Amazwana: Kulolu cwaningo, abacwaningi bafuna ukuxhumana phakathi kwe-ED nezinkomba zokulutha kobulili bezithombe zobulili ezingcolile besebenzisa "imibuzo yokuthanda". Ngenkathi kungekho ukuxhunyaniswa okunjalo kuvuliwe (mhlawumbe ngoba abasebenzisi abahlolisisi ngokunembile izinga labo "lokufisa" baze bazama ukuyeka ukusebenzisa), ezinye izixhumanisi ezithakazelisayo zivele emiphumeleni yazo:
Amanani e-erectile disysction ayengaphansi kunazo [amadoda] akhetha ubulili obuhlukanisiwe ngaphandle kwezithombe zobulili ezingcolile (22.3%) futhi wanda kakhulu lapho izithombe zobulili ezingcolile zithandwa ngocansi oluhlukanisiwe (78%).
… Labo [abesilisa] abebesebenzisa cishe nsuku zonke noma ngaphezulu bebenamazinga e-ED angama-44% (12/27) uma kuqhathaniswa nama-22% (47/213) alabo basebenzisi “abangajwayelekile” (≤5x / isonto), okubaluleka ekuhlaziyweni okungafani (p= 0.017). Kungenzeka ukuthi ivolumu idlala indima ngezinga elithile
Futhi, njengoba abalobi bekhomba,
I-pathophysiology ehlongozwayo ye-PIED ibonakala ibonakala futhi isekelwe ezinhlobonhlobo zabacwaningi abasebenza futhi hhayi iqoqo elincane labacwaningi abangase balandelwe yizinkanuko zokuziphatha. Futhi ukusekela uhlangothi lwe-"causation" lempikiswano kukhona imibiko yamadoda aphinde abuyele emsebenzini ovamile wezocansi ngemuva kokuyeka ukusetshenziswa kokusebenzisa izithombe zobulili ezingcolile ngokweqile.
Ucwaningo oluzophela kuphela oluzokwazi ukuxazulula ngokucacile umbuzo we-causation noma inhlangano, okubandakanya izifundo zokungenelela ezihlola ukuphumelela kokungapheli ekwelapheni i-ED kubasebenzisi bezithombe ezingcolile zobulili ezingcolile.
abstract
Imithi YamaMpi, usz079, https://doi.org/10.1093/milmed/usz079 Ishicilelwe: 24 April 2019
UJonathan H Berger, MC USN UJohn E Kehoe, MC USN Andrew P Doan, MC USN UDonald S Crain, i-MC USN I-Warren P Klam, i-MC USN UMichael T Marshall, MC USN UMathewu S Christman, i-CDR MC USN
Isingeniso
Sasihlose ukuhlola nokuchaza imikhuba yobulili engcolile yamadoda nabesifazane abasha. Njengoba sinikezwe izindlela eziphakeme zakamuva zokusetshenziswa kwezithombe zobulili ezingcolile kanye nokuhlukumeza kwe-erectile, kanye ne-pathophysiology enokwethenjelwa, sithemba ukuthi ukusetshenziswa kocansi kuyothinta ukuhlukunyezwa ngokocansi.
Izimpahla nezindlela
Ukutholwa kweBhodi yokuBuyekeza iBhodi kutholwe. Ukuhlola kwasakazwa kumadoda amadala nabesifazane abadala be-20-40 abethulela emtholampilo we-urology. Ukwaziswa kwaqoqwa kumlando kanye nomlando wezokwelapha. Umsebenzi wezocansi wahlolwa nge-International Index of Erectile Function (IIEF) emadodeni naseNkathini Yezinsizakalo zobulili kwabesifazane. Umthamo wokulutha okungahle ube khona ezithombeni zobulili ezingcolile walinganiswa nemibuzo yezinkinga zokuthanda izithombe ezingcolile zobulili ezingcolile kanye nesilinganiso sokukhathazeka esinqunyiwe. Ukusebenzisa izithombe zobulili ezingcolile kwakulinganiselwe ngokususelwa kokubili imvamisa kanye nobude besikhathi, futhi kuhlaziywe ngokuhlobene nokuhlukumeza ngokocansi.
Imiphumela
Amadoda asebenzisa kakhulu izithombe zobulili ezingcolile kaningi kunabesifazane (81.1% vs. 39%). Ukubukwa kwesithombe sekhompyutheni kanye neselula kwakuyindlela ethandwa kakhulu kubo bobulili bobabili. Kwakungekho ukuhlangana phakathi kwe-IIEF nokulangazelela, noma ukukhathazeka okukhulu, izithombe zobulili ezingcolile. Ukuthandwa kwezithombe zobulili ezingcolile ngokushaya indlwabu kutholakale ukuthi kuhlotshaniswa kakhulu ne-erectile ukungasebenzi (p = 0.001). Amanani e-erectile ukungasebenzi kwakungaphansi kwalabo abakhetha ubulili obuhlanganisiwe ngaphandle kwezithombe zobulili ezingcolile (22.3%) futhi banda kakhulu lapho izithombe zobulili ezingcolile zithandwa ngocansi oluhlukanisiwe (78%). Akukho ukulungiswa okutholakala phakathi kwanoma yikuphi ukuguqulwa nokukhubazeka kwesifazane ngokocansi.
iziphetho
Izithombe zobulili ezingcolile kanye nokuhlukunyezwa ngokobulili kuvamile kubantu abasha. Akukho ubuhlobo obucacile obukhona phakathi kwesilinganiso sokulutha kwezithombe zobulili ezingcolile nokuhlukunyezwa ngokocansi kunoma yiliphi ubulili. Kodwa-ke, amadoda abakhetha ukushaya indlwabu ngezithombe zobulili ezingcolile ukuze bahlanganyele ngokobulili banengozi enkulu yokukhubazeka ngokocansi. Ukukhubazeka okwenziwe ngokocansi kungase kuhlotshaniswe nokukhathazeka kwezempilo yengqondo, ukuhlolwa okuqhubekayo kwezimbangela zalo kanye nomthelela wokulungela ukusebenza kwezempi kuqinisekisiwe.
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