Xa kubheka izizathu ezinokubangela ukungasebenzi kwe-erectile, kubalulekile ukuba uqonde ukuba ngokuphindaphindiweyo kukho enye into ebandakanyekayo okanye, njengokuba uMbutho we-Urological Association uthi, "umsebenzi we-erectile ungumphumo wokubambisana okunzima phakathi kwe-vascular, neurologic, hormonal, kunye izinto zeengqondo. " Gcina oku engqondweni njengoko ufunda uluhlu olubanzi lwezinto kunye neengxaki zobungozi be-ED, eziquka imithi, izimo zempilo, ukulimala, ukutshaya, nokunye.
Izizathu eziqhelekileyo
Ugqirha kuphela unokuqinisekisa isizathu sokungasebenzi kwakho kwe-erectile. Ngokuqhelekileyo, isifo esisisigxina okanye imeko ibeka ityala (jonga ngezantsi). Kodwa enye okanye eminye yale micimbi ingase ibe yidlala:
Ubudala
Uphando lubonisa ukuba, ngokuqhelekileyo, amadoda afumana iingxaki zesondo xa bekhula. Ngokomzekelo, u-1994 iMassachusetts Male Ageing Study , efumene ukuba ukusabalalisa ukungaphumeleli kwanda ukusuka kuma-5 ukuya kwi-15 ukuya kweepesenti njengoko ubudala banda ukusuka kwiminyaka engama-40 ukuya kuma-70.
Iindaba ezilungileyo kukuba i-ED kunye nezinye iingxaki zesondo azibonakali zingenakupheka njengeminyaka yobudala. Ngokuqhelekileyo isizathu sokuba indoda endala iqalise ukuba nale miba kukuba ijongene nesimo esingapheliyo esandisa ingozi ye-ED, okanye ngenxa yokuba uziphatha ngendlela elawulwayo yokuziphatha ebeka emngciphekweni ophezulu.
Ngamanye amazwi, kunokwenzeka ukuba indoda inqande ubuninzi bezinto ezibangela ukungabi namandla ngokunyamekela impilo yakhe yempilo kunye nokuphila kwengqondo xa ekhula.
Mayeza kunye ne zonyango
Amanye amayeza angaphazamisa iimpembelelo zesigulane okanye ukuhamba kwegazi kwi-penis. Ngokombiko weYunivesithi yaseHarvard, malunga nama-25 ekhulwini amadoda asebenzisana ne-erectile disysction ayenazo iingxaki ngenxa yonyango abayithathayo. Enyanisweni, i-ED yenye yezona zizathu ezibalulekileyo ukuba abanye amadoda bayeke ukuthatha amayeza kwiimeko ezifana nokunyuswa kwengcinezelo yegazi kunye nokudandatheka.
Uluhlu lwezilwanyana ezinxulumene nokungafuneki lude, kwaye amanye amayeza anokwenza ukuba i-ED ibe ngaphezu kwabanye. Ukuba isilwanyana osithathayo asikho kwiluhlu olulandelayo, kodwa ulwa ne-impotence, jonga ugqirha wakho.
Phakathi kwamachiza kunye nezinye iindlela zokonyusa umngcipheko wokungaziphathi kakuhle zi:
- I-cancer, i-Myleran (busulfan) ne-Cytoxan (cyclophosphamide)
- Ukugqithisa umlenze kwi-pelvis ngexesha lotyando lwemhlaza, okungabangela ukulimala okubangele ukungasebenzi
- Imishanguzo yegazi ephezulu , ngakumbi i-diuretics njenge-Microzide (i-hydrochlorothiazide)
- Beta-blockers , njenge-Inderal XL (propranolol)
- Iimpawu zeemeko zengqondo, kubandakanywa nezidakamizwa zokuxhalabisa, ezifana nePaxil (paroxetine); izidandlululo, ezifana neZoloft (sertraline); kunye neyeza-anti-schizophrenia, njengeSeroquel (quetiapine)
- Iinqununu, ezifana neValium (diazepam)
- Imithi yeHormonal yokwelapha umdlavuza wesibeletho, njenge-Eulexin (flutamide) kunye neLupron (leuprolide)
- Ipropecia (i-finasteride), esetyenziselwa ukhathaza iprotate ephakamileyo kunye neentlobo ezithile zokulahlekelwa kweenwele zesilisa
- Ukunyanga kwama-ulcer kubandakanya i-histamine H2-receptor antagonists, njengeTagamet (cimetidine) kunye ne-Zantac (ranitidine)
- Ama-Antihistamines asetyenziselwa ukunyanga i-allergies, njengeBenadryl (diphenhydramine) kunye neVistaril (i-hydroxyzine)
- Ii-antibiotics zokunyanga izifo ezikhunjini zesikhumba, ezifana ne-Nizoral (ketoconazole)
- Izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID), njengeNaprosyn (naproxen), xa ithathwa rhoqo
Ukuxinezeleka Nokukhathazeka
Ngamanye amaxesha indoda iya kuba nexhala ngezenzo zesondo ezithintela amandla akhe okufumana ulungiso, mhlawumbi ngenxa yevavanyo ezibi zesondo okanye i-ED yangaphambili. Ngokufanayo, ukuba indoda kunye neqabane lakhe lijongene nengxaki ebudlelwaneni babo, ukukhathazeka kwengqondo kunye nengqondo kunokuthatha umonakalo kwisenzo socansi.
Ukuhlinzwa
Naluphina utyando olubandakanya izakhiwo zendawo ye-pelvic zingabangela umonakalo kwiimbilini kunye / okanye imithwalo yegazi kwi-penis, leyo leyo inokuchaphazela amandla omntu wokufumana ukulungiswa okanye ukugcina enye. Enye inkqubo eqhelekileyo enxulumene ne-ED yonyango ukunyanga umdlavuza weprotate , okwenza ingqiqo inikwe indlela esondele ngayo kwi-penis yeprostate.
Olunye uhlobo lotyando oluthe wandisa umngcipheko wokungabikho kwemfutho yindlela yokugulisa isifo somhlaza, apho isahlulo somathumbu omkhulu (i-colon) sisuswe ngokugqithisa kunye nesisu. Utshintsho oluthile lwenkqubo luyakwenza ukuba i-ED:
- I-hemicolectomy yasekhohlo (ukususwa kwesahlulo sekhohlo sekholoni)
- I-Abdominoperineal resection (ukususwa kwe-rectum kunye ne-anus)
- Iproctectomy (ukususwa kwe-rectum)
Kwezinye iimeko ze-ED ezibangelwa utyando lwesilonda, ingxaki ibangelwa kukulahlekelwa kwintswelo. Kwabanye, i-sacral reflex (impendulo yemoto elawula i- anal sphincter kunye nemisipha yomgangatho we-pelvic) ichaphazelekayo. Okubaluleke ngakumbi, ukuxhatshazwa kokuhamba ngokugqithisa okukhulu kunokubangela uxinzelelo oluphazamisa ngqo umsebenzi wesini.
Ukulimala
Ukulimala kwiimbilini, iirriyiti, okanye iiswini ze-pelvis zinokubangela iingxaki zesini. Amadoda enobungozi bomnxeba atyunyiwe amanani enkcenkceshelo ye-erectile ne-ejaculatory, umzekelo. Nangona kunjalo, ukulimala kwentambo yomgudu akuthinteli umsebenzi wezesondo. Abanye abantu abanokulimala kwentambo yomgca we-spinal still still experience and stimulates from non-genital stimulation. Ukongeza, umnqweno kunye nomdla akunakwenzeka ukuba uchatshazelwe yintlungu yomgca.
Izifo neemeko
Kwakhona, i-ED ayifumanekanga yodwa. Ngokuqhelekileyo kubangelwa enye inkxalabo yezempilo.
Isifo sikashukela kunye neengqondo zeNtliziyo
I-Erectile i-dysfunction iyaqhelekileyo phakathi kwabantu abane- type 1 yeswekile kunye nohlobo lwe-2 lweswekile. Ucwaningo lwango-2017 kwiSigqirha soTyhubela lufumene ukuba ngaphezu kwesigamu samadoda anesifo sikashukela ahlakulela i-ED . Isizathu: Amanqanaba e-glucose ephakamileyo egazi abangelwa ngumdla wesifo sikashukela awonakalisa imithana yegazi kunye nemisipha emzimbeni wonke, kubandakanye nalawo asepenis.
Umntu omdala sele enesifo sikashukela, kunokwenzeka ukuba uya kuphuhlisa i-ED, ngokukodwa xa igazi lakhe lingama-glucose amazinga alawulwa kakuhle. Iingxaki ezihamba kunye nezifo zentliziyo ezifana nokunyuka kwengcinezelo yegazi kunye ne-cholesterol ephezulu nayo inokudlala indima yokungabi namandla. Indoda enesifo sikashukela eshiye ukutshaya iyandisa ingozi yokuphuhlisa i-ED.
Isifo senhliziyo kunye nesifo sikashukela sisoloko sidibene kunye ngenxa yokuba umonakalo we-aronary corridary is a complication of diabetes. Izifo zesifo se-Coronary nazo zinokuchaphazela umsebenzi wesondo ngokwawo, kodwa ukusetyenziswa kakubi kwe-erectile kungamaxesha asithoba kumadoda ahlupheke kwiimeko zombini ze- coronary (CAD) kunye nesifo sikashukela kunamadoda anesifo sikashukela ngaphandle kokongezwa kwe-CAD. I-Erectile i-dysfunction ixhaphake kakhulu kwizifo zombini zomzimba kunye nesifo sikashukela esingaqwalaselwa njengomngcipheko wezo zombini.
U xinzelelo
Ngenxa yokuba ukulungiswa kuxhomekeke ekuhambeni kwegazi okwaneleyo kwipenisi, kulula ukubona ukuba nayiphi imeko okanye ingxaki yonyango echaphazela intliziyo kunye nezinye izakhiwo kwisimo senhliziyo kuya kuba nefuthe kumsebenzi we-erectile. Oku kuyinyaniso ngokunyanisekileyo kwegazi (uxinzelelo lwegazi).
Nangona iinzululwazi aziqondi kakuhle ukuba le meko ingakhokelela njani kwi-ED, enye ingcamango kukuba ukunyanzeliswa okuphezulu kwiinqanawa ezincinci zepenisi kunokubangela ukuba iinyembezi ezincinci zibe kwiindonga zeenqanawa. Kwinkqubo yokulungisa le iinyembezi, iirriyiti ziba zikhuni kwaye zingenakukwazi ukubonelela ngegazi ezifunekayo kwiimfucu ze-spongy, erectile ze-penis.
Ezinye izinto ezinokubangela ingozi yempembelelo engadlala indima kwi-ED:
- Ukuveliswa kwemveliso yehomoni : Uxinzelelo oluphezulu kwinkqubo yokujikeleza ichaphazela ukuveliswa kwamahomoni athile, kubandakanywa nalawo alawula ukuziphatha ngokwesini kunye nokuphendula. Kwakhona kukho ubungqina bokuba amadoda anexinzelelo lwegazi eliphezulu anamaqondo angaphantsi kweentlobo ze-sperm kunye namanqanaba e-testosterone kunamadoda anomfutho wegazi oqhelekileyo, othe wanciphisa impendulo ye-hormonal ekuvuseleleni ngokwesondo.
- Amanqanaba aphantsi e-nitric oxide: Ezinye iziphumo zibonise ukuba ngokuhamba kwexesha, amadoda anexesha elide lokuxinzeleleka kwengcinezelo angavelisa ngaphantsi kwe-arhente, eyenza imithwalo yegazi iphucule (iyancipha). I-erectile i-dysfunction ingakhokelela xa kungekho-nitric oxide eyaneleyo yokukhulula imithwalo yegazi kwi-penis kwaye ivumela igazi ukuba lizalise ipeni.
- Ukuvuza kwamanzi: Ukuze kugcinwe i-erection, igazi kufuneka linikezwe kwaye lihlale ebudeni. Olunye uphando lubonisa ukuba amadoda aneengcinezelo zegazi aphezulu anokufumana ingxaki yokugcina ukulungiswa ngenxa yokunyuswa kwengcinezelo yegazi ephuma kwiifom erectile ze-penis kunye nemifuno. Kule ngqungquthela, i-"push" emagqabini amancinci okuvala emilanjeni inamandla kunokuba amandla omvini anqande, oku kuthetha ukuba imivumba ayikwazi "ukuvala" ngokukhawulezileyo ukunqanda igazi ekudluleleni kwipenisi.
Izimo zengqondo
Uninzi lweengxaki zeengqondo zidibene neengxaki zomsebenzi wezesondo kumadoda. Ukuxinezeleka, ukuxhalabisa, ukuphazamiseka kwengxaki yokuxinwa kweengxaki (post-traumatic disorder disorder (PTSD), kunye nemiba enomsindo bonke baye badibana neengxaki zomnqweno, umsebenzi we-erectile, kunye nokunyuka.
Ezinye iinkxalabo
Kukho ezinye iimeko kunye nezifo ezinokuchaphazela umsebenzi wesini kumadoda, okukhokelela kwiingxaki ezinjenge-ED. Phakathi kwezi zinto:
- Iingxaki ze-Urinary kunye neengtso: Abantu abaneempawu zokuvuthwa baye baboniswa ukuba bafumana kathathu izinga leengxaki ze-erectile njengabantu abangenawo. Oku kubandakanye iingxaki ezinjenge-bladder ezingasebenzi, kunye neempawu eziphantsi kweempawu zogcino.
- Izifo zengqondo ezingapheliyo: Iindleko ezongezelelweyo ze-ED kunye nezinye iintlobo zesifo sokungasebenzi komzimba ziye zabonakala kumadoda anesifo sika-Parkinson , ukuhluthwa, ukubetha, kunye ne- multiple sclerosis . Le miqathango inokuphazamisa iimpawu zentliziyo phakathi kwengqondo kunye nepenisi.
Ukukhusela i-apnea yokulala (i-OSA): Ngokutsho kweSizwe soLwandle lweSizwe sokulala, uphando olwenziwa ngo-2011 ngabaphandi eMat. ISibonelelo Sonyango saseSinayi kwisixeko saseNew York sathola ukuba amadoda anesifo sokungasebenzi erectile ayedlula kabini ukuba abe ne-OSA kunamadoda angenayo i-ED.
Izinto zokuphila
Phakathi kwezinto ezininzi ezinokubangela i-erectile dysfunction zizinto ezimbalwa ezinokupheliswa ngokupheleleyo.
Izidakamizwa zokuzonwabisa
Ngethuba lexesha, iziyobisi ezingekho mthethweni kunye nokuzonwabisa zingabangela umonakalo omkhulu kwimithambo yegazi, okwenza ngezinye izikhathi unobungozi obusisigxina. Ezi ziquka:
- Utywala
- I-Nicotine yokutshaya nokutshaya icuba
- Ama-amphetamines, afana neDexrine (dextroamphetamine)
- Iibharbiturates, ezifana ne-phenobarbital
- ICocaine
- Marijuana
- IMethadone
- Ama-ophiates, afana ne-heroin ne-OxyContin
Ukuhamba ngebhayisikili
Xa uhamba ngebhayisikili, ubuninzi bobunzima bomntu buhlala kwi-perineum-indawo yomzimba apho izitya kunye nemigudu yegazi yepenisi idlula-ingabangela ukulimala kwezi zakhiwo. Nangona ukugibela kudibaniswe kunye ne-erectile dysfunction, le ndlela yokuzivocavoca inokuba yinkqubela kunokuba yingozi kubantu abaninzi.
Ngolunye uvavanyo, ezininzi izifundo ezifumene unxibelelwano phakathi kweebhasi zebhayisikili kunye nee-ED zijolise kumadoda athatha iiyure ezinde ahamba ngebhayisiki, njengama polisa achitha ixesha elide ngeeyure ezingama-24 ngeveki, kunye nabo baqhuba iikhenkethi ezide baxhamli okanye ootitshala. Enyanisweni, ngokweMassachusetts Male Aging Study (MMAS), uphando lwamadoda angaphezu kwe-1,700 phakathi kweminyaka engama-40 no-70, "ubuncinane iiyure ezintathu zebhayisiki ngeveki kwakunokwenzeka ukuba kubangele ukukhutshwa kweerteri kunye nomonakalo wesikhathi eside . " Ukukhwela ngaphezulu kunokuba umntu oqhelekileyo uqala ukuwayeka, kodwa iziphumo ziyinto yokucinga malunga nokuba uhamba ngexesha elide.
Kubalulekile ukuba uqaphele ukuba i-MMSA ibonakalise ukuba amadoda ahamba ngeeyure ezintathu okanye ezimbalwa ngeveki abe nomngcipheko omncinci wokuphuhlisa i-ED, okubonisa ukuhamba ngebhayisikili njengendlela yokuzivocavoca ngokulinganisela kunokunceda ukukhusela i- erectile dysfunction.
Isihlalo sakho sebhayisikili sinokubaluleka. Kukho izikhonkwane ezinomngxuma okanye i-groove phantsi phakathi apho i-perineum iya kuphumla khona, kodwa inxalenye ebalulekileyo yale ndawo isala phantsi kobunzima bomzimba xa usebenzisa. Uphando lufumene ukuba "izikhundla ezingekho-mpumlo," ezinomqolo odeleleko wamathambo ahleliyo, ziyakunceda ukukhusela umonakalo, ukuphazamiseka, kunye neengxaki ze-erectile function.
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