مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

بررسی مزاج عام و مزاج رحم در مبتلایان به دیسمنوره اولیه

نوع مقاله : اصیل پژوهشی

نویسندگان
پانته‌آ شیرویه 1
سمیرا ادهمی 2
دکتر فتانه هاشم‌دباغیان 3
دکتر روشنک مکبری‌نژاد 4
1 دکترای تخصصی طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
2 کارشناس ارشد مامایی، دانشکده مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.
3 دانشیار گروه طب سنتی، مؤسسه مطالعات تاریخ پزشکی، طب اسلامی و مکمل، دانشکده طب سنتی، دانشگاه علوم پزشکی ایران، تهران، ایران.
4 دانشیار گروه طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
10.22038/ijogi.2022.20712
چکیده
مقدمه: دیسمنوره اولیه، به کرامپ‌های دردناک قاعدگی بدون علت پاتولوژیک گفته می‌شود که شیوع آن در سنین باروری بیشتر است. از نظر طب ایرانی، علت دیسمنوره اولیه می‌تواند تغییراتی در مزاج باشد. مطالعه حاضر با هدف بررسی مزاج عام و مزاج رحم در مبتلایان به دیسمنوره اولیه انجام شد.
روش‌کار: این مطالعه توصیفی- تحلیلی از نوع گزارش موارد در سال 95-1394 بر روی 104 دختر دانشجوی مبتلا به دیسمنوره اولیه ساکن در خوابگاه‌های دانشگاه علوم پزشکی شهید بهشتی شهر تهران انجام شد. پرسشنامه اطلاعات فردی، مزاج عام و مزاج رحم توسط محقق تکمیل و فراوانی مزاج عام و مزاج رحم ارزیابی شد. تجزیه و تحلیل داده‌ها در SPSS (نسخه 17) انجام شد. متغیرهای کمی با میانگین و انحراف معیار و فراوانی متغیرهای کیفی با تعداد و درصد بیان شدند.
یافته‌ها: بر اساس نتایج، بیشترین فراوانی مزاج عام در کل مبتلایان به دیسمنوره اولیه، معتدل (1/47%) و خشک (4/39%) بود. بیشترین فراوانی مزاج رحم در کل مبتلایان به دیسمنوره اولیه، سرد (3/91%) و تر (1/73%) بود.
نتیجه‌گیری: با توجه به نتایج این مطالعه، بیشترین فراوانی مزاج عام در بیماران مبتلا به دیسمنوره اولیه معتدل و خشک بود و با توجه به شیوع بیشتر مزاج سرد و مرطوب در رحم زنان مبتلا به دیسمنوره اولیه، می‌توان گفت که وجود این نوع سوء مزاج در زنان می‌تواند پیش‌بینی‌کننده دیسمنوره اولیه باشد. همچنین با استفاده از اقدامات پیشگیرانه و درمانی این سوء مزاج بر اساس متون طب سنتی، می‌توان با رویکردی نوین دیسمنوره اولیه را درمان کرد.
کلیدواژه‌ها
دیسمنوره اولیه
طب ایرانی
مزاج رحم
مزاج عام

عنوان مقاله English

General temperament and uterine temperament in patients with primary dysmenorrhea

نویسندگان English

Pantea Shirooye 1
Samira Adhami 2
Fataneh Hashem-Dabaghian 3
Roshanak Mokaberinejad 4
1 PhD in Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 M.Sc. of Midwifery, School of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Associate professor, Department of Traditional Medicine, Institute of Medical History Studies, Islamic and Complementary Medicine, School of Traditional Medicine, Iran University of Medical Sciences, Tehran, Iran.
4 Associate Professor, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده English

Introduction: Primary dysmenorrhea is painful menstrual cramps without a pathological cause which is more common in reproductive age. According to Persian medicine, the cause of primary dysmenorrhea can be changes in Mizaj (Temperament). This study was performed aimed to evaluate the general temperament and uterine temperament of patients with primary dysmenorrhea.
Methods: This descriptive-analytical case series study was performed on 104 female students with primary dysmenorrhea living in the dormitories of Shahid Beheshti University of Medical Sciences of Tehran in 2015-2016. The questionnaire of personal information, general temperament and uterine temperament was completed by the researcher and the frequency of general temperament and uterine temperament was evaluated. Data were analyzed by SPSS software (version 17). Quantitative variables were expressed with mean and standard deviation and frequency of qualitative variables with number and percentage.
Results: The total age range of the samples was 19 to 43 years with a mean of 23.03 ± 3.91 and the mean body mass index of the participants was 22.22 ± 3.06 kg/m2.The results showed that the highest frequency of general temperament in all patients with primary dysmenorrhea was moderate (47.1%) and dry (39.4%). The highest frequency of uterine temperament in all patients with primary dysmenorrhea was cold (91.3%) and wet (73.1%).
Conclusion: According to the results of this study, the highest frequency of general temperament in patients with primary dysmenorrhea was moderate and dry and considering the higher prevalence of cold and wet temperament in the uterus of women with primary dysmenorrhea, it can be said that the presence of this type of distemperament in women can be a predictor of primary dysmenorrhea. Also, by using preventive and therapeutic measures of this distemperament based on traditional medicine texts, it is possible to treat primary dysmenorrhea with a new approach.

کلیدواژه‌ها English

General temperament
Persian medicine
Primary dysmenorrhea
Uterine temperament
  1. Speroff L, Fritz MA, editors. Clinical gynecologic endocrinology and infertility. lippincott Williams & wilkins; 2005.
  2. Berek JS. Berek & Novak’s Gynecology. 16nd Lippincott Williams & Wilkins; 2020. p. 315.
  3. Harel Z. Dysmenorrhea in adolescents and young adults: etiology and management. Journal of pediatric and adolescent gynecology 2006; 19(6):363-71.
  4. Barcikowska Z, Rajkowska-Labon E, Grzybowska ME, Hansdorfer-Korzon R, Zorena K. Inflammatory markers in dysmenorrhea and therapeutic options. International journal of environmental research and public health 2020; 17(4):1191.
  5. Tadese M, Kassa A, Muluneh AA, Altaye G. Prevalence of dysmenorrhoea, associated risk factors and its relationship with academic performance among graduating female university students in Ethiopia: a cross-sectional study. BMJ open 2021; 11(3):e043814.
  6. Carroquino-Garcia P, Jiménez-Rejano JJ, Medrano-Sanchez E, De La Casa-Almeida M, Diaz-Mohedo E, Suarez-Serrano C. Therapeutic exercise in the treatment of primary dysmenorrhea: a systematic review and meta-analysis. Physical therapy 2019; 99(10):1371-80.
  7. Motavalli R, Shahbazzadegan S. Comparative study of the effects of fennel with Gelofen on the severity of primary dysmenorrhea: A randomized clinical trial. Iran J Obstet Gynecol Infertil 2018; 21(7):36-42.
  8. Kor N, Jouybari LM, Sanagoo A. The health beliefs and home remedies of the Turkmen people for dysmenorrhea. Jentashapir Journal of health research (JENTASHAPIR) 2012; 2(4(5)):157-64
  9. Shirooye P, Hamzeloo-Moghadam M, Hashem-Dabaghian F, Mokaberinejad R. Comparison of local effects of ginger oil with oral ginger on associated symptoms of primary dysmenorrhea: randomized clinical trial. Iran J Obstet Gynecol Infertil 2017; 20(8):61-9.
  10. Rezaeyan M, Abdali N, Araban M. Comparing analgesic effects of extra virgin olive oil and Ibuprofen on the intensity of primary dysmenorrhea: A crossover clinical trial. Iranian Journal of Nutrition Sciences & Food Technology 2014; 9(2):67-74.
  11. Alam K. Clinical Study of Tashannuji Usre Tams (spasmodic dysmenorrhoea) and its Management with Tukhme Karafs (Doctoral dissertation). Bangalore: National Institute of Unani Medicine Bangalore 2007:115.
  12. Sohrabvand F, Nazem E, Tansaz M, Keshavarz M, Hashem Dabaghian F, Nikbakht Nasrabady A, et al. Investigation of the Personal and Uterine Humor in infertile women referred to Vali-E-As Hospital of Tehran, Iran in 2012. Iran J Obstet Gynecol Infertil 2014; 17(94):10-19.
  13. Naseri M, Ardakani MR. The school of traditional Iranian medicine: The definition, origin and advantages. J Int Soc History Islamic Med 2004; 3:17-21.
  14. Rezaeizadeh H, Alizadeh M, Naseri M, Shams AM. The traditional Iranian medicine point of view on health and disease. Iran J Public Health 2009; 38(Suppl. 1):169–72.
  15. Mojahedi M, Naseri M, Majdzadeh R, Keshavarz M, Ebadini M, Nazem E, et al. Reliability and validity assessment of Mizaj questionnaire: a novel self-report scale in Iranian traditional medicine. Iranian Red Crescent Medical Journal 2014; 16(3).
  16. Adhami S, Tansaz M, Malehi AS, Javadnoori M. The relationship between uterine temperament and vaginitis from Iranian traditional medicine point of view. Indo Am J Pharm Sci 2017; 4(10):3589-95.
  17. Naseri M, Rezaizadeh H, Choopani R, Anushiravany M. Overview of the general traditional medicine of Iran. 10nd Tehran; Traditional Iranian medicine; 2013. p. 97-121.
  18. Behmanesh E, Nabi Meybodi R, Mokaberinejad R, Tansaz M, Mozaffarpour SA, Shirooye P. Menstrual pain explanation from Iranian traditional medicine point of view compared to contemporary medicine: a review article. Iran J Obstet Gynecol Infertil 2016; 19(35):22-31.
  19. Atallahi M, Akbari SA, Mojab F, Roshanayi G. Effects of rose essential oil on the primary dysmenorrhea and assossiated systematic symptoms. Adv Nurs Midwifery 2015; 25(89):59-67.
  20. Akhavan AM, Mojab F, Shahbazzadegan S. Investigation of Cinnamomum selenium’effects on primary dysmenorrhea and accompanying symptoms. J Ardabil Med Sci 2009; 9(3):204-9.
  21. Torkzahrani S, Akhavan-Amjadi M, Mojab F, Majd HA. Clinical effects of Foeniculum vulgare extract on primary dysmenorrhea. Journal of Reproduction & Infertility 2007; 8(1):45-51.
  22. Rajabzadeh F, Fazljou SM, Khodaie L, Sahebi L, Abbasalizadeh S, Hemmatzadeh S. The relationship between temperament and primary dysmenorrhea from Persian medicine point of view. Crescent J Med Biol Sci 2019; 6(1):115-22.
  23. Qaraaty M, Kamali SH, Dabaghian FH, Zafarghandi N, Mokaberinejad R, Mobli M, et al. Effect of myrtle fruit syrup on abnormal uterine bleeding: a randomized double-blind, placebo-controlled pilot study. DARU Journal of Pharmaceutical Sciences 2014; 22(1):1-7.
  24. Zafarghandi N, Jafari F, Moradi F, Alizadeh F, Karimi M, Alizadeh M. Frequency of positive symptoms of dystemperament in patients with excess uterine hemorrhage from the Iranian medicine perspective. Iran J Obstet Gynecol Infertil 2012; 15(24):8-16.
  25. Mokaberinejad R, Zafarghandi N, Bioos S, Dabaghian FH, Naseri M, Kamalinejad M, et al. Mentha longifolia syrup in secondary amenorrhea: a double-blind, placebo-controlled, randomized trials. DARU Journal of Pharmaceutical Sciences 2012; 20(1):1-8.
  26. Jafari F, Zafarghandi N, Alizadeh F, Alizadeh M, Karimi M, Moradi F. A study on the frequency of signs and symptoms of dystemperament in retention and infrequent uterine hemorrhage from viewpoint of Traditional Iranian Medicine. Daneshvar Medicine 2020; 19(4):55-64.
  27. Memarzadeh H, Eftekhar T, Tansaz M, Hashem F, Dabaghian MK, Foroughifar T, et al. Evaluation of efficacy of Punica granatum L.(Persian gulnar) on uterine leiomyoma related menorrhagia. International Journal of Biosciences 2015; 6:18-25.
  28. Ibin‘Abd AA, Sina AI. Al-Qanun fi al-Tibb. Beirut: Muassasah al-Ma’arif; 2005
مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 4
تیر 1401
صفحه 35-42