Treatment of adolescent girls with abnormal uterine bleeding taking into account psychoemotional and vegetative status

Tuchkina I. A., Tuchkina M. Yu., Novikova A. A. Treatment of adolescent girls with abnormal uterine bleeding taking into account psychoemotional and vegetative status. Journal of Education, Health and Sport. 2019;9(5):575-582. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3239459 http://ojs.ukw.edu.pl/index.php/johs/article/view/7001 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 29.04.2019. Revised: 15.05.2019. Accepted: 31.05.2019. TREATMENT OF ADOLESCENT GIRLS WITH ABNORMAL UTERINE BLEEDING TAKING INTO ACCOUNT PSYCHOEMOTIONAL AND VEGETATIVE STATUS I. A. Tuchkina, M. Yu. Tuchkina, A. A. Novikova Kharkiv National Medical University Department of Obstetrics, Gynecology and Pediatric Gynecology Abstract The study, which was conducted at the clinical bases of the Department of Obstetrics, Gynecology and Pediatric Gynecology of the Kharkov National Medical University for 2 years, included 98 adolescent girls with abnormal uterine bleeding during puberty (AUBDP) 11-18 years old. A comprehensive clinical and laboratory examination included an analysis of complaints and the clinical course of the disease, a study of early history with an assessment of the infectious index, the course of pregnancy and labor in mothers, the degree of physical and sexual development, the characteristic of menstrual function, gynecological status, ovarian function. Also were studied urine and bacteriological seeding from the vagina, coagulogram, hormonal profile and ultrasound. The psychoemotional state of adolescents was studied using techniques adapted to their age. When treating 30 adolescent girls with AUBDP (I group), we used conservative therapy. Hormonal treatment was carried out according to strict indications of 18 adolescent girls with AUBDP (group II), with the ineffectiveness of symptomatic therapy. 50 patients with AUBDP (group III) received therapy, including medicines that contains indole-3-carbinol tranexamic acid and received physiotherapy. The established causes of bleeding, identified during the history taking, were stressful situations - 36.7%, increased physical and mental stress - 15.3%, acute and chronic respiratory and viral diseases - 12.2%. Differential use of the developed complexes of adequate therapy, taking into account the level of anxiety of patients with AUBDP, according to the indications was effective in most patients. The inclusion of physiotherapeutic treatment in therapeutic regimens helped to reduce the medicine load on the developing organism of adolescent girls. In most patients, there was an improvement in the characteristics of psychoemotional status; positive dynamics of the progress of the puberty period, normalization of menstrual function were observed. From this point of view, the active use of modern clinical diagnostic and new medical complexes using effective treatment schemes for correcting pathological conditions in adolescence is promising. Key words: abnormal uterine bleeding, adolescent girls, stress, physiotherapy

Incidence, clinical presentation and treatment of dysmenorrhea in female adolescents depending on the nature of extragenital background

Incidence of dysmenorrhea in female adolescents was shown to be 28.4 % of all gynecological disorders (41 %). The study involved treatment of 88girls aged 14-18 by complex of non-hormonal and physiotherapy.The effectiveness of complex non-hormonal therapy for gynecological patients was 76.6-83.3 %. No side effects and complications were observed. For most of patients the positive effect of treatment was preserved for 2-3 months.</p

Factors responsible for formation of severity of inflammatory parodontal diseases in adolescent girls with menstrual dysfunction

Determining the factors of formation of severity of parodontal inflammatory diseases (PID) in adolescent girls with menstrual dysfunction (MD) makes it possible to determine the predictors of severity of PID and, on this basis, to develop differentiated methods for their prevention. The aim. To determine the factors responsible for formation of PID severity in adolescent girls with MD. The materials and methods. The following data were studied in adolescent girls with MD with varying severity of PID: obstetric and genealogical anamnesis, lifestyles of adolescents, indices of oral hygiene, dental status, densitometry, content of CA ++ and sIgA in saliva, lysozyme and urease activity in saliva, cytobiophysical potential of buccal epithelium nuclei. The findings. In patients with more severe course of PID, in comparison to milder course of PID, there was determined a more significant degree of weakened heredity in relation to chronic dental and somatic pathology, unfavorable course of pregnancy and childbirth, violations of a healthy lifestyle and oral hygiene in adolescents, anomalies in the development of dentoalveolar system, dysbiosis of oral cavity, reduced local and systemic immunoresistance. Conclusion: The determined predictors of the severity of PID in adolescent girls with MD make it possible to develop differentiated methods for their prevention