Mitu ya Testosterone
Zamkati
- Kuti mugwiritse ntchito mankhwala apakompyuta a testosterone, tsatirani izi:
- Musanagwiritse ntchito testosterone gel,
- Zolemba pamtundu wa testosterone zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
Zotulutsa zamtundu wa testosterone zitha kubweretsa zovuta kwa anthu omwe amakhudza khungu lanu mdera lomwe mudapaka gel kapena yankho. Amayi ndi ana amakhudzidwa kwambiri ngati angakhudze khungu lomwe ladzala ndi testosterone. Ngati mayi yemwe ali ndi pakati, atha kutenga pakati, kapena akuyamwitsa akhudza khungu lomwe ladzala ndi mankhwala apakhungu a testosterone, mwana wake akhoza kuvulazidwa. Azimayi sayenera kugwiritsa ntchito mankhwalawa, makamaka ngati ali ndi pakati kapena akhoza kutenga pakati kapena akuyamwitsa. Testosterone ikhoza kuvulaza mwanayo.
Muyenera kusamala kuti mutsimikizire kuti ena sangakumane ndi testosterone gel kapena yankho lomwe lili pakhungu lanu.Mutagwiritsa ntchito gel osakaniza kapena yankho la testosterone, muyenera kulola mankhwalawa kuti aume kwa mphindi zochepa kenako kuvala zovala zomwe zimaphimba dera lonselo kuti pasakhudze munthu khungu lanu. Mukamaliza kugwiritsa ntchito mankhwalawa, muyenera kusamba m'manja ndi sopo kuti muchotse mankhwala aliwonse omwe atsala m'manja mwanu.
Musalole kuti aliyense akhudze khungu lanu m'dera lomwe mudapaka testosterone gel kapena yankho. Ngati mukuyembekeza kuti mutha kulumikizana ndi khungu ndi munthu wina, muyenera kutsuka malowo bwino ndi sopo. Ngati aliyense akhudza khungu lomwe lakutidwa ndi testosterone gel kapena yankho ndipo silinatsukidwe, munthuyo ayenera kutsuka khungu lake ndi sopo ndi madzi mwachangu. Muyeneranso kuuza ena kuti azisamala mukamagwira zovala zanu, nsalu zogona, kapena zinthu zina zomwe zimakhala ndi gel osakaniza kapena yankho lawo.
Ngati amayi kapena ana amakhudza khungu lomwe lathandizidwa ndi mankhwala a testosterone, amatha kukhala ndi zizindikilo zina. Ngati mayi yemwe wakumana ndi testosterone ayamba kukhala ndi izi, ayenera kuyimbira dokotala nthawi yomweyo: kukula kwa tsitsi m'malo atsopano mthupi kapena ziphuphu. Ngati mwana yemwe mwina anakumana ndi testosterone akupanga chilichonse mwanjira zotsatirazi, muyenera kuyimbira dokotala wa mwanayo nthawi yomweyo: maliseche otukuka, kukula kwa tsitsi la m'mimba, kutukuka kowonjezeka, chilakolako chogonana chowonjezeka, kapena nkhanza. Zambiri mwazizindikirozi zimatha kuchoka mwana atasiya kukumana ndi testosterone, koma nthawi zina, maliseche amatha kukhala akulu kuposa zachilendo.
Mawonekedwe a testosterone amatha kupangitsa mafupa kukula msanga kuposa zachilendo kwa ana omwe amakumana ndi mankhwalawa. Izi zikutanthauza kuti ana akhoza kusiya kukula msanga kuposa momwe amayembekezera ndipo atha kukhala ofupikirapo kuposa kutalika kwa achikulire. Ngakhale ana awa sakumananso ndi zinthu zam'mutu za testosterone, mafupa awo amatha kukhala okhwima kuposa zachilendo.
Mawonekedwe a testosterone amagwiritsidwa ntchito pochiza matenda a testosterone otsika mwa amuna achikulire omwe ali ndi hypogonadism (vuto lomwe thupi silimatulutsa testosterone wachilengedwe wokwanira). Testosterone imagwiritsidwa ntchito kokha kwa amuna omwe ali ndi ma testosterone ochepa omwe amayamba chifukwa cha matenda ena, kuphatikiza kusokonezeka kwa machende, gland pituitary (kachingwe kakang'ono muubongo), kapena hypothalamus (gawo laubongo) lomwe limayambitsa hypogonadism. Dokotala wanu amalamula mayeso ena kuti muwone kuchuluka kwa testosterone kuti muwone ngati kutsika musanayambe kugwiritsa ntchito testosterone. Testosterone sayenera kugwiritsidwa ntchito pochiza matenda otsika a testosterone mwa amuna omwe ali ndi testosterone yotsika chifukwa chakukalamba ('hypogonadism' okhudzana ndi zaka). Testosterone ili mgulu la mankhwala otchedwa mahomoni a androgenic. Testosterone ndi hormone yopangidwa ndi thupi yomwe imathandizira kukula, kukula, ndikugwira ntchito kwa ziwalo zogonana zamwamuna komanso mawonekedwe amphongo. Zotulutsa za testosterone zimagwira ntchito m'malo mwa testosterone yomwe nthawi zambiri imapangidwa ndi thupi.
Matenda a testosterone amabwera ngati gel osakaniza ndi yankho logwiritsira ntchito khungu. Nthawi zambiri amagwiritsidwa ntchito kamodzi patsiku. Ndi bwino kugwiritsa ntchito testosterone gel kapena yankho m'mawa. Kukuthandizani kukumbukira kukumbukira kugwiritsa ntchito testosterone pamutu, muziigwiritsa ntchito nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito testosterone pamutu ndendende momwe mwalangizira. Osagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe dokotala angakulamulireni.
Mankhwala opangidwa ndi testosterone amapangidwa mosiyanasiyana ndipo amagwiritsidwa ntchito m'njira zosiyanasiyana. Onetsetsani kuti mukudziwa mtundu wazomwe mukugwiritsa ntchito komanso momwe mungazigwiritsire ntchito. Werengani zambiri za wopanga zomwe zimabwera ndi mankhwala anu a testosterone mosamala.
Ngati mumakonda kusamba m'mawa, onetsetsani kuti mumasamba musanagwiritse ntchito mankhwala opangira testosterone. Werengani zambiri za wopanga za mankhwala anu a testosterone kuti mumve za nthawi yomwe mungasambe, kusamba, kusamba, kapena kusambira mukatha kumwa mankhwala.
Muyenera ayi ikani mankhwala aliwonse a testosterone pamutu wanu kapena khungu kapena khungu lomwe liri ndi zilonda, mabala, kapena kukwiya.
Samalani kuti musakhale ndi testosterone m'maso mwanu. Ngati mumalandira testosterone m'mutu mwanu, asambitseni nthawi yomweyo ndi madzi ofunda, oyera. Itanani dokotala ngati maso anu ayamba kukwiya.
Mawonekedwe a testosterone amabwera m'machubu ogwiritsira ntchito amodzi, mapaketi, ndi pampu yamagwiritsidwe angapo. Pampu imatulutsa kuchuluka kwa testosterone nthawi iliyonse ikamakanikizidwa pamwamba. Dokotala wanu kapena wamankhwala angakuuzeni kangati kuti musindikize pampu pamlingo uliwonse, komanso kuchuluka kwa mapampu omwe muli nawo. Chotsani pampu mutagwiritsa ntchito milanduyi ngakhale itapanda kanthu.
Gel osakaniza ndi yankho la testosterone limatha kugwira moto. Khalani kutali ndi malawi otseguka ndipo musasute mukamagwiritsa ntchito testosterone yapakhungu mpaka gel osakaniza kapena yankho lauma kwathunthu.
Dokotala wanu amatha kusintha testosterone wanu kutengera kuchuluka kwa testosterone m'magazi anu mukamalandira chithandizo.
Matenda a testosterone amatha kuwongolera zizindikiro zanu koma sangachiritse matenda anu. Pitirizani kugwiritsa ntchito testosterone ya topical ngakhale mukumva bwino. Osasiya kugwiritsa ntchito testosterone pamutu osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito testosterone pamutu, zizindikilo zanu zimatha kubwerera.
Kuti mugwiritse ntchito mankhwala apakompyuta a testosterone, tsatirani izi:
- Onetsetsani kuti khungu pamalo omwe mukufuna kugwiritsa ntchito testosterone ya topical ndi loyera komanso louma.
- Tsegulani chidebe chanu cha testosterone. Ngati mukugwiritsa ntchito paketi, pindani m'mphepete mwake ndikuwononga paketiyo pafupi ndi mafutawo. Ngati mukugwiritsa ntchito chubu, tulutsani kapu. Ngati mukugwiritsa ntchito Androgel® kapena Volgelxo® pampu koyamba, kanikizani pamwamba pampopoyi katatu. Ngati mukugwiritsa ntchito Fortesta® pampu koyamba, kanikizani pamwamba pampopoyi kasanu ndi katatu. Nthawi zonse siyani mankhwala owonjezera omwe amatuluka mukakoketsa mpope pansi kapena mumtsuko wazinyalala womwe ndi wotetezeka kwa ana ndi ziweto.
- Finyani paketiyo kapena chubu kapena dinani pamwamba pampopu nthawi yoyenera kuti muike mankhwalawo m'manja mwanu. Kungakhale kosavuta kugwiritsa ntchito gel osakaniza ya testosterone mukamafinya mankhwalawo m'manja mwanu ndikuwapaka pakhungu lanu pamagawo ang'onoang'ono.
- Ikani mankhwalawo kudera lomwe mwasankha.
- Tayani phukusi kapena chubu chopanda kanthu mu zinyalala mosamala, mosagwirizana ndi ana ndi ziweto zawo.
- Sambani m'manja ndi sopo nthawi yomweyo.
- Lolani mankhwalawa kuti aume kwa mphindi zochepa musanaphimbe malowo ndi zovala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito testosterone gel,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la testosterone, mankhwala ena aliwonse, kapena zosakaniza zilizonse zama testosterone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants (opopera magazi) monga warfarin (Coumadin, Jantoven); insulini (Apridra, Humalog, Humulin, ena); ndi steroids amlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu ngati muli ndi khansa ya m'mawere kapena muli ndi khansa ya prostate. Dokotala wanu angakuuzeni kuti musagwiritse ntchito testosterone.
- uzani adotolo ngati munagonekapo tulo tofa nato (kupuma kumaima kwakanthawi kochepa mutagona), benign prostate hyperplasia (BPH; prostate wokulitsidwa); magazi ambiri a calcium; matenda ashuga; kapena matenda a mtima, impso, chiwindi, kapena m'mapapo.
- lankhulani ndi dokotala wanu za kuopsa ndi maubwino ogwiritsa ntchito testosterone ngati muli ndi zaka 65 kapena kupitilira apo. Amuna achikulire sayenera kugwiritsa ntchito testosterone wam'mutu, pokhapokha atakhala ndi hypogonadism.
- muyenera kudziwa kuti pakhala pali malipoti azovuta zomwe zimachitika kwa anthu omwe amagwiritsa ntchito testosterone pamlingo wambiri, pamodzi ndi mankhwala ena ogonana amuna kapena akazi, kapena m'njira zina osati zomwe dokotala angakuuzeni. Zotsatirazi zitha kuphatikizira matenda a mtima, kulephera kwa mtima, kapena mavuto ena amtima; sitiroko ndi mini-sitiroko; matenda a chiwindi; kugwidwa; kapena kusintha kwa thanzi lam'mutu monga kupsinjika, mania (kukwiya, kusangalala modabwitsa), nkhanza kapena kusakhala abwenzi, kuyerekezera zinthu (kuwona zinthu kapena kumva mawu omwe kulibe), kapena zosokeretsa (kukhala ndi malingaliro kapena zikhulupiriro zachilendo zomwe zilibe maziko) . Anthu omwe amagwiritsa ntchito testosterone mopitirira muyeso kuposa momwe dokotala akuwalimbikitsira atha kukhala ndi zizindikilo zakutha monga kukhumudwa, kutopa kwambiri, kulakalaka, kukwiya, kupumula, kusowa njala, kulephera kugona kapena kugona, kapena kutsika kogonana, ngati mwadzidzidzi siyani kugwiritsa ntchito testosterone yapakhungu. Onetsetsani kuti mukugwiritsa ntchito testosterone pamutu monga momwe adanenera dokotala.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ikani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange mlingo wosowa.
Zolemba pamtundu wa testosterone zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kukulitsa mawere ndi / kapena kupweteka
- Kuchepetsa chilakolako chogonana
- ziphuphu
- kukhumudwa
- zosintha
- mutu
- maso misozi
- khungu louma kapena loyabwa
- kutsegula m'mimba
- khungu lofiira kapena kupsa mtima
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
- kupweteka kwa mwendo, kutupa, kutentha, kapena kufiira
- kupuma movutikira
- kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
- nseru kapena kusanza
- mawu odekha kapena ovuta
- chizungulire kapena kukomoka
- kufooka kapena kufooka kwa mkono kapena mwendo
- kupweteka pachifuwa
- kuvuta kupuma, makamaka nthawi yogona
- zovuta zomwe zimachitika pafupipafupi kapena zomwe zimatenga nthawi yayitali
- kuvuta kukodza, kuchepa kwamkodzo, kukodza pafupipafupi, kufunikira kukodza mwadzidzidzi nthawi yomweyo
- chikasu cha khungu kapena maso
Mawonekedwe a testosterone atha kubweretsa kuchepa kwa umuna (maselo oberekera achimuna) opangidwa, makamaka akagwiritsidwa ntchito kwambiri. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati ndinu bambo ndipo mukufuna kukhala ndi ana.
Testosterone imatha kuwonjezera chiopsezo chokhala ndi khansa ya prostate. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.
Mawonekedwe a testosterone amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).
Sungani mankhwala opangidwa ndi testosterone pamalo otetezeka kuti pasapezeke wina wogwiritsa ntchito mwangozi kapena mwadala. Onetsetsani kuchuluka kwa mankhwala omwe atsala kuti mudziwe ngati pali ena omwe akusowa.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira testosterone.
Musanapite kukayezetsa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito testosterone yapakhungu.
Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Apakhungu a testosterone ndi chinthu cholamulidwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
- Androgel®
- Axiron®¶
- Fortesta®
- Yesani®
- Maulendo®
¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.
Idasinthidwa Komaliza - 10/15/2018