Pelvik Taban Bozukluklarında Kullanılan Geleneksel ve Tamamlayıcı Tedaviler

Yıl 2020, Cilt: 3 Sayı: 1, 44 - 53, 30.04.2020

Burcu Küçükkaya , Hatice Kahyaoğlu Süt

https://doi.org/10.38108/ouhcd.709586

Cited By: 1

Öz

Pelvik taban bozuklukları, ülkemizde ve dünyada yaşayan milyonlarca kadını ve yaşamını etkilemektedir. Yaş, obezite, menopoz, sigara kullanımı, doğum sayısı ve doğum şekli gibi birçok etmenle birlikte pelvik taban bozukluklarının prevalansında da artış olmaktadır. Pelvik taban bozuklukları (üriner/fekal inkontinans, pelvik organ prolapsusu, kronik pelvik ağrı, seksüel disfonksiyon) kadınları, ailelerini, kendi ihtiyaçlarını karşılayamayan bireylerin bakıcıları ve toplumu birçok yönden olumsuz etkilemektedir. Pelvik taban bozukluklarının tedavisi toplum bazında oldukça maliyetlidir. Pelvik taban bozuklukları semptomlarının tedavisinin erken dönemde invaziv veya farmakolojik tedavi yerine nonfarmakolojik olarak geleneksel ve tamamlayıcı tedavilerin kullanımı ile etkin bir süreç yürütülmektedir. Bu çalışma, pelvik taban bozukluklarında kullanılan geleneksel ve tamamlayıcı tedavilerini belirlemek amacı ile derlenmiştir. Pelvik taban kas egzersizleri ve akupunkturun inkontinans, prolapsus ve cinsel disfonksiyonun tedavisinde kullanıldığı; yoga, abdomen egzersizleri, masaj ve enerji terapilerinin inkontinans tedavisinde kullanıldığı; pilatesin pelvik taban kas gücünü arttırmada kullanıldığı; Gua Sha’nın pelvik ağrının tedavisinde kullanıldığı belirlenmiştir. Geleneksel ve tamamlayıcı tedavilerin kullanılmasıyla birlikte pelvik taban bozukluğu olan bireylerin hem yaşam kaliteleri hem de tedavi sürecine katılımları artacaktır. Multidisipliner bir ekibin üyesi olan ve ürojinekoloji alanında uzmanlaşmış hemşireler, pelvik taban bozukluğu olan kadınların bakımında ve tedavisinde önemli rollere sahip olup geleneksel ve tamamlayıcı tedaviler hakkında bilgi sahibi olmalıdır. 

Anahtar Kelimeler

Pelvik taban bozuklukları, Geleneksel ve tamamlayıcı tedaviler, hemşirelik

Traditional and Complementary Therapies Used in Pelvic Floor Disorders

Öz

Pelvic floor disorders affect millions of women living throughout our country and the world. The prevalence of pelvic floor disorders increases with many factors such as age, obesity, menopause, smoking, number of births and mode of delivery. Pelvic floor disorders (urinary/fecal incontinence, pelvic organ prolapse, chronic pelvic pain, sexual dysfunction) adversely affect women, their families and caregivers of inviduals who cannot meet their needs and society in many ways. Pelvic floor disorders are costly on a community basis. The treatment of the symptoms of pelvic floor disorders is carried out in an efficient way with the use of non-pharmacologically traditional and complementary therapies instead of early invasive or pharmacological treatment. This study was carried out systematically in order to determine the traditional and complementary therapies in pelvic floor disorders. It has been determined that pelvic floor muscle exercises and acupuncture are used in the treatment of incontinence, prolapse and sexual dysfunction; yoga, abdominal exercises, massage and energy therapies are used in the treatment of incontinence; pilates is used to increase pelvic floor muscle strength. Gua Sha has been used for the treatment of pelvic pain. With the use of traditional and complementary therapies, individuals with pelvic floor disorders will increase both their quality of life and their participation in the treatment process. Nurses who are members of a multidisciplinary team and specialize in urogynecology should have important roles in the care and treatment of women with pelvic floor disorders and should have knowledge of traditional and complementary therapies.

Anahtar Kelimeler

Pelvic floor disorders, Traditional and complementary therapies

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