Akupunktura u liječenju glavobolje – terapija ili placebo?

Autor: Darija Mahović Lakušić
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Medicus
Volume 28
Issue 1 Neurologija
ISSN: 1848-8315
1330-013X
Popis: Akupunktura je starokineska metoda liječenja s pomoću igala koje se zabadaju u točno određene točke na koži. Počela se primjenjivati u Kini, a prva knjiga u kojoj se opisuje datira iz 475. godine pr. Kr. Godine 1979. Svjetska zdravstvena organizacija sastavila je listu od 43 bolesti u kojima se akupunktura pokazala korisnom. Na konferenciji National Institute of Health održanoj 1997. godine pregledano je više od 2000 znanstvenih studija o temi akupunkture te je zaključeno da postoje dokazi koji podupiru primjenu akupunkture kao adjuvantne metode liječenja. Postoji nekoliko različitih teorija o mehanizmima djelovanja akupunkture. Studije sugeriraju da akupunktura dovodi do inhibicije transmisije boli u središnji živčani sustav stimulacijom aferentnih A-delta i C-vlakana te dovodi do neuromodulacije. Također dovodi do otpuštanja antialgogenih tvari uključujući endorfine. Akupunktura je iznimno sigurna metoda. Najčešće su nuspojave blage i uključuju manje modrice ili krvarenje na mjestu uboda, pogoršanje postojećih simptoma, pospanost, opuštanje ili euforiju (koja se često doživljava kao nešto ugodno) i bol na mjestu uboda igle. Godine 2016. objavljeni su u Cochraneovoj bazi pregledni radovi koji su potvrdili učinkovitost akupunkture u profilaksi epizodične tenzijske i migrenske glavobolje. Neupitno je da je akupunktura metoda stara 5000 godina i da se i dalje primjenjuje u terapiji različitih bolnih sindroma te je predmet izučavanja mnogih studija, za razliku od brojnih farmakoloških i nefarmakoloških metoda koje su bile jako popularne nekoliko godina ili desetljeća te su zatim potpuno izbačene iz primjene zbog nedjelotvornosti i nuspojava.
Acupuncture is an old Chinese method of treatment with needles that are inserted into designated areas on the skin. The practice of acupuncture began in China and the first book describing the treatment dates back to 475 BC. In 1979 the World Health Organization created a list of 43 diseases that may benefit from acupuncture. After more than 2,000 scientific studies concerning acupuncture were reviewed at the National Institute of Health conference held in 1997, it was concluded that there were sufficient evidence supporting the use of acupuncture as an adjuvant treatment method. Several different theories about the mechanism of action have been identified for acupuncture. Studies suggested that acupuncture could result in inhibition of pain transmission to the central nervous system by stimulation of afferent A-delta and C fibres, as well as in neuromodulation. Acupuncture also facilitates the release of anti-algal agents, including endorphins. It is an extremely safe method of treatment if performed by adequately trained practitioners. The most common side effects are mild and include the following: minor bruising or bleeding where the needles puncture the skin, worsening of pre-existing symptoms, drowsiness, relaxation or euphoria (often experienced as a pleasant feeling) and pain where the needles puncture the skin. The 2016 Cochrane Database of Systematic Reviews includes reviews that demonstrate the effectiveness of acupuncture for the prophylaxis of episodic tension-type headaches (TTH) and migraines. Acupuncture is undoubtedly a 5000-year-old method that continues to be used in the treatment of various pain syndromes. It is the subject-matter of numerous studies, unlike other pharmacological and non-pharmacological methods whose popularity lasted a few years or decades until their complete discontinuation in clinical practice due to their ineffectiveness and adverse effects.
Databáze: OpenAIRE
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