Parameters of Quality of Life and Metabolic Disorders in Women Who Underwent on Hysterectomy with Uterine Myoma
Keywords:uterine myoma, hysterectomy, psychoemotional disorders, autonomic disorders, metabolic disorders, quality of life
Today, there are more and more reports of an increase in the proportion of patients with uterine fibroids (up to 45 %), in whom hysterectomy (HE) remains the only radical method of recovery. Over the past decades, views on this operation have changed significantly. HE and its influence on somatic and psychological status, psychogenic changes and vegetative-neurotic manifestations associated with postoperative acute circulatory ischemia of ovarian tissue have become the subject of scientific exchange in many discussion panels.
The article presents data from an experimental psychological study, assessment of the severity of urogenital dysfunction using the standardized POP-Q system, characteristics of quality of life parameters, indicators of carbohydrate and lipid metabolism both at the stage of preoperative followup and within 12 months, 3 and 5 years after surgery. in 80 women of reproductive age with uterine fibroids who underwent vaginal hysterectomy.
The comparison group included 60 patients with abdominal hysterectomy. As a result of the studies carried out using experimental psychological methods, the dominance of asthenic, anxiety and depressive disorders should be noted. The most common symptoms were decreased performance, mood, emotional lability, dyssomnia, decreased memory and concentration.
The study of the parameters of the quality of life made it possible to note the lowest indicators in the older age category of the main group, low levels of parameters were recorded in relation to «physical» and «sexual health», the sphere of interpersonal relationships suffered less.
After GE, an increase in body mass index, systolic and diastolic blood pressure, an increase in proinsulin and HOMA index, as well as very low density lipoprotein cholesterol and an atherogenic index were recorded.
Sparic R., Mirkovic L., Malvasi A., Tinelli A. Epidemiology of uterine myomas: a review. Int. J. Fertil. Steril. 2016; 9(4):424–35.
Balan V.E., Kovaleva L.A. (2015). Urogenitalnyi sindrom v klimakterii. Vozmozhnosti terapii [Urogenital syndrome in menopause. Treatment options]. Akusherstvo i ginekologiya, 5:104–108 (in Russian).
Ventskovsky B.M., Veropotvelyan P.N., Veropotvelyan N.P. (2010). Osteoporoz, obuslovlennyy sindromom istoshcheniya yaichnikov u zhenshchin reproduktivnogo vozrasta [Osteoporosis caused by ovarian exhaustion syndrome in women of reproductive age]. Meditsinskiye aspekty zdorovya zhenshchiny, 7(35):5–12 (in Russian).
Holubenko M.Yu. (2001). Psykhoemotsiyni efekty “vidkrytoii” i laparoskopichnoii histerektomii [Psycho-emotional effects of “open” and laparoscopic hysterectomy]. Odes. med. zhurn., 1(63):94–97 (in Ukrainian).
Dobrokhotova Yu.E. (2000). Psikhoemotsionalnyy i gormonalnyy status zhenshchin posle gisterektomii bez pridatkov [Psychoemotional and hormonal status of women after partial hysterectomy]. Ros. med. zhurn., 4:25–28 (in Russian).
Evstifeeva E.A., Filippchenkova S.I., Kalantarov T.K., Kholodin S.P. (2016). Psikhosomaticheskaya sostavlyayushchaya i kachestvo zhizni bolnykh khirurgicheskogo profilya [Psychosomatic component and quality of life of patients with a surgical profile]. Arkhiv vnutrenney meditsiny. Spetsialnyy vypusk: 61 (in Russian).
Zabolotnov V.A., Karapetyan O.V., Pamfamirov Yu.K., Pamfamirova G.L., Kucherenko Yu.A., Tatevosyan A.G. (2011). Sovremennyye vzglyady na etiologiyu, patogenez i lecheniye miomy matki [Current views on the etiology, pathogenesis and treatment of uterine myoma]. Zdorovye zhenshchiny, 5(61):15–20 (in Russian).
Zagorodnaya E.D., Barkan T.M., Kolesnikov A.D., Barkan V.S., Rezanovich V.S., Butunov A.A., Tselyuba E.A. (2013). Vliyaniye gicterektomii na funktsiyu yaichnikov i kachectvo zhizni bolnykh miomoy matki [Effect of hysterectomy on ovarian function and quality of life of patients with uterine myoma]. Akusherstvo i ginekologiya, 2:48–81 (in Russian).
Savvina N.V., Savvina A.D. (2013). Kachestvo zhizni kak pokazatel’ effektivnosti reabilitatsionnykh meropriyatiy [Quality of life as an indicator of the effectiveness of rehabilitation measures]. Vestn. natsionalnogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova, 3(8):41–43 (in Russian).
Makarchuk O.M., Gavrilyuk H.M. (2016). Osoblyvosti otsinky yakosti zhyttia ta poshuk shliakhiv reabilitatsii u zhinok, yaki perenesly operatsiiu na mattsi [Peculiarities of quality of life assessment and search for ways of rehabilitation in women who underwent surgery on the uterus]. Halytskyi likarskyi visnyk, 23(1):40–43 (in Ukrainian).
Lashkul O.S. (2018). Kachestvo zhizni i seksualnaya funktsiya u zhenshchin, operirovannykh na organakh reproduktivnoy sistemy [Quality of life and sexual function in women who underwent reproductive system surgery]. Zaporozhskiy meditsinskiy zhurnal, 20,1(106):76–81 (in Russian).
Naumenko G.N. (2013). Kompleks psikhokorrektsionnykh meropriyatiy zhenshchin s leyomiomoy matki v posleoperativnyy period [Complex of psychocorrectional measures for women with uterine leiomyoma in the postoperative period]. Tavricheskiy zhurnal psikhiatrii, 17, 3(64):96–104 (in Russian).
Pomazkin V.I. (2010). Sindrom “posleoperatsionnoy ustalosti” [Postoperative fatigue syndrome]. Vestnik khirurgii, 169(3):117–119 (in Russian).
Khanin Yu.L. (1976). Kratkoye rukovodstvo k shkale reaktivnoy i lichnostnoy trevozhnosti CH. D. Spilbergera [A brief guide to the Spielberger’s State-Trait Anxiety Inventory]. L.,18 (in Russian).
Vomvolaki E., Kalmantis K., Kioses E., Antsaklis A. (2006). The effect of hysterectomy on sexuality and psychological changes. The European Journal of Contraception and Reproductive Health Care. March, 11(1):23–27.
Nahás E.A.P. Pontes A., Nahas-Neto J. (2014). Effect of Total Abdominal Hysterectomy on Ovarian Blood Supply. Byulleten sibirskoy meditsiny, 13(1):145–152.
Stewart E.A. Shuster L.T., Rocca Reassessing W.A. (2012). Hysterectomy. Minnesota Medicine, 95(3):36.
Kichigin R.H., Arestova M.I., Zanko S.E. (2013). Risk factors for uterine fibroids and quality of life of patients operated on for uterine fibroids. Maternal and child health, 2(22):36–41.
Makris N., Vomvolaki E., Partsinevelos G.et al. (2006). The effect of hysterectomy on sexuality and psychological changes. The European Journal of Contraception and Reproductive Health Care. March, 11(1):23–27.
Fernandez H., Farrugia M., Jones S.E., Mauskopf J.A., Oppelt P., Subramanian D. (2009). Rate, type, and cost of invasive interventions for uterine myomas in Germany, France, and England. Minim Invasive Gynecol., 16(1):40–6.
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