Erectile dysfunction

Yawancin maza sun yi magani Erectile tabarbarewa gudanar da sake samun gamsuwar jima'i. Don yin wannan, dole ne likita ya gano dalilin (s) na rashin aiki da kuma abubuwan haɗari.

Idan kuma akwai ciwon da ke cikinsa, za a yi maganinta, sannan kuma namijin kuma za a ba shi magani don inganta aikinsa.

Idan tabarbarewar ba ta da alaƙa da takamaiman matsalar lafiya, maganinta na iya haɗawa da ingantawa halaye na rayuwa (duba sashin rigakafi), a farfadowa fahimi-halaye ko shawara tare da a likitan mata (duba maganin jima'i a ƙasa) kuma, sau da yawa, jiyya tare da kwayoyi.

Fahimtar-halayyar far

Wannan hanyar zuwa mutum psychotherapy yana taimakawa wajen ganowa da fahimtar matsalar ta hanyar yin nazari na musamman, wato tunani, tsammanin da imani na mutum dangane da jima'i. Wadannan tunani suna da tasiri da yawa: abubuwan rayuwa, tarihin iyali, tarurruka na zamantakewa, da dai sauransu. Alal misali, mutum na iya jin tsoron cewa jima'i zai daina da shekaru, kuma ya yi imanin cewa kwarewa inda bai cimma tsayin daka ba alama ce ta raguwa ta dindindin. Yana iya tunanin matarsa ​​tana ƙaurace masa saboda wannan dalili. Tuntuɓi masanin ilimin halayyar ɗan adam ko likitan jima'i wanda ya saba da wannan hanyar (duba ilimin jima'i a ƙasa).

magunguna

Sildenafil (Viagra®) da sauran IPDE-5. Tun daga ƙarshen 1990s, jiyya na farko na maganin rashin ƙarfi na baka yana cin karo da maganin baka shine nau'in phosphodiesterase 5 (IPDE-5) inhibitors - sildenafil (Viagra®), vardenafil (Levitra ®) da tadalafil (Cialis®) ko avanafil ( Spedra®). Wannan nau'in magungunan da ake samu ta hanyar sayan magani kawai yana kwantar da tsokoki na arteries a cikin azzakari. Wannan yana ƙara kwararar jini, kuma yana ba da damar haɓakawa yayin da ake samun motsa jiki. Don haka, IPDE-5 ba aphrodisiacs ba ne kuma jima'i motsawa ana bukata domin magani yayi aiki. Akwai nau'ikan allurai daban-daban da tsawon lokacin aiki. Misali, idan tsawon lokacin aikin ya kasance awa 4, muna da taga aiki na awa 4 wanda zamu iya yin jima'i ɗaya ko fiye (mikin ba ya ɗaukar awa 4). Wadannan magungunan suna da tasiri a cikin kashi 70% na lokuta amma ba su da tasiri a cikin cututtuka na kullum kamar ciwon sukari.

amfanin sabawa nema ganin yuwuwar hulɗar miyagun ƙwayoyi. Duba likitan ku.

Maganin intraurethral. A cikin yanayin da IPDE-5 ba ta da tasiri ko kuma lokacin da aka hana amfani da shi, likita na iya rubuta abubuwan da ke haifar da vasoactive (misali, alprostadil) wanda mutum ya koya don gudanar da kansa a cikin urethra. a karshen azzakari minti 5 zuwa 30 kafin yin jima'i. Ana gudanar da waɗannan magungunan azaman mini-suppositories da za a shigar a cikin fitsari meatus (Muse® na'urar) ko cream (Vitaros®). Hanya ce mai sauƙi da ban sha'awa ga 30% na maza waɗanda magungunan kwamfutar hannu ba su da tasiri.

Allurar azzakari (Intracavernous injections). Wannan magani-kawai magani, tun farkon shekarun 1980, ya ƙunshi allurar magani (alprostadil) a gefe ɗaya na azzakari. Wannan magani yana aiki ta hanyar shakatawa tsokoki a cikin arteries a cikin azzakari, wanda ke ƙara yawan jini a cikin minti 5 zuwa 20. Tare da wannan magani, ana samun tsayayyen azzakari har ma da rashin motsa jiki na jima'i kuma yana ɗaukar kimanin awa 1. Ana ƙara yin amfani da wannan magani a cikin maza waɗanda kwamfutar hannu, cream ko ƙaramin maganin suppository ba su da tasiri. Wannan magani yana da tasiri a cikin 85% na maza, kuma shine mafi yawan lokuta a cikin maza waɗanda ba sa amsa magani tare da magani a cikin allunan (Viagra® ko Sildenafil, Cialis®, Levitra®, Spedra®), cream (Vitaros®) , ko a cikin ƙananan kayan abinci (Muse®))

Testosterone. Idan matsalar rashin karfin mazakuta ta faruhypogonadism (wanda ke haifar da raguwar testosterone mara kyau), don haka samar da hormones na jima'i ta hanyar gwaji ya ragu, ana iya la'akari da maganin hormonal tare da testosterone. Duk da haka, yana da tasiri kawai a cikin kashi uku na lokuta don dawo da erections na aiki.

Na'urorin azzakari. Lokacin da magungunan da suka gabata basu yi aiki ba ko kuma basu dace ba, ana iya amfani da na'urorin inji. Zoben zakara wanda rawarsa shine ƙarfafa tushen azzakari don kula da haɓakawa zai iya zama mai tasiri ba tare da damuwa da abubuwan da ke cikin kwayoyi ba. Lokacin da zoben azzakari bai isa ba, da Ruwan walwala, wanda kuma ake kira vacuum, yana haifar da vacuum a cikin silinda da aka sanya a kusa da azzakari, wanda ke haifar da tashin hankali wanda ke riƙe da zoben matsi na roba wanda ya zame a gindin azzakari.

Zubar da azzakari. Hakanan akwai nau'ikan iri daban-daban azzakari implants ana buƙatar tiyata don dasa sandunan da za a iya busawa a cikin azzakari har abada. Magani ne mai matuƙar tasiri lokacin da wasu dama ba su yi aiki ba.

Rage sha'awa

Idan aka fuskanci raguwar sha'awar jima'i, abu na farko da za a yi shi ne duba lafiyar likita, don gano abubuwan da ke haifar da rashin lafiyar sha'awar, jera magungunan da aka sha, tiyatar da aka yi, cututtuka na yau da kullum. Dangane da wannan ƙima, ana iya aiwatar da magani ɗaya ko jiyya da yawa. Bayan matsalolin sha'awar da ke da alaƙa da matsalolin likita, matsalolin tunani na iya kasancewa. Maganin da aka tsara sannan ya ƙunshi aikin jiyya na sirri ko ma'aurata.

La gargajiya far ya ƙunshi shirin tuntuɓar likitocin masu tabin hankali, masanin ilimin halayyar ɗan adam ko masanin ilimin jima'i a lokacin da muke aiki don gano toshewar, tsoronsu, tunani mara aiki don ɗaukar ɗabi'u da halayen da ke ba su damar shawo kan su. Dubi Maganin Halayen Fahimi da Magungunan Jima'i.

Haɗuwa mai tasowa

A yayin fitar maniyyi da wuri, ana neman aikin likitan da zai iya ba da magani don jinkirta fitar maniyyi. Wannan shi ne dapoxetine (Priligy®). Wannan yana aiki lokacin da maniyyi ya yi sauri sosai (kasa da minti 1 bayan shigar ciki). A lokaci guda, yana da amfani a tuntuɓi likitan ilimin jima'i ko masanin ilimin halayyar ɗan adam wanda ke amfani da dabarun ba da shawara da dabarun haɓaka ɗabi'a. Za a sanya batun da abokin tarayya (ko nasa) don aiwatar da hanyoyi daban-daban na shakatawa da kamun kai, misali ta motsa jiki na numfashi da nufin rage saurin hawan sha'awar jima'i da motsa jiki na tsoka.

Likita na iya koyar da dabarar matsi (matsin glans ko gindin azzakari), tsayawa da tafi ko gyaran farji ta hanyar Kegel, dabarar da ke ba da damar batun don gano "ma'anar rashin dawowa" da kuma sarrafa abin da ke haifar da reflex na maniyyi.

Amfani da kwaroron roba ko cream m yana da tasirin rage hanin azzakari, wanda zai iya taimakawa wajen jinkirta fitar maniyyi. Game da yin amfani da kirim mai sa barci, ana ba da shawarar sanya robar roba don kada a kashe farji da kuma sauƙaƙe shayar da kirim.

Peyronie ta cuta

Maganin jima'i

Lokacin da likita ya yarda da majiyyacinsa cewa abubuwan tunani suna shiga cikin ɗaya ko wani nau'in tabarbarewar jima'i, yawanci yakan ba da shawarar ganin likitan jima'i. Yawancin masu ilimin jima'i suna aiki a cikin ayyukan sirri. Waɗannan na iya zama zama ɗaya ko biyu. Waɗannan zaman na iya taimakawa wajen kwantar da baƙin ciki da tashin hankali ko rikice-rikicen aure da ke haifar da matsalolin da ake fuskanta a rayuwar jima'i. Hakanan za su taimaka wajen kara girman kai, wanda galibi ana cin zarafi a irin waɗannan lokuta. Akwai manyan hanyoyi guda biyar a cikin maganin jima'i:

• la haɓaka-halayyar halayyar juna, wanda ke da nufin karya mugunyar zagayowar tunani mara kyau game da jima'i ta hanyar gano waɗannan tunanin da ƙoƙarin kashe su, da kuma gyara halayen.
• l 'tsarin tsari, wanda ke duba mu’amalar ma’aurata da tasirinsu ga rayuwarsu ta jima’i;
• datsarin nazari, wanda ke ƙoƙarin warware rikice-rikice na cikin gida a asalin matsalolin jima'i ta hanyar nazarin tunani da tunanin batsa;
• l 'tsarin rayuwa, inda ake ƙarfafa mutum ya gano yadda yake tunanin matsalolin jima'i da kuma sanin kansa sosai;
• datsarin jima'i, wanda ke yin la'akari da haɗin gwiwar da ba za a iya raba shi ba - motsin zuciyarmu - hankali, kuma wanda ke nufin jima'i mai gamsarwa a kan matakin sirri da na dangantaka.