Ua luhi paha ʻoe, palaualelo, a nele hoʻi i ka hoihoi i ka moekolohe i kēia mau lā? I kekahi manawa manaʻo mākou ua pili kēia mau mea i ka hana nui o ke ola o kēlā me kēia lā, akā malia paha ʻo ke kumu o kēia he mea ʻokoʻa ia ma mua o kou manaʻo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana koʻikoʻi loa no nā kāne, akā he nui ka poʻe e kānalua iki e kamaʻilio e pili ana. ʻO ia ka emi ʻana o ka pae o ka hormone kāne testosterone i loko o ke kino, i kapa ʻia ma ke ʻano lapaʻau ʻo `(Male Hypogonadism)`.
I ka ʻōlelo maʻalahi, he aha ka testosterone?
E noʻonoʻo i ka testosterone ma ke ʻano he "ʻaila mīkini" i loko o ke kino o ke kāne. ʻO kēia hormone ke kumu nui e kāohi ana i nā ʻano kāne o ke kāne. Hana nui ʻia ia ma nā testicles.
E nānā kākou i kekahi o nā mea nui a ka hormone testosterone e hana ai i ko mākou kino:
- Ka mālama ʻana i ka ulu ʻana a me ka hana o nā ʻōpū kāne.
- Ke hoʻomohala a me ka mālama ʻana i nā ʻiʻo o ke kino i ikaika.
- Ka mālama ʻana i ka nui o ka iwi.
- He mea nui no ka hana ʻana o ka sperm (spermatogenesis).
- Ka hoʻokumu ʻana a me ka mālama ʻana i ka makemake moekolohe ('sex drive').
- Kōkua i ka mālama ʻana i ka pae kūpono o nā hunaola koko ʻulaʻula i loko o ke kino.
- Kōkua i ka noʻonoʻo maikaʻi a me ka hauʻoli ('sense of wellbeing').
ʻO ka maʻamau, hoʻomalu maikaʻi ko mākou kino i kēia pae testosterone. ʻOi aku ka kiʻekiʻe o kēia pae hormone i ke kakahiaka, a emi mālie ia i ka hala ʻana o ka lā. Hoʻomalu ʻia kēia kaʻina holoʻokoʻa e ʻelua mau ʻāpana o ko mākou lolo i kapa ʻia ʻo ka hypothalamus a me ka pituitary gland. He ʻōnaehana hoʻomalu paʻakikī loa kēia. Inā he hewa iki ma kekahi wahi o kēia ʻōnaehana, hiki ke emi nā pae testosterone.
He aha nā hōʻailona o ka testosterone haʻahaʻa?
Hiki ke ʻokoʻa loa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka. Loli kēia mau hōʻailona, ʻoiai me ka makahiki. Aia kekahi mau hōʻailona e pono e hoʻāla i ka kānalua ke ʻike ʻoe iā lākou.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā hiʻohiʻona e pono e kānalua nui ʻia |
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| Nā hiʻohiʻona maʻamau ʻē aʻe |
|
Pehea ka hopena o kēia kūlana i nā keiki ʻōpio?
Inā emi nā pae testosterone o ke keikikāne ma mua a i ka wā ʻōpio paha, e ʻike ʻia nā hōʻailona penei:
- Ka lohi ʻana o ka piʻi ʻana o ke kiʻekiʻe.
- Hoʻemi ʻia ka ulu ʻana o ka lauoho ma nā wahi pilikino.
- Ka emi ʻana o ka ulu ʻana o nā ʻōpū moekolohe.
- Ka lohi o ka hoʻohohonu ʻana o ka leo.
- ʻAʻohe ikaika kūpono no ka makahiki.
Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, he mea nui e kamaʻilio me ke kauka ma mua o ka hoʻokuke ʻana iā lākou he "mau mea e hana ʻia i kou wā ʻelemakule."
No ke aha e emi nei kēia mau pae testosterone?
Aia paha he nui nā kumu no kēia. I ka ʻōlelo maʻalahi, hiki iā mākou ke hoʻokaʻawale i kēia mau kumu i ʻelua mau ʻāpana nui. E noʻonoʻo i ka testosterone ma ke ʻano he huahana i hana ʻia ma kahi hale hana (i loko o nā testicles). Hāʻawi ʻia nā kauoha iā ia mai ke 'keʻena poʻo' (nā kikowaena hoʻomalu ma ka lolo).
1. Hypogonadism Mua: Maanei aia ka pilikia ma ka "hale hana" e hana ana i ka testosterone, ʻo ia hoʻi, i loko o nā testicles . ʻAʻohe mea nui ka nui o nā hōʻailona e puka mai ana mai ka lolo, ʻaʻole hiki i nā testicles ke hana i ka hormone i ka nui e pono ai.
2. Hypogonadism Lua: Maanei, ʻaʻohe pilikia me nā testicles. Aia ka pilikia ma ke "keʻena poʻo." ʻO ia hoʻi, ma muli o kahi hana hewa i loko o ka hypothalamus a i ʻole ka pituitary gland i loko o ka lolo , ʻaʻole e hele pono nā hōʻailona e pono ai e hana i nā hormones.
I kēia manawa, e nānā kākou i nā kumu e pili ana i kēlā me kēia ʻano me kekahi mau kikoʻī.
1. Nā pilikia testicular (Primary Hypogonadism)
- Nā kūlana hānau:
- ʻO ka maʻi Klinefelter: He ʻano ʻē kēia o nā chromosome.
- ʻAʻohe nā testicles mai ka hānau ʻana mai (anorchia) a ʻaʻole paha e iho mai ka ʻōpū (undescended testicles).
- Nā kūlana ma hope iho:
- Nā ulia i nā testicles a i ʻole ka wehe ʻana iā lākou ma ke ʻoki kino.
- Ka pehu ʻana o nā testicles (orchitis) ma muli o nā maʻi viral e like me ka mumps .
- ʻO ka chemotherapy a i ʻole ka radiation therapy no ka maʻi ʻaʻai.
- ʻO ka hoʻohana ʻana i kekahi mau steroid anabolic no ke kino kino.
2. Nā pilikia e pili ana i nā kikowaena kaohi o ka lolo (Secondary Hypogonadism)
- Nā kūlana hānau:
- Kallmann syndrome: He ʻano maʻi laha ʻole kēia.
- ʻO ka maʻi Prader-Willi.
- Nā kūlana ma hope iho:
- Nā puʻupuʻu a i ʻole ka hōʻino ʻana i ka pituitary gland.
- Nā maʻi e like me ka HIV/AIDS .
- Nā maʻi mau loa e like me ka cirrhosis o ke akepaʻa a i ʻole ka hāʻule ʻana o ka puʻupaʻa.
- ʻO ka maʻi diabetes i kāohi ʻole ʻia (ʻAno 2 Diabetes) .
- Ka momona nui .
- ʻO ka apnea hiamoe obstructive (kahi ʻano o ka apnea hiamoe e pili ana me ka snoring).
- Ka inu nui ʻana i ka waiʻona .
- ʻO kekahi mau lāʻau lapaʻau , ʻoiai nā opioids, nā mea ʻeha a me nā lāʻau hormonal no ka maʻi kanesa.
E emi iki ana nā pae testosterone i ka wā e ʻelemakule ai nā kāne. Ua kapa ʻia kēia ʻo 'Late-onset hypogonadism (LOH).' ʻOi aku ka maʻamau o kēia ʻano i ka poʻe momona a i ʻole ka poʻe maʻi diabetes.
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e nānā mua kāu kauka iā ʻoe, e nīnau e pili ana i kou mōʻaukala olakino, a e nīnau e pili ana i nā lāʻau lapaʻau āu e lawe ai. A laila, e hana lākou i kekahi mau hoʻokolohua, ʻo ia hoʻi nā hoʻokolohua koko , e hōʻoia i ke kūlana.
1. Ka Pae Testosterone Holoʻokoʻa: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Pono e hana ʻia kēia ma waena o 8 a me 10 am , ʻoiai ʻo ia ka manawa e kiʻekiʻe loa ai nā pae testosterone. ʻOi aku ka maikaʻi o ka hana ʻana i kēia hoʻāʻo ma nā lā ʻelua like ʻole.
2. Nā pae hormone Luteinizing (LH): Loaʻa kēia hormone mai ka pituitary gland. Ke nānā nei i kona mau pae, hiki iā ʻoe ke loaʻa kahi manaʻo inā paha ka pilikia ma nā testicles a i ʻole ma nā kikowaena kaohi ma ka lolo.
3. Nā pae Prolactin: Inā kiʻekiʻe kēia hormone, he hōʻailona paha ia o kahi pilikia me ka pituitary gland.
Ma mua o ka hana ʻana i kēia mau hoʻāʻo koko, e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi maʻi, e like me ke anu a i ʻole ka maʻi palū, no ka mea, hiki i kekahi mau kūlana olakino ke hoʻohaʻahaʻa i nā pae testosterone no kekahi manawa.
He aha nā lāʻau lapaʻau no kēia?
Inā ua hōʻoia ʻia ka haʻahaʻa o ka pae testosterone, ʻo ka lāʻau nui ka Testosterone Replacement Therapy (TRT) . ʻO ia hoʻi, hāʻawi ʻia ke kino i ka hormone testosterone ma waho. Aia kekahi mau ʻano hana no kēia.
- Nā gels ʻili: Nā gels i hoʻopili ʻia i ka ʻili. Pono e hoʻopili ʻia i kēlā me kēia lā i ka ʻili maʻemaʻe a maloʻo. Ma hope o ke kau ʻana i kēia mau mea, pono e mālama pono e pale aku i ka pili ʻana me ka ʻili o haʻi, ʻoiai nā wāhine a me nā kamaliʻi.
- Nā inikini: Hāʻawi ʻia nā inikini i loko o kahi ʻiʻo i kēlā me kēia 1-2 pule a ʻoi aku pinepine paha.
- Nā Pāpili: Nā pāpili i hoʻopili ʻia i ka ʻili i kēlā me kēia lā.
- Nā ʻŌpala: Hoʻokomo ʻia kahi mea liʻiliʻi e like me ka ʻōpala ma lalo o ka ʻili. Hoʻokuʻu ia i nā hormones no 3-6 mahina.
- ʻO ka testosterone waha: Nā lāʻau i ʻōlelo ʻia no kekahi mau kūlana olakino kikoʻī.
Na kāu kauka e koho i ke ʻano lapaʻau e kūpono loa iā ʻoe mai kēia mau lāʻau lapaʻau.
Hiki i nā kānaka a pau ke loaʻa kēia lāʻau lapaʻau?
ʻAʻole. ʻAʻole kūpono ka lāʻau lapaʻau Testosterone no kekahi poʻe, ʻoiai inā loaʻa iā lākou nā kūlana penei:
- Ka maʻi ʻaʻai prostate.
- Ka maʻi ʻaʻai umauma.
- Nā kūlana puʻuwai i kāohi ʻole ʻia ('Heart failure').
- ʻO ka apnea hiamoe obstructive i mālama ʻole ʻia.
No laila, e nānā pono kāu kauka i kēia ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻAe. E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao.
- ʻIli ʻākala a ʻili ʻaila paha.
- Pehu kuʻekuʻe wāwae.
- Kekahi pilikia o ka mimi ʻana.
- Ka hoʻonui ʻia ʻana o ka umauma a i ʻole ka ʻeha.
- Nā ʻōpū liʻiliʻi.
- Hoʻemi ʻia ka hana sperm (he mea nui kēia no nā kāne ʻōpio e manaʻolana ana e loaʻa nā keiki).
- Hoʻonui ʻia ka nui o nā hunaola koko ʻulaʻula i loko o ke koko.
No laila, he mea nui e ʻike pinepine i kāu kauka a hana i nā hoʻokolohua e pono ai i ka wā e mālama ʻia ai. E nānā mau ana ʻo ia i kēia mau hopena ʻaoʻao.
He aha ka mea hiki ke hana ʻia e ola ai i kēia kūlana?
ʻOiai ʻaʻole hiki iā mākou ke pale aku i nā mea e like me nā kumu hoʻoilina, hiki iā mākou ke kōkua i ka mālama ʻana i nā pae testosterone olakino ma ka hoʻololi ʻana i ko mākou nohona.
- ʻAi olakino: He mea nui e ʻai i ka meaʻai kaulike.
- Hoʻoikaika kino: Hiki i ka hāpai kaumaha a me ka hoʻomaʻamaʻa wā kiʻekiʻe (HIIT) ke lilo i mea kōkua nui.
- E mālama i ke kaumaha olakino: ʻO ka momona kahi kumu nui e hoʻohaʻahaʻa ai i nā pae testosterone.
- Hiamoe kūpono: He mea nui e loaʻa iā ʻoe he 7-8 mau hola o ka hiamoe maikaʻi i ka lā.
- Hoʻemi i ke kaumaha: Hiki i ke kaumaha nui ke hoʻonui i ka hormone cortisol a hoʻemi i nā pae testosterone.
- Ka palena ʻana i ka hoʻohana ʻana i ka waiʻona a me nā lāʻau lapaʻau.
He mea maikaʻi loa kēia mau mea no kou olakino holoʻokoʻa.
Leka Lawe-Home
- He maʻi lapaʻau ka testosterone haʻahaʻa e hiki ke hoʻopilikia i nā kāne o kēlā me kēia makahiki. Mai hoʻowahāwahā i nā hōʻailona e like me ka luhi a me ka emi ʻana o ka makemake moe kolohe ma ke ʻano he "ʻāpana maʻamau o ka ʻelemakule."
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a kamaʻilio me ke kauka. Hiki i kahi hoʻāʻo koko maʻalahi ke hōʻoia inā loaʻa iā ʻoe kēia maʻi a ʻaʻole paha.
- Hiki ke lilo i mea pono loa a palekana hoʻi ka lāʻau hoʻololi Testosterone (TRT) ke lawelawe ʻia ma lalo o ka nānā ʻana a ke kauka kūpono.
- Mai hoʻohana i ka testosterone a i ʻole nā steroid ʻē aʻe me ka ʻole o ke aʻo lapaʻau, inā paha mai ka pūnaewele a i ʻole ma ka hale hoʻoikaika kino. Hiki iā ia ke hana i nā pilikia olakino koʻikoʻi.
- ʻO ka mālama ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, hiamoe) e kōkua nui i ka mālama ʻana i ke kaulike o kāu mau pae hormone.
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