{"id":10149,"date":"2025-01-06T08:28:52","date_gmt":"2025-01-06T08:28:52","guid":{"rendered":"https:\/\/ambercell.eu\/?p=10149"},"modified":"2025-04-08T11:38:46","modified_gmt":"2025-04-08T11:38:46","slug":"vaagna-taisvere-sundroomi-diagnoosimise-ja-ravi-tootuba-3","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/et\/uudised\/vaagna-taisvere-sundroomi-diagnoosimise-ja-ravi-tootuba-3\/","title":{"rendered":"Varicocele emboliseerimine: t\u00e4iustatud lahendus meeste viljatuse ravis"},"content":{"rendered":"\n<p><\/p>\n\n<p>Varicocele on \u00fcks levinumaid reproduktiivtervise probleeme meestel, mis v\u00f5ivad m\u00f5jutada viljakust. See on munandite veenide patoloogiline laienemine, mis avaldub k\u00f5ige sagedamini keha vasakul k\u00fcljel. Kuna enamikul juhtudel ei p\u00f5hjusta varicocele mingeid s\u00fcmptomeid, tuvastatakse see prof\u00fclaktilistel eesm\u00e4rkidel tervisekontrolli k\u00e4igus sageli juhuslikult.    <br\/><br\/>Lisateavet selle patoloogia, selle s\u00fcmptomite, diagnostika ja uuendusliku ravimeetodi \u2013 varikotseeli emboliseerimise \u2013 kohta r\u00e4\u00e4givad uroloog Martynas Stanionis, Vilniuse linna kliinilise haigla ja diagnostikakeskuse arst ning VUL Santarose kliiniku arst Rokas Gir\u010dius.<br\/><\/p>\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1024\" data-id=\"10186\" src=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-miesto-klinikines-ligonines-ir-Diagnostikos-centro-gydytojas-urologas-Martynas-Stanionis-Foto-is-asmeninio-archyvo-683x1024.jpg\" alt=\"\" class=\"wp-image-10186\"\/><figcaption class=\"wp-element-caption\">Uroloog Martynas Stanionis, Vilniuse linna kliinilise haigla ja diagnostikakeskuse arst<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"851\" height=\"1024\" data-id=\"10190\" src=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-851x1024.jpg\" alt=\"\" class=\"wp-image-10190\" srcset=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-851x1024.jpg 851w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-249x300.jpg 249w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-768x924.jpg 768w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1.jpg 1110w\" sizes=\"(max-width: 851px) 100vw, 851px\" \/><figcaption class=\"wp-element-caption\">VUL Santaros Clinicu arst, sekkuv radioloog Rokas Gir\u010dius<\/figcaption><\/figure>\n<\/figure>\n\n<p><br\/>M. Stanionise s\u00f5nul areneb varicocele vere stagnatsiooni t\u00f5ttu munandite veenides, mis on tingitud venoossete ventiilide eba\u00f5igest toimimisest v\u00f5i nende puudulikkusest. Selle seisundi k\u00f5ige tavalisem p\u00f5hjus on neeru vasaku veeni anatoomiline struktuur. &#8220;Vasakul k\u00fcljel voolab veri munandiveenist neeru vasakusse veeni, seej\u00e4rel \u00fcletab aordi ja alles siis siseneb alumisse t\u00fchja veeni. Sellel teel on palju erinevusi r\u00f5hus, nii et veri v\u00f5ib veenidest kinni hoida ja neid laiendada,&#8221; selgitab arst. Harvematel juhtudel v\u00f5ib varicocele p\u00f5hjustada kasvajaid v\u00f5i venoosseid obstruktsioone.    <br\/><br\/>Uroloogi s\u00f5nul v\u00f5ib varikotseeli t\u00f5en\u00e4osust suurendada:<br\/>\u2022 <strong>Geneetika.<\/strong> Kui perekonnas on esinenud varicocele&#8217;i juhtumeid, suureneb selle risk 2-4 korda.<br\/>\u2022 <strong>Vereringeh\u00e4ired <\/strong>(eriti neeruveenide obstruktsioon), mis v\u00f5ivad olla kaasas\u00fcndinud v\u00f5i tekkinud teiste haiguste tagaj\u00e4rjel.<br\/>\u2022 <strong>Vanus.<\/strong> Varicocele&#8217;i diagnoositakse k\u00f5ige sagedamini 15-25-aastastel meestel.<br\/>\u2022 <strong>F\u00fc\u00fcsilised tegurid<\/strong> , nagu ebaregulaarne rm\u00e4rk, pikaajaline istumine v\u00f5i liigne f\u00fc\u00fcsiline koormus.<br\/><br\/>M. Stanionise s\u00f5nul on varicocele sageli as\u00fcmptomaatiline ja avastatud juhuslikult, kuid m\u00f5ned patsiendid v\u00f5ivad tunda:<br\/>\u2022 Valu v\u00f5i ebamugavustunne munandites, tavaliselt seistes v\u00f5i sportides. Valu on tavaliselt kerge, kuid v\u00f5ib tavap\u00e4rase tegevuse ajal intensiivistuda. <br\/>\u2022 Raskustunne kubemes.<br\/>\u2022 Munandite suuruse erinevused (\u00fcks munand on suurem kui teine).<\/p>\n\n<p>Varicocele&#8217;i s\u00fcmptomeid v\u00f5i nende \u00e4genemist v\u00f5ivad esile kutsuda sellised tegurid nagu pikaajaline seismine v\u00f5i istumine, mis v\u00f5ib p\u00f5hjustada vere ja veenilaiendite stagnatsiooni, intensiivset f\u00fc\u00fcsilist pingutust, sporditreeninguid. Verevooluh\u00e4ireid v\u00f5ib soodustada ka pikaajaline viibimine kuumas keskkonnas v\u00f5i alkoholi joomine. Kroonilised p\u00f5letikud ja muud patoloogilised protsessid aitavad sageli kaasa varicocele&#8217;i s\u00fcmptomite \u00e4genemisele.  <\/p>\n\n<p>M. Stanionis r\u00f5hutab, et ravimata j\u00e4tmise korral v\u00f5ib varicocele oluliselt m\u00f5jutada meeste viljakust. Vere staas v\u00f5ib t\u00f5sta munandite temperatuuri, h\u00e4irida sperma tootmist, kahjustada sperma kvaliteeti ja liikuvust. Lisaks v\u00f5ib tekkida oks\u00fcdatiivne stress ja koekahjustused, mis olukorda veelgi halvendavad. &#8220;Kui patsiendil on varicocele ja ta seisab silmitsi viljatusprobleemidega, v\u00f5ib ravi paljudel juhtudel oluliselt parandada sperma kvaliteeti ja suurendada t\u00f5en\u00e4osust, et paar saab edukalt lapsi,&#8221; \u00fctleb ta.<br\/>Uroloog m\u00e4rgib, et varicocele&#8217;i ei pruugi m\u00e4rgata enne, kui naine on otsustanud lapsi saada, ei saa rasestuda.   <br\/><br\/>M. Stanionise s\u00f5nul algab varicocele&#8217;i diagnoos anamneesi kogumise ja kliinilise uurimisega. &#8220;Patsiendil palutakse tavaliselt n\u00e4iteks seista v\u00f5i k\u00f6hida, et paremini hinnata veenide laienemist,&#8221; selgitab uroloogi arst. Varicocele&#8217;i kinnitamiseks kasutatakse k\u00f5ige sagedamini ultraheli diagnostikat. Doppleri ultraheli tuvastab verevoolu ja veenilaiendite rikkumise. Harvematel juhtudel v\u00f5ib kasutada kontrastkompuutertomograafia (CT) v\u00f5i magnetresonantstomograafia (MRI) uuringuid.    <br\/><br\/>Uroloog \u00fctleb, et varicocele&#8217;i ravi valik s\u00f5ltub varicocele&#8217;i t\u00f5sidusest ja s\u00fcmptomitest. Praegu kasutatakse Leedus j\u00e4rgmisi meetodeid:<br\/>\u2022 <strong>Konservatiivne ravi<\/strong>, mis h\u00f5lmab patsiendi seisundi ja elustiili muutuste j\u00e4lgimist, kui s\u00fcmptomid on kerged ja ei m\u00f5juta mehe viljakust.<br\/>\u2022 <strong>Kirurgiline ravi, mida kasutatakse<\/strong> viljatuse raviks v\u00f5i raskete s\u00fcmptomite v\u00e4hendamiseks. See h\u00f5lmab varikotseeli derivaatide mikrokirurgilist ekstsisiooni v\u00f5i laparoskoopilisi operatsioone.<br\/>\u2022 <strong>Emboliseerimine<\/strong> on uuenduslik, v\u00e4hem invasiivne protseduur, millel on madal t\u00fcsistuste oht ja patsientide kiirem taastumine kui p\u00e4rast operatsiooni. Arst M. Stanionis kirjeldab protseduuri kui &#8220;t\u00f5husat, minimaalselt invasiivset meetodit, mis v\u00f5imaldab teil peatada verevoolu laienenud veenidega&#8221;.   <br\/><br\/>Sekkuv radioloog Rokas Gir\u010dius selgitab, et varikotseeli emboliseerimine on protseduur, mille k\u00e4igus r\u00f6ntgenkiirguse kontrolli all viiakse kateetri kaudu veenidesse spetsiaalseid aineid, mis sulgevad laienenud veenide vereringet ja k\u00f5rvaldavad varikotseeli s\u00fcmptomid.<br\/><br\/>&#8220;Varicocele&#8217;i emboliseerimine v\u00f5tab tavaliselt aega 30 minutit kuni 1 tund. Maksimaalse t\u00e4psuse tagamiseks viiakse protseduur l\u00e4bi r\u00f6ntgenkiirte kontrolli all. K\u00f5ige sagedamini rakendatakse lokaalanesteesiat, juurdep\u00e4\u00e4s valitakse suure veeni kaudu kaelas v\u00f5i kubemes. Veen torgatakse ultraheli kontrolli all l\u00e4bi ja sisestatakse kateetri\/toru s\u00fcsteem, navigeerides sellest l\u00e4bi spetsiaalsete juhtmete ja radiokontrastsete ainetega, et j\u00f5uda \u00fche v\u00f5i m\u00f5lema munandi laienenud veenideni. Need suletakse samade kateetrite kaudu, sisestades veenidesse spiraale ja \/ v\u00f5i spetsiaalset liimi. Protseduuri m\u00f5ju suurendamiseks skleroseeritakse veenid samaaegselt spetsiaalse skleroterapeutilise ainega,&#8221; jagab R. Gir\u010dius protseduuri \u00fcksikasju.     <br\/> <\/p>\n\n<p><br\/>Sekkuva radioloogi s\u00f5nul v\u00f5ib patsiendi umbes kolm tundi p\u00e4rast protseduuri koju viia. P\u00e4rast protseduuri ei ole vaja spetsiaalset puhke- v\u00f5i hooldusre\u017eiimi, nii et tavalist elur\u00fctmi peaaegu ei h\u00e4irita. V\u00f5imalikku v\u00e4ikest ebamugavust v\u00f5i ebamugavustunnet saab h\u00f5lpsasti hallata mittesteroidsete p\u00f5letikuvastaste ravimite v\u00e4ikeste annustega. &#8220;Luuletamisperiood, mille jooksul v\u00f5ib tunda kerget suplemist v\u00f5i kipitust, m\u00f5nikord kerget iiveldust, kestab tavaliselt 1-2 p\u00e4eva ja positiivseid muutusi spermogrammis t\u00e4heldatakse 1-2 kuu p\u00e4rast,&#8221; \u00fctleb spetsialist   <br\/><br\/><br\/>R. Gir\u010diuse s\u00f5nul on varicocele&#8217;i emboliseerimisel palju eeliseid:<br\/>\u2022 Protseduur on minimaalselt invasiivne, seega pole vaja suuri sissel\u00f5ikeid.<br\/>\u2022 Madal t\u00fcsistuste oht. V\u00f5rreldes kirurgiliste ravimeetoditega v\u00e4hendab emboliseerimine oluliselt n\u00e4rvip\u00f5imikute ja seemnekanali kahjustamise riski. <br\/>\u2022 Kiire taastumine. Patsient vabastatakse koju samal p\u00e4eval ja ta saab naasta igap\u00e4evaste tegevuste juurde. <br\/>\u2022 K\u00f5rge kasutegur. Embolisatsiooni ja skleroteraapia tehnikate kombinatsiooni kasutamisel ulatub protseduuri edukuse m\u00e4\u00e4r umbes 95 protsendini. Vajadusel saab protseduuri kergesti korrata.  <br\/>&#8220;Seega on emboliseerimine kiire, ohutu ja usaldusv\u00e4\u00e4rne meetod varicocele&#8217;i raviks, pakkudes patsiendile minimaalset ebamugavust. See meetod on suurep\u00e4rane valik neile, kes soovivad v\u00e4ltida kirurgilisi operatsioone ja otsida kiiremat taastumist,&#8221; l\u00f5petab sekkuv radioloog. <br\/><br\/>Vestluse l\u00f5petuseks \u00fctlevad arstid, et meditsiin areneb kiiresti &#8211; t\u00e4nu t\u00e4iustatud diagnoosi- ja ravimeetoditele saab varicocele&#8217;i t\u00f5husalt hallata ja selle m\u00f5ju meeste tervisele v\u00e4hendada. &#8220;Kui tunnete selle haiguse s\u00fcmptomeid, on oluline mitte viivitada ja konsulteerida arstiga, samuti mitte unustada regulaarselt ennetavaid tervisekontrolle,&#8221; meenutavad Martynas Stanionis ja Rokas Gir\u010dius. <br\/><br\/>Loe artiklit<a href=\"https:\/\/www.delfi.lt\/sveikata\/inovatyvus-gydymas\/varikoceles-embolizacija-pazangus-sprendimas-vyru-nevaisingumo-gydyme-120073113\"> <strong> SIIT. <\/strong><\/a> <\/p>\n\n<div style=\"height:34px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><\/figure>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Varicocele on \u00fcks levinumaid reproduktiivtervise probleeme meestel, mis v\u00f5ivad m\u00f5jutada viljakust. See on munandite veenide patoloogiline laienemine, mis avaldub k\u00f5ige sagedamini keha vasakul k\u00fcljel. Kuna enamikul juhtudel ei p\u00f5hjusta varicocele mingeid s\u00fcmptomeid, tuvastatakse see prof\u00fclaktilistel eesm\u00e4rkidel tervisekontrolli k\u00e4igus sageli juhuslikult.    <\/p>\n","protected":false},"author":5,"featured_media":10465,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[140,45,188,210,275,40,338,337,190,191,335],"class_list":["post-10149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uudised","tag-emboliseerimine","tag-haridus","tag-krooniline-valu","tag-minimaalselt-invasiivne-ravi","tag-radioloogia","tag-terum-2","tag-uroloogia","tag-varicocele-et","tag-venoosne-emboliseerimine","tag-veresoonte-emboliseerimine","tag-viljatus"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Varicocele emboliseerimine: t\u00e4iustatud lahendus meeste viljatuse ravis - Ambercell<\/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:\/\/ambercell.eu\/et\/uudised\/vaagna-taisvere-sundroomi-diagnoosimise-ja-ravi-tootuba-3\/\" \/>\n<meta property=\"og:locale\" content=\"et_EE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varicocele emboliseerimine: t\u00e4iustatud lahendus meeste viljatuse ravis - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Varicocele on \u00fcks levinumaid reproduktiivtervise probleeme meestel, mis v\u00f5ivad m\u00f5jutada viljakust. See on munandite veenide patoloogiline laienemine, mis avaldub k\u00f5ige sagedamini keha vasakul k\u00fcljel. 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