5 Oonobangela abaqhelekileyo bokungabi namandla

Umxholo

• Ukuqonda ukungabinamandla
• 1. Izifo ze-Endocrine
• 2. Iingxaki zemithambo-luvo kunye nemithambo-luvo
• 3. Ukuthatha amayeza
• 4. Iimeko ezinxulumene nentliziyo
• 5. Izinto zokuphila kunye nokuphazamiseka ngokweemvakalelo
• Unyango
• Ungenelelo lwezonyango
• Unyango lwendalo
• Iimpompo zepenis
• Utshintsho kwindlela yokuphila
• Uthintelo
• Imbonakalo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuqonda ukungabinamandla

Ukungabi namandla kwenzeka xa ungakwazi ukufezekisa ulwakhiwo, ukugcina ulwakhiwo, okanye ukudumba rhoqo ngokuhambelana. Isetyenziswe ngokungafaniyo kunye ne-erectile dysfunction (ED). Zininzi izinto ezinokuba negalelo kwimeko, kubandakanya zombini ukuphazamiseka ngokweemvakalelo nangokwasemzimbeni.

Ngokwe-Urology Care Foundation, uqikelelo lwezigidi ezingama-30 zaseMelika zinamava e-ED. Umngcipheko wokungabi namandla wonyuka kunye nobudala.

Uphononongo olwenziwe ngo-2007 olupapashwe kwiAmerican Journal of Medicine luchaza umngcipheko wokungabikho kwamandla okunyusa abantu ubudala. Ingaphezulu kakhulu emadodeni aye afunyaniswa eneempawu zomngcipheko wentliziyo enye okanye nangaphezulu.

Ukungabi namandla kuhlala kunesiphumo esibi kubomi bakho ngokwesondo, kwaye kunokubangela uxinzelelo, uxinzelelo olongezelelekileyo kunye nokuzithemba okuphantsi.

Ukuqonda ezona zinto zixhaphakileyo ezinokubangela kunokukunceda uchonge ukuba kutheni ungafumana le meko.

1. Izifo ze-Endocrine

Inkqubo ye-endocrine yomzimba ivelisa iihomoni ezilawula imetabolism, ukusebenza ngokwesondo, ukuzala kwakhona, imood, kunye nokunye okuninzi.

Iswekile ngumzekelo wesifo se-endocrine esinokubangela ukuba ube namandla. Isifo seswekile sichaphazela ukukwazi komzimba ukusebenzisa i-hormone insulin.

Enye yeengxaki ezinxulumene nesifo seswekile esinganyangekiyo ngumonakalo wemithambo-luvo. Oku kuchaphazela uvakalelo lwendoda. Ezinye iingxaki ezinxulumene nesifo seswekile zibandakanya ukungahambi kakuhle kwegazi kunye namanqanaba eehomoni. Zombini ezi zinto zinokuba negalelo ekungafezekini.

2. Iingxaki zemithambo-luvo kunye nemithambo-luvo

Iimeko ezininzi ze-neurologic zinokunyusa umngcipheko wokungabi namandla. Iimeko zemithambo-luvo zichaphazela amandla engqondo okunxibelelana nenkqubo yokuzala. Oku kunokuthintela ekufezekiseni ulwakhiwo.

Ukuphazamiseka kwemithambo-luvo okunxulunyaniswa nokungabi namandla kubandakanya:

• Isifo se-Alzheimer
• Isifo sikaParkinson
• Ingqondo okanye amathumba omqolo
• isifo sokuqinelwa yimithambo (multiple sclerosis) (MS)
• ukubetha
• isifo sokuwa sokwexeshana

Ukuba uye wenziwa utyando lweprostate, unokufumana kwakhona umonakalo wethambo, obangela ukungabi namandla.

Abagibeli beebhayisekile abade banokufumana ukungabi namandla okwethutyana. Uxinzelelo oluphindaphindiweyo ezinqeni nakumalungu esini kunokuchaphazela ukusebenza kwemithambo-luvo.

3. Ukuthatha amayeza

Ukuthatha amayeza athile kunokuchaphazela ukuhamba kwegazi, oku kunokukhokelela kwi-ED. Akufanele uyeke ukuthatha iyeza ngaphandle kwemvume kagqirha wakho, nokuba kuyaziwa ukuba kubangela ukungabi namandla.

Imizekelo yamayeza eyaziwa ngokuba ibangela ukungabi namandla ibandakanya:

• i-alpha-adrenergic blockers, kubandakanya i-tamsulosin (Flomax)
• ii-beta-blockers, ezinje nge-carvedilol (Coreg) kunye ne-metoprolol (Lopressor)
• umhlaza amayeza e-chemotherapy, anje nge-cimetidine (Tagamet)
• Inkqubo ye-nervous system (CNS), njenge-alprazolam (Xanax), i-diazepam (iValium) kunye ne-codeine
• Izikhuthazi ze-CNS, ezinje ngecocaine kunye neeamphetamines
• i-diuretics, efana ne-furosemide (Lasix) kunye ne-spironolactone (Aldactone)
• i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo, efana ne-fluoxetine (Prozac) kunye ne-paroxetine (Paxil)
• iihomoni zokwenziwa, kubandakanya i-leuprolide (Eligard)

4. Iimeko ezinxulumene nentliziyo

Iimeko ezichaphazela intliziyo kunye nokukwazi kwayo ukupompa igazi kakuhle kunokubangela ukungabi namandla. Ngaphandle kokuhamba kwegazi okwaneleyo ukuya kwilungu lobudoda, awukwazi ukufikelela kulwakhiwo.

I-Atherosclerosis, imeko ebangela ukuba imithambo yegazi ivaleke, inokubangela ukungabi namandla. I-cholesterol ephezulu kunye noxinzelelo lwegazi zikwanxulunyaniswa nokwanda komngcipheko wokungabi namandla.

5. Izinto zokuphila kunye nokuphazamiseka ngokweemvakalelo

Ukufezekisa ulwakhiwo, kufuneka uqale uye kwinto eyaziwa ngokuba sisigaba sovuyo. Eli nqanaba linokuphendula ngokweemvakalelo. Ukuba unengxaki yokuphazamiseka ngokweemvakalelo, iya kuchaphazela amandla akho okuba nemincili ngokwesondo.

Uxinzelelo kunye noxinzelelo kunxulunyaniswa nomngcipheko okhulayo wokungabi namandla. Uxinzelelo kukuziva ulusizi, ukuphelelwa lithemba, okanye ukungabi nathemba. Ukudinwa okunxulumene nokudakumba nako kunokubangela ukungabi namandla.

Ukuxhalaba kokusebenza kunokubangela ukungabi namandla. Ukuba khange ukwazi ukufezekisa ulwakhiwo kwixa elidlulileyo, unokoyika ungazukufezekisa ulwakhiwo kwixesha elizayo.

Unokufumana ukuba awukwazi ukufikelela kulwakhiwo kunye neqabane elithile. Ukuba ufumene ukuba une-ED enxulumene noxinzelelo lwentsebenzo, unokukwazi ukufumana izilungiso ngokupheleleyo xa uphulula amalungu esini okanye xa ulele, kodwa ungakwazi ukugcina ulwakhiwo ngexesha lokwabelana ngesondo.

Ukusetyenziswa gwenxa kweziyobisi ezinje ngecocaine kunye neamphetamines nako kunokubangela ukungabi namandla. Ukusetyenziswa gwenxa kotywala kunye nokunxila kunokuchaphazela ukubanakho kwakho ukufezekisa okanye ukugcina ulwakhiwo ngokunjalo. Yiya kugqirha wakho ukuba ukrokrela ukuba unokuba nengxaki yokusebenzisa iziyobisi gwenxa.

Unyango

Unyango luyafumaneka ngenxa yokungabi namandla, kubandakanya nongenelelo lonyango, amayeza endalo, kunye notshintsho kwindlela yokuphila.

Ungenelelo lwezonyango

Kukho iindlela zongenelelo zonyango ezinokusetyenziselwa ukunyanga ukungabi namandla. Unyango lukagqirha lokungabinamandla lubandakanya:

• alprostadil (Caverject, Edex, MUSE), efumaneka njengenaliti okanye njenge-suppository
• avanafil (iStendra)
• iSildenafil (Viagra)
• iTadalafil (iCialis)
• vardenafil (Staxyn, Levitra)
• Unyango lwe testosterone olutshintshayo (TRT)

Unokufuna ukuqaphela utyando lwe-vascular (ukuphucula ukuhamba kwegazi kwilungu lobudoda) okanye utyando lwe-penile.

Fumana amayeza ama-Roman ED kwi-intanethi.

Unyango lwendalo

Ukuba ufuna ukunqanda amayeza kagqirha, kukho iindlela ezahlukeneyo zonyango ezaziwayo zokunceda ukunyanga ukungabi namandla. Ngaphambi kokuba usebenzise nawaphi na amayeza endalo, qiniseka ukuba uqala ugqirha ugqirha.

Ezinye iindlela zokunyanga ukungabi namandla zibandakanya:

• ukutshiza
• I-ginseng ebomvu yaseKorea, ekwabizwa ngokuba yiPanax ginseng
• incindi yerharnati
• yohimbe

Thenga izongezo ezibomvu zaseKorea okanye zePanax ginseng, ijusi yeerharnate, kunye nezongezo zeyohimbe.

Iimpompo zepenis

Iimpompo zepenisi lolunye ukhetho ukuba ufuna unyango olunganyangekiyo, olungenazidakamizwa. Zinokusebenza kakhulu ukuba unemodareyitha ye-ED.

Utshintsho kwindlela yokuphila

Nokuba ukungabi namandla kwakho kunesizathu ngokwasemzimbeni okanye ngokweemvakalelo, kukho iimeko ezininzi apho utshintsho kwindlela yokuphila lunokunciphisa iingxaki nge-ED.

Ngokwe-Mayo Clinic, ezi ndlela zokuphila kunye nezokuziphatha zibandakanya:

• ukutshaya nokusela kancinci
• ukomeleza unxibelelwano kubudlelwane bezothando
• ukwenza umthambo ngakumbi nokulandela ukutya okusempilweni
• ukunciphisa uxinzelelo

Unokufuna ukuqaphela ukucebisa ukulungisa naziphi na izizathu ezinokubangelwa yingqondo.

Uthintelo

Ukungabi namandla kunezizathu ezahlukeneyo. Nangona kunjalo, kukho amanyathelo onokuwathatha ukukunceda ukukhusela.

Iindlela ezinokubakho zokuthintela zibandakanya:

• ukuthatha inxaxheba kwimithambo yomzimba, enciphisa umngcipheko wokungabi namandla
• ukunqanda ukutshaya, iziyobisi, okanye utywala
• ukulala ngokwaneleyo
• ukulandela ukutya okusempilweni
• ukunciphisa uxinzelelo, uxinzelelo kunye noxinzelelo

Nangona ukuguga kuhlala kunxulunyaniswa nokungasebenzi kakuhle kwe-erectile (i-ED), ukukhula emdala ayisiyiyo enye yezona zinto zibangela igalelo lokungabi namandla. I-ED ayithathwa njengenxalenye yendalo yokuguga. Ukwaluphala yinto nje yomngcipheko. Amanye amadoda awaze afumane ubudoda.

Imbonakalo

Ukungabi namandla kunokutshintsha ubomi bakho kwaye kuchaphazele ukuzithemba kwakho.

Nangona i-ED inokuba nefuthe elibi kubomi bakho bezesondo, ekugqibeleni imeko enokuphathwa. Ungenelelo oluninzi olukhoyo olunokukunceda uphinde ubenakho ukusebenza ngokwesondo, kubandakanya amayeza endalo, amayeza kunye notshintsho kwindlela ophila ngayo.

Ngenxa yokuba ukungabi namandla kungabonisa ingxaki esempilweni, yenza idinga nogqirha wakho ukuba iba yingxaki engaguquguqukiyo, nokuba ucinga ukuba luxinzelelo nje.