PECULIARITIES OF THE ENDOCRINAL FUNCTION OF PL ACENTA OF FEMALES OF DIFFERENT AGE WITH FETOPLACENTAL FAILURE (literature review and own research)
DOI:
https://doi.org/10.21856/j-PEP.2019.4.18Keywords:
fetoplacental insufficiency, placenta, pharmacological correction of pregnant, progesterone, estriolAbstract
The review of the literature is devoted to the hormonal regulation of one of the transitional organs — the
placenta. The placenta is a multifunctional organ that ensures optimal growth of the fetus and its functioning.
In dysfunction of the fetoplacental complex (FPC), so-called fetoplacental insufficiency (FPI) can develop, which
lead to disorders of hemodynamic, transport, respiratory, metabolic and endocrine function of the placenta.
The main function of the placenta is the ability to synthesize important hormones and mediators. The clinic
uses indicators of the level of placental hormones to diagnose a particular disease in the fetus. The function of
FPC is characterized by the concentration of estriol, since the suffering of the fetus due to FPI, the production
of this hormone by his liver decreases. The state of the placenta during the second half of pregnancy is most
characterized by the level of progesterone in the blood, the level of the latter is also significantly reduced, which
occurs against the background of impaired maturation of the placenta.
It is known that women with a very young and mature reproductive age are at high risk of developing
ESRD. The use of medications during pregnancy is progressively increasing, with more and more pregnant
women requiring pharmacotherapy. That is why in our research we decided to study and compare progeste rone and estriol depending on the mother’s age. At the State Institution «V. Danilevsky Institute for Endocrine
Pathology Problems of the NAMS of Ukraine» we conducted a comprehensive experimental study on this issue.
To solve this problem, a new pharmaceutical composition has been developed and offered at our institute,
which should contribute not only to the correction of FPI but also to preventive value in preserving the reproductive potential in adulthood. Wistar rats of two age groups were used for this purpose. The experimental FPI
was simulated, afterwards, the correction by the pharmaceutical composition was performed.
Our research has allowed us to establish that FPI has different effects on females of different age groups.
It has been experimentally demonstrated that in pregnant women of young reproductive age there is a significant decrease in progesterone and estriol levels in the presence of FPI. In mature animals whose pregnancy is
complicated by FPI, progesterone and estriol levels, which are almost indistinguishable from the intact group
of animals, are observed, which may indicate the initiation of compensatory adaptive reactions of the organism. Developed at the State Institution «V.Danilevsky Institute for Endocrine Pathology Problems of the
NAMS of Ukraine» pharmaceutical composition normalizes progesterone and estriol levels in rats of young
reproductive age against FPI
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