Imibuzo evame ukubuzwa

Zivame kakhulu. Enhlolovweni ye-PEPA yamadoda ayi-12 133 aneminyaka eyi-18 kuya kwengama-70 e-US, eJalimane nase-Italy, u-22,7% wahlangabezana nemibandela yokuphuma ngaphambi kwesikhathi. Ku-Massachusetts Male Aging Study yamadoda ayi-1 290 aneminyaka engama-40 kuya kwengama-70, u-52% wabika inkinga yokuvuka komthondo ezingeni elithile.

Izindlela zokuzisiza eziye zacwaningwa zihlanganisa ukuqeqeshwa kwemisipha yaphansi kwesinqe, ukuzivocavoca kwe-aerobic njengokugijima, namasu okuziphatha afana nokuqala-ume (start-stop). Ucwaningo luningi luncane futhi imiphumela iyehluka kuye ngendoda. Uma inkinga iqhubeka noma iqale ngokuzumayo, bona udokotela we-urology; imithi nokwelulekwa nakho kuyizindlela.

Ocwaningweni lwase-Italy lwamadoda angama-40 abenenkinga yempilo yonke yokuphuma ngaphambi kwesikhathi (Pastore nabanye, 2014), angama-33 abika ukuthi ayakwazi ukulawula ukuphuma ngemuva kwamasonto ayi-12 okuqeqeshwa kwemisipha yaphansi kwesinqe. Ucwaningo lwalungenalo iqembu lokuqhathanisa, futhi ababhali bacela ucwaningo olukhulu. Uma i-PE iqhubeka ikukhathaza, udokotela angasiza.

Ukuzivocavoca kwe-aerobic (cishe imizuzu eyi-160 ngesonto), ukuqeqeshwa kwemisipha yaphansi kwesinqe, nokudla 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 lalinamaphuzu okuvuka komthondo asezingeni elijwayelekile ngemuva kweminyaka emi-2. I-ED ingaba futhi uphawu lwakuqala lwesifo senhliziyo noma semithambo yegazi, ngakho cela udokotela ahlole imbangela.

Ocwaningweni olulawulwayo olungahleliwe (randomized controlled trial) e-UK lwamadoda angama-55 (Dorey nabanye, 2004), iqembu elenza ukuqeqeshwa kwemisipha yaphansi kwesinqe lathola amaphuzu angcono okuvuka komthondo. Kwakuwucwaningo oluncane olwalubhekwe ngochwepheshe, futhi i-ED inezimbangela eziningi, phakathi kwazo imithambo yegazi, imizwa, amahomoni nengcindezi. Uma i-ED ikukhathaza, qala ubone udokotela.

Ucwaningo nge-ED, i-PE nokuzivocavoca lwabuye lwabheka ukuzivocavoca kwe-aerobic (cishe imizuzu eyi-150 ngesonto) nokuzivocavoca kwe-aerobic kuhlanganiswe nokuzivocavoca kwamandla. Ucwaningo luningi luncane, futhi ukuzivocavoca akuthathi indawo yokunakekelwa ngodokotela. Uhlelo lwethu lokuzivocavoca lwamasonto onke luhlanganisa kokuthathu.

Asikwazi ukuthembisa ukwelapheka. I-Men's Core AI iyiwebhusayithi ne-app yamadoda abhekene ne-ED noma i-PE, eyakhelwe ezindleleni ucwaningo oluye lwabika ukuthi zingasiza. Ezivivinyweni zokwelapha, ukuqeqeshwa kwemisipha yaphansi kwesinqe nokuzivocavoca kwe-aerobic kuye kwahlotshaniswa nezinguquko ekuvukeni komthondo nasekulawuleni ukuphuma, futhi sikunikeza njengokuqeqesha okusekelwe kusayensi. Iningi lalolu cwaningo luncane, futhi imiphumela efanayo ayiqinisekiswa kuwo wonke umuntu. I-Men's Core AI ayiyona into yezokwelapha noma esikhundleni sokunakekelwa ngodokotela, ngakho uma izimpawu ziqhubeka, cabanga nokubona udokotela.

Ukuzivocavoca kwe-Kegel kuqeqesha imisipha yaphansi kwesinqe (pelvic floor, evame ukubizwa ngokuthi imisipha ye-PC) ngokuyiqinisa nokuyikhulula ngokushintshana. Kuqanjwe ngo-Arnold Kegel, udokotela waseMelika owakwenza kwaziwa ngo-1948, futhi kumadoda kucwaningiwe njengokuqeqesha imisipha ehlangene nokuvuka komthondo nokuphuma kwesidoda.

Yimisipha oyisebenzisayo ukubamba umoya ungaphumi: qinisa indawo ezungeze indlela yangemuva bese uyidonsela phakathi. Esibukweni, isisekelo somthondo siphakama kancane uma uqinisa. Uma isisu, izinqe namathanga kuhlala kukhululekile futhi uzwa ukudonseka phezulu eduze kwendlela yangemuva, usebenzisa imisipha efanele.

Isiqalo esivamile yisethi eyodwa yokuqinisa oku-8 kuya ku-10, ngakunye kubanjwe imizuzwana embalwa bese kukhululwa isikhathi esilinganayo, kathathu ngosuku (isibonelo ekuseni, emini nasebusuku). Isethi eyodwa noma ezimbili ngosuku zanele ekuqaleni. Iningi locwaningo kumadoda ane-ED noma i-PE laqhubeka nokuqeqesha nsuku zonke cishe amasonto ayi-12.

Iningi locwaningo lalinganisa imiphumela ngemuva kwamasonto angaba ngu-12 (izinyanga ezi-3). Abantu bahluka kakhulu. Uma kungekho okushintshile ngaleso sikhathi, noma inkinga iqhubeka ikukhathaza, khuluma nodokotela wezinso nomchamo (urologist) noma udokotela wakho.

Izinto ezine: ukubamba umoya (kucindezela imisipha yaphansi kwesinqe phansi), ukuqinisa isisu noma izinqe (imisipha emikhulu ithatha umsebenzi), ukumisa umchamo phakathi nendawo kaningi njengokuzivocavoca (isinye singase singaphumi sonke), nokuqhubeka uma kubuhlungu. Uma wake wahlinzwa, buza udokotela owakuhlinza ngaphambi kokuqala.

I-PC imele i-pubococcygeus, ingxenye yemisipha yaphansi kwesinqe esuka ethanjeni lesinqe langaphambili (pubic bone) iye emsileni (tailbone). Abantu bavame ukusebenzisa “umsipha we-PC” bechaza yonke imisipha yaphansi kwesinqe, ngakho ukuqeqeshwa kwe-PC kusho okufanayo nokuzivocavoca kwe-Kegel. Imisipha i-bulbospongiosus ne-ischiocavernosus esisekelweni somthondo nayo ihlangene nokuvuka komthondo nokuphuma.

Donsela phakathi indlela yangemuva nesisekelo somthondo, ubambe imizuzwana emi-3 kuya kwemi-5, bese ukhulula isikhathi esilinganayo. Ukuphinda okuyishumi kwenza isethi eyodwa; hlose amasethi amathathu ngosuku bese wenyuka kancane kancane uze ubambe imizuzwana eyi-8 kuya kweyi-10. Gcina izinqe, amathanga nesisu kukhululekile futhi uqhubeke uphefumula.

Ulalela ukukhathazeka kwakho futhi achaze izindlela ezikhona, njengokubona udokotela, imithi, ukudla nendlela yokuphila, esekelwe olwazini olunemithombo. Ubuza ukuthi unesikhathi esingakanani usuku ngalunye nokuthi usebenza kangakanani ngokomzimba manje, bese akha uhlelo lwamasonto ayi-12; ngemuva kwesikhathi ngasinye ulinganisa ukuthi kwakulula, kulungile noma kunzima ukuze alungise okulandelayo. Ungamtshela nje ukuthi “kuleli sonto ngiyahamba”. Ugcina akutshelayo njengamanothi amafushane efonini yakho futhi awasebenzise ezingxoxweni ezizayo. Ukhetha igama lakhe uma uqala. Umlingani we-AI akakwazi ukuxilonga noma ukwelapha lutho, futhi izimpendulo zakhe zingaba namaphutha; uma izimpawu zikukhathaza, bona udokotela.

Yebo. Ukukhuluma nomlingani we-AI, izikhathi zokuzivocavoca, irekhodi nezihloko ngokwelashwa nokudla konke kumahhala. Ukusebenzisa mahhala kuhlanganisa imilayezo eyi-15 kumlingani we-AI nezithombe zokudla ezi-5 ngosuku. I-app ikhombisa izikhangiso, kodwa hhayi ngesikhathi uzivocavoca. Ukuthenga okukodwa okuzikhethela kususa izikhangiso futhi kwenyusa imingcele yansuku zonke ibe yimilayezo engama-60 nezithombe zokudla eziyi-10; akukho ukubhalisa okukhokhelwa njalo ngenyanga.

Irekhodi nezilungiselelo zakho kuhlala efonini yakho, futhi ayikho i-akhawunti. Kuphela uma uthumela umlayezo kumlingani we-AI, nakanye ngosuku lapho i-app ibhala ukubingelela kwakho, lapho lowo mlayezo, ingxoxo yakamuva, amanothi amafushane agcinwe ezingxoxweni zakho (afika kuma-30, ongawabona futhi uwasuse kuzilungiselelo), izilungiselelo zohlelo lwakho, inani lezikhathi zakamuva, isamba sokudla nokulinganisa kwakho isimo sakho sesonto eledlule (umoya, amandla, ukulala nengcindezi, 1-5) kuthunyelwa ngeseva yethu (AWS) ku-AI ye-Anthropic, uClaude. Izinyathelo nokuzivocavoca okufundwa ku-Apple Health noma ku-Health Connect akuthunyelwa neze ku-AI noma komunye umuntu, futhi imininingwane yakho yokuzivocavoca ayisetshenziswa neze ezikhangisweni. Izithombe zokudla ozithumelayo ziya ku-AI zinciphisiwe ubukhulu ukuze zihlaziywe kuphela futhi azigcinwa. Ukufaka ngezwi kusebenzisa ukuqonda izwi kwefoni yakho, futhi akukho okuqoshiwe okugcinwayo.

Izikhumbuzo zithi kuphela “Ukuzivocavoca kwanamuhla”. Igama le-app esikrinini sakho sasekhaya, Men's Core AI, alisho lutho ngenkinga.