Uxilongo oluxilisayo lwe-Erectile Dysfunction
nguGérard V. Sunnen, MD
Isibhedlela sase Bellevue neYunivesithi yaseNew York
Kwiminyaka yakutshanje ubunako bokuzithandela ukutshintsha ukusetyenziswa kweenkqubo zonyango ezizimeleyo kuye kwagqalwa ngokubanzi. Indlela yokwelapha kuquka i-hypnosis, i-biofeedback, uqeqesho lokuphumula kunye neendlela zokucamngca zibonise ukuba iinkqubo zomzimba ezenzeka ngaphantsi kwinqanaba lokuqwashisa likwazi ukungena kwindawo yokulawulwa kwezinto ezichaphazelekayo kunye nefuthe ekulawuleni ngokwazo (Schwartz, 1973; Griffith, 1972).
Unyango olucamngca lusetyenziswe ngempumelelo ukuguqula imimandla evuselelayo kunye nokwenza ilizwe eliguquliweyo lokuqonda (UDeikman, 1963; Maupin, 1969). Isifundo sokuqala seyogis yaseIndiya (iBrosse, 1946) ibonakalise amandla abo kulawulo lwenqanaba lentliziyo. Ukusukela ngoko, uphononongo lweendlela zokucamngca zivelise ulwazi malunga nokubanakho ukucotha izinga lokuphefumla, uxinzelelo lwegazi olusezantsi, ukunciphisa ukusetyenziswa kweoksijini, ukuqhuba kwesikhumba okuncinci, kunye nokwenza utshintsho lwe-EEG ngokwanda kwe-alpha wave preponderance kunye ne-amplitude (Anand et al., 1961; IWallace kunye neBenson, 1972; UBenson et al., 1975).
Isizathu sokusebenzisa indlela yokucamngca kwonyango lokungahambi ngesondo kuvela kwimithombo eyahlukeneyo. Ngethuba lovavanyo, esinye isigulane kulolu cwaningo satsho ukuba uye waphawula ukusabalaliswa kweemvakalelo zesini kwizitho zakhe zobulili, ngokugqithiseleyo ziphawulwe ngamanye amaxesha xa ezama ukulala. Wachaza nje nge-anesthesia yesondo waza wawuhlukisana nomoya oqhelekileyo wokuzaliseka nokufudumala awayekubone ngaphambi kokuba imeko yakhe iphuhliswe. Emva koko, bonke abantu kulolu cwaningo baye bahlolwa ngolu hlobo; Amadoda ayisithandathu kwabayisithoba abalisa ukungabikho kwemvakalelo yomzimba, kwaye amadoda amathathu asele axelele ukunciphisa okwexeshana kwiimvakalelo zabo zesini.
Iindlela ezikhokelela ekuphenduleni i-erectile ziquka ukuphumla kwe-muscularature ne-engorgement elandelayo ye-penile spongiosum. Xa uceliwe ukuba ungenelele kwiindawo zokulala ngexesha lokuphendula ngendlela erectile, abantu baya kuthi bahlale bechaza ukuvakalelwa kunye nokufudumala.
Uphononongo lwamva nje lwempendulo yamadoda eyabelana ngesondo (I-Koshids kunye ne-Sohado, 1977) ukusetyenziswa kwe-thermography kubonise ukonyuka kobushushu besini obenzeka kwimizuzu emi-2 emva kokuvezwa kumdlalo bhanyabhanya okhuthaza inkanuko.
Kwakuthatyathwa ukuba ezinye iimeko zokungabi namandla okubodwa zingabandakanya ukungabi nakwezo zixhobo zengqondo zengqondo ezijongene nokufudumala komzimba kunye nokuqeqesha umntu ukuba aphinde aphinde abe nolwazi lokwazi ukuvuselela ubuchule besondo. Ukucamngca kwakubonakala kulungelelanelwe kule njongo ngenxa yokuba kunokunikela ngokukhawuleza ngokunyaniseka kwemizimba kunye nokuzisa ukungenelela kwendawo yeendlela zokuguqula umzimba.
indlela yokwenza
Izigulane ezithoba zineempembelelo zesekondari kunye nobudala obuneminyaka engama-32 zifakwe kulolu cwaningo. Bonke babenalo mqondiso ngaphezu kweenyanga kunye neentsingiselo zeenyanga ze-2-1 / 2. Izigulane ezintlanu zaye zavela ngokukhawuleza xa zisabela kwisimo esibuhlungu, ngoxa abanye abane babika ukunyuka kwembonakaliso. Umntu owayengaphambili wayefuna ukuba neqabane lamanye ngokwesini, kwaye ezi zilandelayo zihambelana nobunzima bokuhlala zinganeliseki kunye nomlingane omnye. Ukuhlolwa kwezonyango kubonakalisile ukungabikho.
Isizathu sokusebenzisa ukucamngca kwonyango kwachazwa ngamnye kwisigxina njengoko kunokwenzeka ukuze kuncitshiswe imiphumo yeziphakamiso. Imiyalelo yanikezwa kumatshini weenkqubo zokucamngca. Iziqali zokucamngca ziquka ukhetho lwesimo esifanelekileyo kunye nokwamkelwa kwesimo sengqondo apho zonke iziganeko ezingaphandle, ukukhathazeka, ukwesaba kunye neengcamango ezingahambelani namava zinganakwa. Imiyalelo zanikezwa ngobugcisa bokungabikho iingcamango ezingenayo kunye nomsebenzi wokugcina ulwazi olucacileyo ngaphandle kokukhupha ukulala. Isigulane ngasinye sacelwa ukuba sifinyelele kwisigaba sokuphumula esisezantsi ngokuhlala kwaye sigxininise ukuthotyelwa kwisigqi sokuphefumla. Oku ngokuqhelekileyo kuthatha imizuzu ye-3, kwaye isantya sokuphefumula, intlawulo yenhliziyo, kunye neetoni zomsila zehla kwiindawo ezincinci zokuphumla. Ngelo xesha izigulane zacelwa ukuba zitshintshe ingqwalasela yabo kwingingqi yazo yokulala kunye nokucamngca ngamava omnandi okwenzela imfudumalo, ukunyamekela ukuba ungabikho nantoni na iisifuba ze-pelvic xa wenza njalo. Emva kokuzivocavoca kwangaphambili e-ofisini, isigulane ngasinye sacela ukuba iphindwe inkqubo kabini imihla ngemizuzu ye-15.
iziphumo
Izigulane ezintlanu zachaza amava okufudumala komzimba kwisithuba se-10, kunye nezinye ezimbini emva kweeyure ze-2. Loo mvakalelo waba namandla kwaye unokwenziwa ngokukhawuleza njengoko uqeqesho luqhubeka. Izigulane ezimbini eziseleyo zithe zavezwa ngentsholongwane kodwa zaphazamiseka ngokuqhubekayo iingcamango ezingenakukwazi ukugcina ingqwalasela ebalulekileyo. Ezi zi gulane, nangona zikhuthazwa, azizange zifikelele ngokufudumala komzimba kwaye azizange zenze ubuchule be-erectile. Esinye sala ma gulane saphikelela kwiintsuku ze-7, kunye nezinye kwiiveki ze-2 ngaphambi kokuba zidibane necebo.
Abo babekwazi ukuzisa ukufudumala ngokobulili babenakho ukuvelisa ngokufanayo kunye nezilingo zokucamngca ezilandelayo. Izigulane ezisixhenxe eziphumeleleyo zabika ukubuyela kwamava erectile kwiiveki ze-2 zokufumana ukufudumala komzimba. Ukusebenza komlingano kwabikwa kula bantu ukuba babuyele kumanqanaba e-presymptom, kwaye kwizigulane ezintathu ziphucule ngaphaya koko.
Izigulane ezibini zavelisa amandla okufezekisa ukulungiswa kwintando ngelixa kucinga ngolu hlobo, ngokuqhelekileyo emva kwemizuzu eyi-10 yokusebenzisa le ndlela.
Ukulandelwa kweenyanga ze-3 emva kokuphumelela kobuchule be-erectile kubonise ukuzinza kweziphumo zonyango kwizigulane ezihlanu. Esinye isigulane salahleka ukuba silandele.
ingxoxo
Amava kunye neli qela elincinci lezigulane libonisa ukuba iindlela ezithile zokucamngca ezinokuguqulwa zingakunceda ekwenzeni unyameko lwe-erectile. Abantu abafanelekileyo ngokufanelekileyo kule modal iyakhuthazwa ngokwaneleyo ukubeka eceleni ezimbini iigxina ze-15 imihla ngemihla yokuzicamngca kwaye zinekhono lokunciphisa ingcamango yazo ukuze kugxininiswe kwingxenye ye-anatomical, ifune kwaye ikhulise iimvakalelo zokushisa, kwaye ngexesha elinye lihlale liphaphile kwaye likhululekile. Abantu be-2 abangazange bazuze kule nkqubo babonakala benenkinga ngenye into okanye enye inkalo yale nkqubo yengqondo eyinkimbinkimbi.
Xa ubukela iziphumo zolu cwaningo, kuyakunceda ukuqaphela ukuba kwezinye iirhafu izinga lokuxolelwa ngokukhawuleza kwi-secondary impotence libikwe liphezulu. I-Ansari (1976) ifumene i-68% yokubuyiswa kwezinga le-8 inyanga emva kovavanyo lokuqala.
Abacamngca abanamava babonakalisiwe ukuba baqhubekeka noxinzelelo ngokufanelekileyo njengoko amava abo esonyuka (UGoleman noSchwartz, 1976). Kungenzeka ukuba izifundo zethu eziphumeleleyo zikwazile ukujongana neemeko zesondo ngokuzola okukhulu kunamava abo angaphambili, kungoko kuthintelwe ukuphendula ngokwesondo. Into enomdla kukuba, bonke abantu abaphumeleleyo kolu phando baxela iimvakalelo ezandayo zoxolo lwangaphakathi kubomi babo bemihla ngemihla, ngelixa la madoda mabini angakhange aphendule kule ndlela yonyango axele ukuba akukho tshintsho kubuchule babo bokumelana noxinzelelo.
Ukusebenza kobuchule kungaphinda kuxhomekeke kwinkalo ethile yokulawula indlela eya kwi-ANS yesini. Inyaniso yokuba izifundo eziphumeleleyo zazisa ukufudumala komzimba phakathi kwemizuzu embalwa yokusebenzisa, ngoxa bengenakukwenza oko phambi kokuba unyango lwabo, kwaye ukuba abantu ababini babike ukuba bakwazi ukudala izikhetho ngokuzithandela banokuxhasa le ngcamango.
Iingxaki zokwelapha zale nkqubo zilindele ukuqhubela phambili ukufunda kodwa sele ziboleke ithemba kubantu abakhethiweyo abachaphazelekayo kwi-erectile disys function.
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