Yini Ebangela Amasende Amancane, Futhi Usayizi Wamasende Uyithinta Kanjani Impilo Yakho?

-Delile

• Ungabulinganisa kanjani usayizi wamasende
• Ngabe usayizi wamasende uyayithinta i-testosterone nokuzala?
• Usayizi wamasende nempilo yenhliziyo
• Usayizi wesende nokulala
• Usayizi weTesticle kanye nesimo semvelo sikayise
• Yini ebangela amasende amancane
• I-hypogonadism yesilisa
• I-hypogonadism eyinhloko
• I-hypogonadism yesibili
• I-Varicocele
• Ukuhlolwa okungehlisiwe
• Ungalufuna nini usizo
• Yikuphi ukwelashwa okutholakalayo emasendeni amancane?
• Ukwelapha ukungazali
• Ukwelapha i-varicocele
• Ukwelapha izivivinyo ezingathandiswanga
• Ngabe izithuthukisi zesilisa noma izengezo zingakhulisa usayizi wesende?
• Ingabe kufanele ngikhathazeke ngosayizi wami wamasende?

Yini ubukhulu besilinganiso samasende?

Njengazo zonke izitho zomzimba, ubukhulu bamasende buyehluka kuye ngomuntu, imvamisa bunomthelela omncane noma abunamphumela empilweni.

Isende lakho liyitho elenziwe nge-oval, elikhiqiza isidoda ngaphakathi kwesikhotha sakho. Ubude besende obuphakathi buphakathi kwamasentimitha angu-4.5 kuye kwayi-5.1 (cishe amayintshi ayi-1.8 kuye kwayi-2). Amasende angaphansi kwamasentimitha angu-3.5 (cishe ama-intshi angu-1.4) ubude athathwa njengamancane.

Ungabulinganisa kanjani usayizi wamasende

Ukulinganisa ubukhulu bama-testes akho kuvame ukwenziwa nge-ultrasound. Lokhu kuhlolwa okungenabuhlungu, nokungenakuvukela kusebenzisa amaza omsindo ukudala izithombe ezingaphakathi komzimba wakho esikrinini sekhompyutha.

Elinye ithuluzi elilula elisetshenziselwa ukukala usayizi wamasende libizwa ngokuthi i-orchidometer. Ngokuyinhloko uchungechunge lobuhlalu obusawindi obunosayizi ohlukile, bonke cishe bulingana nesende lomuntu.

Udokotela wakho angabuzwa kahle ubungako besende lakho bese eliqhathanisa nomunye wobuhlalu obuku-orchidometer.

Ukukala ekhaya, ungazama ukusebenzisa i-tape measure ukuthola isilinganiso. Uma wenza kanjalo, qala ngokugeza kuqala ukuze uqiniseke ukuthi amasende akho awakhishelwa emzimbeni wakho ukuze afudumale. (Lesi yisikhathi futhi sokuzihlola isende ukuhlola izigaxa noma ezinye izimpawu zomdlavuza wamasende.)

Ngabe usayizi wamasende uyayithinta i-testosterone nokuzala?

Amasende akho anemisebenzi emibili emikhulu:

• ukukhiqiza isidoda sokukhiqiza kabusha
• ngokufihla i-testosterone yesilisa, okubalulekile ekuthuthukiseni izici zomzimba wesilisa nokushayela ucansi

Njengoba isidoda sikhiqizwa emasendeni akho, ungahle ukhiqize isidoda esingaphansi kwesilinganiso uma unamasende amancane. Cishe amaphesenti angama-80 evolumu yesende aqukethe ama-seminiferous tubules, izakhiwo ezinjenge-tube ezakha amangqamuzana wesidoda.

Ocwaningweni lwango-2014 olushicilelwe kwi-African Journal of Urology, abacwaningi bathole ukuthi usayizi omncane wamasende uhambelana nokuncipha kwesidoda.

Kodwa-ke, ungaba namasende amancane kunamaphakathi futhi ube ovundile njengomuntu onamasende amakhulu.

Uma uzama ukuba nengane futhi wena nomlingani wakho ningaphumelelanga, kufanele nicabange ukubona isazi sokuzala. Amazinga akho e-testosterone nokubalwa kwesidoda kungalinganiswa ukunquma ukuthi ahlobene yini nezinkinga zakho zokuzala.

Usayizi wamasende nempilo yenhliziyo

Ukuba namasende amancane kungaba yinto enhle uma kukhulunywa ngempilo yenhliziyo yakho.

Imiphumela evela emadodeni amadala ase-Italiya angama-2,800 afuna ukwelashwa kokungasebenzi kahle kwe-erectile iphakamisa ukuthi amadoda anamasende amakhulu angaba sengozini enkulu yesifo senhliziyo kunamadoda anamasende amancane.

Akucaci ukuthi kungani le nhlangano ikhona, futhi abacwaningi baphawula ukuthi ngoba lolu cwaningo belungamadoda anokukhubazeka kwe-erectile, okutholakele kungenzeka kungasebenzi kubo bonke abesilisa.

Amazinga aphansi e-testosterone (T ephansi) ahlotshaniswa nengozi ephezulu yesifo senhliziyo. Kodwa-ke, ukwelapha i-T ephansi nge-testosterone therapy kungenzeka ukwanda amathuba akho okuba nezinkinga zenhliziyo.

Ucwaningo lukhombisile ubufakazi obuphikisanayo ngale ndaba. Ngakho-ke, uma une-T ephansi, xoxa ngokwelashwa kwe-testosterone nodokotela wakho futhi uqiniseke ukuthi ukhuluma ngocwaningo lwakamuva ngobungozi nezinzuzo zalokhu kwelashwa.

Usayizi wesende nokulala

Iqembu labaphenyi baseDenmark libheke ukuxhumana phakathi kwekhwalithi yesidoda, ukubalwa kwesidoda, nosayizi wamasende.Bathola ubufakazi obukhombisa ukuthi ukulala kabi kuhlotshaniswa nokubalwa kwesidoda okuphansi. Ukuxhumana phakathi kosayizi wamasende nokulala kabi kwakungalingani. Kudingeka ubufakazi obuningi ukuqonda kangcono ukuxhumana phakathi kwamasende, ikhwalithi yesidoda, nokulala.

Abaphenyi babuye baphawula ukuthi amadoda abika ukuphazamiseka kokulala njalo ayevame ukuphila impilo engenampilo futhi (ngokwesibonelo, ngokubhema, ukudla ukudla okunamafutha amaningi, nezinye izici ezingenampilo). Lezi zinto zokuphila zingadlala indima enkulu empilweni yokulala kunanoma iyiphi enye.

Usayizi weTesticle kanye nesimo semvelo sikayise

Uma unamasende amancane, ungahle ube ngumzali othintekayo, onakekelayo. Abaphenyi baqaphele intuthuko yokuziphendukela kwemvelo kwamanye ama-primates ukugcizelela lokhu okutholakele.

Izimfene zamadoda, ngokwesibonelo, zivame ukuba namasende amakhulu futhi zakhe isidoda esiningi. Ukugxila kwabo kubonakala kuhlose kakhulu ukukhwelana kunokuvikela amaphuphu abo.

Ngakolunye uhlangothi, gorilla besilisa bavame ukuba namasende amancane futhi bayazivikela impela izingane zabo.

Abaphenyi basikisela ukuthi amazinga aphezulu we-testosterone, ahlotshaniswa namasende amakhulu, angasiza ukuqondisa amadoda athile ekuziphatheni ngaphandle kwezokunakekelwa kwezingane zabo.

Abaphenyi baphinde bacaphuna izifundo ezedlule ezathola ukuthi obaba ababandakanyeka kakhulu ekunakekelweni kwansuku zonke kwezingane zabo bavame ukuba namazinga aphansi e-testosterone. Umqondo ngukuthi ukuba ngubaba okhulisayo empeleni kungawehlisa amazinga akho e-testosterone. Akucaci ukuthi ngabe i-testosterone ephansi ibamba iqhaza ekwenzeni umuntu abe ubaba okhulisa kakhulu noma uma ukuba ubaba okhulisayo kwehlisa i-testosterone.

Yini ebangela amasende amancane

Ubukhulu besayizi wamasende buya kumuntu nomuntu, ngakho-ke kubalulekile ukukhumbula ukuthi ukuhluka kosayizi kungahle kube nokuncane noma kungahlangene nakancane nesimo sokuxilongwa. Uma kukhulunywa ngempilo nokusebenza kwezitho zakho zobulili, umehluko wosayizi kungenzeka ungasho lutho.

Kukhona, noma kunjalo, ezinye izimo ezenza amasende abe mancane.

I-hypogonadism yesilisa

Omunye ikakhulukazi ubizwa ngokuthi yi-hypogonadism yesilisa.

I-Hypogonadism yisimo lapho umzimba ungakhiqizi khona i-testosterone eyanele ukusiza ukuqinisekisa ukukhula okufanele kwezimpawu zesilisa, njengepipi, amasende, nobukhulu bemisipha.

I-hypogonadism eyinhloko

I-Hypogonadism ingabangelwa ukuphazamiseka kwamasende, njengamasende angaphenduli kwizimpawu ezivela ebuchosheni ukwenza i-testosterone nesidoda esanele. Lokhu kubizwa ngokuthi yi-hypogonadism eyinhloko.

Ungahle uzalwe unale hypogonadism eyinhloko, noma kungabangelwa yizinto ezibandakanya:

• ukutheleleka
• i-testicular torsion (ukusonteka kwentambo yesidoda ngaphakathi kwesende)
• ukuhlukunyezwa kwama-anabolic steroid

I-hypogonadism yesibili

I-hypogonadism yesibili ayibangelwa inkinga eqala emasendeni. Esikhundleni salokho, kuyisimo lapho i-pituitary gland ebuchosheni ingakhiqizi i-luteinizing hormone. Ihomoni yeLuteinizing isayina amasende ukwenza i-testosterone.

I-Varicocele

Enye imbangela yamasende amancane yi-varicocele. I-Varicocele ukukhuliswa kwemithambo ngaphakathi kwesikhwama, imvamisa ngenxa yezinkinga zamavalvu alawula ukugeleza kwegazi emithanjeni. Imithambo evuvuzelayo ngaphakathi kwesikhotha ingadala ukuthi amasende anciphe futhi athambe.

Ukuhlolwa okungehlisiwe

Amasende angahlisiwe nawo angadala amasende amancane. Yisimo esikhula ngaphambi kokubeletha, lapho amasende angahambeli phansi emgodleni. Ama-testes angahlisiwe angavame ukwelashwa ngokuhlinzwa ngesikhathi sobuntwana.

Ungalufuna nini usizo

Kubalulekile ukuxoxa ngokukhathazeka kwakho ngosayizi wesende lakho nodokotela wakho.

Udokotela wakho anganquma ukuthi ingabe usayizi wamasende wakho uwuphawu lwesimo sempilo esingaphansi. Kungenzeka ukuthi usayizi wesende lakho awuhlangene nomsebenzi we-erectile noma uthinte impilo yakho yezocansi nganoma iyiphi indlela.

Ukukhuluma nodokotela wakho kungakunika ukuthula kwengqondo nokuqiniseka. Kungaholela nasekukhetheni ukwelashwa uma kukhona okufanelekile.

Yikuphi ukwelashwa okutholakalayo emasendeni amancane?

Ukwelapha ukungazali

Uma i-hypogonadism ithinta ukuzala, kunemithi ethile engasiza. I-Clomiphene (Clomid) umuthi owenziwa ngomlomo okhulisa ama-hormone adingekayo ekuzaleni.

Kuvame ukusetshenziselwa ukusiza abesifazane abanobunzima bokukhulelwa, kepha kungasetshenziswa ukwelapha ukungazali kwabesilisa, futhi.

Imijovo yama-gonadotropin nayo ingasebenza uma amasende amancane anciphise ukuminyana kwesidoda sakho. Ama-gonadotropin ngama-hormone ashukumisa umsebenzi emasendeni.

I-testosterone replacement therapy (TRT) ingahlinzeka ngezinzuzo ezinjengokukhuphuka:

• amandla
• ukushayela ucansi
• isisindo semisipha

Kungaba nomthelela ekubhekeni okuhle ngokwengqondo.

Kodwa-ke, i-TRT kufanele igadwe ngokucophelela ngudokotela wakho. Kuneminye imiphumela emibi engaba yingozi, njengezinkinga zesibeletho, ulaka olungajwayelekile, nokuphazamiseka kokujikeleza kwegazi.

Ukwelapha i-varicocele

Ukwelapha i-varicocele kungadingeka noma kungadingeki.

Uma imithambo ekhulisiwe ithinta ukuzala noma impilo yamasende akho, khona-ke ukuhlinzwa kungaba yindlela enhle. Udokotela ohlinzayo angavala umthambo noma imithambo ethintekile, abuyisele ukugeleza kwegazi kufinyelele emithanjeni enempilo esikhunjeni.

Inqubo ingaguqula i-atrophy yesende futhi ingakhuphula ukukhiqizwa kwesidoda.

Ukwelapha izivivinyo ezingathandiswanga

Uma isimo kungama-testes angafuneki, kunenqubo yokuhlinzwa engasetshenziswa ukuhambisa ama-testes aye esikhwameni. Ibizwa ngokuthi i-orchiopexy futhi ivame ukwenziwa ngaphambi kokuzalwa komfana kokuqala.

Ngabe izithuthukisi zesilisa noma izengezo zingakhulisa usayizi wesende?

Ngokuvamile, azikho izinqubo eziphephile nezisebenzayo zokunyusa ivolumu yamasende. Qaphela nganoma iziphi izindlela zokwelapha ezithengiswa komagazini, ku-inthanethi, noma emashalofini ezitolo.

Kunemikhiqizo eminingi “yokuthuthukisa abesilisa” ekhangiswayo ngaphandle kobufakazi besayensi bokusekela izimangalo zabo.

Ukuthatha izithasiselo ezingavunyelwe yi-U.S. Food and Drug Administration kungahle kungasebenzi futhi kubize, futhi, okubi kakhulu, kube yingozi empilweni yakho.

Ingabe kufanele ngikhathazeke ngosayizi wami wamasende?

Amasende amancane kunama-average angahle angayithinti impilo yakho ezimweni eziningi.

Uma zincane ngenxa yesimo esingaphansi, kunezindlela eziningi zokwelashwa.

Ukhiye wokukhulisa amazinga akho e-testosterone nokukhiqizwa kwesidoda, noma ukwelapha esinye isimo esiyisisekelo, ukukhuluma nodokotela wakho.