Chii Chinonzi Urinary Incontinence? Zviratidzo, Zvinokonzera, & Kurapa

Urinary incontinence ndiko kurasikirwa kwepamwoyo nemukaka wepanyama kunoitika kana usingakwanisi kudzora bhara rako. Iyo yakajairika kupfuura zvaungafunga, ichikanganisa mamiriyoni evanhu vezera rose, kunyangwe ichikura sezvatinokura.

Iyi mamiriro haisi chikamu chekukwegura, pasinei nezvinovhiringidza vazhinji. Iyo mamiriro ezvokurapa anogona kazhinji kuvandudzwa kana kudzorwa zvachose ne nzira yakarurama. Haufaniri kugamuchira sechinhu chaunofanira kurarama nacho.

Zviratidzo zve urinary incontinence ndeapi?

Chiratidzo chikuru ndiko kubuda kwemukaka wepanyama usingakwanisi kudzora, asi izvi zvinogona kuitika nenzira dzakasiyana zvichienderana nerudzi rwaunotarisana naro. Vamwe vanhu vanonzwa huwandu hudiki hwekubuda, nepo vamwe vangave nemisha mikuru.

Heano mazano akajairika ayo urinary incontinence inoonekwa:

• Kusimudzira kwenguva pfupi, kwakasimba kwemukaka wepanyama kunoteverwa nekurasikirwa kwepamwoyo nemukaka wepanyama
• Kubuda kwemukaka wepanyama kana uchikosora, uchinyemwerera, uchiseka, kana kukwidza chimwe chinhu chinenge chakakura
• Kunzwa sekunge bhara rako harizadze zvachose
• Kuenda kunzvimbo kazhinji, kunyanya usiku
• Kubuda kwemukaka wepanyama nguva dzose zuva rose
• Kunetseka kutanga kuenda kunzvimbo kana kuyerera kwakasimba kwemukaka wepanyama

Zvisingawanzoitika, ungave uine kurasikirwa kwakazara nekudzora bhara kana kuzviwana usingakwanisi kusvika kumba nenguva kunyangwe uchizonzwa uchida zvakanyanya. Aya maratidzo anogona kubva pakubuda kwenguva pfupi kusvika kune zviitiko zvakawanda, zvikuru zvinokanganisa hupenyu hwako hwezuva nezuva.

Marudzi e urinary incontinence ndeapi?

Kune marudzi akasiyana-siyana e urinary incontinence, imwe neimwe ine zvinokonzera uye hunhu hwayo. Kunzwisisa rudzi rwaunotarisana naro kunobatsira kutungamira nzira yekurapa inonyanya kushanda.

Kusava nechigaro nekuda kwekumanikidzwa kunoitika kana kumanikidzwa kwemuviri pabladder yako kukonzera kuti wee. Izvi zvinoitika panguva yemabasa akadai sekukosora, kukwenya, kuseka, kurovedza muviri, kana kukwidza zvinhu zvinorema. Iwo rudzi runowanzoitika muvakadzi vaduku uye kazhinji zvinobva pakuora kwemisumbu yepelvic floor.

Kusava nechigaro nekuda kwekuda kunosanganisira chido chinopfuura, chakasimba chekuenda kunorasa wee chinoteverwa nekurasikirwa kwewee usingazvidzori. Unganzwa sekunge unoda kuenda kunorasa wee kakawanda, kusanganisira usiku hwose. Rudzi urwu rwakareba rinotaurwa se "bladder inoshanda zvakanyanya" uye rinova rakawanda nekuwedzera kwezera.

Kusava nechigaro kwakavangiswa kunosanganisa zviratidzo zvose zvekusava nechigaro nekuda kwekumanikidzwa nekuda kwekuda. Vanhu vazhinji vanowana zvikamu zvemarudzi maviri, izvo zvinogona kuita kuti kurapwa kuve kwakaoma asi zvechokwadi hazvisi zvisingaite.

Kusava nechigaro nekuda kwekufara kunoitika kana bladder yako isingasviki zvachose, zvichikonzera kuti ifare. Unganzwa uchifamba-famba kakawanda kana kunzwa sekunge bladder yako haina kupera zvachose. Rudzi urwu rwakawanda muvarume vane matambudziko eprostate.

Kusava nechigaro kunoshanda kunoitika kana kukuvara kwemuviri kana kwepfungwa kukuvadza kubva kuenda kuimba yekugezera nenguva, kunyangwe sisitimu yako yekurwara ichishanda zvakanaka. Zvinhu zvakadai se arthritis yakakomba kana dementia zvinogona kuita kuti rudzi urwu ruvepo.

Chii chinokonzera kusava nechigaro?

Kusava nechigaro kunoitika kana misumbu nemitsipa inobatsira kudzora kurwara isingashandi pamwe chete zvakanaka. Zvikonzero zvinosiyana zvakanyanya zvichienderana nekutarisana nekurasikirwa kwenguva pfupi kana kwenguva refu.

Zvinhu zvakawanda zvinogona kukonzera kusava nechigaro kwenguva pfupi kunowanzopera kana dambudziko riripo ragadziriswa:

• Zvirwere zvekunetseka kweitsvo zvinokonzera kutsamwa kwevesicle
• Kuvira kunomanikidza tsandanyama dzemukati memukati
• Mishonga yakaita seduretics, sedatives, kana mishonga yekudzikisa ropa
• Kunwa doro kana caffeine zvakanyanya
• Zvinonamatira zvekunyepedzera kana zvokudya zvinopisa zvinogona kutsamwisa vesicle

Kusagadzikana kwenguva refu kazhinji kunobva pakuchinja kwemuviri kana mamiriro ezvokurapa. Kune vakadzi, pamuviri nekuzvara zvinogona kusimbisa tsandanyama dzepamuviri kana kukuvadza tishu dzinotsigira. Menopause inoderedza kugadzirwa kweestrogen, izvo zvinogona kuonda tishu dzinovhara urethra nevesicle.

Kuvarume, matambudziko e prostate kazhinji ndiwo chikonzero. Prostate yakakura inogona kudzivirira kuyerera kweweti, nepo kuvhiya kwe prostate kungakuvadza tsandanyama dzinoongorora kuenda kumberi. Zvirwere zvehutano senge multiple sclerosis, Parkinson's disease, kana kukuvara kwemutsipa wemutsipa zvinogona kukanganisa mameseji enerve pakati peuropi nevesicle.

Kuchinja kwezera kunokanganisa munhu wese kusvika padanho rimwe. Tsandanyama dzevesicle dzinogona kuva dzisina kunyanya kusimba uye kuchengeta weti shoma, nepo tsandanyama yedetrusor inogona kuva yakanyanya kushanda, ichikonzera kuchema kwenguva pfupi.

Rini unofanira kuona chiremba nekuda kwekusagadzikana kweweti?

Unofanira kuona chiremba kana kusagadzikana kweweti kukanganisa mabasa ako ezuva nezuva kana kukonzera kuti urege kuenda kumasangano. Vanhu vazhinji vanomirira kwenguva refu kuti vatsvage rubatsiro nekuti vanonzwa vachinyara, asi vanachiremba vanorapira mamiriro aya nguva dzose uye vanogona kupa mhinduro chaiyo.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo izvi pamwe chete nekusaenzana:

• Ropa muweti yako
• Kurwadziwa kweweti kana kupisa
• Kusagadzikana kweweti kwakangoerekana kwaitika pasina chikonzero chakajeka
• Fivha pamwe chete nezviratidzo zveweti
• Kusakwanisa kuenda kumberi zvachose
• Kurwadziwa kwakanyanya kwepamuviri kana mudumbu

Usaregerere kukumbira rubatsiro kana kusadzikamisa kwemukati kuchitanga mushure mekuzvidzwa, kuvhiyiwa, kana mushonga mutsva. Kuita zvinhu pakutanga kazhinji kunounza migumisiro iri nani uye kunogona kudzivirira mamiriro acho kuti arege kuipa nguva nenguva.

Zvinokonzera ngozi dzekusadzikamisa kwemukati?

Zvinhu zvimwe zvinoita kuti mikana yekuwana kusadzikamisa kwemukati iwedzere, kunyangwe kuva nezvinokonzera ngozi hazvirevi kuti iwe uchava nechinetso ichi. Kunzwisisa zvinhu izvi kunogona kukubatsira kutora matanho ekudzivirira kana zvichibvira.

Zera ndiro rinokonzera ngozi guru, sezvo minyoro yebladder inowanzoshaya simba nekufamba kwenguva uye kugona kuchengeta mvura kunodzikira. Vakadzi vanotarisana nengozi yakakura kupfuura varume, kunyanya nekuda kwekumisikidza, kubereka, uye menopause, izvo zvose zvinogona kukanganisa simba repelvic floor uye mahomoni.

Zvinokonzera ngozi zvimwe zvinosanganisira:

• Kuita uremu, izvo zvinoisa kumanikidza kwakawanda pabladder yako neminyo ye pelvic
• Kusvuta, izvo zvinogona kukonzera kukosora kwenguva refu kunomanikidza minyoro ye pelvic floor
• Nhoroondo yemhuri yekusadzikamisa kwemukati
• Zvimwe zvirwere zvakaita sedayabetes kana zvirwere zve neurolojia
• Kuita kuvhiyiwa kwe pelvic kare kana kurapwa kwemwaranzi
• Kutopwa kwenguva refu kunoumba kumanikidza kwenguva dzose

Zvimwe zvinhu zvebasa zvinogona zvakare kuita kuti zviitike, zvakaita semabasa anoda kukwidza zvinhu zvinorema kana izvo kuenda kuimba yekugezera kuri shoma. Kunyangwe iwe usingakwanisi kudzora zvinokonzera ngozi zvose, kuchengetedza uremu hwakanaka uye kudzivisa kusvuta zvinogona kuderedza mikana yako yekuwana kusadzikamisa kwemukati.

Zvii zvinogona kuitika kana kusadzikamisa kwemukati?

Kunyangwe kusadzikamisa kwemukati pachako kusiri ngozi inouraya, kunogona kukonzera matambudziko akawanda anokanganisa hutano hwako hwemuviri uye hupenyu hwako. Kunzwisisa matambudziko aya kunoratidza kuti nei kukumbira kurapwa kwakakosha kwazvo.

Matambudziko akajairika anosanganisira:

• Zvinetso zve ganda sekutsvukuka, hutachiona, kana maronda kubva mukunyorova nguva dzose
• Utachiona hwe turakiti yekumisa kubva pakusadzura bhara rakazara
• Kuparadzana nevanhu uye kuora mwoyo kubva pakuvhiringidzika kana kutya tsaona
• Kuwa ne kukuvara kubva pakumhanya kuenda kuimba yekugezera, kunyanya usiku
• Kurara kusina kunaka kubva pakumisa kazhinji usiku
• Kuderedzwa kwemabasa emuviri nekurovedza muviri nekuda kwekutya kubuda kwemukaka

Zvisingawanzoitika, kusakwanisa kudzora kumisa kwenguva refu kunogona kukonzera matambudziko etsinga kana urine ikadzoka kazhinji kuenda kutsinga. Vamwe vanhu vanowana matombo ebhara kubva pakusadzura zvizere, nepo vamwe vachiwana hutachiona hunodzokororwa hunowedzera kuoma kurapa.

Mhedzisiro yemanzwiro kazhinji inoratidza kukosha sezvinetso zvemuviri. Vanhu vazhinji vanobva pane zviitiko zvavanofarira, vanoshatisa hukama hwe pedyo, kana kuti vanonzwa kunetseka nezve kubva pamba. Kuziva aya matambudziko nekukurumidza kunobatsira kukurudzira kutsvaga kurapwa kwakakodzera.

Ungadzivirira sei kusakwanisa kudzora kumisa?

Kunyangwe usingakwanisi kudzivirira marudzi ese ekusakwanisa kudzora kumisa, kunyanya ayo ane chekuita nekuchembera kana mamiriro ezvechiremba, nzira dzakawanda dzehupenyu dzinogona kuderedza njodzi yako zvakanyanya kana kunonoka kutanga kwayo. Kudzivirira kunotarisa pakuchengetedza misumbu yakasimba yepelvic uye tsika dzebhara dzakakodzera.

Kuita maekisesaizi emusumbu we pelvic, anozivikanwa seKegel maekisesaizi, kunosimudzira misumbu inotsigira bhara rako. Kuti uite izvi zvakarurama, bata misumbu yako yepelvic sekunge kumisa urine pakati, bata kwemasekondi matatu, wobva wazononoka kwemasekondi matatu. Dzokorora izvi kanomwe kusvika gumi nemashanu, kanopfuura kamwe pazuva.

Zvimwe zviyero zvekudzivirira zvinosanganisira:

• kuchengetedza uremu hwakanaka kuderedza kumanikidza pamhasuru dzepelvic
• Kudzivisa kusvuta, kunogona kukonzera kukosora kwenguva refu
• Kurapa kuvimbiswa nekukurumidza kudzivirira kunetseka kwe pelvic floor
• Kuderedza caffeine ne doro, izvo zvinogona kukuvadza bhara
• Kunwa mvura yakakwana pasina kuwedzeresa
• Kuita tsika dzakanaka dzekugezera senge kusakurumidza kana kushandisa simba

Kune vakadzi, kukurukura hutano hwe pelvic floor panguva uye mushure mekuhwana nemupi wako wehutano kunogona kubatsira kudzivirira matambudziko ramangwana. Varume vanofanira kuve nekuongororwa kwe prostate nguva dzose sezvo vakura kuti vawane matambudziko ekutanga.

Inorapwa sei urinary incontinence?

Kuongorora urinary incontinence kunotanga nehurukuro yakadzama nezviratidzo zvako, nhoroondo yekurapa, uye kuti mamiriro acho anoita sei hupenyu hwako hwezuva nezuva. Chiremba wako achatsvaga kunzwisisa kana kuyerera kunoitika, huwandu hweurina hwaunorasikirwa, uye zvinokonzera zviitiko.

Kuongororwa kwekutanga kazhinji kunosanganisira bvunzo yepanyama inotarisa mudumbu rako ne pelvis. Kune vakadzi, izvi zvinogona kusanganisira bvunzo yepelvic kuongorora prolapse kana mamwe matambudziko ezvivakwa. Varume vanogona kuve nekuongororwa kwe prostate kuongorora saizi nemamiriro.

Chiremba wako achaita kuti uite bvunzo idzi dzakapusa:

• Urinalysis kuongorora hutachiona, ropa, kana mamwe matambudziko
• Kuyerwa kwePost-void residual kuona kuti urine yakawanda yakasara mushure mekumwaya
• Bhara diary inotevera kunwa mvura, nguva yekumwaya, uye zviitiko zvekuyerera
• Bvunzo yekumanikidza kwaunokosora kana kuomesa kuti uone kuyerera

Kune zviitiko zvakaoma, kuongororwa kuwedzerwa kunogona kusanganisira kudzidza kweurodynamic kunoyeresa kumanikidza nebasa rebhara, cystoscopy kuongorora mukati mebara rako, kana kuongororwa kwemuenzaniso senge ultrasound kana MRI. Aya maitiro chaiwo ekutsvaga anobatsira kuona chaizvo chiri kukonzera incontinence yako uye kutungamira sarudzo dzekurapa.

Kurapa kusagadzikana kwekuenda kunzvimbo kunobva pane rudzi rwaunaro, chikonzero chacho, uye kuti kunokunetsa sei muhupenyu hwako. Mashoko akanaka ndeakuti vanhu vakawanda vanoona kugadziriswa kukuru nekurapa kwakakodzera, uye vazhinji vanowana kudzora kwakakwana.

Kurapa kazhinji kunotanga nezviyero zvisingakuvadzi usati wafunga nezvezvimwe zvinhu zvinokuvadza. Matekiniki ekufambira mberi kazhinji anopa kugadziriswa kukuru uye anosanganisira kuenda kunzvimbo nguva dzose, kudzidziswa kwechisimba kuti uwane nguva yakareba pakati pekuenda kunzvimbo, uye nzira dzekudzora mvura.

Kudzidziswa kwemisungo yepelvic floor kunoramba kuri rimwe remakurapa anoshanda zvikuru, kunyanya pakusagadzikana kwekunetseka. Chiremba wekurapa anoziva nezvehutano hwe pelvic anogona kukudzidzisa matekiniki akakodzera uye anogona kushandisa biofeedback kukubatsira kuziva uye kusimbisa misungo yakakodzera.

Mishonga inosiyana nerudzi rwekusaenzana:

• Anticholinergics yekusagadzikana kwemvura uye kusagadzikana kwekunetseka
• Beta-3 agonists kubatsira misungo yebladder kuzorora
• Estrogen ye topical ye vakadzi vakapfuura menopause
• Alpha blockers kune varume vane kusagadzikana kwe prostate

Kana kurapa kusina kukwana, nzira dzekurapa dzinogona kubatsira. Izvi zvinosanganisira kuiswa kwakapusa kwezvinhu zvinowedzera kumativi e urethra kusvika kune kuvhiya kwakaoma senge nzira dzesling kana kuiswa kwe artificial sphincter. Chiremba wako achakukurukura kuti sarudzo ipi inokodzera mamiriro ako chaiwo.

Maitiro ekudzora kusagadzikana kwekuenda kunzvimbo pamba?

Kudzorera kusagadzikana kwekuenda kunzvimbo pamba kunosanganisira mazano anoshanda anogona kuvandudza kugadzikana kwako uye kuvimba kwako paunenge uchishanda nemugove wehutano hwako pane mhinduro denguva refu. Aya maitiro kazhinji anopa zororo nekukurumidza uye anowedzera kurapwa kwemishonga.

Kudzidziswa kwevesikuru kunokubatsira kudzora zvakare nekuwedzera zvishoma nezvishoma nguva pakati pekuenda kuchimbuzi. Tanga nekutora chimiro chako chazvino, wobva wambedza kuita weti kwemaminitsi gumi nemashanu kana uchida. Wedzera zvishoma nezvishoma kuzeya uku sezvo simba revesikuru rako richikura.

Mazano ekugadzirisa kumba anosanganisira:

• Kushandisa zvigadzirwa zvinonyorova zvakagadzirirwa kusakwanisa kudzora weti pane mapads emwedzi
• Kupfeka nguo dzine rima uye kuchengeta nguo dzekutsiva dziripo
• Kuona makamuri ekugezera nekukasira kana wapinda munzvimbo itsva
• Kuchengeta kapeta rematresi risingapindi mvura nezvimwe zvinhu zvekuvata
• Kuchengeta hutano hwakanaka hwepande kuti udzivise kukwenya
• Kuronga kunwa mvura maererano nemabasa neawa yekurara

Kuumba nharaunda inotsigira kumba kunoita kuti kugadzirisa zuva nezuva kuve nyore. Funga nezvekuisa mabara ekubata pedyo nemakamuri ekugezera, kushandisa mwenje weusiku kuti uende kuchimbuzi usiku zvakachengeteka, uye kuchengeta zvinhu zvekuchenesa zviripo. Vanhu vazhinji vanoona kuti maapplication efoni anobatsira pakutevera zviratidzo nezvirongwa zve mishonga.

Ungagadzirira sei kuenda kuna chiremba wako?

Kugadzirira zvakanaka kuenda kuna chiremba wako kunobatsira kuve nechokwadi chekuti unowana rubatsiro rwakanyanya pakusakwanisa kudzora weti kwako. Kugadzirira zvakanaka kunobvumira mupi wako wehutano kuti aite chirango chakarurama uye akurudzire chirongwa chekurapa chakanakira mamiriro ako chaiwo.

Tanga kuchengeta dhayari yevesikuru kwemazuva matatu kusvika kupfuura usati waenda kuna chiremba. Nyora nguva yaunoita weti, huwandu hunofungidzirwa, chero zviitiko zvekuyerera, zvawaiita apo kuyerera kwakaitika, uye kunwa kwako mvura zuva rese.

Uye uuyise ruzivo urwu rwakakosha kuenda kuna chiremba wako:

• Rondedzano rakazara remishonga yose, kusanganisira mishonga inowanikwa pasina chinyorwa chechiremba nezvimwe zvinowedzerwa mumishonga
• Mashoko pamusoro pekuti kusakwanisa kudzora weti kwakatanga rini uye zvinhu zvingave zvakakonzera
• Tsananguro yekuti zviratidzo zvinokanganisa sei mabasa ako ezuva nezuva
• Kurapwa kwawakamboedza uye kubudirira kwarwo
• Mibvunzo pamusoro pezvinhu zvekurapa uye zvaunofanira kutarisira
• Rondedzano yemamwe mamiriro ezvehutano uye kuvhiyiwa kwakaitwa munguva pfupi yapfuura

Usadururire weti wako usati wasvika pakurapwa, sezvo chiremba wako angada kuyera kuti weti yakawanda yakasara mushure mekunge wabuda. Funga kuuya neshamwari kana nhengo yemhuri yaunovimba nayo kuti ikutsigire, kunyanya kana uchitya kutaura nezvezviratidzo izvi zvepachivande.

Chii chinonyanya kukosha pamusoro pekusa kwanisa kudzora weti?

Chinhu chinonyanya kukosha kunzwisisa pamusoro pekusa kwanisa kudzora weti ndechekuti chirwere chinowanzoitika, chinorapika, kwete chimwe chinhu chinongoitika chekuchembera chaunofanira kungotsungirira. Vanhu mamiriyoni vakabudirira kudzora kana kukunda zvachose kusakwanisa kudzora weti nekurapwa kwakakodzera.

Usarega kunyara kukutadzisa kutsvaka rubatsiro. Vanopa utano vanorapira kusakwanisa kudzora weti nguva dzose uye vane nzira dzakawanda dzinoshanda dziripo, kubva pakuchinja mararamiro kusvika pakurapwa kwakakwirira kwezvechiremba. Kana ukabata nyaya yacho nekukurumidza, mikana yako yekurapwa kubudirira inowedzera.

Yeuka kuti kusakwanisa kudzora weti kunokanganisa vanhu vezera rose uye vanobva munzvimbo dzakasiyana. Hausi wega pakurwisana nechirwere ichi, uye haufanire kuita kuti chikanganise mabasa ako kana kuderedza hupenyu hwako. Nerubatsiro rwakakodzera uye rutsigiro rweunyanzvi, unogona kudzora zvakare uye kuva nechivimbo.

Mibvunzo inowanzo bvunzwa pamusoro pekusa kwanisa kudzora weti

Kusakwanisa kudzora weti kunowanzoitika here kana uchi chembera?

Kunyangwe kusakwanisa kudzora weti kuchiwanda nekuwedzera kwezera, hakusi chinhu chakajairika kana kuti chinofanira kuitika kana munhu achikura. Kushanduka kunoitika pamuviri nekukura kwezera kunogona kuwedzera njodzi, asi kusakwanisa kudzora weti nguva dzose chirwere chinoda kuongororwa zvakanaka nekurapwa. Vakuru vakawanda vanoramba vaine simba rekudzora weti muhupenyu hwavo hwese.

Inogona here kusakwanisa kudzora weti kurapwa zvachose?

Vanhu vakawanda vanowana kurapwa kwakakwana kana kuti kuvandudzika kukuru nekurapwa kwakakodzera. Kubudirira kunoenderana nerudzi rwekusa-kwanisa kudzora weti nezvikonzero zviripo. Kusakwanisa kudzora weti nekuda kwekumanikidzwa kazhinji kunopindura zvakanaka pakurovedza mitsipa yemudumbu nekuvhiya, nepo kusakwanisa kudzora weti nekuda kwekuchiyerera kunogona kugadziriswa zvakanaka ne mishonga nemazano ekufamba kwemuviri.

Kunwa mvura shoma kuchatobatsira here pakusakwanisa kudzora weti?

Kungonwa mvura shoma hakusi mhinduro yakanaka uye kunogona kuita kuti kusakwanisa kudzora weti kuwedzere nekugadzira weti yakasimba, inokonzera kutsamwa kwetumbo. Pane kudaro, tarisa pane nguva yekunwa mvura yako uye kudzivisa zvinhu zvinokonzera kutsamwa kwetumbo se caffeine ne doro. Chiremba wako anogona kukubatsira kugadzira chirongwa chakanaka chekudzora mvura.

Zvinotora nguva yakareba sei kuti kurapwa kwekusa-kwanisa kudzora weti kushanda?

Nguva inoenderana zvikuru nerudzi rwekurapwa. Kurovedza mitsipa yemudumbu kazhinji kunoratidza mhinduro mukati memavhiki 6-8 nekurovedza kwenguva dzose. Mishonga inogona kupa kuvandudzika mukati memazuva kusvika kumavhiki. Kushandura maitiro kunogona kupa mabhenefiti mukati memavhiki mashoma ekushandisa kwenguva dzose. Mupi wako wehutano achakurukura zvaunotarisira zvakakodzera muchirongwa chako chekurapwa.

Varume vanogona herewo kusakwanisa kudzora weti?

Hungu, varume vanogona chokwadi kuwana kusagadzikana kwekuita zvekutambanudza, kunyange zvazvo zvisingawanzoitika kupfuura muvakadzi. Kusagadzikana kwevarume kazhinji kunobatanidzwa nematambudziko egomarara, zvirwere zvehuropi, kana matambudziko kubva pakuvhiya kwegomarara. Nzira dzekurapa varume dzakafanana nedzevakadzi, kunyange mishonga chaiyo uye sarudzo dzekuvhiya dzichasiyana zvichienderana nehunhu hwemuviri uye zvikonzero.