He aha rawa te Putanga Mai o te Pēpi i te Wā o Mua (PE)?
Ki te kī ngāwari, ka puta te Putanga Wawe (PE) ina putunga wawe koe i te mea e pai ana ki a koe, ki tō hoa rānei i te wā moe tāne—he maha tonu i te tīmatanga, i muri tata rānei i te whakaurunga. Ki ētahi, he raruraru tēnei mō te wā roa, mai i te wā tuatahi o te moe tāne. Ki ētahi, he āhuatanga 'kua riro' mai, arā, ka puta ake i muri mai i te wā kāore anō kia pāngia e ēnei raruraru i mua.Me pēhea te whakamāramatanga o te 'Pōmua'?
Ko te tikanga, e whakaaro ana ngā tohunga hauora he mea wawe te putanga mai o te ira tangata i roto i te meneti kotahi o te whakaurunga. Heoi, he rerekē tēnei i ia tangata, i ia tangata; ko te tākuta anake ka taea te whakarato i tētahi aromatawai haumanu tika mō tō āhuatanga. He maha ngā wā ka tautuhia e ngā whakahaere hauora te PE mā ngā āhuatanga e whai ake nei:- Te puta tonu o te pūkahukahu i mua atu i tō hiahia, i tō hoa rānei .
- Ko te wheako e puta ai te mamae nui, te pōuri, te taumahatanga kare ā-roto rānei mō tētahi o ngā hoa, mō rāua rānei.
- Ka puta tēnei āhuatanga i te nuinga, i te katoa rānei o ngā taunekeneke ā-ira tangata.
- Ka puta te ejaculation i roto i te meneti kotahi o te whakaurunga.
- Ka roa te mate mō ngā marama e ono neke atu rānei, tae atu ki te tau kotahi.
He pēhea te noa o tēnei āhuatanga?
Tērā pea ka miharo koe ki te mōhio ki te whānui o tēnei āhuatanga. I waenganui i te 30% me te 40% o ngā tāne ka pāngia e te ejaculation wawe i tētahi wā o ō rātou oranga. Inaa, koinei te mate moepuku tino noa o ngā tāne . E ai ki ngā pūrongo, tata ki te kotahi i roto i te rima o ngā tāne i waenga i te 18 me te 59 tau te pakeke ka pāngia e tēnei raruraru. Ehara i te mea ko koe anake kei te pāngia e tēnei.He aha ngā take?
He maha ngā āhuatanga e whai wāhi ana, ko ngā āhuatanga hinengaro pēnei i te manukanuka ngā mea e tino pāngia ai. Hei tāpiri, ko te tairongo nui ake o te kiri o te ure ka whai wāhi anō hoki.Ngā Take Hinengaro, Ngā Take Kare ā-roto rānei:
- Te Manukanuka Mahi: Ka puta mai pea tēnei i te manukanuka ki tētahi hoa hou, te hoki ki te mahi moepuku i muri i te okiokinga roa, te nui rawa o te harikoa, me ētahi atu pēhanga. Ina pukumahi koe ki ngā whakaaro pēnei i te, "Ka makona ahau i taku hoa?" "Ka hinga ahau?" rānei, he uaua ki te whakangā, ā, ka whai wāhi atu tēnei ki te raruraru.
- Taumahatanga : Ka pā nui te taumahatanga hinengaro e puta mai ana i ngā pēhanga mahi, ngā raruraru whānau , ngā huringa nui o te ao (pēnei i te mahi hou, te neke rānei ki tētahi wāhi hou) ki tō mahi.
- Ngā Taupatupatu Whakawhanaungatanga: Ka pā te taumahatanga taketake ki tō hoa , ki ngā mamae rānei o mua kāore anō kia whakatauhia, ki te whanaungatanga piripono.
- Ngā Whakaaro Pōuri: Ka taea e ngā kare ā-roto o te hara, te pouri o te ngākau, te kore aro whānui (ngā tohu o te pouri) te whai wāhi atu ki te āhuatanga.
- Te Whakaute ki a Koe Anō: Mā te whakaaro kino ki tō tinana, te kore rānei o te whakapono ki tō mahi ā-ira tangata ka puta he huringa ruarua.
Ngā Take Ā-Tinana me ngā Take Matū:
- Te ngoikore o te ure (ED): Ko te uaua ki te whakatutuki, ki te pupuri rānei i te ure ka meinga koe kia hohoro te mahi, ka arahi atu ki te putanga wawe o te ure.
- Ngā Tauritekore o ngā Homoni : Ngā huringa o ngā taumata o ngā homoni matua pēnei i te Oxytocin , te Luteinizing Hormone (LH), te Prolactin, te Thyroid Stimulating Hormone (TSH rānei).
- Ngā Taumata o ngā Neurotransmitter: Ka uaua te whakahaere i te ejaculation mā te iti o te Serotonin , Dopamine rānei — arā, ngā matū i roto i te roro e pā ana ki te hiahia moepuku me te whakaohooho.
- Te tairongo nui: He tino tairongo te ure o ētahi tāngata, ā, ka tere ake te orgasm.
- Te mate pūkahukahu: Ka taea e te pūkahukahu mumura te whai wāhi hauora ki tēnei mate.
Heoi, kia maumahara ki tēnei: i te nuinga o te wā, kāore te putanga wawe o te ira tangata i puta mai i tētahi mate kino, i tētahi mate kino rānei o te pūnaha whakaputa uri. He maha ngā wā, ka mahi noa te tinana, engari ka puta te raruraru i te ahotea, te manukanuka, te taumahatanga io rānei kua whakahuatia ake nei.
He tohu anō kei reira?
Kāore, ko te tikanga. Ko te tohu anake o te putanga wawe o te ira tangata ko te putanga wawe tonu. I te nuinga o te wā, kāore he tohu tinana motuhake e pā ana ki tēnei.He aha ngā raruraru ka pā mai i tēnei?
Haunga te wheako ā-tinana, ko te pānga matua he hinengaro me te whanaungatanga .- Tērā pea ka pāngia koe e te whakama nui, e te mamae nui rānei .
- Tērā pea ka pā mai ngā kare ā-roto o te hara ki a koe, me te whakaaro kāore koe e "raru" ana i te hiahia o tō hoa.
- Ka taea e tēnei te heke o te whanaungatanga piripono me te makona o te taatai i roto i te whanaungatanga.
- Ehara i te mea onge ka arahi tēnei ki te pouri nui me te pōuri nui.
- I ētahi wā, ka taea e ia te whakaroa i te haputanga.
Koia te mea nui o te rapu āwhina ngaio. He mate noa tēnei e pāngia ana e te tini, ā, ka puta he taumahatanga kare ā-roto kāore e tika ana. Ka taea e tō tākuta te tautuhi i te pūtake me te whakatau i te mahere maimoatanga tino whai hua, whaiaro hoki māu.
Me pēhea te tautuhi i te pūtake o te ejaculation wawe?
Mena kei te pāngia koe e te maha o ngā wā e puta ai te ihu o te ihu (PE), kei te whakararuraru, e manukanuka, e taumahatanga rānei tō whanaungatanga, ko te mahi pai ko te toro atu ki tētahi Urologist—he tohunga mō te pūnaha mimi me te pūnaha whakaputa uri ā-ira. Tērā pea ka pātai atu tō tākuta i ētahi pātai mō tō hītori me ō wheako ā-ira. Hei tauira:- Kia pēhea te roa o tō aro atu ki tēnei āwangawanga?
- I roto i ēhea āhuatanga ka tino puta pinepine ai tēnei?
- E hia ngā wā ka puta tēnei?
- Ka puta tēnei i ia moe tāne, i ētahi wā anake rānei?
- Ka pā tēnei ki ngā hoa katoa (mēnā he maha ō hoa)?
- Ka pāngia hoki koe e te ejaculation wawe i te wā e puremu ana koe?
- He uaua ki a koe te pupuri i te ure, e mōhiotia ana ko te ngoikore o te ure (ED)?
Me pēhea te rongoā mō te ejaculation wawe?
Ko te rongo pai, ka taea te rongoā i te ejaculation wawe! Ko te maimoatanga e whakawhirinaki ana ki te take, ā, ka uru pea ki te rongoā whanonga, te tohutohu, me te rongoā . He maha ngā wā, ko te rongoā whanonga me te tohutohu ngā maimoatanga tuatahi, nā te mea ko ngā āhuatanga hinengaro ngā mea e whakaoho ana. Tērā pea ka kitea e koe he pai ake te whakakotahitanga o ngā maimoatanga (te rongoā whakakotahi) i te whakawhirinaki ki te kotahi tikanga anake.Te rongoā whakarerekētanga whanonga
Ko te arotahi o ēnei tikanga he whakangungu i tō tinana me tō hinengaro kia whakaroa i te orgasm. Ko te whāinga he āwhina i a koe kia pai ake te whakahaere i ō urupare tinana. Kei roto i ēnei tikanga:- Te Tikanga 'Tīmata-Mutu': He tino māmā noa iho tēnei. Ka whakaohokia e koe, e tō hoa rānei tō ure kia tata rā anō koe ki te eke ki te taumata teitei. I taua wā, ka whakamutua e koe ngā whakaoho katoa mō te 30 hēkona pea. Taria kia memeha te hiahia ki te puta, kia hoki anō tō mana whakahaere, kātahi ka tīmata anō. Whakahoutia tēnei tukanga 'tīmata-mutu' kia toru, kia whā rānei ngā wā i mua i te tuku i a koe kia eke ki te taumata teitei. Whakaharatauhia tēnei kia kite rā anō koe kua pai ake tō mana whakahaere.
- Te Tikanga 'Pēhi': He rite ki te tikanga tīmatanga-mutu, ka whakaohokia e koe, e tō hoa rānei te ure kia tata rawa koe ki te taumata teitei. Kātahi, pēhia te pane o tō ure kia kaha mō te 30 hēkona pea. Ka āwhina tēnei ki te whakaiti i te hiahia ki te puta, ā, ka paku whakaiti i tō ure. Whakahokia tēnei tukanga kia maha ngā wā i mua i te haere tonu ki te taumata teitei, me te whakaharatau kia pai ake ai tō whakahaere i tō wā.
- Te Whakaaro Pōrearea: Kei roto i tēnei ko te neke āta i tō arotahi i te wā e moe tāne ana ki ngā whakaaro kore-moe tāne, noa iho. Hei tauira, mā te whakarārangi i ngā mea i roto i te hinengaro i roto i tētahi raupapa, pērā i te maumahara ki ngā ingoa o ngā kaitākaro i tō tīma hākinakina tino pai, i ngā toa hokohoko rānei i a koe e haere ana ki te mahi, ka āwhina i te whakaiti i ngā taumata o te whakaohooho moe tāne.
Te Whakatakotoranga
Mena kei te hono tō ejaculation wawe ki ngā raruraru hinengaro, kare ā-roto, whanaungatanga rānei—pērā i te manukanuka mahi, te pouri, te ahotea, te hara, ngā pakanga whanaungatanga rānei—ka taea e te Kaimātai Hinengaro, te Tākuta Hinengaro, te Kaiwhakaora Ira Tangata rānei te whakarato i te tautoko tino nui. Ka taea e tō Tākuta Urology te tuku i a koe ki ēnei tohunga. I ētahi wā, ka taea e te tohutohu mō ngā tāne me ngā wāhine te whakaputa hua pai rawa atu.Rongoā
Tērā pea ka tohua e tō tākuta ētahi rongoā hei āwhina i te whakahaere i te ejaculation wawe.- Ngā rongoā ārai pouri: Ahakoa i hangaia mō te pouri, ka taea e ēnei rongoā te whakaroa i te putanga mai o te ihu, ka waiho hei rongoā tuatahi mō te PE. Kia mahara he whakamahinga "kore-tohu" tēnei (kāore i whakaaetia mō te PE e te Whakahaere Kai me te Rongoā). Matapakihia ngā pānga taha pea me tō tākuta kia mōhio ai mēnā he tika ēnei mōu. Ko ētahi tauira ko ngā 'tricyclic antidepressants' pērā i te 'clomipramine (Anafranil®)', me ngā 'selective serotonin reuptake inhibitors (SSRIs)' pērā i te 'Citalopram (Celexa®)', 'Escitalopram (Lexapro®)', 'Fluoxetine (Prozac®)', 'Paroxetine (Paxil®)', me te 'Sertraline (Zoloft®)'.
- Ngā kirīmi me ngā rehu whakangote (whakangote): Ka pania ēnei ki te pane me te kakau o tō ure hei whakaiti i te aro. Tukua te hua kia mimiti mō te 10 ki te 30 meneti i mua i te moe tāne. Ko te mea nui, horoia tō ure kia tino pai i mua i te moe tāne, ki te kore, ka pāngia pea te wāhi ira tangata o tō hoa.
- Ngā rongoā mō te ngoikore o te ure:Tērā pea ka āwhina ngā rongoā pēnei i te `sildenafil (Viagra®)`, `tadalafil (Cialis®)`, `vardenafil (Levitra®)`, me te `avanafil (Stendra®)` ki te whakapai ake i te mana whakahaere, inā koa mēnā he raruraru kei roto i te pupuri i te ure.
- I ētahi wā, ka whakaarohia pea e tō tākuta te tohu i te `tramadol`, he rongoā whakamamae mamae.
He rongoā tuturu kei reira?
He tokomaha te hunga e kite ana i te oranga nui mā te whakamahi i tētahi, i tētahi huinga rānei o ngā maimoatanga kua whakahuatia ake nei. He tino whai hua te rongoā whanonga me ngā tikanga hei whakaroa i te whakaputa uri. Engari i te rapu i tētahi 'rongoā' tuturu, he pai ake te titiro ki tēnei hei āhuatanga ka taea te whakahaere pai.Ka āwhina te whakaiti i te auau o te moepuku?
Kāo. Ina hoki, he maha ngā wā ka kino ake te raruraru mā te whakanui ake i tō aro ki te whakaohooho ā-ira tangata. He pai ake te aro atu ki te raruraru i te karo atu.Ka taea e au te ārai i tēnei?
Ae, i te nuinga o te wā! I runga i te take, ka taea e koe te mahi i ngā mahi matatau. Ko te mea nui ko te kōrero tuwhera ki tō tākuta mō ō kare ā-roto me ō āwangawanga. Ka taea e rātou te āwhina i a koe ki te tautuhi i te take me te taunaki i tētahi mahere maimoatanga me te ārai whaiaro.He kino te whakaputanga wawe o te ihu, he tohu rānei nō tētahi atu mate?
Ehara i te mea morearea te whakaputanga wawe o te ira tangata. Heoi anō, tera pea ētahi atu raruraru hauora e whai wāhi atu ana ki tēnei āhuatanga. Ko ētahi o ēnei āwangawanga hauora ko:- Te ngoikore o te ure
- Te mamae o te hope (Te mamae o te hope me ngā raruraru mimi mō te wā roa)
- Ngā mate o te repe tairoi
- Ngā mate whakamahi matū
Ka taea e te whakamahi i te ure tāwharau te āwhina i tēnei?
Āe, tino tika. Mā te whakamahi i te ure ka whakaiti i te aro o tō ure, ka āwhina tēnei ki te whakaroa i te whakaputa uri. Tērā pea ka taea e koe te whakamātau i ngā ure matotoru ake, i ngā ure whakaroa rānei i hangaia mō te ure kia kitea ai te mea e pai ana mōu.He aha te rerekētanga i waenga i te ngoikore o te ure me te ejaculation wawe?
He mea nui kia kaua e whakapoauautia ēnei āhuatanga e rua:- Mena he ngoikore tōu ure , he uaua ki a koe te whiwhi, te pupuri rānei i te ure.
- Ki te mea kei te puta wawe tō ure , e tū tika ana, engari ka tae koe ki te orgasm, ā, ka puta wawe atu i te wā e hiahiatia ana e koe, e tō hoa rānei.
He torutoru ngā mea whakamutunga hei maumahara
Kia maumahara, he mate noa te putanga wawe o te ihu e pā ana ki te tini o te tangata, engari he tino ngāwari te whakahaere mā te maimoatanga me te ārahi tika. Kāore he take e whakama ai, e mamae puku ai rānei. Ko te mea nui, kāore koe e hiahia ki te aro atu ki tēnei ko koe anake.- Kia mārama koe he āhuatanga noa tēnei. Ehara i te mea ko koe anake kei te pāngia e tēnei.
- Kōrerohia tēnei ki tō hoa rangatira mā te tuwhera. Nā te mea e pā ana ki a kōrua tokorua, he mea tino nui te mahi tahi ki te kimi i tētahi otinga. He puna nui te tautoko a rāua.
- Me toro atu ki tētahi tākuta mimi hei tautuhi i te pūtake o te mate, kia whiwhi ai hoki i te maimoatanga tika. Kaua e whakawhirinaki ki ngā mea katoa e pānuihia ana e koe i runga i te ipurangi.
- He maha ngā momo maimoatanga, tae atu ki te whakaora whanonga, te tohutohu, me te rongoā mēnā e tika ana. Kōrerohia ēnei ki tō tākuta kia whakatauhia ai te mea pai mōu.
- Kia mau ki te whakaaro pai, kia maia hoki.Mā te āwhina tika, ka taea e koe te wikitoria i tēnei āhuatanga, ā, ka koa ki te oranga moepuku harikoa, whai hua hoki.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha ngā maimoatanga matua mō te putanga wawe o te ihu?
Ka taea e ngā tākuta te tohu rongoā motuhake (hei tauira, dapoxetine) hei āwhina i te whakahaere i tēnei āhuatanga. Hei tāpiri, ko ngā maimoatanga ā-kiri pērā i ngā rehu whakaroa, ngā kirimi rānei, me te tohutohu ngaio, ka tino whai hua ki te whakahaere i te ejaculation wawe.
💬 He aha ngā mahi whakakori tinana ka taea e au te mahi i te kāinga hei āwhina?
Ae, he tino āwhina ngā mahi Kegel, e whakapakari ana i ngā uaua o te papa hope. Mā te mahi i ēnei mō ētahi meneti i ia rā ka āwhina nui ki te whakapai ake i tō mana whakahaere i te wā e puta ai te ihu.
💬 He aha te tino take o tēnei mate?
Ahakoa ka pāngia ētahi tāngata e tēnei raruraru mō te wā roa, mō te tini, ka puta ohorere mai i ngā āhuatanga pēnei i te ahotea, ngā raruraru whanaungatanga, te manukanuka mahi rānei.
