What Is a Vaginal Wall Prolapse?

Anterior vaginal wall prolapse is often accompanied by bladder bulge and urethral bulge, most of which are bladder bulge. Prolapse of the anterior vaginal wall can exist alone, and often coexist with prolapse of the posterior vaginal wall. Do not urinate at the time of the test. It can be seen that the front wall of the vagina bulges toward the vaginal opening. The vaginal mucosa loses its normal thickness and wrinkled wall. The degree of posterior vaginal anterior wall swelling is divided into light, medium and heavy. During vaginal examination, the vaginal opening is often accompanied by old perineal tears. The anterior wall of the vagina was hemispherical bulge, soft to the touch, where the mucosa became thin and transparent, and the wrinkles disappeared. The bulging anterior wall of the vagina is clearly visible when the patient holds their breath.

Anterior vaginal prolapse

Anterior vaginal prolapse is often accompanied by

symptom

The patient has obvious symptoms. During vaginal examination, the vaginal opening is often accompanied by old perineal tears. The anterior wall of the vagina was hemispherical bulge, soft to the touch, where the mucosa became thin and transparent, and the wrinkles disappeared. The bulging anterior wall of the vagina is clearly visible when the patient holds their breath.

Mainly rely on vaginal inspection and palpation. Wide vaginal opening at the time of inspection with staleness

Get out of bed not too early after childbirth, especially you can't participate in heavy physical work too early, increase nutrition self-treatment.

1. Menopause is a period of transition of female physiological functions from maturity to aging, and also a transition period from maturity to aging. During this period, ovarian function gradually declines until it finally disappears. Therefore, women's menopause and old age, due to the decline of ovarian function and low estrogen levels, make the pelvic floor tissues and uterine suspension devices become weak and lose tension. On the other hand, with the increase of age, women's physique gradually weakens, and the tissue tension of the whole body also decreases. Therefore, menopausal and senile women are prone to vaginal prolapse. Therefore, it is also very important to prevent women from menopause and old age to prevent vaginal prolapse.

(1) Women in menopause and old age should pay special attention to the combination of work and rest, avoid excessive fatigue, and pay more attention to maintaining a comfortable mood and reducing the mental burden, and eliminate tension, anxiety and fear.

(2) Work should be appropriately reduced to avoid participating in heavy physical labor.

(3) Pay attention to nutrition, carry out proper physical exercises, and insist on levator muscle exercises to prevent excessive relaxation or premature tissue decay.

(4) Actively prevent senile chronic bronchitis and habitual constipation, conduct regular systemic and gynecological examinations, and early detect and treat various common diseases of menopausal and elderly women.

(5) Early receiving estrogen replacement therapy. When excluding gynecological tumors, cardiovascular diseases, breast cancer, hyperlipidemia, and hepatobiliary diseases and other systemic diseases, estrogen replacement therapy should be promptly received. It can not only reduce osteoporosis, relieve menopausal symptoms, but also improve menopause. Physiological basis of vaginal prolapse and vaginal wall bulge due to hypoovarian function and even disappearance of elderly women.

2. Women have to go through many special physiological periods in their lives, which is also the period when they are prone to disease. Taking care of these periods can prevent or reduce the pathological basis of vaginal prolapse, and prevent vaginal prolapse in menopausal and elderly women. Vertical key.

(1) Strengthening women's labor protection: Excessive weight bearing and physical exertion are one of the important reasons for vaginal prolapse. Strengthening women's labor protection is a reliable guarantee for preventing and reducing vaginal prolapse.

(2) Do adolescent health care: Women are called adolescence between the ages of 12 and 18. Since the puberty ovary and female reproductive organs are not yet fully developed, they are susceptible to external and internal environment and cause various diseases to affect the normal development and reproductive dysfunction of women. Their muscles are weak and ligament tension is poor, often accompanied by There is laxity in the abdominal wall and weakness is called weakness. Such people are usually accompanied by internal organ ptosis (such as kidney ptosis and gastric ptosis). If intra-abdominal pressure increases due to some reasons, vaginal prolapse is prone to occur. Therefore, adolescent health care is necessary to ensure women's health and normal development and prevention. The occurrence of vaginal prolapse is of great significance.

(3) Pay attention to menstrual health care: Although the menstrual period is a physiological phenomenon of women during childbearing period, women's cerebral cortex excitement decreases during menstruation, and pelvic congestion is affected by endocrine, so the overall and local resistance are reduced. . If you do not pay attention to menstrual health care, it is easy to cause various acute and chronic diseases of women and affect women's health. In particular, women are subjected to cold stimuli (mainly cold water) during menstruation, which may cause ovarian dysfunction and lead to menstrual disorders or even amenorrhea. It is believed that ovarian function has a significant relationship with the tension of pelvic support tissues during amenorrhea. Less hormone secretion causes the pelvic support tissue to decrease in tension and prone to vaginal prolapse. Therefore, strengthening menstrual health care is also of great significance in preventing the occurrence of vaginal prolapse.

(4) Effective health care during pregnancy: Good health care for women during pregnancy, timely detection and correction of abnormal fetal position and prevention of dystocia, is also one of the important measures to prevent vaginal prolapse.

(5) Correct handling of each part of labor: Injury during delivery is an important cause of vaginal prolapse. The longer the labor process, the higher the incidence of vaginal prolapse, which is related to the greater chance of damage to the suspension device supporting the uterus and the soft tissues of the pelvic floor. The damage caused by the first delivery is even more critical. Among patients with vaginal prolapse, the highest incidence of postpartum onset is about 30%. Therefore, correct handling of each part of labor and preventing birth injuries is the most important link in preventing vaginal prolapse.

(6) Careful puerperium care: It usually takes 6 to 8 weeks for a maternal to return to the non-pregnant state after delivery of the placenta. This recovery process states that the puerperium is in the puerperium, and women's anatomy and physiological changes are significant. If you do not pay attention to this period, vaginal prolapse is most likely to occur. According to reports, the incidence of vaginal prolapse in the puerperium period is significantly higher than that in other periods, and the incidence of vaginal prolapse is highest in workers who took more than one month, accounting for more than 85% of all cases. This is due to the physiological and pathological changes of the uterus and its support structure during puerperium due to pregnancy and childbirth. Participating in labor early (including heavy housework) before the full recovery is easy to cause vaginal prolapse. Therefore, conscientious care during puerperium is of great significance in preventing vaginal prolapse

(7) Effective nursing care: ovarian function declines during breastfeeding. Especially after long-term breastfeeding, uterine atrophy may occur due to the long-term decline of ovarian function, the uterine support structure and suspension device are weak and weak, and the tension and elasticity of the pelvic floor muscles are reduced. In this case, if increased abdominal pressure is encountered Vaginal prolapse can be induced by external factors such as physical posture or physical exertion, and only 9% of patients have vaginal prolapse during lactation and less than 1% of lactation patients. This indicates that the incidence of vaginal prolapse is significantly increased in those who breastfeed more than 1 year. In addition, it is found that the uterine position of women after abdominal pressure during lactation is significantly lower than that of non-lactating period. Therefore, it is an important measure to prevent vaginal prolapse.