Chishanu, April 28, 2017, NaSharon Ni Chonchuir
Nemurume mumwe chete pagumi evarume anowana kusagadzikana kwe erectile, nyanzvi dzinokurudzira varume kuti vatsvage rubatsiro uye vawane mhando dzakasiyana dzekurapa, anodaro Sharon Ní Chonchuir.
ERECTILE kusagadzikana (ED) kunobata mumwe muvarume ve10 chero nguva ipi zvayo. Maererano neIrish Heart Foundation, 18% yevarume vane makore 50 kusvika 59, 38% yevarume vane makore pakati pe60 ne69 uye 57% yevarume vane makore anopfuura 70 vanotambura nemamiriro acho ezvinhu.
"Iri dambudziko rinowanzoitika uye iri chikamu chepanyama uye chinotarisirwa chekukwegura kwevarume vazhinji," anodaro Dr Ivor Cullen, muongorori weruzivo paYunivhesiti Waterford.
Sezvo ani zvake akatevera nhoroondo yeCharlotte naTrey pamusoro peCabonde muGuta achayeuka, pane zvakawanda zvinogona kuitika pakurapa ED.
Imwe yenzira dzakanakisisa dzinozivikanwa ndeye piritsi duku yebhuruu inonzi Viagra.
"Ndiyo imwe yemishonga mina yakasiyana-siyana inonzi PDE5 inhibitors iyo yakashandura nzvimbo iyo pavakasvika paIndaneti pakati peZ1990s," anodaro Dr Cullen.
Asi maitiro matsva ekurapa ari kuuya pakukwira.
Kare anonzi Cricketer Ian Botham akatonga chikamu chechikomboti muZ1980s asi, kubva pamakumbo acho, hwaiva hupenyu hwake hwepabonde hwakanga hwaita misoro, uye mumwe mudiwa aiti maitiro avo akanga ane simba zvokuti vakaputsa mubhedha.
Ndokusaka mashizha akakurudzirwa apo mukuru wemakore we61 akataura nezvekugamuchira kurapwa kwematambudziko erectile gore rapera.
Zvisinei, haana kusarudza Viagra kana mamwe mapiritsi. Akagamuchira nzira yepasi-shockwave mishonga (LIST), iyo ichangobva kuwanika kuIreland.
Zviri nyore kuona kuti nei akasarudza kurapwa uku. Zvinonzi kune huwandu hwakanaka hwekubudirira uye kuratidza zviwanikwa zvinoonekwa mukati memavhiki matatu.
Maererano neongororo ye 2015 muScandinavia Journal of Urology, vatsvakurudza vakatora varume vane 112 vakanga vasingakwanisi kurara pasina mishonga uye vakapa hafu yevhiki yeLIST uye imwe hafu ye placebo.
Pakuguma kwemishonga, 57% yevaya vaiva neLIST vakakwanisa kuita zvepabonde vachienzanisa ne9% yeavo vakagamuchira nzvimbo yebasa.
Pasinei nemigumisiro yakadaro yakavimbiswa, Dr Cullen anonyevera kusagumisa kuti LIST inomirira mushonga unoshamisa.
Iyo haishandi kune munhu wose uye kusvika ku40% yematambudziko, haikwanisi kushanda kana ED iine chikonzero chechirwere cheshuga, chirwere cheprotate kana kupera kwepachevic.
Nenzira imwecheteyo, Viagra ne PDE5 inhibitors haisi mushonga-zvose.
Viagra inogona kuva nemigumisiro yakaita seyakasvibiswa, kuora musoro uye kuora mwoyo. Zvino pane chokwadi chokuti inoporesa zviratidzo chete uye zvichida kwete zvikonzero zve ED.
Nokufamba kwenguva, chinokonzera chikonzero chinogona kukura uye Viagra inogona kunge isingaiti chiitiko chakafanana chinoda.
ED inowanzoitika nekuda kwekuderera kweropa kuderera uye zvinodhaka seViagra kudzorera kupiwa. Asi kana mishonga yeropa yakapoteredza penis yakaderera, zvinogona kunge dzimwe mitsipa yeropa zvakare. Nokurondedzera zvinodiwa zveViagra kana LIST, vanachiremba vangave vasina hanya nedambudziko guru.
"Peni inoratidzika sehwindo pamwoyo uye dambudziko nepenisheni inogona kuva chiratidzo chematambudziko emwoyo," anodaro Dr Cullen.
"ED inogonawo kubva nechirwere cheshuga, zvinetso zveprotate kana migumisiro yemishonga yakadai sevanorwisa mweya. Apo vanachiremba vari kuongorora varwere, tinofanirwa kuvabvunza mibvunzo uye kuronga kuongororwa kweropa kuti tione kana kune dambudziko rekare risingawanikwi iro ED rinongova chiratidzo chimwechete. Dambudziko iroro richazofanirwa kurapwa tisati tabata ED. "
Kusuruvara kwemurume (kana kurara kwemurume) kunogona kunge kune chikamu chekutamba muD ED zvakare.
Sezvo mahomoni evakadzi ari kuchinja pakati pezera remakore, zvichikonzera libido shoma, saizvozvowo testosterone inoderera mumarume, ine mhinduro dzakafanana.
Izvi zvakaita kuti dzimwe nyanzvi dzive nekutenda kuti testosterone inoshandiswa pakurapa iyo inogona kubatsira kuvandudza maitiro evanhu. Dr Cullen akaona basa iri, kunyanya kana rakabatanidzwa nedzimwe mishonga.
"Kune humwe uchapupu hunoshamisa hwekuvandudza maitiro e testosterone kune varume vane hutsika hwakadzika hunovandudza ED uye hunovandudza maitiro avo kumishonga yemhando yeViagra," anodaro.
Haisi kungobatsira kwechiremba kunogona kubatsira. Zvokudya zvinogona kuva chiitiko zvakare.
"79% yevakuru vakwegura vanodarika kuwirirana maererano neExNUMXs muChigadziro Chinochinja kuIreland chakabudiswa mu50," anodaro Orla Walsh, nyanzvi yezvekufa neDublin Nutrition Center.
"Varume vanorema kudarika vanowanzove vachitambura kubva kuD ED sezvo mutezo yavo yeropa inoparara uye ropa ravo rinopera."
Izvi zvinoreva kuti kuora muviri kunogona kuita mutsauko. Walsh anorayira kutora maminitsi 30 ekurovedza zuva, achirega kusvuta uye kunwa zvine mwero.
Anokurudzirawo kuwedzera zvimwe zvekudya kweMediterranean kune zvokudya zvako.
"Chaizvoizvo, chinhu chipi zvacho chakanaka pamwoyo chakanaka kumuviri," anodaro.
"Saka wedzera zvinhu zvakadai senyuchi, peas, lentils, mafuta omuorivhi, hove uye nutswa semaknuts uye mabhodesi eBrazil."
Anonyanya kukurudzira beetroot juice.
"Yakazara nitrate iyo inobatsira mishonga yeropa kuti iwedzere uye ropa riyerere nyore nyore," anodaro.
Pakazosvika ku20% yematambudziko, ED inobva kune chinetso chepfungwa kana zvepfungwa, zvinoreva kuti kupa mazano kunogona kubatsira.
Nuala Deering ishamwari uye psychosexual therapist uye ED ndeimwe yenhau dzinowanzosangana naye.
Anonyanya kushanda nevarume vakaroorana uye vanobatana nemurume wavo muzvirongwa zvekupa mazano.
"Zvinokosha kuti vashande seboka kuti vakurire nyaya iyi," anodaro.
"Hazvina kunaka kana mumwe wako akashatirwa, akatsamwa kana kutsamwa. Izvozvo zvinongoita kuti murume wacho anzwe aine mhosva kana akaipa. "
Deering inobatawo nhamba yevarume vechidiki muzana ravo re20s. Kunyange zvazvo nyaya dzavo dzakasiyana, dzine zvakawanda zvakafanana nevakwegura vakura.
"Kuvimba kwavo nekuzviremekedza kwavo zvinokanganisa," anodaro.
"Vanowanzonzwa vasina tariro nenguva iyo vanouya kuzorapa, vachitenda kuti havagoni kubatsirwa. Asi munenge mapoka ose, kurapa kunobatsira. "
Kune zvakawanda zvinokonzera mupfungwa zve ED.
"Kushungurudzika, kuzvidya mwoyo uye kuora mwoyo zvinhu zvose," anodaro.
"Kushushikana kwekuita chinhu chimwe chinhu varume vazhinji vanotaurawo. Nehuwandu hwepabonde mune zvenhau dzakapoteredza, zviri nyore kwavari kuti vatende kuti munhu wose ari kuita zvepabonde rakanaka uye kuti haakwanisi nokuti haasi. "
Zvinonyadzisira zvinokonzera.
"Vazhinji vechidiki vakadzidza maitiro ekuita zvepabonde kuburikidza nekuona zvinonyadzisira kwete kuburikidza nehukama hwepedyo hwepabonde nemunhuwo zvake," anodaro.
"Vakadzidza kuva nekugadzirisa kusina kunaka pamagumisiro ekuguma - chirevo chekuita - pane kungofarira mafaro evanhu. Izvi zvinogona kukonzera matambudziko makuru. "
Kurapa kunotanga nevarume vachirega zvose zvepabonde.
"Vanofanira kudzokera shure, vasina chavanoita kana kushungurudzika," anodaro.
"Vanofanira kuvaka kuvimba uye kunzwisisa uye vanoita izvi nekuisa pfungwa panyaya dzekunamata. Vanotora nguva yekushanda kusvika kune hukama hwakakwana hwepabondezve. "
Pavanenge vachiita izvi, vanogadzirisawo matambudziko avo nekuzviremekedza, kuzvidya mwoyo uye kuora mwoyo mune zvidzidzo zvavo.
"Zvandiri kuita zvepabonde-zvekuita zvepabonde zvinofunga zvose," anodaro Deering.
"Izvi zvinovabvumira kubata nematambudziko uye zvinokanganisa maonero avanoita, ukama hwavo uye hukama hwepedyo. Haisi kungovandudza upenyu hwavo hwepabonde. Inovandudza upenyu hwavo hwose. "
Ian Botham anoita kunge akaitira vanhu nyasha. ED inetso iyo varume vakawanda vanoona muupenyu hwavo uye ichiri chirevo chekuita.
Viagra inogona kunge iri mishonga inonyanya kuzivikanwa asi sezvinoratidzwa nenyaya yaIan Botham, haisi iyo chete.
Varume vanowanzoona zvakaoma kuvhura, anodaro Deering.
"Asi vanofanirwa nokuti vanogona kungoziva kuti vanogona kubatsirwa."
Vanogona kubatsirwa nekudya kana mararamiro ekuchinja, chirwere chepfungwa chepabonde kana kupindira mune zvekurapa.
"Maitiro ezvokurapa ari kuwedzera nguva yose uye mamwe maitiro atinayo, zviri nani mikana yekuvandudza," anodaro Dr Cullen.
"Pane kushayikwa kwekunzwisisa uye kunyadziswa zvakapoteredza musoro uyu asi varume vanofanira kuona madherechi avo pamusoro payo. Vachabatsirwa. "
Pane hutano hwehutano hwe erectile dysfunction:
1. Viagra ndeimwe yechina PDE5 inhibitor zvinodhaka. Zvose zvinotorwa mufomu yemapiritsi.
Zvimwe - seViagra - zvinotorwa kusvika paawa asi vasati vaita zvepabonde asi vamwe vanobatwa nguva dzose mumadhora maduku.
Kunyange zvazvo Viagra inowedzera kuwedzerwa kweropa kusvika peni munguva pfupi, sarudzo yakaderera inowedzera kuwedzerwa kweropa pane nguva, nechinangwa chekuvandudza hutano hwekugadzirisa kwenguva refu.
2. LIST ndiyo nzira inoshandiswa navanachiremba kushandisa svondo ye ultrasound kuti ipe 1,500 kushungurudzwa kune zvikamu zvishanu pamwe nepenisi. Iyi nzira inoitwa kudarika mana kusvika ku12 zvidzidzo kwemavhiki mana. Inoshanda kuburikidza nekukurudzira kukura kwemidziyo mutsva yeropa kumuviri.
3. Mishonga inoshandiswa inosanganisira mishonga inonzi prostaglandin inorohwa zvakananga mupeni. Iyo inoshanda mukati ma5 kusvika maminitsi 10.
4. Uyu mishonga unogona kutorwawo nokuisa chipfudzi muurethra kana kuisa hutukutu pamucheto wepenisi.
"Pane zvipingamupinyi kune zvose izvi zvingasarudzwa," anodaro Dr Cullen.
"Nemapuranga, kuguma kwepombi yemvura kunogona kuora uye nekamu, iwe haugoni kuita zvepabonde mumuromo kana kushandisa kondomu."
5. Kuvhiya inzira. Chirwere chekusingaperi chinogona kuiswa muchirume. Hapana chinoonekwa kunze. Izvozvo zvinogadziriswa zvakaoma uye zvakajeka sepamberi uye murume anogona kusvika pakuguma.
6. Pane chisarudzo chisinganyanyi kuoma chinosanganisira kusungirirwa kusingagadziki kana sarudzo isingasviki yechigadziro chekuvhara.
"Izvi zvinosanganisira peni iri kuiswa mukati mekutaputira umo kusanzwisiswa kunokonzera ropa mukati maro uye rinyo rekumanikidzika rinoteya ropa iro ipapo," anodaro Dr Cullen. "Kusangana kwakagadzikana kwakasiyana nekugadzirwa kwemazuva ose asi vamwe varwere vanogutsikana nazvo."
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