Loaʻa iā ʻoe kekahi mau pilikia me ke kūkulu ʻana i ka wā moe? (Erectile Dysfunction) E kamaʻilio kākou e pili ana i kēia!

He kumuhana ka erectile dysfunction i loaʻa i nā poʻe he nui, akā he mea paʻakikī iki ke kamaʻilio e pili ana. Akā he kūlana ia e hiki ke wehewehe ʻia e ke kauka. No laila, ʻo ka ʻike pono ʻana e kōkua iā ʻoe e hoʻomanawanui. E kamaʻilio kākou e pili ana i ia mea me ka wehe a me ka ʻoiaʻiʻo.

He aha ka hana erectile dysfunction?

I ka ʻōlelo maʻalahi, ʻo ka erectile dysfunction (ED) ka hiki ʻole ke loaʻa a mālama paha i kahi erection i paʻakikī no ka moekolohe. Hiki ke manaʻo ʻia he maʻi lapaʻau e hoʻopilikia i ka penis. He hopena nui kou mau manaʻo a me kou mau manaʻo i kēia. ʻO ka manaʻo hoʻomaha, hilinaʻi, a hoʻāla ʻia i ka moekolohe he mea nui ia no ka loaʻa ʻana o kahi erection. Eia nō naʻe, he mea maʻamau ka loaʻa ʻana o nā pilikia i ka loaʻa ʻana o kahi erection i kekahi manawa. Hiki ke hana kēia inā ʻoe e hopohopo nei, makaʻu, hopohopo, a luhi paha. Hiki i ka inu ʻana i ka waiʻona a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau ke hoʻopilikia i kēia. Hiki ke hana ʻia ma muli o nā kūlana olakino ʻē aʻe a i ʻole he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau maʻi kanesa. Inā pilikia ʻoe i ka loaʻa ʻana a i ʻole ka mālama ʻana i kahi erection, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a kamaʻilio e pili ana i kēia. I ka manawa pinepine, hiki i ka ED ke lilo i hōʻailona mua o kahi maʻi koʻikoʻi, e like me ka maʻi puʻuwai . ʻO ia ke kumu he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea. ʻO nā inoa ʻē aʻe no ED e komo pū me "Impotence" a i ʻole "Impotence." Akā ʻo ka huaʻōlelo maʻamau i hoʻohana ʻia i kēia lā ʻo "Erectile Dysfunction."

He aha nā ʻano nui o ka erectile dysfunction (ED)?

Hoʻokaʻawale nā ​​​​kauka iā ED i kekahi mau ʻano nui:

• ʻO ka Vascular ED (Vascular erectile dysfunction) : ʻO kēia ke ʻano maʻamau. Hiki ke hana ʻia e kahi pilikia me nā kīʻaha koko e lawe ana i ke koko i ka penis a i ʻole kahi pilikia me nā valves e kōkua ana e mālama i ke koko i loko o ka penis .
• ‍ ED (Neurogenic erectile dysfunction) : ‍ ‍ . , ‍ ‍ , ‍ ( radiation therapy ) (stroke) , ‍ (spinal stenosis) , (Hiki ke hana ʻia kēia e nā maʻi neurological e like me ka Multiple Sclerosis ( MS ).
• ʻO ka hana ʻino ʻana o ka erectile hormonal (ED) : Hoʻokumu ʻia kēia e ka emi ʻana o ka hormone testosterone ( ka hemahema o ka testosterone), a i kekahi manawa e nā pilikia thyroid .
• ʻO ka hana erectile psychogenic (ED) : Hiki ke hana ʻia ʻo ED e nā kūlana psychological e hoʻopilikia i kou mau manaʻo, manaʻo, a i ʻole ʻano.

Pehea ka maʻamau o kēia maʻi (ED)?

ʻO ED kekahi o nā pilikia moekolohe maʻamau a nā kāne e hōʻike nei i kā lākou mau kauka, ʻoiai i ko lākou wā ʻelemakule a me nā pilikia olakino ʻē aʻe e hoʻonui ai.

I ka makahiki hea e loaʻa pinepine ai ʻo ED?

Wahi a nā kauka a me nā mea noiʻi , ʻoi aku ka pilikia o ka ED ma mua o 50% o nā kāne ma waena o 40 a me 70 mau makahiki. Akā, hiki ke kiʻekiʻe aʻe ka helu. Hilahila a hilahila hoʻi ka nui o nā kāne e kamaʻilio e pili ana i ia mea a i ʻole e ʻimi i ka lāʻau lapaʻau.

He aha nā hōʻailona o ED?

Eia kekahi mau hōʻailona o ED:

• Kū pololei ke penis i kekahi manawa ma mua o ka moekolohe.
• ʻOiai ua kū pololei ka penis ma mua o ka moekolohe, ua nalowale kēlā kū pololei i ka wā o ka moekolohe.
• ʻAʻole hiki ke hoʻokūpaʻa piha i ka penis.
• He nui ka hoʻoulu ʻana e pono ai e ola.

He aha ke kumu o ED?

Nui nā kumu e hiki ai ke hoʻoulu i ka ED. ʻO nā mea nui nā mea e hoʻopilikia i kēia mau ʻōnaehana āu:

• ʻŌnaehana kaapuni : ʻO kēia ka ʻāpana o kou kino e lawe ana i ke koko ma kou kino holoʻokoʻa. Pono kāu penis i kahi lako koko maikaʻi e ulu a noho olakino. Loaʻa iā ia kahi ʻōnaehana o nā kiwikā e kōkua ai e mālama i ke koko i loko ke piha i ke koko. I kekahi manawa ʻaʻole paha e hana pono kēia mau kiwikā.
• ʻŌnaehana aʻalolo : Hoʻokomo pū kēia i kou lolo , ke kaula iwi kuamoʻo, a me nā aʻalolo . I ka hui pū ʻana, hoʻouna kēia mau mea i nā impulses uila e kāohi i nā neʻe a me nā manaʻo o kou kino. Pili pū kēia i ka hana o kāu penis.
• ʻŌnaehana Endocrine : Hoʻokomo pū kēia i nā kelepa e hana a hoʻokuʻu i nā hormones . Hoʻomalu nā hormones i nā hana like ʻole i ke kino. Kōkua ka hormone testosterone i ka hoʻonui ʻana i nā kahawai e lawe i ke koko i ka penis.

ʻO kekahi mau kūlana olakino a me nā kumu ʻē aʻe e hiki ke hoʻopilikia iā ED:

• ʻO ka maʻi diabetes mellitus a me ka neuropathy diabetic
• Ke koko kiʻekiʻe (hypertension)
• ʻO ke kolamu kiʻekiʻe (hyperlipidemia)
• Maʻi ʻaʻa koko
• Maʻi puʻupaʻa mau loa
• Atherosclerosis
• ʻO ka maʻi ʻo Peyronie (kahi kūlana e hoʻoulu ai i ka piʻo ʻana o ka penis)
• Ka nele o ka testosterone / testosterone haʻahaʻa
• Hahau
• ʻEpilepsy

Hiki ke hana ʻia ʻo ED e ka trauma i ka penis a me nā wahi a puni:

• Ka hōʻino ʻana i nā ʻiʻo o ka penis (i kekahi manawa i kapa ʻia ʻo " penile fracture," akā ʻaʻohe iwi i loko o ka penis, ʻo nā keʻena piha koko wale nō i hōʻino ʻia ma ʻaneʻi)
• Ka ʻeha i nā iwi pelvic (ʻūhā, sacrum, coccyx), ka ʻōpū mimi, ka prostate, a me ke kaula spinal.
• Nā ʻoki kino o ka lua pelvic (e like me ke ʻoki kino o ka prostate, colon, a i ʻole ka maʻi ʻaʻai mimi).
• Hoʻōla radiation .

ʻO kekahi mau ʻano lāʻau lapaʻau:

Hiki ke loaʻa ka ED ma ke ʻano he hopena ʻaoʻao o nā lāʻau lapaʻau he nui. ʻO nā lāʻau lapaʻau maʻamau e hoʻoulu ai i ka ED:

• Nā lāʻau hoʻēmi kaumaha
• Nā lāʻau hoʻemi hopohopo (anxiolytics)
• Nā lāʻau lapaʻau koko
• Nā lāʻau lapaʻau
• Nā antihistamines ( nā lāʻau lapaʻau no nā maʻi allergies)
• Nā lāʻau lapaʻau chemotherapy
• Nā lāʻau lapaʻau no ka maʻi o Parkinson
• Nā lāʻau lapaʻau no ke kanesa prostate
• Nā lāʻau lapaʻau antiarrhythmics (nā lāʻau lapaʻau no nā maʻi o ka puʻuwai)
• Nā lāʻau hoʻomaha
• Nā mea hoʻomaha ʻiʻo
• Nā lāʻau lapaʻau antiseizure (nā lāʻau lapaʻau i hāʻawi ʻia no nā kūlana e like me ka epilepsy)

Nā lāʻau lapaʻau ʻē aʻe a me nā mea hoʻohui:

Hiki i kēia mau mea hoʻonāukiuki ke hana iā ED:

• ʻAila
• Nā Amphetamine
• Nā Barbiturates
• Kokaini
• Paʻi mariuana
• Methadone
• ʻO ka nikotine (aia i loko o ka paka)
• ʻO nā Opioids (kahi papa o nā mea hoʻomaha ʻeha)

Hoʻopilikia kēia mau mea i kāu ʻōnaehana nerve waena, e hōʻemi ana i kāna hana. Hiki iā lākou ke hōʻino nui i nā kīʻaha koko a alakaʻi i ka ED mau loa.

Nā kūlana noʻonoʻo a me nā naʻau:

• Kaumaha
• Hopohopo
• Ke kaumaha
• Makaʻu i ka moekolohe a i ʻole ka pili ʻana (genophobia)
• Ka haʻahaʻa o ka manaʻo ponoʻī

E noʻonoʻo e hiki i kekahi a ʻoi aku paha o kēia mau mea ke kōkua i kāu ED. ʻO ia ke kumu he mea nui e kamaʻilio me ke kauka e ʻike i ke kumu pololei.

He aha ke kumu nui o ED?

ʻO ka pinepine, ʻo ke kumu nui o ED nā kūlana e hoʻopilikia ai i ke kahe koko i ka penis.

ʻO wai ka mea i hoʻopilikia nui ʻia e ED?

Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana iā ED inā ʻoe:

• Inā he 40 ou mau makahiki a ʻoi paha.
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā ʻoi aku ka nui o ke kino ma mua o 25 (momona).
• Inā loaʻa iā ʻoe ke kaumaha .
• Inā ʻaʻole ʻoe e hana kino nui.
• Inā ʻoe e puhipaka ana .

Pehea e ʻike ʻia ai ka ED?

Hiki i ke kauka ke ʻike i ke kumu o ka ED a ʻike i ke kumu. E nānā ʻo ia i kāu mōʻaukala olakino a hana i kahi hoʻokolokolo kino. E nīnau pū ʻo ia iā ʻoe i nā nīnau e pili ana i kou ola pilikino a me kou ola moekolohe. Hiki iā ʻoe ke hilahila iki a ʻoluʻolu ʻole paha i ka nīnau ʻana i kēia mau nīnau. Eia nō naʻe, he mea nui e ʻoiaʻiʻo e ʻike koke i ke kumu. Hiki i ke kauka ke nīnau i nā nīnau e like me:

• Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā lāʻau lapaʻau, nā mea hoʻohui meaʻai, nā lāʻau lapaʻau)?
• Ua haʻi aku anei ke kauka iā ʻoe ua loaʻa iā ʻoe ke kaumaha a i ʻole ka hopohopo ?
• Ke kaumaha pinepine nei ʻoe?
• Ke loaʻa nei iā ʻoe nā pilikia i kou ola ʻohana a i ʻole nā ​​​​pilina?
• ʻEhia pinepine e hiki ai iā ʻoe ke hoʻoulu i kāu penis?
• Pehea ka paʻakikī i ka wā e pili ana i ke ola?
• Pehea ka lōʻihi e hiki ai iā ʻoe ke ola?
• Ke nalowale nei kou ikaika no ka mea ʻoi aku ka wikiwiki o kou ejaculation ma mua o kou manaʻo?
• I ka manawa hea i ʻike mua ai ʻoe i nā hōʻailona o ED?
• He aha ka mea i hana ʻia i ka wā i ʻike mua ʻia ai nā hōʻailona ED?
• Ke kū pololei nei kāu penis ke ala ʻoe i ka pō a i ke kakahiaka paha?
• He aha nā kūlana moekolohe āu e hana pinepine ai?

Hiki paha i ke kauka ke noi e kamaʻilio me kāu hoa moe. Hiki paha iā ia ke hāʻawi i ka ʻike hou aku e pili ana i nā kumu kūpono. A laila hiki i ke kauka ke paipai i nā hoʻokolohua like ʻole e hōʻoia i ka hōʻailona a kuhikuhi i ke kumu.

He aha nā hoʻokolohua i hoʻohana ʻia e ʻike ai i ka ED?

E hilinaʻi kēia i nā kānalua a ke kauka. Hiki i nā hoʻokolohua ke komo pū me:

• Nā hoʻāʻo koko : Helu Koko Piha (CBC) , Lipid panel (nānā i nā pae cholesterol), Nā hoʻāʻo hana ate, Nā hoʻāʻo hana puʻupaʻa , Nā hoʻāʻo Thyroid , Nā hoʻāʻo Testosterone .
• Ka nānā ʻana i ka mimi .
• ʻO ke ultrasound Penile Doppler (e ʻike i ke kahe ʻana o ke koko i ka penis).
• Nā hoʻāʻo e ʻike ai inā pane ka penis i nā impulses nerve (penile biothesiometry) .
• Ka hoʻokomo ʻana i nā lāʻau lapaʻau e hoʻoulu ai i ka penis no kekahi manawa (inikini vasoactive) .
• ʻO Magnetic Resonance Angiogram (MRA) (e kiʻi i nā kiʻi kikoʻī o nā kīʻaha koko).

Ma mua o ka hana ʻana i kēia mau hoʻokolohua, e wehewehe ke kauka iā ʻoe a e pane i kāu mau nīnau. Inā ʻoluʻolu ʻole ʻoe, loaʻa iā ʻoe ke kuleana e hōʻole i ka hoʻokolohua i kēlā me kēia manawa.

He aha nā lāʻau lapaʻau maikaʻi loa no ED?

ʻO ka hana mua i ka mālama ʻana iā ED, ʻo ia ke ʻimi i ke kumu kumu. E kōkua kāu kauka iā ʻoe e koho i ka lāʻau lapaʻau maikaʻi loa nāu. Hiki i nā koho lapaʻau ke komo pū me:

• Hoʻoikaika kino cardiovascular : ʻO ka hoʻoikaika kino cardiovascular ikaika (e like me ka hele wikiwiki, holo wikiwiki, ʻauʻau, paikikala, lele kaula) no 45 mau minuke ma ka liʻiliʻi he ʻekolu lā o ka pule hiki ke kōkua i ka hoʻomaikaʻi ʻana i kekahi mau kūlana ED palupalu.
• Ke haʻalele ʻana i ka puhipaka: Hiki i ka poʻe me ka ED liʻiliʻi ke ʻike i ka hoʻomaikaʻi ʻana i loko o kekahi mau mahina o ka haʻalele ʻana i ka puhipaka.
• Ke kamaʻilio ʻana me kahi mea hoʻoponopono moekolohe .
• Nā pila e hoʻonui ai i ke kahe koko i ka penis: Sildenafil (Viagra®) , vardenafil (Levitra®) , tadalafil (Cialis®) a i ʻole avanafil (Stendra®) . Hoʻomaka kēia mau pila e hana i loko o hoʻokahi hola.
• ʻO ka lāʻau lapaʻau haʻalulu i kālele ʻia i ka ikaika haʻahaʻa o ka penile (LiSWT) :He lāʻau lapaʻau ʻaʻole invasive kēia e hoʻohana ana i nā nalu kani e hoʻomaikaʻi i ke kahe koko. Hiki ke hala ma kahi o ʻelua mahina e ʻike ai i nā hopena.
• Nā lāʻau lapaʻau i hoʻokomo pololei ʻia i loko o ka penis: alprostadil (Caverject®) , papaverine (Papacon®) , phentolamine (Regitine®) , a i ʻole ka hui pū ʻana o kēia mau lāʻau lapaʻau. Hoʻomaka kēia mau inikini e hana i loko o 10 mau minuke.
• Mea hoʻopaʻa ʻūmiʻi / pamu penis : Hāʻawi kēia i nā hopena ma hope koke iho o ka hoʻohana ʻana.
• Lapaʻau hoʻololi Testosterone : Loaʻa kēia i loko o nā gels, injections, patches, a me nā pila. Hoʻomaka kēia lāʻau lapaʻau i loko o ʻehā pule.
• Ke kaʻina hana hoʻokomo penile : Ma kēia kaʻina hana, hoʻokomo ke kauka lapaʻau i kahi mea hana i loko o ka penis e hoʻonui iā ia. ʻAʻole hoʻopilikia kēia mea hana i ka manaʻo, ka mimi ʻana, a i ʻole ka ejaculation.

E hoʻomaikaʻi anei ʻo ED iā ia iho?

ʻAʻole e hoʻomaikaʻi koke ʻo ED me ka ʻole o ka hoʻololi ʻana i kou nohona a i ʻole ka loaʻa ʻana o kekahi lāʻau lapaʻau.

Hiki ke pale ʻia ʻo ED?

Hiki i kekahi mau hoʻololi o ke ʻano o ka nohona ke hōʻemi i ka pilikia o ED:

• E hoʻohaʻahaʻa i kāu pae cholesterol.
• E hoʻoikaika kino, ʻoiai hoʻi nā hoʻomaʻamaʻa cardiovascular e like me ka holo ʻana, ka jogging, a me ke kaʻa paikikala.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E hiamoe maikaʻi.
• E ʻai i nā meaʻai olakino (nā huaʻai, nā mea kanu, nā palaoa piha) i haʻahaʻa i ka momona momona.
• E ho'ōki i ka puhipaka.
• E hōʻemi a hoʻōki paha i ka inu ʻana i ka waiʻona.

Inā loaʻa iaʻu ʻo ED, he aha kaʻu e manaʻo ai?

Aia ka manaʻolana no ka ED. He kūlana hiki ke mālama ʻia. ʻOiai ʻaʻohe lāʻau lapaʻau piha no kekahi mau kumu, nui nā koho lapaʻau e hiki ke kōkua iā ʻoe e mālama a hoʻomaikaʻi i kou kūkulu ʻana no ka moekolohe.

Āhea wau e ʻike ai i ke kauka?

Inā kānalua ʻoe he ED kou, e ʻike i kāu kauka lapaʻau mua a i ʻole he urologist . Hiki iā lākou ke nānā i ka ED, loaʻa ke kumu, a ʻōlelo i ka lāʻau lapaʻau maikaʻi loa nāu.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ED a loaʻa iā ʻoe kahi kūkulu ʻeha e mau ana ma mua o ʻelua a ʻehā mau hola, e hele koke i ka lumi pilikia kokoke loa. He hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo priapism . Inā ʻaʻole mālama ʻia, hiki iā ia ke hōʻeha mau loa i ka penis.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

• He mea maʻamau anei ka loaʻa ʻana o ED?
• Pehea ʻoe e ʻike ai inā loaʻa iaʻu ʻo ED?
• He aha ke kumu o kaʻu ED?
• He aha ke koho lapaʻau ED āu e ʻōlelo mai nei noʻu?
• Hiki iā ED ke hana i nā kūlana ʻē aʻe e hoʻopilikia i koʻu olakino moekolohe?
• Hiki iaʻu ke hāpai inā loaʻa iaʻu ʻo ED?
• Hiki iā ʻoe ke paipai i kahi mea hoʻoponopono moekolohe?
• Hiki iā ʻoe ke kuhikuhi i kahi hui kākoʻo no ka poʻe me ED?
• He kūpono anei au no ke kaʻina hana hoʻokomo penile ?

Pehea kou manaʻo ke hiki ʻole iā ʻoe ke loaʻa kahi kūkulu?

Hiki i ka ED ke hoʻolilo iā ʻoe i nā manaʻo like ʻole. Hiki iā ʻoe ke hilahila, huhū, hewa, hopohopo, huhū, a i ʻole me he mea lā ʻaʻole ʻoe i lawa. Inā hoʻomau kēia, hiki iā ia ke alakaʻi i nā kūlana olakino noʻonoʻo koʻikoʻi e like me ka hopohopo a me ke kaumaha . Akā, ʻaʻole pono ʻoe e noho me kēia mau manaʻo. He mea maʻamau ka ED, a ʻaʻole ia e hoʻolilo iā ʻoe i mea waiwai ʻole. Aia nā kauka e hiki ke kōkua iā ʻoe.

He aha kaʻu e hana ai inā loaʻa i kaʻu hoa ʻo ED?

He kumuhana koʻikoʻi ka ED no nā poʻe he nui. Inā loaʻa i kāu hoa ka ED, hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e kākoʻo iā lākou:

• Paipai i ke kamaʻilio ākea: E hōʻike iā ia ke mālama nei ʻoe i kona mau manaʻo a me kona pono. E ʻimi i kahi manawa e ʻoluʻolu ʻole ai ʻo ia a hiki iā ʻoe ke kamaʻilio.
• E hoʻomanaʻo iā ia ʻaʻole ʻo ia hoʻokahi: He mea maʻamau ka ED a aia nā lāʻau lapaʻau. Hiki i nā mea hoʻōla a me nā hui kākoʻo ke kōkua iā ia e hoʻomaopopo i kona mau manaʻo a hoʻomanawanui iā lākou.
• Paipai i nā hana olakino: E kālele i nā pono o ka hoʻoikaika kino mau, ka ʻai olakino, a me ka hōʻemi ʻana i nā mea e hiki ai ke hoʻoulu i ka ED (ʻona, puhipaka).
• E hoʻomaopopo ʻia: Inā loaʻa iā ʻoe ka ʻike pololei a hou e pili ana iā ED a me kāna mau lāʻau lapaʻau, e manaʻo kāu hoa he mana.
• E hāʻawi iā ia e hele pū me ia i nā manawa i koho ʻia e kāna kauka: Hiki iā ʻoe ke kōkua iā ia e nīnau i nā nīnau, e kākau i nā memo, a hāʻawi i ke kauka i ka ʻike e kōkua ai i ka hōʻoia ʻana. Inā makemake ʻo ia e ʻike i ke kauka hoʻokahi, e mahalo i kēlā pilikino.
• E hōʻike i kou aloha a me kou ʻoluʻolu ma nā ʻano ʻē aʻe: ʻAʻole ʻo ka moekolohe wale nō ka mea e hoʻonui ai i ka pilina ma waena o nā kānaka ʻelua. ʻO ka paʻa lima ʻana, ka hamo ʻana i ke kua o kekahi, ka hoʻolilo ʻana i ka manawa pū, ka honi ʻana, ke kākau ʻana i nā memo, ke ahonui ʻana, a me ka hoʻolohe maikaʻi ʻana, ʻo ia nā ala āpau e hiki ai iā ʻoe ke hōʻike i kou aloha i kāu hoa.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

He maʻi maʻamau ka ED e hoʻopilikia i nā kāne he nui, ʻoiai i ko lākou wā ʻelemakule. Hiki iā ia ke hoʻohilahila, hoʻohaʻahaʻa i ka manaʻo ponoʻī, a me nā pilikia noʻonoʻo koʻikoʻi ʻē aʻe. Akā, ʻaʻole pono ʻoe e hilahila a hopohopo paha no ka loaʻa ʻana o ka ED. He ala paha ia o kou kino e haʻi aku ai iā ʻoe "ʻaʻole pololei kekahi mea."

ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me ke kauka e pili ana i kāu mau hōʻailona a pehea lākou e hoʻopilikia ai i kou ola. A laila hiki i kāu kauka ke nānā i kāu ED, ʻike i ke kumu, a ʻōlelo i ka lāʻau lapaʻau maikaʻi loa nāu. Mai makaʻu a hilahila paha e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. ʻAʻole ʻoe hoʻokahi!

ʻO ka hana pono ʻole o ka moekolohe, ka hiki ʻole ke hoʻopōʻino i ka mana, nā pilikia o ka penis, ke olakino o nā kāne, ke olakino moekolohe, ka mālama ʻana iā ED, nā kumu o ED