Ngaba Ukulala Ukuphefumla kungabangela ukungasebenzi kakuhle kwe-Erectile (ED)?

Umxholo

• Luthini uphando?
• Ukulala kwe-apnea kunye ne testosterone
• Iimpawu zokuphefumla ubuthongo
• Unyango
• Imbonakalo

Ushwankathelo

Ukuthintela i-apnea yokulala (OSA) lolona hlobo luqhelekileyo lokuphefumla ubuthongo. Sisifo esinokubakho ngokunzulu. Abantu abane-OSA bayayeka ukuphefumla kaninzi ngexesha lokulala. Bahlala bephunga kwaye kunzima ukulala.

Ukuphazamiseka kokulala kunokuchaphazela amanqanaba e testosterone kunye neoksijini. Oko kunokukhokelela kwimicimbi eyahlukeneyo, kubandakanya ukungasebenzi kakuhle kwe-erectile (ED). Uphando lufumene ukwanda okuphezulu kwe-ED kumadoda ane-apnea yokulala yokuthintela, kodwa oogqirha abaqinisekanga ncam ukuba kutheni kunjalo.

Luthini uphando?

Abaphandi bafumene ubungqina bokuba amadoda ane-apnea yokulala ephazamisayo kunokwenzeka ukuba abe ne-ED, kwaye ngokuchaseneyo. ifumanise ukuba iipesenti ezingama-69 zabathathi-nxaxheba abangamadoda abafunyaniswe ukuba bane-OSA nabo bane-ED. Ukufunyanwa kokungasebenzi kakuhle kwe-erectile malunga neepesenti ezingama-63 zabathathi-nxaxheba abanesifo sokuphefumla. Ngokwahlukileyo, kuphela ngama-47 epesenti yamadoda kwisifundo ngaphandle kwe-OSA ane-ED.

Ngapha koko, ngaphezulu kwamadoda angama-120 ane-ED, ama-55 eepesenti axele iimpawu ezinxulumene nokuphefumla ubuthongo. Iziphumo zikwacebisile ukuba amadoda ane-ED asemngciphekweni omkhulu wokuba nezinye iingxaki zokulala ezingafunyaniswanga.

Ukulala kwe-apnea kunye ne testosterone

Oososayensi abasazi ukuba kutheni, ngokuchanekileyo, amadoda ane-apnea yokulala ephazamisayo anezinga eliphezulu le-ED. Ukulala ubuthongo obubangelwa kukuphefumla kokulala kunokubangela amanqanaba e-testosterone endoda. Inokuthintela ioksijini. I-testosterone kunye neoksijini zombini zibalulekile kulungelelwaniso olusempilweni. Abaphandi bacebise ukuba uxinzelelo kunye nokudinwa okunxulumene nokungabikho kokulala kunokwenza iingxaki zesondo zibe mbi ngakumbi.

Uphando lubonakalise unxibelelwano phakathi kokungasebenzi kakuhle kwenkqubo ye-endocrine kunye nokuphazamiseka kokulala. Ukusebenza kweHormone phakathi kwengqondo kunye ne-adrenal gland kunokuchaphazela ukusebenza kokulala kwaye kubangele ukuphaphama. Ikwafumanise ukuba amanqanaba e-testosterone asezantsi angakhokelela ekungalali kakuhle. Nangona kunjalo, abukho ubungqina bokuba isithintelo sokuphefumla xa ubuthongo sichaphazela imveliso ye testosterone.

Iimpawu zokuphefumla ubuthongo

Kukho iintlobo ezininzi zokuphefumula kokulala, nangona ezintathu eziphambili zi:

• ukuthintela ukuphefumla xa ulala
• ubuthongo obuphakathi bokulala
• ubunzima bokulala ne-apnea syndrome

Zonke ezi nguqulelo zintathu zokungalali zineempawu ezifanayo, ngamanye amaxesha ezenza kube nzima ukufumana uxilongo olufanelekileyo. Iimpawu eziqhelekileyo zokuphefumula zibandakanya:

• ukukhwaza ngokukhawuleza, okuqhelekileyo ekuthinteleni i-apnea yokulala
• amaxesha apho uyeka ukuphefumla xa ulele, njengoko kungqinwe ngomnye umntu
• ukuvuka ngokukhawuleza kunye nokuphefumla okufutshane, okuqhelekileyo kwindawo yokuphefumula yokulala
• ukuvuka ngomqala obuhlungu okanye umlomo owomileyo
• yintloko kusasa
• kunzima ukufika nokulala
• ukulala kakhulu emini, okwaziwa nangokuthi yihypersomnia
• iingxaki zokugxila okanye ukunikela ingqalelo
• ndiziva ndicaphukile

Unyango

Nangona uphando oluthe kratya luyafuneka, izazinzulu ziye zafumanisa ukuba ukunyanga i-apnea yokulala ephazamisayo kunokunceda ekuthomalaliseni iimpawu ze-ED. Ngokutsho koMbutho wamazwe ngamazwe oNyango lwezoSondo, amadoda amaninzi ane-OSA asebenzisa uxinzelelo oluqhubekayo lwe-airway (CPAP) ukufumana unyango oluphuculweyo. I-CPAP yonyango lwe-OSA apho imaski ibekwe phezu kwempumlo yakho ukuhambisa uxinzelelo lomoya. Kucingelwa ukuba i-CPAP iphucula ukulungiswa kwamadoda ane-OSA kuba ukulala okungcono kunokuphakamisa amanqanaba e-testosterone kunye neoksijini.

Isifundo somqhubi ngo-2013 safumanisa ukuba amadoda aphethwe ngumphefumlo xa elele afumana utyando lokususa izicwili, eyaziwa ngokuba yi-uvulopalatopharyngoplasty (UPPP), naye wabona ukwehla kweempawu ze-ED.

Ukongeza kwi-CPAP kunye notyando lokususa izicwili, ezinye iindlela zonyango lokuthintela ukuphefumla ukulala kubandakanya:

• usebenzisa isixhobo ukonyusa uxinzelelo lomoya ukuze ugcine indlela yakho yomoya ephezulu ivulekile
• ukubeka izixhobo ngaphezulu kwempumlo nganye ukonyusa uxinzelelo lomoya, okwaziwa njengomphefumlo ophefumlayo (i-EPAP)
• ukunxiba isixhobo somlomo ukugcina umqala wakho uvulekile
• usebenzisa ioksijini eyongezelelweyo
• Ukunyamekela imiba yonyango engabangela ukuphefumula kokulala

Ugqirha wakho unokucebisa nolunye utyando, olunje:

• ukwenza indlela yomoya entsha
• ngokutsha umhlathi wakho
• Ukumilisela iintonga zeplastiki kwinkalakahla ethambileyo
• ukususa iitoni ezandisiweyo okanye iadenoids
• ukususa iipolyps kwisisu sakho
• ukulungisa i-septum yempumlo ephambukileyo

Kwiimeko ezinzima, utshintsho kwindlela yokuphila njengokuyeka ukutshaya kunye nokunciphisa umzimba kunokunceda. Ukuba iimpawu zakho zibangelwa okanye zibuhlungu ngenxa yokugula, amayeza okukunceda ukulawula i-allergies kunokuphucula iimpawu zakho.

Imbonakalo

Uphando lufumene unxibelelwano olucacileyo phakathi kokuthintela ukuphefumla kokulala kunye ne-ED. Izazinzulu azikaqondi ukuba kutheni unxibelelwano lukhona, kodwa kukho ubungqina obaneleyo bokubonisa ikhonkco eliyimbangela. Izifundo zibonise ukuba ukunyanga i-apnea yokulala ephazamisayo kunokuba nefuthe elihle kwiimpawu ze-ED. Oku kungenxa yokuphucuka kwinqanaba le testosterone kunye neoksijini.

Thetha nogqirha wakho ngokukhawuleza ukuba ufumana i-apnea yokulala kunye neempawu ze-ED. Ukunyanga i-OSA akunokukunceda kuphela ukuba ufumane kwaye ugcine ulwakhiwo rhoqo, kodwa inokuthintela nezinye iimeko zempilo ezinjengeengxaki zentliziyo.