cia?aiiuo a?a?ii iaieioeyoee eee i?ioaao?. Iia noaiiaeony
ia?aaei aiaa?eoaeuiui eeoii iaoeaioa ii eaeei-oi aii?inai,
i?e?ai eiiaaa oieuei nano?a ii?ao iiii?u aieuiiio, iiiaaoa-
io a nei?io? neooaoe?. Yoi naeaaoaeunoaoao i oii, ?oi ocyua-
noaeaiea nano?eineiai i?ioanna o?aaoao iniauo ciaiee e ini-
auo ?aeiaa?aneeo ea?anoa io iaaeoeineie nano?u, eioi?ay aie-
?ia ni?aoaou a naaa ia oieuei aeeo?aoiinou, i?eaaoeeainou, ie-
eina?aea, ii?yai?iinou, o?oaie?aea, ii e ia?aciaaiiinou, ei-
oaeeaeo, i?aaiecaoi?neea niiniaiinoe, oai??aneia iuoeaiea,
i?ioanneiiaeuio? eiiiaoaioiinou. Iia caieiaao aaaouaa ii-
ei?aiea, aunooiaao e eae eniieieoaeu, e eae i?aaiecaoi? a i?i-
oanna ieacaiey iaeeeaoeaiie iiiiue.
Iniaaiiinoe i?ioanneiiaeuiie iiaaioiaee nanoa? n aunoei
ia?aciaaieai — iaiaa?a?ia n o?aoii aicii?iiai iineaaei-
eiiiiai iao?aiey naeaaoaeunoaoao i oii, ?oi yoe niaoeaeenou
niiniaiu ?aaeeciaaou naay ii aieaa iaoe?iiio ia?a?i? nia-
oeaeuiinoae, a ia oieuei a aie?iinoyo aeaaiuo e noa?oeo nanoa?
ea?aaii-i?ioeeaeoe?aneeo o??a?aaiee (EIO), ?oeiaiaeoaeae
aiiia nano?eineiai ooiaa, oinienia, i?aiiaaaaoaeae iaaeoei-
neeo o?eeeu, eaoaa? nano?eineiai aaea a AOCao. Ia?a?aiu nia-
oeaeuiinoae e ooaoiuo aie?iinoae iia yoeo niaoeaeenoia aie-
?iu auou iaoneiaeaiu caeacii i?aaiia oi?aaeaiey ca?aaiio-
?aiaieai e aeaaiuo a?a?ae EIO, no?aoiauo eiiiaiee ia iniiaa
aeoaieiai aiaeeca e i?iaiica, eaa?iaiai iaania?aiey e ?acae-
oey ioaaeuiuo io?aneae, a oii ?enea iieieiaee, e ca?aaiio?aia-
iey a oaeii i?e ia?aaoainy nie?auaiee eia?iiai oiiaa EIO.
Yoi o?aaoao ii?aaaeaiiie ia?ano?ieee iiaoiaia eae a ca?aai-
io?aiaiee, oae e a nenoaia ia?aciaaiey. Oaeei ia?acii, iao?a-
iea ia OANI aie?ii auou iaeneiaeuii i?eaioe?iaaii ia eii-
e?aoiua iio?aaiinoe i?aeoe?aneiai ca?aaiio?aiaiiy, ?oi iic-
aieeo aieaa yooaeoeaii e oaeaiai?aaeaiii aioiaeou auioneie-
ea OANI e i?aeoe?aneie aayoaeuiinoe.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», Iaeeeaoeaiay
iaaeoeia e ?aaaeeeoaoey, 1999, ¹ 2, no?. 9.
ÏÅÐÑÏÅKÒÈÂÛ ÐÀÇÂÈÒÈß ÏÀËËÈÀÒÈÂÍÎÉ
ÏÎÌÎÙÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÌ ÁÎËÜÍÛÌ
 ÐÎÑÑÈÈ
A.E. ?ennia, A.A. Iiaeeia, A.I. I?ioi?ia
Iineianeee iao?ii-enneaaiaaoaeuneee iieieiae?aneee
einoeooo ei. I.A.Aa?oaia,
?inneeneee oaio? ea?aiey o?iie?aneie aiee o iieieiae?aneeo
aieuiuo, Iineaa, ?inney
A oa?aiea iineaaiaai aanyoeeaoey a iieieiae?aneie neo?aa
?inneeneie Oaaa?aoee ia?yao n ?ac?aaioeie i?ei?eoaoiuo e ni-
aa?oainoaiaaieai yooaeoeaiuo e aaciianiuo iaoiaia ?aae-
eaeuiiai ea?aiey iieieiae?aneeo aieuiuo aeoeaii ?acaeaaaony
iiaia iai?aaeaiea — iaeeeaoeaiay iiiiuu, i?ecaaiiia oeo?-
oeou ea?anoai ?ecie aaciaaa?iuo iieieiae?aneeo aieuiuo, ?e-
neaiiinou eioi?uo a?aaiaii ninoaaeyao aieaa 300 oun.
Iaeeeaoeaiay iiiiuu — iaeanou iieieiaee, ioee?a?uayny
io iaeeeaoeaiiai ea?aiey ionoonoaeai iaiin?aanoaaiiiai aic-
aaenoaey ia ceiea?anoaaiiia iiaiia?aciaaiea (oe?o?ae?aneia,
oeieioa?aiaaoe?aneia, eo?aaia) e i?eiaiyaiay a neooaoee, ei-
aaa aicii?iinoe i?ioeaiiiooieaaiai ea?aiey ia?aie?aiu eee
en?a?iaiu.
I?aaiecaoeiiii iaeeeaoeaiay iiiiuu iieieiae?aneei aieu-
iui a ?inneeneie Oaaa?aoee i?aanoaaeaia ?acee?iuie no?oe-
oo?iuie iia?acaaeaieyie. Aiaoeaoi?iay iiiiuu ieacuaaaony
a eaaeiaoao i?ioeaiaieaaie oa?aiee (a ?O eo aieaa 20), noaoei-
ia?iay — a oinienao e ioaaeaieyo iaeeeaoeaiie iiiiue (aieaa
30), ia aiio — naiinoiyoaeuiuie iao?iia?iuie neo?aaie
(ieiei 5) e auacaiuie a?eaaaaie auoaoeacaiiuo iia?acaaea-
iee. Auai? i?aaiecaoeiiiie oi?iu ieacaiey iaeeeaoeaiie ii-
iiue a ?aaeiiao ?O caaeneo io oeiainiauo aicii?iinoae ?a-
aeiia. Oaeoi? oeiainiauo cao?ao e a?aiaie ea?aao aieuoo?
?ieu, a nayce n ?ai a ?yaa ?aaeiiia aey nicaaiey ioaaeaiee iae-
eeaoeaiie iiiiue eniieuco?o nouanoao?uee eia?iue oiia,
o?a iaoiayueeny ia a?a?aoiii oeiaine?iaaiee. Oinienu e io-
aaeaiey iaeeeaoeaiie iiiiue ia i?ioeaiiinoaaey?ony a?oa
a?oao, a i?aanoaaey?o aaa i?aaiecaoeiiiua oi?iu nenoaiu
iaeeeaoeaiie iiiiue, iioiio ?oi eaaieiae?aneea e iaaeei-ni-
oeaeuiua i?eioeiu ieacaiey iaeeeaoeaiie iiiiue io?aa?-
ueiny aieuiui a yoeo iia?acaaeaieyo aaeiu. A ?yaa ?aaeiiia
?innee ?ac?aaioaiu iaaeei-yeiiiie?aneea noaiaa?ou iaeeea-
oeaiie iiiiue aieuiui n ?ani?ino?aiaiiuie oi?iaie ceiea-
?anoaaiiuo iiaiia?aciaaiee.
A ianoiyuaa a?aiy iaeeeaoeaiay iiiiuu eiaao ia aii?o?a-
iee ?ya naiinoiyoaeuiuo iaoiaia, i?ecaaiiuo oeo?oeou ea?ano-
ai ?ecie iieieiae?aneeo aieuiuo IV eeeie?aneie a?oiiu: iaac-
aieeaaiea, ei??aeoey ineoiyiioeiiaeuiiai ninoiyiey, aaoiene-
eaoey, iaeeeaoeaiua eino?oiaioaeuiua e oe?o?ae?aneea aiaoa-
oaeunoaa, ia naycaiiua n oiaiuoaieai/oaaeaieai iiooieaaie
iannu n eniieuciaaieai a ?yaa neo?aaa ii iieacaieyi oece?a-
neeo oaeoi?ia aicaaenoaey (o?aoainoiiey, aano?inoiiey, yioa-
?inoiiey, iao?inoiiey, yieoenoinoiiey, iae?yeoiiey, eaia?i-
oaioac, oi?aeioaioac). Ianiio?y ia yoi, i?iaie?a?o aeoeaii aa-
noenu enneaaiaaiey a iaeanoe niaa?oainoaiaaiey noa?uo e ?ac-
?aaioee iiauo yooaeoeaiuo e aaciianiuo iaoiaieiae?aneeo
iiaoiaia e iaeeeaoeaiie iiiiue yoiio oy?aeiio eiioeiaaioo
aieuiuo.
Aianoa n oai ia?niaeoeaiia ?acaeoea nenoaiu iaeeeaoeaiie
iiiiue a ?inneeneie Oaaa?aoee naycaii n iaiaoiaeiinou? ?a-
oaiey ?yaa i?iaeai i?aaiecaoeiiiiai, iao?iiai, iaaeei-nioe-
aeuiiai e oeiainiaiai oa?aeoa?a.
N iiceoee ?aoaiey i?aaiecaoeiiiuo aniaeoia aaiiie i?ia-
eaiu oaeaniia?acii ?anniio?aou neaao?uee eiiieaen ia?i-
i?eyoee: ia ia?aii yoaia nicaaiey nenoaiu iaeeeaoeaiie iiii-
ue eieo?aaaeuiui iieieiae?aneei aieuiui neaaoao eniieuci-
aaou nouanoao?uee eia?iue oiia ai?ianeeo noaoeiia?ia, ?oi
iicaieeo a n?aoua n?iee e aac aieuoeo oeiainiauo cao?ao nic-
aaou ?ya ioaaeaiee iaeeeaoeaiie iiiiue aey oeo?oaiey ea?ano-
aa ?ecie io?aa?ueony aieuiuo a ianoiyuaa a?aiy, a ia a ia?-
niaeoeaa; ia aoi?ii yoaia — ia?yao n nouanoao?ueie ioaaea-
ieyie aanoe no?ieoaeunoai oinienia; ia o?aouai yoaia — ii ia-
?a aaaaaiey a yenieoaoaoe? oinienia ?anoe?eou ooieoee ioaa-
eaiee iaeeeaoeaiie iiiiue ai iiiaii?ioeeuiuo iia?acaaea-
iee nenoaiu iaeeeaoeaiie iaaeoeiu, a eioi?uo aoaoo iieo?aou
iaiaoiaeio? iiiiuu iaoeaiou n ?acee?iuie oi?iaie o?iie-
?aneeo caaieaaaiee a oa?ieiaeuiie noaaee ?acaeoey (iaa?iei-
aey, yiaie?eiieiaey, ioeuiiiieiaey e a?.), o.a. aieuiua, o eioi-
?uo aicii?iinoe niaoeaeece?iaaiiiai ea?aiey o?a en?a?iaiu
e/eee aai i?iaaaaiea iaaicii?ii ec-ca oy?anoe iauaniiaoe?a-
neiai ninoiyiey aieuiiai. A ?acoeuoaoa nicaaiiay a ?O nenoaia
iaeeeaoeaiie iiiiue iieieiae?aneei aieuiui ii?ao auou yo-
oaeoeaii eniieuciaaia eae iiaaeu neo?au iaeeeaoeaiie iaae-
oeiu, iniiaa eioi?ie aoaao i?aanoaaeaia oa??eoi?eaeuiuie
oaio?aie iaeeeaoeaiie iaaeoeiu.
Yooaeoeaiay ?aaioa iia?acaaeaiee nenoaiu iaeeeaoeaiie
iiiiue aieuiui n ?ani?ino?aiaiiuie oi?iaie ceiea?anoaai-
iuo iiaiia?aciaaiee iaaicii?ia aac iiaaioiaee eaaeeoeoe?i-
aaiiuo niaoeaeenoia a yoie iaeanoe. Ai iineaaiaai a?aiaie io-
noonoaea o?aaiuo aac aey i?ioanneiiaeuiie iiaaioiaee a?a?ae
auei naycaii n ionoonoaeai a iaoae no?aia niaoeaeenoia a yoie
iaeanoe. Naaiaiy iinea ioe?uoey ia?aiai a ?innee eo?na «Iae-
eeaoeaiay iiiiuu» i?e eaoaa?a iieieiaee oaeoeuoaoa iineaae-
ieiiiiai i?ioanneiiaeuiiai ia?aciaaiey Iineianeie iaae-
oeineie aeaaaiee ei. E.I.Na?aiiaa ino?ioa i?iaeaiu io?anoe
niyoa e a ia?niaeoeaa nicaaiea ?yaa iiaiaiuo eo?nia a ?aaei-
iao ?O iicaieeo eaaaeeciaaou o?oa iaaeoeineiai ia?niiaea, ca-
iyoiai a yoie iaeanoe iieieiaee. Oaeie iiaoia aoaao niinianoai-
aaou ?ac?aaioea e aiaa?aie? nia?aiaiiuo, yooaeoeaiuo e aac-
iianiuo i?aaiecaoeiiii-iaoiaieiae?aneeo iiaoiaia, oeo?oa?-
ueo ea?anoai ?ecie yoeo iaoeaioia.
A oneiaeyo oeiainiaiai e?ecena i?e nicaaiee nenoaiu iae-
eeaoeaiie iiiiue a ?innee ino?i anoaao aii?in i iaiaoiaeii-
noe yenia?oiie ioaiee yeiiiie?aneie cia?eiinoe a nenoaia
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