ENDOMETRIOSIS AND REPRODUCTION MIDWIFE PERSPECTIVE

Dijagnoza endometrioze se postavlja nalazom tkiva endometrija na izvanmaterničnim lokalizacijama. Endometrioza se dijagnosticira i do jedne trećine neplodnih žena. Endometriozu može pratiti široka lepeza simptoma. Neke žene nemaju tegobe, dok se kod drugih javljaju dismenoreja, dispareunija kronična zdjelična bol, kao i niz drugih simptoma. Simptomi se obično ponavljaju na ciklički način, s pogoršanjem u vrijeme prije i oko menstruacije. Važnu ulogu pri liječenju endometrioze ima primalja. Uporaba specifičnih znanja primalje znatna je za povećanje stupnja kvalitete usluga koje daju zdravstveni djelatnici, te posljedično povećanje stupnja kvalitete života pacijentica u režimu liječenja. Liječenje može uključivati operativni zahvat, medikamentozno liječenju, ili kombinaciju. Primalje pružaju osnovnu sestrinsku skrb ženama s bolestima reproduktivnog sustava. Osobito je važno da mirno i sabrano komuniciraju s pacijenticama. Primalja treba pružiti psihološku potporu pacijenticama. Primalja mora biti kadra samostalno obavljati poslove iz svoga djelokruga, surađivati s drugim članovima tima i prepoznati kada se javi problem koji prelazi okvire njezine nadležnosti.The diagnosis of endometriosis is established by detecting endometrial tissue at ectopic localization. Endometriosis is diagnosed in up to one-third of infertile women. Endometriosis is followedby a wide range of symptoms. Some women have no symptoms, while others appear with dysmenorrhea, dyspareunia chronic pelvic pain, as well as a wide range of other symptoms. Symptoms are typically repeated in a cyclic fashion, witha peak before and around menstruation. An important role in treatment of endometriosis has a midwife. The use of specific knowledge is significant for increasing the level of quality services that give health care workersas midvives, and the consequent increase in the degree of the quality of life of patients in the treatment regimen. Treatment may include surgery, hormonal treatment, or a combination. Midwives provide basic nursing care to women with diseases of the reproductive system. It is particularly important that communication with patients is calm and controlled. The midwife should provide psychological support to patients. The midwife must be personnel that perform their work independently within its scope, cooperate with other team members and recognize when there is a problem that goes beyond theirjurisdiction