Yu gɛt prɔblɛm bak wit erection we yu de du mami ɛn dadi biznɛs? (Erectile Dysfunction) Lɛ wi tɔk bɔt dis!

Erectile dysfunction na tɔpik wae bɔrku pipul kin gɛt, bɔt e kin tranga smɔl fɔ tɔk bɔt. Bɔt na sik we mɛrɛsin kin ɛksplen. So if yu no bɔt am di rayt we, dat go ɛp yu fɔ bia wit am. Lɛ wi tɔk bɔt am opin wan ɛn ɔnɛs wan.

Wetin na di erectile dysfunction?

Fɔ tɔk am simpul wan, erectile dysfunction (ED) na we pɔsin nɔ ebul fɔ gɛt ɔ kip erection we at fɔ du mami ɛn dadi biznɛs. Dɛn kin tek am se na mɛrɛsin we kin afɛkt di penis. Di tin dɛn we yu de tink ɛn fil kin rili afɛkt dis. Fɔ fil rilaks, kɔnfidɛns, ɛn fɔ du mami ɛn dadi biznɛs na impɔtant tin fɔ mek yu gɛt erection. Bɔt i nɔmal fɔ gɛt prɔblɛm fɔ gɛt erection sɔm tɛm. Dis kin apin if yu de fil wɔri, frayd, wɔri, ɔr taya. Fɔ drink rɔm ɔ fɔ tek drɔgs kin afɛkt dis bak. I kin apin bak bikɔs ɔf ɔda mɛrɛsin ɔ as sayd ɛfɛkt fɔ sɔm mɛrɛsin ɔ kansa tritmɛnt. If yu de gɛt prɔblɛm bak fɔ gɛt ɔ fɔ kɔntinyu fɔ gɛt erection, i bɛtɛ fɔ go to dɔktɔ ɛn tɔk bɔt dis. Bɔku tɛm, ED kin bi di fɔs sayn fɔ wan siriɔs ɔndalayn kɔndishɔn, lɛk at sik . Na dat mek i impɔtant fɔ tɔk to yu dɔktɔ bɔt am. Ɔda nem dɛm fɔ ED na "Impotence" ɔ "Impotence." Bɔt di wɔd we dɛn kin yuz tide na "Erectile Dysfunction."

Wetin na di men kayn erectile dysfunction (ED)?

Dɔktɔ dɛn kin sheb ED to sɔm men kayn dɛn:

• Vascular ED (Vascular erectile dysfunction) : Dis na di kayn we we dɛn kin yuz mɔ. I kin bi bikɔs ɔf prɔblɛm wit di blɔd vesel dɛn we de kɛr blɔd go na di penis ɔ prɔblɛm wit di valv dɛn we de ɛp fɔ kip blɔd na di penis .
• Nyurojenik ED (Neurogenic erectile dysfunction) : Dis kכndyushכn de kכz fכ prכblεm wit di nεv dεm we de kכri di signal dεm frכm di bren to di penis. I kin bi bikɔs ɔf aksidɛnt, ɔpreshɔn pan di bɛlɛ, redyushɔn tɛrapi , ɔ strok , spɛshal stenɔsis, maltipul sklɛrosis ( MS ) , ɔ ɔda tin dɛn.Dis kin bi bikɔs ɔf nyurolɔjik sik dɛn lɛk Multiple Sclerosis ( MS ).
• Hormonal erectile dysfunction (ED) : Dis kin kam bikɔs di ɔmon we de mek di ɔmon we de mek di bɔdi nɔ gɛt bɛtɛ trɛnk ( testosterone deficiency), ɔ sɔm tɛm dɛn kin gɛt prɔblɛm wit di tayroyd .
• Psychogenic erectile dysfunction (ED) : ED kin kam bak bikɔs ɔf saykolojik kɔndishɔn wae kin afɛkt yu tinkin, filin, ɔr bihayvya.

Aw kɔmɔn dis sik (ED)?

ED na wan pan di prɔblɛm dɛn we man dɛn kin gɛt we dɛn de du mami ɛn dadi biznɛs wit dɛn, mɔ we dɛn de ol ɛn ɔda wɛlbɔdi prɔblɛm dɛn de bɔku.

Na us ej ED kin apin?

Dɔktɔ ɛn risach pipul dɛn se ED kin afɛkt pas 50% pan di man dɛn we ol bitwin 40 ɛn 70. Bɔt di nɔmba kin pas dat fa fawe. Bɔku man dɛn kin shem tumɔs ɛn shem fɔ tɔk bɔt am ɔ go fɛn tritmɛnt.

Wetin na di sayn dɛm fɔ ED?

Dis na sɔm pan di sayn dɛm fɔ ED:

• di penis kin כnli kam stret sכmtεm bifo yu du mami εn dadi biznɛs.
• Ivin if di penis de tinap bifo yu du mami ɛn dadi biznɛs, da erekt de de lɔs we yu de du mami ɛn dadi biznɛs.
• Inability fɔ ful-ɔp fɔ erekt di penis.
• Nid bɔku stimulation fɔ de alayv.

Wetin kin mek pɔsin gɛt ED?

Bɔku tin dɛn de we kin mek pɔsin gɛt ED. Di men wan dεm na dεn wan dεm we de afekt dεn sistεm dεm ya na yu:

• Circulatory system : Dis na di pat pan yu bɔdi we de kɛr blɔd ɔlsay na yu bɔdi. Yu penis nid gud blɔd fɔ mek i gro ɛn gɛt wɛlbɔdi. I gɛt bak wan sistɛm we gɛt valv dɛn we de ɛp fɔ kip di blɔd insay we i ful-ɔp wit blɔd. Sɔntɛnde, dɛn valv dɛn ya nɔ kin wok fayn.
• Nεv sistεm : Dis inklud yu bren , spεnal kכd, εn nerv dεm . Tugeda, dεn de sεnd lektrikal impuls dεm we de kכntro yu bכdi in muvmεnt εn sεns dεm. Dis kin apin bak to di we aw yu penis de wok.
• εndokrin sistεm : Dis inklud di gland dεm we de mek εn rilis כmon dεm . Ɔmon dɛn de kɔntrol difrɛn wok dɛn we di bɔdi de du. di כmon tεstostεron de εp fכ mek di chanεl dεm we de kכri bכdi go na di penis big.

Sɔm mɛrɛsin ɛn ɔda tin dɛn we kin afɛkt ED na:

• Dayabitis Mɛlitɔs ɛn dayabitik nyuropathy
• Ay blɔd prɛshɔn (haypa prɛshɔn) .
• Ay kɔlɔstrel (haypa lipidemia) .
• Vaskul sik
• Kidni sik we nɔ de mɛn
• Atɛrosklɛrosis we kin mek pɔsin gɛt at
• Peyronie’s disease (na wan sik we de mek di penis kɔba) .
• Lכw tεstostεron / tεstostεron dεfisit
• Strok
• Epilepsy we pɔsin kin gɛt

ED kin kam bak bikɔs ɔf trauma to di penis ɛn di say dɛn we de rawnd am:

• di damej pan di tisu dεm na di penis (sכmtεm dεn kin kכl am " penile fracture," bכt nכ bon de na di penis, na di chεmba dεm we fulכp wit bכdi nכmכ de dεm ya) .
• Injuri to di pelvik bon dεm (hip, sakrum, kכksiks), blad, prכstat, εn spεnal kכd.
• כpεrayshכn dεm fכ di pεlvik kεviti (e.g. prכstat, kכlon, כ blad kεnsar כpεrayshכn).
• Redyushɔn tɛrapi .

Sɔm kayn drɔgs:

ED kin apin as sayd ɛfɛkt fɔ bɔku mɛrɛsin dɛn. Di mɛrɛsin dɛn we kin mek pɔsin gɛt ED na:

• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
• Mεdikal dεm wae de mek yu nɔr de wɔri (anxiolytics) .
• Blɔd prɛshɔn mɛrɛsin dɛn
• Diuretiks we dɛn kin yuz fɔ pul wata
• Antihistamines ( mɛrɛsin fɔ alɛji) .
• Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi
• Di mɛrɛsin dɛn we de mek pɔsin gɛt dis sik we dɛn kɔl Parkinson
• Prɔstat kansa drɔgs
• Antiarrhythmics (mɛrɛsin fɔ di prɔblɛm dɛn we kin mek pɔsin gɛt at ritm) .
• Di tin dɛn we de mek pɔsin fil fayn
• Di tin dɛn we de mek di mɔsul dɛn rilaks
• Antiseizure mεdikeshכn (mεdikal dεm we dεn kin gi fכ kכndyushכn lεk εpilepshכn) .

Ɔda drɔgs ɛn tin dɛn we kin mek pɔsin adikshɔn:

Dɛn tin ya we kin mek pɔsin adikshɔn kin mek pɔsin gɛt ED bak:

• Rum
• Amfɛtamin dɛn
• Barbiturates we dɛn kin yuz
• Kɔkɛyn
• Marijuana we dɛn kin yuz
• Mɛtadɔn we dɛn kɔl
• Nikotin (we de insay tabak) .
• Opioid (wan klas we dɛn kin yuz fɔ mɛn pen) .

Dɛn tin ya kin afɛkt yu sɛntral nervɔs sistɛm, ɛn dis kin mek i nɔ wok fayn. Dɛn kin mek bak di blɔd vesel dɛn pwɛl bad bad wan ɛn mek dɛn gɛt ED fɔ ɔltɛm.

Di we aw pɔsin de tink ɛn di we aw i de fil:

• Pwɛl at
• Wɔri
• Strɛs
• Fɔ fred fɔ du mami ɛn dadi biznɛs ɔ fɔ de wit pɔsin (genophobia) .
• Nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf

Tink bɔt se wan ɔ mɔ pan dɛn tin ya kin de mek yu gɛt ED. Na dat mek i impɔtant fɔ tɔk to dɔktɔ fɔ no di rayt rizin.

Wetin na di men tin we kin mek pɔsin gɛt ED?

Bɔku tɛm, di men tin we kin mek pɔsin gɛt ED na di tin dɛn we kin ambɔg di blɔd we de go na di penis.

Udat dɛn kin afɛkt mɔ wit ED?

Yu kin gɛt mɔ risk fɔ gɛt ED if yu:

• If yu ol 40 ia ɔ pas dat.
• If yu gɛt dayabitis .
• If di Bɔdi Mas Indeks (BMI) pas 25 (fat pasmak).
• If yu gɛt pwɛl at .
• If yu nɔ de du bɔku tin fɔ yu bɔdi.
• If yu de smok .

Aw dɛn kin no se pɔsin gɛt ED?

Dɔktɔ kin no se yu gɛt ED ɛn no wetin de mek yu gɛt am. I go luk yu mɛdikal istri ɛn du yu bɔdi ɛgzam. I go aks yu kwɛstyɔn dɛn bak bɔt yu yon layf ɛn mami ɛn dadi biznɛs. Yu kin shem smɔl ɔ yu nɔ kin fil fayn fɔ aks dɛn kwɛstyɔn ya. Bɔt, i impɔtant fɔ bi ɔnɛs fɔ fɛn di kɔz kwik kwik wan. Di dɔktɔ kin aks kwɛstyɔn dɛn lɛk:

• Naw yu de tek ɛni mɛrɛsin (we dɛn gi yu, we yu kin bay, we yu kin yuz ɛbul, we yu kin yuz fɔ it, drɔgs)?
• Dɔktɔ dɔn ɛva tɛl yu se yu gɛt pwɛl hat ɔ yu de wɔri ?
• Bɔku tɛm yu kin fil strɛs ?
• Yu gɛt prɔblɛm na yu famili layf ɔ na yu padi biznɛs?
• Aw ɔltɛm yu kin stimulate yu penis?
• Aw i stif we i kam pan layf?
• Aw lɔng yu go ebul fɔ de alayv?
• Yu de lɔs yu vitality bikɔs yu de ejaculate fast pas aw yu bin de tink?
• Ustɛm yu fɔs notis di sayn dɛm fɔ ED?
• Wetin bin rili apin we di ED simptom dɛn bin fɔs apia?
• yu penis de fil stret we yu wek nait o na mohnin?
• Us sɛkshɔnal pozishɔn dɛn yu kin du bɔku tɛm?

Di dɔktɔ kin aks bak fɔ tɔk to di pɔsin we yu de du mami ɛn dadi biznɛs wit. I kin ebul bak fɔ gi ɔda tin dɛn bɔt di tin dɛn we kin mek i apin. Dɔn di dɔktɔ kin tɛl yu fɔ du difrɛn tɛst dɛn fɔ no if pɔsin gɛt di sik ɛn fɔ no wetin mek i gɛt di sik.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt ED?

Dis go dipen pan wetin di dɔktɔ de tink. Di tɛst dɛn kin inklud:

• Blɔd tɛst: Kɔmplit Blɔd Kɔnt (CBC) , Lipid panɛl (luk di kɔlɔstrel lɛvɛl), Liva wok tɛst, Kidni wok tɛst, Tayrɔyd tɛst , Tɛstostɛron tɛst .
• Urinalysis we dɛn kin du .
• Penile Doppler ultrasound (fכ si aw bכdi de fכlכ to di penis).
• tεst fכ si if di penis de rεspכnd to di nεv impuls dεm (penile biothesiometry) .
• Injεkshכn כf drog dεm we de mek di penis wok fכ sכm tεm (vasoactive injection) .
• Magnetic Resonance Angiogram (MRA) (fכ gεt ditayla imej dεm fכ di bכdi vεsul dεm).

Bifo yu du dɛn tɛst ya, di dɔktɔ go ɛksplen dɛn to yu ɛn ansa yu kwɛstyɔn dɛn. If yu nɔ fil fayn, yu gɛt rayt fɔ nɔ gri fɔ tek di tɛst ɛnitɛm.

Wetin na di bɛst tritmɛnt fɔ ED?

Di fɔs tin we yu fɔ du fɔ trit ED na fɔ fɛn di ɔndalayn kɔz. Yu dɔktɔ go ɛp yu fɔ pik di bɛst tritmɛnt fɔ yu. Di tritmɛnt we dɛn kin pik kin bi:

• Kadyovaskyuɛl ɛksɛsayz : Fɔ du pawaful kadiɔvaskyuɛl ɛksɛsayz (lɛk fɔ waka kwik kwik wan, fɔ jog, fɔ swim, fɔ rayd baysikul, fɔ jomp rop) fɔ 45 minit at le tri dez insay di wik kin ɛp fɔ mek sɔm ED kɔndishɔn dɛn we nɔ gɛt bɛtɛ trɛnk bɛtɛ.
• Fɔ lɛf fɔ smok: Pipul dɛn we gɛt smɔl ED kin si se dɛn dɔn bɛtɛ insay sɔm mɔnt afta dɛn dɔn lɛf fɔ smok.
• Fɔ tɔk to pɔsin we de mɛn pipul dɛn we gɛt mami ɛn dadi biznɛs .
• Pil dɛm we de mek blɔd flɔ to di penis: Sildenafil (Viagra®) , vardenafil (Levitra®) , tadalafil (Cialis®) ɔ avanafil (Stendra®) . Dɛn pils ya kin bigin fɔ wok insay lɛk wan awa so.
• Penil lכw-intεnsiti fכkus shכkwεv tεrapi (LiSWT) :Dis na tritmɛnt we nɔ de ambɔg pɔsin ɛn we de yuz sawnd wev fɔ mek di blɔd go fayn fayn wan. I kin tek lɛk tu mɔnt so fɔ si di rizɔlt.
• Di mɛrɛsin dɛn we dɛn kin injɛkt dairekt insay di penis: alprostadil (Caverject®) , papaverine (Papacon®) , phentolamine (Regitine®) , ɔ wan kɔmbayn pan dɛn mɛrɛsin ya. Dɛn injɛkshɔn ya kin bigin fɔ wok insay 10 minit.
• Vacuum constriction device / penis pump : Dɛn tin ya de gi rizɔlt ɔlmost wantɛm afta yu dɔn yuz am.
• Tεstostεron riplesmεnt tεrapi: Dis de insay jel, injεkshכn, pat, εn pil. Dis tritmɛnt kin bigin fɔ wok insay 4 wik.
• Penile implant procedure : Insay dis prosidur, wan sajin de put wan divays insay di penis fכ augment am. Dis divays nɔ de afɛkt di we aw pɔsin de fil, we i de pis, ɔ we i de bɔn.

Yu tink se ED go bɛtɛ fɔ insɛf?

ED nɔ go bɛtɛ fɔ yusɛf if yu nɔ chenj yu layf ɔ yu nɔ gɛt sɔm tritmɛnt.

Yu tink se dɛn kin mek dɛn nɔ gɛt ED?

Sɔm chenj na layf kin ridyus di risk fɔ gɛt ED:

• Lɔs yu kɔlɔstrel lɛvɛl.
• Bi fyzikal aktif, mɔ di kayn we aw yu de du ɛksɛsayz na yu at ɛn yu blɔd lɛk fɔ rɔn, jok, ɛn bayk.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• Gɛt gud kwaliti slip.
• It tin dɛn we gɛt wɛlbɔdi (frut, vɛjitebul, ɔl gren) we nɔ gɛt bɔku sɛtyuret fat.
• Lɛf fɔ smok.
• Ridyus ɔ stɔp fɔ drink rɔm.

If a gɛt ED, wetin a fɔ ɛkspɛkt?

Op de fɔ ED. Na wan sik we dɛn kin trit bad bad wan. Pan ɔl we no kɔmplit mɛrɛsin nɔ de fɔ sɔm tin dɛn we kin mek yu du mami ɛn dadi biznɛs, bɔku tritmɛnt dɛn de we go ɛp yu fɔ mek yu ebul fɔ tinap tranga wan ɛn fɔ mek yu ebul fɔ du mami ɛn dadi biznɛs.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu gɛt ED, go to yu praymari dɔktɔ ɔ yurolɔg . Dɛn kin no se yu gɛt ED, fɛn di tin we mek yu gɛt am, ɛn tɛl yu di bɛst tritmɛnt fɔ yu.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu de tek mɛrɛsin fɔ ED ɛn yu gɛt pen we yu de erection we de te pas tu to 4 awa, go na di imejensi rum we de nia yu wantɛm wantɛm. Dis kin bi sayn fɔ wan sik we dɛn kɔl priapism . If dɛn nɔ trit am, i kin mek di penis pwɛl sote go.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

• Na nɔmal tin fɔ gɛt ED?
• Aw yu go no if a gɛt ED?
• Wetin na di kɔz fɔ mi ED?
• Us ED tritmɛnt opshɔn yu kin rɛkɔmɛnd fɔ mi?
• ED kin mek ɔda tin dɛn we kin afɛkt mi mami ɛn dadi biznɛs?
• A kin gɛt bɛlɛ ivin if a gɛt ED?
• Yu kin rɛkɔmɛnd pɔsin we de mɛn pipul dɛn we gɛt mami ɛn dadi biznɛs?
• Yu kin rεkomεnd wan sɔpɔt grup fɔ pipul dɛm wae gɛt ED?
• A fit fɔ mek dɛn du wan penis implant prosidur ?

Aw e kin fil we yu nɔ ebul fɔ gɛt erection?

ED kin mek yu fil difrɛn kayn filin. Yu kin shem, vɛks, fil gilti, wɔri, vɛks, ɔr lɛk se yu nɔr gud. If dis kɔntinyu, e kin mek yu gɛt siriɔs mental wɛlbɔdi prɔblɛm lɛk fɔ wɔri ɛn pwɛl hat . Bɔt yu nɔ nid fɔ liv wit dɛn filin ya. ED na kɔmɔn tin, ɛn i nɔ de mek yu fil se yu nɔ gɛt wan valyu. Dɔktɔ dɛn de we go ɛp yu.

Wetin a fɔ du if mi patna gɛt ED?

ED na wan sɛnsitiv tɔpik fɔ bɔku pipul dɛn. If yu patna gɛt ED, dɛn advays ya kin ɛp yu fɔ sɔpɔt dɛn:

• Ɛnkɔrej fɔ tɔk to am fri wan: Mek i no se yu bisin bɔt aw i de fil ɛn aw i de fil. Fɛn tɛm we i nɔ go fil bad ɛn we yu go ebul fɔ tɔk.
• Mɛmba am se nɔto in wan de: ED na kɔmɔn tin ɛn tritmɛnt dɛn de. Tɛrapist ɛn sɔpɔt grup kin ɛp am fɔ ɔndastand aw i de fil ɛn bia wit am.
• Ɛnkɔrej fɔ gɛt wɛlbɔdi abit: Fokus pan di bɛnifit dɛn we pɔsin kin gɛt we i de du ɛksɛsayz ɔltɛm, it fayn it, ɛn fɔ ridyus di tin dɛn we kin mek pɔsin gɛt ED (rɔm, smok).
• Mek yu no: If yu gɛt kɔrɛkt, ɔp-to-dɛt infɔmeshɔn bɔt ED ɛn di tritmɛnt dɛn we i de gi, yu patna go fil se yu gɛt pawa.
• Tɛl am fɔ go wit am na in dɔktɔ apɔntinmɛnt: Yu kin ɛp am fɔ aks kwɛstyɔn, tek not, ɛn gi di dɔktɔ infɔmeshɔn we go ɛp fɔ no if i gɛt di sik. If i lɛk fɔ go to dɔktɔ in wan, rɛspɛkt da prayvet pat de.
• Sho yu lɔv ɛn lɔv ɔda we dɛn: Nɔto mami ɛn dadi biznɛs nɔmɔ de mek tu pipul dɛn gɛt tayt padi biznɛs. Fɔ ol an, strok unasɛf bak, spɛn tɛm togɛda, kis, rayt not, peshɛnt, ɛn fɔ lisin gud wan na ɔl di we dɛn we yu go sho se yu lɛk yu patna.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

ED na wan kɔmɔn sik we kin afɛkt bɔku man dɛn, mɔ we dɛn de ol. I kin mek pɔsin shem, i nɔ kin gɛt bɛtɛ rɛspɛkt fɔ insɛf, ɛn ɔda siriɔs prɔblɛm dɛn we i kin gɛt na in maynd. Bɔt yu nɔ nid fɔ shem ɔ wɔri fɔ gɛt ED. I kin bi di we aw yu bɔdi de tɛl yu se "sɔntin nɔ rayt."

De tin wae impɔtant pas ɔl na fɔ tɔk opin wan wit dɔktɔ bɔt yu sik ɛn aw dɛn de afɛkt yu layf. Dɔn yu dɔktɔ kin no if yu gɛt ED, fɛn di tin we mek yu gɛt am, ɛn tɛl yu di bɛst tritmɛnt fɔ yu. Nɔ fred ɔ shem fɔ go to dɔktɔ. Nɔto yu wan de!

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