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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2016-2-28-33</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-34</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Беременность и роды</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Pregnancy and childbirth</subject></subj-group></article-categories><title-group><article-title>Геморрой у беременных и родильниц: принципы терапии</article-title><trans-title-group xml:lang="en"><trans-title>Hemorrhoids in pregnant and postpartum women: principles of therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ломова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lomova</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дубровина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dubrovina</surname><given-names>N. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Драгун</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Dragun</surname><given-names>I. E.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Толстопятова</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tolstopyatova</surname><given-names>E. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific center for obstetrics, gynecology and perinatology named after acad. V.I. Kulakov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2016</year></pub-date><volume>0</volume><issue>2</issue><fpage>22</fpage><lpage>25</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ломова Н.А., Дубровина Н.В., Драгун И.Е., Толстопятова Е.С., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Ломова Н.А., Дубровина Н.В., Драгун И.Е., Толстопятова Е.С.</copyright-holder><copyright-holder xml:lang="en">Lomova N.A., Dubrovina N.V., Dragun I.E., Tolstopyatova E.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/34">https://www.med-sovet.pro/jour/article/view/34</self-uri><abstract><p>Геморрой является одним из наиболее распространенных заболеваний во время беременности и послеродовом периоде. Заболевание имеет острую и хроническую формы, проявляясь в виде тромбоза, воспаления и кровотечения. По течению заболевания выделяют хроническое и острое. Острый геморрой является осложнением хронического течения и подразделяется по выраженности тромбоза и воспаления. Эта классификация соответствует патогенезу геморроя, удобна и дает возможность в практической работе, в зависимости от стадии заболевания и степени выраженности, объективно определить показания и выбрать необходимый способ лечения. Консервативное лечение острого и хронического геморроя направлено на купирование симптомов острого геморроя, предотвращение осложнений, профилактику обострений при хроническом течении. Применяемые лекарственные препараты обладают противовоспалительным, обезболивающим, гемо-статическим действиями, улучшают кровоток и микроциркуляцию крови в кавернозных образованиях. В статье представлены данные о препарате выбора при лечении геморроя у беременных и родильниц.</p></abstract><trans-abstract xml:lang="en"><p>Hemorrhoids is one of the most common diseases during pregnancy and in the postpartum period. It can be acute and chronic, and manifests itself in the form of thrombosis, inflammation or bleeding. The course of the disease can be either chronic or acute. Acute hemorrhoids is a complication of the chronic process and is further subdivided into forms according to the severity of inflammation and thrombosis. The classification reflects the pathogenesis of hemorrhoids; it is convenient and practical allowing for an unbiased approach in outlining indications and selecting the desired method of treatment depending on the stage of the disease and its severity. Conservative treatment of acute and chronic hemorrhoids is aimed at relief of symptoms of acute hemorrhoids, preventing complications as well as exacerbations of the chronic disease. Medications used in the treatment have anti-inflammatory, analgesic, hemostatic effects, improve blood flow and blood circulation in cavernous formations. The article tells about the drug of choice in the treatment of hemorrhoids in pregnant and postpartum women.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>геморрой</kwd><kwd>лечение</kwd><kwd>местная терапия</kwd><kwd>постеризан</kwd><kwd>hemorrhoids</kwd><kwd>treatment</kwd><kwd>topical therapy</kwd><kwd>Posterisan</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">WaLL LL. PeLvis, posture and protrusion: evolution and haemorrhoids. BJOG, 2014, 121(13): 1672.</mixed-citation><mixed-citation xml:lang="en">WaLL LL. PeLvis, posture and protrusion: evolution and haemorrhoids. BJOG, 2014, 121(13): 1672.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">ZieLinski R, Searing K, DeibeL MJ. Gastrointestinal distress in pregnancy: prevalence, assessment, and treatment of 5 common minor discomforts. Perinat Neonatal Nurs, 2015, 29(1): 23-31.</mixed-citation><mixed-citation xml:lang="en">ZieLinski R, Searing K, DeibeL MJ. Gastrointestinal distress in pregnancy: prevalence, assessment, and treatment of 5 common minor discomforts. Perinat Neonatal Nurs, 2015, 29(1): 23-31.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">ALtomare DF, Giannini I. PharmacoLogicaL treatment of hemorrhoids: a narrative review. Expert Opin Pharmacother., 2013, 14(17): 2343-9.</mixed-citation><mixed-citation xml:lang="en">ALtomare DF, Giannini I. PharmacoLogicaL treatment of hemorrhoids: a narrative review. Expert Opin Pharmacother., 2013, 14(17): 2343-9.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Воробьев Г. И., Шелыгин Ю. А., Благодарный Л. А. Геморрой. М.: Митра-Пресс, 2002.</mixed-citation><mixed-citation xml:lang="en">Воробьев Г. И., Шелыгин Ю. А., Благодарный Л. А. Геморрой. М.: Митра-Пресс, 2002.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Шехтман М.М., Козинова Н.В. Геморрой у беременных. Гинекология, 2004, 6, 6: 7-12.</mixed-citation><mixed-citation xml:lang="en">Шехтман М.М., Козинова Н.В. Геморрой у беременных. Гинекология, 2004, 6, 6: 7-12.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Abramowitz L. Management of hemorrhoid disease in the pregnant woman. Gastroenterol Clin Biol., 2008 May, 32(5 Pt 2): S210-4. Epub 2008 May 23.</mixed-citation><mixed-citation xml:lang="en">Abramowitz L. Management of hemorrhoid disease in the pregnant woman. Gastroenterol Clin Biol., 2008 May, 32(5 Pt 2): S210-4. Epub 2008 May 23.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">HoLLingshead JR, PhiLLips RK. Haemorrhoids: modern diagnosis and treatment. Postgrad Med J., 2015, 1: 67-74.</mixed-citation><mixed-citation xml:lang="en">HoLLingshead JR, PhiLLips RK. Haemorrhoids: modern diagnosis and treatment. Postgrad Med J., 2015, 1: 67-74.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Sneider EB, MaykeL JA. Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am., 2010, 90(1): 17-32.</mixed-citation><mixed-citation xml:lang="en">Sneider EB, MaykeL JA. Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am., 2010, 90(1): 17-32.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">ALonso-CoeLLo P, MiLLs E, HeeLs-AnsdeLL D et aL. Fiber for the treatment of hemorrhoids compLication: a systematic review and meta-anaLysis. Am J Gastroenterol, 2006, 101(1): 181-188.</mixed-citation><mixed-citation xml:lang="en">ALonso-CoeLLo P, MiLLs E, HeeLs-AnsdeLL D et aL. Fiber for the treatment of hemorrhoids compLication: a systematic review and meta-anaLysis. Am J Gastroenterol, 2006, 101(1): 181-188.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Vorobyov G. I., Shelygin Y. A., Blagodarniy L.A. Hemorrhoids. М.: Mitra-Press, 2002.</mixed-citation><mixed-citation xml:lang="en">Vorobyov G. I., Shelygin Y. A., Blagodarniy L.A. Hemorrhoids. М.: Mitra-Press, 2002.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Shechtman M.M., Kozinova N.V. Hemorrhoids in pregnant women. Ginekologiya, 2004, 6, 6: 7-12.</mixed-citation><mixed-citation xml:lang="en">Shechtman M.M., Kozinova N.V. Hemorrhoids in pregnant women. Ginekologiya, 2004, 6, 6: 7-12.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
