Szívbetegek és a szex

2014.03.18. - Írta: Csarnai Attila

Címkék: szex szívbetegség
Szívbetegek és a szex

Napjainkban a különféle szívbetegségben szenvedők körében egyre gyakoribb probléma a nem kielégítő szexuális élet, ami ugyanakkor tovább súlyosbíthatja a betegek állapotát. A krónikus szívbetegségek és a szexualitás közötti összefüggésről végzett vizsgálatot egy olasz orvoscsoport, amelyet dr. Massimiliano Basso, az olaszországi Savona kórház professzora vezetett.

Miért tartják fontosnak, hogy a kardiológusok a szívbetegek szexuális életével is foglalkozzanak?

Általános tapasztalat, hogy az orvosok a szívbetegek gyógyítása során a kezelésre, a fizikai aktivitásra, a diétára helyezik a hangsúlyt, s egy dologról alig-alig esik szó: ez pedig a szex. A betegek nem szívesen beszélnek szexuális életükről, s az orvosok sem fordítanak rá kellő figyelmet, noha egyértelmû, hogy az életminőség szempontjából jelentős szerepe van. A nyugati világban minden húsz férfi közül legalább egy szenved impotenciában, aminek a fő oka az előrehaladott kor, a cukorbetegség, a dohányzás, a magas vérnyomás, a fizikai aktivitás hiánya, vagy a hormonális zavarok. A szívbetegek körében ez az arány jóval magasabb, hiszen minden második beteg szexuális problémával küzd. Ennek pszichés háttere is van: a betegség által okozott depresszió és félelem tovább csökkenti a szexuális vágyat, ami kihat a partnerre is. Mindez ronthatja a beteg állapotát és életminőségét. 

Milyen körben végezték el a vizsgálatot, és konkrétan milyen eredményekre jutottak?

A tanulmányt a Savona városi kórházban végeztük el, ahol 130 olyan férfit vizsgáltunk, akik szívelégtelenségben szenvedtek. Életkoruk 30 és 75 év között volt. Minden beteg névtelenül, írásban válaszolhatott a szexuális életével kapcsolatos kérdéseinkre, de ha akarták, szóban is megbeszélhették gondjaikat orvosaikkal. A kérdőívből kiderült, hogy a megkérdezettek 24 százaléka egyáltalán nem; 44 százaléka csak ritkán; s mindöszsze 32 százaléka él rendszeresen nemi életet. Néhány évvel ezelőtt az impotencia ügye a pszichológusokra, urológusokra, sebészekre tartozott, ma már viszont egyértelmû, hogy a kardiológusoknak is jelentős szerepük van a szexuális problémákkal küzdők gyógyításában, életminőségük javításában. 

Mit tehetnek az orvosok, hogy a szívbetegek szexuális élete javuljon?

A legfontosabb az, hogy belássák: erre a problémára is figyelniük kell. Ráadásul a két dolog kölcsönhatásban van egymással, hiszen a normális nemi élet javítja a beteg állapotát, csökkenti a súlyosabb szívbetegségek előfordulását. Bizonyított tény, hogy a szívbetegségek gyógyítása során általában nő az érintettek szexuális aktivitása, bár bizonyos kezelések kedvezőtlen hatással is járhatnak. Számos, a magas vérnyomás csökkentésére széles körben használt gyógyszer, különösen az úgynevezett béta-blokkolók akadályozhatják a megfelelő erekciót. A vizsgálat során ugyanakkor arra is fény derült: a betegeknek csak az egyötöde véli úgy, hogy a kezelésekor szedett gyógyszerek miatt vannak szexuális problémái, s csak minden tizedik érintett szerint okolható egyetlen gyógyszer a bajokért. A szexuális képességet növelő gyógyszerek alkalmazása új fejezetet nyitott a kezelésekben, s itt a más gyógyszerekkel való kölcsönhatásra kell figyelni. Érdekes ebből a szempontból, hogy a szívbetegek kétharmada szeretné növelni szexuális képességét, de húsz betegből csak egy próbálta már ki a szexualitást javító gyógyszert. 

Mit tanácsol ezek után azoknak a szívbetegeknek, akiknek szexuális problémáik is vannak?

Bár a különféle, krónikus szívelégtelenségben szenvedők körében magas azoknak a száma, akik szexuális problémákkal küzdenek, de nem törvényszerû, hogy ez így legyen. Ezért lényeges, hogy az orvosok a terápia során azokat a gyógymódokat, gyógyszereket részesítsék előnyben, amelyek a szexuális képesség javítására is kedvező hatással vannak. A perindopril hatóanyagú gyógyszerről most egyértelmûen bebizonyosodott, hogy minden koszorúér betegnél jó hatást vált ki. A tanácsom pedig valamennyi szívbetegnek ez: tessék minél rendszeresebben szexuális életet folytatni!

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