Izinketho zokwandisa i-Testosterone yakho

-Delile

• Ukubuka konke
• Yini i-testosterone?
• I-hypogonadism yesilisa
• Ukwelashwa kwe-hypogonadism yesilisa
• I-TRT yamadoda aphilile?
• Izingozi zokwelashwa kwe-testosterone
• Ezinye izindlela zokwelapha
• Ukuthatha

Ukubuka konke

Eminyakeni eyikhulu edlule, iminyaka yokuphila kwamadoda inyuke ngamaphesenti angama-65, ngokusho kweCenters for Disease Control and Prevention (CDC).

Ngo-1900, amadoda aphila kwaze kwaba cishe. Ngo-2014, leyo minyaka. Akubuzwa ukuthi amadoda achaza kabusha ukuthi kusho ukuthini ukuba neminyaka engama-50, 60, nangama-70 ubudala noma ngaphezulu.

Ukuvivinya umzimba njalo, ukudla okunempilo, nokuphumula ngokwanele konke kusiza ekugcineni amandla nobungqabavu emadodeni aneminyaka engaphezu kwengama-50. Kodwa abesilisa futhi baphendukela kwesinye sezixazululo zokuguga ezithuthuke kakhulu ezitholakalayo. Kule minyaka eyishumi edlule, ukusetshenziswa kwe-testosterone phakathi kwamadoda aphakathi nendawo kanye nabesilisa asebekhulile sekuyinto ethandwayo.

Yini i-testosterone?

I-testosterone yi-hormone ebhekele ukuthuthukiswa kwezitho zobulili zangaphandle zesilisa nezici zesibili zocansi. Ikhiqizwa ngamasende. I-testosterone ibalulekile ekugcineni:

• inqwaba yemisipha
• ukuminyana kwamathambo
• amangqamuzana abomvu egazi
• umsebenzi wezocansi nowokuzala

I-Testosterone ibuye inikele ebungqungqeni nasenhlalakahleni.

Njengoba amadoda ekhula, imizimba yawo kancane kancane ikhiqiza i-testosterone encane. Lokhu kwehla kwemvelo kuqala eminyakeni yobudala engama-30 futhi kuyaqhubeka kukho konke ukuphila kwendoda.

I-hypogonadism yesilisa

Amanye amadoda anenkinga ye-testosterone ebizwa nge-hypogonadism yesilisa. Lesi yisimo lapho umzimba ungakhiqizi khona i-testosterone eyanele. Kungabangelwa yizinkinga ku:

• amasende
• hypothalamus
• indlala ye-pituitary

Abesilisa abasengcupheni yalesi simo kubalwa labo abalimele amasende noma abane-HIV / AIDS. Uma ngabe udlule ekwelashweni ngamakhemikhali noma ngemisebe, noma unamasende angathandeki njengengane usacatshangelwa nasengozini ye-hypogonadism.

Izimpawu ze-hypogonadism yesilisa ebudaleni zifaka:

• ukungasebenzi kahle kwe-erectile
• ukuncipha kwemisipha
• ukungazali
• ukulahleka kwamathambo (i-osteoporosis)
• ukuncipha kokukhula kwentshebe nokukhula komzimba
• ukuthuthukiswa kwezicubu zesifuba
• ukukhathala
• ubunzima bokugxila
• kunciphise ukushayela ucansi

Ukwelashwa kwe-hypogonadism yesilisa

Odokotela bangabona ukuthi une-hypogonadism yesilisa ngokuhlolwa komzimba nokuhlolwa kwegazi. Uma udokotela wakho ethola i-testosterone ephansi bangenza izivivinyo ezengeziwe ukuthola imbangela.

Ukwelashwa ngokuvamile kufaka phakathi i-testosterone replacement therapy (TRT) ngendlela ye:

• imijovo
• amabala
• ama-gel

Kubikwa ukuthi i-TRT iyasiza:

• ukukhulisa amazinga amandla
• ukwandisa isisindo semisipha
• buyisela ukusebenza kocansi

Kodwa-ke, ososayensi bayaxwayisa ukuthi alukho ulwazi olwanele lokunquma ukuphepha kwe-testosterone supplementation ejwayelekile.

I-TRT yamadoda aphilile?

Amadoda amaningi aba nezinguquko njengoba zikhula zifana nezimpawu ze-hypogonadism. Kodwa izimpawu zabo kungenzeka ukuthi azihlobene nanoma yisiphi isifo noma ukulimala. Ezinye zithathwa njengengxenye ejwayelekile yokuguga, njenge:

• izinguquko emaphethini wokulala nokusebenza kocansi
• ukwanda kwamafutha omzimba
• ukunciphisa imisipha
• ukuncipha kwesisusa noma ukuzethemba

IMayo Clinic ibika ukuthi i-TRT ingasiza abesilisa abane-hypogonadism. Imiphumela ayicaci kangako ngabesilisa abanamazinga ajwayelekile we-testosterone noma amadoda amadala anamazinga we-testosterone anciphayo. Kudingeka izifundo ezinzima ngokwengeziwe, ngokusho kweMayo Clinic.

Izingozi zokwelashwa kwe-testosterone

Izifundo zixubene nokuthi ngabe i-TRT iyazuzisa yini kubantu besilisa abavamile njengoba bekhula. Olunye ucwaningo lulethe izingozi ezinkulu ngokwelashwa, ikakhulukazi lapho kuthathwa isikhathi eside. Lokhu sekuholele ekutheni odokotela baqaphele uma bekuncoma.

Ukuhlaziywa okukhulu kwe-meta-2010 kwezifundo ezingama-51 kubheke ukuphepha kwe-TRT. Umbiko uphethe ngokuthi ukuhlaziywa kwezokuphepha kwe-TRT kusezingeni eliphansi futhi kwehluleka ukwazisa umphakathi ngemiphumela yesikhathi eside engaba khona.

Umtholampilo iMayo uxwayisa ngokuthi i-TRT nayo inga:

• nomthelela ekuphefumuleni ubuthongo
• kubangela induna noma okunye ukusabela kwesikhumba
• nciphisa ukukhiqizwa kwesidoda
• kubangele ukuncipha kwesende
• khulisa amabele
• ukwandisa ingozi yesifo senhliziyo

Kukhona nezingozi ezibandakanyekayo ekubeni namazinga aphansi e-testosterone, njenge:

• unhlangothi
• isifo senhliziyo
• ukunqamuka kwesinqe

Phambilini, bekukhona ukukhathazeka ukuthi i-TRT iphakamise ingozi yokuba nomdlavuza wendlala yabesilisa.

Imininingwane eminingi yamanje, kufaka phakathi amabili ngo-2015, ayisasekeli ukuxhumana phakathi kokushintshwa kwe-testosterone kanye nokwakhiwa kwe-1) umdlavuza wendlala yesinye, i-2) umdlavuza we-prostate onolaka kakhulu, noma i-3) umdlavuza we-prostate obuya ngemuva kokwelashwa.

Uma une-hypogonadism yesilisa noma i-testosterone ephansi, khuluma nodokotela wakho mayelana nokuthi i-TRT ingaba yindlela enhle yini kuwe. Xoxani ngobungozi nezinzuzo ze-TRT.

Ezinye izindlela zokwelapha

Uma ungenayo i-hypogonadism, kepha unentshisekelo yokuzwa unamandla futhi ubusha. Lezi zindlela ezilandelayo zingasiza ukukhuphula izinga lakho le-testosterone ngaphandle kokusebenzisa i-hormone therapy.

• Gcina isisindo esinempilo. Abesilisa abakhuluphele kakhulu kungenzeka babe namazinga aphansi e-testosterone. Ukwehla kwesisindo kungabuyisa i-testosterone.
• Vocavoca umzimba njalo. Amadoda ahlala phansi ajwayele ukuba namazinga ancishisiwe e-testosterone, njengoba umzimba ungadingi kakhulu. Ukuphakamisa izinsimbi kungakhuthaza ukukhiqizwa kwe-testosterone. Ukhiye ukuhambisa umzimba wakho njalo nokusebenzisa imisipha yakho.
• Lala amahora angu-7 kuya kwangu-8 njalo ebusuku. Ukuntuleka kokulala kuthinta amahomoni emzimbeni wakho.

• Zama izithasiselo zikavithamini D. Amadoda angama-165 aphakamise ukuthi ukufaka ama-vitamin D angaba ngu-3 300 ngosuku kwandisa amazinga e-testosterone.
• Jabulela ikhofi yakho yasekuseni. Kukhona ukuthi i-caffeine ingakhuphula amazinga e-testosterone.

• Thola i-zinc eningi. Ukushoda kweZinc emadodeni kuhlotshaniswe ne-hypogonadism.
• Yidla amantongomane amaningi nobhontshisi. Bacebile nge-D-aspartic acid, ekhuthaza ukukhiqizwa kwe-testosterone, ngokusho okukodwa.

Ukuthatha

Enye indlela yokwandisa amazinga akho e-testosterone nge-TRT. Kusebenza ikakhulukazi uma une-hypogonadism. Izifundo azikakhombisi ukusebenza kwe-TRT ekusizeni amadoda anamazinga ajwayelekile we-testosterone noma amadoda amadala anokwehla kwamazinga e-testosterone ngenxa yokuguga.

Abesilisa abathatha i-TRT bavame ukuzwa amandla andisiwe, idrayivu ephezulu yezocansi, kanye nenhlalakahle jikelele. Kodwa ukuphepha kwayo kwesikhathi eside akukasungulwa.

Kunezinhlobo ezahlukahlukene zokwelashwa okubandakanya ukuzivocavoca umzimba, ukudla, nokulala okukhonjisiwe ukukhulisa amazinga e-testosterone. Khuluma nodokotela wakho ngalokho okungakulungela kakhulu.