{"id":41643,"date":"2016-05-24T21:23:45","date_gmt":"2016-05-24T21:23:45","guid":{"rendered":"https:\/\/webo9.aux.com.es\/ca\/?p=41643"},"modified":"2016-05-24T21:25:49","modified_gmt":"2016-05-24T21:25:49","slug":"endometriosi-parte-2","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/endometriosi-parte-2\/","title":{"rendered":"Endometriosi &#8211; Parte II"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n<h3><strong>Segona part: els s\u00edmptomes i el tractament.<\/strong><\/h3>\n<h3>S\u00edmptomes<\/h3>\n<p>Els <strong>s\u00edmptomes <\/strong>m\u00e9s habituals a l&#8217;endometriosi s\u00f3n <strong>el dolor p\u00e8lvic<\/strong>. Per\u00f2 tamb\u00e9 pot associar-se a la <strong>baixa fertilitat o esterilitat<\/strong>. I els s\u00edmptomes associats segons la localitzaci\u00f3 del teixit endometrial adherit com: dolor al miccionar, sensaci\u00f3 de tenir ganes de miccionar o defecar de manera continuada, c\u00f2lon irritable &#8230;<\/p>\n<p style=\"text-align: justify;\">El <strong>dolor p\u00e8lvic<\/strong> \u00e9s molt variable pel que fa a presentaci\u00f3 i intensitat. Hi ha dones amb lesions avan\u00e7ades que tenen poc dolor, fins i tot nul, i altres amb petites lesions poden tenir un dolor molt agut.<\/p>\n<p style=\"text-align: justify;\">Per\u00f2 el m\u00e9s freq\u00fcent \u00e9s el dolor agut, intens, profund, localitzat en els laterals del baix ventre. Pot apar\u00e8ixer durant tot el cicle, per\u00f2 el m\u00e9s habitual \u00e9s que aparegui abans i durant la regla.<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 \u00e9s freq\u00fcent el dolor durant les relacions sexuals, que van associades a adher\u00e8ncies de teixit dels espais intrap\u00e9lvicos posteriors, anomenats fons de sac, que moltes vegades fixen l&#8217;\u00fater en retroflexi\u00f3.<\/p>\n<p style=\"text-align: justify;\"><strong>L&#8217;endometriosi s&#8217;associa tamb\u00e9 a l&#8217;esterilitat<\/strong>, provocant en un 30% dels casos. Per\u00f2 dir\u00edem que en alguns casos disminueix la fertilitat.<\/p>\n<p style=\"text-align: justify;\">Els casos m\u00e9s afectes s\u00f3n els que cursen amb extenses adher\u00e8ncies on es veuen afectades les trompes, i hi ha grans endometriomes que afecten a l&#8217;ovari. Poden produir-se tamb\u00e9 cicles anavulatorios. I tot aix\u00f2 provocar alteracions hormonals que afecten l&#8217;esterilitat. Com els <strong>LUFS<\/strong> que s\u00f3n \u00f2vuls que s&#8217;han fabricat per l&#8217;ovari, per\u00f2 ja madurs no surten del seu embolcall i no es despr\u00e8n l&#8217;ou.<\/p>\n<p style=\"text-align: justify;\">Per\u00f2 en la majoria dels casos <strong>la disminuci\u00f3 de la fertilitat<\/strong> \u00e9s causa per:<\/p>\n<p style=\"text-align: justify;\"><ul style=\"text-align: justify;\">\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>El dolor en les relacions sexuals.<\/li>\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>Inactivaci\u00f3 dels espermatozous per anticossos.<\/li>\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>Afectaci\u00f3 de la funci\u00f3 de la trompa.<\/li>\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>Alteraci\u00f3 de la funci\u00f3 ov\u00e0rica.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n\n<p><strong>L&#8217;evoluci\u00f3 de l&#8217;endometriosi<\/strong> dep\u00e8n la funci\u00f3 ov\u00e0rica, per aix\u00f2, en arribar a la menopausa, hi ha una regressi\u00f3 espont\u00e0nia.<\/p>\n<p>Les endometriosi no tractades, poden evolucionar o remetre o fins i tot arribar a desapar\u00e8ixer.<\/p>\n<h3><\/h3>\n<h3>Tractaments<\/h3>\n<p style=\"text-align: justify;\">El <strong>tractament<\/strong> de l&#8217;endometriosi est\u00e0 condicionat a la intensitat dels s\u00edmptomes, a la localitzaci\u00f3 i a l \u2018extensi\u00f3 de les lesions i per l&#8217;edat de la dona i els possibles desitjos de descend\u00e8ncia.<\/p>\n<p style=\"text-align: justify;\">I m\u00e8dicament es tracta de manera quir\u00fargica i \/ o hormonal.<\/p>\n<p style=\"text-align: justify;\">Amb l&#8217;<strong>osteopatia<\/strong> tamb\u00e9 es pot tractar.<\/p>\n<p style=\"text-align: justify;\">Jo explico als meus pacients que amb l&#8217;osteopatia tractem la funci\u00f3 no la patologia. Per\u00f2 s\u00ed que acompanyem a les patologies per ajudar en el curs dels seus s\u00edmptomes i afeccions que alteren la funcionalitat dels teixits.<\/p>\n<p style=\"text-align: justify;\">Per tant l&#8217;endometriosi \u00e9s una patologia molt agra\u00efda de tractar amb les nostres <strong>t\u00e8cniques ginecol\u00f2giques osteop\u00e0tiques<\/strong> i a altres nivells. Encara que no tots els casos cursen amb una bona progressi\u00f3. Cada lesi\u00f3 \u00e9s \u00fanica i segons la seva gravetat i caracter\u00edstiques de cada dona, tindrem diferents resultats.<\/p>\n<p style=\"text-align: justify;\"><strong>Tractar una endometriosi en les nostres consultes consisteix<\/strong> en dinamitzar en la mesura possible les adher\u00e8ncies lleus que s&#8217;originen en l&#8217;endometriosi i ajudar aix\u00ed a reconciliar els teixits afectes, i l&#8217;estreta relaci\u00f3 entre les seves capes, per disminuir la sensibilitat entre ells. Millorant el dolor.<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 aconseguir, mitjan\u00e7ant <strong>t\u00e8cniques intravaginals<\/strong>, harmonitzar la posici\u00f3 dels \u00f2rgans de la pelvis menor (\u00fater, ovari, recte, bufeta &#8230;) i dinamitzar els seus ancoratges, per millorar la seva funcionalitat, que pot haver-se vist afectada per l&#8217;endometriosi, i millorar aix\u00ed la simptomatologia.<\/p>\n<p style=\"text-align: justify;\">I tamb\u00e9, no nom\u00e9s amb t\u00e8cniques intravaginals, podem accedir via externa a l&#8217;abdomen amb <strong>t\u00e8cniques viscerals osteop\u00e0tiques<\/strong>, i <strong>t\u00e8cniques estructurals<\/strong> per corregir i distendre les nostres articulacions, moltes d&#8217;elles afectades per la disfunci\u00f3 causada per la patologia afecta.<\/p>\n<p style=\"text-align: justify;\">La majoria de dones milloren la seva simptomatologia amb poques sessions, algunes d&#8217;elles necessiten un seguiment regular i altres precisen dels nostres tractaments segons els seus per\u00edodes de dolor.<\/p>\n<p>A la nostra consulta tenim, a m\u00e9s, el suport de <strong>metges especialitzats en medicina integrativa, endocrinologia, farmacologia i digestiu<\/strong>, que ens fa abra\u00e7ar cada cas de manera m\u00e9s hol\u00edstica, cobrint les necessitats de cada dona.<\/p>\n<p>Et convido a donar-te aquesta oportunitat, sempre tens la cirurgia en \u00faltima inst\u00e0ncia, com hem decidit acabar amb algunes de les meves pacients.<\/p>\n<blockquote>\n<h5 style=\"text-align: justify;\">Per\u00f2 el millor \u00e9s quan no \u00e9s necess\u00e0ria la intervenci\u00f3, ni la medicaci\u00f3 i la simptomatologia millora, i les meves pacients s\u00f3n m\u00e9s felices, perqu\u00e8 sense o amb menys dolor: es viu millor.<\/h5>\n<\/blockquote>\n<h6><em>Bibliografia: Ginecologia, J. Gonz\u00e1lez Merlo, E i J Gonz\u00e1lez Bosquet. Elsevier Masson.<\/em><\/h6>\n[\/vc_column_text]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div><div class=\"promo-box-wrap  \" ><div class=\"promo-box \" style=\"background-color: #f4f4f4;border-color: #fa5b24;\"><div class=\"promo center\" data-style=\"center\" style=\"background-color: #f4f4f4;\"><div class=\"promo-desc\"><span style=\"font-size: 17px; line-height: 22px;\">\n<h3 style=\"text-align: center;\">Lluita contra <strong>l&#8217;endometriosi<\/strong>, es pot.<\/h3>\n<\/span><\/div><div class=\"promo-action\"><a href=\"http:\/\/osteo9.com\/contacte\" class=\"simple-button orange small\" target=\"_blank\">Contactan's<\/a><\/div><\/div><\/div><\/div><div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_column_text]\n<h5>Autores<\/h5>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"col_full employee_wrap nobottommargin clearfix\"><div class=\"vc_col-sm-12 wpb_column column_container  \" data-wow-delay=\"0s\"><div class=\"team-member\"><div class=\"team-image\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-de-la-clara-nebot\/\"><img decoding=\"async\" src=\"https:\/\/webo9.aux.com.es\/wp-content\/uploads\/2015\/10\/clara-nebot-n.jpg\" alt=\"Clara Nebot - Fisioterapeuta i Oste\u00f2pata\" title=\"Clara Nebot - Fisioterapeuta i Oste\u00f2pata\"><\/a><span>Fisioterapeuta i Oste\u00f2pata<\/span><\/div><div class=\"team-desc\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-de-la-clara-nebot\/\"><h4>Clara Nebot<\/h4><\/a><p>Fisioterapeuta i oste\u00f2pata, experta en ginecologia, s\u00f2l pelvi\u00e0 i columna. Anys d'experi\u00e8ncia i doc\u00e8ncia a les seves mans. La mare d'Osteo9.<\/p><\/div><ul class=\"team-skills\"><\/ul><\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][\/vc_row_inner][vc_column_text]\n<h5>Si t\u2019ha agradat aquest article i creus que pot ajudar a altres dones\u00a0que tinguin endometriosi, et convidem a que ho comparteixis en las tevas xarxes socials favorites. Ho agra\u00efm sempre!<\/h5>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Segona part: els s\u00edmptomes i el tractament. S\u00edmptomes Els s\u00edmptomes m\u00e9s habituals a l&#8217;endometriosi s\u00f3n el dolor p\u00e8lvic. Per\u00f2 tamb\u00e9 pot associar-se a la baixa fertilitat o esterilitat. I els s\u00edmptomes associats segons la localitzaci\u00f3 del teixit endometrial adherit com: dolor al miccionar, sensaci\u00f3 de tenir ganes de miccionar o defecar de manera continuada, [&hellip;]<\/p>\n","protected":false},"author":206,"featured_media":41644,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[66,89,77],"tags":[],"class_list":["post-41643","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clara-nebot-34","category-informacion-4","category-osteo-i-fisio-uroginecologica-17"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endometriosi - Parte II | Blog Osteo9<\/title>\n<meta name=\"description\" content=\"Els s\u00edmptomes m\u00e9s habituals a l&#039;endometriosi s\u00f3n el dolor p\u00e8lvic. 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