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Imisipha yaphansi kwesinqe

Lokho ukuqeqeshwa kwemisipha yaphansi kwesinqe kukwenzela amadoda: okutholakele oku-5 ocwaningweni

Kubuyekeziwe Okt 21, 2026Imithombo engu-4Imizuzu engu-6 yokufundaIthimba lokuhlela le-Chordup

Kubhalwe kusukela ocwaningweni olubuyekezwe ngontanga neziqondisweni zezikhungo zezokwelapha, ezibhalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela

Ukuzivocavoca kwemisipha yaphansi kwesinqe kuvame ukubonwa njengento yabesifazane. Kodwa imisipha yaphansi kwesinqe yendoda ihlanganisa imisipha esiza ukugcina umthondo uvukile nephusha isidoda, futhi izivivinyo zokwelapha ziye zahlola ukuyiqeqesha nge-ED nokuphuma ngaphambi kwesikhathi.

Amaphuzu abalulekile

Imisipha yaphansi kwesinqe yendoda ihlanganisa imisipha esiza ukugcina umthondo uvukile kanye nemisipha ephusha isidoda. Ocwaningweni olungahleliwe lwamadoda angama-55 ane-ED, iqembu elaqeqeshwa lathola amaphuzu angcono okuvuka komthondo, futhi ocwaningweni lwamadoda angama-40 ane-PE, angama-33 abika ukuthola ukulawula ukuphuma. Ukubuyekezwa kwezivivinyo eziyi-10 nakho kwathola imiphumela emihle kukho kokubili. Konke kwakungucwaningo oluncane, futhi ukuqeqesha akuthathi indawo yokunakekelwa ngodokotela.

Iyini imisipha yaphansi kwesinqe?

Imisipha yaphansi kwesinqe yiqembu lemisipha eselulwe njengomcamelo olengayo (hammock) ngaphansi kwesinqe, kusukela ethanjeni lesinqe langaphambili kuya emsileni. Isekela isinye nendlala yesinye ngezansi futhi, kumadoda, ixhumene nesisekelo somthondo. Ivame ukubizwa ngokuthi umsipha we-PC (pubococcygeus).

Kukhululekile

Kuqinisiwe

Uma uqinisa, imisipha yaphansi kwesinqe (ebomvu) iyaphakama futhi isisekelo somthondo siphakama kancane.

Umsipha	Umsebenzi
Ischiocavernosus	Izungeza isisekelo somthondo nhlangothi zombili; kucatshangwa ukuthi isiza ukugcina igazi ngaphakathi ngesikhathi umthondo uvukile
Bulbospongiosus	Ifinyela ngesigqi ngesikhathi sokuphuma ukuze ikhiphe isidoda
Levator ani (kuhlanganise nomsipha we-PC)	Isekela imisipha yaphansi kwesinqe futhi ivale indlela yangemuva nomgudu womchamo

Okutholakele oku-5 ocwaningweni

Inombolo1Ungayiqeqesha imisipha esiza ukugcina umthondo uvukile

Umthondo uhlala uvukile uma igazi eligeleze kuwo lihlala khona. I-ischiocavernosus izungeza isisekelo, futhi ukuyiqinisa kucatshangwa ukuthi kukhulisa ingcindezi empandeni yomthondo. Njenganoma yimuphi umsipha, imisipha yaphansi kwesinqe iyaqina ngokuqeqeshwa. Ungawuqeqesha ngqo umsipha ohlangene nokuvuka komthondo, ngaphandle kwemishini.

Inombolo2Ungase uqaphele kangcono isikhathi sokuphuma

Ukuphuma kwesidoda kuyinto eyenzeka ngokwayo eqhutshwa ukufinyela okunesigqi kwe-bulbospongiosus neminye imisipha yaphansi kwesinqe. Amadoda amaningi awacabangi neze ngale misipha, kodwa ukuyiqinisa nokuyikhulula kukufundisa lapho umzamo ukhona. Umqondo wokuthi lokhu kukusiza ubone futhi ulawule ukusondela kokuphuma yiwona owaholela ocwaningweni nge-PE.

Inombolo3Ocwaningweni lwe-ED, amaphuzu okuvuka komthondo athuthuka

Ukuqeqeshwa kwemisipha yaphansi kwesinqe nge-ED: ucwaningo olulawulwayo olungahleliweDorey nabanye2004UK

55amadoda

40%ukusebenza okujwayelekile

35,5%kwathuthuka

24,5%akukho shintsho

Indlela: Ukuzivocavoca kwemisipha yaphansi kwesinqe okufundiswe ngudokotela we-physiotherapy (ukuzivocavoca ekhaya ne-biofeedback) kuqhathaniswa neseluleko sendlela yokuphila izinyanga ezi-3; ngemuva kwalokho bonke baqeqeshwa
Iphephabhuku: British Journal of General Practice

Ezinyangeni ezi-3, iqembu elaqeqeshwa lalinamaphuzu angcono okuvuka komthondo kunalelo elathola iseluleko sendlela yokuphila.

Inombolo4Amadoda angama-33 kwangama-40 ane-PE abika ukuthola ukulawula

Ukuvuselelwa kwemisipha yaphansi kwesinqe nge-PE yempilo yonkePastore nabanye2014Italy

40amadoda

amasonto ayi-12okuqeqeshwa

33athola ukulawula

146 sisilinganiso ngemuva

Obani: Amadoda ayephuma kungakapheli umzuzu o-1 ngemuva kokungena kusukela ocansini lwawo lokuqala
Indlela: Ukuqeqeshwa kwemisipha yaphansi kwesinqe okuholwa ngudokotela we-physiotherapy, kuhlanganise ukuvuselela ngogesi ne-biofeedback
Isixwayiso: Alikho iqembu lokuqhathanisa. Imizuzwana eyi-146 yisilinganiso samadoda angama-33 athola ukulawula

Abacwaningi bayibiza imiphumela ngokuthi iyathembisa futhi bathi kudingeka izivivinyo ezinkulu.

Inombolo5Ukubuyekezwa kwezivivinyo eziyi-10 nakho kwaba kuhle

Ekubuyekezweni okuhlelekile kwezivivinyo zokwelapha eziyi-10 zokuqeqeshwa kwemisipha yaphansi kwesinqe nge-ED ne-PE (Myers noSmith, 2019), isivivinyo ngasinye se-ED sathola izinga eliphezulu lokuthuthuka eqenjini elaqeqeshwa kunaseqenjini lokuqhathanisa. Iningi lezivivinyo ze-PE labonisa umkhuba ofanayo, futhi ababhali baphetha ngokuthi ukuqeqeshwa kwemisipha yaphansi kwesinqe kubonakala kuyasebenza kukho kokubili.

Nokho, ucwaningo lwalusezingeni eliphansi kuya kwelimaphakathi futhi lwasebenzisa izibalo zokuphinda ezahlukene, ubude besikhathi nokubhekwa, ngakho indlela engcono kakhulu yokuqeqesha ayikaziwa.

Kulula ukuqhubeka

Imizuzu emi-2-3 isikhathi ngasinye

Ukuqinisa okuyishumi okubanjwe imizuzwana embalwa. Kathathu ngosuku kungaphansi kwemizuzu eyi-10.

Akekho ongabona

Ungakwenza uhlezi etafuleni lakho noma etekisini. Akukho okubonakalayo.

Ayikho imishini, azikho izindleko

Akudingeki ijimu noma imishini. Njengocwaningweni, thatha amasonto ayi-12 njengesigaba esisodwa.

Indlela yokuqala: kathathu ngosuku amasonto ayi-12

Lala ngomhlane amadolo egobile, noma uhlale kahle esihlalweni wencike emuva.
Njengokungathi ubamba umoya, donsela phakathi indawo ezungeze indlela yangemuva. Gcina isisu, izinqe namathanga kukhululekile.
Qhubeka uphefumula, qinisa imizuzwana emi-3 kuya kwemi-5, bese ukhulula isikhathi esilinganayo. Ukuphinda okuyishumi kwenza isethi eyodwa.
Amasethi amathathu ngosuku, nsuku zonke. Emasontweni ayi-12, enyuka kancane uze ubambe imizuzwana eyi-10.

Zama isibali-sikhathi se-Kegel samahhalaQala ngokuqinisa ngendlela efanele. Qinisa ukhulule izikhathi eziyi-10 ngesigqi somfanekiso onyakazayo. Akukho ukubhalisa, ayikho i-app.

Indlela yokuthola umsipha namaphutha avamile kukhona ekuzivocavoca kwe-Kegel kwamadoda; ukukuhlanganisa ne-cardio nokuzivocavoca kwamandla kukhona ohlelweni lokuzivocavoca lwesonto.

Imikhawulo yocwaningo

Ucwaningo ngalunye lwaluluncane, lunamadoda angamashumi ambalwa, futhi lwathatha cishe izinyanga ezi-3.
Oluningi lwalubhekwe odokotela be-physiotherapy noma lusebenzisa imishini; ukuziqeqesha wedwa noma nge-app kungase kunganikezi imiphumela efanayo.
I-ED inezimbangela eziningi, kuhlanganise imithambo yegazi, imizwa, amahomoni nengqondo; ukuqeqeshwa kwemisipha yaphansi kwesinqe kukodwa kungase kunganele.
Ukuqeqeshwa kwemisipha yaphansi kwesinqe akukabi ukwelashwa okuqinisekisiwe kwe-ED noma i-PE.

Imibuzo evame ukubuzwa

Ingabe ama-Kegel ayasiza enkingeni yokuvuka komthondo?

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.

Ingabe ama-Kegel ayasiza ekuphumeni ngaphambi kwesikhathi?

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.

Kufanele ngenze ama-Kegel amangaki ngosuku?

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.

Kuzothatha isikhathi esingakanani ngaphambi kokuthi ngibone umehluko?

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.

Imithombo

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/ (kubhekwe ngo-Okthoba 2026)
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 (kubhekwe ngo-Okthoba 2026)
Myers C, Smith M. Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy. 2019;105(2):235-243. researchonline.jcu.edu.au/57900/ (kubhekwe ngo-Okthoba 2026)
Memorial Sloan Kettering Cancer Center. Pelvic Floor Muscle (Kegel) Exercises for Males. www.mskcc.org/cancer-care/patient-education/pelvic-floor-mus (kubhekwe ngo-Okthoba 2026)