HEALTH OF WOMAN WH_№9_2012

  • Scientific and practical journal
  • ISSN 2307-5074 (Online); ISSN 1992-5921 (Print)

  • DOI:
  • DOI: 10.15574/HW
  • Circulation -
  • 5500
  • Format of the edition -
  • 280x210 mm
  • Frequency -
  • 10 issues a year

Birkun III A. A.

Venous thromboembolism in obstetrical practice.

9

Venous thromboembolism (VTE) represents significant threat for health and life of pregnant woman, and demonstrates high morbidity and mortality values for a perinatal period. Effectiveness of VTE control to a large extent depends on awareness of practitioners about the problem. Up-to-date knowledge on VTE epidemiology, pathogenesis, diagnostics, treatment and prophylaxis in obstetrical practice is presented in this review.

Key words: venous thromboembolism, pregnancy, pulmonary embolism, anticoagulant therapy.

 

 

Маммология: на стыке специальностей.

16

Проблемы женского здоровья оказались наиболее обсуждаемыми на конференции с международным участием «Диагностика, лечение и профилактика заболеваний молочних желез. Организация междисциплинарного взаимодействия», состоявшейся 19 октября в Донецке и приуроченной ко Всемирному дню борьбы против рака молочной железы. Организаторами конференции выступили управление здравоохранения Донецкой областной государственной администрации, кафедра акушерства, гинекологии и перинатологии факультета интернатуры и последипломного образования Донецкого национального медицинского университета, Донецкий региональный центр охраны материнства и детства.

 

 

Санофи поддержала Всемирный день борьбы против рака молочной железы в Украине.

20

Компания Санофи, глобальный лидер в лечении онкологических заболеваний, поддержала информационно-профилактический проект «Заботься о них!», который был приурочен ко Всемирному дню борьбы с раком молочной железы и проводился под патронатом Министерства здравоохранения Украины. Многочисленные мероприятия в рамках этого проекта, среди которых – бесплатные консультации врачей и специалистов из Национального Института Рака, УЗИ-обследования, мастер-классы – состоялись 20 октября 2012 г. Цель проекта – обратить внимание общественности на серьезность рисков заболевания раком молочной железы, представить информацию о профилактике и лечении этой болезни.

 

 

Національна Медична Премія.

21

 

 

Запорожан В. М., Подольський В. В., Вовк І. Б.

Наукові дослідження з гінекології, проведені у 2005–2009 роках (за матеріалами дисертаційних робіт, затверджених Проблемною комі-сією «Акушерство та гінекологія» МОЗ України).

23

 

 

Vdovichenko U., Gopchuk E., Gerasimova T.

Abnomal uterine bleeding at reproductive age – modern condition prob-lems, strategy of correction.

32

Problem of uterine bleeding relates to the low index of health and fertility. Therapy and prevention are taken personaly, depending on the gravity of bleeding, age, reproductive anamnesis and ethiology. Traneksam is an effective pathgenetic method of correction of violations hemostasis in patients with uterin bleeding as outpatient and at clinic. Mainly the tasks of antyrecidive therapy hypothalamic-pituitary-ovarian system, restoration of ovulation, inreaching deficiency of sex steroid hormones, treatment of inflammatory processes.

Key words: uterine bleeding, treatment, traneksam acid.

 

 

Vdovychenko Yu. P., Verner O. M., Krasnov V. V.

Results and prospects of credit system introduction in continuing pro-fessional development of physicians and pharmacists.

37

The experience and results of the implementation of the credit system, which was initiated by the Ministry of Health of Ukraine Order № 484 are analyzed. The problem of heterogeneity in the continuous professional development of doctors and pharmacists are shown. The approaches to improve the credit system are pro-posed.

Key words: thematic development, doctors, pharmacists.

 

 

Ariane Boivin, Luo Zhong-Cheng, Audibert Francois, Mвsse Benoit, Lefebvre Francine, Tessier Rejean, Nuyt Anne Monique

Осложнения беременности у женщин, рожденных преждевременно.

39

 

 

Vdovychenko Y. P., Holyanovskyy O., Lopushan I. V.

Modern management of diagnosis and treatment of endometrial hyper-plastic processes (Literature Review).

45

Review of the literature dealing with the problems of modern gynecology – hyperplastic process of endomet-rium (EH), because of their prevalence and impact on the occurrence of endometrial cancer. The article describes the current classification, etiology and pathogenesis of these pathological processes. From the contemporary viewpoint of medical science presented clinical diagnostic criteria EH. The necessity of phasing assist women with EH and the use of modern methods of treatment and monitoring of disease.

Key words: endometrial hyperplasia, treatment, diagnosis.

 

 

Boris E. N., Onischik L. N., Tkachuk R. R.

The сlinical experience of the usage of natural vitamin E in the complex therapy for women with premenstrual syndrome.

54

The efficiency, safety and comfortable usage of natural vitamin E as Enat-400 in the complex therapy for women with premenstrual syndrome is state in the article. The positive dynamics in decrising the symptoms of premenstrual syndrome, optimal usage of vitamin E and good reactions on the preparation is showed.

Key words: premenstrual syndrome, antyoxidation, natural vitamin E, Enat-400.

 

 

Сімрок В. В.

Інноваційний підхід до лікування при доброякісних процесах матки та грудних залоз.

60

 

 

Pyrohova V. I., Shurpyak S. A., Veresnyuk N. S.

Pregnancy and thyroid disease.

66

In the article the actual problem of modern medicine – hypothyroidism in women of reproductive age, its influence on the course of pregnancy, the fetus and newborn. The principles of management of women with symptomatic and subclinical hypothyroidism, the principles of diagnosis and differential use of thyroid hormone replacement therapy on the basis of international clinical guidelines 2011-2012.

Key words: hypothyroidism, autoimmune thyroiditis, pregnancy, levothyroxine, iodine prophylaxis.

 

 

Gorbunova O. V., Zlochevskaja I. E.

Tactics of conducting women with a pathology of cervix of uterus during pregnancy.

70

Results of the spent researches testify, that tactics of conducting pregnancy and sorts at women with good-quality new growths of cervix of uterus depends on a concrete variant of a studied pathology. Use of the differentiated approach taking into account clinical-functional, microbiological and morphological features allows to provide a favorable current of pregnancy and delivery at women of group of high risk.

Key words: a pathology of cervix of uterus, pregnancy, conducting tactics.

 

 

Тихомиров А. Л.

Современные аспекты терапии пациенток с воспалительными заболеваниями половых органов малого таза в амбулаторной практике.

72

 

 

Ромащенко О. В., Мельников С. Н., Билоголовская В. В., Коваль С. Б., Ященко Л. Б.

Сексуальное здоровье как составляющая качества жизни женщин элегантного возраста.

76

 

 

Шевченко М. В.

Трансформація кваліфікаційних характеристик спеціаліста з упра-вління охороною здоров’я.

83

У статті представлено пропозиції щодо внесення змін до чинних кваліфікаційних характеристик керів-ників закладів охорони здоров’я, які трансформовано відповідно до вимог Національної рамки квалі-фікацій.

Ключові слова: Національна рамка кваліфікацій, компетенції, управління, керівник, спеціаліст.

 

 

Медведь В. И., Богданова А. С., Грицай И. Н.

Эссенциальные фосфолипиды и их лечебнопрофилактические возможности в акушерстве.

86

 

 

Vdovychenko J. P., Shlemkevich A. M.

Forecasting and preventive maintenance of obstetrical and perinatal pathologies at women with barreness in the anamnesis.

89

Results of the spent researches have shown, that use of the offered algorithm of treatment-and-prophylactic actions at women wich application differentiated the ahhroach allows it is essential to lower not only fregue-ncy of reproductive losses, but also the cores obstetrical and perinatal complications that is the decision of the important problem modern obstetrics.

Kay words: pregnancy, obstetrical and patology, varioys forms of barreness, perinatal outcomes.

 

 

Konkov D. G., Starovier A. V.

Preventive treatment by L-arginine of gestational endotheliopathy in the first trimester of pregnancy.

92

This article has been presented the results of our prospective study about clinical effects of L-arginine, in the first trimester of pregnancy with gestational endotheliopathy. Pregnant women which taking the L-arginine, had a significant (p≤0,05) reduced microalbuminuria by 49.8% and increase EDVD by 50.2% compared to baseline. In addition, pregnant women taking the L-arginine has been decreased the frequency of obstetric pathology associated with gestational endotheliopathy. It is reasonably possible to recommend for used 0,57 g. L-arginine (3,4 g. per day), in the first trimester of pregnancy during the preclinical manifestations of ob-stetric complications associated with gestational endotheliopathy.

Key words: gestational endotheliopathy, L-arginine, microalbuminuria, endothelium vasodilatation, the 1st trimester of pregnancy, preventive treatment.

 

 

Konkov D. G., Starover A. V.

The screening test for diagnosis of gestational endotheliopathy.

98

This article has been devoted the issues of early (preclinical) diagnosis of gestational endotheliopathy (ET) on the basis of determining the ratio between albuminuria / creatininuria among pregnant in the early gesta-tional stages by using a screening test system «MicroalbuPHAN». Gestational endotheliopathy was diagno-sed at a ratio of albumin to creatinine in the urine more than 3.4 mg/mmol. In order to confirm the data obtained was carried ultrasound Sorensen test (endothelium-depending vasodilatation (EDVD)). This study allowed us to prove the reliability of the proposed method and will recommend for screening diagnosis of ET.

Key words: gestational endotheliopathy, microalbuminuria, endothelium vasodilatation, «MicroalbuPHAN», Tivortin.

 

 

Benyuk V., Nykoniuk T., Koval S., Liholay P.

Immunological parallels and prophylaxis of complications of varicose illness for pregnant women.

102

A clinical examination, the study of cellular and humoral immunity and evaluate the effectiveness of prophy-lactic use Lioton 1000 gel in the postpartum period in 90 pregnant women with chronic venous insufficiency (CVI). Use Lioton virtually no contraindications in the postpartum period, it can be used during lactation. Easy to use, reducing the clinical manifestations of varicose veins define the priority use Lioton 1000 gel in the treatment of CVI in the postpartum period.

Key words: chronic venous insufficiency, Lioton 1000 gel.

 

 

Веропотвелян М. П., Кодунов Л. О., Веропотвелян П. М., Нестерчук Д. О., Горук П. С., Костинець В. М.

Визначення первинної популяційної частоти хромосомної патології і ранньої ембріональної летальності в Україні.

108

 

 

Zaporozhan V. N., Mischenko V. P., Rudenko I. V., Lavrinenko A. L., Voltchenko E. V., Liskovsky S. V.

Prophylaxis of placenta disfunction from positions of individual features organism of woman.

114

351 pregnant is inspected. Frequency of polymorphism of eNOS3 4а/а, MTHFR С677Т and Т677Т, GST m1 0/0 at placenta disfunction was 58,3%; 75,0%; 79,2% with the chances of development of complications 21,2; 21,2; 10,6 accordingly. 26,2% pregnant have a deficit of iodine, low and excessive maintenance – 51,0% and 22,8% accordingly. The table of contents of folic acid and cyanocobalamin was reduced in 2,8; 2, 3 times, homocystein – in 5, 1 time promoted in relation to the indexes of norm. Determination of individual features of organism of woman is the component of preductiv medicine.

Key words: prophylaxis, placenta disfunction, individual features, organism of woman.

 

 

Krut’ J. J., Boguslavskaya N. Y.

Peculiarities of post-term pregnancy, childbirth and neonatal condition.

117

The article presents retrospective analysis of 72 cases of prolonged pregnancies of women, which were delivered in delivery hospital 5 of Zaporizhzhya during 2011. The existing evidence from observational studies links post-term pregnancy with increased perinatal morbidity and mortality.

Key words: prolonged pregnancy, inspection, complications, delivery.

 

 

Захаренко Н. Ф.

Сучасні уявлення про імунологічні аспекти ендометріозу.

121

 

 

Сенчук А. Я., Доскоч І. О., Дмітриченко Л. М., Іваненко С. В.

Ефективність використання комбінованого препарату ОФОР у комп-лексній терапії гострого сальпінгоофориту.

124

 

 

Vdovichenko Y. P., Gopchuk E. N.

Interferon alfa-2b, recombinant – topical application in the treatment regimens of the cervix of the uterus.

128

The results of study of the efficacy and safety of recombinant interferon-alfa-2b in treatment of cervical pathology is presented in the article. The reseach shows high clinical effectiveness of the proposed regimen of cervix pathology with the use of Laferobion rectal suppositories.

Key words: pathology of the cervix, human papilloma virus Laferobion, treatment.

 

 

Grishchenko O. V., Lakhno I. V., Ovcharenko A. T., Milutin E. V., Ostanina V. I.

The perioperative management optimizing of patients with cervical lesi-ons.

132

It was performed the study of the effectiveness of perioperative dexketoprofen application in pills for the patients who underwent cervical conization. This method of the preemptive analgesia has reduced pain

sensitivity according to VAS in 2 and 3,1 times at 1 and 6 hours after surgery compared with the isolated usage of paracervical articaine anesthesia. Additional to paracervical anesthesia perioperative dexketopro-fen administration has decreased tissual inflammation which was attributable to lower levels of proinfla-mmatory cytokines in the vaginal secretions. The introduction of deksketoprofen-containing preemptive analgesia in the scheme of management of patients who need cervical conization has contributed to the optimal level of the autonomic nervous regulation with metabolic, vasoactive and vago-insular units domi-nated and has provided antistress activity and the support of ergo-trophotropic reactions.

Key words: preemptive analgesia, cervical conization, dexketoprofen.

 

 

Степаненко В. І., Іванов С. В., Коновалова Т. С.

Сучасні підходи до місцевого лікування кандидозного вульвовагініту.

135

 

 

Dankovich N. A., Galishich N. M.

Tactics of conducting women of reproductive age with dysfunction of ovaries against diffusion fibroce-cystes mastopatia.

141

Results of the spent researches testify, that dysfunction of ovaries at women with diffusion fibroce-cystes mastopatia is an actual scientific problem of modern gynecology. Use of advanced algorithm of diagnostic and treatment-and-prophylactic actions allows to lower frequency dyshormonal infringements that leads to reduction of frequency of clinical-functional displays complex pathology of reproductive system.

Key words: dysfunction of ovaries, diffusion fibroce-cystes mastopatia.

 

 

Mazur I. P., Stupnyts'kyy A.

Age features of structural and functional condition of periodontal tissues and bone in women.

143

Periodontium tissues, skeletal systems are changing while aging. Systemic and local agents influence on stomatological health and cause the development of periodontium disease, caries and its complications which result in teeth number reduce and mastication disorder. Detecting different risk agents for period-ontium disease, their influence on disease pathogenesis is actual when substantiating a complex treatment. There has been carried out clinical and experimental investigation of structural and functional state of peri-odontium tissues and skeletal system of a woman in different age periods. The results are described in the research.

Key words: periodontal and bone system cavities.

 

 

Benyuk V., Dyndar O., Liholay P.

Prevention and treatment of herpes virus infection for pregnant women with metabolic syndrome.

151

The article highlights the issues perikontseptsionnoy prevent herpes virus infection in 90 pregnant women with metabolic syndrome, 60 of which are infected with the herpes simplex virus serotype 2. The efficiency of the pathogenesis based treatment of herpes virus infection in pregnant women with the metabolic syndrome, which improved the performance of cellular immunity, reduce complications of gestational and perinatal periods

Key words: pregnancy, herpes viral infection, metabolic syndrome, Рroteflazid.

 

 

Подольський В. В., Волошин А. В.

Клініко-епідеміологічні аспекти хронічних запальних захворювань статевих органів у ВІЛ-інфікованих жінок.

157

 

 

Tkachuk T. V., Gubanova T., Kushnir L. V.

Perspectives of use of ubiquinone in oncology practice.

161

In the review the mechanism of coenzyme Q10 (ubiquinone) activity is revealed and the scopes of its appli-cation in cardiology, neurology, gastroenterology are shown. Participation of coenzyme Q10 in bioenergetic cell metabolism is described in detail. The role of oxidative stress in complications development of chemo-radiation treatment of tumors was shown. The perspectives of ubiquinone application in oncology practice were charted.

Key words: chemo-radiotherapy, ubiquinone.

 

 

Vdovichenko Y. P., Palyga I. E., Hrazhdan K. V.

The expedience of further cultivation cryopreserved third-day evoluted embryones in unsuccessful attempts of ART.

166

The authors substantiate the expedience of further cultivation cryopreserved third-day evoluted embryones to the stage of blastocyst in unsuccessful attempts of ART. It gives the opportunity to estimate the quality of embryones and make selection of the most perspective ones regarding to the high potential of development and likely implantation which is impossible in embrio transfer (ET) of cryopreserved unfreeze one-day em-bryons. Was researched 125 of patients with cryopreserved embryones, the pregnancy using the cryopre-served embryones, which achieved the stage of blastocyst, was in 49%, on embryones of the third day of cultivation, which ET was in the day of unfreeze, was observed in 37,1% of cases. The obtained data shows improvement in results of the APT cycles with using cryopreserved embryones of the third day of evolution, which achieved the stage of blastocyst.

Key words: cryopreserved embryones, blastocyst,vitrification, the pregnancy after ART.

 

 

Женщины и вес: история борьбы.

168