Kana uchitarisa zvinokonzera zvinokonzerwa nekushaya simba kwe erectile, zvakakosha kunzwisisa kuti kazhinji zvinopfuura chimwe chinhu chinobatanidzwa kana, sezvinoitwa neAmerican Urological Association, "erectile basa inokonzerwa nekubatana kwakaoma pakati pevascular, neurologic, hormonal, uye pfungwa dzepfungwa. " Chengetedza izvi mupfungwa sezvaunoverenga kuburikidza nemhando yakawanda yezvinokonzera uye mungozi yeDD, iyo inosanganisira mishonga, utano hwehupenyu, kukuvara, kusvuta, nezvimwewo.
Zvinowanzokonzera
Chero chiremba anokwanisa kusimbisa chikonzero chekusavadza kwako erectile. Kakawanda, chirwere chepachivi kana chiitiko chinokanganisa (ona pasi apa). Asi imwe kana imwe yenyaya idzi inogonawo kunge iri kutamba:
Age
Kutsvakurudza kunoratidza kuti, kazhinji, varume vanowana matambudziko akawanda epabonde sezvavanenge vachikura. Muna 1994 Massachusetts Man Age Aging Study , somuenzaniso, akawana kuti kupararira kwekushaya simba kunowedzera kubva pa5 kusvika ku15 muzana sezvo makore anowedzera kubva pamakore makumi mana kusvika makumi manomwe.
Mashoko akanaka ndeokuti ED uye zvimwe zvinetso zvepabonde hazviratidzike kuti hazvigoneki kana varume vachikwegura. Kazhinji chikonzero icho murume akwegura anotanga kuva nenyaya idzi ndeyekuti ari kutarisana nemamiriro ezvinhu asingagumi anowedzera njodzi yeD ED, kana kuti nokuti anotora tsika dzoupenyu dzinodzora dzinomuisa pangozi yakakwirira.
Mune mamwe mazwi, zvinogona zvachose kuti munhu atore mhando dzakawanda dzezvikonzero zvinokonzerwa nekushaya simba kuburikidza nekuchengetedza hutano hwake hwepanyama nekubudirira kwake mupfungwa sezvaanozokwegura.
Mishonga uye Zvirwere
Mamwe mishonga inogona kukanganisa kushushikana kwemagetsi kana kubuda kweropa kusvika ku penis. Maererano nemushumo weHarvard University, inenge 25 kubva muzana yevarume vane hutano hwe erectile vane matambudziko nekuda kwemishonga inotora. Chaizvoizvo, ED ndeimwe yezvikonzero zvikonzero vamwe varume vanorega kutora mishonga yemamiriro ezvinhu akadai sokukwirira kweropa uye kuora mwoyo.
Urongwa hwezvinodhaka hunobatanidza nekushaya simba hurefu, uye mamwe mishonga inowanzoita kuti ED kupfuura vamwe. Kana mishonga yauri kutora haisi pane inotevera inotevera, asi uri kurwisana nekushaya simba, tarisa nechiremba wako.
Pakati pemishonga nemamwe mishonga inowedzera dambudziko rekushaya simba ndeiyo:
- Cancer chemotherapies, yakadai seMyleran (busulfan) uye Cytoxan (cyclophosphamide)
- Kuputika kumapapiro panguva yekurapa kenza, izvo zvinogona kukonzera kukuvadzwa kunotungamirira kusakosha
- High blood pressure medication , in particular diuretics such as Microzide (hydrochlorothiazide)
- Beta-blockers , dzakadai saInderal XL (propranolol)
- Mishonga yemamiriro epfungwa, kusanganisira kupesana nezvinodhaka, zvakadai saPaulil (paroxetine); zvinodzvinyirira, zvakadai saZoloft (sertraline); uye anti-schizophrenia zvinodhaka, zvakadai seSeroquel (quetiapine)
- Zvigadzirisiti, zvakadai saValium (diazepam)
- Hormonal mishonga yekurapa kenza yeprostate, yakadai seEulexin (flutamide) uye Lupron (leuprolide)
- Propecia (finasteride), iyo inoshandiswa kurapa prostate yakawedzerwa uyewo mamwe marudzi evanhu vanorasikirwa nevhudzi
- Zvirwere zvinosanganisira zvirwere zve histamine H2-receptor, zvakadai seTagamet (cimetidine) uye Zantac (ranitidine)
- Antihistamine iyo inoshandiswa kurapa mishonga, yakadai seBenadryl (diphenhydramine) uye Vistaril (hydroxyzine)
- Mishonga inorwisa mabhakitiriya ekurapa zvirwere zvakashata zveganda, zvakadai seNizoral (ketoconazole)
- Nonsteroidal anti-inflammatory drugs (NSAIDs), dzakadai seNaprosyn (naproxen), kana dzakatorwa kakawanda
Kushungurudzika uye Kuzvidya Mwoyo
Dzimwe nguva murume achaona kushushikana nezvekuita zvepabonde kunodzivisa kukwanisa kwake kugadziriswa, zvichida nekuda kwechiitiko chakaipa chepabonde kana kuitika kwakaitika ED. Saizvozvowo, kana murume nemumwe wake vari kutambudzika muukama hwavo, kushungurudzika mupfungwa uye mupfungwa kunogona kutora mararamiro ekuita zvepabonde.
Surgery
Kuvhiyiwa chero kupi zvayo kunosanganisira zvivako nzvimbo inopisa inogona kukanganisa mitsipa uye / kana mishonga yeropa mupenisi, iyo iyo inogona kukanganisa kukwanisa kwevanhu kugadziriswa kana kuchengeta imwe. Imwe nzira yakajairika inobatanidza neEED inobata kurapa kurapa kenza yeprostate , iyo inonzwisisika inopa kuti pedo nepenis prostate iripo.
Imwe nzira yekuvhiya iyo dzimwe nguva inowedzera dambudziko rekusagadzikana ndekwechidziro chekugadzirisa mishonga yekurapa kanzira inorwara, umo chikamu chemukati wakakura (colon) inobviswa chirwere pamwe nechomuviri. Zvimwe zvakasiyana-siyana zveyizvi zvinowanzoita kuti ED:
- Kuruboshwe hemicolectomy (kubviswa kwechikamu chekuruboshwe chekoni)
- Abdominoperineal resection (kubviswa kwe rectum uye anus)
- Proctectomy (kubviswa kwe rectum)
Mune zvimwe zviitiko zve ED zvinokonzerwa nekuvhiyiwa kwepamuviri, dambudziko rinobva pakurasikirwa kwekunzwa kweganda. Mune vamwe, sacral reflex (iyo inopindurwa motokari inodzora zvose zvakagadzirwa nemafuta anonzi sphincter nemisumbu yepasi pepadvic) inobatwa. Zvakare, kushungurudzika kuburikidza nekuvhiyiwa kukuru kunogona kukonzera kushushikana kunopindira zvakananga nekuita zvepabonde.
Kukuvadza
Kukuvadzwa nemisungo, arteri, kana mitsetse yemapapu ine simba rekukonzera zvinetso zvepabonde. Varume vane kukuvara kwemutsipa wepelinha vakawedzera matambudziko erectile uye ejaculatory, somuenzaniso. Zvisinei, kukuvara kwemutsipa musana hazvirevi basa repabonde. Vamwe vanhu vane zvizere zvakakwana zvekuputika kwepaupa vanowanzosangana nekukwirirana uye kunotsvaga kubva kune isiri yekusangana kwepabonde. Mukuwedzera, chido uye kufarira hazviiti kuti zvigadziriswe nemusana wechipfupa.
Zvirwere uye Mamiriro
Zvakare, ED haigoni kuitika ari oga. Inowanzova mugumisiro wehumwe hutano huno hanya.
Chirwere cheshuga uye Mwoyo Wezvirwere
Erectile kudzvinyirira kunowanzoonekwa pakati pevarume vane chirwere cheshuga chechipiri uye chirwere chechirwere cheshuga. Chidzidzo che2017 muna Diabetes Medicine chakawana kuti inopfuura hafu yevarume vane chirwere cheshuga vanoita ED . Chikonzero: Ipamusoro-soro yehuga yega yega inokonzerwa nechirwere cheshuga inokuvadza mitsipa yeropa uye noutsi mumuviri wose, kusanganisira avo vari muchirume.
Kana munhu akave ane chirwere cheshuga kwenguva refu, zvinowanzoitika kuti achakudziridza ED, kunyanya kana mazinga ake eglucose asina kutevedzwa zvakanaka. Zvinetso zvehutachiona hwemwoyo zvakadai sokukwirira kweropa uye cholesterol yakakwirira zvakare inogona kuita basa mukushaya simba. Murume ane chirwere cheshuga uyo anosvuta zvakare anowedzera dambudziko rake rekuvandudza ED.
Chirwere chepfungwa uye chirwere cheshuga chinowanzobatana pamwe chete nokuti chirwere chetachiona chinokuvadza chinetso chechirwere cheshuga pamwe chete. Coronary artery chirwere chinogona kukanganisa kuita zvepabonde pachako, asi erectile dysfunction inowanikwa kasere nepamusoro pavarume vanotambura nezvose zvinokonzera chirwere chirwere (CAD) uye chirwere cheshuga kupfuura varume vane chirwere cheshuga pasina kuwedzerwa kweCAD. Erectile kudzvinyirira yakapararira mune zvose zvirwere zvechirwere zvirwere uye chirwere cheshuga icho chinogona kuonekwa sechinetso chezvose.
Hypertension
Tichifunga kuti kuiswa kunoenderana neruzivo rwakakwana rwemumvura kusvika kuchirume, zviri nyore kuona kuti chero mamiriro ezvinhu kana dambudziko rezvechiremba rinosangana nemwoyo uye zvimwe zvivako mumoyo yehutano zvinogona kuva nemigumisiro ye erectile basa. Izvi zvinonyanya kukosha kuwedzerwa kweropa (hypertension).
Kunyange zvazvo masayendisiti asinganzwisisi kuti sei chirwere ichi chinogona kutungamirira kuD ED, imwe pfungwa ndeyekuti kukwirira kwepfungwa kunowanikwa mumidziyo miduku yepenisi kunogona kukonzera misodzi microscopic kumadziro emadziro. Muchigadziriro chekugadzirisa misodzi iyi, mitsetse inova yakaoma uye inogona kukwanisa kugovera ropa rinodikanwa kumapongonya, erectile tishu dzepenisi.
Zvimwe zvinogona kuita zvinhu muudzvinyiriri zvinogona kuita basa mu ED:
- Kugadziriswa kwekugadzirwa kwehomoni: Kuwedzerwa kwemaitiro mukati mehutachiona hunochinja hutachiona hwemamwe mahomoni, kusanganisira izvo zvinodzora zvekuita zvepabonde uye erection response. Ikoko kunewo humwe uchapupu hwokuti varume vane huwandu hwehutachiona hwepamusoro vane huwandu hwemajeri ehurume uye mazinga e testosterone kupfuura varume vane chirwere chemazuva ano, izvo zvinogona kuderedza maitiro ehutoni kune kukurudzira zvepabonde.
- Kuderera kwe nitric oxide: Zvimwe zvidzidzo zvakaratidza kuti nekufamba kwemazuva, varume vane nguva yakareba yeupupuriro yepamusoro vanogona kubudisa zviduku zvemugadziri uyu, izvo zvinoita kuti mutezo weropa udzike (kuwedzera). Erectile kudzvinyirira kunogona kuguma kana pasina nitric oxide yakakwana kuti uwane zvakakwana mishonga yeropa mupenisi uye uite kuti ropa rizadze peni.
- Kuvhiringidzika kwakanyanya: Kuti urambe wakagadzirirwa, ropa rinofanira kupiwa uye rinoramba riri muchirume. Imwe tsvakurudzo inoratidza kuti varume vane huwandu hwemagetsi eropa vanogona kuva nekutambudza kuchengetedza erection nokuti kuwedzerwa kunetseka kunokonzera ropa kubva kune erectile tishu zvepenisi uye kusvika mumumota. Muchirevo ichi, "kusundira" pamagetsi mashoma ekuvhara emaketani ane simba kudarika simba remuviri rekudzivirira, kureva kuti mitsetse haigone "kuvhara" zvakasimba zvakasimba kudzivirira ropa kubva pakubuda kwepenisi.
Psychological Conditions
Pane humwe hutano hwepfungwa hunobatanidza nehutano hwehutano hwevanhu pabonde. Kushungurudzika, kuzvidya mwoyo, mushure mekutambudzika kwepfungwa (PTSD), uye kunyange nyaya dzine hasha dzese dzakabatana nematambudziko ane chido, erectile basa, uye ejaculation.
Zvimwe Kunetseka
Kune humwe humwe hutano uye zvirwere zvinogona kuita zvepabonde basa kune varume, zvichiita kuti matambudziko akaita saE ED. Pakati padzo pane:
- Zvinetso zveUrinary uye zveputsvo: Varume vane zviratidzo zvekuvhenekera vave vakaratidzwa kuti vane katatu kuwanda kwematambudziko erectile sevarume vasina ivo. Izvi zvinosanganisira zvinetso zvakadai sechirwere chisina simba, pamwe chete nechezasi kwekuvhenekera zviratidzo.
- Zvirwere Zvisingagoneki Neurological: Kuwedzerwa kwehuwandu hweDD nemamwe marudzi ekusagadzikana kwepabonde kwakaonekwa kune varume vane chirwere chePasinson , chifupa, chirwere, uye multiple sclerosis . Izvi zvinogona kukanganisa zviratidzo zvemasero pakati peuropi nepeni.
Kudzivisa kubatwa nehope (OSA): Maererano neNational Sleep Foundation, chidzidzo che2011 nevatsvakurudzi veMat. Sinai Medical Center muNew York City yakawana kuti varume vane erectile kudzvinyirira vakanga vanopfuura kaviri vangave neOSA kupfuura varume vasina ED.
Lifestyle Factors
Pakati pezvimwe zvinokonzera kukanganisa kwe erectile pane zvishoma zvinogona kubviswa zvachose.
Zvinodhaka zvinodhaka
Nokufamba kwenguva, zvinodhaka zvisingabvumirwi uye zvisingabatsiri zvinogona kukonzera kukanganisa kwakanyanya mumidziyo yeropa, zvichiita kuti pane dzimwe nguva erectile kusagadzikana kusagadzikana. Izvi zvinosanganisira:
- Doro
- Nicotine kubva kusvuta uye fodya isina kusvuta
- Amphetamines, akadai seDextrine (dextroamphetamine)
- Bharbiturates, zvakadai se phenobarbital
- Cocaine
- Marijuana
- Methadone
- Mafiripi, akadai se heroin uye OxyContin
Bhizakoro Riding
Paunenge uchienda mabhasikoro, huwandu hwemunhu hunorema hunogara pane perineum-nzvimbo yemuviri umo mutsara nemidzi yeropa yepenisi inopfuurira-inogona kukonzera kukuvara kune zvivako izvi. Kunyange zvazvo kutasva kwave kuchibatanidzwa nehukama hwakashata erectile, kushandiswa kwechimiro ichi kunowanzova noutano hwakanaka kudarika kukuvadza kune varume vakawanda.
Kune chimwe chinhu, zvidzidzo zvakawanda zvakawana kuwirirana pakati pengoro yebhazi uye ED yakanyanya kuvarume vanopedza maawa akawanda vachiona bhasikoro, sevarume vanopedza akawanda maawa makumi maviri nevhiki pavanotasva, uye avo vanoita kwenguva refu mabheji varaidzo kana vashandi. Ichokwadi, maererano neMassachusetts Male Aging Study (MMAS), kuongororwa kwevarume vanopfuura 1 700 pakati pemakore makumi mana nemakumi manomwe, "maawa matatu emabhasikoro evhiki vangave eine kukanganisa kukanganisa arteri nekukuvara kwenguva refu . " Izvo zvinopfuura kukwira kupfuura munhu anowanzopfuura anotarisa kuawa, asi migumisiro chinhu chimwe chaunofunga pamusoro kana iwe uchikwira kwenguva refu.
Zvakakosha kuziva kuti MMSA yakaratidzawo kuti varume vaifamba kwemaawa matatu kana maawa mashoma pavhiki vaiva nehuwandu hwekugadzira ED, zvichiratidza bhasikoro kutasva sechimiro chekurovedza muviri kunogona kubatsira kudzivirira kuora kwemarectile.
Bhasikoro yako chigaro inogona kukoshesa zvakare. Kune zvipfeko zvine gomba kana groove pasi nepakati apo perineum yaizozororazve, asi chikamu chinokosha chechi ino chinoramba chiri pasi pehutano hwemuviri paunenge uchishandisa. Kutsvakurudza kwakawana kuti "zvisizvo-ziso" zvigaro, zvine rutivi rwakaperera kumapfupa akagara kuti agarepo, zvinogona kubatsira kudzivirira kukanganisa, nguva dzose kushaya simba, uye matambudziko erectile basa.
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