Akupunktur ve Kanser

Yıl 2017, Cilt: 3 Sayı: 2, 59 - 64, 01.01.2017

Ahmet Ünlü Önder Kırca Oben Duman Mustafa Özdoğan

Öz

Akupunktur, farklı yöntemlerle vücudun belirli noktaları ve buralardan geçen sinirlerin uyarıldığı ve birtakım semptomlarda rahatlama sağlandığı bir tamamlayıcı ve alternatif tıp yöntemidir. Geleneksel Çin Tıbbı’nda akupunkturun etki mekanizması, enerji akımı gibi bilimsel olmayan temellere dayandırılsa da; yapılan çalışmalarla akupunkturun etkisinin sinirlerin uyarılmasıyla salınan maddeler ve plasebo etkisine dayandığı gösterilmiştir. Akupunktur, kanser hastalarının da sıkça başvurduğu bir yöntemdir. Ancak akupunkturun kanserde tek başına etkin bir tedavi yöntemi olduğuna dair bilimsel bir kanıt yoktur. Kanser hastaları, akupunktur yöntemini kansere ve/veya kanser tedavisine bağlı belirtilerde azalma sağlamak amacıyla, standart tedaviye ek olarak tamamlayıcı bir tedavi yöntemi olarak kullanabilir. Yapılan çalışmalarla; akupunkturun kanser hastalarında ağrı, halsizlik, bulantı, kusma, psikolojik problemler, ağız kuruluğu, lenfödem, lökopeni, sıcak basmaları, duyu bozuklukları, nefes darlığı semptomlarında rahatlama sağlayabileceğine yönelik bulgular elde edilse de, yeterli değildir. Akupunkturun kanser hastalarındaki etkileri ve kullanım alanlarına dair, yapılacak kapsamlı ve iyi tasarlanmış çalışmalara ihtiyaç vardır

Anahtar Kelimeler

Akupunktur, Kanser, Alternatif tıp, Tamamlayıcı tıp

Acupuncture and Cancer

Öz

Acupuncture is a complementary and alternative medical method, helpful in relieving certain symptoms, that involves stimulating certain points on the body as well as nerves passing though those points, with the use of various techniques. Although the mechanism of action of acupuncture is based on some unscientific foundations such as energy flow in Traditional Chinese Medicine, studies have shown that the effect of acupuncture is based on the placebo effect and the substances released in consequence of the stimulation of the nerves. Acupuncture is a method that is often tried by cancer patients. However, there is no scientific evidence showing that acupuncture alone is an effective treatment for cancer. Cancer patients should use acupuncture technique as a complementary treatment in addition to the standard treatment, with intent to ensure a reduction in symptoms caused by cancer and/or cancer treatment. Some findings obtained from studies have suggested that acupuncture can provide relief from some symptoms such as pain, fatigue, nausea, vomiting, psychological problems, dryness of the mouth xerostomia , lymphedema, leukopenia, hot flashes, sensory impairment, and shortness of breath in cancer patients; however, these findings are not adequate. Comprehensive and well-designed studies to be carried out on the effects of acupuncture in cancer patients as well as its areas of use are needed

Anahtar Kelimeler

Acupuncture, Cancer, Alternative medicine

Kaynakça

• 1. Pyne D, Shenker NG. Demystifying acupuncture. 2008; 47:1132-6.
• 2. Towler P, Molassiotis A, Brearley SG. What is the evidence for the use of acupuncture as an intervention for symptom management in cancer supportive and palliative care: An integrative overview of reviews. Support Care Cancer 2013;21: 2913-23.
• 3. The Academy of Traditional Chinese Medicine. An outline of Chinese acupuncture. Peking: Foreign Languages Press; 1975.
• 4. American Cancer Society. Acupuncture. Atlanta, GA: American Cancer Society, 2008.
• 5. National Cancer Institute. Acupuncture. Bethesda, MD: National Cancer Institute, 2008.
• 6. Helms JM. An overview of medical acupuncture. Altern Ther Health Med 1998;4:35-45.
• 7. Lu W, Dean-Clower E, Doherty-Gilman A, Rosenthal DS. The value of Acupuncture in cancer care. Hematol Oncol Clin North Am 2008;22:631-48.
• 8. T.C. Sağlık Bakanlığı. Akupunktur Tedavisi Uygulanan Özel Sağlık Kuruluşları ile bu Tedavinin Uygulanması Hakkında Yönetmelik, 2002. (http://www.saglik.gov.tr/ TR/belge/1-539/akupunktur-tedavisi-uygulanan-ozelsaglik-kuruluslari-i-.html).
• 9. Hinman RS, McCrory P, Pirotta M, Relf I, Forbes A, Crossley KM, Williamson E, Kyriakides M, Novy K, Metcalf BR, Harris A, Reddy P, Conaghan PG, Bennell KL. Acupuncture for chronic knee pain a randomized clinical trial. JAMA 2014;312:1313-22.
• 10. Gorski DH. Integrative oncology: Really the best of both worlds? Nat Rev Cancer 2014;14:
• 11. White AR, Filshie J, Cummings TM; International Acupuncture Research Forum. Clinical trials of acupuncture: Consensus recommendations for optimal treatment, sham controls and blinding. Complement Ther Med 2001;9:237-45.
• 12. Wang SM, Kain ZN, White PF. Acupuncture analgesia: II. Clinical considerations. Anesth Analg 2008;106:611-21.
• 13. Alimi D, Rubino C, Pichard-Léandri E, Fermand-Brulé S, Dubreuil-Lemaire ML, Hill C. Analgesic effect of auricular acupuncture for cancer pain: A randomized, blinded, controlled trial. J Clin Oncol 2003;21:4120-6.
• 14. Pfister DG, Cassileth BR, Deng GE, Yeung KS, Lee JS, Garrity D, Cronin A, Lee N, Kraus D, Shaha AR, Shah J, Vickers AJ. Acupuncture for pain and dysfunction after neck dissection: results of a randomized controlled trial. J Clin Oncol 2010;28:2565-70.
• 15. Crew KD, Capodice JL, Greenlee H, Brafman L, Fuentes D, Awad D, Yann Tsai W, Hershman DL. Randomized, blinded, sham-controlled trial of acupuncture for the management of aromatase inhibitor-associated joint symptoms in women with early-stage breast cancer. J Clin Oncol 2010;28:1154-60.
• 16. Molassiotis A, Bardy J, Finnegan-John J, Mackereth P, Ryder DW, Filshie J, Ream E, Richardson A. Acupuncture for cancer-related fatigue in patients with breast cancer: A pragmatic randomized controlled trial. J Clin Oncol 2012;30:4470-6.
• 17. Garcia MK, McQuade J, Haddad R, Patel S, Lee R, Yang P, Palmer JL, Cohen L. Systematic review of acupuncture in cancer care: A synthesis of the evidence. J Clin Oncol 2013;31:952-60.
• 18. Roscoe JA, Morrow GR, Hickok JT, Bushunow P, Pierce HI, Flynn PJ, Kirshner JJ, Moore DF, Atkins JN. The efficacy of acupressure and acustimulation wrist bands for the relief of chemotherapy-induced nausea and vomiting. A University of Rochester Cancer Center Community Clinical Oncology Program multicenter study. J Pain Symptom Manage 2003;26:731-42.
• 19. Streitberger K, Friedrich-Rust M, Bardenheuer H, Unnebrink K, Windeler J, Goldschmidt H, Egerer G. Effect of acupuncture compared with placeboacupuncture at P6 as additional antiemetic prophylaxis in high-dose chemotherapy and autologous peripheral blood stem cell transplantation: A randomized controlled singleblind trial. Clin Cancer Res 2003;9:2538-44.
• 20. Enblom A, Johnsson A, Hammar M, Onelöv E, Steineck G, Börjeson S. Acupuncture compared with placebo acupuncture in radiotherapy-induced nausea-a randomized controlled study. Ann Oncol 2012;23:1353-61.
• 21. Mehling WE, Jacobs B, Acree M, Wilson L, Bostrom A, West J, Acquah J, Burns B, Chapman J, Hecht FM. Symptom management with massage and acupuncture in postoperative cancer patients: A randomized controlled trial. J Pain Symptom Manage 2007;33:258-66.
• 22. Simcock R, Fallowfield L, Monson K, Solis-Trapala I, Parlour L, Langridge C, Jenkins V; ARIX Steering Committee. ARIX: A randomised trial of acupuncture v oral care sessions in patients with chronic xerostomia following treatment of head and neck cancer. Ann Oncol 2013;24:776-83.
• 23. de Valois BA, Young TE, Melsome E.Assessing the feasibility of using acupuncture and moxibustion to improve quality of life for cancer survivors with upper body lymphoedema. Eur J Oncol Nurs 2012;16:301-9.
• 24. Lu W, Hu D, Dean-Clower E, Doherty-Gilman A, Legedza AT, Lee H, Matulonis U, Rosenthal DS. Acupuncture for chemotherapy-induced leukopenia: Exploratory metaanalysis of randomized controlled trials. J Soc Integr Oncol 2007;5:1-10.
• 25. Walker EM, Rodriguez AI, Kohn B, Ball RM, Pegg J, Pocock JR, Nunez R, Peterson E, Jakary S, Levine RA. Acupuncture versus venlafaxine for the management of vasomotor symptoms in patients with hormone receptorpositive breast cancer: A randomized controlled trial. J Clin Oncol 2010;28:634-40