Saurin inzali na gado ne? Na tun asali da wanda ya zo daga baya, da nauʼoʼi 4
An lissafa nazarce-nazarce da majiyoyin da muka yi amfani da su a ƙarshe. Likita bai duba ba. Manufar edita
Haka yake tun farko, ko ya fara a wani lokaci? Lokacin da saurin inzali ya fara yana canza yadda za a kalle shi da wanda za ka yi magana da shi. Ga abin da bincike ya ce game da yadda ake haihuwa da shi.
Akwai manyan nauʼoʼi biyu na saurin inzali: na tun asali, wanda ke nan tun farko kuma galibi yana da alaƙa da halittar jiki, da wanda ya zo daga baya, wanda ya fara daga baya kuma yawanci yana da dalili na baya. Wani nazarin tagwaye ya gano cewa kwayoyin halitta suna bayyana kusan kashi 28% na bambancin da ke tsakanin maza; sauran ya fito ne daga gogewa da muhalli. A wani babban bincike, nauʼin da ya fi yawa a mazan da suka ce suna gamawa da wuri shi ne mai canzawa, wanda ke faruwa wani lokaci kawai.
Abubuwan ciki
Na haihuwa ko wanda ya zo daga baya: wanne ya fi yawa?
Amsar gaskiya ita ce ya dangana da mutum. Ƙungiyar Ƙasa da Ƙasa ta Likitancin Jimaʼi (ISSM) ta raba saurin inzali zuwa nauʼi biyu bisa ga lokacin da ya fara:
- Na tun asali: tun farkon jimaʼinka, fitar maniyyi tana zuwa cikin kusan minti ɗaya kusan kowane lokaci. Ana ganin halittar jikinka tana taka rawa.
- Wanda ya zo daga baya: a da komai lafiya, amma a wani lokaci fitar maniyyi ta fara zuwa cikin kusan minti 3. Ya fi alaƙa da wani abu da ya zo daga baya, kamar matsalar tashin azzakari, wata cuta ko damuwa.
Wani bincike ya duba yawan kowane nauʼi a zahiri.
- Sakamako
- Na tun asali 2.3%, wanda ya zo daga baya 3.9%, mai canzawa (wani lokaci kawai) 8.5%, na tunani (lokaci bai gajarta ba, amma yana damunsu) 5.1%
- Abin lura
- Bincike ne a Turkiyya; yawan bazai zama iri ɗaya ga maza a wasu wurare ba
Don haka maza da yawa da ke jin suna "da sauri" ba su da nauʼin tun asali na haihuwa. Lokacinsu yana canzawa bisa ga yanayi.
Yaya muhimmancin kwayoyin halitta?
- Hanya
- An kwatanta tagwaye masu kama ɗaya da marasa kama ɗaya bisa amsoshinsu na tambayoyi game da lokacin fitar maniyyi da jin iko
- Sakamako
- Kusan kashi 28% na bambancin da ke tsakanin maza a halin saurin inzali za a iya bayyana shi da kwayoyin halitta
- Abin lura
- Amsoshin tambayoyi ne, ba gano cuta da likita ya yi ba
Kusan kashi 28% ba yana nufin "kashi 30% na saurin inzali na gado ne" ba. Yana nufin cewa a cikin bambancin da ke tsakanin maza, kusan wannan rabo ne kwayoyin halitta za su iya bayyanawa. Sauran kusan kashi 70% ya dangana da gogewa, muhalli da yanayin jikinka a lokacin.
Wani nazari a Netherlands ya duba wata kwayar halitta da ke da alaƙa da serotonin, wani sinadarin saƙo a ƙwaƙwalwa. A maza 89 masu saurin inzali na tun asali, lokacin fitar maniyyi ya bambanta kusan ninki biyu bisa ga irin kwayar halittar da suke da ita (Janssen da wasu, 2009). Amma maza masu saurin inzali da marasa shi suna da irin kwayoyin halittar a rabo kusan ɗaya. Babu kwayar halitta guda da ke yanke ko kana da saurin inzali.
Yadda ake bambance nauʼoʼi 4
Ka duba wane layi ya fi kama da kai. Jagora ne kawai, ba gano cuta ba.
| Nauʼi | Tun yaushe | Yanayin da aka saba |
|---|---|---|
| Na tun asali | Farkon jimaʼinka | Kusan kullum kusan minti ɗaya bayan shigar azzakari, ko wace ce abokiyar zama kuma ko yaya yanayi yake |
| Wanda ya zo daga baya | Wani lokaci | A da komai lafiya. Wani lokaci yana zuwa tare da raunin tashin azzakari ko rashin jin daɗi lokacin fitsari |
| Mai canzawa | Lokaci-lokaci | Ya fi sauri bayan dogon hutu, da sabuwar abokiyar zama ko lokacin gajiya |
| Na tunani | Babu farawa a fili | Yana ɗaukar minti da dama ko fiye, amma kana jin kana da sauri kuma yana damunka |
Ana ganin nauʼi mai canzawa abu ne da zai iya faruwa ga kowane namiji bisa ga yanayi. Game da na tunani, wasu maza suna samun natsuwa kawai ta sanin cewa matsakaicin lokaci a binciken agogon gudu na ƙasashe biyar ya kai minti 5.4, tare da bambanci mai faɗi sosai.
Dalilan da za a duba idan ya fara daga baya
Saurin inzali da ya zo daga baya yana iya samun wani dalili a ƙasa. Ga waɗanda aka fi ambata:
- Matsalar tashin azzakari: gaggawar gamawa "kafin ya lafa". Idan ba ka da tabbas game da ƙarfin tashin azzakarinka, yana iya dacewa a fara magana game da matsalar tashin azzakari.
- Kumburin prostate: zafi ko rashin jin daɗi lokacin fitsari, ko jin cewa mafitsara ba ta zube gaba ɗaya ba.
- Cutar glandar thyroid: bugun zuciya da sauri, yawan zufa, rage nauyi.
- Damuwa da zamantakewa: lokacin da canjin ya zo daidai da canje-canje a wurin aiki ko tare da abokiyar zamanka.
Abin da za ka iya yi, bisa ga nauʼi
Game da na tun asali, wani nazari a Italiya ya bayar da rahoton cewa maza 33 cikin 40 sun iya sarrafa fitar maniyyi bayan makonni 12 na horon ƙasan ƙugu (Pastore da wasu, 2014; babu rukunin kwatantawa). Likitoci kuma za su iya tattauna zaɓuɓɓuka kamar ƙwayoyin magani.
Game da wanda ya zo daga baya, gano dalilin da ke ƙasa shi ne na farko. Game da mai canzawa da na tunani, gwada dabarar tsayawa-da-ci-gaba da tattaunawa da abokiyar zamanka suna iya taimaka wa wasu maza.
Agogon Kegel na minti 1 kyauta yana ba ka damar gwada tsokokin da ke da hannu a sarrafa fitar maniyyi yanzu.
Lokacin ganin likita
Ka ga likitan mafitsara da lafiyar maza (urologist) ko asibitin lafiyar maza idan ya ƙara sauri farat ɗaya a wani lokaci, idan kuma kana da matsalar tashin azzakari ko rashin jin daɗi lokacin fitsari, ko idan yana ci gaba da damunka. Ko na tun asali ne ko wanda ya zo daga baya yana ɗaya daga cikin abubuwan farko da likita zai so ya sani, don haka yana da amfani ka rubuta lokacin da ya fara da kuma a waɗanne yanayi yake faruwa.
Tambayoyin da ake yawan yi
Ana haihuwa da saurin inzali ne?
Ya dangana. Saurin inzali na tun asali, wanda ke nan tun farkon jimaʼinka, ana ganin yana da alaƙa da halittar jiki da kwayoyin halitta (genes). Saurin inzali da ya zo daga baya, wanda ya fara bayan wani lokaci ba tare da matsala ba, ya fi alaƙa da wani abu da ya zo daga baya, kamar matsalar tashin azzakari, kumburin prostate ko damuwa.
Saurin inzali na gado ne?
Wani nazari na tagwaye maza 1,196 a Finland (Jern da wasu, 2007) ya bayar da rahoton cewa kwayoyin halitta za su iya bayyana kusan kashi 28% na bambancin da ke tsakanin maza a halin saurin inzali. Sauran ya fito ne daga muhalli da gogewa, don haka ba yana nufin ɗa zai sami saurin inzali saboda mahaifinsa yana da shi ba.
Nauʼoʼin saurin inzali nawa ne?
Maʼanar ƙasa da ƙasa tana da biyu: na tun asali da wanda ya zo daga baya. Wasu masu bincike suna ƙara wasu biyu: mai canzawa, wanda yake faruwa wani lokaci kawai, da na tunani, inda lokacin bai gajarta ba amma kana jin haka kuma yana damunka. A wani bincike a Turkiyya (Serefoglu da wasu, 2011), nauʼi mai canzawa ya fi yawa a tsakanin mazan da suka ce suna gamawa da wuri.
Akwai abin da zan iya yi da kaina game da saurin inzali?
Hanyoyin da aka yi nazari a kansu sun haɗa da horon ƙasan ƙugu, motsa jiki mai sa numfashi kamar gudu, da dabarar tsayawa-da-ci-gaba (start-stop). Nazarce-nazarcen ƙanana ne, kuma sakamako ya bambanta daga mutum zuwa mutum. Idan yana ci gaba da damunka, ko ya fara farat ɗaya, ka yi magana da likitan mafitsara da lafiyar maza (urologist) ko likitanka.
Manazarta
- Serefoglu EC, et al. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. J Sex Med. 2014;11(6):1423-1441. repub.eur.nl/pub/74335
- Jern P, et al. Premature and delayed ejaculation: genetic and environmental effects in a population-based sample of Finnish twins. J Sex Med. 2007;4(6):1739-1749. pubmed.ncbi.nlm.nih.gov/17888070/
- Janssen PKC, et al. Serotonin transporter promoter region (5-HTTLPR) polymorphism is associated with the intravaginal ejaculation latency time in Dutch men with lifelong premature ejaculation. J Sex Med. 2009;6(1):276-284. cris.maastrichtuniversity.nl/en/publications/serotonin-trans
- Serefoglu EC, et al. Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med. 2011;8(2):540-548. academic.oup.com/jsm/article/8/2/540/6844383
- Pastore AL, et al. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. Ther Adv Urol. 2014;6(3):83-88. doaj.org/article/aea4980b10dd4dd791f1f3168656deb5