Ingabe nawe unenkinga yokuma ngesikhathi socansi? (Ukungasebenzi kahle kwe-Erectile) Ake sixoxe ngalokhu!

Ukungasebenzi kahle kwe-erectile kuyindaba abantu abaningi abanayo, kodwa kunzima ukukhuluma ngayo. Kodwa kuyisimo esingachazwa ngokwezokwelapha. Ngakho ukwazi ngaso kahle kuzokusiza ukubhekana naso. Ake sixoxe ngakho ngokukhululekile nangokwethembeka.

Kuyini Ukungasebenzi Kahle Kwe-Erectile?

Kalula nje, ukungasebenzi kahle kwe-erectile (ED) ukungakwazi ukuthola noma ukugcina ukwakheka okunzima ngokwanele ngokocansi. Kungabhekwa njengesifo esithinta ipenisi. Imicabango nemizwa yakho inomthelela omkhulu kulokhu. Ukuzizwa ukhululekile, uqiniseka, futhi uvukile ngokocansi kubalulekile ukuze uthole ukwakheka. Kodwa-ke, kuvamile ukuba nezinkinga zokwakheka ngezinye izikhathi. Lokhu kungenzeka uma uzizwa ukhathazekile, wesaba, ukhathazekile, noma ukhathele. Ukuphuza utshwala noma ukusebenzisa izidakamizwa nakho kungathinta lokhu. Kungavela ngenxa yezinye izimo zezokwelapha noma njengomphumela omubi wemithi ethile noma ukwelashwa komdlavuza. Uma futhi unenkinga yokuthola noma ukugcina ukwakheka, kungcono ukubona udokotela futhi ukhulume ngalokhu. Ngokuvamile, i-ED ingaba uphawu lokuqala lwesimo esibucayi esiyisisekelo, njengesifo senhliziyo . Yingakho kubalulekile ukukhuluma nodokotela wakho ngakho. Amanye amagama e-ED afaka phakathi "Ukungasebenzi" noma "Ukungasebenzi." Kodwa igama elivame kakhulu elisetshenziswa namuhla elithi "Ukungasebenzi Kwe-erectile."

Yiziphi izinhlobo eziyinhloko zokungasebenzi kahle kwe-erectile (ED)?

Odokotela bahlukanisa i-ED ngezinhlobo eziningana eziyinhloko:

• I-Vascular ED (Ukungasebenzi kahle kwe-Vascular erectile) : Lolu uhlobo oluvame kakhulu. Lungabangelwa inkinga ngemithambo yegazi ethwala igazi iye epenis noma inkinga ngama-valve asiza ukugcina igazi epenis .
• I -Neurogenic ED (Ukungasebenzi kahle kwe-erectile kwe-neurogenic) : Lesi simo sibangelwa inkinga yezinzwa ezithwala izimpawu ezivela ebuchosheni ziya epenis. Singabangelwa ingozi, ukuhlinzwa kwe-pelvic, ukwelashwa ngemisebe , noma isifo sohlangothi , i-spinal stenosis, i-multiple sclerosis (MS) , noma ezinye izimo .Lokhu kungabangelwa izifo zezinzwa ezifana ne -Multiple Sclerosis ( MS ).
• Ukungasebenzi kahle kwe-erectile ngama-hormone (ED) : Lokhu kubangelwa ukwehla kwe-testosterone ye-hormone ( ukuntuleka kwe-testosterone), noma ngezinye izikhathi izinkinga ze-thyroid .
• Ukungasebenzi kahle kwe-erectile okubangelwa yingqondo (ED) : I-ED ingabangelwa nayizimo zengqondo ezithinta imicabango yakho, imizwa, noma ukuziphatha kwakho.

Sivame kangakanani lesi simo (ED)?

I-ED ingenye yezinkinga ezivame kakhulu zobulili amadoda azibika kodokotela bawo, ikakhulukazi njengoba ekhula futhi ezinye izinkinga zempilo zanda.

I-ED ivame ukwenzeka nini eminyakeni emingaki?

Odokotela nabacwaningi bathi i-ED ithinta amadoda angaphezu kuka-50% aphakathi kweminyaka engu-40 no-70. Kodwa inani lingaba likhulu kakhulu. Amadoda amaningi anamahloni futhi anamahloni okukhuluma ngakho noma ukufuna ukwelashwa.

Ziyini izimpawu ze-ED?

Nazi ezinye zezimpawu ze-ED:

• Ipenisi ivele iqine ngezinye izikhathi ngaphambi kocansi.
• Ngisho noma ipenisi imile ngaphambi kocansi, lokho kumile kuyaphela ngesikhathi socansi.
• Ukungakwazi ukumisa ipipi ngokuphelele.
• Kudingeka ukukhuthazwa okuningi ukuze uhlale uphila.

Yini ebangela i-ED?

Kunezinto eziningi ezingabangela i-ED. Eziyinhloko yilezo ezithinta lezi zinhlelo zakho:

• Uhlelo lokujikeleza kwegazi : Lena yingxenye yomzimba wakho ethwala igazi emzimbeni wakho wonke. Ipenisi yakho idinga ukutholakala kwegazi okuhle ukuze ikhule futhi ihlale iphilile. Iphinde ibe nohlelo lwama-valve asiza ukugcina igazi lingaphakathi uma ligcwele igazi. Ngezinye izikhathi la ma-valve angase angasebenzi kahle.
• Uhlelo lwezinzwa : Lokhu kufaka phakathi ubuchopho bakho, umgogodla, kanye nemizwa . Kuhlangene, lokhu kuthumela imizwa kagesi elawula ukunyakaza kanye nemizwa yomzimba wakho. Lokhu kusebenza nasekusebenzeni kwepenisi yakho.
• Uhlelo lwe-endocrine : Lokhu kufaka phakathi izindlala ezikhiqiza futhi zikhiphe ama-hormone . Ama-hormone alawula imisebenzi ehlukahlukene emzimbeni. I-hormone i -testosterone isiza ekwandiseni imigudu ethwala igazi liye epenis.

Ezinye izimo zezokwelapha kanye nezinye izimbangela ezingathinta i-ED zifaka:

• Isifo sikashukela i-Mellitus kanye ne-diabetes neuropathy
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• I-cholesterol ephezulu (i-hyperlipidemia)
• Isifo semithambo yegazi
• Isifo sezinso esingamahlalakhona
• I-atherosclerosis
• Isifo sikaPeyronie (isimo esibangela ukugoba kwepenisi)
• Ukuntuleka kwe-testosterone/testosterone okuphansi
• Isifo sohlangothi
• Isifo Sokuxhuzula

I-ED ingabangelwa futhi ukulimala kwepenisi nezindawo ezizungezile:

• Ukulimala kwezicubu zepenisi (ngezinye izikhathi okubizwa ngokuthi "ukuphuka kwepenisi ," kodwa akukho thambo epenisi, kuphela amagumbi agcwele igazi alimele lapha)
• Ukulimala kwamathambo esinqe (izinqe, i-sacrum, i-coccyx), esinyeni, i-prostate, kanye nomgogodla.
• Ukuhlinzwa komgodi wesitho sangasese sowesifazane (isib. ukuhlinzwa komdlavuza wendlala yesinye, ikoloni, noma esinyeni).
• Ukwelashwa ngemisebe .

Ezinye izinhlobo zemithi:

I-ED ingenzeka njengomphumela ongemuhle wemithi eminingi. Imithi evame kakhulu ebangela i-ED yile:

• Imithi yokucindezeleka
• Imithi yokunciphisa ukukhathazeka (i-anxiolytics)
• Imithi yokucindezeleka kwegazi
• Imithi yokuhlanza
• Ama-antihistamine ( imithi yokwelapha ukungezwani komzimba)
• Imithi yokwelapha ngamakhemikhali
• Imithi yesifo sikaParkinson
• Imithi yomdlavuza we-prostate
• Imithi yokulwa nokushaya kwenhliziyo (i-antiarrhythmics)
• Imithi yokudambisa ubuhlungu
• Iziphumuli zemisipha
• Imithi yokuvimbela ukuquleka (imithi enikezwa izimo ezifana nesifo sokuwa)

Ezinye izidakamizwa nezinto eziluthayo:

Lezi zinto eziluthayo zingadala i-ED:

• Utshwala
• Ama-Amphetamine
• Ama-Barbiturates
• I-Cocaine
• Insangu
• I-Methadone
• I-Nicotine (equkethwe kugwayi)
• Ama-opioid (uhlobo lwemithi yokubulala izinhlungu)

Lezi zinto zithinta uhlelo lwakho lwezinzwa oluphakathi, zinciphisa ukusebenza kwalo. Zingabangela nomonakalo omkhulu emithanjeni yegazi futhi ziholele ku-ED engapheli.

Izimo zengqondo nezingokomzwelo:

• Ukucindezeleka
• Ukukhathazeka
• Ukucindezeleka
• Ukwesaba ukuya ocansini noma ukusondelana (genophobia)
• Ukuzenyeza

Cabanga ukuthi esinye noma ngaphezulu kwalezi zici singaba nomthelela ekuthuthukisweni kwakho kwe-ED. Yingakho kubalulekile ukukhuluma nodokotela ukuze uthole imbangela eqondile.

Iyini imbangela eyinhloko ye-ED?

Ngokuvamile, imbangela eyinhloko ye-ED yizimo eziphazamisa ukugeleza kwegazi epenis.

Ubani othinteka kakhulu yi-ED?

Ungase ube sengozini enkulu yokuthola i-ED uma:

• Uma uneminyaka engu-40 noma ngaphezulu.
• Uma unesifo sikashukela .
• Uma i-Body Mass Index (BMI) ingaphezu kuka-25 (ukukhuluphala).
• Uma unesifo sokucindezeleka .
• Uma ungasebenzi kahle ngokomzimba.
• Uma ubhema .

Itholakala kanjani i-ED?

Udokotela angakwazi ukuthola i-ED futhi athole ukuthi yini ebangela lokhu. Uzobuyekeza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba. Uzophinde akubuze imibuzo mayelana nokuphila kwakho komuntu siqu kanye nocansi. Ungase uzizwe unamahloni noma ungakhululekile ukubuza le mibuzo. Kodwa-ke, kubalulekile ukuba neqiniso ukuze uthole imbangela ngokushesha. Udokotela angase akubuze imibuzo efana nalokhu:

• Ingabe okwamanje uthatha noma yimiphi imithi (oyinikezwe ngudokotela, ongayithenga ngaphandle kwemithi kadokotela, imithi yesintu, izithasiselo zokudla, imithi)?
• Wake watshelwa udokotela ukuthi unesifo sokucindezeleka noma ukukhathazeka ?
• Ingabe uvame ukuzizwa ucindezelekile ?
• Ingabe unezinkinga empilweni yakho yomndeni noma ebudlelwaneni bakho?
• Ungayivuselela kangaki ipenisi yakho?
• Kunzima kangakanani uma kukhulunywa ngokuphila?
• Ungaphila isikhathi esingakanani?
• Ingabe ulahlekelwa amandla akho ngoba ukhipha isidoda ngokushesha kunalokho okulindele?
• Uqale nini ukuqaphela izimpawu ze-ED?
• Kwenzekani ngempela lapho izimpawu ze-ED ziqala ukubonakala?
• Ingabe ipenisi yakho izwakala imile ebusuku noma uma uvuka ekuseni?
• Yiziphi izikhundla zocansi ovame ukuzenza?

Udokotela angase acele nokukhuluma nomlingani wakho wocansi. Angase akwazi futhi ukukunikeza ulwazi olwengeziwe mayelana nezimbangela ezingaba khona. Udokotela angase ancome ukuhlolwa okuhlukahlukene ukuqinisekisa ukuxilongwa nokuthola imbangela.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-ED?

Lokhu kuzoncika ezinsolweni zikadokotela. Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi : I-Complete Blood Count (CBC) , i-Lipid panel (ibheka amazinga e-cholesterol), ukuhlolwa kokusebenza kwesibindi, ukuhlolwa kokusebenza kwezinso , ukuhlolwa kwe-thyroid , ukuhlolwa kwe-Testosterone .
• Ukuhlolwa komchamo .
• I-ultrasound ye-Penile Doppler (ukubona ukuthi igazi ligeleza kanjani liye epenis).
• Ukuhlolwa kokubona ukuthi ipenisi iyasabela yini ekushukumeni kwemizwa (i-penile biothesiometry) .
• Ukujova imithi evuselela ipenis okwesikhashana (umjovo we-vasoactive) .
• I-Magnetic Resonance Angiogram (MRA) (ukuthola izithombe ezinemininingwane zemithambo yegazi).

Ngaphambi kokwenza lezi zivivinyo, udokotela uzokuchazela zona futhi aphendule imibuzo yakho. Uma uzizwa ungakhululekile, unelungelo lokwenqaba ukuhlolwa nganoma yisiphi isikhathi.

Yiziphi izindlela zokwelapha ezingcono kakhulu ze-ED?

Isinyathelo sokuqala ekwelapheni i-ED ukuthola imbangela eyisisekelo. Udokotela wakho uzokusiza ukuthi ukhethe ukwelashwa okungcono kakhulu kuwe. Izinketho zokwelapha zingafaka:

• Ukuzivocavoca kwenhliziyo : Ukuzivocavoca okunamandla kwenhliziyo (njengokuhamba ngokushesha, ukugijima, ukubhukuda, ukugibela ibhayisikili, ukugxuma intambo) imizuzu engama-45 okungenani izinsuku ezintathu ngesonto kungasiza ekuthuthukiseni ezinye izimo ze-ED ezithambile.
• Ukuyeka ukubhema: Abantu abane-ED encane bangase babone intuthuko ezinyangeni ezimbalwa ngemva kokuyeka ukubhema.
• Ukukhuluma nodokotela wezokwelapha ngocansi .
• Amaphilisi akhulisa ukugeleza kwegazi kuya endodeni: i-Sildenafil (Viagra®) , i-vardenafil (Levitra®) , i-tadalafil (Cialis®) noma i-avanafil (Stendra®) . Lawa maphilisi aqala ukusebenza cishe ihora.
• Ukwelashwa kwe-shockwave egxile emazingeni aphansi e-penile (i-LiSWT) :Lokhu kuyindlela yokwelapha engangenisi uketshezi esebenzisa amaza omsindo ukuthuthukisa ukujikeleza kwegazi. Kungathatha cishe izinyanga ezimbili ukubona imiphumela.
• Imithi efakwa ngqo epenis: i-alprostadil (Caverject®) , i-papaverine (Papacon®) , i-phentolamine (Regitine®) , noma inhlanganisela yale mithi. Le mithi iqala ukusebenza zingakapheli imizuzu eyi-10.
• Idivayisi yokucinana kwe-vacuum / ipompo yepenis : Lokhu kunikeza imiphumela cishe ngokushesha ngemva kokusetshenziswa.
• Ukwelashwa kokufaka esikhundleni se -testosterone : Lokhu kuyatholakala kuma-gel, imijovo, ama-patches, kanye namaphilisi. Lokhu kwelashwa kuqala ukusebenza zingakapheli amasonto amane.
• Inqubo yokufaka i-penile implant : Kule nqubo, udokotela ohlinzayo ufaka idivayisi epenis ukuze ayikhulise. Le divayisi ayithinti umuzwa, ukuchama, noma ukukhipha isidoda.

Ingabe i-ED izothuthuka ngokwayo?

I-ED ngeke ithuthuke ngokuzenzakalelayo ngaphandle kokwenza izinguquko endleleni yakho yokuphila noma ukuthola ukwelashwa okuthile.

Ingabe i-ED ingavinjelwa?

Ezinye izinguquko zendlela yokuphila zinganciphisa ingozi ye-ED:

• Yehlisa amazinga akho e-cholesterol.
• Yiba matasa ngokomzimba, ikakhulukazi ukuzivocavoca kwe-cardio njengokugijima, ukugijima, kanye nokugibela ibhayisikili.
• Gcina isisindo esinempilo esikufanele.
• Thola ubuthongo obuhle.
• Yidla ukudla okunempilo (izithelo, imifino, okusanhlamvu okuphelele) okunamafutha agcwele aphansi.
• Yeka ukubhema.
• Yehlisa noma uyeke ukuphuza utshwala.

Uma ngine-ED, yini okufanele ngiyilindele?

Kukhona ithemba nge-ED. Kuyisimo esingelapheka kakhulu. Nakuba kungekho ikhambi eliphelele lezimbangela ezithile, kunezindlela eziningi zokwelapha ezingakusiza ukuthi ugcine futhi uthuthukise ukuma kwakho kobulili.

Kufanele ngimbone nini udokotela?

Uma usola ukuthi une-ED, bona udokotela wakho oyinhloko noma udokotela wezifo zomchamo . Bangaxilonga i-ED, bathole imbangela, futhi bancome ukwelashwa okungcono kakhulu kuwe.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uphuza imithi ye-ED futhi unesitho esibuhlungu sokuma esihlala isikhathi esingaphezu kwamahora amabili kuya kwamane, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha. Lokhu kungaba uphawu lwesimo esibizwa ngokuthi i-priapism . Uma singelashwa, singadala umonakalo ongapheli endodeni.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

• Ingabe kuyinto evamile ukuba ne-ED?
• Wazi kanjani ukuthi ngine-ED?
• Iyini imbangela ye-ED yami?
• Iyiphi indlela yokwelashwa kwe-ED ongincomayo?
• Ingabe i-ED ingadala ezinye izimo ezithinta impilo yami yocansi?
• Ngingakhulelwa yini noma ngine-ED?
• Ungamncoma yini uchwepheshe wezokwelapha ngocansi?
• Ungancoma iqembu lokusekela abantu abane-ED?
• Ingabe ngifanelekile inqubo yokufaka umbungu ?

Kuzizwa kanjani uma ungakwazi ukuthola ukuqina komzimba?

I-ED ingakwenza uzizwe unemizwa eyahlukahlukene. Ungase uzizwe unamahloni, uthukuthele, unecala, ukhathazekile, unenzondo, noma sengathi awufaneleki. Uma lokhu kuqhubeka, kungaholela ezimweni zempilo yengqondo ezingathi sína njengokukhathazeka nokucindezeleka . Kodwa akudingeki uphile nale mizwa . I-ED ivamile, futhi ayikwenzi uzizwe ungelutho. Kukhona odokotela abangakusiza.

Ngenzenjani uma umlingani wami ene-ED?

I-ED iyindaba ebucayi kubantu abaningi. Uma umlingani wakho ene-ED, lawa macebiso angakusiza ukuthi umsekele:

• Khuthaza ukukhulumisana okuvulekile: Menze azi ukuthi uyayikhathalela imizwa yakhe kanye nenhlalakahle yakhe. Thola isikhathi lapho engeke azizwe engakhululekile khona nokuthi ningakhuluma.
• Mkhumbuze ukuthi akayedwa: i-ED ivamile, futhi kunezindlela zokwelapha. Odokotela bezokwelapha kanye namaqembu okusekelana bangamsiza ukuba aqonde imizwa yakhe futhi abhekane nayo.
• Khuthaza imikhuba enempilo: Gxila ezinzuzweni zokuvivinya umzimba njalo, ukudla okunempilo, kanye nokunciphisa izinto ezingabangela i-ED (utshwala, ukubhema).
• Yaziswa: Uma unolwazi olunembile nolusesikhathini mayelana ne-ED kanye nokwelashwa kwayo, umlingani wakho uzozizwa enamandla.
• Zinikele ukuya naye lapho eyobonana nodokotela wakhe: Ungamsiza abuze imibuzo, abhale amanothi, futhi unikeze udokotela ulwazi oluzosiza ekuxilongweni. Uma ekhetha ukubona udokotela eyedwa, hlonipha lobo bumfihlo.
• Veza uthando lwakho nothando lwakho ngezinye izindlela: Ucansi akuyona yodwa into ekhulisa ukusondelana phakathi kwabantu ababili. Ukubambana ngezandla, ukuphululana umhlane, ukuchitha isikhathi ndawonye, ​​​​ukuqabulana, ukubhala amanothi, ukubekezela, nokuba isilaleli esihle konke kuyizindlela ongabonisa ngazo uthando lwakho kumlingani wakho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-ED yisimo esivamile esithinta amadoda amaningi, ikakhulukazi njengoba ekhula. Ingabangela ukuhlazeka, ukuzethemba okuphansi, kanye nezinye izinkinga ezinkulu zengqondo. Kodwa akudingeki ube namahloni noma ukhathazeke ngokuba ne-ED. Kungaba yindlela yomzimba wakho yokukutshela ukuthi "kukhona okungahambi kahle."

Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela ngezimpawu zakho nokuthi zithinta kanjani impilo yakho. Udokotela wakho angabe esethola ukuthi une-ED, athole imbangela, futhi ancome ukwelashwa okungcono kakhulu kuwe. Ungesabi noma ube namahloni okufuna iseluleko sezokwelapha. Awuwedwa!

Ukungasebenzi kahle kocansi, ukungabi namandla, izinkinga zepenisi, impilo yamadoda, impilo yocansi, ukwelashwa kwe-ED, izimbangela ze-ED