Mun tambayi masanin ilimin jima'i Yevgeny Aleksandrovich Kulgavchuk game da ko yana yiwuwa a daidaita alaƙar ciwon sukari da rashin ƙarfi, me yasa idan kuna da matsaloli, bai kamata ku jinkirta ziyarar zuwa ga bayanin furofayil ɗin ba, menene tasirin ilimin tunani na nazarin ɗakunan tattaunawar labaru za su iya bayarwa?
Wani sanannen masanin ilimin jima'i na Rasha, masanin ilimin psychotherapist Evgeny A. Kulgavchuk ya amsa tambayoyinmu masu mahimmanci game da lafiyar jima'i na maza da aka gano tare da cutar sukari, kuma ya faɗi yadda wannan cutar ke shafan alaƙar ma'aurata.
Diabethelp.org:Evgeny Aleksandrovich, mai yiwuwa yana cikin hadarin- wani mutum mai ciwon sukari na 1 ko na 2?
Evgeny Kulgavchuk: Alas, duka biyu za su faɗi. Sha'awar jima'i da damar (tare da banda raunin kwakwalwa tare da ɓangaren manic) an rage su cikin cututtuka da yawa. Sabili da haka, tare da nau'in 1 da 2 na ciwon sukari, matsaloli sun tashi a cikin ɓangaren ƙwayar cuta. Rashin lafiyar jima'i ya haɗa da raguwa a cikin tashin hankali, lalata jiki. Kuma waɗannan matsalolin an ambata su daidai daidai ga maza masu fama da ciwon sukari a kwatancen marasa lafiya tare da wasu cututtukan cututtukan fata.
Injin yana aiki irin wannan - akwai yanke ƙauna (raguwa a cikin mahimmanci) na sha'awar jima'i a kan asalin raguwar ingancin rayuwa da cututtuka masu alaƙa.
Koyaya, akwai bambance-bambance masu yawa tsakanin nau'in 1 da nau'in ciwon sukari na 2. Tare da karuwa mai yawa a cikin alamun bayyanar cutar sankara, 1 mutum, a matsayin mai mulkin, ba shi da lokacin jima'i kwata-kwata. A wani lokaci - tare da diyya da tsari na jima'i, musamman a farkon cutar, waɗannan matsalolin ba su da yawa. Amma ga maza masu ciwon sukari na 2, a nan mun lura, a matsayinka na doka, raguwa a hankali a dama da maza. Kiba a cikin waɗannan marasa lafiya yana rage testosterone, wanda ke da alhakin marmari da dama. A taƙaice, zamu iya cewa yawancin lokuta ana samun rikice-rikice na jima'i a cikin nau'in ciwon sukari na 2. A cikin nau'in 1 na ciwon sukari, cututtukan jima'i sun bayyana daga baya, kuma ba a faɗi su da yawa daga nau'in ciwon sukari na 2, tun da ciwon sukari na 1 wanda baya tare da hauhawar jini da kiba. Amma tare da kowane nau'in ciwon sukari na tsawon lokaci, kusan rabin marasa lafiya har yanzu suna fuskantar lalata ta hanyar jima'i.
Diabethelp.org:Da fatan za a gaya mana yadda ciwon sukari ke shafar lafiyar maza? A wane shekaru ne wannan cutar take da tasirin gaske?
E.K.: Za'a iya ƙirƙirar ɓarna da'ira a cikin haɗuwa iri-iri, alal misali: saukar da tuƙi - raguwa cikin azanci - lahani a cikin jijiyoyin bugun gini - rikicewar psychogenic rikice-rikice a cikin tsarin damuwa na rashin damuwa na rashin jima'i; nisantar halayya - lalata (raguwa a cikin ayyukan jima'i) - lalata - har ma da babbar asarar siffar - danniya kama - har ma da kiba mafi girma (tare da T2DM) da kuma raguwa mafi girma a cikin testosterone, raguwa a cikin ƙarfin makamashi da aikin motsa jiki, da sauransu. Yana da mahimmanci a nemi masanin ilimin jima'i a lokaci don "gudanar da kasancewa cikin layi."
Amma ga shekaru: tare da ciwon sukari 1 - Waɗannan samari ne waɗanda har yanzu suna da testosterone, amma ɓata lokaci na cutar da ji "don nawa ne" sau da yawa suna cutar da tunanin mutum da yanayinsa. Kuma bayan 40 tare da nau'in ciwon sukari na 2, an riga an sami raguwar tsufa da ke da alaƙa a cikin testosterone, wanda ƙwayar kiba ta ƙaruwa.
Diabethelp.org:Wadanne dalilai ne magance cututtukan jima'i a cikin ciwon sukari mellitus ba zai iya ba da sakamako mai kyau ba?
E.K.: Hanyar lalacewa ta rashin lafiya decompensated ciwon sukari ba aiki mai sauƙi ba, tunda mahimmancin tushen kwayoyin halitta na nau'in jima'i galibi ana shafar suMisali, lalacewar tsarin jijiyoyi a cikin hanyar ciwon sikila yana rage azanci da azzakarin glans yayin ma'amala, kuma namiji kawai ya daina jin macen ne kuma bazai iya sa yadu ba.
Wannan ya yi kama da gyaran mota, wanda injin da kansa ba zai iya samar da ƙarfin doki ba, duk da mai mai kyau. Mafi yawan isasshen manufa - wannan shine mafi girman diyya na mai haƙuri, "jan" zuwa matakin wanda har yanzu zai yiwu. Kuma da yawa ya dogara da yanayin - rama don ciwon sukari ne ko kuma tuni an saka shi.
Diabethelp.org:Menene marasa lafiya da ciwon sukari ke yawan yin gunaguni game da su?
E.K.: Irin waɗannan marasa lafiya suna koka da guda ɗaya kamar marasa lafiya ba tare da ciwon sukari ba, - rashi so, damuwa na rashin jima'i, rage tashin hankali. Wadannan matsalolin an riga an gano su a cikin hanyar bincike, tare da cikakken tarihi. Kuma a wasu lokuta na aika wasu marasa lafiya don bincika kaina, suna zargin ciwon sukari na 2. "Harshen likita" yana ba mu damar gano cututtukan haɗin kai, har ma da rikitarwa fiye da rikicewar jima'i. Masanin ilimin halayyar dan adam a cikin aikinsa yawanci yana amfani da ilimin ne a cikin ilimin urology, endocrinology, likitan mata, ilimin hauka.
Diabethelp.org:Yaya daidai ne masu amfani da hanyar sadarwar, waɗanda a cikin tattaunawa a cikin taro suna sanya alama daidai tsakanin cututtukan sukari da rashin ƙarfi, kuma ba su ba da shawara a haɗa rayuwarsu da wani mutum tare da kamuwa da cutar sankara ba?
E.K.: Cutar sankarau ba rashin ƙarfi bane. Ana iya kiyaye lafiyar maza. Tabbas, akwai ƙarin matsalolin kiwon lafiya, gami da masu jima'i. Koyaya, a cikin marasa lafiya da yawa na gudanar don biyan diyya shekaru da yawa. Na kasance a cikin sana'ar likitan halaye na ɗan shekaru 20, kuma tuni na sami ci gaba mai ban sha'awa a kan wannan batun: abin da ke aiki da abin da ba ya aiki. Yana da muhimmanci a nemi taimako akan lokaci.
Ina so in lura cewa idan kuna son mutum, to kun yarda da shi kamar yadda yake, ya zama naku, tare da cututtukansa ko kwatankwacinsa. Kuma idan ba ka ƙauna, to, ba kwa buƙatar aure shi, ba tare da la'akari da ko yana da ciwon sukari ba ko a'a.
Diabethelp.org:Menene mace ba ta kowane hali ba idan wanda aka zaɓa ya kamu da ciwon sukari yana da matsala da tashin hankali?
E.K.: Tsawatar da cewa bai jimre ba, baya so, da sauransu. Yin hakan na nufin kawo ƙarshen kashe shi. Ku yi imani da ni, shi da kansa yakan shirya shirye da fadi cikin ƙasa. Yi la'akari da cewa a wannan lokacin ana bincika ma'auratan don ainihin dangantaka. Abu ne mai sauki kauna yayin da babu matsala. Ofaya daga cikin marasa lafiya da ciwon sukari, lokacin da na nemi shi ya rubuta abin da ke cikin zuciyarsa lokacin da zazzabi ya faru, ya rubuta a matsayin aikin gida (marasa lafiya na riƙe ƙamus na lura da kansu, tunda yana da tasiri sosai a jiyya, gyaran halaye da salon rayuwa) "Mai lalata bege." Tabbas, jin daɗin ji da tsoro sun kara dagula lamarin, suna rage jan hankali har ma fiye da haka.
Diabethelp.org:Yadda za a nuna mace idan wanda aka zaɓa da ciwon sukari yana da matsaloli tare da tashin hankali?
E.K.: Abin da kuke buƙatar yi: zauna a hankali, magana game da menene matsaloli, kuma a matsayin ma'aurata masu ƙauna dole ne su warware su, kuma saboda wannan, akwai masu ilimin jima'i kawai. Kuma mutum ya yi ƙoƙari ya nemi shawara aƙalla, kada a ja shi, saboda matsalar ba za a iya warware matsalar ba, kuma a guji halaye ko ƙoƙarin matsananciyar "koma-baya" galibi hakan yana ƙara matsalar. Ba za mu yi shakka ba, lokacin da hakori ya ji rauni, tuntuɓi likitan haƙori? Kuma a nan kuna buƙatar kawar da babban wariyar ra'ayi kuma ku ɗauki mataki ta hanyar yin alƙawari don tattaunawa.
Diabethelp.org:Wadanne irin fahimta ba ku da ma'amala da maza masu ciwon sukari da kuma waɗanda suka zaɓa?
E.K.: Wancan "duk ya ɓace," kuma irin waɗannan imanin suna daga cikin waɗanda suka karanta bayanan saɓani a Intanet. Maimakon su zo ga cikakkiyar ganewar asali, wasu suna yin amfani da lokaci don karanta majalisun tattaunawa, yayin da mutane masu sauƙin ra'ayi kawai suna kara matsalar ta hanyar "ɓullo kansu", wanda ba lallai ba ne.
Diabethelp.org:Shin zan iya amfani da wasu nau'ikan saukad da abubuwan farin ciki / kayan abinci, magunguna da sauran kayan maye waɗanda ake siyar da su akan kantunan a manyan kantuna guda?
E.K.: Sau da yawa, abin da aka sayar ba tare da takardar sayan magani ba, yana da kyau, mafi kyawun sakamako, kuma idan yana da tasiri, to ƙarami ne. Sabili da haka, ana sayar da shi ba tare da takardar sayan magani da kuma takardar sayen magani ba. Amma wasu magungunan kwayoyi na iya zama haɗari, kuma raunin sarrafawa game da siyarwarsu na iya zama cutarwa. Ni ba mai tallafawa samfurori bane tare da sakamako wanda ba a sani ba tare da asarar lokaci mai mahimmanci, amma mafita ga matsalar tabbas. Ee, yana iya zama mafi tsada, amma sauri, kuma a ƙarshe yana da araha.
Diabethelp.org:Idan an kula da ciwon sukari sosai, wannan tabbacin ne cewa ba za'a sami matsalolin maza ba?
E.K.: Ee babu shakka waɗannan maza zasu iya samun nasarar jagorancin rayuwar jima'i na yau da kullun. Idan mai haƙuri ya ɗauki shirin "Lafiya na Maza", ba wai kawai muna gudanar da karatun da yakamata ba ne da kuma hanyar motsa jiki, harma yana ƙara ƙwarewar jima'i. Maza suna koyon jin daɗin matansu, ingancin wasan-gaba yana inganta sosai, kuma mata suna zama masu farin ciki.
Diabethelp.org:Wanene mafi kusantar neman taimako - mace ko namiji? Da fatan za a gaya mana game da mafi kyawun biyu.
E.K.: Kowace shari’a ta musamman ce, amma akwai lura da za a iya keɓance ta. Taimako, ko da a tsarin "domin wannan mutumin", ana yawan tambayar mata kamar yadda suke da hankali da kuma kula.
A cikin maza, a ƙarƙashin latsawar “ainihin mutum dole”, ana sa rai da damuwa game da cutar rashin nasara ta jima'i. Mutane suna ja da shawara sau da yawa ba kawai suna da matsala ba, har ma tare da babban damuwa game da wannan matsalar.
Na tuna wata ma'aurata da suka isa nacewar wata mace wacce ta sanar wa mijinta cewa tunda bai yi komai ba don inganta rayuwarsa ta watanni da yawa bayan yunƙurin da ta yi na tallafa masa da cewa, ko dai su je ga lauyan kashe aure ko kuma wani mai son jinsi. Mutumin ya nuna rashin jin daɗi, ya ɓace, amma har yanzu yana ƙaunar aure. Dangane da nau'in ciwon sukari na 2 na mellitus, cututtukan fata na rashin damuwa game da lalacewar jima'i, tashin hankali da rugujewar ƙasa sun bayyana.
Sun fara aiki: sun inganta halayyar, ƙara wani ɓangaren motsin rai ga ma'auratan, sun fitar da aikin kuma sun huta, sun dawo da bacci, sun daina munanan halaye (sigari, barasa), daidaita tsarin abincin, duk ma'auratan sun rasa nauyi. Sannan a hankali an mayar da bangaren na batsa, yayin da tuni aka kara wani fannin karatun, an zabi shirye-shirye. Wutar asuba ta fara gamsar da mai haƙuri da matar sa. Ya yi aiki da wani ɗan adam game da himmar matarsa (ya yi imani cewa matarsa a shirye ta rabu da shi, amma ya sami damar nuna cewa, akasin haka, ta yi imani da shi har zuwa ƙarshe, kuma wannan mataki ne na ɓacin rai), an ƙulla dangantakar, har ma da rayuwar jima'i. . Bayan shekara guda, ma'auratan sun rubuta wata wasika ta godiya kuma sun bayar da rahoton cewa suna tsammanin jariri. Irin wannan godiya suna ba da ƙarfi don yin aiki gaba.
