Daaweynta Taageerada Dhameystiran ee Maareynta Endometriosis

Shakhsiyaadka la nool calaamadaha endometriosis ee wareegta ama daba-dheeraada, isku darka daawaynta taageerada ma ka caawin kartaa maaraynta cudurka?

Daawaynta Taageerada

Endometriosis waa cillad kaas oo unug la mid ah xuubka ilmo-galeenka uu bilaabo inuu ka soo baxo meel ka baxsan ilmo-galeenka oo aanu ka tirsanayn. Daawaynta taageerada endometriosis waxay ku lug leedahay hab dhammaystiran oo daaweyn ah. Waxay ku lug leedahay daawayn aan fiicneyn si ay gacan uga geysato maareynta calaamadaha ay ka mid yihiin:

• Sagxada miskaha daaweynta jirka
• duugista
• Dawo
• Kicinta Dareemaha Korontada ee Gudubka
• Irbadaha
• Cirrhaafka

Daawaynta Jirka ee Sagxada Misigta - PFPT

• Endometriosis waxay keeni kartaa ama gacan ka geysataa shaqeyn la'aanta sagxada miskaha, taasoo keenta xanuun, xanuunada kaadida, dhibaatooyinka mindhicirka, iyo galmo xanuun leh.
• Daaweynta jireed ee sagxada miskaha waxay wanaajisaa xoogga iyo shaqada muruqyada sagxada miskaha.
• Tusaalooyinka daaweynta taageerada waxaa ka mid noqon kara jimicsiga kegel iyo biofeedback. (Christine Mansfield iyo al., 2022)

Duugista Daweynta

Daaweeye jireed wuxuu isticmaalaa cadaadisyo kala duwan, kala bixin, iyo/ama dhibco kiciya. Tani waxay caawisaa: (Sylvia Mechsner, 2022)

• Sii daa xiisadda muruqa
• Cortisol hoose - hormoonka walaaca
• Hagaajinta wareegga dhiigga
• Sii daa endorphins - xanuun baabi'iyaha dabiiciga ah ee jirka

Daawooyinka

Daawooyinka nonsteroid anti-inflammatory ama NSAIDs iyo hormoonnada ka-hortagga uur-qaadista - xakameynta dhalmada ayaa ah khadka ugu horreeya ee daaweynta. Advil iyo Motrin waa NSAID-yada miiska laga soo iibsado. Haddii kuwani aysan si wax ku ool ah u maareynin xanuunka, bixiyaha xanaanada caafimaadka ayaa kugula talin kara NSAIDs. (Sylvia Mechsner, 2022) Wakiilada xakamaynta hoormoonka ama modulators estrogen waa khadka labaad ee daaweynta endometriosis waxaana ka mid noqon kara: (Christian M. Becker iyo al., 2022)

• Gonadotropin-soo-daynta hormoonnada agonists (GnRH)
• Daawooyinka antigonadotropic
• Aromatase inhibitors
• Modulators receptor estrogen (SERMs)

Daawooyinka kale waxaa ka mid ah:(Sylvia Mechsner, 2022)

• Valium - diazepam suppositories - Daawooyinka nasashada murqaha.
• Gabapentinoids - Daawooyinka daaweeya xanuunka neerfaha.
• Daawooyinka niyadjabka - kuwani waxay kordhin karaan saameynta xanuunka dhimista ee daawooyinka kale.

Khabiir endometriosis ah. (Endometriosis Foundation of America. 2015) waxa laga yaabaa inay soo jeediso inaad aragto khabiir ku takhasusay maaraynta xanuunka kaas oo bixiya xididada dareemayaasha ama cirbadaha Botox. (Augusto Pereira iyo al., 2022)

Xakameynta Dhalashada

Kahortagga uur-qaadka hormoonnada ayaa xakameynaya ama xakameynaya caadada. Waxay wax ku ool u yihiin maaraynta, laakiin qof kastaa ma qaadan karo sababtoo ah taariikhda caafimaadka, waxyeellooyin, ama cilladaha bacriminta iyo xaaladaha. (Mert Ilhan et al., 2019Bixiyaha daryeelka caafimaadku waxa uu kugula talin karaa daawaynta taageerada beddelka ah.

Kicinta Dareemaha Korontada ee Gudubka

• Kicinta dareemaha korantada ee transcutaneous waxay isticmaashaa qalab ku shaqeeya baytariga kaas oo keena kicinta korantada yar ee fiilooyinka dareemayaasha iyada oo loo marayo electrodes la geliyo maqaarka.
• Kalfadhiyadu badanaa waa 15 ilaa 30 daqiiqo waxayna shaqeeyaan iyagoo carqaladaynaya calaamadaha xanuunka. (Sylvia Mechsner, 2022)

Irbadaha

• Acupuncture waa daawayn uu takhtarku cirbadaha dhuuban geliyo acupoints gaar ah oo jirka ah si uu kor ugu qaado socodka tamarta oo uu yareeyo xanuunka. (Nora Giese iyo al., 2023)

Cirrhaafka

• Daryeelka lafdhabarta ayaa diiradda saaraya is-beddelka laf-dhabarka iyo isku-dhafka si kor loogu qaado shaqada habdhiska dareenka, caawinta yareynta raaxo-darrada miskaha iyo xanuunka dareemayaasha - sciatica - iyo hagaajinta guud ahaan fayo-qabka. (Robert J. Trager iyo al., 2021)
• Kala-baxa aan qaliinka ahayn waxaa lagula talinayaa in si tartiib ah loo kala bixiyo laf dhabarta, nafiso cadaadiska, iyo daadad laf dhabarta nafaqo dheeraad ah.

Daawada Dhaqdhaqaaqa: Daryeelka lafdhabarta

tixraacyada

Mansfield, C., Lenobel, D., McCracken, K., Hewitt, G., & Appiah, LC (2022). Saamaynta Daawaynta Jirka ee Sagxada Misigga ee Shaqada ee dhalinyarada iyo qaangaarka da'da yar ee leh Biopsi-la xaqiijiyay Endometriosis ee Cisbitaalka Sare ee Carruurta: Taxane Kiis. Joornaalka dhakhtarka carruurta iyo dhallinta, 35(6), 722-727. doi.org/10.1016/j.jpag.2022.07.004

Mechsner S. (2022). Endometriosis, Tallaabo-Tallaabo-xanuun ah oo Socota. Joornaalka daawada kiliinikada, 11(2), 467. doi.org/10.3390/jcm11020467

Ilhan, M., Gürağaç Dereli, FT, & Akkol, EK (2019). Bartilmaameedyada Cusub ee Daawooyinka Dhirta dhaqameed ee ka gudbida Endometriosis Gaarsiinta daawada hadda, 16(5), 386-399. doi.org/10.2174/1567201816666181227112421

Becker, CM, Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., King, K., Kvaskoff, M., Nap, A., Petersen, K., Saridogan , E., Tomassetti, C., van Hanegem, N., Vulliemoz, N., Vermeulen, N., & ESHRE Endometriosis Group Guideline (2022). Tilmaamaha ESHRE: endometriosis. Taranka bini'aadamku wuu furan yahay, 2022(2), hoac009. doi.org/10.1093/hropen/hoac009

Endometriosis Foundation of America. (2015). Raadinta dhakhtar: helitaanka khabiirka saxda ah ee endometriosis. 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). Maareynta Kiliinikada ee Xanuunka miskaha ee daba-dheeraaday ee Endometriosis Aan ka jawaabin Daaweynta Caadiga ah. Joornaalka daawada gaarka ah, 12(1), 101. doi.org/10.3390/jpm12010101

Giese, N., Kwon, KK, & Armor, M. (2023). Acupuncture for endometriosis: Dib-u-eegis nidaamsan iyo falanqayn-maro. Cilmi-baarista daawada isku-dhafan, 12(4), 101003. doi.org/10.1016/j.imr.2023.101003

Trager, RJ, Prosak, SE, Leonard, KA iyo al. (2021). Ogaanshaha iyo maaraynta endometriosis sciatic ee fagaarayaasha sciatic ee weyn: warbixin kiis. Daawooyinka Kiliinikada Dhamaystiran ee SN, 3. doi.org/doi:10.1007/s42399-021-00941-0