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KRONİK PELVİK AĞRIDA YENİ YAKLAŞIMLAR

Kronik pelvik ağrı ,[object Object],[object Object],[object Object]

Kronik pelvik ağrının kaynakları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İ n sidans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

KPA lı hastalarda negatif laparos k op ik biyopsi ,[object Object],[object Object],[object Object],[object Object],Doyle 1998

KPA’ da Ayırıcı Tanı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ayırıcı Tanı ,[object Object],[object Object],[object Object],[object Object]

Ayırıcı Tanı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SIKÇA GÖZDEN KAÇAN KPA NEDENLERİ ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LABORATUAR ,[object Object],[object Object],[object Object],[object Object]

TANI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A mpiri k T edavi Kronik pelvik ağrı Menstru el hikaye FM LAB US G Ağrı değerlendirmesi Normal Normal Anormal Anormal Te d a vi Ampirik tedavi Tedavi

KPA’da ampirik tedavide algoritma Pelvi k ağrı Hi kaye & FM Lab oratuar Görüntüleme NSAID O KS KLİNİK OLARAK ENDOMETRİOZİS GnRH agonist ile tedavi SPESİFİK TEDAVİ SPESİFİK TEDAVİ TEDAVİYE DEVAM 6 AY TEDAVİ DÜZELME DÜZELME

ACOG İlk değerlendirmede pelvik ağrı nedeni bilinmiyorsa cerrahi olarak kesin teşhis konmasa bile GnRH tedavisi uygundur.

Pelvi k k on j es y on s e ndrom u ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Douglas fikse, kalınlaşmış uterosakral ligamentler, vagende nodülarite

Uterosa k ral ligam a n Peritoneal pencere

Ad ezyon , sol pelvi k yan duvar

Non jinekolojik nedenler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İrritabl barsak sendromu ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Kas İskelet ,[object Object],[object Object],[object Object],[object Object],[object Object]

Kas İskelet ,[object Object],[object Object],[object Object],[object Object]

P sikolojik ,[object Object],[object Object],[object Object],[object Object]

KRONİK PELVİK AĞRI ACOG Önerileri: (level A) ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol. 2004 Mar;103(3):589–605

İlaç Tedavisi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cerrahi tedavi ,[object Object],[object Object],[object Object],[object Object]

Yeni yaklaşımlar ,[object Object],[object Object],[object Object],[object Object],[object Object]

Yeni yaklaşımlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Akupunktur ,[object Object],[object Object]

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