Ukukhishwa kwesidoda ngaphakathi: kusho ukuthini lokhu?

Ngesikhathi sobulili, ngesikhathi esiphezulu somfutho, ithuluzi lokuzalana embunjini likhipha uketshezi lwesidoda. Lokhu wukwenzeka okuvamile futhi kuyindlela ejwayelekile yomzimba [1].

Kodwa kwenzekani uma isidoda sihlala emzimbeni wendoda esikhundleni sokuphuma? Noma siyini isidoda uma usizwa?

Ukuchama kwesidoda ngaphakathi kwenzeka lapho isidoda sibuyela emuva singene esinyeni somchamo esikhundleni sokuphuma embunjini. Amanye amagama ale nqubo ukuchama kwesidoda ebuyela emuva (retrograde ejaculation) kanye nomfutho owomile (dry orgasm) [2].

Kulesi sihloko, sizoxoxa ngokuthi yini ebangela ukuchama kwesidoda ngaphakathi. Sizophinde sixoxe nokuthi kuyayilimaza yini indlela yokuzala nokuthi ungalugwema kanjani.

Kuyini Ukuchama KweSidoda Ngaphakathi?

Uma uzwa umfutho wokuya ocansini, imisipha yamashubhu athwala isidoda iyazicindezela iphushe isidoda siphume emzimbeni. Nokho, uma kunenkinga ekusebenzeni kwaleyo misipha, kungaholela ekuchameni kwesidoda ngaphakathi noma ekuchameni kwesidoda ebuyela emuva.

Ekuchameni kwesidoda ebuyela emuva, imisipha evala indlela amaseli esidoda aya esinyeni somchamo yehluleka ukuvala kahle, bese ukuchama kwabesilisa noma isidoda kungena esinyeni somchamo.

Ukuchama kwesidoda ngaphakathi ngokuvamile akulimazi, kodwa kunganciphisa amathuba okukhulelwa [3]. Uma uzama ukukhulelwa, kufanele ubhekane nale nkinga ngokubonana nochwepheshe.

Izimpawu Zokuchama KweSidoda Ngaphakathi

Isibonakaliso esivelele kakhulu sokuchama kwesidoda ngaphakathi ukungabikho kwesidoda ngesikhathi sokufika komfutho (orgasm). Ukuhamba kwesidoda kushintsha kuya esinyeni somchamo. Isidoda sihlala esinyeni kuze kube uyasikhipha uma uchama.

Ezinye izimpawu zingabandakanya:

• Umchamo onamafu ngemva kokuchama kwesidoda
• Ukungabi nenzalo ngenxa yokungabikho kwesidoda
• Ukungakhululeki okungenzeka ngesikhathi se-orgasm

Iyini Imbangela Yokuchama Okuvela Ngaphakathi?

Kunezizathu eziningi ezingaholela ekuchameni ngokungaphakathi noma ekuchameni okubuyela emuva. Ezinye zezimbangela ezaziwayo yilezi:

1. Umonakalo Wezinzwa

Izinzwa zilawula ukunyakaza kwemisipha emzimbeni wonke, kuhlanganise nemisipha ebandakanyekayo enqubweni yokuchama [4].

Izinhlobo ezahlukene zokulimala okungahleliwe kanye nokuhlinzwa zingaholela ekulimaleni kwezinzwa, okungaphazamisa ukusebenza kwemisipha yokuchama. Lokhu kubangela ukuthi inhlalo yesidoda iye esinyeni somchamo, futhi lokhu kungesinye sezimbangela ezivame kakhulu zokuchama ngokungaphakathi.

2. Eminye Imithi

Ucwaningo lukhombisa ukuthi mImithi yokwelapha umfutho wegazi ophakeme nezinkinga zesinye yandisa amathuba okuchama okubuyela emuva [5]. Umphumela wale mithi ungakhulula imisipha yomlomo wesinye ngesikhathi sokuchama, okwenze inhlalo yesidoda ingene esinyeni somchamo.

3. Ukuhlinzwa kwesinye (Prostate Surgery)

Inqubo esetshenziswa kakhulu yokuhlinza engalimaza imisipha nezinzwa zokuchama ukuhlinzwa kwesinye. Ngemva kokuhlinzwa, imisipha yesinye ingase ingasebenzi kahle futhi ivumele inhlalo yesidoda ukuthi ingene esinyeni somchamo.

4. Isifo sikashukela

Ucwaningo kubonisa ukuthi isifo sikashukela singaholela ekulimaleni kwezinzwa esikhathini eside [6]. Ungaphinde ulimaze izinzwa ezibhekele ukulawulwa kokuchama.

Umonakalo wezinzwa ungaphazamisa imisipha emzileni wokuchama futhi ukhuphule ingozi yokuchama ngokungaphakathi noma ukuchama okubuyela emuva.

Ingabe Ukuchama Ngokungaphakathi Kuyalimaza?

Ukuchama okuvela ngaphakathi ngokujwayelekile akulimazi ithambo lokuzala noma impilo yonke iyonke. Inhlalo yesidoda nje ingena esinyeni somchamo bese ihlala khona kuze uchame.

Lapho uchama, inhlalo yesidoda iphushelwa iphume emzimbeni kanye nomchamo, futhi kungenzeka ungakuboni.

Kubalulekile ukukhumbula ukuthi ukuchama ngokungaphakathi kungathinta kabi umsebenzi wokuzala. Lokhu kungenxa yokuthi kunciphisa ukutholakala kwesidoda ngesikhathi socansi ukuze kube nokufakelwa.

Uma uzama ukukhulelwa futhi uhlangabezana nezimpawu zokuchama ngokungaphakathi, kufanele ubhukhe ukubonana nochwepheshe ukuze kuthuthukiswe lesi simo.

Izinketho Zokwelashwa Ukuchama Ngokungaphakathi

Kukhona ezinye izindlela zokwelapha ezitholakalayo ukuze kuvinjelwe ukushaywa kwendiya ngaphakathi nokuthuthukisa inzalo. Uhlobo lokwelashwa oluzokusebenzela luzoncika embangeleni oyinhloko wokushaywa kwendiya ngaphakathi.

Ezinye izindlela ezisebenzayo zokwelapha ukushaywa kwendiya ngaphakathi yilezi:

• Ukulungisa imithi: Uma inkinga ibingekho ngaphambi kokuba uqale ukuthatha eminye imithi ethile, lokho kusho ukuthi leyo mithi iyona ebangela inkinga. Udokotela wakho angalungisa umthamo noma akuncomele eminye imithi ehlukile.
• Ukuhlinzwa: Ukuhlinzwa kuyadingeka uma ukushaywa kwendiya ngaphakathi kubangelwa inkinga yesakhiwo somzimba, njengokuvinjelwa kwethubhu edlulisa isidoda. Ukuhlinzwa kwenziwa ukuze kuvulwe indlela yesidoda liye elikweni lobudoda.
• Ukwelashwa kokungazali: Lolu kwakhiwo lokwelashwa kokungazali luwabantu abazama ukuqhamuka nengane kodwa ukushaywa kwendiya ngaphakathi kungathuthuki. Bangakhetha izindlela zokwelashwa ezifana ne-IVF. Kule ndlela yokwelapha, isidoda singaqoqwa ngokuhlinzwa ngokwenza ukuvulwa esithweni ngaphakathi emzimbeni.

Okubalulekile ekugcineni

Uma uzama ukuqhamuka nengane kodwa uqaphela ukuthi kukhishwa uketshezi oluncane kakhulu noma alukho nhlobo ngemva kokwaneliseka (orgasm), kungenzeka ukuthi unesimo sokushaywa kwendiya ngaphakathi. Akulona inqubo evamile, kodwa ayilimazi umzimba noma uhlelo lokuzala.

Ekushayweni kwendiya ngaphakathi, uketshezi lokushaywa kwendiya lungena esinyeni (bladder) esikhundleni sokuphuma ngelungu lobudoda. Izimo ezahlukene zempilo nemithi ethile zingaholela kule nkinga. Kukhona izindlela zokwelapha ezitholakalayo zokuvimbela ukushaywa kwendiya ngaphakathi nokwandisa amathuba okukhulelwa.

Imithombo esetshenzisiwe

1. Koren, G., & Koren, D. (2020). I-Retrograde Ejaculation—Ingxenye evame ukungaxoxwa ngayo yokuhlinzwa kwesinye ngenxa ye-Benign Prostatic Hypertrophy. American Journal of Men's Health, 14(2). https://doi.org/10.1177/1557988320910870 
2. Koren, G., & Koren, D. (2020). I-Retrograde Ejaculation—Ingxenye evame ukungaxoxwa ngayo yokuhlinzwa kwesinye ngenxa ye-Benign Prostatic Hypertrophy. American Journal of Men's Health, 14(2). https://doi.org/10.1177/1557988320910870 
3. I-Retrograde ejaculation - Izimpawu & izimbangela - Mayo Clinic. (2022, January 11). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890 
4. Soni, K. K., Jeong, H., & Jang, S. (2022). Amaseli ezinzwa okuphetha (neurons) okushaywa indiya (ejaculation) nezinto ezithinta ukushaywa indiya. Biology, 11(5), 686. https://doi.org/10.3390/biology11050686 
5. Kaplan, S. A. (2008). Imiphumela emibi yokusebenzisa ama-α-blocker: i-retrograde ejaculation. Reviews in Urology, 11(Suppl 1), S14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812888/ 
6. Feldman, E. L., Callaghan, B. C., Pop-Busui, R., Zochodne, D. W., Wright, D. E., Bennett, D. L., Bril, V., Russell, J. W., & Viswanathan, V. (2019). I-neuropathy yesifo sikashukela. Nature Reviews. Disease Primers, 5(1), 42. https://doi.org/10.1038/s41572-019-0097-9