Yintoni ebangela ukuba iTesttosterone yam ephantsi?

Umxholo

• Iimpawu zeT ephantsi
• Ukukhula komntwana
• Ukufikisa
• Umntu omdala
• Oonobangela be testosterone esezantsi
• Hypogonadism yaseprayimari
• Hypogonadism yesibini
• Utshintsho onokulwenza
• Ukutshintshwa kwe testosterone

Ukuxhaphaka kwe testosterone

I-testosterone esezantsi (T esezantsi) ichaphazela amadoda angama-4 ukuya kwezi-5 e-US.

I-testosterone yihomoni ebalulekileyo emzimbeni womntu. Kodwa iqala. Kwamanye amadoda oku kunokuba yinto enkulu.Phakathi kunokuba namanqanaba asezantsi e testosterone.

Amadoda amadala ane-T esezantsi aye afuna ngakumbi unyango lwe-testosterone (TRT) kule minyaka idlulileyo. I-TRT idibanisa iimpawu ezinjenge-libido ephantsi, ubunzima bemisipha engalunganga, kunye namandla asezantsi.

Ayisiwo amadoda amadala kuphela achaphazelekayo ngamadoda asezantsi uT. Amadoda aselula, nditsho iintsana nabantwana, banokuba nayo le ngxaki.

Iimpawu zeT ephantsi

Amanqanaba asezantsi e-testosterone ane-atypical yokuguga okuqhelekileyo ngenxa yezinye izizathu eziphambili okanye eziziisekondari ze-hypogonadism. I-Hypogonadism emadodeni yenzeka xa amasende engavelisi testosterone ngokwaneleyo. I-Hypogonadism inokuqala ngexesha lokukhula komntwana, ngexesha lokufikisa, okanye ebudaleni.

Ukukhula komntwana

Ukuba i-hypogonadism iqala ngexesha lokukhula komntwana, isiphumo sokuqala kukungakhuli kakuhle kwamalungu esini sangaphandle. Kuxhomekeka ekubeni i-hypogonadism iqala nini kunye nenqanaba le-testosterone ekhoyo ngexesha lokukhula komntwana, umntwana oyindoda unokukhula:

• amalungu esini ababhinqileyo
• amalungu esini angacacanga, engacacanga ukuba yindoda okanye ibhinqa
• amalungu esini angakhulanga

Ukufikisa

Ukukhula kwesiqhelo kunokuba semngciphekweni ukuba i-hypogonadism yenzeka ngexesha lokufikisa. Iingxaki zenzeka nge:

• ukukhula kwezihlunu
• Ukujula kwelizwi
• ukungabikho kweenwele zomzimba
• amalungu esini angaphucukanga
• imilenze emide kakhulu
• amabele andisiweyo (gynecomastia)

Umntu omdala

Emva kwexesha ebomini, ukungonelanga kwe testosterone kunokukhokelela kwezinye iingxaki. Iimpawu zibandakanya:

• amandla aphantsi
• ubunzima bemisipha ephantsi
• ukungachumi
• Ukungasebenzi kakuhle kwe-erectile
• ukwehla kwesondo
• ukukhula kancinci kweenwele okanye ukulahleka kweenwele
• ukulahleka kwamathambo
• gynecomastia

Ukudinwa kunye nokuqaqanjelwa yingqondo zezinye zeempawu ezichazwe ngokwengqondo nangokweemvakalelo kumadoda ane-T ephantsi.

Oonobangela be testosterone esezantsi

Iindidi ezimbini ezisisiseko zehypogonadism ziziprayimari kunye nezisekondari hypogonadism.

Hypogonadism yaseprayimari

Uvavanyo olungasebenziyo lubangela i-hypogonadism ephambili. Kungenxa yokuba abavelisi amanqanaba aneleyo e-testosterone ukukhula okukuko kunye nempilo. Oku kungasebenzi kunokubangelwa luphawu oluziwe njengelifa. Inokufunyanwa ngengozi okanye ngokugula.

Iimeko ezizuzwe njengelifa zibandakanya:

• Amatyhalarha angaphantsi: Xa amasende esilela ukwehla esiswini ngaphambi kokuzalwa
• Isifo sikaKlinefelterImeko apho umntu azalwe ene-chromosomes ezintathu zesini: X, X, kunye no-Y.
• I-Hemochromatosis: Intsimbi eninzi egazini ibangela ukusilela kwamatyhalarha okanye ukonakala kwendalo

Iindidi zomonakalo wamatyhalarha ezinokukhokelela kwi-hypogonadism ephambili ibandakanya:

• Ukwenzakala komzimba kumasende: Ukwenzakala kufuneka kwenzeke kuwo omabini amasende kuchaphazela amanqanaba e testosterone.
• Ukuqubuka kwe orchitisUsulelo lomaqhuma lunokwenzakalisa amasende.
• Unyango lomhlazaI-Chemotherapy okanye i-radiation ingonakalisa amasende.

Hypogonadism yesibini

I-hypogonadism yesibini ibangelwa ngumonakalo kwi-pituitary gland okanye kwi-hypothalamus. Ezi ndawo zolawulo lwemveliso yengqondo zii-testes.

Ilifa okanye iimeko zezifo kolu luhlu zibandakanya:

• Ukuphazamiseka kwepituitary kubangelwa iziyobisi, ukusilela kwezintso, okanye amathumba amancinci
• Isifo seKallmann, imeko edityaniswe nomsebenzi ongaqhelekanga wehypothalamus
• Izifo ezivuthayo, ezinjengesifo sephepha, i-sarcoidosis, kunye ne-histiocytosis, enokuthi ichaphazele i-pituitary gland kunye ne-hypothalamus
• Intsholongwane kaGawulayo / uGawulayo, ezinokuchaphazela i-pituitary gland, i-hypothalamus, kunye ne-testes

Iimeko ezifumanekayo ezinokukhokelela kwi-hypogonadism yesibini zibandakanya:

• Ukwaluphala okuqhelekileyoUkwaluphala kuchaphazela imveliso kunye nokuphendula kwiihomoni.
• Ukutyeba kakhulu: Amanqatha aphezulu emzimbeni anokuchaphazela ukuveliswa kwehomoni kunye nempendulo.
• Amayeza: Iintlungu ze-opioid kunye ne-steroids inokuchaphazela ukusebenza kwe-pituitary gland kunye ne-hypothalamus.
• Ukugula okufanayoUxinzelelo olukhulu lweemvakalelo okanye uxinzelelo lomzimba ekuguleni okanye kotyando kunokubangela ukuba inkqubo yokuzala icime okwexeshana.

Unokuchaphazeleka sisiseko, isekondari, okanye i-hypogonadism exubeneyo. I-hypogonadism exubekileyo ixhaphake kakhulu ngokwanda kweminyaka. Abantu abaphantsi konyango lwe-glucocorticoid banokuphucula imeko. Inokuchaphazela nabantu abane-sickle-cell isifo, i-thalassemia, okanye utywala.

Utshintsho onokulwenza

Ukuba ufumana iimpawu ze-T esezantsi, utshintsho kwindlela yokuphila lunokunceda ukunciphisa iimpawu zakho.

Inyathelo lokuqala elifanelekileyo kukonyusa amanqanaba emisebenzi kunye nokugcina ukutya okunempilo ukuze unciphise amanqatha omzimba. Inokuba luncedo ukunqanda amayeza e-glucocorticoid anje nge-prednisone kunye neyeza zeentlungu ze-opioid.

Ukutshintshwa kwe testosterone

Ukuba utshintsho kwindlela yokuphila alusebenzeli wena, unokufuna ukuqala unyango lwe-testosterone (TRT) yonyango lwe-T ephantsi ye-TRT inokubaluleka kakhulu ekuncedeni abesilisa abakwishumi elivisayo abanamava e-hypogonadism. Amanqanaba aneleyo e-testosterone anceda ekugcineni impilo kunye nokuba sempilweni kwamadoda amadala.

I-TRT ineziphumo ebezingalindelekanga, nangona kunjalo, kubandakanya:

• induna
• iprostate eyandisiweyo
• ubuthongo bokulala
• Ukuncipha kwamatyhalarha
• ukwandiswa kwebele
• ukwanda kwenani leeseli ezibomvu
• ukuncipha kwenani lobudoda

Isicwangciso sonyango esenziwe ngononophelo kufuneka siphephe uninzi lweziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuvavanya ukhetho lwakho.