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Us (I.F.Junda and soavt., 1973, 1977, 1983) special research on finding-out of changes of fruitfulness at men is carried out at inflammatory processes of sexual system. Under supervision there were 1996 men with fruitfulness infringement, at 768 (38,5%) from them are established changes of fruitfulness owing to chronic inflammatory processes in man's genitals.
It is established, that genez fruitfulness infringements at chronic inflammatory processes in sexual system the double. One patients as a result of long process in seed bugorke, a back part mocheispuskatelnogo the channel, predstatelnoj gland, seed vials, semjavynosjashchem a channel, an appendage jaichka and jaichke have changes with prevalence obstruktnvnyh the phenomena (a hypostasis, granulations, solderings, hems). The first clinical signs of infringement of fruitfulness - quantity reduction spermatozoonov (oligozoospermija) with infringement or without infringement of the basic indicators snermogrammy (mobility, survival rate, teratoidnye forms spermatozoonov). Further oligozoospermija, as a rule, accrues, and can arise absolute or alternating azoospermija, i.e. obturatsioinoe barreness. Patients with absolute obturatsionnoj the barreness form make approximately 3,7% of all patients and 9,3% of patients with ekskretornym barreness. At other patients the phenomena of an intoxication which are shown differently prevail. In one cases infringements of impellent function spermatozoopov take place; in others - the morphology spermatozoonov changes mainly; in the third - it is broken spermatogenez; in the fourth - all leading indicators spermogrammy are broken.
The cited given distances the basis to allocate the independent ekskretorno-toxic form of barreness, in geneze which play the important role hormonal, immunologicheskie, enzimologicheskie and infectious factors. Acknowledgement of competency of allocation of ekskretorno-toxic barreness in independent group are positive medical results at construction of the plan of treatment with the account pervoocherednosti elimination of a toxic component of an inflammation.
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