Kodi Kugonana Kwa Mkazi Kumachepa Ndi Ukalamba? Zomwe Akatswiri Anena

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Amayi akamakula, amakhala osagonana kwambiri ndipo ndichinthu chomwe aliyense 'amadziwa' ngakhale osadziwa kuvomerezeka kwa sayansi. Kafukufuku osiyanasiyana adachitika pofufuza momwe zaka zimakhudzira mavuto azakugonana mwa amayi ndipo zanenanso za azimayi ochulukirapo omwe amayang'aniridwa ndi amuna kapena akazi anzawo ^[1] .

Kuchita zachiwerewere pakati pa akazi sichinthu chachilendo chifukwa azimayi opitilira 40% amakumana ndi vutoli pazifukwa zosiyanasiyana. Malinga ndi kafukufuku yemwe adachitika pazaka zakubadwa komanso thanzi lazakugonana mwa akazi, zidanenedwa kuti kuchuluka kwa azimayi omwe amagonana (pafupipafupi) kumachepa ndi msinkhu ndipo kuchuluka kwa azimayi omwe akusangalala atasiya kusamba ndikotsika kwambiri.

Kutaya chilakolako cha kugonana, kuchipatala chotchedwa matenda osokoneza bongo (HSDD), kumafala kwambiri mwa azimayi azaka zopitilira 45, zaka zomwe azimayi ambiri amafika kumapeto ^[ziwiri] .

'Pali zifukwa zingapo zomwe zimapangitsa kuti azimayi azikula akamakula. Ndiye kuti, pomwe thumba losunga mazira limaleka kutulutsa estrogen, zotsekera m'thupi zimayamba kuchepa ndipo zimapangitsa kutsika pang'ono kwa ukazi, kamvekedwe ka minofu, ndi mafuta - zomwe zimadzetsa chilimbikitso chogonana chotenga nthawi yochulukirapo, '' adatero Dr Arya Krishnan, katswiri wazachipatala wa Boldsky.

Kusamba Kwa Mimba Kumayambitsa Kugonana Kwapansi Kwa Akazi

Malinga ndi kafukufuku wofalitsidwa ku 'Menopause: The Journal of the North American Menopause Society', mavuto okhudzana ndi kusamba monga kugonana kowawa komanso kutuluka kwa amayi kumakhudza zomwe mkazi amachita ^{[3] [4]} .

Kafukufukuyu adaganiziranso, zinthu monga kutentha kwa moto, kusokonezeka kwa tulo, kuuma kwa ukazi komanso kugonana kopweteka kuti athe kumvetsetsa bwino tanthauzo la kusamba ndi kugonana kwa akazi.

Kafukufukuyu adanenanso kuti, kupatula zinthu zomwe zatchulidwazi, zovuta zamthupi, kupsinjika, kudzidalira komanso kuzindikira kufunikira, kusintha kwa malingaliro ndi zovuta zaubwenzi - 'zoyipa' za kusamba kumathandizanso pakuchepetsa chilakolako chogonana mwa mayi wazaka zoposa Zambiri '45 pa 45 ^[5] .

Pakati pa kusintha kwa kusamba kwa thupi, mayi amakhala ndi zovuta zakuchepetsa mayendedwe a estrogen monga thukuta usiku, kutentha kwambiri komanso kuuma kwa nyini kumachepetsa chilimbikitso chogonana ndikuyendetsa. Kuchepetsa testosterone yokhudzana ndi zaka (osalumikizana kwenikweni ndi kusamba kwa thupi) kungachepetsenso chilakolako chogonana mwa azimayi azaka zopitilira 45 ', adatero Dr Darshan Jayanth.

Sikuti Zimangokhala Zakuthupi — Zili Maganizo Komanso Maganizo!

Mosiyana ndi kulephera kwa erectile mwa amuna, kutaya chilakolako chogonana mwa akazi kumachitika chifukwa cha zifukwa zosiyanasiyana (kuphatikiza zinthu zamaganizidwe ndi zakuthupi), zomwe sizingagwiritsidwe ntchito ndi mankhwala ^{[4] [6]} .

'Kugonana kwa akazi kumakhala kochulukirapo komanso kosavuta', adatero Sheryl Kingsberg, wama psychologist ^[7] .

Kafukufuku wagogomezera gawo lalikulu lomwe limachitika pakusamba, komwe mzimayi amasintha pamaganizidwe omwe amathandizira kukanika kugonana. Malinga ndi kafukufuku ku Endocrinology & Metabolism Clinics aku North America, kulephera kwa azimayi kuwonjezeka ndi ukalamba ndipo kumanenedwa kwambiri mwa azimayi otha msinkhu.

Zotsatira zake, kuthupi monga kuuma kwa nyini komanso kusintha kwa maestrogen sikungopangitsa kusintha kwamthupi mwa mkazi komanso kusintha kwamaganizidwe, komwe kumakhudza kusinthika. Izi (kapena zosintha) zitha kupangitsa mkazi kuganiza kuti ndi wotsika kuyendetsa zachiwerewere akuyambitsa mavuto muubwenzi wake ndi mnzake, zomwe zitha kukulitsa vuto ^{[8] [1]} .

Kubwezeretsanso Chilakolako Mwa Akazi!

Kuchita zachiwerewere kapena kutsitsa chilakolako chogonana ndi msinkhu mwa akazi sichinthu chomwe munthu ayenera kukhala nacho kwamuyaya. Sikoyenera kuti munthu avomere kusowa kwa chilakolako chogonana popeza pali njira zosiyanasiyana monga chithandizo chamankhwala ndi upangiri zomwe zingathandize kukonza vutoli ndikupezanso chilakolako chogonana ^[9] .

Zina mwazinthu zomwe zimathandiza ndi izi ^[10]

• chithandizo chogonana kapena upangiri waubwenzi,
• kusintha mankhwala kapena kusintha mlingo (ngati kusowa kwa chilakolako chogonana kumayambitsidwa ndi mankhwala),
• kuthana ndi zovuta zamankhwala,
• kugwiritsa ntchito oestrogens kumaliseche, ndi
• mankhwala a testosterone.

1. [1]Bachmann, G. A., Leiblum, S. R., Sandler, B., Ainsley, W., Narcessian, R., Shelden, R., & Hymans, H. N. (1985). Ma Correlates azakugonana mwa amayi omwe atha msambo. Maturitas, 7 (3), 211-216.
2. [ziwiri]Brotto, L. A. (2017). Njira zochiritsira zokhudzana ndi chilakolako chogonana mwa akazi. Malire mu neuroendocrinology, 45, 11-17.
3. [3]Simon, J. A., Kingsberg, S. A., Goldstein, I., Kim, N. N., Hakim, B., & Millheiser, L. (2019). Kuchepa kwa Amayi Kutenga Flibanserin ya Hypoactive Sexual Desire Disorder (HSDD): Kuzindikira Momwe Mungapangire. Ndemanga zamankhwala ogonana.
4. [4]Goldstein, I., Kim, N. N., Clayton, A.H, DeRogatis, L. R., Giraldi, A., Parishi, S. J., ... & Stahl, S. M. (2017, Januwale). Matenda okhudzana ndi chilakolako chogonana: International Society for the Study of Women Sexual Health (ISSWSH) kuwunika kwa akatswiri pazogwirizana. M'machitidwe azachipatala a Mayo (Vol. 92, No. 1, pp. 114-128). Zowonjezera.
5. [5]McCabe, M. P., Sharlip, I. D., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., ... & Segraves, R. T. (2016). Matanthauzo azovuta zakugonana mwa amayi ndi abambo: mawu ogwirizana ochokera ku Fourth International Consultation on Sexual Medicine 2015. Buku la zamankhwala ogonana, 13 (2), 135-143.
6. [6]Salvatore, S., Nappi, R. E., Parma, M., Chionna, R., Lagona, F., Zerbinati, N., ... & Leone Roberti Maggiore, U. (2015). Ntchito yogonana itatha laser yaying'ono yaying'ono ya CO2 mwa amayi omwe ali ndi vulvovaginal atrophy. Chikhalidwe, 18 (2), 219-225.
7. [7]Akazi Amathanzi. (nd). Kuchokera ku https://www.healthywomen.org/about-us/medical-expert/sheryl-kingsberg-phd
8. [8]Achilli, C., Pundir, J., Ramanathan, P., Sabatini, L., Hamoda, H., & Panay, N. (2017). Kuchita bwino ndi chitetezo cha testosterone wodwalayo mwa azimayi omwe atha msinkhu omwe ali ndi vuto lachiwerewere: kuwunika mwatsatanetsatane ndikuwunika meta. Kuchuma ndi kusabereka, 107 (2), 475-482.
9. [9][Adasankhidwa] Cappelletti, M., & Wallen, K. (2016). Kuchulukitsa chikhumbo chakugonana kwa akazi: kuyerekezera mphamvu ya estrogens ndi androgens. Mahomoni ndi Khalidwe, 78, 178-193.
10. [10]Clayton, A.H, Goldstein, I., Kim, N. N., Althof, S. E., Faubion, S. S., Wophunzitsidwa, B. M., ... & Davis, S. R. (2018, Epulo). International Society for the Study of Women Health Health process ya chisamaliro cha kasamalidwe kazovuta zakugonana mwa akazi. Mu Mayo Clinic Proceedings (Vol. 93, Na. 4, tsamba 467-487). Zowonjezera.

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