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0
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"etiology": "<p>Патологии мошонки и яичек. К данной группе заболеваний относится варикоцеле, варикозное расширение вен, крипторхизм, водянка яичек, гипоспадия, эпидемический паротит.</p>\r\n<p>Непроходимость семявыводящих протоков. Врожденные патологии в строении семявыводящих канальцев, а также полное отсутствие указанных органов, могут являться одной из причин мужского бесплодия. Дефекты протоков также проявляются при травмах, после неудачных операций на органах малого таза, воспалительных процессов в тканях яичек, а также при наличии опухолей.</p>\r\n<p>ЗППП. Как правило, мужское <a href=\"/symptom/besplodie/\" title=\"Перейти на страницу симптома Бесплодие\">бесплодие</a> появляется не из-за самих заболеваний, а в результате осложнений – нарушается процесс выработки спермы, проходимость семявыносящих протоков снижается и т. д.</p>\r\n<p>Расстройства эякуляции. К данной группе причин специалисты относят эректильную дисфункцию и ретроградную эякуляцию.</p>",
"pathogenesis": "",
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"treatment": "<p>Патогенетическая. Она включает в себя консервативное и оперативное лечение заболеваний, которые привели к мужскому бесплодию. В частности, успешному лечению поддаются нарушения гормонального фона, воспалительные процессы в органах малого таза, варикоцеле, крипторхизм и т. д. Врач может назначить пациенту прием лекарственных средств или хирургическое вмешательство при наличии соответствующих показаний.</p>\r\n<p>Эмпирическая. Данная методика применяется только в тех случаях, когда патогенетическое лечение не принесло результата или не может быть проведено в силу ряда показаний. В рамках эмпиричеких методов могут применяться:</p>\r\n<ul>\r\n<li>ЭКО. Искусственное оплодотворение яйцеклетки происходит в лабораторных условиях, после чего эмбрион подсаживается в матку женщины. В данном случае сперма должна иметь высокое качество;</li>\r\n<li>ИКСИ. При инъекции сперматозоида в цитоплазму яйцеклетки качество спермы не имеет большого значения;</li>\r\n<li>искусственная инсеминация. В данном случае сперма мужа вводится во влагалище женщины в условиях лаборатории, без естественного полового акта. При использовании данного метода в канал шейки матки попадает не часть спермы, а весь ее объем, поэтому мужские половые клетки должны быть подвижными;</li>\r\n<li>экстракция сперматозоидов из яичка или его придатков. Данный метод показан мужчинам, у которых нет сперматозоидов в эякуляте – в такой ситуации врачи забирают их из непосредственно из яичка.</li>\r\n</ul>",
"prevention": "<p>Для того чтобы сохранить фертильность, мужчине достаточно помнить о ряде простых правил. В частности, регулярные половые акты (1 раз в 2-3 дня) способствуют выработке новых жизнеспособных сперматозоидов. Нижнее белье свободного кроя и из натуральных тканей не нарушает кровоснабжение органов малого таза. Отказ от вредных привычек (табакокурение, употребление алкоголя) позволяет значительно улучшить качество спермы. Сбалансированное питание, полноценный ночной сон, а также отсутствие стрессовых ситуаций положительным образом влияют не только на общее состояние организма, но и на интимное здоровье мужчины.</p>",
"clinical_picture": "<p>Секреторная форма. В данном случае нарушен сперматогенез – процесс образования новых сперматозоидов, которые способны оплодотворить яйцеклетку. Он является гормонально обусловленным и напрямую зависит от уровня тестостерона в организме мужчины. Лечение мужского бесплодия в данном случае подразумевает точный учет всех проблем сперматогенеза, обусловленных генетически (как в случае с тератозооспермией и азооспермией). Помимо этого, к секреторной форме мужского бесплодия могут привести эндокринные патологии, варикоцеле, крипторхизм, а также инфекции половых органов.</p>\r\n<p>Экскреторная (обтурационная) форма. Мужское <a href=\"/symptom/besplodie/\" title=\"Перейти на страницу симптома Бесплодие\">бесплодие</a> данного типа характеризуется нарушением процесса перемещения сперматозоидов по семявыводящим путям по причине нарушения их проходимости. Болезнь может быть как односторонней (при этом количество здоровых сперматозоидов в эякуляте часто снижено), так и двусторонней (жизнеспособные сперматозоиды полностью отсутствуют). Для лечения мужского бесплодия в данной форме используются хирургические методики в сочетании с новейшими технологиями репродуктивной медицины. К причинам экскреторного мужского бесплодия относятся кисты и опухоли яичка, сдавливающие семявыносящий проток, перенесенный ранее вирусный паротит, врожденные пороки развития протоков, а также последствия травм и неудачных оперативных вмешательств в области органов малого таза.</p>\r\n<p>Иммунологическая форма. В этом случае в организме мужчины вырабатываются антитела к его же сперматозоидам. В нормальном состоянии у представителя сильного пола имеется гемато-текстулярный барьер, который препятствует контакту спермий и клеток крови, способному спровоцировать иммунный конфликт. В случае если данный барьер нарушен, в организме начинает развиваться реакция, при которой сперматозоиды воспринимаются иммунной системой в качестве антигенного материала. Антитела значительно понижают оплодотворяющую способность семени, а иногда вызывают полную гибель всех половых клеток мужчины. Лечение иммунологической формы бесплодия не всегда бывает результативным, поэтому пациентам с таким диагнозом рекомендуется проведение процедуры ИКСИ.</p>\r\n<p>Другие формы. Причинами мужского бесплодия также могут стать заболевания, при которых совершение полового акта не представляется возможным (<a href=\"/symptom/erektilnaya_disfunkciya/\" title=\"Перейти на страницу симптома Эректильная дисфункция\">эректильная дисфункция</a>), сперма не может попасть в шейку матки женщины (гипоспадия 1 степени) и т д. Схема лечения в таких случаях определяется в индивидуальном порядке.</p>",
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