Ngaba nawe unengxaki yokuma ngexesha lokwabelana ngesondo? (Ukungasebenzi kakuhle kwe-Erectile) Masithethe ngale nto!

Ukungasebenzi kakuhle kwe-erectile yingxaki abantu abaninzi abanayo, kodwa kunzima ukuthetha ngayo. Kodwa yimeko echazwa ngokwezonyango. Ngoko ke ukwazi ngayo ngokufanelekileyo kuya kukunceda ujongane nayo. Masithethe ngayo ngokukhululekileyo nangokunyanisekileyo.

Yintoni i-Erectile Dysfunction?

Ngamafutshane, ukungasebenzi kakuhle kwe-erectile (ED) kukungakwazi ukufumana okanye ukugcina ukwakheka okunzima ngokwaneleyo kwisondo. Kungathathwa njengemeko yezonyango echaphazela i-penis. Iingcinga zakho kunye neemvakalelo zakho zinempembelelo enkulu koku. Ukuziva ukhululekile, uzithembile, kwaye uvukile ngokwesondo kubalulekile ukuze ufumane ukwakheka. Nangona kunjalo, kuyinto eqhelekileyo ukuba neengxaki zokwakheka ngamanye amaxesha. Oku kunokwenzeka ukuba uzive uxhalabile, usoyika, ukhathazekile, okanye udiniwe. Ukusela utywala okanye ukusebenzisa iziyobisi nako kunokuchaphazela oku. Kunokwenzeka nangenxa yezinye iimeko zonyango okanye njengesiphumo esibi samayeza athile okanye unyango lomhlaza. Ukuba unengxaki yokufumana okanye ukugcina ukwakheka, kungcono ukubona ugqirha kwaye uthethe ngale nto. Rhoqo, i-ED inokuba luphawu lokuqala lwesifo esinzulu, esifana nesifo sentliziyo . Yiyo loo nto kubalulekile ukuthetha nogqirha wakho ngayo. Amanye amagama e-ED aquka "Ukungasebenzi kakuhle kwe-erectile" okanye "Ukungasebenzi kakuhle kwe-erectile." Kodwa igama eliqhelekileyo elisetyenziswa namhlanje lithi "Ukungasebenzi kakuhle kwe-erectile."

Ziziphi iintlobo eziphambili zokungasebenzi kakuhle kwe-erectile (ED)?

Oogqirha bahlula i-ED kwiindidi ezininzi eziphambili:

• I -Vascular ED (Ukungasebenzi kakuhle kwe-Vascular erectile) : Olu lolona hlobo luxhaphakileyo. Lunokubangelwa yingxaki yemithambo yegazi ethwala igazi iye kwi-penis okanye yingxaki yeevalvu ezinceda ukugcina igazi kwi -penis .
• I -Neurogenic ED (Ukungasebenzi kakuhle kwe-erectile ye-Neurogenic) : Le meko ibangelwa yingxaki yemithambo-luvo ethwala imiqondiso esuka engqondweni iye kwilungu lobudoda. Ingabangelwa yingozi, utyando lwe-pelvic, unyango lwe-radiation , okanye i-stroke , i-spinal stenosis, i-multiple sclerosis (MS) , okanye ezinye iimeko .Oku kunokubangelwa zizifo zemithambo-luvo ezifana neMultiple Sclerosis ( MS ).
• Ukungasebenzi kakuhle kwe-erectile kwi-hormone (ED) : Oku kubangelwa kukwehla kwe-testosterone yehomoni ( ukungabikho kwe-testosterone), okanye ngamanye amaxesha ziingxaki ze-thyroid .
• Ukungasebenzi kakuhle kwe-erectile ngokwengqondo (ED) : I-ED inokubangelwa ziimeko zengqondo ezichaphazela iingcinga zakho, iimvakalelo zakho, okanye indlela oziphethe ngayo.

Ixhaphake kangakanani le meko (ED)?

I-ED yenye yezona ngxaki zixhaphakileyo zesini amadoda azixela koogqirha bawo, ingakumbi njengoko ekhula kwaye ezinye iingxaki zempilo zisanda.

I-ED idla ngokuvela xa ineminyaka emingaphi?

Oogqirha nabaphandi bathi i-ED ichaphazela amadoda angaphezu kwama-50% aphakathi kweminyaka engama-40 ukuya kuma-70. Kodwa eli nani linokuba phezulu kakhulu. Amadoda amaninzi aneentloni kwaye anamahloni kakhulu ukuthetha ngayo okanye ukufuna unyango.

Zithini iimpawu ze-ED?

Nazi ezinye zeempawu ze-ED:

• Ipenisi iphakama ngamanye amaxesha ngaphambi kokuba umntu abelane ngesondo.
• Nangona ipenis imile ngaphambi kokuba ilale ngesondo, loo mandla ayo ayaphela ngexesha lokwabelana ngesondo.
• Ukungakwazi ukumisa ngokupheleleyo ipenis.
• Kudingeka ukhuthazo oluninzi ukuze uhlale uphila.

Yintoni ebangela i-ED?

Zininzi izinto ezinokubangela i-ED. Ezona ziphambili zezo zichaphazela ezi nkqubo zakho:

• Inkqubo yokujikeleza kwegazi : Eli lilungu lomzimba wakho elithwala igazi emzimbeni wakho wonke. Ilungu lakho lobudoda lifuna igazi elilungileyo ukuze likhule kwaye lihlale lisempilweni. Likwanayo nenkqubo yeevalvu ezinceda ukugcina igazi lingaphakathi xa lizele ligazi. Ngamanye amaxesha ezi valve zisenokungasebenzi kakuhle.
• Inkqubo yemithambo-luvo : Oku kuquka ingqondo yakho, umqolo, kunye nemithambo-luvo . Xa zidibene, ezi zinto zithumela imiqondiso yombane elawula iintshukumo kunye neemvakalelo zomzimba wakho. Oku kukwasebenza nakwindlela esebenza ngayo ipenis yakho.
• Inkqubo ye-endocrine : Oku kuquka amadlala avelisa kwaye akhuphe iihomoni . Iihomoni zilawula imisebenzi eyahlukeneyo emzimbeni. Ihomoni ye- testosterone inceda ekwandiseni imijelo ethwala igazi iye kwilungu lobudoda.

Ezinye iimeko zonyango kunye nezinye izizathu ezinokuchaphazela i-ED ziquka:

• Isifo seswekile kunye ne-diabetes neuropathy
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• I-cholesterol ephezulu (i-hyperlipidemia)
• Isifo semithambo yegazi
• Isifo sezintso esingapheliyo
• I-atherosclerosis
• Isifo sikaPeyronie (imeko ebangela ukugoba kwepenis)
• Ukungabikho kwe testosterone ephantsi / ukunqongophala kwe testosterone
• Istroke
• Isifo sokuwa

I-ED ingabangelwa kukwenzakala kwilungu lobudoda nakwiindawo ezingqongileyo:

• Ukonakala kwezicubu zepenis (ngamanye amaxesha kubizwa ngokuba "kukuqhekeka kwepenis ," kodwa akukho thambo kwipenis, kuphela ngamagumbi azele ligazi awonakeleyo apha)
• Ukulimala kwamathambo e-pelvic (izinqe, i-sacrum, i-coccyx), isinyi, i-prostate, kunye nomqolo.
• Utyando lwe-pelvic cavity (umz. utyando lwe-prostate, i-colon, okanye umhlaza wesinyi).
• Unyango ngemitha .

Ezinye iintlobo zamayeza:

I-ED inokwenzeka ngenxa yeziphumo ebezingalindelekanga zamayeza amaninzi. Amayeza aqhelekileyo abangela i-ED ngala:

• Amayeza okudakumba
• Amayeza okunciphisa ixhala (i-anxiolytics)
• Amayeza oxinzelelo lwegazi
• Iziyobisi zomchamo
• Ii-Antihistamines ( amayeza okulwa nee-allergies)
• Amayeza e-chemotherapy
• Amayeza esifo sikaParkinson
• Amayeza omhlaza weprostate
• Imithi yokulwa nokubetha kwentliziyo (i-antiarrhythmics)
• Izithomalalisi
• Iziphumzi zemisipha
• Amayeza okuthintela ukuxhuzula (amayeza anikwa izifo ezifana nesifo sokuxhuzula)

Ezinye iziyobisi kunye nezinto ezibangela umlutha:

Ezi zinto zibangela umlutha zinokubangela i-ED:

• Utywala
• Ii-Amphetamines
• IiBarbiturates
• I-cocaine
• Intsangu
• I-Methadone
• I-Nicotine (equlethwe kwicuba)
• Ii-opioids (udidi lwezithomalalisi-ntlungu)

Ezi zinto zichaphazela inkqubo yakho yemithambo-luvo ephakathi, zinciphisa ukusebenza kwayo. Zinokubangela umonakalo omkhulu kwimithambo yegazi kwaye zikhokelele kwi-ED engapheliyo.

Iimeko zengqondo nezeemvakalelo:

• Uxinzelelo
• Ixhala
• Uxinzelelo
• Uloyiko lokuba nesondo okanye ukuba nolwalamano olusondeleyo (genophobia)
• Ukuzijongela phantsi

Cinga ukuba enye okanye ezingaphezulu kwezi zinto zinokuba negalelo kwi-ED yakho. Yiyo loo nto kubalulekile ukuthetha nogqirha ukuze ufumane unobangela ochanekileyo.

Yintoni eyona nto ibangela i-ED?

Rhoqo, unobangela oyintloko we-ED ziimeko eziphazamisana nokuhanjiswa kwegazi kwilungu lobudoda.

Ngubani ochaphazeleka kakhulu yi-ED?

Usenokuba sengozini enkulu yokuba ne-ED ukuba:

• Ukuba uneminyaka engama-40 ubudala nangaphezulu.
• Ukuba unesifo seswekile .
• Ukuba i-Body Mass Index (BMI) ingaphezulu kwama-25 (ukutyeba kakhulu).
• Ukuba unesifo sokudakumba .
• Ukuba awusebenzi kakhulu emzimbeni.
• Ukuba uyatshaya .

Ifunyaniswa njani i-ED?

Ugqirha unokuxilonga i-ED aze afumanise ukuba yintoni ebangela loo nto. Uza kujonga imbali yakho yezonyango aze enze uvavanyo lomzimba. Uza kukubuza nemibuzo malunga nobomi bakho bobuqu nobesondo. Ungaziva uneentloni okanye ungakhululekanga ukubuza le mibuzo. Nangona kunjalo, kubalulekile ukuba nenyani ukuze ufumane unobangela ngokukhawuleza. Ugqirha unokubuza imibuzo efana nale:

• Ngaba okwangoku usebenzisa amayeza (abhalwe ngugqirha, athengiswa ngaphandle kwemvume kagqirha, awemifuno, izongezo zokutya, amayeza)?
• Ngaba ugqirha wakha wakuxelela ukuba unesifo sokudakumba okanye ixhala ?
• Ngaba uhlala uziva uxinezelekile ?
• Ngaba uneengxaki kubomi bosapho lwakho okanye kubudlelwane bakho?
• Ungayivuselela kangaphi ipenisi yakho?
• Inzima kangakanani xa kufikwa ebomini?
• Ungaphila ixesha elingakanani?
• Ngaba ulahlekelwa ngamandla akho ngenxa yokuba ukhupha i-ejaculate ngokukhawuleza kunokuba ulindele?
• Uqale nini ukuqaphela iimpawu ze-ED?
• Kwenzeka ntoni kanye kanye xa iimpawu ze-ED zaqala ukubonakala?
• Ingaba ipenisi yakho ivakala imile xa uvuka ebusuku okanye kusasa?
• Zeziphi iindlela zesondo odla ngokuzibandakanya kuzo?

Ugqirha angacela ukuthetha neqabane lakho lesondo. Usenokukwazi ukunika ulwazi olongezelelweyo malunga nezizathu ezinokubakho. Ugqirha angacebisa iimvavanyo ezahlukeneyo ukuqinisekisa ukuxilongwa kunye nokuchonga unobangela.

Zeziphi iimvavanyo ezisetyenziselwa ukuxilonga i-ED?

Oku kuya kuxhomekeka kwiingcinga zikagqirha. Uvavanyo lunokuquka:

• Uvavanyo lwegazi : Ubalo olupheleleyo lwegazi (i-CBC) , iphaneli ye-lipid (ijonga amanqanaba e-cholesterol), uvavanyo lokusebenza kwesibindi, uvavanyo lokusebenza kwezintso , uvavanyo lwe-thyroid , uvavanyo lwe-testosterone .
• Uhlalutyo lomchamo .
• I-ultrasound ye-Penile Doppler (ukubona indlela igazi elihamba ngayo liye kwi-penis).
• Uvavanyo lokujonga ukuba ipenisi iyasabela na kwi-nerve impulses (penile biothesiometry) .
• Ukujova amayeza avuselela ipenis okwethutyana (injection ye-vasoactive) .
• I-Magnetic Resonance Angiogram (MRA) (ukufumana imifanekiso eneenkcukacha zemithambo yegazi).

Ngaphambi kokuba wenze ezi mvavanyo, ugqirha uza kukuchazela aze aphendule imibuzo yakho. Ukuba uziva ungakhululekanga, unelungelo lokwala uvavanyo nangaliphi na ixesha.

Zeziphi iindlela zonyango ezilungileyo ze-ED?

Inyathelo lokuqala ekunyangeni i-ED kukufumana unobangela oyintloko. Ugqirha wakho uza kukunceda ukhethe unyango olulungele wena. Iindlela zonyango zingabandakanya:

• Ukuzilolonga ngentliziyo : Ukuzilolonga ngamandla kwentliziyo (njengokuhamba ngokukhawuleza, ukubaleka, ukudada, ukukhwela ibhayisekile, ukutsiba ngentambo) imizuzu engama-45 ubuncinci iintsuku ezintathu ngeveki kunokunceda ukuphucula ezinye iimeko ze-ED ezingembi kangako.
• Ukuyeka ukutshaya: Abantu abane-ED encinci banokubona ukuphucuka kwiinyanga ezimbalwa emva kokuyeka ukutshaya.
• Ukuthetha nogqirha wezesondo .
• Iipilisi ezonyusa ukuhamba kwegazi ukuya kwilungu lobudoda: iSildenafil (Viagra®) , ivardenafil (Levitra®) , itadalafil (Cialis®) okanye i-avanafil (Stendra®) . Ezi pilisi ziqala ukusebenza kwisithuba seyure.
• Unyango lwe-shockwave olugxile kwi-penile low-intensity focused (LiSWT) :Olu lunyango olungangenisi ntsholongwane olusebenzisa amaza esandi ukuphucula ukujikeleza kwegazi. Kungathatha malunga neenyanga ezimbini ukubona iziphumo.
• Amayeza afakwa ngqo kwilungu lobudoda: i-alprostadil (Caverject®) , i-papaverine (Papacon®) , i-phentolamine (Regitine®) , okanye indibaniselwano yala mayeza. La mayeza aqala ukusebenza kwimizuzu eli-10.
• Isixhobo sokuxinanisa nge-vacuum / ipompo yepenis : Ezi zinika iziphumo ngokukhawuleza emva kokusetyenziswa.
• Unyango lokutshintshwa kwe -testosterone : Olu nyango lufumaneka kwiijeli, kwiinaliti, kwiipatches, nakwiipilisi. Olu nyango luqala ukusebenza kwiiveki ezine.
• Inkqubo yokufaka ipenis : Kule nkqubo, ugqirha wotyando ufaka isixhobo kwipenis ukuze asinyuse. Esi sixhobo asichaphazeli iimvakalelo, ukuchama, okanye ukukhama.

Ngaba i-ED iya kuba ngcono ngokwayo?

I-ED ayizukuphucuka ngokuzenzekelayo ngaphandle kokwenza utshintsho kwindlela ophila ngayo okanye ukufumana unyango oluthile.

Ngaba i-ED ingathintelwa?

Ezinye iinguqu zendlela yokuphila zinokunciphisa umngcipheko we-ED:

• Yehlisa amanqanaba akho e-cholesterol.
• Yiba nomdla womzimba, ingakumbi umthambo we-cardio njengokubaleka, ukujoga, kunye nokukhwela ibhayisekile.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Fumana ubuthongo obuhle.
• Yitya ukutya okunempilo (iziqhamo, imifuno, iinkozo ezipheleleyo) ezinamafutha aphantsi.
• Yeka ukutshaya.
• Nciphisa okanye uyeke ukusela utywala.

Ukuba ndine-ED, ndimele ndilindele ntoni?

Kukho ithemba nge-ED. Yimeko enokunyangeka kakhulu. Nangona kungekho nyango lupheleleyo kwezinye izizathu, kukho iindlela ezininzi zonyango ezinokukunceda ugcine kwaye uphucule ukuma kwakho kwesondo.

Ndifanele ndimbone nini ugqirha?

Ukuba ukrokrela ukuba une-ED, bonana nogqirha wakho okanye ugqirha wezifo zomchamo . Banokuxilonga i-ED, bafumane unobangela, baze bakucebise ngonyango olungcono kuwe.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba usela amayeza e-ED kwaye unesithonga esibuhlungu esihlala iiyure ezingaphezu kwezimbini ukuya kwezine, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza. Oku kungaba luphawu lwemeko ebizwa ngokuba yi-priapism . Ukuba ayinyangwa, inokubangela umonakalo ongunaphakade kwilungu lobudoda.

Ndingayibuza yiphi imibuzo ugqirha?

• Ngaba kuqhelekile ukuba ne-ED?
• Uyazi njani ukuba ndine-ED?
• Yintoni unobangela we-ED yam?
• Loluphi unyango lwe-ED ondicebisa lona?
• Ngaba i-ED ingabangela ezinye iimeko ezichaphazela impilo yam yesondo?
• Ngaba ndingakhulelwa nangona ndine-ED?
• Ungacebisa ingcali yezesondo?
• Ungacebisa iqela lenkxaso kubantu abane-ED?
• Ingaba ndifanelekile na kwinkqubo yokufaka ipenis ?

Uziva njani xa ungakwazi ukuqina?

I-ED ingakwenza uzive uneemvakalelo ezahlukeneyo. Ungaziva uneentloni, unomsindo, unetyala, ukhathazekile, unomsindo, okanye ngathi awonelanga. Ukuba oku kuyaqhubeka, kunokukhokelela kwiimeko zempilo yengqondo ezinzulu ezifana nokuxhalaba nokudakumba . Kodwa akufuneki uphile nezi mvakalelo. I-ED ixhaphakile, kwaye ayikwenzi uzive ungento yanto. Kukho oogqirha abanokukunceda.

Ndenze ntoni ukuba iqabane lam line-ED?

I-ED yingongoma ebucayi kubantu abaninzi. Ukuba iqabane lakho line-ED, la macebiso anokukunceda ulixhase:

• Khuthaza unxibelelwano oluvulekileyo: Mxelele ukuba uyayikhathalela indlela avakalelwa ngayo kunye nempilo-ntle yakhe. Fumana ixesha apho angaziva engonwabanga kwaye nithethe.
• Mkhumbuze ukuba akayedwa: i-ED ixhaphakile kwaye kukho unyango. Iingcali zonyango kunye namaqela enkxaso anokumnceda aqonde iimvakalelo zakhe aze ajongane nazo.
• Khuthaza imikhwa esempilweni: Gxila kwiingenelo zokuzilolonga rhoqo, ukutya okunempilo, kunye nokunciphisa izinto ezinokubangela i-ED (utywala, ukutshaya).
• Yaziswa: Ukuba unolwazi oluchanekileyo noluhlaziyiweyo malunga ne-ED kunye nonyango lwayo, iqabane lakho liya kuziva linamandla.
• Mcele ukuba aye naye xa esiya kugqirha wakhe: Ungamnceda abuze imibuzo, abhale amanqaku, kwaye unike ugqirha ulwazi oluya kunceda ekuxilongweni. Ukuba ukhetha ukubona ugqirha eyedwa, hlonipha loo mfihlo.
• Bonisa uthando lwakho nothando lwakho ngezinye iindlela: Isondo asikokuphela kwento ekhulisa ulwalamano phakathi kwabantu ababini. Ukubambana ngezandla, ukuphululana umqolo, ukuchitha ixesha kunye, ukwanga, ukubhala amanqaku, ukuba nomonde, nokuba ngumphulaphuli olungileyo zonke ezi ziindlela onokubonisa ngazo uthando lwakho kwiqabane lakho.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-ED yimeko eqhelekileyo echaphazela amadoda amaninzi, ingakumbi njengoko ekhula. Inokubangela iintloni, ukungabi nantloni, kunye nezinye iingxaki ezinkulu zengqondo. Kodwa akufuneki ube neentloni okanye ukhathazeke ngokuba ne-ED. Isenokuba yindlela yomzimba wakho yokukuxelela ukuba "kukho into engalunganga."

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha malunga neempawu zakho kunye nendlela ezichaphazela ngayo ubomi bakho. Ugqirha wakho unokuxilonga i-ED yakho, afumane unobangela, aze akucebise ngonyango olungcono kuwe. Musa ukoyika okanye ukungabi nantloni ukufuna ingcebiso kagqirha. Awuwedwa!

Ukungasebenzi kakuhle ngokwesondo, ukungabi namandla, iingxaki zepenis, impilo yamadoda, impilo yesondo, unyango lwe-ED, izizathu ze-ED