Sibuze udokotela wezocansi u-Yevgeny Aleksandrovich Kulgavchuk mayelana nokuthi kungenzeka yini ukulinganisa isifo sikashukela nokungabinamandla, kungani uma unezinkinga, kungafanele uhlehlise ukuvakasha kudokotela wephrofayili, kungaba yini umphumela wokufundwa kwengqondo kwezinkundla zezingxoxo?
Udokotela wezengqondo owaziwayo waseRussia, udokotela wengqondo u-Evgeny A. Kulgavchuk uphendule imibuzo yethu ebucayi maqondana nempilo yezocansi yamadoda atholakala unesifo sikashukela i-mellitus, futhi watshela ukuthi lesi sifo sibuthinta kanjani ubudlelwane kumbhangqwana.
I-Diabeteshelp.org:U-Evgeny Aleksandrovich, okungenzeka ukuthi usengozini- indoda enesifo sohlobo 1 sikashukela noma uhlobo 2?
U-Evgeny Kulgavchuk: Maye, womabili azowa. Ukukhangwa ngocansi kanye namathuba (ngaphandle kwezinkinga zengqondo ezinengxenye ye-manic) kuncishisiwe ezifweni eziningi. Ngakho-ke, ngalolu hlobo lwesibili no-2 lwesifo sikashukela, kuvela izinkinga endaweni yangasese. Ukuphazamiseka kocansi kufaka phakathi ukwehla kokungasebenzi komzimba, ukungezwani erectile. Futhi lezi zinkinga zivezwa kahle impela emadodeni anesifo sikashukela uma kuqhathaniswa neziguli ezinezinye izifo ezingamahlalakhona.
Umshini usebenza ngokufanayo - kunokukhipha amandla (ukwehla kokubaluleka) kwesifiso sobulili ngokumelene nesizinda sokwehla kwezinga lempilo nezifo ezihambisanayo.
Kodwa-ke, kunokwehluka okuningi phakathi kwesifo sikashukela sohlobo 1 nohlobo 2. Ngokwanda okukhulu kwezimpawu zesifo sikashukela, indoda eyi-1, njengomthetho, ayinasikhathi sobulili nakancane. Ngesinye isikhathi - ngesinxephezelo nokuvama kwezenzo zocansi, ikakhulukazi ekuqaleni kwesifo, lezi zinkinga zincane. Ngokuqondene nabesilisa abanesifo sikashukela sohlobo 2, lapha sibona, njengomthetho, ukwehla kancane kancane kwamathuba ocansi. Ukukhuluphala kulezi ziguli kunciphisa i-testosterone, ebhekele isifiso nethuba. Ukufingqa, singasho ukuthi ukuvame kakhulu ukuphazamiseka kwezemacansini kutholakala kusifo sikashukela sohlobo lwe-2. Kuhlobo 1 sikashukela, ukuphazamiseka kokuya ocansini kuvela ngemuva kwesikhathi, futhi kungabizwa kangako uma kuqhathaniswa nesifo sikashukela sohlobo 2, ngoba uhlobo 1 sikashukela aluhambelani nomfutho wegazi ophakeme kanye nokukhuluphala. Kepha nganoma yiluphi uhlobo lwesifo sikashukela ngokuqhubeka kwesikhathi, cishe isigamu seziguli sisathola ukungasebenzi ngocansi.
I-Diabeteshelp.org:Ake usitshele ukuthi isifo sikashukela siyithinta kanjani impilo yabesilisa? Ngabe le nkinga inemiphumela emingaphi iminyaka?
I-E.K. Umbuthano onobubi ungakhiwa ngokuhlanganiswa okuhlukahlukene, isibonelo: idrayivu encishisiwe - ukwehla kwezwela - ukulimala kwengxenye yemithambo ye-erection - ukuphazamiseka kwengqondo okuhlangana njalo ohlakeni lwesifo sokukhathazeka sokwehluleka kwezocansi; zokugwema - okwehlisayo (ukwehla komsebenzi wezocansi) - ukwenziwa kungasebenzi - ukulahleka okukhulu kwesimo - ukubamba ingcindezi - ukukhuluphala okuthe xaxa (nge-T2DM) kanye nokwehla okukhulu kwe-testosterone, ukwehla kwamandla okuba namandla nomsebenzi we-motor, njalonjalo. Kubalulekile ukubonana nodokotela wezocansi ngesikhathi ukuze "uphathe ukuze uhlale emgqeni."
Ngokuqondene nobudala: onesifo sikashukela 1 - lawa ngamadoda asencane asene-testosterone, kepha ukuqala kwesifo nemizwa yokuthi "uyikho yini kimi" kuvame ukuthinta kabi i-psych sphere kanye nama-hormone. Futhi ngemuva kwama-40 onesifo sikashukela sohlobo 2, sekuvele ukwehla okuhlobene nobudala kwe-testosterone, okwandisa ukukhuluphala.
I-Diabeteshelp.org:Kungaziphi izizathu ukwelashwa kwezinkinga zocansi ku-mellitus yesifo sikashukela kunganiki umphumela omuhle?
I-E.K. I-Erectile Dysfunction Therapy isifo sikashukela esibolile akuwona umsebenzi olula, ngoba izisekelo eziyisisekelo zemvelo zefomu locansi zivame ukuthintekaIsibonelo, ukulimala kohlelo lwezinzwa ngesimo sesifo sikashukela sokunciphisa isifo sikashukela kunciphisa ukuzwela kwempungushe ye-glans ngesikhathi sokulala, futhi indoda ivele iyeke ukuzizwa ngowesifazane futhi ingakwazi ukufeza ukujuluka.
Lokhu kufana nokulungiswa kwezimoto, lapho injini ngokwayo ingasakwazi ukukhiqiza amandla akhona wehashi, naphezu kaphethiloli omuhle. Umgomo ofanele ngokwanele - lesi isinxephezelo esiphezulu sesiguli, "ukudonsa" kufinyelela ezingeni elisengenzeka. Futhi okuningi kuya ngesimo - kunxephezelwe sikashukela noma sekuvele kubolile.
I-Diabeteshelp.org:Ngabe iziguli ezinesifo sikashukela zivame ukukhononda ngani?
I-E.K. Iziguli ezinje zikhononda ngokufanayo ngeziguli ezingenashukela, - isifiso esinciphile, isifo sokukhathazeka sokwehluleka kocansi, ukwehla kwendalo. Lezi zinkinga zitholakala kakade kwinqubo yokuxilonga, ngomlando ophelele. Futhi kwesinye isikhathi ngithumela ezinye iziguli ukuba zihlaziywe, zisola ukuthi sikashukela 2. “Imvelo” yezokwelapha isivumela ukuthi sikhombe izifo ezithandanayo, okubi kakhulu kunokuphazamiseka kocansi. Isazi sezocansi emsebenzini wakhe sivame ukusebenzisa ulwazi ku-urology, endocrinology, i-gynecology, psychiatry.
I-Diabeteshelp.org:Ngabe balunge kangakanani abasebenzisi beNethiwekhi, abathi ezingxoxweni zezithangami babeke uphawu olulinganayo phakathi kwesifo sikashukela nokungabi namandla, futhi bangeluleki ukuthi baxhumane nezimpilo zabo nomuntu onesifo soshukela?
I-E.K. Isifo sikashukela asikona amandla. Impilo yamadoda ingagcinwa. Vele, kunezinkinga eziningi zempilo, kubandakanya nezocansi. Noma kunjalo, ezigulini eziningi ngiyakwazi ukuthola isinxephezelo iminyaka eminingi. Sengineminyaka engu-20 emsebenzini wobudokotela bezocansi, futhi sengivele nginokuthuthuka okuthokozisayo ngalolu daba: yini okusebenzayo nokuthi yini okungasebenzi. Kubalulekile ukufuna usizo ngesikhathi.
Bengifuna ukuqaphela ukuthi uma umthanda umuntu, bese umemukela njengoba enjalo, uba ngowakho, ngokugula noma ubuhlakani bakhe. Futhi uma ungamthandi, ke awudingi ukushada naye, noma ngabe unesifo sikashukela noma cha.
I-Diabeteshelp.org:Yini owesifazane okungekho okufanele ayenze uma umuntu okhethiwe onesifo sikashukela enezinkinga zokudala?
I-E.K. Sola ukuthi akabekezeleli, akathandi, njalonjalo. Ukwenza kanjalo, empeleni, ukumqeda. Ngikholwe, yena uqobo uvame ukulungela ukuwela phansi. Bheka ukuthi njengamanje lo mbhangqwana uyahlolwa ubuhlobo bangempela. Kulula ukuthanda lapho kungekho nkinga. Omunye weziguli ezinesifo sikashukela, lapho ngamcela ukuthi abhale okusenhliziyweni yakhe lapho kwenzeka i-fiasco, wabhala njengomsebenzi wasekhaya (iziguli zami zigcina idayari yokuzihlola, ngoba isebenza kakhulu ekwelashweni, ngokulungisa indlela yokuziphatha nasendleleni yokuphila) "umchithi wethemba." Vele, imizwa yecala nokwesaba kusenza sibe nzima lesi simo, kunciphisa ukuheha ngokwengeziwe.
I-Diabeteshelp.org:Ungaziphatha kanjani owesifazane uma okhethiweyo wakhe enesifo sikashukela enezinkinga zokudala?
I-E.K. Odinga ukukwenza: hlala phansi uthule, ukhulume ngokuthi yiziphi izinkinga, futhi njengombhangqwana onothando kufanele uzixazululele, futhi kulokhu, kukhona abasebenza ngocansi. Futhi umuntu kufanele azame okungenani ukubonisana, hhayi ukudonsa ngaphandle, ngoba inkinga uqobo lwayo ayinakuxazululeka, futhi ukugwema isimilo noma imizamo yokufuna "ukuthatha" ivame ukwandisa inkinga. Asingabazi, lapho izinyo lilimala, thintana nodokotela wamazinyo? Futhi lapha udinga ukulahla ubandlululo oluningi futhi uthathe isinyathelo ngokwenza isikhathi sokubonisana.
I-Diabeteshelp.org:Imiphi imibono eyiphutha okhulume nayo ngamadoda anesifo sikashukela nalabo abakhethiwe?
I-E.K. Ukuthi "konke kulahlekile," futhi izinkolelo ezinjalo ziphakathi kwalabo abafunde imininingwane engqubuzanayo kwi-Intanethi. Esikhundleni sokuthola ukuxilongwa okugcwele, abanye bachitha isikhathi befunda izinkundla zokuxhumana, kanti abantu abaningi bavame ukubhebhethekisa inkinga kuphela ngokuthi baziphikise, okuyinto engadingekile neze.
I-Diabeteshelp.org:Ngingakwazi ukusebenzisa uhlobo oluthile lwamaconsi athokozisayo / izithasiselo zokudla, ama-phytocomplexes neminye imikhiqizo potency ethengiswa ngaphezulu kwekhampasi ezitolo zabantu abadala ezifanayo?
I-E.K. Imvamisa, okuthengiswayo ngaphandle kwencwadi kadokotela kunomphumela we-placebo, futhi uma kunomthelela, okuncane. Ngakho-ke, ithengiswa ngaphandle kokuthola umuthi nencwadi kadokotela. Kepha amanye amaphilisi angaba yingozi, futhi ukulawula okubuthaka ngokuthengisa kwawo kungaba yingozi. Angisiye umsekeli wamasampula onomphumela ongaziwa ngokulahleka kwesikhathi esiyigugu, kodwa izixazululo zenkinga ngokuqinisekile. Yebo, ingabiza kakhulu, kepha isheshe, futhi ekugcineni ishibhile.
I-Diabeteshelp.org:Uma isifo sikashukela sinxephezelwa kahle, ingabe lokhu kuyisiqinisekiso sokuthi ngeke kube nezinkinga zabesilisa?
I-E.K. Yebo kunjalo amadoda anjalo angahola ngempumelelo impilo ejwayelekile yocansi. Lapho isiguli singena ohlelweni lwe- "Men's Health", asigcini nje ngokwenza izifundo ezidingekayo kanye nenkambo ye-physiotherapy, kodwa futhi sandisa amakhono akhe kwezocansi. Abesilisa bafunda ukuzizwa abesifazane babo, ikhwalithi ye-foreplay ithuthuka kakhulu, futhi abesifazane bajabule ngokwengeziwe.
I-Diabeteshelp.org:Ngubani okungenzeka afune usizo - owesilisa noma owesifazane? Sicela usitshele ngebhangqa eliqhakazile.
I-E.K. Icala ngalinye lihlukile, kepha kukhona okubonwayo okungenziwa kwenziwe ngokujwayelekile. Ngosizo, ngisho nangefomethi "yalowo mfowethu", abesifazane bavame ukubuzwa njengabazi kakhulu futhi abanomthwalo wemfanelo.
Emadodeni, ngaphansi kokufakwa kokufakelwa kwe "ndoda yangempela", ukulindeleka okukhathazayo kwesifo sokuhluleka kwezocansi kuvame ukwakheka. Abantu abadonsa ngokubonisana bavame ukuza hhayi nje ngenkinga, kodwa futhi nokukhathazeka okukhulu ngale nkinga.
Ngikhumbula umbhangqwana owafika ngokugcizelelwa kowesifazane owazisa umyeni wakhe ukuthi njengoba engazange enze lutho ukuthuthukisa impilo yakhe obuseduze ezinyangeni ezimbalwa ngemuva kwemizamo yakhe eminingi yokumsekela ngobuhlakani, ukuthi babeya kummeli wesehlukaniso noma kudokotela wobulili. Indoda ibukeka icindezelekile, ilahlekile, kepha ibisayithanda kakhulu umshado. Ngokuphikisana nesizinda sohlobo bakhe 2 sikashukela i-mellitus, isibonakaliso sokulindela ukukhathazeka kokwehluleka kwezocansi, ukwanda kokukhathazeka kanye ne-subdepression kwembulwa.
Baqala ukusebenza: bathuthukisa imizwa, banezela isakhi esingokomzwelo kulo mbhangqwana, basebenza umsebenzi kanye nohlu lokuphumula, babuyisela ubuthongo, basusa imikhuba emibi (ugwayi, utshwala), bajwayela ukudla, bobabili abashadikazi baphelelwa isisindo. Ngemuva kwalokho isakhi sokwenza ubuciko sabuyiselwa kancane kancane, ngenkathi inkambo yokwelashwa komzimba isivele ingeziwe, kukhethwa amalungiselelo. Ama-erections asekuseni aqala ukujabulisa isiguli nomkayo. Usebenze nendoda ukusabela kwakhe ngokuqala komkakhe (wayekholelwa ukuthi umkakhe wayekulungele ukumshiya, kepha wakwazi ukukhombisa ukuthi, kunalokho, wayekholelwa kuye kuze kube sekupheleni, futhi lesi kwakuyisinyathelo sokuphelelwa yithemba), ubudlelwano buphothulwa, kanye nempilo yezocansi. . Ngemuva konyaka, lo mbhangqwana wabhala incwadi yokubonga futhi wabika ukuthi ayelindele ingane. Ukubonga okunjalo kunika amandla okusebenza ngokuqhubekayo.
