Ingabe ukuphuphuma komoya kuyabambezeleka? (Ukuphuphuma komoya okubambezelekile) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukukhipha isidoda , noma lokho

Kuyini Ukuphuphuma Kwesidoda Okulibazisekile?

Kalula nje, i-Delayed Ejaculation yilapho kuthatha isikhathi eside ukuthi indoda ikhiphe i-ejaculate ngemva kokufinyelela ekufikeni kokuvuthwa komzimba, kungaba ngesikhathi socansi noma ukushaya indlwabu. Ngezinye izikhathi, kungakhathaliseki ukuthi uthola ukukhuthazwa okungakanani, ungase ungakhiphi nhlobo i-ejaculate. Empeleni yilokho odokotela abakubiza ngokuthi ukuphazamiseka kokukhipha i-ejaculatory.

Kujwayelekile ukuthi lokhu kwenzeke ngezikhathi ezithile. Okusho ukuthi, asikho isikhathi esibekiwe esithi "Kufanele ngikhiphe i-ejaculate kulesi sikhathi." Kodwa-ke, uma lesi simo sikubangela ukucindezeleka noma sesiyinkinga eqhubekayo (`(engapheli)`), kungcono ukufuna iseluleko sezokwelapha.

Lokhu kubizwa ngokuthi okunye, kungenzeka ukuthi uke wezwa ngakho:

• Ukuphuza i-orgasm
• Ukuphazamiseka kokuphuma komchamo
• Isifo sokuvuthwa kwabesilisa
• Ukuphuma kancane koketshezi

Sivame kangakanani lesi simo?

Ucwaningo lwango-2023 lusikisela ukuthi okungenani amadoda angu-5% kuya ku-10% ahlushwa yilesi simo sokuphuma kwesisu okuphuzile. Ngakho-ke njengoba ubona, lokhu akuyona into engavamile.

Ziyini izimpawu? Uzibona kanjani?

Uphawu oluyinhloko ubunzima bokukhipha i-ejaculation. Ngokuvamile, indoda ingakhipha i-ejaculation ngemizuzu embalwa ngemva kokushukunyiswa ngokocansi. Kodwa-ke, kumuntu onalesi simo, kungathatha imizuzu engama-30 noma ngaphezulu .

Kungase kube nezinye izimpawu zomzimba:

• Ukuzizwa ukhathele kakhulu.
• Ubuhlungu ngesikhathi socansi (i-dyspareunia).

Ngaphezu kwalezi zimpawu zomzimba , kunemiphumela yengqondo engathinta wena nomlingani wakho. Lokhu kufaka phakathi:

• Ukwesaba nokukhathazeka okuvela ngeze.
• Ukuzizwa ungafaneleki ngawe, uzizwa sengathi awufaneleki ngalutho.
• Imizwa yokuthi abakhangi futhi umlingani wabo akabathandi.
• Ukucindezeleka okukhulu kwengqondo (`(Ukucindezeleka)`).

Imizwa yakho ibaluleke kakhulu. Uma wena noma umlingani wakho nizizwa nikhathazekile noma nikhathazekile ngesikhathi sokuphuma kwenu ecansini, kufanelekile ukukhuluma nodokotela ngakho.

Yiziphi izimbangela zokuphuza ukuphuma komchamo ngesikhathi sokukhulelwa?

Lokhu kungabangelwa yizici zomzimba nezengqondo. Ake sibheke zombili ngokwehlukana.

Izizathu zomzimba

• Izimo ezithinta isimiso sezinzwa : Isibonelo , isifo sohlangothi, ukulimala komgogodla, noma i-multiple sclerosis (MS). Abantu abanesifo sikashukela bangaba nokulimala kwezinzwa njengenkinga. Okunye ukuhlinzwa kungabangela nokulimala kwezinzwa.
• I-Hypothyroidism: Lokhu kungathinta nendlala yegilo .
• Ukuvaleka kwepenisi: Isibonelo, uma kukhona ukuvaleka komsele wokukhipha indle.
• Imithi ethile: Eminye imithi oyithathayo nayo ingabangela lokhu. Izibonelo zifaka phakathi amanye ama-antibiotic, ama-antidepressants, ama-antihypertensive, kanye nama-alpha blockers (njenge-tamsulosin (Flomax®)).
• Ukuphuza utshwala ngokweqile noma ukusebenzisa ezinye izidakamizwa: Lokhu kungaba nomthelela oqondile.
• Ukuguga: Lesi simo singase senzeke ngenxa yezinguquko emazingeni e-hormone emzimbeni (i-testosterone), ukwehla kokuzwela kwepenis, kanye nokwehla kwesifiso sobulili (i-libido) njengoba sikhula.

Izizathu zengqondo

• Imizwa yecala ngocansi: Mhlawumbe indawo owakhulela kuyo, kanye nezinkolelo zakho zenkolo, igxilile engqondweni yakho ukuthi ucansi alulungile futhi luyisono. Cabanga uma ufundiswe ukuthi ucansi luyinto embi kakhulu kusukela ebuntwaneni, khona-ke lapho ukhula futhi ushada, leyo micabango ingase isekhona engqondweni yakho. Ngakho-ke, izinto ezinjalo nazo zingadala le nkinga.
• Intukuthelo noma ukucasuka ngomlingani wakho: Uma kunezinkinga ebudlelwaneni, lokho kungakuthinta nawe.
• Ukwesaba okuthile: Isibonelo, ukwesaba ukuthola izifo ezithathelwana ngocansi (ama-STI), ukwesaba ukukhulelwa okungafunwa, ukwesaba ukubeletha (i-tokophobia), noma ukwesaba ukulimaza umlingani wakho ngokomzwelo noma ngokomzimba ngezenzo zakho.
• Ukukhathazeka ngokusebenza kocansi: Ukucindezeleka okubangelwa imicabango efana nokuthi "Ngeke ngikwazi yini ukwenza kahle?", "Ngizomjabulisa kanjani?"
• Ukuba umlutha wokubukela izithombe zobulili ezingcolile noma ukuya ocansini: Lezi zinto zingakuthinta nawe.

Udokotela angase athi akukho sizathu esingokomzimba nokuthi kungaba ngokwengqondo, ikakhulukazi uma ungaba ne-orgasm ngaphandle kwezinkinga lapho ushaya indlwabu wedwa, kodwa le nkinga ivela kuphela uma unomlingani wakho. Noma, ungase ube nendlela elula kuwe, oyithandayo, kodwa le nkinga ingase ivele ngoba umlingani wakho akakwazi ukuyenza, noma ngoba ungakhululekile ukukhuluma ngayo.

Ingabe amadoda anenkinga yokuphuma kocansi njengoba ekhula?

Yebo, amadoda amaningi angabhekana nalezi zinkinga njengoba ekhula. Kungathatha isikhathi eside futhi kudinge ukukhuthazwa okwengeziwe ukuze kukhishwe i-ejaculate. Ungase futhi uqaphele ukuthi ijubane kanye nenani lesidoda osikhiphayo liyancipha.

Kumaphi iminyaka lapho ukuchama kuphelela khona emadodeni?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. I-hormone `(Testosterone)` ibalulekile ekukhiqizweni kwesidoda kanye nesifiso socansi. Ngokuvamile, ngemva kweminyaka engama-30, lokhu kukhiqizwa `(testosterone)` kuqala ukwehla kancane kancane. Amanye amadoda angase abhekane nale nkinga eminyakeni yawo engama-40. Kodwa amanye angakhipha isidoda ngaphandle kwezinkinga ngisho nalapho eneminyaka engama-70 noma ngaphezulu.

Lesi simo sithinta bani?

Lokhu kungathinta noma ubani. Amanye amadoda angase abe nale nkinga impilo yawo yonke. Amanye angase abe nayo ngezikhathi ezithile, noma ingase iqale ukuba yinto evamile njengoba ekhula.

Udokotela uhlonza kanjani lokhu?

Uma ubona udokotela, uzokubuza imibuzo mayelana nomlando wakho wezokwelapha, imikhuba yocansi, kanye nezindlela zokukhipha isidoda . Le mibuzo ingafaka:

• Waqala nini ukubona ukuthi unenkinga yokuphuma kwesidoda?
• Ingabe lokhu kwenzeka ngaso sonke isikhathi, noma kwenzeka ngezikhathi ezithile nje?
• Ingabe uyakhipha isidoda uma ushaya indlwabu?
• Ingabe isidoda siyaphuma ngesikhathi socansi?
• Uma kwenzeka ukuchama, kuthatha isikhathi esingakanani?
• Ingabe unezinye izinkinga zepenisi? Isibonelo, ukungasebenzi kahle kwepenisi noma ukuphuka kwepenisi.
• Ingabe kukhona izinguquko ezintsha ezifisweni zakho zobulili?
• Yimuphi umuthi owusebenzisayo njengamanje?
• Uphuza utshwala obungakanani?
• Ingabe usebenzisa eminye imithi engekho ngaphansi kukadokotela?

Le mibuzo ingase ibonakale inzima noma iyimfihlo ngokungadingekile kuwe. Kodwa ukuphendula le mibuzo ngokwethembeka kubaluleke kakhulu kudokotela ukuze athole ukuthi unesifo esingakanani. Ngisho noma uzizwa unamahloni, khuluma iqiniso.

Udokotela uzobe esehlola umzimba (``ukuhlolwa ngokomzimba``), futhi angase futhi ahlele ukuhlolwa okuthile ukuze ahlole ezinye izimo zezokwelapha. Lokhu kungafaka:

• Ukuhlolwa kwegazi
• Ukuhlolwa komchamo
• Ukuhlaziywa kwesidoda - Lokhu kubaluleke kakhulu uma unethemba lokuba nomntwana.

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

Udokotela wakho angase akuphakamisele izindlela ezahlukene zokwelapha. Kodwa ayikho ikhambi elifanelana nakho konke. Kodwa-ke, uma kutholakala ukuthi ukusetshenziswa kwemithi, izidakamizwa, noma utshwala kuyimbangela, kungadingeka uyeke ukuthatha lowo muthi bese uqala omunye, uyeke ukusebenzisa izidakamizwa, noma wehlise utshwala.

Udokotela wakho angase futhi asikisele ukuthi ubonane nodokotela wezifo zengqondo noma uchwepheshe wezifo zengqondo. Uma le nkinga ivele kakhulu uma unomlingani wakho, ungase ucelwe ukuba niye kokwelulekwa ndawonye.

Udokotela wezocansi angancoma ukuthi wena nomlingani wakho nisebenzise izinto ezandisa ukuvukwa ucansi. Izibonelo:

• Amamuvi noma izincwadi ezivusa imizwa yobulili.
• Amathoyizi ocansi.

Ingabe ukhona umuthi walokhu?

I-U.S. Food and Drug Administration (FDA) ayikaze ivume noma yimiphi imithi yokwelapha ukuphuma kwesisu okuphuzile. Kufanele futhi uqaphele ngemithi ethile yamakhambi okungenzeka ukuthi uke wezwa ngayo, njengoba ingalawulwa yi-FDA.

Kodwa-ke, abanye odokotela banikeza imithi ethile ngesisekelo "engekho ku-label", kanti abanye baye baphumelela ngayo. I-"Off-label" isho ukuthi imithi ayihloselwe ukwelapha lesi simo, kodwa ingasiza ngesimo sakho. Imithi enjalo ihlanganisa:

• I-Testosterone (njengomjovo noma njengephilisi elibekwa ngaphansi kwesikhumba)
• `(Cyproheptadine)` (uhlobo lwe-antihistamine)
• `(Buspirone)` (umuthi wokukhathazeka)
• `(Amantadine)` (umuthi wesifo sikaParkinson)
• `(Oxytocin)` (Lena yi-hormone esiza isibeletho ukuthi sinciphe ngesikhathi sokubeletha futhi sehlise ubisi ngemva kokuzalwa komntwana. Iphinde ikhiqizwe ngumzimba ngesikhathi sokuvuthwa komzimba.)
• `(Cabergoline)` (umuthi owandisa amazinga e-dopamine)

Le mithi ingasiza noma ingase ingasebenzi. Uma udokotela ekubhalela umuthi, uzochaza nemiphumela emibi engaba khona.

Uma unenkinga yokukhulelwa ngenxa yalokhu kuphuma kwesisu okuphuzile, udokotela wakho angase asikisele izindlela zokuqoqa isidoda emasendeni akho bese uwasebenzisa ukuze akhulelwe. Izibonelo: `(ukukhishwa kwesidoda emasendeni nge-microsurgical (microTESE))` noma `(ukufinyelelwa kwesidoda emasendeni (TESA))`.

Ingabe ukuvivinya umzimba kuyasiza?

Ukuzivocavoca kwe-Kegel kungasiza ekuqiniseni imisipha yakho yaphansi kwe-pelvic. Uma le misipha iqinile, ingakusiza ukulawula ukuchama kwakho ngezinga elithile.

Ingabe lesi simo singavinjelwa? (Ukuvimbela)

Lokhu kuncike embangela. Ezinye izimbangela, isibonelo, ukulimala kwemizwa noma ukuguga, azinakuvinjelwa. Kodwa-ke, ukulawula ukuphuza utshwala kunganciphisa ingozi yalesi simo.

Kubalulekile futhi ukugcina ubudlelwano obuvulekile nobuqotho nomlingani wakho. Ukuxhumana okuhle phakathi kwenu kungasiza ekuvimbeleni le nkinga ukuthi ingenzeki noma ingaqhubeki iba yimbi kakhulu.

Yini engalindelwa ngalesi simo?

Lokhu kuncike futhi esibangeleni. Umzimba wakho uhlukile, ngakho-ke indlela osabela ngayo esibangeleni ingase ihluke kweminye. Udokotela wakho uzokuchazela lokhu.

Ngokuvamile, ukuphuma kwesisu okubambezelekile okubangelwa yizimbangela zomzimba kuncike ebunzimeni bembangela. Ezimweni ezimbi kakhulu, njengokulimala komgogodla noma isifo sohlangothi, ukwelashwa kungase kungayiqedi ngokuphelele inkinga. Kodwa-ke, uma inkinga ibangelwa imithi, izidakamizwa, noma utshwala, kunethuba elihle lokuthi isimo sakho sizothuthuka uma ungayeka noma ushintshe lezo zinto.

Ukuphuza ukuphuma komchamo okubangelwa ukuguga kungase kungabonakali ukuthuthuka okukhulu ngisho noma sekwelashwe. Izimo ezibangelwa izimbangela zengqondo zingase zelapheke ngokwelulekwa (`(therapy)`).

Ngizinakekela kanjani?

Khuluma nodokotela ngokushesha nje lapho ubona ukuthi unezinkinga ngokuphuma kwesidoda. Uma unale nkinga nomlingani wakho, ukukhuluma nomeluleki kungaba usizo. Ungaya kokwelulekwa wedwa noma nomlingani wakho, kuye ngokuthi ukhetha ini.

Kufanele ngimbone nini udokotela?

Uma uqala ukubona ukuthi awukhiphi isidoda, noma ukuthi kunzima kakhulu, khuluma nodokotela. Ikakhulukazi uma lokhu kubangela wena noma umlingani wakho ukucindezeleka noma ukukhungatheka, kufanele nakanjani uye. Udokotela angathola imbangela bese ekunikeza ukwelashwa okufanele.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Yini ebangela ukuphuza kwami ​​​​ukuphuma kocansi?
• Ingabe lokhu kungokwesikhashana noma kuyaqhubeka?
• Hlobo luni lokwelashwa olungincomayo?
• Hlobo luni lokuhlolwa okulindeleke ukuthi ulwenze?
• Ingabe ngidinga ukubona uchwepheshe, isibonelo, udokotela wezifo zomchamo, udokotela wezifo zomchamo, noma udokotela wezifo ze-endocrinologist?

Ingabe imithi efana neViagra® ingasiza kulokhu?

I-Sildenafil (Viagra®) umuthi osetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ukungabi namandla). Isebenza ngokwandisa ukugeleza kwegazi kuya epenis, okuyisiza ukuthi ihlale imile isikhathi eside. Akukafundwa ngemiphumela yayo ekuphumeni kokuphuma kocansi okulibazisekile.

Kodwa-ke, ucwaningo lwango-2013 lubonise ukuthi i-tadalafil (Cialis®), omunye umuthi osetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile, ungakhuthaza ukuchama.

Ngingamsiza kanjani umlingani wami uma enale nkinga?

Uma umlingani wakho ebhekene nalokhu, msekele. Mbuze ukuthi kukhona yini okuthile ongamenzela khona ukuze umsize. Noma, mkhuthaze ngobumnene ukuthi aye kudokotela ayohlolwa. Zimisele ukuya kokwelulekwa ndawonye. Akukhona ukunqotshwa noma ukwehluleka. Kuzokusiza ukuthi uqonde kangcono umlingani wakho, uqonde izidingo zakhe, futhi uqinise ubuhlobo bakho.

Kwenzekani uma ungakhiphi isidoda izinsuku eziyisikhombisa?

Akuyona inkinga uma ungakhiphi isidoda izinsuku eziyisikhombisa. Isidoda ongasikhiphi sidonswa ngumzimba wakho. Amazinga akho e-testosterone nawo angakhuphuka kancane.

Ingabe kufanele sifunde amanye amagama afanele?

Kunezinye amagama ambalwa ongase ufune ukuwazi ahlobene nalesi sihloko:

• Ukukhipha i-ejaculation: Lokhu ukungakwazi ukukhipha i-ejaculation ngisho nangemva kokufika esikhathini sokuvuthwa. Kungabangelwa ukulimala kwemizwa, ukwelashwa komdlavuza, imithi ethile, ukucindezeleka, kanye nokukhathazeka.
• I-Anorgasmia: Lokhu ukungakwazi ukufinyelela i-orgasm, kungakhathaliseki ukuthi uthola ukukhuthazwa noma injabulo engakanani. Kungabangelwa izimo ezithile zezokwelapha, kanye nezici zomzimba, zengqondo, noma zemizwa.
• Ukubuyela emuva kokuchama: Lokhu kwenzeka lapho isidoda singaphumi epenis ngesikhathi sokufika esikhathini, kodwa kunalokho sibuyela esinyeni. Lokhu kungabangelwa imithi ethile kanye nezimo zezokwelapha ezifana nesifo sikashukela.

Ukukhuluma nodokotela ngento efana nale okokuqala kungaba yinto eyesabekayo. Abantu abaningi bakuthola kunzima ukukhuluma ngemikhuba yabo yocansi, ikakhulukazi nodokotela. Kodwa-ke, nakuba ukuphuphuma kocansi okuphuzile kungeyona indaba evamile yokuxoxa, kuyisimo esicindezelayo kubantu abaningi. Ngakho-ke uma lokhu kuyinkinga kuwe noma kumlingani wakho, kubalulekile ukuthatha isinyathelo sokuqala ngokukhuluma nodokotela ngakho.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke, ake ngikucele ukuthi ukhumbule ezinye zezinto ezibaluleke kakhulu kulokho esikhulume ngakho:

• Ukuphuphuma kocansi okuphuzile akuyona into engavamile njengoba ungase ucabange. Kuthinta amadoda amaningi.
• Ungabi namahloni noma udabuke ngalokhu. Lesi yisimo esichazwa ngokwezokwelapha.
• Uma unale nkinga, qiniseka ukuthi ubonana nodokotela. Bangathola imbangela futhi bakunikeze ukwelashwa okufanele.
• Ngokuvamile kunezindlela zokwelapha lokhu, ngakho ungalilahli ithemba.
• Ukukhuluma ngokukhululekile ngalokhu nomlingani wakhoKubaluleke kakhulu. Lokhu kudinga ukwesekwa yizinhlangothi zombili.
• Izici zengqondo nazo zingaba nomthelela omkhulu kulokhu. Ngakho-ke, uma kudingeka, ungangabazi ukufuna iseluleko sengqondo.

Awuwedwa. Into ebaluleke kakhulu ukuqaphela lokhu bese uthatha izinyathelo ezidingekayo.

Ukuphuphuma Kwesidoda Okulibazisekile , Izinkinga Zokuphuphuma Kwesidoda, Ukungabi Namandla Ocansi, Impilo Yabesilisa, Ukuxhuzula Kwesidoda, Ukuphuphuma Kwesidoda