VEGETATIVE VIOLATIONS ON THE BACKGROUND OF THE PATHOLOGY ENDOMETRIUM IN THE LATE REPRODUCTIVE AND PREMENOPAUZAL PERIOD
DOI:
https://doi.org/10.11603/2415-8798.2017.2.7841Keywords:
vegetative dysfunction, endometrial pathology, late reproductive age, premenopause, Wein questionnaire.Abstract
Diseases of the endometrium are a common gynecological pathology, the frequency of which is significantly increased by the period of premenopause. This age period is also associated with a high percentage of transition of the initial vegetative changes and violations to more severe conditions. Analysis of the features of somatic and vegetative manifestations helps to differentiate their psychosomatic or psycho-vegetative character and optimize complex therapy.
The aim of the study – to reveal signs of vegetative dysfunction (VD) in women of late reproductive and premenopausal age suffering from endometrial pathology (PE).
Materials and Methods. Clinical and anamnestic features, vegetative profile, psychological status and quality of life of 325 women 35 to 55 years old with endometrial pathology were studied. For the diagnosis of VD ballroom questionnaire of A. M. Wayne was used. The personality profile was assessed in 176 women of the PE group using the FPI test, designed to diagnose mental states and personality traits. To study the quality of life, the SF-36 health questionnaire was used.
Results and Discussion. According to the results of testing on the questionnaire of Wayne, 74.5 % of patients showed pronounced vegetative dysfunction. Summarizing the results obtained, first of all, it is necessary to note very high VD scores for PE – in ¾ cases they were above the norm, in each second they exceeded 27 points, although almost the entire range of vegetative profile was represented in the PE group: from 3 to 60 points , with a possible range from 0 to 60. However, only 11.6 % of women with severe VD were seeking medical help in connection with the pathology of the vegetative system. It was found that the presence of vegetative disorders is associated with increased neuroticism of patients, a decrease in the quality of life and an increased rate of recurrence of endometrial pathology.
Conclusions. It was concluded that the combination of endometrial pathology with vegetative dysfunction significantly aggravates the prognosis of treatment. Therefore, it is necessary to study the state of vegetative profile in examining women of late reproductive and premenopausal age with endometrial pathology.
References
Akarachkova, E.S. (2010). K voprosu diagnostiki i lecheniya psikhovegetativnikh rasstroystv v obschesomaticheskoy praktike [To the issue of diagnosis and treatment of psycho-vegetative disorders in general-somatic practice]. Lechaschiy vrach – Attending Physician, 10, 5-8 [in Russian].
Bryabrina, T.V. (2010). Nevroticheskie rasstroystva u lits s somatoformnoi vegetativnoy disfunktsyey [Neurotic disorders in persons with somatoform autonomic dysfunction]. Vestnik Yuzhno-Uralskogo gosudarstvennogo universiteta. Seriya: Psikhologiya – Journal of the South Ural State University. Series: Psychology, 9, 18-22 [in Russian].
Vein, A.M. (2003). Vegetativnie rasstroystva [Vegetative disorders].Moscow: Meditsinskoe informatsionnoe agentstvo [in Russian].
Vorobeva, O.V. (2006). Psikhovegetativnyy sindrom, assotsiirovannyy s trevogoy (voprosy diagnostiki i terapii) [Psycho-vegetative syndrome associated with anxiety (diagnosis and therapy)]. Russkiy meditsinskiy zhurnal – Russian Medical Journal, 23, 1696-1699 [in Russian].
Zinkovskiy, A.K. & Yurov, I.E. (2001). Lichnostnye osobennosti i psikhovegetativnyy status patsyentov s panicheskim i generalizovannim trevozhnym rasstroystvom [Personal features and psycho-vegetative status of patients with panic and generalized anxiety disorder]. Sotsialnaya i klinicheskaya psikhiatriya – Social and Clinical Psychiatry, 2, 44-47 [in Russian].
Korniienko, S.M. (2016). Patolohiia endometriia u zhinok piznoho reproduktyvnoho viku [Endometrial pathology in women of late reproductive age]. Visnyk Vinnytskoho Natsionalnoho Universytetu – Journal of Vinnytsia National University, 20 (2), 436-439 [in Ukrainian].
Kotova, O.V.& Maksimova, L.N. (2012 ). Patsyent s psikhovegetativnym sindromom: pomogaet vrach obschei praktiki [Patient with psycho-vegetative syndrome: a general practitioner helps]. Farmateka – Pharmatec,19, 36-40 [in Russian].
Mahovskaya, T.G. (2004). Somatoformnaya disfunktsiya vegetativnoy nervnoy sistemy v strukture pogranichnykh psikhicheskikh rasstroystv (kliniko-epidemiologicheskoe issledovanie) [Somatoform dysfunction of the autonomic nervous system in the structure of borderline mental disorders (clinical epidemiological study)]. Rossiyskiy psikhiatricheskiy zhurnal – Russian Psychiatric Journal, 3, 19-22 [in Russian].
Milovidova, S.G. & Kildebekova, R.N. (2007). Psikhovegetativnie narusheniya u zhenshchin reproduktivnogo vozrasta pri adenomioze [Psycho-vegetative disorders in women of reproductive age with adenomyosis]. Materialy nauchno-prakticheskoy konferentsii «Aktualnye problemy vnutrennikh bolezney: traditsionnye i psikhosomaticheskie podkhody» – Materials of the scientific-practical conference «Actual problems of internal diseases: traditional and psychosomatic approaches»,2 Chelyabinsk [in Russina].
Morozova, O.G. (2008).Vegetativnie disfunktsyi v obschesomaticheskoy praktike [Vegetative dysfunction in generalpurpose practice] Zdorovye Ukrainy – Health of Ukraine, 3, 51-52 [in Russian].
Kulakov, V.I., Manukhin, I.B. & Saveleva, G.M. (Eds.) (2007). Natsionalnoe rukovodstvo. Ginekologiya [National leadership. Gynecology]. Moscow: GOETAR-Media [in Russian].
Radetskaya, L.E. (2008). Psikhologicheskie i vegetativnie osobennosti zhenshchin, bolnykh endometriozom [Psychological and vegetative features of women with endometriosis]. Medlain Ekspress – Medline Express,1,126-129 [in Russian].
Yaroshevskiy, A.A. (2010). Vegetativnaya disfunktsiya i mishechno-skeletnaya bol: vzaimosvyaz i vozmozhnosti nemedikamentoznoy terapii [Vegetative dysfunction and musculoskeletal pain: the relationship and possibilities of non-drug therapy]. Mezhdunarodnyy nevrologicheskiy zhurnal – International Neurological Journal, 4, 62-70 [in Russian].
Armstrong, A.J., Hurd, W.W., Elguero, S., Barker, N.M., & Zanotti, K.M.(2012). Diagnosis and management of endometrial hyperplasia. Journal of Minimally Invasive Gynecology, 19 (5), 562-571.
Fink, P., Rosendal, M.,& Olesen, F.(2005). Classification of somatization and functional somatic symptoms in primary care. Australian and New Zealand Journal of Psychiatry, 39 (9), 772-781.
Fink, P., Toft, T., & Hansen, M.S.(2007). Symptoms and syndromes of bodily distress: an exploratory study of 978 internal medical, neurological, and primary care patients. Psychosomatic Medicine Journal, 69 (1), 30-32.
Christopher, J.M. (2003). Autonomic diseases: management. Journal of Neurology, Neurosurgery, and Psychiatry, 74 (Suppl. III), 44-47.
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