مقایسه علل ناباروری ناشی از اختلالات تخمک‌گذاری در طب ایرانی و طب کلاسیک: مقاله مروری

نوع مقاله : مروری

نویسندگان

1 دستیار تخصصی طب ایرانی، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه طب ایرانی، دانشکده طب ایرانی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 کارشناس مامایی، دانشکده طب ایرانی، دانشگاه علوم پزشکی تهران، تهران، ایران.

5 استادیار گروه طب ایرانی، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: اختلالات تخمک­گذاری، یکی از شایع‌ترین علل ناباروری است. با توجه به اهمیت این موضوع در متون طب ایرانی و دیدگاه کل‌نگر این مکتب طبی در درمان اختلالات تخمک­گذاری، مطالعه مروری حاضر با هدف بررسی ناباروری به علت اختلالات تخمک­گذاری در طب ایرانی و کلاسیک انجام شد.
روش‌کار: در این مطالعه مروری به روش کتابخانه­ای برای گردآوری داده‌ها، ابتدا تمامی علل اختلالات تخمک­گذاری بر اساس کتب مرجع طب کلاسیک مانند اسپیروف، دنفورث، نواک، ویلیامز استخراج و سپس در منابع الکترونیک مانند Scopus،  Pubmedو  Magiranبا کلید‌واژه­های فارسی عقر، ناباروری، نازایی و اختلالات تخمک­گذاری و کلید واژه‌های انگلیسی Infertility، Persian medicine و Ovulatory disorder جستجو انجام شد. فقط مطالعات بالینی و مروری به زبان‌های فارسی یا انگلیسی و در محدوده زمانی سال‌های 2017-2000 بررسی شدند. در نهایت علل کلی اختلالات تخمک­گذاری در مجموع منابع، مورد بررسی و مقایسه قرار گرفت.
یافته‌ها: همانطور که در طب کلاسیک سلامت محور مغز و تخمدان­ها در تخمک­گذاری اهمیت ویژه­ای دارد، در طب ایرانی نیز به این محور توجه جدی شده است. بر اساس متون طب ایرانی، علاوه بر تخمدان‌ها سلامت مغز، قلب، کبد و دستگاه گوارش نیز در تخمک­گذاری تأثیر دارد. حکمای طب ایرانی اختلالات تخمک‌گذاری را به دو دسته اختلالات در خود تخمک و اختلالات در مغز و دیگر اعضاء تقسیم‌بندی می‌کنند. بر اساس همین نظریه، بازگرداندن سلامتی دیگر اعضای بدن نیز برای درمان نازایی ضروری است.
نتیجه‌گیری: علل کلی اختلالات تخمک­گذاری در طب ایرانی و کلاسیک تا حدودی شبیه هستند. تفاوت در علل جزئی است و اینکه طب ایرانی علاوه بر تخمدان‌ها به نقش اعضای دیگر نیز در ایجاد اختلالات تخمک­گذاری توجه ویژه‌ای دارد. بنابراین توجه به دیدگاه‌ کل‌نگر طب ایرانی، اصلاح سبک زندگی و بهبود عملکرد همه اعضای بدن در کنار طب کلاسیک می­تواند در موفقیت درمان‌های ناباروری تأثیر‌گذار باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the causes of infertility induced by ovulation disorders in Persian medicine and traditional medicine

نویسندگان [English]

  • Maryam Kavousi 1
  • Nayereh Khadem Ghaebi 2
  • Mojgan Tansaz 3
  • Soodabeh Bioos 4
  • Zohre Feyzabadi 5
1 Resident in Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Professor, Department of Obstetrics and Genecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant Professor, Department of Persian Medicine, School of Persian Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 B.Sc. in Midwifery, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
5 Assistant Professor, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Ovulation disorders are the most common causes of female infertility. Considering the importance of this issue in Persian medicines texts and the holistic view of this medical doctrine in the treatment of ovulation disorders, the present study was conducted to investigate infertility due to ovulation disorders in Persian and traditional medicine.
Methods: In this review study, for the collection of data through a library method, all the causes of ovulation disorders were extracted based on classical medicine references, such as Speroff, Danforth, Novak, and Williams. Then, a search was performed in several electronic databases, including Scopus, Pubmed, and Magiran, using the Persian keywords, such as "Oghr", "Infertility", and "Ovulation disorders + infertility", and the English keywords, like "Infertility", "Persian medicine", and "Ovulatory disorder". Only clinical and review studies conducted in Persian or English language and published during 2000-2017 were included in the study. Finally, the overall causes of ovulation disorder were assessed and compared.
Results: In the traditional medicine, the health status of ovarian-brain axis is considered important in ovulation. Similarly, the Persian medicine has given serious attention to this axis. According to the Persian medicine texts, in addition to the ovaries, the health of the brain, heart, liver, and digestive system also affects ovulation. The Iranian medicine scholars divide ovulation disorders into two categories, namely ovum disorders and disorders in the brain and other organs. According to this theory, the restoration of other organs' health is also essential for the treatment of infertility.
Conclusion: The general causes of ovulation disorders were relatively similar in the Persian and traditional medicine. These two medical doctrines had an insignificant difference in the underlying causes of ovulation disorders. In this regard, the Persian medicine gave a special attention to the role of other organs in ovulation disorders, in addition to that of the ovaries. Therefore, attention to the holistic views of the Persian medicine, lifestyle modification, and improvement of the function of all organs, along with traditional medicine, can be effective in the success of infertility treatment.

کلیدواژه‌ها [English]

  • Ovulation disorders
  • Persian Medicine
  • Infertility

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 6
شهریور 1397
صفحه 80-91

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