Ko zvinonyadzisira zvinoshandisa uye bonhora zvine basa mukusashanda zvakanaka kwe erectile uye kugutsikana kwehukama muvarume? (2022)

UPDATE: Tsananguro iyi inotsoropodza chidzidzo chisina mubvunzo chiri pasi apa umo vatsvakurudzi vakanyanya kudzinga vatori vechikamu vakanga vakurira pane zvinonyadzisira, uye vakagumisa kuti zvinonyadzisira hazvigoneki kuva chinhu muED. Urologist, muongorori uye purofesa Gunter De Win nechikwata chake vakabva vaburitsa mhinduro yavo, umo anosimbisa zvakawanwa mukunzvera kwake amene.

ngovepo

Zvose zvebonhora kakawanda uye zvinonyadzisira zvinoshandiswa panguva yebonhora zvakafungidzirwa kuti zvinokanganisa mhinduro yepabonde panguva yepabonde pamwe chete nekugutsikana kwehukama hwese. Nekudaro, mhedzisiro kubva kuzvidzidzo zvekutanga zvave zvisingaenderane uye kazhinji zvichibva pane zvidzidzo zvenyaya, mishumo yekiriniki, uye nyore mabhinari ongororo. Chidzidzo chemazuva ano chakaongorora hukama pakati pekuita bonhora kakawanda, kushandiswa kwezvinonyadzisira, uye erectile kushanda uye kusagadzikana muvarume 3586 (kureva zera = 40.8 yrs, SE = 0.22) mukati memamiriro ezvinhu akasiyana-siyana akaongorora kusagadzikana kwepabonde achishandisa zviridzwa zvakagadziriswa uye izvo zvaisanganisira mamwe ma covariate anozivikanwa kukanganisa kushanda kwe erectile. Migumisiro yakaratidza kuti kuwanda kwekushandiswa kwezvinonyadzisira kwakanga kusingabatanidzi kana erectile kushanda kana erectile dysfunction (ED) kuoma mumasampuli aisanganisira ED varume vane uye vasina zvakasiyana-siyana zvepabonde comorbidities kana muchikamu chevarume 30 makore kana vaduku (p = 0.28–0.79). Bonhora frequency yaingove isina kusimba uye isingaenderane ine chekuita ne erectile kushanda kana ED kuomarara mu multivariate analyzes (p = 0.11–0.39). Kusiyana neizvi, zvakasiyana-siyana zvakagara zvichizivikanwa kuti zvinokanganisa mhinduro ye erectile yakabuda seyakanyanya kuwirirana uye inofananidzira erectile kushanda uye / kana ED kuoma, kusanganisira zera.p <0.001), kuva nekuzvidya mwoyo / kuora mwoyo (p <0.001 kunze kwechikamu chevarume ≤ 30 makore), vane chirwere chisingaperi chinozivikanwa kuti chinokanganisa erectile kushanda (p <0.001 kunze kwechikamu chevarume ≤ 30 makore), kufarira pabonde kwakaderera (p <0.001), uye kugutsikana kwehukama hwakaderera (p ≤ 0.04). Nezvepabonde uye kugutsikana kwehukama, hurombo husina kunaka hunoshanda (p <0.001), kufarira pabonde kwakaderera (p <0.001), kufunganya/kuora mwoyo (p <0.001), uye yakakwira frequency yebonhora (p <0.001) yakabatanidzwa nekudzika pabonde uye kuderera kwehukama hwese kugutsikana. Kusiyana neizvi, kuwanda kwekushandiswa kwezvinonyadzisira hakuna kufanotaura nezvepabonde kana kugutsikana kwehukama (p ≥ 0.748). Zvakawanikwa zvechidzidzo ichi zvinodzokorora kukosha kwenguva refu inozivikanwa yengozi yekunzwisisa yakadzikira erectile kushanda uku ichiratidzira kuratidza kuti bonhora kazhinji uye kushandiswa kwezvinonyadzisira kunoratidza kusimba kana kusabatana ne erectile kushanda, ED kusimba, uye kugutsikana kwehukama. Panguva imwecheteyo, kunyangwe kuoneswa kuchidikanwa, isu hatirambi pfungwa yekuti kuvimba zvakanyanya pakushandisa zvinonyadzisira pamwe nekuwanda kwekuita bonhora kunogona kumiririra njodzi yekudzikira kwekuita zvepabonde panguva yepabonde uye / kana kugutsikana kwehukama mune zvikamu zvakanyanya. varume vanotambura (semuenzaniso, vadiki, vasina ruzivo).


Unoda kumwe kutsvagisa? List iyi ine pamusoro peongororo dze 50 dzinobatanidza zvinonyadzisira zvinoshandiswa / zvinonyadzisira zvinodhaka kune zvinetso zvepabonde uye kuderedza kukwezva kune zvepabonde. Zvidzidzo zvinomwe zvekutanga mune runyorwa zvinoratidza causation, sezvo vatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi.