Ndemanga: Mu kafukufukuyu, ofufuza adafufuza kulumikizana pakati pa ED ndi zizindikiro za chizolowezi cha zolaula pogwiritsa ntchito mafunso a "craving". Ngakhale kuti palibe kulumikizana kotereku komwe kudapezeka (mwina chifukwa ogwiritsa ntchito sayesa molondola kuchuluka kwa "craving" yawo mpaka atayesa kusiya kugwiritsa ntchito), pali maubwenzi ena osangalatsa omwe adawonekera muzotsatira zawo:
Mitengo ya operewera erectile inali yotsika kwambiri mwa iwo [amuna] omwe amasankha kugonana ndi amuna okhaokha popanda zolaula (22.3%) ndipo anawonjezeka kwambiri pamene zolaula zinali zovomerezeka pa kugonana kwapakati (78%).
...Amuna omwe ankagwiritsa ntchito pafupifupi tsiku lililonse kapena kuposerapo anali ndi ED rate ya 44% (12/27) poyerekeza ndi 22% (47/213) kwa ogwiritsa ntchito "osazolowereka" (≤5x/sabata), zomwe zinafika pakufunika kwambiri pa kusanthula kwa univariate ( p = 0.017). Zingakhale kuti voliyumu imagwira ntchito pamlingo winawake.
Komanso monga momwe olemba amanenera,
Zomwe akuganiza zokhudzana ndi matenda a PIED zikuwoneka ngati zomveka ndipo zimachokera kwa ochita kafukufuku osiyanasiyana omwe samagwira ntchito komanso osangoyesa ochita kafukufuku omwe angayambe kutsutsana ndi makhalidwe abwino. Kuphatikizanso mbali ya "chisokonezo" cha mkangano ndipoti za amuna omwe akuyambiranso ntchito yogonana pogwiritsa ntchito zolaula zambiri.
Maphunziro omwe angoyang'aniridwa amatha kukwanitsa kuthetsa funso la kusokoneza kapena kusonkhana, kuphatikizapo maphunziro opitilirapo omwe akuyesa kupambana kusagwirizana pokonza ED owonetsa zithunzi zolaula.
Kudalirika
Mankhwala ankhondo , usz079, https://doi.org/10.1093/milmed/usz079 Yofalitsidwa: 24 Epulo 2019
Jonathan H Berger, MC USN John E Kehoe, MC USN Andrew P Doan, MC USN Donald S Crain, MC USN Warren P Klam, MC USN Michael T Marshall, MC USN Matthew S Christman, CDR MC USN
Introduction
Tinkafuna kufufuza ndi kufotokoza zolaula za anyamata ndi abambo. Popeza kuti zolaula zam'tsogolo zakhala zikugwiritsidwa ntchito komanso kupweteka kwa erectile, pamodzi ndi matenda omwe amachititsa kuti tizilombo toyambitsa matenda tigwiritse ntchito, timaganiza kuti zolaula zimagwirizanitsa ndi kugonana kosayenera.
Zida ndi njira
Chivomerezo cha bungwe loyang'anira ndondomeko chinaperekedwa. Kafukufuku anagawidwa kwa amuna ndi akazi achikulire a 20-40 omwe akupereka ku chipatala cha urology. Chidziwitso chinasonkhanitsidwa pa chiwerengero ndi mbiri yachipatala. Ntchito ya kugonana inayesedwa ndi International Index of Erectile Function (IIEF) mwa amuna ndi Chiwerengero cha Mkazi Wogonana pa Ntchito Zogonana. Chiwerengero cha zizoloŵezi zolaula zowonongeka chinayesedwa ndi mafunso okhudzana ndi zolaula zolakalaka ndi zolaula. Kugwiritsa ntchito zithunzi zolaula kunayesedwa pogwiritsa ntchito mafupipafupi komanso nthawi yaitali, komanso kusanthuledwa ndi kugonana kosayenera.
Results
Amuna ankagwiritsa ntchito zolaula mobwerezabwereza kuposa akazi (81.1% vs. 39%). Mafilimu ndi maonekedwe a foni zam'manja ndiwo njira zodziwika kwambiri pakati pa amuna ndi akazi onse. Panalibe mgwirizano pakati pa IIEF ndi kulakalaka, kapena kukonda kwambiri, zolaula. Kukonda zolaula ndi maliseche kunapezeka kuti kugwirizanitsidwa kwambiri ndi erectile dysfunction (p = 0.001). Miyeso ya operewera erectile inali yocheperapo mwa iwo omwe amafuna kugonana osagwirizana popanda zolaula (22.3%) ndi kuwonjezeka kwambiri pamene zolaula zimakondwera pa kugonana pakati pa anthu ogonana (78%). Palibe mgwirizano umene umapezeka pakati pa mitundu iliyonse ndi zovuta za kugonana kwa amayi.
Mawuwo
Zithunzi zolaula komanso kugonana ndizofala pakati pa achinyamata. Palibe mgwirizano woonekera pakati pa kuledzera kwa zolaula ndi kusagonana kwa amuna kapena akazi. Komabe, amuna omwe amakonda kuseweretsa maliseche ndi zolaula amakhala ndi chiopsezo chokwanira chogonana. Chifukwa cholephera kugonana chingagwirizane ndi nkhawa za matenda a maganizo, kupitiliza kuyang'anitsitsa zifukwa zomwe zimayambitsa ndi kukonzekera kukonzekera nkhondo kumayenera.