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PROBLEMI SESSWALI TAN-NISA: INTI G}ANDEK PROBLEMA ?
ATTENZJONI: G]al djanjosi e\atta li twassal g]al kura effetiva huwa importanti ]afna li jkun hemm relazjoni miftu]a u ta’ fidu`ja mal-ginekolo[ista tieg]ek! Wara li titie]ed storja klinika kompleta u jsiru xi e\amijiet biss hu jista’ ittik il-kura addata. L-informazzjoni li ssegwi hi ippre\entata biss biex tkabbarlek l-g]erf tie[]ek u tg]inek tikkomunika mat-tabib tieg]ek. Mhix minflok konsulta mat tabib.
IL-KOMPLESSITA` TAL-MARA
Is-sesswalita femminili tiddependi fuq ]afna fatturi: tidependi fuq fatturi differenti
:
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Bijolo[i`i: [isem b’sa]]tu hu importanti biex tie]u pja`ir bis-sess. Pero` dan mhux essenzjali.
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Psikosesswali: esperjenzi t’im]abba fl-img]oddi kemm tajba kif ukoll ]\iena, mit-tfulija l-quddiem, jistg]u jaffetwaw il-[ibda tag]na, jekk ng]idu a]na il-mod kif mara tara l-intimita` tag]ha, jekk tafdax jew le, t]osshix \gurha jew le f’kuntest sesswali, sabiex tintelaq, biex tie]u gost bil jew bla sens ta’ ]tija, kunfidenza fiha nifisha u sodisfazzjon b’[isimha. Il-kwalita` jew nuqqas ta’ edukazzjoni sesswali.
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Dipendenti fuq il-kuntest :li ng]ixu fih: relatat mas-sa]]a tal-partner u ma’ problemi sesswali. Ir-rapport bejn il-koppja, kif ukoll ma problemi familjari u izjed fil-bog]od dir-relazzjoni fil-kuntest so`jali, inklu\i dawk fuq ix-xog]ol.
Hi ukoll
“MULTISYSTEMIC” : (]afna sistemi) ji[ifieri g]andha b\onn l-inte[rita` u funzjoni tajba ta:
- ormoni
- arterji u vini
- nervituri
- muskoli
- sistema immunitarja
L-a]]ar i\da mhux l-inqas, turi varjazzjoni kbira skond il-fa\i tal-]ajja u l-esperjenzi; a]seb biss fit-tibdil fisjolo[iku, jigifieri, bdil normali fl-aptit g]as-sess waqt it-tqala, wara twelid, meta jkun hemm problemi familjari, fil-menopawsa…
LIEMA HUMA L-PROBLEMI FEMMINILI DWAR TQANQIL SESSWALI?
Fl-a]]ar konferenza l-"International Consensus Development Conference on Female Sexual Dysfunction", li lltaqat bil-kontribuzzjoni ta’diversi (19) esperti mondjali minn kull qasam tal-medi`ina fuq kif Problemi Sesswali tan-Nisa (FSD) il-FSD giet ikklassifikata hekk
:
I) Problemi tax-xewqa sesswali
- a) Nuqqas fix-xewqa sesswali
- b) Problemi ta’ mibeg]da g]as-sess
II) Problemi fit-tqanqil sesswali
III) Problemi t’ orga\mu
IV) Problemi ta’ u[ig] waqt is-sess
- a) U[ig] waqt l-att sesswali
- b) Va[ini\mu
- c) Problemi o]ra ta’ u[ig] waqt is-sess
Jekk inkomplu nistg]u nikklassifikaw id-djanjozi ta’ FSD hekk:
- a)
bidu temporali: “g]al ]ajtek kollha kontra”
Dan iffisser li kull mara tkun tista’ tg]id lit-tabib tag]ha jekk il-problemi sesswali li qed tbati minnhom kienux hemm mill-bidu tal-]ajja sesswali tag]ha jew jekk [ewx wara xhur, snin, jew g]exieren ta snin meta ma kellha l-ebda problema sesswali
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b)
“[enerali kontra sitwazzjonali”
Dan iffisser li kull mara tkun tista’ tg]id jekk il-problema sesswali hix pre\enti f’kull sitwazzjoni u ma’ partners differenti (jekk hi g]andha jew kellha i\jed minn partner wie]ed). Il-problema [enerali jista’ jkun li jkolla ra[unijiet kemm bijolo[i`i kif ukoll psikosesswali filwaqt li problemi sitwazzjonali i\jed hemm `ans li jkunu dovuti g]al fatturi ta’ relazzjoni jew inkella min]abba l-kontenut tar-relazzjoni.
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c)
the etiology, classified as "Organic, Psychogenic, Mixed, Unknown". In comparison to previous classifications, the latter is the principal change, as it makes mandatory to explore the biological side of FSD for a full diagnosis. This acknowledges that - for women as well as for men - an healthy, functional body is a necessary, although not a sufficient condition, for a satisfying sexual response, particularly around and after the menopause, when a number of biological factors -endocrine, vascular, metabolic, muscular, neurological, connective and immunitary - may affect the general health and combine to worsen the physical potential of a full sexual response. This certainly does not refute the importance of intimacy and love issues, of psychodynamic and interpersonal factors that seem to be more critical in contributing to sexual satisfaction in women, but puts them in perspective in relation to the biological scenario.
Definizzjoni ta’ FSD differenti u attenzjoni fil-klassifikazzjoni tista’ tg]in lit-tabib tieg]ek biex isolvi il-problemi tieg]ek.
Basson, R., Bertian, J., Burnett, A. Graziottin A. et Al. Report of the International Consensus Development Conference on Female Sesswali Dysfunction: Definitions and Classifications. J.Urol, March 2000; 163:888-93
Bancroft J. Graham CA McCord Conceptualizing Women's Sesswali Problems JSMT 27:95-103,2001
Min]abba l-kumplessita` tas-sesswalita tal-mara,wie]ed g]andu jag]ti attenzjoni spe`jali g]al:
1) 1) attenzjoni bilan`jata g]all-fatturi potenzjali differenti (bijolo[i`i, psikosesswali, kontestwali) billi wie]ed jevita ]afna “]sibijiet medikalizzati”, fuq na]a wa]da, jew “]sibijiet psikolo[izzati” fuq in-na]a l-o]ra, u b’hekk inkomplu l-firda bejn “medi`ina ming]ajr ru]” u “psikolo[ija ming]ajr [isem”
2) I\\omm perspettiva li tkun i``entrata fuq it-tifsira u mhux biss fuq funzjoni
3) Evita \balji ta’ kummissjoni, b]al meta niffukaw i\\ejjed fuq “correct genital performance”: in-nisa g]andhom kun`ett izjed s]i] dwar l- intimita- “ b’ru]hom u b’[isimhom”
4) Evita \balji t’ ommissjoni: wie]ed jista’ j]alli ]afna affarijiet barra mix-xena sesswali. Wie]ed g]andu wkoll jg]ati attenzjoni g]al:
Given the special attention to the menopausal transition, the focus of these pages will be most on the biological side, with the awareness that it should be put in context with psychosexual and contextual issues, including the cultural and gender ones.
L.Tiefer A new view of Women's Sesswali problems: Why new? Why now? J. Sex. Res. 38 (2): 89-96, 2001
Messa[[i importanti
- Fin-nisa problemi li je\istu flimkien, b]al pre\enza ta’ diversi problemi sesswali, huma aktar frekwenti wara il-menopawsa.
- Din fa`li biex tifimha g]ax l-ormoni sesswali huma li jikkmandaw kull aspett tar-rispons sesswali: il-]ajra g]as-sess, tqanqil bil-lubrikazzjoni tal-va[ina u orga\mu.
- Ming]ajr l-ormoni sesswali, l-aptit sesswali jonqos, it-tqanqil isir i\jed diffi`ili kif ukoll l-orga\mu.
- il-problemi sesswali tan-nisa jkunu spjegati fil-kapitoli iddedikati apposta:
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