90 research outputs found

    Maternal and newborn infants amino acid concentrations in obese women born themselves with normal and small for gestational age birth weight

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    This study was undertaken to compare amino acid concentrations in maternal and newborn infants’ serum in normal pregnancy and two groups of obese women who were born themselves with normal and small for gestational age (SGA) birth weight. Maternal cholesterol, lipoproteins concentrations and maternal and infants amino acid concentrations were evaluated at the time of delivery in 28 normal pregnancies, 46 obese pregnant women with normal birth weight (Ob-AGA group) and 44 obese pregnant women born themselves SGA (Ob-SGA group). Mean birth weight of newborn infants in Ob-SGA group was significantly less than in normal and Ob-AGA groups. Cholesterol and lipoproteins were significantly elevated in obese women (more prominent in Ob-SGA group). Most amino acid concentrations and fetal–maternal amino acid gradients were significantly lower in Ob-SGA group. These data suggest significant changes in placental amino acid transport/synthetic function in obese women who were born themselves SGA

    Optimisation of tactics of patients with thrombophilia based justification obstetric clinical protocols

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    In order to study the optimal set of therapeutic and diagnostic activities for patients with genetic or acquired defects of hemostasis, was a randomized study of 554 pregnant and 117 nonpregnant women with diagnosed thrombophilia different origin, aimed at studying the effectiveness of combined therapy, using different groups of antithrombotic agents and methods of extracorporeal detoxification. The results obtained allowed to establish clinical protocols for management of patients with thrombophilia as pregravidal stage and during pregnancy, given the nature of hemostasiological violations and the severity of endogenous intoxication.Π‘ Ρ†Π΅Π»ΡŒΡŽ обоснования ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ комплСкса Π»Π΅Ρ‡Π΅Π±Π½ΠΎ-диагностичСских мСроприятий ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ°ΠΌ с гСнСтичСскими ΠΈ ΠΏΡ€ΠΈΠΎΠ±Ρ€Π΅Ρ‚Π΅Π½Π½Ρ‹ΠΌΠΈ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°ΠΌΠΈ гСмостаза, Π±Ρ‹Π»ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ΅ исслСдованиС 554 Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… ΠΈ 117 Π½Π΅Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… с диагностированной Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ„ΠΈΠ»ΠΈΠ΅ΠΉ Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π°, Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½Π½ΠΎΠ΅ Π½Π° ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ эффСктивности комплСксной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏ противотромботичСских ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² ΡΠΊΡΡ‚Ρ€Π°ΠΊΠΎΡ€ΠΏΠΎΡ€Π°Π»ΡŒΠ½ΠΎΠΉ дСтоксикации. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΈ ΡΡ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ клиничСскиС ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ»Ρ‹ вСдСния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠΊ с Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ„ΠΈΠ»ΠΈΠ΅ΠΉ ΠΊΠ°ΠΊ Π½Π° ΠΏΡ€Π΅Π³Ρ€Π°Π²ΠΈΠ΄Π°Ρ€Π½ΠΎΠΌ этапС, Ρ‚Π°ΠΊ ΠΈ Π²ΠΎ врСмя бСрСмСнности, с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π° гСмостазиологичСских Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ ΠΈ стСпСни выраТСнности синдрома эндогСнной интоксикации

    Risk factors of cerebral ischemia in infants born to mothers with gestational diabetes

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    Gestational diabetes mellitus (GDM) is carbohydrate intolerance that occurs during pregnancy. The present study was arranged to determine the risk of cerebral ischemia (CI) in infants born to mothers with gestational diabetes mellitus and MTHFR gene polymorphism

    The system of reproductive malfunction prophylaxis for women in Ural okrug

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    Goal. Evaluate the system of health disorder prophylaxis for women of fertile age in Ural okrug. Results. The organization principles of the system of reproductive malfunction prophylaxis for women consist of multi-level and regional approach. The service for mother and child health protection in Ural okrug has departments: Okrug center for child gynaecology, network of perinatal centres with reanimation and consultative centres and 7 laboratories of auxiliary reproductive technologies. The density of certified personnel in Ural okrug is high, but medical staffing is worse than in Russia overall. Gynaecological bed complement in Ural okrug is lower than in Russia in whole. Yet birth count is increasing in all territories. A serious problem in Ural okrug is number of abortions, which has a tendency toward lowering, but still remains higher than in Russia, especially in Chelyabinsk and Kurgan regions. Actions aimed at unplanned pregnancy prophylaxis must be a priority direction of demographic policy of all Ural okrug territories. Only in Tyumen region a work for contraception is being performed, especially amongst exposed social groups. Over the years of 2005-2007 in Ural okrug no substantial changes of pregnant women health measures occured. In spite of normal birth rate increase, in Ural okrug the rate remains low compared to Russia in whole. Thereby, the main problems of reproductive health strengthening are: staffing, bed shortage during birth rate growth, insufficient number of perinatal centres, unwanted pregnancy prophylaxis with contraception supply, for exposed social groups including adolescents. Community involvement in people awareness of reproductive health, especially young people.ЦСль: ΠΎΡ†Π΅Π½ΠΊΠ° систСмы ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ Ρ„Π΅Ρ€Ρ‚ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ возраста Π² Π£Ρ€Π°Π»ΡŒΡΠΊΠΎΠΌ Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠΌ ΠΎΠΊΡ€ΡƒΠ³Π΅. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΡ‹ ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΈ систСмы ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ Π·Π°ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‚ΡΡ Π² Ρ€Π°Π·Π½ΠΎΡƒΡ€ΠΎΠ²Π½Π΅Π²ΠΎΠΌ ΠΈ Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΌ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π΅. Π‘Π»ΡƒΠΆΠ±Π° ΠΎΡ…Ρ€Π°Π½Ρ‹ Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈ ΠΈ Ρ€Π΅Π±Π΅Π½ΠΊΠ° Π² Π£Ρ€Π€Πž ΠΈΠΌΠ΅Π΅Ρ‚ свои подраздСлСния: ΠžΠΊΡ€ΡƒΠΆΠ½ΠΎΠΉ Ρ†Π΅Π½Ρ‚Ρ€ дСтской Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΠ΅Ρ‚ΡŒ ΠΏΠ΅Ρ€ΠΈΠ½Π°Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… Ρ†Π΅Π½Ρ‚Ρ€ΠΎΠ² с Ρ€Π΅Π°Π½ΠΈΠΌΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎ-ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΈΠ²Π½Ρ‹ΠΌΠΈ Ρ†Π΅Π½Ρ‚Ρ€Π°ΠΌΠΈ ΠΈ 7 Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€ΠΈΠΉ Π²ΡΠΏΠΎΠΌΠΎΠ³Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. Π£Π΄Π΅Π»ΡŒΠ½Ρ‹ΠΉ вСс аттСстованных ΠΊΠ°Π΄Ρ€ΠΎΠ² Π² Π£Ρ€Π€Πž высокий, Π½ΠΎ ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡Π΅Π½Π½ΠΎΡΡ‚ΡŒ мСдицинским пСрсоналом уступаСт общСроссийским показатСлям. ΠžΠ±Π΅ΡΠΏΠ΅Ρ‡Π΅Π½Π½ΠΎΡΡ‚ΡŒ ΠΊΠΎΠΉΠΊΠ°ΠΌΠΈ Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСского профиля Π² Π£Ρ€Π€Πž нСсколько Π½ΠΈΠΆΠ΅, Ρ‡Π΅ΠΌ Π² Ρ†Π΅Π»ΠΎΠΌ ΠΏΠΎ странС. ΠŸΡ€ΠΈ этом отмСчаСтся ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ количСства Ρ€ΠΎΠ΄ΠΎΠ² Π²ΠΎ всСх тСрриториях. Π‘Π΅Ρ€ΡŒΠ΅Π·Π½ΠΎΠΉ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Π² Π£Ρ€Π€Πž ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π°Π±ΠΎΡ€Ρ‚Ρ‹, ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΠ΅ Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΡŽ ΠΊ сниТСнию, Π½ΠΎ ΠΎΡΡ‚Π°ΡŽΡ‰ΠΈΠ΅ΡΡ высокими, Ρ‡Π΅ΠΌ Π² России, особСнно Π² тСрриториях ЧСлябинской ΠΈ ΠšΡƒΡ€Π³Π°Π½ΡΠΊΠΎΠΉ ΠΎΠ±Π». Π Π°Π±ΠΎΡ‚Π°, направлСнная Π½Π° ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΡƒ Π½Π΅ΠΏΠ»Π°Π½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ бСрСмСнности Π΄ΠΎΠ»ΠΆΠ½Π° ΠΏΡ€ΠΈΠ½ΡΡ‚ΡŒ ΠΏΡ€ΠΈΠΎΡ€ΠΈΡ‚Π΅Ρ‚Π½ΠΎΠ΅ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² дСмографичСской ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠ΅ ΠΌΡƒΠ½ΠΈΡ†ΠΈΠΏΠ°Π»ΡŒΠ½Ρ‹Ρ… ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ всСх тСрриториях Π£Ρ€Π€Πž. Волько Π² ВюмСнской ΠΎΠ±Π». вСдСтся Ρ€Π°Π±ΠΎΡ‚Π° ΠΏΠΎ ΠΊΠΎΠ½Ρ‚Ρ€Π°Ρ†Π΅ΠΏΡ†ΠΈΠΈ, особСнно срСди ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ Π½Π΅Π·Π°Ρ‰ΠΈΡ‰Π΅Π½Π½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏ. Π—Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2005-2007 Π³Π³. Π£Ρ€Π€Πž сущСствСнных ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² показатСлях Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Π½Π΅ ΠΏΡ€ΠΎΠΈΠ·ΠΎΡˆΠ»ΠΎ. НСсмотря Π½Π° ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ Π΄ΠΎΠ»ΠΈ Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ², Π² Π£Ρ€Π€Πž Π² сравнСнии с общСроссийским ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΌ ΡƒΠ΄Π΅Π»ΡŒΠ½Ρ‹ΠΉ вСс Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² остаСтся Π½ΠΈΠ·ΠΊΠΈΠΌ. Π’Π°ΠΊΠΈΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ, основными ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°ΠΌΠΈ Π² ΡƒΠΊΡ€Π΅ΠΏΠ»Π΅Π½ΠΈΠΈ Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ ΡΠ²Π»ΡΡŽΡ‚ΡΡ: ΠΊΠ°Π΄Ρ€ΠΎΠ²Ρ‹ΠΉ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π», Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚ ΠΊΠΎΠ΅ΠΊ Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСского профиля Π½Π° Ρ„ΠΎΠ½Π΅ увСличСния роТдаСмости, нСдостаточноС количСство ΠΏΠ΅Ρ€ΠΈΠ½Π°Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… Ρ†Π΅Π½Ρ‚Ρ€ΠΎΠ², ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠ° Π½Π΅ΠΆΠ΅Π»Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ бСрСмСнности с обСспСчСниСм ΠΊΠΎΠ½Ρ‚Ρ€Π°Ρ†Π΅ΠΏΡ†ΠΈΠ΅ΠΉ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ Π½Π΅Π·Π°Ρ‰ΠΈΡ‰Π΅Π½Π½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏ, Π² Ρ‚ΠΎΠΌ числС ΠΈ подростков. Π’ΠΎΠ²Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ общСствСнной срСды Π² Π² ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ информированности насСлСния, особСнно ΠΌΠΎΠ»ΠΎΠ΄Π΅ΠΆΠΈ, ΠΎ Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠΌ Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΠ΅

    Modern concepts of the etiology and pathogenesis of forming adhesive process of pelvic organs, prospects of studying and forecasting

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    The article is devoted to the topical issue of reproductive surgery: the formation of adhesions abdominal and pelvic organs, the prospects of its study, prediction andprevention based on genetic mechanisms.Π‘Ρ‚Π°Ρ‚ΡŒΡ посвящСна Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ΅ Π² Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΈΠΈ: Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ спаСчного процСсса Π±Ρ€ΡŽΡˆΠ½ΠΎΠΉ полости ΠΈ ΠΎΡ€Π³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ Ρ‚Π°Π·Π°, пСрспСктивах Π΅Π³ΠΎ изучСния, прогнозирования ΠΈ ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ ΠΎΠΏΠΈΡ€Π°ΡΡΡŒ Π½Π° гСнСтичСскиС ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹ спайкообразования

    Experience with integrated vacuum system obstetrics Β«KIWIΒ»

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    The article presents an analysis of delivery and operative delivery by vaginal application of a vacuum system Β«KIWIΒ» in Federal State Institution Β«Uraf Research Institute of Maternity and Infancy of the Federal Agency for high-tech medical careΒ». In 28 women, the labor ended in fetal vacuum extraction, accounting for 1.71% of the total number of operational delivery. The main indications for the operation of vacuum extraction were: the weakness of labor, signs of fetal hypoxia, the deliberate shortening labor in connection with a high degree of myopia. Obtain experience with the system at delivery by caesarean section. The majority of children (60.71 %) after delivery were discharged in satisfactory condition, along with mother. Experience of clinical application of modern system of vacuum extraction Β«KIWIΒ» suggests the effectiveness of the system in case of weakness of labor activity, fetal hypoxia during the second stage of labor, to avoid severe damage to the central nervous system of the child in critical obstetric situations.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСн Π°Π½Π°Π»ΠΈΠ· тСчСния Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ€ΠΎΠ΄ΠΎΡ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ Ρ‡Π΅Ρ€Π΅Π· СстСствСнныС Ρ€ΠΎΠ΄ΠΎΠ²Ρ‹Π΅ ΠΏΡƒΡ‚ΠΈ с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Π²Π°ΠΊΡƒΡƒΠΌΠ½ΠΎΠΉ систСмы Β«KIWIΒ» Π² Π€Π“Π£ «НИИ ОММ РосмСдтСхнологий». Π—Π° врСмя примСнСния Π΄Π°Π½Π½ΠΎΠΉ систСмы ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠ΅ΠΉ Π²Π°ΠΊΡƒΡƒΠΌ-экстрации Ρ€ΠΎΠ΄ΠΎΡ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½Ρ‹ 28 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠΊ, Ρ‡Ρ‚ΠΎ составило 1,71 % ΠΎΡ‚ ΠΎΠ±Ρ‰Π΅Π³ΠΎ числа ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ². ΠžΡΠ½ΠΎΠ²Π½Ρ‹ΠΌΠΈ показаниями ΠΊ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡŽ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ Π²Π°ΠΊΡƒΡƒΠΌ-экстракции явились: ΡΠ»Π°Π±ΠΎΡΡ‚ΡŒ ΠΏΠΎΡ‚ΡƒΠ³, ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠΈ гипоксии ΠΏΠ»ΠΎΠ΄Π°, Π½Π°ΠΌΠ΅Ρ€Π΅Π½Π½ΠΎΠ΅ ΡƒΠΊΠΎΡ€ΠΎΡ‡Π΅Π½ΠΈΠ΅ ΠΏΠΎΡ‚ΡƒΠΆΠ½ΠΎΠ³ΠΎ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° Π² связи с ΠΌΠΈΠΎΠΏΠΈΠ΅ΠΉ высокой стСпСни, пСрСнСсСнным гСморрагичСским ΠΈΠ½ΡΡƒΠ»ΡŒΡ‚ΠΎΠΌ. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½ ΠΎΠΏΡ‹Ρ‚ примСнСния Π΄Π°Π½Π½ΠΎΠΉ систСмы ΠΏΡ€ΠΈ Ρ€ΠΎΠ΄ΠΎΡ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½ΠΈΠΈ кСсарСвым сСчСниСм. Основная масса Π΄Π΅Ρ‚Π΅ΠΉ (60,71 %) послС Ρ€ΠΎΠ΄ΠΎΡ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ Π±Ρ‹Π»ΠΈ выписаны Π² ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌ состоянии вмСстС с ΠΌΠ°Ρ‚Π΅Ρ€ΡŒΡŽ. ΠžΠΏΡ‹Ρ‚ клиничСского примСнСния соврСмСнной систСмы Π²Π°ΠΊΡƒΡƒΠΌ экстракции Β«KIWIΒ» позволяСт ΡΠ΄Π΅Π»Π°Ρ‚ΡŒ Π²Ρ‹Π²ΠΎΠ΄ ΠΎΠ± эффСктивности систСмы Π² случаС слабости Ρ€ΠΎΠ΄ΠΎΠ²ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ, гипоксии ΠΏΠ»ΠΎΠ΄Π° Π²ΠΎ Π²Ρ‚ΠΎΡ€ΠΎΠΌ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ Ρ€ΠΎΠ΄ΠΎΠ², ΠΈΠ·Π±Π΅ΠΆΠ°Ρ‚ΡŒ тяТСлых ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉ ЦНБ ΠΏΠ»ΠΎΠ΄Π° Π² критичСских Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΈΡ… ситуациях

    Features of sexual and physical development of adolescent girls with intrauterine growth retardation

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    Objective: Π’ΠΎ conduct a comparative analysis of health status, the formation of physical and sexual development in girls with a history intrauterine growth and normal birth weight. Data for study. 139 girls 15-18 years old who were born full term, 71 of them female, has survived intrauterine malnutrition, and 68 girls born with a harmonious development.Methods: Evaluation of physical and sexual development in girls, the nature of their menstrual function, pelvic ultrasound in the dynamics of the menstrual cycle, with an estimate of ovarian volume and ovarian follicular apparatus.Results of the study: Adolescents with intrauterine hypotrophy revealed statistically significant reduction in body weight (20.3%), non-compliance rate of sexual development calendar age (30.7%). The main disorders of puberty they are a later age at menarche (13.1 years), long period of the menstrual cycle (longer than 2 years), more common disorders of the menstrual cycle on the type of uterine bleeding (13.7%) and gipomenstrualnogo syndrome (19,4%). Significantly more often they revealed dysmenorrhea (27.81 %). According to the ultrasound revealed hypoplasia of the gonads, is dominated by anovulatory menstrual cycles (77,8 Β± 0,79%) (p <0.05) and atresia of follicles in contrast, was more characteristic of the core group: 8 core (12,5 + 0 , 36%).Conclusions: Adolescents with intrauterine fetal growth at birth in the period of puberty there is a tendency to the formation of hypogonadism, which may cause the reduction of reproductive capacity in the future.ЦСль исслСдования: провСсти ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· состояния Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ, становлСния физичСского ΠΈ ΠΏΠΎΠ»ΠΎΠ²ΠΎΠ³ΠΎ развития Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ с пСрСнСсСнной Π·Π°Π΄Π΅Ρ€ΠΆΠΊΠΎΠΉ Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΠΎΠ³ΠΎ роста ΠΈ Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ массой Ρ‚Π΅Π»Π° ΠΏΡ€ΠΈ Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠΈ. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» исслСдования. 139 Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ 15-18 Π»Π΅Ρ‚, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ…ΡΡ Π΄ΠΎΠ½ΠΎΡˆΠ΅Π½Π½Ρ‹ΠΌΠΈ, ΠΈΠ· Π½ΠΈΡ… 71 Π΄Π΅Π²ΠΎΡ‡ΠΊΠ°, ΠΏΠ΅Ρ€Π΅Π½Π΅ΡΡˆΠ°Ρ Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΡƒΡŽ Π³ΠΈΠΏΠΎΡ‚Ρ€ΠΎΡ„ΠΈΡŽ, ΠΈ 68 Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ…ΡΡ с Π³Π°Ρ€ΠΌΠΎΠ½ΠΈΡ‡Π½Ρ‹ΠΌ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ΠΌ. ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹ исслСдования. ΠžΡ†Π΅Π½ΠΊΠ° физичСского ΠΈ ΠΏΠΎΠ»ΠΎΠ²ΠΎΠ³ΠΎ развития Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ; Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ ΠΈΡ… ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ; Π£Π—Π˜ ΠΎΡ€Π³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ Ρ‚Π°Π·Π° Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ†ΠΈΠΊΠ»Π° с ΠΎΡ†Π΅Π½ΠΊΠΎΠΉ ΠΎΠ²Π°Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ объСма ΠΈ фолликулярного Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚Π° яичников. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования: Π£ Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ-подростков с Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΠΎΠΉ Π³ΠΈΠΏΠΎΡ‚Ρ€ΠΎΡ„ΠΈΠ΅ΠΉ выявлСно статистичСски достовСрно Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ сниТСниС массы Ρ‚Π΅Π»Π° (20,3%), нСсоотвСтствиСм Ρ‚Π΅ΠΌΠΏΠΎΠ² ΠΏΠΎΠ»ΠΎΠ²ΠΎΠ³ΠΎ развития ΠΊΠ°Π»Π΅Π½Π΄Π°Ρ€Π½ΠΎΠΌΡƒ возрасту (30,7%). ΠžΡΠ½ΠΎΠ²Π½Ρ‹ΠΌΠΈ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡΠΌΠΈ ΠΏΡƒΠ±Π΅Ρ€Ρ‚Π°Ρ‚Π° Ρƒ Π½ΠΈΡ… ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π±ΠΎΠ»Π΅Π΅ ΠΏΠΎΠ·Π΄Π½ΠΈΠΉ возраст ΠΌΠ΅Π½Π°Ρ€Ρ…Π΅ (13,1 Π»Π΅Ρ‚), Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ становлСния рСгулярного ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ†ΠΈΠΊΠ»Π° (Π΄ΠΎΠ»Π΅Π΅ 2 Π»Π΅Ρ‚), Ρ‡Π°Ρ‰Π΅ Π²ΡΡ‚Ρ€Π΅Ρ‡Π°ΡŽΡ‚ΡΡ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ†ΠΈΠΊΠ»Π° ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ ΠΌΠ°Ρ‚ΠΎΡ‡Π½Ρ‹Ρ… ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ (13,7%) ΠΈ Π³ΠΈΠΏΠΎΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ синдрома (19,4%). ДостовСрно Ρ‡Π°Ρ‰Π΅ Ρƒ Π½ΠΈΡ… выявляСтся дисмСнорСя (27,81%). По Π΄Π°Π½Π½Ρ‹ΠΌ Π£Π—Π˜ выявлСна гипоплазия Π³ΠΎΠ½Π°Π΄, ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‚ ановуляторныС ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½Ρ‹Π΅ Ρ†ΠΈΠΊΠ»Ρ‹ (77,8+0,79%) (Ρ€<0,05) ΠΈ атрСзия Ρ„ΠΎΠ»Π»ΠΈΠΊΡƒΠ»ΠΎΠ² Π½Π°ΠΏΡ€ΠΎΡ‚ΠΈΠ², Π±Ρ‹Π»Π° Π±ΠΎΠ»Π΅Π΅ Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Π° для основной Π³Ρ€ΡƒΠΏΠΏΡ‹ : 8 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ основной (12,5Β±0,36%).Π’Ρ‹Π²ΠΎΠ΄Ρ‹: Π£ Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ-подростков с Π·Π°Π΄Π΅Ρ€ΠΆΠΊΠΎΠΉ Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΠΎΠ³ΠΎ развития ΠΏΠ»ΠΎΠ΄Π° ΠΏΡ€ΠΈ Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠΈ Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΠΏΡƒΠ±Π΅Ρ€Ρ‚Π°Ρ‚Π° имССтся тСндСнция ΠΊ Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ Π³ΠΈΠΏΠΎΠ³ΠΎΠ½Π°Π΄ΠΈΠ·ΠΌΠ°, Ρ‡Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ ΡΠ²ΠΈΡ‚ΡŒΡΡ ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΎΠΉ сниТСния Ρ€Π΅ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»Π° Π² Π±ΡƒΠ΄ΡƒΡ‰Π΅ΠΌ

    Comparative characteristic of women health state, gave birth to girls with intrauterine growth retardation and a normal body mass

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    Research objective: to spend the comparative characteristic of somatic health, the social status and the obstetrical-gynecologic anamnesis of the women who have given birth to girls with intrauterine growth retardation and normal weight of a body Research materials: 118 women who have given birth Π΄ΠΎΠ½ΠΎΡˆΠ΅Π½Π½Ρ‹Ρ… to girls, from them 56 mothers of girls with intrauterine growth retardation and 62 mothers of girls with normal weight of a body. Research methods: Anamnestichesky, generalclinical, (cliniko-laboratory researches women and their newborn daughters: an estimation of rosto-weight indicators, ultrasonic of heart and brein, an electrocardiogram, consultation of neurotician. Features of the social status and marital status of women, the obstetrical-gynecologic anamnesis, also features of pregnancy and sorts are studied. Results of research: the Group of high risk of occurrence syndrome of intrauterine growth retardation is made by young women aged 27-28. A leading place in structure of somatic pathologies have occupied the diseases of respiratory organs associated smoking. Syndrome of intrauterine growth retardation is more often observed at women with lower educational level and more work severe conditions, children with syndrome of intrauterine growth retardation are born in incomplete families is more often. At the women who have given birth to girls with syndrome of intrauterine growth retardation, infringements of menstrual function on type dismenorrea, hyperpolymenorrea authentically are is more often revealed., in the anamnesis there is a secondary barreness. The obstetric anamnesis is burdened by complications previous pregnancy in the form of threat of interruption, development insufficiency of placenta and a birth of children with intrauterine growth retardation. Conclusions: the Somatic anamnesis of the women ' who have given birth to girls with intrauterine growth retardation, is burdened by a pathology of the bronho-pulmonary system connected with smoking. The obstetrical-gynecologic anamnesis is burdened dismenorrea, an adverse current of pregnancy with threat Π½Π΅Π²Ρ‹Π½Π°ΡˆΠΈΠ²Π°Π½ΠΈΡ and formation insufficiency of placenta.ЦСль исслСдования: ΠŸΡ€ΠΎΠ²Π΅ΡΡ‚ΠΈ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΡƒΡŽ характСристику соматичСского Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ, ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ статуса ΠΈ Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСского Π°Π½Π°ΠΌΠ½Π΅Π·Π° ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ… Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ с Π·Π°Π΄Π΅Ρ€ΠΆΠΊΠΎΠΉ Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΠΎΠ³ΠΎ развития ΠΈ Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ массой Ρ‚Π΅Π»Π°. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ исслСдования: 118 ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ… Π΄ΠΎΠ½ΠΎΡˆΠ΅Π½Π½Ρ‹Ρ… Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ, ΠΈΠ· Π½ΠΈΡ… 56 ΠΌΠ°Ρ‚Π΅Ρ€Π΅ΠΉ Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ со Π—Π’Π£Π  ΠΈ 62 ΠΌΠ°Ρ‚Π΅Ρ€ΠΈ Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ с Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ массой Ρ‚Π΅Π»Π°. ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹ исслСдования: АнамнСстичСский, общСклиничСский, (ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎΒ­Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½Ρ‹Π΅ исслСдования ΠΏΠΎ ΠœΠ—Π‘ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ ΠΈ ΠΈΡ… Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… Π΄ΠΎΡ‡Π΅Ρ€Π΅ΠΉ: ΠΎΡ†Π΅Π½ΠΊΠ° росто-вСсовых ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ, Π£Π—Π˜ сСрдца ΠΈ ЦНБ, Π­ΠšΠ“, ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚Π°Ρ†ΠΈΡ Π½Π΅Π²Ρ€ΠΎΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³Π°. Π˜Π·ΡƒΡ‡Π΅Π½Ρ‹ особСнности ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ статуса ΠΈ сСмСйного полоТСния ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСский Π°Π½Π°ΠΌΠ½Π΅Π·, Ρ‚Π°ΠΊΠΆΠ΅ особСнности бСрСмСнности ΠΈ Ρ€ΠΎΠ΄ΠΎΠ². Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования: Π“Ρ€ΡƒΠΏΠΏΡƒ высокого риска возникновСния Π—Π’Π£Π  ΡΠΎΡΡ‚Π°Π²Π»ΡΡŽΡ‚ ΠΌΠΎΠ»ΠΎΠ΄Ρ‹Π΅ ΠΆΠ΅Π½Ρ‰ΠΈΠ½Ρ‹ Π² возрастС 27-28Π»Π΅Ρ‚. Π’Π΅Π΄ΡƒΡ‰Π΅Π΅ мСсто Π² структурС ΡΠΊΡΡ‚Ρ€Π°Π³Π΅Π½ΠΈΡ‚Π°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ заняли заболСвания ΠΎΡ€Π³Π°Π½ΠΎΠ² дыхания, ассоциированныС с Π½ΠΈΠΊΠΎΡ‚ΠΈΠ½Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒΡŽ. Π—Π’Π£Π  Ρ‡Π°Ρ‰Π΅ Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ Ρƒ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ с Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΈΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ образования ΠΈ Π±ΠΎΠ»Π΅Π΅ тяТСлыми условиями Ρ‚Ρ€ΡƒΠ΄Π°, Π΄Π΅Ρ‚ΠΈ со Π—Π’Π£Π  Ρ‡Π°Ρ‰Π΅ Ρ€ΠΎΠΆΠ΄Π°ΡŽΡ‚ΡΡ Π² Π½Π΅ΠΏΠΎΠ»Π½Ρ‹Ρ… ΡΠ΅ΠΌΡŒΡΡ…. Π£ ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ… Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ со Π—Π’Π£Π , достовСрно Ρ‡Π°Ρ‰Π΅ выявлСны Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΌΠ΅Π½ΡΡ‚Ρ€ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ дисмСнорСи, Π³ΠΈΠΏΠ΅Ρ€ΠΏΠΎΠ»ΠΈΠΌΠ΅Π½ΠΎΡ€Ρ€Π΅ΠΈ., Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅ имССтся Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½ΠΎΠ΅ бСсплодиС.-ΠΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΈΠΉ Π°Π½Π°ΠΌΠ½Π΅Π· отягощСн ослоТнСниями ΠΏΡ€Π΅Π΄Ρ‹Π΄ΡƒΡ‰ΠΈΡ… бСрСмСнностСй Π² Π²ΠΈΠ΄Π΅ ΡƒΠ³Ρ€ΠΎΠ·Ρ‹ прСрывания, развития Ρ„Π΅Ρ‚ΠΎΠΏΠ»Π°Ρ†Π΅Π½Ρ‚Π°Ρ€Π½ΠΎΠΉ нСдостаточности ΠΈ Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ΠΌ Π΄Π΅Ρ‚Π΅ΠΉ со Π—Π’Π£Π . Π’Ρ‹Π²ΠΎΠ΄Ρ‹: БоматичСский Π°Π½Π°ΠΌΠ½Π΅Π· ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ… Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ со Π—Π’Π£Π , отягощСн ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ Π±Ρ€ΠΎΠ½Ρ…ΠΎ-Π»Π΅Π³ΠΎΡ‡Π½ΠΎΠΉ систСмы, связанной с Π½ΠΈΠΊΠΎΡ‚ΠΈΠ½Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒΡŽ. ΠΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСский Π°Π½Π°ΠΌΠ½Π΅Π· отягощСн дисмСнорССй, нСблагоприятным Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ бСрСмСнности с ΡƒΠ³Ρ€ΠΎΠ·ΠΎΠΉ Π½Π΅Π²Ρ‹Π½Π°ΡˆΠΈΠ²Π°Π½ΠΈΡ ΠΈ Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Ρ„Π΅Ρ‚ΠΎΠΏΠ»Π°Ρ†Π΅Π½Ρ‚Π°Ρ€Π½ΠΎΠΉ нСдостаточности
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