اهمیت و روش‌های درمان یبوست بارداری در طب سنتی ایران و مقایسه آن با طب رایج

نوع مقاله: مروری

نویسندگان

1 دانشجوی دکترای تخصصی طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی تهران، تهران، ایران.

2 استادیار گروه طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: یبوست یکی از شایع‏ترین شکایات در دوران بارداری است که درصد قابل توجهی از زنان باردار تجربه‏اى از ابتلاء یا تشدید آن در دوران بارداری را ذکر می‏کنند. در این مقاله توصیه‏های مربوط به رفع یبوست در زمان بارداری از منابع طب سنتی و پایگاه‏های اطلاعاتی طب رایج استخراج و مقایسه شدند.
روش‌کار: در این مطالعه مروری و کتابخانه‏ای ابتدا توصیه‏های مربوط به یبوست بارداری از کتب مرجع و مهم طب سنتی بررسی شد، سپس مقالات فارسی و انگلیسی پایگاه‏هایGoogle scholar ، PubMed، Scopus،SID ، magiran و iranmedex با کلیدواژه‏های انگلیسی pregnancy، constipation و constipation و کلیدواژه‌های فارسی یبوست، بارداری و ترکیب این دو کلمه بدون ایجاد محدودیت زمانی مورد جستجو و بررسی قرار گرفت و یافته‌های به دست آمده در مرحله اول که حاصل از منابع طب سنتی بودند، با موارد به دست آمده از مقالات مورد مقایسه و تحلیل قرار گرفتند.
یافته‏ها: در طب سنتی ایران این اعتقاد وجود دارد که رفع یبوست و استفاده از ملینات در صورت ضرورت در زمان بارداری بسیاری از عوارض بارداری را کاهش می‏دهد. توصیه‏های مربوط به پیشگیری و درمان یبوست بارداری در طب سنتی ایران به چند دسته قابل تقسیم هستند که شامل: توصیه‏های غذایی مانند مصرف سوپ‌های چرب، توصیه‏های دارویی مانند استفاده از فلوس و گل سرخ، توصیه‏های غیرخوراکی مانند پیاده‌روی ملایم و انما، موارد منع مصرف و نیازمند احتیاط مانند پرهیز از غذاهای تند و تلخ و قابض می‌باشد. در طب رایج نیز مانند طب سنتی، خط اول درمان برای درمان یبوست در زمان بارداری تغییر رژیم غذایی و سبک زندگی عنوان شده است و استفاده از دارو تا حد امکان منع شده است.
نتیجه‌گیری: مسیر کلی برخورد با یبوست بارداری در منابع طب سنتی مشابه یافته‌های پزشکی رایج می‌باشد، ولی جزئیات توصیه‏های موجود در این منابع از سطح شواهد مطلوب برخوردار نیست. هم‌چنین اهمیت توجه به یبوست در کاهش عوارض مختلف بارداری در این منابع بسیار مورد تأکید است که شایسته بررسی بیشتر می‏باشد. 

کلیدواژه‌ها


عنوان مقاله [English]

Importance and methods of treating pregnancy constipation in conventional medicine and comparison with traditional medicine

نویسندگان [English]

  • Mohammad Ali Zareian 1
  • Fatemeh Nejatbakhsh 2
  • Malihe Tabarrai Arani 2
1 PhD student in Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
2 Assisstant Professor, Department of Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Constipation is one of the most common complaints during pregnancy that significant percentage of pregnant women experience the onset or worsening of it during pregnancy. In this article, recommendations for constipation treatment during pregnancy were extracted from traditional medicine resources and conventional medicine databases and were compared.
Methods: In this review and library study, the recommendations related to pregnancy constipation were extracted from important textbooks of traditional medicine. Then, Persian and English articles of databases including Google scholar, Pubmed, Scopus, SID, Iranmed and Magiran were searched using the keywords of pregnancy, constipation, and the combination of two words and their equivalents in Persian with no time limitation. The results which were found in first stage obtained from traditional medicine sources were compared with the results which were obtained from the articles.
Results: In Iranian traditional medicine, it is believed that constipation treatment and using of laxative if needed during pregnancy can reduce many of the pregnancy complications. Recommendations related to pregnancy constipation in Iranian traditional medicine textbooks included: nutritional recommendations such as eating fatty soups, medicinal recommendations such as Cassia fistula and Rosa damascene, non-nutritional recommendations such as mild walking and enema, and contraindications and cautions such as avoidance of spicy, bitter and astringent foods. In conventional medicine similar to traditional medicine, first-line treatment for pregnancy constipation is diet and lifestyle change, and medication use is prohibited as much as possible.
Conclusion: The general approach for treatment of pregnancy constipation in traditional medicine resources is similar to conventional medicine, but the details of recommendations in traditional medicine resources didn’t have desirable level of evidences. Also, importance of constipation treatment during pregnancy is emphasized in traditional medicine resources that is worthy to do more studies in this field.

کلیدواژه‌ها [English]

  • Constipation
  • Iranian Traditional Medicine
  • Laxative
  • pregnancy
  • Pregnancy complications
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