Kukhumudwa ndi Umoyo Wogonana
Zamkati
- Zizindikiro ndi Kusiyana Kwa Amuna Ndi Akazi
- Akazi
- Amuna
- Zomwe Zimayambitsa ndi Zowopsa
- Njira Zothandizira
- Chiwonetsero
Kukhumudwa ndi Umoyo Wogonana
Ngakhale kusalidwa pagulu, kukhumudwa ndimatenda ofala. Malinga ndi (CDC), pafupifupi m'modzi mwa anthu aku America aku 20 azaka zopitilira 12 ali ndimatenda ena. Ngakhale National Institute of Mental Health (NIMH) ikunena zakuchulukirachulukira kwa azimayi, chowonadi ndichakuti kukhumudwa kumatha kukhala mwa aliyense, komanso mulimonse. Mitundu ya kukhumudwa ndi monga:
- Matenda okhalitsa (zizindikiro zimatha zaka ziwiri)
- kukhumudwa kwa psychotic
- kukhumudwa kwakukulu
- matenda ochititsa munthu kusinthasintha zochitika
- Kukhumudwa pambuyo pobereka (kumachitika mwa amayi atakhala ndi mwana)
- Matenda okhudzana ndi nyengo (amapezeka miyezi yachisanu)
- kukhumudwa komanso nkhawa
Kwa iwo omwe akhudzidwa, kukhumudwa kumatanthauza zambiri kuposa kungomva buluu - kumatha kuyambitsa zizindikilo zingapo, kuphatikiza mavuto azaumoyo. Dziwani zambiri za kulumikizana pakati pa kukhumudwa ndi kukanika kugonana, ndi zomwe mungachite.
Zizindikiro ndi Kusiyana Kwa Amuna Ndi Akazi
Amuna ndi akazi amatha kukumana ndi zovuta poyambitsa ndi kusangalala ndi kugonana chifukwa cha kukhumudwa. Komabe, pali kusiyana kosiyanasiyana m'njira zomwe kukhumudwa kumakhudzira amayi ndi abambo.
Akazi
Malinga ndi NIMH, kuchuluka kwa kukhumudwa mwa amayi kumalumikizidwa ndi kusintha kwama mahomoni. Ichi ndichifukwa chake chiopsezo cha mayi kukhumudwa chikhoza kukulirakulira:
- asanakwane komanso akafika msambo
- pambuyo pobereka
- pochita ntchito yolimbikira, kunyumba, komanso banja
- nthawi yopuma komanso kusamba
Amayi ndi omwe amakhala ndi malingaliro oti “sangasangalale” omwe angawapangitse kudzidalira komanso kusadzidalira. Maganizo awa amatha kusintha kwambiri moyo wanu wogonana.
Amayi akamakula, zinthu zakuthupi zimatha kupangitsa kuti kugonana kusasangalatse (komanso nthawi zina ngakhale kuwawa). Kusintha kwa khoma la nyini kumatha kupanga zachiwerewere zosasangalatsa. Komanso, kutsika kwa estrogen kungasokoneze mafuta achilengedwe. Zinthu ngati izi zimakhumudwitsa amayi ngati safuna thandizo kuti apeze mpumulo.
Amuna
Kuda nkhawa, kudzidalira, komanso kudziimba mlandu ndizomwe zimayambitsa kusokonekera kwa erectile. Izi zonse ndizizindikiro zakukhumudwa, koma zoterezi zimatha kuchitika mwachilengedwe ndi nkhawa komanso ukalamba. NIMH ikufotokoza kuti amuna nawonso amatha kutaya chidwi ndi zochitika panthawi yachisokonezo. Izi zikutanthauzanso kuti abambo sangapeze kuti kugonana ndi kosangalatsa.
Mwa amuna, mankhwala opatsirana pogonana amakhudzana kwambiri ndi kusowa mphamvu. Kuchepetsa kumaliseche kapena kutulutsa msanga msanga kumatha kuchitika.
Mwa amuna ndi akazi, kukhala ndi mavuto azakugonana kumatha kukulitsa kudzimva wopanda pake komanso zizindikilo zina za kukhumudwa. Izi zitha kupangitsa kuti kukhumudwa kuzikulirakulira komanso kulephera kugonana.
Zomwe Zimayambitsa ndi Zowopsa
Kusagwirizana kwa mankhwala muubongo kumayambitsa kukhumudwa Izi zimatha kuchitika zokha chifukwa cha majini komanso mavuto am'thupi. Matenda okhumudwa amathanso kukhala limodzi ndi matenda ena. Ziribe kanthu chomwe chimayambitsa kukhumudwa, chimatha kubweretsa zizindikiritso zingapo zakuthupi ndi zamaganizidwe. Zina mwazizindikiro zodziwika bwino zakukhumudwa ndi monga:
- Chisoni chosatha
- kusowa chidwi ndi zinthu zomwe mumakonda kale
- liwongo ndi kusowa chiyembekezo
- kusowa tulo ndi kutopa
- Kukwiya ndi nkhawa
- kufooka, kuwawa, ndi zowawa
- Kulephera kugonana
- mavuto azithunzithunzi
- kuonda kapena kupindula (kawirikawiri kuchokera kusintha kwa kudya)
- Maganizo ofuna kudzipha
Zizindikiro zakukhumudwa zimasiyanasiyana pafupipafupi komanso kuuma kwa munthu aliyense. Kawirikawiri, kukhumudwa kwakukulu komwe mumakhala nako, mumakhala ndi mavuto ambiri okhudzana ndi kugonana.
Chilakolako chogonana chimakula muubongo, ndipo ziwalo zogonana zimadalira mankhwala muubongo kuti alimbikitse libido komanso kusintha kwa magazi komwe kumafunikira pakugonana. Matenda okhumudwitsa akasokoneza mankhwala amubongo, zimatha kupangitsa zovuta zogonana kukhala zovuta. Izi zitha kukhala zoyipa kwa achikulire omwe amakhala ndi zovuta zina ndi zovuta zogonana.
Sikuti kukhumudwa kokha komwe kungasokoneze thanzi la kugonana. M'malo mwake, mankhwala opatsirana pogonana - njira zofala kwambiri zamankhwala zothandizira kukhumudwa - nthawi zambiri zimatha kukhala ndi zovuta zogonana. Zomwe zimachitika kwambiri ndi izi:
- monoamine oxidase inhibitors (MAOIs)
- serotonin ndi norepinephrine reuptake inhibitors (SNRIs)
- kusankha serotonin reuptake inhibitors (SSRIs)
- tetracyclic ndi tricyclic mankhwala
Njira Zothandizira
Kuchiza kukhumudwa ndi njira imodzi yokha yogonjetsera kukanika kugonana. M'malo mwake, malinga ndi kafukufuku wofalitsidwa ku American Family Physician, 70 peresenti ya achikulire omwe akukumana ndi kukhumudwa popanda chithandizo anali ndi vuto la libido. Kudzimva kuti ndinu wabwino kungakuthandizeni kubwerera ku moyo wabwinobwino wogonana.
Komabe, vutoli silimatha nthawi zonse kwa akulu omwe amafunafuna chithandizo cha kukhumudwa. Ngati wothandizira wanu wamkulu atazindikira kuti kulephera kugonana ndi zotsatira zina za mankhwala opatsirana omwe mungatenge, atha kukusinthani mankhwala ena. Mirtazapine (Remeron), nefazodone (Serzone), ndi bupropion (Wellbutrin) sizimayambitsa zovuta zogonana.
Kupatula pazowonjezera ndikusintha kwachizolowezi chamankhwala opsinjika, pali zina zomwe mungachite zomwe zingakuthandizeni kukhala ndi thanzi labwino pakugonana:
- Tengani mankhwala opatsirana pogonana pambuyo kuchita zogonana.
- Funsani omwe akukuthandizani za kuwonjezera mankhwala azakugonana (monga Viagra for men).
- Chitani masewera olimbitsa thupi pafupipafupi kuti mukhale ndi thanzi labwino.
- Lankhulani ndi mnzanu za momwe kukhumudwa kwanu kumakhudzira thanzi lanu logonana. Kulankhulana momasuka sikungathetse vutoli, koma kungathandize kuchepetsa kudziona ngati wolakwa komanso kudziona ngati wopanda ntchito.
Chiwonetsero
Matenda okhumudwa komanso chithandizo chake chofananira nthawi zina chimatha kuyambitsa mavuto azaumoyo wogonana, koma pali chiyembekezo pothetsa zovuta zonsezi. Kuthandiza mmodzi nthawi zambiri kumathandiza mnzake. Komabe, kupeza malire oyenera kumatha kutenga nthawi komanso kuleza mtima. Pakadali pano, simuyenera kusintha mankhwala aliwonse panokha popanda kufunsa ndi akatswiri azaumoyo. Uzani omwe amakupatsani ngati zovuta zakugonana zikukulirakulira ngakhale kusintha kwachipatala.
Ndikofunikanso kukumbukira kuti, ngakhale kukhumudwa komanso kulephera kugonana kungayende limodzi, palinso zinthu zosiyanasiyana zomwe zimatha kuyambitsa mavuto azaumoyo wogonana.