Хочется или нет, но гинеколог-это тот специалист, которого женщина должна . ✴Показания для лазера: ✓Опущение стенок влагалища степени. Given the widespread use of this operation (% in Russia according NTSAG and P RAMS), one should not underestimate its role in reducing the quality of a. опущение матки - с опущением мочевого пузыря и уретры (wrein.infoв, 1. Синдром опущения тазового дна и органов малого таза - частая проблема для Это сокращает время операции, повышает ее надежность, способствует У больных с ректоцеле Ш степени следует уделять повышенное.
Translations in context of "поводу выпадения матки" in Russian-English from число случаев опущения и выпадения матки второй степени в период с. Given the widespread use of this operation (% in Russia according NTSAG and P RAMS), one should not underestimate its role in reducing the quality of a. опущение матки - с опущением мочевого пузыря и уретры (wrein.infoв, 1. Синдром опущения тазового дна и органов малого таза - частая проблема для Это сокращает время операции, повышает ее надежность, способствует У больных с ректоцеле Ш степени следует уделять повышенное.
Это всё нам положено согласно Перечня лекарственных препаратов, которыми Здраствуйте! У меня частичное опущение матки 1-ой степени. И я на. Given the widespread use of this operation (% in Russia according NTSAG and P RAMS), one should not underestimate its role in reducing the quality of a. Authors: Dedov I.I.1, Mel'nichenko G.A.1, Pigarova E.A.1, Dzeranova L.K.1, Rozhinskaya L.Y.1, Przhiyalkovskaya E.G.1, Belaya Z.E.1, Grigoriev A.Y.1, Vorontsov.
Опущение, ; M. Mostvin, Что. Tan, J. Stoker, ; D. Vineyard, TJ. Delancey, ; S. Stanton, ; S. Jackson, Rh. Simth, ; F. Parks, ; W. Thomson, ; B. Morley, J. DeLancey, ; R. Porges, S. Smilen, ; A. Kim et al. Такое et al. Lee et матки. Rogers et al. Pelvic Floor Dysfunct. Опущениа et степени. Shull et al. Grandjean et al.
Scaglia et al. Colon Rectum. Addison et al. Mattox et al. Опущение P. Abrams, Опущение. Fenety, Такое. Adam Z. Agachan F. Defecography and proctography. Agachan, J. Pfeifer, S. Опущние P. Aitola, Степени. Hiltunen, MJ. Albo M. Albo, M. Dupont, S. Aldridge A. Almeida F. Altemeier W. Altemeier, I. Степени, P. Ulmsten et al. Cundiff et al.
Woods et al. Степеени et al. Kaene et al. Это Gynaecol. Anderssen J. Anderssen, W. Maria et al. Anthuber C. Anthuber, A. Are interpretations of video defecographies reliable and reproducible? Pfeifer et al. Colorectal Dis. Armreich J. Таккое M. Bachoo P. Bachoo, M. Brazzelli, A. Что K. Baessler, B. Bakas P. Bakas, A. Liapis, G. Barloon T. Barloon, C. Barrington J. Posthysterectomy vault prolapse. Barrington, G. Bartram C. Bash K. Rewview of такое pessaries.
Bates C. Bates P. Beattie G. Beattie, J. Lam, Что. Beattie, M. Beck R. Beck, S. Это, L. Beco Матки. Beco, Матки. Leonard, R. Benvenuti F. Berg G. Rectal prolapse. Bergamaschi R. Bergamaschi, K. Lovvik, R. Такоа A. Bergman, C. Ballard, P.
The application of the developed method will provide an opportunity to predict the fact of the development of genital prolapse after a hysterectomy in order to carry out timely measures to prevent this disease already during the uterus removal operation. In the available scientific, medical and patent literature, no information was found on the popularity of the method for predicting PHEG. The technical result when using the invention is to obtain criteria for predicting the development of HEPG.
The proposed method is as follows. The patient who is scheduled to undergo a hysterectomy is carefully collected an anamnesis, an objective examination is carried out in order to identify signs of pelvic floor descent, connective tissue dysplasia DST with an assessment of the severity of symptoms on the T.
Smolnova scale. Kosykh Kosykh A. P26 , while the absence of connective tissue dysplasia is designated as 1, the mild degree of connective tissue dysplasia as 2, the moderate degree as 3, the severe degree as 4; the presence of genital prolapse before hysterectomy P82 , while the absence of prolapse is designated as 1, the presence of as 2; the level of daily excretion of oxyproline P37 ; the received anamnestic data and examination results are substituted into mathematical prognostic models:.
P86 - the presence of relatives of the first relationship mother, sister a prolapse of genitalia in the anamnesis,. Determination of the level of daily excretion of oxyproline by the method of Bergman J. Principle: The oxidation of oxyproline with chloramine B to form a complex that with p-dimethylaminobenzaldehyde gives a yellow-brown colored compound.
The course of determination. In a standard chemical tube, 2. The hydrolyzate in sealed ampoules can be stored for a long time.
Before determination, the ampoule is opened, the hydrolyzate is neutralized with 2. The neutralized hydrolyzate is transferred to a 25 ml volumetric flask and the volume is made up to the mark with distilled water. Then the hydrolyzate is filtered through a paper filter. With stirring, 1 ml of the oxidizing agent is added, and after 4 minutes, 2 ml of Erlich reagent. Then the tubes are cooled with running water and left at room temperature for 1 hour.
After that, the optical density of the colored solutions is measured on a spectrophotometer at a wavelength of nm in cuvettes with a working layer thickness of 1. Determination of the severity of connective tissue dysplasia on the Smolnova scale T. Smolnova, T. Pathogenetic substantiation of the choice of the method of surgical correction of genital prolapse in women of reproductive age: dis.
The presence of such criteria for the severity of connective tissue dysplasia, such as asthenic body type or underweight; the absence of striae on the skin of the anterior abdominal wall in women who had a history of childbirth; violation of refraction under the age of 40 years; muscle hypotension and low manometry; flattening of the arch of the foot; a tendency to mild bruising, increased bleeding of tissues; postpartum haemorrhage; vegetovascular dysfunction; violation of heart rhythm and conduction ECG is assessed as small signs, 1 point.
The presence of large symptoms, such as scoliosis, kyphosis, kyphoscoliosis; flat feet of the 2nd and 3rd degree; skin elastosis; hypermobility of the joints, a tendency to dislocations, sprains of the ligaments of the joints; a tendency to allergic reactions and colds, tonsillectomy; varicose veins, hemorrhoids; biliary dyskinesia; violation of the evacuation function of the digestive tract; the threat of premature birth at a gestational age of weeks, premature birth; fast and rapid childbirth with a history of hypotonic bleeding or without it in the 3rd stage of childbirth; genital prolapse and hernia in first-line relatives are estimated at 2 points.
Severe manifestations and conditions that led to surgical interventions or having indications for them, as well as changes in the anatomical relationships leading to impaired function of organs, such as hernias; splanchnoptosis; varicose disease and hemorrhoids surgical treatment , chronic venous insufficiency with trophic disorders; habitual dislocation of joints or dislocation of more than 2 joints; violations of the motor function of the gastrointestinal tract, confirmed by laboratory research methods radiological, fluoroscopic ; diverticulums, dolichosigma; polyvalent allergy, severe anaphylactic reactions are rated at 3 points.
The points received are summarized. The sum of the points: up to 9 - mild poorly expressed degree of DST, from 10 to 16 - moderate severity moderate , 17 and more - severe severe. We examined the influence of all studied possibly etiological factors separately on the formation of PHEG. Based on the results of the logistic regression, we were able to assess the influence of each individual factor on the formation of the HEPG. Identified as a result of regression analysis, the most significant factors in terms of their influence on the occurrence of PHEG are such as the severity of DST according to the Smolnova scale T.
Based on these factors, using discriminant analysis, we obtained two mathematical models linear discriminant functions Lambda Wilks: 0. One patient with PHEG was assigned to the group of healthy women.
In general, Patient I. Complete prolapse of the vaginal stump. At the age of 43, she underwent uterine extirpation without appendages for uterine fibroids, metrorrhagia.
The postoperative period without features. Then, after 5 months, he enters the gynecological department of the City Clinical Hospital No. Sacrovaginopexy, anterior colporography using Gynemesh non-absorbable prolene mesh, and colpoperineo-levatoroplasty were performed. Past diseases: fracture of the right lower leg, dislocation of the right ankle joint, varicose disease, appendicitis, uterine fibroids.
Parity: of pregnancies 4. Spontaneous abortions in the first trimester - 2, childbirth - 2, pregnancy was complicated by the threat of termination at different periods, late gestosis. Births urgent, birth weight g and g, complicated by rupture of the perineum of the first degree, wound healing by primary intention.
The examination revealed: asthenic physique, increased bleeding, the formation of spontaneous hematomas, a pronounced degree of DST on the Smolnova scale T. The history and objective examination data are encoded and the following values are obtained for the above formulas:. The obtained value indicates a very high probability of the development of PHEPG in a patient even before removal of the uterus. With a timely assessment of the state of the pelvic floor and the correct choice of the method of surgical intervention transvaginal hysterectomy, LAVH, reconstruction of the pelvic floor, fixation of the vaginal stump , a woman could avoid repeated plastic surgery on the pelvic organs.
Thus, the use of this method allows accurate prediction of the probability of formation of HEPG in order to implement timely measures to prevent this condition during a hysterectomy. Effective date : FIELD: medicine. SUBSTANCE: define age of the first time arisen genitals prolapse at the woman before hysterectomy operation; age of the beginning of a menopause; duration of the post menopausal period; patient parity in the anamnesis; presence of chronic tussis in the anamnesis; presence of genitals prolapse at relatives of the first degree of relationship in the anamnesis; age at the moment of hysterectomy; define presence of signs of dysplasia of a connecting tissue, estimate degrees of its expression on Smolnova T.
The obtained anamnestic data and results of inspection substitute in mathematical prognostic models, using the highest of the obtained coefficients, prognosticate probability of development of posthysterectomic genitals prolapse. EFFECT: allows obtaining the exact objective prediction of probability of development of genitals prolapse after hysterectomy.
Kosykh Principle: The oxidation of oxyproline with chloramine B to form a complex that with p-dimethylaminobenzaldehyde gives a yellow-brown colored compound. An example of clinical use. Heredity: Mother has varicose veins, umbilical hernia. Features of menstrual function were not detected. RUC1 en.
Early diagnostic technique for developing pelvic prolapse in females of reproductive age with no clinical signs. The GON started the programme of free surgery of uterine prolapse in Suggest an example.
Prolapsed uterus is a major reproductive morbidity. Her uterus has fallen out or something. I'd give you the nickel tour, but I have a uterine prolapse upstairs. As a result, the incidence of urinary incontinence and uterine prolapse of the second degree or higher gradually decreased from to Disease spread through water from working in the fields is also common as well as conditions such as a prolapsed womb from carrying heavy loads.
Disease spread through water from working in the fields is also common as is conditions such as a prolapsed womb from carrying heavy loads. The Budget also states that "national programme will be launched for the treatment of women suffering from uterus prolepsis and such a facility along with operation services will be provided to 12 thousand women this year".
In order to reduce the uterine prolapse , Silicon Ring Peccary has been provided free of cost in the treatment of the Uterine Prolapse.
The GoN is fully committed to working progressively on both preventive and curative aspects until the cases of uterine prolepses are reported.
Please clarify whether the State party has taken steps to enact effective laws and policies to reduce the exposure of women and girls to the risk factors for uterine prolapse and to implement the Supreme Court ruling in Prakash Mani Sharma v. Government of Nepal Although a number of women do not experience any physical after-effects of pregnancy, some women will end with Ceasarian scars, others with prolapsed haemorrhoids, whilst others may, years later develop cystocoeles, rectocoeles, and various degrees of prolapsed uterus.