Pelvic Pain Presentation

8/15/2019 Pelvic Pain Presentation

http://slidepdf.com/reader/full/pelvic-pain-presentation 1/36

L ^rasaitltkji gjr Vjeai suggarkif wktbMbrjikm ^acvkm ^lki lio*jr ^lkiguc Hclooar

]yiorjea

@rkstai Elk`a# ^_Haluejit Balctb ]ystae



Mclrkgy oagkiktkjis jg Mbrjikm ^acvkm ^lki# ^lkiguc

Hclooar ]yiorjea lio Kitarstktklc Mystktks)

Kitrjouma*Aoumlta ji kepjrtlit liltjey ls ktracltas tj M^^*^H]*KM)

Oksmuss rjca jg ^byskmlc _barlpy ls plrt jg yjurtralteait pcli)

Liswar yjur quastkjis)

Fkva yju bjpa lio tjjcs tj raflki mjitrjc jg yjurhjoy)

Jhdamtkvas



Vblt ks tba oagkiktkji jg –^lkiguc Hclooar]yiorjea―:

Vblt ks tba oagkiktkji jg –Mbrjikm âcvkm^lki―:

Vblt lra tba âcvkm Gcjjr Eusmcas:

Vblt ks âcvkm Gcjjr Eusmca Oysguimtkji:Lio bjw ojas kt pcly li kepjrtlit rjca kitba puzzca:

Gkrst Cat‛s Oagkia tba

_arekijcjfy



Qcmarltkva vs) Iji%Qcmarltkva

QCMAXL_KWA4 Qpji vksulckzltkji vklmystjsmjpa# Buiiar‛s Qcmars lrakoaitkgkao)

IJI%QCMAXL_KWA4 ij ucmarsvksulckzao) "^H]+

Kitarstktklc Mystktks

KM



–]uprlpuhkm plki racltao tj hclooar gkcckif#

lmmjeplikao hy jtbar syeptjes# sumb ls kimralsao

olytkea lio ikfbt tkea graquaimy# ki tba lhsaima jgprjvai urkilry kigamtkji jr jtbar jhvkjuspltbjcjfy―

Jgtai mblrlmtarkzao hy cjwar lhojekilc plki# pacvkmplki# hclooar plki# cjw hlm` lio tbkfb plki)

Lcejst lcc urjcjfkmlc pacvkm plki syiorjeas blvasjea mbrjikm taiskji lio taioariass jg tba pacvkmgcjjr eusmcas) Kt ks uimartlki kg tbasa lra l mlusa jr lrasuct jg ^H])

^lkiguc Hclooar ]yiorjea^H]



Mbrjikm ^acvkm ^lki "M^^+ ks mjitkiujus jrapksjokm plki ki tba cjwar lhojeai# pacvkm#lio eko tbkfb lral wbkmb bls clstao gjr ltcalst 7 ejitbs lio ks savara aijufb tj mlusapbyskmlc lio psymbjcjfkmlc keplkreait)

M^^ ks ijt jrfli jr systae spamkgkm kt ks l][IOXJEA lio jgtai kivjcvas eliysystaes)

Mbrjikm ^acvkm ^lki

M^^



M^^

FK

Qrkilry

Eusmucjs`acatlc

^symb

XaprjoumtkvaGalr

Okat*

Iutrktkva

]pkrktulc

Mjiiamtkva_kssua*

Glsmklc



_ba –]yiorjea― jg M^^ mli prasait L] jr

_JFA_BAX VK_B eliy jtbar systaekm plki

syiorjeas)^ltkaits mli*wkcc prasait wktb4 Hjwac lio Hclooar oysguimtkji

Xaprjoumtkva lio saxulc kssuas

Okfastkva mjepclkits*okggkmuctkasEusmucjs`acatlc mjepclkits " parskstait CH^# ]K djkit

oysguimtkji# bkp plki jr gkhrjeylcfkl)+

Wksmarlc plki syiorjeas ck`a KH]# KM #aiojeatrkjsks#oyseaijrrbal# lio ^H])

M^^ ” L puzzca



Kt bls lcsj haai suffastao tblt plst

trlueltkm axparkaimas "^_]O+ jrmurrait strassjrs mli mlusa jraxlmarhlta pacvkm plki)

Xaflrocass jg pjsskhca mlusltkji#mbrjikm plki jg liy typa*sjurma bls lpsymbjcjfkmlc*aejtkjilc aggamt)

M^^% tba pacvkm puzzca



]uppjrt jg tba pacvkm jrflis kimcuokif tba hclooar#

hjwac# lio utarus) Vktbjut tbks suppjrt tbasa jrflis

wkcc orjp jr prjclpsa) _bks wkcc blppai kg tbasaeusmcas lra wal` jr ijt lhca tj guccy guimtkji oua tjplki)

Lccjw gjr alsy lio aggkmkait ackekiltkji jg urkia lio

gamas)Mjitrkhuta tj aidjylhca saxulc lmtkvkty)

Vblt Oj tba ^acvkm Gcjjr

Eusmcas Oj:



Cat‛s fat li koal wbara lio wblt tbasa

eusmcas lra lio bjw wa cjmlta tbae gjrtralteait)

Xaeaehar tblt tbay mli ha gjuio tbrjufbvlfkilc lio ramtlc plcpltkji)

^acvkm Gcjjr Eusmcas Liltjey

^kmturas



GKFQXA

]jurma4 Elyj Mckikm ^rjmaaokifs 8><80 264<26%<;= "OJK4<>)<><7*d)elyjmp)8><<)>;)>>? +

Mjpyrkfbt © 8><8 Elyj Gjuioltkji gjr Eaokmlc Aoumltkji lio Xasalrmb _ares lio Mjioktkjis

http://www.mayoclinicproceedings.org/article/S0025-6196(11)00024-3/abstract

http://www.mayoclinicproceedings.org/misc/terms

http://www.mayoclinicproceedings.org/misc/terms






^acvkm Gcjjr Eusmca Oysguimtkji

plki# tkfbtiass lio eusmca splse kitba eusmcas lio sjgt tkssuas jg tbavucvlr lral lio vlfkilc wlccs)

]j mjepcax tblt KQLF lio KM] eat ki

8><> tj oksmuss mclrkgykif oagkiktkjis_bay mlea up wktb 81> saplrltaoagkiktkjis)

^acvkm Gcjjr Eusmca Oysguimtkji



Kt tlàs hatwaai ? ” 6 yalrs tj fat l oklfijsks* bacp

wktb pacvkm plki)

Hamlusa M^^ ks l euctksystae syiorjea# spamklckstscjj` jicy tj tbakr jrfli systae lio ekss tba hkfpkmtura lio jtbar pjsskhca mjitrkhutkif glmtjrs)

Eliy pbyskmklis lio mckikmklis oj ijt blva tba ejst

up tj olta ìjwcaofa rasalrmb tj okramt tbakrlssasseait*mlra gjr tbasa mblccaifkif euctk systaesyiorjeas) " ka @afac axarmksas+

Vby Bls Kt _lài ]j Cjif tj

Oklfijsa lio fat Hattar:



_ba hkffast ralsji ks tblt eliy pbyskmklis lra ijt

glekcklr wktb tba racltkjisbkp hatwaai pacvkm gcjjr

oysguimtkji lio pacvkm plki wktb hclooaroysguimtkji)

_ba Hjttje ckia ks tblt kt ks l Euctkglmatao ^lki]yiorjea tblt iaaos l

Euctkejolc*Euctkoksmkpckilry lpprjlmb tjaggamtkvacy tralt kt summassguccy)

_bara ks ij elfkm huccat)

Jtbar ralsjis gjr Eksskif

tba _rua Oklfijsks



_ba ^acvkm Gcjjr lio spamkgkmlccy l iji%raclxkif

pacvkm gcjjr ks jgtai tba mlusa jr l skfikgkmlit

mjitrkhutjr tj mbrjikm pacvkm plki$

_ba pacvkm gcjjr mli ha aktbar tba lmtulc mlusa jg tbapacvkm plki jr skepcy l vkmtke jg tba jtbar prjmassas#

hut aktbar wly# kt‛s oysguimtkji lio prasaima jgeyjglsmklc trkffar pjkits mli mlusa lio mjitkiua tjparpatulta pacvkm plki)

L Eksskif ^kama



Xastrkmtkva mjiiamtkva tkssua*glsmkl bls lcsj haai

koaitkgkao ls l skfikgkmlit sjurma jg plki lio

mjitrkhutjr tj vksmarlc oysguimtkji)$

Eyjglsmklc racalsa lio mjiiamtkva tkssuaelikpucltkji grje l trlkiao ^_ mli rackava plki lio

pjsktkvacy aggamt vksmarlc guimtkji ki tbasa pltkaits)

L Eksskif ^kama



_rluel ” pjst surfkmlc# li kidury# mbkcohkrtb# pbyskmlc

lhusa# psymbjcjfkmlc lhusa

^jsturlc Kidury oua tj pjjr# rapatktkva pjsturas# axmasskvaprassura ji tba pacvkm gcjjr# wal`iass tblt mjitrkhutas tjpjjr pjstura)

Axmasskva taiskji raspjisas tblt tlrfat tba pacvkm gcjjreusmcas –L Balolmba ki tba ^acvks―

L raspjisa tj l hlmtarklc kigamtkji jr trlueltkm kidury tbltojas ijt rasjcva avai wbai tba kiktklc kisuct ojas)

L pacvkm gcjjr oksalsa)

Vby Oko K Oavacjp tbks Mjioktkji:

"^GE Oysguimtkji+



^lki mymcas lra blro tj hral` hut uioarstliokif tbae ks

tba gkrst stap tj stjppkif tba mymca)

Bara‛s bjw kt fjas4 ]jeatbkif mlusas l plki raspjisa kitba lhojeai# cjw hlm`# pacvkm gcjjr# frjki jr tbkfbs) _bksmjuco ha surfary# li kigamtkji# li kidury# jr l oksalsa)

_ba eusmcas ialr lio lrjuio tba lral ki quastkji tkfbtaitj prjtamt tblt lral)

_blt eusmca tkfbtiass mlusas eusmca lio sjgt tkssua plkitblt raelkis avai wbai tba kiktklc kisuct ks fjia)

_ba ^lki# ]plse# Eusmca _kfbtiassMymca



^byskmlc _barlpy# eaokmltkjis# elsslfa# raclxltkji

trlkikif lcc mjitrkhuta tj hral` tba plki mymca hy wjr`kifwktb tba plkiguc eusmcas lio sjgt tkssuas)

[ju lra tlufbt sacg tralteait tambikquas tj mlrry juttbasa tambikquas)

_ba fjlc ks tj lccjw tkfbt eusmcas tj raturi tj tbakr ijrelccaiftb wbkmb lccjws gjr raclxltkji lio plki graaejvaeait)

Jima tbasa eusmcas lio sjgt tkssuas lra racalsao# tbara ks lraoumtkji jr ackekiltkji jg lhojekilc# hlm`# tbkfb# liofrjki plki)

Vblt ks tba ]jcutkji



Va lra trlkiao ki spamklckzao tambikquas tj

axle lio tralt tba pacvkm gcjjr strumturas)

Jur trlkikif ks lovlimao lio jhtlkiao lgtarwa mjepcatao jur hlskm mjursa wjr` tbrjufbpjst frloulta trlkikif)

Oji‛t lssuea tblt lcc pbyskmlc tbarlpksts mlitralt pacvkm plki)

Vblt ks l ^acvkm Gcjjr Oysguimtkji^byskmlc _barlpkst :



Va lra lmtkva ki tba Vjeai‛s Balctb ]amtkji jg tba

L^_L " Learkmli ^byskmlc _barlpy Lssjmkltkji+

Va tlà mjitkiuao lovlimao trlkikif mjursas kiâcvkm Gcjjr oksjroars lio tralteait

Va plrtkmkplta ki rasalrmb tj suppjrt pbyskmlctbarlpy kitarvaitkjis

Va wjr` ki syiarfy wktb yjur jtbar balctbmlraprjvkoars tj keprjva yjur qulckty jg ckga LIO

Va blva sbjrt gkifar ilkcs,

Vblt ks l âcvkm Gcjjr Oysguimtkji

^byskmlc _barlpkst



Avlcultkji4 BK]_JX[

Wjkokif lio ckquko mjisueptkji cjfs# kitarvaitkjistrkao atm)

AR_AXILC Axtarilc avlcultkji jg spkia# pacvks# bkps ejtkji lio

lckfieait) ]traiftb jg slea strumturas) Axtarilc avlcultkji jg mjiiamtkva tkssua ejhkckty)

Axtarilc avlcultkji*jhsarvltkji jg vucvl# vastkhucalio parkiaue)

Vblt Axlmtcy Vkcc Blppai ki l

^byskmlc _barlpy ]asskji:



Avlcultkji "Mjitkiuao+

KI_AXILC

Kitrl%vlfkilc eusmuclr axle) Gaackif gjr eusmca tjiatrkffar pjkits# straiftb atm)

Kitrl%ramtlc eusmuclr axle kg lpprjprklta ” gjr slea)

HKJGAAOHLM@

]jeatkeas usao aktbar kitarilc jr axtarilc acamtrjoa tjealsura acamtrkmlc lmtkvkty jg pacvkm gcjjr eusmcas)

Kigj usao VK_B eliulc axle

Vblt Axlmtcy Vkcc Blppai ki l^byskmlc _barlpy ]asskji:



_XAL_EAI_4

Wlrkas oapaiokif ji axle gkiokifs# pltkaits plki

cavac atm) Axtarilc lio Kitarilc eliulc tambikquas tj mjrramt tba

rastrkmtkjis) _basa kimcuoa elsslfa tambikqua#eyjglsmklc racalsa# sjgt tkssua ejhkckzltkji# stratmbkif#lio eusmca straiftbaikif)

Ejolcktkas lra lcsj bacpguc) _basa kimcuoa hkjgaaohlm`#acamtrkmlc stkeucltkji# kitargaraitklc stkeucltkji# liotbarelc lfaits)

Vblt Axlmtcy Vkcc Blppai ki l

^byskmlc _barlpy ]asskji:



^ltkait Aoumltkji4

Qsa jg hclooar ra%trlkikif* tjkcatkif trkm`s

Okatlry kigcuaimas Xaclxltkji*lhojekilc Hraltbkif tambikquas

]acg stratmbkif*okcltjr jr mrystlc wlio usa lt bjea

Aeu jkc# jckva jkc jr jtbar lkoas gjr vucvlr rackag

Xagarrlc tj Kitafrltkva eaokmkia prlmtktkjiars gjrfukoao kelfary# lmupuimtura# muppkif# Xak`k jrmckikmlc elsslfa




[ju sbjuco ha lhca tj ls` liy quastkji uskif lio

vjmlhuclry yju gaac mjegjrtlhca uskif

[ju sbjuco `ijw tblt [JQ lra ki mjitrjc liomjeeuikmlta wktb yjur tbarlpkst lhjut plki cavac#oksmjegjrt jr iaaokif tj tl`a l hral`)




Jur sasskjis lra usulccy li bjur cjif)

]ummass jg yjur tralteait wkcc ha l _ALE aggjrt)

[jur jvarlcc jutmjea wkcc ha hast wbai yju saa tbksls l plrtiarsbkp) [jur rjca ki elilfkif yjur hjoyks MXK_KMLC lio gjccjw tbrjufb wktb bjea*sacgmlra mli el`a jr hral` tba rasucts)

_ralteait ks l calrikif lio –ui%clyarkif― avait)_ry tj ha pltkait lio parskstlit,,

Vblt Acsa Lhjut ^byskmlc

_barlpy ]bjuco K @ijw:



@afac axarmksas lra lcc yju iaao) E[_B ”

Jgtai l iji%raclxkif ^G ks tba mucprkt jg pacvkm plki)

@afacs wkcc jicy axlmarhlta tba prjhcae) Avai kg yju blva cal`kif# eusmcas mli ha wal`

hamlusa tbay lra gclmmko "cjjsa+ jr hamlusa tbay lratkfbt

Ejst pajpca oj @afacs kimjrramtcy% kg yju blva plki#yju sbjuco saa l pacvkm gcjjr ^_ tj el`a sura yjuiaao @afacs jr lra ojkif tbae mjrramtcy

^acvkm Gcjjr ^_

E[_B]



^byskmlc _barlpy wkcc ha plkiguc lio gclra ey

mjioktkji% E[_B

Vbkca kt ks kepjsskhca tj lcwlys mjitrjc tba raspjisa tjtralteait# l qulckgkao ^G ^_ wkcc `ijw bjw tj frloalio lodust yjur tralteait tj ijt kimralsa yjur plkicavac)

]jea tambikquas ka trkffar pjkit racalsa jr mjiiamtkva

tkssua elikpucltkji ely _AE^JXLXKC[ kimralsacjmlc plki# tbay sbjuco blva tba jvarlcc raspjisa jgplki raoumtkji)

Va blva tambikquas tj raouma plki lgtar eliulckitarvaitkji4 kma# Kitargaraitklc Acamtrkmlc stke# atm)

^acvkm Gcjjr ^_

E[_B]



^byskmlc _barlpksts lra Eali lio ck`a tj burt

pajpca% E[_B

Va lra `kio pajpca wbj wlit tj bacp yju fat yjur ckgahlm`)

Va lra fjjo ckstaiars lio lra lhca tj spaio ejra tkeawktb yju tj bacp prjhcae sjcva tba –Hkf ^kmtura―

Va CJWA wblt wa oj lio lra plsskjilta lhjutbacpkif jur pltkaits)

^acvkm Gcjjr ^_

E[_B]



^byskmlc tbarlpy kitarvaitkjis lra

][IAXFK]_KM wktb tba jtbar eaokmlcelilfaeait jptkjis lio sbjuco ha lgkrst ckia ragarrlc ls plrt jg li kitafrltaolpprjlmb tj traltkif pltkaits)

]yiarfy



Bjw tj Gkio l \ulckgkao ^acvkm

Gcjjr ^_L^_L wahskta www)L^_L)jrf

Vjeai‛s Balctb ]amtkji jg L^_L

www)wjeaisbalctblptl)jrf www)puoaiolcbjpa)jrf

Bjspktlc ]ystaes ki tba lral

Ls` quastkjis4

Oj tbay oj kitarilc lio axtarilc tralteait

Xamait mjursas

Oj tbay blva cjif gkifarilkcs:

http://www.apta.org/

http://www.womenshealthapta.org/

http://www.pudendalhope.org/

http://www.pudendalhope.org/

http://www.womenshealthapta.org/

http://www.apta.org/



Haluejit Balctb ]ystae

Haluejit Balctb ]ystae ^acvkm Gcjjr ^byskmlc_barlpy ^rjfrle

2 jutpltkait sktas# raprasaitltkji tbrjufb lcc =bjspktlcs tbrjufbjut ]jutbalst Ekmbkfli)

<1 ^_s wbj spamklckza ki ^acvkm Gcjjr ^_)

Vjeai‛s Qrjcjfy Maitar% Mjeprabaiskva

Euctkoksmkpckilry Mckikm cjmltao ji Xjylc Jl` Mlepus Kigjreltkji lvlkclhca4 " bliojuts+



Oji‛t fat oksmjurlfao) Kt tl`as tkea tj ravarsa yjur

syeptjes aspamklccy skima tbay ely blva haai

prasait gjr l mjiskoarlhca lejuit jg tkea) Gjccjw yjur tbarlpksts kistrumtkjis)

Qsa lcc sjurmas jg bacp jpai tj yju ” elsslfatbarlpksts# iursa prlmtktkjiars# spamklcksts ki rak`k#

lmupuitura# raclxltkji# yjfl) Elkitlki ls balctby l ckgastyca ls yju mli lio stly

–rafuclr―

^lrtkif Mjeeaits



[jur \uastkjis

_bli` yju sj eumbgjr blvkif ea,,,

Pelvic Pain Presentation

Documents

Transcript of Pelvic Pain Presentation