Kusho ukuthini isidoda emchameni, futhi sibukeka kanjani?

Wake wazibuza ukuthi kuchaza ukuthini ukuba nesidoda emchamweni? Akusona isimo obungakulindela, akunjalo? Kodwa ngezinye izikhathi kwenzeka. Ukubona isidoda emchamweni kungase kubonakale kuyinto engaqondakali, mhlawumbe uyazibuza ukuthi kusho ukuthini. Kujwayelekile yini? Noma kungaba uphawu lwesifo esibi? Ake sikhulume ngakho futhi siphinde sichaze nokuthi sibukeka kanjani isidoda emchamweni, ukuze wazi lokho okufanele ukulindele.

Sibukeka kanjani isidoda emchamweni?

Okokuqala, isidoda emchamweni sibukeka kanjani? Uma usanda kuphuma isidoda, ungase uqaphele ukuthi umchamo wakho ubukeka ufiphele kancane. Cishe sengathi kukhona okuntantayo kuwo. Lokho yisidoda. Siyaxubana nomchamo wakho, siwubheke ube mhlophe okhilimu noma umhlophe kancane. Akusona njalo ukuthi sibonakala kakhulu, kodwa ungakusibona uma unaka kahle. Lokhu kuvame ukwenzeka uma uchama masinyane ngemva kocansi noma ukuzikhwabanisa. Isidoda sisala ngaphakathi ku-urethra, bese siphuma uma uchama [1].

Kodwa ungethuki! Ngezinye izikhathi umchamo ofiphele awusona ngisho isidoda. Ungase ubangelwe ezinye izinto njengokudla kwakho, ukoma komzimba, noma mhlawumbe ukutheleleka. Kodwa uma usanda kuba nocansi bese ubona umchamo ofiphele, kungenzeka kakhulu ukuthi kungenxa yesidoda.

Iseluleko esiphezulu: Ukuphuza amanzi amaningi kwesinye isikhathi kungasusa ukufiphalala komchamo uma kungenxa yesinye isizathu ngaphandle kwesidoda.

Kuchaza ukuthini ukuba nesidoda emchamweni?

Manje, kuchaza ukuthini ukuba nesidoda emchamweni? Iningi lezikhathi, akusona isizathu sokukhathazeka. Kumane kusho ukuthi kunesidoda esisele ku-urethra yakho. Ngemva kokuchama ngemuva kokuphuma kwesidoda, akusiso sonke isidoda esiphumayo, kanti uma uchama ngemva kwalokho, umchamo ungakuxosha okusele [2].

Kodwa uma kuqhubeka kwenzeka noma uma unenkinga yokuzama ukukhulelwa, kungase kube uphawu lwesinye isifo. Esinye sezizathu eziyinhloko zokuba nesidoda emchamweni ukuhlaliswa emuva kwesidoda (retrograde ejaculation). Lokho kuba wukuthi isidoda sihamba ngendlela engalungile sigcine sisemchameni esikhundleni sokuphuma ngaphandle komzimba. Lokhu kungenzeka ngezizathu ezimbalwa. Kujwayeleke kakhulu emadodeni anesifo sikashukela, noma lawo ake enza ukuhlinzwa kwesinye sezitho ze-prostate, noma athatha eminye imishanguzo efana nemishanguzo yokudikibala noma imishanguzo yokwehlisa umfutho wegazi [3].

Nokho, akuvamile ukudala izinkinga ezinkulu zempilo, kodwa kungenza kube nzima ukukhulelwa ngoba isidoda asifikeli lapho okufanele liye khona.\u00a0Izithasiselo ezinobungane ekuzaleni eziqukethe izinto ezinjenge-Zinc ne-L-Carnitine zingasekela impilo yesidoda futhi zithuthukise amathuba akho okukhulelwa.\u00a0Ukuqonda ukuthi kungaki isidoda esikhiqizwa ema-testes usuku ngalunye kungakunikeza ukuqonda ngendlela ukusebenza kokuzala kwabesilisa nempilo yesidoda.

Ithiphu Ehloniphekile: Uma ucabanga ukuthi ubhekene nokuchama emuva kwesidoda (i-retrograde ejaculation) futhi nizama ukukhulelwa, kuwumqondo omuhle ukukhuluma nodokotela wakho. Imvamisa kukhona ukwelashwa okungasiza.

Ezinye Izimbangela Zesidoda Emchameni

Ngaphezu kokuchama emuva kwesidoda, kukhona nezinye izizathu ezenza isidoda siphele emchameni wakho. Nazi eziningana:

• Izinkinga Ze-prostate: Uma i-prostate yakho ivuvukele noma ithelelelekile, kwesinye isikhathi isidoda singavuza singene emchameni [4].
• Izifo Zomgudu Womchamo (UTI): Yize zingavami kakhulu, ezinye izifo zingabangela ukuthi umchamo wakho ube mnyama/ungacacile, okungase kubonakale njengokungathi isidoda [5].
• Umonakalo Wemizwa: Uma kunomonakalo ohlelweni lwakho lwezinzwa—mhlawumbe ngenxa yokulimala noma isifo esifana ne-multiple sclerosis—lokho kungaphazamisa amandla akho okukhipha isidoda ngendlela evamile, kuholele ekutheni isidoda siphele emchameni [6].

Lezi zizathu azivamile kakhulu kodwa kufanelekile ukuzigcina engqondweni uma uqaphela ezinye izimpawu kanye nomchamo ongacacile.

Ithiphu Ehloniphekile: Qinisa imisipha yakho esezansi kwesisu (pelvic floor) ngokwenza izivocavoca ze-Kegel. Lokhu kungasiza ekulawuleni ukukhishwa kwesidoda futhi kunciphise ukuvuza.

Kufanele Uqale Ukukhathazeka Nini?

Ukubona isidoda emchameni wakho ngezikhathi ezithile akuvamile ukuba yinkinga enkulu. Kodwa uma usuqala ukusibona kaningi, noma kwenzeka ngaphandle kokuba kube nokuchama kwesidoda muva nje, sekuyisikhathi sokubona udokotela. Ukuchama emuva kwesidoda (i-retrograde ejaculation) kwesinye isikhathi kungelashwa ngemithi, futhi kwezinye izimo kubalulekile ukukubhekana nakho uma nizama ukukhulelwa [7].

Futhi uma unezinye izimpawu ezifana nobuhlungu uma uchama, ubunzima ngesikhathi sokuchama kwesidoda, noma yini enye ezwakala ingalungile, ungakunanazi. Kungcono ukuhlolwa kusenesikhathi kunokulinda isikhathi eside.

Ithiphu Ehloniphekile: Landela isikhathi osibona ngaso isidoda emchameni wakho. Bhala phansi ukuthi kwenzeka ngemuva kocansi noma kwenzeka nje kungazelelwe. Lokhu kungenza udokotela wakho akwazi ukuqonda kangcono ukuthi kwenzekani.

Okubalulekile Ekugcineni

Manje, kusho ukuthini isidoda emchameni? Ezikhathini eziningi, akusikho okukhulu. Kuvame ukuba yisidoda esingaphumanga sonke ngesikhathi sokuchama kwesidoda (i-ejaculation) manje esigezwa ngemchamo. Kodwa uma uqaphela lokhu njalo-njalo noma unezinselelo zokukhulelwa, kungaba uphawu lokuchama emuva kwesidoda (i-retrograde ejaculation) noma olunye udaba oluthinta uhlelo lwakho lokuzala. Okufanele ukwenze? Xoxa nochwepheshe wezempilo uma lokhu sekuqala ukwenzeka njalo.

Imibuzo ejwayele ukubuzwa

Ingabe kujwayelekile ukubona isidoda emchameni ngemuva kokuchama ngesidoda?

Yebo, kujwayelekile ngokuphelele! Kungenxa nje yezinsalela zesidoda ezixutshaniswa nomchamo uma uchama ngemuva ngokushesha kocansi noma ukuzikhuthaza [8].

Ngingazi kanjani ukuthi ngempela isidoda emchameni wami?

Umchamo onamafu noma onombala obisi, ikakhulukazi ngemuva nje kokuchama ngesidoda, uvame ukuba uphawu. Ukuhlolwa okulula kwe-pH nakho kungasiza.

Ingabe i-retrograde ejaculation ithinta ukuzala?

Yebo, kungenzeka. Isidoda asiphumi lapho okufanele siphume khona, okwenza kube nzima ukukhulelwa [9].

Ingabe kufanele ngikhathazeke uma ngibona isidoda emchameni kaningi?

Uma kwenzeka njalo-njalo noma kuhambisana nezinye izimpawu, kuwukuhlakanipha ukuya kudokotela.

Ingabe ukutheleleka kungabangela kube nesidoda emchameni?

Akukho ngqo, kodwa eminye imithelela yokutheleleka ingenza umchamo ube namafu, okungenza ubonakale njengezidoda [10].

Izinkomba

1. Gupta S, Sharma R, Agarwal A, Parekh N, Finelli R, Shah R, Kandil H, Saleh R, Arafa M, Ko E, Simopoulou M, Zini A, Rajmil O, Kavoussi P, Singh K, Ambar RF, Elbardisi H, Sengupta P, Martinez M, Boitrelle F, Alves MG, Khalafalla K, Roychoudhury S, Busetto GM, Gosalvez J, Tadros N, Palani A, Rodriguez MG, Anagnostopoulou C, Micic S, Rocco L, Mostafa T, Alvarez JG, Jindal S, Sallam H, Maldonado Rosas I, Lewis SEM, AlSaid S, Altan M, Park HJ, Ramsay J, Parekattil S, Sabbaghian M, Tremellen K, Vogiatzi P, Sadighi Gilani MA, Evenson DP, Colpi GM. Umhlahlandlela Ophelele Wokubuyiselwa Kwesidoda Emadodeni Angazali Anokuchama Kwesidoda Okubuyela Emuva (Retrograde Ejaculation). World J Mens Health. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987146/
2. Boyle, Karen Elizabeth et al. Ukuhlolwa komchamo ngemva kokuchama ngesidoda emadodeni azalayo nabangazali. Fertility and Sterility. Kutholakala ku: https://www.fertstert.org/article/S0015-0282(02)03560-4/fulltext
3. Shalender Bhasin, Indlela yokusondela emadodeni angazali, The Journal of Clinical Endocrinology & Metabolism. Kutholakala ku: https://academic.oup.com/jcem/article/92/6/1995/2623140
4. Nickel JC. I-prostatitis. Can Urol Assoc J. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202001/
5. Schuppe HC, Pilatz A, Hossain H, Diemer T, Wagenlehner F, Weidner W. Ukutheleleka kwezitho zomchamo nowocansi njengengozi ekungazaleni kwabesilisa. Dtsch Arztebl Int. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470348/
6. Qiu Q, Chen J, Xu N, Zhou X, Ye C, Liu M, Liu Z. Imiphumela yokuphazamiseka kohlelo lwezinzwa ezizisebenzelayo ekungazaleni kwabesilisa. Front Neurol. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731586/
7. Leiva, Rene. I-retrograde ejaculation: ukwelashwa okulula. Fertility and Sterility. Kutholakala ku: https://www.fertstert.org/article/S0015-0282(06)04450-5/fulltext
8. Sigman M, Boyle K, Jarow JP. Ubuningi besidoda emchameni emva kokuchama ngesidoda emadodeni azalayo nabangazali kahle. Urology. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/18242376/
9. Barazani Y, Stahl PJ, Nagler HM, Stember DS. Ukuphathwa kokuphazamiseka kokuchama ngesidoda emadodeni angazali. Asian J Androl. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3720079/
10. Henkel R, Offor U, Fisher D. Indima yokutheleleka nama-leukocyte ekungazali kwabesilisa. Andrologia. Kutholakala ku: https://onlinelibrary.wiley.com/doi/abs/10.1111/and.13743