Erectile dysfunction - maitiro, maitiro erection, zvinokonzera, kurapwa

Erectile dysfunction inobata varume vakawanda. Sezvinoratidzwa nenhamba

chinetso chinotapura vakawanda se50 muzana. varume vane makore 40 kusvika 70 makore. Tinogona kutaura nezvekutyorwa kana kugadzikwa kwechirume kusingabvumiri kuomesera uye hazvibviri kuita zvepabonde. Zvinokonzera kusashanda zvakanaka kwe erectile zvine chekuita nekusakwana kweropa kunhengo yemurume. A erection yakaipa inosanganisirawo chiitiko chenguva pfupi erection, iyo inonyangarika kunyange isati yasvika. Pasinei nerudzi rwedambudziko, murume haagone kuwana orgasm. Sei hafu yevarume vakakura vasingakwanise kuita zvepabonde zvinogutsa? Nzira yekurapa matambudziko ne potency? Details pazasi.

1. Chii chinonzi erectile dysfunction?

Erectile dysfunction, yakapfupikiswa ED (Erectile Dysfunction), sezvinotsanangurwa neWorld Health Organization, inofanira kunzwisiswa sekusakwanisa kusingagumi kana nguva nenguva.

uye/kana murume anoramba akamira panguva yebonde.

Panyaya yekuongorora, erectile dysfunction idambudziko umo erection isingaitike uye inoitika mune inokwana 25% yekuedza kuita zvepabonde. Erectile dysfunction dzimwe nguva inonzi kushaya simba, kunyangwe izwi iri risinganyanyi kushandiswa mazuva ano nekuda kwe

Songaniro dzinoshoreka, dzinowanzoshamisa uye dzinogumbura. Kazhinji kazhinji, varwere vanogona kusangana neshoko rakarerekera rinonzi "erectile dysfunction."

Erectile dysfunction haifanirwe kuvhiringika nekushanduka kwechisikigo kwezera muhurume hwemurume, kunoratidzwa nekuderera kana kurasikirwa kwekanguva kwe potency panguva yekusangana. Varume vazhinji vanosangana nazvo panguva yekushushikana, kushandisa zvinodhaka, kana zvimwe zvehutano. Matambudziko ezvepabonde anogonawo kubuda kubva kune mamwe matambudziko epfungwa kana ehukama.

Kunyange zvazvo kuwanda kwe erectile dysfunction kunowedzera nezera, kukwegura hakubatsiri zvakanyanya kukura kwechirwere. Saka, murume ari mumakore ake makumi matanhatu anogona kunge aine mashoma erections uye kusvika orgasm zvishoma nezvishoma, asi hupenyu hwake hwepabonde hahuna kukanganiswa - anongotanga kufamba neimwe nhanho.

2. Nzira dzekusimudza

2.1. Vascular factors

Mitumbi ine cavernous yepeni, iri pamucheto wepeni uye yakaumbwa nemakumbo akawanda (vascular formations), inotamba basa guru uye rinonyanya kukosha mukugadzirisa kwekugadzirisa.

kumira kwemboro (erectio penis) imhaka yekuti mhango izere neropa, simbisa iyo chena membrane uye, kuwedzera huwandu hwavo, kudzvanya tsinga, kudzivirira kubuda kweropa.

Makomba acho anogamuchira ropa zvikurukuru kubva mutsinga yakadzika uye kusvika pamwero muduku kubva mutsinga yepashure yesikarudzi, iyo inobuda munzira yawo. Munhengo yeflaccid, makomba anenge asina zvachose, masvingo avo akaora mwoyo.

Midziyo inovapa zvakananga neropa inyoka (cochlear arteries) uye ine lumen yakamanikana. Ropa rinoyerera zvishoma zvakasiyana, richipfuura nemakomba, kuburikidza neanonzi arteriovenous anastomoses.

Kana erection ikaitika pasi pesimba retsinga inokurudzira, anastomoses inovhara, tsinga dzakadzika dzepeni uye matavi awo anowedzera, uye ropa rinotanga kuyerera mumakomba.

Iyo nhengo yemurume haina kuvharwa zvakanyanya ne sensory, tsitsi uye parasympathetic fibers. Mhedziso yetsinga dzinonzwa dziri mu epithelium ye glans penis, foreskin uye urethra. Vanoona tactile stimuli uye mechanical stimuli.

Mhedzisiro yacho inobva yaitwa pamwe chete nemitsipa yevulva kusvika kune erectile centre iri mumutsipa wepelinha paS2-S4 level. Kubva pakati apa, tsinga dzeparasympathetic dzinowana kukurudzira kunokonzera kumira kwepeni.

Kukurudzira kweparasympathetic fibers inodzora kumira kunokonzera kuzorora kwemuscular membrane uye kuwedzera kwemidziyo yakadzika yepeni (kuyerera kweropa mugomba) uye kuderera kwetsinga dzemvura.

Iyo nzira yekumisa inogoneka nekuda kwekuvapo kwemaurotransmitters chaiwo, i.e. makomisheni anoburitswa nemigumo yetsinga. Acetylcholine, yakavanzwa netsinga fibers, inowedzera kuwanda kwe nitric oxide, iyo inozorodza vascular smooth muscle.

2.2. Tsitsi system

Basa rekunzwira tsitsi tsinga mu erection harina kunyatsonzwisiswa. Zvisineyi, inozivikanwa kuita basa rakakosha mukuburitsa urume nekubata mhasuru dzakatsetseka dzeseminal vesicles uye vas deferens.

Mumamiriro ekuzorora kwepeni, kune hukuru hwekushanda kwetsitsi dzefibers, iyo, kuburikidza ne norepinephrine yakavanzika, inoderedza trabeculae yemitumbi ye cavernous uye mitsipa yakatsetseka yemidziyo (inodzivirira kubuda kweropa kusvika mugomba). Inoshanda nekukurudzira alpha-1 adrenergic receptors.

Munguva yekuzorora, erections inodzvinyirirwawo nekuwedzera kwekuita kwe serotonergic (kureva, serotonin-ine) neurons. Saka tinogona kutaura kuti norepinephrine uye serotonin inhibit erection.

Hormonal factors dzinoita basa rakakosha mukumira. Testosterone inoonekwa seyakakosha mahormone ekuita zvepabonde kwevanhu, asi basa rayo harisati ratsanangurwa zvizere.

Zvisinei, zvinozivikanwa kuti zvirwere zvehomoni mu hypothalamus-pituitary-testes system zvinotungamirira kukushaya simba. Zvirwere zveimwe endocrine glands zvinogonawo kuve nemhedzisiro yakaipa. Kana mboro yatova muchikamu chekumira uye ichiwedzerwawo nekukurudzira kwekunze, kunonzi kuvhiya kunoitika.

Emission ndiyo nhanho yekutanga yekubuda, panguva iyo, pasi pesimba retsitsi retsinga, mhasuru dzakatsetseka dze epididymis, vas deferens, seminal vesicles uye prostate contract. Izvi zvinotakura zvikamu zveurume kuseri kweweti.

Kunze kweiyo ejection phase, ejaculation inosanganisirawo ejaculation yakakodzera uye dundira mutsipa kuvhara. The rhythmicity yekuyerera kwesperm imhaka yekurudyi kwekuvhunduka.

Ndiwo mafiibha anonzwira tsitsi ataurwa pamusoro apa ane basa rekukurudzira kubatana kwemhasuru dzinobvisa urume uye kukonzeresa kudhonzwa kwemhasuru dzeurogenital diaphragm.

Pamusoro pazvo, kuvhara buri redundira kunodzivirira kuyerera kwembeu kudzokera mudundira.

3. Kusashanda zvakanaka kweErectile nezvinokonzeresa

Zvinenge zvisingaite kuongorora chikonzero chimwe chete chematambudziko erection nekuti mhedzisiro yezvinhu zvakati wandei, zvese zvemuviri nepfungwa. Mamiriro ekunze erectile dysfunction anowanzoitika kune varume vakuru, nepo muvarume vechidiki, bviro yekusashanda ndeye psychogenic kumashure. Zvimwe zvezvikonzero zvinowanzokonzera kusagadzikana kwe erectile zvinosanganisira:

• circulatory zvirwere,
• anomalies uye kukuvadzwa kwemidziyo nemitumbi ine cavernous yepeni,
• neurological zvirwere,
• kukuvara kwemusana uye musana,
• atherosclerosis,
• matambudziko eitsvo,
• Type 1 chirwere cheshuga
• Type 2 chirwere cheshuga
• multiple sclerosis,
• hypertension,
• kupindira kwekuvhiya pa prostate gland,
• kusvuta,
• kudhakwa
• kushandisa zvinodhaka,
• kushandisa mamwe mishonga yemishonga (high blood pressure, sedative antidepressants, mishonga inonzi diuretics)
• hormonal disorders,
• neurological disorders.

Dzimwe nguva murume ane dambudziko rekumira chete mune mamwe mamiriro. Izvi zvinoreva kuti honzeri huru yekusagadzikana ndeyepfungwa, uye kusamira zvakanaka ndeye psychogenic. Zvinonyanya kukonzera psychogenic zvinosanganisira:

• kuzvitarisira pasi,
• marwadzo apfuura,
• kutya kuti mudiwa wacho haagutsikane nebonde,
• kutonhora kune / kubva kune mumwe wako,
• kupandukira,
• mhosva,
• kusangana pabonde kusingafadzi
• kusaita zvakanaka kubva kumudiwa,
• nhengo yesikarudzi yakaoma,
• zvitendero zvechitendero,
• kuomesera pabonde,
• chirango chedzidzo,
• kushaya chivimbo mukuzivikanwa kwavo kwevakadzi,
• ungochani usingazivi,
• nzira ine chinangwa yekusangana pabonde,
• kusagadzikana kusagadzikana,
• kuora mwoyo
• kutya pamuviri
• kutya zvirwere zvepabonde (somuenzaniso, syphilis, gonorrhea),
• negative erotic fantasies,
• zvakatsauka zvido.

4. Kusashanda zvakanaka kweErectile uye mafungiro emumwe

Kusamira zvakanaka kunogona kukonzera kudzika kwakadzika kana zvasvika pakusangana pabonde. Kuwanikwa kwekuita bonde kwakaderedzwa kune kukanganisa kukuru pakuzviremekedza kwevarume uye kunotanga kuvarambidza kuita zvepabonde zvakasununguka. Kutya kusafambirana nekumhanya kwemudiwa panguva yekubvutwa kwerudo uye kukura kwekunzwa mhosva kunotadzisa kushanda kwavo kwese.

Hupenyu hwepabonde husina kubudirira dzimwe nguva hunotungamirira kukuputsika kwehukama. Nokufamba kwenguva, matambudziko akadaro anogona kutungamirira kune chokwadi chokuti erection inonyangarika zvachose. Kushungurudzika kwemunhu kucharamba kuchiwedzera uye kunotungamirira kumatambudziko makuru ehutano.

Imwe yemamiriro ekugadzirisa ndeye maitiro akarurama emudiwa wepabonde, anoratidzwa nekushivirira uye kunzwisisa. Dzimwe nguva zvakanyanya uye zvinokurudzira zvakanyanya zvakakwana.

Kana rubatsiro rwemudiwa rusingashande, murume anofanira kutanga kurapwa nenyanzvi. Therapy inofanira kutanga zvikonzero zvematambudziko erection.

Mushure mokubvisa zvirwere zvehupenyu, chivharo chepfungwa chinofanira kufungwa. Ipapo murume anofanira kutanga psychotherapy. Ikoko achadzidza kudzora kushushikana uye kuzvidya mwoyo, pamwe nekudzidza kurarama nematambudziko.

Nehurombo, sezvinoratidzwa nenhamba, varume vazhinji havatange kurapwa kwe erectile dysfunction. Kutya kushanyira nyanzvi kwakanyanya. Kurerutsa dambudziko ndiyo yakaipisisa inobvira mamiriro ezvinhu. Izvi zvinogona kutungamirira kumatambudziko erection zvachose uye matambudziko makuru epfungwa.

Maererano nehuwandu, makore maviri chete mushure mekuonekwa kwe ED, murume wese wechina anotsvaka rubatsiro rwezvechiremba, murume wese wechitatu anotanga kuzvimiririra kushandisa zvinodhaka zve potency, uye hafu yevarume havaendi kuna chiremba zvachose uye havapinduri kune avo. zviratidzo. zvakadaro.

5. Ko kusashanda zvakanaka kwemboro kunorapwa sei?

Ko erectile dysfunction inorapwa sei? Muchiitiko ichi, zvakakosha zvikuru kuziva chikonzero chekutyorwa. Chiremba anoongorora murwere anofanira kutanga aona kana dambudziko rekumira rinokonzerwa nepfungwa kana muviri.

Kurapa kwepfungwa erectile dysfunction inoda kushandiswa kwepfungwa, nzira dzekudzidzisa nemumwe wako, kushandiswa kwemaitiro ekuzorora, hypnosis, kushandiswa kwemishonga yemishonga. Vanamazvikokota vanowanzopa mishonga yekunyaradza varwere. Muzviitiko zvakawanda, majekiseni mumutumbi wecavernous wepeni anokurudzirwa zvakare.

Kana erectile dysfunction yakabatana ne organic factor

zvinokurudzirwa kutora mishonga yakakodzera nemuromo (mushonga unozivikanwa zvikuru ndeye Viagra). Vacuum pombi uye physiotherapy inobatsirawo mukurapa kusagadzikana kwepabonde. Mune zvimwe zviitiko, majekiseni mu cavernous muviri wepeni anogonawo kubatsira. Zvinoitika kuti murwere anoda kuvhiyiwa kana prosthetics yenhengo.

Kuchinja kwemararamiro, maekisesaizi, kudzora uremu, uye kurega fodya, zvinodhaka, uye doro zvinogona kubatsirawo kugadzirisa matambudziko epabonde muvarume. Zvinokurudzirwawo kuita zvepabonde kuti ugare uchikurudzira nhengo.

Erectile dysfunction haisi chirwere chinouraya, asi dzimwe nguva inogona kuva chiratidzo chezvimwe zvirwere zvakakomba: atherosclerosis, chirwere cheshuga mellitus kana arterial hypertension. Matambudziko ekumira kwenguva refu uye asina kurapwa anogona kukonzera kuora mwoyo kwakanyanya.

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