Ukungavuki kwepipi

Ukungasebenzi kahle kwe-Erectile ( ED ), okubizwa nangokuthi ukungabi namandla, wuhlobo lokungasebenzi kahle kocansi lapho ipipi lihluleka ukuba khona noma ukuhlala liqondile ngesikhathi sokwenza ucansi.Kuyinkinga ejwayelekile yezocansi emadodeni. ^[1]Ngokuxhumeka kwayo ekuzicabangeni nasezinkinga ebudlelwaneni bezocansi, ukungasebenzi kahle kwe-erectile kungadala ukulimala kwengqondo.

Cishe ku-80% wamacala, izimbangela zomzimba zingabonakala. ^[2]Lokhu kufaka phakathi isifo senhliziyo nemithambo yegazi ; isifo sikashukela ; izinkinga zemizwa, njengalezo ezilandela i- prostatectomy ; hypogonadism ; nemiphumela emibi yezidakamizwa .Cishe i-10% yamacala ukungabi namandla kwengqondo, okubangelwa yimicabango noma imizwa; ^[2] lapha, kunempendulo enamandla ekwelashweni kwe-placebo .

Igama ukungasebenzi kahle kwe-erectile alisetshenziswanga kwezinye iziphazamiso zokwakhiwa, njenge- priapism.

Ukwelashwa kubandakanya ukubhekana nezimbangela ezisemqoka, ukuguqulwa kwendlela yokuphila, nokubhekana nezinkinga zengqondo. ^[2]Ezimweni eziningi, ukwelashwa kuzanywa yizidakamizwa, ikakhulukazi i- PDE5 inhibitors (njenge- sildenafil ), evula imithambo yegazi, evumela igazi eliningi ukuba ligeleze ngezicubu zesiponji zepenisi (ngokufana nokuvula i-valve ngokuqhubekayo ukuze kuvunyelwe amanzi amaningi faka ipayipi lomlilo).Ezinye izindlela zokwelapha, ezingasetshenziswa kakhulu, zifaka phakathi i- prostaglandin pellets, efakwe ku- urethra ; ama-relaxant-muscle muscle kanye nama-vasodilator, afakwe kumthondo; ukufakwa kwe-penile ; amaphampu omthondo ; nokuhlinzwa okwakha kabusha imithambo yegazi . ^{[2] [3]}

I-ED ivame ukuba nomthelela enhlalakahleni engokomzwelo yabo bobabili abesilisa nabalingani babo.Amadoda amaningi awafuni ukwelashwa ngenxa yemizwa yokuphoxeka.Cishe ama-75% wamacala atholakala we-ED awalashwa. ^[4]

1. ↑ Cunningham GR, Rosen RC. Overview of male sexual dysfunction. In: UpToDate, Martin KA (Ed), UpToDate, Waltham, MA, 2018.
2. ↑ ^{2.0 2.1 2.2 2.3} Chowdhury SH, Cozma AI, Chowdhury JH. Erectile Dysfunction. Essentials for the Canadian Medical Licensing Exam: Review and Prep for MCCQE Part I. 2nd edition. Wolters Kluwer. Hong Kong. 2017.
3. ↑ "Chapter 1: The management of erectile dysfunction: an AUA update". J. Urol. 174 (1): 230–39. July 2005. doi:10.1097/01.ju.0000164463.19239.19. PMID 15947645. 
4. ↑ "Undertreatment of erectile dysfunction: claims analysis of 6.2 million patients". The Journal of Sexual Medicine 11 (10): 2546–53. October 2014. doi:10.1111/jsm.12647. PMID 25059314.