Ingabe ukuphuma ngaphambi kwesikhathi kuyafuzwa? I-PE yempilo yonke ngokuqhathaniswa neyetholakala kamuva, nezinhlobo ezi-4
Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela
Ingabe bekuhlale kunjalo, noma kuqale ngesinye isikhathi? Isikhathi i-PE eqale ngaso sishintsha indlela yokucabanga ngayo nokuthi ukhulume nobani. Nansi into ucwaningo olushoyo ngokuthi ingakanani ingxenye ozalwa nayo.
Kunezinhlobo ezimbili eziyinhloko zokuphuma ngaphambi kwesikhathi: i-PE yempilo yonke, ekhona kusukela ekuqaleni futhi ehlobene kakhulu nesimo somzimba wakho, kanye ne-PE etholakala kamuva, eqale kamuva futhi evame ukuba nembangela yakamuva. Ucwaningo lwamawele lwathola ukuthi ufuzo luchaza cishe u-28% wokwehluka phakathi kwamadoda; okusele kuvela kokuhlangenwe nakho nasendaweni. Enhlolovweni eyodwa enkulu, uhlobo olwaluvame kakhulu emadodeni athi aqeda ngokushesha kakhulu kwakuyi-PE eguquguqukayo, eyenzeka ngezinye izikhathi kuphela.
Okuqukethwe
Uzalwa nayo noma uyithola kamuva: iyiphi evame kakhulu?
Impendulo eqotho ukuthi kuya ngendoda. I-International Society for Sexual Medicine (ISSM) ihlukanisa i-PE ibe izinhlobo ezimbili ngokuya ngokuthi yaqala nini:
- I-PE yempilo yonke: kusukela ekuya ocansini kwakho kokuqala, ukuphuma kufika cishe kungakapheli umzuzu owodwa cishe njalo. Kucatshangwa ukuthi isimo somzimba wakho sinesandla.
- I-PE etholakala kamuva: izinto zazihamba kahle ngaphambili, kodwa ngesinye isikhathi ukuphuma kwaqala ukufika cishe kungakapheli imizuzu emi-3. Ivame ukuhlobana nokuthile okufike kamuva, njenge-ED, isifo noma ingcindezi.
Inhlolovo eyodwa yabheka ukuthi uhlobo ngalunye luvame kangakanani ngempela.
- Okutholakele
- I-PE yempilo yonke 2,3%, i-PE etholakala kamuva 3,9%, i-PE eguquguqukayo (ngezinye izikhathi kuphela) 8,5%, i-PE yomuzwa (isikhathi singesifushane, kodwa kuyakhathaza) 5,1%
- Isixwayiso
- Inhlolovo eTurkey; amazinga afanayo angase angasebenzi emadodeni akwezinye izindawo
Ngakho amadoda amaningi azizwa “esheshe kakhulu” awanalo uhlobo azalwa nalo, olwempilo yonke. Isikhathi sawo siyashintsha ngokuya ngesimo.
Ufuzo lubaluleke kangakanani?
- Indlela
- Kwaqhathaniswa amawele afanayo nangafani ngezimpendulo zemibuzo mayelana nesikhathi kuze kuphume nomuzwa wokulawula
- Okutholakele
- Cishe u-28% wokwehluka phakathi kwamadoda ekuthambekeleni ku-PE ungachazwa ngufuzo
- Isixwayiso
- Izimpendulo zemibuzo, hhayi ukuxilongwa ngudokotela
Cishe u-28% akusho ukuthi “u-30% we-PE uwufuzo”. Kusho ukuthi kokwehluka phakathi kwamadoda, cishe leyo ngxenye ingachazwa ngufuzo. Okunye okucishe kube ngu-70% kuvela kokuhlangenwe nakho, endaweni nasesimweni somzimba wakho ngaleso sikhathi.
Ucwaningo lwaseNetherlands lwabheka ufuzo oluhlobene ne-serotonin, ikhemikhali ethwala imiyalezo ebuchosheni. Emadodeni angama-89 ane-PE yempilo yonke, isikhathi kuze kuphume sasehluka cishe kabili ngokuya ngokuthi ayenaluphi uhlobo lofuzo (Janssen nabanye, 2009). Kodwa amadoda ane-PE nangenayo ayenezinhlobo zofuzo ngamazinga afanayo. Alukho ufuzo olulodwa olunquma ukuthi une-PE yini.
Indlela yokuhlukanisa izinhlobo ezi-4
Bheka ukuthi yimuphi umugqa ofana nawe kakhulu. Kungumhlahlandlela ojwayelekile, hhayi ukuxilongwa.
| Uhlobo | Kusukela nini | Isimo esivamile |
|---|---|---|
| Eyempilo yonke | Ukuya ocansini kwakho kokuqala | Cishe njalo cishe umzuzu owodwa ngemuva kokungena, noma ngabe ungubani umlingani noma isimo |
| Etholakala kamuva | Ngesikhathi esithile | Kwakuhamba kahle ngaphambili. Ngezinye izikhathi ihambisana nokuvuka komthondo okubuthakathaka noma ukungakhululeki lapho uchama |
| Eguquguqukayo | Ngezikhathi ezithile | Ngokushesha ngemuva kwekhefu elide, nomlingani omusha noma uma ukhathele |
| Eyomuzwa | Akukho ukuqala okucacile | Ithatha imizuzu embalwa noma ngaphezulu, kodwa uzizwa usheshe futhi lokho kuyakukhathaza |
I-PE eguquguqukayo kucatshangwa ukuthi iyinto engenzeka kunoma iyiphi indoda ngokuya ngesimo. Nge-PE yomuzwa, amanye amadoda azizwa engcono nje ngokwazi ukuthi isikhathi esiphakathi enhlolovweni yewashi lokubala emazweni amahlanu sasiyimizuzu engu-5,4, kunomehluko omkhulu kakhulu.
Izimbangela okufanele uzicabangele uma iqale kamuva
I-PE etholakala kamuva ingaba nenye imbangela ngemuva kwayo. Yilezi ezishiwo kakhulu:
- I-ED: ukuphuthuma ukuqeda “ngaphambi kokuthi uthambe”. Uma ungaqiniseki ngokuqina komthondo wakho, kungaba nengqondo ukuthi uqale ukhulume nge-ED.
- Ukuvuvukala kwe-prostate: ubuhlungu noma ukungakhululeki lapho uchama, noma umuzwa wokuthi isinye asiphumanga sonke.
- Isifo se-thyroid: inhliziyo eshaya ngokushesha, ukujuluka kalula, ukwehla kwesisindo.
- Ingcindezi nobudlelwane: uma ushintsho luhambisana nezinguquko emsebenzini noma nomlingani wakho.
Ongakwenza, ngokohlobo
Nge-PE yempilo yonke, ucwaningo lwase-Italy lwabika ukuthi amadoda angama-33 kwangama-40 akwazi ukulawula ukuphuma ngemuva kwamasonto ayi-12 okuqeqeshwa kwemisipha yaphansi kwesinqe (Pastore nabanye, 2014; lalingekho iqembu lokuqhathanisa). Odokotela bangaxoxa nangezinye izindlela ezifana namaphilisi.
Nge-PE etholakala kamuva, ukuthola imbangela engaphansi kuza kuqala. Nge-PE eguquguqukayo neyomuzwa, ukuzijwayeza indlela yokuma nokuqala nokukhuluma nomlingani wakho kungasiza amanye amadoda.
Isibali-sikhathi se-Kegel somzuzu o-1 samahhala sikuvumela ukuthi uzijwayeze imisipha ehilelekile ekulawuleni ukuphuma khona manje.
Ubonane nini nodokotela
Bonana nodokotela wezinso nomchamo noma umtholampilo wezempilo yabesilisa uma ngokuzumayo kwaba ngokushesha ngesinye isikhathi, uma unezinkinga nokuvuka komthondo noma ukungakhululeki lapho uchama, noma uma kuqhubeka kukukhathaza. Ukuthi ingeyempilo yonke noma etholakala kamuva kungenye yezinto zokuqala udokotela azofuna ukuzazi, ngakho kuyasiza ukubhala phansi ukuthi yaqala nini nokuthi yenzeka ezimeni ziphi.
Imibuzo evame ukubuzwa
Ingabe umuntu uzalwa nenkinga yokuphuma ngaphambi kwesikhathi?
Kuya ngokuthi. I-PE yempilo yonke, ekhona kusukela ekuya ocansini kokuqala, kucatshangwa ukuthi ihlobene nesimo somzimba wakho nofuzo. I-PE etholakala kamuva, eqale ngemuva kwesikhathi ungenazo izinkinga, ivame ukuhlobana nokuthile okufike kamuva, njenge-ED, ukuvuvukala kwe-prostate noma ingcindezi.
Ingabe ukuphuma ngaphambi kwesikhathi kuyafuzwa?
Ucwaningo lwamawele angamadoda ayi-1 196 aseFinland (Jern nabanye, 2007) lwabika ukuthi ufuzo lungachaza cishe u-28% wokwehluka phakathi kwamadoda ekuthambekeleni ku-PE. Okusele kwakuvela endaweni ophila kuyo nakokuhlangenwe nakho, ngakho akusho ukuthi indodana izoba ne-PE ngoba ubaba wayenayo.
Zingaki izinhlobo ze-PE?
Incazelo yamazwe ngamazwe inezimbili: eyempilo yonke neyetholakala kamuva. Abanye abacwaningi bengeza ezinye ezimbili: i-PE eguquguqukayo, eyenzeka ngezinye izikhathi kuphela, ne-PE yomuzwa, lapho isikhathi singesifushane kodwa uzizwa sengathi sifushane futhi lokho kuyakukhathaza. Enhlolovweni yaseTurkey (Serefoglu nabanye, 2011), i-PE eguquguqukayo yayivame kakhulu emadodeni athi aqeda ngokushesha kakhulu.
Ingabe ngingenza okuthile ngokwami nge-PE?
Izindlela zokuzisiza eziye zacwaningwa zihlanganisa ukuqeqeshwa kwemisipha yaphansi kwesinqe, ukuzivocavoca okuphefumulayo (aerobic) njengokugijima, nendlela yokuma nokuqala. Ucwaningo luncane futhi imiphumela iyahluka endodeni nendoda. Uma iqhubeka ikukhathaza, noma iqale ngokuzumayo, khuluma nodokotela wezinso nomchamo (urologist) noma udokotela wakho.
Imithombo
- Serefoglu EC, et al. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. J Sex Med. 2014;11(6):1423-1441. repub.eur.nl/pub/74335
- Jern P, et al. Premature and delayed ejaculation: genetic and environmental effects in a population-based sample of Finnish twins. J Sex Med. 2007;4(6):1739-1749. pubmed.ncbi.nlm.nih.gov/17888070/
- Janssen PKC, et al. Serotonin transporter promoter region (5-HTTLPR) polymorphism is associated with the intravaginal ejaculation latency time in Dutch men with lifelong premature ejaculation. J Sex Med. 2009;6(1):276-284. cris.maastrichtuniversity.nl/en/publications/serotonin-trans
- Serefoglu EC, et al. Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med. 2011;8(2):540-548. academic.oup.com/jsm/article/8/2/540/6844383
- Pastore AL, et al. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. Ther Adv Urol. 2014;6(3):83-88. doaj.org/article/aea4980b10dd4dd791f1f3168656deb5