Особливості стану імунної системи у пацієнток з функціональними кістами яєчників

In: 2072-9367 · 2022 · W7159740089
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This study examined immune system disorders in 50 reproductive-age women diagnosed with functional ovarian cysts through clinical, gynecological, and ultrasound assessments. The researchers found that 70% of patients had chronic pelvic inflammatory processes, with specific degrees of cellular and humoral immunity impairment varying by parity and infertility status. These findings indicate that assessing immune status early can help individualize immunomodulatory drug dosing for complex therapy. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Conducting a qualitative and comprehensive examination of patients with functional ovarian cysts is fundamentally necessary to understand the treatment strategy of this pathological state. The objective of the work was to study the features of immune disorders in patients of reproductive age with functional ovarian cysts.  Methods. 50 patients of reproductive age with functional ovarian cysts were examined. General clinical, gynecological, ultrasound examination of the pelvic organs, a study of the state of the immune system were carried out. Results. In 70% of patients chronic inflammatory processes of the pelvic organs were detected. The findings revealed varying degrees of immune system disorders in women with ovarian cysts with different parity. In nulliparous and women who gave birth violations of cell immunity of the I degree were revealed, in the group with infertility - II degree. In the group of patients who gave birth and with infertility, the III degree of disorders of humoral immunity was diagnosed, and in nulliparous women - II degree. Conclusion. Determining the degree of disorders of the immune system already at the prehospital stage will allow individualizing the choice and dosing regimen of immunomodulatory drugs as part of the complex therapy of functional ovarian cysts.
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The state of the immune system in patients with functional ovarian cysts DOI: https://doi.org/10.34287/MMT.4(55).2022.5Abstract Conducting a qualitative and comprehensive examination of patients with functional ovarian cysts is fundamentally necessary to understand the treatment strategy of this pathological state. The objective of the work was to study the features of immune disorders in patients of reproductive age with functional ovarian cysts. Methods. 50 patients of reproductive age with functional ovarian cysts were examined. General clinical, gynecological, ultrasound examination of the pelvic organs, a study of the state of the immune system were carried out. Results. In 70% of patients chronic inflammatory processes of the pelvic organs were detected. The findings revealed varying degrees of immune system disorders in women with ovarian cysts with different parity. In nulliparous and women who gave birth violations of cell immunity of the I degree were revealed, in the group with infertility - II degree. In the group of patients who gave birth and with infertility, the III degree of disorders of humoral immunity was diagnosed, and in nulliparous women - II degree. Conclusion. Determining the degree of disorders of the immune system already at the prehospital stage will allow individualizing the choice and dosing regimen of immunomodulatory drugs as part of the complex therapy of functional ovarian cysts. References - Zvarych, LI, Lutsenko, NS, Shapoval, OS et al. The frequency of functional ovarian cysts in women of reproductive age in the structure of gynecological pathology. Modern medical technologies. 2015; 2 – 3: 79 – 83. - Arora, Lt Col Devendra, Bhattacharyya, Col TK, Kathpalia, Lt Col SK et al. Acute abdomen in gynaecological. Practice MJAFI. 2005; 61: 66 – 70. - Shapoval, OS. 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Women`s Health. 2017; 1 (117): 81 – 84. - Mancini, G, Carbonare, A, Henemans, J. Immunochemical quantitation of antigens by single radial diffusion. Immunochemistry. 1965; 2: 235. - Zemskov AM, Zemskov VM, Chereshnev VA. et al. Guidelines on Clinical Immunology for Clinical Physicians. Moscow:Triada-X, 2011. – 288 p. - Vovk, IB. Kornatskaya, AG, Lisyana, TO. Features of aerobic and anaerobic microflora in women with hyperproliferative diseases of the uterus and endometrium. Women`s Health. 2016; 2 (108): 102 – 106. Downloads Published How to Cite Issue Section License The work is provided under the terms of the Public Offer and of Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). This license allows an unlimited number of persons to reproduce and share the Licensed Material in all media and formats. Any use of the Licensed Material shall contain an identification of its Creator(s) and must be for non-commercial purposes only.

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