The role of metabolic syndrome and current approaches to the treatment and rehabilitation of patients with recurrent atypical endometrial hyperplasia and endometrial cancer

DOI: https://doi.org/10.29296/25877305-2022-09-01
Issue: 
9
Year: 
2022

Associate Professor O. Ignatieva(1), Candidate of Medical Sciences; A. Golikova(1),
I. Gunkin(2), Candidate of Medical Sciences; A. Yarikov(3, 4), Candidate of Medical Sciences; Professor A. Fraerman(5), MD; E. Kim(6), Candidate of Medical Sciences
1-N.P. Ogarev Mordovian State University, Saransk
2-Mordovian Republican Central Clinical Hospital, Saransk
3-Volga District Medical Center, Federal Biomedical Agency of Russia,
Nizhny Novgorod
4-National Research Lobachevsky State University of Nizhny Novgorod (Lobachevsky University)
5-City Clinical Hospital Thirty-Ninth, Nizhny Novgorod
6-Federal Siberian Scientific and Clinical Center, Federal Biomedical Agency
of Russia, Krasnoyarsk

Hemorrhagic stroke is a polyethological disease that includes all forms of non-traumatic intracranial hemorrhage. The article evaluates the rehabilitation potential in the acute period of hemorrhagic stroke based on the analysis of significant factors: gender, age, social, topographic characteristics of hematomas, concomitant diseases, focal symptoms. Rehabilitation potential was classified using the Rankin and Rivermead scales into three degrees: low, medium and high. Unfavorable and favorable predictors of rehabilitation potential have been identified.

Keywords: 
neurology
acute cerebrovascular accident
hemorrhagic stroke
intracerebral hematoma
subarachnoid hemorrhage
rehabilitation potential
focal symptoms.



References: 
  1. Dashyan V.G., Khamurzov V.A., Sosnovskiy E.A., Sytnik A.V. et al. Decompressive craniectomy in the treatment of supratentorial hypertensive intracerebral hematomas. Russian Journal of Neurosurgery. 2021; 23 (2): 66–76 (in Russ.). DOI: 10.17650/1683-3295-2021-23-2-66-76
  2. Gordyukova I.Yu., Isaeva N.V., Korchagin E.E. et al. Stroke prevention room experience in Krasnoyarsk regional clinical hospital. Siberian Medical Review. 2018; 5: 104–10 (in Russ.). DOI: 10.20333/2500136-2018-5-104-110
  3. Zakondyrin D. E., Polunina N. A., Luk’anchikov V. A. et al. Implementation of a simulation training results in the practice of rendering neurosurgical care to patients with aneurysmatic intracranial hemorrhages. Russian Journal of Neurosurgery. 2018; 20 (1): 103–8. DOI: 10.17650/1683-3295-2018-20-1-103-108
  4. Dolzhenko D.А., Burov S.А., Nazarenko N.V. et al. Work experience of regional vascular centre in Altai territory. Russian Journal of Neurosurgery. 2012; 12 (1): 53–61 (in Russ.). DOI: 10.17650/1683-3295-2012-12-1-53-61
  5. Dashyan V.G., Shesterikov Y.A., Sytnik A.V. et al. Endoscopic surgery for hemorrhagic stroke in regional vascular centers. Russian Journal of Neurosurgery. 2019; 21 (1): 35–44 (in Russ.). DOI: 10.17650/1683-3295-2019-21-1-35-44
  6. Kurnosov D.A., Dovbysh N. Yu., Gazenkampf A.A. et al. Experience of treating the patients, operated in the acute period of subarachnoid hemorrhage depending on the severity of angiospasm. Siberian Medical Review. 2016; 2: 81–7 (in Russ.).
  7. Dashyan V.G., Godkov I.M., Prokop’ev L.V. et al. Surgical results for hypertensive intracerebral hemorrhagesdepending on intervention timing. Annals of Clinical and Experimental Neurology. 2021; 15 (4): 36–43 (in Russ.). DOI: 10.54101/ACEN.2021.4.4
  8. Draljuk M.G., Pestrjakov Ju.Ja., Drjannykh A.A. et al. Treatment results at patients with putamenal hematomas (data of Krasnoyarsk regional clinical hospital). Russian Journal of Neurosurgery. 2012; 2: 13–6 (in Russ.).
  9. Godkov I.M., Dashyan V.G. Comparing the results of surgical and conservative treatment of patients with supratentorial hypertensive intracerebral hemorrhage. A new look at previously known randomized studies. Annals of clinical and experimental neurology. 2021; 15 (1): 71–9 (in Russ.). DOI: 10.25692/ACEN.2021.1.9
  10. Korchagin E.E., Shnyakin P.G., Isaeva N.V. et al. The results of the work of the regional monitoring system of strokes in Krasnoyarsk region. Vestnik Roszdravnadzora. 2019; 1: 36–40 (in Russ.).
  11. Krivelevich E.B., Gulyaeva S.E., Lutchenko E.N. et al. Cerebrovascular pathology in Primorsky krai: disease incidence and problems of treatment. Pacific Medical Journal. 2013; 3: 61–4 (in Russ.).
  12. Dolzhenko D.A., Slukhay E.Yu., Nazarenko N.V. et al. Hemorrhagic stroke – experience of Altai regional vascularcentre. Klinicheskaya nevrologiya. 2016; 1: 9–14 (in Russ.).
  13. Yarikov A.V., Morev A.V., Lavrenuk A.N. Modern surgery of non-traumatic intracerebral hemorrhage. Herald of the Northwestern State Medical University named after I.I. Mechnikov. 2017; 9 (4): 66–75 (in Russ.).
  14. Shapovalova A.G., Rapovka V.G., Sobolevskaya A.O. et al. Rehabilitation of patients after acute cerebrovascular accident followed by hemodynamically significant stenoses of the brachiocephalic arteries. Pacific Medical Journal. 2020; 3: 25–9 (in Russ.). DOI: 10.34215/1609-1175-2020-3-25-29
  15. Khabibulina M.M., Khabibulina M.M. Structural and functional parameters of the vascular bed in premenopausal hypertensive women. Terapevticheskii arkhiv. 2011; 83 (12): 11–5 (in Russ.).
  16. Novikova L.B., Akopian A.P., Akhmetova A.R. The role of rehabilitation potential in the restorative period of the stroke. Consilium Medicum. 2017; 19 (2.1): 14–6 (in Russ.).
  17. Saulle M.F., Schambra H.M. Recovery and rehabilitation after intracerebral hemorrhage. Semin Neurol. 2016; 36 (3): 306–12. DOI: 10.1055/s-0036-1581995
  18. Sklyannaya K.A. Otsenka prognosticheskikh faktorov vosstanovleniya dvigatel’noi funktsii u patsientov v rezidual’nom periode ostrogo narusheniya mozgovogo krovoobrashcheniya v protsesse kinezioterapii. Diss. … kand. med nauk. Perm’, 2017; s. 37–45 (in Russ.).
  19. Razumov A.N., Melnikova E.A. Main Parameters of the Rehabilitation Prognosis in Stroke Patients. Doctor.Ru. 2016; 12-2 (129): 16–22 (in Russ.).
  20. Makarov A.O. Kliniko-patogeneticheskie osobennosti, faktory riska povtornykh insul’tov u patsientov pozhilogo vozrasta i optimizatsii lechebno-reabilitatsionnykh meropriyatii. Diss. … kand. med. nauk. SPb, 2017; s. 58–64 (in Russ.).
  21. Koh G.C., Chen C.H., Petrella R. et al. Rehabilitation impact indices and their independent predictors: a systematic review. BMJ Open. 2013; 3: e003483. DOI: 10.1136/bmjopen-2013-003483
  22. Karpova O.Yu. Sovremennye aspekty patogeneza, diagnostiki i osobennostei klinicheskogo techeniya gemorragicheskogo insul’ta. Diss. … kand. med. nauk. Voronezh, 2019; s. 18–20 (in Russ.).
  23. Ignat’eva O.I., Makhmudova E.G. Kharakteristika faktorov riska u bol’nykh s gemorragicheskim insul’tom. Infektsionno-vospalitel’nye zabolevaniya kak mezhdistsiplinarnaya problema. Mat-ly III mezhregion. nauchno-prakt. konf. Saransk, 2019; s. 116–21 (in Russ.).
  24. Kakorin S.V., Tulyakova E.V., Voronkova K.V. et al. Cerebrovascular accidents in patients with type 2 diabetes mellitus. Diabetes mellitus. 2013; 16 (1): 63–70 (in Russ.). DOI: 10.14341/2072-0351-3599
  25. Strel’chenko Yu.M., Ignat’eva O.I., Agenosova O.G. Otsenka kliniko-funktsional’nykh pokazatelei provedennogo lecheniya pri ONMK na fone sakharnogo diabeta. Aktual’nye problemy mediko-biologicheskikh distsiplin. Sb. nauch. trudov V Vseross. nauchno-prakt. konf. 2021; s. 114–8 (in Russ.).
  26. Yarikov A.V., Balyabin A.V., Morev A.V. Modern surgical methods of treatment of hemorrhagic stroke. Zhurnal MediAl. 2016; 1 (18): 91–6 (in Russ.).
  27. Seo K.C., Ko J.Y., Kim T.U. et al. Post-stroke Aphasia as a Prognostic Factor for Cognitive and Functional Changes in Patients With Stroke: Ischemic Versus Hemorrhagic. Ann Rehabil Med. 2020; 44 (3): 171–80. DOI: 10.5535/arm.19096