Consecuencias de hemorragia disfuncional en mujeres atendidas en el Hospital Matilde Hidalgo de Procel, desde octubre 2017 a marzo del 2018
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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El sangrado uterino disfuncional comprende una entidad multietiológica que se presenta con bastante frecuencia en la población femenina, dentro de esta etiología hay causas benignas como los miomas uterinos y malignos como la hiperplasia o pólipos en endometrio que preceden a una neoplasia de endometrio. Para poder saber que estamos frente a esta patología ginecológica hay que dominar conceptos básicos como regularidad, frecuencia, duración y cantidad normal de flujo en la menstruación para por consiguiente a partir de esto realizar el pesquisaje correcto mediante un buen llenado de la historia clínica . La presente investigación tiene como objetivo principal determinar las consecuencias que presentan las mujeres con diagnóstico de hemorragia uterina disfuncional atendidas en el Hospital Matilde Hidalgo de Procel durante el periodo de octubre 2017 a marzo 2018. Se realizó un estudio retrospectivo, descriptivo, no experimental de corte transversal, con un universo de 262 pacientes con hemorragia uterina disfuncional de las cuales se tomó una muestra de 157 casos que cumplieron con los criterios de inclusión, la recolección de datos se realizó mediante la revisión de historias clínicas y encuestas; obteniendo como resultado lo siguiente:el 34.35% las mujeres que presentaron sangrado uterino anormal estuvieron en un rango de edad entre los 40 y 44 años de edad , el 82.80% debutaron clínicamente como metrorragia , la morbilidad más común asociada fue la diabetes mellitus tipo II con un 38.16% . Dentro de las complicaciones la anémica crónica fue el hallazgo no ginecológico más común 63.69 % , mientras que el ginecológico fue el dolor pélvico ; en cuanto a la etiología tenemos el inconveniente que el 63.69% de los casos estudiados están encerrados como hemorragias uterinas y vaginales no especificadas , los miomas se encontraron en el 10.99 % del grupo femenino estudiado .
Dysfunctional uterine bleeding comprises a multietiological entity that occurs quite frequently in the female population, within this etiology there are benign causes such as uterine and malignant myomas such as hyperplasia or polyps in the endometrium that precede an endometrial neoplasm. In order to know that we are facing this gynecological pathology, basic concepts such as regularity, frequency, duration and normal amount of flow in menstruation must be mastered, therefore, from this, perform the correct investigation through a good filling of the clinical history. The main objective of this research is to determine the consequences of women diagnosed with dysfunctional uterine bleeding treated at the Matilde Hidalgo Hospital in Procel during the period from October 2017 to March 2018. A retrospective, descriptive, non-experimental, cut-out study was conducted. transverse, with a universe of 262 patients with dysfunctional uterine hemorrhage, from which a sample of 157 cases was taken that met the inclusion criteria; data collection was carried out through the review of clinical histories and surveys; obtaining as a result the following: 34.35% women who presented abnormal uterine bleeding were in an age range between 40 and 44 years of age, 82.80% debuted clinically as metrorrhagia, the most common morbidity associated was diabetes mellitus type II with 38.16%. Among the complications, the chronic anemia was the most common non-gynecological finding 63.69%, while the gynecological was pelvic pain; Regarding the etiology, we have the disadvantage that 63.69% of the cases studied are enclosed as uterine and vaginal hemorrhages not specified, fibroids were found in 10.99% of the female group studied. KEYWORDS:
Dysfunctional uterine bleeding comprises a multietiological entity that occurs quite frequently in the female population, within this etiology there are benign causes such as uterine and malignant myomas such as hyperplasia or polyps in the endometrium that precede an endometrial neoplasm. In order to know that we are facing this gynecological pathology, basic concepts such as regularity, frequency, duration and normal amount of flow in menstruation must be mastered, therefore, from this, perform the correct investigation through a good filling of the clinical history. The main objective of this research is to determine the consequences of women diagnosed with dysfunctional uterine bleeding treated at the Matilde Hidalgo Hospital in Procel during the period from October 2017 to March 2018. A retrospective, descriptive, non-experimental, cut-out study was conducted. transverse, with a universe of 262 patients with dysfunctional uterine hemorrhage, from which a sample of 157 cases was taken that met the inclusion criteria; data collection was carried out through the review of clinical histories and surveys; obtaining as a result the following: 34.35% women who presented abnormal uterine bleeding were in an age range between 40 and 44 years of age, 82.80% debuted clinically as metrorrhagia, the most common morbidity associated was diabetes mellitus type II with 38.16%. Among the complications, the chronic anemia was the most common non-gynecological finding 63.69%, while the gynecological was pelvic pain; Regarding the etiology, we have the disadvantage that 63.69% of the cases studied are enclosed as uterine and vaginal hemorrhages not specified, fibroids were found in 10.99% of the female group studied. KEYWORDS:
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Metrorragia, Hiperplasia, Pólipos, Anemia, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador, Oligomenorrea