Ukuvuka komthondo neminyaka: kuba buthaka nini, futhi yini engemuva kwakho?
Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela
“Kwakungenjalo eminyakeni yami yawo-20.” Noma kunjalo, iminyaka ayivamile ukuba yiyona kuphela imbangela. Ake sibheke ucwaningo ukuze sibone ukuthi ingabe imithambo yegazi, imisipha noma imikhuba ingaba nesandla yini.
Izinhlolovo ezinkulu zikhombisa ukuthi i-ED iyanda njengoba iminyaka ikhula. Kodwa imbangela ivame ukuba ngaphansi kweminyaka uqobo futhi ibe yinhlanganisela yempilo yemithambo yegazi, ukuzivocavoca okuncane kakhulu, isisindo, imisipha yaphansi kwesinqe, ukubhema nobuthongo, futhi ezinye zazo ungazisebenza ngokwakho.
Okuqukethwe
Iminyaka ne-ED
Ku-Massachusetts Male Aging Study yamadoda ayi-1 290 aneminyaka engama-40 kuya kwengama-70, u-52% wabika i-ED ezingeni elithile, kanti i-ED ephelele yenyuka isuka cishe ku-5% eminyakeni engama-40 iye cishe ku-15% eminyakeni engama-70. Kodwa namadoda amancane ayayithola i-ED. Awukwazi ukuthi “yiminyaka yami nje”, futhi awukwazi ukuthi “ngisemncane kakhulu kulokhu”.
Izimbangela eziyinhloko
1. Imithambo yegazi isebenza kancane
Ukuvuka komthondo kuncike egazini eligelezela emthondweni, ngakho kuthintwa ukuguga kwemithambo nomfutho wegazi ophakeme, isifo sikashukela ne-cholesterol ephezulu. Yingakho i-ED ingaba wuphawu lwesifo senhliziyo noma semithambo yegazi.
2. Imisipha yaphansi kwesinqe iba buthaka
Imisipha ezungeze isisekelo somthondo kucatshangwa ukuthi isiza ukugcina igazi ngaphakathi ngesikhathi umthondo uvukile. Njengeminye imisipha, iba buthaka kancane kancane uma ungayisebenzisi. Ocwaningweni olungahleliwe lwamadoda angama-55 ane-ED (Dorey nabanye, 2004), u-40% weqembu elaqeqesha le misipha izinyanga ezi-3 waba namaphuzu okuvuka komthondo abuyela ezingeni elijwayelekile.
3. Ukuzivocavoca okuncane kakhulu nokukhuluphala
Ukubuyekezwa kocwaningo ngokuzivocavoca ne-ED (Gerbild nabanye, 2018) kwaphakamisa ukuzivocavoca okuphefumulayo imizuzu engama-40, kane ngesonto. Ocwaningweni lwamadoda akhuluphele ngokweqile (Esposito nabanye, 2004), u-31% weqembu elashintsha indlela yokuphila ukuze lehlise isisindo iminyaka emi-2 waba namaphuzu okuvuka komthondo asezingeni elijwayelekile, kuqhathaniswa no-5% weqembu lokuqhathanisa.
4. Ukubhema, utshwala, ubuthongo nengcindezi
Ukubhema kulimaza imithambo yegazi futhi kuyimbangela eyaziwayo ye-ED. Ukuphuza kakhulu, ukulala kabi, ingcindezi yasemsebenzini nokukhathazeka konke kungathinta ukuvuka komthondo.
Ongakwenza ngokwakho
- Ukuqeqeshwa kwemisipha yaphansi kwesinqe (i-Kegel) nsuku zonke: zama isibali-sikhathi se-Kegel somzuzu o-1
- Ukuhamba ngamandla noma ukugijima kancane, cishe imizuzu eyi-150 ngesonto
- Ukuzivocavoca kwamandla okufana nama-squat kabili kuya kathathu ngesonto, kanye nokubheka ukudla kwakho
Konke lokhu kwacwaningwa izinyanga eziningana; akukho okushintsha ngobusuku obubodwa. Futhi ukuzivocavoca akusona isikhundla sokwelashwa kwezokwelapha.
Ubonane nini nodokotela
Bonana nodokotela wezinso nomchamo, umtholampilo wezempilo yabesilisa noma udokotela wakho uma sekuyizinyanga eziningana kukukhathaza, kuqale ngokuzumayo, uma unesimo sesikhathi eside, noma uma unobuhlungu esifubeni noma uphelelwa ngumoya. Odokotela bavame ukunikeza amaphilisi asiza ukuvuka komthondo (ama-PDE5 inhibitor), futhi eminye imitholampilo inikeza ukubonisana nge-inthanethi.
Imibuzo evame ukubuzwa
Ukuvuka komthondo kuqala ukuba buthaka eminyakeni emingaki?
Izinhlolovo ezinkulu ezifana ne-Massachusetts Male Aging Study zathola ukuthi i-ED iyanda eminyakeni eyishumi ngayinye, kodwa ithinta namadoda amancane, ngakho iminyaka yodwa ayinqumi. Impilo yemithambo yegazi, ukunyakaza, isisindo, ukubhema, ubuthongo, ingcindezi nemisipha yaphansi kwesinqe konke kunesandla.
Ingabe ukuzivocavoca noma ukushintsha indlela yokuphila kungasiza nge-ED?
Ukuzivocavoca okuphefumulayo (cishe imizuzu eyi-160 ngesonto), ukuqeqeshwa kwemisipha yaphansi kwesinqe, nokudla okunempilo kanye nokuzivocavoca ukuze wehlise isisindo konke kuye kwacwaningwa. Ocwaningweni olungahleliwe lwamadoda ayi-110 akhuluphele ngokweqile (Esposito nabanye, 2004), cishe ingxenye eyodwa kwezintathu yeqembu elashintsha indlela yokuphila yayinamaphuzu okuvuka komthondo asezingeni elijwayelekile ngemuva kweminyaka emi-2. I-ED ingaba futhi wuphawu lwangaphambi kwesikhathi lwesifo senhliziyo noma semithambo, ngakho vumela udokotela ahlole imbangela kuqala.
Kufanele ngiqhubeke nokuqeqeshwa isikhathi esingakanani ngaphambi kokuthi ngikwazi ukubona umehluko?
Ocwaningweni, ukuqeqeshwa kwemisipha yaphansi kwesinqe kwahlolwa ngemuva kwezinyanga ezi-3, ukuzivocavoca okuphefumulayo ngemuva kwezinyanga ezicishe zibe yisi-6, nokushintsha indlela yokuphila ukuze wehlise isisindo ngemuva kweminyaka emi-2. Akukho okushintsha ezinsukwini ezimbalwa, ngakho thatha amasonto ayi-12 njengendawo yakho yokuqala yokuhlola.
Imithombo
- 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