Effectiveness of biorevitalization of cervix during pregravid cervical incompetence correction
Эффективность биоревитализации шейки матки для предгравидарной коррекции истмико-цервикальной недостаточности
Nikolay Shebrina 1, Muaviya SN Almaradat 1, Natalya Kapusnik 1, Irina Kuzmina 1
More Detail
1 Kharkov national medical university, Department of Obstetrics and Gynaecology №1, Kharkov, Ukraine
J CLIN MED KAZ, Volume 1, Issue 39, pp. 37-42.
https://doi.org/10.23950/1812-2892-2016-1-37-42
OPEN ACCESS
3342 Views
2602 Downloads
ABSTRACT
Аim: To determine the effectiveness of the method biorevitalisation cervical correction cervical incompetence (CIN) before the planned pregnancy by restoring physiological sphincter cervix using her replacement excessive muscle connective tissue.
Methods. A total of 80 non-pregnant women with CIN, the main group, and 20 healthy women, included in the control group. The main group of patients was divided into two clinical groups: 1 - 40 women with CIN, which pregravid period were treated fillers based on hyaluronic acid, 2 - 40 women with CIN, which before pregnancy CIN treatment was carried out. Glycosaminoglycan biopolymer administered in cervical tissue in an amount of 0.3 ml once, by gradually chipping the entire area of the total volume of the internal os of the drug from 1 to 2 ml. As criterion for the effectiveness of the correction of cervical activity index is proposed to use of neuraminidase in the cervical mucus.
Results. Concentrations of all studied biologically active components cervical mucus in patients with CIN after correction method biorevitalisation significantly exceeded the comparable figures recorded in the initial state. carrying out correction of the cervix in women with CIN step pregravid period accompanied by increased content of all carbohydrate components cervical mucus on average 40-45% and reliably maintained for 14 months.
Conclusion. Method biorevitalisation cervical hyaluronic acid is effective for correction at step CIN pregravid preparation, contributes to the normalization of structural and functional properties of the cervix.
CITATION
Shebrina N, Almaradat MS, Kapusnik N, Kuzmina I. Effectiveness of biorevitalization of cervix during pregravid cervical incompetence correction. Journal of Clinical Medicine of Kazakhstan. 2016;1(39):37-42.
https://doi.org/10.23950/1812-2892-2016-1-37-42
REFERENCES
- Sidelnikova V.M. Privuchnaja poterja beremenosti (The usual pregnancy loss), М.: «Triada-Х», 2002, - 303 p.
- Nigmatulina N.A., Zuravleva V.N. Prognozirovanie istmico-cervicalnoi nedostatochnosti (Prediction of cervical incompetence), Materialy X Vserossiiskogo nauchnogo foruma “Matj i ditja”, Moskva, Rossija, 2008, pp. 168–169.
- Lotgering F.K. Clinical aspects of cervical insufficiency, BMC Pregnancy Childbirth, 2007, No.5(7), suppl 1. – 17p.
- Sherbina M.O., Мu’avia Salem Nаsеr Аlmaradat. Novi shljhiu optimizacii vedennja zinok z istmico-cervicalnoi nedostatnistu (New ways to optimize the management of pregnant women with cervical incompetence), Zbirnuk naukovuch pracj Asociacii akusheriv-ginecologiv Ukrainu, К.: Poligraf plus, 2014. pp. 315–317.
- Rovas L., Sladkevicius P., Strobel E. et al. Three-dimensional ultrasound assessment of the cervix for predicting time to spontaneous onset of labor and time to delivery in prolonged pregnancy, Ultrasound in Obstetrics and Gynecology, 2006, No. 4 (28), pp. 306-311.
- Orlov A.V. Skrinengovue markeru fiziologicheskoi I osloznennoi beremennosti (Screening markers of physiological and complicated pregnancy): diss. dokt. med. nauk, Rostov-na- Donu, Rossija, 2006, 276 p.
- Kovpij Yu. V., Sagamonova K.Yu., Shevko I.G., Zamanskaja T.A. Differencialnaja tactica vedenija beremennuh s funkcionalnoi istmico-cervicalnoi nedoststochnostju (Differentiated tactics for pregnant women with functional cervical incompetence), Rossiiskiy vestnic acushera-ginecologa, 2004, No. 4, pp. 55-57.
- Sherbina M.O., Lipco O.P., Sherbina I.V., Мu’avia Salem Nаsеr Аlmaradat Patent na vunahid №108327 vid 10.04.2015 «Sposib korekcii istmico-ctrvicalnoi nedoststnosti” ( The patent for the invention «Method of Correction cervical incompetence”), Ukraina.
- Macdonald R.D., Smith P., Vyas S.K. Cervical incompetence: the use of transvaginal sonography to provide an objective diagnosis , Ultrasound Obstetric Gynecology, 2011, No. 18, pp. 211 -216.
- Kovpij Yu.V., Aktivnost neiraminidazu v slizi cervicalnogo kanala u beremennuch pri istmico-cervikalnoi nedostatochnosti (Neuraminidase activity in cervical mucus in pregnant women with cervical incompetence), Obmen veschestv pri adaptacii i povrezdenii: Tez. dokladov vtoroi mezvuzovscoi mezdunarodnoi konferencii mologuh uchenuh, specialistov i studentov, Rostov-na- Donu, Rossija, 2003, pp. 57-58.
- Schlembach D., MacKay L., Shi B. et al. Cervical ripening and insufficiency: from biochemical and molecular studies to in vivo clinical examination, Eur. J. Obstet. Gynecol. Reprod. Biol., 2013. No. №1 (144 ), pp.70-76.
- Bulanov М.N., Mitkov V.V. Sovremennue predstavlenija o normalnoi ultrazvukovoi anatomii cervixa (Modern understanding of the normal anatomy ultrasound hemodynamic endocervical), Ultrazvukovaja I funkcionalnaja diagnostica, 2005, No. №2, pp. 49-54.
- Petrushkova N.А., Zvetkova I.V., Rozenfeld Е.М. Svoistva neiraminidazu horiona cheloveka (Properties neuraminidase human chorionic), Biochimija, 1985, Т. 50, No. 4, pp. 645-651.
- Lowry O.H., Rosebrough N.J., Farr A.L., Rasedall R.J. Protein measurement with the Folin phenol reagent, J. Bioh. Chem., 1951, No.7(193), pp. 265-275.