Uma kubheka izimbangela ezingase zibangele ukungasebenzi kahle kwe-erectile, kubalulekile ukuqonda ukuthi ngokuvamile kuhilelekile okungaphezu kwesisodwa noma, njengoba i-American Urological Association ithi, "umsebenzi we-erectile ungumphumela wokuzibandakanya okuyinkimbinkimbi phakathi kwe-vascular, neurologic, hormonal, futhi izici zengqondo. " Gcina lokhu engqondweni njengoba ufunda uhlu olubanzi lwezimbangela nezinkinga ze-ED, okubandakanya imithi, izimo zezempilo, ukulimala, ukubhema nokuningi.
Izimbangela ezivamile
Udokotela kuphela ongaqinisekisa imbangela yokusebenza kwakho kwe-erectile. Ngokuvamile, isifo esiyisisekelo noma isimo sisola (bheka ngezansi). Kodwa eyodwa noma ngaphezulu yalezi zinkinga kungenzeka ukuthi zidlala:
Ubudala
Ucwaningo lubonisa ukuthi, ngokujwayelekile, amadoda ahlangabezana nezinkinga zocansi eziningi uma bekhula. Ngonyaka we-1994 i- Massachusetts Male Male Aging Study , yathola ukuthi ukusabalalisa kokukhula kwamandla kunyuke kusuka kumaphesenti amahlanu kuya ku-15% njengoba iminyaka ikhula kusukela eminyakeni engu-40 kuya kweyengu-70.
Izindaba ezinhle ukuthi i-ED nezinye izinkinga zocansi azibonakali zingenakugwemeka njengabantu abadala. Ngokuvamile isizathu sokuthi indoda endala iqala ukubhekana nalezi zinkinga ukuthi ibuye isibhekane nesimo esingapheli esandisa ingozi ye-ED, noma ngenxa yokuthi uziphatha ngendlela elawulayo yokuphila ebeka engozini enkulu.
Ngamanye amazwi, kunokwenzeka ukuthi umuntu angenele izimbangela eziningi ezingabangela ukungabi namandla ngokunakekela impilo yakhe engokwenyama nokuphila kwakhe kwengqondo njengoba ekhula.
Imithi Nezokwelapha
Imithi ethile ingaphazamisa ukucindezeleka kwemizwa noma ukugeleza kwegazi ku-penis. Ngokombiko weHarvard University, cishe amaphesenti angu-25 amadoda asebenzelana nokuhlukunyezwa kwe-erectile ayenenkinga ngenxa yemithi abayithatha. Eqinisweni, i-ED ingenye yezizathu eziyinhloko abanye amadoda bayeka ukuphuza imithi yezimo ezifana nokucindezeleka kwegazi nokucindezeleka.
Uhlu lwezidakamizwa ezihlotshaniswa nokuphelelwa yisikhathi luyisikhathi eside, futhi imithi ethile ingase ibangele i-ED kunezinye. Uma isidakamizwa osithathayo kungekho kuhlu olulandela, kodwa ulwa nokungafaneleki, hlola nodokotela wakho.
Phakathi kwemithi kanye nezinye zokwelapha okwandisa ingozi yokungabi namandla:
- I-cancer chemotherapies, njenge-Myleran (busulfan) ne-Cytoxan (cyclophosphamide)
- Ukushisa emagqabeni ngesikhathi sokwelapha umdlavuza, okungabangela ukulimala okuholela ekusebenziseni ukungasebenzi
- Imithi ephakeme ye-blood pressure , ikakhulukazi i-diuretics njenge-Microzide (i-hydrochlorothiazide)
- Ama-beta-blockers , afana no-Inderal XL (propranolol)
- Imithi yezimo zengqondo, kuhlanganise nezidakamizwa zokulwa nokukhathazeka, njengePaxil (paroxetine); ama-anti-depressants, njenge-Zoloft (sertraline); kanye nezidakamizwa zokulwa nezifo, njengeSeroquel (quetiapine)
- Ama-tranquilizers, afana ne-Valium (diazepam)
- Imithi yamaHormonal yokwelapha umdlavuza we-prostate, njenge-Eulexin (flutamide) no-Lupron (leuprolide)
- I-propecia (i-finasteride), esetshenziselwa ukwelapha i-prostate ekhulisiwe kanye nezinhlobo ezithile zokulahlekelwa izinwele zesilisa
- Ukwelashwa kwe-ulcer kuhlanganise ne-histamine H2-receptor abaphikisi, njenge-Tagamet (cimetidine) ne-Zantac (ranitidine)
- Ama-Antihistamines asetshenziselwa ukwelapha izidakamizwa, njengeBenadryl (diphenhydramine) ne-Vistaril (i-hydroxyzine)
- Ama-antibiotics ekwelapheni izifo ezifakwe esikhunjeni, njengeNizour (ketoconazole)
- Izidakamizwa eziphikisana nezidakamizwa (ama-NSAID), njenge Naprosyn (naproxen), uma kuthathwa njalo
Ukucindezeleka Nokukhathazeka
Ngezinye izikhathi indoda izobhekana nokukhathazeka ngokusebenza kobulili okuvimbela ikhono lakhe lokuthola ukulungiswa, mhlawumbe ngenxa yesipiliyoni esibi socansi noma okwenzeka kwangaphambili kwe-ED. Ngokufanayo, uma umuntu nomlingani wakhe bebhekene nobunzima ebuhlotsheni babo, ukucindezeleka ngokomzwelo nangokwengqondo kungaholela ekusebenzeni kocansi.
Ukuhlinzwa
Noma yikuphi ukuhlinzeka okubandakanya izakhiwo endaweni yesikhumba kungabangela ukulimala kwemizwa kanye / noma imithwalo yegazi epeni, okungathi futhi kungathinta ikhono lomuntu lokuthola ukulungiswa noma ukulondoloza eyodwa. Enye inqubo evamile ehlotshaniswa ne-ED yindlela yokuhlinza yokwelapha umdlavuza wesifo sofuba , okuyinto enengqondo enikezwa ukuthi isondelene kangakanani ne-penis i-prostate.
Olunye uhlobo lokuhlinzeka ngezinye izikhathi engozini yokuntula amandla kungumuthi wesilonda sokwelapha umdlavuza omncane, lapho ingxenye yamathumbu amakhulu (i-colon) ekhishwa ngokuhlinzwa kanye nesisu. Izinguquko ezithile zale nqubo cishe zibangelwa i-ED:
- I-hemicolectomy engakwesokunxele (ukususwa kwesigaba sokungakwesokunxele sekholoni)
- Ukuvuselelwa kwe-Abdominoperineal (ukususwa kwe-rectum ne-anus)
- I-Proctectomy (ukususwa kwe-rectum)
Kwezinye izimo ze-ED ezibangelwa ukuhlinzwa kwamathumbu, inkinga ibangelwa ukulahlekelwa kwesikhumba. Kwabanye, i-refral saclex (impendulo yezimoto ezilawula i- sphincter kanye nemisipha ye-pelvic floor) iyathinteka. Ngaphezu kwalokho, ukuhlukumezeka kokuhlinzwa okukhulu kungabangela ukucindezeleka okuphazamisa ngqo umsebenzi wezocansi.
Ukulimala
Ukulimala emithanjeni, emithanjeni, noma emithanjeni ye-pelvis ingakwazi ukudala izinkinga zobulili. Amadoda anokulimala kwentambo yomgogodla akhulise amanani ezinkinga ze-erectile ne-ejaculatory, isibonelo. Kodwa-ke, ukulimala komgogodla awukwenqabe umsebenzi wezocansi. Abanye abantu abanokulimala okuphelele komgogodla basabhekana nokuvusa futhi i-orgasm kusuka ekukhuthazeni okungezona ngokocansi. Ngaphezu kwalokho, isifiso nesithakazelo cishe akuthintekile ukulimala komgogodla.
Izifo Nemibandela
Nakulokhu, i-ED ayitholakali ngokuzihlukanisa. Ngokuvamile kubangelwa ukukhathazeka kwezempilo.
Isifo Sikashukela Nezifo Zenhliziyo
Ukukhubazeka kwe-Erectile kuvamile phakathi kwabantu abane- type 1 yesifo sikashukela kanye nohlobo lwesifo sikashukela sesi-2. Ucwaningo luka-2017 ku- Diabetes Medicine lwathola ukuthi ngaphezu kwengxenye yabantu abanesifo sikashukela bakhuphula i-ED . Isizathu: Amanqamu aphezulu e-glucose egazini abangelwa isifo sikashukela ukulimaza imithwalo yegazi namagciwane emzimbeni wonke, kuhlanganise nalawo asepenisini.
Uma isikhathi eside umuntu esesifo sikashukela, cishe kungenzeka ukuthi uzohlakulela i-ED, ikakhulukazi uma amazinga akhe wegazi glucose engalawulwa kahle. Izinkinga zezifo zenhliziyo ezinjenge-high blood pressure kanye ne-cholesterol ephakeme nazo zingadlala indima ekutheni ingabi namandla. Indoda enesifo sikashukela oshisayo nayo yandisa ingozi yokuthuthukisa i-ED.
Isifo senhliziyo nesifo sikashukela sivame ukuhlanganiswa ndawonye ngoba ukulimala kwe-artery coronary kuyinkimbinkimbi yesifo sikashukela kanye. I-coronary artery isifo futhi ingathinta umsebenzi wezocansi ngokwazo, kodwa ukungasebenzi kahle kwe-erectile kunamathuba ayisishiyagalolunye emadodeni ahlupheka kokubili isifo se-coronary (CAD) nesifo sikashukela kunamadoda anesifo sikashukela ngaphandle kokungeziwe kwe-CAD. Ukukhubazeka kwe-Erectile kuvame kakhulu kuzo zonke izifo zomzimba we-coronary kanye nesifo sikashukela ukuthi singabhekwa njengengozi yezinto zombili.
I-hypertension
Njengoba kunikezwe ukuthi ukulungiswa kuncike ekugezeni kwegazi okwanele ukuya epeni, kulula ukubona ukuthi kunjani isimo noma inkinga yezokwelapha ezithinta inhliziyo nezinye izakhiwo ohlelweni lwe-cardiovascular may have a impact on the erectile function. Lokhu kuyiqiniso ikakhulukazi ekucindezelweni kwegazi eliphezulu (umfutho wegazi ophezulu).
Nakuba ososayensi abaqondi kahle ukuthi lesi simo singabangela kanjani i-ED, enye inkolelo yokuthi ukucindezela okuphezulu kwamagciwane ezitsheni ezincane zepenisi kungabangela izinyembezi ezincane ukuba zifike ezindongeni zamanzi. Ngesikhathi sokulungisa lezi zindezi, imishanguzo iba yimbi kakhulu futhi ayikwazi kakhulu ukuhlinzeka ngegazi elidingekile kumathongi e-spongy, erectile we-penis.
Ezinye izici ezingase zibe khona ekugulweni kokweqile okungaba nendima ku-ED:
- Ukukhiqizwa kwe-hormone eyancishisiwe : Ukucindezela okuphakeme ohlelweni lokujikeleza kuthinta ukukhiqizwa kwamahomoni athile, kuhlanganise nalawo alawula ukushayela ucansi nokuphendula okwakhiwa. Kukhona futhi nobufakazi bokuthi amadoda ane-high blood pressure anezibalo ezingezansi zezidakamizwa kanye namazinga e-testosterone kunamadoda anomfutho wegazi ojwayelekile, okuzokwenza ukuthi kunganciphisa impendulo ye-hormonal ekugqugquzelweni ngokocansi.
- Amazinga aphansi we-nitric oxide: Ezinye izifundo zibonise ukuthi ngokuhamba kwesikhathi, amadoda ane-long-term hypertension angase akhiqize ngaphansi kwalesi sikhungo, okwenza imithwalo yegazi iphumule (ihlaziye). Ukungasebenzi kahle kwe-Erectile kungase kuholele uma kungekho nitric oxide eyanele ukuze uphumule ngokwanele imithwalo yegazi epeni bese uvumela igazi ukuba ligcwalise i-penis.
- Ukuvuza kwe-Venous: Ukuze kugcinwe ukulungiswa, igazi kufanele linikezwe futhi lihlale ipeni. Olunye ucwaningo lubonisa ukuthi amadoda ane-high pressure yegazi angase abe nenkinga yokulondoloza ukulungiswa ngoba ukucindezela okwandayo kwenza igazi libe ngamathisimu erectile we-penis kanye nasemithanjeni. Kule mbono, "i-push" emagodini amancane okuvala emithanjeni inamandla kunekhono lomvini lokumelana nalo, okusho ukuthi imivimbo ayikwazi "ukuvala" ngokuqinile ngokwanele ukuyeka igazi ekuphumeni kwepenisi.
Izimo zengqondo
Ukukhathazeka okuningi kwengqondo kuhlotshaniswa nezinkinga zomsebenzi wezocansi emadodeni. Ukucindezeleka, ukukhathazeka, ukuphazamiseka kwengcindezi emva kokucindezeleka (PTSD), futhi ngisho nezinkinga ngokuthukuthela kuye konke kuhlobene nezinkinga ezinesifiso, umsebenzi we-erectile, kanye nokujula.
Ezinye izinkathazo
Kunezinye izimo nezifo eziningi ezingathinta umsebenzi wezocansi kumadoda, okuholela ezinkingeni ezifana no-ED. Phakathi kwazo kukhona:
- Izinkinga ze-urinary nezinso: Amadoda anezimpawu zomchamo aboniswe ukuba aphindwe kabili isilinganiso sezinkinga ze-erectile njengamadoda ngaphandle kwawo. Lokhu kufaka phakathi izinkinga ezifana nesinye isivivinya esingasebenzi, kanye nezimpawu ezisezingeni eliphansi.
- Izifo ezingelapheki zesifo sezinzwa: Izinga elikhudlwana lika-ED nezinye izinhlobo zokungasebenzi komzimba kuye kwabonakala kumadoda anezifo zika-Parkinson, isifo sokuphuza, isifo sokushaya isisu, nesifo se- multiple sclerosis . Lezi zimo zingase ziphazamise izibonakaliso zesisindo phakathi kobuchopho nesipenisi.
I-apnea yokulala yokuvimbela (OSA): Ngokusho kwe-National Sleep Foundation, isifundo se-2011 ngabacwaningi eMt. I-Sinai Medical Centre eNew York City ithola ukuthi amadoda ane-erectile ukungasebenzi kwakungaphezu kokuphindwe kabili ukuthi abe ne-OSA kunamadoda angenayo i-ED.
Izindlela zokuphila
Phakathi kwezimbangela eziningi ezingabangela ukukhubazeka kwe-erectile yizinto ezimbalwa ezingaqedwa ngokuphelele.
Izidakamizwa zokuzijabulisa
Ngokuhamba kwesikhathi, izidakamizwa ezingekho emthethweni nezokungcebeleka zingabangela umonakalo omkhulu emithanjeni yegazi, okuholela ekusebenzeni kwesinye isikhathi okungapheli erectile. Lokhu kufaka:
- Utshwala
- I-Nicotine ekubhemeni nogwayi ongabhema
- I-Amphetamines, njenge-Dexedrine (dextroamphetamine)
- Ama-barbiturates, afana ne-phenobarbital
- I-Cocaine
- I-Marijuana
- I-Methadone
- Ama-opiates, afana ne-heroin ne-OxyContin
Ukugibela ibhayisikili
Lapho uhamba ngebhayisikili, inani eliningi lomzimba wesilisa lihlala e-perineum-indawo yomzimba lapho izidakamizwa nemithwalo yegazi ye-penis kudlula-okungase kubangele ukulimala kulezi zakhiwo. Nakuba ukugibela kuye kwahlotshaniswa nokungasebenzi kahle kwe-erectile, le ndlela yokuzivocavoca ingcono kakhulu ukuba ibe nempilo kunokulimaza kumadoda amaningi.
Okokuqala, izifundo eziningi ezitholile ukuxhumana phakathi kokugibela ibhayisikili kanye no-ED ziye zagxila emadodeni achitha isikhathi eside ehamba ngebhayisikili, njengamaphoyisa achitha amahora angama-24 ngesonto ukugibeleka, nalabo abenza ukuvakasha kwebhayisikili eside abathandayo noma ochwepheshe. Eqinisweni, ngokusho kwe-Massachusetts Male Aging Study (MMAS), inhlolovo yamadoda angaphezu kuka-1 700 phakathi kweminyaka engama-40 no-70, "okungenani amahora amathathu okuhamba ngebhayisikili ngesonto kwakungenzeka ukuthi ibangele ukuvinjelwa kwamarri nokulimala kwesikhathi eside . " Ukugibela okuningi kunokuba umuntu ovamile avame ukuwashiya, kodwa imiphumela yinto okufanele ucabange ngayo uma ugibela isikhathi eside.
Kumele kuqaphele ukuthi i-MMSA ibuye yabonisa ukuthi amadoda ahamba ngebhayisikili amahora amathathu noma ambalwa ngeviki abe nomngcipheko ophansi wokuthuthukisa i-ED, okubonisa ukuthi ukuhamba ngebhayisikili njengendlela yokuzivocavoca okulinganisela kungasiza ekuvimbeleni ukungasebenzi kahle kwe-erectile.
Isihlalo sakho sebhayisikili singabalulekile. Kukhona izikhwama ezinomgodi noma ezigudluza phansi phakathi kwe-perineum ezophumula, kodwa ingxenye ebalulekile yalesi sakhiwo isela ngaphansi kwesisindo somzimba uma usebenzisa. Ucwaningo luye lwathola ukuthi izihlalo "ezingekho-ekhaleni," ezinamaphesenti amakhulu okuhlala phansi, zingasiza ekuvimbeleni umonakalo, ukuphazamiseka komzimba, nezinkinga nge-erectile function.
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