| شرح بيماري |
| ناتواني جنسي در مردان عبارت است از ناتواني پايدار در دستيابي به حفظ نعوذ كه براي مقاربت ضروري است. (دورههاي گهگاهي ناتواني جنسي كه در اكثر مردان بزرگسالان رخ ميدهد غيرطبيعي در نظر گرفته نميشود). اين نظر درست نيست كه با افزايش سن، ناتواني جنسي اجتنابناپذير است. توانايي نعوظ در سنين بالا حفظ ميشود، اما امكان دارد نياز به تحريك بيشتري براي دستيابي به آن و فاصلهگذاري بيشتري بين نعوظها وجود داشته باشد. |
| علايم شايع |
| ناتواني در دستيابي به نعوظ ناتواني در حفظ نعوذ براي مقاربت (نعوظ ممكن است خيلي ضعيف، كوتاه، يا دردناك باشد) |
| علل |
| علل رواني اين حالت عبارتند از: احساس گناه رابطه زناشويي نامناسب اختلالات رواني مثل افسردگي، اضطراب، استرس، و روانپريشي نداشتن اطلاعات جنسي، از جمله نداشتن درك درست از جنبههاي عاطفي و نيز آناتومي و فيزيولوژي زن علل فيزيكي اين حالت عبارتند از: ديابت شيرين آترواسكلروز (تصلب شرايين) مصرف بعضي از داروهاي ضد فشارخون بيماريهاي دستگاه عصبي مركزي، مثل صدمات نخاعي، اسكلروز متعدد (ام اس)، سكته مغزي يا سيفيليس بيماريهاي غدد درونريز كه غده هيپوفيز، غده تيروييد، غدد فوقكليوي يا غدد جنسي را تحتتأثير قرار دهند. الكلي بودن سوءمصرف موادمخدر و داروها، خصوصاً ماريجوانا، كوكايين، مخدرها، آرامبخشها، خوابآورها و داروهاي توهمزا كاهش خونرساني به آلت تناسلي به هر علت علل موقعيتي اين حالت عبارتند از: وجود فرد ديگري در منزل (مثل مادر زن) |
| عوامل تشديد كننده بيماري |
| مشكلات فهرست شده در قسمت علل بروز يك بيماري اخير كه قدرت فرد را كاهش داده باشد. عمل جراحي عمده اخير، خصوصاً جراحي روي قلب و عروق يا پروستات |
| پيشگيري |
| با همسر خود ارتباط
مناسبي برقرار كنيد. از در ميان گذاشتن و بحث درباره مشكل خود و
درخواست كمك ابايي نداشته باشيد. همفكري همسر براي حل اين مشكل،
حياتي است. الكل به هيچ عنوان ننوشيد. از مصرف مواد و داروهايي كه ممكن است مورد سوءمصرف قرار گيرند خودداري كنيد. اگر مبتلا به ديابت هستيد، برنامه درماني خود را به دقت رعايت كنيد. سلامت عمومي خود را حفظ كنيد. در صورتي كه هرگونه دارويي كه جديداً مصرف آن را شروع كردهايد عملكرد جنسي را تغيير داده باشند، با پزشك خود مشورت نماييد. |
| عواقب مورد انتظار |
| بهبود خود به خودي يا پس از مشاوره كوتاهمدت در بسياري از مواردي كه منشا رواني دارند. در مواردي كه منشا فيزيكي دارند، درمان اختلال زمينهساز يا تغيير در داروهاي مصرفي ممكن است اين مشكل را تخفيف دهد. ساير روشهاي پزشكي براي بهبود نعوظي نتايج مثبتي را به همراه داشتهاند. |
| عوارض احتمالي |
| افسردگي و از دست دادن عزت نفس مشكلات زناشويي |
| درمان |
| اصول كلي |
| بررسيهاي لازم براي
تشخيص هرگونه بيماري زمينهساز. انجام بررسهاي تشخيصي در يك مركز
مخصوص براي ارزيابي نعوظ در شب و به هنگام خواب رواندرماني يا مشاوره (به تنهايي يا همراه با همسر) توسط يك متخصص و درمانگر معتبر در اين زمينه اگر علت بروز اين حالت دارو باشد، تغيير در دارو يا مقدار آن ممكن است كمككننده باشد. امكان دارد داروي تزريقي داخل آلت تناسلي براي فرد تجويز شود (تزريق توسط خود فرد) امكان دارد استفاده از واكيوم براي نعوظ توصيه شود. عمل جراحي براي نصب پروتز بادشونده يا غير بادشونده آلت تناسلي |
| داروها |
| براي ناتواني جنسي ناشي از عوامل رواني دارو فايدهاي ندارد. ممكن است براي درمان بيماري زمينهساز دارو تجويز شود. دارو براي تزريق در آلت تناسلي ممكن است تجويز شود. بهزودي داروهاي جديدي كه در پيشابراه حل ميشوند در دسترس قرار خواهند گرفت. |
| فعاليت در زمان ابتلا به اين بيماري |
| محدويتي براي آن وجود ندارد. مقاربت را ميتوان با رفع ناتواني يا بهبود پس از عمل جراحي از سر گرفت. |
| رژيم غذايي |
| رژيم غذايي متعادل داشته باشيد، و مكملهاي ويتاميني و معدني بخوريد. |
| درچه شرايطي بايد به پزشك مراجعه نمود؟ |
| اگر شما يا يكي از
اعضاي خانوادهتان علايم ناتواني جنسي را داريد، خصوصاً اگر دارو
مصرف ميكنيد يا دچار يكي از بيماريهاي فهرست شده در قسمت علل
هستيد. »منبع سایت irshafa.ir |
Impotence male
There are innumerable classic examples in the literature of maternal dominance contributing to secondary impotence. Thirteen such instances reflecting maternal dominance have been referred to the Foundation for therapy. Since the picture is so classic, a composite history can be provided to protect anonymity without destroying categorical effectiveness. Impotence In Young Man Maternal dominance primarily depreciates the young male's security in his masculinity and destroys confidence in his socio cultural role-playing by eliminating or at least delimiting the possibility of a strong male image. When the father is relegated to the role of second-class citizen within family structuring, the teenage boy has no male example with which to identify other than that of a devalued, shadowy, sometimes even ludicrous male allowed access to the home but obviously subject to control of the dominant maternal figure. Mr. B, 34 years old He remembered the paternal role only as that of an insufficient paycheck, and of a man sitting quietly in the corner of the living room reading the evening newspaper. When he reached midteens, the parental representative at school functions was always the maternal figure, for both the young male and his younger sister (two siblings only). The same situation applied to church attendance and, eventually, to all social functions. The family matured with the concept that only three people mattered. Masturbatory onset was in the early teens with a frequency of two or three times a week during the teenage years. As would be expected in a maternally dominated environment, dating opportunity for the boy was delayed, in this case until the senior year in high school. Through college there were rare commitments to female interchange, all of them of a purely social vein. The young man was insecure in most social relationships, particularly those having orientation to the male sex. He had been forbidden participation in athletics by his mother for fear of injury. He rarely pursued male companionship, feeling himself alternatively totally insecure in, or intellectually superior to, the male peer group. Premarital sex in youth The divorcee, a dominant personality in her own right, was the mirror image of his mother. The two women were, of course, instant, bitter, and irrevocable enemies. The marriage, accomplished in spite of his mother's vehement objections, was a weekend justice-of-the-peace affair. The sexual experience of the courtship had been overwhelming to the physiologically and psychologically virginal male. The uninitiated man literally was seduced by the experienced woman, who manipulated, fellated, and coitally ejaculated him within three weeks of their initial meeting. The hectic pace of the premarital sexual experience continued for the first 18 months of the marriage, with Mr. B awed by and made increasingly anxious by his wife's sexual demands. Intercourse occurred at least once a day. Following the pattern established during the courtship, opportunities, techniques, positions, procedures, durations, and recurrences, in fact, all sexual expression in the marriage, was at his wife's able direction. For the first year of the marriage the wife thoroughly enjoyed overwhelming her fully cooperative but naive and insecure husband with the force and frequency of her sexual demands. As the marriage continued unwavering in the intensity of her insistence upon sexual and social dominance, his confidence in his facility for sexual functioning began to wane. He sought excuses to avoid coital connection, yet when cornered tried valiantly to respond to her demands. Finally, there were three occasions when sudden demand for coital connection forced failure of erection for the satiated male. Her comments were harsh and destructive, and the sarcasm struck a familiar chord. The fourth time he failed to satisfy her immediate sexual needs, his wife's denunciations reminded him specifically of his mother and of her verbal attacks on his father. For the first time in his life he identified with the man sitting in a corner of the living room reading the newspaper, and within a month's time he had withdrawn to a similarly recessive behavioral patterning within his own home. Successful erection On an occasion when his wife was out of town, he followed the time-honored response pattern of the secondarily impotent man. There was attempted sex with a prostitute to see whether he could function effectively with any other woman. For the first time in several months there was a full erection, but when he attempted to mount, the concept of his mother's disapproval of his behavior disturbed his fantasy of female conquest. He immediately lost and could not recover the erection. This was his only attempt at extramarital sexual functioning. |
از دست دادن خون يا مايع به طوري كه مكانيسم هاي جبراني بدن جهت حفظ خونرساني و اكسيژنيزاسيون ناتوان شوند.
