Kodi Kutupa Kwambiri N'kutani?
Mbolo yanu iyenera kusunga magazi kuti isasunthike. Ngati mitsempha mu mbolo silingaletse magazi kuti achoke pa mbolo nthawi yakukomoka, mudzataya erection. Izi zimatchedwa kutuluka kwa venous. Kutulutsa kwamatenda kumatha kuchitika ndi matenda amitsempha. Kutulutsa kwa venous kumalumikizidwanso ndi shuga, Matenda a Peyronie (kumanga minofu m'mimba ya mbolo yomwe imatsogolera kumapeto, kupweteka kwapadera), mitsempha yambiri, komanso ngakhale nkhaŵa yaikulu.
Mwamuna wazaka za m'ma 40 yemwe akubwezeretsanso - Re: Kodi iyi ndi PIED? Thandizo ndi ED!
RE: kutuluka kwamphamvu, ndidakambirana izi ndi dokotala wanga wamiseche. Anati akhoza kuyesa koma -
- Mayesowa ndi osavuta komanso okwera mtengo;
- Ngati ndili ndi zotupa zotupa, amatha kuzengereza kuchitira opareshoni chifukwa chazovuta komanso zochepa pazotsatira zabwino - chifukwa chake mukuyesera kena kake ndipo nthawi zambiri simungagwiritse ntchito zomwe mumapeza; ndipo
- Ndi zachilendo makamaka mwa anyamata achichepere (… pamenepa ndimaonedwa ngati wamng'ono ngakhale ndachedwa zaka makumi anayi). Kuphatikiza apo, ngati mukupeza nkhuni zam'mawa komanso / kapena usiku, ndiye kuti mwayi wotuluka chifukwa cha ED ndi wocheperako.
Panthawiyo, ndimakonda kupeza mitengo yam'mawa, chifukwa kwakanthawi ndimaganiza kuti kutayikira kungakhale vuto langa. Koma nditapanda PMO mwamphamvu komanso mwangwiro kwa milungu ingapo, matabwa anga ammawa amayamba kubwerera. Pambuyo pa miyezi ingapo osabwereranso chaka chatha, ndimakhala ndi nkhuni m'mawa kwambiri.
Ndimaganiziranso kuti nditha kuwonongeka chifukwa chakupwetekedwa thupi. Chifukwa cha masewera ena omwe ndakhala ndikuchita nawo, ndakhala ndikumenya kovuta komanso kowawa. Adanenanso kuti ngati kuthekera kuti mtundu wa zipsinjo zomwe ndikadayenera kukhala nazo ndi zomwe zinganditumize ku ER ndikukhala nthawi yayitali kuchipatala .... zokwanira kundichotsa pamasewerawa.
Mwachiwonekere, zonsezi ndizosavomerezeka ndipo zimachokera pazinthu zenizeni. Mfundo yanga yaikulu: mwayi wa zolaula ndi zizoloŵezi zanu zowoneka kuti vuto limakhala lopambana kwambiri kuposa zina mwazinthu zina.
Zaka 28 - ED Zachiritsidwa: Zokumana nazo & Malingaliro pa Mtundu Wanga Wosiyanasiyana wa PIED
Zomwe zimayambitsa matendawa zimakhala zowonongeka.
J Sex Med. 2011 Aug;8(8):2344-9. doi: 10.1111/j.1743-6109.2011.02298.x.
Teloken PE, Park K, Parker M, Guhring P, Narus J, Mulhall JP.
Kudalirika
KUYAMBIRA:
Monga kuyesa kwakukulu, kulowetsedwa kwakukulu kwa cavernosometry (DIC) kwatayika kutchuka, ndipo mumzinda wa urologic, penile duplex Doppler ultrasound (DUS) yakhala kuyesedwa kokha kuti afufuze zamatsenga za erectile zosayenera. Kuwonetsetsa kwajambulidwa kwa vasoactive kwawonetsedwa kuti kuwonjezereka kulondola kwa DUS.
ZOYENERA:
Kutanthauzira erectile hemodynamics mwa amuna omwe ali ndi chifuwa choyambitsa chifuwa pa DUS.
ZITSANZO:
Deta yolondola inasonkhanitsidwa kwa odwala omwe (i) adapatsidwa chidziwitso cha kuwonongeka kwa mpweya wochokera ku DUS kunja; (ii) osankhidwa kuti adziwitse DUS; ndipo (iii) pamene DUS yobwerezabwereza ikupangitsa kuti awonongeke, atha kukhala ndi DIC.
ZOCHITA ZOTHANDIZA:
DUS: nsonga yaikulu ya systolic velocity ndi kutha-diastolic velocity. DIC: muthamangitse kuti mukhalebe.
ZOKHUDZA:
Odwala a 292 anaphatikizidwa. Kutanthauza ± zaka zopatuka zofananira zinali zaka 44 ± 26. Pobwereza DUS, 19% (56/292) anali ndi hemodynamics yofananira ndipo 7% (20/292) anali ndi kulephera kwamitsempha pokhapokha kutuluka kwa venous. DIC idawulula hemodynamics yabwinobwino mu 13% (38/292), pomwe mu 58% (152/292) ya odwala, kufufuzidwa kwapadera kumatsimikizika. Ponseponse, 47% (137/292) ya odwala omwe adadziwika kuti ali ndi zotupa zotupa anali ndi hemodynamics yodziwika bwino, ndipo mwa 43% (126/292) okha, kufufuzika kwa ma venous komwe kumatsimikizika kunatsimikizika poyesanso kuyesa kwamitsempha. Pakusanthula kosunthika, zaka zazing'ono (<zaka 45), kulephera kupeza erection yokwanira panthawi yoyambirira ya DUS, ndikukhala ndi <2 zinthu zowopsa pamankhwala zimaneneratu kuti zitha kupezeka kuti zatuluka.
MAFUNSO:
Penile DUS ili ndi mphamvu zowonetsera kuti matendawa ndi otsika kwambiri. Kuyenera kusamalidwa pochita DUS makamaka kwa anyamata achichepere popanda vuto lalikulu la chidziwitso cha mbiri, ndipo kulephera kupeza bwino kukonzekera kumapangitsa wodwalayo kukhala wochenjera powadziwitsa kuti ali ndi vuto lotsekemera. Komanso, palinso gawo la cavernosometry, lomwe likuwoneka kuti liri ndi molondola kwambiri pozindikira kuti ziphuphu zimatuluka.
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