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新冠痊愈后遗症,男性要注意了

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2021年05月14日

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Men now have one more compelling reason to get a COVID-19 vaccine—doctors suspect the new coronavirus could make it hard to perform in the bedroom.

男性现在有了一个更有说服力的理由去接种COVID-19疫苗——医生怀疑新型冠状病毒可能会让他们难以在床上大展雄风。

How? Coronavirus infection is already known to damage blood vessels, and vessels that supply blood to the penis appear to be no exception.

这个理由够不够?此前已经知道感染新冠会损害血管,但现在,向阴茎供血的血管似乎也未能幸免。

Researchers armed with an electron microscope found coronavirus particles in penile tissue samples taken from two former COVID-19 patients who became impotent following their infection, which had occurred six and eight months earlier.

研究人员采用电子显微镜在2名前COVID-19患者的阴茎组织样本中发现了新冠病毒颗粒,这两名患者在6个月和8个月前被感染后出现了阳痿。

Further study revealed evidence of blood vessel damage in the penises of the COVID-19 patients, compared to two other men with erectile dysfunction who'd never been infected, the researchers reported May 7 in the World Journal of Men's Health.

研究人员于5月7日发表在《世界男性健康杂志》上的论文中表示,进一步的研究发现,与其他2名从未感染过的勃起功能障碍男性相比,COVID-19患者的阴茎中存在血管损伤。

"We found that the virus affects the blood vessels that supply the penis, causing erectile dysfunction," said senior researcher Dr. Ranjith Ramasamy, director of the reproductive urology program at the University of Miami's Miller School of Medicine. "The blood vessels themselves malfunction and are not able to provide enough blood to enter the penis for an erection."

迈阿密大学米勒医学院生殖泌尿学项目主任、高级研究员Ranjith Ramasamy博士说:“我们发现这种病毒会影响供应阴茎的血管,导致勃起功能障碍。”“血管本身就失灵了,不能为勃起提供足够的血液进入阴茎。”

Ramasamy compared this to organ damage in the lungs, kidneys and brain that's been found in COVID-19 patients.

Ramasamy将其与COVID-19患者肺部、肾脏和大脑的器官损伤进行了比较。

"We think the penis also could be affected in a similar way," Ramasamy said. "We don't think this is a temporary effect. We think this could be permanent."

“我们认为阴茎也可能以类似的方式受到影响。”Ramasamy说,“我们不认为这是暂时的影响。我们认为这可能是永久性的。”

The new report focused on two recovered COVID-19 patients undergoing penile prosthesis surgery for their erectile dysfunction. Both men had normal erectile function prior to their infections.

新研究关注了两名因勃起功能障碍而接受阴茎假体手术的COVID-19患者。这两名患者在感染前都有正常的勃起功能。

One of the men had been severely sick with COVID-19 and spent two weeks in the hospital before he recovered, but otherwise was free from chronic health problems.

其中一名男子患有严重的COVID-19,在医院住了两周才康复,但其他方面没有慢性健康问题。

The other man had a relatively mild case of COVID-19, but suffered from clogged arteries and high blood pressure before becoming infected.

另一名男子的COVID-19症状相对较轻,但在感染前曾出现动脉阻塞和高血压。

Both men still had COVID-19 particles in their penile tissue, as well as evidence of endothelial dysfunction—a condition in which the linings of small blood vessels don't function properly and fail to provide adequate blood supply to different parts of the body.

这两名男子的阴茎组织中仍有COVID-19颗粒,并有内皮功能障碍的证据,即小血管内壁功能不正常,不能为身体不同部位提供足够的血液供应。

By comparison, two COVID-free men also undergoing surgery for erectile dysfunction had no evidence of the same sort of small blood vessel damage in their penises.

相比之下,两名未感染新冠病毒的男性也因勃起功能障碍接受了手术,他们的阴茎中没有同样类型的小血管损伤的证据。

"I think this is probably not something men are discussing right now with all of the things that are going on," Ramasamy said. "I'm fairly certain in the next six months to one year we will probably get a better sense of the true prevalence of erectile dysfunction among COVID-positive men."

Ramasamy说:“我认为,鉴于目前正在发生的一些事情,这可能不是男人们现在讨论的问题。”“我非常确定,在未来6个月到1年内,我们可能会更好地了解新冠肺炎阳性男性中勃起功能障碍的真实发病率。

It makes sense that COVID-19 could affect men in this way, given the virus' ability to cause inflammation and damage blood vessels, said Dr. Ash Tewari, chair of urology at the Icahn School of Medicine at Mount Sinai, in New York City.

纽约市西奈山伊坎医学院泌尿科主任Ash Tewari博士表示,鉴于病毒能够导致炎症和血管损伤,COVID-19可能以这种方式影响男性是有一定道理的。

However, Tewari cautioned that men shouldn't panic until more research has been done.

然而,Tewari警告说,在做更多的研究之前,男性不要惊慌。

"One or two patients don't make a fact, but this is worth investigating from our standpoint," Tewari said. "COVID is an endothelial dysfunction. The small arteries of the heart can get impacted in the same way that the penile blood vessels can get impacted."

“一两个病人不能构成事实,但从我们的立场来看,这值得调查。” Tewari说,“COVID - 19是一种内皮功能障碍。心脏的小动脉会受到影响,其方式与阴茎血管受到影响的方式相同。”


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