I-Testosterone: izimpawu zokuthi iphansi nini nokuthi ingakhula kanjani

-Delile

• Izimpawu ze-testosterone ephansi
• Hlola lokho kukala i-testosterone
• Ungayandisa Kanjani i-Testosterone
• Emuntwini
• Kumuntu wesifazane

I-testosterone yi-hormone eyinhloko yabesilisa, ebhekele izici ezinjengokukhula kwentshebe, ukuqina kwezwi nokwanda kwesisindo semisipha, ngaphezu kokukhuthaza ukukhiqizwa kwesidoda, okuhlobene ngqo nokuzala kwabesilisa. Ngaphezu kwalokho, i-testosterone nayo ikhona kwabesifazane, kodwa ngezinga elincane.

Ngemuva kweminyaka engama-50 ubudala, kujwayelekile ukwehla kokukhiqizwa kwe-testosterone, futhi i-andropause ibonakala, efana nokunqamuka kwabesifazane ukuya esikhathini. Kodwa-ke, ukwehla kokukhiqizwa kwe-testosterone kumuntu akusho ukuthi uyahluleka ukuzala, kepha ukuthi amandla akhe okuzala angancishiswa, ngoba ukukhiqizwa kwesidoda kunciphisiwe.

Izimpawu ze-testosterone ephansi

Emadodeni, ukwehla kokukhiqizwa kwe-testosterone kungaholela kulezi zimpawu ezilandelayo:

• Ukwehla kwe-libido;
• Ukusebenza kocansi okuphansi;
• Ukudangala;
• Ukwehla kwemisipha;
• Ukwanda kwamafutha omzimba;
• Ukwehla kwentshebe nokulahleka kwezinwele ngokujwayelekile.

Ngaphezu kokungasebenzi kahle kwezocansi, i-testosterone ephansi emadodeni nayo ingadala izinkinga ezifana ne-osteopenia, i-osteoporosis kanye nokuzala kwabesilisa okungasebenzi kahle. Ukwehla kokukhiqizwa kwamahomoni kuvamile futhi kwenzeka ikakhulukazi ngokusetshenziswa ngokweqile kweziphuzo ezidakayo, lapho indoda ibhema, ikhuluphele ngokweqile noma inesifo sikashukela.

I-Testosterone nayo ikhona kwabesifazane, kepha ekugxileni okuphansi. Kodwa-ke, lapho amazinga e-testosterone ehla kwabesifazane kungahle kube nezimpawu ezithile, njenge:

• Ukulahleka kwemisipha;
• Ukuqoqwa kwamafutha we-visceral;
• Ukwehla kwesifiso sobulili;
• Ukungabi nesithakazelo okusakazekile, okungadidaniswa nokudangala kwezinye izimo.

Ngakolunye uhlangothi, lapho amazinga e-testosterone enyuka kwabesifazane, kungahle kube nokuthuthuka kwezimpawu zobudoda, njengokukhula kwezinwele esifubeni, ebusweni nasemathangeni angaphakathi, eduze kwesibumbu.

Lapho kuvela izimpawu ezingahle zihlobene nokushintshwa kwamazinga e-testosterone, kubalulekile ukuxhumana nodokotela we-endocrinologist, urologist, esimweni sabesilisa, noma i-gynecologist, esimweni sabesifazane. Ngakho-ke, kungenzeka ukuhlola ukukhiqizwa kwale hormone futhi, uma kunesidingo, qala ukwelashwa.

Hlola lokho kukala i-testosterone

Izivivinyo ezibonisa inani le-testosterone emzimbeni azicacisiwe futhi azithembeki ngaso sonke isikhathi ngoba amanani azo aguquka njalo, ngokuya ngobuhlanga, ubudala nendlela yokuphila, njengokudla okunempilo nokusebenza komzimba noma ukungasebenzi komzimba. Ngalesi sizathu, udokotela akaceli ngaso sonke isikhathi ukuhlolwa ukuthi kuhlolwe ukugxila kwayo egazini kususelwa kuphela ezimpawu umuntu azivezayo.

Imvamisa, i-testosterone yamahhala ne-testosterone ephelele iyadingeka. I-testosterone yamahhala imelela ukuhlangana kwe-testosterone okutholakala emzimbeni, okungagxila ekwenzeni umsebenzi wayo emzimbeni, futhi kufana no-2 kuye ku-3% we-testosterone ephelele, ehambelana nenani eliphelele le-testosterone elenziwa ngumzimba , okungukuthi, i-testosterone yamahhala ne-testosterone exhumene namaprotheni.

Amanani ajwayelekile we ingqikithi ye-testosterone egazini lingahluka ngokuya ngeminyaka yomuntu kanye nelabhorethri okwenziwa kuyo ukuhlolwa, ngokuvamile:

• Amadoda aphakathi kweminyaka engama-22 nengama-49 ubudala: 241 - 827 ng / dL;
• Amadoda angaphezu kweminyaka engama-50: 86.49 - 788.22 ng / dL;
• Abesifazane abaphakathi kweminyaka engu-16 nengama-21 ubudala: 17.55 - 50.41 ng / dL;
• Abesifazane abangaphezu kweminyaka engama-21: 12.09 - 59.46 ng / dL;
• Abesifazane besikhathi sokuya esikhathini: kufika ku-48.93 ng / dL.

Ngokuphathelene namanani ayisethenjwa we testosterone yamahhala egazini, ngaphandle kokuhluka ngokuya kwelabhorethri, ziyehluka kuye ngobudala nangesigaba somjikelezo wokuya esikhathini, kulokhu kwabesifazane:

• Abesilisa

  • Kuze kube yiminyaka engu-17 ubudala: Inani lesethenjwa alisunguliwe;
  • Phakathi kweminyaka eyi-17 nengama-40: 3 - 25 ng / dL
  • Phakathi kweminyaka engama-41 nengama-60: 2.7 - 18 ng / dL
  • Ngaphezulu kweminyaka engama-60: 1.9 - 19 ng / dL
• Abesifazane
  • Isigaba esilandelayo somjikelezo wokuya esikhathini: 0.2 - 1.7 ng / dL
  • Umjikelezo ophakathi: 0.3 - 2.3 ng / dL
  • Isigaba se-Luteal: 0.17 - 1.9 ng / dL
  • Thumela ukuya esikhathini: 0.2 - 2.06 ng / dL

I-testosterone ingakhuphuka uma kwenzeka ukuthomba ngaphambi kwesikhathi, i-adrenal hyperplasia, isifo se-trophoblastic ngesikhathi sokukhulelwa, umdlavuza we-ovari, i-cirrhosis, i-hyperthyroidism, ukusetshenziswa kwezidakamizwa zokubamba, ama-barbiturates, ama-estrogens noma ukusetshenziswa kwephilisi lokuvimbela inzalo.

Kodwa-ke, i-testosterone ingancipha uma kwenzeka i-hypogonadism, ukuhoxiswa kwamasende, i-Klinefelter syndrome, i-uremia, i-hemodialysis, ukwehluleka kwesibindi, ukuphuza ngokweqile ngamadoda nokusetshenziswa kwezidakamizwa ezifana ne-digoxin, i-spironolactone ne-acarbose.

Ungayandisa Kanjani i-Testosterone

Izithako ze-testosterone kufanele zisetshenziswe ngaphansi kweseluleko sezokwelapha futhi zingatholakala ngendlela yamaphilisi, i-gel, ukhilimu noma i-transdermal patch. Amanye amagama okuhweba yiDurateston, Somatrodol, Provacyl neAndrogel.

Kodwa-ke, ngaphambi kokusebenzisa ukusetshenziswa kwezithasiselo, kubalulekile ukuthi ubheke ezinye izindlela ezikhuthaza ukukhiqizwa kwale hormone, njengokuzijwayeza ukuzivocavoca umzimba ngesisindo, ukwanda kokudla kokudla okunothile nge-zinc, uvithamini A no-D, ubusuku obuhle ukulala nokwanele kwesisindo sokuphakama. Uma lezi zindlela zingakwandisi ukukhiqizwa kwe-testosterone, udokotela kufanele aqale ukwelashwa okufanele.

Nakhu ukuthi ungayinyusa kanjani ngokwemvelo i-testosterone.

Emuntwini

Lapho i-testosterone ingaphansi kwezinga elinconywayo futhi indoda inezimpawu nezimpawu zokuncipha kokukhiqizwa kwe-testosterone, udokotela wezokwelapha angabeka ukusetshenziswa kwe-testosterone ngesimo samaphilisi, umjovo noma i-gel okufanele isetshenziswe ngokomyalelo wakhe.

Imiphumela ye-testosterone emadodeni ingabonakala enyangeni yokwelashwa eyi-1 futhi ngalokho kufanele azethembe ngokwengeziwe, ngesifiso esikhulu sezocansi, ukuqina kwemisipha okukhulu nokuzizwa enamandla. Ngakho-ke, ukwesekwa kwe-testosterone kungakhonjiswa ngesikhathi nangesizathu sokunciphisa imiphumela yako, kuthuthukiswe ikhwalithi yempilo yamadoda.

Ukusetshenziswa kwe-testosterone kufanele kunconywe ngudokotela, ngoba kungaholela ezinkingeni zezempilo njengamafutha wesibindi, i-cholesterol ephezulu, umfutho wegazi ophakeme kanye ne-atherosclerosis. Bona ukuthi ukwenziwa kwama-hormone wesilisa kwenziwa kanjani nemiphumela engemihle engaba khona.

Kumuntu wesifazane

Lapho inani le-testosterone lowesifazane analo liphansi kakhulu, udokotela wezifo zabesifazane angazibona lezi zimpawu futhi ahlele ukuhlolwa ukuthi kuhlolwe ukugxila kwabo egazini.

Ukwengeza kwe-testosterone kukhonjiswa kuphela esimweni se-androgen defence syndrome noma lapho ama-ovari eyeka ukusebenza ngenxa yomdlavuza we-ovari, ngokwesibonelo. Lapho ukwehla kwe-testosterone kwabesifazane kubangelwa esinye isizathu, kungcono ukuzama ukulinganisela amazinga ama-hormone ngokwandisa i-estrogen.

Bheka ividiyo elandelayo ukuthola amathiphu wokukhulisa i-testosterone: