Ndị ọkachamara na-atụ aro Botox maka ejaculation akaghị nká, ma a kwadobeghị ya
N'ime iri afọ atọ gara aga, ọgwụgwọ nke ejaculation akaghi aka agbasawo site na psychotherapy iji gụnye ọgwụ na ọgwụ ọgwụ. O nwere ike iju ya anya na Botox, nke bụ nje nke nje bacteria Clostridium botulinum na-ejikarị mee ka ọ dị mma , nwere ike inye aka na ejaculation aka. Otú ọ dị, ọtụtụ n'ime nchọpụta ahụ dị ka nkwupụta, ọ bụghịkwa FDA ka a kwadoro iji Botox maka ejaculation emeghị agadi.
Ịkọwapụta Ejaculation Mbụ
Ngwọta nke ejaculation akaghị aka na-adabere n'otú e si akọwa ọnọdụ a.
N'ozuzu, ejaculation akaghị aka na-ekewa n'ime ụzọ abụọ: ndụ ogologo ma ọ bụ nweta.
Ihe ejaculation a na-emebeghị ogologo na-amalite site na mbụ mmekọahụ. Ejaculation na-eme ngwa ngwa-ma tupu ịbanye n'ime mmiri ma ọ bụ n'ime otu ma ọ bụ nkeji abụọ nke ịbanye n'ime ya.
Ejaculation a na-akaghị aka nwere ike gosipụta na mberede ma ọ bụ jiri nwayọọ nwayọọ na-agbaso akụkọ ihe mere eme nke ejaculation. Ọzọkwa, ọnọdụ a nwere ike gbanye mkpọrọgwụ na nsogbu urological, thyroid, ma ọ bụ nke uche.
Kemgbe ọtụtụ afọ, nkọwa nke oge ejaculation emeghị agadi amalitela. Ebe mmalite maka ọtụtụ ọmụmụ banyere ejaculation akaghi aka bụ nkọwa dị na DSM-IV-TR:
- Ejaculation ahụ na-adịgide adịgide ma ọ bụ na-aga n'ihu na ntakịrị mkpali mmekọahụ na tupu, ma ọ bụ obere oge mgbe ọ nụsịrị na tupu onye ahụ achọ ya. Onye nyocha ahụ aghaghị ichebara ihe ndị na-emetụta oge nke oge obi ụtọ ahụ, dị ka afọ, ọhụụ nke onye mmekọ ma ọ bụ ọnọdụ mmekọahụ ma na-enwekarị mmekọahụ
- Nsogbu a na-akpata nsogbu ma ọ bụ ihe isi ike
- Egwu abụghị nanị n'ihi mmetụta dị nro nke ngwa (dịka nkwụsị site na opioids).
N'afọ 2014, International Society for Sexual Medicine nyere ihe ndị na-esonụ na-egosi na-egosi na-adịru ndụ ogologo oge ejaculation.
- Achọpụta nwoke na nwanyị na-enwe mmekọahụ bụ nke na-emekarị ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ mgbe nile tupu mgbe ahụ, ma ọ bụ n'ime ihe dị ka nkeji, nke ịbanye n'ime mmiri
- Enweghị ike ịkwụsị oge ejaculation na ihe niile, ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ ihe niile, ntinye anya
- Mmetụta dị njọ dịka nhụjuanya, nsogbu, nkụda mmụọ, na / ma ọ bụ izere mmekọahụ.
N'ime pasent 80 nke ndị ikom na-ejide onwe ha n'oge ndụ ogologo oge, ejaculation na-eme n'ime 30 ruo 60 sekọnd nke inwe mmekọahụ. Ihe fọdụrụ n'ime pasent 20 nke ndị ikom a nwere ụdị ejaculation nke dị n'etiti otu minit abụọ.
A na-eme atụmatụ na ejaculation mgbochi na-emetụta n'etiti pasent 30 na pasent 70 nke ndị ikom America. Dika nsonaazụ nke National Health and Social Life Survey si kwuo, njuputa nke ejaculation akaghi aka na United States bu pasent 30 ma na emetuta ndi mmadu nile. Ejaculation na-eto eto kachasị emekarị na ụmụ okorobịa dị n'agbata afọ 18 na 30. Ọmụmụ na-emetụ n'ahụ na-emetụtakwa ụmụ nwoke ndị nwere nsogbu abụọ nke dị afọ 45 ruo 60.
N'ịkọba ama, ụfọdụ ndị ikom na-enwe mgbe ụfọdụ na ejaculation, ma nke a nwere ike ọ gaghị abụ. Ọzọkwa, ọ bụ ezie na nkọwa nchịkwa nke ejaculation akaghi aka na-akọwa na ọ na-eme na ihe fọrọ nke nta ka ọ bụrụ mmekorita ọ bụla, ọ bụrụ na ọ na-eme n'etiti pasent 10 na pasent 20 nke oge a na-achọ ịlụ nwanyị, mgbe ahụ, ọgwụgwọ nwere ike ịnwe ikike.
Na-emeso Ejaculation Mgbochi Na Botox
Mmechi botox na-arụ ọrụ site n'ịkụda ahụ ike ma ọ bụ na-eme ka ahụ ghara ịnwụ ma gbochie akwara. Mmetụta nke Botox dị n'etiti ọnwa atọ na iri na abụọ.
Mmetụta ọjọọ nke Botox na-agụnye ọkpụkpụ, ọnyá, na ihe mgbu na saịtị ahụ.
Na mgbakwunye na ịsụcha ihu ihu, ebe a bụ ụfọdụ ojiji nke Botox:
- Profuse underarm sweating (ntụgharị, hyperhidrosis)
- Anya na-agagharị agagharị (ntụgharị, strabismus)
- Ogologo oge ogwu
- Ịgba aghara aghara (ntụgharị, blepharospasm)
- Overactive eriri afo
Mkpụrụ ụbụrụ bulbospongiosus na ischiocavernosus bụ akụkụ nke mkpịsị na penile, na akwara ndị a dị mkpa na ejaculation. N'oge ejaculation, ụbụrụ ndị a na-ahụ ihe ndị a na-eme na stereotyped.
Botox na-ahọrọ ịhapụ acetylcholine site na nkwụsị akwara, ọ na-echekwa na usoro a nwere ike imebi ihe ndị na-eme ka a na-ahụ maka bulbospongiosus na ischiocavernosus ma si otú a na-enyere oge ejaculation aka.
Enwere nchegbu ụfọdụ banyere eji Botox mee ihe iji zere ejaculation akaghi aka. Akpa, ụfọdụ ndị ọkachamara na-eche na Botox ga-egbochi ejaculation kpamkpam ma mee ka ọ dị ọhụrụ. Enwekwara nchegbu banyere uru ị na-eji Botox mee ihe iji na-emeso ejaculation akaghi aka.
Na patent nke Allergan gbara na 2012, a na-atụ aro ụzọ dị iche iche maka nlekọta Botox maka ọgwụgwọ ejaculation akaghị aka, tinyere ihe ndị a:
A na-enye usoro maka ịgwọ ejaculation akaghi aka na onye ọrịa na-egbo mkpa ya, ebe usoro a gụnyere usoro nke nchịkwa nke nchịkwa, site na ogwu, botulinum neurotoxin na penis nke onye ọrịa, si otú ahụ na-emeso ejaculation akaghi aka na onye ọrịa. N'ihe dị iche iche, a na-agbanye botulinum neurotoxin n'ime ma ọ dịkarịa ala abụọ penile, na ụfọdụ ihe atụ ma ọ dịkarịa ala atọ penile ebe.
Ndị dere patent na-atụ aro na Botox nwere ike ịgbanye ya n'ime mkpịsị ụkwụ ma ọ bụ mkpanaka nke penis (nke dị nso n'ọnụ ọgụgụ nke amụ). Ọzọkwa, Botox nwere ike iji ya mee ihe dị mkpa, ya na mmetụta ndị na-eru ọnwa isii. Nbanye ahụ kwesịrị ịmalite ịrụ ọrụ n'ime awa 48 ruo 72, ọ ga-enwekwa nsogbu ọ bụla.
Otutu n'ime ihe omuma nke edeputara banyere ojiji nke Botox ka egosiri dika uzo na prognostication. N'ụzọ doro anya, Botox kwesịrị ịrụ ọrụ iji zụlite ejaculation akaghi aka kama ọ dị mkpa ka e mekwuo nyocha iji hụ na ịrụ ọrụ. N'elu Agust 15, 2017, Allergan kwusiri nkeji nke abụọ ule na-enyocha nyochaa iji Botox mee ihe iji chekwaa ejaculation akaghi nká, ma ọ dịghị ihe ọ na-esi n'ọmụmụ ihe a pụta.
Ọgwụ Ndị Ọzọ Maka Ejaculation Na-adịbeghị Anya
Ọ bụ ezie na ọ dịghị usoro ọgwụgwọ FDA na-akwado maka ejaculation na-aka nká, a na-eji usoro ndị ọzọ eme ihe maka ọnọdụ a.
Ndị na-emechi ihe na-eme ka serotonin-reuptake (SSRIs) na ndị antidepressants tricyclic egosipụtara nnọọ irè n'ịgwọ usoro ejaculation. N'ụzọ doro anya, a na-eji ọgwụ paroetetine, sertraline, fluoxetine, citalopram, na clomipramine mee ihe iji na-emeso ejaculation akaghi aka. Ojiji nke ọgwụ ndị a maka ọgwụgwọ ejaculation akaghị aka bụ apụ-aha.
A pụrụ iji ọgwụ ndị a kwa ụbọchị ma ọ bụ dị mkpa. Ọ bụ ezie na ọgwụgwọ ogologo oge na ọgwụ ndị na-agwọ antidepressant dị irè karịa ka a chọrọ iji mee ihe, nchịkwa oge ogologo na-akpata ọtụtụ nsogbu ọjọọ. Na nlekọta na - aga n'ihu, SSRI dị irè karịa mgbe ọ ruru ala, nke nwere ike iwe izu. Otú ọ dị, uru pụrụ ime na mbụ.
Otu SSRI nke kacha dabara adaba maka ọgwụgwọ ejaculation akaghị aka bụ dapoxetine (Priligy). Onye SSRI a na-eme ihe na-emezughị kpọmkwem maka ọgwụgwọ nke ejaculation akaghi aka ma enwere ike iji ya mee ihe. A na-ewepụ Dapoxetine awa ole na ole tupu enwe mmekọahụ.
Ụzọ ọzọ nke ga-enyere aka gbochie imechi ejaculation na-agụnye iji ọgwụ na-eme ihe iji gbanwee mmetụta dị na penis ma si otú a gbochie ejaculation. Na mgbakwunye na nhụjuanya, a nwere ike iji condom nwere ike iji nwayọọ nwayọọ belata. Ihe eji eme ihe eji eme ihe a bu lidocaine na prilocaine.
N'ikpeazụ, ọnụ ọgụgụ dị nta nke ụmụ nwoke nwere ejaculation akaghi aka nwere ike irite uru site n'ịrụ pelvic floor ma ọ bụ Kegel.
Gịnị Banyere Agwọ Ọrịa?
Ka ọ dị ugbu a, ọtụtụ ndị ọkachamara na-eche na ejaculation akaghị aka bụ ọnọdụ na-adịghị na mkpụrụ ndụ ihe nketa. N'ihi ya, a na-ewere usoro ọgwụgwọ omume ogologo oge dịka ihe na-adịghị mma maka ejaculation oge ochie. Ọzọkwa, nchọpụta ogologo oge egosiwo na usoro ọgwụgwọ omume adịghị arụ ọrụ n'ịgwọ usoro ejaculation oge ochie.
Na isiokwu 2014 nke isiokwu ya bụ "Ejaculation mgbochi: definition, epidemiology, and treatment," Kirby dere ihe ndị a banyere ọgwụgwọ omume na nke uche maka ejaculation akaghi aka: "Agbanyewo usoro ọgwụgwọ maka ọtụtụ afọ, ma nchọpụta quantitative na-egosi uru agaghị abịa. Ka o sina dị, ọtụtụ ndị ọrịa na-enwe nchekasị na ha nwere ike ịmasị ụbụrụ uche. "
Maka inweta ejaculation akaghi aka, nchikota ndi mmadu nwere ike ime ihe. Ụzọ a na-agụnye usoro nkwụsịtụ, usoro omume ọgwụ ọjọọ, na ọgwụ ọjọọ. Na usoro nkwụsị, otu nwoke na-enwetakwa obi ụtọ mgbe ọ na-enwe mmekọahụ na-akwụsị mmekọrịta maka ihe dị ka nkeji. Ozugbo nwoke ahụ nwetaghachiri akara, amaliteghachi mmekọahụ. N'aka nke ọzọ, site na nnu usoro ahụ, nwoke ahụ na-atụgharị akwụkwọ ahụ tupu ejaculation iji belata ụlọ ahụ ma kwusi ejaculation.
> Isi mmalite:
> Ashburn TT, Thor KB. Ngwá Agha Repositioning: Ịmata na Ịzụlite Njikere Ọhụrụ Maka Ọgwụ Ọjọọ. Nat Rev Drug Discov. 2004; 3: 673-83. https://doi.org/10.1038/nrd1468
> Gastiola, Gustavo M. Usoro maka ịgwọ mgbochi oge ochie na botulinum Neurotoxin. 11 Dec. 2012.
> Kirby M. Mbụ oge ejaculation: definition, epidemiology and treatment. Ụdị na Urology & Health Men. 2014; 5: 23-28. https://doi.org/10.1002/tre.406
> Serefoglu EC, Silay MS. Ngwunye Botulinum-Ọgwụ nwere ike ịba uru n'ịgwọ usoro ejaculation ogologo oge. Mmetụta Mmetụta. 2010; 74: 83-4. https://doi.org/10.1016/j.mehy.2009.07.038