Download - Pelvic Pain Presentation
8/15/2019 Pelvic Pain Presentation
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L ^rasaitltkji gjr Vjeai suggarkif wktbMbrjikm ^acvkm ^lki lio*jr ^lkiguc Hclooar
]yiorjea
@rkstai Elk`a# ^_Haluejit Balctb ]ystae
8/15/2019 Pelvic Pain Presentation
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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
8/15/2019 Pelvic Pain Presentation
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Vblt ks tba oagkiktkji jg –^lkiguc Hclooar]yiorjea―:
Vblt ks tba oagkiktkji jg –Mbrjikm ^acvkm^lki―:
Vblt lra tba ^acvkm Gcjjr Eusmcas:
Vblt ks ^acvkm Gcjjr Eusmca Oysguimtkji:Lio bjw ojas kt pcly li kepjrtlit rjca kitba puzzca:
Gkrst Cat‛s Oagkia tba
_arekijcjfy
8/15/2019 Pelvic Pain Presentation
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Qcmarltkva vs) Iji%Qcmarltkva
QCMAXL_KWA4 Qpji vksulckzltkji vklmystjsmjpa# Buiiar‛s Qcmars lrakoaitkgkao)
IJI%QCMAXL_KWA4 ij ucmarsvksulckzao) "^H]+
Kitarstktklc Mystktks
KM
8/15/2019 Pelvic Pain Presentation
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–]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]
8/15/2019 Pelvic Pain Presentation
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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^^
8/15/2019 Pelvic Pain Presentation
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M^^
FK
Qrkilry
Eusmucjs`acatlc
^symb
XaprjoumtkvaGalr
Okat*
Iutrktkva
]pkrktulc
Mjiiamtkva_kssua*
Glsmklc
8/15/2019 Pelvic Pain Presentation
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_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
8/15/2019 Pelvic Pain Presentation
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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
8/15/2019 Pelvic Pain Presentation
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]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:
8/15/2019 Pelvic Pain Presentation
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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
8/15/2019 Pelvic Pain Presentation
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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
8/15/2019 Pelvic Pain Presentation
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^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
8/15/2019 Pelvic Pain Presentation
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Kt tl`as 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 `ijwcaofa rasalrmb tj okramt tbakrlssasseait*mlra gjr tbasa mblccaifkif euctk systaesyiorjeas) " ka @afac axarmksas+
Vby Bls Kt _l`ai ]j Cjif tj
Oklfijsa lio fat Hattar:
8/15/2019 Pelvic Pain Presentation
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_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
8/15/2019 Pelvic Pain Presentation
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_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
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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
8/15/2019 Pelvic Pain Presentation
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_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+
8/15/2019 Pelvic Pain Presentation
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^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
8/15/2019 Pelvic Pain Presentation
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^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
8/15/2019 Pelvic Pain Presentation
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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 :
8/15/2019 Pelvic Pain Presentation
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Va lra lmtkva ki tba Vjeai‛s Balctb ]amtkji jg tba
L^_L " Learkmli ^byskmlc _barlpy Lssjmkltkji+
Va tl`a mjitkiuao lovlimao trlkikif mjursas ki^acvkm 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 ^acvkm Gcjjr Oysguimtkji
^byskmlc _barlpkst
8/15/2019 Pelvic Pain Presentation
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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:
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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:
8/15/2019 Pelvic Pain Presentation
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_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:
8/15/2019 Pelvic Pain Presentation
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^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
Vblt Axlmtcy Vkcc Blppai ki l^byskmlc _barlpy ]asskji:
8/15/2019 Pelvic Pain Presentation
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[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`)
Vblt Axlmtcy Vkcc Blppai ki l^byskmlc _barlpy ]asskji:
8/15/2019 Pelvic Pain Presentation
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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:
8/15/2019 Pelvic Pain Presentation
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@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]
8/15/2019 Pelvic Pain Presentation
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^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]
8/15/2019 Pelvic Pain Presentation
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^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]
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^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
8/15/2019 Pelvic Pain Presentation
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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:
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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+
8/15/2019 Pelvic Pain Presentation
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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
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[jur \uastkjis
_bli` yju sj eumbgjr blvkif ea,,,