更年期的骨盆底功能障碍:查,评估和管理
Giulia Misasi1, Ipek Betul Ozcivit Erkan2, Eleonora Russo1
1Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
盆地功能障碍 (PFD) 在中年女性中很常见,原因是衰老和更年期. 早期诊断和多学科治疗对于改善生活质量和管理这些逐渐发展的疾病至关重要.
科学领域:
- 妇女健康 妇女健康
- 老年学是一门学科.
- 妇科 妇科医生 妇科
背景情况:
- 盆地功能障碍 (PFD) 在中年女性中普遍存在,通常源于遗传因素,怀孕,衰老和更年期.
- 这些疾病,包括尿失禁和脱落,经常被诊断不足和治疗不足,严重影响生活质量.
研究的目的:
- 审查更年期和衰老对骨盆底功能障碍的影响.
- 为了提供临床评估和管理策略的概述为PFD在绝经后妇女.
主要方法:
- 在PubMed/MEDLINE和Cochrane图书馆进行文献搜索,截至2025年3月1日.
- 关键词包括更年期,衰老,骨盆底疾病和生殖泌尿系统症状.
主要成果:
- 更年期和衰老通过雌激素缺乏,肌肉缩和降低原蛋白导致PFD.
- 这会导致尿失禁,脱落,膀过活,以及增加尿路感染易感性等情况.
结论:
- 绝经后妇女的PFD是慢性和渐进的,需要早期识别和多学科的方法.
- 未来的管理将整合人工智能,个性化疗法,公众意识和数字健康工具,以改善结果和减少耻辱感.
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