Zosankha Zowonjezera Testosterone Yanu

Zamkati

• Chidule
• Kodi testosterone ndi chiyani?
• Hypogonadism yamwamuna
• Kuchiza kwa hypogonadism yamwamuna
• TRT ya amuna athanzi?
• Kuopsa kwa mankhwala a testosterone
• Njira zina zochiritsira
• Kutenga

Chidule

M'zaka 100 zapitazi, chiyembekezo chokhala ndi moyo kwa abambo chawonjezeka ndi 65 peresenti, malinga ndi Centers for Disease Control and Prevention (CDC).

Mu 1900, amuna adakhala ndi moyo mpaka pafupifupi. Mwa 2014, m'badwo umenewo. Palibe funso kuti amuna amafotokozanso tanthauzo la kukhala ndi zaka 50, 60, ndi 70 kapena kupitilira apo.

Kuchita masewera olimbitsa thupi pafupipafupi, kudya zakudya zopatsa thanzi, ndi kupumula mokwanira zonse zimathandiza kuti amuna azaka zopitilira 50 azikhala ndi nyonga komanso nyonga. Koma amuna nawonso akutembenukira ku imodzi mwanjira zotsogola kwambiri zakukalamba zomwe zilipo. Kwazaka khumi zapitazi, kugwiritsa ntchito testosterone pakati pa azaka zapakati ndi akulu kwayamba kutchuka.

Kodi testosterone ndi chiyani?

Testosterone ndi hormone yomwe imayambitsa kukula kwa maliseche akunja achimuna ndi mawonekedwe achiwerewere achiwiri. Zimapangidwa ndi machende. Testosterone ndiyofunikira posamalira:

• minofu yambiri
• kachulukidwe ka mafupa
• maselo ofiira ofiira
• ntchito yogonana ndi kubereka

Testosterone imathandizanso kukhala wathanzi komanso kukhala wathanzi.

Amuna akamakula, matupi awo amatulutsa testosterone yocheperako. Kutsika kwachilengedwe kumeneku kumayamba pafupifupi zaka 30 ndikupitilira moyo wonse wamwamuna.

Hypogonadism yamwamuna

Amuna ena ali ndi vuto la testosterone lotchedwa hypogonadism yamwamuna. Izi ndizomwe thupi limatulutsa testosterone yokwanira. Zitha kuchitika chifukwa cha zovuta mu:

• machende
• hypothalamus
• chifuwa cha pituitary

Amuna omwe ali pachiwopsezo cha matendawa ndi omwe adavulala machende kapena ali ndi HIV / AIDS. Ngati mwadwala chemotherapy kapena mankhwala a radiation, kapena ngati munali ndi machende osakoma ngati khanda mumawonekeranso pachiwopsezo cha hypogonadism.

Zizindikiro za hypogonadism yamwamuna akamakula ndi monga:

• Kulephera kwa erectile
• kuchepa kwa minofu
• osabereka
• kutayika kwa mafupa (kufooka kwa mafupa)
• kuchepa kwa ndevu komanso kukula kwa tsitsi
• chitukuko cha minofu m'mawere
• kutopa
• zovuta kukhazikika
• kuchepa pagalimoto

Kuchiza kwa hypogonadism yamwamuna

Madokotala amatha kudziwa ngati muli ndi hypogonadism yamwamuna kudzera mayeso amthupi komanso kuyezetsa magazi. Ngati dokotala wanu atapeza testosterone yochepa akhoza kuyesa zina kuti adziwe chomwe chikuyambitsa.

Chithandizochi chimaphatikizapo testosterone m'malo mwake (TRT) mwa mawonekedwe a:

• jakisoni
• zigamba
• Angelo

TRT akuti imathandiza:

• kuwonjezera mphamvu zamagetsi
• kuonjezera minofu
• kubwezeretsa ntchito yogonana

Komabe, asayansi amachenjeza kuti palibe chidziwitso chokwanira chodziwitsa chitetezo cha testosterone yowonjezerapo.

TRT ya amuna athanzi?

Amuna ambiri amasintha akamakula mofanana ndi zizindikilo za hypogonadism. Koma zizindikiro zawo sizingakhale zokhudzana ndi matenda aliwonse kapena kuvulala. Zina zimawonedwa ngati gawo lakukalamba, monga:

• kusintha kwa magonedwe ndi magwiridwe antchito
• kuchuluka mafuta mafuta
• kuchepa kwa minofu
• kuchepa chilimbikitso kapena kudzidalira

A Mayo Clinic akuti a TRT amatha kuthandiza amuna omwe ali ndi hypogonadism. Zotsatirazi sizodziwika bwino ndi amuna omwe ali ndi testosterone kapena amuna achikulire omwe ali ndi kuchepa kwa testosterone. Malinga ndi a Mayo Clinic, maphunziro owonjezera amafunika.

Kuopsa kwa mankhwala a testosterone

Kafukufuku akusakanikirana ngati TRT imapindulitsa amuna wamba akamakalamba. Kafukufuku wina adabweretsa zoopsa zazikulu ndi mankhwalawa, makamaka akatenga nthawi yayitali. Izi zapangitsa kuti madokotala azikhala osamala povomereza.

Kusanthula kwakukulu kwa 2010 meta 51 kwamaphunziro 51 adayang'ana chitetezo cha TRT. Ripotilo linatsimikiza kuti kuwunika kwa chitetezo cha TRT ndichabwino ndipo sikulengeza anthu za zomwe zingachitike kwanthawi yayitali.

Chipatala cha Mayo chimachenjeza kuti TRT ithenso:

• zimathandizira kugona tulo
• zimayambitsa ziphuphu kapena khungu lina
• kuchepetsa kupanga umuna
• chifukwa kuchepa kwa testicle
• kukulitsa mawere
• kuonjezera chiopsezo cha matenda a mtima

Palinso zoopsa zomwe zimachitika chifukwa chokhala ndi ma testosterone ochepa, monga:

• sitiroko
• matenda amtima
• m'chiuno wovulala

M'mbuyomu, panali zodandaula kuti TRT idabweretsa chiopsezo chokhala ndi khansa ya prostate.

Zambiri zomwe zilipo, kuphatikiza ziwiri mu 2015, sizithandizanso kulumikizana pakati pa testosterone m'malo ndi kukula kwa 1) khansa ya prostate, 2) khansa ya prostate yowopsa, kapena 3) khansa ya prostate yomwe imabweranso mukalandira chithandizo.

Ngati muli ndi hypogonadism yamwamuna kapena testosterone, kambiranani ndi dokotala ngati TRT ikhoza kukhala njira yabwino kwa inu. Kambiranani za kuopsa ndi maubwino a TRT.

Njira zina zochiritsira

Ngati mulibe hypogonadism, koma mukusangalatsidwa ndikumva kukhala olimba komanso achichepere. Njira zotsatirazi zitha kukulitsa kuchuluka kwa testosterone yanu osagwiritsa ntchito mankhwala a mahomoni.

• Pitirizani kulemera bwino. Amuna onenepa kwambiri amakhala ndi ma testosterone ochepa. Kutaya thupi kumatha kubweretsanso testosterone.
• Chitani masewera olimbitsa thupi nthawi zonse. Amuna osakhalitsa amakhala ndi testosterone yocheperako, popeza thupi silifunikira zambiri. Kulemera thupi kungalimbikitse kupanga testosterone. Chinsinsi chake ndikusuntha thupi lanu nthawi zonse ndikugwiritsa ntchito minofu yanu.
• Kugona maola 7 mpaka 8 usiku uliwonse. Kusagona kumakhudza mahomoni m'thupi lanu.

• Yesani zowonjezera mavitamini D. A mwa amuna 165 adati kuwonjezerapo pafupifupi 3,300 IU ya vitamini D patsiku kumawonjezera kuchuluka kwa testosterone.
• Sangalalani ndi khofi wanu wam'mawa. Pali kuti caffeine imatha kukulitsa kuchuluka kwa testosterone.

• Pezani zinc zambiri. Kulephera kwa zinc kwa amuna kumalumikizidwa ndi hypogonadism.
• Idyani mtedza ndi nyemba zambiri. Iwo ali olemera mu D-aspartic acid, yomwe imalimbikitsa kupanga testosterone, malinga ndi imodzi.

Kutenga

Njira imodzi yowonjezeretsa kuchuluka kwanu kwa testosterone ndi kudzera mu TRT. Ndizothandiza makamaka ngati muli ndi hypogonadism. Kafukufuku sanawonetsenso mphamvu ya TRT pothandiza amuna omwe ali ndi testosterone kapena amuna achikulire omwe ali ndi kuchepa kwa testosterone chifukwa cha ukalamba.

Amuna omwe amatenga TRT nthawi zambiri amakhala ndi mphamvu zowonjezereka, kuyendetsa bwino zogonana, komanso kukhala ndi thanzi labwino. Koma chitetezo chake cha nthawi yayitali sichinakhazikitsidwe.

Pali njira zosiyanasiyana zochiritsira zokhudzana ndi zolimbitsa thupi, zakudya, ndi kugona zomwe zawonetsedwa kuti zikuwonjezera kuchuluka kwa testosterone. Lankhulani ndi dokotala wanu zomwe zingakhale zabwino kwa inu.