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Îáÿçàòåëüíî ëè ïðè ëå÷åíèè õðîíè÷åñêîãî ïðîñòàòèòà ïðîéòè êóðñ (10 ñåàíñîâ) ìàññàæà ïðîñòàòû, è åñòü ëè â ýòîì òîëê?
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äà,ïðàâèëüíî âûïîëíåííûé ìàññàæ áóäåò èìåòü áîëüøîé "òîëê". çíà÷èòåëüíî óëó÷øèòñÿ äðåíàæ.
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óäà÷è âàì è çäîðîâüÿ
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Ýôôåêòèâíîñòü ìàññàæà ïðîñòàòû ïðè ïðîñòàòèòå â öåëîì íå äîêàçàíà.Åñòü íåñêîëüêî èññëåäîâàíèé,ïîêàçûâàþùèõ íåçíà÷èòåëüíóþ ýôôåêòèâíîñòü åãî ïðè ñîâìåñòíîì ïðèìåíåíèè ñ àíòèáèîòèêàìè.Òåì íå ìåíåå ìàññàæ ïðîñòàòû âêëþ÷åí â ñòàíäàðò îêàçàíèÿ ìåäèöèíñêîé ïîìîùè áîëüíûì ïðîñòàòèòîì â ÐÔ.
Àãàïîâ Ñåðãåé Àíàòîëüåâè÷,äåðìàòîëîã,âåíåðîëîã,äåðìàòîâåíåðîëîã
Ïðèåì: ã.Ðîñòîâ-íà-Äîíó,ïð-ò Ëåíèíà,251
òåë.+7(863)256-40-89,+7(928)121-89-41
Ñàéòû: www.agapovmd.ru www.venuro.ru www.venderm.ru www.balanitis.ru
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Åùå ïîäñêàæèòå ïðàâèëüíî ëè ìíå íàçíà÷èëè ëå÷åíèå. ß îáðàòèëñÿ ñ áîëÿìè â íèæíåé ÷àñòè æèâîòà è íîþùåé áîëüþ â ÿè÷êàõ, äèàãíîç ïîñòàâèëè õð. Ïðîñàòèò, ò.ê. â ñåêðåòå ïðîñòàòû áîëüøîå êîëè÷åñòâî ëåéêîöèòîâ, íà èíôåêöèè ñäàâàë àíàëèç ìàçîê ìåòîäîì ÏÖÐ âñå îòðèöàòåëüíî. Âðà÷ íàçíà÷èë:
1. Àìîêñèêëàâ 1000õ2ð â äåíü 7 äíåé, çàòåì Öèïðîôëîêñàöèí 500õ2ð â äåíü 15 äíåé
2. Ýñêóçàí 3 ð â äåíü 20 äíåé
3. Íàéç 1ò õ 2 ð 10 äíåé ïîñëå åäû
4. Âèòàïðîñò 1 ñâ. Íà íî÷ü 20 äíåé
5. Ìàññàæ ïðîñòàòû 10ð ÷åðåç äåíü
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Îöåíèâàåò ïîêàçàíèÿ ê âûáîðó ëå÷åíèÿ ëå÷àùèé âðà÷. Íàçíà÷åííîå Âàì ëå÷åíèå ïðàêòèêóåòñÿ.
Ïðîñòàòà - åäèíñòâåííûé îðãàí, ìàññàæ êîòîðîãî ïðîâîäèòñÿ ïðè âîñïàëåíèè, âåðîÿòíî, âûáîð òàêîé ìåòîäèêè "ëå÷åíèÿ" îáóñëîâëåí äîñòóïîì ê ïðîñòàòå âîïðåêè çäðàâîìó ñìûñëó. Çà ðóáåæîì íå ïðèìåíÿåòñÿ...ê.ì.í. Ìàõìóäîâ ßêîâ ßêîâëåâè÷ / óðîëîã, àíäðîëîã, âðà÷ ÓÇÄ, âûñøàÿ êâàëèôèêàöèîííàÿ êàòåãîðèÿ
ê.ì.í. Ìàõìóäîâà Ëþäìèëà Àðòåìîâíà /íåâðîëîã, óðîëîã, íåéðîóðîëîã
íàø càéò :: Çàïèñü íà ïðèåì / Cïðàâî÷íèê ïî óðîëîãèè / Êîíòàêòû
çàïèñü: òåë. 8(495)517 417 2 / ICQ 279116025
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Àìîêñèêëàâ 1000õ2ð â äåíü 7 äíåé, çàòåì Öèïðîôëîêñàöèí 500õ2ð â äåíü 15 äíåé - ýòî íå ìíîãîâàòî??? Ïîëó÷àåòñÿ 22 äíÿ ïðèåì àíòèáèîòèêîâ....
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Ðåêîìåíäîâàííûé îòå÷åñòâåííûìè è çàðóáåæíûìè ðóêîâîäñòâàìè êóðñ ëå÷åíèÿ àíòèáèîòèêàìè ïðîñòàòèòà ñîñòàâëÿåò íå ìåíåå 28 äíåé (4 íåäåëè).Íàçíà÷àåòñÿ îäèí àíòèáèîòèê èç ãðóïïû õèíîëîíîâ. íåêîòîðûõ ñëó÷àÿõ íàçíà÷àþòñÿ àíòèáèîòèêè è íà áîëåå äëèòåëüíûé ñðîê (íà íåñêîëüêî ìåñÿöåâ).
Àãàïîâ Ñåðãåé Àíàòîëüåâè÷,äåðìàòîëîã,âåíåðîëîã,äåðìàòîâåíåðîëîã
Ïðèåì: ã.Ðîñòîâ-íà-Äîíó,ïð-ò Ëåíèíà,251
òåë.+7(863)256-40-89,+7(928)121-89-41
Ñàéòû: www.agapovmd.ru www.venuro.ru www.venderm.ru www.balanitis.ru
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À ýòè àíòèáèîòèêè êàê ðàç èç ãðóïïû õèíîëîíîâ??? È ïîëó÷àåòñÿ íàîáîðîò åùå íå õâàòàåò íåäåëè ïðèåìà àíòèáèîòèêîâ? Ò.ê. íà 22 äíÿ ïðîïèñàí êóðñ.
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Âëàäèìèð, íèæå âûäåðæêè èç ðåêîìåíäàöèé ïî ëå÷åíèþ ÕÏ ÀÌÀ è EUA.
"In chronic bacterial prostatitis, and if infection is strongly suspected in CPPS, a fluoroquinolone or trimethoprim should be given orally for 2 weeks after the initial diagnosis. The patient should then be reassessed and antibiotics only continued if pre-treatment cultures are positive and/or the patient has reported positive effects from the treatment. A total treatment period of 4-6 weeks is recommended (IIIB)"
Ïåðåïóòàëè ôîðìó ïðîñòàòèòà, î÷åâèäíî, ñïåøèëè.
"The duration of antibiotic treatment is based on experience and expert opinion and is supported by
many clinical studies (34). In chronic bacterial prostatitis and in inflammatory CPPS, antibiotics should be
given for 2 weeks after initial diagnosis. The patient should then be reassessed and antibiotics continued only
if cultures are positive or the patient reports positive effects from the treatment. A total treatment period of 4-6
weeks is recommended. Relatively high doses are needed and oral therapy is preferred (33,34) (LE: 3, GR: B).
The reason for administration of antibiotics in inflammatory CPPS is that there may be a bacterial
infection, even though bacteria have not been detected by routine methods (35,36). Furthermore, many clinical
studies report a beneficial effect of antibiotics in inflammatory CPPS (37,38) (LE: 2a, GR: B). If intracellular
bacteria have been detected or are suspected, tetracyclines or erythromycin should be given (33,38) (LE: 2b,
GR: B)."
Òàêîâû ðåêîìåíäàöèè ñ ïîçèöèé "÷åðíîãî ÿùèêà". Ýòî îáóñëîâëåíî òåì, ÷òî ïðîáëåìà, â çíà÷èòåëüíîé ÷àñòè ñëó÷àåâ íå âïîëíå óðîëîãè÷åñêàÿ, íàõîäèòñÿ ïðàêòè÷åñêè èñêëþ÷èòåëüíî â âåäåíèè óðîëîãîâ, à â íàøåé ñòðàíå åùå è âåíåðîëîãîâ. Íå íàïðàñíî õðîíè÷åñêèé ïðîñòàòèò óæå òðåòüèì ïîêîëåíèåì àâòîðîâ èìåíóåòñÿ "ìóñîðíîé êîðçèíîé êëèíè÷åñêîãî íåâåæåñòâà". Ïîýòîìó íåðåäêî âñòðå÷àåòñÿ äàæå äåôåêòèâíàÿ äèàãíîñòèêà õðîíè÷åñêîãî ïðîñòàòèòà ëèøü ïî õàðàêòåðó æàëîá è íàëè÷èþ êàêîé-ëèáî óñëîâíî ïàòîãåííîé, îïðåäåëÿåìîé ÏÖÐ èíôåêöèè. È, ê ñîæàëåíèþ, àòìîñôåðà ñõîëàñòèêè è äåìàãîãèè â ðàìêàõ óçêî ñïåöèàëèçèðîâàííîãî ñèíäðîìàëüíî-äîêàçàòåëüíîãî ïîäõîäà íå ñïîñîáñòâóåò ðàçðåøåíèþ ïðîáëåìû.
Ãðóïïà 3À (inflammatory CPPS) íåîäíîðîäíà, èíôåêöèîííûé àãåíò ïðè íåé íåðåäêî íå èãðàåò êëþ÷åâîé ðîëè è ÿâëÿåòñÿ âòîðîñòåïåííûì ôàêòîðîì. Íî âñëåäñòâèå íåäèôôåðåíöèðîâàííîãî ïîäõîäà ýòà ôîðìà îáû÷íî ëå÷èòñÿ ñîãëàñíî ðåêîìåíäàöèÿì ìåòîäîì "íàó÷íîãî òûêà": à âäðóã ïîìîæåò àíòèáàêòåðèàëüíàÿ òåðàïèÿ, êîòîðàÿ ìîæåò ïðîâîäèòüñÿ äî 3 ìåñÿöåâ. Ïðè ýòîì ðîëü íåêîòîðûõ ïðåïàðàòîâ â ðàçâèòèè ðàñïðîñòðàíåííîé êàòåãîðèè 3Á, êîòîðàÿ ëå÷èòñÿ ñëîæíåå äðóãèõ ôîðì ïðîñòàòèòà, ïðåäñòàâëÿåòñÿ íåäîîöåíåíîé è ìàëîèçâåñòíîé.
Âëàäèìèð, â êîíêðåòíîì ñëó÷àå Âû ïðèâåëè ñëîâîñî÷åòàíèå, êîòîðîå ñëóæèò äèàãíîçîì çíà÷èòåëüíî ÷àùå, ÷åì ïðèñóòñòâóåò ñàìî çàáîëåâàíèå. Ïðè ýòîì íå ñîñëàëèñü äàæå íà äàííûå, ñâèäåòåëüñòâóþùèå î íàëè÷èè âîñïàëèòåëüíîãî çàáîëåâàíèÿ è èíôåêöèîííîãî àãåíòà. Ïîýòîìó âûáîð ëå÷åíèÿ öåëèêîì â âåäåíèè Âàøåãî ëå÷àùåãî âðà÷à, êîòîðîìó äîñòóïíà âñÿ ñîâîêóïíîñòü äàííûõ ïî Âàøåìó ñîñòîÿíèþ. Ïîïûòêè ëå÷èòüñÿ ïî ðåêîìåíäàöèÿì â èíòåðíåòå ïîðî÷íû, ïîñêîëüêó íè îäèí êîìïåòåíòíûé è äîáðîñîâåñòíûé âðà÷ íå íàçíà÷èò Âàì ëå÷åíèå çàî÷íî.ê.ì.í. Ìàõìóäîâ ßêîâ ßêîâëåâè÷ / óðîëîã, àíäðîëîã, âðà÷ ÓÇÄ, âûñøàÿ êâàëèôèêàöèîííàÿ êàòåãîðèÿ
ê.ì.í. Ìàõìóäîâà Ëþäìèëà Àðòåìîâíà /íåâðîëîã, óðîëîã, íåéðîóðîëîã
íàø càéò :: Çàïèñü íà ïðèåì / Cïðàâî÷íèê ïî óðîëîãèè / Êîíòàêòû
çàïèñü: òåë. 8(495)517 417 2 / ICQ 279116025