Modern features of the anamnesis of patients from preeklampsiа varying severity

Author(s):  I.V. Simanov, candidate of Sciences, State budgetary institution of health care of Stavropol Krai "Pyatigorskinterdistrict maternity hospital" , Pyatigorsk, Russia, simigor1@rambler.ru

Issue:  Volume 41, №2

Rubric:  Clinical Medicine

Annotation:  Objective of this research was studying of modern risk factors on development of a preeklampsia of vary-ing severity on the basis of the anamnesis of patients. Results of the conducted research showed that the preeklampsia most often develops at first pregnant woman "fertile" age, brainwork, with the burdened heredity and the somatic anamnesis, inflammatory diseases of a female genital and violation of a men-strual cycle. Among the burdening factors is heredity and the somatic anamnesis it is necessary to carry diseases of vascular and kidney genesis and an endokrinopatiya (pyelonephritis, a hypertensive illness, violation of a fatty exchange). Risk factors on development of a preeclampsia of "easy" and "average" severity are: first pregnant woman age from 19 till 30 years (on average 24.5+5.5 years), with the bur-dened heredity (cardiovascular and renal pathology), inflammatory diseases of a female genital, violation of a menstrual cycle and existence of somatic pathology, mainly violation of a fatty exchange and pyelo-nephritis. Risk factors on development of a preeclampsia of "heavy" severity are: "young" and old "age" one birth with heavy somatic pathology, mainly with chronic pyelonephritis and a hypertensive illness. The heavier somatic pathology proceeds, the clinical symptoms of a preeclampsia are expressed stronger. The critical period on development of a preeclampsia of varying severity is the "fertile" age of patients from 19 to 30 years. And the risk of development of "heavy" forms of this pathology increases at "young" and old "age" one birth twice. The knowledge of anamnesis data with a preeclampsia will allow to diag-nose this pathology for patients at "early" stages that will reduce the number of complications during pregnancy, in labor and in the postnatal period and considerably will improve the "remote" forecast

Keywords:  anamnesis, preeklampsiya, heredity, somatic pathology, gynecologic diseases

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