Nws tsuas yog ib zaug ib tug txiv neej tsis pw nrog poj niam, raws li nws tau txais txiaj ntsig nrog impotence. Txawm hais tias qhov no tsuas yog ib qho teeb meem ib ntus vim muaj kev ntxhov siab lossis qaug zog, uas tsis xav tau kev kho mob. Xws li kev kuaj mob tuaj yeem ua rau tus txiv neej yog tias 25% lossis ntau dua ntawm nws qhov kev sim ntawm kev sib deev tsis ua tiav.
Impotence yog ib yam kab mob ntsig txog hnub nyoog. Cov txiv neej hnub nyoog tshaj 60 xyoo yuav muaj tus kab mob no ntau dua li cov hluas hnub nyoog qis dua 40 xyoo. Txawm hais tias raws li kev tshawb fawb tsis ntev los no, lub hnub nyoog ntawm tus kab mob tseem hluas, thiab ntau dua hauv cov neeg kawm tsis tau zoo. Cov kws tshawb fawb muab cov lus piav qhia hauv qab no rau qhov no: cov txiv neej uas muaj kev loj hlob tsawg tsis coj txoj kev noj qab haus huv, noj zaub mov tsis raug, muaj tus cwj pwm phem.
Impotence yog erectile kawg, impotence, vim hais tias tus txiv neej tsis tuaj yeem ua tiav kev sib deev. Nws feem ntau yog tshwm sim los ntawm lwm cov kab mob hauv qab uas cuam tshuam nrog endocrine, paj hlwb, kab mob plawv, nrog rau cov kab mob ntawm cov kab mob genitourinary.
Impotence nyob rau hauv cov txiv neej yog manifested nyob rau hauv lub tsis muaj peev xwm mus cuag ib tug erection tsim nyog rau kev sib deev kev sib deev kom nyob rau hauv lub siab tshaj plaws thiab rau ob leeg koom tes kom xis nyob. Nws yog ib qho tseem ceeb rau tus txiv neej xavalpha txiv neej, thiab cov teeb meem no ntawm cov txiv neej txoj kev noj qab haus huv feem ntau dhau los ua qhov ua rau muaj kev nyuaj siab, complexes thiab teeb meem hauv kev sib deev thiab tsev neeg lub neej. Hmoov zoo, niaj hnub no kev kuaj mob thiab kev kho mob ntawm impotence tsis yog ib qho teeb meem uas daws tsis tau.
Ntawm physiology thiab xwm ntawm erection
Yuav kom nkag siab qhov twg erection los ntawm thiab nws tshwm sim li cas, ib tug yuav tsum nco ntsoov lub nuances ntawm tus qauv anatomical ntawm noov. Qhov noov muaj ib tug spongy thiab ob cavernous lub cev. Qhov kawg 2 lub cev tsis cuam tshuam los ntawm cov hlab ntsha. Txhua tus ntawm lawv muaj nws cov hlab ntsha thiab cov hlab ntsha, los ntawm kev nkag thiab tawm ntawm cov ntshav tshwm sim. Vim qhov tseeb tias cov ntshav sau rau hauv ntau qhov khoob uas ua rau lub cev, nws tenses lawv, thiab erection tshwm.
Thaum lub sij hawm arousal, cov hlab ntsha dilate, thiab cov hlab ntsha constrict thiab nyob twj ywm nyob rau hauv lub xeev no thoob plaws lub erection. Tag nrho cov ntaub so ntswg ntawm qhov chaw mos, tshwj tsis yog rau daim tawv nqaij, tsis koom nrog hauv cov ntshav ncig, uas txhais tau hais tias lawv nyob rau hauv lub xeev ischemic, uas cuam tshuam rau txiv neej txoj kev noj qab haus huv. Qhov no qhia tias kev sib deev ntev ntev tuaj yeem ua rau lub hauv paus ua rau kev sib deev impotence thiab impotence.
Hom erectile kawg
Kev kho rau impotence tuaj yeem sib txawv nyob ntawm qhov ua rau muaj teeb meem, yog li nws yog ib qho tseem ceeb kom paub seb hom kev puas tsuaj yog dab tsi. Yog li, impotence tshwm sim:
• Psychogenic. Nws tuaj yeem ua tsis tau tsuas yog mus tas li, tab sis kuj yog ib ntus, vim nws tshwm sim los ntawm kev nquagkev ua haujlwm dhau los, kev ntxhov siab, kev ua haujlwm nyuaj, nrog rau cov teeb meem nrhiav tus khub. Raws li txoj cai, sai li sai tau thaum lub neej kev sib deev raug tsim, cov teeb meem no ploj mus ntawm lawv tus kheej. Qhov txo qis ntawm qhov rhiab heev ntawm qhov chaw mos tshwm sim vim qhov tseeb tias ntau yam phobias, complexes thiab kev cai dab qhuas prejudices cuam tshuam rau cerebral cortex, nrog rau cov chaw zov me nyuam. Niaj hnub nimno diagnostic txoj kev yooj yim paub qhov tseeb impotence los ntawm psychogenic. Raws li kev xyaum qhia, hom no tsis tshua muaj.
• Neurogenic impotence nyob rau hauv cov txiv neej tshwm sim los ntawm kev raug mob thiab kab mob ntawm lub hauv paus paj hlwb thiab peripheral qab haus huv. Qhov teeb meem tseem ceeb yog cov hlab ntsha impulses tsis ncav cuag lub cev cavernous.
Txheeb cais qhia tias 75% ntawm tag nrho cov ua rau neurogenic erectile kawg yog txuam nrog kev raug mob qaum qaum, thiab qhov seem 25% yog vim neoplasms, intervertebral hernia, ntau yam sclerosis thiab lwm yam kab mob neurogenic.
• Arteriogenic impotence feem ntau yog cov kab mob ntsig txog hnub nyoog, tab sis qee zaum nws kuj tshwm sim hauv cov txiv neej hluas uas muaj qhov tsis zoo ntawm lub cev, ntshav qab zib mellitus, kub siab, thiab cov neeg haus luam yeeb. Vim cov ntshav hlab ntsha tsis txaus, cuam tshuam ntawm cov txheej txheem metabolic hauv zos tshwm sim, qee zaum ua rau muaj qhov cuam tshuam tsis zoo cuam tshuam nrog cov ntaub so ntswg.
• Venogenic. Nws yog me ntsis kawm, tab sis tsim nyob rau hauv cov ntaub ntawv ntawm ib tug nce nyob rau hauv lub lumen ntawm cov hlab ntsha. Feem ntau pom nyob rau hauvCov neeg haus luam yeeb thiab haus cawv.
• Hormonal erectile kawg tshwm sim hauv cov neeg mob ntshav qab zib. Qhov teeb meem yog tsis nyob rau hauv qhov txo qis hauv testosterone tsim, tab sis nyob rau hauv nws cov digestibility tsis zoo.
mob ua rau impotence
Nyob rau hauv cov txiv neej uas muaj mob raum loj, impotence tshwm sim nyob rau hauv ib nrab ntawm cov neeg mob, tab sis tom qab hloov lub raum, impotence ploj nyob rau hauv ntau tshaj 60% ntawm cov neeg mob. Cov txiv neej uas muaj mob hawb pob thiab cov neeg uas muaj lub plawv nres tuaj yeem txhim kho erectile kawg thaum muaj kev ntshai tias lawv tus mob yuav hnyav dua thaum sib deev.
Prostatitis tuaj yeem ua rau impotence vim qhov txo qis hauv testosterone hauv lub cev, nrog rau qhov mob thaum ejaculation, ejaculation ntxov ntxov thiab vim muaj kev xav tias tsis muaj dab tsi yuav ua haujlwm.
Tab sis prostatitis tsis yog lub hauv paus, raws li txiv neej feem ntau ntseeg. Nws tsuas tuaj yeem ua rau cov kab mob hnyav dua thiab qhov tshwm sim ntawm cov tsos mob.
Impotence tsos mob
Cov tsos mob ntawm kev sib deev impotence yog ib qho teeb meem ntawm kev sib deev. Qhov no tej zaum yuav yog qhov tsis muaj lub siab xav thiab orgasm, lossis qhov xaus ntxov ntxov. Cov txiv neej yws tias nws yuav siv sij hawm ntau dua thiab siv zog los coj qhov chaw mos mus rau hauv lub xeev zoo siab. Lwm tus raug kev txom nyem los ntawm qhov tseeb tias erection dhau sai. Cov tsos mob, chav kawm ntawm tus kab mob, thiab cov kev kho mob rau impotence yuav tsum tau siv nyob rau hauv ib tug tshwj xeeb rooj plaub nyob ntawm seb qhov teeb meem loj. Yog hais tias qhov ua rau impotence yog cov organic xwm, ces tus kab mob mus rau lub sij hawm ntevasymptomatic. Thaum pib, tsuas yog qhov ua tsis tiav me me tuaj yeem tshwm sim, tab sis maj mam qhov xwm txheej yuav hnyav zuj zus, tsis hais txog ntawm cov xwm txheej uas muaj kev sib deev. Nyob rau tib lub sijhawm, hmo ntuj thiab sawv ntxov arbitrary erections yuav ploj mus.
Yog tias tus kab mob no yog vim muaj kev puas siab puas ntsws, ces nws tshwm sim sai sai. Kev ua haujlwm tsis zoo nrog tsis yog txhua qhov kev sib deev, tab sis nyob ntawm qhov twg thiab nws ua li cas. Feem ntau, erections sawv ntxov thiab hmo ntuj tseem nyob.
kuaj kab mob
Lub hom phiaj tseem ceeb ntawm txhua txoj kev kuaj mob yog txhawm rau txheeb xyuas qhov ua rau muaj kev tsis sib haum xeeb, txoj hauv kev los kho lub neej kev sib deev thiab nrhiav qhov tsim nyog kho rau impotence.
Basic diagnostic method
thawj qhov ua yog kev kawm hormonal. Nws yog ib qho tsim nyog los soj ntsuam seb qhov ntau npaum li cas hauv lub cev tsim cov tshuaj estrogen, prolactin, testosterone thiab LH (luteinizing hormone). Tom ntej no, pharmacodopplerography yog ua - qhov no yog ultrasound ntawm cov ntshav ncig uas tshwm sim nyob rau hauv noov nyob rau hauv tus ntawm ntau yam tshuaj. Lwm txoj hauv kev uas kuaj pom impotence yog pharmacocavernosography, uas tshuaj xyuas cov hlab ntsha ntawm noov siv X-rays. Tsis tas li ntawd, ib tus tsis tuaj yeem ua yam tsis tau mus ntsib kws kho mob hlwb thiab tswj nws tus kheej thaum sawv ntxov thiab hmo ntuj erections.
Tus kws kho mob twg pab tau?
Nws tsis tuaj yeem xaiv cov tshuaj zoo rau kev qaug zog ntawm koj tus kheej, thiab koj yuav tsum tsis txhob ua qhov no, vim tias kev kho tus kheej tsis zoo tuaj yeem ua rau qhov xwm txheej hnyav dua thiab pib tus kabmob. Muaj cov kws kho mob paub txogimpotence ua ntej: endocrinologists, cardiologists, traumatologists, psychologists thiab sexologists, tab sis thawj mus cuag yog ib tug andrologist thiab urologist. Lawv yuav sau cov kev kawm tsim nyog, txiav txim siab lawv lub ntsiab lus thiab xaiv cov kev kho kom tsim nyog rau kev qaug zog rau koj xwb.
Txoj kev kho erectile kawg
Muaj 2 txoj hauv kev los daws cov txiv neej mob. Qhov thib ib yog conservative: tshuaj rau impotence, nqus stimulation, thiab qhov thib ob yog kev phais, uas yog hais txog kev phais txoj kev kho.
Feem ntau, lawv siv nws yog tias muaj kev puas tsuaj rau cov hlab ntsha thiab cov hlab ntsha ntawm tus txiv neej lub cev, thiab kev ua haujlwm yog txhawm rau kho lawv. Qee lub sij hawm, thaum lub sijhawm phais, cov pob qij txha tau muab tso rau hauv qhov chaw mos los tiv thaiv nws los ntawm kev ua tsis taus thiab impotence.
Yog tias qhov ua rau erectile kawg nyob rau hauv cov hlab ntsha hloov, ces kev kho mob suav nrog kev noj zaub mov thiab tshuaj rau impotence uas txo cov roj cholesterol. Yog hais tias qhov teeb meem nyob rau hauv tsis txaus elasticity ntawm cov hlab ntsha, ces cov tshuaj yog muab rau kom nws. Nws yuav siv sij hawm los kho cov kev ua haujlwm ntawm cov hlab ntsha. Kev kho mob ntawm prostatitis yog ib feem tseem ceeb ntawm kev kho mob. Yog tias muaj teeb meem cuam tshuam nrog qib testosterone qis, ces cov tshuaj hloov pauv uas muaj cov txiv neej cov tshuaj hormones raug sau.
Kho rau impotence
Inhibitors yog tam sim no cov tshuaj nrov uas provoke erection, xws li ntsiav tshuaj "Viagra", "Cialis", "Levitra", tab sis lawv tsis muaj peev xwm kho impotence, lawv cov kev ua yog ib ntus.character.
tshuaj raws li Prostaglandin txhaj rau hauv lub cev qhov chaw mos, ua rau muaj kev xav. Yog hais tias tus kab mob yog raws li kev puas siab puas ntsws thiab phobias, ces kev kho mob muaj nyob rau hauv nce tactile contacts, foreplay. Yog tias qhov no tsis ua rau muaj txiaj ntsig, nws yuav tsum tig mus rau kev kho kev sib deev.
YFalloprothetics
Kev kho tshuaj pab ntau tshaj 30% ntawm cov neeg mob, yog li nws tsis raug sau tseg rau txhua tus. Nyob rau hauv cov ntaub ntawv ntawm venous insufficiency los yog muaj teeb meem nrog cov hlab ntsha, penile prosthesis yog tib txoj kev zoo uas muaj ib tug xov tooj ntawm zoo:
• nrawm nrawm;
• lasting effect;
• tsis txhaj tshuaj mob;
• Tsis tas yuav noj tshuaj ntev.
Kev kho mob hauv tsev rau impotence
tshuaj ntsuab tsis hla ib qho kab mob, thiab erectile kawg tsis muaj qhov zam. Tsis tas li ntawd, nws tau raug pov thawj tias lwm txoj kev kho mob ntawm impotence yog qhov zoo heev, thiab qhov tshwm sim tseem nyob ntev. Pine txiv ntoo raug pom zoo siv.
Decoction ntawm parsnips yog ib txoj hauv kev zoo tshaj plaws ntawm kev kho mob. Nws yog tsim nyog los boil ib nrab ib liter dej, ntxiv ib tablespoon ntawm noob thiab insist rau 2 teev. Haus 100 ml 3 zaug hauv ib hnub.
Artemisia tincture ntawm vodka tau lees paub tias yog ib qho cuab yeej zoo rau kev ua kom muaj zog. 5 tablespoons ntawm cov noob yog nchuav nrog ib lub raj mis ntawm vodka thiab tshem tawm rau 20 hnub nyob rau hauv ib qho chaw tsaus. Cov tshuaj strained yog noj hauv 1 tbsp. diav ib nrab teev ua ntej noj mov.
Thiab kev siv motherwort yuav tsis tsuas muaj txiaj ntsig zoo rau txiv neej lub zog, tab sis kuj txo ntau yam mob plawv.
Yuav ua kom kho tau yooj yim thiab ceev li sai tau, cov txiv neej yuav tsum tau ua tib zoo saib xyuas lawv txoj kev noj qab haus huv thiab lub cev, thaum lub tswb nrov, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.