I-TRT: Iqiniso elihlukanisayo kusuka kuFiction
-Delile
- Yini i-TRT?
- Kungani i-T incipha ngeminyaka?
- Ngazi kanjani ukuthi ngine-T ephansi?
- Ilawulwa kanjani i-TRT?
- I-TRT isetshenziswa kanjani kwezokwelapha?
- Yikuphi ukusetshenziswa okungeyona kwezokwelapha kwe-TRT?
- Kubiza malini i-TRT?
- Yigcine isemthethweni (futhi iphephile)
- Ingabe zikhona izingozi ezixhunyaniswe ne-TRT?
- Okubalulekile
Yini i-TRT?
I-TRT isichasiso sokwelapha i-testosterone therapy, kwesinye isikhathi ibizwa ngokuthi ukwelashwa okufaka esikhundleni se-androgen. Isetshenziselwa ukwelapha amazinga aphansi e-testosterone (T), angenzeka ngeminyaka noma ngenxa yesimo sezempilo.
Kepha kuya ngokuya kwanda ngokusetshenziswa okungeyona eyezokwelapha, kufaka phakathi:
- ukuthuthukisa ukusebenza kocansi
- ukuthola amazinga aphezulu wamandla
- ukwakha imisipha yokwakha umzimba
Olunye ucwaningo lukhombisa ukuthi i-TRT ingakusiza ukuthi ufeze ezinye zalezi zinhloso. Kepha kunezihibe ezithile. Ake singene kulokho okwenzeka ngqo emazingeni akho we-T njengoba ukhula nokuthi yini ongayilindela ngokweqiniso ku-TRT.
Kungani i-T incipha ngeminyaka?
Umzimba wakho ngokwemvelo ukhiqiza u-T omncane njengoba ukhula. Ngokusho kwendatshana eku-American Family Physician, ukukhiqizwa kwe-T kwesilisa okujwayelekile kwehla cishe ngephesenti elilodwa kuya kwamabili unyaka ngamunye.
Konke lokhu kuyingxenye yenqubo yemvelo ngokuphelele eqala ngasekupheleni kweminyaka engama-20 noma ekuqaleni kweminyaka engama-30:
- Njengoba ukhula, amasende akho akhiqiza u-T omncane.
- Ukwehliswa kwamasende T kubangela ukuthi i-hypothalamus yakho ikhiqize i-hormone engatheni ekhulula i-gonadotropin (GnRH).
- Ukwehlisa i-GnRH kubangela ukuthi indlala yakho ye-pituitary yenze i-hormone engaphansi ye-luteinizing (LH).
- Imiphumela eyehlisiwe ye-LH kumkhiqizo owehlisiwe ophelele we-T.
Lokhu kwehla kancane kancane kwe-T kaningi akubangeli zimpawu ezibonakalayo. Kepha ukwehla okukhulu kwamazinga we-T kungadala:
- ukushayela ucansi okuphansi
- ama-erections ambalwa okuzenzekelayo
- ukungasebenzi kahle kwe-erectile
- kwehlise isibalo sesidoda noma ivolumu
- inkathazo yokulala
- ukulahleka okungajwayelekile kwemisipha namathambo
- ukuzuza kwesisindo okungaqondakali
Ngazi kanjani ukuthi ngine-T ephansi?
Ukuphela kwendlela yokwazi ukuthi unayo ngempela i-T ephansi ukubona umhlinzeki wezokunakekelwa kwezempilo esivivinyweni sezinga le-testosterone. Lokhu ukuhlolwa kwegazi okulula, futhi abahlinzeki abaningi bakudinga ngaphambi kokuchaza i-TRT.
Ungadinga ukwenza isivivinyo kaningana ngoba amazinga we-T athinteka yizici ezahlukahlukene, njenge:
- ukudla
- izinga lokuqina
- isikhathi sosuku isivivinyo sesenziwe
- imithi ethile, njenge-anticonvulsants ne-steroids
Nakhu ukwehla kwamazinga we-T ejwayelekile emadodeni amadala aqala eminyakeni yobudala engama-20:
| Ubudala (ngeminyaka) | Amaleveli we-T kuma-nanograms ngemililitha ngayinye (ng / ml) |
|---|---|
| 20–25 | 5.25–20.7 |
| 25–30 | 5.05–19.8 |
| 30–35 | 4.85–19.0 |
| 35–40 | 4.65–18.1 |
| 40–45 | 4.46–17.1 |
| 45–50 | 4.26–16.4 |
| 50–55 | 4.06–15.6 |
| 55–60 | 3.87–14.7 |
| 60–65 | 3.67–13.9 |
| 65–70 | 3.47–13.0 |
| 70–75 | 3.28–12.2 |
| 75–80 | 3.08–11.3 |
| 80–85 | 2.88–10.5 |
| 85–90 | 2.69–9.61 |
| 90–95 | 2.49–8.76 |
| 95–100+ | 2.29–7.91 |
Uma amazinga akho we-T ephansi kancane ngeminyaka yakho, mhlawumbe awudingi i-TRT.Uma ziphansi kakhulu, umhlinzeki wakho kungenzeka enze ukuhlolwa okwengeziwe ngaphambi kokuncoma i-TRT.
Ilawulwa kanjani i-TRT?
Kunezindlela eziningi zokwenza i-TRT. Okukhethwa kukho okuhle kuzoya ngezidingo zakho zezokwelapha kanye nendlela yakho yokuphila. Ezinye izindlela zidinga ukuphathwa nsuku zonke, kanti ezinye zidinga ukwenziwa njalo ngenyanga.
Izindlela ze-TRT zifaka:
- imithi yomlomo
- imijovo yemisipha
- Ama-patdermal patches
- okhilimu bezindaba
Kukhona nohlobo lwe-TRT olubandakanya ukuhlikihla i-testosterone ezinsinini zakho kabili ngosuku.
I-TRT isetshenziswa kanjani kwezokwelapha?
I-TRT ngokwesiko isetshenziselwa ukwelapha i-hypogonadism, eyenzeka lapho ama-testes akho (abizwa nangokuthi ama-gonads) engakhiqizi i-testosterone eyanele.
Kunezinhlobo ezimbili ze-hypogonadism:
- I-hypogonadism eyinhloko. Imiphumela ephansi ye-T ivela ezindabeni ngama-gonads akho. Bathola amasiginali ebuchosheni bakho ukwenza i-T kepha abakwazi ukuwakhiqiza.
- I-hypogonadism emaphakathi (yesibili). Imiphumela ephansi ye-T ivela ezindabeni ze-hypothalamus noma i-pituitary gland yakho.
I-TRT isebenza ukwenzela i-T engakhiqizwa ama-testes akho.
Uma une-hypogonadism yangempela, i-TRT inga:
- thuthukisa umsebenzi wakho wezocansi
- khulisa isibalo sakho sesidoda nevolumu
- ukwandisa amazinga amanye amahomoni asebenzisana ne-T, kufaka phakathi i-prolactin
I-TRT ingasiza futhi ukulinganisela amazinga we-T angavamile abangelwa:
- izimo ezizimele
- ukuphazamiseka kofuzo
- izifo ezilimaza izitho zakho zobulili
- amasende angafuneki
- ukwelashwa ngemisebe yomdlavuza
- ukuhlinzwa kwezitho zocansi
Yikuphi ukusetshenziswa okungeyona kwezokwelapha kwe-TRT?
Amazwe amaningi, kubandakanya ne-United States, awavumeli abantu ukuthi bathenge ngokusemthethweni izithasiselo ze-T ze-TRT ngaphandle kwencwadi kadokotela.
Noma kunjalo, abantu bafuna i-TRT ngezizathu eziningi ezingezona ezokwelapha, njenge:
- ukuncipha
- ukwandisa amazinga wamandla
- ukukhulisa idrayivu yezocansi noma ukusebenza
- ukukhulisa ukubekezela kwemidlalo
- ukuthola imisipha eyengeziwe yokwakha umzimba
I-TRT impela ikhonjisiwe ukuthi inezinye zalezi zinzuzo. Isibonelo, kuphethwe ukuthi kukhulise ngempumelelo amandla emisipha emadodeni aphakathi nendawo nangaphezulu.
Kepha i-TRT inezinzuzo ezimbalwa ezifakazelwe kubantu, ikakhulukazi abesilisa abancane, abanamazinga ajwayelekile noma aphezulu eT. Futhi izingozi zingadlula izinzuzo. Ucwaningo oluncane luka-2014 luthole ukuxhumana phakathi kwamazinga aphezulu we-T nokukhiqizwa kwesidoda okuphansi.
Futhi, ukusebenzisa i-TRT ukuthola umkhawulo wokuncintisana kwezemidlalo kubhekwa njenge- "doping" yizinhlangano eziningi zobungcweti, futhi iningi likubheka njengezizathu zokunqanyulwa kulo mdlalo.
Esikhundleni salokho, cabanga ukuzama ezinye izindlela zokwengeza u-T. Nanka amathiphu ayisishiyagalombili wokuqalisa.
Kubiza malini i-TRT?
Izindleko ze-TRT ziyehluka ngokuya ngohlobo onqunyelwe lona. Uma unomshuwalense wezempilo futhi udinga i-TRT ukwelapha isimo sempilo, cishe ngeke ukhokhe izindleko ezigcwele. Izindleko zangempela zingahluka ngokuya ngendawo yakho nokuthi ngabe kukhona inguqulo ejwayelekile etholakalayo.
Ngokuvamile, ungalindela ukukhokha noma yikuphi kusuka ku- $ 20 kuya ku- $ 1,000 ngenyanga. Izindleko zangempela zincike ebangeni lezici, kufaka phakathi:
- indawo okuyo
- uhlobo lomuthi
- indlela yokuphatha
- noma ngabe kukhona uhlobo olujwayelekile olutholakalayo
Lapho ucabangela izindleko, khumbula ukuthi i-TRT imane ikhuphule amazinga akho e-T. Ngeke iphathe imbangela eyisisekelo ye-T yakho ephansi, ngakho-ke ungadinga ukwelashwa impilo yonke.
Yigcine isemthethweni (futhi iphephile)
Khumbula, akukho emthethweni ukuthenga i-T ngaphandle kwencwadi kadokotela emazweni amaningi. Uma ubanjwa wenza kanjalo, ungabhekana nemiphumela emibi yezomthetho.
Futhi, iT ithengiswa ngaphandle kwamakhemisi asemthethweni ayilawulwa. Lokhu kusho ukuthi kungenzeka ukuthi uthenga i-T exutshwe nezinye izithako ezingekho ohlwini lwelebula. Lokhu kungaba yingozi noma kusongele impilo uma unalelgi kunoma iziphi zalezo zithako.
Ingabe zikhona izingozi ezixhunyaniswe ne-TRT?
Ochwepheshe basazama ukuqonda ngokugcwele izingozi nemiphumela emibi ye-TRT. Ngokuya ngeHarvard Health, izifundo eziningi ezikhona zinemikhawulo, njengokuncane ngosayizi noma ukusebenzisa imithamo emikhulu kunokujwayelekile yeT.
Ngenxa yalokhu, kusenempikiswano mayelana nezinzuzo nobungozi obuxhumene ne-TRT. Isibonelo, kuthiwe kukhulisa futhi kunciphise ubungozi bezinhlobo ezithile zomdlavuza.
Iphephabhuku i-Therapeutic Advances in Urology liphakamisa ukuthi eminye yale mibono engqubuzanayo ingumphumela wokusakazwa ngokweqile kwabezindaba, ikakhulukazi e-United States.
Ngaphambi kokuzama i-TRT, kubalulekile ukuhlala phansi nomhlinzeki wakho wezokunakekelwa kwempilo bese ubheka yonke imiphumela emibi engaba khona kanye nezingozi. Lokhu kungafaka:
- ubuhlungu besifuba
- ukuphefumula kanzima
- ubunzima bokukhuluma
- ukubala kwesidoda okuphansi
- polycythemia vera
- kwehlise i-cholesterol ye-HDL ("enhle")
- isifo senhliziyo
- ukuvuvukala ezandleni noma emilenzeni
- unhlangothi
- i-benign prostatic hyperplasia (i-prostate ekhulisiwe)
- ukulala ubuthongo
- izinduna noma ukuqhuma kwesikhumba okufanayo
- i-vein thrombosis ejulile
- embolism yamaphaphu
Akufanele ungene ku-TRT uma usuvele usengcupheni yanoma yiziphi izimo ezibhalwe ngenhla.
Okubalulekile
I-TRT sekuyisikhathi eside iyindlela yokwelashwa kubantu abane-hypogonadism noma izimo ezihambisana nokukhiqizwa kwe-T okuncishisiwe. Kepha izinzuzo zayo kulabo abangenawo umbandela oyisisekelo azicaci kangako, naphezu kwawo wonke ama-hype.
Khuluma nodokotela wakho ngaphambi kokuthatha noma iziphi izithako ze-T noma imithi. Bangakusiza ukuthi unqume ukuthi ngabe izinhloso zakho nge-TRT ziphephile yini futhi zinengqondo.
Kubalulekile futhi ukuthi ubhekwe ngongoti bezokwelapha njengoba uthatha izithasiselo ze-T ukuze uqaphele noma yiziphi izimpawu ezingafuneki noma imiphumela emibi engahle yenzeke ngesikhathi sokwelashwa.
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