Comments: Ndemanga mu magazini yotulutsa urology imalongosola kugwiritsa ntchito zolaula mopambanitsa monga chifukwa cha kusokonekera kwa urectile komanso kuchepa kwa chidwi. Malangizo oyenerera:
Zinthu wamba zomwe zingayambitse kusokonekera kwachiwiri kwa Erectile ndi monga kuchepa kapena kulephera kwapakale, ukalamba, kudwala kapena opaleshoni, kumwa mowa mwauchidakwa, mavuto am'banja kapena kusakhulupirika, kukhumudwa, kukwiya msanga (nthawi zambiri kumapangitsa kuti kusokonekera kwa erectile), komanso machitidwe okakamiza komanso ogonana omwe angayambitse kusokonekera kwa 'porn' uced. Ponena za gulu lotsirizali, kafukufuku wa 20166 mwa achinyamata 1492 azaka zawo zomaliza ku sekondale adapeza kuti 77.9% ya ogwiritsa ntchito intaneti adavomereza kugwiritsa ntchito zolaula. Mwa chiwerengerochi, 59% ya anyamata omwe amafika pamasamba awa nthawi zonse amawona kuti amawonetsa zolaula kukhala zolimbikitsa, 21.9% adawonetsa kuti ndizomwe amachita ndipo 10% adati idachepetsa chidwi chogonana kwa omwe atha kukhala ndi zibwenzi zenizeni. Makumi khumi ndi zisanu ndi zinayi onse ogwiritsira ntchito zolaula adanenapo zankhanza mosayenera pa zochitika zenizeni pamoyo, zomwe zidakwera 25.1%% mwa ogula wamba.
Kuwunika kwa 2016 kunapeza kuti zinthu zomwe nthawi ina zimafotokozera zakusagonana kwa amuna zimawoneka kuti ndizosakwanira kuwerengera zakukula kwakusagonana kwakanthawi kogonana pakati pa amuna azaka zosakwana 40.7 Kuwunikaku kukuwunika zosintha muubongo wokangalika pomwe zolaula zimagwiritsidwa ntchito mopitilira muyeso, kuyang'ana umboni woti zida zapadera zokhudzana ndi zolaula za pa intaneti - mwachitsanzo, zachilendo zopanda malire komanso kuthekera kosavuta kuzinthu zosafunikira kwambiri - zitha kupangitsa anthu kukhala ogonana kudzutsa. Izi zitha kuchititsa kuti okwatirana enieni asakumanenso ndi ziyembekezo zakugonana komanso kuchepa kwachangu kwakukwanira kwakugonana.
------
Kuchedwetsa kuchedwa kumadziwika kuti ndikulephera kutulutsa umuna panthawi yogonana, makamaka patadutsa mphindi 25-30 zolimbikitsa kupitiriza kugonana….
Zambiri zomwe zimapangitsa abambo ena kukhala ndi vuto ili ndi: kukalamba, komwe kungapangitse kusintha kwa kugonana, kuphatikizapo kuchedwa kuchepa; IMS (mawonekedwe a idiosyncratic masturbation), pamene amuna amalankhula maliseche ndi kuthamanga komanso kukakamiza kuti mnzawo sangathe kubwereza; kuopa kulembetsa mkazi; kuonera zolaula kwambiri komwe kumayambitsa kukhudzana ndi nkhawa komanso kukhumudwa; zovuta zakugonana komanso / kapena zoletsa zachikhalidwe ndi zachipembedzo.
Zochitika mu Urology & Health Men
Emma Mathews. Yofalitsidwa koyamba: 04 June 2020
https://doi.org/10.1002/tre.748
Kudalirika
Matenda a zamagulu ndi akazi akhoza kukhala chowonjezerapo pakuwongolera mavuto amtundu wa amuna. Kulimbikitsa abambo kufunsa pazinthu ngati izi ndi nkhani ina.
Zovuta zazikulu zogonana mwa amuna
American Psychiatric Association (APA)2 fotokozerani zamiseche yamunthu yamphongo ngati: erectile dysfunction; kukwezedwa msanga; kuchedwa kumveka; wamwamuna hypoactive chilakolako chisokonezo; chinthu / mankhwala ‐ kumayambitsa kugona; zolemba zina zotchulidwa; komanso kusadziwika kwazakugonana. Kuti mukwaniritse njira zodziwikitsa zinthuzi APA imati wodwala ayenera kusowa nthawi 75-100% ya nthawi, nthawi yayitali pafupifupi miyezi isanu ndi umodzi, ndipo kusoweka kuyenera kuchitika kuti kumabweretsa vuto lalikulu. Zovuta zimatha kuwerengedwa ngati zofatsa, zolimbitsa kapena zowopsa.
Kuchepa kwa Erectile komanso kumira msanga m'mimba kumawoneka ngati mavuto ambiri abambo omwe amadziwika nawo. Kafukufuku wapadziko lonse wa 2005 adapeza kuti kuchuluka kwa msanga kwa msanga kumakhala 30% mwa amuna azaka zapakati pa 40-80.3 Kuchepa kwa Erectile kwapezekanso kuti kukuwonjezeka ndi kuchuluka kwa zaka, ndi kuchuluka kwa 6% mwa amuna ochepera zaka 49, 16% azaka zapakati pa 50-59, 32% azaka zapakati pa 60-69, ndi 44% ya amuna azaka Zaka 70-79.4 Zochita zina zogonana zachimuna zimakhudza amuna osakwana 10% a mibadwo yonse.1
Kuwona pazomwe zimayambitsa organic komanso zamaganizidwe
Mavuto azakugonana amatha kukhala ndi zoyambitsa ndi zamaganizidwe; Komabe, abambo ambiri amakonda kukhulupilira kuti vuto lawo logonana limakhala ndi chifukwa chifukwa nthawi zambiri limawoneka losavuta kuchiza ndi mankhwala. Zotsatira zake, GP nthawi zambiri imakhala poyambira abambo omwe ali ndi mavuto ogonana kufunafuna upangiri ndi kuyesa koyenera kutsimikizira kapena kupatula zomwe zimayambitsa kapena zomwe zikuchititsa vutoli. Gome 1 imapereka chidziwitso pazoyesedwa zowunikira.
| Chitsogozo chotsogolera chisanachitike | |
|---|---|
| Kusokonekera kwa Erectile |
|
| Kuthamangira kusanafike |
|
| Kuthamangitsidwa kochedwa |
|
| Hypoactive chilakolako chogonana |
|
Tsoka ilo, onse odwala ndi ogwira ntchito zachipatala amatha kukhala okayikira kuthana ndi zovuta zakugonana nthawi yoikika chifukwa cha kuchepa kwa nthawi kapena kusazindikira kwa akatswiri, kapena manyazi ndi manyazi kwa wodwalayo. Chifukwa chake, ndikofunikira kuti akatswiri azachipatala azikhala ndi maluso ofunikira pazovuta zakugonana, kupereka upangiri woyambira ndikutchulira moyenera. Mtundu wa PLISSIT (Chilolezo, Chidziwitso Chochepa, Zowunikira, Chithandizo Chachikulu)5 imafotokoza njira yodziwitsa kugonana moyenera pazokambirana, ndi cholinga chochepetsera nkhawa za odwala pakubweretsa mavuto awo pogonana (onani Chithunzi) 1).
Chithunzi 1
Awa ndi magawo anayi olowererapo omwe akatswiri azachipatala azomwe amagwiritsa ntchito:
Chilolezo - pangani danga kuti wodwala abweretse mavuto atagonana pofunsa mafunso omaliza ‐;
Zambiri - liperekeni chidziwitso chandamale, kuphatikizapo zomwe zingayambitse vutoli;
Malingaliro apadera - mungafotokozere za matenda osiyanasiyana, ndi malingaliro amomwe mungathane ndi vutoli;
Kwambiri mankhwala - kulozera kwa katswiri (mwachitsanzo, katswiri wazakugonana) kuti athandizane mwatsatanetsatane ndi kuchitapo kanthu.
Zinthu zodziwika mu malingaliro
Kusokonekera kwa Erectile
Kusokonekera kwa Erectile kumadziwika chifukwa chosatha kukwaniritsa kapena kusunganso nthawi yayitali panthawi yogonana. Izi zitha kukhala zoyambirira (ie zakhala zikuchitika kuyambira pachiyambire zokhudzana ndi kugonana)ie zachitika patatha nthawi yovomerezeka).2
Pali zinthu zosiyanasiyana zamaganizidwe zomwe zitha kupangitsa abambo ena kuti azitha kusokonekera kwa erectile dysfunction. Izi zimaphatikizapo kudziona kuti ndiwe wokhathamira pakugonana, kusakhala ndi chilimbikitso pakugonana, zoopsa kapena zovuta zoyamba zogonana komanso zolimbana ndi zipembedzo.
Zinthu wamba zomwe zingayambitse kusokonekera kwachiwiri kwa Erectile zimaphatikizapo kuchepa kapena kulephera kwaposachedwa, ukalamba, kudwala kapena opaleshoni, kumwa mowa mwauchidakwa, mavuto am'bwenzi kapena kusakhulupirika, kukhumudwa, kukwiya msanga kumabweretsa 'porn ‐ anachititsa' erectile kukanika. Ponena za gulu lotsirizali, kafukufuku wa 20166 mwa achinyamata 1492 azaka zawo zomaliza ku sekondale adapeza kuti 77.9% ya ogwiritsa ntchito intaneti adavomereza kugwiritsa ntchito zolaula. Mwa chiwerengerochi, 59% ya anyamata omwe amafika pamasamba awa nthawi zonse amawona kuti amawonetsa zolaula kukhala zolimbikitsa, 21.9% adawonetsa kuti ndizomwe amachita ndipo 10% adati idachepetsa chidwi chogonana kwa omwe atha kukhala ndi zibwenzi zenizeni. Makumi khumi ndi zisanu ndi zinayi onse ogwiritsira ntchito zolaula adanenapo zankhanza mosayenera pa zochitika zenizeni pamoyo, zomwe zidakwera 25.1%% mwa ogula wamba.
Kuwunika kwa 2016 kunapeza kuti zinthu zomwe nthawi ina zimafotokozera zakusagonana kwa amuna zimawoneka kuti ndizosakwanira kuwerengera zakukula kwakusagonana kwakanthawi kogonana pakati pa amuna azaka zosakwana 40.7 Kuwunikaku kukuwunika zosintha muubongo wokangalika pomwe zolaula zimagwiritsidwa ntchito mopitilira muyeso, kuyang'ana umboni woti zida zapadera zokhudzana ndi zolaula za pa intaneti - mwachitsanzo, zachilendo zopanda malire komanso kuthekera kosavuta kuzinthu zosafunikira kwambiri - zitha kupangitsa anthu kukhala ogonana kudzutsa. Izi zitha kuchititsa kuti okwatirana enieni asakumanenso ndi ziyembekezo zakugonana komanso kuchepa kwachangu kwakukwanira kwakugonana.
Kuthamangira kusanafike
Kuthamanga kwam'maso kumadziwika kuti kumangosinthasintha mosalekeza mphindi imodzi kapena zochepa kulowa. Amuna ena amatha kusinthasintha nthawi yayitali asanalowe.
Pali zotchulidwa za vutoli. Mwachitsanzo, imatha kukhala ya moyo wonse, itakumana ndi chiyeso choyambirira cha kugonana; kupeza, kuwonekera patapita nthawi yokwanira ya orgasmic latency; generalized, zikuchitika ndi osiyana ndi zochitika zosiyanasiyana; kapena malo, pomwe vutoli limangopezeka ndi wokondedwa kapena momwe zinthu ziliri.
Kuopsa kwa vutoli kungatchulidwenso kwina. Itha kukhala yofatsa, pomwe kumveka kwamasamba 30-60 masekondi atalowedwa; zolimbitsa, pamene kumveka kumachitika masekondi 15-30 pambuyo polowera; kapena koopsa, komwe kumveka kumachitika usanalowe, kulowa, kapena kulowa masekondi 15 mutalowa.2
Zambiri zomwe zimapangitsa abambo ena kuti adzidzidzimutse asanabadwe zimaphatikizaponso zinthu zachipembedzo, kulera, kulera kapena kuvomereza makolo (zomwe zimapangitsa kuti munthu akhale ndi zolinga zomwe sizingatheke), kuopa kupezedwa atakumana ndi zomwe akuchita asanakwatirane zogonana (pogonana komanso kuseweretsa maliseche), kufunikira kofunikira 'khalani mwachangu', komanso zovuta zamavuto.
Kuthamangitsidwa kochedwa
Kuchedwa kumumveka kumadziwika kuti ndikolephera kutulutsa nthawi yogonana, makamaka pambuyo pa mphindi 25 mpaka 30 za kupitilizabe kugonana.
Zofotokozerazi za matendawa zimaphatikizaponso: kuyambira moyo wonse, kuyambira pachiwopsezo cha kugonana; zopezeka, kuyambira patapita nthawi yovomerezeka; .konsekonse, ukachulukitsa mosachedwa kapena kosatheka mu kugonana kwayekha kapena kogwirizana; kapena malo, pomwe bambo amatha kudzuka pamalopo atagonana koma osagonana ndi mnzake kapena pogonana.2
Zambiri zomwe zimapangitsa abambo ena kukhala ndi vuto ili ndi: kukalamba, komwe kungapangitse kusintha kwa kugonana, kuphatikizapo kuchedwa kuchepa; IMS (mawonekedwe a idiosyncratic masturbation), pamene amuna amalankhula maliseche ndi kuthamanga komanso kukakamiza kuti mnzawo sangathe kubwereza; kuopa kulembetsa mkazi; kuonera zolaula kwambiri komwe kumayambitsa kukhudzana ndi chidwi; zovuta zakugonana komanso / kapena zoletsa zachikhalidwe ndi zachipembedzo.
Hypoactive chilakolako chogonana
Hypoactive chilango chisokonezo chimadziwika ngati chilakolako chochepa chogonana komanso malingaliro osagonana kapena malingaliro.2 Zambiri zomwe zimapangitsa kukhudzika kwa chilakolako chogonana ndizophatikizira: kuvulala; mavuto aubwenzi (mkwiyo, mkwiyo, kulankhulana kochepa, nkhawa za chitetezo cha maubale); zovuta zamaganizidwe (nkhawa, nkhawa, mantha); otsika zokhudza thupi; kupsinjika ndi kutopa.
Zomwe muyenera kuyembekeza panthawi yogonana?
Kubwera kudzaonana ndi akatswiri othandizira kugonana kungakhale chinthu chovuta kwambiri ndipo ena anganene zokonda kuwona wothandizira wamwamuna kapena wamkazi.
Thandizo logonana amuna kapena akazi okhaokha limaphatikizapo kusintha pang'ono ndi pang'ono mikhalidwe yomwe imakhalabe ndi zovuta zogonana. Ngati wodwala ali pachibwenzi chenicheni nthawi zambiri amakhala kuti amapezeka ndi wokondedwa wawo, chifukwa zimathandiza kumvetsetsa momwe onsewo angathandizire kuti vutoli lithe. Komabe, izi sizofunikira nthawi zonse, kutengera vutoli komanso momwe zinthu zilili.
Kuunika koyambirira kumagwiritsidwa ntchito kuti mudziwe mtundu wa vutoli. Wodwalayo adzafunsidwa mafunso za momwe vutoli linayambira, mbiri yachipatala komanso ya opaleshoni (kuphatikizapo thanzi lam'mutu), ndi mafunso ena okhudzana ndi onse (ngati ali pachibwenzi). Wodwalayo adzapatsidwa tsatanetsatane wa chithandizo chomwe chingaphatikizire, kudzipereka kwa nthawi komanso momwe angalimbikitsidwire.
Wodwalayo adzapatsidwa kuyesedwa kowonjezereka kuthandiza othandizira 'kupanga' vutoli. Pachifukwa ichi, wodwalayo adzafunsidwa mafunso okhudzana ndi zomwe zimachitika muubwenzi wawo wamakono, zomwe zimachitika ngati ali pachibwenzi ndi wokondedwa wawo, zokhudzana ndi zibwenzi zam'mbuyomu, komanso mauthenga omwe angakhale atalandira okhudzana ndi kugonana komanso amuna okhaokha mphamvu) paubwana wawo. Wochiritsirayo ayang'ana mavuto omwe angadzapezeke ali mwana ndikusinthidwa nthawi yocheza ndi anthu akuluakulu, kuvulala kwamalingaliro komanso zokhudzana ndi zochitika. Izi ndikuyenera kuti mumvetsetse momwe wodwalayo amakhudzirana ndi ena, kukhala m'mabanja, banja kapena mdera.
Kuyeza kwa malingaliro ndikokwanira kwambiri. Ngati wodwala ali pachibwenzi chenicheni othandizira ake adzapemphanso kuwona mnzakeyo kuti afunse mafunso omwewo kuti amvetsetse vutoli. Wochiritsirayo akambirana za mayendedwe ake ndi wodwalayo ndi mnzake, aphunzitse zamaseweredwe azoyeserera pakugonana komanso pamatchulidwe azovuta zomwe zilipo.
Kuyika vutoli
Ndi zovuta zonse zakugonana pali zinthu zodziwika bwino zochizira. Choyamba, ndikofunikira kuthandizanso kuwunikira momwe wodwalayo akuwonera kuti asadzifotokozere okha malinga ndi vuto lakugonana. Kuti tichite izi, ndikofunikira kuyambitsa zokambirana pazinthu zina za maubwenzi zofunika; Mwachitsanzo, kudalira, ulemu, kusangalala, kukondana, kulumikizana bwino, komanso osagonana kapena kugonana.
Pokambirana zakugonana, izi zitha kuwonongedwa kuti odwala awone kugonana ngati chinthu champhamvu komanso chopanga. Makamaka, yesetsani kuchotsa zomwe wodwalayo amaganizira zogonana, kuphatikiza kufunikira kwawo kwakanthawi kochepa kapena kufikira pachimake. Odwala nthawi zambiri amapita kumisonkhano ndi malingaliro omwe amakhala nawo kale pazomwe zimakhala 'zabwinobwino' komanso zomwe 'wina aliyense' akuchita pokhudzana ndi kugonana. Chimodzi mwazithandizo zakugonana ndikuwongolera vutoli, ndikupereka chidziwitso pakukula kwake komanso momwe odwala ena adakhaliranso ndi nkhawa zomwezi ndikupindula ndi chithandizo.
Pakati pa ‐ gawo lochitira homuweki ntchito
Thandizo logonana amuna ndi akazi nthawi zambiri limaphatikizapo kufunsa odwala kuti amalize 'ntchito zapakhomo' pakati pa magawo ndikuti afotokozere zomwe akudziwa, momwe akumvera, momwe akumvera komanso zochita zawo. Izi zimapereka mwayi kwa othandizira othamanga mwachangu ndikuwongolera zovuta zilizonse zomwe zimachitika.
Chimodzi mwazinthu zazikulu zapanyumba ngati wodwala ali ndi mnzake ndikuwonetsetsa. Njirayi idayambitsidwa koyamba ndi a Masters ndi Johnson8 ndipo amalola odwala kuti athe kuwonetsedwa mwachikondi m'njira yosanja yomwe imawathandiza kuti azikumbukira (popanda kuweruza) panthawi yamaubwenzi, amachepetsa nkhawa ndikupezanso chidaliro pakugonana kwawo. Lamulo loyamba ndikuletsa kugonana. Awiriwa akuyenera kuvomereza izi akamayamba ntchito yakunyumba, yomwe nthawi zambiri imayamba ndikugwiranagwirana mosagonana (mwachitsanzo, kuthera nthawi yokhudza kukhudza thupi lamaliseche la wokondedwa wawo kupatula malo ogonana monga maliseche ndi mabere ). Lingaliro la njirayi ndikuwulula wodwalayo kuti amugwirizane mwakuthupi mopanda mantha kuti wodwalayo adzafunika 'kuchita'. Pamene mankhwalawa akukula, ntchito zimayambitsa kukhudza komwe kumakondana kwambiri komanso kugonana. Kutengera ndi vuto linalake, wodwala amathanso kufunsidwa kumaliza ntchito zina maliseche pofuna kudzidalira.
Odwala omwe amapezeka kuti alandire chithandizo ndipo pakadali pano ali pachibwenzi amatha kukhala ovuta kuwathandiza, makamaka ngati vutoli limangopezeka pokhapokha pogonana. Ngakhale odwalawa atha kupindula ndi masewera olimbitsa thupi, sizotheka kudziwa momwe angachitire ngati ayamba kugonana. Pakadali pano, kugwiritsa ntchito njira zodziwikiratu pazomwe mungagwiritse ntchito pochiritsa kungakhale koyenera kuthana ndi zovuta zomwe zingakhalepo, monga njira zowopsa, kulingalira kwakufunika kwa zogonana zogonana muubwenzi ndi kudzipangitsa kudzidalira. Njira izi zimafunikira othandizira kuti athandize odwala kuti azikhulupirira zomwe ali nazo kenako ndikuyesa kusintha malingaliro awo kuti apangitse zikhulupiliro zawo.
Phunziro la ku Germany9 adayang'ana kusintha kwamachitidwe azakugonana potsatira njira yodziwikiratu yokhudza zovuta zina zamaganizidwe ena - mwachitsanzo nkhawa kapena kukhumudwa, mwachitsanzo. Kafukufukuyu adapeza kuti odwala ambiri omwe zizindikiro zawo zidachotsedwa pamavuto oyambawo adathandizanso pakugonana, ngakhale pomwe mankhwalawo sanali okhazikika pavuto logonana. Kuchotsedwa kwa vuto la kugonana kumawoneka ngati njira yabwino yothandizira pochotsa matenda omwe apezekapo; komabe, 45% analibe kusintha kwazogonana. Olembawo adatsimikiza kuti kuzindikira za zovuta zakugonana kuyenera kuphatikizidwa muzochitika za odwala omwe akupezeka ndi zovuta zina zamaganizidwe.
Ngati kuvutika m'maganizo kwatchulidwa kuti ndikoyambitsa kwakukulu kwa vutoli, ndiye kuti zochizira zoopsa kwambiri zitha kukhalanso zoyenera. Zikatero, gwiritsani ntchito zoziziritsa kukhosi zamakhalidwe oyipa, kapena kusuntha kwamaso ndi kubwezera, monga momwe malangizo a Nice alangizira.10
Kwa odwala onse kumvetsetsa zomwe zimatha kupanga ndikuwongolera magwiridwe antchito can zimatha kukhala zothandiza (onani Chithunzi 2). Itha kukhala yothandizanso kwa abwenzi a abambo omwe ali ndi mavuto ogonana kuti alandire maphunziro awa kuti awathandize kumvetsetsa momwe zochita zawo, zobwerera komanso zobisika, zingathandizire kukonza vutoli. Zitha kukhala zolimbikitsa kwa wokondedwa (ndipo motero wodwalayo) kudziwa kuti kusowa pogonana kwa amuna nthawi zambiri sikungoganizira za mnzakeyo koma vuto lakuda nkhawa.
Chithunzi 2
Phunziro muzochitika: kukanika kwa erectile
John (osati dzina lenileni la wodwalayo), wazaka 35, anali atakwatirana ndi mkazi wake kwazaka khumi ndipo adakumana ndi zovuta zokhala ndi erection yokwanira panthawi yogonana muubwenzi wawo wonse. Palibe chifukwa chakumapeto kwa vutoli chomwe chidadziwika pakutsata mayeso a GP. Pakufufuza, zidadziwika kuti John anali ndi malingaliro okhulupilira zangwiro posakhala 'wokwanira' kwa mkazi wake. Mkazi wake adayamba kukhulupirira kuti mwina John samamupeza wokongola, zomwe zidamupangitsa John kuda nkhawa kwambiri panthawi yogonana kuti atsimikizire kuti sizinali choncho.
Zotsatira zake, kugonana nthawi zambiri kunali kupewedwa ndipo onse awiri a John ndi mkazi wake amakhala ndi nkhawa panthawi yaubwenzi. Ngati John adakwaniritsa kondomu amayesa kuloweza momwe zimachitikira. Mkazi wake, kuyesera kuti akhale womvetsetsa, nthawi zina amakhumudwitsidwa naye. Ngati atayesa kusintha maganizidwe ogonana, iye amachotsedwa. Chifukwa chake amatenga malo otetezedwa agonana omwe amapewa kusintha. Kugonana sikunali kosangalatsa kwa wokondedwa aliyense chifukwa kudakhala kovuta kumabweretsa nkhawa.
Panalinso zovuta muubwenzi pankhani yopanga nthawi yocheza. Onsewa anali otanganidwa kuntchito ndipo panali zovuta ndi zokhumudwitsa zina zokhudzana ndikudzipereka kwa abale awo, komanso chikhulupiriro cha John kuti ayenera kusangalatsa anthu. Izi zikutanthauza kuti kudzipereka kwakanthawi kumaliza ntchito zapanyumba kunakhala vuto, ndipo njira zina zimayenera kugwiritsidwa ntchito potengera kuti John amaphunzira kunena kuti ayi kwa abale ake nthawi zina kuti amulole kuti azikhala ndi nthawi yambiri kwa mnzake.
John adafunsidwa kuti amalize ntchito ya 'sera ndikuchepetsa' maliseche yekha, momwe angadzilimbikitsire kufikira atakonzeka kenako ndikuloleza kuti kuchepa, kubwereza izi katatu asanafike pachinayi. Cholinga cha zochitikazi chinali kumuthandiza kuti aphunzire kuti kukweza kwake kungabwerere ngati kungotsika. Ntchitoyi idayenda bwino, ndipo kudalira kwa John ndikudzidalira kwake pazomwe adasankha kunawongokera.
Nthawi yomweyo, banjali lidayamba pulogalamu yokhazikika, kuyambira ndi chiletso chogonana. John adapeza zothandiza kuti kukakamizidwa kuti 'achite' kuchotsedwa ndipo banjali lidakwanitsa kupita patsogolo pulogalamu yonse, yomwe idadzetsa chidwi chokhudzana ndi kugonana. Amatha kusangalala ndiubwenzi wapamtima, amaphunzira kusangalala ndikugwira thupi lonse osayang'ana kwambiri kumaliseche ndikuwona kufunika kokhala ndi erection. M'magawo oyamba owonetsetsa, John adanenanso zakusokonekera ndikumva kuti mbolo yake 'iyenera kukhala yolimba pantchitoyo, zomwe zimatha kukhala nkhawa kwa odwala kumayambiriro kumeneku. Malingaliro a zochitikazo amayenera kubwerezedwanso: kuti kupeza erection sikofunikira, koma kuti athe kuyang'ana kwambiri ndikusangalala ndikumverera kokhudzidwa ndikukhudza mkazi wake. John atakhala ndi chidaliro ndi zochita zake za 'sera ndi kuchepa', ndipo zolumikizira zolumikizana zija zinali zitayamba kuphatikizira kukhudza kumaliseche, mkazi wake adapemphedwa kuti agwiritse ntchito njira ya 'sera ndikuchepera' pa John panthawi yamalingaliro. Izi zinagwiritsidwa ntchito kukulitsa chidaliro cha John kuti kumukweza kwake kumatha kubwereranso panthawi yogonana. Kuchita izi kunayenda bwino ndipo pamapeto pake banjali linali lokonzeka kuyesa kugona, pomwe mkazi wake anapemphedwa kulowetsa mbolo ya John kumaliseche kwake molimba, osakakamiza, ndikuigwira pamenepo kwakanthawi kochepa asanachichotse ndikupitilizabe kukondana naye dzanja.
Ntchitoyi idapita patsogolo ndikuphatikiza mayendedwe osangalatsa, ndipo panthawiyi mkazi wa John adanenanso kuti ayamba kusuntha mwachangu, ndikubwerera ku zomwe anali akuchita poyesa kusunga erection. Pobwerera ku khalidweli, John adapeza kuti adayamba kutaya mawonekedwe. John adapemphedwa kuti azichepetse ndikulola mkazi wake kukhazikitsa mayendedwe; komabe, chidwi chake chofuna kuthamanga mwachangu chinali chovuta kukana. Onse awiri adakhumudwitsidwa ndi vutoli ndipo adada nkhawa kuti vutoli silingathetse. Pakadali pano, kutsatira zokambirana, a GP a John adafunsidwa kuti apereke tadalafil tsiku lililonse (5mg kuti ichepetsedwe kukhala 2.5mg, kutengera yankho). John adayankha bwino izi ndipo adatha kukhala ndi erection panthawi yochita masewera olimbitsa thupi, zomwe zidamupatsa chidaliro chomwe amafunikira kuti apitilize pulogalamu yothandizidwa ndi amuna kapena akazi okhaokha. Anachepetsa tadalafil kukhala 2.5mg tsiku lililonse ndipo adatha kukhala ndi erection ngakhale atasiya kumwa mankhwalawo. Kutha kumeneku sikudakonzeke (adayiwala kupempha mankhwala mobwerezabwereza tchuthi chisanachitike ndipo banjali lidakwanitsa kuchita zogonana). John adachiritsidwa panthawiyi pomwe banjali lidanenanso zakusintha kwakanthawi pamachitidwe awo komanso zogonana.
Kutsiliza
Kafukufuku wa 2005 wa amuna ku Scotland11 tinazindikira kuti panali kukayikira kufalikira kwa abambo kufunafuna chithandizo chamankhwala ndi malingaliro, monga thandizo challen kufunafuna mikhalidwe yotsutsana ndi malingaliro amwambo pamilandu. Onjezani kusokonezeka kwa kugonana muvutoli ndipo sizosadabwitsa kuti abambo amatha kutenga nthawi yayitali kuti afunefune thandizo mpaka vutoli ndi machitidwe ake okhudzana atakulirakulira.
Ngakhale amuna ambiri amafunafuna chithandizo chogonana amuna kapena akazi okhaokha, izi mwina zasintha mzaka zaposachedwa ndikubwera kwa kauntala wa phosphodiesterase mtundu wa 5 ‐ inhibitors, monga Viagra Connect. Kafukufuku wowonjezera wazomwe amuna amafunafuna thandizo kuchokera kwa akatswiri azaumoyo atha kukhala osangalatsa kwambiri. Ndikofunika kwambiri kuti kumakhala chizolowezi kwa akatswiri azaumoyo kufunsa amuna za momwe amagonana, ndikuti tili ndi luso, chidziwitso komanso chidaliro cholangiza ndikuwatumizira moyenera.
;