Medycyna wieku rozwojowego最新文献

{"title":"[Perinatal palliative care performed in obstetrics and neonatology wards and hospices for children - own experience].","authors":"Agnieszka Jalowska, Joanna Krzeszowiak, Agnieszka Stembalska, Krzysztof Szmyd, Mariusz Zimmer, Gizela Jagielska, Małgorzata Raś, Agnieszka Pasławska, Agnieszka Szafrańska, Dorota Paluszyńska, Tomasz Fuchs, Karolina Pesz, Maria Sąsiadek, Barbara Królak-Olejnik, Robert Śmigiel","doi":"10.34763/devperiodmed.20192304.253262","DOIUrl":"10.34763/devperiodmed.20192304.253262","url":null,"abstract":"<p><strong>Objective: </strong>Lethal defects lead to the intrauterine death of the fetus or the passing away of the child immediately after birth or in early infancy, regardless of the treatment used. In the case of lethal defects, it is not possible to effectively help the child, despite using the most modern equipment or medicines in the treatment or the progress made by medicine. Parents, who decide to continue the pregnancy, although the fetus has a lethal defect that cannot be cured, may be covered by perinatal hospice care, which is comprehensive and consists in supporting the pregnant woman during the prenatal time, during delivery and after delivery and support of her family, giving full information to the parents about their child's illness. Childcare after birth is focused on protecting the infant from persistent therapy and providing him with appropriate conditions. Aim: To demonstrate the role of perinatal palliative care for pregnant women in whom the results of prenatal tests pointed to a severe developmental disorder in the fetus with a potentially lethal prognosis, and to present a pattern of behavior for their hospitalization in the perinatal hospice.</p><p><strong>Patients and methods: </strong>Materials and methods: The retrospective analysis included documentation of 67 patients referred to the RAZEM (TOGETHER) Program in Wrocław in 2014-2018 due to abnormal results of (ultrasound and / or genetic) prenatal tests, which indicated a serious developmental disorder in the fetus with potentially lethal prognosis. Analysis was conducted of sociodemographic data, clinical data on fetal diagnosis, pregnancy and delivery, the procedure for prenatal delivery and postnatal birth.</p><p><strong>Results: </strong>Results: 67 women aged 20-43 years (mean 31.2) were referred to the RAZEM Program. Out of these, 57 women were enrolled for palliative care, which accounted for 85% of those referred to the program. Palliative care was continued in 51 patients, because 6 women decided to terminate their pregnancy during the diagnostic process (10.5%). The most common abnormalities in the fetuses were chromosomal aberrations, CNS defects and kidney defects. In 95% of the cases, intrauterine fetal death or neonatal death occurred.</p><p><strong>Conclusion: </strong>Conclusions: Perinatal palliative care is an indispensable form of care for pregnant women in whom the results of prenatal tests indicate a serious developmental disorder in the fetus with potentially lethal prognosis. The in-hospital model of a perinatal hospice is a beneficial form of care, as it ensures consistency and good communication in the team, which favourably affects its quality.</p>","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"23 4","pages":"253-262"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37521330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do drugs used in obstetric anesthesia interfere with early breastfeeding? What determines drug safety in lactation? Part 1.","authors":"Maria Wilińska, Wojciech Walas, Ewa Kamińska, Małgorzata Malec Milewska, Agnieszka Sękowska, Ewa Helwich","doi":"10.34763/devperiodmed.20192304.227232","DOIUrl":"10.34763/devperiodmed.20192304.227232","url":null,"abstract":"<p><p>The issues concerning the transfer of drugs into mothers' milk and their influence on breastfed babies have not been fully studied. Assessment of the situation should include such aspects as drug transfer into fetal blood and into mother's milk, the real risk of inhibiting lactogenesis 2 in women after birth, as well as the psychological consequences for the mother of suspending breastfeeding. The risk of feeding a newborn with formula based on cow's milk is another fateful issue. The following paper presents the pharmacokinetic characteristics of drugs which determine their transfer level through the placenta and into mother's milk during the perinatal period and lactation.</p>","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"23 4","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37521327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of structured prenatal education on the use of specialist lactation counseling in case of difficulties.","authors":"Mariola Błachnio, Ewa Dmoch-Gajzlerska, Magdalena Bednarczyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Introduction: Breastfeeding is the optimal way to nourish newborns and infants. According to the PTGHiŻDz, ESPGHAN and AAP, exclusive breastfeeding should be sought for the first 6 months of life. Aim: To analyse the relationship between participation in prenatal education and the frequency to intend and then continue breastfeeding in the first 6 months of a child's life. To assess the impact of participation in prenatal education on women's use of specialist lactation counselling.</p><p><strong>Patients and methods: </strong>Material and methods: The study was conducted in the period from May 2013 to June 2014 at the Specialist Hospital of St. Sophia in Warsaw. It included 333 women in the maternity ward. The study group consisted of 244 women who participated in structured prenatal education classes in group form. The control group numbered 89 women who did not participate in prenatal education either in one-to-one or group form. The first stage of the study was carried out among women 48 hours after childbirth. In the second stage of the study, a questionnaire was sent to women in electronic form, not earlier than one day after the child was 6 months old.</p><p><strong>Results: </strong>Results: The variables that differentiated the groups studied were: education, place of residence, professional activity before pregnancy and professional activity during pregnancy longer than 27 weeks. The intention to take up exclusive breastfeeding expressed 48 hours after childbirth was declared by 94.7% of the women from the study group and 86.5% of the women from the control group (p=0.024). Breastfeeding was the most common difficulty reported by women during their stay in hospital (39.3% vs. 38.2% p=0.85) and during the first 6 months after childbirth (19.8% vs. 7.1% p=0.11). In case of difficulties in the course of childbirth, the women from the study group who used specialised lactation counselling accounted for 12.7%. No woman from the control group benefited from this type of care.</p><p><strong>Conclusion: </strong>Conclusions: Participation in structured prenatal education is a factor influencing the frequency of intending to breastfeed. Women after a cycle of structured prenatal education classes are more likely to take advantage of lactation counselling at a specialist level. Structured prenatal education has no influence on the subjective assessment of women concerning the practical application of the knowledge concerning breastfeeding.</p>","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"23 4","pages":"216-226"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37521326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do drugs used in obstetric anesthesia interfere with early breastfeeding? Characteristics of the pharmacodynamic and pharmacokinetic properties of certain drugs. Part 2.","authors":"Maria Wilińska, Wojciech Walas, Ewa Kamińska, Małgorzata Malec Milewska, Agnieszka Sękowska, Ewa Helwich","doi":"10.34763/devperiodmed.20192304.233244","DOIUrl":"10.34763/devperiodmed.20192304.233244","url":null,"abstract":"<p><p>Cesarean section requires the administration of drugs that should be limited to specific medical indications. It is important to remember that most of the available and currently administered anesthetics can affect the fetus and the newborn. In obstetric anesthesia, only such medication that demonstrates a beneficial pharmacokinetic profile and maximum effectiveness should be administered. In this article, the authors reviewed the pharmacodynamic and pharmacokinetic properties of the drugs used during anesthesia in obstetric procedures. The analysis of the influence of these drugs on the clinical condition of the newborn at birth and during breastfeeding was also presented. Drug safety was determined in the aspect of lactation and natural feeding.</p>","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"23 4","pages":"233-244"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37521328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of the first breastfeeding in Warsaw's maternity hospitals.","authors":"Monika Salamończyk, Anna Łozińska-Czerniak, Ewa Dmoch-Gajzlerska, Magdalena Bednarczyk","doi":"10.34763/devperiodmed.20192304.209215","DOIUrl":"10.34763/devperiodmed.20192304.209215","url":null,"abstract":"<p><strong>Objective: </strong>Introduction: Birth is associated with the loss of the comfortable intrauterine environment and the beginning of life in the external environment. The newborn undertakes basic life functions in an environment of stimuli to which his nervous system is particularly sensitive. Some fundamental methods that facilitate adaptation to extrauterine life are skin-to-skin contact and the first breastfeeding. Aim: The aim of the study was to assess the provision of the first breastfeeding after natural delivery in Warsaw's medical facilities.</p><p><strong>Patients and methods: </strong>Material and method: The method of direct observation was used in the study. The research material was collected using the authored observation sheet designed for the purposes of the study. The tests were carried out in 11 Warsaw obstetric facilities with varying degrees of referentiality, in which the management agreed to conduct the study. It was ensured that the data collected would be presented anonymously. The research began in January 2016 and was completed in December 2017.</p><p><strong>Results: </strong>Results: During the direct contact of the mother with the child, in 97.37% of the cases the newborn was attached to the mother's breast. In 25.01% of the cases, the duration of the first breastfeeding was over 30 minutes, and in the same number of feedings it ranged from 21-30 minutes. The shortest duration of feeding from 1-5 minutes was observed in 5.58% of the cases.</p><p><strong>Conclusion: </strong>Conclusions: In most cases, the first breastfeeding took place within 2 hours of birth. The initiation of breastfeeding after natural delivery took place during the mother's first contact with the child. In more than half of the cases, the first feeding lasted as long as the specialists recommend - over 20 minutes.</p>","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"23 4","pages":"209-215"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37521325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rodzice Uchylający Się Od Szczepienia Ochronnego Dziecka w Okresie Noworodkowym ‒ Analiza Postaw*","authors":"Maria Wilińska, Małgorzata Warakomska","doi":"10.34763/devperiodmed.20182204.315322","DOIUrl":"https://doi.org/10.34763/devperiodmed.20182204.315322","url":null,"abstract":"Streszczenie Uchylanie się rodziców od szczepień ochronnych jest zjawiskiem narastającym i wiedzie do pogorszenia sytuacji epidemiologicznej w zakresie chorób objętych profilaktyką czynną. Celem badania była analiza postaw rodziców uchylających się od szczepień ochronnych u noworodków w oddziale neonatologicznym. Materiał i metody Badanie ankietowe analizujące postawy rodziców uchylających się od szczepienia dziecka po jego urodzeniu się przeprowadzono w ośrodku III poziomu referencyjnego. Gromadzono dane demograficzne rodziców, powody ich decyzji, źródła informacji oraz stan realizacji szczepień ochronnych dziecka po ukończeniu przez nie 6 miesiąca życia. Wyniki Stwierdzono narastającą w latach 2015-2017 liczbę rodziców uchylających się od szczepień (odpowiednio 1,58%, 2,54%, 2,83%). Byli to rodzice dojrzali wiekowo (31,5-34,5 lat), w większości z wyższym wykształceniem (93%). 63% posiadała więcej niż jedno dziecko. Wśród wielodzietnych 67% rodziców szczepiło poprzednie dzieci. Jako powód wstrzymania się od szczepienia podawano brak rzetelnej informacji medycznej od personelu, negatywne opinie z internetu i od innych rodziców. Wnioski Niewystarczająca aktywność personelu medycznego i silny wpływ łatwo dostępnych w mediach społecznościowych opinii antyszczepionkowych są przyczyną nieoptymalnej realizacji programu szczepień ochronnych. Konieczne jest propagowanie rzetelnej wiedzy na temat zagrożeń epidemiologicznych chorób objętych szczepieniami ochronnymi oraz umiejętnego jej przekazywania z wykorzystaniem wszelkich dostępnych dróg przekazu.","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"22 1","pages":"315 - 322"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69886644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chromogranin a: Its Known and Possible Roles in Obstetrics and Gynecology","authors":"M. Niezgoda, I. Kasacka","doi":"10.34763/devperiodmed.20182204.297300","DOIUrl":"https://doi.org/10.34763/devperiodmed.20182204.297300","url":null,"abstract":"Abstract Chromogranin A (CgA) is a prohormone initially extracted from the adrenal medulla, however, increased quantities of CgA are secreted by a wide array of human tissues in the course of a variety of disorders. This protein exhibits a number of interesting endocrine and non-endocrine functions. Here we briefly review the possible involvements of CgA in the areas covered by obstetrics and gynecology. Our account indicates the need to verify its association with the intrapartum fetal stress, and the involvement of CgA in the pathomechanisms of obstetric disorders related to placental dysfunction, as well as in the pathogenesis of endometrioid endometrial cancer as a hormonally regulated malignancy.","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"22 1","pages":"297 - 300"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45505393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kaszel Przewlekły u Dzieci","authors":"Katarzyna Ptak, E. Cichocka-Jarosz, P. Kwinta","doi":"10.34763/devperiodmed.20182204.329340","DOIUrl":"https://doi.org/10.34763/devperiodmed.20182204.329340","url":null,"abstract":"Streszczenie Kaszel stanowi jedną z najczęstszych dolegliwości zgłaszanych przez pacjentów w gabinecie lekarskim. W ciągu roku większość dzieci może doświadczać 5-8 epizodów kaszlu trwających około tygodnia. Dłuższy niż 4 tygodnie czas trwania kaszlu, definiowany jako kaszel przewlekły, istotnie niepokoi rodziców, pogarsza jakość życia rodziny i stanowi przyczynę zwiększenia częstości konsultacji lekarskich oraz zdarzeń niepożądanych z powodu nieprawidłowego stosowania leków. Stanowi więc istotny problem nie tylko zdrowotny, ale też społeczny. W poniższej pracy został przedstawiony aktualny stan wiedzy dotyczący patofizjologii kaszlu przewlekłego, najnowszych możliwości diagnostycznych, sposobów monitorowania kaszlu i zaleceń postępowania terapeutycznego. Dla zaakcentowania odrębności patomechanizmów prowadzących do stanu kaszlu przewlekłego użyto nowego pojęcia cough hipersensitivity syndrom. Podkreślono fakt, że poszczególne metody monitorowania nasilenia kaszlu nie pozwalają na pełną charakterystykę kaszlu. Aktualnie zaleca się stosowanie jednocześnie kilku metod celem dokonania pełnej oceny. Przedstawiono nowe strategie terapeutyczne opierające się na regulacji przewodzenia bodźców drogą aferentną nerwu błędnego oraz na modyfikowaniu aktywności neurotransmiterów w pniu mózgu i śródmózgowiu. Ponadto w poniższej pracy przedstawiono algorytm postępowania diagnostyczno-terapeutycznego w przypadku kaszlu przewlekłego u dzieci, co pozwala przyspieszyć ustalenie właściwego rozpoznania, rozpoczęcie leczenia oraz poprawić jakość życia pacjentów z problemem kaszlu przewlekłego.","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"22 1","pages":"329 - 340"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69886823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wysokie Odejście Moczowodu Przyczyną Skrajnego Wodonercza u 5-letniego Dziecka z Nerką Podkowiastą","authors":"Grażyna Krzemień, A. Turczyn, M. Pańczyk-Tomaszewska, Przemysław Bombiński, Agnieszka Szmigielska","doi":"10.34763/devperiodmed.20182204.371375","DOIUrl":"https://doi.org/10.34763/devperiodmed.20182204.371375","url":null,"abstract":"Streszczenie Nerka podkowiasta rozpoznawana jest z częstością 1:400-1:800 urodzeń. U 44-46% dzieci współistnieje z innymi anomaliami rozwojowymi układu moczowego. Najczęściej rozpoznawane jest wodonercze, odpływ pęcherzowo-moczowodowy i zdwojenie moczowodu. Pięcioletni chłopiec został przyjęty do Kliniki Nefrologii z powodu bólów brzucha i wymiotów. W rutynowym badaniu USG jamy brzusznej wykonanym w wieku 9 miesięcy u chłopca rozpoznano nerkę podkowiastą. Kontrolne badania USG wykazywały niewielkie poszerzenie miedniczki i kielichów w nerce lewej. W badaniu USG jamy brzusznej wykonanym przy przyjęciu do szpitala opisano nerkę podkowiastą ze skrajnym wodonerczem w nerce lewej. W badaniu dopplerowskim uwidoczniono 2 tętnice nerkowe po stronie lewej, bez cech ucisku na moczowód nerki lewej. Scyntygrafia dynamiczna nerek, z użyciem 99mTc-EC, wykazała w nerce podkowiastej wodonercze lewostronne z wysokim udziałem nerki w oczyszczaniu (55% ERPF), wydłużonym czasem tranzytu miąższowego i objawami częściowego utrudnienia wydalania na poziomie ujścia miedniczkowo-moczowodowego. W urografii rezonansu magnetycznego opisano powiększoną nerkę lewą do 105 mm, z odcinkowo zwężoną warstwą miąższową, miedniczka w wymiarze przedniotylnym 39 mm, kielichy poszerzone do 26-32 mm, wysokie odejście moczowodu z miedniczki, nerka prawa prawidłowa. Celem ułatwienia odpływu moczu z wodonerczowo zmienionej nerki lewej założono czasowy drenaż wewnętrzy – cewnik typu double-J. W planie plastyka miedniczkowo-moczowodowa. Wnioski U dziecka z nerką podkowiastą i niewielkiego stopnia poszerzeniem układu kielichowomiedniczkowego w okresie niemowlęcym, konieczna jest długofalowa obserwacja ze względu na możliwość nasilenia wodonercza w późniejszych latach życia.","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"22 1","pages":"371 - 375"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47060972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profilaktyczna Obustronna Salpingektomia: Dlaczego Warto?","authors":"Ł. Kurek, K. Jabłoński, Natalia Góralska, Joanna Żuchlińska, Łukasz Stelmaszczyk, P. Różanowski","doi":"10.34763/devperiodmed.20182204.390395","DOIUrl":"https://doi.org/10.34763/devperiodmed.20182204.390395","url":null,"abstract":"Streszczenie Nowotwory złośliwe jajnika charakteryzują się późną wykrywalnością, co jest głównym czynnikiem determinującym ich złe rokowanie. Prawie 70% z nich rozpoznawanych jest w III i IV stadium zaawansowania klinicznego. Obecnie brakuje skutecznych metod wczesnego wykrywania raka jajnika. Jednym ze sposobów obniżenia ryzyka zachorowania jest stosowanie obustronnego usunięcia jajowodów i jajników, a coraz częściej proponuje się, że skutecznym postępowaniem może być profilaktyczna salpingektomia. Jest to uzasadnione badaniami patomorfologicznymi dotyczącymi pochodzenia komórek nowotworowych w raku jajnika. Istnieją dowody naukowe sugerujące, że często pierwotnym miejscem wystąpienia przemian nowotworowych jest dystalny odcinek jajowodu, z którego komórki następnie migrują do jajników. Brakuje jednak długoterminowych prac dowodzących skuteczności profilaktycznej salpingektomii. Poniższy artkuł podsumowuje korzyści i wady takiego postępowania na podstawie analizy aktualnego piśmiennictwa.","PeriodicalId":35058,"journal":{"name":"Medycyna wieku rozwojowego","volume":"22 1","pages":"390 - 395"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49431455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}