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Dr. Saraçoğlu önce sertleşme probleminin yaygınlığını ve nedenlerini anlatmakta, ardından tarihsel tedavi yöntemlerini (psikoterapi, penis protezi, intrakavernöz enjeksiyon, fosfodiesteraz beş inhibitörü) kronolojik olarak açıklamaktadır. Son bölümde ise düşük yoğunluklu şok dalgası tedavisinin nasıl çalıştığı, iki farklı cihaz türü (odak atışlı ve doğrusal atışlı) ve bu tedavinin başarı oranları hakkında detaylı bilgiler verilmektedir."]},"endTime":756,"title":"Sertleşme Problemi ve Düşük Yoğunluklu Şok Dalgası Tedavisi","beginTime":0}],"fullResult":[{"index":0,"title":"Sertleşme Problemi ve Yaygınlığı","list":{"type":"unordered","items":["İzmir Avrupa Cerrahi Tıp Merkezi'nden Dr. Musa Saraçoğlu, 40 yaş üzerindeki erkeklerin önemli problemlerinden biri olan sertleşme problemi hakkında bilgi verecektir.","40 yaş üzerindeki erkeklerin %30 ila %60'ında değişik derecelerde sertleşme problemi bulunmaktadır.","1995 yılında 152 milyon erkekte sertleşme problemi olduğu, 2025 yılında ise bu problemi olan hasta sayısının 322 milyona ulaşacağı tahmin edilmektedir."]},"beginTime":8,"endTime":76,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=8&ask_summarization=1"},{"index":1,"title":"Sertleşme Probleminin Nedenleri","list":{"type":"unordered","items":["Normal sağlıklı bir erkekte peniste sertleşme olabilmesi için cinsel hormonlar, atardamarlar, toplardamarlar, sinirler ve cavernöz cisim gibi oluşumların birlikte sağlıklı çalışması ve kişinin psikolojik durumunun normal olması gerekmektedir.","Sertleşme problemine yol açabilecek durumlar arasında şeker hastalığı, kalp hastalıkları, damar hastalıkları, yüksek tansiyon, obezite, hormonal bozukluklar ve sigara tüketimi bulunmaktadır.","Bu durumlar bir veya birden fazla mekanizmayı bozarak sertleşme problemine yol açabilirler."]},"beginTime":76,"endTime":149,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=76&ask_summarization=1"},{"index":2,"title":"Sertleşme Probleminin Tarihi Gelişimi","list":{"type":"unordered","items":["1970'li yıllara kadar sertleşme probleminin tek tedavisi psikoterapiydi.","1970'li yıllarda penis protezi geliştirilmeye başladı ve 1980'li yıllara kadar popüler olarak devam etti.","1990'lı yılların başında intrakavernöz enjeksiyon (penis içerisinde madde enjeksiyonları) ile hastalık tedavi edilmeye çalışıldı.","1990'lı yılların sonunda fosfodiesteraz 5 inhibitörü adı verilen ilaçlar keşfedilerek klinikte kullanılmaya başlandı ve günümüzde en çok tedavi edilen yöntemler içerisinde yer almaktadır."]},"beginTime":149,"endTime":229,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=149&ask_summarization=1"},{"index":3,"title":"Fosfodiesteraz 5 İnhibitörleri ve Düşük Yoğunluklu Şok Dalgaları","list":{"type":"unordered","items":["Ağızdan alınan fosfodiesteraz 5 inhibitörleri etkili olmakla birlikte maliyeti, yan etkileri ve hastalar tarafından iyi tolere edilememesi gibi sebeplerle giderek daha az tercih edilmektedir.","Bu ilaçlar hastalığın temelindeki problemi değil belirtiyi tedavi etmektedir; penisteki damarlanma yapısının azalması gibi temel sorunu çözmemektedir.","2010 yılında düşük yoğunluklu şok dalgalarıyla tedavi yöntemi ile tanıştık; bu yöntem hastanın belirtileri değil kendisini tedavi ederek hastalığın nedenini çözmeye çalışmaktadır."]},"beginTime":229,"endTime":301,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=229&ask_summarization=1"},{"index":4,"title":"Şok Dalgalarının Tıpta Kullanımı","list":{"type":"unordered","items":["Şok dalgaları tıpta uzun süredir kullanılmaktadır; ilk olarak ürolojik alanda yüksek yoğunluklu şok dalgalarıyla böbrek ve idrar yolları taşları kırılmıştır.","Daha sonra orta yoğunluklu şok dalgaları ortaya çıkmış ve daha düşük enerjili olmaları nedeniyle eklem ve kas hastalıkları gibi ortopedik hastalıkların tedavisinde kullanılmıştır.","Düşük yoğunluklu şok tedavisi uygulamalarının iskemik kalp hastalıkları, iyileşmeyen yaralar veya sertleşme problemi gibi hastalıklarda etkili olabileceği izlenimi vermiştir."]},"beginTime":301,"endTime":371,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=301&ask_summarization=1"},{"index":5,"title":"Düşük Yoğunluklu Şok Dalgalarının Çalışma Prensibi","list":{"type":"unordered","items":["Şok dalgası, saniyenin milyonda biri gibi çok kısa bir sürede aniden oluşup kaybolan dalgalar aracılığıyla tedavi yapılmasıdır.","Düşük yoğunluklu şok dalgası dokuya uygulandığında akustik bir enerjiyi vücut dışındaki jeneratörlerde üretilen enerjiyi vücut içerisine iletmekte ve dokuda değişik reaksiyonlara yol açmaktadır.","Bu reaksiyonlardan en önemlisi yeni damar oluşumlarına yol açması ve hasarlanmış sinir liflerinin tamir edilmesine yardımcı olmasıdır."]},"beginTime":371,"endTime":444,"href":"/video/preview/9147587777892537874?parent-reqid=1765310688759034-1976794104161724574-balancer-l7leveler-kubr-yp-vla-157-BAL&text=Urolog+Saidislom+Bahodirov&t=371&ask_summarization=1"},{"index":6,"title":"Düşük Yoğunluklu Şok Dalgalarının Cihazları","list":{"type":"unordered","items":["Düşük yoğunluklu cihazlar iki grupta incelenmektedir: birinci kuşak cihazlar daha önceki aletlerin modifikasyonu ile elde edilen ve odaklı atış yapan cihazlardır.","Odak atışlı cihazlarda enerji dokuya koni şeklinde gelmekte ve uç kısımda en yüksek yoğunluğa ulaşmaktadır, bu da dokunun her tarafının aynı yoğunlukta enerji alamamasına neden olmaktadır.","İkinci kuşak cihazlar lineer atış (doğrusal atış) yöntemiyle atış yaparak belli bir noktaya odaklanmak yerine belge bir bölgede her noktada eşit enerjiyi sağlamak şeklinde 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