Hypogonadism

Umxholo

• Zeziphi iintlobo zehypogonadism?
• Hypogonadism yaseprayimari
• I-hypogonadism esembindini (yesibini)
• Zithini izizathu zohypogonadism?
• Zithini iimpawu zehypogonadism?
• Uxilongwa njani u-hypogonadism?
• Uvavanyo lweHormone
• Ukujonga iimvavanyo
• Luthini unyango lwehypogonadism?
• Unyango lwe-hypogonadism yabasetyhini
• Unyango lwe-hypogonadism yamadoda
• Unyango lwe-hypogonadism emadodeni nakwabasetyhini
• Ithini imbono yexesha elide?

Yintoni i-hypogonadism?

I-Hypogonadism yenzeka xa amadlala akho esini evelisa amancinci okanye engenawo kwaphela amahomoni esini. Amadlala esini, abizwa ngokuba ziigonads, ubukhulu becala ziimvavanyo emadodeni nakwii-ovari kwabasetyhini. Iihormone zesondo zinceda ukulawula iimpawu zesini zesibini, ezinje ngokukhula kwamabele kwabasetyhini, ukukhula kwamatyhalarha emadodeni, kunye nokukhula kweenwele ze-pubic. Iihormone zesondo zidlala indima kumjikelo wokuya exesheni nakwimveliso yesidoda.

I-Hypogonadism inokwaziwa ngokuba kukusilela kwe-gonad. Ingabizwa ngokuba yi-testosterone yeserum esezantsi okanye isropause xa isenzeka emadodeni.

Uninzi lwamatyala ale meko aphendula kakuhle kunyango olufanelekileyo.

Zeziphi iintlobo zehypogonadism?

Zimbini iintlobo ze-hypogonadism: ezokuqala kunye neziphakathi.

Hypogonadism yaseprayimari

I-hypogonadism yaseprayimari ithetha ukuba awunazo iihomoni zesini ezaneleyo emzimbeni wakho ngenxa yengxaki kwiigonads zakho. Iigonads zakho zisamkela umyalezo wokuvelisa iihomoni kwingqondo yakho, kodwa abanako ukuzivelisa.

I-hypogonadism esembindini (yesibini)

Kwi-hypogonadism esembindini, ingxaki ilele kwingqondo yakho. I-hypothalamus kunye ne-pituitary gland, elawula iigonads zakho, ayisebenzi kakuhle.

Zithini izizathu zohypogonadism?

Izizathu ze-hypogonadism eziphambili zibandakanya:

• iingxaki zomzimba, ezifana nesifo se-Addison kunye ne-hypoparathyroidism
• Ukuphazamiseka kwemfuza, njenge-Turner syndrome kunye ne-Klinefelter's syndrome
• izifo ezosulelayo, ingakumbi uqwilikana olubandakanya amasende akho
• izifo zesibindi nezintso
• iimvavanyo ezingafunekiyo
• hemochromatosis, eyenzekayo xa umzimba wakho uthatha isinyithi kakhulu
• Ukuvezwa kwemitha
• utyando kumalungu akho esini

I-hypogonadism esembindini inokuba ngenxa:

• Ukuphazamiseka kwemfuza, njenge-Kallmann syndrome (ukukhula okungalunganga kwe-hypothalamic)
• usulelo, kubandakanya ne-HIV
• ukuphazamiseka kwepituitary
• izifo ezivuthayo, kubandakanya i-sarcoidosis, isifo sephepha kunye ne-histiocytosis
• ukutyeba kakhulu
• ukunciphisa umzimba ngokukhawuleza
• ukunqongophala kwesondlo
• Ukusetyenziswa kwee-steroids okanye ii-opioids
• utyando lobuchopho
• Ukuvezwa kwemitha
• ukwenzakala kwi-pituitary gland okanye kwi-hypothalamus
• ithumba ngaphakathi okanye kufutshane nedlala lengqula

Zithini iimpawu zehypogonadism?

Iimpawu ezinokubonakala kwabasetyhini zibandakanya:

• ukungabikho sexesheni
• ukukhula kancinci okanye ukungabikho kwamabele
• kushushu
• ukulahleka kweenwele zomzimba
• ukuqhuba ngesondo okuphantsi okanye ukungabikho
• ukukhutshwa ngobisi emabeleni

Iimpawu ezinokubonakala emadodeni zibandakanya:

• ukulahleka kweenwele zomzimba
• ukulahleka kwemisipha
• ukukhula okungaqhelekanga kwebele
• ukunciphisa ukukhula kwepenisi kunye namasende
• Ukungasebenzi kakuhle kwe-erectile
• osteoporosis
• ukuqhuba ngesondo okuphantsi okanye ukungabikho
• ukungachumi
• ukudinwa
• kushushu
• ubunzima bokugxila

Uxilongwa njani u-hypogonadism?

Ugqirha wakho uya kuqhuba uvavanyo lomzimba ukuqinisekisa ukuba ukukhula kwakho ngokwesondo kukwinqanaba elifanelekileyo lobudala bakho. Banokuvavanya ubunzima bakho bemisipha, iinwele zomzimba kunye namalungu akho esini.

Uvavanyo lweHormone

Ukuba ugqirha wakho ucinga ukuba unokuba ne-hypogonadism, baya kuqala bajonge amanqanaba wakho wehomoni yesini. Uya kudinga uvavanyo lwegazi ukujonga inqanaba lakho lehomoni ekhuthazayo (FSH) kunye nehomoni ye-luteinizing. Idlala lengqula lenza la mahomoni okuzala.

Uya kuvavanywa inqanaba lakho le-estrogen ukuba ungumfazi. Ukuba uyindoda, uya kuvavanywa inqanaba lakho le testosterone. Olu vavanyo luhlala lutsalwa kusasa xa amanqanaba akho ehomoni ephezulu. Ukuba uyindoda, ugqirha wakho unokuyalela uhlalutyo lobudoda ukujonga ubungakanani besidoda sakho. I-Hypogonadism inokunciphisa ukubala kwesidoda sakho.

Ugqirha wakho unoku-odola uvavanyo lwegazi ngakumbi ukukunceda uqinisekise isifo kwaye ulawule naziphi na izizathu.

Amanqanaba entsimbi anokuchaphazela iihomoni zesini sakho. Ngesi sizathu, ugqirha wakho unokujonga amanqanaba aphezulu esinyithi egazi, abonakala kwi-hemochromatosis.

Ugqirha wakho unokunqwenela ukulinganisa amanqanaba akho eprolactin. Iprolactin yincindi yamadlala ekhuthaza ukukhula kwamabele kunye nokuveliswa kobisi lwebele kubafazi, kodwa ikhona nakubantu besini esahlukileyo.

Ugqirha wakho unokujonga amanqanaba akho e-thyroid. Iingxaki ze-thyroid zingabangela iimpawu ezifana ne-hypogonadism.

Ukujonga iimvavanyo

Ukulinganisa iimvavanyo kunokuba luncedo ekuchongeni. I-ultrasound isebenzisa amaza esandi ukwenza umfanekiso wee-ovari kwaye ujonge naziphi na iingxaki, kubandakanya ii-ovarian cysts kunye ne-polycystic ovary syndrome.

Ugqirha wakho angayalela ii-MRIs okanye i-CT scan ukujonga amathumba kwindawo yakho yebhinqa.

Luthini unyango lwehypogonadism?

Unyango lwe-hypogonadism yabasetyhini

Ukuba ungowasetyhini, unyango lwakho luya kubandakanya ukonyusa isixa sakho samahomoni esini sabasetyhini.

Umgca wakho wokuqala wonyango uya kuba yonyango lwe-estrogen ukuba unayo i-hysterectomy. Nokuba isiziba okanye ipilisi inokuhambisa isrogen eyongezelelweyo.

Ngenxa yokuba ukwanda kwamanqanaba e-estrogen kungonyusa umngcipheko womhlaza we-endometrium, uya kunikwa indibaniselwano ye-estrogen kunye neprogesterone ukuba awukabinayo i-hysterectomy. Iprogesterone inokuwunciphisa umngcipheko womhlaza we-endometrium ukuba uthatha i-estrogen.

Olunye unyango lunokujolisa kwiimpawu ezithile. Ukuba unciphise ukuqhuba ngesondo, unokufumana iidosi ezisezantsi ze testosterone. Ukuba unesitenxo sokuya exesheni okanye unengxaki yokukhulelwa, unokufumana inaliti yehomoni yabantu i-choriogonadotropin okanye iipilisi eziqukethe i-FSH ukwenza i-ovulation.

Unyango lwe-hypogonadism yamadoda

I-testosterone yincindi yesini eyindoda. Unyango lweTesttosterone yonyango olusetyenziswa ngokubanzi kwi-hypogonadism emadodeni. Unokufumana unyango lwe-testosterone ngoku:

• isitofu
• isiziba
• ijeli
• ilzenge

Inaliti yehomoni ekhupha i-gonadotropin inokubangela ukufikisa okanye yonyuse imveliso yakho yesidoda.

Unyango lwe-hypogonadism emadodeni nakwabasetyhini

Unyango lwamadoda nabasetyhini luyafana ukuba i-hypogonadism ingenxa yethumba kwincindi yebhinqa. Unyango lokunciphisa okanye ukususa ithumba kunokubandakanya:

• imitha
• amayeza
• utyando

Ithini imbono yexesha elide?

Ngaphandle kokuba kubangelwa yimeko enokunyangeka, i-hypogonadism yimeko enganyangekiyo enokufuna unyango ubomi bakho bonke. Inqanaba lakho lehomoni yesini linokuhla xa uyeka unyango.

Ukufuna inkxaso ngonyango okanye amaqela enkxaso kunokukunceda ngaphambi, ngexesha, nasemva konyango.