Erectile kukanika - mbali, njira ya erection, zimayambitsa, mankhwala

Kulephera kwa Erectile kumakhudza amuna ambiri. Monga momwe ziwerengero zikuwonetsera

vuto lomwe limakhudza pafupifupi 50 peresenti. amuna azaka 40 mpaka 70. Tikhoza kulankhula za kuphwanya pamene erection ya mbolo salola bwino kumangitsa ndipo zimakhala zosatheka kugonana. Zomwe zimayambitsa kusagwira bwino kwa erectile zimagwirizana ndi kusakwanira kwa magazi ku mbolo. Erection yoyipa imaphatikizansopo zochitika za erection kwakanthawi kochepa, komwe kumatha ngakhale musanayambe kutulutsa. Mosasamala kanthu za vuto, mwamuna sangakhale ndi orgasm. Chifukwa chiyani theka la amuna okhwima sangathe kugonana mokhutiritsa? Momwe mungathanirane ndi mavuto ndi potency? Tsatanetsatane pansipa.

1. Kodi kukanika kwa erectile ndi chiyani?

Erectile dysfunction, yofupikitsidwa ED (Erectile Dysfunction), monga momwe World Health Organization imafotokozera, ziyenera kumveka ngati kulephera kosalekeza kapena kwanthawi ndi nthawi kukwaniritsa.

ndi/kapena mwamuna amangodzuka panthawi yogonana.

Pankhani ya matenda, erectile dysfunction ndi vuto limene erection sikuchitika ndipo zimachitika osachepera 25% kuyesa kugonana. Erectile dysfunction nthawi zina amatchedwa kusowa mphamvu, ngakhale mawuwa sagwiritsidwa ntchito kwambiri masiku ano chifukwa cha

mayanjano onyoza, omwe nthawi zambiri amakhala achipongwe komanso okhumudwitsa. Nthawi zambiri, odwala amatha kukumana ndi mawu osalowerera omwe amatchedwa "erectile dysfunction."

Kusokonezeka kwa Erectile sikuyenera kusokonezedwa ndi kusintha kwachibadwa kwa msinkhu wa kugonana kwa amuna, kuwonetseredwa ndi kufooka kapena kutaya mphamvu kwakanthawi panthawi yogonana. Amuna ambiri amakumana ndi izi panthawi yamavuto, kugwiritsa ntchito mankhwala osokoneza bongo, kapena mavuto ena azaumoyo. Mavuto okhudzana ndi kugonana angabwerenso chifukwa cha zovuta zina zamaganizo kapena zaubwenzi.

Ngakhale kuti kusokonezeka kwa erectile kumawonjezeka ndi zaka, ukalamba sukhudza kwambiri chitukuko cha matendawa. Chifukwa chake, munthu wazaka 60 amatha kukhala ndi ma erections ochepa ndikufikira ku orgasm pang'onopang'ono, koma moyo wake wogonana sunasokonezedwe - amangoyamba kuyenda mosiyanasiyana.

2. Njira zomangira

2.1. Mitsempha zinthu

Matupi amphako a mbolo, omwe ali kumbali ya dorsal ya mbolo ndipo amapangidwa ndi mitsempha yambiri (mitsempha ya mitsempha), imakhala ndi gawo lalikulu komanso lofunika kwambiri pamakina a erection.

kukhazikika kwa mbolo (erectio mbolo) ndi chifukwa chakuti mapanga amadzazidwa ndi magazi, kumangitsa nembanemba yoyera ndipo, kuonjezera voliyumu yawo, kukakamiza mitsempha, kuteteza kutuluka kwa magazi.

Maenjewo amalandira magazi makamaka kuchokera mumtsempha wakuya komanso pang'ono kuchokera ku mtsempha wakumbuyo wa mbolo, womwe umatuluka m'njira yawo. Mu membala wa flaccid, maenje amakhala pafupifupi opanda kanthu, makoma awo ndi okhumudwa.

Mitsempha yomwe imawapatsa mwachindunji magazi ndi serpentine (cochlear arteries) ndipo imakhala ndi lumen yopapatiza. Magazi amayenda mosiyana pang'ono, kudutsa maenje, kupyolera mu otchedwa arteriovenous anastomoses.

Pamene erection imachitika mothandizidwa ndi mphamvu ya mitsempha, ma anastomoses amatseka, mitsempha yakuya ya mbolo ndi nthambi zake zimakula, ndipo magazi amayamba kuyenda m'maenje.

Mbolo imakhala yosasunthika kwambiri ndi zomverera, zachifundo komanso za parasympathetic. Malekezero a minyewa ya minyewa amakhala mu epithelium ya glans mbolo, khungu ndi mkodzo. Amawona zokopa zamakina komanso zokopa zamakina.

Zikhumbozo zimayendetsedwa pamodzi ndi mitsempha ya vulva kupita ku malo otchedwa erectile omwe ali mu msana pa mlingo wa S2-S4. Kuchokera pakatikati, mitsempha ya parasympathetic imalandira chilimbikitso chomwe chimayambitsa kukhazikika kwa mbolo.

Kukondoweza kwa ulusi wa parasympathetic womwe umayang'anira kuyimitsidwa kumapangitsa kupumula kwa nembanemba ya minofu ndikukula kwa ziwiya zakuya za mbolo (kutuluka kwa magazi kulowa m'bowo) ndikuchepetsa mitsempha ya ngalande.

Njira ya erection ndi yotheka chifukwa cha kukhalapo kwa ma neurotransmitters enieni, i.e. mankhwala otulutsidwa ndi malekezero a mitsempha. Acetylcholine, wopangidwa ndi ulusi wa minyewa, amawonjezera kuchuluka kwa nitric oxide, yomwe imatsitsimutsa minofu yosalala ya mitsempha.

2.2. Dongosolo lachifundo

Udindo wa dongosolo lamanjenje wachifundo pa erection silikumveka bwino. Komabe, zimadziwika kuti zimagwira ntchito yofunika kwambiri pakutulutsa umuna pogwira minofu yosalala ya minyewa ya umuna ndi vas deferens.

M'malo opumula a mbolo, pali kuchulukira kwa ntchito ya ulusi wachifundo, womwe, kudzera mu norepinephrine yobisika, imachepetsa trabeculae ya matupi a cavernous ndi minofu yosalala ya ziwiya (kuletsa kutuluka kwa magazi kumtunda). Zimagwira ntchito polimbikitsa zolandilira alpha-1 adrenergic.

Pakupuma, ma erections amaponderezedwanso ndi kuchuluka kwa serotonergic (ie, serotonin-containing) neurons. Chifukwa chake titha kunena kuti norepinephrine ndi serotonin zimaletsa kukomoka.

Zinthu za m'thupi zimagwira ntchito yofunika kwambiri pakukweza. Testosterone imatengedwa kuti ndi yofunika kwambiri pa kugonana kwaumunthu, koma udindo wake sunafotokozedwe bwino.

Komabe, zimadziwika kuti kusokonezeka kwa mahomoni mu hypothalamus-pituitary-testes system kumabweretsa kusowa mphamvu. Matenda amtundu wina wa endocrine amatha kukhalanso ndi zotsatira zoyipa. Pamene mbolo ili kale mu gawo la erection ndipo imalimbikitsidwanso ndi zokopa zakunja, zomwe zimatchedwa kuphulika kumachitika.

Umuna ndi gawo loyamba la umuna, pomwe, mothandizidwa ndi dongosolo lamanjenje lachifundo, minofu yosalala ya epididymis, vas deferens, seminal vesicles ndi mgwirizano wa prostate. Izi zimanyamula zigawo za umuna kupita kuseri kwa mkodzo.

Kunja kwa gawo la ejection, kutulutsa umuna kumaphatikizaponso kutulutsa koyenera komanso kutsekedwa kwa khosi la chikhodzodzo. The rhythmicity wa otaya umuna ndi chifukwa olondola mantha chisangalalo.

Ndizitsulo zachifundo zomwe tazitchula pamwambazi zomwe zimapangitsa kuti minyewa ikhale yolimba yomwe imachotsa umuna ndikupangitsa kuti minofu ya urogenital diaphragm iwonongeke.

Kuonjezera apo, kutseka kotulukira kwa chikhodzodzo kumalepheretsa umuna kubwereranso mu chikhodzodzo.

3. Kusokonekera kwa Erectile ndi zomwe zimayambitsa

Ndikosatheka kudziwa chomwe chimayambitsa vuto la erection chifukwa ndi zotsatira za zinthu zingapo, zakuthupi komanso zamaganizo. Zomwe zimachitika pakusokonekera kwa erectile ndizowoneka bwino kwa amuna akulu, pomwe mwa anyamata achichepere, mayendedwe a psychogenic ndiye gwero la kusagwira bwino ntchito. Zina mwazifukwa zomwe zimayambitsa kusokonekera kwa erectile ndi izi:

• matenda a circulatory,
• anomalies ndi kuwonongeka kwa ziwiya ndi matupi amphako a mbolo,
• matenda a minyewa,
• kuvulala kwa msana ndi msana,
• atherosulinosis,
• mavuto a impso,
• Type 1 shuga mellitus
• Type 2 shuga mellitus
• multiple sclerosis,
• matenda oopsa,
• kuchita opaleshoni ya prostate gland,
• kusuta,
• kumwa mowa mwauchidakwa,
• kugwiritsa ntchito mankhwala osokoneza bongo,
• kugwiritsa ntchito mankhwala ena (mankhwala othamanga kwambiri, ma antidepressants, mankhwala otchedwa okodzetsa)
• matenda a hormonal,
• matenda a ubongo.

Nthawi zina mwamuna amakhala ndi vuto logona nthawi zina. Izi zikutanthauza kuti chifukwa chachikulu cha vutoli ndi zamaganizo, ndipo kusamalidwa bwino ndi psychogenic. Zomwe zimayambitsa kwambiri za psychogenic ndi izi:

• kudziyang'anira pansi,
• zowawa zakale,
• kuopa kuti wogonana naye sangakhutire ndi kugonana,
• kuzizira kwa / kuchokera kwa mnzanu,
• chiwembu,
• wolakwa,
• zosasangalatsa zakugonana
• kusachita bwino kwa okondedwa,
• kukula kwa mbolo,
• zikhulupiriro zachipembedzo,
• kukakamiza kugonana,
• chikhalidwe cha maphunziro,
• kusowa chidaliro pazodziwika kuti ndi amuna kapena akazi,
• chizoloŵezi cha kugonana kwa amuna kapena akazi okhaokha,
• njira yoyenera yogonana,
• nkhawa,
• kukhumudwa
• kuopa mimba
• kuopa matenda opatsirana pogonana (mwachitsanzo, chindoko, chinzonono),
• malingaliro olakwika achiwerewere,
• zokonda zopotoka.

4. Kusokonekera kwa Erectile ndi malingaliro a bwenzi

Kusakwanira bwino kungayambitse zovuta zakuya pankhani yogonana. Kupezeka kwa kuchepa kwa kugonana kumakhudza kwambiri kudzidalira kwa amuna ndipo kumayamba kuwaletsa kuchita zogonana zaulere. Kuopa kusayenderana ndi mayendedwe a bwenzi pa nthawi ya mkwatulo wachikondi komanso kudziimba mlandu kumalepheretsa kugwira ntchito kwawo kwanthawi zonse.

Moyo wogonana wosapambana nthawi zina umabweretsa kugwa kwa maubwenzi. M'kupita kwa nthawi, mavuto amenewa angachititse kuti erection kutha kwathunthu. Kupsinjika maganizo kwa munthu kumapitirizabe kuwonjezereka ndi kubweretsa matenda aakulu.

Chimodzi mwazofunikira pakuchira ndi malingaliro olondola a ogonana nawo, omwe amadziwika ndi kuleza mtima komanso kumvetsetsa. Nthawi zina zolimbikitsa kwambiri komanso zazitali ndizokwanira.

Ngati chithandizo cha mnzanu sichikugwira ntchito, mwamunayo ayenera kuyamba chithandizo ndi katswiri. Chithandizo chiyenera kuyamba ndi zomwe zimayambitsa vuto la erection.

Pambuyo pochotsa matenda a organic, mkangano wamaganizidwe uyenera kuganiziridwa. Ndiye mwamuna ayenera kuyamba psychotherapy. Kumeneko adzaphunzira kulamulira kupsinjika maganizo ndi nkhawa, komanso kuphunzira kulimbana ndi zovuta.

Tsoka ilo, monga momwe ziwerengero zimasonyezera, amuna ambiri samayamba kulandira chithandizo cha erectile dysfunction. Kuopa kukaonana ndi katswiri ndi kwakukulu. Kuchepetsa vutolo ndiye vuto lalikulu kwambiri. Izi zitha kubweretsa mavuto okhwima osatha komanso zovuta zamaganizidwe.

Malinga ndi ziwerengero, patatha zaka 2 atazindikira ED, munthu wachinayi aliyense amafunafuna chithandizo chamankhwala, munthu aliyense wachitatu amayamba kugwiritsa ntchito mankhwala osokoneza bongo potency, ndipo theka la amuna samapita kwa dokotala nkomwe ndipo samayankha. zizindikiro. mulimonse.

5. Kodi vuto la erectile limachizidwa bwanji?

Kodi vuto la erectile dysfunction limachiritsidwa bwanji? Pankhaniyi, ndikofunikira kwambiri kuzindikira chomwe chimayambitsa kuphwanya. Dokotala yemwe amamuyeza wodwalayo ayenera choyamba kudziwa ngati vuto la erection limayamba chifukwa cha maganizo kapena thupi.

Kuchiza maganizo erectile kukanika kumafuna kugwiritsa ntchito psychotherapy, njira zophunzitsira ndi mnzanu, kugwiritsa ntchito njira zosangalatsa, hypnosis, kugwiritsa ntchito mankhwala othandizira mankhwala. Akatswiri nthawi zambiri amapereka mankhwala ochepetsera odwala. Nthawi zambiri, jekeseni mu cavernous thupi la mbolo akulimbikitsidwanso.

Ngati erectile kukanika kugwirizana ndi zinthu organic

tikulimbikitsidwa kumwa mankhwala oyenera pakamwa (mankhwala otchuka kwambiri ndi Viagra). Pampu ya vacuum ndi physiotherapy imathandizanso pochiza matenda ogonana. Nthawi zina, jakisoni m'matumbo a cavernous a mbolo atha kukhala othandiza. Zimachitika kuti wodwalayo amafunika opaleshoni kapena ma prosthetics a mbolo.

Kusintha kwa moyo, maseŵera olimbitsa thupi, kuchepetsa thupi, ndi kupeŵa kusuta, kugwiritsa ntchito mankhwala osokoneza bongo, ndi mowa kungathandizenso kuthetsa mavuto okhudza kugonana mwa amuna. Ndi bwinonso kuchita zogonana kuti nthawi zonse kulimbikitsa mbolo.

Erectile dysfunction si matenda omwe amaika moyo pachiswe, koma nthawi zina amatha kukhala chizindikiro cha matenda ena aakulu: atherosclerosis, matenda a shuga kapena matenda oopsa kwambiri. Mavuto ogona nthawi yayitali komanso osathandizidwa angayambitse kukhumudwa kwambiri.

Sangalalani ndi chithandizo chamankhwala popanda mizere. Pangani nthawi yokumana ndi katswiri ndi e-prescription ndi e-certificate kapena kuyezetsa ku abcHealth Pezani dokotala.