Ukuba namandla ngokuchasene nokuzala: Yintoni umahluko?

Umxholo

• Ukungabi namandla
• Ukungachumi
• Ungakuphatha njani ukungabinamandla
• Unyango lwe-sterility

Ukungabi namandla ngokuchasene nokuzala

Ukungabi namandla kunye nokuzala zizo zombini iingxaki ezinokuchaphazela impilo yesini yendoda kunye nokukwazi ukuba nabantwana, kodwa ngeendlela ezahlukeneyo.

Ukungabi namandla, ngenye indlela eyaziwa ngokuba kukungasebenzi kakuhle kwe-erectile (ED), kubhekisa kwingxaki yokufumana okanye yokugcina ulwakhiwo. Oku kunokwenza ukuba kube nzima okanye kungenzeki ukuba ube neentlobano zesini. Ukuzala, okwabizwa ngokuba kukuzala, kubhekisa kukungakwazi ukuvelisa okanye ukukhulula isidoda.

Nanku ukujonga kwezi meko zimbini, zibangelwa yintoni, kwaye ziphathwa njani.

Ukungabi namandla

Ukufikelela kwi-30 yezigidi zamadoda eMelika amava e-ED. Kuya kusiba yinto eqhelekileyo ngokuya usiba mdala. Iklinikhi yaseCleveland inika ingxelo yokuba i-1 kwindoda eyi-10 yabantu abadala iya kuthi iphele ngemicimbi ye-ED kwixesha elide.

Ukuze umntu afezekise ulungiso olupheleleyo, amalungu ahlukeneyo ahlukeneyo, kubandakanya nalawo akwinkqubo yemithambo-luvo, izihlunu, kunye nemithambo yegazi, kufuneka asebenze ngendlela ehambelanayo. Amadoda anokuba nengxaki yokufumana ulwakhiwo ukuba nayiphi na kwezi nkqubo iphazamisekile.

Ezinye zezizathu eziphambili ze-ED zibandakanya:

• umthambo wegazi okanye isifo sentliziyo
• uxinzelelo okanye ezinye iingxaki zemood
• uxinzelelo (kubandakanya uxinzelelo lokusebenza)
• iswekile yemellitus
• Isifo sikaParkinson okanye isifo sokuqina kwemithambo emininzi
• uxinzelelo lwegazi oluphezulu okanye icholesterol ephezulu
• amayeza afana ne-anti-depressants, antihistamines, okanye uxinzelelo lwegazi-ukunciphisa iziyobisi
• umonakalo wemithambo-luvo
• Isifo sikaPeyronie (izicwili ezibomvu ngaphakathi kwilungu lobudoda)
• ukutyeba kakhulu
• ukusetyenziswa kwecuba
• utywala okanye iziyobisi

I-ED ikwanokunxulunyaniswa notyando okanye imitha yokunyanga umhlaza wamadlala esibeleko okanye unyango lweprostate eyandisiweyo (benign prostatic hypertrophy, okanye i-BPH). I-ED nayo inokubangelwa yimicimbi yeemvakalelo ezinje:

• uxinzelelo
• ubutyala
• ixhala
• ukuzijongela phantsi

Ukungachumi

Ukuba uzama ukukhulelisa iqabane lakho ubuncinci unyaka ngaphandle kwempumelelo, unokuba ujongene nokungachumi. Ingxaki inokuvela kwiqabane, okanye zombini zidityanisiwe. Malunga nesinye kwisithathu sexesha, umba ukwindoda kuphela.

Ukungachumi kwendoda kunokuba ngenxa yeengxaki zokuvelisa okanye ukukhupha isidoda. Ezinye zezizathu zokungachumi zibandakanya:

• unyango lomhlaza njenge-chemotherapy okanye i-radiation
• izifo ezifana neswekile
• Imithambo eyandisiweyo kumasende (varicocele)
• ukubonakaliswa kwemichiza yokubulala izitshabalalisi kunye nezinye iityhefu
• utywala
• ukusetyenziswa kweziyobisi ezithile ezinje ngee-steroids
• iimeko zofuzo ezifana necystic fibrosis
• ukwenzakala okanye utyando kumasende okanye amanye amalungu kwinkqubo yokuzala
• uqwilikana okanye ezinye izifo ezenzakalisa amasende
• izifo ezidluliselwa ngeentlobano zesini, ezinjenge-HIV, ukuvuza ngaphantsi, okanye i-chlamydia
• phinda wenze i-ejaculation, xa isidoda singena kwisinyi endaweni yokudlula kwilungu lobudoda
• Ukuchama ngaphambi kwexesha
• Amatyhalarha angafunekiyo
• vasectomy

Unobangela wokungachumi unokungacaci. Kungenxa yokuba amadoda ajongana nokungachumi ahlala enezinye iimpawu, ezinje ngengxaki yokusebenza ngokwesondo, ukunciphisa umnqweno, ukudumba kwisingxobo samatyhalarha, kunye nengxaki yokuchama.

Ungakuphatha njani ukungabinamandla

Ukuba unengxaki yokufumana ulwakhiwo, jonga ugqirha okanye ugqirha womchamo. Nangona ukuthetha ngokungabi namandla kunokuba nzima, kubalulekile ukuba unyangwe. Ukuvumela ingxaki iqhubeke inganyangwa kunokubeka uxinzelelo kubudlelwane bakho kunye nokuthintela ukuba ube nabantwana.

Okokuqala, ugqirha wakho uya kwenza uvavanyo lomzimba. Emva koko ugqirha unokuyalela uvavanyo lwelebhu (njengenqanaba le testosterone, HbA1c, okanye ipaneli yeepid yokuzila) ukukhangela izifo ezinje ngesifo seswekile, isifo sentliziyo, okanye iingxaki zehomoni ezinokubangela imiba yokwakhiwa kwakho.

Ngokusekwe kuvavanyo lwakho nakwiziphumo zelebhu, ugqirha wakho uza kuncoma isicwangciso sonyango.

Ngamanye amaxesha, ukwenza utshintsho ezimbalwa kubomi bakho konke kuthatha, kubandakanya izinto ezinje:

• ukuzilolonga rhoqo
• ukunciphisa umzimba
• ukuyeka ukutshaya
• ukunciphisa utywala

Zonke ezi nguqulelo kwindlela yokuphila zinokukunceda ukunyanga imeko yakho.

Ukuba ezo ndlela azisebenzi, ugqirha wakho unokuyalela iyeza (elibizwa ngokuba yi-phosphodiesterase-5-inhibitor) elonyusa ukuhamba kwegazi ukuya kwilungu lobudoda ukuvelisa ulwakhiwo. Oku kubandakanya:

• iSildenafil (Viagra)
• iTadalafil (iCialis)
• vardenafil (ILevitra, iStaxyn)

Onke la mayeza athatha umngcipheko, ngakumbi ukuba unesifo sentliziyo, unesinye isifo sentliziyo, uthathe iziyobisi ze-nitrate zesifo sentliziyo, okanye uxinzelelo lwegazi oluphantsi. Thetha nogqirha wakho ukuze ubone ukuba olu hlobo lonyango lolona khetho lufanelekileyo kuwe.

Elinye iyeza elisetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile yi-alprostadil (Caverject Impulse, Edex, Muse), eyiProstaglandin E1 yonyango. Eli yeza litofelwa ngokwakho okanye lifakwa njenge-suppository kwilungu lobudoda. Ivelisa ulwakhiwo oluhlala kude kube yiyure.

Ukuba unyango lwamayeza alulungelanga wena, iimpompo zepenisi okanye izinto zokufakelwa zinokunceda.

Xa ingxaki ikwiimvakalelo, ukubona umcebisi kunokukunceda ujongane nemiba eyenza ukuba kube nzima kuwe ukufezekisa ulwakhiwo. Iqabane lakho linokuthatha inxaxheba kwiiseshoni zonyango.

Unyango lwe-sterility

Kuya kufuneka ubone ugqirha ukuba ubuzama ukukhulelwa ubuncinci unyaka kungekho thamsanqa. Ezinye zeemvavanyo ezisetyenziselwa ukufumanisa ukungabikho kwabantwana emadodeni zibandakanya:

• iimvavanyo zegazi ukujonga amanqanaba ehomoni
• uvavanyo lwemfuza
• Uhlalutyo lobudoda (ukujonga ukubala kwesidoda kunye nokuhamba)
• i-ultrasound okanye i-biopsy yamatyhalarha

Unyango lwakho luya kuxhomekeka kwinto ebangela ingxaki. Kukho iindlela ezahlukeneyo zonyango, kubandakanya:

• Unyango lwehormone
• utyando ukulungisa ingxaki ebonakalayo kunye namasende
• Unyango ukunyanga usulelo okanye isifo esibangela ukuchuma

Kwakhona, in vitro fertilization okanye ukufakwa kwamadlozi okungengokwamanyala (apho amadlozi atofelwe ngqo esibelekweni okanye esibelekweni) ziinkqubo ezisetyenziselwa ukufezekisa ukukhulelwa xa ukungachumi kungumba.

Zombini ukungabinamandla kunye nokungachumi kunokuba nzima ukuxoxa, nokuba ugqirha wakho. Kodwa ukuvuleleka malunga nemeko yakho kunokunceda ukuphucula ubomi bakho ngokwesondo kwaye uqinisekise ukuba ufumana unyango oluchanekileyo.