Omission of the uterus occur with the weakening of the pelvic muscles and ligaments. Often at the same time observe the downward shift of vesical triangle and neck of the bladder as a result of the omission anterior vaginal wall and bulging of the front wall of the rectum as a result of the omission of the rear wall vagina.
degrees
- I - pudendal cleft gaping, marginally wall omitted;
- II - prolapse of the vaginal walls, the bladder and the anterior wall of the rectum;
- III - the cervix is lowered to the entrance of the vagina;
- IV - partial loss of the uterus (cervix into the vagina input below);
- V - complete uterine prolapse with eversion of the vaginal walls.
Causes
- Damage to the pelvic floor muscles (injury during childbirth: forceps, extracting the fetus for pelvic end, vacuum extraction of the fetus), deep perineal tears;
- Violation of the innervation of the muscles of the urogenital diaphragm (spina bifida paralysis III and IV sacral nerves - uterine prolapse in childhood, multiple sclerosis);
- Congenital pelvic area;
- Connective tissue disease;
- Condition after surgery.
The manifestations of uterine prolapse
- Drawing pain in the abdomen, lower back and sacrum;
- The feeling of foreign body in the vagina;
- Pain during intercourse;
- Violation of urination and defecation.
Diagnostics
- Inspection on a gynecological chair;
- Urinalysis to avoid infection of the urinary tract;
- descending urography suspected urinary tract blockage;
- ultrasound tomography - for suspected concomitant diseases of the pelvic organs.
Treatment of uterine prolapse
- It is necessary to avoid excessive exercise and weight lifting;
- Diet aimed at preventing constipation, physiotherapy;
- Wearing bandage application pessaries, fallopian tubes;
- Replacement therapy female hormones improves blood flow to the vagina and can strengthen ligaments internal genitalia;
- Surgical treatment indications: II-V degree of ptosis, inefficiency conservative treatment I degree.
Exercises for uterine prolapse:
Starting position (SP): standing, feet shoulder width apart hands in "lock" on his back. Raise clasped behind his back, bring the pelvis forward to the lifting of the body on the toes. Shoulders and head are retracted. During removal of the pelvis forward inspiratory muscles squeeze the entrance to the vagina, back to its original position, exhale. 5-6.
PI: standing, feet shoulder width apart, hands behind his back in the castle. Taking his hands in the lock to the side, turn the pelvis and shoulders over your hands. At the same time severing the leg from the floor, resting on the toe. Leg, toward which the rotation is performed, is a supporting and does not come off the floor. Rotation is accomplished inspiratory while clamping the vaginal entrance ( "flashing"). 6-7 times.
SP: knees laid between the rubber or plastic ball with a diameter of about 15 cm, and carry out walking around (not in place) for about 2 minutes.
IP: lying on his back. The feet rest on the couch so as to form a lap angle of 90 degrees. The feet are separated by a distance of 15-20 cm. Breeding legs at the knees while inhaling while "flashing". Return to the starting position, inhale. 10-12.
IP: lying on his back; the foot rest on the floor, there are shoulder-width apart. Reduction of inspiratory knees with simultaneous compression of the vaginal muscles. Foot off the floor not to tear off! Return to the starting position, exhale. 10-12.
IP: lying on his back, feet shoulder width apart, rely on the couch. Inspiratory pelvis rise building on foot and the blade - with simultaneous "flashing." 5 times.
IP: lying on his back, feet shoulder width apart. Alternate lifting leg to a right angle. It is desirable at the knees do not bend (10 times each leg).
IP: lying on his back, feet shoulder width apart. Alternate lifting leg to a right angle, make circular movements with each leg in the hip joint. (When one leg makes a circle, and the other is on the floor). Each time, raising the leg, made under the 2 laps in each direction. Each of the legs should make at least 3 lift. (1 foot rise - 2 laps in each direction).
IP: lying on his stomach. Crawling on their bellies back and forth. Perform 2 minutes.
IP: sitting on the floor. We put on the ankles gum. Poles with hands behind his back. One foot is still on the floor, the other is given to the side, resisting the elastic band. The exercise is performed on each of 8 times the legs.
IP: sitting on the floor. Dilute with both feet at the same time, the opposing elastic band. 6-8 times.
IP: lying on his stomach. Hands longitudinally in front of him. Simultaneously raise your right hand and left foot, making the compression of the vaginal muscles, and then change to lift his leg and arm. When lifting limbs necessarily severing the head from the floor. 15 times.
PI: standing with your feet shoulder width apart, arms "akimbo". Perform fast walking on the ground with your knees high altitude, with the foot socks "look" at the shoulders (do not pull the socks on the floor as a dancer, and vice versa), at each increase leg - "blink." STEPS to 1 minute.
PI: standing, feet shoulder width apart, arms extended over your head. Inspiratory rotate the torso to the side, his head reaches to the hands (look at the brush). Commit support on one leg, the other - while turning the torso off the floor, "runs" on the toe. During the turn of the trunk squeeze your vaginal muscles. Returning to the IP - exhale. Perform each side 4-5 times.
Exercises to achieve the desired result you need to perform daily, significant results can be achieved at least a month of regular exercise.
