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ENDOMETRİOZİSTE EBELERİN ROL VE SORUMLULUKLARI

Year 2022, Volume: 2 Issue: 1, 345 - 358, 26.04.2022

Abstract

Endometriozis, uterin kavite dışında endometriyal gland ve stromanın varlığı olarak tanımlanır. Kadınları menarş öncesi, üreme ve menopoz sonrası hormonal evrelerde etkileyen östrojene bağımlı, iyi huylu ve inflamatuar bir hastalıktır. Endometriozis üreme çağındaki kadınların yaklaşık %10'unda görülmektedir. Ülkemizde yaklaşık 2,4 milyon kadında endometriozis olduğu düşünülmektedir. Lezyonlar tipik olarak pelviste bulunur, ancak bağırsak, diyafram ve plevral boşluk dahil olmak üzere birçok bölgede ortaya çıkabilir. Endometriozis yaygın ve malign olmayan bir süreç olmakla birlikte, ektopik endometriyal doku ve bunun sonucunda oluşan inflamasyon, menoraji, disparoni, infertilite ve kronik pelvik ağrıya neden olabilir. Hastalığa ilişkin bu semptomlar, kadınların günlük yaşam aktivitelerini ve yaşam kalitelerini olumsuz yönde etkilemektedir. Endometriozisli kadınlarda yaşam kalitesinin artırılması ve endometriozis semptomlarının azaltılması amacıyla bireylere multidisipliner bir ekip yaklaşımı uygulanmalıdır. Kadın sağlığıyla her yönden ilgilenen ebelere bu noktada önemli rol ve sorumluluklar düşmektedir. Ebelik faaliyetleri, endometriozis ile ilişkili belirti ve semptomların tanımlanmasını ve yönetimini, diğer sağlık profesyonellerine veya servislerine sevk edilmesini, doğrudan hasta bakımını, tedavinin uygulanmasını, bakımın koordinasyonunu, ağrı yönetimini, sağlık eğitimini, tedavi uygulanmasını, tedavi sonuçlarının değerlendirilmesini ve hasta savunuculuğunu içerir. Endometriozis tanısında ve yönetiminde ebelerin aktif rol alabilmesi için hastalığın belirti, bulgularını, risk faktörlerini tanıyabilmesi ve bakım-tedavi konularında kanıta dayalı bilgiler ışığında hizmet sunması gerekmektedir. Bu derlemede, endometrioziste ebelerin rol ve sorumluluklarının açıklanması amaçlanmıştır.

Supporting Institution

Yoktur.

Project Number

Yoktur.

Thanks

Yoktur.

References

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  • Arnold, J., Vercellino, G.F., Chiantera, V., et al. (2013). Neuroimmunomodulatory alterations in non-lesional peritoneum close to peritoneal endometriosis. Neuroimmunomodulation, 20(1):9-18. doi: 10.1159/000342163.
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  • Brosens, I., Puttemans, P., Benagiano, G. (2013). Endometriosis: a life cycle approach? Am J Obstet Gynecol, 209(4):307-16. doi: 10.1016/j.ajog.2013.03.009.
  • Browning, R.M., Trentino, K., Nathan, E.A., Hashemi, N., Western Australian Patient Blood Management Program. (2017). Preoperative anaemia is common in patients undergoing major gynaecological surgery and is associated with a fivefold increased risk of transfusion. Aust N Z J Obstet Gynaecol, 52(5):455-9. doi: 10.1111/j.1479-828X.2012.01478.x.
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  • Dovey, S., Sanfilippo, J. (2010). Endometriosis and the adolescent. Clin Obstet Gynecol, 53(2):420-8. doi: 10.1097/GRF.0b013e3181dbdc61.
  • Dunselman, G.A., Vermeulen, N., Becker, C., et al. (2014). ESHRE guideline: management of women with endometriosis. Hum Reprod, 29(3):400-12. doi: 10.1093/humrep/det457.
  • Eltorai, A.E.M., Szabo, A.L., Antoci, V Jr., Ventetuolo, C.E., Elias, J.A., Daniels, A.H., et al. (2018). Clinical Effectiveness of Incentive Spirometry for the Prevention of Postoperative Pulmonary Complications, Respir Care, 63(3):347-352. doi: 10.4187/respcare.05679.
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THE ROLE AND RESPONSIBILITIES OF MIDWIVES IN ENDOMETRIOSIS

Year 2022, Volume: 2 Issue: 1, 345 - 358, 26.04.2022

Abstract

Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. It is an estrogen-dependent, benign and inflammatory disease that affects women during the premenarche, reproductive and postmenopausal hormonal phases. Endometriosis is seen in approximately 10% of women of reproductive age. It is thought that approximately 2.4 million women in our country have endometriosis. Lesions are typically found in the pelvis, but can occur in many areas, including the bowel, diaphragm, and pleural cavity. Although endometriosis is a common and non-malignant process, ectopic endometrial tissue and consequent inflammation can cause menorrhagia, dyspareunia, infertility, and chronic pelvic pain. These symptoms related to the disease negatively affect women's daily life activities and quality of life. In order to increase the quality of life in women with endometriosis and to reduce the symptoms of endometriosis, a multidisciplinary team approach should be applied to individuals. Midwives, who are interested in women's health in every aspect, have important roles and responsibilities at this point. Midwifery activities include identification and management of signs and symptoms associated with endometriosis, referral to other healthcare professionals or services, direct patient care, administration of treatment, coordination of care, pain management, health education, administration of treatment, evaluation of treatment outcomes, and patient advocacy. In order for midwives to take an active role in the diagnosis and management of endometriosis, they should be able to recognize the signs, symptoms and risk factors of the disease and provide services in the light of evidence-based information on care and treatment. In this review, it is aimed to explain the roles and responsibilities of midwives in endometriosis.

Project Number

Yoktur.

References

  • Abercrombie, P.D., Learman, L.A. (2012). Providing holistic care for women withchronic pelvic pain. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(5),668–679. https://doi.org/10.1111/j.1552-6909.2012.01403.x
  • Altman, G., Wolcyzk, M. (2010). Overview And Recommendations For Primary Care Nurse Practitioners. The Journal for Nurse Practitioners, 6(6), 427-434. https://doi.org/10.1016/j.nurpra.2009.07.022
  • American Society of Anesthesiologists Committee. (2011). Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. Anesthesiology, 114:495–511 doi: https://doi.org/10.1097/ALN.0b013e3181fcbfd9
  • Anglesio, M.S., Papadopoulos, N., Ayhan, A., Nazeran, T.M., Noë, M., Horlings, H.M., et al. (2017). Cancer-Associated Mutations in Endometriosis without Cancer. N Engl J Med, 376:1835. doi: 10.1056/NEJMoa1614814.
  • Arnold, J., Barcena de Arellano, M.L., Rüster, C., et al. (2012). Imbalance between sympathetic and sensory innervation in peritoneal endometriosis. Brain Behav Immun, 26(1):132-41. doi: 10.1016/j.bbi.2011.08.004.
  • Arnold, J., Vercellino, G.F., Chiantera, V., et al. (2013). Neuroimmunomodulatory alterations in non-lesional peritoneum close to peritoneal endometriosis. Neuroimmunomodulation, 20(1):9-18. doi: 10.1159/000342163.
  • As-Sanie, S., Harris, R.E., Napadow, V., et al. (2012). Changes in regional gray matter volume in women with chronic pelvic pain: a voxel-based morphometry study. Pain, 153(5):1006-1014. doi: 10.1016/j.pain.2012.01.032.
  • Ban, K.A., Minei, J.P., Laronga, C., Harbrecht, B.G., Jensen, E.H., Fry, D.E., et al. (2016). American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, Update. J Am Coll Surg, 224(1):59-74. doi: 10.1016/j.jamcollsurg.2016.10.029.
  • Barber, E.L., Clarke-Pearson, D.L. (2017). Prevention of venous thromboembolism in gynecologic oncology surgery. Gynecol Oncol, 144(2):420-427. doi: 10.1016/j.ygyno.2016.11.036.
  • Barcellos, M.B., Lasmar, B., Lasmar, R. (2016). Agreement between the preoperative findings and the operative diagnosis in patients with deep endometriosis. Arch Gynecol Obstet, 293(4):845-50. doi: 10.1007/s00404-015-3892-x.
  • Bratzler, D.W., Dellinger, E.P., Olsen, K.M., Perl, T.M., Auwaerter, P.G., Bolon, M.K., et al. (2013). Clinical practice guidelines for antimicrobial prophylaxis in surgery, National Guideline Clearinghouse. Am J Health Syst Pharm, 70(3):195-283. doi: 10.2146/ajhp120568.
  • Brosens, I., Puttemans, P., Benagiano, G. (2013). Endometriosis: a life cycle approach? Am J Obstet Gynecol, 209(4):307-16. doi: 10.1016/j.ajog.2013.03.009.
  • Browning, R.M., Trentino, K., Nathan, E.A., Hashemi, N., Western Australian Patient Blood Management Program. (2017). Preoperative anaemia is common in patients undergoing major gynaecological surgery and is associated with a fivefold increased risk of transfusion. Aust N Z J Obstet Gynaecol, 52(5):455-9. doi: 10.1111/j.1479-828X.2012.01478.x.
  • Buckley, T., Brown, D., Edwards, H.E., Aitken, R.L., Harding, M. (2020). Theimportance of nursing. In D. Brown, H. Edwards, T. Buckley, & R. L. Aitken(Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (Fifth Edition, Australia and New Zealand edition, pp. 2–19).Chatswood NSW, Australia: Elsevier Australia, Retrieved from. https://www.clinicalkey.com.au/nursing/#!/content/book/3-s2.0-B9780729542920000017Cockerham.
  • Burney, R.O., Giudice, L.C. (2012). Pathogenesis and pathophysiology of endometriosis. Fertil Steril, 98(3):511-9. doi: 10.1016/j.fertnstert.2012.06.029.
  • Card, R., Sawyer, M., Degnan, B., Harder, K., Kemper, J., Marshall, M., et al. (2014). Perioperative protocol, Health care protocol. National Guideline Clearinghouse. https://www.icsi.org/wp-content/uploads/2019/01/Periop.pdf Accessed: 04/01/2022.
  • Cox, H., Henderson, L., Wood, R., Cagliarini, G. (2003). Learning To Take Charge: Women’s Experiences Of Living With Endometriosis. Complementary Therapies In Nursing and Midwifery. 9(2):62-8. doi: 10.1016/S1353-6117(02)00138-5.
  • Dovey, S., Sanfilippo, J. (2010). Endometriosis and the adolescent. Clin Obstet Gynecol, 53(2):420-8. doi: 10.1097/GRF.0b013e3181dbdc61.
  • Dunselman, G.A., Vermeulen, N., Becker, C., et al. (2014). ESHRE guideline: management of women with endometriosis. Hum Reprod, 29(3):400-12. doi: 10.1093/humrep/det457.
  • Eltorai, A.E.M., Szabo, A.L., Antoci, V Jr., Ventetuolo, C.E., Elias, J.A., Daniels, A.H., et al. (2018). Clinical Effectiveness of Incentive Spirometry for the Prevention of Postoperative Pulmonary Complications, Respir Care, 63(3):347-352. doi: 10.4187/respcare.05679.
  • Endometriosis: diagnosis and management. (2017). NICE guideline [NG73] Published: 06 September 2017. https://www.nice.org.uk/guidance/ng73, Accessed: 02/10/2021
  • ERAS Türkiye Derneği. (2021). ERAS protokolünün temel öğeleri. http://eras.org.tr/page.php?id=10&saglikCalisani=true, Erişim Tarihi: 02/10/2021
  • Exacoustos, C., Malzoni, M., Di Giovanni, A., et al. (2014). Ultrasound mapping system for the surgical management of deep infiltrating endometriosis. Fertil Steril, 102(1):143-150.e2. doi: 10.1016/j.fertnstert.2014.03.043. Epub 2014 Apr 29.
  • Farland, L.V., Eliassen, A.H., Tamimi, R.M., et al. (2017). History of breast feeding and risk of incident endometriosis: prospective cohort study. BMJ, 2358:j3778. doi: https://doi.org/10.1136/bmj.j3778
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Reviews
Authors

Ayşenur Turan 0000-0001-9925-1122

Cihan Kaya 0000-0003-4175-7694

Project Number Yoktur.
Publication Date April 26, 2022
Submission Date January 4, 2022
Published in Issue Year 2022 Volume: 2 Issue: 1

Cite

APA Turan, A., & Kaya, C. (2022). ENDOMETRİOZİSTE EBELERİN ROL VE SORUMLULUKLARI. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 2(1), 345-358.