Title Fizioterapijski pristup kod ginekoloških tumora
Title (english) Physiotherapy approach in gynecological tumors
Author Iva Horvat
Mentor Anica Kuzmić (mentor)
Committee member Manuela Filipec (predsjednik povjerenstva)
Committee member Anica Kuzmić (član povjerenstva)
Committee member Ivana Herak (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2022-09-08, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Tumori su jedan od vodećih zdravstvenih problema današnjice. Mogu biti maligni i benigni. Benigni tumori su najčešće bezopasni dok se maligni šire i prodiru u okolna tkiva i tako štete organizmu. Tumore koji nastaju u ženskom reproduktivnom sustavu nazivamo ginekološkim tumorima. Postoji pet tipova glavnih ginekoloških tumora, a to su rak stidnice, rak rodnice, rak vrata maternice, rak tijela maternice i tumori jajnika i jajovoda. Najčešće se dijagnosticiraju u kasnoj fazi zbog slabo izraženih kliničkih simptoma. Najčešći simptom ginekoloških tumora je abnormalno vaginalno krvarenje, a u kasnijoj fazi mogu se javit simptomi poput boli u donjem dijelu trbuha, grčevi, nadutost, gastrointestinalni i urinarni simptomi. Ovi simptomi mogu nalikovati mnogim bolestima i stanjima i zbog toga ih je teže dijagnosticirati. Liječenje ginekološkog karcinoma ovisi o stadiju bolesti. Terapija može uključivati operaciju, zračenje, kemoterapiju, hormonsku terapiju i ciljanu terapiju, ili kombinaciju ovih modaliteta. Primarni tretman je kirurški i ostavlja velike posljedice na fizičko stanje pacijentice. Rehabilitacija osobe oboljele od ginekološkog tumora mora početi što ranije. Fizioterapijski pristup kod pacijentica operiranih od ginekoloških tumora zahtjeva individualiziran program. Započinje fizioterapijskom procjenom koja uključuje uzimanje anamneze, funkcionalnog statusa i podataka o provedenoj operaciji. Cilj rehabilitacije je pomoći pacijentici da postigne najvišu moguću funkcionalnost. Kako bi to postigli važno je krenuti s fizikalnom terapijom što ranije. Fizioterapija nakon operacije može se podijeliti na prije operacijsku fazu, poslije operacijsku fazu i kasnu poslije operacijsku fazu. Prva faza rehabilitacije je priprema za operaciju. Druga faza rehabilitacije uključuje vježbe cirkulacije, disanja, vježbe jačanja mišića zdjeličnog dana i mišića abdomena. Treća faza rehabilitacije koncentrira se na edukaciju o načinu života idućih tri mjeseca od operacije. Svrha fizioterapije nakon operacije ginekološkog tumora je sprječavanje komplikacija poput urogenitalne disfunkcije, prolapsa organa zdjelice, pojave limfnog edema i boli.
Abstract (english) Tumors are one of the leading health problems today. They can be malignant or benign. Benign tumors are usually harmless, while malignant tumors spread and penetrate the surrounding tissues and thus harm the body. Tumors that arise in the female reproductive system are called gynecological tumors. There are five main types of gynecological tumors, namely pubic cancer, uterine cancer, cervical cancer, uterine body cancer, and ovarian and fallopian tube tumors. They are most often diagnosed at a late stage due to poorly expressed clinical symptoms. The most common symptom of gynecological tumors is abnormal vaginal bleeding, and at a later stage symptoms such as pain in the lower abdomen, cramps, flatulence, gastrointestinal and urinary symptoms may occur. These symptoms can resemble many diseases and conditions and are therefore difficult to diagnose. Treatment of gynecological cancer depends on the stage of the disease. Therapy may include surgery, radiation, chemotherapy, hormone therapy, and targeted therapy, or a combination of these modalities. The primary treatment is surgical and has great consequences on the patient's physical condition. Rehabilitation of a person suffering from a gynecological tumor must begin as early as possible. Physiotherapy approach in patients operated on for gynecological tumors requires an individualized program. It begins with a physiotherapy assessment that includes taking an anamnesis, functional status and information about the surgery performed. The goal of rehabilitation is to help the patient achieve the highest possible functionality. In order to achieve this, it is important to start physical therapy as early as possible. Physiotherapy after surgery can be divided into pre-operative phase, post-operative phase and late post-operative phase. The first phase of rehabilitation is preparation for surgery. The second phase of rehabilitation includes exercises for circulation and breathing, exercises to strengthen the muscles of the pelvic floor and abdominal muscles. The third phase of rehabilitation focuses on lifestyle education for the next three months after surgery. The purpose of physiotherapy after gynecological tumor surgery is to prevent complications such as urogenital dysfunction, pelvic organ prolapse, lymphedema and pain.
Keywords
ginekološki tumor
fizioterapija
liječenje
Keywords (english)
gynecological tumor
physiotherapy
treatment
Language croatian
URN:NBN urn:nbn:hr:122:367155
Study programme Title: physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije (stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-02-07 13:12:00