Online ISSN: 3007-0244,
Print ISSN:  2410-4280
THE STRUCTURE OF THE EXTRAGENITAL PATHOLOGIES IN PREGNANT WOMEN IN THE AKTOBE MEDICAL CENTER IN 2018-2019, AKTOBE, KAZAKHSTAN
Introduction. Unfortunately, today extragenital pathologies often accompany the course of pregnancy. The research aim was to determine the structure, particularly the proportion of the most common extragenital pathology, registered at the Aktobe Medical Center, Aktobe, Kazakhstan. Materials and methods. We have analyzed the data of medical records No. 096 / in patients of the Aktobe Medical Center for 2 years (2018-2019) for the determination of the structure of extragenital pathology. The study's design was descriptive, one-stage, cross-sectional, and retrospective. From the total annual number of medical records (n=4000) have been selected 198 records of patients with extragenital pathology for yearly analysis. This sample allows us to get statistically significant results. Have been analyzed totally 396 cards. To the process the obtained data of the registered extragenital pathology was used package STATISTICS (10 version). Results. The obtained data gives us a possibility to say that anemia (43.4-39.4%), hypertensive conditions (30.8-26.3%), and pyelonephritis (20.2-18.7%) have been prevailed among the extragenital diseases, registered at the Medical Center. The study of hypertensive conditions showed an increase in the proportion of arterial hypertension in the total mass of hypertensive pathologies (from 21.2 to 28.8%), while gestational hypertension and eclampsia showed a downward trend. Conclusion. Anemia and cardiovascular pathologies prevailed in the extragenital pathologies in the Aktobe Medical Center. One more has been noted, the pathologies of the urinary system, particularly cystitis, had a big part in the extragenital pathologies (from 18.7 to the 20.2%). It should be noted that the total percentage of registered anemia, hypertension, and excretory system during had a downward trend in the observed period.
Raisa Aringazina*1, https://orcid.org/0009-0005-1932-9177, Gulnara Sakhipova1, https://orcid.org/0000-0002-9062-0697 Zhansulu Nurgaliyeva1, https://orcid.org/0000-0001-8732-5833 Aiman Kaldybayeva1, https://orcid.org/0000-0002-0854-8703 Nurgul Zholdassova1, https://orcid.org/0000-0002-4289-9195 Ainur Amanzholkyzy1, https://orcid.org/0000-0002-1980-9032 1 Non-Commercial Joint-Stock Society West Kazakhstan Marat Ospanov Medical University, Aktobe, Republic of Kazakhstan.
1. Авраменко Т.В., Грибанов Т.В., Авраменко А.В., Россоха З.І. Прогнозування ризику розвитку прееклампсії у вагітних із цукровим діабетом 1-го типу та супутньою діабетичною нефропатією: роль генетичних факторів // Міжнародний ендокринологічний журнал 2015. № 8. С. 14-24. http://nbuv.gov.ua/UJRN/Mezh_2015_8_5 (дата обращения: 09.06.2022). 2. Вигнанчук В.В., Цисар Ю.В. Особливості перебігу вагітності та пологів у жінок з артеріальною гіпертензію (огляд сучасних джерел літератури) // Медичний форум. 2021. Т. 4, № 24. С. 13-15. 3. Волкова М.А. Структура экстрагенитальной патологии у беременных // Вестник Ивановской медицинской академии, 2021. Т. 26, № 2. С. 53-54. 4. Всемирная организация здравоохранения. Анемия. https://www.who.int/ru/health-topics/anaemia#tab=tab_1 (дата обращения: 09.06.2022). 5. Зокирова Н.М., Оразмурадов А.А., Бекбаева И.В., Халид Х., Минаева А.В., Кыртиков С.И., Котайш Г.А. Эффективность программированных родов у женщин с экстрагенитальными заболеваниями // Акушерство и гинекология: Новости. Мнения. Обучения. 2021. 9, приложение 3, № 33. С. 98-101. 6. Краснопольский В.И., Логутова Л.С. Современная концепция родоразрешения и перинатальная смертность // Медицинский сонет, 2014. № 9. С. 54-59. 7. Қазақстан Республикасының Денсаулық сақтау министрлігінің. 2017 жылда Қазақстан Республикасы халқының денсаулығы және денсаулық сақтау ұйымдарының қызметі, Астана, 2018. № 945 URL: https://adilet.zan.kz/kaz/docs/P2200000945 (дата обращения: 09.06.2022). 8. Ларина Т.Н., Супрун С.В., Козлов В.К., Чижова Г.В., Наговицына Е.Б., Ивахнишина Н.М., Кудряшова О.С. Анализ заболеваемости беременных женщин Приамурья с учетом полиморфизма гена MTHFR // Дальневосточный медицинский журнал 2014. № 3. С. 43-46. 9. Министерство здравоохранения Республики Казахстан. Государственная программа развития здравоохранения Республики Казахстан «Денсаулық» на 2016–2020 годы. URL: https://adilet.zan.kz/rus/docs/P1800000634 (дата обращения: 09.06.2022). 10. Нургазина А.С., Слямханова Н.С., Шалгумбаева Г.М. Факторы риска развития преэклампсии у женщин города Семей, Восточно-казахстанской области // Наука и здравоохранение. 2020. № 2. С. 109-117. 11. Фаткуллин Ф.И. Выбор метода оперативного родоразрешения при преждевременных родах // Казанский медицинский журнал, 2008. Т. 89, № 5. С. 610-613. 12. Фонд Организации Объединенных Наций в области народонаселения и Международная конфедерация акушерок. Состояние акушерского дела в мире, 2021 г. и диалог по вопросам политики. 18 мая 2021г. https://www.who.int/ru/director-general/speeches/detail/launch-and-policy-dialogue-of-the-state-of-the-world-s-midwifery-2021-report (дата обращения: 09.06.2022). 13. Цхай В.Б., Яметова Н.М., Домрачева М.Я. Современные теории патогенеза преэклампсии. Проблема функциональных нарушений гепатобилиарной системы у беременных // Акушерство, гинекология и репродукция, 2017. Т. 11, № 1. С. 49-55. doi: 10.17749/2313-7347.2017.11.1.049-055 14. Aktaeva L.M., Mirzakhmetova D.D., Padaiga Z. Extragenital Pathologies of Pregnant Women in the Southern Regions of The Republic of Kazakhstan. // Systematic Reviews in Pharmacy, 2020. Т. 11, № 4. С. 405-412. doi: 10.31838/srp.2020.4.61 15. Antypkin Y.G., Tatarchuk T.F., Marushko R.V., Dudina O.O. Regional features of pregnant women's health // Reproductive Endocrinology, 2021. Vol. 57. P. 21-8. 16. Antwi E., Amoakoh-Coleman M., Vieira D.L., Madhavaram S., Koram K.A., et al. Systematic review of prediction models for gestational hypertension and preeclampsia // PLoS One, 2020. Vol. 15, No. 4. P. e0230955. doi: https://doi.org/10.1371/journal.pone.0230955 (дата обращения: 09.06.2022). 17. Bacheva I., Umbetalina N., Bregvadze-Tabagari N., Shalygina A., Baidildina B. Epidemiology, structure and algorithm of management of pregnant women with extragenital pathology of therapeutic profile // Georgian Med News. 2017. No. 264. P. 25-31. doi: https://www.ncbi.nlm.nih.gov/pubmed/28480844 18. Dodd J.M., Grivell R.M., Nguyen A.-M., Chan A., Robinson J.S. Maternal and perinatal health outcomes by body mass index category // Obstetric Anesthesia Digest, 2012. V. 32, No. 1. P. 18-19. doi: 10.1097/01.aoa.0000410776.63664.d4 19. Kidirniyazova K.S., Sutyrina A.V., Nama P., Ismailova D.K., Gorodnicheva I.Y. Prevention of preeclampsia: a modern approach to the treatment of edema caused by pregnancy // Kronos: natural and technical sciences 2021. Vol. 3, No 36. С. 6-9. 20. Sibai B.M. Diagnosis and management of gestational hypertension and preeclampsia // Obstetrics & Gynecology, 2003. Vol. 102, No. 1. P. 181-192. doi: https://doi.org/10.1016/S0029-7844(03)00475-7 (дата обращения: 09.06.2022). 21. Wawer A.A., Hodyl N.A., Fairweather-Tait S. Are pregnant women who are living with overweight or obesity at greater risk of developing iron defi ciency/anaemia? // Nutrients, 2021. V.13, No. 5. P. 1572. doi: https://doi.org/10.3390/nu13051572 (дата обращения: 09.06.2022). References: 1. Avramenko T.V., Hrybanov T.V., Avramenko A.V., Rossokha Z.I. Prohnozuvannya ryzyku rozvytku preeklampsiyi u vahitnykh iz tsukrovym diabetom 1-ho typu ta suputnʹoyu diabetychnoyu nefropatiyeyu: rolʹ henetychnykh faktoriv [Predicting the risk of developing preeclampsia in pregnant women with type 1 diabetes and concomitant diabetic nephropathy: the role of genetic markers]. Mizhnarodnyi endokrinologіchnyi zhurnal [International journal of endocrinology], 2015. (8), 14-24. http://nbuv.gov.ua/UJRN/Mezh_2015_8_5 (Accessed:09.06.2022.) [In Ukrainian] 2. Vyhnanchuk V.V., Tsysar Yu.V. Osoblyvosti perebihu vahitnosti ta polohiv u zhinok z arterialʹnoyu hipertenziyu (ohlyad suchasnykh dzherel literatury) [Peculiarities of the course of pregnancy and childbirth in women with arterial hypertension (modern literature review)]. Medychnyy forum [Medical Forum]. 2021. 4(24), pp.13-15. [In Ukrainian] 3. Volkova М.А. Struktura yekstragenital'noy patologii u beremennykh [Extragenital pathology structure in pregnant]. Vestnik Ivanovskoy meditsinskoy akademii [Vestnik Ivanovskoy meditsinskoy akademii], 2021. 26(2), pp. 53-54. [in Russian] 4. Vsemirnaya organizatsiya zdravookhraneniya. Anemiya. [World Healthcare Organization. Anemia]. https://www.who.int/ru/health-topics/anaemia#tab=tab_1 (Accessed: 09.06.2022). [in Russian] 5. Zokirova N.M., Orazmuradov A.A., Bekbayeva I.V., Khalid K.H., Minayeva A.V., Kyrtikov S.I., Kotaysh G.A. Effektivnost' programmirovannykh rodov u zhenshchin s ekstragenital'nymi zabolevaniyami [The effectiveness of programmed childbirth in women with extragenital diseases]. Akusherstvo i ginekologiya: Novosti. Mneniya [Obstetrics and gynecology: News. Opinions], 2021. 3(33), pp. 98-101. [in Russian] 6. Krasnopol'skiy V.I., Logutova L.S. Sovremennaya kontseptsiya rodorazresheniya i perinatal'naya smertnost' [Modern concept of childbirth and perinatal mortality]. Meditsinskiy sonnet [Medical Sonnet], 2014. 9, pp. 54-59. [in Russian] 7. Ministerstvo zdravookhraneniya Respubliki Kazakhstan. Zdorov'e naseleniya Respubliki Kazakhstan i deyatel'nost' organizatsiy zdravookhraneniya v 2017 godu, [Ministry of Health of the Republic of Kazakhstan. Health and wellness of the population of the Republic of Kazakhstan Activities of storage organizations in 2017], Astana, 2018. No. 945. URL: https://adilet.zan.kz/kaz/docs/P2200000945 (Accessed: 09.06.2022). [in Kazakh] 8. Larina T.N., Suprun S.V., Kozlov V.K., Chizhova G.V., Nagovitsyna Ye.B., Ivakhnishina N.M., Kudryashova O.S. Analiz zabolevayemosti beremennykh zhenshchin Priamur'ya s uchetom polimorfizma gena MTHFR [The analysis of illnesses [Analysis of the morbility of pregmnant women of Amur river Region taking in consideration gene MTHFR]. Dal'nevostochnyy meditsinskiy zhurnal [Far Eastern Medical Journal], 2014. 3, pp. 43-46. [in Russian] 9. Ministerstvo zdravookhraneniya Respubliki Kazakhstan. Gosudarstvennaya programma razvitiya zdravookhraneniya Respubliki Kazakhstan «Денсаулық» 2016–2020. No. 945. URL: https://adilet.zan.kz/rus/docs/P1800000634 (Accessed: 09.06.2022). [State program for the development of healthcare of the Republic of Kazakhstan “Densaulyk” 2016–2020]. [in Russian] 10. Nurgazina A.S., Slyamkhanova N.S., Shalgumbayeva G.M. Faktory riska razvitiya preeklampsii u zhenshchin goroda Semey, Vostochno-kazakhstanskoi oblasti [Risk factors for the development of preeclampsia in women in Semey city, East Kazakhstan region]. Nauka i Zdravookhraneniye [Science & Healthcare], 2020. 2, 109-117. [in Russian] 11. Fatkullin F.I. Vybor metoda operativnogo rodorazresheniya pri prezhdevremennykh rodakh [The choiceof operative child delivery in preterm labor] Kazanskii meditsinskii zhurnal [Kazan Medical Journal], 2008. 89(5), pp. 610-613. [in Russian] 12. Fond Organizatsii Ob"edinennykh Natsiy v oblasti narodonaseleniya i Mezhdunarodnaya konfederatsiya akusherok. Sostoyanie akusherskogo dela v mire, 2021 g. i dialog po voprosam politiki [United Nations Population Fund and International Confederation of Midwives. The State of the World's Midwifery 2021 and Policy Dialogue]. 18 May, 2021. https://www.who.int/ru/director-general/speeches/detail/launch-and-policy-dialogue- (Accessed: 09.06.2022). [in Russian] 13. Tskhai V.B., Yametova N.M., Domracheva M.Ya. Sovremennyye teorii patogeneza preeklampsii. Problema funktsional'nykh narusheniy gepatobiliarnoy sistemy u beremennykh. [Modern theories of the pathogenesis of preeclampsia. The problem of functional disorders of the hepatobiliary system in pregnant women]. Akusherstvo, ginekologiya I reproduktsiya [Obstetrics, gynecology and reproduction]. 2017. 11(1), 49-55. doi: 10.17749/2313-7347.2017.11.1.049-055 [in Russian]
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Aringazina R.A., Sakhipova G.Zh., Nurgaliyeva Zh.Zh., Kaldybayeva A.T., Zholdassova N.Zh, Amanzholkyzy A. The structure of the extragenital pathologies in pregnant women in the Aktobe Medical Center in 2018-2019, Aktobe, Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 100-111. doi 10.34689/SH.2023.25.5.014

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