ÂÎÇÌÎÆÍÎÑÒÈ ËÓ×ÅÂÎÉ ÒÅÐÀÏÈÈ
 ÏÀËËÈÀÒÈÂÍÎÌ ËÅ×ÅÍÈÈ
ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÁÎËÜÍÛÕ
A.A. Aieei, N.E. Aa?uyeiaa
Iineianeee iao?ii-enneaaiaaoaeuneee iieieiae?aneee
einoeooo ei. I.A. Aa?oaia, Iineaa, ?inney
Ainoe?aiey eeeie?aneie ?aaeiaeieiaee, o?iaaiu ?aaeioa?a-
iaaoe?aneie oaoieee iineaaiaai iieieaiey, ?acaeoea iiauo yo-
oaeoeaiuo iaoiaia i?ioeaiiiooieaaiai aicaaenoaey (eaca?iay,
oioiaeiaie?aneay oa?aiey e a?.), oe?ieia aiaa?aiea iee?ioe-
?o?ae?aneeo oaoiieiaee a iieieiae?aneea e ieanoe?aneea iia?a-
oee i?eioeieaeuii iiaeeyee ia eaaieiae? a ii?aaaeaiee iiea-
caiee e iaeeeaoeaiiio ea?aie? a oaeii e nouanoaaiii eciaie-
ee no?aoaae? e oaeoeeo iaeeeaoeaiie eo?aaie oa?aiee.
Kieeaeoeaiue eeeie?aneee iiuo oaaaeoaeuii aieacuaaao oa-
eaniia?aciinou i?eiaiaiey oe?ieiai a?naiaea ?aaeiiiaeoe-
oe?o?ueo n?aanoa, iai?aaeaiiuo ia oneeaiea iia?a?aaiey
iiooiee e/eee caueoo ii?iaeuiuo oeaiae, e ?aaeecaoe? aicii-
?iinoae ?aaeioa?aiaaoe?aneie oaoieee ii niiniaai iiaaaaa-
iey aicu (aenoaioeiiiia, a?aoeoa?aiey) e aeaai eceo?aiee ia
oieuei i?e iaeo?aiee ii ?aaeeaeuiui i?ia?aiiai, ii e i?e
iaeeeaoeaiii ea?aiee.
Oaeie iiaoia iicaieyao aa?a o iaoeaioia, ?aiaa ioiinea-
oeony e eaoaai?ee iaeo?aaaeuiuo, nouanoaaiii ?anoe?eou ii-
eacaiey e i?ioeaiiiooieaaiio ea?aie?, ainoe?u noieeie e aee-
oaeuiie ?aiennee, a a ?yaa neo?aaa e ecea?aiey.
A yoie nayce o?aaoao iniaie ioaaonoaaiiinoe ioaiea yooae-
oeaiinoe ia yoaiao iaeeeaoeaiiai ea?aiey, ?oiau ia oionoeou
aicii?iinou ?aaeeciaaou ?aaeeaeuio? i?ia?aiio eiina?aa-
oeaiiai ea?aiey eee iia?aoee.
Iu ?aniieaaaai iaae?aaieyie ca 165 aieuiuie ?aeii
neecenoie iaiei?ee e i?aaiia iieinoe ?oa e 60 aieuiuie ?aeii
ieuaaiaa, o eioi?uo ecia?aeuii n o?aoii ?ani?ino?aiaiiinoe
i?ioanna ieaie?iaaeinu iaeeeaoeaiia eo?aaia ea?aiea.
Ianiio?y ia iaeeeaoeaiue oa?aeoa? i?ioeaiiiooieaaiai aic-
aaenoaey i?e eo?aaii ea?aiee eniieuciaai aa?eaio iiee?aaei-
iiaeoeeaoee: iao?aaeoeiiiia o?aeoeiie?iaaiea aicu eiiece-
?o?uaai eceo?aiey (noaia aeiaie?aneiai o?aeoeiie?iaaiey) e
eaea?noaaiiua i?aia?aou: 5-ooi?o?aoee (neio?iiecaoi? iiooi-
eaauo eeaoie) e ieaoeia (eiaeaeoi? ?aia?aoee). Iieo?aiiue yo-
oaeo iinea ia?aie iieiaeiu eo?na oeieieo?aaiai ea?aiey a
NIA 30 A? (yea. 36 A?) iicaieee ia?aniio?aou ecia?aeuiue ieai:
o 53,91% aieuiuo eiina?aaoeaiia ea?aiea i?iaie?aii ii ?aae-
eaeuiie i?ia?aiia, o 24,47% auiieiaiu ?aaeeaeuiua iia?aoee.
Iieiay ?aienney ioia?aia o 56,37%, ?anoe?iay (aieaa 50%) — o
27,4% aieuiuo; 3-eaoiyy au?eaaaiinou ninoaaeea 72,4%.
O anao 60 aieuiuo ?aeii ieuaaiaa ecia?aeuii iiooieu i?e-
ciaia ia?acaeoaaaeuiie. N o?aoii i?ioeaiiiooieaaiai yooaeoa
iinea ia?aie iieiaeiu oeieieo?aaiai ea?aiey o 42 iaoeaioia
auiieiaia oe?o?ae?aneay iia?aoey: o 27 — oneiaii-?aaeeaeu-
iay, o 5 — iaeeeaoeaiay, o 10 — yneiei?aoeaiay.
Iniaaiii neaaoao ioiaoeou, ?oi a 65,5% iaae?aaiee onoaii-
aeaia III-IV noaiaiu eo?aaiai iaoiii?oica a ia?ae?iie iiooiee
e iaoanoacao.
Aieuiui ?aeii o?aoae n oioaeuiui ii?a?aieai iaiiai eee
aaoo aeaaiuo a?iioia n au?a?aiiui noaiicii i?aeoe?anee ii-
anaianoii ioeacuaa?o a i?iaaaaiee e?aiai aa?eaioa i?ioeai-
iiooieaaiai ea?aiey. Aianoa n oai i?eaea?aiea eaca?iie oaoie-
ee n oaeu? ?aeaiaeecaoee iiooiee, yiaia?iioeaeuiia e aenoai-
oeiiiia iaeo?aiea, i?iaiaeiua a ?acee?iie iineaaiaaoaeuii-
noe, iaania?eee aieaa 80% iaeeeaoeaiiai ecea?aiey.
Yiaia?iioeaeuiia iaeo?aiea ia?aaei yaeyaony aaeinoaai-
iui aa?eaioii iaeeeaoeaaiie iiiiue o aieuiuo n ?aoeaeaaie
?aea o?aoae e a?iioia, iinea eiiaeie?iaaiiiai eee eo?aaiai
ea?aiey.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1999,
Aioaeey, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1999, n. 39.
ÖÅËÅÑÎÎÁÐÀÇÍÎÑÒÜ ËÓ×ÅÂÎÃÎ ËÅ×ÅÍÈß
ÌÅÒÀÑÒÀÒÈ×ÅÑÊÎÃÎ ÏÎÐÀÆÅÍÈß ÏÅ×ÅÍÈ
ÏÐÈ ÐÀÊÅ ÏÐßÌÎÉ ÊÈØÊÈ
A.A. Aa?aiei, A.A.Iaaaeeiaa, A.A.Nie?iia, ?.I.?aniieia
Ai?ianeie iieieiae?aneee aeniaina?,
Iaeanoiie iieieiae?aneee aeniaina?, ?aeyaeine, ?inney
Ai iaaaaieo ii? iaoanoaoe?aneia ii?a?aiea ia?aie ?annia-
o?eaaeinu eae iaoieiaey, ia iiaea?auay ea?aie?. Nia?aiai-
iua iieieiae iuoa?ony ii?iaa?aioou nei?eaoaany iiaiea, oi-
oy ?anno?aaiey aaoi?ia ?anoi iinyo i?ioeai?a?eaue oa?aeoa?.
O?oaii iaeoe a?aieoo ia?ao ?aeaieai iiii?u iaoeaioo e ?a-
aeuiie iieucie, eioi?o? iu ii?ai aio i?eianoe.
Oe?o?ae?aneia ea?aiea i?e eciee?iaaiiii ii?a?aiee i?aa-
ia ia i?eiineo ?aeaaiuo ?acoeuoaoia, iineieueo ?a?ac 1—2 ian
i?ioann ia?eiaao auyaeyouny a inoaaoaeny ia?aioeia ia?aie.
Eaea?noaaiiay oa?aiey cao?oaiaia ec-ca enoiaiie ia?aii?iie
iaainoaoi?iinoe e ?anoi i?eaiaeo e oooaoaie? ninoiyiey aieu-
iiai. Aey i?eiaiaiey eo?aaie oa?aiee oae?a i?eoiaeony ?a-
oaou ?ya nei?iuo aii?inia: eaeei ia?acii, n eaeeie ?aciau-
ie aicaie e ai eaeeo noiia?iuo aic i?iaiaeou iaeo?aiea?
Kaeea iiai?iua ?aaeoee, a eaeea n?iee eo i?eaaou e eae n ieie
ai?iouny?
A iaoae eeeieea enoiay, ec caeiiiia?iinoae aaiaoiaaiiiai
iaoanoace?iaaiey a ia?aiu i?e ?aea i?yiie eeoee, ia ia?aii
yoaia iaeo?aaony aanu i?aai. Ea?aiea i?iaiaeony aaoiy i?yiu-
ie i?ioeaiea?aueie iieyie. ?aciaay aica 1,6 — 2,0 A?. Noiia?-
iay aica ninoaaeyao 18-20 eci A?. A ?yaa neo?aaa, eiaaa iieiinou?
?ac?ooa?ony ana i?aae e?iia iaiiai-aaoo iaeaieaa e?oiiuo,
i?iaiaeony eo eieaeuiia iaeo?aiea ai NIA 35-45 eci A?.
Eo?aaua ?aaeoee ?aua anaai iiyaeyeenu iinea NIA 10-15
eci A? e i?iyaeyeenu a aeaa oioiiou, ?aiou, anoaiecaoee, aeii-
oiiee, eaeeiiaiee o 8% aieuiuo. Koie?iaaeenu i?inouie e ec-
aanoiuie ia?aie. Eo?aaiai aaiaoeoa iu ia iaae?aaee.
Iaie i?iaaaaii ea?aiea 59 aieuiui. Yooaeoeaiinou ea?a-
iey i?iyaeyeanu noeoaieai aieaaiai neia?iia. Ec 12 iaoeai-
oia, o eioi?uo ii iaae?aaeny, 8 ioeacaeenu iieiinou? io iaac-
aieeaaiey. ?aoeaeaia aiee iu ia iaae?aaee. I?aae ii?a?aiey
?acia?ii ai 10 ii ?aci?ae?iaaeenu iieiinou? o 82% (48) ia-
oeaioia. Iaoanoacu aieuoeo ?acia?ia aieaa ?ai ia 50% ?ac?o-
oeeenu o 61% (36) aieuiuo. Aeaeiie ?aci?aoee iaoanoacia iu
ia iaae?aaee o 11% (6) iaoeaioia. O aieuoae ?anoe iaoeaioia
(79%) iaoanoaoe?aneee i?ioann iaoiaeeny a noaaee ?aiennee a
oa?aiea 6-18 ian.
Iiaaiay eoia iaiaoiaeii ioiaoeou, ?oi eo?aaay oa?aiey ia-
oanoaoe?aneiai ii?a?aiey ia?aie i?e ?aea i?yiie eeoee yaey-
aony iaoiaii auai?a iaeeeaoeaiiai ea?aiey aieuiuo aaiiie
eaoaai?ee.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1999,
Aioaeey, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1999, n. 43-44.
ÂÎÇÌÎÆÍÎÑÒÈ ËÓ×ÅÂÎÉ ÒÅÐÀÏÈÈ
ÏÐÈ ÍÅÎÏÅÐÀÁÅËÜÍÎÌ ÐÀKÅ ÆÅËÓÄKÀ
I.?. Aaeueia, A.A. Cieioeia, N.I. Anaoei, A.?. Kaeaoieeia
Ainoaa?noaaiiay iaaeoeineay aeaaaiey,
Iaeanoiie eeeie?aneee iieieiae?aneee aeniaina?,
A?oaiaaeune, ?inney
Eo?aaay oa?aiey i?e iaiia?aaaeuiii ianoii-?ani?ino?a-
iaiiii ?aea ?aeoaea i?eiaiyaony ?aaei a nayce n ?ani?ino?a-
iaiiui iiaieai i ?aaei?acenoaioiinoe ?aeacenoiai ?aea, o?o-
aiinoyie aiceiao?e?aneiai ieaie?iaaiey, naycaiiuie n ini-
aaiiinoyie ?ani?ino?aiaiey iiooiee, iiaae?iinou? i?aaia.
Oai ia iaiaa iaeo?aiea inoaaony iineaaiae ia?ie iiiiue oea-
caiiie eaoaai?ee aieuiuo. Eo?aao? oa?aie? i?e iaiia?aaaeu-
iii ?aea i?ieneiaeuiuo ioaaeia ?aeoaea ai An 60-70 A? i?iaa-
444
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