Nchiyani Chimayambitsa Testosterone Yanga Yotsika?

Zamkati

• Zizindikiro za T otsika
• Kukula kwa mwana
• Kutha msinkhu
• Kukula
• Zomwe zimayambitsa testosterone
• Hypogonadism yoyamba
• Hypogonadism yachiwiri
• Zosintha zomwe mungapange
• Testosterone m'malo

Kuchuluka kwa testosterone

Testosterone yotsika (low T) imakhudza amuna 4 mpaka 5 miliyoni ku US.

Testosterone ndi mahomoni ofunikira m'thupi la munthu. Koma zimayamba. Mwa amuna ena izi zitha kukhala zazikulu.Pakati pakhoza kukhala ndi testosterone yotsika.

Amuna achikulire omwe ali ndi otsika T afunafuna kwambiri testosterone m'malo mwake (TRT) m'zaka zaposachedwa. TRT imayankha zizindikiro monga low libido, kuchepa kwa minofu, komanso kuchepa mphamvu.

Si amuna achikulire okha omwe amakhudzidwa ndi otsika T. Achinyamata, ngakhale makanda ndi ana, amathanso kukhala ndi vutoli.

Zizindikiro za T otsika

Kuchuluka kwa testosterone komwe kumakhala ndi ukalamba wabwinobwino kumachitika chifukwa choyambitsa kapena chachiwiri cha hypogonadism. Hypogonadism mwa amuna imachitika pomwe machende samatulutsa testosterone yokwanira. Hypogonadism imatha kuyamba panthawi yomwe mwana amakula, akamatha msinkhu, kapena atakula.

Kukula kwa mwana

Ngati hypogonadism imayamba pakukula kwa mwana, zotsatira zoyambira ndikulephera kwa ziwalo zogonana zakunja. Kutengera nthawi yomwe hypogonadism imayamba komanso kuchuluka kwa testosterone komwe kumakhalapo pakukula kwa mwana, mwana wamwamuna akhoza kukula:

• maliseche achikazi
• maliseche osamveka bwino, osawoneka bwino amuna kapena akazi
• maliseche osakwanira

Kutha msinkhu

Kukula kwabwino kumatha kusokonekera ngati hypogonadism imachitika mukatha msinkhu. Mavuto amachitika ndi:

• kukula kwa minofu
• kuzama kwa mawu
• kusowa tsitsi la thupi
• maliseche osatukuka
• miyendo yayitali kwambiri
• mawere okulitsidwa (gynecomastia)

Kukula

Pambuyo pake m'moyo, testosterone yosakwanira imatha kudzetsa mavuto ena. Zizindikiro zake ndi izi:

• mphamvu zochepa
• minofu yotsika
• osabereka
• Kulephera kwa erectile
• kuchepa pagalimoto
• kukula pang'onopang'ono kwa tsitsi kapena kutayika tsitsi
• kutayika kwa mafupa
• gynecomastia

Kutopa ndi kuzizira m'maganizo ndi zina mwazomwe zimafotokozedwa m'maganizo ndi m'maganizo mwa amuna omwe ali ndi vuto lochepa la T.

Zomwe zimayambitsa testosterone

Mitundu iwiri yayikulu ya hypogonadism ndi hypogonadism yoyamba komanso yachiwiri.

Hypogonadism yoyamba

Mayeso osagwira ntchito amachititsa hypogonadism yoyamba. Izi ndichifukwa choti sizipanga testosterone yokwanira kuti ikule bwino komanso kukhala ndi thanzi. Kuchita izi kumatha kubwera chifukwa cha chibadwa. Ikhozanso kupezeka mwangozi kapena matenda.

Zinthu zomwe tinatengera monga:

• Machende osatsitsidwa: Machende akalephera kutsika m'mimba asanabadwe
• Matenda a Klinefelter: Mkhalidwe womwe munthu amabadwa ndi ma chromosomes atatu ogonana: X, X, ndi Y.
• Chidziwitso: Chitsulo chochuluka m'magazi chimayambitsa kulephera kwa testicular kapena kuwonongeka kwa minyewa

Mitundu ya kuwonongeka kwa testicle yomwe ingayambitse hypogonadism yoyamba ndi monga:

• Kuvulaza thupi kwa machende: Kuvulala kuyenera kuchitika machende onsewa kuti akhudze kuchuluka kwa testosterone.
• Ziphuphu orchitis: Matenda opunduka amatha kuvulaza machende.
• Chithandizo cha khansa: Chemotherapy kapena radiation imatha kuwononga machende.

Hypogonadism yachiwiri

Hypogonadism yachiwiri imayambitsidwa ndi kuwonongeka kwa pituitary gland kapena hypothalamus. Mbali izi zaubongo zimayang'anira kupanga kwa mahomoni.

Zotengera kapena matenda m'gululi ndi awa:

• Matenda am'mimba amayamba ndi mankhwala, impso kulephera, kapena zotupa zing'onozing'ono
• Matenda a Kallmann, vuto lomwe limalumikizidwa ndi vuto la hypothalamus function
• Matenda otupa, monga chifuwa chachikulu, sarcoidosis, ndi histiocytosis, zomwe zingakhudze chiberekero cha pituitary ndi hypothalamus
• HIV / Edzi, zomwe zingakhudze pituitary gland, hypothalamus, ndi testes

Zinthu zomwe zingayambitse hypogonadism yachiwiri ndi izi:

• Kukalamba bwino: Kukalamba kumakhudza kupanga komanso kuyankha mahomoni.
• Kunenepa kwambiri: Mafuta amthupi angakhudze kapangidwe kake ka mahomoni ndi mayankho ake.
• Mankhwala: Mankhwala opioid ululu ndi ma steroids amatha kukhudza magwiridwe antchito a pituitary gland ndi hypothalamus.
• Matenda omwewo: Kupsinjika kwamaganizidwe kapena kupsinjika kwakuthupi kochokera ku matenda kapena opareshoni kumatha kuyambitsa ziwalo zoberekera kutsekedwa kwakanthawi.

Mutha kukhudzidwa ndi pulayimale, sekondale, kapena hypogonadism yosakanikirana. Hypogonadism yosakanikirana imafala kwambiri ndikukula. Anthu omwe amalandira chithandizo cha glucocorticoid amatha kukhala ndi vutoli. Zitha kukhudzanso anthu omwe ali ndi matenda a chikwakwa, thalassemia, kapena uchidakwa.

Zosintha zomwe mungapange

Ngati mukukumana ndi zizindikiro za T otsika, kusintha kwa moyo kumatha kuthandiza kuti muchepetse zizindikilo zanu.

Gawo loyamba labwino ndikuwonjezera magwiridwe antchito ndikukhala ndi zakudya zabwino kuti muchepetse mafuta amthupi. Zingakhale zothandiza kupewa mankhwala a glucocorticoid monga prednisone komanso mankhwala opweteka a opioid.

Testosterone m'malo

Ngati kusintha kwa moyo sikukuthandizani, mungafunike kuyamba testosterone m'malo mwake (TRT) yothandizira otsika a T. TRT itha kukhala yofunikira kwambiri pothandiza anyamata achichepere omwe ali ndi hypogonadism amakumana ndi kukula kwachimuna. Magulu okwanira a testosterone amathandizira kukhala ndi thanzi labwino kwa amuna achikulire.

TRT ili ndi zovuta, komabe, kuphatikiza:

• ziphuphu
• kukulitsa prostate
• kugona tulo
• kuchepa kwa testicle
• kukulitsa mawere
• kuchuluka kwama cell ofiira ofiira
• kuchepa kwa umuna

Ndondomeko yothandizidwa bwino ya chithandizo cha TRT iyenera kupewa mavuto ambiri osafunikirawa. Lankhulani ndi dokotala wanu kuti muwone zomwe mungachite.