Erectile dysfunction

Varume vazhinji vanorapwa Erectile Dysfunction kukwanisa kuwanazve zvepabonde zvinogutsa. Kuti uite izvi, chikonzero (s) chekusashanda pamwe chete nenjodzi dzinofanirwa kuzivikanwa nachiremba.

Kana pane chirwere chiri pasi, chichagadziriswa, uye murume achawanawo kurapwa kuti avandudze erectile basa rake.

Kana iyo dysfunction isingaenderane nedambudziko rehutano, kurapwa kwayo kunogona kusanganisira kuvandudzwa maitiro ehupenyu (ona chikamu chekudzivirira), a therapy kuziva-maitiro kana kubvunzana a sexologist (ona kurapwa kwepabonde pazasi) uye, kazhinji, kurapwa nemishonga.

Kufungisisa-maitiro ekurapa

Iyi nzira yeku psychotherapy yega inobatsira kuongorora uye kunzwisisa dambudziko nekuongorora mune kunyanya cognitions, kureva pfungwa, zvinotarisirwa uye zvinotendwa nemunhu vis-à-vis zvepabonde. Mifungo iyi ine zvakawanda zvinofurira: zviitiko zvakararama, nhoroondo yemhuri, magungano emagariro, etc. Semuenzaniso, murume anogona kutya kuti zvepabonde zvichamira nezera, uye anotenda kuti chiitiko chaasina kuwana erection chiratidzo chekuderera zvachose. Anogona kufunga kuti mudzimai wake ari kubva kwaari nokuda kwechikonzero ichochi. Bvunza chiremba wepfungwa kana murapi wezvepabonde anoziva nzira iyi (ona kurapwa kwepabonde pazasi).

Pharmaceuticals

Sildenafil (Viagra®) uye imwe IPDE-5. Kubva pakupera kwema1990, mutsara wekutanga kurapwa kwemuromo erectile dysfunction inopesana nekutonga kwemuromo ndeye phosphodiesterase type 5 (IPDE-5) inhibitors - sildenafil (Viagra®), vardenafil (Levitra ®) uye tadalafil (Cialis®) kana avanafil ( Spedra®). Iri boka remishonga rinowanikwa chete nemishonga inozorodza nyama dzetsinga dzenhengo yesikarudzi. Izvi zvinowedzera kuyerera kweropa, uye zvinobvumira erection kana paine kukurudzira kwepabonde. Saka, IPDE-5 haisi aphrodisiacs uye iyo kuita zvepabonde inodiwa kuti mushonga ushande. Kune akasiyana dosages uye durations chiito. Semuenzaniso, kana nguva yekuita iri maawa 4, tine 4-awa hwindo rekuita panguva yatinogona kuita hukama hwepabonde humwe kana kupfuura (iyo erection haipedze maawa mana). Mishonga iyi inoshanda mu4% yezviitiko asi hainyanyi kushanda muchirwere chisingaperi chakadai seshuga.

zvinobatsira contraindication shandisa uchipihwa mukana wekudyidzana kwezvinodhaka. Tarisa nachiremba wako.

Kurapa kwe intraurethral. Mumamiriro ezvinhu apo IPDE-5 isingabatsiri kana kuti kushandiswa kwayo kunopesana, chiremba anogona kupa vasoactive zvinhu (somuenzaniso, alprostadil) izvo murume anodzidza kuzvipa pachake muurethra. pakupera kwemboro 5 kusvika 30 maminetsi vasati vasangana pabonde. Mishonga iyi inopihwa se mini-suppositories kuiswa muurinary meatus (Muse® mudziyo) kana kirimu (Vitaros®). Iyo iri nyore uye inonakidza imwe nzira ye30% yevarume avo mapiritsi emapiritsi haashande.

Penile majekiseni (intracavernous jekiseni). Kurapa kwemishonga iyi, kubvira kutanga kwema1980, kunosanganisira kubaya mushonga (alprostadil) kune rimwe divi resikarudzi. Mushonga uyu unoshanda nekuzorodza tsandanyama dziri mutsinga dzenhengo yemurume, izvo zvinowedzera kubuda kweropa mukati me5 kusvika kumaminitsi makumi maviri. Nekurapa uku, kuomarara kwepeni kunowanikwa kunyangwe pasina kukurudzirwa kwepabonde uye kunotora inenge awa imwe. Kurapa uku kunowedzera kushandiswa kune varume avo piritsi, kirimu kana mini-suppository kurapwa isingashande. Kurapa uku kunoshanda mu20% yevarume, uye kazhinji kazhinji muvarume vasingateereri kurapwa nemishonga mumapiritsi (Viagra® kana Sildenafil, Cialis®, Levitra®, Spedra®), cream (Vitaros®) , kana mune mini-suppositories (Muse®))

Testosterone. Kana erectile dysfunction inokonzerwa nehypogonadism (zvichitungamirira kukudonha kusina kujairika mu testosterone), kuitira kuti kugadzirwa kwehomoni dzepabonde nema testes kwakaderera, kurapwa kwehomoni ne testosterone kunogona kufungwa. Nekudaro, zvinongoshanda muchikamu chetatu chezviitiko kuti uwanezve kushanda erections.

Zvigadzirwa zvepenile. Kana mishonga yapfuura isingashande kana kuti isina kukodzera, michina yemagetsi inogona kushandiswa. Mhete dzejongwe dzine basa rekusimbisa nheyo yepeni kuchengetedza erection inogona kushanda pasina kusagadzikana kwezvinhu zviri mumishonga. Kana peni mhete isina kukwana, iyo Vacuum pump, iyo inonziwo vacuum, inogadzira vacuum muhumburumbira yakaiswa kumativi enhengo, izvo zvinoita kuti pave nekumira kunobatwa ne elastic compression penis ring inotsvedza pazasi penhengo.

Kuiswa kwepeni. Kunewo marudzi akasiyana-siyana kudyara kwepenile inoda kuvhiyiwa kuisa zvachose flexible inflatable rods munhengo. Ndiyo mhinduro inoshanda zvakanyanya kana zvimwe zvingasashanda.

Kudzikira chido

Kutarisana nekudzikira kwechishuwo chepabonde, chinhu chekutanga kuita kuongororwa kwechiremba, kuona njodzi dzechishuwo kusagadzikana, kunyora mishonga inotorwa, kuvhiyiwa kwakaitwa, zvirwere zvisingaperi zviripo. Zvichienderana nekuongorora uku, kurapwa kumwe kana kuti kurapwa kwakawanda kunogona kuitwa. Kunze kwekuoma kwechido chakabatana nezvinetso zvekurapa, matambudziko epfungwa anogona kunge aripo. Kurapwa kwakarongwa kunobva kwave nebasa rekurapa remunhu kana vaviri.

La classic therapy ine chirongwa chekubvunzana nachiremba wepfungwa, chiremba wepfungwa kana nyanzvi yezvepabonde panguva yatinoshanda kuti tizive zvivharo, kutya kwavo, pfungwa dzisina kunaka kuitira kuti vatore maitiro nemafambiro anovabvumira kukurirwa. Ona Cognitive Behavioral Therapy uye Bonde Therapy.

Kutanga kupera

Muchiitiko chekubuda kwechirume nguva isati yakwana, mabasa echiremba anogona kupa mishonga yekunonoka kubuda inowanzotsvakwa. Iyi ndiyo dapoxetine (Priligy®). Izvi zvinoshanda kana ejaculation ichimhanya chaizvo (pasi peminiti imwe mushure mekupinda). Panguva imwecheteyo, zvinobatsira kubvunza murapi wezvepabonde kana chiremba wepfungwa anoshandisa kuraira uye maitiro ekurapa maitiro. Musoro uye (kana wake) waanofambidzana naye achaitwa kuti adzidzise nzira dzakasiyana dzekuzorora uye kuzvidzora, semuenzaniso na kufema maekisesaizi yakanangana nekuderedza kukurumidza kwekusimuka kwezvepabonde uye maekisesaizi ekuzorodza tsandanyama.

Chiremba anogona kudzidzisa hunyanzvi hwe squeeze (kudzvinyirirwa kweglans kana pasi pesikarudzi), mira uende kana perineal rehabilitation by Kegel maitiro, unyanzvi hunobvumira kuti muteereri aone "poindi yekusadzoka" uye kudzora kukonzeresa kweiyo ejaculatory reflex.

Kushandisa kondomu kana ruomba anesthetic ine mhedzisiro yekudzikisa kunzwisiswa kwemboro, izvo zvinogona kubatsira kunonotsa kubuda. Muchiitiko chekushandisa anesthetic cream, kupfeka kondomu kunokurudzirwa kuitira kuti usave nechiveve kumukadzi uye kuita kuti kunyura kwekrimu.

Peyronie's disease

Kurapa pabonde

Apo chiremba anobvumirana nomurwere wake kuti zvikonzero zvepfungwa zvinobatanidzwa mune rumwe kana rumwe rudzi rwekusashanda zvakanaka kwepabonde, anowanzopa zano rokuona murapi wezvepabonde. Vazhinji varapi vezvepabonde vanoshanda vari voga. Izvi zvinogona kunge zviri zvemunhu mumwe chete kana vaviri sesheni. Zvirongwa izvi zvinogona kubatsira kudzikamisa kuvhiringidzika nekunetsana kana kunetsana kwewanano kunokonzerwa nekuomerwa kunowanikwa muhupenyu hwepabonde. Vachabatsirawo kuwedzera kuzviremekedza, izvo zvinowanzoshungurudzwa mumamiriro ezvinhu akadaro. Pane 5 nzira huru mukurapa pabonde:

• la kungwara-maitiro ekurapa, iyo inotarisira kuputsa kutenderera kwakashata kwemafungiro asina kunaka pamusoro pepabonde kuburikidza nekuona pfungwa idzi uye kuedza kudzideredza, pamwe nekugadzirisa maitiro.
• l 'nzira yakarongeka, iyo inotarisa kupindirana kwevakaroorana uye zvavanoita muupenyu hwavo hwepabonde;
• arianalytical approach, anoedza kugadzirisa kusawirirana kwemukati pamavambo ematambudziko epabonde nekuongorora fungidziro uye fungidziro dzezvikara;
• l 'existential nzira, apo munhu wacho anokurudzirwa kuti aone maonero aanoita matambudziko epabonde uye kuti azvizive zviri nani;
• arisexocorporeal nzira, iyo inotora mucherechedzo wezvibatanidza zvisingaparadzanisiki muviri - manzwiro - njere, uye izvo zvinovavarira kugutsikana kwepabonde zvese pamunhu uye hukama hwehukama.