Kushaya simba - zvikonzero, kuongororwa, kurapwa

Kushaya simba kunowanzobata varume mukukura, asi tsvakiridzo inoratidza kuti varume vechidiki vanonetsekana nazvo. Ona kuti zviratidzo zvipi zvingaratidza kuti murume haana simba uye kuti chirwere ichi chinogona kurapwa sei.

1. Kushaya simba chii?

Kushaya simba kunogona kutsanangurwa nenzira dzakasiyana-siyana: erectile dysfunction yepeni, kushaya mhinduro yesikarudzi, kusakwana, kushaya erection, kusashanda zvakanaka kwe erectile, kurasikirwa kana kuderera kwekuita zvepabonde.

Kushaya simba ndiko kusagadzikana kwepabonde, chiratidzo chikuru chacho hapana erection kana kubuditsa urume zvisinei nekusvira uye kugutsa foreplay. Yenguva pfupi erectile dysfunction yakajairika uye haifanirwe kuvhiringika nekushaya simba. Chinonyanya kukonzera kushaya simba ndeyekuyerera kweropa kusina kunaka, izvo zvinodzivirira nhengo yemurume kuti iwane erection yakazara uye inogara. Varume vazhinji vanoona ichi chiratidzo chekuchembera kana kufuratira zvachose dambudziko pakushanyira chiremba.

2. Zvikonzero zvekushaya simba

Zvinhu zvine njodzi zvinogona kuita kuti kusasimba kuwedzere. Pamusoro pezera rehupenyu, chirwere cheshuga mellitus, arterial hypertension, hyperlipidemia uye kuputa kunotaurwa.

Zvikonzero zvakanyanya zvekushaya simba ndezvekuti:

• psychogenic, i.e. kutya zvepabonde, kutya kuva nemwana, [depression] ((https://portal.abczdrowie.pl/depresja), kuparara kwehukama pakati pevadiwa, Complex yenhengo diki, hungochani husingazive, psychasthenia, zvinhu zvekuda chinzvimbo, kushushikana kwemamiriro ezvinhu, kusagadzikana kwekuzivikanwa nebasa remurume, kuomesa pabonde, kutya vakadzi, dzidziso dzechitendero, kuzvitarisira pasi;
• neurogenic, semuenzaniso, kukuvara kwemusana, discopathy, chirwere cheshuga, sitiroko, kupindwa muropa nezvinodhaka, postoperative mamiriro enhengo dzepelvic, mapundu europi, zvirwere zvetsinga (somuenzaniso, amyotrophic lateral sclerosis, tetraplegia, paraplegia, polyneuropathy, progressive multiple sclerosis);
• hormonal, somuenzaniso, kuderera kwemazinga e testosterone, kuwedzera kweprolactin;
• kutenderera kweropa, senge hypertension yakabatana nekusvuta, chirwere cheshuga mellitus, atherosclerosis, shanduko mumidziyo yeropa yepeni;
• pharmacological, senge antihypertensive zvinodhaka, antipsychotics, SSRIs uye SNRI antidepressants.

Muchiitiko chechirwere che somatogenic, munhu asina simba haakwanisi kuwana erection nekuda kwezera kana chirwere (chirwere chePeyronie, kukanganisa kwenhengo dzepabonde, somuenzaniso, phimosis).

Munenge 25% yevarume, kushaya simba kune yakavhenganiswa kumashure, semuenzaniso, hormonal uye circulatory, iyo inowanzoitika panguva ye andropause. Psychogenic zvikonzero zvinowanzoitika pakati pevarume vechidiki, kunyanya maererano nemudiwa mutsva, anoda.

Chiitiko chepenile erectile dysfunction chinoshamisa pfungwa yekukosha kwemurume, inogadzira kutya uye pfungwa yekutyisidzira maererano nekusimba kweramangwana.

Kutya kushaya simba kunogona kuva kwakasimba zvokuti varume vazhinji havabvumiri kufunga kwakadaro uye vanoziva chimwe chikonzero, somuenzaniso, kurasikirwa kwe libido, kukanganisa kwakaitwa nemumwe wake. Dambudziko rakakosha nekuti, kunze kwekushaya simba, panogona kunge paine vamwe kusagadzikana kwepabonde, somuenzaniso, dambudziko rekubudisa urume yakaderera libido mazinga.

Hazvizivikanwe nguva dzose kuti chepuraimari chii uye chechipiri chii. Kushaya simba kwepfungwa kunogona kufungidzirwa kana kukaitika kamwe kamwe, mune imwe mamiriro ezvinhu, apo kunetsana uye kutya kunomuka pakati pevadiwa, uye mangwanani erections epeni yakazara. Organic impotence kazhinji inokura zvishoma nezvishoma, mangwanani erection hazvina kukwana kana kunyangarika, hapana dambudziko rekubuda.

3. Kusashanda zvakanaka kweErectile

Kwete zvose kusagadzikana kwe erectile ndiko kutanga kwekushaya simba, saka hapana chikonzero chekuvhunduka pakarepo. Kusagadzikana kunokonzerwa nekushanda zvakanyanya uye kuneta, kuvhiringika kwekurara kana kunwa doro zvakanyanyisa. Kushaya simba kwemurume harisi dambudziko rake chete. Iri idambudziko zvakare remukadzi anogondisana naye pabonde.

Kuti uongorore zvikonzero zvekushaya simba, zvakakwana kubvunzurudza murwere, kuongororwa kwema laboratory (mazinga eshuga, cholesterol, testosterone, prolactin, creatinine) uye ultrasound ye testicles uye prostate. Chete mumamiriro ezvinhu akaoma kunzwisisa panodiwa kushandisa nzira dzakanyanya hunyanzvi, dzakadai seDoppler sonography. Parizvino, jekiseni rekuedza mu cavernous body yepeni rave rakajairika nzira yekuongorora. Dambudziko nderekuti varume vazhinji vane kutya kwakasimba kwejekiseni rakadaro, kunyangwe risingarwadze kupfuura intramuscular. Zvisinei, iyi inzira ine ngozi maererano nezvinetso. Paunenge uchishandisa nzira iyi, fibrosis inogona kuoneka panzvimbo dzejekiseni, maronda, kukora uye kukombama kwepeni.

4. Kurapa kwe erectile dysfunction

Varume vane matambudziko ekumira vanowanzotsvaka rubatsiro kuburikidza nekutora zvinodhaka zvinodhaka, vachitenda musimba remashiripiti re aphrodisiacs kana kudya kwakakosha. Kubudirira kurapwa kwekushaya simba kunofanira kubva pakuziva zvikonzero zvayo. Nzira dzakakodzera dzinosarudzwa zvichienderana nekwakabva kukanganisa.

Muchiitiko chekushaya simba kwepfungwa, psychotherapy yemunhu kana kurapa kwewanano, nzira dzekudzidzisa shamwari, nzira dzekuzorora, hypnosis, pamwe nemishonga yemuromo (somuenzaniso, anxiolytics) uye majekiseni mu cavernous muviri wepeni inoshandiswa.

Panyaya yekushaya simba kwesomatic, pharmacotherapy (somuenzaniso, hormonal drugs, Viagra), pombi yevacuum, kurapa kwepanyama, maitiro ekuvhiya kuzarura midziyo yepeni uye, kana zvichidiwa, penile prosthetics (implants) inoshandiswa. Usarega kugutsikana pabonde uye kurarama nechiratidzo chemudiwa asingashande. Unofanira kuona sexologist. Dzimwe nguva zvakakwana kuti uchinje mararamiro ako, kurega kusvuta uye doro, kudzorera erection yako kune yakajairika.

5. Epidemiology

Erectile dysfunction ndechimwe chezvirwere zvinowanzoitika muvarume, sezvazvinoitika munenge mumwechete wechipiri murume ane makore 40-70. Inenge 10 muzana yevarume ava havakwanisi zvachose kuwana erection. Zvisinei, zvakaoma kuongorora kukura kwedambudziko zvakadzama, nokuti varume vashoma vanoenda kuna chiremba, inenge 10 muzana chete. Inowanikwa nhamba yedata kubva kuongororo yakaitwa muUSA inoratidza kuti 52% yevakabvunzwa vanonyunyuta nezve erectile dysfunction yeakasiyana madhigirii ekuomarara. varume vane makore 40-70.

Erectile dysfunction yakakwira dambudziko repfungwaizvo zvinokanganisa kana kutoparadza hupenyu hwepachivande uye hwepedyo, hupenyu munzanga. Varume vanonzwa vasingagutsikani uye vakaderera. Zvisinei, mishonga yemazuva ano inogadzirisa matambudziko aya. Kutsvaga mhinduro dzakakodzera nenzira yemhando dzemazuva ano dzekurapa. Kuonana nenyanzvi uye kuongororwa kwakavimbika kunobatsira kusarudzwa kwemaitiro akakodzera ekurapa, ayo ari kushanda zvakanyanya iye zvino.

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