Lachisanu, April 28, 2017, Ndi Sharon Ni Chonchuir
Ndi m'modzi mwa amuna khumi omwe akukumana ndi vuto la erectile, akatswiri amalimbikitsa amuna kuti apemphe thandizo ndikupeza mankhwala osiyanasiyana, akutero Sharon Ní Chonchuir.
ZOCHITIKA zovuta (ED) zimakhudza mmodzi mwa amuna a 10 nthawi iliyonse. Malinga ndi Irish Heart Foundation, 18% ya amuna a 50 mpaka 59, 38% ya amuna omwe ali pakati pa 60 ndi 69 ndi 57% a amuna oposa 70 akuvutika ndi chikhalidwe.
"Ndi vuto lodziwika bwino ndipo ndi gawo lachibadwa komanso loyembekezeredwa la ukalamba wa amuna ambiri," akutero Dr. Ivor Cullen, katswiri wa zamagulu a zamankhwala ku University of Waterford.
Monga aliyense amene amatsatira nkhani ya Charlotte ndi Trey pankhani ya kugonana mu Mzinda adzakumbukira, pali zambiri zomwe zingatheke kuti athetse ED.
Imodzi mwa njira zodziwika kwambiri ndi ya piritsi yaying'ono yotchedwa Viagra.
"Ndi imodzi mwa mankhwala anayi omwe amatchedwa PDE5 inhibitors omwe adasintha malowa pamene adalowa pa intaneti pakati pa 1990s," akutero Dr Cullen.
Koma mitundu yatsopano yamachiritso ikubwera.
Kalekale njoka ya Ian Botham inagonjetsa chingwe cha cricket mu 1980s koma, pambali pake, inali moyo wake wa kugonana womwe unapanga mutu, ndi wokondedwa wina amene akuyesa kuti amayesa kwambiri kuti amathyola bedi.
Ndi chifukwa chake nsidze zinakulira pamene mwana wazaka za 61 analankhula za kulandira thandizo la mavuto erectile chaka chatha.
Komabe, sanasankhe Viagra kapena mapiritsi ena. Analandira chithandizo chamakono choopsa (LIST), chomwe chatsopano chikupezeka ku Ireland.
N'zosavuta kuona chifukwa chake anasankha chithandizochi. Zimanenedwa kukhala ndi zotsatira zabwino kwambiri ndi kusonyeza zotsatira zooneka mkati mwa masabata atatu.
Malinga ndi kafukufuku wa 2015 ku Scandinavian Journal of Urology, ofufuza anatenga amuna a 112 omwe sanagonepo popanda mankhwala ndipo anapereka hafu ya mlingo mlungu uliwonse wa LIST ndi theka la placebo.
Mapeto a chithandizo, 57% mwa omwe anali ndi LIST adatha kugonana poyerekeza ndi 9% mwa omwe adalandira placebo.
Ngakhale zotsatira zoterezi, Dr Cullen akuchenjeza motsutsa kuti LIST ikuimira machiritso ozizwitsa.
Silikugwira ntchito kwa aliyense komanso mpaka ku 40% ya milandu, sikugwira ntchito ngati ED ndi zotsatira za shuga, opaleshoni ya prostate kapena kupweteka kwapakhosi.
Mofananamo, Viagra ndi PDE5 zoletsa sizitsitsi-zonse.
Viagra ikhoza kukhala ndi zotsatira zofanana ndi kupweteka kwa msana, kupweteka mutu ndi kupwetekedwa mtima. Ndiye pali mfundo yakuti imachiritsa zizindikiro zokha komanso mwina osati zomwe zimayambitsa ED.
Pakapita nthawi, vuto lalikulu likhoza kuwonjezereka ndipo Viagra ikhoza kubweretsa zotsatira zofanana.
ED nthawi zambiri imapezeka chifukwa cha kuchepa kwa magazi komanso mankhwala osokoneza bongo monga Viagra kubwezeretsanso. Koma ngati mitsempha ya magazi yozungulira mbolo ili yochepetsetsa, mwinamwake mitsempha ina ya magazi imakhalanso. Pofotokoza zomwe amakonda Viagra kapena LIST, madokotala akhoza kunyalanyaza vuto lalikulu.
Dr Penis amaoneka ngati zenera pa mtima ndipo vuto la mbolo lingakhale chizindikiro cha mavuto a mtima, "anatero Dr. Cullen.
"ED ingakhalenso ndi matenda a shuga, mavuto a prostate kapena zotsatira za mankhwala monga mankhwala ozunguza bongo. Pamene madokotala akuyesa odwala, tiyenera kuwafunsa mafunso ndikuyesa kuyesa magazi kuti tiwone ngati pali mavuto omwe sanapezepo omwe ED ndi chizindikiro chimodzi. Vuto limeneli liyenera kuchitidwa chithandizo tisanayambe kulandira ED. "
Kusamba kwa mimba (kapena kusamba kwa mwamuna) kungakhale ndi gawo loti liwonetsedwe mu ED nayenso.
Monga momwe mahomoni a akazi amasinthira m'zaka zapakati, poyambitsa libido yochepa, momwemonso testosterone ikhoza kuchepa mwa amuna, ndi zotsatira zofanana.
Izi zachititsa akatswiri ena kuganiza kuti mankhwala a testosterone omwe amalowetsa m'malo amathandizira kuti anthu azisintha. Dokotala Cullen wawona ntchitoyi, makamaka pamene ikuphatikizidwa ndi mankhwala ena.
"Pali umboni wosatsutsika wakuti kusintha ma testosterone m'mabambo omwe ali ndi zochepa zingathe kusintha ED ndikuwonjezera kuyankha kwa mankhwala ozunguza bongo," akutero.
Sizothandiza chabe zachipatala zomwe zingathandize. Zakudya zingakhale chinthu chomwecho.
"79% ya anthu akuluakulu ndi olemera kwambiri malinga ndi a Over 50s mu Kusintha Kwambiri ku Ireland komwe kunafalitsidwa ku 2014," anatero Orla Walsh, katswiri wa zamaphunziro odziwa zapamwamba ndi Dublin Nutrition Center.
"Amuna olemera kwambiri amatha kuvutika kuchokera ku ED ngati mitsempha yawo yawonongeka ndipo magazi awo akukhudzidwa."
Izi zikutanthauza kuti kutaya thupi kungapangitse kusiyana. Walsh amalimbikitsa kutenga masewera olimbitsa thupi a 30 tsiku, kusiya kusuta ndi kumwa moyenera.
Amanenanso kuti kuwonjezera zakudya za Mediterranean kuti muzidya.
"Kwenikweni, chirichonse chomwe chili chabwino kwa mtima ndi bwino kwa mbolo," akutero.
"Onjezerani zinthu monga nyemba, nandolo, mphodza, mafuta a maolivi, nsomba ndi mtedza ngati walnuts ndi mtedza wa Brazil."
Amalimbikitsa makamaka madzi a mchere.
"Zadzaza ndi nitrates zomwe zimathandiza mitsempha ya magazi kuti ichepetse komanso magazi aziyenda mosavuta," akutero.
Pofika ku 20% ya milandu, ED imachokera ku vuto la maganizo kapena maganizo, kutanthauza kuti uphungu ungathandize.
Nuala Deering ndi mgwirizano komanso opatsirana pogonana ndi ED ndi chimodzi mwa mavuto omwe amakumana nawo.
Amagwira ntchito makamaka ndi maanja amene ali pachibwenzi ndipo amaphatikizapo wokondedwa wawo pa zokambirana.
"Ndikofunika kuti agwire ntchito limodzi kuti athetse vutoli," akutero.
"Sizabwino ngati mnzanuyo akukwiyitsa, wokwiyitsa kapena wokhumudwa. Izi zimangopangitsa munthuyo kudzimva kuti ndi wolakwa kapena woipa. "
Deering amakhudzidwa ndi anyamata ambiri mu 20s awo. Ngakhale kuti nkhani zawo n'zosiyana, zimakhala zofanana kwambiri ndi makasitomala ake okalamba.
Iye akuti: "Kudzidalira kwawo ndi kudzidalira kwawo zimakhudzidwa.
"Nthawi zambiri amakhala opanda chiyembekezo panthawi yomwe abwera kuchipatala, akukhulupirira kuti sangathe kuthandizidwa. Koma pafupifupi nthaŵi zonse, mankhwala amathandiza. "
Pali zambiri zomwe zimayambitsa maganizo a ED.
"Kupanikizika, nkhaŵa ndi kuvutika maganizo ndizo zonse," akutero.
"Kuda nkhawa ndi zomwe anthu ambiri amatchula. Ndi kuchuluka kwa kugonana m'masewero ozungulira, ndi kosavuta kuti iwo akhulupirire kuti aliyense ali ndi kugonana kwakukulu komanso kuti sakukwanira chifukwa sali. "
Porn zimakhudzanso.
"Achinyamata ambiri adziphunzira momwe angagwiritsire ntchito zolaula m'malo mogonana ndi munthu wamba," akutero.
"Iwo aphunzira kukhala ndi chiopsezo choipa pamapeto otsiriza - chiwonongeko - osati pa zosangalatsa za thupi. Izi zingachititse mavuto aakulu. "
Chithandizo chimayamba ndi amuna akuletsa kugonana.
Iye anati: "Ayenera kubwerera kumayambiriro, opanda nkhawa kapena nkhawa.
"Ayenera kumanga kulimbika ndi kumvetsetsa ndipo amachita izi poyang'ana zokondweretsa zamatsenga. Amatenga nthawi kuti agwirizane ndi kugonana kwathunthu. "
Pamene akuchita izi, amathanso kuthana ndi mavuto awo ndi kudzidalira, nkhawa ndi kupanikizika m'mayendedwe awo.
"Kuchita zinthu zogonana ndi kugonana kumaganizira zonse," akutero Deering.
"Izi zimawathandiza kuti athe kuthana ndi mavuto akuluakulu ndipo zimakhudza momwe akumvera, maubwenzi awo komanso maubwenzi awo. Sikuti amangowonjezera moyo wawo wa kugonana. Zimalimbikitsa moyo wawo wonse. "
Ian Botham akuwoneka kuti athandiza amuna. ED ndi vuto lomwe ambili amamuna amakumana nalo m'moyo wawo koma komabe ilo ndilo phunziro lachinsinsi.
Chiwawa chingakhale chithandizo chodziwika kwambiri koma nkhani ya Ian Botham ikuwonetsa, siyo yokhayo.
Amuna nthawi zambiri amavutika kuti atsegule, akuti Deering.
"Koma ayenera chifukwa amangozindikira kuti angathandizidwe."
Angathandizidwe ndi zakudya kapena kusintha kwa moyo, mankhwala opatsirana pogonana kapena thandizo lachipatala.
"Zambiri zamankhwala zikuwonjezeka nthawi zonse komanso zosankha zomwe tili nazo, zimakhala bwino kuti tithe kusintha," anatero Dr. Cullen.
"Pali kusowa kwa kumvetsa ndi manyazi pambaliyi koma amuna ayenera kuwona madokotala awo za izo. Adzathandizidwa. "
Pali njira zamankhwala zosiyanasiyana zothandizira erectile:
1. Viagra ndi imodzi mwa mankhwala anayi a PDE5 inhibitor. Zonse zimatengedwa mu mawonekedwe a mapiritsi.
Zina-monga Viagra - zimatengedwa kufika ora lisanayambe kugonana koma zina zimachotsedwa nthawi zonse.
Ngakhale kuti Viagra imapangitsa kuti magazi alowe ku mbolo m'kanthawi kochepa, chochita chapafupi chimaonjezera kuthamanga kwa magazi nthawi yambiri, ndi cholinga chokweza ubwino wazolowera.
2. LIST ndi njira yomwe madokotala amagwiritsira ntchito kafukufuku wa ultrasound kuti apereke zipsyinjo za 1,500 ku mfundo zisanu pambali pa mbolo. Ndondomekoyi imapangidwa pa magawo anai mpaka 12 pamasabata anayi. Zimagwira ntchito polimbikitsa kukula kwa mitsempha yatsopano kwa mbolo.
3. Mankhwala ojambulidwa amagwiritsidwa ntchito ndi mankhwala omwe amatchedwa prostaglandin omwe amalowa m'thupi mwachindunji. Zimagwira ntchito mkati mwa zisanu mpaka maminiti 10.
4. Mankhwala omwewo angathenso kuthandizidwa mwa kuika pepala mu urethra kapena poika mchere wambiri pamapeto a mbolo.
"Pali zosokoneza zonsezi," adatero Dr Cullen.
"Ndi mapepala, mapeto a chitoliro cha madzi akhoza kukhala owawa kwambiri ndi zonona, simungathe kugonana m'kamwa kapena kugwiritsa ntchito kondomu."
5. Kuchita opaleshoni ndi mwayi. Puloteni yosatha ikhoza kulowa mu mbolo. Palibe chowoneka kunja. Erection yotsatira ndi yovuta komanso yovuta monga kale ndipo mwamunayo akhoza kukwaniritsa pachimake.
6. Pali njira ina yovuta yowonjezera yosakanikirana kapena njira yosasokoneza ya chipangizo chopuma.
"Izi zimaphatikizapo mboloyi kuti ilowetsedwe m'kati mwa pulojekiti yomwe imayambitsa magazi m'magazi ndipo phokoso lakumangirira limamangirira kuti magazi kumeneko," anatero Dr. Cullen. "Erection chifukwa chosiyana ndi erection wokhazikika koma odwala ena amakhutira nazo."
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