Surface electromyography in the diagnosis of urogenital form of diabetic autonomic neuropathy in female patients with type 1 diabetes mellitus
Journal Title: Міжнародний ендокринологічний журнал - Year 2017, Vol 13, Issue 2
Abstract
The aim of the study is to evaluate the effectiveness of non-invasive research methods in the diagnosis of urinary disorders in patients with type 1 diabetes mellitus (DM). Materials and methods. In this work, we have examined 184 female patients with type 1 DM complicated by urogenital form of diabetic autonomic neuropathy and urinary disorders using non-invasive methods. These methods include surface electromyography and ultrasound of the bladder. Results. It is established that the study of the contractile ability of the pelvic floor muscles and the sphincter apparatus of the urethra makes it possible to determine the clinical form of urinary disorders. The study of the contractile ability of the pelvic floor muscles and the urethral sphincter apparatus allows, in addition to the results of the questionnaire scale in diabetes, to determine the possible clinical form of urinary disorders in patients with type 1 DM. The parameters of surface electromyography vary depending on the clinical form of urination disorders. In urinary retention, there is an increase in the muscle tone of the urogenital zone as a consequence of the formation of the phenomenon of denervation hypersensitivity. Conclusions. Urinary incontinence is accompanied by diffuse demyelination of sensory and motor nerve trunks, with a coarse axonal component as a result of increased vegetative-trophic disturbances of the muscular apparatus of the urogenital zone. The amount of residual urine, which is determined by ultrasound, in patients with retention grows with an increase in the degree of impaired urination.
Authors and Affiliations
N. A. Kravchun, E. Yu. Tkachuk
Keywords
Related Articles
- EP ID EP176244
- DOI 10.22141/2224-0721.13.2.2017.100594
- Views 56
- Downloads 0
Evaluating the quality of life of patients with Cushing’s syndrome in surgical and conservative treatment
Research aim — to study the quality of life of patients with Cushing’s syndrome (CS) depending on the disease duration and applied methods of treatment. Materials and methods. The features of quality of life were studied...
The features of esophageal daily pH-monitoring depending on the clinical form of gastroesophageal reflux disease in type 2 diabetic patients
Background. The purpose of the study was to determine the features of esophageal daily pH-monitoring depending on the clinical form of gastroesophageal reflux disease in type 2 diabetic patients. Material and methods. Ei...
Early and delayed reaction of the Hif-1α protein in the hippocampal fields on ischemia-reperfusion in rats with streptozotocin-induced diabetes mellitus
Background. The role of the transcriptional hypoxia-inducible factor-1α (Hif-1α) in the pathogenesis of hypoxic damage and diabetes mellitus (DM) is proved, although molecular mechanisms underlying dysfunction of this fa...
Reparative Osteogenesis in Normal Conditions and in Micronutrient Iodine and Selenium Deficiency
Today, a number of unresolved issues remains without researchers’ attention and should be explored, among them: the impact of selenium and iodine deficiencies on bone tissue, healing of bone defects and morphological pec...
Clinical experience of using herbal medicinal product Glucemedin in the comprehensive treatment of patients with type 2 diabetes mellitus
Background. The current task of treating patients with type 2 diabetes mellitus and dyslipoproteinemia is the analysis of efficiency of the combination of standard hypoglycemic agents with phytotherapeutic drugs, but inf...