A rehabilitation of women is after the ovarian apoplexy

Abstract

DOI: 10.52705/2788-6190-2025-4-08
УДК 618.11-005.1-036.82

The objective: to develop the nosotropic grounded complex of rehabilitation measures, directed on the improvement of reproductive health of women after the carried ovarian apoplexy decline of frequency of relapse of disease.
Materials and methods. We are study 450 cases of ovarian apoplexy, from them 303 – retrospectively on case history of women, treated in the gynaecological department and 147, charts – prospectively patients are inspected and treated. Depending on clinical motion diseases were formed two groups: I – 175 women with a hemorragic form, II –275 women with a pain form. In all cases the anamnesis of life of patients, disease studied in detail, information objective and bimanual research. The quantitative analysis of hormones of blood was conducted by the method of electrochemiluminescence after the generally accepted methods. At a receipt in permanent establishment in 40 patients of I of group and 40 – II studied concentrations of follicle-stimulating hormone, luteinizing hormone, prolactin, progesterone, estradiol; in 1 month after an extract from permanent establishment respectively in 40 and 40 (on the 7–8th day of menstrual cycle - folliclestimulating hormone, prolactin, estradiol, on 14-15 is a luteinizing hormone, estradiol and 21-24 is progesterone, estradiol); in 12 months - in 30 and 30 (on the 7-8 day of menstrual cycle – follicle-stimulating hormone, prolactin, estradiol and 21-24 day is progesterone, estradiol). The estimation of function of ovaries (estimation of basale temperature, phenomenon of pupil, degree of tension of the cervical mucus, colpocytology) was conducted on 7–8, 14–15, 21–24 days of menstrual cycle through 3, 6, 12 months after an extract from permanent establishment in 40 women of I of group and 40 – II, in 18 months – in 30 and 30.
Results. As a result of estimation the functions of ovaries were marked, that in 3–6 months after ovarian apoplexy more than 50,0% women had an anovulatory menstrual cycle, in 12 months – 18,8%, 18 months – 8,3%. Statistically meaningful differences between the groups of I and II it was not discovered. Hormonal background of patients in 12 months after ovarian apoplexy for certain did not differ from the indexes of healthy women. Information cerebral hemodynamics on a background the conducted therapy characterized by normalization of all parameters, except for the index of pulse of blood supply, which was saved by enhanceable in the II phase of menstrual cycle at inspected both groups of disease in the fronto-mastoidal extension. The desired pregnancy came in 27,2% women, last – used protection. The relapse of disease was found out in 6 months in 2,9% inspected the II groups and in 12 months in 1,2% – I of group (in all 3,9%).
Conclusions. The conduct of two courses of the nosotropic grounded rehabilitation therapy during 12 months resulted in normalization of almost all studied indexes of cerebral hemodynamics, index of resistance of vascular resistance in before to the staggered ovary, and also proceeding in a diphasic menstrual cycle in 91,6% women and decline of frequency of relapse of ovarian
apoplexy to 3,9%.