Endometrioosin lääkkeellinen hoito |
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Author: | Uimari, Outi1; Terho, Anna; Koivurova, Sari; |
Organizations: |
1Oulun yliopisto |
Format: | article |
Version: | published version |
Access: | open |
Online Access: | PDF Full Text (PDF, 0.3 MB) |
Persistent link: | http://urn.fi/urn:nbn:fi-fe2020092475679 |
Language: | Finnish |
Published: |
Suomen lääkäriliitto,
2020
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Publish Date: | 2020-09-24 |
Description: |
TiivistelmäEndometrioosia tulee muistaa epäillä tyyppioireiden perusteella. Myös teini-ikäisten kuukautiskipuihin tulee suhtautua vakavasti. Hormonaalinen hoito eli yhdistelmäehkäisyvalmiste, progestiinitabletti, -kapseli tai hormonikierukka ja tarvittavat kipulääkkeet voidaan aloittaa jo perusterveydenhuollossa. Lääkehoidon tavoitteena on endogeenisen estrogeenierityksen vähentäminen sekä vuodottomuus ja sitä kautta kipujen helpottuminen sekä elämänlaadun paraneminen. Endometrioosipotilaat hyötyvät pitkäaikaisesta hoitosuhteesta hoitavaan yksikköön. see all
AbstractEndometriosis is a chronic inflammatory condition characterised by the presence of fibrosis and endometrium-like epithelial and stromal cells outside the uterus. It affects women during their fertile years, causing significant morbidity: chronic pain in the form of dysmenorrhoea, non-cyclic pelvic pain and infertility. Hormonal medication is the keystone of medical management of endometriosis, which aims at reducing endogenous estrogen secretion and ensuring amenorrhoea, thereby reducing endometriosis related pain. The first-line therapies are combined contraceptives (pill, patch, vaginal ring) and progesterone only products (pill, subdermal implant, intrauterine device). Every endometriosis patient requires an individual pain management plan including long-term analgesics and prescription for possible acute pain. Fertility counselling is also offered to all endometriosis patients. Endometriosis requires long-standing medical management from the time of diagnosis until menopause. Investing in patient counselling with a tailored treatment plan benefits the patient. A long-term relationship with a treatment unit also supports the management of this chronic pain condition. see all
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Series: |
Lääkärilehti |
ISSN: | 0039-5560 |
ISSN-E: | 2489-7434 |
ISSN-L: | 0039-5560 |
Volume: | 75 |
Issue: | 14-15 |
Pages: | 896 - 902 |
Type of Publication: |
A2 Review article in a scientific journal |
Field of Science: |
3123 Gynaecology and paediatrics |
Subjects: | |
Copyright information: |
© 2020 Lääkärilehti. |