Yini Ebangela I-Testosterone Yami Ephansi?

-Delile

• Izimpawu ze-T ephansi
• Ukukhula kwengane
• Ukuthomba
• Umuntu omdala
• Izimbangela ze-testosterone ephansi
• I-hypogonadism eyinhloko
• I-hypogonadism yesibili
• Izinguquko ongazenza
• Ukushintshwa kwe-testosterone

Ukusabalala okuphansi kwe-testosterone

I-testosterone ephansi (T ephansi) ithinta amadoda ayizigidi ezi-4 kuye kwezi-5 e-US.

I-testosterone iyi-hormone ebalulekile emzimbeni womuntu. Kepha kuqala. Kwamanye amadoda lokhu kungaba yinto enkulu. Phakathi kungaba namazinga aphansi e-testosterone.

Amadoda amadala ane-T ephansi aqhubeke ngokufuna i-testosterone replacement therapy (TRT) eminyakeni yamuva. I-TRT ikhuluma ngezimpawu ezifana ne-libido ephansi, ukungasebenzi kahle kwemisipha, namandla aphansi.

Akuwona amadoda amadala kuphela athinteka abaphansi bakaT. Izinsizwa, ngisho nezingane nezingane, nazo zingaba nale nkinga.

Izimpawu ze-T ephansi

Amazinga aphansi e-testosterone athanda ukuguga okujwayelekile kungenxa yezinye izimbangela eziyinhloko noma zesibili ze-hypogonadism. I-hypogonadism kwabesilisa yenzeka lapho amasende engakhiqizi i-testosterone eyanele. I-Hypogonadism ingaqala ngesikhathi sokukhula kwengane, ngesikhathi sokuthomba, noma lapho usumdala.

Ukukhula kwengane

Uma i-hypogonadism iqala ngesikhathi sokukhula kwengane, umphumela oyinhloko ukukhula okungasebenzi kahle kwezitho zobulili zangaphandle. Ngokuya ngokuthi i-hypogonadism iqala nini nezinga le-testosterone elikhona ngesikhathi sokukhula komntwana, ingane yesilisa ingakhula:

• izitho zangasese zabesifazane
• izitho zangasese eziyindida, kungacaci ukuthi owesilisa noma owesifazane
• izitho zangasese zabesilisa ezingakakhuli kahle

Ukuthomba

Ukukhula okujwayelekile kungabekeka engozini uma i-hypogonadism yenzeka ngesikhathi sokuthomba. Izinkinga zenzeka nge:

• ukukhula kwemisipha
• ukujula kwezwi
• ukuntuleka kwezinwele zomzimba
• izitho zangasese ezingathuthukile
• izitho ezinde ngokweqile
• amabele akhulisiwe (gynecomastia)

Umuntu omdala

Kamuva empilweni, i-testosterone enganele ingaholela kwezinye izinkinga. Izimpawu zifaka:

• amazinga aphansi wamandla
• imisipha ephansi
• ukungazali
• ukungasebenzi kahle kwe-erectile
• kunciphise ukushayela ucansi
• ukukhula kancane kwezinwele noma ukulahleka kwezinwele
• ukulahleka kwamathambo
• umabhebhana

Ukukhathala nenkungu yengqondo ngezinye zezimpawu ezibikwa ngokwengqondo nangokomzwelo emadodeni ane-T ephansi.

Izimbangela ze-testosterone ephansi

Izinhlobo ezimbili eziyisisekelo ze-hypogonadism ziyi-hypogonadism eyinhloko neyesibili.

I-hypogonadism eyinhloko

Ukuhlolwa okungasebenzi kudala i-hypogonadism eyinhloko. Lokho kungenxa yokuthi azenzi amazinga anele e-testosterone ukuze akhule kahle nempilo. Lokhu kungasebenzi kungabangelwa isici esizuzwe njengefa. Ingatholakala futhi ngengozi noma ngokugula.

Izimo ezizuzwe njengefa zifaka:

• Amasende angehlisiwe: Lapho amasende ehluleka ukwehla esiswini ngaphambi kokuzalwa
• I-Klinefelter's syndrome: Isimo lapho owesilisa ezalwa enama-chromosomes amathathu ocansi: X, X, no-Y.
• I-Hemochromatosis: I-iron eningi egazini ibangela ukwehluleka kwamasende noma ukulimala kwepituitary

Izinhlobo zokulimala kwamasende okungaholela ku-hypogonadism eyinhloko zifaka:

• Ukulimala kwamasende emzimbeni: Ukulimala kumele kwenzeke kuwo womabili amasende ukuze kuthinte amazinga e-testosterone.
• Izimpumputhe orchitis: Ukutheleleka komqubu kungalimaza amasende.
• Ukwelashwa komdlavuza: Ukwelashwa ngamakhemikhali noma ngemisebe kungalimaza amasende.

I-hypogonadism yesibili

I-hypogonadism yesibili ibangelwa ukulimala kwe-pituitary gland noma i-hypothalamus. Lezi zingxenye zomqondo wokulawula ukukhiqizwa kwama-hormone ngamasende.

Izimo ezizuzwe njengefa noma zezifo kulesi sigaba zifaka:

• Izinkinga zepituitary kubangelwa izidakamizwa, ukwehluleka kwezinso, noma izicubu ezincane
• Isifo seKallmann, isimo esixhunywe ekusebenzeni okungajwayelekile kwe-hypothalamus
• Izifo ezivuthayo, njengesifo sofuba, i-sarcoidosis, ne-histiocytosis, engathinta i-pituitary gland ne-hypothalamus
• I-HIV / AIDS, engathinta i-pituitary gland, i-hypothalamus, nama-testes

Izimo ezitholakalayo ezingaholela ku-hypogonadism yesibili zifaka:

• Ukuguga okujwayelekile: Ukuguga kuthinta ukukhiqizwa nokuphendula kwamahomoni.
• Ukukhuluphala ngokweqile: Amafutha omzimba aphezulu angathinta ukukhiqizwa nokuphendula kwamahomoni.
• Imithi: Imithi yezinhlungu ze-opioid kanye ne-steroids kungathinta ukusebenza kwendlala ye-pituitary ne-hypothalamus.
• Ukugula okufanayo: Ukucindezeleka okukhulu ngokomzwelo noma ukucindezelwa ngokomzimba okuvela ekuguleni noma ekuhlinzweni kungadala ukuthi uhlelo lokuzala luvale isikhashana.

Ungathinteka nge-primary, secondary, noma i-hypogonadism exubile. I-hypogonadism exubekile ivame kakhulu ngokukhula kweminyaka. Abantu abathola ukwelashwa kwe-glucocorticoid bangasithuthukisa lesi simo. Futhi kungathinta abantu abanesifo se-sickle-cell, thalassemia, noma utshwala.

Izinguquko ongazenza

Uma uhlangabezana nezimpawu ze-T ephansi, izinguquko zendlela yokuphila zingasiza ekunciphiseni izimpawu zakho.

Isinyathelo esihle sokuqala ukwandisa amazinga womsebenzi nokugcina ukudla okunempilo ukuze wehlise amafutha omzimba. Kungasiza futhi ukugwema imishanguzo ye-glucocorticoid efana ne-prednisone kanye nemithi yezinhlungu ze-opioid.

Ukushintshwa kwe-testosterone

Uma izinguquko zendlela yokuphila zingakusebenzeli, ungahle udinge ukuqala ukwelashwa kwe-testosterone replacement (TRT) ekwelashweni kwe-T.TTT ephansi kungabaluleke kakhulu ekusizeni abesilisa abasebasha abane-hypogonadism ukuzwa ukukhula okujwayelekile komuntu wesilisa. Amazinga e-testosterone anele asiza ekugcineni impilo nenhlalakahle emadodeni amadala.

I-TRT inemiphumela emibi, noma kunjalo, kufaka phakathi:

• induna
• i-prostate ekhulisiwe
• ukulala ubuthongo
• ukuncipha kwesende
• ukukhuliswa kwebele
• ukwanda kwesibalo segazi elibomvu
• kwehle ukubala kwesidoda

Uhlelo lokwelashwa olwenziwe ngokucophelela lwe-TRT kufanele luvikele iningi lalemiphumela emibi engathandeki. Khuluma nodokotela wakho ukuze uhlole izinketho zakho.