He aha ka leka hoʻoulu?
Pono kāu peni e mālama i ke koko e mālama i kahi kūkulu. Inā ʻaʻole hiki i nā veins i ka penis ke pale i ke koko mai ka haʻalele ʻana i ka peni i kahi kūkulu, e lilo ana kāu kūkulu. Kāhea ʻia kēia he leak venous. Hiki i ka leakage Venous ke loaʻa me ka maʻi vascular. Pili pū ʻia ka liʻiliʻi Venous me diabetes, ʻO ka maʻi o Peyronie (ke kūkuluʻana i kaʻili lepera i loko o ka peni e hiki ai i ka pale, i nā hanaʻeha), kekahi mauʻano nerve, a me ka manaʻo nui.
He kāne ma kāna 40's e rebooting - Re:ʻO kēia PIED? Kōkua me ED!
RE: leak venous, ua kūkākūkā wau i kēlā me kaʻu urologist. Ua ʻōlelo ʻo ia hiki iā ia ke hoʻāʻo no ia akā -
- ʻAʻole hōʻoluʻolu a hoʻolimalima ka ho'āʻoʻana;
- Inā loaʻa iaʻu kahi liu vena, lohi loa ʻo ia e koi aku i ke kahakaha no ka paʻakikī a me ka palena o nā hopena maikaʻi loa - no laila ke hoʻāʻo nei ʻoe no kahi mea a ʻaʻole hiki i ka manawa maʻamau ke hoʻohana i ka ʻikepili no nā mea pono āpau. a
- He mea maʻamau ia ma nā ʻōpio (... i kēia hihia ʻike ʻia wau he ʻōpio ʻoiai ʻo wau he kanahā mau makahiki). Eia hou, inā e kiʻi ana ʻoe i ka wahie kakahiaka a me / a i ʻole kūkulu i ke ao, a laila hikiwawe ka leakage ke kumu o ED.
I kēlā manawa, pinepine pinepine wau i ka loaʻa ʻana o ka wahie kakahiaka, no laila no kekahi manawa ua manaʻo wau ʻo ka liu paha kaʻu pilikia. Akā ma hope o ka pā ʻole ʻana i ka PMO paʻakikī a maikaʻi hoʻi no kekahi mau pule wale nō, e hoʻi ana kaʻu wahie kakahiaka. Ma hope o kekahi mau mahina hope ʻole o ka makahiki i hala, ua loaʻa iaʻu ka wahie ka hapa nui o nā kakahiaka.
Ua manaʻo wau e loaʻa paha iaʻu nā mea pōʻino ma muli o ka hōʻeha kino. Ma muli o kekahi mau hana haʻuki aʻu i komo ai i loko, ua lawe wau i mau kuʻikuʻi paʻakikī a ʻeha hoʻi i ke aʻa. Ua hoʻokuʻu ʻo ia ma ke ʻano he hiki ke ʻōlelo i ke ʻano o ka ʻehaʻeha e loaʻa iaʻu ʻo ia ke ʻano e hoʻouna iaʻu i ka ER me kahi noho lōʻihi i ka haukapila .... ʻaʻole wale ka pā ʻana i nā momi o ka ʻohana inā paʻakikī. lawa e lawe iaʻu mai ka pāʻani.
ʻIke loa, he hoʻopailua kēia mau mea a pau e pili ana i kaʻu mau kumuhana. ʻO kaʻu kumu nui:ʻo ka loaʻa o ka porn a me kāu mau hana maʻamau,ʻo ka pilikia ka mea iʻoi aku kaʻoi aku o kaʻoihana ma mua o kekahi o kēia mau mea'ē aʻe.
Makahiki 28 - ED hoola ʻia: Nā ʻike a me nā manaʻo ma kaʻu ʻano PIED ʻokoʻa
ʻO ka hōʻailona wahaheʻe o ka leakʻino: nā kuʻuna a me nā mākaʻikaʻi.
J Sex Med. 2011 Aug;8(8):2344-9. doi: 10.1111/j.1743-6109.2011.02298.x.
ʻO Teloken PE, Park K, Parker M, Guhring P,ʻo Narus J, Mulhall JP.
Hōʻuluʻulu Manaʻo
INTRODUCTION:
Ma keʻano he hōʻailona paʻakikī, ua pau kaʻike kaulana o ka cavelosometry (infusion cavernosometry) (DIC), a ma ke kaiaulu urologic, ua hoʻokauʻia ka ultrasonound doplex Duppler (DUS) penile i kaʻimiʻana i kahi vasiology vascular o ka nāwaliwali o erectile. Ua hōʻikeʻia ka ho'ālaʻana o ka mea hana kino i ka pono o DUS.
AIM:
No ka weheweheʻana i nā hemodynamics hectile i loko o nā kāne me ka lekaʻeha i loaʻa mua ma DUS.
KANAKA:
Ua loaʻa nāʻike kūpono i nā maʻi i hāʻawi (i) i kahi hōʻailona o ka lehuehueʻino e pili ana ma waho o ka DUS waho; (ii) kohoʻia e hana hou i DUS; a (iii) i ka manawa o ka hana hou a DUS i'ōlelo aku i ka leka uila, aia ka DIC.
MAKE MAKAHI MEKAHI:
ʻO DUS: wikiwiki holoʻokoʻa holoʻokoʻa a me ka wikiwiki hope-diastolic. DIC: holo kahe e hoʻomau.
Nā hopena:
Ua komo pū nā maʻi 292. ʻO ke kumu o ka maʻamau o ka maʻamau ʻo 44 ± 26 mau makahiki. I ka hana hou ʻana iā DUS, 19% (56/292) he hemodynamics maʻamau a 7% (20/292) ka lawa ʻole o ka arterial me ka loaʻa ʻole o ka liu ʻino. Ua hōʻike ʻo DIC i nā hemodynamics maʻamau ma 13% (38/292), ʻoiai ma 58% (152/292) o nā mea maʻi, ua hōʻoia ʻia ka ʻike leak venous. Ma ka hapanui, 47% (137/292) o nā maʻi i hāʻawi ʻia i kahi hōʻailona o ka liu venous i hemodynamics maʻamau, a ma 43% (126/292) wale nō, ua hōʻoia ʻia ka ʻike leakō venous ma ka hoʻāʻo hou ʻana i nā vaskular Ma ka anamanaʻo multivariable, makahiki ʻōpio (<45 makahiki), ka loaʻa ʻole o ke kūkulu kūpono i ka wā o DUS kumu, a me ka loaʻa ʻana o nā hanana pilikia vascular <2 i kahi kuhi wahaheʻe o ka liu ʻino.
NĀ KUMU:
ʻO Penile DUS he mea kūpono e kau i kahi hōʻailona o ka leak. Pono e mālama nuiʻia i ka hanaʻana i ka DUS i nā keiki'ōpio me ka loaʻaʻole o kahi pilikino koʻikoʻi kūloko, a me ka loaʻa ole o kahi kūkulu kūpono e pono ai i ke kauka ke mālama i ka hōʻoia o ka leak. Eia kekahi, aia kekahi hana no nā cavernosometry, iʻikeʻia heʻoi aku ka nui o ka pololei ma kaʻikeʻana i ka leak.
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