Ukuhlonza ukungasebenzi kahle kwe-erectile: Ukuhlolwa nezinyathelo ezilandelayo

Imfundo Yezempilo

Uma ucabanga ukuthi une-erectile dysfunction (ED), ukuhlolwa ngokomzimba nengxoxo ngomlando wakho wezokwelapha konke udokotela wakho kudingeka akwenze ukuxilongwa futhi ancome uhlelo lokwelashwa. Uma udokotela wakho ecabanga ukuthi isimo sempilo esiyimbangela singadala i-ED yakho, ungadinga ukuhlolwa okwengeziwe okubandakanya: ukuhlolwa kwegazi, ukuhlolwa komchamo (urinalysis), i-ultrasound, noma ukuhlolwa kwengqondo.

Izindaba ezinhle ukuthi uma usutholakele, amacala amaningi e-ED ayelapheka, uma kungenakwelapheka ngokuphelele.

Yini ebangela ukungasebenzi kahle kwe-erectile?

Ukungasebenzi kahle kwe-Erectile, okwaziwa nangokuthi ukungabi namandla, ukungakwazi ukufeza noma ukugcina ukwakhiwa. Uma uhlangabezane nezinkinga zokwakhiwa, awuwedwa. Abantu abangaphezu kwezigidi ezintathu e-U.S. Batholakala bene-ED minyaka yonke.

Ukuvuswa kocansi kuyinkimbinkimbi. Isizathu esisodwa sokuthi i-ED ithinte abantu abaningi kakhulu kungenxa yokuthi ziningi izimbangela zokungasebenzi kahle ngokocansi: indlela yokuphila, imizwa, ezokwelapha kanye nezomzimba.

Izici zobungozi bokuphila nezimbangela zokungasebenzi kahle kwe-erectile:

• ubudala
• ukusetshenziswa kotshwala
• ukungasebenzi noma ukungawuvivinyi umzimba
• ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile
• ukubhema

Izimbangela ezingokwengqondo nezingokomzwelo zokungasebenzi kahle kwe-erectile:

• ukucindezeleka
• ukukhathazeka okujwayelekile
• ukukhathazeka kokusebenza
• ukudana
• izinkinga zobudlelwano
• ukuzizwa unecala ngokuya ocansini noma ngezenzo ezithile zocansi
• ukuzenyeza
• ukungabi nesifiso sobulili

Izimo zezokwelapha ezingaphansi ezingadala i-ED:

• isifo senhliziyo (isifo senhliziyo)
• isifo sikashukela
• ukulimala okuvela ekwelashweni komdlavuza wendlala yabesilisa, kufaka phakathi ukwelashwa ngemisebe nokuhlinzwa kwendlala
• ukulinyazwa kwepipi, i-prostate, isinye, noma i-pelvis
• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• i-cholesterol ephezulu (hyperlipidemia)
• amazinga aphansi e-testosterone
• isifo sesibindi noma sezinso
• i-multiple sclerosis
• ukulimala kwemizwa
• izimo ze-pituitary gland
• Isifo sikaPeyronie
• ukukhishwa ngaphambi kwesikhathi
• ukulimala komgogodla
• unhlangothi
• ukuhlinzwa komdlavuza wesinye
• ukulimala kwemizwa

Imithi yomlomo lokho kungadala i-ED:

• imishanguzo kanye neminye imithi yezengqondo
• imithi ye-antihistamine
• isisu (amaphilisi amanzi)
• imishanguzo yomfutho wegazi ophezulu, ikakhulukazi ama-thiazide nama-beta blocker
• imithi ye-hormonal
• ama-opiates afana ne-fentanyl ne-codeine
• Imithi yesifo sikaParkinson
• izidakamizwa zokuzijabulisa okubalwa kuzo insangu ne-cocaine

Impilo yezocansi ingaba nzima. Kubalulekile ukuthi uvuleke futhi unemininingwane lapho ukhuluma nodokotela, kungaba udokotela womndeni wakho noma uchwepheshe ofana nodokotela womchamo.

Ziyini izimpawu zokuqala zokungasebenzi kahle kwe-erectile?

• Uyakwazi ukuthola ukwakheka kwesinye isikhathi, hhayi njalo lapho ufuna ukuya ocansini.
• Uyakwazi ukuthola ukwakhiwa, kepha awukwazi ukukugcina isikhathi eside ngokwanele ukuba wenze ucansi.
• Awusoze wakwazi ukufeza ukwakhiwa.

Lezi zimpawu zingavela ngokuzumayo , noma ukukhula kancane kancane. Lapho i-ED ngokuzumayo, kungenzeka ukuthi ibangelwa umuthi noma intshisekelo yengqondo njengokucindezeleka noma ukudangala. Lapho izimpawu zikhula kancane kancane, kungenzeka ukuthi zibangelwa ukugeleza kwegazi noma inkinga yezinzwa.

OKUSHIWO: Umhlahlandlela wokugcina wokungasebenzi kahle kwe-Erectile

Kusebenza kanjani ukuvinjelwa okunempilo?

Umthondo ugcwele imithambo yegazi. Lapho uvuswa ngocansi — ngokuvuselelwa kwengqondo noma kwezinzwa — ubuchopho bakho buthumela imiyalezo ngezinzwa emithanjeni yegazi nemisipha ye-corpora cavernosa, ikamelo elisendondeni, ukuze uphumule.

Lapho imithambo yegazi ikhululeka futhi ivuleka, igazi ligijimela ngaphakathi ukugcwalisa izikhala. Leli gazi lidala ingcindezi ku-corpora cavernosa, enweba ipipi ukudala ukwakhiwa.

Ulwelwesi oluzungeze i-corpora cavernosa lubamba igazi ethangeni. Le yindlela okwakhiwa ngayo i-penile erection.

Lapho ukwakhiwa kuyeka, kungenxa yokuncipha kwemisipha epeni. Lokhu kumisa ukugeleza kwegazi, futhi kubangela ukuphuma kwalo.

Ungakuthola kanjani ukungasebenzi kahle kwe-erectile

Kungenzeka ukuthi uzihlolisise ukungasebenzi kahle kwe-erectile. Kepha, ukuxhumana nodokotela wakho jikelele noma i-urologist kungasiza ekuboneni imbangela ethile yezimpawu zakho, futhi kunqume ukwelashwa okufanelekile kunakho konke ngempilo yakho nomlando wezokwelapha.

Isibonelo, uma ukucindezeleka noma ukukhathazeka kubangela ukungasebenzi kahle kwe-erectile, udokotela wakho angancoma ukwelulekwa njengolayini wokuqala wokwelashwa. Uma inkinga yezempilo eyisisekelo — njengesifo sikashukela — ibangela i-ED yakho, udokotela wakho angakunika inhlanganisela yemithi nezinguquko zendlela ophila ngayo.

Ukuhlonza kahle isimo sakho, udokotela wakho kungenzeka enze ukuhlolwa komzimba abuze ngomlando wakho wezokwelapha, umlando wakho wezocansi, noma ubuhlobo bakho nomlingani wakho wezocansi. Kwezinye izimo, ukuhlolwa okwengeziwe kuyadingeka.

Umlando wezokwelapha

Udokotela wakho uzobuza imibuzo eminingi ukuze aqonde kangcono futhi abone imbangela eyinhloko ye-ED yakho. Ngokwesibonelo:

• Ingabe njengamanje uthatha noma imiphi imithi noma izithako ezithengiswa ekhawunteni? Uma kunjalo, yiziphi?
• Ingabe unazo izifo ezingalapheki?
• Uyaphuza utshwala noma uyabhema?
• Uvivinya kangaki umzimba?
• Yini imvamisa noma ubude be-erections yakho?

Ukuhlolwa ngokomzimba

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzolalela inhliziyo yakho futhi ahlole umfutho wegazi lakho ukuthola noma ikuphi ukungajwayelekile, okufana nokububula kwenhliziyo, okungathinta ukugeleza kwegazi kuya ethangeni.

Udokotela wakho uzohlola amasende akho nomthondo wakho ukuthola izimpawu ze-testosterone ephansi. Le hormone yesilisa ibalulekile ekufezeni ukwakhiwa, futhi izimpawu zomzimba — njengamasende amancane noma ukulahleka kwezinwele — zingakhombisa inkinga yehomoni.

Ngokwengeziwe, udokotela wakho angaqhuba ukuhlolwa kwamakholomu edijithali ukuhlola indlala yesinye ukuthola izimpawu zokutheleleka noma umdlavuza, zombili izimbangela ezingaba khona ze-ED. Udokotela wakho futhi angahlola ukucabanga kwakho ukuze ahlole noma yiziphi izinkinga zemizwa. Sekukonke, ukuhlolwa komzimba kufanele kuthathe imizuzu eyi-10 kuye kwengu-15.

Kungazizwa ungakhululekile ukuthola ukuhlolwa komzimba, kepha khumbula ukuthi udokotela wakho unguchwepheshe oqeqeshiwe futhi ozokusiza. Lapho udokotela wakho azi ngokwengeziwe, ukwelashwa kwakho kungaba ngcono.

Ukuhlolwa kwegazi

Ukuze unqande isifo senhliziyo nemithambo yegazi noma isifo sikashukela, udokotela wakho angasebenzisa nokuhlolwa kwegazi nokuhlolwa komchamo (urinalysis), ukuhlola amazinga akho e-testosterone, cholesterol, ushukela wegazi, kanye namazinga e-triglyceride.

I-Ultrasound

Ngokuvamile kwenziwa nguchwepheshe, i-ultrasound inqubo elula engasiza ekuboneni noma yiziphi izinkinga zokugeleza kwegazi endodeni yakho.

Ukuhlolwa kwengqondo

Udokotela wakho angabuza imibuzo ngempilo yakho yengqondo ukuze ahlole ukucindezeleka, ukucindezeleka nokukhathazeka, njengoba konke lokhu kungaphazamisa ukusebenza kwe-erectile.

Ukuhlolwa kwe-penile tumescence (NPT) ebusuku

Lokhu ukuhlolwa iyasiza ikakhulukazi uma kungacaci ukuthi ukungasebenzi kahle kwakho kwe-erectile kuvela ezimbangela zomzimba noma ezingokwengqondo.

Empeleni, ukuhlolwa kwe-NPT kuqapha ama-erections ngenkathi ulele. Izilungiso ngenkathi ulele zivamile futhi zivamile. Uma une-erection engazibandakanyi ngesikhathi sokulala, imbangela ye-ED yakho kungenzeka ibe ngokomzwelo kunokuba ibe ngokomzimba. Uma ungafinyeleli ukuvuswa lapho ulele, kungakhombisa imbangela engokoqobo.

Ungazihlola kanjani ukungasebenzi kahle kwe-erectile

Ukuhlolwa kwesitembu se-NPT

Lokhu ukuhlolwa kwasekhaya, ubuchwepheshe obusezingeni eliphansi lobusuku be-penile tumescence (NPT) ukuthola ukuthi uthola yini ukwakhiwa ngesikhathi sokulala okujwayelekile.

Faka isiqeshana sezitembu zokuposa ezizungeze isisekelo sowesilisa ngaphambi kokulala. Umucu kufanele ukhululeke ngokwanele ukuze izitembu zehlukane uma ulungiswa. Kufanele ulale ngomhlane ukuze ugweme ukudwengula noma ukuphazamisa izitembu ngengozi.

Ekuseni, uma umucu wephukile, kusho ukuthi ube nokwakhiwa ebusuku, okukhombisa ukuthi ukwakhiwa kungenzeka ngokomzimba. I-ED yakho kungenzeka ukuthi ibangelwa izingqinamba ezingokwengqondo. Uma izitembu zingaguquki, zingakhombisa imbangela yangempela.

Ukuze uthole imiphumela emihle, yenza isivivinyo okungenani ubusuku obuthathu ngokulandelana.Uma usola u-ED, ungahle uthande ukubona udokotela ukuze akuqinisekise.

Ngabe urologist ubheka kanjani ukungasebenzi kahle kwe-erectile?

Udokotela wezifo zomchamo ungudokotela ogxile ohlelweni lokuzala lwabesilisa nezifo zomgudu womchamo.

Imvamisa udokotela wakho womndeni ojwayelekile angakusiza ukwenza zonke izivivinyo ozidingayo ukuxilonga nokwelapha i-ED. Kodwa-ke, akuvamile ukuthi udokotela ojwayelekile athumele iziguli ezinokungasebenzi kahle kwe-erectile kuchwepheshe we-urology ukuze ahlolwe kabanzi. Ezinye iziguli zicela ukubona udokotela we-urologist zisuka, ngoba zizizwa zikhululekile ukukhuluma nomuntu ogxile kwezempilo yamadoda.

Zilungiselele ukuphendula imibuzo efanayo ku-urologist wakho njengoba ungenza umhlinzeki wakho wokunakekelwa kwezempilo ojwayelekile, kufaka phakathi imininingwane ngomlando wakho wezokwelapha nezimpawu zakho.

Noma nini lapho uvakashela udokotela, kuhlale kungumbono omuhle ukuletha uhlu lwemibuzo okufanele uyikhumbule ukuyibuza, njenge:

• Ingabe lesi simo esesikhashana?
• Kubangelwa yini?
• Yiziphi izinketho zokwelashwa?
• Kuze kube nini ngibona ngcono?
• Ingabe ikhona imiphumela engemihle ekwelashweni?

Ukwelapha ukungasebenzi kahle kwe-erectile

Udokotela wakho uzoncoma ukwelashwa okungcono kakhulu kuwe, ngokuya ngesizathu se-ED yakho. Lokhu kungaba ushintsho lwendlela yokuphila, imithi kadokotela, izindlela zokwelapha zemvelo, noma inhlanganisela.

Lezi yizindlela zokwelashwa ezivame ukunconywa kakhulu zokungasebenzi kahle kwe-erectile.

Imithi yomlomo yokwelapha i-ED

• sildenafil ( I-Viagra )
• tadalafil (I-Adcirca, I-Cialis )
• vardenafil (ILevitra, iStaxyn)
• i-avanafil ( Stendra )

Izinguquko zendlela yokuphila

• ukunciphisa ukusetshenziswa kwezidakamizwa notshwala okungekho emthethweni
• ukuyeka ukubhema
• ukuncipha
• ukuvivinya umzimba okwandayo
• ukuzindla
• ukusebenza ngezinkinga zobudlelwano
• ukunciphisa ukucindezeleka

Ukwelashwa kwemvelo

• ukwelashwa ngokomzwelo
• ukutshopa
• amavithamini nezithako

OKUhlobene : Umhlahlandlela Wokwelashwa Kwemvelo Nemithi yokwelashwa kokungasebenzi kahle kwe-Erectile

Ezinye izinketho

• ukufakwa kwe-penile kanye nama-vacuum
• ukwelashwa kwe-testosterone hormone
• imijovo ye-penile noma ama-suppositories ( alprostadil )

Ukungasebenzi kahle kwe-Erectile kuyelapheka ngokwelashwa okufanele. Kungathatha ukulinga nephutha ukuthola ukuthi yini okukusebenzela kangcono, kepha kungenzeka kakhulu ukuthi uzobuya uthokozele umsebenzi wezocansi onempilo ngesikhathi esithile.