Kodi zolaula zingayambitse kusokonekera kwa erectile?
Iwunikiridwa 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)
Monga PIED ndichinthu chatsopano, akatswiri azachipatala komanso akatswiri amisala sadziwa mosakayikira ngati zimalumikizana molunjika ndi zinazo, kufufuza kwina kukufunika. Koma malinga ndi a Daniel Sher, a psychologist azachipatala komanso othandizira a Between Us Clinic, Zomwe akudziwa ndi 'kuchuluka kwa anyamata akumenyana ndi PIED kwawonjezeka kwambiri posachedwa.' Sher akuti zolaula zimapezeka mosavuta kuposa kale, chifukwa cha intaneti. Ndipo ukadaulo wapamwamba wamaganizidwe aubongo walola ofufuza kulingalira momwe kugwiritsira ntchito zolaula kumatha kubweretsera mavuto a erectile.
Kuonera zolaula kumatha kukhala chizolowezi chovuta kwambiri kusiya, ndipo monga Dr. Becky Spelman, katswiri wama psychologist ndi director director wa Chipatala Chachinsinsi chaokha , akufotokoza, chifukwa kukhala ndi erection kumalumikizidwa ndikuwonera zolaula, nthawi zina kumakhala kosatheka kukhala ndi erection popanda iyo. 'Zachidziwikire, izi zitha kukhala zowopsa kwa aliyense amene ali pachibwenzi, kapena aliyense amene akuyembekeza kukhala pachibwenzi,' akutero.
Kodi kusokonekera kwa zolaula kumakhala kofala motani?
Kafukufuku waposachedwa wopangidwa ndi dotolo wapa intaneti Chinachake anapeza 35 peresenti ya abambo akumana ndi ED nthawi ina, 28 peresenti ya iwo ali ndi zaka 20 mpaka 29. Mwa omwe adakumana ndi ED, m'modzi mwa 10 adati amakhulupirira kuti zolaula ndizomwe zimayambitsa.
Dr. Aysha Butt, mkulu wa zamankhwala a Kuchokera ku Mars, akuti kafukufuku akuwonetsa kuti mpaka 40% ya amuna azaka zosakwana 40 akhoza kukhala ndi ED zokhudzana ndi zolaula. Ziwerengero za abambo omwe akukumana ndi ED zakwera kwambiri pazaka 10 zapitazi, ndipo vutoli mwa amuna achichepere limaganiziridwa kuti limakhudzana ndi zolaula m'malo mokhudzana ndi thanzi.
Zoyipa zamtundu wa erectile
Maganizo a dopamine
Dopamine ndi mankhwala muubongo omwe amachititsa kuti munthu azisangalala komanso kusangalala. Sher akufotokoza kuti, 'Tikamaonera zolaula, izi zimayambitsa kuphulika kwa zochitika za dopamine, makamaka tikaphatikiza maliseche. Pambuyo pake, ubongo "umadzaza" ndi dopamine. Kukulitsa kowoneka bwino kwakukulu kumafunikira kuti nawonso amenye. ' Zotsatira zake, anthu amakonda kuwonera zolaula zolimbitsa thupi 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 zamankhwala ku Manual aloza a Nyuzipepala ya American Medical Association Psychiatry phunziro omwe adapeza kuti amuna omwe amachita zolaula adavutika kuti adzuke nthawi yogonana. 'Chifukwa chachikulu cha izi chinali pazowonjezera zachiwerewere zomwe zimafunikira kapena kuti zolaula zimapereka chilimbikitso chakuyerekeza poyerekeza ndi "zachilendo" zogonana, "Chaudry akufotokoza. Kuchepetsa chidwi chazakugonana m'moyo weniweni ndi imodzi mwanjira za ED zomwe zimakhala ndi vuto lamaganizidwe.
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 zimatha kupititsanso ziwonetsero zabodza za chithunzi cha thupi komanso ubale wathanzi, atero Dr Simran Deo, dotolo wapa intaneti pa Zava UK. Izi zitha 'ngakhale kudzipangitsa kudzidalira mwa amuna, zomwe zimathandizanso kuthekera kokhala ndi erection mukakhala ndi mnzanu.'
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.
A 2017 kafukufuku mwa amuna ndi akazi a 2,000 ndi International Andrology adapeza kulumikizana kwachindunji pakati pakuwonera zolaula komanso kusakhutira ndi kukula kwa mbolo yanu. 'Izi zitha kuphatikizidwa ndi kuyembekeza zosatheka kwa matupi azimayi, komanso zachiwerewere ndi magwiridwe antchito (monga zipsinjo zingapo, kugonana kwakanthawi ndi zina),' Chaudry akutero.
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, akatswiri azachipembedzo, College of Sexual and Relationship Therapists Katswiri wa (COSRT) pankhani zamamuna, akuti akulimbana ndi mawu osokoneza bongo komanso kuti othandizira ena amakonda mawu oti 'kukakamiza'.
Dr Eduard Garcia Cruz, katswiri wa urology ndi andrology kuchokera ku Ntchito Zosangalatsa Zathanzi, amakhulupirira kuti ED sichizindikiro cha zolaula pokhapokha ataphatikizidwa mgulu la zizolowezi zina ndi zizindikilo monga kufunikira kowonera zolaula, kusiya ntchito zawo za tsiku ndi tsiku ndi maudindo pambali, ndikuwononga ubale wawo chifukwa chogwiritsa ntchito zolaula. Ndi chizolowezi, 'kuchuluka kwa kutaya mtima kumatha kuwapangitsa kukhala ndi mikhalidwe yakugonana yosasamala,' akuwonjezera. Koma akugwirizana ndi a Blackett, ponena kuti ofufuza nthawi zambiri amakana lingaliro lachiwerewere.
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 yemwe sangathe kusiya kugwiritsa ntchito zolaula ndikuyang'ana kusintha njira zina zomwe zawonongeka, Spelman adalimbikitsa kufunafuna chithandizo chamankhwala monga chidziwitso chazachipatala (CBT). 'Ena adzavutika kuti asiye zolaula pang'onopang'ono, pomwe ena atha kuwona kuti "njira yozizira" imawathandiza,' 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 wokhudzana ndi chiwerewere athandiza amuna omwe akukumana ndi mavutowa kuti ayambe kumvetsetsa za kudzuka kwawo, momwe zimakhudzira zovuta zawo, momwe angapangire kumangika kwawo komanso momwe angadandaule pang'ono ndikusangalala kwambiri. A Blackett akuti, 'Kuchepetsa nkhawa momwe magwiridwe antchito angachepere, pomwepo amuna ambiri amatha kulumikizana ndi matupi awo, amakhala olimba mtima mthupi lawo ndipo kuthekera kwakugonana kosangalatsa kumakhalapo.' Amalimbikitsa kuwerenga Kugonana Kwatsopano Kwa Amuna, yolemba Bernie Zilbergeld, ndikuti ndiye chofunikira kwambiri kwa abambo omwe akuvutika 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.
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