Hypogonadism

Zamkati

• Kodi mitundu ya hypogonadism ndi iti?
• Hypogonadism yoyamba
• Hypogonadism yapakati (yachiwiri)
• Kodi zimayambitsa hypogonadism ndi chiyani?
• Kodi zizindikiro za hypogonadism ndi ziti?
• Kodi hypogonadism imapezeka bwanji?
• Kuyesedwa kwa mahomoni
• Kuyesa mayeso
• Kodi mankhwala a hypogonadism ndi ati?
• Chithandizo cha hypogonadism yachikazi
• Chithandizo cha hypogonadism yamwamuna
• Chithandizo cha hypogonadism mwa abambo ndi amai
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi hypogonadism ndi chiyani?

Hypogonadism imachitika pamene tiziwalo tanu tomwe timagonana timatulutsa timadzi tating'ono kapena ayi. Matenda opatsirana pogonana, omwe amatchedwanso ma gonads, ndiwo mayeso a amuna ndi thumba losunga mazira mwa akazi. Mahomoni ogonana amathandizira kuwongolera mikhalidwe yachiwerewere yachiwerewere, monga kukula kwa mawere mwa akazi, kukula kwa testicular mwa amuna, komanso kukula kwa tsitsi m'mimba. Mahomoni ogonana nawonso amathandizira pakusamba ndi kupanga umuna.

Hypogonadism amathanso kudziwika kuti kuchepa kwa gonad. Itha kutchedwa testosterone ya serum yotsika kapena andropause ikachitika mwa amuna.

Matenda ambiri amtunduwu amayankha bwino kuchipatala.

Kodi mitundu ya hypogonadism ndi iti?

Pali mitundu iwiri ya hypogonadism: yoyamba ndi yapakatikati.

Hypogonadism yoyamba

Hypogonadism yoyamba imatanthawuza kuti mulibe mahomoni ogonana okwanira mthupi lanu chifukwa chamavuto anu. Ma gonads anu akulandirabe uthengawu kuti apange mahomoni ochokera muubongo wanu, koma sangathe kuwapanga.

Hypogonadism yapakati (yachiwiri)

Pakatikati mwa hypogonadism, vuto limagona muubongo wanu. Matenda anu a hypothalamus ndi pituitary, omwe amalamulira ma gonads anu, sakugwira ntchito moyenera.

Kodi zimayambitsa hypogonadism ndi chiyani?

Zomwe zimayambitsa hypogonadism yoyambirira ndi monga:

• Matenda osokoneza bongo, monga matenda a Addison ndi hypoparathyroidism
• Matenda amtundu, monga Turner syndrome ndi Klinefelter syndrome
• matenda owopsa, makamaka nthenda yokhudzana ndi machende anu
• chiwindi ndi matenda a impso
• mayesero osavomerezeka
• hemochromatosis, yomwe imachitika thupi lanu likamamwa chitsulo chochulukirapo
• Kutulutsa kwa radiation
• kuchitidwa ziwalo zogonana

Central hypogonadism itha kukhala chifukwa cha:

• Matenda amtundu, monga Kallmann syndrome (chitukuko chosazolowereka cha hypothalamic)
• matenda, kuphatikizapo HIV
• Matenda a pituitary
• Matenda otupa, kuphatikiza sarcoidosis, chifuwa chachikulu, ndi histiocytosis
• kunenepa kwambiri
• kuwonda msanga
• kuperewera kwa zakudya
• kugwiritsa ntchito ma steroids kapena ma opioid
• opaleshoni yaubongo
• Kutulutsa kwa radiation
• kuvulaza kwa pituitary gland kapena hypothalamus
• chotupa mkati kapena pafupi ndi vuto lanu

Kodi zizindikiro za hypogonadism ndi ziti?

Zizindikiro zomwe zimawoneka mwa akazi ndi izi:

• kusowa msambo
• kukula pang'onopang'ono kapena kulibe
• kutentha
• kusowa tsitsi
• kuyendetsa kotsika kapena kosakhalitsa
• kutuluka kwamkaka m'mabere

Zizindikiro zomwe zimawoneka mwa amuna ndi izi:

• kusowa tsitsi
• kutayika kwa minofu
• kukula kwa mawere modabwitsa
• kukula kwa mbolo ndi machende
• Kulephera kwa erectile
• kufooka kwa mafupa
• kuyendetsa kotsika kapena kosakhalitsa
• osabereka
• kutopa
• kutentha
• zovuta kukhazikika

Kodi hypogonadism imapezeka bwanji?

Dokotala wanu adzakuyesani kuti mutsimikizire kuti kukula kwanu pakugonana kuli pamsinkhu woyenera msinkhu wanu. Amatha kupenda kukula kwa minofu yanu, tsitsi lanu, komanso ziwalo zanu zogonana.

Kuyesedwa kwa mahomoni

Ngati dokotala akuganiza kuti mutha kukhala ndi hypogonadism, ayambe ayang'ana kuchuluka kwa mahomoni ogonana. Mufunika kuyesa magazi kuti muwone kuchuluka kwanu kwa ma follicle-stimulating hormone (FSH) ndi luteinizing hormone. Matenda anu am'mimba amapanga mahomoni oberekera awa.

Mukayezetsa magazi anu muyesedwa ngati ndinu akazi. Ngati ndinu wamwamuna, mayeso anu a testosterone adzayesedwa. Mayesowa nthawi zambiri amakopeka m'mawa nthawi yomwe mahomoni anu amakhala apamwamba kwambiri. Ngati ndinu wamwamuna, dokotala wanu amathanso kuyitanitsa kusanthula umuna kuti muwone kuchuluka kwa umuna wanu. Hypogonadism imatha kuchepetsa kuchuluka kwa umuna wanu.

Dokotala wanu akhoza kuyitanitsa mayeso ochulukirapo amwazi kuti athandizire kutsimikizira kuti ali ndi matendawa ndikuwononga zomwe zimayambitsa.

Magulu azitsulo angakhudze mahomoni anu ogonana. Pachifukwa ichi, dokotala wanu amatha kuwona ngati magazi ali ndi magazi ambiri, omwe amapezeka mu hemochromatosis.

Dokotala wanu angafunenso kuyeza kuchuluka kwanu kwa ma prolactin. Prolactin ndi hormone yomwe imalimbikitsa kukula kwa mawere ndi kupanga mkaka wa m'mawere mwa amayi, koma imapezeka mwa amuna ndi akazi.

Dokotala wanu amathanso kuwona kuchuluka kwa mahomoni a chithokomiro. Mavuto a chithokomiro amatha kuyambitsa zizindikiro zofananira ndi hypogonadism.

Kuyesa mayeso

Kujambula mayeso kumathandizanso pakuzindikira. Ultrasound imagwiritsa ntchito mafunde akumveka kuti apange chithunzi cha thumba losunga mazira ndikuyang'ana mavuto aliwonse, kuphatikiza ma cyst ovarian ndi polycystic ovary syndrome.

Dokotala wanu amatha kuyitanitsa ma MRIs kapena ma CT kuti awone ngati ali ndi zotupa m'matumbo anu.

Kodi mankhwala a hypogonadism ndi ati?

Chithandizo cha hypogonadism yachikazi

Ngati ndinu wamkazi, chithandizo chanu chidzaphatikizapo kuwonjezera kuchuluka kwanu kwa mahomoni ogonana achikazi.

Chithandizo chanu choyamba mwina ndi mankhwala a estrogen ngati mwakhala mukuchita chiberekero. Phale kapena piritsi limatha kupereka zowonjezera za estrogen.

Chifukwa kuchuluka kwa ma estrogen kumatha kukulitsa chiopsezo cha khansa ya endometrial, mudzapatsidwa kuphatikiza kwa estrogen ndi progesterone ngati simunakhale ndi hysterectomy. Progesterone ikhoza kuchepetsa chiopsezo cha khansa ya endometrial ngati mukumwa estrogen.

Mankhwala ena amatha kuthana ndi zizindikiro zina. Ngati muli ndi chiwerewere chotsika, mutha kulandira testosterone. Ngati muli ndi vuto lakusamba kapena muli ndi vuto lakutenga pakati, mutha kulandira jakisoni wa mahomoni a anthu choriogonadotropin kapena mapiritsi okhala ndi FSH oyambitsa ovulation.

Chithandizo cha hypogonadism yamwamuna

Testosterone ndimadzi ogonana amuna. Mankhwala obwezeretsa testosterone ndi mankhwala omwe amagwiritsidwa ntchito kwambiri kwa hypogonadism mwa amuna. Mutha kupeza testosterone m'malo mwa:

• jakisoni
• chigamba
• gel
• lozenge

Majekeseni a hormone yotulutsa gonadotropin atha kutha msinkhu kapena kukulitsa umuna wako.

Chithandizo cha hypogonadism mwa abambo ndi amai

Chithandizo cha amuna ndi akazi chimodzimodzi ngati hypogonadism imachitika chifukwa cha chotupa pamatenda am'mimba. Chithandizo chochepetsera kapena kuchotsa chotupacho chingaphatikizepo:

• cheza
• mankhwala
• opaleshoni

Kodi chiyembekezo chanthawi yayitali ndichotani?

Pokhapokha atayambitsidwa ndi matenda, hypogonadism ndi matenda osatha omwe angafunike chithandizo chamoyo wonse. Mahomoni anu ogonana amatha kuchepa ngati musiya mankhwala.

Kufunafuna chithandizo kudzera m'mankhwala kapena magulu othandizira akhoza kukuthandizani musanalandire chithandizo, nthawi komanso pambuyo pake.