Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣi, ɖe metsɔa ɖeke le naneke me o, alo nya sue aɖe nɔa ŋuwò le nu aɖewo siwo do ƒome kple ŋutsunyenye ŋua? Ðewohĩ nusi gbɔ esia tsoe nye lãmetsi si nye testosterone si le wò ŋutilã me dzi ɖeɖe kpɔtɔ. Egbea, míaƒo nu tso testosterone ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ sia ŋu , alo abe alesi ɖɔktawo yɔnɛ ene la, nɔnɔme aɖe si woyɔna be Male Hypogonadism . Mègatsi dzi o, esia nye nusi ate ŋu adzɔ ɖe ame geɖe dzi, eye atikewo hã li na esia.
Nukae testosterone si bɔbɔ ɖe anyi fia?
Kpuie ko la, testosterone si mebɔ o fia be wò vidzidɔ (lãmenugbagbevi siwo naa ŋutsuwo ƒe tsinyenye) mele testosterone si sɔ wɔm o. Ne míagblɔe tututu la, Leydig lãmenugbagbevi siwo le vidzidɔa me ye wɔa testosterone sia.
Nɔnɔme sia ate ŋu adze kple dzesi vovovowo le ƒe vovovowo me. Azɔ hã, le dzɔdzɔme nu la, testosterone ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna vie ne ŋutsuwo le tsitsim. Wotsɔ ŋkɔ bubuwo yɔa esia, le kpɔɖeŋu me:
- Testosterone ƒe anyimanɔmanɔ ƒe dɔléle
- Testosterone ƒe anyimanɔmanɔ
- Hypogonadism gbãtɔ
- Hypogonadism evelia
Nukatae testosterone le vevie nenema gbegbe ɖo?
Testosterone ye nye ŋutsu ƒe lãmetsi vevitɔ kekeake. Ele vevie na ŋutsu ƒe nɔnɔmewo ƒe tsitsi kple tsinyenye ƒe wɔwɔ (spermatogenesis). Testosterone sɔ gbɔ ɖe ŋutsuwo ƒe ŋutilã me wu nyɔnuwo sã.
Testosterone kpena ɖe ame ŋu be nu siawo nanɔ ŋutsu ƒe ŋutilã me eye woatu wo ɖo:
- Vidzinuwo
- Lãmetsiwo ƒe lolome
- Ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si le lãmesẽ me
- Ƒu ƒe kpekpeme
- Susu ƒe lãmesẽ nyui
- Gbɔdɔdɔ kple vidzidzi ƒe dɔwɔwɔ
Zi geɖe la, míaƒe ŋutilã ɖɔa testosterone ƒe agbɔsɔsɔ si le míaƒe ʋu me ɖo. Ekɔna wu le ŋdi me eye vivivi la, edzi ɖena kpɔtɔna ne ŋkekea le yiyim.
Hypothalamus kple pituitary gland si le wò ahɔhɔ̃ me kpɔa testosterone agbɔsɔsɔme si wò vidzidɔwo wɔna heɖena ɖe go dzi.
Hypothalamus la ɖea lãmetsi si naa gonadotropin (GnRH) dona . Esia naa dzesi na lãkusi si le lãkusia me be wòaɖe lãmetsi si woyɔna be luteinizing hormone (LH) ɖa . Emegbe LH zɔa mɔ yia vidzidɔa me be yeado ŋusẽ testosterone nawɔ. Pituitary gland hã ɖea lãmetsi si doa ŋusẽ lãkusi (FSH) be wòakpe ɖe ame ŋu wòawɔ tsinyenye.
Eyata ne kuxi aɖe le wò vidzidɔ, hypothalamus, alo pituitary gland ŋu la, wò testosterone ƒe agbɔsɔsɔ ate ŋu aɖiɖi.
Agbɔsɔsɔ kae wobuna be enye "testosterone si bɔbɔ"?
Amerikatɔwo ƒe Aɖuɖɔtoeŋutinunya Habɔbɔ (AUA) gblɔ be wobua ame tsitsi ƒe ʋumenugbagbeviɣidɔ be ebɔbɔ ne mede nanogram 300 le desilita ɖeka me o (300 ng/dL).
Gake numekula kple ɖɔkta aɖewo melɔ̃ ɖe nukpɔsusu sia dzi bliboe o. Ame aɖewo xɔe se be wobua nusianu si mede `250 ng/dL` o be ebɔbɔ. Gake ɖɔktawo abu wò dzesiwo ŋu godoo ne wole ekpɔm ɖa be testosterone le ŋuwò hã.
Amekae le afɔku gã me be testosterone ƒe ɖiɖi sia nate ŋu adze edzi?
Nɔnɔme sia ate ŋu adze ŋutsu siwo xɔ ƒe ɖesiaɖe dzi, tso wo dziɣi vaseɖe woƒe tsitsime.
Gake anɔ eme be ame siawo ƒe testosterone mesɔ gbɔ o:
- Le ame tsitsiwo gome
- Le amesiwo lolo akpa (lolo akpa) gome la .
- Le amesiwo ŋu suklidɔ ƒomevi evelia si dzi womeɖu nyuie o gome
- Le amesiwo ƒe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame gome
- Ame siwo ŋu dɔléle siwo nɔa anyi didi abe ayiku ƒe dɔmawɔmawɔ nyuie kple aklã ƒe ʋuʋu ene le
- Na amesiwo le HIV/AIDS dɔlélea lém
Aleke gbegbee nɔnɔme sia bɔe?
Esesẽ na numekulawo be woagblɔ alesi tututu testosterone si mebɔ o bɔe, elabena numekuku vovovowo ɖe "testosterone si bɔbɔ" gɔme le mɔ vovovowo nu.
Le nyatakaka aɖewo nu la, ŋutsu siwo ade 2% ate ŋu axɔ dɔléle sia. Numekuku bubuwo ɖee fia be ŋutsu siwo xɔ tso ƒe 50 va ɖo ƒe 79 dometɔ siwo wu 8% ƒe testosterone ƒe agbɔsɔsɔ le sue.
Nukawoe nye testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo?
Testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo ate ŋu ato vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ, vevietɔ le ƒe si woxɔ nu.
Dzesi siwo dzena le ŋutsu tsitsiwo ŋu
Ne dzesi siawo le ŋuwò la, mɔnukpɔkpɔ gã aɖe li be testosterone ate ŋu anɔ ŋuwò:
- Gbɔdɔdɔ ƒe dzodzro dzi ɖe kpɔtɔ
- Tsitretsitsi ƒe dɔmawɔmawɔ nyuie
- Taɖa ƒe vuvu le abɔta kple ame ŋutɔ ƒe teƒewo
- Vidzidɔ ƒe ʋuʋu
- Dzoxɔxɔ ƒe keklẽ
- Tsinyenye ƒe xexlẽme dzi ɖe kpɔtɔ alo meli o (Azoospermia), si ate ŋu ana fufɔfɔ nasesẽ.
Dzesi bubuwo ate ŋu anye:
- Blanuiléle (seselelãme ƒe kuxi) .
- Esesẽna be susu nanɔ nu ŋu ahaɖo ŋku nu dzi
- Ami si le ŋutilã me ƒe dzidziɖedzi
- Ŋutsu ƒe nowo ƒe lolome (Gynecomastia) .
- Lãmetsiwo ƒe ŋusẽ kple woƒe lolome dzi ɖe kpɔtɔ
- Ŋutilã ƒe dzidodo dzi ɖe kpɔtɔ
Dzesi siwo dzena le ɖeviwo ŋu (do ŋgɔ na woƒe sɔhɛmenɔɣi alo le woƒe sɔhɛmenɔɣi) .
Ne ŋutsuvi ƒe testosterone ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ do ŋgɔ na eƒe sɔhɛmenɔɣi alo le eƒe sɔhɛmenɔɣi la, ate ŋu akpɔ dzesiwo abe:
- Kɔkɔme ƒe tsitsi nɔa blewu, gake abɔ kple afɔwo ate ŋu adidi le mɔ si mesɔ o nu wu ŋutilã ƒe akpa bubuwo.
- Taɖa ƒe tsitsi dzi ɖe kpɔtɔ le ame ŋutɔ ƒe teƒe.
- Vidzidɔ kple vidzidɔ ƒe tsitsi dzi ɖe kpɔtɔ.
- Gbea ƒe goglome dzi ɖe kpɔtɔ.
- Ŋusẽ kple dzidodo ƒe ɖiɖi le tsitsi ta.
Nukawoe hea testosterone ƒe agbɔsɔsɔ si medea ame dzi o vɛ?
Susu geɖe li siwo tae testosterone ƒe agbɔsɔsɔ ate ŋu aɖiɖi ɖo. Nɔnɔme sia dze le hatsotso vevi eve me:
1. Primary hypogonadism: Esia tsoa kuxi aɖe si le vidzidɔa ŋutɔ ŋu gbɔ.
2. Secondary hypogonadism: Esia tsoa ahɔhɔ̃a ƒe dɔmawɔmawɔ nyuie le pituitary gland alo hypothalamus me gbɔ.
Atike siawo ƒomevi evea siaa ate ŋu atso nusiwo wodzina alo nusiwo woxɔ si dzɔna emegbe (le ɖevime alo tsitsime) gbɔ.
Nusiwo hea hypogonadism gbãtɔ vɛ
Nusi dzɔna le nɔnɔme sia mee nye be kuxi aɖe le vidzidɔa ŋu, si wɔnɛ be womete ŋu wɔa testosterone le mɔ si sɔ nu o.
Ŋkɔ bubu si wotsɔ na esiae nye hypergonadotropic hypogonadism . Esiae nye esime lãkusia wɔa lãmetsiŋusẽ siwo nye LH kple FSH (si woyɔna hã be gonadotropins) geɖe wu le esi testosterone mesɔ gbɔ o ta. Zi geɖe la, ne lãmetsi siawo sɔ gbɔ la, wogblɔna na vidzidɔa be wòawɔ testosterone kple tsinyenye geɖe wu. Gake ne vidzidɔa gblẽ (zi geɖe la, le atike si wozãna na kansa ta) alo ne vidzidɔa bu la, mate ŋu awɔ nu ɖe gonadotropin siawo siwo dzi ɖe edzi ŋu o. Esia wɔnɛ be womewɔa testosterone kple tsinyenye sue aɖe ko alo womewɔa naneke kura o.
Ɣeaɖewoɣi le hypogonadism gbãtɔ me la, gonadotropin ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi togbɔ be testosterone ƒe agbɔsɔsɔ le agbɔsɔsɔ si sɔ me hã. Wò dɔwɔla bibi aɖe esia me na wò kple nenye be atikewɔwɔ hiã ne testosterone sɔ gɔ̃ hã.
Nusiwo gbɔ wòtsona wodzina:
- Vidzidɔ ƒe anyimanɔmanɔ le vidzidzi me (Anorchia) .
- Cryptorchidism (vidzidɔ ƒe kpododonu ƒe ɖiɖi tso vidzidɔa me) .
- Leydig lãmenugbagbeviwo ƒe tsitsi bliboe le vidzidɔ me (Leydig cell hypoplasia) .
- Klinefelter ƒe dɔléle (wodzia ŋutsuwo kple X domenyiŋusẽfianu bubu ɖe XY - XXY teƒe) .
- Noonan ƒe dɔléle (domenyiŋusẽfianu ƒe nɔnɔme si mebɔ o, ate ŋu ana ƒewuiwo nahe ɖe megbe, vidzidɔ siwo meɖiɖi o, alo vidzidzi nate ŋu ana ame natsi anyi o) .
- Myotonic dystrophy (lãmekawo ƒe gbɔdzɔgbɔdzɔdɔ siwo ƒe dome wonyi ƒe ƒuƒoƒo) .
Nusiwo gbɔ wòtso siwo woxɔ:
- Nuveviwɔame le vidzidɔa ŋu alo eɖeɖe ɖa.
- Vidzidɔ ɖeka alo evea siaa ƒe dɔdzẽ (orchitis). Zi geɖe la, dɔlékui ƒe dɔléle gbɔe esia tsona (e.g. gbɔdɔdɔ ƒe dɔlélewo), alo ateŋu atso dɔlékui ƒe dɔléle abe mumps ene hã gbɔ.
- Atikewɔwɔ alo keklẽŋusẽdɔdamɔnu nana vidzidɔa.
- Kansa ƒomevi aɖewo.
- Anabolic steroid zazã.
Nusiwo hea hypogonadism evelia vɛ
Nɔnɔme siwo gblẽa nu le hypothalamus kple/alo pituitary gland ƒe dɔwɔwɔ ŋu gbɔe hypogonadism evelia tsona. Woyɔa esia be hypogonadotropic hypogonadism.Wogayɔnae be "low testosterone" elabena lãmetsiŋusẽ `LH` kple `FSH` ƒe agbɔsɔsɔ le sue le afisia. Agbɔsɔsɔ siawo siwo mebɔ o nana testosterone kple tsinyenye ƒe dzidziɖedzi dzi ɖena kpɔtɔna.
Nusiwo gbɔ wòtsona wodzina:
- Hypogonadotropic hypogonadism si woɖe ɖe aga (GnRH ƒe agbɔsɔsɔ si bɔbɔ tso edziɣi) .
- Kallmann ƒe dɔléle (domenyiŋusẽfianu ƒe nɔnɔme si mebɔ o, lãmekawo ƒe lãmenugbagbeviwo ƒe tsitsi le hypothalamus me siwo wɔa GnRH. Ʋeʋẽ ƒe bu ate ŋu adzɔ hã)
- Prader-Willi ƒe dɔléle (si nye domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie si mebɔ o si ate ŋu agblẽ nu le hypothalamus ƒe dɔwɔwɔ ŋu) .
Nusiwo gbɔ wòtso siwo woxɔ:
- Hypopituitarism (esia ate ŋu atso pituitary tumor (adenoma), dɔlékuiwo, abixɔxɔ, keklẽŋusẽdɔdamɔnu, alo amekoko gbɔ) .
- Hyperprolactinemia (lãmetsi si nye prolactin ƒe agbɔsɔsɔ si dzina ɖe edzi) .
- Iron si sɔ gbɔ ɖe ŋutilã me (Hemochromatosis) .
- Ahɔhɔ̃ alo ta ƒe abixɔxɔ
- Cushing ƒe dɔlélea
- Aklã ƒe ʋuka me dɔléle
- Ayiku ƒe dɔmawɔmawɔ nyuie
- HIV/AIDS dɔlélea
- Ahanono ƒe kuxi
- Suklidɔ si dzi womeɖu nyuie o
- Lolo akpa (lolo akpa) .
- Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame
- Atike aɖewo (e.g. estrogen, atike siwo trɔa ame ƒe seselelãme, metoclopramide, opioids, atike aɖewo na ʋumenugbagbeviɣidɔ)
Aɖuɖɔtoedɔ si dzea egɔme megbe (LOH) nye ʋumenugbagbeviɣidɔ evelia ƒomevi aɖe si dzɔna ne ame tsi nyuie. Ne ŋutsuwo le tsitsim la, testosterone kple/alo tsinyenye ƒe wɔwɔ dzi ɖena kpɔtɔna le hypothalamic-pituitary ƒe dɔwɔwɔ ƒe gbegblẽ kple Leydig lãmenugbagbeviwo ƒe dɔwɔwɔ ta.
LOH kple testosterone si mebɔ o bɔ ɖe ŋutsu siwo ŋu suklidɔ ƒomevi 2, lolo akpa, kple/alo lolo akpa le dome.
Le numekuku aɖe me la, ŋutsu siwo lolo akpa ƒe 30% ƒe testosterone mesɔ gbɔ o, gake ŋutsu siwo lolo akpa ƒe 6% koe mesɔ gbɔ o. Le numekuku bubu me la, ŋutsu siwo ŋu suklidɔ ƒomevi eve le dometɔ 25% ƒe testosterone ƒe agbɔsɔsɔme mede o, gake ŋutsu siwo me suklidɔ mele o ƒe 13% koe.
Aleke nàwɔ anya kple kakaɖedzi be testosterone le ŋuwò?
Ne testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo le ŋuwò la, ɖɔkta aɖe ado wò ŋutilã kpɔ. Woabia nya wò hã tso wò atikewɔwɔ ŋutinya, atike siwo nèno alo nèno, ne ènoa atama, kple dzesi ɖesiaɖe si le ŋuwò fifia ŋu. Emegbe woaɖe gbe be woado ʋu kpɔ zi geɖe.
Be ɖɔktaa nanya dɔlélea la, abu wò dzesiwo kple ʋudodokpɔ me tsonu ŋu.
Dodokpɔ ka ƒomevie wowɔna?
Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nàɖo kpe edzi be testosterone mesɔ gbɔ o eye woake ɖe nusi gbɔ wòtso ŋu:
- Testosterone ƒe agbɔsɔsɔ bliboa ƒe ʋudodokpɔ: Zi geɖe la, esia bia be woaɖe ʋu eve le ŋdi ga 8 kple 10 dome, elabena ɣemaɣie testosterone ƒe agbɔsɔsɔme sɔa gbɔ wu. Ele be nàgblɔe na wò ɖɔkta ne èdze dɔ alo nèhaya tso dɔléle aɖe me nyitsɔ laa. Ne nɔnɔme kpata aɖe dzɔ la, emetsonuwo ate ŋu aɖiɖi alakpatɔe.
- Luteinizing hormone (LH) ʋudodokpɔ: Esia kpena ɖe ame ŋu wònya ne kuxi aɖe si le pituitary gland ŋu gbɔe testosterone ƒe agbɔsɔsɔ si medea ame dzi o tso.
- Prolactin ƒe ʋudodokpɔ: Prolactin ƒe agbɔsɔsɔ si sɔ ate ŋu anye kuxi alo dɔdzẽ aɖe ƒe dzesi le ʋuka si me ʋu sina tona me.
Nukae nye atike si wozãna na testosterone si mebɔ o?
Ðɔktawo tsɔa Testosterone Replacement Therapy (TRT) daa testosterone si mebɔ o . Mɔ vovovowo li siwo dzi míato awɔ esia:
- Testosterone gel (si wotsɔna ƒoa ŋutigbalẽ): Ele be nàsisi gel sia gbesiagbe ɖe ŋutigbalẽ si le dzadzɛ eye wòƒu ŋu abe alesi wò ɖɔkta gblɔe ene. Vevietɔ wu la, mègana gelũhɛa nado ka kple ame bubu to ŋutigbalẽa dzi o. Esiae nye mɔnu si wozãna wu le United States.
- Testosterone dodo ɖe lãmeka me: Wò alo ɖɔkta ate ŋu ado atike sia wò ɖe lãmeka aɖe me kwasiɖa 1-2 ɖesiaɖe. Testosterone ƒe atike siwo wɔa dɔ ɣeyiɣi didi hã li siwo wodona kwasiɖa 10 ɖesiaɖe. Atike siwo wodona ɖe ŋutigbalẽ te hã li siwo wodona ɖe ŋutigbalẽa te.
- Testosterone patch (skin patch): Ele be nàtsɔ atike sia asisi ɖe ŋutigbalẽa ŋu gbesiagbe abe alesi wò ɖɔkta gblɔe ene. Ele be woatrɔ teƒe si wodoe ɖo edziedzi be ŋutigbalẽ nagawɔ dɔ o.
- Testosterone pellets (subcutaneous): Eŋutinunyala bibi aɖe ade pellets siawo ŋutigbalẽa te hena ɣleti etɔ̃ va ɖo ade. Esiawo naa testosterone ƒe agbɔsɔsɔ si nɔa anyi ɖaa le ɣeyiɣi didi aɖe me.
- Buccal testosterone tablets: Esiawo nye atikekui siwo léna ɖe nu ŋu siwo wotsɔ dea aɖuwo dzi zi eve gbesiagbe. Testosterone toa aɖuɖɔtoewo me gena ɖe ʋukawo me kabakaba.
- Testosterone nasal gel: Ele be woatsɔ gel sia asisi ɖe ŋɔti eveawo ŋu zi etɔ̃ gbesiagbe.
- Testosterone si woano: Wonaa testosterone ƒomevi aɖe si woyɔna be undecanoate ŋutsu siwo ƒe testosterone mesɔ gbɔ o le atikewɔwɔ ƒe nɔnɔme aɖewo, abe Klinefelter syndrome, alo dɔdzẽ siwo gblẽ nu le pituitary gland ene ta.
Gake ɖewohĩ màte ŋu axɔ atike si woatsɔ aɖɔli testosterone ne dɔléle siawo dometɔ aɖe le ŋuwò le ŋutinya me o:
- Dɔdzẽ si le ʋuka me.
- Aɖuɖɔtoe me ƒu si womedo kpɔ o. (Ele be woado amesiame ƒe ʋuka me kpɔ hafi adze testosterone zazã gɔme.)
- No me dɔdzẽ.
- Dzi ƒe dɔmawɔmawɔ nyuie si dzi womeɖu o.
- Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame si womewɔ atike na o.
Nukawoe nye atike si wozãna tsɔ ɖɔa li testosterone ƒe nugbegblẽ le ame ŋu?
Nusiwo gbɔna ate ŋu adzɔ abe atikewɔwɔ sia ƒe nugbegblẽ le ame ŋu ene:
- Ŋutilã si me aklãdɔ le bɔbɔe alo si me ami le.
- Afɔkpodzi ƒe vuvu le tsi sue aɖe ƒe ƒoƒo ɖe ŋutilã me ta.
- Dzesiwo abe aɖuɖɔtoe sesẽ le prostate ƒe ʋuʋu ta.
- No ƒe lolome alo vevesese.
- Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe gbegblẽ.
- Vidzidɔ suewo.
- Ne èzã testosterone si wotsɔ ƒo ŋutigbalẽa la, àte ŋu akpɔ ŋutigbalẽa ƒe ʋuʋu kple abi.
Tɔtrɔ siwo woate ŋu akpɔ le nudokpɔƒe ƒe nyatakakawo me:
- Prostate-specific antigen (PSA) ƒe dzidziɖedzi.
- Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe edzi.
- Tsi ƒe tsinyenye ƒe xexlẽme dzi ɖe kpɔtɔ, si wɔnɛ be vidzidzi megate ŋu nɔa vidzidzi o (vidzidzi ƒe ŋutetemanɔamesi). Esia le vevie ŋutɔ na ɖekakpui siwo le agbagba dzem be yewoadzi vi.
Ðe woate ŋu axe mɔ ɖe testosterone ƒe ɖiɖi nua?
Ðɔktawo kple numekulawo menya mɔ aɖeke si dzi woato axe mɔ ɖe testosterone ƒe ɖiɖi nu haɖe o, eɖanye domenyiŋusẽfianu alo nusiwo gblẽ le vidzidɔ, hypothalamus, alo pituitary gland ŋu o.
Gake agbenɔnɔ ƒe nɔnɔme siawo ate ŋu akpe ɖe ame ŋu be testosterone ƒe agbɔsɔsɔ nanɔ abe alesi wòle ene:
- Nuɖuɖu si naa lãmesẽ ɖuɖu.
- Kamedede.
- Kpekpeme dzi ɖuɖu.
- Ƒo asa na ahanono kple atike muamewo zazã fũ akpa.
Nukae dzɔna ne testosterone le ŋuwò? Nukae nàte ŋu akpɔ mɔ na?
Egbɔkpɔnu ɖeka aɖeke meli si sɔ na testosterone si mebɔ o. Gake ne èyi edzi le lãmetsiŋusẽ ɖɔliɖɔli ƒe atikewɔwɔ si sɔ la, àte ŋu ana wò gbɔdɔdɔ ƒe dzodzro nanyo ɖe edzi, aɖe blanuiléle ƒe dzesiwo dzi akpɔtɔ, eye wò ŋusẽ nadzi ɖe edzi. Atikewɔwɔ ate ŋu ana lãmekawo ƒe lolome kple ƒuwo nadzi ɖe edzi hã.
Ŋutsu siwo ƒe testosterone mede o la ƒe ku sɔ gbɔ ŋutɔ wu ŋutsu siwo ƒe testosterone ƒe agbɔsɔsɔ si sɔ. Gake womenya nenye be ne wogbugbɔ testosterone ƒe agbɔsɔsɔ ɖo eƒe agbɔsɔsɔ si sɔ la, aɖe ku ƒe agbɔsɔsɔ sia si dzi ɖe edzi la dzi akpɔtɔ o. Dɔdamɔnua ƒe akpa gãtɔ ku ɖe dzesiawo dzi ɖuɖu ŋu, ke menye be woaɖo taɖodzinu na testosterone ƒe agbɔsɔsɔ o.
Le ʋumenugbagbeviɣidɔ si wodzina me la, zi geɖe la, testosterone ɖɔliɖɔli ƒe atikewɔwɔ kpena ɖe ame ŋu be woaxe mɔ ɖe kuxi siwo do ƒome kple sɔhɛmenɔɣi ƒe megbetsitsi nu.
Ɣekaɣie wòle be nàkpɔ ɖɔkta le testosterone si mebɔ o ŋu?
Ne èle lãmetsiŋusẽtike zãm la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ edziedzi be woado wò kpɔ.
Ne testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo le ŋuwò, abe gbɔdɔdɔ ƒe dzodzro dzi ɖeɖe kpɔtɔ alo dzoxɔxɔ si nu sẽ ene la, ƒo nu kple ɖɔkta. Ado wò kpɔ eye wòaɖe gbe be woado wò ʋu kpɔ.
Ne viwòa megale sɔhɛmenɔɣi ƒe dzesiwo ɖem fia hafi wòxɔ ƒe 14 o la, ƒo nu kple eƒe ɖeviwo ƒe dɔdala.
Ame geɖe bua testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo be enye tsitsi ƒe akpa si sɔ. Gake ne dzesi aɖewo le ŋuwò siwo le ŋusẽ kpɔm ɖe wò agbenɔnɔ dzi la, anyo godoo be nàlé ŋku ɖe wo ŋu. Ne testosterone ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesi siwo ɖea fu na wò la le fu ɖem na wò la, yi ɖɔkta gbɔ nàdzro atikewɔmɔnu siwo nàte ŋu azã me.
Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nyati sia me (Take-Home Message) .
Testosterone ƒe agbɔsɔsɔ si medea ame dzi o nye dɔléle si ate ŋu adze ŋutsuwo dzi. Ate ŋu ahe ŋutilã kple susu me kuxi vovovowo vɛ. Nu nyuitɔ si nàwɔe nye be màgavɔ̃ alo ŋu nakpe wò le eŋu o, ke boŋ nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ne dzesiwo le ŋuwò la, mègabu wo be wonye tsitsi si sɔ o.
Ne wokpɔ dɔlélea nyuie eye wowɔ atike na wò nyuie la, àte ŋu anɔ agbe si me dzidzeme le. Ðo ŋku edzi be menye wò ɖeka koe o, eye kpekpeɖeŋu li.
` Testosterone, ŋutsu ƒe lãmetsiŋusẽ, hypogonadism, gbɔdɔdɔ ƒe lãmesẽ, lãmetsiŋusẽ ƒe atikewɔwɔ, ŋutsuwo ƒe lãmesẽ, ŋusẽ ƒe anyimanɔmanɔ
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee