Ukungasebenzi kwe-erectile emadodeni onesifo sikashukela kuvame kakhulu (munye kwabane). Futhi kuyinkinga enkulu, ngoba ukungakwazi ukwanelisa umfazi wakho futhi uqhubeke nomndeni wakho kufaka indoda enezakhiwo eziningi ezingeke ilwe nayo yodwa. Kepha ungapheli amandla! Ukwelashwa kokungasebenzi kahle kwe-erectile kushukela kungenzeka. Into esemqoka lapha ukuthi ungabi namahloni ngenkinga yakho, uyiqokelelele udokotela wakho bese ulandela zonke izincomo zakhe.
Kungani kwenzeka ukuphazamiseka?
Ukuphazamiseka kwezitho zokuzala ezitholakala emadodeni kungabhekwa zombili ngesifo sikashukela sohlobo 1 kanye nohlobo 2 sikashukela. Futhi kunezizathu eziningana zalokhu:
- i-polyneuropathy;
- isifo sikashukela angiopathy.
I-Polyneuropathy yisimo se-pathological esenzeka ngokumelene nesizinda sokulahleka kokudluliselwa kwezihibe kusuka enkabeni ye-erection kuya ezinhlizweni zangaphakathi zepenis. Umphumela walokhu yilokhu okulandelayo - igazi alingeni kahle i-pelvis, ngenxa yalokho, noma ngomfutho oqinile ongokomzwelo, i-erection ifohla kakhulu, futhi kwesinye isikhathi ayenzeki nhlobo.
Kumele kuqashelwe ukuthi ukuphazamiseka kokungabi namandla kuhlobo lwesifo sikashukela sohlobo 2 noma kuhlobo 1 sikashukela kungavela ngokuqhamuka ngemuva kwentuthuko yezifo ezihambisanayo. Phakathi kwazo, ezivame kakhulu yilezi:
- ukungasebenzi kahle kwe-lipid metabolism;
- izindlela ezihlukahlukene zenhliziyo;
- ukungasebenzi kwezinso kanye nesibindi, ngenxa yalokho izifo ezinjengokwehluleka kwezinso nokuqina ziqala ukukhula;
- umfutho wegazi ophakeme, obonakala ngokwanda komfutho wegazi;
- ukuphazamiseka kohlobo lwe-psychogenic;
- ukuntuleka kwe-androgen, kwenzeka ngokumelene nesizinda sokukhiqizwa kwe-testosterone okwanele yizitho zohlelo lokuzala.
Kunezizathu eziningi zokuthi kungani ukusebenza kwe-erectile kungaphazamiseka. Futhi ngaphambi kokuqala ukwelashwa kokungabi namandla ku-mellitus yesifo sikashukela, kubalulekile ukusungula ngokufanele isisusa esenze kwabonakala le nkinga. Futhi ngenxa yalokhu uzodinga ukuthi ahlolwe ngokuphelele.
ISymbomatology
Ukwephulwa komsebenzi we-erectile akuhambisani njalo nokungabinamandla okuphelele, lapho ukwakhiwa kungenzeki nhlobo. Izimpawu zayo zingafaka phakathi kwezimpawu ezilandelayo:
- Yehliswe isifiso sobulili. Amadoda amaningi aphethwe yi-T2DM akafuni ukwenza ucansi nomuntu athandana nawo. Futhi isizathu salokhu ukuntuleka kwe-sex drive. Lokhu kuyabonakala ngoba ngesifo sikashukela, kuphakama ukudla kwengqondo, yingakho izinkinga zalolu hlobo zivela.
- Ukwephulwa kwe-ejaculation, ukuntuleka kwe-orgasm ne-erection engxenye (ipipi alineme kuze kube yilapho umbuso usukwazi ukwenza imisebenzi yawo). Konke lokhu kwenzeka ngemuva kwesizinda se-hypoglycemia, esivame ukwenzeka kubantu abanesifo sikashukela ngemuva kokudla izidakamizwa ezinciphisa ushukela. Kulesi simo, umsebenzi wezikhungo zezintambo zomgogodla, ezibhekele izinqubo ezinjenge-erection and ejaculation, nazo ziyaphazamiseka.
- Ukuncipha kokuzwela kwenhloko yepenisi. Lokhu kwenzeka ngenxa yezizathu eziningana - ukugeleza kwegazi okungekuhle ukuya ethweni nokuphazamiseka kwezikhungo zokuxolisa.
Uma indoda igula yisifo sikashukela futhi inophawu okungenani olulodwa lokungasebenzi kahle emzimbeni, kufanele ibone udokotela ngokushesha. Njengoba uma ungabhekani nekhambi lale nkinga ekuqaleni, kuzoba nzima kakhulu ukubuyisa indalo.
Ukuxilonga
Ukuxilongwa kwe-erectile dysfunction in sikashukela kwenziwa ngesizathu sezikhalazo zesiguli, umlando wezokwelapha nokuhlolwa, okubandakanya:
- ukuthatha ukuhlaziya ukuthola inqanaba le-prolactin, LH, FSH ne-testosterone emzimbeni;
- ukuzimisela kokuzwela okubucayi kanye nokudlidliza;
- ukuhlolwa kokucashelwa kwe-lipid;
- cwaninga ucwaningo (uma kungenzeka).
Ukwelashwa
Udinga ukwelashwa kanjani isiguli, udokotela unquma kuphela ngemuva kokuthola lonke ulwazi oludingekayo ngesimo sempilo sendoda. Ukwelashwa ngaso sonke isikhathi kuqala ngemisebenzi ekuvumela ukuthi udlulise isifo sikashukela esigabeni sesinxephezelo, bese uqhubeka nokwelashwa okuyinhloko. Kungafaka izindlela eziningana.
Esokuqala ukuthatha imishanguzo ekhethekile ethuthukisa ukusebenza kwe-erectile. Phakathi kwazo, athandwa kakhulu yi-apomorphine, i-papaverine, i-thioctic acid, njll.
Zonke izidakamizwa ezisetshenziselwa ukwelapha i-potency ku-mellitus yesifo sikashukela kufanele zikhethwe ngokuqinile. Akunconyelwe ukuthatha izidakamizwa ezaziwa njenge Viagra, Sealex, njll. Ngokwakho ngalesi sifo, ngoba kungaholela ekuqhubekeni kwesifo sikashukela kanye nokuwohloka okubukhali enhlalakahleni.
Le mishanguzo iqinile kakhulu futhi ingabuyisela ngempela i-erection ngemizuzu engama-30 ukuya kwengama-40. Kepha kuma-diabetes, ukuphatha kwabo kuvame ukucaphukisa ukubonakala kwemiphumela emibi njengoku:
- ikhanda elibuhlungu;
- amalangabi ashisayo;
- ukuphazamiseka kokugaya ukudla (isifo sohudo, ukuqunjelwa, isicanucanu, ukugabha, ukuqhakaza, njll.);
- ukuzwela okukhulayo kokukhanya;
- kwehlise ukuqina kokubonakalayo.
Njengomthetho, imiphumela enjalo emibi ivela ngesikhathi sokusetshenziswa kokuqala noma lapho umthamo wesidakamizwa udlula kakhulu izimiso ezikhonjisiwe. Ngemuva kwalokho umzimba uyawujwayela bese usabela kancane. Kepha kufanele kuqondwe ukuthi i-Viagra, Sialex kanye nezinye izidakamizwa ezifanayo aziphathi amandla. Basiza kuphela ukubuyisa okwesikhashana imisebenzi yabesilisa. Ngakho-ke, asetshenziswa njengokwelashwa okuyinhloko.
Le mishanguzo ine-contraindication yayo, lapho kunqatshelwe ngokuphelele ukuyithatha.
Lokhu kufaka lezi zimo nezifo ezilandelayo:
- Izinsuku zokuqala ezingama-90 emva kokuqothuka kwe-myocardial;
- angina pectoris;
- ukwehluleka kwenhliziyo;
- i-tachycardia;
- i-hypertension ye-arterial;
- Izinyanga eziyi-6 zokuqala ngemuva kokushaywa unhlangothi
- isifo sikashukela i-retinopathy nge-hemorrhage.
Ukwelashwa kwezidakamizwa kwe-potency emadodeni onesifo sikashukela kungafaka nemijovo ye-prostaglandin E1, ebekwe ngqo ethweni lobufazi. Banomphumela we-vasodilating futhi banikela ngejubane elinamandla legazi ku-penis, ngenxa yalokho ukwakhiwa kwawo kubuyiselwa. Umjovo onjalo ubekwa ngokushesha ngaphambi kokwenza ucansi emizuzwini emi-5 ukuya kwengama-20, kepha kungabi ngaphezu kwesikhathi esi-1 ngosuku.
Indlela yesibili yokwelapha ukungasebenzi amandla ukusetshenziswa kwe-LOD, lapho kusetshenziswa khona i-vacuum ereters. Kusebenza kakhulu, kepha lapho kunezinkinga ezinkulu ngemikhumbi ayisebenzi.
Indlela yokusebenza yezindlela zokwelapha ze-LOD
Esimweni lapho isiguli sinokuphazamiseka kwengqondo, kusetshenziswa i-psychotherapy. Ngesikhathi salo, umthelela we-psyche yesiguli wenzeka, obamba iqhaza elikhulu esimweni sokukhula komsebenzi we-erectile.
Uma kutholakala ukuntuleka kwe-hormone yabesilisa emzimbeni wesilisa, kunqunywa ukwelashwa ngama-hormone, okubandakanya ukuthatha izidakamizwa ngokusekelwe kuma-androgens. Lezi zimali zikhethwe ngokuqinile. Zingabekwa ngesimo semijovo, amathebulethi noma ama-gels asetshenziswa ebusweni besikhumba (ama-hormone adonswa esikhunjeni, angena egazini futhi asakazeke emzimbeni wonke).
Lapho ukhetha imishanguzo, kubaluleke kakhulu ukucubungula izinga le-testosterone esegazini. Ukukuthola, kuzodingeka uthathe ukuhlolwa kwegazi kwe-cholesterol kanye "nokuhlolwa kwesibindi" (ALT, AST). Uma amalungiselelo e-hormonal akhethwe kahle, i-potency izobuyiselwa ezinyangeni ezimbalwa.
Imvamisa, ukungasebenzi kahle kwe-erectile kwenzeka ngokumelene nesizinda sokukhula kwe-prostatitis. Ngakho-ke, i-androgen therapy nayo ingabekwa njengendlela yokwelashwa eyengeziwe, ekuvumela ukuthi ubuyise ukusebenza kwe-prostate gland futhi uyeke ukuvuvukala kwayo.
Uma ukwephulwa komsebenzi we-erectile kwenzeka ngenxa yokuqalwa kokukhubazeka kwengqondo yesifo sikashukela, khona-ke kulokhu kulawulwa inkambo yokwelapha nge-alpha-lipoic acid. Kubhekwa njengenye yezindlela eziphephe kakhulu nezisebenzayo ze-neuropathy. Kodwa-ke, ukuthathwa kwayo kumele kwenzeke ngokuhambisana nemithi enciphisa ushukela. Ngaphandle kwalokho, akufanele ulindele umphumela omuhle ekuphuzeni kwakhe.
Kumele kuqashelwe ukuthi uma indoda yesifo sikashukela ifunda ngokuzimela ukugcina ushukela wegazi ngaphakathi kwemikhawulo ejwayelekile, izokwazi ukuqeda i-neuropathy ngaphandle kwezinkinga, ngenxa yalokho i-potency nayo engabuyiselwa kalula. Kodwa lokhu kungathatha iminyaka yonke, ngoba inqubo yokulungisa imicu yezinzwa elimele yinde kakhulu.
Uma i-neuropathy ihambisana nokuqhekeka kwemithambo yegazi, ngeshwa, kuzoba nzima ukubuyisela i-potency ngokumane ugcine ushukela wegazi ezingeni elifanele. Kungadinga ukungenelela kokuhlinzwa, lapho imithambo ihlanza khona nokugeleza kwegazi kubuyiselwe. Ukwelashwa okwedlulele kokungabi namandla kwesifo sikashukela i-penile prosthetics.
Wonke amadoda angaqeda ukungabi namandla futhi abuyele empilweni ejwayelekile. Kepha udinga ukuqonda ukuthi esimweni sikashukela, kuzoba nzima kakhulu ukwenza. Ngakho-ke, musa ukubambezela ukwelashwa kwalesi sifo futhi lapho kuvela izimpawu zokuqala zokungasebenzi kahle kwe-erectile, kufanele uthintane nodokotela ngokushesha.