Ho fihlela joale, bafuputsi ba batlisitse mefuta e seng mekae ea mefuta-futa e ka 'nang ea bolela esale pele mathata a ho kopanela liphate a amanang le litšoantšo tsa thobalano ho bahlankana ba phetseng hantle, joalo ka karolo ea palo ea litšoantšo tse ts'oanang le litšoantšo tse ts'oanang le litšoantšo tse hlephisang boitšoaro bo hlephisang boitšoaro bo hlephisang boitšoaro bo hlephisang boitšoaro. lihlahisoa tse hlakileng (iSEM), tekanyo ea ho nyolohela ho lihlopha tse ncha tsa iSEM, lilemo tsa SEM li sebelisoa, ho sa tsotellehe hore na iSEM e sebelisitsoe pele ho nako ea ho kena lilemong tsa bocha, boholo ba bophelo ba bophelo le tloaelo ea iSEM, ho ba teng ha lithethefatsi tsa litaba tsa thobalano kapa ho kopanela liphate, joalo-joalo.
Leha ho le joalo, litsebi tsa thobalano tse batlang litsela tse bonolo tsa ho fumana (kapa ho "hanyetsa") karolo e ka khonehang ea iSEM ho ts'oaetso ea bocha ea thobalano ke ho phatlalatsa lithuto tse reng ha li na kamano lipakeng tsa sekhahla sa ho se sebetse ka thobalano le likarolo tse fokolang tsa ts'ebeliso ea iSEM, joalo ka "lihora tsa ts'ebeliso ea beke le beke ho khoeling e fetileng ”le" makhetlo a ts'ebeliso selemong se fetileng ".
Pele ho hlahloba liphello tsa bona, hoa bohlokoa ho hlokomela hore lipatlisiso tsa lithethefatsi tsa ho kopanela liphate le ba bang ba li-inthanete li bontša hore lihora le makhetlo a sebelisoang ha li nahane esale pele mathata ka ho nepahala ha lintlha tse ling, tse kang tekano ea ho kopanela liphate, liketso tsa likamano tsa thobalano li bulehile, ho sebetsana le boitšoaro ba ho kopanela liphate , le matšoao a kelello (Brand et al., 2011, Laier et al., 2015). Ka lefeela le joalo, mathata a ho lemalla ho lemalla Inthanete a amana haholo le takatso e matla le ho susumetsa ho bapala ho feta lihora tse sebelisoang (Kneer & Rieger, 2015). Ho bonahala eka boko bo fapana ka boholo ba ts'usumetso eo ba ka e mamellang, joalo ka hore liphetho tse sa sebetseng tsa likamano tse lekanang lipakeng tsa ts'ebeliso le lits'oaetso tsa bocha tsa thobalano li kanna tsa re joetsa bohlokoa bo fokolang. Ka sebele ha ba "pake" litšoantšo tsa bootsoa inthaneteng ha se sesosa sa ED ea bocha, joalo ka ha bangoli ba bona ba bolela ka sebete.
Ea pele ea lipampiri tsena tse sa hlakang (a nyatsa ka botlalo mona) e itšetlehile ka boitsebiso bo tsoang lithutong tsa khale tsa 4, tse neng li sa amane le ho sebetsa ha erectile. E ile ea hlahloba lihlooho, boholo ba lilemo tsa 23, le o ile a bolela ho bapisa lihora tsa bona tsa beke le beke tsa iSEM ho shebella palo ho arabela potso e le 'ngoe mabapi le "ho tsosa takatso ea thobalano" kamora ho sheba tšusumetso ea thobalano (Prause & Pfaus, 2015). Ho tsosoa ha hoa ka ha hlahlojoa ka ho arabela ka thobalano, likhetho, kapa ts'ebetso ea boko. Lihlooho tsa lihora tsa 2 + ka beke tšebeliso ea litšoantšo tsa bootsoa li ne li e-na le lintlha tse phahameng haholo kamora ho shebella, empa sena ha se senole letho ka bophelo ba bona ba erectile kapa thobalano le molekane.
Lipalo tse seng kae tsa litaba li boetse li nkile lipotso tsa International Index of Erectile Function (IIEF-6), ka karolelano liphello tsa tsona li bontšitse hore li na le bothata ba ED (lintlha tsa 21.4 ho tsoa 30). Ho makatsang, bafuputsi ha baa ka ba hatisa dintlha tsa IIEF mabapi le lihora tsa ho shebella.
Batho ba shebileng iSEM hape ba tlalehile takatso e phahameng ho feta ea ho ipholla litho tsa botona le botšehali le "molekane". (Ba bangata ba ne ba se na balekane, leha ho le joalo, mme e kanna eaba ba ne ba lekanyetsa takatso ea bona ea thobalano le li-pornstar tsa bona tse ba li ratang.) Ho tloaelehile hore basebelisi ba boima ba iSEM ba be le litakatso tse eketsehileng tsa ts'usumetso ea thobalano. Leha ho le joalo, litakatso ha li hlile li fetolela ts'ebetsong e ntle ea thobalano, joalo ka ha ho bonoa ho Voon et al., moo litaba tse ngata li tlalehang libido le mathata a erectile le balekane ba sebele empa eseng le iSEM.
Leha ho le joalo, ho itšetlehile ka liphello tsena tse sa utloahaleng le tse sa phethoeng, 'me ho sa tsotellehe bopaki ba hore lihlooho tsa bona tsa bocha li ne li e-na le ED, baqolotsi ba bangata ba ile ba khothalletsa phatlalatso ea phatlalatso e bontšang hore iSEM e sebelisoa e ntlafatsa thobalano: “Na ho shebella litšoantšo tse manyala tse hlephisang boitšoaro ho ka u thusa ho robala betheng”(Concordia University - Montreal, khatiso ea litaba, 2015). Pampiri ea bona e nyatsitsoe koranteng e hlahlojoang ke lithaka bakeng sa liphapang tse pharalletseng le liqeto tse sa tšehetsoeng, le ho hloleha ha eona ho etsa lipatlisiso tsa maemo a bohlokoa joalo ka ts'ebeliso e felletseng ea iSEM, ts'ebeliso ea lilemo tsa iSEM e qalile, ho nyolohela linthong tse fetelletseng le boholo ba thobalano (Isenberg, 2015).
Leqephe la bobeli la pampiri ea 2015 (a nyatsa ka botlalo mona) e shebile makhetlo a ts'ebeliso ea iSEM selemong se fetileng mabapi le litefiso tsa ED ho banna ba tsoang Norway, Portugal le Croatia (Landripet & Štulhofer, 2015). Bafuputsi ba khethile banna ba neng ba sa ka ba etsa thobalano likhoeling tse 12 tse fetileng. (Ho khahlisang, a Thuto ea 1999 e sehlakoreng o fumane hore litekanyetso tsa ho se sebetse ka thobalano li phahame ka ho fetisisa ha banna bohle ba lilemong tsa lilemo ba kenngoa, ho e-na le feela ba nang le likamano tsa botona le botšehali le balekane selemong se fetileng (Laumann et al., 1999).)
Leqepheng lena, banna ba 18-40 ba tlalehile litefiso tsa ED tse phahameng ho 31% le litefiso tsa "takatso e tlase ea thobalano" e phahameng ho 37%. Ha ho bapisoa, lipatlisiso tsa pejana ke e mong oa bangoli li tlalehile likhahla tsa ED ho banna 35-39 ea 5.8% feela ho 2004 (Štulhofer & Bajić, 2006). Leha ho le joalo, sengoloa sa pampiri ha se bue ka litekanyetso tse nyarosang tsa ho se sebetse hantle.
Ho e-na le hoo, bangoli ba kholisa babali hore, ho fapana le ho ameha ha sechaba, iSEM ha e bonahale eka ke kotsi e kholo ea ho se sebetse ka thobalano ka bocha. Seo se bonahala se le thata haholo, hobane banna ba Mapotoketsi ba ileng ba hlahlojoa, bao tlaleho ea bona ba sebelisang SEM haholo ho feta batho ba Norwegi, ba boetse ba tlaleha litekanyetso tse fokolang tsa ED. Le pampiri ena le eona e bile a nyatsuoa ka tsela e tobileng ka lebaka la ho se sebelise mehlala e mengata e khonang ho kenyelletsa kamano e tobileng le e sa tobang ka pakeng tsa mefuta e tsebahalang kapa ea hypothesized hore e sebetse (Hald, 2015).
Lipatlisiso tse se nang leeme tse entsoeng ke lingaka le litsebi tse ling tse nang le tsebo ea ho ithuta li-neural substrates tse laolang ho tsosoa le ho tsosoa hoa hlokahala ho hlahloba monyetla oa ho senya likamano tsa thobalano tse amanang le thobalano. Ka nakoana, bafuputsi le ba itšetlehileng ka bona bakeng sa tlhahisoleseding, ba lemosoa ho qoba liqeto tse sa tšehetsoeng, tlhahlobo ea ho thetsa, le lihlooho tsa lipatlisiso tse fetisisang, tse bonahalang eka li na le lenane la sepheo se seng sa saense ' ts'ebetso ea ho hlahloba tšimong ea thobalano.
Hape sheba: Lipatlisiso li tiisa hore ho na le bocha ba ED
LITLHAHISO
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