- Svetlana yuryevna, kwenzekani ohlelweni lokudala ukubonisana kwabesilisa?
- Lolu hlelo lusetshenziswe ngokwengxenye ezifundeni zaseRussia, kepha akukho lutho oluvele eMoscow. Into esemqoka ayikanqunywa ukuthi ngubani okufanele enze impilo yabesilisa - endocrinologists, iziforologists, i-sexpopathologists, i-sexpopathologists? ...
- Njengoba ngikuqonda, okukhethekile okunjalo, njengodokotela we-andrologist (i-Andrology - Isayensi, efunda ama-anatomy amaduna kanye nemithambo yemvelo, izifo zesikhafu sokwelashwa kwabesilisa nezindlela zokwelashwa kwazo), akukaqhamuka eRussia? Ngemuva kwakho konke, sikuqeda ngokusemthethweni emuva ngo-1922 ...
- Ngeshwa, bekungenzeki ukubuyisa lokhu okukhethekile. Kuliqiniso, kwaqhamuka okhethekile "izinganekwane zezingane", kepha ziyazithola, izifo eziningi zangaphakathi zitholakala ukuthi zisephuze kakhulu. Futhi yini okufanele ukhulume ngayo! Futhi okufanele uhambe - amadoda awazi. I-Urologists Bona izinkinga ze-Prostate Gland, endocrinologists - i-thyroid ne-pancreas, ama-carcriologists - inhliziyo ukuguqula indoda nge-exycle dysfunction (ed) ngenxa yokwehla kweminyaka yobudala e-testosterone? Lo mbuzo ngisho nodokotela abayazi impendulo. Ukuxazulula izinkinga zempilo yabesilisa, sidinga ochwepheshe abaqeqeshiwe. Okwamanje, odokotela bahlala be-endocrinologist, ama-zologists, abelaphi - amakilasi ajulile, imfundo ekhethekile kanye nokukhethekile okuhlukile kuyadingeka - i-andrology.
- Iziphi izinkinga zempilo yabesilisa ezingabizwa ngokuthi zithandwa kakhulu?
- Okokuqala, ukuzala. Eminye iminyaka engama-50 eyedlule, ibithathwa njengethuluzi, isabelo sokungazalisi besilisa sabalwa ngamaphesenti ama-5% kuphela. Namuhla kungaphezu kwama-50%, ukuzala kwabesilisa kubusa! Kutholakala kabi futhi kuphathwe kabi. Emhlabeni bathi uma singasuki kule ndlela, maduze nje sizophindaphinda nge-eco. Inkinga ihlobene nokwehla kwekhwalithi nenani lesidoda. Ngonyaka ophelile, okwathi okwesihlanu ebukezwe inani lesethenjwa (akulona into evamile, kepha okutholakala kubantu abadala) ngenani lesidoda. Imiphumela iyadabukisa - inani le-spermatozoa lehlile laya ezigidini eziyi-15. Ngaphambi kokuthi kube yizigidi ezingama-20, kanti eminyakeni engama-50 edlule - izigidi eziyi-120! Ukuhamba kweSpermatozoa kwehle kusuka ku-50% kuya ku-40%, nekhwalithi yabo - kusuka ku-20% kuya ku-4%. Yile ndoda enempilo ephilile. Ngalezo zinkomba, ukukhulelwa kuzofika nobunzima obukhulu.
Ngo-1995, amadoda ayizigidi eziyi-152 emhlabeni ahlupheka kabi. Ngo-2025, njengoba inani labantu beplanethi livuma, inani labo lizokhula laba yizigidi ezingama-322.
- Yini exhunywe nayo?
- Ngicabanga ngesifo esibi kakhulu samadoda - ukukhuluphala. Iqiniso leSayensi - Ukukhuluphala Kwamadoda kuholela ekwehleni kokukhiqizwa kwe-testosterone. Futhi leli yi-hormone yabesilisa eyinhloko, ephendula hhayi kuphela ikhwalithi yempilo (okungukuthi, i-libido, iMicrosoft Mass, ukuzethemba), kodwa futhi nesikhathi sokuphila. Kwenziwe esifundweni saseMelika kufakazelwe: Abesilisa abanezinga eliphansi le-testosterone bukhoma okuncane!
Odokotela bomtholampilo wezempilo wabesilisa besilisa kanye nokuphila isikhathi eside kwalombhangqwana, ovule eMoscow ngoSepthemba, kwaqala incazelo yendoda ephilile. Okokuqala, le yindoda engenacala. Ngeshwa, ama-90% odokotela awazi ngisho nezindlela zokuxilongwa "ukukhuluphala", yize kungadingi ukuchitha imali yemali yemali. Ngokwehlukaniswa Kwezempilo Yomhlaba Wonke, ukutholwa "kokukhuluphala" kwenziwa yiwo wonke amadoda anawo okhalweni noma adlule ama-94 cm.
- Kubukeka sengathi izindinganiso zaseRussia zithatha inguqulo ebanzi kakhudlwana yamasentimitha ayi-104?
- Azikho izindinganiso zaseRussia. Uma sithi izwe lethu likhona phakathi kweYurophu nase-Asia, ngakho-ke okujwayelekile kufanele kube nesilinganiso phakathi kwama-European and Asia, namadoda ase-Asia abe namasentimitha angama-90!
Isici sesibili sendoda enempilo yindoda enesifiso futhi amathuba okulala ngokocansi komoya wokugcina. Ubudala akusona isithiyo sokwenza ngokocansi kwabesilisa. Isifiso sibonisa ukuthi yonke into ihlelekile nge-testosterone. Amandla okukwenza ukuya ocansini ngukuthi konke kuhlelwe ngemikhumbi. Yize kunjalo, izinkinga zokwakhiwa kwabesilisa ziqala iminyaka emi-3-5 nezinhlekelele ezingathi sína. Phambilini, odokotela babethathwa njengentshisekelo engafanele, njengendoda enomenzeki, manje udokotela wanoma yikuphi okukhethekile kumane nje uphoqelekile ukukwenza! Bangaphezu kuka-10% ababili ababili beza emtholampilo we-ECO kuphela ngoba amadoda awaphili impilo yobulili! Futhi cabanga ukuthi uyithinta kabi impilo yempilo yowesifazane?
Ingxenye yesithathu yezempilo ukuchama okujwayelekile, indoda enempilo ayivuki ebusuku ethoyilethi. Ngisho nokuntuleka kwezinkinga zokukhuluphala nezinkinga zomkhumbi akufaki ukuhlukanisa izinkinga nge-prostate gland.
Futhi isimilo sokugcina yindoda engenazinkinga zokulala.
- Ingabe akhona amadoda anjalo?
- Akayona. Kepha namhlanje siyakwazi ukubenza. Into esemqoka ukuthi le ndoda iphendukela kudokotela ngesikhathi. Ngemuva kwakho konke, kwanoma yiziphi izikhalazo ezisohlwini olungabhalwe ngenhla, izinkinga ezinkulu kakhulu zingafihlwa. Ngokukhuluphala - Isifo sikashukela Mellitus, ngemuva kokuchama ebusuku - I-Adenoma ngisho nomdlavuza wendlala yesinye, ngokwephula umdlandla kwenhliziyo - umfutho wenhliziyo ye-Ischemic, ukwehla kwesifiso - umvuthwandaba wesilisa. Kepha sinesisho esithi "Umuntu omuhle kufanele abe kakhulu", abantu abahlobene nokukhuluphala okukhulu, futhi ngasikhathi sinye ngokwehla kwamazinga e-testosterone, isimo esibucayi maqondana ngokwaso siyancipha. Izwe lidinga imitholampilo ye-interdisciplinary, lapho izazi ze-urocolog, ama-endocrinologists, abelaphi, ama-Cardiologists azosebenza. Kufanele sibuyele emthini wakudala waseSoviet, ama-conxylums, iqiniso lokuthi kubalulekile ukungaphatheki uphawu, kepha sonke isiguli. Kepha namhlanje akunjalo.
- Amanye amadoda anquma izinkinga ngokwazo - Thenga amaphilisi ukuthuthukisa ukwakhiwa, kwesinye isikhathi kwi-Intanethi. Kulungile?
- Uma bethenga futhi bayabasiza - hhayi bonke abalahlekile! Ngoba ngokwehla e-testosterone, le mithi ayisebenzi. Futhi uma kunesifiso sokuthatha ubulili - umuntu akaphili ngokuphelele impilo. Kepha uma ezozixazulula le nkinga ngokwakhe, ngaphandle kokususa isizathu sokuthi zibize, kungekudala kuze kube yilapho izidakamizwa zizofika lapho izidakamizwa ziyeka ukusiza. Imvamisa, ukuphazamiseka kokwakhiwa kwabesilisa kutholakala eminyakeni engu-3-5 emva kokuqala kwesifo sikashukela, futhi uma sonke isikhathi umuntu engalashwa, kungavela izinkinga ezinkulu zempilo. Ngokuvamile, izidakamizwa zokwelashwa kwe-ed zinhle kakhulu, siphinde sincome ngisho namadoda aphilile ukuthi azenzele ukuzihlola - ukuphuza ithebhulethi bese uhlola noma cha. Uma ngesizinda sokuthatha ithebhulethi kanye naso, kusho ukuthi konke kuhleliwe. Futhi uma kungcono ngethebhulethi - udinga ukubheka imbangela yokuwohloka komsebenzi wezocansi.