Nā pilikia kūkulu

Kūpono kahi pilikia kūkulu inā ʻaʻole hiki i kahi kāne ke kiʻi a mālama i kahi kūkulu paʻa paʻa no ka moekolohe. ʻAʻole hiki iā ʻoe ke kūkulu i kūkulu aʻe. A i ʻole, lilo paha ʻoe i ke kūkulu ʻana i ka wā o ka moekolohe ma mua o kou mākaukau. ʻAʻole pili ka pilikia o ke kūkulu i kāu kahakaha wahine.

Kūleʻa nā pilikia kūkulu hale. ʻAneʻane pilikia nā kāne makua āpau i ka hana ʻana a mālama ʻana paha i ke kūkulu ʻana i kēlā me kēia manawa. Hele pinepine ka pilikia me ka liʻiliʻi a ʻaʻohe lapaʻau. Akā no kekahi mau kāne, hiki ke lilo i pilikia mau. Kāhea ʻia kēia ʻo erectile dysfunction (ED).

Inā loaʻa iā ʻoe ka pilikia e kiʻi a mālama paha i kahi kūkulu ma mua o 25% o ka manawa, pono ʻoe e ʻike i kāu mea mālama ola.

E kiʻi i kahi kūkulu, kou lolo, nā ʻalolo, nā homone, a me nā kīʻaha koko e pono e hana pū. Inā loaʻa kekahi mea i ke ala o kēia mau hana maʻamau, hiki iā ia ke alakaʻi i nā pilikia kūkulu hale.

ʻO ka pilikia kūkulu hale ʻaʻole maʻa mau "āpau i kou poʻo." ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā pilikia kūkulu hale he kumu kino. Ma lalo iho nei kekahi mau kumu kino maʻamau.

Maʻi:

• Diabetes
• Piʻi koko kiʻekiʻe
• Nā kūlana puʻuwai a thyroid paha
• Nā aʻa paʻa (atherosclerosis)
• Kaumaha
• Nā pilikia ʻōnaehana ʻōnaehana, e like me sclerosis a i ʻole maʻi Parkinson

Nā Lapaʻau:

• Nā Antidepressants
• ʻO nā lāʻau kaomi koko (ʻoi loa ʻo beta-blockers)
• Nā lāʻau puʻuwai, e like me digoxin
• Pila hiamoe
• ʻO kekahi mau lāʻau ulcer peptic

Nā kumu kino ʻē aʻe:

• Nā pae testosterone haʻahaʻa. Hiki i kēia ke lilo i mea paʻakikī e kiʻi i kahi kūkulu. Hiki iā ia ke hōʻemi i ka hoʻokamakama kāne.
• Hoʻopilikia ke aʻalolo mai ke kahakaha prostate.
• ʻO Nicotine, wai ʻona, a i ʻole hoʻohana cocaine.
• ʻEha ʻiwi.

I kekahi mau hihia, hiki i kou mau naʻau a i ʻole nā ​​pilikia pili i ke alakaʻi iā ED, e like me:

• Ka kamaʻilio maikaʻi ʻole ʻana me kāu hoa.
• Nā manaʻo kanalua a me ka holo pono ʻole.
• Kaumaha, makaʻu, hopohopo, a huhū paha.
• Ke manaʻo nei i nā mea he nui mai ka moekolohe. Hiki i kēia ke hana i ka moekolohe i kahi hana ma kahi o ka leʻaleʻa.

Hiki i nā pilikia kūkulu hale ke hoʻopili i nā kāne i kēlā me kēia makahiki, akā ʻike pinepine ʻia i kou wā ʻelemakule. ʻOi aku ka maʻamau o nā kumu kino i nā kāne makua. ʻOi aku ka maʻamau o nā kumu noʻonoʻo i nā kāne ʻōpio.

Inā he kūkulu ʻoe i ke kakahiaka a i ʻole i ka pō ke hiamoe ʻoe, ʻaʻole paha ia he kumu kino. ʻO ka hapa nui o nā kāne he 3 a 5 mau kūkulu i ka pō i hala ma kahi o 30 mau minuke. E kamaʻilio me kāu mea lawelawe e pili ana pehea e ʻike ai inā he kūkulu maʻamau i ka pō.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Ka pilikia i ke kūkulu ʻana i kūkulu
• Hoʻopilikia i ka mālama ʻana i kahi kūkulu
• Loaʻa i ke kūkulu ʻana ʻaʻole paʻa paʻa no ka moekolohe
• ʻOi aku ka hoihoi i ka moekolohe

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino, i hiki ke hoʻopili ʻia:

• Lawe i kou kaomi koko
• Ke nānā nei i kāu peni a me ka pololei e nānā ai i nā pilikia

E nīnau paha kāu mea hāʻawi i nā nīnau e kōkua ai e ʻike i ke kumu, e like me:

• Ua hiki iā ʻoe ke kiʻi a mālama i nā kūkulu i nā wā i hala?
• Loaʻa paha iā ʻoe kahi pilikia e kiʻi i kahi kūkulu a mālama paha i nā kūkulu?
• He kūkulu paha kāu i ka hiamoe a i ʻole i ke kakahiaka?
• Pehea kou lōʻihi me kou kūkulu ʻana i nā hale?

E nīnau pū kāu mea hāʻawi e pili ana i kou nohona:

• Ke lawe nei ʻoe i nā lāʻau, e laʻa me nā lāʻau lapaʻau a me nā mea hoʻopiha?
• Inu ʻoe, puhipaka, a hoʻohana paha i nā lāʻau leʻaleʻa?
• He aha kou kūlana noʻonoʻo? Kuhi paha ʻoe, kaumaha, a hopohopo paha?
• Loaʻa iā ʻoe nā pilikia pili?

Loaʻa paha iā ʻoe kekahi mau hoʻokolohua like ʻole e kōkua ai e ʻike i ke kumu, e like me:

• ʻO Urinalysis a i ʻole nā ​​hoʻāʻo koko e nānā ai i nā kūlana olakino e like me ka maʻi kō, ka pilikia o ka puʻuwai, a i ʻole ka testosterone haʻahaʻa
• ʻO kahi hāmeʻa āu eʻaʻahu ai i ka pō e nānā i ke kūkulu ʻana i nā pō maʻamau
• ʻO ke ultrasound o kāu peni e nānā ai i nā pilikia kahe o ke koko
• Ka nānā ʻana i ka ʻoʻoleʻa e hoʻāʻo i ka ikaika o kāu kūkulu ʻana
• Nā hoʻokolohua noʻonoʻo e nānā ai no ke kaumaha a me nā pilikia ʻano ʻē aʻe

Pili paha ka lāʻau i ke kumu o ka pilikia a me ke olakino ou. Hiki i kāu mea hoʻolako ke kamaʻilio pū me ʻoe e pili ana i ka lāʻau maikaʻi loa nāu.

No nā kāne he nui, hiki i nā loli nohona ke kōkua. Pākuʻi ʻia kēia mau mea:

• Ke kiʻi nei i ka hoʻoikaika kino
• ʻO ka ʻai ʻana i ka papaʻai olakino
• Lilo keu keu
• Hiamoe maikaʻi

Inā pilikia ʻoe a me kāu hoa e kamaʻilio e pili ana i kāu pili, pilikia paha ia me ka moekolohe. Hiki i ke ʻōlelo aʻoaʻo ke kōkua iā ʻoe a me kāu hoa.

ʻAʻole lawa paha nā loli nohona. Nui a hewahewa nā koho.

• ʻO nā pila āu e lawe ai ma ka waha, e like me sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), a me tadalafil (Adcirca, Cialis). Hana wale lākou ke hana ʻia ʻoe i ka moekolohe. Hoʻomaka ka hana maʻamau ma 15 a 45 mau minuke.
• Hoʻokomo ʻia nā lāʻau i loko o ka urethra a i ʻole injected i loko o ka peni e hoʻomaikaʻi i ke kahe o ke koko. Hoʻohana ʻia nā nila nī liʻiliʻi a mai hōʻeha i ka ʻeha.
• ʻO ke keʻoki e waiho i nā implants i ka peni. Hiki ke inflatable a semi-rigid paha nā implants.
• ʻO kahi mīkini uila. Hoʻohana ʻia kēia e huki i ke koko i loko o ka peni. Hoʻohana ʻia kahi pāʻina kāpili kūikawā e mālama i ke kūkulu ʻana i ka wā o ka moekolohe.
• Hoʻololi Testostero inā haʻahaʻa kāu pae testosterone. Hele mai kēia i nā ʻili o ka ʻili, gel, a i ʻole nā ​​injection i loko o ka mākala.

ʻO nā huaʻai ED āu e lawe ai ma ka waha hiki ke loaʻa nā hopena ʻaoʻao. Hiki i kēia mau mea ke hōʻiliʻili i ka ʻeha o ka mākala a me ka holo ʻana i ka puʻuwai puʻuwai. Mai hoʻohana i kēia mau lāʻau me nitroglycerin. Hiki i ka hui pū ke hāʻule i kou kaʻe koko.

ʻAʻole hiki iā ʻoe ke hoʻohana i kēia mau lāʻau inā loaʻa iā ʻoe kekahi o kēia mau ʻano:

• ʻO ke kuʻi hou a i ʻole ka puʻuwai puʻuwai
• ʻO nā maʻi puʻuwai koʻikoʻi, e like me ka angina kūpaʻa a i ʻole ka puʻuwai puʻuwai maʻamau (arrhythmia)
• Hoka puʻuwai koʻikoʻi
• Kikokikō kiʻekiʻe ʻole kāohi ʻole ʻia
• Diabetes kāohi ʻole ʻia
• Ke kaomi haʻahaʻa haʻahaʻa loa

Loaʻa i nā ʻano lāʻau ʻē aʻe nā hopena a me nā pilikia. E noi i kāu mea hāʻawi e wehewehe i nā pilikia a me nā pōmaikaʻi o kēlā me kēia lapaʻau.

ʻIke paha ʻoe i nā mea kanu a me nā mea hoʻopihapiha e koi e kōkua i ka hana moekolohe a i ʻole ka makemake. Eia naʻe, ʻaʻohe mea i hōʻoia e mālama maikaʻi iā ED. Hoʻohui, ʻaʻole palekana lākou i nā manawa āpau. Mai lawe i kekahi mea me ke kamaʻilio ʻole ʻole ʻole me kāu mea hāʻawi.

Nui nā kāne e lanakila i nā pilikia kūkulu hale me nā loli nohona, lapaʻau, a i ʻole ʻelua. No nā hihia ʻoi aku ka hewa, hiki iā ʻoe a me kāu hoa ke hoʻoponopono i ka hopena ʻana o ED i kāu ola wahine. ʻOiai me ka mālama ʻana, hiki i ke ʻōlelo aʻoaʻo ke kōkua iā ʻoe a me kāu hoa e lanakila i ke kaumaha a ED i kau ai i kāu pili.

ʻO kahi pilikia kūkulu i hele ʻole aku e hōʻoluʻolu iā ʻoe iho. Hiki iā ia ke hōʻeha i kou pilina me kāu hoa. ʻO ED paha kahi hōʻailona o nā pilikia olakino e like me ka maʻi kōkō a i ʻole nā ​​maʻi puʻuwai. No laila inā he pilikia kūkulu kou, mai kali e ʻimi i ke kōkua.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole hele ka pilikia me nā loli nohona
• Hoʻomaka ka pilikia ma hope o kahi ʻeha a he ʻoki prostate paha
• Loaʻa iā ʻoe nā ʻōuli ʻē aʻe, e like me ka ʻeha o ke kua haʻahaʻa, ʻeha o ka ʻōpū, a i ʻole kahi hoʻololi o ka urination

Inā ʻoe e noʻonoʻo i kahi lāʻau āu e lawe nei e hoʻokumu ana i nā pilikia kūkulu hale, e kamaʻilio me kāu mea hāʻawi. Pono ʻoe e hoʻohaʻahaʻa i ka lāʻau a hoʻololi paha i kahi lāʻau ʻē aʻe. Mai hoʻololi a hōʻoki paha i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi.

E kamaʻilio i kāu mea hāʻawi inā pili kāu pilikia kūkulu me ka makaʻu i nā pilikia puʻuwai. ʻO ka moekolohe ka palekana no nā kāne me nā pilikia puʻuwai.

Kāhea koke aku i kāu mea lawelawe a hele i kahi keʻena pilikia inā ʻoe e lawe nei i ka lāʻau ED a hāʻawi iā ʻoe i kahi kūkulu e ʻoi aku ana ma mua o 4 mau hola.

I mea e pale ai i nā pilikia kūkulu hale:

• E haʻalele i ka puhi pua ʻana.
• E ʻokiʻoki i ka waiʻona (ʻaʻole i ʻoi aku ma mua o 2 mau inu i kēlā me kēia lā).
• Mai hoʻohana i nā lāʻau kū ʻole i ke kānāwai.
• E hiamoe nui a hoʻolōʻihi i ka manawa e hoʻomaha ai.
• Noho i kahi kaupaona olakino no kou kiʻekiʻe.
• Hoʻomaʻamaʻa a ʻai i ka papaʻai olakino e mālama i ke kahe o ke koko maikaʻi.
• Inā he maʻi diabetes ʻoe, e mālama pono i ke kō kō.
• Kamaʻilio hāmama me kāu hoa e pili ana i kāu pili a me kou ola wahine. E ʻimi i nā ʻōlelo aʻoaʻo inā pilikia ʻoe i ke kamaʻilio pū ʻana me kāu hoa.

ʻO ka hana Erectile; Impotence; ʻO ka moe kolohe - kāne

• Impotence a me ka makahiki

Pūnaewele ʻAmelika Urological ʻAmelika. He aha ka hana erectile? www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed). Hoʻohou Iune 2018. Loaʻa iā ʻOkakopa 15, 2019.

Burnett AL. Ka loiloi a me ka mālama ʻana i ka hana erectile. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 27.

Burnett AL, Nehra A, Breau RH, et al. ʻO ka hana Erectile: ke alakaʻi AUA. J Urol. 2018; 200 (3): 633-641. PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858.