#1
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Ôèçèîòåðàïèÿ ïðè ïðîñòàòèòå
Çäðàâñòâóéòå. â ðåçóëüòàòå âûëå÷åííîãî âåíåðè÷åñêîãî çàáîëåâàíèÿ ó ìåíÿ ïðè óçè ïðåäñòàòåëüíîé æåëåçû îáíàðóæèëè ïðîñòàòèò. íàçíà÷èëè ôèçèîòåðàïèþ è êóðñ àíòèáèîòèêîâ. ïîñëå ïåðâîãî ñåàíñà òåðàïèè, åñëè åå ìîæíî òàê íàçâàòü, âîçíèê âîïðîñ íåóæåëè äî ñèõ ïîð íå ïðèäóìàíî íè÷åãî ëó÷øå äëÿ ëå÷åíèÿ ïðîñòàòèòà? è íàñêîëüêî ýôôåêòèâíà äàííàÿ ìåòîäèêà?
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#2
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Ïðè óçè ïðåäñòàòåëüíîé æåëåçû ïðîñòàòèò íå âûÿâëÿþò, ïðèçíàêè íåñïåöèôè÷íû. Äëÿ ýòîãî åñòü äðóãèå êðèòåðèè. Æàëîáû åñòü?
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Ñ óâàæåíèåì, Ñåðãåé Íèêîëàåâè÷ Êóëèêîâ ìîé ïðîô. àêêàóíò â èíñòàãðàì @androlog.kulikov |
#3
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æàëîá òî êàê ðàç íèêàêèõ. åäèíñòâåííûì êðèòåðèåì ïî êîòîðîìó îïðåäèëèëè ÷òî ó ìåíÿ ïðîñòàòèò, ÿâëÿåòñÿ óâåëè÷åííàÿ ïðîñòàòà. ïðè ðåêòàëüíîì îñìîòðå ïðîñòàòû âðà÷ ñêàçàë ÷òî èìååòñÿ íåáîëüøîå âîñïàëåíèå. ìîãó ñêèíóòü ðåçóëüòàòû ýòîãî îáñëåäîâàíèÿ. ïðè ýòîì ìíå êàæåòñÿ ÷òî ìåíÿ òóïî ðàçâîäÿò íà äåíüãè. ÿ íå çíàþ êòî ïðèäóìàë òàêóþ ìåòîäèêó ëå÷åíèÿ, íî ÿâíî íå ìóæ÷èíà.
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#4
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Óâëåëè÷åíèå æåëåçû - ýòî íå êðèòåðèé äëÿ ïðîñòàòèòà. Ïàëüöåâîå ðåêòàëüíîå èññëåäîâàíèå - òåì áîëåå. Ñêîëüêî Âàì ëåò? Êàêîé îáúåì æåëåçû ïî ÓÇÈ, åñëè îíî, êîíå÷íî, âûïîëíÿëîñü.
Ñêàæó Âàì ïî ñåêðåòó, ÷òî õðîíè÷åñêèé ïðîñòàòèò, åñëè íåò ñèìïòîìîâ, íå ëå÷àò. Ïîòîìó ÷òî öåëüþ ëå÷åíèÿ â îñíîâíîì è ÿâëÿåòñÿ óñòðàíåíèå ýòèõ ñèìïòîìîâ, à íå óìåíüøåíèå æåëåçû è ñíèæåíèå åå âîñïàëåíèÿ, îïðåäåëÿåìîå ñ ïîìîùüþ ïàëüöåâîãî ðåêòàëüíîãî èññëåäîâàíèÿ. Îòâå÷àÿ íà Âàø âîïðîñ - ïðè ïðîñòàòèòå íåêîòîðûå ôèçèòåðàïåâòè÷åñêèå ìåòîäû ýôôåêòèâíû ó ÷àñòè ïàöèåíòîâ, íàïðèìåð, òðàíñóðåòðàëüíàÿ èëè òðàíñðåêòàëüíàÿ ìèêðîâîëíîâàÿ ãèïåðòåðìèÿ.
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Ñ óâàæåíèåì, Ñåðãåé Íèêîëàåâè÷ Êóëèêîâ ìîé ïðîô. àêêàóíò â èíñòàãðàì @androlog.kulikov |
#5
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Öèòàòà:
Èçâèíèòå, à Âû íå ìîãëè áû ïîäåëèòüñÿ ññûëêîé íà ñåðüåçíûå èññëåäîâàíèÿ ïî ýôôåêòèâíîñòè äàííûõ ìåòîäîâ (òîëüêî, please, íå Ðîññèéñêèå äàííûå). Îñîáåííî õîòåëîñü áû ïî÷èòàòü ïðî âàðâàðñòâî (ñ ìîåé òî÷êè çðåíèÿ) ïîä íàçâàíèåì "òðàíñóðåòðàëüíàÿ ìèêðîâîëíîâàÿ òåðìîòåðàïèÿ". Ìíå ïî ýòîìó âîïðîñó âñòðå÷àëàñü òîëüêî ëèøü îäíà ñòàòüÿ: TRANSURETHRAL MICROWAVE THERMOTHERAPY FOR NONBACTERIAL PROSTATITIS: A RANDOMIZED DOUBLE-BLIND SHAM CONTROLLED STUDY USING NEW PROSTATITIS SPECIFIC ASSESSMENT QUESTIONNAIRES NONBACTERIAL PROSTATITIS: A RANDOMIZED DOUBLE-BLIND SHAM J. CURTIS NICKEL* AND RON SORENSEN The Journal of Urology, Vol. 166, 1960-1966, June 1996 Íî ïðèâåäåííûå èññëåäîâàíèÿ åäèíè÷íû, ðåçóëüòàòû ñïîðíû è íå ïîäêðåïëåíû äàëüíåéøèìè èññëåäîâàíèÿìè. Çàðàíåå ñïàñèáî. |
#6
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ñîáñòâåííî âñå íà÷àëîñü ñ õëàìèäèîçà, óðåïëàçìèò(ìîæåò áûòü îøèáàþñü ñ îêîí÷àíèåì ýòîé áîëÿ÷êè òî÷íî íå ïîìíþ). ïîñëå êóðñà ëå÷åíèÿ ñäàë àíàëèçû. îáíàðóæèëè äèïëîêîêêè è ïîâûøåííîå ñîäåðæàíèå ëåéêîöèòîâ. âðà÷ ðåêîìåíäîâàë ïðîéòè óçè. ïðèâîæó ðåçóëüòàòû óçè.
ôîðìà: îáû÷íàÿ êîíòóðû: ðîâíûå, ÷åòêèå êàïñóëà á\î ðàçìåðû:45*40*24 îáúåì: 22,8 ñòðóêòóðà: íåîäíîðîäíàÿ ýõîãåííîñòü: ñðåäíÿÿ êàëüöèíàòû: íåò äàëåå ñëåäîâàëî ðóêîïèñíîå òî ëè çàêëþ÷åíèå, òî ëè äèàãíîç: óìåðåííî âûðàæåííûå äèôôóçíûå èçìåíåíèÿ ïðåäñòàòåëüíîé æåëåçû íà ôîíå íåçíà÷èòåëüíîãî óâåëè÷åíèÿ - ïðîñòàòèò. óçè ïðîâîäèëîñü òðàíñðåêòàëüíî. ïîñëå ýòîãî ìíå ïðåäëîæåí êóðñ òàê íàçûâàåìîé ôèçèîòåðàïèè. ïðè÷åì ìíå êàê êàæåòñÿ ýòî âñåãî ëèøü ñïîñîá îòúåìà äåíåã è íå áîëåå. ïîñêîëüêó íàñèëîâàòü ìîþ ïðîñòàòó ýòî íå åñòü ëå÷åíèå, êðîìå òîãî îïàñàþñü ÷òî ýòî ìîæåò âîîáùå ìíå íàâðåäèòü. ïîäñêàæèòå ÷òî äåëàòü??? |
#7
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Òàêèõ èññëåäîâàíèé äîñòàòî÷íî,÷òîáû äåëàòü êàêèå ëèáî âûâîäû.
Òàê íàâñêèäêó (ïðîøó ïðîùåíèÿ çà íåèìåíèåì âðåìåíè ññûëêè íå äàþ,íàéäåòå ñàìè) íî ïîìèìî ýòèõ èññëåäîâàíèé ìîæíî íàéòè åùå íå ìåíåå 150 Heat therapy in the treatment of prostatitis. Zeitlin SI. Urology. 2002 Dec;60(6 Suppl):38-40; discussion 41. Review. Minimally invasive therapies for prostatitis. Zvara P, Folsom JB, Plante MK. Curr Urol Rep. 2004 Aug;5(4):320-6. Review. Transurethral microwave thermotherapy for the treatment of prostatitis. Liatsikos EN, Dinlenc CZ, Kapoor R, Smith AD. J Endourol. 2000 Oct;14(8):689-92. Review. Transurethral microwave hyperthermia in the treatment of chronic nonbacterial prostatitis. Mené MP, Ginsberg PC, Finkelstein LH, Manfrey SJ, Belkoff L, Ogbolu F, Osborne D. J Am Osteopath Assoc. 1997 Jan;97(1):25-30. Review. Transurethral radiofrequency hot balloon thermal therapy in chronic nonbacterial prostatitis. Nickel JC, Siemens DR, Johnston B. Tech Urol. 1998 Sep;4(3):128-30. Transrectal hyperthermia for the treatment of chronic prostatitis Kumon H, Ono N, Uno S, Hayashi T, Hata K, Takenaka T, Watanabe T, Ohmori H. Nippon Hinyokika Gakkai Zasshi. 1993 Feb;84(2):265-71. Cooled transurethral microwave thermotherapy for intractable chronic prostatitis--results of a pilot study after 1 year. Kastner C, Hochreiter W, Huidobro C, Cabezas J, Miller P. Urology. 2004 Dec;64(6):1149-54. Is there a role for transrectal microwave hyperthermia of the prostate in the treatment of abacterial prostatitis and prostatodynia? Montorsi F, Guazzoni G, Bergamaschi F, Galli L, Consonni P, Matozzo V, Barbieri L, Rigatti P. Prostate. 1993;22(2):139-46. Application of external microwave thermotherapy in urology: past, present, and future. Gravas S, Laguna MP, De La Rosette JJ. J Endourol. 2003 Oct;17(8):659-66. Review. Advanced therapy for prostatitis: minimally invasive and invasive therapies. El-Hakim A, Shah DK, Smith AD. Curr Urol Rep. 2003 Aug;4(4):320-6. Review.. Transurethral balloon laser hyperthermia for chronic non-bacterial prostatitis: a clinical trial. Suzuki T, Kurokawa K, Suzuki K, Matsumoto K, Yamanaka H. Int J Urol. 1995 Mar;2(1):29-32. Clinical results of transrectal hyperthermia in 15 patients with chronic abacterial prostatitis Meguro N, Kondoh N, Kiyohara H. Hinyokika Kiyo. 1993 Dec;39(12):1153-6. Japanese. Transurethral microwave hyperthermia: new hope for treating chronic nonbacterial prostatitis? Wartinger DD, McCormick LM. J Am Osteopath Assoc. 1997 Jan;97(1):24. Therapeutic effect of transurethral needle ablation in non-bacterial prostatitis: chronic pelvic pain syndrome type IIIa. Chiang PH, Chiang CP. Int J Urol. 2004 Feb;11(2):97-102. Transrectal hyperthermia for chronic prostatitis Kamihira O, Sahashi M, Yamada S, Ono Y, Ohshima S. Nippon Hinyokika Gakkai Zasshi. 1993 Jun;84(6):1095-8. Japanese. åñòü è îôèöèàëüíàÿ òî÷êà îò European Association of Urology [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Öèòàòà:
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#8
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Æåëåçà ó Âàñ íîðìàëüíûõ ðàçìåðîâ. Ëåéêîöèòû ïîñëå ëå÷åíèÿ â ìàçêå òðåáóþò íåêîòîðîãî âíèìàíèÿ, åñëè ëå÷åíèå áûëî àäåêâàòíûì, èñêëþ÷åíèÿ âîçìîæíîñòè çàðàçèòüñÿ ïîâòîðíî. Ïàðòíåðøà ëå÷èëàñü?
Öèòàòà:
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Ñ óâàæåíèåì, Ñåðãåé Íèêîëàåâè÷ Êóëèêîâ ìîé ïðîô. àêêàóíò â èíñòàãðàì @androlog.kulikov |
#9
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Ïàðòíåðøà ëå÷èëàñü?
ïàðòíåðøà áûëà ïîñòàâëåíà â èçâåñòíîñòü. ïî ïîâîäó åå ëå÷åíèÿ íè÷åãî ñêàçàòü íå ìîãó. ó íàñ ñ íåé ñëîæíûå âçàèìîîòíîøåíèÿ. Âðîäå Âû âñå ñàìè ïîíÿëè.[/quote] òàê âû çà èëè ïðîòèâ ôèçèîòåðàïèè? ÷òî òî íåïîíÿòíî. è ìîæíî ïîèíòåðåñîâàòüñÿ ó âàñ ïðîñòî ïîçíàíèÿ â îáëàñòè óðîëîãèè èëè âû ïðàêòèêóþùèé âðà÷? |
#10
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à êòî íèáóäü ìîæåò îòâåòèòü ÷åì îïàñíî âîçäåéñòâèå íà ïðîñòàòó, â âèäå ôèçèîòåðàïèè. ïîñêîëüêó ó ìåíÿ íà÷àëè ïîÿâëÿòüñÿ áîëè â ýòîé îáëàñòè. ê âðà÷ó ïîêà íå õîäèë. õî÷ó îêîí÷àòåëüíî âûÿñíèòü ïðîäîëæàòü ìíå äàëüíåéøåå ëå÷åíèå? è åñòü ëè âîîáùå ó ìåíÿ ïðîñòàòèò? ÿ îáðàòèëñÿ ñþäà äóìàë ïîëó÷èòü êâàëèôèöèðîâàííûé îòâåò ñïåöèàëèñòà. ÿ ïðîñòî íå çíàþ ÷òî ìíå äåëàòü? ÏÎÌÎÃÈÒÅ
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#11
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Öèòàòà:
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#12
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Èíôåêöèè ïåðåäàþùèåñÿ ïîëîâûì ïóòåì, òàêèå êàê õëàìèäèè, óðåàïëàçìû â ïîäàâëÿþùåì áîëüøèíñòâå ñëó÷àåâ ïðîòåêàþò áåç îñëîæíåíèé è âûëå÷èâàþòñÿ êîðîòêèì êóðñîì îäíîãî àíòèáèîòèêà. Åñëè æàëîá íåò òî óðîëîãè÷åñêîå îáñëåäîâàíèå ïî ïîâîäó ïðîñòàòèòà íå èíèöèèðóåòñÿ. Áîëåå òîãî, íàäåæíûõ äîêàçàòåëüñòâ òîãî, ÷òî ÈÏÏÏ âûçûâàþò ïðîñòàòèò íà ñåãîäíÿøíèé äåíü íåò.
Ïîâîäîì äëÿ îáñëåäîâàíèÿ ïî ïîâîäó ïðîñòàòèòà è òåì áîëåå åãî ëå÷åíèÿ, ìîæåò áûòü òîëüêî íàëè÷èå æàëîá, ò.å. ñèìïòîìîâ, õàðàêòåðíûõ äëÿ ýòîãî çàáîëåâàíèÿ. Ê íèì îòíîñÿòÿ õðîíè÷åñêèå áîëåâûå îùóùåíèÿ âíèçó æèâîòà, îáîèõ ÿè÷êàõ, ãîëîâêå ïîëîâîãî ÷ëåíà âíå ìî÷åèñïóñêàíèÿ, ïðîìåæíîñòè, íèæíåé ÷àñòè ñïèíû, àíóñà, ýòî ìîæåò ñîïðîâîæäàòüñÿ ÷àñòûìè ïîçûâàìè íà ìî÷åèñïóñêàíèå. Åñëè ó Âàñ áûëè òàêèå ñèìïòîìû â òå÷åíèå 3 ìåñÿöåâ è áîëåå, òî ýòî áåçóñëîâíî ïîâîä äëÿ îáñëåäîâàíèÿ è ëå÷åíèÿ ïðîñòàòèòà. Åñëè òàêîãî íåò, òî íå íóæíî è íà÷èíàòü, ò.ê. ïðè îòñóòñòâèè æàëîá ëå÷åíèå õðîíè÷åñêîãî ïðîñòàòèòà íåîïðàâäàíî. Åñëè äî íà÷àëà ôèçèîòåðàïèè æàëîá íå áûëî, à âî âðåìÿ åå ïðîâåäåíèÿ îíè ïîÿâèëèñü, òî íà ìîé âçãëÿä ýòî ïîâîä äëÿ îòêàçà îò íåå, ò.ê. ïîâòîðþñü, ïðè èçíà÷àëüíîì îòñóòñòâèè æàëîá, ïðîñòàòèò íå ëå÷àò.
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Ñ óâàæåíèåì, Ñåðãåé Íèêîëàåâè÷ Êóëèêîâ ìîé ïðîô. àêêàóíò â èíñòàãðàì @androlog.kulikov |