Особенности Соматического И Репродуктивного Здоровья Детей И Подростков Тофаларии

We present the data on physical development, somatic pathology, reproductive disorders in children and teenagers from Tofalaria. Medical documentation and reports were analyzed, specialized surveys of children and teenagers by pediatricians, endocrinologist, gynecologist were carried out. Microscopy, oncocytology, PCR for detection sexually transmitted diseases (chlamidia, mycoplasma papillomavirus 16,18) and colposcopy were done in all teenaged girls. Evaluated morbidity was high. In indigenous Tofalaria population we found significant differences in rates of skeletal and conjunctive tissue disorders (incorrect posture, scoliosis, flatfoot) as well as endocrine disorders and nutrition (incorrect puberty, diffuse nontoxic goiter, growth retardation, hypotrophy). Reproductive health of girls in Tofalaria is characterized by early start of sexual activity, high number of abortion and high STD level and cervix condition is characterized by high rate of columnar epithelium ectopia to an ectocervix with often combination with inflammation. We suppose this situation as a consequences of its reproductive behavior. We believe that the target, long term program of educational, prophylactic and treatment efforts is needed to be developed for preservation of children and teenagers health in Tofalaria.