Rashin aiki na erectile
| Rashin aiki na erectile | |
|---|---|
 | |
Description (en)  | |
| Iri |
male sexual dysfunction (en) reproductive system symptom (en) |
| Field of study (en) |
urology (en) , psychiatry (en) , Ilimin halin dan Adam sexology (en) |
| Genetic association (en) |
PHACTR2 (en) , F13B (en) , FSHR (en) , TTC7A (en) , PTGFRN (en) , LRP1B (en) , AOPEP (en) , GLI2 (en) da CNNM3 (en) |
| Medical treatment (en) | |
| Magani |
yohimbine (en) , papaverine (en) , methyltestosterone (en) , ginseng (en) , Sildenafil, vardenafil (en) da tadalafil (en) |
| Identifier (en) | |
| ICD-10 | F52.2 da N48.4 |
| ICD-9 | 302.72 da 607.84 |
| DiseasesDB | 21555 |
| MedlinePlus | 003164 |
| eMedicine | 003164 |
| MeSH | D007172 |
| Disease Ontology ID | DOID:1875 |
Rashin aiki na erectile (ED), wanda kuma ake kira impotence, wani nau'i ne na Rashin aiki na jima'i a cikin maza wanda ke nunawa ta hanyar ci gaba ko maimaitawa rashin iyawa don cimma ko kula da tsayi na Jiki tare da isasshen tsayi da tsawon lokaci don Ayyukan jima'i masu gamsarwa. Ita ce matsalar jima'i da ta fi dacewa a cikin maza kuma tana iya haifar da damuwa ta tunani saboda tasirin ta akan siffar kai da alaƙar jima'i. Kalmar erectile dysfunction ba ta kunshi wasu cututtukan da suka shafi erection, kamar su Priapism.
Yawancin shari'o'in ED ana danganta su da abubuwan haɗari na jiki da abubuwan tsinkaya. Wadannan dalilai za a iya rarraba su a matsayin vascular, neurological, ciki na gida, hormonal, da kuma maganin da aka haifar. Shahararrun masu tsinkaya na ED sun haɗa da tsufa, cututtukan zuciya, Ciwon sukari, hawan jini mai yawa, kiba, matakan lipid marasa kyau a cikin jini, hypogonadism, shan sigari, baƙin ciki, da Amfani da magani. Kimanin kashi 10% na shari'o'in suna da alaƙa da abubuwan da ke tattare da tunanin mutum, wanda ya haɗa da yanayi kamar baƙin ciki, damuwa, da matsaloli a cikin dangantaka. An bayar da rahoton ED a cikin kashi 18% na maza masu shekaru 50 zuwa 59, da kuma kashi 37% a cikin maza masu shekaru 70 zuwa 75.[1]
Magani da ED ya haɗa da magance abubuwan da ke haifar da su, gyaran salon rayuwa, da magance batutuwan zamantakewa. A lokuta da yawa, ana amfani da magungunan magani, musamman Masu hana PDE5 kamar Sildenafil. Wadannan magungunan suna aiki ta hanyar fadada jijiyoyin jini, suna sauƙaƙe karuwar jini a cikin kwayar jiki na azzakari, kamar yadda yake ga buɗe bawul ɗin da ya fi faɗi don haɓaka ruwa a cikin bututun wuta. Magungunan da ba a yi amfani da su akai-akai sun haɗa da pellets na prostaglandin da aka saka a cikin urethra, allurar masu laushi da masu laushi kai tsaye a cikin azzakari, implants na azzakari (penis implants), amfani da famfo na azzakara, da tiyata ta vascular. [2] [3]
Alamomi da alamomi
[gyara sashe | gyara masomin]ED tana da halayyar ci gaba ko maimaitawa rashin iyawa don cimma ko kula da tsayin azzakari tare da isasshen tsayi da tsawon lokaci don Ayyukan jima'i masu gamsarwa. An bayyana shi a matsayin "rashin iyawa ko maimaitawa don cimma da kula da tsayin daka na isasshen ƙarfi don ba da izinin yin jima'i mai gamsarwa na akalla watanni 3".
Tasirin tunani
[gyara sashe | gyara masomin]ED sau da yawa yana da tasiri a kan jin daɗin maza da abokan aikinsu. Maza da yawa ba sa neman magani saboda jin kunya. Kimanin kashi 75% na wadanda aka gano na ED ba a kula da su ba.[4]
Dalilan da suka haifar
[gyara sashe | gyara masomin]Dalilan ko masu ba da gudummawa ga ED sun haɗa da:
Harkokin tiyata don yanayi da yawa na iya cire tsarin jikin da ake buƙata don tsayi, lalata jijiyoyi, ko lalata samar da jini.[5] ED wani rikitarwa ne na yau da kullun na maganin cutar kansa na prostate, gami da prostatectomy da lalata prostate ta hanyar radiation na waje, kodayake glandar prostate kanta ba lallai ba ne don cimma tsayi. Game da aikin tiyata na inguinal, a mafi yawan lokuta, kuma ba tare da rikice-rikice na bayan tiyata ba, gyaran tiyata na iya haifar da farfado da rayuwar jima'i na mutanen da ke fama da matsalar jima'i kafin tiyata, yayin da, a mafi yawancin lokuta, ba ya shafar mutanen da ke da rayuwar jimaʼi ta al'ada kafin tiyata.[6]
Damuwa cewa amfani da batsa na iya haifar da ED [7] ba su da goyon baya [8] [9] a cikin nazarin cututtukan cututtuka, bisa ga bita na wallafe-wallafen 2015. [10] A cewar Gunter na Win, farfesa na Belgium kuma mai binciken jima'i, "Ka ce kawai, masu amsawa waɗanda ke kallon minti 60 a mako kuma suna tunanin suna da jaraba sun fi iya ba da rahoton rashin aikin jima'i fiye da waɗanda ke kallon rashin kulawa na minti 160 a kowane mako. " Binciken 2026 ya nuna cewa amfani da batsa mai sauƙi ba ya haifar da rashin aiki, dangantakar da ke tsakanin batsa da ED ya fi rikitarwa.[11][12]
A cikin lokuta masu ban sha'awa, magunguna kamar SSRIs, isotretinoin (Accutane) da finasteride (Propecia) an ruwaito su haifar da cututtukan iatrogenic na dogon lokaci waɗanda ke nuna alamun rashin aiki na jima'i, gami da dysfunction na erectile a cikin maza; waɗannan cututtukansu an san su da dysfunction jima'i na post-SSRI (PSSD), dysfunction na jima'in post-retinoid / post-Accutane syndrome (PRSD / post-PAS), da kuma ciwon bayan-finasteride (PFS). Wadannan yanayi sun kasance ba a fahimta sosai ba kuma ba su da ingantaccen magani, kodayake an ba da shawarar su raba wani nau'i na yau da kullun.[1]
- Rarely impotence iya haifar da aromatase kasancewa mai aiki. Dubi maganin maye gurbin Androgen.
Ilimin jiki
[gyara sashe | gyara masomin]Ana sarrafa tsayin daka ta hanyoyi guda biyu: tsayin dakatarwa, wanda aka samu ta hanyar taɓa kai tsaye ga tsayin doki, da tsayin dakarun mutum, wanda aka cimma ta hanyar lalata ko motsa jiki. Na farko ya haɗa da jijiyoyin da ke kewaye da ƙananan sassan kashin baya, yayin da na ƙarshe ya haɗa da Tsarin limbic na kwakwalwa. A lokuta biyu, ana buƙatar tsarin jijiyoyi mara kyau don samun nasara da cikakkiyar tsayi. Motsawa na shaft na penile ta hanyar tsarin juyayi yana haifar da ɓoyewar nitric oxide (NO), wanda ke haifar da shakatawa na tsokoki masu santsi na corpora cavernosa (babban ƙwayoyin jiki na azzakari), sannan kuma tsayar da penile. Bugu da ƙari, ana buƙatar isasshen matakan testosterone (wanda aka samar da testes) da kuma Glandar pituitary mai kyau don ci gaban tsarin erectile mai lafiya. Kamar yadda za'a iya fahimta daga hanyoyin da ake amfani da su a tsaye na yau da kullun, rashin ƙarfi na iya tasowa saboda rashi na hormonal, rikice-rikice na tsarin jijiyoyi, rashin isasshen jini na jima'i ko matsalolin tunani.
A lokuta da yawa, ana iya yin ganewar asali bisa ga tarihin bayyanar mutum. A wasu lokuta, ana yin gwajin jiki da bincike na dakin gwaje-gwaje don kawar da manyan dalilai kamar hypogonadism ko prolactinoma.
Ɗaya daga cikin matakai na farko shine rarrabe tsakanin ED na ilimin lissafi da na tunani. Tabbatar da ko tsinkaye ba tare da son rai ba yana da mahimmanci wajen kawar da yiwuwar abubuwan da ke haifar da ED. Samun cikakkiyar tsayi a wasu lokuta, kamar tumescence na dare lokacin barci (watau, lokacin da tunani da batutuwan tunani, idan akwai, ba su da yawa), yana nuna cewa tsarin jiki yana aiki.[13][14] Hakazalika, aiki tare da motsawa ta hannu, da kuma duk wani damuwa na aiki ko ED mai tsanani, na iya nuna wani bangare na psychogenic ga ED.[2]
Wani abu da ke haifar da ED shine Ciwon sukari, sanannen sanannen sanadin Neuropathy. ED kuma tana da alaƙa da rashin lafiya na jiki gabaɗaya, rashin abinci mai kyau, kiba, kuma musamman cututtukan zuciya, kamar cututtuken jijiyoyin zuciya da cututtukatattun jijiyoyin jini.[2] Binciken abubuwan haɗarin zuciya, kamar shan sigari, dyslipidemia, hauhawar jini, da maye, yana da taimako.[2]
A wasu lokuta, bincike mai sauƙi don hernia na ƙashin kai ba a gano shi ba a baya na iya zama da amfani tunda yana iya shafar ayyukan jima'i a cikin maza kuma yana da sauƙin warkewa.[6]
Manazarta
[gyara sashe | gyara masomin]- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named ":1". - 1 2 3 4 Cite error: Invalid
<ref>tag; no text was provided for refs named "LMCC". - ↑ Montague DK, Jarow JP, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, Milbank AJ, Nehra A, Sharlip ID (July 2005). Smith J Jr (ed.). "Chapter 1: The management of erectile dysfunction: an AUA update". The Journal of Urology. Elsevier. 174 (1): 230–39. doi:10.1097/01.ju.0000164463.19239.19. ISSN 1527-3792. PMID 15947645. S2CID 1761196.
- ↑ Frederick LR, Cakir OO, Arora H, Helfand BT, McVary KT (October 2014). Mulhall JP (ed.). "Undertreatment of erectile dysfunction: claims analysis of 6.2 million patients". The Journal of Sexual Medicine. John Wiley & Sons on behalf of the International Society for Sexual Medicine. 11 (10): 2546–53. doi:10.1111/jsm.12647. ISSN 1743-6109. PMID 25059314. S2CID 9708426.
- ↑ "Erectile Dysfunction Causes". Erectile Dysfunction. Healthcommunities.com. 1998. Archived from the original on 2007-10-09. Retrieved 2007-10-07.
- 1 2 Zieren J, Menenakos C, Paul M, Müller JM (2005). "Sexual function before and after mesh repair of inguinal hernia". Journal of Pharmaceutical and Biomedical Analysis. 12 (1): 35–38. doi:10.1111/j.1442-2042.2004.00983.x. PMID 15661052. S2CID 30209465.
- ↑ Robinson M, Wilson G (July 11, 2011). "Porn-Induced Sexual Dysfunction: A Growing Problem". Psychology Today.
- ↑ Whelan, Georgina; Brown, Jac (September 2021). "Pornography Addiction: An Exploration of the Association Between Use, Perceived Addiction, Erectile Dysfunction, Premature (Early) Ejaculation, and Sexual Satisfaction in Males Aged 18-44 Years". The Journal of Sexual Medicine. 18 (9): 1582–1591. doi:10.1016/j.jsxm.2021.06.014. ISSN 1743-6109. PMID 34400111 Check
|pmid=value (help).There was no evidence for an association between internet pornography use with erectile dysfunction, premature ejaculation, or sexual satisfaction. However, there were small to moderate positive correlations between self-perceived internet pornography addiction and erectile dysfunction, premature ejaculation or sexual dissatisfaction.
- ↑ Grubbs, Joshua B.; Gola, Mateusz (January 2019). "Is Pornography Use Related to Erectile Functioning? Results From Cross-Sectional and Latent Growth Curve Analyses". The Journal of Sexual Medicine. 16 (1): 111–125. doi:10.1016/j.jsxm.2018.11.004. ISSN 1743-6109. PMID 30621919. S2CID 58592884.
there was evidence of a positive, cross-sectional association between self-reported problematic use and ED, but no consistent association between mere use itself and ED.
- ↑ Landripet I, Štulhofer A (May 2015). "Is Pornography Use Associated with Sexual Difficulties and Dysfunctions among Younger Heterosexual Men?". The Journal of Sexual Medicine. 12 (5): 1136–1139. doi:10.1111/jsm.12853. PMID 25816904.
- ↑ "Porn addiction is ruining lives, but scientists aren't convinced it's real". CNET. 1 December 2020. Archived from the original on 3 November 2021. Retrieved 2 October 2021.
- ↑ Jacobs T, Geysemans B, Van Hal G, Glazemakers I, Fog-Poulsen K, Vermandel A, De Wachter S, De Win G (September 2021). "Is online pornography consumption linked to offline sexual dysfunction in young men? A multivariate analysis based on an international web-based survey". JMIR Public Health and Surveillance. JMIR Publications Inc. 7 (10). doi:10.2196/32542. PMC 8569536 Check
|pmc=value (help). PMID 34534092 Check|pmid=value (help).Conclusions: This prevalence of ED in young men is alarmingly high and the results of presented study suggest a significant association with PPC.
- ↑ Levine LA, Lenting EL (1995). "Use of nocturnal penile tumescence and rigidity in the evaluation of male erectile dysfunction". Urol. Clin. North Am. 22 (4): 775–88. PMID 7483128.
- ↑ "Tests for Erection Problems". WebMD. WebMD, Inc. Archived from the original on 2018-03-08. Retrieved 2007-03-03.