Sibel PEKSOY, İlknur DEMİRHAN, Sena KAPLAN, Sevil ŞAHİN, Ayten ARIÖZ DÜZGÜN

Tamamlayıcı ve Alternatif Tedavinin Jinekolojik Kanserlerde Kullanımı

Günümüzde tamamlayıcı ve alternatif tedavi (TAT) kullanımı kanser hastalarında giderek yaygınlaşmaktadır. Özellikle jinekolojik kanserlerde TAT kullanımı dikkat çekmektedir. Kadın cinsiyetinde olmanın yanında TAT kullanımı yaş, eğitim, kemoterapi uygulanması ve kanserin ileri evresi gibi faktörlerden etkilenmektedir. Jinekolojik kanserli hastalar; tıbbi tedavinin yan etkilerini azaltmak, tedaviye destek olmak, yaşam kalitesini artırmak, bağışıklık sistemini güçlendirmek ve tekrar kanser oluşumunu önlemek gibi nedenlerle TAT kullanımına başvurmaktadır. TAT kullanımı çeşitlilik içermekle birlikte, Amerika Birleşik Devletleri’nde Ulusal Sağlık Enstitüsü bu yöntemleri “doğal ürünler” ve “beden ve zihin uygulamaları” olarak iki temel gruba indirgemiştir. Jinekolojik kanserli hastalarda TAT kullanımında özellikle bitkisel kaynaklı doğal ürünlerin tıbbi tedavi ile birlikte kullanılması ilaç etkileşimlerine ve toksisiteye neden olabilmektedir. Aynı zamanda TAT kullanan birçok kadın, bu yöntemleri kullandığını sağlık ekibi ile paylaşmamaktadır. Bu nedenle kanser hastaları ile çalışan sağlık profesyonelleri TAT kullanımını ayrıntılı sorgulamalı, bu konuda rehberlik yapabilecek bilgiye sahip olmalıdır.

Anahtar Kelimeler:

Alternatif tedaviler, Jinekoloji, Kanser, Sağlık ekibi, Tamamlayıcı tedaviler

Use of Complementary and Alternative Medicine in Gynecologic Cancers

Nowadays, the use of complementary and alternative medicine (CAM) is becoming widespread gradually in cancer patients. The use of CAM in gynecological cancers is particularly notable. the use of CAM is influenced by factors such as age, education, application of chemotherapy and advanced stage of cancer, in addition to being a female. Gynecologic cancer patients apply CAM for reducing side effects of medical treatment, supporting treatment, increasing quality of life, strengthening immune system and preventing cancer re-occurrence.Although there are many CAM techniques, in the United States, the National Institutes of Health reduced these to two basic groups as "natural products" and "body and mind practices". In patients with gynecologic cancer, the use of CAM, especially of plant-derived natural products, in combination with medical treatment, may cause drug interactions and toxicity. At the same time, many women who use CAT do not report their use of such methods to the health team. For this reason, health professionals working with cancer patients should interrogate the use of CAT in detail, and have knowledge to provide guidance on this issue.

Keywords:

Gynecological cancers, complementary and alternative therapies, health professional,

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