inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2024-9-1-136-143inovmed-823Research ArticleОБЗОРЫREVIEWSКонсервативные методы профилактики и коррекции дисфункции тазового дна у женщинConservative Treatment Options to Prevent and Manage Pelvic Floor Dysfunction in Womenhttps://orcid.org/0000-0003-3824-9066ЛосьМ. С.LosM. S.

Лось Марина Сергеевна, к. м. н., заместитель директора по лечебной работе, ООО МЦ «Гусарское здоровье»

Ярославль

Marina S. Los, Cand. Sci. (Med.), Deputy Director for Medical Work, Medical Center “Gusarskoe zdorovye”

Yaroslavl

https://orcid.org/0000-0001-5777-2261УхарскийА. В.UkgarskiyA. V.

Ухарский Андрей Вячеславович, к. м. н., заместитель главного врача по стратегическому развитию

Ярославская областная клиническая онкологическая больница, 150054, Ярославль, пр. Октября, д. 67

Andrey V. Ukgarskiy, Cand. Sci. (Med.), Deputy Chief Physician for Strategic Development

Yaroslavl Regional Clinical Cancer Hospital, prospect Oktyabrya 67, Yaroslavl, 150054

8229990@gmail.comЯрославский государственный медицинский университет; ООО МЦ «Гусарское здоровье»РоссияYaroslavl State Medical University; Medical Center “Gusarskoe zdorovye”Russian FederationЯрославский государственный медицинский университет; Ярославская областная клиническая онкологическая больницаРоссияYaroslavl State Medical University; Yaroslavl Regional Clinical Cancer HospitalRussian Federation20243003202401136143Copyright © Лось М.С., Ухарский А.В., 20242024Лось М.С., Ухарский А.В.Los M.S., Ukgarskiy A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/823Актуальность

Актуальность: Дисфункция тазового дна – широко распространенное мультифакторное заболевание, которое медленно прогрессирует с возрастом и достигает 77% случаев у женщин в постклимактерии.

Цель

Цель: Оценить эффективность лечения клинических проявлений дисфункции мышц тазового дна у женщин с помощью консервативных методов лечения, а также возможности профилактики развития пролапса тазовых органов.

Материалы и методы

Материалы и методы: Нами был проведен анализ литературных данных, посвященных лечению и профилактике дисфункции мышц тазового дна у женщин с помощью различных консервативных методов. Были использованы следующие источники: PubMed, еLibrary, Scopus.

Результаты

Результаты: Консервативный подход является единственной мерой профилактики и первой линией ведения пациенток с пролапсом тазовых органов, особенно в начале заболевания, и заключается в коррекции образа жизни, использовании физической терапии, применении пессариев. Физическая терапия включает тренировку мышц тазового дна изолированно или с использованием биологической обратной связи, вагинальных конусов, электростимуляции и др.

Выводы

Выводы: Несмотря на большое количество имеющихся методик для консервативного лечения дисфункции мышц тазового дна, требуются дальнейшие исследования их эффективности, а также активное внедрение профилактических мероприятий, направленных на укрепление мышц тазового дна, в рутинную практику специалистов и повседневную жизнь женщины для предотвращения развития пролапса тазовых органов.

Background

Background: Pelvic floor dysfunction is a widespread, multifactorial disease that progresses slowly with age and occurs in 77% of postmenopausal women.

Objective

Objective: To evaluate the effectiveness of conservative treatment of pelvic floor dysfunction in women and the possibility of preventing pelvic organ prolapse.

Materials and methods

Materials and methods: We analyzed literature data (PubMed, eLibrary, Scopus) on treatment and prevention of pelvic floor dysfunction in women using various conservative treatment options.

Results

Results: The conservative approach is the only preventive measure and a first-line treatment of pelvic organ prolapse, especially at the disease onset. It involves lifestyle changes, physical therapy, and pessary insertion. Physical therapy includes pelvic floor muscle training with or without biofeedback, vaginal cones, electrical stimulation, etc.

Conclusions

Conclusions: Despite the large number of available conservative treatment options, their effectiveness should be further studied, and preventive measures aimed at strengthening pelvic floor muscles should be actively promoted and included in the routine medical use and daily life of women to prevent pelvic organ prolapse.

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The authors declare that there are no conflicts of interest present.