Tashin azzakari da shekaru: yaushe yake raunana, kuma me ke bayansa?
An lissafa nazarce-nazarce da majiyoyin da muka yi amfani da su a ƙarshe. Likita bai duba ba. Manufar edita
"Ba haka yake ba lokacin ina ɗan shekara ashirin." Duk da haka, shekaru ba kasafai suke zama dalili guda tilo ba. Bari mu duba bincike don ganin ko jijiyoyin jini, tsokoki ko ɗabiʼu suna da hannu.
Manyan bincike sun nuna cewa matsalar tashin azzakari tana ƙaruwa da shekaru. Amma dalilin yawanci ba shekaru kansu ba ne, sai dai haɗuwar lafiyar jijiyoyin jini, ƙarancin motsa jiki, nauyi, tsokokin ƙasan ƙugu, shan taba da barci, kuma wasu daga cikinsu za ka iya gyara su da kanka.
Abubuwan ciki
Shekaru da matsalar tashin azzakari
A Binciken Tsufan Maza na Massachusetts na maza 1,290 masu shekaru 40 zuwa 70, kashi 52% sun bayar da rahoton wani mataki na matsalar tashin azzakari, kuma cikakkiyar matsala ta tashi daga kusan kashi 5% a shekaru 40 zuwa kusan kashi 15% a shekaru 70. Amma matasa ma suna samunta. Ba za ka iya cewa "shekaruna ne kawai" ba, kuma ba za ka iya cewa "na yi ƙanƙanta da wannan" ba.
Manyan dalilai
1. Jijiyoyin jini ba sa aiki da kyau
Tashin azzakari ya dogara ne da jini yana shiga azzakari, don haka tsufan jijiyoyin jini da hawan jini, ciwon suga da yawan kitse a jini suna shafar sa. Shi yasa matsalar tashin azzakari za ta iya zama alamar cutar zuciya ko jijiyoyin jini.
2. Tsokokin ƙasan ƙugu suna raunana
Ana ganin tsokokin da ke kewaye da tushen azzakari suna taimakawa wajen riƙe jini lokacin tashi. Kamar sauran tsokoki, suna raunana a hankali idan ba a amfani da su. A wani gwaji na maza 55 masu matsalar tashin azzakari (Dorey da wasu, 2004), kashi 40% na rukunin da suka horar da waɗannan tsokoki na watanni 3 sun dawo da makin aikin tashin azzakari a cikin iyakar alʼada.
3. Ƙarancin motsa jiki da ƙaruwar nauyi
Wani bita na nazarce-nazarce kan motsa jiki da matsalar tashin azzakari (Gerbild da wasu, 2018) ya ba da shawarar motsa jiki mai sa numfashi na minti 40, sau 4 a mako. A wani nazari na maza masu ƙiba mai yawa (Esposito da wasu, 2004), kashi 31% na rukunin da suka sauya salon rayuwa don rage nauyi na shekaru 2 sun sami makin aikin tashin azzakari a cikin iyakar alʼada, idan aka kwatanta da kashi 5% na rukunin kwatantawa.
4. Shan taba, barasa, barci da damuwa
Shan taba yana cutar da jijiyoyin jini kuma sanannen dalili ne na matsalar tashin azzakari. Yawan shan barasa, rashin barci mai kyau, damuwar aiki da fargaba duk suna iya shafar tashin azzakari.
Abin da za ka iya yi da kanka
- Horon ƙasan ƙugu (Kegel) a kullum: ka gwada Agogon Kegel na minti 1
- Tafiya da sauri ko gudu a hankali, kusan minti 150 a mako
- Horon ƙarfin tsoka kamar tsugunawa (squats) sau 2 zuwa 3 a mako, tare da duba abincinka
An yi nazari a kan dukkansu tsawon watanni da dama; babu abin da ke canzawa cikin dare ɗaya. Kuma motsa jiki ba madadin maganin likita ba ne.
Lokacin ganin likita
Ka ga likitan mafitsara da lafiyar maza (urologist), asibitin lafiyar maza ko likitanka idan ya dame ka tsawon watanni da dama, ya fara farat ɗaya, idan kana da wata cuta ta dogon lokaci, ko idan kana jin ciwon ƙirji ko ƙarancin numfashi. Likitoci suna yawan rubuta ƙwayoyin magani da ke taimaka wa tashin azzakari (PDE5 inhibitors) bayan sun duba lafiyarka.
Tambayoyin da ake yawan yi
A wane shekaru tashin azzakari yake fara raunana?
Manyan bincike kamar Binciken Tsufan Maza na Massachusetts sun gano cewa matsalar tashin azzakari tana ƙaruwa a kowane shekaru goma, amma tana shafar matasa ma, don haka shekaru kaɗai ba su ne ke yanke hukunci ba. Lafiyar jijiyoyin jini, motsa jiki, nauyi, shan taba, barci, damuwa da tsokokin ƙasan ƙugu duk suna taka rawa.
Motsa jiki ko sauya salon rayuwa zai iya taimakawa da matsalar tashin azzakari?
An yi nazari a kan motsa jiki mai sa numfashi (kusan minti 160 a mako), horon ƙasan ƙugu, da abinci tare da motsa jiki don rage nauyi. A wani gwaji na maza 110 masu ƙiba mai yawa (Esposito da wasu, 2004), kusan kashi ɗaya bisa uku na rukunin da suka sauya salon rayuwa sun sami makin aikin tashin azzakari a cikin iyakar alʼada bayan shekaru 2. Matsalar tashin azzakari kuma tana iya zama alamar farko ta cutar zuciya ko jijiyoyin jini, don haka ka bari likita ya fara duba dalilin.
Har yaushe zan ci gaba da horo kafin in iya yanke hukunci?
A nazarce-nazarcen, an auna horon ƙasan ƙugu bayan watanni 3, motsa jiki mai sa numfashi bayan kusan watanni 6, sauya salon rayuwa don rage nauyi kuma bayan shekaru 2. Babu abin da ke canzawa cikin ʼyan kwanaki, don haka ka ɗauki makonni 12 a matsayin wurin dubawa na farko.
Manazarta
- Feldman HA, et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151(1):54-61. pubmed.ncbi.nlm.nih.gov/8254833/
- Gerbild H, et al. Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. Sex Med. 2018;6(2):75-89. doaj.org/article/91eb296258654277ba5cb0268ced6754
- Dorey G, et al. Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction. Br J Gen Pract. 2004;54(508):819-825. pmc.ncbi.nlm.nih.gov/articles/PMC1324914/
- Esposito K, et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291(24):2978-2984. search.pedro.org.au/search-results/record-detail/11354