Roi loan cuong duong la gi?

Roi loan cuong duong la mot roi loan chuc nang tinh duc o nam gioi, la tinh trang duong vat khong cuong cung len duoc hoac khong du cuong cung de thuc hien qua trinh giao hop.

Roi loan cuong duong la mot benh ly xay ra o nam gioi xuat hien tu ngan doi xua va dang ngay cang pho bien hien nay. Benh ly nay khong phai la mot benh qua nguy hiem anh huong toi suc khoe, tinh mang cua nam gioi, tuy nhien no anh huong rat lon den chat luong cuoc song cung nhu ban linh va niem tin cua nguoi dan ong.

Nguyen nhan benh Roi loan cuong duong

Do tam ly: cang thang than kinh, met moi, stress co the tac dong va gay kho khan de dat duoc su cuong cung.

Suy giam tap trung trong quan he tinh duc.

Yeu to lien quan den than kinh: Tram cam, mot so benh than kinh khac¿

Mac mot so benh ly ve chuyen hoa: cao huyet ap, roi loan lipid mau, tieu duong.

Roi loan noi tiet.

Su dung chat kich thich nhu: cafe, thuoc la, ruou va ma tuy¿

Su dung cac loai thuoc nhu: thuoc ha huyet ap, thuoc chong tram cam, mot so thuoc an than, mot so thuoc loi tieu¿

Cac roi loan lam giam luu luong mau hoac gay ton thuong den cac day than kinh tren duong vat.

Trieu chung benh Roi loan cuong duong

Nam gioi khong co ham muon tinh duc va duong vat khong cuong cung duoc.

Nam gioi con ham muon tinh duc va duong vat khong cuong cung duoc hay con goi la ¿Tren bao duoi khong nghe¿.

Duong vat co the cuong nhung khong du cung de dua duoc vao am dao cua nu gioi hoac co the cung dua duoc vao am dao phu nu nhung khong duy tri duoc do cuong cung trong suot qua trinh quan he cho toi luc xuat tinh hoac bi xiu truoc khi xuat tinh.

Duong vat co the cuong cung duoc nhung cuong cung khong dung luc (khi nam gioi can quan he tinh duc thi duong vat lai khong cuong cung nhung trong mot so truong hop khac nhu dang lam viec, dang ngu thi duong vat lai cuong cung.

Doi tuong nguy co benh Roi loan cuong duong

Theo mot nghien cuu tu DH Massachusetts (My) cho thay roi loan cuong duong co the xuat hien o khoang 50% nam gioi tu 40 den 70 tuoi. Nguoi ta cung uoc tinh khoang 150 trieu nam gioi tren toan the gioi co roi loan cuong duong. Nam gioi tuoi duoi 40 bi roi loan cuong duong khoang 40%.

Tai Viet Nam, tinh trang roi loan cuong duong ngay cang pho bien va ngay cang co xu huong tre hoa, nam gioi o do tuoi 18-20 cung co nguy co mac benh tham chi con co chieu huong gia tang manh.

Phong ngua benh Roi loan cuong duong

Tao tam ly, tinh than thoai mai, hinh thanh loi song quan he tinh duc lanh manh, dac biet khong lam dung thu dam qua muc.

Can cung cap day du chat dinh duong cho co the, che do an uong khoa hoc hop ly, an nhieu rau xanh, han che chat beo¿

Han che cac chat kich thich: cafe, bia ruou, thuoc la, ma tuy¿

Tap the duc the thao thuong xuyen, nhat la cac bai tap tang cuong kha nang cuong cung duong vat.

Cac bien phap chan doan benh Roi loan cuong duong

Khai thac benh su

Khai thac benh su nham muc dich giup hieu ro ban chat, trinh tu thoi gian va muc do nghiem trong cua tinh trang roi loan nay, qua do giup xac dinh cac yeu to tam ly tinh duc va nguyen nhan thuc the neu co the, dong thoi cung de giup kham pha cac moi lien quan khac cung nhu giup xac dinh su mong doi cua benh nhan va ban tinh cua ho. 

Danh gia chuc nang cuong duong

Can hoi xem benh nhan con kha nang cuong duong vat vao ban dem hay buoi sang hay khong, dieu nay quan trong, vi no duoc xem nhu la kha nang co the dat duoc cuong duong vat trong nhung hoan canh khac nhau.

Dat bo cau hoi danh gia

Bo cau hoi hien duoc su dung nhieu nhat la Bang cau hoi Chi so quoc te chuc nang cuong duong vat (the International Index of Erectile Function - IIEF), gom 15 cau de danh gia 5 linh vuc lien quan:

Tham kham thuc the

Tham kham thuc the thuong khong co vai tro lon trong chan doan roi loan cuong duong tru khi xac dinh cac yeu to nguy co kem theo lien quan den roi loan cuong duong. Quan trong nhat la kham bo phan sinh duc mot cach day du, danh gia nhung dac diem gioi tinh phu va do huyet ap

3 Diem can kham lam sang:

Bo phan sinh duc:

Kich thuoc, hinh dang cua duong vat

Nhung bat thuong cua quy dau, bao quy dau

Dau hieu cua benh Peyronie

Tinh hoan (so luong, kich thuoc, vi tri, tinh chat)

Cac dac diem gioi tinh phu:

The trang co the

Nu hoa tuyen vu

Tinh trang long

Phan bo mo cua co the

He thong mach:

Danh gia huyet ap

Can lam sang:

Cac xet nghiem can lam sang cung it co vai tro trong chan doan roi loan cuong duong, chu yeu nham xac dinh cac yeu to nguy co gay roi loan cuong duong.

Can xet nghiem de chan doan benh dai thao duong, tang lipid mau va roi loan noi tiet.

Sieu am Doppler mau mach mau cua duong vat.

Chup vat hang (cavernosography) va do ap luc mach mau vat hang.

Chup dong mach duong vat.

Cac bien phap dieu tri benh Roi loan cuong duong

Roi loan cuong duong co chua khoi duoc khong la moi ban khoan cua cac quy ong o moi thoi dai. Truoc kia de dieu tri benh ly roi loan cuong duong cho cac vua chua, cac danh y noi tieng thuong dung cac loai thuc pham, thao duoc nhu: Cay sam dat, hat me, Saffron, dam duong hoac, tuy nhien hieu qua khong cao va kho kiem soat duoc tac dung phu ¿

Ngay nay voi su phat trien khoa hoc cong nghe hien dai, nhieu loai thuoc, nhieu phuong phap y hoc hieu qua an toan duoc dua vao dieu tri. Khong phai thuoc nao, phuong phap nao cung dung de dieu tri roi loan cuong duong ma con phai tuy thuoc vao chan doan cua bac si, doi tuong mac benh va nguyen nhan gay benh.

De dieu tri an toan va co hieu qua can xac dinh duoc duoc nguyen nhan gay roi loan cuong duong. Ben canh do can phai khuyen benh nhan nen dua ban tinh cua minh den de cung duoc tu van, dieu tri se giup hieu qua dieu tri tot hon.

Truoc kia roi loan cuong duong la mot benh ly vo cung kho chua nhung ngay nay nen khoa hoc ngay cang hien dai, roi loan cuong duong co the khac phuc voi nhieu loai thuoc hieu qua an toan.

Duoi day la cac phuong phap dieu tri va cach khac phuc roi loan cuong duong:

Thuoc nhom uc che PDE5

Day la lua chon dau tay cua cac nha lam sang cho benh nhan bi roi loan cuong duong, thuoc duoc su dung pho bien nhat hien nay mac du ra doi muon nhat. Cac thuoc nay co 2 cach su dung:

Cach thu nhat la dung theo yeu cau, nghia la benh nhan uong thuoc nay truoc khi giao hop 1 tieng dong ho sau do chi can co kich thich, ham muon tinh duc thi duong vat se cuong cung khi giao hop. Cach nay duoc su dung pho bien.

Cach thu hai la dung theo lieu hang ngay cac bac si. Cach nay duoc ap dung khi cach dung lieu theo yeu cau chua dat hieu qua nhu mong muon. Cach nay it duoc su dung hon.

Tuy nhien de thuan tien hon cho nguoi su dung, cac hang da dua ra thi truong mot dang vien ngam duoi luoi hoac dang phim co tac dung chi sau khi ngam duoi luoi khoang 5 phut. Cac tac dung phu thuong gap cua nhom thuoc nay nhu dau dau, chong mat, sung huyet mui, nong mat.

Su dung testosterone

Chi su dung testosterone de dieu tri khi roi loan cuong duong do thieu hut luong testosterone. Doi tuong thuong thieu hut luong testosterone la nhung nguoi suy sinh duc hay man duc viec bo sung testosterone la can thiet cai thien tot ve kha nang cuong duong vat, tang ham muon va tang kha nang tinh duc len.

Chi dinh benh nhan su dung testosterone khi ket qua xet nghiem testosterone huyet thap.

Bom hut chan khong

Su dung dung cu hut de tien hanh bom hut chan khong. Dung cu hut se tao mot ap luc am, keo mau vao duong vat sau do duoc giu lai bang mot vong that o goc duong vat. Phuong phap nay thich hop voi nguoi lon tuoi. Hieu qua cuong co the dat 90%, va su hai long co the thay doi tu 24 ¿ 94%.

Tac dung phu la dau duong vat, phu ne, cham xuat tinh.

Phuong phap nay duoc cac bac si chi dinh cho cac benh nhan khong muon dung thuoc hoac khong dap ung voi cac loai thuoc chua roi loan cuong hay co tinh trang benh ly toan than khong the su dung duoc cac thuoc nhom uc che men PDE5.

Tiem truc tiep vao hang vat cac thuoc gian mach tac dong truc tiep len duong vat
Nhom thuoc nay chi dinh cho benh nhan khong co hieu qua doi voi thuoc uc che PDE5, benh nhan bi roi loan cuong duong co nguyen nhan tu than kinh, mach mau, tam ly¿

Tac dung phu hay gap khi su dung nhom thuoc nay: cuong dau duong vat keo dai,  xo cung vat hang, chay mau, dau tai cho tiem.

Viec tiem thuoc nay co the duoc thuc hien tai co so y te hoac tai nha. Tuy nhien co mot kho khan la benh nhan sau khi tiem tai co so y te can phai nhanh chong ve nha ngay va tien hanh giao hop. Doi voi tiem tai nha, can bo y te can phai huong dan ky cho benh nhan de dat duoc hieu qua tot nhat va han che toi da cac truong hop nguy hiem co the gap phai.

Su dung cac bai thuoc co truyen

Tu thoi xua cac danh y noi tieng trong cung da biet su dung cac duoc lieu, thao moc tu nhien dem di che bien thanh cac bai thuoc co truyen de dieu tri roi loan cuong cho cac vua chua.

Cac bai thuoc nay co tinh chat gia truyen hoac dieu tri theo kinh nghiem, tuy nhien cac nha khoa hoc hien nay van chua xac dinh het hieu qua, tac dung phu cua cac bai thuoc nay.

Phau thuat dieu tri roi loan cuong duong

Chi chi dinh phau thuat khi su dung cac phuong phap tren khong co hieu qua va day la phuong phap dieu tri cuoi cung.

Phau thuat de dieu tri benh ly roi loan cuong duong co 2 hinh thuc:

Hinh thuc thu nhat: Cay vat hang gia. Co 2 loai bo phan gia do la loai ban cung hoac loai co the bom lam cuong cung, trong do loai co the bom co nhieu uu diem tuy nhien gia thanh dat hon nhieu.

Hinh thuc thu 2 la: Phau thuat noi thong dong mach. Hinh thuc nay duoc ap dung khi cac dong mach cap mau cho duong vat bi ton thuong va no co hieu qua tot do no tac dong dung vao nguyen nhan gay roi loan cuong duong.

Nen di kham nam khoa o dau

Chi phi kham nam khoa