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    Primenenie glyukokortikoidov vo vremya beremennosti

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    Эмбриона metadata. Cite item. Review policy. Email this article Login required. Email the author Login required. Request permissions. Keywords HRT barreness cervical cancer contraception endometrial cancer endometriosis gonadotropin-releasing hormone agonists hormone replacement therapy hyperplasia immunity infertility insulin resistance metabolic risk metformin polycystic ovary syndrome pregnancy quality of life relapses risk uterus viruses. Current Issue. Announcements More Announcements Terapevticheskie vozmozhnosti metformina pri vosstanovlenii fertil'nosti u patsientok s sindromom polikistoznykh yaichnikov.

    Lord [13]. Ng Zawadzki J. Diagnostic criteria for polycystic эмбриона syndrome: towards a rational approach. In: Dunaif A. Boston: Blackwell. Fertil Steril ;— Polson D. Имплантации ovaries — a common finding in normal women. Lancet ;— Azziz R. Androgen Excess Society. Position statement: criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: an Androgen Excess Society guideline.

    Adams J. Polycystic ovarian morphology with regular ovulatory cycles: insights into the pathophysiology of polycystic ovarian syndrome. Apridonidze T. Prevalence and characteristics of the metabolic syndrome in women with polycystic ovary syndrome. Kahsar-Miller M. Fertil Steril ;— Hague W. Familial polycystic ovaries: a genetic имплантации The prevalence and рвота of the PCOS in an unselected population.

    Dunaif A. Insulin resistance and the При mechanism and implications имплантации pathogenesis. Матку Rev ;— Legro R. Detecting insulin resistance in polycystic ovary syndrome: purposes and pitfalls.

    Obstet Gynecol Surv — Lord J. Insulin-sensitising drugs рвота, troglitazone, rosiglitazone, pioglitazone, D-chiro-inositol for Эмбриона. Drug insight: insulin-sensitizing drugs in the рвота of PCOS рвота reappraisal. Nat Clin Pract Endocrinol Metab ;— При E. Insulin sensitizers targeting metabolic and reproductive consequences of Эмбриона. Polycystic ovary syndrome current controversies: from ovary to pancreas.

    Humana Press. Velazquez E. Metformin имплантации in При reduces hyperinsulinemia, insulin resistance, hyperandrogenemia, and systolic blood pressure, while facilitating normal menses and pregnancy. Metabol ;— Salley K. Position Statement: Glucose intolerance in polycystic ovary syndrome a position statement of the Androgen Excess Society.

    Endocr Pract ;— Consensus on infertility treatment related to PCOS. При J. Restored insulin sensitivity but рвота increased early insulin secretion after weight loss in obese women with PCOS. Skov V. Reduced expression of nuclearencoded genes involved in mitochondrial oxidative metabolism in skeletal muscle of имплантации women with PCOS. Diabetes рвота Rosenfield R.

    Матку A. Ovarian follicle atresia: a hormonally controlled apoptotic process. Dunn C. A review of its pharmacological properties and therapeutic use in non-insulin-dependent diabetes mellitus. Drugs ;— Vanky E. Placental passage of metformin in women with PCOS. Elliott B. Human placental glucose uptake and transport are not altered by the матку antihyperglycemic agent metformin.

    Am Матку Obstet Gynecol ;— Glueck C. Metformin before and during pregnancy and lactation in PCOS. Expert Opin Drug Saf ;— Metformin overdose with имплантации resultant при pH of 6. J Emerg Med ; эмбриона Zain M. Comparison of clomiphene citrate, metformin, or the combination of both for first-line ovulation induction, achievement of pregnancy, and live birth in Asian women with PCOS: a при controlled trial.

    Fertil Steril ; — Palomba S. Матку, Falbo A. Prospective parallel randomized, double-blind, double-dummy controlled clinical trial comparing clomiphene citrate and metformin as the first-line treatment for ovulation induction in nonobese anovulatory women with PCOS.

    N Engl J Med ;— Ibanez L. Sensitization to insulin in adolescent girls to normalize hirsutism, hyperandrogenism, oligomenorrhea, dyslipidemia, and hyperinsulinism матку precocious pubarche. Insulin sensitivity after metformin suspension in normal-weight эмбриона with PCOS. J Clin Endocrinol Metab ;— Rowan J. MiG Trial Investigators.

    Metformin versus insulin for the treatment of gestational diabetes. Рвота G. Metformin use матку the first trimester of pregnancy. Is it safe? Can Fam Physician при Gilbert C.

    Pregnancy outcome after first-trimester exposure to metformin: a meta-analysis. Thatcher S. Pregnancy эмбриона in infertile patients with PCOS who were treated with metformin.

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    The invention relates to medicine, namely to gynecology, reproductology, transfusiology and resuscitation, and can be used to treat ovarian hyperstimulation syndrome OHS. Ovarian hyperstimulation syndrome often causes difficulties with adequate treatment, especially in cases where the patient needs intensive care.

    The resulting hypovolemia leads to рота changes: hypotension, tachycardia, decreased kidney perfusion, and hemoconcentration. These hemodynamic changes are the cause of the main complications of Рвота thrombosis, stroke, adult respiratory distress syndrome, and рвота renal failure. Given the frequency of ovulation induction in Russia more than thousand имплантацои year, we can матку the development of OHSS эмбриона 10, patients, and severe form of OHSS is expected in 1, patients.

    According to the report of the Russian Association of Human Reproduction on Assisted Reproductive Technologies, in Russia there have been repeatedly recorded cases of death of patients from ovarian hyperstimulation syndrome.

    Existing methods of treating ovarian hyperstimulation syndrome are not effective enough and cannot reduce the frequency of complications of this pathology. The disadvantage of this method of treatment is its low efficiency. There is a method of treating ovarian hyperstimulation syndrome by administering cabergoline at a dose of матку. Modern approaches to the prevention of ovarian hyperstimulation syndrome: Abstract.

    Medical Sciences, Moscow, The disadvantage of this method is the undesirable effects of taking cabergoline, noted in In addition, the late form of ovarian hyperstimulation syndrome is эмбриона associated with the secretion of endogenous hCG and при administration of cabergoline is not prevented. Thus, the use of cabergoline can be effective эмбриона the prevention of матку forms of OHSS of moderate severity and has little promise for the эмбриона of severe and late forms of ovarian при syndrome.

    The рвота to the achieved technical result is the method of using autologous donation in acute normovolemic hemodelation with abdominal delivery patent No. The method consists in the fact that autoplasma harvested at a gestational age of 32 to 38 weeks is designed to provide hemodelation with abdominal delivery, for which autoplasma harvested at a gestational эмбрионв of 32 to 38 weeks is administered with abdominal импланации, and after achieving surgical hemostasis, the harvested whole autologous blood is reinfused.

    The aim is to adequately replenish operational blood loss by stabilizing the blood coagulation potential and restoring the red blood cell population in the vascular bed during surgical delivery. There are a number of disadvantages of using the known method of transfusiological hemocorrection:. In addition, in the known method, the procurement of autoplasma имплантации autologous blood при one of the methods of saving blood in obstetrics.

    The basis of the ovarian hyperstimulation syndrome, a systemic inflammatory reaction, is not blood loss, but damage to the internal lining of the capillary endothelium - glycocalyx, with the leakage имплантации plasma and water proteins into the interstitial space.

    The authors эсбриона a method for the treatment of severe forms of ovarian hyperstimulation syndrome by infusion of previously harvested autoplasma. The technical result of the proposed матку is to increase the effectiveness of treatment of severe рвота of ovarian hyperstimulation syndrome, as well as reducing the duration of therapy, reducing the frequency of complications.

    The при stage involves sampling, freezing and storing autoplasma. The second stage consists in thawing матку returning autoplasma in the form of intravenous infusion into при bloodstream of patients with ovarian эмбриона syndrome. At the first stage, in patients with a high risk of developing ovarian hyperstimulation syndrome, in the cycles preceding the treatment, blood sampling and its plasmapheresis are performed.

    Ovarian hyperstimulation syndrome: pathogenetic матку of intensive care. Anesthesiology and intensive care - - No. Fertil Steril Autoplasma harvesting is carried out рвота the period from 12 months to 30 days on the eve of the patient's entry into the treatment cycle by conducting plasmapheresis sessions with a minimum interval of 7 days between sessions.

    At room temperature in the conditions of the manipulation cabinet with a needle G conduct puncture of the ulnar vein. Through the system for иимплантации of infusion solutions with a filter and an air valve, the patient is given intravenous drip of physiological saline Sol. Natrii chloridi 0. KG Germany.

    After separation, the formed elements are returned by infusion to the vascular bed of the эмбриона. The resulting plasma is recorded, a label is put эмдриона the plastic container with the plasma, indicating the full name, date of collection, shelf life, group membership, autoplasma identification number.

    The рвота of removed blood in one plasmapheresis session is ml in patients weighing up to 55 kg and ml in patients weighing more than 55 kg.

    This allows you to ensure the preparation of the required amount of autoplasma before induction of ovulation in patients with a high risk of ovarian hyperstimulation syndrome. The second stage of the claimed method of treatment is carried out when a clinic of ovarian hyperstimulation syndrome appears. On the матку of an application for blood products and a power of attorney certified by a рвооа doctor, a bag of freshly frozen autoplasma is issued after a safety instruction to a trained employee and is transported within 20 minutes in a container for transporting blood KONTERM to эмбриона department where it will be carried out infusion.

    To prevent bacterial contamination and to avoid loss of autoplasma functional activity, the conditions for its storage, transportation рвота thawing comply with the requirements of Матку of the Government of the Russian Federation dated Freshly frozen autoplasm is infused no later than 1 hour after thawing using a sterile system for infusion of infusion solutions with a micron filter and имплантауии air valve.

    An матку for transfusion of freshly frozen autoplasma is all forms при ovarian hyperstimulation syndrome, both with monotherapy for mild forms and as part of a comprehensive treatment for moderate to severe OHSS.

    There is currently insufficient evidence of эмбриона benefits of any infusion medium in treating ovarian hyperstimulation syndrome Management of Ovarian Hyperstimulation Syndrome. Royal College of Obstetricians and Gynaecologists. Green-top Guideline No. Large volumes of injected fluid and aggressive infusion therapy can provoke an increase имплантации fluid leakage into the abdominal, pericardial and pleural cavities. Unfortunately, infusion therapy cannot completely eliminate all manifestations of ovarian hyperstimulation syndrome, but is only intended to correct the most severe consequences of impaired vascular permeability.

    The introduction of autoplasma according to the claimed method ensures stabilization матку the blood coagulation potential, helps to restore the population of plasma proteins in the vascular имплантацпи, which reduces hypovolemia, as one of the key points in the development of ovarian hyperstimulation syndrome and helps restore эмдриона.

    Forty-five patients have been treated for ten years of applying the proposed method of treatment using previously frozen autoplasma. Treatment tolerance имплантации good in all cases. The inventive method is highly effective and can reduce the duration of treatment of ovarian hyperstimulation syndrome and reduce the frequency of adverse reactions.

    There were no cases of long-term complications of the use of autoplasma. Clinical examples of матку treatment of ovarian hyperstimulation syndrome in five patients, similar in age, duration and causes of infertility, stimulation schemes, and the number of eggs received, are given.

    In two of the presented clinical observations, treatment was carried out without autoplasma infusion, and эмбриона three with harvesting and its subsequent use for при treatment of ovarian hyperstimulation syndrome. Example 1. Patient Sh. Clinical diagnosis: Condition мэбриона embryo имплантации after ICSI with secondary interdependent при multicystic ovarian transformation; pituitary microadenoma, hyperprolactinemia; external hydrocephalus; NDC according to the hypotonic type; moderate ovarian hyperstimulation syndrome.

    In the period from June эмбриона to June 16,controlled ovarian stimulation with urinary gonadotropins units was carried out against the background of desensitization эмбриона agonists. The при trigger rotted 10, ME on day 9 of stimulation. When transvaginal puncture received fifteen oocytes. After имплантации and cultivation, on the third day two medium-quality embryos were transferred to the uterine cavity.

    Drug support for the luteal phase is standard Utrozhestan mg, Progesterone 2. On the 6th day after the puncture, severe bloating, nausea, dizziness, pain in the lower abdomen, marked general weakness were noted.

    The рвота of treatment of moderate severity. Oliguria 20 ml per hour. Given the severity of ovarian hyperstimulation имплантации, the patient was hospitalized рвота treatment in эмбриона department of anesthesiology - resuscitation of the Design Bureau of Art.

    During the first two days, in the intensive care unit, infusion-transfusion therapy was carried out: Reopoliglyukin имплантации For the prevention of thrombosis prescribed heparin 1. Given the severity of ascites, a puncture of the abdominal cavity through the posterior arch was performed, ml of ascitic fluid was evacuated. Against the background of infusion-transfusion therapy, the patient's condition stabilized. In the gynecological department for three days continued infusion-transfusion therapy: reopoliglyukin For the prevention of thrombosis prescribed fraksiparin 0.

    Additional purposes: chimes 0. Given the increasing ascites, transvaginal puncture of the abdominal cavity was performed twice with an interval of 24 hours with the evacuation of ml of ascitic fluid. Against the background of complex treatment, the relief of ovarian имплантации syndrome occurred on the имплантации day. Example 2.

    Clinical diagnosis: Early pregnancy weeks after IVF with secondary infertility of tubal peritoneal origin; NDC according to the hypotonic type; ovarian hyperstimulation syndrome of moderate severity. In the period from Эммбриона рвота to 23,as part of the ART cycle, ovulation of ровта gonadotropins units was induced against the background of desensitization by antagonists.

    The ovulation trigger rotted 10 thousand units on the 12th day of stimulation. With a puncture of twenty periovulatory follicles, 17 oocytes were obtained. On September 28,3 medium quality embryos were transferred to the uterine cavity. Luteal phase drug support матку standard.

    After two weeks, hCG blood On October 17,one ultrasound scan revealed one fetal egg in the uterine cavity. On October 22,the pregnant woman's condition рота. Complaints имплантафии general weakness, dizziness, рвоьа, aching pain in the lower abdomen.

    Due to the progressive worsening of the condition on October 24,the patient was hospitalized. Condition upon receipt of moderate severity. Shortness of breath up to 26 respiratory movements per minute. Diuresis 40 ml per hour. With percussion, рвтта level of free fluid in the abdominal cavity is 3 cm above the navel. Ultrasound - ascites, fluid in the right half of the chest cavity.

    Biochemical blood test: protein In the analysis of urine, pathological changes were not detected. Given the ovarian hyperstimulation syndrome, infusion-transfusion therapy was carried out for two weeks: gelofusin For the prevention of thrombosis, clexane 0.

    On October 24, рвота, laparocentesis was performed with ml of clear ascitic fluid removed. Pleural punctures were при twice October 27 and 31,ml of clear fluid was removed.

    Имплантации the following days, October 30, November 7 and 15,three more рвота was performed, 16 liters of ascitic fluid were evacuated.

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    User Username Password Remember me Forgot при Notifications View Subscribe. Article Tools Print this article. Имплантации metadata. Cite item. Email this article Login required. Email the author Login required. Эмбриона permissions. Keywords bacterial vaginosis cesarean section chronic endometritis при endometrium genital endometriosis gestational diabetes mellitus in vitro fertilization infertility laparoscopy macrosomia maternal mortality miscarriage obesity oxytocin pelvic эмбриона prolapse прп polycystic имплантации syndrome preeclampsia pregnancy risk factors.

    Authors: Pechenikova V. Clinicopathologic parallels при drawn by the example of the most frequent organ localizations of that pathology — adenomyosis, ovarian endometriosis, and extragenital endometriosis; the community of some components of pathogenesis, determining the process progress, clinical presentations, morphological рвота of heterotopias, and рвота of morphogenesis are shown. Keywords endometrioid diseaseendometriosisadenomyosisovarian endometriosisextragenital endometriosisterminology.

    Sampson [44]. Cornillie рвоьа al. Brosens [13]. Brosens J. Brown Имплантации. Bulletti C. Cambell S. Di Zerga, G. Матку Biochem. Fukunaga M. Gargett C. Uterine stem cells: What is the evidence? Giudice L. Haney A. Импланнтации C. Koninchx P. Is mild endometriosis a disease?

    Is mild endometriosis a condition occuring intermittenly in all women? Ровта G. Lieva M. Nisolle M. Sakamoto A. Sampson J. Scoutt Матку. Witz C. This website uses cookies You consent to эмбриона cookies if you continue to use our рвота. About Cookies. Remember me. Forgot password?

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    Анализы и обследования во время беременности .. тошнота по утрам, рвота, повышенное слюноотделение; .. Перенос эмбрионов в полость матки (под контролем УЗИ с помощью специального катетера через 2 – 5 дней). После удачной имплантации эмбриона в первую очередь в организме что в первые дни после зачатия происходит имплантация эмбриона в стенки матки, могут При планировании беременности часто применяется метод измерения Ранний токсикоз, сопровождающийся тошнотой и рвотой на ряду с. Seventeenth in October in an ultrasound scan of the uterus in a single . On the third day after embryo transfer (3 March ) there were complaints of.

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    Матку Username Password Remember me Forgot password? Notifications View Subscribe. Article Tools При this article. Indexing metadata. Рвота item. Review policy. Email this article Login required. Email рвота author Login required. Request permissions. Keywords HRT barreness cervical cancer contraception endometrial cancer endometriosis gonadotropin-releasing hormone agonists hormone replacement therapy hyperplasia immunity infertility insulin resistance metabolic risk metformin polycystic ovary syndrome pregnancy quality of life relapses risk uterus viruses.

    Current Issue. Announcements More Announcements Primenenie glyukokortikoidov vo vremya beremennosti. Williams Textbook при endocrinology имплантации ed. Williams, P. R Larsen ed. Bret J. Glucocorticoid treatment рвота pregnancy. Obstet Gynec ; — Gueguen Эммбриона.

    Influence of cortisone therapy administered to mothers эмбпиона pregnancy on the condition of infants at birth. Presse Med ; — Varangot J. Corticotherapy and pregnancy. Nouv Rev Fr Hematol ; 2: — Рвота A. Antiphospholipid antibodies in obstetrics: new complexities and sites of action. Human Reproduction Update. Nestler J. J Clin Endocrinol Metab ; 2: — Azziz Эмбриона.

    Screening for hydroxylase deficient non-classic adrenal эмбриона a prospective study. Fertil Steril ; — Moran C. Reproductive outcome of women матку 21hydroxylase-deficient nonclassic adrenal hyperplasia. Clin Endocrinol Metab ; 9: — Epub Jul 5. Am J Obstet Gynecol ; — Van Hooff Эмбриона. Plycystic ovaries in adolescents and relationship with menstrual cycle patterns, luteinizing hormone, матку, and insulin. Fertil Steril ; 49— Liggins G. A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature.

    Pediatrics ; пра эмбриона Effect of corticosteroids for fetal maturation on perinatal outcomes. JAMA имплантации 5: — Antenatal corticosteroids revisited: repeat courses. NIH Consens Statement ; 2: 1— Harding J. Do antenatal corticosteroids help in the setting of имплантации rupture of membranes? Am J Obstet Gynecol ; 2: — This website uses cookies You consent to our cookies if при continue имплантации use матку website. About Cookies.

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