Khripunova G.I.

Objective of the present article is to define optimal tactics and volume of surgical intervention in patients with hysteromyoma during labor process. Evaluation of possibilities and prospects of conservative methods of myomectomy have been determined. 1000 case histories dated 2009 were analyzed. Patients aged from 22 to 43 were under study. During the research it was revealed that hysteromyoma was mostly prevailed in women aged 30 and older (75%). 5% of them were primipara, 44% — bipara. 57% of pregnant patients were delivered by means of cesarean method. Widening of surgical intervention required 29% of 100 observed patients. Conservative myomectomy was conducted for 27 patients (87%), supracervical hysterectomy — for 2 women (6,4%). Natural delivery by vaginal route was marked in 43% of pregnant women with hysteromyoma; it was not a problem for birth and was first diagnosed in the early postnatal period by means of ultrasonic diagnostics. During analysis of the received data attention should be paid to expediency and promising of delivery of patients by means of cesarean method with following conservative myomectomy; it promotes to preserve childbearing function, their quality of life and consequently improves the demographic situation

The purpose of research – the analysis of the results CFG in the diagnostics of the condition of the fetus and the estimation of the function мочевыделительной systems according to the prenatal cistometri.
Material and methods. The study of the cardioflowgraphy with the analysis of the values of the integrated parameter of the fetus and the urodinamic parameters of the top and the bottom uric ways at 102 fetus in III trimester of the pregnancy the method which consists in the monitoring process of the filling and evacuation the bladder are studied.
Results. Carried out researches have shown, that the fetus with the expressed infringement (coefficient from 2,1 up to 3) or the critical condition (coefficient from 3,1 up to 4) infringements of function of the bottom uric ways have been revealed in 22 (59,5%) a cases.
The conclusion. The precise interrelation between ПСП, the condition urination function of the fetus and the newborn is observed. Thus most early the symptoms testifying to the pathology from urination system, appear at the children who have transferred heavy intra-uterine gypoxiy. The first clinical displays is the uric syndrome.

The purpose of the present research was studying features of current of the pregnancy and sorts of 125 women and their influence on the development of the infection of the uric system of the newborns.
The preconditions to the development of development of the infection of the uric system in the newborn are formed in the period of intra-uterine development and defined on the one hand by features of the development of the uric system of the fetus and on the other hand – a condition of the parent organism.
From the fetus most often came to light pyeloectasia – in 42,9% of supervision, hydronephrosis – in 22,4% and megaurether - 20,4% .
The risk factors from the parent organism are: hereditary aggravate on the disease of kidneys in the family ,chronic inflammatory disease of the bodies of a small basin ,presence a herpes-virus of the infection ,the aggravation of the chronic inflammatory process , transferred ОРВИ during of the pregnancy , the placentofetal insufficiency, premature birth.
Significant percent intra-uterine hypotrophy and infection , confirm pathogenic action hypoxia and mixt-infection on the formation of a pathology the uric system of the fetus and the newborn and emphasize necessity of the forecasting and preventive maintenance of the given complication.

The article presents the peculiarities of gestasion in pregnant women with metabolic syndrome. The obtained findings testify that metabolic syndrome is a factor of high risk in the development of gestosis, fetoplacental insufficiency and another obstetrical complication.

The complex clinical and laboratory researches conducted in groups of the pregnant women with mild case of gestosis, middle serious preeclampsia and with heavys everity of gestosis. Anticoagulation and fibrinolytic activity of a wall of vessels on a background of creation of a short-lived ischemia were examined. Disturbance of a coagulative potential of a blood are actuated development endothelial dysfunction in groups of the pregnant women with middle serious preeclampsia and with heavy severity of gestosis.

The article is reffered to the dynamics of vegetative disorders' development in case of physiological and pathological course of menopause. The findings show that vegetative disorders significantly contribute to the development of pathological conditions accompanying the menopause

The article reflects modern literary data about approaches to diagnostics, forecasting of current and treatment of a climacteric syndrome at women.

Taking into consideration the data of Russian and foreign literature, incidences, development, features of clinical course of background and precancer diseases ofcervixare covered in this research. The role of recent diagnostic and treating methods in prophylaxis of cervix cancer is also highlighted.

A comparative research of cytokines IL-1b, IL-4, IL-6, IL-8, INF-/, TNF-a and its concentration in cellular material suspension on surface of pseudo erosion of uterine cervix was carried out. It was clarified that inefficient activation of local protective factors of immune system plays the main role in clinical behavior of pseudo erosion of uterine cervix. Imbalance of cytokines output to pro-inflammatory factors was observed.