Unewo matambudziko ekuita bonde here? (Kusashanda zvakanaka kwenhengo dzesikarudzi) Ngatikurukurei nezvazvo!

Dambudziko rekushaya mboro (Erectile dysfunction) inyaya inonetsa vanhu vazhinji, asi zvakaoma kutaura nezvayo. Asi idambudziko rinotsanangurwa nenyanzvi dzezvehutano. Saka kuziva nezvazvo zvakanaka kuchakubatsira kurarama naro. Ngatitaurei nezvazvo pachena uye nekuvimbika.

Chii chinonzi Erectile Dysfunction?

Zvichitaurwa zviri nyore, kusakwanisa kuita zvepabonde (ED) kusakwanisa kuita zvepabonde kana kuramba wakagadzirira. Izvi zvinogona kunzi chirwere chinokanganisa nhengo yemurume. Pfungwa dzako nemanzwiro ako zvine simba guru pane izvi. Kunzwa wakasununguka, uine chivimbo, uye uchida zvepabonde kwakakosha kuti umire. Zvisinei, zvakajairika kuva nematambudziko ekuita zvepabonde dzimwe nguva. Izvi zvinogona kuitika kana uchinzwa kunetseka, kutya, kunetseka, kana kuneta. Kunwa doro kana kushandisa zvinodhaka zvinogonawo kukanganisa izvi. Zvinogonawo kuitika nekuda kwezvimwe zvirwere kana semhedzisiro yemishonga kana kurapwa nekenza. Kana uchinetsekawo kuita zvepabonde kana kuramba wakagadzirira, zvakanaka kuona chiremba wotaura nezvazvo. Kazhinji, ED inogona kuva chiratidzo chekutanga chechirwere chakakomba, senge chirwere chemwoyo . Ndosaka zvichikosha kutaura nachiremba wako nezvazvo. Mamwe mazita eED anosanganisira "Kusagona Kushanda" kana "Kusagona Kushanda." Asi izwi rinonyanya kushandiswa nhasi nderekuti "Kusagona Kushanda."

Ndedzipi mhando huru dzedambudziko rekushaikwa kwepabonde (ED)?

Vanachiremba vanopatsanura ED mumhando dzakasiyana-siyana:

• Kusashanda zvakanaka kwetsinga dzeropa (Vascular erectile dysfunction) : Iyi ndiyo mhando inonyanya kuitika. Inogona kukonzerwa nedambudziko retsinga dzeropa dzinotakura ropa kuenda kunhengo yemurume kana dambudziko remavharuvhu anobatsira kuchengetedza ropa munhengo yemurume .
• Neurogenic ED (Neurogenic erectile dysfunction) : Dambudziko iri rinokonzerwa nedambudziko retsinga dzinotakura zviratidzo kubva kuuropi kuenda kunhengo yemurume. Rinogona kukonzerwa netsaona, kuvhiyiwa kwechiuno, kurapwa nemwaranzi , kana sitiroko , spinal stenosis, multiple sclerosis (MS) , kana zvimwe zvirwere .Izvi zvinogona kukonzerwa nezvirwere zvetsinga zvakaita seMultiple Sclerosis ( MS ).
• Kusashanda zvakanaka kwehomoni (ED) : Izvi zvinokonzerwa nekudzikira kwehomoni ye testosterone ( kushomeka kwe testosterone), kana dzimwe nguva nematambudziko e thyroid .
• Kusashanda zvakanaka kwepabonde (ED) : Kusashanda zvakanaka kwepabonde kunogonawo kukonzerwa nemamiriro epfungwa anokanganisa mafungiro ako, manzwiro ako, kana maitiro ako.

Dambudziko iri (ED) rakajairika zvakadii?

Dambudziko reED nderimwe rematambudziko anowanzo taurwa nevarume kune vanachiremba vavo, kunyanya pavanokura uye mamwe matambudziko ehutano achiwedzera.

ED inowanzoonekwa pazera ripi?

Vanachiremba nevaongorori vanoti chirwere cheED chinokanganisa varume vanopfuura 50% vari pakati pemakore makumi mana nemakumi manomwe. Asi nhamba iyi inogona kunge yakakura zvikuru. Varume vazhinji vanonyara uye vanonyara kutaura nezvazvo kana kutsvaga kurapwa.

Ndezvipi zviratidzo zveED?

Zvinotevera ndezvimwe zvezviratidzo zveED:

• Nhengo yemurume inomira chete dzimwe nguva isati yasvika nguva yebonde.
• Kunyangwe nhengo yemurume yakamira isati yasvika nguva yebonde, kumira ikoko kunorasika panguva yebonde.
• Kusakwanisa kumisa nhengo yemurume zvizere.
• Kuda kukurudzirwa zvakanyanya kuti urambe uri mupenyu.

Chii chinokonzera ED?

Pane zvinhu zvakawanda zvinogona kukonzera ED. Zvikuru ndezviya zvinokanganisa maitiro ako aya:

• Sisitimu yekuyerera kweropa : Iyi ndiyo nhengo yemuviri wako inotakura ropa mumuviri wako wese. Nhengo yako yemurume inoda ropa rakanaka kuti ikure uye irambe iine hutano. Inewo sisitimu yemavharuvhu anobatsira kuchengetedza ropa mukati kana razara neropa. Dzimwe nguva mavharuvhu aya angasashanda zvakanaka.
• Sisitimu yetsinga : Izvi zvinosanganisira uropi hwako, musana, uye tsinga . Pamwe chete, izvi zvinotumira simba remagetsi rinodzora mafambiro nemanzwiro emuviri wako. Izvi zvinoshandawo pakushanda kwenhengo yako yemurume.
• Sisitimu yeEndocrine : Izvi zvinosanganisira magland anogadzira nekuburitsa mahormone . Mahormone anodzora mabasa akasiyana-siyana mumuviri. Homoni iyi ye testosterone inobatsira kuwedzera nzira dzinotakura ropa kuenda kunhengo yemurume.

Zvimwe zvirwere nezvimwe zvikonzero zvinogona kukanganisa ED zvinosanganisira:

• Chirwere cheshuga Mellitus uye chirwere cheshuga chepfungwa
• Kukwira kweropa (BP)
• Kolesteroli yakakwira (hyperlipidemia)
• Chirwere chetsinga dzeropa
• Chirwere cheitsvo chisingaperi
• Kuora kweropa muropa
• Chirwere chePeyronie (chirwere chinokonzera kukombama kwenhengo yemurume)
• Kushomeka kwe testosterone shoma / testosterone
• Kurohwa
• Pfari

ED inogonawo kukonzerwa nekukuvadzwa kwenhengo yemurume nenzvimbo dzakapoteredza:

• Kukuvara kwenyama dzenhengo yemurume (dzimwe nguva kunonzi "kutyoka kwepenile ," asi hapana pfupa munhengo yemurume, makamuri azere neropa chete ndiwo akakuvara pano)
• Kukuvara kwemapfupa echiuno (chiuno, sacrum, coccyx), dundira, prostate, uye musana.
• Kuvhiyiwa kwemudumbu mechiuno (semuenzaniso kuvhiyiwa kwekenza yeprostate, colon, kana dundira).
• Kurapa nemwaranzi .

Mamwe marudzi emishonga:

ED inogona kuitika semhedzisiro yemishonga yakawanda. Mishonga inonyanya kukonzera ED ndeiyi:

• Mishonga yekuderedza kushushikana
• Mishonga inoderedza kuzvidya mwoyo (anxiolytics)
• Mishonga yeBP
• Mishonga inobvisa mvura mumuviri
• Mishonga yeAntihistamines ( mishonga yekurapa allergies)
• Mishonga yekurapa nemakemikari
• Mishonga yechirwere cheParkinson
• Mishonga yekenza yeprostate
• Mishonga yekurwisa kurwadza kwemoyo (antiarrhythmics)
• Mishonga yekunyaradza
• Zvinozorodza tsandanyama
• Mishonga yekurwisa pfari (mishonga inopiwa kune zvirwere zvakaita sepfari)

Mimwe mishonga nezvimwe zvinodhaka zvinopindwa muropa:

Zvinhu izvi zvinogona kukonzera ED:

• Doro
• Amphetamines
• Mabhariturati
• Cocaine
• Mbanje
• Methadone
• Nikotini (iri mufodya)
• Opioids (boka remishonga inoderedza marwadzo)

Zvinhu izvi zvinokanganisa hurongwa hwetsinga hwepakati, zvichideredza mashandiro ahwo. Zvinogonawo kukonzera kukuvara kwakanyanya kwetsinga dzeropa uye kutungamira kuED zvachose.

Mamiriro epfungwa nemanzwiro:

• Kuora mwoyo
• Kunetseka
• Kushushikana
• Kutya kuita zvepabonde kana kuva pedyo nevanhu (genophobia)
• Kuzviremekedza kushoma

Funga kuti chimwe chezvinhu izvi chinogona kunge chiri kukonzera ED yako. Ndosaka zvichikosha kutaura nachiremba kuti uwane chikonzero chaicho.

Chii chinonyanya kukonzera ED?

Kazhinji, chikonzero chikuru cheED imamiriro ezvinhu anokanganisa kufambiswa kweropa kunhengo yemurume.

Ndiani anonyanya kukanganiswa neED?

Unogona kunge uri panjodzi yakakura yekubatwa nechirwere cheED kana:

• Kana une makore makumi mana zvichikwira.
• Kana uine chirwere cheshuga .
• Kana Body Mass Index (BMI) iri pamusoro pe25 (kufuta).
• Kana uine kuora mwoyo .
• Kana usinganyanyi kuita zvemuviri.
• Kana uchisvuta .

ED inoonekwa sei ?

Chiremba anogona kuongorora chirwere cheED obva aona chiri kukonzera chirwere ichi. Achaongorora nhoroondo yako yezvekurapa obva akuongorora muviri. Achakubvunzawo mibvunzo nezvehupenyu hwako hwepachivande uye hwepabonde. Unganzwa kunyara kana kusagadzikana kubvunza mibvunzo iyi. Zvisinei, zvakakosha kuva akatendeseka kuti uwane chikonzero nekukurumidza. Chiremba anogona kubvunza mibvunzo yakaita seiyi:

• Uri kutora mishonga (yakanyorwa nachiremba, isina kunyorerwa chiremba, mishonga yemishonga, mishonga yekudya, kana mishonga) pari zvino here?
• Wakamboudzwa nachiremba kuti une chirwere chekuora mwoyo kana kuti kuzvidya mwoyo here?
• Unowanzo shushikana here ?
• Uri kusangana nematambudziko muhupenyu hwemhuri yako kana hukama hwako here?
• Kangani kaunogona kukurudzira nhengo yako yemurume?
• Zvakaoma sei kana zvasvika pakurarama?
• Ungararama kwenguva yakareba sei?
• Uri kurasikirwa nesimba rako here nekuti unoburitsa urume nekukurumidza kupfuura zvaunotarisira?
• Wakatanga rini kuona zviratidzo zveED?
• Chii chakaitika chaizvo apo zviratidzo zveED zvakatanga kuonekwa?
• Nhengo yako yemurume inonzwa yakamira here paunomuka husiku kana mangwanani?
• Ndedzipi nzvimbo dzepabonde dzaunowanzoita?

Chiremba anogonawo kukumbira kutaura nemumwe wako wepabonde. Anogonawo kupa rumwe ruzivo nezvezvikonzero zvinogona kukonzera chirwere ichi. Chiremba anogonawo kukurudzira bvunzo dzakasiyana-siyana kuti asimbise chirwere ichi uye kuti aone chikonzero chacho.

Ndezvipi zviedzo zvinoshandiswa kuongorora ED?

Izvi zvinoenderana nezvakafungirwa nachiremba. Miedzo inogona kusanganisira:

• Kuongororwa kweropa : Kuverengwa Kweropa Kwakakwana (CBC) , Lipid panel (inotarisa huwandu hwecholesterol), Kuongororwa kwebasa rechiropa, Kuongororwa kwebasa reitsvo , Kuongororwa kwethyroid , Kuongororwa kweTestosterone .
• Kuongororwa kweweti .
• Kuongororwa kweDoppler yepenis (ultrasound) (kuona kuti ropa rinoyerera sei richienda kunhengo yemurume).
• Kuongororwa kuti uone kana nhengo yemurume ichipindura tsinga dzinoita sedzinoda kubatwa netsinga (penile biothesiometry) .
• Kubaiwa mishonga inomutsa nhengo yemurume kwenguva pfupi (vasoactive injection) .
• Magnetic Resonance Angiogram (MRA) (kuti uwane mifananidzo yakadzama yetsinga dzeropa).

Chiremba asati aita bvunzo idzi, achakutsanangurira uye achapindura mibvunzo yako. Kana uchinzwa kusagadzikana, une kodzero yekuramba bvunzo chero nguva.

Ndeapi marapirwo akanakisa eED?

Danho rekutanga mukurapa ED nderekuwana chikonzero chaicho. Chiremba wako achakubatsira kusarudza mushonga wakanakira iwe. Sarudzo dzekurapa dzingasanganisira:

• Kurovedza muviri nemwoyo : Kurovedza muviri nesimba nemwoyo (sekufamba nekukurumidza, kumhanya-mhanya, kushambira, kuchovha bhasikoro, kusvetuka tambo) kwemaminitsi makumi mana nemashanu kwemazuva matatu pasvondo kunogona kubatsira kuvandudza mamwe mamiriro eED asina kunyanya kuoma.
• Kurega kusvuta: Vanhu vane ED isina kusimba vanogona kuona zviri nani mukati memwedzi mishoma yekurega kusvuta.
• Kutaura nenyanzvi yezvepabonde .
• Mapiritsi anowedzera kuyerera kweropa kuenda kunhengo yemurume: Sildenafil (Viagra®) , vardenafil (Levitra®) , tadalafil (Cialis®) kana avanafil (Stendra®) . Mapiritsi aya anotanga kushanda mukati meinenge awa imwe chete.
• Kurapa kwe shockwave ine simba shoma yepenis (LiSWT) :Iyi inzira yekurapa isingapindi mishonga inoshandisa mafungu eruzha kuvandudza kufamba kweropa. Zvinogona kutora mwedzi miviri kuti zvionekwe.
• Mishonga inopinzwa zvakananga munhengo yemurume: alprostadil (Caverject®) , papaverine (Papacon®) , phentolamine (Regitine®) , kana musanganiswa wemishonga iyi. Majekiseni aya anotanga kushanda mukati memaminitsi gumi.
• Mudziyo wekuvharira nhengo yemurume/pombi yepenisi : Izvi zvinopa mhinduro nguva pfupi mushure mekushandisa.
• Kurapa kwekutsiva testosterone : Izvi zvinowanikwa mumajeli, majekiseni, mapechi, uye mapiritsi. Kurapa uku kunotanga kushanda mukati memavhiki mana.
• Maitiro ekuisa nhengo yemurume : Mukuita uku, chiremba anoisa mudziyo munhengo yemurume kuti awedzere. Mudziyo uyu haukanganisi kunzwa, weti, kana kubuda kwemvura.

Ko ED ichazopora yoga here?

Dambudziko reED harizogadzirisiki pasina kuchinja mararamiro ako kana kuwana imwe nzira yekurapwa.

Kuora mwoyo kunogona kudzivirirwa here?

Kuchinja mararamiro kunogona kuderedza njodzi yeED:

• Deredza huwandu hwecholesterol yako.
• Iva nemaekisesaizi emuviri, kunyanya maekisesaizi ecardio akadai sekumhanya, kumhanya, uye kutasva bhasikoro.
• Ramba uine huremu hwakanaka hunokunakira.
• Wana hope dzakanaka.
• Idya zvekudya zvine hutano (michero, miriwo, zviyo) zvisina mafuta akawanda.
• Rega kusvuta.
• Deredza kana kurega kunwa doro.

Kana ndine ED, ndinofanira kutarisira chii?

Pane tariro yekuti ED inogona kurapika. Idambudziko rinorapika zvikuru. Kunyangwe pasina mushonga wakakwana wezvimwe zvikonzero, kune nzira dzakawanda dzekurapa dzinogona kukubatsira kuchengetedza uye kuvandudza kumira kwako pabonde.

Ndinofanira kuona chiremba rini?

Kana uchifungidzira kuti une ED, enda kuna chiremba wako wekutanga kana chiremba wezvedundira . Vanogona kuongorora ED, kuwana chikonzero, uye kukurudzira kurapwa kwakanakira iwe.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uri kutora mushonga weED uye uchinzwa kuomarara kunorwadza kunotora maawa anopfuura maviri kusvika mana, enda kuchipatara che emergency chiri pedyo nekukasika. Izvi zvinogona kuva chiratidzo chechirwere chinonzi priapism . Kana chikasarapwa, chinogona kukonzera kukuvara zvachose kwenhengo yemurume.

Mibvunzo ipi yandinofanira kubvunza chiremba?

• Zvakajairika here kuva neED?
• Unoziva sei kana ndine ED?
• Chii chinokonzera ED yangu?
• Ndeipi nzira yekurapa ED yaunondikurudzira?
• Kushaya simba repabonde kunogona kukonzera mamwe matambudziko anokanganisa hutano hwangu hwepabonde here?
• Ndingabata pamuviri here kunyangwe ndine ED?
• Unogona kukurudzira nyanzvi yezvepabonde here?
• Unogona kukurudzira boka rekutsigira vanhu vane ED here?
• Ndakakodzera here kuisirwa penis implant ?

Zvinonzwa sei kana usingakwanise kumira?

Kushaya simba kunogona kuita kuti unzwe manzwiro akasiyana-siyana. Unganzwa kunyara, hasha, kuzvipa mhosva, kunetseka, kugumbuka, kana kuti sekuti hauna kukwana. Kana izvi zvikaramba zvichiitika, zvinogona kutungamira kumatambudziko makuru ehutano hwepfungwa akadai sekuzvidya mwoyo uye kuora mwoyo . Asi haufanirwe kurarama nemanzwiro aya. Kushaya simba kwakajairika, uye hakuiti kuti unzwe usina maturo. Kune vanachiremba vanogona kukubatsira.

Ndingaitei kana mumwe wangu aine ED?

Dambudziko reED rinonyanya kutaurwa nevanhu vazhinji. Kana mudiwa wako aine dambudziko reED, mazano aya anogona kukubatsira kumutsigira:

• Kurudzirai kutaurirana pachena: Muudzei kuti munomuda nemanzwiro ake uye kugara zvakanaka kwake. Tsvagai nguva yaasingazonzwi kugadzikana uye yamunogona kutaura.
• Muyeuchidze kuti haasi ega: ED yakajairika uye kune mishonga. Vanachiremba nemapoka ekutsigira vanogona kumubatsira kunzwisisa manzwiro ake uye kurarama nawo.
• Kurudzira tsika dzine hutano: Tarisa pane zvakanakira kurovedza muviri nguva dzose, kudya zvine hutano, uye kuderedza zvinhu zvinogona kukonzera ED (doro, kusvuta).
• Ziva: Kana uine ruzivo rwakarurama uye rwechizvino-zvino nezveED nemishonga yayo, mumwe wako achanzwa akasimba.
• Zvipe kuti unoenda naye kunoona chiremba wake: Unogona kumubatsira kubvunza mibvunzo, kunyora pasi, uye kupa chiremba ruzivo runobatsira pakuongorora chirwere chake. Kana achida kuona chiremba ari ega, remekedza kuchengetedzwa kweruzivo irworwo.
• Ratidza rudo rwako nerudo nedzimwe nzira: Bonde harisi iro roga rinoita kuti vanhu vaviri vawedzere kudanana. Kubatana maoko, kupuruzirana misana, kupedza nguva vari pamwe chete, kutsvodana, kunyora manotsi, kuva nemwoyo murefu, uye kuva muteereri akanaka inzira dzese dzaunogona kuratidza rudo rwako kune mumwe wako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Dambudziko reED (ED) chirwere chinowanzoitika kuvarume vazhinji, kunyanya pavanenge vachikura. Chinogona kukonzera kunyara, kusazviremekedza, uye mamwe matambudziko makuru epfungwa. Asi haufanirwe kunyara kana kunetseka nezvekuva neED. Inogona kunge iri nzira yemuviri wako yekukuudza kuti "pane chimwe chinhu chisina kumira zvakanaka."

Chinhu chinonyanya kukosha ndechekutaura pachena nachiremba nezvezviratidzo zvako uye kuti zviri kukanganisa sei hupenyu hwako. Chiremba wako anogona kuona ED yako, kuwana chikonzero, uye kukurudzira kurapwa kwakanakira iwe. Usatya kana kunyara kutsvaga mazano echiremba. Hausi wega!

Kusashanda zvakanaka pabonde, kushaya simba, matambudziko enhengo yemurume, hutano hwevarume, hutano hwepabonde, kurapwa kweED, zvikonzero zveED