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I-ED nokuvuka komthondo

Iyini inkinga yokuvuka komthondo? Indlela umthondo ovuka ngayo, izinhlobo ezi-4 zezimbangela neminyaka

Kubuyekeziwe Imithombo engu-5Imizuzu engu-7 yokufundaAbahleli be-Ilebhu ye-Men's Core

Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela

I-ED akusho nje ukungavuki nhlobo. Umthondo ongaqini ngokwanele, noma othamba phakathi nendawo, nawo uyabalwa, futhi cishe ingxenye yamadoda aneminyaka engama-40 kuya kwengama-70 yabika i-ED ezingeni elithile ocwaningweni olukhulu lwaseMelika. Nansi indlela umthondo ovuka ngayo, izimbangela eziyinhloko nendawo yeminyaka.

Amaphuzu abalulekile

Inkinga yokuvuka komthondo (i-ED) isho ukungakwazi kaningi ukuthola noma ukugcina umthondo uvuke uqine ngokwanele ocansini olwanelisayo. Izimbangela zayo ziwela emaqenjini amane: ezengqondo, ezomzimba (imithambo yegazi, izinzwa, amahomoni), ezixubile nezihlobene nemithi. Ku-Massachusetts Male Aging Study, u-52% wamadoda aneminyaka engama-40 kuya kwengama-70 wabika i-ED ezingeni elithile, futhi i-ED ingaba wuphawu lwangaphambi kwesikhathi lwesifo senhliziyo noma semithambo yegazi.

Okuqukethwe
  1. Okushiwo yi-ED
  2. Indlela umthondo ovuka ngayo
  3. Izinhlobo ezi-4 zezimbangela
  4. I-ED ivame kangakanani?
  5. I-ED njengophawu lwesinye isifo
  6. Izindlela zokubhekana ne-ED
  7. Ubonane nini nodokotela
  8. Imibuzo evame ukubuzwa
  9. Imithombo
  10. Qhubeka ufunde

Okushiwo yi-ED

I-ED imele i-erectile dysfunction, okungukuthi inkinga yokuvuka komthondo. Ivame ukuchazwa njengokungakwazi, kaningi, ukuthola noma ukugcina umthondo uvuke uqine ngokwanele ukuze ube nocansi olwanelisayo. Akusho nje ukungavuki nhlobo. Kuhlanganisa futhi:

  • ukuvuka komthondo, kodwa ungaqini ngokwanele ukuze ungene
  • ukulahlekelwa ukuqina phakathi nendawo (ukuthamba ngesikhathi socansi)
  • umthondo ovuka ngezinye izikhathi kodwa ungavuki ngezinye

Indlela umthondo ovuka ngayo

Umthondo uvuka lapho ubuchopho, izinzwa, imithambo yegazi nemisipha kusebenza ngokulandelana.

  1. Ukuvuseleleka ngokocansi kuthumela izimpawu kusuka ebuchosheni kudlula ezinzweni kuya emthondweni.
  2. Ezicutshini ezifana nesipontshi ngaphakathi emthondweni (i-corpora cavernosa), imithambo yegazi iyaxega bese igazi lingena.
  3. Izicubu ezivuvukele zicindezela imithambo ekhipha igazi, ngakho igazi alikwazi ukuphuma kalula futhi umthondo uhlala uqinile. Imisipha yaphansi kwesinqe ezungeze isisekelo somthondo nayo kucatshangwa ukuthi inesandla.

Uma noma yisiphi isinyathelo kulolu chungechunge singasebenzi kahle, i-ED ingaba ngumphumela.

Izinhlobo ezi-4 zezimbangela

Ezengqondo

Ukwesaba, ukukhathazeka, ingcindezi, ukudangala noma izinkinga zobudlelwane. Uma usavuka ekuseni umthondo uvukile kodwa izinto zingahambi kahle ngesikhathi socansi, izinto zengqondo zingaba nesandla.

Ezomzimba

Izinguquko emzimbeni: izinguquko emithanjeni yegazi ngenxa yomfutho wegazi ophakeme, isifo sikashukela noma i-cholesterol ephezulu; ukulimala kwezinzwa ngenxa yokuhlinzwa noma izimo zomgogodla; noma ihomoni yesilisa (i-testosterone) ephansi. Iningi le-ED elanda njengoba iminyaka ikhula kucatshangwa ukuthi lihilela izinguquko emithanjeni yegazi.

Ezixubile

Kokubili ingqondo nomzimba kuyahileleka. Isimo esivamile: imbangela yomzimba yenza ukuvuka komthondo kube nzima, bese ukukhathazeka ngokuthi “uzohluleka futhi” kwengezela kukho.

Ezihlobene nemithi

Eminye imithi yomfutho wegazi, yokudangala noma ye-prostate ingabangela i-ED. Ungayeki umuthi ngokwakho; khuluma nodokotela owakunika wona.

I-ED ivame kangakanani?

I-ED emadodeni aneminyaka engama-40 kuya kwengama-70Massachusetts Male Aging Study1994J Urol
1 290amadoda aneminyaka engama-40–70
52%i-ED ezingeni elithile
5% → 15%i-ED ephelele, iminyaka engama-40 kuqhathaniswa nengama-70
Okutholakele
I-ED yayivamile futhi yanda njengoba iminyaka ikhula; i-ED ephelele yenyuka cishe kathathu phakathi kweminyaka engama-40 nengama-70
Isixwayiso
Kwakusekelwe emibuzweni endaweni eyodwa yaseMelika ngasekupheleni kweminyaka yawo-1980, hhayi ekuhlolweni ngudokotela

I-ED akuyona inkinga yamadoda amadala kuphela: namadoda amancane ayayithola.

I-ED njengophawu lwesinye isifo

I-ED nesifo senhliziyo nemithambo yegazi kamuvaThompson nabanye2005JAMA
9 457amadoda aneminyaka engama-55+
~iminyaka eyi-7yokulandelela
25%ingozi ephakeme
Okutholakele
Amadoda athola i-ED ayenengozi ephakeme ngokucishe ibe ngu-25% yesifo senhliziyo noma semithambo yegazi kamuva kunamadoda angazange ayithole
Isixwayiso
Amadoda ayebambe iqhaza ocwaningweni lokuvimbela umdlavuza we-prostate; akusho ukuthi i-ED ibangela isifo senhliziyo

Imithambo yegazi yomthondo mincane kunaleyo yenhliziyo, ngakho ukuqina kwemithambo kucatshangwa ukuthi kubonakala khona kuqala. Uma ubona i-ED, kuthathe njengesizathu sokuhlolisa umfutho wegazi, ushukela osegazini ne-cholesterol.

Izindlela zokubhekana ne-ED

Kunezindlela zezokwelapha nezinguquko zendlela yokuphila ongazisebenza ngokwakho.

Lokho udokotela angaxoxa ngakho

  • Amaphilisi: imithi esiza ukuvuka komthondo (ama-PDE5 inhibitor) isetshenziswa kakhulu. Ayiphephile kuwo wonke umuntu, ngokuya ngempilo yakho neminye imithi, ngakho udokotela kufanele ahlole kuqala.
  • Ezinye izindlela: amadivayisi e-vacuum, imijovo emthondweni noma ukuhlinzwa, ezikhethwa nodokotela wakho ngokuya ngembangela.
  • Ukwelapha isimo esingaphansi: isifo sikashukela, umfutho wegazi ophakeme noma amahomoni aphansi kwelashwa ngasikhathi sinye.

Ongakusebenza ngokwakho

  • Ukuqeqeshwa kwemisipha yaphansi kwesinqe: ocwaningweni olungahleliwe lwamadoda angama-55 (Dorey nabanye, 2004), u-40% weqembu elaqeqeshwa izinyanga ezi-3 waba namaphuzu okuvuka komthondo abuyela ezingeni elijwayelekile.
  • Ukuzivocavoca okuphefumulayo: ekubuyekezweni kocwaningo (Gerbild nabanye, 2018), ucwaningo oluningi lwasebenzisa ukuzivocavoca okumaphakathi kuya kokunamandla imizuzu engama-40, kane ngesonto, cishe izinyanga eziyisi-6.
  • Isisindo, ukudla nokungabhemi: ocwaningweni lwamadoda ayi-110 akhuluphele ngokweqile (Esposito nabanye, 2004), u-31% weqembu elashintsha indlela yokuphila iminyaka emi-2 waba namaphuzu okuvuka komthondo asezingeni elijwayelekile.

Ubonane nini nodokotela

Bonana nodokotela wezinso nomchamo, umtholampilo wezempilo yabesilisa noma udokotela wakho uma i-ED iqhubeka, iqale ngokuzumayo, uma umthondo usucishe wayeka ukuvuka ekuseni, uma unesifo sikashukela, umfutho wegazi ophakeme noma i-cholesterol ephezulu, noma uma unobuhlungu esifubeni noma uphelelwa ngumoya.

Imibuzo evame ukubuzwa

Isho ukuthini i-ED?

I-ED (inkinga yokuvuka komthondo) isho ukungakwazi, kaningi, ukuthola noma ukugcina umthondo uvuke uqine ngokwanele ukuze ube nocansi olwanelisayo. Akusho nje ukungavuki nhlobo: umthondo ongaqini ngokwanele, noma othamba phakathi nendawo, nawo uyabalwa.

I-ED ivamile kusukela eminyakeni emingaki?

Iyanda njengoba iminyaka ikhula, kodwa namadoda amancane ayayithola. Ku-Massachusetts Male Aging Study yamadoda ayi-1 290 aneminyaka engama-40 kuya kwengama-70, u-52% wabika i-ED ezingeni elithile, kanti i-ED ephelele yenyuka isuka cishe ku-5% eminyakeni engama-40 iye cishe ku-15% eminyakeni engama-70. Emadodeni amancane, ukwesaba nokukhathala kuvame ukuba nesandla, kodwa nesimo somzimba singaba ngemuva kwayo.

Ingabe i-ED ingaba wuphawu lwenye inkinga yempilo?

Ingaba. Ucwaningo olwalandela amadoda acishe abe yizi-9 000 aseMelika aneminyaka engama-55 nangaphezulu iminyaka eyi-7 (Thompson nabanye, 2005) lwabika ukuthi amadoda athola i-ED ayenengozi ephakeme ngokucishe ibe ngu-25% yokuthola kamuva isifo senhliziyo noma semithambo yegazi. Imithambo yegazi yomthondo mincane, ngakho ukuqina kwemithambo kungabonakala khona kuqala.

Ingabe ukuzivocavoca noma ukushintsha indlela yokuphila kungasiza nge-ED?

Ukuzivocavoca okuphefumulayo (cishe imizuzu eyi-160 ngesonto), ukuqeqeshwa kwemisipha yaphansi kwesinqe, nokudla okunempilo kanye nokuzivocavoca ukuze wehlise isisindo konke kuye kwacwaningwa. Ocwaningweni olungahleliwe lwamadoda ayi-110 akhuluphele ngokweqile (Esposito nabanye, 2004), cishe ingxenye eyodwa kwezintathu yeqembu elashintsha indlela yokuphila yayinamaphuzu okuvuka komthondo asezingeni elijwayelekile ngemuva kweminyaka emi-2. I-ED ingaba futhi wuphawu lwangaphambi kwesikhathi lwesifo senhliziyo noma semithambo, ngakho vumela udokotela ahlole imbangela kuqala.

Imithombo

  1. Feldman HA, et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151(1):54-61. pubmed.ncbi.nlm.nih.gov/8254833/
  2. Thompson IM, et al. Erectile dysfunction and subsequent cardiovascular disease. JAMA. 2005;294(23):2996-3002. pubmed.ncbi.nlm.nih.gov/16414947/
  3. Dorey G, et al. Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction. Br J Gen Pract. 2004;54(508):819-825. pmc.ncbi.nlm.nih.gov/articles/PMC1324914/
  4. Gerbild H, et al. Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. Sex Med. 2018;6(2):75-89. doaj.org/article/91eb296258654277ba5cb0268ced6754
  5. Esposito K, et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291(24):2978-2984. search.pedro.org.au/search-results/record-detail/11354

Qhubeka ufunde