Iyo Yakadzika Yekuwana Erectile Dysfunction. Hutano hweVarume. Nick Knight, MD, PhD. (2019)

ZVIMBVUNZO: Iyo yekupokana-nhaurwa kune chokwadi chakapihwa naJustin Lehmiller, uyo akasarudzika. Ndiye anogara achibhadhara mupiro kuna Playboy Magazine uye vhara shamwari Nicole Prause; nhengo ye RealYBOP (boka rakaumbwa kuba chiratidzo cheYBOP); uye pane imwe bhodhi yeSHA - iyo boka rinoshanda pamwe xHamster kusimudzira mawebhusaiti ayo.

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Kurwira kuti umuke panguva yepabonde? Hezvino izvo zvaunoda kuti uzive. (link to article)

Erectile dysfunction inokurumidza kukwira nekukwira pakati pevamwe varume vane hutano, ichikanganisa hafu yevaya vari mumakumi matatu uye ichipa kukurumidza kwemishonga inokurumidza kugadzirisa. Asi sezvo mapiritsi madiki ebhuruu achiwedzera kuwanda, zvingave chokwadi chakaoma here kuti dambudziko riri mumisoro yedu?

Zvino 30, akatanga kuona "kuvhunduka kwemukati" kuyunivhesiti. Musikana waaifamba naye aive atanga kumuudza kuti asazvinetse asati aziva kuti chii chiri kuitika. Anoti, "Ndinofunga ndanga ndichinetseka." "Kunze kwekuti, anondiudza kuti murume uyu shamwari yake arikuona 'achinayo nguva dzose'. Akandiongorora, ipapo uye ipapo. Chaive chinhu chakanyanyisa kurwadza kunzwa. Ndakamuda zvakanyanya. Ndakatadza kumira kutya. Ipapo ini ndotadza kumuka. ”

Iyo frisson yakazeza. Ivo havana kuita bonde, uye haana kuzomuona achiri murudo. Izvo zvaive mu2009, paakange asina kupfeka kubva pahudiki. Makumi gumi gare gare, John, uyo akakumbira kuti tisashandise zita rake chairo, achiri kunyara. "Haisi chimwe chinhu chauri kuenda chaizvo kuna chiremba." Nei uchigona? Ivo vanongokupa Viagra, iyo ini yandinogona ini pachangu. Uye ndiani anoda kutaura nezvazvo? ”

Ndiani, chaizvo? Asi nyanzvi dzinofunga kuti John anongova munhu mumwechete mukamuri rakazadzwa nevarume vanotambura mukunyarara. Erectile dysfunction (ED), yaimbofungidzirwa kuti chirwere chemurume mukuru, zvinonzi zviri kukwira kudenga pakati pemireniyumu. Vatsvagiri vanoti munhu mumwe chete muvarwere vatsva veEED zvino ava pasi pe40, uye ongororo ichangobva kuitwa neCo-Op Pharmacy yakaona kuti, kubva mu2000 varume vakaongororwa, hafu yeavo vari mumakumi matatu ezviuru vaomerwa kuwana kana kuchengetedza chibvumirano - kupfuura varume mu makumi mana kana makumi mashanu.

Mumashoko ekurapa, izvi zvinoita zvishoma pfungwa. Mamirioni ane hutano, akagwinha, ane hutano hwakakwenenzverwa uye zvakanyanya kushoma kuti vatambure nechirwere chemoyo kupfuura madzibaba avo. Makumi matatu emakumi mazhinji anomhanyisa, inwa zvishoma uye, uye nekukuru, usaputa. Kana pakanga paine chekutarisa nzira dzekudzivirira ED, nhengo yepakati pechizvarwa ichi yaizonongedza bhokisi roga roga. Asi vanachiremba vari kusangana nevanhu vari muhudiki hwavo vari kurwadziwa neED. Saka, kana tiri kuona kuwedzera kwevarume vane hutano vasingakwanise kusimudza, chii chiri kutiunza pasi?

HARD CASH

Mwaka wadarika, Viagra yakapemberera zuva rekuzvarwa kwayo 20th. Sezvo piritsi diki rebhuruu rakabvumidzwa kushandiswa mu1998, raita Mugadzi Pfizer kupfuura $ 24bn muUS chete. Pfizer's patent yeUS inopera mu2020 asi, makore mashoma apfuura, kambani iyi yakataura chibvumirano chekuti generic uye dzimwe nzira dzekutengesa dzitengese - kusimudzira kwakashandura hupfumi hweEU. Mukudaro, edu erections akave akashongedzwa.

Pakati pevakatanga kuwana chakasimba pavari paive US yekutanga-Ups Hims - kambani yehutano nemararamiro anotengesa modish, mifananidzo inogovana uye inosetsa memes, uye inotengesa zvese kubva kune mavitamini kusvika sildenafil, chinhu chinoshanda muViagra. Kurira kwaro kunodaidzira kuti "mudiki", uye kuchema uku sezviri pachena kwakawira munzeve dzinogamuchira. Gore rapfuura, Hims yaikosha kudarika $ 700m uye inonzi yakakurumidza kusvika mamiriro eunicorn: kukosha kwe $ 1bn.

Kutora budiriro yakafanana, mamwe makambani akatevera. Kunyange iyo Therapeutic Goods Administration gore rapfuura yakaramba chikumbiro chekuita sildenafil (Viagra) kuwanikwa pasina mishonga, inogona kutengwa online. Zvichakadaro, kuUK, Viagra akaenda pamusoro payo counter - uye zvese zvakachinja. "Isu tiri amwe emaoko emhando dzeBritain dzakatangwa gore rapfuura, tichitengesa mishonga iyi," anodaro Riccardo Bruni, muvambi wevazhinji, kambani inowanikwa online yepamhepo evarume. "Pane musika wakajeka wemishonga iyi, kune vadiki nevarume vakuru." Zvakaoma kupokana nemhando yebhizinesi. Vazhinji vane vamwe vanozivikanwa vanoisa mari, vanosanganisira Richard Reed, mubatsiri wekambani yeSotothie Kambani Yekunwa Zvinwiwa.

Netsika, kuwanikwa kuri nyore. Kuraira zvinodhaka kubva pane ino saiti, zvese zvaunofanirwa kuita kuzadza fomu rekutaurirana, iro rinotariswa nemazhinji wemishonga. Asi hadzisi dzese meds kutanga-ups dziine-mumba imba yemishonga, uye kusununguka kwezvinhu zvekutengesa online zvakakwevera kutsoropodza. Semuenzaniso, dzimwe nyanzvi dzekurapa dzinonyevera kuti, kunyangwe akawanda emishonga iyi anogona kudzikamisa zviratidzo, hazvizodi kugadzirisa zvinetso. Mushure mezvose, zvinokonzeresa zvinhu zvakaita seEC zvinogona kuomarara - ndizvo chaizvo chikonzero chiri kuita kuti TGA ichengete chimiro.

Kuti unzwisise kuti nei chimwe chinhu chakaputswa, zvinobatsira kuziva kuti zvinoshanda sei. Kunyange erection ingaratidzika sezviri nyore zvakakwana - arousal kuwedzera kukurudzira yakaenzana yakaenda nguva! - mhedzisiro yechiitiko chakaomarara chinoda kuwirirana kwechemistry uye neropa system, inobatanidza nezvakawanda zvezvinhu zvipenyu izvo zvinowanzoda kurova bum noti.

Kutanga, kune kugona kwepenji kuchengetedza ropa. Kukundikana pano zvakajairika, uye izvi zvinozivikanwa sekusakwanisa kuchengetedza erection. Iko kunogona zvakare kuve nekurohwa kuwana ropa ipapo munzvimbo yekutanga - kazhinji inosungirirwa kumwoyo nyaya ormetabolic syndrome. Kushungurudzika kwepanyama kune iyo groin, kana nerve compression (semugumisiro weiyo yakawanda cycling, taura), inogona kuita mhedzisiro, zvakare.

Saka, pane here dambudziko rejaya rinotanga kurohwa panorwadza? "Ini ndine vakomana - vamwe vadiki se18 - vachindiudza zvinhu zvakaita senge, 'Dick yangu yatsemuka," anodaro GP Nick Knight. “Vakave neruzivo rumwe chete kana kupfuura zvekutadza kuwana chibvumirano, uye vari kushushikana. Izvi zvava kuita zvakajairika. ”Asi nguva pfumbamwe mu10, kutsvaga tsananguro yemuviri yeED mudiki iri kukwiza muti wakashata wekuongorora. Mapapiro avo haana kuvhunika. Izvo zvinonyanya kuitika mune varume vakuru, vanogona kuputa, vane chirwere cheshuga kana kuve pamushonga. Zvimwewo. ”

GADZIRA Magemhu

Tsika yakakurumbira inowanzoburitsa ED sejoku. Neizvi, tinogona, muchikamu, kutenda murume akarwara-mutserendende aine musoro wakasarudzika nemukadzi wake ”pamapaketi emidzanga nemapepa ezvekurapa mumakore achangopfuura. Iyi mifanikiso yakasimudzira rondedzero iyi kuti kusakwanisa kuwana erection neimwe nzira kunoita kuti iwe uve mudiki wemurume - zvisinei nekuti uri 20-zuva-rinoputa, anorwara zvakanyanya - kana mukomana anonetsekana.

Izvo zvinetso zvakapusa kana iwe ukafunga izvo nyanzvi dzakawanda dzinofunga kuti ndizvo chikonzero chechokwadi chekusimuka kweEED. "Izvo hazvigone kunge zvichingoerekana zvaitika kuti kunewo dambudziko rezvinetso zvehutano hwepfungwa mujaya," anodaro Knight. "Ndingafarire kuziva, yeavo vanhu varikuuya neEC, vangani vari kurwarawo nedambudziko rehutano hwepfungwa," anodaro. "Ndingadai ndichiwedzeredza nhamba yacho yakakwira."

Knight yaizopihwa zvisirizvo kana ma bookies anga aine ziso pamakiriniki. "Chaizvoizvo kuri kuwedzera kubatwa kwevanhurume vanoita zvekurapa vanhukadzi," anodaro Kate Moyle, chipangamazano anoshanda munzvimbo ino. "Varume vechidiki vanoumba chikamu chikuru chevaya vanotsvaga zano. Isu tiri kuona huwandu hwevazhinji vari kunetseka nezvekusagadzikana uye nekukurumidza kana kunonoka kumuka."

Izvo zvakakosha. Yako psyche inobata penis yako sekunge nemarionette tambo. Ukangotanga ku-pamusoro-kuongorora zvinhu, zvinogona kuve mutambo pamusoro: kusagadzikana uye kusagadzikana ndivo yekupedzisira mood mhondi. "Varume ini vandinoona vachitsanangura vanonzwa kuti ivo varipo kwazvo mumisoro yavo, asi kwete mumiviri yavo, kana kuti vanonetseka kutarisa kana zvasvika pakurara," anodaro Moyle. Zvepabonde zvinoda degree yakati yekunakidzwa uye, zvechokwadi, zvinogoneka. Asi chizvarwa chidiki - chimwe chakakomberedzwa nekuenzanisa uye kusakwanira, uye iyo Instagramification yemufaro - kazhinji inowanzotyisa kupinda munzvimbo

Kubata hutano hwepfungwa kwagara kuchindifadza, ”anodaro Bruni. “Unofanira kungotarisa mushonga. Isu tinotengesa Priligy, mishonga yekumira isati yasvika, yakafanana nevazhinji mishonga yekudzvinyirira kuti ive isingazivikanwe. Iyo inogadzirisa serotonin, iyo, kana isina kukwana, inogona kukonzera iwe kukurumidza kuuya. Izvi zvinokuudza zvese zvaunoda kuti uzive nezvehukama hwepfungwa dzako nebonde. "

Saka, chii chatisingafarire nezvacho? "Kushushikana kwekuita ndozvazvinoreva pane tini." Kutya kuita zvakaipa: kusagara kwenguva yakareba, kusava akaoma, uye kugutsa mumwe wako, ”anodaro Moyle. "Uye kana kutarisa kuri kwezvinangwa izvi, hazvisi mukunakirwa kwedu."

yakarwadziswa kubvira panguva yekufungidzira. Kusvika pamudzi wedambudziko, nyanzvi dzave kubvunza kuti chii chaizvo, zvachinja? Maminitsi maviri paGoogle uye imwechete dzidziso ichamuka zvirokwazvo sekubwinya kwemangwanani: kukanganisa kwekusavhurika kwedu kuwana zvinonyadzisira.

THE PORN ULTIMATUM

Kubvira pakawedzera kuwanda kwe porno, erections zvazove zvazara, vachipinza nzira yavo mune yekufungidzira yezvizvarwa zvevarume zvinonyanya kunetseka nezvebonde kupfuura chero zvazvaive zvisati zvaitika. Imwe kiriniki yehutano hwepabonde yakashuma kukwira kwe100 muzana mukutumira kunevaya vanotsvaga kurapwa kwekupindwa muropa nehupombwe. Nyanzvi zhinji dzinoona izvi sechinhu chinokonzeresa kuzviita pabonde.

"Zvinonyadzisira zvinokatyamadza kudanana," anodaro Knight. “Vamwe varume havasi kuwana matikitivhiti kubva pabonde chairo sezvavanoita vachiita bonhora netufirimu. Ini ndinowanzo bvunza varwere, 'Marii yaunotarisa?' Uye, 'Unofunga kuti zvingave nemhedzisiro?' ”

Ichokwadi yakave nehunyanzvi kuna Kevin - zvakare asiri zita rake chaiye - uyo anotenda kuti kushandisa kwake zvinonyadzisira kwakakonzera kuparara kwehukama hwakareba. Anoti, “Handifunge kuti ndakambopindwa muropa chaizvo. “Asi ndaizvishandisa zvakawandisa uye ndakaita kubvira ndichiri mudiki. Musikana wangu wekupedzisira haana kundibata ndichiishandisa kana chero chinhu chakadai, asi ini ndinofunga kuti ndicho chikonzero nei ndichiine dambudziko iri rekudzokorora muhukama - nguva yekukurumidza yekufara kana ndirikuda mizhinji yepabonde, saka handikwanisi kuwana zvakaoma mushure memavhiki mashoma. "Ndinofunga kuti porn yakandiita bhurugwa pane imwe nhanho yakadzama."

Iko kushungurudzika kwakakonzera iyo inonyanya mhanya yemireniyumu yeED - iyo iyo "inoporeswa" nekufadzwa kwemumwe mutsva, anogona kufananidzira iyo inofadza iyo Kevin, ikozvino 29, inowanzo kuwana kubva pakuvhura iyo tab itsva paRedTube. Asi ipapo kunzwa kwacho kunokurumidza kupera, uye haachagona kumutswa nemudiwa wake. “Ini ndanga ndiine wangu makore matatu. Isu takazorara pamwe katatu katatu panguva yekupedzisira mbiri. Ini ndaigona kumutsa iyo porn, asi kwete yake. Ndainzwa kuva nemhosva nguva dzose, uye zvakandiita kuti ndibude. Zvaiva zvakaipa. ”

Chisarudzo chisina muganho chinopihwa neinternet porn chinogona kukanganisa simba rako rekunakidzwa neyakajairika. "Inoisa bar pasi yakanyanya," anodaro Knight. "Hapana chimwe chichakuitira iwe zvekare." Mukupindura, mawebhusa akadai seBrain Yako paChisimba neForamu maforamu paReddit abuda - nharaunda dzakavakwa dzakatarisana nezviitiko zvehosha inonzi "porn-indedu erectile dysfunction".

Iri raimbova boka, kunyanya, raive pachinangwa chekusimudzira ruzivo nezve chazvinofunga sechibvumirano chakajeka pakati pekushandisa zvinonyadzisira nekusagadzikana pabonde: "Zvimwe kunze kwekuuya kwekuburitsa porn mu 2006," inotaura kudaro, "hapana chinopesana chakabatana. kusvika paudiki ED yachinja zvinoshamisa mumakore apfuura 10-20. ”

Asi maonero aya haasi pasina vatsoropodzi. Kune ma statistist vanonyora hutanho hwekuchenjerera kunyangwe vachiratidzira so “zvokwadi” zvisinga bvumike. Mumwe weavo vanogunun'una ndiDkt Justin Lehmiller - mudzidzisi wekupedzisira kuHarvard uye parizvino mumwe anotsvaga basa kuKinsey Institute - iro basa rake pabonde nepfungwa rakaburitswa mupepanhau ripi neripi repamusoro nezvebonde revanhu.

Lehmiller chinangwa chave chisiri chekuremesa huwandu, zvakanyanya sekudurura mvura inotonhora pamusoro pehorsteria. Anoti, "Vamwe vanhu vari kutarisa pamatafura asiri iwo akanyanya kunaka," anodaro. “Ini handina zano rakasimba. Ndiri saenzi. Zvandinazvo zvinopfuura zvefungidziro. Haisi chete nezve porn. Kune vanhu vazhinji pane antidepressants, pane akawandisa kunetseka kwemuviri, uye kune mamwe matambudziko ekutaurirana zvepabonde. "Kupopota zvinonyadzisira ndega zvine musoro."

Ndiwo manzwiro akataurwa naMoyle. “Pane chokwadi chechokwadi murondedzero yezvinonyadzisira, asi kuona zvinonyadzisira haisiyo yega dambudziko. Mishumo yekumanikidzwa uye kushushikana muvadiki iri pane yakakwana-nguva yakakwira. Asi zvinetso zvepabonde zvinoramba zvisina kujeka. Izvi zvinogona kuparira kuwedzera kunetseka. Kutenderera kwakashata uye kunetseka. ”

Kutenderera ikoko kwekunyara uye kusashanda ndizvo zvakaita kuti varume vazhinji vadzoserwe kumashure internet, vachisarudza kutenga akagogodza-Viagra kubva kune yakasviba webhu uye mafesi emakemikari. Kuita sokunge kunetseka, kukanganisika.

NZIRA YEKUTI IYO UP

Apa ndipo panotangira-pakadai seVazhinji vakakwanisa kuisa musono pachiito. Iyo yemireniyamu mhinduro yedambudziko remamirioni, ine mainini tech inopa zvakanakira nzira isiri yapamutemo - kungwara, kuburitswa kwemazuva anotevera - asi nekuchengetedza uye nekuita kwechokwadi - uye 24 / 7 - pharmacy.

Dzimwe nyanzvi, kusanganisira Lehmiller, dzinotenda kuti kugona kuwana mishonga iyi hakusi kwekubatsira, sezvo kunowedzera muyedzo wekutsvaga piritsi panzvimbo pekutsvaga izvo zvinokonzera matambudziko edu. Asi hazvo kune mwero wekufungidzira zvisiri izvo pano. Zviverengero zvacho hazvireve nhema: varume vari kuzviisa panjodzi nekutenga dzisina kunyorwa medz zuva rega rega. Hazvina kunyatsoitika - kutaura zvazviri, hazvigoneke - kuti ivo vese vachango mhanyisa kumhanya kuna chiremba nekuda kwekuti vakaudzwa.

Saka, iyi itsva yekutanga yekutanga-yekutanga inogona kupa mhinduro kuvanhu vakaita saJohn, kanhi munguva pfupi? "Chinhu chinonyanya kundishungurudza ndechekugamuchira kwakanyanyisa: 'Tinowana chikonzero nei makasuwa pamusoro peED. Huya utaure nachiremba wako nezvazvo, '”anodaro John. "Iro bulshit, chaizvo. Handisi kuzogara pasi nditaure nemumwe kana zvichinge zvakapfava kuzvinyora. ”John anofungidzira kuti akaenda neimwe nzvimbo mudunhu re50-100 akawana zvisiri pamutemo kuwana maEED meds muhupenyu hwake hwechikuru. Paakabvunzwa kana achiziva nezve njodzi - akawandisa madhidhi nekuda kwekusavimbika kwemanyowani ezvishandiso zvinoshanda, kusvibiswa nehupfu, zvinodhaka zvekunyepa - anopika mabara. "Kwete," anodaro. "Ini ndaisaziva izvozvo."

Nekudaro, makambani akadai seVazhinji anokwanisa kuita zvakanaka zvakawanda. "Chokwadi, tinoita kuti kutenga mishonga iyi kuve nyore," anodaro Bruni. “Uye isu tinonzwisisa zvinonetsa zvakapoteredza zvigadzirwa zvatinotengesa, asi izvo zvatinotengesa zvinodzorwa. Tiri kuyedzawo kuve chikamu cheiyi hurukuro kuti ive nani.

"Varume vanogona kufambisa moyo chinhu chakajairika - sekusakwanisa kuzvisimudza nguva nenguva." Isu hatisi veavo varume. "Hatimboputi piritsi vanhu vasingazvidi, uye kubvunza kwedu kunongobvumira vanhu vanozvitenga."

MISANGANO YENYAYA

Pamwe izvo zvatinoda, kunyanya kwezvose, inyowani nyowani isiri yemhando yepamusoro seye "ED kana isina ED". "Zvichida majaya ane pfungwa isiri iyo yezviri ED," anodaro Lehmiller. “Kana penis ikasaita izvo zvavanoda kuti iite nguva dzese, vanofunga kuti pane dambudziko. Asi zvakajairika kuti varume vasagare vaine tsika. ”

Nenzira, ndihwo hupenyu chete. “Dzimwe nguva, hupenyu hwakaoma. Kunetseka, uye waneta, uye haukwanise kuenda kumitambo, ”anodaro Knight. "Hapana mushonga kana kurapwa zvinoita kuti izvozvo zviregedze, uye zvinotova zvisingabatsire."

Chishamiso, kwaanoona kubatsira kwemishonga kwakaita seViagra yeiyo ego. "Ini ndingaone mukomana mudiki ndokumupa piritsi rimwe kana maviri, uye ndizvozvo." Iwe unacho kamwe, ipapo chinamira mumusoro wako. Nguva dzinoverengeka paViagra uye boom! Unodzora kuvimba kwako. ”

Erectile dysfunction pakati pevarume vane hutano, zvinoita, inogona kunge iri yese mupfungwa: imwe side-mhedzisiro yezvakawanda zvehutano hwedu hwepfungwa nyaya, pamwe nekushushikana, kushushikana uye dysmorphia yemuviri. Iri sango imomo.

"Tiri kutanga kutaura pamusoro pezvakawanda zvezvinhu izvi," anodaro Moyle. "Hatipo ipapo kana tasvika pabonde."

Shanduko yemaSosaiti kune hutano hwepfungwa, saka, inopa chidzidzo chakanakisa: kuputsa hunhu, chekutanga tinofanirwa kukwikwidza kutonga kwatinoita mupfungwa dzedu. Uye kusvikira tazoita izvo? Zviverengero zvinoratidza kuti imba yekurara yekudzikira ichangopfuurira.

Ndeapi mahwendefa aunofanira kutora kuti ubatsire erectile dysfunction?

Iko hakuna kunyara mune piritsi yepamu asi iwe unofanirwa kuziva izvo zvauri kutora. Umar Malick, Mazhinji mufemesi, anodurura pamapiritsi

1. VIAGRA

Iyo yekutanga Ed mushonga inogadzirwa naPfizer. Iyo inoshanda nekuwedzera kuyerera kweropa kune penis uye inofanira kutora kushanda mukati memaminetsi e30.

2 SILDENAFIL

Sildenafil citrate ndiyo inoshandisika muViagra. Mhando dzisina kubhurwa dzinoshanda nenzira imwe chete, asi hadziite kutakura mutengo weViagra.

3 CIALIS

Iro zita remhando yeViagra yemakwikwi makuru. Inogona kugara kusvika maawa e36, ayo anotsanangura chikonzero nei dzimwe nguva ichinyanya kunzi "piritsi revhiki".

4 TADALAFIL

Unbranded Cialis. Iyo inoshanda, asi inodhura hafu yemutengo. Vamwe varume vanoona tadalafil ine mashoma mhedzisiro pane sildenafi.

5 LEVITRA

Inoshanda zvishoma nekukurumidza kupfuura Viagra uye inogara kusvika maawa mashanu. Ziva kuti mushonga uyu unotorwa mune diki diki pane Viagra.

6 VARDENAFIL

Musanganiswa unoshanda muLevra. Iyo inowanzokanganisirwa nechikafu, nepo chikafu chine mafuta chinoita kuti zviome kuViagra kupinda muropa.

Alex Ari munyori anohwina mubairo uye mupepeti anoshanda pamativi ese ezvigadzirwa zvema brand, kubva pamanzwi ezwi uye kuzivikanwa kusvika kumushandirapamwe wekushambadzira kwepasi rose, pamwe nehurefu hunoratidza mutori venhau uye munyori wepepanhau.