НЕКОТОРЫЕ АСПЕКТЫ ДИАГНОСТИКИ И ПРОФИЛАКТИКИ НЕДОСТАТОЧНОСТИ ТАЗОВОГО ДНА У ЖЕНЩИН РЕПРОДУКТИВНОГО ВОЗРАСТА

Abstract

The aim of the study: to assess the significance of the study of the state of the pelvic floor in women of reproductive age who have risk factors for the development of pelvic organ plolapse; to evaluate the effectiveness of an electric exercise machine in combination with Kegel exercises in the preven-tion of pelvic organ prolapse. Matherial and methods: 363 women with a history of vaginal childbirth were examined, which, depending on parity and body mass index, were divided into 4 groups. Ultra-sound measurement of the height of the tendon center of the perineum, the width of the muscle bun-dles of the levator legs (m. bulbospongiosus, m. bulbocavernosus), the angle of urethral incline (alpha angle), vesico-urethral angle (betta angle), the length of the urethra was performed. The results of the study: obtained indicate the expediency of performing ultrasound scans with study of the muscles that form the pelvic floor in women who gave birth with perineal trauma, for early detection of pelvic floor insolvency. The effectiveness of using electric exercise machines in combination with a set of physical exercises to strengthen the pelvic floor muscles in women with preclinical manifestations of pelvic floor muscle failure has been proven.