THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE

Introduction. Hemorrhagic stroke due to the rupture of the intracranial aneurysm (IA) is a typical clinical manifestation of the disease and one of the main causes of disability, affecting the quality of life in operated patients. The aim. To determine the feasibility and safety of implementing p...

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Main Authors: Svitlana O. Lytvak, Maksym V. Yeleynik, Liliia V. Chobitko, Olena O. Lytvak, Hennadiy P. Pasichnyk, Wojciech Dabrowski
Format: Article
Language:English
Published: State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department 2024-03-01
Series:Клінічна та профілактична медицина
Subjects:
Online Access:https://cp-medical.com/index.php/journal/article/view/368
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author Svitlana O. Lytvak
Maksym V. Yeleynik
Liliia V. Chobitko
Olena O. Lytvak
Hennadiy P. Pasichnyk
Wojciech Dabrowski
author_facet Svitlana O. Lytvak
Maksym V. Yeleynik
Liliia V. Chobitko
Olena O. Lytvak
Hennadiy P. Pasichnyk
Wojciech Dabrowski
author_sort Svitlana O. Lytvak
collection DOAJ
description Introduction. Hemorrhagic stroke due to the rupture of the intracranial aneurysm (IA) is a typical clinical manifestation of the disease and one of the main causes of disability, affecting the quality of life in operated patients. The aim. To determine the feasibility and safety of implementing protocols for diabetes mellitus (DM) treatment as part of rehabilitation interventions in patients who have undergone surgery for the rupture of intracranial aneurysm (IA) in the brain. Materials and methods. To determine the effectiveness and safety of implementing diabetes mellitus (DM) treatment protocols in individually developed rehabilitation interventions following surgery for the rupture of intracranial aneurysm (IA) in the brain, a retrospective cohort study was conducted in parallel groups. Results. Sexual dysfunctions (SD) resulting from the rupture of IA are multifactorial. The causes of SD can be categorized as primary, secondary, and tertiary. Primary causes include damage to brain structures by hemorrhagic stroke or vascular ischemic events affecting sexual functioning, pre-existing medical conditions, and side effects related to medication therapy during treatment. Secondary causes encompass persistent sensorimotor disturbances due to a prior stroke. Issues related to cognitive, behavioral, and psychosocial adaptation constitute tertiary causes of SD. The effective and prompt correction of sexual dysfunction in patients following the rupture of cerebral blood vessel aneurysms largely depended on the proper administration of anesthesia during surgical interventions and intensive therapy in the perioperative period. This includes preoperative preparation and patient analgesia, the administration of anesthesia, and adequate postoperative care. Conclusions. The application of SD correction in men as part of rehabilitation measures from the 6th to the 24th month after surgical treatment of intracranial aneurysm (IA) has a positive impact, reducing SD regression from 88.9% (n=56/63) to 34.9% (n=22/63).
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spelling doaj.art-9aca2d657ed34ce696c7f5037dd07e0a2024-03-15T18:32:14ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682024-03-01161710.31612/2616-4868.1.2024.01368THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURESvitlana O. Lytvak0Maksym V. Yeleynik1Liliia V. Chobitko2Olena O. Lytvak3Hennadiy P. Pasichnyk4Wojciech Dabrowski5State Institution «Romodanov Neurosurgery Institute» оf the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineState Institution «Romodanov Neurosurgery Institute» оf the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineState Institution «Romodanov Neurosurgery Institute» оf the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department, Kyiv, UkraineState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department, Kyiv, UkraineClinic of Anesthesiology and Intensive Therapy Medical University of Lublin, Lublin, PolandIntroduction. Hemorrhagic stroke due to the rupture of the intracranial aneurysm (IA) is a typical clinical manifestation of the disease and one of the main causes of disability, affecting the quality of life in operated patients. The aim. To determine the feasibility and safety of implementing protocols for diabetes mellitus (DM) treatment as part of rehabilitation interventions in patients who have undergone surgery for the rupture of intracranial aneurysm (IA) in the brain. Materials and methods. To determine the effectiveness and safety of implementing diabetes mellitus (DM) treatment protocols in individually developed rehabilitation interventions following surgery for the rupture of intracranial aneurysm (IA) in the brain, a retrospective cohort study was conducted in parallel groups. Results. Sexual dysfunctions (SD) resulting from the rupture of IA are multifactorial. The causes of SD can be categorized as primary, secondary, and tertiary. Primary causes include damage to brain structures by hemorrhagic stroke or vascular ischemic events affecting sexual functioning, pre-existing medical conditions, and side effects related to medication therapy during treatment. Secondary causes encompass persistent sensorimotor disturbances due to a prior stroke. Issues related to cognitive, behavioral, and psychosocial adaptation constitute tertiary causes of SD. The effective and prompt correction of sexual dysfunction in patients following the rupture of cerebral blood vessel aneurysms largely depended on the proper administration of anesthesia during surgical interventions and intensive therapy in the perioperative period. This includes preoperative preparation and patient analgesia, the administration of anesthesia, and adequate postoperative care. Conclusions. The application of SD correction in men as part of rehabilitation measures from the 6th to the 24th month after surgical treatment of intracranial aneurysm (IA) has a positive impact, reducing SD regression from 88.9% (n=56/63) to 34.9% (n=22/63).https://cp-medical.com/index.php/journal/article/view/368rehabilitation measurescorrection of sexual dysfunctionhemorrhagic strokereproductive healtheffectiveness of medical carediagnosistreatment
spellingShingle Svitlana O. Lytvak
Maksym V. Yeleynik
Liliia V. Chobitko
Olena O. Lytvak
Hennadiy P. Pasichnyk
Wojciech Dabrowski
THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
Клінічна та профілактична медицина
rehabilitation measures
correction of sexual dysfunction
hemorrhagic stroke
reproductive health
effectiveness of medical care
diagnosis
treatment
title THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
title_full THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
title_fullStr THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
title_full_unstemmed THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
title_short THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE
title_sort role and correction of sexual dysfunction as a component of the quality of life in patients operated on for cerebral aneurysm rupture
topic rehabilitation measures
correction of sexual dysfunction
hemorrhagic stroke
reproductive health
effectiveness of medical care
diagnosis
treatment
url https://cp-medical.com/index.php/journal/article/view/368
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