Testosterone

Chiyeso cha testosterone chimayeza kuchuluka kwa mahomoni amphongo, testosterone, m'magazi. Amuna ndi akazi amapanga hormone iyi.

Mayeso omwe afotokozedwa m'nkhaniyi amayesa kuchuluka kwa testosterone m'magazi. Zambiri mwa testosterone m'magazi zimamangidwa ndi puloteni yotchedwa sex hormone binding globulin (SHBG). Kuyezetsa magazi kwina kumatha kuyeza testosterone "yaulere". Komabe, mayeso amtunduwu nthawi zambiri samakhala olondola kwenikweni.

Kuyeza magazi kumatengedwa mumtambo. Nthawi yabwino yoti magazi atengeredwe ndi pakati pa 7 am ndi 10 am Chitsanzo chachiwiri chimafunika nthawi zambiri kutsimikizira zotsatira zomwe ndizotsika kuposa momwe amayembekezera.

Wothandizira zaumoyo akhoza kukulangizani kuti musiye kumwa mankhwala omwe angakhudze mayeso anu.

Mutha kumva kulasa kapena kuluma pang'ono singano ikalowetsedwa. Pakhoza kukhala kupunduka pambuyo pake.

Mayesowa atha kuchitika ngati mungakhale ndi zizindikilo za kupanga kwa mahomoni achimuna (androgen).

Mwa amuna, machende amatulutsa testosterone yambiri mthupi. Mipata imayang'aniridwa nthawi zambiri kuti iwonetse zizindikiro za testosterone yachilendo monga:

• Kutha msinkhu kapena mochedwa (mwa anyamata)
• Kusabereka, kulephera kwa erectile, chidwi chochepa chogonana, kupatulira mafupa (mwa amuna)

Kwa akazi, thumba losunga mazira limatulutsa testosterone yambiri. Matenda a adrenal amathanso kupanga ma androgen ena ambiri omwe amasinthidwa kukhala testosterone. Mulingo umafufuzidwa nthawi zambiri kuti muwone zizindikilo za kuchuluka kwa testosterone, monga:

• Ziphuphu, khungu lamafuta
• Sinthani ndi mawu
• Kuchepetsa kukula kwa mawere
• Kukula kwa tsitsi lochulukirapo (mdima, ubweya wolimba m'deralo la masharubu, ndevu, zophulika, chifuwa, matako, ntchafu zamkati)
• Kuchulukitsa kukula kwa nkongo
• Nthawi zosamba kapena zosakhalitsa kusamba
• Dazi la amuna kapena kupatulira tsitsi

Muyeso wabwinobwino wa mayeso awa:

• Amuna: nanograms 300 mpaka 1,000 pa desilita imodzi (ng / dL) kapena nanomoles 10 mpaka 35 pa lita (nmol / L)
• Mkazi: 15 mpaka 70 ng / dL kapena 0,5 mpaka 2.4 nmol / L

Zitsanzo pamwambapa ndizoyesa wamba pazotsatira zamayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Matenda ena, mankhwala, kapena kuvulala kumatha kubweretsa testosterone yotsika. Mulingo wa testosterone nawonso umatsika mwachilengedwe ndi msinkhu. Testosterone yotsika imatha kukhudza kuyendetsa kugonana, kusinthasintha, komanso minofu mwa amuna.

Kuchepetsa testosterone kwathunthu kumatha kukhala chifukwa cha:

• Matenda osatha
• Matenda a pituitary samatulutsa timadzi tina tambiri kapena mahomoni onse
• Vuto ndi madera aubongo omwe amawongolera mahomoni (hypothalamus)
• Ntchito yotsika ya chithokomiro
• Kuchedwa kutha msinkhu
• Matenda a machende (zoopsa, khansa, matenda, chitetezo chamthupi, chitsulo)
• Chotupa cha Benign cha maselo am'mimba omwe amatulutsa mahomoni ambiri a prolactin
• Mafuta ochuluka kwambiri amthupi (kunenepa kwambiri)
• Mavuto ogona (kulepheretsa kugona tulo)
  
• Kupsinjika kwakanthawi kochita masewera olimbitsa thupi (kupondereza matenda)
  

Kuchulukitsa kwathunthu kwa testosterone kumatha kukhala chifukwa cha:

• Kukaniza kuchitapo kanthu kwa mahomoni amphongo (kukana kwa androgen)
• Chotupa m'mimba mwake
• Khansa yamayeso
• Kobadwa nako adrenal hyperplasia
• Kutenga mankhwala kapena mankhwala omwe amachulukitsa kuchuluka kwa testosterone (kuphatikiza zowonjezera zina)

Seramu testosterone

Rey RA, Josso N. Kuzindikira ndikuchiza zovuta zakukula kwakugonana. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 119.

Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, ndi polycystic ovary syndrome. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 133.

Swerdloff RS, Wang C. The testis ndi hypogonadism yamwamuna, kusabereka, komanso kulephera kugonana. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 221.