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Брошюра «Клинические исследования пептидных биорегуляторов» Электронная версия на английском языке — страница 88

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Chitomur® Biologically active food supplement CHITOMUR® contains a complex of low molecular weight pep- tides with a molecular weight of up to 5000 Da, isolated from the tissues of the bladder wall of young animals - calves notolder than 12 months of age or pigs. CHITOMUR® is available in capsules with an active substance content of 10 mg. Experimental studies have shown that peptides have a tissue-specific effect on the cells of those tis- sues from which they are isolated. CHITOMUR® peptides regulate metabolic processes in the bladder wall cells, increase their reserve capacity, have a beneficial effect on the body’s adaptation processes in extreme conditions, have antioxidant properties, and regulate the processes of peroxidation in the tissues of the bladder wall. This allows us to assume the effectiveness of the use of CHITOMUR® to restore the functions of the bladder in case of disorders of various origins. Among the diseases most common in the elderly, the pathology of the bladder and urinary system stands out, significantly impairing the quality of life of patients and aggravating the course of concom- itant pathology. With age, the number of patients with various disorders of the lower urinary tract function increases significantly, especially in the case of an overactive bladder (OAB). The diagnosis is made without any hormonal, metabolic, or other apparent diseases (urinary tract infection, bladder cancer, prostate adenoma, etc.) that can cause the symptoms. The risk of overactive bladder syndrome increases with age. The critical age is over 60 - among older people of this age, the prevalence of OAB is at its maximum. The increased risk of OAB for men is ex- plained, in addition, by benign prostatic hyperplasia, signs of which are present to one degree or an- other in about half of men aged 60+ years. Nevertheless, the absence of hyperplasia does not exclude the presence of age-related changes in the bladder, which are almost identical in men and women. It is believed that the postmenopausal period is also associated with an increased risk of develop- ing OAB. More than 60% of postmenopausal women suffer from urinary dysfunction. However, the role of sex hormones is not clear. The results of the use of hormone replacement therapy in these patients are ambiguous, and instead of improvement, it can lead to a worsening of OAB symptoms. Thus, a number of anatomical and physiological changes accompanying aging may predispose to the development of OAB symptoms. Regardless, urinary incontinence should not be considered a natural sign of aging. In addition, specific functional impairments such as limited mobility, dysfunction of the upper limbs, and decreased vision can aggravate the course of OAB. It should be kept in mind that pharmacological drugs used for concomitant diseases can also play a role. For example, diuretics can significantly increase urinary frequency and mimic OAB symptoms. Treatment of dysfunction of the bladder depends on the etiology of the pathological condition. In chronic cystitis, antibiotic therapy is prescribed; with detrusor dysfunction, drugs of the atropine group are prescribed; in case of neurogenic dysfunction of the bladder, M-anticholinergics (oxybutin, tolterodine, darifenacin) are prescribed. CLINICAL CHARACTERISTICS OF PATIENTS A clinical study of the effectiveness of the use of CHITOMUR® was carried out at the Medical Center of the St. Petersburg Institute of Bioregulation and Gerontology in the period from March to Novem- ber 2011. The study involved 28 men aged 45 to 62 with a diagnosis of benign prostatic hyperplasia (BPH) and 31 women aged 48 to 56 with a diagnosis of overactive bladder (OAB). All patients com- plained of dysfunction of urination.

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