Ukungasebenzi kwe-Erectile

Amadoda amaningi alashwa Erectile Ezingasebenzi ukuphatha ukuphinde uthole ubulili obanelisayo. Ukwenza lokhu, imbangela (s) yokungasebenzi kahle kanye nezici zobungozi kufanele zihlonzwe udokotela.

Uma kunesifo esingaphansi, sizolashwa, futhi indoda izophinde ithole ukwelashwa ukuze ithuthukise umsebenzi wayo we-erectile.

Uma ukungasebenzi kungahlobene nenkinga ethile yezempilo, ukwelashwa kwayo kungase kuhlanganise ukuthuthukiswa imikhuba yokuphila (bheka isigaba Sokuvimbela), a therapy ngokomqondo-ukuziphatha noma ukubonisana a udokotela wobulili (bheka Ukwelashwa Ngocansi ngezansi) futhi, ngokuvamile, ukwelashwa ngezidakamizwa.

Ukwelashwa kwengqondo yokuziphatha

Le ndlela yoku ukwelashwa kwengqondo ngakunye kusiza ukuhlola nokuqonda inkinga ngokuhlaziya ukuqonda okuthile, okusho ukuthi imicabango, okulindelekile nezinkolelo zomuntu ngokuphathelene nobulili. Le micabango inamathonya amaningi: okuhlangenwe nakho okuphilayo, umlando womndeni, imihlangano yezenhlalo, njll. Isibonelo, indoda ingase yesabe ukuthi ubulili buzophela ngokukhula, futhi ikholwe ukuthi okuhlangenwe nakho lapho ingafinyeleli khona ukuqhanyelwa kuwuphawu lokuncipha unomphela. Angase acabange ukuthi umkakhe uyaqhela kuye ngenxa yalesi sizathu. Xhumana nodokotela wezengqondo noma owelapha ngezocansi ojwayelene nale ndlela (bona Ukwelashwa Ngocansi ngezansi).

izidakamizwa

I-Sildenafil (Viagra®) nezinye i-IPDE-5. Kusukela ngasekupheleni kwawo-1990, ukwelashwa komugqa wokuqala wokungasebenzi kahle kwe-erectile ngomlomo kungqubuzana nokuphathwa ngomlomo yi-phosphodiesterase type 5 (IPDE-5) inhibitors - sildenafil (Viagra®), vardenafil (Levitra ®) kanye ne-tadalafil (Cialis®) noma i-avanafil ( Spedra®). Leli qembu lemithi elitholakala kuphela ngencwadi kadokotela liphumuza imisipha yemithambo esempipini. Lokhu kwandisa ukugeleza kwegazi, futhi kuvumela ukuqhanyelwa lapho kukhona ukukhuthazwa kocansi. Ngakho-ke, i-IPDE-5 ayiwona ama-aphrodisiacs futhi ukugqugquzela ngokocansi iyadingeka ukuze umuthi usebenze. Kunemithamo eyahlukene kanye nobude besenzo. Isibonelo, uma isikhathi sesenzo singamahora angu-4, sinewindi lesenzo lamahora angu-4 lapho singaba nobudlelwane bocansi obubodwa noma ngaphezulu (ukuma akuhlali amahora angu-4). Le mithi iyasebenza kuma-70% ezimweni kodwa ayisebenzi kahle ezifweni ezingapheli njengesifo sikashukela.

izinzuzo contraindication sebenzisa uma kubhekwa amandla okusebenzisana nezidakamizwa. Hlola nodokotela wakho.

Ukwelashwa kwe-intraurethral. Ezimweni lapho i-IPDE-5 ingasebenzi noma lapho ukusetshenziswa kwayo kunqatshelwe, udokotela angase anikeze izinto ze-vasoactive (isibonelo, i-alprostadil) owesilisa efunda ukuzifaka ku-urethra. ekugcineni kwepipi imizuzu emi-5 ukuya kwengama-30 ngaphambi kokuya ocansini. Le mithi iphathwa njenge ama-mini-suppositories ukufakwa kunyama yomchamo (idivayisi ye-Muse®) noma ukhilimu (Vitaros®). Kuyindlela elula nethokozisayo yamadoda angama-30% lapho izidakamizwa zethebhulethi zingasebenzi.

Imijovo yePenile (imijovo ye-intracavernous). Lokhu kwelashwa okubhalwe kadokotela kuphela, kusukela ekuqaleni kwawo-1980, kuhilela ukujova umuthi (i-alprostadil) ohlangothini olulodwa lwepipi. Lo muthi usebenza ngokuphumuza imisipha emithanjeni esepipini, okwandisa ukugeleza kwegazi kungakapheli imizuzu emi-5 kuye kwengama-20. Ngalokhu kwelashwa, ukuqina kwenduku kufinyelelwa ngisho nalapho kungabikho ukukhuthazwa kocansi futhi kuthatha cishe ihora elingu-1. Lokhu kwelashwa kuya ngokuya kusetshenziswa emadodeni lapho ithebhulethi, ukhilimu noma i-mini-suppository yokwelashwa ingasebenzi. Lokhu kwelashwa kusebenza kahle emadodeni angama-85%, futhi isikhathi esiningi emadodeni angaphenduli ekwelashweni ngemithi kumaphilisi (Viagra® noma Sildenafil, Cialis®, Levitra®, Spedra®), ukhilimu (Vitaros®) , noma kuma-mini-suppositories (Muse®))

Testosterone. Uma ukungasebenzi kahle kwe-erectile kubangelwahypogonadism (okuholela ekwehleni kwe-testosterone ngendlela engavamile), ukuze ukukhiqizwa kwamahomoni ocansi ngama-testes kuphansi, ukwelashwa kwe-hormonal nge-testosterone kungase kucatshangelwe. Kodwa-ke, kusebenza kuphela endaweni eyodwa kwezintathu zokuthola kabusha ama-erections asebenzayo.

Imishini yomthondo. Uma izindlela zokwelapha zangaphambilini zingasebenzi noma zingafaneleki, imishini eyimishini ingasetshenziswa. Amaqhude amaqhude indima yawo uwukuqinisa isisekelo somthondo ukuze umile ungasebenza kahle ngaphandle kokuphazamiseka kwezinto eziqukethwe emithini. Lapho indandatho yomthondo ingenele, i Vula ipompo, ebizwa nangokuthi i-vacuum, yenza i-vacuum kusilinda esibekwe eduze kwepipi, okuholela ekuqhameni okubanjwe yiringi yomthondo ocindezelayo eshelela phansi phansi komthondo.

Ukufakelwa umthondo. Kukhona futhi izinhlobo ezahlukene ukufaka umthondo edinga ukuhlinzwa ukuze kufakwe unomphela izinti eziguquguqukayo eziphefumulayo epipini. Kuyisixazululo esisebenza kahle kakhulu lapho amanye amathuba engasebenzi.

Ukuncipha kwesifiso

Lapho ubhekene nokuncipha kwesifiso sobulili, into yokuqala okufanele yenziwe ukuhlolwa kwezokwelapha, ukuthola izici eziyingozi zokuphazamiseka kwesifiso, uhlu lwezidakamizwa ezithathiwe, ukuhlinzwa okwenziwe, izifo ezingapheli ezikhona. Kuye ngalokhu kuhlola, ukwelashwa okukodwa noma ukwelashwa okuningana kungenziwa. Ngaphandle kobunzima besifiso esihlobene nezinkinga zezokwelapha, izinkinga ezingokwengqondo zingase zibe khona. Ukwelashwa okuhlongozwayo-ke kubandakanya umsebenzi wokwelapha womuntu siqu noma umbhangqwana.

La ukwelashwa kwe-classic iqukethe uhlelo lokubonisana nodokotela wezengqondo, isazi sokusebenza kwengqondo noma isazi socansi lapho sisebenza khona ukuhlonza izithiyo, ukwesaba kwabo, imicabango engasebenzi kahle ukuze samukele izimo zengqondo nokuziphatha okubavumela ukuba banqotshwe. Bheka I-Cognitive Behavioral Therapy kanye Nokwelashwa Ngocansi.

Ukujula kwe-premature

Uma kwenzeka ukukhishwa isidoda ngaphambi kwesikhathi, izinsizakalo zikadokotela ongakwazi ukunikeza imithi yokulibazisa ukuqhafaza ngokuvamile zifunwa. Lena i-dapoxetine (Priligy®). Lokhu kuvumelekile uma ukuqhanyelwa kushesha kakhulu (ngaphansi kweminithi elingu-1 ngemva kokungena). Ngesikhathi esifanayo, kuyasiza ukubonana nomelaphi wocansi noma isazi sokusebenza kwengqondo osebenzisa izindlela zokwelulekwa nokwelashwa kokuziphatha. Isihloko kanye nomlingani wakhe (noma wakhe) bazokwenziwa ukuthi basebenzise izindlela ezihlukahlukene zokuphumula nokuzithiba, isibonelo ngo izivivinyo zokuphefumula okuhloswe ngayo ukunciphisa ijubane lokukhuphuka kokuzivocavoca kocansi kanye nokuphumula kwemisipha.

Udokotela angakwazi ukufundisa ubuchwepheshe be cindezela (ukucindezelwa kwe-glans noma isisekelo somthondo), yima bese uhamba noma ukuvuselelwa kwe-perineal I-Kegel umzimba, indlela evumela isihloko ukuthi sihlonze “iphuzu lokungabuyi” kanye nokulawula ukucupha kwe-reflex yokuphuma kwe-ejaculatory.

Ukusetshenziswa kwekhondomu noma ukhilimu i-anesthetic inomphumela wokwehlisa ukuzwela kwepipi, okungase kusize ukubambezela ukuqhanyelwa. Endabeni yokusebenzisa ukhilimu obulala izinzwa, ukugqoka ikhondomu kunconywa ukuze kungabi ndikindiki esithweni sangasese futhi kube lula ukumuncwa kokhilimu.

Isifo se-Peyronie

Ukwelashwa ngocansi

Lapho udokotela evumelana nesiguli sakhe ukuthi izici ezingokwengqondo zihilelekile ohlotsheni olulodwa noma olunye lokungasebenzi kahle kobulili, ngokuvamile uyeluleka ukubonana nomelaphi wobulili. Iningi labelaphi ngocansi lisebenza ezindaweni ezizimele. Lezi kungaba izikhathi zomuntu ngamunye noma ezimbalwa. Lezi zikhathi zingasiza ekudambiseni ukukhungatheka kanye nokungezwani noma izingxabano zomshado ezibangelwa ubunzima obukhona empilweni yocansi. Bazosiza futhi ekukhuliseni ukuzethemba, okuvame ukuhlukunyezwa ezimweni ezinjalo. Kunezindlela ezi-5 eziyinhloko ekwelapheni ngocansi:

• la ukwelashwa kwengqondo-yokuziphatha, okuhloswe ngayo ukunqamula umjikelezo ononya wemicabango engemihle mayelana nobulili ngokuthola le micabango nokuzama ukuyidambisa, kanye nokuguqula ukuziphatha.
• l 'indlela ehlelekile, ebheka ukusebenzelana kwabashadile kanye nomthelela wabo ekuphileni kwabo kobulili;
• theindlela yokuhlaziya, ozama ukuxazulula izingxabano zangaphakathi emsuka wezinkinga zocansi ngokuhlaziya umcabango namaphupho avusa inkanuko;
• l 'indlela ekhona, lapho umuntu ekhuthazwa khona ukuthola imicabango yabo ngobunzima babo bezocansi nokuzazi kangcono;
• theindlela ye-sexocorporeal, ecabangela umzimba wezixhumanisi ezingenakuhlukaniswa - imizwa - ingqondo, futhi ehlose ubulili obanelisayo kokubili ezingeni lomuntu siqu kanye nobudlelwane.