产后女性盆底康复对男性伴侣性健康的影响


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人们经常花很多钱来创造自己的面孔和形状,但缺乏对隐私的维护。产后女性的盆底健康不仅关乎女性的健康,还对男性伴侣和家庭和谐产生很大影响。

产后妇女常见的盆底疾病类型

- 阴道松弛

阴道不可避免的老化,30岁以后的女性阴道松弛或多或少发生。此外,分娩时阴道的损伤也需要女性的额外关注。

阴道松弛指数

分类

轻度

中等

严重

主诉症状

降低性敏感度

抓地力消失了

感到放松

抓地力消失了

在性交过程中,空气中有一种松弛的感觉

抓地力消失了

性交时漏气和声音

体检

阴道口两指(半)通过肌肉收缩力,阴道口三指通过肌肉收缩无力

会阴凹陷

粘膜皱褶变浅。

通过肌肉收缩,三个手指(一半)的阴道口很弱

会阴凹陷

粘膜褶皱消失综合评分

1~3分4~7分8~10分

- 压力性尿失禁(SUI)

泄漏也是阴道松弛的表现

病理机制:盆底肌肉和尿道韧带松弛

治疗女性SUI

1.骨盆底肌肉训练(电刺激辅助)

2,填充尿道黏膜下注射液

3.药物治疗

4.阴道激光

5,中尿道悬液(中重型SUI)

6.针灸治疗

- 膀胱过度活动症

分类

1.逼尿肌不稳定性收缩 - 尿急和急迫性尿失禁的主要原因

2,膀胱过于敏感 - 在这种情况下很难发生性行为

3,精神因素 - 焦虑容易引起膀胱过度活动 - 引发尿频尿症

4,尿盆底肌肉异常:盆底神经紊乱,肛门直肠功能障碍,下尿路功能障碍

- 膀胱逼尿肌无力(尿潴留)

产后尿潴留的主要原因:妊娠期膀胱子宫压迫导致膀胱无力

治疗:

膀胱膀胱功能训练(膀胱感觉)

增加逼尿肌收缩:溴吡啶

降低降低尿道阻力:尿道扩张,药物

针灸治疗

骨盆底肌肉训练(骨盆底肌肉放松训练)

CIC间歇导尿(保护膀胱功能)

骶神经调节(膀胱起搏器)

建议:

避免尿液过多,饮水充足,排尿习惯良好,怀孕期间尿潴留,注意尿液残留

骨盆底肌肉锻炼:

泄漏 - 盆底肌肉收缩

尿潴留 - 盆底肌肉松弛(少穿高跟鞋)

产后盆底疾病的新疗法

一种神经磁疗调节疗法

B Electrical stimulation of pelvic floor muscle training

C 骶Neural regulation (Interstim)

Treatment does not replace pelvic floor muscle training

Postpartum female pelvic floor rehabilitation and male partner sexual health

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Sexual dysfunction (ED) is a serious challenge for men's health. Male sexual function declines with age. But male sexual dysfunction is not just a male problem.

- Personal research by the teacher - interesting results

Forty patients with FSUI (<65 years old), 80% of male partners complained of vaginal relaxation, and the incidence of ED was 60%

76 patients with POP (<65 years old), 97% of male partners complained of vaginal relaxation, and the incidence of ED was 86%

-Treatment

With age, vaginal relaxation is inevitable and worthy of attention

1. Vaginal repair (recession surgery) in patients with stress urinary incontinence

2.POP suspension fixation and vaginal repair

-Vaginal repair method

Constriction of the posterior wall of the vagina: repair of the perineal and levator ani muscles, not just mucosal repair

Safe separation of the vaginal wall - application of water separation and water cutting technology

-Repair points

A patient initiative, communication approval (super-indication)

B Do a good job in water pad technology (water separation)

C The posterior wall of the vagina narrows to two fingers, and the distal end is 40%.

D perineal body to repair levator ani muscle

E Prevention of vaginal adhesions, sexual life after 3 months

-Results

A small sample survey of 36 couples:

影响 Impact on male sexual life before and after surgery

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手术前后对女性性生活影响

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初步临床结论

阴道修复明显改善女性会阴部满意程度

阴道修复改善男方勃起程度,改善ED

阴道修复明显提高男方性生活满意度,但对女方满意度改善不大

- 掌握应有的性健康常识十分必要

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