Kutsika Pakupeza Kuwonongeka kwa Erectile. Thanzi la Abambo. Nick Knight, MD, PhD. (2019)

MAFUNSO: Nkhani yotsutsana ndi zenizeni idaperekedwa ndi Justin Lehmiller, yemwe amakhala wokondera. Iye ndi wopereka okhazikika wolipirira Makanema a Playboy ndi oyanjana nawo Chithunzi cha Nicole; membala wa RealYBOP (gulu lomwe linapangidwa kuti likabe chizindikiro cha YBOP); ndi pa bolodi la SHA - the gulu lomwe likuthandizana ndi xHamster kulimbikitsa mawebusayiti ake.

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Kodi mukuvutika kuti mudzuke nthawi yogonana? Nazi zomwe muyenera kudziwa. (ulalo ku nkhani)

Kuchepetsa kwa Erectile kukukwera msanga pakati pa abambo athanzi, zomwe zimakhudza theka la iwo omwe ali ndi zaka 30 ndikupangitsa kuchuluka kwa mankhwala mwachangu. Koma pamene mapiritsi ochepa a buluu akuchulukirachulukira, kodi zoona zake zingakhale zovuta kuti mavutowa ali m'mutu mwathu?

Tsopano 30, adakumana ndi "mantha amkati" ku yunivesite. Mtsikana yemwe anali kuyenda naye anali atayamba kumuwuza kuti asadandaule asanadziwe zomwe zikuyenda. "Ndikuganiza kuti ndinali kuvutika," akutero. "Palibe paliponse, akundiuza kuti munthuyu yemwe mnzake amamuwona 'ali nawo nthawi zonse'. Anandipeza, apo ndi apo. Ichi chinali chinthu choyipa kwambiri kumva. Ndimamukonda kwambiri. Sindinathe kuyimitsa mantha. Kenako ndinkalephera. ”

Frisson adatulukira. Iwo sanagone, ndipo sanamuonenso ali pachibwenzi. Izi zinali ku 2009, pomwe anali asanakwanitse zaka 20 zakubadwa. Zaka khumi pambuyo pake, a John, omwe adapempha kuti tisagwiritse ntchito dzina lake lenileni, amachitabe manyazi. “Sichinthu choti mupiteko kwa dotolo. Chifukwa chiyani? Angokupatsirani Viagra, yomwe nditha kuipeza. Ndipo ndani akufuna kukambirana za nkhaniyi? ”

Ndani, zoona? Koma akatswiri akukhulupirira kuti John ndi munthu m'modzi mchipinda chodzaza ndi amuna omwe akuvutika. Erectile dysfunction (ED), yomwe kale imaganiziridwa ngati matenda okalamba, akuti ikubwera kumwamba pakati pa anthu azikwi. Ofufuzawo akuti m'modzi mwa odwala anayi atsopano a ED tsopano ali pansi pa 40, ndipo kafukufuku waposachedwa ndi Co-Op Pharmacy adapeza kuti, mwa amuna a 2000 omwe adawafufuza, theka la iwo omwe ali ndi zaka 30 adavutika kukwaniritsa kapena kusunga mamembala - kuposa amuna makumi awo kapena makumi asanu.

M'mawu azachipatala, izi sizomveka. Milika yathanzi, yathanzi, yotenthedwa komanso yopatsa thanzi kwambiri ndipo singakhale ndi matenda amtima kuposa abambo awo. Makumi atatu makumi atatu amayenda kwambiri, imwani zochepa, ndipo, lalikulu, osasuta. Ngati panali mndandanda wa njira zopewera ED, munthu wamba m'badwo uno amadzadulira bokosi lililonse. Koma madotolo amakumananso ndi anthu azaka zawo zomwe akuvutika ndi ED. Chifukwa chake, ngati tikuwona kuwuka kwa abambo athanzi akulephera kuzimitsa, chikutibweretsera chiyani?

HARD CASH

Chaka chatha, Viagra adakondwerera tsiku lawo lobadwa la 20th. Popeza piritsi ya buluu yaying'ono idavomerezedwa kuti igwiritsidwe ntchito mu 1998, yapanga Pfizer wopanga kuposa $ 24bn ku US kokha. Patent ya US ya Pfizer ikutha mu 2020 koma, zaka zingapo zapitazo, kampaniyo idachita nawo malonda pazosankha zofanizira komanso zosinthika kuti zigulitsidwe - chitukuko chomwe chasintha chuma cha ED. Mwakutero, zomangira zathu zakhala zabwino.

Pakati pa oyamba kuwagwira mwamphamvu anali a US akuyamba ma Hims - kampani yaumoyo komanso yamakhalidwe yomwe imagulitsa zosinthika, zithunzi zogawana ndi ma memes oseketsa, ndikugulitsa chilichonse kuchokera ku mavitamini mpaka sildenafil, chophatikizira ku Viagra. Mawu ake akumveka "achichepere", ndipo kulira kotereku kumakhala komwe kumamveka. Chaka chatha, Hims anali wofunika kuposa $ 700m ndipo akuti anali atayandikira mwachangu unicorn: mtengo wa $ 1bn.

Potsitsa mwayi womwewo, makampani ena adatsata. Ngakhale a Therapeutic Goods Administration chaka chatha anakana ntchito yopanga sildenafil (Viagra) kupezeka popanda mankhwala, ikhoza kugulidwa pa intaneti. Panthawiyi, ku UK, Viagra adapita pa kontrakitala - ndipo zonse zidasintha. "Ndife amodzi mwa ogulitsa ku UK omwe adakhazikitsidwa chaka chatha, kugulitsa mankhwalawa," akutero a Riccardo Bruni, oyambitsa ambiri a, wogulitsa mankhwala azamalonda ku UK. "Pali msika wowonekera bwino wa mankhwalawa, kwa achinyamata komanso akulu." Ndizosavuta kutsutsana ndi malonda. Ambiri ali ndi ogulitsa ena odziwika, kuphatikiza a Richard Reed, woyambitsa kampani ya smoothie a Innocent Drinks.

Mwachinsinsi, kupeza ndikosavuta. Kuti mupeze mankhwalawa kuchokera pamalowa, zomwe muyenera kuchita ndikudzaza fomu yolumikizirana, yomwe imayesedwa ndi katswiri wazamankhwala. Koma si ma meds onse oyambira omwe amakhala ndi pharmacist munyumba, ndipo kumasuka kwa zochitika pa intaneti kwatsutsa. Mwachitsanzo, akatswiri ena azachipatala amachenjeza kuti, ngakhale ambiri mwa mankhwalawa atha kupewetsa matendawa, sangakonze zovuta zomwe zili. Kupatula apo, zomwe zimayambitsa zovuta monga ED zimatha kukhala zovuta - makamaka chifukwa chomwe TGA imasungira udindo.

Kuti mumvetsetse chifukwa chake china chake chimasweka, ndikofunikira kudziwa momwe chimagwirira ntchito. Ngakhale kukonzekera kumawoneka kosavuta mokwanira - kukondoweza ndi kuphatikiza kofanana ndi nthawi kumapita! - ndi chifukwa chamachitidwe ovuta omwe amafunikira kuphatikizika kwa umagwirira ndi dongosolo lamanjenje, pophatikiza zida zambiri zachilengedwe zomwe zimakonda kugunda cholembera.

Choyamba, pali kuthekera kwa mbolo kukhalabe magazi. Kulephera pano ndikofala, ndipo izi zimadziwika kuti kulephera kusunga mamangidwe. Pangakhalenso kugundidwa komwe kumatenga magazi kumene mu malo oyamba - omwe nthawi zambiri amakhala omangika ku nkhani za mtima kapena ormetabolic syndrome. Kuvutitsidwa kwakuthupi komwe kumachitika poyenda, kapena mitsempha ya mitsempha (chifukwa cha njinga zochuluka kwambiri, tinene), itha kukhala ndi vuto, inunso.

Chifukwa chake, kodi pali mliri wa anyamata amene akukanthidwa kumene kumapweteka? "Ndili ndi anyamata - ena aang'ono ngati 18 - akundiuza zinthu ngati, 'Dick wanga wasweka,' akutero GP Nick Knight. “Iwo akumana ndi vuto limodzi kapena zingapo zomwe sanakwanitse kupanga ukwati, ndipo ali ndi nkhawa. Izi zikufika ponseponse. ”Koma kasanu ndi kanayi ku 10, kufunafuna kulongosola kwa ED mwa mnyamatayo kukungoyambira mtengo wolakwika. "Makina awo samathyoledwa. Ndizotheka kwambiri amuna achikulire, omwe amatha kusuta, kukhala ndi matenda ashuga kapena kumwa mankhwala. Ndi zina. ”

KHALANI MALO OGULITSA

Chikhalidwe chotchuka nthawi zambiri chimapereka ED ngati nthabwala. Chifukwa cha izi, mwa zina, tingathokoze bambo yemwe anali wachisoni ngati "wachisoni ali ndi mutu m'manja pafupi ndi mkazi wake wokhumudwitsidwa" pamapaketi a ndudu ndi mapepala azachipatala posachedwa. Zithunzizi zathandizira nkhaniyo kuti kulephera kukwaniritsa cholinga chake kumakupanga kukhala wocheperapo wamwamuna - ngakhale utakhala kuti ndiwe wosuta wa 20, wodwala kwambiri - kapena ndiwe mnyamata wovuta.

Izi ndizovuta kawiri mukaganizira zomwe akatswiri ambiri amakhulupirira kuti ndizomwe zimayambitsa kukwera kwa ED. "Sizingakhale mwangozi kuti palinso achinyamata omwe ali ndi vuto laumoyo," akutero Knight. "Ndingasangalale kudziwa kuti, mwa omwe akupezeka ndi ED, ndi angati omwe akudwala matenda amisala," akutero. "Ndikufuna kuchuluka."

Knight ikhoza kukhala yopanda zovuta ngati ma bookies anali ndi diso kuzipatala. A Kate Moyle, mlangizi wothandiza pankhani imeneyi, a Kate Moyle, ati: "Achinyamata ndi ambiri omwe amafunafuna upangiri, tikuonanso anthu ambiri akuvutika ndi vuto la kusokonekera kwa thupi komanso kuthanso mwachangu kapena kuchepetsedwa."

Izi ndizofunikira. Masewera a psyche anu amagwira mbolo yanu ngati kuti ndi chingwe cha marionette. Mukangoyamba kupenda zinthu mopitilira muyeso, ikhoza kukhala masewera pamwambapa: kupsinjika ndi kuda nkhawa ndiye omwe amapha anthu ambiri. "Amuna omwe ndimawaona nthawi zambiri amafotokoza kuti amakhala nawo pamitu yawo, koma osati matupi awo, kapena amavutika kuti akaganize zogonana," akutero Moyle. Kugonana kumafuna kulingalira pang'ono kukhala kosangalatsa komanso, kotheka. Koma m'badwo wachichepere - womwe umadzazidwa ndi kuyerekezera ndi kusakwanira, ndi kutsimikizika kwa chisangalalo - nthawi zambiri kumakhala kopweteka kwambiri kwina.

Kuthana ndi matenda a m'maganizo kwandisangalatsa nthawi zonse, "anatero Bruni. “Muyenera kungoyang'ana mankhwalawo. Timagulitsa Priligy, mankhwala omwe amasintha msanga, omwe ali ofanana ndi antidepressant ambiri kuti mwina sangadziwike. Imayang'anira serotonin, yomwe, ikafooka, imatha kukupangitsani kubwera mwachangu kwambiri. Izi zimakuwuzani zonse zomwe muyenera kudziwa zokhudza mgwirizano pakati pa zomwe mukuganiza komanso kugonana. ”

Chifukwa chake, tili osakondwa ndi chiyani? "Kuda nkhawa ndizomwe zimachitika pini. Ndi kuwopa kuchita zoyipa: osakhalitsa, osakakamira, osakhutiritsa mnzako, "atero Moyle. "Ndipo ngati cholinga chathu chili pa zolinga izi, ndiye kuti sitingosangalala nazo."

wakhala ukukhumudwa kuyambira kalekale. Pofika muzu wavutoli, akatswiri akhala akufunsa kuti, kwenikweni, chasintha ndi chiyani? Maminiti awiri pa Google ndi malingaliro amodzi adzauka motsimikiza monga ulemerero wam'mawa: zovuta zomwe titha kupewa kuona zolaula.

PORN ULTIMATUM

Popeza kuchuluka kwa zolaula pa intaneti, zosefukira zakhala paliponse, kutengera njira yawo yolingalira ya m'badwo wa amuna omwe amadera nkhawa kwambiri zachiwerewere kuposa kale. Dokotala wofufuza zaumoyo wina wanena kuti 100 ikukwera anthu omwe akufuna kulandira mankhwala osokoneza bongo. Akatswiri ambiri amawona kuti uwu ndi chifukwa chomwe chimapangitsa kuti pakhale zaka zambiri zamavuto azakugonana.

"Zithunzi zolaula zimayenererana kukondana," akutero Knight. "Amuna ena sakutenga mateche omwewo ngati agonana ndi amuna omwe amakhala ndi chizolowezi choonera zolaula. Nthawi zambiri ndimafunsa odwala kuti, 'Mumawonerera zochuluka motani?' Ndipo, 'Kodi ukuganiza kuti zitha kukhala ndi vuto?' ”

Zidakhudzanso Kevin - komanso osati dzina lake lenileni - amene amakhulupirira kuti kugwiritsa ntchito zolaula kunapangitsa kuti ubale womwe wayambira kalekale usokonekere. "Sindikuganiza kuti ndinayamba zolaula," akutero. “Koma ndimagwiritsa ntchito kwambiri ndipo ndachita kuyambira ndili mwana. Bwenzi langa lomaliza silinandigwire ndikugwiritsa ntchito china chilichonse kapena chotere, koma ndikuganiza kuti ndi chifukwa chomwe ndimakhalira ndi zovuta izi m'mayanjano - nthawi yayikulu yachipembedzo ndikafuna zambiri zogonana, ndiye sindingathe zolimba patatha milungu ingapo. Ndikuganiza kuti zolaula zanditopetsa kwambiri. ”

Kutaya mtima kumeneku kwadzetsa mtundu wa ma milenia wa ED - womwe "udachiritsidwa" chifukwa cha wokondedwa watsopano, yemwe angafanane ndi chisangalalo chomwe Kevin, tsopano 29, amakhala nacho potsegula tabu yatsopano pa RedTube. Koma kenako kukondaku kumatha, ndipo sangathe kudzutsidwa ndi mnzakeyo. “Ndidakhala ndi mkulu wanga kwa zaka zitatu. Tidagonana mwina katatu katatu komaliza. Nditha kumuuza zolaula, koma osati za iye. Ndinkadziimba mlandu nthawi zonse, ndipo zimandichititsa kuti ndisamve bwino. Zinali zovuta kwambiri. ”

Zosankha zopanda malire zomwe zimapezeka ndi intaneti zitha kukulepheretsani kusangalala nthawi zonse. Knight anati: "Chimakweza kwambiri bar," anatero Knight. "Palibe chomwe chingakuchitireni." Poyankha, mawebusayiti monga anu a Brain on Porn ndi ED pa Reddit adatulukira - madera omwe adakhala nawo adakumana ndi vuto lomwe limadziwika kuti "kusokonekera kwa zolaula".

Gulu lakale, makamaka, lakhala likufuna kuphunzitsa za zomwe zimawona kuti ndizolumikizana momveka bwino pakati pa kugwiritsa ntchito zolaula ndi kusowa kwa kugonana: "Kupatula kungoyambira kutsata zolaula mu 2006," imatero, "palibe zogwirizana kupita ku unyamata kwa ED kwasintha kwambiri zaka 10-20 zapitazi. ”

Koma malingaliro awa siwowatsutsa. Pali olemba mankhwalawa omwe amapereka malangizo abwino ngakhale osamala “zinthu” zomwe zikuwoneka ngati zosatheka. Mmodzi mwa okayikira ndi Dr Justin Lehmiller - mphunzitsi wakale ku Harvard ndipo pano ndi mnzake wofufuza ku Kinsey Institute - omwe ntchito yake yokhudza zakugonana ndi kuwerenga maganizo idalembedwa munkhani zonse zazikulu zokhudzana ndi kugonana kwa anthu.

Cholinga cha Lehmiller sichinakhale chofupikitsa manambala, mpaka kuthira madzi ozizira pa chiphuphu. "Anthu ena akuyang'ana ma data omwe siabwino kwambiri," akutero. “Ndilibe malingaliro olunjika. Ndine wasayansi. Zomwe ndili nazo ndizophatikiza. Sizokhudza zolaula zokha. Pali anthu ochulukirapo pama antidepressants, pamakhala nkhawa zambiri zamthupi, ndipo pamakhala zovuta zina zolumikizirana zogonana. Kunena zolaula kokha ndi njira yabwino. ”

Ndi malingaliro omwe a Moyle amalankhula. "Pali lingaliro loyenera m'chiphunzitso cha zolaula, koma zolaula sindiye vuto lokha. Malipoti okhudza kupsinjika ndi nkhawa kwa achichepere akukwera nthawi zonse. Koma mavuto azakugonana sakupezekabe. Izi zitha kuyambitsa nkhawa. Ndi kuzungulira kwazovuta komanso nkhawa. ”

Kutulutsa kwamanyazi ndi kusayenda bwino ndi zomwe zachititsa kuti abambo ambiri azigwiritsa ntchito intaneti, kusankha kugula Viagra kuchokera pa webusayiti yakuda ndi malo ogulitsa mankhwala onyenga. Kuchita mantha, zikuwoneka, kukuposa kuchenjeza.

NJIRA YEKHA YATHA

Apa ndipomwe oyambira monga ambiri atha kukhazikika poti achitepo kanthu. Ndi yankho la zaka chikwi ku vuto la zaka chikwi, ndiukadaulo wambiri womwe umapereka zabwino za njira yosaloledwa - chisankho, kutumizira kwa tsiku lotsatira - koma ndi chitetezo komanso kuvomerezeka kwa zenizeni - ndi 24 / 7 - pharmacy.

Akatswiri ena, kuphatikiza ndi Lehmiller, akukhulupirira kuti kugwiritsa ntchito mankhwalawa mosavuta sikothandiza, chifukwa kumakulitsa chiyeso chofuna mapiritsi m'malo mofufuza zomwe zimayambitsa mavuto athu. Komabe pali chiyembekezo cha zinthu zosatheka pano. Ziwerengero sizinama: abambo akudziika pachiwopsezo pogula ma med osavomerezeka tsiku lililonse. Sizotheka - makamaka, sizingatheke - kuti onse athamira kuchipatala mwadzidzidzi chifukwa adauzidwa.

Chifukwa chake, kodi kuwongoka kwatsopano kumeneku kungapereke yankho kwa anthu ngati John, kwakanthawi kochepa? "Chomwe chimandikhumudwitsa ndikuvomereza kochulukira: 'Timamva chifukwa chomwe muli achisoni ndi ED. Bwerani mukalankhule ndi dokotala wanu za izi, '”akutero John. Ndi nkhalangozi. Sindingokhala pansi ndikulankhula ndi wina zikakhala zosavuta kuti ndiziwasintha. ”John akuyerekeza kuti adapita kwinakwake kudera la 50-100 kugula ma meds mosavomerezeka m'moyo wake wachikulire. Atafunsidwa ngati akudziwa za zoopsa - Mlingo wambiri chifukwa cha kulembedwa kolondola kwa zosakaniza zogwiritsidwa ntchito, kuipitsidwa ndi poizoni, mankhwala abodza - amalumbira zipolopolo. "Ayi," akutero. "Sindimadziwa."

Pamenepa, makampani monga Ambiri ali ndi kuthekera kochita zabwino zambiri. "Inde, timapangitsa kuti kugula mankhwalawa kukhala kosavuta," akutero Bruni. “Ndipo timamvetsetsa zokhudzana ndi zinthu zomwe timagulitsa, koma zomwe timagulitsa zimakhala zowongolera. Tikuyesetsanso kukhala gawo la zokambirana izi bwino.

"Amuna amatha kuwerengera chinthu chomwe chili chabwinobwino - monga kusatha kuzimitsa nthawi ndi nthawi. Sitili a amuna amenewo. Sitimakankhira mapiritsi kwa anthu omwe sawafuna, ndipo kulumikizana kwathu kumangolola anthu omwe amawagula. ”

MITUNDU YA KUKULA

Mwinanso zomwe timafuna, koposa zonse, ndizogawidwa zatsopano zomwe sizili ngati "ED kapena palibe ED". "Mwina anyamata ali ndi lingaliro lolakwika la ED," atero Lehmiller. "Ngati mbolo sikuchita zomwe akufuna nthawi zonse, akuganiza kuti pali vuto. Komabe, sizachilendo kwa amuna kuti azikondana nthawi zonse. ”

Mwanjira, ndiwo moyo. “Nthawi zina, moyo umangokhala wovuta. Ndizovuta, ndipo ndatopa, ndipo simungathe kupita kumalo ochita masewera olimbitsa thupi, ”akutero a Knight. "Palibe mankhwala kapena chithandiziro chomwe chitha kuti zonsezi zithe, ndipo zingakhale zopanda phindu."

Chopatsa chidwi, komwe amawona phindu la mankhwalawa ali ngati Viagra yotsatsira. "Ine nditha kumuwona mnyamata wachinyamata ndipo ndimupatsa piritsi limodzi kapena awiri, ndipo ndi. Mukakhala nawo kamodzi, ndiye kuti kamira m'mutu mwanu. Kangapo pa Viagra ndi boom! Wabweza chidaliro chako. ”

Kuchepa kwa Erectile pakati pa abambo athanzi, zikuwoneka, kungakhale zonse m'malingaliro: zoyipa zina zamavuto athu ambiri azaumoyo, pambali nkhawa, kukhumudwa ndi thupi dysmorphia. Ndi nkhalango mkati mwake.

Moyle anati: “Tsopano tikuyamba kukambirana zambiri mwazinthu izi. "Tifikako pofika nthawi yogonana."

Kusintha kwa chikhalidwe cha anthu ku thanzi lamalingaliro, ndiye, kumapereka phunziro labwino kwambiri: kuti muchepetse malingaliro athu, choyamba tiyenera kutsutsa zigamulo zomwe timapanga m'malingaliro athu. Ndipo mpaka titachita izi? Ziwerengerozi zikuwonetsa kuti kugona kwanyumbayo kumangopitilira.

Ndi mapiritsi ati omwe muyenera kumwa kuti muthandizire kukomoka kwanu kwa erectile?

Palibe manyazi mu piritsi ya piritsi koma muyenera kudziwa zomwe mumamwa. Umar Malick, wafizisiti Wambiri, amatayika pamapiritsi

1. gondolosi

Mankhwala oyamba a ED opangidwa ndi Pfizer. Imagwira ndikuwonjezera kuchuluka kwa magazi kupita ku mbolo ndipo kuyenera kuchitika mkati mwa mphindi za 30.

2 SILDENAFIL

Sildenafil citrate ndiye chinthu chogwira ntchito ku Viagra. Mitundu yopanda mafuta imagwiranso ntchito chimodzimodzi, koma osanyamula mitengo ya Viagra.

3 CIALIS

Dzina la mpikisano waukulu wa Viagra. Imatha kukhala mpaka maola a 36, omwe amafotokozera kuti nthawi zina amatchedwa "piritsi la sabata".

4 TADALAFIL

Cialis wosasankhidwa. Ndizothandiza, koma mtengo wake ndi theka. Amuna ena amapeza kuti tadalafil imakhala ndi zovuta zochepa kuposa sildenafi.

5 LEVITRA

Imagwira ntchito mwachangu kuposa Viagra ndipo imatha kwa maola asanu. Dziwani kuti mankhwalawa amatengedwa mu Mlingo wocheperako kuposa Viagra.

6 VARDENAFIL

Yogwira pophika ku Levitra. Zimasangalatsanso chakudya, pomwe zakudya zamafuta zimapangitsa kuti Viagra ikhale yolimba kulowa m'magazi.

Alex Ndiwopambana komanso wolemba wopambana yemwe akuchita nawo mbali zonse za ntchito zamkati, kutengera mawu ndi mayina ake mpaka ntchito zonse zapadziko lonse lapansi, komanso nkhani yayitali yofanizira mtolankhani komanso wolemba nkhani.