Noaiaa?oii ieaie?oaony iineaaiaaoaeuiia iaeo?aiea 5 iaua-
iia (eaaay e i?aaay iieiaeia oaca, 3 ioaaea iicaiii?ieea). Oi-
oaeuiia iaeo?aiea aeneaeuiiai neaeaoa e einoae oaca iainiiau-
aaaony i?aeiouanoaaiii aaiiciui iooai aaiaoiaaiiiai iaoa-
noace?iaaiey ?aea iiei?iie ?aeacu e iniaaiiinoyie aaiiciie
nenoaiu iicaiii?ieea. Iia iaae?aaieai iaoiaeeanu 31 iaoe-
aioea. O anao eiaeinu iii?anoaaiiia ii?a?aiea iicaiii?ieea
e (eee) einoae oaca. Iaia?aiio? i?ia?aiio iaeo?aiey ia oaa-
einu ?aaeeciaaou 2 aieuiui, aua a 2 neo?ayo iio?aaiaaeenu ia-
?a?uau, iaoneiaeaiiua aaiiaai?anneae e au?a?aiiie iauae
eo?aaie ?aaeoeae.
N?iee iaae?aaiey ninoaaeee 3-30 ian. Ca yoi a?aiy oia?ee
6 iaoeaioie, ?eau — 25. A 100% neo?aaa oaaeinu ainoe?u iieii-
ai eee cia?eoaeuiiai iaacaieeaa?uaai yooaeoa. O ?anoe aieu-
iuo, a iniiaiii o oao, eiio ia i?iaiaeee iinea iaeo?aiey iiee-
oeieioa?aie?, eiaeinu aaeuiaeoaa i?iyaeaiea iiooieaaie ae-
oeaiinoe a ?acee?iuo i?aaiao e oeaiyo, ii oieuei ia a neaeaoa.
Noeioea?aoe?aneee eiio?ieu aa?eoeoe?iaae iiei?eoaeuio?
aeiaieeo ninoiyiey ii?a?aiiuo einoae o anao aieuiuo. ?aiiea
ianoiua eo?aaua ?aaeoee iaae?aaeenu a aeaa i?aoiayueo eo-
?aauo oenoeoia, ?aeoeoia, ycioaaeoia. Eaeie-eeai e?eoe?iinoe
yoio oaeoi? ia eiae. Iicaiea eo?aaua iia?a?aaiey ei?e ?ac-
aeeenu o 1 iaoeaioee.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
¹ 2-3, 1998, n. 98.
ÌÅÒÎÄ ËÅ×ÅÍÈß ÖÈÑÒÈÒÀ  ÏÐÎÖÅÑÑÅ
ËÓ×ÅÂÎÉ ÒÅÐÀÏÈÈ ÏÐÈ PAKE
ÏÐÅÄÑÒÀÒÅËÜÍÎÉ ÆÅËÅÇÛ
A.E. Aaiia, N.A. Aa?eaiia
Iao?ii-i?aeoe?aneia iauaaeiaiea «Aeoaeneee iieieiae?aneee
oaio?», Aa?iaoe, ?inney
Eo?aaay oa?aiey a ianoiyuaa a?aiy yaeyaony iaoiaii auai-
?a i?e ?aea i?aanoaoaeuiie ?aeacu. Iyoeeaoiyy au?eaaaiinou
iinea ?aaeeaeuiiai eo?na eo?aaie oa?aiee o aieuiuo ?aeii
i?aanoaoaeuiie ?aeacu I-II noaaee ninoaaeea 68-90%.
Ii aaiiui eeoa?aoo?u ?aci?aoee ia?ae?iie iiooiee oaaaony
aiaeouny o 87% aieuiuo i?e I-II noaaee caaieaaaiey.
Eo?aaay oa?aiey ia nii?y?aia n ?eneii ?acaeoey ?yaa inei-
?iaiee ni noi?iiu na?aa?ii-ninoaenoie nenoaiu, eioi?ua ia-
ae?aa?ony i?e aieaia?aiaiiie ai?iiiioa?aiee. Ioaaeaiiua
?acoeuoaou ea?aiey ei??aee?o?o n oaeiauie iinea i?iaaaaiiie
?anoe?aiiie i?inoaoyeoiiee.
Iniiaiui iaiin?aanoaaiiui inei?iaieai i?e eo?aaie oa-
?aiee ?aea i?aanoaoaeuiie ?aeacu yaeyaony eo?aaie oenoeo.
O 75% iaoeaioia ?acaeaa?ony ?aiiea eo?aaua oenoeou a
i?ioanna ea?aiey, ?oi i?eaiaeo e aeeoaeuiui ia?a?uaai a
i?ioanna iaeo?aiey, a ii?ie e e ioeaco io aaeuiaeoaai eo?aai-
ai ea?aiey.
I?iaiaeece?iaaa aaiiua oaeou, iu i?eoee e caee??aie?,
?oi iaiaoiaeii ia?eiaou ea?aiea ai iiyaeaiey ia?auo neiioi-
iia eo?aaiai oenoeoa.
N oaeu? i?ioeeaeoeee aaiiiai inei?iaiey iu eniieuciaaee
aaaaaiea a ii?aaie iocu?u ?anoai?ia aeieneaeia e aeiaeneaa.
I?eiaiyeanu iaoiaeea, i?e eioi?ie iinea 7-ai naaina eo?aaie
oa?aiee aaiaeee a ii?aaie iocu?u nianu ec 1% ?anoai?a aeie-
neaeia — 20,0 ie e 5% ?anoai?a aeiaeneaa — 20,0 ie. Ea?aiea
i?iaiaeeinu a?aaiaaii iinea naaina eo?aaie oa?aiee: nianu
aaiaeee ca iaei ?ac, yeniiceoey 40 iei.
Iienaiiue aa?eaio eniieuciaai o 12 iaoeaioia, ie o iaiiai
ec ieo ia auei iaiaoiaeiinoe i?a?uaaiey eo?na eo?aaie oa?a-
iee ec-ca au?a?aiiuo yaeaiee eo?aaiai oenoeoa. Ai a?aiy ea?a-
iey ia auei iaino?aiey o?iie?aneiai ieaeiiao?eoa.
I?e eiio?ieuiii iniio?a ?a?ac 3 ian yaeaiee eo?aaiai oen-
oeoa o iaoeaioia ia auyaeaii.
Oaeei ia?acii, i?eiaiaiea aeiaeneaa e aeieneaeia i?aao-
i?a?aaao ?acaeoea ?aiiaai eo?aaiai oenoeoa a i?ioanna iaeo?a-
iey, ?oi iaeaa?aao i?ioi?aaiea eo?na eo?aaie oa?aiee, i?aaoi-
?a?aaao ?acaeoea iinoeo?aaiai oenoeoa iinea eo?na eo?aaie oa-
?aiee.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
¹ 2-3, 1998, n. 76.
ÏÐÈÌÅÍÅÍÈÅ ÑÀÌÀÐÈß-153 — ÎÊÑÀÁÈÔÎÐÀ
ÄËß ÏÀËËÈÀÒÈÂÍÎÃÎ ËÅ×ÅÍÈß ÁÎËÜÍÛÕ
Ñ ÌÅÒÀÑÒÀÒÈ×ÅÑÊÈÌ ÏÎÐÀÆÅÍÈÅÌ
ÊÎÑÒÅÉ (ÏÅÐÂÛÉ ÎÏÛÒ ÊËÈÍÈ×ÅÑÊÎÃÎ
ÏÐÈÌÅÍÅÍÈß)
A.?.A?icaianeee, A.A.E?ueia, A.I.Iaaaaaaa, N.E.Ai?iauaaa
Iaaeoeineee ?aaeieiae?aneee iao?iue oaio? ?AII, Iaieine,
?inney
Iaoanoaoe?aneia ii?a?aiea einoae i?e ?aea eaaeiai, iiei?-
iie ?aeacu, i?aanoaoaeuiie ?aeacu e a?oaeo i?aaiia nii?iai-
?aaaony, eae i?aaeei, neeuiui aieaaui neia?iiii. Iaaeea-
iaioiciua aiaeuaaoeee, aee??ay ia?eioe?aneea, ca?anoo? auaa-
?o iaainoaoi?ii yooaeoeaiuie. Noieeee e aeeoaeuiue yooaeo
eia?o ?acee?iua aeau eo?aaie oa?aiee. I?e iii?anoaaiiuo
iaoanoacao iaeaieaa ia?niaeoeaiui yaeyaony i?eiaiaiea ea-
?aaiuo ?aaeioa?ii?aia?aoia, eia?ueo o?iiiinou e iaoanoaoe-
?aneei i?aaai a einoyo.
5 aieuiui ?aeii iiei?iie ?aeacu e 1 ?aeii eaaeiai n iii-
?anoaaiiuie iaoanoacaie a einoyo aue aaaaai aioo?eaaiii ea-
iaeuii ?aaeioa?ii?aia?ao Naia?ee-153 — ienaaeoi? aeoeaii-
nou? io 35 ai 55 iEu (ec ?an?aoa 0,75 iEu ia 1 ea). O anao aieu-
iuo auee i?iaaaaiu ?aaeiiao?e?aneea enneaaiaaiey ii?e,
noeioea?aoey neaeaoa (a aeiaieea), ?aioaaiieiae?aneea, eaai-
?aoi?iua e iauaeeeie?aneea enneaaiaaiey. Iaia?o?aii, ?oi a
oa?aiea ia?auo nooie n ii?ae auaiaeony 35-40% aeoeaiinoe, in-
oaeuiia oeene?oaony a einoyo, i?aeiouanoaaiii a iaoanoaoe?a-
neeo i?aaao, aaa ca?aaeno?e?iaai iiauoaiiue caoaao ?aaeiioe-
eeaa (a 2 — 2,5 ?aca auoa, ?ai a neiiao?e?iuo cai?iauo o?a-
noeao). Oiaiuoaiea aiee ioia?aii ?a?ac 4—7 noo iinea aaaaa-
iey. Ieaeioiene?aneee yooaeo ia iaia?o?ai.
Oaeei ia?acii, ?aaeioa?ii?aia?ao Naia?ee-153 — ienaae-
oi? yaeyaony ia?niaeoeaiui aey yooaeoeaiie iaeeeaoeaiie oa-
?aiee i?e iii?anoaaiiuo iaoanoaoe?aneeo ii?a?aieyo einoae.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
¹ 2-3, 1998, n. 97.
ÍÅÒÐÀÄÈÖÈÎÍÍÎÅ ÔÐÀÊÖÈÎÍÈÐÎÂÀÍÈÅ
ÄÎÇÛ Â ÏÀËËÈÀÒÈÂÍÎÌ ËÓ×ÅÂÎÌ ËÅ×ÅÍÈÈ
ÁÎËÜÍÛÕ ÐÀÊÎÌ ÏÐßÌÎÉ ÊÈØÊÈ
A.A.Eaiaoia, A.O.Nieoui, A.A.Cieioeia, A.I.Aaeeeieoa
A?oaiaaeuneee iaeanoiie eeeie?aneee iieieiae?aneee aeniaina?,
A?oaiaaeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey,
A?oaiaaeune, ?inney
I?iaeaia iaeeeaoeaiiai ea?aiey aieuiuo ianoii-?ani?i-
no?aiaiiuie e aaia?aeeciaaiiuie oi?iaie ?aea i?yiie
eeoee yaeyaony a ianoiyuaa a?aiy e?aeia aeooaeuiie. Ia oi-
ia aaia?aeecaoee i?ioanna, au?a?aiiuo aieaaiai e eioiene-
eaoeiiiiai neia?iiia, oy?aeie niioonoao?uae iaoieiaee ino-
?i anoaao aii?in i aicii?iinoe aieaa iieiiai oeo?oaiey ea-
?anoaa ?ecie oaeeo aieuiuo iin?aanoaii i?iaaaaiey iaeeea-
oeaiiai eo?aaiai ea?aiey ii iao?aaeoeiiiui noaiai. A A?-
435
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