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周围肌肉力量平衡/不平衡是膀功能和功能障碍的神经双重控制中的神经控制.
Jörgen Quaghebeur1, Andrew Browning2, Nikita Kubin3
1Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
膀的控制依赖于外部的骨盆肌肉和带,而不是膀本身. 这些力量的不平衡会导致压力失禁或过度活动的膀症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 盆地地板生理学 盆地地板生理学
- 神经科学是一个神经科学.
背景情况:
- 膀控制是一个复杂的神经和肌肉过程,不仅仅依赖于膀器官.
- 盆地肌肉和相关带在维持尿方面发挥着至关重要的作用.
- 这些外部机制的功能障碍可以表现为各种下尿道症状.
研究的目的:
- 为了阐明膀控制的生物机械机制.
- 根据盆底肌肉和带功能来解释压力尿失禁和膀过活的病因.
- 描述尿道系统的皮层和外周控制.
主要方法:
- 皮层冲动与外围骨盆底机制之间的相互作用的概念分析.
- 检查阴道带 (PUL) 和子宫带 (USL) 在尿道关闭和阴道支中的作用.
- 描述肌肉力失衡如何导致特定类型的失禁.
主要成果:
- 膀控制是一个双系统 (开放/关闭),由皮质信号调节,对骨盆肌肉和带起作用.
- 减弱的PUL会导致压力尿失禁,原因是尿道后部开口.
- 削弱的USLs可以导致受阻的排尿和急性 (过度活跃的膀) 由于后部支持不足和阴道伸展.
结论:
- 通过皮质控制和外围骨盆底肌肉的平衡相互作用来实现尿失禁.
- 肌肉和带软弱的特定模式与明显的下泌尿道症状直接相关,如压力失禁和膀过活.
- 了解这些生物力学原理是诊断和管理膀功能障碍的关键.
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