Kulephera kwa ziwalo mwa amayi

Kulephera kwa ziwalo zoberekera ndi pamene mkazi sangathe kufikira pachimake, kapena amalephera kufikira pachimake pomwe ali wokonda kugonana.

Kugonana kosasangalatsa, kumatha kukhala ntchito m'malo mokhala kosangalatsa kwa onse awiri. Chikhumbo chakugonana chimatha, ndipo kugonana kumachitika kawirikawiri. Izi zitha kubweretsa mkwiyo ndi kusamvana m'banjamo.

Pafupifupi 10% mpaka 15% ya akazi sanakhalepo ndi vuto. Kafukufuku akuwonetsa kuti theka la azimayi samakhutira ndi kuchuluka kwakanthawi komwe amakumana nako.

Kugonana kumakhudza malingaliro ndi thupi logwirira ntchito limodzi m'njira yovuta. Zonsezi ziyenera kugwira ntchito bwino kuti chiwonongeko chichitike.

Zinthu zambiri zimatha kubweretsa zovuta kufikira pachimake. Zikuphatikizapo:

• Mbiri yakugwiriridwa kapena kugwiriridwa
• Kunyong'onyeka muzogonana kapena ubale
• Kutopa ndi kupsinjika kapena kukhumudwa
• Kupanda kudziwa zakugonana
• Maganizo olakwika okhudzana ndi kugonana (omwe amaphunziridwa nthawi zambiri ali mwana kapena zaka zaunyamata)
• Manyazi kapena manyazi pofunsa mtundu wokhudzidwa womwe umagwira bwino kwambiri
• Nkhani zothandizana naye

Mavuto azaumoyo omwe angayambitse mavuto oterewa ndi monga:

• Mankhwala ena omwe amaperekedwa. Mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza kukhumudwa angayambitse vutoli. Izi zikuphatikizapo fluoxetine (Prozac), paroxetine (Paxil), ndi sertraline (Zoloft).
• Matenda a mahomoni kapena kusintha, monga kusamba.
• Matenda osatha omwe amakhudza thanzi komanso chidwi chogonana.
• Matenda am'mimba, monga endometriosis.
• Kuwonongeka kwa mitsempha yomwe imapereka chiuno chifukwa cha zinthu monga multiple sclerosis, kuwonongeka kwa mitsempha ya ashuga, komanso kuvulala kwa msana.
• Kuphipha kwa minofu yozungulira nyini komwe kumachitika motsutsana ndi chifuniro chanu.
• Kuuma kwa nyini.

Zizindikiro zakusokonekera kwamankhwala monga:

• Kulephera kufikira pamalungo
• Kutenga nthawi yayitali kuposa momwe mumafunira kuti mufike pachimake
• Kukhala ndi ziphuphu zosakhutiritsa zokha

Mbiri yonse yazachipatala ndi kuyezetsa thupi kumafunika kuchitidwa, koma zotsatira zake nthawi zambiri zimakhala zachilendo. Ngati vutoli lidayamba mutayamba mankhwala, uzani wothandizira zaumoyo yemwe wakupatsani mankhwalawo. Katswiri woyenerera pa zamankhwala azakugonana atha kukhala othandiza.

Zofunikira pakuthana ndi zovuta ndi zotere ndi:

• Maganizo oyenera pa zakugonana, komanso maphunziro okhudzana ndi chilimbikitso chogonana komanso mayankho ake
• Kuphunzira kufotokoza momveka bwino zosowa zakugonana ndi zilakolako, m'mawu kapena osalankhula

Momwe mungapangire kugonana bwino:

• Pumulani mokwanira ndi kudya bwino. Chepetsani mowa, mankhwala osokoneza bongo, ndi kusuta. Muzimva bwino kwambiri. Izi zimathandiza ndikumverera bwino zakugonana.
• Chitani masewera olimbitsa thupi a Kegel. Limbikitsani ndi kumasula minofu ya m'chiuno.
• Yambirani zochitika zina zogonana, osati kungogonana.
• Gwiritsani ntchito njira zakulera zomwe zimagwirira ntchito nonse awiri. Kambiranani izi nthawi isanakwane kuti musadandaule za mimba yosafunikira.
• Ngati mavuto ena azakugonana, monga kusowa chidwi komanso kupweteka panthawi yogonana, zikuchitika nthawi yomweyo, izi ziyenera kuthandizidwa ngati gawo la dongosolo la chithandizo.

Kambiranani izi ndi omwe akukuthandizani:

• Mavuto azachipatala, monga matenda ashuga kapena multiple sclerosis
• Mankhwala atsopano
• Zizindikiro za menopausal

Udindo wakumwa mankhwala a mahomoni achikazi pochiza kusokonekera kwamankhwala ndiosatsimikizika ndipo zowopsa zazitali sizikudziwika bwinobwino.

Chithandizo chitha kuphatikizira maphunziro ndi kuphunzira kufikira pamalungo poyang'ana kukondoweza komanso kuwongolera maliseche.

• Amayi ambiri amafuna kukondoweza kuti akwaniritse gawo lawo. Kuphatikiza kukondoweza kwazakugonana zitha kukhala zofunikira zonse.
• Ngati izi sizikuthetsa vutoli, ndiye kuti kumuphunzitsa mayiyo kuseweretsa maliseche kungamuthandize kumvetsetsa zomwe ayenera kukhala nazo zogonana.
• Kugwiritsa ntchito makina, monga vibrator, kutha kukhala kothandiza kukwaniritsa maliseche ndi maliseche.

Chithandizo chitha kuphatikiza upangiri wogonana kuti muphunzire zochitika zingapo za maanja ku:

• Phunzirani ndi kuyankhulana
• Phunzirani kukondoweza komanso kusewera

Azimayi amachita bwino pamene chithandizo chimaphatikizapo kuphunzira njira zogonana kapena njira yotchedwa deensitization. Mankhwalawa pang'onopang'ono amachepetsa kuyankha komwe kumayambitsa kusowa kwa ziphuphu. Kutaya mtima kumathandiza amayi omwe ali ndi nkhawa yayikulu yakugonana.

Zosangalatsa zakugonana; Kugonana - kulephera kwamankhwala; Anorgasmia; Kulephera kugonana - orgasmic; Vuto lachiwerewere - zolaula

Biggs WS, Chaganaboyana S. Kugonana kwamunthu. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 42.

Cowley DS, Lentz GM. Zokhudza mtima za matenda achikazi: kukhumudwa, kuda nkhawa, kupsinjika kwakutsogolo, kusowa kwa chakudya, zovuta zogwiritsa ntchito mankhwala osokoneza bongo, odwala "ovuta", ogonana, kugwiririra, nkhanza zapabanja, komanso chisoni. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 9.

Kocjancic E, Iacovelli V, Acar O. Kugonana komanso kulephera kwa mkazi. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 74.