Yeyiphi iDrive eQhelekileyo yokuDibana kwabafazi? Iintsomi vs iinyani

Umxholo

• Intsomi: I-HSDD yinxalenye yokuguga
• Intsomi: Ambalwa kakhulu amabhinqa ane-HSDD
• Intsomi: I-HSDD ayisiyonto iphambili kunyango

Ukuphazamiseka kweminqweno yesondo (HSDD) -ngoku eyaziwa ngokuba ngumdla wesini sabasetyhini / ukuphazamiseka kwengqondo-kukungasebenzi ngokwesondo okubangela ukwehla kwesondo kwabafazi.

Abasetyhini abaninzi banokuthi ngokungazi badlulise iimpawu zolu phazamiso njengeziphumo zobomi bomsebenzi oxakekileyo, utshintsho kwimizimba yabo, okanye ukwaluphala. Kodwa yimeko yokwenyani nonyango olukhoyo.

Ezi zilandelayo ziintsomi eziqhelekileyo kunye nezibakala ezijikeleze i-HSDD. Ngokuzifundisa ngale meko, unokuziva uzithembile ngokuthetha nogqirha wakho malunga nokufumana unyango kwesi sifo.

Umgangatho wobomi obungcono ujikeleze ikona.

Intsomi: I-HSDD yinxalenye yokuguga

Bonke abantu basetyhini banamava okwehliswa kwesini ngexesha elithile. Ngapha koko, oogqirha bafumanise ukuba abantu basetyhini bahlala behla kumnqweno wesini njengoko bekhula.

Nangona kunjalo, kukho umahluko phakathi kokusilela okwethutyana komnqweno wesini kunye ne-HSDD. Ukuqonda umahluko ngundoqo ekufumaneni unyango olululo.

Iimpawu eziqhelekileyo zesi sifo zibandakanya:

• Ukwehla okukhulu okanye ukulahleka kweengcinga zesondo
• ukwehla okukhulu okanye ukulahleka komdla ekuqaliseni isondo
• Ukwehla okukhulu okanye ukuphulukana nokwamkela iqabane eliqala ngesondo

Ukuba i-sex drive yakho iphantsi kakhulu kangangokuba ichaphazela ubudlelwane bakho obusondeleyo, isenokuba lixesha lokuthetha nogqirha wakho. Ukuze ithathelwe ingqalelo njengesiphazamiso, kufuneka ibangele uxinzelelo oluphawulweyo okanye ubunzima phakathi kwabantu kwaye kungabikwa ngcono ngokunye ukuphazamiseka kwengqondo, imeko yezonyango, ichiza (elisemthethweni okanye elingekho mthethweni), uxinzelelo olunzulu lolwalamano, okanye ezinye izinto ezibangela uxinzelelo olukhulu- oku kubalulekile ukukhankanya.

Izinto ezininzi ezahlukeneyo zinokufaka isandla ekunciphiseni ukuqhuba ngesondo kwabasetyhini. Kubalulekile ukuqonda ingcambu yeempawu zakho ngaphambi kokuqala unyango kwesi sifo.

Ezinye zezinto ezinegalelo kwi-HSDD zibandakanya:

• utshintsho lwehomoni
• Ukuyeka ukuya exesheni ngenxa yokususwa kwesinye okanye zombini ii-ovari (ezibonisa ukuba abasetyhini banokufumana le ngxaki nokuba bangakanani ubudala)
• ukuzijongela phantsi
• iimeko ezingapheliyo, njengeswekile okanye umhlaza
• unyango okanye iimeko ezichaphazela ingqondo
• iingxaki kubudlelwane (njengokungathembani okanye unxibelelwano)

Intsomi: Ambalwa kakhulu amabhinqa ane-HSDD

I-HSDD sesona sifo sixhaphakileyo ngokwesini kwabasetyhini kwaye sinokubakho nakweyiphi na iminyaka. Ngokwe-North American Menopause Society, iipesenti zabasetyhini abafumana le meko zezi:

• Iipesenti ezingama-8.9 (ukususela kwiminyaka eyi-18 ukuya kuma-44)
• Iipesenti ezili-12.3 zabasetyhini (ukusuka kwiminyaka engama-45 ukuya kuma-64)
• 7.4 ipesenti yabasetyhini (abaneminyaka engama-65 nangaphezulu)

Nangona kuyinto eqhelekileyo, esi sifo ngokwesiko kunzima ukusixilonga ngenxa yokunqongophala kolwazi malunga nemeko.

Intsomi: I-HSDD ayisiyonto iphambili kunyango

I-HSDD yinto ephambili kunyango. Impilo yowasetyhini enxulumene ngokusondeleyo nempilo yakhe iyonke, kwaye iimpawu ze-HSDD akufuneki zikhutshelwe ecaleni.

Iimpawu zoku kuphazamiseka zichaphazela umgangatho wobomi besetyhini kwaye zinokuchaphazela kakubi ubudlelwane bakhe obusondeleyo. Ngenxa yoko, abanye abantu basetyhini banokuba noxinzelelo ekuhlaleni, ukungazithembi, okanye uxinzelelo.

Kwakhona, abasetyhini abanale ngxaki banokufumana iimeko zonyango ezi-comorbid kunye nentlungu yomqolo.

Unyango lwe-HSDD lubandakanya:

• Unyango lwe-estrogen
• indibaniselwano yonyango, njenge-estrogen kunye neprogesterone
• unyango ngesondo (ukuthetha nengcali kunokunceda umfazi achonge iimfuno kunye neemfuno zakhe)
• ubudlelwane okanye iingcebiso zomtshato ukunceda ekuphuculeni unxibelelwano

Nge-Agasti ka-2015, lavunywa iyeza lomlomo elibizwa ngokuba yi-flibanserin (Addyi) ye-HSDD kwabasetyhini abangaphambi kokuya exesheni. Oku kuphawula ichiza lokuqala elivunyiweyo ukunyanga imeko. Nangona kunjalo, iyeza alisiwo wonke umntu. Iziphumo zibandakanya i-hypotension (uxinzelelo lwegazi olusezantsi), ukuphelelwa ngamandla, kunye nesiyezi.

Ivunyiwe iyeza lesibini le-HSDD, iyeza lokuzitofa elaziwa ngokuba yi-bremelanotide (Vyleesi), ngo-2019. Iziphumo ebezingalindelekanga zinokubandakanya isicaphucaphu kunye nokusabela kwindawo yenaliti.

Ukusondelelana kudlala indima enkulu kwimpilo yomfazi ngokwasemzimbeni nangokwasengqondweni. Ukuba umnqweno wakho wesini owehlileyo uchaphazela umgangatho wobomi bakho, musa ukoyika ukuthetha nogqirha wakho. Kukho iindlela zokhetho ezikhoyo.