COMPLEX TREATMENT PRINCIPLES OF THE PATIENTS WITH THE ABNORMAL UTERINE BLEEDINGS IN THE PUBERTAL PERIOD

Aim. To increase the effectiveness of the classical approach to the therapy of abnormal uterine bleeding by the phased use of personalized treatment regimens in conjunction with the methods of the physiotherapeutic methods.

Materials and methods. The case maps of the girls of the pubertal period previously treated (archival material) with the verified diagnosis of abnormal uterine bleeding of the pubertal period (AUBPP) were subjected to analysis. A database was created, of which 367 cases were selected; patients were treated in two classical stages. In the second group, 367 girls were selected for treatment and supervision that met the required criteria and agreed to participate in the study. In this group, the rehabilitation stage was carried out using personified schemes, which included non-pharmacological physiotherapy procedures, selected taking into account the type of bleeding.

Results. The applied method of personalized treatment of patients with AUBPP under ultrasound control allowed reducing the number of relapses AUBPP.

Conclusion. The use of personalized regimens for the treatment of abnormal uterine bleeding in the pubertal period supplemented by a complex of physiotherapy procedures, selected taking into account the bleeding peculiarities and conducted under dynamic ultrasound control, showed a significant reduction in the period of restorative treatment and rehabilitation of patients.

1. Веселова Н.М. Особенности дифференцированного применения гормонального и негормонального метода лечения у девочек-подростков с маточными кровотечениями пубертатного возраста. Биологическая медицина. 2007; 13(2): 35-42 [Veselova N.M. Osobennosti diversum usum non-hormonal et hormonal in modum adolescens puellis curatio vteri cruentamque ad pubertatem. Biological medicina honoribus MMVII; 13(2). 35-42 (In Russ.)].

2. Гинекология: национальное руководство. Краткое издание / под ред. Савельевой Г.М., Сухих Г.Т., КулаковаИ.Б., Манухина. М.: ГЭОТАР-Медиа; 2013. 193-204. [Gynecologia nationalibus ducis. Velox Edition / ed. GM Savelevoj. GT Siccum, Kulakov IB Manukhina. M.: Media GEOTAR MMXIII, S.193-204 (In Russ.)]

3. Уварова Е.В. Детская и подростковая гинекология: руководство для врачей. М.: Литтера; 2009. 384 с. (серия «Практические руководства»). [Uvarova E.V. Adolescente Paediatric et Gynecology: et duce pro medicis. M.: Littera; 2009. 384 s. (In Russ.)]

4. Уварова Е.В. Аномальные маточные кровотечения. Репродуктивное здоровье детей и подростков. 2013; 3: 7388. [Uvarova ev Abnormal vteri cruentamque. J identitate puerorum et adolescentium. 2013; 3: 73-88, №3, S.73-88(in Russ.)]

5. Ушако А.А. Практическая физиотерапия. 2-е изд., испр. и доп. М: ООО «Медицинское информационное агентство»; 2009. 608с. [Ushakov A.A. Practical physiotherapy. – M. "News Agency Medical", 2009. 608s.(in Russ.)]

6. Minjarez D.A., Bradshov K.D. Abnormal Uterine Bleeding in Adolescents. Obstet and Gyn Clinics. 2000; 27(1): 63-78.

7. Richlin S.S., Rock J.A. Abnormal Uterine Bleeding In: Pediatric and Adolescent Gynecology. 2 th ed. Copywriting: Lippincott Williams & Wilkins, 207-25, 2000.

8. Laura J. Benjamins Practice Guidelines: Evaluation and Management of Abnormal Vaginal Bleeding in Adolescents J Pediatr Health Care. 2009; 23(3): 189-193.

9. Gray S. H., & Emans S. J. (2007). Abnormal vaginal bleeding in adolescents. Pediatricsin Review. 28: 175-182.