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阿育吠陀疗法治疗膀胱膨出、子宫脱垂及盆底肌力薄弱——病例报告

Ayurveda management of cystocele, uterine prolapse and weak pelvic floor strength-A case report.

作者信息

Muraleedharan Kasthoory Lekshmy, Nisa Sushilal Cinu Mithra, Unnikrishnan Parvathy, Muraleedharan Anjaly, Krishnarajabhatt Hemavathi Shivapura

机构信息

Department of Stri Roga & Prasuti Tantra (Gynecology & Obstetrics), Amrita School of Ayurveda, Amritapuri, Amrita Vishwa Vidyapeetham, India.

Department of Stri Roga & Prasuti Tantra (Gynecology & Obstetrics), Amrita School of Ayurveda, Amritapuri, Amrita Vishwa Vidyapeetham, India.

出版信息

J Ayurveda Integr Med. 2023 Jul-Aug;14(4):100775. doi: 10.1016/j.jaim.2023.100775. Epub 2023 Aug 7.

Abstract

Pelvic organ prolapse (POP) is the downward displacement of pelvic organs. The condition is very common in women and negatively affects their quality of life. The aging process reflects in the form of structural and functional weakness of the pelvic floor which leads to pelvic floor dysfunction (PFD). The strength and endurance of the Pelvic floor muscles (PFM) decrease significantly by these dysfunctions. In the present study, Pelvic floor strength (PFS) and endurance were assessed with the help of a perineometer. The patient was diagnosed with cystocele, uterine prolapse and weak PFS was assessed with the Perineometer. Patient was treated with Ayurvedicsthanika chikitsa (local treatment)- Yoni abhyanga (vaginal massage) and improvement in PFS was assessed after treatment. The present article aims to assess the pre and post-outcome results of PFM by using the objective tool perineometer. Seven days of yoni abhyanga along with oral medication were given and on follow-up after three months, the patient showed increased strength and endurance on the perineometer. Early diagnosis and management of the PFD will help to improve the QoL (Quality of Life) and prevent further deterioration of PFS.

摘要

盆腔器官脱垂(POP)是盆腔器官的向下移位。这种情况在女性中非常常见,会对她们的生活质量产生负面影响。衰老过程表现为盆底结构和功能的薄弱,进而导致盆底功能障碍(PFD)。这些功能障碍会使盆底肌肉(PFM)的力量和耐力显著下降。在本研究中,借助会阴压力计评估盆底力量(PFS)和耐力。患者被诊断为膀胱膨出、子宫脱垂,并使用会阴压力计评估其薄弱的PFS。患者接受了阿育吠陀局部治疗——阴道按摩(Yoni abhyanga),并在治疗后评估PFS的改善情况。本文旨在通过使用客观工具会阴压力计评估PFM的治疗前后结果。给予七天的阴道按摩及口服药物治疗,三个月后随访时,患者在会阴压力计上显示出力量和耐力增加。PFD的早期诊断和管理将有助于改善生活质量(QoL)并防止PFS进一步恶化。

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Clinical Profile of Uterine Prolapse Cases in South India.印度南部子宫脱垂病例的临床概况
J Obstet Gynaecol India. 2016 Oct;66(Suppl 1):428-34. doi: 10.1007/s13224-015-0783-9. Epub 2015 Oct 16.
4
Exploring novel approaches to vaginal drug delivery.探索阴道给药的新方法。
Recent Pat Drug Deliv Formul. 2011 May;5(2):82-94. doi: 10.2174/187221111795471418.

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