ÝËÅKÒÐÎÑÒÈÌÓËßÖÈß ÇÐÈÒÅËÜÍÎÃÎ
ÍÅÐÂÀ Â ÏÀËËÈÀÒÈÂÍÎÉ ÒÅÐÀÏÈÈ
A.I. Caeaeia?, A.A. Iao?ianeee
IEE iae?ieeaa?iaoeee ?inoianeiai ainoaa?noaaiiiai
oieaa?neoaoa, ?inoia-ia-Aiio, ?inney
Iaeeeaoeaiay oa?aiey, noi?ie?iaaaoenu a iaio ec i?e-
i?eoaoiuo io?aneae iieieiaee, iicaieeea aunaaoeou ?ya ia-
i?aaeaiee, ii eioi?ui aieuiua n aaia?aeeciaaiiie iiei-
eiae?aneie iaoieiaeae io?aa?ony a niaoeaeece?iaaiiie
iiiiue.
N?aae yoeo iai?aaeaiee — ei??aeoey iaa?ieiae?aneeo
?anno?ienoa, a oii ?enea iaoneiaeaiiuo aeeyieai iaiieanoe-
?aneiai i?aaa ia no?oeoo?u ia?aiie nenoaiu. K aaiiie a?oi-
ia ioiinyony ia?ooaiey ooieoee aiaeecaoi?ia, aiaieuii ?an-
oi ii?a?aaony c?eoaeuiue ia?a. Iniaia cia?aiea eiaao c?a-
iea n?aae eaiaeia eioi?iaoee, iiyoiio oaeea ii?a?aiey
aanuia iaaoaiu aey ineoeee aieuiuo e noaiiayony i?e?eiie
oy?aeie eiaaeeaecaoee. Iiiuoee ea?aaiiai aicaaenoaey ia
ii?a?aiey aaiiiai ?iaa ai neo ii? inoaaaeenu iaeiyooae-
oeaiuie.
Ia iao acaeya, ii?aaaeaiiua ia?niaeoeau ioe?uaaao iiaue
iiaoia e i?iaeaia, ciaeiinoai n eioi?ui noaei caaa?ae ianoiy-
uaai niiauaiey.
A IEE iae?ieeaa?iaoeee ?inoianeiai ainoaa?noaaiiiai oie-
aa?neoaoa ?ac?aaioaiu i?eaeiaeuiay iaoiaeea e i?eai? YNI-2
(Kiiiaiaao A.A. e a?., 1985, 1992).
Nouanoai iaoiaeee caee??aaony a aeoeaaoee ia?eoa?e?a-
neiai ioaaea c?eoaeuiie nenoaiu ii?aaaeaiiui ia?acii i?aa-
ieciaaiiuie iioieaie yeaeo?e?aneeo eiioeunia. Oaeay ??a-
nei?iay yeaeo?inoeioeyoey iaeiaaceaia, aa ia?aiao?u e ?a?e-
iu iiaae?a?o eiaeaeaoaeuii aey ea?aiai iaoeaioa, iie aaae-
aaoiu aey c?eoaeuiie nenoaiu.
Aneaanoaea aieuoeinoaa caaieaaaiee c?eoaeuiiai aiaeeca-
oi?a iiiaea aieieia, ninoaaey?uea c?eoaeuiue ia?a, auee??a-
?ony ec ii?iaeuiiai ooieoeiie?iaaiey (ia?aaeic). Yeaeo?e?a-
neay noeioeyoey ?anoi?ia?eaaao yoe no?oeoo?u; i?e iineaaiaa-
oaeuiuo na?eyo aicaaenoaey ia iaai ia?eiaao ?aaae?iaaou ei?-
eiaay ?anou aiaeecaoi?a, ?oi caioneaao i?ioann naiiainnoaiia-
eaiey c?eoaeuiie nenoaiu.
N iiiiuu? i?eai?a ea?aaii-?aaaeeeoaoeiiiua i?ia?aiiu
auiieiyee aieuiui n ?aciiia?aciuie oi?iaie iaoieiaee c?a-
iey (?anoe?iay ao?ioey c?eoaeuiuo ia?aia ?acee?iie i?e?iau,
aeno?ioe?aneea caaieaaaiey nao?aoee, ieiiey neaaie e n?aaiae
noaiaie e a?.).
O aieuoie a?oiiu iaoeaioia c?aiea nouanoaaiii oeo?oe-
einu, a i?ioanna ea?aiey auyaeaii iiai?iia iiei?eoaeuiia
aeeyiea yeaeo?inoeioeyoee: ii?iaeeciaaeny nii, niya?aeenu
ia?eiae?aneea aieiaiua aiee, ia?anoacee.
Iiuou ia ?eaioiuo iaia?o?eee, ?oi a ?acoeuoaoa yeaeo?inoe-
ioeyoee c?eoaeuiiai aiaeecaoi?a eciaiyaony niioiioaiea yea-
iaioia aaeie e?iae. Oaeea eciaiaiey i?ienoiayo a i?aaiecia,
iaoiayuainy ia noaaee aucai?iaeaiey eee ca?eaeaiey ?ai
(Iao?ianeee A.A., Noa?eyaieeia A.E., 1995). N a?oaie noi?iiu,
enneaaiaaoaee ec ?inoianeiai IEE iieieiaee iieacaee, ?oi aia-
eiae?iuie eciaiaieyie oa?aeoa?ecoaony ?acaeoea aaaioaoeii-
iuo ?aaeoee, eioi?ua niinianoao?o ai?uaa i?aaiecia n iieiia-
oieiaeae. Oaaaeaoenu a yoii, iu ieii?aoaeuii ?aoeee eniieu-
ciaaou aaiiue iiaoia a iieieiae?aneie eeeieea.
Aieuiay A.I.A., 1934 a.?., a 1993 a. iieo?aea eiiaeie?iaaiiia
ea?aiea ii iiaiao ?aea iiei?iie ?aeacu. A ai?aea 1997 a. aia-
caiii aicieeea neaiioa ia i?aaue aeac. Ii aaiiui KO iaia?o-
?ai iaoanoac a einoe iicaiaiai ?a?aia. ?aeiiaiaiaaia iieeoe-
ieioa?aiey, eo?n ia caaa?oai ec-ca ieioie ia?aiineiinoe. Ia
oiia ea?aiey aioeyno?iaaiaie aieuiay ioiaoeea, ?oi e eaaue
aeac aeaeo ana oo?a, oiaaa eae iauaa ninoiyiea oaaeinu noaae-
eece?iaaou, iicaiaa aa?a iaiiiai oeo?oeou. Ia auyaea a?oaeo
iaoanoacia, ?aoaii iiauneou ino?ioo c?aiey.
Ko?no ??anei?iie yeaeo?inoeioeyoee i?aaoanoaiaaea aeaa-
iinoeea. Ninoiyiea c?eoaeuiiai aiaeecaoi?a ioaieee, ii?aaa-
eea ii?iae aicieeiiaaiey yeaiaioa?iuo naaoiauo iuouaiee —
oinoaiia e yeaeo?ieaaeeuiinou.
Yeaeo?inoeioeyoe? auiieiyee a ia?a?iii ?a?eia n ?an-
oioie caiieiaiey ia?ae, ?aaiie 20 Ao, ia?ee neaaiaaee n ?an-
oioie 1 Ao e niaa??aee ii 5 eiioeunia. Aiieeooaa eiioeunia
ninoaaeyea 500 ieA. I?e cae?uouo aeacao noeioee?iaaee ii-
i?a?aaii oaiii?aeuio? e iacaeuio? oi?ee aa?oiaai aaea ea-
?aiai aeaca ii 30 n n eioa?aaeii ia?ao na?eyie noeioeyoee
30 n. A oa?aiea 1 naaina i?iaiaeee 8 na?ee yeaeo?inoeioey-
oee (ii 2 ?aca ia ea?ao? oi?eo). Anaai aieuiay iieo?eea 10
naainia yeaeo?inoeioeyoee.
A ?acoeuoaoa o iaa ainnoaiiaeeinu i?aaiaoiia c?aiea i?e
ino?ioa 0,03...0,04, ?oi iicaieeei iaoeaioea ?acee?aou eeoa e aa-
?a niio?aou oaeaaeceiiiua ia?aaa?e. K?iia yoiai, oeo?oeeinu
naii?oanoaea (iicaieea ?anoe?eou e?oa ?aaiou ii aiio) e aiia-
oeo, i?aeoe?anee ii?iaeeciaaeny nii. Caiaoii oiaiuoeeenu ia-
?anoacee, niya?eeenu aiee, aeaaiaa?y ?aio iia ioeacaeanu io
aiaeuaaoeeia.
Ii i?ioanoaee 2,5 ian aieuiay noaea auoiaeou ia i?iaoe-
ee. Aua ?a?ac 1 ian auei ?aoaii iiaoi?eou ea?aaiue eo?n, e
o?a iinea 1-e i?ioaao?u iia ii?oanoaiaaea oeo?oaiea c?a-
iey ia eaaue aeac. Iiaoi?iue eo?n caaa?oai 25 iay 1998 a.
Iaiin?aanoaaiiue e aee?aeoee yooaeou eo?oa, ?ai iinea
ia?aiai eo?na.
Ainoeaiooue ?acoeuoao i?eaioe?oao ia i?iaie?aiea iaae?-
aaiey. Aanie?oiua i?ioeaiiieacaiey e e?aui iaoiaai noeio-
ee?o?uae oa?aiee aey iieieiae?aneie eeeieee inoaaony o?aae-
oeiiiui i?aanoaaeaieai. Ia?ao oai a ?yaa eeeie?aneeo neooa-
oee oniaoii i?eiaiy?o eaei?aoeaenioa?aie? e o?aine?aieaeu-
io? yeaeo?iaiaeaace?, aieacuaay, ?oi oiiiyiooiio iinooeaoo
iaiaoiaeia ii?aaaeaiiay ei??aeoey.
Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 1999, ¹ 1, no?. 35-36.
ÂËÈßÍÈÅ ËÎÑÈÍÎÃÎ ÌÎËÎÊÀ
ÍÀ ÁÈÎÖÅÍÎÇ ÒÎËÑÒÎÃÎ ÊÈØÅ×ÍÈÊÀ
ÁÎËÜÍÛÕ ËÈÌÔÎÃÐÀÍÓËÅÌÀÒÎÇÎÌ
ÏÐÈ ÖÈÒÎÑÒÀÒÈ×ÅÑÊÎÌ ËÅ×ÅÍÈÈ
A.A. Aio?iiia, A.A. Aaauaia, A.N. Kiceia, A.A. ?aeieiaa
Ainoaa?noaaiiay iaaeoeineay aeaaaiey, ??ineaaeu, ?inney
?aiaa iaie auei onoaiiaeaii, ?oi eineiia iieiei ii niaa?-
?aie? ?yaa aieiieeneio (o?aiiei, na?ei, aeeoei, iaoeiiei,
aeaiei) a 2 ?aca i?aainoiaeo ei?iaua, eiaao aieuoie ninoaa
iee?iyeaiaioia, aunieo? eecioeiio? aeoeaiinou, iaeaaaao aa-
eoa?einoaoe?aneeie e aaeoa?eoeaiuie naienoaaie. Yoi e iineo-
?eei iiaiaii aey eco?aiey iee?ioei?u eeoa?ieea o aieuiuo
eeioia?aioeaiaoicii i?e i?iaaaaiee oeoinoaoe?aneie oeeei-
aie iieeoeieioa?aiee.
Niaa??aiea oienoiai eeoa?ieea ii iaoiao ?.A. Yiooaeia-
Eeoaae e O.E. Aeeuoaineie ii?aaaeyeinu o 69 aieuiuo eei-
oia?aioeaiaoicii III-IV noaaee ai e iinea i?iaiaeiuo eo?nia
(1-6) iieeoeieioa?aiee. Aieuiua auee ?acaaeaiu ia 2 a?oiiu.
A 1-? a?oiio aioee 37 ?aeiaae, iieo?aaoeo oieuei iieeoeiei-
oa?aie?, 2-? — ninoaaeee 32 aieuiuo, iieo?aaoeo oeoinoaoe-
ee a ni?aoaiee n eineiui iieieii (ii 200 ie 3 ?aca a aaiu ca
1 ? ai aau).
A 1-e a?oiia aieuiuo iinea eo?nia oeoinoaoe?aneiai ea?aiey
aanneiioiiiue aenaaeoa?eic auyaeai o 18 (39,5%) ?aeiaae, n
eeeie?aneeie i?iyaeaieyie — o 3 (8,1%). Ia?ooaiey aeioaiica
eeoa?ieea a iniiaiii auyaey?ony iinea 3-ai e iineaao?ueo
eo?nia oeieioa?aiee. Kiee?anoaaiiua e ea?anoaaiiua naaeae a
iee?ioei?a eeoa?ieea naiaeeenu e neaao?uaio: ia oiia nie-
?aiey aeoeaiaaeoa?ee eiaeinu oaaee?aiea eeoa?iuo iaei?ae
eee nie?aiea yoa?eoee, iiyaeaiea noaoeeieieeia, yoa?eoee ni
neaaioa?iaioaoeaiuie naienoaaie e aa?a a?eaia ?iaa eaiaeaa.
Ai 2-e a?oiia aieuiuo eeioia?aioeaiaoicii ia oiia i?ea-
ia eineiiai iieiea oieuei iinea 4-ai eo?na o 9 (28,8%) aieuiuo
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