Incazelo ye-Anejaculation: Ukuqonda umqondo we-anejaculation nemithelela yawo

Incazelo yokungakhishi ukuthi umuntu akakwazi ukukhipha isidoda ngesikhathi sokuhlangana ngokocansi noma ezinye izinhlobo zokuvuselelwa, naphezu kokuba nenhlakanipho evamile yokuvuswa nokuzwa i-orgasm. Lesi simo singaba umthombo wokukhathazeka okukhulu kumuntu ngamunye nasemabangeni, sivame ukuholela ekudidekeni mayelana nezimbangela zalo nezinketho zokwelashwa. Ukuqonda le nto kubalulekile ekuphatheni umthelela wayo ngendlela ephumelelayo.

Ukuhlola Izimbangela Zokungakhishi

Ukungakhishi kungavela ezicini ezihlukahlukene, okuhlanganisa ezomzimba, ezingokwengqondo, nezokusebenza kwemizwa. Izimbangela ezivamile zifaka:

1. Izifo Zezinzwa: Izimo ezifana ne-multiple sclerosis, ukulimala komgogodla, noma ukulimala kwemizwa zingaphazamisa imigudu ebhekele ukuchama [1].
2. Izinqubo Zokuhlinza: Ezinye izinhlobo zokuhlinzwa, njenge-prostatectomy noma ukuhlinzwa esiswini (pelvic), zingaphazamisa inqubo ejwayelekile yokuchama [2].
3. Imiphumela Emibi YemithiImithi esetshenziselwa ukwelapha izimo ezifana nengcindezi yegazi ephakeme, ukucindezeleka, noma ukukhathazeka ingathinta ukuchama njengomphumela oseceleni.
4. Izinto ZengqondoUkukhathazeka, ingcindezi, noma ukulimala kwangaphambilini okuhlobene nokuhlangenwe nakho ngokocansi kungabamba iqhaza ekuthuthukiseni ukungakhishi.
5. Izifo EzingamahlalakhonaIzifo ezifana nesifo sikashukela noma ukungalingani kwama-hormone zingaphazamisa ikhono lomzimba lokukhipha isidoda.

Umehluko Phakathi Kokungakhishi Nezinye Izimo

Kubalulekile ukuqaphela ukuthi ukungakhishi kwe-semen kwehluke kwezinye izifo zokuchama njenge-retrograde ejaculation, lapho isidoda sibuyela emuva siye esinyeni esikhundleni sokuphuma ngomchamo. Ukungakhishi, ngakolunye uhlangothi, kusho ukuthi akukho nhlobo ukuchama okubonakalayo. [3].

Ukungakhishi Kuxilongwa Kanjani?

Ukuxilonga ukungakhishi kudinga ukubuyekezwa okuphelele komlando wezokwelapha nokuhlolwa ngokomzimba. Ochwepheshe bezempilo bangase benze izivivinyo zokuhlola amazinga amahomoni, bahlolisise ukusebenza kohlelo lwezinzwa, futhi babone noma yiziphi izimo ezingaphansi ezibamba iqhaza enkingini. Amathuluzi athuthukile okuxilonga njengokudayagnostika ngokuqhafaza (imaging) noma izifundo ze-urodynamic nawo angasetshenziswa ukuze kutholwe izimbangela ezithile.

Izinketho Zokwelapha Ukungakhishi (Anejaculation)

Indlela yokwelapha ukungakhishi incike ebangeni lalo. Amanye amathuba avamile afaka:

• ImithiImithi ethuthukisa ukusebenza kwemizwa noma evuselela ukuqubuka kwemisipha inganqunyelwa uma kunezinkinga ezihilela uhlelo lwezinzwa.
• Ukwelashwa NgokwengqondoUkwelulekwa noma ukwelashwa ngokwengqondo kungasiza ukubhekana nezithiyo zengqondo ezibamba iqhaza ekuqhamukeni kokungakhishi, njengokukhathazeka noma ukulimala kwangaphambilini.
• Imishini YezokwelaphaKubantu abanezimbangela ezihlobene nemizwa, amadivayisi afana nezinsimbi zokuvuselela ezididizayo noma imishini ye-electroejaculation angasiza ekufezeni ukuchama.
• Ukungenelela Ngokuhlinza: Ezimweni lapho kutholakala izithiyo zomzimba, ukuhlinzwa kungase kudingeke ukuze kulungiswe inkinga. Kulabo abahlangabezana nezinselele ekukhishweni kwesidoda, ukuhlola amasu ku-ukwandisa isikhathi sokukhishwa kwesidoda kunganikeza amasu engeziwe okuthuthukisa impilo yezocansi nokusebenza.

Imithelela Ekukwazini Ukuzala Nasebudlelwaneni

I-anejaculation ingathinta kakhulu ukukwazi ukuzala, ngoba ukungabi bikho kokukhishwa kwesidoda kunciphisa ikhono lokukhulelwa ngokwemvelo. Izindlela zokuzala ezisizwa (assisted reproductive techniques), ezifana nokukhipha isidoda kulandelwe i-in vitro fertilization (IVF), zinganikeza isixazululo kulabo ababhekene nenselelo enjalo. Kubantu noma imibhangqwana ebhekana nokungakhululeki noma izinselele ekusondelaneni ngenxa ye-anejaculation, ukusebenzisa i-lubricant yomuntu siqu yekhwalithi ephezulu kungathuthukisa ukunethezeka futhi kwandise ulwazi locansi ngokuphelele.

Ebuhlotsheni, ukuxhumana okuvulekile nokusekelana kubalulekile ukuze kubhekwe imiphumela yengqondo neyomzimba ye-anejaculation. Ukufuna usizo lochwepheshe ndawonye kungaqinisa ukuqondana nokubambisana phakathi kwabalingani.

Okubaluleke Kakhulu

Ukuqaphela incazelo ye-anejaculation nokuyiqonda imiphumela yayo kuyizinyathelo ezibalulekile ekuphathweni kwalesi simo ngendlela ephumelelayo. Ngokubhekana nezimbangela eziyisisekelo kanye nokuhlola izinketho zokwelashwa ezenzelwe umuntu ngamunye, abantu bangabuya babe nokuzethemba futhi bathuthukise izinga lempilo yabo. Kulabo ababuza, "yini i-anejaculation?" Impendulo itholakala ekuqondeni ngokujulile lesi simo nasekuthatheni indlela esebenzayo yokwelashwa nokwesekwa.

Izinkomba: 

1. Calabrò RS, Polimeni G, Ciurleo R, Casella C, Bramanti P. Izifo zokukhishwa kwesidoda ezibangelwa uhlelo lwezinzwa: ukugxila ekwelashweni kwamanje nekuzayo. Recent Pat CNS Drug Discov. 2011 Sep 1;6(3):205-21. doi: 10.2174/157488911796958011. PMID: 21834782.
2. Green TP, Saavedra-Belaunde J, Wang R. Ukuphazamiseka kokukhishwa kwesidoda nokwaneliseka (orgasmic dysfunction) okulandela ukwelashwa komdlavuza we-prostate: Ukuphathwa kwezokwelapha. Med Sci (Basel). 2019 Dec 10;7(12):109. doi: 10.3390/medsci7120109. PMID: 31835522; PMCID: PMC6950339.
3. Egilmez, O. B., & Orum, M. H. (2018). Uhlobo lokwabelana ngesondo lwe-anejaculation yesimo noma ukungakwazi ukukhishwa kwesidoda ngaphakathi esithweni sangasese sowesifazane: imibiko yamacala amathathu evela emphakathini wamaSulumane olandela amasiko kakhulu. Psychiatry and Clinical Psychopharmacology, 28(4), 473–476. https://doi.org/10.1080/24750573.2018.1468618