Lafawar azzakari a tsakiyar jimaʼi: dalilai, abin da za ka iya yi da lokacin ganin likita
An lissafa nazarce-nazarce da majiyoyin da muka yi amfani da su a ƙarshe. Likita bai duba ba. Manufar edita
Yana lafawa a tsakiya. Da zarar ya faru sau ɗaya, yana da sauƙi ka damu cewa zai sake faruwa. Lafawar azzakari ɗaya ce daga cikin nauʼoʼin matsalar tashin azzakari. Ga dalilan da aka saba, abin da za ka iya yi da kanka da wanda za ka yi magana da shi.
Lafawar azzakari a tsakiyar jimaʼi tana nufin kasa riƙe tashin, kuma ɗaya ce daga cikin nauʼoʼin matsalar tashin azzakari. Dalilan sun kasu kashi biyu: dalilan lokacin kamar fargaba, barasa da gajiya, da dalilan jiki kamar jijiyoyin jini, tsokoki da shekaru. Faruwarsa lokaci-lokaci abu ne da aka saba; idan yana ci gaba da faruwa, dalili ne na ganin likita. An yi nazari a kan horon ƙasan ƙugu, motsa jiki mai sa numfashi da rage nauyi a matsayin abubuwan da za ka iya yi da kanka.
Abubuwan ciki
Maʼanarsa
Ana yawan bayyana matsalar tashin azzakari a matsayin kasa samun ko riƙe tashin azzakari mai ƙarfin da ya isa don jimaʼi mai gamsarwa. Lafawa kafin, lokacin ko bayan shigar azzakari tana cikin kashi na biyu: kasa riƙe tashin.
Nauʼoʼi biyu na dalilai
Ana yawan raba matsalar tashin azzakari zuwa na zuciya, na jiki ko gauraye. Game da lafawar azzakari, yana da amfani a raba dalilan zuwa rukuni biyu don ka zaɓi abin da ya dace da kai.
Dalilan lokacin
- Fargaba, matsin lamba, ko damuwa saboda abin ya lalace a karon baya
- Shan barasa da yawa
- Gajiya ko ƙarancin barci
- Katsewar motsawa, misali lokacin saka kwaroron roba
Dalilan jiki
- Cututtukan da ke shafar jijiyoyin jini, kamar hawan jini, ciwon suga da yawan kitse a jini
- Shan taba, kitsen ciki da ƙarancin motsa jiki
- Canje-canje a jijiyoyin jini da tsokoki da shekaru
- Illolin magunguna
Lokacin da wani dalili na jiki ya sa tashi ya yi wuyar riƙewa, fargabar cewa "zai sake lafawa" na iya ƙaruwa ta sa lokacin ya yi wuya ma (nauʼin gauraye). Sanin wane rukuni ya fi kusa da kai mataki ne na farko mai kyau. Gwajin kai na minti 1 zai iya taimaka maka ka tantance.
Tsokokin da ke riƙe tashin azzakari
Tashin azzakari yana ɗorewa muddin jini yana zama a cikin azzakari. Tsokokin ischiocavernosus da bulbospongiosus da ke tushen azzakari, waɗanda suke cikin ƙasan ƙugu, ana ganin suna taimakawa ta hanyar matsewa don rage saurin fitar jini.
- Hanya
- Matsewa na kullum a kwance, a zaune da a tsaye, wanda likitan motsa jiki (physiotherapist) ya koyar
- An kwatanta da
- Rukunin da aka ba shawarar salon rayuwa kawai
- Abin lura
- Ƙaramin nazari tare da jagorancin ƙwararre
Ka gwada matsewar yanzu da Agogon Kegel na minti 1 kyauta. Ba a buƙatar rajista ko manhaja.
Abin da za ka iya yi a lokacin
- Ka rage barasa: yawanta yana sa riƙe tashi ya yi wuya. A dare mai muhimmanci, ka ƙayyade iyakarka tun da wuri.
- Kada ka tilasta lokacin gajiya: rashin barci da gajiya suna taka rawa. Wata rana daban zaɓi ne mai kyau.
- Kada ka yi gaggawa: tashin da ya lafa yana iya dawowa da ƙarin motsawa. Damuwa cewa zai sake kasawa tana ƙara yiwuwar hakan.
- Ka yi magana da abokiyar zamanka: tafiya a hankali, ba tare da sanya shigar azzakari ya zama manufa ɗaya tilo ba, yana rage matsin lamba ga maza da yawa.
Ɗabiʼun da za ka iya gyarawa
Game da dalilan jiki, an yi nazari a kan waɗannan hanyoyi na dogon lokaci:
- Horon ƙasan ƙugu: ka matse na daƙiƙa 3 zuwa 5 ka sake na lokaci ɗaya, sau 10, sau 3 a rana. Nazarin da ke sama ya ɗauki watanni 3.
- Motsa jiki mai sa numfashi: a wani bita na nazarce-nazarce kan motsa jiki da matsalar tashin azzakari (Gerbild da wasu, 2018), da yawa sun yi amfani da motsa jiki matsakaici zuwa mai ƙarfi na minti 40, sau 4 a mako, na kusan watanni 6.
- Nauyi da abinci: a wani gwaji na maza 110 masu ƙiba mai yawa (Esposito da wasu, 2004), kashi 31% na rukunin da aka jagoranta na shekaru 2 don rage nauyi ta abinci da motsa jiki sun sami makin aikin tashin azzakari a cikin iyakar alʼada, idan aka kwatanta da kashi 5% na rukunin kwatantawa.
- Daina shan taba: shan taba yana cutar da jijiyoyin jini kuma sanannen dalili ne na matsalar tashin azzakari.
Maza masu shekaru 20 zuwa 39
Lafawar azzakari ba abu ne da ke faruwa ga tsofaffi kaɗai ba. A matasa, dalilan lokacin kamar fargaba, matsin lamba, gajiya da barasa sukan taka rawa, amma wata cuta ta jiki ma na iya kasancewa a ƙasa. Idan yana ci gaba da faruwa, ka ga likita ko da shekarunka nawa ne.
Lokacin ganin likita
Ka ga likitan mafitsara da lafiyar maza (urologist), asibitin lafiyar maza ko likitanka idan yana ci gaba da faruwa, ya fara farat ɗaya, idan tashin azzakari na safe ya kusan daina, idan kana da ciwon suga, hawan jini ko yawan kitse a jini, ko idan kana jin ciwon ƙirji ko ƙarancin numfashi. Matsalar tashin azzakari na iya zama alamar cutar zuciya ko jijiyoyin jini. Likitoci suna yawan rubuta ƙwayoyin magani da ke taimaka wa tashin azzakari (PDE5 inhibitors) bayan sun duba lafiyarka.
Tambayoyin da ake yawan yi
Lafawar azzakari a tsakiyar jimaʼi nauʼin matsalar tashin azzakari ne?
Matsalar tashin azzakari ta ƙunshi kasa samun tashi da kuma kasa riƙe shi da ƙarfin da ya isa don jimaʼi mai gamsarwa, don haka lafawa a tsakiya tana ciki. Idan yana faruwa lokaci-lokaci kawai, bayan shan barasa ko a ranar gajiya, abu ne da aka saba. Idan yana ci gaba da faruwa ko ya fara farat ɗaya, ka yi magana da likitan mafitsara da lafiyar maza ko likitanka.
Maza masu shekaru 20 zuwa 39 suna iya samun lafawar azzakari a tsakiyar jimaʼi?
Eh. A matasa, yanayin lokacin yakan taka rawa: fargaba, matsin lamba, gajiya, ƙarancin barci ko barasa. Amma wata cuta ta jiki ma tana iya kasancewa a ƙasa, don haka idan yana ci gaba da faruwa, ka ga likita ko da shekarunka nawa ne.
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.
Manazarta
- 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/
- 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
- 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