I-Estimated 91 Amaphesenti Amadoda ane-MS Achaphazelekayo
I-Erectile i-dysfunction (ED) yenye yezona zibonakaliso eziqhelekileyo ze- multiple sclerosis (MS) kumadoda, elichaphazela kuma-91 ekhulwini ukuya kwiiyure ezihlukeneyo. I-MS sisifo esibonakaliswe ngumonakalo oqhubekayo weentsimbi. Xa ama-nervo ehambelana neempendulo ze-erectile zibandakanyeka, i-ED iyakwenzeka okanye ibuhlungu, ekhokelela ekukhuthazeni kunye / okanye ukuvusa.
Iintlobo ze-Erectile Dysfunction
I-Erectile i-dysfunction yimeko yesifo esiqhelekileyo enokuchaphazela amadoda analuphi na ubudala kodwa eqhelekileyo kulawo angaphezu kwama-65.
I-ED ingabangelwa naliphi na inani lempilo okanye indlela yokuphila, kubandakanywa uxinzelelo, uxinzelelo lwegazi oluphezulu, ukukhuluphala, isifo sikashukela, ukusetyenziswa kakubi kotywala kunye nemithi ethile.
Xa uneminyaka engama-40, malunga nama-40 ekhulwini kwamadoda aya kuchatshazelwa ngu-ED kungakhathaliseki ukuba yi-MS. Le nqanaba liya kunyuka ibe malunga nama-70 ekhulwini ngeli-70 ubudala. Indlela echaphazeleka ngayo i-ED yamadoda iyahluka kwaye iquka:
- Amandla okungahambelani ukufezekisa ukulungiswa
- Ukunganeliseki ngotshani okanye ubunzima bokumiswa
- Ukuba kunye nokuchithwa kwexesha elifutshane
- Ukufuna ixesha elidlulileyo kunye / okanye ukuvuselela ukuphumeza ukulungiswa
Iingxaki ze-Erectile Dysfunction kwi-MS
Iziganeko zenzeka xa iimpawu ezisuka ebuchosheni zibangela ukuba izihlunu zepenisi ziphumle, zivumela igazi ukuba liqhube kumagumbi amabini ngaphantsi kwepenisi. Ukunyuka kwegazi kukubangela ukuba ipenisi ikhule kwaye ibe nzima.
Iziganeko zenzeke ekuphenduleni ukuvuswa kwesondo okanye ukuvuselela umzimba.
Ezi zinto zibaluleke kakhulu njengoko zibandakanya iindlela ezahlukeneyo ze-neurophysiological:
- Iziganeko ezenzekayo ekuphenduleni iingcamango ezingathandabuzekiyo, ukuthintela, okanye okubonakalayo ziqhutywe ngumbongo kwaye zihamba ngaphantsi kwentambo yomgogodla ukuqala ukulungiswa.
- Izilungiso ezenzekayo ngenxa yesigxina sezitho zomzimba zisebenzisa iimbulunga kwicandelo elingaphantsi lomgca womgudu kwaye ngokugqithiseleyo zigqithise ingqondo.
Kutheni oku kubalulekile? Kwi-MS, umonakalo wesibindi kubangelwa inkqubo ebizwa ngokuba yi- demyelination apho i-immune system ihlasela kwaye ikhupha i-membrane ekhuselayo ejikeleze i-nerve ebizwa ngokuthi i- myelin sheath . Xa oku kwenzeka, imizila yokunxibelelana phakathi kwamathambo ingachaphazeleka kakhulu.
Ngokuxhomekeka apho i-demyelination yenzeka khona, isizathu kunye neempawu ze-ED ziyahluka. Amanye amadoda, umzekelo, unokukwazi ukufezekisa ukulungiswa ekuphenduleni ukuvuselela okwenyama kodwa kungabikho okwenyukayo, okanye ngokuthe ngqo. Oku kubonakala kunyanisekileyo kubafana abancinci abane-MS abangenayo enye into echaphazelekayo eya ku-ED.
Kwamanye amaxesha, ukuphazamiseka kungabonakaliswa ngakumbi. Kwimeko enjalo, i-MS inokuba yintoni imbangela ebalulekileyo okanye nje yenkalo yesibini edibanisa ingxaki ekhoyo.
Ukuxilongwa kwiMadoda ene-MS
Iingxaki zokulungiswa zingadakalisa abantu kunye nokuba kunokuba nzima ukuxoxa nangomlingane okanye ugqirha.
Kodwa kubalulekile ukukhumbula ukuba i-ED kumadoda ane-MS ihamba ngaphaya kokufumana imithi ye- Viagra okanye i- Cialis . Uphando lufanele lubandakanye ukuhlaziywa kweempawu zakho ezinxulumene ne-MS, unyango lwakho lwangoku, kunye naluphi na ubunzima beengqondo onokuthi uhlangane nayo nesifo sakho.
Phakathi kwezinto zokuqwalasela:
- Ukuba kukho ukunciphisa ubunzima bebhenis okanye ubunzima ekuphumezeni ukunyuka kwezinto (zombini ezo zingazisa indlela i-MS echaphazela ngayo umsebenzi we-erectile)
- Ukuba ufumana ukuvuza kwe-urinary ngexesha lokulala
- Ukuba kukho iingqondo zengqondo ezinxulumene nesimo sengqondo okanye ukuzithemba okufuneka kulungiselelwe ngokwahlukileyo kwimpawu zomzimba
- Ukuba iimpawu ze-MS ezifana nokukhathala okanye ukunyanzeliswa kwezinto kungabangela
- Ukuba ukusetshenziswa kwe-anti-depressant, okuqhelekileyo kwi-ED, kubangela okanye kugalela kwi-ED
- Ukuba i-anticholinergics, esetyenziselwa ukunyanga iingxaki ze-urinary , ingaba yingxaki
Izinyango Zonyango
Ngokuhlolisisa zonke ezi zinto, oogqirha banokunika unyango oluthile lwe-MS olungancedisa okanye lusetyenziswe kwindawo efanelekileyo ye-MED .
Ezi zibandakanya imiyalelo ngeendlela ezahlukeneyo zokuvuselela, ezinjengezitshukumo, ukunqoba ukuvuswa komzimba. Iimvakalelo ezingaqhelekanga okanye i-spasm ingalawulwa ngokusetyenziswa kwamachiza. Ukunyangwa kwamanzi okanye amayeza angasetyenziselwa ukulawula ukuvuza kwamanzi.
Njengezinye izidakamizwa zomlomo we-ED, imishanguzo egwenywayo njenge-alprostadil, i-papaverine, kunye ne-phentolamine inokuphucula ukulungiswa ngokubangela ukuhlanjululwa kwemithambo yegazi kwi-penis. Izimpembelelo zePenile nazo zifumana ukwamkelwa okwandayo ngamadoda okunye okunye okukhethwa kukho.
> Umthombo:
> Lew Starowicz, M. kunye noRla, R. "Izidakamizwa zesondo kunye noBuchule boBomi boBantu abane-Multiple Sclerosis." Umbhalo Wezobisi Zosondo. 2014; 11 (5): 1294-1301.