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Register a new userStudying Changes of Some Blood Values in Patients with Uterine Leiomyoma
دراسة تغيرات بعض القيم الدموية لدى مريضات الورم الليفي الرحمي
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أجريت هذه الدراسة في مشفى الأسد الجامعي في اللاذقية عام 2013 وهي دراسة استرجاعية لمريضات الورم الليفي الرحمي اللواتي قبلن في قسم التوليد وأمراض النساء خلال الفترة بين 1/6/2011 و1/6/2013 . شملت الدراسة 103 مريضة . تم توثيق المعلومات الخاصة بكل مريضة : العمر، الأعراض والعلامات، عدد الحمول و الولادات ، السوابق المرضية، الفحص السريري و النسائي ، الإيكو ، التحاليل الدموية : الخضاب و الهيماتوكريت وقيم الكرية الحمراء، نوع العلاج الجراحي المجرى. بلغت نسبة انتشار الورم الليفي في هذه الدراسة 5.1 % . أشيع مظاهره النزف التناسلي الشاذ حيث بلغت نسبته 63.1 % من مجمل التظاهرات السريرية. كان خضاب الدم أقل من 12 غ/دل لدى 61 مريضة منم ريضات الدراسة أي بنسبة 59.22%. كانت قيمة الهيماتوكريت أقل من 36 % لدى 59 مريضة من مريضات الدراسة أي بنسبة 57.28 % . وهذا يؤكد أن مريضات الورم الليفي الرحمي عاليات الخطورة للإصابة بفقر الدم (اعتمدنا على القيم الحدية للخضاب والهيماتوكريت CUT OFF POINT التي وضعتها منظمة الصحة العالمية WHO) , وهو فقر دم بعوز الحديد لأن وسطي قيم الكرية الحمراء أقل من الطبيعي. استئصال الورم الليفي هو الخيار الجراحي لدى الشابات اللواتي يرغبن بالإنجاب أو يردن الحفاظ على الطمث، بينما استئصال الرحم البطني أو المهبلي هو الخيار الجراحي لدى المسنات أو من أتممن حياتهن الإنجابية.
This study was carried at Al Assad hospital, Lattakia. It is a retrospective study of uterine leiomyoma patients who had been accepted in the Department of Gynecology during the period between 1/6/2011 and 1/6/2013 . The study included 103 patients. We documented information for each patient: age, signs and symptoms, number of pregnancies and births, clinical and vaginal examination, ultrasound, blood tests: hemoglobin, hematocrit and red cell values, and the type of surgical treatment. The prevalence of uterine leiomyoma in this study was 5.1%. The most clinical manifestation of uterine leiomyoma was abnormal uterine bleeding (63.1 %). Hemoglobin was less than 12 g / dL at 59.22% of cases. Hematocrit was less than 36% at 57.28 % of cases. This confirms that uterine leiomyoma patients are at high risk of anemia, (we depended on cut off point of WHO for hemoglobin and hematocrit), and the anemia is by iron deficiency because the average values of red blood cells were less than normal. Myomectomy is the surgical option among young women who want to reproduce or maintain menstruation, while abdominal and vaginal hysterectomy are surgical options for older women or who have completed their reproductive life .
References used
Baird DD, Dunson DB, Hill MC, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol 2003; 188:100
Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril 1981; 36:433
Okdokey, Jonathans. Berey: Uterine fibroids, novak's gynecology, © 2002. Lippincott Williams & winkins"392-400, 411-413
Nowak R.A. Fibroids: Pathophsiology and current medicial treatment. Best Pract Res Clin Obstet Gyneco,199; B.223-228
Ann Vester and Jolieke C, Vander Pios. Anemia in the eastern Mediterranean Regoin. Volume issued. 2004; p 64-79
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embedded breast cancer tis
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Hospital and a pathological laboratory in Lattakia - Syria. Tissues were stained for
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illages (Happit, Al-Harah, Marg Moairban).
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In this research, potentiometric using Selective Electrodes ISEs, the Visible Spectrum, and the Turbidimetry methods were used.
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The statistical study has demonstrated and showed high and sometimes low correlation coefficient R2 so that gives clear indications about the sources of pollution.
This research has included quarterly and periodically physical and chemical analysis
of treatment wastewater in the rural areas of Latakia city during year 2011 by testing
three treatment plants similar in the mechanism of action and distributed in
three villages
(Happit, Al-Harah, Marg Moairban).
This study has included the measurement of temperature T, pH, and determination of
sodium, potassium, calcium concentrations, and sodium adsorbed rate (SAR).
This study was based on the potentiometrictechnic using Ion Selective Electrodes
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SAR measurements have shown that there are clear differences between autumn and
other seasons, and between treatment plants. The highest values was in the Happit
treatment plant in all seasons and the highest value was (88.25 mg/L) in the autumn which
is much larger than the allowable limit.
The highest concentrations of sodium ion were in the autumn in all treatment plants
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concentrations in Al-Harah treatment plant was exceeded (670.33-800.00) mg/L the
allowable limit in all seasons except the summer.
The statistical study has demonstrated and showed strongand sometimes weak
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Postpartum Hemorrhage (PPH) is the leading cause of maternal death worldwide. In the developing countries, it is responsible for the death of about 125 000 women each year. In most cases 67-80% are caused by uterine atony.
Uterine massage would re
present a simple intervention with the potential to have a major effect on PPH and maternal mortality in under resourced settings.
Aim: The aim of the present study is to study the effect of uterine massage on the immediate postpartum hemorrhage among primiparae.
Materials and Methods: The study was conducted of al-Assad Hospital and Children & Obstetrics Hospital (Lattakia), a convent sample of 40 primiparae women. Checklist application form was used to assess the postpartum hemorrhage by hemoglobin and hematocrit measurement before applying uterine massage and after the end of procedure.
Results: This study demonstrated that the rate of hemorrhage decreased in the experimental group, hemoglobin and hematocrit was higher (10.4 mg/dl, 32.3%) (P=0.029*) (P=0.015*) among primipara who received uterine massage.
Conclusions and Recommendations: Our present study results advice to apply uterine massage for all women after labor and delivery because its effective in reducing blood loss. It is also recommended to learn nurses how to apply uterine massage.
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Results indicated the existence of significant changes (P<0.05) between the
increase and decrease in all indicators studied throughout The study period, which shows
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average of the effectiveness of enzymes (2.05-26.47), (32.65-181.40) and (11.17-79.76)
U/l for each of the ALP, ALT and AST, respectively, and total concentration of glucose
(37,50-95.20 mg/dl) throughout the study period.
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