Zimadziwika kuti anti-depressants akhoza kukhala ndi zotsatira za kugonana. Zikhoza kutsogolera mavuto ndi chilakolako, kudzutsa, kuthamangitsidwa, ndi kugonana. Mavutowa ndi ogwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo (serotonin reuptake inhibitors (SSRIs) komanso serotonin-norepinephrine reuptake inhibitors (SNRI).
Kumayambiriro kwambiri mu chitukuko cha SSRIs, adapeza kuti mankhwalawa angayambitse mavuto.
Ndipotu, mankhwalawa nthawi zina amalembedwa kwa amuna omwe ali ndi vuto loti asanamwalire msanga ! Nchifukwa chiyani odwala matenda opatsirana pogonana angakhudze kwambiri za kugonana, makamaka kwa amuna? Zilibe kanthu ndi maganizo. M'malo mwake, zimakhudzana ndi udindo wa serotonin ndi ena odwala matenda opatsirana pogwiritsa ntchito njira zowonongeka.
Serotonin ndi Ejaculation
Kugonana ndi, mwa njira zambiri, ntchito ya malingaliro. Kuukitsa thupi kumatha kuchitika mwachangu. Zitha kuchitanso popanda kulimbikitsa mwachindunji. Olemba zachipatala nthawi zambiri amalimbikitsa "malingaliro amalingaliro" ngati kulowetsa, chifukwa kulingalira za kugonana kungakhale kotembenuzidwira. Kodi ntchitoyi imakhala bwanji? Momwemonso maganizo ambiri amagwiritsidwa ntchito-kupyolera m'magulu osiyanasiyana a ubongo. Ndi momwe maselo amanjenjemagwirizanirana kudzera mwa wina ndi mnzake. Amamasula ndi kuyankha odwala matendawa. Mitsempha yotereyi imaphatikizapo serotonin, norepinephrine, ndi dopamine.
Zambiri za kumvetsetsa kwa udindo wa odwala matenda a ubongo ndi ziwalo za ubongo zoukitsidwa ndi zowawa zimabwera kuchokera ku kafukufuku wa zinyama. Komabe, pakhala pali maphunziro aumunthu komanso. Kupyolera mu kufufuza, asayansi aphunzira kuti pali mbali zingapo za ubongo zogwirizana ndi ntchito ya kugonana ya amuna. Makamaka, malo amodzi oyambirira a hypothalamus ndi ofunika kwambiri.
MPOA, monga nthawi zina imatchulidwira, ndi pamene chilakolako chogonana kuchokera kumbali zosiyanasiyana za thupi chimasonkhana kuti chichitidwe. Ndilo gawo la ubongo lomwe limayambitsa mitundu yambiri ya kugonana. Ubongo umatumiza zizindikiro pamtsempha wamtsempha zomwe zimachititsa kuti thupi likhale loyamba komanso kenako. Mbali za amygdala ndi cortix ya parietal ndizofunikira pakulamulira kutsegula.
Mapuloteni ndi omwe amachititsa zizindikiro izi. Kafukufuku wa makoswe asonyeza kuti n'zotheka kuyambitsa makoswe pokhapokha atayambitsa othandizira ena a ubongo mu ubongo. (Zovomerezeka ndi malo omwe zimagwirizanitsa ndi ubongo) Pali mitundu yambiri ya mapulogalamu omwe angayankhe aliyense, kapena kuphatikiza kwa mitundu yosiyanasiyana. Osati mitundu yonse imagawidwa mofanana kudzera mu ubongo.)
Kwa anthu, serotonin ndi neurotransmitter yomwe imagwirizanitsidwa bwino kwambiri ndi kutsekemera. Ntchito za SSRIs poletsa maselo kuti asabwererenso serotonin. Izi zikutanthauza kuti zizindikiro zomwe zimayambitsidwa ndi serotonin zimatambasulidwa, zotsalira kwa nthawi yaitali. Kugwiritsidwa ntchito kosatha kwa SSRIs kwasonyezedwa kuti tifunikire nthawi pakati pa erection ndi kukwera kwa amuna. Ndicho chifukwa chake amauzidwa ngati chithandizo cha kukwera msanga.
N'zochititsa chidwi kuti kafukufuku wamatsenga wasonyeza kuti serotonin imasintha zotsatira zake. Pamene serotonin imayikidwa mu ziwalo zina za ubongo, zimayambitsa kuchepa. M'madera ena a ubongo, zimayambitsa kukakamizidwa kuchitika.
Dopamine imathandizanso potsegula, ngakhale kuti gawo lake silinayambe kufufuzidwa mofanana ndi serotonin. Kafukufuku wa makoswe amasonyeza kuti kukakamizidwa kwa dopamine kungayambitsenso kukonzekera. Kwa anthu, palinso kafukufuku wothandizira izi. Schizophrenics amene amachiritsidwa ndi mankhwala osokoneza maganizo omwe amaletsa mtundu wina wa dopamine receptor (D2-like receptors) amatha kupeza zovuta, kapena zosatheka, kuti azisintha.
Mankhwala omwewo adayesedwa ndi amuna omwe ali ndi nthawi yambiri yolowera. Mofanana ndi SSRIs, amawoneka kuti akuwonjezera nthawi pakati pa kukwatira ndi kutsegula. Kuonjezera apo, pali deta yochepa yomwe imasonyeza kuti kusintha kwa dopamine receptors kungapangitse amuna ena kuti akwanitse kutaya msanga.
Kumvetsetsa Kutsegula
Kutsekedwa kumatanthauzidwa ngati mphamvu yowonjezera ya umuna kuchokera ku thupi. Zimachitika mu magawo awiri. Gawo loyamba ndi kutulutsa. Izi ndi pamene zigawo zosiyanasiyana za mbuto, kuphatikizapo umuna, zimatulutsidwa kuchokera kumatenda ndi ziwalo zosiyanasiyana. Gawo lachiŵiri ndikuthamangitsidwa. Ndipamene kupanikizika kwakukulu kwa minofu mu chiberekero kumayambitsa nthata kuti ipulumuke kunja kwa mbolo.
Zindikirani, amuna ena omwe ali ndi mitundu ina ya opaleshoni ya khansa ya prostate angakhale ndi "owuma" kutuluka. Izi zili choncho chifukwa matupi awo sakhalanso ndi ziwalo zamadzi. Pafupifupi gawo limodzi mwa magawo atatu aliwonse amadzimadzi amachokera ku prostate. Zilonda zina zomwe zimapangitsa kuti maselo azitsamba zamadzimadzi zingathenso kuthandizidwa ndi opaleshoni ya khansa.
Mwa amuna, mawu akuti orgasm amagwiritsidwa ntchito mofanana monga kufanana ndi kutsegulira. Komabe, kutsegulira ndi kusokoneza sizomwezo. Ngakhale kwa amuna ambiri, ziwalozi zimakhala zochitika makamaka panthawi yopuma, sizinali choncho nthawi zonse. Amuna ena omwe ali ndi amitundu ambiri amatha kukhala ndi ziphuphu zambiri pokhapokha. Amuna ena sangathe kulowera. Matendawa amadziwika kuti osamveka.
Kusiyanitsa Erection ndi Kutaya
Ndikofunika kuzindikira kuti kumangirira sikofunikira kuti pulogalamu yambiri ichitike. Kuyeretsa popanda erection siwowamba, koma n'zotheka. Chitsanzo chochuluka kwambiri cha izi chikuchitika mwa anyamata achichepere pamene akugona-kutchedwa "kutuluka kwa usiku" kapena "maloto onyowa." Kutuluka kwa dzuwa kumatha kuchitika kapena popanda kukhalapo kwa erection. Kuyeretsa popanda erection kungalimbikitsidwenso pogwiritsa ntchito kugwedeza kwa mbolo mwa amuna omwe ali ndi mitundu ina ya msana wavulala. Njira imeneyi nthawi zina imagwiritsidwa ntchito kusonkhanitsa umuna kuti athandizidwe.
Osadandaula, njira zamaganizo ndi zina zowonjezera zomwe zimayambitsa kukwatulidwa ndi kukonzedwa zimagwirizana, koma sizili zofanana. Ndi chifukwa chake PDE-5 inhibitors yogwiritsira ntchito kuthandizira amuna ndi erectile kulephera sikukhala ndi zotsatira zowonongeka. Zimakhudza kutuluka kwa magazi kulowa ndi kutuluka mu mbolo. Sitikuthandiza kumasulidwa kwa zigawo zikuluzikulu za umuna kapena kuthamangitsidwa kwa minofu.
> Zotsatira:
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> Courtois F, Carrier S, Charvier K, Guertin PA, Journel NM. Kulamulidwa kwa mayankho ogonana amuna. Curr Pharm Des. 2013; 19 (24): 4341-56.
> Giuliano F. Neurophysiology ya kukonzekera ndi kukwera. J Sex Med. 2011 Oct; 8 Suppl 4: 310-5. lembani: 10.1111 / j.1743-6109.2011.02450.x.
> Safarinejad MR. Kugwirizana pakati pa kukwera msanga kwa msanga ndi ma genemic polymorphisms ya dopamine transporter gene (SLC6A3). BJU Int. 2011 Jul; 108 (2): 292-6. lembani: 10.1111 / j.1464-410X.2010.09809.x.