Ese nawe ufite ibibazo byo guhagarara mu gihe cy'imibonano mpuzabitsina? (Kudakora neza kw'imibonano mpuzabitsina) Reka tubiganireho!

Abantu benshi bahura n'ikibazo cy'imirire mibi, ariko kubivugaho biragoye. Ariko ni ikibazo gisobanurwa n'abaganga. Kubimenya neza bizagufasha guhangana nacyo. Reka tubiganireho mu buryo bweruye kandi mu kuri.

Ikibazo cyo kutagira igitsina gihagije ni iki?

Mu magambo make, ikibazo cyo guhagarara nabi kw'igitsina (ED) ni ukudashobora kugira cyangwa kugumana imibonano mpuzabitsina bigoye cyane. Bishobora gufatwa nk'indwara igira ingaruka ku gitsina. Ibitekerezo byawe n'ibyiyumvo byawe bigira ingaruka zikomeye kuri ibi. Kumva utuje, ufite icyizere kandi ushishikajwe n'imibonano mpuzabitsina ni ingenzi kugira ngo ubone imibonano mpuzabitsina. Ariko, ni ibisanzwe kugira ibibazo byo guhagarara rimwe na rimwe. Ibi bishobora kubaho niba wumva uhangayitse, ufite ubwoba, uhangayitse, cyangwa unaniwe. Kunywa inzoga cyangwa gukoresha ibiyobyabwenge nabyo bishobora kugira ingaruka kuri ibi. Bishobora kandi guterwa n'izindi ndwara cyangwa nk'ingaruka z'imiti imwe n'imwe cyangwa imiti ya kanseri. Niba kandi ufite ikibazo cyo guhagarara nabi cyangwa kugumana imibonano mpuzabitsina, ni byiza kureba muganga ukaganira kuri ibi. Akenshi, ED ishobora kuba ikimenyetso cya mbere cy'indwara ikomeye, nk'indwara y'umutima . Niyo mpamvu ari ngombwa kuganira na muganga wawe kuri ibyo. Andi mazina ya ED arimo "Impotence" cyangwa "Impotence." Ariko ijambo rikoreshwa cyane muri iki gihe ni "Impotence Erectile".

Ni ubuhe bwoko bw'ingenzi bw'indwara yo kunanirwa gusohora k'umusatsi (ED)?

Abaganga bagabanya ED mu moko menshi y'ingenzi:

• Guhagarara kw'imitsi y'amaraso (Vascular erectile dysfunction) : Ubu ni bwo bwoko bukunze kugaragara cyane. Bushobora guterwa n'ikibazo cy'imitsi ijyana amaraso mu gitsina cyangwa ikibazo cy'udutsi dufasha mu kugumana amaraso mu gitsina .
• Kudakora neza kw'imitsi: Iyi ndwara iterwa n'ikibazo cy'imitsi itwara ibimenyetso biva mu bwonko ijya mu gitsina cy'umugabo. Ishobora guterwa n'impanuka, kubagwa mu kibuno, kuvurwa hakoreshejwe imirasire , cyangwa gucika imitsi , gucika intege kw'umugongo, sclerosis nyinshi (MS) , cyangwa izindi ndwara .Ibi bishobora guterwa n'indwara z'imitsi nka Multiple Sclerosis ( MS ).
• Kudakora neza kw'imibonano mpuzabitsina (ED) : Ibi biterwa no kugabanuka kwa testosterone ( imisemburo ya testosterone), cyangwa rimwe na rimwe n'ibibazo bya tiroyide .
• Kudakora neza kw'imibonano mpuzabitsina (ED) : ED ishobora guterwa n'indwara zo mu mutwe zigira ingaruka ku bitekerezo byawe, amarangamutima yawe, cyangwa imyitwarire yawe.

Iyi ndwara (ED) ikunze kugaragara gute?

Kurwara indwara y’ihungabana ry’imitekerereze (ED) ni kimwe mu bibazo bikunze kugaragara mu mibonano mpuzabitsina abagabo babibwira abaganga babo, cyane cyane uko bagenda bakura n’ibindi bibazo by’ubuzima byiyongera.

Ubusanzwe ED ikunze kugaragara ku kigero cy'imyaka ingahe?

Abaganga n'abashakashatsi bavuga ko indwara ya ED yibasira abagabo barenga 50% bari hagati y'imyaka 40 na 70. Ariko umubare ushobora kuba munini cyane. Abagabo benshi bagira isoni zo kubivugaho cyangwa gushaka ubuvuzi.

Ni ibihe bimenyetso bya ED?

Ibi bikurikira ni bimwe mu bimenyetso bya ED:

• Imboro irakomera rimwe na rimwe mbere y'imibonano mpuzabitsina.
• Nubwo igitsina gabo kiba cyarahagaze mbere yo gukora imibonano mpuzabitsina, ubwo buryo bwo guhagarara burabura mu gihe cyo gukora imibonano mpuzabitsina.
• Kudashobora gushinga igitsina byuzuye.
• Gukenera gushishikarizwa cyane kugira ngo ukomeze kubaho.

Ni iki gitera ED?

Hari ibintu byinshi bishobora gutera ED. Ibintu by'ingenzi ni ibigira ingaruka kuri iyi sisitemu yawe:

• Uturemangingo tw’amaraso : Iki ni igice cy’umubiri wawe gitwara amaraso mu mubiri wawe wose. Imboro yawe ikeneye amaraso meza kugira ngo ikure kandi ikomeze kugira ubuzima bwiza. Ifite kandi uburyo bwo gushyira amaraso mu mwanya wayo iyo yuzuye amaraso. Hari igihe ubwo buryo bwo gushyira amaraso mu mwanya wayo bushobora kudakora neza.
• Udutsi two mu bwonko : Ibi birimo ubwonko bwawe, uruti rw'umugongo, n'imitsi . Ibi byose hamwe byohereza impindura z'amashanyarazi zigenzura imikorere n'amarangamutima y'umubiri wawe. Ibi binareba imikorere y'igitsina cyawe.
• Sisitemu y'imisemburo : Ibi birimo imisemburo ikora ikanarekura imisemburo . Imisemburo igenzura imikorere itandukanye mu mubiri. Imisemburo ya testosterone ifasha kwagura inzira zijyana amaraso ku gitsina.

Zimwe mu ndwara n'izindi mpamvu zishobora kugira ingaruka ku buzima bw'umuntu zirimo:

• Diyabete Mellitus n'indwara z'imitsi ziterwa na diyabete
• Umuvuduko ukabije w'amaraso (hypertension)
• Kolesteroli nyinshi (hyperlipidemie)
• Indwara y'imitsi
• Indwara y'impyiko idakira
• Ateriosclerosis
• Indwara ya Peyronie (indwara ituma igitsina cy'umugabo kigorama)
• Kubura testosterone nke / testosterone nke
• Igisebe cy'imitsi
• Indwara y'igicuri

ED ishobora guterwa no gukomereka ku gitsina gabo no mu nkengero zacyo:

• Kwangirika kw'ingingo z'igitsina (rimwe na rimwe byitwa "kuvunika kw'igitsina ," ariko nta gufwa riri mu gitsina, ni utwumba twuzuye amaraso gusa twangiritse hano)
• Gukomereka kw'amagufwa yo mu kibuno (ikibuno, sacrum, coccyx), uruhago, prostate, n'umugongo.
• Kubagwa mu kibuno cy'inkari (urugero: kubagwa kanseri ya prostate, amara, cyangwa kanseri y'uruhago).
• Ubuvuzi bushingiye ku mirasire .

Ubwoko bumwe na bumwe bw'imiti:

ED ishobora guterwa n'ingaruka mbi z'imiti myinshi. Imiti ikunze gutera ED ni iyi:

• Imiti igabanya kwiheba
• Imiti igabanya imihangayiko (anxiolytics)
• Imiti y'umuvuduko w'amaraso
• Utunyangingo tw'imitsi
• Antihistamines ( imiti ivura allergies)
• Imiti ivura indwara za chimiotherapie
• Imiti y'indwara ya Parkinson
• Imiti ya kanseri ya prostate
• Imiti igabanya ubukana bw'umutima (Antiarrhythmics)
• Imiti igabanya ububabare
• Imiti iruhura imitsi
• Imiti igabanya ihungabana ry'umubiri (imiti itangwa ku ndwara nk'igicuri)

Ibindi biyobyabwenge n'ibindi bintu bitera ibibazo:

Ibi bintu bishobora gutera ED:

• Inzoga
• Amphetamine
• Barbiturates
• Kokayine
• Urumogi
• Methadone
• Nikotine (iboneka mu itabi)
• Opioid (ubwoko bw'imiti igabanya ububabare)

Ibi bintu bigira ingaruka ku mitsi yo hagati, bigabanya imikorere yayo. Bishobora kandi kwangiza cyane imiyoboro y'amaraso no gutuma umuntu arwara indwara ya ED idakira burundu.

Imiterere yo mu mutwe no mu byiyumvo:

• Ihungabana
• Guhangayika
• Guhangayika
• Ubwoba bwo gukora imibonano mpuzabitsina cyangwa kuba umuntu wa hafi (genophobia)
• Kwiyubaha guke

Tekereza ko kimwe cyangwa byinshi muri ibi bishobora kuba bitera uburwayi bwawe bwo mu mutwe. Niyo mpamvu ari ngombwa kuvugana na muganga kugira ngo umenye impamvu nyayo.

Ni iyihe mpamvu nyamukuru itera ED?

Akenshi, impamvu nyamukuru ya ED ni indwara zibangamira uburyo amaraso anyura mu gitsina.

Ni nde ubangamirwa cyane n'indwara ya ED?

Ushobora kuba ufite ibyago byinshi byo kurwara ED niba:

• Niba ufite imyaka 40 cyangwa irenga.
• Niba urwaye diyabete .
• Iyo igipimo cy'uburemere bw'umubiri (BMI) kiri hejuru ya 25 (umubyibuho ukabije).
• Niba ufite ikibazo cyo kwiheba .
• Niba udafite imyitozo ngororamubiri myinshi.
• Niba unywa itabi .

Ni gute umuntu apimwa indwara ya ED?

Umuganga ashobora gusuzuma indwara ya ED agasanga itera ED. Azasuzuma amateka y'ubuzima bwawe kandi agukorere isuzuma ry'umubiri. Azanakubaza ibibazo bijyanye n'ubuzima bwawe bwite n'ubw'imibonano mpuzabitsina. Ushobora kumva ufite isoni cyangwa utishimiye kubaza ibi bibazo. Ariko, ni ngombwa kuba inyangamugayo kugira ngo umenye impamvu vuba. Umuganga ashobora kubaza ibibazo nk'ibi:

• Ese hari imiti ufata ubu (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, inyunganiramirire, imiti)?
• Ese wigeze ubwirwa na muganga ko ufite ikibazo cyo kwiheba cyangwa guhangayika ?
• Ese ukunze kumva ufite stress ?
• Ese ufite ibibazo mu buzima bw'umuryango wawe cyangwa mu mibanire yawe?
• Ni kangahe ushobora gukangura igitsina cyawe?
• Ni gute bikomera iyo bigeze ku buzima?
• Ushobora gukomeza kubaho igihe kingana iki?
• Ese utakaza imbaraga zawe kubera ko usohora vuba kurusha uko ubyiteze?
• Ni ryari wabonye bwa mbere ibimenyetso bya ED?
• Ni iki cyabaye mu by'ukuri ubwo ibimenyetso bya ED byagaragaraga bwa mbere?
• Ese igitsina cyawe kimeze nk'igihagaze iyo ukangutse nijoro cyangwa mu gitondo?
• Ni iyihe myanya y'imibonano mpuzabitsina ukunze gukora?

Muganga ashobora kandi gusaba kuvugana n'uwo mukorana imibonano mpuzabitsina. Ashobora kandi gutanga amakuru y'inyongera ku mpamvu zishobora gutera. Hanyuma muganga ashobora kukugira inama yo gupima ibintu bitandukanye kugira ngo yemeze ko indwara yanduye kandi amenye impamvu.

Ni ibihe bipimo bikoreshwa mu gusuzuma ED?

Ibi bizaterwa n'ibyo muganga yibaza. Ibizamini bishobora kuba birimo:

• Ibizamini by'amaraso : Umubare wuzuye w'amaraso (CBC) , Lipid panel (ireba urugero rwa cholesterol), Ibizamini by'umwijima , Ibizamini by'imikorere y'impyiko , Ibizamini bya tiroyide , Ibizamini bya testosterone .
• Isesengura ry'inkari .
• Isuzuma rya ultrasound rya Penile Doppler (kugira ngo harebwe uko amaraso atembera mu gitsina cy'umugabo).
• Ibizamini kugira ngo harebwe niba igitsina cy'umugabo gisubiza imitsi (penile biothesiometry) .
• Gutera imiti itera igitsina cy'umugabo by'agateganyo (vasoactive injection) .
• Magnetic Resonance Angiogram (MRA) (kugira ngo haboneke amashusho arambuye y'imitsi y'amaraso).

Mbere yo gukora ibi bizamini, muganga azabigusobanurira kandi agusubize ibibazo byawe. Niba wumva utameze neza, ufite uburenganzira bwo kwanga ikizamini igihe icyo ari cyo cyose.

Ni ubuhe buryo bwiza bwo kuvura ED?

Intambwe ya mbere mu kuvura indwara ya ED ni ukumenya impamvu nyamukuru. Muganga wawe azagufasha guhitamo uburyo bwiza bwo kuvura. Uburyo bwo kuvura bushobora kuba burimo:

• Imyitozo ngororamubiri y'umutima : Imyitozo ngororamubiri ikomeye y'umutima n'amaraso (nk'ukugenda vuba, kwiruka, koga, kugendera ku igare, gusimbuka umugozi) nibura iminsi itatu mu cyumweru ishobora gufasha kunoza indwara zimwe na zimwe zo mu mutwe.
• Kureka kunywa itabi: Abantu bafite ubumuga bwo mu mutwe buciriritse bashobora kubona impinduka mu mezi make nyuma yo kureka kunywa itabi.
• Kuvugana n'umuganga w'indwara z'ibitsina .
• Ibinini byongera amaraso ajya mu gitsina: Sildenafil (Viagra®) , vardenafil (Levitra®) , tadalafil (Cialis®) cyangwa avanafil (Stendra®) . Ibi binini bitangira gukora mu gihe cy'isaha imwe.
• Uburyo bwo kuvura indwara ya shockwave ikoresheje imbaraga nke (LiSWT) :Ubu ni uburyo bwo kuvura budakoresha amajwi kugira ngo bunoze gutembera kw'amaraso. Bishobora gufata amezi abiri kugira ngo haboneke umusaruro.
• Imiti iterwa mu gitsina: alprostadil (Caverject®) , papaverine (Papacon®) , phentolamine (Regitine®) , cyangwa iyi miti yose. Iyi miti itangira gukora mu minota 10.
• Igikoresho cyo gufunga igitsina / pompe y'igitsina : Ibi bitanga umusaruro ako kanya nyuma yo kubikoresha.
• Uburyo bwo gusimbuza testosterone : Ubu buryo buboneka mu ma-gel, inshinge, uduce duto, n'ibinini. Ubu buryo butangira gukora mu byumweru bine.
• Uburyo bwo gutera igitsina : Muri ubu buryo, umuganga ubaga ashyira igikoresho mu gitsina kugira ngo cyongere imbaraga. Iki gikoresho ntigihindura ibyiyumvo, kwihagarika cyangwa gusohora.

Ese ED izakira ubwayo?

ED ntabwo izahita itera imbere udahinduye imibereho yawe cyangwa ngo ubone ubuvuzi.

Ese indwara ya ED ishobora kwirindwa?

Guhindura imibereho bishobora kugabanya ibyago byo kurwara indwara ya ED:

• Gabanya urugero rwa cholesterol yawe.
• Gira imyitozo ngororamubiri, cyane cyane imyitozo ngororamubiri y'umutima nko kwiruka, kwiruka no kugendera ku igare.
• Komeza kugira ibiro bizima bikubereye.
• Gira ibitotsi byiza.
• Kurya ibiryo bizima (imbuto, imboga, ibinyampeke) bifite ibinure bike byuzuye.
• Reka kunywa itabi.
• Kugabanya cyangwa guhagarika kunywa inzoga.

Niba mfite ED, ni iki nkwiye kwitega?

Hari icyizere cyo kurwara indwara yo kubyara. Ni indwara ivurwa neza cyane. Nubwo hari impamvu zimwe na zimwe zitaraboneka, hari uburyo bwinshi bwo kuvura bushobora kugufasha gukomeza no kunoza ubushake bwawe bwo gukora imibonano mpuzabitsina.

Ni ryari ngomba kujya kwa muganga?

Niba ukeka ko ufite ED, gana muganga wawe w’ibanze cyangwa umuganga w’inkari . Bashobora gusuzuma ED, bakamenya icyayiteye, kandi bakakugira inama yo kugufasha.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba ufata imiti igabanya ububabare bw'igitsina kandi ukaba ubabara cyane ukamara amasaha arenga abiri kugeza kuri ane, jya mu cyumba cyita ku barwayi b'ingoboka kiri hafi yawe. Iki gishobora kuba ikimenyetso cy'indwara yitwa priapism . Iyo itavuwe, ishobora kwangiza igitsina cy'umugabo burundu.

Ni ibihe bibazo ngomba kubaza muganga?

• Ese ni ibisanzwe kugira ED?
• Wamenya ute ko mfite ED?
• Ni iyihe mpamvu itera ED yanjye?
• Ni ubuhe buryo bwo kuvura indwara ya ED mungira inama?
• Ese ED ishobora gutera izindi ndwara zigira ingaruka ku buzima bwanjye bw'imibonano mpuzabitsina?
• Ese nshobora gutwita nubwo mfite ubumuga bwo mu mutwe?
• Ese ushobora kugisha inama umuganga w’imibonano mpuzabitsina?
• Ese ushobora gutanga inama ku itsinda rishinzwe gufasha abantu bafite ubumuga bwo mu mutwe?
• Ese nkwiriye kubagwa igitsina cy'umugabo ?

Ubyumva ute iyo udashobora gushyukwa?

Kurwara indwara ya ED bishobora gutuma wumva amarangamutima atandukanye. Ushobora kumva ufite isoni, urakare, wicira urubanza, uhangayitse, urakaye, cyangwa se ukumva utari mwiza bihagije. Ibi nibikomeza, bishobora gutera indwara zikomeye zo mu mutwe nko guhangayika no kwiheba . Ariko ntugomba kubaho n'izi mpungenge. Kurwara indwara ya ED ni ibisanzwe, kandi ntibigutera kumva ko ntacyo umaze. Hari abaganga bashobora kugufasha.

Nakora iki niba umukunzi wanjye afite ikibazo cyo kugabanuka k'ubushobozi bwo gukora imibonano mpuzabitsina (ED)?

ED ni ingingo ikomeye ku bantu benshi. Niba umukunzi wawe afite ED, izi nama zishobora kugufasha kumushyigikira:

• Mutere inkunga yo kuganira mu buryo bwuje ubwumvikane: Mubwire ko umwitaho ku byiyumvo bye n'imibereho ye. Shaka igihe atazamererwa nabi kandi mushobora kuganira.
• Umubwire ko atari wenyine: ED irakunze kugaragara kandi hari uburyo bwo kuvura. Abavuzi n'amatsinda y'abaterankunga bashobora kumufasha gusobanukirwa ibyiyumvo bye no guhangana nabyo.
• Gushishikariza abantu kugira ingeso nziza: Kwibanda ku byiza byo gukora imyitozo ngororamubiri buri gihe, indyo yuzuye, no kugabanya ibintu bishobora gutera ED (inzoga, kunywa itabi).
• Menya neza: Niba ufite amakuru nyayo kandi agezweho ku bijyanye n'indwara ya ED n'uburyo ivura, umukunzi wawe azumva afite imbaraga.
• Mubwire ko muzajyana na we mu gihe muganga amugana: Ushobora kumufasha kubaza ibibazo, kwandika inyandiko, no guha muganga amakuru azamufasha mu gusuzuma indwara. Niba akunda kujya kwa muganga wenyine, jya wubahiriza iryo banga ry’ubuzima bwe bwite.
• Garagaza urukundo rwawe n'urukundo rwawe mu bundi buryo: Imibonano mpuzabitsina si cyo kintu cyonyine gituma abantu babiri bongera ubucuti. Gufatana amaboko, gukorakora umugongo, kumarana umwanya, gusomana, kwandika inyandiko, kwihangana, no gutega amatwi neza ni bwo buryo ushobora kwereka uwo mwashakanye urukundo rwawe.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara ya ED ni indwara ikunze kwibasira abagabo benshi, cyane cyane uko bagenda bakura. Ishobora gutera isoni, kwiyizera nabi, n'ibindi bibazo bikomeye byo mu mutwe. Ariko ntugomba kugira isoni cyangwa guhangayikishwa no kugira ED. Ishobora kuba uburyo umubiri wawe ukubwira ko "hari ikintu kitagenda neza."

Igikuru ni ukuganira na muganga ku mugaragaro ku bimenyetso byawe n'uburyo bigira ingaruka ku buzima bwawe. Hanyuma muganga wawe ashobora gusuzuma indwara yawe ya ED, agashaka icyayiteye, akanakugira inama yo kuvura neza. Ntugatinye cyangwa ngo ugire isoni zo gushaka inama kwa muganga. Ntabwo uri wenyine!

Imboro mbi, ububabare, ibibazo by'igitsina, ubuzima bw'abagabo, ubuzima bw'imboro, ubuvuzi bwo kugabanya ububabare, impamvu zo kugabanya ububabare