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DISCUSSION OF THE RECEIVED RESULTS

The problem of sex disorders at men at a neoplant remains not only actual, but in the course of time gets still larger value since the nervosism in 68-79 % of cases causes sex disorders in men and concerns most often meeting diseases in the general structure of all neurosises - 64 % (B.D.Korvasarsky, 1985; G.S.Vasilchenko, 1991; I.e.

Agarkov, 1993).

More often people of efficient age are subject to disease, and for expired 70 years there was a growth sick of a nervosism in 24 times (data the CART) and the percent of sex disorders at a nervosism, considering an urbanization with intensive rate of a life, information overloads, social and economic changes in the country, is very high.

The "starting" factor of development of sex disorders is the nervosism (V.V. Krishtal, 1974; S.T.Agarkov, 1983), causing a number penho-emotsnonalnyh, vegetovascular disturbances, working capacity depression, thereby, finding social and economic value (K.Imeliiskpj, 1986; G.S.Vasilchenko, 1991).

In a basis etnopatogsneticheskih mechanisms of sex disorders at a nervosism functional disturbances korkovo - subcortical mutual relations and limbiko-retikuljarnogo a complex (B.D.Karvasarsknj, 1985) at the expense of disturbance of mechanisms of the central regulation of sexual function (S.S.Libih, 1985 lay; A.M.Vayne, 1990).

In this connection, the actual and pathogenetically proved method of correction of sex disorders at a nervosism is use of the methods possessing ability to have normalising influence on a functional condition of all levels of the central nervous system.

One of such methods is AP at which influence on akupunkturnuju a point is accompanied by occurrence of a stream of the eisodic. impulsatspi, referred to a brain, to limbiko -

Reticular formation of a brainstem, creation noiyh sanogsniyh, the determinant centres, including antinotsitseptivnye (antistressful) systems (V.N.Ajvazov, 1995).

Balneoterapija renders iespetsifichsskos, normalising influence on gipotalamo-gipofizarnuju system, immunologic reactance of an organism, simtato-adrsnalovuju system, having the expressed sedative, desensitizing, antiinflammatory an effect, normalising oxidation-reduction reactions in tissues (to P.P.Tsarfis, I.I.giant, 1956; L.P.meadow, 1994; G.V.Prokopenko, 1995), but have no dosed out and aim character.

To these demands the acupuncture, as a method controlled balneoterapii, adequately influencing all hierarchical levels of maintenance of a copulative cycle (answers B.B.Sutjushsv, 1986; L.P.Tkachenko, 1989).

Treatment of men with sex disorders in sanatorno - resort conditions is presented by individual works (L.N.Gudkovich, 1969; O.S.Voznesensky, 1972; J.I.Barash, 1986; O.L.Smirnov, 1975) in which there are no identification criteria of selection of patients at a sanatorium stage of therapy. Now the given literatures on combined use of mineral waters and an acupuncture at correction of sex disorders at a nervosism at men of young age are absent, as was the present purpose

Researches.

Now the given literatures on combined use of mineral waters and an acupuncture at correction of sex disorders at men with a nervosism are absent, as was the purpose of the present research.

In this connection under our observation there were 150 men with a nervosism, assotsiirovannyh with sex disorders at the age from 25 till 45 years (middle age of 36,5+1,4 years), chgo coincides with

Age population sick of a nervosism of some researchers (B.D.Karvasarsky, 1980; N.N.Jahno, 1980; L.M.Vayne and co-workers., 1991 A.M., Svjadosh, 2001).

83 % sick of sex disorders at a nervosism had prescription of disease from 1 till 5 years (on the average 4,1+0,8 years).

42 % surveyed during the period pubertatnogo developments were exposed to adverse factors of influence of the environment, influencing biologo-somatic development of an organism and formation psychosex functions that has been shown in a number of works (G.S.Vasilchenko, 1983; M.I.Kuznetsova, 1988; Of this year Bondarenko, 1989). Studying of a psychological climate in a family and is material - a conditions of life has shown, that 51 % of men have grown in an incomplete family; at 33 % were unsatisfactory financially - a conditions of life. Thus, it is possible to assume, that absence of the father in a family has made negative impact on psiho - sex development, has caused disharmony in sexuality formation.

The analysis of psychosex implications in dopubertatnom and pubertatnom the periods has shown, that sex games took place at 34 % of men with a nervosism, at healthy men - at 37 %, that nanosecond differed from population group (O.Z.Livshits, 1991). Masturbatornaja practice took place at 96 % sick of a nervosism that did not differ from population group (Island ZLivshits, 1991). All patients had vikario-zamestitslnaja an onanism form (on the average 2,4+0,7 times a week).

Sex disorders at 14 % of men have appeared even before nervosism occurrence, but at the majority sick (86 %) they have appeared against a nervosism, and, they have developed and have accepted the demonstrative form at duration of a nervosism over 3 years (in 92 % of cases). Hence, the nervosism in 86 % of cases is the "starting" mechanism of development of sex disorders, a pas that

Also specified a number of researchers (Kochetkov, 1991; D.L.Burtjansknj and co-workers., 1990; G.S.Vasnlchsnko, 1990; L.A.Uljanova, 1976, 1982).

Complaints of patients were on depression libido (34 %), delicacy of erections (54 %), a premature ejaculation (68 %), koitofobnju (36 %), distnmichesky a syndrome after sexual affinity (42 %), degree depression orgasticheskih oshushcheny (46 %) which in 65 % of cases wore sochetannyj character.

At patients with a nervosism the expressed and various neurotic semiology is taped: irritability (88 %), especially after the next affinity with the wife, the general delicacy, fatigability (91,3 %), working capacity depression (82 %), suspiciousness (65,3 %), the mood (33 %) sharply worsened, there was a feeling of depression, mental and physical discomfort, the dream (68,7 %) was broken.

Headaches at sexual intercourses met at 28 % (42 patients). The Headache is unpredictable: during one time it arises, and in another - is not present. We have allocated 3 basic of type of sex headaches: stupid, explosive and depending on body position. Dull aches of type of "spastic strictures" which also name "type-1", 24 % of patients suffered. The explosive headache of 2nd type or "pulsing", met at 63 % of patients, is felt in a nape, in a forward part of a head or from both parties. Often the headache happens such strong, that sex activity should be stopped. At 8 % of patients there was a headache depending on position of a body. Such headache is felt in the top part of a neck and at the basis of a head and accompanied by a nausea and vomiting. It can proceed 2-3 weeks and is spontaneous stop.

Feature of sex disorders at a nervosism was presence of the expressed asthenic lines, uncertain fears, hypochiondrial bracing on the somatic trouble, and also their development against polymorphic semiology. The major

Feature was variability and transformation of symptoms, their wavy current, on what paid attention as well other researchers (JU.A.Aleksandrovsky, 1993; D.L.Burtjansky, G.V.Smirnov, 1990).

Vegetovascular disorders became perceptible at all of 100 % of patients, on what other researchers, specifying on the big percent of vegetovascular disturbances at sick of neurosises (paid attention also of A.M.Vayne, 1991; A.M.Svjadoshch, 1997).

At 100 % sick the nervosism taps the hardware or other psychoinjuring situations which basic maintenance were conflicts of household, industrial character and their combination. At 72 % of patients psychoinjuring situations were multifactorial, proceeded from 1 year till 8 years, periodically became aggravated, the maintenance of stress factors changed, but they always were significant for patients. According to N.A.Volkova (1977), in population group psychoinjuring situations are noted at 92 % of men, however, on the average on everyone it was necessary less combinations of conflict situations (1,26), than at our patients (1,96), and under the maintenance they were characterised by smaller frequency of disturbances of interpersonal relations. Probably, patients with a nervosism generate larger quantity of conflict situations, inadequately them place in structure of valuable orientations that testifies to their insufficient mental adaptation in social medium.

At sick by a nervosism it is taped two types of a current of sex disturbances:

1. Progressing (88 %), differing continuously - progreduated current;

2. Wavy (12 %), characterised by improvement of sexual functions, sometimes under influence are only favorable the changed conditions (rest, elimination of psychoinjuring factors, etc.).

SFM with a nervosism it is presented following sredneyoarifmeticheskimi by data: 2,1-1.1 / 0,8-0,7 / 0,2-0,3/1,7-2,0 / 1,2-1,1 / 1,5-1,0/1,7-1,6/1,2 = 18,2, that in 1,6 times is less in comparison with obshchestatnstichesknmn.

At sick a nervosism allocated basic type SFM is the type with the accelerated ejaculation (41 %) - ekzaltatsionnyj a variant, pathogenetic tituljarizatsnja (5 %), a neurosis of expectation of failure (36 %). It is necessary to notice, that to process tituljarnzatsii only certain part of a lesion of the urogenital apparatus and a mental component, namely, the hardware cases in which the central nervous system has the initial characteristics favouring to development diskoordiiatornyh nejrodinamozov, and also is exposed to their bracing on the highest tserebrokortikalnom level (to G.S.Vasilchenko, 1959, 2000; E.K.Sepp, 1927).

The syndrome of paracentral lobes concerns the extremely expressed ekzaltatsionnomu to a variant is a congenital disease. Most often this syndrome represents a primary lesion of the higher cortical centres of regulation urogenital avtomatizmov (oporozhnenie a bladder and a rectum, an ejaculation). In due course the reactive neurotization leading to weakening of erections and suppression libido (G.S.Vasilchenko, 1991) is possible.

A little accurate tendency to intergroup rapprochement is shown n azhiotirovanno-nsvrotichsskaja by the form (11 %) sex disturbances.

At 7 % of men after an ejaculation there comes physical delicacy, slackness, an adynamia, vegetative disturbances (giddiness, a hyperhidrosis, sensation of a numbness of arms, feet etc.). This syndrome can be designated as a syndrome protopatichsskoj refractory ™ which pathogenetic roots concern to nejrodinampcheskim to corticosubcortical disorders (A.M.Vayne, 1996).

At 34 % in 150 patients are taped diencephalic paroxysms. Si.chpato-adrenal crises when the sympathetic orientation of a vegetative tonus prevails are found out in 21 % of patients and is shown by feeling of vital alarm, pavor or a psychoemotional strain, palpitation, lifting of arterial pressure, the general delicacy, giddiness, working capacity depression, disturbance of a night dream, transient headaches nochyo, gravity and hum in a head. At 9 % of patients diencephalic paroxysms proceeded on type vago-insuljarnyh crises when it has been taped vagotoiija, shown by giddiness at sharp change of position of a body, deterioration of state of health, a sweating, sensation of the original general relaxation, the expressed lability of pulse and arterial pressure with the tendency to a bradycardia and more or less a proof arterial hypotension. At 4 % of patients the admixed type of diencephalic paroxysms at which there were those and other clinical symptoms is taped.

Morfogramma on Dekur-Dimiku at 48,7 % of patients has taped normogrammu, at 9,3 % - infantile type, at 2,7 % - evnuhoilnyj, at 10 % - evnuhoidno-feminnyj, at 14 % - nnterseksualnyj, at 10,7 % - feminnyj, 4,6 % - makroskelichesky.

16 (10,7 %) patients concerned the strong sexual constitution (Kg indexes = 7,4+0,01; To „= 7,2+0,01; Ka/kg = 1,02+0,01); 53 (35,3 %) - to sredne-strong (Kg indexes = 6,5+0,01; To, = 6,31+0,01; Ka/kg - 0,93+0,02); 57 (38 %) - to a weak variant of the average sexual constitution (Kg indexes = 3,3+0,01; Ka = 3,12+0,01; Ka/kg = 0,91+0,01); 24 (16 %) - to the weak sexual constitution (Kg indexes = 1,8+0,08; Ka = 2,17+0,12; Ka/kg = 0,89+0,01). Thus, sex disorders at patients with a nervosism arise at any sexual constitution.

At a nervosism in 100 % of cases it is amazed PS, on the second place on frequency of a lesion costs ES (76,25 %) and on the third - NGS (6 %). Such

The image, in the sistsmno-structural analysis allocates the rod form of a lesion - PS and ES, «on has in many respects defined character medical - реабилніанионных actions. Hence, PS occupies a leading rod lesion at development of sex disorders in patients with a nervosism.

Researches have shown polietiologichnost and polisindromnost formations in demonstrative development of sex disturbances in men with a nervosism.

The pathological influences falling on various sites of hierarchical maintenance of a copulative cycle as a whole, caused development of compensatory reorganisations in maintenance of a copulative cycle. Realisation of these shifts and the higher tserebro-kortnkalnaja hierarchical system, itself, covering functional subsystems nnzhsraspolozhsnnyh levels, remains without cover and it appears the most vulnerable. This pattern explains the tendency of all ссксолопічсскнх disorders to tserebrolizatsip at final stages of disease, irrespective of a debut. Influences of the reasons show, that vulnerability of a mental component increases at a disharmony combination pubertata with separate adverse harakteroloyogicheskimi implications. Along with it disharmony, aktseptuatsija separate characterologic lines, lephogennja are only the precondition for occurrence of clinical implications of sexual dysfunction.

On EEG synchronisation depression in a strip of all rhythms and revealing of a diffusive desynchronization of a cortical rhythm that is caused by pathological intensifying stvolovyh activating systems on a brain cortex was observed. At 72 % of patients reflex reaction to a light stimulus wore extreme types (retardation at 40 %, acceleration - at 32 %), that testified to disturbance of excitative and brake processes in a cortex of a brain and I reflect, apparently, character

Reactions of patients in the conditions of a psycho-emotional pressure (L.A.Uljanova, 1982). The functional delicacy of a cortex observed according to EEG, can be bound to insufficiency toning up influence of ascending department of a reticular formation or attrition of processes of excitation is immediate in a brain cortex (P.K.Anokhin; A.V.goat, 1996). Sometimes background EEG did not tap pathological changes, and after application of functional loads they appeared in the form of is bilateral-synchronous flashes of irregular slow will of high amplitude that testified to presence of the latent disturbances nsspetsifichsskih structures mezo-dnentsefalyjugo level (JU.A.Aleksandrovsky, 1976). Degree of expression of pathological changes of bioelectric activity of a brain not always had direct dependence on degree of expression of implications of a nervosism. In some cases at strongly pronounced clinical semiology of a nervosism pathological changes on EEG were insignificant, that testifies to presence of high level of compensatory possibilities TSNS, on what paid attention a number of researchers (L.O.Badaljan, 1982; B.S.seal, 1992). Frequency EEG with signs of pathological involving limbiko-retikuljarnogo a complex specifies in the important role talamo-gipotalamicheskoj nedostayotochnosti in a parentage of sex disorders at a nervosism. Absence of strict parallelism between pathological changes of bioelectric activity of a brain and accurately outlined clinical implications of a nervosism testify about functional dsfntsitarnosti a gipotalamo-LIMBIKO-reticular complex as the soil promoting development of sex disorders at a nervosism that has been earlier shown in a number of works (A.M.Vayne, 1981; G.N.Kryzhanovsky, 1980). At patients with sexological disturbances at a nervosism in 78 % of cases functional disturbances are taped

LRK, that E.B.Varshalovsky (1986) will be compounded with L.A.Uljanovoj's (1982) data.

Summing up to clinical characteristic EEG of researches, at men with sex disorders at a nervosism the following changes having proof character are found out: a constant poliritmija; dominating slow activity; flashes of bilaterally arising slow activity, mainly in the frontcentral abductions that testifies to a functional incompetence and dezintegrirovannom functioning of the mszodientssfalno-LIMBIKO-reticular complex, characterising EEG a picture at a nervosism (A.M.Vayne, 1991; B.I.Aron, 1986).

At 64 % sick the nervosism with sex disturbances taps a mismatch in activity of separate visceral systems in comparison with group of healthy men. In our opinion, at these patients a mismatch in activity of separate visceral systems at psychoemotional and an exercise stress (in which quality can act and the copulative cycle) is shown by vegetatively - vascular crises, meteotropnostyo, absence protopatichsskogo effect of an orgasm, vegetative discomfort after sexual intercourse (distnmichesky a syndrome). The comparative characteristic dopplerometricheskih indicators penilnoj hemodynamics of healthy men and sick of a nervosism statistically do not differ (> 0,05), i.e. at these patients it is possible to speak about presence of a psychogenic impotency. videoassotsiatnvnaja the psychoerotic load caused a condition of an erection in men sick of a nervosism with sex disorders within 17,9+1,6 minutes (vidsoassoiiativnaja the erotic load caused a condition of an erection in healthy men within 5,7+1,4 minutes). Thus, at sick of a nervosism in 3 times activity of erectile function on natural sex stimuluses decreases. It shows, that at sick men the sex

Bulbocavernous and scrotal reflexes caused erection depression (г=0,84; r

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A source: SEMASHKO GALINA ANATOLEVNA. the ACUPUNCTURE ROLE In COMPLEX not MEDICAMENTAL CORRECTION of SEX DISORDERS AT the NERVOSISM At MEN of YOUNG AGE. The DISSERTATION ON COMPETITION of the SCIENTIFIC DEGREE of the CANDIDATE of MEDICAL SCIENCES.

More on topic DISCUSSION OF THE RECEIVED RESULTS:

  1. 4. DISCUSSION OF THE RECEIVED RESULTS
  2. DISCUSSION OF THE RECEIVED RESULTS
  3. DISCUSSION OF THE RECEIVED RESULTS
  4. the CHAPTER IV DISCUSSION of the RECEIVED RESULTS
  5. CHAPTER 5. DISCUSSION OF THE RECEIVED RESULTS
  6. Chapter 4. DISCUSSION of the RECEIVED RESULTS
  7. Chapter 4. Discussion of the received results
  8. DISCUSSION of the RECEIVED RESULTS And the CONCLUSION
  9. Chapter 4 Discussion of the received results
  10. DISCUSSION OF THE RECEIVED RESULTS AND THE CONCLUSION
  11. CHAPTER 5. DISCUSSION OF THE RECEIVED RESULTS
  12. CHAPTER 4. DISCUSSION of the RECEIVED RESULTS
  13. CHAPTER 4. DISCUSSION of the RECEIVED RESULTS