Rogovskaya Svetlana Ivanovna is a professor at the Department of Obstetrics and Gynecology, also deals with issues of dermatovenereology.
In 2003 she defended her thesis, in which she considered the study of human papillomavirus infection of the lower genitalia. In her work, the professor showed the frequency of occurrence of the disease in the modern world, modern trends in diagnostic measures and therapeutic tactics.
Why is human papillomavirus knowledge so relevant today?
There are several types of this virus. The most common infection is HPV type sixteen. The danger lies in the fact that when introduced into the body, the virus can cause a change in the structure of cells (dysplasia). Dysplasia is a precancerous condition.
How can you get infected with the human papillomavirus?
Infection with this virus occurs through unprotected sexual contact (anal or vaginal). For a long time, the virus does not manifest itself in any way, so the woman postpones going to the doctor for a long time. Unfortunately, many patients, due to their ignorance of oncological diseases,seek specialized help already in advanced cases.
Gynecologist Svetlana Ivanovna Rogovskaya in her thesis talks about the features of the virus, the clinic, and diagnostic measures. She also pays special attention to the tactics of managing patients.
Professor Rogovskaya Svetlana Ivanovna optimized the international classification of HPV for practical purposes. The clinical classification is based on clinical and morphological criteria, which greatly facilitates the work of attending physicians.
Features of the tactics of examination and treatment of patients
Rogovskaya Svetlana Ivanovna proved the importance of studying the immune system with subsequent assessment of its changes.
To clarify the degree, form of the lesion and the method of treatment, the professor suggested using a set of diagnostic measures:
- colposcopy (examination of the cervix under a magnification of several tens of times);
- pap test (cytology);
- PCR (polymerase chain reaction).
Rogovskaya Svetlana Ivanovna provided information about the changes taking place in the epithelium of the genitals in the dynamics of observation. She also developed criteria for an individual approach to each patient.
What has been suggested for practitioners?
Svetlana Ivanovna Rogovskaya proposed to take as a basis for treatment tactics the impact on local immunity with the help of drugs. Immunomodulators are drugs that can affect the immune system.
Also inRogovskaya S. I. proposed the use of modern methods that are aimed at local destruction (removal) of the affected epithelium. Removing only the altered layer of cells allows you to save the body, in the future a woman can become pregnant and give birth to a child. Rogovskaya Svetlana Ivanovna was able to show in her work that a precancerous condition is not a sentence.
Rogovskaya Svetlana Ivanovna in her dissertation said that the cervix is most often exposed to malignancy (malignancy of the disease). She also conducted a relationship between the state of the immune system and the progression of dysplastic changes in cells. The professor developed an algorithm for an individual approach to patients, proved the importance of promoting the barrier method of contraception.
Svetlana Ivanovna Rogovskaya is the author of manuals on practical colposcopy, as well as works on the study of human papillomavirus infection in women and cervical pathology. Material for review is offered for students of higher educational institutions and practitioners.
