RESUMEN
BACKGROUND: Estrogens have not only direct and beneficial effect on relaxation of the arteries increasing the blood flow in the blood vessels, but also their level of secretion has considerable effect on synthesis of acetylcholine a neurotransmitter indispensable for appropriate functioning of the hearing organ. The aim of this study is analysis of the effect of hormones on the hearing organ in women who underwent surgical castration. MATERIAL: The study included 40 females, aged between 32 55 years who had undergone an operative treatment mainly because of uterine myoma. A group of 50 women aged between 32 50 years with appropriate hormone level comprised the control group. METHOD: Each woman investigated underwent the following examinations: gynaecological, otolaryngological and laboratory tests, such as: evaluation of levels of estradiol (E) and folliculin stimulating hormone (FSH). The assessment of hearing was carried out using tone and speech audiometry, tympanometry, test registration of auditory brain stem responses (ABR) and otoacoustic emissions (EOAE). The examinations mentioned above are performed in women as initial examinations before surgical treatment and as follow-up examinations 1, 3 and 12 months after the surgery. RESULTS: The results presented in this paper include initial examinations and follow-ups 3 months after the surgical treatment taking into consideration the correlation with the results of laboratory tests and the results obtained in the control group.
Asunto(s)
Estradiol/sangre , Hormona Folículo Estimulante/sangre , Pérdida Auditiva/diagnóstico , Ovariectomía , Adulto , Umbral Auditivo , Preparaciones de Acción Retardada/administración & dosificación , Estradiol/administración & dosificación , Femenino , Estudios de Seguimiento , Pérdida Auditiva/etiología , Pruebas Auditivas , Terapia de Reemplazo de Hormonas , Humanos , Persona de Mediana Edad , Emisiones Otoacústicas Espontáneas , Ovariectomía/efectos adversosRESUMEN
Modern operative methods of myomectomy in women treated because of sterility are shown, with pointing these methods in which possibilities of post-operative adhesions and loss of blood are decreased. Also laparoscopic methods with use of laser are shown.
Asunto(s)
Infertilidad Femenina/cirugía , Leiomioma/cirugía , Neoplasias Uterinas/cirugía , Adulto , Femenino , Humanos , Infertilidad Femenina/etiología , Laparoscopía/métodos , Terapia por Láser/métodos , Leiomioma/complicaciones , Complicaciones Posoperatorias , Adherencias Tisulares/etiología , Enfermedades Uterinas/etiología , Hemorragia Uterina/etiología , Neoplasias Uterinas/complicacionesRESUMEN
Maternal instinct was evaluated in women with complicated pregnancy by means of inquiry. Perception of the first fetal movements by pregnant women in as important moment in maternal instinct development. Pregnant women with bad obstetrical history show greater anxiety about unborn yet child. Intensity of maternal instinct is similar in multiparas and nulliparas.
Asunto(s)
Conducta Materna/psicología , Complicaciones del Embarazo/psicología , Adolescente , Adulto , Ansiedad/psicología , Femenino , Movimiento Fetal , Humanos , Paridad , EmbarazoRESUMEN
The aim of this study was to investigate the influence of acoustic stimulus on behavioural heart responses of fetuses near term (38 to 42 weeks of gestational age) and comparison assessment of FHR to Auditory Brain Stem Responses (ABR) in the same babies after their birth. The study group consisted of 30 babies with pathological pregnancies and control group of 30 neonates of physiological pregnancies. Our results indicated, that the pattern of FHR accelerations after application of acoustic stimulus was significantly altered and depended on of the kind of pregnancy. Duration and amplitude of FHR obtained in the patients with complicated pregnancy were significantly smaller in comparison to the pattern observed in normal patients (142 msec to 249 msec, and 36 to 22 as well). Comparing the results obtained in FA (Fetal Audiometry) and ABR (Auditory Brain Stem Responses) we can say, that prolonged latency between a stimulus and accelerations is also combined with the prolonged latency of consecutive waves in ABR. Shortened duration of accelerations and its decreased amplitude could respond to the diminished amplitude in ABR recordings.
Asunto(s)
Potenciales Evocados Auditivos del Tronco Encefálico/fisiología , Recién Nacido/fisiología , Audiometría de Respuesta Evocada , Cardiotocografía , Femenino , Corazón Fetal/fisiología , Edad Gestacional , Humanos , Embarazo , Tercer Trimestre del Embarazo , Atención PrenatalRESUMEN
PIP: A case of actinomycosis of the genitals is described. It occurred in a woman after insertion of an IUD. The paper presents the diagnostic difficulties resulting from the rarity of such complication, and the noncharacteristic signs and symptoms of the disease, leading to initial therapeutic failure. In the described case, the signs of inflammation of the genital organs were accompanied by a hard infiltration of the bladder wall. Results of ultrasonographic and microscopic examinations permitted finally to pose the correct diagnosis. Full recovery was observed after a 28 day curative period including injections of 22 million units of penicillin and 4 grams of ampicillin per day. (Author's modified)^ieng
