So wote nka sɛ wo mmarima ahoɔden so retew? Biribiara a ɛfa Low Testosterone ho

So woate nka sɛ woabrɛ, woayɛ mmerɛw, na titiriw no, w’ani nnye nna ho nnansa yi? Ɛtɔ da bi a yesusuw sɛ saa nneɛma yi fi da biara da asetra mu adagyew, nanso ebia nea enti a ɛte saa no yɛ biribi soronko wɔ nea wususuw ho. Ɛnnɛ yɛreka asɛmti bi a ɛho hia mmarima paa ho asɛm, nanso nnipa pii mpɛ kakra sɛ wɔbɛka ho asɛm. Ɛno ne ɔbarima hormone testosterone dodow a ɛso tew wɔ nipadua no mu, a wɔfrɛ no aduruyɛ mu sɛ `(Male Hypogonadism)`.

Sɛ yɛbɛka no tiawa a, dɛn ne testosterone?

Susuw testosterone ho sɛ "engine ngo" a ɛwɔ ɔbarima nipadua mu. Saa hormone yi ne ade titiriw a ɛhwɛ ɔbarima su so. Wɔyɛ no titiriw wɔ awotwaa mu.

Momma yɛnhwɛ nneɛma atitiriw a testosterone hormone yɛ wɔ yɛn nipadua so no bi:

• Mmarima nna mu akwaa nyin ne ne dwumadi a wɔbɛkɔ so akura mu.
• Nipadua no ntini a ɛbɛma ayɛ den na ama ayɛ den.
• Nnompe a ɛyɛ den a wɔbɛkɔ so akura mu.
• Ɛho hia ma mmadwoa a wɔyɛ (spermatogenesis).
• Ɔbarima ne ɔbea nna ho akɔnnɔ a wɔbɛbɔ na wɔakura mu (`sex drive`).
• Ɛboa ma mogya mu nkwammoaa kɔkɔɔ dodow a ɛfata wɔ nipadua no mu kɔ so tra hɔ.
• Boa a wɔboa ma wɔte nka sɛ wo ho ye wɔ adwene mu na w'ani gye (`sense of well-being`).

Mpɛn pii no, yɛn nipadua no di testosterone dodow yi so yiye. Saa hormone dodow yi dɔɔso sen biara anɔpa, na ɛso tew nkakrankakra bere a da no kɔ so no. Yɛn amemene no afã abien a wɔfrɛ no hypothalamus ne pituitary gland na ɛhwɛ adeyɛ yi nyinaa so. Eyi yɛ nhyehyɛe a ɛyɛ den yiye a wɔde di dwuma. Sɛ mfomso ketewaa bi wɔ nhyehyɛe yi mu baabiara a, testosterone dodow betumi so atew.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ testosterone sua?

Saa tebea yi ho sɛnkyerɛnne betumi ayɛ soronko kɛse wɔ nnipa biara mu. Saa sɛnkyerɛnne ahorow yi sesa, titiriw bere a obi nyin no. Nsɛnkyerɛnne ahorow bi wɔ hɔ a ɛsɛ sɛ ɛma adwenem naayɛ bere a wuhu no.

Tebea yi ka mmofra nkumaa dɛn?

Sɛ abarimaa bi testosterone dodow so tew ansa na wabɔ ne mmabunbere anaasɛ bere a ɔreba a, wobetumi ahu sɛnkyerɛnne ahorow a edidi so yi:

• Sɛnea obi tenten kɔ soro no brɛoo.
• Nwi a enyin a ɛso tew wɔ mmeae a kokoam.
• Ɔbarima ne ɔbea nna mu akwaa a ɛso tew.
• Ɛnne no mu dɔ a ɛkyɛ.
• Ahoɔden a wonni a ɛfata mfe a obi adi.

Dɛn nti na testosterone dodow yi so retew?

Ebia nneɛma pii nti na ɛte saa. Sɛ yɛbɛka no tiawa a, yebetumi akyekyɛ ntease ahorow yi mu akuw atitiriw abien. Fa no sɛ testosterone yɛ ade a wɔyɛ wɔ adwumayɛbea (wɔ awotwaa mu). Wɔde ahyɛde ma no fi ‘adwumayɛbea ti’ (beae a wɔhwɛ so wɔ amemene no mu).

1. Primary Hypogonadism: Ɛha na ɔhaw no da "adwumayɛbea" a ɛyɛ testosterone, kyerɛ sɛ, ɛwɔ awotwaa mu tẽẽ . Ɛmfa ho sɛ nsɛnkyerɛnne dodow ahe na efi amemene no mu ba no, mmadwoa no ntumi nyɛ hormone no dodow a wɔhwehwɛ.

2. Secondary Hypogonadism: Ɛha yi, ɔhaw biara nni awotwaa no ho. Ɔhaw no wɔ "head office." Ɛne sɛ, esiane hypothalamus anaa pituitary gland a ɛwɔ amemene no mu a entumi nyɛ adwuma yiye nti , nsɛnkyerɛnne a ehia na ama wɔanya hormone ahorow no nkɔ yiye.

Afei ma yɛnhwɛ ntease ahorow a ɛfa saa ahorow yi mu biara ho no nkɔ akyiri kakra.

1. Nkwammoaa mu haw ahorow (Primary Hypogonadism) .

• Tebea horow a wonya fi awo mu:
• Klinefelter yare: Eyi yɛ nkwaboaa mu nkwaadɔm a ɛnyɛ ne kwan so.
• Nkwaboaa no nni hɔ wɔ awo mu (anorchia) anaasɛ ɛnsian mfi yafunu no mu (nkwaboaa a ɛnsiane).
• Tebea horow a edi hɔ:
• Akwanhyia a ɛba mmadwoa mu anaasɛ oprehyɛn a wɔde yi fi hɔ.
• Nkwammoaa a ɛho ahonhon (orchitis) esiane ɔyare mmoawa te sɛ akisikuru nti .
• Nnuru anaa mframa a wɔde sa kokoram.
• Nnuru bi a wɔde yɛ anabolic steroids a wɔde di dwuma de hyɛ nipadua mu den.

2. Ɔhaw ahorow a ɛfa amemene no dwumadibea ahorow ho (Secondary Hypogonadism) .

• Tebea horow a wonya fi awo mu:
• Kallmann syndrome: Eyi yɛ awosu mu tebea a ɛntaa nsi.
• Prader-Willi yare a ɛma obi nya ɔyare no.
• Tebea horow a edi hɔ:
• Tumors anaasɛ pituitary gland a ɛsɛe.
• Nyarewa te sɛ HIV/AIDS .
• Nyarewa a enni sabea te sɛ mmerɛbo mu yare anaa asaabo a entumi nyɛ adwuma yiye.
• Asikreyare a wontumi nni so (Asikreyare a Ɛto so 2) .
• Obolo .
• Obstructive sleep apnea (tebea a ɛma obi ho kyere no wɔ nna mu a ɛne akisikuru wɔ abusuabɔ).
• Nsã a wɔnom boro so .
• Nnuru bi , titiriw opioids, ɛyaw ano aduru ne hormone nnuru a wɔde sa kokoram.

Testosterone dodow so tew kakra fi awosu mu bere a mmarima nyin no. Wɔfrɛ eyi `Late-onset hypogonadism (LOH).` Saa tebea yi taa ba nnipa a wɔn mu duru boro so anaasɛ wɔwɔ asikreyare mu.

Wobɛyɛ dɛn ahu sɛ wowɔ saa tebea yi ankasa?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo no bedi kan ahwehwɛ wo mu, abisa w’ayaresa ho abakɔsɛm, na wabisa nnuru biara a wonom ho asɛm. Afei, wɔbɛyɛ nhwehwɛmu ahorow pii, titiriw mogya mu nhwehwɛmu , de asi tebea no so dua.

1. Total Testosterone Level: Eyi ne sɔhwɛ a ɛho hia sen biara. Mpɛn pii no, ɛsɛ sɛ wɔyɛ eyi anɔpa nnɔnwɔtwe ne 10 ntam , efisɛ ɛno ne bere a testosterone dodow kɔ soro sen biara. Ɛyɛ papa sɛ wobɛyɛ sɔhwɛ yi nna ahorow abien.

2. Luteinizing hormone (LH) dodow: Saa hormone yi fi pituitary gland no mu. Sɛ wohwɛ ne dodow a, wubetumi anya adwene sɛ ebia ɔhaw no wɔ awotwaa mu anaasɛ mmeae a wɔhwɛ so wɔ amemene no mu no.

3. Prolactin dodow: Sɛ saa hormone yi kɔ soro a, ebetumi ayɛ ɔhaw bi a ɛwɔ pituitary gland no ho sɛnkyerɛnne.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wosi so dua sɛ testosterone dodow sua a, ayaresa titiriw ne Testosterone Replacement Therapy (TRT) . Ɛne sɛ, wɔma nipadua no testosterone hormone no wɔ akyi. Akwan pii wɔ hɔ a wɔfa so yɛ eyi.

• Skin gels: Gels a wɔde gu honam ani. Ɛsɛ sɛ wɔde gu honam ani a ɛho tew na ɛyɛ nwunu so da biara. Sɛ wɔde eyinom gu so wie a, ɛsɛ sɛ wɔhwɛ yiye na wɔankɔ afoforo honam ani, titiriw mmea ne mmofra nkumaa honam ani.
• Injections: Injections a wɔde gu ntini bi mu adapɛn 1-2 biara anaa nea ɛboro saa.
• Patches: Patches a wɔde gu honam ani da biara da.
• Pellets: Wɔde ade ketewaa bi a ɛte sɛ pellet hyɛ honam ani. Ɛma hormone ahorow fi adi asram 3-6.
• Testosterone a wɔnom: Nnuru a wɔkamfo kyerɛ wɔ aduruyɛ mu tebea pɔtee bi nkutoo ho.

Wo duruyɛfo bɛpaw ayaresa kwan a ɛfata wo kɛse afi ayaresa ahorow yi mu.

So obiara betumi anya saa ayaresa yi?

Dabi, testosterone ayaresa mfata nnipa binom, titiriw sɛ wɔwɔ tebea horow a edidi so yi a:

• Prostate kokoram.
• Nufu mu kokoram.
• Koma tebea a wontumi nni so (`Koma a entumi nyɛ adwuma yiye`).
• Dae mu ahomegye a esiw kwan a wɔansa.

Enti, wo duruyɛfo no bɛhwɛ eyi mu yiye ansa na wafi ayaresa ase.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Aane. Te sɛ ayaresa biara no, eyi betumi anya nsunsuanso bɔne bi.

• Acne anaa honam ani a srade wom.
• Ankle a ɛho ahonhon.
• Ebinom yɛ den sɛ wɔbɛtow nsu.
• Nufu a ɛyɛ kɛse anaa ɛyaw.
• Nkwaboaa nketewa.
• Nkwaboaa a ɛba no so tew (eyi ho hia ma mmerante a wɔwɔ anidaso sɛ wɔbɛwo mma).
• Mogya mu nkwammoaa kɔkɔɔ dodow a ɛkɔ soro wɔ mogya no mu.

Enti, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn daa na woyɛ nhwehwɛmu a ɛho hia bere a woreyɛ ayaresa no. Ɔbɛhwɛ saa nsunsuanso bɔne yi so bere nyinaa.

Dɛn na wobetumi ayɛ na ama wɔanya nkwa wɔ tebea yi mu?

Bere a yentumi nsiw nneɛma te sɛ awosu mu nneɛma ano no, yebetumi aboa ma testosterone dodow a ɛfata atra hɔ denam yɛn asetra kwan a yɛbɛsakra no so.

• Aduan a ahoɔden wom: Ɛho hia sɛ wudi aduan a ɛkari pɛ.
• Apɔw-mu-teɛteɛ: Mu duru a wɔma so ne ntetee a wɔde di dwuma denneennen (HIIT) betumi ayɛ nea mfaso wɔ so titiriw.
• Kura mu duru a ɛfata mu: Kɛse mmoroso yɛ ade titiriw a ɛma testosterone dodow so tew.
• Da a ɛfata: Ɛho hia sɛ wunya nnɔnhwerew 7-8 nna pa da biara.
• Adwennwen a wɔbɛtew so: Adwennwen a ɛboro so betumi ama hormone cortisol akɔ soro na ama testosterone dodow so atew.
• Nsa ne nnubɔne a wɔde di dwuma ano hye.

Saa nneɛma yi ye yiye ma w’akwahosan nyinaa.