Scientific journal
European Journal of Natural History
ISSN 2073-4972

METABOLIC AND CIRCULATORY DYNAMICS DISORDERS IN TEENAGE GIRLS WITH OLIGOMENORRHEA AND SECONDARY AMENORRHEA

Levenets S.O., Nachetova T.A. Vvedenskaya T.S.
Disorders of menstrual function like oligomenorrhea (OM) and secondary amenorrhea (SA) in teenage girls in most cases are attended by disorders of the cardiovascular system and lipid metabolism functional state. The lipid profile study showed the existence of dyslipidemia of atherogenic character in the majority of patients with the specified pathology. Central circulatory dynamics disorders took place in more than 80% of the cases, only in 6% of the patients the showings characterizing uterus and ovary blood supply fell within the limits of the norm.

Purpose of the work: finding heart, uterus and ovaries vessels Doppler investigation complex of showings for an individual circulatory dynamics state evaluation. For the realization of the purpose Doppler investigation of the heart and vessels of uterus and ovaries in 92 patients with OM and SA was carried out. The estimation of diagnostic value of the obtained showings was carried out according to the system-information analysis of Vald.

The main diagnostic markers of a circulatory dynamics system disorder were: myocardial thickness less than 5mm (yes - RQ = +6; no - RQ = -0,4), fraction of cardiac output less than 63% (yes - RQ = +6,5 ; no - RQ = -2,9), systole blood velocity of the left atrium more than 80сm/sec (yes - RQ = +6; no - RQ = - 0,4), relaxation time of the left ventricle more than 0,06 sec (yes - RQ =+5,6; no - RQ = -3), systole blood velocity (SBV) in the uterine artery less than 30 сm/sec (yes - RQ = +6; no - RQ = -1,5), SBV in the right ovarian artery less than 30 сm/sec (yes - RQ = +8; no - RQ = -2,8), SBV in the left ovarian artery less than 30 сm/sec (yes - RQ = +7; no - RQ = -4,3), difference between SBV in the uterine and the right ovarian arteries more than 10 сm/sec (yes - RQ = +9,4; no - RQ = -1,8), difference between SBV in the uterine and the left ovarian arteries more than 10 сm/sec (yes - RQ = +10,4; no - RQ = -2,3), difference between SBV in the right and left ovarian arteries more than 10 сm/sec, (yes - RQ = +6,7; no - RQ = -0,8).

The sum (-13) testifies to the absence of circulatory dynamics disorders, from (-13) to (+13) - to the initial manifestations of the disorders, the sum of more than 13 testifies the existence of evident disorders which require medicamental correction and physiotherapy. The correction of the specified circulatory dynamics disorders in the teen age in patients with OM and SA will allow preventing serious functional disorders of the cardiovascular system.


The article is admitted to the III International congress "Practising doctor", April, 10-12th, 2007, Russia (Sochi), came to the editorial office on 16.03.07