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"lead": "нарушение менструаций, при котором интервал между месячными составляет более 40 суток",
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"etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Причинами первичной олигоменореи являются врожденные патологии половой системы девушки, которые развиваются ещё в эмбриональном периоде.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Причинами вторичной олигоменореи могут быть воспалительные процессы женских половых органов, последствия аборта или операции на матке, дисфункции яичников, эндокринных нарушений щитовидной железы, поджелудочной и надпочечников, физического и психологического изнурений, гормональных нарушений, при травмах репродуктивных органов, при образовании опухолей, функциональных нарушениях в матке и яичниках после перенесения хронических инфекций, гормональных перестроек в период климакса или полового созревания. Помимо основных причин, провоцируют возникновение вторичной олигоменореи такие факторы, как резкое изменение климата, истощение, строгие диеты, частые стрессы, прекращение приема противозачаточных препаратов, негативное влияние окружающей среды и прочие.</span></p>",
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"diagnostics": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Очень редкие месячные и наличие других симптомов олигоменореи требуют осмотра гинекологом-эндокринологом, неврологом, генетиком и онкологом, которые смогут поставить правильный диагноз. В процессе обследования понадобится сделать биохимический и общий анализы крови, а также анализ на повышенное содержание гормонов: тестостерона, кортизола, тироксина, эстрадиола, прогестерона, хорионического гонадотропина, пролактина, фолликулостимулирующих и лютеинизирующих гормонов. Необходимо сделать общий анализ мочи, провести ультразвуковое исследование щитовидной и паращитовидной желез, молочных желез, матки и придатков. В некоторых случаях может понадобиться магнитно-резонансная томография органов малого таза.</span></p>",
"treatment": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Олигоменорея, лечение которой зависит от возраста пациентки и причин возникновения, будет считаться вылеченной, если у пациентки нормализуется цикл, и в течение года будет короче, чем 40 дней. Не стоит торопиться с медикаментозным лечением, если пациентка ещё подросток, у неё еще может нормализоваться цикл с течением некоторого времени, а также, если с данными симптомами обратилась пожилая женщина, поскольку редкие месячные - это нормальное физиологическое состояние женщины в предклимактерический период.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Бывают случаи, когда для лечения олигоменореи достаточно правильного питания и умеренных физических нагрузок, но в большинстве случаев без лекарственных препаратов не обойтись. Помимо гормональных препаратов (которые обычно принимают по десять-двенадцать дней ежемесячно или раз в три месяца) и поливитаминов, врачи назначают гинекологический массаж, физиотерапию, лечебную физкультуру и иглорефлексотерапию.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В некоторых случаях необходимо хирургическое вмешательство в виде радиоволновой коагуляции и точечной диатермокоагуляции.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Лечением данной болезни занимается гинеколог-эндокринолог, который помимо назначения медицинских препаратов, уделяет внимание и общеукрепляющей терапии, включающей в себя нормализацию питания, имунностимуляцию и прием витаминов.</span></p>",
"prevention": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Профилактика олигоменореи состоит в нормализации питания, физической активности, эмоциональных реакций, применении надежных, рекомендованных врачом методов контрацепции.</span></p>",
"clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Основными симптомами данного недуга являются редкие менструации, расстройство жирового обмена, следствием которого является появление угревой сыпи на лице, груди и спине, избыточный вес, гирсутизм (у женщин растут волосы на лице, животе, груди), телосложение женщины становится похожим на телосложение мужчины, как строением костного скелета, так и выраженной развитой мускулатурой.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Некоторые пациенты имеют сниженное сексуальное влечение и проблемы с зачатием ребенка. Часто именно эта причина становится основанием для визита в больницу. При первых признаках недуга необходимо обратиться к врачу, поскольку он может быть предвестником некоторых тяжелых заболеваний, в том числе и рака матки.</span></p>",
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}
]
}