پروتکل درمانی اولیگوآمنوره ثانویه در زنان سنین باروری از دیدگاه طب ایرانی و طب رایج

نوع مقاله : مروری

نویسندگان

1 استادیار طب ایرانی، مرکز تحقیقات طب سنتی و آب درمانی، دانشگاه علوم‌ پزشکی اردبیل، اردبیل، ایران.

2 دانشیار گروه طب ایرانی، دانشکده طب سنتی، دانشگاه علوم‌ پزشکی شهید بهشتی، تهران، ایران.

3 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

4 استادیار گروه تاریخ علوم پزشکی، دانشکده طب سنتی، دانشگاه علوم پزشکی بابل، بابل، ایران.

5 استادیار طب ایرانی، مرکز تحقیقات طب سنتی و آب درمانی، دانشگاه علوم‌ پزشکی اردبیل، اردبیل، ایران. استادیار گروه طب ایرانی، دانشکده پزشکی، دانشگاه علوم‌ پزشکی همدان، همدان، ایران.

چکیده

مقدمه: یکی از مشکلات شایع زنان در سنین باروری، قطع یا کاهش غیرطبیعی خونریزی قاعدگی است که موجب عوارض متعدد و کاهش کیفیت زندگی می ‏شود. مطالعه حاضر با هدف ارائه پروتکل درمانی اولیگوآمنوره (آمنوره ثانویه، اولیگومنوره) در چهارچوب مبانی طب ایرانی مبتنی بر شواهد و طب رایج انجام شد.
روش‌کار: در این مطالعه جمع‌آوری اطلاعات به‌صورت مروری نقلی (narrative review) با بررسی مطالب مربوط به احتباس طمث (قطع یا کاهش قاعدگی) از منابع مختلف پزشکی ایرانی و جستجو در پایگاه‌های داده pubmed،Web of Science، Google scholar، SID، Iranmedex و Magiran به‌منظور یافتن شواهد و مستندات، با کلیدواژه­ های مرتبط انجام شد. در مرحله بعد، بحث‏های متمرکز گروهی با موضوع تبیین و تلفیق انواع اختلالات قاعدگی در طب ایرانی و طب رایج با حضور افراد متخصص و صاحب‌نظر در حوزه طب ایرانی و زنان و زایمان طی 10 جلسه برگزار شد. در نهایت با اجماع نظر صاحب‌نظران، درمان تلفیقی با تأکید بر شواهد و مستندات بالینی، به‌صورت پروتکل درمانی ارائه گردید.
یافته­ ها: اصول درمان اولیگوآمنوره در طب ایرانی شامل: اصلاح سبک زندگی از جمله اصلاح تغذیه، فعالیت فیزیکی، بهداشت روان و خواب، استفاده از داروهای گیاهی و اعمال یداوی (از جمله بادکش و حجامت) می‌باشد که قابل ادغام با مراحل درمانی برخی از علل این اختلال در طب رایج می ­باشد.
نتیجه گیری: با توجه به وجود برخی مشکلات در درمان الیگوآمنوره در طب رایج، استفاده از راهکارهای طب سنتی ایرانی در درمان اولیگوآمنوره همراه با پروتکل ‏های طب رایج، می‌تواند در کنترل و درمان این اختلال کمک‏ کننده باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The treatment protocol for secondary oligoamenorrhea in women of reproductive age from the perspective of Persian medicine and conventional medicine

نویسندگان [English]

  • Arezoo Moeini Jazani 1
  • Mojgan Tansaz 2
  • Masoumeh Norouzi Allahleh Korabi 3
  • Roshanak Mokaberi Nejad 2
  • Morteza Mojahedi 4
  • Azam Meyari 5
1 Assistant professor of Persian Medicine, Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
2 Associate professor, Department of Persian Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 M.Sc. of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
4 Assistant professor, Department of History of Medicine, School of Traditional Medicine, Babol University of Medical Sciences, Babol, Iran.
5 Assistant professor of Persian Medicine, Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran. Assistant professor, Department of Persian Medicine, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.
چکیده [English]

Introduction: One of the common problems of women in reproductive age is abnormal cessation or reduction of menstrual bleeding, which causes many complications and reduces the quality of life. The present study was conducted with aim to provide a treatment protocol of oligoamenorrhea (secondary amenorrhea, oligomenorrhea) within the framework of the basics of evidence-based Persian medicine and conventional medicine.
Methods: In this study, information was collected in the form of narrative review by searching the contents related to cessation or reduction of menstrual bleeding from various Persian medical sources and searching in databases of Pubmed, Web of science, Google scholar, Iranmedex, SID, Magiran with related keywords in order to find evidence and documents. In the next stage, 10 sessions of group discussions on the topic of explanation and interpretation of menstrual disorders in Persian medicine and conventional medicine were held with the presence of experts in the field of Persian medicine and obstetrics and gynecology. Finally, consolidated treatment was presented in the form of a treatment protocol with emphasis on clinical evidences.
Results: The principles of oligoamenorrhea treatment in Persian medicine include lifestyle modification, specially nutrition, physical activity, mental and sleep health, use of herbal medicines, and manual operations (which can be integrated with the treatment steps of some causes of this disorder in conventional medicine.
Conclusion: Considering the existence of some problems in olioamenorrhea treatment in conventional medicine, the use of Persian traditional medicine in the treatment of oligoamenorrhea along with the protocols of conventional medicine can be helpful in the control and management of this disorder.

کلیدواژه‌ها [English]

  • Amenorrhea
  • Oligomenorrhea
  • Persian medicine
  • Traditional medicine
  • Treatment protocol

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 5
مرداد 1402
صفحه 92-103

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