Peyronie tus kab mob - ua rau, tsos mob, theem thiab kev kho mob

Cov txheej txheem:

Peyronie tus kab mob - ua rau, tsos mob, theem thiab kev kho mob
Peyronie tus kab mob - ua rau, tsos mob, theem thiab kev kho mob
Anonim

Pyronie's disease hauv txiv neej

Kev ua haujlwm tsis zoo ntawm erectile, tsis xis nyob thiab deformation ntawm noov, nrog rau cov tsos mob ntawm cov quav hniav, yuav qhia tau tias muaj kab mob tsawg - Peyronie's disease. Cov tsos mob zoo li no yuav tsum tau mus kho mob tam sim.

Peyronie's disease

Peyronie tus kab mob
Peyronie tus kab mob

Peyronie tus kab mob tseem hu ua fibroplastic induration ntawm noov. Nrog rau qhov no pathology, noov yog deformed thaum lub sij hawm erection. Daim tawv nqaij daim tawv nqaij nyob rau hauv daim tawv nqaij ntawm lub cev. Feem ntau, nws loj hlob nyob rau hauv qis dua ntawm lub cev, txawm hais tias qee zaum nws pib tsim nyob rau saum noov. Thaum lub sij hawm erection, ib tug txiv neej muaj mob, vim hais tias cov pob qij txha cicatricial tsis muaj elasticity txaus. Thaum nyob rau hauv ib qho kev zoo siab, tus txiv neej lub cev nqaij daim tawv pib deform. Qhov no ua rau lub fact tias intimacy yuav tsis yooj yim sua. Tawm tsam keeb kwm ntawm tus kab mob no, tus txiv neej pib raug kev txom nyem los ntawm neuropsychiatric mob.

Yog li, Peyronie tus kab mob yog ib qho curvature ntawm noov tiv thaiv keeb kwm ntawm kev loj hlob ntawm fibrous tebchaw. Plaques lossis benign neoplasms tsim ntawm qhov chaw mos.

Key risk factors

Tus kab mob no tsis tshua kuaj pom. Qhov nruab nrab, nws raug kuaj pom hauv 0.5-1% ntawm cov txiv neej hnub nyoog 35-60 xyoo. Tus txiv neej laus dua, cov ntaub so ntswg ntawm nws qhov chaw mos. Qhov no ua rau lub fact tias thaum lub sij hawm erection, qhov tshwm sim ntawm microtrauma thiab ruptures nce. Hauv cov tub ntxhais hluas, qhov no pathology tsis tshua pom. Tom qab muaj hnub nyoog 60 xyoo, qhov kev pheej hmoo ntawm kev tsim Peyronie tus kab mob kuj tsawg, vim tias kev sib raug zoo thaum lub sijhawm no tshwm sim tsis tshua muaj. Raws li WHO, 1/3 ntawm cov txiv neej hnub nyoog tshaj 60 xyoo tsis tuaj yeem muaj kev sib deev.

Cov tsos mob ntawm Peyronie's disease

Peyronie cov tsos mob
Peyronie cov tsos mob

Cov tsos mob tseem ceeb ntawm pathology yog mob, uas tuaj yeem muaj qhov sib txawv.

Tsis tas li ntawd, Peyronie tus kab mob tau tshwm sim los ntawm cov tsos mob xws li:

  • Kov ntawm noov mus rau ib sab.
  • Kev txo qis ntawm kev ua haujlwm erectile. Thaum lub sij hawm arousal, noov tsis harden rau lub xeev xav.
  • A thickening tshwm hauv qab daim tawv nqaij.
  • Nov yog shrinking raws li nws poob nws zoo li qub.

theem pib ntawm kev loj hlob ntawm tus kab mob yuav tsis tshwm sim nws tus kheej. Nws lub sijhawm yog 6-18 lub hlis. Tus txiv neej sai sai sai rau qhov teeb meem tshwm sim thiab mus ntsib kws kho mob, qhov kev cia siab zoo dua.

Txawm li cas los xij, hauv kev xyaum, nws tshwm sim tias thawj cov tsos mob ntawm tus kab mob tsis yog vim li cas mus ntsib kws kho mob. Cov txiv neej feem ntau sim daws qhov teeb meem ntawm lawv tus kheej, siv cov tshuaj ib txwm siv. Qhov no ua rau tus kab mob no zuj zus lawm thiab yuav kho tsis tau.

Caus ntawm Peyronie's disease

Ua rau Peyronie's disease
Ua rau Peyronie's disease

Thawj cov tsos mob ntawm Peyronie tus kab mob tau piav qhia thaum ntxov li 1561. Ib me ntsis tom qab, nws tau pom los ntawm ib tug kws phais neeg ntawm Fabkis, Francois Gigot-de-la Peyronie. Txawm li cas los xij, qhov ua rau muaj tus kab mob no tseem tsis tau nkag siab tag nrho. Tsuas yog cov xwm txheej txaus ntshai uas paub tias tuaj yeem ua rau nws tshwm sim.

Cov no suav nrog:

  • Kev raug mob rau qhov chaw mos, xws li los ntawm tsoo lossis ntog.
  • Kaw cov pob txha ntawm noov, uas daim tawv nqaij tseem zoo, tab sis sab hauv los ntshav tshwm sim.
  • Kev puas tsuaj microscopic uas tus txiv neej tuaj yeem tau txais thaum muaj kev sib raug zoo.
  • Kev tiv thaiv kab mob.
  • Nyob ntawm cov hlab ntsha uas tshwm sim hauv atherosclerosis.
  • Hormonal ntshawv siab.
  • kab mob sib kis.
  • Gout, uas yog tus cwj pwm los ntawm qib siab ntawm uric acid hauv cov ntshav.
  • Vitamin E thiab calcium deficiency.
  • Hereditary predisposition.
  • Kev kho mob impotence nrog qee yam tshuaj.
  • siab serotonin hauv cov ntshav.

Peyronie tus kab mob tuaj yeem ua rau los yog kis tau. Thawj hom kev ua txhaum cai yog tsawg. Nws tshwm sim nws tus kheej nyob rau hauv rooj plaub thaum tus me nyuam cov kwj dej urethral tsis txhim kho tag nrho, los yog muaj hypoplasia ntawm albuginea.

Nyob rau hauv daim ntawv ntawm tus kab mob, plaques tsim ntawm noov, thiab benign neoplasms ntawm lub urethra. Cov kab mob pathology yuav tsum tau kho raws li nws yuav ua tiav.

theem kab mob

Cov theem ntawm tus kab mob
Cov theem ntawm tus kab mob

Muaj 4 theem ntawm Peyronie tus kab mob:

  • Hidden stage. Lub sijhawm no, tus txiv neej muaj kev tsis xis nyob thaum lub sijhawm arousal. Cov quav hniav nyob rau theem no tsis pom, nws tsis tuaj yeem ua palpated. Lub deformation ntawm noov yog nyuam qhuav pib, tab sis nws yog ib qho nyuaj rau nrhiav tau nws. Thaum kuaj, tus kws kho mob tuaj yeem kuaj pom qhov ua txhaum ntawm cov ntshav mus rau lub cev.
  • pib theem. Mob me ntsis pib cuam tshuam ib tug txiv neej tsis yog thaum lub sij hawm erection, tab sis kuj nyob rau lub sij hawm ib txwm. Cov quav hniav yuav pom tau, tab sis nws tsis muaj ciam teb meej. Nws tuaj yeem ua palpated. Thaum muaj kev sib deev arousal, koj tuaj yeem pom qhov deformation ntawm noov. Lub foob raug kuaj pom thaum lub sijhawm ultrasound, tab sis x-ray yuav tsis muab cov ntaub ntawv.
  • Stage of stabilization. Cov mob tsis muaj zog, cov quav hniav ua kom meej meej, zoo li pob txha mos hauv qhov tsos. Lub cev yog deformed heev. Koj tuaj yeem pom cov quav hniav ob qho tib si thaum kuaj ultrasound thiab ntawm x-ray.
  • kawg. Tsis muaj mob, cov plaque hardens thiab zoo li cov pob txha. Noov yog deformed heev.

Kev faib kab mob

Nyob rau qhov degree

Kev faib kab mob
Kev faib kab mob

Cov kws tshaj lij paub qhov txawv ntawm qhov mob thiab lub sijhawm ua haujlwm ntawm kev txhim kho Peyronie tus kab mob.

Thaum lub sijhawm mob, tus txiv neej muaj kev tsis xis nyob thaum lub sijhawm erection thiab so. Qhov mob qhia tau hais tias cov ntaub so ntswg stretching thiab plaque tsim nyob rau hauv albuginea. Qhov noov pib deform, qhov curvature no pom los ntawm tus txiv neej nws tus kheej.

Lub sijhawm mob hnyav yog 6-18 lub hlis. Yog hais tias nyob rau theem no ib tug txiv neej nrhiav kev pab kho mob, ces nws yuav muaj peev xwm tiv nrog pathology yam tsis muaj kev phais.

Cov tsos mob ntawm lub sijhawm ua haujlwm yog raws li hauv qab no:

  • Nov erect yog deformed loj.
  • Nyob hauv lub siab, ib tug txiv neej ntsib kev mob hnyav.
  • Cov plaque ua kom meej meej.
  • Cov khoom noj khoom haus ntawm lub cev raug cuam tshuam, erection raug kev txom nyem. Potency deteriorates nyob rau hauv 30% ntawm cov txiv neej.

Los ntawm hom deformation

Nyob ntawm hom deformation, lawv paub qhov txawv:

  • Dorsal curvature - noov yog deformed upwards.
  • Lub plawv curvature - lub cev yog taw qhia downwards.
  • Lateral - noov yog nkhaus rau sab.

Kev kuaj mob Peyronie's disease

Kev kuaj mob Peyronie's disease
Kev kuaj mob Peyronie's disease

Thaum lub sijhawm teem sijhawm thawj zaug, tus kws kho mob tham tus neeg mob, mloog nws cov lus tsis txaus siab tseem ceeb, qhia meej txog qhov mob hnyav. Tom qab ntawd tus kws kho mob ua qhov kev ntsuam xyuas ntawm noov siv lub tshuab nqus tsev erector. Qhov no yuav tso cai rau koj los ntsuas qhov ntsuas ntawm qhov curvature, cov duab ntawm lub cev thiab qhov chaw ntawm cov quav hniav.

Kom paub meej qhov kev kuaj mob, tus kws kho mob yuav xa tus neeg mob mus rau cov txheej txheem kuaj mob hauv qab no:

  • MRI ntawm noov. Cov txheej txheem no ua rau nws muaj peev xwm ua kom pom qhov chaw ntawm cov quav hniav, txhawm rau txheeb xyuas cov teeb meem uas twb muaj lawm hauv cov ntshav mus rau qhov chaw mos.
  • Cavernozography. Cov txheej txheem no tau txo qis rau kev thaij duab ntawm lub tshuab x-ray. Thaum txoj kev tshawb no, tus neeg sawv cev sib txawv yog siv. Txoj kev tso cai rau koj los soj ntsuam cov mob ntawm cov ntaub so ntswg ntawm qhov chaw mos, kom paub meej seb puas muaj kev hloov pauv hauv nws lub cev spongy thiab cavernous.
  • Ultrasound. Txoj kev no yog tsom rau kev soj ntsuam cov ntshav ntws ntawm noov. Cov txheej txheem no yog muab rau tus kab mob exacerbation.

Kev nyuaj siab

Teeb meem
Teeb meem

Yog tus txiv neej tsis nrhiav kev kho mob raws sijhawm, qhov no yuav ua rau muaj kev cuam tshuam hauv qab no:

  • Impotence.
  • Kev tsis muaj menyuam.
  • Kev nyuaj siab.
  • mob hnyav thaum sib deev thiab kev sib deev arousal

Cov teeb meem tuaj yeem tshwm sim los ntawm kev kis tus kab mob, nrog rau kev siv tshuaj kho pej xeem. Nrog rau theem siab ntawm tus kab mob, nws yuav tsis tuaj yeem ua yam tsis muaj kev phais. Nws qhov tshwm sim tsis zoo yog qhov luv ntawm noov.

Kev Kho Mob Peyronie's disease

Peyronie txoj kev kho mob
Peyronie txoj kev kho mob

Kev kho mob ntawm Peyronie tus kab mob muaj ob txoj kev qhia:

  • Txoj kev kho mob uas xav kom tus txiv neej noj tshuaj. Cov kev kho no muaj rau theem 1, 2 thiab 3 ntawm tus kab mob.
  • Kev phais. Nws yog nyob rau ntawm 4 theem ntawm kev loj hlob ntawm tus kab mob.

Tsis muaj ib qho qauv ntawm kev kho mob, tus kws kho mob tau txais los ntawm tus kheej tus yam ntxwv ntawm tus kab mob Peyronie hauv ib tus neeg mob.

kho tsis yog phais

Algorithm rau kev kho mob ntawm cov neeg mob uas muaj tus kab mob Peyronie thaum ntxov:

  • pab mob.
  • Tshuaj kho mob.
  • Resorption ntawm cov quav hniav.
  • Tsawg tus kab mob no.

Kev kho mob yuav tsum kav ntev li rau lub hlis.

Lub sijhawm no tshuaj xws li:

  • Interferons.
  • Vitamin E.
  • NSAIDs.
  • YColchicine.
  • Tamoxifen thiab lwm yam.

Cov kws tshaj lij tsis pom zoo kom txhaj tshuaj ncaj qha rau hauv cov quav hniav nws tus kheej. Qhov tseeb yog tias txawm me ntsis kev puas tsuaj rau kev ncaj ncees ntawm noov yuav ua rau fibrosis. Txawm li cas los xij, qee zaum nws tsis tuaj yeem ua tsis tau txhaj tshuaj.

Rau lub hom phiaj no, tshuaj xws li:

  • Steroids. Lawv tsuas yog siv yog tias ib tug neeg tau mob tsis pub dhau 1.5 xyoo thiab cov quav hniav tsis tau ua tiav. Cov tshuaj hormones tsis tshua siv, vim lawv tsis ua tiav qhov kev xav tau.
  • YEnzymes (collagenase). Cov cuab yeej no tso cai rau koj los ua kom tawv nqaij caws pliav, vim nws rhuav tshem cov peptide bonds ntawm collagen. Cov tshuaj yog txhaj rau hauv cov quav hniav perpendicular mus rau qhov chaw mos. Hauv 65% ntawm cov neeg mob, nws tuaj yeem txo qhov curvature. Kev kho mob txuas ntxiv rau 6 lub lis piam. Kev txhaj tshuaj yog muab 2 zaug hauv 7 hnub. Cov txheej txheem yuav tsum tau ua los ntawm tus kws tshaj lij, vim tias kev noj ntau dhau ntawm cov enzyme yog txaus ntshai nrog hemorrhages thiab cov tsos ntawm cov chaw tshiab ntawm fibrosis.
  • Interferon Nyob Txog niaj hnub no, tsis muaj cov ntaub ntawv tseeb ntawm kev siv cov tshuaj no.
  • Verapamil. Cov tshuaj no yog txhaj rau hauv calcified plaques thiab rau hauv cov cheeb tsam ntawm fibrosis nyob rau hauv ib tug mob inflammatory txheej txheem. Nws txhawb kev tawg ntawm cov chaw xws li.

Cov tshuaj pom zoo rau kev siv qhov ncauj suav nrog:

  • Vitamin E. Nws me ntsis txo qhov deformation ntawm lub cev thiab pab txo qhov mob hnyav.
  • Colchicine. Cov tshuaj tiv thaiv kev tsim cov collagen thiab activates nws tus kheej collagenase, thiab kuj pab txo qhov mob thiab o. Txawm li cas los xij, thaum lub sijhawm txais tos, ntau tus neeg mob pib mob cov quav xoob.
  • Tamoxifen. Cov tshuaj no muaj cov nyhuv antiestrogenic thiab antitumor. Ua tsaug rau nws noj, T-lymphocytes thiab macrophages tuag.
  • Pob. Cov tshuaj no yog tsom rau kev ua kom qeeb ntawm fibrin.
  • YPentoxifylline. Hauv tus neeg mob tau txais cov tshuaj no, cov ntshav muab rau lub cev txhim kho, cov ntsiab lus ntawm nitric oxide hauv cov ntshav nce. Qhov no txwv tsis pub kis tus kab mob no thiab txawm thim rov qab.
  • YPropionyl L-carotene. Cov tshuaj no txo qis qhov deformity thiab txo qhov mob hnyav.

Ntxiv rau kev siv tshuaj, tus txiv neej yuav raug pom zoo kom siv lub cev kho lub cev ntawm lub cev muaj kab mob:

  • Magnetotherapy.
  • Siv diadynamic tam sim no.
  • Laser kho.
  • Kev kho av.
  • Electrophoresis.
  • UHT. Nyob rau hauv cov ntaub ntawv no, ib tug tshwj xeeb ntaus ntawv yog siv, uas yog ib qhov chaw ntawm impulses. Tus kws kho mob coj lawv ncaj qha mus rau qhov chaw ntawm fibrosis. Qhov no tso cai rau koj kom soften cov quav hniav thiab straighten noov. Yuav kom siv tau UHT, qhov curvature yuav tsum tsis txhob ntau tshaj 45 degrees.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias nws txwv tsis pub siv tshuaj ntawm koj tus kheej! Qhov no tuaj yeem ua rau muaj teeb meem loj thiab teeb meem kev noj qab haus huv.

kho mob phais

Kev phais
Kev phais

Kev phais yog siv rau thaum kev kho mob tsis tau ua tiav qhov xav tau.

Indications rau kev phais:

  • Noov curvature tshaj 45 degrees.
  • teeb meem txhim kho.
  • plaque calcification.

Kev ua haujlwm tuaj yeem yog 3 hom:

  • Nov luv luv. Nyob rau hauv rooj plaub no, tus kws kho mob tshem tawm ib feem ntawm tunica los ntawm sab opposite mus rau curvature. Qhov noov flattens tab sis ua luv. Siv txoj kev no yog qhov curvature tsis tshaj 60 degrees.
  • Kev txiav cov quav hniav. Tag nrho cov txheej txheem fibrous raug tshem tawm, thiab cov voids tshwm sim tau ntim nrog cov khoom siv roj ntsha lossis hluavtaws. Cov txheej txheem no yog ua thaum lub curvature tshaj 60 degrees. Cov txheej txheem yog txuam nrog kev pheej hmoo ntawm cov teeb meem, yog li lawv mus rau nws infrequently.
  • YPhalloprosthesis. Txoj kev no yog siv nyob rau hauv rooj plaub thaum ib tug erection nyob rau hauv ib tug txiv neej yog tsis yooj yim sua. Tus kws kho mob tsis kov cov plaque nws tus kheej, tab sis es tsis txhob ntawm lub cev cavernous, ib qho kev cog yog cog.

Kev Tiv Thaiv

Kev tiv thaiv
Kev tiv thaiv

Kev Tiv Thaiv Kab Mob Peyronie:

  • Txoj kev noj qab nyob zoo.
  • Siv kev sib deev thaum nyob hauv cawv lossis tshuaj yeeb vim nws ua rau muaj kev raug mob.
  • khoom noj kom raug, ua raws li kev ua haujlwm niaj hnub. Khoom noj khoom haus yuav tsum saturate lub cev nrog cov vitamins thiab kab kawm.
  • tswj ntshav siab.
  • Sports.
  • tswj qhov hnyav.
  • Tus kws kho mob tsis tu ncua rau cov neeg mob ntshav qab zib thiab cov txiv neej hnub nyoog 30-60.

Yog ib tus neeg sau qhov tsis xis nyob hauv qhov chaw mos, koj yuav tsum tau hu rau tus kws kho mob urologist thiab tsis txhob sim daws qhov teeb meem siv tshuaj ib txwm siv.

Tus kws kho mob hu rau

Peyronie tus kab mob yog kho los ntawm andrologist thiab urologist. Tsis tas li ntawd, ib tug txiv neej yuav xav tau kev pab los ntawm ib tug kws phais neeg, kws kho mob rheumatologist, physiotherapist.

Tus kws kho mob yog tus kws kho mob tshwj xeeb tshwj xeeb hauv "cov teeb meem txiv neej". Nws kho cov kab mob ntawm cov txiv neej reproductive system.

Tus kws kho mob urologist koom nrog kev txheeb xyuas thiab tshem tawm cov kab mob ntawm cov kab mob genitourinary thiab cov txiv neej qhov chaw mos.

Pom zoo: