Structure and distribution of gynaecological diseases for girls and teenage girls in the Zaporizhzhia area

Authors

  • N. V. Avramenko Zaporizhzhia State Medical University,
  • O. V. Kabachenko Zaporizhzhia State Medical University,
  • T. O. Tsaruk Regional Medical Center of Human Reproductive Function, Zaporizhzhia,

DOI:

https://doi.org/10.14739/2409-2932.2016.2.71136

Keywords:

Gynecologic Diseases, Epidemiology, Infectious Disease Medicine, Menstruation Disturbances

Abstract

Background. In recent years the question of gynecological diseases in women and teenage girls becomes more and more relevance. Girls of pubertal age should become mothers of new generation, but the health of adolescents continues to deteriorate.

Aim. To study the structure of gynecological diseases among children and teens in the Zaporizhzhia region, to develop the main ways of improving the provision of specialized gynecological medical care in the region.

Methods. The analysis of major morbidity, prevalence and patterns of gynecological diseases among girls and adolescent girls in the Zaporozhye region over the past 5 years has been done.

Results. The analysis showed that the indicator of gynecological morbidity remain high and increases. Main gynecologic pathologies are: menstrual function disorders, sexual development disorders, inflammatory diseases of external and internal genitalia. Detection of pathology among girls who turned to the doctor meets in average 23-24% of cases. In girls, of the youngest age (under 10 years) inflammatory diseases of the external genitalia (vulvovaginitis, vulvitis) dominate in most cases. In teenage girls the menstrual dysfunction is prevalent. Among menstrual dysfunction the hypomenstrual syndrome is prevalent in 70% (oligomenorrhea, opsomenorrhea, amenorrhea). The Department of Health of Zaporizhzhia Regional State Administration has prepared the order of 15.02.2016r. №158 «On improvement of specialized gynecological care for children of the region", which provides specialized gynecological care to girls and teenage girls, and indications for gynecologist consultation of children and adolescent.

Conclusions:

  1. In the analysis of morbidity during 5 years a significant increase in the incidence of gynecological morbidity of girls and teenage girls has revealed.
  2. Risk factors of menstrual function disorders are: thyreiod gland pathology, diabetis mellitas, bronchial asthma, congenital heart diseases, chronic infection, psychological, social factors.

References

Gnatko, E. P., Michajluta, М. А., & Chubatyj, А. I. (2015) Problemy ginekologicheskoj patologii podrostkov [Problems of gynecologic pathology of teenagers]. Medicinskie aspekty zdorov'ja zhenshhiny, 3, 24–25. [in Ukrainian].

(1996) Nakaz Ministerstva okhorony zdorovia Ukrainy «Pro udoskonalennia sluzhby dytiachoi ta pidlitkovoi hinekolohii» vid 27.12.1996 r. №391 [Order of the MHO of Ukraine from December 27, 1996. №391 «On improvement of Child and Adolescent Gynecology service»]. [in Ukrainian].

(2016) Nakaz DOZ Zaporizkoi oblasnoi derzhavnoi administratsii «Pro udoskonalennia nadannia spetsializovanoi hinekolohichnoi dopomohy dytiachomu naselenniu oblasti» vid 15.02.2016 r. №158 [Order DZR Zaporizhzhya Regional State Administration from February 15, 2016. №158 «On improvement of specialized gynecological care for children of the region»]. [in Ukrainian].

Vovk, I. B., Kondratiuk, V. K., & Peterburzka, V. F. (2016) Porushennia statevoho rozvytku u divchatok [Disorders of sexual development in girls]. Zdorovia Ukrainy, 1(21), 51–53. [in Ukrainian].

Tovstanskaya, V. A., Guzhevskaya, I. V., Vorobej-Vikhovskaya, V. N., & Vorobej, A. V. (2010) Prichiny i sledstviya matochnykh krovotechenij u podrostkov [Reasons and consequences of uterine bleeding at teenagers]. Zdorov'e zhenshhiny, 2, 179–183. [in Ukrainian].

(2015) Problemy ginekologicheskoj patologii podrostkov: medicinskie aspekty zdorov'ya zhenshhiny [Problems of gynecologic pathology of adolescents. Med. aspects of women health].

Rutynska, H. V., Astakhov, V. M., & Nosenko, O. M. (2015) Rol faktoriv mistsevoho imunitetu v rozvytku vahinalnoho dysbiozu u divchatok prepubertatnoho ta pubertatnoho viku [Role of local immunity factors in development vaginal dysbios in girls of prepubertal and pubertal ageу]. Reproduktyvna endokrynolohiia, 2(22), 50–55. [in Ukrainian].

Statystychni zvity pro stan roboty sluzhby dytiachoi ta pidlitkovoi hinekolohii v Zaporizkii oblasti za 2011, 2012, 2013, 2014, 2015 rr. [Statistical reports on the status of the Child and Adolescent Gynecology service in Zaporizhia region at 2011, 2012, 2013, 2014, 2015 years]. [in Ukrainian].

Tuchkina, I. A., & Tysyachka, G. M. (2009) Kliniko-anamnesticheskie osobennosti vospalitel'nykh zabolevanij vnutrennikh polovykh organov u devushek-podrostkov [Clinical-anamnestyc features of inflammatory diseases internal genitalias at girls teenagers]. Zdorov'e zhenshhiny, 8, 238. [in Ukrainian].

Halimova, D. R. (2011) Osobennosti krovotoka v organakh malogo taza u devochek-podrostkov s razlichnym funkcional'nym sostoyaniem yaichnikov [Features of blood flow in the pelvic organs in adolescents with difference functional condition of ovaries]. Regional'noe krovoobrashhenie i mikrocirkulyaciya, 10(4), 54–58. [in Russian].

Shurshalina, A. V. (2012) Optimizaciya taktiki vedeniya pacientok s vospalitel'nymi zabolevaniyami organov malogo taza [Optimization of management of the patients with inflammatory diseases of the pelvic organs]. Ginekologiya, 14(2), 32–34. [in Russian].

Dicken, C. L., Israel, D. D., Davis, J. B., Sun, Y., Shu, J., Hardin, J., & Neal-Perry, G. (2012) Peripubertal vitamin D, deficiency delays puberty and disrupts the estrous cycle in adult female mice. Biol and Reprod, 87(2), 51. doi: 10.1095/biolreprod.111.096511.

Chew, A., & Harris, S. S. (2013) Does vitamin D timing of menarche?. Nutr Rev, 71(3), 189–193. doi: 10.1111/nure.12015.

Chaykivska, E. F. (2015). Menarche, Puberty and Vitamin D. Reproductive endocrinology, 2(22), 47–49.

Gutierrez-Medina, S., Gavela-Peres, T., Dominguez-Garrido, M. N., Gutierrez-Moreno, E., Rovira, A., Garces, C., & Soriano-Guillen, L. (2015) The influence of puberty on vitamin D status in obese children and the possible relation between vitamin D deficiency and insulin resistance. J Pediatr Endocrinol Metab, 28(1-2), 105-10. doi: 10.1515/jpem-2014-0033.

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How to Cite

1.
Avramenko NV, Kabachenko OV, Tsaruk TO. Structure and distribution of gynaecological diseases for girls and teenage girls in the Zaporizhzhia area. Current issues in pharmacy and medicine: science and practice [Internet]. 2016Jun.10 [cited 2024Dec.23];(2). Available from: http://pharmed.zsmu.edu.ua/article/view/71136

Issue

No. 2 (2016)

Section

Original research

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