А Application of BOS therapy in comprehensive treatment of urinary system diseases in premenopausal women
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https://www.eduzhai.net American Journal of Medicine and Medical Sciences 2021, 11(9): 662-664 DOI: 10.5923/j.ajmms.20211109.12 Аpplication of Bos-Therapy in a Complex Therapies for Urinary Disorders in Women in Premenopausal Period Tilyavova S. A.*, Khudoyarova D. R. Samarkand State Medical Institute, Uzbekistan Abstract Relevance. Urinary incontinence is not only the cause of significant medical and psychosocial morbidity, but also entails huge economic costs. Target. Improving the treatment of urinary disorders in women in the premenopausal period. Materials and methods. The study was based on clinical and laboratory examination of 128 women with urinary dysfunction in premenopausal women. Application of biofeedback "- therapy. Results. After undergoing hysterectomy, the frequency of prolapse of the dome of the vagina, according to some data, reaches 43%, and relapses after surgical treatment of prolapse occurs in about 30% of cases. Output. Based on a comprehensive analysis of the studies, it was shown that systematic training of the pelvic floor muscles using the biofeedback method, carried out under the supervision of medical personnel, led to a cure in 20% and an improvement in the condition in 47% (p = 0.01) of women with various forms of incontinence. urine compared to untreated patients. Recommendations. To consolidate the clinical effect, it is possible to carry out repeated courses of biofeedback therapy (2-3 times a year). Keywords Biofeedback therapy, Urinary disorders 1. Introduction Urinary incontinence (UM) in women has recently become an increasingly urgent problem and has enormous not only medical, but also socio-economic and psychological significance [3,6,10]. Despite the constant improvement of methods for diagnosing and treating this disease, the number of women suffering from TM is not decreasing all over the world. Currently, epidemiological studies on the problem of MM in women are of great interest and are carried out mainly in economically developed countries. maternity complex of the city of Samarkand of the Ministry of Health of the Republic of Uzbekistan in the period from 2019 to 2020. We have included biofeedback therapy in the complex therapy along with drug treatment. "BFB" is a method of therapy that uses the hidden reserves of the body. The goal of the method is to develop a person's self-regulation skills. In our clinic, treatment of urinary incontinence using biofeedback therapy is carried out by a highly qualified neurologist, neurophysiologist with many years of experience. 4. Results 2. Target Improving the treatment of urinary disorders in women in the premenopausal period. 3. Materials and Methods The study was based on clinical and laboratory examination of 128 women with urinary dysfunction in women in the premenopausal period, who were monitored and admitted to the gynecological department of the 2nd * Corresponding author: email@example.com (Tilyavova S. A.) Received: Sep. 1, 2021; Accepted: Sep. 21, 2021; Published: Sep. 30, 2021 Published online at https://www.eduzhai.net The examined women were divided into 2 groups depending on the methods of therapy: Comparison group 1 included 45 (35.2%) women diagnosed with traditional methods of diagnosis and treatment, the main group - 83 (64.8%) treated with traditional methods in combination with biofeedback therapy. The age of the examined pregnant women ranged from 19 to 48 years. The outcomes of previous women in the surveyed women are of no small importance for establishing the causes of urinary incontinence: spontaneous miscarriages were noted in the comparison group - 5 (11.1%), and in the main group 9 (10.8%), premature birth - 4 (8.9%) and in 15 (18.1%), non-developing pregnancies - 2 (4.4%) and 4 (4.8%), respectively, by groups (Table 2). American Journal of Medicine and Medical Sciences 2021, 11(9): 662-664 663 Table 1. Etiological causes of urinary disorders in women in the premenopausal period Indicators Colpitis Cervicitis Erosion of the cervix Inflammatory diseases of the uterus Inflammatory diseases of the uterine appendages Menstrual dysfunction Comparison group (n = 45) абс % 16 35,6 3 6,7 11 24,4 14 31,1 22 48,9 27 60,0 Main group (n=83) абс % 29 34,9 15 18,1 21 25,3 29 34,9 31 37,3 42 50,6 Р >0,05 <0,05 >0,05 >0,05 >0,05 >0,05 Table 2. Outcomes of previous pregnancies in the surveyed women Indicators Spontaneous miscarriage Non-developing pregnancy Artificial abortion Premature birth Comparison group (n = 45) абс % 5 11,1 2 4,4 28 62,2 4 8,9 Main group (n=83) абс % 9 10,8 4 4,8 38 45,8 15 18,1 Р >0,05 >0,05 <0,05 >0,05 In recent years, the problem of urogenital disorders has become the leader in the symptomatology of climacteric disorders, which is associated with their pronounced negative impact on the quality of life of a postmenopausal woman. The incidence of age-related urogenital disorders reaches 30%. In the perimenopausal period, urogenital disorders occur in 10% of women, while in the 55-60 age group - in 50%. By the age of 75, already 2/3 of women experience a urogenital disc-fort, and after 75 years it is difficult to meet a woman who did not have individual symptoms of urogenital disorders [1,2,5,8]. Conservative treatment includes: - drug therapy; - training of the pelvic floor muscles using the biological feedback method; - physiotherapy (electrical stimulation of the pelvic floor muscles using rectal, vaginal, urethral sensors), etc. Drug therapy is mainly symptomatic, to one degree or another reducing the manifestations of the disease, but not eliminating its causes. In this case, the therapeutic effect is often short-term and unstable. There is a fairly high risk of side effects when taking medication; in addition, the cost of drugs is quite high, especially given the need for their long-term use. Therefore, specialists in the field of urology and urology-necology see a way out in the use of methods aimed at using the human body's own reserve-compensatory capabilities [7,9,11]. 2. EMG signals are amplified and displayed on the monitor in the form of graphic images. 3. At the same time, miniature sensors "Kolibri" register simultaneously the contraction of the abdominal muscles and the gluteal muscles and also transmit the signal to the program on the PC. 4. Thus, the specialist and the patient can observe the correctness of the exercise. The duration of the daily procedure varies from 15-20 minutes. The course of treatment is approximately 15 procedures. If necessary, to consolidate the clinical effect, it is possible to carry out repeated courses of biofeedback therapy (2-3 times a year). The data given in Table 3 convincingly prove the advantages of BFB therapy against the background of traditional therapy  (Table 3). Table 3. The effectiveness of the biofeedback method against the background of conservative therapy Indicators Complete recovery Improvement of the state No change Comparison group (n = 45) абс % 4 8,9 35 77,8 6 13,3 Main group (n=83) абс % 53 63,9 Р <0,001 30 36,1 <0,001 0 0,0 <0,01 6. Output 5. Discussion Methodology for using biofeedback therapy. 1. Special vaginal or rectal sensors register changes in the tone of the working pelvic floor muscles and convert them into electromyographic signals. Based on a comprehensive analysis of the studies, it was shown that systematic training of the pelvic floor muscles using the biofeedback method, carried out under the supervision of medical personnel, led to a cure in 20% and an improvement in the condition in 47% (p = 0.01) of women with various forms of incontinence. urine compared with untreated patients. 664 Tilyavova S. A. and Khudoyarova D. R.: Аpplication of Bos-Therapy in a Complex Therapies for Urinary Disorders in Women in Premenopausal Period European science review. – 2015. – №. 5-6. REFERENCES  Ismatovna T. D. Effects of flow period preeclampsia the outcome of pregnancy and childbirth //European science review. – 2015. – №. 5-6. – Р. 85-87.  Dumoulin C., Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women // Cochrane Database Syst Rev. 2010, 20, 1.  Hirakawa T., Suzuki S., Kato K., Gotoh M., Yoshikawa Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence // Int Urogynecol J. 2013, 24 (8). R. 1347-1354.  Ismatovna T. D. Characteristics of the functional state of the liver in postpartum women undergoing preeclampsia //  Khomidova N. R. et al. The role of indicators of hemostasis in the prognosis of obstetric blood vessels // A new day in medicine. – 2019. – Р. 139-142.  Khudoyarova D. R. et al. Fertility recovery from polycystic ovarian syndrome // International journal of pharmaceutical research. ISSN. 2020. – Р. 0975-2366.  Krever S. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction // World J Urol. 2012, 30 (4). R. 437-443. Copyright © 2021 The Author(s). Published by Scientific & Academic Publishing This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
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