Kunezizathu eziningi zokuthi amadoda, abancane nabadala, abakwazi ukufeza noma ukugcina ukulungiswa. Izimo zezokwelapha yiyona nto enkulu, kodwa izici zengqondo zingadlala indima futhi. Nokho, kukhona izinyathelo ongazithatha ukuze uziqede
NgeSonto, i-05 Agasti, i- 2018: LINKA KU-ARTICLE
Ukungasebenzi kahle kwe-Erectile (ED) yisimo esicindezelayo lapho amadoda angakwazi ukukufeza, noma ukugcina, ukulungiswa. Lokhu kunomthelela omubi empilweni yabo yobulili, okungaba nemiphumela emibi kakhulu ebuhlotsheni babo kanye nempilo yengqondo.
Izinkinga ezingasese embhedeni azibandakanyi i-ED - yikuphi ukuphikelela okuqhubekayo nokuqhubekayo ukugcina ukulungiswa ngokulala ngokomzimba. Kuyinto evamile kakhulu kunokuba amadoda angacabangela, ngenxa yokuthi azimisele ukuxoxa nabanye, kaningi ngisho nodokotela bawo. Isimo sinemibangela eminingi futhi, ngenxa yalokho, sithinta amadoda abo bonke ubudala - nakuba iba ngokuvame kakhulu nobudala.
Mayelana ne-10 ngamaphesenti alabo abakwa-40s abahluphekayo, i-15 ngamaphesenti angu-50s, ingxenye yesithathu kuma-60 awo, nengxenye ye-septuagenarians. Ngaphakathi kwebhodi, cishe i-20 ngamadoda wamadoda aphikisana nokungabi namandla.
UDkt. Andrew Yip Wai-chun, urologist waseHong Kong, uthi i-ED ibangelwa ngokuyinhloko yizifo, kanti ku-80 ngamaphesenti angu-cases we-diabetes mellitus, umfutho wegazi ophezulu kanye ne-high blood cholesterol yizimbangela ezinkulu zezokwelapha.
Isimo ngokuvamile siyisibonakaliso sokuqala sesifo senhliziyo nezinye izinkinga zomjikelezo. Ukufeza nokugcina i-erection, igazi elingezelelwe kumele likwazi ukugeleza elingenakulinganiswa. Noma yikuphi okuphazamisa ukugeleza okunempilo - ngokwesibonelo isibindi sokuthi i-atherosclerosis, inqubo yokugubha i-artery ekumpandeni kokuhlaselwa kwenhliziyo, imivimbo, nezinye izimo zenhliziyo - inokubangela ukukhubazeka kwe-erectile, futhi.
Ngenxa yokuthi izinkinga zamanzi ezitshalo ziyimbangela ehamba phambili yokungasebenzi kahle kwe-erectile, ukuphazamiseka kuye kwachazwa njenge-barometer ewusizo impilo yonke yomuntu. I-American Heart Association inxusa ukuthi odokotela bahlolele izingozi zenhliziyo ezigulini ezine-erectile ukungasebenzi, ngisho noma kungekho ezinye izici eziyingozi; ukuqala kwe-ED kungenza kuqala imicimbi yenhliziyo eminyakeni emibili kuya kwemihlanu.
Njengoba uDkt. Yip ebhala, enye i-20 ngamacala amacala angabangela izinkinga ezingokwengqondo: ukucindezeleka, ukukhathazeka, nokucindezeleka okuvamile kungabamba iqhaza ku-ED, njengoba kungase kube nokucindezeleka okuvame ukungena ebuhlotsheni bomzimba. Odokotela babiza lokhu "ukukhathazeka okusebenzayo," futhi kusobala ukuthi kuyabonakala uma umuntu ezwa ukuthi "ukusebenza" kwakhe kuthintekile.
UDkt. Amin Herati, umqondisi wokungabi namadoda e-The James Buchanan Brady Urological Institute kanye noMnyango we-Urology we-Johns Hopkins School of Medicine eBaltimore, Maryland, eUnited States, ukhuluma ngokuphathelene nezinkinga "zokusebenza".
Uthi, "Izithombe zobulili ezingcolile zingathinta iziguli ezilindeleke ukuthi zithandane nabo noma zobulili," kuyilapho ukusetshenziswa kabi kwezithombe zobulili ezingcolile kungavimbela lowo muntu ukuba ayenze ucansi kuze kube yilapho "ukunakwa kungasondeli".
Le nkinga ingenzeka kumadoda abo bonke ubudala, kodwa kubonakala sengathi iyenzeka njalo emadodeni amancane.
Amanani e-erectile ukungasebenzi ayenyuke kakhulu eminyakeni yokugcina ye-15, ikakhulukazi emadodeni amancane kune-40. Ku-2002, ukubuyekezwa kwezinguquko ze-23 ezivela eYurophu, i-United States, i-Asia ne-Australia zithole ukuthi izinga lokungasebenzi kahle kwe-erectile kuleyo nkathi yobudala kwakungamaphesenti amabili. Ucwaningo lwamuva luveza ukuthi ukukhubazeka kwe-erectile kwanda kakhulu kubantu abasha, abaningi abangamaphesenti angu-15 kulelo qembu lobudala balwa nalo.
Izinsizwa zingabuye zandisa ingozi ye-ED ngemisebenzi efana nokugibela ibhayisikili, okungalimaza imithwalo yemithwalo ephethe igazi epeni - ngakho-ke amadoda kudingeka akhumbule ukuhlukumeza ngokomzimba endaweni.
Ngaphandle kokubhekana nezinkinga zekhanda nenhliziyo ezingabangela inkinga, yini enye engayenza? Esikhathini esedlule, kusho uDkt Yip, odokotela basebenzisa ipompo noma ipenis, besebenzisa imisebenzi yokuhlinza nge-penile prosthesis noma banikeze injini ye-penile yemithi ye-vasodilatation ukuze kuthuthukiswe ukugeleza kwegazi.
Imithi yomlomo yokusiza ukulungiswa yasungulwa eHong Kong ku-1998, uthi. I-Sildenafil (i-Viagra) yayingumlomo wokuqala, ilandelwa i-vardenafil (i-Levitra) ne-tadalafil (i-Cialis) ku-2003. Imithi yomlomo iphephile futhi ilula futhi iyenze indlela yokwelapha esemqoka, ngezinga eliphumelelayo le-80 ngamaphesenti.
Muva nje, i-Yip ithi, imithi emisha yomlomo itholakale eHong Kong - i-avanafil (iStendra), okushiwo ukuthi kunemiphumela emibi kakhulu kunezidakamizwa zakudala.
"Ukwelapha i-Gene kuyisicwaningo esishisayo eMelika, kodwa imiphumela ayimangalisa okwamanje," esho.
Njengoba kuphazamiseka njengo-ED, kunezinyathelo eziningi amadoda angathatha ukuze anciphise noma aqede inkinga. Qala ngezinguquko zokuphila futhi ukhulume nodokotela wakho. Ngeke ube ngowokuqala okhulume naye ngakho, futhi ngeke ube ngowokugcina.
Ukuzisiza ekusebenzeni okuphakeme
I-1. Ukuzivocavoca
Hamba noma ugijime amakhilomitha angu-3 (amamayela amabili) ngosuku. Ukuzivocavoca njalo kunganciphisa ingozi ye-ED, noma ukuguqula ukungabi namandla. Amadoda anezixhumi ezingu-42 (107cm) angama-50 ngamaphesenti amaningi abe ne-ED kunalabo abane-32-intshi (81cm).
Akuyona nje ukulahlekelwa kwesisindo okusizayo: ukuvivinya umzimba kuthuthukisa ukugeleza kwegazi, okuyisihluthulelo sokwakhiwa okuqinile. Liphinde ithuthukise ukucindezelwa kwegazi ngokukhulisa i-nitric oxide emithonjeni yegazi, yiyo i-Viagra esebenza ngayo.
Ukuzivocavoca umzimba kungabuye kwandise ukukhiqizwa kwemvelo ka-testosterone, into ephawulekayo emandleni erectile, ukushayela ucansi futhi ngokuvamile uzizwa njengomuntu ogcwele igazi.
I-2. Hambisa
Ukuzivocavoca kwama-pelvic, okubizwa ngokuthi ama-Kegel umzimba, kwachazwa okokuqala ku-1948 yi-American gynecologist u-Arnold Kegel. Zivame ukukhuthazwa odokotela kubesifazane ngemuva kokubeletha umntwana, futhi akuyona into eningi amadoda ayaziyo. Kodwa ama-Kegels asiza ukuthuthukisa i-continental ye-urinary kanye nempilo yezocansi ngoba iqinisa imisipha ye-bulbocavernosus, eyenza izinto ezintathu: ivumela i-penis ukuba ihlanganise negazi ngesikhathi sokumiswa, amaphampu ngenkathi i-ejaculation, futhi isisiza ukungabi nalutho ngemuva kwe-urination.
I-3. Yeka ukuphuza
Utshwala luyinto edabukisayo kakhulu futhi ingabangela kokungasebenzi kahle okwesikhashana nesikhathi eside.
Isimiso sezinzwa esiphezulu sinesibopho sokukhulula i-nitric oxide, okuyinto isithako esibalulekile ekusizeni ukuthola nokugcina ukulungiswa.
Ukusetshenziswa kotshwala kuphazamisa isimiso sezinzwa esiyinhloko, sibangele ukuba sisebenze kancane kancane, okusho ukuthi akhululwe oksijini i-nitric okwanele - okuhunyushwa njengokungasebenzi kahle kwe-erectile.
I-4. Ukwandisa ukungenisa i-nitric oxide
I-L-arginine i-amino acid eyenzeka ngokwemvelo emzimbeni womuntu futhi iyasiza ukwenza leyo nsiksi ye-nitric oxide ibaluleke kakhulu ekusekeleni ukulungiswa. Ucwaningo lwe-1999 lubonile imiphumela yamasonto ayisithupha we-L-arginine ephathwa nsuku zonke phakathi kwabantu abane-ED. Ingxenye eyodwa kwezintathu kulabo abathatha amagremu amahlanu ngosuku lwe-L-arginine babhekene nokuthuthukiswa okuphawulekayo emsebenzini wocansi.
I-5. Yiba ne-watermelon
I-Citrulline, i-amino acid etholakalayo ezindaweni eziphakeme zamakhabe, itholakala ekuthuthukiseni ukugeleza kwegazi ukuya epeni. Ucwaningo olwenziwe nge-2011 lwembula amadoda ahlushwa u-ED obumnene kuya olinganiselwe futhi othatha ukwesekwa kwe-L-citrulline kubonise ukuthuthukiswa komsebenzi we-erectile. Ngenxa yalesi sizathu, ijusi le-watermelon libizwa ngokuthi "i-Viagra yemvelo".
I-6. Hlala ubuthongo obuhle
Amaphesenti amandla okulala angaholela ku-ED. Kukhona ibhalansi enesibindi - okumelwe igcinwe - phakathi kwamazinga okulala okuhle, nokukhiqizwa kwama-hormone obulili obubalulekile njenge-testosterone nokulala. Amazinga e-testosterone akhula ngokulala okuhle, ngakho qiniseka ukuthi uthola okwanele.
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