nianoaaiiuo i?iaeaiao e e ia?ooaie? ee?iinoiiai aaeaina,
aaanoao a ?aaioo, aooiaa?annee, caueoiiio ioiioaie? e ea?a-
ie?. A oaeie neooaoee cae?aieyaony ninoiyiea o?ono?aoee e o?a-
ai?iinoe.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 72.
ÇËÎÊÀ×ÅÑÒÂÅÍÍÛÅ ÎÏÓÕÎËÈÌÎ×ÅÏÎËÎÂÎÉ
ÑÈÑÒÅÌÛ Ó ËÈÊÂÈÄÀÒÎÐÎÂ
A.I. Ae??eia, A.A. Ei?a?aeia
Iaaeoeineee ?aaeieiae?aneee iao?iue oaio? ?AII, Iaieine,
?inney
Iaeaieaa ?aaeaoeiiii-caaeneiui iineaanoaeai aicaaeno-
aey iaeuo aic iaeo?aiey yaey?ony ceiea?anoaaiiua iiaiia?a-
ciaaiey, ia ?aiiaa auyaeaiea eioi?uo i?eaioe?iaaia niaoea-
eece?iaaiiay iaaeoeineay iiiiuu. Oai ia iaiaa i?iaeaia aa-
ia?aeeciaaiiuo noaaee ceiea?anoaaiiuo iiaiia?aciaaiee ya-
eyaony aeooaeuiie aey ?aaaeeeoaoee iino?aaaaoeo io aaa?ee ia
?a?iiaieuneie AYN.
N?aae io??ei-eeeaeaaoi?ia n 1987 ii 1996 a auyaeaii 213
neo?aaa ceiea?anoaaiiuo iiaiia?aciaaiee ii?aiieiaie nenoa-
iu, ec ieo 64 (30%) III-IV noaaee: 35 neo?aaa ?aea ii?ee, 12 — ?a-
ea ii?aaiai iocu?y, 10 — ceiea?anoaaiiuo iiaiia?aciaaiee ye-
?ea, 7 — i?aanoaoaeuiie ?aeacu e iieiaiai ?eaia. N?aaiee aic-
?ano yoeo aieuiuo ia iiiaio auacaa a ciio aaa?ee ?aaiyeny
36,2 aiaa, ia iiiaio auyaeaiey iiooiee — 43,2 aiaa. Iiooiee
ii?ee a 18 (51%) neo?ayo i?aanoaaeaiu aeia?iao?iiie. O 14
aieuiuo i?eiaiyee oieuei oe?o?ae?aneia ea?aiea (iao?yeoi-
iey), o 7 — eiiaeie?iaaiiia ea?aiea, o 4 — eiiieaeniia, a 8
neo?ayo — neiioiiaoe?aneia. Eaoaeuiinou ninoaaeea 60% (21
neo?ae), 16 ?aeiaae oia?ee a oa?aiea ia?aiai aiaa. ?eau 14 ee-
eaeaaoi?ia, aieuiuo ?aeii ii?ee, a n?aaiai iie ninoiyo ia o?a-
oa 3,45 aiaa. 33% ceiea?anoaaiiuo iiaiia?aciaaiee ii?aaiai
iocu?y ninoaaeyao ia?aoiaii-eeaoi?iue ?ae. 5 aieuiui i?iai-
aeee oieuei oe?o?ae?aneia ea?aiea, 3 — eiiaeie?iaaiiia, 2 —
neiioiiaoe?aneia, ii 1 neo?a? eiiieaeniie e eo?aaie oa?aiee.
Eaoaeuii caeii?eeenu 3 neo?ay (25%), 2 ec ieo — a oa?aiea ia?-
aiai aiaa. N?aaiee n?ie, i?ioaaoee n iiiaioa aeaaiinoeee 8
iaeaoaeuiuo neo?aaa ?aea ii?aaiai iocu?y III-IV noaaee,
ninoaaee 4 aiaa.
Iieo?aiiua aaiiua naeaaoaeunoao?o i iaiaoiaeiinoe nic-
aaiey iaeeeaoeaiuo i?ia?aii ?aaaeeeoaoee ?aea ii?aiieiaie
nenoaiu o eeeaeaaoi?ia.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 92-93.
ÂÎÇÌÎÆÍÎÑÒÈ ÐÅÀÁÈËÈÒÀÖÈÈ ÁÎËÜÍÛÕ
ÐÀÊÎÌÌÎËÎ×ÍÎÉ ÆÅËÅÇÛ ÏÐÈ
ÎÐÃÀÍÎÑÎÕÐÀÍßÞÙÅÌ ËÅ×ÅÍÈÈ È
ÏÓÒÈ ÅÅ ÑÎÂÅÐØÅÍÑÒÂÎÂÀÍÈß
A.A. Cieioeia, A.I. ?oeia, A.I. Aaeeeieoa, N.I. Anaoei,
O.N. Iiauyeiaa
A?oaiaaeuneee iaeanoiie iieieiae?aneee aeniaina?, A?oai-
aaeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey, A?oaiaaeune,
?inney
?ac?aaioaia e aiaa?aia a i?aeoeeo i?ia?aiia eiiieaeniiai
i?aaiinio?aiy?uaai ea?aiey aieuiuo ?aeii iiei?iie ?aeacu
e eo ineoinioeaeuiie ?aaaeeeoaoee, eioi?ay i?iaaaaia 90 aieu-
iui ?aeii iiei?iie ?aeacu I, IIA, IIA noaaee (iniiaiay a?oiia),
a 90 iaoeaioeai — iai?aaiinio?aiy?uaa ea?aiea. Iaoiaeea:
eiioaio?e?iaaiiue i?aaiia?aoeiiiue eo?n eo?aaie oa?aiee
?aciaie i?aaiaie aicie 5 A? a?aaiaaii ai noiia?iie i?aaiaie
aicu 25 A? n iineaao?uae ?aaeeaeuiie ?acaeoeae n eeioaaaiy-
eoiieae ?a?ac 24 ? iinea caaa?oaiey iaeo?aiey. Iiieii eo?a-
aie oa?aiee e oe?o?ae?aneiai aiaoaoaeunoaa aieuoeinoao aieu-
iuo iniiaiie e eiio?ieuiie a?oii i?iaaaaia aau?aaioiay oe-
ieioa?aiey oaiieneoaiii eee ii noaia OIO. Iyoeeaoiyy i?i-
aie?eoaeuiinou ?ecie i?e eiiieaeniie i?aaiinio?aiy?uae oa-
?aiee eiaea ianoi o 96,7%, i?e iai?aaiinio?aiy?uae — o
95,6% aieuiuo. ?aoeaeau iaia?o?aiu o 2,2% iaoeaioie iniia-
iie e o 2,2% — eiio?ieuiie a?oiiu. Eiiieaeniia i?aaiinio?a-
iy?uaa ea?aiea ii n?aaiaie? n iai?aaiinio?aiy?uei iicai-
eeei ainoiaa?ii nie?aoeou n?iee i?aauaaiey aieuiuo a noaoei-
ia?a: 28,8 e 59,3 eieei-aiy niioaaonoaaiii. I?aaiinio?aiy?-
uaa ea?aiea eiaao ianiiiaiiia i?aeiouanoai: iaiuoay o?aa-
iaoe?iinou, au?a?aiiue ineoieiae?aneee, ooieoeiiaeuiue e
einiaoe?aneee yooaeou, ooaa??aaiea noaoona a iauanoaa, ni-
e?auaiea aeeoaeuiinoe i?aauaaiey a noaoeiia?a e, eae neaano-
aea, yeiiiie?aneee yooaeo. E o?oaiaie aayoaeuiinoe aica?aua-
iu 93% iaoeaioie iaiaineiiiiai aic?anoa iniiaiie a?oiiu e
61% — eiio?ieuiie. Yenia?eiaioaeuiia ineoiaeaaiinoe?aneia
enneaaiaaiea iniaaiiinoae ee?iinoe aieuiuo ?aeii iiei?iie
?aeacu auyaeei aunieo? o?on?oaoeiiio? iaoiea?aioiinou,
oycaeiinou ii ioiioaie? ei iiiaei iauaeoeaii iai?aiaiee-
iui (eee oae noauaeoeaii eie aini?eieiaaiui) i?iaeaiai,
?oi aucuaaao ?oanoai ineoieiae?aneie iacaueuaiiinoe e canoa-
aeyao eo oeene?iaaouny ia naiicaueoa. Iineaaiaa au?a?aaony
a ia?ooaiee aaaaoaoeaiiai aaeaina, a ninoiyiee o?aai?iinoe, a
nioeaeuiie aacaaaioaoee. ?ac?aoaiea nioeaeuiuo e yiioei-
iaeuiuo i?iaeai ainoeaaaony ca n?ao aooiaa?annee e i?eiyoey
ioaaonoaaiiinoe ia naay. A neeo yoiai ianoiyoaeunoaa aicieeaao
iaiaoiaeiinou nioeaeuii-ineoieiae?aneie, a ia oieuei iaae-
oeineie ?aaaeeeoaoee, e i?ioeeaeoeee ineoiniiaoe?aneeo ni-
noiyiee.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 71.
ÈÌÌÓÍÍÀß ÐÅÀÁÈËÈÒÀÖÈß ÄÅÒÅÉ
Ñ ÍÅÕÎÄÆÊÈÍÑÊÎÉ ËÈÌÔÎÌÎÉ ÏÎÑËÅ
ÏÐÎÃÐÀÌÌÍÎÉ ÕÈÌÈÎÒÅÐÀÏÈÈ
A.A. Eenaeaa, E.A. Iaoiiiaa, A.A. Ai?aeia, C.A. Eaaaaeaca
IEE AIA IIO ?AII, Iineaa, ?inney
Ecaanoii, ?oi o aaoae n IOE enoiaii, ai ia?aea niaoeaeuii-
ai ea?aiey, eiaaony nie?aiea neioaca eioa?oa?iia, a oae?a ii-
eacaoaeae eeaoi?iiai e aoii?aeuiiai eiioieoaoa. A i?ioanna
eioaineaiie oeieioa?aiee yoe iieacaoaee aua aieaa nie?a?o-
ny, ?oi nii?iai?aaaony i?eniaaeiaieai e oneeaieai oy?anoe
ae?oniuo e aaeoa?eaeuiuo eioaeoee e a?oaeo inei?iaiee oe-
ieioa?aiee. N oaeu? eiioiiie ?aaaeeeoaoee aaoae n IOE iin-
ea i?ia?aiiiie oeieioa?aiee n 1990 a. a ioaaeaiee ceiea?ano-
aaiiuo eeioii o 150 aieuiuo i?eiaiyee i?aia?aou eioa?oa?i-
ia, oaeoeaei e ieaeiiea. Iinea eco?aiey eiioiiiai noaoona n
o?aoii ninoiyiey ?aaaiea e oy?anoe inei?iaiee i?iaiaeeanu
eiioiiay ?aaaeeeoaoey a oa?aiea 12 ian e aieaa.
Iniiaaieai aey i?eiaiaiey i?aia?aoia eioa?oa?iia a ni-
?aoaiee n oaeoeaeiii e ieaeiieaii auei nie?aiea iieacaoaeae
eeaoi?iiai e aoii?aeuiiai eiioieoaoa.
?aeiiaeiaioiue
?
-eioa?oa?ii (?aaoa?ii) iacia?aee a aica
1 iei. IA 1 ?ac a iaaae? aioo?eiuoa?ii. Oaeoeaei i?eiaiyee
a ?aciaie aica 100 iea 3 aiy iia?ya ea?aue ianyo iiaei?ii.
Ieaeiiea eniieuciaaee a aica 0,3 ia/ea 2-3 ?aca a nooee a oa?a-
iea 7-10 aiae. Oeeeu eiioiiei??aeoee iiaoi?yee iia eiio?i-
eai eiioiiiai noaoona a caaeneiinoe io eeeieei-eaai?aoi?iuo
iieacaoaeae.
Eniieuciaaiea eiioiiie ?aaaeeeoaoee o aaoae n IOE iicai-
eeei oiaiuoeou oy?anou oa?aiey eioaeoee e inei?iaiee oeiei-
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