Роль інфекційного фактору в невиношуванні вагітності

OAeE 618.177 618.15−002 616−078.

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Ax00B3aeiii, ui iaaeiiioaix00B3 aex00B3oe nox00F0aaeaeathoue ia ox00B3ce/io, x00B3ioaeaeooaeueio oa aiioex00B3eio iaiiaiioex00B3iix00B3noue. Ieoiia aaaa iaaeiiioaieo aex00B3oae a nox00F0oeoox00F0x00B3 iax00F0eiaoaeueii? niax00F0oiinox00B3 aeinyaax00BA 50−70%. Iieaciee iax00F0oaiiax00F0iaeaeoaa-iinox00B3 o iaaeiiioaieo a 5−15×00F0acx00B3a aeua ix00B3ae o aeiiioaieo aex00B3oae, a x00F0aiiuei? iaiiaoaeueii? niax00F0oiinox00B3 aeua a 25−30×00F0acx00B3a [6].

Ix00F0iaeaia iaaeiiooaaiiy aaax00B3oiinox00B3 x00BA iiex00B3aox00B3ieiax00B3/iith. Iaiaox00B3aeii ax00B3aecia/eoe, ui aei nueiaiaeix00B3oiueiai aeiy iaaeyniaieo ix00F0e/ei iax00F0ax00F0eaaiiy aaax00B3oiinox00B3 x00BA aaaaoi x00B3 /anoioa ?o caeeoax00BAoueny aenieith — 12−41,2% [5]. Nax00F0aae oaeoix00F0x00B3a, ui ix00F0eaiaeyoue aei iax00F0ax00F0eaaiiy aaax00B3oiinox00B3, ana ae oaee aaaiia ix00B3noea caeiax00BA x00B3ioaeoex00B3eiee oaeoix00F0. Oae ca aeaieie A.E.Noaiaiex00B3anueei? /1994/ iayaix00B3noue aaix00B3oaeueii? oa aenox00F0aaaix00B3oaeueii? x00B3ioaeoex00B3? a ix00F0aaix00B3cix00B3 aex00B3iee neeaaeax00BA 31,5% nax00F0aae anx00B3o ix00F0e/ei iax00F0ax00F0eaaiiy aaax00B3oiinox00B3 [3].

Ua a 1892×00F0ioex00B3 A. Aeiaeax00F0eaeiii aiax00F0oa aoee iienaix00B3 eaeoiaaoeeee, ye iax00F0aaaaeath/a neeaaeiaa iix00F0iaeueii? aaax00B3iaeueii? ix00B3ex00F0ioeix00F0e. A aeaiee /an anoaiiaeaii, ui iix00F0iaeueiee ix00B3ex00F0iaiee neeaae oeix00F0e ix00B3oae aeeth/ax00BA ax00B3ey 60 ooaix00B3a aaeoax00F0x00B3e x00B3 caeaaeeoue ax00B3ae aaaaoueio oaeoix00F0x00B3a: ax00B3eo aex00B3iee, oace iainox00F0oaeueiiai oeeeeo, naenoaeueii? aeoeaiinox00B3, iayaiinox00B3 aaax00B3oiinox00B3, aeeix00F0enoaiiy niax00F0ix00B3oeeaex00B3a, AIN, aioeax00B3ioeex00B3a, aetheieix00F0oeei? aex00B3a, oeeoinoaoeex00B3a, iayaiinox00B3 aeayeeo aenox00F0aaaix00B3oaeueieo caoaix00F0thaaiue x00B3 o.ae. Aea iciaeith caeix00F0ia «y aaaaeax00BAoueny iax00F0aaaaeaiiy eaeoiaaoeee /aei 95%/ a ix00B3ex00F0iaiiio iaecaaex00B3 ix00B3oae [1].

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Anoaiiaeaii, ui /anoioa iaaeiiooaaiiy aaax00B3oiinox00B3 a nax00F0aaeiueiio neeaaeax00BA 15,8%. Nax00F0aae ianoaaeaieo a iax00F0oiio ox00F0eianox00F0x00B3 aoei 850 aex00B3iie /44,9%/, a aex00F0oaiio ox00F0eianox00F0x00B3 — 455 /24%/, a ox00F0aoueiio ox00F0eianox00F0x00B3 — 589 /31,1%/. x00B2c 1894 ianoaaeaieo aex00B3iie o 1045 /55,2%/ aaax00B3oix00B3noue aoea caax00F0aaeaia. Iacaaaeath/e ia ix00F0iaaaeaia ex00B3eoaaiiy aaax00B3oix00B3noue iax00F0ax00F0aaeany o 849 aex00B3iie, ui neeaaeax00BA 44,8%. Aeaix00B3 ix00F0i ex00B3eueex00B3niee neeaae aaax00B3oieo ii ox00F0eianox00F0ao aaax00B3oiinox00B3 iaaaaeaii a oaaeeoex00B3 1.

Oaaeeoey 1.

Ax00F0oie ianoaaeaieo Ex00B3eueex00B3noue ianoaaeaieo aex00B3iie, %.

1 ox00F0eianox00F0 2 ox00F0eianox00F0 3 ox00F0eianox00F0.

Aaax00B3oix00B3noue caax00F0aaeaia 365 /43%/ 369 /81%/ 311 /52,8%/.

Aaax00B3oix00B3noue iax00F0ax00F0aaeany 485 /57%/ 86 /19%/ 278 /47,2%/.

C iaaaaeaieo aeaieo aeieeaax00BA, ui /anoioa iaaeiiooaaiiy aaax00B3oiinox00B3 iaeaeua a iax00F0oiio ox00F0eianox00F0x00B3, a iaeieae/a a aex00F0oaiio ox00F0eianox00F0x00B3, ui ax00B3aeiiax00B3aeax00BA aeaiei ex00B3oax00F0aoox00F0e [1,2]. Ix00F0iaaaeaiee aiaex00B3c nax00B3ae/eoue ix00F0i oa, ui iaeax00B3eueo /anoi iaaeiiooaaiiy aaax00B3oiinox00B3 ax00B3aeix00B3/ax00BAoueny o aex00B3iie o ax00B3oex00B3 ax00B3ae 18 aei 25×00F0iex00B3a a iax00F0oiio ox00F0eianox00F0x00B3 aaax00B3oiinox00B3.

Nix00B3aax00B3aeiioaiiy ix00B3ae iaoeaioeyie ix00B3noa x00B3 naea aoei ax00B3aeiiax00B3aeii oaeei: 710 /37,5%/ x00B3 1184 /62,5%/, ui ax00B3aex00F0x00B3ciyx00BAoueny ax00B3ae ex00B3oax00F0aoox00F0ieo aeaieo, aea aeacox00BAoueny ia iax00F0aaaaeaiiy aeeoaeueie ix00B3noa. Oea i/aaeaeii iia «ycaii c iniaeeainoyie ianaeaiiy Eieiieenueeiai x00F0aeiio iaoi? iaeanox00B3. Iax00F0oiaaax00B3oix00B3 neeaaeathoue 958 /50,6%/, a iiaoix00F0iiaaax00B3oix00B3 — 936 /49,4%/ aeiaaeex00B3a. O 890 /46,9%/ aaax00B3oieo ax00B3aeix00B3/aeany aiaix00B3y x00F0x00B3ciiai nooiaiy aaaeeinox00B3 .O ax00F0oix00B3 aeinex00B3aeaeaiiy iax00F0aaaaeaee aeiiiainiiaeax00F0ee 1042 /55%/ x00B3 aex00B3iee, yex00B3 aeeiioaaee aaaeeo ox00B3ce/io ix00F0aoeth 388 /20,5%/.

Ix00F0iaiaex00B3coaaaoe x00F0acoeueoaoe ix00B3ex00F0ineiix00B3/iiai aeinex00B3aeaeaiiy x00B3c aix00B3noo ix00B3oae ia oeix00F0o, iaie aeyaeaii x00F0x00B3cea cax00B3eueoaiiy /anoioe aeiaaeex00B3a ox00F0aoueiai x00B3 /aoaax00F0oiai nooiaix00B3a /enoioe ix00B3oae o aaax00B3oieo x00B3c caax00F0icith iax00F0ax00F0eaaiiy aaax00B3oiinox00B3 iix00F0x00B3aiyii x00B3c eiiox00F0ieai a 3,2×00F0aca /x00F0 < 0,01/. sseui caax00F0iooe oaaao ia yex00B3niee neeaae oeix00F0e, oi niinoax00F0x00B3aax00BAoueny cia/ia cieaeaiiy ex00B3eueeinox00B3 eaeoiaaoeee /aei 45%/ x00B3 cx00F0inoaiiy eieiai? oeix00F0e /aei 36%/ ii ax00B3aeiioaiith aei eiiox00F0ieueii? ax00F0oie aaax00B3oieo x00B3c iix00F0iaeueiei iax00F0aax00B3aii aaax00B3oiinox00B3.

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Aeniiaee.

Ix00F0iaaaeaiee aiaex00B3c iaaee/ii? aeieoiaioaoex00B3? oa x00F0acoeueoaoe ix00B3ex00F0ineiix00B3/iiai aeinex00B3aeaeaiiy aix00B3noo ix00B3oae aeathoue iiaeeeax00B3noue ix00B3aeoaax00F0aeeoe cia/io x00F0ieue x00B3ioaeoex00B3eiiai oaeoix00F0o o iaaeiiooaaiix00B3 aaax00B3oiinox00B3. Ie aaaaeax00BAii, ui oex00B3eanix00F0yiiaaia aecia/aiiy oax00F0aeoax00F0o ix00B3ex00F0ioeix00F0e aix00B3noo ix00B3oae oa aeix00F0iaeiaa naiaoex00B3y aaax00B3oieo x00BA iaeiei x00B3c x00F0acax00F0ax00B3a, yeee aeicaieeoue cieceoe /anoioo iaaeiiooaaiiy aaax00B3oiinox00B3 oa ix00B3aeaeueoe aoaeoeaix00B3noue ex00B3eoaaiiy oex00B3x00BA? eaoaaix00F0x00B3? aaax00B3oieo.

NIENIE Ex00B2OAx00D0AOOx00D0E.

1. Aaeoax00F0eaeueiue aaaeiic.Iaoiae.x00F0aeiiaiaeaoeee.-Eeaa, 1998.

2. Ieoaeeaiei I.O., Noaiaiex00B3anueea A.E. Ax00B3iaeieiax00B3y.-E.:Caeix00F0ia'y, 1999.-520 n.

3.Iaax00B3aeeeaaeia aeooax00F0noai /Ca x00F0aae.A.E.Noaiaiex00B3anueei?, A.I.Aaioeex00B3anueeiai.-E.:Caeix00F0ia «y, 1994.-384 n., x00B3e.

4.Iaaeiiooaaiiy aaax00B3oiinox00B3. Cax00B3x00F0iee oac.-Ee?a, 1997.

5.Nax00F0ia A.I., Nox00F0eaeaeia A.I., Iax00F0eei N.A. Ix00F0aeoe/aneia aeooax00F0noai: x00D0oeiaiaenoai aeey ax00F0a/ae. — I.:Iaaeeoeeia, 1989.-512 n., ee.

6.Oocaieeia A. A. Ix00F0eioeeiu e iaoiaeu aaaeaiey ix00F0aaeaeaax00F0aiaiiuo x00F0iaeia: Aaoix00F0ao. aeen. … ae.i.i.-E., 1984.

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oa ax00B3iaeieiax00B3? x00B2OAeIA (Nox00F0oe A.O.).

Aaex00F0ane aaoix00F0x00B3a.

1.Aoaeeaie x00B2aai x00B2aaiiae/ - ix00F0io., ae.i.i., caa. eaoaaex00F0ith aeooax00F0noaa x00B3 ax00B3iaeieiax00B3? x00B2aaii-Ox00F0aiex00B3anueei? aeax00F0aeaaii? iaaee/ii? aeaaeaix00B3?.

76 000, i. x00B2aaii-Ox00F0aiex00B3anuee, aoe. Iacaeaaeiinox00B3 36/74, oae.2−36−50.

2.Nox00F0oe Aieiaeeiex00F0 Oaaeix00F0iae/ - anix00B3x00F0aio eaoaaex00F0e aeooax00F0noaa x00B3 ax00B3iaeieiax00B3? x00B2aaii-Ox00F0aiex00B3anueei? aeax00F0aeaaii? iaaee/ii? aeaaeaix00B3?.

78 200, x00B2aaii-Ox00F0aiex00B3anueea iae., i. Eieiiey, aoe. Nx00B3/iaeo nox00F0x00B3eueoex00B3a 25/8, oae.3−40−80.

Key words: interruption of pregnancy, premature labor, microbial flora.

The Role of the Infectious Factor in the Interruption of Pregnancy.

I.I. Gudyvok, V.F. Struk.

Summary.

It was made a retrospective analysis of 1894 stories of diseases and deliveries of the pregnants with the threat of interruption of pregnancy, spontaneous abortion and premature labor.

The first and the second degrees of purity of vagina are observed 3 times oftener in the pregnants, whose pregnancy was managed to prolong, and the third and the fourth degrees of purity of vagina are 1,8 time oftener in the cases, where pregnancy was ended in spontaneous abortion or premature labor. We consider, that careful study, of the character of microflora of vagina and the prenatal sanation are the factors which help to lower the frequency of interruption of pregnancy.