Ðe nèse le ɖokuiwò me kpɔ abe ɖe nèle agbagba ɖesiaɖe dzem le gbɔdɔdɔ ƒe vivisese me enea, gake togbɔ be wodoa ŋusẽ wò vevie eye nèdzea agbagba vevie hã la, ɖeko màte ŋu aɖe tsi o , alo exɔa ɣeyiɣi didi si mebɔ o eye wòsesẽna ŋutɔ? Ne nenemae la, ke taflatse nyae be esia bɔ wu alesi nèsusui. Ŋutsu geɖe toa esia me le woƒe agbemeɣeyiɣi aɖe me. Gake ne esia le dzɔdzɔm enuenu eye wòle nuxaxa hem vɛ na wò alo wò zɔhɛ la, fifiae nye ɣeyiɣi nyuitɔ si nàʋu wò dzi me, ase nusi le dzɔdzɔm gɔme, eye nàdi kpekpeɖeŋu.
Nukae Nye Tsitretsitsi ƒe Heheɖemegbe?
Kpuie ko la, tsinyenye si tsi megbe (si woyɔna ɣeaɖewoɣi be tsinyenye si me gblẽ) nye nɔnɔme si me wòxɔa gbɔdɔdɔ ƒe dzodzro didi si mebɔ o—le gbɔdɔdɔ alo gbɔdɔdɔ ƒe dzodzro me—hafi ŋutsu naɖo gbɔdɔdɔ ƒe dzodzro gbɔ eye wòaɖe tsi . Le go aɖewo me la, womate ŋu awɔ tsinyenye kura o, togbɔ be nyɔnyrɔ̃ ɖe ame dzi nyuie hã. Ðɔktawo bua esia be enye tsinyenye ƒe dɔléle ƒomevi aɖe.
Esia me toto ɣeaɖewoɣi nye nusi sɔ kura, eye ɣeyiɣi "si sɔ" alo esi woɖo ɖi si me wòle be ŋutsu naɖe tsi le la meli o. Gake ne nɔnɔme sia va zu nya si nɔa anyi ɖaa alo si nɔa anyi didi, alo ne edze seselelãme alo ƒomedodo me nuteɖeamedzi gã aɖe hehe vɛ gɔme la, lãmesẽdɔwɔla aɖe gbɔ yiyie nye afɔɖeɖe nyuitɔ si kplɔe ɖo.
Àte ŋu ase nɔnɔme sia hã si ŋu atikewɔwɔ me nya bubuwo ƒo nu tsoe, abe:
- Gbɔdɔdɔ ƒe dzodzro si tsi megbe
- Tsinyenye ƒe gbɔdzɔgbɔdzɔ
- Ŋutsuwo ƒe gbɔdɔdɔ ƒe dzodzro ƒe dɔléle
- Tsinyenye blewu
Aleke gbegbee Nɔnɔme Sia Bɔ?
Le dɔdaƒewo ƒe numekukuwo nu la, tsinyenye si tsi megbe gblẽa nu le ŋutsu 5% va ɖo 10% ya teti ŋu . Esia ɖee fia be ne esia dze ŋgɔ wò la, ke kakaɖedzitɔe la, menye wò ɖeka koe o; enye atikewɔwɔ me nya si wonya eye wòbɔ vie.
Nukae Nye Dzesiawo? Aleke Nèwɔ Dea Dze Sie?
Dzesi vevitɔe nye tsinyenye sesẽ alo ŋutetemanɔamesi ɣesiaɣi. Togbɔ be ŋutsu akpa gãtɔ tsia tsi le aɖabaƒoƒo ʋɛ aɖewo me le gbɔdɔdɔ ƒe dzodzro vevie me hã la, amesiwo ƒe tsinyenye tsi megbe ate ŋu abia be woayi edzi aʋã wo aɖabaƒoƒo 30 alo esi wu nenema , alo womate ŋu ado tsi kura o.
Àte ŋu akpɔ ŋutilã me ŋusẽkpɔɖeamedzi bubuwo hã, abe:
- Ŋutilã me ɖeɖiteameŋu alo ɖeɖiteameŋu.
- Vevesese le gbɔdɔdɔ me alo le gbɔdɔdɔ megbe (dyspareunia).
Tsɔ kpe ɖe ŋutilã me dzesi siawo ŋu la , seselelãme ƒe nugbegblẽ le ŋuwò kple wò zɔhɛa ate ŋu alolo ŋutɔ. Ate ŋu ana:
- Dzimaɖitsitsi, dzimaɖitsitsi, alo dɔwɔwɔ ŋuti dzimaɖitsitsi si bɔ.
- Seselelãme be yemedze o alo bubumademade ame ɖokui ŋu.
- Dedienɔnɔ ƒe anyimanɔmanɔ, vɔvɔ̃ be yeƒe zɔhɛ akpɔe be yeƒe nu medzea ame ŋu o alo yeƒe dzi medze eme o.
- Susu me nuteɖeamedzi kple dziɖeleameƒo ɖedzesiwo.
Wò seselelãmewo kple susu ƒe akɔdzeanyi le vevie. Ne ɣeyiɣi si wòxɔna hafi tsia dona le nuteɖeamedzi, dzimaɖitsitsi, alo dziɖeleameƒo hem vɛ na wò alo wò zɔhɛ la, ke nuƒoƒo na ɖɔkta gaglãa nye afɔɖeɖe gbãtɔ vevi aɖe si ana nàkpɔ egbɔkpɔnu.
Nukae Hea Tsinyenye Hehena Ðe Edzi?
Tsi ƒe tsinyenye si tsi megbe ate ŋu atso ŋutilã me nusiwo gbɔ wòtso, susu me nu, alo evea siaa ƒe ƒuƒoƒo gbɔ. Mina míalé ŋku ɖe hatsotso siawo ŋu nyuie.
Ŋutilã me Nusiwo Gbɔ Wòtso
- Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie: Lãmetsi siwo kpɔa gbɔdɔdɔ ƒe dzodzro dzi ƒe gbegblẽ ate ŋu ahe tsinyenye ɖe megbe. Esia ate ŋu atso nɔnɔmewo abe ʋusɔgbɔdɔ, aklã ƒe abixɔxɔ, alo ahɔhɔ̃mekawo ƒe dɔlélewo abe Multiple Sclerosis (MS) ene gbɔ. Tsɔ kpe ɖe eŋu la, suklidɔ si dzi womeɖu omellitus ate ŋu ana suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle (lãmekawo ƒe gbegblẽ). Amekoko aɖewo siwo wowɔna le akɔta hã ate ŋu ade abi lãmeka siawo ŋu le manyamanya me.
- Lãmetsiŋusẽ si mewɔa dɔ nyuie o (hypothyroidism): Lãmetsiŋusẽ si mebɔ o ate ŋu akpɔ ŋusẽ ɖe wò lãmenugbagbeviwo ƒe dɔwɔwɔ kple gbɔdɔdɔ ƒe lãmesẽ dzi.
- Lãmetsiŋusẽ ƒe xexe: Ŋutilã me mɔxenu siwo le ŋutsu ƒe vidzidzimɔ̃ me, abe tsinyenye ƒe mɔxenu ene, ate ŋu axe mɔ na tsinyenye ƒe dodo alo ahe ɖe megbe.
- Atike aɖewo: Atike geɖe siwo woŋlɔ na ame ate ŋu ana tsi natsi megbe abe eƒe nugbegblẽ le ame ŋu ene. Esiawo dometɔ aɖewoe nye blanuilélenutsitike aɖewo (vevietɔ SSRI-tikewo), ʋusɔgbɔdɔtikewo (ʋu ƒe sisi ƒe atikewo), aɖuɖɔtoemetikewo, tagbɔdɔlékuiwutikewo, kple alpha-blockers abe tamsulosin (Flomax®) ene.
- Ahanono alo atike muamewo zazã fũu akpa: Ahanono fũ alo atike muamewo zazã atsɔ aɖe modzakae ate ŋu ana lãmekawo natsi, si ana gbɔdɔdɔ ƒe dɔwɔwɔ nagblẽ.
- Tsitsi: Ne ŋutsuwo le tsitsim la, dzɔdzɔmetɔtrɔwo abe testosterone ƒe ɖiɖi vivivi, ŋutsu ƒe vidzinu ƒe seselelãme dzi ɖeɖe kpɔtɔ, alo gbɔdɔdɔ ƒe dzodzro dzi ɖeɖe kpɔtɔ ate ŋu ana tsi natsi megbe.
Susuŋutinunya Kple Seselelãme ƒe Nusiwo Gbɔ Wòtso
- Fɔɖiɖi alo ŋukpe si ƒo ke ɖe to ɖe gbɔdɔdɔ ta: Dekɔnu, mawusubɔsubɔ, alo hehe si me kɔ ate ŋu agblɔ ɣeaɖewoɣi be gbɔdɔdɔ ƒe vivisese nye nuvɔ̃ alo nu gbegblẽ. Le lɔlɔ̃ ƒe ƒomedodo me gɔ̃ hã la, dzixɔse siawo siwo le susu me ate ŋu axe mɔ na wò ŋutete be nàɖe dzi ɖi ahaɖe tsi.
- Ƒomedodo me masɔmasɔ alo dzikudodo: Masɔmasɔ, nyahehe, alo seselelãme ƒe kadodo manɔamesi kple wò zɔhɛ si gbɔ womekpɔ o ate ŋu adze tẽ abe gbɔdɔdɔ ƒe kuxiwo le ŋutilã me ene.
- Vɔvɔ̃ tɔxɛwo: Vɔvɔ̃ be yeahe fu si mèdi o, vɔvɔ̃ na gbɔdɔdɔ ƒe dɔlékuiwo (STIs), vɔvɔ̃ na vidzidzi (tokophobia), alo dzimaɖitsitsi ɖe ŋutilã alo seselelãme ƒe nuvevi wɔwɔ wò zɔhɛ ŋu le gbɔdɔdɔ me.
- Gbɔdɔdɔ ƒe dɔwɔwɔ ƒe dzimaɖitsitsi: Nyaƒoɖeamenu ɣesiaɣi kple susu siwo dea nu ame me abe, "Ðe mele esia wɔm nyuiea?" alo "Mate ŋu ana nye zɔhɛa ƒe dzi nadze emea?" ate ŋu agblẽ dzɔdzɔme tsinyenye ƒe dɔwɔwɔ me vevie.
- Amamaɖeɖenuwɔnawo zazã dzizizitɔe alo gbɔdɔdɔ ƒe nɔnɔmewo: Ŋuɖoɖo ɖe amamaɖeɖenuwɔnawo ƒe nusiwo koŋ ʋãa ame ŋu fũ akpa alo gbɔdɔdɔ ƒe dzodzro ƒe mɔnu aɖe si le tẽ ŋutɔ, si nu sẽ ŋutɔ ŋu ate ŋu ana wòasesẽ be woaɖe tsi le gbɔdɔdɔ si wowɔna ɖaa me.
Ðɔkta ate ŋu akpɔe be susu me koŋue wò nyaa ku ɖo ne ète ŋu tsia tsi le mɔ si sɔ nu bɔbɔe le gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ me, gake nèle agbagba dzem be yeawɔe le ƒomedodo kplikplikpli si me nèle kplikplikpli me. Tsɔ kpe ɖe eŋu la, masɔmasɔ le dzideƒonamemɔnu siwo nèdi me, alo wò gbɔdɔdɔ ƒe dzodzrowo kple liƒowo gbɔgblɔ na wò zɔhɛ sesẽ hã ate ŋu awɔ akpa vevi aɖe.
Ðe Tsinyenye Va Sesẽna Ne Ame Tsitsia?
Ẽ, ne ŋutsuwo le tsitsim la, ebɔ be woade dzesi tɔtrɔ le gbɔdɔdɔ ƒe nuwɔna ŋu. Ŋutsu ƒe tsinyenye ate ŋu abia be woaʋã ame kple ɣeyiɣi geɖe wu sã. Àte ŋu ade dzesii hã be tsinyenye ƒe ŋusẽ dzi ɖena kpɔtɔna eye tsinyenye ƒe lolome dzi ɖena kpɔtɔna le dzɔdzɔme nu.
Ƒe Kae Ŋutsuwo Dzudzɔ Tsinyenye Le?
Esia toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Testosterone ye nye lãmetsiŋusẽ vevitɔ si ʋãa gbɔdɔdɔ ƒe dzodzro kple tsinyenye ƒe wɔwɔ. Le ƒe 30 xɔxɔ megbe la, testosterone ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna vivivi. Ŋutsu aɖewo ate ŋu adze tsinyenye ƒe kuxiwo me tom le woƒe ƒe 40-awo me, gake bubuwo ya ayi edzi anɔ tsinyenye dzim eye nya aɖeke mele wo ŋu o vaseɖe woƒe ƒe 70-awo alo esi wu nenema.
Amekawoe Nɔnɔme Sia Gblẽa?
Nɔnɔme sia ate ŋu adze ŋutsu ɖesiaɖe dzi. Ŋutsu aɖewo ƒe tsinyenye tsi megbe le woƒe agbemeŋkekewo katã me (gbãtɔ), gake bubuwo ya tsia tsinyenye si tsi megbe si woxɔna emegbe le woƒe agbe me, ɣeaɖewoɣi alo vivivi ne wole tsitsim.
Aleke Ðɔktawo Kpɔa Tsitretsitsi ƒe Tsitsi?
Ne èbia lãmesẽdɔwɔla aɖe la, woadze egɔme kple wò atikewɔwɔ ŋutinya, gbɔdɔdɔ ƒe nɔnɔmewo, kple wò tsinyenye ƒe ɖoɖowo me dzodzro . Woate ŋu abia nyawo abe:
- Ɣekaɣie nède dzesi tsinyenye sesẽ sia zi gbãtɔ?
- Ðe nya sia nyea nya ɣesiaɣia, alo ɣeaɖewoɣi koe wòdzɔnaa?
- Ðe nète ŋu ɖea tsi le gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ mea?
- Ðe nète ŋu ɖea tsi le gbɔdɔdɔ me kple wò zɔhɛa?
- Ne tsinyenye dzɔ la, ɣeyiɣi didi kae wòxɔna zi geɖe?
- Ðe ŋutsu ƒe vidzinu alo tsitretsitsi ƒe kuxi bubu aɖewo le ŋuwò, abe tsitretsitsi ƒe dɔmawɔmawɔ nyuie alo ŋutsu ƒe vidzinu ƒe abixɔxɔ ŋutinya enea?
- Ðe nède dzesi tɔtrɔ aɖe si va le wò gbɔdɔdɔ ƒe dzodzro (gbɔdɔdɔ ƒe dzodzro) me nyitsɔ laa?
- Atike kawoe nèle zãm fifia?
- Aha nenie nènona le mama dedie nu?
- Ðe nèzãa modzakaɖetike aɖewo alo esiwo womeŋlɔ na wò oa?
Togbɔ be nyabiase siawo ate ŋu ase le eɖokui me be ye ŋutɔ ye ŋutɔ yeakpɔe alo mavo be woaɖo wo ŋu o hã la, ŋuɖoɖo siwo sɔ pɛpɛpɛ nana le vevie hafi wò ɖɔkta nate ŋu akpɔ dɔlélea nyuie. Ðo ŋku edzi be atikewɔlawo kpɔa dzimaɖitsitsi siawo gbɔ gbesiagbe kple nya ɣaɣlawo kple beléle blibo.
Le numedzodzroa megbe la, wò ɖɔkta ado wò ŋutilã kpɔ eye ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siwo ana nànya dɔléle siwo le ame ŋu, siwo dometɔ aɖewoe nye:
- Ʋudodokpɔ (be woatsɔ akpɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ, sukli si le ʋu me, kple bubuawo) .
- Aɖuɖɔtoe me dzodzro (be woatsɔ akpɔ dzesi siwo fia be tsi si le dodom le megbe alo dɔlékuiwo le ame ŋu hã) .
- Semen analysis (ele vevie ŋutɔ ne wò kple wò zɔhɛ miele agbagba dzem be yewoafɔ fu) .
Aleke Wowɔa Atikewɔwɔ Na Tsinyenye si Tsi Megbee?
Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi bliboe. "Agbɔsɔsɔ ɖeka-si sɔ na amesiame" ƒe egbɔkpɔnu aɖeke meli o. Gake ne wokpɔe be atike aɖe si zãm nèle, ahanono, alo atike muamewo zazã gbɔe wòtso la, asitɔtrɔ le wò atike ƒe agbɔsɔsɔme ŋu, tɔtrɔ ɖe atike bubu ŋu, alo aha/atikewo nono dzi ɖeɖe kpɔtɔ kpɔa nyaa gbɔ zi geɖe. Mègawɔ tɔtrɔ le atikewo ŋu ne mèbia wò ɖɔkta gbã o.
Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàzã gbɔdɔdɔ ƒe atikewɔwɔ alo susuŋutinunya ƒe aɖaŋuɖoɖo. Ne kuxia dzɔna le ƒomedodo kplikplikpli me kple wò zɔhɛa koŋ la, srɔ̃tɔwo ƒe atikewɔwɔ ɖekae ate ŋu aɖe vi ŋutɔ na kadodo kple nyaƒoɖeamenu dzi ɖeɖe kpɔtɔ.
Gbɔdɔdɔ ŋuti nunyala ate ŋu aɖo aɖaŋu be woatsɔ nusiwo doa ŋusẽ gbɔdɔdɔ ƒe dzodzro kple asikaka ame ŋu, abe:
- Agbalẽ alo video siwo nyɔa gbɔdɔdɔ ƒe dzodzro ɖe ame me be woatsɔ ado dzidzɔ na ame.
- Sidzenuwo ƒe nyonyome alo gbɔdɔdɔ ƒe fefenuwo.
Ðe Atikewo Li Na Tsinyenye Heheɖemegbea?
Fifia la, United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) meda asi ɖe atike aɖeke si wowɔ koŋ be woatsɔ ada tsinyenye si tsi megbe dzi o. Kpɔ nyuie le gbetike siwo womeƒlena o alo kpeɖeŋutɔ siwo gblɔna be wodaa esia ŋu, elabena womewɔ ɖoɖo ɖe FDA ŋu o eye ate ŋu anye be womele dedie o.
Gake ɣeaɖewoɣi la, ɖɔktawo ŋlɔa atike aɖewo "off-label" tsɔ daa tsinyenye si tsi megbe. "Off-label" fia be woazã atike si dzi FDA da asi ɖo na nɔnɔme bubu si to vovo na esi dzi woda asi ɖo gbã be wòadae. Kpɔɖeŋu aɖewoe nye:
- Testosterone ɖɔliɖɔli ƒe atikewɔwɔ (ne ʋudodokpɔwo ɖee fia be testosterone ƒe agbɔsɔsɔ le sue).
- Cyproheptadine: Atike si wua ʋumenugbagbeviɣidɔ si ate ŋu atrɔ tsinyenye si tsi megbe si atikewo hena vɛ ɣeaɖewoɣi.
- Buspirone: Atike si tsia dzimaɖitsitsi nu.
- Amantadine: Atike si wozãna koŋ na Parkinson ƒe dɔléle si ate ŋu akpɔ ŋusẽ ɖe atike ƒe mɔ siwo le ahɔhɔ̃a me siwo do ƒome kple tsinyenye dzi.
- Oxytocin: Lãmetsiŋusẽ si dona le gbɔdɔdɔ ƒe dzodzro kple vidzidzi me si ate ŋu ado alɔ tsinyenye ƒe dɔwɔwɔ ɣeaɖewoɣi.
- Cabergoline: Atike si nana dopamine ƒe agbɔsɔsɔ dzina ɖe edzi.
Atike siawo siwo womeŋlɔ o ƒe dɔwɔwɔ to vovo, eye ɖewohĩ womawɔ dɔ na amesiame o. Ne wò ɖɔkta do susua ɖa be nàte mɔnu siawo dometɔ ɖeka kpɔ la, woadzro viɖe siwo ate ŋu ado tso eme kple eƒe nugbegblẽ le ame ŋu me kpli wò tsitotsito.
Ne tsinyenye si tsi megbe le vidzidzi ƒe kuxiwo hem vɛ la, vidzidzi ŋuti nunyala ate ŋu aɖo aɖaŋu deŋgɔ siwo woazã atsɔ axɔ tsinyenye. Esiawo dometɔ aɖewoe nye amekoko suesuesuewo ƒe tsinyenye ɖeɖe le vidzidɔ me (microTESE) alo vidzidɔ me tsinyenye ɖeɖe (TESA) be woatsɔ axɔ tsinyenye hena vidzidzimɔnu siwo ŋu wokpena ɖo (abe IVF ene).
Ðe Kamedede Tɔxɛwo Ate Ŋu Akpe Ðe Ŋuwòa?
Ɛ̃! Kegel kamedede doa ŋusẽ wò akɔta ƒe lãmekawo. Lãmetsi siawo ƒe ŋusẽdodo ate ŋu ana akɔtadzikpɔkpɔ bliboa nanyo ɖe edzi eye ate ŋu akpe ɖe ŋuwò nàɖo tsinyenye gbɔ ahakpɔ edzi.
Aleke Nàwɔ Axe Mɔ Ðe Tsinyenye ƒe Heheɖemegbe Nu?
Mɔxexe ɖe enu nɔ te ɖe nusi gbɔ wòtso dzi koŋ. Togbɔ be womate ŋu axe mɔ ɖe ahɔhɔ̃mekawo ƒe dɔlélewo alo dzɔdzɔme tsitsi nu o hã la, àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èɖe ahanono dzi kpɔtɔ eye nèƒo asa na modzakaɖetikewo.
Dzeɖoɖo faa, anukwareɖiɖi, kple nyaƒoɖeamenu manɔmee me léle ɖe asi kple wò zɔhɛ hã le vevie nenema ke. Dzeɖoɖo nyui kpena ɖe ame ŋu be dzimaɖitsitsi dzi ɖena kpɔtɔna, si wɔnɛ be nyaa megagblẽna ɖe edzi o.
Nukae Nye Ɣeyiɣi Didi ƒe Mɔkpɔkpɔ?
Nyagblɔɖia nɔ te ɖe nusi gbɔ wòtso dzi bliboe. Ame ɖesiaɖe le etɔxɛ, eye alesi wò ŋutilã awɔ nui ɖe atikewɔwɔ alo agbenɔnɔ ƒe tɔtrɔwo ŋu ato vovo. Wò lãmesẽdɔwɔla ate ŋu ana mɔkpɔkpɔ si me kɔ wu wò le numekuku blibo megbe.
Ne ŋutilã ƒe nɔnɔme si nɔa anyi ɖaa abe aklã ƒe abi sesẽ alo ʋusɔgbɔdɔ ene gbɔe tsinyenye si tsi megbe la tso la, ate ŋu asesẽ wu be wòakpɔ egbɔ keŋkeŋ. Gake ne atike, aha sesẽ, alo atike muame aɖe zazã gbɔe wòtso la, zi geɖe la, nusi gbɔ wòtso gbɔ kpɔkpɔ alo asitɔtrɔ le atikeawo ŋu nyea ŋgɔdonya nyui aɖe ŋutɔ.
Ne edo ƒome kple tsitsi ɖeɖeko la, ahiã be woatrɔ asi le mɔkpɔkpɔwo ŋu, togbɔ be atikewɔwɔwo ate ŋu ana ŋgɔyiyi kokoko hã. Ne susuŋutinunya gbɔe wòtso la, zi geɖe la, aɖaŋuɖoɖo alo gbɔdɔdɔ ƒe atikewɔwɔ kpɔa dzidzedze ŋutɔ eye wònɔa anyi didi.
Aleke Mawɔ Anɔ Te Ðe Nɔnɔme Sia Ŋu Akpɔ Edzi?
Wɔ afɔɖeɖe gbãtɔ nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesi tɔtrɔ si nɔa anyi ɖaa le tsinyenye me ko. Ðo anukware na ɖokuiwò kple wò zɔhɛ. Bu susuŋutinunya ƒe aɖaŋuɖoɖo alo gbɔdɔdɔ ƒe atikewɔwɔ ŋu—ame ɖekaɖekawo alo abe srɔ̃tɔwo ene—be nàɖe seselelãme ƒe agbaa dzi akpɔtɔ eye nàwɔ dɔ to kadodo ƒe mɔxenu ɖesiaɖe me.
Ɣekaɣie Wòle Be Nàkpɔ Ðɔkta?
Ele be nàkpɔ ɖɔkta ne tsinyenye si tsi megbe nye nya si nɔa anyi ɖaa, alo ne ele nuteɖeamedzi, dzimaɖitsitsi, alo ƒomedodo me masɔmasɔ hem vɛ. Ne èna dɔwɔla bibiwo da dɔa kpɔ kaba la, enaa woate ŋu akpɔ dɔlélea nyuie eye wòkpena ɖe ŋuwò nèkpɔa atikewɔwɔ ƒe ɖoɖo nyui aɖe kaba.
Nya Kawoe Wòle Be Nàbia Wò Ðɔkta?
Be nàwɔ wò kpekpea ŋudɔ nyuie wu la, bu eŋu kpɔ be yeabia yeƒe ɖɔkta be:
- Nukae ate ŋu ana nye tsinyenye tsi megbe wu?
- Ðe esia anya nye ɣeyiɣi kpui aɖe ƒe nya loo alo ɣeyiɣi didi aɖe ƒe nya aɖea?
- Atikewɔwɔmɔnu kawoe nèkafu?
- Dodokpɔ kawoe mehiã, ne woli?
- Ðe wòle be makpɔ atikewɔla bibi aɖe, abe aɖuɖɔtoedɔdala, lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala, alo gbɔdɔdɔ ŋuti nunyala si xɔ ɖaseɖigbalẽ enea?
Ðe Atikewo Abe Viagra® ene Ate Ŋu Akpe Ðe Ŋuwòa?
Sildenafil (Viagra®) koŋue wozãna tsɔ daa tsitretsitsi ƒe dɔmawɔmawɔ nyuie (ED) to ʋu ƒe sisi ɖe ŋutsu ƒe vidzinu me dzi ɖeɖe kpɔtɔ me be wòakpe ɖe ŋutsu ƒe tsitretsitsi ŋu. Menye ɖe wowɔe be woatsɔ ada tsinyenye si tsi megbe o, eye kpeɖodzi ʋɛ aɖewo koe li le atikewɔƒe siwo ɖee fia be ekpena ɖe nɔnɔme sia koŋ ŋu tẽ.
Gake numekuku aɖewo, siwo dome numekuku siwo wowɔ le ƒe 2013 me hã le, ɖee fia be tadalafil (Cialis®)—si nye atike bubu si wozãna zi geɖe na tsinyenye ƒe dɔmawɔmawɔ nyuie—ate ŋu akpe ɖe ŋutsu aɖewo ƒe tsinyenye ƒe ɣeyiɣi didi ŋu nyuie wu eye wòado tsinyenye ɖe ŋgɔ le ŋutsu aɖewo me.
Aleke Nàte Ŋu Ado Alɔ Dɔwɔhati si Tsi Tsi Tsi Megbe?
Ne wò zɔhɛ le esia me tom la, nu vevitɔ kekeake si nàte ŋu anae nye kpekpeɖeŋu si menye ʋɔnudɔdrɔ̃ o. Bia alesi nàte ŋu akpe asi ɖe nyaƒoɖeamenua dzi ɖeɖe kpɔtɔ le ƒomedodo kplikplikpli me. De dzi ƒo na wo tufafatɔe be woayi ɖɔkta gbɔ, eye nàgblɔ be yewoayi atikewɔƒe alo aɖaŋuɖoɖo ƒe ɣeyiɣiwo ɖekae. Mègaɖo esia ɖe ɖoɖo nu abe ame ŋutɔ ƒe kpododonu alo nusi bu ene o, ke boŋ abe lãmesẽnya si miate ŋu adze ŋgɔe ɖekae be miatu ƒomedodo si me sẽ wu, si me tɔwo dome le kplikplikpli wu ɖo ene.
Nukae Dzɔna Ne Mèɖe Afɔ Ŋkeke Adre O?
Lãmesẽ me tsonu gbegblẽ aɖeke meli ne mèɖe tsi o ŋkeke adre (alo esi wu nenema) o. Ŋutsua gaxɔa tsinyenye si womezã o la dedie, eye àte ŋu ade dzesii be testosterone ƒe agbɔsɔsɔ dzina ɖe edzi vie hena ɣeyiɣi aɖe, si megblẽa nu le ame ŋu kura o.
Nya Vevi Bubu Siwo Wòle Be Nànya
Be míase vidzidzi ƒe lãmesẽ gɔme nyuie wu la, atikewɔwɔ me nya ʋɛ aɖewo siwo do ƒome kpliie nye esi:
- Anejaculation: Ŋutete manɔanyi kura be wòaɖe tsi, ne eɖo gbɔdɔdɔ ƒe dzodzro gbɔ gɔ̃ hã. Esia ate ŋu atso lãmekawo ƒe gbegblẽ, kansa dada, atike aɖewo zazã, alo nuteɖeamedzi kple dzimaɖitsitsi si gbɔ eme gbɔ.
- Anorgasmia: Ŋutete si mele ame si be wòaɖo gbɔdɔdɔ ƒe dzodzro gbɔ o togbɔ be wodo ŋusẽ ame nyuie le ŋutilã kple susu me hã. Esia ate ŋu atso ŋutilã ƒe wɔwɔme, lãmetsiŋusẽ, alo susuŋutinunya me.
- Retrograde ejaculation: Nɔnɔme si me tsinyenye zɔna yia megbe yia tsinyegoea me le gbɔdɔdɔ ƒe dzodzro me le esi teƒe be wòado go to tsinyegoe me. Esia megblẽa nu le ame ŋu o gake ate ŋu agblẽ nu le vidzidzi ŋu eye zi geɖe la, suklidɔ, ʋuka me dɔwɔwɔ, alo atike aɖewo koŋ gbɔe wòtsona.
Afɔɖeɖe gbãtɔ wɔwɔ be nàdzro wò gbɔdɔdɔ ƒe lãmesẽ me kple lãmesẽdɔwɔla ate ŋu ase le ɖokuiwò me be yedo vɔvɔ̃ na ame. Esesẽna na ame geɖe be woaƒo nu tso numame siwo le wo dome kplikplikpli ŋu. Gake tsinyenye si tsi megbe nye atikewɔwɔ me nɔnɔme ŋutɔŋutɔ si woate ŋu ada, si gblẽa nu le ŋutsu geɖe ŋu eye ate ŋu ahe seselelãme ƒe fuɖename deto vɛ. Ne esia le ŋusẽ kpɔm ɖe dziwò alo wò zɔhɛ dzi la, afɔɖeɖe gbãtɔ ma wɔwɔ be nàƒo nu kple dɔnyala bibi aɖe le Nirogi Lanka nye afɔɖeɖe si doa ŋusẽ ame wu ɖesiaɖe si nàte ŋu awɔ.
Wò Gbedasi si Nàtsɔ Yi Aƒeme
Kpuie ko la, nya vevi siwo wòle be wòanɔ susu me na mí lae nye esi:
- Tsinyenye si tsi megbe mebɔ abe alesi nàsusui ene o. Ŋutsu geɖe doa go nya sia le ɣeyiɣi aɖe me.
- Mègana ŋukpe alo ŋukpe naxe mɔ na wò o. Esia nye nɔnɔme si wonya le atikewɔnyawo me eye eƒe ŋutilã kple susu me mɔ siwo me kɔ.
- Kpɔ ɖɔkta gbɔ. Nusi gbɔ wòtso ƒe ke didi nye nu vevitɔ si ana woade dzesi atikewɔmɔnu nyuitɔ.
- Atikewɔwɔ nyuiwo li. Tso asitɔtrɔ le atikewo ŋu dzi va ɖo kamedede alo atikewɔwɔ dzi la, mɔ geɖe li siwo dzi woato akpɔ esia gbɔ.
- Dzeɖoɖo kple wò zɔhɛa gaglãa. Dɔwɔwɔ ɖekae abe ƒuƒoƒo ene ɖea nyaƒoɖeamenu dzi kpɔtɔna eye wòdoa alɔ seselelãme ƒe lãmesẽ.
- Lɔ̃ ɖe susuŋutinunya ƒe akpaa dzi. Susu kple ŋutilã do ƒome kplikplikpli, eyata mègahe ɖe megbe le susu ƒe lãmesẽnyawo gbɔ kpɔkpɔ ƒe kpekpeɖeŋu didi me ne dzimaɖitsitsi alo nuteɖeamedzi nye nusi gbɔ wòtso o.
Menye wò ɖeka koe le mɔzɔzɔ sia me o. Kuxia gɔmesese kple kpekpeɖeŋu didi nye afɔɖeɖe gbãtɔ si ana wò gbɔdɔdɔ ƒe lãmesẽ kple kakaɖedzi nagasu asiwò.
` Tsinyenye ƒe Heheɖemegbe, Ŋutsuwo ƒe Gbɔdɔdɔ ƒe Lãmesẽ, Tsinyenye ƒe Gbegblẽ, Tsitretsitsi ƒe Dɔmawɔmawɔ nyuie, Gbɔdɔdɔ ƒe dzodzro, Tsinyenye ƒe Dɔlélewo, Pelvic Floor Exercises
