Kronik Hastalıkların Yönetiminde Naturopati

Yıl 2023, Cilt: 4 Sayı: 2, 87 - 97, 29.04.2023

Ünal Önsüz , Cemile Adıgüzel Önsüz

https://doi.org/10.53445/batd.1254257

Öz

Naturopatik tıp sağlığın teşviki, geliştirilmesi ve hastalığın önlenmesi yoluyla sağlığının geliştirilmesine odaklanarak hastanın mevcut durumunu etkileyen faktörleri belirlemeyi amaçlamaktadır. Tamamlayıcı ve alternatif yöntemler arasından farklı tedavi modaliteleri kullanılarak, sağlığı iyileştirme ve sürdürme yeteneğini geliştirmede en az zararlı ve en etkili yaklaşımlar, kişiselleştirilmiş kanıta dayalı tedaviler doğrultusunda sunulmaktadır. Naturopatinin altı temel ilkesi vardır. Bunlar; ilk olarak zarar vermeme, doğanın iyileşme gücü, nedenleri belirleme ve tedavi etme, öğretme, kişiyi bir bütün olarak tedavi etme ve önlemedir. Gözlemsel uygulama sonuçları ve klinik araştırma verileri kardiyovasküler risk, hipertansiyon, depresyon, anksiye-te, bel ağrısı ve tip 2 diyabet dahil olmak üzere çoklu yüksek morbiditeye sahip kronik sağlık durumlarında naturopatinin etkili olduğunu bildirmektedir. Ayrıca çeşitli kronik hastalıklarda hasta davranışını değiştirmenin hastaların prognoz seyrini etkileyebildiği bildirilmektedir. Naturopatik yaklaşımlar hem geleneksel hem de yenilikçi bir yaklaşım olmakla birlikte bu yaklaşımların kullanıldığı geniş kapsamlı deneysel çalışmaların bulunmaması nedeni ile çok sınırlı kanıtların olduğu görül-mektedir. Bu makalenin amacı kronik hastalıkların yönetiminde tamamlayıcı bir yaklaşım olan naturopati hakkında far-kındalık oluşturmaktır.

Anahtar Kelimeler

Naturopati, Kronik Hastalık, Sağlığı Geliştirme, Tamamlayıcı ve Bütünleşik Tıp

Naturopathy in the Management of Chronic Diseases

Öz

Naturopathic medicine aims to identify factors that affect the patient's current state, with a focus on improving health thro-ugh health promotion, promotion, and disease prevention. By using different treatment modalities among complementary and alternative methods, the least harmful and most effective approaches in improving the ability to improve and maintain health are presented in line with personalized evidence-based treatments. There are six basic principles of naturopathy. These; first of all, do no harm, the healing power of nature, identifying and treating causes, teaching, treating and preventing the per-son as a whole. Observational practice results and clinical trial data report the efficacy of naturopathy in multiple chronic health conditions with high morbidity, including cardiovascular risk, hypertension, depression, anxiety, low back pain, and type 2 diabetes. In addition, it has been reported that changing patient behavior in various chronic diseases may affect the prognosis of patients. Although naturopathic approaches are both traditional and innovative approaches, there seems to be very limited evidence due to the lack of extensive experimental studies using these approaches. The aim of this article is to raise awareness about naturopathy, which is a complementary approach in the management of chronic diseases.

Anahtar Kelimeler

Naturopathy, Health Promotion, Chronic Disease Management, Complementary and Integrated Medicine

Kaynakça

• Bairy, S., Rao, M. R., Edla, S. R., Manthena, S. R., & Tatavarti, N. G. D. (2020). Effect of an integrated naturopathy and yoga program on long-term glycemic control in type 2 diabetes mellitus patients: A prospective cohort study. International Journal of Yoga, 13(1), 42. doi: 10.4103/ijoy.IJOY_32_19.
• Bairy, S., Kumar, A. M., Raju, M. S. N., Achanta, S., Naik, B., Tripathy, J. P., & Zachariah, R. (2016). Is adjunctive naturopathy associated with improved glycaemic control and a reduction in need for medications among type 2 Diabetes patients? A prospective cohort study from India. BMC complementary and alternative medicine, 16, 1-8. doi: 10.1186/s12906-016-1264-0.
• Bradley, R., Harnett, J., Cooley, K., McIntyre, E., Goldenberg, J., & Adams, J. (2019). Naturopathy as a Model of Prevention-Oriented, Patient-Centered Primary Care: A Disruptive Innovation in Health Care. Medicina (Kaunas, Lithuania), 55(9), 603. https://doi.org/10.3390/medicina55090603
• Dai, M., Yang, Y. W., Guo, W. H., Wang, F. L., Xiao, G. M., Li, Y. M., & Yang, H. Z. (2016). Addition and subtraction theory of tcm using xiao-chaihu-decoction and naturopathy in predicting survival outcomes of primary liver cancer patients: a prospective cohort study. Evidence-Based Complementary and Alternative Medicine, 2016. doi:10.1155/2016/4723530.
• Ganesh Iyyer, S., Mooventhan, A., & Nandakumar, B. (2021). Effectiveness of Liquid Fasting with Yoga and Naturopathy Treatments in Reducing Metabolic and Cardiovascular Risks in Obesity. Advances in mind-body medicine, 35(4), 24–28.
• Gowda, S., Mohanty, S., Saoji, A., & Nagarathna, R. (2017). Integrated yoga and naturopathy module in management of metabolic syndrome: A case report. Journal of Ayurveda and integrative medicine, 8(1), 45-48. doi: 10.1016/j.jaim.2016.10.006.
• Joseph, B., Nair, P. M., & Nanda, A. (2015). Effects of naturopathy and yoga intervention on CD4 count of the individuals receiving antiretroviral therapy-report from a human immunodeficiency virus sanatorium, Pune. International Journal of Yoga, 8(2), 122. doi: 10.4103/0973-6131.158475.
• Kriplani, S., Tewani, G. R., & Nair, P. M. (2022). Yoga & naturopathy based lifestyle interventions in the management of rheumatoid arthritis in a middle aged woman. A case report. Advances in Integrative Medicine, 9(2), 132-135.
• Legenne, M., Chirac, A., Ruer, M., Reix, F., & Filbet, M. (2015). Perception of naturopathy for female patients with metastatic gynecological cancer: A qualitative study. Palliative & supportive care, 13(6), 1663-1668. doi: 10.1017/S1478951515000553.
• Maheshkumar, K., Pandiaraja, M., Venugopal, V., Poonguzhali, S., & Sundareswaran, L. J. T. F. (2020). Effects of hot foot and arm bath in bronchial asthma: A single case report. The Foot, 42, 101651.
• Mangaiarkarasi, N., Senthilkumar, C., Manavalan, N., & Mooventhan, A. (2020). Effect of yoga and naturopathy-based lifestyle modification on left ventricular ejection fraction in a patient with severe triple vessel disease: A case report. EXPLORE, 16(2), 94-96. doi: 10.1016/j.explore.2019.11.006.
• Mooventhan, A., & Shetty, G. B. (2017). Effect of integrative naturopathy and yoga in a patient with rheumatoid arthritis associated with type 2 diabetes and hypertension. Ancient science of life, 36(3), 163. doi: 10.4103/asl.ASL_80_16.
• Murthy, S. N., Rao, N. S. N., Nandkumar, B., & Kadam, A. (2011). Role of naturopathy and yoga treatment in the management of hypertension. Complementary therapies in clinical practice, 17(1), 9-12. doi: 10.1016/j.ctcp.2010.08.005.
• Nair, P. M. (2019). Naturopathy and Yoga as an Adjuvant for People Living With HIV/AIDS–A Case Series Report. EXPLORE, 15(4), 291-294. doi:10.1016/j.explore.2019.02.001.
• Panneerselvam, N. K., Ravindran, D., & Kathiresan, A. (2020). Morbidity profile of patients seeking Naturopathy and Yoga treatment in South India: A descriptive study. Journal of Complementary and Integrative Medicine, 17(3). doi: 10.1515/jcim-2019-0152
• Pizzorno, J. E., Snider, P., & Micozzi, M. S. (2014). Nature Cure, Naturopathy, and Natural Medicines. Micozzi MS, (Ed), Fundamentals of Complementary and Alternative Medicine. (s.347-365) içinde. Philadelphia: Churchill Livingston.
• Pizzorno JE, Snider P. (2014). Contemporary Naturopathic Medicine. Micozzi MS, (Ed), Fundamentals of Complementary and Alternative Medicine. (s.366-386) içinde. Philadelphia: Churchill Livingston
• Revadi, S. S., Kavitha, V., & Mooventhan, A. (2018). Effect of yoga and naturopathy on liver, renal and cardiorespiratory functions of a patient with hepatic cirrhosis with portal hypertension and ascites: a case report. Journal of Complementary and Integrative Medicine, 15(4). doi:10.1515/jcim-2017-0098.
• Tiwari, S., Saoji, A. A., Madle, K., Sapkota, N., Shashikiran, H. C., & Shetty, P. (2020). Naturopathy and yoga for improving quality of life in Pemphigus vulgaris and managing co-morbid type 2 diabetes: a case report. Journal of Ayurveda and Integrative Medicine, 11(2), 110-113. doi: 10.1016/j.jaim.2020.01.002.
• Wisneski, L., Zeff, J. L., Snider, P., Myers, S. P., & DeGrandpre, Z. (2017). The Therapeutic Order, the Determinants of Health, and the Process of Healing in Naturopathic Medicine and Education. In The Scientific Basis of Integrative Health (pp. 523-540). Routledge