Matenda a shuga ndi kusabala. Timathetsa mavuto ndi potency mwa amuna

Amuna ambiri omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 amakhala ndi vuto la potency. Ofufuzawo akuti shuga imawonjezera vuto la kusokonekera kwa erectile katatu, poyerekeza ndi amuna amsinkhu womwewo omwe ali ndi shuga wabwinobwino. M'nkhani ya lero, muphunzira za njira zoyenera zothandizira odwala omwe ali ndi matenda ashuga.

Mavuto a Potency chifukwa cha matenda ashuga - mankhwala amatha kuthandizadi! Momwe mungachiritsire kukanika kwa erectile mu shuga - dziwani m'nkhaniyi.

Zomwe zimayambitsa zovuta za potency mu shuga zingakhale zambiri, ndipo adokotala amawazindikira pamodzi ndi wodwalayo. Mndandanda wawo ukuphatikizapo:

• kusokoneza kwamitsempha yamagazi yopatsira mbolo ndi magazi;
• diabetesic neuropathy - kuwonongeka kwa mitsempha yomwe imayendetsa erection;
• kuchepa kwa mahomoni ogonana;
• kumwa mankhwala ena (antipsychotic, antidepressants, osasankha-beta-blockers);
• kusazindikira kwamalingaliro.

Zomwe shuga imakhudzira potency

Kuti erection ichitike, muyenera kupopa pafupifupi 100-150 ml ya magazi kulowa mu mbolo, kenako ndikulimba mtima kutuluka kwake pamenepo mpaka kumapeto kwa kugonana. Izi zimafunikira ntchito yabwino yamitsempha yamagazi, komanso mitsempha yomwe imayendetsa njirayi. Ngati matenda ashuga sawalipira bwino, ndiye kuti, shuga amasungidwa mokwanira, ndiye kuti amakhudza mitsempha ndi mitsempha yamagazi, motero amawonongera potengera amuna.

Glycation ndimomwe zimapangidwira glucose yemwe ali ndi mapuloteni. Mokulirapo kuchuluka kwa shuga m'magazi chifukwa cha matenda ashuga, mapuloteni ochulukirapo amachitika motere. Tsoka ilo, kukomoka kwa mapuloteni ambiri kumayambitsa kusokonekera kwa magwiridwe awo. Izi zikugwiranso ntchito m'mapuloteni omwe amapanga mitsempha ndi makhoma a mitsempha yamagazi. "Zipangizo za kumapeto kwa glycation" zimapangidwa - zoopsa za thupi la munthu.

Pazidziwitso zanu, erection imayendetsedwa ndi autonomic mantha system. Autonomous - zikutanthauza kuti imagwira ntchito popanda kutenga gawo la chikumbumtima. Kachitidwe kamodzimodzi kamayang'anira kupuma, kugaya, mtima, mtima, kamvekedwe ka mitsempha yamagazi, kupanga mahomoni ndi zina zambiri zofunika zofunikira za thupi.

Chifukwa chiyani tikulemba za izi apa? Ndipo, ngati zovuta za potency zibwera chifukwa cha matenda ashuga, ndiye kuti izi zitha kukhala chizindikiro choyambirira choti mavuto omwe akuopseza moyo posachedwa awonekera. Mwachitsanzo, kugunda kwa mtima. Zomwezo zimapita kukakomoka chifukwa cha kukokoloka kwa mitsempha ya magazi. Ndi chizindikiro chosadziwika bwino cha zotengera zomwe zimadyetsa mtima, ubongo ndi miyendo yam'munsi. Chifukwa chakutseka kwa ziwiya zamtunduwu, kugunda kwa mtima ndi stroko kumachitika.

30-35% ya amuna omwe ali ndi matenda ashuga omwe amawona dokotala wokhudzana ndi mavuto apafupi ali ndi kuchepa kwakupanga kwa mahomoni ogonana, makamaka testosterone. Panthawi imeneyi, kawirikawiri sikuti mphamvu zimatha, komanso kugonana kumazirala. Mwamwayi, vutoli limatha kuchiritsidwa. Kuphatikiza apo, kubwezeretsa kwachilengedwe kwa mahomoni ogonana m'thupi sikungobwezeretsa nyonga zamphongo, komanso kudzakhala bwino.

Kuzindikira zomwe zimayambitsa kuwonongeka mu potency

Njira yayikulu yodziwira kufooka kwa amuna mu matenda ashuga ndi kusaka zidziwitso pogwiritsa ntchito mafunso, komanso kutumiza wodwalayo kukayezetsa ndi mayeso. Mwinanso, adotolo angafotokozere zodzaza mafunso apadera kapena kuperewera pakukambirana kwapakamwa.

Dokotala adzakhala ndi chidwi ndi momwe mulingo wa shuga m'magazi umakhalira kwa odwala, mwachitsanzo momwe shuga imalipidwira bwino. Dziwani shuga wanu wamagazi pano. Ngati zovuta za matenda osokoneza bongo a impso zayamba kale, kupenya kwamphamvu, wodandaula akudandaula za mtima, ndipo vuto la matenda ashuga lapezeka, ndiye kuti, mavuto okhala ndi potency amayambitsa "thupi". Ngati "chidziwitso" cha matenda a shuga ndi chaching'ono ndipo thanzi lonse ndilabwino, ndiye kuti kukayikira kwamalingaliro kumatha kukayikiridwa.

Kuyesedwa pochizira kusabala

Kuti mudziwe momwe zotengera ziwiya zomwe zimadyetsa magazi a mbolo, chitani ndi ultrasound. Izi zimatchedwa dopplerografia zombo za corpora cavernosa. Kafukufuku wodziwika bwino wa pharmacodiagnostic amathanso kuikidwa. Chofunikira chake ndikuti jakisoni wa mankhwala amene amabweza m'mitsempha yamagazi amalowetsedwa mu mbolo ndipo amayang'ana kuti awone ngati pali kupanga.

Ngati mwayikiridwa kuti mupeze kafukufuku wa mankhwala opatsirana mwachangu, onetsetsani kuti zachitika pogwiritsa ntchito prostaglandin E1. M'mbuyomu, papaverine kapena kuphatikiza kwake ndi phentolamine amagwiritsidwa ntchito pazolinga izi. Koma regimens yomwe ili ndi papaverine nthawi zambiri imayambitsa zovuta, ndipo tsopano ndikulimbikitsidwa kuisintha ndi prostaglandin E1.

Pambuyo pakuphunzira mozama mankhwala osokoneza bongo, wodwalayo amayenera kuyang'aniridwa ndi adokotala mpaka erection itayima. Chifukwa pali mwayi wodziwikiratu - apa ndi pomwe lingaliro limatenga nthawi yayitali ndikumapweteka. Mwanjira iyi, jekeseni wina wa mankhwalawa amapangidwa, omwe amachepetsa ziwiya.

Nthawi zina maphunziro amachitidwanso ndi kuwongolera kwa ma pulps kudzera mu ulusi wamanjenje womwe umawongolera mbolo. Ngati chithandizo cha opaleshoni yamavuto a potency chikuganiziridwa, angiography ya penile ikhoza kutumikiridwa. Izi zikutanthauza kuti wosemphana ndi mnzake amalowetsedwa m'magazi, kenako x-ray imatengedwa.

Kuyesa kwa magazi komwe dokotala wanu akupatseni

Ngati bambo apita kwa dotolo ndikudandaula za kuchepa kwa mphamvu, ndiye kuti mayeso otsatirawa akhoza kulembedwa:

• testosterone ya magazi;
• luteinizing timadzi;
• follicle yolimbikitsa follicle;
• mtima wamavuto azovuta (cholesterol "chabwino" ndi "yoyipa", triglycerides, lipoprotein A, homocysteine, fibrinogen, protein ya C);
• creatinine, urea ndi uric acid m'magazi - kuyang'ana ntchito ya impso;
• mayeso a chithokomiro cha ntchito (choyambirira, T3 yaulere);
• glycated hemoglobin - kudziwa mtundu wa mankhwala a shuga.

Ngati pali chithunzi cha kuchepa kwa mahomoni ogonana (ichi chimatchedwa hypogonadism), koma mayesowo adawonetsa kuchuluka kwa testosterone, ndiye kuti mulingo wa globulin womwe umamangiriza ma steroid ogonana amakhazikikanso. Izi ndizofunikira kuwerengera mulingo wa testosterone yaulere m'magazi.

Kuperewera kwa zamaganizidwe

Choyamba, ziyenera kutsimikiziridwa ngati mavuto omwe ali ndi potency amayamba chifukwa cha zamaganizidwe kapena thupi. Ndi kusokonezeka kwa malingaliro, milandu yodziyimira yokha imapitilira, makamaka m'mawa. Zimachitika kuti mavuto pabedi amadzuka ndi bwenzi limodzi. Ndipo zikangosintha, zonse zili bwino.

Kuperewera kwa matenda ashuga nthawi zambiri kumachitika m'zaka zoyambirira za matendawa, mpaka chitukuko cha zotupa za mitsempha ndi mitsempha. Mwa anyamata, kulephera kwachikondi kumachitika chifukwa cha zovuta mu ubale ndi wokondedwa kapena mantha. Kuphatikiza apo, bambo wodwala matenda ashuga amakhala ndi nkhawa yamaganizidwe omwe amathandizidwa ndi matenda ake.

Kulephera chifukwa cha mankhwala

Dotolo adziwa zenizeni zomwe wodwala amamwa ngati akudandaula pakufooka kwa potency. Takukumbutsani kuti zofowoka zakugonana zimayamba chifukwa cha:

• antipsychotic;
• antidepressants;
• osasankha beta-blockers (m'badwo wakale).

Wofooka potency chifukwa kufalikira kwa mitsempha

Ngati pali zovuta zomwe zingachitike chifukwa cha matenda a atherosulinosis (kukalamba, matenda oopsa, kusuta, cholesterol yamagazi), ndiye kuti vuto la kukanika kwa erectile litha kukayikiridwa. Njira iyi, ndiyo njira yabwino koposa.

Ndi zofooka zogonana chifukwa cha kufalikira kwa ziwiya m'thupi, monga lamulo, palinso zovuta zina zonse kuchokera pamndandanda wotsatira:

• matenda a mtima;
• matenda oopsa;
• odwala matenda ashuga phazi chifukwa cha kuzungulira kwa miyendo.

Njira zothandizira kuperewera kwa matenda ashuga

Njira yayikulu yothanirana ndi vuto la erectile mu shuga ndikuchepetsa shuga la magazi ndikusunga pafupi ndi zabwinobwino. Dotolo adzaumiriza kuti wodwalayo azichitira odwala ake kwambiri matenda ashuga, kuwapatsa nthawi ndi mphamvu. Ngati shuga m'magazi ngofanana, nthawi zambiri ndizokwanira kubwezeretsa umuna.

Kusungabe kuchuluka kwa shuga m'magazi ndi njira yabwino kwambiri yothanirana osati ndi vuto la potency komanso komanso zovuta zina za shuga. Kugonana kumagwiranso ntchito chifukwa kuwonongeka kwamitsempha kumachepa ndipo zizindikiro za matenda am'mimba zimatha kufooka.

Nthawi yomweyo, odwala matenda ashuga ambiri amadandaula kuti ndizosatheka kuchepetsa shuga kukhala yachibadwa. Chifukwa milandu ya hypoglycemia imayamba kuchuluka. Koma pali njira yeniyeni yochitira izi - ingodya zakudya zochepa. Yang'anani pa zakudya zomwe zili ndi mapuloteni komanso mafuta achilengedwe. Tikupangira zolemba zanu:

• Insulin ndi chakudya chamafuta: chowonadi chomwe muyenera kudziwa.
• Momwe mungachepetse shuga ndimagazi kuti azikhala abwinobwino.

Amuna ogonana amuna amachiritsira mankhwala

Ngati bambo alibe mahomoni okwanira mthupi lake, ndiye kuti angathe kupatsidwa mankhwala othana ndi Androgen. Dokotala angasankhe payekhapayekha kusankha mankhwalawo, muyezo wake komanso muyezo wake. Mankhwalawa amatha kukhala ngati majekeseni, mapiritsi kapena gelisi lomwe limayikidwa pakhungu.

Pa mankhwala, mulingo wa testosterone m'magazi uyenera kuyang'aniridwa. Kuphatikiza apo, kamodzi pa miyezi isanu ndi umodzi, muyenera kukayezetsa magazi kuti muyeze mayesero a "chiwindi" (ALT, AST) komanso "choletsa" chabwino komanso "choyipa". Ndikumveka kuti androgen chithandizo chithandiza kusintha cholesterol. Potency iyenera kubwezeretsedwa mkati mwa miyezi 1-2 atayamba chithandizo.

Amuna onse azaka zopitilira 40 ayenera kukhala ndi mayeso obwereza kamodzi pamiyezi isanu ndi umodzi ndi chimodzi, komanso kudziwa zomwe zili mu antigen ya antijeni mu seramu yamagazi. Amachita izi kuti asaphonye matenda a prostate. Androgen chithandizo imapangidwa mosiyanasiyana ngati pali khansa ya Prostate kapena chotupa chokhala ndi chotupa chachikulu cha infravesical.

Alpha lipoic acid

Ngati kugonana kwa mwamuna kuvulala chifukwa cha matenda ashuga, ndiye kuti amamuika alpha-lipoic (thioctic) acid pa 600-1800 mg patsiku. Ichi ndichilengedwe chopanda vuto chomwe chimathandizira kwambiri ku neuropathy. Koma ngati chithandizo cha alpha-lipoic acid chayamba kumapeto kwa matenda ashuga ndipo wodwalayo sayesa kupangitsa kuti magazi ake akhale shuga, ndiye kuti kuchita bwino kwambiri sikuyenera kuyembekezeredwa.

Tsopano nkhani yabwino. Ngati muphunzira kusunga magazi anu kukhala abwinobwino, ndiye kuti chitukuko cha matenda ashuga a m'mimba sichingokhala, koma chidzatha kwathunthu. Zingwe zam'mitsempha zimatha kuchira pomwe sizikhalanso ndi poizoni wamagazi. Koma zimatha kutenga zaka zingapo.

Izi zikutanthauza kuti ngati kufooka kwa kugonana kwamunthu kwatumphuka chifukwa cha matenda ashuga, ndiye kuti akuyembekeza kuchira. Tsoka ilo, ngati kufalikira kwamitsempha yamagazi kwawonjezera kuwonongeka kwa mitsempha, ndiye kuti mphamvu yamatsenga yamtunduwu kuchokera ku mtundu wa shuga sungayembekezere. Zitha kuzindikira kuti chithandizo chamankhwala othandizira opaleshoni ndiyofunikira.

Viagra, Levitra ndi Cialis

Dokotala, makamaka, ayamba kufunsa kuti ayesere mankhwala a androgen - chithandizo chamankhwala chokhala ndi mahomoni ogonana amuna. Chifukwa sikuti amangokhala bwino potency, komanso amalimbitsa thanzi la mwamunayo kwathunthu. Ngati njirayi singathandize, ndiye kuti amodzi mwa mtundu wa 5 phosphodiesterase inhibitors (PDE-5) adalembedwa kale. Mndandanda wawo umatsogozedwa ndi Viagra (Silendafil Citrate) wotchuka.

Viagra imathandiza pafupifupi 70% ya amuna omwe ali ndi matenda ashuga. Samachulukitsa shuga m'magazi, koma zotsatirapo zoyipa nthawi zina zimawonedwa:

• mutu
• kuthira nkhope;
• matenda ammimba;
• masomphenya osalala, chidwi chowonjezereka pakuwala (kawirikawiri).

Mwamuna akamagwiritsa ntchito Viagra kangapo, thupi limazolowera, ndipo mwayi wazotsatira zoyipa zimachepa kwambiri.

Mlingo woyambira wabwino ndi 50 mg, koma mu shuga, mlingo wa Viagra ukhoza kupititsidwa mpaka 100 mg. Tengani pafupifupi mphindi 40-60 musanakonzekere zogonana. Mutamwa mapiritsi, kumatheka pokhapokha ngati mukugonana, "kulimbana" kumatha kupitilira maola 4-6.

Viagra, Levitra ndi Cialis: Mtundu wa 5 Phosphodiesterase Inhibitors (PDE-5)

Levitra ndi analogue wa Viagra, mwaukadaulo wotchedwa vardenafil. Mapiritsiwa amapangidwa ndi kampani yopanga mankhwala. Mlingo wokhazikika ndi 10 mg, ndi matenda a shuga mungayesere 20 mg.

Cialis ndi mankhwala ena a gulu lomwelo, lotchedwa tadalafil. Imayamba kuchitapo kanthu mwachangu, mphindi 20 pambuyo pa utsogoleri. Zotsatira zake zimakhala kwa maola makumi atatu ndi atatu. Cialis adatchedwa "mapiritsi a sabata," chifukwa mutatenga piritsi limodzi, mutha kupitiliza kugonana kuyambira Lachisanu madzulo mpaka Lamlungu. Mlingo wokhazikika ndi 20 mg, wokhala ndi matenda ashuga - kawiri kuposa.

Mankhwalawa onse sangatengedwe mopitilira katatu pa sabata, monga pakufunikira. Chepetsani mlingo wa zoletsa za PDE-5 ngati mukumwa mankhwala aliwonse kuchokera pamndandanda wotsatirawu:

• HIV protease zoletsa;
• erythromycin;
• ketoconazole.

Zotsutsana pakugwiritsa ntchito Viagra ndi "abale" ake

Viagra, Levitra, Cialis ndi mankhwala ena ofanana omwe amaperekedwa kwa anthu omwe, chifukwa cha thanzi, amafunika kuchepetsa kuchita zogonana. Muzoopsa ziti zomwe mungatenge mtundu wa 5 phosphodiesterase inhibitors:

• Pambuyo pachimake myocardial infarction - mwa masiku 90;
• angina pectoris wosakhazikika;
• kulephera kwa mtima II kapena kalasi yapamwamba;
• phokoso losalamulirika la mtima;
• ochepa hypotension (kuthamanga kwa magazi <90/50 mm Hg);
• pambuyo sitiroko - pasanathe miyezi 6;
• diabetesic retinopathy yokhala ndi zotupa (mutha kuchita khungu!);
• pakhala pali zochitika za kumenyedwa kwa angina panthawi yogonana.

Kugwiritsa ntchito nthawi yayitali kwa Viagra, Cialis kapena Levitra nthawi zambiri sikuchepetsa mphamvu ya mankhwalawa potency. Izi zikutanthauza kuti kuwonjezera mlingo pakapita nthawi sikungafunike.

Kuthana Ndi Mavuto a Potency - Njira Zina ziwiri

Ngati kugwiritsidwa ntchito kwa mankhwala a mtundu wa 5 phosphodiesterase inhibitors sikunathandize kuthetsa vutoli, ndiye kuti jakisoni wa mankhwala a vasodilator prostaglandin E1 mu mbolo amagwiritsidwa ntchito. Mwanjira ina imatchedwa alprostadil. Jekeseni limachitika mphindi 5-20 musanachite zogonana, osapitirira nthawi 1 patsiku. Kambiranani ndi njira iyi yothandizira mankwalawa ndi erectile dysfunction ndi dokotala. Njira yayikulu ndiyo kuchitira opaleshoni, i.e., penile prosthetics.

Tikukhulupirira kuti mwapeza nkhaniyi kukhala yothandiza pa zovuta za potency mu shuga. Apanso tikufuna kukuthandizani kuti mugwiritse ntchito zakudya zamagulu ochepa kuti muchepetse shuga. Musanatenge Viagra, Cialis kapena Levitra - ndikofunika kukambirana izi ndi dokotala. Kumbukirani mndandanda wa zotsutsana ndi mankhwalawa, khalani anzeru.