RESUMO
The authors compare the efficacy of surgical treatment of tubal sterility using laparoscopy (133 cases) and microsurgical techniques (120 cases). The results were assessed with due consideration for the dissemination of adhesions (first-second and third-fourth degrees), status of the uterine tubes, and presence or absence of chlamydial infection. Surgical correction via an endoscopic access was found to be preferable in adhesions of the first-second degree, whereas in adhesions of the third-fourth degree surgical interventions are inadvisable.
Assuntos
Doenças das Tubas Uterinas/cirurgia , Infertilidade Feminina/cirurgia , Salpingostomia/métodos , Infecções por Chlamydia/complicações , Infecções por Chlamydia/cirurgia , Endoscópios , Endoscopia/métodos , Doenças das Tubas Uterinas/etiologia , Feminino , Seguimentos , Humanos , Infertilidade Feminina/etiologia , Microcirurgia/instrumentação , Microcirurgia/métodos , Cuidados Pós-Operatórios , Salpingostomia/instrumentação , Aderências Teciduais/etiologia , Aderências Teciduais/cirurgiaAssuntos
Doenças dos Genitais Femininos/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Suturas , Animais , Feminino , Doenças dos Genitais Femininos/complicações , Humanos , Cuidados Intraoperatórios/métodos , Complicações Pós-Operatórias/etiologia , Aderências Teciduais/etiologia , Aderências Teciduais/prevenção & controleRESUMO
Impairments in the interferon status of children with chronic and recurring diseases of the respiratory organs were investigated and its correction was shown possible with the use of alpha 2-interferon (reaferon). Suppression of the interferon-producing capacity of the immunocytes was observed in all the cases of the disease aggravation. The level of the suppression correlated with the severity of the infection. In the patients affected by radiation the suppression of the interferonogenesis was more marked. However, in these cases no dependence of the detected impairments in the interferon status on the level of the radiation pollution of the territory of the children residence was shown. The inclusion of reaferon to the basal therapy resulted in a significant increase of the alpha-interferon production in the cases of bronchial asthma and asthmatic bronchitis as well as its recovery to the normal in the cases of recurring bronchitis and chronic pneumonia. In all the cases of bronchopulmonary diseases only a tendency towards normalization of the alpha-interferon indices was recorded.
Assuntos
Broncopatias/tratamento farmacológico , Interferon Tipo I/uso terapêutico , Interferons/biossíntese , Pneumopatias/tratamento farmacológico , Centrais Elétricas , Liberação Nociva de Radioativos , Broncopatias/sangue , Criança , Pré-Escolar , Doença Crônica , Saúde Ambiental , Humanos , Interferon alfa-2 , Interferon-alfa , Interferons/sangue , Leucócitos/efeitos dos fármacos , Leucócitos/metabolismo , Leucócitos/efeitos da radiação , Pneumopatias/sangue , Proteínas Recombinantes , Recidiva , UcrâniaRESUMO
The protective role of secretory antibodies in the development of adenovirus infection has been established. More severe and prolonged course of adenovirus infection, accompanied by the involvement of the lower respiratory tract in the process, has been noted in patients with low titers of antibodies, or their absence, in secretions (O to 1:4). The presence of secretory antibodies in a titer of 1:8 considerably alleviated the course of the disease. The antibody titer 1:16 (according to the data of the passive hemagglutination test) has proved to be protective for children and adults in adenovirus infection. The results of the determination of antibodies in the secretions of the upper respiratory tract in the passive hemagglutination test may be used for the purposes of prognostication.
