Kuyini Ukushayelwa Kobulili Obuphansi Kwabesifazane? Izinganekwane namaqiniso

-Delile

• Inganekwane: I-HSDD iyingxenye yokuguga
• Inganekwane: Bambalwa kakhulu abesifazane abane-HSDD
• Inganekwane: I-HSDD ayiyona into ebaluleke kakhulu ekwelashweni

I-Hypoactive sex desire disorder (HSDD) - manje eyaziwa njengentshisekelo yezocansi yabesifazane / ukuvusa inkanuko - ukungasebenzi kahle ngokocansi okubangela ukwehliswa kocansi kwabesifazane.

Abesifazane abaningi bangadlulisa ngokungazi izimpawu zalesi sifo njengemiphumela emibi yempilo yomsebenzi omatasatasa, izinguquko emzimbeni wabo, noma ukuguga. Kodwa kuyisimo sangempela nokwelashwa okutholakalayo.

Lokhu okulandelayo izinganekwane namaqiniso azungeze i-HSDD. Ngokuzifundisa ngalesi simo, ungazethemba ukukhuluma nodokotela wakho ngokuthola ukwelashwa kwalesi sifo.

Ikhwalithi engcono yempilo isiseduzane.

Inganekwane: I-HSDD iyingxenye yokuguga

Bonke abesifazane kungenzeka babhekane nobulili obwehlisiwe ngesikhathi esithile ngesikhathi. Eqinisweni, odokotela bathole ukuthi abesifazane bavame ukuhla nokwehla kwesifiso sobulili njengoba bekhula.

Kodwa-ke, kukhona umehluko phakathi kokuntuleka kwesikhashana kwesifiso sobulili ne-HSDD. Ukuqonda umehluko kuyisihluthulelo sokuthola ukwelashwa okufanele.

Izimpawu ezijwayelekile zalesi sifo zifaka:

• ukwehla okukhulu noma ukulahleka kwemicabango yezocansi
• ukwehla okukhulu noma ukulahlekelwa yintshisekelo ekuqaleni ucansi
• Ukwehla okukhulu noma ukulahlekelwa ukwamukela kumlingani oqala ucansi

Uma i-sex drive yakho iphansi kakhulu kangangokuba ithinta ubudlelwane bakho obuseduze, kungahle kube yisikhathi sokukhuluma nodokotela wakho. Ukuze kubhekwe njengokuphazamiseka, kufanele kudale ukucindezeleka noma ubunzima bokusebenzisana futhi kungabalwa kangcono ngokunye ukuphazamiseka kwengqondo, isimo sezokwelapha, isidakamizwa (esisemthethweni noma esingekho emthethweni), ukucindezeleka okukhulu kobudlelwano, noma ezinye izingcindezi ezinkulu - lokhu kubalulekile ukusho.

Izinto eziningi ezahlukahlukene zinganikela ekwehlisweni kocansi kubantu besifazane. Kubalulekile ukuqonda impande yezimpawu zakho ngaphambi kokuqala ukwelashwa kwalesi sifo.

Ezinye izinto ezinikela nge-HSDD zifaka:

• izinguquko ze-hormonal
• ukunqamuka kokuya esikhathini ngenxa yokususwa kwesisodwa noma womabili amaqanda (okukhombisa ukuthi abesifazane bangabhekana nalesi sifo kungakhathalekile ukuthi baneminyaka emingaki)
• ukuzenyeza
• izimo ezingalapheki, njengesifo sikashukela noma umdlavuza
• ukwelashwa noma izimo ezithinta ubuchopho
• izinkinga ebudlelwaneni (njengokuntuleka kokuthembana noma ukuxhumana)

Inganekwane: Bambalwa kakhulu abesifazane abane-HSDD

I-HSDD yisifo esivame kakhulu kwezocansi kubantu besifazane futhi singenzeka noma ngasiphi isikhathi. NgokweNorth American Menopause Society, amaphesenti abesifazane abahlangabezana nalesi simo yile:

• Amaphesenti angu-8.9 (kusukela eminyakeni engu-18 kuya kwengu-44)
• Amaphesenti angu-12.3 abesifazane (kusukela eminyakeni engama-45 kuya kwengama-64)
• Amaphesenti angu-7.4 abesifazane (abaneminyaka engama-65 nangaphezulu)

Yize kuvamile, lokhu kuphazamiseka ngokwesiko kunzima ukukuthola ngenxa yokuntuleka kokuqwashisa ngalesi simo.

Inganekwane: I-HSDD ayiyona into ebaluleke kakhulu ekwelashweni

I-HSDD yinto ebaluleke kakhulu ekwelashweni. Impilo yezocansi yowesifazane ihlobene eduze nempilo yakhe iyonke, futhi izimpawu ze-HSDD akufanele zisuswe eceleni.

Izimpawu zalesi sifo zithinta izinga lokuphila lowesifazane futhi zingathinta kabi ubudlelwane bakhe obuseduze. Ngenxa yalokho, abanye besifazane bangaba nokukhathazeka komphakathi, ukungavikeleki, noma ukucindezeleka.

Futhi, abesifazane abanalesi sifo kungenzeka babe nezimo zezempilo ezi-comorbid nezinhlungu zasemhlane.

Ukwelashwa kwe-HSDD kufaka:

• Ukwelashwa kwe-estrogen
• inhlanganisela yokwelashwa, njenge-estrogen ne-progesterone
• ukwelashwa ngocansi (ukukhuluma nochwepheshe kungasiza owesifazane ukuthi abone izidingo nezidingo zakhe)
• ukwelulekwa kwezobudlelwano noma kwezomshado ukusiza ekwenzeni ngcono ukuxhumana

Ngo-Agasti 2015, imithi evunyelwe ngomlomo ebizwa nge-flibanserin (i-Addyi) ye-HSDD kwabesifazane be-premenopausal. Lokhu kumaka umuthi wokuqala ovunyelwe ukwelapha lesi simo. Kodwa-ke, lesi sidakamizwa asiwona wonke umuntu. Imiphumela emibi ibandakanya i-hypotension (umfutho wegazi ophansi), ukuquleka, nesiyezi.

Ukwamukelwa komuthi wesibili we-HSDD, umuthi ojova ngokwakho owaziwa nge-bremelanotide (Vyleesi), ngo-2019. Imiphumela engemihle ingafaka isicanucanu esinamandla nokuphendula endaweni yomjovo.

Ukusondelana kudlala indima enkulu enhlalakahleni yomzimba nengqondo yowesifazane. Uma isifiso sakho sobulili esehlisiwe sithinta izinga lakho lempilo, ungesabi ukukhuluma nodokotela wakho. Kunezinketho zokwelashwa ezitholakalayo.