Table of Contents
Erectile kawg tau muaj kev txhawj xeeb rau cov txiv neej txij thaum pib sau keeb kwm. Kev kho mob rau ED hnub rov qab los thaum ntxov raws li lub xyoo pua yim, thaum cov txiv neej ntawm Ancient Rome thiab Greece hnav cov dab neeg ntawm qaib thiab tshis qhov chaw mos. Ntseeg tias nws tuaj yeem ua tus kabmob aphrodisiac thiab txhawb kev ua haujlwm ntawm kev sib deev. Txog rau thaum xaus ntawm lub xyoo pua 18th, yaj testis extract tau txhaj raws li qhov chaw ntawm testosterone los kho qhov tsis muaj zog. Xyoo 1970, kev mob qog nqaij hlav tau ua ib lub npe rau lawv tus kheej ua qhov kev daws teeb meem rau erectile kawg. Nyob rau tib lub sijhawm, lub tshuab nqus dej rab qau tau txais koob meej thiab Geddings Osbon "cov cuab yeej siv sib npaug rau cov hluas" (lossis YED) tau paving txoj hauv kev rau cov qau nqus nqus noov uas peb tau paub txog niaj hnub no. Xyoo 1980 tso lub hauv paus rau kev tawm tsam kev sib daj sib deev nrog kev tshawb fawb ntawm Dr. Giles Brindley. Brindley tau txhaj tshuaj vasodilator rau hauv nws cov leeg, uas ua rau lub cev nqaij ntshiv so kom txaus thiab ua rau muaj kev txhim kho. Nws qhov kev tshawb pom tau coj mus rau kev tshawb fawb ntawm vasodilators thiab alpha-thaiv cov neeg ua haujlwm raws li kev kho rau kev ua haujlwm tsis zoo. Qhov tshwm sim loj tshwm sim Nyob rau xyoo 1990s, sildenafil tau pom zoo ua tshuaj kho plawv, thiab nws tau pom tias cov txiv neej noj cov tshuaj tau ntsib kev khov, kho tau ntev dua. Qhov no coj mus rau kev tshawb fawb ntxiv ntawm sildenafil ua tshuaj erectile, thiab Pfizer nthuav tawm Viagra hauv 1998. Sildenafil dhau los ua thawj qhov tshuaj hauv qhov ncauj tau pom zoo los kho ED. Kev kho mob erectile kawg tau hloov pauv nrog kev tshawb pom ntawm sildenafil lossis Viagra. Qhov no tau ua raws los ntawm kev siv tadalafil thiab vardenafil zoo ib yam li phosphodiesterase-5 inhibitor qhov ncauj tshuaj kho ED xyoo 2003. Rau ntau tus txiv neej, lub neej yeej tsis tau zoo dua.
Erectile Dysfunction (ED) yog ib yam txiv neej muaj mob, kev tshawb fawb tshawb fawb pom tias ED tau nce ntau zuj zus nrog lub hnub nyoog: kwv yees li 40% ntawm cov txiv neej cuam tshuam rau hnub nyoog 40 thiab ze li 70% ntawm cov txiv neej cuam tshuam thaum muaj hnub nyoog 70. Qhov ua ntej ntawm kev ua tiav ED nce ntawm 5% thaum lub hnub nyoog 40 txog 15% thaum muaj hnub nyoog 70.2 Hnub Nyoog yog qhov txawv txav nrog ED. Kev txo qis kev sib deev nrog lub hnub nyoog nce. Cov txiv neej nyob hauv cov neeg laus tshaj plaws (50 txog 59) tau ntau dua 3 zaug uas yuav muaj teeb meem kev txhim kho erection thiab qhia txog kev sib deev tsis txaus siab piv rau txiv neej 18 txog 29. Kev paub txog kev sib deev tsis zoo yog feem ntau ntawm cov txiv neej hauv lub cev tsis zoo thiab kev xav.
Hauv ob peb xyoos dhau los, tau muaj kev nce qib tseem ceeb hauv peb kev nkag siab ntawm lub cev lub cev lub luag haujlwm rau kev ua haujlwm tsis taus (ED). Erectile kawg (ED) tau dhau los ua lub ntsiab lus ntawm kev tshaj xov xwm thiab kev txaus siab hauv zej zog thiab kev lees paub. Ua ke nrog kev nce qib hauv kev paub tau tawg nyob rau hauv kev kho txoj hauv kev.
Erectile kawg lossis tsis txaus siab (ED), tseem hu ua tsis muaj zog, yog qhov tsis muaj peev xwm txhim kho thiab tswj kev txhim kho kom txaus siab rau kev sib deev lossis kev ua si. Feem ntau thaum cov ntshav ntws hauv tus qau yog qhov txwv lossis cov leeg hauv tsev muaj teeb meem. Nws feem ntau tshwm sim los ntawm teeb meem kev noj qab haus huv, xws li: kev ntxhov siab, nkees, ntxhov siab vim thiab lwm yam.
Yog tias koj tab tom nrhiav kev xaiv los kho koj li ED, kab lus no muab cov ntaub ntawv muaj txiaj ntsig rau cov tib neeg ntsib teeb meem no, lossis cov uas nyob ze lawv.
(1) Mechanics ntawm erectile kawg (ED)
Qhov no ua rau koj tus qau nthuav dav thiab tawv dua thaum cov ntshav puv ob chav hu ua corpora cavernosa, zoo li lub zais pa zoo li nws tau ntim nrog dej. Kev cuam tshuam los ntawm lub hlwb thiab lub paj hlwb ntawm lub paj hlwb pib txheej txheem. Txhua yam uas thaiv cov kev xav no lossis txwv cov ntshav ntws mus rau qhov chaw mos tuaj yeem ua rau ED.
(2) Cov tsos mob/Cov tsos mob ntawm kev ua haujlwm tsis zoo (ED)
Tus txiv neej tau pom tias yuav muaj ED thaum cov tsos mob hauv qab no tshwm sim tsis tu ncua:
Teeb meem kom tau erection
Cov teeb meem muaj ib qho erection
Teeb meem ua kom erection rau lub sijhawm ntev txaus
Qee qhov kev sib daj sib deev yog cuam tshuam nrog ED thiab tej zaum yuav ua rau cov tsos mob zoo ib yam li ED, xws li:
Kev ntxov ntxov ejaculation (ejaculating dhau lawm ntev)
Lub cev tsis tuaj yeem muaj lub orgasm tom qab txaus kev tsa
Ncua sij hawm ejaculation (thaum ejaculation siv sijhawm ntev dhau) txoj cai xub
Qes qis ntawm cov tshuaj testosterone
Txo libido los yog tsav txiv neej tsav
Ib qho kev ua tsis tiav hauv cov leeg ntawm lub plab hu ua pelvic
Kev raug mob rau lub plab, xws li pob txha pob txha puas
Qee qhov kev tshawb fawb tau qhia tias txiv neej nrog ED muaj kev pheej hmoo pheej hmoo ntawm lub plawv nres, mob hlab ntsha tawg lossis teeb meem hauv lub plawv. ED kuj ua rau:
Tsawg tus kheej tsim txiaj
Kev nyuaj siab
Kev nyuaj siab rau tus txiv neej thiab nws tus khub
Tham nrog koj tus kws kho mob yog tias koj muaj ib qho ntawm cov tsos mob no, tshwj xeeb tshaj yog tias lawv tau nyob ntev li 3 lossis ntau lub hlis. Lawv tuaj yeem pab txiav txim siab seb koj cov tsos mob tshwm sim los ntawm qhov mob hauv qab uas yuav tsum tau kho. Nws lub hom phiaj txhawm rau txhim kho lossis txhim kho kev ua haujlwm erectile, pab kev noj qab haus huv hauv lub cev thiab pab kom txiv neej lub neej zoo
(3) Qhov sib txawv ntawm ED thiab kev sib deev tsis zoo
Txiv neej yuav muaj ntau yam teeb meem suav nrog kev sib deev tsis zoo thiab teeb meem nrog ejaculation. Tab sis ED hais txog tshwj xeeb rau teeb meem tau txais lossis ua kom erection. Tej zaum koj yuav muaj kev sib deev zoo, tab sis lub cev uas yuav tsis teb. Feem ntau muaj lub hauv paus ntawm lub cev rau qhov teeb meem.
Cov txiv neej tau koom tes hauv cov txheej txheem ntawm erection los ntawm lub hlwb, cov tshuaj hormones, cov kev xav, qab haus huv, cov leeg thiab cov hlab ntsha. Ib qho ntawm cov teeb meem no yuav ua rau lossis pab txhawb ED. Nrog lub hnub nyoog, kev faib ua feem ntawm cov txiv neej nrog qee cov tsos mob ED yuav nce nrog kev nce hauv lub neej, tab sis kev laus yuav tsis ua rau ED. ED tuaj yeem kho tau txhua lub hnub nyoog.
Txoj kev ua neej ua rau ED
Kev xaiv lub neej muaj txiaj ntsig tuaj yeem ua rau ED, haus luam yeeb, haus cawv ntau dhau, thiab quav tshuaj muaj peev xwm ua rau cov ntshav ncig tsis zoo thiab ua rau lub ntsej muag tsis ua haujlwm. Ua kom rog dhau thiab ua kom qoj ib ce tsawg dhau kuj tseem ua rau kev ua haujlwm tsis zoo. Cov txiv neej uas ua haujlwm tsis tu ncua muaj kev pheej hmoo qis ntawm kev ua haujlwm tsis muaj zog.
Puas hawv tsim los ntawm ED
Lub cev zoo yuav pab tsa tau lub hlwb, yog tias koj muaj kev ntxhov siab, kev mob hlwb xws li muaj kev ntxhov siab lossis ntxhov siab, koj lub hlwb muaj teeb meem tsim cov hlab ntsha sib txuas thiab tso cov tshuaj hormones uas ua rau ua kom muaj kev txhim kho. Yog li cov teeb meem mob hlwb tuaj yeem yog qhov tseem ceeb txhawb nqa rau kev ua kom tiav erectile kawg.
Kab mob ntev ua rau ED
Kev sib txuas ntawm kab mob ntev thiab ED yog qhov ua rau pom ntau tshaj plaws mob ntshav qab zib. Cov txiv neej uas muaj ntshav qab zib yog ob mus rau peb zaug feem ntau yuav muaj kev ua haujlwm tsis taus. Txhua yam mob uas cuam tshuam rau txoj kev ntshav ntws los ntawm koj lub cev tuaj yeem ua rau ED. Qhov no suav nrog tus kab mob plawv, atherosclerosis (tawv nqaij ntawm cov hlab ntsha), mob raum, thiab ntau yam sclerosis.
Tshuaj ua rau ED
Ntau yam tshuaj tuaj yeem ua rau lossis ua rau erectile kawg, suav nrog cov tshuaj ntshav siab, tshuaj tiv thaiv kev nyuaj siab, tshuaj antihistamines, tshuaj kua qaub rov qab, tshuaj kho mob opioid. thiab tranquilizers. Tham nrog koj tus kws kho mob yog tias koj xav tias muaj ntawv yuav tshuaj lossis tom khw muag tshuaj tej zaum yuav ua rau muaj teeb meem erectile. Tab sis tsis txhob tsum tsis noj cov tshuaj ua ntej koj tham nrog koj tus kws kho mob.
Kev phais mob tshwm sim los ntawm ED
Kev phais lossis phais kho mob qog noj ntshav rau mob qog noj ntshav, mob qog noj ntshav, lossis mob qog noj ntshav (BPH) qee zaum tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab cov hlab ntsha nyob ze tus qau. Yog tias cov hlab ntsha puas tas mus li, koj yuav tsum tau kho kom tau erection. Tab sis qee zaum kev phais ua rau ED ib ntus uas tau zoo dua ntawm nws tus kheej tom qab 6 txog 18 lub hlis.
Feem ntau, yog tias koj tsis muaj kev txaus siab lossis xav tau kev sib deev, tsis muaj peev xwm sawv los, muaj kev sib deev, koj tuaj yeem cuam tshuam nrog kev ua haujlwm tsis zoo. Qee zaum, lossis tsis tu ncua, teeb meem kev sib deev tsis tas yuav taw tes rau kev ua haujlwm tsis taus.
Erectile kawg (ED) tuaj yeem cuam tshuam rau txiv neej ntawm hnub nyoog sib txawv, tab sis yuav tsis cuam tshuam nws lub neej zoo. Kab lus no tuaj yeem pab koj nrhiav qhov kev kho mob tsim nyog thiab pab txhawb kev ua neej nyob nrog poj niam txiv neej thiab txhim kho koj qhov kev ua haujlwm erectile, ua rau koj xav rov qab mus rau koj tus kheej qub.
Tshuaj
Rau cov txiv neej feem ntau, lawv feem ntau txiav txim siab noj tshuaj hauv qhov ncauj rau kev kho erectile kawg (ED) ua ntej, txhawm rau pab kom tau txais thiab tswj kev txhim kho erection. Cov txiv neej sib deev-pab tau qhov ncauj tshuaj (PDE5 inhibitors) suav nrog tadalafil (Cialis), sildenafil (Viagra), vardenafil (Levitra, Staxyn) thiab avanafil (Stendra), los ntawm kev txhim kho kev sib deev los ntawm kev so kom cov leeg thiab cov ntshav tawm mus rau qhov chaw mos. Koj yuav tsum tsis txhob noj ib qho ntawm cov tshuaj no los kho erectile kawg (ED) yog tias koj noj nitrates rau kab mob plawv. Kuj yuav pom zoo rau kev kho Testosterone (TRT) kuj yog tias koj muaj testosterone tsawg. Alprostadil (Caverject, Edex, MUSE) yog lwm yam tshuaj pom zoo los ntawm FDA uas tuaj yeem siv los kho tus mob erectile kawg (ED). Nws tuaj yeem tswj tau hauv ob txoj hauv kev: raws li rab koob txhaj tshuaj los yog txhaj tshuaj rau tus kheej ntawm lub hauv paus lossis ib sab ntawm chaw mos. Kev hno rab qau yog hom kev kho ED zoo tshaj plaws rau cov txiv neej uas tsis tuaj yeem kho qhov ncauj.
Cov Khoom Siv Kho Mob
Yog tias cov tshuaj tsis ua hauj lwm zoo los yog tsis tsim nyog, lub tshuab nqus tsev thiab rab qau mis thiab lwm yam kev pab kuj tuaj yeem pab cov txiv neej ua tiav lossis ua kom lub zog erection. Nws kuj tseem pom zoo siv rau poj niam, tsuas yog yuav kim dua. Dilators tuaj yeem pab cov poj niam uas ntsib qhov nqaim ntawm qhov chaw mos. Cov cuab yeej zoo li vibrators tuaj yeem pab tau los txhim kho kev nyiam kev sib deev thiab nce qib.
Lwm cov tshuaj
Muaj qee qhov kev xaiv tshuaj thiab "tshuaj noj kom zoo" uas thov los kho qhov ua haujlwm tsis zoo, xws li: Panax ginseng tshuaj ntxiv, ginkgo, kua txiv pomegranate, thiab yohimbe tshuaj ntxiv thiab lwm yam. thawj zaug ua ntej siv ib qho ntxiv, kom paub tseeb tias nws muaj kev nyab xeeb txaus rau kev kho ED.
hlwb
Kho nrog tus kws qhia paub zoo tuaj yeem pab koj daws teeb meem kev sib deev yav dhau los, kev ntxhov siab, kev nyuaj siab, stree, thiab lub cev tsis zoo. Lawv tuaj yeem pab koj thiab koj tus khub rov txuas kev xav, uas tseem tuaj yeem pab koj li ED.
Pom zoo phais
Rau cov txiv neej feem ntau, kev phais yuav tsum yog qhov kawg, los ntawm kev phais vascular txhawm rau kho qee yam vascular ua rau ED. Lub sijhawm rov zoo sib txawv, tab sis qhov ua tiav yog siab.
Ntau cov ntawv ceeb toom qhia tias 4 cov tshuaj sib deev hauv qab no yog qhov ua tau zoo tshaj plaws los pab txiv neej kho kev ua haujlwm tsis taus (ED).
(1)Tadalafil
Tadalafil belongs rau ib chav kawm ntawm cov tshuaj tiv thaiv qhov ncauj hu ua phosphodiesterase (PDE) cov tshuaj tiv thaiv kab mob, muag hauv qab hom npe Cialis thiab Adcirca, yog siv los kho erectile kawg (ED) thiab cov tsos mob ntawm benign prostatic hypertrophy (BPH, mob loj ntawm prostate). Tadalafil ua haujlwm los ntawm kev ua kom cov ntshav ntws mus rau qhov chaw mos kom pab tus txiv neej tau txais thiab ua kom muaj erection. Qee zaum, nws kuj tseem siv los kho mob ntsws pulmonary hypertension (PAH) (ntshav siab hauv cov hlab ntshav uas muab tshuaj rau lub ntsws).
Ntau cov ntawv ceeb toom qhia tias Tadalafil (Cialis) yog cov tshuaj PDE5 ntev tshaj plaws rau ED, nws tuaj yeem kav ntev txog 36 ~ 72 teev. tuaj yeem ua raws li txhua hnub lossis xav tau lub hauv paus. Yog tias tadalafil noj txhua hnub, nws tuaj yeem sim ua kev sib deev txhua lub sijhawm ntawm koj cov koob tshuaj, tsis txhob noj tadalafil ntau dua ib zaug ib hnub, qhov ntau npaum li tadalafil ib txwm yog 2.5 mg txog 5 mg los ntawm qhov ncauj ib hnub ib zaug. Yog tias tadalafil coj nws raws li xav tau, feem ntau tsawg kawg 30 feeb ua ntej kev sib deev, qhov raug ntawm tadalafil yog 5 mg txog 20 mg nyob ntawm kev teb Cialis (tadalafil) thiab tsis ntau dua li ib zaug txhua 24 teev. Tadalafil qhov cuam tshuam rau kev muaj peev xwm ntawm kev sib deev tuaj yeem ntev txog 36 ~ 72 teev. Thaum noj tadalafil ntawm lub sijhawm tsis tu ncua thiab tsis noj ntau npaum li cas, noj nws sai li sai tau thaum koj nco qab. Yog tias nyob ze rau lub sijhawm noj tshuaj tom ntej, hla qhov tsis noj tshuaj, noj tshuaj ntxiv tom ntej ntawm lub sijhawm tsis tu ncua. Tsis txhob muab ob npaug koob tshuaj kom caum cuag. Tadalafil xav tau khaws cia ntawm chav sov kom deb ntawm lub teeb thiab noo noo, tsis tuaj yeem khaws hauv chav dej, thiab khaws txhua yam tshuaj kom deb ntawm menyuam yaus thiab tsiaj, nws tsuas tuaj yeem nqa los ntawm cov laus hnub nyoog 18 thiab tshaj.
Ib qho ntxiv, txhua yam tshuaj yuav ua rau muaj kev pheej hmoo thiab txiaj ntsig. Txawm hais tias tadalafil ua haujlwm, koj yuav ntsib qee yam tsis xav tau ntawm tadalafil, suav nrog: mob taub hau, mob plab, mob nraub qaum, mob leeg, txhaws ntswg, yaug, lossis kiv taub hau thiab lwm yam. lossis tus kws muag tshuaj sai. Tsis tshua muaj, yog tias pom kev hloov pauv lossis tsis pom kev sai (suav nrog qhov muag tsis pom tas li, hauv ib lossis ob lub qhov muag)), ua kom ntev li ntev li 4 lossis ntau teev, poob qis lossis tsis hnov lus, qee zaum nrog lub ntsej muag thiab kiv taub hau, ua xua hnyav (pob liab liab, khaus/o, kiv taub hau loj, teeb meem ua pa thiab lwm yam) thiab lwm yam kev phiv loj, tsis txhob noj tadalafil thiab nrhiav kev pab kho mob tam sim ntawd.
Lub caij no, Tadalafil (Cialis) qhov ncauj ntsiav tshuaj/tshuaj ntsiav tuaj yeem cuam tshuam nrog cov tshuaj thiab tom khw muag khoom, cov vitamins, thiab kev noj zaub mov lossis tshuaj ntsuab ntxiv. Txhawm rau pab kom tsis txhob muaj Tadalafil kev sib cuam tshuam, koj yuav tsum paub seb tadalafil yuav cuam tshuam nrog lwm yam koj tau noj dab tsi, thiab tham nrog koj tus kws kho mob lossis kws muag tshuaj. Tsis txhob pib, nres, lossis hloov qhov ntau npaum ntawm cov tshuaj yam tsis tau koj tus kws kho mob pom zoo. Nco ntsoov cia koj tus kws kho mob thiab tus kws muag tshuaj txog tag nrho koj cov tshuaj tam sim no.
(2)Vardenafil Hydrochloride hmoov
Vardenafil, tseem paub los ntawm cov lag luam tshuaj lub npe Levitra lossis Staxyn, yog cov tshuaj kho mob zoo rau txiv neej lub cev tsis ua haujlwm, nws los ua ib ntsiav tshuaj thiab ua rau tawg sai sai (yaj hauv lub qhov ncauj thiab nqos tsis muaj dej) ntsiav tshuaj yuav tsum tau noj ntawm qhov ncauj. Zoo li lwm yam tshuaj PDE5 rau ED, vardenafil ua haujlwm los ntawm kev nce ntshav ntws mus rau chaw mos. Vardenafil cov txheej txheem ntawm kev ua uas yog nitric oxide qhib lub enzyme guanylate cyclase uas ua rau muaj kev sib xyaw ua ke ntawm cyclic guanosine monophosphate (cGMP) hauv cov leeg nqaij ntawm cov leeg nqaij ntawm corpus cavernosum. Lub cGMP ua rau cov leeg so so, ua kom cov ntshav ntws mus rau qhov chaw mos, ua rau muaj kev txhim kho. Vardenafil muaj nuj nqi zoo ib yam li sildenafil lossis Viagra, tab sis Viagra kav ntev li 2 mus rau 4 teev, thaum Vardenafil (Levitra) kav 4 teev. Txawm li cas los xij, kev siv vardenafil tsis haum rau cov poj niam, thiab vardenafil cov teebmeem thaum cev xeeb tub lossis hauv cov pojniam muaj menyuam pub mis tsis paub meej.
Ntau cov ntawv ceeb toom qhia tias vardenafil yog thawj qhov tshuaj xaiv rau kev kho erectile kawg, ua haujlwm nrawm dua li Viagra (sildenafil) thiab Cialis (tadalafil), nws tuaj yeem ua haujlwm zoo tshaj yog tias vardenafil tau noj 30 txog 60 feeb ua ntej kev sib deev. Vardenafil tuaj yeem noj nrog lossis tsis muaj zaub mov. Tab sis haus cawv tsis tau qhia, vim nws txo txoj hauv kev kom tau erection. Kev haus cawv kuj tuaj yeem ua rau muaj kev pheej hmoo ntawm kev phom sij. Txawm li cas los xij, Vardenafil ua haujlwm sai dua thaum noj lub plab tas. Qhov pom zoo pib vardenafil ntau npaum yog 10 mg, raws li kev ua tau zoo thiab ua tau siab ntev koob tshuaj tuaj yeem nce ntxiv mus rau 20 mg lossis txo qis rau 5 mg, thiab qhov siab tshaj plaws tau pom zoo yog 20 mg. Vardenafil yuav tsum tsis txhob noj ntau dua ib zaug ib hnub ntawm txhua koob tshuaj, ua kom koj txhais tes qhuav ua ntej siv vardenafil, tshem tawm cov tshuaj los ntawm vardenafil pob tam sim, muab vardenafil ntsiav tshuaj rau ntawm koj tus nplaig thiab tso cai rau nws yaj tag. Tsis txhob zom lossis faib cov ntsiav tshuaj, vardenafil yuav tsum tsis txhob noj nrog kua, nws xav tau khaws cia ntawm chav sov kom deb ntawm cov dej noo thiab cua sov.
Tsis txhob noj vardenafil nrog cov tshuaj uas zoo sib xws ua ke, xws li avanafil (Stendra), sildenafil (Viagra), lossis tadalafil (Cialis), nws yuav muaj peev xwm cuam tshuam nrog lwm cov tshuaj noj lossis khoom noj uas koj noj. Nyob rau lub sijhawm no, zam kom tsis txhob siv cov txiv kab ntxwv qaub, haus cawv thiab haus luam yeeb, yuav ua rau qee yam vardenafil phiv. Koj yuav tsum tham nrog koj tus kws kho mob lossis tus kws muag tshuaj thaum koj yuav noj vardenafi ntsiav tshuaj nrog cov tshuaj no, tuaj yeem pab zam kev vardenafi kev cuam tshuam.
(3)Avanafil
Avanafil (Stendra) yog lwm yam tshuaj PDE5, siv los kho cov txiv neej ua haujlwm tsis muaj zog (ED). Avanafil ua haujlwm zoo li lwm yam tshuaj hauv nws chav kawm los ntawm kev nce ntshav ntws mus rau qhov chaw mos, tsis muaj daim ntawv dav dav, nws yog kev kho ED kom nyab xeeb thiab zoo. Tsis zoo li Tadalafil (Cialis) thiab Sildenafil (Viagra), nws qhia tau tias muaj kev xaiv ntau dua rau PDE5 hla PDE6 ntau dua li sildenafil thiab vardenafil, tab sis tsis xaiv ntau dua tadalafil. Avanafil tej zaum yuav siv ib leeg lossis nrog lwm yam tshuaj noj, tseem tsis tau paub yog avanafil muaj kev nyab xeeb thiab zoo rau menyuam yaus.
Ntau cov ntawv ceeb toom qhia tias avanafil yog qhov tshiab tshaj plaws FDA tau pom zoo ED cov tshuaj noj nyob rau tom khw, nws ua haujlwm nrawm dua li lwm cov tshuaj hauv tib chav kawm, tsuas yog ua haujlwm li 15 feeb xwb. Avanafil tuaj yeem noj nrog lossis tsis muaj zaub mov, nrog kev zam zoo, nws tuaj yeem kav ntev txog rau teev. Tus nqi ntawm avanafil cov kev mob tshwm sim yog qhov qis tshaj ntawm txhua qhov PDE5 inhibitors. Thiab, avanafil raws li lub npe tshuaj noj tshuaj, avanafi tus nqi yuav kim dua li lwm cov tshuaj txhawb kev sib deev. Feem ntau nws tshwm nyob rau hauv qhov ncauj (ntsiav tshuaj) rau kho tus txiv neej ED qhov teeb meem, muaj peb lub zog ntawm avanafil ntsiav tshuaj: 50 mg, 100 mg thiab 200 mg. Rau cov txiv neej noj 50mg avanafil ntau npaum, xav tau 30 feeb ua ntej kev sib deev; Rau cov txiv neej noj avanafil koob hauv 100mg thiab 200mg, uas tsuas yog siv 15 feeb ua ntej kev sib deev, thiab tsis txhob noj avanafil ntau dua ib zaug ib hnub. Avanafil xav tau khaws cia ntawm chav sov, nyob deb ntawm qhov kub thiab noo ntau (tsis nyob hauv chav dej), thiab tsis ncav cuag cov menyuam.
Ib qho ntxiv, avanafil kuj tseem muaj kev sib cuam tshuam nrog tshuaj, koj yuav tsum tham nrog koj tus kws kho mob lossis tus kws muag tshuaj yog tias npaj yuav noj lwm cov tshuaj thiab tsis hais tshuaj, tshuaj vitamins, tshuaj noj kom zoo, thiab cov khoom lag luam tshuaj ntsuab, uas tuaj yeem pab zam kev sib xyaw avanafi thiab avanafi phiv tshuaj.
Dapoxetine hydrochloride (hcl) yog qhov luv-ua yeeb yam xaiv serotonin reuptake inhibitor (SSRI), nws tau pom zoo thaum xub thawj rau kev kho mob ntawm cov txiv neej nrog ejaculation ntxov (PE). Dapoxetine ua haujlwm los ntawm inhibiting serotonin transporter thiab tom qab ntawd nce serotonin qhov kev txiav txim ntawm pre-thiab postsynaptic receptors, nws yog cov hmoov dawb dawb thiab dej tsis yaj, tuaj yeem nqus tau sai hauv lub cev, nrog rau kev zam zoo, nws yog tshuaj qhov ncauj rau Erectile Ua Haujlwm thiab Ejaculatory Disorders . Pib koob tshuaj dapoxetine yog ib qho 30mg ntsiav tshuaj, noj dapoxetine ntsiav tshuaj 1 ~ 3 teev ua ntej kev sib deev, tuaj yeem nce ntxiv rau dapoxetine 60 mg tom qab 4 lub lis piam rau 12 lub lis piam, qhov siab tshaj plaws pom zoo ddapoxetine ntau npaum li cas yuav tsum tau ua ib zaug txhua 24 teev. Qhov tshwm sim ntawm dapoxetine feem ntau suav nrog kiv taub hau, mob taub hau thiab xeev siab. Thaum koj tab tom noj lwm yam tshuaj, thov nrog koj tus kws kho mob lossis kws muag tshuaj thiab paub tseeb tias tuaj yeem siv nrog dapoxetine, tuaj yeem pab zam kev dapoxetine cuam tshuam nrog lwm cov tshuaj.
(5) Sildenafil
Sildenafil yog thawj qhov tshuaj hauv qhov ncauj tau pom zoo los ntawm FDA rau thawj txoj kab kev kho mob erectile kawg (ED), nws yog tus paub zoo PDE5 inhibitor. Sildenafil ua haujlwm los ntawm kev ua kom cov ntshav ntws mus rau qhov chaw mos los ntawm kev so cov hlab ntshav thiab cov leeg nqaij kom pab tau tus txiv neej kom tau thiab ua kom lub cev erection. Tsis tas li, Sildenafil tuaj yeem siv rau ob tus txiv neej thiab poj niam los kho tus mob ntshav siab, nws ua haujlwm ntawm PDE5 enzyme hauv lub ntsws kom so cov hlab ntshav, qhov no ua kom cov ntshav nkag mus rau lub ntsws thiab txo qis kev ua haujlwm ntawm lub plawv. Sildenafil yog nrov dua cov tshuaj sib piv, nrog rau cov tshuaj thiab hom tshuaj. Viagra & Revatio raug muag rau kev lag luam hauv Sildenafil lub npe lag luam, tuaj yeem siv los ntawm lub qhov ncauj lossis txhaj tshuaj rau hauv cov hlab ntshav, cov tshuaj ntau npaum li cas ntawm sildenafil los ua cov ntsiav tshuaj thiab hmoov rau ncua kev kawm. Qhov tshwm sim feem ntau tsis pub dhau 20 feeb thiab tuaj yeem kav ntev li 2 teev.
Rau cov neeg mob feem ntau siv sildenafil los kho erectile kawg (ED), qhov pom zoo sildenafil ntau npaum yog 50mg, raws li xav tau, noj sildenafil tsawg kawg 30 feeb ua ntej kev sib deev, tab sis tsis ntau tshaj 4 teev, 1 teev ua ntej yog qhov ua tau zoo tshaj plaws, tsis noj ntau tshaj ib zaug hauv ib hnub. Raws li kev ua tau zoo thiab kev zam, sildenafil koob tshuaj tuaj yeem nce mus rau qhov siab tshaj plaws pom zoo koob ntawm sildenafil 100 mg lossis txo qis rau sildenafil 25 mg, nws tuaj yeem noj nrog lossis tsis muaj zaub mov noj. Tab sis, noj zaub mov muaj roj ntau ua ke nrog sildenafil tuaj yeem ncua sijhawm sai npaum li cas cov tshuaj pib ua haujlwm.
Table of Contents
Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra) thiab Avanafil (Stendra) yog cov tshuaj feem ntau tau sau tshuaj kho qhov ncauj rau txiv neej Erectile Dysfunction (ED), lawv ua haujlwm los ntawm kev nce ntshav ntws mus rau qhov chaw mos, koom nrog ib chav kawm ntawm cov tshuaj hu ua PDE5 inhibitors.Sildenafil, Tadalafil, Vardenafil thiab Avanafil ua haujlwm zoo ib yam, tsuas yog txhua cov tshuaj muaj cov tshuaj sib txawv me ntsis, yog li txhua cov tshuaj ua haujlwm yuav muaj qhov sib txawv me me, tab sis lawv ua haujlwm tau zoo thiab ua rau muaj kev phiv me ntsis. .
Sildenafil vs Tadalafil (Viagra vs Cialis)
Tadalafil thiab sildenafil yog ob qho uas feem ntau phosphodiesterase 5 inhibitors siv los kho tus mob erectile kawg (ED), ob qho tib si tsuas yog ua haujlwm thaum tus txiv neej muaj kev sib deev, nrog rau kev ua tau zoo thiab nyab xeeb, tuaj yeem txhim kho txiv neej kev ntseeg siab. Txawm li cas los xij, ntau tus txiv neej nyiam Tadalafil rau sildenafil, vim nws siv sijhawm ntev dua, ua haujlwm sai dua thiab muaj kev phiv me me, tadalafil tsis tuaj yeem cuam tshuam los ntawm cov zaub mov ib yam li sildenafil. Thiab rov ua dua, qee tus txiv neej nyiam sildenafil tom qab sim tadalafil tsis haum rau lawv.
Sildenafil vs Vardenafil (Viagra vs Levitra)
Vardenafil thiab sildenafil kuj tseem yog ob qho PDE-5 inhibitors los qhia rau kev kho txiv neej tsis muaj zog erectile (ED). Hauv cov txheej txheem, vardenafil zoo ib yam li sildenafil, nws muaj peev xwm ntau dua thiab xaiv ntau dua li sildenafil ntawm inhibiting phosphodiesterase-5. Txog kev kho ED, vardenafil cov nyhuv zoo ib yam li sildenafil, ob qho tib si tuaj yeem nyob ntev li plaub txog rau rau teev. Qhov txiaj ntsig nkaus xwb ntawm vardenafil rau sildenafil, nws tsis cuam tshuam phosphodiesterase-6 kom hloov pauv kev nkag siab xim, thiab sildenafil qee zaum tshwm sim tsis tshua muaj tshwm sim. Ob qho tshuaj tuaj yeem noj nrog zaub mov, tab sis Vardenafil zoo li tsis cuam tshuam los ntawm zaub mov lossis cawv. Ib qho ntxiv, qee qhov qhia txog kev tiv thaiv vardenafil muaj txiaj ntsig zoo rau cov neeg mob ntshav qab zib ntau dua li lwm yam tshuaj kho mob erectile.
Sildenafil vs Avanafil (Viagra vs Stendra)
Sildenafil thiab Avanafil zoo ib yam hauv kev ua tau zoo, koom nrog tib yam tshuaj ntawm PDE5 inhibitors, ob qho tib si tau ua siab ntev. Avanafil yog lub cim thib ob phosphodiesterase type 5 inhibitor, tsuas yog saled raws li lub npe-npe, tsis muaj daim ntawv dav dav, kuv yog cov tshuaj tshiab tshaj plaws rau kev sib deev ntawm kev ua lag luam rau kev kho erectile kawg (ED). Sildenafil thiab Avanafil yog cov tshuaj ED ua luv luv, tab sis Avanafil ua haujlwm sai dua, nrog rau ib nrab lub neej me ntsis, feem ntau nws ua haujlwm tsis pub dhau 15 feeb tom qab siv. Avanafil dhau los ua qhov kev kho mob sai tshaj plaws rau kev kho erectile kawg tam sim no ntawm kev ua lag luam. Tsuas yog avanafil tus nqi ntau dua li lwm yam PDE5 inhibitors, tab sis sildenafil zoo li muaj neeg nyiam ntau dua, tej zaum sildenafil tus nqi qis dua thiab tshwm sim ua ntej ntawm kev ua lag luam.
Tadalafil vs Avanafil (Cialis vs Stendra)
Tadalafil thiab avanafil ua haujlwm zoo ib yam, siv los kho tus txiv neej tsis ua haujlwm erectile (ED), muaj ntau yam kev phiv zoo sib xws thiab cuam tshuam. Avanafil tau pom zoo los ntawm Asmeskas FDA hauv xyoo 2012 thiab dhau los ua PDE5I thib plaub ntawm kev ua lag luam, nrog kev zam zoo, ib nrab ntawm lub neej ntawm avanafil tsuas muaj li ib feem peb ntawm tadalafil. Nws muaj qhov pib sai thiab lub sijhawm ua haujlwm luv dua li tadalafil
Tadalafil Vardenafil (Cialis vs Levitra)
Tadalafil (Cialis) thiab Vardenafil (Levitra) tau pom zoo los ntawm FDA los kho tus mob erectile kawg (ED), lawv los ntawm cov tshuaj ib yam nkaus, Tadalafil yog cov tshuaj niaj hnub siv los kho mob qog noj ntshav, Vardenafil tau siv nruj me ntsis ua tshuaj kho mob rau erectile kawg (ED). Txawm li cas los xij, tadalafil tuaj yeem ua haujlwm sai dua Vardenafil thiab nyob ntev dua nrog cov teebmeem, Tadalafil thiab Vardenafil yog nrog cov kev mob tshwm sim zoo sib xws thiab kev sib cuam tshuam, ob qho tshuaj tuaj yeem siv nrog lossis tsis muaj zaub mov raws li xav tau ua ntej kev sib deev, tsuas yog Vardenafil qhov nqus tau tuaj yeem cuam tshuam los ntawm siab- kev noj zaub mov rog, Tadalafil qhov nqus tsis tuaj yeem cuam tshuam los ntawm zaub mov.
Vardenafil | Tadalafil | |
Cov tub ntxhais kawm tshuaj | Phosphodiesterase-5 (PDE5) inhibitor | Phosphodiesterase-5 (PDE5) inhibitor |
raws li txoj cai | Hom & Generic | Hom & Generic |
daim ntawv | Qhov ncauj ntsiav tshuaj | Qhov ncauj ntsiav tshuaj |
Tus qauv muab tshuaj | 5 txog 20 mg raws li xav tau ua ntej kev sib deev txog li ib hnub ib hnub raws li tau hais los ntawm kws kho mob | 5 txog 20 mg raws li xav tau ua ntej kev sib deev lossis 2.5 txog 5 mg ib hnub ib zaug raws li tau hais los ntawm kws kho mob |
Lub sijhawm kawg | tsawg kawg 60 feeb ua ntej tes. | 30 feeb ua ntej pw ua ke |
Sab los | txhaws los yog yaug qhov ntswg, mob taub hau, yaug, mob plab, tsis qab los noj mov, thiab mob nraub qaum | txhaws los yog yaug qhov ntswg, mob taub hau, yaug, mob plab, tsis qab los noj mov, thiab mob nraub qaum |
Raug kho | noj raws li xav tau, tsis pom zoo kom siv cov kev pab cuam mus sij hawm ntev niaj hnub | coj raws li xav tau, kev siv niaj hnub tuaj yeem tsim nyog rau qee tus neeg. |
Sildenafil vs Tadalafil vs Vardenafil vs Avanafil
Sildenafil, Tadalafil, Vardenafil thiab Avanafil yuav tsis kho erectile kawg (ED), tab sis lawv yuav muab kev pab los ntawm nws cov tsos mob. Txhua tus neeg lub cev teb sib txawv ntawm kev siv tshuaj tiv thaiv kev sib deev, kev phiv sib txawv ntawm ib tus neeg mus rau lwm tus, tib txoj hauv kev kom paub tias cov tshuaj twg zoo tshaj rau koj tej zaum dhau los ntawm kev sim thiab ua yuam kev. Lossis koj ua haujlwm ncaj qha nrog kws kho mob lossis kws muag tshuaj, txhawm rau taug qab cov kev mob tshwm sim thiab txiav txim siab yam tshuaj twg yog qhov zoo tshaj rau koj qhov kev kho mob erectile kawg (ED).
Phosphodiesterase-5 inhibitors rau Erectile kawg (ED) | ||||
khoom | Sildenafil | Tadalafil | Vardenafil | Avanafil |
Hom | Viagra | Cialis | Levitra | Stendra |
Ib txwm muaj | Yog | Yog | Yog | Tsis yog |
daim ntawv | ntsiav tshuaj ntawm qhov ncauj lossis tshem tawm cov kua | qhov ncauj ntsiav tshuaj | qhov ncauj ntsiav tshuaj | qhov ncauj ntsiav tshuaj |
Raug muab | 25 mg, 50 mg, 100 mg | 2.5 mg, 5 mg, 10 mg, 20 mg | 5 mg, 10 mg, 20 mg | 50 mg, 100 mg, 200 mg |
Sijhawm | 2 ~ 3hours | mus rau 36 cov xoob moos | 4 ~ 5 teev | 6 ~ 12 teev |
Pib (feeb) | 30 ~ 60 | 15 ~ 30 | 30 ~ 60 | 15-30 |
Kev nqus tau los ntawm zaub mov | Yog (zaub mov muaj roj ntau) | Tsis yog | Yog (zaub mov muaj roj ntau) | Tsis yog |
Dosed | raws li xav tau | txhua hnub lossis hnub so | raws li xav tau | raws li xav tau |
cia | Ntawm 25 ° C (77 ° F) | Ntawm 25 ° C (77 ° F) | Ntawm 25 ° C (77 ° F) | Chav sov, nyob li ntawm 68 ° F txog 77 ° F (20 ° C txog 25 ° C) |
Nov yog qee cov lus taw qhia los ntawm Redditors tom qab sim tshuaj sib deev-mus pab kho tus txiv neej ED:
-methhead_chaw
"PDE5 inhibitors tsis ua rau koj kub hnyiab thiab tsis ua rau muaj kev txhim kho sai sai, lawv txhim kho cov ntshav ntws zoo li thaum koj tau txhawb kev kho kom zoo dua qub. Yog li yog tias koj xav tau porn kom tau txais kev txhawb siab lawv yuav tsis hloov qhov tseeb. Hauv cov ntsiab lus ntawm PE Kuv xav tias PDE5 inhibitors yuav tsim nyog rau txhua tus kom ua kom cov ntshav ntws ntau. Ib qho ntawm cov kev xaiv uas tau hais los saum toj no yuav ua haujlwm hauv cov ntsiab lus ntawd, txawm hais tias dua qhov kuv nyiam yog tadalafil "
-Ib_Indication
"Kuv tau siv tadalafil txog 3 xyoos. thiab kuv tam sim no 63. Kuv txiav 20mg tadalafil ntsiav tshuaj rau hauv ib lub hlis twg (kwv yees li 5mg) thiab noj ib zaug txhua 3 hnub. Kuv muaj erections thaum twg kuv xav thiab kuv xav zoo. Kuv yuav tsum hais tias kuv ua siab ncaj ntseeg tias kev siv no ua rau kuv muaj kev xav ntau dua li hauv kuv lub neej "
-NortheastGuyinTX
"Kuv noj tadalafil 20 mg txhua tag kis nrog kuv cov vitamins. Nws nyob hauv koj qhov system txog li 36 teev, nrog 1/2 lub neej ntawm 18 teev. Noj tadalafil txhua hnub tsis hais txog kev npaj pw ua haujlwm zoo tshaj rau kuv. Kuv tsis muaj kev phiv tshuaj, thiab kuv raring mus txhua lub sijhawm. Qhov no pab nrog lub sijhawm tshwm sim. Thaum koj pom qhov tshuaj tadalafil raug, kuv hais kom noj nws ib txwm nyob rau tib lub sijhawm txhua hnub ... "
-Jim_jonson
"Tadalafil pab kuv kom muaj kev ruaj khov, txhim khu kev txhim kho. Kuv pom tias qhov nyuaj nyuaj txo qhov hnov thiab tseem ntxhov siab rau kuv erection, ua rau kom ntev li ntev dua esp. hauv doggystyle. "
- TusLoneDeranger76
"Kuv tau muaj ob qho thiab nyiam tadalafil dua sildenafil citrate. Tshwj xeeb tshaj yog tias koj npaj yuav rov ua MDMA, tadalafil ua haujlwm ntxiv. Sildenafil citrate muab rau kuv kua qaub reflux thiab. Tadalafil zoo li ua haujlwm zoo ib yam nkaus. Zoo erections thiab ntev dua "
-Key_Dig_9315
"Tadalafil zoo dua li vardenafil, nws cov txiaj ntsig tau ntev txog 36 teev kuj tseem hu ua" ntsiav tshuaj hnub so "tab sis vardenafil thiab tadalafil cov nyhuv tsuas yog 5 teev thiab tsis muaj txiaj ntsig zoo yog tias koj noj zaub mov muaj roj ntau tab sis tadalafil ua haujlwm tau zoo yam tsis muaj teeb meem . "
- Kev xav
“Kuv muaj 58 xyoos thiab tau siv vardenafi 20 mg rau ntau xyoo. Nws ua haujlwm zoo rau kuv thiab tus poj niam nrog cov kev mob tshwm sim me ntsis. ”
- JadmZimz4evr
“Kuv muaj IPAH. Kuv noj tadalafil 40mg thiab Opsumit (macitentan) 10mg. Qhov sib xyaw ua haujlwm tau ua haujlwm zoo heev rau kuv dhau 5 xyoos dhau los. Ob peb lub tsev kho mob nyob ntawm no thiab nyob ntawd, tab sis tag nrho, zoo dua li 5yrs kuv tau siv yam tsis tau kuaj mob. Kuv tus kws tshaj lij hais rau kuv tias sildenafil tsis muaj zog npaum li tadalafil, tab sis tib yam kev sib deev ua rau tsev neeg muaj zog. Cov generic hu ua Alyq. Qee qhov kev tuav pov hwm khaws koj ntawm Sildenafil vim tias nws pheej yig dua. Tej zaum tau txais cov generic yuav pab txo nqi sildenafil. "
-CraftyLiving6
“Kuv muaj 33 xyoos. Kuv thiab tus poj niam tau nquag heev hauv peb lub neej kev sib deev. tab sis ob peb lub hlis dhau los Kuv muaj lub sijhawm nyuaj rau kev txhim kho, txawm tias kuv lub siab thiab kuv lub cev hais tias yog, kuv tus qau hais tias tsis yog. Yog li kuv yuav sildenafil thiab xav tias nws tuaj yeem pab kuv thiab kuv xav tsis thoob tias nws ua haujlwm tiag tiag rau kuv. Nws nyuaj heev. Kuv xav tias nws yuav tawg. "
Nov yog qee qhov kev tawm tswv yim los ntawm Quora tom qab sim tshuaj sib deev-mus pab kho tus txiv neej ED:
-Andres Bruce yog
"Tadalafil qhia txog kev ua haujlwm sib piv thiab kev nyab xeeb nrog Sildenafil Citrate thiab cov hauv paus txhim kho cov neeg mob kev sib deev tseeb. Ntxiv mus, cov neeg mob thiab lawv lub luag haujlwm ua rau tadalafil rau sildenafil. Yog li, tadalafil yuav yog qhov kev xaiv zoo tshaj rau kev kho ED "
-Anthony Skilton
”Ib qho tshuaj kho kab mob ED tshiab dua tau lag luam hauv xyoo tsis ntev los no thiab nws yog Stendra (Avanafil). Nov yog saib ntawm Avanafil vs Sildenafil Citrate sib piv. Ob yam tshuaj no tuaj yeem pab kho koj tus mob ED. Txawm li cas los xij, Avanafil muaj qhov ua haujlwm siab, txij li muaj lub sijhawm ntev dua ntawm kev ua haujlwm tau zoo thiab txwv kev phiv. Tsis tas li ntawd, Sildenafil Citrate tseem kim dua thiab yuav tsis siv sijhawm ntev dua. Qhov no tuaj yeem ua rau koj muaj nyiaj ntau nyob rau lub sijhawm ntev. Tag nrho rau hauv txhua qhov, Avanafil yog qhov zoo tshaj plaws ntawm ob ”
-Bob Smith
"Tadalafil (Cialis) Txhua hnub, paub tias yog lub lis piam lis piam, yog ib qho kev daws teeb meem zoo tshaj plaws rau cov neeg mob uas ua tsis tau haujlwm erectile. Qhov ua tau zoo thiab ntev ntawm cov tshuaj ua rau nws muaj peev xwm tswj tau qhov ruaj khov thiab ntev erection, kho ntxov ntxov ejaculation thiab lwm yam tsis ua haujlwm. Tadalafil txhua hnub yog ib qho ntawm kev muag khoom zoo tshaj plaws txhim kho tshuaj nyob hauv ntiaj teb niaj hnub no "
-Dennis Rodrigue
"Erectile kawg thiab ejaculation ntxov ntxov yog ob yam teeb meem kev sib deev pom hauv txiv neej. Dapoxetine 60mg ua lub luag haujlwm tseem ceeb hauv kev tswj hwm ED thiab PE thaum sib tham zoo "
- Tso Panigrahi
"Thaum cov tshuaj zoo li Sildenafil (viagra), Tadalafil (Cialis) pab kuv qhov teeb meem ntawm erectile kawg (ED), lawv tsis pab tiag tiag kom ncua sijhawm sib deev. Rau cov xwm txheej zoo li no (txhais tau tias ncua sijhawm ejaculation, piv txwv li nce sijhawm sib deev) lwm cov tshuaj Dapoxetin tau siv. Koj tuaj yeem pom cov tshuaj yeeb tshuaj uas muaj cov dapoxetin txhawm rau ncua lub sijhawm sib deev. Qee qhov kev sib txuas kuj tseem muaj xws li sildenafil+dapoxetin, Tadalafil+dapoxetin ... "
- Dr Stam Poupalos
"Erectile kawg yog ib qho tsos mob ntau dua li qhov mob vim nws tuaj yeem muaj ntau qhov laj thawj sib txawv. Kev puas siab ntsws ED tuaj yeem txiav txim siab kho tau qee qhov thaum ED lub cev, vim hais tias ua rau cov hlab ntsha puas tsuaj lossis teeb meem ncig, tuaj yeem kho tau yog tias tsis kho tau. Ob txoj hauv kev twg muaj kev pab uas tuaj yeem kov yeej qhov xwm txheej. "
- Bob Nicholson
”Yuav kom ncaj, nws tsis muaj teeb meem koj nyob qhov twg. Txoj kev kho zoo tshaj plaws rau ED yog PDE-5 inhibitor (Sildenafil Citrate, Tadalafil, Vardenafil, thiab cov qauv siv dav dav)…. ”
-Dana Shultze
"Sildenafil tau siv los ntawm cov uas muaj teeb meem Erectile Dysfunction hauv cov txiv neej. Sildenafil zoo li Viagra. Sildenafil yog cov tshuaj muaj zog me me no tseem tau qhia rau kev kho mob ntsws mob ntsws (PAH). Sildenafil ua haujlwm los ntawm kev so cov leeg hauv cov qau thiab txhim kho cov ntshav ntws hauv nws. Qhov kev ua tiav cov txheej txheem ntawm tshuaj pab txiv neej kom ua tiav thiab tswj kev txhim kho kom ntev dua "
-José Saravia
"Nws zoo li sildenafil ua haujlwm rau cov cev nqaij daim tawv, qhov laj thawj yog tias cov molecule nitric oxide yog cov khoom siv tseem ceeb ntawm sildenafil thiab ntau cov tshuaj ntxiv rau lub cev tau tsim nyob ib puag ncig cov qauv qub no thiab tau ua lag luam rau siv ua ntej ua haujlwm vasodilators. Tsis tas li, ntau tus cev nqaij daim tawv, siv Sildenafil nrog rau anabolic steroids ua ntej kev tawm dag zog. "
Kev yuav cov tshuaj kws kho mob online yog yooj yim dua thiab nrawm dua qub. Yog tias koj xav tau yuav tshuaj txhawm rau txhim kho kev sib deev los kho tus txiv neej ED teeb meem los ntawm ntau yam hauv online platform. koj yuav zoo dua los yuav nws los ntawm tus muag khoom nrog cov ntaub ntawv teev npe rau kev muag tshuaj kom muaj kev nyab xeeb thiab muaj txiaj ntsig zoo rau kev sib deev. Raws li peb cov kev paub dhau los thiab cov lus pom zoo los ntawm cov neeg yuav khoom, cmoapi.com ua yog lub chaw muag tshuaj muaj suab npe sib deev uas xa cov tshuaj zoo tshaj plaws rau kev sib deev ntawm cov nqi sib tw.