Relationship between gynecological disorders and related pathological conditions in immature girl harmed due to military actions and armed conflicts
Journal Title: Здоров`я дитини - Year 2018, Vol 13, Issue 8
Abstract
Background. Nowadays, the problem of a comprehensive approach to detecting and treatment of each patient has been again brought up to date. Modern medicine is characterized by a large number of new diagnostic techniques and a huge variety of therapeutic and prophylactic technologies. Thereby, there are a number of questions regarding the integral assessment of the patient’s condition, and the development of modern rehab programs are the most important, taking into account the multidisciplinary approach. The purpose was to determine the incidence and nature of extragenital pathology in girls with disorders of menstrual function suffered from the anti-terrorism operation (ATO) area. Materials and methods. One-hundred and nine menstruating girls aged 11 to 18 years old from the ATO area underwent complex examination and treatment at various departments of the Institute for Children and Adolescents Health Care of NAMS. Results. The study showed a high incidence of endocrine, somatic, and psychiatric pathologies in girls with menstrual dysfunctions. The most commonly reported changes are the endocrine system disorders with thyroid gland pathology prevailing. Gastrointestinal tract disorders are predominant in the structure of somatic pathology. Neurotic disorders and vegetative dysfunction syndrome are predominant in the register of mental disorders. The diabetic patients undergoing treatment in the Endocrinology Department with thyroid diseases and hypothalamic-pituitary dysfunction most often required help of pediatric gynecologist. Girls with rheumatic diseases deserve special attention in the department of cardiorheumatology. Almost 40 % of them reported menstrual dysfunction. Conclusions. Taking into account the high rates of comorbidity of various endocrine, somatic, and psychiatric pathologies with gynecological disorders, the consultation of pediatric gynecologist should be included into the mandatory examination of the girls with these disorders. An interdisciplinary approach to the development of treatment and rehabilitation tactics will allow physicians to assess the severity and possible consequences of the comorbidity, provide purposeful examination of patients, increase the effectiveness of ongoing therapeutic interventions and reduce the adverse prognosis for disease.
Authors and Affiliations
V. O. Dynnik
Keywords
Related Articles
- EP ID EP438476
- DOI 10.22141/2224-0551.13.8.2018.154156
- Views 67
- Downloads 0
Pathogenetic Rationale for the Use of Probiotics in Antibiotic-Associated Diarrhea in Children
The article deals with the topical issues of irrational administration of antibiotics in children, development of abnormal side effects and complications, in particular antibiotic-associated diarrhea. The modern means fo...
Complicated Pneumococcal Pneumonia in a Child: Case Report
The article presents a clinical case of pneumococcal pneumonia complicated by destructive process and septicemia in a child. In addition to massive antibiotic therapy, application of immunological preparations, extracorp...
Therapy in Bronchopulmonary Diseases Associated with Increased Secretion of Viscous Sputum and Impaired Mucus Transport
The article deals with the problem of cough in bronchopulmonary diseases, in particular, the attention is paid to cough with increased secretion of viscous sputum, i.e., productive cough. It is noticed that derivative of...
Classic galactosemia: features of diagnosis and treatment
Background. Galactosemia type I, or classic galactosemia (CG), is the most severe form of hereditary disorders of carbohydrate metabolism, in particular, galactose. Galactosemia is not included in the program of massive...
Features of Rehabilitation of Young Children with Severe Neurodevelopmental Delay Who Are Being Raised in Orphanages
We observed 208 children from orphanages aged from 1 to 3 years, who suffered from mild-to-moderate perinatal affection of the central nervous system of hypoxic-ischemic origin. The objective of the study — the developme...