Endometriozise Fonksiyonel Tıp Yaklaşımı
Özet
Endometriozis günümüzde pek çok kadını etkileyen ve hayat kalitesini düşüren bir hastalıktır. Fertil çağdaki her on kadından birinde endometriozis saptanmaktadır. Pek çok farklı semptom ile kendini prezente eden bu hastalık en sık dismenore, pelvik ağrı, diskezi, dizüri, intertilite ile karşımıza çıkmaktadır. Bilime dayalı tıp ile primer tedavisini düzenlediğimiz bu hasta grubunda yaşam tarzı değişikleri ve fonksiyonel tıbbın semptomlar üzerindeki etkilerinden bahsedeceğiz.
Endometriosis is a common disease that affects many women and plays a role in their quality of life. Every one in ten women in their fertile age experince endometriozis or its effects. Endometriozis most commonly presents itself with dysmenorrhea, pelvic pain, dyschezia, dysuria anf infertility. We will talk about alternatives of managing the disease along with evidence based treatment.
Referanslar
Li PS, Peng XM, Niu XX, Xu L, Ng E HY, Wang CC, et al. Efficacy of acupuncture for endometriosis associated pain: a multicenter randomized single-blind placebo-controlled trial. Fertil Steril 2023;119:815–23.
Magarelli, Paul C. et al. The birth of integrative reproductive medicine: finally, a randomized controlled trial for endometriosis treated with acupuncture! Fertility and Sterility, Volume 119, Issue 5, 824 – 825
Ticiana A.A. Mira, Mariana M. Buen, Murilo G. Borges, Daniela A. Yela, Cristina L. Benetti-Pinto. Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis, DOI: 10.1002/ijgo.12576
Lund I, Lundeberg T, Is acupuncture effective in the treatment of pain in endometriosis? Journal of Pain Research, Volume 2016:9 Pages 157—165
Nora Giese, Ki Kyung Kwon, Mike Armour, Acupuncture for endometriosis: A systematic review and meta-analysis, Integrative Medicine Research, Volume 12, Issue 4
Yan Q, Li J, Zeng J. The role of acupuncture in thetreatment of women with pain in endometriosis: a protocol for systematic review and meta-analysis. Medicine 2021;100:49 (e27582).
Xu Y, Zhao W, Li T, Zhao Y, Bu H, Song S. (2017) Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis. PLoS ONE 12(10): e0186616. https://doi.org/10.1371/journal.pone.0186616
Chen, C., Li, X., Lu, S. et al. Acupuncture for clinical improvement of endometriosis-related pain: a systematic review and meta-analysis. Arch Gynecol Obstet 310, 2101–2114 (2024). https://doi.org/10.1007/s00404-024-07675-z
Francisco Artacho-Cordon et al. Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: ARandomized Controlled Trial, Archives of Physical Medicine and Rehabilitation 2023;104:1785−95
Bonocher et al. Reproductive Biology and Endocrinology 2014, 12:4 Page 5 of 5, http://www.rbej.com/content/12/1/4
Tennfjord et al. BMC Women’s Health (2021) 21:355, https://doi.org/10.1186/s12905-021-01500-4
Hansen S, Sverrisdóttir UÁ, Rudnicki M. Impact of exercise on pain perception in women with endometriosis: A systematic review. Acta Obstet Gynecol Scand. 2021;100:1595–1601. https://doi.org/10.1111/aogs.14169
Ensari I, Lipsky-Gorman S, Horan EN, et al. Associations between physical exercise patterns and pain symptoms in individuals with endometriosis: a cross-sectional mHealth-based investigation. BMJ Open 2022;12:e059280. doi:10.1136/bmjopen-2021-059280
Salinas-Asensio, M.d.M.; Ocón-Hernández, O.; Mundo-López, A.; Fernández-Lao, C.; Peinado, F.M.; Padilla-Vinuesa, C.; Álvarez-Salvago, F.; Postigo-Martín, P.; Lozano-Lozano, M.; Lara-Ramos, A.; et al. ‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in SymptomaticWomen Diagnosed with Endometriosis. Int. J. Environ. Res. Public Health 2022, 19, 1738. https://doi.org/10.3390/ijerph1903173
Rebeca Abril-Coello, Marta Correyero-León, Luis Ceballos-Laita, Sandra Jiménez-Barrio, Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta-analysis, doi: 10.1002/ijgo.14645
Claire Tourny, Amira Zouita, Samira El Kababi, Léa Feuillet1, Ayoub Saeidi, Ismail Laher, Katja Weiss, Beat Knechtle, Hassane Zouhal, Endometriosis and physical activity: A narrative review, Int J Gynecol Obstet. 2023;163:747–756.
Wójcik, M.; Szczepaniak, R. Placek, K. Physiotherapy Management in Endometriosis. Int. J. Environ. Res. Public Health 2022, 19, 16148. https://doi.org/10.3390/ijerph192316148
Muñoz-Gómez, E.; Alcaraz-Martínez, A.M.; Mollà-Casanova, S.; Sempere-Rubio, N.; Aguilar-Rodríguez, M.; Serra Añó, P.; Inglés, M. Effectiveness of a Manual Therapy Protocol in Women with Pelvic Pain Due to Endometriosis: A Randomized Clinical Trial. J. Clin. Med. 2023, 12, 3310. https://doi.org/10.3390/jcm12093310
Goyal, K., Goyal, M., Narkeesh, K., John Samuel, A., Sharma, S., Chatterjee, S., Arumugam, N., The effectiveness of osteopathic manipulative treatment in an abnormal uterine bleeding related pain and health related quality of life (HR-QoL) - A case report, Journal of Bodywork & Movement Therapies (2016), doi: 10.1016/j.jbmt.2016.08.010.
Pınar Yalçın Bahat, Hüseyin Nazlıkul, Endometrioziste Nöralterapi yaklaşımı, Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöralterapi Dergisi Cilt 11, Sayı 1 : 2017
Kalaitzopoulos et al. Reproductive Biology and Endocrinology (2022) 20:176 https://doi.org/10.1186/s12958-022-01051-9
Zheng et al. Reproductive Biology and Endocrinology (2023) 21:79 https://doi.org/10.1186/s12958-023-01126-1
Pınar Yalçin Bahat, Isil Ayhan, Eda Ureyen Ozdemir, Ümit Inceboz, Engin Oral, Dietary supplements for treatment of endometriosis: A review, Acta Biomed 2021; Vol. 93, N. 1: e2022159 doi:10.23750/abm.v93i1.11237
Leila Amini, Razieh Chekini, Mohammad Reza Nateghi, Hamid Haghani, Tannaz Jamialahmadi, Thozhukat Sathyapalan, and Amirhossein Sahebkar, The Effect of Combined Vitamin C and Vitamin E Supplementation on Oxidative Stress Markers in Women with Endometriosis: A Randomized, Triple-Blind Placebo-Controlled Clinical Trial, Hindawi Research and Management Volume 2021, Article ID 5529741, 6 pages, https://doi.org/10.1155/2021/5529741
Zaher Merhi1, Daniella Emdin, Lisa Bosman, Thomas Incledon, Andre Hugo Smith, Ozone Sauna Therapy (OST) and Pulsed Electromagnetic Field Therapy (PEMF) delivered via the HOCATT machine could improve endometriosis pain along with lowering serum inflammatory markers, American Journal of Reproductive Immunology. 2023;89:e13690. https://doi.org/10.1111/aji.13690
Una ´Aslaug Sverrisd´ottir, Sara Hansen, Martin Rudnicki, Impact of diet on pain perception in women with endometriosis: A systematic review, European Journal of Obstetrics and Gynecology 271 (2022) 245–249
Komal Kumar, Nitish N. Narvekar, Kate Maslin , Self-managed dietary changes and functional gut symptoms in endometriosis: A qualitative interview study, European Journal of Obstetrics & Gynecology and Reproductive Biology: X, doi:10.1016/j.eurox.2023.100219
Brouns F, Van Haaps A, Keszthelyi D, Venema K, Bongers M, Maas J and Mijatovic V (2023) Diet associations in endometriosis: a critical narrative assessment with special reference to gluten. Front. Nutr. 10:1166929. doi: 10.3389/fnut.2023.1166929
Bogusz, A.; Górnicka, M. Low Diet Quality and Nutritional Knowledge inWomen with Endometriosis: A Pilot Study. Healthcare 2024, 12, 673. https://doi.org/10.3390/healthcare12060673
Hyo Kyozuka M.D., Hidekazu Nishigori M.D., Tsuyoshi Murata M.D., Toma Fukuda M.D., Akiko Yamaguchi M.D., Aya Kanno M.D., Shun Yasuda M.D., Akiko Sato R.N. a, Yuka Ogata M.A.,Masahito Kuse M.A., Mitsuaki Hosoya M.D., Seiji Yasumura M.D., Koichi Hashimoto M.D., Keiya Fujimori M.D. a,b, the Japan Environment and Children’s Study (JECS) Group, Prepregnancy antiinflammatory diet in pregnant women with endometriosis: The Japan Environment and Children’s Study, Nutrition 85 (2021) 111129
Magarelli, Paul C. et al. The birth of integrative reproductive medicine: finally, a randomized controlled trial for endometriosis treated with acupuncture! Fertility and Sterility, Volume 119, Issue 5, 824 – 825
Ticiana A.A. Mira, Mariana M. Buen, Murilo G. Borges, Daniela A. Yela, Cristina L. Benetti-Pinto. Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis, DOI: 10.1002/ijgo.12576
Lund I, Lundeberg T, Is acupuncture effective in the treatment of pain in endometriosis? Journal of Pain Research, Volume 2016:9 Pages 157—165
Nora Giese, Ki Kyung Kwon, Mike Armour, Acupuncture for endometriosis: A systematic review and meta-analysis, Integrative Medicine Research, Volume 12, Issue 4
Yan Q, Li J, Zeng J. The role of acupuncture in thetreatment of women with pain in endometriosis: a protocol for systematic review and meta-analysis. Medicine 2021;100:49 (e27582).
Xu Y, Zhao W, Li T, Zhao Y, Bu H, Song S. (2017) Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis. PLoS ONE 12(10): e0186616. https://doi.org/10.1371/journal.pone.0186616
Chen, C., Li, X., Lu, S. et al. Acupuncture for clinical improvement of endometriosis-related pain: a systematic review and meta-analysis. Arch Gynecol Obstet 310, 2101–2114 (2024). https://doi.org/10.1007/s00404-024-07675-z
Francisco Artacho-Cordon et al. Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: ARandomized Controlled Trial, Archives of Physical Medicine and Rehabilitation 2023;104:1785−95
Bonocher et al. Reproductive Biology and Endocrinology 2014, 12:4 Page 5 of 5, http://www.rbej.com/content/12/1/4
Tennfjord et al. BMC Women’s Health (2021) 21:355, https://doi.org/10.1186/s12905-021-01500-4
Hansen S, Sverrisdóttir UÁ, Rudnicki M. Impact of exercise on pain perception in women with endometriosis: A systematic review. Acta Obstet Gynecol Scand. 2021;100:1595–1601. https://doi.org/10.1111/aogs.14169
Ensari I, Lipsky-Gorman S, Horan EN, et al. Associations between physical exercise patterns and pain symptoms in individuals with endometriosis: a cross-sectional mHealth-based investigation. BMJ Open 2022;12:e059280. doi:10.1136/bmjopen-2021-059280
Salinas-Asensio, M.d.M.; Ocón-Hernández, O.; Mundo-López, A.; Fernández-Lao, C.; Peinado, F.M.; Padilla-Vinuesa, C.; Álvarez-Salvago, F.; Postigo-Martín, P.; Lozano-Lozano, M.; Lara-Ramos, A.; et al. ‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in SymptomaticWomen Diagnosed with Endometriosis. Int. J. Environ. Res. Public Health 2022, 19, 1738. https://doi.org/10.3390/ijerph1903173
Rebeca Abril-Coello, Marta Correyero-León, Luis Ceballos-Laita, Sandra Jiménez-Barrio, Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta-analysis, doi: 10.1002/ijgo.14645
Claire Tourny, Amira Zouita, Samira El Kababi, Léa Feuillet1, Ayoub Saeidi, Ismail Laher, Katja Weiss, Beat Knechtle, Hassane Zouhal, Endometriosis and physical activity: A narrative review, Int J Gynecol Obstet. 2023;163:747–756.
Wójcik, M.; Szczepaniak, R. Placek, K. Physiotherapy Management in Endometriosis. Int. J. Environ. Res. Public Health 2022, 19, 16148. https://doi.org/10.3390/ijerph192316148
Muñoz-Gómez, E.; Alcaraz-Martínez, A.M.; Mollà-Casanova, S.; Sempere-Rubio, N.; Aguilar-Rodríguez, M.; Serra Añó, P.; Inglés, M. Effectiveness of a Manual Therapy Protocol in Women with Pelvic Pain Due to Endometriosis: A Randomized Clinical Trial. J. Clin. Med. 2023, 12, 3310. https://doi.org/10.3390/jcm12093310
Goyal, K., Goyal, M., Narkeesh, K., John Samuel, A., Sharma, S., Chatterjee, S., Arumugam, N., The effectiveness of osteopathic manipulative treatment in an abnormal uterine bleeding related pain and health related quality of life (HR-QoL) - A case report, Journal of Bodywork & Movement Therapies (2016), doi: 10.1016/j.jbmt.2016.08.010.
Pınar Yalçın Bahat, Hüseyin Nazlıkul, Endometrioziste Nöralterapi yaklaşımı, Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöralterapi Dergisi Cilt 11, Sayı 1 : 2017
Kalaitzopoulos et al. Reproductive Biology and Endocrinology (2022) 20:176 https://doi.org/10.1186/s12958-022-01051-9
Zheng et al. Reproductive Biology and Endocrinology (2023) 21:79 https://doi.org/10.1186/s12958-023-01126-1
Pınar Yalçin Bahat, Isil Ayhan, Eda Ureyen Ozdemir, Ümit Inceboz, Engin Oral, Dietary supplements for treatment of endometriosis: A review, Acta Biomed 2021; Vol. 93, N. 1: e2022159 doi:10.23750/abm.v93i1.11237
Leila Amini, Razieh Chekini, Mohammad Reza Nateghi, Hamid Haghani, Tannaz Jamialahmadi, Thozhukat Sathyapalan, and Amirhossein Sahebkar, The Effect of Combined Vitamin C and Vitamin E Supplementation on Oxidative Stress Markers in Women with Endometriosis: A Randomized, Triple-Blind Placebo-Controlled Clinical Trial, Hindawi Research and Management Volume 2021, Article ID 5529741, 6 pages, https://doi.org/10.1155/2021/5529741
Zaher Merhi1, Daniella Emdin, Lisa Bosman, Thomas Incledon, Andre Hugo Smith, Ozone Sauna Therapy (OST) and Pulsed Electromagnetic Field Therapy (PEMF) delivered via the HOCATT machine could improve endometriosis pain along with lowering serum inflammatory markers, American Journal of Reproductive Immunology. 2023;89:e13690. https://doi.org/10.1111/aji.13690
Una ´Aslaug Sverrisd´ottir, Sara Hansen, Martin Rudnicki, Impact of diet on pain perception in women with endometriosis: A systematic review, European Journal of Obstetrics and Gynecology 271 (2022) 245–249
Komal Kumar, Nitish N. Narvekar, Kate Maslin , Self-managed dietary changes and functional gut symptoms in endometriosis: A qualitative interview study, European Journal of Obstetrics & Gynecology and Reproductive Biology: X, doi:10.1016/j.eurox.2023.100219
Brouns F, Van Haaps A, Keszthelyi D, Venema K, Bongers M, Maas J and Mijatovic V (2023) Diet associations in endometriosis: a critical narrative assessment with special reference to gluten. Front. Nutr. 10:1166929. doi: 10.3389/fnut.2023.1166929
Bogusz, A.; Górnicka, M. Low Diet Quality and Nutritional Knowledge inWomen with Endometriosis: A Pilot Study. Healthcare 2024, 12, 673. https://doi.org/10.3390/healthcare12060673
Hyo Kyozuka M.D., Hidekazu Nishigori M.D., Tsuyoshi Murata M.D., Toma Fukuda M.D., Akiko Yamaguchi M.D., Aya Kanno M.D., Shun Yasuda M.D., Akiko Sato R.N. a, Yuka Ogata M.A.,Masahito Kuse M.A., Mitsuaki Hosoya M.D., Seiji Yasumura M.D., Koichi Hashimoto M.D., Keiya Fujimori M.D. a,b, the Japan Environment and Children’s Study (JECS) Group, Prepregnancy antiinflammatory diet in pregnant women with endometriosis: The Japan Environment and Children’s Study, Nutrition 85 (2021) 111129
Sayfalar
151-156
Gelecek
21 Ocak 2025
Telif Hakkı (c) 2025 Akademisyen Yayınevi Kitap DOI Portalı
