16.6.2022 | 11:24
Sértæk vandamál karla
Líkamleg og sálfélagsleg heilsa karlmanna, kynlífshegðun, frjósemi og tilfinningar eru samanfléttuð. Hegðun og tilfinningatjáning karla er um margt ólík hegðun kvenna. Þó fjöldi rannsókna hafi verið birtur á undanförnum áratugum á þessu sviði [1-17] vantar enn vettvang í heilbrigðiskerfinu þar sem tekið er á þessum málum á heildrænan hátt. [1]
Víða hafa vaxið fram sérstakar móttökur fyrir karlmenn, en þar snýst starfsemin oftar en ekki um afbrigðilega hegðun takmarkaðs hóps karlmanna. Karlmaðurinn er þar skilgreindur sem vandamál, einkum fyrir konur og börn. [18]
Það vantar móttökur þar sem vandamál karlmannanna sjálfra eru í brennidepli. Sértæk vandamál karla eru af mörgum toga.
Karlmenn lifa skemur en konur, eru áhættusæknari og margvíslegir sjúkdómar leggjast frekar á karlmenn. Karlmenn taka oftar eigið líf og eykst tíðni sjálfsvíga með hækkandi aldri. [19] Karlmenn glíma oft við ófrjósemi og hormónatengd vandamál. Margir karlmenn líða vegna risvandamála sem geta átt sér sálrænar, félagslegar og líkamlegar skýringar. [20,21] Risvandamál eru algengasta aukaverkun meðferðar við krabbameini í blöðruhálsi, sem er algengasta krabbamein karla. Lífsgæði karla með risvandamál eru verulega skert og skiptir þá litlu hver orsökin er. [20-27] Ég hef áður fjallað um fullnægingu: fullnæging karla og sæðisvökvinn.
Einnig er tilfinningaleg einangrun mun algengari meðal karla en kvenna. [2,18]
Heimildir
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- Helgason ÁR, Arver S, Adolfsson J, Dickman P, Granath F, Steineck G. “Potency” - validation of self-administered questionnaire information with an objective measure of night-time erections and test-retest reliability. Br J Urol 1997: 81: 135-41.
- Helgason ÁR, Adolfsson J, Dickman P, Fredrikson M, Steineck G. Distress due to unwanted side-effects of prostate cancer treatment is related to impaired well-being (quality of life). Prost Cancer Prost Dis 1998: 1: 128-33.
- Helgason ÁR, Adolfsson J, Steineck G. Disease specific quality of life in men with prostate cancer - A three level epidemiological approach. J Epidemiol Biostat 1997: 4: 213-8.
- Helgason ÁR, Adolfsson J, Dickman P, Arver S , Fredrikson M, Steineck G. Factors associated with waning sexual function among elderly men and prostate cancer patients. J Urol 1997; 158: 155-9.
- Helgason ÁR, Adolfsson J, Dickman P, Arver S, Fredrikson M, Göthberg M, Steineck G. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: A population-based study. Age Ageing 1996; 25: 285-91.
- Helgason ÁR, Adolfsson J, Dickman P, Fredrikson M, Arver S, Steineck G. Waning sexual function - the most important disease-specific distress for patients with prostate cancer. Br J Cancer 1996; 73: 1417-21.
- Helgason ÁR, Fredrikson M, Adolfsson J, Steineck G. Decreased sexual capacity after external radiation therapy for prostate cancer impairs quality of life. Int J Radiat Oncol Biol Phys 1995; 32: 33-9.
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