Наукові роботи молодих вчених. Кафедра акушерства та гінекології № 2
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Item Some manifistarion of cerebpovascular diseases in pregnant women(ХНМУ, 2023-02-13) Saswat, Sasmal; Rajnandini, Sharma; Abdullaieva, NubarAccording to some studies and data provided by PubMed.gov on, Cerebrovascular Disease (CVD) during pregnancy, it was found that, preeclampsia has a burden of around 10 million cases annually, appear not only during pregnancy, but also in the postpartum period. Hypertension in pregnancy which escalates to preeclampsia is the most commonly seen CVD abnormality in pregnant women. Acute cerebrovascular disorders, including posterior reversible encephalopathy syndrome (PRES), reversible cerebral vasoconstriction syndrome (RCVS), ischemic and hemorrhagic stroke, and cerebral venous sinus thrombosis (CVST) are severe complications of preeclampsia that can result in permanent maternal disability or death, so it needs to be managed timely and precisely. An increase in blood pressure from early pregnancy indicates the development of preeclampsia and may be a predictor of cerebrovascular disorders.Item Features of preconception preparetion of women with endometriomas(ХНМУ, 2023-02-13) Okhaigbe, Daniel OshokeEndometriosis is one of the causes of primary infertility. Most often, the diagnosis of endometriosis is established in the presence of endometrioid ovarian cysts, which are treated by surgical or conservative treatment with the staged usage of hormonal or anti-inflammatory drugs. Based on the work we have done, we came to the conclusion that the presence of endometriomas significantly affects the ovarian reserve and there is a risk of developing infertility of ovarian origin. When endometriomas are detected in women of reproductive age, careful monitoring of the ovarian reserve is necessary. With a decrease in anti-Müllerian hormone, it is recommended that the woman immediately implement the fertile function, and in the absence of such an opportunity, cryopreservation of oocytesItem Stress and related factors among pregnant women during the COVID-19 pandemic in Ukraine(KhNMU, 2022-11-23) Stiekhina, Kateryna; Khokhlova, AlonaStress is a very formidable enemy of a pregnant woman, it can provoke a miscarriage. It is especially difficult to cope with stress in our time, when the COVID-19 pandemic is raging on the planet. The aim of our study was to determine the prevalence and factors of stress in pregnant women during the COVID-19 pandemic in Ukraine.The aim of study was to determine the prevalence and factors of stress in pregnant women during the COVID-19 pandemic in Ukraine. . Conducted an online survey using a Google form among 37 pregnant women. The questionnaire included 20 questions about women's mental health, their feelings before (5 questions) and during pregnancy (15 questions).Summarizing the data obtained after the study, we can say that the prevalence of stress among pregnant women was relatively high. We recommend that all pregnant women should be screened and treated for stress, especially during the first and third trimester. Particular attention should be paid to early detection and treatment of antenatal depression.Item Early diagnosis of osteoporosis in women with hypokinesia(KhNMU, 2022-11-23) Starkova, Violetta; Verkhova, HannaOne of the urgent problems that modern gynecology studies are the problem of osteoporosis. The disease usually begins in menopause and progresses to the time of menopause. The lifestyle of a modern woman, due to modernization, automation, and extensive computerization of her work, is characterized by a long-term limitation of muscle activity - hypokinesia. The aim of the work was the need to analyze, according to the literature, what symptoms can accompany osteoporosis and manifest themselves in women who have been in hypokinesia for a long time.In women who have been in hypokinesia for a long time, at the first appearance of pain in the back and discomfort in the lumbar column, it is necessary to conduct a study of the bone structure using a modern, fairly accurate, and informative method - densitometry.Item Peculiarities of treatment therapy for constipation in pregnant women(KhNMU, 2022-11-23) Rzaeva, Aytaj Akif Kyzy; Ahmaidi, Malikais a complex physiological process. The body of a pregnant woman changes under the influence of hormones. Constipation usually becomes more frequent during pregnancy. Difficulties in colon passage occur in 50-93% of pregnant women. Such a significant prevalence is explained by physiological shifts in the digestive system and changes in the nervous and endocrine regulation of the digestive tract during pregnancy. Materials and methods. Scientific articles and medical literature were used as materials. Intestinal hypotonia during pregnancy is nothing more than a protective reaction of the body, but its consequence is constipation, which is considered a physiological process. The regulation of bowel movements during pregnancy changes due to endocrine processes. The automatic rhythmic activity of the intestines in pregnant women is weakened due to an increase in the excitability threshold of its receptors: serotonin, acetylcholine, histamine. Pregnant women in the II and III trimesters of pregnancy may be prescribed sodium picosulfate. The drug increases intestinal peristalsis and has minimal side effects. To prevent complications, you should review your diet and make certain adjustments. Water is important: you should drink at least 1.5 liters of water.Item Features of ultrasound diagnosis of genital prolapse in obes women(KhNMU, 2022-11-23) Safonov, Yehor; Bondarenko, ValeriiaThe problem of genital prolapse (GP) is of great medical and social significance due to its negative impact on both the state of health and the quality of life of a woman. Excess weight is one of the factors in the development of pelvic organ prolapse: increasedintra-abdominal pressure secondary to obesity has a negative effect on the condition of the ligamentous-fascial and muscular apparatus of the small pelvis. The purpose was to clarify the capabilities of ultrasound in improving the preoperative diagnosis of genital prolapse in women with extragenital disorders. Ultrasound is of great diagnostic value due to the fact that this method helps to determine the topography of the injured perineum for surgical correction, and in the postoperative period to detect hematomas, paraproctitis or defects of the rectal mucosa. Genital prolapse is frequently observed in women with extragenital disorders, in particular, bronchial asthma, diabetes and obesity. Current capabilities of ultrasound examination allow us to use them to improve the preoperative diagnosis of genital prolapse in women with extragenital disorders to increase the effectiveness of treatment outcomes.Item Obesity amd diabetes are risk factors for femail reproductive fuction(KhNMU, 2022-11-23) Petrenko, AlinaAccording to scientific researches, risk of female reproductive system disorders, such as infertility, pregnancy pathology, abnormal uterine bleeding is increased in obesity patient. However, overweight and tissue insulin resistance are changeable risk factors. So elimination of following factors can relieve course of gynecological disorders. Subject of this research: to find connection between following factors and risk of the reproductive system disorders at the pathophysiological level. Materials: meta-analysis of scientific literature and publications of Scopus and PubMed published until November 2022 on this topic was performed. Diabetes and obesity as metabolic diseases can be the reason of ovarian pathology, acting on fertility by impact on ovarian somatic microenvironment and indirectly on hormone production. So one of the aim to decrease level of gynecological diseases is to treat obesity and made level of overweight lower.Item Some aspects of management of early pregnacy in women with hypokinesia(KhNMU, 2022-11-23) Amarachi, Adaeze Uzoma; Elijah, Oluwasegun Ayogbala AdetunjiLimiting the volume of muscle activity is an urgent problem in the lives of women around the world. Prolonged hypokinesia affects almost all organs and systems of the human body and is considered stress. The work aimed to study the course of early pregnancy in women with prolonged hypokinesia and to develop tactics for correcting the identified disorders. The essence of the measures was the daily oral use of the drug in tablet form, which included 100 mg of magnesium and 10 mg of pyridoxine. The choice of the drug was since its main action is aimed at reducing the excitability of neurons, as well as neuromuscular transmission, which should be taken into account in the presence of stress for a long time, which is the limitation of the volume of muscle activity. Pyridoxine, which is part of the drug, is involved in metabolic processes that change when exposed to the described factor and, ultimately, cause a violation of the adaptation of the female body to pregnancy.Item Morphofuntional characteristics of the endometrium of different clinical and pathogenetic varints of abnormal uterine bleeding(KhNMU, 2022-11-23) Alieksieieva, OlenaThe aim. To study the morphological features of the endometrium in women with abnormal uterine bleeding against the background of autoimmune thyroiditis and to determine the relationship between the histological status and hormonal parameters in these patients. Conclusions. Hysteroresectoscopy remains the gold standard of surgical treatment. In the first place among the causes of AUB are endometrial polyps, according to the morphology of the tissue, hyperplastic and glandular polyps occur most often. The study of the morphological characteristics of the endometrium during its pathological changes in women of reproductive age is relevant for clinical monitoring, prediction of the course and choice of treatment method.Item Structure and characteristics of abnormal uterine bleeding in patients with metabolic syndrome(KhNMU, 2022-11-23) Harkavenko, KarynaThe problem of abnormal uterine bleeding (AUB) occupies one of the leading places in modern gynecological practice, as 65% of patients of reproductive age seek medical advice, and the incidence of surgical interventions, in particular hysterectomies, in AUB remains extremely high. The prevalence of metabolic syndrome (MS) in women ranges from 6% to 35%, 70% of patients. AUB on the background of MS is observed in women of older reproductive age who have a history of artificial abortions, inflammation of the genital organs. Their structure is characterized by glandular-cystic, angiomatous polyps of the endometrium with foci of necrosis and dysplasia, glandular-polypous hyperplasia of the endometrium.