Awọn Iwosan Atilẹyin pipe fun Isakoso Endometriosis

Fun awọn ẹni-kọọkan ti o ngbe pẹlu awọn aami aiṣan ti cyclical tabi onibaje endometriosis, ṣe iṣakojọpọ awọn itọju ailera le ṣe iranlọwọ ninu iṣakoso arun?

Awọn itọju ailera atilẹyin

Endometriosis jẹ rudurudu ninu eyiti ẹran ara ti o jọra si awọ uterine bẹrẹ lati dagba ni ita ile-ile nibiti ko si. Awọn itọju itọju endometriosis jẹ ọna pipe si itọju. O pẹlu awọn itọju ti kii ṣe apanirun lati ṣe iranlọwọ ṣakoso awọn aami aisan ti o le pẹlu:

• Ilẹ ibadi ti itọju ara
• ifọwọra
• gbígba
• Ipaju Itanna Ẹrọ Itanna
• acupuncture
• Chiropractic

Itọju Ẹjẹ ti Ibadi - PFPT

• Endometriosis le fa tabi ṣe alabapin si aiṣiṣẹ ti ilẹ ibadi, nfa irora, awọn rudurudu ito, awọn iṣoro ifun, ati ibalopọ irora.
• Itọju ailera ti ara ibadi mu agbara ati iṣẹ ti awọn iṣan ti ilẹ ibadi ṣe.
• Awọn itọju ailera ti apẹẹrẹ le pẹlu awọn adaṣe kegel ati biofeedback. (Christine Mansfield ati al., 2022)

Ifọwọra Itọju

Oniwosan ara ẹni nlo ọpọlọpọ awọn igara, nínàá, ati/tabi itusilẹ ojuami okunfa. Eyi ṣe iranlọwọ: (Sylvia Mechsner, ọdun 2022)

• Tu iṣan ẹdọfu silẹ
• Cortisol isalẹ - homonu wahala
• Mu iyika dara si
• Tu endorphins silẹ – awọn oogun irora ti ara

Awọn oogun

Awọn oogun egboogi-iredodo ti kii ṣe sitẹriọdu tabi awọn NSAIDs ati awọn idiwọ homonu – iṣakoso ibimọ jẹ laini akọkọ ti itọju. Advil ati Motrin jẹ awọn NSAID lori-counter. Ti awọn naa ko ba ṣakoso irora daradara, olupese ilera kan le ṣeduro awọn NSAID oogun. (Sylvia Mechsner, ọdun 2022) Awọn aṣoju idinku homonu tabi awọn oluyipada estrogen jẹ laini itọju keji fun endometriosis ati pe o le pẹlu: (Christian M. Becker et al., 2022)

• Gonadotropin-idasile homonu agonists (GnRH)
• Awọn oogun Antigonadotropic
• Awọn oludena aromatase
• Awọn oluyipada olugba estrogen ti o yan (Awọn SERM)

Awọn oogun miiran pẹlu:(Sylvia Mechsner, ọdun 2022)

• Valium – awọn suppositories diazepam – Awọn oogun isinmi-iṣan.
• Gabapentinoids - Awọn oogun ti o tọju irora nafu ara.
• Awọn antidepressants - iwọnyi le ṣe alekun ipa idinku irora ti awọn oogun miiran.

Ọjọgbọn endometriosis. (Endometriosis Foundation of America. Ọdun 2015) le daba ri alamọja iṣakoso irora ti o pese awọn bulọọki nafu tabi awọn abẹrẹ Botox. (Augusto Pereira ati al., 2022)

Iṣakoso Ibi

Awọn idena oyun homonu dinku tabi ṣe ilana awọn akoko. Wọn munadoko fun iṣakoso, ṣugbọn kii ṣe gbogbo eniyan le mu wọn nitori itan-akọọlẹ iṣoogun, awọn ipa ẹgbẹ, tabi awọn rudurudu irọyin ati awọn ipo. (Mert Ilhan et al., 2019) Olupese ilera le ṣeduro awọn itọju ailera atilẹyin miiran.

Ipaju Itanna Ẹrọ Itanna

• Imudara iṣan ara itanna transcutaneous nlo ẹrọ ti o nṣiṣẹ batiri ti o nfi agbara itanna foliteji kekere si awọn okun nafu nipasẹ awọn amọna ti a gbe sori awọ ara.
• Awọn akoko maa n jẹ iṣẹju 15 si 30 ati ṣiṣẹ nipa didamu awọn ifihan agbara irora. (Sylvia Mechsner, ọdun 2022)

acupuncture

• Acupuncture jẹ itọju ailera kan ninu eyiti oṣiṣẹ ti nfi awọn abere tinrin sinu awọn acupoints kan pato lori ara lati ṣe igbelaruge sisan agbara ati dinku irora. (Nora Giese ati al., 2023)

Chiropractic

• Abojuto itọju Chiropractic fojusi awọn atunṣe ọpa ẹhin ati titete lati mu iṣẹ eto aifọkanbalẹ ṣiṣẹ, ṣe iranlọwọ lati dinku aibalẹ pelvic ati irora nafu - sciatica - ati mu ilọsiwaju dara dara. (Robert J. Trager et al., 2021)
• Ilọkuro ti kii ṣe iṣẹ-abẹ ni a le ṣeduro lati rọra na awọn ọpa ẹhin, yọọda titẹ, ki o si ṣan ọpa ẹhin pẹlu awọn ounjẹ ti a ṣafikun.

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Oogun gbigbe: Itọju Chiropractic

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Mansfield, C., Lenobel, D., McCracken, K., Hewitt, G., & Appiah, LC (2022). Ipa ti Itọju Ẹjẹ Ti Ilẹ Pelvic lori Iṣe ni Awọn ọdọ ati Awọn ọdọ pẹlu Biopsy-Confirmed Endometriosis ni Ile-iwosan Awọn ọmọde giga: Apejọ Ọran. Iwe akọọlẹ ti awọn ọmọ ile-iwosan ọmọ ati ọdọ, 35 (6), 722-727. doi.org/10.1016/j.jpag.2022.07.004

Mechsner S. (2022). Endometriosis, Itọju Irora-Igbese-Igbese ti nlọ lọwọ. Iwe akosile ti oogun iwosan, 11 (2), 467. doi.org/10.3390/jcm11020467

Ilhan, M., Gürağaç Dereli, FT, & Akkol, EK (2019). Awọn Ifojusi Oògùn aramada pẹlu Awọn oogun Egboigi Ibile fun Bibori Endometriosis. Ifijiṣẹ oogun lọwọlọwọ, 16 (5), 386-399. doi.org/10.2174/1567201816666181227112421

Becker, CM, Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., Ọba, K., Kvaskoff, M., Nap, A., Petersen, K., Saridogan , E., Tomassetti, C., van Hanegem, N., Vulliemoz, N., Vermeulen, N., & ESHRE Endometriosis Itọsọna Ẹgbẹ (2022). ESHRE itọnisọna: endometriosis. Atunse eniyan ṣii, 2022 (2), hoac009. doi.org/10.1093/hropen/hoac009

Endometriosis Foundation of America. (2015). Wiwa dokita kan: wiwa alamọja endometriosis ti o tọ. www.endofound.org/preparing-to-see-a-doctor

Pereira, A., Herrero-Trujillano, M., Vaquero, G., Fuentes, L., Gonzalez, S., Mendiola, A., & Perez-Medina, T. (2022). Itọju Ile-iwosan ti Irora Pelvic Onibaje ni Endometriosis Ko dahun si Itọju Aṣa. Iwe akọọlẹ oogun ti ara ẹni, 12 (1), 101. doi.org/10.3390/jpm12010101

Giese, N., Kwon, KK, & Armour, M. (2023). Acupuncture fun endometriosis: Atunyẹwo eleto kan ati itupalẹ-meta. Iwadi oogun iṣọpọ, 12 (4), 101003. doi.org/10.1016/j.imr.2023.101003

Trager, RJ, Prosak, SE, Leonard, KA et al. (2021). Ayẹwo ati iṣakoso ti sciatic endometriosis ni foramen sciatic ti o tobi julọ: ijabọ ọran kan. Oogun Iwosan Isẹgun SN, 3. doi.org/doi:10.1007/s42399-021-00941-0