ɄɅȱɇȱɑɇȺ ɆȿȾɂɐɂɇȺ
R
RE
EF
FE
ER
RE
EN
NC
CE
ES
S
1. Barabash RD, Levickij AP. Kazeinoliticheskaja i BAJeJe-jesteraznaja aktivnost' sljuny i sljunnyh zhelez u krys v postnatal'nom ontogeneze. Bjul. jeksperim. biolo-gii. 1973;8:65-67.
2. Barabash RD, Levickij AP. Dinamɿka zahvor-juvanostɿ na patologɿju shhitopodɿbnoʀ zalozi v Ukraʀnɿ. Mezhdunar. jendokrinol. zhurnal. 2011;3(35):26-32.
3. Levickij AP, Marchenko AI, Rybak TL. Srav-nitel'naja ocenka treh metodov opredelenija aktivnosti fosfataz sljuny. Lab. delo. 1973;10:624–5.
4. Levic'kij AP, Makarenko OA, Hodakov ȱV, Ze-lenɿna JuV. Fermentativnɿj metod ocɿnki stanu kɿstkovoʀ tkanini. Odes. med. zhurnal. 2006;3:17-21.
5. Mishunina TM, Bogdanova TI, Kalinichenko OV, Pil'kevich LI. Harakteristika eksperimental'nih modelej zoba u shhuriv. Endokrinologɿja. 2005;10(2):194-200.
6. Buriak VN, Murashko ES. Peculiarities of thyroid pathology in the childhood. Lik. Sprava. 2012;5:58-63.
7. Zarate DAS. Determination of pH and total proteins in saliva in patients with and without fixed
orthodontic appliances (pilot study). Revista Odonto-logica Mexicana. 2004;8(3):59-63.
8. Ong CK. Orthodontic tooth movement in the pre-dnisolone-treated rat. Angle Orthod. 2000;70(2):118-25.
9. Patel A, Burden DJ, Sandler J. Medical disorders and orthodontics. J. Orthod. 2009;36:1-21.
10. Bollen AM. The effects of orthodontic therapy on periodontal health. A systematic review of controlled evidence. J. Am. Dental Association. 2008;139(4):413-22. 11. Yu K. The pharmacokinetics of perchlorate and its effect on the hypothalamus-pituitary-thyroid axis in the male rat. Toxicol. Appl. Pharmacol. 2002;182(2):148-59.
12. Villarino ME, Lewicki M, Ubios AM. Bone response to orthodontic forces in diabetic Wistar rats. Am. J. Orthod. Dentofacial. Orthop. 2011;139(4):76-82.
13. Zhang YL, Frangos JA, Chachisvilis M. Mecha-nical stimulus alters conformation of type 1 parathyroid hormone receptor in bone cells. Am. J. Physiol. Cell. Physiol. 2009;296(6):1391-9.
ɍȾɄ 616.314.17–77.001:615.477.3 ȯ.Ʌ.Ⱥɥɶɛɟɪɬ,
Ɉ.ȱ.Ʌɢɫɤɨ
ɆȺ
ɇȺ
ɇ
Ɇ
Ⱥɉ
ȺɌ
ɉ
Ɍȿ
Ɋɍ
ȿɆ
Ɋ
ɍ
ɆȺ
ɀɇ
ɀ
ȺɌ
ɇɈ
Ɍɂ
ɂɑ
Ɉ
ɑɇ
-
-
Ⱦȿ
Ⱦ
ɇ
ȿɎ
ȿ
ȿ
ɎɈ
ɆɈ
Ɇ
ɈɊ
ɊɆ
ɈȾ
ɆɈ
Ⱦȿ
ȿɅ
Ɉ
Ʌɘ
ȼȺ
ȼ
ɘȼ
Ⱥɇ
ɇɂ
ȼȺ
ɂɏ
Ⱥɇ
ɏ
ɇɇ
ɇə
ɋɌ
ɋ
ə
ɌȺ
Ⱥɇ
ɇȱ
ȱ
ȼ
ȼ
Ɂ
Ɂɍ
ɍȻ
Ȼȱ
ȱȼ
ȼ
ɇ
ɇɂ
ɂɀ
ɀɇ
ɇɖ
ɖɈ
ɈȲ
Ȳ
ɓȿ
ɓ
ȿɅ
Ʌȿ
ȿɉ
ɉ
ɂ
ɂ
ɉɊ
ɉ
Ɋɂ
ɂ
ȼ
ȼɂ
ɂɄ
ɄɈ
Ɉ
Ɋɂ
Ɋ
ɂɋ
ɋɌ
ɌȺ
Ⱥɇ
ɇɇ
ɇ
ȱ
ȱ
ɄɈ
Ʉ
ɈɆ
ɆȻ
Ȼȱ
ȱɇ
ɇ
Ɉȼ
Ɉ
ȼȺ
Ⱥɇ
ɇɈ
Ɉ
Ȳ
Ȳ
Ɂɇ
Ɂ
ɇȱ
ȱ
Ɇɇ
Ɇ
ɇ
ɈȲ
Ɉ
Ȳ
ɒ
ɒɂ
ɂɇ
ɇɂ
ɂ
-
-
ɉɊ
ɉ
ɊɈ
ɈɌ
Ɍȿ
ȿɁ
ɁȺ
Ⱥ
ȾɁ «Ⱦɧɿɩɪɨɩɟɬɪɨɜɫɶɤɚ ɦɟɞɢɱɧɚ ɚɤɚɞɟɦɿɹ ɆɈɁ ɍɤɪɚʀɧɢ»
ɤɚɮɟɞɪɚ ɨɪɬɨɩɟɞɢɱɧɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ
(ɡɚɜ. – ɞ.ɦɟɞ.ɧ.,ɞɨɰ.Ɉ.Ɉ.Ɏɚɫɬɨɜɟɰɶ)
Ⱦɧɿɩɪɨɩɟɬɪɨɜɫɶɤ, 49044, ɍɤɪɚʀɧɚ
SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine" prosthetic dentistry department
Dnipropetrovsk, 49044, Ukraine e-mail: dsma@dsma.dp.ua
Ʉɥɸɱɨɜɿ ɫɥɨɜɚ:ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɿ ɫɬɚɧɢ ɡɭɛɿɜ,ɡɚɯɜɨɪɸɜɚɧɧɹ ɩɚɪɨɞɨɧɬɭ,ɨɪɬɨɩɟɞɢɱɧɟ ɥɿɤɭɜɚɧɧɹ
Key words:stress-strain state of teeth, periodontal disease, prosthetic treatment
Ɋɟɮɟɪɚɬ. Ɇɚɬɟɦɚɬɢɱɟɫɤɨɟ ɦɨɞɟɥɢɪɨɜɚɧɢɟ ɧɚɩɪɹɠɟɧɧɨ-ɞɟɮɨɪɦɢɪɨɜɚɧɧɵɯ ɫɨɫɬɨɹɧɢɣ ɡɭɛɨɜ ɧɢɠɧɟɣ
ɱɟɥɸɫɬɢ ɩɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɫɴɟɦɧɨɣ ɲɢɧɵ-ɩɪɨɬɟɡɚ.Ⱥɥɶɛɟɪɬ ȯ.Ʌ., Ʌɢɫɤɨ Ɉ.ȱ.ȼ ɫɬɚ
-ɬɶɟ ɩɪɟɞɫɬɚɜɥɟɧɵ ɪɟɡɭɥɶɬɚɬɵ ɦɚɬɟɦɚɬɢɱɟɫɤɨɝɨ ɦɨɞɟɥɢɪɨɜɚɧɢɹ ɢ ɚɧɚɥɢɡɚ ɧɚɩɪɹɠɟɧɧɨ-ɞɟɮɨɪɦɢɪɨɜɚɧɧɵɯ
ɫɨɫɬɨɹɧɢɣ ɡɭɛɨɜ ɧɢɠɧɟɣ ɱɟɥɸɫɬɢ ɩɪɢ ȱ,ȱȱ ɢ ȱȱȱ ɫɬɟɩɟɧɹɯ ɬɹɠɟɫɬɢ ɜɨɫɩɚɥɢɬɟɥɶɧɨ-ɞɢɫɬɪɨɮɢɱɟɫɤɨɝɨ ɩɪɨɰɟɫɫɚ ɜ
ɩɚɪɨɞɨɧɬɟ, ɚ ɬɚɤɠɟ ɩɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɲɢɧɵ-ɩɪɨɬɟɡɚ ɫ ɦɧɨɝɨɡɜɟɧɶɟɜɵɦ ɜɟɫɬɢɛɭɥɨ
-ɨɪɚɥɶɧɵɦ ɤɥɚɦɦɟɪɨɦ,ɤɚɪɤɚɫ ɤɨɬɨɪɨɝɨ ɢɡɝɨɬɨɜɥɟɧ ɢɡ ɩɨɥɢɨɤɫɢɦɟɬɢɥɟɧɚ.Ⱦɨɤɚɡɚɧɨ,ɱɬɨ ɭɦɟɧɶɲɟɧɢɟ ɜɵɫɨɬɵ
ɱɬɨ ɫɨɢɡɦɟɪɢɦɨ ɫ ɮɢɡɢɨɥɨɝɢɱɟɫɤɢɦɢ ɩɨɤɚɡɚɬɟɥɹɦɢ (ɪ>0,05). ȼ ɬɨ ɠɟ ɜɪɟɦɹ ɧɚɩɪɹɠɟɧɢɟ,ɤɨɬɨɪɨɟ ɩɟɪɟɞɚɟɬɫɹ
ɧɚ ɤɨɫɬɧɭɸ ɬɤɚɧɶ ɚɥɶɜɟɨɥɵ, ɩɪɢɛɥɢɠɚɟɬɫɹ ɤ ɡɧɚɱɟɧɢɹɦ ɢɧɬɚɤɬɧɨɝɨ ɩɚɪɨɞɨɧɬɚ ɢ ɫɨɫɬɚɜɥɹɟɬ ɜ ɫɪɟɞɧɟɦ 1,6±0,50 Ɇɉɚ (ɪ>0,05).
Abstract. Mathematic modeling of stress-deformed states of low jaw teeth while using combined removable splint-denture. Albert Ye.L., Lysko O.I.The article presents the results of mathematical modeling and analysis of the stress-strain states of the lower incisors in the 1-st, 2-nd and 3-d degrees of inflammatory degenerative process in the periodontium; and while using combined splint-denture with continuous vestibular-oral clasp and polyoxymethylene framework. It is proved that reduction in height of interdental septa observed in periodontitis increases tooth mobility by 2.75 times in the first degree of the pathological process; by 6.75 times - in the second degree; and by 9.0 times – in the third degree (p<0.05 ). The pressure on the bone tissue transmitted through the teeth exceeds physiological one by 4.08; 5.04; 9.6 times for different degrees of severity of periodontal disease (p<0.05). In its turn, use of the proposed design of splint-denture reduces movement of the lower incisors in average up to 0.135±0.051 mm, that is equal to physiological parameters (p>0.05). At the same time, the stress, transmitted on the alveolar bone tissue is near the values of intact periodontium (p>0.05), 1.6±0.50 Mpa on average.
ɋɤɥɚɞɧɿɫɬɶ ɩɪɨɬɟɡɭɜɚɧɧɹ ɞɟɮɟɤɬɿɜ ɡɭɛɧɢɯ
ɪɹɞɿɜ ɧɚ ɬɥɿ ɡɚɩɚɥɶɧɨ-ɞɢɫɬɪɨɮɿɱɧɢɯ ɩɪɨɰɟɫɿɜ ɭ
ɩɚɪɨɞɨɧɬɿ ɩɨɥɹɝɚɽ ɜ ɧɟɨɛɯɿɞɧɨɫɬɿ ɜɢɤɨɪɢɫɬɚɧɧɹ
ɹɤ ɨɩɨɪɢ ɡɭɛɿɜ,ɳɨ ɦɚɸɬɶ ɧɢɡɶɤɭ ɮɭɧɤɰɿɨɧɚɥɶɧɭ
ɜɢɬɪɢɜɚɥɿɫɬɶ. Ɍɨɦɭ ɨɛʉɪɭɧɬɭɜɚɧɧɹ ɤɨɧɫɬɪɭɤɰɿɣ
-ɧɢɯ ɨɫɨɛɥɢɜɨɫɬɟɣ ɡɭɛ-ɧɢɯ ɩɪɨɬɟɡɿɜ ɡɚɥɟɠɧɨ ɜɿɞ ɫɬɚɧɭ ɨɩɨɪɧɢɯ ɬɤɚɧɢɧ ɡɚɥɢɲɚɽɬɶɫɹ ɜɚɠɥɢɜɢɦ
ɡɚɜɞɚɧɧɹɦ ɨɪɬɨɩɟɞɢɱɧɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ [2]. Ɇɨɠ
-ɥɢɜɢɦ ɲɥɹɯɨɦ ɜɢɪɿɲɟɧɧɹ ɩɪɨɛɥɟɦɢ, ɳɨ ɿɫɧɭɽ, ɽ
ɡɚɫɬɨɫɭɜɚɧɧɹ ɧɨɜɿɬɧɿɯ ɦɚɬɟɪɿɚɥɿɜ ɬɚ ɬɟɯɧɨɥɨɝɿɣ
ɞɥɹ ʀɯ ɜɢɝɨɬɨɜɥɟɧɧɹ, ɡɞɚɬɧɢɯ ɡɧɚɱɧɨ ɩɿɞɜɢɳɢɬɢ
ɮɭɧɤɰɿɨɧɚɥɶɧɭ ɰɿɧɧɿɫɬɶ ɤɨɧɫɬɪɭɤɰɿɣ [4]. ɍ ɫɜɨɸ
ɱɟɪɝɭ, ɨɛʉɪɭɧɬɭɜɚɬɢ ɟɮɟɤɬɢɜɧɿɫɬɶ ɡɚɩɪɨɩɨɧɨ
-ɜɚɧɢɯ ɦɟɬɨɞɢɤ ɡ ɬɨɱɤɢ ɡɨɪɭ ɛɿɨɦɟɯɚɧɿɤɢ ɞɨɡ
-ɜɨɥɹɸɬɶ ɫɭɱɚɫɧɿ ɤɨɦɩ’ɸɬɟɪɧɿ ɬɟɯɧɨɥɨɝɿʀ,ɡɨɤɪɟɦɚ
ɜɢɤɨɪɢɫɬɚɧɧɹ ɫɩɟɰɿɚɥɿɡɨɜɚɧɢɯ ɩɪɨɝɪɚɦ ɡ ɨɰɿɧɤɢ
ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ ɫɬɚɧɿɜ (ɇȾɋ)ɬɟɯɧɿɱɧɢɯ
ɫɢɫɬɟɦ, ɹɤɿ ɡɚɫɧɨɜɚɧɿ ɧɚ ɦɟɬɨɞɿ ɦɟɯɚɧɿɤɨ-ɦɚɬɟ
-ɦɚɬɢɱɧɨɝɨ ɦɨɞɟɥɸɜɚɧɧɹ - ɦɟɬɨɞɿ ɤɿɧɰɟɜɨɝɨ
ɟɥɟɦɟɧɬɭ [5].
Ɉɬɠɟ, ɦɟɬɚ ɩɪɟɞɫɬɚɜɥɟɧɨɝɨ ɞɨɫɥɿɞɠɟɧɧɹ -
ɜɢɜɱɟɧɧɹ ɟɮɟɤɬɢɜɧɨɫɬɿ ɤɨɦɛɿɧɨɜɚɧɨʀ ɡɧɿɦɧɨʀ
ɲɢɧɢ-ɩɪɨɬɟɡɚ ɜɥɚɫɧɨʀ ɤɨɧɫɬɪɭɤɰɿʀ ɞɥɹ ɿɦɦɨɛɿ
-ɥɿɡɚɰɿʀ ɨɩɨɪɧɢɯ ɡɭɛɿɜ ɩɪɢ ɪɿɡɧɨɦɭ ɫɬɭɩɟɧɿ ɬɹɠ
-ɤɨɫɬɿ ɡɚɩɚɥɶɧɨ-ɞɢɫɬɪɨɮɿɱɧɢɯ ɩɪɨɰɟɫɿɜ ɭ ɩɚɪɨ
-ɞɨɧɬɿ.
ɆȺɌȿɊȱȺɅɂ ɌȺ ɆȿɌɈȾɂ ȾɈɋɅȱȾɀȿɇɖ
ȼɢɜɱɟɧɧɹ ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ ɫɬɚɧɿɜ ɡɭ
-ɛɿɜ ɧɢɠɧɶɨʀ ɳɟɥɟɩɢ ɩɪɨɜɨɞɢɥɢ ɞɥɹ ɪɿɡɧɢɯ ɫɬɭɩɟɧɿɜ ɬɹɠɤɨɫɬɿ ɩɚɪɨɞɨɧɬɢɬɭ ɡɚ ɤɥɚɫɢɮɿɤɚɰɿɽɸ
Ⱦɚɧɢɥɟɜɫɶɤɨɝɨ Ɇ.Ɏ. (1994) (ȱ – ɡɧɢɠɟɧɧɹ ɜɢɫɨɬɢ
ɦɿɠɚɥɶɜɟɨɥɹɪɧɢɯ ɩɟɪɟɝɨɪɨɞɨɤ ɧɚ 1/3 ɜɢɫɨɬɢ;ȱȱ –
ɧɚ 1/2; ȱȱȱ – ɧɚ 2/3) [1], ɚ ɬɚɤɨɠ ɩɪɢ ɧɚɤɥɚɞɚɧɧɿ
ɤɨɦɛɿɧɨɜɚɧɨʀ ɡɧɿɦɧɨʀ ɩɪɨɬɟɡɚ-ɲɢɧɢ ɡ ɛɚɝɚɬɨɥɚɧ
-ɤɨɜɢɦ ɜɟɫɬɢɛɭɥɨɨɪɚɥɶɧɢɦ ɤɥɚɦɟɪɨɦ,ɤɚɪɤɚɫ ɹɤɨ
-ɝɨ ɜɢ-ɝɨɬɨɜɥɟɧɢɣ ɡ ɩɨɥɿɨɤɫɢɦɟɬɢɥɟɧɭ (ɪɢɫ. 1) [3].
ȼ ɨɫɧɨɜɿ ɦɟɬɨɞɭ ɤɿɧɰɟɜɢɯ ɟɥɟɦɟɧɬɿɜ ɥɟɠɢɬɶ
ɞɢɫɤɪɟɬɢɡɚɰɿɹ ɨɛ'ɽɤɬɚ ɞɥɹ ɪɨɡɜ'ɹɡɚɧɧɹ ɪɿɜɧɹɧɶ ɦɟ
-ɯɚɧɿɤɢ ɫɭɰɿɥɶɧɨɝɨ ɫɟɪɟɞɨɜɢɳɚ ɡ ɩɪɢɩɭɳɟɧɧɹɦ,
ɳɨ ɰɿ ɫɩɿɜɜɿɞɧɨɲɟɧɧɹ ɜɢɤɨɧɭɸɬɶɫɹ ɜ ɦɟɠɚɯ
ɤɨɠɧɨʀ ɤɿɧɰɟɜɨʀ ɞɿɥɹɧɤɢ. Ɍɚɤɢɦ ɱɢɧɨɦ,ɡɚɜɞɚɧɧɹ
ɦɚɬɟɦɚɬɢɱɧɨɝɨ ɨɩɢɫɚɧɧɹ ɤɿɧɰɟɜɨɝɨ ɟɥɟɦɟɧɬɚ ɡɜɨ
-ɞɢɬɶɫɹ ɞɨ ɬɨɝɨ,ɳɨɛ ɡɜ'ɹɡɚɬɢ ɩɟɪɟɦɿɳɟɧɧɹ ɣ ɫɢɥɢ,
ɳɨ ɞɿɸɬɶ ɭ ɜɭɡɥɚɯ.
Ɋɢɫ. 1. Ʉɨɦɛɿɧɨɜɚɧɚ ɡɧɿɦɧɚ ɲɢɧɚ-ɩɪɨɬɟɡ
ɜɥɚɫɧɨʀ ɤɨɧɫɬɪɭɤɰɿʀ
Ɋɨɡɪɚɯɭɧɨɤ ɡɞɿɣɫɧɸɜɚɜɫɹ ɞɥɹ ɨɛ’ɽɦɧɢɯ ɤɨɦ
-ɩ’ɸɬɟɪɧɢɯ ɦɨɞɟɥɟɣ, ɩɨɛɭɞɨɜɚɧɢɯ ɦɟɬɨɞɨɦ ɤɿɧ
-ɰɟɜɢɯ ɟɥɟɦɟɧɬɿɜ ɡ ɜɢɤɨɪɢɫɬɚɧɧɹɦ ɩɪɨɝɪɚɦɢ
«T-Flex» (ɪɢɫ. 2). ɉɪɢ ɰɶɨɦɭ, ɧɚ ɦɨɞɟɥɹɯ ɧɢɠɧɶɨʀ
ɳɟɥɟɩɢ, ɳɨ ɞɨɫɥɿɞɠɭɜɚɥɢɫɹ, ɛɭɥɢ ɜɿɞɬɜɨɪɟɧɿ ɜɫɿ
ɬɤɚɧɢɧɢ ɩɚɪɨɞɨɧɬɚ (ɤɨɦɩɚɤɬɧɚ ɩɥɚɫɬɢɧɤɚ, ɝɭɛ
-ɱɚɫɬɚ ɤɿɫɬɤɚ,ɩɟɪɿɨɞɨɧɬ,ɰɟɦɟɧɬ ɤɨɪɟɧɹ,ɞɟɧɬɢɧ ɬɚ
ɟɦɚɥɶ ɡɭɛɚ, ɨɤɪɿɦ ɩɿɞɫɥɢɡɨɜɨɝɨ ɲɚɪɭ ɿ ɜɥɚɫɧɟ
ɫɥɢɡɨɜɨʀ ɨɛɨɥɨɧɤɢ), ɡ ɭɪɚɯɭɜɚɧɧɹɦ ɫɬɭɩɟɧɹ ɪɟ
-ɡɨɪɛɰɿʀ ɦɿɠɚɥɶɜɟɨɥɹɪɧɨʀ ɩɟɪɟɝɨɪɨɞɤɢ. Ɏɿɡɢɤɨ
ɄɅȱɇȱɑɇȺ ɆȿȾɂɐɂɇȺ
ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɚ,ɡɨɤɪɟɦɚ ɬɜɟɪɞɿɫɬɶ,ɠɨɪɫɬɤɿɫɬɶ,
ɤɨɟɮɿɰɿɽɧɬ ɉɭɚɫɫɨɧɚ, ɩɪɭɠɧɿɫɬɶ, ɦɨɞɭɥɶ ɘɧɝɚ,
ɛɭɥɢ ɜɡɹɬɿ ɡ ɥɿɬɟɪɚɬɭɪɧɢɯ ɞɠɟɪɟɥ [5].
Ɋɢɫ. 2. Ɇɨɞɟɥɶ ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ ɫɬɚɧɿɜ
ɡɭɛɿɜ ɧɢɠɧɶɨʀ ɳɟɥɟɩɢ ɩɪɢ ɜɢɤɨɪɢɫɬɚɧɧɿ ɤɨɦɛɿɧɨɜɚɧɨʀ ɡɧɿɦɧɨʀ ɲɢɧɢ-ɩɪɨɬɟɡɚ
Ɋɟɡɭɥɶɬɚɬɢ ɦɨɞɟɥɸɜɚɧɧɹ ɨɰɿɧɸɜɚɥɢɫɹ ɡɚ ɞɜɨ
-ɦɚ ɩɨɤɚɡɧɢɤɚɦɢ: ɦɚɤɫɢɦɚɥɶɧɚ ɜɟɥɢɱɢɧɚ ɩɟɪɟ
-ɦɿɳɟɧɧɹ ɪɿɡɰɿɜ ɳɨɞɨ ɩɟɪɜɿɫɧɨɝɨ ɩɨɥɨɠɟɧɧɹ ɜ ɧɚɩɪɹɦɤɭ ɞɿʀ ɫɢɥɢ ɬɚ ɜɟɥɢɱɢɧɚ ɪɟɡɭɥɶɬɭɸɱɢɯ
ɧɚɩɪɭɝ ɡɚ ɪɿɜɧɹɧɧɹɦ Ƚɭɛɟɪɚ – Ɇɿɡɟɫɚ ɩɿɞ ɦɚɤɫɢ
-ɦɚɥɶɧɨ ɦɨɠɥɢɜɢɦ ɡ ɭɦɨɜ ɟɤɫɩɥɭɚɬɚɰɿʀ ɧɚɜɚɧɬɚ
-ɠɟɧɧɹɦ, ɹɤɟ ɫɬɚɧɨɜɢɬɶ 100 ɇ ɧɚ ɤɨɠɧɢɣ ɡɭɛ ɬɚ
ɩɪɢɤɥɚɞɚɽɬɶɫɹ ɩɿɞ ɤɭɬɨɦ 45°. Ɂ ɨɝɥɹɞɭ ɧɚ ɬɟ, ɳɨ
ɲɢɧɚ ɧɚ ɪɿɡɰɹɯ ɦɚɽ ɧɚɣɦɟɧɲɭ ɬɜɟɪɞɿɫɬɶ, ɧɚɜɚɧ
-ɬɚɠɟɧɧɹ ɿɤɥɿɜ, ɚ ɨɫɨɛɥɢɜɨ ɩɪɟɦɨɥɹɪɿɜ, ɧɟ ɞɨɡɜɨ
-ɥɹɽ ɞɨɫɬɚɬɧɶɨɸ ɦɿɪɨɸ ɨɰɿɧɢɬɢ ʀʀ ɟɮɟɤɬɢɜɧɿɫɬɶ,
ɬɨɦɭ ɭ ɦɨɞɟɥɿ ɛɭɥɨ ɨɛɪɚɧɟ ɧɚɜɚɧɬɚɠɟɧɧɹ ɱɨɬɢ
-ɪɶɨɯ ɪɿɡɰɿɜ, ɹɤ ɧɚɣɛɿɥɶɲ ɤɪɢɬɢɱɧɟ ɞɥɹ ɮɭɧɤɰɿɨ
-ɧɭɜɚɧɧɹ ɤɨɧɫɬɪɭɤɰɿʀ.
ɊȿɁɍɅɖɌȺɌɂ ɌȺ Ȳɏ ɈȻȽɈȼɈɊȿɇɇə
ɍ ɩɪɟɞɫɬɚɜɥɟɧɿɣ ɤɿɧɰɟɜɨ-ɟɥɟɦɟɧɬɧɿɣ ɦɨɞɟɥɿ
ɡɭɛ ɪɨɡɝɥɹɞɚɜɫɹ ɹɤ ɬɜɟɪɞɟ ɬɿɥɨ, ɳɨ ɮɿɤɫɨɜɚɧɟ ɜ
ɩɟɪɿɨɞɨɧɬɚɥɶɧɨɦɭ ɩɪɨɫɬɨɪɿ, ɹɤɢɣ ɦɚɽ ɲɿɫɬɶ ɫɬɭ
-ɩɟɧɿɜ ɫɜɨɛɨɞɢ: ɬɪɢ ɩɨɫɬɭɩɨɜɿ ɬɚ ɬɪɢ ɨɛɟɪɬɚɥɶɧɿ
ɜɿɞɧɨɫɧɨ ɬɪɶɨɯ ɨɪɬɨɝɨɧɚɥɶɧɢɯ ɨɫɟɣ. Ɉɬɠɟ, ɪɭɯɨ
-ɦɿɫɬɶ ɡɭɛɚ ɜɢɡɧɚɱɚɥɚɫɹ ɦɨɠɥɢɜɢɦɢ ɫɭɦɚɪɧɢɦɢ
ɩɟɪɟɦɿɳɟɧɧɹɦɢ ɧɚɜɤɨɥɨ ɰɢɯ ɨɫɟɣ.Ɂ ɿɧɲɨɝɨ ɛɨɤɭ,
ɹɤ ɩɪɭɠɧɟ ɬɿɥɨ ɡɭɛ ɦɚɜ ɧɟɫɤɿɧɱɟɧɧɭ ɤɿɥɶɤɿɫɬɶ
ɫɬɭɩɟɧɿɜ ɫɜɨɛɨɞɢ. ɇɚɣɛɿɥɶɲ ɜɿɪɨɝɿɞɧɢɦɢ ɩɪɢ
ɰɶɨɦɭ ɛɭɥɢ ɞɟɮɨɪɦɚɰɿʀ ɪɨɡɬɹɝɧɟɧɧɹ, ɫɬɢɫɧɟɧɧɹ
ɬɚ ɤɪɭɬɿɧɧɹ ɧɚɜɤɨɥɨ ɩɨɜɡɞɨɜɠɧɶɨʀ ɨɫɿ ɡɭɛɚ, ɚ
ɬɚɤɨɠ ɜɢɝɢɧ ɭ ɜɟɫɬɢɛɭɥɨ-ɨɪɚɥɶɧɨɦɭ ɚɛɨ ɦɟɡɿɨ
-ɞɢɫɬɚɥɶɧɨɦɭ ɧɚɩɪɹɦɤɚɯ. Ɂɧɚɸɱɢ ɭɦɨɜɢ ɡɚɤɪɿɩ
-ɥɟɧɧɹ ɩɪɭɠɧɨɝɨ ɬɿɥɚ ɬɚ ɧɚɜɚɧɬɚɠɟɧɧɹ,ɳɨ ɞɟɮɨɪ
-ɦɭɸɬɶ ɭ ɪɿɡɧɢɯ ɧɚɩɪɹɦɤɚɯ,ɦɢ ɜɫɬɚɧɨɜɢɥɢ ɩɪɭɠ
-ɧɿ ɩɟɪɟɦɿɳɟɧɧɹ ɭɫɿɯ ɬɨɱɨɤ ɩɟɪɟɬɢɧɭ ɡɭɛɚ. ɋɚɦɟ
ɜɫɿ ɰɿ ɩɟɪɟɦɿɳɟɧɧɹ ɡɭɛɚ ɹɤ ɬɜɟɪɞɨɝɨ, ɬɚɤ ɿ
ɩɪɭɠɧɨɝɨ, ɬɿɥɚ ɜɢɡɧɚɱɚɥɢ ɣɨɝɨ ɫɭɦɚɪɧɿ ɩɟɪɟ
-ɦɿɳɟɧɧɹ, ɹɤɿ ɜ ɤɥɿɧɿɱɧɿɣ ɫɬɨɦɚɬɨɥɨɝɿʀ ɧɚɡɢɜɚɸɬɶ
ɪɭɯɨɦɿɫɬɸ ɡɭɛɚ.
ɚ
ɛ
ɜ
Ɋɢɫ. 3. ɏɚɪɚɤɬɟɪɧɢɣ ɪɨɡɩɨɞɿɥ ɧɚɩɪɭɠɟɧɧɹ ɩɪɢ
ɜɢɤɨɪɢɫɬɚɧɧɿ ɩɪɨɬɟɡɚ-ɲɢɧɢ ɩɪɢ ɪɿɡɧɨɦɭ ɫɬɭɩɟɧɿ
ɡɚɩɚɥɶɧɨ-ɞɢɫɬɪɨɮɿɱɧɨɝɨ ɩɪɨɰɟɫɭ ɜ ɩɚɪɨɞɨɧɬɿ:
ɚ – ȱ ɫɬɭɩɿɧɶ;ɛ – ȱȱ ɫɬɭɩɿɧɶ;ɜ – ȱȱȱ ɫɬɭɩɿɧɶ (ɧɚɣɦɟɧɲɟ ɡɚɮɚɪɛɨɜɭɜɚɧɧɹ ɧɚ ɪɢɫɭɧɤɭ ɨɩɢɫɭɽ
ɞɿɥɹɧɤɢ ɧɚɣɛɿɥɶɲɨɝɨ ɧɚɩɪɭɠɟɧɧɹ)
ɉɪɢ ɿɦɿɬɚɰɿʀ ɜɿɞɤɭɲɭɜɚɧɧɹ ɫɢɥɨɸ 100 ɇ ɦɚɤ
-ɫɢɦɚɥɶɧɟ ɩɟɪɟɦɿɳɟɧɧɹ ɡɭɛɿɜ, ɳɨ ɜɢɜɱɚɥɢɫɶ, ɫɬɚ
-ɧɨɜɢɥɨ 0,12±0,04 ɦɦ.ɉɪɢ ɦɨɞɟɥɸɜɚɧɧɿ ȱ ɫɬɭɩɟɧɹ
ɦɿɠɡɭɛɧɢɯ ɩɟɪɟɝɨɪɨɞɨɤ, ɳɨ ɫɩɨɫɬɟɪɿɝɚɽɬɶɫɹ ɩɪɢ
ɩɚɪɨɞɨɧɬɢɬɿ, ɡɛɿɥɶɲɭɽ ɪɭɯɨɦɿɫɬɶ ɡɭɛɿɜ ɭ
2,75ɪɚɡɭ ɩɪɢ ȱ ɫɬɭɩɟɧɿ ɩɚɬɨɥɨɝɿɱɧɨɝɨ ɩɪɨɰɟɫɭ, ɜ
6,75 ɪɚɡɭ – ɩɪɢ ȱȱ ɫɬɭɩɟɧɿ ɬɚ ɜ 9,0 ɪɚɡɿɜ ɩɪɢ ȱȱȱ
ɫɬɭɩɟɧɿ (ɪ<0,05). ɍ ɫɜɨɸ ɱɟɪɝɭ, ɜɢɤɨɪɢɫɬɚɧɧɹ ɡɚ
-ɩɪɨɩɨɧɨɜɚɧɨɝɨ ɩɪɨɬɟɡɚ-ɲɢɧɢ ɞɨɡɜɨɥɢɥɨ ɡɦɟɧ
-ɲɢɬɢ ɩɟɪɟɦɿɳɟɧɧɹ ɧɢɠɧɿɯ ɪɿɡɰɿɜ ɭ ɫɟɪɟɞɧɶɨɦɭ ɞɨ 0,135±0,051 ɦɦ (ɪ<0,05).
Ɍɢɫɤ, ɹɤɢɣ ɩɟɪɟɞɚɜɚɜɫɹ ɧɚ ɤɿɫɬɤɨɜɭ ɬɤɚɧɢɧɭ
ɚɥɶɜɟɨɥɢ ɩɿɞ ɱɚɫ ɦɚɤɫɢɦɚɥɶɧɨɝɨ ɧɚɜɚɧɬɚɠɟɧɧɹ
ɧɚ ɡɭɛ ɩɪɢ ɡɞɨɪɨɜɨɦɭ ɩɚɪɨɞɨɧɬɿ, ɫɬɚɧɨɜɢɜ
2,4±0,78 Ɇɉɚ. Ɋɚɡɨɦ ɡ ɬɢɦ, ɦɚɤɫɢɦɚɥɶɧɚ ɜɟɥɢ
-ɱɢɧɚ ɟɤɜɿɜɚɥɟɧɬɧɨɝɨ ɧɚɜɚɧɬɚɠɟɧɧɹ ɧɚ ɩɨɜɟɪɯɧɿ
ɡɭɛɚ ɩɪɢ ɪɟɡɨɪɛɰɿʀ ɚɥɶɜɟɨɥɹɪɧɨʀ ɤɿɫɬɤɢ ɞɥɹ ȱ,ȱȱ ɬɚ
ȱȱȱ ɫɬɭɩɟɧɿɜ ɬɹɠɤɨɫɬɿ ɡɚɩɚɥɶɧɨ-ɞɢɫɬɪɨɮɿɱɧɨɝɨ
ɩɪɨɰɟɫɭ ɜ ɩɚɪɨɞɨɧɬɿ ɫɬɚɧɨɜɢɥɚ ɜɿɞɩɨɜɿɞɧɨ
10,2±3,0 Ɇɉɚ, 12,6±3,9 Ɇɉɚ ɬɚ 24,0±7,6 Ɇɉɚ.
Ɍɚɤɢɦ ɱɢɧɨɦ, ɬɢɫɧɟɧɧɹ, ɳɨ ɩɟɪɟɞɚɽɬɶɫɹ ɱɟɪɟɡ
ɡɭɛɢ ɧɚ ɤɿɫɬɤɨɜɭ ɬɤɚɧɢɧɭ, ɩɟɪɟɜɢɳɭɽ ɮɿɡɿɨɥɨ
-ɝɿɱɧɟ ɜ 4,08; 5,04; 9,6 ɪɚɡɭ ɜɿɞɩɨɜɿɞɧɨ ɞɥɹ ɪɿɡɧɢɯ
ɫɬɭɩɟɧɿɜ ɬɹɠɤɨɫɬɿ ɩɚɪɨɞɨɧɬɢɬɭ,ɿ ɽ ɮɚɤɬɨɪɨɦ,ɳɨ
ɪɭɣɧɭɽ ɩɚɪɨɞɨɧɬ ɡɚ ɪɚɯɭɧɨɤ ɫɬɢɦɭɥɸɜɚɧɧɹ ɪɟ
-ɡɨɪɛɬɢɜɧɢɯ ɩɪɨɰɟɫɿɜ ɜ ɚɥɶɜɟɨɥɹɪɧɿɣ ɤɿɫɬɰɿ ɡɚ
ɩɪɢɧɰɢɩɨɦ ɨɪɬɨɞɨɧɬɢɱɧɢɯ ɚɩɚɪɚɬɿɜ.
Ɇɚɤɫɢɦɚɥɶɧɚ ɜɟɥɢɱɢɧɚ ɧɚɩɪɭɝɢ ɩɪɢ ɲɢɧɭ
-ɜɚɧɧɿ ɡɭɛɿɜ ɫɬɚɧɨɜɢɥɚ 1,6±0,50 Ɇɉɚ,ɳɨ ɫɜɿɞɱɢɬɶ
ɩɪɨ ɤɨɦɩɟɧɫɚɰɿɸ ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ ɫɬɚ
-ɧɿɜ. Ɍɚɤɟ ɧɚɜɚɧɬɚɠɟɧɧɹ ɩɚɪɨɞɨɧɬɚ ɫɥɿɞ ɜɜɚɠɚɬɢ
ɮɿɡɿɨɥɨɝɿɱɧɢɦ, ɬɨɛɬɨ ɬɢɦ, ɳɨ ɫɬɢɦɭɥɸɽ ɪɟɩɚ
-ɪɚɬɢɜɧɿ ɩɪɨɰɟɫɢ ɜ ɤɿɫɬɤɨɜɿɣ ɬɤɚɧɢɧɿ ɡɚɜɞɹɤɢ
ɫɩɪɢɹɧɧɸ ɦɿɤɪɨɰɢɪɤɭɥɹɬɨɪɧɿɣ ɝɟɦɨɞɢɧɚɦɿɰɿ.
ɉɪɢ ɰɶɨɦɭ ɯɚɪɚɤɬɟɪɧɢɦ ɽ ɪɨɡɩɨɞɿɥ ɨɤɥɸɡɿɣɧɨɝɨ ɧɚɜɚɧɬɚɠɟɧɧɹ ɩɪɢ ɪɿɡɧɢɯ ɫɬɭɩɟɧɹɯ ɩɚɬɨɥɨɝɿɱɧɨɝɨ
ɩɪɨɰɟɫɭ ɜ ɩɚɪɨɞɨɧɬɿ (ɪɢɫ. 3). Ʌɨɤɚɥɿɡɚɰɿɹ ɜɨɝɧɢɳ
ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ ɫɬɚɧɿɜ ɡɚɥɟɠɢɬɶ ɜɿɞ
ɫɬɭɩɟɧɹ ɪɟɡɨɪɛɰɿʀ ɤɿɫɬɤɨɜɨʀ ɬɤɚɧɢɧɢ ɩɚɪɨɞɨɧɬɚ.
əɤ ɜɢɞɧɨ,ɧɚɣɛɿɥɶɲɟ ɧɚɜɚɧɬɚɠɟɧɧɹ ɩɪɢ ɡɧɢɠɟɧɧɿ
ɥɭɧɤɢ,ɩɪɢ ɰɶɨɦɭ ɜɨɧɨ ɩɟɪɟɜɢɳɭɽ ɮɿɡɿɨɥɨɝɿɱɧɟ ɜ
2,1–2,4 ɪɚɡɭ. Ɋɟɲɬɚ ɧɚɩɪɭɠɧɨ-ɞɟɮɨɪɦɨɜɚɧɢɯ
ɫɬɚɧɿɜ ɤɨɦɩɟɧɫɭɸɬɶɫɹ ɲɢɧɨɸ-ɩɪɨɬɟɡɨɦ. ɉɪɢ
ɡɛɿɥɶɲɟɧɧɿ ɪɟɡɨɪɛɰɿʀ ɤɿɫɬɤɨɜɨʀ ɬɤɚɧɢɧɢ ɩɪɢ
-ɛɥɢɡɧɨ ɞɨ ɫɟɪɟɞɢɧɢ ɥɭɧɤɢ ɩɪɢ ȱȱ ɫɬɭɩɟɧɿ ɩɚɪɨ
-ɞɨɧɬɢɬɚ ɤɨɦɩɟɧɫɚɰɿɣɧɢɣ ɟɮɟɤɬ ɲɢɧɢ ɞɟɳɨ ɡɧɢ
-ɠɭɽɬɶɫɹ: ɧɚɩɪɭɠɟɧɧɹ ɧɚ ɪɿɜɧɿ ɧɢɠɧɶɨʀ ɬɪɟɬɢɧɢ
ɤɨɪɟɧɹ ɡɛɟɪɿɝɚɽɬɶɫɹ, ɚɥɟ ɧɟ ɩɟɪɟɜɢɳɭɽ ɤɪɢɬɢɱɧɿ
ɡɧɚɱɟɧɧɹ. ɉɪɢ ɪɟɡɨɪɛɰɿʀ ɤɿɫɬɤɨɜɨʀ ɬɤɚɧɢɧɢ ɛɿɥɶ
-ɲɟ ɧɿɠ 2/3 ɜɢɫɨɬɢ ɩɟɪɟɝɨɪɨɞɤɢ ɧɚɣɛɿɥɶɲɟ ɧɚɜɚɧ
-ɬɚɠɟɧɧɹ ɫɩɨɫɬɟɪɿɝɚɽɬɶɫɹ ɞɥɹ ɜɟɪɯɿɜɤɨɜɨʀ ɱɚɫɬɢɧɢ
ɤɨɪɟɧɿɜ ɧɢɠɧɿɯ ɡɭɛɿɜ, ɩɪɢ ɰɶɨɦɭ ɫɭɦɚɪɧɚ ɜɟ
-ɥɢɱɢɧɚ ɧɚɩɪɭɝɢ ɧɟ ɩɟɪɟɜɢɳɭɽ ɝɪɚɧɢɱɧɨ ɞɨ
-ɩɭɫɬɢɦɭ.
Ɍɚɤɢɦ ɱɢɧɨɦ, ɪɨɡɪɨɛɥɟɧɚ ɤɨɧɫɬɪɭɤɰɿɹ ɡɚ ɪɚ
-ɯɭɧɨɤ ɜɥɚɫɬɢɜɨɫɬɟɣ ɦɚɬɟɪɿɚɥɭ, ɹɤɢɣ ɜɢɤɨɪɢɫ
-ɬɨɜɭɽɬɶɫɹ ɞɥɹ ʀʀ ɜɢɝɨɬɨɜɥɟɧɧɹ, ɡɞɚɬɧɚ ɤɨɦɩɟɧ
-ɫɭɜɚɬɢ ɩɟɪɟɜɚɧɬɚɠɟɧɧɹ ɡɭɛɿɜ, ɚ ɨɬɠɟ ɿ ɬɤɚɧɢɧ
ɩɚɪɨɞɨɧɬɚ, ɜɧɚɫɥɿɞɨɤ ɪɟɡɨɪɛɬɢɜɧɢɯ ɩɪɨɰɟɫɿɜ ɭ
ɤɿɫɬɤɨɜɿɣ ɬɤɚɧɢɧɿ. ɉɨɤɚɡɧɢɤɢ ɩɟɪɟɦɿɳɟɧɧɹ ɬɚ
ɧɚɩɪɭɝɢ,ɡɚɪɟɽɫɬɪɨɜɚɧɿ ɩɪɢ ɜɢɤɨɪɢɫɬɚɧɧɿ ɡɧɿɦɧɨʀ
ɲɢɧɢ-ɩɪɨɬɟɡɚ, ɧɟ ɩɟɪɟɜɢɳɭɸɬɶ ɮɿɡɿɨɥɨɝɿɱɧɢɯ
ɦɟɠ (ɪ>0,05). ɉȱȾɋɍɆɈɄ
Ⱥɧɚɥɿɡ ɩɨɤɚɡɧɢɤɿɜ ɩɟɪɟɦɿɳɟɧɧɹ ɿ ɧɚɩɪɭɝ,
ɨɞɟɪɠɚɧɢɯ ɜɧɚɫɥɿɞɨɤ ɩɪɨɜɟɞɟɧɨɝɨ ɦɚɬɟɦɚɬɢɱ
-ɧɨɝɨ ɦɨɞɟɥɸɜɚɧɧɹ,ɩɨɤɚɡɚɜ,ɳɨ ɞɥɹ ɜɫɿɯ ɜɟɥɢɱɢɧ
ɤɿɫɬɤɨɜɨʀ ɪɟɡɨɪɛɰɿʀ ɡɚɩɪɨɩɨɧɨɜɚɧɢɣ ɜɚɪɿɚɧɬ
ɤɨɦɛɿɧɨɜɚɧɨʀ ɲɢɧɢ-ɩɪɨɬɟɡɚ ɞɨɡɜɨɥɹɽ ɡɫɭɜ ɡɭɛɿɜ
ɩɿɞ ɞɿɽɸ ɫɢɥɢ, ɳɨ ɡɦɿɳɭɽ, ɜ ɦɟɠɚɯ ɩɪɢɩɭɫɬɢɦɢɯ
ɮɿɡɿɨɥɨɝɿɱɧɢɯ ɡɧɚɱɟɧɶ. Ɉɬɪɢɦɚɧɿ ɪɟɡɭɥɶɬɚɬɢ ɞɨɡ
-ɜɨɥɹɸɬɶ ɡɪɨɛɢɬɢ ɜɢɫɧɨɜɨɤ ɩɪɨ ɟɮɟɤɬɢɜɧɿɫɬɶ ɤɨɧɫɬɪɭɤɰɿʀ ɞɥɹ ɿɦɦɨɛɿɥɿɡɚɰɿʀ ɡɭɛɿɜ ɩɪɢ ɪɿɡɧɨɦɭ
ɫɬɭɩɟɧɿ ɪɟɡɨɪɛɰɿʀ ɦɿɠɡɭɛɧɢɯ ɩɟɪɟɝɨɪɨɞɨɤ, ɹɤɿ
ɜɿɞɩɨɜɿɞɚɸɬɶ ɬɹɠɤɨɫɬɿ ɩɚɬɨɥɨɝɿɱɧɨɝɨ ɩɪɨɰɟɫɭ ɜ
ɩɚɪɨɞɨɧɬɿ.
ɋ
ɋɉ
ɉɂ
ɂɋ
ɋɈ
Ɉ
Ʉ
Ʉ
Ʌȱ
Ʌ
ȱɌ
Ɍȿ
ȿɊ
ɊȺ
ȺɌ
Ɍɍ
ɍɊ
Ɋɂ
ɂ
1. Ɇɟɥɶɧɢɱɭɤ Ƚ.Ɇ. Ƚɿɧɝɿɜɿɬ, ɩɚɪɨɞɨɧɬɢɬ, ɩɚɪɨ -ɞɨɧɬɨɡ: ɨɫɨɛɥɢɜɨɫɬɿ ɥɿɤɭɜɚɧɧɹ / Ƚ. Ɇ. Ɇɟɥɶɧɢɱɭɤ, Ɇ.Ɇ.Ɋɨɠɤɨ, Ʌ.ȼ.Ɂɚɜɟɪɛɧɚ. – ȱɜɚɧɨ-Ɏɪɚɧɤɿɜɫɶɤ: Ȼ.ɜ., 2011. – 328 ɫ.
2. Ɉɪɬɨɩɟɞɢɱɧɚ ɫɤɥɚɞɨɜɚ ɤɨɦɩɥɟɤɫɧɨɝɨ ɥɿɤɭɜɚɧ-ɧɹ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɩɚɪɨɞɨɧɬɢɬɭ / ȼ.ɉ. ɇɟɫɩɪɹɞɶɤɨ, ȱ.Ɉ.ɀɞɚɧɨɜɢɱ // ɋɨɜɪɟɦ.ɫɬɨɦɚɬɨɥɨɝɢɹ. – 2012. – ʋ 1. –ɋ.30-34.
3. ɉɚɬ. 64755 ɍɤɪɚʀɧɚ,ɆɉɄ Ⱥ 61 ɋ 13/00. Ʉɨɦɛɿ-ɧɨɜɚɧɚ ɡɧɿɦɧɚ ɲɢɧɚ-ɩɪɨɬɟɡ ɞɥɹ ɥɿɤɭɜɚɧɧɹ
ɡɚɯɜɨɪɸ-ɜɚɧɶ ɩɚɪɨɞɨɧɬɚ / ȯ.Ʌ.Ⱥɥɶɛɟɪɬ, Ɉ.ȼ.Ƚɪɨɦɨɜ, Ɂɭɛ-ɤɨ ȼ.ȼ. [ɢ ɞɪ.] (UA). - ʋ u201111682; ɡɚɹɜɥ. 04.10.2011; ɨɩɭɛɥ. 10.11.2011, Ȼɸɥ.ʋ 21.
4. Ɍɪɨɮɿɦɟɧɤɨ Ɉ.Ⱥ. ɒɥɹɯɢ ɨɩɬɢɦɿɡɚɰɿʀ ɨɛʉɪɭɧ -ɬɭɜɚɧɧɹ ɜɢɛɨɪɭ ɤɨɧɫɬɪɭɤɰɿɣ ɡɭɛɧɢɯ ɩɪɨɬɟɡɿɜ ɩɪɢ ɡɚɯ -ɜɨɪɸɜɚɧɧɹɯ ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɚ / Ɉ.Ⱥ. Ɍɪɨɮɿɦɟɧɤɨ // ɋɨɜɪɟɦ.ɫɬɨɦɚɬɨɥɨɝɢɹ. – 2007. – ʋ 2. – ɋ. 134-139.
ɄɅȱɇȱɑɇȺ ɆȿȾɂɐɂɇȺ
R
RE
EF
FE
ER
RE
EN
NC
CE
ES
S
1. Melnichuk GM, Rozhko MM, Zaverbna LV. GIngIvIt, parodontit, parodontoz: osoblivostI lIkuvannya. Ivano-FrankIvsk: BV. 2011;328.
2. Nespryadko VP, Zhdanovich IO. Ortopedichna skladova kompleksnogo lIkuvannya generalIzovanogo parodontitu. Sovrem stomatologiya. 2012;1:30-34.
3. Albert EL, Gromov OV, Zubko VV. Pat 64755 UkraYina, MPK A 61 S 13/00. KombInovana znImna shina-protez dlya lIkuvannya zahvoryuvan parodonta.
UA. - N u201111682; zayavl.04.10.2011; opubl. 10.11.2011, Byul. N 21.
4. TrofImenko OA. Shlyahi optimIzatsIYi obGrun-tuvannya viboru konstruktsIy zubnih protezIv pri zahvo-ryuvannyah tkanin parodonta Sovrem. stomatologiya. 2007;2:134-9.
5. Chuyko AN, Shinchukovskiy IA. Biomehanika v stomatologii: monografiya. H: Izd-vo «Fort». 2010;516.
ɍȾɄ 616.31-053.2(477.75) ɇ.ȼ.Ȼɭɲɦɚ,
Ʉ.ɇ.Ʉɨɫɟɧɤɨ, Ɉ.ȼ.Ⱦɟɧɶɝɚ
Ɋ
ɊȺ
Ⱥɋ
ɋɉ
ɉɊ
ɊɈ
Ɉɋ
ɋɌ
ɌɊ
ɊȺ
Ⱥɇ
ɇ
Ȭɇ
Ȭ
ɇɇ
ɇɈ
Ɉ
ɋɌ
ɋ
Ɍɖ
ɖ
ɂ
ɂ
ɂ
ɂɇ
ɇɌ
Ɍȿ
ȿɇ
ɇ
ɋɂ
ɋ
ɂȼ
ȼɇ
ɇɈ
Ɉɋ
ɋɌ
Ɍɖ
ɖ
Ɉɋ
Ɉ
ɋɇ
ɇɈ
Ɉȼ
ȼɇ
ɇɕ
ɕɏ
ɏ
ɋ
ɋɌ
ɌɈ
ɈɆ
ɆȺ
ȺɌ
ɌɈ
ɈɅ
ɅɈ
ɈȽ
Ƚ
ɂɑ
ɂ
ɑȿ
ȿɋ
ɋɄ
Ʉɂ
ɂɏ
ɏ
ɁȺ
Ɂ
ȺȻ
ȻɈ
ɈɅ
Ʌȿ
ȿȼ
ȼȺ
Ⱥɇ
ɇɂ
ɂɃ
Ƀ
ɍ
ɍ
Ⱦ
Ⱦȿ
ȿɌ
Ɍȿ
ȿɃ
Ƀ
ɝ
ɝ
.
.
ɋɂ
ɋ
ɂɆ
ɆɎ
Ɏȿ
ȿɊ
ɊɈ
Ɉɉ
ɉɈ
Ɉ
Ʌə
Ʌ
ə
Ƚɍ «ɂɧɫɬɢɬɭɬ ɫɬɨɦɚɬɨɥɨɝɢɢ ɇȺɆɇ ɍɤɪɚɢɧɵ»
Ɉɞɟɫɫɚ, 65000, ɍɤɪɚɢɧɚ
SE «The Institute of Dentistry of the NAMS of Ukraine» Odessa, 65000, Ukraine
Ʉɥɸɱɟɜɵɟ ɫɥɨɜɚ:ɞɟɬɢ,ɨɫɧɨɜɧɵɟ ɫɬɨɦɚɬɨɥɨɝɢɱɟɫɤɢɟ ɡɚɛɨɥɟɜɚɧɢɹ,ɮɢɫɫɭɪɵ ɦɨɥɹɪɨɜ,ɷɥɟɤɬɪɨɦɟɬɪɢɹ
Key words: children, basic dental diseases, fissures of molars, electrometyr
Ɋɟɮɟɪɚɬ.ɉɨɲɢɪɟɧɿɫɬɶ ɬɚ ɿɧɬɟɧɫɢɜɧɿɫɬɶ ɨɫɧɨɜɧɢɯ ɫɬɨɦɚɬɨɥɨɝɿɱɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɭ ɞɿɬɟɣ ɦ.ɋɿɦɮɟɪɨɩɨɥɹ.
Ȼɭɲɦɚ ɇ.ȼ.,Ʉɨɫɟɧɤɨ Ʉ.ɇ., Ⱦɟɧɶɝɚ Ɉ.ȼ.ɇɚ ɫɶɨɝɨɞɧɿ,ɧɟɡɜɚɠɚɸɱɢ ɧɚ ɧɚɹɜɧɿɫɬɶ ɫɭɱɚɫɧɢɯ ɟɮɟɤɬɢɜɧɢɯ ɡɚɫɨɛɿɜ
ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɿ ɩɪɨɮɿɥɚɤɬɢɤɢ ɫɬɨɦɚɬɨɥɨɝɿɱɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ, ɳɨ ɞɨɡɜɨɥɢɥɢ ɡɧɢɡɢɬɢ ʀɯ ɿɧɬɟɧ
-ɫɢɜɧɿɫɬɶ,ɩɨɲɢɪɟɧɿɫɬɶ ɡɚɯɜɨɪɸɜɚɧɶ ɡɚɥɢɲɚɽɬɶɫɹ ɞɭɠɟ ɜɢɫɨɤɨɸ.Ɉɞɧɢɦ ɡ ɦɟɬɨɞɿɜ ɩɪɨɮɿɥɚɤɬɢɤɢ ɤɚɪɿɽɫɭ ɡɭɛɿɜ ɭ
ɞɿɬɟɣ ɜɿɤɨɦ 6-7 ɪɨɤɿɜ ɽ ɡɚɩɟɱɚɬɭɜɚɧɧɹ ɮɿɫɭɪ ɦɨɥɹɪɿɜ ɹɤ ɧɚɣɭɪɚɡɥɢɜɿɲɢɯ ɞɿɥɹɧɨɤ ɡɭɛɿɜ,ɩɪɢ ɹɤɨɦɭ ɽ ɪɹɞ ɩɪɨɛɥɟɦ,
ɩɨɜ'ɹɡɚɧɢɯ ɡɿ ɫɤɥɚɞɧɢɦ ɪɟɥɶɽɮɨɦ ɮɿɫɭɪ.Ɇɟɬɨɸ ɰɶɨɝɨ ɞɨɫɥɿɞɠɟɧɧɹ ɛɭɥɨ ɜɢɜɱɟɧɧɹ ɩɨɲɢɪɟɧɨɫɬɿ ɣ ɿɧɬɟɧɫɢɜɧɨɫɬɿ
ɫɬɨɦɚɬɨɥɨɝɿɱɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɿ ɬɟɧɞɟɧɰɿʀ ʀɯ ɪɨɡɜɢɬɤɭ, ɚ ɬɚɤɨɠ ɟɥɟɤɬɪɨɦɟɬɪɢɱɧɢɯ ɩɨɤɚɡɧɢɤɿɜ ɮɿɫɭɪ ɡɭɛɿɜ ɭ
ɞɿɬɟɣ 6-7 ɪɨɤɿɜ ɦ.ɋɿɦɮɟɪɨɩɨɥɹ.Ȼɭɥɨ ɨɛɫɬɟɠɟɧɨ 87 ɞɿɬɟɣ 6-7 ɪɨɤɿɜ (1-ɿ ɤɥɚɫɢ ɲɤɿɥ ɦ.ɋɿɦɮɟɪɨɩɨɥɹ). ɉɪɢ ɰɶɨɦɭ
ɨɰɿɧɸɜɚɥɢɫɹ ɫɬɚɧ ɬɜɟɪɞɢɯ ɬɤɚɧɢɧ ɡɭɛɿɜ (Ʉɉɡ, Ʉɉɩ, Ʉɉȼɡ, Ʉɉȼɩ, ɤɚɪɿɨɡɧɿ ɩɨɪɨɠɧɢɧɢ, ɩɥɨɦɛɢ, ɩɿɝɦɟɧɬɧɿ
ɩɥɹɦɢ,ɭɫɤɥɚɞɧɟɧɧɹ ɜ ɫɬɪɭɤɬɭɪɿ ɤɚɪɿɨɡɧɢɯ ɭɪɚɠɟɧɶ), ɫɬɚɧ ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɭ (PMA %, ɤɪɨɜɨɬɨɱɢɜɿɫɬɶ,ɩɪɨɛɚ
ɒɢɥɥɟɪɚ-ɉɢɫɚɪɟɜɚ, CPITN) ɿ ɪɿɜɟɧɶ ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ (Silness-Loe, Stallard). Ⱦɥɹ ɞɿɚɝɧɨɫɬɢɤɢ ɟɥɟɤɬɪɨ
-ɦɟɬɪɿʀ ɬɜɟɪɞɢɯ ɬɤɚɧɢɧ ɮɿɫɭɪ ɡɭɛɿɜ ɜɢɤɨɪɢɫɬɨɜɭɜɚɥɢ ɚɩɚɪɚɬ Ⱦɟɧɬȿɫɬ. ɉɪɨɜɟɞɟɧɿ ɞɨɫɥɿɞɠɟɧɧɹ ɨɫɧɨɜɧɢɯ
ɫɬɨɦɚɬɨɥɨɝɿɱɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɿ ɟɥɟɤɬɪɨɦɟɬɪɢɱɧɢɯ ɩɨɤɚɡɧɢɤɿɜ ɬɜɟɪɞɢɯ ɬɤɚɧɢɧ ɮɿɫɭɪ ɦɨɥɹɪɿɜ ɭ ɞɿɬɟɣ 6-7 ɪɨɤɿɜ
ɦ.ɋɿɦɮɟɪɨɩɨɥɹ ɫɜɿɞɱɚɬɶ ɩɪɨ ɧɟɡɚɞɨɜɿɥɶɧɭ ɝɿɝɿɽɧɭ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ,ɜɢɫɨɤɭ ɭɪɚɠɟɧɿɫɬɶ ɤɚɪɿɽɫɨɦ ɬɢɦɱɚɫɨɜɢɯ ɿ
ɩɨɫɬɿɣɧɢɯ ɡɭɛɿɜ ɿ ɬɟɧɞɟɧɰɿʀ ɞɨ ɡɛɿɥɶɲɟɧɧɹ ɨɫɬɚɧɧɿɦ ɱɚɫɨɦ ɩɨɲɢɪɟɧɨɫɬɿ ɤɚɪɿɽɫɭ ɡɭɛɿɜ ɩɨɫɬɿɣɧɨɝɨ ɩɪɢɤɭɫɭ ɭ ɞɿɬɟɣ 6-7 ɪɨɤɿɜ,ɧɟɨɛɯɿɞɧɿɫɬɶ ɪɨɡɪɨɛɤɢ ɿ ɜɩɪɨɜɚɞɠɟɧɧɹ ɥɿɤɭɜɚɥɶɧɨ-ɩɪɨɮɿɥɚɤɬɢɱɧɢɯ ɡɚɯɨɞɿɜ, ɹɤɿ ɞɨɡɜɨɥɹɬɶ ɧɟ
ɞɨɩɭɫɬɢɬɢ ɜɢɧɢɤɧɟɧɧɹ ɤɚɪɿɨɡɧɨɝɨ ɩɪɨɰɟɫɭ ɜ ɡɭɛɚɯ ɩɨɫɬɿɣɧɨɝɨ ɩɪɢɤɭɫɭ.
