Ngenxa yomthelela olimazayo weglucose ephezulu emithanjeni nasemithanjeni yegazi kwisifo sikashukela, ukwehluleka kwanoma isiphi isitho noma uhlelo kungenzeka; emadodeni, isigaba esiseduzane siyahlupheka. Isifo sikashukela i-mellitus nokungabinamandla yinhlanganisela ejwayelekile; kwenzeka ngo-25-75% weziguli zesilisa. Okubi kakhulu lapho isinxephezelo sikashukela futhi isikhathi eside sesi sifo, sikhuphuka amathuba okuwohloka kwengqondo.
Ukwephulwa kuphathwa ngempumelelo esigabeni sokuqala. Uma izinkinga zokuvela kuvelile isikhathi eside noma kungenzeki ukuthi kuzinzise isifo sikashukela, abalawuli be-potency besikhashana bazokusiza. Ngendlela efanelekayo, izidakamizwa zokungakwazi ukwenza amandla zixazulula inkinga 90% yamadoda.
Ubudlelwano phakathi kwesifo sikashukela kanye ne-potency kuncipha
Ukuze kube nokwakhiwa okuzinzile, ukusebenza ngokudidiyelwa kwezinhlelo eziningana kuyadingeka. Ukugeleza kwegazi kuye opengeni ngemithambo ye-arterial kuyanda, kuyilapho uhlelo lwezinzwa lunikeza umyalo wokuba uphumule izicubu zemizimba ye-cavernous, etholakala esiqwini sepipi. Imizimba ye-cavernous, efana nesiponji, iqukethe kuze kufinyelele ku-150 ml wegazi, icwilisa umthambo futhi ivimbele ukuphuma kwegazi kusuka opengeni. Ukwakhiwa okuphelele kungenzeka kuphela ngesimo esihle semikhumbi, ukusebenza ngokuphelele kwezinhlelo zezinzwa ezizimele nezisizwisisayo, inani elanele le-hormone yabesilisa ngokwayo - i-testosterone.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Ukuntuleka kokwelashwa okufanele kwesifo sikashukela kuholela eqinisweni lokuthi ukwephulwa kufaka zonke izakhi zokwakheka okuhle. Izimbangela eziyimbangela zokungabi namandla ushukela okhuphukile kanye namandla alo okuhlangana namaprotheni. Ukusabela kwe-glucose enamaprotheni kubizwa ngokuthi i-glycation, lapho kukhula ushukela, kulapho kusebenza khona ngokwengeziwe.
Onke amaphrotheni angafakwa glycated, kufaka phakathi lawo atholakala egazini, imicu yezinzwa, nezindonga zemithambo. Izicubu ezonakaliswe ushukela ziqhekeka ngokushesha futhi zisebenze kubi kakhulu. Imikhiqizo yokugcina, engenakuphikwa ye-glycation inobuthi, iyanqwabelana emzimbeni futhi ithuthukise izinguquko ze-metabolism kumetabolism, ivuselele ukwanda okwengeziwe kwe-insulin, ukuqina kwesifo sikashukela, futhi kunciphise ukusebenza kokwelashwa.
Umsebenzi wobulili ungenye "ithenda" kakhulu, ngakho-ke izinguquko ezinjalo emzimbeni azikwazi ukukuthinta. Ngokusho kodokotela, amadoda anesifo sikashukela aba namandla izikhathi ezi-3 kaningi kunabantu abaphilile.
Izimbangela zokungabi namandla kwesifo sikashukela
I-erection emibi iholela ekuphazamisekeni kwengqondo, okuholela ekwandeni koshukela.
Emaphathini angama-80%, ukuphazamiseka kwe-organic kuholela ezinkingeni nge-erection, okunye kungenxa yesimo sokusebenza kwengqondo sokungabi namandla. Kungenzeka ukuthi uthole ukuthi yini edale ukungabi namandla kwesifo sikashukela ekuqokelweni kwe-andrologist; uma ungekho esikhungweni sezokwelapha, ungaphendukela kudokotela oyi-urologist. Lezi zingcweti zizosiza zombili ukwelapha ukungasebenzi okukhona futhi zivikele ukwenzeka kwawo uma ukwakheka kuqala ukwanda.
Izimbangela ezingaba khona zezinkinga zocansi kwabanesifo sikashukela:
- I-Angiopathy -kuhambisana nokuvaleka kwemikhumbi emincane yepenisi noma kunciphise umthambo. Ukungasebenzi kuleli cala kuyavela ngenxa yokugcwaliswa okunganele kwesitho ngegazi. Izinkinga zanda kancane kancane, kusukela ekupheleleni kokungapheleli ekupheleleni. Hlola isimo semithambo yegazi usebenzisa i-ultrasound. I-Angiopathy ibuye iholele ku-pathology ye-venous ukuphuma. Ukuthola le nkinga, kusetshenziswa isifundo se-x-ray - i-cavernosography.
- I-Neuropathy - kufanekisela ukubhujiswa kwemicu yezinzwa noma indlela yokuphazamiseka kwezifiso zazo. Lezi zilonda ziholela ekuncipheni kokuzwela kwezindawo ze-erogenous, ama-erections angenamandla, bese kuba namandla. Izinkinga ezinjalo zingabonakala kusetshenziswa i-biotheziometry.
- I-hyperglycemia ephikelelayo - I-hypoglycemia ejwayelekile, i-hypoglycemic coma ingaholela ekulimaleni maphakathi nendawo yokwakhiwa, okukhona kuyo intambo yomgogodla engaphandle. Ekuqaleni, isiguli esinokwephulwa okunjalo kudinga ukushukunyiswa okunamandla ukujabulisa, kancane kancane i-pathology iyaqina.
- Ukushoda kwe-testosterone - kuholela ekunciphiseni kokuzwela kwezindawo zokuzala kanye nama-receptors ezindaweni ezi-erogenous. Lokhu kuphazamiseka kwesimo sikashukela sohlobo 2. Isizathu sokuthi kungukweqisa kwamafutha, ikakhulukazi i-visceral. Izicubu ze-Adipose ziyisitho esikhiqiza ama-hormone, i-testosterone kuyo iphenduka i-estrogen, ngenxa yalokho, ezigulini ezinokukhuluphala, i-potency ibuthakathaka.
Imiphumela emibi yezidakamizwa ekwelapheni izinkinga zesifo sikashukela nezifo ezihambisanayo nayo iholela ezinkingeni nge-potency.
Ukungabi namandla kungaholela ku:
- umuthi wengcindezelo, ikakhulukazi i-thiazide diuretics nabanye be-beta-blockers. Isifo sikashukela sivame ukuhambisana nomfutho wegazi ophakeme. Ukuvimbela amandla, bazama ukukhetha izidakamizwa zokwelashwa kwalo ohlwini oluphephile;
- ukusetshenziswa isikhathi eside kwama-sulfonamides nama-antibhayoriki athile;
- izidakamizwa zokwelashwa kwe-arrhythmia;
- ama-antipsychotic aqukethe i-phenothiazine ye-butyrophenone ne-thioxanthene;
- ama-antidepressants, imvamisa eyinkimbinkimbi kakhulu futhi eqenjini le-SSRI;
- abenzeli bezokwelapha isifo sokuwa.
Ukwelashwa Kwesifo Sikashukela
Umsebenzi omkhulu wokwelapha ukungasebenzi kahle kubantu abanesifo sikashukela ukuhlinzeka ngesinxephezelo esihle sesifo, okungukuthi, ukunciphisa ushukela ube yinto evamile, kuyilapho kugwema i-hypoglycemia. Ukushintsha irejimeni yokwelashwa, udinga ukuxhumana nodokotela we-endocrinologist. Ngoshukela osethukile kanye noshukela ophakeme wegazi, kungaba khona i-insulin.
Umzimba wethu unekhono elihlukile lokuzilungisa. Kwezinye izimo, i-glycemia ejwayelekile yanele ukuqeda amandla. Ukwehla ushukela wegazi kufaka isandla ekukhuleni kwama-capillaries amasha kanye nemicu yezinzwa, futhi isimo semikhumbi emikhulu siyathuthuka kancane kancane. Lezi zinguquko azisheshanga, kufanelekile ukulinda imiphumela yokuqala ezinyangeni ezi-3.
Ukwelashwa kokungabi namandla kwesifo sikashukela ngalesi sikhathi kusheshisa inqubo yokutakula.
Lokhu, izidakamizwa ezilandelayo zinqunyelwe:
| Inkomba yokwelashwa | Amaqembu ezidakamizwa | Izidakamizwa ezidume kakhulu | |
| Ukuqedwa kwezinguquko ze-atherosclerotic emithanjeni yegazi | Kwehlisiwe ukuhlangana kweplatelet, ukuncipha kwegazi | Ama-anticoagulants, ama-antiplatelet agents | I-Acetylsalicylic acid, iLyoton, iWarfarin |
| Ukunciphisa kwe-cholesterol | Izimo | I-Atorvastatin, i-Rosuvastattin | |
| Ukuncishiswa kwengcindezelo nezidakamizwa ezingakhubekisi amandla | Ama-inhibitors e-ACE | I-Enalapril, i-Captopril | |
| Abamelene neCalcium | UVerapamil, uNifedipine | ||
| I-AT1 receptor blockers | I-Losartan, i-Eprosartan | ||
| Yehlisa imiphumela elimazayo yama-radicals mahhala kuma-nerve nasezindongeni ze-vascular | Ama-antioxidants asebenza ngempumelelo yi-lipoic acid. | I-Thiogma, uNeuro lipon | |
| Ukulungiswa Kwe-Vitamin Defence | Vitamin Complexes for Diabetes | I-Alphabet Diabetes, Doppelherz Asset | |
| Iqembu B | I-Milgamma, Neuromultivitis | ||
| Ukuvuselela Ukuntuleka kweTestosterone | Ukwelashwa kweHormone | Androgens | Nebido, Androgel, Testosterone Propionate |
| Ukwelashwa ngokweqile | Ukudla okunomkhawulo wekhalori, ukusebenza ngokomzimba, imithi ayinqunyelwe. | ||
Isikhathi sokutakula futhi nokungasebenzi kwale mishanguzo engenhla, kungaqalwa imishanguzo yesikhathi esizayo. Babuye bakwazi ukulala nomuntu isikhashana, kuze kufike emahoreni angama-36 ngemuva kokuthatha ithebhulethi eyodwa.
Kungcono uma le mishanguzo inqunywe ngudokotela, ngoba ukukhethwa kwekhambi elithile kuya ngesilinganiso sokungasebenzi kanye imbangela yako. Ukusetshenziswa kanyekanye kwezinye izidakamizwa nakho kuyabhekwa.
I-algorithm ephuthumayo nokukhethwa kwesidakamizwa esifanele:
- Ucwaningo lwe-Andrological ngokuthola kwezinga lokuphulwa kanye nezimbangela zazo.
- Ngokwezinga eliphansi noma elingatheni lokungakwazi ukusebenza ngenxa ye-angiopathy ne-neuropathy, i-Impaz yezidakamizwa iyakhethwa, futhi uma kungenjalo ezinye izidakamizwa zingabekwa.
- Ngokwesilinganiso esiphakathi kwenye i-pathogenesis kanye nesilinganiso esibi, izidakamizwa zokukhetha yiViagra neCialis.
- Uma umsebenzi wokuya ocansini uhlelwa kaningi kunesonto, ukuvunyelwa kocansi okuzenzakalelayo kuyafiswa, uCialis unqunyelwe, futhi kuphela lapho ungekho umphumela - i-Viagra.
- Uma ukuya ocansini kunqabile, kunesikhathi sokuzilungiselela, ungathatha iViagra.
- Ukusetshenziswa okufanayo kweCialis nezidakamizwa ezinama-nitrate (asetshenziselwa ukwelapha izifo zenhliziyo: nitroglycerin, isosorbide mononitrate, dinitrate) kwenqatshiwe. Kulokhu, okuthandwa kunikezwa i-Viagra.
Ungawagcina kanjani amandla owesilisa
Ukugwema ukungabi namandla kwesifo sikashukela kulula kakhulu kunokulapha.
Izincomo ezilandelayo zizosiza kulokhu:
- zama ukwenza ngokwejwayelekile isisindo, amafutha yisizathu esivame kakhulu sokwehlisa amandla owesilisa;
- gcina ushukela ujwayelekile, ulwele ukubalwa kwegazi elifanayo nabantu abaphilile - itafula elinezimpawu;
- vakashela njalo i-endocrinologist, uvivinyelwe ngezikhathi ezithile zezokwelapha. Ezimweni zokuqala ezitholakele, qala ukwelashwa, noma ngabe azikho izimpawu okwamanje;
- umkhondo amazinga akho testosterone. Ngoshukela onxephekile njalo ngonyaka, ngokugxuma ushukela kaningi;
- ukukala ushukela ngemuva kocansi. Uma i-hypoglycemia itholakele, thatha ingxenye eyengeziwe yama-carbohydrate ngaphambi kwesikhathi;
- udle ukudla okuncane;
- ukunciphisa inani lamafutha ezilwane ekudleni;
- engeza ukudla okunomphumela we-antioxidant obekiwe: ama-cranberry, u-anyanisi kanye negalikhi, i-rose yasendle;
- hlola ukuthi ngabe kunamaprotheni anele yini kwimenyu yakho. Uma kutholakala ukushoda, kwenzele lokho ngokulahlekisela ushizi we-cottage shizi, inhlanzi nenyama enamafutha.
