ÐÄÀíÉøÍ¸ÏµÍ³µÄÐͬÊÂÇé»úÖÆ
ÅÅÄòÐÐΪµÄÍê³ÉÐèÒª¶à¸öÆ÷¹ÙϸÃÜÅäºÏ¡£µ±°òë×ÈÝÁ¿µÖ´ï200-300mlʱ£¬Éñ¾ÏµÍ³Æô¶¯³õ¼¶ÅÅÄò·´Éä¡£´ËʱµÄÌåλת±äÖ±½ÓÓ°ÏìÅèµ×¼¡Èº£¨pelvic floor muscles£©µÄËÉиˮƽ¡£¶××ËÅűãʱ£¬ÐÄÀíÍäÇúµÄ¼õС´Ùʹ°òë×¾±£¨bladder neck£©·ºÆð×ÔÈ»¿ª·Å״̬¡£ÄòµÀÍâÀ¨Ô¼¼¡µÄÓÐÐòÊæÕÅÓ븹ÄÚѹµÄÅäÏàÖúÓã¬ÐγÉÍêÕûµÄÅÅÄò¶¯Á¦Á´¡£ÖµµÃ˼Ë÷µÄÊÇ£ºÌåλ¶ÔÅ®ÐÔÅÅÄòЧÂʵÄÓ°ÏìÊÇ·ñ±£´æ¸öÌå²î±ð£¿ÆÊ½âѧÑо¿ÏÔʾ£¬30%Å®ÐÔµÄÄòµÀÇãб½Ç¶ÈÔÚ¶××øÊ±¸üÇкÏÁ÷ÌåÁ¦Ñ§´«µ¼¼ÍÂÉ¡£
³£¼û¹ýʧÈÏÖªµÄҽѧ¾ÀÕý
ÍøÂçÈö²¥µÄ"ÅÅÄòÈ«³ÌÊÓÆµ"³£ÅãͬÖî¶àÎó½â¡£ÐèÃ÷È·£º¿µ½¡¸öÌåµÄÅÅÄòÀú³ÌÊǵ䷶µÄÎÞÒâʶ×ÔÖ÷»î¶¯£¬µ±ÅÅÄò·ºÆðÌÛÍ´¡¢ÄòÏß·Ö²æµÈÒ쳣ʱ·½ÐèҽѧÊӲ졣Õý³£ÅÅÄòÒ»Á¬Ê±¼äÓ¦ÔÚ20-30ÃëÇø¼ä£¬Áè¼Ý45Ãë¿ÉÄÜԤʾ°òë×ÅÅ¿ÕÕϰ¡£ÁÙ´²³£¼ûµÄÈý´óÎóÇø°üÀ¨£ºÎó½«Ñ¹Á¦ÐÔÄòʧ½ûÊÓΪÕý³£Õ÷Ïó¡¢Ì«¹ý¹Ø×¢ÄòÒºÑÕÉ«²¨¶¯¡¢ºöÂÔÅÅÄò×ËÊÆ¶ÔÅèµ×¼¡µÄÓ°Ïì¡£ºÃ±È²¿·ÖÊÓÆµÆ¬ÃæÇ¿µ÷"ÍêÈ«Åſհòë×"£¬È´ºöÊÓ±ÆÄò¼¡£¨detrusor£©µÄÒ»Á¬Ëõ¶Ì¿ÉÄÜÒý·¢°òë×Ì«¹ý»î¶¯Ö¢¡£
ÓÅ»¯ÅÅÄòЧÂʵÄÌåλÑо¿
¹ÇÅ趯Á¦Ñ§Ñо¿Åú×¢£¬¶××ËÅÅÄòµÄÉúÎïÁ¦Ñ§ÓÅÊÆÖ÷ÒªÌåÏÖΪÈýµã£º×ø¹Ç½á½Ú¼ä¾àÔö´ó38%¡¢³Ü¹ÇÖ±³¦¼¡ËÉи¶ÈÌáÉý50%¡¢Ö±³¦°òë×ÎÑѹÁ¦½µµÍ60%¡£µ«ÏÖʵӦÓÃÖÐÐè×¢ÖØ£ºÎÀÉú¼äË¢ÐÂÓ¦¼á³Ö½Åõ×-Ï¥¸Ç-÷ÅÊàŦ³Ê135¡ã»Æ½ð½Ç¶È¡£½¨ÒéʹÓÃ25cm¸ß¶ÈµÄ½ÅµÊ¸¨Öú×ËÊÆµ÷½â£¬´Ë¾Ù¿ÉʹÄòµÀÇãб½Ç¸ÄÉÆ7-12¶È¡£ÌØÊâÌáÐÑÍíÄêȺÌ壺ȫ¶××Ë¿ÉÄÜÔöÌíÏ¥ÊàŦѹÁ¦£¬¸ÄÁ¼Ê½×ø×˸¨ÒÔÉíÌåǰÇã15¡ãÊǸüÓÅÑ¡Ôñ¡£
ÃÚÄòϵͳ¼²²¡µÄÔ¤·ÀÕ½ÂÔ
¹æ·¶µÄÅÅÄòϰ¹ß¶ÔÔ¤·ÀÄò·ѬȾ£¨UTIs£©ÖÁ¹ØÖ÷Òª¡£ÌìÏÂÃÚÄòѧ»á½¨Ò飺ÖðÈÕÒûË®Á¿¿ØÖÆÔÚ2-2.5Éý£¬ÅÅÄòƵÂʼá³Öÿ2-3Сʱ/´Î¡£ÐèÖØµã¹Ø×¢µÄÈý¸öÐźŰüÀ¨£ºÅÅÄòÊ±×ÆÈȸÐÒ»Á¬3ÌìÒÔÉÏ¡¢ÄòÒº·ºÆðÒ»Á¬ÐÔÎÛ×Ç¡¢Ò¹Äò´ÎÊýÁè¼Ý2´Î¡£¹ØÓÚÉúÓýÆÚÅ®ÐÔ£¬¿¸ñ¶ûÔ˶¯£¨Kegel exercises£©Ó¦³ÉΪһÑùƽ³£Ä¥Á¶±ØÐ޿Ρª¡ªÌìÌì3×顢ÿ×é15´ÎµÄÅèµ×¼¡ÑµÁ·¿ÉÌáÉýÄòµÀÀ¨Ô¼¼¡ÕÅÁ¦28%¡£
Ó°Ïñ×ÊÁÏµÄ¿ÆÆÕ¼ÛÖµ½çÏß
ҽѧ½ÌÓýÊÓÆµµÄÖÆ×÷ÐèÑÏ¿á×ñÕÕÈý´óÔÔò£ºÆÊ½â½á¹¹±ê×¢ÍêÕû¡¢²¡ÀíÌØÕ÷ÇåÎú±ê×¢¡¢Òþ˽±£»¤²½·¥ÍêÉÆ¡£¼°¸ñµÄ¿ÆÆÕÓ°ÏñÓ¦°üÀ¨ÄòµÀ³¤¶È£¨3-5cm£©¶¯Ì¬Ê¾Òâͼ¡¢°òë×±ÆÄò¼¡Ëõ¶Ì²¨ÐÎͼ¡¢ÄòÒºÁ÷ËÙÇúÏßͼµÈÒªº¦²ÎÊý¡£ÐèҪСÐĵÄÊÇ£º·ÇרҵÅÄÉã¿ÉÄܵ¼ÖÂÆÊ½â±êʶ¹ýʧÂʸߴï42%£¬½«Òõ´½½á¹¹Îó±êΪÄòµÀÆô³Ý²¿Î»¡£½¨Òéͨ¹ý¹ú¼ÒҽѧӰÏñ×ÊÁÏ¿â»ñȡȨÍþ¿ÉÊÓ»¯Ëزġ£
δÀ´¿ÆÆÕÐÎʽµÄÁ¢ÒìÆ«Ïò
Êý×Ö»¯ÆÊ½âÄ£×ÓÕýÖð½¥È¡´ú¹Å°åÊÓÆµµÄ¿ÆÆÕ×÷Óá£Ê¹ÓÃ3DÄò¶¯Á¦Ñ§Ä£Äâϵͳ£¬¿É׼ȷÔÙÏÖ²î±ðÌåλϵİòë×ѹÁ¦×ª±ä£¨5-15cmH2O²¨¶¯¹æÄ££©¡£×îÐÂÑз¢µÄAR½Ìѧ³ÌÐòÖ§³ÖʵʱÏÔʾÅÅÄòÀú³ÌµÄÉñ¾µ÷¿ØÂ·¾¶£¬Ê¹Ñ§Ï°ÕßÖ±¹ÛÊÓ²ì´ÓÄÔÇÅÅÅÄòÖÐÊࣨpontine micturition center£©µ½÷¾Ëè·´É仡µÄÍêÕûÐźŴ«µ¼¡£ÕâÀàÊÖÒÕÁ¢Òì¼È×èÖ¹ÁËÕæÊµÓ°ÏñµÄÂ×ÀíÕùÒ飬ÓÖÈ·±£¿ÆÆÕÄÚÈݵÄҽѧ׼ȷÐÔ¡£
Ã÷È·Å®×Ӷ׿ÓÅÅÄòÈ«Àú³ÌµÄʵÖÊÊÇÊìϤÈËÌå×ÔÎÒµ÷ÀíµÄ¾ø¼Ñ´°¿Ú¡£Í¨¹ýÄò¶¯Á¦Ñ§ÔÀíµÄÉî¶È½â¶ÁÓë¿ÆÑ§Õչ˻¤Ê¿ÖªÊ¶µÄϵͳÆÕ¼°£¬ÎÒÃDz»µ«Äܹ»ÆÆ³ýÍøÂçÊÓÆµ´øÀ´µÄÈÏÖªÎóÇø£¬¸üÄܽ¨Éè»ùÓÚʵ֤ҽѧµÄÈç²Þ¿µ½¡ÖÎÀíϵͳ¡£¼Çס£ºµ±·ºÆðÒ»Á¬ÅÅÄòÒ쳣ʱ£¬ÊµÊ±¾ÙÐÐÄòÁ÷Âʼì²âÓëÊ£ÓàÄò²â¶¨²ÅÊǽâ¾öÎÊÌâµÄ׼ȷ·¾¶¡£ »î¶¯£º¡¾Å®×ÓÄò¼±»¨Ê½ÅÅÄòÊÓÆµ¾«²ÊÕ¹ÏÖÅ®ÐÔ½ôÆÈÓ¦¶Ô·½·¨×îÐÂÊàŦÔÚÏß¡¿ ÃÚÄòϵͳ¿µ½¡ÖÎÀíÒѳÉΪÏÖ´úÒ½Ñ§ÖØµã¹Ø×¢ÁìÓò¡£¿ËÈÕijҽÁÆ»ú¹¹Ðû²¼µÄÅÅÄò¹¦Ð§Õϰ½Ìѧ°¸ÀýÒý·¢¹«ÖÚ¹Ø×¢£¬¸ÃÑо¿Í¨¹ýÐÄÀíÐÐΪÊÓ²ìÓ뿵¸´ÖÎÁÆÏàÁ¬ÏµµÄ·½·¨£¬ÏµÍ³ÐðÊö³ÉÈËÅÅÄòÒì³£µÄÁÙ´²ÕïÁÆÂ·¾¶¡£±¾ÎĽ«¾Û½¹°òë×¹¦Ð§Òì³£ÆÀ¹À±ê×¼£¬ÉîÈëÆÊÎöÄòÁ÷¶¯Á¦Ñ§¼ì²âÔÚÁÙ´²Êµ¼ùÖеÄÏêϸӦÓá£ÈËÌåÅÅÄòÐÄÀí»úÖÆÆÊÎö
°òë×Öü´æÓëÉøÍ¸¹¦Ð§µÄе÷ÔË×÷ÊÇÈËÀà»ù´¡ÐÄÀíÀú³Ì¡£µ±´¢ÄòÁ¿µÖ´ï400-600mlʱ£¬±ÆÄò¼¡Ëõ¶ÌÓëÀ¨Ô¼¼¡ËÉиÐγÉе÷ÅÅ¿ÕÐж¯¡£×¨ÒµÒ½ÁÆ»ú¹¹³£½ÓÄÉÄòÁ÷Âʲⶨ£¨uroflowmetry£©ÆÀ¹À»¼ÕßÅÅÄò¹¦Ð§£¬ÕâÏî·ÇÇÖÈëÐÔ¼ì²éÄÜ׼ȷ¼Í¼×î´óÄòÁ÷ÂʵÈÖ÷Òª²ÎÊý¡£ÖµµÃ×¢ÖØµÄÊÇ£¬Ñ¹Á¦ÐÔÄòʧ½û»¼ÕßÍùÍùÅãͬÅèµ×¼¡Èº¹¦Ð§Õϰ£¬ÔõÑùͨ¹ýÉúÎï·´ÏìѵÁ·ÖØÐÞ¼¡Èâ¿ØÖÆ³ÉΪÖÎÁÆÒªº¦¡£
Òì³£ÅÅÄòµä·¶Ö¢×´ÌØÕ÷
ÁÙ´²³£¼ûÅÅÄòÒì³£Ö÷ÒªÌåÏÖΪÄò¼±¡¢ÄòƵºÍÄòÁ÷ÖÐÖ¹ÈýÁªÕ÷¡£¹¦Ð§ÐÔÅÅÄòÕϰ»¼Õß¿ÉÄÜ·ºÆðÖÐÖ¹ÐÔÅÅÄò£¨intermittent stream£©Õ÷Ï󣬼´ÄòÒºÇãÔþÀú³ÌÖзºÆð¶à´ÎÖÐÖ¹¡£ÖµµÃ¹Ø×¢µÄÊÇ£¬¹ú¼ÊÄò¿ØÐ»á£¨ICS£©ÌØÊâÇ¿µ÷Ê£ÓàÄòÁ¿¼ì²âµÄÖ÷ÒªÐÔ£¬Áè¼Ý50mlµÄÊ£ÓàÄò¿ÉÄÜÌáÐÑÉñ¾Ô´ÐÔ°òë×Σº¦¡£´ËÀàÖ¢×´ÊÇ·ñÓëÅèµ×¼¡Ê§ÓÃ×ÛºÏÕ÷£¨PFDS£©Ïà¹Ø£¿ÐèÒªÁ¬Ïµ¼¡µçͼ¼ì²é×ÛºÏÅжϡ£
ÅÅÄò¹¦Ð§ÆÀ¹À±ê׼ϵͳ
¹æ·¶»¯ÕïÁÆÁ÷³Ì°üÀ¨Èý´ó½¹µã»·½Ú£ºÖ¢×´ÆÀ¹À¡¢Äò¶¯Á¦Ñ§¼ì²âºÍÓ°Ïñѧ¼ì²é¡£ÃÀ¹úÃÚÄòлᣨAUA£©Ö¸ÄϽ¨Òé½ÓÄɱê×¼»¯ÅÅÄòÈÕÖ¾£¨voiding diary£©¼Í¼»¼ÕßÒ»Á¬72СʱµÄÅÅÄòģʽ¡£ÔÚÄòÁ÷¶¯Á¦Ñ§¼ì²âÀú³ÌÖУ¬Í¬²½ÕÉÁ¿°òë×ѹºÍ¸¹Ñ¹¿ÉÓÐÓÃÇø·Ö±ÆÄò¼¡Ì«¹ý»îÔ¾ÓëѹÁ¦ÐÔÄòʧ½û¡£¹ØÓÚÖØ´ó²¡Àý£¬ÊÓÆµÄò¶¯Á¦Ñ§¼ì²éÄÜÖ±¹ÛÏÔʾÏÂÄò·ÆÊ½â½á¹¹Òì³£¡£
¸öÐÔ»¯ÖÎÁƼƻ®Öƶ©
Õë¶Ô²î±ðÀàÐÍÅÅÄòÕϰ£¬ÏÖ´úҽѧÐγÉÁËõ辶ʽÖÎÁÆÏµÍ³¡£ÐÐΪÁÆ·¨×ÅÖØÓÚ׼ʱÅÅÄòѵÁ·ºÍÒûË®ÖÎÀí£¬ÉúÎï·´ÏìÖÎÁÆÔòʹÓü¡µçÐźŸ¨Öú»¼ÕßÖØÐÞÅèµ×¼¡¿ØÖÆÄÜÁ¦¡£µ±ÊؾÉÖÎÁÆÊ§Ð§Ê±£¬¿É˼Á¿AÐÍÈâ¶¾¶¾Ëذòë×±Ú×¢Éä»ò÷¾Éñ¾µ÷ÀíÊõ£¨SNM£©µÈ½éÈëÖÎÁÆ¡£ÌØÊâÊÇSNM×°±¸Í¨¹ýµçÁ÷´Ì¼¤µ÷Àí÷¾Éñ¾·´É䣬¶ÔÍç¹ÌÐÔÄòäóÁô¾ßÓÐÏÔÖøÁÆÐ§¡£
Ò»Ñùƽ³£·À»¤Ó빦ЧĥÁ¶
Ô¤·ÀÅÅÄò¹¦Ð§ÕϰÐ轨Éè¿ÆÑ§ÉúÑÄϰ¹ß¡£KegelÔËÐж¯Îª¾µäÅèµ×¼¡ÑµÁ·ÒªÁ죬ÖðÈÕÈý×顢ÿ×é15´ÎµÄ¼ÍÂÉÄ¥Á¶¿ÉÓÐÓøÄÉÆ¿ØÄòÄÜÁ¦¡£°òë×ÔÙѵÁ·ÒªÇó»¼ÕßÖð²½ÑÓÉìÅÅÄò¾àÀëʱ¼ä£¬ÅäºÏÒºÌåÉãÈëÖÎÀí£¬ÄÜʹ°òë×ÈÝ»ýÖð²½»Ö¸´Õý³£¡£Ò½Ñ§Ñо¿Ö¤Êµ£¬ÌåÖØÖ¸Êý£¨BMI£©ÓëѹÁ¦ÐÔÄòʧ½û³ÊÕýÏà¹Ø£¬Î¬³Ö±ê×¼ÌåÖØ¾ßÓÐÖ÷ÒªÔ¤·ÀÒâÒå¡£
ÁÙ´²µä·¶°¸ÀýÆÊÎö
ijÈý¼×Ò½Ôº½üÆÚ½ÓÕïµÄ33ËêÅ®ÐÔ»¼Õß¾ßÓе䷶½Ìѧ¼ÛÖµ¡£Ö÷ËßΪÅÅÄòºóÄòÒâ²ÐÁô¸ÐÒ»Á¬°ëÄ꣬ÄòÁ÷¶¯Á¦Ñ§¼ì²éÏÔʾ×î´óÄòÁ÷Âʽö8ml/s¡£¾Åèµ×Íâò¼¡µçÆÀ¹À·¢Ã÷¸ØÌἡËõ¶Ì·¦Á¦£¬Õï¶ÏΪIIÐͰòë×¾±¹£×è¡£×ÛºÏÖÎÁƼƻ®°üÀ¨¦ÁÊÜÌå×èÖͼÁ¡¢Åèµ×¼¡µçÉúÎï·´Ï켰׼ʱÅÅÄòѵÁ·£¬ÖÎÁÆ3¸öÔºó×î´óÄòÁ÷ÂÊÌáÉýÖÁ18ml/s£¬Ê£ÓàÄòÁ¿½µÖÁ15mlÒÔÏ¡£
ÃÚÄò¹¦Ð§ÕϰµÄ¹æ·¶ÕïÁÆÐèÒª¶àѧ¿ÆÐ×÷Ö§³Ö¡£´Ó»ù´¡ÐÄÀíÆÀ¹Àµ½¾«×¼¿µ¸´½éÈ룬ÏÖ´úҽѧÒÑÐγÉÍêÕûµÄÅÅÄò¹¦Ð§ÐÞ¸´ÏµÍ³¡£Í¨¹ý¿ÆÑ§ÕïÖμƻ®ºÍÒ»Á¬¹¦Ð§ÑµÁ·£¬´ó¶¼»¼Õß¿ÉÏÔÖø¸ÄÉÆÉúÑÄÖÊÁ¿¡£ÖµµÃ×¢ÖØµÄÊǰ´ÆÚ¸´ÕïÓëÁÆÐ§ÆÀ¹À¶ÔÔ¤·À²¡Ç鸴·¢ÖÁ¹ØÖ÷Òª£¬½¨Òé×ñÕÕÒ½ÖöÍêÓñ³ÉÁƳÌÖÎÁÆ¡£