Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
293 7 |
Ultima descărcare din IBN: 2023-04-06 16:31 |
Căutarea după subiecte similare conform CZU |
618.1-002:618.17 (1) |
Științe medicale. Medicină (11136) |
SM ISO690:2012 CAUŞ, Cătălina. Determinantele medico-sociale în boala inflamatorie pelvină acută la femeile de vârstă reproductivă. In: Buletin de Perinatologie, 2021, nr. 1(90), pp. 64-69. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 1(90) / 2021 / ISSN 1810-5289 | ||||||
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CZU: 618.1-002:618.17 | ||||||
Pag. 64-69 | ||||||
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Rezumat | ||||||
Pelvic inflammatory disease (PID) refers to infections of the female genital tract that may affect a portion of it (cervicitis, endometritis, salpingitis, orophoritis) or may include several segments of it (pelvic abscesses, appendages) with a tendency to generalize the inflammatory process (pelvioperitonitis, generalized peritonitis, perihepatitis) in the body. The term PID is used to combine several nosologies that are based on the inflammatory damage of different segments of the lower and upper female genital tract. Disruption and destruction of the natural protective barriers of the female genitals lead to impaired immunity of the host organism under the action of internal or external exposure factors that increase the likelihood of a BIP outbreak. The etiopathogenetic causes of PID are described in many scientific papers and are variously grouped, being attributed to different potential degrees of infection of the female genital tract. Objective: clinical research has focused on the analysis of the determinants involved in the onset of BIP and the occurrence of this disease. In our research we decided to group the medico-social determinants that can favor the appearance of BIP in: behavioral, social, biological, endogenous, exogenous. Material and methods. The study of medico-social determinants included 644 patients with PID, during a calendar year within IMSP SCM no. 1 in the septic gynecology department, the only department specialized in this profile in the Republic of Moldova. Results. According to the ranking, the social determinants, which led to the appearance of acute pelvic inflammatory disease, were: low educational level - 72.67% (I), young age - 68.96% (II), non-essential patients at the family doctor - 59 , 16% (III), single women - 59.01% (IV), insufficient financial income - 52.02% (V), lack of permanent residence - 43.63% (VI), lack of medical insurance - 32.45% (VII), work at variable temperatures - 26.39% (VIII), lack of own income or unemployment - 25.93% (IX). The behavioral determinants that trigger BIPA are: more than 2 lifelong sexual partners - 65.07% (I), unprotected sex - 58.36% (II), increased frequency of sexual intercourse - 56.84% (III), onset of sexual life up to 16 years - 52.80% (IV), partners of different ethnicities - 34.63% (V), new sexual partner - 12.26% (VI), multiple sexual partners - 10.09% (VII). The direct medical determinants, which contributed to the appearance of acute pelvic inflammatory disease, were IUD - 20.03% (I), invasive medical interventions - 11.02% (II). Likewise, the indirect medical determinants involved in the development of BIPA were: late hospitalization of patients - 71.89% (I), personal defects - 24.84% (II), lack of local personal hygiene - 23.60% III), tampons retained in the vagina during periods - 21.11% (IV), the use of intravaginal showers - 17.86% (V). Conclusions. A society is prosperous when the population has equal opportunities for education, preparation for life and access to quality health services. A high standard of education is the foundation of a safe society. This assures the inheritance of morals that are passed down from generation to generation (grandmother, mother, daughter) like the respect for the traditions of self-care and maintenance of good personal health that is developed and adapted over the years, and the cultivation of self-respect. A society also prospers by providing equal opportunities and rights for girls and women and erradicating domestic violence. Women’s reproductive health is a fundamental component in the development of modern society. Social security encourages and benefits women for continuity, thus stimulating an increase in the birth rate. |
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Cuvinte-cheie PID -Pelvic inflammatory disease, medico-social determinants of PID, women’s reproductive health, ВЗОМТ-воспалительные заболевания органов малого таза, медико-социальные детерминанты ВЗОМТ, репродуктивное здоровье женщин |
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