Ngati mukuwona kuti moyo wanu wogonana sufanana ndi kale, mwina ndi nthawi yoti mukambirane ndi dokotala. Kafukufuku ochulukirapo amatsimikizira kuti anthu omwe ali ndi matenda ashuga amakonda kwambiri zovuta zogonana kuposa anthu athanzi. Nkhani yabwino ndiyakuti mavutowa atha kuthetsedwa - kusintha zinthu kapena ngakhale kuzichotsa kwathunthu. Chinsinsi cha yankho lake ndi kulandira chithandizo munthawi yake komanso kusintha kwa moyo wanu.
Ndi ukalamba, ambiri amakhala ndi mavuto mu gawo logonana. Kukhalapo kwa matenda ashuga ndi chinthu china chowonjezera. Dr. Aruna Sarma, katswiri ku American Diabetes Association, wapanga maphunziro kupatula dongosolo la urogenital chifukwa cha ukalamba kapena matenda ashuga. "Tawona kuti mavuto azakugonana amatchulidwa kwambiri mwa anthu omwe ali ndi matenda ashuga komanso kuti matenda ashuga amayambitsa zovuta zazikulu," atero Dr. Sarma.
Nazi zifukwa zomwe asayansi afika:
- Amuna omwe ali ndi matenda ashuga a 2 chiopsezo cha mavuto mu genitourinary system imachulukanso. Matenda ofala mwa anthu omwe ali ndi matendawa ndi monga matenda opatsirana, kuperewera, kusagwira, komanso khansa ya chikhodzodzo.
- Pafupifupi 50% ya amuna omwe ali ndi matenda ashuga 2 ndi 62% ya amuna omwe ali ndi matenda amtundu wa 1 amadwala zosokoneza kugonana. Poyerekeza, mwa amuna opanda matenda a shuga, vutoli limapezeka mu 25% ya milandu.
- Mavuto ogonana monga kuuma kwa ukazi, kusowa kwa mafinya, kupweteka kapena kusasangalala panthawi yogonana, mwa amayi omwe ali ndi matenda a shuga a 2, amatha kwambiri akamamwa mankhwala a insulin.
Chifukwa chiyani izi zikuchitika?
Zilibe kanthu kuti munthu wadwala kwanthawi yayitali bwanji. Chofunika koposa, ndi chisamaliro chiti chomwe amachigwiritsa ntchito ku matenda ake komanso momwe amawerengera. Zovuta zakugonana zokhudzana ndi matenda a shuga zimachitika pang'onopang'ono - ndikuwonjezereka kwa matenda oyamba.
Matenda a shuga amawonongera mitsempha yamagazi ndi mitsempha, makamaka m'magazi, komwe magazi amayenda ndipo chifukwa chake, ziwalo zamunthu zimakhudzidwa. Mlingo wa shuga m'magazi nawonso ndi wofunikira.
Monga lamulo, hypoglycemia, ndiye kuti, yotsika kwambiri shuga (imachitika ndi njira yolakwika ya matenda ashuga), imayambitsa mavuto mchigawo chogonana. Zonse pamodzi mwa amuna, izi zikufotokozedwa kuchepa kwa chilakolako chogonana, kusokonekera kwa erectile komanso / kapena kukomoka msanga. Ndipo mwa akazi, kuwonjezera pa kutayika kwa libido, zimachitika ndikusasangalala kwambiri komanso ngakhale kupweteka pogonana.
Hyperglycemia, ndiye kuti, magazi okwanira kwambiri omwe amakhala kwa nthawi yayitali, amatha kupangitsa minyewa yomwe imawongolera kutuluka kwamkodzo kuchokera mu chikhodzodzo kuti isagwire ntchito moyenera, atero a Michael Albo, MD, profesa wa urology ku University Hospital San Diego Mwa amuna, kufooka kwamkati mwa chikhodzodzo kungapangitse kuti umuna uponyedwemo, zomwe zingayambitse kusabereka (chifukwa cha kuchepa kwamadzi am'mimba komanso kuwonjezeka - umuna wopanda pake). Mavuto a minyewa nthawi zambiri amayambitsa kusintha kwa ma testes omwe amachititsa kuti ma testosterone apansi, ofunikanso potency.
Komanso, hyperglycemia m'magazi imakhala ndi shuga yambiri mumkodzo, ndipo izi zimachuluka chiopsezo cha matenda osiyanasiyana amtundu. Mwa akazi, matenda a shuga nthawi zambiri amakhala ndi cystitis, candidiasis (thrush), herpes, chlamydia ndi matenda ena. Zizindikiro zake ndi kuyamwa, kuyabwa, kuyaka ngakhale ululu womwe umalepheretsa kuchita zachiwerewere.
Pali china chake chomwe chingachitike. makolo okalamba mtsogolo, makamaka zogonana, za ana awoanapezeka ndi matenda ashuga. Ndi nkhani yolipira bwino matendawa kuchokera pomwe wapezeka. Ngati pazifukwa zina matenda a shuga sakhala akunyalanyazidwa kwa nthawi yayitali, izi zitha kupangitsa kuti chiwopsezo cha mafupa, minofu ndi ziwalo zina, komanso chiwopsezo cha chiwindi chichepetse kukula kwa kugonana. Pamaso pa mafuta okhala m'malo a nkhope ndi thupi, matendawa amatchedwa matenda a Moriak, komanso kutopa kwathunthu - matenda a Nobekur. Izi syndromes zimatha kuchiritsidwa ndi kusintha shuga m'magazi ndi insulin ndi mankhwala ena omwe adayikidwa ndi katswiri. Mothandizidwa ndi dokotala panthawi yake, makolo amatha kuthandizira matendawa ndikuwonetsetsa kuti mwana wawo ali ndi vuto lililonse popanda zovuta zake.
Muyeneranso kumvetsetsa kuti mwa anthu ambiri odwala matenda ashuga, zovuta zogonana zimayenderana osati ndi thupi, koma ndi malingaliro amunthu.
Kodi chingathandize ndi chiyani?
Pewani matendawa
Mukasiya zizolowezi zoyipa, kuchepetsa thupi, kukhala ndi shuga wamagazi ndi cholesterol, komanso kukakamizidwa, mavuto ambiri sangapewedwe. Ndipo ngati ziwoneka, ndi kuthekera kwakukulu sizingatchulidwe ndikuyankha bwino kuchira motsutsana ndi kukhazikika kwa thupi. Chifukwa chake, yang'anirani zakudya zanu, masewera olimbitsa thupi, imwani mankhwala omwe adokotala adalemba ndikutsatira malangizo ake.
Khalani omasuka kuyankhula ndi dokotala
Palibe mmodzi wa endocrinologist yemwe angadabwe ndi madandaulo anu okhudzana ndi kugonana kapena kuvuta kwa chikhodzodzo. Kalanga, odwala ambiri amachita manyazi kukambirana za izi ndikusowa mphindi zomwe zinali zotheka "kusamalira ndi magazi pang'ono" ndikuwongolera vutoli.
Sankhani zakudya zabwino
Kutulutsa magazi kwamkati ndi nyini ndikofunikira kuti pakhale mapangidwe ake. High cholesterol imakwiyitsa mawonekedwe a cholesterol zolembera pa makoma amitsempha yamagazi. Chifukwa chake arteriosulinosis imachitika ndipo kuthamanga kwa magazi kumakwera, komwe kumavulaza mitsempha yamagazi ndikuchepetsa kuyenda kwa magazi. Chakudya chabwino chopatsa thanzi chingathetse kapena kuthetsa mavuto awa.
Matenda a Erectile nthawi zambiri amakumana ndi omwe onenepa kwambiri, ndipo amadziwika kuti amathandizana ndi matenda ashuga. Yesetsani kuti muchepetse kulemera kwanu - izi zidzakhala ndi phindu pa mbali zonse zaumoyo wanu. Zakudya ndizothandiza kwambiri kuthetsa nkhaniyi.
Musanayambe kusintha zakudya zanu, onetsetsani kuti mwakumana ndi dokotala.
Musaiwale za zolimbitsa thupi
Kuchita masewera olimbitsa thupi moyenera kumathandizanso kuchepetsa mafuta m'thupi komanso kuthamanga kwa magazi ndikuwonetsetsa kuti magazi azituluka. Kuphatikiza apo, kuchita masewera olimbitsa thupi kumathandizira kuti thupi lizigwiritsa ntchito shuga wambiri.
Simufunikanso kuchita chilichonse chachilendo, ingoyeserani nokha zomwe mungakwanitse kuti muthe kudzisunthira komwe thupi limasunthira ndipo mtima umagunda bwino. Madokotala amalimbikitsa njira zotsatirazi:
- Mphindi 30 zolimbitsa thupi zolimbitsa thupi kasanu pa sabata; kapena
- Mphindi 20 zolimbitsa thupi katatu pa sabata
Koma kodi "zochuluka" kapena "zozama" zimatanthauzanji? Kukula kwamaphunziro kumaweruzidwa ndi kugunda. Choyamba, muyenera kudziwa kuchuluka kwa mtima (HR) pamphindi iliyonse kwa inu. Mchitidwewu ndiwosavuta: 220 kusiya zaka zanu. Ngati muli ndi zaka 40, ndiye kuti kuchuluka kwa mtima wanu ndi komwe kuli kwa inu 180. Kuyeza kugunda kwa mtima, imirirani, ikani cholozera chanu ndi zala zapakati pa mtsempha pakhosi kapena m'chiuno mwanu. Kuyang'ana wotchi yanu ndi dzanja lachiwiri, kuwerengera chiwerengero cha kumenyedwa kwa masekondi 60 - uwu ndi mtima wanu wopuma.
- At masewera olimbitsa thupi Kuthamanga kwa mtima wanu kuyenera kukhala 50-70% ya momwe mungathere. (Ngati kuchuluka kwa mtima wanu kuli ndi 180, ndiye kuti mutachita masewera olimbitsa thupi, mtima umayenera kugunda mwachangu 90 - 126 pamphindi).
- Nthawi makalasi ovuta Mulingo wamtima wanu uyenera kukhala 70-85% ya pazomwe zimakhala. (Ngati kuchuluka kwa mtima wanu ndi 180, ndiye kuti mukaphunzitsidwa kwambiri, mtima wanu uyenera kugunda pa liwiro la 126-152 kugunda pamphindi.
Gwirani ntchito ndi katswiri wazamisala
Choyamba, zovuta zamaganizidwe pamutu wolephera muzochitika zogonana ndi abambo. Anthu ambiri omwe ali ndi matenda ashuga, madokotala amawona otchedwa kuchuluka kwa mitsempha: amakhala ndi nkhawa nthawi zonse chifukwa cha thanzi lawo, nthawi zambiri amakhala osakhutira ndi zomwe ali nazo, sakhutitsidwa ndi chithandizo chomwe adalandira komanso zotsatirapo zake, amavutika ndi kukhumudwa komanso kudzimvera chisoni, amadzimvera chisoni komanso amatengeka ndi kudzipenda kwawo.
Makamaka omwe atengeka ndi izi ndi omwe apezeka ndi matendawo posachedwa. Zitha kukhala zovuta kuti anthu awa azolowere kusintha kwina komanso moyo watsopano, amadzifunsa chifukwa chomwe anakumana ndi vuto lotere ndikukhala ndi nkhawa kwambiri mawa.
Ndikofunikira kumvetsetsa izi mphamvu sizikhala zolimba nthawi zonse ngakhale mwa abambo athanzi. Zimakhudza kutopa, kupsinjika, kusakhutira ndi wokondedwa ndi zina zambiri. Kulephera kwakanthawi komanso chiyembekezo chawo nthawi zambiri kumakhala zomwe zimayambitsa kusokonekera kwa erectile. Mukawonjezera pazomwe mukukumana nazo za matenda ashuga pafupipafupi, komanso nkhani zowopsa zam'kamwa kuchokera kwa omwe ali ndi vuto la kusabala ngati vuto losapeweka la matenda ashuga, zotsatira zake zimakhala zosasangalatsa, ngakhale sizoyenera kutsimikizika.
Pali gulu lina la odwala omwe amawopa ndi nkhani zomwe kugonana kumayambitsa hypoglycemia. Ngakhale izi ndizotheka, mwamwayi Kuukira kwa hypoglycemia m'malo otere ndikosowa kwambiri, komanso kuwongolera matenda a shuga sikuchitika konse. Mwa njira, nthawi zina anthu amasokoneza hypoglycemia ndikuwopsezedwa.
Kupsinjika pakukhala koyembekezera "kulephera" kumalepheretsa kulipidwa kwa matenda ashuga, ndikupanga bwalo loipa ndikubwezeretsanso zoyambitsa ndi zotsatira.
Kuthandizidwa ndi dokotala wamaganizidwe pazinthu zotere kumatha kusintha zinthu kwambiri. Katswiri wabwino amathandizira kuthetsa nkhawa zosafunikira ndikubwerera kwa wodwalayo kuzindikira kuti ndi malingaliro oyenera komanso kuwongolera koyenera matendawa, zolephera pa kutsogolo ndizotheka, koma sizichitika kawirikawiri kuposa momwe munthu amakhalira wathanzi.
Mavuto Azakugonana
Pazithandizo zamatenda a erection kwa amuna omwe ali ndi matenda ashuga, mankhwalawa amagwiritsidwa ntchito ngati omwe ali ndi thanzi - PDE5 inhibitors (Viagra, Cialis, etc.). Palinso chithandizo chotsatira cha "mzere wachiwiri" - ma prostheses a kukhazikitsa mbolo, zida za phukusi kukonza ma erections, ndi ena.
Amayi, tsoka, ali ndi mwayi wochepera. Pali okhawo a pharmacological acid flibanserin omwe amaloledwa kugwiritsidwa ntchito, omwe amalembera kuchepa kwa libido yomwe imakhudzana ndi matenda ashuga, koma imakhala ndi zinthu zambiri zoletsa komanso kuponderezana. Kuphatikiza apo, sioyenera kwa azimayi omwe akumana ndi vuto loguluka. Njira zabwino zothanirana ndi mavuto azakugonana ndikuwongolera shuga yanu bwino. Kuchepetsa mavuto ndi chikhodzodzo, madotolo amalimbikitsa kuphatikiza kulemera, kuchita masewera olimbitsa thupi kuti alimbikitse minyewa ya m'chiuno ndipo amangomaliza kulandira mankhwala.
Pangani chikondi!
- Ngati mukuopa ma episode a hypoglycemia, madokotala amakulangizani kuyeza kuchuluka kwa shuga m'magazi kangapo musanayambe kugona ndi kugonana, ndipo ... khazikani mtima pansi, chifukwa, tikubwereza, izi zimachitika kawirikawiri kwambiri atagonana. Makamaka makamaka ndikusunga chidutswa cha chokoleti pafupi ndi bedi ndikutsiriza kuyandikana ndi mnzake ndi mchere.
- Ngati kuyanika kumaliseche kumasokoneza kugonana, gwiritsani ntchito mafuta (mafuta)
- Ngati mukuvutika ndi matenda yisiti, pewani mafuta pa glycerin, amakulitsa vutoli.
- Ngati mumakodza musanayambe kugonana kapena mutagonana, izi zikuthandizani kupewa matenda obwera ndi mkodzo.
Matenda a shuga si chifukwa chokanira kugonana. Osatengera izi, vomerezani chikondi chanu kwa wokondedwa wanu osati m'mawu okha komanso muzochita - izi zidzakhala ndi phindu pazinthu zonse zaumoyo wanu!