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I-ED nokuvuka komthondo

Ukuthamba komthondo ngesikhathi socansi: izimbangela, ongakwenza nokuthi ubonane nini nodokotela

Kubuyekeziwe Imithombo engu-3Imizuzu engu-6 yokufundaAbahleli be-Ilebhu ye-Men's Core

Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela

Uyathamba phakathi nendawo. Uma sekwenzekile, kulula ukukhathazeka ukuthi kuzophinde kwenzeke. Ukuthamba komthondo kungolunye uhlobo lwe-ED. Nazi izimbangela ezivamile, ongakwenza ngokwakho nokuthi ukhulume nobani.

Amaphuzu abalulekile

Ukuthamba komthondo ngesikhathi socansi kusho ukungakwazi ukuwugcina uvukile, futhi kungolunye uhlobo lwe-ED. Izimbangela ziwela emaqenjini amabili: izinto zalowo mzuzu ezifana nokwesaba, utshwala nokukhathala, kanye nezinto zomzimba ezifana nemithambo yegazi, imisipha neminyaka. Ukwenzeka ngezikhathi ezithile kuvamile; uma kuqhubeka kwenzeka, leso yisizathu sokubonana nodokotela. Ukuqeqeshwa kwemisipha yaphansi kwesinqe, ukuzivocavoca okuphefumulayo nokwehlisa isisindo kuye kwacwaningwa njengezinto ongazenza ngokwakho.

Okuqukethwe
  1. Okushiwo yikho
  2. Izinhlobo ezimbili zezimbangela
  3. Imisipha egcina umthondo uvukile
  4. Ongakwenza ngalowo mzuzu
  5. Imikhuba ongayisebenza
  6. Amadoda aseminyakeni yawo-20 nawo-30
  7. Ubonane nini nodokotela
  8. Imibuzo evame ukubuzwa
  9. Imithombo
  10. Qhubeka ufunde

Okushiwo yikho

I-ED ivame ukuchazwa njengokungakwazi ukuthola noma ukugcina umthondo uvuke uqine ngokwanele ocansini olwanelisayo. Ukuthamba ngaphambi, ngesikhathi noma ngemuva kokungena kuwela engxenyeni yesibili: ukungakwazi ukugcina umthondo uvukile.

Izinhlobo ezimbili zezimbangela

I-ED ivame ukuhlukaniswa ibe yengqondo, yomzimba noma exubile. Ukuze uqonde ukuthi kungani umthondo uthamba, kuyasiza ukuhlukanisa izimbangela zibe amaqembu amabili ukuze ukhethe okufanele wena.

Izinto zalowo mzuzu

  • Ukwesaba, ingcindezi, noma ukukhathazeka ngoba izinto azihambanga kahle ngokokugcina
  • Utshwala obuningi kakhulu
  • Ukukhathala noma ukulala kancane kakhulu
  • Ukuphazamiseka kokuvuseleleka, isibonelo ngenkathi ugqoka ikhondomu

Izinto zomzimba

  • Izimo ezithinta imithambo yegazi, njengomfutho wegazi ophakeme, isifo sikashukela ne-cholesterol ephezulu
  • Ukubhema, amafutha esiswini nokuzivocavoca okuncane kakhulu
  • Izinguquko emithanjeni yegazi nasemisipheni njengoba iminyaka ikhula
  • Imiphumela engemihle yemithi

Lapho imbangela yomzimba yenza kube nzima ukugcina umthondo uvukile, ukukhathazeka ngokuthi “uzophinde uthambe” kungengezeka futhi kwenze lowo mzuzu ube nzima nakakhulu (uhlobo oluxubile). Ukwazi ukuthi yiliphi iqembu elisondele kakhulu kuwena kuyisinyathelo sokuqala esihle. Ukuzihlola komzuzu o-1 kungakusiza ukukuhlela lokho.

Imisipha egcina umthondo uvukile

Umthondo uhlala uvukile inqobo nje uma igazi lisala kuwo. Imisipha ye-ischiocavernosus ne-bulbospongiosus esisekelweni somthondo, eyingxenye yemisipha yaphansi kwesinqe, kucatshangwa ukuthi isiza ngokucindezela ukuze yehlise ukuphuma kwegazi.

Ukuqeqeshwa kwemisipha yaphansi kwesinqe nge-ED: ucwaningo olungahleliweDorey nabanye2004UK
55amadoda
izinyanga ezi-3zokuqeqeshwa
40%abuyela emaphuzwini ajwayelekile
Indlela
Ukucindezela kwansuku zonke ulele, uhlezi futhi umile, okufundiswe ngudokotela wokwelapha ngokunyakaza (physiotherapist)
Kuqhathaniswe ne-
Iqembu elathola iseluleko ngendlela yokuphila kuphela
Isixwayiso
Ucwaningo oluncane olunomhlahlandlela wochwepheshe

Zama ukucindezela manje nge-sibali-sikhathi se-Kegel somzuzu o-1 samahhala. Akudingeki ubhalise noma ube ne-app.

Ongakwenza ngalowo mzuzu

  • Nciphisa utshwala: obuningi kakhulu benza kube nzima ukugcina umthondo uvukile. Ngobusuku obubalulekile, nquma umkhawulo wakho kusenesikhathi.
  • Ungaziphoqi uma ukhathele: ukuntula ubuthongo nokukhathala kunesandla. Olunye usuku luyindlela enhle ngokuphelele.
  • Ungaphuthumi: umthondo othambayo ungaphinde uvuke ngokuvuseleleka okwengeziwe. Ukukhathazeka ngokuthi uzohluleka futhi kwenza lokho kube namathuba amaningi.
  • Khuluma nomlingani wakho: ukuthatha izinto kancane, ngaphandle kokwenza ukungena kube ukuphela kwenhloso, kususa ingcindezi emadodeni amaningi.

Imikhuba ongayisebenza

Ezimbangelweni zomzimba, lezi zindlela zesikhathi eside ziye zacwaningwa:

  • Ukuqeqeshwa kwemisipha yaphansi kwesinqe: cindezela imizuzwana emi-3 kuya kwemi-5 bese uxegisa isikhathi esifanayo, izikhathi eziyi-10, kathathu ngosuku. Ucwaningo olungenhla lwathatha izinyanga ezi-3.
  • Ukuzivocavoca okuphefumulayo: ekubuyekezweni kocwaningo ngokuzivocavoca ne-ED (Gerbild nabanye, 2018), oluningi lwasebenzisa ukuzivocavoca okumaphakathi kuya kokunamandla imizuzu engama-40, kane ngesonto, cishe izinyanga eziyisi-6.
  • Isisindo nokudla: ocwaningweni lwamadoda ayi-110 akhuluphele ngokweqile (Esposito nabanye, 2004), u-31% weqembu elaqeqeshwa iminyaka emi-2 ukwehlisa isisindo ngokudla nokuzivocavoca waba namaphuzu okuvuka komthondo asezingeni elijwayelekile, kuqhathaniswa no-5% weqembu lokuqhathanisa.
  • Ukuyeka ukubhema: ukubhema kulimaza imithambo yegazi futhi kuyimbangela eyaziwayo ye-ED.

Amadoda aseminyakeni yawo-20 nawo-30

Ukuthamba komthondo akuyona into eyenzeka emadodeni amadala kuphela. Emadodeni amancane, izinto zalowo mzuzu ezifana nokwesaba, ingcindezi, ukukhathala notshwala zivame ukuba nesandla, kodwa nesimo somzimba singaba ngemuva kwakho. Uma kuqhubeka kwenzeka, bonana nodokotela noma ngabe uneminyaka emingaki.

Ubonane nini nodokotela

Bonana nodokotela wezinso nomchamo, umtholampilo wezempilo yabesilisa noma udokotela wakho uma kuqhubeka kwenzeka, kuqale ngokuzumayo, uma umthondo usucishe wayeka ukuvuka ekuseni, uma unesifo sikashukela, umfutho wegazi ophakeme noma i-cholesterol ephezulu, noma uma unobuhlungu esifubeni noma uphelelwa ngumoya. I-ED ingaba wuphawu lwesifo senhliziyo noma semithambo yegazi. Odokotela bavame ukunikeza amaphilisi asiza ukuvuka komthondo (ama-PDE5 inhibitor), futhi eminye imitholampilo inikeza ukubonisana nge-inthanethi.

Imibuzo evame ukubuzwa

Ingabe ukuthamba komthondo ngesikhathi socansi kuwuhlobo lwe-ED?

I-ED ihlanganisa kokubili ukungawutholi nokungawugcini umthondo uqine ngokwanele ocansini olwanelisayo, ngakho ukuthamba phakathi nendawo kuyabalwa. Uma kwenzeka ngezikhathi ezithile kuphela, ngemuva kokuphuza utshwala noma ngosuku lokukhathala, kuvamile. Uma kuqhubeka kwenzeka noma kuqale ngokuzumayo, khuluma nodokotela wezinso nomchamo noma udokotela wakho.

Ingabe amadoda aseminyakeni yawo-20 nawo-30 angathanjelwa ngumthondo ngesikhathi socansi?

Yebo. Emadodeni amancane, isimo salowo mzuzu sivame ukuba nesandla: ukwesaba, ingcindezi, ukukhathala, ukulala kancane noma utshwala. Kodwa nesimo somzimba singaba ngemuva kwakho, ngakho uma kuqhubeka kwenzeka, bonana nodokotela noma ngabe uneminyaka emingaki.

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.

Imithombo

  1. 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/
  2. 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
  3. 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

Qhubeka ufunde