Mavuto okonzekera

Vuto lakumangirira limachitika pamene munthu sangathe kupeza kapena kusunga erection yomwe imakhala yolimba mokwanira kugonana. Simungathe kukhala ndi erection konse. Kapena, mutha kutaya erection panthawi yogonana musanakonzekere. Mavuto okonzekera samakhudza vuto lanu logonana.

Mavuto okonzekera amakhala ofala. Pafupifupi amuna akulu onse ali ndi vuto lopeza kapena kusunga erection nthawi ina. Nthawi zambiri vutoli limatha popanda chithandizo chamankhwala. Koma kwa amuna ena, limatha kukhala vuto lomwe likupitilira. Izi zimatchedwa erectile dysfunction (ED).

Ngati mukuvutika kupeza kapena kusunga erection kuposa 25% ya nthawiyo, muyenera kuwona omwe akukuthandizani.

Kuti mukhale ndi erection, ubongo wanu, misempha, mahomoni, ndi mitsempha yamagazi zonse zimafunikira kugwira ntchito limodzi. Ngati china chake chikulepheretsani ntchitozi, zimatha kubweretsa mavuto.

Vuto lokonzekera nthawi zambiri silimakhala "lonse m'mutu mwanu." M'malo mwake, mavuto ambiri okonzekera amakhala ndi chifukwa chakuthupi. Pansipa pali zifukwa zina zofala zakuthupi.

Matenda:

• Matenda a shuga
• Kuthamanga kwa magazi
• Mkhalidwe wa mtima kapena chithokomiro
• Mitsempha yotseka (atherosclerosis)
• Matenda okhumudwa
• Matenda amanjenje, monga multiple sclerosis kapena matenda a Parkinson

Mankhwala:

• Mankhwala opatsirana
• Mankhwala a kuthamanga kwa magazi (makamaka beta-blockers)
• Mankhwala amtima, monga digoxin
• Mapiritsi ogona
• Ena zilonda zam'mimba zilonda

Zoyambitsa zina zathupi:

• Magulu otsika a testosterone. Izi zitha kupangitsa kuti kukhale kovuta kupeza erection. Ikhozanso kuchepetsa kugonana kwa amuna.
• Kuwonongeka kwa mitsempha kuchokera ku opaleshoni ya prostate.
• Chikonga, mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo a cocaine.
• Msana wovulala.

Nthawi zina, mavuto anu kapena mavuto amgwirizano angayambitse ED, monga:

• Kuyankhulana molakwika ndi mnzanu.
• Kudzimva kokayika komanso kulephera.
• Kupsinjika, mantha, nkhawa, kapena mkwiyo.
• Kuyembekezera zambiri kuchokera ku kugonana. Izi zitha kupanga kugonana kukhala ntchito m'malo mokhala kosangalatsa.

Mavuto okonzekera amatha kukhudza amuna azaka zilizonse, koma ndizofala kwambiri mukamakalamba. Zomwe zimayambitsa thupi ndizofala kwambiri mwa amuna achikulire. Zomwe zimakhudza mtima ndizofala kwambiri mwa anyamata.

Ngati mumakhala ndi zovuta m'mawa kapena usiku mukamagona, mwina sizomwe zimayambitsa matenda. Amuna ambiri amakhala ndi zotsekera 3 mpaka 5 usiku zomwe zimatha pafupifupi mphindi 30. Lankhulani ndi omwe akukuthandizani za momwe mungadziwire ngati muli ndi zovuta zanthawi yausiku.

Zizindikiro zimatha kuphatikizira izi:

• Zovuta kupeza erection
• Zovuta kusunga erection
• Kukhala ndi erection yomwe siyolimba mokwanira kugonana
• Chidwi chochepa pa kugonana

Wothandizira anu ayesa thupi, komwe kungaphatikizepo:

• Kutenga magazi anu
• Kuwona mbolo yanu ndi kachilomboka kuti muwone mavuto

Wothandizira anu amafunsanso mafunso kuti athandizire kupeza chifukwa, monga:

• Kodi mudakwanitsa kupeza zosunga zakale?
• Kodi mukuvutika kupeza erection kapena kusunga zovuta?
• Kodi mumakhala ndi zovuta mutagona kapena m'mawa?
• Kodi mwakhala ndi vuto lalitali bwanji ndi zovuta?

Wothandizira anu amafunsanso za moyo wanu:

• Kodi mukumwa mankhwala aliwonse, kuphatikiza owonjezera owerengera?
• Kodi mumamwa, kusuta, kapena kugwiritsa ntchito mankhwala osokoneza bongo?
• Maganizo anu ndi otani? Kodi mwapanikizika, mwapanikizika, kapena mumakhala ndi nkhawa?
• Kodi muli ndi mavuto pachibwenzi?

Mutha kukhala ndi mayeso osiyanasiyana osiyanasiyana kuti muthandizire kupeza chifukwa, monga:

• Kuyeza kwam'mimba kapena kuyesa magazi kuti muwone ngati ali ndi matenda ashuga, mavuto amtima, kapena testosterone
• Chida chomwe mumavala usiku kuti muwone ngati nthawi yoyenera usiku
• Ultrasound mbolo yanu kuti muwone mavuto amtundu wa magazi
• Kuwunika mwamphamvu kuti muwone momwe erection yanu ilili yolimba
• Kuyesedwa kwama psychological kuti muwone ngati ali ndi nkhawa komanso mavuto ena am'maganizo

Mankhwalawa atengera zomwe zimayambitsa vutoli komanso thanzi lanu. Wothandizira anu akhoza kuyankhula nanu za chithandizo chabwino kwambiri kwa inu.

Kwa amuna ambiri, kusintha kwa moyo kumatha kuthandiza. Izi zikuphatikiza:

• Kuchita masewera olimbitsa thupi
• Kudya chakudya chopatsa thanzi
• Kutaya thupi
• Kugona bwino

Ngati inu ndi mnzanu muli ndi vuto lolankhula za chibwenzi chanu, zingayambitse mavuto ogonana. Uphungu ungathandizire inu ndi mnzanu.

Kusintha kwa moyo wokha sikungakhale kokwanira. Pali njira zambiri zochiritsira.

• Mapiritsi omwe mumamwa pakamwa, monga sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), ndi tadalafil (Adcirca, Cialis). Amagwira ntchito pokhapokha mutadzutsidwa. Nthawi zambiri amayamba kugwira ntchito mphindi 15 mpaka 45.
• Mankhwala omwe amalowetsedwa mu urethra kapena jekeseni mu mbolo kuti magazi aziyenda bwino. Singano zing'onozing'ono zimagwiritsidwa ntchito ndipo sizimapweteka.
• Kuchita opaleshoni kuyika ma implants mu mbolo. Zoyikirazo zitha kukhala zotumphukira kapena zolimba.
• Chida chopumira. Izi zimagwiritsidwa ntchito kukoka magazi mu mbolo. Gulu lapadera la mphira limagwiritsidwa ntchito kusunga erection panthawi yogonana.
• Kusintha kwa testosterone ngati testosterone yanu ili yotsika. Izi zimabwera ndi zigamba za khungu, gel osakaniza, kapena jakisoni mu minofu.

Mapiritsi a ED omwe mumamwa pakamwa amatha kukhala ndi zovuta. Izi zimatha kuyambira kupweteka kwa minofu ndikutuluka mpaka kumtima. Musagwiritse ntchito mankhwalawa ndi nitroglycerin. Kuphatikizana kungayambitse kuthamanga kwa magazi.

Simungagwiritse ntchito mankhwalawa ngati muli ndi izi:

• Sitiroko yaposachedwa kapena matenda amtima
• Matenda owopsa amtima, monga angina wosakhazikika kapena kugunda kwamtima kosafunikira (arrhythmia)
• Kulephera kwamtima kwakukulu
• Kuthamanga kwa magazi kosalamulirika
• Matenda a shuga osalamulirika
• Kuthamanga kwambiri kwa magazi

Mankhwala ena amakhalanso ndi zovuta zina komanso zovuta zina. Funsani omwe akukuthandizani kuti afotokoze zoopsa ndi zabwino za mankhwalawa.

Mutha kuwona zitsamba zambiri ndi zowonjezera zomwe zimati zimathandizira magwiridwe antchito kapena chilakolako. Komabe, palibe amene adatsimikiziridwa kuti amathandizira ED. Kuphatikiza apo, mwina sangakhale otetezeka nthawi zonse. Musatenge chilichonse osalankhula ndi omwe akukuthandizani kaye.

Amuna ambiri amathetsa mavuto okomoka ndi kusintha kwa moyo, chithandizo, kapena zonse ziwiri. Pazovuta zazikulu, inu ndi mnzanuyo muyenera kusintha momwe ED imakhudzira moyo wanu wogonana. Ngakhale mutalandira chithandizo, upangiri ungathandize inu ndi mnzanu kuthana ndi nkhawa zomwe ED imatha kuyika pachibwenzi chanu.

Vuto lakumangirira lomwe silimatha limakupangitsani kudzimvera chisoni. Zikhozanso kuwononga ubale wanu ndi mnzanu. ED itha kukhala chizindikiro cha mavuto azaumoyo monga matenda ashuga kapena matenda amtima. Chifukwa chake ngati muli ndi vuto lakumangirira, musayembekezere kuti mupeze thandizo.

Itanani omwe akukuthandizani ngati:

• Vutoli silitha ndi kusintha kwa moyo
• Vutoli limayamba pambuyo povulala kapena opaleshoni ya prostate
• Muli ndi zizindikiro zina, monga kupweteka kwa msana, kupweteka m'mimba, kapena kusintha pokodza

Ngati mukuganiza kuti mankhwala aliwonse omwe mukumwa atha kuyambitsa mavuto, kambiranani ndi omwe akukuthandizani. Mungafunike kuchepetsa mlingo kapena kusintha mankhwala ena. Musasinthe kapena kusiya kumwa mankhwala musanalankhule ndi omwe akukuthandizani.

Lankhulani ndi omwe akukuthandizani ngati mavuto anu okhudzidwa akukhudzana ndi mantha amvuto yamtima. Kugonana nthawi zambiri kumakhala kotetezeka kwa abambo omwe ali ndi vuto la mtima.

Itanani omwe akukuthandizani nthawi yomweyo kapena pitani kuchipinda chodzidzimutsa ngati mukumwa mankhwala a ED ndipo amakupatsirani mwayi wopitilira maola 4.

Kuthandiza kupewa mavuto a erection:

• Siyani kusuta.
• Chepetsani kumwa mowa (zosapitilira 2 zakumwa patsiku).
• Musagwiritse ntchito mankhwala osokoneza bongo.
• Gonani mokwanira ndikukhala ndi nthawi yopuma.
• Khalani pamiyeso yolemera kutalika kwanu.
• Chitani masewera olimbitsa thupi ndikudya zakudya zopatsa thanzi kuti magazi aziyenda bwino.
• Ngati muli ndi matenda ashuga, sungani shuga m'magazi anu mosamala.
• Lankhulani momasuka ndi wokondedwa wanu za ubale wanu komanso moyo wogonana. Funsani uphungu ngati inu ndi mnzanu muli ndi vuto lolankhulana.

Kulephera kwa Erectile; Kusowa mphamvu; Kulephera kugonana - wamwamuna

• Mphamvu ndi ukalamba

Tsamba la American Urological Association. Kodi kulephera kwa erectile ndi chiyani? www.urologyhealth.org/urologic-conditions/erectile-dysfunction (ed). Idasinthidwa mu June 2018. Idapezeka pa Okutobala 15, 2019.

Burnett AL. Kuwunika ndikuwongolera kusokonekera kwa erectile. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 27.

Burnett AL, Nehra A, Breau RH, ndi al. Kulephera kwa Erectile: Chitsogozo cha AUA. J Urol. 2018; 200 (3): 633-641. (Adasankhidwa) PMID: 29746858 adatulutsidwa.ncbi.nlm.nih.gov/29746858.