Pofuna kudziwa zomwe zingayambitse matenda a erectile, ndi bwino kumvetsetsa kuti nthawi zambiri zimakhala zofunikira kapena, monga momwe bungwe la American Urological Association limanenera, "ntchito yotchedwa erectile ndiyo chifukwa cha kusinthasintha kovuta pakati pa mitsempha, mitsempha yambiri, mahomoni, ndi zinthu zamaganizo. " Kumbukirani izi pamene mukuwerenga mndandanda waukulu wa zifukwa ndi zoopsa za ED, zomwe zikuphatikizapo mankhwala, matenda, kuvulaza, kusuta, ndi zina zambiri.
Zomwe Zimayambitsa
Dokotala yekha ndi amene angatsimikizire chifukwa cha erectile. Kawirikawiri, matenda aakulu kapena chikhalidwe ndizolakwa (onani m'munsimu). Koma imodzi kapena zingapo izi zingakhale zikusewera:
Zaka
Kafukufuku amasonyeza kuti, ambiri, amuna amakhala ndi mavuto ambiri okhudzana ndi kugonana akamakula. Mwachitsanzo, maphunziro a Aging Male a Massachusetts ku 1994, mwachitsanzo, adapeza kuti kuchuluka kwa kusowa kwa mphamvu kumawonjezeka kuchoka pa 5 peresenti mpaka 15 peresenti pamene zaka zikuwonjezeka zaka 40 mpaka 70.
Uthenga wabwino ndi wakuti ED ndi mavuto ena okhudza kugonana samawoneka ngati osapeŵeka ngati amuna a msinkhu. Kawirikawiri chifukwa chake mwamuna wachikulire akuyamba kukhala ndi vutoli ndikuti akudwala matenda aakulu omwe amachititsa kuti ED, kapena chifukwa chakuti amachita zinthu zowonongeka zomwe zimamuika pangozi yaikulu.
Mwa kuyankhula kwina, ndizotheka kwathunthu kuti munthu asatengere zowonjezera zomwe zingayambitse kusowa mphamvu mwa kusamalira thanzi lake la thanzi ndi thanzi labwino pamene akukula.
Mankhwala ndi Machiritso
Mankhwala ena amatha kusokoneza mitsempha ya m'magazi kapena magazi kupita ku mbolo. Malinga ndi lipoti la Yunivesite ya Harvard, pafupifupi 25 peresenti ya amuna ogwira ntchito yotsegula erectile ali ndi mavuto chifukwa cha mankhwala omwe amamwa. Ndipotu, ED ndi chimodzi mwa zifukwa zazikulu zomwe abambo ena amasiya kumwa mankhwala omwe amachititsa kuti magazi asokonezeke kwambiri.
Mndandanda wa mankhwala okhudzana ndi kusowa kwautali ndi wautali, ndipo mankhwala ena amachititsa ED kusiyana ndi ena. Ngati mankhwala osokoneza bongo mulibe mndandanda umene ukutsatira, koma mukulimbana ndi kusowa mphamvu, funsani dokotala wanu.
Pakati pa mankhwala ndi mankhwala ena omwe amachititsa kuti pakhale chiopsezo ndi:
- Cancer chemotherapies, monga Myleran (busulfan) ndi Cytoxan (cyclophosphamide)
- Kutsekemera kwa pakhosi pamapakati pa chithandizo cha khansa, chomwe chingayambitse kuvulala komwe kumayambitsa kusagwira ntchito
- Mankhwala opatsirana kwambiri a magazi , makamaka ma diuretic monga Microzide (hydrochlorothiazide)
- Mabeta-blockers , monga Inderal XL (propranolol)
- Mankhwala okhudza matenda a maganizo, kuphatikizapo mankhwala osokoneza bongo, monga Paxil (paroxetine); ovutika maganizo, monga Zoloft (sertraline); ndi mankhwala otsutsa-schizophrenia, monga Seroquel (quetiapine)
- Zokonzeratu, monga Valium (diazepam)
- Mankhwala opanga mahomoni ochizira kansa ya prostate, monga Eulexin (flutamide) ndi Lupron (leuprolide)
- Propecia (finasteride), yomwe imagwiritsidwa ntchito pochizira prostate yowonjezereka komanso mitundu ina ya ubweya wamwamuna
- Mankhwala opangira ulusi kuphatikizapo anti-histamine H2-receptor antagonists, monga Tagamet (cimetidine) ndi Zantac (ranitidine)
- Antihistamines omwe amagwiritsidwa ntchito pochizira matenda, monga Benadryl (diphenhydramine) ndi Vistaril (hydroxyzine)
- Maantibayotiki ochizira matenda opatsirana a khungu, monga Nizoral (ketoconazole)
- Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs), monga Naprosyn (naproxen), akamatengedwa nthawi zambiri
Kupanikizika ndi Nkhawa
Nthawi zina mwamuna amakhala ndi nkhaŵa zokhudzana ndi kugonana zomwe zimachepetsa kuthekera kwake, mwina chifukwa cha zovuta zogonana kapena zochitika za ED. Mofananamo, ngati mwamuna ndi mkazi wake akukumana ndi mavuto muukwati wawo, maganizo ndi maganizo amatha kuwononga ntchito yogonana.
Opaleshoni
Opaleshoni iliyonse yomwe imaphatikizapo mapangidwe a mitsempha amatha kuwononga mitsempha ndi / kapena mitsempha ya magazi mu mbolo, yomwe ingakhudzire luso la munthu kukonza kapena kusunga imodzi. Njira yodziwika yokhudzana ndi ED ndiyo opaleshoni yopatsira khansa ya prostate , yomwe imapereka bwino kuti aperekere pafupi bwanji ndi mbolo ya prostate.
Mtundu wina wa opaleshoni umene nthawi zina umawonjezera chiopsezo cha kuperewera ndi kutsegula kwapadera pakuthana ndi khansa yoyipa, yomwe gawo lina la matumbo aakulu (colon) limachitidwa opaleshoni limodzi ndi chotupacho. Kusiyanasiyana kwina kwa njirayi ndibwino kuti ED:
- Kumanzere kwa hemicolectomy (kuchotsedwa kwa gawo lamanzere la koloni)
- Abdominoperineal resection (kuchotsedwa kwa rectum ndi anus)
- Proctectomy (kuchotsedwa kwa rectum)
Nthawi zina ED imayambitsidwa ndi opaleshoni ya ubongo, vuto limabwera chifukwa cha kutaya kwa khungu. Kwa ena, sacral reflex (yomwe imayendetsa galimoto yomwe imayendetsa minofu ya ana ndi minofu ya pansi pamtunda) imakhudzidwa. Kuonjezerapo, zoopsa za kudutsa opaleshoni yayikulu zingayambitse nkhawa zomwe zimayendetsa mwachindunji ntchito yogonana.
Kuvulaza
Kuvulazidwa kwa mitsempha, mitsempha, kapena mitsempha ya pelvis ikhoza kuyambitsa mavuto a kugonana. Amuna omwe ali ndi kuvulala kwa msana kwawonjezeka mitengo ya erectile ndi ejaculatory, mwachitsanzo. Komabe, kuvulala kwa msana sikungalepheretse kugonana. Anthu ena omwe ali ndi zovulala zamtsempha amatha kuwukitsidwa ndi kupwetekedwa ndi zovuta zokhudzana ndi chiwerewere. Kuonjezerapo, chilakolako ndi chidwi sichikukhudzidwa kuti zisawonongeke ndi msana.
Matenda ndi Mavuto
Apanso, ED kawirikawiri imapezeka padera. Kaŵirikaŵiri zimakhala chifukwa cha vuto lina la thanzi.
Matenda a Shuga ndi Matenda a Mtima
Kusagwirizana kwa Erectile n'kofala pakati pa amuna omwe ali ndi matenda a shuga a mtundu wa 1 ndi mtundu wa shuga 2. Phunziro la 2017 mu matenda a shuga linapeza kuti oposa theka la amuna omwe ali ndi shuga amayambitsa ED . Chifukwa chake: Mbali yapamwamba yamagazi ya m'magazi yomwe imayambitsa matenda a shuga imapha mitsempha ya mitsempha ndi mitsempha mthupi lonse, kuphatikizapo omwe ali mu mbolo.
Ngati munthu wakhala akudwala matenda a shuga, ndiye kuti akhoza kukhala ndi ED, makamaka ngati m'magazi ake sanagwiritsidwe bwino. Zovuta za matenda omwe ali pamtima monga kuthamanga kwa magazi ndi cholesterol chokwanira zingathandizenso. Mwamuna wodwala shuga yemwe amasuta fodya amachulukitsa mwayi wake wopanga ED.
Matenda a mtima ndi shuga nthawi zambiri zimagwirizanitsidwa palimodzi chifukwa amatha kuwonongeka kwa mitsempha ndi vuto la shuga komanso. Matenda a mitsempha ya Coronary imathanso kugwirizanitsa ntchito zogonana okha, koma kuwonongeka kwa erectile ndizowonjezereka kasanu ndi kawiri kwa amuna omwe amavutika ndi matenda odwala matenda a mitsempha (CAD) ndi shuga kusiyana ndi amuna omwe ali ndi shuga popanda kuwonjezera kwa CAD. Kulephera kugwira ntchito kwa Erectile kwafala kwambiri m'magwiridwe amtundu wa mitsempha komanso matenda a shuga zomwe zingatengedwe kuti ndizoopsa kwa onse awiri.
Kuthamanga kwa magazi
Popeza kuti erection imadalira magazi okwanira ku mbolo, n'zosavuta kuona momwe chikhalidwe kapena vuto lachipatala lomwe limakhudza mtima ndi zina mu mtima wamtima zingakhale ndi zotsatira pa erectile ntchito. Izi ndizoona makamaka chifukwa cha kuthamanga kwa magazi (kuthamanga kwa magazi).
Ngakhale asayansi sakudziwa momwe matendawa angapangire ED, chiphunzitso chimodzi ndi chakuti kuthamanga kwapamwamba kwambiri mu ziwiya zazing'ono za mbolo kungayambitse misonzi yaying'ono kupita kumakoma. Pokonzekera misoziyi, mitsempha imakhala yowopsya komanso yoperewera kupereka magazi oyenera ku spongy, matenda a erectile a mbolo.
Zina mwazifukwa zomwe zingayambitse kupanikizika kwambiri zomwe zingathandize ED:
- Kuchuluka kwa mahomoni: Kuthamanga kwakukulu mu kayendedwe ka kayendedwe kake kamakhudza kupanga mahomoni ena, kuphatikizapo omwe amalamulira kugonana ndi kuyanjanitsa. Palinso umboni wina wakuti amuna omwe ali ndi kuthamanga kwa magazi ali ndi ziwerengero zochepa za umuna ndi testosterone kusiyana ndi amuna omwe ali ndi vuto labwino la magazi, zomwe zingachititse kuchepetsa kuyamwa kwa mahomoni kumalimbikitsa kugonana.
- Mafunde ochepa a nitric okusayidi: Kafukufuku wina wasonyeza kuti patapita nthawi, amuna omwe ali ndi nthawi yaitali omwe amayamba kuthamanga kwa magazi angapangitse ochepawa, omwe amachititsa kuti mitsempha ya magazi ikhale yotsika. Kusokonekera kwa Erectile kungayambitse ngati palibe nitric oxide yokwanira kuti athetse bwino mitsempha ya magazi mu mbolo ndikulola kuti magazi abweretse mbolo.
- Kuvulala kwakukulu: Kuti tikhalebe erection, magazi ayenera kuperekedwa ndikukhalabe mu mbolo. Kafukufuku wina amasonyeza kuti amuna omwe ali ndi kuthamanga kwa magazi angakhale ndi vuto lokhala ndi erection chifukwa kuwonjezeka kwa mphamvu kumayambitsa magazi kuchokera m'matenda a erectile a mbolo ndi mitsempha. Mu lingaliroli, "kukankha" pazitsulo zazing'ono zotsekemera za mitsempha zamphamvu kuposa momwe mitsempha imatha kukana, kutanthauza kuti mitsempha sungakhoze "kutseka" mwamphamvu mokwanira kuti asiye magazi kuti asatuluke mu mbolo.
Mavuto a maganizo
Mavuto ambiri amalingaliro amagwirizanitsa ndi mavuto okhudza kugonana amuna. Kusokonezeka maganizo, nkhaŵa, kutuluka kwachisokonezo cha matenda opatsirana (PTSD), ngakhalenso nkhani zokwiya zonse zakhala zikukhudzana ndi mavuto ndi chikhumbo, erectile ntchito, ndi kukakamizidwa.
Zovuta zina
Pali zizindikiro ndi matenda ena omwe angakhudze kugonana kwa amuna, zomwe zimabweretsa mavuto monga ED. Zina mwa izi ndi izi:
- Mavuto a urin ndi a impso: Amuna omwe ali ndi zizindikiro zamakono amasonyezedwa kuti ali ndi vuto la katatu la mavuto omwe ali nawo omwe alibe amuna. Izi zikuphatikizapo mavuto monga chikhodzodzo chopitirira muyeso, komanso zizindikiro zochepa za m'makina.
- Matenda Okhudza Matenda a Mitsempha: Kuwonjezeka kwa chiwerengero cha ED ndi mitundu ina ya kugwiritsidwa ntchito kwa kugonana kwawonetsedwa mwa amuna omwe ali ndi matenda a Parkinson , matenda a khunyu, kudwala, ndi multiple sclerosis . Izi zikhoza kusokoneza zizindikiro za mitsempha pakati pa ubongo ndi mbolo.
Kupewa kugona tulo (OSA): Malinga ndi National Sleep Foundation, kufufuza kwa 2011 ndi ochita kafukufuku ku Mt. Bungwe la Sinai Medical Center ku New York City linapeza kuti amuna omwe ali ndi vuto la erectile anali oposa owiri kuposa OSA kuposa amuna opanda ED.
Zochitika Zamoyo
Zina mwa zifukwa zambiri zomwe zimayambitsa erectile zosagwira ntchito ndizochepa zomwe zingathetsedwe palimodzi.
Mankhwala osangalatsa
M'kupita kwa nthawi, mankhwala osayenera ndi osangalatsa akhoza kuwononga mitsempha yambiri, motero nthawi zina erectile sagwira ntchito. Izi zikuphatikizapo:
- Mowa
- Nicotine kusuta fodya komanso kusuta fodya
- Amphetamines, monga Dexedrine (dextroamphetamine)
- Mabala a barbiturates, monga phenobarbital
- Cocaine
- Marijuana
- Methadone
- Opiates, monga heroin ndi OxyContin
Kuthamanga njinga
Pakati pa njinga, kulemera kwamtundu wa munthu kumakhala pa perineum-dera la thupi kumene mitsempha ndi mitsempha ya magazi ya penis imatha kupweteka. Ngakhale kuthamanga kwagwirizanitsidwa ndi zovuta zogwirizana ndi erectile, ntchitoyi imakhala yathanzi kusiyana ndi kuvulaza amuna ambiri.
Chifukwa chimodzi, maphunziro ambiri omwe apeza kugwirizana pakati pa maulendo a njinga ndi ED ayang'ana amuna omwe amatha maola ambiri akuyenda njinga, monga apolisi omwe amatha maola 24 pa sabata akukwera, ndi omwe amapita maulendo aatali a njinga ngati amateurs kapena akatswiri. Ndipotu malinga ndi a Massachusetts Male Aging Study (MMAS), kufufuza kwa amuna oposa 1,700 pakati pa zaka 40 ndi 70, "maola atatu pa sabata amatha kuwombera mitsempha ndi kuwonongeka kwa nthawi yaitali . " Ndiko kukwera kwakukulu kuposa momwe munthu wamba amachitira nthawi, koma zotsatira ndizoyenera kuganizira ngati mutakwera nthawi yaitali.
Ndikoyenera kudziwa kuti MMSA inavomerezanso kuti amuna omwe amayenda maola atatu kapena ochepa pa sabata ali ndi chiopsezo chochepa chokhazikitsa ED, kusonyeza kuti kuyendetsa njinga ngati njira yochita masewera olimbitsa thupi kungathandize kupewa erectile kupweteka.
Sitima yanu ya bicycle ikufunikanso. Pali ziphuphu zomwe ziri ndi dzenje kapena phokoso pansi pomwe perineum amatha kupumula, koma gawo lalikulu la dera lino lidali pansi pa kulemera kwa thupi pamene mukugwiritsa ntchito. Kafukufuku wapeza kuti mipando "yopanda mphuno" yomwe imakhala kumbuyo kwa mafupa okhalapo, imathandiza kupeŵa kuwonongeka, kuwonongeka kwapadera, ndi mavuto ndi erectile ntchito.
> Zotsatira:
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