puhi a me ka nawaliwali

ʻAʻole hoʻopōʻino wale ka paka i kou olakino akā he hopena nui nō hoʻi i kou ola wahine. ʻAʻole maopopo nā hopena o ke aʻo ʻana: hoʻonui ka puhi paka i ka nui o ka impotence ma mua o 50%.

1. Puka vs. ko makou ike i ka poe opio

Pono e hoʻomaopopo ʻia ʻo ka puhi paka ka mea nui

kumu huakai nā kāne ʻōpio. Ma waena o ka poʻe ʻelemakule, hoʻohui ʻia nā mea pilikia hou, e like me ka maʻi diabetes, nā maʻi lipid, a me nā lāʻau i lawe ʻia (e laʻa, nā lāʻau antihypertensive). ʻO ka puhi paka wale ʻana i nā kāne olakino (me ka ʻole o nā kumu ʻē aʻe) e hoʻonui i ka pilikia o ka maʻi ʻole ma kahi kokoke i 54% i ka pūʻulu makahiki 30-49. ʻO ka predisposition nui loa i ka impotence e hōʻike ʻia e ka poʻe puhi paka i ka makahiki 35-40 - ʻoi aku ka 3 mau manawa i ka maʻi impotence ma mua o ko lākou mau hoa puhi ʻole.

Ma kahi o 115 mau kāne ma Polani i ka makahiki 30-49 i loaʻa i ka maʻi ʻole e pili pono ana i kā lākou ulaula. He mea haʻahaʻa paha kēia helu, no ka mea, ʻaʻole ia e komo i ka impotence i nā ex-smokers. Pono e hoʻomanaʻo ʻia ʻo ka puhi paka e hoʻoikaika a hoʻolalelale i nā maʻi hiki i kēia manawa a ʻo ka hopena ke kumu o nā maʻi cardiovascular e kumu i ka impotence ma hope o ka makahiki.

ʻO ka nikotina he mea hoʻohui i maʻalahi ʻia mai ka waha a me ka ʻōnaehana hanu a komo maʻalahi i ka lolo. I ka puhi ʻana i hoʻokahi paka, ma kahi o 1-3 mg o ka nicotine e komo i loko o ke kino o ka mea puhi paka (he 6-11 mg nicotine i loko o hoʻokahi paka). Hoʻoulu ka nicotine liʻiliʻi i ka ʻōnaehana autonomic, peripheral sensory receptors a me ka hoʻokuʻu ʻana o nā catecholamines mai nā ʻōpū adrenal (adrenaline, norepinephrine), e laʻa. ka ʻoki ʻana o nā ʻiʻo maʻemaʻe (ʻo ia mau ʻiʻo, no ka laʻana, nā kīʻaha koko).

Ua hōʻike maopopo ʻia nā haʻawina i kahi pilina ma waena o ka hoʻohui ʻana i ka puhi paka a me ka hana erectile. ʻOiai ʻaʻole maopopo loa nā kumu, ʻike ʻia nā hopena o ka puhi ʻana i nā kīʻaha koko (spasm, endothelial damage), hiki ke hoʻemi i ke kahe koko i ka penis a alakaʻi i ka maʻi ʻole. ʻO ka ʻōnaehana holo kaʻa e hana pono ana i ka penis ke kuleana nui no ke kūkulu pono ʻana. I loko o nā mea puhi paka me ka maʻi ʻole, he nui nā mea ʻino, ʻo ia ka mea e pili ana i nā hopena ʻino o ka nicotine a me nā mea ʻē aʻe i loko o ka uahi paka:

• ʻO ke koko haʻahaʻa loa i loko o nā moku (ma muli o ka pōʻino i ka endothelium o nā moku e nā ʻāpana o ka uahi paka. emi ke kahe o ke koko i ka penis. Ua pōʻino ka endothelium ma hope o ka puhi lōʻihi ʻana, a laila hiki mai nā loli atherosclerotic;
• ka palena o ka hāʻawi ʻana i ke koko (arterial spasm) - ma muli o ka huhū o ka ʻōnaehana autonomic (nervous);
• ka constriction wikiwiki o nā kīʻaha koko i loko o ka penis, ma ke ʻano he hopena pololei a me ka hopena o ka hoʻoulu ʻana o ka nicotine i ka lolo, hoʻemi i ke kahe o ke koko arterial i ka penis;
• ke kahe ʻana o ke koko (dilation of the veins) - ua pōʻino ke ʻano o ka valve e mālama ai i ke koko i loko o ka penis e ka nicotine i loko o ke kahe koko (hiki i ke kahe nui ʻana o ke koko mai ka penis ke kumu ʻia e nā kumu ʻē aʻe, e like me ke ʻano hopohopo);
• ka piʻi ʻana o ka fibrinogen - hoʻonui i ka hiki ke hōʻuluʻulu (ʻo ia hoʻi, e hana i nā clots koko i loko o nā kīʻaha liʻiliʻi, a laila hoʻopiʻi i ke koko).

2. ʻO ka puhi paka a me ka maikaʻi o ka sperm

He mea maʻamau nō hoʻi i ka poʻe puhi paka. ejaculation mua a hoemi i ka hana sperm. ʻO ka awelika o ka mea puhi ʻole ma waena o nā makahiki 30 a me 50 e hoʻopuka i kahi 3,5 ml o ka semen. ʻO ka mea hoʻohālikelike, ʻo ka poʻe puhi paka i ka pūʻulu makahiki hoʻokahi e hana wale i 1,9 ml o ka semen ma ka awelika, ʻoi aku ka liʻiliʻi. ʻO kēia ka mea a ka awelika 60-70-makahiki e hoʻopuka ai, a ua hoʻemi ʻia ka helu hānau.

ʻO nā meaʻawaʻawa o ka uahi paka e pili ana i ka nui wale nō, akā maikaʻi sperm. Hoʻemi ʻia ka hana sperm, ke ola a me ka hiki ke neʻe. Aia hoʻi ka piʻi ʻana o ka pākēneka o ka spermatozoa deformed a me ka helu o ka spermatozoa, i ka hihia i hōʻike ʻia ai ka haʻawina molecular excessive DNA fragmentation. Inā loaʻa ka DNA fragmentation ma 15% o ka sperm i loko o ka hāpana, ua wehewehe ʻia ka sperm he hemolele; ʻO ka ʻāpana mai 15 a 30% he hopena maikaʻi.

I ka poe puhi paka, pili pinepine ka fragmentation ma mua o 30% o ka sperm - ia sperm, a me ka sperm maʻamau, ua wehewehe ʻia he ʻano haʻahaʻa. Ke kiʻi ʻoe i kahi paka, pono ʻoe e makaʻala i nā hopena a pau o ka puhi paka. ʻAʻole ʻike pinepine ka poʻe ʻōpio i ka pōʻino o ka puhi paka a poina i kona hopena ʻaoʻao. Eia nō naʻe, aia ka nūhou maikaʻi: ma hope o ka haʻalele ʻana i ka puhi paka, hiki iā ʻoe ke hoʻomaikaʻi koke i ka maikaʻi o ka sperm a hoʻi hou i kahi kūkulu piha, inā ʻaʻole i hōʻino ʻia ka endothelium, a ua ala mai ka impotence ma muli o ka hopena o ke kino i ka nicotine (hoʻoulu ka ʻōnaehana autonomic a me ka hoʻokuʻu ʻana o ka adrenaline).

Pono ʻoe e kūkākūkā me ke kauka, e-isuance a i ʻole e-prescription? E hele i ka pūnaewele abcZdrowie E ʻimi i ke kauka a hoʻonohonoho koke i kahi hālāwai maʻi maʻi me nā loea mai Polani a i ʻole teleportation.

ʻatikala i loiloi ʻia e kekahi loea:

Onioni. Tomasz Szafarowski

Ke puka puka o ke Kulanui Lapaʻau o Warsaw, i kēia manawa kūikawā i ka otolaryngology.