Positive Efficiency of Combine Immunotherapy in Immunocompromised Girls with Recurrent Nonspecific Chronic Vulvovaginitis

Nesterova Iv, Kovaleva Sv, Chudilova Ga, Lomtatidze Lv, Krutova Va, Shuvalov An, Malinovskaya Vv
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Abstract

Nonspecific chronic vulvovaginites (NCVV) are a frequent clinical sign of immune deficiency, especially in young girls. The established problems with the functioning of various parts of the immune system (IS) in this pathology dictate the need to include immunomodulatory therapy into the complex. The developed program of combined immunotherapy for immunocompromised girls allows reducing the severity and duration of exacerbation of NCVV, their frequency against the background of a significant reduction in ARVI incidence. Positive clinical effects were observed with underlying restoration in IS functioning. A protective effect was obtained (observation in a catamnesis for 1 year): the duration of a clinically safe period increased from 6 to 11-11.5 months per year. Introduction Vulvovaginitis takes the first place in the structure of gynaecological disorders in girls of primary school age and preschool age, with the peak share at the age of 2-7 years old. Acute and chronic genital inflammations in childhood may later cause serious infections and inflammations in women of various ages and result in reproductive disorders in women of childbearing age. Therefore tackling the challenge of protecting the reproductive health of children and teenagers, preventing and treating gynaecological disorders in children is a burning issue; it is of huge practical significance and of a certain interest both for scientists and practitioners.
联合免疫治疗复发性非特异性慢性外阴阴道炎的疗效观察
非特异性慢性外阴阴道炎(NCVV)是免疫缺陷的常见临床症状,特别是在年轻女孩中。建立问题与免疫系统的各个部分的功能(是)在这个病理决定需要包括免疫调节治疗到复杂。针对免疫功能低下女孩的联合免疫治疗方案可以降低ncv恶化的严重程度和持续时间,在ARVI发病率显著降低的背景下,其发生频率也有所降低。在IS功能恢复的基础上观察到积极的临床效果。保护效果(观察在诊后病历1年):临床安全期的持续时间从6增加到每年11 - 11.5个月。外阴阴道炎在小学和学龄前女童妇科疾病结构中占首位,2-7岁为发病高峰。儿童期的急性和慢性生殖器炎症可在以后引起各年龄妇女的严重感染和炎症,并导致育龄妇女的生殖障碍。因此,应对保护儿童和青少年生殖健康、预防和治疗儿童妇科疾病的挑战是一个紧迫的问题;这对科学家和实践者都具有重大的现实意义和一定的兴趣。
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