2021 Vazhinji Vane Chiremera Bonde-rinosimudzira Nongedzo Yekurapa Erectile Dysfunction (ED)

 

Nhoroondo kuvandudza kwekurapaErectile Dysfunction (ED)

Erectile kusagadzikana kwave kunetsekana nevarume kubva pakutanga kwenyaya yakanyorwa. Marapirwo eED anodzokerwa kumashure senge zana ramakore rechisere, apo varume veKarekare Roma neGirisi vaipfeka masaramusi ejongwe nembudzi genitalia. Tenda inogona kushanda se aphrodisiac uye inosimudzira basa repabonde. Pakupera kwezana ramakore gumi nemasere, gwai testis yakatorwa yakaiswa seyakakonzera testosterone kugadzirisa kushaya simba. Mune ma18s, mapenile epenile akange azviitira zita ravo semhinduro ye erectile dysfunction. Panguva imwecheteyo, pombi dzekuchenesa dzepenile dzaiwana mukurumbira uye Geddings Osbon "chishandiso chakaenzana nevechidiki" (kana YED) yaivhura nzira yemidziyo yemidziyo yepeni iyo yatinoziva nanhasi. Ma1970 akaisa hwaro hwekuchinja pabonde pamwe nekutsvaga kwaDkt Giles Brindley. Brindley akapinza jekiseni revasodilator mutsinga dzake, izvo zvakakonzeresa kutenderera kwemhasuru kuzorora uye kukonzeresa kumiswa. Kuwanikwa kwake kwakatungamira kutsvagisa nezvevasodilator uye alpha-inodzivirira vamiririri senzira yekurapa kwekusagadzikana kwe erectile. Kubudirira kukuru kwakaitika Mukutanga kwema1980, sildenafil yakagamuchirwa semushonga wemwoyo, uye zvakaonekwa kuti varume vaitora mishonga iyi vaisangana nekusimba, kwenguva refu. Izvi zvakatungamira mukuenderera mberi nekutsvagisa sildenafil semushonga we erectile, uye Pfizer yakafumura Viagra mu1990. Sildenafil akave wekutanga mushonga wemuromo kubvumidzwa kurapa ED. Kurapa kwe erectile kudzvinyirira kwakagadziriswa pamwe nekuwanikwa kwesildenafil kana Viagra. Izvi zvakateverwa nekushandiswa kwe tadalafil uye vardenafil saiyo yakafanana phosphodiesterase-5 inhibitor mishonga yemuromo yekurapa ED muna 2003. Kune varume vazhinji, hupenyu hauna kumbobvira hwave nani.

 

Mamiriro ekuongororwa kweErectile Dysfunction (ED)

Erectile Dysfunction (ED) inozivikanwa nevarume mamiriro ekurapa, ongororo yekudzidza yakaratidza kuti ED iri kuwedzera kuwanda nezera: vangangoita makumi mana muzana evarume vanobatwa pazera remakore makumi mana uye vangangoita 40% yevanhurume vanobatwa pazera remakore makumi manomwe. yakawedzera kubva pa40% pazera makumi mana kusvika gumi neshanu muzana pazera 70 Zera raive musiyano wakanyanya kusanganiswa neED. Kupera kwechido chebonde nekuwedzera zera. Varume mune cohort rekare (70 kusvika 5) vaipfuura katatu nguva vangangosangana nematambudziko ekumisikidza uye kuzivisa chishuwo chepabonde chakaderera uchienzaniswa nevarume 40 kusvika 15. Chiitiko chekusagadzikana pabonde chaive zvakanyanya pakati pevarume mune hutano husina kunaka hwepanyama uye hwepamoyo.

Mumakumi mashoma apfuura, pakave nekuwedzera kwakakura mukunzwisisa kwedu kwemaitiro e physiologic anokonzeresa kusagadzikana kwe erectile (ED). Erectile kudzvinyirira (ED) rave musoro wenyaya inowoneka midhiya uye nzanga kufarira uye kugamuchirwa. Kufananidza nekuwedzera kwezivo kwave kuri kuputika munzira dzekurapa.

 

Chii chinonzi Erectile Dysfunction (ED)?

Erectile dysfunction kana disorde (ED), inonziwo kushaya simba, ndiko kusakwanisa kusimudzira nekuchengetedza erection yekugutsa kugutsa pabonde kana chiitiko. Kazhinji kazhinji apo kuyerera kweropa muurume kunogumira kana tsinga dzichikuvadzwa. Inowanzo kukonzerwa nedambudziko rehutano, senge: kushushikana, kuneta, kushushikana nezvimwewo Unogona kuedza kushandisa zvinodhaka, kugadzirisa chinokonzeresa, shandura mararamiro ako uye kugadzirisa matambudziko epfungwa nezvekurapa.

Kana iwe uchitsvaga sarudzo dzekurapa yako ED, chinyorwa ichi chinopa ruzivo runobatsira kune vanhu vane dambudziko iri, kana avo vari padhuze navo.

(1) Makanika e erectile dysfunction (ED)
Izvi zvinokonzeresa kuti nhengo yako yemurume iwande uye isimbe kana ropa razara mumakamuri maviri anozivikanwa sekuti corpora cavernosa, zvakanyanya sebhaluni sezvo rizere nemvura. Kufuridzira kubva muhuropi uye tsinga dzokubereka dzinotanga maitiro. Chero chipi zvacho chinodzivirira mafungiro aya kana kutadzisa kuyerera kweropa kunhengo yemurume kunogona kukonzera ED.

(2) Zviratidzo / Zviratidzo zve erectile dysfunction (ED)
Murume anoonekwa seane ED kana zvinotevera zviratidzo zvowanzoitika:

Dambudziko rekuwana erection
Dambudziko rekumiswa
Dambudziko rekuchengeta erection kwenguva yakareba yakakwana yenguva

Zvimwe kusagadzikana kwepabonde zvakabatana neED uye zvinogona kukonzera zviratidzo zvakafanana kuED, senge:

Nguva isati yasvika ejaculation (ejaculating zvakare munguva pfupi)
Iko kusakwanisa kuve neyegasm mushure mekumusoro kwakaringana
Kunonoka ejaculation (kana ejaculation inotora yakarebesa) kumusoro chaiko museve
Kuderera kwehormone testosterone
Yakaderedzwa libido kana bonde drive
Kusagadzikana mumhasuru dzepelvic pasi
Kushungurudzika kune pelvis, senge kutsemuka kwepamuviri

Zvimwe zvidzidzo zvakaratidza kuti varume vane ED vari panjodzi huru yekuwana chirwere chemwoyo, sitiroko kana matambudziko ekutenderera mumakumbo. ED zvakare inokonzeresa:

Kuzvishingisa
kusuruvara
Kushungurudzika kwemurume neumwe wake

Taura nachiremba wako kana uine chimwe chezviratidzo izvi, kunyanya kana zvagara kwemwedzi mitatu kana kupfuura. Vanogona kubatsira kuona kana zviratidzo zvako zvichikonzerwa nemamiriro ezvinhu anoda kurapwa. Inovavarira kugadzirisa kana kuwedzera erectile basa, kubatsira kutenderera kwehutano uye kubatsira hupenyu hwehupenyu hwemurume

(3) Musiyano uripo pakati peED nehurombo bonde drive
Varume vanogona kuve nemhando dzinoverengeka dzenyaya dzinosanganisira kushaya bonde kutyaira uye matambudziko ne ejaculation. Asi ED inoreva zvakanyanya kunetseka kuwana kana kuchengeta erection. Unogona kunge uine hutano hwakanaka pabonde, asi muviri usingapindure. Kazhinji yenguva pane hwaro hwepanyama hwechinetso.

Chii chinokonzera kusagadzikana kwe erectile (ED)?

Varume vanobatanidzwa muchiitiko chekumira kuburikidza nehuropi, mahormone, manzwiro, tsinga, mhasuru uye tsinga dzeropa. Chero ripi reaya matambudziko anogona kukonzera kana kubatsira kuED. Nezera, huwandu hwevarume vane zvimwe zviratidzo zveEED zvichawedzera pamwe nekuwedzera kwehupenyu, asi kuchembera hakuzotungamira kuED. ED inogona kurapwa chero zera.

Mararamiro akakonzera ED
Mararamiro ehupenyu anogona kubatsira kuED, kusvuta, kunwisa doro, uye kushandisa zvinodhaka zvinogona kukanganisa kufamba kweropa uye zvinotungamira kune erectile kudzvinyirira. Kuva wakawandisa uye kuwana kushoma kwekuita maekisesaizi zvakare zvinopa kusagadzikana kwe erectile. Varume vanorovedza muviri vane mukana wakaderera wekusagadzikana kwe erectile.

Psychological yakakonzera ED
Kunzwa kwakanaka kunogona kubatsira kumutsa uropi, kana iwe uri pasi pekushushikana, hutano hwepfungwa senge kushushikana kana kushushikana, huropi hwako hunogona kunetseka kugadzira tsinga kubatana uye kuburitsa mahormone anokonzera kukonzeresa. Saka nyaya dzepfungwa dzinogona kuve chakakonzera chinokonzera kusagadzikana kwe erectile.

Chirwere Chisingaperi chakakonzera ED
Ihwo hukama pakati pechirwere chisingaperi uye ED chinonyanya kushamisa chirwere cheshuga. Varume vane chirwere cheshuga vane mikana miviri kana mitatu yekuwana erectile kudzvinyirira. Chero mamiriro ezvinhu anokanganisa nzira inoyerera neropa mumuviri wako inogona kutungamira kuED. Izvi zvinosanganisira Chinetso chepfungwa, atherosclerosis (kuomarara kwetsinga), hosha yeitsvo, uye multiple sclerosis.

Mishonga yakakonzera ED

Mishonga yakawanda inogona kukonzeresa kana kubatsira kusagadzikana kweiyo erectile, kusanganisira BP, zvinodhaka, zvinodhaka, antihistamines, acid Reflux mishonga, opioid pain pain. uye zvinodzivirira. Taura nachiremba wako kana iwe uchifunga mushonga kana over-the-counter zvinodhaka zvinogona kunge zvichikonzera matambudziko erectile. Asi usamborega kutora chero mushonga usati wakurukura nachiremba wako.

Kuvhiya kwakakonzera ED
Kuvhiya kana radiation radiation yekenza yeprostate, gomarara redundira, kana kuwedzera kweprostate (BPH) dzimwe nguva inogona kukuvadza tsinga nemidziyo yeropa padhuze nepenis. Kana kukuvara kwetsinga kuri kwekusingaperi, iwe uchazoda kurapwa kuti uwane erection. Asi dzimwe nguva kuvhiyiwa kunokonzeresa kwenguva pfupi ED inozoita zvirinani pachayo mushure memwedzi mitanhatu kusvika pamisere.

 

Nzira yekuziva sei kana iwe uine moyo murefu weED?

Muzviitiko zvakawanda, kana iwe uchiratidzika kushayikwa kwechido kana chishuwo chebonde, kusakwanisa kumutswa, kusangana kunorwadza, unogona kunge uri kubata ne erectile dysfunction. Dzimwe nguva, kana zvenguva pfupi, matambudziko ezvepabonde hazvireve kuti anonongedza kusagadzikana kwe erectile.

 

Maitiro ekurapa erectile kusagadzikana (ED)?

Erectile Dysfunction (ED) inogona kukanganisa varume pamazera akasiyana, asi haizokanganisa hupenyu hwake. Ichi chinyorwa chinogona kukubatsira iwe kuti uwane kurapwa kwakakodzera uye kubatsira kutsigira hunogutsa hupenyu hwepabonde uye kugadzirisa yako erectile kuita, kukuita kuti unzwe uchidzokera kune wako wekare zvekare zvakare.

Mishonga
Kune vazhinji varume, ivo vanowanzofunga kutora mishonga yemumuromo ye erectile dysfunction (ED) kurapwa kutanga, kubatsira kuwana nekuchengetedza erection. Varume ava vanoita bonde-kusimudzira zvemumuromo zvinodhaka (PDE5 inhibitors) zvinosanganisira tadalafil (Cialis), sildenafil (Viagra), vardenafil (Levitra, Staxyn) uye avanafil (Stendra), kuburikidza nekuvandudza basa repabonde nekuzorodza mhasuru dzakatsetseka uye kuwedzera kuyerera kweropa kunhengo yemurume. Iwe haufanire kutora chero eaya madhiragi ekurapa erectile dysfunction (ED) kana iwe uri kutora nitrate yechirwere chemoyo. Testosterone therapy (TRT) inogona zvakare kukurudzirwa kana iwe uine mashoma ezasi e testosterone. Alprostadil (Caverject, Edex, MUSE) mumwe mushonga unobvumidzwa neDFA iyo inogona kushandiswa kurapa erectile dysfunction (ED). Inogona kupihwa nenzira mbiri: seyenji inowedzera kana seyangu-yekuzvidzivirira pasi kana padivi penhengo. Penile jekiseni ndiyo inonyanya kushanda mhando yekurapa kweEED kune varume vasingakwanise kutora kurapwa nemuromo.

Mechanical Aids
Kana mishonga isingashande kana kukodzera, zvishandiso zvekubvisa uye penile implants nezvimwe zvimwe zvinobatsira zvakare zvinogona kubatsira varume kuwana kana kuchengetedza erection. Izvo zvakare zvinogamuchirwa kuti zvishandiswe mumadzimai, ingova zvinodhura. Dilator inogona kubatsira vakadzi vanoona kudzikira kwemukadzi. Midziyo senge vibrator inogona kubatsira kubatsira kuvandudza kunakidzwa kwepabonde uye kupera.

Alternative medicine
Kune mimwe mishonga isingaenzaniswi uye "zvekudya zvinowedzera" izvo zvinoti zvinorapa kusagadzikana kwe erectile, se: Panax ginseng zvinowedzera, ginkgo, mutamba mutamba, uye yohimbe zvinowedzera nezvimwe. Asi kwete ese "echisikigo" mishonga kana zvinowedzerwa zvakachengeteka. Unofanirwa kubvunza chiremba wako kutanga usati washandisa chero chinowedzerwa, kuve nechokwadi kuti chine njodzi yakakwana yekurapa ED.

Psychotherapy
Kubatwa nemupi wezano akadzidziswa zvakanaka kunogona kukubatsira kubata nekushungurudzika pabonde kwekare, kushushikana, kushushikana, stree, uye kusagadzikana kwemuviri. Ivo vanogona kubatsira iwe nemumwe wako kubatanidzazve pamoyo, izvo zvinogona zvakare kubatsira ED yako.

Kurudzira Kuvhiya
Kune varume vazhinji, kuvhiyiwa kunofanirwa kuve kwekupedzisira sarudzo, kuburikidza nekuvhiya kwevascular kugadzirisa zvimwe zvezvikonzero zvevascular zveED. Nguva yekudzorera inosiyana, asi iwo mwero wekubudirira wakakwira.

 

Wepamusoro unoshanda 5 bonde zvinodhaka zvekurapa erectile dysfunction (ED) mupasi?

Mazhinji mareti anecdotal anoratidza kuti anotevera madhiragi mana ekuvandudza bonde anonyanya kushanda kubatsira varume kubata erectile kusagadzikana (ED).

(1)Tadalafil
Tadalafil ndeyekirasi yemishonga yemuromo inonzi phosphodiesterase (PDE) inhibitors, inotengeswa pasi pezita rekuti Cialis uye Adcirca, inoshandiswa kurapa erectile dysfunction (ED) uye zviratidzo zvebenign prostatic hypertrophy (BPH, yakawedzera prostate). Tadalafil inoshanda nekuwedzera kuyerera kweropa kuenda kunhengo yekubatsira murume kuwana nekuchengetedza erection. Dzimwe nguva, inoshandiswawo kurapa pulmonary hypertension (PAH) (kuwedzerwa kweropa mumidziyo yeropa inopa mapapu).

Mazhinji mareti anecdotal anoratidza kuti Tadalafil (Cialis) ndiyo yakarebesa-inogara PDE5 mushonga weEED, inogona kusvika kusvika 36 ~ 72hours Pane nzira mbiri dzakasiyana kana zvichidikanwa kutora tadalafil kurapa kusagadzikana kwe erectile, tadalafil haina kukanganiswa nechikafu, iyo inogona kutorwa sezuva rega rega kana hwaro hunodiwa. Kana tadalafil inotora sezuva nezuva, inogona kuyedza kuita bonde chero nguva pakati peyako dosi, usatore tadalafil kazhinji kanopfuura kamwe chete zuva nezuva, yakajairwa tadalafil muyero uri 2.5 mg kusvika 5 mg nemuromo kamwe pazuva. Kana tadalafil ichiitora pazvinenge zvichidikanwa, kazhinji maminetsi makumi matatu usati waita bonde, iyo chaiyo tadalafil iri 30 mg kusvika 5 mg inoenderana nemhinduro Cialis (tadalafil) uye kwete kazhinji kanopfuura kamwe chete maawa makumi maviri nemana. Tadalafil mhedzisiro pane kugona bonde inogona kugara kusvika kuma20 ~ 24 maawa. Paunenge uchitora tadalafil pane yakajairwa nguva uye uchishaya muyero, tora iyo nekukurumidza sezvauchayeuka. Kana iri padyo nenguva yemutero unotevera, ruka muyero wakarasika, tora dosi inotevera panguva yakajairwa. Usapeta kaviri muyero kuti ubate. Tadalafil inoda chitoro pane tembiricha yemukati kure nechiedza uye hunyoro, haigone kuchengeta muchimbuzi, uye chengetedza mishonga yese kure nevana uye zvipfuyo, zvinogona kutorwa chete nevakuru vane makore gumi nemasere zvichikwira.

Uye zvakare, mishonga yese inogona kukonzera njodzi uye mabhenefiti. Kunyangwe kana tadalafil iri kushanda, unogona kusangana nezvimwe zvisingadiwe tadalafil mhedzisiro, kusanganisira: kutemwa nemusoro, kurwadziwa mudumbu, kurwadziwa musana, kurwadziwa kwemhasuru, kuputika kwemhino, kufashaira, kana dzungu etc. kana wemishonga nekukurumidza. Kazhinji, kana zviono zvichichinja kana kamwe-kamwe kurasikirwa kwemaonero (kusanganisira bofu risingaperi, mune rimwe kana maziso ese maviri)), kumisikidzwa kwenguva refu kunogara kwemaawa mana kana anopfuura, kuderera nekukurumidza kana kurasikirwa kwekunzwa, dzimwe nguva nekurira munzeve uye dzungu, kukanganiswa kweakanyanya (kukurumidza, kuchenesa / kuzvimba, dzungu rakakomba, kunetseka kufema nezvimwewo) uye nezvimwe zvakakomba mhedzisiro, rega kutora tadalafil uye uwane rubatsiro rwechiremba ipapo ipapo.

Zvichakadaro, Tadalafil (Cialis) mapiritsi emuromo / capsule inogona kuwirirana nemishonga yakatemwa uye inopfuura-the-counter, mavitamini, uye chikafu kana mishonga yekuwedzera. Kuti ubatsire kudzivirira kudyidzana kweTadalafil, unofanirwa kutsvaga kuti tadalafil ingabatana sei nechimwe chinhu chauri kutora, uye taura nachiremba wako kana wemishonga. Usatange, mira, kana kushandura chipimo chemimwe mishonga pasina kubvumidzwa nachiremba wako. Nguva dzose rega chiremba wako uye wemishonga nezvese ako aripo mishonga.

(2)Vardenafil Hydrochloride

Vardenafil, inozivikanwawo nezita rekuti Levitra kana Staxyn, mushonga unoshanda unobata murume erectile kudzvinyirira, inouya sehwendefa uye inokurumidza kuparara (inoputika mumuromo uye inomedzwa isina mvura) piritsi rekutorwa nemuromo. Kunge mimwe mishonga yePDE5 yeED, vardenafil inoshanda nekuwedzera kuyerera kweropa kuenda panhengo yemurume. Vardenafil mashandiro ekuita iyo nitric oxide inogonesa iyo enzyme guanylate cyclase inokonzeresa mukuwedzera kweiyo cyclic guanosine monophosphate (cGMP) mumaseru akatsetseka maseru eiyo corpus cavernosum. Iyo cGMP inokonzeresa kutsetseka kwemhasuru kuzorora, ichiwedzera kuyerera kweropa kupinda muurume, zvichikonzera kumiswa. Vardenafil basa rakafanana nesildenafil kana Viagra, asi Viagra inogara pakati pe2 nemaawa mana, nepo Vardenafil (Levitra) inotora maawa mana. Zvisinei, kushandiswa kwevardenafil hakuna kukodzera muvakadzi, uye vardenafil mhedzisiro panguva yekuzvitakura kana mukuyamwisa vakadzi hazvizivikanwe.

Mazhinji mareti anecdotal anoratidza kuti vardenafil mishonga yekutanga-yekurapa erectile kudzvinyirira, inoshanda nekukurumidza kupfuura Viagra (sildenafil) uye Cialis (tadalafil), inogona kushanda zvakanyanya kana vardenafil ikatorwa maminetsi makumi matatu kusvika makumi matanhatu pamberi pebonde. Vardenafil inogona kutorwa pamwe kana pasina chikafu. Asi kunwa doro hakukurudzirwe, sezvo kuchideredza mukana wekumiswa. Doro rinogona zvakare kuwedzera njodzi yemhedzisiro. Nekudaro, Vardenafil inoshanda nekukurumidza painotorwa pane isina chinhu mudumbu. Iyo yakakurudzirwa kutanga vardenafil muyero ndeye 30 mg, zvichibva pakubudirira uye kushivirira iyo dosi inogona kuwedzerwa kusvika 60 mg kana kuderera kusvika ku10 mg, uye iyo yakanyanya kukurudzirwa dhizaini ndeye 20 mg. Vardenafil haifanire kutorwa kanopfuura kamwe pazuva pazuva pane chero dosi, woma maoko ako usati washandisa vardenafil, bvisa iyo dose kubva pavardenafil package ipapo, isa vardenafil piritsi parurimi rwako uye ibvumire kuti inyungudike zvachose. Usapwanya kana kutsemura piritsi, vardenafil haifanire kutorwa nemvura, inoda chitoro patembiricha yemukati kure nehunyoro uye kupisa.

Usatore vardenafil nemimwe mhedzisiro mishonga pamwe, senge avanafil (Stendra), sildenafil (Viagra), kana tadalafil (Cialis), inogona kuve nekwaniso yekudyidzana nemimwe mishonga kana chikafu chauri kutora. Zvichakadaro, dzivisa kushandisa zvigadzirwa zvemuzambiringa, kunwa doro uye fodya, zvinowedzera zvimwe zvevardenafil mhedzisiro. Iwe unofanirwa kutaura nachiremba wako kana wemishonga paunogona kutora vardenafi piritsi nemishonga iyi, inogona kubatsira kudzivirira kusangana kwevardenafi.

(3)Avanafil
Avanafil (Stendra) ndeimwe PDE5 mushonga, unoshandiswa kurapa murume erectile kudzvinyirira (ED). Avanafil inoshanda semamwe madhiragi mukirasi yayo nekuwedzera kuyerera kweropa kuenda kunhengo yemurume, isina fomu generic, iri yakachengeteka uye inoshanda kurapwa kweEED. Kusiyana neTadalafil (Cialis) uye Sildenafil (Viagra), inoratidza kusarudzika kukuru kwe PDE5 pamusoro pe PDE6 kupfuura ese sildenafil uye vardenafil, asi kusarudzika kushoma pane tadalafil. Avanafil inogona kushandiswa yoga kana nemimwe mishonga, ichiri kusazivikanwa kana avanafil yakachengeteka uye inoshanda muvana.

Mazhinji mareti anecdotal anoratidza kuti avanafil ndiyo nyowani FDA inobvumidzwa mushonga weEED pamusika, inoshanda nekukurumidza kupfuura mimwe mishonga mukirasi imwechete, ingoshanda mune mashoma semaminetsi gumi nemashanu. Avanafil inogona kutorwa pamwe kana pasina chikafu, iine kukuru kushivirirwa, inogona kutora kusvika maawa matanhatu. Iwo mazinga eanavanafil mhedzisiro ari pakati peakaderera pane ese PDE15 inhibitors. Uye, avanafil sezita remushonga zita remishonga, mutengo wevanavanafi unenge uchidhura kupfuura mimwe mishonga inosimudzira bonde. Inonyanya kuoneka mumafomu emuromo (mapiritsi) ekurapa murume ED nyaya, pane masimba matatu emapiritsi eAvanafil: 5 mg, 50 mg uye 100 mg. Kune varume vanotora 200mg avanafil dosage, vanoda kutora maminetsi makumi matatu vasati vaenda pabonde; Kune varume vanotora avanafil dose mu50mg uye 30mg, izvo zvinongotora maminetsi gumi neshanu musati maita zvepabonde, uye musatore avanafil kazhinji kanopfuura kamwe chete pazuva. Avanafil inoda chitoro pakushambidzika kwemukati, kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi), uye pasingasvikike nevana.

Uye zvakare, avanafil zvakare ine kudyidzana kwemapharmodynamic, iwe unofanirwa kutaura nachiremba wako kana wemushonga kana ukaronga kutora mimwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri, uye zvigadzirwa zvemakwenzi, izvo zvinogona kubatsira kudzivirira kusangana kwevanavanafi uye mhedzisiro yevanavanafi.

(4)Dapoxetine Hydrochloride

Dapoxetine hydrochloride (hcl) ipfupi-inoita serotonin reuptake inhibitor (SSRI) ipfupi, pakutanga yaibvumidzwa kurapwa kwevanoda nevarume vane Premature ejaculation (PE). Dapoxetine inoshanda nekudzivirira mutakuri weserotonin uye nekuwedzera chiito che serotonin pane pre- uye postynaptic receptors, chinhu chena chehupfu uye isina kuputsika nemvura, inogona kukurumidza kunyudzwa mumuviri, iine kushivirirwa zvakanaka, mushonga wemuromo weErectile Dysfunction uye Ejaculatory Disorders . Iko kutanga kweiyo dapoxetine imwe 30mg piritsi, tora dapoxetine piritsi 1 ~ 3 maawa usati waita bonde, inogona kuwedzerwa kuita dapoxetine 60 mg mushure memasvondo mana kwemavhiki gumi nemaviri, iyo yakanyanya kukurudzirwa ddapoxetine muyero wekudiwa kamwe kamwe kwemaawa makumi maviri nemana. Iyo yakajairika dapoxetine mhedzisiro mhedzisiro inosanganisira dzungu, kurwadziwa nemusoro uye kuda kurutsa. Paunenge uchitora mimwe mishonga, ndapota bvunza nachiremba wako kana wemishonga uye uve nechokwadi chekutora nedapoxetine, inogona kubatsira kudzivirira kusangana kwedapoxetine nemimwe mishonga.

 

(5) Sildenafil
Sildenafil yekutanga mishonga yemumuromo kuti ive FDA inogamuchirwa yekurapa-yekutanga kurapwa kwe erectile dysfunction (ED), inozivikanwa PDE5 inhibitor. Sildenafil inoshanda nekuwedzera kuyerera kweropa kuenda kunhengo nekuzorodza tsinga dzeropa uye kutsetseka tsandanyama kubatsira murume kuwana nekuchengetedza erection. Zvakare, Sildenafil inogona kushandiswa mune vese varume nevakadzi kurapa pulmonary arterial hypertension, inoshanda pane PDE5 enzyme mumapapu kuzorodza tsinga dzeropa, izvi zvinowedzera kupihwa kweropa mumapapu uye kudzikamisa mutoro webasa wemwoyo. Sildenafil inonyanya kufarirwa kupfuura yakafanana nemishonga, iine generic uye brand shanduro. Viagra & Revatio itengeswe kumusika pasi pezita reSildenafil, inogona kutorwa nemuromo kana jekiseni mutsinga, mafomu edhisheni sildenafil anouya sehwendefa nehupfu hwekumiswa. Kutanga kunoitika mukati memaminitsi makumi maviri uye kunogona kutora kwemaawa maviri.

Kune vazhinji varwere kushandisa sildenafil kurapa erectile dysfunction (ED), iyo yakakurudzirwa sildenafil dosage iri 50mg, sezvazvinodiwa, tora sildenafil kanokwana maminetsi makumi matatu usati waita bonde, asi kwete anopfuura maawa mana, 30 awa pamberi ndiyo inonyanya kushanda, ita usatore kanopfuura kamwe chete pazuva. Kubva pane kugona uye kushivirira, sildenafil dose inogona kuwedzerwa kusvika kune yakanyanya kukurudzirwa dhizaini yesildenafil 4 mg kana kuderera kusvika sildenafil 1 mg, inogona kutorwa pamwe kana pasina chikafu. Asi, kudya kwemafuta akawanda kunotora pamwe nesildenafil kunogona kunonoka kuti mushonga unotanga kushanda nekukurumidza sei.

 

 

Sildenafil vs. Tadalafil VS Vardenafil VS Avanafil Ndeipi iri nani?

Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra) uye Avanafil (Stendra) ndiwo anonyanya kutaurwa emumuromo-ekusimudzira mishonga yekurapa murume Erectile Dysfunction (ED), inoshanda nekuwedzera kuyerera kweropa kuenda kunhengo, ndeya kirasi yemishonga inozivikanwa seP PDE5 inhibitors.Sildenafil, Tadalafil, Vardenafil uye Avanafil vanoshanda nenzira dzakafanana, mumwe chete mushonga unemakemikari akasiyana zvishoma, saka mushonga wega wega unoshanda unova nemisiyano midiki inokanganisa, asi anoshanda nemazvo uye anokonzeresa mhedzisiro. .

 

Sildenafil vs Tadalafil (Viagra vs Cialis)
Tadalafil uye sildenafil ndiwo maviri akajairika phosphodiesterase 5 inhibitors anoshandiswa kurapa erectile kudzvinyirira (ED), ese ari maviri anoshanda chete kana murume akamutswa pabonde, zvine simba rakafanana uye chengetedzo, anogona zvakanyanya kugadzirisa kuvimba kwevanhukadzi. Nekudaro, vamwe varume vanofarira Tadalafil pane sildenafil, sezvo ichigara kwenguva yakareba, inoshanda nekukurumidza uye iine mhedzisiro mhedzisiro, tadalafil haigone kukanganiswa nechikafu chakafanana nesildenafil. Uye zvinopesana, vamwe varume vanosarudza sildenafil mushure mekuyedza tadalafil isingaenderane navo.

Sildenafil vs Vardenafil (Viagra vs Levitra)
Vardenafil uye sildenafil zvakare ari maviri PDE-5 inhibitors kuratidza kurapwa kwemurume erectile dysfunction (ED). Mukurongeka, vardenafil yakafanana nesildenafil, ine simba rakanyanya uye inosarudzika kupfuura sildenafil pakudzivirira phosphodiesterase-5. Zvekurapa ED, vardenafil mhedzisiro yakafanana nesildenafil, ese ari maviri anogona kugara kwemaawa mana kusvika matanhatu. Mukana wega wevardenafil kune sildenafil, hautadzise phosphodiesterase-6 kushandura kuona kwemavara, uye sildenafil dzimwe nguva inoitika isingawanzoitika mhedzisiro. Ose madhiragi anogona kutorwa pamwe nekudya, asi Vardenafil inowanzo kuve isina kukanganiswa nechikafu kana doro. Uye zvakare, vamwe vanonzi vanodzivisa vardenafil inoshanda zvakanyanya mune vane chirwere cheshuga kupfuura mimwe mishonga yekusagadzikana.

Sildenafil vs Avanafil (Viagra vs Stendra)
Sildenafil uye Avanafil zvakafanana mukushanda, ndezvomumwe mushonga we PDE5 inhibitors, ese ari maviri anoshivirirwa zvakanaka. Avanafil ndeyechipiri-chizvarwa phosphodiesterase mhando 5 inhibitor, chete saled sezita-zita, isina generic fomu, ini iri nyowani pabonde enchance mushonga pamusika wekurapa erectile dysfunction (ED). Sildenafil naAvanafil mishonga yekupfupisa-inoshanda yeED, asi Avanafil inoshanda nekukurumidza, iine hurefu hurefu hwehupenyu, inowanzo shanda mukati memaminitsi gumi nemashanu mushure mekushandisa. Avanafil inova inokurumidza-kuita erectile kusagadzikana kurapwa parizvino pamusika. Just avanafil mutengo wakanyanya kukwirira kupfuura mamwe ma PDE15 inhibitors, asi sildenafil inoita kunge inonyanya kufarirwa, pamwe mutengo wesildenafil wakanyanya kuderera uye unoonekwa pakutanga pamusika.

Tadalafil vs Avanafil (Cialis vs Stendra)
Tadalafil uye avanafil vanoshanda nenzira yakafanana, inoshandiswa kurapa murume erectile kudzvinyirira (ED), ane akawanda akafanana mhedzisiro uye kudyidzana. Avanafil yakatenderwa neUS FDA mu2012 uye ndokuva wechina PDE5I pamusika, iine moyo murefu, hafu yeupenyu hwavanafil inongova nechetatu chetadalafil. Iyo ine kukurumidza kutanga uye ipfupi nguva yekuita pane tadalafil

 

Tadalafil vs Vardenafil (Cialis vs Levitra)

Tadalafil (Cialis) uye Vardenafil (Levitra) vari FDA-inogamuchirwa kurapa erectile kudzvinyirira (ED), vanobva mukirasi imwechete yemakemikari, Tadalafil mushonga wezuva nezuva waishandiswa kurapa yakawedzera prostate, Vardenafil inoshandiswa zvakanyanya semushonga wekurapa ye erectile dysfunction (ED). Nekudaro, tadalafil inogona kukurumidza-kuita kupfuura Vardenafil uye inogara kwenguva yakareba nemhedzisiro, Tadalafil uye Vardenafil vane zvakafanana mhedzisiro uye kudyidzana, ese ari maviri madhiragi anogona kushandiswa pamwe kana pasina chikafu sezvazvinodiwa musati maita zvepabonde, chete kunwiwa kwaVardenafil kunogona kukanganiswa neakakwira- kudya kwemafuta kudya, kutora kwaTadalafil hakukanganisike nechikafu.

	Vardenafil	Tadalafil
Kirasi yemishonga	Phosphodiesterase-5 (PDE5) inhibitor	Phosphodiesterase-5 (PDE5) inhibitor
chinzvimbo	Brand & Generic	Brand & Generic
fomu	Hwendefa remuromo	Hwendefa remuromo
Standard muyero	5 kusvika 20 mg sezvinodiwa usati waita bonde kusvika kamwe pazuva sekurairwa nachiremba	5 kusvika 20 mg sezvinodiwa usati waita bonde kana 2.5 kusvika 5 mg kamwe zuva nezuva sekurairwa nachiremba
Inotora nguva	maminetsi makumi matanhatu pamberi poruoko.	Maminitsi makumi matatu usati waita bonde
Zvikanganiso	yakakora kana inomhanyisa mhino, kutemwa nemusoro, kuputika, kushushikana mudumbu, kugaya, uye kurwadziwa musana	yakakora kana inomhanyisa mhino, kutemwa nemusoro, kuputika, kushushikana mudumbu, kugaya, uye kurwadziwa musana
Chaizvoizvo kurapwa	inotorwa sezviri kudikanwa, kwete kukurudzira sekureba-kwemazuva ese kushandiswa	inotorwa sezvinodiwa, kushandiswa kwezuva nezuva kunogona kukodzera kune vamwe vanhu.

Sildenafil vs Tadalafil vs Vardenafil vs Avanafil
Sildenafil, Tadalafil, Vardenafil uye Avanafil haizorape erectile dysfunction (ED), asi vanogona kupa zororo kubva kuzviratidzo zvayo. Muviri wemunhu wese unopindura mutsauko pabonde-zvinowedzera zvinodhaka, mhedzisiro inosiyana kubva pamunhu kuenda kune mumwe munhu, iyo chete nzira yekuziva kuti ndeupi mushonga wakanakira iwe pamwe nekuyedza uye nekukanganisa. Kana iwe unoshanda zvakananga nachiremba kana wemishonga, kuteedzera mhedzisiro uye kusarudza kuti ndeupi mushonga wakanakira yako erectile dysfunction (ED) yekurapa sarudzo.

Phosphodiesterase-5 inhibitors yeErectile Dysfunction (ED)
chigadzirwa	Sildenafil	Tadalafil	Vardenafil	Avanafil
muchiso	Viagra	Cialis	Levitra	Stendra
Shanduro yeGeneric	Ehe	Ehe	Ehe	Aihwa
fomu	piritsi yemuromo kana kuturika kwemvura	piritsi remuromo	piritsi remuromo	piritsi remuromo
Chaicho chipimo chemushonga	25mg, 50mg,100mg	2.5 mg, 5 mg, 10 mg, 20 mg	5 MG, 10 MG, 20 MG	50 MG, 100 MG, 200 MG
NguvaNguva	2 ~ 3hours	kusvika kumaawa 36	4 ~ 5 maawa	6 ~ 12 maawa
Kutanga (maminetsi)	30 ~ 60	15 ~ 30	30 ~ 60	15-30
Kubvisa kunoitwa nechikafu	Hongu (chikafu chine mafuta akawanda)	Aihwa	Hongu (chikafu chine mafuta akawanda)	Aihwa
Dosed	sezvinodiwa	zuva nezuva kana vhiki yevhiki	sezvinodiwa	sezvinodiwa
chengetedzo	Pana 25 ° C (77 ° F)	Pana 25 ° C (77 ° F)	Pana 25 ° C (77 ° F)	Tembiricha yemukamuri, pakati pe68 ° F kusvika 77 ° F (20 ° C kusvika 25 ° C)

 

Zviitiko Zvakagovaniswa paReddit

Heano mamwe mhinduro kubva kuRedditors mushure mekuyedza zvepabonde-zvinowedzera zvinodhaka kurapa murume ED:

-methhead_charizard
“PDE5 inhibitors hazviiti kuti iwe utye uye hazvinyatso kumutsa kumisikidza kwekumisikidza, zvinovandudza kuyerera kweropa saka kana iwe uchinge wakurudzirwa marongero ari emhando yepamusoro. Saka kana iwe UNOFANIRA porn kuti usimudzirwe havazoshandure icho chokwadi. Muchirevo che PE ndinofunga kuti PDE5 inhibitors zvingave zvine musoro kune wese munhu kuti awedzere kuyerera kweropa. Chero ipi yesarudzo dzambotaurwa dzinogona kushanda mune izvozvi, kunyangwe zvekare zvandinoda tadalafil ”

-One_Indication
"Ndave ndichishandisa tadalafil kweanenge makore matatu. uye ini zvino ndave makumi matanhatu nematatu. Ndakacheka 3mg tadalafil piritsi mukota (inenge 63mg) uye ndinotora rimwe zuva rechitatu. Ndine zvisarudzo chero pandinenge ndichida uye ndinonzwa ndakakura. Ndinofanira kutaura kuti ndinotenda nemoyo wese kuti kushandiswa uku kunoita kuti ndive nehusimbe kupfuura nakare kose muhupenyu hwangu ”

—NortheastGuyinTX
"Ndinotora tadalafil 20 mg mangwanani oga oga nemavhitamini angu. Iyo inogara mune yako system kweanosvika-kusvika maawa makumi matatu, iine 36/1 hupenyu hwemaawa gumi nesere. Kutora tadalafil zuva nezuva zvisinei nechero zvirongwa zvebonde zvinoshanda zvakanyanya kwandiri. Ini handina mhedzisiro, uye ndiri kutsvaga kuenda chero nguva. Izvi zvinobatsira nenguva dzekuzvimirira. Kana uchinge wawana chaiyo tadalafil dose, ndinokurudzira kuitora nguva dzose panguva imwechete mazuva ese… ”

—Jim_jonson
"Tadalafil inondibatsira kuti ndive neyakaomarara, yakasimba. Ini ndinoona kuti kuve kwakaomarara kunoderedza kushushikana uye zvakare kunetseka pamusoro pekumiswa kwangu, zvichitungamira mukugara kwenguva refu esp. munzira yedzidziso. ”

—TheLoneDeranger76
"Ndakave nezvose uye ndinofarira tadalafil pane sildenafil citrate. Kunyanya kana iwe uchironga kudzoreredza iyo MDMA, iyo tadalafil inoramba ichishanda. Sildenafil citrate inondipa acid Reflux futi. Tadalafil inoita kunge inoshanda zvirinani futi. Erections zvirinani uye zvakareba ”

--Key_Dig_9315
"Tadalafil iri nani pane vardenafil, mhedzisiro yayo inosvika kumaawa makumi matatu nematanhatu inozivikanwa se" mapiritsi evhiki "asi vardenafil uye tadalafil mhedzisiro inongogara maawa mashanu chete uye isinganyatso shanda kana iwe uchidya chikafu chine mafuta mazhinji asi tadalafil inoshanda zvinobudirira pasina nyaya. . ”

—KunzwaMhumhi
"Ndine makore makumi mashanu nemasere uye ndanga ndichishandisa vardenafi 58 mg kwemakore akati wandei. Zvinoshanda zvikuru kwandiri nemukadzi vane zvishoma zvinokanganisa. ”

—JadmZimz4evr
”Ndine IPAH. Ini ndinotora tadalafil 40mg uye Opsumit (macitentan) 10mg. Combo iyoyo yakandishandira zvakandinakira pamusoro pemakore mashanu apfuura. Zvipatara zvishoma pano neapo, asi zvakazara, zvirinani kupfuura ma5yrs andakashandisa ndisina kuzivikanwa. Nyanzvi yangu yakandiudza sildenafil haina kusimba senge tadalafil, asi imwechete bonde enchance zvinodhaka mhuri. Iyo generic inonzi Alyq. Dzimwe inishuwarenzi dzinokuchengeta paSildenafil nekuti yakachipa. Zvimwe kuwana generic kunobatsira kudzikisa mutengo wesildenafil. ”

--CraftyLiving6
”Ndine makore makumi matatu nematatu ekuberekwa. Ini nemukadzi tiri kushingaira muhupenyu hwedu hwepabonde. asi iyi mwedzi mishoma yapfuura Ndine nguva yakaoma yekumiswa, kunyangwe hazvo pfungwa nemuviri wangu zvichiti hongu, nhengo yangu irikuti kwete. Saka ini ndinotenga sildenafil uye ndinofunga inogona kundibatsira uye ndakashamisika kuti yaindishandira chaizvo. Zvakanga zvakaoma chaizvo. ""

 

Zviitiko Zvakagovaniswa paQuora

Heano mamwe mhinduro kubva kuQuora mushure mekuyedza zvepabonde-zvinowedzera zvinodhaka kurapa murume ED:

-Andres Bruce
"Tadalafil inogovera kuenzanisa kushanda uye chengetedzo neSildenafil Citrate uye zvinonyanya kuvandudza chokwadi chevarwere chebonde. Zvakare, varwere uye vavanoperekedza vanonamira kune tadalafil kune sildenafil. Nekudaro, tadalafil inogona kunge iri sarudzo iri nani pakurapa kwaED ”

-Anthony Skilton
"Piritsi nyowani yekuvandudza ED yarova pamusika mumakore achangopfuura uye ndiStendra (Avanafil). Heano kutarisa kweAvanafil vs Sildenafil Citrate kuenzanisa. Zvese zvinodhaka zvinogona kubatsira kubata yako ED mamiriro. Kunyange zvakadaro, Avanafil ine ruoko rwepamusoro, sezvo iine nguva yakareba yekushanda uye mashoma mhedzisiro. Uye zvakare, Sildenafil Citrate inodhura uye haizogara kwenguva refu. Izvi zvinogona kukukonzera mari yakawanda mukufamba kwenguva. Pazvose, Avanafil ndiye akanakisa pane maviri ”

-Bob Smith
”Tadalafil (Cialis) Mazuva ese, inozivikanwa sepiritsi revhiki, ndeimwe yemhinduro dzinoshanda kune varwere vane erectile kudzvinyirira. Chiito chinoshanda uye chakareba chemushonga chinoita kuti zvikwanise kuchengetedza kugadzikana uye kwenguva refu, kurapa ejaculation nguva isati yakwana uye zvimwe zvinokanganisa. Tadalafil mazuva ese ndeimwe yekutengesa kwakanyanya kutengesa zvinodhaka munyika nhasi "

-Dennis Rodrigue
”Erectile dysfunction uye ejaculation ejaculation ndiyo matambudziko maviri epabonde anowanikwa muvarume. Dapoxetine 60mg inoita basa rakakosha mukuchengetedza iyo ED uye PE panguva dzepedyo zvikamu ”

—Amit Panigrahi
”Kunyange madhiragi akaita saSildenafil (viagra), Tadalafil (Cialis) achibatsira i kesi ye erectile dysfunction (ED), hainyatso kubatsira kuwedzera nguva yekusangana. Zvezviitiko zvakadaro (zvinoreva kunonoka kumisikidzwa, kureva kuwedzera nguva yekusangana) mumwe mushonga Dapoxetin urikushandiswa. Iwe unogona kuwana zvigadzirwa zvemishonga zvine dapoxetin kuwedzera nguva yekuita bonde. Mamwe mabatanidzwa aripo sildenafil + dapoxetin, Tadalafil + dapoxetin… ”

—Dr.Stam Poupalos
”Erectile kudzvinyirira chiratidzo kwete pane mamiriro sezvo ichigona kuve nezvakasiyana zvikonzero. Psychological ED inogona kutorwa seinorapika mune dzimwe nguva nepo panyama ED, nekuda kwekutaura kukuvara kwetsinga kana matambudziko ekutenderera, inorapwa kana isingarapike. Chero nzira nzira inogona kuwanikwa inogona kukunda mamiriro acho ezvinhu. ”

-Bob Nicholson
”Kutaura chokwadi, hazvina basa kuti uripi. Mushonga unonyanya kushanda weED ndeye PDE-5 inhibitor (Sildenafil Citrate, Tadalafil, Vardenafil, uye zvakaenzana). ”

- Dana Shultze
”Sildenafil inoshandiswa neavo vane Erectile Dysfunction nyaya mune varume. Sildenafil pamwe neViagra. Sildenafil iyi piritsi rakapfava rinoratidzwa zvakare pakurapa pulmonary arterial hypertension (PAH). Sildenafil inoshanda nekuzorodza mhasuru muiyo penile nekusimudzira kuyerera kweropa mairi. Ichi chiito chakakwana chemushonga chinobatsira varume kuwana uye kuchengetedza erection kwenguva yakareba ”

—José Saravia
”Zvinoita kunge sildenafil inoshanda kune vanovaka muviri, chikonzero ndechekuti mamorekuru nitric oxide chinhu chakakosha che sildenafil uye akawanda ekuwedzera ekuvaka muviri anovakwa akatenderedza molekemu imwe chete uye anotengeswa kuti ashandiswe sevasati vadzidzira vasodilator. Zvakare, vazhinji vanovaka muviri, vanotora Sildenafil pamwe nevanabolic steroid isati yatanga kurovedza muviri. ”

sei tenga yakavimbika-inosimudzira bonde zvinodhaka online?

Kutenga zvinyorwa pamhepo zviri nyore uye nekukurumidza kupfuura nakare kose. Kana iwe uchida kutenga bonde-rinosimudzira zvinodhaka zvekurapa murume ED nyaya kuburikidza akasiyana siyana epamhepo mapuratifomu. zvirinani utenge kubva kumutengesi ane rekodhi yekutengesa yakachengeteka uye inoshanda bonde-rinosimudzira zvinodhaka. Kubva pane zvakaitika kwatiri uye nemhinduro yakanaka kubva kune vatengi, chemapi.com mutengesi ane mukurumbira pabonde zvinodhaka izvo zvinounza zvemhando yepamusoro zvinodhaka zvekusimudzira pabonde nemitengo yemakwikwi.

 

Zvinyorwa Zviri Kuitika