Erectile dysfunction (ED), inowanzozivikanwa sekushaya simba, inoreva kusakwanisa kusingagumi kuwana kana kuchengetedza erection yakakwana yekuita zvinogutsa pabonde. Chirwere chatekeshera chinobata varume veese mazera asi chinozonyanya kuitika nezera. Nepo pane neapo kuomerwa nekumira kwakajairwa uye zvisingarevi ED, nyaya dzinogara dziripo dzinogona kukanganisa kuzvivimba, kukanganisa hukama, uye kukanganisa hupenyu hwese. Kunyangwe ingave iri nyaya inonetsa uye inowanzofuratirwa, zvakakosha kuti tijekese nyaya iyi kukurudzira ruzivo, kunzwisisa, uye kurapwa kunoshanda.
Mechanism ye erection
Kuti unzwisise ED, zvakakosha kuti ubate yakajairika physiological maitiro ekuwana erection. Kuita zvepabonde kunoita kuti uropi hutumire zviratidzo kune tsinga dziri mupeni, zvichiita kuti kusunungurwa kwemakemikari messenger, akadai nitric oxide. Nitric oxide inozorodza mamhasuru ari mu erectile tissue, zvichiita kuti ropa riyerere munhengo uye rizadze nzvimbo dzemapako, zvichiita kuti pave nekumira. Iyo erection inochengetwa kusvika pakubuda kana kupera kwekukurudzira pabonde, panguva iyo ropa rinoyerera kunze, uye peni inodzokera kune yayo flaccid.
Zvikonzero zve erectile dysfunction
Erectile dysfunction (ED) inogona kubva pane zvakasiyana siyana, kusanganisira zvemuviri, zvepfungwa, uye mararamiro ane chekuita nenyaya. Kunzwisisa zvinokonzeresa izvi kwakakosha pakurapa kunoshanda uye manejimendi emamiriro ezvinhu.
a. Zvinhu zvomuviri
- Zvirwere zvemwoyo: Mamiriro akaita seatherosclerosis, hypertension (high blood pressure), uye coronary artery disease inogona kukanganisa kuyerera kweropa kunhengo yemurume, ichitadzisa kukwanisa kuwana kana kuchengetedza erection.
- Neurological disorders: Neurological mamiriro akaita semultiple sclerosis, chirwere cheParkinson, uye kukuvara kwemusana zvinogona kukanganisa zviratidzo zvetsinga zvine basa rekutanga nekuchengetedza erections.
- Hormonal kusaenzana: Kuchinja-chinja kana kushomeka kwemazinga ehomoni, kunyanya testosterone, zvinogona kukanganisa kumuka kwepabonde uye erectile basa. Mamiriro ezvinhu akadai se hypogonadism (yakaderera testosterone mazinga) anogona kupa ED.
- Chirwere cheshuga: Chirwere cheshuga chinogona kukanganisa tsinga dzeropa uye tsinga, zvichiita kuti kusafamba zvakanaka uye kunzwa munzvimbo yepabonde, izvo zvinogona kukonzera kusagadzikana kwe erectile.
- Kufutisa: Kufutisa kana kufutisa kunobatanidzwa nehutano hwakasiyana-siyana, kusanganisira chirwere cheshuga, hypertension, uye chirwere chemwoyo, izvo zvose zvinogona kuita kuti erectile dysfunction.
- Kuvhiyiwa kwepelvic kana kukuvadzwa: Kuvhiya kunosanganisira nzvimbo yepelvic, yakadai sekuvhiyiwa kweprostate kana kuvhiyiwa kwedundira, kunogona kukuvadza tsinga nemidziyo yeropa yakakosha kune erectile function, zvichiita kuti ED.
b. Pfungwa dzepfungwa
- Kushungurudzika uye kuzvidya mwoyo: Kushungurudzika kwepfungwa, kungave kwakabatana nebasa, mari, kana hukama, zvinogona kukanganisa chido chepabonde uye kushanda, zvichiita kuti kuoma kwe erectile.
- Kuora mwoyo: Kuora mwoyo kunogona kuderedza libido uye kukanganisa kukwanisa kweuropi kutumira zviratidzo zvine chokuita nekuita zvepabonde, zvichiita kuti erectile dysfunction.
- Performance kufunganya: Kutya kusakwanisa kuita zvepabonde kana kugutsa mumwe wako kunogona kugadzira kuzvidzora kutenderera kwekushushikana, zvichikonzera matambudziko erectile.
c. Mararamiro ezvinhu
- Kusvuta: Kushandisa fodya kunogona kukanganisa tsinga dzeropa uye kuderedza kuyerera kweropa kunhengo yemurume, zvichiwedzera njodzi yekusashanda zvakanaka kwe erectile.
- Doro uye kushandisa zvinodhaka: Kunwa doro zvakanyanyisa uye kushandiswa kwezvinodhaka zvekunakidzwa kunogona kukanganisa kushanda kwepabonde nekukanganisa mhinduro dzetsinga uye mazinga ehomoni.
- Kusadya zvisina kunaka uye kusaita maekisesaizi: Chikafu chakanyanya mukudya zvakagadzikiswa, mafuta akazara, uye shuga, pamwe chete nemararamiro ekugara, zvinogona kukonzera kufutisa, chirwere cheshuga, uye chirwere chemoyo, izvo zvese zviri mungozi yekusashanda zvakanaka kwe erectile.
- Matambudziko ekurara: Mamiriro ezvinhu akadai sekufema kwehope, izvo zvinokanganisa maitiro ekurara uye kupihwa kweokisijeni mumuviri, zvinogona kukanganisa kuita zvepabonde uye kubatsira kuED.
d. Mishonga yemishonga
Mimwe mishonga, kusanganisira antidepressants, antihypertensives, uye mishonga yeprostate mamiriro, inogona kuva nemigumisiro inokanganisa erectile function.
e. Kuchinja kunoenderana nezera
Sezvo varume vachikura, vanogona kusangana nekuchinja kwemuviri, sekuderera kwemazinga e testosterone uye kuderera kwevascular function, izvo zvinogona kuwedzera mukana we erectile dysfunction.
f. Nyaya dzehukama
Kusawirirana, matambudziko ekutaurirana, kana nyaya dzisina kugadziriswa mukati mehukama zvinogona kukonzera kushushikana uye kusagadzikana, kukanganisa hukama hwepabonde uye kutungamirira kumatambudziko erectile.
g. Zvinonyadzisira uye tsika dzebonhora
Kunyanya kunwisa zvinonyadzisira kana kuita bonyora rekumanikidzira kunogona kuita kuti vanhu vasave nemafungiro chaiwo ezvepabonde, izvo zvinogona kukonzera kusashanda zvakanaka kwe erectile mune dzimwe nguva.
Kuziva zviratidzo
Erectile dysfunction (ED) inoratidzira nenzira dzakasiyana-siyana, isingakanganisi hutano hwemuviri chete asiwo hutano hwepfungwa uye hwepfungwa. Kuziva zviratidzo zveED kwakakosha pakutsvaga kurapwa kwakakodzera nekutsigirwa.
a. Kunetseka kuwana kana kuchengetedza erection
Chiratidzo chekutanga che erectile dysfunction kusakwanisa kuwana kana kuchengetedza erection yakasimba zvakakwana kuita zvepabonde. Kuomerwa pakuwana erection zvisinei nekukurudzirana kwepabonde kwakakwana kana kurasikirwa nekumira panguva yekusangana zviratidzo zvinowanzoitika zveED.
b. Kuderedza chido chepabonde (Libido)
Pamwe chete nematambudziko erectile, vanhu vane ED vanogona kuona kudzikira kwechido chepabonde kana kufarira. Kudzikira kunooneka mukuwanda kana kuwanda kwepfungwa dzepabonde, fungidziro, kana zvikumbiro zvinogona kuratidza matambudziko ari pasi pe erectile.
c. Premature kana kunonoka kubuda
Kunyange isiripo nguva dzose, erectile dysfunction inogonawo kuenderana nenyaya dzine chekuita nekubuda. Premature ejaculation, apo ejaculation inoitika nguva pfupi mushure mekupinda, kana kunonoka kubuda, apo kubuda kunononoka kana kusavapo pasinei nekukurudzira kwenguva refu, kunogona kusanganiswa neED.
d. Kuchinja kwekunzwa kwepenile
Vamwe vanhu vane erectile dysfunction vanogona kuona shanduko mukunzwa kwepenile, sekuderedzwa kwekunzwa kana kusanzwa. Kuderera kwekunzwa kwetactile kana kushaikwa kwekunakidzwa kwekunzwa panguva yekuita zvepabonde kunogona kuratidza zviri pasi pezvinhu zvemuviri zvinopa ED.
e. Zviratidzo zvepfungwa uye zvepfungwa
Erectile dysfunction inogona kukanganisa zvakanyanya hutano hwepfungwa uye hwepfungwa, zvichiita kuti unzwe kuvhiringidzika, kunyara, uye kusazviremekedza. Kuzvidya mwoyo, kuora mwoyo, uye hukama hwehukama hunogona kumuka semugumisiro weED, zvichiwedzera kuwedzera matambudziko epabonde uye kugadzira kutenderera kwekushungurudzika kwepfungwa.
f. Kukanganisa nehukama hwepedyo
ED inogona kukanganisa hukama hwepedyo, zvichikonzera makakatanwa, kuparara kwekukurukurirana, uye kunzwa kusakodzera kana kutsamwirana pakati pevadiwa. Kunetseka kuwana kugutsikana kwepabonde kana kuzadzisa hukama hwepedyo kunogona kutungamirira kumakakatanwa ehukama uye kuderedza kugutsikana kwehukama hwese.
g. Kudzivisa kuita zvepabonde
Mukupindura kuoma kwe erectile, vamwe vanhu vanogona kushingaira kudzivirira kusangana pabonde kana hukama hwepedyo kuti vadzivise manzwiro ekunyara kana kuita kusagadzikana. Maitiro ekudzivisa anogona kusimudzira kusagadzikana kwepabonde uye kutadzisa kugadziriswa kwezvinhu zvinokonzeresa ED.
h. Impact pamhando yehupenyu
Kupfuura mhedzisiro yayo pakuita zvepabonde uye hukama, kusagadzikana kwe erectile kunogona kukanganisa zvakanyanya hupenyu hwese. Manzwiro okuvhiringidzika, kuzviparadzanisa nevamwe, uye pfungwa yakaderera yokuva munhurume kana kuti kuzvikoshesa zvingamuka, zvichikanganisa zvinhu zvakasiyana-siyana zvoupenyu hwezuva nezuva uye kudyidzana kwevanhu.
Kutsvaga rubatsiro rwenyanzvi
Erectile dysfunction (ED) inogona kuve inoshungurudza uye inonetsa mamiriro ekugadzirisa wega. Kutsvaga rubatsiro rwehunyanzvi kwakakosha pakuongorora nemazvo zvikonzero zveED uye kugadzira chirongwa chekurapa chinoshanda.
a. Bvunza chiremba wako wekutanga
Tanga nekuronga kusangana nachiremba wako wekutanga kana chiremba mukuru. Chiremba wako achaitisa nhoroondo yekurapa yakakwana uye kuongorora kwemuviri kuti aone zvingangokonzera zvikonzero zvekunetseka kwako erectile.
b. Kutumira nyanzvi
Zvichienderana nezviratidzo zvako uye nhoroondo yezvekurapa, chiremba wako wepamusoro anogona kukuendesa kune nyanzvi, senge urologist kana endocrinologist, kuti uwedzere kuongororwa uye manejimendi. Urologists inyanzvi mumamiriro ezvinhu anokanganisa urinary turakiti uye murume wekubereka, kusanganisira erectile dysfunction.
c. Kuongororwa kwechiremba
Munguva yekuongorora kwako kurapwa, mupi wako wehutano anogona kuita bvunzo dzakasiyana siyana kuti aone hutano hwako hwese uye kuona zvinogona kukonzera ED. Miedzo inogona kusanganisira kuongororwa kweropa kutarisa mazinga ehomoni, lipid profiles, uye mazinga eglucose, pamwe nezvidzidzo zvekufungidzira zvakaita sema ultrasound kuti aongorore kuyerera kweropa kusvika peni.
d. Kuongorora kwepfungwa
Muzviitiko zvinofungidzirwa kuti zvinhu zvepfungwa zvinokonzeresa kusashanda zvakanaka kwe erectile, mutarisiri wako wehutano anogona kukurudzira kuongororwa kwepfungwa kana kubvunzana nenyanzvi yehutano hwepfungwa. Kupanga mazano kana kurapwa kunogona kubatsira mukugadzirisa zviri pasi pemanzwiro kana zvepfungwa zvinokanganisa basa repabonde.
e. Kuongororwa kwemishonga
Iva wakagadzirira kukurukura chero mishonga yauri kutora iye zvino nemutarisiri wako wehutano, sezvo mimwe mishonga inogona kuita kuti erectile dysfunction iwedzere. Chiremba wako anogona kugadzirisa chirongwa chemushonga wako kana kukupa mamwe marapiro kuti uderedze kukanganisa kuita zvepabonde.
f. Kukurukurirana pachena
Iva akavhurika uye akatendeseka nemutarisiri wako wehutano nezvezviratidzo zvako, zvinokunetsa, uye chero mararamiro emamiriro angave ari kukonzera yako erectile matambudziko. Rangarira kuti vashandi vehutano vakadzidziswa kugadzirisa nyaya dzakakomba senge erectile dysfunction nekunzwira tsitsi uye kuvanzika.
g. Chirongwa chekurapa
Zvichienderana nezvawanikwa pawongororo yako, mutarisiri wako wehutano achashanda newe kugadzira hurongwa hwekurapa hwemunhu hunoenderana nezvido zvako uye zvaunofarira.
h. Kuchengeta kwekutevera
Ramba uchibatikana nemupi wako wehutano uye uende kumisangano yekutevera sezvinokurudzirwa kuti utarise kufambira mberi kwako uye gadzirisa chirongwa chako chekurapa sezvinodiwa. Usazeza kusvika kuna chiremba wako kana iwe ukaona chero zviratidzo zvitsva kana zvinonetsa zvine chekuita ne erectile dysfunction yako.
Kurapa nzira
Kurapa erectile dysfunction (ED) kunosanganisira kugadzirisa zvinokonzeresa uye kudzoreredza kuita zvepabonde.
a. Magadzirirwo emararamiro
- Kudya kune utano: Kutora kudya kwakadzikama kwakapfuma mumichero, miriwo, zviyo zvakakwana, uye mapuroteni akaonda anogona kuvandudza hutano hwese uye erectile basa.
- Nguva dzose kurovedza muviri: Kuita basa rekuita muviri nguva dzose, zvakadai sokufamba nokukurumidza, bhasikoro, kana kushambira, kunokurudzira utano hwemwoyo uye kunowedzera kubuda kweropa, izvo zvinogona kuvandudza erectile basa.
- Kuchengetedza uremu: Kuchengeta uremu hune hutano kunoderedza njodzi yekufutisa-inoenderana nemamiriro akaita seshuga uye hypertension, izvo zvinogona kubatsira kuED.
b. Mishonga
- Phosphodiesterase type 5 (PDE5) inhibitors: Mishonga iyi, kusanganisira sildenafil (Viagra), tadalafil (Cialis), uye vardenafil (Levitra), inowedzera kuyerera kweropa kumurume, kufambisa erections. Vanowanzotorwa vasati vaita zvepabonde.
- Alprostadil: Inowanikwa sejekiseni, intraurethral suppositories, kana topical cream, alprostadil inobatsira kuzorora misumbu yepenile uye kuwedzera kuyerera kweropa, kubatsira pakuwana erection.
c. Hormone therapy
Kune varume vane mazinga akaderera e testosterone anobatsira kuED, Testosterone Replacement Therapy (TRT) inogona kudzorera chiyero chehomoni uye kuvandudza kushanda kwepabonde. Kurapa uku kunoitwa kuburikidza nemajekiseni, zvigamba, gels, kana maimplants.
d. Psychological counseling
Kupanga mazano kana kurapwa kunogona kubatsira kugadzirisa pfungwa dzepfungwa dzakadai sekushushikana, kufunganya, kana kuora mwoyo, izvo zvinogona kuita kuti ED. Cognitive Behavioral Therapy (CBT) maitiro ane chinangwa chekushandura mafungiro asina kunaka maitiro uye maitiro ane chekuita nekuita zvepabonde.
e. Vacuum Erection Devices (VEDs)
VEDs midziyo isingapindike inogadzira vacuum yakatenderedza peni, ichikwevera ropa munhengo uye kufambisa erection. Ring yekubikira inobva yaiswa pazasi pemboro kuti irambe yakagwinya.
f. Kuiswa kwepeni
Muzviitiko apo kumwe kurapwa kwakundikana, kuiswa kwekuvhiya kwepenile implants kunogona kufungwa. Aya ma implants, angave ari inflatable kana semi-rigid, anogonesa mushandisi kuwana erection nemaoko.
g. Dzimwe nzira dzokurapa nadzo
- Acupuncture: Zvimwe zvidzidzo zvinoratidza kuti acupuncture inogona kuvandudza erectile basa nekukurudzira mapoinzi chaiwo pamuviri ane chekuita nehutano hwepabonde.
- Mishonga yemishonga: Mimwe mishonga yemishonga yakaita seginseng, L-arginine, uye nyanga dzembudzi sora zvakatengeswa semishonga yechisikigo yeED. Nekudaro, humbowo hwesainzi hunotsigira kushanda kwavo hushoma, uye hunofanirwa kushandiswa nekuchenjerera.
h. Combination therapy
Zvichienderana nekuoma uye zvikonzero zvinokonzera ED, musanganiswa wemishonga inogona kukurudzirwa. Semuenzaniso, kusanganisa PDE5 inhibitors nemararamiro ekugadzirisa kana kuraira kunogona kuunza zvirinani.
mhedziso
Erectile dysfunction chinhu chakajairika uye chinorapika chinogona kubata varume veese mazera. Nekunzwisisa zvikonzero zvayo, kuziva zviratidzo, uye kutsvaga rubatsiro rwehunyanzvi panguva, vanhu vanogona kudzora hutano hwavo hwepabonde uye kugara kwavo zvakanaka. Zvakakosha kubvisa rusarura rwakatenderedza ED, kusimudzira nzvimbo iyo varume vanonzwa vakasununguka kukurukura zvinovanetsa uye kutsvaga rubatsiro rwavanoda. Rangarira, hapana kunyara kutsvaga rubatsiro, uye hupenyu hwepabonde hunogutsa uye hunogutsa hunowanikwa nerutsigiro uye kurapwa kwakakodzera.