O'SMIRLAR VA YOSH AYOLLARDA TUG'MA VAGINAL TORAYISHNI DAVOLASH BO'YICHA TAJRIBAMIZ
##article.subject##:
tug'ma kasalliklar, jinsiy a'zolar, qin atreziyasi, striktura, yopishqoqlik, qizlar, diagnostika, vaginoplastika##article.abstract##
Har yili jinsiy a'zolar rivojlanishida anomaliyalar bilan tug'ilgan o'smirlar va yosh ayollar soni sezilarli darajada oshdi. Jinsiy organlarning malformatsiyasi, barcha tug'ma nuqsonlarning 3-4 foizini tashkil qiladi va reproduktiv tizimi buzilgan bemorlarning 6,7–25 foizida tashxis qilinadi [1].
Biz 18 yoshdan 25 yoshgacha bo'lgan tug'ma vaginal torayishdan 26 nafar o'smir va yosh ayollarni tekshirdik. Muammoning murakkabligi o'z vaqtida tashxis qo'yish va davolash qiyinligi bilan belgilanadi. Noto'g'ri davolash taktikasiga olib kelgan ko'plab diagnostik xatolar aniqlandi.
Deyarli barcha mutaxassisliklar shifokorlari balog'at yoshidan ancha oldin ayollarning reproduktiv funktsiyalari buzilishining oldini olishning o'ziga xos masalalarini hal qilish zarurligiga duch kelishadi. Tug'ma striktura yoki vaginal stenoz murakkab tug'ma nuqsondir[2-3].
Vaginal stenoz hayz ko'rish qonining kechikishiga olib kelmaydi, ammo jinsiy faoliyatning boshlanishi bilan jinsiy faoliyatning mumkin emasligi yoki qiyinligi muammolari paydo bo'ladi. Anomaliya kech aniqlanadi va ko'plab ijtimoiy muammolarni keltirib chiqaradi. Shu munosabat bilan, qizlar va o'spirinlarda bachadon va/yoki qin rivojlanishidagi tug'ma anormalliklarni erta aniqlash, kompleks davolash va to'liq tibbiy reabilitatsiya kelajakda ayollarning jinsiy salomatligini yaxshilashga yordam berishi kerak. [4,5].
Библиографические ссылки
Krutova V.A., Naumova N.V., Kotlova T.A., et al. Algorithm of diagnosis and treatment of girls with congenital malformations of the reproductive system // Reproductive health of children and adolescents. — 2015. — No. 1. — pp. 30-36. [Krutova VA, Naumova NV, Kotlova TA, et al. An algorithm for diagnostics and treatment of girls with congenital malformations of the reproductive system. Pediatric and adolescent reproductive health. 2015;(1):30–36. (In Russ).
Ludwin A. et al. Reliability of the European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy and American Society for Reproductive Medicine classification systems for congenital uterine anomalies detected using three-dimensional // Fertil. Steril. 2015. Vol. 104, N 3. P. 688-697.
Uvarova E.V., Davtyan G.M., Buralkina N.A., Kruglyak D.A. Formation of neovagalischa by complex nonoperative colpopoiesis in patients with Mayer–Rokitansky–Kuster–Hauser syndrome // Reproductive health of children and adolescents. 2014. No. 6. pp. 40-49.
Dietrich J.E., Millar D.M., Quint E.H. Obstructive reproductive tract anomalies // J. Pediatr. Adolesc. Gynecol. 2014. Vol. 27, N 6. P. 396–402. DOI: https://doi.org/10.1016/j.jpag.2014.09.001 Epub 2014 Sep 11. PMID: 25438708.
Abu-Ghanem S., Novoa R., Kaneti J., Rosenberg E. Recurrent urinary retention due to imperforate hymen after hymenotomy failure: a rare case report and review of the literature // Urology. 2011. Vol. 78. P. 180-182.
Uvarova E.V., Tarusin D.I. Manual on the examination of the state of the reproductive system of children and adolescents. Moscow : Triad-X, 2009. 232 p.
Avetisova L.R. Algomenorrhea in puberty girls /Dis. doctor of Medical Sciences. - M.: 1990. -315 p.
Golubeva I.V. Hermaphroditism: clinic, diagnosis, treatment. - M.: Medicine, 1980. - 159 p.
Demidova E.M. Clinic and diagnosis of malformations of internal genitalia during puberty /Dis. Candidate of Medical Sciences. -M.: