Amadoda amaningi onesifo sikashukela sohlobo 1 noma uhlobo 2 akhubazekile i-potency. Ososayensi bakholelwa ukuthi ngesifo sikashukela, ingozi yokuthola ukungasebenzi kahle kwe-erectile inyuka kathathu, uma iqhathaniswa nalabo ushukela wegazi labo osezingeni elijwayelekile.
Ezinye zezimbangela zezinkinga emkhakheni wezocansi yilezi ezilandelayo:
- Ukwehla kwenhliziyo kwemithambo yegazi ehlinzeka ngobumba.
- I-neuropathy yesifo sikashukela (izinzwa ezilawula ukwakheka zithintekile).
- Ukuncipha okwehlisiwe kwama-hormone ocansi.
- Ukusetshenziswa kwezidakamizwa ezithile (antidepressants, beta-blockers, antipsychotic).
- Isimo ngokwengqondo.
Umphumela wesifo sikashukela ku-potency
Ukuze i-erection iqale, cishe i-150 ml yegazi kufanele ingene kwi-penis, futhi ukuphuma kwayo lapho kufanele kuvinjwe kuze kuphothulwe ubulili. Kulokhu, imithambo yegazi kumele isebenze kahle, futhi izinzwa ezihambisana nale nqubo nazo kufanele zisebenze ngokujwayelekile.
Uma isifo sikashukela singanxephezelwanga futhi izinga likashukela wegazi landa njalo, khona-ke lokhu kuthinta kabi uhlelo lwezinzwa nemithambo yegazi, ngenxa yalokho, i-potency iba mbi.
I-Glycation inqubo inqubo yeglucose ehlangana ngayo namaprotheni. I-glucose ethe xaxa iba segazini, amaprotheni amaningi azobhekana nalokhu kusabela.
Ngaphezu kwalokho, umsebenzi wamaprotheni amaningi enqubweni ye-glycation uyaphazamiseka. Lokhu kusebenza futhi kulezo zingxube zamaprotheni ezakha izindonga zemithambo yegazi nemithambo yezinzwa. Njengomphumela, ukuthuthukiswa kwezinto ezinobuthi emzimbeni womuntu. okubizwa ngokuthi "imikhiqizo yokuphela kwe-glycation".
Ukwakhiwa kungaphansi kokulawulwa kohlelo lwezinzwa oluzimele, okungukuthi, umsebenzi walo wenziwa ngaphandle kokubamba iqhaza kokuqwashisa.
Uhlelo olufanayo lubandakanyeka emthethweni wokusebenza kokuphefumula, ukugaya, ukulawula isigqi senhliziyo, ithoni ye-vascular, synthesis ye-hormone neminye imisebenzi edingekayo ukuze kulondolozwe impilo yomuntu.
Okusho ukuthi, uma indoda inezinkinga nge-potency ngenxa yokuphazamiseka kokujikeleza kwegazi, futhi uma ukukhula kwesifo sikashukela kusenzeka, lokhu kungaba yisibonakaliso sokuqala, okubonisa ukuthi kungekudala kungavela ukwephulwa okufaka ingozi empilweni.
Isibonelo, i-arrhasmia kungenzeka. Okufanayo kusebenza erenctile dysfunction ehambisana nokuvaleka kwemithambo yegazi. Lokhu kukhomba ngokungaqondile izinkinga ngemikhumbi efinyelela enhliziyweni, ebuchosheni nasemikhawulweni ephansi. Ukuvaleka kwale mikhumbi kungaholela ekushayweni noma ekushayweni yinhliziyo.
Ukungabi namandla ngenxa yokuphuza umuthi
Udokotela nakanjani kufanele athole ukuthi imiphi imithi isiguli esiyithatha uma enezikhalazo zokuncipha kwe-potency. Ubuthakathaka bobulili buvame ukuba umphumela wokuthatha:
- ama-antipsychotic;
- antidepressants;
- ama-beta-blockers angakhethi.
Ukuncishiswa kwePotency ngenxa yokuqhuma kwemithambo yegazi
Imbangela ye-vascular ye-erectile dysfunction ingasolwa uma kunezici ezilandelayo zobungozi ze-atherosulinosis:
- ubudala
- ukubhema
- umfutho wegazi ophakeme
- amazinga ampofu cholesterol.
Ubuthakathaka bocansi ngenxa yanoma yiziphi zalezi zimbangela buvame ukuhambisana nezinkinga ezilandelayo noma ezimbalwa:
- i-arterial hypertension;
- isifo sikashukela sonyawo lwesifo sikashukela ngenxa yokujikeleza kahle kwezinyawo emilenzeni;
- isifo se-artery se-coronary.
Ukwelashwa kokungabi namandla kushukela
Indlela esemqoka yokwelapha le nkinga ukwehlisa ushukela wegazi futhi uligcine lisesezingeni eliseduze nelivamile. Udokotela kumele aqinisekise isiguli ukuthi kudingeka aselaphe kakhulu isifo sakhe esiyimbangela (isifo sikashukela), angasichithi isikhathi namandla kulokhu. Imvamisa kwanele ukubuyisa ushukela wegazi kokujwayelekile futhi amandla e-potency kumuntu wesilisa azobuyiselwa ngokuphelele, futhi lokho kuphathwa kokungabi namandla ku-mellitus yesifo sikashukela nakho kuyahlinzekwa.
Ukugcina ukugcwala okujwayelekile kwe-glucose egazini kuyindlela enhle hhayi kuphela yokuqeda izinkinga nge-potency, kodwa futhi nokwelapha zonke ezinye izinkinga zesifo sikashukela. Ukuthuthukisa umsebenzi wezocansi kwenzeka ngenxa yokuncipha kwenqubo yokulimala kwamasipha kanye nokuqedwa kwezimpawu zesifo sikashukela se-diabetes.
Kodwa-ke, abanesifo sikashukela abaningi bathi kunzima kakhulu ukujwayeza ushukela wegazi ngoba kuholela ezimweni ezivame kakhulu ze-hypoglycemia. Kepha noma kunjalo, lokhu kungenziwa ngendlela eyodwa elula - ukudla ama-carbohydrate amancane. Ukudla kufanele kube namaprotheni amaningi namafutha emvelo anempilo, futhi lokhu kungadla ngokwahlukana noshukela wegazi ophezulu.
Ukwelashwa kwe-hormone yobulili yabesilisa
Uma umzimba wendoda ungasebenzi kahle kuma-hormone ocansi, angabekwa amalungiselelo angaphandle we-androgen. Umuthi wesiguli ngasinye ukhethiwe ngokuhlukile ngawodwana, uhlobo lomthamo kanye nomthamo kukhethwe ngokucophelela. Amacwecwe, amagiya okusetshenziswa kwangaphandle noma amafomu omjovo kuyasetshenziswa.
Ngesikhathi sokwelashwa, udinga ukulawula okuqukethwe kwe-testosterone, futhi futhi njalo ezinyangeni eziyisithupha ukuthatha ukuhlaziya kwe-cholesterol ("kubi" nokuthi "kuhle") kanye "nokuhlolwa kwesibindi" (ALT, AST). Kukholelwa ukuthi ukwelashwa esikhundleni se-hormone kuthuthukisa i-cholesterol. I-Potency ivame ukubuyiselwa kungakapheli izinyanga ezimbili kuya kokuqala kokwelashwa.
Wonke umuntu oneminyaka engaphezu kwengama-40 ubudala nangonyaka kufanele ahlolwe u-digital rectal, futhi anqume inani le-antigen ye-prostate ethize e-serum yegazi. Lokhu kuzokuvumela ukuthi ungaphuthelwa yizifo ze-Prostate, ngoba i-androgen therapy ayikwazi ukusetshenziselwa umdlavuza noma ama-benign Prostitis tumension ane-infravesical obstriers.
I-Alpha lipoic acid
Uma ukungasebenzi kahle kwe-erectile kuhlotshaniswa ne-diopic neuropathy, khona-ke odokotela batusa ukuphuza i-thioctic (alpha-lipoic) acid ku-umthamo ka-600 kuya ku-1200 mg ngosuku. Lokhu kuyindawo yemvelo esiza abaningi. Kepha ngasikhathi sinye, udinga ukukhumbula ukuthi akufanele ulindele umphumela omkhulu ezigabeni zokugcina zesifo sikashukela, noma ngabe isiguli singazami ukugcina amazinga evamile kashukela.
Ukuthuthukiswa kwe-neuropathy yesifo sikashukela kungamiswa futhi kungalapheki ngokugcina ushukela ojwayelekile egazini. Kulokhu, imicu yezinzwa ingabuyiselwa ngokuphelele, yize lokhu kungathatha iminyaka eminingana.
Lokhu kusho ukuthi uma isifo sikashukela isifo sikashukela siyisisekelo sokungabi namandla kwindoda, khona-ke inethemba lokuthola ukwelashwa okuphelele. Uma ukulimala kwezinzwa kuhlanganiswa nokuqhekeka kwemithambo yegazi, khona-ke ngisho noshukela ojwayelekile awukwazi ukunikeza umphumela omuhle kakhulu. Ezimweni ezinjalo, ngezinye izikhathi ukwelashwa okuhlinzwa kuphela okungakunikeza usizo lwangempela.
I-Viagra, i-Levitra ne-Cialis
Imvamisa, odokotela baqale bancome ukusebenzisa i-androgen therapy - ukushintshwa kwama-hormone ocansi abesilisa ngemithi. Lokhu kuvumela hhayi kuphela ukuthuthukisa potency, kodwa futhi ngokuvamile kube nomthelela omuhle empilweni yamadoda.
Uma le ndlela yehluleka, khona-ke izidakamizwa ezivela eqenjini le-phosphodiesterase-5 inhibitors ziyabekwa. Owokuqala ohlwini lwabo yiViagra (sildenafil citrate) eyaziwayo.
Lo muthi usiza abesilisa cishe angama-70% amacala. Akuholeli ekwenyukeni kwe-glucose egazini, kepha kungadala imiphumela emibi:
- ukufiphala kobuso;
- ukungasebenzi kahle kwamehlo kanye nokwanda kokuqina kwezithombe;
- ikhanda
- ukugaya ukudla.
Ngokusebenzisa okuphindaphindiwe i-Viagra, umlutha ungakhula uye kulokhu kungenzeka ukuthi imiphumela yokungemukeleki iyancipha.
Umthamo wokuqala wesidakamizwa ngu-50 mg, kepha ngesifo sikashukela ungakhuphuka ube ngu-100 mg. Udinga ukuthatha i-Viagra cishe ihora elilodwa ngaphambi kokuxhumana okusolwa ngocansi. Ngemuva kokuthatha i-erection kwenzeka kuphela ngomvuselelo wezocansi okhona, umphumela uqhubeka ufike emahoreni ayisithupha.
