In the past, when a woman gave birth to a child, she had to sit on the moon, so tight that she couldn't wash it. Coupled with the large number of children at that time, uterine prolapse was everywhere. Even after the implementation of the one-child policy, uterine prolapse basically disappeared, but * * * relaxation is still quite common. The most widely used field of perineal manometer training is the treatment of genital relaxation in childbirth and early menopause, although the treatment effect is not as obvious as that of stress urinary incontinence. Many women of childbearing age and the most sexually active age group (more than 30%) have been suffering from various discomforts, especially the fatigue in the pelvic area. They have all endured the feeling of falling, which is too loose, and it still causes the couple to quarrel from time to time. There was no conservative treatment before, until postmenopausal surgical intervention became a feasible intervention.
Clinically, the excessive relaxation of * * * medium 1/3 and the existence of a certain degree of cystourethrocele, uterine prolapse, rectal prolapse, perineal swelling or relaxation are used to distinguish genital relaxation. It has been found that these problems are often accompanied by poor muscle function of PC. When the function of these muscles is restored, the patient's chief complaint becomes better and the clinical symptoms are alleviated or improved.
How to face the problem of excessive relaxation of * * *
It has been proved that the improvement of pubic muscle function and structure has an indirect effect on the support of prolapsed uterus. It is observed that with the increase of PC muscle tension, the strength of smooth muscle diaphragm, the main supporting force of uterus, also increases, which proves once again that PC muscle plays a key and important role. Subjectively speaking, the relief of patients' original symptoms comes from feeling strong in pelvic cavity, groin and lower back, and they can stand for a long time to do housework without lying down to rest.
Because genital prolapse does not bring great pain and helplessness like stress urinary incontinence, these women are often not so focused in training, and often fish for three days and dry the net for two days. Therefore, women need more routine training before the final results are determined and observed. Diligent patients usually notice the relief of symptoms after 2-4 weeks of resistance training. At this stage, we can't feel the changes of muscle bundle structure from the diagnosis of touching fingers. For lasting and long-term benefits, training should be continued until the changes of tension and strength of PC muscle bundle can be confirmed clinically.
Before severe pelvic relaxation occurs, after active and intense impedance training, the function of atrophic PC muscle is restored to a satisfactory level, and the training effect can be monitored with perineal manometer if necessary.
Some people have extensively investigated the benefits of starting PCmuscle training during pregnancy. According to their experience, 30% of more than 500 pregnant women have perineal weakness and poor contraction of pc muscles. Through the exercise with or without perineal manometer, the muscles become strong, robust and powerful. Training in advance is helpful for postpartum repair, and the number of stitches required for lateral incision is also small. Once the anesthetic effect fades, these parturients can carry out intensive contraction training of annular muscles, especially at the level of * * * * 1/3. Pain and edema are rarely observed. The relaxation degree of genital muscles will be greatly reduced in the early postpartum period. It can be expected that these women will have less problems such as stress urinary incontinence, bladder or urethral prolapse, bladder or urethral bulge, uterine prolapse and uterine dislocation after many years. But if there is no follow-up observation after many years, there is no way to be sure of such preventive effect.
Young future mothers, as a group, are the most convincing after diligent exercise of pubic coccyx muscle. Once they understand the relationship between strong pelvic floor muscles and sexual satisfaction, and avoid those so-called complications in the future, they will cooperate well.
The value of postoperative exercise in restoring normal function has been clearly proved in all other plastic surgery to repair nerves, muscles, fascia, aponeurosis and other structures. Somatic treatment of PC muscles allows the same surgical reconstruction of pelvic floor. Because muscle is the biggest fragility of pelvic floor, and the surgical measures of pelvic floor repair are limited to repairing those fascia and other problems to the maximum extent. In any case, it is possible to deal with muscle problems by repairing fascia. However, in order to restore muscle function, especially to maintain the curative effect of surgery, we can only actively exercise PC muscle. This shows that these exercises, followed by perineal suture and anterior wall repair to improve bladder support, are very necessary, including various surgical steps to correct stress urinary incontinence. It can be said that it is a good idea to teach every postpartum woman how to contract muscles as a preventive measure after fornix or uterine prolapse surgery and in all cases.
It has been satisfactorily proved that the education of muscle exercise and continuous PC muscle exercise are of great significance, no matter which situation is related or related to pelvic floor muscle injury. According to the treatment results obtained, it seems that many women will benefit from the research results of muscle dysfunction. For example, it has been found that many women complain about the lack of feeling during the period of * * * *, and in this case, after restoring muscle function through PCmuscle exercise, sexual satisfaction is improved. As far as the field of PC body therapy is concerned, it has a wide range of functions and is of great use. Our article on PC muscle only briefly introduces the diagnosis and treatment of genital muscle relaxation, which has great room for development.