Kupa Tedavisine Genel Bir Bakış

Parlakpinar, Hakan; POLAT, SEYHAN

doi:10.5336/jtracom.2019-72649

Kupa Tedavisine Genel Bir Bakış

Hakan PARLAKPINAR, (İnönü Üniversitesi, Tıp Fakültesi, Tıbbi Farmakoloji Anabilim Dalı, Malatya, Türkiye)

Seyhan POLAT (İnönü Üniversitesi, Tıp Fakültesi, Turgut Özal Tıp Merkezi, Malatya, Türkiye)

Geleneksel ve Tamamlayıcı Tıp Dergisi

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Yıl: 2020 Cilt: 3 Sayı: 2 Sayfa Aralığı: 246 - 264 Metin Dili: Türkçe DOI: 10.5336/jtracom.2019-72649 İndeks Tarihi: 10-12-2020

Kupa Tedavisine Genel Bir Bakış

Öz:

Kupa tedavisi, binlerce yıllık uygulanma geçmişi ve bilgi birikimiyle günümüze ulaşmış, koruyucu ve tedavi edici özellikli tamamlayıcı tıp uygulamalarından birisidir. Günümüzde kupa tedavisidünyanın birçok farklı bölgesinde yaygın bir şekilde uygulanmaktadır.Bazı Avrupa ülkelerinde kupa tedavisi, konvansiyonel sağlık sisteminedâhil edilmiştir. Romatoid artrit, hipertansiyon, baş ağrısı, fibromiyalji,bel ağrısı, osteoartrit, miyofasiyal ağrı sendromu ve infertilite gibi birçok farklı endikasyonda tedavi amacıyla ve sağlıklı bireylerde immünsistemi güçlendirmek için kupa tedavisi uygulanabilmektedir. Geniş biryelpazedeki tıbbi endikasyonlarda uygulanabilen kupa tedavisinin analjezik, anti-inflamatuar, antioksidan vb. birçok etkiye aracılık ettiği düşünülen farklı görüşler ortaya atılmıştır. Taibah teorisi, kapı kontrolteorisi, diffüz noksiyöz inhibitör kontroller, refleks zon teorisi, β-endorfin ve adrenokortikal hormonların salınımı, immün sistem aktivasyonu, nitrik oksit teorisi, dolaşımın detoksifikasyonu teorisi, oksidatifstresin azaltılması, miyofasiyal dekompresyon ve plasebo etkinlik önesürülen mekanizmalardandır. Literatürde, kupa tedavisinin deneysel veklinik etkililiğini, güvenliliğini ve etki mekanizmalarını derinlemesinetartışan çalışmaların sayısı yeterli değildir. Bu bağlamda, kupa tedavisinde altta yatan mekanizmalar, ortaya atılan bazı teorilere rağmenhenüz tam olarak aydınlatılamamıştır. Özetle bu derlemede kupa tedavisinin tarihi, güncel sınıflaması, ileri sürülen etki mekanizmaları vekullanıldığı hastalıklar güncel literatür verilerinin kılavuzluğunda anlatılmış olup bu uygulamayla ilgili ülkemizdeki yasal durum ifade edilmiştir. Kupa tedavisinin bilimsel yönleriyle tam olarak anlaşılabilmesiiçin iyi dizayn edilmiş ileri klinik çalışmalara ihtiyaç olduğu iyi bilinenbir gerçektir.

Anahtar Kelime:

An Overview of Cupping Treatment

Öz:

Cupping therapy is one of the traditional and complementary medicine applications that have survived for thousands of years with its history and knowledge. Today, cupping therapy is widely used in many different regions of the world. In some European countries, cupping therapy has been included in the conventional health system. Cupping therapy can be used for the treatment of many different indications such as rheumatoid arthritis, hypertension, headache, fibromyalgia, low back pain, osteoarthritis, myofascial pain syndrome, and infertility and also it can be used for strengthening the immune system in healthy individuals. Taibah theory, gate control theory, diffuse noxious inhibitory controls, reflex zone theory, the release of β-endorphin and adrenocortical hormones, immune system activation, nitric oxide theory, circulatory detoxification theory, oxidative stress reduction, myofascial decompression and placebo activity are suggested mechanisms. In the literature, the number of studies that discuss the experimental and clinical efficacy, safety, and mechanism of action of cupping therapy in depth is not sufficient. Based on this relationship, the underlying mechanisms of cupping therapy have not been fully elucidated, despite some theories. To summarize, in this review; history and current classification of cupping therapy, the proposed mechanisms of action and the diseases in which it is used are explained with the guidance of the current literature and the legal situation in our country related to this practice is expressed. To fully understand the scientific aspects of cupping therapy, it is well known that there is a need for well-designed, advanced clinical trials.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	Parlakpinar H, POLAT S (2020). Kupa Tedavisine Genel Bir Bakış. , 246 - 264. 10.5336/jtracom.2019-72649
Chicago	Parlakpinar Hakan,POLAT SEYHAN Kupa Tedavisine Genel Bir Bakış. (2020): 246 - 264. 10.5336/jtracom.2019-72649
MLA	Parlakpinar Hakan,POLAT SEYHAN Kupa Tedavisine Genel Bir Bakış. , 2020, ss.246 - 264. 10.5336/jtracom.2019-72649
AMA	Parlakpinar H,POLAT S Kupa Tedavisine Genel Bir Bakış. . 2020; 246 - 264. 10.5336/jtracom.2019-72649
Vancouver	Parlakpinar H,POLAT S Kupa Tedavisine Genel Bir Bakış. . 2020; 246 - 264. 10.5336/jtracom.2019-72649
IEEE	Parlakpinar H,POLAT S "Kupa Tedavisine Genel Bir Bakış." , ss.246 - 264, 2020. 10.5336/jtracom.2019-72649
ISNAD	Parlakpinar, Hakan - POLAT, SEYHAN. "Kupa Tedavisine Genel Bir Bakış". (2020), 246-264. https://doi.org/10.5336/jtracom.2019-72649

APA	Parlakpinar H, POLAT S (2020). Kupa Tedavisine Genel Bir Bakış. Geleneksel ve Tamamlayıcı Tıp Dergisi, 3(2), 246 - 264. 10.5336/jtracom.2019-72649
Chicago	Parlakpinar Hakan,POLAT SEYHAN Kupa Tedavisine Genel Bir Bakış. Geleneksel ve Tamamlayıcı Tıp Dergisi 3, no.2 (2020): 246 - 264. 10.5336/jtracom.2019-72649
MLA	Parlakpinar Hakan,POLAT SEYHAN Kupa Tedavisine Genel Bir Bakış. Geleneksel ve Tamamlayıcı Tıp Dergisi, vol.3, no.2, 2020, ss.246 - 264. 10.5336/jtracom.2019-72649
AMA	Parlakpinar H,POLAT S Kupa Tedavisine Genel Bir Bakış. Geleneksel ve Tamamlayıcı Tıp Dergisi. 2020; 3(2): 246 - 264. 10.5336/jtracom.2019-72649
Vancouver	Parlakpinar H,POLAT S Kupa Tedavisine Genel Bir Bakış. Geleneksel ve Tamamlayıcı Tıp Dergisi. 2020; 3(2): 246 - 264. 10.5336/jtracom.2019-72649
IEEE	Parlakpinar H,POLAT S "Kupa Tedavisine Genel Bir Bakış." Geleneksel ve Tamamlayıcı Tıp Dergisi, 3, ss.246 - 264, 2020. 10.5336/jtracom.2019-72649
ISNAD	Parlakpinar, Hakan - POLAT, SEYHAN. "Kupa Tedavisine Genel Bir Bakış". Geleneksel ve Tamamlayıcı Tıp Dergisi 3/2 (2020), 246-264. https://doi.org/10.5336/jtracom.2019-72649