Shin kana jin kamar kana da ƙarancin sinadarin testosterone? Bari mu koyi daidai game da wannan canjin a jikin namiji (Rashin ƙarfin maza)!

Shin wani lokacin kana jin gajiya, ba ka da sha'awar wani abu, ko kuma kana da ƙaramin tambaya game da wasu abubuwa da suka shafi maza? Wataƙila dalilin hakan shine raguwar sinadarin testosterone a jikinka. A yau, za mu yi magana game da wannan raguwar matakan testosterone , ko kuma kamar yadda likitoci ke kira shi, wani yanayi da ake kira Male Hypogonadism . Kada ka damu, wannan abu ne da zai iya faruwa ga mutane da yawa, kuma akwai magunguna don hakan.

Menene ma'anar ƙarancin testosterone?

A taƙaice dai, ƙarancin sinadarin testosterone yana nufin cewa ƙwayoyin halittarku (ƙwayoyin halittar da ke samar da maniyyi a cikin maza) ba sa samar da isasshen sinadarin testosterone. A taƙaice dai, ƙwayoyin Leydig da ke cikin ƙwayoyin halittar suna samar da wannan sinadarin testosterone.

Wannan yanayin na iya bayyana tare da alamu daban-daban a shekaru daban-daban. Haka kuma, matakan testosterone a zahiri suna raguwa kaɗan yayin da maza ke tsufa. Ana kiran wannan da wasu sunaye, misali:

• Ciwon rashin Testosterone
• Rashin sinadarin testosterone
• Babban hypogonadism
• Hypogonadism na biyu

Me yasa testosterone yake da mahimmanci?

Testosterone shine mafi mahimmancin hormone na maza. Yana da mahimmanci don haɓaka halayen maza da samar da maniyyi (spermatogenesis). Maza suna da matakan testosterone mafi girma a jikinsu fiye da mata.

Testosterone yana taimakawa wajen kiyayewa da haɓaka waɗannan abubuwa a jikin namiji:

• Al'aura
• Girman tsoka
• Matakan ƙwayoyin jinin ja masu lafiya
• Yawan ƙashi
• Kyakkyawan lafiyar kwakwalwa
• Aikin jima'i da haihuwa

A al'ada, jikinmu yana daidaita matakin testosterone a cikin jininmu. Yana da yawa da safe kuma yana raguwa a hankali yayin da rana ke ci gaba.

Hypothalamus da glandar pituitary da ke cikin kwakwalwarka suna sarrafa adadin testosterone da ƙwayoyin halittarka ke samarwa da kuma fitarwa.

Hypothalamus yana fitar da hormone mai sakin gonadotropin (GnRH) . Wannan yana nuna wa glandar pituitary cewa ta saki hormone mai luteinizing (LH) . Sannan LH yana tafiya zuwa ga ƙwayoyin halittar don ƙarfafa samar da testosterone. Glandar pituitary kuma tana fitar da hormone mai motsa follicle (FSH) don taimakawa wajen samar da maniyyi.

Don haka, idan akwai matsala da ƙwai, hypothalamus, ko glandar pituitary, matakan testosterone na iya raguwa.

Wane matakin ne ake ɗauka a matsayin "ƙarancin testosterone"?

A cewar Ƙungiyar Kula da Cututtukan Uro ta Amurka (AUA), ana ɗaukar matakin testosterone a cikin jinin manya a matsayin ƙasa idan ya kasance ƙasa da nanogram 300 a kowace deciliter (300 ng/dL).

Duk da haka, wasu masu bincike da likitoci ba su yarda da wannan ra'ayi gaba ɗaya ba. Wasu suna ganin cewa duk wani abu da ya gaza '250 ng/dL' ana ɗaukarsa a matsayin ƙasa. Duk da haka, likitoci za su yi la'akari da alamun cutar yayin da suke tantance ko kuna da ƙarancin testosterone.

Wanene ke cikin haɗarin wannan raguwar sinadarin testosterone?

Wannan yanayin na iya shafar maza na kowane zamani, tun daga haihuwa har zuwa girma.

Duk da haka, mutane da yawa suna fuskantar ƙarancin testosterone:

• Ga tsofaffi
• Ga mutanen da ke da kiba (masu kiba sosai)
• Ga mutanen da ke fama da ciwon suga na nau'in 2 wanda ba a iya sarrafa shi sosai ba
• Ga waɗanda ke fama da matsalar numfashi ta barci (sleep apnea)
• Mutane masu fama da cututtuka na yau da kullun kamar gazawar koda da cirrhosis na hanta
• Ga masu dauke da cutar HIV/AIDS

Yaya wannan ciwon ya zama ruwan dare?

Yana da wuya masu bincike su faɗi ainihin yadda ƙarancin testosterone yake, domin bincike daban-daban sun bayyana "ƙarancin testosterone" ta hanyoyi daban-daban.

A cewar wasu bayanai, kusan kashi 2% na maza na iya kamuwa da wannan matsalar. Wasu bincike sun nuna cewa sama da kashi 8% na maza tsakanin shekaru 50 zuwa 79 suna da ƙarancin matakan testosterone.

Mene ne alamun ƙarancin testosterone?

Alamomin ƙarancin testosterone na iya bambanta sosai daga mutum zuwa mutum, musamman dangane da shekaru.

Alamomin kamuwa da cuta ga manya maza

Idan kana da waɗannan alamun, akwai babban yuwuwar cewa kana da ƙarancin testosterone:

• Rage sha'awar jima'i
• Matsalar rashin karfin mazakuta
• Asarar gashi a hammata da kuma wuraren da ba na mutum ba
• Ƙunƙarar ƙwaya
• Hasken walƙiya mai zafi
• Rage yawan maniyyi ko rashinsa (Azoospermia), wanda zai iya haifar da matsala wajen ɗaukar ciki ga yara.

Sauran alamun na iya haɗawa da:

• Damuwa (rashin kwanciyar hankali)
• Wahalar mai da hankali da tunawa
• Ƙara kitsen jiki
• Faɗaɗa nonon maza (Gynecomastia)
• Rage ƙarfin tsoka da girmansa
• Rage juriyar jiki

Alamomin da ke faruwa a yara (kafin ko lokacin balaga)

Idan matakan testosterone na yaro ya ragu kafin ko lokacin balaga, yana iya fuskantar alamu kamar:

• Girman tsayi yana da jinkiri, amma gaɓoɓi na iya girma fiye da sauran sassan jiki.
• Rage girman gashi a yankin da ba na sirri ba.
• Rage girman ƙwayoyin ƙwai da ƙwayoyin ƙwai.
• Rage zurfin muryar.
• Rage ƙarfi da juriya sakamakon tsufa.

Mene ne dalilan ƙarancin testosterone?

Akwai dalilai da dama da ke sa matakan testosterone ke raguwa. Wannan yanayin ya kasu kashi biyu:

1. Babban rashin isasshen ruwa: Wannan yana faruwa ne sakamakon matsala da ƙwai da kansu.

2. Hypogonadism na biyu: Wannan yana faruwa ne sakamakon rashin aiki a cikin glandar pituitary ko hypothalamus a cikin kwakwalwa.

Duk waɗannan nau'ikan guda biyu na iya faruwa ne sakamakon ko dai dalilai na haihuwa ko kuma abubuwan da aka samu waɗanda suka faru daga baya (a lokacin ƙuruciya ko girma).

Dalilan hypogonadism na farko

Abin da ke faruwa a wannan yanayin shi ne akwai matsala da ƙwai, wanda ke hana su samar da sinadarin testosterone yadda ya kamata.

Wani suna na wannan shine hypergonadotropic hypogonadism . Wannan shine lokacin da glandar pituitary ke samar da ƙarin hormones na LH da FSH (wanda kuma aka sani da gonadotropins) saboda ƙarancin testosterone. Yawanci, lokacin da waɗannan hormones ɗin suka yi yawa, ana gaya wa ƙwai su samar da ƙarin testosterone da maniyyi. Duk da haka, idan ƙwai sun lalace (sau da yawa saboda maganin chemotherapy don ciwon daji) ko kuma idan ƙwai sun ɓace, ba za su iya amsawa ga waɗannan ƙaruwar gonadotropins ba. Sakamakon haka, ƙarancin testosterone da maniyyi ake samarwa ko babu.

A wasu lokutan a cikin rashin isasshen sinadarin hormone (hypogonadism) na farko, matakan gonadotropin na iya ƙaruwa duk da cewa matakan testosterone suna cikin matsakaicin da aka saba. Ƙwararren likitan ku zai yi muku bayani game da wannan da kuma ko magani ya zama dole ko da kuwa testosterone ya zama na al'ada.

Abubuwan da suka haifar da haihuwa:

• Rashin ƙwayoyin cuta a lokacin haihuwa (Anorchia)
• Cryptorchidism (rashin nasarar ƙwai daga ƙashin ƙugu)
• Rashin cikar ci gaban ƙwayoyin Leydig a cikin ƙwayoyin ƙwai (Leydig cell hypoplasia)
• Ciwon Klinefelter (maza ana haihuwarsu da ƙarin chromosome X maimakon XY - XXY)
• Ciwon Noonan (cutar kwayoyin halitta mai wuya, wanda zai iya haifar da jinkirin balaga, ƙwai marasa kyau, ko rashin haihuwa)
• Myotonic dystrophy (ƙungiyar cututtukan raunin tsoka da aka gada)

Dalilan da aka samu:

• Raunin ko cirewar ƙwayayen.
• Kumburin ƙwaya ɗaya ko duka biyun (orchitis). Wannan galibi yana faruwa ne sakamakon kamuwa da ƙwayoyin cuta (misali cututtukan da ake ɗauka ta hanyar jima'i), ko kuma kamuwa da cuta ta hanyar ƙwayoyin cuta kamar kuraje.
• Ba da maganin chemotherapy ko radiation ga ƙwai.
• Wasu nau'ikan ciwon daji.
• Amfani da steroids na anabolic.

Dalilan hypogonadism na sakandare

Hypogonadism na biyu yana faruwa ne sakamakon yanayi da ke shafar aikin hypothalamus da/ko glandar pituitary. Wannan ana kiransa hypogonadotropic hypogonadism.Ana kuma kiransa "ƙananan testosterone" saboda matakan hormones ɗin 'LH' da 'FSH' suna da ƙasa a nan. Waɗannan ƙananan matakan suna haifar da raguwar samar da testosterone da maniyyi.

Abubuwan da suka haifar da haihuwa:

• Ragewar hypogonadotropic hypogonadism (ƙananan matakan GnRH tun daga haihuwa)
• Ciwon Kallmann (yanayin kwayoyin halitta mai wuya, gazawar samar da ƙwayoyin jijiya a cikin hypothalamus waɗanda ke samar da GnRH. Rashin wari kuma yana iya faruwa)
• Ciwon Prader-Willi (wani cuta mai saurin yaduwa ta hanyar kwayoyin halitta da yawa wanda zai iya lalata aikin hypothalamus)

Dalilan da aka samu:

• Hypopituitarism (wannan na iya faruwa ne ta hanyar ciwon pituitary (adenoma), kamuwa da cuta, rauni, maganin radiation, ko tiyata)
• Hyperprolactinemia (ƙaruwar matakan hormone prolactin)
• Yawan ƙarfe a jiki (Hemochromatosis)
• Raunin kwakwalwa ko kai
• Ciwon Cushing
• Ciwon hanta (cirrhosis)
• Matsalar koda
• HIV/AIDS
• Matsalar shan barasa
• Ciwon suga mara kyau wanda ba a sarrafa shi sosai ba
• Kiba (ƙiba sosai)
• Hana bacci apnea
• Wasu magunguna (misali estrogen, magungunan da ke canza yanayi, metoclopramide, opioids, wasu magunguna don cutar kansar mafitsara)

Hypogonadism na farko (LOH) wani nau'in hypogonadism ne na biyu wanda ke faruwa tare da tsufa na yau da kullun. Yayin da maza suka tsufa, samar da testosterone da/ko maniyyi yana raguwa saboda rashin aikin hypothalamic-pituitary da aikin ƙwayoyin Leydig.

LOH da ƙarancin testosterone sun zama ruwan dare a tsakanin maza masu ciwon sukari na nau'in 2, masu kiba, da/ko kiba.

A wani bincike, kashi 30% na maza masu kiba suna da ƙarancin sinadarin testosterone, idan aka kwatanta da kashi 6% kawai na maza masu nauyin al'ada. A wani bincike kuma, kashi 25% na maza masu ciwon suga na nau'in 2 suna da ƙarancin sinadarin testosterone, idan aka kwatanta da kashi 13% na maza marasa ciwon suga.

Ta yaya za ku san idan kuna da ƙarancin testosterone?

Idan kana da alamun ƙarancin sinadarin testosterone, likita zai yi maka gwajin jiki. Haka kuma za su yi maka tambayoyi game da tarihin lafiyarka, magungunan da ka sha ko ka sha, ko kana shan taba, da duk wata alama da ke nuna hakan. Sannan za su yi maka odar gwaje-gwajen jini da dama.

Domin a gano cutar, likita zai yi la'akari da alamun cutar da kuma sakamakon gwajin jini.

Wadanne irin gwaje-gwaje ake yi?

Waɗannan gwaje-gwajen na iya taimakawa wajen tabbatar da ƙarancin testosterone da kuma gano dalilin:

• Gwajin jini na matakin testosterone gaba ɗaya: Wannan yawanci yana buƙatar a ɗauki samfuran jini guda biyu tsakanin ƙarfe 8 zuwa 10 na safe, domin a lokacin ne matakan testosterone suka fi yawa. Ya kamata ka gaya wa likitanka idan ka yi rashin lafiya ko kuma ka warke daga rashin lafiya kwanan nan. Idan akwai gaggawa, sakamakon na iya zama ƙasa da haka.
• Gwajin jini na Luteinizing hormone (LH): Wannan yana taimakawa wajen tantance ko matsala da glandar pituitary ita ce sanadin ƙarancin testosterone.
• Gwajin jini na Prolactin: Yawan matakan prolactin na iya zama alamar matsala ko ƙari a cikin glandar pituitary.

Menene maganin ƙarancin testosterone?

Likitoci suna magance ƙarancin sinadarin testosterone ta hanyar amfani da Maganin Sauya Maganin Testosterone (TRT) . Akwai hanyoyi da dama na yin hakan:

• Gel ɗin Testosterone (a shafa a fata): Ya kamata a shafa wannan gel ɗin kowace rana a kan fata mai tsabta da busasshiya kamar yadda likitanka ya umarta. Mafi mahimmanci, kada a bar gel ɗin ya taɓa kowa ta fata. Wannan ita ce hanyar da aka fi amfani da ita a Amurka.
• Allurar testosterone ta cikin tsoka: Kai ko likita za ka iya yi maka wannan allurar a cikin tsoka duk bayan mako 1-2. Akwai kuma allurar testosterone mai aiki na tsawon lokaci da ake yi duk bayan mako 10. Akwai kuma allurar subcutaneous da ake yi a ƙarƙashin fata.
• Facin Testosterone (facin fata): Ya kamata a shafa wannan facin a fata kowace rana kamar yadda likitanka ya umarta. Ya kamata a riƙa juya wurin da ake shafawa akai-akai don hana sake faruwar fata.
• Kwalayen Testosterone (ƙananan fata): Ƙwararren likita zai dasa waɗannan ƙwayoyin a ƙarƙashin fata na tsawon watanni uku zuwa shida. Waɗannan suna ba da isasshen adadin testosterone na tsawon lokaci.
• Allunan testosterone na Buccal: Waɗannan ƙwayoyin halitta ne masu mannewa waɗanda ake sanyawa a kan dashen sau biyu a rana. Testosterone yana shiga cikin jini cikin sauri ta cikin dashen.
• Gel ɗin hanci na Testosterone: Ya kamata a shafa wannan gel ɗin a hancin biyu sau uku a rana.
• Testosterone na baki : Ana ba wa maza waɗanda ke da ƙarancin testosterone saboda wasu yanayi na lafiya, kamar su ciwon Klinefelter, ko kuma ciwace-ciwacen da suka lalata glandar pituitary.

Duk da haka, ƙila ba za ku iya karɓar maganin maye gurbin testosterone ba idan kuna da tarihin ɗaya daga cikin waɗannan yanayi:

• Ciwon daji na prostate.
• Ciwon prostate wanda ba a bincika ba. (Ya kamata kowa ya duba prostate ɗinsa kafin ya fara maganin testosterone.)
• Ciwon nono.
• Rashin ƙarfin zuciya.
• Ba a yi maganin matsalar numfashi ta barci ba.

Menene illar maganin maye gurbin testosterone?

Wadannan na iya faruwa a matsayin illolin wannan magani:

• Fata mai saurin kamuwa da kuraje ko mai.
• Kumburin idon sawu saboda ɗan tarin ruwa a jiki.
• Alamomi kamar wahalar yin fitsari saboda motsa prostate.
• Ƙara girman nono ko ciwo.
• Tabarbarewar numfashin barci (sleep apnea).
• Ƙananan ƙwayoyin cuta.
• Idan ka yi amfani da sinadarin testosterone da aka shafa a fata, za ka iya fuskantar kaikayi da kumburi a fata.

Canje-canje da za a iya gani a cikin rahotannin dakin gwaje-gwaje:

• Ƙara yawan antigen na musamman ga prostate (PSA).
• Ƙara yawan ƙwayoyin jinin ja.
• Ƙarancin yawan maniyyi, wanda ke haifar da rashin haihuwa (rashin iya haihuwa). Wannan yana da matuƙar muhimmanci musamman ga samari waɗanda ke ƙoƙarin haihuwa.

Za a iya hana raguwar testosterone?

Likitoci da masu bincike ba su san wata hanya da za a bi don hana raguwar sinadarin testosterone ba, ko dai saboda dalilai na kwayoyin halitta ko lalacewar ƙwayoyin halittar, hypothalamus, ko kuma glandar pituitary.

Duk da haka, waɗannan halaye na salon rayuwa na iya taimakawa wajen kiyaye matakan testosterone na al'ada:

• Cin abinci mai kyau.
• Motsa jiki.
• Kula da nauyi.
• A guji shan barasa da miyagun ƙwayoyi fiye da kima.

Me zai faru idan kana da ƙarancin sinadarin testosterone? Me za ka iya tsammani?

Babu wani mafita mai girma ɗaya da ya dace da ƙarancin sinadarin testosterone. Duk da haka, tare da ci gaba da maganin maye gurbin hormones masu dacewa, za ku iya inganta sha'awar jima'i, rage alamun ɓacin rai, da kuma ƙara kuzari. Maganin kuma zai iya ƙara yawan tsoka da yawan ƙashi.

Maza masu ƙarancin sinadarin testosterone suna da yawan mace-mace mai yawa fiye da maza masu yawan sinadarin testosterone na yau da kullun. Duk da haka, ba a san ko dawo da matakan sinadarin testosterone zuwa al'ada zai rage wannan ƙaruwar mace-mace ba. Maganin ya fi mayar da hankali kan kula da alamun cutar, ba wai kan mayar da hankali kan matakan sinadarin testosterone ba.

A lokuta da ake samun matsalar hypogonadism a lokacin haihuwa, maganin maye gurbin testosterone sau da yawa yana taimakawa wajen hana matsalolin da ke tattare da jinkirin balaga.

Yaushe ya kamata ku ga likita game da ƙarancin testosterone?

Idan kana shan maganin maye gurbin hormones, yana da matukar muhimmanci ka ga likitanka akai-akai don duba lafiyarka.

Idan kana da alamun ƙarancin sinadarin testosterone, kamar raguwar sha'awar jima'i ko kuma walƙiya mai zafi, yi magana da likita. Zai duba ka kuma ya yi odar gwajin jini.

Idan yaronka bai nuna alamun balaga ba kafin ya kai shekara 14, yi magana da likitan yara.

Mutane da yawa suna watsi da alamun ƙarancin testosterone a matsayin wani ɓangare na tsufa. Duk da haka, idan kuna da alamun da ke shafar ingancin rayuwar ku, ya kamata ku kula da su. Idan kuna fuskantar alamun damuwa na ƙarancin testosterone, ku nemi likita don tattauna zaɓuɓɓukan magani.

Abu mafi mahimmanci da za a tuna daga wannan labarin (Saƙon Ɗauka Gida)

Rashin sinadarin testosterone wata cuta ce da ke iya shafar maza. Yana iya haifar da matsaloli iri-iri na jiki da na kwakwalwa. Abu mafi kyau da za a yi shi ne kada a ji tsoro ko kunya game da shi, sai dai a nemi shawarar likita. Idan kana da alamun cutar, kada ka yi watsi da su a matsayin tsufa na yau da kullun.

Da zarar an gano cutar da kyau da kuma maganin da ya dace, za ka iya rayuwa mai daɗi. Ka tuna, ba kai kaɗai ba ne, kuma akwai taimako.

` Testosterone, hormones na maza, hypogonadism, lafiyar jima'i, maganin hormone, lafiyar maza, rashin kuzari