Iingxaki zokwakhiwa

Ingxaki yokwakhiwa yenzeka xa indoda ingenakufumana okanye igcine ulwakhiwo olomelele ngokwaneleyo ukuba lube neentlobano zesini. Awungekhe ufumane ulungiso konke konke. Okanye, ungaphulukana nokwakhiwa ngexesha lokwabelana ngesondo ngaphambi kokuba ulungele. Iingxaki zokwakhiwa azihlali zichaphazela ukuqhuba kwakho ngokwesondo.

Iingxaki zokwakhiwa ziqhelekile. Phantse onke amadoda amadala anengxaki yokufumana okanye yokugcina ulwakhiwo ngexesha elinye okanye elinye. Rhoqo ingxaki iphela kungekho unyango. Kodwa kwamanye amadoda, kunokuba yingxaki eqhubekayo. Oku kubizwa ngokuba yi-erectile dysfunction (ED).

Ukuba unengxaki yokufumana okanye ukugcina ulwakhiwo ngaphezulu kwe-25% yexesha, kuya kufuneka ubone umboneleli wakho wezempilo.

Ukufumana ulwakhiwo, ingqondo yakho, imithambo-luvo, iihomoni, kunye nemithambo yegazi konke kufuneka kusebenze kunye. Ukuba into ingena endleleni yale misebenzi iqhelekileyo, inokukhokelela kwiingxaki zokwakha.

Ingxaki yokwakhiwa ayihlali "yonke entlokweni yakho." Ngapha koko, uninzi lweengxaki zokwakha zinesizathu sokwenyama. Apha ngezantsi kukho izizathu eziqhelekileyo zomzimba.

Isifo:

• Seswekile
• Igazi elonyukayo
• Intliziyo okanye iimeko ze-thyroid
• Iimithambo ezivaliweyo (i-atherosclerosis)
• Uxinzelelo
• Ukuphazamiseka kwenkqubo, efana ne-multiple sclerosis okanye isifo se-Parkinson

Amayeza:

• Ukudakumba
• Amayeza oxinzelelo lwegazi (ngakumbi i-beta-blockers)
• Amayeza entliziyo, anjenge-digoxin
• Iipilisi zokulala
• Amanye amayeza e-peptic ulcer

Ezinye izinto ezibonakalayo:

• Amanqanaba e testosterone asezantsi. Oku kunokwenza ukuba kube nzima ukufumana ulwakhiwo. Inokunciphisa nokuqhuba kwesondo kwendoda.
• Umonakalo wemithambo luqhaqho.
• Inikotini, utywala, okanye icocaine.
• Ukulimala kwentambo yomqolo.

Ngamanye amaxesha, iimvakalelo zakho okanye iingxaki zobudlelwane zinokukhokelela kwi-ED, enje:

• Unxibelelwano olubi kunye neqabane lakho.
• Imvakalelo yokuthandabuza nokusilela.
• Uxinzelelo, uloyiko, ixhala, okanye umsindo.
• Ukulindela kakhulu kwisini. Oku kunokwenza isondo lube ngumsebenzi endaweni yolonwabo.

Iingxaki zokwakhiwa zinokuchaphazela amadoda nakweyiphi na iminyaka, kodwa zixhaphake njengoko usiya ukhula. Izizathu zomzimba zixhaphake kakhulu kumadoda amadala. Izizathu ezingokweemvakalelo zixhaphake kakhulu emadodeni amancinci.

Ukuba ulungelelwaniso ekuseni okanye ebusuku ngelixa ulele, akunakuba sisizathu sokwenyama. Uninzi lwamadoda lunee-3 ukuya kwezi-5 zokulungiswa ebusuku ezihlala malunga nemizuzu engama-30. Thetha nomboneleli wakho malunga nendlela yokufumanisa ukuba unezinto eziqhelekileyo zobusuku ebusuku.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ingxaki yokufumana ulwakhiwo
• Ingxaki yokugcina ulwakhiwo
• Ukuba nolwakhiwo olungaqinisekanga ngokwaneleyo ukuba ungabelana ngesondo
• Umdla omncinci kwisini

Umboneleli wakho uya kwenza uvavanyo lomzimba, olunokubandakanya:

• Ukuthatha uxinzelelo lwegazi
• Ukuvavanya ipenisi yakho kunye ne-rectum ukukhangela iingxaki

Umboneleli wakho uya kubuza nemibuzo ukukunceda ufumane unobangela, ofana:

• Ngaba uye wakwazi ukufumana nokugcina izilungiso kwixesha elidlulileyo?
• Ngaba unenkathazo yokufumana ukulungiswa okanye ukugcina ukulungiswa?
• Ngaba unayo izinto xa ulele okanye kusasa?
• Unexesha elingakanani unengxaki yokulungiswa?

Umboneleli wakho uya kubuza malunga nendlela yakho yokuphila:

• Ngaba uthatha nawaphi na amayeza, kubandakanya amayeza angaphaya kwekhawuntareni kunye nezongezelelo?
• Ngaba uyasela, uyatshaya, okanye usebenzisa iziyobisi ngokuzonwabisa?
• Injani imeko yengqondo yakho? Ngaba uxinezelekile, uxinezelekile, okanye uxhalabile?
• Ngaba unengxaki yobudlelwane?

Unokuba novavanyo olwahlukeneyo ukunceda ukufumana unobangela, ofana:

• Uvavanyo lwe-Urinalysis okanye uvavanyo lwegazi ukukhangela iimeko zempilo ezinje ngeswekile, iingxaki zentliziyo, okanye testosterone ephantsi
• Isixhobo osinxiba ebusuku ukujonga ulungelelwaniso oluqhelekileyo ebusuku
• I-Ultrasound yelungu lakho lobudoda ukujonga iingxaki zokuhamba kwegazi
• Ukujonga ubungqongqo ukuvavanya ukuba lomelele kangakanani ulwakhiwo lwakho
• Uvavanyo lweengqondo ukujonga uxinzelelo kunye nezinye iingxaki zeemvakalelo

Unyango lunokuxhomekeka ekubeni yintoni ebangela ingxaki nokuba uphilile kangakanani. Umboneleli wakho angathetha nawe ngonyango olulungileyo kuwe.

Kumadoda amaninzi, utshintsho kwindlela yokuphila lunokunceda. Oku kubandakanya:

• Ukwenza umthambo
• Ukutya ukutya okusempilweni
• Ukuphulukana nobunzima obongezelelweyo
• Ukulala kakuhle

Ukuba wena neqabane lakho ninengxaki yokuthetha ngobudlelwane bakho, kunokubangela iingxaki ngesondo. Ingcebiso ingakunceda bobabini kunye neqabane lakho.

Iinguqulelo kwindlela yokuphila iyodwa ayinakwanela. Kukho iindlela ezininzi zonyango.

• Iipilisi ozithathayo ngomlomo, njenge sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), kunye ne tadalafil (Adcirca, Cialis). Basebenza kuphela xa uvuswa ngokwesondo. Bahlala beqala ukusebenza kwimizuzu eli-15 ukuya kwengama-45.
• Amayeza afakwe kwi-urethra okanye afakwe kwilungu lobudoda ukuphucula ukuhamba kwegazi. Kusetyenziswa iinaliti ezincinci kakhulu kwaye azibangeli zintlungu.
• Utyando lokufaka izilwanyana kwilungu lobudoda. Ukufakwa kunganyinyitheka okanye kungagungqi.
• Isixhobo sokucoca. Oku kusetyenziselwa ukutsala igazi kwilungu lobudoda. Ibhendi ekhethekileyo yerabha isetyenziselwa ukugcina ulwakhiwo ngexesha lokwabelana ngesondo.
• Ukutshintshwa kweTesttosterone ukuba inqanaba lakho le testosterone liphantsi. Oku kuza kumabala esikhumba, ijeli, okanye inaliti kwimisipha.

Iipilisi ze-ED ozithatha ngomlomo zinokuba neziphumo ebezingalindelekanga. Oku kunokuvela kwintlungu yemisipha kunye nokugungxula ukuya kuhlaselo lwentliziyo. SUKUWASEBENZISE la machiza nge-nitroglycerin. Indibaniselwano inokubangela ukuba uxinzelelo lwegazi lwakho lwehle.

Awunakho ukusebenzisa la machiza ukuba unayo nayiphi na kwezi meko zilandelayo:

• Ukubetha kwangoku okanye ukuhlaselwa yintliziyo
• Isifo sentliziyo, njenge-angina engaqinisekiyo okanye ukubetha kwentliziyo okungaqhelekanga (arrhythmia)
• Ukungaphumeleli kwentliziyo
• Uxinzelelo lwegazi olungalawulwayo
• Isifo seswekile esingalawulwayo
• Uxinzelelo lwegazi oluphantsi kakhulu

Olunye unyango luneziphumo ebezingalindelekanga ezinokubakho kunye neengxaki. Cela umboneleli wakho ukuba achaze umngcipheko kunye nezibonelelo zonyango ngalunye.

Unokubona amayeza amaninzi kunye nezongezo ezibanga ukuba zinceda ukusebenza ngokwesondo okanye umnqweno. Nangona kunjalo, akukho namnye uqinisekisiweyo ukuba uphathe ngempumelelo i-ED. Kwaye abanakuhlala bakhuselekile. MUSA ukuthatha nantoni na ngaphandle kokuthetha nomboneleli wakho kuqala.

Amadoda amaninzi oyisa iingxaki zokwakhiwa ngotshintsho kwindlela yokuphila, unyango, okanye zombini. Kwiimeko ezinzima kakhulu, wena kunye neqabane lakho kunokufuneka ukuba uhlengahlengise kwindlela i-ED ebuchaphazela ngayo ubomi bakho ngokwesondo. Nokuba kunyango, ukucebisa kunokukunceda wena neqabane lakho ukuba boyise uxinzelelo lwe-ED olunokuthi lubeke kulwalamano lwenu.

Ingxaki yokwakhiwa engapheliyo inokukwenza uzive ungalunganga ngawe. Inokulimaza ubudlelwane bakho neqabane lakho. I-ED inokuba luphawu lweengxaki zempilo ezinje ngesifo seswekile okanye isifo sentliziyo. Ke ukuba unengxaki yokwakha, musa ukulinda ukufuna uncedo.

Fowunela umnikezeli wakho ukuba:

• Ingxaki ayipheli notshintsho kwindlela yokuphila
• Ingxaki iqala emva kokonzakala okanye uqhaqho lobudoda
• Unazo ezinye iimpawu, ezinjengeentlungu ezisezantsi, iintlungu esiswini, okanye utshintsho kumchamo

Ukuba ucinga ukuba naliphi na iyeza olithathayo linokubangela iingxaki kulwakhiwo, thetha nomboneleli wakho. Kuya kufuneka ukuba wehlise idosi okanye utshintshe uye kwelinye iyeza. SUKUTSHINTSHE okanye uyeke ukuthatha naliphi na iyeza ungakhange uqale uthethe nomboneleli wakho.

Thetha nomboneleli wakho ukuba iingxaki zakho zokwakha zinento yokwenza noloyiko lweengxaki zentliziyo. Ukwabelana ngesondo kuhlala kukhuselekile kumadoda aneengxaki zentliziyo.

Fowunela umboneleli wakho kwangoko okanye uye kwigumbi likaxakeka ukuba uthatha iyeza le-ED kwaye likunika ulwakhiwo oluhlala ngaphezulu kweeyure ezingama-4.

Ukunceda ukuthintela iingxaki zokwakhiwa:

• Yeka ukutshaya.
• Nciphisa utywala (hayi ngaphezulu kweziselo ezi-2 ngosuku).
• MUSA ukusebenzisa iziyobisi ezingekho mthethweni.
• Fumana ubuthongo obuninzi kwaye uthathe ixesha lokuphumla.
• Hlala kubunzima obusempilweni bokuphakama kwakho.
• Zilolonge kwaye utye ukutya okusempilweni ukugcina ukujikeleza kwegazi okuhle.
• Ukuba unesifo seswekile, gcina iswekile yegazi ilawulwa kakuhle.
• Thetha ngokukhululekileyo neqabane lakho malunga nobudlelwane bakho kunye nobomi bezesondo. Funa iingcebiso ukuba wena neqabane lakho ninengxaki yokunxibelelana.

Ukungasebenzi kakuhle kwe-erectile; Ukungabi namandla Ukungasebenzi kakuhle ngokwesondo-eyindoda

• Ukungabi namandla kunye nobudala

Umbutho weAmerican Urological Association. Yintoni ukungasebenzi kakuhle kwe-erectile? www.urologyhealth.org/urologic-conditions/dctfunction-dysfunction(ed). Ukuhlaziywa ngoJuni 2018. Ifikeleleke ngo-Okthobha u-15, 2019.

UBurnett AL. Uvavanyo kunye nolawulo lokungasebenzi kakuhle kwe-erectile. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

UBurnett AL, uNehra A, uBreau RH, et al. Ukungasebenzi kakuhle kwe-Erectile: Isikhokelo se-AUA. J Urol. 2018; 200 (3): 633-641. IINKCUKACHA: 29746858.