1. LoOoL
(Off)
[ 27 Aug 2013, 16:47 ]
impotencia (ereqciuli disfunqcia) aris mdgomareoba, romlis drosac mamakaci ver axerxebs miaRwios an SeinarCunos sakmarisi ereqcia sqesobrivi aqtisTvis. ereqtiuli disfunqcia sakmaod gavrcelebuli mdgomareobaa misi sxvadasxva xarisxi gamoxatulia mamakacebis 52 % Si 40-70 wlis diapazonSi. ereqciuli disfunqcia 45 wlamde mamakacebis TiTqmis 10 % -s awuxebs.
zogjer ereqtiuli problemebi gamowveulia fsiqogenuri problemebiT, ufro xSirad mizezebi kombinirebulia, rogorc organuli, aseve fsiqogenuri.
ereqtiuli disfunqciis yvelaze xSir organul mizezs warmoadgens diabeti, nevrologiuri proflemebi (travma, prostateqomia) hormonuli ukmarisoba(hipogonadizmi.
ereqciuli disfunqciis risk faqtorebia:
asaki (asakis matebasTan erTad matulobs ereqciuli disfunqciis SemTxvevebis raodenoba);
Saqriani diabeti (yvelaze xSiri risk faqtori 50 %-Si vlindeba.);
hipertenzia;
gul-sisxlZarRvTa paTologiebi;
sigaretis moweva;
Tiaziduri diuretikebi;
fsiqotropuli medikamentebi
antihipertenziulebi;
digoqsini
H2 receptorebis antagonistebi.
antiqolinergulebi;
citotoqsiuri agentebi;
androgenis antagonistebi.
saSarde sistemebis problemebi xSirad asocirebulia ereqtiul disfunqciasTan, vinaidan mag. Sardis buStis detruzori kunTebis SekumSvas da gluvi (kavernozuli) kunTebis funqcionirebas aqvT bevri msgavsebebi. K+arxebi, gansakuTrebiT kalcium sensitiuri kaliumis arxebi, A/Rho kinazis sasignalo sistema, L tipis kalciumis arxebi, jap-kavSirebi, warmodgenilia, rogorc detruzor kunTebSi, aseve gluv kunTebSi.
ereqciuli disfunqcii diagnozi ZiriTadad pacientis anamnezs efuZneba, radgan laboratoriuli testebiT misi diagnostika ar xdeba. pirvel rigSi aucilebelia Sefasdes pacientis zogadi samedicino mdgomareoba, fsiqosocialuri da fsiqoseqsualuri istoria, gaanalizdes risk-faqtorebis arseboba.
fsiqoseqsualuri aspeqtebi:
interpersonaluri urTierTbebis simyare (qorwineba, ganqorwineba da a.S.);
depresia;
stresi;
seqsualuri aqtis Sesrulebis SfoTva;
adamianis seqsualobis Sesaxeb codna da warmodgenebi;
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2. LoOoL
(Off)
[ 27 Aug 2013, 16:47 ]
risk faqtorebi:
Saqriani diabeti, hipertenzia, koronaruli arteriebis paTologiebi, Tirkmlis paTologiebi(bolo stadia), periferiuli vaskularuli paTologiebi.
zurgis tvinis travma, paTologia.
insulti, alcheimeris daavadeba.
menjis dazianeba.
antihipertenziulebi, antidepresantebi, antifsiqozurebi.
antiandrogenebi, androgenebis produqciis inhibitorebi rekreaciuli wamlebis gamoyeneba: alkoholi, Tambaqo, kokaini, opiatebi.
fizikuri gasinjvisas:
SesaZloa mamakacs aReniSnebodes androgenebis deficiti- ganuviTarebeli meoradi sasqeso niSnebi, saTesleebis mcire moculoba, mkerdis gadideba.
genitaluri mgrZnobelobis gaqroba-daqveiTeba SesaZloa miuTiTebdes zurgis tvinis dazianebaze, warsulSi gadatanil insultze an periferiul neiropaTiaze.
periferiuli iSemiis dros mkveTrad Sesustebulia barZayis da terfis arteriebis pulsacia.
penisis gasinjva saWiroa peironis daavadebis gamosaricxad.
ZiriTadi laboratoriuli analizebi rac unda Cautardes yvela mamakacs ereqtiuli difunqciis SemTxvevaSi:
glukoza (uzomze);
lipidebi;
testosteroni;
mkurnaloba:
nebismier pacients, romelsac awuxebs ereqciuli disfunqcia pirvel rigSi eqimma unda gauwios fsiqoseqsualuri konsultacia,
Semdgom, pirveli rigis Terapias warmoadgens seleqtiuri fosfodiesTerazas inhibitorebi (sildenafili, vardenafili, tadalafili)
meore rigis mkurnalobas warmoadgens:
vakuum mowyobilobebi
intrauretraluri alprastadili.
intrakavernozuli alprastadilis ineqcia
mesame rigis mkurnaloba:
penisis proTezireba;
sisxlZarRvovani qirurgia.
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|impotencia (ereqtiuli disfunqcia)