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 63
- Downloads 0
Current Views on the Treatment Algorithm in Patients with Diabetes Mellitus and Erectile Dysfunction
Diabetes mellitus (DM) is common throughout the world. According to the World Health Organization’s data, there are about 415 millions of patients with DM now in the world, and their number is growing significantly. The...
Expression of mRNA IL-1β, IL-17А and IL-10 of oral epithelium in diabetic children
The aim of the study was to investigate the indexes of cytokines profile in the epithelium of oral cavity of children with type 1 diabetes mellitus (DM) taking into account present metabolic violations. Materials and met...
Thiamine derivatives and vitamin B1 analogues: biochemical, structural and pathway analysis and its implication in the pathobiology of diabetic complications
Thiamіne acts as a coenzyme for transketolase and for the pyruvate dehydrogenase and α-ketoglutarate dehydrogenase complexes, whіch enzymes play a fundamental role in intracellular glucose metabolіsm. The relatіonship b...
Substantiation for Approaches to Treatment of Latent Autoimmune Diabetes in Adults
The objective of this study was to substantiate the approaches to the treatment of latent autoimmune diabetes in adults on the basis of a comprehensive clinical examination of patients with this form of the disease. Rese...
Lifestyle Change as a Part of Complex Therapy of Chronic Systemic Inflammation in Metabolic Syndrome
From a perspective of integrative physiology, metabolic syndrome (MS) can be regarded as a syntropy of internal diseases, based on the systemic inflammation, insulin resistance, lipotoxicity and other processes which dep...