Ko Mukadzi WeBonde Dhiraivha Unodzikira Nezera? Zvinotaurwa neVanyanzvi

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Sezvo vakadzi vanokura, vanowanzoita bonde shoma uye chinhu icho munhu wese 'anoziva' kunyangwe vasingazive nezvesainzi mvumo shure kwayo. Zvidzidzo zvakasiyana siyana zvakaitwa pakutsvaga kukanganisa kwezera kumatambudziko epabonde mumadzimai uye vakasimbisa huwandu hwevakadzi vakatarisana nemhando yepabonde yekutyaira. ^[1] .

Kutyaira pabonde kwakadzikira mumadzimai hachisi chinhu chisingawanzoitika nekuti vakadzi vanodarika makumi mana muzana vanotarisana nenyaya iyi nezvikonzero zvakasiyana siyana zvine chekuita nazvo. Sekureva kweongororo yakaitwa pazera uye hutano hwepabonde kuvakadzi, zvakataurwa kuti huwandu hwevakadzi vanoita (zvakajairika) bonde hunodzikira nezera uye huwandu hwevakadzi vanofarira bonde mushure mekuguma kuenda kumwedzi hwakaderera.

Kurasikirwa kwechido chepabonde, mishonga inonzi sehupenzi hwekuita zvepabonde kusagadzikana (HSDD), iri kuramba ichiwanzoitika kune vakadzi pamusoro pezera re45, iro zera iro vakadzi vazhinji vanosvika kumwedzi. ^[piri] .

'Kune zvikonzero zvinoverengeka zvinoita kuti kutyaira pabonde kuderere kune vakadzi kana vakura. Ndokunge, apo maevhari akamira kuburitsa estrogen, iyo yemukati mhembwe inova yakatetepa uye inoguma neyakawedzera kusangana nekutsi kwemukadzi kuomarara, mhasuru toni, uye mafuta - izvo zvinozoguma nekukwezva kwepabonde kutora nguva yakawanda ', akadaro Dr Arya Krishnan, nyanzvi yezvekurapa yaBoldsky.

Kubuda Kwemwedzi Kunokonzera Kuderera Bonde Dhiraivha Mune Vakadzi

Zvinoenderana neongororo yakaburitswa mu'Menopause: Iyo Journal yeNorth American Menopause Society ', matambudziko ane chekuita nekuguma kuenda kumwedzi senge rinorwadza bonde uye kusangana nekutsi kwemukadzi kubuda zvinogona kukanganisa hukama hwepabonde hwemukadzi. ^{[3] [4]} .

Chidzidzo chakatarisisa, zvinhu zvakaita sekupisa kupisa, kukanganiswa kwekurara, kuoma kwemukadzi uye kusangana kunorwadza kuunganidza nzwisiso yakajeka yezvinorehwa nekumira kuenda kumwedzi uye kushomeka kwekuita bonde muvakadzi.

Chidzidzo ichi chakaratidza kuti, kunze kwezvinhu zvataurwa pamusoro apa, kunetseka kwemufananidzo wemuviri, kushushikana, kuzvivimba uye kuona kushuvira, shanduko yemamiriro uye nyaya dzehukama - 'mhedzisiro' yekumira kumwedzi inobatsirawo kudzikisira kuita bonde mune mukadzi pamusoro pezera. pamusoro pe45 ^[5] .

'Munguva yekumira kwekuguma kuenda kumwedzi, mukadzi anotambura nemitezo yemuviri yekudzikira kweserogen yakadai seanodikitira usiku, kupisa kunopisa uye kuoma kwechikadzi kunogona kudzikisira kukurudzira uye kutyaira. Kuderera kwe testosterone-zvine chekuita nezera (kusingaenderane zvakananga nekuguma kuenda kumwedzi) kunogona zvakare kuderedza chishuwo chebonde kuvakadzi vane makore ari pamusoro pe45 ', akadaro Dr Darshan Jayanth.

Haisi Yezvepanyama chete - Ipfungwa Uye Nepfungwawo!

Kusiyana nekusagadzikana kwe erectile nevarume, kurasikirwa kwechido chebonde muvakadzi kunokonzerwa nekuda kwezvikonzero zvakasiyana (mubatanidzwa wezvinhu zvepfungwa nezvemuviri), izvo zvisingakwanise kurapwa nekushandiswa kwemishonga ^{[4] [6]} .

'Zvepabonde zvevakadzi zvinowanzove zvakawanda uye zvakaomarara', akadaro Sheryl Kingsberg, chiremba wepfungwa wezvepabonde. ^[7] .

Zvidzidzo zvakasimbisa basa rakakura rinoitwa nekumira kuenda kumwedzi, uko mukadzi anochinja shanduko yepfungwa iyo inobatsira mukusagadzikana pabonde. Zvinoenderana neongororo muEndocrinology & Metabolism Makiriniki eNorth America, kusagadzikana kwepabonde kuvakadzi kunowedzera nezera uye kunotaurwa zvakanyanya mumadzimai ekumwedzi.

Nekudaro, izvo zvemuviri zvinhu senge kusangana nekutsi kwemukadzi kuoma uye shanduko mumatanho eestrogen anounza kwete chete shanduko yemuviri mumukadzi asiwo shanduko yemanzwiro, inokanganisa manzwiro. Izvi zvinhu (kana shanduko) zvinogona kumutsa mukadzi kuti afunge kuti zvakaderera bonde kutyaira iri kukonzera matambudziko muhukama hwake nemumwe wake, izvo zvinogona kuwedzera kukuvadza mamiriro acho ^{[8] [1]} .

Kudzosera Chido Kudzoka Mune Vakadzi!

Kuderera pabonde kutyaira kana kudzikisira chishuwo chezera nezera revakadzi hachisi chinhu munhu chaanofanira kugara nacho nekusingaperi. Hazvina basa kuti munhu agamuchire kushomeka kwechido chebonde sezvo paine matanho akasiyanasiyana senge ekurapa uye kuraira izvo zvinogona kubatsira mukuvandudza mamiriro uye kudzoreredza chishuwo chepabonde. ^[9] .

Mimwe yematanho anobatsira ndeaya ^[10]

• kurapwa pabonde kana hukama hukama,
• kuchinja mishonga kana kushandura iyo dosi (kana kushomeka kwechido chebonde kuchikonzerwa nemishonga),
• kugadzirisa mamiriro ekurapa,
• uchishandisa vaginal oestrogens, uye
• testosterone kurapa.

1. [1]Bachmann, G. A., Leiblum, S. R., Sandler, B., Ainsley, W., Narcessian, R., Shelden, R., & Hymans, H. N. (1985). Correlates echishuwo chevakadzi mune post-menopausal vakadzi. Maturita, 7 (3), 211-216.
2. [piri]Brotto, L. A. (2017). Zviratidzo-zvakavakirwa kurapwa kwechidzikisira chishuwo chevakadzi muvakadzi. Miganhu mueuroendocrinology, 45, 11-17.
3. [3]Simon, J. A., Kingsberg, S. A., Goldstein, I., Kim, N. N., Hakim, B., & Millheiser, L. (2019). Kurasikirwa nehuremu muVakadzi Vanotora Flibanserin yeHypoactive Zvepabonde Chido Disorder (HSDD): Nzwisiso Mune Anogona Matanho. Zvepabonde mishonga yekuongorora.
4. [4]Goldstein, I., Kim, N. N., Clayton, A.H, DeRogatis, L. R., Giraldi, A., Parish, S. J., ... & Stahl, S. M. (2017, Ndira). Hypoactive zvepabonde chishuwo kusagadzikana: International Society yeChidzidzo cheVakadzi Hutano Hwehutano (ISSWSH) nyanzvi yekubvumirana kwepaneru kuongorora. MuMayo kiriniki yekuenderera (Vol. 92, Nha. 1, mapeji 114-128). Elsevier.
5. [5]McCabe, M. P., Sharlip, I. D., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., ... & Segraves, R. T. (2016). Tsanangudzo dzekusangana pabonde kwevakadzi nevarume: chirevo chekubvumirana kubva kuChina Chekune dzimwe Nyika Kubvunzana nezveMishonga Yezvepabonde 2015. Iyo magazini yehutano hwepabonde, 13 (2), 135-143.
6. [6]Salvatore, S., Nappi, R. E., Parma, M., Chionna, R., Lagona, F., Zerbinati, N., ... & Leone Roberti Maggiore, U. (2015). Zvepabonde basa mushure mekutsemura microablative CO2 laser mune vakadzi vane vulvovaginal atrophy. Climacteric, 18 (2), 219-225.
7. [7]Vakadzi vane Hutano. (nd). Kudzorerwa kubva 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). Kubudirira uye kuchengetedzeka kwe transdermal testosterone mumadzimai ekumasopaopausal vane hypoactive bonde chishuwo kusagadzikana: yakarongeka ongororo uye meta-ongororo. Kubereka uye kusabereka, 107 (2), 475-482.
9. [9]Cappelletti, M., & Wallen, K. (2016). Kuwedzera chishuwo chevakadzi pabonde: iko kuenzanisa kugona kwemaestrogens uye androgens. Mahormone uye Maitiro, 78, 178-193.
10. [10]Clayton, A.H, Goldstein, I., Kim, N. N., Althof, S. E., Faubion, S. S., Akadzidziswa, B. M., ... & Davis, S. R. (2018, Kubvumbi). Sangano reInternational Society reChidzidzo cheVakadzi Hutano Hwehutano maitiro ekuchengetedza manejimendi ehupombwe chishuwo chirwere muvakadzi. MuMayo Clinic Proceedings (Vol. 93, Nha. 4, mapeji 467-487). Elsevier.

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