I-Hypogonadism

-Delile

• Yiziphi izinhlobo ze-hypogonadism?
• I-hypogonadism eyinhloko
• I-hypogonadism emaphakathi (yesibili)
• Ziyini izimbangela ze-hypogonadism?
• Ziyini izimpawu ze-hypogonadism?
• Itholakala kanjani i-hypogonadism?
• Ukuhlolwa kwama-hormone
• Ukuhlola ukuhlolwa
• Yiziphi izindlela zokwelapha ze-hypogonadism?
• Ukwelashwa kwe-hypogonadism yabesifazane
• Ukwelashwa kwe-hypogonadism yesilisa
• Ukwelashwa kwe-hypogonadism kwabesilisa nabesifazane
• Uyini umbono wesikhathi eside?

Kuyini i-hypogonadism?

I-Hypogonadism yenzeka lapho izindlala zakho zocansi zikhiqiza amahomoni ocansi amancane noma cha. Izindlala zocansi, ezibizwa nangokuthi ama-gonads, ikakhulukazi ama-testes emadodeni nama-ovari kwabesifazane. Ama-hormone ocansi asiza ukulawula izici zobulili zesibili, njengokukhula kwamabele kwabesifazane, ukukhula kwamasende emadodeni, nokukhula kwezinwele kwe-pubic. Ama-hormone ocansi nawo abamba iqhaza kumjikelezo wokuya esikhathini nasekukhiqizweni kwesidoda.

I-Hypogonadism ingaziwa nangokuthi ukuntuleka kwe-gonad. Kungabizwa ngokuthi yi-testosterone ephansi ye-serum noma i-andropause uma kwenzeka kwabesilisa.

Izimo eziningi zalesi simo ziphendula kahle ekwelashweni okufanelekile.

Yiziphi izinhlobo ze-hypogonadism?

Kunezinhlobo ezimbili ze-hypogonadism: eyinhloko kanye nendawo.

I-hypogonadism eyinhloko

I-hypogonadism eyinhloko isho ukuthi awunawo amahomoni ocansi anele emzimbeni wakho ngenxa yenkinga kuma-gonads akho. Ama-gonads akho asathola umlayezo wokukhiqiza ama-hormone avela ebuchosheni bakho, kepha awakwazi ukuwakhiqiza.

I-hypogonadism emaphakathi (yesibili)

Ku-hypogonadism emaphakathi, inkinga ilele ebuchosheni bakho. Indlala yakho ye-hypothalamus ne-pituitary, elawula ama-gonads akho, ayisebenzi kahle.

Ziyini izimbangela ze-hypogonadism?

Izimbangela ze-hypogonadism eyinhloko zifaka:

• ukuphazamiseka komzimba, njengesifo i-Addison kanye ne-hypoparathyroidism
• ukuphazamiseka kofuzo, njenge-Turner syndrome ne-Klinefelter syndrome
• ukutheleleka okunzima, ikakhulukazi ukugcwala okubandakanya amasende akho
• izifo zesibindi nezinso
• izivivinyo ezingathandeki
• i-hemochromatosis, eyenzeka lapho umzimba wakho umunca insimbi eningi kakhulu
• ukuchayeka emisebeni
• ukuhlinzwa ezithweni zakho zocansi

I-hypogonadism emaphakathi ingabangelwa:

• ukuphazamiseka kofuzo, okufana ne-Kallmann syndrome (ukukhula okungajwayelekile kwe-hypothalamic)
• izifo, kubandakanya ne-HIV
• iziyaluyalu ze-pituitary
• izifo zokuvuvukala, kufaka phakathi i-sarcoidosis, isifo sofuba, ne-histiocytosis
• ukukhuluphala ngokweqile
• ukulahlekelwa isisindo ngokushesha
• ukuntuleka kokudla okunempilo
• ukusetshenziswa kwama-steroids noma ama-opioid
• ukuhlinzwa kobuchopho
• ukuchayeka emisebeni
• ukulimala kwendlala yakho ye-pituitary noma i-hypothalamus
• isimila ngaphakathi noma eduze kwe-pituitary gland

Ziyini izimpawu ze-hypogonadism?

Izimpawu ezingabonakala kwabesifazane zifaka:

• ukungabikho esikhathini
• ukukhula kancane noma okungekho kwebele
• ukushisa okushisayo
• ukulahleka kwezinwele zomzimba
• ukushayela ucansi okuphansi noma okungekho
• ukuphuma kobisi emabeleni

Izimpawu ezingabonakala kwabesilisa zifaka:

• ukulahleka kwezinwele zomzimba
• ukulahleka kwemisipha
• ukukhula kwamabele okungavamile
• ukukhula okunciphile kwepipi namasende
• ukungasebenzi kahle kwe-erectile
• ukukhumuzeka kwamathambo
• ukushayela ucansi okuphansi noma okungekho
• ukungazali
• ukukhathala
• ukushisa okushisayo
• ubunzima bokugxila

Itholakala kanjani i-hypogonadism?

Udokotela wakho uzokwenza ukuhlolwa komzimba ukuqinisekisa ukuthi ukukhula kwakho ngokocansi kusezingeni elifanele leminyaka yakho. Bangase bahlole ubukhulu bemisipha yakho, izinwele zomzimba nezitho zakho zobulili.

Ukuhlolwa kwama-hormone

Uma udokotela wakho ecabanga ukuthi ungahle ube ne-hypogonadism, bazoqala bahlole amazinga ama-hormone ocansi lwakho. Uzodinga ukuhlolwa kwegazi ukuhlola izinga lakho le-follicle-stimulating hormone (FSH) ne-luteinizing hormone. Indlala yakho ye-pituitary yenza la mahomoni okuzala.

Uzohlolwa izinga lakho le-estrogen uma ungowesifazane. Uma ungowesilisa, uzohlolwa izinga lakho le-testosterone. Lezi zivivinyo zivame ukudonswa ekuseni lapho amazinga akho e-hormone ephakeme kakhulu. Uma ungowesilisa, udokotela wakho angaphinde ayalele ukuhlaziywa kwesidoda ukuze kubhekwe ukubalwa kwesidoda sakho. I-Hypogonadism inganciphisa ukubalwa kwesidoda sakho.

Udokotela wakho angalawula ukuhlolwa kwegazi okuningi ukusiza ukuqinisekisa ukuxilongwa futhi akhiphe noma yiziphi izimbangela.

Amazinga we-Iron angathinta ama-hormone akho ocansi. Ngalesi sizathu, udokotela wakho angahlola amazinga aphezulu wensimbi egazi, ajwayele ukubonwa ku-hemochromatosis.

Udokotela wakho futhi angafisa ukukala amazinga akho e-prolactin. I-Prolactin yi-hormone ekhuthaza ukuthuthukiswa kwamabele kanye nokukhiqizwa ubisi lwebele kubantu besifazane, kodwa ikhona kubo bobabili ubulili.

Udokotela wakho angahlola futhi amazinga wakho we-hormone yegilo. Izinkinga ze-thyroid zingadala izimpawu ezifana ne-hypogonadism.

Ukuhlola ukuhlolwa

Ukufanekisa izivivinyo nakho kungasiza ekuxilongweni. I-ultrasound isebenzisa amaza omsindo ukudala isithombe sama-ovari futhi ihlole noma yiziphi izinkinga, kufaka phakathi ama-ovarian cysts kanye ne-polycystic ovary syndrome.

Udokotela wakho anga-oda ama-MRIs noma ama-CT scan ukuze ahlole izicubu endlaleni yakho yebhinqa.

Yiziphi izindlela zokwelapha ze-hypogonadism?

Ukwelashwa kwe-hypogonadism yabesifazane

Uma ungowesifazane, ukwelashwa kwakho kuzofaka phakathi ukwandisa inani lakho lamahomoni ezocansi abesifazane.

Ulayini wakho wokuqala wokwelashwa cishe uzoba ukwelashwa kwe-estrogen uma ngabe uke waba ne-hysterectomy. Kungenzeka ukuthi isichibi noma iphilisi linikeze i-estrogen eyengeziwe.

Ngoba amazinga e-estrogen akhuphukile angakhuphula ubungozi bakho bomdlavuza we-endometrium, uzonikezwa inhlanganisela ye-estrogen ne-progesterone uma ungenayo i-hysterectomy. Iprogesterone inganciphisa ingozi yomdlavuza we-endometrial uma uthatha i-estrogen.

Ezinye izindlela zokwelashwa zingakhomba izimpawu ezithile. Uma une-sex drive eyehlisiwe, ungathola imithamo ephansi ye-testosterone. Uma unokungahambi kahle kokuya esikhathini noma unenkinga yokukhulelwa, ungathola imijovo yehomoni yabantu i-choriogonadotropin noma amaphilisi aqukethe i-FSH ukuqala i-ovulation.

Ukwelashwa kwe-hypogonadism yesilisa

I-testosterone iyi-hormone yobulili besilisa. Ukwelashwa kwe-testosterone yindlela yokwelashwa esetshenziswa kabanzi ye-hypogonadism kwabesilisa. Ungathola ukwelashwa okubuyisela i-testosterone ngo:

• umjovo
• isichibi
• ijeli
• lozenge

Ukujova kwe-hormone ekhipha i-gonadotropin kungadala ukuthomba noma kukhulise ukukhiqizwa kwesidoda sakho.

Ukwelashwa kwe-hypogonadism kwabesilisa nabesifazane

Ukwelashwa kwabesilisa nabesifazane kuyafana uma i-hypogonadism ingenxa yesimila endlaleni ye-pituitary. Ukwelashwa ukunciphisa noma ukususa isimila kungafaka:

• imisebe
• imithi
• ukuhlinzwa

Uyini umbono wesikhathi eside?

Ngaphandle kokuthi kubangelwe isimo eselaphekayo, i-hypogonadism yisimo esingelapheki esingadinga ukwelashwa impilo yonke. Izinga lama-hormone ocansi lwakho lingehla uma uyeka ukwelashwa.

Ukufuna ukwesekwa ngokwelashwa noma ngamaqembu okusekela kungakusiza ngaphambi, phakathi nangemva kokwelapha.