ea?aiea, oae eae n?aaiyy au?eaaaiinou aieuiuo en?eneyaony
ianyoaie e iaaaeyie.
I?iaaaai aiaeec ?acoeuoaoia ea?aiey 210 aieuiuo iaaeooa-
?aioe?iaaiiui ?aeii eaaeiai n ii?oieiae?anee aa?eoeoe?i-
aaiiui aeaaiicii a iaeanoiii eeeie?aneii iieiaeniaina?a
A?oaiaaeunea n 1991 ii 1996 a. ?aua anaai i?eiaiyee oeieieo-
?aao? oa?aie? (OEO) — o 78 iaoeaioia, oeieioa?aie? (XT) — o
10, eo?aao? oa?aie? (EO) — o 27, a oae?a eiiaeie?iaaiiia ea-
?aiea — o 8 ?aeiaae, ?aaeeaeuiay iia?aoey (iiaaiii- eee eiay-
eoiiey) n aau?aaioiie XT — o 28, iaiaau?aaioiay XT n ?aae-
eaeuiie iia?aoeae — o 3, oieuei ?aaeeaeuiay iia?aoey — o 10
aieuiuo. A i?ioanna ea?aiey iaoiayony 46 aieuiuo.
Aieuiua a I, II e III noaaeyo iiooieaaiai i?ioanna, eioi?ui
i?iaiaeee OEO, XT, EO, eiaee i?ioeaiiieacaiey aey iia?aoee
(nie?aiea ooieoee aiaoiaai auoaiey, oy?aeua niioonoao?uea
caaieaaaiey, aaeiiiainaoey).
N?aaiyy au?eaaaiinou iaoeaioia i?e OEO ninoaaeea: a I
noaaee — 14 ian (2 ?aeiaaea ?eau aieaa 2 eao), ai II noaaee —
16,5 ian (1 iaoeaio ?ea aieaa 2 eao e 1 — aieaa 3 eao), a III noa-
aee — 12,1 ian, a IV noaaee — 7,3 ian. 6 aieuiuo a III noaaee i?i-
?eee 14, 14, 15, 15, 17 e 60 ian (iineaaiee ?ea e iiiuia). A IV
noaaee iiooieaaiai i?ioanna 2 ?eee 8 e 12 ian.
Iinea ?aaeeaeuiie iia?aoee e aau?aaioiie XT n?aaiyy au-
?eaaaiinou ninoaaeea: a I noaaee — 15 ian, ai II noaaee — 25
ian (1 aieuiie ?ea 23 ian e aua 1 ieiei 7 eao) e a III noaaee —
12,6 ian.
I?e iaaicii?iinoe i?iaanoe aieuiui EO, oieuei n iiiiuu?
XT oaaeinu i?iaeeou ?eciu i?e II noaaee — ai 16 ian (1 aieuiie
?eaao 27 ian), i?e III noaaee — ai 3,4 ian, i?e IV noaaee — ai
13,7 ian (ca n?ao au?eaaaiinoe 1 aieuiiai, i?i?eaoaai 3 aiaa).
I?e i?eiaiaiee eeanne?aneie EO, eae aaeinoaaiiiai iaoiaa
ea?aiey, n?iee ?ecie cia?eoaeuii ie?a: 2-3 ian a III e II noaae-
yo e 6,8 ian a I noaaee.
Iinea ?aaeeaeuiie iia?aoee (aac XT e EO) n?aaiyy au?e-
aaaiinou ninoaaeea: i?e I noaaee — 17 ian, II noaaee — 18 ian
(1 aieuiie ?ea aieaa 2 eao), i?e III noaaee — 20 ian (1 aieuiie
?ea 2 aiaa e 1 — aieaa 3 eao).
I?e i?iaaaaiee XT i?eiaiyee noaiaa?oiua noaiu NAO,
NAI, AAN (oeeeioinoai, aa?eaaeanoei, aeie?enoei, iaoio?ae-
nao, yoiiicea). I?e EO eniieuciaaee eeanne?aneia iaeo?aiea (ii
2 A? a?aaiaaii 5 o?aeoee a iaaae? ai NIA 52 — 60 A? ia ia?-
ae?io? iiooieu e NIA 44 — 48 A? ia ?aaeiia?iua eei-
oaoe?aneea oceu) eeai onei?aiiia o?aeoeiie?iaaiea (ii 2,5 A?
2 ?aca a aaiu ?a?ac aaiu ai NIA 47,5 A?). ?acoeuoaou iineaaia-
ai ia iian?eoaiu.
Auaiau
1. O?eouaay aicii?iinou oaaee?eou iieacaoaee au?eaaa-
iinoe i?e iaaeooa?aioe?iaaiiuo oi?iao ?aea eaaeiai ca n?ao
XT e EO, iaiaoiaeii ia?aie?eou i?ioeaiiieacaiey e iei.
2. Oaeaniia?acii i?iaie?eou eco?aiea niaoeaeuiuo iaoi-
aia ea?aiey iaaeooa?aioe?iaaiiiai ?aea eaaeiai: ?aaeeaeu-
iay iia?aoey n aau?aaioiie XT e n iaiaau?aaioiie XT; iiaua
eiiaeiaoee nia?aiaiiuo oeieii?aia?aoia a ni?aoaiee n ia-
o?aaeoeiiiuie iaoiaeeaie EO.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1997,
?eoa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 1997, ¹ 2, n. 18-19.
ÍÅÏÎÑÐÅÄÑÒÂÅÍÍÛÅ È ÎÒÄÀËÅÍÍÛÅ
ÐÅÇÓËÜÒÀÒÛ ÏÎËÈÕÈÌÈÎÒÅÐÀÏÈÈ
 ÓÑËÎÂÈßÕ ÎÁÙÅÉ ÓÏÐÀÂËßÅÌÎÉ
ÃÈÏÅÐÒÅÐÌÈÈ Ó ÁÎËÜÍÛÕ ÄÈÑÑÅÌÈÍÈ-
ÐÎÂÀÍÍÛÌ ÐÀÊÎÌÌÎËÎ×ÍÎÉ ÆÅËÅÇÛ
E.A. Ei?ieaaa
Ie?aai?ianeay iaaeoeineay aeaaaiey, eaoaa?a eo?aaie
aeaaiinoeee e eo?aaie oa?aiee n eo?nii iieieiaee
?enei aieuiuo ?aeii iiei?iie ?aeacu iinoiyiii oaaee?e-
aaaony. A?aaiaii a noaae? aennaieie?iaaiiiai i?ioanna ia?a-
oiayo 30-40% ?aiaa ?aaeeaeuii iia?e?iaaiiuo aieuiuo. Oe-
ieieo?aaia ea?aiea aieuiuo aennaieie?iaaiiui ?aeii iiei-
?iie ?aeacu iicaieyao ainoeaioou iauaeoeaiiai yooaeoa (?anoe-
?iay + iieiay ?aa?anney) o 25 — 80% iaoeaioie a caaeneiinoe
io eieaeecaoee e ?ani?ino?aiaiiinoe iaoanoacia, ninoiyiey ?a-
i?iaoeoeaiie ooieoee aieuiuo, i?eiaiaiey oao eee eiuo ?a?e-
iia eo?aaie e eaea?noaaiiie oa?aiee. Iaaeaia au?eaaaiinoe
aieuiuo, o eioi?uo iauaeoeaiue yooaeo ia aue ainoeaioo, ei-
eaaeaony io 4 ai 12 ian.
Iauay aeia?oa?iey yaeyaony iiaeoeoe?o?uei oaeoi?ii,
niiniaiui oneeeou i?ioeaiiiooieaaia aaenoaea oeieii?aia?a-
oia e aa?a i?aiaieaou eaea?noaaiio? onoie?eainou.
Iaie i?iaaaaia iieeoeieioa?aiey a oneiaeyo iauae auni-
ei?anoioiie oi?aaeyaiie aeia?oa?iee 100 aieuiui aennaieie-
?iaaiiui ?aeii iiei?iie ?aeacu. Aic?ano aieuiuo eieaaaeny
io 31 aiaa ai 59 eao, n?aaiee aic?ano — 45,7 aiaa. Anai aieuiui
auei ?aiaa i?iaaaaii ?aaeeaeuiia ea?aiea ia?ae?iie iiooiee
iiei?iie ?aeacu. O 29 aieuiuo aennaieiaoey auea auyaeaia a
ia?eia iaiaa 1 aiaa iinea ?aaeeaeuiie iia?aoee, o 62 iaoeai-
oie aennaieiaoey auyaeaia a n?ie io 1 ai 5 eao, o 9 iaoeaioie
— aieaa 5 eao. O 50 aieuiuo auee iaoanoaoe?aneea ii?a?aiey
einoae, o 30 aieuiuo — aenoa?aeuiua iaoanoacu, o 20 aieuiuo
auee aaia?aeeciaaiiua iaoanoacu (ii?a?aiea ia iaiaa 3 ?ac-
ee?iuo i?aaiia). Iaino?oaeuiue oeee aue nio?aiai o 47 aieu-
iuo, iaiiiaoca ai 5 eao auea o 41, a iaiiiaoca nauoa 5 eao — o
11 iaoeaioie. Anai aieuiui iinea auyaeaiey aennaieiaoee
i?iaiaeeinu io 2 ai 12 eo?nia iieeoeieioa?aiee. O anao aieu-
iuo ia oiia i?iaiaeiie oeieioa?aiee i?iaie?aeinu i?ia?an-
ne?iaaiea caaieaaaiey.
Iauay auniei?anoioiay aeia?oa?iey inouanoaeyeanu ia on-
oaiiaea «Yiiia» n yeaeo?iiaaieoiui eceo?aieai ?anoioie
13,56 IAo. Naain i?iaiaeeny a oneiaeyo aianoaceieiae?aneie
caueou iia ia?eicii n EAE e ei??aeoeae aiaii-yeaeo?ieeoii-
ai aaeaina. Ainoeaaeanu oaiia?aoo?a 42,5 — 43°N ii ?aeoaeuii-
io aao?eeo, a?aiy yeniiceoee aaiiie oaiia?aoo?u ninoaaeyei
80-100 ieioo. Ai a?aiy naaina i?iaiaeeanu e?aieioa?aa?aeu-
iay aeiioa?iey. Ia aunioa ?acia?aaa aaiaeeenu neaao?uea oe-
ieii?aia?aou: aa?eaaeanoei 40 ia/i
2
, oeeeioinoai 600 ia/i
2
,
iaoio?aenao 20 ia/i
2
, ooi?o?aoee 500 ia/i
2
. Eioa?aae ia?ao
naainaie aeia?oa?iee n oeieioa?aieae ninoaaeye 4 iaa. Aieu-
iui i?iaiaeeinu io 1 ai 6 naainia.
Iauaeoeaiue yooaeo (iieiay + ?anoe?iay ?aa?anney) aue ii-
eo?ai o 55 aieuiuo (a oii ?enea o 19 aieuiuo iieo?aia iieiay
?aa?anney), noaaeeecaoey — o 25 aieuiuo e i?ia?anney caaiea-
aaiey — o 20 aieuiuo. Noauaeoeaiue yooaeo a aeaa eoie?iaa-
iey aiee, oiaiuoaiey iauoee e oeo?oaiey iauaai ninoiyiey
aue ainoeaioo o 81 aieuiie.
3-eaoiyy au?eaaaiinou iacaaeneii io iaiin?aanoaaiiiai
?acoeuoaoa ninoaaeea 30,3±4,6%. 3-eaoiyy au?eaaaiinou aieu-
iuo, o eioi?uo auea iieo?aia iieiay ?aa?anney, — 63,1 ±10,4%
(iaaeaia au?eaaaiinoe 40,8±4,2 ian), ?anoe?iay ?aa?anney —
o 44,2±8,2% (iaaeaia au?eaaaiinoe 23,4±2,3 ian), noaaeeeca-
oey — o 9,7±6,6% (iaaeaia au?eaaaiinoe 11,4±2,7 ian). Iaaea-
ia au?eaaaiinoe aieuiuo, o eioi?uo i?iaie?aeanu i?ia?anney
caaieaaaiey, ninoaaeea 5,3±0,4 ian.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1997,
?eoa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 1997, ¹ 2, n. 29.
ÎÖÅÍÊÀ ÝÔÔÅÊÒÈÂÍÎÑÒÈ ÏÐÈÌÅÍÅÍÈß
ÄÎÊÑÎÐÓÁÈÖÈÍÀ Â ÂÈÄÅ ÊÎÌÏËÅÊÑÀ
Ñ ÍÀÒÈÂÍÎÉ ÄÍÊ
A.?. Iaeuieeia, Y.A. Oaeiaeia
O?aeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey, Aeaoa?eiao?a
E iiiaioo aaia?aeecaoee ?aea iiei?iie ?aeacu a eaaeea,
iaaeanoeiaeuiua eeioaoe?aneea oceu eee einoiue iica aicii-
?iinoe iieeoeieioa?aiee o?a en?a?iaiu ec-ca oaiaoaiey eaeei-
501
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