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Izibalo zokungasebenzi kahle kwe-Erectile 2021

Izindaba

Ukungasebenzi kahle kwe-Erectile kuthinta impilo yezocansi yamadoda amaningi emhlabeni wonke futhi kungenza impilo enempilo yocansi ibe nzima. Ukuqonda ukuthi kuyini ukungasebenzi kahle kwe-erectile kungaba yisinyathelo sokuqala esihle sokufuna ukwelashwa ngakho. Ake sibheke ezinye izibalo zokungasebenzi kahle kwe-erectile neminye imibuzo ebuzwa njalo mayelana nalesi simo.

Kuyini ukungasebenzi kahle kwe-erectile (ED)?

Ukungasebenzi kahle kwe-Erectile (ED) ukungakwazi ukuthola nokugcina ukwakhiwa okuqinile ngokwanele ukuya ocansini. Abesilisa abathola i-ED banciphise ukugeleza kwegazi kuya endondeni, okungabangelwa izinto eziningi kusuka kumiphumela emibi yezidakamizwa kuye ukucindezeleka noma umfutho wegazi ophakeme.

Nazi izimpawu ezivame kakhulu ze-ED:

Kunzima ukuthola ukwakhiwa
Kunzima ukugcina ukwakhiwa
Intshisekelo eyehlisiwe kwezocansi
Ukuzenyeza

Uma lezi zimpawu zikhona, kudokotela ingahlola umuntu one-ED. Udokotela angenza ukuhlolwa ngokomzimba futhi acele umlando ophelele wezokwelapha. I-ED ingaba uphawu oluyisixwayiso lwezimo ezibucayi ezibucayi ezifana nesifo senhliziyo, ngakho-ke udokotela angayalela ukuhlolwa kwegazi ukuhlola ezinye izinkinga zezokwelapha.

OKUSHIWO: Ukuhlonza ukungasebenzi kahle kwe-erectile

Kuvame kangakanani i-ED?

Ukusabalala komhlaba wonke kokungasebenzi kahle kwe-erectile kulindeleke ukuthi kukhuphuke kuye kwabesilisa abayizigidi ezingama-322 ngonyaka ka-2025. ( Ijenali Yomhlaba Wonke Yocwaningo Lokungabi Namandla , 2000)
I-ED ithinta abesilisa ababalelwa ezigidini ezingama-30 e-United States. ( Umbono Wamanje ku-Nephrology ne-Hypertension , 2012)
I-1 emadodeni ayi-10 kulinganiselwa ukuthi ine-ED ngesikhathi esithile empilweni yayo. (Umtholampilo waseCleveland, 2019)
Kokunye ukuhlola kwamazwe ayisishiyagalombili, i-U.S. Inezinga eliphakeme kakhulu lokuzibika kwe-ED (22%). ( Ucwaningo Lwanamuhla Lwezokwelapha Nemibono , 2004)
ISpain inesilinganiso esiphansi kunazo zonke se-ED (10%) esizimele. ( Ucwaningo Lwanamuhla Lwezokwelapha Nemibono , 2004)

Izibalo zokungasebenzi kahle kwe-Erectile ngokweminyaka

I-ED ithinta cishe i-10% yamadoda eminyakeni eyishumi yokuphila. Isibonelo, ama-50% wamadoda aneminyaka yawo-50 athinteka yi-ED. (IYunivesithi yaseWisconsin Health, 2019)
Abesilisa abadala kunama-40 banamathuba aphindwe kathathu okuthola i-ED ephelele kunamadoda amancane. ( Ijenali ye-Urology, 1994)
I-ED ayijwayelekile kangako kepha iyanda ezinsizweni. Phambilini bekukholelwa ukuthi kuphela i-5% kuya ku-10% yamadoda amancane kunama-40 ahlangabezana ne-ED. Kepha ucwaningo lwamuva nje lukhombisile ukuthi i-ED ibivame kakhulu kuma-26% wamadoda amancane kunama-40. (IBoston University School of Medicine, 2002) ( Ijenali Yezokwelapha , 2013)
Ukuphuma ngaphambi kwesikhathi kuvame kakhulu emadodeni amancane kunamadoda amadala. ( I- Ijenali Yezokwelapha , 2013)

Izibalo zokungasebenzi kahle kwe-Erectile ngamandla

Awukwazi ukucwaninga izibalo ze-ED ngaphandle kokufunda ngeMassachusetts Male Aging Study (MMAS) yango-1987-1989. Kubandakanya abantu abangu-1,290, i-MMAS kwakuyisifundo esibanzi kakhulu se-ED kusukela ngo-1948. Isilinganiso esisodwa se-ED esifundweni kwakuwukuqina kokungabi namandla. Nayi imiphumela:

Noma yiliphi izinga lokungabi namandla: ama-52% ezifundo
Amandla amancane: 17% yezifundo
Abangenamandla ngokulingene: ama-25% ezifundo
Amandla angenamandla ngokuphelele: i-10% yezifundo

(Ijenali ye-Urology, 1994)

Qaphela: Ocwaningweni lwakamuva,I-ED enzima yayivame kakhulu emadodeni amancane (49%) kunamadoda amadala (40%). ( I- Ijenali Yezokwelapha , 2013)

Izibalo zokungasebenzi kahle kwe-Erectile ngesizathu

I-ED ihlobene nemithi ku-25% yeziguli emitholampilo yokugula. Imishanguzo yengcindezi yegazi yiyona eyimbangela evame kakhulu ukwelashwa okubangelwa i-ED . (IBoston University School of Medicine, 2002)
Isifo se-Vascular yisona sizathu esivame kakhulu se-ED yemvelo, ne-64% yezinkinga ze-erectile ezihambisana nokuhlaselwa yinhliziyo kanye ne-57% ehlotshaniswa nokuhlinzwa ngokudlula. (IBoston University School of Medicine, 2002)
Ama-35% kuya kuma-75% wamadoda anesifo sikashukela nawo azobhekana ne-ED. (IBoston University School of Medicine, 2002)
Kufika kuma-40% wamadoda anokwehluleka kwezinso anezinga elithile le-ED. (IBoston University School of Medicine, 2002)
U-30% wamadoda ane-COPD akanamandla. (IBoston University School of Medicine, 2002)
Ukubhema ugwayi nokusebenzisa izidakamizwa ezingekho emthethweni kwakuvame kakhulu kwiziguli ze-ED ezisencane. ( I- Ijenali Yezokwelapha , 2013)
Ukukhuluphala nesifo sikashukela kubhekene namacala ayizigidi eziyi-8 e-ED. ( IsiPolish Merkuriusz Lekarski , 2014)
Iningi (79%) lamadoda ane-ED likhuluphele ngokweqile (BMI ka-25kg / mezimbilinoma ngaphezulu). ( IsiPolish Merkuriusz Lekarski , 2014)

	I-BMI
Ukhuluphele	<18.5 kg/mezimbili
Isisindo esijwayelekile	18.5-24.9 kg / mezimbili
Ukhuluphele ngokweqile	25-29.9 kg / mezimbili
Ukhuluphele	≥ 30 kg / mezimbili

Ungakwazi ukubala i-BMI yakho lapha .

OKUSHIWO: Izibalo zokukhuluphala ngokweqile nokukhuluphala kwe-2020

Izinkinga ezivamile zokungasebenzi kahle kwe-erectile

Umsebenzi wezocansi ungathinta impilo yomuntu wonke kanye nekhwalithi yempilo. Amadoda amaningi ane-ED angathola ukucindezeleka noma ukuzethemba okuncane ngesikhathi esithile futhi i-ED ingabeka ingcindezi ebudlelwaneni. Amadoda amaningi ane-ED azokhala ngokuthi impilo yabo yezocansi ingaphansi kokugculisayo, okuvame ukuba yisizathu esikhulu sokuthi bafune ukwelashwa.

Amadoda ane-ED ahlangabezana nokuhlaselwa yisifo senhliziyo nemivimbo ephindwe kabili (6.3%) uma kuqhathaniswa namadoda angenayo i-ED (2.6%). (I-American Heart Association, 2018)
Abantu abanokucindezeleka banengozi eyengeziwe ye-39% yokuthuthukisa i-ED. ( I- Ijenali Yezokwelapha , 2018)
Ukuba ne-ED futhi kwandisa ingozi yokudangala nge-192%. ( I- Ijenali Yezokwelapha , 2018)
Abantu abane-ED cishe cishe kathathu amathuba okuthola ukucindezeleka kunabo abangenayo i-ED. ( I- Ijenali Yezokwelapha , 2018)
Ukukhubazeka ngokocansi kukhona kuma-20% kuya ku-25% wemibhangqwana engazali. (Iqembu lezokwelapha labalingani bokuzala, i-2020)
I-1 emadodeni angama-6 angenanzalo athinteka yi-ED noma i-ejaculation ngaphambi kwesikhathi. ( Ukubuyekezwa Kwemvelo Urology , 2018)

Izindleko zokungasebenzi kahle kwe-erectile

I-Phosphodiesterase5-inhibitors (PDE5-Is) efana ne-Viagra iyindlela yokwelashwa enconyelwe i-ED, kepha le mithi ngeke isebenze ezigulini ezingama-40%, ngokusho kwe- Ijenali ye-Urology. Ezinye izindlela zokwelashwa zifaka imijovo, amadivayisi we-vacuum, kanye nokufakwa kwe-penile.

Ikota kuphela yamadoda ane-ED empeleni athola ukwelashwa. ( Ijenali Yezokwelapha, 2014)
Indoda e-1 kwamane efuna ukwelashwa kwe-ED incane kune-40. Ijenali Yezokwelapha , 2013)
Ukuchitha imali ngezidakamizwa ezintathu ezaziwa kakhulu ze-ED (i-Viagra, i-Levitra, ne-Cialis) kungaphezu kwe- $ 1 billion emhlabeni wonke minyaka yonke. ( I-Clinical Pharmacology kanye ne-Therapeutics , 2011)
Ngenkathi i-PDE5-Ingama-37% kuphela wezindleko eziphelele zonyaka zazo zonke izinsizakalo ezihlobene ne-ED. Izindleko ezingeziwe zifaka ukuqokwa kukadokotela, izinqubo zokuxilonga, ukwelashwa kwamahomoni, njll. Ijenali ye-Urology , 2005)
Amaphilisi e-ED afana neViagra (PDE-5 inhibitors) abenezindleko eziphansi kunazo zonke ngonyaka ngesiguli ngasinye. Isiguli ngasinye esine-ED sisebenzise cishe u- $ 120 ngonyaka ngonyaka we-2001 ekwelashweni. ( Ijenali ye-Urology , 2005)
Uma imishanguzo ye-ED ihluleka, ukuhlinzekwa nge-penile prosthesis kuyindlela yokwelapha engabizi kakhulu ye-ED esikhathini eside. Yize zingabiza ngaphezulu kwama- $ 20,000, umshwalense kanye neMedicare ngokuvamile kumboza okufakwa kwi-penile. (Coloplast) ( Ijenali ye-Urology, 2018)

OKUSHIWO: Ngabe umshwalense uyayifaka i-viagra?

Ukwelapha ukungasebenzi kahle kwe-erectile

Imithi kadokotela imvamisa iyona Uhlobo lokuqala lwenketho yokwelashwa ye-ED . Nazi ezinye zezidakamizwa ezivame kakhulu ezingakhuphula umsebenzi we-erectile:

I-Viagra ( i-sildenafil citrate )
I-Cialis ( tadalafil )
I-Levitra ( vardenafil HCl )

Kodwa-ke, ukusebenza kahle kwale mithi kuncike kumsuka we-ED. I-Sildenafil ne-tadalafil isebenza, ngendlela efanayo, ukukhulisa imithambo yegazi nokukhulisa ukugeleza kwegazi kuye endondeni, kusho uLeann Poston, MD, obambe iqhaza Impilo ye-Ikon . Uma imbangela ye-ED kungengenxa yokuntuleka kokugeleza kwegazi ukuya endondeni, akukho muthi ozosiza.

Ngokwengeziwe, imbangela yomzimba ye-ED (okungukuthi, umfutho wegazi ophezulu) ingalimaza imithambo yegazi ngokwanele kuze kube seqophelweni lokuthi imishanguzo ye-ED ngeke isebenze. Uma imithambo yegazi emincane ilimele ngenxa yomfutho wegazi ophakeme, i-cholesterol ephakeme ye-LDL, noma isifo sikashukela, le mikhumbi ngeke iphendule kahle kule mithi futhi abesilisa ngeke babike nzuzo, kusho uDkt Poston.

UDkt Poston uyanezela ukuthi ngokuhamba kwesikhathi, le mithi ingalahlekelwa ukusebenza kwayo ngenxa yokulimala okuqhubekayo emithanjeni yegazi emincane. Ukhombe izifundo ezimbili ukusekela lokhu:

Phakathi kuisifundo seminyaka eminekwe-sildenafil kuqhathaniswa ne-placebo:

Cishe i-4% yamadoda iyekile ukwelashwa ngenxa yesigameko esingesihle (umphumela wecala).
Cishe i-6% iyekile ukwelashwa esifundweni seminyaka emine ngoba umuthi ubungasebenzi.

( Ukwelashwa Nokulawulwa Kobungozi Emtholampilo , 2007)

Ku-esinye isifundo:

Cishe amakota amathathu (74%) amadoda abike ukuthi iViagra ibasebenzele.
Eminyakeni emithathu kamuva, ngaphezu kwengxenye yamadoda abuye ahlolwa futhi ayesadla lesi sidakamizwa.
Cishe ama-40% wamadoda asadla lesi sidakamizwa kwakudingeka akhuphule umthamo wawo ngo-50 mg ukufeza ukwakhiwa.
Kuthathe inyanga eyodwa kuya kwengu-18 ukuthi ukwelashwa kulahlekelwe yimiphumela.

( BMJ, 2001)

Odokotela nabaphenyi bahlala befuna izindlela ezintsha zokwelapha i-ED. Nazi ezinye zezindlela zokwelashwa zakamuva ze-ED ezingasebenzela amadoda athile:

Ukwelashwa kweShockwave kungasiza ekwelapheni i-ED ebangelwa yisifo semithambo. Amagagasi ashaqisayo aphansi adlula kwizicubu ze-erectile ukusiza ukukhuthaza ukugeleza kwegazi nokukhula komkhumbi wegazi.
Ukwelashwa kwe-stem cell umjovo wamangqamuzana esiqu ethangeni. Ezinye izifundo ezincane zenziwe ngalokhu, kepha kudingeka olunye ucwaningo ngaphambi kokuba ukwelashwa kube yinto ejwayelekile.
Iplasma enothe ngeplatelet kungasiza ukukhulisa imithambo yegazi emisha futhi kupholise amanxeba, futhi ukwelashwa okucebile kwe-plasma kungasiza ekwelapheni i-ED ngenxa yekhono lokuphulukisa lama-platelet.

Imibuzo nezimpendulo zokungasebenzi kahle kwe-Erectile

Abesilisa banenkinga yokuthola ukwakheka ngasiphi iminyaka?

Abesilisa bangaba nenkinga yokuthola ukwakhiwa besebancane nasebekhulile, kepha amadoda amadala anengozi eyengeziwe yokungasebenzi kahle kwe-erectile. Mayelana Ezine. Ezinhlanu% yamadoda aneminyaka engu-65 kuya ku-74 athuthukisa i-ED.

Kuvame kangakanani ukungasebenzi kahle kwe-erectile kuma-20s akho?

Ukungasebenzi kahle kwe-Erectile akuyona into ejwayelekile emadodeni amancane ukuzwa; kuthinta cishe ikota (26%) yamadoda angaphansi kweminyaka engama-40. Olunye ucwaningo lukhombisile ukuthi ukusabalala kwe-ED kuba kuphela 8% kwabesilisa abaneminyaka engama-20 kuya kwengama-29.

Yini imbangela enkulu yokungasebenzi kahle kwe-erectile?

Ngenkathi i-ED uqobo ngokuyinhloko ingumphumela wokushoda kokugeleza kwegazi ukuya endondeni, kunezimbangela eziningi zalesi simo. Isifo senhliziyo, i-cholesterol ephezulu, ukukhuluphala ngokweqile, isifo se-coronary artery, isifo sikashukela, umfutho wegazi ophakeme, isifo se-metabolic, amazinga aphansi e-testosterone, isifo sezinso, nomdlavuza wesibeletho yizinto ezibeka engcupheni kakhulu i-ED.

Uzizwa kanjani umuntu ophethwe ukungasebenzi kahle kwe-erectile?

Indoda enokungasebenzi kahle kwe-erectile ingazizwa izinto eziningi ezahlukene. Isimo ngokuvamile siholela ekuzethembeni okuphansi, imizwa yokungathandeki, ukungathandeki, ukuphoxeka, noma ukungafaneleki. Ukukhuluma nochwepheshe wezempilo yengqondo, uchwepheshe wezokunakekelwa kwempilo, noma ukuthembeka kumlingani wakho wezocansi kwesinye isikhathi kungasiza le mizwa ukuba ihambe.

Ingabe ukungasebenzi kahle kwe-erectile kuhlala kuze kube phakade?

I-ED iyelapheka futhi ibuyiselwe emuva. Ucwaningo lwango-2014 ku Ijenali Yezokwelapha ithole isilinganiso se-29% sokuxolelwa kwabesilisa abane-ED. Buza uchwepheshe wezempilo wamadoda noma i-urologist ngemithi nokushintsha kwendlela yokuphila okungathuthukisa ukusebenza kocansi.