Women have features of diagnostics and treatment of dysplasia of mammary glands and violations of menstrual function with a hysteromyoma

Abstract

DOI: 10.52705/2788-6190-2023-02-6
УДК 618.173-036:618.19-007.17+618.14-006.36-07

The objective: A research purpose is development and introduction of tactic of diagnostics andtreatment of dysplasia of mammary glands and violations of menstrual function for women witha hysteromyoma.

Materials and methods. The differentiated going was developed near treatment of patients withthe united diseases of mammary glands and hysteromyoma, that consisted of a few stages.On the first stage complaints, anamnesis, were analysed, an objective review, gynaecologicalreview, palpation of mammary glands, was conducted and as a result there was an individualplan of inspection of every sick. On the second stage in accordance with a mine-out plan acomplex inspection, which includes the laboratory and instrumental methods of research, tests offunctional diagnostics, was conducted. On the third stage the results of inspection were analysed,the correction of somatopathies was conducted, appeared contra-indication to that or othermethod of treatment, surgical treatment of noncommunicative forms of dysplasia of mammaryglands and violations of menstrual function was conducted for women with a hysteromyoma.In a 1 group the noncommunicative forms of diffuse dysplasia of mammary glands had 49 (76,7%) from 64 women, diffuse mastopathy is the third – 14 (23,7%). In 2 groups the key form ofmastopathy prevailed also – 73,3%, diffuse forms met in 26,7%.

Results. The choice of tactic of hormonal treatment was conducted taking into account agynaecological disease, state of mammary glands, presence and volume of operative interferencesand endocrine violations. Herbal medicines, mainly, was appointed additionally with the purposeof normalization of secretion of prolactin.At setting of hormonal preparations the results of tests of functional diagnostics were taken intoaccount and information hormonal researches, with anovulatory cycles and insufficiency of luteal phase progestogens was appointed patients and the combined oral contraceptives, at a normaldiphasic cycle – only the combined oral contraceptives.At contra-indications to setting of hormonotherapy in all groups transdermally progesterone wasappointed for 2,5 gs on the skin of every suckling gland 2 times per days (in the morning and in theevening) continuously during 6 months. From the combined oral contraceptives advantage gaveoneself up gestagen of 3th generation of desogestrel, that contain, gestodene, norgestimate.Preparations were used on a contraceptive chart during one year, beginning from the first day ofmenstrual cycle. A positive therapeutic effect was considered on the followings signs: from theside of mammary glands: diminishing of pain syndrome, decline of oedematousness of fabrics,diminishing of engorgement of mammary glands is in a premenstrual period; from the side of privyparts: absence of complaints, pathological excretions and violations of menstrual cycle.Analysing efficiency of the complex developed by us it follows notices, that for women with theunited pathology was succeeded on 43,4%, to conduct the prophylaxis of progress to the relapseof dysplasia of mammary glands and on 36,7% – violations of menstrual function for women witha hysteromyoma.

Conclusion. Got information, in our view, convincingly testify that a conservative holiatry of womenwhich suffer illnesses of mammary glands in combination with a hysteromyoma is a prophylacticmeasure in relation to progress and relapse of the united pathology at this category of patients.It is got by us results give a right to recommend the offered complex in a practical health protectionto us.