Ukuqonda i-ejaculation yangaphakathi nokukhulelwa

Lapho kuxoxwa ithuba lokukhulelwa, omunye wemibuzo evame kakhulu uthi, "Ngingakuchamela ngaphakathi ungakhuleli yini?" Impendulo emfushane ukuthi ukuchama ngaphakathi esithweni sangasese sowesifazane kuletha ithuba langempela lokukhulelwa, ngisho noma izimo zingabonakali zilungele. Uma nje sekuchamile, isidoda singena esithweni sangasese sowesifazane bese siqala uhambo salo oluya ekuchumisenii iqanda. Ukuze kube nokukhulelwa, isidoda esisodwa kumele sidlule emgodleni wesibeletho, singene esibelethweni, ekugcineni sihlangane neqanda kumashubhu ama-fallopian.

Ngakho-ke kubalulekile ukuqonda ukuthi noma yiliphi izinga lokuchama lingaholela ekuzalweni kwengane. Ukwazi konke mayelana nokuchama ngaphakathi nokukhulelwa kungakusiza ukuthi wenze izinqumo ezinkulu ngokuhlakanipha njengokuzala ingane.

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Indlela Isidoda Esisemlonyeni Wesitho Sangasese Sowesifazane Esiholela Ngayo Ekukhulelweni

Uma ukuchama kwenzeka ngaphakathi esithweni sangasese sowesifazane, izigidi zesidoda zikhishwa esidodeni, kuyilapho kudingeka isidoda esisodwa kuphela ukuze sichumise iqanda. Ngenqubo le, isidoda sihamba sidlule esibelethweni nasemgodleni wesibeletho, ngenhloso yokufinyelela kumashubhu ama-fallopian lapho ukuchumiseka kungenzeka khona. Uma nje isidoda singene esithweni sangasese sowesifazane, singaphila kuze kufike ezinsukwini ezinhlanu, okwandisa amathuba okukhulelwa uma kuhambisana nokuvuthwa kweqanda [1].

Impumelelo yokuchama ngaphakathi ekuholeleni ekukhulelweni incike futhi ezintweni eziningana, okuhlanganisa inani lesidoda, indlela esinyakaza ngayo, nesikhathi maqondana nomjikelezo wokuya esikhathini kowesifazane. Uma ucansi lwenziwa phakathi kwefasitela lokuzala, amathuba okukhulelwa ayakhula kakhulu. Abesifazane abangakwazi ukubikezela kahle ifasitela labo lokuzala bangakhulisa amathuba abo okukhulelwa ngo-60%.

Ukuqonda Ifasitela Lokuzala

Isikhathi sibalulekile uma kukhulunywa ngokukhulelwa. Ifasitela lokukhiqiza, elihlanganisa izinsuku ezandulela futhi ngesikhathi sokuvuthwa kwamaqanda, yilo sikhathi owesifazane anethuba elikhulu kakhulu lokukhulelwa. Isidoda esingaphakathi esithweni sangasese sowesifazane kulesi sikhathi sinethuba elikhulu lokuhlangana neqanda, okuholele ekukhulelweni. Nakuba isidoda singasinda cishe izinsuku ezimbalwa, ukukhulelwa kuvame kakhulu ukwenzeka uma ucansi luhlelwa eduze nokuvuthwa kwamaqanda [2]. Kulabo abafuna ukulungelelanisa kangcono ifasitela labo lokukhiqiza, ukusebenzisa i-isithasiselo sokusekela inzalo esiklanyelwe amavithamini namaminerali abalulekile singasiza ukuthuthukisa impilo yokuzala nokulungiselela umzimba ukukhulelwa.

Ingabe Ukuhoxa Kuyasebenza?

Abanye abantu bathembele endleleni yokuhoxa, eyaziwa nangokuthi "ukudonsa ngaphandle," lapho umlingani wesilisa ezama ukuhoxa ngaphambi kokuchama ukuze avimbele isidoda ekungeneni esithweni sangasese sowesifazane. Nokho, le ndlela ayithembekile ngokuphelele. Uketshezi oluphuma ngaphambi kokuchama, noma i-precum, lungase luqukathe inani elincane lesidoda, elingaholela ekukhulelweni ngisho noma kungazange kuchame ngokugcwele. Lokhu kungenxa yokuthi isidoda esiku-precum sisengafinyelela iqanda, ikakhulukazi uma lokhu kwenzeka ngesikhathi sowesifazane esezinsukwini zakhe ezikhulelisa kalula. Yize amathuba ephansi uma kuqhathaniswa nokuchamela ngaphakathi, indlela yokuhoxa inomthamo ophezulu wokwehluleka uma iqhathaniswa nezinye izindlela zokuvikela ukukhulelwa [3].

Izindlela Zokucisha Inzalo Nokuchamela Ngaphakathi

Ukusebenzisa izindlela zokuvikela ukukhulelwa ezifana namaphilisi okucisha inzalo kwehlisa kakhulu amathuba okukhulelwa, ngisho noma ukuchama kwenzeka ngaphakathi esithweni sangasese sowesifazane. Uma lisetshenziswa ngendlela efanele, iphilisi lisebenza cishe ngo-99% ekuvimbeleni ukukhulelwa. Nokho, ayikho indlela yokuvikela ukukhulelwa eyi-100% ephephile ngokuphelele, kanti ukweqa amaphilisi, noma ukuwasebenzisa ngendlela engeyikho, kunganciphisa ukusebenza kahle kwawo [4].

Kukhona izindlela zokuvikela ukukhulelwa ezingasebenzisi imishanguzo noma amadivayisi, ezidume kakhulu kulezizinsuku, ezaziwa ngokuthi izindlela zemvelo zohlelo lomndeni. Ungazama lezi zindlela zokuvikela ukukhulelwa ukuze ugweme izinkinga zokukhulelwa esikhathini esizayo [5].

Umugqa Wokugcina

Uma uzibuza ukuthi ngemuva kwesikhathi esingakanani ngocansi olungenakhondomu engingazihlola ukuthi ngikhulelwe, kuvamise ukuba kuhle ukulinda cishe amasonto amabili ngemuva kokwabelana ucansi ukuze uthole imiphumela enembile, ngoba ukuhlola masinyane kakhulu kungenza imiphumela ingathembeki.\u00a0Ukubhebhetheka kwesisu ngaphakathi kungaholela ekukhulelweni kuye ngezinto eziningi ezibalulekile. Impilo yesidoda, ehlanganisa inani, indlela esheshayo (motility) nokuphila isikhathi eside kwesidoda, kudlala indima enkulu ekukhulelweni. Isikhathi sibalulekile ngokulinganayo, njengoba ukwabelana ucansi eduze nesikhathi se-ovulation kwandisa amathuba okuchuma. Ngaphezu kwalokho, ukusebenza kahle kwezindlela zokuvimbela ukukhulelwa, njengamaphilisi okulawula ukuzala noma amakondomu, kunganciphisa kakhulu ubungozi bokukhulelwa, kodwa akukho ndlela ephephile ngokuphelele. Ukuqonda lezi zici kusiza abantu benze izinqumo ezinolwazi, noma befuna ukukhulelwa noma befuna ukugwema ukukhulelwa.

Imithombo:

1. S.S. Suarez, A. A. Pacey, Ukudlula kwesidoda emgodini wokuzala kowesifazane, Human Reproduction Update, Volume 12, Issue 1, January/February 2006, Pages 23–37, https://doi.org/10.1093/humupd/dmi047 
2. Wilcox AJ, Dunson D, Baird DD. Isikhathi se-"fertile window" emjikelezweni wokuya esikhathini: ukulinganiselwa kosuku ngalunye ocwaningweni olwenziwa kusenesikhathi. BMJ. 2000 Nov 18;321(7271):1259-62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC27529/
3. WebMD. Indlela Yokuhoxisa (Withdrawal). [Kubuyekezwe ngo-Agasti 08, 2022]. Kutholakala ku-inthanethi: https://www.webmd.com/sex/birth-control/pull-out-withdrawal 
4. Mansour, D., Inki, P., & Gemzell-Danielsson, K. (2010). Ukusebenza kahle kwezindlela zokuvimbela ukukhulelwa: ukubuyekeza imibhalo. The European Journal of Contraception & Reproductive Health Care, 15(1), 4–16. https://doi.org/10.3109/13625180903427675 
5. Aguilar N. Ukuhlela umndeni kwemvelo. Izindlela ezintsha zokulawula ukuzala ezingezona ezemithi, ezingezona ezamadivayisi bonke abakhuluma ngazo. Fam Circle. 1978 Mashi 1:T2. https://pubmed.ncbi.nlm.nih.gov/12339767/
6. Thenga izithasiselo zokwandisa ivolumu yesidoda, izithasiselo ezihamba phambili zokwandisa ivolumu yesidoda zenziwa yi-Conceive Plus yamadoda. Oda izithasiselo ezisezingeni eliphezulu zokuthuthukisa ivolumu yesidoda futhi uthenge amaphilisi okuvuselela ivolumu yesidoda ahloliwe futhi athandwa namuhla.