ENDOMETRİOZİSTE NÖRALTERAPİ YAKLAŞIMI

Öz

Endometriozis; endometrial dokunun uterus dışı bir alanda var olması ile karakterize bir hastalıktır. Ülkemizde ve tüm dünya da bu hastalığın giderek yaygınlaşması yeni tedavi seçeneklerini gündeme getirmektedir. Çalışmamızda farklı bir tedavi yöntemi olarak nöralterapi yapılan hastalarımızın uzun dönem sonuçlarını inceledik. Endometriozis tanıları diagnostik veya operatif laparoskopi ile onaylanmış 50 olgumuza 10 seans nöralterapi uygulandıktan sonraki 1 yıl süresince takipleri yapıldı. Hastalarımızın ağrı derecesi Vizuel Analog Skala (VAS) kullanılarak, endometrioması var olan hastalarımız ise Transvaginal Ultrason (TvUsg) ile 3 aylık periodlarla değerlendirildi. Bu süreçte endometriozis ve eşlik eden diğer hastalık semptomlarında anlamlı azalma olduğu gözlendi

Anahtar Kelimeler

• Endometriozis, endometrioma, kronik pelvik ağrı, nöralterapi, procain

NEURAL THERAPY THREATMENT IN ENDOMETRIOSIS

Öz

Endometriosis; It is a disease characterized by the presence of an endometrial touch in the uterus. The spread of this disease in our country and all over the world brings new treatment options to the agenda. We studied the long-term outcomes of our patients who underwent neural therapy as a different treatment modality in our study. 50 cases of endometriosis diagnosed by diagnostic or operative laparoscopy were followed up for 1 year after 10 sessions of neural therapy were administered. The pain grade of our patients was assessed using Visual Analog Scale (VAS), and our patients with endometrioma were evaluated with Transvaginal Ultrason (TvUsg) for 3 months. Significant reductions in symptoms of endometriosis and other comorbidities were observed during this period

Anahtar Kelimeler

• Endometriosis, endometrioma, chronic pelvic pain, neuraltherapy, procain

Kaynakça

1. World Endometriosis Research Foundation Endometriosis Phenome and biobanking harmonization project: II. Clinical and covariate phenotype data collection in endometriosis research. Fertil Steril. ;102(5):1223- 1232
2. Innervation of ectopic endometrium in a rat model of endometriosis. Proc Natl Acad Sci U S A. 2004 July 27;101(30):11094-11098
3. Menstruation pulls the trigger for inflammation and pain in endometri- osis Trends in Pharmacological Sciences volume 36 İssue 5, p270–276, May 2015
4. Berkley, K. J. (2005). A life of pelvic pain. Physiology & behavior, 86(3), 272-280
5. World Endometriosis Research Foundation Endometriosis Phenome and biobanking harmonization project: II. Clinical and covariate phenotype data collection in endometriosis research. Fertil Steril. ;102(5):1223- 1232
6. Endometriosis induced vaginal hyperalgesia in the rat role of ectopic growths and their innervation. McAllister SL, McGinty KA, Resuehr D, Berkley KJ. Pain. 2009 Dec 15;147(1-3):255-64. doi: