impotencia (nawili V) – intrakavernozuli Terapia

impotenciis mkurnalobis sakmaod gavrcelebuli meTodia vazoaqtiuri nivTierebebis ineqcia da iTvleba, rom mkurnalosbis konservatiul meTodebs Soris yvelaze efeqturia. am meTods safuZveli Cauyara sisxlZarRvovanma qirurgma r. vigarma (R.Virag), romelma 1982 wels pirvelma daiwyo papavarinis ineqciebi penisSi.

am meTodis dros gamoiyeneba papaverini, fentolamini da prostaglandini E1, rogorc monoTerapiebis, aseve mravlobiTi kombinaciebis gziT.

vazoaqtiuri preparatebis gamoyenebis Cvenebebia:
potenciis darRvevebi sisxlZarRvovanis paTologiebis gamo;
nevrologiuri genezis impotencia;
fsiqogenuri impotencia;
naadrevi eakulacia.

amavdroulad unda aRvniSnoT intrakavernozuli Terapiis ukuCvenebebia:
alkoholis miRebis dRes akrZalulia ineqciis gakeTeba;
axali ineqciis gakeTeba ar SeiZleba wina ineqciidan 48 saaTze ufro adre;
gamoricxulia erTi Spricis mravljeradi gamoyeneba;
ar SeiZleba yvela pacients erTi da igive doza dainiSnos.

papaverini gaxda pirveli preparati intrakavernozuli ineqciebisaTvis. praqtikulma gamoyenebam sakmaod maRali efeqturoba aCvena (60-80%). amave mizniT gamoiyeneba prostaglandini E1, misi gamoyenebis efeqturoba 70-80% Sedagens.

prostaglandini E1 moqmedebis ujreduli meqanizmi ganpirobebulia c-amf-is generaciaSi. es ukanaskneli pirdapir, an proteinkinazuli kasakdis gziT moqmedebs kalciumis homeostazze. am ionis ujredSida koncentraciis Semcireba iwvevs kevernozuli gluvkunTovani qsovilis modunebas.

rogorc yvela meTods, prostaglandin E1 gamoyenebasa aqvs gverdiTi efeqtebi – 58 pacients Soris, romlebmac gaiares mkurnalobis kursi aRmoCnda Semdegi gverdiTi efeqtebi: 12,1% tkivili, 10,3% hematoma, 1,7% fizbrozuli cvlilebebi da arc erTi gaxangrZlivebuli mtkivneuli ereqcia (priapizmi).

miuxedavad maRali efeqturobisa, intrakavernozuli ineqciebi ar aris usafrTxo, vinaidan es ineqciebi xSirad apirobebs penisis kavernozul sxeulebSi fibrozul cvlilebebs. rac am meTodis xangrZlivad gamoyenebis SemTxvevaSi ganapirobebs kavernozuli fobrozis