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- HEALTH OF WOMAN WH_№7_2012
HEALTH OF WOMAN WH_№7_2012
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Trohimovych O. V.
Features of hormonal homeostasis in women with threatened abortion early stages.
9
The hormonal status of 35 women with threatened abortion was investigated in terms of 4–12 weeks. Iden-tified hormonal evidence of hypofunction of the ovaries in women with threatened abortion, resulting dec-rease in concentration of estradiol in the blood and the presence of pathological colpocytogram of estrogen type, representing the reduction of progesterone impact on the vaginal epithelium, which increased in recent weeks the first trimester. At the same time is determined relative hyperandrogenism, the reduced concentra-tion and shift the peak secretion of chorionic gonadotropin in blood serum. The obtained data show absolute contribution of endocrine disorders in the development of early pregnancy loss.
Key words: hormonal homeostasis, early reproductive losses, the threat of abortion.
Фітотерапія при лікуванні альгодисменореї. (Інформаційний лист).
14
Belykh N. A.
Modern approaches to the prevention of iodine deficiency in pregnant.
16
In this article a modern views of prevention of the iodine deficiency in pregnant is described. The optimal measures preventing iodine deficiency are considered.
Key words: iodine deficiency disorders, pregnancy, iodine prophylaxis, fetus.
Hoyda N. G., Bіsiaryn O. Yu.
The systems approach to managing risk while maintaining reproductive health.
22
The authors justify the need for a systematic approach in problems solution of reproductive health saving. The authors consider that it is necessary to graduate factors negatively affect the reproductive health and pose risks for its saving. Systematic approach to risk management provides an opportunity for early iden-tification and development of optimal measures to minimize them.
Key words: systematic approach, reproductive health, risks and risk management.
Shishkova V. N.
The questions of modern contraception. The focus on the risk of throm-boses and metabolic violations.
25
Center of pathology of speech and neurorehabilitation. The individual approach is very important at the pur-pose of oral contraceptives. There are a lot of complications at the wrong application. The author recom-mends local contraception.
Key words: thrombosis, metabolic violations, oral contraceptives, local contraception.
Baksheev S. N.
Medical-social aspects of the first medical abortion.
31
Results of the spent researches testify to young age of a studied contingent of women the majority from which were working, at everyone 3 and 5 of them marriage has not been registered. Every fourth had bad habits (smoking). Almost half of surveyed women did not use contraceptive means or used them not irre-gularly. At objective inspection high relative density chronic extragenital pays attention of diseases inflam-matory генеза. It is necessary to underline high percent of gynecologic diseases in the basic group that is considerable above such indicators in the comparative group, not having in the abortion anamnesis. The cores of the reason of the first medical abortion were non-registration marriage (26,7 %); study (20,0 %); material neediness (15,6 %); unwillingness to have the child (14,8 %); to opinion «early to give birth» (14,8 %) and housing problems (8,1 %). The received results are necessary for considering by working out of algorithm of conducting patients after the first medical abortion.
Key words: medical abortion, medical-social aspects.
Татарчук Т. Ф., Ефименко О. А.
Гормональные и негормональные аспекты дисгормональных заболеваний молочных желез.
34
UTIRose™ Инновационная концепция снижения частоты инфекций мочевыводящих путей.
39
Медведь В. І., Кирильчук М. Є.
Вроджені вади серця у вагітних (лекція).
42
Romanenko T. G., Krotik O.
Cervical incompetence as a cause of miscarriage.
50
The paper presents a review of current literature data concerning the problems of miscarriage against cer-vical insufficiency. Treatment of miscarriage, evoked сervical incompetence, reaches a positive effect in the case of its pathogenetic basis and the use of modern methods of correcting the state of the cervix.
Key words: miscarriage, cervical failure, prevention, treatment.
Gerasimova T., Gopchuk E.
Reproductive health, obesity, and the modern means of losing weight.
55
The article provides information on the problem of obesity in women and its impact on reproductive health. Data are presented efficacy and safety of multicomponent organic product Stifimol to normalize weight gain in women with menstrual disorders.
Key words: Overweight, obesity, treatment, metabolic syndrome, Stifimol, Garcinia, tyrosine, iodine.
Прилуцкая А. Б., Кущ В. Н., Ляненко Л. А., Алексеенко Н. В.
Современные тенденции в лечении бактериального вагиноза.
60
Результаты проведенных исследований свидетельствуют о высокой терапевтической эффективности препарата Ципролет при бактериальном вагинозе, о его хорошей переносимости, что позволяет использовать данный препарат в монотерапии на первом этапе лечения бактериального вагиноза в гинекологической практике.
Ключевые слова: бактериальный вагиноз, препарат Ципролет.
Kamynskiy V. V., Dunaevskaya V. V., Degtyaruk M. V.
Sonoelastography as a method of differential diagnostics of uterus leiomyoma.
63
Under working it is defined the opportunities of sonoelastography in differential diagnostics of uterus leiomy-oma according to detection of informational content of received elastography examinations. It was examined 56 patients and 17th of them were with malignant uterus formation, 39 patients – with uterus leiomyoma. Sonoelastography findings met to patomorphological conclusion in 54 observations (sensibility of method is 92%, specificity – 98%, accuracy – 96%, prognosis of positive result – 95% and negative result – 96%).
Key words: sonoelastography, uterus leiomyoma, elastography criteria.
Golyanovskyy O. V.
Vasa previa: modern methods of diagnosis and delivery.
66
This review presents the main evidence in the literature and our own experience on the problem of Vasa pre-via. The article details the issues of diagnosis of this pathology: the role of transvaginal ultrasonography, co-lor Doppler and risk factors. Highlights complications for mother and fetus in cases of late diagnosis of vasa praevia. Practical recommendations were done for the management of pregnancy and a planned cesarean delivery in term of 36–37 weeks to minimize the complications of the fetus and mother.
Key words: vasa previa, velamentous cord insertion, placenta previa, succenturiate placental lobe, bilobed placenta, transvaginal ultrasonography, color Doppler.
Венцковский Б. М.
Основные принципы терапии массивных акушерских кровопотерь.
69
Шуршалина А. В.
Хронический эндометрит: вигляд акушера-гинеколога.
71
Хаща І. І., Чабан А. Т., Дорчинець О. І.
Вагінальні пологи у жінок з рубцем на матці: PRO et CONTRA (час-тина 2).
74
Strahovetsky V. S.
Optimisation of diagnostics of pyoinflammatory diseases of bodies of a small basin.
77
Results of the spent researches testify, that for increase of efficiency of diagnostics of pyoinflammatory diseases of bodies of a small basin complex clinical-laboratory and functional inspection with a maintenance estimation procalcytonine is necessary at receipt in a hospital. It allows to develop algorithm of carrying out of treatment-and-prophylactic actions including and timely operative treatment.
Key words: pyoinflammatory diseases, diagnostics.
Kostikov V. V.
Tactics of conducting women with pathology of cervix of uterus against a climacteric syndrome.
79
Results of the spent researches testify to an urgency of the scientific task – increase of efficiency of treat-ment of a pathology of cervix of uterus at patients with a climacteric syndrome. The algorithm improved by us allows to achieve low frequency recediving and to warn development hemostasiological infringements. The technique is simple and popular that gives to our the grounds to recommend it for wide use in practical public health services.
Key words: a pathology of cervix of uterus, a climacteric syndrome.
Markin L. B., Shatylovytch K. L.
Dynamics of the changes of the basic blood flow indices in the main fetal veins in the case of uncomplicated course of the second half of pregnan-cy.
81
Doppler ultrasound study of the hemodynamics in the fetal inferior vena cava, ductus venosus and umbilical vein in 620 pregnant women at 22–41 weeks of uncomplicated pregnancy was carried out. The differences of the dynamics of the changes of velocity and angle-independent indices in each being under investigation vessels are established and grounded; their standards are elaborated and presented.
Key words: fetal venous hemodynamics, blood flow indices, Doppler ultrasound study.
Pyrohova V. I., Pertsovich V. N., Procopiv I. V.
The question of hes infusion therapy for obstetric bleeding.
90
This article provides information about the features of fluid therapy for obstetric hemorrhage using HES 200/0,5, and 450/0,7.
Key words: HES, Stabizol, Refortan, obstetric hemorrhage.
Савельева И. В., Баринов С. В., Рогова Е. В.
Роль фактора роста плаценты в прогнозе развития тяжелых геста-ционных ослонений у беременных с метаболическим синдромом.
94
С целью изучения значения показателей фактора роста плаценты (PlGF) в прогнозе развития тяже-лых гестационных осложнений обследованы 89 беременных с метаболическим синдромом (МС) в I триместре беременности в сроке 8–9 нед. Контрольную группу составили 25 здоровых беременных. Установлено, что критическим значеним PlGF в прогнозе развития тяжелой преэклампсии у беременных с МС является его уровень ниже 100 пг/мл. Для оценки лечебно-профилактических меропри-ятий была создана группа сравнения, в которую вошли 25 пациенток с МС и низким уровнем PlGF в сыворотке крови. Установлено, что уровень PlGF ниже 100 пг/мл в сыворотке крови беременных с МС свидетельствует о высоком риске развития преэклампсии и отслойки плаценты. В комплекс программ профилактики развития тяжелой преэклампсии у беременных с МС должны быть включены ангиопро-текторы, одним из которых является Флебодиа 600.
Ключевые слова: беременные с метаболическим синдромом, фактор роста плаценты, прогноз и профилактика преэклампсии, Флебодиа 600.
Kuritsina S. A.
Endocrinological features of fetoplacental complex at it is abnormal the located placenta.
97
Results of the spent hormonal screening testify to decrease in functional activity of a placenta at women with its abnormal arrangement that is pathological type of adaptation of a born and testifies about preclinical infringements of its condition. The variant of an abnormal arrangement of a placenta directly influences a condition fetoplacental complex, and the most expressed changes and the big severity level of placentary dysfunction is observed at low localisation of a placenta. It is allocated three types endocrinological dysfun-ctions of fetoplacental complex. For specification of a condition of a born and fetoplacental complex the great value has the maintenance estriole and an alpha-fetoproteina. The received results are necessary for considering by working out of algorithm of diagnostic and treatment-and-prophylactic actions.
Key words: an abnormal arrangement of a placenta, endocrinological status.
Baskakov P. N., Shlapak I. M.
Morphological features of hem on uterus after the first planned operation of cesarean section.
99
Results of the spent researches testify that after the first planned operation of cesarean section has not been found differences at application various materials. As differences of these fabrics from most myometrium it is possible to note smaller relative and absolute quantity fabric basofile in a muscular fabric. At comparison of boundary fabrics with a hem with signs destruction the big numerical density of cages has been found in the last at use of all materials. At application two numbers catguts seam in boundary fabrics, concerning a hem, there was a less absolute number neutrofiles and fabric basofiles, but there was more percent and numerical density erytrocytes in leucocytares infiltrates.
Key words: a hem on uterus, morphology.
Manzhula L. V.
Cardiotocografical features at placentary dysfunction at pregnant wo-men with varicose illness.
102
Results of the spent researches testify, that varicose illness is a development risk factor dystress of born. It is necessary to notice, that by comparison of data cardiotocografia with results dopplerometria correlation com-munications between various types of infringement of haemodynamics and a born pathology in the basic groups have been revealed. The received results are necessary for considering by working out of algorithm of diagnostic and treatment-and-prophylactic actions.
Key words: placentary dysfunction, varicose illness.
Payenok A. S., Bisyarin Yu. V., Kostiv M. O.
Morphological and functional peculiarities of placental structure in tra-vail women with thyroid gland pathology.
104
Morphological and functional peculiarities of placental structure in 54 travail women with thyroid gland patho-logy were examined. Pathological destructive changes of placenta, frequent signs of immaturity, as well as inflammatory changes and anomalous placentas were observed during pregnancy in women with thyroid gland pathology. Mentioned changes of placental structure require medicamentous correction as compen-sation of iodine deficiency during gestation for prevention of placental insufficiency and appearance of pe-rinatal complications.
Key words: endemic thyroid gland pathology, pregnancy, travail women, morphology of placenta.
Tkachik S. J.
Role of steroid hormones at normal pregnancy and in the course of physiological sorts.
109
Results of the spent researches testify to an important role of steroid hormones and cholesterol in develop-ment and a current of physiological patrimonial activity. Use of the established criteria will allow to raise forecasting effectiveness and early diagnostics of various anomalies of patrimonial activity.
Key words: physiological childbirth, steroid hormones.
Tsypkun V. A.
Particulary of a course of pregnancy, fetus, childbirth, and newborn conditions at pregnant women with a universal diabetic angiopatiya.
111
At 50 pregnant women with a universal diabetic angiopathy and 40 women with insignificant manifestations of a diabetic angiopatihy it was studied the frequency of complications of pregnancy and childbirth, a fetus and newborn condition. At 72% of pregnant women with a universal angiopathy signs of not proliferative retinopathy are revealed, and at 14% – proliferative, 28,0% of women had signs of a diabetic nephropathy of the III–IV stage, 32% – a diabetic polineyropathy, 48% – a diabetic cardiomyopathy. It is established that at a universal diabetic angiopatiya in 2 times the preeklampsiya (80 and 37,5%), in 3 times threathening abortion pregnancy (is more often than 74% and 27,5%), in 1,5 times – anemia of pregnant women, placental insuf-ficiency and fetal distress is more often observed. In women in 5 times children with an assessment on a scale Apgar less than 5 points more often were born. Pregnant women with a universal diabetic angiopathy are group of risk of development of complications during pregnancy and childbirth.
Key words: pregnancy, diabetes mellitus, diabetic angiopathy.
Veropotvelyan P. N., Guzhevskaya I. V., Veropotvelyan N. P.
The role of obesity in the development of pregnancy and delivery com-plications.
116
The article gives the results of literature overview and own investigations concerning the risk of complica-tions’ development in pregnancy in patients who suffer from obesity. The connection between obesity in the pregnant and the appearance of congenital development malformations in fetuses is paid attention to. The article also gives data of some publications with contradictory facts about the development in fetuses, whose mothers suffer from increased body weight, cardiac defects and malformations of vessels, orophacial clefts. In all cases all patients with obesity needed medical-genetical consultations including clinical-genealogical and cytogenetic examinations which have confirmed a significant role in the pathology played by hereditary factors. It is recommended to perform a pregravidary preparation to reduce the body weight before the preg-nancy as during the pregnancy it is impossible to influence the initial body mass. The received results testify the high effectiveness of the preventive therapy which significantly allows to reduce the number of pregnancy and delivery complications and, as a result, improve the outcome of pregnancy and delivery for the newly-born.
Key words: obesity, overweight, pregnancy, birth defects, pregnancy complications.
Mogilevkina I. A., Khomenko V. A., Prituliak L. V.
Modern approaches for antepartum fetal health surveillance.
121
Results of Antepartum Fetal Health Surveillance Protocol, based on SOGC evidence based protocol, imple-mentation at the urban Center are presented. Differences in management in Antepartum Fetal Health Sur-veillance in Ukraine and Canada are investigated. 9527 cases before (2008–2010) and 4903 after (2011–2012) Protocol implementation were analyzed. Perinatal mortality declined from 14,1‰ to 8,77‰ (р=0,008), early neonatal death from 6,6‰ до 3,7‰ (р=0,039), Stillbirth from 6,5‰ до 4,7‰ (р=0,216). Proposed and tested approaches of Antepartum Fetal Health Surveillance should be integrated into national protocol.
Key words: Antepartum Fetal Health Surveillance, Perinatal Mortality, Ukraine.
Manasova G. S.
Dynamics of the tumor necrosis factor-α at the osteopenic syndrome in pregnant women with perinatal infections.
131
In work data of the comparative dynamic research of the level ФНО-α at pregnant women with osteopenic syndrome and with a normal condition of the bone tissue at the perinatal infections are presented, as well at healthy pregnant women. 363 pregnant women are surveyed: group I A was made by 192 pregnant women with osteopenic syndrome on the perinatal infections background; the group of comparison (I-B) included 43 pregnant women with infection without osteopenic syndrome, into control group (II) – 128 healthy pregnant women. Inspection was spent in II, III trimesters of pregnancy and in the postnatal period. In blood by the chemiluminescence immunoassay method defined concentration ФНО-α. The structural condition of the bo-ne tissue was defined by the ultrasound osteodensytometric method. The mineral density of the bone tissue at pregnant women in process of increase of timeframe of pregnancy one step at the time decreased; at the perinatal infections all the osteodensytometrical parameters reliably were below. Activity ФНО-α at the oste-openic syndrome on the infections background significantly (р<0,001) exceeds its activity at healthy pregnant women. Possibly, the persisting infection and the high levels ФНО-α assist reduction of the bone tissue mi-neral density.
Key words: pregnancy, perinatal infections, a bone tissue, tumours necrosis factor-α.
Chayka К. V.
Intercommunication of angiogenic factors of growth, apoptosis and inde-xes of vascularization of miomatoznykh of knots for women of genesial age.
135
In the article the results of inspection are presented 150 women with the leiomyoma of uterus depending on the type of krovosnabzheniya of knots at which compared the indexes of angiogenic factors of growth and apoptosis. The conducted researches allow to suppose that a leiomyoma with enhanceable vascularization (diffuse type of krovosnabzheniya) is under primary influence of vaskuloendotelial’nogo factor of growth and factors of apoptosis.
Key words: leiomyoma of uterus, factors of growth, apoptosis, diagnostics, genesial age, type of krovo-snabzheniya of knot of tumour.
Танько О. П., Самойлова М. В., Гайворонская С. И., Выговская Л. И.
Коррекция болевого синдрома у женщин с аномалиями развития матки.
139
Kolesnik A. V.
Clinical aspects of infringement of reproductive function at complex uterine pathologies.
142
Results of the spent researches testify, that complex the uterus pathology is the reason of infringements of reproductive function of women. The established clinical features testify to necessity of more profound stu-dying of the given problem for working out of effective algorithm of diagnostic and treatment-and-prophylactic actions.
Key words: infringements of reproductive function, complex uterus pathology.
Ласачко С. А.
Диагностика, лечение и профилактика нарушений менструального цикла и дисгормональних заболеваний молочных желез у пациен-ток с репродуктивными потерями в анамнезе.
144
Дисгормональные заболевания молочных желез (ДЗМЖ) являются чрезвычайно распространенными и включают различные по клиническим и морфологическим признакам процессы [2, 6]. Считается, что от 25% до 60% женщин страдают различными неопухолевыми изменениями молочных желез (МЖ), объединяемыми под общим названием «мастопатия», или в соответствии с Международной классификацией болезней 10-го пересмотра – «доброкачественная дисплазия». Встречается мастопатия чаще всего в возрасте от 25 до 50 лет [3, 11]. Распространенность доброкачественных дисгормональ-ных заболеваний МЖ, а также общность факторов риска с раком МЖ обусловливают высокий инте-рес врачей различных специальностей: акушеров-гинекологов, онкологов, хирургов, эндокринологов к этой патологии и делают актуальным поиск новых возможностей лечения и реабилитации этих паци-енток [5, 8, 9]. Согласно определению ВОЗ (1984 г.), мастопатия, – это фиброзно-кистозная болезнь, которая характеризуется спектром пролиферативных и регрессивных изменений ткани железы с не-нормальным соотношением эпителиального и соединительнотканного компонентов. К ДЗМЖ также относят галакторею и мастодинию.
Baranovsky G. A.
Features of local immunity at infectious-inflammatory diseases of a vagina.
148
Results of the spent researches testify to changes of level and activity of the components defining coloni-sation resistance of a vagina (leukocytes, lyzocime and antibodies vaginal liquids) differ on character of response at influence various etiological agents, however absence of strict specificity of fluctuations is excluded by their use as differential diagnostic criteria of disease. The received results are necessary for considering by working out of algorithm of diagnostic and treatment-and-prophylactic actions.
Key words: infectious-inflammatory diseases of a vagina, local immunity.
Kondratyuk V. K., Lysiana T. O., Koblosh N. D., Yemets N. О., Gorban N. E., Ponomariova I. G., Bondarenko K. K.
Application of Hexycon at the treatment of inflammatory diseases of genitalia and аt the correction of disorders of microecology of vagina.
151
This article provides the results of investigation of efficiency of Hexycon at the treatment of inflammatory diseases of genitalia and аt the correction of disorders of microecology of vagina. It was shown that the usage of combination of vaginal solution and vaginal suppositories of Hexycon provides the better clinical effect than the usage only vaginal solution.
Key words: inflammatory diseases of genitalia, disorders of microecology of vagina, Hexycon.
Storozhuk M. S., Protsepko O. O., Martynyshyn O. B.
Clinical characteristic of women of reproductive age with myoma.
156
The data of clinical examination and surgical treatment of 78 patients of reproductive age suffering on myo-ma are presented in the article. Depending on localization of myoma patients was divided into two groups: the 1-st group with subserousal/subserousintramuscular localization, the 2-nd – with intramuscular /intra-muscularsubmucosal localization. Analysis of anamnesis data, clinical examination and operative treatment is performed. The effectiveness of myoma morphological examination and indication to myomectomy by ultrasonography examination enhanced by Doppler and based on analisis of myoma node vascularization is showed.
Key words: uterine myoma, reproductive age, myomectomy, morphological structure, parameters of vascularization.
Vdovichenko J. P., Kijashko E. V.
Climacteric syndrome at women with an osteochondrosis of cervical department of a backbone: diagnostics and treatment.
159
Results of the spent researches testify to adverse influence of an osteochondrosis of cervical department of a backbone on a clinical current of a climacteric syndrome that is connected not only with hormonal changes, but with specific influence of the given somatic pathology on a condition of vegetative nervous system, a condition of brain blood circulation and cardiovascular system. Certainly, basic variant of treatment of clima-cteric infringements at patients with an osteochondrosis of cervical department of a backbone is replaceable hormonal therapy, however in the presence of contra-indications and unwillingness of patients probably ap-plication antigomotoxical therapies not only is system. Use of the offered advanced approach allows to give to the patient the option, to lower frequency of by-effects and to raise quality of a life of patients peri – and postmenopausale periods.
Key words: a climacteric syndrome, an osteochondrosis of cervical department of a backbone, diagnos- tics, treatment.
Poljuljah O. A.
Features of genital pathologies at women with good-quality diseases of mammary glands.
161
Results of the spent researches testify that in structure of gynecologic diseases good-quality diseases of a cervix of a uterus, leiomyoma of uterus, adenomyos, inflammatory diseases of bodies of a small basin do-minated. At studying of gynecologic disease positive correlative dependences of hyperplastic processes of endometrium from age and diseases of a cervix of uterus from inflammatory diseases of a vulva and a va-gina have been revealed. The received results are necessary for using by working out of algorithm of diag-nostic and treatment-and-prophylactic actions.
Key words: genital pathology, diseases of mammary glands.
Shelygin A. S.
Features of the psycho-emotional status at women – medical workers with somatic disease.
163
Results of the spent researches testifies to high level of a psycho-emotional pressure at women – medical workers. It is connected with a dissatisfaction with the work, excessive loading, nervously-emotional pres-sure, that proves to be true the data of a hygienic estimation of working conditions and a condition of somatic health. The received results are necessary for considering by working out of algorithm of diagnostic and treatment-and-prophylactic actions.
Key words: medical workers, the psychoemotional status.
Nazar O. V., Kuznetsova L. V., Osipova L. S., Mashenskaya T. V., Cermak I. I., Bondarenko T. N.
Immunocorrection therapy with the drug Genferon in treatment of HPV infection.
165
A comprehensive examination and treatment of 60 patient of both sexes infected with HPV was conducted (30 female and 30 male partners). Immune status examination has shown presence of expressed changes in cellular and humoral immunity, as well as in non-specific defense factors. Expressed quantitative changes were found in T-lymphocyte count and their functional activity, increase in immunoglobulins G and circulating immune complexes. Signs of deregulation of phagocyte activity of neutrophils and reduction of their bacteri-cidal action were also observed. It was demonstrated that treatment with Genferon, an exogenous interferon alfa drug that is characterized antiviral and expressed immunomodulating activity, in combination HPV the-rapy aided in complete and sustained elimination of the HPV virus in 65% of the cases, and led to norma-lizing patients’ immune status with increased non-specific resistance.
Key words: Human Papillomavirus, Immune disorders, Genferon.
Чурилов А. В., Кушнир С. В.
Изучение эффективности и безопасности препарата Неотризол в комплексном лечении воспалительных заболеваний придатков матки у пациенток репродуктивного возраста.
170
Mavrov G. I., Bondarenko G. M., Nikitenko I. N.
The treatment of complicated chamydial infection with azithromycin.
174
Azithromycin play an important role in Chlamydia infections treatment. This article reviews data of patients with Chlamydia trachomatis genital complicated infection treatment with azithromycin. The nearest and remote clinical effect of treatment makes 98%, the microbiological effect has made 92%. Azithromycin is an effective drug for treatment of C. trachomatis genital infection and has well prospective for use in Ukraine.
Key words: complicated Chlamydia infection, treatment, azithromycin.
Yaremchuk T. P., Sira O. T., Rogovskyi Yu. D., Borozna I. S., Rogovskaya A. Yu.
Reproductive failures prophylaxis in the cases of syphilis in pregnancy.
177
Contemporary clinical-epidemiological peculiarity of syphilis in pregnancy have been defined on the ground ofanalysis of clinical and epidemiological indications of cases record of 51 pregnant women with syphilis who have been on treatment in Lviv regional dermatovenerologic dispensary and born in obstetrical departments in Lviv region in 2011. The average age of pregnant patients was 27,74±0,75. It has been indicated that among pregnant women with syphilis58,82±6,96% made up those residing in rural area. 27,45±6,31% of patients worked in service sphere, 68,63±6,56% – were housewives. Latent syphilis forms were in 98,04±1,96% of syphilis cases. Seroresistant syphilis was in 11,76±4,56%. Latent syphilis forms: early latent syphilis 82,35±5,39%, late latent syphilis 13,73±4,87% – were the cause of all reproductive and perinatal failures. The main method of diagnosing syphilis during pregnancy is serologic screening. Reproductive failu-res made up 78,43±38,0‰ and perinatal mortality 40,82±28,6‰ in the cases of antenatal fetal death. The main methods of reproductive and perinatal failures prophylaxis in the cases of syphilis in pregnancy are prenatal care in I trimester, syphilis diagnostics in I half of pregnancy and treatment of patients in the II trime-ster terms. The received data testify to the necessity of improving of rational obstetric tactics during the treatment of pregnant women and maturation of pregnancy.
Kay words: the pregnants, syphilis, reproductive failures, perinatal mortality, serologic screening.
Palyga I. E.
The clinical analysis of unsuccessful attempts of auxiliary reproductive technologies.
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Results of the spent researches testify, that principal causes of unsuccessful attempts ART are: long barre-ness, numerous operative interventions on bodies of a small basin, the big number intrauterine operations, presence of an endometriosis and a high infectious index. Besides, long and unsuccessful treatment of barreness in itself is the negative factor aggravating available infringements. These risk factors promote failure adaptation-gomeostasise reserves of an organism, inflammation synchronisation, to strengthening of anatomo-functional defects of reproductive system, that, in turn, reduces reproductive potential of patients and promotes unsuccessful attempts ART.
Key words: auxiliary reproductive technologies, unsuccessful attempts.
Бюстгальтер: компромисс между красотой и здоровьем.
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