Impotence vs. Sterility: Uyini Umehluko?

-Delile

• Ukungabi namandla
• Ukungabi nenzalo
• Ungakwelapha kanjani ukungabi namandla
• Ungayelapha kanjani inzalo

Ukungabi namandla ngokumelene nokuzala

Ukungabi namandla nokuzala kuyizinkinga zombili ezingathinta impilo yowesilisa yezocansi kanye namandla okuba nezingane, kodwa ngezindlela ezahlukene.

Ukungabi namandla, okunye okubizwa ngokuthi i-erectile dysfunction (ED), kubhekisa enkingeni yokuthola noma ukugcina ukwakhiwa. Lokhu kungenza kube nzima noma kungenzeki ukuya ocansini. Ukuzala, okubizwa nangokuthi ukungazali, kusho ukungakwazi ukukhiqiza noma ukukhipha isidoda.

Nakhu ukubuka lezi zimo ezimbili, ukuthi zibangelwa yini, nokuthi ziphathwa kanjani.

Ukungabi namandla

Kuze kube yizigidi ezingama-30 amadoda eMelika ahlangabezana ne-ED. Kuba okuvame kakhulu njengoba ukhula. Umtholampilo waseCleveland ubika ukuthi owesilisa oyedwa kwabayishumi uzogcina enezinkinga ze-ED esikhathini eside esizayo.

Ukuze owesilisa afinyelele ukwakhiwa okugcwele, izitho eziningana ezahlukahlukene, kufaka phakathi lezo ezingaphakathi kohlelo lwezinzwa, imisipha nemithambo yegazi, zidinga ukusebenza ngendlela ehambisanayo. Amadoda angaba nenkinga yokuthola ukwakhiwa uma ngabe enye yalezi zinhlelo ifakwa engozini.

Ezinye izimbangela ezinkulu ze-ED zifaka:

• umthambo wegazi noma isifo senhliziyo
• ukudangala noma ezinye izinkinga zemizwa
• ukucindezeleka (kufaka phakathi ukukhathazeka kokusebenza)
• isifo sikashukela
• Isifo sikaParkinson noma i-multiple sclerosis
• umfutho wegazi ophakeme noma i-cholesterol ephezulu
• imishanguzo efana ne-anti-depressants, antihistamine, noma umfutho wegazi-ukunciphisa izidakamizwa
• ukulimala kwemizwa
• Isifo sikaPeyronie (izicubu ezibomvu ngaphakathi kwepipi)
• ukukhuluphala ngokweqile
• ukusetshenziswa kukagwayi
• ukusetshenziswa kabi kotshwala noma izidakamizwa

I-ED nayo ingahlotshaniswa nokuhlinzwa noma imisebe yokwelapha umdlavuza wendlala noma ukwelashwa kwe-Prostate ekhulisiwe (i-benign prostatic hypertrophy, noma i-BPH). I-ED nayo ingadalwa yizinkinga ezingokomzwelo ezinjenge:

• ukucindezeleka
• icala
• ukukhathazeka
• ukuzenyeza

Ukungabi nenzalo

Uma ngabe ubukade uzama ukukhulelisa umlingani wakho okungenani unyaka ngaphandle kwempumelelo, kungenzeka ukuthi ubhekene nokungabi nenzalo. Inkinga ingavela kozakwethu noma zombili zihlangene. Cishe ingxenye eyodwa kwezintathu zesikhathi, inkinga ikumuntu kuphela.

Ukungabatholi abantwana kungabangelwa yizinkinga zokukhiqiza noma zokukhipha isidoda. Ezinye izimbangela zokuzala zingabandakanya:

• ukwelashwa komdlavuza njenge-chemotherapy noma i-radiation
• izifo ezinjengesifo sikashukela
• imithambo ekhulisiwe emasendeni (varicocele)
• ukuvezwa kwezibulala-zinambuzane nezinye ubuthi
• ukuphuza ngokweqile
• ukusetshenziswa kwezidakamizwa ezithile njenge-steroids
• izimo zofuzo ezifana ne-cystic fibrosis
• ukulimala noma ukuhlinzwa emasendeni noma kwezinye izitho ohlelweni lokuzala
• Izinduna noma ezinye izifo ezenza amasende alimale
• izifo ezithathelwana ngocansi, njenge-HIV, i-gonorrhea, noma i-chlamydia
• ukuphinda usebenze kabusha, lapho isidoda singena esinyeni esikhundleni sokudlula ngepipi
• ukujula ngaphambi kwesikhathi
• amasende angathandiswanga
• vasectomy

Isizathu sokuzala singase singacaci. Lokhu kungenxa yokuthi abesilisa ababhekana nokungabi nenzalo bavame ukuba nezinye izimpawu, njengezinkinga zomsebenzi wezocansi, ukunciphisa isifiso, ukuvuvukala kwesikhwama, nenkinga yokukhipha umchamo.

Ungakwelapha kanjani ukungabi namandla

Uma unenkinga yokuthola ukwakhiwa, bheka udokotela wakho noma i-urologist. Yize ukukhuluma ngokungabi namandla kungaba nzima, kubalulekile ukwelashwa. Ukuvumela inkinga iqhubeke ingalashwa kungabeka ubunzima ebudlelwaneni bakho futhi ikuvikele ekutholeni izingane.

Okokuqala, udokotela wakho uzokwenza ukuhlolwa komzimba. Lapho-ke udokotela wakho angayalela ukuhlolwa kwelebhu (njengezinga le-testosterone, i-HbA1c, noma iphaneli elisheshayo le-lipid) ukuze afune izifo ezinjengesifo sikashukela, isifo senhliziyo, noma izinkinga zehomoni ezingadala izinkinga zakho zokwakhiwa.

Ngokuya ngemiphumela yakho yokuhlolwa neyelabhoratri, udokotela wakho uzoncoma uhlelo lokwelashwa.

Kwesinye isikhathi, ukwenza izinguquko ezimbalwa kwindlela yakho yokuphila kudinga konke, kufaka phakathi izinto ezinjengalezi:

• ukuzivocavoca umzimba njalo
• ukuncipha
• ukuyeka ukubhema ugwayi
• ukunciphisa utshwala

Zonke lezi zinguquko zendlela yokuphila zingasiza ekwelapheni isimo sakho.

Uma lezo zindlela zingasebenzi, udokotela wakho angahle akunikeze umuthi (obizwa nge-phosphodiesterase-5-inhibitor) okhuphula ukugeleza kwegazi uye endondeni ukuze kukhiqizwe ukwakhiwa. Lokhu kufaka phakathi:

• I-sildenafil (Viagra)
• i-tadalafil (Cialis)
• i-vardenafil (i-Levitra, iStaxyn)

Yonke le mithi inezingozi, ikakhulukazi uma uke wahluleka yinhliziyo, unesinye isifo senhliziyo, uphuza imishanguzo ye-nitrate yesifo senhliziyo, noma unesifo segazi esiphansi. Khuluma nodokotela wakho ukubona ukuthi lolu hlobo lomuthi luyindlela engcono kakhulu kuwe.

Omunye umuthi osetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile yi-alprostadil (Caverject Impulse, Edex, Muse), okuyi-Prostaglandin E1 therapy. Lo muthi ungazifaka ngomjovo noma ufakwe njenge-suppository ethangeni. Ikhiqiza ukwakhiwa okuhlala kuze kufike ehoreni.

Uma ukwelashwa ngemithi kungakulungele, amaphampu wepipi noma okufakelwayo kungasiza.

Lapho inkinga ingokomzwelo, ukubona umeluleki kungakusiza ukubhekana nezinkinga ezenza kube nzima kuwe ukuthi uzuze ukwakhiwa. Umlingani wakho angabamba iqhaza ngezikhathi zokwelashwa.

Ungayelapha kanjani inzalo

Kufanele ubone udokotela uma ngabe uzama ukukhulelwa okungenani unyaka ungenayo inhlanhla. Ezinye zezivivinyo ezisetshenziselwa ukuxilonga ukungabi namuntu emadodeni zifaka:

• ukuhlolwa kwegazi ukuhlola amazinga ama-hormone
• ukuhlolwa kofuzo
• ukuhlaziywa kwesidoda (ukubheka ukubalwa kwesidoda nokunyakaza)
• i-ultrasound noma i-biopsy yamasende

Ukwelashwa kwakho kuzoya ngokuthi yini ebanga inkinga. Kunezinketho zokwelashwa eziningana, kufaka phakathi:

• ukwelashwa kwe-hormone replacement
• ukuhlinzwa ukulungisa inkinga ephathekayo ngamasende
• izindlela zokwelapha ukutheleleka noma isifo esidala ukungazali

Futhi, ukukhulelisa i-in vitro noma ukufakelwa isidoda okufakelwayo (lapho kufakwa khona isidoda ngqo emgodleni wesibeletho noma esibelethweni) izinqubo ezisetshenziselwa ukufeza ukukhulelwa lapho ukungabi nenzalo kuyinkinga.

Kokubili ukungabi namandla nokungabi nenzalo kungaba nzima ukuxoxa, ngisho nodokotela wakho. Kepha ukuphumela obala ngesimo sakho kungasiza ekuthuthukiseni impilo yakho yezocansi nokuqinisekisa ukuthi uthola ukwelashwa okulungile.