Kuthamangitsidwa kochedwa

Kuthamangitsidwa mochedwa ndimavuto azachipatala omwe amuna sangathe kutulutsa umuna. Zitha kuchitika nthawi yogonana kapena mwa kukopa pamanja kapena wopanda mnzanu. Kutsekemera ndi pamene umuna umatuluka kuchokera ku mbolo.

Amuna ambiri amatulutsa umuna mkati mwa mphindi zochepa kuchokera pomwe amayamba kukondana panthawi yakugonana. Amuna omwe akuchedwa kutuluka sangathenso kutulutsa umuna kapena atha kutulutsa umuna mwamphamvu atagonana kwa nthawi yayitali (mwachitsanzo, 30 mpaka 45 mphindi).

Kuthamangitsidwa mochedwa kumatha kukhala ndi zovuta zamaganizidwe kapena zakuthupi.

Zomwe zimayambitsa m'maganizo zimaphatikizapo:

• Chiyambi chachipembedzo chomwe chimamupangitsa munthuyo kuona kuti kugonana ndi tchimo
• Kupanda kukopa wokondedwa
• Zomwe zimayambitsidwa ndi chizolowezi chodziseweretsa maliseche mopitirira muyeso
• Zochitika zowopsa (monga kupezeka maliseche kapena kugonana kosayenera, kapena kuphunzira mnzanu akuchita chibwenzi)

Zina mwazinthu, monga mkwiyo kwa wokondedwa, zitha kuphatikizidwa.

Zomwe zimayambitsa thupi zimatha kuphatikiza:

• Kutsekeka kwa ma ducts omwe umuna umadutsa
• Kugwiritsa ntchito mankhwala ena
• Matenda amanjenje amanjenje, monga sitiroko kapena kuwonongeka kwa mitsempha ya msana kapena kumbuyo
• Kuwonongeka kwa mitsempha pakuchita opaleshoni m'chiuno

Kulimbikitsa mbolo ndi vibrator kapena chida china kumatha kudziwa ngati muli ndi vuto. Izi nthawi zambiri zimakhala zovuta zamanjenje. Kuyesa kwamanjenje (kwamitsempha) kumatha kuwulula zovuta zina zamitsempha zomwe zimalumikizidwa ndikuchedwa kutuluka.

Ultrasound imatha kuwonetsa kutsekeka kwamadzimadzi othira.

Ngati simunakodzedwepo mwanjira iliyonse yolimbikitsira, onani dokotala wa urologist kuti adziwe ngati vuto lanu limayambitsa. (Zitsanzo zolimbikitsira zimatha kuphatikiza maloto onyentchera, maliseche, kapena kugonana.)

Onani wothandizira yemwe amakhazikika pamavuto okomoka ngati mukulephera kutulutsa umuna munthawi yovomerezeka. Chithandizo chogonana nthawi zambiri chimakhala ndi onse awiri. Nthawi zambiri, wothandizirayo amakuphunzitsani za mayankho ogonana. Muphunziranso momwe mungalankhulire ndikutsogoza mnzanu kuti apereke chilimbikitso choyenera.

Therapy nthawi zambiri imaphatikizapo "ntchito yakunyumba" zingapo. Mseri kwanu, inu ndi mnzanu mumachita zogonana zomwe zimachepetsa magwiridwe antchito ndikuyang'ana chisangalalo.

Nthawi zambiri, simugonana kwakanthawi. Pakadali pano, pang'onopang'ono muphunzira kusangalala ndi kutulutsa umuna kudzera munjira zina zolimbikitsira.

Pomwe pali vuto ndi ubale kapena kusowa kwa chilakolako chogonana, mungafunike chithandizo kuti muthetse ubale wanu komanso kukondana.

Nthawi zina, kutsirikidwa kumatha kukhala kothandiza kuwonjezera pamankhwala. Izi zitha kukhala zothandiza ngati mnzake sakufuna kuchita nawo zamankhwala. Kuyesera kudzichitira nokha vutoli nthawi zambiri sikupambana.

Ngati mankhwala atha kukhala chifukwa cha vutoli, kambiranani zosankha zina zamankhwala ndi omwe amakuthandizani. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Chithandizochi chimafunikira magawo 12 mpaka 18. Ambiri opambana ndi 70% mpaka 80%.

Mudzakhala ndi zotsatira zabwino ngati:

• Muli ndi mbiri yakale yokhudzana ndi zochitika zogonana.
• Vutoli silinachitike kwanthawi yayitali.
• Mumakhala ndi chilakolako chogonana.
• Mumamva chikondi kapena kukopeka ndi mnzanu amene mumagonana naye.
• Mukulimbikitsidwa kuti mulandire chithandizo.
• Mulibe mavuto akulu amisala.

Ngati mankhwala akuyambitsa vutoli, omwe akukuthandizani angavomereze kuti musinthe kapena kuimitsa mankhwalawo, ngati zingatheke. Kuchira kwathunthu ndikotheka ngati izi zingachitike.

Ngati vutoli silichiritsidwa, zotsatirazi zitha kuchitika:

• Kupewa kugonana
• Analetsa chilakolako chogonana
• Kupsinjika pakati paubwenzi
• Kusakhutira pogonana
• Zovuta ndi kutenga pakati ndikukhala ndi pakati

Ngati inu ndi mnzanu mukuyesera kutenga pakati, umuna ungatengeke pogwiritsa ntchito njira zina.

Kukhala ndi malingaliro oyenera okhudzana ndi kugonana komanso maliseche kumathandiza kupewa kuchepa kwa umuna. Zindikirani kuti simungadzikakamize kuchita zogonana, monganso momwe simungadzikakamizire kugona kapena kutuluka thukuta. Mukamayesetsa kwambiri kuchita zogonana, zimakhala zovuta kuyankha.

Kuti muchepetse kupanikizika, yang'anani pa chisangalalo chakanthawi. Osadandaula kuti mudzatulutsa umuna kapena liti. Wokondedwa wanu ayenera kukhala omasuka, ndipo sayenera kukukakamizani kuti mukhale ndi umuna kapena ayi. Kambiranani momasuka mantha kapena nkhawa zilizonse, monga kuopa kutenga pakati kapena matenda, ndi mnzanu.

Kulephera kuchita; Kugonana - kuchedwetsa umuna; Kutaya kwanthawi; Kuzindikira; Kusabereka - kuchedwa kuthamangitsidwa

• Njira yoberekera yamwamuna
• Chiberekero cha prostate
• Njira ya umuna

Bhasin S, Basson R. Kulephera kugonana amuna ndi akazi. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 20.

Shafer LC. Zovuta zakugonana kapena kukanika kugonana. Mu: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, olemba. Buku la Massachusetts General Hospital la General Hospital Psychiatry. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: chap 25.