Iingcali ziphakamisa i-Botox ukuba i-ejaculation yexesha elide, kodwa ayikavunywa
Kwiminyaka engama-30 eyadlulayo, unyango lwe-ejaculation lwangaphambi kwesikhathi luye lwasuka kwi-psychotherapy ukuba lubandakanye imishanguzo kunye ne-pharmacotherapy. Kusenokumangaliswa kukuba iBotox, ekhoyo yicyxin eveliswa yi-british Clostridium botulinum kwaye isetyenziselwa ukugqithisa imibuso yobuso , inokukunceda ukuba i-ejaculation ingakabikho. Nangona kunjalo, uphando oluninzi lubekwe njengengcamango, kwaye ukusetyenziswa kweBotox ukusabalalisa kwangaphambi kwexesha akukavunywanga yi-FDA.
Ukuchaza ukunyuka kwexesha elidlulileyo
Unyango lwe-ejaculation engaphambi kwexesha luxhomekeke kwindlela le meko ichazwa ngayo.
Ngokubanzi, i-ejaculation engaphambi kwexesha ihlukaniswe ngamacandelo amabini: ubomi okanye bufumaneke.
Ukunyuka kwexesha lokuphila kwangaphambi kokuqala kukuqala ngamava okuqala ngokwesini. Ukuhluthwa kwenzeka ngokukhawuleza-nokuba ngaphambi kokungena okanye kwimizuzu emibini yokungena.
Ukufumana i-ejaculation ngaphambi kokuqala kunokubonakalisa ngokukhawuleza okanye ngokukhawuleza ukulandela imbali ye-ejaculation evamile. Ukongezelela, le meko inokuthi ixhomekeke kwiingxaki zobomi, i-thyroid, okanye ingqondo.
Kule minyaka, inkcazo ye-ejaculation yangaphambi kwexesha iguqukile. Ukuqala kwezifundo ezininzi ze-ejaculation engaphambi kokuqala kukuchazwa lulandelayo kwi-DSM-IV-TR:
- Ukunyuka okuqhubekayo okanye okuphindaphindiweyo ngokuvuselela ngokwesini, ngaphambi okanye ngokukhawuleza emva kokungena nangaphambi kokuba umntu afise. Ugqirha kufuneka acinge ngeemeko ezichaphazela ubude besigaba sokonwaba, ezifana nobudala, ubuntshatsheli bomlingani wesini okanye imeko kunye nexesha elidlulileyo lomsebenzi wesondo
- Ukuphazamiseka kubangele ukukhathazeka okubonakalayo okanye ubunzima bobudlelwane
- I-PE ayikho kuphela umphumo weziphumo ezichanekileyo zezinto (umz. Ukuhoxiswa kwi-opioids).
Ngo-2014, uMbutho woLuntu woLuntu wezoNtsholongwane wezoTyala unikezele ngolu hlobo olucacileyo olusisiseko-senkcazo esiluselwe kwi-ejaculation.
- Ukungasebenzi komntu wesondo ngokubhekiselele kwi-ejaculation ehlala rhoqo okanye ecaleni ihlala ikhona phambi kwayo, okanye ngaphakathi kwimizuzu emine, yokungena kwesisu
- Ukungakwazi ukulibaziseka ukunyuka kwamanzi kuzo zonke, okanye phantse zonke, ukungena kwamanzi
- Imiphumo emibi efana neyokuxinzezeleka, ukukhathazeka, ukukhungatheka, kunye / okanye ukuphepha ukulwa nobulili.
Kwimizuzu engama-80 yabesilisa abane-ejaculation engapheliyo, ukunyuka kwexesha kubonakala ngaphakathi kwemizuzwana engama-30 kuya kwe-60 yesiganeko soxhatshazo. Ama-20 ekhulwini asele ala madoda afumana ukuhlaselwa okuhlala phakathi kweyure nemizuzu emibini.
Ukuhlaziywa kwangaphambi kokuqala kuqikelelwa kuthintela phakathi kweepesenti ezingama-30 kunye nama-70 ekhulwini kumadoda aseMerika. Ngokweziphumo ze-National Health and Social Survey Survey, ukusabalalisa kwe-ejaculation ngaphambi kwexesha e-United States iipesenti ezingama-30 kwaye kuthintela amadoda abo bonke ubudala. Ukunyuka kwe-premature kuyinto eqhelekileyo kwindoda eneminyaka engama-18 ukuya kwe-30 ubudala.
Ingqalelo, amanye amadoda atholakale ejaculation ngaphambi kokuqala, kwaye oku akunako ukuthetha. Ngaphezu koko, nangona iinkcazo ezisemthethweni zokunyuka kwexesha elide zichaza njengento eyenzekayo phantse zonke iintlobo zesini, xa kuvela phakathi kweepesenti ezili-10 kunye neepesenti ezingama-20 zexesha lesini esilinga ngayo, ngoko unyango lunokuqinisekiswa.
Ukunyangwa kwe-Ejaculation yexesha elide kunye neBotox
Iibyox ze-botox zisebenza ngokubuthathaka okanye ukukhubazeka kunye nokuvimba izibilini. Imiphumo yeBotox iphelileyo phakathi kweenyanga ezintathu neyeshumi elinesibini.
Iziphumo eziqhelekileyo ezichaphazelekayo zeBotox zibandakanya ukuvuvukala, ukulimaza, kunye nentlungu kwiziko lokungena.
Ukongeza kwimibala ebusweni bomzimba, nantsi ezinye izinto ezisetyenziswayo zeBotox:
- Ukuqhumisa isifo sesipilisi (ie, hyperhidrosis)
- Amehlo anqamlekileyo (okt, i-strabismus)
- Migraines engapheliyo
- Ukuqhawula okungalawulwayo (okt, i-blepharospasm)
- Isalathisi esingasebenzi
Iimbobo ze-bulbospongiosus kunye ne-ischiocavernosus ziyingxenye ye-penile shaft, kwaye ezi zihlunu zibaluleke kakhulu ekujuleni. Ngethuba lokunyuka, le miva yeembandeko ikhethiweyo.
I-Botox ibhalela ngokukhawuleza ukukhululwa kwe-acetylcholine ukusuka ekuphelelweni kwamagulane, kwaye kuqikelelwe ukuba le ndlela ingavimbela ukuchasana kwesigxina kwe-bulbospongiosus kunye ne-ischiocavernosus kwaye ngaloo ndlela uncede ukulibazisa ukunyuka.
Kukho iinkxalabo ezichazwe malunga nokusetyenziswa kweBotox ukuphatha i-ejaculation ngaphambi kwexesha. Okokuqala, ezinye iingcali zixhalabisa ukuba i-Botox izakuvimba ukugqithiswa ngokupheleleyo kwaye kubangele ukungabikho. Kukho iinkxalabo malunga neendleko-mpu melelo zokusebenzisa i-Botox ukuphatha i-ejaculation yangaphambili.
Kwi-patent efakwe ngu-Allergan ngo-2012, kukho iindlela ezahlukahlukeneyo zokuphatha u-Botox ukunyangwa kwe-ejaculation ngaphambi kokuqala, kubandakanywa oku kulandelayo:
Indlela yokunyanga i-ejaculation engaphambi kwexesha kwisigulane esinesidingo sayo sinikezelwa, apho le ndlela ibandakanya isinyathelo sokulawulwa kwendawo, nge-injection, ne-botulinum neurotoxin kwi-penis yesigulane, ngaleyo ndlela unyanga i-ejaculation yangaphambi kwesigulane. Eminye indlela yokuziphatha, i-neurotoxin ye-botulin ijojowe ubuncinane kwiindawo ezimbini zeepenile, kunye neminye imizekelo ubuncinane kwiindawo ezi-3 zeepenile.
Ababhali beli patent bakhombisa ukuba i-Botox ingafakwa kwi-glans okanye i-frenulum ye-penis (kufuphi nomxholo wesipenisi). Ukongezelela, i-Botox ingasetyenziselwa kwisiseko esifanelekileyo, kunye nemiphumo engapheli kwiinyanga ezintandathu. Ukungenelela kufuneka kuqale ukusebenza kwiiyure ezingama-48 ukuya kwii-72, kwaye akufuneki kubekho okanye kungabikho miphumo emibi.
Uninzi lophando olupapashwe ngokubhekiselele ekusebenziseni iBotox lwenziwa njengengqiqo kunye nokuchazwa. Kubonakala ukuba, i-Botox ifanele isebenze ukunyanga i-ejaculation ngaphambi kokuqala kodwa uphando olungakumbi lufuneka lwenziwe ukuze kuqinisekiswe ukusebenza. Ngomhla we-Agasti 15, 2017, i-Allergan isigaba sesi-2 sesilingo esiphelile sokuhlola ukusetyenziswa kweBotox ukuphatha ukunyuka kwangaphambili, kodwa iziphumo zolu cwaningo azifumaneki.
Ezinye iiNyango zoKhuselo oluPhambi koNyaka
Nangona kungekho nonyango evunyiweyo ye-FDA ye-ejaculation yexesha elide, kukho ukungenelelo kusetyenziswe ukunyanga le meko.
I-serotonin-reuptake inhibitors (i-SSRIs) kunye ne-tricyclic antidepressants ziye zabonakalisa ziphumelele ekunyangeni kwe-ejaculation ngaphambi kokuqala. Ngokukodwa, i-paroxetine, i-sertraline, i-fluoxetine, i-citalopram, kunye ne-clomipramine sele isetyenziselwa ukuphatha unyango olusenyangeni. Ukusetyenziswa kwezi zonyango zokunyanga kwe-ejaculation engaphambi kwexesha kuphelile-ilebula.
La mayeza angathathwa rhoqo imihla okanye njengoko kuyimfuneko. Nangona unyango lwangexesha elide kunye neyeza ezixhatshazwayo lusebenza ngakumbi kunokuba lufunekayo, ukusetyenziswa kwexesha elide kubangela iziphumo ezingaphezulu. Ngolawulo oluqhubekayo, i-SSRI iyasebenza kakhulu emva kokuba ifinyelele kwiimeko ezizinzileyo, ezinokuthatha iiveki. Nangona kunjalo, inzuzo ingenzeka ngaphambili.
Elinye i-SSRI efanelekileyo ngokukodwa ukunyanga kwe-ejaculation ngaphambi kokuqala i-dapoxetine (Priligy). Eli SSRI elifutshane eliye laphuhliswa ngokukodwa kunyango lwe-ejaculation ngaphambi kokusesikweni kwaye lunokusetyenziswa njengento efunekayo. I-Dapoxetine ingathathwa iiyure ezimbalwa ngaphambi kokusebenza ngokwesondo.
Enye indlela enokukunceda ukukhusela i-ejaculation ngaphambi kokuqala kuquka ukusetyenziswa kwe-anesthetics ye-headical ukunciphisa inzwa kwi-penis kwaye iyanciphisa ukujula. Ukongeza kwi-anesthesia, ikhondom ingasetyenziselwa ukuphucula ukunciphisa. I-anesthetics yezihloko ezisetyenziselwa le njongo yi-lidocaine kunye ne-prilocaine.
Ekugqibeleni, inani elincinane lamadoda ejaculation langaphambi kwexesha lingazuza kwi-pelvic floor okanye kwi-Kegel.
Kuthiwani Ngonyango Lokuziphatha?
Okwangoku, uninzi lweengcali zikholelwa ukuba i-ejaculation engaphambi kwexesha i-neurobiological and genetic condition. Ngenxa yoko, unyango lwexesha elide libhekwa lingenakulungelelanisa ukuhlaselwa kwangaphambili. Ukongezelela, uphando lwexesha elide lubonise ukuba unyango lokuziphatha alusebenzi kakuhle ekuphatheni ukuhlaselwa kwangaphambili.
Kwinqaku le-2014 elibizwa ngokuba ngu-"Prejature ejaculation": inkcazelo, ukugula, kunye nokonyango, "uKirby ubhala oku kulandelayo malunga neendlela zokuziphatha nezengqondo zokunyuka kwexesha elide:" Uphando luye lwahlanganiswa iminyaka emininzi, kodwa uphando lubonisa ukuba inzuzo ayikho. Nangona kunjalo, izigulane ezininzi zixhalabele kwaye ziyakwazi ukuqonda ingqondo. "
Ukufumana i-ejaculation ngaphambi kokuqala, indlela yokudibanisa unyango ingasebenza. Le ndlela iquka inkqubo yokuyeka ukuqala, unyango wokuziphatha, kunye neziyobisi. Ngendlela yokuqalisa, indoda iyazibona umxhelo we-middle-level ngexesha lokulala kunye nokuyeka ukulala ngesigxina. Xa umntu sele abuyele ukulawula, ubulili buya kuphinda luphinde. Ngaphandle koko, ngeendlela zokucoca, le ndoda iyayifaka ipenisi ngaphambi kokuba i-ejaculation iyanciphisa ukulungiswa nokuyeka ukunyuka.
> Imithombo:
> Ashburn TT, Thor KB. Ukuxilongwa kweziyobisi: Ukuchonga nokuphuhliswa kwezixhobo ezinokusetyenziswa kwezidakamizwa ezikhoyo. Nat Rev Drug Discov. 2004; 3: 673-83. https://doi.org/10.1038/nrd1468
> Gastiola, Gustavo M. Indlela yokuPhatha i-Ejaculation yangaphambi kokuqala kunye ne-Botulinum Neurotoxin. 11 Disemba 2012.
> Kirby M. Premature ejaculation: inkcazo, i-epidemiology kunye nonyango. Iintlobo ze-Urology & Health's Men. 2014; 5: 23-28. https://doi.org/10.1002/tre.406
> Serefoglu EC, uSilay MS. I-toxin ye-Botulinum-I-injection inokuba luncedo kwonyango lobomi obungapheliyo. Iingcamango zeMed. 2010; 74: 83-4. https://doi.org/10.1016/j.mehy.2009.07.038