O fIATOI'EI-IE3E BMCUEPAJibHbIX TIOPAIBEHM:tl: I1Pl1 TPl1XI1HEJIJIE3E
H. H. 03EPE~HOBCHAH
MHCTHTYT :.rn;i,1111RIIC1-rnil: napa311ToJI0rRH H TponH1-iec1-;oil: M6AHI.\HHhI, Moc1rna,
CCCP
EypHaH HJil!IHH'IeCI-rnH Hapnrna Tp11x1rnem1eaa C HpmlMH rrpH3HaHaMH ceHCl16HJIH3al.{HH: ;;rnxopap;Hoił, OTeHaMH, HOlRHbIMH BbICblII8HHHMH, re- MOpparHHMH, TpOM6oaaMH, 303HHOqJHJrneił, a TaJ<me 'IaCTOTa cJiy11aeB JieTaJibHOro l13XO)];a 6oJie3HH IIOCTOHHHO rrpHBJieHaIOT BHHMaHtte HJIHHH- UHCTOB l1 rraTOJIOfOB. I1po6JieMa crrel.{HqJH'IeCJ-Wll TepaIIHH TPHXHHem1e3a OCTaeTCH 1-1epaapewem-rnii.
B
IIOCJiel];HHe rO)];bl IIOl-rn3aHa B03MOmHOCTh }Ia)];em110 1-;yrrnpoBaTb OCTpbie npoHBJieHHH TPHXIIHeJIJie3a crepOH):{HbIMH rop~10uaM11.CpeJIH ua6mo,uaBumxcH
55
60JihHbIX TPHXHHeJIJieaoM(1957-1960
rr.) y 4 6bIJrn BhlHBJierrn CBoeo6pa3HaH COCYAHCTaH IIHeBMOHHH, y 5 -6one-
BOH a6)l;OMIHiaJILHhlll CHHAPOM, CO'IeTaBUil1HCH C rel\10pparw1eCHHMH BhI- ChIIIaHHHMH Ha HOlHe H C~Il13HCThIX, paccTpOHCTBal\m cryna, HaJIH'IHeM :npo- B11 B Hcnpaarnenttnx, y 3 60JibHhIX - flBJieHHH L(llqJ!pY3HO-O'IaroBoro MHO- :nap.uina,
y
onttoro - MemrnroarmerpaJIHTa, y 5 6oJihHhIX orrpeAemm11ch npn31IaI-<H mupoBoii JJ:Hcrpoqim1 rre'lem-r. YHaaattttbre opram11,re rropame- mrn, IWH npaBimo, CO'leTaJBICb p;pyr C Jipyr01\1, corrpoBOIBJJ:3JIHCh lłHTeHCHBIIhIMH 06111cam1eprwrecmIMH HBJiemrnMH - BbICOHOlf JIHXOpanHoit, HH- TeHCl1BHb)M MbllJIC'IIIblM 6oJieBbIM CHHJJ:pOMOM, IWlRHhIMH BhIChlII3HHHMH
324 MIĘDZYNARODOWA KONFERENCJA W SPRAWIE WŁOŚNICY
H n;p. '--- H orrpep;eJ1HJIII co6of1: oco6y10 THIBCCTb Teqemrn TPl1X11HeJIJie3H0H
łIHBa3HH.
ITtteBMOHHH rrp11 Tp11XHHeJIJie3e IIpO)l;OJIIBaIOT CBH3bIBaTb C uopame1111eM )l;bIXaTeJILH0H MYCHyJiaTypbI, HapymeHHCM JierO'IHOH BCHTH.rIHl{l111 H Kpo- BOo6pall.\eHHH, BTopnqHbIM 1rnqinu11pOBaHHeM
(B. A.
H'.amoc,1952;
S.E.
Gould,
1945; N.
M. Greenstein,D.
Steinberg,1958,
H n;p.). BMecTe C TeM,_ HplrnH IWHHHKO-penTrenoJI0rH'ICCJ-rntt KOMITJICKC TJ)l,IXHHeJIJrC3HOH IIHCBM0HHH: MY'IHTeJibHbIH cyxott HarneJih, Hp0BoxapnaHbe, pe3I-rne 0)l;bIUl- Ka H UI1aH03, HeCOOTBCTCTBYIOII(He BeJinq11He oqara rropamem-rn .11enrnx, ,,óJiymp;aIOll.\HH" xapa.nTep IIIICBMOHHH, /XBYCTopom1eCTb rrpoI~ecca, IIO- pamemre rrpeHMyll.\eCTBeHHO 6a3aJibHbIX OT)XeJIOB .nerm1x, CTOHHOCTI, ycH- neHHH cocyp;ttcToro pncymrn, B0BJietJe1rne B npol!ecc mreBphr 11 /Xp., cB11- i:i;eTeJILCTByeT o cocyn11cToM reHe3e rropamemur Jrenurx np11 Tpttx1rne.n- neae, H)XCHTH'IHOM reHe3y aHaJiorO'IHhIX nopameiwtt np11 JieH:apCTBCilflOM H p;pyrnx „aH'rureHHbIX rrneBMOH11Tax" HJIH reueay rropamemrn Jcen-rnx rrpH - ,,60JihlllHX KOJmareHoaax" ( CHCTCMH0H Hpacnoit B0J{qmme, yaeJI- HOBOM rrep11apTepHHTe 11 n;p. ).HecrreuHqJH'ICCHHH cocyp;HCThIH xapa1nep TpHXIHIC,1.iIC3H0r0 IIIICBM0- HHTa y6en;HTCJlhHO p;oHyMeHTHpyeTCH rraTOMopq10Jrnr11•1ec1rnMH MaTepua- JiaMH, p;eMOHCTPHPYIOll.\HMH BacKyJIHThI B 06nacT11 cpen:u11x 11 Memrnx BeTBeif neroqHoif apTepuu c cerMenrnpnbIM 11n11 noJIHhIM HapyrnenueM CTpy1nyp1,1 CTeHOH cocyp;oB qi116pHHOM)l;HhIM HeHrnpoM, nepHB3CHYJIHp- HblMH IIOJH1MOpqJHhIMl1 HJieTO'IHhil\iH HHqJHJibTpaTaMH H rrpHCTCH0ąHbIM HJIH 06mnepnpyroll.\I1M TpoM6030M cocyn;oB (H. H. O3epeu;HoBCHaH u
A.
M. Bu- xepT,1958,
pwc.1).
Hecneu:MqJH'IeCHHH xapa1nep TpHXHHeJIJle3H0H llHCB- MOHHM IIO)];TBepmp;aeTCH TaHme BblCOH0H 3qlqJCIHHBHOCThlO upu neif CTe- poH)J;HOH TepaIIHH rrpH 0TCYTCTBHM 3qJqJeHTa OT aHTH6MOTH.lWB (J.R.
Carter,1949; S. D.
Kushlau,1953;
H. H. Oaepeu;HOBCHaH H coaBT.,1958).
M1,1 Haómop;aJIH TPH TJma neroąnh!X nopamen11i-1: np11 Tp11x1rneJIJ1e3e, xapar-nepHbIX r(JIH „annrreHHbIX IIHCBMOHHTOB" BOOÓU(e. OTO Bap11a1IT 0CTporo TetJeHMH C 1<pyrJ1bIMH 6aaaJibHbIMH 11H1HIJibTpaTaMH, 6hlCTpo H 6ec- CJ1em-10 HCqeaaIOll.\HMH non; n;eifCTBHCM CTep0H/l:HbIX ropMOHOB. BapuanT xpoHHtJeCirnro TC'ICHMH COCT0HHHM ycHJICHHeM cocy )l;HCTOI'0 pHCYHHa
Jlermłx, MHI'pHpyroa.(HMH oqaroBhIMH H3MCHCHHHMH H B0BJieqenHeM B rrpo- u;ecc IIJleBpnr, Tpe6yIOII1HMII HaCTOH'IHBbIM ropMoHaJihHOH Tepamrn.
11
Ba- pHaIIT THIBCJIOro JieroqHoro CHHn;poMa C pacnpOCTpaneHHbIMH B3CHYJil1•TaMH, TpOMÓ03aMH 11 HHqJapHTaMH, ycTOH'IHBbIM H CTepoH].l;HOi-i Teparrnn H rrpHBO)];Hll{l1H H JleTaJlbHOMY ucxop;y.
He MeHee HpHa HapTHHa 6oneBoro aóp;oMnHanhHOI'O CHH/Xp0Ma rrpH TPHXHHeJineae, C0'ICTaIOU.(erocH C rel\IOpparH'ICCHHMH BhICbill3IIHH'.\1H Ha Home H CJIH3HCThIX, łWT0pblH ÓOJ[bWHHCTBO aBTO])0B CBH:•hl!WC'f npH:VIO C p;eHTeJibHOCTbIO irnweqnux TpHXJIHeJIJI mm uopamem-ICM MbllUI( JJ:Ha-
Pttc. 1. TpttxttneJIJic3, Ba- CHYJIHT MCJIJiOił )ICTBlf Jie-
l'O'łHOtt aprepKH aJIJICJ)rK- 'łeCHoro xapaHTcpa (ó-aJI T.
57 JieT, norHGJ1a ua~40 ;\eUh UOJIClllUI)
P1rn. 2. 'l'1rnx1111eJ1J1c:i, na- CHym1r MeJIHOil: aprep1rn no-
nepe'łHO•IlOJiocaro:l,I: MycRy- Jiarypu aJrneprw1ec1rnro xa- pa1,repa (ra me 6-:rn)
PHc. :~. Tpux1111eJ1J1ea, 1,py- nHo-1.aneJibHOe OlKCJH!lfC ue-
'łCHO'łlll,IX mTeTOI( C uapy- meHHCM TpaGe11ym1puoro CTJJOCHIH[ rre'łCH (1·a me 6-aH)
STRESZCZENIA REFERATÓW
325
- - -----·---···· ---··
<J>parMhI. O/:(HaJm, IICC0MHCIIH0, '-!TO 11 B 0CH0Be :noro ClrnJJ:p0Ma JiemaT cocynwcTb1e nopamemrn a,mepr1,p.1ec1-wro xapa1nepa nma „1unuequoit nyprryphr" 11p11 reMoppar11t1ecH0M sacHyJittTe mrn yae;rnosoM rrepuapTe- pmue (
H. H.
HaepeIJHOBCHaH,1958 ),
MoryIIJtte rrpusecTM H T:fIIBeJihIM 1I:::IBCHH0-HCHp0TH'-!eCHHM nopameHH:fIM CTCHIUI meJiyp:«a M HMllIC'-IHMHa li qiarnJihllhIM HposoTet1enttHM u nepcpopaIJMHM(A ..
Tiemrn;T. Stegawski, 1956 ).
Hecne1.J,uqmqec1rne sacHym1Th1, Hec0Mue1rno, onpene;;unoT TaHme li HHTCHCHBHOCTb MbIIIIC'IH0I'0 60.JieBoro c1rnp:p0Ma upu Tp11XHHCJIJie3e, aHaJI0fll'-IHOf0 nop;o6HOMY Cl1HJJ:p0MY IIpH pa3JIM'-!HhlX a,rneprH'-!eCKHX . C0CT0HHHHX,a
TaHme óo.rre3H:fIX 1-wmrnreHa, uanpm\1ep, nepMaT0MH03HTe(puc. 2).
B
reue3e nopamem-rn rre'łeHH npn Tp11xin-remre3e rroMHMO sac«ymrroB B MemyTOT.JH0H THaHH, II0BH]];HM0MY, oco6oe 3H3'-!eHHe HMCI0T HMMYH0JIO- fH'-ICCKHe C)];BHrH, )];HCiipoTeMH03 C rHrrep y - 11 a2 -- rJ106ymme:1rneti: l1 rH- J103Jih6YMHł[CMHeti:, '-!TO cnoco6cTBYCT )];HCTpOq>H'-ICCIUIM H3MCHCHlUI.M ne- lJ.CHOlJ.H0ti lWCTKH (puc. 3), a HHOf)];3 11 B03HHHH0BCHHIO cs·oeo6pa3HOf0 TaR uaahrnae,1,10ro „soJI'-!aHO'-IHoro" 11m1 „sorrqanonono6noro" rerraTnTa H Uttppoaa JIC'I.CHH.YcTaHOBJiemie uecuelo,HpH'mOCTH TlU-HCJlbIX opraHUbIX 11 CHCTCMHb[X no- pameunJ'.i upH Tp11xI1ne.rwe3e IIOMH:M0 Teopen1ąec1wro rnITepeca sech:'.'via B3IBH0 npaHTHlJ.CCIUI, H0CROJibHY OHO orrpep;emieT rrpIHIU:HIIbl pal(H0HaJib- H0H rraTOreneTH'ICCHOM Tepamm. Pamrne H 3HTHBH0e rrpttMeueuHe CTepo- H)J;IlhIX ropM0H0B ne T0JihKO I103B0Jl:fieT Hym1poBaTh T.:filliCJibie 0CJIOIBHC- HH.:fI TpHXHHCm1e3a, HO H npep;yrrpemnaTh B03HI1HH0BeHHe Il0CJiemrn:x.
