Kuyini ukuphuma ngaphambi kwesikhathi? Imizuzu emingaki, isikhathi esimaphakathi, izinhlobo ezi-2 nezimbangela
Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela
Amadoda amaningi ayazibuza ukuthi ingabe aqeda ngokushesha kakhulu, kodwa ambalwa azi ukuthi umngcele ukuphi ngempela. Incazelo yamazwe ngamazwe ibheka okungaphezu kwewashi: ukuthi uyakwazi yini ukubambezela ukuphuma, nokuthi lokho kuyakukhathaza yini.
I-International Society for Sexual Medicine (ISSM) ichaza ukuphuma ngaphambi kwesikhathi njengokuphuma kwesidoda cishe kungakapheli umzuzu o-1 ngemuva kokungena (i-PE yempilo yonke, ekhona kusukela ekuqaleni) noma cishe imizuzu emi-3 (i-PE etholakala kamuva), ukungakwazi ukukubambezela cishe njalo, kanye nokukhathazeka ngakho. Enhlolovweni yewashi lokubala emazweni amahlanu, isikhathi esiphakathi kusukela ekungeneni kuya ekuphumeni sasiyi-mizuzu engu-5,4, kunomehluko omkhulu kakhulu phakathi kwamadoda.
Okuqukethwe
Indlela ukuphuma ngaphambi kwesikhathi okuchazwa ngayo
Kunezincazelo eziningana zokuphuma ngaphambi kwesikhathi (i-PE), kodwa esetshenziswa kakhulu yincazelo ka-2014 ye-International Society for Sexual Medicine (ISSM). I-PE isho zonke izinto ezintathu ezilandelayo:
- Isikhathi: ukuphuma cishe kungakapheli umzuzu o-1 ngemuva kokungena (yempilo yonke), noma ukwehla kuye cishe emizuzwini emi-3 noma ngaphansi (etholakala kamuva)
- Ukulawula: ukungakwazi ukubambezela ukuphuma njalo noma cishe njalo
- Ukukhathazeka: ukuzizwa udangele noma ucasukile ngakho, noma ukugwema ucansi ngenxa yakho
Ngakho uma isikhathi sifushane kancane kodwa wena nomlingani wakho ningakhathazeki, akusho ukuthi kuyinto okufanele yelashwe. Futhi uma isikhathi side kunencazelo kodwa kukukhathaza, usengakhuluma nodokotela ngakho.
Isikhathi esimaphakathi singakanani?
- Indlela
- Amasonto ama-4, imibhangqwana yalinganisa isikhathi socansi ngalunye kusukela ekungeneni kuya ekuphumeni ngewashi lokubala
- Okutholakele
- Isikhathi esiphakathi semizuzu engu-5,4, esisukela ngaphansi komzuzu o-1 kuya ngaphezu kwemizuzu engu-30
- Isixwayiso
- Imibhangqwana yayazi ukuthi ilinganisa isikhathi, okungase kwehluke kokujwayelekile
Ukuba ngaphansi kwesilinganiso akusona isifo uqobo lwakho. Okubaluleke kakhulu kunewashi ukuthi uyakwazi yini ukubambezela ukuphuma nokuthi kuyakukhathaza yini.
Izinhlobo ezimbili
I-PE yempilo yonke
Ukuphuma kube kufika ngokushesha okukhulu cishe njalo kusukela ekuya ocansini kwakho kokuqala. Kucatshangwa ukuthi kuhlobene nesimo somzimba wakho nokuthi izinzwa ezilawula ukuphuma zizwela kangakanani.
I-PE etholakala kamuva
Iqale ngesinye isikhathi ngemuva kwesikhathi ungenazo izinkinga. Ukukhathazeka ngokuthamba komthondo, ukuvuvukala kwe-prostate, isifo se-thyroid, ingcindezi nezinkinga zobudlelwane konke kungaba nesandla. Uma ishintshe ngokuzumayo, vumela udokotela ahlole ukuthi asikho yini isimo esingaphansi kwayo.
Izimbangela
I-PE ayivamile ukuba nembangela eyodwa. Izinto zengqondo (ukwesaba, ukukhathazeka, ulwazi oluncane) nezomzimba (ukuzwela, indlela imisipha yaphansi kwesinqe esebenza ngayo, i-ED noma izinkinga ze-prostate) zivame ukuhlangana. Enhlolovweni enkulu ye-PEPA yamadoda ayi-12 133, u-22,7% wahlangabezana nemibandela ye-PE, ngakho ingenye yezinkinga zocansi ezivame kakhulu emadodeni.
Ongakwenza ngokwakho
Lezi zindlela zokuzisiza ziye zacwaningwa. Iningi lazo wucwaningo oluncane, futhi imiphumela efanayo ayiqinisekiswa kuwo wonke umuntu.
- Ukuqeqeshwa kwemisipha yaphansi kwesinqe: ocwaningweni lwase-Italy lwamadoda angama-40 ane-PE yempilo yonke aqeqeshwa amasonto ayi-12 (Pastore nabanye, 2014), angama-33 abika ukuthi ayakwazi ukulawula ukuphuma. Ucwaningo lwalungenalo iqembu lokuqhathanisa.
- Ukuzivocavoca okuphefumulayo: ocwaningweni lwamadoda ane-PE yempilo yonke (Kilinc nabanye, 2018), iqembu elagijima imizuzu engama-30 kahlanu ngesonto laba nesikhathi eside kuze kuphume. Kwakuwucwaningo oluncane nolufushane.
- Indlela yokuma nokuqala: indlela yokuziphatha lapho umisa ukuvuseleleka lapho uzwa usondela, ulinde kuze kudlule isifiso, bese uqala futhi.
Isibali-sikhathi se-Kegel somzuzu o-1 samahhala sikuvumela ukuthi uzijwayeze ukucindezela khona manje.
Ubonane nini nodokotela
Bonana nodokotela wezinso nomchamo noma umtholampilo wezempilo yabesilisa uma kuqhubeka kukukhathaza, uma ngokuzumayo kwaba ngokushesha ngesinye isikhathi, uma unenkinga nokuvuka komthondo, noma uma unobuhlungu noma ukungakhululeki lapho uchama. Udokotela angaxoxa ngezindlela ezihambisana nembangela, njengamaphilisi, ama-cream noma ama-spray okwenza ukuba ndikindiki, izindlela zokuziphatha nokwelulekwa. Gwema imithi evela kubathengisi be-inthanethi abangenalo ilayisense.
Imibuzo evame ukubuzwa
Yimizuzu emingaki ebalwa njengokuphuma ngaphambi kwesikhathi?
Ngokwencazelo ye-International Society for Sexual Medicine (ISSM), i-PE yempilo yonke isho ukuphuma kwesidoda cishe kungakapheli umzuzu o-1 ngemuva kokungena cishe njalo kusukela ekuya ocansini kwakho kokuqala, kanti i-PE etholakala kamuva isho ukuthi isikhathi sehlele cishe emizuzwini emi-3 noma ngaphansi ngesinye isikhathi. Isikhathi sodwa asanele: ukungakwazi ukubambezela ukuphuma nokukhathazeka ngakho nakho kuyingxenye yencazelo.
Isikhathi esimaphakathi emadodeni singakanani?
Enhlolovweni yemibhangqwana ecishe ibe ngu-500 emazweni amahlanu eyalinganisa isikhathi socansi ngewashi lokubala (Waldinger nabanye, 2005), isikhathi esiphakathi kusukela ekungeneni kuya ekuphumeni sasiyimizuzu engu-5,4. Sasisukela ngaphansi komzuzu owodwa kuya ngaphezu kwemizuzu engu-30, ngakho asikho isikhathi esisodwa “esijwayelekile”.
Ingabe zikhona izinhlobo ezahlukene ze-PE?
Yebo. I-PE yempilo yonke ibikhona kusukela ekuya ocansini kwakho kokuqala. I-PE etholakala kamuva iqale kamuva, ngemuva kwesikhathi ungenazo izinkinga, futhi ingahlobene ne-ED, ukuvuvukala kwendlala yesinye (prostate), isifo sendlala yegilo (thyroid), ingcindezi noma izinkinga zobudlelwane. Uma ishintshe ngokuzumayo, bonana nodokotela.
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
- Waldinger MD, et al. A multinational population survey of intravaginal ejaculation latency time. J Sex Med. 2005;2(4):492-497. smsna.org/patients/did-you-know/how-long-does-it-take-the-av
- 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
- Kilinc MF, et al. Impact of physical activity on patient self-reported outcomes of lifelong premature ejaculation patients: results of a prospective, randomised, sham-controlled trial. Andrologia. 2018;50(1):e12799. search.pedro.org.au/search-results/record-detail/52397
- Porst H, et al. The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol. 2007;51(3):816-824. pubmed.ncbi.nlm.nih.gov/16934919/