Because the research out of specialized scientific statistics are dependent on the newest population’s willingness to seek medical attention, a very in the-breadth picture of this new reproductive health of the population away from Yakutia must take several affairs into consideration: ethnic supply, host to provider, usage of out of scientific properties. This research try held thereupon objective planned.
Part 2. Material and techniques
You will find selected 3 first subject areas to analyze: determining services and you may determining items off reproductive health and actions inside adolescent girls and you will feminine off reproductive many years; determination out of local-, ethnicity- and you can many years-associated items affecting and you will affecting reproduction in the adolescent years; execution and you will comparison regarding treatments designed to increase the reproductive health of adolescent girls and you may women away from reproductive many years, and you can drop-off reproductive losings inside the Yakutia.
Making use of their concur, an extra gynaecologic examination was performed to the girls having a last off sexual hobby
This study try accomplished from the medical care and you can educational organizations in the city regarding Yakutsk, the latest communities out-of Sayylyk (Ust-Yansky part), Olenek (Allaikhovsky part), Berezovka (Srednekolymsky part), Andryushkino and you will Kolymskoe (Nizhnekolymsky region). All in all, 578 women was learnt, together with 476 about local Yakuts and Evenks.
A team of 318 adolescent girls is actually hired if you’re presenting to own regimen bodily assessments in structured organizations. These girls were 8–11th graders from universities around off Yakutsk in addition to investigation villages. First- and you will second seasons children off Yakutsk County School in addition to participated. The study users had been split into step three organizations:
Category We: 102 members away from Eu supply, produced and located in Yakutia, composed of 50 young girls and you can adolescent girls, and you can 52 female off reproductive ages;
Classification II: 296 users from Yakut ethnicity, including 186 younger girls and you can teenage girls, and you will 110 women of reproductive ages; and you may
Class III: 180 professionals of Evenk ethnicity, including 82 girls and you may teenage girls, and 98 feminine away from reproductive age.
The average person guidance questionnaire included first market information and you can related medical and you will societal background, with special interest on the pursuing the areas:
This new actual test is actually done in a clinic function from the room-temperature. Many anthropometric indicators was submitted, as well as peak and kissbrides.com visit the site pounds, body mass index, resting height, breasts width, neck depth, feet size (from the greater trochanter toward floors) and you may pelvic dimensions.
The new phase regarding sexual creativity try calculated according to the Tanner Approach (92), just like the modified from the Skorodok (93). Pelvic size have been mentioned which have a great gynaecologic pelvimeter, playing with standard tips. Non-gynaecologic problems were identified having fun with a particularly arranged techniques merging medical, research and you can useful education.
On exposure from specific issues sufficient reason for consent, girls and no reputation of sexual craft underwent recto-intestinal study of the fresh new pelvis.
Most of the people underwent ultrasound utilising the ALOKA-1700 that have an excellent step 3.5 MHz intestinal transducer and you will an effective 6.5 MHz vaginal transducer. They also was checked-out with the Voluson – 730 Expert V using the IC5-9H?GIN and you will RAB2-5?OB transducers.
Another was basically tested: the newest cervix, endocervical density and you may homogeneity, the position, shape and size of your own uterus plus the state of endo- and you will myometrium. Identification and you can medical diagnosis of your own following the requirements are emphasized: endometrial hyperplasia, chronic endometritis, adenomyosis, uterine fibroids. Members was evaluated to possess signs and symptoms of pain of uterine adnexa and you may presence away from glue processes on pelvis. The brand new ovaries was indeed along with checked-out getting dimensions, status and you can presence otherwise lack of folliculogenesis. Folliculogenesis try examined by the ultrasound tabs on the amount and you may dimensions out of hair follicles, additionally the occurrence of your endometrium in all examined monthly period schedules.
Ovarian set-aside was mentioned from the depending what amount of antral hair follicles smaller compared to 10 mm when you look at the diameter having fun with ultrasonography on big date 2–step three of your own cycle. According to amount of hair follicles, members had been categorized just like the with: