Kungani Umthondo Wakho Uba Ndikindiki?

-Delile

• Yiziphi izimpawu ezihlotshaniswa nobunduna be-penile?
• Yini ebangela ukuphola kwepenile?
• Ukulimala umthondo
• Izifo nemiphumela emibi yezidakamizwa
• I-testosterone ephansi
• Ngubani osemngciphekweni wokuba ndikindiki?
• Yiziphi izivivinyo ongazilindela?
• Yikuphi ukwelashwa okutholakalayo?
• Ukwelapha ukulimala
• Ukwelapha izifo
• Ukwelapha i-testosterone ephansi
• Ngabe uzophinde uzizwe?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini ubuthakathaka be-penile?

Ngokuvamile ipipi liyisitho esibucayi. Kwesinye isikhathi nokho, ipipi lingaba ndikindiki. Lokho kusho ukuthi awusakwazi ukuzwa umuzwa ojwayelekile lapho uthintwa. Uma ungayiphathi imbangela yokuba ndikindiki kwepenile, ingaqala ukuthinta impilo yakho yezocansi.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nobunduna be-penile.

Yiziphi izimpawu ezihlotshaniswa nobunduna be-penile?

Uma uhlangabezana nobuntofontofo benduku, ungezwa lutho noma ungazizwa sengathi ipipi lakho lilele. Ngokuya ngesizathu, ungahle uhlangabezane nezinye izimpawu nokuzwa, okufana:

• isikhumba esiluhlaza okwesibhakabhaka
• umuzwa ovuthayo
• umuzwa obandayo
• ukuzwa izikhonkwane nezinaliti
• umuzwa wokushosholoza

Yini ebangela ukuphola kwepenile?

Lokhu okulandelayo kuyizimbangela ezingaba khona ze-penile numbness.

Ukulimala umthondo

Yize kungacaci ukuthi mangaki amadoda ane-penile numbness ngenxa yezifo noma i-testosterone ephansi, abantu bacwaninge le nto phakathi kwabagibeli bamabhayisikili. ithole ukuthi amaphesenti angama-61 abagibeli bamabhayisikili abahlangabezana nokuba ndikindiki esithweni sangasese.

Ukuba ndikindiki kwepenile kuvamile emadodeni ajikelezayo, ikakhulukazi lawo agibela amabanga amade. Kwenzeka lapho isihlalo sebhayisikili sifaka ingcindezi kwi-perineum. I-perineum emadodeni yindawo ephakathi kwesikhwama sendoda nendunu. Isihlalo singacindezela phansi emithanjeni yegazi, kanye nezinzwa ezihamba nge-perineum futhi zinikeze umuzwa endondeni. Le ngcindezi ephindaphindwayo ekugcineni ingaholela ekubeni kube nzima ukuthola ukwakhiwa, okubizwa ngokuthi ukungasebenzi kahle kwe-erectile (ED). Uma wenza umjikelezo futhi unolwazi nge-ED, kunezinto eziningana ongazenza ukunciphisa ubungozi bakho.

Ubuntofontofo bungaba nomphumela ohlangothini owuthola abesilisa ekusebenziseni umshini wokuhlanza obizwa ngokuthi yipompo lenduku. Kusetshenziswa ipompo lobudoda ukufeza ukwakhiwa. Lo mshini usebenzisa ukuncela ukudonsela igazi ethangeni. Kungadala ukuba ndikindiki kwesikhashana, kanye nezimpawu ezinjengokulimala, ubuhlungu, nokusikeka esikhumbeni.

Izifo nemiphumela emibi yezidakamizwa

Noma yisiphi isifo esilimaza izinzwa singathinta ukuzwa ethweni lobudoda nakwezinye izingxenye zomzimba. Ukulimala kwemizwa kwaziwa njenge-neuropathy.

Isifo sikashukela kanye ne-multiple sclerosis (MS) singesinye sezifo ezingadala ukulimala kwezinzwa futhi sithinte nomuzwa endodeni. Isifo sikaPeyronie, okuyisimo lapho izicubu ezibomvu ezibizwa ngamafomu e-plaque khona endondeni, nazo zingathinta ukuzwa. Lezi zimo zingaholela naku-ED.

Isidakamizwa i-selegiline (i-Atapryl, i-Carbex, i-Eldepryl, i-L-deprenyl), abantu abayithatha ukwelapha isifo sika-Parkinson, ingadala ukulahleka kwemizwa ethweni lobudoda njengomphumela oseceleni.

I-testosterone ephansi

I-testosterone yi-hormone ethinta idrayivu yomuntu yocansi, isisindo semisipha, nokukhiqizwa kwesidoda, phakathi kwezinye izinto. Ngokukhula, amazinga e-testosterone ancipha kancane kancane. Lesi simo saziwa njenge-testosterone ephansi noma i- “low T.”

Kanye nokuthinta idrayivu yakho yezocansi, imizwa, nezinga lamandla, i-T ephansi ingakwenza ungaphenduli kangako ekuvuseleleni ucansi. Uma une-T ephansi, usazobuzwa ubuhlungu nokunye ukuzwa ethweni lakho lobudoda, kepha ungathola imizwa encane nenjabulo ngesikhathi socansi.

Ngubani osemngciphekweni wokuba ndikindiki?

Ukuba ndikindiki kwepenile kungathinta amadoda:

• unesifo esilimaza izinzwa noma sithinte ipipi, njengesifo sikashukela, i-MS, noma isifo se-Peyronie
• ube nomgogodla noma ukulimala ebuchosheni kulandela ukuhlukumezeka noma isifo esiwohlozayo
• ukujikeleza njalo noma amabanga amade
• une-T ephansi
• thatha i-selegiline yomuthi

Yiziphi izivivinyo ongazilindela?

Udokotela wakho uzothatha umlando wezokwelapha futhi enze ukuhlolwa komzimba ukuthola imbangela yokuba ndikindiki. Bangase bakubuze imibuzo efana nale:

• Ukuba ndikindiki kuqale nini?
• Ngabe unemizwa ethile epipi? Uma kunjalo, uzizwa kanjani?
• Ngabe kukhona okubonakala kwenza ukuba ndikindiki kube ngcono noma kubi?
• Ukuba ndikindiki kuyithinta kanjani impilo yakho yezocansi?

Ukuhlolwa okudingayo kuzoncika ekutheni udokotela usola ukuthi ukwesiphi isimo, kepha kungafaka:

• ukuhlolwa kwegazi ukuhlola amazinga akho e-testosterone
• ukuhlolwa kwe-imaging njengokuhlola kwe-MRI, ukubheka izinkinga zobuchopho nomgogodla
• i-ultrasound ukubheka izicubu ezibomvu nokugeleza kwegazi kuye ethondweni

Yikuphi ukwelashwa okutholakalayo?

Ukwelashwa kwakho kuzoxhomeka embangela yokuba ndikindiki kwepenile.

Ukwelapha ukulimala

Uma i-penile numbness yakho ingenxa yokuhamba ngebhayisikili, kungadingeka ukuthi unciphise isikhathi sakho sokugibela noma uvikele ukuhamba ngebhayisikili amasonto ambalwa. Uma ungafuni ukuyeka ukugibela, ungazama enye yalezi zindawo ukususa ingcindezi endaweni yakho yobulili:

• thola isihlalo esibanzi esine-padding eyengeziwe
• gqoka izikhindi zebhayisikili ezihlanganisiwe
• phakamisa isihlalo noma uyijikise phansi ukuze unciphise ingcindezi kwi-perineum
• shintsha isikhundla noma uthathe ikhefu ngezikhathi ezithile ngenkathi ugibele

Uma ngabe idivayisi yokudonsa ibangele ukuba ndikindiki, ubundikindiki kufanele buhambe lapho uyeka ukusebenzisa ipompo. Buza udokotela wakho ezinye izindlela ukukusiza uthole ukwakhiwa.

Ukwelapha izifo

Udokotela wakho uzokwelapha lesi sifo esidale ukuthi induku yakho ibe ndikindiki:

• Uma unesifo sikashukela, kuzodingeka ukuthi ulawule ushukela wegazi ngokudla, ukuzivocavoca, kanye nemithi yokuvikela nokuphatha ukulimala kwemizwa.
• Uma une-MS, udokotela wakho angayiphatha nge-steroids nezinye izidakamizwa ezinciphisa lesi sifo nezimpawu zokulawula.
• Uma unesifo sikaPeyronie, wena dokotela ungasiphatha nge-collagenase i-clostridium histolyticum (Xiaflex). Lesi sidakamizwa sidiliza i-collagen ebangela ukuthi izicubu ezibomvu zakheke endodeni.

Ukwelapha i-testosterone ephansi

Udokotela wakho angelapha i-T ephansi ngokufaka i-testosterone umzimba wakho olahlekile. I-testosterone iza ngezindlela eziningana:

• amabala
• amaphilisi
• ama-gel owagcoba esikhunjeni sakho
• isibhamu

Ukwelashwa kwe-testosterone kufanele kuthuthukise ukushayela kwakho kocansi, kanye nekhono lakho lokuzwa injabulo.

Ngabe uzophinde uzizwe?

Ukuthi uphinde ubuye uzizwe epeni lakho kuncike ekutheni yini ebangele isimo. Uma ukuhamba ngebhayisikili kuyimbangela, uma unciphise ukugibela kwakho noma ushintshe ukumiswa kwesihlalo sakho, ubundikindiki bungaphela. Ngezimo ezifana nesifo sikaPeyronie noma i-MS, ukwelashwa kungasiza. Uma imbangela iphansi T, ukwandisa izinga lakho le-testosterone kufanele kubuyise umuzwa.

Bona udokotela wakho uma ipipi lakho lihlala likindiki, ikakhulukazi uma lithinta impilo yakho yezocansi. Kungase kudingeke ukuthi uzame izindlela zokwelashwa ezimbalwa ezahlukene ukuthola eyodwa esebenzayo.