Izinkinga zokwakhiwa

Inkinga yokwakhiwa kwenzeka lapho indoda ingakwazi ukuthola noma ukugcina ukwakhiwa okuqinile ngokwanele ukuya ocansini. Ungahle ungakwazi ukuthola ukwakhiwa nhlobo. Noma, ungalahlekelwa ukwakhiwa ngesikhathi sokuya ocansini ungakakulungeli. Izinkinga zokwakhiwa ngokuvamile azithinti ukushayela kwakho kocansi.

Izinkinga zokwakhiwa zivamile. Cishe wonke amadoda amadala anenkinga yokuthola noma yokugcina ukwakhiwa ngasikhathi sinye. Imvamisa inkinga iphela ingekho imishanguzo noma ingatholakali nhlobo. Kepha kwamanye amadoda, kungaba yinkinga eqhubekayo. Lokhu kubizwa ngokuthi ukungasebenzi kahle kwe-erectile (ED).

Uma unenkinga yokuthola noma ukugcina ukwakhiwa ngaphezu kwe-25% yesikhathi, kufanele ubone umhlinzeki wakho wokunakekelwa kwezempilo.

Ukuze uthole ukwakhiwa, ubuchopho bakho, izinzwa, ama-hormone, nemithambo yegazi konke kudinga ukusebenzisana. Uma okuthile kuthikameza le misebenzi ejwayelekile, kungaholela ezinkingeni zokwakhiwa.

Inkinga yokwakhiwa imvamisa akuyona "yonke ekhanda lakho." Eqinisweni, izinkinga eziningi zokwakhiwa zinesizathu somzimba. Ngezansi kunezimbangela ezithile zomzimba ezivamile.

Izifo:

• Isifo sikashukela
• Umfutho wegazi ophezulu
• Izimo zenhliziyo noma ze-thyroid
• Imithambo evinjelwe (i-atherosclerosis)
• Ukucindezeleka
• Ukuphazamiseka kwesistimu, njenge-multiple sclerosis noma isifo se-Parkinson

Imithi:

• Izidambisi
• Imithi yengcindezi yegazi (ikakhulukazi i-beta-blockers)
• Imithi yenhliziyo, njenge-digoxin
• Amaphilisi okulala
• Eminye imithi yesilonda

Ezinye izimbangela zomzimba:

• Amazinga aphansi e-testosterone. Lokhu kungenza kube nzima ukuthola ukwakhiwa. Kunganciphisa futhi idrayivu yocansi yowesilisa.
• Ukulimala kwemizwa ekuhlinzweni kwendlala yesinye.
• Ukusetshenziswa kweNicotine, utshwala, noma i-cocaine.
• Ukulimala komgogodla.

Kwezinye izimo, imizwa yakho noma izinkinga zobudlelwano zingaholela ku-ED, njenge:

• Ukuxhumana okungalungile nomlingani wakho.
• Imizwa yokungabaza nokwehluleka.
• Ukucindezeleka, ukwesaba, ukukhathazeka noma intukuthelo.
• Ukulindela kakhulu ocansini. Lokhu kungenza ucansi lube ngumsebenzi esikhundleni senjabulo.

Izinkinga zokwakhiwa zingathinta amadoda kunoma yisiphi isikhathi, kepha zivame kakhulu njengoba ukhula. Izimbangela zomzimba zivame kakhulu emadodeni amadala. Izimbangela ezingokomzwelo zivame kakhulu emadodeni amancane.

Uma une-erections ekuseni noma ebusuku ngenkathi ulele, kungenzeka ukuthi akuyona imbangela engokoqobo. Iningi lamadoda linokuvinjelwa okungu-3 kuye ku-5 ebusuku okuhlala cishe imizuzu engama-30. Khuluma nomhlinzeki wakho mayelana nokuthi ungathola kanjani ukuthi unezinkinga ezijwayelekile zasebusuku.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Unenkinga yokuthola ukwakhiwa
• Unenkinga yokugcina ukwakhiwa
• Ukuba ne-erection engaqinile ngokwanele ukuya ocansini
• Intshisekelo encane kwezocansi

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba, okungabandakanya:

• Ukuthatha umfutho wegazi lakho
• Ukuhlola i-penis yakho ne-rectum ukubheka izinkinga

Umhlinzeki wakho uzophinda abuze imibuzo ukusiza ukuthola imbangela, efana nale:

• Ngabe ukwazile ukuthola nokugcina ama-erections esikhathini esedlule?
• Ingabe unenkinga yokuthola ukwakhiwa noma ukugcina ama-erections?
• Ingabe unakho ukuvuswa ngesikhathi sokulala noma ekuseni?
• Unezinkinga ezingakanani ngama-erections?

Umhlinzeki wakho uzobuza nangendlela yakho yokuphila:

• Ngabe uthatha noma yimiphi imithi, kufaka phakathi imithi ekhawuntawe kanye nezithasiselo?
• Ingabe uyaphuza, uyabhema, noma usebenzisa izidakamizwa zokuzijabulisa?
• Siyini isimo sakho sengqondo? Ingabe ucindezelekile, ucindezelekile, noma ukhathazekile?
• Ingabe unezinkinga zobudlelwano?

Ungaba nokuhlolwa okuningana okuhlukile ukusiza ukuthola imbangela, efana:

• Ukuhlolwa komchamo noma ukuhlolwa kwegazi ukuhlola izimo zezempilo ezinjengesifo sikashukela, izinkinga zenhliziyo, noma i-testosterone ephansi
• Idivayisi oyigqoka ebusuku ukubheka ukuvinjelwa okujwayelekile ebusuku
• I-Ultrasound yendoda yakho ukuhlola izinkinga zokuhamba kwegazi
• Ukuqapha ukuqina ukuhlola ukuthi ulwakhiwo lwakho luqine kangakanani
• Ukuhlolwa kwengqondo ukuhlola ukucindezeleka nezinye izinkinga ezingokomzwelo

Ukwelashwa kungaxhomeka kulokho okubangela inkinga nokuthi ungumqemane kanjani. Umhlinzeki wakho angakhuluma nawe ngempatho engcono kakhulu kuwe.

Kwabesilisa abaningi, izinguquko zendlela yokuphila zingasiza. Lokhu kufaka phakathi:

• Ukuzivocavoca umzimba
• Ukudla ukudla okunempilo
• Ukwehlisa isisindo esengeziwe
• Ukulala kahle

Uma wena nomlingani wakho ninenkinga yokukhuluma ngobudlelwano benu, kungadala izinkinga ngocansi. Ukwelulekwa kwengqondo kungasiza wena nomlingani wakho.

Ukushintsha kwendlela yokuphila kukodwa kungahle kunganeli. Kunezindlela eziningi zokwelashwa.

• Amaphilisi owathatha ngomlomo, njenge-sildenafil (Viagra), i-vardenafil (i-Levitra, i-Staxyn), i-avanafil (i-Stendra), ne-tadalafil (i-Adcirca, i-Cialis). Zisebenza kuphela lapho uvuswa ngocansi. Imvamisa baqala ukusebenza ngemizuzu eyi-15 kuye kwengama-45.
• Imithi efakwe kwi-urethra noma ijojowe ethangeni ukwenza ngcono ukugeleza kwegazi. Kusetshenziswa izinaliti ezincane kakhulu futhi azibangeli ubuhlungu.
• Ukuhlinzwa ukubeka okufakelwa esithweni sangasese. Ukufakwa kungahle kube inflatable noma semi-rigid.
• Umshini wokuhlanza. Lokhu kusetshenziselwa ukudonsela igazi emthondweni. Ibhande elikhethekile lenjoloba bese lisetshenziselwa ukugcina ukwakhiwa ngesikhathi sokuya ocansini.
• Ukushintshwa kwe-testosterone uma izinga lakho le-testosterone liphansi. Lokhu kuza ngezimagqabhagqabha zesikhumba, ijeli, noma imijovo emisipheni.

Amaphilisi e-ED owaphuza ngomlomo angaba nemiphumela engemihle. Lokhu kungasuka ebuhlungwini bemisipha nokufohla kuye ekuhlaselweni yinhliziyo. UNGAYisebenzisi le mithi nge-nitroglycerin. Inhlanganisela ingadala ukuthi umfutho wegazi lakho wehle.

Ungahle ungakwazi ukusebenzisa le mithi uma unezimo ezilandelayo:

• Isifo sohlangothi sakamuva noma isifo senhliziyo
• Isifo senhliziyo esibi, njenge-angina engazinzile noma ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia)
• Ukwehluleka okukhulu kwenhliziyo
• Umfutho wegazi ophezulu ongalawulwa
• Isifo sikashukela esingalawulwa
• Umfutho wegazi ophansi kakhulu

Ezinye izindlela zokwelapha zinemiphumela emibi engaba khona kanye nezinkinga. Cela umhlinzeki wakho achaze izingozi nezinzuzo zokwelashwa ngakunye.

Ungabona amakhambi amaningi nezithasiselo ezithi zisiza ukusebenza kocansi noma isifiso. Kodwa-ke, akukho okuye kwafakazelwa ukuthi kuphathwe ngempumelelo i-ED. Futhi, bangahle bangahlali bephephile. UNGAThathi lutho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Amadoda amaningi anqoba izinkinga zokwakhiwa ngokushintsha kwendlela yokuphila, ukwelashwa, noma kokubili. Ezimweni ezinzima kakhulu, wena nomlingani wakho kungadingeka nizivumelanise nokuthi i-ED iyithinta kanjani impilo yakho yezocansi. Ngisho nangokwelashwa, ukwelulekwa kungakusiza wena nomlingani wakho ukunqoba ingcindezi i-ED engayifaka ebudlelwaneni benu.

Inkinga yokwakhiwa engapheli ingakwenza uzizwe kabi ngawe. Kungalimaza nobudlelwano bakho nomlingani wakho. I-ED ingaba uphawu lwezinkinga zempilo ezifana nesifo sikashukela noma isifo senhliziyo. Ngakho-ke uma unenkinga yokwakhiwa, ungalindi ukuthola usizo.

Shayela umhlinzeki wakho uma:

• Inkinga ayipheli ngokushintsha kwendlela yokuphila
• Inkinga iqala ngemuva kokulimala noma ukuhlinzwa kwe-prostate
• Unezinye izimpawu, ezinjengobuhlungu obuphansi emuva, ubuhlungu besisu, noma ushintsho ekuchameni

Uma ucabanga ukuthi noma imuphi umuthi owuthathayo ungadala izinkinga zokwakhiwa, khuluma nomhlinzeki wakho. Ungadinga ukwehlisa umthamo noma ushintshele komunye umuthi. Ungashintshi noma uyeke ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Khuluma nomhlinzeki wakho uma izinkinga zakho zokwakhiwa zihlobene nokwesaba izinkinga zenhliziyo. Ukuya ocansini kuvame ukuphepha kwabesilisa abanezinkinga zenhliziyo.

Shayela umhlinzeki wakho khona manjalo noma uye egumbini lezimo eziphuthumayo uma uthatha umuthi we-ED futhi ukunikeza ukwakhiwa okuhlala isikhathi esingaphezu kwamahora we-4.

Ukusiza ukuvimbela izinkinga zokwakhiwa:

• Yeka ukubhema.
• Nciphisa utshwala (hhayi iziphuzo ezingaphezu kwezingu-2 ngosuku).
• UNGAYisebenzisi izidakamizwa ezingekho emthethweni.
• Thola ukulala okuningi futhi uthathe isikhathi sokuphumula.
• Hlala esisindweni esinempilo sokuphakama kwakho.
• Zivocavoce futhi udle ukudla okunempilo ukuze ugcine ukujikeleza kwegazi okuhle.
• Uma unesifo sikashukela, gcina ushukela wegazi ulawulwa kahle.
• Khuluma ngokukhululekile nomlingani wakho ngobudlelwano bakho nangempilo yakho yezocansi. Funa ukwelulekwa uma wena nomlingani wakho ninenkinga yokuxhumana.

Ukungasebenzi kahle kwe-Erectile; Ukungabi namandla; Ukungasebenzi ngokocansi - owesilisa

• Ukungabi namandla nobudala

Iwebhusayithi yeAmerican Urological Association. Kuyini ukungasebenzi kahle kwe-erectile? www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed). Kubuyekezwe uJuni 2018. Kufinyelelwe ngo-Okthoba 15, 2019.

UBurnett AL. Ukuhlolwa nokuphathwa kokungasebenzi kahle kwe-erectile. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

UBurnett AL, uNehra A, uBreau RH, et al. Ukungasebenzi kahle kwe-Erectile: Umhlahlandlela we-AUA. J Urol. I-2018; 200 (3): 633-641. I-PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858.