Kodi inunso muli ndi vuto la kukoka maliseche panthawi yogonana? (Kulephera Kugonana) Tiyeni tikambirane za izi!

Vuto la kusowa kwa erectile ndi nkhani yomwe anthu ambiri ali nayo, koma ndi lovuta kukambirana. Koma ndi vuto lomwe lingafotokozedwe ndi madokotala. Chifukwa chake kudziwa bwino za vutoli kudzakuthandizani kuthana nalo. Tiyeni tikambirane momasuka komanso moona mtima.

Kodi Kulephera Kugonana ndi Chiyani?

Mwachidule, vuto la erectile dysfunction (ED) ndi kulephera kupeza kapena kusunga erectile erection yomwe ndi yovuta mokwanira pogonana. Itha kuonedwa ngati vuto lachipatala lomwe limakhudza mbolo. Maganizo ndi malingaliro anu zimakhudza kwambiri izi. Kumva kumasuka, kudzidalira, komanso chilakolako cha kugonana ndikofunikira kuti ukhale ndi erectile erection. Komabe, nthawi zina zimakhala zachilendo kukhala ndi mavuto opeza erectile erection. Izi zitha kuchitika ngati mukumva kuda nkhawa, mantha, nkhawa, kapena kutopa. Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo kungakhudzenso izi. Zitha kuchitikanso chifukwa cha matenda ena kapena ngati zotsatira zoyipa za mankhwala ena kapena mankhwala a khansa. Ngati mukuvutikanso kupeza kapena kusunga erectile erection, ndibwino kuonana ndi dokotala ndikukambirana za izi. Nthawi zambiri, ED ikhoza kukhala chizindikiro choyamba cha vuto lalikulu, monga matenda a mtima . Ndicho chifukwa chake ndikofunikira kulankhula ndi dokotala wanu za izi. Mayina ena a ED ndi "Impotence" kapena "Impotence." Koma mawu omwe amagwiritsidwa ntchito kwambiri masiku ano ndi "Erectile Dysfunction."

Kodi mitundu ikuluikulu ya vuto la erectile dysfunction (ED) ndi iti?

Madokotala amagawa ED m'magulu angapo akuluakulu:

• Vuto la mitsempha yamagazi (Vascular erectile dysfunction) : Mtundu uwu ndi wofala kwambiri. Ungayambitsidwe ndi vuto la mitsempha yamagazi yomwe imanyamula magazi kupita ku mbolo kapena vuto la ma valve omwe amathandiza kuti magazi azikhala m'bolo .
• Matenda a Neurogenic ED (Neurogenic erectile dysfunction) : Matendawa amayamba chifukwa cha vuto la mitsempha yomwe imanyamula mauthenga kuchokera ku ubongo kupita ku mbolo. Angayambitsidwe ndi ngozi, opaleshoni ya m'chiuno, chithandizo cha radiation , kapena sitiroko , spinal stenosis, multiple sclerosis (MS) , kapena matenda ena.Izi zitha kuchitika chifukwa cha matenda amitsempha monga Multiple Sclerosis ( MS ).
• Kulephera kugwira ntchito kwa erectile kwa mahomoni (ED) : Izi zimachitika chifukwa cha kuchepa kwa testosterone ya mahomoni ( kusowa kwa testosterone), kapena nthawi zina chifukwa cha mavuto a chithokomiro .
• Kulephera kwa erectile (ED) : ED ingathenso kuchitika chifukwa cha matenda amisala omwe amakhudza malingaliro anu, momwe mumamvera, kapena khalidwe lanu.

Kodi vutoli (ED) ndi lofala bwanji?

ED ndi imodzi mwa mavuto ofala kwambiri okhudzana ndi kugonana omwe amuna amauza madokotala awo, makamaka akamakalamba komanso mavuto ena azaumoyo akuwonjezeka.

Kodi ED nthawi zambiri imachitika pa msinkhu wanji?

Madokotala ndi ofufuza amati ED imakhudza amuna oposa 50% azaka zapakati pa 40 ndi 70. Koma chiwerengerochi chikhoza kukhala chokwera kwambiri. Amuna ambiri amachita manyazi kwambiri moti sangalankhule za izi kapena kufunafuna chithandizo.

Kodi zizindikiro za ED ndi ziti?

Nazi zina mwa zizindikiro za ED:

• Mbolo imadzuka nthawi zina isanakwane kugonana.
• Ngakhale kuti mbolo imadzuka musanagonane, kudzukako kumatayika panthawi yogonana.
• Kulephera kuimika mbolo mokwanira.
• Kufunika kulimbikitsidwa kwambiri kuti mukhale ndi moyo.

Kodi chimayambitsa ED ndi chiyani?

Pali zinthu zambiri zomwe zingayambitse ED. Zinthu zazikulu ndi zomwe zimakhudza machitidwe anu awa:

• Dongosolo la magazi : Ichi ndi gawo la thupi lanu lomwe limanyamula magazi m'thupi lonse. Mbolo yanu imafuna magazi okwanira kuti ikule bwino komanso kuti ikhale yathanzi. Ilinso ndi dongosolo la ma valve omwe amathandiza kuti magazi azikhala mkati mwake akadzaza ndi magazi. Nthawi zina ma valve amenewa sangagwire ntchito bwino.
• Thupi la mitsempha : Izi zikuphatikizapo ubongo wanu, chingwe cha msana, ndi mitsempha . Pamodzi, izi zimatumiza mphamvu zamagetsi zomwe zimalamulira mayendedwe ndi momwe thupi lanu limamvera. Izi zimagwiranso ntchito pakugwira ntchito kwa mbolo yanu.
• Dongosolo la Endocrine : Izi zikuphatikizapo tiziwalo timene timatulutsa ndi kutulutsa mahomoni . Mahomoni amalamulira ntchito zosiyanasiyana m'thupi. Homoni ya testosterone imathandiza kukulitsa njira zomwe zimanyamula magazi kupita ku mbolo.

Matenda ena ndi zifukwa zina zomwe zingakhudze ED ndi awa:

• Matenda a shuga mellitus ndi matenda a shuga mellitus
• Kuthamanga kwa magazi (kuthamanga kwa magazi)
• Cholesterol yambiri (hyperlipidemia)
• Matenda a mitsempha ya magazi
• Matenda a impso osatha
• Kuchuluka kwa atherosclerosis
• Matenda a Peyronie (vuto lomwe limayambitsa kupindika kwa mbolo)
• Kuchepa kwa testosterone / testosterone
• Stroke
• Khunyu

ED ingayambitsidwenso ndi kuvulala kwa mbolo ndi madera ozungulira:

• Kuwonongeka kwa minofu ya mbolo (nthawi zina kumatchedwa "kusweka kwa mbolo ," koma palibe fupa mu mbolo, zipinda zodzaza ndi magazi zokha ndi zomwe zawonongeka pano)
• Kuvulala kwa mafupa a m'chiuno (chiuno, sacrum, coccyx), chikhodzodzo, prostate, ndi msana.
• Opaleshoni ya m'mimba mwa chiuno (monga opaleshoni ya khansa ya prostate, colon, kapena chikhodzodzo).
• Chithandizo cha radiation .

Mitundu ina ya mankhwala:

ED imatha kuchitika chifukwa cha mankhwala ambiri. Mankhwala ofala kwambiri omwe amayambitsa ED ndi awa:

• Mankhwala oletsa kuvutika maganizo
• Mankhwala ochepetsa nkhawa (anxiolytics)
• Mankhwala ochepetsa kuthamanga kwa magazi
• Mankhwala ochepetsa mphamvu ya mkodzo
• Mankhwala oletsa ziwengo ( antihistamines)
• Mankhwala a chemotherapy
• Mankhwala a matenda a Parkinson
• Mankhwala a khansa ya prostate
• Mankhwala oletsa kupweteka kwa mtima (antiarrhythmics)
• Mankhwala ogonetsa
• Zopumulitsa minofu
• Mankhwala oletsa khunyu (mankhwala operekedwa kwa matenda monga khunyu)

Mankhwala ena ndi zinthu zoledzeretsa:

Zinthu zosokoneza bongo izi zingayambitsenso ED:

• Mowa
• Amphetamines
• Ma Barbiturates
• Cocaine
• Chamba
• Methadone
• Nikotini (yomwe ili mu fodya)
• Opioids (gulu la mankhwala ochepetsa ululu)

Zinthu zimenezi zimakhudza dongosolo lanu la mitsempha, zomwe zimachepetsa ntchito yake. Zingayambitsenso kuwonongeka kwakukulu kwa mitsempha yamagazi ndikupangitsa kuti munthu adwale matenda a ED osatha.

Mikhalidwe yamaganizo ndi yamaganizo:

• Kuvutika maganizo
• Nkhawa
• Kupsinjika maganizo
• Kuopa kugonana kapena kukhala pachibwenzi (genophobia)
• Kudziyang'anira pansi

Ganizirani kuti chimodzi mwa zinthu izi chikhoza kukhala chomwe chimayambitsa vuto lanu la ED. Ichi ndichifukwa chake ndikofunikira kulankhula ndi dokotala kuti mudziwe chomwe chimayambitsa vuto lanu.

Kodi chifukwa chachikulu cha ED ndi chiyani?

Kawirikawiri, chifukwa chachikulu cha ED ndi matenda omwe amasokoneza magazi kupita ku mbolo.

Ndani amene amakhudzidwa kwambiri ndi ED?

Mungakhale pachiwopsezo chachikulu chotenga matenda a ED ngati:

• Ngati muli ndi zaka 40 kapena kuposerapo.
• Ngati muli ndi matenda a shuga .
• Ngati BMI (Body Mass Index) ndi yoposa 25 (kunenepa kwambiri).
• Ngati muli ndi vuto la kuvutika maganizo .
• Ngati simukuchita masewera olimbitsa thupi kwambiri.
• Ngati mumasuta .

Kodi matenda a ED amapezedwa bwanji ?

Dokotala akhoza kupeza matenda a ED ndikupeza chomwe chikuyambitsa. Iye adzayang'ananso mbiri yanu yachipatala ndikukuyesani thupi. Iye adzakufunsaninso mafunso okhudza moyo wanu waumwini komanso wogonana. Mungamve manyazi pang'ono kapena kusamasuka kufunsa mafunso awa. Komabe, ndikofunikira kukhala oona mtima kuti mupeze chomwe chikuyambitsa mwachangu. Dokotala angafunse mafunso monga:

• Kodi panopa mukumwa mankhwala aliwonse (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, omwe amagulitsidwa ndi zitsamba, omwe amawonjezera zakudya, kapena omwe amagulitsidwa ndi dokotala)?
• Kodi dokotala adakuwuzanipo kuti muli ndi vuto la kuvutika maganizo kapena nkhawa ?
• Kodi nthawi zambiri mumakhala ndi nkhawa ?
• Kodi mukukumana ndi mavuto m'banja lanu kapena m'maubwenzi anu?
• Kodi mungalimbikitse bwanji mbolo yanu?
• Kodi zimakhala zovuta bwanji pankhani ya moyo?
• Kodi mungakhale ndi moyo kwa nthawi yayitali bwanji?
• Kodi mukutaya mphamvu zanu chifukwa chakuti mumatulutsa umuna mwachangu kuposa momwe mumayembekezera?
• Kodi munayamba liti kuzindikira zizindikiro za ED?
• Kodi n’chiyani kwenikweni chinachitika pamene zizindikiro za ED zinayamba kuonekera?
• Kodi mbolo yanu imamveka yolunjika mukadzuka usiku kapena m'mawa?
• Kodi nthawi zambiri mumachita zinthu zogonana ndi anthu otani?

Dokotala angapemphenso kuti mulankhule ndi mnzanu wogonana naye. Iye angaperekenso zambiri zowonjezera zokhudza zomwe zingachitike. Dokotalayo angakulimbikitseni mayeso osiyanasiyana kuti atsimikizire matendawa ndikupeza chomwe chikuyambitsa vutoli.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira ED?

Izi zidzadalira zomwe dokotala akukayikira. Mayeso angaphatikizepo:

• Mayeso a magazi : Kuchuluka kwa magazi (CBC) , Lipid panel (kuyang'ana kuchuluka kwa cholesterol), mayeso a chiwindi, mayeso a impso , mayeso a chithokomiro , mayeso a testosterone .
• Kusanthula mkodzo .
• Kujambula kwa ultrasound kwa Penile Doppler (kuti muwone momwe magazi amayendera kupita ku mbolo).
• Kuyesa kuona ngati mbolo ikuyankha ku zizindikiro za mitsempha (penile biothesiometry) .
• Kubaya mankhwala omwe amalimbikitsa mbolo kwakanthawi (jakisoni wa vasoactive) .
• Magnetic Resonance Angiogram (MRA) (kuti mupeze zithunzi zatsatanetsatane za mitsempha yamagazi).

Musanayambe mayesowa, dokotala adzakufotokozerani ndikuyankha mafunso anu. Ngati simukumva bwino, muli ndi ufulu wokana mayeso nthawi iliyonse.

Kodi njira zabwino kwambiri zochiritsira ED ndi ziti?

Gawo loyamba pochiza ED ndikupeza chomwe chimayambitsa vutoli. Dokotala wanu adzakuthandizani kusankha chithandizo chabwino kwambiri kwa inu. Njira zina zochiritsira zingaphatikizepo:

• Kuchita masewera olimbitsa thupi a mtima : Kuchita masewera olimbitsa thupi amphamvu a mtima (monga kuyenda mwachangu, kuthamanga, kusambira, kukwera njinga, kulumpha chingwe) kwa mphindi 45 osachepera masiku atatu pa sabata kungathandize kuchepetsa matenda ena a ED.
• Kusiya kusuta: Anthu omwe ali ndi vuto la ED lochepa angaone kusintha mkati mwa miyezi ingapo atasiya kusuta.
• Kulankhula ndi katswiri wothandiza anthu ogonana .
• Mapiritsi omwe amawonjezera kuyenda kwa magazi kupita ku mbolo: Sildenafil (Viagra®) , vardenafil (Levitra®) , tadalafil (Cialis®) kapena avanafil (Stendra®) . Mapiritsi awa amayamba kugwira ntchito mkati mwa ola limodzi.
• Chithandizo cha mafunde a mbolo omwe ali ndi mphamvu yochepa kwambiri (LiSWT) :Uwu ndi mankhwala osavulaza omwe amagwiritsa ntchito mafunde a phokoso kuti magazi aziyenda bwino. Zingatenge miyezi iwiri kuti muwone zotsatira zake.
• Mankhwala obayidwa mwachindunji mu mbolo: alprostadil (Caverject®) , papaverine (Papacon®) , phentolamine (Regitine®) , kapena kuphatikiza kwa mankhwalawa. Majekeseni awa amayamba kugwira ntchito mkati mwa mphindi 10.
• Chipangizo chotsekereza mbolo / chopopera mbolo : Izi zimapereka zotsatira nthawi yomweyo mutagwiritsa ntchito.
• Mankhwala obwezeretsa testosterone : Izi zimapezeka m'ma gels, jakisoni, ma patches, ndi mapiritsi. Mankhwalawa amayamba kugwira ntchito mkati mwa milungu inayi.
• Njira yopangira mbolo : Mu njira iyi, dokotala wa opaleshoni amaika chipangizo mu mbolo kuti chiwonjezere. Chipangizochi sichimakhudza kumva, kukodza, kapena kutulutsa umuna.

Kodi ED idzakhala bwino yokha?

Matenda a ED sadzasintha okha popanda kusintha moyo wanu kapena kulandira chithandizo.

Kodi ED ingapewedwe?

Kusintha kwina kwa moyo kungachepetse chiopsezo cha ED:

• Chepetsani kuchuluka kwa cholesterol m'thupi lanu.
• Khalani ndi masewera olimbitsa thupi, makamaka masewera olimbitsa thupi monga kuthamanga, kuthamanga, ndi kukwera njinga.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Pezani tulo tabwino.
• Idyani zakudya zopatsa thanzi (zipatso, ndiwo zamasamba, tirigu wonse) zomwe zili ndi mafuta ochepa.
• Siyani kusuta.
• Chepetsani kapena siyani kumwa mowa.

Ngati ndili ndi ED, ndiyenera kuyembekezera chiyani?

Pali chiyembekezo cha ED. Ndi matenda ochiritsika kwambiri. Ngakhale kuti palibe mankhwala athunthu pazifukwa zina, pali njira zambiri zochiritsira zomwe zingakuthandizeni kusunga ndikuwongolera mphamvu yanu yogonana.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi vuto la ED, pitani kwa dokotala wanu wamkulu kapena katswiri wa urologist . Angathe kuzindikira ED, kupeza chomwe chikuyambitsa, ndikukupatsani chithandizo chabwino kwambiri.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mukumwa mankhwala a ED ndipo muli ndi kupweteka kwa mbolo komwe kumatenga maola opitilira awiri kapena anayi, pitani kuchipatala chapafupi nthawi yomweyo. Ichi chikhoza kukhala chizindikiro cha vuto lotchedwa priapism . Ngati silinachiritsidwe, lingayambitse kuwonongeka kosatha kwa mbolo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

• Kodi ndi zachilendo kukhala ndi ED?
• Kodi mungadziwe bwanji ngati ndili ndi ED?
• Kodi chifukwa cha ED yanga n'chiyani?
• Kodi ndi njira iti yothandizira ED yomwe mukupangira?
• Kodi ED ingayambitse matenda ena omwe amakhudza thanzi langa logonana?
• Kodi ndingatenge mimba ngakhale ndili ndi ED?
• Kodi mungandipatseko katswiri wothandiza pa nkhani za kugonana?
• Kodi mungapangire gulu lothandizira anthu omwe ali ndi ED?
• Kodi ndine woyenera kugwiritsa ntchito njira yopangira mbolo ?

Kodi mumamva bwanji ngati simungakwanitse kukoka?

Kuvutika maganizo kungakupangitseni kumva zinthu zosiyanasiyana. Mungamve manyazi, kukwiya, kudziimba mlandu, kuda nkhawa, kukwiya, kapena ngati simuli bwino. Ngati izi zipitirira, zingayambitse matenda aakulu amisala monga nkhawa ndi kuvutika maganizo . Koma simuyenera kukhala ndi malingaliro amenewa. Kuvutika maganizo n’kofala, ndipo sikukupangitsani kumva ngati wopanda pake. Pali madokotala omwe angakuthandizeni.

Kodi ndingatani ngati mnzanga ali ndi vuto la ED?

Nkhani ya ED ndi yovuta kwa anthu ambiri. Ngati mnzanu ali ndi ED, malangizo awa angakuthandizeni kumuthandiza:

• Limbikitsani kulankhulana momasuka: Muuzeni kuti mumasamala za momwe akumvera komanso ubwino wake. Pezani nthawi yomwe sadzamva bwino komanso kuti mulankhule.
• Mukumbutseni kuti sali yekha: ED ndi yofala ndipo pali mankhwala. Madokotala ndi magulu othandizira angamuthandize kumvetsetsa malingaliro ake ndikulimbana nawo.
• Limbikitsani zizolowezi zabwino: Yang'anani kwambiri pa ubwino wochita masewera olimbitsa thupi nthawi zonse, kudya zakudya zabwino, komanso kuchepetsa zinthu zomwe zingayambitse ED (mowa, kusuta).
• Dziwani izi: Ngati muli ndi chidziwitso cholondola komanso chaposachedwa chokhudza ED ndi mankhwala ake, mnzanuyo adzamva kuti ali ndi mphamvu.
• Perekani kuti mupite naye kukaonana ndi dokotala wake: Mutha kumuthandiza kufunsa mafunso, kulemba mfundo, ndikupatsa dokotalayo chidziwitso chomwe chingathandize kupeza matenda. Ngati akufuna kuonana ndi dokotala yekha, lemekezani chinsinsi chimenecho.
• Sonyezani chikondi chanu m'njira zina: Kugonana si chinthu chokhacho chomwe chimawonjezera chikondi pakati pa anthu awiri. Kugwirana manja, kukumbatirana kumbuyo, kukhala limodzi, kupsompsonana, kulemba manotsi, kuleza mtima, komanso kukhala womvetsera bwino ndi njira zonse zomwe mungasonyezere chikondi chanu kwa mnzanu.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a ED ndi matenda ofala omwe amakhudza amuna ambiri, makamaka akamakula. Angayambitse manyazi, kudziona kuti ndi osafunika, komanso mavuto ena akuluakulu amisala. Koma simuyenera kuchita manyazi kapena kuda nkhawa kuti muli ndi matenda a ED. Ikhoza kukhala njira ya thupi lanu yokuuzani kuti "chinachake sichili bwino."

Chofunika kwambiri ndikulankhulana momasuka ndi dokotala za zizindikiro zanu komanso momwe zikukhudzira moyo wanu. Dokotala wanu amatha kuzindikira vuto lanu la ED, kupeza chomwe chikuyambitsa, ndikukupatsani chithandizo chabwino kwambiri. Musachite mantha kapena kuchita manyazi kufunafuna upangiri wa dokotala. Simuli nokha!

Kulephera kugonana, kusabereka, mavuto a mbolo, thanzi la amuna, thanzi la kugonana, chithandizo cha ED, zifukwa za ED