{"id":1898,"date":"2016-09-20T14:01:03","date_gmt":"2016-09-20T12:01:03","guid":{"rendered":"https:\/\/benyourologia.hu\/?p=1898"},"modified":"2024-12-04T14:03:15","modified_gmt":"2024-12-04T13:03:15","slug":"peyronie-betegseg-induratio-penis-plastica","status":"publish","type":"post","link":"https:\/\/benyourologia.hu\/en\/peyronie-betegseg-induratio-penis-plastica\/","title":{"rendered":"Peyronie betegs\u00e9g \u2013 Induratio penis plastica"},"content":{"rendered":"
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Peyronie\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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A Peyronie betegs\u00e9g a f\u00e9rfiak egy \u2013 szerencs\u00e9re ritka \u2013 k\u00f3rk\u00e9pe, mely a h\u00edmvessz\u0151 mereved\u00e9si k\u00e9pess\u00e9g\u00e9ben okozhat s\u00falyos k\u00e1rosod\u00e1st. Az erekci\u00f3 sor\u00e1n a h\u00edmvessz\u0151 h\u00e1ti r\u00e9sz\u00e9ben tal\u00e1lhat\u00f3 p\u00e1ros barlangos testet bor\u00edt\u00f3 k\u00f6t\u0151sz\u00f6vetes burok (a tunica albuginea) megny\u00falik, megn\u00f6velve ez \u00e1ltal a h\u00edmvessz\u0151 t\u00e9rfogat\u00e1t. Ehhez elengedhetetlen a tunica albuginea megfelel\u0151 rugalmass\u00e1ga. Peyronie betegs\u00e9g eset\u00e9n ebben a k\u00f6t\u0151sz\u00f6vetes burokban a rugalmas rostok sz\u00e1ma jelent\u0151sen cs\u00f6kken, hely\u00fcket fibrin \u00e9s kollag\u00e9n veszi \u00e1t, melyek k\u00f6rnyezet\u00e9ben m\u00e9sz rak\u00f3dik le. Ily m\u00f3don alakulnak ki a betegs\u00e9get k\u00e9s\u0151bbi st\u00e1diumban jellemz\u0151 a porckem\u00e9ny plakkok, melyek a barlangos testek elaszticit\u00e1s\u00e1t korl\u00e1tozza.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tUrol\u00f3giai \u00e9s androl\u00f3giai rendel\u00e9s<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Ez\u00e9rt jelenik meg a k\u00f3rk\u00e9p legjellemez\u0151bb t\u00fcnete, a h\u00edmvessz\u0151 g\u00f6rb\u00fclete, mivel az adott oldalon a tunica albuginea nem k\u00e9pes kit\u00e1gulni az ellenoldali barlangos testtel szemben.<\/p>

Kialakul\u00e1suk oka m\u00e9g pontosan nem ismert. Nem akt\u00edv fert\u0151z\u00e9s, hanem ink\u00e1bb kor\u00e1bban lezajlott gyullad\u00e1s (az immunrendszer k\u00f3ros aktivit\u00e1sa k\u00f6vetkezt\u00e9ben), vagy kisebb a h\u00edmvessz\u0151t \u00e9rt trauma miatt indulhat el a lass\u00fa, hegesed\u00e9shez vezet\u0151 folyamat. Egy\u00e9rtelm\u0171 \u00f6sszef\u00fcgg\u00e9st a teny\u00e9r inainak heges zsugorod\u00e1s\u00e1val (Dupuytren kontrakt\u00fara) tal\u00e1ltak eddig.<\/p>

Kezdeti megjelen\u00e9si form\u00e1j\u00e1ban csak mereved\u00e9skor megjelen\u0151 kisebb \u2013 \u00e1ltal\u00e1ban has fel\u00e9 hajl\u00f3 \u2013 g\u00f6rb\u00fcletk\u00e9nt jelentkezik a h\u00edmvessz\u0151n. A k\u00f3ros elhajl\u00e1s fokoz\u00f3d\u00e1s\u00e1val a k\u00f6z\u00f6s\u00fcl\u00e9s nehez\u00edtett\u00e9 v\u00e1lik, majd a beteg k\u00e9ptelenn\u00e9 v\u00e1lik a nemi aktusra, \u00e9s m\u00e1r nyugalmi \u00e1llapotban is \u00e9szlelhet\u0151 az elv\u00e1ltoz\u00e1s. Igen s\u00falyos form\u00e1ban a p\u00e9nisz merev \u00e1llapotban teljesen a hasfalra fek\u00fcdhet. A k\u00fcls\u0151 megjelen\u00e9s okozta lelki g\u00e1tl\u00e1s \u00e9s a keresztmetszet esetleges cs\u00f6kken\u00e9se miatt tov\u00e1bbi szexu\u00e1lis zavarok is jelentkezhetnek, \u00e9s negat\u00edvan befoly\u00e1solhatja a p\u00e1ciens mindennapi \u00e9let\u00e9t. A g\u00f6rb\u00fclett\u0151l f\u00fcggetlen\u00fcl, vagy azzal p\u00e1rhuzamosan a h\u00edmvessz\u0151ben f\u00e1jdalom is fell\u00e9phet, valamint a p\u00e9nisz form\u00e1ja megv\u00e1ltozhat.<\/p>

Diagnosztiz\u00e1l\u00e1sa a h\u00edmvessz\u0151n megjelen\u0151 g\u00f6rb\u00fcleten k\u00edv\u00fcl a megvastagodott k\u00f6tegek kitapint\u00e1s\u00e1val t\u00f6rt\u00e9nik. Nagy seg\u00edts\u00e9g, ha a p\u00e1ciens a merev h\u00edmvessz\u0151r\u0151l 3 ir\u00e1nyb\u00f3l k\u00e9sz\u00edt k\u00e9pet, \u00e9s azzal \u00e9kezik az androl\u00f3giai kivizsg\u00e1l\u00e1sra. A plakkok pontos felt\u00e9rk\u00e9pez\u00e9se c\u00e9lj\u00e1b\u00f3l sz\u00fcks\u00e9g lehet mesters\u00e9ges erekci\u00f3 l\u00e9trehoz\u00e1s\u00e1ra, illetve gyakorlott vizsg\u00e1l\u00f3 \u00e1ltal v\u00e9gzett h\u00edmvessz\u0151 ultrahang \u00e9s Color Doppler UH vizsg\u00e1latra is.<\/p>

Ritk\u00e1n spont\u00e1n megsz\u0171nik a betegs\u00e9g. T\u00f6bbs\u00e9g\u00e9ben azonban sz\u00fcks\u00e9g van megfelel\u0151 kezel\u00e9sre. Helyileg alkalmazott szteroidos ken\u0151cs, illetve E-vitamin p\u00f3tl\u00e1s m\u00e1r nem tartozik a kezel\u00e9si m\u00f3dok k\u00f6z\u00e9, eredm\u00e9nyess\u00e9g\u00fck megk\u00e9rd\u0151jelezhet\u0151. Sz\u00e1jon \u00e1t szedhet\u0151 gy\u00f3gyszeres kezel\u00e9si lehet\u0151s\u00e9gk\u00e9nt a h\u00edmvessz\u0151 kering\u00e9s\u00e9t jav\u00edt\u00f3 gy\u00f3gyszerek alkalmazhat\u00f3k (tadalafil, pentoxifillin), azonban a hat\u00e1sra legal\u00e1bb f\u00e9l \u00e9vet v\u00e1rni sz\u00fcks\u00e9ges. Az elv\u00e1ltoz\u00e1sokba adhat\u00f3 gy\u00f3gyszerek k\u00f6z\u00fcl a leg\u00fajabb k\u00e9sz\u00edtm\u00e9ny m\u00e1r haz\u00e1nkban is el\u00e9rhet\u0151, mely a clostridium kollagen\u00e1z kystoliticum enzimet tartalmazza. Ez a gy\u00f3gyszer a s\u00falyosabb esetek kezel\u00e9s\u00e9re val\u00f3, amikor a h\u00edmvessz\u0151 g\u00f6rb\u00fclete legal\u00e1bb 45\u00b0, tov\u00e1bb\u00e1 a meszes plakk kitapinthat\u00f3. Az enzim a plakkok felold\u00e1s\u00e1val sz\u00fcnteti a g\u00f6rb\u00fclet m\u00e9rt\u00e9k\u00e9t. A k\u00e9sz\u00edtm\u00e9ny egyedi t\u00e1mogat\u00e1ssal \u00e9rhet\u0151 csak el, \u00e9s arra feljogos\u00edtott szakorvos adhatja be.<\/p>

A kezel\u00e9sre nem reag\u00e1l\u00f3 s\u00falyosabb esetekben a m\u0171t\u00e9ti megold\u00e1s seg\u00edthet korrig\u00e1lni a h\u00edmvessz\u0151 g\u00f6rb\u00fclet\u00e9t. Az egyszer\u0171bb beavatkoz\u00e1s sor\u00e1n a plakkot \u00e9rintetlen\u00fcl hagyjuk, \u00e9s az ellenoldali barlangos test r\u00f6vid\u00edt\u00e9s\u00e9vel sz\u0171nik meg a g\u00f6rb\u00fclet. el\u0151nye, hogy kevesebb sz\u00f6v\u0151dm\u00e9nnyel j\u00e1r a beavatkoz\u00e1s, h\u00e1tr\u00e1nya, hogy a p\u00e9nisz hossza a beavatkoz\u00e1ssal cs\u00f6kken. A m\u00e1sik m\u0171t\u00e9tt\u00edpus j\u00f3val nagyobb gyakorlatot \u00e9s technikai felk\u00e9sz\u00fclts\u00e9get ig\u00e9nyel. Ilyenkor a plakkot kimetssz\u00fck a barlangos test fal\u00e1b\u00f3l, \u00e9s az \u00edgy kialakult hi\u00e1nyt m\u00e1s sz\u00f6vett\u00edpussal p\u00f3toljuk. El\u0151nye, hogy a h\u00edmvessz\u0151 m\u00e9rete megmarad, azonban nagyobb ar\u00e1nyban fordulhat el\u0151 a beavatkoz\u00e1st k\u00f6vet\u0151en \u00e9r-, idegk\u00e1rosod\u00e1s, valamint mereved\u00e9si zavar.<\/p>

Amennyiben valaki hasonl\u00f3 t\u00fcnetet \u00e9szlel mag\u00e1n, javasolt androl\u00f3gus szakorvos felkeres\u00e9se a megfelel\u0151 kivizsg\u00e1l\u00e1s, \u00e9s ter\u00e1pia ind\u00edt\u00e1sa c\u00e9lj\u00e1b\u00f3l.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tUrol\u00f3giai \u00e9s androl\u00f3giai rendel\u00e9s<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

A Peyronie betegs\u00e9g a f\u00e9rfiak egy \u2013 szerencs\u00e9re ritka \u2013 k\u00f3rk\u00e9pe, mely a h\u00edmvessz\u0151 mereved\u00e9si k\u00e9pess\u00e9g\u00e9ben okozhat s\u00falyos k\u00e1rosod\u00e1st. Az erekci\u00f3 sor\u00e1n […]<\/p>","protected":false},"author":1,"featured_media":1900,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1898","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hirek-ujdonsagok"],"yoast_head":"\nPeyronie betegs\u00e9g \u2013 Induratio penis plastica - Beny\u00f3 Urol\u00f3gia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/benyourologia.hu\/en\/peyronie-betegseg-induratio-penis-plastica\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peyronie betegs\u00e9g \u2013 Induratio penis plastica - Beny\u00f3 Urol\u00f3gia\" \/>\n<meta property=\"og:description\" content=\"A Peyronie betegs\u00e9g a f\u00e9rfiak egy \u2013 szerencs\u00e9re ritka \u2013 k\u00f3rk\u00e9pe, mely a h\u00edmvessz\u0151 mereved\u00e9si k\u00e9pess\u00e9g\u00e9ben okozhat s\u00falyos k\u00e1rosod\u00e1st. 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