青少年异常子宫出血与 COVID-19:病因和发病机制

A.Yu. Kurmangaleeva, Ye.V. Sibirskaya, S. Korotkova, G. Osipova
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摘要

对 2020-2023 年在电子图书馆、PubMed、Google Scholar 上发表的科学论文进行了分析。分析了 "青春期异常子宫出血 "临床建议、俄罗斯联邦卫生部 "新型冠状病毒感染(COVID-19)所致儿童疾病的临床表现和治疗特点 "方法学建议和俄罗斯联邦卫生部 "新型冠状病毒感染(COVID-19)的预防、诊断和治疗 "临时方法学建议。因青春期异常子宫出血(AUB PP)而住院的育龄期少女人数的增加与转入的 COVID-19 病毒之间存在着明显的联系。为了改进、预测和优化青春期异常子宫出血和冠状病毒感染女孩的管理和治疗策略,分析了 COVID-19 的影响、病因和发病机制的特点。考虑到 AUB PP 的高度慢性病程和复发倾向,有必要制定一种方法来评估 AUB PP 复发的可能性,包括根据 COVID-19 对月经周期影响的病理特征进行评估。
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Abnormal Uterine Bleeding in Adolescents and COVID-19: Etiology and Pathogenesis
The analysis of scientific papers published in eLibrary, PubMed, Google Scholar for 2020–2023 is carried out. The clinical recommendations ‘Abnormal uterine bleeding in puberty’, methodological recommendations of the Ministry of Health of the Russian Federation ‘Features of clinical manifestations and treatment of the disease caused by a new coronavirus infection (COVID-19) in children’ and temporary methodological recommendations of the Ministry of Health of the Russian Federation ‘Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)’ were analyzed. There is a clear link between the increase in the number of hospitalized girls of early reproductive age with abnormal uterine bleeding of the puberty period (AUB PP) and the transferred COVID-19. In order to improve, predict and optimize the tactics of management and treatment of girls with AUB PP and coronavirus infection, the impact of COVID-19, the features of their etiology and pathogenesis were analyzed. Given the high degree of chronic course and the tendency to relapse, it is necessary to develop a methodology to assess the likelihood of a repeat case of AUB PP, including based on the pathogenetic features of the impact of COVID-19 on the menstrual cycle
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