THE INFLUENCE OF ENDOMETRIOSIS ON THE QUALITY OF LIFE AND FERTILITY OF WOMEN - MIDWIFERY CARE

Endometrioza je kronična bolest koju karakterizira pojava endometrija na mjestima izvan maternice. Primarni simptom endometrioze je ciklička bol u zdjelici, često povezana s menstrualnim razdobljima i ovulacijom. Iako mnoge žene osjećaju grčeve tijekom menstruacije, pacijentice s endometriozom obično opisuju menstrualne bolove kao daleko jačeg intenziteta nego kod žena kojima nije dijagnosticirana endometrioza. Kod pojedinih pacijentica potpuno izostaju simptomi, što dovodi do činjenice da se endometrioza može dijagnosticirati čak sedam godina kasnije od njezine pojave. Liječenje endometrioze može biti izazovno s obzirom na to da su česti recidivi bolesti, osobito nakon liječenja kirurškim putem. Rana dijagnoza te stručan i multidisciplinaran pristup, rezultiraju boljim ishodom liječenja. Endometrioza se može liječiti primjenom različitih lijekova, kirurškim putem i/ili kombinirano, a neplodnost uzrokovana endometriozom liječi se postupkom medicinski potpomognute oplodnje. Glavna posljedica endometrioze je neplodnost, koja se javlja kod 1/3 žena. U radu su opisani poslovi i zadaci primalje kod skrbi za reproduktivno zdravlje žene. Osim stručnosti i profesionalnog odnosa, primalja bi trebala pacijenticamapružiti utješnu riječ i otkloniti strahove te navesti pozitivne primjere liječenja.Endometriosisis a chronic disease characterized by the appearance of the endometrium at sites different from the uterus. The primary symptom of endometriosis is cyclic pelvic pain, often associated with menstrual periods and ovulation. Although many patients experience cramps during menstruation, patients with endometriosis usually describe menstrual pain that is far more intense than usual. Some patients have no symptoms at all, which leads to the fact that endometriosis can be diagnosed with a delay of as much as seven years. Treating endometriosis can be challenging given that recurrences of the disease are common, especially after surgical treatment. Early diagnosis and professional and multidisciplinary ways, resulting a better treatment outcome. Endometriosis can be treated with medication, surgery and combined approach. The main consequence of endometriosis is infertility, which occurs in 1/3 of women and it is treated by IVF. This thesis describes the jobs and tasks of a midwife in the care of a woman's reproductive health. In addition to expertise and professionalism, the midwife must be a warm person and provide a word of comfort to the woman, allay fears and cite positive examples of treatment