{"id":52585,"date":"2023-10-28T15:19:19","date_gmt":"2023-10-28T08:19:19","guid":{"rendered":"https:\/\/vnras.com\/drug\/?p=52585"},"modified":"2024-05-06T11:07:13","modified_gmt":"2024-05-06T04:07:13","slug":"roi-loan-xuat-tinh-la-gi-nguyen-nhan-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/roi-loan-xuat-tinh-la-gi-nguyen-nhan-chan-doan-va-dieu-tri\/","title":{"rendered":"R\u1ed1i lo\u1ea1n xu\u1ea5t tinh l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

$\"R\u1ed1i$ <\/a>

R\u1ed1i lo\u1ea1n xu\u1ea5t tinh v\u00e0 c\u1ef1c kho\u00e1i<\/figcaption><\/figure>\n

Xu\u1ea5t t\u1ec9nh l\u00e0 s\u1ef1 ph\u00f3ng th\u00edch tinh d\u1ecbch t\u1eeb d\u01b0\u01a1ng v\u1eadt sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i t\u00ecnh d\u1ee5c. Xu\u1ea5t tinh s\u1edbm (Premature Ejaculation) \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t tinh x\u1ea3y ra khi ch\u1ec9 v\u1edbi m\u1ed9t k\u00edch th\u00edch t\u00ecnh d\u1ee5c r\u1ea5t nh\u1ecf<\/b><\/p>\n

T\u1ea3i b\u1ea3n PDF T\u1ea1i \u0110\u00e2y<\/a><\/span><\/p>\n

Ngu\u1ed3n: S\u00e1ch \u0110\u1ea1i c\u01b0\u01a1ng s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c – Ch\u01b0\u01a1ng 3: R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam<\/span><\/p>\n

R\u1ed1i lo\u1ea1n xu\u1ea5t tinh v\u00e0 c\u1ef1c kho\u00e1i<\/span><\/p>\n

Nh\u00e0 xu\u1ea5t b\u1ea3n Y h\u1ecdc<\/span><\/p>\n

Ch\u1ee7 bi\u00ean: PGS.TS.BS. L\u00ea Minh T\u00e2m<\/span><\/p>\n

Bi\u00ean so\u1ea1n<\/span><\/p>\n

PGS.TS.BS. T\u00f4n N\u1eef V\u00e2n Anh<\/span><\/p>\n

ThS.BS. H\u1ed3 Tr\u1ea7n Tu\u1ea5n H\u00f9ng<\/span><\/p>\n

ThS.BS. Nguy\u1ec5n \u0110\u1eafc Nguy\u00ean<\/span><\/p>\n

ThS.BS. Tr\u1ea7n Th\u1ecb Nh\u01b0 Qu\u1ef3nh<\/span><\/p>\n

C\u00c1C KH\u00c1I NI\u1ec6M<\/span><\/h2>\n
Xu\u1ea5t t\u1ec9nh l\u00e0 s\u1ef1 ph\u00f3ng th\u00edch tinh d\u1ecbch t\u1eeb d\u01b0\u01a1ng v\u1eadt sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i t\u00ecnh d\u1ee5c:<\/span><\/p>\n
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Khi m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng \u0111\u01b0\u1ee3c k\u00edch th\u00edch t\u00ecnh d\u1ee5c, n\u00e3o s\u1ebd g\u1eedi t\u00edn hi\u1ec7u \u0111\u1ebfn v\u00f9ng sinh d\u1ee5c th\u00f4ng qua c\u00e1c d\u00e2y th\u1ea7n kinh trong t\u1ee7y s\u1ed1ng \u0111\u1ec3 l\u00e0m c\u00e1c c\u01a1 v\u00f9ng ch\u1eadu co th\u1eaft.<\/span><\/li>\n
Khi qu\u00e1 tr\u00ecnh n\u00e0y b\u1eaft \u0111\u1ea7u, nh\u1eefng \u0111\u1ee3t co th\u1eaft c\u1ee7a c\u01a1 l\u00e0m t\u1ec9nh tr\u00f9ng di chuy\u1ec3n, v\u1edbi m\u1ed9t l\u01b0\u1ee3ng d\u1ecbch nh\u1ecf, t\u1eeb t\u1ec9nh ho\u00e0n ra c\u00e1c \u1ed1ng d\u1eabn tinh. T\u00fai t\u1ec9nh v\u00e0 tuy\u1ebfn ti\u1ec1n li\u1ec7t ti\u1ebft th\u00eam ch\u1ea5t d\u1ecbch \u0111\u1ec3 b\u1ea3o v\u1ec7 t\u00ednh tr\u00f9ng.<\/span><\/li>\n
H\u1ed7n h\u1ee3p d\u1ecbch v\u00e0 t\u1ec9nh tr\u00f9ng (tinh d\u1ecbch) \u0111i d\u1ecdc theo ni\u1ec7u \u0111\u1ea1o t\u1edbi \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt, n\u01a1i n\u00f3 \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch (xu\u1ea5t t\u1ec9nh) khi \u0111\u1ea1t cao tr\u00e0o t\u00ecnh d\u1ee5c (c\u1ef1c kho\u00e1i).<\/span><\/li>\n
S\u1ef1 di truy\u1ec1n thu\u1eadn chi\u1ec1u c\u1ee7a t\u1ec9nh tr\u00f9ng qua h\u1ec7 th\u1ed1ng \u1ed1ng sinh d\u1ee5c nam v\u00e0 cu\u1ed1i c\u00f9ng ra ngo\u00e0i ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc l\u00e0 m\u1ed9t trong nh\u1eefng qu\u00e1 tr\u00ecnh sinh h\u1ecdc c\u01a1 b\u1ea3n v\u00e0 thi\u1ebft y\u1ebfu nh\u1ea5t \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh sinh s\u1ea3n c\u1ee7a nam gi\u1edbi.<\/span><\/li>\n
C\u00e1c r\u1ed1i lo\u1ea1n l\u00e0m suy gi\u1ea3m kh\u1ea3 n\u0103ng xu\u1ea5t tinh d\u1ecbch \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i ch\u1ee9ng l\u00e0 ch\u1ee9ng r\u1ed1i lo\u1ea1n c\u1ef1c kho\u00e1i ho\u1eb7c r\u1ed1i lo\u1ea1n xu\u1ea5t tinh, c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c ho\u1eb7c kh\u00f4ng xu\u1ea5t t\u1ec9nh:<\/span><\/li>\n
Kh\u00f4ng \u0111\u1ea1t c\u1ef1c kho\u00e1i (Anorgasmia) \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u00e1i c\u1ea3m cao tr\u00e0o trong ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c.<\/span><\/li>\n
Xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng (Retrograde Ejaculation) l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c v\u00e0o b\u00e0ng quang v\u00e0 v\u00ec v\u1eady c\u00f3 hi\u1ec7n di\u1ec7n t\u1ec9nh tr\u00f9ng trong n\u01b0\u1edbc ti\u1ec3u sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i.<\/span><\/li>\n
Kh\u00f4ng xu\u1ea5t tinh (Anejaculation) \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng xu\u1ea5t t\u1ec9nh, c\u1ea3 ng\u01b0\u1ee3c ho\u1eb7c xu\u00f4i, m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i.<\/span><\/li>\n
\u00a0Kh\u00f4ng \u0111\u1ea1t c\u1ef1c kho\u00e1i, xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c v\u00e0 kh\u00f4ng xu\u1ea5t t\u1ec9nh l\u00e0 nh\u1eefng r\u1ed1i lo\u1ea1n sinh l\u00fd b\u1ec7nh kh\u00e1c bi\u1ec7t nhau, c\u1ea7n c\u00f3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3.<\/span><\/li>\n<\/ul>\n
XU\u1ea4T TINH S\u1edaM<\/span><\/h2>\n
\u0110\u1ecbnh ngh\u0129a<\/span><\/h3>\n
Xu\u1ea5t tinh s\u1edbm (Premature Ejaculation)<\/b> \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t tinh x\u1ea3y ra khi ch\u1ec9 v\u1edbi m\u1ed9t k\u00edch th\u00edch t\u00ecnh d\u1ee5c r\u1ea5t nh\u1ecf. V\u00e0o th\u1eddi \u0111i\u1ec3m tr\u01b0\u1edbc, trong hay sau khi \u0111\u01b0a \u0111\u01b0\u1ee3c d\u01b0\u01a1ng v\u1eadt v\u00e0o \u00e2m \u0111\u1ea1o c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef th\u00ec xu\u1ea5t hi\u1ec7n xu\u1ea5t t\u1ec9nh trong th\u1eddi gian r\u1ea5t ng\u1eafn v\u00e0 ch\u01b0a \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u1ecfa m\u00e3n v\u1ec1 t\u00ecnh d\u1ee5c.<\/span><\/p>\n
Khi nghi\u00ean c\u1ee9u v\u1ec1 xu\u1ea5t t\u00ednh s\u1edbm, m\u1ed9t \u0111i\u1ec3m m\u00f3c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng l\u00e0 th\u1eddi gian ch\u1edd xu\u1ea5t t\u1ec9nh trong \u00e2m \u0111\u1ea1o (Intravaginal Ejaculatory Latency Time – IELT,hay IVELT). IELT \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u1eeb th\u1eddi \u0111i\u1ec3m \u0111\u1ea7u ti\u00ean x\u00e2m nh\u1eadp v\u00e0o \u00e2m \u0111\u1ea1o \u0111\u1ebfn kh\u00ed xu\u1ea5t t\u1ec9nh v\u00e0 \u0111\u1ea1t c\u1ef1c kho\u00e1i. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p ch\u01b0a c\u00f3 b\u1ea1n t\u00ecnh, IELT kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 m\u00f4 t\u1ea3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c. M\u1eb7t kh\u00e1c, xu\u1ea5t tinh s\u1edbm c\u0169ng ph\u1ed5 bi\u1ebfn ngay c\u1ea3 \u1edf nam gi\u1edbi c\u00f3 IELT b\u00ecnh th\u01b0\u1eddng. Do \u0111\u00f3, kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7y \u0111\u1ee7 xu\u1ea5t t\u1ec9nh s\u1edbm d\u1ef1a v\u00e0o m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u01a1n \u0111\u1ed9c, m\u00e0 ph\u1ea3i bao g\u1ed3m nhi\u1ec1u y\u1ebfu t\u1ed1.<\/span><\/p>\n
Hi\u1ec7p h\u1ed9i Y h\u1ecdc T\u00ecnh d\u1ee5c Qu\u1ed1c t\u1ebf (The International Society for Sexual Medicine – ISSM) l\u1ea7n \u0111\u1ea7u ti\u00ean h\u1ecdp nh\u00f3m chuy\u00ean gia v\u00e0o n\u0103m 2007 \u0111\u1ec3 xem x\u00e9t c\u00e1c t\u00e0i li\u1ec7u y khoa hi\u1ec7n t\u1ea1i v\u00e0 \u0111\u01b0a ra \u0111\u1ecbnh ngh\u0129a ch\u1ee9c n\u0103ng cho xu\u1ea5t t\u1ec9nh s\u1edbm. H\u1ed9i th\u1ea3o x\u00e1c \u0111\u1ecbnh xu\u1ea5t t\u00ecnh s\u1edbm c\u00f3 ba th\u00e0nh ph\u1ea7n:<\/span><\/p>\n
(1) Lu\u00f4n lu\u00f4n ho\u1eb7c g\u1ea7n nh\u01b0 lu\u00f4n lu\u00f4n x\u1ea3y ra xu\u1ea5t t\u1ec9nh tr\u01b0\u1edbc ho\u1eb7c trong kho\u1ea3ng I ph\u00fat sau khi x\u00e2m nh\u1eadp \u00e2m d\u1ea1o.<\/span><\/p>\n
(2) Kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng tr\u00ec ho\u00e3n xu\u1ea5t tinh trong t\u1ea5t c\u1ea3 ho\u1eb7c g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c l\u1ea7n x\u00e2m nh\u1eadp \u00e2m \u0111\u1ea1o<\/span><\/p>\n
(3) G\u00e2y h\u1eadu qu\u1ea3 ti\u00eau c\u1ef1c cho b\u1ea3n th\u00e2n nh\u01b0: stress, phi\u1ec1n mu\u1ed9n, th\u1ea5t v\u1ecdng v\u00e0\/ho\u1eb7c l\u00e3ng tr\u00e1nh th\u00e2n m\u1eadt t\u00ecnh d\u1ee5c.<\/span><\/p>\n
Trong l\u1ea7n t\u00e1i b\u1ea3n th\u1ee9 5 g\u1ea7n \u0111\u00e2y c\u1ee7a C\u1ea9m nang Ch\u1ea9n \u0111o\u00e1n v\u00e0 Th\u1ed1ng k\u00ea R\u1ed1i lo\u1ea1n T\u00e2m th\u1ea7n (the Diagnostic and Statistical Manual of Mental Disorders, DSM-V) \u0111\u01b0a ra \u0111\u1ecbnh ngh\u0129a xu\u1ea5t t\u1ec9nh s\u1edbm ph\u00f9 h\u1ee3p h\u01a1n v\u1edbi \u0111\u1ecbnh ngh\u0129a c\u1ee7a ]SSM:<\/span><\/p>\n
(1) Xu\u1ea5t t\u1ec9nh li\u00ean t\u1ee5c ho\u1eb7c t\u00e1i ph\u00e1t trong ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c v\u1edbi b\u1ea1n t\u00ecnh trong v\u00f2ng kho\u1ea3ng I ph\u00fat sau khi x\u00e2m nh\u1eadp \u00e2m \u0111\u1ea1o v\u00e0 x\u1ea3y ra tr\u01b0\u1edbc mong mu\u1ed1n c\u1ee7a b\u1ea3n th\u00e2n;<\/span><\/p>\n
(2) K\u00e9o d\u00e0i \u00edt nh\u1ea5t 6 th\u00e1ng v\u00e0 xu\u1ea5t hi\u1ec7n trong h\u1ea7u h\u1ebft ho\u1eb7c t\u1ea5t c\u1ea3 c\u00e1c l\u1ea7n quan h\u1ec7;<\/span><\/p>\n
(3) G\u00e2y bu\u1ed3n phi\u1ec1n \u0111\u00e1ng k\u1ebf cho b\u1ea3n nh\u00e2n.<\/span><\/p>\n
(4) Kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c b\u1ea3ng ch\u1ee9ng do r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n ngo\u00e0i t\u00ecnh d\u1ee5c, ho\u1eb7c l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a m\u1ed9t m\u1ed1i quan h\u1ec7 \u0111au kh\u00f3 nghi\u00eam tr\u1ecdng, ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y stress \u0111\u00e1ng k\u1ec3 kh\u00e1c v\u00e0 kh\u00f4ng ph\u1ea3i do t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c ho\u1eb7c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd kh\u00e1c.<\/span><\/p>\n
Theo WHO-ICD 10 \u0111\u1ecbnh ngh\u0129a: xu\u1ea5t t\u1ec9nh s\u1edbm l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng th\u1ec3 k\u00ecm h\u00e3m \u0111\u01b0\u1ee3c xu\u1ea5t tinh \u0111\u1ee7 \u0111\u1ec3 quan h\u1ec7 t\u00ecnh d\u1ee5c, bi\u1ec3u hi\u1ec7n b\u1eb1ng c\u00e1c t\u00ecnh hu\u1ed1ng nh\u01b0:<\/span><\/p>\n
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(1) Xu\u1ea5t t\u1ec9nh r\u1ea5t s\u1edbm tr\u01b0\u1edbc khi ho\u1eb7c ngay sau khi \u0111\u01b0a d\u01b0\u01a1ng v\u1eadt v\u00e0o \u00e2m \u0111\u1ea1o (trong v\u00f2ng kho\u1ea3ng 15 gi\u00e2y tr\u01b0\u1edbc v\u00e0 khi b\u1eaft \u0111\u1ea7u \u0111\u01b0a d\u01b0\u01a1ng v\u1eadt v\u00e0o \u00e2m \u0111\u1ea1o).<\/span><\/li>\n
(2) Xu\u1ea5t t\u1ec9nh s\u1edbm tr\u01b0\u1edbc khi d\u01b0\u01a1ng v\u1eadt \u0111\u1ee7 c\u01b0\u01a1ng c\u1ee9ng.<\/span><\/li>\n<\/ul>\n
T\u1ea7n su\u1ea5t<\/span><\/h3>\n
Theo nghi\u00ean c\u1ee9u c\u1ee7a Lindau ST t\u1ea1i M\u1ef9 (2007): t\u1ea7n su\u1ea5t xu\u1ea5t t\u1ec9nh s\u1edbm \u1edf nam gi\u1edbi kho\u1ea3ng 27%. Kh\u1ea3o s\u00e1t t\u1ea1i ch\u00e2u \u00c1 – Th\u00e1i B\u00ecnh D\u01b0\u01a1ng 03\/2009- 04\/2009: t\u1ea7n su\u1ea5t xu\u1ea5t t\u1ec9nh s\u1edbm kho\u1ea3ng 20%.<\/span><\/p>\n
T\u1ea1i Vi\u1ec7t Nam, t\u1ea7n su\u1ea5t xu\u1ea5t t\u1ec9nh s\u1edbm l\u00e0 14,38%. Trong \u0111\u00f3, t\u1ea7n su\u1ea5t xu\u1ea5t t\u1ec9nh s\u1edbm nguy\u00ean ph\u00e1t l\u00e0 6,29%; t\u1ea7n su\u1ea5t xu\u1ea5t t\u1ec9nh s\u1edbm th\u1ee9 ph\u00e1t (c\u00f3 k\u00e8m r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng…) l\u00e0 8,09%.<\/span><\/p>\n
Th\u1eddi gian xu\u1ea5t t\u1ec9nh trung b\u00ecnh: 5,4 ph\u00fat v\u00e0 90% s\u1ed1 nam gi\u1edbi xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t c\u00f3 th\u1eddi gian xu\u1ea5t t\u1ec9nh trong v\u00f2ng 90 gi\u00e2y.<\/span><\/p>\n
T\u1ea7n su\u1ea5t xu\u1ea5t t\u00ednh s\u1edbm \u1edf nam gi\u1edbi n\u00f3i chung kho\u1ea3ng 20-30%. T\u1ef7 l\u1ec7 cao nh\u1ea5t \u1edf nam gi\u1edbi t\u1eeb 18-59 tu\u1ed5i l\u00e0 31%.<\/span><\/p>\n
Nguy\u00ean nh\u00e2n<\/span><\/h3>\n
Y\u1ebfu t\u1ed1 t\u00e2m l\u00fd<\/b><\/p>\n
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C\u0103ng th\u1eb3ng trong cu\u1ed9c s\u1ed1ng hay c\u0103ng th\u1eb3ng trong ch\u00ednh quan h\u1ec7 v\u1edbi ph\u1ee5 n\u1eef, lo s\u1ee3 th\u1ea5t b\u1ea1i lu\u00f4n \u0111\u00e8 n\u1eb7ng trong \u0111\u1ea7u \u00f3c c\u1ee7a nam gi\u1edbi, khi\u1ebfn h\u1ecd kh\u00f4ng t\u1ef1 ch\u1ee7 c\u0169ng nh\u01b0 ch\u1ee7 \u0111\u1ed9ng tr\u00ec ho\u00e3n vi\u1ec7c xu\u1ea5t tinh.<\/span><\/li>\n
C\u00e0ng v\u1ec1 l\u00e2u d\u00e0i, nh\u1eefng \u00e1p l\u1ef1c kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ea3i t\u1ecfa, t\u00ecnh tr\u1ea1ng xu\u1ea5t tinh s\u1edbm c\u00e0ng th\u01b0\u1eddng xuy\u00ean.<\/span><\/li>\n<\/ul>\n
B\u1ec7nh l\u00fd<\/b><\/p>\n
\n
\u00a0Kho\u1ea3ng 10% d\u00e0n \u00f4ng xu\u1ea5t t\u1ec9nh s\u1edbm l\u00e0 do \u0111ang m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam ni\u1ec7u \u0111\u1ea1o, vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 c\u00e1c b\u1ec7nh vi\u00eam nhi\u1ec5m \u1edf b\u1ed9 ph\u1eadn sinh d\u1ee5c,… \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn trung t\u00e2m ph\u1ea3n x\u1ea1 t\u1ee7y s\u1ed1ng, g\u00e2y ra xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n
\u00a0Ngo\u00e0i ra, 85% nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh tim m\u1ea1ch th\u01b0\u1eddng g\u1eb7p tri\u1ec7u ch\u1ee9ng xu\u1ea5t tinh s\u1edbm. Th\u1ec3 ch\u1ea5t y\u1ebfu, c\u01a1 th\u1ec3 m\u1ec7t m\u1ecfi, ng\u1ee7 kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7,… c\u0169ng c\u00f3 th\u1ebf d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y.<\/span><\/li>\n<\/ul>\n
Ch\u1ea9n \u0111o\u00e1n<\/span><\/h3>\n
Xu\u1ea5t t\u1ec9nh s\u1edbm hi\u1ec7n \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh hai lo\u1ea1i l\u00e0 xu\u1ea5t t\u1ec9nh s\u1edbm nguy\u00ean ph\u00e1t v\u00e0 xu\u1ea5t t\u00ednh s\u1edbm th\u1ee9 ph\u00e1t:<\/span><\/p>\n
\n
\u00a0Xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t l\u00e0 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a bao gi\u1edd ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c s\u1ef1 xu\u1ea5t t\u1ec9nh ngay t\u1eeb l\u00fac b\u1eaft \u0111\u1ea7u \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c.<\/span><\/li>\n
Xu\u1ea5t tinh s\u1edbm th\u1ee9 ph\u00e1t l\u00e0 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh v\u1eabn th\u1ecfa m\u00e3n trong \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c tr\u01b0\u1edbc \u0111\u00f3, v\u00e0 b\u1ec7nh ch\u1ec9 m\u1edbi bi\u1ec3u hi\u1ec7n g\u1ea7n \u0111\u00e2y.<\/span><\/li>\n<\/ul>\n
Ch\u1ea9n \u0111o\u00e1n xu\u1ea5t t\u1ec9nh s\u1edbm d\u1ef1a tr\u00ean c\u00e1c ti\u00eau chu\u1ea9n:<\/b><\/p>\n
\n
B\u1ec7nh nh\u00e2n lu\u00f4n c\u00f3 kh\u1ea3 n\u0103ng xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n
Trong qu\u00e1 tr\u00ecnh giao h\u1ee3p, b\u1ec7nh nh\u00e2n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c s\u1ef1 xu\u1ea5t t\u1ec9nh c\u1ee7a m\u00ecnh.<\/span><\/li>\n
B\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i \u00e1p l\u1ef1c t\u00e2m l\u00fd trong \u0111\u1eddi s\u1ed1ng v\u1ee3 ch\u1ed3ng.<\/span><\/li>\n
Khi ch\u1ea7n \u0111o\u00e1n xu\u1ea5t t\u1ec9nh s\u1edbm, c\u1ea7n ch\u00fa \u00fd nh\u1eefng y\u1ebfu t\u1ed1 sau:<\/span><\/li>\n
\u0110\u1ea1t kho\u00e1i c\u1ea3m mu\u1ed9n \u1edf b\u1ea1n t\u00ecnh n\u1eef.<\/span><\/li>\n
T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c thu\u1ed1c h\u01b0\u1edbng th\u1ea7n.<\/span><\/li>\n
T\u00ecnh tr\u1ea1ng d\u1ecbch ti\u1ebft ni\u1ec7u \u0111\u1ea1o tr\u01b0\u1edbc khi quan h\u1ec7.<\/span><\/li>\n
R\u1ed1i Lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng.<\/span><\/li>\n<\/ul>\n
H\u1ecfi b\u1ec7nh<\/b><\/p>\n
Ch\u1ea7n \u0111o\u00e1n xu\u1ea5t t\u1ec9nh s\u1edbm ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o h\u1ecfi b\u1ec7nh.<\/span><\/p>\n
\n
C\u00e2u h\u1ecfi \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n:<\/span><\/li>\n<\/ul>\n
\n
Th\u1eddi gian xu\u1ea5t t\u00ednh l\u00e0 bao l\u00e2u? Th\u1eddi gian xu\u1ea5t t\u1ec9nh (Intravaginal Ejaculation Latency Time- IELT) th\u1eddi gian t\u00ednh t\u1eeb l\u00fac \u0111\u01b0a d\u01b0\u01a1ng v\u1eadt v\u00e0o \u00e2m \u0111\u1ea1o cho t\u1edbi khi xu\u1ea5t tinh.<\/span><\/li>\n
C\u00f3 th\u1ec3 tr\u00ec ho\u00e3n xu\u1ea5t t\u1ec9nh \u0111\u01b0\u1ee3c kh\u00f4ng?<\/span><\/li>\n
C\u00f3 c\u1ea3m th\u1ea5y h\u1ee5t h\u1eabng do xu\u1ea5t t\u1ec9nh s\u1edbm kh\u00f4ng?<\/span><\/li>\n<\/ol>\n
\n
C\u00e2u h\u1ecfi \u0111\u1ec3 ph\u00e2n bi\u1ec7t xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t hay th\u1ee9 ph\u00e1t: anh c\u00f3 b\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm ngay t\u1eeb l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ea7u ti\u00ean v\u00e0 trong m\u1ecdi l\u1ea7n (ho\u1eb7c h\u1ea7u nh\u01b0 m\u1ecdi l\u1ea7n) quan h\u1ec7 t\u00ecnh d\u1ee5c v\u1edbi m\u1ecdi b\u1ea1n t\u00ecnh hay l\u00e0 tr\u01b0\u1edbc \u0111\u00e2y xu\u1ea5t t\u1ec9nh b\u00ecnh th\u01b0\u1eddng, g\u1ea7n \u0111\u00e2y m\u1edbi b\u1ecb tr\u1ee5c tr\u1eb7c?<\/span><\/li>\n<\/ul>\n
S\u1eed d\u1ee5ng B\u1ea3ng c\u00e2u h\u1ecfi PEDT (Premature Ejaculation Diagnostic tool) nh\u01b0 m\u1ed9t c\u00f4ng c\u1ee5 ch\u1eafn <\/span>\u0111o\u00e1n xu\u1ea5t t\u00ednh s\u1edbm:<\/span><\/p>\n
$\"H\u00ecnh$ <\/a>
H\u00ecnh 15.1. B\u1ea3ng c\u00e2u h\u1ecfi PEDT<\/figcaption><\/figure>\n
\u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3: \u0111i\u1ec3m PEDT \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng c\u00e1ch c\u1ed9ng \u0111i\u1ec3m t\u1ea5t c\u1ea3 5 c\u00e2u h\u1ecfi:<\/span><\/p>\n
\n
T\u1ed5ng \u0111i\u1ec3m < 8: kh\u00f4ng b\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n
\u00a0T\u1ed5ng \u0111i\u1ec3m: 9 ho\u1eb7c 10: c\u00f3 th\u1ebf \u0111ang b\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n
T\u1ed5ng \u0111i\u1ec3m > 11 \u0111i\u1ec3m: ch\u1eafc ch\u1eafn b\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n<\/ul>\n
Kh\u00e1m l\u00e2m s\u00e0ng<\/b><\/p>\n
Kh\u00e1m l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 c\u0103n nguy\u00ean sinh b\u1ec7nh, g\u1ed3m c\u00f3:<\/span><\/p>\n
\n
Kh\u00e1m th\u1ef1c th\u1ec3: kh\u00e1m b\u1ed9 ph\u1eadn sinh d\u1ee5c v\u00e0 tuy\u1ebfn ti\u1ec1n li\u1ec7t (cong d\u01b0\u01a1ng v\u1eadt, vi\u00eam nhi\u1ec5m c\u01a1 quan sinh d\u1ee5c…).<\/span><\/li>\n
Kh\u00e1m to\u00e0n th\u00e2n: b\u1ec7nh tim m\u1ea1ch, r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1, b\u1ec7nh t\u00e2m – th\u1ea7n kinh, v.v.<\/span><\/li>\n<\/ul>\n
C\u1eadn l\u00e2m s\u00e0ng<\/b><\/p>\n
\n
\u1ede nam gi\u1edbi ch\u1ec9 b\u1ecb xu\u1ea5t t\u00ecnh s\u1edbm v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c, th\u00ec th\u01b0\u1eddng kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ebfn c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u ho\u1eb7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb.\u00a0<\/span><\/li>\n
X\u00e9t nghi\u1ec7m testosterone huy\u1ebft thanh (to\u00e0n ph\u1ea7n v\u00e0 t\u1ef1 do) v\u00e0 prolactin c\u00f3 th\u1ebf c\u1ea7n thi\u1ebft trong tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t tinh s\u1edbm c\u00f3 k\u00e8m r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng.<\/span><\/li>\n
N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 k\u00e8m tr\u1ea7m c\u1ea3m ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c t\u01b0\u01a1ng t\u1ef1, th\u00ec c\u1ea7n thi\u1ebft ph\u1ea3i c\u00f3 nh\u1eefng \u0111\u00e1nh gi\u00e1 chuy\u00ean bi\u1ec7t \u0111\u1ed1i v\u1edbi tr\u1ea7m c\u1ea3m c\u0169ng nh\u01b0 c\u00e1c test t\u00e2m l\u00fd th\u00edch h\u1ee3p.<\/span><\/li>\n<\/ul>\n
\u0110i\u1ec1u tr\u1ecb<\/span><\/h3>\n
\n
Ph\u1ea3u thu\u1eadt: kh\u00f4ng khuy\u1ebfn c\u00e1o trong di\u1ec1u tr\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/li>\n
T\u01b0 V\u1ea5n t\u00e2m l\u00fd, li\u1ec7u ph\u00e1p thay \u0111\u1ed5i h\u00e0nh vi:<\/span><\/li>\n<\/ul>\n
+ C\u00f4ng t\u00e1c t\u01b0 v\u1ea5n bao g\u1ed3m t\u01b0 v\u1ea5n t\u00e2m l\u00fd, t\u01b0 v\u1ea5n v\u1ec1 t\u00ecnh d\u1ee5c, t\u01b0 v\u1ea5n thay \u0111\u1ed5i h\u00e0nh vi… c\u00e1n ph\u1ea3i \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n
+ Trong Tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft c\u1ea7n ph\u1ea3i c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 chuy\u00ean ng\u00e0nh ti\u1ebft ni\u1ec7u v\u00e0 chuy\u00ean gia v\u1ec1 t\u00e2m l\u00fd \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 cao.<\/span><\/p>\n
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C\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c:<\/span><\/li>\n<\/ul>\n
+ T\u01b0 V\u1ea5n v\u1ec1 t\u00ecnh d\u1ee5c bao g\u1ed3m c\u1ea3 nh\u1eefng v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn nh\u1eefng kinh nghi\u1ec7m, nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p nh\u1eb1m gi\u00fap gi\u1ea3m t\u00ecnh tr\u1ea1ng xu\u1ea5t t\u1ec9nh s\u1edbm.<\/span><\/p>\n
+ Ph\u01b0\u01a1ng ph\u00e1p \u201cNg\u1eebng v\u00e0 b\u1eaft \u0111\u1ea7u\u201d (stop-start).<\/span><\/p>\n
+ Ph\u01b0\u01a1ng ph\u00e1p \u201c\u00e9p\u201d.<\/span><\/p>\n
+ S\u1eed d\u1ee5ng bao cao su.<\/span><\/p>\n
+ T\u1eadp luy\u1ec7n s\u00e0n ch\u1eadu: b\u00e0i t\u1eadp Kegel.<\/span><\/p>\n
$\"H\u00ecnh$ <\/a>
H\u00ecnh 15.2. K\u1ef9 thu\u1eadt \u201c\u00e9p\u201d.<\/figcaption><\/figure>\n
Khi s\u1eafp \u0111\u1ea1t c\u1ef1c kho\u00e1i, d\u00f9ng tay t\u1ea1o m\u1ed9t l\u1ef1c \u00e9p m\u1ea1nh v\u00e0o n\u01a1i \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt.<\/span><\/p>\n
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C\u00e1c ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng thu\u1ed1c:<\/span><\/li>\n<\/ul>\n
+ S\u1eed d\u1ee5ng kem l\u00e0m gi\u1ea3m nh\u1ea1y c\u1ea3m \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt.<\/span><\/p>\n
+ C\u00e1c lo\u1ea1i thu\u1ed1c nh\u00f3m \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm. C\u00e1c thu\u1ed1c n\u00e0y g\u1ed3m nh\u1eefng lo\u1ea1i nh\u01b0 sertraline, paroxetine, fluoxetine, citalopram, dapoxetine. Trong \u0111\u00f3 dapoxetine (Priligy) l\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c H\u1ed9i Ti\u1ebft ni\u1ec7u ch\u00e2u \u00c2u khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u00ecnh s\u1edbm.<\/span><\/p>\n
+ Thu\u1ed1c ti\u1ec1m n\u0103ng trong t\u01b0\u01a1ng lai: \u00fd Modafinil (Provigil): \u0111\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ng\u1ee7 r\u0169 do r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7. Silodosin (Rapaflo): thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/span><\/p>\n
\u00a0OnabotulinumtoxinA ( Botox): c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111ang nghi\u00ean c\u1ee9u xem li\u1ec7u ti\u00eam Botox v\u00e0o c\u00e1c c\u01a1 gi\u00fap g\u1ea3y xu\u1ea5t t\u1ec9nh c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u00ednh s\u1edbm hay kh\u00f4ng.<\/span><\/p>\n
XU\u1ea4T TINH NG\u01af\u1ee2C D\u00d2NG<\/span><\/h2>\n
\u0110\u1ecbnh ngh\u0129a<\/span><\/h3>\n
Xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng (Retrograde Ejaculation)<\/b> l\u00e0 t\u00ecnh tr\u1ea1ng tinh d\u1ecbch \u0111i ng\u01b0\u1ee3c v\u00e0o b\u00e0ng quang v\u00ec c\u01a1 \u0111\u00f3ng c\u1ed5 b\u00e0ng quang kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng t\u1ed1t. Khi \u0111\u00f3, s\u1ebd kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 \u00edt tinh d\u1ecbch \u0111\u01b0\u1ee3c ph\u00f3ng ra t\u1eeb d\u01b0\u01a1ng v\u1eadt trong qu\u00e1 tr\u00ecnh xu\u1ea5t t\u00ecnh. N\u01b0\u1edbc ti\u1ec3u \u0111\u1ea7u ti\u00ean sau khi quan h\u1ec7 t\u00ecnh d\u1ee5c s\u1ebd c\u00f3 m\u00e0u \u0111\u1ee5c v\u00ec t\u1ec9nh d\u1ecbch tr\u1ed9n l\u1eabn trong n\u01b0\u1edbc ti\u1ec3u.<\/span><\/p>\n
\u1ede m\u1ed9t s\u1ed1 nam gi\u1edbi, xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra 0,3-2% c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u1ecf sinh. Xu\u1ea5t t\u1ec9nh l\u01b0\u1ee3ng r\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng xu\u1ea5t t\u1ec9nh ra kh\u1ecfi c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng tinh tr\u00f9ng th\u1ee5 tinh v\u1edbi tr\u1ee9ng t\u1eeb th\u00e1p \u0111\u1ebfn kh\u00f4ng.<\/span><\/p>\n
$\"H\u00ecnh$ <\/a>
H\u00ecnh 15.3. Xu\u1ea5t t\u1ec9nh xu\u00f4i d\u00f2ng v\u00e0 ng\u01b0\u1ee3c d\u00f2ng<\/figcaption><\/figure>\n
Nguy\u00ean nh\u00e2n<\/span><\/h3>\n
M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u00f3 th\u1ebf g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1edbi c\u01a1 \u0111\u00f3ng b\u1eb1ng quang trong qu\u00e1 tr\u00ecnh xu\u1ea5t tinh, bao g\u1ed3m:<\/span><\/p>\n
\n
Ph\u1eabu thu\u1eadt c\u1ed5 b\u1eb1ng quang, ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch h\u1ea1ch b\u1ea1ch huy\u1ebft sau ph\u00fac m\u1ea1c cho ung th\u01b0 tinh ho\u00e0n ho\u1eb7c ph\u1eabu thu\u1eadt tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/span><\/li>\n
T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p cao, ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 tr\u1ea7m c\u1ea3m.<\/span><\/li>\n
T\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh do t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd g\u00e2y ra, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng, b\u1ec7nh Parkinson ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng, C\u1ef1c kho\u00e1i kh\u00f4, xu\u1ea5t t\u1ec9nh \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 tinh d\u1ecbch c\u0169ng c\u00f3 th\u1ebf do c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0:<\/span><\/li>\n
Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn ti\u1ec1n li\u1ec7t (c\u1eaft b\u1ecf tuy\u1ebfn ti\u1ec1n li\u1ec7t).<\/span><\/li>\n
Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf b\u00e0ng quang (c\u1eaft u nang).<\/span><\/li>\n
X\u1ea1 tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf v\u00f9ng ch\u1eadu.<\/span><\/li>\n<\/ul>\n
T\u00f9y v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh m\u00e0 t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0 t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/span><\/p>\n
Ch\u1ea9n \u0111o\u00e1n<\/span><\/h3>\n
Xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u01b0\u01a1ng c\u1ee9ng ho\u1eb7c \u0111\u1ea1t c\u1ef1c kho\u00e1i c\u1ee7a nam gi\u1edbi nh\u01b0ng khi \u0111\u1ea1t cao tr\u00e0o, tinh d\u1ecbch s\u1ebd \u0111i v\u00e0o b\u00e0ng quang thay v\u00ec ra kh\u1ecfi d\u01b0\u01a1ng v\u1eadt. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c bao g\u1ed3m:<\/span><\/p>\n
(1) C\u1ef1c kho\u00e1i kh\u00f4 (Dry Orgasm) l\u00e0 tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a xu\u1ea5t t\u00ecnh ng\u01b0\u1ee3c d\u00f2ng, trong \u0111\u00f3 tinh d\u1ecbch kh\u00f4ng xu\u1ea5t ra kh\u1ecfi d\u01b0\u01a1ng v\u1eadt, thay v\u00e0o \u0111\u00f3, n\u00f3 di chuy\u1ec3n ng\u01b0\u1ee3c v\u00e0o b\u00e0ng quang.<\/span><\/p>\n
(2) N\u01b0\u1edbc ti\u1ec3u c\u00f3 m\u00e0u \u0111\u1ee5c sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i v\u00ec n\u00f3 c\u00f3 ch\u1ee9a t\u00ednh d\u1ecbch.<\/span><\/p>\n
C\u1ef1c kho\u00e1i kh\u00f4 – xu\u1ea5t t\u1ec9nh \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 tinh d\u1ecbch – c\u00f3 th\u1ec3 do c\u00e1c t\u00ecnh tr\u1ea1ng v\u00e0 b\u1ec7nh kh\u00e1c g\u00e2y ra, trong \u0111\u00f3 \u0111\u01b0\u1eddng d\u1eb7n t\u1ec9nh b\u1ecb ch\u1eb7n ho\u1eb7c r\u1ed3i lo\u1ea1n. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn ti\u1ec1n li\u1ec7t (prostatectomy), ph\u1ee5 thu\u1eadt c\u1eaft b\u1ecf b\u00e0ng quang (cystectomy), x\u1ea1 tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf v\u00f9ng ch\u1eadu.<\/span><\/p>\n
\u0110i\u1ec1u tr\u1ecb<\/span><\/h3>\n
H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng b\u1ecb xu\u1ea5t tinh ng\u01b0\u1ee3c d\u00f2ng kh\u00f4ng c\u00e1n \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng kh\u00f4ng g\u00e2y ra v\u1ea5n \u0111\u1ec1 g\u00ec nghi\u00eam tr\u1ecdng. Tuy nhi\u00ean, nh\u1eefng ng\u01b0\u1eddi d\u00e0n \u00f4ng b\u1ecb xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng kh\u00f3 c\u00f3 th\u1ec3 c\u00f3 con theo c\u00e1ch t\u1ef1 nhi\u00ean. \u0110i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n thu h\u1ecfi t\u00ednh tr\u00f9ng t\u1eeb n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c \u0111\u1ec3 b\u01a1m v\u00e0o t\u1eed cung ho\u1eb7c th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m.<\/span><\/p>\n
CH\u1eacM XU\u1ea4T TINH<\/span><\/h2>\n
Ch\u1eadm xu\u1ea5t t\u00ednh (Delayed Ejaculation)<\/b> v\u00e0 kh\u00f4ng \u0111\u1ea1t c\u1ef1c kho\u00e1i (Anorgasmia) khi quan h\u1ec7 t\u00ecnh d\u1ee5c l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng xu\u1ea5t t\u1ec9nh theo \u00fd mu\u1ed1n. Do \u0111\u00f3 vi\u1ec7c xu\u1ea5t t\u1ec9nh (v\u00e0 \u0111\u1ea1t c\u1ef1c kho\u00e1i) m\u1ea5t nhi\u1ec1u th\u1eddi gian h\u01a1n so v\u1edbi mong mu\u1ed1n ho\u1eb7c kh\u00f4ng x\u1ea3y ra. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ebf ch\u1ec9 x\u1ea3y ra khi giao h\u1ee3p, ho\u1eb7c trong m\u1ecdi t\u00ecnh hu\u1ed1ng bao g\u1ed3m c\u1ea3 t\u1ef1 k\u00edch th\u00edch (th\u1ee7 d\u00e2m). Kh\u00f4ng xu\u1ea5t t\u1ec9nh l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng kh\u00f4ng xu\u1ea5t t\u1ec9nh sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i. \u201cC\u1ef1c kho\u00e1i\u201d v\u00e0 \u201cxu\u1ea5t tinh\u201d th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng chung nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111\u1ea1t c\u1ef1c kho\u00e1i m\u00e0 kh\u00f4ng xu\u1ea5t t\u1ec9nh.<\/span><\/p>\n
Tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, ch\u1eadm xu\u1ea5t t\u1ec9nh \u1edf nam gi\u1edbi \u00edt \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o h\u01a1n so v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n xu\u1ea5t t\u00ednh kh\u00e1c, v\u1edbi t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc kho\u1ea3ng 1-4%, Tuy nhi\u00ean, xu\u1ea5t t\u1ec9nh ch\u1eadm c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng thi\u1ebfu th\u1ecfa m\u00e3n t\u00ecnh d\u1ee5c cho nam gi\u1edbi v\u00e0 g\u00e2y kh\u00f3 kh\u0103n cho c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi mu\u1ed1n c\u00f3 thai.<\/span><\/p>\n
\u0110\u1ecbnh ngh\u0129a<\/span><\/h3>\n
C\u00f3 hai \u0111\u1ecbnh ngh\u0129a th\u01b0\u1eddng \u0111\u01b0\u1ee3c tr\u00edch d\u00e2n cho ch\u1eadm xu\u1ea5t t\u1ec9nh:<\/span><\/p>\n
(1) Theo C\u1ea9m nang Ch\u1ea9n \u0111o\u00e1n v\u00e0 Th\u1ed1ng k\u00ea R\u1ed1i lo\u1ea1n T\u00e2m th\u1ea7n, phi\u00ean b\u1ea3n th\u1ee9 t\u01b0 (DSM-IV-TR), ch\u1eadm xu\u1ea5t t\u1ec9nh d\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 \u201cs\u1ef1 ch\u1eadm tr\u1ec5 k\u00e9o d\u00e0i ho\u1eb7c kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i \u1edf nam gi\u1edbi sau giai \u0111o\u1ea1n h\u01b0ng ph\u1ea5n khi quan h\u1ec7 t\u00ecnh d\u1ee5c m\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 l\u00e0 ph\u00f9 h\u1ee3p v\u1ec1 m\u1ee9c \u0111\u1ed9 t\u1eadp trung, c\u01b0\u1eddng \u0111\u1ed9 v\u00e0 th\u1eddi l\u01b0\u1ee3ng (t\u00ednh theo tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh\u201d. S\u1ef1 ch\u1eadm tr\u1ec5 n\u00e0y g\u00e2y ra bu\u1ed3n phi\u1ec1n cho ng\u01b0\u1eddi \u0111\u00f3 v\u00e0 kh\u00f4ng th\u1ec3 gi\u1ea3i th\u00edch b\u1eb1ng c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c (t\u00e1c \u0111\u1ed9ng do thu\u1ed1c hay b\u1ec7nh l\u00fd to\u00e0n th\u00e2n n\u00e0o \u0111\u00f3). Nh\u01b0 v\u1eady, c\u00f3 th\u1ebf c\u00f3 xu\u1ea5t t\u1ec9nh ch\u1eadm nguy\u00ean ph\u00e1t (ho\u1eb7c su\u1ed1t \u0111\u1eddi) v\u00e0 xu\u1ea5t t\u00ecnh mu\u1ed9n th\u1ee9 ph\u00e1t (m\u1eafc ph\u1ea3i).<\/span><\/p>\n
(2) Theo T\u1ed5 ch\u1ee9c \u0178 t\u1ebf th\u1ebf gi\u1edbi (WHO) trong l\u1ea7n tham v\u1ea5n th\u1ee9 2 v\u1ec1 R\u1ed1i lo\u1ea1n Ch\u1ee9c n\u0103ng T\u00ecnh d\u1ee5c \u0111\u1ecbnh ngh\u0129a t\u01b0\u01a1ng t\u1ef1, xu\u1ea5t t\u1ec9nh ch\u1eadm l\u00e0 kh\u00f3 kh\u0103n k\u00e9o d\u00e0i ho\u1eb7c t\u00e1i di\u1ec5n, tr\u00ec ho\u00e3n ho\u1eb7c kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i sau khi k\u00edch th\u00edch t\u00ecnh d\u1ee5c \u0111\u1ea7y \u0111\u1ee7, g\u00e2y ra bu\u1ed3n phi\u1ec1n cho c\u00e1 nh\u00e2n<\/span><\/p>\n
Nguy\u00ean nh\u00e2n<\/span><\/h3>\n
Nguy\u00ean nh\u00e2n t\u00e2m l\u00fd<\/b><\/p>\n
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\u00a0Khi quan h\u1ec7 t\u00ecnh d\u1ee5c, nhi\u1ec1u khi nam gi\u1edbi c\u1ea3m th\u1ea5y c\u0103ng th\u1eb3ng v\u00ec lo \u00e2u, kh\u00f4ng mu\u1ed1n b\u1ea1n t\u00ecnh c\u00f3 thai, m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn gi\u1ea3m h\u01b0ng ph\u1ea5n trong quan h\u1ec7 t\u00ecnh d\u1ee5c, khi\u1ebfn cho vi\u1ec7c xu\u1ea5t tinh di\u1ec5n ra r\u1ea5t ch\u1eadm.<\/span><\/li>\n
\u1ee8c ch\u1ebf t\u00e2m sinh l\u00fd l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u00f3i v\u1edbi ch\u1ee9ng xu\u1ea5t t\u1ec9nh ch\u1eadm. Nh\u1eefng ng\u01b0\u1eddi lu\u00f4n mu\u1ed1n m\u1ecdi vi\u1ec7c ph\u1ea3i di\u1ec5n ra th\u1eadt ho\u00e0n h\u1ea3o, k\u1ec3 c\u1ea3 quan h\u1ec7 t\u00ecnh d\u1ee5c. Ch\u00ednh v\u00ec v\u1eady, h\u1ecd coi quan h\u1ec7 t\u00ecnh d\u1ee5c l\u00e0 m\u1ed9t nhi\u1ec7m v\u1ee5 n\u00ean khi th\u1ef1c hi\u1ec7n d\u1ebb n\u1ea3y sinh t\u00e2m l\u00fd \u1ee9c ch\u1ebf.<\/span><\/li>\n
Quan ni\u1ec7m quan h\u1ec7 t\u00ecnh d\u1ee5c l\u00e0 v\u00e1n \u0111\u1ec3 kh\u00f4ng l\u00e0nh m\u1ea1nh, d\u1eabn \u0111\u1ebfn tr\u1edf th\u00e0nh n\u1ed7i hoang mang, lo s\u1ee3…<\/span><\/li>\n
Ch\u1eadm xu\u1ea5t t\u1ec9nh c\u00f3 th\u1ec3 x\u1ea3y ra do nh\u1eefng c\u0103ng th\u1eb3ng trong quan h\u1ec7 v\u1edbi b\u1ea1n t\u00ecnh.<\/span><\/li>\n
Lo l\u1eafng v\u1ec1 kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c.<\/span><\/li>\n<\/ul>\n
Nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd<\/b><\/p>\n
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Do gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m v\u00f9ng d\u01b0\u01a1ng v\u1eadt do t\u1ed5n th\u01b0\u01a1ng m\u1ed9t ph\u1ea7n c\u00e1c nh\u00e1nh th\u1ea7n kinh giao c\u1ea3m chi ph\u1ed1i.<\/span><\/li>\n
Nghi\u1ec7n r\u01b0\u1ee3u, ma t\u00fay l\u00e0m gi\u1ea3m h\u01b0ng ph\u1ea5n t\u00ecnh d\u1ee5c hay do m\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u1ec9nh s\u1edbm d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng xu\u1ea5t t\u00ednh ch\u1eadm.<\/span><\/li>\n
Do d\u1ecb t\u1eadt b\u1ea5m sinh, l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe sinh s\u1ea3n c\u1ee7a nam gi\u1edbi.<\/span><\/li>\n
Tui c\u00e0ng cao th\u00ec ham mu\u1ed1n t\u00ecnh d\u1ee5c c\u0169ng ng\u00e0y c\u00e0ng gi\u1ea3m v\u00e0 g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng xu\u1ea5t t\u1ec9nh ch\u1eadm.<\/span><\/li>\n
C\u00e1c nguy\u00ean nh\u00e2n c\u1ea5u tr\u00fac (hay th\u1ef1c th\u1ec3) bao g\u1ed3m ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng, ph\u1eabu thu\u1eadt h\u1ea1ch b\u1ea1ch huy\u1ebft l\u1edbn, b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh da x\u01a1 c\u1ee9ng v\u00e0 ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng ch\u1eadu l\u00e0m \u1ea3nh h\u01b0\u1edfng c\u00e1c d\u00e2y th\u1ea7n kinh ph\u1ee5 tr\u00e1ch xu\u1ea5t t\u00ecnh.<\/span><\/li>\n<\/ul>\n
Ch\u1ea9n \u0111o\u00e1n<\/span><\/h3>\n
C\u1ea7n kh\u00e1m t\u1ed5ng qu\u00e1t th\u1ebf ch\u1ea5t v\u00e0 khai th\u00e1c ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u1ec3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng xu\u1ea5t t\u1ec9nh ch\u1eadm, bao g\u1ed3m:<\/span><\/p>\n
\n
\u00a0H\u1ecfi b\u1ec7nh: khai th\u00e1c ti\u1ec1n s\u1eed c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa, c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n v\u00e0 ti\u1ec1n s\u1eed t\u00ecnh d\u1ee5c. Khai th\u00e1c k\u1ef9 b\u1ec7nh s\u1eed \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t k\u1ef3 y\u1ebfu t\u1ed1 n\u00e0o g\u00f3p ph\u1ea7n v\u00e0o vi\u1ec7c xu\u1ea5t t\u1ec9nh ch\u1eadm, v\u00e0 c\u00f3 th\u1ebf gi\u00fap \u0111\u1ecbnh h\u01b0\u1edbng k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo.<\/span><\/li>\n
Tri\u1ec7u ch\u1ee9ng: kh\u00f4ng c\u00f3 th\u1eddi gian c\u1ee5 th\u1ec3 \u0111\u1ec1 x\u00e1c \u0111\u1ecbnh c\u00f3 b\u1ecb xu\u1ea5t t\u1ec9nh ch\u1eadm hay kh\u00f4ng. Tuynhi\u00ean, xu\u1ea5t t\u1ec9nh ch\u1eadm c\u00f3 th\u1ebf \u0111\u01b0\u1ee3c ch\u1ea5n \u0111o\u00e1n d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng sau: (1) Khi quan h\u1ec7 t\u00ecnh d\u1ee5c, c\u00e1n m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i (h\u01a1n 30 ph\u00fat) \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i, (2) Kh\u00f4ng th\u1ec3 \u0111\u1ea1t c\u1ef1c kho\u00e1i khi quan h\u1ec7 t\u00ecnh d\u1ee5c, (3) Kh\u00f4ng th\u1ec3 xu\u1ea5t t\u1ec9nh khi quan h\u1ec7.<\/span><\/li>\n
X\u00e9t Nghi\u1ec7m m\u00e1u: ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh (nh\u01b0 t\u00ecm m\u1ea1ch, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng), \u0111\u00e1nh gi\u00e1 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 n\u1ed9i ti\u1ebft t\u1ed1 (n\u00f3ng \u0111\u1ed9 testosterone th\u1ea5p) v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c. C\u1ea7n lo\u1ea1i tr\u1eeb t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u, b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy sinh d\u1ee5c, suy gi\u00e1p, t\u0103ng prolactin m\u00e1u. Khuy\u1ebfn c\u00e1o l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m: c\u00f4ng th\u1ee9c m\u00e1u, bilan lipid, \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i, testosterone bu\u1ed5i s\u00e1ng, TSH v\u00e0 prolactin m\u00e1u.<\/span><\/li>\n
X\u00e9t Nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u (ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u): x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nhi\u1ec5m tr\u00f9ng v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe ti\u1ec1m \u1ea9n kh\u00e1c.<\/span><\/li>\n<\/ul>\n
\u0110i\u1ec1u tr\u1ecb<\/span><\/h3>\n
Vi\u1ec7c thay \u0111\u00f3i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft cho nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng lo l\u1eafng v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u1ee7a thu\u1ed1c. M\u00e1y k\u00edch th\u00edch r\u1ee5ng v\u00e0 k\u00edch th\u00edch \u0111i\u1ec7n l\u00ean d\u01b0\u01a1ng v\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 th\u00fac \u0111\u1ea7y ph\u1ea3n x\u1ea1 xu\u1ea5t t\u1ec9nh \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n
N\u1ebfu kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd, ng\u01b0\u1eddi b\u1ecb ch\u1ee9ng kh\u00f4ng xu\u1ea5t t\u00ecnh c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u01b0 v\u1ea5n l\u00e2u d\u00e0i.<\/span><\/p>\n
C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u1ec9nh ch\u1eadm bao g\u1ed3m:<\/span><\/p>\n
\n
\u00a0Amantadine: thu\u1ed1c \u0111i\u1ec1u tr\u1ecb Parkinson.<\/span><\/li>\n
Buspirone (Buspar): m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ed1ng lo \u00e2u.<\/span><\/li>\n
Cyproheptadine: m\u1ed9t lo\u1ea1i thu\u1ed1c d\u1ecb \u1ee9ng.<\/span><\/li>\n<\/ul>\n
N\u1ed3ng \u0111\u1ed9 testosterone th\u1ea5p c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u00ecnh tr\u1ea1ng xu\u1ea5t t\u00ecnh ch\u1eadm. S\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t b\u1ed5 sung testosterone c\u00f3 th\u1ebf gi\u00fap kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec3 xu\u1ea5t t\u1ec9nh ch\u1eadm.<\/span><\/p>\n
Vi\u1ec7c x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t t\u00ecnh ch\u1eadm \u0111\u00f4i khi th\u00f4ng qua ph\u00e1t hi\u1ec7n m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n. Do \u0111\u00f3 khi b\u1ec7nh l\u00fd n\u00e0y \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m th\u00ec r\u1ed3i lo\u1ea1n xu\u1ea5t t\u1ec9nh ch\u1eadm th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft.<\/span><\/p>\n
$\"H\u00ecnh$ <\/a>
H\u00ecnh 15.4. K\u1ef9 thu\u1eadt k\u00edch th\u00edch \u0111i\u1ec7n cho b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng tu\u1ef7 s\u1ed1ng
A: V\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu c\u1ee7a \u0111i\u1ec7n c\u1ef1c. B: B\u1ed9 ph\u1eadn ph\u00f3ng \u0111i\u1ec7n<\/figcaption><\/figure>\n
\u0110AU KHI XU\u1ea4T TINH<\/span><\/h2>\n
\u0110au khi xu\u1ea5t t\u1ec9nh (Painful Ejaculation) l\u00e0 c\u1ea3m gi\u00e1c \u0111au, r\u00e1t xu\u1ea5t hi\u1ec7n trong ho\u1eb7c sau khi xu\u1ea5t t\u00ecnh. S\u1ef1 \u0111au \u0111\u1edbn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3m nh\u1eadn \u1edf v\u00f9ng \u0111\u00e1y ch\u1eadu (v\u00f9ng gi\u1eefa h\u1eadu m\u00f4n v\u00e0 b\u1ed9 ph\u1eadn sinh d\u1ee5c) v\u00e0 ni\u1ec7u \u0111\u1ea1o (\u1ed1ng d\u1eabn n\u01b0\u1edbc ti\u1ec3u ch\u1ea1y t\u1eeb b\u00e0ng quang \u0111\u1ebfn \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt).<\/span><\/p>\n
T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra kh\u00f3 ch\u1ecbu \u1edf tinh ho\u00e0n v\u00e0 l\u00e0m gi\u1ea3m kho\u00e1i c\u1ea3m t\u00ecnh d\u1ee5c.<\/span><\/p>\n
Xu\u1ea5t t\u1ec9nh \u0111au \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 1\/10 \u0111\u1ebfn 1 \/ 100 nam gi\u1edbi, nh\u01b0ng t\u1ef7 l\u1ec7 th\u1ef1c s\u1ef1 v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5 v\u00ec m\u1ed9t s\u1ed1 nam gi\u1edbi b\u1ecb \u0111au khi xu\u1ea5t t\u1ec9nh nh\u01b0ng kh\u00f4ng \u0111i th\u0103m kh\u00e1m.<\/span><\/p>\n
M\u1ed9t s\u1ed1 \u0111i\u1ec1u ki\u1ec7n l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb \u0111au khi xu\u1ea5t tinh. T\u1ef7 l\u1ec7 xu\u1ea5t t\u1ec9nh \u0111au g\u1eb7p \u1edf 1\/3 \u0111\u1ebfn 1\/10 \u1edf nam gi\u1edbi c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi (LUTS), v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00e0ng n\u1eb7ng th\u00ec c\u00e0ng c\u00f3 t\u0103ng \u0111au. Kho\u1ea3ng 1\/5 nam gi\u1edbi b\u1ecb t\u0103ng s\u1ea3n l\u00e0nh t\u00ednh tuy\u1ebfn ti\u1ec1n li\u1ec7t (BPH) v\u00e0 h\u01a1n 1\/2 b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1ecb \u0111au khi xu\u1ea5t t\u00ecnh. T\u1ef7 l\u1ec7 cao nh\u1ea5t \u1edf nam gi\u1edbi m\u1eafc h\u1ed9i ch\u1ee9ng \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh (l\u00ean t\u1edbi 75%).<\/span><\/p>\n
Xu\u1ea5t t\u1ec9nh \u0111au \u0111\u1edbn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 1 trong 5 ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng \u0111\u00e3 ph\u1eabu thu\u1eadt tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/span><\/p>\n
Nguy\u00ean nh\u00e2n<\/span><\/h3>\n
B\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y vi\u00eam ho\u1eb7c nhi\u1ec5m tr\u00f9ng c\u00e1c c\u01a1 quan li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh xu\u1ea5t t\u00ecnh ho\u1eb7c c\u00e1c c\u1ea5u tr\u00fac xung quanh c\u00f3 th\u1ec3 g\u00e2y ra \u0111au xu\u1ea5t t\u1ec9nh.<\/span><\/p>\n
\u00a0Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/b><\/p>\n
Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0m t\u0103ng nguy c\u01a1 \u0111au khi xu\u1ea5t tinh. Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh n\u00e0y, c\u00f3 kho\u1ea3ng 37,2% tr\u01b0\u1eddng h\u1ee3p b\u1ecb \u0111au khi xu\u1ea5t t\u1ec9nh. C\u1ea3 hai t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f9ng g\u00f3p ph\u1ea7n g\u00e2y ra r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00ecnh d\u1ee5c kh\u00e1c.<\/span><\/p>\n
Nhi\u1ec5m tr\u00f9ng th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t. Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n
T\u0103ng s\u1ea3n l\u00e0nh t\u00ednh tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/b><\/p>\n
T\u0103ng s\u1ea3n tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0nh t\u00ednh (Benign prostatic hyperplasia – BPH) c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra. T\u00ecnh tr\u1ea1ng n\u00e0y khi\u1ebfn tuy\u1ebfn ti\u1ec1n li\u1ec7t to ra, \u0111\u00e8 \u0111\u1ea9y v\u00e0o c\u1ea5u tr\u00fac c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, bao g\u1ed3m ni\u1ec7u \u0111\u1ea1o v\u00e0 c\u1ed5 b\u1eb1ng quang, d\u1eabn \u0111\u1ebfn \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean. Vi\u1ec7c t\u0103ng k\u00edch th\u01b0\u1edbc c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng xu\u1ea5t t\u1ec9nh. \u1ede m\u1ed9t s\u1ed1 nam gi\u1edbi, t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ebf g\u00e2y ra \u0111au trong qu\u00e1 tr\u00ecnh xu\u1ea5t t\u1ec9nh.<\/span><\/p>\n
Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/b><\/p>\n
Nam gi\u1edbi b\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u0169ng c\u00f3 nguy c\u01a1 cao b\u1ecb \u0111au khi xu\u1ea5t t\u00ecnh \u0111au. T\u1ea7n su\u1ea5t g\u1eb7p s\u1ebd cao h\u01a1n n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 tr\u1ea3i qua c\u00e1c l\u1ea7n ph\u1eabu thu\u1eadt \u1edf tuy\u1ebfn ti\u1ec1n li\u1ec7t do ung th\u01b0.<\/span><\/p>\n
Ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt<\/b><\/p>\n
M\u1ed9t s\u1ed1 lo\u1ea1i ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c, bao g\u1ed3m r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, \u0111au tinh ho\u00e0n v\u00e0 \u0111au khi xu\u1ea5t tinh. Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb \u1edf v\u00f9ng x\u01b0\u01a1ng ch\u1eadu c\u0169ng c\u00f3 nguy c\u01a1 cao xu\u1ea5t t\u1ec9nh \u0111au.<\/span><\/p>\n
Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/b><\/p>\n
C\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 g\u00e2y \u0111au khi xu\u1ea5t t\u00ednh:<\/span><\/p>\n
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\u00a0C\u00e1c Ch\u1ea5t \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc.<\/span><\/li>\n
\u00a0Thu\u1ed1c \u1ee8c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin v\u00e0 norepinephrine.<\/span><\/li>\n
Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng v\u00e0 b\u1ed1n v\u00f2ng.<\/span><\/li>\n
Ch\u1ea5t \u1ee9c ch\u1ebf monoamine oxidase.<\/span><\/li>\n<\/ul>\n
C\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m n\u00e0y c\u0169ng c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng v\u00e0 gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c.<\/span><\/p>\n
B\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c<\/b><\/p>\n
C\u00f3 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra tri\u1ec7u ch\u1ee9ng \u0111au khi xu\u1ea5t tinh. Trichomonas v\u00e0 Chlamydia l\u00e0 nh\u1eefng t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p, ch\u00fang c\u0169ng g\u00e2y tri\u1ec7u ch\u1ee9ng n\u00f3ng r\u00e1t ho\u1eb7c \u0111au khi \u0111i ti\u1ec3u.<\/span><\/p>\n
Y\u1ebfu t\u1ed1 t\u00e2m l\u00fd<\/b><\/p>\n
Tr\u1ea7m c\u1ea3m, lo l\u1eafng v\u00e0 c\u0103ng th\u1eb3ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c c\u1ee7a ng\u01b0\u1eddi nam gi\u1edbi. C\u00e1c v\u1ea5n \u0111\u1ec3 x\u1ea3y ra trong m\u1ed1i quan h\u1ec7 c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ec3 ch\u1ea5t, bao g\u1ed3m c\u1ea3 \u0111au khi xu\u1ea5t t\u0129nh.<\/span><\/p>\n
Ch\u1ea9n \u0111o\u00e1n<\/span><\/h3>\n
Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m:<\/span><\/p>\n
\n
\u00a0M\u1ed9t s\u1ed1 nam gi\u1edbi c\u00f3 th\u1ec3 b\u1ecb \u0111au khi xu\u1ea5t t\u1ec9nh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra ngay l\u1eadp t\u1ee9c v\u00e0 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c b\u1ecfng r\u00e1t.<\/span><\/li>\n
\u00a0C\u01a1n \u0111au c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn d\u01b0\u01a1ng v\u1eadt v\u00e0 khu v\u1ef1c xung quanh. \u1ede m\u1ed9t s\u1ed1 nam gi\u1edbi, tri\u1ec7u ch\u1ee9ng \u0111au c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ef1c tr\u00e0ng. C\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n \u1edf b\u00e0ng quang.<\/span><\/li>\n
M\u1ed9t s\u1ed1 nam gi\u1edbi s\u1ebd c\u1ea3m th\u1ea5y \u0111au khi \u0111i ti\u1ec3u sau khi xu\u1ea5t t\u1ec9nh. \u0110\u00e2y l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed1 bi\u1ebfn kh\u00e1c c\u1ea7n ch\u00fa \u00fd. H\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, c\u01a1n \u0111au s\u1ebd bi\u1ebfn m\u1ea5t sau m\u1ed9t th\u1eddi gian ng\u1eafn. C\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u01a1n \u0111au c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1edbi 24 gi\u1edd k\u1ec3 t\u1eeb khi xu\u1ea5t tinh.<\/span><\/li>\n
M\u1ed9t s\u1ed1 ng\u01b0\u1eddi g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng khi quan h\u1ec7 t\u00ecnh d\u1ee5c v\u00e0 khi th\u1ee7 d\u00e2m. Tuy nhi\u00ean, c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p th\u1ee7 d\u00e2m kh\u00f4ng x\u1ea3y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 v\u1eady.<\/span><\/li>\n<\/ul>\n
$\"H\u00ecnh$ <\/a>
H\u00ecnh 15.5. C\u00e1c v\u1ecb tr\u00ed c\u00f3 th\u1ec3 g\u00e2y \u0111au khi xu\u1ea5t t\u1ec9nh<\/figcaption><\/figure>\n
\u0110i\u1ec1u tr\u1ecb<\/span><\/h3>\n
Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n ph\u1ea7n l\u1edbn ph\u1ee5 thu\u1ed9c v\u00e0o l\u00fd do t\u1ea1i sao h\u1ecd b\u1ecb \u0111au khi xu\u1ea5t t\u1ec9nh. C\u00f3 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng. Tuy nhi\u00ean, \u0111\u1ec3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, tr\u01b0\u1edbc ti\u00ean b\u00e1c s\u0129 c\u1ea7n xem x\u00e9t l\u00fd do t\u1ea1i sao ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng g\u1eb7p ph\u1ea3i tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/span><\/p>\n
N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c ho\u1eb7c nhi\u1ec5m tr\u00f9ng \u1edf tuy\u1ebfn ti\u1ec1n li\u1ec7t, th\u00ec c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh ch\u1ed1ng nhi\u1ec5m tr\u00f9ng. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c nh\u01b0 Chlamydia, kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u c\u00f3 th\u1ec3 mang l\u1ea1i k\u1ebft qu\u1ea3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao.<\/span><\/p>\n
C\u1ea7n xem x\u00e9t c\u00e1c lo\u1ea1i thu\u1ed1c b\u1ec7nh nh\u00e2n \u0111\u00e3 s\u1eed d\u1ee5ng. N\u1ebfu m\u1ed9t trong c\u00e1c lo\u1ea1i thu\u1ed1c g\u00f3p ph\u1ea7n g\u00e2y xu\u1ea5t t\u0129nh \u0111au th\u00ec n\u00ean \u0111\u1ed5i sang m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/span><\/p>\n
\u0110\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn ti\u1ec1n li\u1ec7t. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t th\u00ec c\u1ea7n \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/span><\/p>\n
C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c t\u1ea1i nh\u00e0 kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng, bao g\u1ed3m:<\/span><\/p>\n
\n
Thu\u1ed1c gi\u00e3n c\u01a1.<\/span><\/li>\n
Thu\u1ed1c ch\u1ed1ng co gi\u1eadt.<\/span><\/li>\n
Thu\u1ed1c gi\u1ea3m \u0111au.<\/span><\/li>\n
B\u00e0i t\u1eadp s\u00e0n ch\u1eadu.<\/span><\/li>\n<\/ul>\n
T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/span><\/h2>\n
\n
Nguy\u1ec5n Quang v\u00e0 c\u1ed9ng s\u1ef1 (2013). T\u00ecnh h\u00ecnh b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m t\u1ea1i Trung T\u00e2m Nam h\u1ecdc, B\u1ec7nh vi\u1ec7n Vi\u1ec7t \u0110\u1ee9c trong 6 th\u00e1ng \u0111\u1ea7u n\u0103m 2012. Y h\u1ecdc Vi\u1ec7t Nam; 403: 544- 549.<\/span><\/li>\n
H\u1ed9i Ti\u1ebft ni\u1ec7u – Th\u1eadn h\u1ecdc Vi\u1ec7t Nam – VUNA (2016). Ph\u00e1c \u0111\u1ed3 h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: Xu\u1ea5t t\u1ec9nh s\u1edbm. Nh\u00e0 xu\u1ea5t b\u1ea3n Y h\u1ecdc H\u00e0 N\u1ed9i.<\/span><\/li>\n
Perelman MA, McMahon CG, Barada JH (2004). Evaluation and Treatment of Ejaculatory Disorders. In: Lue, T.F. (eds) Atlas ofMale Sexual Dysfunction. Current Medicine Group, London.<\/span><\/li>\n
McMahon CG, Althof SE, Waldinger MD, et al (2008). An evidence-based definition of lifelong premature ejaculation: Report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of Premature ejaculation. J Sex \u00c0\u00cdcd;S: 1590-606.<\/span><\/li>\n
McMahon CG, Lee G, Park JK, et al (2012). Premature ejaculation and erectile dysfunction prevalence and attitudes in the Asia-Pacific region. J Sex Med;9(2):454-65.<\/span><\/li>\n
Jannini E,Isidori A, Aversa A, Lenzi A, Althof SE. Which \u00f1rst? The controversial issue of precedence in the treatment o\u00camale sexual dysfunctions. J Sex M\u00cdcd2013;10:2359~-69.<\/span><\/li>\n
John P. Mulhall, Wayland Hsiao (2014). Men’s Sexual Health and Fertility: A Clinician’s Guide.<\/span><\/li>\n
K Hatzimouratidis, I Eardley, E. Giuliano, et al (2015). Guidelines on Male Sexual Dysfunction: Erectile dysfunction and premature ejaculation. European association o\u0192 Urology.<\/span><\/li>\n
Sukes Minhas, John Mulhall (2017). Male sexual dysfunction: A clinical guide.<\/span><\/li>\n
10.Shin DH, Spitz A. The Evaluation and Treatment of Delayed Ejaculation. Sex M\u00cd Reu.2014 Oct;2(3-4):121-133.<\/span><\/li>\n<\/ol>\n
C\u00c2U H\u1eceI L\u01af\u1ee2NG GI\u00c1<\/span><\/h2>\n
C\u00e2u 1. Trong c\u00e1c ph\u00e1t bi\u1ec3u sau, ch\u1ecdn c\u00e2u SAI. Xu\u1ea5t t\u1ec9nh s\u1edbm l\u00e0 t\u00ecnh tr\u1ea1ng:<\/i><\/b><\/p>\n*
\n
X\u1ea3y ra khi d\u01b0\u01a1ng v\u1eadt \u0111\u01b0\u1ee3c k\u00edch th\u00edch li\u00ean t\u1ee5c.<\/span><\/li>\n
Lu\u00f4n lu\u00f4n ho\u1eb7c g\u1ea7n nh\u01b0 lu\u00f4n lu\u00f4n x\u1ea3y ra xu\u1ea5t t\u1ec9nh tr\u01b0\u1edbc ho\u1eb7c trong kho\u1ea3ng 1 ph\u00fat sau khi x\u00e2m nh\u1eadp \u00e2m \u0111\u1ea1o.<\/span><\/li>\n
Kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng tr\u00ec ho\u00e3n xu\u1ea5t t\u1ec9nh trong t\u1ea5t c\u1ea3 ho\u1eb7c g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c l\u1ea7n x\u00e2m nh\u1eadp \u00e2m \u0111\u1ea1o.<\/span><\/li>\n
G\u00e2y h\u1eadu qu\u1ea3 ti\u00eau c\u1ef1c cho b\u1ea3n th\u00e2n nh\u01b0: stress, phi\u1ec1n mu\u1ed9n, th\u1ea5t v\u1ecdng v\u00e0\/ho\u1eb7c l\u00e3ng tr\u00e1nh th\u00e2n m\u1eadt t\u00ecnh d\u1ee5c.<\/span><\/li>\n<\/ol>\n
C\u00e2u 2. Trong c\u00e1c ph\u00e1t bi\u1ec3u sau, ch\u1ecdn c\u00e2u SAI, C\u00e1c c\u00e2u h\u1ecfi cho b\u1ec7nh nh\u00e2n gi\u00fap h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n:<\/i><\/b><\/p>\n
\n
\u00a0Th\u1eddi gian xu\u1ea5t t\u1ec9nh l\u00e0 bao l\u00e2u?<\/span><\/li>\n
\u00a0C\u00f3 th\u1ec3 tr\u00ec ho\u00e3n xu\u1ea5t t\u1ec9nh \u0111\u01b0\u1ee3c kh\u00f4ng?<\/li>\n<\/ol>\n
\u00a0 \u00a0 \u00a0 \u00a0C. C\u00f3 c\u1ea3m th\u1ea5y h\u1ee5t h\u00e3ng do xu\u1ea5t t\u1ec9nh s\u1edbm kh\u00f4ng<\/span><\/p>\n
\u00a0 \u00a0 \u00a0 \u00a0D. C\u00f3 ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt tr\u01b0\u1edbc d\u00e2y kh\u00f4ng?<\/span><\/p>\n
C\u00e2u 3. Ch\u1ecdn c\u00e2u di\u1ec5n \u0111\u1ea1t \u0110\u1ee8NG v\u1ec1 xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng:<\/i><\/b><\/p>\n
\n
L\u00e0 t\u00ecnh tr\u1ea1ng t\u1ec9nh d\u1ecbch \u0111i ng\u01b0\u1ee3c v\u00e0o l\u1ea1i t\u1ec9nh ho\u00e0n.<\/span><\/li>\n
Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u01b0\u01a1ng c\u1ee9ng ho\u1eb7c \u0111\u1ea1t c\u1ef1c kho\u00e1i c\u1ee7a nam gi\u1edbi.<\/span><\/li>\n
Nh\u1eefng ng\u01b0\u1eddi b\u1ecb xu\u1ea5t t\u1ec9nh ng\u01b0\u1ee3c d\u00f2ng v\u0103n c\u00f3 con theo c\u00e1ch t\u1ef1 nhi\u00ean.<\/span><\/li>\n
G\u00e2y ra nh\u1eefng v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 s\u1ee9c kh\u1ecfe.<\/span><\/li>\n<\/ol>\n
C\u00e2u 4. Ch\u1eadm xu\u1ea5t t\u1ec9nh l\u00e0 t\u00ecnh tr\u1ea1ng:<\/i><\/b><\/p>\n
\n
Kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi.<\/span><\/li>\n
Khi quan h\u1ec7 t\u00ecnh d\u1ee5c, c\u1ea7n m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i (h\u01a1n 30 ph\u00fat) \u0111\u1ec3 c\u00f3 th\u1ebf \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i.<\/span><\/li>\n
\u0110\u1ea1t \u0111\u01b0\u1ee3c c\u1ef1c kho\u00e1i khi quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/span><\/li>\n
C\u00f3 th\u1ebf xu\u1ea5t tinh khi quan h\u1ec7.<\/span><\/li>\n<\/ol>\n
C\u00e2u 5.\u00a0 Trong c\u00e1c ph\u00e1t bi\u1ec3u sau, ch\u1ecdn c\u00e2u SAI. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y \u0111au khi xu\u1ea5t tinh:<\/i><\/b><\/p>\n
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M\u1eafc b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c, nh\u01b0 Chlamydia.<\/span><\/li>\n
Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/span><\/li>\n
S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m.<\/span><\/li>\n
C\u00f3 b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh (tim m\u1ea1ch, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng…).<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Xu\u1ea5t t\u1ec9nh l\u00e0 s\u1ef1 ph\u00f3ng th\u00edch tinh d\u1ecbch t\u1eeb d\u01b0\u01a1ng v\u1eadt sau khi \u0111\u1ea1t c\u1ef1c kho\u00e1i t\u00ecnh d\u1ee5c. Xu\u1ea5t tinh s\u1edbm (Premature Ejaculation) \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t tinh x\u1ea3y ra khi ch\u1ec9 v\u1edbi m\u1ed9t k\u00edch th\u00edch t\u00ecnh d\u1ee5c r\u1ea5t nh\u1ecf T\u1ea3i b\u1ea3n PDF T\u1ea1i \u0110\u00e2y Ngu\u1ed3n: S\u00e1ch \u0110\u1ea1i c\u01b0\u01a1ng s\u1ee9c kh\u1ecfe t\u00ecnh […]\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[150],"tags":[],"class_list":["post-52585","post","type-post","status-publish","format-standard","hentry","category-sinh-ly-nam-nu"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/52585","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=52585"}],"version-history":[{"count":1,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/52585\/revisions"}],"predecessor-version":[{"id":72473,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/52585\/revisions\/72473"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=52585"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=52585"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=52585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}