I-Percent 91 Amaphesenti Amadoda Nge-MS Ayathinteka
I-Erectile i-Dysfunction (ED) ingenye yezimpawu ezivame kakhulu ze- multiple sclerosis (MS) emadodeni, okuthinta amaphesenti angama-91 kuya degrees ezihlukahlukene. I-MS yisifo esibonakala umonakalo oqhubekayo wezinzwa. Uma kutholakala izinzwa ezihambisana nesiphetho se-erectile, i-ED ingenzeka noma ibe yimbi kakhulu, okuholela ekuvuseleleni okungafanelekile kanye / noma ekuvusweni.
Izinhlobo ze-Erectile Dysfunction
Ukukhubazeka kwe-Erectile yisimo esivamile sezokwelapha esingathinta amadoda kunoma yimuphi ubudala kodwa evamile kulabo abangaphezu kuka-65.
I-ED ingabangelwa yinoma iyiphi inamba yempilo noma indlela yokuphila, kuhlanganise nokucindezeleka, ukucindezeleka kwegazi, ukukhuluphala, isifo sikashukela, ukusetshenziswa ngokweqile kotshwala, nemithi ethile.
Uma uneminyaka engama-40, cishe amaphesenti angama-40 wamadoda azophazamiseka yi-ED kungakhathaliseki ukuthi yi-MS. Leli nani lizokhula libe ngamaphesenti angaba ngu-70 eneminyaka engama-70. Indlela i-ED ethinta ngayo amadoda ingahluka futhi ifaka:
- Ikhono elingavumelani lokufeza ukulungiswa
- Ukunganeliseki ngosayizi noma ukuqina kwesakhiwo
- Ukuba nokuphazamiseka kwesikhathi esifushane
- Kudinga isikhathi esiningi kanye / noma ukugqugquzela ukufeza ukulungiswa
Izimbangela ze-Erectile Dysfunction ku-MS
Ukukhipha okwenzekayo uma izibonakaliso ezivela ebuchosheni zibangela imisipha ye-penis ukuba iphumule, ivumela igazi ukuba ligijime emagumbini amabili ngaphansi kwepenisi. Ukwandiswa kwegazi kudala ukuthi i-penis ivule futhi ibe nzima.
Ukukhipha okwenzekayo kusabela ekuvusweni kocansi noma ekugqugquzelweni ngokomzimba we-penis.
Lezi zihlukaniso ezibalulekile njengoba zibandakanya izindlela ezimbili ezahlukene ze-neurophysiological:
- Izimpendulo ezenzeka ekuphenduleni imicabango engathandeki, ukuthinta, noma izibonisi ezibukwayo zicubungulwa ubuchopho futhi zihamba phansi intambo yomgogodla ukuqala ukulungiswa.
- Izenzo ezenzeke ngenxa yesisusa somzimba zisebenzisa isisindo engxenyeni engezansi yomthambo womgogodla futhi ngokuyinhloko zidlulela ubuchopho.
Kungani lokhu kubalulekile? E-MS, ukulimala kwamagciwane kubangelwa inqubo ebizwa ngokuthi ukuxoshwa komzimba lapho isimiso somzimba sokuzivikela sisebenza khona futhi sihlukumeza i-membrane yokuqeda ezungeze inzwa okuthiwa i- myelin sheath . Uma lokhu kwenzeka, imigqa yokuxhumana phakathi kwemizwa ingathinteka kakhulu.
Kuncike ekutheni ukukhipha ukuthungelwa komzimba kwenzeka, imbangela nezimpawu ze-ED zingahluka. Amanye amadoda, ngokwesibonelo, angakwazi ukufezekisa ukulungiswa ekuphenduleni ukuvuselela okungokwenyama kodwana hhayi okwenyukayo, noma ngokuphambene nalokho. Lokhu kubonakala kuyiqiniso kubantu abasha abane-MS abangenazo ezinye izici ezifakazelayo ku-ED.
Kwezinye izimo, ukukhubazeka kungase kuvezwe ngaphezulu. Esimweni esinjalo, i-MS ingase ibe imbangela eyinhloko noma ibe yinto yesibili ehlanganisa inkinga ekhona.
Ukuxilongwa Kwabesilisa Nge-MS
Izinkinga zokulungiswa zingadambisa amadoda kanye nalabo okungaba nzima ukuxoxa ngisho nomlingani noma udokotela.
Kodwa kubalulekile ukukhumbula ukuthi i-ED emadodeni anama-MS akwedlula ukuthola imithi ye- Viagra noma i- Cialis . Ukuphenya kufanele kufake ukubuyekezwa kwezimpawu zakho ezihlobene ne-MS, ukwelashwa kwakho okwamanje, nanoma yikuphi ubunzima obungokwengqondo okungenzeka ubhekene nokuhlangana nesifo sakho.
Phakathi kwezici okufanele uzicabangele:
- Uma kunesisindo esinciphile se-penis noma ubunzima ekufezeni ukujula (kokubili okungase kwazise ukuthi i-MS ithinta kanjani umsebenzi we-erectile)
- Uma uhlangabezana nokuvuza kwe-urinary ngesikhathi sokulala
- Uma kunezici ezingokwengqondo ezihlobene nomoya noma ukuzihlonipha okudingeka zibhekiswe ngokwehlukile ngokwezimpawu zomzimba
- Uma izimpawu ze-MS ezinjengokukhathala noma ukuphahlazeka kungase kube nomthelela
- Uma ukusetshenziswa kwe-anti-depressant, okuvamile ku-ED, kubangela noma kunomthelela ku-ED
- Uma i-anticholinergics, esetshenziselwa ukwelapha izinkinga ze-urinary , ingase ibe yinkinga
Izinketho zokwelapha
Ngokubukeza zonke lezi zici, odokotela bangase banikeze ukwelashwa okuqondene ne-MS okungase kuhlanganise noma kusetshenziselwe imithi ejwayelekile ye-ED .
Lezi zingase zifake iziyalezo ngezinye izindlela zokuvuselela, njengezidlidliza, ukunqoba ukuvusa okungafaneleki. Ukuzwa okungavamile noma ukusetheka kwe-spasm kungalawulwa ngokusetshenziswa kwemithi. Ukwelashwa okungajwayelekile noma imithi ingasetshenziselwa ukulawula ukuvuza kwamanzi.
Ngokunye okunye kwezidakamizwa zomlomo, izidakamizwa ezinjenge-alprostadil, i-papaverine, ne-phentolamine zivame ukwandisa ukulungiswa ngokubangela ukuxoshwa kwemithwalo yegazi epeni. Izimpande zepenile nazo zithola ukwamukelwa okwandayo ngamadoda okunye okukhethwa kukho okuhlulekile.
> Umthombo:
> Lew Starowicz, M. kanye noRla, R. "Izidakamizwa zobulili kanye nokulingana ngokobulili emadodeni ane-Multiple Sclerosis." Umagazini wezokwelapha. 2014; 11 (5): 1294-1301.