مروری بر روش‌های تهاجمی و نیمه تهاجمی درمان خونریزی غیرطبیعی رحمی در طب سنتی ایران

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: خونریزی غیرطبیعی رحمی، شایع‌ترین دلیل مراجعه زنان سنین باروری به پزشک است. در طب رایج بر اساس شدت و علت خونریزی، روش‌های مختلف درمانی شامل انواع درمان­های دارویی سیستمیک یا موضعی و جراحی پیشنهاد می‌شود. در طب سنتی ایران نیز برای درمان خونریزی رحمی در کنار توصیه­های غذایی و دارویی، اقدامات تهاجمی و نیمه تهاجمی نیز در نظر گرفته شده است. مطالعه مروری حاضر با هدف استخراج و بررسی درمان‌های تهاجمی و نیمه تهاجمی به‌کار گرفته شده برای درمان خونریزی بیش از حد رحمی در متون معتبر طب سنتی ایران انجام شد.
روش‌کار: در این مطالعه مروری و کتابخانه‏ای مقالات فارسی و انگلیسی مرتبط با جزئیات اقدامات تهاجمی و نیمه تهاجمی پیشنهادی مربوط به درمان خونریزی رحمی از پایگاه‏های Google scholar، PubMed، Scopus، SID با کلیدواژه‏های انگلیسی management و menorrhagia و کلیدواژه­های فارسی «منوراژی»، «خونریزی غیرطبیعی رحم» و «افراط طمث» و ترکیب این دو کلمه بدون ایجاد محدودیت زمانی مورد جستجو و بررسی قرار گرفت. در انتها داده‌های حاصل بر اساس روش تحلیل محتوا مورد تجزیه و تحلیل قرار گرفتند.
یافته‌ها: در جستجوی منابع موارد مختلفی از اعمال تهاجمی و نیمه تهاجمی برای درمان خونریزی غیرطبیعی رحمی ذکر شده­اند که شامل: فصد، حجامت، بادکش، بستن اندام‌ها، بستن پستان‌ها، دوش واژینال (حقنه)، قی و آبزن می‌باشد. هنوز سطح شواهد در زمینه تأثیر این درمان‌ها محدود می­باشد و نیامند مطالعات بیشتر می­باشد.
نتیجه‌گیری: در منابع طب سنتی ایران برای درمان خونریزی غیرطبیعی رحمی اقدامات تهاجمی و نیمه تهاجمی متنوعی پیشنهاد شده‌اند که با توجه به عدم وجود مطالعات کارآزمایی بالینی و شواهد کافی نمی‌توان بین کارایی و عوارض این روش‌ها با جراحی مقایسه‌ای انجام داد، ولی می­توان با انجام تحقیقات بیشتر و کارآزمایی­های بالینی در جهت اثبات یا رد کارایی این اقدامات و کمک به کاهش عوارض ناشی از جراحی­های ناحیه لگن گام برداشت.

کلیدواژه‌ها


عنوان مقاله [English]

Review on invasive and semi-invasive procedures to treat abnormal uterine bleeding in Iranian traditional medicine

نویسندگان [English]

  • Alireza yargholi 1
  • Mohammad Ali Zareian 1
  • Sousan Hafizi 1
  • Roghaye Faryabi 1
  • Maliheh Tabarraei 2
1 PhD student of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
2 Assistant professor, Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Abnormal uterine bleeding is the most common reason for referring to the physician in women of reproductive age. In conventional medicine, based on the severity and cause of bleeding, variety of systemic or local medical and surgical treatments is suggested. In Iranian traditional medicine, for the treatment of uterine bleeding, in addition to food and medical advice, semi-invasive and invasive procedures are also considered. This review study was performed with aim to extract and evaluate semi-invasive and invasive procedures which are used in common texts of Iranian traditional medicine for the treatment of uterine bleeding.
Methods: In this review and library study, English and Persian articles related to the details of the proposed invasive or semi-invasive procedures for treatment of uterine bleeding were searched from databases of Google scholar, Pubmed, Scopus and SID and using the keywords of management, menorrhagia, Abnormal uterine bleeding , and Efrat-e Tams  and also the combination of these two words without time limitation. At the end, data was analyzed by content analysis method.
Results: In searching of different sources of semi-invasive and invasive procedures for treatment of abnormal uterine bleeding including: phlebotomy, dry cupping, wet cupping, limbs tying, breasts tying, vaginal douching, vomiting, sitzbath, there is still limited evidence regarding the effects of these therapies and further studies are needed.
Conclusion: In traditional medicine, variety of semi-invasive and invasive procedures is suggested for treatment of abnormal uterine bleeding that according to the lack of enough clinical trials, the efficacy and complications of these methods cannot be compared with surgery. But, we can do further research and clinical trials to prove or disprove the effectiveness of these procedures and help to reduce the complications of pelvic surgeries.

کلیدواژه‌ها [English]

  • Abnormal uterine bleeding
  • Efrat-e Tams
  • Iranian Traditional Medicine
  • Manual procedures
  • Menorrhagia
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