• Ешқандай Нәтиже Табылған Жоқ

ХАБАРШЫСЫ

N/A
N/A
Protected

Academic year: 2024

Share "ХАБАРШЫСЫ"

Copied!
208
0
0

Толық мәтін

(1)

5 (50), 2010

1998 .

: «

« -

»

106- 20 01. 1998 . ISSN 1562-2967

! " #

$ ! % !

$ !$ & ,

'! «( » ) *

+ !$ " ,&

! " +.

!" :

# $.#., %.&.

" :

160019 ,

. '! , . & -( , 1 ) .: 8(725-2) 40-22-08, 40-82-22(113) - : 40-82-19

*-. il: medacadem@rambler.ru http:// www. Ukgma.kz

) 50 + ., , 15,6 . .

. ,+

# -.%, ,

/

" $..., ,

! '!

' " .&.

" :

& ./., . ,

& ! . ., . ,

- " . . – . ,

- 0 .&., ,

% 1.&., . ,

&. ., . ,

-. ., . ,

-.#. . ,

2 $. ., . ,

# ! -.&., . ,

" ,+ : 1 " 3.#. ( . 2 )

% 4.$. ( . )

5 1.4. ( . # -6 )

# %. . ( . % 0 )

) 7 8.6. ( . )

. . ( . & !) . .( . - 0 ) 1. . ( . & !)

(2)

. 0/ 102 /3 ( 4 02 /% 614.2:615739.15-099

( 43 4 04 ( 4%4 %430 - . 0/ 10 0 50 064 0

74 5 .08 30 . 70 0 0 5464 02 7 8 0 46 8 4* 30% 70

. .

- , .

798:

-9 9: ; ! ! ! ! 9 < 9 " ! ! = ! ! !. -9 9 09 <

90 9: ="9 9 !: ! ; ! ! < ! <

9 9 > 9 = ! ! ? < 9 9 9. -; ?! ? !<

! , 90 + ! < ! , ? 9 9 9 90 909 !. 2 ! > 9 9

< ? 9 0!?! !: ! ! 9 0!?! !: ! "<! "< !.

SUMMARY

Our investigational work is divided the patients into 2 groups. Into the first group was included the patients with acute intestinal obstruction which diagnosties and freatment of acute intestinal obstruction were performent with the standart old methods. The patients of this group were made. The nacarountestinal intubation with electrostimulation and the intestinal lavage was made with ozonated solution. Using this innovative methods of diagnostics and treatment show cost sowings or cost minimization.

% 0 ! !, 7

( " , + 7 7 ! ")

- ! (+ ! , + 7 )

" 0 7 " . # " " 7 !

! ! . . , ! !

+ 7 7 - 7 " 0 7 "

. 6 7, 7 " "

0 7 " ! ,

0 7 , 70 + 7

! 7 ! ! .

6 ! + 0 " ! "

0 7 ! 7 " !

! 0 !

7 ! .% , 7 !

" , - ! ",

7 , 7 ! , 7 ",

! ! , ! 7 7 !. # + ",

7 ! " 0 7 " ! "

+ 7 + . !

0 7 " 0 7 " , "

0 !, " !, 7 "

. 7 ! ! " 0 7 (441 ),

! 7 " 0 7 " !

0 7 ! , + 0 7 . 4

0 + ! ! - !

. . 7 ! 441 " " 0 7 , !

! ( + " 0 7 ,

0 7 !" ! ). 2 0 7

! " 7 0 7 1% ..

! " 7 " 0 7 "

! " ". % " ", ! II

! I " ( ! ! 7 - 7

"), . : Cost Minimization

Method (# ), -+ 7 , 7 ! " + 7

7 ".6

(# ) ! ! ! 441 ": I 7 ! !

" 0 7 " , ! 7 !

0 7 ! , + 0 7 . 4

0 + ! ! !

(3)

. II 7 ! " 0 7 " , !

! ( + " 0 7 , 0 7 !"

! ). 2 0 7

! " 7 0 7 1 % .4 " !

! ! 31,4 % (138 7 ); " ! 35,4 % (156 7 ), 1.

7 $ " 1 - / , $ + + & ) $

" ,& & + (I ! ) & (II ! ).

$ - #

" -

# " - % 7

! 3 ! @ !

I 10000 25588,2 16 35200,0 61430,65 282218,85

II 10000 27222 10 30300,0 26500,4 94022,4

7A ! " ! , ,

! ! 7 .@ !

! " 7 " 0 7 "

! , 7 " 7 "

94 ! .022,4 7 66,7 % , 7 !

.

/% 614.2:615739.15-099

0 543 ( 04 7 % 7 5 .064 . 7 7 ( * 74

. .

, . . . , .

798:

# !< 0 : !< !: 9 9 B 9 9 0 :?!0! = 9 9 9. -; 0!

! , !: < ! ! ! !, !< 0 < !: ! ! = 9 9 !.

- " ! ! 0! !: ! ! < ! ! !: ! 0 . # !< !:

! !: < ! ! 9. B ! " ! ! ! 9 - <

! !: < ! 9 B 9. 2 !? < ? ! < ! ! ! !:

< ! ! " ! 0 9 9 " ! !.

SUMMARY

The largest part of dental disease falls on the representatives of skiing. Skiers are at risk for the development of caries, periodontal inflammatory diseases a chronic periapical lesions. The oral hygiene among the sport fighters are poor. That’s why the inflammation of paradont is revealed. Representatives of the artistic gymnasties are at risk for development of dentoalveolar anomalies. That is the freguency and severity of dental disease is largely due to the focus of the training process.

' , 7 ! 7 7

, !0 "7 . 6 "

7 ! 7 ! ! . 2 , 7

, ! ,

! 7 "

, 7 7 " (1,2). 2 ,

( 7 , 7 "), 7 !

7 . ) , , , , 7

7 7 ", !0 A ,

7 - " . 2 ! ! 7 ! 7

(284), ! !7 " 7 " , !

! 7 , .

, , 7 7 7 " !0 "

, ! , « » , 7 7 7 "

! " . 2 7

7 ! 7 " .. ! ! ,

! " (.@6), 0

(4)

. $ 0 " " + ,

- 7 7 ! !

.

C ! !, "

+ , !0 , . 4 ,

7 ! , 7 ,

7 7 7 ", ,

! 7 . 2 "

. ! , !

7 - 7 . . ,

7 , 0 ! D$#, + " , !

, ! 7 7 , ! " ! – ! ! ,

! !. ) ,

! 0 , 7 !

. 2 , + , ", !

, . # , 7

, , ! 7 ! (8 1), !" 7

. 6 + , 7 7 +

7 0 , 7 ! . 2 ,

!" 7

7 ! ! ( ) ,

! ! !, .

! 395 ! ! – " 7 !

50 " & , . .

!, " " , ! . 2 " !"

10-13 (11,4±0,05), – . .

- . 6 7 "

7 , , ! ; 7 , ! , " " !

; – , , , 7 ", ,

! ! ! ". , 7 , ! ,

7 ! ! ", . 2 " !.

6 7 !, ,

, 7 . . ! 7 7 "

: , , ! , , , !, .

4 , 7 !" 7 (

7 , ! " !, .), 7

" ./ , 7 ! 7

7 7 7 ". / ! "

, , 70 , 7 , , ! « 0 " !»

7 0 25% ! . C , " , , 7 !

7 , . .

" 70 33,6% 7 . $ ! " !

" 7 " . /

" + « 0 " !» 7 7 7 (54,5-

55,6%). $ " – ! ! ( « 0 » 20,1% 22,2%

! , ). C , , " 0 ! :

! !" ! , " .

$ , 7 , , 7 ! 7 , 7

" – 64,4%. $ 0 7 , " 7

! , 7 , , 7 !

!0 , ! 7 7 2 . $ 0 7

" ! , !"

" !. . , 7 ! !

! ! ! ! , , 7

+ 7 " ! 7 ! .

$ , 7 " ! +

! ! 0 " !, : , !" ,

! ! ! ! . / , 7 "

! . ) , - 78% 35%

" . 6 , 7 0 !

7 ! . 6 + 7 22,2%

(5)

+ " !. . ! " ,

, ! 7 – 7 " (1-" ) –

82,4% 2-" - 17,6% . ! " 7

7 ! 7 " , 7

, , 7 !" !" . @

52,6%, 7 7 " !. 2 , !"

7 , 7 , 7 ! " 7 "

(19,4% 2,1% " ).

6 7 ! ! , 7 !" !" 7 !

(33,3%) (25%). + " "

. . , 7 ! ( ! ,

! ) 72% !0 "

(57,9%). . ! , 7

! ", 7 , . . " 7 !

25,0+1,1. # , 0 ! , 7 ! !

! , ! ! 21,9+1,5 21,8+1,05. $

, 7 0 7 " ! ! , ,

" . $ 0 ! . # , !,

! , + " ! .

. 7 ! 7 , 7 ,

0 ! , , 39% 22%. C ! , 7 7 "

! 0 . . 7 , " !

0 . 2 " 7

! ! ! 7 ! .

6 7 ! !, ! , 7 7 ! " 7

" , "

. -! ! , 7 0 , 7 !,

7 " 70% 7 . C , ,

!" ", 7 " , 7

! " . C

" ! !

.

) , !0 , 7 , 7 0 7

7 " " ! . 3!

, ! " 7 ! 7 . /

!0 7 . / " !

, , ! . 6 ! "

7 ! ".) , 7

! 7 ", 7 " ,

7 7 , ! !

. 4 , 7 7 , !

" " 7

, ! – . @

" ! , 7 ! " ". 4

7 ( 7 ), ! ,

" 7 " " !, 0 "

" " , ! ,

7 .

5074 7

1. - 0 .&. . - 7 "

//$ - " 7 !" .-'! ,

1999. 11, . 56-58.

2. - 0 .&.,# ! %.#., - @. . 4 7

7 / «2: = 9 E < ! ! ?!

> 9 !: > 9» &" < !< I ?! ! - > 9 9 !: <

?!. '! 1993. 74-77 .

(6)

/% 614.2:615739.15-099

0 ( 10 4 74 5 .00 ( 4 100 1 ( 0/%4 4 08 ;0

. .

- , .

798:

) 9 9 ! !< <; ! : " 9 " !. * ! ?! 9 9 > 9 ,

B < 9 !< B 9. )! !< ! > 9 9 !<,

9 !< = 9 9 ( ! !<,

! 9 ). -= 9 9 : 9 9 ! !< ! = ?! ?

> 9 9: < ! B = . # !< > 9 ! = 9 09 9 ; ? "! ,

!< B 9: ! < = 9 .

SUMMARY

Completely get rid of scars - not an easy task. If there was a wide range of effective treatments, would go a lot of articles and books about the methods of scars treatment. But qualitative medical literature on this subject a little, and books are still published as a unit.All treatments of scars are divided into surgical and conservative (medication / or physical) and / or after the combined (after surgical excision of the scar with prophylactic drugs prescribed medication or physiotherapy).Nowadays, an arsenal of techniques for correction of scars is replenished, that allows to make choices and find a compromise, both among doctors and patients, and thus contribute to improving the quality of life of patients with this pathology.

! " "

" " !, ! . $

. 6 0 ! + ! 7 , ! !

" , 0 " " . $ 7 " "

! + , 7 ! !. 6 , ,

! ! ! ! . 2 ! ! ! ,

0 , ! ! , ! ! ! , ! , ! , ! 7 .

4 , – ! ". $ ! ! 7

! ! ! ! !, ! , ! !

, 0 0 . % 0 " ! ! , !"

0 , 7 " – 7 7 ", ! , ,

! 70 , 7 ! 7 ! .

. 0 " 0 : - 2

; - . — - ! ! , ,

! ! ; - . — ! " 7 ! ;

- $ " — ! 7 , ,

! . . 0

0 ; - # — ; - 6

! — 7 , —

" 0 . . ! 7 7

! ( ! / 7 ), ! ( 7 7

7 " 7 ! ! 7

!). 7 " 7

, 7 7 - (

), ! " . 2 ! ,

0 ! , ,

7 ! . 7 , " , ! !

7 ! , 7 " . C

7 - 0 ! !, 0 " . , 0 !

« » 0 , 0 . % 70 7 "

7 7

! ! 7 . 3 7 7 ! 7

7 ! ! 7 . . , "

! ! ( , -40 ), 0 0 ,

! . . + 7 7 , !

, 7 ! ! ! ! . 7

, ; (

" – , ).

(7)

! - . $ " 7 , 7

7 , . $ + , 7 7 7

" . & —

7 !" .

- ,& . C ",

. 6 !, 0 " ,

" + 7 7 ./ , "

! 7 ! ! ". 6 7 .

/ ! ! 0 !" , 7 .

. " ! - - . % ! + ! !

, 0 ( 0 — 0 , ,

). 6 ! ! 70 0 " ! :

, !. % 0 .

3 (0 + ) 7

7 : , 7 ,

.( !" 7 7 . & 7

! 7 + . $ 7

, " .

2 ! – %2)- ( !" 7 " ). . "

! . 6 " "

, ! 0 ! ,

" " . + .

5 , 7 , , 2

5 ". 6 7 2 . % 7

7 " 0 " " – . 6 "

!" !. % + 0 7

" ! . . 7 !"

, !" « ». " ! ,

! ! . 6

7 " 0 " "

7 , ! .

% - ! , "

" " - 0 7 . 6

! " . )

! ! ! 7 !

7 ( ! ). 7

+ : 7 ! ( , , 7 ,

!) , !" !" !" ..

7 , ! ! ", !

. 1 - ! 7 !,

! ! , 7 !" .

2 , ! 7 + 7

, 7 " , !" ! . )

, 0 " , 7 !

, 7 ", , 7 70 7 ! "

".

/% 614.2:615739.15-099

4 7 4 . 0/ 10 -%47 3064 04 *4 7 / 02 0 .064 8

* % <0 * 104 7 % 7 8 0 46 8 4* 30% 7=>

. .

- , .

798:

F0 9 ="9 2650 ! 0 ! <! ! !: " ! !

< ! !: 9 !< !<. 2 !: 909 , !< B 9 9 9: !< > "<! =

9, < 90 9 " ! < 9 < 9 9 9 9: = ?! !: !, !:

? 0 = 9, 9 9: 9 9 9 9 ! ? , ? "9 9? - ! ! ?! >

:! ?! : 9 !< 9 9 .F0 9: ="9 9 " ! ! !< B 9

;"! ! !: 0 9 9 ; !: 9 9, ! ; ! < " , ! 0

!.

(8)

SUMMARY

Based on the analysis of treatment of 2650 patients with acute intestinal obstruction studied the causes of adverse outcomes. This is atypical and effaced of clinical presentation, increased percentage of occlusive colon tumors, late arrival of patients, the overestimation of the effectiveness of conservative therapy, factual and tactical errors in the preoperative, intraoperative and postoperative periods.Features of medical care for patients with acute intestinal obstruction is originality of diagnostic and medical procedures are often complicated course, running form of acute intestinal obstruction due to late hospitalization of patients and the effectiveness of using innovative technologies of diagnosis and treatment.

$ " , " " "

7 " 0 7 , " 13

26%. C 7 7 ! !

0 ! , 7 7 , " "

" .6 0 30 (1969 – 2006 !) 2650 !

" 0 7 " . 7 ! 44%, ! – 56%, 12 96 .

2 " – 0 " , –

" 0 ( ), ! , 0 7 "

– – .5 7 " 0 7 " 70%,

7 ! ! 65 73%. 2 7 !" " 0 7 "

7 7 ! " ( 1,8% 1959–1963 . 10–14% !),

7 2 $ ! . ) , ! ! 2 $

1959–63 . 6,5%, ! 3,2– 3,8%.

7 0 7 " 0 7 7 :

7 ! , , . .!

!, , 0 7 . ) 7 7

! 82,2% ! , 13% ! ", 4,8% – 7 ". 8 7

( 7 7 0 " ) 7 57,4% ! , 17,7% ! ! !" 7 "

, 24,9% ! 7 ! ! .# , 7

" 13% 7 ,

, 7 ! ,

( , 0 7 360° ), !" ! !" 0 .

& 7 7 ! 7 7 " 0 7 "

" 0 7 " , 7 7 ". 6 34,4%

! . 72% + ! " , 28% , 9% –

7 !, 4,8% – 1–2 .6 7 " ",

" 21,6% + " . 0 7

7 0 ", ! ", 7

, ! !" , 7 . ) ! !

7 3 ". . 7 ! "

7 !

0 7 " , 7 9,6% ! . 16% !

" 7 " " 28 7 6 , !

0 , 7 7 7

. . " 7 " 0 7

, 7 " 0 7 " – 3–5 7

, 7 ! , . 6 0 7 "

+ . 6 + !

.. ! , 0

! 2 $. # 7 , 0 ,

" 0 ( ). 6 0 7 " +

' .6 " " " 0 ,

+ -+ " ! !

0 , " ! ( ! + ! 7 + ). 6 0 7 "

( !, ) 1

0 II + . 6 7

7 + , 3( + 0 7 7 !" ,

+ " " ! 0 7 (

).6 0 ! , . #

, 0 – 10 " 20 " 0 , 30 "

50 ". . 7 +

" 0 . 7 ! " ! 10–15 1%

(9)

" . C 7 , 7

3 ( ( 2279852 20.07.2006). ) , 7

7 0 , " 7 " " 0 7 "

, ! , 7 7 ,

+ " 7

0 7 ! ! .6 0 7 "

+ !" .3. ' !" "

0 " " + "

0 7 . 6 " 0 – " ! !

, " ! . 6 0 7 " –

1 7 . %

7 .

) , " ! "

0 7 " 7 7 ! ,

7 , ! ! " 0 7 " "

+ ! " 7 .

/% 614.2:615739.15-099

%430 -? %064 4 0 543 ( 04 . 0/ 100 %43010 8 * % <0

* 104 7 % 7 8 0 46 8 4* 30% 7=>

. .

- , .

798:

F0 ="9 9 ! : ! < , >

; ! 0! ! !: ! ! > 9 !<-+ !< ; ?! , ! " 9

? 9 < ! " 0!?! !: B 0 9 94022,4 : "9 9 9 9 B 9. -; < ! !:

B 0 9 ! < ! ?! > 9 9 " ? ; ! 0!?! 66,7% B ! 0!< !.

2 ! > 9 !<-+ !< ; ?! < ! 90 ="9 9 ! " ! 0!?! !:

B 0 9 !: <! ! " ! ! = 9 9 9 !< ! . G 9 0 : !< = 9 9:

; ? ! B 9 < ? ! > 9: 0!? = 9 !.

SUMMARY

Costs per patient by using innovative technologies and the diagnostics and treatment of acute intestinal obstruction by method of minimizing shows that the use of technology of diagnostics and treatment of this disease is 94 thousands 022, 4 tenge for one patient that 66,7% lower than when using conventional methods.We conducted medical and economic research of medical care for patients with acute intestinal obstruction allowed us to study the effectiveness of using innovative technologies of diagnostics and treatment of acute intestinal obstruction, which has resulted in the reduction of mortality and postoperative complications. However, we have established a significant social and economic losses due to morbidity and mortality from acute intestinal obstruction.

6 30-50% ! " 0 7 " 7

7 , ! " " 0 7 " , 7

, A ! , ! 7 " .. !

- 7

" 0 7 " . , 7 ! "

" , !

" ". 6 + , ! 7

! " 7 " 0 7 "

, 7 ! 0 7 ,

, 0 7

+ " 0 . 4 "

! + " 7 ! !

( " !, " 0 ,

0 0 7 ) ! . % , 7 !

7 ! " 0 7 " ( 0 7 ,

+ ,

0 7 ) 7

", ! " ! . "

(10)

0 7 0 7 ,

!0 7 " + 0 7 . !

! 7 " 0 7 " !, + ! !

! , 7 .6

1306 ! " 0 7 , 7 7

, ,

" " " " 7 " . & !. .

! " 0 7 ! , ,

", 7 0 !

0 . 6 ! " 0 7 " , !

7 (1052 7 ). 4 7 ! 44%;

! – 56%. . 7 254 ! " 0 7 ( 7 !

41%; ! – 59%), ! ! (

+ " 0 7 , 0 7 !" ! ). 2

0 7 A ! " A 7 0 7 1%

.2 . /

! . 2 !" 0 7 "

. 6 , , 0 ,

, " 0 7 ,A

0 . 6 + " " :

; 0 7 !" ! ;

+ . 6 + 0 7 "

:6 .)

0 " .% !

! + . 2 0 7 .6

+ 0 7 7 0 7 .

.$ 0 7

! ! " 2.0-3.0 ! 6-8

, ! ! 1.5-2.5 " ! ; " !

0 + " ! ! .

" " 7 . 4 !"

! ! 7 .

+ ! ,

. 8 !" 0 . $

! + 7 0 , " ,

7 ! 0 7 0 . 0A !" ,

"0 A 0 "

0 7 . @ , 7 ! 1-2

– + 7 + 0 7 7 . $ "

2-3 , . 6 7

, .

4 ! ! I ! ! : !

7 52,8% 7 ; !" – 13,1%; + , 7 "

0 7 " 34,1% ! , 1.

) 1 - 4 ! ! I !

. 2 $ ! 2

2 7 335 54 193

2 91 32 66

2 83 51 69

4 6 - 4

% 7 41 1 26

. 556 (52,8%) 138 (13,1%) 358 (34,1%)

4 !0 ! " 7 " 0 7 "

! II ! 70 ! ! , 2.

(11)

) 2 – 4 ! ! II !

. 2 $ ! 2

2 7 100 3 14

2 68 2 26

2 11 4 5

4 10 - -

% 7 8 3

. 197 (77,6%) 9 (3,5%) 48 (18,9%)

6 + , + " ! ! 7 – 77,6% 7 ; – 3,5%;

– 18,9% 7 . 6 !" , !" 7 !

" 0 7 " I II ! 7 + !

! " 7 ! " ", 3.

) 3 – # !" 7 ! " 0 7 " I II

7 !

I II

% %

.! 556 52,8 197 77,6

3 !" 138 13,1 9 3,5

2 358 34,1 48 18,9

. 1052 100,0 254 100,0

4 " ! 3 , 7 ,

0 7 , + "

" + 0 7 , ! "

15,2% " – 9,6%. 6 3387 ! "

0 7 , 7 7

2008 ( ). $ + ,

7 " "

0 7 " 2008 , 7 217 7 ( @ ),

+ 7 - + 7 "

" 0 7 " , 7

3604 7 2008 ( @ ).

$ + !" " 0 7 " ,

!" . 6 + , !"

7 7 " ,

"0 " + + . 2 " "

0 7 " 7 -.&., # ..$. [1]

:

, :

- ( = 3500 )

- 7 ( = 10000 )

- 7 " + " 7 " - 7

7 ( =1)

- 7 " 7 ( =14)

5 – 7 " ! (%=3387 7 )

(12)

- " " 0 7 " , 7 !" 7

7 ! " 0 7 " 0 7

, !" 1000 7 .

( )

6 ! 7A , " 0 7 "

7 2008 97 . 206

! . 900 (661 271, 4 #'&).

7A "

" :

H – 7 , ,

!" , (992519 );

V – 7 , (64168 );

b – " 0 ( ) 59 ;

- 7 ! 0 7 (41 );

- " (67,1 );

- ( ), 9,74 0/00;

- , 7A "

( 7 ! 1000 7 " 0 7 " ), 0,01 0/00;

5 – 7 " (217 7 ).

# , !" 7A "

, !" !0 ! ! , 4

. 339 . 091 ! . 963,5 (29 517 632, 4 #'&).

2 + 7 ( 7 ) -

+ 7 " " 0 7 "

:

:

) – " !" " ( ), /7 (4101,3 );

t – 7 7 " (242 );

5 – 7 0 " 0 7 " (3604 7 ).

) , + 7 " ( 7 !" " ) 7 ,

+ 7 " , "

0 7 " 2008 – 3577022618,4 (24 333 487, 2 #'&).

) , 7 ! 0 + 7 7 " 0 7 "

2008 :-

7 97 . 206 ! . 900 (661 271, 4 #'&);

- 7 " 4 . 339 . 091 ! . 963,5

(29 517 632, 4 #'&);- + 7 " - + 7 "

" 0 7 " – 3 . 577 . 022 ! .

618,4 (24 333 487, 2 #'&), 7 : 8 . 013 . 321 ! . 481,9

(54 512 391 #'&) 7 ! !

, " " 0 7 " ,

7 , ! " !

" 7 " 0 7 " .

# -+ 7 " " 0 7 "

4 339 091 ! . 963,5 ,

+ 7 " - 93 206 ! .

900 , 7 0 !" + ,

! ! 7 " 0 7 " . C 7 "

- + 7 " "

0 7 " - 3 . 557 . 022 ! . 618,4 . @ !

! " 7 " 0 7 "

! , 7 " 7 "

94 ! .022,4 7 66,7 % , 7

! .

(13)

) , -+ 7 "

" 0 7 " 7 + !

" 7 " 0 7 " , !

! ". . , 7 !" -+ 7 " ,

" 0 7 " .

5074 7

1. 7 -.&., # ..$. C 7 " " " !

. 6 " + 7 " . – : & , D*6 , 2007.

– 56 .

/% 614.2:615739.15-099

* 54% 4 ( * ((434 02 5= * 7 5 .064 0%0 1 %0 ;0

. .

- , .

798:

* 09 > 9 9 9 !< ! !< !: - !< ? "! ?

B 9 9: !< > 9 9 > . ? ! ? =" !. )! !< ! < ! ! !

9 9: B 9 ! = "9 !< > > = 9 ! !< ! 9

? . E 9 9 : ! ? ?! ! > 9 ! !< ! 9 > 9 "! 0

<; ! ! ? . 2 ! !< !: " ! ! ! : > 9 B 9. # !<

! !< !: ! , 9 > ! 9 9 ; > 9: ; ! 0 09 9

!< ! 9 9.

SUMMARY

Nowadays, a doctor treating scars, when assessing the morphofunctional state of scar tissue often only armed with their own clinical experience and the Vancouver scale. So far, the pathogenesis of the growth of scar tissue, not based on algorithms for treatment of various types of scars. During the development of diagnostic and treatment methods, researchers are faced with the lack of "standards" in the development of scar tissue, completely is not investigated it was a high variability in the manifestations of the scar depends on many factors. A significant part of modern research on the surgical treatment of scars and has a phenomenological character. In other words, there is a registration only the fact of change in the condition of scar tissue, or else check the outcome. Without the availability of

"objective control" of the state of the scar tissue is very difficult to improve the methods of treatment.Lack of research conducted on the problem of pathological scarring, does not carry out fully their diagnosis, treatment and prevention, which is reflected in incorrect diagnoses and unqualified treatment.

) !, , ! 0 !

7 . 2 7 " " .

$ " ! 7 " " ,

0 . % ! 7 ! !,

, !, . . 7, " 7

, ! " 7 ! 0

! 7 ! . " 0 " 7

" : 7 , !

, . % ! ! !.

$ , 7 7 0 7 " ,

! ! 7 ! . . 7

! . C , , « »

" , ! 7 "

( " ! 7 ; 7 " !0

" ; ; " ; ;

" !; 7 " + " ! .). .

" ! : 7 , !

1-2 ! ! 7 7 "

. $ 7 ! , 7 7 !" 7 "

. . 7 ( 0 0 7

") , ! , 7 ! 7 . ,

7 ! 7 , ! " ( , 7 .), , !,

. 6 + + 7 . $ , 7

, !" .

(14)

* 7 0 : 7 0 7

0 " " ! 7,

. % . $ 7 ! . $ 7 , «

7 " » ( ! ) ! ! 7 ,

!0 . 6 , 7 « » ! 7 7 0

, , 7 « "» ( !0 "

) " . % " , " – + « »

. % " , ! ! . $ , 7

– + !7 . . 7 7 ! ! « ! »

! ! « ! 7 ! » ! . $ 7 ,

7 " "

! « ! » , ! ! 7 . $

, ! !

. C . 4 , 7

7 , 7 7 + !

. ) , + « ! »

, " 7 ! ! 7 + " .

2 + " !, 7 !" ! 7

.

! , 7 7 ! ", !

7 , 7 " . 4 ! ,

" " , . 5

+ 7 ! 7 , " , "

. , 7 +

- ! ". 27 " 7 " 0 ( !

") , 7 « " » 7 7 ! . .

7 0 ! ! 7 ! " . 2 " "

7 0 7 , ! "

" . 4 + !

. 2 ! 7 7 . 4 ,

7 « , » " 7 0

! 7 . # ! 7

7 7 . 4

7 " .

% + 7 0

7 . ) , ! 7 "

7 + ( , ,

). 4 , ! ! 7

7 ! ! 0 " +

7 . # ! " ! !

" , 7 , + 7 !

". . , + 0 0 . 4 ! ! !

! - 7 ! ( $ ,

, 7 " , , ,

+ 7 .) 7 !

. , 7 !" ! , 7 7 +

! , – . 8 – + , ,

, " ! ! " !,

!. 4 , 7 + 7 7 .

. , 7 ! + 7 ! ,

7 , ! , 7 .

) , 7 ", ! ! 7

, , " , , 7 , 7

7 ! 7 .

(15)

/% 614.2:615739.15-099

5= 074 04( 64 7( ;0/ 0 ( *5 7064 8 0 .00

. .

- , .

798:

H 9 = ! !: B 90 9 + !< ? !< ; ?! > > 9

0 0 0 :! ? . H 9 = ! 9 - 9 9 !?! !< " ! !

; !. 2 !: 909 !<, <! 9 , + !< > > 9 !: ! 0 .

6 !< !: B 9 = ! !: < ! ! ? ?! 9 ! ! ,

« !< » !?! ! !< 9 9 9 9 < 9 9 ! " !.

# ! < , ? ?! !< < ! ! + !< 9 0

; ! ! ? !. 2 !: ! < " ! + !< !: < ! ! ,

!< & ! ;"! ! ? ! 9 9 . # :?! ;"! 09 9

! ! !: > 9 9 <! 9 < ? ;< ! < .

SUMMARY

Criterion of quality of life is essential to raise an issue of medical intervention in aesthetic surgery. The concept of quality of life assessment combines at least four distinct, but correlated with each other areas: physical, functional, emotional and social. Analyzing the role of plastic surgery to improve the quality of life for patients, we have come to a conclusion prerequisites that here are some to introduce a special «plastic surgeon» in the list of medical specialties with adequate description not, limit post-graduate training in the training of aesthetic surgeons, and to enter elective of cosmetic surgery for medical students in the universities; to provide for the establishment of ethics committees in private clinics and aesthetic surgery and cosmetic medicine; to establish a regional Association of Plastic Surgeons, with an independent audit of private clinics and aesthetic surgery.

# 7 ! , 620 ! 7 " " (

7 + 7 " 0 . 7

" 50 . 6 7 " , 7

! ! , ! . 2

7 . $ , ! + 7 , ! –

7 " . # " "

7 " 0 , 7

7 , ! . 2 + ,

7 ! !

7 0 , + ".#7 , 7

! 0 , 7 " 0 . #

! ! 7 " ! !7 ! ,

, 7 ! + . . ! !

7 , 7 7 . 7 ! !

, 7 ! . 6 0 " ! ,

!" 7 ! ,

. " 7 7

0 0 + 7 " . 6 7 ,

7 ! 7 ! , " (1): 7 ",

", + " ". C ! : 7 7 (

); ! ( 7

, " , " ); +

( - !" + – 7 , !" + - ); !"

( " " " ; 7 0 " ,

" , , " ! 0 7

, , ).

6 + .2@, 7 - «+ 0

! + , ,

" ». # , 7 -

« , !" 7 7 ", 7 ,

, ». 7 , , - +

!" , " : , 7

, , 7 " , ! "

!, , , , 0 ",

(16)

+ ! . .; !, ! !

7 ( , !0 , 7 ! + ! ! . .); 7

, 7 , ! ! ,

, ! , , ,

" , 7 . . . + 7 "

! 7 ! " " “ - ”,

!, + 7 !, 7 ! ! " .

4 + 7 7

.

8 7 ! ! , !

7 ! 7 ! . %

7 , 7 ! 0 ,

, , , 7 ! 7 . # 0 !

, 7 ! 7 " . 4, , !

!0 7 7 " . - , 7 !,

“ 7 ”, , , 7 7 , 7

, 7

7 0 . 6 !0 7 7 " 7

7 ! , « ! ».

8 , ! 7 , 7 , 7 7 !

", 0 ! 7 7 , !"

! , « 7 » 0 ( 7

"). $ 7 ! 0 , !

7 " , 0 7 ! !0

7 , “ 7 ” . $ ! ,

!0 7 , 7 "

, " 7 . $ !

7 " ! 7 " , 7 "

0 7 . 3 7 " ,

" , !" 7 " ,

! !" !" . ) , 7

", , !"

7 0 ! , ! "0

". . , + . # , 7 ! ,

! !, !" ". C ,

, 7 0A

+ 7 " 7 , !

.

/ 7 !0 , 7 ,

7 7 " . . 7 ,

+ 7 " , 7 .

) , 7 " !0 7 ,

! , 7 ! « 7 " » 7

" ; 7 " " 7

+ 7 , + 7 " ;

+ 7 7 ! + 7 " 7 "

!; ! & 7 ,

! 7 ! + 7 " .

5074 7

1. - 0 .&., & ! -.C., ) -. . 7 !

7 -+ 7 "

7 " // 7 @ . '! , 1998. -30 .

(17)

/% 614.2:615739.15-099

0 3 % *4 47 4 0 ( 70 * 7 %4 (, (43 <08 - 7 /0702

064 . 7 5= . .0 .0(07

. .

, . . . 798:

# 0! !: ! ! ! < ! = 9 9. 2 B 9

0 ! ! !? < !. 2 ! 9: 9 9 9 9 B ! 0!< !. 2? 9 9 !<

!: B 9 ! ! !. * 0 ! !: 9 9 9 9 ! =09 !? < ! ! !?!

> !< = 9 " < . # 9: ; ! ! < ;0! ? !< <! 9 !

< ! ! < ? " ! " !< < ! < 9.

SUMMARY

Periodontal disease of athletes is mainly represented by chronic catarrhal gingivitis, which is often exacerbated in a state of overtraining. Ane lack of efficacy in the treatment of an exacerbated disease. May be some changes in the immune status. Anti-inflammatory treatment of exacerbation of chronic catarrhal gingivitis in athletes in a state of overtraining less effective without reducing exercise, whereas a decrease in volume and intensity of the overtraining increase effectiveness of treatment because it promotes the restoration of functions of local immunity and nonspecific defense factors of the impaired by excessive physical and psycho-emotional stress.

@ , , ! 7 !

, !" 7 . 6 + , 7

7 + 7 0 , 7 !

. 2 , !" 7

7 ! ! (

) , ! ! !,

(1,2). $ ! ,

7 359 7 ! . %

+ ! ! 4 !: ! , !

7 7 ;

! , !

" & , . 3 7 ! 7

" " " ", ,

" " ,

! " 7 ! 7 !.

# 7 7 !, 7 ,

! . . ",

" 7 " " ! " :

. - !" 7 ,

7 2, 4 , ! ! 7 6 . $ !

" 7 " + " "

, 7 , , 7 70 7 ,

! ( ! " , " 7 "

" !). # , 7 7 70 !

! 7 2 , 0 7 – 7 4 7 .

. (6 ) + 7 , 7

" ! " ! , 7 2

.

& ! 7 " + 7 , 7 ! ,

! : ! ( ), – !

, – ! , 7 !

7 , 0 +

, 7 ! 7

. . 7 7 " 7 "

" ! " " ,

,

7 . . 7

! 7 7 !0 ! " ,

IgA, Ig IgG , 7 , , , 0 +

(18)

7 " . !0 , 7 ,

7 7 7 –

7 ! + 7 .

/ 0 , 7

0 " + 7 , ! ! 0 ! "

7 ! 7 + ! " 7

! " . 6 ! 7 " 7

+ !,

7 – – .

) , 7 ! " !

7 , 7 !, 7 " ! ! ,

, : - - ! , !, !

7 7

" ( 7 , - 7 " "

!, . .); - - ! , !, ! !

( 7 ),

!0 , 7

7 7

; - - , !, ! 7 " !

7 " , !

7 0 ! " . .

7 ! ! ! ! . ) , 7 ! 7

+ ! ; 0

" " , " , ! ! 7

0 , ! , 7 ,

7 ! " , 7 , 7 .

$ 7 7 –

7 ! " , +

7 . 4 7

7 , ! , ,

7 " " !: - ,

( pH " ) 0 "

"; - !0 43-8

43-4 0 " 7

" 7 " , ! ", ,

, ! " ; -

7 )- - !

. . 7 ! 0 , 7 "

+ 7 ! "

.

) , 7 7

7 + ,

0 , !0 + 7 ,

0 ! " 7 ! 7 + !

" 7 ! " .

5074 7

1. - 0 .&. . - 7 "

//$ - " 7 !" .-'! ,

1999. 11, . 56-58.

2. - 0 .&.,# ! %.#., - @. . 4 7

7 / «2: = 9 E < ! ! ?!

> 9 !: > 9» &" < !< I ?! ! - > 9 9 !: <

?!. '! 1993. 74-77 .

(19)

/% 614.2:615739.15-099

( 4%4 8 * 3 3 14 4 . 064 02 ;0/ 4342745= 70 5=

% 30 47 % * /0108 %4;3 3 8 5 0-0 100 - 10 0 ( 02

!.". , . .#

$ $ %&

' - ( ) &

% , . , %

798:

E 9 9 !: 9 09 9 ! !: !< (( ) "! 0

; ! !: !< ? ! !: > 9 9 ! , !< 5 !< 100 "! ? !

0 9 9. 2 ! > 9 9: !<0! !?! < " !?! - < !?! , !:

; ! ! B !< " !< 9 " ! ! , : ! ! !: ; ! > 9

; ! B 9 > !< > 9 !: ! "! ?! > ! 9 <!

! !: : 0 ! !: > 9 ; ! ? ? !< ! 9 9.

SUMMARY

To guantify the degree of restrictim of vital actruity in patients with diabetes mellitus, we have proposed an integral index which allows to gyantify the simultaneous effects of the disease on organ, organismic and social levels through the notron of «functional class». Evaluation of FC is ranked on a 5-point scale, taken as 100%. Improwing the methodology of medical social expertise in diobetes millitus using a guantitalive assessment of restriction of ortal actrity meets the three-dimensional concept of the conseguences of the disease proposed by WHO experts and proudes a theoretical basis for rehabilitation.

( . # !" " ! - !

. C ! ! , ", " "

. "

, 0 – (1).

. - + ( – #C) + " !

" " 0 ",

7 " " 7 , " . " "

1980 . . , ! ! , 7 ! #$1,

- " + !

, 7 " , 2001

. " " .

1 $ ,. % 7 " 7 !

! , !" , " 7

, 7

« !" ».

% ,. 2 ( 5- " 0 , " 100%. 1

: ( -0 - "; ( -1 - 0 " 2 %

( 25%); ( -2 - 0 ( 26 50%); ( -3 - 7 0 ( 51 75%); ( -4

- ! 0 ( 76 100%).

! ,. $ ! ! ! ! 0 "

" 7 ! 7 - ! 0 ",

7 ! . % ( -1 ! -

! 0 . $ 7 ! 7 0 . 2 0 "

7 ! 0 " –

! 0,4 ". 6 7 " 1 ( ).

$ I–II . & 7 " 7 " " 7 (8&$) 1

. 3 ! 7 0 . 3 " . % !

0 7 ( -0-1, 7 " - ( -1. % ( -

2 ! - ! 0 : 7 0 " ;

! ! 0 ! –

! 70 0,11-0,15 ". $ 3 .

6 7 " 1-2 ( 7 ). & 7 " 8&$ 2 ,

7 " ! (#%#) 0-1 . / ! ! ! ! 7

0 . .! !" 7 " .

! 7 1 *%/ . 1

(20)

9-14 / , 20-40 / . % ! 0 7

( -1-2, ( -1, ( -2, 7 ( -1-2, 2, 7 " ( -1-2, 2

(( -2 – 7 7 , ! !" !, ! ,

). % ( -3 ! - ! 0 : !

7 0 ; 7 ! 0 –

! 70 0,05 0,1 ". $ 4 .

6 7 " 3 ( ), " 1-2 . & 8&$ 3 ., #%# 2-

3 . & ! . .! " . .! ! 7 !

! 7 0 . @ 7 ! !" 7 "

(7 ! ). 1 0 14 / , 40-50 / . 3 7

. 4 ( 7 0 1 *%/ ). % ! 0 7

( -1-2, ( -3, ( -2, ( -2-3,

( -2, 7 " ( -3.

% ( -4 ! - ! 0 : ! 7

0 . 0 : , ,

" 70 0,04 0. 7

" 5º 7 . 6 7 " 4 . ( ! ),

" 3 . $ 5 . .! 7 " . &

7 " 8&$ 4 , #%# 4-5 . & ! . @ 7 ! !

7 0 . @ 7 ! !" 7 " , 0

. , !

. % ! 0 7 ( -3-4,

( -3-4, ( -2-3, ( -3-4, ( -2-3, 7 "

( -4. . ! ( -3.

(, ,: # 0 - " + !

7 " 7 7 A "

" " + .2@ 7 " " .

5074 7

1. - 0 .&., & 3.*., ! &. ., % 1.#. 7 ! + -

// - 7 " / –) 0 . 2008. .30-32.

/% 616.8-009-053.2-08:364.048.6

* 7 %*54 . * 3 3 5464 0> 34748 4( 5 .064 0%0 4 02%0 ( 5 (02 4 0507 10 . 73454 02 . 3 8

*410 50/0 ( 8 * 50 50 0 0

*.+. %

! % , .

798:

& "! !: : B 9 9 =" ! 0 !<< ! 9 0 9 < ?

? !: :! ! : > 9 > !: ; ! B 9 > 9 9 !< !.

SUMMARY

It has been established that an integrated approach to curing the children with neurological disorders in a rehabilitation of the department specialized clinics can achieve significant positive results and contribute to the development of integrated personality.

6 ! " ! " ! "

" , " " !: 7

, ! 7 ". % ! ! , 7

7 " " !

65-80%, !

[1]. 6 7 ! :

, ! ! , 7 " + , !,

7 " , 7 0 , ! !, 7

« – – ». &

, 7 . 6 !0 7 !

. . 0 , A " . . 7 ,

(21)

7 7 " ! . #

[2].

1 . 4 7 ! 7 " 7

" " .

% ,. 6 54 , «%» 7A ,

« " !" 7» (%D6) – 26 " (48,15%), « 7

" " !» ( 26 D$#) – 14 " (25,93%), « » ( %)

– 14 " (25,93%).

6 1.. ! !

7 – 59,26%, 7 12 15 – 62,5%, 7 0 –

40,74%, 7 7 12 – 50%.

6 2 -7

" (%) % 3- 3-7 7-12 12-15

77 32 (59,26%) 4 (57,14%) 9 (69,23%) 9 (50,0%) 10 (62,5%)

77 22 (40,74%) 3 (42,86%) 4 (30,77%) 9 (50,0%) 6 (37,5%)

) 1 - 6 . 6 7 !

: %D6 – 26 " (48,15%), 26 D$# – 14 " (25,93%), % – 14 " (25,93%). %

2.

% 7 ! %

%D6 26 48,15%

26 D$# 14 25,93%

% 14 25,93%

) 2 - ! 7

. - 7 . % ! !

7 ! " (+ + ,

, - ,

). . ! , , , .

, " A 7 .

7 " 7 0 7 + :

7 7 "; ; .

3 7 " 7 ,

" , 7 , , 3( . 7

! , , ! , . 2 + !

, , , , . 6 7 %D6

!, !0 7 !" : , . .

" 7 !: , 7

7 3( , " – – , " " ,

! 7 3( .

. + 7 ( !" +

– + , ), 7 , , .( 7

! . 4 " :

! " , 5 , , . - 0 7

" " + ". 6 , "

A , 7 , 7 , ,

. D + 7 " ,

" A 7 , " A ! , + !

! ! ! [3,4].

- 0 ! " ! .

! , . $ 7 "

+ 7 ! . . 7

2-3 7 . % " " 7

3.

# "

6 !

7

% 2,3 2,6

(22)

5 2,5 2,8

7 1,6 2,4

! ! 2,1 2,8

) 3 - 2 " 7 7

!, " 7 0 , 7

7 , 70 " .

6 ! ! ! ! 7 ! , !

! ". % + + 7 ! "

. / 70

! , ! " , ! " , 7

" ".

(, ,. ) , !" 7 " 7

" 7 !

! " 7 ,

7 " .

5074 7

1. ' 3. ., "7 4.4. % " !" 7. – 2001. – #. 27-34.

2. 6 &.#. $ . – ., . – 2004. – #. 54-59.

3. # .&., $. . !

! 7 . – ) 0 . – 1979. – #. 38-44.

4. 3 . ., % ! &.8. %

0 . /7 - 7 . – & !. – 2002. – #. 19-25.

/% 616.831-009.1-053.2

* 0 10* 4 0507 100 34748 31* ( 5 (02 . 3 8 * 50 50 0 0

*.+. %

! % , .

798:

- ! ! < ! < !< ? "! : :! ! :

> < 9 ! ! !< !.

SUMMARY

It has been established that the rehabilitation of children with cerebral palsy allowes to achieve significantly positive results even in an urban policlinic.

% " !" 7 (%D6) – ,

" , 0 ,

" " , 7 7 [1,

. 322]. 5 %D6, ! ! , 2,5-5,9 7 1000 0 " [1, .

323]. %D6 A " D$# ",

(30-70%) ", , 7A 20-35% !

7 7 , 7 !

7 ! . . 7 ! + 7

" 7 ", " " 7 [2, . 30-31].

1 . 4 7 " %D6 "

.

% ,. 6 62 ! %D6,

1 7 15 . 6 1.

. ! ! 7 7 (51,6%),

7 12 15 – 12 " (75%) . . 7 (48,4%) 3- 7

– 14 " (60,87%)

6 2 - % 3- 3 – 7 7 – 12 12 – 15

77 32(51,6%) 4(57,14%) 9(39,13%) 7(43,75%) 12(75%)

7 7

30(48,4%) 3(42,86%) 14(60,87%) 9(56,25%) 4(25%)

) 1 - 6

(23)

. 7 , – 30 " (48,38%),

7 – 12 " (19,35%), 7 – 8 " (12,9%)

! 7 2 [2, . 32].

% 7 ! %

%D6. # 7 30 48,38%

%D6. 1 7 12 19,35%

%D6. 1 7 8 12,9%

%D6.& 7 - 7 7 11,29%

%D6. % " 5 8,06%

) 2 - ! 7 ( # A " .&.)

. - 7 . %

7 ! " (+ + ,

, - ,

). . ! , , , ,

, , 7 3( . ) ! - -

7 " (6 6 ). , "

A 7 " 7 " [3]. C , "

" &14/., " 4- ! :

, 7 , 7 ! ! . 2 4-

" 0 : 0 – ! ; 1 – ; 2 – ; 3 –

! 0 . 7 " %D6 7

: , , , 7 , -

7 , .

7 A , ! , . 2

+ ! , . # 7

! : !0 7 2 7 10 ",

½ 2

, 7 20 ". $ 0 7 " ! ! "

[4] [5] !"

" !" + ! 7 + . / "

7 %D6 ! 7 " ,

! 7 !, , !0 7 !" :

, . . 7 !:

, 7 7 3( , !

7 3( . 6 ! 7

. 3( ,

! " . . + 7

( !" + – + , ),

+ !0 , , . . 0 4- 0

7 7 . # 6 6 "

7 - 7 " ,

- . 7 . 2 " 0 " 7 "

7 7 ! " !

0 , 7 7 " 7 "

%D6, 7 7 " 7 ! .

! , . $ " + 7

7 " 7 . @ + 2-3 7 .

% " " 3.

# "

6 !

7

% 1,5 1,9

5 2,2 2,5

7 1,8 1,9

! ! 2,1 2,2

) 3 - 2 " " %D6 7

.

!, " , 7

! ", 70 " .

/ 70 ! , ! " , ! " , 7

(24)

" ". ! 7 "

!, A , 7 , 7 " 7 .

(, ,. ) , , 7 "

! 7 ! ! " .

5074 7

1. - 3.2. % . – ., . – 1984. – #. 322-323.

2. # A .&., $. . !

! 7 . – ) 0 . – 1979. – #. 30-35.

3. % ! &.8., 3 . . % " 7

": 7 . – & !. – 2004. – #. 28.

4. % ! &.8. 3 . . 3 7 "

0 . – ., . – 2001. – #. 51-53.

5. % ).&. C 7 + " //&

– : # . 7 ! ". – & . – 2000. – #. 32.

/% 343.148.22:355.72

( 4 -( 64 2 ? *4 70/ ( ( ;4 05 44 74 47064 04 0

. 0/ 10 4 (

.,.

" - .% , , . 798:

< E > < ! =0 9 !< < ! ! ? ?! ? > - > 9 9

!: 9 9 < ! B 9 . @ ?! ! > 9 9 ? ! 9 9 > -

> 9 9 ! > < " ! > 9 9 ! " .

SUMMARY

The main objectives of the military-medical assessment are directed to the medical segurity of the armed forces of the Republic of Kazakhstan. On the basis of modern scientifically-systematic methods its necessary to develop and impove the ways of the military-medical assessment.

. - 7 + !, 7 -

7 , ! 7 ", !

7 . ! # ", 0 -

" , 0 . . - 7 +

( ..C) "

; 7 " 7 " ( ", , "), "

" ! ( ! ); , , ,

- " . .! !

..C ( .... ): 1. ..C ,

7 7 7

. 2. 2 0 7 -+ ,

! , ! 7

! + 7 "

"0 7 . . + 7

, , ..C, " !, "

, . 3. C !" ! ! , 7 ,

, " " !. 6 +

! ..C "

, 7 ", , 7 ! ", 0 "

" , + 7 , , ,

, " ! . ! # , " .

. ! 7 -+ ! 7 "

, 7 7 . !

# ! 7 ! , " ! !

, 7 7 . ..C " "

" !, , ! ! " "

! 7 : 1) - , ! - 7 "

(25)

+ !, , ! ! , . 2)

- , "

! . ! # ..C; 3) 7 -+ .

% 0 7 ..C ! ..C – 0 ! 0 ! (

" ) - 7 ! (.. ). $ ..

! -+ 7 ,

! : - , -+ , !

7 ; - 7 – " , 7

( " !) " - 7 " ; - –

7 " 7 " ( ", , "), " , , !

! !, , 0 ( ! !), , ,

- " .

# ! 7 " ! 7 ..C, 0 7

: 1) , !"

! ! - 7 ! . 6 7 , 7 ! ! " ! , 7

+ ! !

, 7 ! " ! 7 !

, 7 ", , ! 7 " " "

7 7 . 2 ! , +

! " 7 "-+ ; 2) . / ! !

7 0 " ", 7 " 7 -

7 " !, " ..C "

, ! ! ,

! 7 " ; 3) "

7 , 7 , ! " + "

, 7 ! 7 ! 7 ; 4) !

" 0 ! ! , ! ! ;

7 -+ ! 7 "; 5) 0 !

7 - ! " ! !

! 0 7 !

7 .

0 + 7 ! " ..C. . "

! " " 7 + , + ! , "

. 0 7 ", " ,

7 -+ 7 ,

! " !. 2 7 ..C 7 " ,

7 !" – -+ 7 ,

" !" !" ! ,

, 7 , " ,

7 " " !

7 - ! " "

!. . 7 ..C –

, , , 7 7 . #

!, ! ..C, 7

" , , "

" 7 " + 7 . ) ,

-+ 7 !" . !" "

7 ! 7 - 7 " " "

. . + ..C , "- " 7 "

7 " . . , 7 " ..C 0 !

" , 7 ,

!, " !

, " 7 , 7

+ " " ! " -

7 ".

@ 7 .. ! " " ,

" " ",

" 7 . C 7 , 7 ..C ,

7 ! , + ! ! 7 !. 2 " ..C

– 7 !, " 7 !

" 7 " , 0 !

(26)

( - ). * – +

7 7 " . 6 !0 !" 0 "

. ! # , 7 " . " ! ,

7 ! !, ,

! ,

, ! ! ..C.

5074 7

1. 18 2009 193-IV «2

».

2. 6 - 7 " + ! 6 - 7 "

+ !.

3. @ ..6. . - 7 + + //. . . 1992 . 2.

4. ...., ( &.#. - 7 " + ! 7

// - . . . ., 1999. - 9.

5.

3 " 4..., &.*.

! 0 ! - 7 ! "// - . . . ., - 1992. 2.

/% : 610.7346:616.025

( * 4 7 *4 7 *5 0 ( 02 6 0 543 ( 08 *

/ 7 4 *70% 5= %47 3 ( * (54 02 / 54( 4% 70 *4 5 ( 8 * % 54 70

. . % , ,. % , . . % , . . /

% - , . ,

011 " «2 », « », .0 # 1

3 % . 1, 0' . .4 , . 0 .

798:

< B 9 9 9 9 ; ! 0! 9 ! " 9 > 9 9 !< =09

?! ! 9 !: " 9 9 9 9 9 9. E < <! !: !?! < ? !:

> 9 ?! ! !: :! ! 9 9 > 9: B 9 9: ! !: ! ?!

09 9 9 9: B 909. 8 !< !: !?! B 9 , !: 909 ; <

9 9 0! > 9. * 9 9 B B 9 9 " < !: ! " ! !,

= 9 !< ? " !< !. 2 !? ", B > 9 9 9 ; ! 0! ?! !

<! ! ? 9: !?! 0! !< 9 > 9 9 > 9 < .

SUMMARY

There are some aspects of scientific researches planning for development of sickness rate controlling methods of uranium industry that are shown in the article. Exploitation of uranium deposits on the territory of Kazakhstan creates complicated radiation situation. It leads to necessity of investigation of sickness rate of employees of uranium exploiting enterprises for development of suitable methods of controlling of inspected personnel’s health. ThatIs why, through studying the illness of workers in uranium factories. ItIs necessaryto prepare the method, which takes care of health of this continent.

# ! " "

", "

[4]. . ! 0

! " ! , !

" " . " "0 ! !

. $ , , 7 25% !

. . " ! "

7 . 6 ! " ! "

!0 ! 7 " . . 7

20 ! ". .

200 . ! ! ,

[1]. . + 7 7 " ! !

" . . –

" ..

+ , ! !

" !0 " [2]. # 0

(27)

+ 7 ! !"

!" "

! ! 7 - 7 " [3].

. !0 ", !

! " !0 [4]. . + ,

7 ! -+ 7 ",

! " !0 . D

! " - ! - 7

" 7 - ! ! ". .

! " " !0

– 7 7 . # !

" " + !

. 2

7 " ", 0 !7

. C 7 " 7 !

[5]. 4 7 " 7 " 7

! " "

" 7 – 7 :

, 7 ! , 7 , ! !

, ! 7 7 , ! "

!0 , ! 7 7 ".

! 7 , –

7 , ! . C 7 ,

7 " 7 " " [2]. %

! " ! 7 7 !,

! ", 7 ! ,

. 6 ! 7 ! " !

7 7 ", 0 7 7 , !

– ! "

! 7 - 7 , 70

. . + 7

! ! ,

! [5].

5074 7 1. - (. ., - " #.&., " &.&. # 7

! //& !< !. - 2005. - 1. - #. 63-65.

2. # " ).@., &" -.&., - " #.&. . & ! !

! # // .

6 . – 2005. - 4. - #.11-18.

3. - #.-., E ! 6. ., - ).#. / . + 7

// & !< !. -2004. - 3. - #.6-9.

4. 1.&., # " ).@., & &.8. 7

7 " " ! //& !< !. – 2003 . -

4. #.59-62.

5. - . . $ ! ! " "

! // . . . «/ 7 " "

! ». -& -5 -& : 2005. - #.451-453.

/% 615. 942: 616. 0756

(/ 0% (2/= * 14 ( 50* *4 03 100 70( 7=> -4 %4 7 ( 70 03 7 8 / <07 ( %0 % . ( ;0( 7 * 0 * 7 2 8

. / 4 * 4345= 3 * 70% 8 14 7 100 (0 1

!. . , . . , . % , 2. . 2$ , . ., %

. – . /. .4 , . 0

798:

E ? ! ! !: 0 B 0 9 ! !: (' ) ; < 9 9

> 9 9 !: ? ! ?! !< ! !<

!? !: ! > 9 < ! ! ! !< ? . !: < ? ! ! !: ' – 12

(28)

"? "9 9 > 9 , < , ! , =" > ?! 9: <! !? ! (3&)) 9

< ! ! ? ! !< ? . # ! < , !< =" 9 (&2 ) 9 9 9 9:

? ! ! "< ? , ; ! < ? ! 9 ! !< – "9

9 < ! ? !.

SUMMARY

It was established, that the long receipt of extreme permit acceptable concentration (EAC) of acetate lead results in generation of free radical oxidation in microsomal fraction of the investigated organs of experimental animals. Alongside with it the increase of pheromones’ activity of antioxidation system (AOS) is marked, that it is possible to consider as adequate compensate- adaptating reaction on a leaden intoxication.

# ! " ! "

" " 7 !

! " (6% ) 7 " [1]. +

" ! + " [2,3]. C , 7 !

!, , , , !

! , ! , ! " 7 !

[4,5]. # ! ! + ! "

[6]. . ,7

! ! ! 7 , 7 , , ,

[7]. . , 7 ! ! ! "

[8]. 2 (623)

7 " , ,

- 7 ! -450 ,

+ " [7] . . !

! 623, " ! 7 !

" 6% ! .

1 . .! 623 7 , 7 , ,

" 7 (#2 ), ! 6%

.

% , . . ! ! ! ! ! !- !

0 " " " 160-170 . * 7 3, 6, 9 12 . !

" . " " « &1&)C» - 9,17 / [2].

8-10 ! , ! 7 !

. .! 2mur )., Sato R.J. [1964]. .

7 #(-46 ( )

( %&) $&%($– " , « ! " !0 »

.&.. &.4.& 7 (1972) " "

! (&2#) - .'.6 ! .3.% 7 (1990). 4 ! ! 7 !

0 ( / ), !" 2.$.Lowry et.al. (1951).

! ( / ), 7 ( / ), 7 , 7 , #2 ,

« » «Vitros» (& )

7 + " !. ! ! !

! . ! " ! 7 t-

# , . % 7 " 7 <0,05.

! , & $ !' .4 , 7

" , + " 7 "

( .1).

# -

6 ,

/

7 , /

6 7 , /

6 7 , /

3 ,

/

#2 , /

1 "

, /

3 . 10,62±084 9,8

2±0 ,93

0 , 6 2

± 0 , 0 4

1,21±0,07 0,83±0,03 1,91±

0,05

0,10±0, 01

6 . 9,50±0,90* 12,19±

0,85*

0,56±0,03* 0,96±0,05* 0,65±

0,02*

1,58±0 ,06*

0,08±0,01

(29)

9 . 8,18±0,72* 13,20±

0,98*

0,52±0,04* 0,73±0,04* 0,01±

0,03*

1,95±0 ,09*

0,08±0,01

12 . 12,54±0,79 11,72±

0,58*

0,69±0,05 0,91±0,05* 0,77±

0,03

2/19±0 ,08*

0,13±0,01

11,31±0,82 9,91±0,

75

0,63±0,03 1,22±0,07 0,81±

0,04

1,32±0 ,06

0,10±0,01

) 1 - % ! ! ( ±m)

6 3 . " 7 , 7 , 7 , , #2

7 ! ! . 5 6 . ,

7 , 7 , ! , #2 ,

!0 ! . # , 7 , 7 ,

" + " 7 , !0 23%

( <0,01) ! . .! #2

", ! + . 5 9 .

" 7 7 , 7 , 7 ,

7 #2 . 6 12 . ! 6%

7 ! 9 , 53,3%

( <0,001), 7 – 11,2% ( <0,05), 7 , 7 , ,

#2 ! 32,7; 24,6; 26,2; 27,7 62,5% .

, 7 !0 ! ! !

0 " 0 + 7 ", 9 7 ! . .

, + 7 " ! !0 – 18,3%

( <0,01). C , , - , ,

7 7 . % 7

! , , ! " ! 7

" 623

! ! . ! " 7 3 . ! !

! ! ! ( #2 ), 623 !

! 7 ". . #2 !0 ! 1,25 ( <0,01), +

#2 , " 623 ( !

) ! ! ( . 2).

$ , 7 ! 6% ,

! 623 7 ! ! . .

, 7 , 7 , , #2 + 623

7 7 ! 6% . .

7 , 7 7 6% , 7 , 7 ,

, #2 , !0 623 " &2#.

. 7 &2# ,

#2 , 7 6 . , 7 6 &2#

80,6±5,30% 72,3±0,72%, 7 9 18 . 66,5±0,93 52,9±0,70% ( <0,001),

. # , , 7 " , 7 , 7 ,

, ( 12 .) ! " 623 "

" &2#, 7 , !

! . 2 , 6-12 .

#2 , 12 . " &2# 7 7

, 7 ! -450

+ " + .

) , ! , 7 6%

! " - "

! . 6 623 !

" &2#, 7 -

+ " ! . . , !

623 " &2# #2 ,

7 +

6% .

5074 7

1. ) 4. ., / $.&., ). ., 8. ..

//) 7 " . -2002. 3. #.22-26

2. ' 0 &.&., # 0 &. ., # ). . 2 !

" 4 ! - " // 1 . -2005. 2. #.13-14.

(30)

3. 7 -.&. - 7 7 // 1 . -2004. 6.

#.26-31.

4. 1.4., @ ).%. @ 7

" // 1 . -2003. 2. #.31-34.

5. # ..3. % , ! "

" ! //1 . -2003. 3. #.60-62.

6. Villeneuve J., Pichette V. Cytochrome P-450 and liver diseases // Curr. Drug. Metab.-2004 V.5. N3. P.273-282.

7. & 7 &.4., 3 &..., 6 0 $.&., $.$. D ! -450,

. // . . -2008. 5 F. 2. #.4-8.

8. 5 .$., 4., 1 " 7 *.&., ! : - 7

! // . . -2001. 1. #.24-31.

/% 616-053.3:613.22

( * ((434 00 * 0 % 3472% . 3 . ( / 7

@.*.,

! 5 1, . 6

798:

< 9 9 ? < ! 0 < ! !: !, 9 <! ! > !

<B 9 . ; ! > 9 9: = 9 9 > 9 9 9 9 9, 9 + !

9: 9 09 9 9 "! , !? " ! ! ! B !: ! ! ,

!: !?! < ? B 9.

SUMMARY

The article is about the date of introduction and character of nutrition of infants. It suggests the scheme of forage, its inculcation to daily practice of childrens doctor allows to prevent the deficit of essential micronutrients, disorder of nourishment and condition of health of children connected with it.

% ! ! .

, 7 "

. 4 ! , !

! 7 !, ! " . . !

! ! 0 "

" . . 7 , 7 !

, 0 7 7 !

« ». 6 "

7 " .

6 , ! Foote Marriott (2003), + , 7 ,

, [1]. 2 7 ! !

!, ! ",

! ! , 7 "0 [2].

. 0 $ "

, ", 7 , . .

+ " " !" ", ! , - 4

, + !" ! :

7 !0 " 7 " 0 , !

, 7 !" ,

! , « ! ». 6

7 !0 7 7 0 ", 7 ",

7 0 ", ! 7

, .

6 – 6 –

: ! ( , .), !

, 7 0 " " ,

! " . #

7 " " !,

! , , D$#,

" . /7 ! , 7 ! ! 7 !

7 0 " ! ,

+ , 7

(31)

(1 ). 6 ! 7 7 !

! " ! . ) ",

7 7 (1.), , , " !

, , , + . # ! +

6- ! +

! , 7 , " , 7 95%

, 82% , 72% . C ! , 7 , 7 " !,

! + 7 [3].

7 0 7 +

7 . % 0 ! , 7

! ! 7 ! , 0 !

[4]. # !

[5]. $ ! !

" ! III . 4 7

! 6 7 !" .

D 7 300 , !

, %$ , + . ( 7 !

, "

.

) !" 0 !

0 , 7 - 0 7 , D$# . 6 + !

7 ! !.#

7 "

" !, ! , ,

D$#, " . /7 ! ,

7 ! ! 7 ! 7 0 "

! , +

, 7 1 . 2 !

7 4,5 – 5,5 . 2 7 !

7 – 6 , 7 ,

7 " " , 7

7 ! ! . $ 7

7 7 0 !0 ,

! ( , , .) . 2 1

" " , 7 . # ! !

! !, !,

! " , ! . 6 0

.6 !

, " !. ) ,

" " " , 7 ! 7 0 ,

– . ( !

6 . - " " . .

! ! , ! 0 , ! !0

, ! , 7

, !" 7 " ( 7 !", )

7 . , ! !

( 0 ) ! ! ! .

D 7 ,

, , ! 7

. 7 6,5 – 7 . 7 ! !

( " , , " " .) 200

8 . % 0 " !

! 7 – 8 – 7 . 2 ! "

7 7 " 1.,

, 0 ! 7 ! –

. . 0 ! 7 "

. C , 7 " 500

" ". ,

! " , " ! ! ! . 6 , 7 !

" " "0 .

6 ! , 7 0 7

(32)

" !0 ! , !

4 – 7 [6].

) , 7 ! 7 !

" ", 7 "-

+ ! ! 0 ".

5074 7

1. Foote K.D., Marriott L.D. Weaning of infants. Arch. Dis. Child.2003; 88: 488-492.

2. ) ..&., 4.J. . ., 2004.

3. Lutter C.H., Rivera J.A. Nutritional status of infants and young children and characteristics of their diets. I.

Nutr.2003; 133: 2941-2949.

4. Roncagliolo M., Garrido M., Walter T. et al. Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 months delayed maturation of auditory brainstem responses. Am.I.Clin.Nutr.1998;

68: 683-690.

5. Ortega R.M., Andres R.M., Martinez A.M. et al. Zinc levels in maternal milk: the influence of nutritional status with respect to zinc during the third trimester of pregnancy. Eur. I. Clin. Nutr. 1997; 51(4): 253-258.

6. 3 0 *.(., $ 2. ., % 0 &.6. . 2 ! "

! 7 ! . 6 .2007; 4; 98-104.

(33)

) 2

3 " * 5, " ,& ' ) %3 ( - / ,

& - / $ – ) 5 ( / - ) ! ,&

$ " & ,& $ *3 " " .

# 6 7 6 7 6 7 3 #2 1 "

3 . 2,08±0,17 25,30±1,45

0,130±0,01 5,10±0,16

0,653±0,060 34,98±2,81

0,799±0,051 20,83±1,70

0,358±0,032 18,62±1,11

0,582±0,040*

55,85±4,69*

0,195±0,020 6,61±0,42 6 . 2,35±0,19

27,40±2,31

0,122±0,01 4,93±0,18

0,934±0,062*

40,52±3,10*

1,017±0,036*

27,21±2,14*

0,412±0,034*

20,88±1,43*

0,637±0,041*

67,93±5,16*

0,232±0,015*

7,81±0,68*

9 . 2,30±0,21 27,25±2,10

0,125±0,01 5,09±0,15

1,236±0,072*

48,84±3,36*

1,463±0,085*

33,16±2,84*

0,470±0,032*

23,11±2,25*

0,892±0,032*

76,82±5,90

0,253±0,016*

9,13±0,77*

12 . 2,28±0,21 25,19±2,30

0,131±0,01 5,14±0,12

1,432±0,075*

56,11±4,48*

1,258±0,088*

39,62±2,92*

0,892±0,033*

26,10±1,87*

0,980±0,066*

38,83±7,13*

0,347±0,021*

11,34±0,85*

2,131±0,14 26,65±1,29

0,126±0,01 5,027±0,06

0,640±0,048 33,62±2,17

0,776±0,053 21,10±1,15

0,340±0,022 18,06±1,20

0,489±0,036 45,99±3,18

0,182±0,012 6,30±0,28

* - =0,05 ) .

(34)

/% 616.2.613.05

7 (54 04 * 060 - 543 7(4 (2/48 ( 0 74%4 43 07 02 0 7 2 04 /3 (=2 454 02

. . 1 %

% + , .

798:

< < ! ;0! !: > B 9 9 < !< !: < 0 ? ? ,

; ?! !: !?! 9 9 > 9 ? > 9 9 9 . 2 ! ! 9:

> 9 9 9 9 !< !: !?! !: ; ! ! !?! < ! !<

> 9 ! .

SUMMARY

This scientific article is devoted to the questions of establishing of the cause effect relations between the ecological condition of the environment and populations health, living in Zheskazgan region. The reliable materials of the complex medical examinations showed sudden increase of population’s sick rate of the given region in the years of the rockets breakdown, launching from the cosmodrome Baikonur.

. 7 !

, . . + 7 - "

" ! "

".. , ! ! 7 - ! "

« » 7 . .

7 - ! ", , "

, . 2 , 7 !

!" , +

K@ K= (N 100)/N, N – 7 ", N – .

$ ! ! !, 7 7 ,

7 ", .

! " ( ). C , 7

( 3). 6 7 7 , 7 !" ! !

( 4).

# 52

56 60 64 68 72 76 80

2006 2007

@ . .

) "

0 2000 4000 6000 8000 10000 12000 14000 16000 18000

2006 2007

@ . .

3 - $ ! 7

4 - . "

. , 7 " ,

, + 7 , 0

"0 . C 7 ! + 6 .

# ! 0,7±0,3,

! ! , 7 "

0,008 ±0,99. !" , 7 "

, ! , 7 ! !

(35)

. @ ! ! ! (39

, ), # (44 , ), ) (44 ,

) (55 , ). /7 !

, ! ! - ! 0 , 0 10 30

30 .2 " ! : 7

, , , " 5,4,3 . .

! 7 ". C ! " ". .

0 : ! , , ! ,

! , " !, 7 " !. $

10 30 . @

0 : ! , , ! ,

! , " !, 7 " !, + "

!, - !0 7 " !. 2 7 ! 7 0

! . ! ! - ! ,

, , . . + "

! ! " - ", , ,

, , 7 " ! (1- ",2- ", 3- "). 6

7 7 !

7 7 ! . % ! 7

! + 6 ! 1.

) 1 – 7 ! +

! , 7 ! "

%

10 30

!"

+ 6

0 (sig)

!"

+ 6

0 (sig)

7 -0,35 0,64

7 -0,42 0,57

-0,42 0,57

! -0,68 0,32

-0,95 -0,95 ! -0,16 -0,16

5 -0,87 0,13

4 -0,42 0,57

7

- 3 -0,75 0,24

"

! 0,63 0,37

. , 7 7 ! ! 0 !

. 6 !0 !" " ,

! " ! (-0, 68) "

" ! (0,63). @ " 7

" " 7 7 . % ,

7 ! ! , , 7 ! ,

" , , !0 "

. C 7 " " / !

" 7 . - 7 ! ! ! "

" 7

" " 7 7

! ! , ! ! ".

(, ,. 4 7 7

" " , ! % $. 6

! " ! , ! %. 2

! " " !"

". 2 + , ! ,

" " . %

! ! "

, , " (20-30 ), !

.

5074 7

(36)

1. - 0 .&., 9 -.E., - ; ? .#. C !<- !< ? " ! !

? ! ! !: < ! : ! !< ! «4 !- !< – E < !:

; < ! + ! !: 9 9» ! !< !< ?! ! - !< !: <

?!. '! . 2006. 28-30 . /% 612:613.6:357.53

(7 @5: ;9 .:/ : :A 4A 4 47 7 A .0.04 5 B 0* 7

.). ", .&. 4 , &. . , .-. ) 0 , 1. . & , ). . 3

17 8 9 : ; 9 ; , 6 ;

« . »

4/>%4

/ " ! !

! ! : + !0 7 "

!, 7 ! + ! 7 , " ! !

" ! 7 . C ! !

7 ! ! 7 - , 7 !

7 .

SUMMARY

Labour conditions in the southern regions of the Republic are characterised by numerous hormful industrial factors: increased air temperature of the working zone, excessive psycoemotional and physical overstrain, exposure of the respiratory organs by oir pollution of the harmfull chemical substances. These harmful substances negatively influence on the respiratory organs, cardio-vascular. System which leads to different chronic diseases.

& B 9 = 9 09 9: 9 9 : ! < ! ! !<

? " ? 9 > 9 9 9 < " " !. # ! < : ! !: !< !

9 !< ! !: > 9 B = . & B 9 9: < ! "! ,

!: ; ! < ! " ! B: < ! < " B 9 ! !<

> = 9 !< ? " < ! !. 2 ! ! B 9: < 0 ? : ! !:

!< ! : "9 !< B 9 = 9 09 !?! < 0 0 !

9 9 9 9 ! > 9 !: !?! !: > B 9 9 !?! !:

?! 0 ?! B 0 9 0 ! B > !: ; ! 9 ! ! ? "

= 9. 0 ? !< ; ?! <! B > B ; ! !, !: 9 9

B 0 , < ! 9 : ! < , : 9 , > 0 ! ! < B 9 ,

<; , ! <! ! < ! 0 = 9 9. %> ! 0 < ! B 9 0

B 9 9 < 9 9 ? ! B 0 > 9 9 9. & B 9 = 9 09 9: : ?!

!< !: !< : "9 9 . ; ! ! ! ! ! !

!< <; ! 0 ?! ? !?! , B 9 9 !?! B 9 9 ! !:

0 ?! ! !< ? ?! ? 10-12 ! < = 9 9 . @ ! !< !: B 9

?! ?! !< 0 ?! : "9 0 ? B 9 !< B 9: = 9

9 " " ! ! ! 9 < ! B 9 < < ?! !< ?!

!: 0 ?! B 0 9 9: : ? ! : "9 0.15 ⁄ ³ <; !. & !: !

: "9 0.02 ⁄ ³ ! 0!< !. ! ! !: 0 ? B 0 9 0.07 ⁄ ³. ±

0.003 ⁄ ³

! < ! B 9 ?! !< !?! !: 0 ?!

B 0 9 0.09 ⁄ ³ "9 9. [1]. 2 !: ! : B 9 0 ?! B 0 9 0.0004

⁄ ³ <; ! . 2 !: : "9 0.03 ±0.0002 ⁄ ³ 9. & " ; B 0 9: !?!

0 9 9 0 ?; ! B ! 0!< !. %> ! ? " B 9 9 !?! !:

!< ?! 0 ?! B 0 9 9 " " ! !. B 9 9 !?! !: !

0 ?! "9 7.0 ⁄ ³ ! "9 -6.0, 0 0 ,! : "9 -6.4 ⁄ ³ <; !. -;

" B 9 9 !?! !: !< 0 ?! B 0 9 0 9 < 9

0 ! (' *' =100 ⁄ ³ ) " !< " B 9 9 " 9 9 . & B 9 9: !

9 < < "9 !< ?! ! !: B 0 9 = ? !.

1. & B 9 !< <! B ?! !< <; !

0 ?! ? ! !< !: : "9 ⁄ ³. < < (' *' =0.48 ⁄ ³ )

/ ! !< !: 0 ?! : "9 ⁄ ³

2

& !?! B 9 9 !?!

! ! 2

' ! ! 2

0 ! ! 2 0

! 9 0.15 0.02 0.07± 0.09 0.0004 0.03± 7.0 6.0 6.4±0.4

(37)

!: ! : "9 0.53 ⁄ ³, !?! !: ! "9 0.38 ⁄ ³

B 9 9 !?! !: ! : "9 107 ⁄ ³<; !. 2 ! =0 !: 0 ?! : "9

? ? 0 9 ; 9 0 > 9 ? ! ! < ! < . -9 <

0 ! ! 0 ! 0 9 ; 9 0 ? ! < "? <.

0 ! ?! ! B B 9 ! ! !: > B 9 9 !?! !:

!< <; ! ?! 0 ?! ! !: ! : " 9 (0.62; 0.51 > 108.0 ⁄ ³)

0 9 9 0 ? ! ! < ! < !?! "< !.2 ! !

909 !?! !: !< ?! 0 ?! B 0 9 9: 0 B 909 0 9

9 0 9 0 ? ! 9 9 !< ! ! . & B 9 " <;

?! ?! !< !?! B 9 9 !?! !: 0 ?! ! B 0 9 9:

! > 0 B 90 9 !?! 0.63 > 0.38 ⁄ ³ B 9 9 !?! "! 0 123.0

⁄ ³ > 109 ⁄ ³ 0 9 ; 9 0 ? ! 9 9 !< !. [2] & B 9

! !: ?! !< !: ! !< !

Ақпарат көздері

СӘЙКЕС КЕЛЕТІН ҚҰЖАТТАР