Kutopa vs. Wofooka: Kodi Pali Kusiyana Pati?

Zamkati

• Mphamvu
• Kusabereka
• Momwe mungasamalire kusabereka
• Momwe mungathandizire kusabereka

Kutopa vs. kusabereka

Kusowa mphamvu komanso kusabereka mavuto onse omwe angakhudze thanzi la abambo komanso mwayi wokhala ndi ana, koma m'njira zosiyanasiyana.

Mphamvu, yotchedwa erectile dysfunction (ED), imatanthawuza zovuta kupeza kapena kusunga erection. Izi zitha kupangitsa kuti kukhale kovuta kapena kosatheka kugonana. Kusabereka, komwe kumatchedwanso kusabereka, kumatanthauza kulephera kutulutsa kapena kumasula umuna.

Pano pali zochitika ziwirizi, zomwe zimawapangitsa, ndi momwe amathandizidwira.

Mphamvu

Kufikira amuna 30 miliyoni ku America akumana ndi ED. Zimakhala zofala mukamakula. Cleveland Clinic ikuti m'modzi mwa amuna 10 achikulire azikhala ndi mavuto a ED nthawi yayitali.

Kuti munthu akwaniritse zonse, ziwalo zingapo zosiyanasiyana, kuphatikiza zamkati mwamanjenje, minofu, ndi mitsempha yamagazi, zimayenera kugwira ntchito mogwirizana. Amuna amatha kukhala ndi vuto lokhala ndi erection ngati imodzi mwamachitidwe awa isokonekera.

Zina mwa zifukwa zazikulu za ED ndizo:

• mtsempha wamagazi kapena matenda amtima
• kukhumudwa kapena zovuta zina zamaganizidwe
• kupanikizika (kuphatikizapo nkhawa)
• matenda ashuga
• Matenda a Parkinson kapena multiple sclerosis
• kuthamanga kwa magazi kapena cholesterol
• mankhwala monga antidepressants, antihistamines, kapena kuthamanga kwa magazi - kuchepetsa mankhwala
• kuwonongeka kwa mitsempha
• Matenda a Peyronie (minofu yofiira mkati mwa mbolo)
• kunenepa kwambiri
• kusuta fodya
• kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo

ED itha kukhala yokhudzana ndi opaleshoni kapena radiation kuti ichiritse khansa ya prostate kapena chithandizo cha prostate chokulitsa (benign prostatic hypertrophy, kapena BPH). ED amathanso kuyambitsidwa ndi zovuta monga:

• nkhawa
• liwongo
• nkhawa
• kudziyang'anira pansi

Kusabereka

Ngati mwakhala mukuyesera kuti mupatse mnzanu mimba kwa chaka chimodzi osachita bwino, mutha kukhala mukukumana ndi kusabereka. Vutoli limatha kuyambira kwa mnzake, kapena onse awiri. Pafupifupi gawo limodzi mwa magawo atatu a nthawiyo, nkhani ili kwa mwamunayo yekha.

Kusabereka kwamwamuna kumatha kukhala chifukwa chamavuto opanga kapena kumasula umuna. Zina mwazomwe zimayambitsa kusabereka ndi izi:

• mankhwala a khansa monga chemotherapy kapena radiation
• matenda monga matenda ashuga
• mitsempha yowonjezera m'matumbo (varicocele)
• kukhudzana ndi mankhwala ophera tizilombo ndi poizoni wina
• kumwa mowa mwauchidakwa
• kugwiritsa ntchito mankhwala ena monga steroids
• zinthu monga cystic fibrosis
• kuvulala kapena kuchitidwa opaleshoni ya machende kapena ziwalo zina zoberekera
• ntchofu kapena matenda ena omwe amachititsa kuti machende avulazidwe
• matenda opatsirana pogonana, monga HIV, chinzonono, kapena mauka
• kubwezeretsanso umuna, umuna ukamayenda kulowa m'chikhodzodzo m'malo modutsa mbolo
• Kutulutsa msanga msanga
• Machende osavomerezeka
• alireza

Zomwe zimayambitsa kusabereka mwina sizikudziwika bwinobwino. Izi ndichifukwa choti abambo omwe ali ndi vuto lakusabereka nthawi zambiri amakhala ndi zizindikilo zina, monga zovuta zokhudzana ndi kugonana, chilakolako chochepa, kutupa minyewa, komanso kuvuta kukodzera.

Momwe mungasamalire kusabereka

Ngati mukuvutika kupeza erection, onani dokotala wanu kapena urologist. Ngakhale kulankhula za kusabereka kungakhale kovuta, ndikofunikira kulandira chithandizo. Kulola kuti vutoli lisamayende bwino kumatha kuyika chibwenzi chanu komanso kukulepheretsani kukhala ndi ana.

Choyamba, dokotala wanu adzakuyesani. Kenako dokotala wanu amatha kuyitanitsa mayeso a labu (monga testosterone level, HbA1c, kapena lipid panel) kuti ayang'anire matenda monga matenda ashuga, matenda amtima, kapena mavuto am'magazi omwe angayambitse vuto lanu.

Kutengera mayeso anu ndi zotsatira za labotale, adotolo amalangiza dongosolo lamankhwala.

Nthawi zina, kusintha zina ndi zina pamoyo wanu ndizofunika, kuphatikiza zinthu monga:

• kuchita masewera olimbitsa thupi pafupipafupi
• kuonda
• kusiya kusuta fodya
• kuchepetsa kumwa mowa

Zosintha zonsezi zimatha kuchiza matenda anu.

Ngati njirazi sizikugwira ntchito, dokotala akhoza kukupatsani mankhwala (otchedwa phosphodiesterase-5-inhibitor) omwe amachulukitsa magazi kupita ku mbolo kuti apange erection. Izi zikuphatikiza:

• sildenafil (Viagra)
• tadalafil (Cialis)
• vardenafil (Levitra, Staxyn)

Mankhwala onsewa amakhala ndi zoopsa, makamaka ngati mwakhala ndi vuto la mtima, muli ndi matenda ena amtima, mumamwa mankhwala a nitrate a matenda a mtima, kapena muli ndi kuthamanga kwa magazi. Lankhulani ndi dokotala wanu kuti muwone ngati mankhwalawa ndi njira yabwino kwambiri kwa inu.

Mankhwala ena omwe amagwiritsidwa ntchito pochiza kuwonongeka kwa erectile ndi alprostadil (Caverject Impulse, Edex, Muse), omwe ndi mankhwala a Prostaglandin E1. Mankhwalawa amadzipangira okha kapena amaikidwa ngati chowonjezera mu mbolo. Imapanga erection yomwe imatha mpaka ola limodzi.

Ngati chithandizo cha mankhwala sichili choyenera kwa inu, mapampu a mbolo kapena ma implants atha kuthandizira.

Vuto likakhala lotengeka, kuwona mlangizi kumatha kukuthandizani kuthana ndi zomwe zikukulepheretsani kuti mukonzekere. Mnzanu atha kutenga nawo gawo pazithandizo zamankhwala.

Momwe mungathandizire kusabereka

Muyenera kukaonana ndi dokotala ngati mwakhala mukuyesera kuti mukhale ndi pakati kwa chaka chimodzi popanda mwayi. Mayeso ena omwe amagwiritsidwa ntchito pozindikira kuti kusabereka mwa amuna ndi awa:

• kuyesa magazi kuti muwone kuchuluka kwa mahomoni
• kuyesa majini
• kusanthula umuna (kuwunika kuchuluka kwa umuna ndi motility)
• ultrasound kapena biopsy ya machende

Chithandizo chanu chidzadalira pazomwe zikuyambitsa vutoli. Pali njira zingapo zochiritsira, kuphatikizapo:

• mankhwala othandizira mahomoni
• Kuchita opaleshoni kuti athetse vuto la machende
• mankhwala ochizira matenda kapena matenda omwe akuyambitsa kusabereka

Komanso, mu vitro feteleza kapena kupangira ubwamuna (momwe umuna umalowetsedwera m'mimba mwa chiberekero kapena chiberekero) ndi njira zomwe zimagwiritsidwa ntchito kukwaniritsa pakati pakakhala kusabereka.

Kusowa mphamvu komanso kusabereka kumakhala kovuta kukambirana, ngakhale ndi dokotala wanu. Koma kukhala womasuka pokhudzana ndi vuto lanu kumathandizira kusintha moyo wanu wogonana ndikuwonetsetsa kuti mukulandira chithandizo choyenera.