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Варикоцеле 2 степени: что это и чем опасно?

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30 апреля 2018

[intro-text]Взрослые мужчины и подростки подвержены широко распространенному заболеванию доброкачественного характера — варикоцеле 2 степени. Это патологическое состояние венозной системы семенного канатика характеризуется нарушением кровообращения. Около 18% мужчин имеют этот опасный диагноз. Число таких больных растет с каждым годом. Эту мужскую патологию лечат урологи.[/intro-text]
[contents]

Симптомы

Нередко при очередном медицинском осмотре специалист обнаруживает это заболевание, поскольку такая болезнь у мужчин нередко протекает бессимптомно. При хроническом варикоцеле 2 стадии происходит отек тестикулы, ее опущение. В 98% случаев поражается сосудистая система левой мошонки.

Отмечаются следующие клинические признаки:

  • Во время интимной близости возникают неприятные ощущения. Половые отношения нарушаются. В мошонке появляется чувство тяжести.
  • Пациента беспокоит резкая боль в паху. При ходьбе болевой синдром усиливается.
  • Постоянная тянущая боль отмечается при патологии 2 стадии.

Причины заболевания

Специалистами еще до конца не установлены причины патологического расширения семенного канатика.

Классификация болезни:

  • С рождения развивается первичное варикоцеле, запрограммированное генетически. Оно обусловлено врожденными предпосылками к заболеванию.
  • Вторичный варикоз в семенном канатике, переходящий во 2 стадию, развивается в течение жизни. Однако болезнь детородного органа проявляется не сразу.

[frame-text-border]Все причины и симптомы варикоцеле: самая полная информация[/frame-text-border]

Механизм развития патологического состояния

В половой системе мужчины важной составной частью детородного органа являются тестикулы. Это единственный орган, который вынесен наружу. Все свои отличительные качества представители мужского пола имеют благодаря тестикулам. Этот детородный орган расположен в мошонке. Регуляторную функцию выполняют венозные клапаны. За отток крови отвечают клапаны сосудов, окружающих семенной канатик.

Специальные клапаны, состоящие из створок, играют важную роль. В фазе расслабления сердечной мышцы створки смыкаются, чтобы из семенного канала и парных половых желез отводить кровь. При такой болезни в слабых сосудистых стенках развивается патологическое состояние. Снижается их эластичность.

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[frame-icon type=»5″ color=»yellow»]В области тестикул происходят дегенеративные изменения сосудистых стенок, которые приводят к нарушению кровотока. В венах малого таза кровяное давление увеличивается. Поскольку эта биологическая жидкость застаивается в половых органах и течет в противоположном направлении, развивается атрофия тканей. Циркуляция температуры в мошонке нарушается. Нормальный сперматогенез не происходит.[/frame-icon]

Генез вторичной формы болезни

Различные условия способствуют развитию болезни.

Застой в системе вызывает ряд следующих факторов:

  • Несостоятельность и слабость сосудистых стенок. Пережатие семенной артерии. Сужение аорты и почечной вены. Образуется расширение в венозном сплетении в зоне основания яичка.
  • При патологическом токе крови в направлении, противоположном естественному течению, развивается недостаточность этих клапанов. Их анатомическая целостность утрачивается. Через неплотно смыкающиеся клапаны обратное движение крови под влиянием силы тяжести становится невозможным.
  • Венозная гипертензия и нарушение оттока жидкой ткани. В половой системе развивается высокое кровяное давление у пациента, страдающего варикозом ног, геморроем.

Группа риска

  • лица мужского пола при отсутствии секса, наличии нерегулярной половой жизни;
  • мужчины, которые во время трудовой деятельности вынуждены находиться в вертикальном положении длительное время;
  • люди, страдающие от частых запоров;
  • лица, пострадавшие вследствие несчастных случаев, при занятии спортом, в результате травмирования фаллоса;
  • представители сильного пола, поднимающие тяжелые предметы, имеющие чрезмерные физические нагрузки.

Особенности протекания у подростков этой патологии

На этапе полового созревания нередко формируется варикоцеле 2 степени у подростков. У мальчиков младше 9 лет такое нарушение отмечается редко. У заболевших подростков после 10 лет дискомфортные ощущения отсутствуют. Болезнь диагностировать сложно. Лишь в 15% случаев удается сделать это. Однако 40% таких пациентов в будущем остаются бесплодными. У 10% заболевших подростков обнаруживается варикоцеле 2 степени. Важно своевременно обратиться к детскому урологу.

Профилактика варикоза яичковых вен 2 стадии важна. Медицинский контроль требуется всегда проходить регулярно. Специалисты проводят плановые осмотры школьников.

Последствия варикоцеле 2 степени

Жизни пациента недуг не угрожает, однако часто развивается мужское бесплодие. Зачатие при хроническом варикоцеле 2 степени невозможно, поскольку сперматозоиды вследствие повышенной температуры погибают. Беременность у женщины не наступает. Мужчина лишается возможности стать отцом, поскольку такая распространенная патология препятствует полноценной семейной жизни. Возможность забеременеть под вопросом. Неспособность к оплодотворению наблюдается у 50% мужчин с варикоцеле. Женщина не может стать матерью. Вследствие болевого синдрома снижается качество жизни.

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[frame-icon type=»1″ color=»blue»]Своевременное обращение к урологу позволит решить проблему продолжения рода, восстановить мужское здоровье.[/frame-icon]

Стадии развития мужского заболевания

Оценивая визуальную симптоматику, специалисты условно выделяют 4 стадии заболевания. При болезни 1 степени больной не испытывает дискомфорта. Визуально патология никак не проявляется. На ранних стадиях выявить такую проблему сложно. Лишь в процессе специализированного медицинского обследования можно обнаружить раннюю патологию.

Чаще всего обнаруживается варикоз 2 стадии. Связка пораженных венозных сосудов слегка опускается под мошонку. Лишь в положении стоя можно диагностировать такое нарушение, поскольку внешне оно не проявляется. При запущенном сосудистом поражении тестикула изменяет свою консистенцию.

Увеличивается в размерах венозная связка. Она диагностируется доктором с помощью прощупывания. Пораженные венозные кровеносные пути хорошо видны визуально при напряжении мышц паха и живота. Мошонка уменьшается в размерах. Даже без пальпации специалист определит выраженный симптом варикоза яичка. Это мошонка с расширенными венами. Возникает опухоль мужской половой железы при выраженном расширении венозных кровеносных путей семенного канатика.

Лечение варикоцеле

Пациента необходимо обследовать, чтобы сохранить репродуктивную функцию. На основе результатов диагностического исследования уролог назначает лечебный курс. Несколькими способами можно избавиться от такого варикоза.

Диагностические исследования

Лишь квалифицированный опытный доктор может поставить точный диагноз. Требуется, чтобы специалист выяснил причину возникновения и развития сосудистых нарушений. Для выявления патологии доктор производит с целью диагностики пальпацию. В стоячем положении у больного прощупывается лозовидное венозное сплетение.

Варикозное расширение вен мошонки не определяется пальпаторно, когда заболевание только зарождается. Во 2 стадии этот патологический процесс развивается. Слева мошонка опущена при варикоцеле. Пораженная вена либо связка сосудов иногда отчетливо видна. При необходимости специалист направит пациента на проведение диагностических процедур.

Выполняются лабораторные, инструментальные исследования. У мужчин исследуется качество спермы. Состояние мужской системы кровообращения в яичке определяется с использованием допплерографии. Ультразвуковое исследование позволяет сравнить консистенцию тестикул, обнаружить твердый малоподвижный сгусток, локализацию и степень повреждения сосудов полового органа, размер венозного тромба. Важно определить данные гормонального профиля.

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Оперативное лечение

Это самая частая операция у подростков мужского пола 15-17 лет.

Возможны следующие способы оперативного вмешательства:

  • больные легко переносят больные классическую открытую операцию;
  • без разрезов проводится эндоскопическая перевязка сосудов с помощью волоконной оптики;
  • в условиях ангиографического кабинета выполняется эндоваскулярная склеротерапия. Склерозирующее вещество вводится с помощью прокола.

Возможные осложнения

Встречаются после операции:

  • тромбоз глубоких вен;
  • повторное развитие варикоцеле;
  • снижение размера яичка;
  • водянка тестикулы;
  • лимфатический отек;
  • невралгическая боль;
  • воспаление.

Ранее считалось, что лишь хирургия может помочь пациентам с варикоцеле. Сегодня сам факт обнаружения этой патологии не является поводом для проведения операции.

Такое оперативное вмешательство показано в следующих случаях:

  • на стороне поражения обнаружено недоразвитие яичка, происходит его уменьшение в размере;
  • имеется болевой симптом.

Медикаментозное лечение варикоза яичка

Разработаны способы лечения этой патологии лекарствами. При 2 степени варикоцеле требуется поддержка организма мужчины медикаментами. Возможно лечение без операции.

Доктор может назначить следующие лекарственные препараты:

  • Прием венопротекторов желателен в начальной стадии варикоцеле, чтобы исключить гипоксию тканей. Необходимы витамины А, Е, С. Витамакс плюс С, Антиокс, Итриовит улучшают клеточное питание.
  • Гингкобилоба, Эскузан, Детралекс укрепляют стенки сосудов. Трентал, Агапурин, Пентоксифиллин стимулируют микроциркуляцию крови. Однако терапия двустороннего варикоцеле с помощью лекарств признана неэффективной.

Народное лечение

Травяной настой тысячелистника, корня малины, каштана, коры вербы, ромашки принимают утром и вечером каждый день внутрь. Ежедневно в течение недели в области пораженных вен делают компресс из свежей полыни. Листья растения измельчают, добавляют 1 ч.л. сметаны. Теплая ванна с отваром ветвей ивы, каштана, дуба полезна. Ее принимают в течение 30 минут.

 

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