Matenda a shuga ndi potency mwa amuna - kodi zonse ndi zoipa?

Munkhaniyi muphunzira:

Amadziwika kuti ndi matenda a shuga pali zovuta ndi maso, impso, mitsempha, mtima, mwatsoka, mndandanda wautali kwambiri ukhoza kupezeka. Koma ntchito ikasokonekera ndi iti kumene? Monga lamulo, mwa bambo, matenda ashuga amayamba ndi kuwonongeka kwa potency, nthawi zambiri sikuti endocrinologist amayankha nkhaniyi.

Kutsika kwa potency kapena kukomoka kwa erectile ndikuphwanya kwa kugonana kwa amuna omwe sangathe kukwaniritsa kapena kusungitsa erection yokwanira kugonana. Vutoli limakhala kuzindikira ngati litatenga miyezi isanu ndi umodzi.

M'mbuyomu, liwu loti "kusabala" linali kugwiritsidwa ntchito kutanthauza zinthu ngati izi, kutanthauza kuti kusabereka kwathunthu ndipo nthawi zambiri kumamveka ngati chiganizo choopsa. Kuyambira 1992, adaganiza zodzitcha kuti "erectile dysfunction."

Kuti tiyankhe funso ngati matenda ashuga amakhudza potency, timatembenukira ku ziwerengero zovomerezeka.

Mwa odwala onse omwe ali ndi vuto logonana, kuchuluka kwa amuna omwe ali ndi matenda ashuga kuposa 40%. Ndizowopsa kuti kuchuluka kwa potency ocheperachepera kukukulirakulira pakati pa odwala matenda a shuga ndipo zimakhala pafupifupi 70 zatsopano mwa odwala 1000 pachaka. Mwa amuna athanzi, ziwerengerozi zimaposa theka la anthu pafupifupi 24-27 pachaka.

Mwachisoni, chaka chilichonse amuna azaka zazing'ono amakumana ndi vuto lotere. Koma kodi zinthu zilibe chiyembekezo?

Kodi matenda ashuga amakhudza bwanji umunthu wa munthu?

Pafupipafupi kukula kwa erectile kukanika mu shuga kumadalira mwachindunji, makamaka zovuta metabolic.

Nthawi zambiri, kusabala kwa matenda ashuga 2 kumachitika pomwe:

chindalama chovomerezeka cha shuga
shuga wamagazi osagwirizana
kuphwanya mafuta kagayidwe.

Kuphatikiza pazomwe zimayambitsa "odwala matenda ashuga", palibe amene amaletsa zomwe zimadziwika kwa amuna onse omwe amakhudza kugonana.

Gome - Zomwe Zimathandizira Kuchepetsa kwa Potency

Amuna sathamangira kukauza adotolo za mavuto awo, oposa 90% a iwo amakonda kukhala ndi matenda mwakachetechete.

Masiku ano, ambiri aiwo atha kubwereranso kumoyo wogonana, chifukwa m'zaka zaposachedwa, mankhwala apita patsogolo kwambiri pothetsa vuto ili. Koma kuti muthane ndi vutoli, ndikofunikira kukhazikitsa chomwe chimayambitsa vutoli, kuti mupangitse matenda osiyanasiyana amisala. Izi zimafuna bambo kukhala woleza mtima, wosalankhula komanso wofunitsitsa kumaliza mayeso ndi mayeso onse.

Mukawunika momwe shuga imakhudzira mphamvu ya bambo, muyenera kuganizira kaye:

kudziwa matendawo
kukhalapo kwa zovuta.

Ngati ndi mtundu 2 wodwala matenda a shuga, kuchepa kwa potency kungakhale chizindikiro chachikulu cha matendawa, ndiye kuti ndi matenda amtundu wa 1, kuphwanya kawirikawiri kumachitika osati kale kuposa zaka zisanu kuyambira kumayambiriro kwa matendawa.

Pakadali pano, zifukwa zazikuluzikulu zomwe zimayambitsa matenda a shuga pa potency mwa amuna zimaphatikizapo izi:

zamaganizidwe
michereopathies,
endothelial dysmetabolism.

Komanso, neuronomic ya autonomic imachita mbali yofunika. Mwamwayi, ndizosowa mokwanira, chifukwa chake, sizimadzipatula ngati chifukwa chosiyana ndi zomwe zimapangitsa kuti kugonana kuzichitika.

Psychogenic chinthu

Ngati palibenso polyneuropathy, kusintha kwamitsempha m'maso ndi impso, koma kukanika kwa erectile kwawonekera, ndiye kuti ndizotheka kuti ndizosangalatsa.

Mnyamatayo adawerenga m'mabuku odziwika za zotsatira za matenda ashuga, adamva zokwanira "anthu odziwa" - ndikugwirizanitsa kulephera kwake kogonana, komwe kumatheka mwa bambo aliyense wathanzi, yemwe ali ndi matenda ashuga.

Pali mantha kuyembekezera kulephera kwatsopano, ndipo poyesanso kupitiliza kubwereza, chidwi chonse chimayang'ana pa izi, ndipo chifukwa chake, gawo la malingaliro lomwe limapangitsa kukula kwa vutoli limangokulira.

Mu gawo loyambirira la kusokonekera kwa erectile, nkhawa imachitika ndi kulephera pang'ono kapena mwangozi, ndiye kuti, pa gawo la "kusadalirika" m'malo mwa "kusatheka." Zotsatira zake, kukwaniritsidwa kwa ntchito zogonana muzinthu zotsatirazi ndizovuta.

Microangiopathy

Zosintha mu ziwiya zazing'ono kwambiri - ma capillaries - ndiye maziko a matenda onse a shuga. Ndizovuta zotere zomwe zimayambitsa matenda ashuga m'maso, impso komanso mtima. Zovuta izi ndizodziwika bwino.

Kusintha kofananako kumachitika m'matupi ogonetsa, kudziwa zomwe zimayambitsa kugonana.

Amuna

Gawo lina lowonjezera loyipa limaseweredwa ndi kuchuluka kwa cholesterol yamagazi "oyipa", omwe amakhalanso ndi matenda a shuga.

Endothelial dysmetabolism

Chifukwa chotsimikiziridwa kwambiri chachitukuko cha kukokoloka kwa erectile chikugwirizana mwachindunji ndi dera la endothelium - zingwe zamkati zamatombo.

Chotengera

Panthawi yogonana, maselo a penile endothelial amatulutsa nitric oxide (NO). Pulogalamuyi imayamba mndandanda wazinthu zamitundu mitundu, chifukwa chomwe chinthu chokhala ndi dzina lovuta - cyclic guanosine monophosphate (cGMP) amapanga matupi amipango.

Pulogalamuyi imapangitsa kupumula kwa minofu ya minofu ndikuwonjezera kutuluka kwa magazi, kotero erection imachitika.

Munthawi yomweyo ndikupanga cGMP, phula lina lofunikira kwambiri pamenepa limapangidwa - mtundu wapadera wa 5 phosphodiesterase (PDE-5). Imawononga cGMP motero imayang'anira ntchitoyo ndi nthawi yayitali.

Chosangalatsa: Udindo wa nitric oxide mu mtima pathology ndi wovuta kwambiri. Chifukwa cha mphamvu ya mamolekyu awa m'makoma amitsempha yamagazi (kuphatikiza kukhazikika kwa erectile dysfunction) mu 1998, asayansi atatu adalandira mphotho ya Nobel mu Mankhwala ndi Physiology.

Kuyanjana kwa shuga wambiri ndi cholesterol yamagazi yochepetsedwa ndikupanga nitric oxide kwakhazikitsidwa. Nthawi yomweyo, matenda a shuga amawonjezera kapangidwe ka phosphodiesterase. Ili ndiye tanthauzo la endothelial dysmetabolism mu shuga.

Kodi mungachotsere kusabala kwa shuga?

Choyamba muyenera kudziwa kuti ndi dokotala uti amene akuthana ndi nkhaniyi. Popeza vutoli ndi lovuta komanso limatulutsira, madokotala aumisiri osiyanasiyana amathandizana nawo - ma urologist, endocrinologists, neurologists, psychiatrists.

Zimachitika kuti kuchezera kwa urologist - pofuna kupewa kapena matenda otupa mu mkodzo - kumathandiza kuzindikira kusokonezeka kwa maliseche. Ndipo kudziwa zifukwa izi nthawi zambiri kumapereka zifukwa zotengera wodwalayo kwa endocrinologist. Ndipo pokhapokha zimapezeka kuti potency wosavutikayo ndi chifukwa cha shuga wautali waukali, womwe wodwalayo samadziwa nkomwe.

Kuyesedwa kwa odwala omwe ali ndi vuto la erectile ali ndi izi:

Kukhazikitsa njira zopangira kukokoloka kwa erectile,
chizindikiritso chothandiza.

Zambiri zomwe zalandira kuchokera kwa wodwala zokhudzana ndi vuto lakelo ndizofunikira kwambiri.

Mukamaliza mayeso onse, mutha kudziwa kuti pali matenda oyamba. Dokotala amayenera kuyankha funso la momwe angakulitsire potency mu shuga. Kudziyendetsa nokha kuti musakhale ndi vuto la matendawa nthawi zambiri sikuthandiza, pomwe mutha kuphonya nthawi, ndiye kuti chithandizo chimakhala chovuta.

Ngati kuphwanya kwa ntchito zogonana sikunayambike chifukwa cha malingaliro, vutoli lipita patsogolo (izi zitha kuwonetsedwa ndi kuchepa kapena kusakhalapo kwa nthawi ya usiku ndi mamawa).

Pakadali pano, pali njira zambiri zothandizira kuchiza kukokoloka kwa erectile.

Mulimonsemo, kukwaniritsa zofunika za shuga m'magazi ndiye koyamba komanso kofunikira. Pankhani ya chithandizo cha kusabala kwa mtundu 2 shuga mellitus, ndikofunikira kukambirana kachiwiri ndi adokotala kuperekedwa kwa kukonzekera kwa piritsi kuti muchepetse shuga ndi cholesterol. Mwina ena mwa iwo amakhudza potency, ndipo amafunika kusinthidwa.

Njira zochizira pazaka 10 zapitazi zasintha kwambiri. M'mbuyomu, adagwiritsa ntchito njira zopangira opaleshoni, zomwe tsopano zachitidwa kachiwiri. Tsopano kusankha kwa mankhwalawa pofuna kuthana ndi zovuta za potency mu shuga mellitus ndi PDE-5 inhibitors, ndiye kuti, mankhwala omwe amachepetsa ntchito ya enzyme phosphodiesterase, omwe nawonso "amatha" kuwongolera.

Mankhwalawa (Viagra, Levitra ndi ena) ndi othandiza kwambiri, amalekeredwa bwino ndi odwala. Zimawonjezera zachirengedwe zakugonana motsutsana ndi kusunthika kwa kugonana.

Nthawi zina, mphete za constentor ndi chithandizo chothandiza. Nthawi zambiri amagwiritsidwa ntchito ngati chithandizocho popewa phukusi la vacuum ereters. Kuchitapo kanthu ndikupanga kuponderezedwa kwakanthawi, komwe kumapangitsa magazi kulowa m'magulu oyandikana ndi zofewa. Ndi matenda a shuga, mankhwalawa ndi othandiza kwambiri.

Chifukwa chake, vuto la kusowa pogonana pakadali pano ndilofunika kwambiri. Komabe, milandu yambiri imasiyidwa popanda chidwi kuchokera kwa madotolo ndi odwala omwe.

Pali upangiri umodzi wokha - kwa iwo omwe mavutowo adawonekera pawokha - kuti athe kutsimikiza ndi kukaonana ndi dokotala. Posachedwa bwino!

Matenda a shuga ndi kusabala. Timathetsa mavuto ndi potency mwa amuna

Amuna ambiri omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 amakhala ndi vuto la potency. Ofufuzawo akuti shuga imawonjezera vuto la kusokonekera kwa erectile katatu, poyerekeza ndi amuna amsinkhu womwewo omwe ali ndi shuga wabwinobwino. M'nkhani ya lero, muphunzira za njira zoyenera zothandizira odwala omwe ali ndi matenda ashuga.

Mavuto a Potency chifukwa cha matenda ashuga - mankhwala amatha kuthandizadi! Momwe mungachiritsire kusokonekera kwa erectile mu shuga - onani mu nkhani yathu.

Zomwe zimayambitsa zovuta za potency mu shuga zingakhale zambiri, ndipo adokotala amawazindikira pamodzi ndi wodwalayo. Mndandanda wawo ukuphatikizapo:

kuchuluka kwamitsempha yamagazi yomwe imadyetsa mbolo,
diabetesic neuropathy - kuwonongeka kwa mitsempha yomwe imayendetsa erection
kuchepa kwa mahomoni ogonana,
kumwa mankhwala ena (ma antipsychotic, antidepressants, osasankha-beta-blockers),
kusazindikira kwamalingaliro.

Kuti erection ichitike, muyenera kupopa pafupifupi 100-150 ml ya magazi kulowa mu mbolo, kenako ndikutchingira kutuluka kwake kuchokera pamenepo mpaka kumapeto kwa kugonana. Izi zimafunikira ntchito yabwino yamitsempha yamagazi, komanso mitsempha yomwe imayendetsa njirayi. Ngati matenda ashuga sawalipira bwino, ndiye kuti, shuga amayamba kukwezedwa kwambiri, ndiye kuti amakhudza mitsempha ndi mitsempha ya magazi, motero umakulitsa mphamvu yaimuna.

Glycation ndimomwe ma glucose amaphatikizira ndi mapuloteni. Mokulirapo kuchuluka kwa shuga m'magazi chifukwa cha matenda ashuga, mapuloteni ochulukirapo amachitika motere. Tsoka ilo, kukomoka kwa mapuloteni ambiri kumayambitsa kusokonekera kwa magwiridwe awo. Izi zikugwiranso ntchito m'mapuloteni omwe amapanga mitsempha ndi makhoma a mitsempha yamagazi. "Zipangizo za kumapeto kwa glycation" zimapangidwa - zoyipa za thupi la munthu.

Pazidziwitso zanu, erection imayendetsedwa ndi autonomic mantha system. Autonomous - zikutanthauza kuti imagwira ntchito popanda kutenga gawo la chikumbumtima. Kachitidwe kamodzimodzi kamayang'anira kupuma, kugaya, mtima, mtima, kamvekedwe ka mitsempha yamagazi, kupanga mahomoni ndi zina zambiri zofunika zofunikira m'thupi.

Chifukwa chiyani tikulemba za izi apa? Ndipo, ngati zovuta za potency zibwera chifukwa cha matenda ashuga, ndiye kuti izi zitha kukhala chizindikiro choyambirira choti mavuto omwe akuopseza moyo posachedwa awonekera. Mwachitsanzo, kugunda kwa mtima. Zomwezo zimapita kukakomoka chifukwa cha kukokoloka kwa mitsempha ya magazi. Ndi chizindikiro chosadziwika bwino cha zotengera zomwe zimadyetsa mtima, ubongo ndi miyendo yam'munsi. Chifukwa chakutseka kwa ziwiya zamtunduwu, kugunda kwa mtima ndi stroko kumachitika.

Mu 30-35% ya anthu odwala matenda ashuga omwe amapita kwa dokotala zamavuto apafupi, amawonetsa kuchepa kwamahomoni ogonana, makamaka testosterone. Panthawi imeneyi, kawirikawiri sikuti mphamvu zimatha, komanso kugonana kumazirala. Mwamwayi, vutoli limatha kuchiritsidwa. Kuphatikiza apo, kubwezeretsa kwachilengedwe kwa mahomoni ogonana m'thupi sikungobwezeretsa nyonga zamphongo, komanso kudzakhala bwino.

Njira yayikulu yodziwira kufooka kwa amuna mu matenda ashuga ndi kusaka zidziwitso pogwiritsa ntchito mafunso, komanso kutumizira wodwala mayeso ndi mayeso. Mwinanso, adotolo angafotokozere zodzaza mafunso apadera kapena ochepa pakafufuzidwe kamwa.

Dokotala adzakhala ndi chidwi chofuna kudziwa kuchuluka kwa shuga m'magazi, mwachitsanzo momwe shuga imalipidwira bwino. Dziwani shuga wanu wamagazi pano. Ngati zovuta za matenda a shuga m'm impso zayamba kale, kupenya kwamphamvu, wodandaula akudandaula za mtima, komanso kuwonongeka kwa matenda ashuga kuwululidwa, ndiye kuti, mavuto okhala ndi potency amayambitsa "thupi". Ngati "chidziwitso" cha matenda a shuga ndi chaching'ono ndipo thanzi lonse ndilabwino, ndiye kuti kukayikira kwamalingaliro kumatha kukayikiridwa.

Kuti mudziwe momwe zotengera ziwiya zomwe zimadyetsa magazi a mbolo, kusanthula kwa ultrasound kwachitika. Izi zimatchedwa dopplerografia zombo za corpora cavernosa. Kafukufuku wodziwika bwino wa pharmacodiagnostic amathanso kuikidwa. Chofunikira chake ndikuti jakisoni wa mankhwala amene amabweza m'mitsempha yamagazi amalowetsedwa mu mbolo ndipo amayang'ana kuti awone ngati pali kupanga.

Ngati mwayikiridwa kuti mupeze kafukufuku wopezeka mu mankhwala osokoneza bongo, onetsetsani kuti zachitika pogwiritsa ntchito prostaglandin E1. M'mbuyomu, papaverine kapena kuphatikiza kwake ndi phentolamine amagwiritsidwa ntchito pazolinga izi. Koma regimens yomwe ili ndi papaverine nthawi zambiri imayambitsa zovuta, ndipo tsopano ndikulimbikitsidwa kuisintha ndi prostaglandin E1.

Pambuyo pakuphunzira mozama mankhwala opatsirana, wodwala amayenera kuyang'aniridwa ndi adokotala mpaka erection itayima. Chifukwa pali mwayi wokulira kukhazikika - Apa ndipamene kukonzekera kumatenga nthawi yayitali ndikupweteka. Mwanjira iyi, jekeseni wina wa mankhwalawa amapangidwa, omwe amachepetsa ziwiya.

Nthawi zina maphunziro amachitidwanso ndi kuwongolera kwa ma pulps kudzera mu ulusi wamanjenje womwe umawongolera mbolo. Ngati chithandizo cha opaleshoni yamavuto a potency chikuganiziridwa, angiography ya penile ikhoza kutumikiridwa. Izi zikutanthauza kuti wosemphana ndi mnzake amalowetsedwa m'magazi, kenako x-ray imatengedwa.

Ngati bambo apita kwa dotolo ndikudandaula za kuchepa kwa mphamvu, ndiye kuti mayeso otsatirawa akhoza kulembedwa:

magazi testosterone
luteinizing timadzi
timadzi tokoma tosangalatsa,
mtima wamavuto azovuta (cholesterol "chabwino" ndi "yoyipa", triglycerides, lipoprotein A, homocysteine, fibrinogen, protein-C yogwira ntchito),
creatinine, urea ndi uric acid m'magazi - kuyang'ana ntchito ya impso,
mayeso a chithokomiro cha ntchito (choyambirira,, T3 yaulere),
glycated hemoglobin - kudziwa mtundu wa mankhwala a shuga.

Ngati pali chithunzi cha kuperewera kwa mahomoni ogonana (ichi chimatchedwa hypogonadism), koma mayesowo adawonetsa mulingo wabwinowo wa testosterone, ndiye kuti mulingo wa globulin womwe umamangiriza ma steroids ogonana umatsimikizidwanso. Izi ndizofunikira kuwerengera mulingo wa testosterone yaulere m'magazi.

Choyamba, ziyenera kutsimikiziridwa ngati mavuto omwe ali ndi potency amayamba chifukwa cha zamaganizidwe kapena thupi. Ndi kusokonezeka kwa malingaliro, milandu yodziyimira yokha imapitilira, makamaka m'mawa.Zimachitika kuti mavuto ogona amadzuka ndi bwenzi limodzi. Ndipo zikangosintha, zonse zili bwino.

Kuperewera kwa matenda ashuga nthawi zambiri kumachitika m'zaka zoyambirira za matendawa, mpaka zotupa za mitsempha ya mitsempha ndi mitsempha yamagazi isanayambike. Mwa anyamata, kulephera kwachikondi kumachitika chifukwa cha zovuta mu ubale ndi wokondedwa kapena mantha. Kuphatikiza apo, bambo wodwala matenda ashuga amakhala ndi nkhawa yamaganizidwe omwe amathandizidwa ndi matenda ake.

Dokotala adzazindikira zenizeni zomwe wodwala amamwa ngati akudandaula kuti kufooka kwa potency. Takukumbutsani kuti zofowoka zakugonana zimayamba chifukwa cha:

antipsychotic
antidepressants
osasankha beta-blockers (m'badwo wakale).

Wofooka potency chifukwa kufalikira kwa mitsempha

Ngati pali zovuta zomwe zingachitike chifukwa cha matenda a atherosulinosis (kukalamba, matenda oopsa, kusuta, cholesterol yamagazi), ndiye kuti vuto la kukanika kwa erectile litha kukayikiridwa. Njira iyi, ndiyo njira yabwino koposa.

Ndi zofooka zogonana chifukwa cha kufalikira kwa ziwiya m'thupi, monga lamulo, palinso zovuta zina zonse kuchokera pamndandanda wotsatira:

matenda a mtima
ochepa matenda oopsa
odwala matenda ashuga phazi chifukwa cha kuzungulira kwa miyendo.

Njira yayikulu yothanirana ndi vuto la erectile mu shuga ndikuchepetsa shuga la magazi ndikusunga pafupi ndi zabwinobwino. Dotolo adzaumiriza kuti wodwalayo azichitira odwala ake kwambiri matenda ashuga, kuwapatsa nthawi ndi mphamvu. Ngati shuga m'magazi ngofanana, nthawi zambiri zimakhala zokwanira kubwezeretsa umuna.

Kusungabe kuchuluka kwa shuga m'magazi ndi njira yabwino kwambiri yothanirana osati ndi vuto la potency, komanso zovuta zina za shuga. Kugonana kumagwiranso ntchito chifukwa kuwonongeka kwamitsempha kumachepa ndipo zizindikiro za matenda am'mimba zimachepa.

Nthawi yomweyo, odwala matenda ashuga ambiri amadandaula kuti ndizosatheka kuchepetsa shuga kukhala yachibadwa. Chifukwa milandu ya hypoglycemia imayamba kuchuluka. Koma pali njira yeniyeni yochitira izi - ingodya zakudya zochepa. Yang'anani pa zakudya zomwe zili ndi mapuloteni komanso mafuta achilengedwe. Tikupangira zolemba zanu:

Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.

Amuna ogonana amuna amachapa

Ngati bambo alibe mahomoni okwanira mthupi lake, atha kupatsidwa mankhwala othandizira androgen. Dokotala angasankhe payekhapayekha kusankha mankhwalawo, muyezo wake komanso muyezo wake. Mankhwalawa amatha kukhala ngati majekeseni, mapiritsi kapena gelisi lomwe limayikidwa pakhungu.

Pa mankhwala, kuchuluka kwa testosterone m'magazi kuyenera kuyang'aniridwa. Kuphatikiza apo, kamodzi pa miyezi isanu ndi umodzi kudzakhala kofunikira kukayezetsa magazi kuti ayesedwe "chiwindi" (ALT, AST), komanso "chabwino" ndi "choyipa" cholesterol. Ndikumveka kuti androgen chithandizo chithandiza kusintha cholesterol. Potency iyenera kubwezeretsedwa mkati mwa miyezi 1-2 atatha chithandizo.

Amuna onse azaka zopitilira 40 ayenera kukhala ndi mayeso obwereza kamodzi pamiyezi isanu ndi umodzi ndi chimodzi, komanso kudziwa zomwe zili mu antigen ya antijeni mu seramu yamagazi. Amachita izi kuti asaphonye matenda a prostate. Androgen chithandizo chimapangidwa mosiyanasiyana ngati pali khansa ya prostate kapena chotupa chokhala ndi chotupa chachikulu cha infravesical.

Ngati kugonana kwa mwamuna kuvulala chifukwa cha matenda ashuga, ndiye kuti amamuika alpha-lipoic (thioctic) acid pa 600-1800 mg patsiku. Ichi ndichilengedwe chopanda vuto chomwe chimathandizira kwambiri ku neuropathy. Koma ngati chithandizo cha alpha-lipoic acid chayamba kumapeto kwa shuga ndipo wodwalayo sayesa kupangitsa kuti shuga asadwale, ndiye kuti kuthamanga kwambiri sikuyenera kuyembekezeredwa.

Tsopano nkhani yabwino. Ngati muphunzira kukhala ndi shuga m'magazi anu, ndiye kuti kukula kwa matenda ashuga sangathe, koma kumatha kwathunthu. Zingwe zam'mitsempha zimatha kuchira pomwe sizikhalanso ndi poizoni wamagazi. Koma zimatha kutenga zaka zingapo.

Izi zikutanthauza kuti ngati bambo ali ndi vuto lachiwerewere chifukwa cha matenda ashuga, ndiye kuti akuyembekeza kuchira. Tsoka ilo, ngati kufalikira kwamitsempha yamagazi kwawonjezera kuwonongeka kwa mitsempha, ndiye kuti mphamvu yodabwitsayi chifukwa cha kuphatikiza shuga siyingachitike. Zitha kuzindikirika kuti palibe njira zochiritsira popanda kuchitidwa opareshoni.

Dokotala, makamaka, ayamba kufunsa kuti ayese androgen mankhwala - mankhwala obwezeretsanso ena okhala ndi mahomoni ogonana amuna. Chifukwa sikuti amangokhala bwino potency, komanso amalimbitsa thanzi la mwamunayo kwathunthu. Ngati njirayi singathandize, ndiye kuti amodzi mwa mtundu wa 5 phosphodiesterase inhibitors (PDE-5) adalembedwa kale. Mndandanda wawo ukutsogoleredwa ndi Viagra (Silendafil Citrate) wotchuka.

Viagra imathandiza pafupifupi 70% ya amuna omwe ali ndi matenda ashuga. Samachulukitsa shuga m'magazi, koma zotsatirapo zoyipa zimawonedwa nthawi zina:

mutu
kusefukira kwa nkhope
matenda ammimba
masomphenya osalala, chidwi chowonjezereka pakuwala (kawirikawiri).

Mwamuna akamagwiritsa ntchito Viagra kangapo, thupi limazolowera, ndipo mwayi wazotsatira zoyipa zimachepa kwambiri.

Mlingo woyambira wabwino ndi 50 mg, koma mu shuga, mlingo wa Viagra ukhoza kupititsidwa mpaka 100 mg. Tengani pafupifupi mphindi 40-60 musanakonzekere zogonana. Mutamwa mapiritsi, kumatheka pokhapokha ngati mukugonana, "kulimbana" kumatha kupitilira maola 4-6.

Viagra, Levitra ndi Cialis: Mtundu wa 5 Phosphodiesterase Inhibitors (PDE-5)

Levitra ndi analogue wa Viagra, mwaukadaulo wotchedwa vardenafil. Mapiritsiwa amapangidwa ndi kampani yopanga mankhwala. Mlingo wokhazikika ndi 10 mg, kwa odwala shuga mungayesere 20 mg.

Cialis ndi mankhwala enanso a gulu lomwelo, lotchedwa tadalafil. Imayamba kuchitapo kanthu mwachangu, mphindi 20 pambuyo pa utsogoleri. Zotsatira zake zimakhala kwa maola makumi atatu ndi atatu. Cialis adatchedwa "mapiritsi a sabata," chifukwa mutatenga piritsi limodzi, mutha kupitiliza kugonana kuyambira Lachisanu madzulo mpaka Lamlungu. Mlingo wokhazikika ndi 20 mg, wokhala ndi matenda ashuga - kawiri kuposa.

Mankhwalawa onse sangatengedwe mopitilira katatu pa sabata, monga pakufunikira. Chepetsani mlingo wa zoletsa za PDE-5 ngati mukumwa mankhwala aliwonse kuchokera pamndandanda wotsatirawu:

HIV protease zoletsa
erythromycin
ketoconazole.

Zotsutsana pakugwiritsa ntchito Viagra ndi "abale" ake

Viagra, Levitra, Cialis ndi mankhwala ena ofanana amalembedwa kwa anthu omwe chifukwa cha thanzi amafunika kuchepetsa kuchita zogonana. Muzoopsa ziti zomwe mungatenge mtundu wa 5 phosphodiesterase inhibitors:

Pambuyo pachimake myocardial infaration - masiku 90,
angina wosakhazikika,
kulephera kwamtima II kapena kalasi yapamwamba,
phokoso losalamulirika la mtima,
ochepa hypotension (kuthamanga kwa magazi Rubric: Matenda a shuga)

Kulephera kwa matenda ashuga: zoyambitsa ndi chithandizo

Kuchepa kwa Erectile kwa munthu kumatanthauza kuti komwe kumayamba kukonzekera sikungatheke kapena pang'ono. Komabe, sangamalize kugonana kwathunthu ndikumaliza ndi kudukiza kwake. Poterepa, amalankhula za kuyamba kwa kusabala.

Erection yomwe imazimiririka zokha kenako nkubwereranso sili pansi kuzindikira kuti alibe mphamvu ndipo amakhudzana ndi mavuto amisala kutopay, machitidwe a mowa, nikotini kapena mankhwala osokoneza bongo.

Koma mulimonsemo, kusowa kwa erection, ngakhale kwakanthawi, kumakhala kupweteka kwa mwamuna aliyense, kumachepetsa moyo wake, chilakolako chogonana komanso kumabweretsa mavuto pamaubwenzi ndi wokondedwa.

Kulephera kumachitika pazifukwa zambiri, zomwe nthawi zambiri sizimadalira moyo ndi chikhalidwe cha amuna. Zikuwonekeranso motsutsana ndi chiyambi cha matenda ambiri chifukwa cha zovuta. Matenda a shuga ndi amodzi mwa matenda otere. Gawo lachinayi la theka lolimba lomwe limadwala matendawa lili ndi vuto lalikulu genitourinary dongosolo kunachepa kukonzanso ndi potency. Ngakhale zaka zawo sizingafike ngakhale zaka makumi atatu.

Nthawi zambiri pamakhalanso zochitika zotsutsana, bambo yemwe amatembenukira kwa katswiri kuti azindikire chomwe chikuchititsa kuchepa kwa potency, azindikire matenda ashuga chifukwa chawazindikira.

Izi sizoyambitsidwa ndi machesi. Pali zifukwa zambiri zomwe zimapangitsa kuti matenda ashuga amachepetsa mphamvu zachimuna ngakhale anyamata. Pofuna kupereka chithandizo choyenera chodwala matenda a shuga 2, dokotala ayenera kupeza ndi kukhazikitsa choyambitsa vutoli.

Kodi ndizomwe zimayambitsa kufooka kwa potency mu shuga?

Alipo angapo a iwo:

Chifukwa cha matendawa, mitsempha yamagazi ya munthu imataya mphamvu komanso kulimba, imawonongeka ndikuchepetsedwa kwa lumens, chifukwa chomwe magazi amachepa. Izi zimachitika ndi ziwalo za pelvic ndi mbolo. Kuti amalize kugonana mokwanira, umuna umafunikira mpaka 150 ml ya magazi. Pa nthawi ya matenda ashuga, misempha ya maliseche samalandira magazi ochuluka chotere. Zotsatira zake, kufooka kwakukulu kwa ntchito kwa erectile ndikotheka, ngakhale libido ilipo,
matendawa amagwirizana ndikuphwanya ntchito za endocrine system, zomwe zimapangitsa kuti asinthe muyezo wamathupi. Ma testosterone amamuna, omwe ali ndi vuto la erectile ndi drive drive, samapangidwa mokwanira ndi thupi. Mavuto otere amawonekera mu gawo limodzi mwa magawo atatu a anthu odwala matenda a shuga.
magazi osakwanira ku mitsempha yaubongo,
kuwonongeka kwa mitsempha yotsiriza ya dongosolo laumwini la autonomic, lomwe limayang'anira ntchito zoyambira - moyo, kupuma, chimbudzi komanso kupanga mahomoni. Zotsatira za kuwonongeka kwa masisitimu am'kati ndi autonomic mantha, kusabala kumachitika.
Pali zifukwa zambiri zoyenera kuopa. Kupatula apo, ngati kusokonezeka kwa mphamvu yakubala komanso kugwirira ntchito bwino kwamitsempha yamagazi, ndiye kuti chiwopsezo cha matenda a mtima kapena sitiroko m'tsogolo chifukwa chodwalitsa ziwalo zamwazi ndizopamwamba,
motsutsana ndi matendawo matenda, chifukwa cha mantha osalekeza, kupweteka, machitidwe ena a tsiku ndi tsiku ndi kadyedwe, wodwalayo amatha kukumana ndi zomwe zimatchedwa kuti kusokonezeka kwa malingaliro. Zimakhudzana ndi mavuto omwe amabwera ndi wokondedwa pakugonana, ndipo amawonetsedwa mwamwayi. Nthawi zambiri, zinthu zotere zimatha kuchitika pamene wokondedwa wasintha, pomwe woyimira kugonana mwamphamvu amakhala ndi chidaliro, kuiwala za zolephera zakale,
kumwa mankhwala. Pakati pawo pali mankhwala a anthu odwala matenda ashuga, ma antidepressants, ma antipsychotic amibadwo yakale.

Musanayambe chithandizo chakulephera kwa matenda ashuga, ndikofunikira kudziwa bwino chomwe chidayambira. Inde, kuphwanya malamulo kumayenderana ndi zinthu zambiri.

Ngati matendawa sanadziwonetse okha, matendawa ali pachiwopsezo choyambirira, ndiye kuti titha kunena kuti kusabala kumakhala kwachilengedwe. Ngati vuto la impso likugwira, machitidwe am'mtima komanso amanjenje apezeka, masomphenyawo amachepa, ndiye kuti amalankhula pazomwe zimayambitsa mawonekedwe a erectile dysfunction.

Kutolere kusanthula ndi diagnostics

Kuzindikira matenda a mtima ndi mitsempha yamagazi, kuyezetsa magazi kumachitika:

cholesterol
lipoprotein A,
Fukuyu
triglyceride
fibrinogen
C-yogwira mapuloteni.

Zotsatira za ntchito ya impso zimachitika mogwirizana ndi zomwe zili m'magazi:

Gland ya chithokomiro ikuyesedwa ndikuyesedwa mapuloteni a glycated.

Kuyesedwa kwa testosterone m'magazi, mahomoni ena amuna. Zikachitika kuti testosterone m'magazi ndiyabwinobwino, ndipo mulibe kuchuluka kwa mahomoni ena opangidwa, ndiye kuyesedwa kwa mapuloteni a globulin.

Kuti muwone momwe mitsempha yamagazi ndi capillaries ya cholembera idakhalira:

mbolo ultrasound,
intracavenous pharmacodiagnostic kuphunzira.

Onaninso kuthamanga kwa njira yodutsitsa mitsempha yomwe imayendetsa phallus. Dokotala wanu angafunenso lingaliro la penile. Ichi ndi X-ray, chomwe chimapangidwa ndi jekeseni wa sing'anga wosiyana ndi ziwongo ndipo amafunikira pakuchita opareshoni.

Kutengera ndi zotsatira za kafukufuku yemwe wachitidwa komanso chifukwa cha kuyankhulana ndi wodwalayo, adotolo amapereka chiyembekezo pazomwe zomaliza ndikupanga chithandizo cha kusabala kwa shuga.

Nthawi zambiri chithandizo cha kusabala kwamphamvu mu matenda a shuga chimatsika pochiza matenda omwewo. Mlingo wa shuga wamagazi umabwezeretseka - kukanika kwa erectile kumayimanso. Potency imabweranso mwachangu chifukwa chobwezeretsanso mitsempha yamagazi, kayendedwe kabwinobwino m'magazi, ndi neuropathy kuchotsedwa.

Momwe mungabwezeretsere potency mu shuga:

kukhala ndi shuga wokwanira,
samalani kwambiri ndi kunenepa kwambiri, sinthani mwachangu zakudya zanu kuti muchepetse thupi posachedwa,
kubwezeretsa kuthamanga kwa magazi ku milingo yoyenera. Nthawi yomweyo siyani ma beta-blockers omwe amachepetsa kugona kwa amuna,
sinthani mwachangu kuchuluka kwa cholesterol m'magazi, kudya komweko ndikothandiza pamenepa,
siyani kumwa mowa ndi chikonga nthawi yomweyo
kuthetseratu ndi kuchiza kwa matenda a neurosis, ovuta ndi opsinjika. Kwa izi, kuyenda tsiku lililonse mumlengalenga watsopano, kusintha boma masana, kusewera masewera ndi kusambira ndikwabwino. Mutha kugwiritsa ntchito ntchito zama psychotherapist, maphunziro apupuncture. Imwani njira yama psychotropic mankhwala - antidepressants, tranquilizer. Koma mosamalitsa pambuyo pokambirana ndi dokotala, popeza kumwa mankhwala akuluakulu ngati awa sikungathandize, koma kukulitsa vutoli ndi potency.

Ngati neuropathy yapezeka, alpha-lipoic acid imagwiritsidwa ntchito kubwezeretsa ulusi wamitsempha. Izi zimatha kutenga zaka zingapo.

Nthawi zambiri, pofuna kusintha mtundu wa mahomoni amphongo, katswiri amapereka mankhwala ngati mahiritsi, ma gels kapena mankhwala ena. Maphunzirowa amatenga mwezi umodzi kapena iwiri. Ngati sizikuyenda bwino, ndiye kuti wodwalayo amapatsidwa kumwa mitundu 5 ya phosphodiesterase inhibitors. Izi ndi mankhwala ngati Viagra, Cialis kapena Levitra. Kupititsa patsogolo kumabwera mu 70%. Maphunzirowa ndi miyezi ingapo, atengereni katatu pa sabata. Mlingo umachepetsedwa ngati wodwala atenga erythromycin, ketoconazole, kapena mankhwala ena ofanana.

Prostaglandin E1 imagwiritsidwa ntchito pamene chithandizo china sichikuthandizira. Zingwe zimapangidwira mwachindunji mu mbolo mphindi zochepa kugonana asanayambe, koma osati kangapo patsiku. Imakhala ndi chotupa cham'mimba, chomwe chimapangitsa kuti magazi azituluka.

Ngati sizotheka kuchiritsa kusabala kwa matenda a shuga, dokotala akufuna kuti athandize opareshoni yomaliza.

Cholinga cha ena mwa iwo ndikobwezeretsanso magazi ake potulutsa magazi. Cholinga cha ena ndimayendedwe kuti atsatire kapena kubwezeretsa erection ndi mphamvu yaimuna.

Kodi kubwezeretsa potency mu shuga? Ndikothekanso kugwiritsa ntchito njira zosakhala zachikhalidwe potengera zachilengedwe zachilengedwe ndi zinthu, limodzi ndi chithandizo chamankhwala, kufunsira kwa psychotherapist ngakhale kugwira ntchito. Zimathandizira kubwezeretsa potency chifukwa cha kuchuluka kwa magazi a tincture a adyo. Mutha kuphika nokha kunyumba, koma mutha kugula zomwe zatha ku pharmacy ndikuzitenga malinga ndi malangizo.

Kupanga testosterone yamunthu wamwamuna kumachuluka msanga ngati mumadya mtedza wambiri ndi uchi tsiku ndi tsiku. Ginseng tincture, yomwe imatengedwa pafupipafupi, imasintha zonse, imakula, imakulitsa mphamvu, komanso imakulitsa luso lobereka, zomwe zimakhudza umuna ndi kuchuluka kwa umuna wobisika.

Matenda a shuga ndi potency mwa amuna. Matenda a shuga ndi kusabala

Nthawi zina anthu odwala matenda ashuga a mtundu 1 ndi mtundu 2 amakumana ndi mavuto a potency. Madotolo amati matendawa amakhumudwitsa kusokonekera kwa erectile. Mwa abambo omwe ali ndi shuga omwe ali ndi chiwopsezo chambiri, chiopsezo chokhala osabereka ndi katatu. Lero tidziwa chifukwa chake shuga imakhudzanso potency ya abambo, ndikufotokozera njira zamankhwala.

Potency mu shuga amapezeka chifukwa cha izi:

Kumwa mankhwala osokoneza bongo omwe amakhudza kwambiri potency. Izi zimaphatikizapo ma antipsychotic, beta blockers ndi antidepressants.
Zotengera sizigwira ntchito bwino.
Mahomoni ogonana amapangidwa pamlingo wotsika.
Mitsempha yomwe imayambitsa kukonzekera amuna imawonongeka.

Chifukwa chakuthupi. Ngati matenda ashuga adayambitsa zovuta za impso, kutayika kwa mawonekedwe ndi kulephera kwa mtima.
Chifukwa chamalingaliro. Mkhalidwe waumoyo ndi wabwinobwino ndipo matenda ashuga amangoyambika. Zomwe zimatha kudwala matenda ashuga sizinkayenda bwino chifukwa cha zovuta zomwe munthu amakhala nazo.

Chithandizo cha kusabala kwa matenda a shuga - mayeso

Wodwala matenda ashuga ayenera kupimidwa kuti apatsidwe mankhwala othandiza:

Dopplerography yamitsempha yamagazi.
Kuphunzira mwachidwi.
Zolemba zazingwe za ziwalo zamphongo.

Ngati vuto la wodwala limatsika kwambiri ndi matenda ashuga, ayenera kuchita mayeso:

Onani hemoglobin wa glycated.
Kusanthula kwa lipoprotein A, triglycerides, fibrinogen ndi cholesterol.
Kuwona luteinizing timadzi.
Kuwunika kwa chithokomiro.
Phunzirani pa creatinine ndi uric acid. Kugwira ntchito kwa impso za wodwalayo kumayendera.
Kusanthula kwa ma follicle olimbikitsa ma follicle mwa amuna.

Nthawi zambiri mwa amuna omwe ali ndi matenda ashuga, gawo logona mtima limayamba. Kuphatikiza apo, wodwala matenda ashuga amatha kudzikayikira m'mawa. Nthawi zina mavuto amayamba chifukwa cha wokondedwa. Ngati zisintha, ndiye kuti "thanzi laimuna" lidzatha kuchira.

Gawo lamaganizidwe limawonekera kumayambiriro kwa matenda ashuga. Mwamuna amakhala ndi mantha komanso mantha kuti matendawa amasokoneza ubale wake wachikondi. Kuphatikiza apo, wodwala matenda ashuga nthawi zonse amaganiza za chithandizo cha matendawa ndipo sangapumulidwe ndikuwadodometsa.

Kumwa mankhwala a shuga nthawi zina kumatha kubweretsa vuto. Muyenera kufunsa dokotala, ndipo adzakuwuzani kuti ndi mankhwala ati omwe siabwino kwa inu. Nthawi zambiri zimavulaza:

Beta blockers kuchokera m'badwo wakale.
Ma antipsychotic.
Mavutowa alionse.

Popatula kugwiritsa ntchito mankhwala ena, mutha kuyiwala za mavuto omwe ali ndi potency.

Nthawi zina ndimavuto ndimitsempha yamagazi yomwe imayambitsa kusabala. Zimayendera limodzi ndi zina zowonjezera:

Matenda oopsa
Ischemia mumtima.
Matenda a matenda ashuga.

Chithandizo cha kusabala kwa matenda ashuga chimayikidwa ndi katswiri wodziwa bwino. Ngati mutsatira malingaliro ake onse ndi upangiri, ndiye kuti muyiwala za vuto losasangalatsa ndi thanzi la abambo.

Choyamba, muyenera kutsitsa index ya shuga ndikuibweretsera yachilendo.
Odwala ambiri amawopa kuti achepetse shuga kuti ateteze hypoglycemia. Komabe, ngati mumadya zakudya zochepa zamafuta ndikuwonjezera mapuloteni ndi mafuta athanzi muzakudya zanu, ndiye kuti palibe choopsa chilichonse.
Yesani kutsatira zakudya zamafuta ochepa.

Nthawi zina wodwala matenda ashuga samakhala ndi mahomoni okwanira m'thupi. Poterepa, adotolo atha kukupatsani chithandizo chakulephera kwa matenda ashuga ndi androgens. Katswiriyu ayenera kusankha mtundu wa mankhwala malinga ndi gawo la matenda ashuga komanso momwe wodwalayo alili. Anthu odwala matenda ashuga adzayikidwa payekhapayokha malinga ndi kuchuluka kwake komanso muyezo wake. Itha kukhala majakisoni, mapiritsi kapena minyewa yamthupi.

Madokotala amalangizira pa nthawi ya chithandizo chamankhwala kuti muwunikire kuchuluka kwa testosterone. Musaiwale kuti mumayezetsa magazi pafupipafupi ndikuyang'ana ALT ndi AST. Akatswiri akutsimikizira kuti ndi chithandizo choyenera, potency ibwerera pambuyo pa miyezi iwiri.

Kwa odwala matenda ashuga a zaka 40, muyenera kupita kukayezetsa miyezi isanu ndi umodzi. Poterepa, ndikofunikira kuyang'anira kuchuluka kwa antigen m'magazi. Ngati mukusowa izi, ndiye kuti chithandizo chamankhwala chimayambitsa matenda a prostate. Izi zimabweretsa khansa kapena chotupa.

Ngati dokotala wawululira odwala matenda ashuga mu mtima, ndiye kuti alpha-lipoic acid amawonjezeredwa pamankhwala. Katswiri adzakupatsirani mtundu wa mankhwalawo. Nthawi zambiri imachokera ku 600 mpaka 1800 mg patsiku. Acid ndi zachilengedwe kwathunthu komanso abwino pochiza neuropathy. Pakumapeto kwa matenda ashuga, muyenera kuyang'anitsitsa kuchuluka kwa shuga, apo ayi mankhwala omwe ali ndi acid sangakhale ndi zotsatira zabwino.

Ngati mutsatira malingaliro onse a dokotala, ndiye kuti lipoic acid imabwezeretsa minyewa yonse yam'mitsempha ndikuwongolera kubwerera potency.

Madokotala poyamba amayesa chithandizo cha androgen. Komabe, pazotsatira zoyipa, ndikofunikira kuti musinthe mankhwalawa ndi phosphodiesterases. Nthawi zambiri zotchulidwa ndi Viagra. Malinga ndi ziwerengero, imabwezeretsa potency mu 70 peresenti ya anthu odwala matenda ashuga. Izi siziwonjezera shuga motero sizivulaza thupi. Komabe, muyenera kuwonetsa zovuta zina za Viagra:

Kudzimbidwa.
Migraine yayikulu.
Kutaya kwamaso. Pamaso panga pali chifunga.
Magazi amathamangira kumaso.

Madotolo adziwa kuti kugwiritsa ntchito Viagra pafupipafupi, wodwalayo azolowere kuchitapo chake, osakumana ndi zotsatila. Poyamba, 50 mg ya mankhwalawa ndi mankhwala. Pambuyo pake, mlingowo ungakulitse mpaka 100 mg, kutengera mtundu wa wodwalayo. Gwiritsani ntchito Viagra ola limodzi musanayambe kugonana.

Levitra ndi chimodzimodzi mu Viagra. Amasankhidwa kukhala odwala matenda ashuga 20 mg asanagone.

Cialis ndi mankhwala ofanana omwe amagwiritsidwa ntchito pochiritsa. Dzina lake lachiwiri ndi tadalafil. Mankhwala akuchita kale mphindi 20 pambuyo makonzedwe. Mu matenda a shuga, madokotala amapereka 40 mg wa Cialis.

Akatswiri amalimbikitsa kumwa mankhwalawa osaposa katatu pa sabata. Muyenera kusintha mlingo wawo ngati mukumwa mankhwala ena, monga:

Analetsa pambuyo pa sitiroko kwa miyezi isanu ndi umodzi.
Ndi angina pectoris.
Panthawi ya matenda ashuga retinopathy.
Ndi thanzi lathanzi. Kupsinjika ndikupitilira 90/50.
Pambuyo myocardial infarction kwa miyezi itatu.
Ndi kuphwanya kawiri kawiri pamtima.
Ngati pakhala pali kuukira kwa angina pectoris panthawi yogonana.

Ngati chithandizo cha Viagra sichithandiza, gwiritsani ntchito jakisoni ndi prostaglandin E1. Tengani jakisoni mphindi 20 musanayambe kugonana.
Njira yayikulu kwambiri yothandizira anthu osabereka ndi kuchita opareshoni.
Musanagwiritse ntchito mankhwala aliwonse, funsani dokotala wanu ndikuphunzira mosamala zovuta zake.
Onjezani zakudya zoyenera ku chithandizo chilichonse. Chakudya chopatsa mphamvu chamafuta chimatha kusintha shuga komanso kuthana ndi kusabala msanga.

Tsopano mukudziwa kuti kuchuluka kwa matenda ashuga mwa amuna kumatha kugwa. Komabe, muyenera kupereka matendawo nthawi yomweyo, muzindikire zomwe zimayambitsa ndikuyamba chithandizo choyenera. Ndikofunikira kuti musawonetse zoyambira, koma kudalira katswiri waluso. Adziwitsanso kuchuluka kwa mankhwalawa ndikuwapatsa chithandizo choyenera. Wodwalayo ayenera kutsatira malangizowo momwe angathere, kuwunika zakudya komanso thanzi lake. Ndipo pakapita nthawi, thanzi la abambo lidzakhalanso lathanzi.

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Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.