SUMY STATE UNIVERSITY, SUMY, UKRAINE.
TERNOPIL STATE MEDICAL UNIVERSITY NAMED AFTER I. YA. HORBACHEVSKI, TERNOPIL, UKRAINE.
Wiad Lek. 2023;76(5 pt 1):984-991. doi: 10.36740/WLek202305115.
The aim: To investigate the peculiarities of menstrual cycle disorders in teenagers against the background of excessive stress in order to develop a scientifically based set of measures for their correction.
Materials and methods: 120 girls aged 9-18 who were in the war zone or became forced migrants were examined. Examination methods included anamnesis collection, assessment of psycho-emotional state, anthropometry, laboratory and instrumental studies.
Results: It was found that the frequency of menstrual cycle disorders in the subjects was 65.8% (n = 79). Among menstrual cycle disorders: dysmenorrhea - 45.6% (n = 36), excessive menstruation - 27.8% (n = 22), secondary amenorrhea - 26.6% (n = 21). 71.7% (n = 86) of the examinees noted a change in eating behavior over the past few months. Almost half of these children had dyshormonal disorders or met the criteria of metabolic syndrome - 45.3% (n = 39).
Conclusion: Timely detection and adequate correction of psycho-emotional and metabolic disorders in adolescent girls in stressful conditions contributes to the prevention of disorders of menstrual and reproductive function.
调查过度应激背景下青少年月经周期紊乱的特点，以便制定科学的校正措施。
共检查了 120 名 9-18 岁的身处战区或被迫成为移民的女孩。检查方法包括采集病史、评估心理-情绪状态、人体测量学、实验室和仪器研究。
发现研究对象的月经周期紊乱发生率为 65.8%（n=79）。月经周期紊乱包括痛经（45.6%，n=36）、月经过多（27.8%，n=22）和继发性闭经（26.6%，n=21）。71.7%（n=86）的受检者在过去几个月注意到饮食习惯的改变。这些儿童中几乎有一半存在激素紊乱或符合代谢综合征标准-45.3%（n=39）。
在应激条件下及时发现和充分纠正青少年的心理-情绪和代谢紊乱有助于预防月经和生殖功能障碍。
