Principales enfermedades ginecológicas infanto-juvenil en Hospital Roberto Gilbert Elizalde en 2013 e implementación de una Unidad de Especialidad
No hay miniatura disponible
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La atención ginecológica, en edades pediátricas, se ha convertido en una necesidad debido a que las afecciones ginecológicas en las lactantes y niñas suelen ser tan frecuentes como en la adolescencia y en la etapa adulta. Se elaboró una investigación observacional y descriptiva, en la consulta de atención primaria en el hospital Roberto Gilbert en el año 2013, sobre las afecciones ginecológicas más frecuentes detectadas en un universo que abarca desde el nacimiento hasta los 17 años. Se tomó en consideración variables sobre edad y tipo de afección ginecológica y sus causas, además su plan y manejo en base a las historias clínicas de las principales especialidades -como fueron pediatría, urología, cirugía general y endocrinología. Se clasificó por grupo etario en relación a las edades ginecológicas. Se encontró como principal patología la vulvovaginitis, especialmente las bacterianas y mixtas, en segundo lugar, la pubertad precoz periférica, como la telarquia o adrenarquia precoz, y en tercer lugar, los dolores pélvicos en las adolescentes donde se encontraron alto porcentaje de quistes ováricos. En las niñas preescolares y niñez temprana, encontramos alteraciones genitales -especialmente las sinequias vulvares- como principal causa por la poca higiene; finalmente, se observó un alto porcentaje de alteraciones del ciclo menstrual, como metrorragias, en adolescentes, donde se observó como causas principales los quistes de ovario y las disfuncionales; dentro de las amenorreas, la mayoría primarias por inmadurez del eje hipotálamo – hipófisis, se observó que algunas pacientes cursaban con hipotiroidismo. Es probable que este grupo de patologías de trastornos del ciclo menstrual, se estén direccionando a los hospitales ginecológicos.
Gynecological care in pediatric ages has become a necessity because the gynecological disorders in infants and children are as frequent as in adolescence and adulthood. Observational and descriptive research was developed in consultation with primary care in the Roberto Gilbert Hospital in 2013, over the most common gynecological conditions detected from birth up to 17 year-olds. Age (regarding gynecological ages) and type of gynecological condition –as well as its causes- were taken into account as variables, also including their plan and management based on the medical records of the main specialties like pediatrics, urology, general surgery and endocrinology. Vulvovaginitis, especially mixed bacterial, appears to be one of the main pathologies, followed by peripheral precocious puberty (or as early Adrenarche telarquia) and pelvic pain in adolescents in which high percentage of ovarian cysts were found. In early childhood and preschool girls, genital abnormalities were found –especially synechiae vulvares- as the main cause of poor hygiene; finally, a high percentage of abnormal menstrual cycle, as metrorrhagia, involved adolescents, having main causes such as ovarian cysts and dysfunctional metrorrhagia; within amenorrhoea, most of the cases involving immaturity of the hypothalamic - pituitary, it was observed that some patients were enrolled with hypothyroidism. It is likely that this group of pathological disorders of the menstrual cycle are being forwarded to gynecological hospitals.
Gynecological care in pediatric ages has become a necessity because the gynecological disorders in infants and children are as frequent as in adolescence and adulthood. Observational and descriptive research was developed in consultation with primary care in the Roberto Gilbert Hospital in 2013, over the most common gynecological conditions detected from birth up to 17 year-olds. Age (regarding gynecological ages) and type of gynecological condition –as well as its causes- were taken into account as variables, also including their plan and management based on the medical records of the main specialties like pediatrics, urology, general surgery and endocrinology. Vulvovaginitis, especially mixed bacterial, appears to be one of the main pathologies, followed by peripheral precocious puberty (or as early Adrenarche telarquia) and pelvic pain in adolescents in which high percentage of ovarian cysts were found. In early childhood and preschool girls, genital abnormalities were found –especially synechiae vulvares- as the main cause of poor hygiene; finally, a high percentage of abnormal menstrual cycle, as metrorrhagia, involved adolescents, having main causes such as ovarian cysts and dysfunctional metrorrhagia; within amenorrhoea, most of the cases involving immaturity of the hypothalamic - pituitary, it was observed that some patients were enrolled with hypothyroidism. It is likely that this group of pathological disorders of the menstrual cycle are being forwarded to gynecological hospitals.
Descripción
PDF
Palabras clave
Pediatría, Adolescente, Enfermedades de los genitales femeninos, Vulvovaginitis, Trastornos menstruales, Pubertad precoz, Epidemiología descriptiva, Cantón Guayaquil, Ecuador, Hospital de Niños Dr. Roberto Gilbert Elizalde