Patientaya daga cikin masu haƙuri daga cikin huɗu tare da sabon cututtukan da aka gano na rashin ƙarfi shine hoton saurayi mai ban tsoro daga aikin asibiti na yau da kullum (2013)

Cutar da aka yi amfani da shi na Erectile (ED) wata ƙira ce a cikin maza a kan shekaru 40, kuma yawan yawan yawan kuɗi ya karu a cikin lokacin tsufa. [1].
Yawancin rubuce-rubuce game da batun ED yana buɗewa tare da irin wannan sanarwa, komai la'akari da la'akari da kowane yawan jama'a ko kabilanci,
na kowane masana kimiyya da nazarin / mai bincike ya kasance, da kuma kowane mujallar kimiyya inda aka wallafa rubuce-rubucen kansu. A wasu kalmomi, mazan da maza suka samu, yawancin fara farawa da ED [2].

A cikin layi daya, a hankali ED ya sami muhimmiyar rawa azaman madubin lafiyar lafiyar maza, yana ɗaukar babban mahimmanci a cikin jijiyoyin zuciya
filin [3-6]. Saboda haka, ya tabbata cewa ED ya kai mahimmaci ba kawai a fannin likitanci ba, har ma a fannin lafiyar jama'a, saboda tasirin sa a fannonin zamantakewar rayuwar mutum. Interestarin sha'awar wannan batun ya haifar da ci gaba da yawa
bincikar game da adadi da kuma matsalolin da ke tattare da ED a tsakanin sassan marasa lafiya [7, 8]; a cikin wannan mahallin, mafi yawan bayanai da aka buga sune ma'anar yawancin maza da tsofaffi, kuma musamman ga maza a sama da shekaru 40 [7-9]. Hakika, tsofaffi maza, da tsofaffi, yawanci sukan sha wahala daga yanayin da ba su da magunguna kamar su ciwon sukari, kiba, cututtukan zuciya na zuciya (CVD), da ƙananan cututtukan urinary tract (LUTS) - dukansu sune abubuwan haɗari ga ED [7-12].

Hakanan, haɓakawa da halayen halayyar ED a tsakanin samari sunyi nazari sosai. Bayanan da aka samu a kan waɗannan maza sun nuna yawancin adadin ED wanda ke tsakanin 2% da kusan 40% a cikin kananan yara fiye da shekaru 40 [13-16]. Bugu da} ari, bayanan da aka wallafa, sun jaddada muhimmancin ED a cikin samari, ko da yake wannan takaddama na mutane ba su da alaƙa da raba irin abubuwan da suka shafi kiwon lafiya na tsofaffin maza da suke kokawa game da rashin lalacewa. [15, 16], don haka ya sa mutane su yi imani da cewa wani abu na psychogenic yafi kowa a cikin marasa lafiya marasa lafiya da haɗuwa da haɗuwa ko aikin da ke cikin wucin gadi. [17].

A takaice dai, kusan dukkanin nazarin sunyi rahoton adadin ED dangane da yawancin jama'a, kuma a wannan ma'anar babu wani labari mai amfani
zuwa yau da kullum aikin asibiti; Hakazalika, babu bayanai a fili game da waɗannan marasa lafiya wadanda suke neman taimakon likita a cikin wurin asibiti don matsalar da suka danganci ingancin haɗin su. A wannan hanya, mun nemi yin la'akari da adadi da masu hangen nesa na ED a cikin samari (wanda aka ƙayyade cikakke ≤40 shekarun haihuwa) a matsayin ɓangare na ƙungiyar kwararru na Caucasian-Turai marasa lafiya neman likitoci na farko don yin jima'i a makarantar kimiyya ɗaya.

Sabon farkon ED kamar yadda cutar ta farko aka samo a cikin marasa lafiya 439 (55.6%) daga cikin marasa lafiya 790. Daga cikinsu, 114 (25.9%) sun cika shekaru 40. Tebur 1 cikakkun bayanai game da halayen mutane da kuma bayanan fasali na dukan ƙungiyar marasa lafiya tare da ED, kamar yadda aka rarraba bisa ga yanke hukunci na shekaru 40. A cikin wannan mahallin, marasa lafiya ≤40 shekaru da haihuwa a lokacin da suka fara neman taimakon likita don ED ya nuna
ƙananan ƙananan yanayi (kamar yadda aka zana da CCI), ƙananan ƙimar BMI, ƙananan mutane da BMI suna nuna nauyin kisa da aji ≥1 kiba, ƙananan hauhawar jini da hypercholesterolemia, kuma mafi girma yana nufin tallata tT matakin idan aka kwatanta da wadanda suka fi girma a shekaru 40 (duk P ≤ 0.02). Sabanin haka, ba a lura da bambance-bambance tsakanin ƙungiyoyi dangane da yawan hauhawar jini, MetS, da hypogonadism (Tebur 1). Bugu da ƙari, ƙananan ƙwararruwar ED sun nuna yawan halayen ɗan kishili da jima'i da kuma rashin daidaito na haɓaka (duk P  ≤ 0.02). Babu wani bambanci mai mahimmanci da aka lura gwargwadon matsayin ilimin tsakanin ƙungiyoyi. Significantlyididdigar mafi girma na saurin haɗuwa (ko dai rayuwa ko samu) an lura da shi a cikin ƙananan yara fiye da tsofaffi; akasin haka, cutar Peyronie ta kasance a cikin tsofaffin rukuni (duka P = 0.03), yayin da babu bambance-bambance a cikin yawan ƙananan sha'awar jima'i tsakanin ƙungiyoyin biyu (Tebur 1).

Table 2 ya lissafa magungunan da marasa lafiyar kungiyoyin biyu suka sha, an ware su ta dangin magunguna. Hakazalika, Tebur 2 Har ila yau, cikakkun bayanai game da kayayyakin wasan kwaikwayo da marasa lafiya suka ruwaito
rabuwa da shekaru. Maganin tsofaffi na ED sun karu da yawa
magungunan antihypertensive ga kowane iyali da thiazide
diuretics da lipid-ragewan kwayoyi kamar yadda idan aka kwatanta da maza ≤40 shekaru (duk P 
≤ 0.02). Hakazalika, magunguna marasa lafiya sun karu da yawa
magungunan antidiabetics da magungunan asibiti, haruffan haruffan fata don LUTS, da kuma proton
yin amfani da magunguna idan aka kwatanta da matasa (duk P ≤ 0.03).

Babu wani bambance-bambance da aka samo don kowane dangin kwayoyi (Tebur 2).

matasa
Kwararrun likita na ED sun nuna yawan taba shan taba
da kuma yin amfani da magungunan ƙwayoyi (duka cannabis / marijuana da cocaine) kamar yadda
idan aka kwatanta da maza da suka wuce shekaru 40 (duk P ≤ 0.02). Babu wani bambance-bambance da aka samo dangane da shan barasa tsakanin kungiyoyi (Tebur 2).

Table 3 Karin bayani yana nufin (SD) scores ga maki na biyu na IIEF; babu
manyan bambance-bambance an kiyaye su ga kowane yankin IIEF tsakanin
matasa da kuma tsofaffin farawa na farko na ED. Haka kuma, maza ≤40 shekaru da haihuwa
ya nuna irin wannan kamala mai tsanani kamar yadda aka kwatanta
tare da tsofaffin marasa lafiya. Hakazalika, rates of m, m-da-matsakaici, da kuma
Adaidaicin ED bai bambanta sosai tsakanin ƙungiyoyi biyu ba
(Table 3).

We
ya sake nazarin kwanan wata ƙungiyar ta Caucasian-Turai
masu aiki da jima'i suna neman taimakon likita na farko don sabon farko ED a
sabis guda ɗaya daga cikin ƙwararren ilimi a kan wani lokacin 30 don
tantance tsararru da halaye na mutane ≤40 shekaru da haihuwa kamar yadda
idan aka kwatanta da mutanen da suka wuce shekaru 40 a lokacin ED ganewar asali.
Mun gano cewa ɗaya daga cikin mutane hudu da ED yana ƙuruciya fiye da shekaru 40.
Bugu da ƙari, irin wannan rabo na ƙarami da mazan ED marasa lafiya yi
korafin mai tsanani ED. Hakazalika, ƙananan marasa lafiya da mazan jiya
ya sha ga kowane yankin IIEF, haka ya hada da sha'awar jima'i, kogasma
aiki, da kuma gamsuwa ta gaba. Saboda haka, kallo a matsayin
Dukkanin sun bayyana a gare mu a matsayin hoto mai ban tsoro daga asibiti na yau da kullum
aiki.

ED shi ne yanayin da
an gane likita da kuma yanayin halayen zamantakewa na zamantakewar al'umma
an yi nazari sosai a cikin binciken daban-daban [7-10, 13, 14, 25]. Overall, an dauki shekarun da ya fi dacewa, tare da karatu da yawa wanda ya nuna yawancin ED tare da shekaru [7, 8, 26];
Alal misali, bayanai daga Massachusetts Male Aging study kammala
wannan lokacin shine mai sauƙin da ya fi dacewa da ED [7]. Bayan shekaru, yawancin yanayin kiwon lafiya sun haɗa da ED [7, 10, 12-14, 26].
A tsawon shekarun tsufa, maza da yawa sukan sha wahala sau ɗaya
ko fiye daga cikin yanayin da aka ambata da aka ambata a baya, ba haka ba
Abin mamaki, su ma sukan yi korafin ED. Saboda wadannan dalilai, yawancin
binciken nazarin annoba da ke kula da lalatawar ED da masu hango ido
Ana gudanar da su a yawancin maza da suka wuce 40 shekaru;
a wasu lokuta, ƙananan bincike ne kawai sun hada da bayanai daga ƙarami
mutane [14-16, 26, 27].
Bugu da ƙari, bayanan daga waɗannan bayanan binciken ya nuna cewa ED ba wani abu ba ne
yanayin har ma tsakanin samari. Mial et al., Alal misali, ya ruwaito
cewa adadin ED shine 29.9% a cikin ƙungiyar 'yan matasan Suratun [15]. Haka kuma, Ponholzer et al. [14] samo irin wannan nau'in ED a cikin jerin jinsin maza da ke cikin shekaru 20-80
shekaru suna shiga cikin aikin kiwon lafiya a yankin Vienna.
Hakazalika, Martins da Abdo [16] An yi amfani da bayanai daga binciken bincike na giciye inda mazaunan 1,947 suke da shekaru 18-40
An tuntube tsofaffi a wurare na 18 manyan biranen Brazil da kuma
an yi hira da shi ta hanyar amfani da tambayoyin da ba a sani ba; gaba ɗaya, 35% daga waɗannan
mutane sun bayar da rahoton wasu nau'o'in matsalolin matsaloli.

A
Babban ƙarfin bincike ɗinmu ya fito ne daga gaskiyar cewa mun kasance daidai
kimantawa da yawan halaye na ED a samari matasa
daga gungun marasa lafiya wadanda suka zo wurinmu
asibiti neman taimakon likita na farko na ED; a cikin wannan mahallin, mun sami cewa
kwata na marasa lafiya da ke fama da ED a yau da kullum
su ne maza a kasa da shekaru 40. Wannan ya tabbatar da baya
bayanan annobar cutar daga nazarin yawan jama'a, ta haka ne ya nuna hakan
ED ba kawai rikitarwa ne na namiji tsufa da aikin aikin ba
rashin ciwo a cikin samari ba kamata su kasance marasa lafiya ba. Mu
Nunawa da tarihin asibitoci na yau da kullum ya sa ya fi dacewa
la'akari da aikin yau da kullum na likitoci da dama basu da
masani da lafiyar namiji; Lalle ne, an ba da low low
rates na ED kima da general likitoci a cikin marasa lafiya mazan
40 shekaru [28], muna jin tsoron cewa ko dai ED ko yin aiki da jima'i ba za a iya yin la'akari da ƙananan yara ba [29].

The
binciken bincikenmu ya nuna cewa kananan marasa lafiya a duniya
mafi koshin lafiya kamar yadda aka kwatanta da mutanen da suka wuce 40 shekaru, suna nuna ƙananan CCI
ƙidaya-tare da ƙananan magunguna, musamman don
CVDs, ƙananan ƙirar BMI, da ƙananan jinin jini.
Hakazalika, kuma ba abin mamaki bane, matasa suna da mahimmanci tT
matakan kamar yadda aka kwatanta da marasa lafiya fiye da shekaru 40, ta haka ne ke haifarwa
yawancin binciken da aka yi na annoba a tsakanin mazaunan Turai [2].
A cikakke, waɗannan bayanan asibiti sun tabbatar da waɗanda aka dawo daga
Binciken Brazil, wanda ya kasa samun babbar ƙungiya tare da
ya tabbatar da kwayoyin cututtuka na ED irin su ciwon sukari da kuma CVDs a cikin maza
shekaru 18-40 shekaru da yawa [16].
Gaba ɗaya, ana saran waɗannan bambance-bambance, ba da gaskiya cewa ED a
samari yawanci suna hade da nauyin tunani da kuma
Abubuwan da suke da alaka da juna wanda yawancin su ke haifarwa
[8, 30, 31]. Bugu da kari, Mialon et al. [15] ya nuna cewa manyan bambance-bambance tsakanin matasa da tsofaffi na ED sun kasance
lafiyar hankali da kuma halin da ake nufi da magunguna. A cikin rukuni na ED
marasa lafiya, mun gano cewa samari sun fi karuwa
taba shan taba da magungunan ƙwayoyi (watau cannabis / marijuana da kuma
cocaine) fiye da marasa lafiya. Bayanan da suka gabata game da amfani da shi na yau da kullum
magunguna-musamman cannabis, opiates, da cocaine - sun nuna babu
hujjoji marasa tabbas na haɗi tare da ED [32-34],
kuma lalle ne yawancin ra'ayoyin da suka nuna suna da tasiri
shan taba cigaba a cigaba da inganta aikin da ba shi da ma'ana
a matasa [7, 34-37].
Saboda yanayin nazarin mu na binciken, ba za mu iya ɗauka ba
idan waɗannan dabi'u na rayuwarsu na iya zama alaƙa da su
farko na ED a cikin samari, amma tabbas yana da ma'ana
cewa su duka suna iya taka rawa tare da wasu dalilai a
inganta aikin rashin aikin aiki. Sabanin haka, wannan na yau da kullum
jaraba ga abubuwan wasanni-wanda zai iya zama yiwuwar
illa ba wai kawai ga lafiyar jima'i-kara kara karfafa damuwa na
tsarin da aka samo daga kallon mu, watau kashi arba'in daga cikin mutanen da suke
zo don neman taimako na farko ga ED yana ƙarƙashin shekaru 40, kuma akai-akai rahotanni
Amfani da abubuwa masu lalacewa, sau da yawa ko da doka ba.

A karshe,
mun ƙwaƙwalga ƙididdigar ƙimar ED a cikin ƙungiyoyi biyu;
an samo kamannin tsararru na ED a tsakanin kungiyoyi. Of
muhimmancin mahimmanci, kusan rabin mutanen da ke ƙasa da shekaru 40
sun sha wahala daga mai tsanani ED kamar Cappelleri et al. [24],
kasancewar wannan daidai ne daidai da abin da aka lura a cikin tsofaffi.
A cikin ra'ayi, wannan binciken zai nuna cewa
Rashin ƙarancin gyaran kafa zai iya zama abin ƙyama a ƙarami
marasa lafiya kamar yadda a cikin tsofaffin maza, don haka suna goyon bayan gaskiyar cewa wannan jima'i
Matsala za ta cancanci dacewa da hankali a kowace aikin likita a yau
duk shekaru daban-daban. Haka kuma, mun kimanta yadda matasa da kuma mazan ED marasa lafiya
ya zana game da yadda ake yin jima'i, kamar yadda aka bayyana ta yin amfani da
daban-daban IIEF domains. Daidai da bayanan da aka gabata sun nuna hakan
canje-canje na tsawon lokaci a cikin ayyuka biyar na jima'i suna waƙa tare
a tsawon lokaci [38],
ba mu lura da kowane muhimmin bambanci a kowane yankin IIEF ba
tsakanin kungiyoyin. A wannan ma'anar, zai yiwu a tantance cewa,
ko da maɗaurori masu mahimmanci ga ED, kayan aikin IIEF ba zai iya zama ba
iya nuna bambanci da ilimin pathophysiology a baya ED. Lalle ne,
kodayake ED, kamar yadda aka fassara shi da aikin IIEF-erectile
yanki, an nuna su zuwa asusu don mafi girma CCI, wanda zai iya zama
a matsayin wani wakilin da ya dace da matsayin lafiyar namiji,
ba tare da la'akari da ilimin ilimin na ED ba [3], Deveci et al. [39] a baya ya kasa nuna cewa IIEF zai iya
nuna bambanci tsakanin kwayoyin halitta da psychogenic ED. Duk da haka, shi ne
hakika gaskiya ne cewa yawan bincike sun nuna cewa ED zai iya zama
bayyanannen ra'ayi na al'amuran CVD [40, 41]. Daga cikin su, Chew et al. [41],
Alal misali, bincika ED a matsayin mai lura da al'amuran CVD a cikin
yawan mazajen da ke tare da ED yana tsakanin 20 da 89 shekarun; wadannan
mawallafa sun sami haɗarin haɗari game da abubuwan CVD a marasa lafiya na ED
ƙarami fiye da shekaru 40. Sabanin haka, ƙimar da aka ƙaddara na ED
domin al'amuran CVD sun kasance a cikin yawan mutanen da suka tsufa [41].
A ƙarshe, waɗannan sakamakon da suka gabata da kuma binciken da muke ciki yanzu na iya bayar da shawarar
cewa samarda ED shine mahimmanci wajen gano matasa da kuma
'yan shekarun da suka kai shekaru masu tsufa wadanda ke da matukar muhimmanci ga ciwon zuciya na zuciya
kima da kuma bayanan likita. Ko da mafi yawan
marasa lafiya a wannan rukuni na zamani zasu sha wahala daga ED,
za a iya kasancewa rabo daga cikinsu na gunaguni na Organic ED na
fannoni daban-daban, tare da ED ne kawai alamaccen sakonni don wani
rikicewar rashin lafiyar jiki (watau atherosclerosis). A cikin wannan
mahallin, Kupelian et al., alal misali, nazarin yawan mutanen 928
ba tare da MeTs ba, ya nuna cewa ED ya kasance tsinkaya ga bunkasa masu tasowa
KASA cikin marasa lafiya tare da BMI na yau da kullum [42],
Ta haka ne karfafa ƙimar ED a matsayin matsala don taimakawa ga matasa
don samun salon rayuwa mai dorewa, wanda zai iya canza yanayin hadarin
cututtuka kamar ciwon sukari da CVD, da sauransu.

Mu
nazarin ba shi da iyakancewa. Na farko, ƙananan ɗan} ungiyarmu
na mutane za su iya rage ma'anar abubuwan da muka gano, yayin da muke shiga
asusun ne kadai marasa lafiya wadanda ake magana da su game da maganin jima'i
Kwafi na asibiti na iya ƙididdige zalunci a cikin sharuddan tsanani
na ED, saboda hakan yana haifar da rasa mutane da yawa tare da tsabta ED kuma
Ƙananan ƙarfafa neman taimakon likita. Duk da haka, muna la'akari da wannan
kuskuren hanya zai kasance daidai a cikin kungiyoyi biyu, saboda haka
ba tare da la'akari da muhimmancin waɗannan binciken ba. Na biyu, ba mu tantance ba
ƙwayar damuwa ko damuwa ta amfani da kayan kirki mai mahimmanci.
A cikin wannan mahallin, dangantakar dangantaka tsakanin ED da ko dai
damuwa ko damuwa, ko duka biyu, tabbas za su iya aiki; hakika, ED
za a iya samu bayan ko dai damuwa ko damuwa wanda, bi da bi, zai iya zama
sakamakon wani jima'i dysfunction. Samun kayan aiki wanda zai iya
nuna bambancin wannan yanayin zai iya zama babban mahimmancin asibiti
musamman ma a cikin matasa. Na uku, bincikenmu bai yi ba
musamman tantance tarihin jima'i na marasa lafiya da kuma jima'i akan su
yaro. Game da wannan, Martins da Abdo [16] ya nuna yadda rashin bayanai game da jima'i a cikin matasan kananan yara
dangantaka da ED saboda yiwuwar tsoro da shakku da tayi ta hanyar taboos
da kuma tsammanin rashin tabbas. Marasa lafiya tare da matsaloli a ko'ina cikin
farawa ta hanyar jima'i ya nuna abin da ya fi girma daga ED, watakila
ƙaddamar da sake zagaye na juyayi da kasawa wanda zai ƙare
halin jima'i na mutum [43].
A ƙarshe, bincikenmu ba la'akari da tattalin arziki ba
al'amurran rayuwa; hakika, yawan kudin da aka samu na gida ya nuna
kasancewa a hade da halayen neman magani, duk da haka
Rashin haɓaka na kudi zai iya wakiltar shamaki [44].
Mun yanke shawarar, duk da haka, kada mu nemi bayanin samun kudin shiga saboda rashin
Sakamakon amsawa zuwa tambayoyin kudin shiga wanda muke samuwa a cikin ainihin rayuwa
Yin aiki na asibiti lokacin ziyara a ofis.

In
bambanta da abin da aka ruwaito ta hanyar nazarin jama'a game da
yawancin ED a marasa lafiya, bincikenmu ya nuna cewa daya daga cikin
mutane hudu suna neman taimakon likita don ED a cikin aikin likita na yau da kullum
wani asibitin fitar da ƙwaƙwalwa ne wani saurayi a kasa da shekaru 40. Bugu da ƙari,
kusan rabin mutanen samari sun sha wahala daga ED mai tsanani, wannan shine
matsayi daidai da wannan lura a cikin tsofaffi mutane. Motsa zuwa
Ayyukan kula da asibitin yau da kullum, binciken da ake ciki yanzu yana sa mu kara
Ya danganta muhimmancin yin cikakken likita da jima'i
Tarihi da kuma yin jarrabawa ta jiki cikin dukan mutane
ED, ba tare da la'akari da shekarunsu ba. Hakazalika, an bai wa bashi na neman
taimakon likita don cuta game da lafiyar jima'i, waɗannan sakamakon
Bayyana ainihin bukatun da masu samar da kiwon lafiya zasu iya tambayarka
game da matakan jima'i na jima'i, sau ɗaya har ma a cikin samari matasa
40 shekarun. Saboda samfurin samfurin yanzu yana iyakance, muna yiwuwa
ba za a iya samun babban ra'ayi ba; sabili da haka, ƙarin karatu a cikin
Ana buƙatar samfurin samfurori mafi girma don tabbatar da waɗannan sakamakon kuma
don kara fadakar da muhimmancin tasiri na ED kamar yadda harbinger yake
na rashin lafiya a cikin maza a karkashin shekaru 40.

Rikici na sha'awa: Mawallafin ba su da wani rahoto ba.