Tidafunsa katswiri wazolowera za kugonana Yevgeny Aleksandrovich Kulgavchuk ngati zingatheke kufananiza matenda osokoneza bongo komanso kusabala, bwanji ngati muli ndi mavuto, simuyenera kuchedwetsa ulendo wopita kuchipatala chodziwikiratu, kodi kuphunzira kwamabungwe amawuwo kungakupatseni chiyani?
Katswiri wodziwika bwino pankhani zakugonana ku Russia, psychgenapist Evgeny A. Kulgavchuk adayankha mafunso athu okhudzana ndi zaumoyo wa abambo omwe amapezeka ndi matenda osokoneza bongo, ndipo adanenanso momwe matendawa amakhudzira maubwenzi.
Diabeteshelp.org:Evgeny Aleksandrovich, yemwe ali pachiwopsezo- bambo wodwala matenda ashuga 1 kapena mtundu 2?
Evgeny Kulgavchuk: Kalanga ine, onse awiri adzagwa. Kukopa zogonana ndi mwayi (kupatula kusokonezeka kwa malingaliro omwe ali ndi gawo la manic) amachepetsedwa m'matenda ambiri. Chifukwa chake, ndi mtundu wa 1 ndi 2 wa matenda ashuga, mavuto amadzuka mbadwa. Zovuta zakugonana zimaphatikizanso kuchepa kwa chikondwerero, kusokonekera kwa erectile. Ndipo mavutowa amatchulidwa kwambiri mwa amuna omwe ali ndi matenda a shuga poyerekeza ndi odwala omwe ali ndi matenda ena osachiritsika.
Limagwirira ntchito chimodzimodzi - pamakhala kuchepa (kuchepa kwa tanthauzo) la chikhumbo chakugonana motsutsana ndi maziko a kuchepa kwa moyo ndi matenda oyenderana nawo.
Komabe, pali zosiyana zambiri pakati pa matenda ashuga amtundu 1 ndi mtundu 2. Ndi chiwopsezo chowonjezeka cha zisonyezo za matenda ashuga, bambo 1, monga lamulo, alibe nthawi yogonana konse. Nthawi ina - ndi kubwezerera komanso kuchuluka kwa zochitika zogonana, makamaka kumayambiriro kwa matenda, zovuta izi ndizochepa. Ponena za abambo omwe ali ndi matenda a shuga a 2, apa tikuwona, monga lamulo, kuchepa kwapang'onopang'ono kwa mwayi wogonana. Kunenepa kwambiri mwa odwalawa kumachepetsa testosterone, yomwe imayambitsa chikhumbo ndi mwayi. Mwachidule, titha kunena kuti nthawi zambiri mavuto azakugonana amapezekanso mu mtundu wa matenda ashuga a mtundu wa 2. Mu mtundu woyamba wa shuga, zovuta zamtunduwu zimawonekera pambuyo pake, ndipo sizitchulidwa kwenikweni kuposa mtundu 2 wa shuga, popeza mtundu 1 wa shuga suyenda ndi matenda oopsa komanso kunenepa kwambiri. Koma ndi mtundu uliwonse wa matenda ashuga pakapita nthawi, pafupifupi theka la odwala amakhalanso ndi vuto logonana.
Diabeteshelp.org:Chonde tiuzeni momwe matenda ashuga amakhudzira thanzi la amuna? Kodi kuzindikira kwazaka izi kuli ndi zaka zingati?
E.K. Bwalo lozungulira lingapangike mumitundu yosiyanasiyana, mwachitsanzo: drive yocheperako - kuchepa kwa chidwi - kuwonongeka kwa mtima umodzi wa erection - concomitant psychogenic matenda mu chimango cha nkhawa chizindikiro cha kugonana kulephera; kupewa kupewa - kupweteketsa (kuchepa kwa zochitika zogonana) - deactivation - kutayika kwakukulu kwa mawonekedwe - kupanikizika - kunenepa kwambiri (ndi T2DM) ndi kuchepa kwakukulu kwa testosterone, kuchepa kwa mphamvu yamagetsi ndi zochitika zamagalimoto, ndi zina zambiri. Ndikofunikira kufunsa katswiri wazakugonana panthawi kuti "athe kukhala pamzere."
Za zaka: ndi matenda a shuga 1 - awa ndi amuna achichepere omwe amakhalabe ndi testosterone, koma kuyambika kwakadwalaku komanso momwe akumvera "chifukwa chazinthu zanga" nthawi zambiri kumakhudza magawo ndi malingaliro a mahomoni. Ndipo pambuyo pa 40 ndi matenda a shuga a 2, pali kuchepa kale kwa testosterone, komwe kumapangitsa kuti kunenepa kwambiri.
Diabeteshelp.org:Kodi zifukwa zamavuto operewera m'matenda a shuga sizipereka chiyembekezo chiti?
E.K. Erectile Dysfunction Therapy matenda ashuga owonongedwa si ntchito yovuta, chifukwa maziko oyambira azikhalidwe amakhudzidwa nthawi zambiriMwachitsanzo, kuwonongeka kwa dongosolo lamanjenje mu mawonekedwe a matenda am'mimba a shuga kumachepetsa chidwi cha mbolo ya glans panthawi yogonana, ndipo mwamunayo amaleka kumva mkaziyo ndipo sangathe kukwanitsa kumira.
Izi zikufanana ndikukonza magalimoto, momwe injini yokha singathenso kupanga mphamvu yamahatchi, ngakhale mafuta abwino. Zolinga zokwanira - uku ndikulipira kwakukulu kwa wodwala, "kukokera" pamlingo womwe ungathekebe. Ndipo zambiri zimatengera mkhalidwe - kulipidwa ndi matenda ashuga kapena kuwonongeka kale.
Diabeteshelp.org:Kodi odwala matenda ashuga nthawi zambiri amadandaula za chiyani?
E.K. Odwala otere amadandaula zofanana ndi odwala omwe alibe matenda ashuga, - kuchepa kwa chikhumbo, nkhawa ya kulephera kugona, yachepa. Mavutowa apezeka kale mu njira yofufuzira, ndikupeza mbiri yabwino. Ndipo nthawi zina ndimatumiza odwala kuti akaunike, ndikukaganiza kuti ali ndi matenda ashuga 2. "Malingaliro" azachipatala amatilola kuzindikira matenda omwe ali ndi vuto lalikulu kwambiri kuposa zovuta zakugonana. Katswiri wazogonana pantchito yake amagwiritsa ntchito chidziwitso mu urology, endocrinology, gynecology, psychiatry.
Diabeteshelp.org:Kodi ogwiritsa ntchito Networkwo ndi olondola bwanji, omwe pokambirana pamabwalo amaika chizindikiro chofanana pakati pa matenda ashuga ndi kusabala, osalangiza kulumikiza miyoyo yawo ndi bambo yemwe ali ndi matenda a shuga?
E.K. Matenda a shuga sikuti alibe mphamvu. Thanzi la abambo limatha kusamalidwa. Inde, pali zovuta zambiri zaumoyo, kuphatikizapo zogonana. Komabe, mwa odwala ambiri ndimakwanitsa kulipirira zaka zambiri. Ndakhala ndikugwira ntchito ya akatswiri azakugonana kwa zaka 20, ndipo ndili ndi zomwe ndakhala ndikuchita nazo pankhaniyi: zomwe zimagwira kapena sizigwira ntchito. Ndikofunika kufunafuna thandizo panthawi.
Ndimafuna kudziwa kuti ngati mumakonda munthu, ndiye kuti mumulola monga momwe alili, amakhala wanu, ndi matenda ake kapena zovuta zina. Ndipo ngati mulibe chikondi, ndiye kuti simukufuna kumukwatira, ngakhale ali ndi matenda a shuga kapena ayi.
Diabeteshelp.org:Kodi mayi mosasamala angachite chiyani ngati osankhidwa ake ali ndi vuto la shuga?
E.K. Kunyoza kuti sapirira, sakonda, ndi zina zambiri. Kuchita izi ndiko kuti, kum'chotsera. Ndikhulupirireni, iye mwini amakhala wokonzeka kugwa pansi. Onani kuti pakadali pano banjali likuyang'ana ngati ali ndi chibwenzi chenicheni. Ndiosavuta kukonda pomwe palibe vuto. M'modzi mwa odwala omwe ali ndi matenda ashuga, pomwe ndidamupempha kuti alembe zomwe zili mumtima mwake pamene fiasco ipezeka, adalemba ngati homuweki (odwala anga amalemba zolemba zodzipatula, chifukwa ndiwothandiza kwambiri pamankhwala, kuwongolera mayendedwe ndi chikhalidwe chawo) "wowononga chiyembekezo." Zachidziwikire, kudzimva kuti ali ndi mlandu komanso mantha akukulira vutoli, amachepetsa kukopa kwambiri.
Diabeteshelp.org:Momwe mungakhalire mkazi ngati wosankhidwa wake ali ndi matenda ashuga ali ndi vuto lotsegula?
E.K. Zomwe muyenera kuchita: khalani pansi modekha, lankhulanani za mavuto, ndipo monga banja achikondi akuyenera kuwathetsa, chifukwa cha izi, pali akatswiri azakugonana. Ndipo wina ayenera kuyesa kufunafuna, osakungoyendetsa kunja, chifukwa vutoli lenilenilo silitha kutha, komanso kupewa kuchita kapena kuyesayesa "kubwereza" nthawi zambiri kumangokulitsa vutolo. Sitimazengereza kukaonana ndi dotolo wamano mano akapweteka Ndipo apa mukuyenera kutaya tsankho lalikulu ndikupanga gawo pakupangana kuti mudzayanjane.
Diabeteshelp.org:Kodi ndi malingaliro olakwika ati omwe mudakumana nawo omwe ali ndi amuna omwe ali ndi matenda ashuga komanso omwe adawasankha?
E.K. Kuti "zonse zatayika," ndipo zikhulupiriro zotere ndi zina mwa omwe awerenga zotsutsana pa intaneti. M'malo mofikira pazodzizindikira bwino, ena amakhala ndi nthawi yowerenga, pomwe nthawi zambiri anthu oganiza zowonjezera amangokulitsa vutoli mwa "kudzilimbitsa", zomwe sizofunikira kwenikweni.
Diabeteshelp.org:Kodi ndingagwiritse ntchito madontho osangalatsa / zowonjezera zakudya, ma phytocomplexes ndi zinthu zina zam potency zomwe zimagulitsidwa pamsika paogulitsa ogulitsa omwewo?
E.K. Nthawi zambiri, zomwe zimagulitsidwa popanda mankhwala zimakhala ndi zotsatira zake, ndipo ngati zimakhala ndi zotsatira, ndiye zochepa. Chifukwa chake, amagulitsidwa popanda kutsatira mankhwala ndi mankhwala a dokotala. Koma mapiritsi ena amatha kukhala owopsa, ndipo kuwongolera pang'ono pazogulitsa kwawo kukhoza kukhala kovulaza. Ine sindiri wotsatsira samples ndimphamvu yosadziwika ndikutaya nthawi yamtengo wapatali, koma zothetsera vutoli motsimikiza. Inde, ikhoza kukhala yodula kwambiri, koma mwachangu, komanso yotsika mtengo.
Diabeteshelp.org:Ngati matenda ashuga amalipiridwa bwino, ndiye kuti ndikutsimikizira kuti sipadzakhala mavuto abambo?
E.K. Inde Amuna otere amatha kukhala ndi moyo wogonana wokhazikika. Wodwala akakhala mu pulogalamu ya "Men's Health", sitimangopanga maphunziro oyenera komanso maphunziro a masewera olimbitsa thupi, komanso kuwonjezera luso lake logonana. Amuna amaphunzira kumva azimayi awo, mawonekedwe owonetsa bwino amakula bwino, ndipo azimayi amakhala osangalala.
Diabeteshelp.org:Ndani amafunafuna thandizo - mwamuna kapena mkazi? Tiuzeni za awiri owala kwambiri.
E.K. Mulingo uliwonse ndi wapadera, koma pali zowunikira zomwe zingafotokozeredwe. Kuti athandizidwe, ngakhale mu mtundu wa "mwamunayo", azimayi nthawi zambiri amafunsidwa kuti azindikira komanso kukhala ndi udindo.
Mwa abambo, pansi pa kukanikiza kwa "mwamuna weniweni", chiyembekezo chokhala ndi vuto lolephera kugonana chimapangidwa nthawi zambiri. Anthu omwe amakoka ndi kufunsana nthawi zambiri amabwera osati ndi vuto, komanso nkhawa zambiri zavutoli.
Ndikukumbukira banja lina lomwe linafika pakuumiriza kwa mayi yemwe adauza mwamuna wake kuti popeza sanachitepo chilichonse kuti asinthe moyo wawo wapamtima miyezi ingapo atayeserera kumulimbikitsa mwanzeru, kuti akupita kwa loya wosudzulana kapena kwa katswiri wazakugonana. Mwamunayo ankawoneka wokhumudwa, watayika, koma anali kusangalalabe. Poyerekeza ndi mtundu wa matenda ashuga a mtundu wake 2, matenda omwe amachititsa kuti anthu azikhala ndi nkhawa yolephera kugonana, kuchuluka kwa nkhawa komanso kuwongolera zinthu zinaonekera.
Iwo adayamba kugwira ntchito: adawongolera momwe amasinthira, adawonjezera gawo lamalingaliro kwa awiriwo, adagwira ntchitoyo ndikupuma machitidwe awo, adagona mokwanira, achotsa zizolowezi zoipa (fodya, mowa), adasinthanso zakudya, onse awiri awiri amalemera. Kenako gawo lolakwika limabwezeretseka pang'onopang'ono, pomwe maphunziro a physiotherapy adawonjezeredwa kale, kukonzekera kumasankhidwa. Kukonzekera m'mawa kunayamba kusangalatsa wodwalayo ndi mnzake. Adagwira ntchito ndi bambo momwe mayiyo amayambira kutsata kwa mkazi wake (adakhulupirira kuti mkazi wake anali wokonzeka kumusiya, koma adatha kuwonetsa kuti, m'malo mwake, adakhulupirira iye mpaka womaliza, ndipo iyi inali gawo lokhumudwitsidwa), ubalewo udamalizidwa, komanso moyo wogonana . Chaka chotsatira, banjali lidalemba kalata yothokoza ndikuti likuyembekezera mwana. Kuyamika koteroko kumapereka mphamvu yogwiranso ntchito.
