Site na otu ọmụmụ n'okpuru anyị nwere ike ikwubi:
- Nrụpụta ehihie na-adabere na testosterone (spinal reflexes), mana erection na-eteta na-adaberekarị na dopamine-dabere (ụbụrụ).
- Testosterone mgbakwunye e nyere ndị ikom nwere testosterone dị ala nwere mmetụta dị nta na nrụpụta ụbọchị nke jikọtara na ikiri porn.
- Mmegharị site na ikiri ihe gba ọtọ, ma ọ bụ mkpali anụ ahụ nke amụ, gụnyere sistemu na-adabere na testosterone. N'ikwu ya n'ụzọ ọzọ, ha na-adabere na ụbụrụ ma na-akwụghachi dopamine circuitry.
- ISIOKWU: Onye nwere ike inwe erectional siri ike (nke pụtara testosterone dị mma), ma nwee erection adịghị ike n'ụbọchị mgbe ị na-ata ahụhụ. ED na-adaba na porn (n'ihi na deensitization & sensitization)
- Ndị ọkachamara na-eche na osisi ụtụtụ bụ nanị ụlọ nke abalị, ma ọtụtụ ụmụ okorobịa nwere ED na-akpali agụụ mmekọahụ na-akọ na ọ dịghị osisi ụtụtụ, ma ha nwere erectional nocturnal. Enweghị m ike ịkọwa.
Sayensị nke ụtụtụ osisi
Testosterone na ụra metụtara erection nke nyocha
J Mmekọahụ Med. 2005 Nov; 2 (6): 771-84 .
Montorsi F, Oettel M.
Source
Istituto Scientifico H. San Rafaele, Milan, Italy. [email protected]
nkịtị
A kọwo na erection ndị metụtara ụra na-eme site na ndụ intrauterine ruo n'ókè. A na-eche na isi ọrụ na-arụ ọrụ n'abalị bụ iji mee ka ọkpụkpụ corpora cavernosa zuru oke, nke na-eduga n'ịba ụba oxygenation anụ ahụ. Nke a bụ n'aka igbochi fibrosis cavernous, ihe ndabere histopathological maka arụrụ arụ nke anụ ahụ venoocclusive, nke ma eleghị anya bụ ihe na-akpatakarị arụrụ arụ erectile. Atụwo aro na arụrụ arụ ndị metụtara ụra na-ebute site na ntọhapụ nke nitric oxide site na eriri akwara nitrergic dị n'ime irighiri akwara cavernous. Androgens na-ahazi usoro a yana ụfọdụ usoro ndị ọzọ na-abụghị nitrergic n'ime corpora cavernosa na n'ime usoro nhụjuanya nke etiti.
N'ụzọ dị iche, nzaghachi erectile na mkpali mkpali na-ahụ anya ma ọ bụ ihe na-ahụ anya na ịmụ anya na-agụnye usoro nke na-adabere na androgen, ọ bụ ezie na ọ nwere ike, ma ọ dịkarịa ala ruo n'ókè ụfọdụ, na-emetụtakwa usoro androgen-sensitive.. Obi abụọ adịghị ya, androgens bụ isi egwuregwu na physiology nke abalị erections, na nnweta nke ọhụrụ, enyi enyi testosterone nkwadebe dị ka transdermal gel na intramuscularly na-elekọta testosterone undecanoate na-akpali ndị ọzọ nnyocha na ubi a. Atụmanya na a ga-emeziwanye ogo ihi ụra site na ọgwụgwọ androgen nke a na-enye iji meziwanye nrụpụta ụra na ụmụ nwoke hypogonadal chọrọ nyocha ọzọ bụ isi na ọmụmụ ụlọ ọgwụ kwesịrị ekwesị.
Mmetụta nke ngbanwe testosterone na tumescence penile nocturnal na nkwụsi ike na nzaghachi erectile na mkpali agụụ mmekọahụ na-ahụ anya na ụmụ nwoke hypogonadal.
Psychoneuroendocrinology. 1995;20(7):743-53.
Carani C, Granata AR, Bancroft J, Marrama P.
Source
Ngalaba Endocrinology, Modena, Italy.
nkịtị
A tụrụ anya penile tumescence nke abalị (NPT) na nzaghachi erectile na mkpali agụụ mmekọahụ na-ahụ anya (VES), site na ngwaọrụ Rigiscan, na ụmụ nwoke hypogonadal itoolu, ma megharịa mgbe ọnwa 3 nke nnọchi androgen gasịrị. A na-eme otu nyocha ahụ otu ugboro na njikwa eugonadadal 12. Ọnụ ọgụgụ nke nzaghachi NPT na-eju afọ, n'ihe gbasara mmụba gburugburu na mgbagwoju anya, dị ntakịrị na ụmụ nwoke hypogonadal karịa njikwa ma na-abawanye nke ukwuu site na nnọchi androgen, na-akwado nsonaazụ ọmụmụ mbụ. N'ihe gbasara mmụba gburugburu, nzaghachi erectile na VES adịghị iche n'etiti ndị nwoke hypogonadal na njikwa, ma abawanyeghị site na nnọchi androgen. N'ihe gbasara isi ike, nzaghachi erectile na VES adịghị iche n'etiti ụmụ nwoke hypogonadal na njikwa.. Agbanyeghị, n'ihe gbasara ma ogologo oge na ọkwa siri ike, enwere mmụba dị ukwuu na-esote nnọchi androgen na ụmụ nwoke hypogonadal. Nchọpụta ọhụrụ ndị a, n'ihe gbasara nkwụsi ike, chọrọ mgbanwe nke nhazi mbụ, nke hụrụ NPT dị ka androgen dabere na nzaghachi erectile na VES dị ka androgen onwe ya. NPT, na ikekwe nrụpụ n'onwe ya n'oge ndị ọzọ, gụnyere n'ụzọ doro anya sistemụ nwere mmetụta nke androgen. Nzaghachi erectile na VES na-emetụtakarị sistemu inrogen nọọrọ onwe ya mana usoro nwere mmetụta androgen nwere ike imetụta ya.
N'ịtụkwasị nrụpụta n'ọnọdụ ọnọdụ, reflexogenic psychogenic dichotomy tụgharịrị uche.
Neurosci Biobehav Mkpu. 1995 Summer; 19 (2): 211-24.
Sachs BD.
Source
Ngalaba Psychology, Mahadum Connecticut, Storrs 06269-1020, USA.
nkịtị
A na-ekewakarị erection penile dị ka ihe na-akpata "reflexogenic" ma ọ bụ "psychogenic". N'ime omume dichotomy a atụgharịwo, n'ụzọ dịtụ okirikiri, na ọdịiche dị n'etiti spinal vs. supraspinal mediation, pelvic vs. hypogastric neural mediation, na perineal somesthetic stimulator vs. mkpali nke ndị na-anabata ya na-abanye n'ime akwara cranial..
A na-enyocha ihe akaebe maka usoro iwu dị iche iche n'ụdị dị iche iche. Nnyocha na-akọwa ọrụ physiological na irighiri hypogastric na nrụpụta psychogenic, nke e gosipụtara site na nyocha nke nwamba na ụmụ nwoke merụrụ ahụ, bụ ihe na-atụ aro mana ọ bụghị ihe na-akpali akpali. Ihe siri ike siri ike bụ ihe akaebe na nrụpụta n'akụkụ ụfọdụ (dịka ọmụmaatụ, nocturnal penile tumescence (NPT) n'ime mmadụ ma ọ bụ nrụpụta mmetụ aka na oke) na-enwe mmetụta maka ọkwa androgen karịa n'ọnọdụ ndị ọzọ (dịka ọmụmaatụ, mkpali agụụ mmekọahụ na ụmụ nwoke ma ọ bụ copulation na oke. ). Agbanyeghị, ụfọdụ n'ime ọdịiche ndị a nwere ike ibilite site na ike erectogenic nke ihe mkpali, karịa site na qualitative iche na mmetụta androgen nke ọnọdụ dị iche iche. Ihe na-adọrọ adọrọ karị bụ na nkọwa ndị na-emegiderịta onwe ha banyere ọrụ dopamine na nrụpụta nwere ike ịmalite n'akụkụ dị ukwuu site na ndịiche dị n'etiti ụlọ nyocha na ọnọdụ ebe a na-ebute mmepụta.. N'iburu n'uche ihe akaebe a tụlere, o yighị ka a ga-ejigide reflexogenic-psychogenic dichotomy, ọbụlagodi n'ụdị ya ugbu a. Dị ka nzọụkwụ mbụ, ọ nwere ike ịba uru ịtụle na erection reflexive nwere ike ọ gaghị ejedebe na mkpali perineal somesthetic, kama ọ nwekwara ike ịgụnye mkpali ndị natara site na irighiri akwara. A na-atụpụta ụzọ abụọ maka ọkọlọtọ reflexogenic-psychogenic dichotomy. Nke mbụ bụ ntakịrị nlegharị anya nke e ji akọwapụta echiche abụọ nke nrụpụta psychogenic: adịghị ike, nke a na-ejikarị eme ihe, uche ga-agụnye nrụpụta sitere na mkpali ọ bụla na-adịghị ahụ anya, ma ọ bụ visual, auditory, ma ọ bụ chemosensory. N'echiche a, erection na-atụgharị uche na erection psychogenic nwere ike ọ gaghị ekewapụ onwe ya. Echiche siri ike nke nrụpụta psychogenic ga-ejedebe na ebe nchekwa na echiche efu. Isi mmalite nke nrụpụta psychogenic n'echiche abụọ ahụ ekwesịghị ịdị na-amata, nke nwere ike ịkọwapụta erection ozugbo. Na nke abụọ ọzọ taxonomy, erectogenic stimuli na-nkewa dị ka kọntaktị (somesthetic) ma ọ bụ noncontact, na ihe omume ha na-akpalite erection na-etinye na n'ihu nke ntugharị uche. Enwere ike iwere ọnọdụ erectile dị ka orthogonal na akụkụ abụọ ndị ọzọ. Ọbụlagodi na-enweghị mgbanwe na taxonomy, omume na nkọwa nke nyocha n'ime ọrụ erectile nwere ike ịtụ anya irite uru site na nlebara anya nke ọma na ndịiche na myirịta dị n'etiti ọnọdụ na ụdị dị iche iche, yana ọdịiche dị iche iche na-enwe mmetụta na ụkpụrụ iwu ụlọ.
Ndụmọdụ otu nwoke:
Ụfọdụ ndị nwere ya [osisi ụtụtụ], ndị ọzọ enweghị ya. Ma ọ nwere ike ịpụta na ị dị ala na testosterone, ma ọ bụ na-atụba usoro gị dị ka ndị ọzọ kwuru. Na mgbe e mesịrị nwere ike ime ka nke mbụ.
Amaara m na mgbe m kwụsịrị PMO, osisi ụtụtụ m laghachiri. Ọ bụghị ka ọ dị mgbe m dị obere, mana ọ ka mara mma. Yabụ ọ bụrụ na ịchọrọ ka ọ laghachi azụ, kwụsị PMO. Amaara m m n'ihi ihe ụfọdụ ọ na-adị m mma mgbe m ji ya teta. More virile na dị ndụ na ike.
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