Merevedési zavarok kezelése

2014.04.15. - Írta: dr. Fekete Ferenc, urológus

Merevedési zavarok kezelése

A férfiak leggyakoribb szexuális panasza a hímvessző merevedésének elégtelen volta, ami miatt sokan képtelenek a nemi életre. A merevedés úgy jön létre, hogy nemi izgalom hatására a hímvesszőben lévő idegvégződésekben olyan anyagok szabadulnak fel, amelyek a hímvessző ereinek a tágulatát okozzák. Minden olyan tényező, ami csökkenti az idegek reakcióját, vagy az erek tágulékonyságát, rontja a nemi izgalom hatására létrejövő merevedést. A merevedési probléma nem önálló betegség, hanem tünete az idegek, vagy az erek valamilyen működési zavarának. E zavar előidézője lehet lelki ok, így gyakran stressz, kudarctól való félelem. Még gyakoribb, hogy valamilyen, az erek működését befolyásoló szervi betegség így a cukorbetegség, a magas vérnyomás, érszûkület vagy szívbetegség velejárója. Ezen betegségekben a merevedés gyengülése a páciensek 30-50%-nál fordul elő. Világszerte több százmillió férfi problémája ez, így nem csoda, ha egyre inkább az érdeklôdés középpontjába kerül a kérdés, amiről néhány éve még nem sokat beszéltek.
 

Min­den olyan té­nyező, ami csök­ken­ti az ide­gek re­ak­ci­ó­ját, vagy az erek tá­gu­lé­kony­sá­gát, ront­ja a ne­mi iz­ga­lom ha­tá­sá­ra lét­re­jövő me­re­ve­dést. A me­re­ve­dé­si prob­lé­ma nem ön­ál­ló be­teg­ség, ha­nem tü­ne­te az ide­gek, vagy az erek va­la­mi­lyen mű­kö­dé­si za­va­rá­nak. E za­var előidézője le­het lel­ki ok, így gyak­ran stressz, ku­darc­tól va­ló fé­le­lem.

Még gya­ko­ribb, hogy va­la­mi­lyen, az erek mű­kö­dé­sét be­fo­lyá­so­ló szer­vi be­teg­ség így a cu­kor­be­teg­ség, a ma­gas vér­nyo­más, ér­szű­kü­let vagy szív­be­teg­ség ve­le­já­ró­ja. Ezen be­teg­sé­gek­ben a me­re­ve­dés gyen­gü­lé­se a pá­ci­en­sek 30-50%-nál for­dul elő. Vi­lág­szer­te több száz­mil­lió fér­fi prob­lé­má­ja ez, így nem cso­da, ha egy­re in­kább az ér­deklődés kö­zép­pont­já­ba ke­rül a kér­dés, amiről né­hány éve még nem so­kat be­szél­tek.

Az or­vos­tu­do­mány fejlődé­se ezen a te­rü­le­ten igen gyors. Húsz éve még nem volt ha­té­kony ke­ze­lés a me­re­ve­dés ja­ví­tá­sá­ra. Ti­ze­nöt éve igen nagy fejlődést je­len­tett a hím­vesszőbe fáj­dal­mat­lan in­jek­ció for­má­já­ban adott ért­ágí­tó anya­gok al­kal­ma­zá­sa, ami a fér­fi­ak 80%-nál si­ke­re­sen al­kal­maz­ha­tó mód­szer. Ugyan­csak az el­múlt év­ti­zed­ben tö­ké­le­te­sed­tek a me­re­ve­dést ja­ví­tó mű­té­tek is, ami­ket ak­kor vé­gez­nek, ha sú­lyos ér­be­teg­ség mi­att más mó­don nem le­het me­re­ve­dést lét­re­hoz­ni.

A kö­zel­múlt nagy fel­fe­de­zé­se a me­re­ve­dést va­ló­ban ha­té­ko­nyan lét­re­ho­zó tab­let­tás ké­szít­mény. Ez egy olyan sze­lek­tív ér­tágí­tó, ami szá­jon át be­szed­ve a hím­vessző ere­it erősen ki­tá­gít­ja. A szem­ben tíz­szer, a szív­ben ezer­szer gyen­géb­ben hat, mint a hím­vessző ere­i­ben. Az el­múlt hó­na­pok­ban több szá­zez­ren al­kal­maz­ták a ké­szít­ményt és ki­de­rült, hogy a me­re­ve­dé­si za­va­rok­ban szen­vedők 70-80%-nál hoz lét­re meg­fe­lelő me­re­ve­dést. Fej­fá­jást 16%-ban, ki­pi­ru­lást 10%-ban, mú­ló szín­lá­tá­sza­vart 3%-ban okoz, ezen kí­vül más, lé­nye­ges mel­lék­ha­tá­sát nem ész­lel­ték. Ez a gyógy­szer né­hány hó­nap múl­va vár­ha­tó­an ha­zánk­ban is for­ga­lom­ba ke­rül és or­vo­si el­lenőrzés mel­lett al­kal­maz­va igen ha­té­kony és ke­vés mel­lék­ha­tás­sal já­ró ke­ze­lé­si le­hetőség lesz.

Ma már sen­ki­nek sem kell job­ban szé­gyell­nie ezt a gon­dot, mint bár­mi­lyen más egész­ség­ügyi prob­lé­mát. Mi­vel nap­ja­ink­ban ha­té­kony ke­ze­lé­si le­hetősé­gek áll­nak ren­del­ke­zés­re, ér­de­mes uro­ló­gus szak­em­ber­hez for­dul­ni.
Aki­nek meg­van rá az igé­nye, an­nak nem kell le­mon­da­nia a ne­mi életről vagy meg­vár­ni, amíg a part­ner­kap­cso­la­ta vég­képp el­rom­lik.

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