Uticaj različitih faktora rizika na jačinu mišića poda karlice kod žene

  • Katarina Parezanović Ilić Clinical Centre Kragujevac, Department of Physical Medical Sciences and Rehabilitation, Kragujevac, Serbia; University of Kragujevac, Faculty of Medicine, Department of Physical Medicine and Rehabilitation.
  • Ljiljana Mladenović Segedi Clinical Centre of Vojvodina, Opstretics and Gynaecology Clinic, Novi Sad, Serbia
  • Aleksandra Jurišić Škevin Clinical Centre Kragujevac, Department of Physical Medical Sciences and Rehabilitation, Kragujevac, Serbia; University of Kragujevac, Faculty of Medicine, Department of Physical Medicine and Rehabilitation.
  • Ivana Živanović Mačužić University of Kragujevac, Faculty of Medicine, Department of Anatomy and Forensic Medicine, Kragujevac, Serbia.
  • Vesna Grbović Clinical Centre Kragujevac, Department of Physical Medical Sciences and Rehabilitation, Kragujevac, Serbia
  • Jasmin S Nurković Clinical Centre Kragujevac, Department of Physical Medical Sciences and Rehabilitation, Kragujevac, Serbia; State University of Novi Pazar, Department of Biomedical Sciences, Novi Pazar, Serbia.
  • Milan Jovanović Military Medical Academy, Department of Surgery, Belgrade, Serbia.
  • Dejan Jeremić University of Kragujevac, Faculty of Medicine, Department of Anatomy and Forensic Medicine, Kragujevac, Serbia.
DOI: https://doi.org/10.2298/VSP150420083P
Ključne reči: pelvic floor||, ||karlica, pod, muscle tonus||, ||mišići, tonus, women||, ||žene, risk factors||, ||faktori rizika, pelvic organ prolapse||, ||karlični organi, prolaps, pelvic inflammatory disease||, ||karličlni organi, zapaljenske bolesti, urinary incontinence||, ||inkontinencija, urinarna, physical and rehabilitation medicine||, ||medicina, fizikalna i rehabilitacija,

Sažetak


Uvod/Cilj. Slabost mišića poda karlice dovodi do funkcionalnih oštećenja, uključujući urinarnu i fekalnu inkontinenciju, prolaps organa karlice i seksualnu disfunkciju. Cilj našeg istraživanja bio je ispitivanje uticaja različitih faktora rizika na slabost mišića poda karlice kod žena. Metode. U studiju je bilo uključeno 90 žena. Ispitivana je kako starosna dob, težina posla kojim se bave, telesna masa i visina, broj porođaja, bavljenje sportskim aktivnostima, prisutnost inkontinencije, prethodne ginekološke intervencije i lečenje prolapse organa male karlice, kao i druge bolesti, utiču na snagu mišića poda karlice. Snaga mišića poda karlice merena je vaginalnim dinamometrom. Rezultati. Univarijantnom regresionom analizom pokazano je da su faktori kao što su starost, težina posla, telesna visina, broj porođaja, bavljenje sportskim aktivnostima, prethodno ginekološko lečenje uzrokovano prolapsom organa male karlice i druge ginekološke intervencije i bolesti, u pozitivnoj korelaciji sa slabošću mišića poda karlice. Multivarijantnom regresionom analizom pokazano je da su ginekološke operacije prolapsa organa karlice i inkontinencija nezavisni faktori rizika. Zaključak. Poznavanjem faktora rizika koji dovode do slabosti mišića poda karlice mogu se prevenirati oštećenja i poboljšati kvalitet života žena.

 

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Objavljeno
2017/07/07
Broj časopisa
Vol. 74 Br. 6 (2017)
Rubrika
Originalni članak