Психоемоційні зміни у пацієнток репродуктивного віку з лейоміомою матки у динаміці лікування

Abstract

The objective: was to study and evaluate changes of psychoemotion of female patient reproductive age with uterine leiomyoma in the dynamics of treatment and rehabilitation of reproductive function depending on the type of therapy. Materials and methods. SAN questionnaires, WHO mental disorder criteria, and the methods of Zung, K. Heck, and I. Hess were used to study changes in psychoemotional states. Psychoemotional changes were studied in 234 patients with conservative and surgical (organ-preserving) treatment, conservative treatment was received – 93 (39.74%) patients; the surgical group was 141 (60.26%). and was divided into two subgroups ІІа – 51 (21.8%) patients without the use of preoperative hormonal training, and ІІб – 90 (38.46%) patients using preoperative preparation. Results. In patients of reproductive age with uterine leiomyoma revealed changes in the psycho-emotional state, which depend on both internal and external factors. These changes were expressed in increased anxiety, neuroticism, mood swings, activity, wellbeing.These changes were observed in both groups, but their severity and depth depended on the duration of the disease. Conclusion. During the examination of female patient reproductive age with uterine leiomyoma was discovered same psychoemotion change. They was related both from internal and external factor and could be declared as increased anxiety neuroticism changes in health, activity, mood. The severity of these changes depends on the initial psycho-emotional state of the patient, the duration of the disease, the effectiveness of previous treatment. Therefore, in some cases an individual approach to the correction of the detected changes was used Keywords: reproductive age, uterine leiomyoma, psychoemotion change.