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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 .
Artificial intelligence review:
Research summary
أجريت هذه الدراسة في مشفى الأسد الجامعي في اللاذقية عام 2013، وهي دراسة استرجاعية لمريضات الورم الليفي الرحمي اللواتي قُبلن في قسم التوليد وأمراض النساء خلال الفترة بين 1/6/2011 و1/6/2013. شملت الدراسة 103 مريضة، وتم توثيق المعلومات الخاصة بكل مريضة مثل العمر، الأعراض والعلامات، عدد الحمول والولادات، السوابق المرضية، الفحص السريري والنسائي، الإيكو، التحاليل الدموية مثل الخضاب والهيماتوكريت وقيم الكرية الحمراء، ونوع العلاج الجراحي المجرى. بلغت نسبة انتشار الورم الليفي في هذه الدراسة 5.1%، وكان النزف التناسلي الشاذ هو العرض الأكثر شيوعاً بنسبة 63.1%. أظهرت النتائج أن 59.22% من المريضات كان لديهن خضاب أقل من 12 غ/دل، و57.28% كانت قيمة الهيماتوكريت لديهن أقل من 36%. أكدت الدراسة أن مريضات الورم الليفي الرحمي معرضات بشكل كبير للإصابة بفقر الدم بعوز الحديد. كان استئصال الورم الليفي هو الخيار الجراحي الأكثر شيوعاً لدى الشابات اللواتي يرغبن بالإنجاب، بينما كان استئصال الرحم هو الخيار الجراحي لدى المسنات أو من أتممن حياتهن الإنجابية.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على مشكلة صحية شائعة بين النساء في سن النشاط التناسلي. ومع ذلك، يمكن توجيه بعض النقد البنّاء لتحسين الدراسة في المستقبل. أولاً، الدراسة اعتمدت على بيانات استرجاعية مما قد يؤثر على دقة النتائج. ثانياً، لم تشمل الدراسة مريضات الأورام الليفية اللاعرضية، مما قد يؤدي إلى تحيز في النتائج. ثالثاً، كان من الممكن استخدام مشعرات مخبرية إضافية مثل حديد المصل والفريتين لتحسين دقة تقييم فقر الدم. وأخيراً، يمكن أن تكون العينة أكبر وأكثر تنوعاً لتعميم النتائج بشكل أفضل.
Questions related to the research
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ما هي نسبة انتشار الورم الليفي الرحمي في هذه الدراسة؟
بلغت نسبة انتشار الورم الليفي الرحمي في هذه الدراسة 5.1%.
-
ما هو العرض السريري الأكثر شيوعاً لمريضات الورم الليفي الرحمي؟
العرض السريري الأكثر شيوعاً هو النزف التناسلي الشاذ بنسبة 63.1%.
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ما هي نسبة المريضات اللواتي كان لديهن خضاب أقل من 12 غ/دل؟
كانت نسبة المريضات اللواتي كان لديهن خضاب أقل من 12 غ/دل 59.22%.
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ما هو الخيار الجراحي الأكثر شيوعاً لعلاج الورم الليفي الرحمي لدى الشابات؟
الخيار الجراحي الأكثر شيوعاً لعلاج الورم الليفي الرحمي لدى الشابات هو استئصال الورم الليفي.
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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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
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three villages
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Uterine massage would re
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