Isifo sikashukela nokungabi namandla. Sixazulula izinkinga nge-potency emadodeni

Iningi labesilisa abanesifo sikashukela sohlobo 1 noma uhlobo 2 banezinkinga nge-potency. Abaphenyi basikisela ukuthi isifo sikashukela sandisa ingozi yokungasebenzi kwe-erectile ngezikhathi ezi-3, uma siqhathaniswa nabesilisa abakubudala obufanayo abanoshukela wegazi ojwayelekile. Ku-athikili yanamuhla, uzofunda ngezindlela ezisebenzayo zokwelapha ukungavelisi kwamadoda anesifo sikashukela.

Izinkinga zePotency ngenxa yesifo sikashukela - umuthi ungasiza ngempela! Ungayiphatha kanjani i-erectile dysfunction kushukela - thola esihlokweni sethu.

Izimbangela zezinkinga ze-potency kushukela zingaba ziningi, futhi udokotela uyazinquma ngokuhlangene nesiguli. Uhlu lwabo lubandakanya:

• ukulimala okungahambi kahle kwemithambo yegazi enikeza i-penis ngegazi;
• i-neuropathy yesifo sikashukela - ukulimala kwezinzwa ezilawula ukwakheka;
• ukuncipha kokukhiqizwa kwama-hormone ocansi;
• ukuthatha imishanguzo ethile (ama-antipsychotic, ama-antidepressants, ama-beta-blockers angakhethi);
• ukungakwazi ukusebenza ngokwengqondo.

Kungani isifo sikashukela sithinta i-potency

Ukuze kwenzeke ukwanda, udinga ukupompa cishe igazi eli-100-150 ml egunjini, bese uvimba ngokuphumelelayo ukusuka lapho kuze kube sekupheleni kokwenza ucansi. Lokhu kudinga umsebenzi omuhle wemithambo yegazi, kanye nezinzwa ezilawula inqubo. Uma isifo sikashukela sinxephezelwa kabi, okungukuthi, ushukela wegazi ugcina ephakanyiswe ngokungapheliyo, bese sithinta uhlelo lwezinzwa nemithambo yegazi, futhi ngaleyondlela kubhebhethekisa ubudoda besilisa.

I-Glycation ukusabela kwengxenyana ye-glucose enamaprotheni. Lapho likhuphuka kakhulu iglucose egazini ngenxa yesifo sikashukela, amaprotheni amaningi abhekana nalokhu kusabela. Ngeshwa, i-glycation yamaprotheni amaningi iholela ekuphazamiseni ukusebenza kwawo. Lokhu kuyasebenza nakumaprotheni akha uhlelo lwezinzwa nezindonga zemithambo yegazi. "Imikhiqizo ye-Glycation end" iyenziwa - ubuthi bomzimba womuntu.

Ngolwazi lwakho, i-erection ilawulwa uhlelo lwezinzwa lwe-autonomic. I-Autonomous - kusho ukuthi isebenza ngaphandle kokubamba iqhaza kokuqwashisa. Uhlelo olufanayo lulawula ukuphefumula, ukugaya, isigqi senhliziyo, ithoni yemithambo yegazi, ukukhiqizwa kwama-hormone neminye imisebenzi eminingi ebalulekile yomzimba.

Kungani sibhala ngalokhu lapha? Futhi-ke, uma kuvela izinkinga nge-potency ngenxa yesifo sikashukela sesifo sikashukela, khona-ke lokhu kungahle kube yisibonakaliso sokuqala sokuthi iziphazamiso ezisongela impilo zisheshe zibonakale. Isibonelo, ukungasebenzi kahle kwesigqi senhliziyo. Okufanayo kuhamba nge-erectile dysfunction ngenxa yokuqhuma kwemithambo yegazi. Kuwuphawu oluqondile lwezinkinga ngemikhumbi edla inhliziyo, ubuchopho kanye nezinyawo eziphansi. Ngenxa yokuqhekeka kwale mikhumbi, ukushaya kwenhliziyo nemivimbo kwenzeka.

Ku-30-35% yabashukela besilisa ababona udokotela ngezinkinga ezisondele kakhulu, bakhombisa ukukhiqizwa okunciphisiwe kwama-hormone ocansi, ikakhulukazi i-testosterone. Kulesi simo, imvamisa ayipheleli nje ekunyamalaleni, kepha futhi nokuphela kwecala kuyaphela. Ngenhlanhla, le nkinga iyelapheka. Ngaphezu kwalokho, ukubuyiselwa kwezinga elijwayelekile lama-hormone ocansi emzimbeni ngeke kubuyisele amandla abesilisa kuphela, kepha futhi kuzothuthukisa inhlala-kahle ephelele.

Ukuxilonga izimbangela zokuwohloka kwe-potency

Indlela enkulu yokuthola ubuthakathaka besilisa ocansini kwisifo sikashukela ukuqoqa imininingwane usebenzisa imibuzo, kanye nokudlulisa isiguli esivivinyweni nasezivivinyweni. Ngokunokwenzeka, udokotela uzophakamisa ukuthi kugcwaliswe iphepha lemibuzo elikhethekile noma alinganiselwe kwinhlolovo yomlomo.

Udokotela uzoba nentshisekelo yokuthi yiliphi izinga likashukela wegazi okuyinto evamile esigulini, isb. Thola ushukela wakho wegazi lapha. Uma izinkinga zesifo sikashukela ezinso sezivele sezikhulile, ukubona kwamehlo sekukhule kakhulu, isiguli sikhononda ngenhliziyo, kanye nomonakalo wesifo sikashukela ohlelweni lwezinzwa, ngakho-ke, kungenzeka ukuthi, izinkinga ezinamandla we-potency zinezimbangela “zomzimba”. Uma "okuhlangenwe nakho" kwesifo sikashukela kuncane futhi isimo sempilo sonke sihle, khona-ke ukusolwa kwengqondo kungasolwa.

Ukuhlolwa kokwelashwa kokungabi namandla

Ukuthola isimo semikhumbi ekhipha igazi le-penis, kwenziwa scan scanning. Lokhu kubizwa ngokuthi yi-dopplerography yemikhumbi ye-corpora cavernosa. Isifundo se-pharmacodiagnostic esingafanele futhi singabekwa. Umnyombo waso ukuthi injekishini yesidakamizwa evuselela imithambo yegazi ifakwe enduneni futhi bayabheka ukubona ukuthi kuzoba yini nokwakhiwa.

Uma unikezwe isifundo se-pharmacodiagnostic ye-intracavenous, khona-ke qiniseka ukuthi kwenziwa ngokusebenzisa i-prostaglandin E1. Phambilini i-papaverine noma inhlanganisela yayo ne-phentolamine yayisetshenziselwa lezi zinhloso. Kepha amarekhodi aqukethe i-papaverine nawo avame ukubangela izinkinga, futhi manje kunconyelwa ukukufaka nge-prostaglandin E1.

Ngemuva kokucwaninga okwenziwe ngamehlo ekhemisi, isiguli kufanele sibe ngaphansi kokuhlolwa udokotela kuze kube yilapho umhlangano ungema. Ngoba kunethuba le-priapism - kulapho inkolelo ihlala khona isikhathi eside futhi iba buhlungu. Kulesi simo, kwenziwa omunye umjovo wesidakamizwa, obhula imikhumbi.

Kwesinye isikhathi kwenziwa futhi nokuqhutshwa kokudlalwa ngamapulps ngemicu yezinzwa elawula ipenisi. Uma ukwelashwa kokuhlinzwa kwezinkinga ze-potency kucatshangelwa, i-angileography ye-penile inganqunyelwa. Lokhu kusho ukuthi umenzeli ohlukile ufakwa egazini, bese kuthathwa i-x-ray.

Ukuhlolwa kwegazi okuyalelwa udokotela wakho

Uma indoda iya kudokotela ngezikhalazo zokuncipha kwe-potency, khona-ke kungahlolwa lezi zivivinyo ezilandelayo:

• i-testosterone yegazi;
• i-luteinizing hormone;
• i-follicle-evusayo i-hormone;
• izici zobungozi bezinhliziyo (i-cholesterol "enhle" ne "embi", triglycerides, lipoprotein A, i-Homocysteine, i-fibrinogen, i-C-reactive protein);
• i-creatinine, i-urea ne-uric acid esegazini - ukuhlola ukusebenza kwezinso;
• izivivinyo zomsebenzi we-thyroid (okokuqala, i-T3 mahhala);
• i-glycated hemoglobin - ukunquma ikhwalithi yokwelashwa sikashukela.

Uma kunesithombe somtholampilo sokushoda kwama-hormone ocansi (lokhu kubizwa ngokuthi yi-hypogonadism), kepha izivivinyo zikhombise amazinga ajwayelekile we-testosterone, khona-ke izinga le-globulin elibopha ama-steroid ocansi liyanqunywa ngokungeziwe. Lokhu kuyadingeka ukubala izinga le-testosterone yamahhala egazini.

Ukungasebenzi kwengqondo

Okokuqala, kufanele kunqunywe ukuthi izinkinga nge-potency zibangelwa yizimbangela zengqondo noma zomzimba. Ngokungakwazi ukusebenza ngokwengqondo, amacala okuvela okuzenzakalelayo aqhubeka, ikakhulukazi ekuseni. Kuyenzeka ukuthi kuphakame izinkinga embhedeni nomlingani oyedwa. Futhi ngokushesha lapho kuguquka, konke kuhamba kahle futhi.

Ukuqina kokusebenza kwengqondo kushukela kuvame ukwenzeka eminyakeni yokuqala yesifo, kuze kufike ukuthuthukiswa kwezilonda ezinesifo sikashukela nemithambo yegazi. Kwezinsizwa, ukwehluleka kothando kubangelwa ubunzima ebudlelwaneni nomlingani noma ukwesaba. Ngaphezu kwalokho, indoda yesifo sikashukela ithwala umthwalo wezengqondo ohambisana nokwelashwa kokugula kwayo.

Ukungakwazi ukusebenza ngenxa yomuthi

Udokotela nakanjani uzothola ukuthi imiphi imithi isiguli ayiphuzayo uma ekhala ngokuncipha kwe-potency. Sikukhumbuza ukuthi ubuthakathaka bobulili buvame ukubangelwa:

• ama-antipsychotic;
• antidepressants;
• ama-beta-blockers angakhethi (isizukulwane esidala).

Ubuthakathaka obuthakathaka ngenxa yokuqhekeka kwemithambo yegazi

Uma kunezici ezibeka engcupheni ye-atherossteosis (ukuguga, umfutho wegazi ophakeme, ukubhema, i-cholesterol yegazi elibi), khona-ke isimo se-vascular of dysfunction singasolwa. Lokhu, ngendlela, okuyiyona ndlela ongakheka ngayo.

Ngobuthakathaka bocansi ngenxa yokuqhekeka kwemikhumbi esigulini, njengomthetho, kukhona ezinye noma zonke izingqinamba ezivela kulolu hlu olulandelayo:

• isifo senhliziyo;
• i-arterial hypertension;
• isifo sikashukela sonyawo lwesifo sikashukela ngenxa yokuphazamiseka kokujikeleza emilenzeni.

Izindlela zokwelapha ukungabi namandla kushukela

Indlela enkulu yokwelapha ukungasebenzi kahle kwe-erectile kushukela kukwehlisa ushukela wegazi futhi kugcinwe kuseduze nokujwayelekile. Udokotela uzofaka ukuthi isiguli siphathe kakhulu isifo sikashukela, sinikeze lesi sikhathi namandla. Uma ushukela wegazi usenziwa ejwayelekile, kaningi lokhu kwanele ukubuyisela i-potency yowesilisa.

Ukugcina izinga le-glucose ejwayelekile kuyindlela engcono kakhulu yokwelapha hhayi kuphela izinkinga ze-potency, kodwa futhi nazo zonke ezinye izinkinga zesifo sikashukela. Umsebenzi wezocansi uzothuthuka ngoba ukulimala kwemithambo kuzokwehlisa ijubane nezimpawu ze-neuropathy zesifo sikashukela zizoncipha.

Ngasikhathi sinye, abanesifo sikashukela abaningi bakhononda ngokuthi cishe akunakwenzeka ukwehlisa ushukela wegazi ube ojwayelekile. Ngoba izimo ze-hypoglycemia ziya ngokuya zivama. Kepha ikhona indlela yangempela yokwenza lokhu - vele udle ama-carbohydrate amancane. Gxila ekudleni okuqukethe amaprotheni amaningi kanye namafutha emvelo anempilo. Sincoma izindatshana zakho zokunaka:

• Ama-insulin nama-carbohydrate: iqiniso okufanele ulazi.
• Ungawehlisela kanjani ushukela wegazi futhi uligcine livamile.

Ukwelashwa kwe-hormone yobulili yabesilisa

Uma indoda ingenawo ama-hormone ocansi anele emzimbeni wakhe, khona-ke ingabekelwa ukwelashwa okunye esikhundleni ngamalungiselelo e-androgen. Udokotela uzowukhetha ngokuqondile lowo nalowo muthi, umthamo wawo kanye nohlobo lwawo. Umuthi ungaba ngendlela yemijovo, amaphilisi noma ijeli elisetshenziswa esikhunjeni.

Ngesikhathi sokwelashwa, izinga le-testosterone esegazini kufanele ligadwe. Ngaphezu kwalokho, kanye ezinyangeni eziyisithupha kuzodingeka ukuthi kuhlolwe igazi ukuze kuhlolwe “isibindi” (ALT, AST), kanye ne-cholesterol “enhle” ne “embi”. Kuyaqondakala ukuthi ukwelashwa kwe-androgen kuzothuthukisa i-cholesterol. I-Potency kufanele ibuyiselwe kungakapheli izinyanga eziyi-1-2 ngemuva kokuqala kokwelashwa.

Bonke abantu besilisa abaneminyaka engaphezu kwengama-40 ubudala kudingeka ukuthi bahlolwe ngo-digital rectal test njalo ngemuva kwezinyanga eziyi-6 ukuya ku-12, futhi futhi banqume okuqukethwe yi-antigen ye-prostate ethize kwi-serum yegazi. Lokhu kwenziwa ukuze ungaphuthelwa yisifo se-prostate. Ukwelashwa kwe-Androgen kuphambene ngokuphelele uma kunomdlavuza wendlala noma isimila se-benign esine-infravesical obstriers.

I-Alpha lipoic acid

Uma umsebenzi wobulili wendoda ukhubazeka ngenxa yesifo sikashukela sezinzwa, khona-ke unikezwa i-alpha-lipoic (thioctic) acid ku-600-1800 mg ngosuku. Le yinto yemvelo engenabungozi esisiza okuningi kusuka ku-neuropathy. Kepha uma ukwelashwa nge-alpha-lipoic acid kuqale ngesikhathi sikashukela futhi isiguli singazami ukuguqula ushukela wegazi laso, khona-ke ukusebenza kahle okuphezulu akufanele kulindeleke.

Manje izindaba ezinhle. Uma ufunda ukugcina ushukela wakho wegazi ujwayelekile, khona-ke ukuthuthukiswa kwe-neuropathy yesifo sikashukela ngeke kuphele kuphela, kepha kuzodlula ngokuphelele. Imicu yama-nerve inamandla okululama lapho ingasenobuthi yi-glucose ephezulu yegazi. Kepha kungathatha iminyaka eminingana.

Lokhu kusho ukuthi uma kubuthakathaka ubulili bendoda endodeni ngenxa yesifo sikashukela sesifo sikashukela, angaba nethemba lokuthi uzolulama ngokugcwele. Ngeshwa, uma ukuqhekeka kwemithambo yegazi kungezelele emonakalweni wezinzwa, khona-ke umphumela onjengomlingo ovela kokujwayelekile ushukela awunakulindeleka. Kungavela ukuthi ukwelashwa okuhlinzwa kubaluleke kakhulu.

I-Viagra, i-Levitra ne-Cialis

Udokotela, ngokunokwenzeka, uzoqala ngokunikeza ukuzama ukwelashwa kwe-androgen - ukwelashwa okunye esikhundleni salawo ma-hormone ocansi abesilisa. Ngoba ayithuthukisi i-potency kuphela, kepha futhi iqinisa impilo yendoda iyonke. Uma le ndlela ingasizi, khona-ke enye yezinhlobo ezingama-5 phosphodiesterase inhibitors (PDE-5) isivele inqunyelwe. Uhlu lwabo luholwa yiViagra (Silendafil Citrate) eyaziwayo.

IViagra isiza cishe ama-70% amadoda anesifo sikashukela. Alikhuphi ushukela wegazi, kepha imiphumela elandelayo elandelayo kwesinye isikhathi iyabonakala:

• ikhanda
• ukufiphala kobuso;
• ukuphazamiseka kokugaya ukudla;
• umbono ofiphele, ukuzwela okwandisiwe kokukhanya (kuyaqabukela).

Lapho indoda isivele isebenzise i-Viagra amahlandla amaningi, umzimba uyijwayela, futhi amathuba emiphumela emibi engehla ancipha kakhulu.

Umthamo ojwayelekile wokuqalwa ngu-50 mg, kepha kwisifo sikashukela, umthamo we-Viagra ungakhushulwa ufike ku-100 mg. Thatha imizuzu engama-40-60 ngaphambi kokwenza ucansi okuhleliwe. Ngemuva kokuphuza iphilisi, ukwakheka kwenzeka kuphela ngaphansi kwethonya lokuya ocansini, "ukulungela ukulwa" kungahlala kuze kuphele amahora angama-4-6.

I-Viagra, i-Levitra ne-Cialis: Uhlobo lwe-5 Phosphodiesterase Inhibitors (PDE-5)

I-Levitra iyi-analogue yeViagra, ebizwa ngokuthi i-vardenafil. Lawa mathebhulethi akhiqizwa yinkampani yemithi yokuncintisana. Umthamo ojwayelekile ngu-10 mg, onesifo sikashukela ungazama i-20 mg.

I-Cialis ingesinye isidakamizwa seqembu elifanayo, esibizwa ngokusemthethweni i-tadalafil. Kuqala ukusebenza ngokushesha, imizuzu engama-20 ngemuva kokuphathwa. Umphumela wayo uhlala amahora angama-36 agcwele. UCialis wabizwa ngokuthi "iphilisi lempelasonto," ngoba ngokuthatha iphilisi elilodwa, ungaqhubeka nokwenza ucansi kusuka ngoLwesihlanu kusihlwa kuze kube ngeSonto. Umthamo ojwayelekile ngu-20 mg, onesifo sikashukela - esiphindwe kabili.

Yonke le mishanguzo ingathathwa kayiphindwe kathathu ngeviki, njengoba kudingeka. Yehlisa isilinganiso se-PDE-5 inhibitors uma uthatha noma imuphi umuthi kusuka kuhlu olulandelayo:

• Ama-protease inhibitors e-HIV;
• i-erythromycin;
• ketoconazole.

Contraindication nokusetshenziswa kweViagra kanye "nezihlobo" zayo

I-Viagra, i-Levitra, i-Cialis kanye nezinye izidakamizwa ezifanayo zifakwe kubantu abathi, ngenxa yezizathu zempilo, badinga ukunciphisa isikhathi sezocansi. Kukuziphi izimo lapho kuyingozi ukuthatha uhlobo lwe-5 phosphodiesterase inhibitors:

• emva kwe-infraction ye-myocardial ebabayo - ezinsukwini ezingama-90;
• i-angina pectoris engazinzi;
• ukwehluleka kwenhliziyo II noma ibanga eliphakeme;
• ukuphazamiseka kwesigqi senhliziyo okungalawulwa;
• i-arterial hypotension (umfutho wegazi <90/50 mm Hg);
• ngemuva kokushaywa unhlangothi - kungakapheli izinyanga eziyisithupha;
• i-retinopathy yesifo sikashukela nge-hemorrhage (ungahamba ungaboni!);
• sekuvele kukhona izimo zokuhlaselwa kwe-angina ngesikhathi sokuya ocansini.

Ukusetshenziswa isikhathi eside kweViagra, i-Cialis noma i-Levitra kuvame ukunganciphisi ukusebenza kahle kwezindlela zokwelapha izinkinga nge-potency. Lokhu kusho ukuthi ukwengeza umthamo ngokuhamba kwesikhathi akunakulindeleka.

Ukwelapha Izinkinga zePotency - Izindlela Ezimbili

Uma ukuqokwa kwezidakamizwa zohlobo lwe-5 phosphodiesterase inhibitors kungazange kusize ekuxazululeni lenkinga, khona-ke imijovo ye-vasodilator drug prostaglandin E1 penis is penis. Ngenye indlela ibizwa nge- alprostadil. Umjovo wenziwa imizuzu emi-5 ukuya kwengama-20 ngaphambi kokwenza ucansi, hhayi ngaphezulu kwesikhathi esingu-1 ngosuku. Xoxa ngale ndlela yokwelashwa yokuphuza ukungasebenzi kwe-erectile nodokotela wakho. Inketho eyedlulele ukwelashwa kokuhlinzwa, isb., I-penile prosthetics.

Siyethemba ukuthi uthola le ndatshana ilusizo ezinkingeni ze-potency kushukela. Sifuna futhi ukuphakamisa ukuthi usebenzise ukudla okune-carbohydrate ephansi ukwehlisa ushukela wegazi ngempumelelo. Ngaphambi kokuthatha i-Viagra, i-Cialis noma i-Levitra - kungakuhle ukuthi ukudingide lokhu nodokotela wakho. Khumbula uhlu lokuphikisana kwezidakamizwa zaleli qembu, hlakanipha.