Ukungabi namandla - izimbangela, ukuxilongwa, ukwelashwa

Ukuntula amandla kuvame ukubathinta kakhulu abantu besilisa lapho sebekhulile, kodwa ucwaningo lukhombisa ukuthi abesilisa abasebancane banenkinga nakho. Bheka ukuthi yiziphi izimpawu ezingase zibonise ukuthi indoda ayinawo amandla nokuthi lesi sifo singelashwa kanjani.

1. Kuyini ukungabi namandla?

Ukungabi namandla kungachazwa ngezindlela ezahlukene: ukungasebenzi kahle kwenduku yesitho sangasese sowesilisa, ukuntula ukuphendula kwezitho zangasese, ukuqhanyelwa okungaphelele, ukuntuleka kokuqhanyelwa, ukungasebenzi kahle kwe-erectile, ukulahlekelwa noma ukuncipha komsebenzi wocansi.

Ukungabi namandla kuwukungasebenzi kahle kocansi, uphawu oluyinhloko akukho ukuqhanyelwa noma ukuqhanyelwa naphezu kokuvusa inkanuko nokwanelisa i-foreplay. Ukungasebenzi kwe-erectile yesikhashana kujwayelekile futhi akufanele kudidaniswe nokungabi namandla. Isizathu esivame kakhulu sokungabi namandla ukugeleza kwegazi okungalungile, ngenxa yokuthi i-penis ayikwazi ukufeza ukumiswa okugcwele nokuhlala njalo. Amadoda amaningi akubheka njengophawu lokuguga noma ukungayinaki ngokuphelele inkinga lapho evakashela udokotela.

2. Izimbangela zokungabi namandla

Izici eziyingozi zingandisa ukuntula amandla. Ngaphezu kweminyaka yezinto eziphilayo, isifo sikashukela i-mellitus, i-arterial hypertension, i-hyperlipidemia nokubhema kuyashiwo.

Izimbangela ezivame kakhulu zokuphelelwa amandla yizi:

• i-psychogenic, i.e. ukwesaba ubulili, ukwesaba ukuba nengane, [ukucindezeleka] ((https://portal.abczdrowie.pl/depresja), ukunqamuka kobudlelwane phakathi kwabalingani, Inkimbinkimbi yamalungu amancane, ukuthambekela kobungqingili equlekile, ingqondo, izici zokuvelela, ukucindezeleka kwesimo, ukuphazamiseka kokuhlonza indima yabesilisa, ukuqina ngokobulili, ukwesaba abesifazane, izinkolelo zenkolo, ukuzethemba;
• i-neurogenic, isibonelo, ukulimala komgogodla, i-discopathy, isifo sikashukela, isifo sohlangothi, ukuluthwa izidakamizwa, izimo zangemva kokuhlinzwa kwezitho ze-pelvic, izimila zobuchopho, izifo zezinzwa (isibonelo, i-amyotrophic lateral sclerosis, i-tetraplegia, i-paraplegia, i-polyneuropathy, i-progressive multiple sclerosis);
• i-hormonal, isibonelo, ukwehla kwamazinga e-testosterone, ukwanda kwamazinga e-prolactin;
• ukuphazamiseka kokujikeleza kwegazi, njengomfutho wegazi ophakeme ohambisana nokubhema, isifo sikashukela, isifo sokuqina kwemithambo yegazi, izinguquko emithanjeni yegazi yepipi;
• i-pharmacological, njengezidakamizwa ze-antihypertensive, i-antipsychotics, i-SSRIs kanye nama-antidepressants e-SNRI.

Endabeni yokuphazamiseka kwe-somatogenic, umuntu ongenamandla akakwazi ukufeza ukulungiswa ngenxa yobudala noma isifo (isifo sikaPeyronie, ukukhubazeka kwezitho zangasese, njenge-phimosis).

Cishe ku-25% yamadoda, ukungabi namandla kunesizinda esixubile, isibonelo, i-hormonal kanye ne-circulatory, evame kakhulu ngesikhathi se-andropause. Izimbangela ze-Psychogenic zivame kakhulu emadodeni amancane - ikakhulukazi mayelana nomlingani omusha, onzima.

Okuhlangenwe nakho kokungasebenzi kahle kwe-penile erectile kuyamangalisa umuzwa wenani lowesilisa, kudala ukwesaba nomuzwa wokwesaba mayelana nokufaneleka kwesikhathi esizayo.

Ukwesaba ukungabi namandla kungaba namandla kangangokuthi amadoda amaningi awavumeli umcabango onjalo, aqaphela esinye isizathu, isibonelo, ukulahlekelwa yi-libido, amaphutha enziwe umlingani wakhe. Inkinga ibalulekile ngoba, ngaphandle kokungabi namandla, kungase kube nabanye ukungasebenzi kahle kwezocansiisb. ukuphazamiseka kokuqhanyelwa yehlisa i-libido.

Akwaziwa njalo ukuthi yini eyayiphambili nokuthi yini eyesibili. Ukuphelelwa amandla ngokwengqondo kungasoleka uma kwenzeka ngokuzumayo, esimweni esithile, lapho ukungezwani nokwesaba kuphakama phakathi kwabalingani, futhi ukumiswa kwasekuseni kwepipi kugcwele. Ukungabi namandla kwe-organic kuvame ukukhula kancane kancane, ukuqhanyelwa ekuseni aziphelele noma ziyanyamalala, akukho ukwephulwa kwe-ejaculation.

3. Ukungasebenzi kahle kwe-Erectile

Hhayi bonke ukungasebenzi kahle kwe-erectile kuyisiqalo sokungabi namandla, ngakho akufanele uthuke ngokushesha. Ukuphazamiseka okubangelwa ukusebenza ngokweqile nokusebenza ngokweqile, ukuphazamiseka kokulala noma ukuphuza utshwala ngokweqile kuvame kakhulu. Ukungabi namandla kwendoda akuyona inkinga yayo kuphela. Kuphinde kube yinkinga yowesifazane owabelana naye ngezinkinga zocansi.

Ukuze uhlole izimbangela zokungabi namandla, kwanele ukuxoxisana nesiguli, ukuhlolwa kwaselabhorethri (ushukela, i-cholesterol, i-testosterone, i-prolactin, i-creatinine) kanye ne-ultrasound yamasende kanye ne-prostate. Kuphela ezimweni ezinzima kakhulu zokuxilonga, kuyadingeka ukusebenzisa izindlela ezikhethekile, njenge-Doppler sonography. Njengamanje, umjovo wokuhlola emzimbeni we-cavernous wepipi usuyindlela evamile yokuxilonga. Inkinga iwukuthi amadoda amaningi anokwesaba okunamandla komjovo onjalo, nakuba ungebuhlungu kakhulu kune-intramuscular. Nokho, lena indlela eyingozi ngokwemibandela yezinkinga. Uma usebenzisa le ndlela, ukubonakala kwe-fibrosis ezindaweni zokujova, ukulimaza, ukuqina kanye nokugoba kwenduku kungenzeka.

4. Ukwelashwa kokungasebenzi kahle kwe-erectile

Amadoda anakho izinkinga zokuqhanyelwa bavame ukufuna usizo ngokuthatha izidakamizwa eziyisimangaliso, bekholelwa emandleni omlingo we-aphrodisiacs, noma ukudla okukhethekile. Ukwelashwa okuphumelelayo kokuphelelwa amandla kufanele kusekelwe ekuboneni izimbangela zako. Izindlela ezifanele zikhethwa kuye ngomthombo wokuphazamiseka.

Endabeni yokungabi namandla kwengqondo, ukwelashwa kwengqondo komuntu ngamunye noma ukwelashwa komshado, izindlela zokuqeqesha ozakwethu, amasu okuphumula, i-hypnosis, kanye nezidakamizwa zomlomo (njenge-anxiolytics) kanye nemijovo emzimbeni we-cavernous wepenis isetshenziswa.

Endabeni yokuphelelwa amandla kwe-somatic, i-pharmacotherapy (isb., izidakamizwa ze-hormonal, i-Viagra), ipompo ye-vacuum, i-physiotherapy, izinqubo zokuhlinzwa zokuvula imithambo yegazi ye-penis, futhi, uma kunesidingo, i-penile prosthetics (izimila) ziyasetshenziswa. Ungayeki ukwaneliseka ngokocansi futhi uphile nombono wesithandwa esingasebenzi. Udinga ukuxhumana ne-sexologist. Ngezinye izikhathi kwanele ukushintsha indlela yakho yokuphila, ukuyeka ukubhema notshwala, ukubuyisela i-erection evamile.

5. I-Epidemiology

Ukungasebenzi kahle kwe-Erectile kungenye yezinkinga zocansi ezivame kakhulu emadodeni, njengoba kwenzeka cishe kuwo wonke amadoda wesibili oneminyaka engama-40-70. Cishe amaphesenti ayishumi kulawa madoda awakwazi nhlobo ukuqhanyelwa. Nokho, kunalokho kunzima ukuhlola ubukhulu benkinga ngokuningiliziwe, ngoba amadoda ambalwa aya kudokotela, cishe amaphesenti angu-10 kuphela. Izibalo ezitholakalayo ezivela ocwaningweni olwenziwe e-United States zibonisa ukuthi u-10% wabaphenduli bakhala ngokungasebenzi kahle kwe-erectile kobunzima obuhlukahlukene, amazinga ahlukene obunzima. amadoda 52-40 ubudala.

Ukungasebenzi kahle kwe-Erectile inkinga engokwengqondoezithiya noma zicekele phansi impilo yangasese nesondelene, impilo emphakathini. Amadoda azizwa enganelisekile futhi ephansi. Nokho, imithi yesimanje ixazulula lezi zinkinga. Ukufuna izixazululo ezilula ngendlela yezinhlobo zesimanje zokwelapha. Ukubonisana nochwepheshe kanye nokuxilongwa okuthembekile kusiza ukukhethwa kwezindlela zokwelapha ezifanele, okwamanje ezisebenza kahle kakhulu.

Ungalindi ukubona udokotela. Thatha ithuba lokubonisana nochwepheshe abavela kulo lonke elasePoland namuhla kwa-abcZdrowie Thola udokotela.