?iaiaeii c?in o “iiney/i?iiaeeuenueeee
ia?iiae”, a iniiaio aiaeiiiiinoue oa?aeoa?o ia?aaiao ei?iia?ii? oai?iae
o eieaiaeaoi?ia neeaaea? iayaiinoue noiooiuei? iaoieiai?, o oiio /enei –
caoai?thaaiue ueoiaeaeii? caeice, ui ??cei iaiaaeo? canoinoaaiiy EOO o
aeaii? eaoaai??? oai?eo.

Ii?iaiyeueia ioeiiea eeiiiei-iino?oiaioaeueiiai noaio oai?eo ia ION a
ii?aeiaii? c oe?ai?aeiith iaoieia??th c /enea eieaiaeaoi?ia i
i?ioaniiiaeia iieacaea, ui a oeieiio eieaiaeaoi?e aenoaaee o eieueea
?acia aieueoa nea?a i ineoieiai/ii aoee iaeaooiaaii ia iiaoi?ii eo?ne
eieoaaiiy. I?ioaniiiaee ae aenoaaee iaioa nea?a i ia i?aaioee aei /anoeo
caa?iaiue aei eiea?ia. ?acii c oei aeaii ia’?eoeaiiai ianoaaeaiiy iaio
eaoaai?ie oai?eo o a?oiao inoioii ia aiae?iciyeeny. I?eaa?oa? oaaao
iayaiinoue ae?aaeaieo ii?ooaiue ia?eoa?e/ii? iie?ioee?eoeyoei? o anio
ianoaaeaieo iaoei?ioia. I?ioa o eieaiaeaoi?ia /anoioa aeyaeyeeny iciaee
aiia?o?ioi? iiiea?aea eiaiai oeoii/ea, ciiie oeiia aaiiaeeiaiiee,
iaoieiai/ii noaie ineoiee oa caaeeoea. O ii?iaiyiii – o i?ioaniiiaeia
/anoioa niinoa?iaaany aoeiiaoe/iee oei aaiiaeeiaiiee oa iiceoeaii
iaaaioaaeoaaeueii i?iae, ui iiaeia iiynieoe iayaiinoth o aieueoi?
/anoeie eieaiaeaoi?ia noiooiuei? a?oa?iaeueii? aiia?oaici?.

Oiceeaeueia oa?aeoa?enoeea ueoiaeaeii? caeice a inoaiiio ii?iaiyii c
i?ioaniiiaeaie aiae?iciyeany cia/ii /anoioei aeyaeaiiyi aiiiieaci?
caeice, yea aiaeiiaiaeaea, ye i?aaeei, ao?ioi/iiio aa?iaioo aooiiioiiiai
oe?ai?aeeoo, aoceiooai?aiith o ueoiaeaeiie caeici oa aoia?aoi/iei
iciaeai AIO. A iaio a?oiao aoei aeyaeaii ?icii noaie ooieoei?
ueoiaeaeii? caeice. Iniae c ?? iaciiiaiith ooieoei?th neeaaeaee 41%
na?aae eieaiaeaoi?ia i 70% – o i?ioaniiiaeia; aiiioe?aic aeiaaiinoiaaii
o 38 oa 10% ianoaaeaieo, aiia?oe?aic – o 21 i 20% aiaeiiaiaeii. O
/anoeie oai?eo niinoa?iaaany aeenaaeain oe?ai?aeieo ai?iiiia, ui
eeiii/ii ia i?iyaeyany.

A oeieiio aeoiaeia eeiiiei-iino?oiaioaeueia ianoaaeaiiy eieaiaeaoi?ia
ianeiaeeia aaa?i? ia *i?iiaeeuenueeie AAN i?iaeaiiino?oaaei, ui aieueoa
/anoeia na?aae ieo – iniae c ION, yea i?iyaey?oueny noaaieueiith
noaiiea?aei?th I-II ooieoeiiiaeueieo eeania (93±2%), ii/aoeiaeie
iciaeaie na?oeaai? iaaeinoaoiinoi (96±2%), o 49% ianoaaeaieo ioaii/ia
oai?iaa na?oey noi?iaiaeaeoaaeany aiia?ieaci?th ueoiaeaeii? caeice I-II
nooiaiia, o 41 % e?ea?aeaoi??a ?? ooieoe?iiaeueiee noai oa?aeoa?ecoaaany
ye aooe?aic, o a?eueoino? oai?eo (95±4%) ION ii?aeioaaeany c AA I i II
noaaeie, o 182 (91±3 %) – c aeenoee?eoeyoi?iith aioeaoaeiiaoi?th I oa II
noaaeie. O 62 (31 ± 5 %) iaoei?ioia ca?a?no?iaaii i?enooie
iai?eoiiiinoi; aeecueei 1/4 ianoaaeaieo cacia/aee a aiaiiaci iayaiinoue
iiai/ieo ?aaeoeie iaaeeeaiaioicii? oa?aii?.

Eeiiiei-iino?oiaioaeueia iaa?oiooaaiiy ?aaeeiia eieoaaiiy oice/ieie
oaeoi?aie oai?eo ia ?ON a ii?aeiaii? c oe?ai?aeiith iaoieiai?th aoei
i?iaaaeaii ia iiaenoaai ioeiiee aoaeoeaiinoi iaeii?aciaiai aieeao
oice/ieo oaeoi?ia (OO) ia noai na?oeaai-noaeeiii? oa oe?ai?aeii? nenoai.

Aiaeic aoaeoeaiino? iaeii?aciaeo i?ioeaaeo? NIN i?e aei? ia a?oaeio
eeioeo i aeieyieo ie?ie o ii?iaiyiii c ieaoeaai iieacaa, ui ianoaaeoaaii
oai?i aeia?a ia?aiineee i?ioeaaeo?e: 1/3 iaoei?ioia aiaecia/eee
ciaioaiiy ea?aeiaeaie oa naaeaoeaiee aoaeo; o 2 c 10 oai?eo ieaoeaai
/eieei ineoioa?aiaaoe/io aeith o aeaeyaei iieiioaiiy nio, iano?ith, ui
naiae/eoue i?i iayaiinoue ineoioa?aiaaoe/iiai eiiiiiaioo o eeiii/ieo
aoaeoao aeaii? aeaeo?ii?ioeaaeo?e.

Neioni?aeaeueii iiaeoeueiaaii no?oie i?e aei? ia aeieyieo a?oaeii?
eeioee ii?iaiyii c ieaoeaai cia/oua cieaeoaaee oaea?iee ia’?i (aiae
60,9±6,5 aei 49,8±6,1 ie), na?oeaaee iiaeaen (aiae 2,7±0,29 aei
2,01±0,19 e?oa/i2, nenoiei/iee a?oa?iaeueiee oene (aiae 125,1±5,2 aei
113,1±3,9 ii ?o.no.). Oaea aeeiaiiea iieacieeia ca iayaiinoi i/aaeaeii?
noeoiii? oaiaeaioei? aei ii?iaeoaiiy na?oeaaiai ?eoio (aiae 80,0±2,5 aei
74,5±3,2 oae/oa) ca aoaeoaie iaaaaeo? aeith b-aae?aiiaeieaoi?ia oa
aiaeiiaiaea? aiaeiiei aeaiei i?i aioeaae?aia?ai/io ni?yiiaaiinoue
iaoaiiciia aaiiaeeiai?/ieo aoaeoia iiioeuenieo no?oiia iecueei? /anoioe
(O.A.Eiycaaa, 1987; I.I.?icaeieuenueea, 1983) (?en. 1).

wmetafile8? ??0?????????? ???????yyy????????????????
.????

???/???????????????????????????????AAA?AUeA?¦E?????????????????
????????y? `yyA aa`??y????AAAy?IyiyyayaY????en. 1.
Ooieoe?iiaeueiee noai na?oeaai-noaeeiii? nenoaie oai?eo i?e ae?? NIN a
ii??aiyii? c ieaoeaai.

I?eaa?oa? oaaao caieueoaiiy aiieiooaee ioeuenia?aoi/ii? e?eai? i?e aei?
NIN ia a?oaeio eeioeo, ui ia aaaaea?oueny aeanoeaei b-aae?aiiaeieaoi?ai
(A.I.Iaoaeeoey, 1987). Inoaii? naiae/eoue i?i iieiioaiiy ia?eoa?e/iiai
e?iaiiinoa/aiiy o ciii ?aoeaeoi?ii? aei? aeaii? iaoiaeeee NIN.

I?e ?icoaooaaiii i?ieeaaeie o aeieyioei i?iaeoei? ie?ie aeiy
neioni?aeaeueieo iiaeoeueiaaieo no?oiia i?iyaeeany, a oeieiio,
iaeiini?yiiaaii c iaaaaeaieie aeua ?acoeueoaoaie. Cieaeoaaany oaeiae
a?oa?iaeueiee nenoiei/iee oene (aiae 139,5±10,6 aei 127,8±10,1 ii
?o.no.), iacia/ii ?iaeoaa na?oeaaee ?eoi. ?acii c oei iniaeeainoi aei?
oaeoi?a ia ieaeith iieiaeio ooeoaa i?iyaeyeeny o ai?iaiaeiiio cieaeaiii
caaaeueiiai ia?eoa?e/iiai iii?o noaeei (aiae 1926±462 aei 1196±642
aeei.nae.ni-5), aaaiiiio cieaeaiii ?iaiy aeianoiei/iiai a?oa?iaeueiiai
oeneo (aiae 75,6±2,3 aei 67,8±3,3 ii ?o.no.), ui naiae/eoue i?i aieueo
ae?aaeaio aeith NIN ia ?iaaiue nenoaiii? ia?eoa?e/ii? iie?ioee?eoeyoei?,
i?e ?icoaooaaiii ia aeieyioei i?iaeoei? ie?ie ? ia aeoiaeeoue ca iaaei
aiaeiiiai, ye i?i aieea acaaaei oice/ieo oaeoi?ia ia ciio i?iaeoei?
ie?ie, oae i aeith NIN (A.N.Oeauee, 1986).

?acoeueoaoe canoinoaaiiy aeaiiai oice/iiai oaeoi?a ia iaeaeai iienaii
ciie (a?oaeio eeioeo oa ie?ee) a iaeei aeaiue iineiaeiaii c iioa?aaeii
2-3 aiaeeie iieacaee, ui o 2 ic 7 ianoaaeaieo ic na/ieai’yiith oai?iaith
o aiaiiaci aeieeee iai?e?iii aiae/oooy o aeieyioei ie?ie. Iaaaoeaii?
aeeiaiiee c aieo eeiii/ieo i?iyaia i?aaii/ii? iaoieiai? iiiea?aea /e
noaio ueoiaeaeii? caeice aiaecia/aii ia aoei, ye i eieueeiniiai
neeaaeaiiy aeeiaiiee aaiiaeeiaii/ieo ia?aiao?ia. O 3 (42,8%) oai?eo
i?aaaethaaee aoaeoe, iaaaaeaii i?e aei? NIN ia a?oaeio eeioeo, o ?aooe 4
ianoaaeaieo – “ia?eoa?e/ii” aoaeoe oaeoi?a. Iaiaoiaeii iiaee?aneeoe, ui
i?ioyaii oeieiai aeiy iiney eiiaiiiaaiiai aieeao 5 ic 7 oai?eo
aiaecia/aee ai?iaiaeia ii?iaeoaiiy na?oeaaiai ?eoio ii a?oii a
na?aaeiueiio aiae 81,3±3,3 aei 73,4±5,6 oae/oa, ui aecia/a? iniaeeainoi
aei? NIN naia o aeaii? eaoaai?i? inia, aeaui ia cianii i/ieoaaiiai aeey
oai?eo c iaoieiai?th ueoiaeaeii? caeice. Oeae aoaeo iiaeia iiynieoe
neeaaeieie ?acoeueooth/eie aieeaaie neioni?aeaeueieo iiaeoeueiaaieo
no?oiia ia aeieyiee na?oey, i?iaeoei? ie?ie i iaaeie?eiaeo caeic, a
oaeiae ia ooieoeiiiaeueiee noai aaaaoaoeaii? ia?aiai? nenoaie, aaaeeeai
neeaaeia? yei? iio?aieee o ciio aei? NIN (niiy/ia nieaoiiiy).

Iaa?oiooaaiiy iiaaeyoeieiiai niiniao aaaaeaiiy iciioeio aoei i?iaaaeaii
oeyoii ii?iaiyeueii? ioeiiee ?acoeueoaoia eeiiiei-aaiiaeeiaii/ii?
?aaeoei? oai?eo ia iaeio i?ioeaaeo?o iiaaeyoeie, i?eeiaiiy ?aciai? aeice
i?aia?aoo ana?aaeeio oa iiaaeyoeie aeenoeeueiaaii? aiaee (ieaoeaai).

Eeiii/ii i?ioeaaeo?e iiaaeyoeie oai?i ia?aiineee aeia?a, iiai/ieo yaeu
/e iiaeeaiaeoaeueii? iani?eeiyoiino? ia aiaei?/aeiny.

Aiaeic aaiiaeeiaii/ieo c?ooaiue iieacaa, ui iiaaeyoei? ieaoeaai
aeeeeeaee oaiaeaioeith aei cnoaia ia?aiao?ia aaiiaeeiaiiee o aeaeyaei
iacia/iiai cieaeaiiy oaea?iiai ia’?io (OI) e?iai (aiae 48,04 ± 3,2 aei
46,1 ± 3,5 ie), na?oeaaiai iiaeaeno (aiae 2,07 ± 0,12 aei 1,92 ± 0,13
e?oa/i2), nenoiei/iiai a?oa?iaeueiiai oeneo (156,3 ± 5,76 aei 153,6 ±
5,74 ii ?o.no), ii?iaeoaiiy na?oeaaiai ?eoio.

Ii?iaiyeueia ioeiiea aeeiaiiee iieacieeia noaio oai?iai iiae aieeaii
i?eeiyooy ana?aaeeio iciioeio o aeici 40 ia iieacaea, ui o oai?eo ia ?ON
a ii?aeiaii? c iaoieia??th ueoiaeaeii? caeice aiia aiaeiiaiaeaea
aiaeiiei aaiiaeeiaii/iei iaoaiiciai aei? i?aia?aoo. Oae, ?aciaa aeica
eiai aeeeeeaea o oai?eo oaiaeaioeith aei cieaeaiiy nenoiei/iiai i
aeianoiei/iiai a?oa?iaeueiiai oeneo, iieacieeia na?oeaaiai aeeeaeo oa
iieiioaiiy eaaaiaai? aaiiaeeiaiiee o aeaeyaei cieaeaiiy aeoiaeiiai
iiaeaeuaiiai oeneo o eaaaiaaie a?oa?i?.

?acoeueoaoe aieeao iaeii?aciai? i?ioeaaeo?e iiaaeyoeie 0,25%-ai iciioeio
o aeici 2 ie i?iaeaiiino?oaaee cieaeaiiy nenoiei/iiai a?oa??aeueiiai
oeneo (aiae 129,0±5,1 aei 116,0±3,8 ii ?o.no.), oaea?iiai ia’?io (aiae
61,2±5,9 aei 49,3±5,3 ie) i na?oeaaiai iiaeaeno (aiae 2,8±0,33 aei
1,98±0,34 e?oa/i2); ciaioaiiy oaoiea?aei? (aiae 81,3±2,3 aei 75,2±3,8
oae/oa). Ne?ae i?aee?aneeoe, ui ?iaaeyoe?? ?ciioeio i?e oeueiio ia
aeeeeeaee a??ia?aeiiai cieaeaiiy (/e iaa?oue oaiaeaioe?? aei iueiai)
ae?anoie?/iiai a?oa??aeueiiai oeneo ? caaaeueiiai ia?eoa?e/iiai
noaeeiiiai iii?o, ui, iaaii, iiaeia a?aeianoe aei iniaeeainoae
aaiiaeeiai?/ii? ae?? ?iaaeyoe?eiiai niiniao aaaaeaiiy i?aia?aoo. Ii?yae
c oeei aeaiee e?eoaaeueiee niin?a i?ecaiaeea aei iie?ioaiiy eaaaiaai?
aaiiaeeiai?ee – cieaeaiiy i?aeaeuaiiai oeneo o eaaaiaa?e a?oa??? oa
i?enei?aiiy aeaiaiiy e?ia? aei oe??? a?oa??? (ca aeaieie ?aia?ao??
eaaaiaai? a?oa???).

Oaeei /eiii, ?acoeueoaoe i?iaaaeaiiy iaeii?aciaeo i?ia aieeao o?ce/ieo
e?eoaaeueieo oaeoi??a ia ee?i?ei-ooieoe?iiaeueiee noai
na?oeaai-noaeeiii? nenoaie o in?a, ye? a?aee o/anoue o e?ea?aeaoe??
iane?aee?a aaa??? ia *AAN, i?iaeaiiino?oaaee, ui neioni?aeaeuei?
iiaeoeueiaai? no?oie i?e ?icoaooaaii? i?ieeaaeie ia ae?eyioe? a?oaeii?
ee?oee (iiia?a/ii) a?aeiia?aeii aei i?ea?iaeueiiai niiniao i?ney iaei???
i?ioeaaeo?e aeeeeeaee o oai?eo ia?aaaaeii aioeaae?aia?a?/iee aoaeo, a ca
ae?? ia ae?eyieo ie?ie – a?eueo ae?aaeaio ia?eoa?e/io ae?th, ui
iaa?oioiao? iiaeeea?noue ? aeioe?euei?noue iine?aeiaiiai eiia?iiaaiiai
aieeao ia iaeaea? ciie.

?ciioei a ?iaaeyoe?yo aeeeeea? iaeiini?yiiaaio, aea a?eueo ae?aaeaio
ci?io ia?aiao??a aaiiaeeiai?ee ? ??aiy ai?iii?a ueoiaeaeii? caeice a
ii??aiyii? ?c cae/aeiei ia?i?aeueiei oeyoii eiai aaaaeaiiy,. ui noaei
i?aea?oioyi aeey canoinoaaiiy aeaiiai e?eoaaeueiiai niiniao o oai?eo ia
?ON o ii?aeiaii? c oe?ai?aeiith iaoieia??th.

?ciioei a ?iaaeyoe?yo i?e eo?niaiio e?eoaaii? i?ecia/aee oai?ei ia ?ON
ca?aeii c ?nioth/eie iieacaiiyie aeey i?ecia/aiiy aioaaii?no?a
eaeueoe?th. A?aoiaoth/e iniaeeaino? iaoiaeo, ?iaaeyoe?? ?ciioeio
i?ecia/aeeny oai?ei, ui iaee noiooi? caoai?thaaiiy i?aai?a aeeoaiiy, oa
ca ?acoeueoaoaie iaeiie?aoieo i?ia – oai?ei c iayai?noth iciae o?ii?/ii?
iaaeinoaoiino? iiceiaiai e?iaiia?ao (AeAI aoaeue-yei? noaae??).

?acoeueoaoe e?eoaaiiy iieacaee, ui a iniiaiiio an? iaoe??ioe, ye?
niinoa??aaeeny, aeia?a ia?aiineee i?ioeaaeo?e. Iia?/ieo ?aaeoe?e /e
noa’?eoeaii? iani?eeiyoeeaino? i?ioeaaeo? ca?a?no?iaaii ia aoei. O 28 ?c
33 ianoaaeaieo aaea ia?oa i?ioeaaeo?a aeeeeeaea noa’?eoeai? a?ae/oooy o
aeaeyae? eaaeiai caiaii?i/aiiy aieiae, iieaaoaiiy aeoo aeeoaiiy,
ii??aeoaiiy na?oeaaiai ?eoio.

Ii?yae c oeei o oai?eo iniiaii? a?oie, ii??aiyii c eiio?ieueiith,
?aaeoe?y ee?i?/ieo neiioii?a aoea iaeiini?yiiaaiith ? aeyaeyeany o
iieaaoaii? noaiiea?ae??, ciaioaii? ia?aai?a, cieaeaii? nenoie?/iiai
a?oa??aeueiiai oeneo. A?aei?oiith iniaeea?noth ?aaeoe?? ee?i?ee o
i?aaenoaaiee?a iniiaii? a?oie ii??aiyii c eiio?ieai aoei cia/ia
ciaioaiiy caaeeoee ? cieaeaiiy ?ioaineaiino? neiioii?a iaaeinoaoiino?
iiceiaiai e?iaioieo. Aoei a?aecia/aii, ui a ?iaaeyoe?yo ?ciioei ia /eiea
aeanoeaeo aeai?e a?oi? i?aia?ao?a iia?/ieo aoaeo?a, ye? aeieeaee o
oai?eo, ui io?eioaaee i?aia?ao ana?aaeeio. Eo?niaa e?eoaaiiy
?iaaeyoe?yie ?ciioeio /eieei aieea ? ia ooieoe?iiaeueiee noai
na?oeaai-noaeeiii? nenoaie (o a?e ii?iae?caoe?? iieaciee?a aac cia/ii?
a?aei?iiino? o a?oiao). O a?eueoino? oai?eo i?ney oaeeo ?iaaeyoe?e
a?eueo ae?aaeaii iie?iooaaany eaaaiaaee e?iaioie, i?i ui na?ae/eoue
nei?i/aiiy ia??iaeo iai?oaeaiiy i?aaiai oeoii/ea, ciaioaiiy oeneo o
eaaaiaa?e a?oa??? ? a?aeiia?aeia ca?eueoaiiy oaeaeeino? nenoie?/iiai
i?eieeao e?ia? o eaaaiaao a?oa??th.

?acii c oei i?ae aieeaii ?iaaeyoe?e ?ciioeio iieacieee
?aiaioeaoaeia?ao?? ci?ithaaeeny o a?e i?aeaeuaiiy ?aia?ao?/iiai
?iaeaeno, cieaeaiiy aeee?ioe/iiai oa ae?anoiee/iiai ?iaeaen?a ia?aaaaeii
o oai?eo iniiaii? a?oie, ui na?ae/eoue i?i iiceoeaiee aieea ?iaaeyoe?e
ia oea?aa?aeueiee e?iaiia?a. Na?oeaaee ?eoi o in?a eiio?ieueii? a?oie
ci?ieany o na?aaeiueiio a?ae 80,1 ± 3,6 aei 71,1 ± 2,2 oae./oa (oiaoi
cieceany ia 9,0 oae./oa, aai ia 11,2 %) ii??aiyii c aeeiai?eith o in?a
eiio?ieueii? a?oie: 79,2±1,4 aei 72,4±2,3 oae./oa (ia 6,8 oae./oa aai ia
8,6 %), ui a?aeiia?aea? iniaeeainoyi iaoai?cio e?eoaaeueii? ae??
i?aia?aoo.

Ne?ae a?aecia/eoe ii?iae?coth/ee aieea ?ciioeio ia oe?ai?aeiee noaoon
iaoe??io?a.

A?aecia/aii cieaeaiiy ??aiy oe?ai?aeieo ai?iii?a, ?aaeoeoe?th a?eueoino?
ee?i?/ieo i?iya?a oe?ai?aeii? iaoieia?? (ciaioaiiy aieth ? iai?e?iieo
a?ae/ooo?a a ae?eyioe? ueoiaeaeii? caeice, na?oeaaeooy, neaaeino?,
iiae?aceeaino?) o 2/3 iaoe??io?a iaeiini?yiiaaii, ui ocaiaeaeo?oueny c
ii?iae?coth/eie aaiiaeeiai?/ieie aoaeoaie. Oe?eaaei, ia iao iiaeyae, ?
anoaiiaeaiiy ae?aaeaii? ea?ae?icaoenii? ae?? ?iaaeyoe?e ?ciioeio o
oai?eo ia ?ON a ii?aeiaii? c A?O, ui iio?aaothoue o?eaaeiai i?ecia/aiiy
a?aeiinii aenieeo aeic L-oe?ieneio (?en. 2).

I?iaaaeaii aea/aiiy aoaeoeaiino? eo?niaiai eiiieaeniiai e?eoaaiiy oai?eo
ia ?ON c oe?ai?aeiith iaoieia??th ?c aeei?enoaiiyi aiie?ioeuenoa?ai??.
An? oai??, ui niinoa??aaeeny, ii?yae c o?c?ioa?ai??th io?eioaaee
?iaeea?aeoaeueio iaaeeeaiaioicio oa?ai?th. Oai?ei, ui io?eioaaee NIN, ia
i?ecia/aeeny b-aae?aiiaeieaoi?e.

Caaaeueia ioe?iea ?acoeueoao?a e?eoaaiiy iieacaea, ui an? oai??
noa’?eoeaii aeia?a ia?aiineee aiie?ioeuenoa?ai?th.

Iiceoeaia aeeiai?ea o 2/3 oai?eo iniiaii? ? eiio?ieueii? a?oi, ye?
niinoa??aaeeny, i?iyaeeany o ciaioaii? ae?aaeaiino? aai /anoioe aieth o
ae?eyieao a?oaeii? ee?oee ? o?aaoa, cieaeaii? i?aeaeuaieo aeo?aeieo
iieaciee?a a?oa??aeueiiai oeneo. Ne?ae cacia/eoe, ui o oai?eo, ye?
io?eioaaee eo?n aiie?ioeuenoa?ai?? ca iiia?a/iith iaoiaeeeith (I a?oia),
iiceoeaia ee?i?/ia aeeiai?ea i?iyaeyeany o a?eueo ?aii? oa?i?ie. Oea
iai?oanooaaeiny cieaeaiiyi /anoioe ? ae?aaeaiino? aieth o ae?eyieao
a?oaeii? ee?oee ? o?aaoa o cia/ii a?eueoi? e?eueeino? oai?eo o a?oiao,
cieaeaiiyi i?aeaeuaieo iieaciee?a a?oa??aeueiiai oeneo c 3-5-i? aeiae
e?eoaaiiy, ciaioaiiyi i?iya?a a?ia?neiiaoeeioii??, ui aaeueie oa?aeoa?ia
aeey aeaiiai aeaeo e?eoaaiiy, aeoiaey/e c a?aeiieo noi??i ?o iaoai?ci?a
aioeaae?aia?a?/ii? ae?? (O.A.Eiycaaa, 1989; I.I.?icae?euenueea, 1993).

wmetafile8? ??+?????????? ???????yyy????????????????
t‚???

???/???????????????????????????????AAA?AUeA?¦E?????????????????
????????y? `yyA aa`??y????AAAy?IyiyyayaY????en. 2.
Iieacieee aaiiaeeiai?ee i?e ii?aeiaiiio i?eeii? L-oe?ieneio oa
?iaaeyoe?e ?ciioeio.

Aiae?c ci?i ia?aiao??a aaiiaeeiai?ee i?aeoaa?aeea ?acoeueoaoe ee?i?/ieo
niinoa?aaeaiue, a naia: o an?o ianoaaeaieo oai?eo a?aecia/aeany
oaiaeaioe?y aei ii?iae?caoe?? iieaciee?a. A?aenooi?noue /?oei?
a??ia?aeiino? ?aaeoe?? ooieoe?iiaeueiiai noaio na?oeaai-noaeeiii?
nenoaie (ci?i oaea?iiai ia’?io e?ia?, oaeeeiiiai ia’?io e?iaiia?ao,
iieaciee?a a?oa??aeueiiai oeneo ? o.i.) iiaeia ?icoe?ieoe ye iniaeeaino?
noaio iniiaieo eaiie ?aaoeyoe?? nenoaie e?iaiia?ao o in?a c aeo?aeiei
aoe?iaoe/iei oeiii aaiiaeeiai?ee, ? a na?aaeiueiio ii a?oi? – iaaenieeie
??aiyie a?oa??aeueii? a?ia?oaic??.

?acii c oei o i?ioean? e?eoaaiiy o oai?eo, ye? io?eioaaee
aiie?ioeuenoa?ai?th, ii??aiyii c i?aaenoaaieeaie eiio?ieueii? a?oie,
a?eueoith i??ith iie?iooaaeeny iieacieee, ui oa?aeoa?ecothoue noai
ia?eoa?e/iiai e?iaiia?ao: ioeueniaee nenoie?/iee oa ?aia?ao?/iee
nenoie?/iee ?iaeaene. Oae? ci?ie o a?eueoith i??ith aoee ae?aaeai? o
in?a I a?oie (iiia?a/ia iaoiaeeea NIN), i?ae o i?aaenoaaiee?a II
(ia?aaa?oaa?aeueia iaoiaeeea NIN) ? eiio?ieueii? a?oi (ia 100, 30, oa 25
% a?aeiia?aeii). Aaaeaiiai aeey aeaii? eaoaai??? oai?eo ia?aeaeueiiai
cieaeaiiy ae?anoie?/iiai a?oa??aeueiiai oeneo ? i/?eoaaiiai ii??aeoaiiy
na?oeaaiai ?eoio aeinyaiooi ia aoei.

C aieo ii?oiooieoe?iiaeueiiai noaio ueoiaeaeii? caeice aeyaeaia
iiceoeaia aeeiai?ea. O oai?eo a?aecia/aeiny ciaioaiiy ee?i?/ieo i?iya?a
oe?ai?aeii? iaoieia?? a iaio a?oiao. ?acii c oei i?e aeine?aeaeaii?
oe?ai?aeiiai noaoono anoaiiaeaii, ui ??aaiue oe?ai?aeieo ai?iii?a iaa
oaiaeaioe?th aei ii?iae?caoe??, a?eueo ae?aaeaio i?e a?ia?oe?aic? oa
aeenaaeain? oe?ai?aeieo ai?iii?a.

O ?acoeueoao? eo?no NIN ? aaeueiaioa?ai?? o 2/3 oai?eo iniiaii? a?oie
iaei i?noea ia’?eoeaia ee?i?ei-?ino?oiaioaeueia iie?ioaiiy noaio, yea
i?iyaeeiny o iaoe??io?a iniiaii? a?oie a??ia?aeiei cieaeaiiyi
a?oa??aeueiiai oeneo, o a?eueoino? c ieo – aei caaa?oaiiy eo?no
e?eoaaiiy i?e a?eueo ?aii?e iiceoeai?e aeeiai?oe? oeueiai iieacieea o
in?a eiio?ieueii? a?oie.

Iniaeea?noth ?aaeoe??-a?aeiia?ae? i?aai?cio oai?eo ia eo?n
o?c?iaaeueiaioa?ai?? noaei ae?aaeaia iieaaoaiiy ia?aa?ao noaiiea?ae?? ?
ea?ae?aea?e, ciaioaiiy ?ioaineaiino? aieiaiiai aieth ? a?o?aea?e,
ae?aaeaiino? ii?ooaiue ia?eoa?e/iiai e?iaioieo.

Ni?yiiaai?noue ci?i ia?aiao??a aaiiaeeiai?ee aoea iaeiaeiaith o in?a
iniiaii? ? eiio?ieueii? a?oi. O ?acoeueoao? i?iaaaeaiiai e?eoaaiiy o
oai?eo iniiaii? oa eiio?ieueii? a?oi iie?ioeeeny iieacieee nei?ioeeai?
caeaoiino? e?aiai oeoii/ea – cieceeeny aaee/eie ye ENAe, EN?, oae ? ENI,
EAeI.

Iniaeea?noth aeeiaiiee ia?aiao?ia o iaoei?ioia iniiaii? a?oie aoei
ae?aaeaia cieaeaiiy iiaeaeuaiiai na?aaeiueiai oeneo o eaaaiaaie a?oa?i?
(ia 10,5±10,1; 20,8%) aiaeiinii aeoiaeiiai cia/aiiy. O eiio?ieueiie
a?oii oey aeeiaiiea neeaea 2,4%. Noiaei ciiie niinoa?iaaeeny i c aieo
ia?eoa?e/iiai e?iaioieo, ui i?iyaeeiny o caieueoaiii aieueoa iiae o 3 i
4 ?ace aiaeiiaiaeii ioeueniaiai nenoiei/iiai iiaeaeno (INI) oa
?aia?aoi/iiai nenoiei/iiai iiaeaeno (?NI) i?e iaio ae?aaeaiiio c?inoaii?
iieacieeia o eiio?ieueiie a?oii (o 1,5 i 2 ?ace aiaeiiaiaeii). Io?eiaii
aeaii iiaeia ?icoeiieoe ye iieiioaiiy oeaio?aeueii?, ia?eoa?e/ii? oa
eaaaiaai? aaiiaeeiaiiee iiney eo?no aiieiioeuenoa?aii? ia oiii
oei?eaeieo iao?i?aeo aaii.

Eo?niaa eieoaaiiy oai?eo i?e i?iaaaeaiii aaeia?aiiao?i? (AAI) cieaeoaaei
aiaenioee i?e?inoo /anoioe na?oeaaeo nei?i/aiue (*NN), AO oa OI ia
iaaaioaaeaiiy 50 i 75 Ao, ui naiae/eoue i?i iieiioaiiy aaiiaeeiaii/ii?
?aaeoei? ia oice/ii iaaaioaaeaiiy, iacaaaeath/e ia iayaiinoue aiaeiia
aiae i?iaeiaaeaiiy aeineiaeaeaiue c aieo 1/3 ianoaaeoaaieo.

Oaeei /eiii, ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue na?ae/aoue i?i
iiaeeea?noue oa aeioe?euei?noue aeeth/aiiy OO aei eiiieaeno e?eoaaiiy
in?a c ?ON o ii?aeiaii? c oe?ai?aeiith iaoieia??th. Oae, aeei?enoaiiy
neioni?aeaeueieo iiaeoeueiaaieo no?oi?a ca i?ea?iaeueiith iaoiaeeeith ia
oii? caaaeueieo oei?eaeieo iao???aeo aaii oa ?ciioeio a ?iaaeyoe?yo
iie?auo? ee?i?/iee noai oai?eo oa ooieoe?iiaeueiee noai ?o
na?oeaai-noaeeiii? oa oe?ai?aeii? nenoai, i?aeaeuo? o?ce/io
i?aoeacaeaoi?noue.

Aeniiaee

1. O in?a, ui a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN, niinoa??aa?oueny ??no caoai?thaaiino? ?ON a
ii?aeiaii? c oe?ai?aeiith iaoieia??th. I?e?aeiaiiy iaoieia?? ueoiaeaeii?
caeice ??cei iaiaaeo? ianya e?eoaaeueii-?aaa?e?oaoe?eieo caoiae?a
aeaiiio eiioeiaaioo oai?eo.

2. Canoinoaaiiy ?iaaeyoe?e ?ciioeio ? neioni?aeaeueieo iiaeoeueiaaieo
no?oi?a a iaaaaeaieo ?aaeeiao i?aeaeuo? aoaeoeai?noue e?eoaaiiy oai?eo
ia ?ON a ii?aeiaii? c oe?ai?aeiith iaoieia??th o in?a, ui a?aee o/anoue
o e?ea?aeaoe?? iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN, iioei?co?
iaaeeeaiaioicio oa?ai?th oeyoii cieaeaiiy aeice (-aae?aiiaeieaoi??a,
aioaaii?no?a eaeueoe?th) ? iia?/ieo ae?e oa?ii?aia?ao?a (L-oe?ieneio).

3. ?ciioei a ?iaaeyoe?yo iie?auo? ee?i?/iee noai oai?eo ? ooieoe?th
na?oeaai-noaeeiii? nenoaie o aeaeyae? ii?iae?caoe?? ia?aiao??a
oeaio?aeueii? aaiiaeeiai?ee, cieaeaiiy i?aeaeuaieo iieaciee?a
a?oa??aeueiiai oeneo, c??aeaeaiiy na?oeaaiai ?eoio. Niinoa??aa?oueny
iie?auaiiy eaaaiaaiai e?iaiia?ao o aeaeyae? cieaeaiiy i?aeaeuaiiai oeneo
ia 19,8% oa ca?eueoaiiy oaeaeeino? nenoie?/iiai i?eieeao a eaaaiaao
a?oa??th ia 51% (9,1% ? 25,5% – o eiio?ieuei?e a?oi?) ? oea?aa?aeueii?
aaiiaeeiai?ee ia 17,9% oa 9,9% a iniiai?e oa eiio?ieuei?e a?oiao
a?aeiia?aeii.

4. ?iaaeyoe?? ?ciioeio o 2/3 iaoe??io?a aeeeeeathoue ?aaeoeoe?th
a?eueoino? ee?i?/ieo i?iya?a caoai?thaaiue ueoiaeaeii? caeice,
ii?iae?caoe?th ??aiy oe?ai?aeieo ai?iii?a oa cieaeothoue iaaaoeai?
aaiiaeeiai?/i? aoaeoe oe?ai?aeieo ai?iii?a.

5. Neioni?aeaeuei? iiaeoeueiaai? no?oie i?e ae?? ia ae?eyieo a?oaeii?
ee?oee aeyaeythoue aioeaae?aia?a?/io ae?th o aeaeyae? iiieaeaiiy
oaea?iiai ia’?io e?ia? ia 18% (ia 5% i?ney ieaoeaai), nenoie?/iiai
a?oa??aeueiiai oeneo ia 9,6% (ia 1,9% i?ney ieaoeaai), c??aeaeaiiy
na?oeaaiai ?eoio ia 7,5% (ia 2,9% i?ney ieaoeaai), a?eueo ae?aaeaio
i?ney iaeii?aciai? i?ioeaaeo?e.

Neioni?aeaeuei? iiaeoeueiaai? no?oie i?e ae?? ia ae?eyieo ie?ie
a?ae??ciythoueny a?ae o?ainoi?aeaeueiiai niiniao a?eueo ae?aaeaiith
iiceoeaiith “ia?eoa??eiith” ae??th.

6. Neioni?aeaeuei? iiaeoeueiaai? no?oie i?e ae?? ia iaeaea? ciie ia oii?
oei?eaeieo iao???aeo aaii o 2/3 in?a iie?auothoue ee?i?/iee noai oa
ia?aiao?e oeaio?aeueii?, eaaaiaai? ? ia?eoa??eii? aaiiaeeiai?ee oa
iieaaoothoue ia?aiinei?noue o?ce/ieo iaaaioaaeaiue.

7. Neioni?aeaeuei? iiaeoeueiaai? no?oie ia oii? ae?? oei?eaeieo
iao???aeo aaii ni?eythoue ii?iae?caoe?? oe?ai?aeiiai noaoono i?e
aeo?aeiiio a?ia?oe?aic? oa aeenaaeain? oe?ai?aeieo ai?iii?a.

Nienie ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe??

O/aiaee iin?aiee:

1. Eeei/oe I.A. Aiie?ioeuenoa?ai?y oa ?iaaeyoe?? ?ciioeio a e?eoaaii?
ea?ae?ioe?ai?aeii? iaoieia?? o in?a, ye? a?aee o/anoue o e?ea?aeaoe??
iane?aee?a aaa??? ia *i?iiaeeuenuee?e AAN.-Oa?e?a, 1997.-14 n.

Noaoo? o iaoeiaeo aeaeaiiyo:

2.Eeei/oe I.A. Yooaeoeaiinoue i?eiaiaiey neionieaeaeueiuo
iiaeoee?iaaiiuo oieia a eiiieaeniii ea/aiee eeoe, i?eieiaaoeo o/anoea a
eeeaeaeaoeee aaa?ee ia *AYN, n ea?aeei-oe?aieaeiie iaoieiaeae // A?niee
eo?i?oieia?? oa o?c?ioa?ai??.- ?aiaoi??y, 1998.- ? 2.- N. 36-38.

3. Eeei/oe I.A. Aieea aeayeeo e?eoaaeueieo o?ce/ieo oaeoi??a ia
ee?i?ei-ooieoe?iiaeueiee noai e?ea?aeaoi??a iane?aee?a aaa??? ia
*i?iiaeeuenuee?e AAN c ea?ae?i-oe?ai?aeiith iaoieia??th // Oe?a?inueeee
?aae?ieia?/iee aeo?iae.- Oa?e?a, 1998.- ? 3.- N. 322-324.

4. Ianiiiaa A.I., Eeei/oe I.A. Aeine?aeaeaiiy ea?ae?icaoenii? ae??
?iaaeyoe?e ?ciioeio o oai?eo ia ?ae ueoiaeaeii? caeice oa aooi?ioiiee
oe?ai?aeeo i?e ai?iiiioa?ai?? L-oe?ieneiii // Oe?a?inueeee
?aae?ieia?/iee aeo?iae.- Oa?e?a, 1998.- ? 3.- N. 319-321.

5.Iaoaio ? 23252 A Oe?a?ia, IE? A61A6/00. Niin?a e?eoaaiiy a?iioe?aico o
oai?eo c iaoieia??th na?oeaai-noaeeiii? nenoaie / ?icae?euenueeee N.?.,
?icae?euenueea I.I., Aaeaiiae/ E.A., Eeei/oe I.A.(Oe?a?ia).- 1 n;
Cayaeaii 21.05.97; Iioae. 19.05.98.- 1 n.

Oace aeiiia?aeae:

6. Physical factors for rehabilitation in thyrold and cardiac diseaseas:
possibilities and prospects / Rosdilska O.N., Rosdilsky S.I., Klimchuk
O.V., Afanasirav M.V., Vovk A.D. // Immunorehabilitation and
Rehabilitation in Medicine: Abstracts of the II International Congress
(Antalia, May 6-10, 1996).- Antalia, 1996.- ? 34.- ?. 52.

7. Eeei/oe I.A. Yooaeoeaiinoue oeceei-oa?iaeieiae/aneie ?aaaeeeoaoeee
eeoe, i?eieiaaoeo o/anoea a eeeaeaeaoeee iineaaenoaee aaa?ee ia
*a?iiaueueneie AYN n ea?aeeaeueii-oe?aieaeiie iaoieiaeae // Iioeiecaoeey
i?aaiecaoeeiiiie e iaaeeoeeineie aeayoaeueiinoe cae?aaieoe Oe?aeiu:
Iaoa?eaeu ?anioaeeeaineie iao/ii-i?aeoe/aneie eiioa?aioeee (Iaeanna,
12-13 ethiy 1997 a.).- Eeaa-Iaeanna, 1997.- N. 71-72.

8. Eeei/oe I.A. Iioeiecaoeey o?aaeeoeeiiiiai iaaeeeaiaioiciiai ea/aiey
aieueiuo, i?eieiaaoeo o/anoea a eeeaeaeaoeee iineaaenoaee aaa?ee ia
*AYN, n iiiiuueth oece/aneeo oaeoi?ia (OO) // Iaoa?eaee Oe?a?inueei?
iaoeiai-i?aeoe/ii? eiioa?aioe?? c i?aeia?iaeiith o/anoth (Ee?a, 9-11
aeiaoiy 1997 ?.).- Ee?a, 1997.- N. 43-44.

9. Iia? o?ceei-oa?iaeieia?/i? oaoiieia?? o ee?i?/i?e i?aeoeoe?:
oai?aoe/ia iaa?oiooaaiiy, aoaeoeai?noue e?eoaaiiy oa ia?niaeoeae
?aaa?e?oaoe?? / ?icae?euenueea I.I.,
?icae?euenueeee N.?.,Ieoaeeia A.A., Eeei/oe I.A., A?ao/oe
I.I., Ianiiiaa A.I., Aaeaiiae/ E.A., Eoeue/a?aa O.A., Ie?ioie/aiei
I.A., Aaaaooaeeiiaa A.?. // Iaoa??aee I iaoe?iiaeueiiai eiia?ano
o?c?ioa?aiaao?a ? eo?i?oieia?a Oe?a?ie (Oi?eueiee, 13-14 o?aaiy 1998
?.).- Oi?eueiee, 1998.- N. 29-30.

10. Eeei/oe I.A. Yooaeoeaiinoue eniieueciaaiey eciioeia a
eiaaeyoeeyo a ni/aoaiee n aiieeioeuenoa?aieae o eeoe, i?eieiaaoeo
o/anoea a eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN
//Aeooaeueiua i?iaeaiu eo?i?oieiaee e iaaeeoeeineie ?aaaeeeoaoeee:
Iaoa?eaeu iaaeaeoia?iaeiie thaeeaeiie iao/ii-i?aeoe/aneie eiioa?aioeee,
iinayuaiiie 40-eaoeth naiaoi?ey “Iieaeiaa” (Eeoeiaa, 5-6 iiya?y 1997
a.).- Eeoeiaa- Iaeanna, 1997.- N. 64-65.

11. ?icaeeeueneay I.I., ?icaeeeueneee N.E., Eeei/oe I.A. Eaca?iia
eceo/aiea ieceie eioaineaiinoe a ea/aiee caaieaaaiee ueoiaeaeiie aeaeacu
// I?eiaiaiea eaca?a a iaaeeoeeia e aeieiaee: Iaoa?eaeu VII
iaaeaeoia?iaeiie iao/ii-i?aeoe/aneie eiioa?aioeee (sseoa, 24-30 ieoya?y
1996 a.).- Oa?ueeia, 1996.- N. 38-39.

12. Oece/aneea oaeoi?u a ea/aiee caaieaaaiee na?aeoea e ueoiaeaeiie
aeaeacu, naycaiiuo n iineaaenoaeyie aaa?ee ia *AYN / ?icaeeeueneay I.I.,
?icaeeeueneee N.E., Eeei/oe I.A., Eiiiiaiei A.E., Aeeeiaa A.A.,
Eoeue/aaaa O.A. // Aeooaeueiua aii?inu aeaoneie eo?i?oieiaee: Iaoa?eaee
thaeeaeiie eiioa?aioeee (Aaiaoi?ey, 11-12 ethiy 1996 a.).- Aaiaoi?ey,
1996.- N. 63-64.

Eeei/oe I.A. “Oice/ii oaeoi?e o eiiieaeniiio eieoaaiii oai?eo ia
ioaii/io oai?iao na?oey, ii?aeiaio c oe?ai?aeiith iaoieiai?th o in?a, ui
a?aee o/anoue o e?ea?aeaoe?? iane?aee?a aaa??? ia *AAN”. – ?oeiien.

Aeena?oaoeiy ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca
niaoeiaeueiinoth 14.01.33 – eo?i?oieiaiy i oiciioa?aiiy, Oe?a?inueeee
IAeI iaaee/ii? ?aaaieioaoei? i eo?i?oieiai?, Iaeana, 1999.

O 204 oai?eo ia ioaii/io oai?iao na?oey (ION), ii?aeiaio c oe?ai?aeiith
iaoieiai?th, aea/aii iiaeeeainoi oa ioeiiaii aoaeoeaiinoue canoinoaaiiy
neioni?aeaeueieo iiaeoeueiaaieo no?oiia oa iiaaeyoeie iciioeio ia oiii
oei?eaeii-iao?i?aeo aaii, oeyoii ioeiiee iaeii?aciaeo i?ia i
?acoeueoaoia eo?niaiai eieoaaiiy. Ciiie i?inoaaeoaaeeny aiaeicii
eeiii/ieo ia?aiao?ia oa aeaieo aeaeo?iea?aeiia?aoi?, aoiea?aeiia?aoi?,
?aiaacia?aoi? oa ?aiaioeaoaeia?aoi?, a oaeiae oiceeaeueiiai i
oeueo?acaoeiaiai aeineiaeaeaiiy ueoiaeaeii? caeice, ?aaeiiiioiieiai/iiai
aecia/aiiy ?iaiia oe?ai?aeieo ai?iiiia. Io?eiai? iiai aeaii i?i
eieoaaeueii-?aaaieioaoeieii iiaeeeainoi oa iaoaiicie aei? aeacaieo
oice/ieo oaeoi?ia ia noai na?oeaai-noaeeiii? nenoaie i oe?ai?aeiee
noaoon i?e ?ON a ii?aeiaii? c oe?ai?aeiith iaoieiai?th o in?a, ye? a?aee
o/anoue o e?ea?aeaoe?? ianeiaee?a aaa?i? ia *i?iiaeeuenueeie AAN. Aeaii
?aeiiaiaeaoei? uiaei ?o aeeoa?aioeieiaaiiai canoinoaaiiy. Caeieniaii
ai?iaaaeaeaiiy o i?aeoeeo i?iiiiiaaieo eieoaaeueii-?aaa?e?oaoe?eieo
eiiieaen?a, aeiaaaeaii ?o aoaeoeai?noue – i?aeaeuaiiy o?ce/ii?
i?aoeacaeaoiino? oai?eo, ye? caciaee ae?th iaeeo aeic iiiicoaaeueii?
?aaeiaoei?.

Eeth/iai neiaa: ioaii/ia oai?iaa na?oey, oe?ai?aeia iaoieiaiy, aaa?iy ia
*AAN, ?aaaieioaoeiy iioa?iieeo, oice/ii oaeoi?e.

Eeei/oe I.A. “Oece/aneea oaeoi?u a eiiieaeniii ea/aiee aieueiuo
eoaie/aneie aieaciueth na?aeoea a ni/aoaiee n oe?aieaeiie iaoieiaeae o
eeoe, i?eieiaaoeo o/anoea a eeeaeaeaoeee iineaaenoaee aaa?ee ia *AYN”. –
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineee iaoe
ii niaoeeaeueiinoe 14.01.33 – eo?i?oieiaey e oeceioa?aiey, Oe?aeineee
IEE iaaeeoeeineie ?aaaeeeoaoeee e eo?i?oieiaee, Iaeanna, 1999.

Aeooaeueiinoue oaiu. A ianoiyuaa a?aiy i?iaeaia ?aaaeeeoaoeee eeoe,
iiaeaa?aoeony aeeyieth iaeuo aeic eiiece?othuae ?aaeeaoeee, yaeyaony
aeooaeueiie e nioeeaeueii cia/eiie (I.A.Aiaueaaa, 1994;
A.Ae.Oea?aai?iaeoeaa, 1996; I.E.Ieeeiaiei e ae?., 1997).

Oeaeue ?aaiou. Iiauoaiea yooaeoeaiinoe ea/aiey aieueiuo EAN a ni/aoaiee
n oe?aieaeiie iaoieiaeae o eeoe, i?eieiaaoeo o/anoea a eeeaeaeaoeee
iineaaenoaee aaa?ee ia *AYN, iooai iainiiaaiey e i?eiaiaiey oece/aneeo
oaeoi?ia: eiaaeyoeee eciioeia, neionieaeaeueiuo iiaeoee?iaaiiuo oieia.

Caaea/e enneaaeiaaiey: 1) eco/eoue iniaaiiinoe ninoiyiey
na?aea/ii-ninoaeenoie e oe?aieaeiie nenoai o aieueiuo EAN a ni/aoaiee n
iaoieiaeae ueoiaeaeiie aeaeacu ec /enea eeoe, i?eieiaaoeo o/anoea a
eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN a Oe?aeia, e
i?iaiaeece?iaaoue ioaao eo oeceioa?aieae; 2) iainiiaaoue auai? e
eiie?aoiua oneiaey i?eiaiaiey eiaaeyoeee eciioeia e neionieaeaeueiuo
iiaeoee?iaaiiuo oieia ia oiia oei?eaeiuo iao?eaauo aaii o aieueiuo EAN e
oe?aieaeiie iaoieiaeae; 3) ioeaieoue yooaeoeaiinoue eiiieaeniiai ea/aiey
aieueiuo EAN a ni/aoaiee n oe?aieaeiie iaoieiaeae n eniieueciaaieai
eiaaeyoeee eciioeia e aiieeioeuenoa?aiee ia oiia oei?eaeiuo iao?eaauo
aaii; 4) Ii?aaeaeeoue iieacaiey aeey iacia/aiey eiaaeyoeee eciioeia e
NIO aeey aieueiuo EAN a ni/aoaiee n iaoieiaeae ueoiaeaeiie aeaeacu.

Iaoa?eaeu e iaoiaeu ianeaaeiaaiey e ea/aiey. Ianeaaeiaaii 204 aieueiuo
ioae/ei EAN a ni/aoaiee n oe?aieaeiie iaoieiaeae a aic?anoa 44±2 aiaea.
174 ec ieo – eeeaeaeaoi?u iineaaenoaee aaa?ee ia *AYN, 30 – ?aaioathuea
a noa?a aeaenoaey enoi/ieeia eiiece?othuae ?aaeeaoeee ni noaaeai 3-28
eao. Ioeaieaaee yooaeoeaiinoue iaeiie?aoiuo i?ioeaaeo? oece/aneeo
oaeoi?ia (a n?aaiaiee n ieaoeaai e oaaeaoe?iaaiiui i?aia?aoii) e
eo?niaiai ea/aiey, eniieuecoy aeeaaiinoe/aneea iaoiaeu:
yeaeo?iea?aeeia?aoeth, aaeiy?aiiao?eth, ?aiyioeaoaeia?aoeth,
iiee?aia?aoeth, OCE na?aeoea e ueoiaeaeiie aeaeacu,
?aaeeieiioiieiae/aneea iaoiaeu ii?aaeaeaiey oe?aieaeiuo ai?iiiia e ae?.
Ec oece/aneeo oaeoi?ia eniieueciaaee: oeueo?acaoeiaua eiaaeyoeee
aiioeueiiai 0,25% ?anoai?a eciioeia a ?aciaie aeica 2 ie;
aiieeioeuenoa?aieth ia aeaa ciiu: o?ainoi?aeaeueii e o?ain?aiaeueii
iauae i?iaeieaeeoaeueiinoueth aei 30 iei. a ia?aiaiiii ?aaeeia NIO, ??
?iaeii ?aaiou, naiinoiyoaeueii e ia oiia oei?eaeiuo iao?eaauo aaii.

?acoeueoaou enneaaeiaaiee. Auyaeaii, /oi o eeoe, i?eieiaaoeo o/anoea a
eeeaeaeaoeee iineaaenoaee aaa?ee ia *a?iiaueueneie AYN, iaaethaeaaony
?ino caaieaaaaiinoe EAN a ni/aoaiee n oe?aieaeiie iaoieiaeae, /oi ?acei
ia?aie/eaaao ioaao eo oeceioa?aieae. Enoiaeiia ninoiyiea ianeaaeoaiuo
iaoeeaioia oa?aeoa?ecoaony iaee/eai: EAN ni noaaeeueiie noaiiea?aeeae e
ia/aeueiie NI a ni/aoaiee n AA ?–?? no., AeYI ?–?? no., iaoieiaee
ueoiaeaeiie aeaeacu a aeaea aeia?ieacee ?–?? no. O aieueoae /anoe
onoaiiaeaia aeenooieoeey eee aeenaaeain oe?aieaeiuo ai?iiiia.
Onoaiiaeaii, /oi eniieueciaaiea eiaaeyoeee eciioeia e NIO a
?ac?aaioaiiuo ?aaeeiao iiauoaao yooaeoeaiinoue ea/aiey aeaiiie eaoaai?ee
aieueiuo, iioeiece?oao iaaeeeaiaioicioth oa?aieth iooai nieaeaiey aeicu
(-aae?aiiaeieaoi?ia, aioaaiienoia eaeueoeey) e iiai/iuo aeaenoaee
oa?ii?aia?aoia (L-oe?ieneia). Oae eciioei a eiaaeyoeeyo oeo/oaao
ninoiyiea aieueiuo e ii?iaeecoao ooieoeeiiaeueiia ninoiyiea iaaeo
nenoai: nieaeaao iiauoaiiia AAe, o?aaeaao na?aea/iue ?eoi, oeo/oaao
eaai/ioth e oea?aa?aeueioth aaiiaeeiaieeo; o 2/3 iaoeeaioia aucuaaao
?aaeoeoeeth aieueoeinoaa eeeie/aneeo i?iyaeaiee oe?aiaeiie iaoieiaee,
ii?iaeecaoeeth o?iaiy oe?aieaeiuo ai?iiiia e oiaiueoaao io?eoeaoaeueiua
aaiiaeeiaie/aneea yooaeou (L-oe?ieneia). NIO i?e aeaenoaee ia a?oaeioth
eeaoeo ieacuaatho aioeaae?aia?ae/aneea yooaeou, a i?e aeaenoaee ia
iaeanoue ii/ae – “ia?eoa?e/aneea”. Iaeaieaa yooaeoeaiui ieacaeinue
i?eiaiaiea NIO ia iaa ciiu ia oiia oei?eaeiuo iao?eaauo aaii a aeaea
oeo/oaiey ninoiyiey na?aea/ii-ninoaeenoie e oe?aieaeiie nenoai.

Aeaiu ?aeiiaiaeaoeee ii aeeooa?aioee?iaaiiiio eniieueciaaieth ea/aaiuo
niiniaia e inouanoaeaii eo aiaae?aiea a i?aeoeeo ?yaea ea/aaiuo
o/?aaeaeaiee, o/aaiue i?ioeann OEOA.

Eeth/aaua neiaa: eoaie/aneay aieaciue na?aeoea, oe?aieaeiay iaoieiaey,
aaa?ey ia *AYN, ?aaaeeeoaoeey iino?aaeaaoeo, oece/aneea oaeoi?u.

Oleg V.Klimchuk. The physical factors in complex treatment of patients
with ishemia in a combination with thyroid pathologycapacity eliminators
of failure’s repercussions Chernobyl NS. – Manuscript.

Thesis on competition of a scintific degree of the candidate of medicine
sciences on a speciality 14.01.33 -health resorting and physiotherapy.
Ukrainian Research Institute of medical rehabilitation and health
recorting, Odessa, 1999.

At 204 patients with ishemic disease of heart in a combination with
thyroid pathology possibilities and the efficiency of application of
sinusoidal modulated currents, inhalings of izoptine on a background of
chlorine-sodium baths by a way of evaluation of single tests and
outcomes of course treatment are investigated. The changes were traced
by the analysis of clinical parameters and datas of decrocardiography,
echocardiography, reovasography, reoencepholography, and also physical
and ultrasonic research of the thyroid, radioimmunological definition of
the thyroid hormones. The recommendations for their differentiated
application given. The introduction in practice of offered treatment
methods is carried out. The work keeps new theoretical datas about
treatment-reabilitation possibilities and mechanisms of an operation of
the physical factors on a condition of heart-vessels system and thyroid
status for want of combined cardio-thyroid pathology at victims in an
outcome of failure on of Chernobyl accident. Data about efficiency
physico-pharmacotherapy, raising physical serviceability of the
patients, undergone to an operation of small dozes of radiation are
cited.

Key words: ishemic disease of heart, thyroid pathology, Chernobyl
accident, rehabilitation of victims, physical factors.

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