Funsani Katswiri: Mafunso omwe Simunadziwe Kufunsa Zokhudza Kugonana Mukatha Kusamba

Zamkati

• Kodi kusamba kumakhudza bwanji kugonana kwanga? Kodi zidzakhalanso zosiyana pambuyo pa kusamba?
• Nchiyani chimapangitsa kugonana kukhala kopweteka pambuyo pa kusamba? Kodi ndizotheka?
• Kodi kugonana kowawa mukatha kusamba kumafala?
• Kodi ndingatani ngati ndili ndi vuto lina lomwe limandipangitsa kuti ndizigonana mopweteka? Kodi zingawonjezeke ndikutha msambo? Kapena kukhala chimodzimodzi?
• Ndi mtundu wanji wamankhwala omwe amapezeka pogonana kowawa panthawi yakusamba?
• Kodi pali mitundu ina yamankhwala othandizira yomwe ingathandizire kusintha moyo wanga wogonana ndikatha kusamba?
• Ndimalankhula bwanji ndi wokondedwa wanga za zomwe ndikuyembekezere? Bwanji ngati ali ndi mafunso omwe sindingayankhe?

Kodi kusamba kumakhudza bwanji kugonana kwanga? Kodi zidzakhalanso zosiyana pambuyo pa kusamba?

Kutayika kwa estrogen ndi testosterone pakutha kwa thupi kumayambitsa kusintha kwa thupi lanu komanso kuyendetsa kugonana. Kuchepetsa milingo ya estrogen kumatha kubweretsa kuuma kwa nyini, kutentha, thukuta usiku, komanso kusinthasintha kwa malingaliro. Zitha kukhudza kudzutsa akazi, kuyendetsa, komanso kusangalala mthupi.

Nchiyani chimapangitsa kugonana kukhala kopweteka pambuyo pa kusamba? Kodi ndizotheka?

Kugonana kumatha kukhala kopweteka chifukwa cha kutayika kwa estrogen m'mimba yamkati. Pali kuchepa kwa magazi kumaliseche, komwe kumatha kuchepetsa mafuta. Kuchepetsa makoma anyini kumatha kubweretsa kuperewera, komwe kumapangitsa kuti nyini ichepetse komanso kuuma. Izi zimabweretsa zowawa panthawi yogonana.

Ndi vuto lofala, koma si amayi onse omwe amakhala ndi vuto louma ukazi. Kugonana pafupipafupi komanso ukazi kumatha kupangitsa kuti minofu ya kumaliseche ikhale yolimba, kuyambitsa magazi, ndikuthandizira kusunga kukhathamira.

Kodi kugonana kowawa mukatha kusamba kumafala?

Inde. Pafupifupi azimayi 10 pa 100 aliwonse ku United States amakhala ndi chilakolako chochepa chogonana. Adanenedwa m'maphunziro pamlingo wapa 12% pakati pa azimayi azaka zapakati, ndipo 7% mwa azimayi azaka zapakati pa 65 kapena kupitilira apo.

Kodi ndingatani ngati ndili ndi vuto lina lomwe limandipangitsa kuti ndizigonana mopweteka? Kodi zingawonjezeke ndikutha msambo? Kapena kukhala chimodzimodzi?

Mwina. Kutaya mahomoni kumatha kukhudza ziwalo zina za thupi.

Kutengera ndi zomwe zimayambitsa, kutayika kwa estrogen kumatha kukhudza dongosolo la genitourinary. Zotsatira zake, mutha kukhala ndi ma UTIs pafupipafupi, kapena kukumana ndi ziwalo zoberekera komanso kusadziletsa. Kutaya kwa estrogeni kumathandizanso kukulitsa zovuta zina zakumaliseche monga vaginitis, vulvitis, kapena matenda a ndere.

Ndi mtundu wanji wamankhwala omwe amapezeka pogonana kowawa panthawi yakusamba?

Pali njira zosiyanasiyana zomwe zingathandize kuthetsa zowawa zogonana.

Kugonana pafupipafupi kumapangitsa kuti amayi azikhala ndi thanzi labwino komanso kukhathamira powonjezera magazi. Mafuta ndi mafuta onunkhira monga KY ndi Replens amatha kupereka mpumulo panthawi yogonana.

Mankhwala ochiritsira amaphatikizapo ukazi wa estrogen, womwe umapezeka ngati kirimu, mphete ya amayi, kapena piritsi. Mtundu uwu wa estrogen umagwiritsidwa ntchito kwanuko kumaliseche komanso otetezeka kuposa mitundu yonse ya estrogen.

Mitundu yamlomo ya estrogen imaphatikizapo conjugated estrogens (Premarin) ndi estradiol (Estrace). Amapereka mpumulo wamachitidwe pazizindikiro zakutha kwa msambo. Kuopsa kwa mtundu uwu wa mankhwala muyenera kukambirana ndi dokotala. Estrogen imatha kuperekedwanso kudzera pa chigamba.

Mankhwala osagwiritsa ntchito estrogen omwe amalimbitsa makulidwe anyini amaphatikizapo ospemifene (Osphena), piritsi la tsiku ndi tsiku, ndi prasterone (Intrarosa), cholembera chobereka chobereka m'mimba mwa amayi.

Kodi pali mitundu ina yamankhwala othandizira yomwe ingathandizire kusintha moyo wanga wogonana ndikatha kusamba?

Soy estrogens, zitsamba zachilengedwe, ndi mafuta. Njira zina zomwe zingawongolere moyo wanu wogonana ndi monga kuchita masewera olimbitsa thupi, kugona maola asanu ndi awiri mpaka asanu ndi atatu usiku uliwonse, komanso kudya zakudya zoyenera. Kugonana ndi kusamala zatsimikizidwanso kukhala zopambana m'mabanja ambiri.

Ndimalankhula bwanji ndi wokondedwa wanga za zomwe ndikuyembekezere? Bwanji ngati ali ndi mafunso omwe sindingayankhe?

Kambiranani momasuka ndi wokondedwa wanu za momwe kusamba kumakukhudzirani. Ngati mukukumana ndi kutopa, kuuma kwa nyini, kapena kusowa kwa chikhumbo, kulumikizana ndi mnzanu kungathandize kuchepetsa nkhawa zanu pakugwira ntchito.

Uzani mnzanu zomwe zili zabwino komanso zopweteka. Yesani kukambirana za izi ndi dokotala wanu wamkulu kapena OB-GYN. Kuchepetsa kwa Libido komanso kugonana kopweteka ndizofala. Nthawi zambiri wothandizira zaumoyo wanu amatha kukuthandizirani kuchipatala. Mankhwala ndi njira zina zochiritsira zitha kuthandizira.