ɄɅȱɇȱɑɇȺ
ɆȿȾɂɐɂɇȺ
ɍȾɄ ɂ.ɋ. Ɇɚɳɟɧɤɨ*,
ɇ.Ȼ. Ʉɭɡɧɹɤ**,
Ⱥ.Ⱥ. ɒɨɫɬɟɧɤɨ**
Ɍ
ɌȺ
ȺɄ
ɄɌ
Ɍɂ
ɂɄ
Ʉ
Ⱥ
Ⱥ
ɗ
ɗɌ
ɌȺ
Ⱥɉ
ɉɇ
ɇɈ
ɈȽ
Ƚ
Ɉ
Ɉ
Ʌ
Ʌȿ
ȿɑ
ɑȿ
ȿɇ
ɇ
ɂə
ɂ
ə
Ɉ
ɈȻ
ȻɈ
Ɉɋ
ɋɌ
ɌɊ
Ɋɂ
ɂȼ
ȼɒ
ɒȿ
ȿȽ
ȽɈ
Ɉɋ
ɋə
ə
ɏ
ɏɊ
ɊɈ
Ɉɇ
ɇɂ
ɂ
ɑȿ
ɑ
ȿɋ
ɋɄ
ɄɈ
ɈȽ
ȽɈ
Ɉ
Ƚ
Ƚȿ
ȿɇ
ɇȿ
ȿɊ
ɊȺ
ȺɅ
Ʌɂ
ɂɁ
ɁɈ
Ɉ
ȼȺ
ȼ
Ⱥɇ
ɇɇ
ɇɈ
ɈȽ
ȽɈ
Ɉ
Ʉ
ɄȺ
ȺɌ
ɌȺ
ȺɊ
ɊȺ
ȺɅ
Ʌɖ
ɖɇ
ɇɈ
ɈȽ
ȽɈ
Ɉ
Ƚ
Ƚɂ
ɂɇ
ɇ
Ƚɂ
Ƚ
ɂȼ
ȼɂ
ɂ
ɌȺ
Ɍ
Ⱥ
Ƚɍ «ȾɧɟɩɪɨɩɟɬɪɨɜɫɤɚɹɦɟɞɢɰɢɧɫɤɚɹɚɤɚɞɟɦɢɹɆɁɍɤɪɚɢɧɵ» *
ɤɚɮɟɞɪɚɯɢɪɭɪɝɢɱɟɫɤɨɣɫɬɨɦɚɬɨɥɨɝɢɢ, ɢɦɩɥɚɧɬɨɥɨɝɢɢɢɩɚɪɨɞɨɧɬɨɥɨɝɢɢ (ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ƚ. ɂɞɚɲɤɢɧɚ)
ɭɥ. Ⱦɡɟɪɠɢɧɫɤɨɝɨ, 9, Ⱦɧɟɩɪ, 49044, ɍɤɪɚɢɧɚ
Ƚɍ «Ȼɭɤɨɜɢɧɫɤɢɣɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣɦɟɞɢɰɢɧɫɤɢɣɭɧɢɜɟɪɫɢɬɟɬ» **
ɤɚɮɟɞɪɚɨɪɬɨɩɟɞɢɱɟɫɤɨɣɫɬɨɦɚɬɨɥɨɝɢɢ
(ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ȼ. Ʉɭɡɧɹɤ)
Ɍɟɚɬɪɚɥɶɧɚɹɩɥ., 2, ɑɟɪɧɨɜɰɵ, 58002, ɍɤɪɚɢɧɚ
SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» * Oral surgery, implantology and periodontology department
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine e-mail: gudaryan@list.ru
SE «Bukovinian state medical university» ** Department of prosthetic dentistry
Theatralna sq., 2, Chernivtsi, 58002, Ukraine e-mail: office@bsmu.edu.ua
Ʉɥɸɱɟɜɵɟɫɥɨɜɚɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɣɩɚɪɨɞɨɧɬɢɬ, ɤɚɬɚɪɚɥɶɧɵɣɝɢɧɝɢɜɢɬ, ɦɢɤɪɨɛɢɨɰɟɧɨɡ
.H\ZRUGV generalized periodontitis, catarrhal gingivitis, microbiocenosis
ɊɟɮɟɪɚɬɌɚɤɬɢɤɚɟɬɚɩɧɨɝɨɥɿɤɭɜɚɧɧɹɡɚɝɨɫɬɪɟɧɧɹɯɪɨɧɿɱɧɨɝɨɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨɤɚɬɚɪɚɥɶɧɨɝɨɝɿɧɝɿɜɿɬɭ
Ɇɚɳɟɧɤɨȱɋ ɄɭɡɧɹɤɇȻ ɒɨɫɬɟɧɤɨȺȺ ɍ ɫɬɚɬɬɿ ɩɪɟɞɫɬɚɜɥɟɧɿ ɪɟɡɭɥɶɬɚɬɢ ɩɨɪɿɜɧɹɥɶɧɨɝɨ ɜɢɜɱɟɧɧɹ
ɨɫɨɛɥɢɜɨɫɬɟɣɦɿɤɪɨɛɿɨɰɟɧɨɡɭɹɫɟɧɧɢɯɬɤɚɧɢɧɬɚɦɿɫɰɟɜɨɝɨɿɦɭɧɿɬɟɬɭɜ 60 ɯɜɨɪɢɯɡɯɪɨɧɿɱɧɢɦɬɚɡɚɝɨɫɬɪɟɧɢɦ
ɩɟɪɟɛɿɝɨɦ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ. ȼɢɹɜɥɟɧɨ, ɳɨ ɭ ɯɜɨɪɢɯ ɿɡ ɡɚɝɨɫɬɪɟɧɢɦ ɩɟɪɟɛɿɝɨɦ
ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭɛɿɥɶɲ ɫɭɬɬɽɜɿɜɿɞɦɿɧɧɨɫɬɿ ɜɩɨɤɚɡɧɢɤɚɯɦɿɫɰɟɜɨɝɨ ɝɭɦɨɪɚɥɶɧɨɝɨɿɦɭ
-ɧɿɬɟɬɭ ɩɨɪɿɜɧɹɧɨ ɡ ɝɪɭɩɨɸ ɩɚɰɿɽɧɬɿɜ ɡ ɯɪɨɧɿɱɧɢɦ ɩɪɨɹɜɨɦ ɡɚɯɜɨɪɸɜɚɧɧɹ, ɹɤɿ ɯɚɪɚɤɬɟɪɢɡɭɜɚɥɢɫɹ ɜɟɥɢɤɢɦ
ɡɧɢɠɟɧɧɹɦ ɪɿɜɧɿɜ sIgA ɿ IgM ɬɚ, ɦɟɧɲɨɸ ɦɿɪɨɸ, ɩɿɞɜɢɳɟɧɧɹɦ IgG. ȼɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɭɦɨɜɧɨ - ɩɚɬɨɝɟɧɧɚ
ɫɬɪɟɩɬɨɤɨɤɨɜɚ ɦɿɤɪɨɮɥɨɪɚ ɩɨɫɿɞɚɽ ɩɪɨɜɿɞɧɟ ɦɿɫɰɟ ɜ ɟɬɿɨɥɨɝɿʀ ɯɪɨɧɿɱɧɨɝɨ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ, ɚ ɭ ɮɨɪɦɭɜɚɧɧɿ ɡɚɝɨɫɬɪɟɧɶ ɡɚɩɚɥɶɧɢɯ ɹɜɢɳ ɜ ɹɫɟɧɧɿɣ ɬɤɚɧɢɧɿ ɞɨɦɿɧɭɸɱɚ ɪɨɥɶ ɧɚɥɟɠɢɬɶ ɫɬɚɮɿ
-ɥɨɤɨɤɚɦɬɚɝɪɢɛɚɦɪɨɞɭɄɚɧɞɢɞɚ.
$EVWUDFW7DFWLFVRIVWDJHGWUHDWPHQWRIH[DFHUEDWHGFKURQLFJHQHUDOL]HGFDWDUUKDOJLQJLYLWLV0DVKFKHQNR,6
.X]Q\DN1%6KRVWHQNR$$ The paper presents the results of a comparative study of features of gingival tissues
microbiocenosis and local immunity in 60 patients with chronic and exacerbated chronic generalized catarrhal gingivitis. We found that in patients with exacerbated generalized catarrhal gingivitis there exist more significant differences in terms of local humoral immunity as compared with a group of patients with chronic manifestation of the disease, characterized by a large decrease in levels of sIgA and IgM and to a lesser extent, an increase in IgG. It was established that conditionally-pathogenic streptococcal microflora leads in the etiology of chronic generalized catarrhal gingivitis and staphylococcus and fungi of the genus Candida play the dominant role in formation of exacerbations of inflammation in the gingival tissue.
ɒɢɪɨɤɨɟɪɚɫɩɪɨɫɬɪɚɧɟɧɢɟɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨɝɢɧɝɢɜɢɬɚɫɪɟɞɢɧɚɫɟɥɟɧɢɹɨɫɨɛɟɧ ɧɨ ɦɨɥɨɞɨɝɨ ɜɨɡɪɚɫɬɚ ɪɨɫɬ ɤɨɥɢɱɟɫɬɜɚ ɫɥɭɱɚɟɜ ɟɝɨ ɩɪɨɞɨɥɠɢɬɟɥɶɧɨɝɨ ɬɟɱɟɧɢɹ ɫ ɱɚɫɬɵɦɢ ɨɛɨɫɬɪɟɧɢɹɦɢ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ ɜ ɞɟɫɧɟɜɨɣ ɬɤɚɧɢ ɢ ɧɟɞɨɫɬɚɬɨɱɧɨ ɷɮɮɟɤɬɢɜɧɨɟ ɥɟɱɟɧɢɟ ɩɪɟɞɫɬɚɜɥɹɸɬ ɜɚɠɧɭɸ ɞɨ ɤɨɧɰɚ ɧɟ ɪɟɲɟɧɧɭɸ ɩɪɨɛɥɟɦɭ ɜ ɫɨɜɪɟɦɟɧɧɨɣ ɧɚɭɱɧɨɣ ɢ ɩɪɚɤɬɢɱɟɫɤɨɣɫɬɨɦɚɬɨɥɨɝɢɢ>@
ɋɟɝɨɞɧɹɲɧɢɟ ɬɪɭɞɧɨɫɬɢ ɤɨɦɩɥɟɤɫɧɨɝɨ ɥɟɱɟ ɧɢɹ ɡɚɛɨɥɟɜɚɧɢɹ ɫɜɹɡɚɧɵ ɫ ɦɧɨɝɨɝɪɚɧɧɨɫɬɶɸ
ɡɜɟɧɶɟɜ ɢ ɦɟɯɚɧɢɡɦɨɜ ɜɤɥɸɱɟɧɧɵɯ ɜ ɩɚɬɨɥɨɝɢ ɱɟɫɤɢɣ ɩɪɨɰɟɫɫ ɤɨɬɨɪɵɣ ɮɨɪɦɢɪɭɟɬɫɹ ɜ ɞɟɫɧɟ ɜɨɣ ɬɤɚɧɢ ȼ ɪɚɦɤɚɯ ɩɪɨɛɥɟɦɵ ɝɟɧɟɪɚɥɢɡɨ ɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɫɥɟɞɭɟɬ ɩɪɢ ɡɧɚɬɶ ɱɬɨ ɢɡɦɟɧɟɧɢɹ ɛɢɨɰɟɧɨɡɚ ɡɭɛɨɞɟɫɧɟɜɨɣ ɳɟɥɢɢɧɚɪɭɲɟɧɢɹɥɨɤɚɥɶɧɨɝɨɢɦɦɭɧɢɬɟɬɚɨɩɪɟɞɟ ɥɹɸɬ ɭɫɥɨɜɢɹ ɞɥɹ ɪɚɡɜɢɬɢɹ ɡɚɛɨɥɟɜɚɧɢɹ ɢ ɩɨ ɫɥɟɞɭɸɳɟɝɨɟɝɨɤɥɢɧɢɱɟɫɤɨɝɨɩɪɨɹɜɥɟɧɢɹ>@
ɹɜɥɹɟɬɫɹ ɜɟɞɭɳɢɦ ɷɬɢɨɥɨɝɢɱɟɫɤɢɦ ɮɚɤɬɨɪɨɦ ɢɧɢɰɢɢɪɭɸɳɢɦ ɢ ɩɨɞɞɟɪɠɢɜɚɸɳɢɦ ɜɨɫɩɚɥɢ ɬɟɥɶɧɵɣ ɩɪɨɰɟɫɫ ɜ ɞɟɫɧɟɜɨɣ ɬɤɚɧɢ > @ Ɉɬɦɟɱɟɧɨ ɬɚɤɠɟ ɱɬɨ ɭɤɚɡɚɧɧɵɟ ɛɚɤɬɟɪɢɚɥɶɧɵɟ ɚɝɟɧɬɵ ɧɟ ɨɫɬɚɜɥɹɸɬ ɩɨɫɥɟ ɫɟɛɹ ɫɬɨɣɤɨɝɨ ɢɦ ɦɭɧɢɬɟɬɚ ɩɨɷɬɨɦɭ ɞɚɠɟ ɩɨɫɥɟ ɭɫɩɟɲɧɨ ɡɚɜɟɪɲɟɧɧɨɣ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɨɣ ɬɟɪɚɩɢɢ ɢ ɩɨɥɧɨɣ ɪɟɚɛɢɥɢɬɚɰɢɢ ɭ ɛɨɥɶɧɵɯ ɝɟɧɟɪɚɥɢɡɨ ɜɚɧɧɵɦɤɚɬɚɪɚɥɶɧɵɦɝɢɧɝɢɜɢɬɨɦɨɱɟɧɶɜɵɫɨɤɢɣ ɪɢɫɤ ɩɨɜɬɨɪɧɨɣ ɪɟɢɧɮɟɤɰɢɢ ɢ ɪɟɰɢɞɢɜɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɉɪɚɤɬɢɱɟɫɤɢ ɧɚɪɭɲɟɧɢɹ ɧɨɪɦɨ ɛɢɨɡɚ ɞɟɫɧɟɜɵɯ ɬɤɚɧɟɣ ɜɨɡɧɢɤɚɸɬ ɧɚ ɮɨɧɟ ɜɬɨɪɢɱɧɨɝɨ ɢɦɦɭɧɨɞɟɮɢɰɢɬɧɨɝɨ ɫɨɫɬɨɹɧɢɹ ɩɪɨɜɨɰɢɪɭɸɬ ɟɝɨ ɞɚɥɶɧɟɣɲɟɟ ɪɚɡɜɢɬɢɟ ɢ ɭɫɭɝɭɛɥɹɸɬɞɚɥɶɧɟɣɲɟɟɬɟɱɟɧɢɟɡɚɛɨɥɟɜɚɧɢɹ
ɂɫɯɨɞɹ ɢɡ ɜɵɲɟɢɡɥɨɠɟɧɧɨɝɨ ɞɨɫɬɢɠɟɧɢɟ ɷɮɮɟɤɬɢɜɧɵɯɢɫɬɚɛɢɥɶɧɵɯɪɟɡɭɥɶɬɚɬɨɜɥɟɱɟɧɢɹ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɜɨɡ ɦɨɠɧɨ ɬɨɥɶɤɨ ɩɪɢ ɭɫɥɨɜɢɢ ɧɨɪɦɚɥɢɡɚɰɢɢ ɛɢɨɰɟɧɨɡɚ ɬɤɚɧɟɣ ɞɟɫɧɵ ɢ ɤɨɪɪɟɤɰɢɢ ɢɦɦɭɧɢ ɬɟɬɚɜɫɬɨɪɨɧɭɟɝɨɜɨɫɫɬɚɧɨɜɥɟɧɢɹ
ɉɟɪɫɩɟɤɬɢɜɧɵɦ ɦɟɬɨɞɨɦ ɥɢɤɜɢɞɚɰɢɢ ɞɢɫ ɛɚɤɬɟɪɢɨɡɚ ɦɨɠɟɬ ɛɵɬɶ ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɚɧɬɢ ɛɚɤɬɟɪɢɚɥɶɧɵɯ ɫɪɟɞɫɬɜ ɜ ɤɨɦɛɢɧɚɰɢɢ ɫ ɩɪɨ ɛɢɨɬɢɤɨɦɛɢɨɫɩɨɪɢɧɨɦɈɬɫɭɬɫɬɜɢɟɨɩɵɬɚɩɨɢɯ ɩɪɢɦɟɧɟɧɢɸ ɭ ɛɨɥɶɧɵɯ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɦ ɤɚɬɚɪɚɥɶɧɵɦɝɢɧɝɢɜɢɬɨɦɞɢɤɬɭɟɬɧɟɨɛɯɨɞɢɦɨɫɬɶ ɱɟɬɤɢɯ ɪɟɤɨɦɟɧɞɚɰɢɣ ɩɨ ɢɯ ɢɫɩɨɥɶɡɨɜɚɧɢɸ ɇɟɨɛɯɨɞɢɦɨ ɪɟɲɢɬɶ ɬɚɤɠɟ ɜɨɩɪɨɫ ɧɚ ɤɚɤɨɦ ɷɬɚɩɟ ɩɪɨɜɨɞɢɬɶ ɢɦɦɭɧɨɤɨɪɪɟɝɢɪɭɸɳɭɸ ɬɟ ɪɚɩɢɸ ɨɫɨɛɟɧɧɨ ɭ ɛɨɥɶɧɵɯ ɫ ɨɛɨɫɬɪɢɜɲɢɦɫɹ ɬɟɱɟɧɢɟɦɡɚɛɨɥɟɜɚɧɢɹɚɬɚɤɠɟɨɩɪɟɞɟɥɢɬɶɫɪɨɤɢ ɩɨɜɬɨɪɧɨɝɨ ɩɪɨɮɢɥɚɤɬɢɱɟɫɤɨɝɨ ɧɚɡɧɚɱɟɧɢɹ ɢɦɦɭɧɨɦɨɞɭɥɢɪɭɸɳɢɯɩɪɟɩɚɪɚɬɨɜ
ɐɟɥɶ ɢɫɫɥɟɞɨɜɚɧɢɹ ± ɩɨɜɵɲɟɧɢɟ ɷɮɮɟɤɬɢɜ ɧɨɫɬɢ ɤɨɦɩɥɟɤɫɧɨɝɨ ɥɟɱɟɧɢɹ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɩɭɬɟɦ ɷɬɚɩɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɩɪɨ ɮɟɫɫɢɨɧɚɥɶɧɵɯ ɝɢɝɢɟɧɢɱɟɫɤɢɯ ɦɟɪɨɩɪɢɹɬɢɣ ɷɬɢɨɬɪɨɩɧɵɯ ɫɪɟɞɫɬɜ ɢ ɢɦɦɭɧɨɤɨɪɪɟɝɢɪɭɸɳɟɣ ɬɟɪɚɩɢɢ
ɆȺɌȿɊɂȺɅɕɂɆȿɌɈȾɕɂɋɋɅȿȾɈȼȺɇɂɃ
ȼɢɫɫɥɟɞɨɜɚɧɢɟɛɵɥɢɜɤɥɸɱɟɧɵɩɚɰɢɟɧɬɨɜ ɫ ɞɢɚɝɧɨɡɨɦ ɨɛɨɫɬɪɢɜɲɢɣɫɹ ɯɪɨɧɢɱɟɫɤɢɣ ɝɟɧɟ ɪɚɥɢɡɨɜɚɧɧɵɣ ɤɚɬɚɪɚɥɶɧɵɣ ɝɢɧɝɢɜɢɬ Ⱦɥɹ ɜɵ ɩɨɥɧɟɧɢɹ ɪɚɛɨɬɵ ɩɨɞɛɢɪɚɥɢɫɶ ɥɢɰɚ ɦɨɥɨɞɨɝɨ ɜɨɡɪɚɫɬɚɨɬɞɨɥɟɬɋɨɨɬɧɨɲɟɧɢɟɨɬɨɛɪɚɧ ɧɵɯɦɭɠɱɢɧɢɠɟɧɳɢɧɛɵɥɨɩɪɢɦɟɪɧɨɪɚɜɧɵɦ Ɉɛɴɟɤɬɨɦ ɢɫɫɥɟɞɨɜɚɧɢɹ ɹɜɥɹɥɢɫɶ ɩɚɰɢɟɧɬɵ ɧɟ ɫɬɪɚɞɚɸɳɢɟ ɞɪɭɝɢɦɢ ɫɨɩɭɬɫɬɜɭɸɳɢɦɢ ɡɚ ɛɨɥɟɜɚɧɢɹɦɢ
Ⱦɢɚɝɧɨɫɬɢɤɚ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨɤɚɬɚɪɚɥɶɧɨɝɨɝɢɧɝɢɜɢɬɚɨɫɧɨ ɜɵɜɚɥɢɫɶ ɧɚ ɨɛɳɟɩɪɢɧɹɬɵɯ ɤɥɢɧɢɱɟɫɤɢɯ ɢ ɪɟɧɬɝɟɧɨɥɨɝɢɱɟɫɤɢɯ ɞɚɧɧɵɯ ȼɫɟɦ ɛɨɥɶɧɵɦ
ɩɪɨɜɨɞɢɥɨɫɶ ɢɞɟɧɬɢɱɧɨɟ ɤɥɢɧɢɱɟɫɤɨɟ ɨɛɫɥɟɞɨ ɜɚɧɢɟ ɜɤɥɸɱɚɸɳɟɟ ɜɵɹɫɧɟɧɢɟ ɠɚɥɨɛ ɫɛɨɪ ɚɧɚɦɧɟɡɚ ɜɢɡɭɚɥɶɧɭɸ ɢ ɢɧɫɬɪɭɦɟɧɬɚɥɶɧɭɸ ɨɰɟɧɤɭɫɬɨɦɚɬɨɥɨɝɢɱɟɫɤɨɝɨɫɬɚɬɭɫɚ
ɇɚɪɹɞɭ ɫ ɨɛɳɟɤɥɢɧɢɱɟɫɤɢɦ ɨɛɫɥɟɞɨɜɚɧɢɟɦ ɜ ɪɚɛɨɬɟ ɢɫɩɨɥɶɡɨɜɚɥɚɫɶ ɫɬɚɧɞɚɪɬɧɚɹ ɰɢɮɪɨɜɚɹ ɨɪɬɨɩɚɧɬɨɦɨɝɪɚɮɢɹ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɢɡɭɱɟɧɢɟɦ ɩɨɥɭɱɟɧɧɵɯ ɫɧɢɦɤɨɜ ɧɚ ɩɟɪɫɨɧɚɥɶɧɨɦ ɤɨɦɩɶɸ ɬɟɪɟ ɞɥɹ ɛɨɥɟɟ ɨɛɴɟɤɬɢɜɧɨɣ ɨɰɟɧɤɢ ɫɨɫɬɨɹɧɢɹ ɤɨɫɬɧɵɯ ɬɤɚɧɟɣ ɚɥɶɜɟɨɥɹɪɧɵɯ ɨɬɪɨɫɬɤɨɜ ɜ ɨɛɥɚɫɬɢɦɟɠɡɭɛɧɵɯɩɟɪɟɝɨɪɨɞɨɤ
Ɉɩɪɟɞɟɥɟɧɢɟ ɝɢɝɢɟɧɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɩɨ ɥɨɫɬɢ ɪɬɚ ɨɫɭɳɟɫɬɜɥɹɥɨɫɶ ɩɨ ɦɟɬɨɞɭ *UHHQ :HUPLOOLRQ ɚ ɚɤɬɢɜɧɨɫɬɶ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨ ɰɟɫɫɚ ɜ ɞɟɫɧɟɜɨɣ ɬɤɚɧɢ ɫɨɝɥɚɫɧɨ ɢɡɦɟɧɟɧɢɸ ɢɧɞɟɤɫɚ ɤɪɨɜɨɬɨɱɢɜɨɫɬɢ Ɇɸɥɟɦɚɧɧɚ 0XKOH PDQQ +5 ɢ ɩɚɩɢɥɹɪɧɨɦɚɪɝɢɧɚɥɶɧɨɚɥɶɜɟɨɥɹɪ ɧɨɝɨɢɧɞɟɤɫɚɉɆȺ>@
ȼ ɪɚɛɨɬɟ ɢɫɩɨɥɶɡɨɜɚɥɚɫɶ ɫɬɚɧɞɚɪɬɧɚɹ ɨɪɬɨ ɩɚɧɬɨɦɨɝɪɚɮɢɹ ɧɚ ɜɢɡɢɨɝɪɚɮɟ ɞɥɹ ɛɨɥɟɟ ɨɛɴɟɤ ɬɢɜɧɨɣ ɨɰɟɧɤɢ ɫɨɫɬɨɹɧɢɹ ɤɨɫɬɧɵɯ ɦɟɠɡɭɛɧɵɯ ɩɟɪɟɝɨɪɨɞɨɤ
Ⱦɥɹ ɨɩɪɟɞɟɥɟɧɢɹ ɛɢɨɰɟɧɨɡɚ ɞɟɫɧɟɜɵɯ ɬɤɚɧɟɣ ɢɫɩɨɥɶɡɨɜɚɥɢ ɤɥɚɫɫɢɱɟɫɤɢɣ ɦɟɬɨɞ ɛɚɤɬɟɪɢɚɥɶ ɧɨɝɨ ɤɭɥɶɬɢɜɢɪɨɜɚɧɢɹ ɫ ɨɩɪɟɞɟɥɟɧɢɟɦ ɤɨɥɢ ɱɟɫɬɜɟɧɧɨɝɨ ɢ ɜɢɞɨɜɨɝɨ ɫɨɫɬɚɜɚ ɦɢɤɪɨɮɥɨɪɵ Ɇɢɤɪɨɛɢɨɥɨɝɢɱɟɫɤɢɦɢɫɫɥɟɞɨɜɚɧɢɹɦɩɨɞɜɟɪɝɚɥ ɫɹ ɦɚɬɟɪɢɚɥ ɜɡɹɬɵɣ ɢɡ ɡɭɛɨɞɟɫɧɟɜɨɣ ɛɨɪɨɡɞɵ ɩɨɫɥɟ ɬɪɨɟɤɪɚɬɧɨɝɨ ɨɩɨɥɚɫɤɢɜɚɧɢɹ ɩɨɥɨɫɬɢ ɪɬɚ ɞɢɫɬɢɥɥɢɪɨɜɚɧɧɨɣ ɜɨɞɨɣ ɉɨɫɟɜ ɦɚɬɟɪɢɚɥɚ ɫ ɰɟɥɶɸ ɢɡɨɥɢɪɨɜɚɧɢɹ ɤɨɥɨɧɢɢ ɨɫɭɳɟɫɬɜɥɹɥɢ ɫɟɤɬɨɪɚɥɶɧɵɦ ɦɟɬɨɞɨɦ ɧɚ ɑɚɲɤɟ ɉɟɬɪɢ ɫ ɧɵɦɫɟɪɞɟɱɧɨɦɨɡɝɨɜɵɦɝɟɥɢɣɚɝɚɪɨɦɩɪɢɝɨɬɨɜ ɥɟɧɧɵɦɧɚɨɫɧɨɜɟ%UDLQ+HDUW$JDUȾɚɧɧɚɹɫɪɟɞɚ ɫɨɞɟɪɠɢɬɜɫɜɨɟɦɫɨɫɬɚɜɟɮɚɤɬɨɪɵɪɨɫɬɚɝɟɦɢɧɢ ɥɢɩɚɞɢɨɧ ɢ ɹɜɥɹɟɬɫɹ ɭɧɢɜɟɪɫɚɥɶɧɵɦ ɞɥɹ ɪɨɫɬɚ ɛɨɥɶɲɢɧɫɬɜɚ ɚɧɚɷɪɨɛɧɵɯ ɢ ɚɷɪɨɛɧɵɯ ɛɚɤɬɟɪɢɣ Ʉɭɥɶɬɢɜɢɪɨɜɚɧɢɟ ɚɧɚɷɪɨɛɧɵɯ ɤɭɥɶɬɭɪ ɛɚɤɬɟɪɢɣ ɩɪɨɜɟɞɟɧɨ ɜ ɚɧɚɷɪɨɫɬɚɬɟ Ȼɢɨɯɢɦɢɱɟɫɤɭɸ ɢɞɟɧ ɬɢɮɢɤɚɰɢɸ ɱɢɫɬɵɯ ɤɭɥɶɬɭɪ ɚɧɚɷɪɨɛɧɵɯ ɛɚɤɬɟ ɪɢɣ ɩɪɨɜɨɞɢɥɢ ɫ ɩɨɦɨɳɶɸ ɬɟɫɬɫɢɫɬɟɦ ɮɚɪɫɢɧ $3,Ɏɪɚɧɰɢɹ5XFKHȽɟɪɦɚɧɢɹɩɨɫɬɚɧɞɚɪɬɧɨɣ ɦɟɬɨɞɢɤɟɫɨɝɥɚɫɧɨɢɧɫɬɪɭɤɰɢɹɦɩɪɨɢɡɜɨɞɢɬɟɥɹ
ɂɡɨɥɢɪɨɜɚɧɢɟ ɤɨɥɨɧɢɣ ɞɪɨɠɠɟɩɨɞɨɛɧɵɯ ɝɪɢɛɨɜɜɚɷɪɨɛɧɵɯɭɫɥɨɜɢɹɯɩɨɥɭɱɚɥɢɢɫɩɨɥɶɡɭɹ ɫɪɟɞɭɋɚɛɭɪɨ
ɉɪɢ ɩɨɫɬɭɩɥɟɧɢɢ ɧɚ ɥɟɱɟɧɢɟ ɢ ɜ ɩɪɨɰɟɫɫɟ ɞɢɧɚɦɢɱɟɫɤɨɝɨ ɧɚɛɥɸɞɟɧɢɹ ɭ ɜɫɟɯ ɩɚɰɢɟɧɬɨɜ ɨɰɟɧɢɜɚɥɫɹ ɫɟɤɪɟɬɨɪɧɵɣ ɝɭɦɨɪɚɥɶɧɵɣ ɢɦɦɭɧ ɧɵɣ ɫɬɚɬɭɫ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɩɟɪɢɨɞɚ ɡɚɛɨɥɟɜɚɧɢɹ ɯɪɨɧɢɱɟɫɤɨɟɬɟɱɟɧɢɟɢɥɢɨɛɨɫɬɪɟɧɢɟ
ɄɅȱɇȱɑɇȺ
ɆȿȾɂɐɂɇȺ
ɬɟɱɟɧɢɟɦɢɧɭɬȼɧɟɞɨɫɬɚɬɨɱɧɨɣɠɢɞɤɨɫɬɢɨɩ ɪɟɞɟɥɹɥɢ ɫɨɞɟɪɠɚɧɢɟ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ V,J$ ,J $ ,J * Ʉɨɥɢɱɟɫɬɜɨ ɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ ɜɵ ɪɚɠɚɥɢɜɝɥɄɨɧɰɟɧɬɪɚɰɢɸɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜ ɜ ɪɨɬɨɜɨɣ ɠɢɞɤɨɫɬɢ ɨɩɪɟɞɟɥɹɥɢ ɦɟɬɨɞɨɦ ɪɚ ɞɢɚɥɶɧɨɣɢɦɦɭɧɨɞɢɮɮɭɡɢɢɜɝɟɥɟɩɨ*0DQFLQL >@Ɉɩɪɟɞɟɥɟɧɢɟɫɟɤɪɟɬɨɪɧɨɝɨɢɦɦɭɧɨɝɥɨɛɭɥɢɧɚ ɩɪɨɜɨɞɢɥɢ ɫ ɩɨɦɨɳɶɸ ɢɦɦɭɧɨɮɟɪɦɟɧɬɧɨɝɨ ɚɧɚɥɢɡɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɦɨɧɨɫɩɟɰɢɮɢɱɟɫɤɨɣ ɫɵɜɨɪɨɬɤɢɩɪɨɬɢɜɧɚɡɜɚɧɧɨɝɨɢɦɦɭɧɨɝɥɨɛɭɥɢɧɚ
ɇɚɨɫɧɨɜɚɧɢɢɞɚɧɧɵɯɤɥɢɧɢɱɟɫɤɨɝɨɨɛɫɥɟɞɨ ɜɚɧɢɹ ɢ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɩɨɫɬɚɜɥɟɧɧɨɣ ɰɟɥɶɸ ɛɨɥɶɧɵɟ ɛɵɥɢ ɪɚɫɩɪɟɞɟɥɟɧɵ ɧɚ ɨɫɧɨɜɧɭɸ ɱɟɥ ɝɪɭɩɩɭ ɢ ɝɪɭɩɩɭ ɫɪɚɜɧɟɧɢɹ ɱɟɥ ɢɞɟɧɬɢɱɧɵɟ ɩɨ ɜɨɡɪɚɫɬɭ ɩɨɥɭ ɢ ɞɥɢɬɟɥɶɧɨɫɬɢ ɡɚɛɨɥɟɜɚɧɢɹ
Ȼɨɥɶɧɵɟ ɝɪɭɩɩɵ ɫɪɚɜɧɟɧɢɹ ɝɪɭɩɩɚ ɩɨɥɭɱɚɥɢ ɨɛɳɟɩɪɢɧɹɬɨɟ ɥɟɱɟɧɢɟ ɫɬɚɧɞɚɪɬɧɭɸ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɭɸ ɬɟɪɚɩɢɸ ɦɟɫɬɧɨ ɢɫɩɨɥɶɡɨ ɜɚɥɢ ɪɚɫɬɜɨɪ ɯɥɨɪɝɟɤɫɢɞɢɧɚ ɧɚɪɹɞɭ ɫ ɬɪɚɞɢɰɢɨɧɧɵɦɢ ɩɪɨɮɟɫɫɢɨɧɚɥɶɧɵɦɢ ɦɟɪɨɩɪɢɹ ɬɢɹɦɢ ɢ ɤɭɪɫɨɦ ɢɦɦɭɧɨɤɨɪɟɤɰɢɢ ɢɧɬɟɪɮɟɪɨ ɧɨɝɟɧɧɵɦ ɩɪɟɩɚɪɚɬɨɦ ɥɢɤɨɩɢɞɨɦ ɜ ɞɨɡɢɪɨɜɤɟ ɬɚɛɥ ɜ ɫɭɬɤɢ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɞɧɟɣ ȼ ɨɬɞɚɥɟɧɧɨɦ ɩɟɪɢɨɞɟ ɱɟɪɟɡ ɦɟɫɹɰɟɜ ɩɨɫɥɟ ɨɤɨɧɱɚɧɢɹ ɬɟɪɚɩɢɢ ɜ ɫɥɭɱɚɹɯ ɤɥɢɧɢɱɟɫɤɢɯ ɪɟɰɢɞɢɜɨɜɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨɩɪɨɰɟɫɫɚɜɞɟɫɧɟɜɨɣ ɬɤɚɧɢɩɪɨɜɨɞɢɥɫɹɚɧɚɥɢɡɫɨɫɬɨɹɧɢɹɛɢɨɰɟɧɨɡɚɢ ɦɟɫɬɧɨɣ ɫɟɤɪɟɬɨɪɧɨɣ ɢɦɦɭɧɨɪɟɚɤɬɢɜɧɨɫɬɢ ɭ ɷɬɢɯ ɩɚɰɢɟɧɬɨɜ ɫ ɩɨɫɥɟɞɭɸɳɢɦ ɥɟɱɟɧɢɟɦ ɩɨ ɪɚɡɪɚɛɨɬɚɧɧɨɣɫɯɟɦɟ
Ȼɨɥɶɧɵɦ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɝɪɭɩɩɵ ɢɡɧɚ ɱɚɥɶɧɨɛɵɥɚɩɪɨɜɟɞɟɧɚɬɟɪɚɩɢɹɜɫɨɨɬɜɟɬɫɬɜɢɢɫ ɪɚɡɪɚɛɨɬɚɧɧɵɦɧɚɦɢɦɟɬɨɞɨɦ
ȼɯɨɞɟɩɟɪɜɨɝɨɷɬɚɩɚɥɟɱɟɧɢɹɜɫɟɦɩɚɰɢɟɧɬɚɦ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɨɫɭɳɟɫɬɜɥɹɥɢɫɶ ɩɪɨɮɟɫ ɫɢɨɧɚɥɶɧɵɟ ɝɢɝɢɟɧɢɱɟɫɤɢɟ ɦɟɪɨɩɪɢɹɬɢɹ ɉɨɫɥɟ ɭɫɬɪɚɧɟɧɢɹ ɡɭɛɧɵɯ ɨɬɥɨɠɟɧɢɣ ɩɪɨɜɨɞɢɥɢ ɨɛɪɚɛɨɬɤɭɭɱɚɫɬɤɨɜɦɟɯɚɧɢɱɟɫɤɢɯɜɦɟɲɚɬɟɥɶɫɬɜ ɪɚɫɬɜɨɪɨɦ ɯɥɨɪɝɟɤɫɢɞɢɧɚ Ƚɟɤɫɨɪɚɥɨɦ ɉɨɫɥɟ ɷɬɢɯ ɩɪɨɰɟɞɭɪ ɧɚ ɡɨɧɭ ɩɨɪɚɠɟɧɢɹ ɞɟɫɧɟɜɵɯ ɬɤɚɧɟɣ ɧɚɧɨɫɢɥɢ ɝɟɥɟɜɭɸ ɮɨɪɦɭ ©ɉɚ ɪɚɝɟɥɶª±ɚɫɟɩɬɢɱɟɫɤɢɣɝɟɥɶɞɥɹɞɟɫɟɧɤɨɬɨɪɵɣ ɫɨɞɟɪɠɢɬ ± ɯɥɨɪɝɟɤɫɢɞɢɧɚ ɛɢɝɥɸɤɚɧɚɬɚ ɢ ɜɵɬɹɠɤɭ ɤɨɪɧɹ ɤɚɥɝɚɧɚ Ȼɥɚɝɨɞɚɪɹ ɯɨɪɨɲɢɦ ɚɞɝɟɡɢɜɧɵɦɫɜɨɣɫɬɜɚɦɉɚɪɚɝɟɥɶɮɢɤɫɢɪɭɟɬɫɹɧɚ ɩɨɜɟɪɯɧɨɫɬɢ ɞɟɫɟɧ ɞɨ ɱɚɫɨɜ ɞɥɹ ɩɨɞɚɜɥɟɧɢɹ ɝɪɢɛɤɨɜɨɣɦɢɤɪɨɮɥɨɪɵɢɜɨɫɫɬɚɧɨɜɥɟɧɢɹɧɨɪɦɨ ɛɢɨɡɚɞɟɫɧɟɜɵɯɬɤɚɧɟɣɧɚɩɟɪɜɨɦɷɬɚɩɟɥɟɱɟɧɢɹ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚɥɢɡɨɜɚɧ ɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɩɚɰɢɟɧɬɚɦ ɧɚɡɧɚ ɱɚɥɢ Ȼɢɨɫɩɨɪɢɧ ɩɟɪɨɪɚɥɶɧɨ ɩɨ ɪɚɡɚ ɜ ɞɟɧɶ ɡɚ ɦɢɧɭɬɞɨɟɞɵ
ȼ ɤɚɱɟɫɬɜɟ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɨɣ ɬɟɪɚɩɢɢ ɛɨɥɶɧɵɦ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɞɨɩɨɥɧɢɬɟɥɶɧɨ
ɧɚɡɧɚɱɚɥɢ ɇɢɦɟɫɢɥ ɩɨ ɞɨɡɟ ɜ ɫɭɬɤɢ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɩɟɪɜɵɯ ɞɧɟɣ ɂɦɦɭɧɨɥɨɝɢɱɟɫɤɢɟ ɩɪɟɩɚɪɚɬɵɧɚɩɟɪɜɨɦɷɬɚɩɟɥɟɱɟɧɢɹɧɟɢɫɩɨɥɶɡɨ ɜɚɥɢɫɶɜɜɢɞɭɢɯɧɟɚɞɟɤɜɚɬɧɨɝɨɤɨɪɪɟɝɢɪɭɸɳɟɝɨ ɜɨɡɞɟɣɫɬɜɢɹ ɧɚ ɩɪɨɰɟɫɫɵ Ɉɬɤɚɡ ɨɬ ɢɯ ɢɫɩɨɥɶ ɡɨɜɚɧɢɹ ɛɚɡɢɪɨɜɚɥɫɹ ɧɚ ɪɟɡɭɥɶɬɚɬɚɯ ɢɦɦɭɧɨɥɨ ɝɢɱɟɫɤɢɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɩɪɨɜɟɞɟɧɧɵɯ ɜ ɤɨɧɬɪɨɥɶɧɨɣɝɪɭɩɩɟɫɪɚɜɧɟɧɢɹ
ȼɬɨɪɨɣ ɷɬɚɩ ɥɟɱɟɧɢɹ ɭ ɛɨɥɶɧɵɯ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɧɚɱɢɧɚɥɫɹ ɩɨɫɥɟ ɥɢɤɜɢɞɚɰɢɢ ɚɤɬɢɜɧɨɝɨ ɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɩɪɨɰɟɫɫɚ ɜ ɞɟɫɧɟɜɵɯ ɬɤɚɧɹɯ ɢ ɜɤɥɸɱɚɥ ɨɛɳɭɸ ɢɦɦɭɧɨɬɟɪɚɩɢɸ ɥɢɤɨɩɢɞɨɦ ɜ ɞɨɡɟ ɦɝ ɜ ɫɭɬɤɢ ɩɨ ɫɯɟɦɟ ɨɞɢɧ ɪɚɡ ɜ ɞɟɧɶ ɧɚ ɩɪɨɬɹɠɟɧɢɢɞɧɟɣ
Ɍɪɟɬɢɣ ɡɚɜɟɪɲɚɸɳɢɣ ɷɬɚɩ ɜɤɥɸɱɚɥ ɩɪɨɮɢ ɥɚɤɬɢɤɭ ɪɟɰɢɞɢɜɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɨɬɞɚɥɟɧɧɨɦ ɩɟɪɢɨɞɟ ɩɨɫɥɟ ɥɟɱɟɧɢɹ ɩɭɬɟɦ ɩɪɨɜɟɞɟɧɢɹ ɩɨ ɩɨɤɚɡɚɧɢɹɦ ɩɪɨɮɟɫɫɢɨɧɚɥɶɧɵɯ ɝɢɝɢɟɧɢɱɟɫɤɢɯ ɦɟɪɨɩɪɢɹɬɢɣ ɢ ɩɨɜɬɨɪɧɨɝɨ ɤɭɪɫɚ ɨɛɳɟɣ ɢɥɢ ɥɨɤɚɥɶɧɨɣ ɢɦɦɭɧɨɤɨɪɪɟɝɢɪɭɸɳɟɣ ɬɟɪɚɩɢɢ ȼɵɛɨɪ ɫɩɨɫɨɛɚ ɢɦɦɭɧɨɬɟɪɚɩɢɢ ɩɪɨɜɨɞɢɥɢ ɜ ɡɚɜɢɫɢɦɨɫɬɢɨɬɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɯɞɚɧɧɵɯɢ ɤɥɢɧɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɞɟɫɧɟɜɵɯ ɬɤɚɧɟɣ Ȼɨɥɶ ɧɵɦ ɫ ɜɨɡɨɛɧɨɜɢɜɲɢɦɫɹ ɩɪɨɰɟɫɫɨɦ ɤɨɬɨɪɵɣ ɯɚɪɚɤɬɟɪɢɡɨɜɚɥɫɹ ɯɪɨɧɢɱɟɫɤɢɦ ɜɹɥɨɬɟɤɭɳɢɦ ɬɟɱɟɧɢɟɦ ɨɛɳɚɹ ɢɦɦɭɧɨɤɨɪɪɟɤɰɢɹ ɥɢɤɨɩɢɞɨɦ ɩɪɨɜɨɞɢɥɚɫɶ ɧɚ ɮɨɧɟ ɫɨɤɪɚɳɟɧɢɹ ɞɨ ɞɧɟɣ ɤɭɪɫɚ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɉɚɪɚ ɝɟɥɟɦ Ȼɢɨɫɩɨɪɢɧɨɦ ɇɟɨɛɯɨɞɢɦɨɫɬɶ ɩɪɨɜɟɞɟ ɧɢɹ ɩɪɟɞɜɚɪɢɬɟɥɶɧɨɣ ɢɦɦɭɧɨɤɨɪɟɤɰɢɢ ɧɚ ɬɪɟɬɶɟɦɷɬɚɩɟɭɛɨɥɶɧɵɯɫɢɧɬɚɤɬɧɵɦɢɬɤɚɧɹɦɢ ɩɚɪɨɞɨɧɬɚ ɜɨɡɧɢɤɚɥɚ ɜ ɪɟɡɭɥɶɬɚɬɟ ɜɵɹɜɥɟɧɢɹ ɭ ɧɢɯ ɥɚɛɨɪɚɬɨɪɧɵɦɢ ɢɫɫɥɟɞɨɜɚɧɢɹɦɢ ɧɟɤɨɬɨɪɨɝɨ ɭɯɭɞɲɟɧɢɹ ɫɨ ɫɬɨɪɨɧɵ ɢɦɦɭɧɨɥɨɝɢɱɟɫɤɢɯ ɩɨ ɤɚɡɚɬɟɥɟɣ ɩɨ ɫɪɚɜɧɟɧɢɸ ɫ ɬɚɤɨɜɵɦɢ ɧɟɩɨ ɫɪɟɞɫɬɜɟɧɧɨ ɩɨɫɥɟ ɜɬɨɪɨɝɨ ɷɬɚɩɚ ɤɨɦɩɥɟɤɫɧɨɝɨ ɥɟɱɟɧɢɹȼɷɬɨɦɫɥɭɱɚɟɩɪɨɮɢɥɚɤɬɢɱɟɫɤɢɟɤɭɪɫɵ ɦɟɫɬɧɨɣɢɦɦɭɧɨɬɟɪɚɩɢɢɩɪɨɜɨɞɢɥɢɫɶɩɪɨɞɨɥɠɢ ɬɟɥɶɧɨɫɬɶɸɞɧɟɣɅɢɤɨɩɢɞɜɜɨɞɢɥɢɚɩɩɥɢɤɚ ɰɢɨɧɧɵɦ ɦɟɬɨɞɨɦ ɦɝ ɩɪɟɩɚɪɚɬɚ ɧɚ ɦɥ ɮɢɡɪɚɫɬɜɨɪɚ ɧɚ ɫɦɨɱɟɧɧɨɦ ɜɚɬɧɵɦ ɬɚɦɩɨɧɨɦ ɪɚɫɬɜɨɪɨɦɩɪɨɞɨɥɠɢɬɟɥɶɧɨɫɬɶɜɨɡɞɟɣɫɬɜɢɹɨɬ ɞɨɦɢɧɭɬ
ɋɬɚɬɢɫɬɢɱɟɫɤɚɹɨɛɪɚɛɨɬɤɚɪɟɡɭɥɶɬɚɬɨɜɩɪɨɜɨ ɞɢɥɚɫɶɫɩɨɦɨɳɶɸ0LFURVRIW([FHOɞɥɹ:LQGRZV ɧɚ ɩɟɪɫɨɧɚɥɶɧɨɦ ɤɨɦɩɶɸɬɟɪɟ ɫ ɨɩɪɟɞɟɥɟɧɢɟɦ ɜɟɥɢɱɢɧ ɫɪɟɞɧɟɣ ɢ ɨɲɢɛɤɢ ɫɪɟɞɧɟɣ 0P ɪɚɫɱɟɬɨɦWɤɪɢɬɟɪɢɹɋɬɶɸɞɟɧɬɚɩɨɫɬɚɧɞɚɪɬɧɨɣ ɦɟɬɨɞɢɤɟ ɉɪɢ ɩɪɨɜɟɪɤɟ ɝɢɩɨɬɟɡ ɢɫɩɨɥɶɡɨɜɚɥɫɹ ɭɪɨɜɟɧɶɡɧɚɱɢɦɨɫɬɢɪ
ɊȿɁɍɅɖɌȺɌɕɂɂɏɈȻɋɍɀȾȿɇɂȿ
ɯɚɪɚɤɬɟɪɢɡɭɸɳɢɯ ɜɨɫɩɚɥɢɬɟɥɶɧɵɣ ɩɪɨɰɟɫɫ ɜ ɞɟɫɧɟ ɦɟɠɞɭ ɝɪɭɩɩɚɦɢ ɧɟ ɜɵɹɜɢɥɨ Ⱦɚɧɧɨɟ ɨɛɫɬɨɹɬɟɥɶɫɬɜɨ ɹɜɥɹɥɨɫɶ ɜɟɫɶɦɚ ɜɚɠɧɵɦ ɩɪɢ ɫɪɚɜɧɢɬɟɥɶɧɨɣɨɰɟɧɤɟɪɟɡɭɥɶɬɚɬɨɜɤɨɦɩɥɟɤɫɧɨɝɨ ɥɟɱɟɧɢɹ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚ ɥɢɡɨɜɚɧɧɨɝɨɝɢɧɝɢɜɢɬɚɬɪɚɞɢɰɢɨɧɧɵɦɝɪɭɩɩɚ ɢ ɪɚɡɪɚɛɨɬɚɧɧɵɦ ɦɟɬɨɞɨɦ ɝɪɭɩɩɚ ɫ ɩɨɡɢɰɢɢ ɞɨɤɚɡɚɬɟɥɶɧɨɣɦɟɞɢɰɢɧɵ
ɂɧɞɟɤɫɝɢɝɢɟɧɵɞɨɥɟɱɟɧɢɹɜɫɪɟɞɧɟɦɫɨɫɬɚɜ ɥɹɥ ɭ ɛɨɥɶɧɵɯ ɝɪɭɩɩɵ ɜɨ ɜɬɨɪɨɣ ɢɧɞɟɤɫɤɪɨɜɨɬɨɱɢɜɨɫɬɢɫɨɨɬɜɟɬɫɬɜɟɧɧɨ ɢ ɩɚɩɢɥɥɹɪɧɨɦɚɪɝɢɧɚɥɶɧɨ ɚɥɶɜɟɨɥɹɪɧɵɣ ɢɧɞɟɤɫ ɉɆȺ ± ɢ
ɉɪɢ ɢɡɭɱɟɧɢɢ ɤɥɢɧɢɱɟɫɤɢɯ ɩɨɤɚɡɚɬɟɥɟɣ ɜ ɞɢɧɚɦɢɤɟ ɨɬɦɟɱɟɧ ɩɨɥɨɠɢɬɟɥɶɧɵɣ ɪɟɡɭɥɶɬɚɬ ɤɨɦɩɥɟɤɫɧɨɝɨ ɥɟɱɟɧɢɹ ɭ ɜɫɟɯ ɩɚɰɢɟɧɬɨɜ ɨɛɟɢɯ ɝɪɭɩɩɭɠɟɤɩɨɫɟɳɟɧɢɸɩɚɰɢɟɧɬɵɭɤɚɡɵɜɚɥɢ ɧɚ ɭɥɭɱɲɟɧɢɟ ɫɨɫɬɨɹɧɢɹ ɞɟɫɟɧ ɂɫɱɟɡɚɥɚ ɛɨɥɟɡɧɟɧɧɨɫɬɶ ȼɨ ɜɫɟɯ ɝɪɭɩɩɚɯ ɛɵɥɨ ɜɵɹɜɥɟɧɨ ɭɦɟɧɶɲɟɧɢɟ ɤɪɨɜɨɬɨɱɢɜɨɫɬɢ ɝɢɩɟɪɟɦɢɢ ɢ ɨɬɟɱ ɧɨɫɬɢ ɜ ɨɛɥɚɫɬɢ ɞɟɫɟɧ ɗɬɨ ɩɨɞɬɜɟɪɠɞɚɥɨɫɶ ɢ ɭɬɨɱɧɹɥɨɫɶ ɨɛɴɟɤɬɢɜɧɵɦɢ ɦɟɬɨɞɚɦɢ ɨɛɫɥɟɞɨɜɚ ɧɢɹ Ɉɞɧɚɤɨ ɩɪɢ ɫɪɚɜɧɟɧɢɢ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɥɟɱɟɛɧɵɯɦɟɪɨɩɪɢɹɬɢɣɭɢɝɪɭɩɩɵɭɫɬɚɧɨɜ ɥɟɧɨɡɚɩɚɡɞɵɜɚɧɢɟɫɪɨɤɨɜɥɢɤɜɢɞɚɰɢɢɨɫɧɨɜɧɵɯ ɤɥɢɧɢɱɟɫɤɢɯ ɫɢɦɩɬɨɦɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɭ ɩɚ ɰɢɟɧɬɨɜ ɩɪɨɥɟɱɟɧɧɵɯ ɬɪɚɞɢɰɢɨɧɧɵɦ ɦɟɬɨɞɨɦ ɱɬɨ ɩɨɞɬɜɟɪɠɞɚɥɨɫɶ ɭɜɟɥɢɱɟɧɢɟɦ ɩɪɨɞɨɥɠɢ ɬɟɥɶɧɨɫɬɢ ɥɟɱɟɧɢɹ ɜ ɫɪɟɞɧɟɦ ɧɚ ɞɧɹ ɇɚɢɥɭɱɲɢɣ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɵɣ ɷɮɮɟɤɬ ɭ ɛɨɥɶɧɵɯ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɞɨɫɬɢɝɚɥɫɹ ɡɚ ɫɱɟɬ ɞɨɩɨɥɧɢɬɟɥɶɧɨɝɨɜɜɟɞɟɧɢɹɜɥɟɱɟɛɧɵɣɤɨɦɩɥɟɤɫ ɧɚ ɩɟɪɜɨɦ ɷɬɚɩɟ ɷɬɢɨɬɪɨɩɧɨɝɨ ɩɪɟɩɚɪɚɬɚ ɛɢɨ ɫɩɨɪɢɧɚ ɢ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɨɝɨ ɫɪɟɞɫɬɜɚ ɇɢɦɟɫɢɥɚ
Ɂɧɚɱɟɧɢɟ ɢɧɞɟɤɫɚ ɝɢɝɢɟɧɵ ɭɤɚɡɵɜɚɥɢ ɧɚ ɯɨɪɨɲɟɟ ɝɢɝɢɟɧɢɱɟɫɤɨɟ ɫɨɫɬɨɹɧɢɟ ɩɨɥɨɫɬɢ ɪɬɚ ɩɨɤɚɡɚɬɟɥɢɢɧɞɟɤɫɚɤɪɨɜɨɬɨɱɢɜɨɫɬɢɢ ɉɆȺ ɫɨɨɬɜɟɬɫɬɜɨɜɚɥɢ ɧɨɪɦɟ ɜ ɝɪɭɩɩɟ ɥɟɱɟɧɵɯ ɩɨ ɪɚɡɪɚɛɨɬɚɧɧɨɣ ɦɟɬɨɞɢɤɟ ɢ ɜ ɨɫɧɨɜɧɨɦ ɩɪɢɛɥɢɠɚɥɢɫɶ ɤ ɧɭɥɟɜɵɦ ɡɧɚɱɟɧɢɹɦ ɭ ɛɨɥɶɧɵɯ ɧɟɩɨɫɪɟɞɫɬɜɟɧɧɨ ɩɨɫɥɟ ɥɟɱɟɧɢɹ ȼ ɬɨ ɠɟ ɜɪɟɦɹ ɧɟɫɦɨɬɪɹ ɧɚ ɜɫɟ ɩɨɥɨɠɢɬɟɥɶɧɵɟ ɷɮɮɟɤɬɵ ɜ ɩɪɨɰɟɫɫɟ ɬɪɚɞɢɰɢɨɧɧɨɝɨ ɥɟɱɟɧɢɹ ɩɨ ɡɚɜɟɪɲɟɧɢɢ ɬɟɪɚɩɢɢ ɧɨɪɦɚɥɢɡɚɰɢɹ ɞɟɫɧɟɜɵɯ ɢɧɞɟɤɫɨɜ ɨɬ ɢɫɯɨɞɧɵɯ ɧɚɛɥɸɞɚɥɚɫɶ ɭ ɛɨɥɶɧɵɯɨɛɨɫɬɪɢɜɲɢɦɫɹɯɪɨɧɢɱɟɫɤɢɦɝɟɧɟɪɚɥɢ ɡɨɜɚɧɧɵɦɤɚɬɚɪɚɥɶɧɵɦɝɢɧɝɢɜɢɬɨɦɭɨɫɬɚɥɶɧɵɯ ɨɬɦɟɱɟɧɨ ɥɢɲɶ ɭɥɭɱɲɟɧɢɟ ɞɟɫɧɟɜɨɝɨ ɫɬɚɬɭɫɚ ɗɬɨ ɨɛɫɬɨɹɬɟɥɶɫɬɜɨ ɩɨɫɥɭɠɢɥɨ ɨɫɧɨɜɚɧɢɟɦ ɤ ɩɪɨɞɨɥɠɟɧɢɸ ɥɟɱɟɧɢɹ ɬɚɤɢɯ ɩɚɰɢɟɧɬɨɜ Ⱦɨɩɨɥ ɧɢɬɟɥɶɧɨɟ ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɭ ɧɢɯ Ȼɢɨɫɩɨɪɢɧɚ ɇɢɦɟɫɢɥɚ ɢ ɦɟɫɬɧɨ Ʌɢɤɨɩɢɞɚ ɩɨ ɪɚɡɪɚɛɨɬɚɧɧɨɣ ɦɟɬɨɞɢɤɟ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɞɧɟɣ ɩɨɡɜɨɥɢɥɨ
ɤɭɩɢɪɨɜɚɬɶ ɨɫɬɚɬɨɱɧɵɟ ɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɹɜɥɟɧɢɹ ɭɜɫɟɯɩɚɰɢɟɧɬɨɜ
Ⱦɢɫɩɚɧɫɟɪɧɵɟ ɧɚɛɥɸɞɟɧɢɹ ɜ ɨɬɞɚɥɟɧɧɵɟ ɫɪɨɤɢ ɩɪɨɞɟɦɨɧɫɬɪɢɪɨɜɚɥɢ ɱɬɨ ɪɟɡɭɥɶɬɚɬɵ ɤɨɦɩɥɟɤɫɧɨɣ ɬɟɪɚɩɢɢ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɝɟɧɟɪɚ ɥɢɡɨɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɞɨɫɬɢɝɧɭ ɬɵɟ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɨɬɨɛɪɚɧɧɵɯ ɧɚɦɢ ɥɟɤɚɪ ɫɬɜɟɧɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɧɚ ɪɚɡɧɵɯ ɷɬɚɩɚɯ ɥɟɱɟɧɢɹ ɭ ɛɨɥɶɧɵɯ ɨɛɟɢɯ ɝɪɭɩɩ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɦɟɫɹɰɟɜ ɨɫɬɚɜɚɥɢɫɶ ɫɬɚɛɢɥɶɧɵɦɢ ȼ ɷɬɢ ɫɪɨɤɢ ɤɥɢɧɢɱɟɫɤɢɟ ɩɪɢɡɧɚɤɢ ɪɟɰɢɞɢɜɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɨɬɫɭɬɫɬɜɨɜɚɥɢɭɩɨɞɚɜɥɹɸɳɟɝɨɱɢɫɥɚɩɚɰɢɟɧɬɨɜ ɭɫɥɭɱɚɟɜɪɟɡɨɪɛɰɢɢɜɟɪɯɭɲɟɤɦɟɠɡɭɛ ɧɵɯɩɟɪɟɝɨɪɨɞɨɤɧɟɛɵɥɨ
ɇɚɪɹɞɭ ɫ ɤɥɢɧɢɱɟɫɤɢɦɢ ɞɚɧɧɵɦɢ ɦɢɤɪɨɛɢɨ ɥɨɝɢɱɟɫɤɢɣ ɦɨɧɢɬɨɪɢɧɝ ɬɚɤɠɟ ɩɪɨɞɟɦɨɧ ɫɬɪɢɪɨɜɚɥ ɛɨɥɟɟ ɜɵɫɨɤɭɸ ɷɮɮɟɤɬɢɜɧɨɫɬɶ ɪɚɡ ɪɚɛɨɬɚɧɧɨɣ ɷɬɚɩɧɨɣ ɬɟɪɚɩɢɢ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɩɨ ɫɪɚɜɧɟɧɢɸɫɬɪɚɞɢɰɢɨɧɧɨɣɌɚɤɩɪɢɩɪɨɜɟɞɟɧɢɢ ɛɚɤɬɟɪɢɨɥɨɝɢɱɟɫɤɢɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɩɨɫɥɟ ɩɪɨɜɟ ɞɟɧɧɨɝɨ ɥɟɱɟɧɢɹ ɨɬɦɟɱɟɧɨ ɱɬɨ ɚɧɬɢɛɚɤɬɟ ɪɢɚɥɶɧɵɣ ɤɨɦɩɥɟɤɫ ɨɫɧɨɜɧɨɣ ɝɪɭɩɩɵ ɫɩɨɫɨɛ ɫɬɜɨɜɚɥ ɞɨɫɬɢɠɟɧɢɸ ɧɨɪɦɚɥɢɡɚɰɢɢ ɛɢɨɰɟɧɨɡɚ ɜ ɞɟɫɧɟɜɨɣ ɷɤɨɧɢɲɟ ɭ ɨɛɫɥɟɞɨɜɚɧɧɵɯ ɉɪɢɱɟɦ ɭ ɷɬɢɯ ɩɚɰɢɟɧɬɨɜ ɭɫɬɪɚɧɟɧɢɟ ɞɢɫɛɢɨɬɢ ɱɟɫɤɢɯ ɧɚɪɭɲɟɧɢɣ ɜ ɡɭɛɨɞɟɫɧɟɜɨɣ ɛɨɪɨɡɞɟ ɫɨɜɩɚɞɚɥɨ ɫ ɥɢɤɜɢɞɚɰɢɟɣ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɹɜ ɥɟɧɢɣ ɜ ɞɟɫɧɟɜɵɯ ɬɤɚɧɹɯ ɍ ɨɫɬɚɥɶɧɵɯ ɩɚɰɢɟɧ ɬɨɜ ɚɧɚɥɢɡɢɪɭɟɦɨɣ ɝɪɭɩɩɵ ɩɨ ɡɚɜɟɪɲɟɧɢɢ ɷɬɚɩɧɨɝɨ ɥɟɱɟɧɢɹ ɨɬɦɟɱɚɥɚɫɶ ɜɵɪɚɠɟɧɧɚɹ ɩɨ ɥɨɠɢɬɟɥɶɧɚɹ ɞɢɧɚɦɢɤɚ ɜ ɢɡɦɟɧɟɧɢɢ ɛɢɨɰɟɧɨɡɚ ɞɟɫɧɟɜɵɯɬɤɚɧɟɣ
ɄɅȱɇȱɑɇȺ
ɆȿȾɂɐɂɇȺ
ɭɫɥɨɜɧɨɩɚɬɨɝɟɧɧɵɯɦɢɤɪɨɨɪɝɚɧɢɡɦɨɜ±ɫɬɪɟɩɬɨ ɤɨɤɤɨɜ ɫɬɚɮɢɥɨɤɨɤɤɨɜ ɛɚɤɬɟɪɨɢɞɨɜ ɬɚɛɥ ɉɪɟɞɫɬɚɜɢɬɟɥɶɫɬɜɨɫɬɚɛɢɥɢɡɢɪɭɸɳɢɯɧɨɪɦɨɛɢɨɡ ɛɚɤɬɟɪɢɣɥɚɤɬɨɢɛɢɮɢɞɨɛɚɤɬɟɪɢɣVWUYLULGDQVɢ VWU VDQJXLV ɧɚɩɪɨɬɢɜ ɩɪɚɤɬɢɱɟɫɤɢ ɧɟ ɢɦɟɥɨ ɬɟɧɞɟɧɰɢɢ ɤ ɡɧɚɱɢɬɟɥɶɧɨɦɭ ɩɨɜɵɲɟɧɢɸ ɗɬɨ
ɨɛɫɬɨɹɬɟɥɶɫɬɜɨ ɩɨɫɥɭɠɢɥɨ ɨɫɧɨɜɚɧɢɟɦ ɞɥɹ ɜɤɥɸɱɟɧɢɹɜɫɯɟɦɭɬɟɪɚɩɢɢɩɪɨɛɢɨɬɢɤɚȻɢɨɫɩɨ ɪɢɧɚ ɉɨɫɥɟ ɟɝɨ ɞɨɩɨɥɧɢɬɟɥɶɧɨɝɨ ɩɪɢɦɟɧɟɧɢɹ ɭ ɛɨɥɶɧɵɯ ɝɪɭɩɩɵ ɨɬɦɟɱɟɧɚ ɧɨɪɦɚɥɢɡɚɰɢɹ ɫɢɦ ɛɢɨɬɢɱɟɫɤɢɯ ɦɢɤɪɨɨɪɝɚɧɢɡɦɨɜ ɜ ɞɟɫɧɟɜɵɯ ɬɤɚɧɹɯɬɚɛɥ
Ɍ ɚ ɛ ɥ ɢ ɰ ɚ 1
Ɇɢɤɪɨɛɢɨɰɟɧɨɡɡɭɛɨɞɟɫɧɟɜɨɣɛɨɪɨɡɞɵɭɛɨɥɶɧɵɯ
ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɦɤɚɬɚɪɚɥɶɧɵɦɝɢɧɝɢɜɢɬɨɦɫɪɚɡɥɢɱɧɵɦɤɥɢɧɢɱɟɫɤɢɦɬɟɱɟɧɢɟɦ
Ƚɪɭɩɩɵɢɫɫɥɟɞɭɟɦɵɯ
,ɝɪɭɩɩɚ
Q ,,ɝɪɭɩɩɚQ ɡɞɨɪɨɜɵɟɥɢɰɚQ
ȼɢɞ ɦɢɤɪɨɨɪɝɚɧɢɡɦɨɜ
ɚɛɫ ɚɛɫ ɚɛɫ
/DFWREDFLOOXVVSS
6WUVDOLYDULXV
6WUVDQJXLV
6WUKDHPROLWLFXV
6WUHSLGHUPLGLV
3HSWRVWUHSWRFRFFXV
6WIDXUHXV
(QWHUREDFWHU
%DFWHURLGHVVSS
)XVREDFWHULDVSS
&DQGLGDDOELFDQV
Ⱦɚɧɧɵɟ ɥɢɬɟɪɚɬɭɪɵ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ ɨ ɡɧɚ ɱɢɬɟɥɶɧɨɣ ɪɨɥɢ ɢɦɦɭɧɨɤɨɦɩɥɟɤɫɧɨɣ ɪɟɚɤɰɢɢ ɜ ɪɚɡɜɢɬɢɢ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧ ɝɢɜɢɬɚ ɱɬɨ ɨɛɨɫɧɨɜɵɜɚɥɨ ɢɫɩɨɥɶɡɨɜɚɧɢɟ ɢɦ ɦɭɧɨɬɟɪɚɩɢɢ ɤɚɤ ɨɛɹɡɚɬɟɥɶɧɨɝɨ ɤɨɦɩɨɧɟɧɬɚ ɜ ɥɟɱɟɛɧɵɯ ɫɯɟɦɚɯ ɡɚɛɨɥɟɜɚɧɢɹ ɂɡɜɟɫɬɧɨ ɱɬɨ ɜ ɦɨɦɟɧɬ ɨɛɨɫɬɪɟɧɢɹ ɯɪɨɧɢɱɟɫɤɢɣ ɜɨɫɩɚɥɢ ɬɟɥɶɧɵɣ ɩɪɨɰɟɫɫ ɫɨɩɪɨɜɨɠɞɚɟɬɫɹ ɭɫɢɥɟɧɢɟɦ ɦɟɫɬɧɨɝɨ ɢ ɨɛɳɟɝɨ ɢɦɦɭɧɢɬɟɬɚ ɢ ɩɪɢ ɷɬɨɦ ɢɦɦɭɧɨɤɨɪɪɟɝɢɪɭɸɳɚɹɬɟɪɚɩɢɹɨɤɚɡɵɜɚɟɬɦɟɧɶ ɲɢɣ ɥɟɱɟɛɧɵɣ ɷɮɮɟɤɬ ɱɬɨ ɩɨɞɬɜɟɪɠɞɚɥɨɫɶ ɧɚ ɲɢɦɢ ɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɦɢ ɢɫɫɥɟɞɨɜɚɧɢɹɦɢ ɬɚɛɥ Ɍɚɤ ɭ ɛɨɥɶɧɵɯ ɝɪɭɩɩɵ ɫɪɚɜɧɟɧɢɹ ɝɪɭɩɩɚ ɢɫɩɨɥɶɡɨɜɚɥɫɹ ɥɢɤɨɩɢɞ ɧɚ ɷɬɚɩɟ ɤɨɦ ɩɥɟɤɫɧɨɣ ɬɟɪɚɩɢɢ ɫɨɜɦɟɫɬɧɨ ɫ ɚɧɬɢɛɚɤɬɟɪɢɚɥɶ ɧɨɣ ɬɟɪɚɩɢɟɣ ɜɵɹɜɢɥɚɫɶ ɞɟɩɪɟɫɫɢɹ ɦɟɫɬɧɨɝɨ ɢɦɦɭɧɢɬɟɬɚɭɛɨɥɶɧɵɯɞɚɠɟɫɥɢɤɜɢɞɢɪɨɜɚɧɧɵɦ ɜɞɟɫɧɟɜɨɣɬɤɚɧɢɜɨɫɩɚɥɟɧɢɟɦɬɚɛɥɂɫɯɨɞɹ ɢɡɷɬɨɝɨɦɵɫɱɢɬɚɟɦɰɟɥɟɫɨɨɛɪɚɡɧɵɦɩɪɨɜɨɞɢɬɶ ɢɦɦɭɧɨɬɟɪɚɩɢɸ ɧɚ ɷɬɚɩɟ ɢ ɩɨɫɥɟɞɭɸɳɟɦ ɞɥɹ ɩɪɨɮɢɥɚɤɬɢɤɢɪɟɰɢɞɢɜɨɜɡɚɛɨɥɟɜɚɧɢɹ
Ⱦɨ ɧɚɱɚɥɚ ɥɟɱɟɧɢɹ ɛɨɥɶɧɵɯ ɨɛɨɫɬɪɢɜɲɢɦɫɹ ɬɟɱɟɧɢɟɦ ɯɪɨɧɢɱɟɫɤɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɭ
ɧɢɯɨɬɦɟɱɟɧɨɭɜɟɥɢɱɟɧɢɟɫɨɞɟɪɠɚɧɢɹɜɫɥɸɧɟɢɦ ɦɭɧɨɝɥɨɛɭɥɢɧɨɜ ɜɫɟɯ ɤɥɚɫɫɨɜ V,J$ ,J* ,J0 ɬɚɛɥ
ɇɟɩɨɫɪɟɞɫɬɜɟɧɧɨ ɩɨɫɥɟ ɩɪɨɜɟɞɟɧɧɨɝɨ ɤɨɦ ɩɥɟɤɫɧɨɝɨ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɧɚɩɪɨɬɢɜ ɨɬɦɟ ɱɟɧɨɫɧɢɠɟɧɢɟɭɪɨɜɧɟɣɢɦɦɭɧɨɝɥɨɛɭɥɢɧɨɜɨɫɨ ɛɟɧɧɨV,J$ɛɨɥɟɟɱɟɦɭɢɫɫɥɟɞɭɟɦɵɯɱɬɨ ɫɤɚɡɵɜɚɥɨɫɶ ɧɚ ɫɪɟɞɧɢɯ ɜɟɥɢɱɢɧɚɯ ɩɨɤɚɡɚɬɟɥɟɣ ɦɟɫɬɧɨɝɨɢɦɦɭɧɢɬɟɬɚ
Ɍ ɚ ɛ ɥ ɢ ɰ ɚ 2
ɋɪɚɜɧɢɬɟɥɶɧɚɹɯɚɪɚɤɬɟɪɢɫɬɢɤɚɩɨɤɚɡɚɬɟɥɟɣɫɟɤɪɟɬɨɪɧɨɝɨɢɦɦɭɧɢɬɟɬɚ ɜɩɪɨɰɟɫɫɟɞɥɢɬɟɥɶɧɨɝɨɧɚɛɥɸɞɟɧɢɹɭɛɨɥɶɧɵɯɫɪɚɡɥɢɱɧɵɦɬɟɱɟɧɢɟɦ
ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨɤɚɬɚɪɚɥɶɧɨɝɨɝɢɧɝɢɜɢɬɚɆP
Ƚɪɭɩɩɵɢɫɫɥɟɞɭɟɦɵɯ
ǿǿɝɪɭɩɩɚ ǿɝɪɭɩɩɚ
ɉɨɤɚɡɚɬɟɥɢ ɢɦɦɭɧɢɬɟɬɚ
ɞɨ
ɥɟɱɟɧɢɹ ɥɟɱɟɧɢɹɩɨɫɥɟ ɦɟɫɹɰɱɟɪɟɡ
ɱɟɪɟɡ ɝɨɞɢ ɛɨɥɟɟ
ɞɨ
ɥɟɱɟɧɢɹ ɥɟɱɟɧɢɹɩɨɫɥɟ ɦɟɫɹɰɱɟɪɟɡ ɱɟɪɟɡɝɨɞɢɛɨɥɟɟ
ɤɨɧɬɪɨɥɶɧɚɹ ɝɪɭɩɩɚ
V,J$ɝɥ
,J*Ƚ?ɥ
,J0ɝɥ
ɉ ɪ ɢ ɦ ɟ ɱ ɚ ɧ ɢ ɹ ɪɩɨɨɬɧɨɲɟɧɢɸɤɤɨɧɬɪɨɥɶɧɨɣɝɪɭɩɩɟɪɩɨɨɬɧɨɲɟɧɢɸɤɞɨɥɟɱɟɧɢɹ
ȼɕȼɈȾɕ
ɇɚ ɩɟɪɜɨɦ ɷɬɚɩɟ ɥɟɱɟɧɢɹ ɨɛɨɫɬɪɢɜɲɟɝɨɫɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɩɪɨɜɨɞɢɬɶ ɧɚɪɹɞɭ ɫ ɪɚɰɢɨɧɚɥɶ ɧɵɦɢɩɪɨɮɟɫɫɢɨɧɚɥɶɧɵɦɢɦɟɪɨɩɪɢɹɬɢɹɦɢɦɟɫɬ ɧɭɸɚɧɬɢɛɚɤɬɟɪɢɚɥɶɧɭɸɬɟɪɚɩɢɸɯɥɨɪɝɟɤɫɢɞɢɧ ɫɨɞɟɪɠɚɳɢɦɢ ɫɪɟɞɫɬɜɚɦɢ ɜ ɤɨɦɛɢɧɚɰɢɢ ɫ ɛɢɨ ɫɩɨɪɢɧɨɦɉɨɞɢɯɜɥɢɹɧɢɟɦɩɪɨɢɫɯɨɞɢɥɨɭɦɟɧɶ ɲɟɧɢɟ ɢ ɩɨɥɧɨɟ ɢɫɱɟɡɧɨɜɟɧɢɟ ɩɨɬɟɧɰɢɚɥɶɧɵɯ ɜɨɡɛɭɞɢɬɟɥɟɣ ɡɚɛɨɥɟɜɚɧɢɹ ɢ ɧɨɪɦɚɥɢɡɚɰɢɹ ɛɢɨ ɰɟɧɨɡɚɞɟɫɧɟɜɨɣɬɤɚɧɢɭɩɪɨɥɟɱɟɧɧɵɯ
ɉɪɟɞɥɚɝɚɟɦɭɸ ɫɯɟɦɭ ɢɦɦɭɧɨɬɟɪɚɩɢɢ ɨɛɨ ɫɬɪɢɜɲɟɝɨɫɹɯɪɨɧɢɱɟɫɤɨɝɨɤɚɬɚɪɚɥɶɧɨɝɨɝɢɧɝɢɜɢɬɚ
ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɨɫɭɳɟɫɬɜɥɹɬɶ ɩɨɫɥɟ ɭɫɬɪɚɧɟɧɢɹ ɚɤɬɢɜɧɵɯ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɹɜɥɟɧɢɣ ɜ ɞɟɫɧɟɜɨɣ ɬɤɚɧɢ ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɥɢɤɨɩɢɞɚ ɜ ɞɨɡɟ ɦɝ ɜ ɫɭɬɤɢ ɧɚ ɩɪɨɬɹɠɟɧɢɢ ɞɧɟɣ ɩɟɪɨɪɚɥɶɧɨ ɧɚ ɷɬɚɩɟ ɥɟɱɟɧɢɹ ɢ ɜ ɩɨɫɥɟɞɭɸɳɟɦ ɜ ɩɪɨɮɢɥɚɤ ɬɢɱɟɫɤɢɯ ɰɟɥɹɯ ɦɟɫɬɧɨ ɧɚ ɞɪɭɝɢɯ ɷɬɚɩɚɯ ɤɨɦɩɥɟɤɫɧɨɣ ɬɟɪɚɩɢɢ ɩɨɡɜɨɥɹɟɬ ɭɫɤɨɪɢɬɶ ɥɢɤ ɜɢɞɚɰɢɸ ɨɫɧɨɜɧɵɯ ɫɢɦɩɬɨɦɨɜ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɧɟɩɨɫɪɟɞɫɬɜɟɧɧɨɩɨɫɥɟɢɦɦɭɧɨɤɨɪɪɟɤɰɢɢ ɢɫɬɨɣɤɢɯɤɥɢɧɢɤɨɥɚɛɨɪɚɬɨɪɧɵɯɪɟɡɭɥɶɬɚɬɨɜɧɚ ɩɪɨɬɹɠɟɧɢɢ ɜɫɟɝɨ ɫɪɨɤɚ ɞɢɫɩɚɧɫɟɪɧɨɝɨ ɧɚɛɥɸ ɞɟɧɢɹɭɩɚɰɢɟɧɬɨɜ
ɋ
ɋɉ
ɉɂ
ɂ
ɋɈ
ɋ
ɈɄ
Ʉ
Ʌɂ
Ʌ
ɂ
Ɍȿ
Ɍ
ȿɊ
ɊȺ
Ⱥ
Ɍɍ
Ɍ
ɍɊ
Ɋɕ
ɕ
Ȼɟɥɨɭɫɨɜɇɇ ɉɪɢɱɢɧɵ ɲɢɪɨɤɨɝɨ ɪɚɫɩɪɨ ɫɬɪɚɧɟɧɢɹ ɬɹɠɟɥɵɯ ɮɨɪɦ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɡɚɛɨ ɥɟɜɚɧɢɹ ɩɚɪɨɞɨɧɬɚ ɇɇȻɟɥɨɭɫɨɜ ɉɚɪɨɞɨɧɬɨɥɨ ɝɢɹ±Ɍʋɋ
ɆɚɳɟɧɤɨɂɋɁɚɛɨɥɟɜɚɧɢɹɩɚɪɨɞɨɧɬɚɂɋɆɚ ɳɟɧɤɨ±ȾɧɟɩɪɨɩɟɬɪɨɜɫɤɄɨɥɨɫ
ɐɟɩɨɜɅɆ Ⱦɢɚɝɧɨɫɬɢɤɚ ɥɟɱɟɧɢɟ ɢ ɩɪɨɮɢ ɥɚɤɬɢɤɚ ɡɚɛɨɥɟɜɚɧɢɣ ɩɚɪɨɞɨɧɬɚ ɅɆɐɟɩɨɜ Ⱥɂɇɢ ɤɨɥɚɟɜȿȺɆɢɯɟɟɜɚ±ɆɨɫɤɜɚɆɟɞɉɪɟɫɫ±ɫ
&RFKUDQ '/ ,QIODPPDWLRQ DQG ERQH ORVV LQ SHULRGRQWDO GLVHDVH '/ &RFKUDQ - 3HULRGRQWRO ± ±9RO±3
,PPXQRORJLFDO DQG PLFURELRORJLF SURILOHV RI FKURQLFDQGDJJUHVVLYHSHULRGRQWLWLVVXEMHFWV%5HVFDOD
: 5RVDOHP 53 7HOHV 5* )LVFKHU >HW DO@ -3HULRGRQWRO±±9RO±3
0DQFKLQL * ,PPXQRFKHPLFDO TXDQWLWDWLRQ RI DQWLJHQVE\VLQJOHUDGLDOLPPXQRGLIIXVLRQ*0DQFKLQL $2*DUERQDUD 6)+HUHPDQV ,PPXQRFKHPLVWU\ ± ±9RO1±3
0LFKDHO30 ,PPXQRORJLFDO DQG ,QIODPPDWRU\ $VSHFWV RI 3HULRGRQWDO 'LVHDVH 30 0LFKDHO &RQWLQXLQJ(GXFDWLRQ&RXUVH±1±3
6SHFLILF LQIHFWLRQV DV WKH HWLRORJ\ RI GHVWUXFWLYH SHULRGRQWDO GLVHDVH D V\VWHPDWLF UHYLHZ 3+XMRHO /=LQD-&XQKD&UX]5/RSH]-2UDO6FL±± 9RO±3
5
5(
()
)(
(5
5(
(1
1&
&(
(6
6
%HORXVRY 11 >&DXVHV RI ZLGHVSUHDG RI VHYHUH LQIODPPDWRU\ SHULRGRQWDO GLVHDVH@ 3HULRGRQWRORJ\ 5XVVLDQ
0DVKFKHQNR,6 >3HULRGRQWDO GLVHDVH@ 'QH SURSHWURYVN&ROR5XVVLDQ
ɋHSRY/ 1LNRODHY$ 0LNKHHYD( >'LDJQRVLV WUHDWPHQW DQG SUHYHQWLRQ RI SHULRGRQWDO GLVHDVH@ 0('SUHVV5XVVLDQ
ɄɅȱɇȱɑɇȺ
ɆȿȾɂɐɂɇȺ
5HVFDOD%5RVDOHP:-U7HOHV53)LVFKHU5* +DIIDMHH $' 6RFUDQVN\ 66 *XVWDIVVRQ $ )LJXHUHGR &0,PPXQRORJLFDODQGPLFURELRORJLFSURILOHVRIFKURQLF DQG DJJUHVVLYH SHULRGRQWLWLV VXEMHFWV - 3HULRGRQWRO
0DQFKLQL * *DUERQDUD $ +HUHPDQV 6 ,P PXQRFKHPLFDO TXDQWLWDWLRQ RI DQWLJHQV E\ VLQJOH UDGLDO LPPXQRGLIIXVLRQ,PPXQRFKHPLVWU\
0LFKDHO30 ,PPXQRORJLFDO DQG ,QIODPPDWRU\ $VSHFWV RI 3HULRGRQWDO 'LVHDVH &RQWLQXLQJ (GXFDWLRQ &RXUVH
+XMRHO 3 =LQD / &XQKD&UX] - /RSH] 5 6SHFLILF LQIHFWLRQV DV WKH HWLRORJ\ RI GHVWUXFWLYH SHULRGRQWDO GLVHDVH D V\VWHPDWLF UHYLHZ (XU - 2UDO 6FL
ɋɬɚɬɬɹɧɚɞɿɣɲɥɚɞɨɪɟɞɚɤɰɿʀ
ɍȾɄ Ⱥ.Ⱥ. Ƚɭɞɚɪɶɹɧ,
Ɇ.Ƚ. Ⱦɪɨɛɹɡɝɨ,
Ⱥ.ɇ. ɒɚɦɪɚɣ
Ɉ
Ɉɋ
ɋɈ
ɈȻ
Ȼȿ
ȿɇ
ɇ
ɇɈ
ɇ
Ɉɋ
ɋɌ
Ɍɂ
ɂ
ɇ
ɇȿ
ȿɉ
ɉɈ
Ɉɋ
ɋɊ
Ɋȿ
ȿȾ
Ⱦɋ
ɋɌ
Ɍȼ
ȼȿ
ȿɇ
ɇɇ
ɇɈ
Ɉ
Ƀ
Ƀ
ɂ
ɂɆ
Ɇɉ
ɉɅ
ɅȺ
Ⱥɇ
ɇɌ
ɌȺ
Ⱥɐ
ɐɂ
ɂɂ
ɂ
ɉ
ɉɊ
Ɋɂ
ɂ
ɇ
ɇ
ȺɅ
Ⱥ
Ʌɂ
ɂɑ
ɑɂ
ɂ
ɂ
ɂ
ɏ
ɏɊ
ɊɈ
Ɉɇ
ɇɂ
ɂ
ɑȿ
ɑ
ȿɋ
ɋɄ
Ʉɂ
ɂ
ɏ
ɏ
Ɉ
Ɉɑ
ɑȺ
ȺȽ
ȽɈ
Ɉ
ȼ
ȼ
Ɉ
ɈȾ
ȾɈ
Ɉ
ɇɌ
ɇ
ɌɈ
ɈȽ
Ƚȿ
ȿɇ
ɇɇ
ɇ
ɈɃ
Ɉ
Ƀ
ɂ
ɂ
ɇɎ
ɇ
Ɏȿ
ȿɄ
Ʉɐ
ɐ
ɂɂ
ɂ
ɂ
Ƚɍ «ȾɧɟɩɪɨɩɟɬɪɨɜɫɤɚɹɦɟɞɢɰɢɧɫɤɚɹɚɤɚɞɟɦɢɹɆɁɍɤɪɚɢɧɵ»
ɤɚɮɟɞɪɚɯɢɪɭɪɝɢɱɟɫɤɨɣɫɬɨɦɚɬɨɥɨɝɢɢ, ɢɦɩɥɚɧɬɨɥɨɝɢɢɢɩɚɪɨɞɨɧɬɨɥɨɝɢɢ (ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ƚ. ɂɞɚɲɤɢɧɚ)
ɭɥ. Ⱦɡɟɪɠɢɧɫɤɨɝɨ, 9, Ⱦɧɟɩɪ, 49044, ɍɤɪɚɢɧɚ
SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» Oral surgery, implantology and periodontology department
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine e-mail: gudaryan@list.ru
Ʉɥɸɱɟɜɵɟɫɥɨɜɚɞɟɧɬɚɥɶɧɚɹɢɦɩɥɚɧɬɚɰɢɹ, ɨɞɨɧɬɨɝɟɧɧɚɹɢɧɮɟɤɰɢɹ, ɮɨɬɨɞɢɧɚɦɢɱɟɫɤɚɹɬɟɪɚɩɢɹ,
ɨɫɬɟɨɢɧɬɟɝɪɚɰɢɹ
.H\ZRUGV dental implantation, odontogenic infection, photodynamic therapy, osseointegration
ɊɟɮɟɪɚɬɈɫɨɛɥɢɜɨɫɬɿɛɟɡɩɨɫɟɪɟɞɧɶɨʀɿɦɩɥɚɧɬɚɰɿʀɩɪɢɧɚɹɜɧɨɫɬɿɯɪɨɧɿɱɧɢɯɜɨɝɧɢɳɨɞɨɧɬɨɝɟɧɧɨʀɿɧɮɟɤɰɿʀ
Ƚɭɞɚɪ¶ɹɧɈɈȾɪɨɛɹɡɝɨɆȽɒɚɦɪɚɣȺɇɍɫɬɚɬɬɿɩɪɟɞɫɬɚɜɥɟɧɿɪɟɡɭɥɶɬɚɬɢɡɚɫɬɨɫɭɜɚɧɧɹɪɨɡɪɨɛɥɟɧɨɝɨ
ɥɿɤɭɜɚɥɶɧɨ-ɩɪɨɮɿɥɚɤɬɢɱɧɨɝɨ ɤɨɦɩɥɟɤɫɭ ɬɚ ɟɮɟɤɬɢɜɧɿɫɬɶ ɛɟɡɩɨɫɟɪɟɞɧɶɨʀ ɿɦɩɥɚɧɬɚɰɿʀ ɜ 66 ɩɚɰɿɽɧɬɿɜ ɿɡ
ɯɪɨɧɿɱɧɢɦɢ ɜɨɝɧɢɳɚɦɢ ɨɞɨɧɬɨɝɟɧɧɢɯ ɿɧɮɟɤɰɿɣ ɭ ɩɟɪɢɚɩɿɤɚɥɶɧɿɣ ɞɿɥɹɧɰɿ. Ɇɟɬɚ ɞɨɫɥɿɞɠɟɧɧɹ – ɩɿɞɜɢɳɟɧɧɹ
ɩɪɨɮɿɥɚɤɬɢɱɧɢɯ ɡɚɯɨɞɿɜ ɡɚɩɚɥɶɧɨ-ɿɧɮɟɤɰɿɣɧɢɯ ɭɫɤɥɚɞɧɟɧɶ ɿ ɨɩɬɢɦɿɡɚɰɿɹ ɨɫɬɟɨɿɧɬɟɝɪɚɰɿɣɧɢɯ ɩɪɨɰɟɫɿɜ ɩɪɢ
ɛɟɡɩɨɫɟɪɟɞɧɿɣɿɦɩɥɚɧɬɚɰɿʀɩɿɫɥɹɜɢɞɚɥɟɧɧɹɡɭɛɿɜ, ɡɩɟɪɢɚɩɿɤɚɥɶɧɢɦɢɜɨɝɧɢɳɚɦɢɯɪɨɧɿɱɧɨʀɿɧɮɟɤɰɿʀ. ȼɫɬɚɧɨɜɥɟɧɨ,
ɳɨ ɡɚɫɬɨɫɭɜɚɧɧɹ ɪɨɡɪɨɛɥɟɧɨɝɨ ɦɟɞɢɱɧɨɝɨ ɤɨɦɩɥɟɤɫɭ ɫɭɩɪɨɜɨɞɭ ɛɟɡɩɨɫɟɪɟɞɧɶɨʀ ɿɦɩɥɚɧɬɚɰɿʀ, ɹɤɢɣ ɜɤɥɸɱɚɽ
ɜɢɤɨɪɢɫɬɚɧɧɹɦɿɫɰɟɜɨʀɮɨɬɨɞɢɧɚɦɿɱɧɨʀɬɟɪɚɩɿʀ, ɛɚɝɚɬɨɝɨɬɪɨɦɛɨɰɢɬɚɦɢɮɿɛɪɢɧɭɜɹɤɨɫɬɿɿɧ'ɽɤɰɿɣɿɦɟɦɛɪɚɧ,
ɞɨɡɜɨɥɢɥɨ ɫɬɜɨɪɢɬɢ ɫɩɪɢɹɬɥɢɜɢɣ ɮɨɧ ɞɥɹ ɡɚɩɨɛɿɝɚɧɧɹ ɪɨɡɜɢɬɤɭ ɡɚɩɚɥɶɧɨ-ɿɧɮɟɤɰɿɣɧɢɯ ɭɫɤɥɚɞɧɟɧɶ ɭ
ɩɟɪɢɿɦɩɥɚɧɬɧɿɣɡɨɧɿɿɫɬɜɨɪɢɥɨɫɩɪɢɹɬɥɢɜɟɬɥɨɞɥɹɨɫɬɟɨɿɧɬɟɝɪɚɰɿʀɿɦɩɥɚɧɬɚɬɿɜɭ 97,1% ɞɨɫɥɿɞɠɭɜɚɧɢɯ.
$EVWUDFW )HDWXUHV RI GLUHFW LPSODQWDWLRQ LQ FKURQLF IRFL RI RGRQWRJHQLF LQIHFWLRQ *XGDU\DQȺȺ
'URE\D]JR0* 6KDPUDL$1 The article presents the results of the developed therapeutic and prophylactic
