Ingabe nawe uhlushwa ukuchama ngaphambi kwesikhathi? Ake sixoxe ngakho!

Ingabe ngezinye izikhathi uyakhipha isidoda ngaphambi kokulindela? Noma ingabe lokhu kwenzeka ngokushesha nje lapho uqala ukuya ocansini nomlingani wakho? Lokhu kungaba yinto ekucindezelayo kakhulu futhi ekucindezelayo kuwe nakumlingani wakho. Kunganciphisa futhi injabulo nokwaneliseka kwempilo yakho yocansi. Nakuba abantu abaningi benqikaza ukukhuluma ngakho, lokhu kuyinkinga evame kakhulu kunalokho esikucabangayo. Ngakho-ke namuhla sizokhuluma ngokuningiliziwe ngokuphuma kwesidoda ngaphambi kwesikhathi, noma "Ukuphuma kwesidoda ngaphambi kwesikhathi"

Kuyini ukuphuphuma kombungu ngaphambi kwesikhathi?

Kalula nje, ukuphuphuma kocansi ngaphambi kwesikhathi (PE) yilapho wena noma umlingani wakho nikhipha ucansi ngaphambi kwesikhathi esilindelekile. Lokhu kuvame ukwenzeka ngokushesha nje ngemva kokuqala ukuya ocansini, noma ngokushesha ngemva kwalokho. Kwabanye abantu, kungaba yinkinga yempilo yonke, okusho ukuthi kuyinto abake baba nayo kusukela ocansini lwabo lokuqala. Kwabanye, kungaba yinto abangakaze babe nayo ngaphambili, kodwa ingakhula kamuva. Sikubiza ngokuthi 'ukutholwa', okusho ukuthi kuyisimo esikhula ngokuhamba kwesikhathi.

Kuthatha isikhathi esingakanani ukuthi isidoda sikhiphe isidoda ngaphambi kokuba sibhekwe 'njengokushesha'?

Odokotela ngokuvamile babheka ukuphuphuma kocansi ngaphambi kwesikhathi njengokungathi ukhipha i-ejaculate kungakapheli umzuzu wokuqala ucansi. Kodwa-ke, lokhu kungahluka kumuntu nomuntu, futhi udokotela kuphela ongakutshela ngokuqinisekile uma unale nkinga. Izinhlangano eziningi zezempilo zibheka ukuphuphuma kocansi ngaphambi kwesikhathi njengokulandelayo:

• Ukuphuma komchamo ngaphambi kwesikhathi, kungakhathaliseki ukuthi wena noma umlingani wakho uyakufuna .
• Lokhu kungabangela ukukhathazeka nokucindezeleka komunye noma nobabili .
• Lokhu kwenzeka kuzo zonke izingxoxo zocansi, noma okungenani ezinhlanganweni eziningi zocansi .
• Ukukhipha isidoda kungakapheli umzuzu owodwa kusukela ekuhlanganyeleni.
• Uma lesi simo siqhubeka isikhathi esingaphezu kwezinyanga eziyisithupha, mhlawumbe ngisho nonyaka .

Sivame kangakanani lesi simo?

Ungase umangale ukuzwa lokhu, kodwa empeleni kuyisimo esivamile kakhulu. Phakathi kuka-30% no-40% wamadoda abhekana nokuphuma kwesisu ngaphambi kwesikhathi esikhathini esithile empilweni yawo. Eqinisweni, kuyisifo esivame kakhulu socansi kwabesilisa. Cishe indoda eyodwa kwabahlanu abaneminyaka ephakathi kuka-18 no-59 ibike ukuthi iphuma kwesisu ngaphambi kwesikhathi. Ngakho awuwedwa.

Yini ebangela lokhu?

Kungaba nezizathu eziningana zalokhu. Esikhathini esiningi, imbangela eyinhloko yizici zengqondo njengokukhathazeka . Futhi, ngezinye izikhathi isikhumba sepenis sinozwela kakhulu kunokujwayelekile .

Izizathu zengqondo noma ezingokomzwelo:

• UkusebenzaUkukhathazeka ngokusebenza kahle: Lokhu kungabangelwa ukwesaba lapho unomlingani omusha, ukwesaba lapho usunesikhathi eside ungenalo ucansi, ukujabula ngokweqile, noma ezinye izizathu. Cabanga ngakho, ungayigcina kanjani ingqondo yakho ikhululekile lapho kufika imicabango efana nokuthi "Ngingamjabulisa?" nokuthi "Ngeke ngikwazi ukwenza kahle?" engqondweni, akunjalo?
• Ukucindezeleka : Ukucindezeleka okubangelwa izinkinga zomsebenzi, izinkinga zomndeni , izinkinga kwezinye izihlobo, kanye nezinguquko ezinkulu empilweni (isib. umsebenzi omusha, ukuthuthela kwenye indawo) nakho kungathinta lokhu.
• Izinkinga zobudlelwano: Ukucasuka ngenxa yezinto ezifana nobudlelwano obubi nomlingani wakho noma ukuhlukunyezwa ngokocansi kwangaphambilini.
• Imicabango yokucindezeleka: Ukuzizwa unecala ngawe, uzizwa sengathi unesithukuthezi ngakho konke, yilokho ukucindezeleka okuyikho.
• Ukuzethemba okuphansi: Imizwa yokungafaneleki ngomzimba wakho, ukungazithembi, ukuzizwa sengathi "Angikwanele."

Izimbangela zomzimba nezamakhemikhali:

• Ukungasebenzi kahle kwe-Erectile: Lokhu ukungakwazi ukuthola noma ukugcina ukwakheka okunzima ngokwanele ngokocansi. Ezimweni ezinjalo, ungakhipha isidoda ngokushesha, ucabanga ukuthi, "Ngidinga ukuqeda lokhu ngokushesha."
• Izinkinga zama-hormone : Izinguquko emazingeni ama-hormone, ikakhulukazi i-hormone ebizwa ngokuthi `( Oxytocin )`, ethinta ukusebenza kocansi, kanye `(i-Luteinizing hormone - LH)`, `(Prolactin)`, kanye `(i-Thyroid Stimulating Hormone - TSH)`.
• Amazinga aphansi e- serotonin noma i-dopamine : Lawa ngamakhemikhali abalulekile ebuchosheni. Athinta ngqo isifiso sobulili kanye nokuvuka. Uma la mazinga ephansi, kungaba nzima ukulawula ukuphuma kwesisu.
• Ukuzwela ngokweqile ekuvuseleleni ipenisi: Ipenisi zabanye abantu zizwela kakhulu uma zithintwa, ngakho-ke zingafinyelela ekuvuthweni ngokushesha ngisho noma zishukunyiswa kancane.
• I-prostate evuvukele:I-prostate iyindlala encane etholakala ngaphansi kwesinye kwabesilisa. Uma inegciwane noma ivuvukele, lokho kungaba yimbangela.

Kodwa khumbula into eyodwa. Esikhathini esiningi, isizathu sokuphuma komchamo ngaphambi kwesikhathi akusona isimo esibucayi sezokwelapha, ukutheleleka, noma inkinga enkulu ohlelweni lokuzala. Ngokuvamile, konke kuhamba kahle, futhi inkinga ibangelwa ukucindezeleka okukhulunywe ngakho ngenhla, ukukhathazeka, kanye nokwesaba.

Zikhona yini ezinye izimpawu?

Akunjalo ngempela. Okuwukuphela kwesibonakaliso sokuphuma kocansi ngaphambi kwesikhathi ukuphuma kocansi ngaphambi kwesikhathi okulindelekile. Azikho ezinye izimpawu zomzimba ezithile.

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

Ukuphuma komchamo ngaphambi kwesikhathi kulimaza kakhulu ngokwengqondo kunokuba kulimaza ngokomzimba. Cabanga nje ukuthi kungathinta kangakanani ubuhlobo bakho nomlingani wakho.

• Ungase uzizwe unamahloni futhi ungakhululekile neze .
• Ungase uzizwe unecala, uthi, "Angikwazi ukwanelisa umlingani wami."
• Lokhu kungabangela izinkinga ngokusondelana nokwaneliseka empilweni yocansi phakathi kwalaba ababili.
• Kuvamile futhi ukuthi lokhu ngezinye izikhathi kuholele ekucindezelekeni nasekukhungathekeni okukhulu .
• Mhlawumbe le nkinga ingase ilibazise ngisho nokutholwa kwengane.

Yingakho kubalulekile ukufuna usizo lokukhipha isidoda ngaphambi kwesikhathi. Lesi yisimo esivamile nesicindezelayo amadoda amaningi abhekana naso. Udokotela wakho angakusiza ukuthi uthole imbangela futhi anqume ukwelashwa okungcono kakhulu kuwe.

Ungazithola kanjani izimbangela zokukhipha isisu ngaphambi kwesikhathi?

Uma ukhipha isidoda ngokushesha kakhulu, noma uma sikubangela ukucindezeleka noma ukukhathazeka futhi kuthinta ubuhlobo bakho, kungcono ukubona udokotela wezifo zomchamo, udokotela ochwepheshe ezinhlelweni zomchamo nezokuzala. Udokotela uzokubuza imibuzo embalwa mayelana nempilo yakho yocansi kanye nokuhlangenwe nakho kwakho. Isibonelo:

• Sekuyisikhathi esingakanani unenkinga le?
• Kukuziphi izimo lapho lokhu kwenzeka khona kakhulu?
• Kwenzeka kangaki lokhu?
• Ingabe lokhu kwenzeka njalo uma uya ocansini? Noma ngezinye izikhathi?
• Ingabe lokhu kuyenzeka kubo bonke abalingani? (Uma uke waba nabalingani abaningi)
• Ingabe uyashesha ukukhipha isidoda uma ushaya indlwabu?
• Ingabe unenkinga yokugcina ipipi lakho limile? Leso yisimo esibizwa ngokuthi `(Ukungasebenzi kahle kwe-Erectile)`.

Le mibuzo ingase ibonakale sengathi imayelana nomuntu siqu, kodwa kubaluleke kakhulu ukuthi utshele udokotela wakho iqiniso.Yilapho-ke engathola khona imbangela yangempela yenkinga yakho futhi ayiphathe kahle. Udokotela uzobuza nangezinye izimo zezokwelapha onazo kanye nemithi oyithathayo (kufaka phakathi imithi ethengwa ngaphandle kwemithi kadokotela, izithasiselo, kanye nemikhiqizo yamakhambi). Angase akubuze nangokusebenzisa kwakho utshwala nezidakamizwa. Ngokuvamile, lokhu akudingi ukuhlolwa okuningi kwelebhu. Kodwa-ke, uma udokotela esola ukuthi kunesinye isimo esiyisisekelo esibangela lokhu, angase akucele ukuhlolwa kwegazi.

Indlela yokwelapha ukuphuphuma kwesisu ngaphambi kwesikhathi?

Izindaba ezinhle ukuthi ukuphuphuma kocansi ngaphambi kwesikhathi kungelashwa! Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo, kuye ngokuthi imbangela iyini. Lokhu kufaka phakathi ukwelashwa kokuziphatha, ukwelulekwa, kanye nemithi . Ngokuvamile, kwelashwa kuqala ngokwelashwa kokuziphatha kanye/noma ukwelulekwa. Lokhu kungenxa yokuthi imbangela ivame ukuba ngeyokwengqondo. Ungazama ukwelashwa okungaphezu kokukodwa ngesikhathi. Eqinisweni, inhlanganisela yokwelashwa ingaba ngcono kunokwelashwa okukodwa.

Ukwelashwa kokuguqulwa kokuziphatha

Lokhu kwelashwa kuhilela ukuzama izindlela ezahlukene ezisebenzayo zokulibazisa ukuvuthwa kwakho. Umgomo ukukufundisa ukulawula umzimba wakho kanye nemizwa yakho. Lezi zindlela zifaka:

• Indlela 'yokuqala nokuyeka': Lokhu kulula kakhulu. Wena noma umlingani wakho vuselela ipenisi yakho uze usondele ekufikeni kokuvuthwa. Uma uzizwa "yilokhu kuphela," yeka ukukhuthazwa cishe imizuzwana engama-30. Linda uze uzizwe ukulawula futhi, okungukuthi, kuze kube yilapho isifiso sokuphuma kokukhipha sesiphelile. Bese uqala futhi. Yenza le ndlela 'yokuqala nokuyeka' izikhathi ezintathu noma ezine, bese uzivumela ukuthi uphumelele ekufikeni kokuvuthwa. Udinga ukuzijwayeza le ndlela uze ube nokulawula okuhle.
• Indlela yokucindezela: Lokhu kufana neyokuqala. Wena noma umlingani wakho uvuselela ipenisi yakho uze usondele ekufikeni kocansi. Ngemuva kwalokho, ikhanda lepenisi yakho, elingaphezulu lepenisi yakho, licindezelwa kancane cishe imizuzwana engama-30. Lokhu kuzoqala ukunciphisa ukuvuka kwakho futhi kunciphise amathuba okuphuma kocansi. Le ndlela ingaphindaphindwa izikhathi eziningana ukuze ikuvumele ukuthi ufinyelele ekufikeni kocansi. Zijwayeze le ndlela uze ube nokulawula ekufikeni kocansi kwakho.
• Ukucabanga okuphazamisekile: Lena indlela ehluke kancane. Umqondo uwukuphambukisa ukunaka kwakho kokuthile okuhluke ngokuphelele, okungekona okocansi, ngesikhathi socansi. Ukuqamba izinto ngokulandelana kuyindlela enhle yokugxila. Isibonelo, uma uya ejimini, cabanga ngamagama azo zonke izitolo ozibonayo emgwaqweni, noma uqambe igama lomdlali ngamunye eqenjini lakho lekhilikithi olithandayo. Ukwenza into efana nale kungakusiza ukunciphisa imicabango yakho mayelana nokuvuka kocansi.

Ukwelulekwa

Uma ukuphuma kwakho kocansi ngaphambi kwesikhathi kubangelwa inkinga yengqondo, ngokomzwelo, noma yobudlelwano - njengokukhathazeka ngokusebenza kahle, ukucindezeleka, ukucindezeleka, umuzwa wecala, noma ubudlelwano obunezinkinga nomlingani wakho - kungaba kuhle ukufuna usizo kudokotela wengqondo, wezifo zengqondo, noma wezokwelapha ngocansi . Udokotela wakho wezifo zomchamo angakudlulisela kulaba ochwepheshe. Ngezinye izikhathi, kungaba usizo ukuya kokwelulekwa ndawonye.

Imithi

Udokotela wakho angase ancome imithi ethile ukuze ikusize ukhiphe isidoda ngokushesha.

• Ama-antidepressant: Nakuba empeleni le mithi yokucindezeleka, ingalibazisa nokukhipha isisu. Ngakho-ke, iyindlela yokuqala yokwelapha ukuphuma kwegazi ngaphambi kwesikhathi. Kodwa-ke, lokhu kuyindlela "engavunyelwe" (okusho ukuthi ayikavunyelwa ngokuqondile yi-Food and Drug Administration ngale njongo). Khuluma nodokotela wakho ngemiphumela emibi yale mithi futhi uqiniseke ukuthi ikufanele. Isibonelo, ama-antidepressant e-tricyclic njenge-clomipramine (Anafranil®) kanye nama-selective serotonin reuptake inhibitors (SSRIs) njenge-citalopram (Celexa®), i-escitalopram (Lexapro®), i-fluoxetine (Prozac ®), i-paroxetine (Paxil ®), kanye ne-sertraline (Zoloft ®).
• Ama-creams kanye nama-spray okubulala izinzwa: Lawa afakwa ekhanda nasesinqeni sepenis yakho. Lena enye indlela yokuqala yokwelapha engasiza ekubambezeleni ukuphuma komchamo. Ipenis yakho imunca ukhilimu noma i-spray isikhathi esingangemizuzu eyi-10 kuya kwengama-30. Lokhu kunciphisa ukuzwela kwepenis. Into ebaluleke kakhulu ukugeza ipipi lakho kahle ngaphambi kokuya ocansini. Ngaphandle kwalokho, izitho zangasese zomlingani wakho zingase zibe ndikindiki.
• Imithi yokungasebenzi kahle kwe-Erectile: Lokhu kufaka phakathi i-sildenafil (Viagra ®), i-tadalafil (Cialis ®), i-vardenafil (Levitra ®), kanye ne-avanafil (Stendra ®). Lokhu kungasiza ekwelapheni ukuchama ngaphambi kwesikhathi kwabesilisa abanezinkinga zokungavuki kahle kwe-Erectile.
• Kwezinye izimo, udokotela wakho angase akunike umuthi wokuqeda izinhlungu obizwa ngokuthi i-'tramadol'.

Abanye abantu basebenzisa ezinye izindlela zokwelapha ukwelapha ukuphuphuma kocansi ngaphambi kwesikhathi, kodwa abukho ubufakazi obanele besayensi bokufakazela ukuthi empeleni ziyasebenza.

Ingabe ikhona ikhambi elihlala njalo lalokhu?

Abantu abaningi bathola impumuzo ngokwelashwa okukodwa noma ngaphezulu okukhulunywe ngakho ngenhla. Ukwelashwa kokuziphatha kanye nezindlela ezahlukene zokulibazisa ukuphuma komchamo yizona ezisiza kakhulu. Esikhundleni "sokwelapha" okuphelele, kungcono ukucabanga ngalokhu njengesimo esilawulekayo.

Ingabe ukunciphisa ukuvama kocansi kungasiza?

Cha. Eqinisweni, kwenza inkinga ibe yimbi kakhulu. Ngoba ikwenza uzwele kakhulu ekuvuseleleni ucansi. Ngakho-ke, kungcono ukubhekana nenkinga kunokuyibalekela.

Ngingakuvimbela lokhu?

Yebo, kungenzeka! Kuye ngokuthi yini ebangela lokhu, ungathatha izinyathelo zokukuvimbela. Into engcono kakhulu ongayenza ukukhuluma ngokukhululekile nodokotela wakho ngemizwa yakho kanye nenkinga onayo. Angakusiza ukuthola imbangela futhi ancome izindlela ezifanele zokwelapha kanye nokuvimbela.

Ingabe ukukhipha isisu ngaphambi kwesikhathi kuyingozi? Noma ingabe kuyisibonakaliso sesinye isifo?

Ukuphuma komchamo ngaphambi kwesikhathi akuyona yodwa into engabangela ukulimala okukhulu ngokomzimba. Kodwa-ke, ezinye izinkinga zempilo zingaba nomthelela kulesi simo. Izinkinga ezinjalo zempilo zifaka:

• Ukungasebenzi kahle kwe-Erectile
• I-Chronic pelvic pain syndrome (ubuhlungu besikhathi eside endaweni ye-pelvic kanye nezinkinga zomchamo)
• Izinkinga ze-thyroid
• Izinkinga zokusebenzisa izidakamizwa

Ingabe ukusebenzisa ikhondomu kuzosiza kulokhu?

Yebo, impela. Ukusebenzisa ikhondomu kuzonciphisa ukuzwela kwepenisi yakho kancane. Ngakho-ke kungasiza ekubambezeleni ukuphuma kwesisu. Ungase futhi ufune ukuzama amakhondomu amakhulu noma amakhondomu akhethekile aklanyelwe ukubambezela ukuphuma kwesisu (amakhondomu okubambezela).

Uyini umehluko phakathi kokungasebenzi kahle kwe-erectile kanye nokuphuma kwe-ejaculation ngaphambi kwesikhathi?

Ungazididanisi lezi ezimbili.

• Uma unenkinga yokungavuki , awukwazi ukuthola noma ukugcina ukuma.
• Uma unenkinga yokuphuma kocansi ngaphambi kwesikhathi , ipenisi yakho iyama, kodwa ufinyelela ekufikeni kocansi bese ukhipha isidoda ngaphambi kokuba wena noma umlingani wakho nilindele.

Kodwa-ke, ukungasebenzi kahle kwe-erectile nakho kungabangela ukuphuma kwe-erectile ngaphambi kwesikhathi. Nansi indlela okusebenza ngayo: Uyazi ukuthi unenkinga yokugcina i-penis yakho imile. Ngakho-ke, uzama ngokungazi ukukhipha i-erectile ngokushesha ngaphambi kokuba ulahlekelwe ukwakheka kwakho. Ngenxa yalokhu kuxhumana phakathi kwalezi zimo ezimbili, udokotela wakho we-urologist uzoqala ahlole ukuthi unesifo sokungasebenzi kahle kwe-erectile. Uma kunjalo, uzokwelapha kuqala.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Ngakho-ke, ukuphuma komchamo ngaphambi kwesikhathi kuyisimo esithinta amadoda amaningi, kodwa singalawulwa ngokwelashwa okufanele kanye neseluleko. Asikho isidingo sokuba namahloni noma ukuzizwa kabi ngakho. Into ebaluleke kakhulu ukuthi akudingeki ubhekane nakho wedwa.

• Lesi yisimo esivamile.Qonda ukuthi awuwedwa onale nkinga.
• Khuluma ngokukhululekile ngalokhu nomlingani wakho. Njengoba lokhu kunithinta nobabili, kubaluleke kakhulu ukuthola ikhambi ndawonye. Ukusekela kwakhe kuzoba amandla amakhulu kuwe.
• Bheka uchwepheshe (Urologist) ukuze uthole imbangela eqondile futhi uthole ukwelashwa okufanele. Ungakholwa yikho konke okutholayo ku-inthanethi.
• Kunezindlela ezahlukene zokwelapha, okuhlanganisa ukwelashwa kokuziphatha, ukwelulekwa, kanye nemithi uma kudingeka. Khuluma nodokotela wakho ukuze unqume ukuthi yikuphi okungcono kakhulu kuwe.
• Yiba nesibindi. Ngosizo olufanele, ungasinqoba nakanjani lesi simo futhi uphile impilo yocansi ejabulisayo neyanelisayo.

Khumbula, injabulo yakho neyomlingani wakho isengozini. Ngakho-ke kungcono ukuthi nobabili nihlangane, niqondane, futhi nithole ikhambi.