{"id":11869,"date":"2023-08-16T09:52:22","date_gmt":"2023-08-16T09:52:22","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=11869"},"modified":"2023-09-21T09:38:45","modified_gmt":"2023-09-21T09:38:45","slug":"llr-arp-98-policy-for-uterovaginal-prolapse","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-98-policy-for-uterovaginal-prolapse\/","title":{"rendered":"Polityka LLR dotycz\u0105ca wypadania macicy i pochwy"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Wypadanie narz\u0105d\u00f3w miednicy (POP) odnosi si\u0119 do nieprawid\u0142owego opadania\/przepukliny jednego lub wi\u0119kszej liczby narz\u0105d\u00f3w miednicy w wyniku uszkodzenia podp\u00f3r wi\u0119zad\u0142owych i powi\u0119ziowych, co powoduje wysuni\u0119cie narz\u0105du poza jego normalne granice anatomiczne. Wypadanie mo\u017ce wyst\u0105pi\u0107 w przednim, \u015brodkowym\/wierzcho\u0142kowym lub tylnym (odbytniczym) przedziale miednicy.<br>Rozw\u00f3j POP jest wieloczynnikowy, a por\u00f3d drog\u0105 pochwow\u0105, zaawansowany wiek i rosn\u0105cy wska\u017anik masy cia\u0142a (BMI) to najbardziej sp\u00f3jne czynniki ryzyka.<\/p>\n\n\n\n<p>Diagnoza jest zwykle kliniczna i opiera si\u0119 na wywiadzie i badaniu miednicy (wziernika) w celu ustalenia dotkni\u0119tych przedzia\u0142\u00f3w (klasyfikacja wypadania) i okre\u015blenia zakresu wypadania (stopie\u0144 ci\u0119\u017cko\u015bci\/stopnia).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje to leczenie, je\u015bli zostan\u0105 spe\u0142nione nast\u0119puj\u0105ce kryteria<\/strong><br><br>\u00b7 Zarz\u0105dzanie konserwatywne zgodnie z wytycznymi nie powiod\u0142o si\u0119. Zarz\u0105dzanie konserwatywne obejmuje <br>          nadzorowane \u0107wiczenia mi\u0119\u015bni dna miednicy i leczenie pessarem.<br><br>         <strong>I<\/strong><br><br>. Umiarkowane lub ci\u0119\u017ckie wypadanie objawowe (w tym zwi\u0105zane z wypadaniem zwieracza cewki moczowej). <br>           niekompetencja lub nietrzymanie moczu\/ka\u0142u<br><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Przewodnictwo<\/strong><br><strong>&nbsp;<\/strong><br><a href=\"https:\/\/bsug.org.uk\/pages\/for-patients\/bsug-patient-information-leaflets\/154\">https:\/\/bsug.org.uk\/pages\/for-patients\/bsug-patient-information-leaflets\/154<\/a><br><br><a href=\"https:\/\/www.nhs.uk\/conditions\/pelvic-organ-prolapse\/\">Wypadanie narz\u0105d\u00f3w miednicy mniejszej \u2013 NHS (www.nhs.uk)<\/a><br><br><a href=\"https:\/\/www.rcog.org.uk\/for-the-public\/menopause-and-later-life\/pelvic-organ-prolapse\/\">Wypadanie narz\u0105d\u00f3w miednicy | RCOG<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ARP 98. Data przegl\u0105du: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Pelvic organ prolapse (POP) refers to abnormal descent\/ herniation of one or more of the pelvic organs as a result of failure of ligamentous and fascial supports, [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[64],"class_list":["post-11869","post","type-post","status-publish","format-standard","hentry","category-policies","tag-gynaecology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Uterovaginal Prolapse - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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