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master's thesis
Medikamentozno liječenje endometrioze
Zagreb: University of Zagreb, School of Medicine, 2020. urn:nbn:hr:105:369746
Lovrenčić, Jelena
University of Zagreb
School of Medicine
Department of Gynecology and Obstetrics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Lovrenčić, J. (2020). Medikamentozno liječenje endometrioze (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:369746

Lovrenčić, Jelena. "Medikamentozno liječenje endometrioze." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:369746

Lovrenčić, Jelena. "Medikamentozno liječenje endometrioze." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:369746

Lovrenčić, J. (2020). 'Medikamentozno liječenje endometrioze', Master's thesis, University of Zagreb, School of Medicine, accessed 30 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:369746

Lovrenčić J. Medikamentozno liječenje endometrioze [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2020 [cited 2024 April 30] Available at: https://urn.nsk.hr/urn:nbn:hr:105:369746

J. Lovrenčić, "Medikamentozno liječenje endometrioze", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:105:369746

Metadata
TitleMedikamentozno liječenje endometrioze
Title (english)Medicamentous treatment of endometriosis
AuthorJelena Lovrenčić
MentorVladimir Banović (mentor)
Committee memberTomislav Župić (predsjednik povjerenstva)
Committee memberDinka Pavičić Baldani (član povjerenstva)
Committee memberVladimir Banović (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Zagreb
Defense date and country2020-07-17, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Endometrioza je kronična bolest žena reproduktivne dobi koja se klinički manifestira dismenorejom, dispareunijom i smetnjama plodnosti. Dijagnoza se postavlja nakon kliničkog i ultrazvučnog pregleda, a u nekim slučajevima su potrebne laparoskopska vizualizacija i biopsija lezije. Trenutne mogućnosti liječenja uključuju medikamentozno, kirurško i kombinirano liječenje, dok se neplodnost vezana uz endometriozu liječi metodama potpomognute reprodukcije. Farmakološko liječenje se uglavnom bazira na hormonima koji dovode do stanja hipoestrinizma, kao što su gestageni, oralna hormonska kontracepcija i analozi gonadotropin-otpuštajućeg hormona, koji imaju supresivno, ali ne i kurativno djelovanje. Kirurško liječenje se provodi kod endometrioze refraktorne na lijekove te kod opsežnijih lezija, većinom laparoskopski, kako bi se očuvala reproduktivna sposobnost pacijentica. Postoje podijeljena mišljenja oko pristupa liječenju endometrioze, te davanja prednosti medikamentnim ili kirurškim metodama. Sve se više naglašava važnost očuvanja intaktnosti zdjeličnog peritoneuma te očuvanje ovarijske rezerve.
Abstract (english)
Endometriosis is a chronic disease affecting women of reproductive age that manifests with dysmenorrhea, dyspareunia and fertility disorders. Diagnosis is based on clinical and ultrasound examination, whereas in some of the cases, laparoscopic visualization and biopsy of the lesion are required. Current treatment options include pharmacotherapy, surgery, and combined therapy. Infertility associated with endometriosis is treated with assisted reproduction methods. Pharmacotherapy refers to hormones, such as gestagens, oral hormonal contraception, and gonadotropin-releasing hormone analogs, which have suppressive but not curative effects. Surgical treatment is performed in cases of medication refractory disease and extensive lesions. In order to preserve the patient's reproductive ability, laparoscopic approach is used most often. There are divided opinions about medicamentous or surgical treatment, but an importance of maintaining the integrity of the pelvic peritoneum and preserving ovarian reserves, stays mutual.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:369746
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-05-10 08:16:00