ʻO ka maʻiʻole - nā kumu, kaʻike, ka lāʻau

Hoʻopilikia pinepine ka maʻi ʻole i nā kāne i ka wā makua, akā hōʻike nā haʻawina e hakakā nei nā kāne ʻōpio me ia. E ʻike i ke ʻano o nā hōʻailona e hōʻike ai he maʻi ʻole ke kāne a pehea e mālama ʻia ai kēia maʻi.

1. He aha ka maʻi ʻole?

Hiki ke wehewehe ʻia ka maʻi maʻi ma nā ʻano like ʻole: erectile dysfunction o ka penis, nele i ka pane ʻana o ka genital, kūkulu ʻole ʻia, nele o ke kukulu ana, erectile dysfunction, poho a emi iho paha o ka hana moe kolohe.

ʻO ka impotensi kahi maʻi moe kolohe, ʻo ia ka hōʻailona nui ʻaʻohe kūkulu a i ʻole ejaculation ʻoiai ka hoʻāla ʻana a me ka ʻoluʻolu o ka foreplay. He mea maʻamau ka maʻi erectile no ka wā pōkole a ʻaʻole pono e huikau me ka impotence. ʻO ke kumu maʻamau o ka impotence ʻo ke kahe koko kūpono ʻole, no laila ʻaʻole hiki i ka penis ke hoʻokō i kahi kūkulu piha a mau loa. Manaʻo ka hapa nui o nā kāne he hōʻailona o ka ʻelemakule a i ʻole ka nānā ʻole ʻana i ka pilikia ke kipa aku i ke kauka.

2. Nā kumu o ka nawaliwali

Hiki i nā mea pilikia ke hoʻonui i ka impotence. Ma kahi o ka makahiki olaola, ua ʻōlelo ʻia ka maʻi diabetes, hypertension arterial, hyperlipidemia a me ka ulaula.

ʻO nā kumu maʻamau o ka impotence:

• psychogenic, ʻo ia hoʻi. makaʻu i ka moekolohe, makaʻu i ka loaʻa ʻana o kahi keiki, [ke kaumaha] ((https://portal.abczdrowie.pl/depresja), haʻihaʻi ka pilina ma waena o nā hoa, Paʻakikī o nā lālā liʻiliʻi, ka homosexual inclinations unconscious, psychasthenia, ambition kumu, situational stress, male role identification disorder, sexual rigorism, makau i na wahine, hoomana orthodoxy, low self-esteem;
• neurogenic, no ka laʻana, nā ʻeha spinal, discopathy, diabetes mellitus, stroke, addiction, nā kūlana postoperative o nā ʻōpū pelvic, nā ʻōpū o ka lolo, nā maʻi neurological (no ka laʻana, amyotrophic lateral sclerosis, tetraplegia, paraplegia, polyneuropathy, progressive multiple sclerosis);
• hormonal, no ka laʻana, ka emi ʻana o nā pae testosterone, ka piʻi ʻana o nā pae prolactin;
• nā maʻi kaʻa, e like me ke kiʻekiʻe e pili ana i ka puhi ʻana, ka maʻi diabetes, atherosclerosis, nā loli i nā kīʻaha koko o ka penis;
• lāʻau lapaʻau, e like me nā lāʻau antihypertensive, antipsychotics, SSRI a me SNRI antidepressants.

I ka hihia o kahi maʻi somatogenic, ʻaʻole hiki i kahi kanaka impotent ke hoʻokō i kahi kūkulu ma muli o ka makahiki a i ʻole ka maʻi (Peyronie's maʻi, malformations o nā ʻāpana genital, no ka laʻana, phimosis).

Ma kahi o 25% o nā kāne, ua hui pū ʻia ka impotence, no ka laʻana, ka hormonal a me ka circulatory, ka mea maʻamau i ka wā andropause. ʻOi aku ka maʻamau o nā kumu psychogenic i nā kāne ʻōpio - ʻoi aku ka pili me kahi hoa hou a koi.

He mea kupanaha ka ʻike o ka penile erectile dysfunction manaʻo waiwai kāne, hoʻoulu i ka makaʻu a me ka manaʻo hoʻoweliweli e pili ana i ke kūpono o ka wā e hiki mai ana.

ʻO ka makaʻu o ka impotence hiki ke ikaika loa i ka nui o nā kāne ʻaʻole e ʻae i kēlā manaʻo, ʻike lākou i kekahi kumu ʻē aʻe, no ka laʻana, nalowale o ka libido, nā hewa i hana ʻia e kāna hoa. He mea koʻikoʻi ka pilikia no ka mea, ma waho aʻe o ka impotence, aia kekahi mau mea ʻē aʻe pili kinoe laʻa, maʻi ejaculation emi libido.

ʻAʻole ʻike mau ʻia ka mea mua a me ka lua. Hiki ke hoʻopaʻapaʻa ʻia ka noʻonoʻo impotence i ka wā e hiki koke mai ai, i kahi kūlana kūikawā, i ka wā e ala mai ai nā ʻāʻī a me nā makaʻu ma waena o nā hoa pili, a ua piha nā kūkulu kakahiaka o ka penis. Hoʻoulu pinepine ʻia ka impotence organik, kukulu kakahiaka ʻaʻole i piha a nalowale paha, ʻaʻohe hewa o ka ejaculation.

3. Erectile dysfunction

ʻAʻole kēlā me kēia ka hana erectile ʻo ia ka hoʻomaka o ka maʻi ʻole, no laila ʻaʻole pono ʻoe e hopohopo koke. ʻO nā maʻi i hoʻokumu ʻia e ka hana nui a me ka hana nui, ka pilikia hiamoe a i ʻole ka inu ʻawaʻawa nui loa. ʻO ka maʻi ʻole o ke kanaka ʻaʻole wale kāna pilikia. ʻO ia hoʻi ka pilikia o ka wahine i kaʻana like i ka moe kolohe me ia.

No kaʻikeʻana i nā kumu o ka maʻiʻole, ua lawa ka nīnauele i ka mea maʻi, nā ho'āʻo hoʻokolohua (sugar, cholesterol, testosterone, prolactin, creatinine) a me ka ultrasound o nā testicles a me ka prostate. I nā kūlana paʻakikī wale nō, pono e hoʻohana i nā ʻano loea kūikawā, e like me Doppler sonography. I kēia manawa, ua lilo ka hoʻāʻo ʻana i loko o ke kino ana o ka penis i ʻano diagnostic maʻamau. ʻO ka pilikia ʻo ka nui o nā kāne e makaʻu nui i kēlā ʻano injection, ʻoiai ʻoi aku ka ʻeha ma mua o ka intramuscular. Eia nō naʻe, he ala pilikia kēia e pili ana i nā pilikia. I ka hoʻohana ʻana i kēia ʻano hana, hiki ke ʻike ʻia ka fibrosis ma nā wahi injection, ka ʻeha, ka mānoanoa a me ka curvature o ka penis.

4. Lapaʻau ʻana i ka erectile dysfunction

Nā kāne i loaʻa pilikia kūkulu ʻimi pinepine lākou i ke kōkua ma o ka lawe ʻana i nā lāʻau lapaʻau, ka manaʻoʻiʻo i ka mana kilokilo o nā aphrodisiacs, a i ʻole kahi meaʻai kūikawā. Pono e mālama pono i ka impotence ma ka ʻike ʻana i nā kumu. Koho ʻia nā ʻano kūpono ma muli o ke kumu o ka haunaele.

I ka hihia o ka psychological impotence, hoʻokahi psychotherapy a male male, nā ʻano hoʻomaʻamaʻa hoa, nā ʻenehana hoʻomaha, hypnosis, a me nā lāʻau lapaʻau waha (e like me anxiolytics) a me nā injections i loko o ke kino cavernous o ka penis.

I ka hihia o ka somatic impotence, pharmacotherapy (e laʻa, nā lāʻau hormonal, Viagra), kahi pāpaʻi maloʻo, physiotherapy, nā kaʻina hana e wehe i nā kīʻaha koko o ka penis, a, inā pono, hoʻohana ʻia nā penile prosthetics (implants). Mai haʻalele i ka ʻoluʻolu o ka moekolohe a noho me ka ʻike o kahi mea aloha ʻole. Pono ʻoe e kelepona i kahi sexologist. I kekahi manawa ua lawa ka hoʻololi ʻana i kou nohona, haʻalele i ka ulaula a me ka waiʻona, e hoʻihoʻi i kahi kūkulu maʻamau.

5. Epidemiology

ʻO ka erectile dysfunction kekahi o nā maʻi maʻamau o nā kāne, ʻoiai e loaʻa ana ma kahi kokoke i kēlā me kēia kāne kekona he 40-70 mau makahiki. Ma kahi o 10 pakeneka o kēia mau kāne ʻaʻole hiki ke loaʻa kahi kūkulu. Eia naʻe, paʻakikī loa ka loiloi ʻana i ka nui o ka pilikia me ka kikoʻī, no ka mea he kakaikahi nā kāne e hele i ke kauka, ma kahi o 10 pakeneka wale nō. Loaʻa nā helu helu mai nā haʻawina i hana ʻia ma ʻAmelika Hui Pū ʻIa e hōʻike ana he 52% o nā mea pane e hoʻopiʻi nei i ka erectile dysfunction o nā ʻano like ʻole, nā ʻano like ʻole o ka paʻakikī. nā kāne 40-70 makahiki.

He mea nui ka erectile dysfunction pilikia noʻonoʻoka mea e keakea ana a e hoopau ana paha i ke ola pilikino a pilipili, ke ola o ka lehulehu. Manaʻo nā kāne i ka hauʻoli a me ka haʻahaʻa. Eia naʻe, hoʻoponopono ka lāʻau lapaʻau hou i kēia mau pilikia. Ke ʻimi nei i nā hoʻonā kūpono ma ke ʻano o nā ʻano lāʻau lapaʻau hou. ʻO ke kūkākūkā kūikawā a me nā diagnostics hilinaʻi e hoʻomaʻamaʻa i ke koho ʻana i nā lāʻau lapaʻau kūpono i kēia manawa.

Mai kali e ike i ke kauka. E hoʻohana i nā kūkākūkā me nā loea mai Polani a pau i kēia lā ma abcZdrowie E ʻimi i ke kauka.