Ubuhlungu be-Retrograde Ejaculation: Ukuqonda Okuningiliziwe Ngale Nkinga

Abaningi besilisa babhekana nezinselelo ezihlukile ezihlobene nempilo yabo yezocansi, kanti enye inkinga engadala ukudideka nokukhathazeka yi-retrograde ejaculation. Lesi simo sivele uma isidoda sibuyelelwa esinyeni esikhundleni sokuphuma ngomgudu womchamo ngesikhathi sokufinyelela ekujabuleleni. Nakuba kuvame ukuhlotshaniswa nokuncipha kokuphuma koketshezi, abanye abantu baye babike nobuhlungu obungajwayelekile obuhamba nalesi simo, njengobuhlungu be-retrograde ejaculation. Ngokwazi izimbangela ezingaba khona, izimpawu ezihambisanayo, namasu okubhekana naso, labo abathintekayo bangathatha izinyathelo ezifanele zokulawula le nkinga [1].

Izimbangela ze-Retrograde Ejaculation

Kunezinto eziningana ezingafaka isandla kulesi simo. Izinqubo zokwelashwa eziqondiswe ku-prostate noma esinyeni, kuhlanganise nokuhlinzwa kwe-benign prostatic hyperplasia, zingase zishintshe ngokungahlosiwe ukusebenza kwemizwa nemisipha enesibopho sokuqondisa ukugeleza kwesidoda. Kwezinye izimo, isifo sikashukela singathinta ukuphendula kwemizwa, okwandisa amathuba okuthi isidoda sihamba ngendlela engalungile. Ngaphezu kwalokho, imithi efana nama-antidepressant noma imishanguzo esetshenziswa ukuphatha umfutho wegazi ophezulu kwesinye isikhathi ingaphazamisa indlela evamile yokuchamela isidoda, okuholela ekutheni isidoda sibuyisele emuva.

Izimpawu Nobuhlungu Obuhambisanayo

Ngokuvamile, amadoda abona inani elincane kakhulu loketshezi ngesikhathi sokufinyelela ekujabuleleni, noma kwezinye izikhathi ezinqabile, kungabi bikho nhlobo. Abanye bangase bazibuze, “ingabe i-retrograde ejaculation ibuhlungu?” nakuba kungeyona yonke umuntu ozwa ubuhlungu obukhulu, umuzwa wokungakhululeki esifubeni esingezansi ungavela. Lo muzwa ungavela ekucindezelekeni endaweni yomlomo wesinye noma ekuthukutheleni ezindaweni ezizungeze i-prostate. Ungase futhi uxhunywe ekuguquguqukeni kwamahomoni okuphazamisa ukusebenzisana kwemisipha, yize izindlela ezibandakanyekayo ziseyisihloko sokuqhubeka kocwaningo lwezokwelapha [2].

Ngesikhathi kubhekwa ubuhlungu be-retrograde ejaculation, kubalulekile ukwehlukanisa phakathi kwabo nezinye izinhlobo zokungakhululeki esifundeni se-pelvis. Amanye amadoda abonisa izimpawu ezifana nokucasuka kwesinye, ukushisa okuncane, noma umuzwa wokudlikizela ongacacile ozwakala ngesikhathi noma ngokushesha ngemva kokukhululeka. Abanye babhekana nomthwalo wengqondo, bezizwa bekhathazekile ngenxa yokuphazamiseka okubonakalayo kokufinyelela ekujabuleleni okujwayelekile. Uma kungekho bufakazi obucacile bokuphuma kwesidoda, ukukhathazeka ngokuphathelene nokukwazi ukuzala kungavela. Nakuba i-retrograde ejaculation ngokuvamile ingaqedi ukukhiqizwa kwesidoda, yehlisa amathuba okukhulelwa ngocansi olujwayelekile, okwenza eminye imibhangqwana ifune iseluleko sochwepheshe uma ihlela ukuba nezingane [3].

Kulabo abafisa ukuqonda kabanzi ngezimbangela ze-retrograde ejaculation nokuthi ihlobene kanjani nempilo yokuzala kwabesilisa, ungase ufune ukubheka le ndatshana echaza ukuthi yini ebangela i-dry orgasm kanye nomthelela wayo ekukwazini ukuzala.

Izindlela Zokuxilonga Nokuphatha

Ukwelashwa kuqala ngokubonisana ngokuningiliziwe kanye nokuhlolwa okuphelele ngokomzimba. Izinga likashukela egazini lingahlolwa ukuze kuqedwe amathuba esifo sikashukela esingalawuleki. Uma imithi ibonakala iyinkinga, umhlinzeki wezempilo angaphakamisa ukuhlola ukuthi ngabe eminye imishanguzo ingakwazi yini ukwelapha isifo esiyisisekelo ngenkathi yehlisa imiphumela engemihle. Ngaphezu kwalokho, ukuhlolwa komchamo ngemva kokuchama isidoda kungaqinisekisa ukuthi isidoda sikhona yini esinyeni, okusiza ukuchaza imbangela yenkinga. Izithombe noma ukuhlolwa okukhethekile kungachaza ngokwengeziwe ukusebenza kwemizwa.

Amasu okuphathelana nokuphatha ayahlukahluka kuye ngezidingo zesiguli ngasinye. Ukulungisa umthamo wemithi noma ukushintshela komunye umkhakha wemithi kungesinye isikhathi kulungise ukuhamba kwesidoda emuva. Amanye amadoda azuza kuma-alpha agonists, akhuthaza umlomo wesinye ukuba uvale ngokuqinile, anciphise ithuba lokuqondiswa kabi. Kulabo ababhekene nokulimala kwemizwa, izivocavoci zokubuyisela ukusebenza noma i-pelvic floor therapy zingathuthukisa ukusebenzisana kwemisipha. Uma ukukwazi ukuzala kuyinto eza kuqala, izindlela ezifana nokuthatha isidoda (sperm retrieval) zinganikeza enye indlela yokufeza ukukhulelwa [4].

Kulabo abafuna ezinye izindlela zokuphatha i-retrograde ejaculation, ukubheka izivocavoci ze-retrograde ejaculation kungaba indlela ewusizo yokuthuthukisa ukulawula imisipha nokunciphisa ukungakhululeki.

Isifinyezo Esibalulekile

Ekugcineni, ukubona nokubhekana nobuhlungu be-retrograde ejaculation kungavula indlela eya emsebenzini wezocansi onempilo engcono nokuthula kwengqondo. Okubaluleke kakhulu, ukuqaphela izimpawu nokufuna isiqondiso kochwepheshe abafanelekile kuyizinyathelo ezikahle ezisiza ukuthola izimpendulo ezicacile. Ukuqhubeka ufunda ngomzimba wakho kukhuthaza ukuzazi nokwenza ukungenelela ngesikhathi. Ukukhuluma ngokusobala nabalingani kunciphisa ingcindezi futhi kukhulise ukuqondana.

Izinkomba

1. Yavetz H, Yogev L, Hauser R, Lessing JB, Paz G, Homonnai ZT. Retrograde ejaculation. Hum Reprod. 1994 Mar;9(3):381-6. doi: 10.1093/oxfordjournals.humrep.a138513. PMID: 8006123.
2. Dirken JJ, Cleine JH. Retrograde ejaculatie: inkinga yokuzala engelapheka [Retrograde ejaculation: inkinga yokuzala engelapheka]. Ned Tijdschr Geneeskd. 1997 Jun 7;141(23):1149-51. IsiDashi. PMID: 9380146.
3. Malossini G, Ficarra V, Caleffi G. L'eiaculazione retrograda [Retrograde ejaculation]. Arch Ital Urol Androl. 1999 Jun;71(3):185-96. Isi-Italian. PMID: 10431411.
4. Crich JP, Jequier AM. Ukungakwazi ukuzala emadodeni ane-retrograde ejaculation: umthelela womchamo ekunyakazeni kwesidoda, nendlela elula yokufeza i-antegrade ejaculation. Fertil Steril. 1978 Nov;30(5):572-6. doi: 10.1016/s0015-0282(16)43640-x. PMID: 720646.