Ciwon sukari da yawanci a cikin maza - shin komai yayi muni?

A cikin wannan labarin zaku koya:

An sani cewa tare da ciwon sukari akwai matsaloli tare da idanu, kodan, jijiyoyi, zuciya, da rashin alheri, za'a iya samun jerin masu tsayi sosai. Amma ina ne lalacewar aiki da fari? A matsayinka na mai mulki, a cikin mutum, ciwon sukari yana farawa ne ta hanyar lalacewa, kawai da wuya ƙasan endocrinologist ya magance wannan batun.

Rage poarfi ko rashin daidaituwa lalata cin zarafi ne na aikin jima'i a cikin maza tare da rashin iyawa ko ci gaba da tashin hankalin da ya isa cikakkiyar ma'amala. Matsalar ta zama cuta idan har ta kai akalla watanni shida.

A da, kalmar "rashin ƙarfi" an yi amfani dashi don nuna irin wannan yanayin, wanda ke nufin cikakkiyar rashin ƙarfi ga namiji kuma yawanci yana magana da mummunan jumla. Tun daga 1992, an yanke shawarar kira wannan yanayin kalmar "erectile dysfunction."

Don amsa tambaya ko ciwon sukari yana rinjayar iko, zamu juya zuwa ƙididdigar hukuma.

A cikin duk marasa lafiya da ke da lalata ta hanyar jima'i, yawan maza masu fama da cutar sankara sun fi 40%. Yana da tsoratarwa cewa karuwar rage karfin iko yana ci gaba da karuwa tsakanin marasa lafiya da ke fama da cutar sankara kuma ya kusan kusan sabbin mutane 70 a cikin marasa lafiya 1000 a shekara. A cikin maza masu lafiya, waɗannan lambobin sun ninka rabin na kimanin mutane 24-26 a kowace shekara.

Abin ba in ciki, kowace shekara maza samari masu shekaru suna fuskantar irin wannan matsalar. Amma yanayin yana da bege?

Yaya daidai ne ciwon sukari ke shafar ikon mutum?

Mitar ci gaban lalacewar ciwan ciki a cikin sukari ya dogara kai tsaye, da farko kan cuta mai tsauri.

Sau da yawa, rashin ƙarfi a cikin nau'in ciwon sukari na 2 yakan faru lokacin da:

raunin raunin cutar sankara
jini mara sarrafa jini
take hakkin mai metabolism.

Baya ga dalilan "masu ciwon sukari" na musamman, ba wanda ke iya warware abubuwan da suka zama ruwan dare ga duk mazajen da ke shafar aikin jima'i.

Tebur - Abubuwan da ke Ba da Gudummawa ga Rage Matsayi

Maza ba sa cikin sauri don gaya wa likita game da matsalolinsu, fiye da 90% daga cikinsu sun fi son zama tare da cutar a hankali.

A yau, da yawa daga cikinsu suna iya komawa zuwa rayuwar cikakken jima'i, saboda a cikin 'yan shekarun nan, magani ya ci gaba zuwa yanzu don magance wannan matsalar. Amma don samun nasara cikin jiyya, wajibi ne a kafa ainihin dalilin matsalar, don gudanar da rarrabewar bambance-bambancen nau'ikan rashin karfin iko. Wannan yana buƙatar mutum ya zama mai haƙuri, magana da yardar rai don kammala duk alƙawura da jarrabawa.

Lokacin da aka tantance yadda ciwon sukari yake shafar ikon mutum, dole ne ka fara yin la’akari da:

gwaninta na cutar,
gaban rikitarwa.

Idan tare da nau'in ciwon sukari na 2, raguwa a cikin ikon na iya zama alama ta farko ta cutar, sannan tare da nau'in ciwon sukari na 1, cin zarafi yawanci yakan faru ne ba shekaru biyar ba daga farkon cutar.

A halin yanzu, manyan dalilan da ke haifar da cutar sikari ta hanji a cikin maza sun hada da masu zuwa:

Ilimin halin dan Adam
daikatatta,
endothelial dysmetabolism.

Hakanan, neuropathy na autonomic yana taka muhimmiyar rawa. Abin farin, yana da wuya isa, sabili da haka, ba a ware shi azaman keɓaɓɓen dalilin rage aikin jima'i a cikin ciwon sukari ba.

Mahimmanci mai kwakwalwa

Idan har yanzu babu polyneuropathy, canje-canje na jijiyoyin jiki a idanu da kodan, amma lalatawar kwayar cutar ta bayyana, to tabbas hakan yana da nasaba da yanayin tunanin mutum.

Saurayin ya karanta a cikin sanannen wallafe-wallafen game da irin wannan sakamakon ciwon sukari, ya ji isasshen “mutane masu ilimi” - kuma ya danganta rashin nasarar jima'i na farko, wanda yake yiwuwa a kowane mutum mai lafiya, tare da ciwon sukari.

Akwai tsoron tsammanin wani sabon rauni, kuma tare da ƙarin ƙoƙarin da aka sake maimaita shi, duk hankalin ya mayar da hankali kan wannan, kuma a sakamakon haka, yanayin ilimin halayyar ci gaban matsalar kawai yana ƙaruwa.

A farkon matakan lalacewar laushi, damuwa na faruwa ne tare da gazawa ko gazawa, wato a matakin "rashin dogaro" maimakon "ba zai yiwu ba." A sakamakon haka, cikar aikin jima'i a cikin ayyukan da suka biyo baya yana da wahala.

Microangiopathy

Canje-canje a cikin ƙananan tasoshin - capillaries - sune tushen duk ciwon sukari. Irin waɗannan rikice-rikice ne ke haifar da lalacewar ciwon sukari ga idanu, kodan, da zuciya. Wadannan rikice-rikice sanannu ne.

Irin wannan canje-canje yana faruwa a jikin raƙuman ruwan, yana tantance asalin abin da zai haifar da lalacewar jima'i.

Tsarin tsarin maza

Additionalarin rawar da ba ta da kyau ana wasa da shi ta hanyar hauhawar jini cholesterol "mara kyau", wanda kuma halayyar ciwon sukari ne.

Endothelial dysmetabolism

Tabbataccen dalili mafi mahimmanci don haɓakar lalata ƙira yana da dangantaka kai tsaye da jihar endothelium - rufin ciki na jiragen ruwa.

Tsarin karafa

Yayin tashin hankali, ƙwayoyin penile endothelial suna samar da nitric oxide (NO). Wannan fili yana farawa da jerin abubuwan da ake amfani da su na kwayoyin halitta, sakamakon abin da wani abu mai suna mai rikitarwa - cyclic guanosine monophosphate (cGMP) yake gudana a jikin gawarwakin.

Wannan fili yana haifar da shakatawa na tsokoki na ƙwayoyin tsoka da kuma haɓaka kwararar jini, saboda haka tashin hankali ya faru.

Lokaci guda tare da ƙirƙirar cGMP, an samar da wani fili mai mahimmanci a cikin wannan yanayin - takamaiman nau'in 5 phosphodiesterase (PDE-5). Yana lalata cGMP kuma saboda haka yana iko da aiki da tsawon tashin hankali.

Gaskiya mai ban sha'awa: Matsayin nitric oxide a cikin ilimin cututtukan jijiyoyin jiki yana da wuya a wuce gona da iri. Don tasirin wannan kwayar halitta a jikin bangon jijiyoyin jini (gami da lokacin ci gaban lalata) a cikin 1998, an bai wa masana kimiyya uku lambar yabo ta Nobel a fannin magunguna da kuma kimiyyar lissafi.

An kafa ƙungiyar yawan sukari mai hawan jini da kuma cholesterol jini tare da raguwar samuwar nitric oxide. A lokaci guda, ciwon sukari yana haɓaka aikin phosphodiesterase. Wannan shine ma'anar dysmetabolism na endothelial dysmetabolism.

Yadda za a rabu da rashin ƙarfi a cikin ciwon sukari?

Da farko kuna buƙatar sanin wane likita yayi maganin wannan batun. Tun da matsalar ta kasance mai rikitarwa da ƙwaƙwalwa da yawa, likitoci na ƙwararrun fannoni suna magance shi - urologists, endocrinologists, neurologists, psychiatrists.

Yana faruwa cewa ziyarar urologist - don dalilai na rigakafi ko don cutar kumburi a cikin tsarin urinary - yana taimakawa gano cuta a cikin ɓangaren ƙwayar cuta. Kuma gano waɗannan dalilai sau da yawa yana ba da dalilin tura mai haƙuri zuwa ga endocrinologist. Kuma kawai sai ya juya ga cewa ikon lalacewa shine sakamakon ƙara girman sukarin jini na dogon lokaci, wanda mara lafiyar bai sani ba kwata-kwata.

Gwajin marasa lafiya da ke da nakasar nakasar yana da manufofi masu zuwa:

kafa hanyoyin da ke lalata lalacewar,
gano ingancin jiyya.

Cikakken bayanin da aka karɓa daga mai haƙuri game da yanayinsa yana da matukar muhimmanci.

Ta hanyar kammala duk gwaje-gwaje, zaku iya tsayar da ingantaccen ganewar asali. Dole ne likita ya amsa tambaya na yadda za a kara yawan iko a cikin ciwon sukari na mellitus. Kula da kai na rashin ƙarfi a cikin wannan cuta yawanci ba shi da tasiri, yayin da zaku iya rasa lokacin, sannan magani zai zama da wahala.

Idan ba a haifar da cin zarafin aikin jima'i ba ta hanyar ilimin tunani, matsalar za ta ci gaba (ana iya nuna wannan ta hanyar raguwa ko cikakkiyar rashi na daren da safiya).

A halin yanzu, akwai da yawa da yawa don jiyya don lalatawar datti.

A kowane hali, cimma dabi'un sukari na jini shi ne na farko kuma dole ne yanayin. Idan ya zo ga batun magance rashin ƙarfi a cikin nau'in ciwon sukari na 2 na ciwon sukari, ya zama dole a sake tattaunawa tare da likita ƙaddamar da shirye-shiryen kwamfutar hannu don rage glucose da cholesterol. Wataƙila wasu daga cikinsu suna shafan ikon iko, kuma suna buƙatar maye gurbinsu.

Abubuwan kulawa na jiyya a cikin shekaru 10 da suka gabata sun canza sosai. A da, sun fi amfani da dabarun tiyata, waɗanda yanzu aka koma wa wurin na biyu. Yanzu zaɓin magunguna don magance rikice rikice a cikin ciwon sukari shine masu hana PDE-5, watau magungunan da ke rage ayyukan enzyme phosphodiesterase, waɗanda zasu iya "sarrafa" tsawan.

Irin waɗannan magungunan (Viagra, Levitra da sauransu) suna da tasiri sosai, suna haƙuri da haƙuri sosai. Suna haɓaka aikin jima'i na dabi'a game da motsawar jima'i.

A wasu halaye, ƙwanƙolin maɗaukaki shine magani mai tasiri. Mafi yawancin lokuta ana amfani dasu azaman agaji a cikin kulawa da ɓarna ɓarna. Aikin shine ƙirƙirar matsanancin matsin lamba na gida, wanda ke motsa jini ya kwarara zuwa gaɓar cavernous da kyallen takarda mai taushi. Tare da ciwon sukari, wannan magani yana da tasiri sosai.

Don haka, matsalar lalatawar jima'i a halin yanzu yana da matukar muhimmanci. Koyaya, yawancin lokuta ana barin su ba tare da kulawa mai mahimmanci daga likitoci da masu haƙuri kansu ba.

Shawara guda ɗaya kawai - ga waɗanda waɗanda matsalar ta zama na mutum - don samun ƙaddara da tuntuɓar likita. Da zaran ya fi kyau!

Ciwon sukari da rashin ƙarfi. Mun warware matsaloli tare da iko a cikin maza

Yawancin maza masu fama da nau'in 1 ko nau'in 2 na ciwon sukari suna da matsala da iko. Masu binciken sun ba da shawarar cewa ciwon sukari yana ƙara haɗarin lalata mahaifa sau 3, idan aka kwatanta da maza masu shekaru ɗaya waɗanda suke da sukari na jini na al'ada. A cikin labarin yau, zaku koya game da ingantattun matakai don magance rashin ƙarfi ga maza masu fama da cutar sankara.

Matsalar ƙwayar cutar ƙwayar cuta saboda cutar sankara - magani na iya taimaka gaske! Yadda za a kula da rashin lafiyar erectile a cikin ciwon sukari - gano a cikin labarinmu.

Sanadin matsalolin potency a cikin ciwon sukari na iya zama da yawa, kuma likita ya kayyade su tare da mara haƙuri. Jerin sunayen sun hada da:

gurbataccen tsarin jijiyoyin jini wanda ke ciyar da azzakari,
mai ciwon sukari mai cutar mambobi - lalacewar jijiyoyin da ke hana tashin hankali,
rage samar da kwayoyin halittar jima'i,
shan wasu magunguna (antipsychotics, antidepressants, marasa zaɓar beta-blockers),
ilimin halin rashin hankali.

Don fashewa ta faru, kuna buƙatar tsiyaye kusan 100-150 ml na jini a cikin azzakari, sannan ku dogara da katange fitowar sa daga wurin har zuwa lokacin saduwa. Wannan yana buƙatar kyakkyawan aiki na tasoshin jini, da jijiyoyi waɗanda ke sarrafa aikin. Idan ba a rama cutar sankarar cuta ba, wato, sukari jini yana tsawanta na wani lokaci, to hakan yana shafar tsarin jijiyoyi da jijiyoyin jini, don haka yana cutar da namiji.

Glycation shine amsawar mahadi glucose tare da sunadarai. Thearfafa yawan glucose na jini a sakamakon ciwon sukari, to yawan ƙwayoyin sunadarai. Abin takaici, glycation na yawancin sunadarai suna haifar da rushewar aiki. Hakanan ya shafi sunadarai waɗanda ke haifar da tsarin juyayi da ganuwar tasoshin jini. “Samfuran gurncation End” ana samarwa - da gubobi ga jikin mutum.

Don bayananku, an lalata tashin hankali ta hanyar tsarin juyayi mai aiki da kansa. M - yana nufin cewa yana aiki ba tare da halartar sani ba. Wannan tsarin yana daidaita numfashi, narkewa, bugun zuciya, sautin tasoshin jini, samar da kwayoyin halittar jiki da sauran mahimman ayyukan jiki.

Me yasa muke rubutu game da wannan anan? Kuma a sa'an nan, idan matsaloli tare da iko ya haifar saboda ciwon sukari na neuropathy, to wannan na iya zama farkon alama cewa rikice-rikice waɗanda ke da haɗari ga rayuwa za su bayyana ba da daɗewa ba. Misali, cutar bugun zuciya. Guda ɗaya ke faruwa saboda lalatawar jijiyoyin jini saboda toshewar hanyoyin jini. Alama ce ta kaikaice na matsaloli tare da tasoshin da ke ciyar da zuciya, kwakwalwa da ƙananan gwal. Saboda toshewar wadannan jirage, bugun zuciya da bugun jini na faruwa.

A cikin 30-35% na maza masu ciwon sukari waɗanda ke zuwa likita game da matsala mai zurfi, suna nuna rage yawan samar da kwayoyin halittar jima'i, musamman testosterone. A cikin wannan halin, yawanci ba kawai ikon bacewa bane, amma har ma da jima'i ɗin yana fadada. An yi sa'a, ana iya magance wannan matsalar. Haka kuma, maido da matakin al'ada na kwayoyin halittar jima'i a cikin jiki ba wai kawai zai dawo da karfin namiji bane, har ma zai inganta rayuwa gaba daya.

Babban hanyar gano cutar rauni ta maza a cikin cutar siga shine tattara bayanai ta amfani da tambayoyi, haka kuma ka mayar da mara lafiyar zuwa gwaje-gwaje da kuma gwaje-gwaje. Da alama, likitan zai ba da shawarar cike wata takaddar tambaya ta musamman ko iyakantaccen bincike na baka.

Likita zaiyi sha'awar wanne matakin sukari a cikin jini shine ka'idodin mara lafiya, misali yadda ake rama ciwon sukari. Gano sukarin jininka anan. Idan rikice-rikice na ciwon sukari a cikin kodan sun riga sun haɓaka, ƙwaƙwalwar idanu ta kara tabarbarewa, mara lafiya yana yin kuka game da zuciya, kuma an bayyana ɓacin ran da ke da matsala ga tsarin jijiya, to, wataƙila, matsaloli tare da ƙarfin iko suna da "zahiri". Idan “ƙwarewar” ciwon sukari yayi ƙarami kuma yanayin lafiyar yana da kyau, to ana iya shakkar rashin ƙarfin ilimin ɗan adam.

Don gano yanayin tasoshin da ke ciyar da jinin azzakarin, ana yin gwajin duban dan tayi. Wannan ana kiran shi dopplerography of the corpora cavernosa. Hakanan za'a iya tsara sahihiyar ƙwayar ƙwayar ƙwayar cikin ƙwayar cuta. Maganarsa ita ce cewa allurar da ta kwantar da hancin jini a cikin azzakari kuma suna duba don ganin ko za a tayar.

Idan an umurce ku da binciken ƙwayar ƙwayar ƙwayar cikin ƙwayar cuta, to, ku tabbata cewa an yi shi ta amfani da prostaglandin E1. A baya can, ana amfani da papaverine ko haɗuwa da phentolamine don waɗannan dalilai. Amma magunguna masu dauke da Papaverine ma sau da yawa suna haifar da rikicewa, kuma yanzu ana bada shawara don maye gurbin shi da prostaglandin E1.

Bayan binciken magungunan ƙwayoyin cuta na ciki, mai haƙuri ya kamata ya kasance ƙarƙashin kulawar likita har sai da tsaikon ya tsaya. Saboda akwai yuwuwar bunkasa ma'abucinka - wannan shi ne lokacin da tashin tsayi ya yi tsawo kuma ya zama mai raɗaɗi. A wannan yanayin, ana yin wani allura na miyagun ƙwayoyi, wanda ke ba da tasoshin.

Wasu lokuta kuma ana yin nazarin ne daga yanayin kuzarin ta hanyar jijiyoyin da ke sarrafa azzakarin. Idan an bincika maganin tiyata na matsalolin potency, ana iya rubuta maganin cututtukan angina. Wannan yana nufin cewa wakili da ke bambanci ya shiga allurar jini, sannan za a dauki x-ray.

Idan mutum ya tafi likita tare da gunaguni na raguwar iko, to ana iya tsara wadannan gwaje-gwaje masu zuwa:

jini testosterone
luteinizing hormone
hormone-mai karfafa jiki,
Abubuwan haɗari na zuciya da jijiyoyin jini ("masu kyau" da cholesterol "mara kyau", triglycerides, lipoprotein A, homocysteine, fibrinogen, C-reactive protein),
creatinine, urea da uric acid a cikin jini - don duba aikin koda,
gwaje-gwajen aikin thyroid (da farko, T3 kyauta),
glycated haemoglobin - don ƙayyade ƙimar maganin ciwon sukari.

Idan akwai hoto na asibiti game da rashi na hormone jima'i (wannan ana kiran shi hypogonadism), amma gwaje-gwajen sun nuna matakin al'ada na testosterone, to kuwa matakan globulin da ke ɗaukar steroids na jima'i an ƙaddara su ƙari. Wannan ya zama dole don lissafta matakin testosterone kyauta a cikin jini.

Da farko dai, yakamata a tantance ko matsaloli ne ke haifar da rashin hankali ko kuma abubuwan da ake haifar da su. Tare da rashin ƙarfi na hankali, al'amuran tashin hankali ba su ci gaba ba, musamman da safe.Yana faruwa cewa matsaloli a gado sun tashi tare da abokin tarayya. Kuma da zaran ya canza, komai yayi kyau.

Rashin ƙwaƙwalwar ƙwaƙwalwa a cikin ciwon sukari yawanci yakan faru ne a farkon shekarun cutar, har sai cutar kuturta ta jijiyoyi da jijiyoyin jini har yanzu ba su ci gaba ba. A cikin samari, ƙarancin ƙauna ana haifar da matsala ta hanyar dangantaka tare da abokin tarayya ko tsoro. Bugu da kari, mutum mai ciwon sukari yana ɗaukar nauyin halayyar dan adam wanda ke da alaƙa da lura da rashin lafiyar sa.

Tabbas likita zai gano magungunan da mai haƙuri yake shan idan ya koka da rauni na rashin ƙarfi. Muna tunatar da ku cewa raunin jima'i galibi yakan haifar da:

maganin tari
maganin alada
ba-zaɓar beta-blockers (tsohuwar ƙarni).

Arfafawa mai ƙarfi saboda toshewar hanyoyin jini

Idan akwai abubuwan haɗari don atherosclerosis (tsufa, hauhawar jini, shan sigari, ƙarancin cholesterol), to ana iya zaton yanayin jijiyoyin bugun jini. Wannan, ta hanyar, shine mafi yawan zaɓi.

Tare da rauni na jima'i saboda toshewar tasoshin a cikin haƙuri, a matsayin mai mulkin, akwai kuma wasu ko duka daga rikice-rikice daga jerin masu zuwa:

cututtukan zuciya da jijiyoyin jini
hauhawar jini
cututtukan ƙafafun jinƙan mahaifa saboda raunin jijiyoyin jini a kafafu.

Babban hanyar da za a bi don lalata daskararwa a cikin cututtukan siga shine rage ƙananan sukari na jini kuma kiyaye shi kusa da al'ada. Likita zai dage kan cewa mara lafiyan ya gudanar da jinyar cutar sankarar kansa, yana ba wannan lokacin da karfin sa. Idan jinin al'ada aka saba, sau da yawa wannan ya isa ya maido da ikon namiji.

Kulawa da matakan gulukotan jini na yau da kullun shine mafi kyawun hanyar don magance matsalolin ba kawai, harma da sauran rikice-rikice na ciwon sukari. Aikin Jima'i zai inganta saboda lalacewar jijiyoyin jiki zai yi rauni kuma alamun bayyanar cututtukan mahaifa za su raunana.

A lokaci guda, yawancin masu ciwon sukari suna korafi cewa yana yiwuwa kusan rage ƙananan sukari na jini zuwa al'ada. Saboda lokuta cututtukan hypoglycemia suna zama mafi yawan lokuta. Amma akwai wata madaidaiciyar hanyar yin wannan - kawai ku ɗan rage carbohydrates. Mayar da hankali ga abinci mai wadataccen furotin da mai ƙoshin lafiya na halitta. Muna ba da shawara ga labaranku:

Hanyoyin girke-girke don rage cin abinci mai-carbohydrate na nau'in 1 da nau'in ciwon sukari na 2 ana samun su anan.

Namijin sauyawa na maza

Idan namiji ba shi da isasshen hormones na jima'i a jikinsa, to ana iya rubuta shi ta madadin magani tare da shirye-shiryen androgen. Likita zai zabi magani daban-daban daban-daban, yadda za a tsara shi da tsarin yadda za'a tsara shi. Magungunan na iya kasancewa a cikin hanyar injections, allunan ko gel wanda aka shafa akan fatar.

Yayin maganin, yakamata a kula da matakin testosterone a cikin jini. Bugu da kari, sau daya a kowane wata shida zai zama tilas a dauki gwajin jini don “gwajin hanta” (ALT, AST), da kuma “kyau” da kuma cholesterol masu kyau. An fahimci cewa maganin androgen zai inganta cholesterol. Yakamata a dawo da karfin iko tsakanin watanni 1-2 bayan fara magani.

Duk mazaje da suka kai shekaru 40 suna buƙatar yin gwajin sihirin dalla dalla sau ɗaya a kowane watanni 6-12, sannan kuma ƙayyade abubuwan da ke tattare da tsarin aikin prostate a cikin jijiyoyin jini. Anyi wannan ne don kada a rasa cutar da cutar ta hanji. Androgen far yana da matukar rikitarwa idan akwai cutar kansa ta hanji ko kuma cutar kansa da ke fama da cutar sikari.

Idan aikin jima'i na mutum yana lalacewa saboda cututtukan cututtukan zuciya, to, an wajabta masa acid na alpha-lipoic (thioctic) a ma'aunin 600-1800 a rana. Wannan abu ne mara lahani na jiki wanda ke taimakawa abubuwa da yawa daga cututtukan zuciya. Amma idan magani tare da alpha-lipoic acid ya fara a ƙarshen ƙarshen ciwon sukari kuma mara lafiya bai yi ƙoƙarin daidaita al'ada sukari na jininsa ba, to, kada a sa zuciya sosai.

Yanzu labari mai dadi. Idan kun koya don kula da sukari na jini a cikin al'ada, to haɓakar ciwan neuropathy na ciwon sukari ba kawai zai tsaya ba, amma zai wuce gaba ɗaya. Fiburorin jijiya suna da ikon murmurewa lokacin da ba su da sauran guba a cikin su. Amma yana iya ɗaukar shekaru da yawa.

Wannan yana nufin cewa idan mutum yana da rauni ta hanyar jima'i saboda ciwon zuciya, to yana iya fatan samun cikakken murmurewa. Abin takaici, idan toshe hanyoyin tasoshin jini ya kara lalacewar jijiya, to irin wannan sihirin kar a iya samar da sukari ba daidai bane. Yana iya jujjuya cewa babu hanyar da za a yi ba tare da maganin tiyata ba.

Likita, wataƙila, zai fara bayar da shawarar a gwada maganin androgen - magani na sauyawa tare da bainar maza. Domin ba wai kawai inganta iko ba ne, amma yana karfafa lafiyar mutum gaba daya. Idan wannan hanyar ba ta taimaka ba, to an riga an tsara ɗayan nau'in nau'in 5 phosphodiesterase inhibitors (PDE-5). Lissafin suna ƙarƙashin jagorancin sanannen Viagra (Silendafil Citrate).

Viagra yana taimakawa kusan kashi 70% na maza masu fama da ciwon sukari. Ba ya yawan sukarin jini, amma ana lura da wasu sakamako masu zuwa:

ciwon kai
fitar da fuska
narkewar cuta
hangen nesa, mai zurfin tunani game da haske (da wuya).

Lokacin da mutum ya riga ya yi amfani da Viagra sau da yawa, jiki yana saba da shi, da alama cutarwa mara kyau tana raguwa sosai.

Matsakaicin farawa shine 50 MG, amma a cikin ciwon sukari, ana iya ƙara yawan kashi na Viagra zuwa 100 MG. Aboutauki kimanin minti 40-60 kafin ma'anar jima'i. Bayan shan kwayoyin, tsagaitawa yakan faru ne kawai a ƙarƙashin tasirin jima'i, "shiri na yaƙi" na iya wuce awa 4-6.

Viagra, Levitra da Cialis: Nau'in nau'in 5 Phosphodiesterase Inhibitors (PDE-5)

Levitra kwatanci ne na Viagra, wanda ake kira vardenafil. Waɗannan allunan ana yin su ne ta hanyar kamfani mai samar da magunguna. Daidaitaccen sashi shine 10 MG, don ciwon sukari zaka iya gwada 20 MG.

Cialis wani magani ne na rukuni guda, wanda ake kira tadalafil. Zai fara aiki da sauri, awanni 20 bayan gudanarwa. Tasirinsa ya kai tsawon awanni 36. An yi wa Cialis lakabi da “kwaya mai karshen mako,” saboda ta hanyar shan kwaya daya, zaku iya kula da yin jima'i daga maraice Juma'a har zuwa Lahadi. Daidaitaccen sashi shine 20 MG, tare da ciwon sukari - sau biyu.

Duk waɗannan magungunan ana iya ɗaukar su ba sau 3 ba a mako, kamar yadda ake buƙata. Rage kashi na masu hana PDE-5 idan kuna shan magunguna daga jerin masu zuwa:

Masu hana HIV kariya
karinda78
ketoconazole.

Contraindications zuwa ga amfani da Viagra da "dangi"

Viagra, Levitra, Cialis da sauran irin waɗannan magunguna suna ba da izini ga mutanen da waɗanda saboda dalilai na kiwon lafiya suna buƙatar iyakance ayyukan jima'i. A cikin wane yanayi ne haɗari don ɗaukar nau'ikan ɓoyayyun nau'ikan 5:

bayan infarction myocardial m - a cikin kwana 90,
m angina,
bugun zuciya na II ko sama,
m zuciya rhythm hargitsi,
jijiyoyin jini (matattakalar jini) Rikicewar jini: Ciwon wuya na ciwon suga

Rashin ƙarfin ciwon sukari: sanadin da magani

Kusantar mutum mai lalacewa yana nuna halin da ake ciki wanda farkon tashi ba zai yiwu ba ko kuma a ɗan samu matsala. Koyaya, zai iya kammala yin ma'amala ta jima'i kuma ya ƙarasa da fashewarsa. A wannan yanayin, suna magana akan fara rashin ƙarfi.

Wani tashin hankali wanda ya gushe ba kwatsam sannan ya sake dawowa baya fada karkashin cutarwar mara karfi kuma yana da alaƙa da matsalolin tunani, naƙasa. gajiyay, ta hanyar shan barasa, nicotine ko kwayoyi.

Amma a kowane hali, rashin tsawa, koda kuwa na ɗan lokaci ne, ƙazanta ne ga kowane mutum, yana rage darajar rayuwarsa, sha'awar jima'i kuma yana haifar da matsaloli a cikin dangantakar abokin tarayya.

Rashin ƙarfi yana faruwa ne saboda dalilai da yawa, waɗanda yawanci ba su dogara da salon rayuwa da halayen maza ba. Hakanan ya samo asali daga asalin cututtukan da yawa sakamakon rikitarwa. Cutar sankarau guda ce irin wannan cuta. Kashi na huɗu na rabin ƙarfi wanda ke fama da wannan cutar yana da mummunar matsala tsarin kula da dabbobi rage erection da iko. Dukda cewa shekarunsu bazasu kai shekaru talatin ba.

Sau da yawa akwai kuma wani yanayi na akasin haka, idan mutumin da ya juya ga wani ƙwararraki don gano dalilin rage ƙwayar cuta, yakan kamu da cutar sankarau sakamakon cutar sankara.

Wannan halin ba ya haifar da wasa. Akwai dalilai da yawa da ke sa ciwon sukari ya rage karfin namiji har ma samari. Kuma don yin magani daidai don rashin ƙarfi a cikin nau'in ciwon sukari na 2, likita dole ne ya gano kuma ya tabbatar da dalilin matsalar.

Wadanne abubuwa ne ke haifar da rauni a cikin masu ciwon sukari?

Lallai akwai da yawa daga cikinsu:

a sanadiyyar cutar, toshewar jinin jikin mutum yana rasa nutsuwa da juriya, suna halakarwa da raguwa da lumina, a sakamakon hakan ne yake haifar da zubar jini. Wannan na faruwa tare da gabobin mahaifa da na azzakari. Don kammala cikakkiyar ma'amala da lalata, mutum yana buƙatar jini 150 ml. A yayin cutar sankara, dabaru na ƙwayar cuta ba sa samun irin wannan adadin jini. Sakamakon haka, yana haifar da rauni mai zurfi na aiki na erectile, koda kuwa kasancewar libido,
cutar tana da alaƙa da keta ayyukan ayyukan endocrine, wanda ke haifar da canji a ma'aunin hormonal. Ba a samar da kwayoyin testosterone na maza, wanda ke da alhakin iyawar erectile da turancin jima'i, yadda jiki yake samarwa. Irin waɗannan matsalolin ana lura da su cikin kashi ɗaya cikin uku na maza masu ciwon sukari,
kasa isasshen jini ga jijiyoyin kwakwalwa,
lalata lalacewar jijiya na tsarin juyayi na autonomic, wanda ke da alhakin ayyukan yau da kullun na rayuwa - numfashi, narkewa da kuma samar da kwayoyin halittar. Sakamakon lalacewar tsarin juyayi mai narkewa na ciki da kai tsaye, rashin ƙarfi yakan faru.
Akwai wasu dalilai da yawa da zasu iya lura. Bayan haka, idan rashin ƙarfi ya hau kan tushen toshewa da kuma mummunan aiki na tasoshin jini, to, haɗarin bugun zuciya ko bugun jini a gaba sakamakon rikicewar gabobin da ke bayar da jini ya yi yawa,
a kan asalin cutar, sakamakon tsoro na kullum, jin zafi, wani tsarin abinci da abinci, mai haƙuri na iya fuskantar abin da ake kira rashin ƙarfi a cikin tunani. Yana da alaƙa da matsalolin da suka taso tare da abokin tarayya yayin saduwa, kuma an bayyana shi cikin yanayin tashin hankali. Sau da yawa, irin wannan yanayi yana daina faruwa yayin da abokin tarayya ya canza, lokacin da wakilin mafi girman jima'i ya ji ƙarfin zuciya, ya manta da faɗuwarsa da ta gabata,
shan magunguna. Daga cikin su akwai magunguna ga masu ciwon sukari, cututtukan cututtukan cututtukan fata, cututtukan cututtukan tsohuwar zamanin.

Kafin fara magani don rashin ƙarfi a cikin ciwon sukari, ya wajaba don yanke hukunci daidai dalilin da yasa ya tashi. Lallai, cin zarafi yana da alaƙa da dalilai da yawa.

Idan har yanzu cutar ba ta bayyana kanta sosai ba, cutar tana kan matakin farko, to zamu iya cewa rashin ƙarfi shine ilimin halin mutum. Idan nakasassu a cikin aiki na kodan, an gano jijiyoyin zuciya da jijiyoyi, hangen nesa ya ɓaci, to, za su yi magana game da abubuwan da ke haifar da bayyanar lalacewar lalacewar jiki.

Tarin tarin bincike da kuma bincike

Don gano cututtukan zuciya da jijiyoyin jini, ana yin gwajin jini:

cholesterol
lipoprotein A,
Hymostein
triglyceride
fibrinogen
C-mai amsawa mai narkewa.

Sakamakon aikin koda yana gudana ta hanyar abubuwan da ke cikin jini:

Ana gwajin glandar thyroid kuma ana gwajin furotin glycated.

Gwaji don testosterone a cikin jini, sauran kwayoyin halittar maza. A yayin da testosterone ga jini al'ada ce, kuma babu isasshen adadin sauran kwayoyin halittun da aka samar, sannan kuma an tsara maganin gwajin protein na globulin.

Don bincika yanayin hanyoyin jini da baƙin kawancen azzakari:

azzakari duban dan tayi,
bincike na kankara na cikin ƙwayar cuta.

Yi bincika saurin hanyar jijiyoyin jijiyoyi waɗanda ke sarrafa ƙwayar jijiyoyin. Likita na iya samun buqatar angiography. Wannan X-ray ce, wacce ake yin ta ta allurar da keɓaɓɓiyar matsakaici a cikin jiragen ruwa kuma ya wajaba a yayin yin tiyata.

Dangane da sakamakon bayanan da aka tattara kuma akan dalilin tattaunawa da mara lafiya, likita ya bayar da shawara game da dalilin karshe kuma ya ba da izinin magance rashin ƙarfi a cikin ciwon sukari..

Yawancin lokaci lura da rashin ƙarfi a cikin ciwon sukari mellitus yana saukowa don magance cutar da kanta. An mayar da matakin sukari na jini - nakasar kuma ya daina aiki. Ikon haihuwa zai dawo da sauri sakamakon maido da jijiyoyin jini, da zubar da jini na yau da kullun, da kuma cututtukan neuropathy.

Yadda za a dawo da iko a cikin ciwon sukari:

kula da ingantaccen matakan sukari,
kula da kiba sosai, canza abincinku cikin hanzari don rage nauyi da wuri-wuri,
dawo da karfin jini zuwa matakan kwarai. A lokaci guda, barin beta-blockers wanda ke rage karfin jima'i na maza,
cikin gaggawa kauda matakin cholesterol a cikin jini, abinci iri daya yake da amfani ga wannan,
daina barasa da nicotine kai tsaye,
kawarwa da lura da neurosis, rashin damuwa da yanayin damuwa. Saboda wannan, kullun tafiya a cikin sabo iska, canza tsarin yau, wasa wasanni da iyo suna da kyau. Kuna iya amfani da sabis na psychotherapist, hanyar karatun acupuncture. Sha wani tafarki na magungunan psychotropic - antidepressants, kwantar da hankali. Amma tsananin bayan tuntuɓar likitanka, tun ɗaukar irin waɗannan magungunan marasa lafiya na iya taimakawa, amma hakan na haifar da matsalar rashin ƙarfi.

Idan an gano neuropathy, ana amfani da alpha-lipoic acid don maido da ƙwayoyin jijiya. Wannan tsari na iya ɗaukar shekaru da yawa.

Sau da yawa, don daidaita matsayin kwayoyin halittar maza, ƙwararren likita ya ba da izinin maganin hormone a cikin nau'ikan allunan, mala'ikan ko wasu kwayoyi. Aikin yana daga wata zuwa watanni biyu. Idan ya zama ba shi da tasiri sosai, to, an miƙa mai haƙuri ya sha nau'in 5 na maganin phosphodiesterase inhibitors. Waɗannan kwayoyi ne kamar Viagra, Cialis ko Levitra. Ingantawa ya zo cikin 70%. A hanya ne da yawa watanni, kai su har zuwa sau uku a mako. An rage allurai idan mai haƙuri ya ɗauki erythromycin, ketoconazole, ko wasu maganin rigakafi a layi daya.

Ana amfani da Prostaglandin E1 lokacin da wani magani bai taimaka ba. Ana yin allura kai tsaye cikin azzakari 'yan mintoci kaɗan kafin ma'anar jima'i ta fara, amma ba sau da yawa fiye da sau ɗaya a rana. Yana da sakamako na jijiyoyin bugun jini, yana haifar da hauhawar jini zuwa ga phallus.

Idan ba zai yiwu a warkar da rashin ƙarfi ba a cikin cututtukan ƙwaƙwalwar ƙwayar cuta, likitan ya ba da shawara ga ƙarshe, makoma na ƙarshe, aikin tiyata.

Babban burin wasu daga cikinsu shine dawo da kwararar jini ta al'ada ta hanyar fadada hanyoyin jini. Dalilin wasu shine aikin rukuni don bi ko dawo da haɓaka da ƙarfin namiji.

Ta yaya za a mayar da iko a cikin ciwon sukari? Yana yiwuwa a yi amfani da hanyoyin da ba na al'ada ba dangane da tsirrai da samfuran halitta, tare da magani na gaba ɗaya, shawarwari na likitan ilimin likita da ma aiki. Yana taimaka wajen dawo da iko saboda karuwar tincture na tafarnuwa. Kuna iya dafa shi da kanka a gida, amma zaka iya siyan samfurin da aka gama a kantin magani ka ɗauke shi bisa ga umarnin.

Samun maganin testosterone na maza zai haɓaka sosai da sauri idan kun ci ƙwaro da zuma a kowace rana. Ginseng tincture, ana ɗauka akai-akai, zai inganta yanayin gaba ɗaya, ƙara haɓakawa da iko, har ma da ƙara haɓaka ma haifuwar jiki, yana tasiri da ingancin ƙwayar haihuwar.

Ciwon sukari da kuma matsalar potency a cikin maza. Ciwon sukari da rashin ƙarfi

Wani lokacin masu ciwon sukari masu nau'in 1 da nau'in cuta 2 suna fuskantar matsaloli. Likitocin sun ce cutar na haifar da karsashi. A cikin maza masu matakan sukari na yau da kullun, haɗarin haɓakar rashin ƙarfi shine sau 3 ƙasa. Yau za mu gano dalilin da ya sa ciwon sukari ke shafar ikon namiji, da kuma zaɓin zaɓuɓɓukan magani.

Inganci a cikin ciwon sukari na faruwa saboda irin waɗannan dalilai:

Shan magungunan masu cutar sukari wanda ke cutar da iko. Waɗannan sun haɗa da maganin hana kumburi, abubuwan hana jini da magungunan ƙwayoyin cuta.
Kasusuwa ba sa aiki sosai.
Ana haifar da kwayoyin halittar jima'i a cikin ƙananan farashi.
An lalatar da jijiyoyin da ke da alhakin tashin maza.

Dalilin jiki. Idan ciwon sukari ya haifar da rikicewar koda, rashin hangen nesa da rashin zuciya.
Dalilin hankali. Halin kiwon lafiya al'ada ne kuma ciwon sukari ne kawai a farkon matakin. Yiwuwar kamuwa da cutar sankari saboda rashin lafiyar mutum.

Jiyya da rashin ƙarfi a cikin ciwon sukari mellitus - jarrabawa

Mai ciwon sukari dole ne ya gwada bayanan gwaji don bayar da magani mai dacewa:

Dopplerography of jini.
Nazarin Ilimin Jiki.
Angiography of tasoshin jikin namiji.

Idan iko na mara lafiya ya ragu sosai tare da ciwon sukari, dole ne ya wuce irin wannan gwaje-gwaje:

Binciki don glycated haemoglobin.
Binciken don lipoprotein A, triglycerides, fibrinogen da cholesterol.
Kallon luteinizing hormone.
Nazarin thyroid.
Nazarin akan creatinine da uric acid. Ana binciken aikin kodan mai haƙuri.
Binciken ƙwayar follicle mai motsa jiki a cikin maza.

Sau da yawa a cikin maza masu fama da cutar siga, yanayin tunanin mutum na rashin ƙarfi yakan tashi. Haka kuma, mai ciwon sukari na iya samun tsautsayi mara lafiyan safe. Wasu lokuta matsaloli kan taso saboda abokin tarayya. Idan ta canza, to "lafiyar namiji" zata iya murmurewa.

Matashin hankali yana bayyana ne kawai a farkon ciwon sukari. Wani mutum yana da tsoro da fargaba cewa cutar za ta tsoma baki tare da alaƙar ƙaunarsa. Haka kuma, mai ciwon sukari yana yawan tunanin yadda zai magance cutar kuma ba zai iya shakatawa kuma a raba shi da hankali ba.

Shan magungunan masu cutar sankarau na iya haifar da rashin lafiya wasu lokuta. Ya kamata ku nemi shawarar likita nan da nan, kuma zai tantance irin magungunan da basu dace da ku ba. Sau da yawa yi lahani:

Beta masu toshe daga tsohuwar tsara.
Kwayarwa.
Duk wani maganin rigakafi.

Ta hanyar banda amfani da wani magani, zaku iya mantawa game da matsaloli tare da iko.

Wasu lokuta matsaloli tare da tasoshin jini wanda ke haifar da rashin ƙarfi. Suna dauke da irin wannan ƙarin alamun:

Hawan jini
Ischemia a cikin zuciya.
Ciwon ƙafar ƙafafun ciwon sukari.

Magani na rashin ƙarfi a cikin ciwon sukari an tsara shi ta ƙwararrun ƙwararrun masani. Idan kun bi duk shawarwarinsa da shawararsa, to, zaku manta game da matsala mara kyau da lafiyar maza.

Da farko dai, kuna buƙatar rage ƙididdigar sukari ku kawo shi al'ada.
Yawancin marasa lafiya suna jin tsoron rage sukarin su don hana hypoglycemia. Koyaya, idan kunci ƙasa da carbohydrates kuma ƙara ƙari sunadarai da ƙoshin lafiya mai kyau a cikin abincinku, to kusan babu haɗari.
Yi ƙoƙari ku bi abincin low na carbohydrate.

Wani lokacin mai ciwon sukari bashi da isasshen hormones a jiki. A wannan yanayin, likita zai iya ba da magani don rashin ƙarfi a cikin masu ciwon sukari tare da androgens. Kwararrun ya kamata ya zaɓi takamaiman magani dangane da matakin ciwon sukari da kuma yanayin mai haƙuri. Za a ba wa masu ciwon sukari daban-daban allurai da ainihin tsarin aikin. Zai iya zama injections, kwayoyin hana ruwa ko gel.

Likitoci suna ba da shawara a lokacin warkarwa don saka idanu kan matakin testosterone. Kar a manta yin gwajin jini akai-akai sannan a duba ALT da AST. Kwararru suna ba da tabbacin cewa tare da ingantaccen magani, ikon zai dawo bayan watanni 2.

Ga masu ciwon sukari daga shekara 40, kana buƙatar halartar jarrabawar dubura kowace wata shida. A wannan yanayin, wajibi ne don saka idanu akan matakin antigen a cikin jini. Idan ka rasa wannan cutar, to farjin zai iya haifar da cutar ta hanji. Wannan na haifar da cutar kansa ko ciwan kansa.

Idan likita ya bayyana ciwon sukari a cikin haƙuri, to, an ƙara alpha-lipoic acid a cikin jiyya. Kwararren likita zai ba ku takamaiman adadin maganin. Yana yawanci daga 600 zuwa 1800 MG kowace rana. Acic na gaba daya na halitta ne kuma ya dace da kula da cututtukan neuropathy. A ƙarshen ƙarshen ciwon sukari, kuna buƙatar saka idanu sosai kan matakin sukari, in ba haka ba magani tare da acid ba zai sami babban sakamako ba.

Idan kun bi duk shawarwarin likita, to lipoic acid zai dawo da tsoffin ƙwayoyin jijiya kuma zasu haifar da dawowar iko.

Da farko likitoci suna gwada magani tare da androgens. Koyaya, a cikin sakamako mara kyau, ya zama dole don neman magani tare da inhibitory phosphodiesterases. Mafi yawan lokuta ana tsara shi ne Viagra. Dangane da kididdigar, yana mayar da iko a cikin kashi 70 cikin dari a cikin masu ciwon sukari. Wannan samfurin ba zai haɓaka sukari ba saboda haka baya cutar da jiki. Koyaya, kuna buƙatar bayyana wasu sakamakon sakamako na Viagra:

Damuwa.
Mai tsananin migraine.
Rashin hangen nesa. A gaban idanuna akwai hazo.
Jinin jini yayi saurin zuwa fuskar.

Likitoci sun lura cewa idan aka yi amfani da Viagra na yau da kullun, mara lafiya zai yi amfani da matakinsa, kuma ba zai sami sakamako masu illa ba. Da farko, ana tsara 50 mg na miyagun ƙwayoyi. Daga baya, kashi na iya ƙaruwa zuwa 100 MG, dangane da yanayin mai haƙuri. Yi amfani da Viagra sa'a daya kafin ma'amala.

Levitra yana kama da aiki a cikin Viagra. An wajabta wa masu ciwon sukari a 20 MG kafin ma'amala.

Cialis magani ne mai kama da wannan da ake amfani dashi a cikin warkarwa. Sunansa na biyu shine tadalafil. Magungunan ta riga ta fara aiki na mintina 20 bayan gudanarwa. A cikin ciwon sukari, likitoci suna ba da 40 mg na Cialis.

Masana sun ba da shawarar shan waɗannan kwayoyi ba sau 3 a mako. Kuna buƙatar daidaita adadin su idan kuna shan wasu magunguna, misali:

An haramta bayan bugun jini na tsawon watanni shida.
Tare da angina pectoris.
A lokacin cututtukan ciwon sukari.
Tare da rashin lafiyar zuciya. Matsin lamba ya fi 90/50.
Bayan infarction din haihu na watanni 3.
Tare da cin zarafi akai-akai daga cikin zuciya.
Idan ya kasance akwai hare-hare na angina pectoris yayin ma'amala.

Idan magani tare da Viagra baya taimakawa, yi amfani da injections tare da prostaglandin E1. Anan cikin allura na mintina 20 kafin ma'amala.
Mafi tsananin zaɓi zaɓi don rashin ƙarfi shine tiyata.
Kafin shan kowane magani, shawarci likitanka kuma kayi nazarin sakamako masu illa.
Ara abincin da yakamata a kowane magani. Abincin carbohydrate-lowering zai iya daidaita sukari da kuma fama da rashin ƙarfi da sauri.

Yanzu kun san iyawar ciwon sukari a cikin maza na iya faduwa da gaske. Koyaya, kuna buƙatar ƙaddamar da bayyanar cututtuka nan da nan, gano manyan abubuwan da ke haifar da fara magani mai dacewa. Yana da mahimmanci kada a nuna himma, amma don amincewa da ƙwararren masani. Zai ƙayyade adadin magunguna kuma ya ba da magani daidai. Yakamata mai haƙuri ya bi shawarwarin gwargwadon iko, lura da abinci mai gina jiki da lafiyar sa. Kuma a kan lokaci, za a dawo da lafiyar maza.

Yurkov, I.B. Littafin Jagora game da rikicewar hormonal da cututtuka / I. B. Yurkov. - M.: Phoenix, 2017 .-- 698 p.
Davidenkova, E.F. Maganin ƙwayar cutar sankara (mellitus / E.F.) Davidenkova, I.S. Lieberman. - M.: Magani, 1988 .-- 160 p.
Filatova, M.V. Darasi na nishaɗi don ciwon sukari mellitus / M.V. Filatova. - M.: AST, Sova, 2008 .-- 443 p.
Field, Maria Golden gashin baki a lura da ciwon sukari mellitus / Maria Field. - M.: IG “Duk”, 2005. - 128 p.

Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan aikin don wurin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.