Njira Zothetsera Kugonana Kwa Odwala Chithokomiro
Mavuto a kugonana ndi chizindikiro chodziwika bwino cha chithokomiro, ndi zotsika kwambiri za libido ndi erectile zomwe zimawoneka ngati zizindikiro za osadziwika kapena zolakwika za chithokomiro. Malingana ndi kafukufuku wofalitsidwa m'magazini ya Journal of the American Medical Association (JAMA), amayi pafupifupi 43 peresenti ndi amuna 31 pa 100 alionse amavutika ndi kugonana. Chochititsa chidwi, ziwerengerozi zimaganiziridwa kuti ndizochepa, osaganizira kukula kwa mavuto a kugonana ku US
Ndi anthu angati omwe ali ndi matenda opatsirana pogonana omwe ali ndi kachilombo koyambitsa matenda a chithokomiro omwe sanawonekepo ayi si funso limene lafufuzidwa bwino. Koma, ndizowona kuti ena mwa anthu omwe ali ndi vuto angathe kuthetsa mavuto awo opatsirana pogonana chifukwa chokhala ndi chithokomiro choyesedwa ndikuyenera kuchiritsidwa.
Komabe, anthu ambiri-amayi makamaka-amapitirizabe kugonana popanda ntchito ngakhale madokotala akuwona kuti vuto la chithokomiro "lachitidwa." Tiyeni tifufuze mitundu ya kugonana kosagwirizana, chithokomiro chogwirizanitsa, komanso njira zothetsera vutoli.
Zimayambitsa
Zikuoneka kuti zifukwa zotsatirazi ndizo chifukwa cha kugonana kosagwira ntchito mwa osachepera atatu mwa amuna omwe ali ndi nkhawa komanso oposa 10 peresenti ya amayi omwe ali ndi vuto la kugonana:
- Chithokomiro cholephera kugwira ntchito
- Kusiyanasiyana kwa ma hormone, kawirikawiri mahomoni ogonana monga estrogen ndi testosterone
- Kuthamanga kwa magazi (kuthamanga kwa magazi)
- Matenda a shuga
- Vascular disease
- Kuwonongeka kwa mitsempha
- Kutenga
- Matenda a ubongo
- Impso kapena matenda a chiwindi
- Kumwa mowa
- Matenda achibadwa mwa akazi
- Matenda a Prostate mwa amuna
- Mankhwala omwe amachepetsa kugonana, monga matenda ena opatsirana pogonana
Anthu otsala omwe amavutika ndi kugonana amalingalira kuti ali ndi nkhani zomwe zimachokera kumaganizo, zomwe zimayambitsa:
- Kusokonezeka maganizo
- Nkhawa
- Kuda nkhaŵa zokhudzana ndi kugonana
- Nkhani za ubale
- Chilakolako
- Kusokonezeka maganizo
- Zojambula za thupi
- Mbiri yokhudzana ndi kugonana
Zizindikiro
Amuna ndi abambo amatha kugonana. Kawirikawiri, pali mitundu inayi:
- Kupanda chilakolako kapena chidwi pa kugonana (low libido)
- Kulephera kuwukitsidwa
- Kulephera kusokoneza kapena kutsika pang'ono
- Ululu pa kugonana
Zowonjezereka, zizindikiro ndi zizindikiro za kusokonezeka kwa kugonana kwa amuna ndizo:
- Kulephera kukonzekera
- Kuvuta kumakhala ndi erection, yotchedwa erectile dysfunction (ED)
- Kulephera kusinthasintha nthawi kapena kusakhoza kulamulira nthawi (kutsegulira msanga kapena kuchedwa kutsegula)
Ndipo, mwa amayi, zizindikiro ndi zizindikiro za kuwonongeka kwa kugonana ndizo:
- Mafuta osakwanira
- Kulephera kuthetsa minofu ya m'mimba
- Kulephera kukhala ndi ziphuphu
Kudziwa
Ngati simunawone kuti muli ndi matenda a chithokomiro, koma mukukumana ndi zovuta zogonana, kuyeretsa kwathunthu kwa chithokomiro kuyenera kuchitidwa monga gawo la mankhwala anu. Mayeserowa ndi TSH, Free T4, Free T3, ndi tizilombo toyambitsa matenda.
Ngati mwapezeka kale ndi matenda a chithokomiro ndipo mukukumana ndi vuto la kugonana, choyamba muyenera kuonetsetsa kuti chithandizo chanu cha chithokomiro sichili chokwanira, koma kuti chithandizocho chikhale chokwanira.
Zida zina zamagulu anu opatsirana pogonana ziyenera kuphatikizapo:
- Mbiri yakale ya zamankhwala
- Yathunthu
- Kufufuza mahomoni ena kupatula chithokomiro, kuphatikizapo testosterone kwa amuna ndi akazi
- Ndemanga ya mankhwala ndi zowonjezereka zomwe zimatengedwa
- Kulankhulana ndi dokotala wanu zokhudzana ndi zomwe zingatheke m'maganizo, monga nkhawa, mavuto a ubale, mantha, ndi chipsinjo cha kugonana
Kuchiza
Amuna ndi akazi ena omwe ali ndi ma tsika otsika a testosterone angapindule ndi testosterone supplementation. Nthaŵi zina, amuna amatha kupindula ndi mankhwala osokoneza bongo monga sildenafil (Viagra) , tadalafil (Cialis), ndi vardenafil (Levitra) - zomwe zimapangitsa kuti magazi alowe m'mimba.
Amuna ena akhoza kupindula ndi zipangizo zosungira zowonongeka zomwe zimathandiza ndi kusokonekera kwa erectile.
Azimayi omwe ali ndi vuto lopuma opaleshoni, omwe amayamba kupaleshoni, mankhwala opatsirana ndi estrogen ndi / kapena progesterone angakhale othandiza, nayonso. Kwa amayi omwe ali ndi ululu chifukwa cha mimba yochepa kapena yamimba yolimba, yotchedwa vaginismus , dilator ingakhale gawo lothandiza la chithandizo.
Pangani Kusintha kwa Moyo
Kafukufuku wasonyeza kuti kusagonana kwa amuna ndi akazi kungathandizenso kulemera kwa thupi. Kutaya thupi kumakhala kosavuta kunena, koma ndithudi, koma kulemera kwakukulu kungakhudze kudzikonda nokha ndikukupangitsani kukhala osasangalatsa komanso osakhudzidwa kwambiri ndi kugonana.
Mwamwino, kukhala woposa kunenepa kungachepetse kugonana. Mwapang'onopang'ono, kuchepa thupi kumachepetsa m'mimba ya mahomoni ogonana omwe amamanga globulin (SHBG) , zomwe zimakuchititsani kuti mukhale ndi estrogen ndi testosterone mowonjezereka kuti muthandizidwe pogwiritsa ntchito mankhwala osokoneza bongo.
Kuchita masewera olimbitsa thupi kungathandizenso poonjezera kuthamanga kwa magazi ku ziwalo zonse za thupi lanu. Kafukufuku wapeza kuti anthu omwe amachita masewera olimbitsa thupi amakhala ndi chilakolako chokwanira, kuganizira kwambiri za kugonana ndifupipafupi, ndi mphamvu yowonjezereka yakuukitsidwa ndikukwaniritsa zolaula, ziribe kanthu zaka zawo.
Njira yabwino yochita masewero olimbitsa thupi ndizochita masewero olimbitsa thupi chifukwa zingayambitse kutulutsa mankhwala otchedwa endorphins-mu ubongo omwe amachititsa kuti munthu akhale ndi moyo wabwino. Pomalizira, mankhwala opatsirana pogonana komanso njira zina zochiritsira ndi alangizi ophunzitsidwa angathandizenso kuthana ndi zovuta za maganizo.
Konzani Chithandizo
Onetsetsani kuti chithandizo cha mankhwala a chithokomiro chimakonzedweratu. Zingakhale zosakwanira kuti mipingo yanu ikhale "yachibadwa." Mutha kupeza kuti kutaya kwa kugonana kumathetsedwa ngati mankhwala akuwoneka bwino.
Anthu ena sapeza zizindikiro zawo za chithokomiro-kuphatikizapo kugonana kosayenera-kuthetsa panthawi yomwe imatenga levothyroxine / T4 kokha mankhwala monga Synthroid. Nthawi zina mungapeze kuti kugonana kwanu sikungathetsedwe kapena kukuthandizani ngati dokotala wanu akuwonjezera mawonekedwe a hormone ya T3 , monga Cytomel, kapena akusintha mankhwala osokoneza bongo, monga zida zankhondo kapena zachilengedwe, zomwe zimaphatikizapo mitundu yosiyanasiyana ya T4 ndi T3.
Kusamvana kwa Hormonal
Matenda ena otchedwa endocrine ndi mahomoni amapezeka odwala chithokomiro. Onetsetsani kuti muli ndi hormones anu (sex, estrogen, progesterone, ndi testosterone).
Kwa amuna omwe ali ndi vuto la chithokomiro , testosterone ikhoza kukhala yochepa komanso yothandizira ena kungakhale chithandizo pobwezeretsa libido. Testosterone imapezeka ngati mapiritsi, monga chigamulo cholowerera, mwa jekeseni, ndipo nthawi zina ngati transdermal pellets yomwe imapangidwa pansi pa khungu.
Akazi ena angapindule ndi testosterone. Nthawi zambiri madokotala amapereka testosterone mu mawonekedwe a mapiritsi kwa akazi kapena monga kirimu cha testosterone propionate. N'kofunikanso kuti ntchito yanu ya adrenal ionezedwe , makamaka cortisol, DHEA, ndi kusamvetsetsana kulikonse.
Ganizirani Zowonjezera
Pali zowonjezereka zowonjezera zomwe zimati zitha kuthandizira kugonana. Onetsetsani kuti muwone dokotala kuti awatsogolere momwe mungagwiritsire ntchito izi mosamala:
- Arginine-Amino acid kwa amuna ndi akazi
- Asia ginseng (panax) -Kodi thandizo lingakuthandizeni kuwonjezera mphamvu za kugonana
- Avena-sativa / oat extract-Chinthu chotchuka chotchedwa Vigorex chomwe chimati chimathandiza ndi kugonana
- DHEA (dehydroepiandrosterone) -Asamalonda omwe amatembenukira ku testosterone mu thupi lanu ndipo angakhale othandiza kwa amayi ndi amuna omwe ali ndi malire otsika a testosterone
- Ginkgo biloba-Chitsamba chomwe chingapangitse kugonana kugwira ntchito mwa amuna
- Ng'ombe yamphongo yachitsulo-Imagwiritsidwa ntchito ndi azitsamba za Chitchaina, zingathandize kuthetsa ntchito zogonana amuna ndi akazi
- Kava kava-Chitsamba chomwe chimadziwika kwambiri kuti chimagwiritsidwa ntchito mwachisangalalo koma chingakhale chothandiza ngati aphrodisiac kwa akazi
- Zinc-Low levels adagwirizanitsidwa ndi kugonana kochepa pakati pa amai ndi abambo
- Royal Maca-mankhwala a zitsamba ku South America omwe angathandize abambo ndi amai ndi libido
> Chitsime:
> Laumann E, et. al. "Kulephera kugonana mu United States: kufalikira ndi kutsogolera." JAMA . 10; 281 (6): 537-44.