Possibilities and prospects of conservative therapy for endometriosis, as a chronical progressing disease (review of literature)

Relevance. Endometriosis is a common gynecological disease that affects up to 10% of women of reproductive age worldwide and is the main cause of pain and infertility. Endometriosis is a disease, although it has been known for a long time, nevertheless, in many ways it represents terra incognita for modern medicine. Aim. Analysis of literature on the feasibility of long-term and the use of the drug dienogest 2 mg (Vizanne), which has a positive effect on the quality of life of patients with endometriosis. Materials and methods. To write this review, a search was made for domestic and foreign publications in Russian and international search engines (PubMed, eLibrary, etc.) over the past 13 years. The review included articles from peer-reviewed literature. Results. The review presents data on the difficulties of verifying the diagnosis of endometriosis due to a combination of this pathology with pain, infertility, abnormal uterine bleeding. The pathogenesis of the origin of endometriosis-associated pain is presented. The efficacy of the use of the drug dienogest (Vizanne), which has a powerful antiproliferative effect that reduces the main symptoms of endometriosis (pain, bleeding), is substantiated. The expediency of long-term and safe use of the drug dienogest (Vizanne), which has a positive effect on the quality of life of patients with endometriosis, has been proved. Conclusions. Numerous scientific publications confirm the feasibility of prolonged use of the drug dienogest (Vizanne), to achieve remission during endometriosis.

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Symptoms and Quality of Life Changes after Hysteroscopic Treatment in Patients with Symptomatic Isthmocele—Preliminary Results

Journal of Clinical Medicine ◽

10.3390/jcm10132928 ◽

2021 ◽

Vol 10 (13) ◽

pp. 2928

Author(s):

Monika Szafarowska ◽

Magdalena Biela ◽

Joanna Wichowska ◽

Kamil Sobociński ◽

Agnieszka Segiet-Święcicka ◽

...

Keyword(s):

Quality Of Life ◽

Abnormal Uterine Bleeding ◽

Life Changes ◽

Social Psychological ◽

Operative Hysteroscopy ◽

Health Domains ◽

The Difference ◽

Positive Effect

Due to an increasing number of cesarean section deliveries, the common consequences of that surgery are observed more often in the population. One of them is the uterine cesarean scar defect known as niche or isthmocele. Most patients with that aliment are asymptomatic, but some of them can report abnormal uterine bleeding, pelvic pain, subfertility which can be the reason for reduced quality of life (QoL) of the patients. In our study, we analyzed the subjective feelings of changes in the severity of symptoms and quality of life of women with niche after diagnostic and operative hysteroscopy. The patients n = 85 included in the study group completed a follow up questionnaire six months after the procedure. Patients after operative hysteroscopy in comparison to patients after diagnostic procedure reported statistically significant reduction in post-menstruation bleeding/spotting and improvement in the quality of sexual activity. We have also noticed a higher pregnancy rate in the operative group, however, the difference was not statistically significant. According to our study, most women reported a positive effect of hysteroscopy on their QoL in social, psychological, environmental, and health domains.

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MUSCULAR DYSTROPHY IN CHILDREN AND ITS AYURVEDIC APPROACH

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj13p5052021 ◽

2021 ◽

Vol p5 (5) ◽

pp. 3037-3042

Author(s):

Sameer Muratkar ◽

Singh Sudha ◽

Deodas M.S.

Keyword(s):

Quality Of Life ◽

Muscular Dystrophy ◽

Progressive Disease ◽

Modern Medicine ◽

Muscle Fibres ◽

Progressive Muscle Weakness ◽

Progressive Loss ◽

Loss Of Strength

Muscular dystrophy refers to a group of disorders that involve a progressive loss of muscle mass due to failure to regenerate muscle fibres with a genetic cause. Then it results in progressive muscle weakness leads to loss of strength, muscle atrophy, tonicity, gait, and walking problems. Yet corticosteroids are the only pharmacological palliative management available for DMD in modern medicine having long term side effects. In Ayurveda, it is a kind of Aadhibala Pravrutta Vyadhi, caused due to Beeja Bhaga Avayava Dusti. Since dystrophies are inevitably progressive disease leads to Mamsa kshaya. With ayurvedic principles, the progression of the disease can be post- poned and improve the quality of life by adopting Santarpana line of treatment. Keywords: Muscular dystrophy, Mamsa Kshaya, Aadhibhala Pravrutta, Santarpana.

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Thinking Beyond Language: Intervention for Severe Aphasia

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld19.1.15 ◽

2009 ◽

Vol 19 (1) ◽

pp. 15-22 ◽

Cited By ~ 3

Author(s):

Nina Simmons-Mackie

Keyword(s):

Quality Of Life ◽

Communication Training ◽

Language Intervention ◽

Specific Training ◽

Environmental Support ◽

Total Communication ◽

Communication Partners

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.

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