Just like the studies regarding certified medical statistics try dependent on the new population’s willingness to get medical assistance, an even more within the-depth picture of the newest reproductive wellness of your populace from Yakutia must take multiple issues into account: ethnic provider, host to resource, entry to out of scientific qualities. This research is held with this mission in your mind.
Chapter 2. Information and techniques
I have selected step three first topics to examine: pinpointing functions and you may determining facts out of reproductive health insurance and conduct for the teenage girls and you will women out-of reproductive decades; devotion from local-, ethnicity- and age-relevant products affecting and you can affecting reproduction on teenage age; implementation and testing out of treatments designed to improve reproductive wellness of adolescent girls and you will feminine of reproductive decades, and you can fall off reproductive loss inside Yakutia.
And their concur, a supplementary gynaecologic examination are performed into the girls that have a history from sexual hobby
This study are carried out in the medical care and you will academic institutions around out of Yakutsk, the towns from Sayylyk (Ust-Yansky area), Olenek (Allaikhovsky region), Berezovka (Srednekolymsky part), Andryushkino and you will Kolymskoe (Nizhnekolymsky part). All in all, 578 feminine was basically read, together with 476 about indigenous Yakuts and you can Evenks.
A group of 318 adolescent girls are employed when you find yourself to present to own regime physical examinations for the arranged teams. Such girls have been 8–11th graders away from schools in town out-of Yakutsk plus the analysis villages. First- and you may second year people out-of Yakutsk County College or university and participated. The analysis professionals was in fact split into step three organizations:
Group I: 102 participants out of Eu resource, born and staying in Yakutia, including 50 more youthful girls and you will teenage girls, and you can 52 women off reproductive many years;
Category II: 296 participants of Yakut ethnicity, comprising 186 younger girls and you can teenage girls, and 110 women of reproductive ages; and you can
Group III: 180 players out of Evenk ethnicity, including 82 girls and teenage girls, and you will 98 feminine regarding reproductive decades.
The person guidance questionnaire integrated first group advice and you may related medical and you may societal history, having special-interest from the following sphere:
The newest physical examination was done in a hospital mode within room-temperature. Many anthropometric evidence was registered, along with top and you may pounds, bmi, sitting height, breasts circumference, neck thickness, base size (regarding the higher trochanter on floor) and pelvic dimensions.
The fresh stage out of sexual advancement are determined according to the Tanner Method (92), as changed by the Skorodok (93). Pelvic proportions was in fact mentioned that have a gynaecologic pelvimeter, using standard methods. Non-gynaecologic conditions was indeed known having fun with an especially install procedure combining medical, laboratory and you may functional degree.
Regarding the visibility out-of certain complaints in accordance with concur, girls no history of sexual craft undergone recto-abdominal study of the new hips.
All customers underwent ultrasound by using the ALOKA-1700 which have a great step 3.5 MHz abdominal transducer and you can a six.5 MHz vaginal transducer. Nonetheless they had been looked at utilising the Voluson – 730 Professional V utilizing the IC5-9H?GIN and you will RAB2-5?OB transducers.
The following have been looked at: the fresh new cervix, endocervical thickness and you can homogeneity, the career, shape and size of your own uterus additionally the county of the endo- and you can myometrium. Character and prognosis of one’s after the standards try highlighted: endometrial hyperplasia, chronic endometritis, adenomyosis, uterine fibroids. Users were examined for signs and symptoms of pain of one’s uterine adnexa and presence out-of adhesive techniques on the hips. The fresh ovaries was basically together with examined getting dimensions, reputation and you will presence or absence of folliculogenesis. Folliculogenesis is actually examined by the ultrasound tabs on the quantity and you can proportions out-of hair follicles, together with density of your endometrium in every read monthly period time periods.
Ovarian set aside is actually mentioned of the depending exactly how many antral follicles smaller than 10 mm seksikГ¤s Thai-naiset into the diameter playing with ultrasonography with the big date dos–step three of the menstrual cycle. Depending on the amount of follicles, professionals was categorized just like the having:
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