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Ekstrakorporeal şok dalga tedavisi (Extracorporeal shock wave therapy-ESWT), vücut dışından gönderilen şok dalgalarının vücuda uygulamasını içeren bir tedavi yöntemidir. İlk olarak 1980 yılında Dornier firmasının geliştirdiği Human-1 (HM-1) cihazı ile ürolojide taş kırma tedavisinde kullanılmaya başlanmıştır. Ekstrakorporeal şok dalgaları akustik basınç dalgalarıdır ve burada tedavi prensibi, cihazın odağına denk getirilen taşın cihaz tarafından üretilen şok dalgaları ile kırılmasıdır. Günümüzde bu şok dalgaları elektrohidrolik, elektrokondüktiv, elektromagnetik ve piazoelektrik sistem olmak üzere dört farklı mekanizma ile elde edilirler. ESWT, mm² başına düşen enerji miktarını tanımlayan enerji yoğunluğu ile ölçülen ve birimi olan bir tedavi yöntemidir. Düşük, orta ve yüksek olmak üzere üç enerji yoğunluğu çeşidi bulunmaktadır . ED olan hastaların büyük çoğunluğu PDE5I ve intrakavernozal enjeksiyon gibi cerrahi dışı seçenekler ile başarılı ve güvenli bir şekilde tedavi edilebilmektedir. Özelikle anjina nedeni ile nitrat türevi vazodilatatör kullanan hastalarda görülebilen yan etkiler ile DM ve kavernozal sinirlerin cerrahi hasarlanmasına (genellikle radikal prostatektomi sonrası) bağlı tedaviye dirençli ED nedeni ile hastaların %30’unda medikal ve enjeksiyon tedavi seçenekleri ile başarılı olunamamaktadır . Ayrıca hastaların en büyük endişeleri uygulanan tedavinin zaman bağımlı olması ve hastalığın patofizyolojisi üzerine etkili olmamasıdır. ED tedavisinde diğer bir seçenek olan penil protez implantasyonunu ise cerrahi riskler nedeni ile bir kısım hasta tarafından olumlu bulunmamaktadır. Bu nedenlerden dolayı araştırmacılar ED’ nin patofizyolojisine etki ederek küratif rol oynayabilecek seçenekler üzerinde çalışmalarını yoğunlaştırmışlardır. Son dönemlerde, farklı hastalıkların tedavisinde kullanılan şok dalgaları ile ED tedavisi üzerine araştırmalar yapılarak yayınlanmaya başlanmıştır. ED tedavisinde sonuçları tatminkar olan seçenekler bulunmaktadır. Ancak bu seçeneklerin zaman bağımlı olması, hastalık patogenezinde etkili olmaması veya cerrahi seçenekler olması nedeni ile ED tedavisindeDY-ŞDT yeni ve gelecek vaat eden bir tedavi modalitesi olarak karşımıza çıkmaktadır. Hayvan modelli çalışmalarda penil hemodinamiği düzeltmesi ve klinik çalışmalarda da tatmin edici sonuçlar ortaya çıkması nedeni ile ED tedavi protokollerinde yer alabilecek bir yöntem olarak düşünülmektedir. Daha Ayrıntılı bilgi için Lütfen Sitemizi Ziyaret Ediniz. https://www.sertlesme.net/tr/
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How to take sildenafil for ED: 1. Take your prescribed dosage 30-60 minutes before sex. (don’t take it more than once per day) Effects typically last up to 4 hours. 2. You can take it with or without food. Avoid high-fat meals and grapefruit juice, which can impact absorption and lead to flimsy results. 3. Side effects like headache, nausea, or flushing are mild and totally normal If you experience any side effects, let your doctor know. 4. Don’t mix sildenafil with medications that can cause dangerous interactions. Not sure if your meds are safe to combine? Ask a healthcare professional. 5. Pair sildenafil with healthy habits — Regular exercise, a balanced diet, and quality sleep can maximize your overall health and sexual well-being. What if sildenafil isn’t working? Talk to your healthcare provider about: -A different dosage -A different ED medication -Another kind of treatment Other erectile dysfunction medications include: -Tadalafil (generic for Cialis®) -Avanafil (generic for Stendra®) -Vardenafil (generic for Levitra®) -Hard Mints™ (chewable ED meds by Hims) Start your journey to better sex today and get ED medications online, if prescribed, at hims.com. Visit our blog to learn more: https://www.hims.com/blog/how-to-take-sildenafil
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Do you feel tired, unmotivated, or lacking energy? Low testosterone could be the cause. In this video, Mike Kocsis from Balance My Hormones and Dr. Rudy Eberwine discuss the key symptoms of low testosterone, including physical, mental, and sexual energy levels. Learn why total testosterone isn’t the full picture and how free testosterone and SHBG levels play a crucial role. Discover how self-assessment and proper testing can help you thrive, not just survive.
Key Questions Covered in the Video:
1. How do you know if you need testosterone replacement therapy (TRT)?
2. What are the main symptoms of low testosterone?
- Physical energy: Fatigue, body composition changes.
- Mental energy: Depression, mood swings, low motivation.
- Sexual energy: Decreased libido, erection issues.
3. Is it enough to base TRT decisions solely on testosterone blood levels?
4. What is the importance of free testosterone versus total testosterone?
5. How do calculated free testosterone levels compare to direct measurements?
6. What are the psychological benefits of TRT, especially for mental health?
7. Can TRT help with symptoms like anxiety, depression, and low mood?
8. What are the side effects of testosterone therapy?
9. How does TRT impact blood pressure, and is it safe for those on blood pressure medications?
10. What lifestyle factors, like diet, exercise, and sleep, should accompany TRT for optimal results?
👉 Watch to find out how you can take control of your health and optimize your hormone levels.
✅ Like, comment, and subscribe for more insights on testosterone replacement therapy (TRT) and hormone optimization.
ABOUT OUR CHANNEL
Balance My Hormones was founded in 2016 by Mike Kocsis with the intent to help men and women in the UK and Europe through the journey of hormone treatments that are made difficult if not impossible by the NHS or other private offerings. BMH is an internationally recognized TRT Service that owns and operates a CQC-registered private clinic in England, while working with some of the leading doctors in the industry, helping our patients overcome a range of hormone imbalances and other medical conditions. We specialize in testosterone replacement therapy (TRT) and hormone replacement therapy (HRT) and we have a genuine passion to serve in an area that is misunderstood by doctors and patients alike. Check out our channel here:
https://www.youtube.com/@balancemyhormones Don’t forget to subscribe!
CHECK OUT OUR OTHER VIDEOS
How To Open A Glass Ampoule The Right Way!
https://youtube.com/shorts/K1myYlxaSsg
10 Changes to Expect on Testosterone and TRT at 6 months
https://youtu.be/8HGYnlc-JIU
First 10 WEEKS on Testosterone (TRT) Real Expectations
https://youtu.be/Of36toD45g8
Top 5 Reasons Men Quit Testosterone Replacement Therapy (TRT)
https://youtu.be/zE9aLitPhlM
Top trt experts in the world with BMH
https://youtu.be/4JmvNFTUVwo
Check Your Testosterone Levels
https://balancemyhormones.co.uk/trt-testing/
https://balancemyhormones.co.uk/hrt-testing/
Checkout our Website
https://balancemyhormones.co.uk
GET IN TOUCH
Contact us at: [email protected]
Telephone: +44 (0) 203 9003 209
FOLLOW US ON SOCIAL
Get updates or reach out to Get updates on our Social Media Profiles!
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Linkedin: https://www.linkedin.com/company/balance-my-hormones-ltd
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