Kusokonekera kwa Erectile

Amuna ambiri amathandizidwa Kusokonekera kwa Erectile kukwanitsa kupezanso kugonana kokhutiritsa. Kuti tichite izi, chifukwa (s) cha kusagwira ntchito komanso zomwe zimayambitsa ngozi ziyenera kudziwika ndi dokotala.

Ngati pali matenda oyambitsa matenda, adzachiritsidwa, ndipo mwamuna adzalandiranso chithandizo kuti apititse patsogolo ntchito yake ya erectile.

Ngati vutolo silikugwirizana ndi vuto linalake la thanzi, chithandizo chake chikhoza kuphatikizapo kusintha zizolowezi zamoyo (onani gawo la Kupewa), a mankhwala chidziwitso-khalidwe kapena kukambirana ndi a wazachipatala (onani chithandizo chogonana pansipa) komanso, nthawi zambiri, chithandizo ndi mankhwala.

Chidziwitso chamakhalidwe

Njira iyi ku psychotherapy payekha kumathandiza kufufuza ndi kumvetsa vutolo pofufuza makamaka kuzindikira, ndiko kunena maganizo, ziyembekezo ndi zikhulupiriro za munthuyo motsutsana ndi kugonana. Malingaliro awa ali ndi zisonkhezero zambiri: zochitika pamoyo, mbiri ya banja, misonkhano yamagulu, ndi zina zotero. Mwachitsanzo, mwamuna akhoza kuopa kuti kugonana kudzatha ndi ukalamba, ndipo amakhulupirira kuti zomwe zinachitikira pamene sakukwaniritsa erection ndi chizindikiro cha kuchepa kwamuyaya. Angaganize kuti mkazi wake akuchoka kwa iye pachifukwa chomwechi. Funsani katswiri wa zamaganizo kapena wodziwa za kugonana wodziwa bwino njirayi (onani chithandizo cha kugonana pansipa).

Mankhwala

Sildenafil (Viagra®) ndi IPDE-5 ina. Kuyambira kumapeto kwa zaka za m'ma 1990, chithandizo choyamba cha vuto la erectile m'kamwa chimatsutsidwa ndi kayendetsedwe ka pakamwa ndi phosphodiesterase type 5 (IPDE-5) inhibitors - sildenafil (Viagra®), vardenafil (Levitra ®) ndi tadalafil (Cialis®) kapena avanafil ( Spedra®). Kalasi ya mankhwala kupezeka kokha ndi mankhwala relaxes minofu ya mitsempha mu mbolo. Izi zimawonjezera kutuluka kwa magazi, ndipo zimalola kuti erection pamene pali chilakolako chogonana. Chifukwa chake, IPDE-5 si aphrodisiacs ndi chikoka chogonana amafunika kuti mankhwalawa agwire ntchito. Pali mitundu yosiyanasiyana ya Mlingo ndi nthawi yochitapo kanthu. Mwachitsanzo, ngati nthawi yochitapo kanthu ndi maola 4, tili ndi zenera la maola 4 pomwe titha kukhala ndi kugonana kumodzi kapena kupitilira apo (kugonana sikutha maola 4). Mankhwalawa amagwira ntchito mu 70% ya milandu koma sagwira ntchito bwino pa matenda aakulu monga matenda a shuga.

ubwino kutsutsana gwiritsani ntchito poganizira kuthekera kwa kuyanjana kwa mankhwala. Funsani dokotala wanu.

Chithandizo cha intraurethral. Ngati IPDE-5 ilibe mphamvu kapena ikagwiritsidwa ntchito motsutsana, dokotala akhoza kupereka mankhwala a vasoactive (mwachitsanzo, alprostadil) omwe mwamunayo amaphunzira kudzipangira yekha mu mkodzo. kumapeto kwa mbolo mphindi 5 mpaka 30 musanayambe kugonana. Mankhwalawa amaperekedwa ngati mini-suppositories kulowetsedwa mumkodzo nyama (Muse® chipangizo) kapena zonona (Vitaros®). Ndi njira yosavuta komanso yosangalatsa kwa amuna 30% omwe mankhwala a piritsi alibe mphamvu.

Majekeseni a penile ( jakisoni wa intracavernous ). Chithandizo choperekedwa ndi dokotalachi, kuyambira koyambirira kwa zaka za m'ma 1980, chimaphatikizapo kubaya mankhwala (alprostadil) mbali imodzi ya mbolo. Mankhwalawa amagwira ntchito popumula minofu ya m'mitsempha ya mbolo, zomwe zimawonjezera kutuluka kwa magazi mkati mwa mphindi 5 mpaka 20. Ndi mankhwalawa, kulimba kwa mbolo kumatheka ngakhale popanda kukopa kugonana ndipo kumatenga pafupifupi ola limodzi. Mankhwalawa amagwiritsidwa ntchito kwambiri mwa amuna omwe mapiritsi, kirimu kapena mini-suppository mankhwala sagwira ntchito. Mankhwalawa amagwira ntchito mwa amuna 1%, ndipo nthawi zambiri mwa amuna omwe sayankha chithandizo ndi mankhwala pamapiritsi (Viagra® kapena Sildenafil, Cialis®, Levitra®, Spedra®), kirimu (Vitaros®) , kapena mu mini-suppositories (Muse®))

Testosterone. Ngati erectile kukanika kumachitika chifukwahypogonadism (zomwe zimayambitsa kutsika kwachilendo kwa testosterone), kotero kuti kupanga mahomoni ogonana ndi ma testes kumakhala kochepa, chithandizo cha mahomoni ndi testosterone chingaganizidwe. Komabe, zimangogwira gawo limodzi mwa magawo atatu a milandu kuti mubwezeretsenso ma erections ogwira ntchito.

Zida za mbolo. Pamene mankhwala am'mbuyomu sakugwira ntchito kapena osayenera, zida zamakina zitha kugwiritsidwa ntchito. Mphete za tambala zomwe ntchito yake ndikumangitsa pansi pa mbolo kuti ikhale yokhazikika imatha kukhala yothandiza popanda vuto la zinthu zomwe zili mu mankhwala osokoneza bongo. Pamene mbolo mphete sikokwanira, ndi Ikani mpweya, yomwe imatchedwanso vacuum, imapanga vacuum mu cylinder yomwe imayikidwa mozungulira mbolo, zomwe zimapangitsa kuti igwidwe ndi mphete yolimba ya mbolo yomwe imatsetsereka pansi pa mbolo.

Kuyika mbolo. Palinso mitundu yosiyanasiyana ma implants a mbolo kumafuna opaleshoni kuti akhazikitse ndodo zosinthika mokhazikika mu mbolo. Ndilothandiza kwambiri ngati zotheka zina sizikugwira ntchito.

Kuchepetsa chilakolako

Poyang'anizana ndi kuchepa kwa chikhumbo cha kugonana, chinthu choyamba kuchita ndi kufufuza kwachipatala, kuti azindikire zomwe zimayambitsa vuto la chikhumbo, lembani mankhwala omwe atengedwa, maopaleshoni omwe achitika, matenda aakulu omwe alipo. Kutengera kuwunikaku, chithandizo chimodzi kapena zingapo zitha kukhazikitsidwa. Kuphatikiza pa zovuta za chikhumbo zomwe zimagwirizanitsidwa ndi mavuto azachipatala, mavuto amaganizo angakhalepo. Thandizo lomwe likuperekedwa limakhala ndi ntchito yaumwini kapena ya anthu awiri.

La classic mankhwala imakhala ndi pulogalamu yokambirana ndi akatswiri amisala, katswiri wa zamaganizo kapena katswiri wodziwa za kugonana komwe timagwira ntchito kuti tizindikire zotsekereza, mantha awo, malingaliro osokonekera kuti atengere malingaliro ndi machitidwe omwe amawalola kugonja. Onani Chidziwitso Chothandizira Makhalidwe ndi Kugonana.

Kuthamangira kusanafike

Pakachitika umuna msanga, chithandizo cha dokotala yemwe angapereke mankhwala kuti achedwetse kutulutsa umuna nthawi zambiri amafunidwa. Ichi ndi dapoxetine (Priligy®). Izi ndizowona ngati kutulutsa umuna kuli kofulumira kwambiri (pasanathe mphindi imodzi mutalowa). Panthawi imodzimodziyo, ndizothandiza kukaonana ndi akatswiri ogonana kapena akatswiri a zamaganizo omwe amagwiritsa ntchito uphungu ndi njira zothandizira khalidwe. Wophunzirayo ndi mnzake (kapena wake) adzapangidwa kuti azitsatira njira zosiyanasiyana zopumula ndi kudziletsa, mwachitsanzo machitidwe opumira cholinga chake chochepetsa kuthamanga kwa kukwera kwa kudzutsidwa kwa kugonana ndi masewera olimbitsa thupi omasuka.

Dokotala akhoza kuphunzitsa luso la Finyani (kupanikizana kwa glans kapena pansi pa mbolo), imani ndi kupita kapena kubwezeretsa msana Zochita za Kegel, njira yomwe imalola wophunzirayo kuzindikira "mfundo yosabwerera" ndikuwongolera kuyambitsa kwa reflex yotulutsa umuna.

Kugwiritsa ntchito kondomu kapena kirimu kupweteka imakhala ndi zotsatira zochepetsera kumva kwa mbolo, zomwe zingathandize kuchepetsa kutulutsa umuna. Pankhani ya ntchito zonona zonona, kuvala kondomu tikulimbikitsidwa kuti dzanzi kumaliseche ndi kuti atsogolere mayamwidwe zonona.

Matenda a Peyronie

Kugonana mankhwala

Pamene dokotala avomerezana ndi wodwala wake kuti zifukwa zamaganizo zimaloŵetsedwa mu mtundu umodzi kapena wina wa vuto la kugonana, kaŵirikaŵiri amalangiza kuonana ndi dokotala wodziŵa za kugonana. Ambiri ochizira kugonana amagwira ntchito payekha. Izi zitha kukhala magawo apaokha kapena angapo. Magawowa atha kuthandiza kukhazika mtima pansi kukhumudwa ndi mikangano kapena mikangano ya m'banja yomwe imabwera chifukwa cha zovuta zomwe zimachitika m'moyo wakugonana. Adzathandizanso kukulitsa kudzidalira, komwe nthawi zambiri kumagwiritsidwa ntchito molakwika muzochitika zotere. Pali njira 5 zazikulu zothandizira kugonana:

• la chidziwitso-makhalidwe mankhwala, zomwe cholinga chake ndi kuthetsa maganizo oipa okhudza kugonana pozindikira maganizo amenewa ndikuyesera kuwathetsa, komanso kusintha khalidwe.
• L 'njira mwadongosolo, yomwe imayang'ana kuyanjana kwa okwatirana ndi zotsatira zake pa moyo wawo wa kugonana;
• ndinjira yowunikira, amene amayesa kuthetsa mikangano yamkati pa chiyambi cha mavuto okhudzana ndi kugonana mwa kusanthula malingaliro ndi malingaliro oipa;
• L 'njira kukhalapo, pamene munthuyo amalimbikitsidwa kuti adziwe momwe amaonera zovuta zogonana komanso kuti adzidziwe bwino;
• ndinjira ya sexocorporeal, zomwe zimaganizira za thupi losagwirizana - maganizo - luntha, ndipo cholinga chake ndi kugonana kokhutiritsa pamtundu waumwini ndi wachibale.