Clinical aspects of women with menstrual dysfunction in puberty

2020 ◽  
pp. 84-88
Author(s):  
O.A. Kovalishin ◽  
Keyword(s):  
Treatment Effectiveness ◽  
Reproductive Function ◽  
The Body ◽  
Clinical Aspects ◽  
Control Group ◽  
Menstrual Dysfunction ◽  
Number Of Patients ◽  
Clinical Description ◽  
Somatic Diseases ◽  
Instrumental Methods

The reproductive system is exposed to various adverse factors and harmful effects at all stages of the functioning of the body. Against the background of a decrease in the level of reproductive female health in recent years, there is a clear tendency towards an increase in the number of patients with pathology of the puberty period. The low level of somatic and reproductive health before pregnancy causes a high frequency of complicated births, which leads to a deterioration in the development of subsequent generations. The objective: based on clinical and anamnestic data, laboratory and instrumental methods of research, analysis of risk factors, clinical presentation, treatment effectiveness and clinical observation, to give a clinical description of women who had menstrual dysfunction in the pubertal period. Materials and methods. According to the nature of the violations, the main group of women (n=210) who had a pathology of menstrual function in the puberty period was divided into 3 subgroups (n=70): the first – women with primary oligomenorrhea and timely average population menarche, the second – with a late age menarche, the third – with puberty bleeding. The control group included women (n=70) with the correct rhythm of menstruation in puberty. Results. During a clinical prospective study, the social status of women with impaired reproductive function in the puberty was analyzed, the frequency and structure of existing concomitant somatic diseases, the duration of the menstrual cycle, the nature of diseases of the female genital organs; an assessment of the complex treatment of the revealed violations was made, which allowed to obtain a favorable reproductive prognosis. Most of the women examined (53.3%) planned a pregnancy, which occurred in 75.9% of those planning. Conclusion. A study of the clinical and anamnestic analysis of the reproductive function of women with menstrual irregularities in the puberty period will increase the effectiveness of the treatment of identified disorders and develop algorithms for the management of such women during planning and during pregnancy. Keywords: puberty, menarche, oligomenorrhea, puberty bleeding, luteal phase insufficiency, pregnancy.

scholarly journals CLINICAL ASPECTS IN WOMEN WITH MENSTRUAL DYSFUNCTION IN PUBERTY

World Science ◽  
2020 ◽  
Author(s):  
Kovalyshyn O. A.
Keyword(s):  
Reproductive Health ◽  
Treatment Effectiveness ◽  
Reproductive Function ◽  
Clinical Aspects ◽  
Control Group ◽  
Comprehensive Treatment ◽  
Menstrual Dysfunction ◽  
Number Of Patients ◽  
The Social ◽  
Somatic Diseases

The reproductive system is exposed to various adverse factors and harmful effects at all stages of functioning of an organism. Against the background of declining levels of women's reproductive health in recent years, there has been a clear tendency towards an increase in the number of patients with pathology of puberty. The low level of somatic and reproductive health before pregnancy causes a high incidence of complicated labors, which leads to a deterioration in the development of subsequent generations.The purpose of the study. To provide clinical characteristics of women who had menstrual dysfunction in puberty, which were based on the study of clinical and anamnestic data, laboratory and instrumental research methods, analysis of risk factors, clinical course, treatment effectiveness and dispensary observation.Materials and methods. According to the nature of the disfunctions, the main group of women (n = 210) who had menstrual disorders in puberty was divided into 3 subgroups (n = 70): the first - women with primary oligomenorrhea and timely average menarche, the second - with late menarche, the third - with pubertal bleeding. The control group included women (n = 70) with the correct rhythm of menstruation in puberty.Results. The clinical prospective study analyzed the social status of women with reproductive dysfunction in puberty, the frequency and structure of existing concomitant somatic diseases, the duration of the menstrual cycle, the nature of diseases of the female genital organs; the assessment of the comprehensive treatment of revealed disorders, which allowed to obtain a favorable reproductive prognosis. The majority of surveyed women (53.3%) planned a pregnancy, which occurred in 75.9% from among of planning ones.Conclusions. The conduction of clinical and anamnestic analysis of the reproductive function of women with menstrual dysfunction in puberty will increase the effectiveness of the treatment of identified disorders and will allow developing algorithms for management of such women during planning and during pregnancy.

Features of hormonal and cytokine status in women with menstrual dysfunction in the puberty

2018 ◽  
pp. 56-61
Author(s):  
O.A. Kovalishin ◽  
Keyword(s):  
Pituitary Gland ◽  
Ovarian Function ◽  
Direct Action ◽  
Hormone Secretion ◽  
Reproductive Function ◽  
Control Group ◽  
Research Experience ◽  
Menstrual Dysfunction ◽  
Degree Of Maturity ◽  
Instrumental Methods

Deviations in the formation of reproductive function, and subsequently menstrual irregularities from the age of menarche, ovarian dysfunction and steroidogenesis disorders can be clinically manifested in remote periods after their direct action. The nature and depth of morphofunctional disorders in this case depends on the degree of maturity of the reproductive system, the initial functional state of the regulation centers (hypothalamus, pituitary gland) and ovaries, and the duration of the action of adverse factors. The accumulated specific research experience indicates that in addition to the pituitary gonadotropin hormones, cytokines (interleukins), which can simulate ovarian function and play an important role in ovulation, are of great importance in the normal functioning of the ovaries. The objective: аccording to laboratory and instrumental methods of research, to study the characteristics of hormonal status and the relationship of ovarian hormones with interleukins (IL) in women with menstrual dysfunction in the puberty. Materials and methods. According to the nature of the violations, the main group of women (n=90) who had a pathology of menstrual function in the puberty period was divided into 3 subgroups (n=30): the first – women with primary oligomenorrhea in the anamnesis, the second – with a late age menarche, the third – with puberty bleeding. The control group included women (n=30) with the correct rhythm of menstruation in puberty. Results. A clinical study found a decrease in the concentration of progesterone in women with a history of primary oligomenorrhea, a decrease in estradiol in the preovulatory period in women with late menarche. When assessing the concentration of follicle-stimulating hormone in the subgroups, an increase was noted in patients with puberty bleeding compared with the control group, due to the low level of antimuller hormone in the blood serum. The correlation between the indicators of these hormones and interleukins (IL-4, IL-8) indicates the influence of cytokines on folliculogenesis and the formation of the corpus luteum. Ovarian reserve parameters are not reduced. Conclusion. An analysis of the hormonal and cytokine status in women with menstrual dysfunction in the puberty allows us to draw an analogy between the processes of ovulation and the inflammatory response. The cytokines produced by certain immune cells are signaling molecules that affect cell proliferation and apoptosis of ovarian cells, folliculogenesis, hormone secretion and thus play an important role in ovulation. Therefore, the immune system may be an additional local regulator of ovarian function. Estradiol and progesterone are of great importance in the secretory transformation of the endometrium, especially during the «implantation window». Keywords: puberty, menarche, oligomenorrhea, pubertal bleeding, folliculogenesis, progesterone, estradiol, interleukins, pituitary gland, anti-varial antibodies.

scholarly journals Екологічні аспекти обміну Мангану у високопродуктивних корів у перші 100 днів лактації за згодовування їм змішанолігандних комплексів Цинку, Мангану і Кобальту

2018 ◽  
Vol 8 (1) ◽  
pp. 420-425 ◽  
Author(s):  
V. Bomko ◽  
Yu. Kropyvka ◽  
L. Bomko ◽  
S. Chernyuk ◽  
S. Kropyvka ◽  
...  
Keyword(s):  
Trace Elements ◽  
Potassium Iodide ◽  
Reproductive Function ◽  
Mixed Ligand ◽  
The Body ◽  
Mixed Ligand Complexes ◽  
Fecal Excretion ◽  
Control Group ◽  
Milk Productivity ◽  
Experimental Group

<p><span lang="EN-US">To realize the genetic potential of animals, an important role should be taken to prevent the presence of mineral substances in the rations. Because of their lack of revenue in the body of animals the productivity is decreased, the reproductive function is disturbed, there is a disease. there are diseases.</span></p><p><span lang="EN-US">Material for the scientific and economic experiment on the use of mixed ligand complexes of Zinc, Manganese and Cobalt on the milk productivity of high-yielding cows and the exchange of Mangan in their body were Holstein animals, Ukrainian Black- Spotted dairy and Ukrainian Red - Spotted dairy breeds. The trace elements were introduced into feed concentrates, and they into the fodder mix by the method of weight dosing and multi-stage mixing. Balancing of rations of highly productive cows of the 1st control group to norm only Selenium, Kuprum and Iodine, led to a concentration in 1 kg DM (dry matter) of feed mix, mg: Zinc – 32.4; Manganese – 27.8; Cobalt – 0.27; Selenium – 0.3; Copper – 12 and Iodine – 1.1 and the lowest concentration of Mangan in milk and in the body. The cows of the 2nd and 3rd experimental groups were fed with all the trace elements to the norm (for the 2nd experimental group at the expense of zinc sulfates, manganese, cobalt, copper, selenium, Suplex of Selenium and potassium iodide, for the 3rd instead of zinc sulfates, manganese and mixed cobalt compounds were introduced into their ligand complexes). The concentration of trace elements in these groups in 1 kg of DM was, mg: Zinc – 76; Manganese – 76; Cobalt – 0,97; Copper – 12; Selenium – 0.3 and Iodine – 1.1. The concentration of Zinc, Manganese and Cobalt in 1 kg of DM of fodder was reduced by 20% for cows of the 4th experimental group and by 30% for the 5th experimental group.</span></p><p><span lang="EN-US">The results of the conducted searches indicate that the use in feeding of high-yielding cows of various doses of mixed ligand complexes of Zinc, Manganese, and Cobalt on the use of Suplex of Selenium and sulfate copper and potassium iodide in the first 100- days lactation positively affect the growth of their milk production. Animals of experimental groups dominated cows of analogues of the control group, rations of which were scarce on Zinc, Manganese and Cobalt, by average daily yield of natural milk, respectively, by 4.5; 5.8 and 4.0 kg, or 11.63: 14.99 and 10.34%, and these differences were reliable. While the average daily milk yield of cows of the 2nd experimental group exceeded the average daily yield of the 1st control group by 3.8 kg or by 9.82%. In milk of experimental cows, a single increase in the fat content of 0.01–0.09% was also noted. </span></p><p><span lang="EN-US">Carrying out balance research confirmed the data of milk productivity. Thus, in the body of cows of the 3rd, 4th and 5th experimental groups, more Manganese were deposited, respectively by: 540.7; 531.5, and 394.5 mg compared to control and by 367.1, 357.9, and 220.9 mg – in comparison with the 2nd experimental group; in experimental cows of groups 4 and 5, the manganese was deposited less by 9.2 and 146.2 mg in comparison with the 3rd experimental group. With milk in cows of the 1st control group during the day was allocated 20.8 mg of Manganese, and in the 2nd, 3rd, 4th and 5th experimental groups it was allocated more, respectively by 6.7, 9.8, 15.4, and 10.6 mg. Manganese fecal excretion was less in comparison with the 2nd experimental group, in the cows of the 3rd experimental group it was less by 365.9 mg, in the 4<sup>th</sup> group – by 623.3 mg, and in the 5<sup>th</sup> group – by 691.4 mg.</span></p><p><span lang="EN-US">The use of mixed ligand complexes of Zinc, Manganese and Cobalt enhances the milk productivity of high-yielding cows, reduces their need for these elements, improves their digestion and reduces their excretion with feces.</span></p>

scholarly journals Prevention of subinvolution of the uterus of cows using acidum succinicum

2021 ◽  
pp. 49-52
Author(s):  
Larysa Fedonyuk ◽  
Yaroslav Stravskyy ◽  
Vira Khavtur ◽  
Roman Sachuk
Keyword(s):  
Animal Experiments ◽  
Reproductive Function ◽  
The Body ◽  
Control Group ◽  
Central Research ◽  
National Medical ◽  
Uterine Involution ◽  
Service Period ◽  
Activity Of Enzymes ◽  
Medical University

Aim. To establish the effect of acidum succinicum on the activity of enzymes in the blood of cows after calving and the course of uterine involution. Materials and Methods. The study of enzyme activity was carried out in the Central Research Laboratory of I. Horbachevsky Ternopil National Medical University (Certificate of technical competence № 001/18, issued on September 26, 2018, valid until September 25, 2023). Results of the research. After the use of acidum succinicum in the body of cows of the experimental group, the activity of alanine aminotransferase increased by 12,0 % (p≤0,05), and the activity of aspartate aminotransferase, on the contrary, decreased by 30,0 % (p≤0,001), which indicates a positive effect on hepatocytes. Confirmation of this is the Ritis factor, which increased 1,4 times (p≤0,05). All animal experiments were conducted according to with the recommendations of ARRIVE and the British Animal Act 1986 and Directive 2010/63 / EU on the protection of animals for scientific investigation. In the body of cows of the control group, the activity of alanine and aspartateaminotransferases increased, respectively, by 14,0 % (p≤0,05) and 47,0 % (p≤0,001) against a background of a 1,2-fold decrease (p≤0,05) Ritis factor. A decrease in bilirubin content of 56,0 % (p≤0,001) in the body of cows after the use of acidum succinicum and an increase in its content by 2,2 times (p≤0,001) in the body of control cows indicates liver disease, which is accompanied by affection of its parenchyma, which may be a consequence of intoxication of their body in the last trimester of pregnancy. Conclusion. Acidum succinicum, applied to cows after calving, prevents the development of inflammation of the reproductive system, helps to restore reproductive function, reduces the duration of the service period to 80,0±2,0 days, and the insemination index to 1,3

scholarly journals IMPROVEMENT OF THE REPRODUCTIVE QUALITIES OF CATTLE WITH THE PREVENTION-N-B-S BIOLOGICAL

REPORTS ◽  
2021 ◽  
Vol 335 (1) ◽  
pp. 53-60
Author(s):  
V.G. Semenov ◽  
D.A. Baimukanov ◽  
S.G. Kondruchina ◽  
Kh.A. Aubakirov ◽  
T.N. Ivanova ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Reproductive Function ◽  
The Body ◽  
Control Group ◽  
Trial Group ◽  
Critical Periods ◽  
Nonspecific Resistance ◽  
Biological Preparation ◽  
Gynecological Diseases ◽  
Experimental Group

Productive insemination of cows against the background of heat detection or synchronization of the estrous cycle within a relatively short time after the previous calving is the main factor that determines the productivity and profitability of dairy cattle breeding. Many obstetric and gynecological diseases often occur in the first 2 months of lactation. Postpartum obstetric and gynecological diseases of cows impair their reproductive qualities, which leads to prolonged anestrus, decreased fertility, and depletion of the body. Inflammatory processes of the female reproductive organs are accompanied by enhanced stress. The research aims to prevent diseases of the postpartum period and realize the potential of the reproductive qualities of cows by activating the nonspecific resistance of the organism with the Prevention-N-B-S biological preparation. Based on the performed studies, a method for the prevention of obstetric-gynecological diseases of the postpartum period and an increase in the reproductive function of cows by increasing the nonspecific resistance of the body with the biological Prevention-N-B-S is proposed. The newly designed biological preparation was for the first time used in cows of the 2nd experimental group intramuscularly at a dose of 10 ml 35-30, 15-10, and 10-5 days before the expected calving time, and the animals of the 1st experimental group were injected with Dorogov's antiseptic stimulator of fraction 2 in combination with eleovitum in a ratio of 1:9 60 days before the scheduled calving dates. It was found that in cows of the 2nd trial group (28.8±0.56 days), the first estrus began 5.8 and 14.4 days earlier than in the mates of the 1st trial group (34.6±0.93 days) and control (43.2±1.64 days) groups. There was a decrease in the conception rate in cows of the 1st (1.8±0.24) and 2nd (1.4±0.36) trial groups, in comparison with the control (2.6±0.26). The service period in the 1st (64.6±1.62 days) and 2nd (57.8±1.50 days) experimental groups decreased compared to the control group (89.2±3.02 days). In the first sexual estrus in the control, 1st and 2nd experimental groups, 2, 4, and 6 cows have become fertile, respectively. The use of biological in the critical periods of cow pregnancy reduced the risks of uterine subinvolution, endometritis, and mastitis in the postpartum period, and also increased the reproductive qualities of cows. The most expressed corresponding effect was obtained when using the biological preparation Prevention-N-B-S.

scholarly journals Pengaruh Susu Kedelai terhadap Ekspresi Reseptor Estrogen-Β Uterus pada Masa Reproduksi Awal Rattus Norvegicus Betina

2019 ◽  
Vol 5 (1) ◽  
pp. 17
Author(s):  
Vide Bahtera Dinastiti ◽  
Nurdiana Nurdiana ◽  
Pande Made Dwijayasa
Keyword(s):  
Rattus Norvegicus ◽  
Endocrine System ◽  
Reproductive Function ◽  
Potential Effect ◽  
Reproductive Period ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Soy Milk ◽  
Control Group Design

 Receptors estrogen can also stimulated by other, namely by fitoestrogen. Fitoestrogen are the group of non steroid plants that have composition resembling the natural estrogen in the body. One of it is isoflavon, that can be binding with receptor estrogen, which affinity for RE-β is greater than RE-α and can make potential effect because receptors estrogen will blocked by isoflavon and cannot be occupied by estrogen.This compound can harm the endocrine system of the body because of the possible bad effects for reproductive function. Isoflavonoid is mostly found in soy. Soybean can be processed to soybean milk. The purpose of this study is demonstrate that administration of soy milk can affect the  expression of RE-β uterus at the early reproductive period of female Rattus norvegicus. The method used is an experimental design post test control group design. The sample in this study is 24 Rattus norvegicus females. Then divided into four groups: one control group and three treatment groups were given soy milk each dose of 2.5 mg/kg/weight; 5mg/kg/weight; 10mg/kg/weight. The  expression of RE-β uterus were measured by immunohistochemistry. Based on the analysis using ANOVA, was obtained p-value of 0.000, smaller than α = 0:05 (p <0.05). There is a significant influence on the administration of soy milk increase expression of RE-β and by LSD test obtained the results of differences from application of soy milk with different doses. 

scholarly journals Hierarchical organization of the blood pressure regulation system in the human body

2021 ◽  
pp. 26-33
Author(s):  
В.М. Покровский ◽  
Л.Н. Елисеева ◽  
Н.А. Самородская
Keyword(s):  
Blood Pressure ◽  
Treatment Effectiveness ◽  
Methodological Approach ◽  
The Body ◽  
Hierarchical Organization ◽  
Regulation System ◽  
Control Group ◽  
Adaptive Capabilities ◽  
The Status ◽  
Proper Values

Цель исследования - создание на основе анализа нарушений механизмов системы регуляции артериального давления (АД) нового методологического подхода в определении эффективности антигипертензивной терапии у пациентов с гипертонической болезнью. Методика. В исследование включены данные 277 пациентов (136 мужчин, 141 женщина) с гипертонической болезнью II стадии 1-2 степени, риск II, III. Возраст пациентов 58,6±6,4 лет, давность заболевания 7,2±1,4 лет. В группу контроля вошли 57 практически здоровых лиц (25 женщин, 32 мужчины) в возрасте 52,1±4,4 года. После скрининга и получения письменного информированного согласия в виде монотерапии назначены: небиволол, лизиноприл, лозартан, индапамид, амлодипин, и нефиксированная комбинация лизиноприла и индапамида. Изучены изменения показателей АД на выделенных уровнях системы регуляции АД после 6 мес терапии. Результаты. Оценка эффективности применяемой терапии показала, что при стабилизации артериального давления у пациентов всех 6 групп на должном уровне существенные различия выявлены на интегративном уровне регуляции. При применении амлодипина, лозартана, лизиноприла, а также комбинации лизиноприла и индапамида регуляторно-адаптивные возможности организма улучшились, при лечении индапамидом - не изменились, при применении небиволола снизились. Предложена оригинальная классификация уровней регуляции (контроля) артериального давления у человека, основанная на общебиологическом принципе иерархической организации регуляции вегетативных функций. Выделены уровни: интегративный, вегетативного обеспечения (осуществляемый автономной нервной системой), органный, периферический (эндотелиально-микроциркуляторный). Заключение. Количественная оценка на интегративном уровне является универсальным показателем эффективности лечения, что открывает возможность создания методологического подхода, основанного на оценке влияния терапевтических воздействий не только на орган- или функцию-мишень, но и на состояние организма как целостной системы. Aim. To create a new methodological approach for determining the effectiveness of antihypertensive therapy in patients with arterial hypertension based on the analysis of violation of mechanisms in the blood pressure (BP) regulation system. Methods. This study included 277 patients (136 males, 141 females) with stage II, grade 1-2 hypertension, risk II, III, aged 58.6±6.4 yrs, with disease duration 7.2±1.4 yrs. The control group included 57 essentially healthy individuals (25 females, 32 males) aged 52.1±4.4 yrs. After screening and obtaining written informed consent, the following monotherapy was prescribed: nebivolol, lisinopril, losartan, indapamide, and amlodipine, plus an unfixed combination of lisinopril and indapamide. Changes in BP indexes at the predetermined levels of the BP regulation system were studied after 6 mos. of treatment. Results. Evaluation of the therapy effectiveness showed that, when BP was stabilized in all six groups at proper values, significant differences were revealed at the integrative regulatory level. When patients were treated with amlodipine, losartan, lisinopril, as well as a combination of lisinopril and indapamide, the regulatory and adaptive capabilities of the body improved. When treated with indapamide, these capabilities were unchanged, and when treated with nebivolol, these capabilities decreased. A new classification of the regulatory levels of BP control in humans is proposed. This classification is based on the general biological principle of hierarchical organization for the regulation of autonomic functions. The following levels are distinguished: integrative, autonomic support, i.e., carried out by the autonomic nervous system, organ, and peripheral, i.e., endothelial-microcirculatory. Conclusion. Quantitative assessment at the integrative level is a universal indicator of the treatment effectiveness. It makes it possible to create a methodological approach to determine possible effectiveness of treatment based on the assessed impact not only on the target organ or function, but also on the status of the body as a whole system.

Ultrasound parameters and the state of uterine hemodynamics in women with menstrual dysfunction in puberty

2020 ◽  
pp. 30-36
Author(s):  
O.A. Kovalishin ◽  
Keyword(s):  
Endometrial Thickness ◽  
Clinical Importance ◽  
Main Group ◽  
The Body ◽  
Reproductive Age ◽  
Control Group ◽  
Front Wall ◽  
Menstrual Dysfunction ◽  
Middle Stage ◽  
Endometrial Proliferation

Studying the hemodynamic features of the pelvic organs in women is of great clinical importance, since it makes it possible to assess the degree of restoration of endometrial regeneration after menstruation, the possibility of implanting a fertilized egg and developing the placenta. In women with menstrual dysfunction in the puberty, determining the qualitative and quantitative parameters of uterine hemodynamics may be useful in choosing treatment tactics, evaluating its effectiveness, and will also help significantly in predicting the prospects for the restoration of their reproductive health. The objective: using ultrasound and dopplerometry to study the uterine hemodynamics and assess the ability of the endometrium to implant in women with menstrual dysfunction in the pubertal period. Materials and methods. To achieve this goal, 120 women of reproductive age from 19 to 32 years old were studied. According to the nature of the violations, the main group of women (n=90) with pathology of menstrual function in the puberty was divided into 3 subgroups (n=30): the first – women with primary oligomenorrhea in the anamnesis, the second – with late age menarche, the third – with puberty bleeding. The control group included women (n=30) with the correct rhythm of menstruation in puberty. Results. Based on a comparative analysis of the echographic parameters of the size of the uterus in women with menstrual irregularities in the puberty (main group) and women with the correct rhythm of menstruation (control group), it was found that in the middle stage of endometrial secretion, the uterus is 1,2 times smaller in women the main group (p<0.05) due to the width of the uterus (p<0.001). The ratio between the length of the body and cervix in the examined groups did not significantly differ. The thickness of the front wall of the uterus is less than the control values in women with late menarche (p<0.05) and puberty bleeding (p<0.01), which served as a predictor of the absence of combined uterine pathology. An echographic study of the thickness of the endometrium in the late stage of the proliferation phase in the group of women examined did not establish any significant differences with the control group. In the middle stage of the secretion phase, the endometrial thickness was less in women with menstrual dysfunction in puberty – 9.50±0.27 mm compared to 11.38±0.48 mm in the group with the correct rhythm of menstruation (p<0.001), but remained within the limits of reference values. To assess the functional activity and the possibility of secretory transformation of the endometrium, dopplerometry of the uterine arteries was performed, which did not reveal significant differences in women of the main and control groups. Conclusion. An analysis of the relationship between body and cervical lengths proves the absence of signs of genital infantilism in patients with menstrual dysfunction in the pubertal period. Dopplerometric studies of hemodynamics in the arteries of the uterus in this group of women in different phases of the menstrual cycle indicate an adequate blood supply to the uterus. And although as a result of the inferior phase of endometrial proliferation, its thickness in the middle stage of secretion remained insufficient (9.52±0.42 mm; p<0.01), normal blood flow in the radial and basal arteries of the uterus contributed to the successful implantation of a blastocyst. Keywords: menarche, oligomenorrhea, pubertal bleeding, uterine hemodynamics, endometrial proliferation, dopplerometry.

scholarly journals Features of childbirth and the condition of newborns in women with menstrual dysfunction in the puberty

2020 ◽  
Vol 5 ◽  
pp. 16-20
Author(s):  
O. A. Kovalishin
Keyword(s):  
Pregnant Women ◽  
Reproductive Potential ◽  
Perinatal Period ◽  
Main Group ◽  
The Body ◽  
Control Group ◽  
Perinatal Complications ◽  
Menstrual Dysfunction ◽  
Satisfactory Condition ◽  
Comparative Aspect

The issue of preserving the reproductive health of women for many years does not lose its relevance. Fundamental studies of recent decades have made it possible to determine the basic mechanisms of functioning of the female reproductive system, but studies of the characteristics of pregnancy, complications in childbirth and the condition of newborn children in women with menstrual dysfunction in the puberty remain single.The objective: аccording to laboratory and instrumental methods of research, to study the characteristics of childbirth and the condition of newborns in women with menstrual dysfunction in the puberty.Materials and methods. According to the nature of the disorders, the main group of pregnant women (n=120) who had a menstrual pathology in the puberty were divided into 3 subgroups (n=40): the first – pregnant women with primary oligomenorrhea in the anamnesis, the second – with a late age menarche, the third – with puberty bleeding. The control group included pregnant women (n=40) with the correct rhythm of menstruation in puberty.Results. During the clinical study, significant differences in the biological readiness of the body for childbirth in all subgroups of the main group of pregnant women were noted compared with the control group. In 35 (29,2%) pregnant women with menstrual dysfunction during the puberty, an «unripe» or insufficiently «mature» cervix was observed in the expected period of labor, which was important in the violation of labor activity during spontaneous labor in the occipital presentation and an increase in the frequency of delivery using cesarean section (CS) operation. Caesarean section was performed in 51 (42,5%) pregnant women of the main group: planned CS in 39 (32,5%), urgent delivery in 12 (10,0%). In the group of pregnant women with the correct rhythm of menstruation, spontaneous delivery occurred in 37 (92,5%) women, planned CS due to the narrowed pelvis and large fetus in 2 (5,0%), emergency CS – 1 (2,5%) case. The frequency of complications during childbirth (violation of labor, premature rupture of the membranes, bleeding) in the main group is 4 times higher than in the control group (p<0,001), in a comparative aspect, the differences between the subgroups are not significant. 95,2% of newborns from mothers with menstrual dysfunction in the puberty were born in a satisfactory condition. The Apgar score is significantly higher in newborns from mothers receiving pregravid preparation. The frequency of individual conditions that occur in the perinatal period is the highest in newborns from mothers with a history of primary oligomenorrhea.Conclusion. The results of the studies confirm the presence of the biological unpreparedness of the body for the normal course of labor in women with menstrual dysfunction in the puberty, as evidenced by violations of labor, the main predictor of which is placental dysfunction. The frequency of individual conditions that occur in the perinatal period is significantly higher than in newborns from mothers who had the correct rhythm of menstruation. It is possible to reduce the frequency of obstetric and perinatal complications in women with reduced reproductive potential by optimizing the pregravid preparation program and introducing a scientifically based complex of treatment and preventive measures.

scholarly journals The results of a study of the properties of oral fluid in adolescents with catarrhal gingivitis and chronic gastroduodenitis

2020 ◽  
pp. 70-75
Author(s):  
I.S. Lisetska ◽  
Keyword(s):  
Oral Fluid ◽  
Comparison Group ◽  
Main Group ◽  
The Body ◽  
Social Program ◽  
Control Group ◽  
Special Equipment ◽  
Type Iii ◽  
Stage Of Development ◽  
Somatic Diseases

Today, the most pressing issue in the social program of society is the state of health care of the younger generation, which outlines the future prospects for the development of the nation. Numerous studies by foreign and domestic researchers show that among the dental pathology of periodontal tissue among children in our country remain at a high level, despite the developed treatment regimens. It is known that gingivitis in childhood is often not diagnosed at an early stage of development, due to the absence or mild complaints and signs of the disease, which can lead to chronicity and transition from inflammatory to inflammatory-destructive In recent years in medicine for early diagnosis and prognosis simple, atraumatic, informative methods are used more often, which do not require expensive special equipment and at the same time are sensitive indicators for various diseases. In this regard, the study of the properties of oral fluid remains relevant. Purpose — to study the properties of oral fluid in adolescents with catarrhal gingivitis and chronic gastroduodenitis. Materials and methods. The properties of oral fluid (salivation rate, pH, and microcrystallization) were studied in 173 adolescents aged 12 to 18 years, which was divided into three groups: 86 adolescents with catarrhal gingivitis on the background of chronic gastroduodenitis were included in the main group, and 57 adolescents in the comparison group, gingivitis without somatic pathology and in the control group — 30 adolescents with healthy periodontal disease without somatic diseases. Results. The dependence of oral fluid properties in adolescents on the presence of inflammatory process in the gums and somatic disease was determined, namely in the adolescents of the main group the rate of salivation was 0.27±0.02 ml/min, in the adolescents of the comparison group 0.37±0.03 ml/min (p<0.01) — and in adolescents of the control group 0.49±0.01 ml/min (p<0.001). Determination of the pH of the oral fluid showed that the adolescents of the pH control group averaged 7.15±0.03, then the adolescents of the comparison group and the main group 1.1 times less, respectively 6.48±0.02 and 6.29±0.04 (p<0.001). Conclusions. Тhe study of oral fluid indicates a dependence of the indicators of the overall condition of the body, and dental status. In addition, indicators of oral fluid can serve as a prognostic test assessment of the mouth and course of somatic diseases, the effectiveness of treatment and to justify the prevention of catarrhal gingivitis in adolescents. In the main group revealed predominantly II and III type of microcrystallization in the comparison group — II type, much less individuals with type III and an increase in persons with І аnd II type in the control group, we identified all three types of microcrystallization, and was dominated by type II and greatly increased the number of persons with type І and decreased type III. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of these Institutes. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the author. Key words: oral fluid, the speed of salivation, pH, microcrystallization, teenagers, catarrhal gingivitis, chronic gastroduodenitis.

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