Kodi zolaula zingayambitse kusokonekera kwa erectile?
Yowunikidwa ndi dokotala ndi Dr Juliet McGrattan (MBChB) ndi mawu a Paisley Gilmour
14/04/2020
Kulephera kwa Erectile (ED) kapena kusowa mphamvu - kulephera kukwaniritsa ndikukhalitsa ndi erection - ndi nkhani yodziwika kwa amuna ndi anthu omwe ali ndi maliseche azaka zonse komanso zogonana. Amakhulupirira kuti amakhudza gawo limodzi mwa magawo atatu a anthu nthawi ina m'miyoyo yawo yonse. Koma m'zaka zaposachedwa, madotolo ndi othandizira awona kukwera kwa odwala ndi makasitomala omwe ali ndi ED. Achinyamata ambiri akukumana ndi zovuta kuposa kale, ndipo akatswiri amakhulupirira kuti izi zitha kuchitika chifukwa cha ubale wawo ndi zolaula. Izi zimadziwika kuti zolaula zomwe zimapangitsa kuti munthu azivutika maganizo.
Zovuta zolaula zomwe zimapangitsa kuti pakhale zolaula (PIED)
Popeza PIED ndi chinthu chatsopano, akatswiri azachipatala ndi amisala sakudziwa bwino ngati chimodzicho chikugwirizana mwachindunji ndi china, ndipo kafukufuku wowonjezereka akufunika. Koma malinga ndi Daniel Sher, katswiri wa zamaganizo komanso mlangizi wa Between Us Clinic , chomwe akudziwa ndichakuti 'chiwerengero cha anyamata achichepere omwe akulimbana ndi PIED chawonjezeka kwambiri posachedwapa.' Sher akuti zolaula zimapezeka mosavuta kuposa kale lonse, chifukwa cha intaneti. Ndipo ukadaulo wapamwamba wojambulira ubongo walola ofufuza kulingalira njira yomwe kugwiritsa ntchito zolaula kungayambitse mavuto okhudzana ndi kugonana.
Kuonera zolaula kungakhale chizolowezi chomwe chimakhala chovuta kwambiri kusiya, ndipo monga momwe Dr. Becky Spelman, katswiri wa zamaganizo komanso mkulu wa zachipatala ku Private Therapy Clinic , akufotokozera, chifukwa kukhala ndi mbewa kumagwirizanitsidwa ndi kuonera zolaula, nthawi zina zimakhala zosatheka kukhala ndi mbewa popanda mbewa. 'Mwachionekere, izi zitha kukhala zovuta kwa aliyense amene ali pachibwenzi, kapena aliyense amene akuyembekeza kukhala naye,' akutero.
Kodi kusokonekera kwa zolaula kumakhala kofala motani?
Kafukufuku waposachedwapa wochitidwa ndi dokotala wa pa intaneti Zava adapeza kuti amuna 35 pa 100 aliwonse adakumanapo ndi vuto la ED nthawi ina, ndipo 28 pa 100 aliwonse azaka zapakati pa 20 ndi 29. Pakati pa omwe adakumanapo ndi vuto la ED, m'modzi mwa 10 aliwonse adati amakhulupirira kuti zolaula ndiye zimayambitsa.
Dr. Aysha Butt, mkulu wa zachipatala wa From Mars, akuti kafukufuku akusonyeza kuti mpaka 40% ya amuna osakwana zaka 40 akhoza kukhala ndi vuto la ED lokhudzana ndi zolaula. Chiwerengero cha amuna omwe ali ndi vuto la ED chakwera kwambiri m'zaka 10 zapitazi, ndipo vutoli mwa anyamata achichepere likuwoneka kuti likugwirizana ndi zolaula osati thanzi.
Zoyipa zamtundu wa erectile
Maganizo a dopamine
Dopamine ndi mankhwala omwe ali muubongo omwe amachititsa kuti munthu azisangalala komanso kusangalala. Sher akufotokoza kuti, 'Tikamaonera zolaula, izi zimayambitsa kuchuluka kwa dopamine, makamaka zikaphatikizidwa ndi maliseche . Pamapeto pake, ubongo umadzaza ndi dopamine. Kufunika kwa kukopa maso kwambiri kuti munthu achite chimodzimodzi.' Ndipo chifukwa cha zimenezi, anthu amakonda kuonera zolaula zovuta kwambiri kuti akwaniritse zomwezo.
Momwe ubongo umayankhira pa zolaula ndizofanana ndi momwe zimachitikira ndi anthu omwe amamwa mankhwala osokoneza bongo, ndipo kafukufuku apeza kuti amuna ena amayamba kugwiritsa ntchito zolaula ndipo amangothinana kapena kuseweretsa maliseche mpaka pachimake pomwe amawonera zolaula, akufotokoza Dr Butt. 'Sangathe kutengera zomwezo ndi anzawo ndikupeza kuti libido imachepetsa ndipo amayamba kukumana ndi ED pomwe sakuwonera zolaula. Ubongo umakhala ndi zokonda zakukondweretsedwa nthawi yomweyo, mwachitsanzo, mwa kuwonera zolaula, kuseweretsa maliseche komanso pachimake motsutsana ndi kuchedwa ndi mphotho monga kugonana kwa anthu awiri. '
Dr. Earim Chaudry, mkulu wa zachipatala ku Manual , akulozera ku kafukufuku wa Journal of the American Medical Association Psychiatry yemwe adapeza kuti amuna omwe amachita zolaula amavutika kwambiri kudzuka akamagonana thupi ndi thupi. 'Chifukwa chachikulu cha izi chinali chakuti chilakolako chogonana chimafunika kapena kuti zolaulazo zimapereka chilakolako chogonana kwambiri poyerekeza ndi kugonana "kwachibadwa," akutero Chaudry. Kulephera kuchita zinthu zogonana m'moyo weniweni ndi chimodzi mwa mitundu ya ED yomwe ili ndi chifukwa cha maganizo.
Mavuto akuthupi ndi amisala omwe amayamba chifukwa cha PIED
Komanso zovuta zakukwaniritsa ndikukhalitsa ndi erection, akatswiri amati PIED imatha kukhala ndi zotsatirapo zambiri pamoyo wamunthu wamunthu komanso wamaganizidwe.
Kudziona wotsika komanso mawonekedwe osayenera a thupi
Zolaula zingalimbikitsenso kuwonetsa zabodza za thupi ndi maubwenzi abwino ogonana, akutero Dr. Simran Deo, dokotala wa pa intaneti ku Zava UK . Izi zingayambitsenso kudziona ngati wosafunika kwenikweni mwa amuna, zomwe zingakhudzenso kuthekera kokhala ndi chilakolako chogonana akakhala ndi mnzawo.
Chaudry akuwonjezera kuti, 'Amuna wamba samawonetsedwa zolaula, kusiya amuna ambiri akumva kukakamizidwa ndi mawonekedwe. Zomwe mumawona pa zolaula ndi amuna omwe ali ndi ziwalo zolimba kwambiri, zamunthu wamwamuna: jawline wosakanikirana kwambiri, washboard abs ndi 10-inch penises. Matupi amenewa sapezeka kawirikawiri m'chilengedwe, chifukwa chake amuna ambiri amadzimva kukhala osakwanira poyerekeza. '
Akuti abambo akayamba kufananiza ziyembekezo zopanda pake ndi matupi awo, amatha kuyamba kukumana ndi mavuto amisala monga kukhumudwa komanso kuda nkhawa ndi chifanizo cha thupi.
Kafukufuku wa mu 2017 wa amuna ndi akazi 2,000 wochokera ku International Andrology adapeza kuti pali kugwirizana pakati pa kuonera zolaula mopitirira muyeso ndi kusakhutira ndi kukula kwa mbolo yanu. 'Izi zitha kuphatikizidwa ndi kuyembekezera kosatheka kwa matupi a akazi, komanso machitidwe ogonana ndi magwiridwe antchito (monga kugonana kochuluka, kugonana kwa nthawi yayitali ndi zina zotero),' akutero Chaudry.
Kuchepetsa chidwi chodzipatula
Amuna omwe ali ndi vuto la PIED nthawi zambiri amachepetsa chidwi chawo pa zogonana zenizeni, akuwonjezera. 'Ndipo amathanso kudzipatula pagulu ngati chokumana nacho chogawana ndi mnzake.'
PIED komanso zolaula
Kuletsa zolaula ndi nkhani yovuta kukambirana pakati pa akatswiri azachipatala ndi amisala, ndi ambiri akukhulupirira kuti palibe chinthu ngati chizolowezi choonera zolaula.
Murray Blackett, katswiri wa zamaganizo okhudza kugonana , katswiri wa College of Sexual and Relationship Therapists (COSRT) pankhani za amuna, akuti amavutika ndi mawu akuti kuledzera ndipo akatswiri ena a zamaganizo amakonda mawu akuti 'compulsion'.
Dr Eduard Garcia Cruz, katswiri wa urology ndi andrology wochokera ku Healthy Pleasure Collective , amakhulupirira kuti ED si chizindikiro cha chizolowezi cha zolaula pokhapokha ngati chikuphatikizidwa m'gulu la machitidwe ndi zizindikiro zina monga kufunikira kosalekeza kuonera zolaula, kusiya zochita zawo zatsiku ndi tsiku ndi maudindo awo, ndikuwononga ubale wawo chifukwa chogwiritsa ntchito zolaula. Ndi chizolowezi, 'kuchepa kwa chiyembekezo kudzawapangitsa kukhala ndi machitidwe ogonana osadziletsa,' akuwonjezera. Koma akugwirizana ndi Blackett, ponena kuti ofufuza nthawi zambiri amakana lingaliro la chizolowezi cha zolaula.
Kupeza thandizo la PIED
Kumbukirani, kuonera zolaula mosapitirira malire kungakhale kowonjezera pa moyo wanu wogonana. Chaudry akuti zimangokhala kugwiritsidwa ntchito mopitilira muyeso kumabweretsa malingaliro osakwanira okhudzana ndi kugonana ndikukhala mavuto.
Onani dokotala
Deo akuti ndikofunikira kupita kukaonana ndi dokotala kuti muwonetsetse kuti zomwe akukumana nazo sizikuchitika chifukwa cha vuto lalikulu. Matenda ena kapena mankhwala amatha kuyambitsa ED, kapena kuwonjezerapo. ED ikhozanso kukhala chizindikiro cha matenda ena monga kuthamanga kwa magazi kapena cholesterol.
Siyani kuonera zolaula
Ngati kufufuza konse kubwereranso mwachizolowezi, akulangizidwa kuti musiye kuonera zolaula palimodzi. Kafukufuku wina wasonyeza kuti amuna onse omwe ali ndi vuto logonana adabwereranso mwakale atatha miyezi isanu ndi itatu atasiya zolaula.
Yesetsani kuzipangitsa kukhala zovuta kuzipeza pochotsa zakuthupi pafoni yanu kapena pamakompyuta, kapena kuwachotsa kuchipinda. Ndingakulimbikitseni kuti ndipite ku "zolaula" kuti ndikaone ngati zinthu zikuyenda bwino, "akutero.
Yesani CBT
Kwa aliyense amene sangathe kusiya kugwiritsa ntchito zolaula ndipo akufuna kusintha machitidwe aliwonse omwe ayamba kuwononga, Spelman akulangiza kufunafuna chithandizo monga cognitive behavioral therapy (CBT). 'Ena adzaona kuti n'kosavuta kusiya pang'onopang'ono zolaula zopitirira muyeso, pomwe ena angaone kuti njira ya "cold turkey" imagwira ntchito bwino kwa iwo,' akutero.
Sinthani zochita
Anthu ena amawona kuti amatha kusintha kusintha kwawo mwa kusintha moyo wawo ngati kudya zakudya zopatsa thanzi zomwe zimakhala ndi fiber yambiri, kusiya kusuta komanso kusiya mowa (makamaka kugonana asanatero), akutero Deo.
Kuchita masewera olimbitsa thupi nthawi zonse kumathandizanso kuti magazi aziyenda mozungulira thupi lanu, komanso kuthandizira kudzidalira komanso kukhala ndi thanzi labwino. Ganizirani zolimbitsa thupi kwa mphindi 30, kasanu pamlungu, 'akuwonjezera.
Lankhulani ndi winawake
Kafukufuku wochitidwa ndi Zava akuwonetsa kuti abambo ambiri samayankhula zokhudzana ndi nkhawa zawo ndi wokondedwa wawo, abwenzi, kapena akatswiri azachipatala, zomwe zitha kukulitsa zinthu. Ichi ndichifukwa chake upangiri ungathandize, makamaka ngati ED yanu imayambitsidwa ndi kupsinjika, nkhawa kapena mkhalidwe wina wamagulu amisala.
Katswiri wothandiza anthu ogonana ndi amuna kapena akazi okhaokha angathandize amuna omwe akukumana ndi mavutowa kuti ayambe kumvetsetsa chilakolako chawo, momwe chimakhudzira kugonana, momwe angasungire kugonana kwawo komanso momwe angasamalire nkhawa pang'ono ndikusangalala kwambiri. Blackett akuti, 'Nkhawa yokhudzana ndi magwiridwe antchito ikachepa, amuna ambiri amatha kuvomereza matupi awo, amakhala odzidalira kwambiri m'matupi awo ndipo kuthekera kogonana kosangalatsa kumakhalapo.' Iye akulangiza kuwerenga buku lakuti The New Male Sexuality , lolembedwa ndi Bernie Zilbergeld, ndipo akutchula kuti ndi buku labwino kwambiri kwa amuna omwe akulimbana ndi PIED.
Mankhwala
Deo akuti kutengera zomwe zimayambitsa ED, mankhwala omwe amatchedwa PDE-5 inhibitors atha kugwira ntchito. Odziwika bwino kwambiri awa ndi Viagra, Sildenafil kapena Cialis, koma pali zina zomwe mungachite. `` Mankhwala siabwino kwa aliyense, ndiye kuti ndi koyenera kuti mukalankhule ndi dokotala za zomwe mwakumana nazo poyamba, '' akutero.