Ingabe Ukulala Ukuphefumula Kungabangela Ukungasebenzi Kwe-Erectile (ED)?

-Delile

• Uthini ucwaningo?
• I-apnea yokulala ne-testosterone
• Izimpawu zokuphefumula ubuthongo
• Ukwelashwa
• Umbono

Ukubuka konke

Ukuvimbela ukuphefumula kokulala (OSA) uhlobo oluvame kakhulu lwe-apnea yokulala. Kuyisifo esibi kakhulu. Abantu abane-OSA bayayeka ukuphefumula kaninginingi ngesikhathi sokulala. Bavame ukuhogela futhi babe nobunzima bokulala.

Izinkinga zokulala zingathinta amazinga akho e-testosterone ne-oxygen. Lokho kungaholela ezinkingeni eziningi ezahlukahlukene, kufaka phakathi ukungasebenzi kahle kwe-erectile (ED). Ucwaningo luthole ukusabalala okuphezulu kwe-ED emadodeni ane-apnea yokulala evimbela, kepha odokotela abaqiniseki kahle ukuthi kungani kunjalo.

Uthini ucwaningo?

Abaphenyi bathole ubufakazi bokuthi amadoda ane-apnea yokulala evimbela amathuba okuba ne-ED, futhi ngokufanayo. bathole ukuthi amaphesenti angama-69 wabahlanganyeli besilisa abatholakala ukuthi bane-OSA nabo bane-ED. Ukungasebenzi kahle kwe-erectile okutholakala cishe kumaphesenti angama-63 wabahlanganyeli bokufunda abane-apnea yokulala. Ngokuphambene, amaphesenti angama-47 kuphela amadoda esifundweni ngaphandle kwe-OSA ayene-ED.

Ngaphezu kwalokho, emadodeni angaphezu kwe-120 ane-ED, amaphesenti angama-55 abike izimpawu ezihlobene nokuphefumula kokulala. Okutholakele kuphinde kwaphakamisa ukuthi amadoda ane-ED asengozini enkulu yokuba nokunye ukuphazamiseka kokulala okungatholakali.

I-apnea yokulala ne-testosterone

Ososayensi namanje abazi ukuthi kungani, impela, amadoda ane-apnea yokulala evimbela ukuba namazinga aphezulu e-ED. Ukungalali kahle okubangelwa ukuphefumula kokulala kungadala ukuthi amazinga endoda e-testosterone acwilise. Kunganciphisa ne-oxygen. I-testosterone ne-oxygen zombili zibalulekile ekwenziweni okunempilo. Abaphenyi baphinde basikisela ukuthi ukucindezeleka nokukhathala okuhlobene nokuntuleka kokulala kungenza izinkinga zocansi zibe zimbi kakhulu.

Ucwaningo lukhombise ukuxhumana phakathi kokungasebenzi kahle nohlelo lwe-endocrine nokuphazamiseka kokulala. Ukusebenza ngokweqile kweHormone phakathi kobuchopho nendlala ye-adrenal kungathinta ukusebenza kokulala futhi kubangele ukuphaphama. I-A iphinde yathola ukuthi amazinga aphansi e-testosterone angaholela ekulaleni okungafanele. Kodwa-ke, abukho ubufakazi bokuthi ukuvimbela ukuphefumula kokulala kuthinta ukukhiqizwa kwe-testosterone.

Izimpawu zokuphefumula ubuthongo

Kunezinhlobo eziningana zokuphefumula kokulala, nakuba ezintathu eziyinhloko ziyi:

• ukuvimbela ukuphefumula kokulala
• ukuphefumula kokulala okuphakathi
• i-apnea syndrome eyinkimbinkimbi yokulala

Zonke izinhlobo ezintathu zesifo sokulala zinezimpawu ezifanayo, kwesinye isikhathi ezenza kube nzima ukuthola ukuxilongwa okufanele. Izimpawu ezivamile zokuphefumula ukulala zifaka:

• ukuhayiza okukhulu, okuvame kakhulu ekuvimbaneni ukuphefumula kokulala
• izikhathi lapho uyeka ukuphefumula ngesikhathi ulele, njengoba kufakazelwa omunye umuntu
• ukuvuka ngokuzumayo ngokuphefumula okuncane, okuvame kakhulu ekuphefumuleni kokulala okuphakathi
• ukuvuka ngomphimbo obuhlungu noma umlomo owomile
• ikhanda ekuseni
• kunzima ukufika nokulala
• ukulala ngokweqile emini, okwaziwa nangokuthi yi-hypersomnia
• izinkinga zokugxila noma ukunaka
• ukuzwa ukucasuka

Ukwelashwa

Yize kudingeka olunye ucwaningo, ososayensi bathole ukuthi ukwelapha ukuvimbela ukuphefumula kokulala kungasiza futhi ekunciphiseni izimpawu ze-ED. Ngokusho kwe-International Society for Sexual Medicine, amadoda amaningi ane-OSA asebenzisa ingcindezi yomoya oqhubekayo (CPAP) yokuthola ukwelashwa okwenziwe ngcono ukwakhiwa. I-CPAP iyindlela yokwelapha i-OSA lapho kufakwa khona imaski phezu kwamakhala akho ukuletha ingcindezi yomoya. Kucatshangwa ukuthi i-CPAP ithuthukisa ama-erections emadodeni ane-OSA ngoba ukulala okungcono kungakhuphula amazinga e-testosterone ne-oxygen.

Ucwaningo lomshayeli lwango-2013 luthole ukuthi abesilisa abane-apnea yokulala abathola ukuhlinzwa okususwa kwezicubu, okwaziwa nge-uvulopalatopharyngoplasty (UPPP), nabo babone ukwehla kwezimpawu ze-ED.

Ngaphezu kokuhlinzwa kwe-CPAP nokususwa kwezicubu, ezinye izindlela zokwelapha ukuphefumula kokulala okungavimbeli zifaka:

• usebenzisa idivaysi ukukhuphula ingcindezi yomoya ukuze ugcine izindinyana zakho ezingenhla zomoya zivulekile
• ukubeka amadivayisi ngaphezu kwekhala ngalinye ukwandisa umfutho womoya, owaziwa ngokuthi i-expiratory positive airway pressure (EPAP)
• ukugqoka okomlomo ukuze uvule umphimbo wakho
• usebenzisa i-oxygen eyengeziwe
• ukunakekela izingqinamba eziyisisekelo zezokwelapha ezingadala ukuphefumula kokulala

Udokotela wakho futhi angancoma okunye ukuhlinzwa, okufana nalokhu:

• ukwenza indlela entsha yomoya
• ukuhlela kabusha umhlathi wakho
• ukufaka izinduku zepulasitiki kulwanga oluthambile
• ukususa amathoni akhulisiwe noma ama-adenoids
• ukususa ama-polyps emgodini wakho wamakhala
• ukulungisa i-septum ekhaleni ephambukile

Ezimweni ezinzima, ukuguquka kwendlela yokuphila njengokuyeka ukubhema nokuncipha kungasiza. Uma izimpawu zakho zibangelwa noma zimbi kakhulu ngenxa yokungezwani komzimba, imithi yokusiza ukulawula ukungezwani komzimba ingase ithuthukise izimpawu zakho.

Umbono

Ucwaningo luthole ukuhlobana okucacile phakathi kwe-apnea yokulala yokuvimbela ne-ED. Ososayensi abakaqondi ukuthi kungani ukuxhumana kukhona, kodwa kunobufakazi obanele bokubonisa isixhumanisi esiyimbangela. Ucwaningo luye lwabonisa ukuthi ukwelapha i-apnea yokulala evimbelayo kungaba nomthelela omuhle ezimpawu ze-ED. Lokhu kungenxa yokuthuthuka emazingeni e-testosterone ne-oxygen.

Khuluma nodokotela wakho ngokushesha okukhulu uma uhlangabezana ne-apnea yokulala nezimpawu ze-ED. Ukwelapha i-OSA kungahle kungakusizi kuphela ukuthola nokugcina ukwakhiwa kaningi, kepha futhi kungavimbela nezinye izimo zempilo njengezinkinga zenhliziyo.