{"id":363,"date":"2021-01-13T17:08:00","date_gmt":"2021-01-13T17:08:00","guid":{"rendered":"https:\/\/novo2.drandremansano.com.br\/dores-generalizadas-copy\/"},"modified":"2021-01-13T17:08:00","modified_gmt":"2021-01-13T17:08:00","slug":"dor-pelvica","status":"publish","type":"page","link":"https:\/\/drandremansano.com.br\/index.php\/dor-pelvica\/","title":{"rendered":"Dor p\u00e9lvica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"363\" class=\"elementor elementor-363\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bcb1c8a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"bcb1c8a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6b46241a\" data-id=\"6b46241a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a771bf7 elementor-widget elementor-widget-image\" data-id=\"6a771bf7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"79\" height=\"82\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/02\/a-dor.png\" class=\"attachment-large size-large wp-image-1582\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1df3a658\" data-id=\"1df3a658\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7cfc3ab7 elementor-widget elementor-widget-heading\" data-id=\"7cfc3ab7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DORES P\u00c9LVICAS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-19dc94b8 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"19dc94b8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4eede697\" data-id=\"4eede697\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-16569209 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"16569209\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-773c5acf\" data-id=\"773c5acf\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-243b767d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"243b767d\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36c4a202 elementor-widget elementor-widget-text-editor\" data-id=\"36c4a202\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em>\u201cEstima-se que 15% das mulheres sofra com dores p\u00e9lvicas cr\u00f4nicas\u201d<\/em>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e36b8c3 elementor-widget elementor-widget-text-editor\" data-id=\"4e36b8c3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>A dor p\u00e9lvica cr\u00f4nica \u00e9 descrita como uma dor que ocorre da cicatriz umbilical para baixo.<\/p><p>Estima-se que 15% das mulheres entre 18 e 50 anos sofre com dores p\u00e9lvicas cr\u00f4nicas. Outros estudos demonstram que em aproximadamente 50% dos casos n\u00e3o h\u00e1 um diagn\u00f3stico claro para o problema.<\/p><p>Embora seja mais comum em mulheres, as dores p\u00e9lvicas cr\u00f4nicas n\u00e3o s\u00e3o exclusividade feminina, homens tamb\u00e9m podem sofrer com o problema.<\/p><p>Inicialmente, o mais importantes \u00e9 identificar a causa das dores p\u00e9lvicas e isso deve ser exaustivamente procurado. A hist\u00f3ria cl\u00ednica e o exame f\u00edsico sempre s\u00e3o importantes. S\u00e3o eles que v\u00e3o sugerir se o m\u00e9dico deve ou n\u00e3o solicitar algum exame para auxiliar no diagn\u00f3stico do problema.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-36932fb2\" data-id=\"36932fb2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51913f01 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"51913f01\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-679199a1\" data-id=\"679199a1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a673ddd elementor-widget elementor-widget-image\" data-id=\"4a673ddd\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"655\" height=\"811\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/dor-pelvica-o-que-pode-ser-como-saber-dor-pelvica.jpg\" class=\"attachment-large size-large wp-image-1113\" alt=\"\" srcset=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/dor-pelvica-o-que-pode-ser-como-saber-dor-pelvica.jpg 655w, https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/dor-pelvica-o-que-pode-ser-como-saber-dor-pelvica-242x300.jpg 242w\" sizes=\"(max-width: 655px) 100vw, 655px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-74b91ac9\" data-id=\"74b91ac9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-63136317 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"63136317\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6579fc elementor-widget elementor-widget-toggle\" data-id=\"f6579fc\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2581\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2581\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">PRINCIPAIS CAUSAS DE DORES P\u00c9LVICAS<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2581\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2581\"><p><strong>Gastroenterol\u00f3gicas<\/strong><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u00edndrome do intestino irrit\u00e1vel<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doen\u00e7a inflamat\u00f3ria intestinal<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipa\u00e7\u00e3o cr\u00f4nica<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abscesso perianal<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tumores intestinais<\/span><\/li><\/ul><p>\u00a0<\/p><p><strong>Musculoesquel\u00e9ticas<\/strong><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u00edndrome do levantador do \u00e2nus<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prolapso do assoalho p\u00e9lvico<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Degenera\u00e7\u00e3o discal<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Compress\u00f5es nervosas (nervo pudendo ou nervo iliinguinal)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dor miofascial (dor da musculatura que passa na regi\u00e3o p\u00e9lvica &#8211; como por exemplo, Psoas)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dor sacroil\u00edaca<\/span><\/li><\/ul><p>\u00a0<\/p><p><strong>Ginecol\u00f3gicas<\/strong><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endometriose<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u00edndrome de congest\u00e3o p\u00e9lvica<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doen\u00e7a inflamat\u00f3ria p\u00e9lvica<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doen\u00e7as ovarianas<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tumores ginecol\u00f3gicos (\u00fatero\/ov\u00e1rio)<\/span><\/li><\/ul><p>\u00a0<\/p><p><strong>Urol\u00f3gicas<\/strong><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cistite intersticial<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prostatite cr\u00f4nica<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infec\u00e7\u00e3o urin\u00e1ria de repeti\u00e7\u00e3o<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hiperatividade do detrusor (musculo que auxilia na mic\u00e7\u00e3o)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tumores<\/span><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ca17f70 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"1ca17f70\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2c9febd2\" data-id=\"2c9febd2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e55baca elementor-widget elementor-widget-toggle\" data-id=\"6e55baca\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1851\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1851\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Qual \u00e9 o tratamento da dor p\u00e9lvica cr\u00f4nica? <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1851\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1851\"><p>\u00c9 claro que o tratamento das dores p\u00e9lvicas cr\u00f4nicas deve ser realizado de acordo com a causa do problema. A endometriose, por exemplo, pode ser tratada com inibi\u00e7\u00e3o do ciclo menstrual ou com cirurgias realizadas por ginecologistas especializados.<\/p><p>Uma das t\u00e9cnicas intervencionistas mais utilizadas para pacientes com dores de dif\u00edcil controle \u00e9 o bloqueio do plexo hipog\u00e1strico superior.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1852\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1852\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O QUE \u00c9 O PLEXO HIPOG\u00c1STRICO SUPERIOR?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1852\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1852\"><p>O plexo hipog\u00e1strico superior \u00e9 um emaranhado de fibras que inervam os \u00f3rg\u00e3os p\u00e9lvicos. Essa rede de fibras nervosas localiza-se na frente da \u00faltima v\u00e9rtebra lombar e do sacro.<\/p>\n<p>Bloqueio do plexo hipog\u00e1strico superior, um procedimento que pode aliviar as dores do paciente com cistite intersticial.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1853\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1853\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">QUAIS S\u00c3O AS PRINCIPAIS INDICA\u00c7\u00d5ES DO BLOQUEIO DO PLEXO HIPOG\u00c1STRICO?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1853\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1853\"><p>Os pacientes que mais se beneficiam desse bloqueio s\u00e3o os pacientes com dores p\u00e9lvicas cr\u00f4nicas intrat\u00e1veis.<\/p><p>As principais causas s\u00e3o:<\/p><p>\u2013 cistite intersticial<\/p><p>\u2013 endometriose<\/p><p>\u2013 ader\u00eancias p\u00e9lvicas p\u00f3s cirurgias<\/p><p>\u2013 c\u00e2ncer de \u00f3rg\u00e3os p\u00e9lvicos<\/p><p>\u2013 outros<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1854\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1854\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">COMO \u00c9 FEITO O BLOQUEIO DO PLEXO HIPOG\u00c1STRICO SUPERIOR?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1854\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1854\"><p>O bloqueio do plexo hipog\u00e1strico superior \u00e9 feito atrav\u00e9s de agulhas (sem necessidade de cortes). O procedimento \u00e9 realizado sob seda\u00e7\u00e3o e guiado com uso de imagens radiol\u00f3gicas. O paciente tem alta no mesmo dia.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DORES P\u00c9LVICAS \u201cEstima-se que 15% das mulheres sofra com dores p\u00e9lvicas cr\u00f4nicas\u201d\u00a0 A dor p\u00e9lvica cr\u00f4nica \u00e9 descrita como uma dor que ocorre da cicatriz umbilical para baixo. Estima-se que 15% das mulheres entre 18 e 50 anos sofre com dores p\u00e9lvicas cr\u00f4nicas. Outros estudos demonstram que em aproximadamente 50% dos casos n\u00e3o h\u00e1 um diagn\u00f3stico claro para o problema. Embora seja mais comum em mulheres, as dores p\u00e9lvicas cr\u00f4nicas n\u00e3o s\u00e3o exclusividade feminina, homens tamb\u00e9m podem sofrer com o problema. Inicialmente, o mais importantes \u00e9 identificar a causa das dores p\u00e9lvicas e isso deve ser exaustivamente procurado. A hist\u00f3ria cl\u00ednica e o exame f\u00edsico sempre s\u00e3o importantes. S\u00e3o eles que v\u00e3o sugerir se o m\u00e9dico deve ou n\u00e3o solicitar algum exame para auxiliar no diagn\u00f3stico do problema. PRINCIPAIS CAUSAS DE DORES P\u00c9LVICAS Gastroenterol\u00f3gicas S\u00edndrome do intestino irrit\u00e1vel Doen\u00e7a inflamat\u00f3ria intestinal Constipa\u00e7\u00e3o cr\u00f4nica Abscesso perianal Tumores intestinais \u00a0 Musculoesquel\u00e9ticas S\u00edndrome do levantador do \u00e2nus Prolapso do assoalho p\u00e9lvico Degenera\u00e7\u00e3o discal Compress\u00f5es nervosas (nervo pudendo ou nervo iliinguinal) Dor miofascial (dor da musculatura que passa na regi\u00e3o p\u00e9lvica &#8211; como por exemplo, Psoas) Dor sacroil\u00edaca \u00a0 Ginecol\u00f3gicas Endometriose S\u00edndrome de congest\u00e3o p\u00e9lvica Doen\u00e7a inflamat\u00f3ria p\u00e9lvica Doen\u00e7as ovarianas Tumores ginecol\u00f3gicos (\u00fatero\/ov\u00e1rio) \u00a0 Urol\u00f3gicas Cistite intersticial Prostatite cr\u00f4nica Infec\u00e7\u00e3o urin\u00e1ria de repeti\u00e7\u00e3o Hiperatividade do detrusor (musculo que auxilia na mic\u00e7\u00e3o) Tumores Qual \u00e9 o tratamento da dor p\u00e9lvica cr\u00f4nica? \u00c9 claro que o tratamento das dores p\u00e9lvicas cr\u00f4nicas deve ser realizado de acordo com a causa do problema. A endometriose, por exemplo, pode ser tratada com inibi\u00e7\u00e3o do ciclo menstrual ou com cirurgias realizadas por ginecologistas especializados. Uma das t\u00e9cnicas intervencionistas mais utilizadas para pacientes com dores de dif\u00edcil controle \u00e9 o bloqueio do plexo hipog\u00e1strico superior. O QUE \u00c9 O PLEXO HIPOG\u00c1STRICO SUPERIOR? O plexo hipog\u00e1strico superior \u00e9 um emaranhado de fibras que inervam os \u00f3rg\u00e3os p\u00e9lvicos. Essa rede de fibras nervosas localiza-se na frente da \u00faltima v\u00e9rtebra lombar e do sacro. Bloqueio do plexo hipog\u00e1strico superior, um procedimento que pode aliviar as dores do paciente com cistite intersticial. QUAIS S\u00c3O AS PRINCIPAIS INDICA\u00c7\u00d5ES DO BLOQUEIO DO PLEXO HIPOG\u00c1STRICO? Os pacientes que mais se beneficiam desse bloqueio s\u00e3o os pacientes com dores p\u00e9lvicas cr\u00f4nicas intrat\u00e1veis. As principais causas s\u00e3o: \u2013 cistite intersticial \u2013 endometriose \u2013 ader\u00eancias p\u00e9lvicas p\u00f3s cirurgias \u2013 c\u00e2ncer de \u00f3rg\u00e3os p\u00e9lvicos \u2013 outros COMO \u00c9 FEITO O BLOQUEIO DO PLEXO HIPOG\u00c1STRICO SUPERIOR? O bloqueio do plexo hipog\u00e1strico superior \u00e9 feito atrav\u00e9s de agulhas (sem necessidade de cortes). O procedimento \u00e9 realizado sob seda\u00e7\u00e3o e guiado com uso de imagens radiol\u00f3gicas. O paciente tem alta no mesmo dia.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-363","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/pages\/363"}],"collection":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=363"}],"version-history":[{"count":0,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/pages\/363\/revisions"}],"wp:attachment":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}