Umhlahlandlela Wezingxoxo Zodokotela: Imibuzo emi-5 Ongayibuza Ngokuphatha Idrayivu Yezocansi Ephansi
-Delile
- 1. Ngubani ophatha i-HSDD?
- 2. Yimiphi imithi etholakalayo yokwelapha i-HSDD?
- 3. Yikuphi okunye ukwelashwa ekhaya kwe-HSDD?
- 4. Kuzothatha isikhathi esingakanani ukwenza ngcono i-HSDD yami?
- 5. Kufanele ngikulandelele nini mayelana nokwelashwa?
I-Hypoactive sex desire disorder (HSDD), manje eyaziwa njengentshisekelo yezocansi yabesifazane / ukuvusa inkanuko, yisimo esikhiqiza ukushayela okuphansi okungapheli kwabesifazane. Kuthinta izinga lempilo kwabesifazane kanjalo nobudlelwano babo. I-HSDD ijwayelekile, futhi ngokusho kwe-Sexual Medicine Society yaseNyakatho Melika, kulinganiselwa ukuthi owesifazane oyedwa kwabayishumi uyayithola.
Abesifazane abaningi bayanqikaza ukufuna ukwelashwa kwe-HSDD. Abanye kungenzeka bangazi ukuthi ikhona nhlobo. Ngenkathi ukuqala ingxoxo nodokotela wakho kungaba nzima, kubalulekile ukuthi uvuleke kubo.
Uma ubhekene nokushayela ucansi okuphansi kepha unqikaza ukukhuluma nodokotela wakho ngakho, ungabhala noma uthayiphe uhlu lwemibuzo okufanele uyise ekuvakasheni kwakho udokotela ukuqinisekisa ukuthi imibuzo yakho iyaphendulwa. Ungase futhi ufise ukuthatha incwajana yokubhalela noma umngane omethembayo, ukuze ukwazi ukukhumbula izimpendulo zikadokotela wakho ngokuhamba kwesikhathi.
Nayi eminye imibuzo ongafuna ukuyibuza mayelana nokushayela ucansi okuphansi nokwelashwa kwe-HSDD.
1. Ngubani ophatha i-HSDD?
Udokotela wakho angadlulisela kulabo abagxile ekwelapheni i-HSDD. Bangancoma abahlukahlukene, kusuka kwabelaphi bezocansi kuya kochwepheshe bezempilo yengqondo. Kwesinye isikhathi, ukwelashwa kufaka iqembu lezinhlaka ezahlukahlukene ezingakwazi ukubhekana nezici ezingaba nomthelela.
Eminye imibuzo efanayo ongafuna ukuyibuza ifaka:
- Wake wabaphatha abesifazane abanezinkinga ezifanayo phambilini?
- Ungazenza yini izincomo zobudlelwano noma ochwepheshe bezokwelapha emshadweni abangangisiza?
- Yiziphi ezinye izindlela zokwelapha ezingezona ezokwelapha?
- Ngabe kukhona abanye ochwepheshe okufanele ngicabange ukubabona nganoma yiziphi izimo zezokwelapha ezingaphansi ezingathinta ukushayela kwami ucansi?
2. Yimiphi imithi etholakalayo yokwelapha i-HSDD?
Akuwona wonke umuntu wesifazane ophila ne-HSDD odinga imishanguzo kadokotela. Kwesinye isikhathi, ukwelashwa kungafaka kuphela ukuguqula imishanguzo yamanje, ukuchitha isikhathi esithe xaxa sobulili obuhlukile nomlingani wakho, noma ukwenza izinguquko ezithile zendlela yokuphila.
Kodwa-ke, kunemithi eminingi yokwelapha i-HSDD ekhona. Ukwelashwa kwama-hormone kufaka phakathi ukwelashwa kwe-estrogen, okunganikezwa ngephilisi, i-patch, i-gel noma ifomu likakhilimu. Odokotela kwesinye isikhathi bangabeka i-progesterone.
Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) kugunyaze ukwelashwa okubili kokuhlinzekwa ngokukhethekile kokushayela ucansi okuphansi kwabesifazane be-premenopausal. Omunye umuthi womlomo owaziwa nge-flibanserin (Addyi). Omunye umuthi wokuzijova owaziwa ngokuthi yi-bremelanotide (Vyleesi).
Kodwa-ke, le mithi yokwelashwa ayiwona wonke umuntu.
Imiphumela emibi ye-Addyi ifaka phakathi i-hypotension (umfutho ophansi wegazi), ukuquleka, nesiyezi. Imiphumela emibi kaVyleesi ifaka isicanucanu esinzima, ukusabela kwendawo okujova kuyo, nekhanda.
Eminye imibuzo ngemithi ye-HSDD ifaka phakathi:
- Iyini imiphumela emibi engaba khona yokuthatha lo muthi?
- Yimiphi imiphumela engingayilindela ngokuthatha lo muthi?
- Ucabanga ukuthi kuzothatha isikhathi esingakanani ukuthi lolu hlobo lokwelashwa lusebenze?
- Ingabe le mithi ingaphazamisa eminye imithi yami noma izengezo?
3. Yikuphi okunye ukwelashwa ekhaya kwe-HSDD?
Abesifazane abane-HSDD akudingeki bazizwe bengenamandla ekwelashweni kwabo. Kunezinyathelo ezimbalwa ongazithatha ekhaya ukwelapha i-HSDD yakho. Imvamisa, lezi zinyathelo zigxile ekuzivocavoca umzimba, ekudambiseni ukucindezeleka, ekuvulekeni kakhulu nomlingani wakho, nasekuzameni ngemisebenzi ehlukile empilweni yakho yezocansi. Udokotela wakho angakusiza ukuthi uhlole izindlela zokukhuthaza ukukhululeka kwengcindezi lapho kungenzeka khona. Bangaphakamisa futhi ubuhlobo noma ukwelashwa komshado ngezimo ezithile.
Eminye imibuzo ongayibuza mayelana nokwelashwa kwasekhaya yile:
- Yimiphi eminye imikhuba engaba nomthelela ku-HSDD yami?
- Yiziphi ezinye zezindlela eziphumelela kakhulu enginganciphisa ngazo ukucindezeleka nokukhathazeka?
- Ngabe kukhona amanye amasu wokuthuthukisa ukuxhumana nokusondelana ongakuncoma?
4. Kuzothatha isikhathi esingakanani ukwenza ngcono i-HSDD yami?
Kungenzeka ukuthi ubhekene nokushayela ucansi okuphansi izinyanga eziningi ngaphambi kokuphakamisa ukukhathazeka kwakho nodokotela wakho. Kwesinye isikhathi, kungaba yiminyaka ngaphambi kokuthi ubone ukuthi izingqinamba zakho ezihlobene nezocansi nesifiso sobulili empeleni ziyisimo eselaphekayo.
Kwabesifazane abathile, kungathatha isikhathi ukubona izinguquko kudrayivu yakho yocansi. Ungadinga ukuzama izindlela ezahlukahlukene zokwelashwa kwe-HSDD ukuthola ukuthi yini esebenza kahle kakhulu. Isikhathi salokhu singasuka ezinyangeni ziye onyakeni. Kufanele uhlale ungena nodokotela wakho futhi uthembeke ngentuthuko yakho.
Eminye imibuzo okufanele uyibuze udokotela wakho ngalesi sihloko ifaka:
- Ngizokwazi kanjani uma umuthi ungasebenzi?
- Yiziphi ezinye zezinto ezibalulekile engingazibheka ekwelashweni kwami?
- Yimiphi imiphumela engemihle okufanele ngikushayele ngayo?
5. Kufanele ngikulandelele nini mayelana nokwelashwa?
Kubalulekile ukulandela udokotela wakho mayelana nokwelashwa kwakho kwe-HSDD. Udokotela wakho angancoma izikhathi ezahlukahlukene zokungena, kusuka enyangeni kuya ezinyangeni eziyisithupha noma ngaphezulu. Lokhu kulandelwa kungakusiza wena nodokotela wakho ukubona ukuthi iziphi izindlela zokwelapha ezisebenzayo futhi ezingezona.
Ungahle uthande ukubuza:
- Yiziphi ezinye zezimpawu ezisho ukuthi ngenza kangcono?
- Ngabe ulindele ukuthi inqubekelaphambili yami ibe kuphi ekuhambeleni kwethu okulandelayo?
- Yiziphi izimpawu noma imiphumela emibi okusho ukuthi kufanele ngihlele i-aphoyintimenti yangaphambilini?
Ukuthatha isinyathelo sokuqala ukuxoxa ngocansi lwakho oluphansi nodokotela wakho kungaba nzima.Lapho uthola ukuxilongwa kwe-HSDD, ungahle ube nemibuzo eyengeziwe mayelana nokuthi ingelashwa kanjani. Kepha ngokuzilungiselela ngohlu lwemibuzo ozoyibuza ekuqokweni kwakho okulandelayo, ungazithola usendleleni ebuyela empilweni eyanelisayo yezocansi.