Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction

The implementation of the reproductive function is one of the main components of women’s quality of life. Despite significant progress in the treatment of infertility and prevention of reproductive losses, these problems are still relevant. It is also important to timely diagnose various pathologica...

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Main Authors: M. A. Vinogradova, T. V. Kirsanova, D. S. Serebriyskaya
Format: Article
Language:Russian
Published: Remedium Group LLC 2020-04-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/5572
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author M. A. Vinogradova
T. V. Kirsanova
D. S. Serebriyskaya
author_facet M. A. Vinogradova
T. V. Kirsanova
D. S. Serebriyskaya
author_sort M. A. Vinogradova
collection DOAJ
description The implementation of the reproductive function is one of the main components of women’s quality of life. Despite significant progress in the treatment of infertility and prevention of reproductive losses, these problems are still relevant. It is also important to timely diagnose various pathological processes in order to determine the tactics of preparing women for pregnancy and its further management, taking into account the pathogenetic characteristics of diseases. Various attempts have been made to optimize both diagnostic and therapeutic approaches. Special attention is paid to identifying risk groups and ensuring the most effective preparation for pregnancy, taking into account possible risk factors for adverse outcomes. Adequate diagnostics of background pathology and the use of proven effective methods of pregravid preparation can significantly improve pregnancy outcomes. Peculiarities of the vascular system functioning may affect both the life of the woman in general and the outcome of pregnancy. Endothelial dysfunction is a component of pathogenesis of many nosologies (diabetes mellitus, chronic venous disease, hypertension, autoimmune pathology, etc.). Restoration of vascular endothelial dysfunction and, as a consequence, prevention of probable vascular complications is one of the new goals in the preventive approach to pregnancy. The promising center of this approach is considered to be the drug sulodexide. The three main effects of this drug – antithrombotic, anti-inflammatory and defensive in relation to endothelium – provide a significant increase in pregnancy preparation possibilities in many nosologies. This review presents its main features and areas of use.
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spelling doaj.art-799dc13d6c834c59acc2ca26dadfb3ea2023-04-23T06:56:45ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-04-0103687310.21518/2079-701X-2020-3-68-735066Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunctionM. A. Vinogradova0T. V. Kirsanova1D. S. Serebriyskaya2National Medical Research Center for Obstetrics, Gynecology and Perinatology named after academician V.I. KulakovNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after academician V.I. KulakovNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after academician V.I. KulakovThe implementation of the reproductive function is one of the main components of women’s quality of life. Despite significant progress in the treatment of infertility and prevention of reproductive losses, these problems are still relevant. It is also important to timely diagnose various pathological processes in order to determine the tactics of preparing women for pregnancy and its further management, taking into account the pathogenetic characteristics of diseases. Various attempts have been made to optimize both diagnostic and therapeutic approaches. Special attention is paid to identifying risk groups and ensuring the most effective preparation for pregnancy, taking into account possible risk factors for adverse outcomes. Adequate diagnostics of background pathology and the use of proven effective methods of pregravid preparation can significantly improve pregnancy outcomes. Peculiarities of the vascular system functioning may affect both the life of the woman in general and the outcome of pregnancy. Endothelial dysfunction is a component of pathogenesis of many nosologies (diabetes mellitus, chronic venous disease, hypertension, autoimmune pathology, etc.). Restoration of vascular endothelial dysfunction and, as a consequence, prevention of probable vascular complications is one of the new goals in the preventive approach to pregnancy. The promising center of this approach is considered to be the drug sulodexide. The three main effects of this drug – antithrombotic, anti-inflammatory and defensive in relation to endothelium – provide a significant increase in pregnancy preparation possibilities in many nosologies. This review presents its main features and areas of use.https://www.med-sovet.pro/jour/article/view/5572endothelial dysfunctionsulodexidereproductive losseschronic venous diseasepregravid preparation
spellingShingle M. A. Vinogradova
T. V. Kirsanova
D. S. Serebriyskaya
Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
Медицинский совет
endothelial dysfunction
sulodexide
reproductive losses
chronic venous disease
pregravid preparation
title Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
title_full Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
title_fullStr Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
title_full_unstemmed Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
title_short Possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
title_sort possibilities of optimization of pregnancy preparation in the presence of conditions accompanied by endothelial dysfunction
topic endothelial dysfunction
sulodexide
reproductive losses
chronic venous disease
pregravid preparation
url https://www.med-sovet.pro/jour/article/view/5572
work_keys_str_mv AT mavinogradova possibilitiesofoptimizationofpregnancypreparationinthepresenceofconditionsaccompaniedbyendothelialdysfunction
AT tvkirsanova possibilitiesofoptimizationofpregnancypreparationinthepresenceofconditionsaccompaniedbyendothelialdysfunction
AT dsserebriyskaya possibilitiesofoptimizationofpregnancypreparationinthepresenceofconditionsaccompaniedbyendothelialdysfunction