Koj puas xav tias koj lub zog txiv neej txo qis? Txhua yam hais txog Testosterone qis

Koj puas tau xav tias koj nkees, qaug zog, thiab tsis xav pw ua ke tsis ntev los no? Qee zaum peb xav tias tej yam no yog vim muaj ntau yam ua hauv lub neej txhua hnub, tab sis tej zaum qhov laj thawj rau qhov no yog ib yam dab tsi txawv ntawm koj xav. Niaj hnub no peb tab tom tham txog ib lub ncauj lus uas tseem ceeb heev rau cov txiv neej, tab sis ntau tus neeg tsis xav tham txog. Qhov ntawd yog qhov txo qis ntawm cov tshuaj hormones testosterone hauv lub cev, uas hu ua '(Male Hypogonadism)'.

Hauv lwm lo lus, testosterone yog dab tsi?

Xav txog testosterone ua "roj cav" hauv lub cev ntawm ib tug txiv neej. Cov tshuaj hormones no yog qhov tseem ceeb uas tswj tus txiv neej tus cwj pwm. Nws feem ntau yog tsim tawm hauv cov noob qes.

Cia peb saib qee yam tseem ceeb uas cov tshuaj testosterone ua rau peb lub cev:

• Tswj kev loj hlob thiab kev ua haujlwm ntawm cov txiv neej lub cev sib deev.
• Kev txhim kho thiab ua kom lub cev cov leeg nqaij muaj zog.
• Tswj cov pob txha ceev.
• Qhov tseem ceeb rau kev tsim cov phev (spermatogenesis).
• Tsim thiab tswj kev ntshaw kev sib deev ('kev tsav tsheb sib deev').
• Pab tswj kom cov qe ntshav liab nyob hauv lub cev kom zoo.
• Pab kom muaj kev noj qab nyob zoo thiab zoo siab ('kev zoo siab').

Feem ntau, peb lub cev tswj tau cov testosterone no zoo. Cov tshuaj hormones no siab tshaj plaws thaum sawv ntxov, thiab nws maj mam txo qis thaum nruab hnub. Tag nrho cov txheej txheem no yog tswj hwm los ntawm ob feem ntawm peb lub hlwb hu ua hypothalamus thiab pituitary gland. Qhov no yog ib qho system tswj hwm nyuaj heev. Yog tias muaj qhov yuam kev me me nyob qhov twg hauv lub system no, cov testosterone tuaj yeem txo qis.

Cov tsos mob ntawm cov testosterone qis yog dab tsi?

Cov tsos mob ntawm tus mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cov tsos mob no hloov pauv, tshwj xeeb tshaj yog thaum muaj hnub nyoog. Muaj qee cov tsos mob uas yuav tsum ua rau koj xav tsis thoob thaum koj pom lawv.

Qhov xwm txheej no cuam tshuam li cas rau cov menyuam yaus?

Yog tias tus tub cov testosterone theem qis dua ua ntej lossis thaum lub sijhawm tiav nkauj tiav nraug, cov tsos mob hauv qab no yuav pom tau:

• Kev qeeb ntawm qhov nce siab.
• Txo cov plaub hau loj hlob hauv cov chaw ntiag tug.
• Kev loj hlob ntawm cov kab mob sib deev txo qis.
• Kev qeeb qeeb ntawm lub suab.
• Tsis muaj zog txaus rau lub hnub nyoog.

Vim li cas cov testosterone no thiaj li txo qis?

Tej zaum yuav muaj ntau yam ua rau qhov no. Hais yooj yim xwb, peb tuaj yeem faib cov laj thawj no ua ob pawg tseem ceeb. Xav txog testosterone ua ib yam khoom uas ua nyob rau hauv lub Hoobkas (hauv cov noob qes). Cov lus txib tau muab rau nws los ntawm 'chaw ua haujlwm loj' (cov chaw tswj hwm hauv lub hlwb).

1. Kev Tsis Muaj Peev Xwm Sib Txuas Lus: Qhov teeb meem no nyob ncaj qha rau hauv "lub Hoobkas" uas ua rau testosterone, uas yog, hauv cov noob qes . Txawm tias muaj pes tsawg lub cim los ntawm lub hlwb, cov noob qes tsis tuaj yeem tsim cov tshuaj hormones hauv qhov ntau uas xav tau.

2. Mob Hypogonadism Thib Ob: Ntawm no, tsis muaj teeb meem nrog cov noob qes. Qhov teeb meem yog nyob rau hauv "chaw ua haujlwm loj." Qhov ntawd yog, vim muaj kev ua haujlwm tsis zoo hauv hypothalamus lossis pituitary gland hauv lub hlwb , cov cim qhia uas xav tau los ua cov tshuaj hormones tsis mus zoo.

Tam sim no cia peb saib cov laj thawj ntsig txog txhua hom no kom meej.

1. Teeb meem noob qes (Primary Hypogonadism)

• Cov mob uas muaj txij thaum yug los:
• Klinefelter's syndrome: Qhov no yog qhov tsis zoo ntawm chromosomal.
• Cov noob qes tsis muaj txij li thaum yug los (anorchia) lossis tsis nqis los ntawm lub plab (cov noob qes tsis nqis los).
• Cov xwm txheej tom qab:
• Raug mob rau cov noob qes lossis phais tshem tawm lawv.
• Kev o ntawm cov noob qes (orchitis) vim yog cov kab mob viral xws li mumps .
• Kev kho mob qog nqaij hlav los yog kev kho mob hluav taws xob rau mob qog noj ntshav.
• Kev siv qee cov tshuaj anabolic steroids rau kev tsim kho lub cev.

2. Teeb meem ntsig txog cov chaw tswj hwm lub hlwb (Secondary Hypogonadism)

• Cov mob uas muaj txij thaum yug los:
• Kallmann syndrome: Qhov no yog ib qho mob caj ces tsis tshua muaj.
• Prader-Willi syndrome.
• Cov xwm txheej tom qab:
• Cov qog nqaij hlav lossis kev puas tsuaj rau lub qog pituitary.
• Cov kab mob xws li HIV/AIDS .
• Cov kab mob ntev xws li cirrhosis ntawm daim siab lossis lub raum tsis ua haujlwm.
• Kab mob ntshav qab zib uas tsis tswj tau (Hom Kab mob ntshav qab zib thib 2) .
• Kev rog dhau .
• Kev pw tsaug zog tsis taus pa (ib qho mob pw tsaug zog apnea uas cuam tshuam nrog kev pw tsaug zog snoring).
• Haus dej cawv ntau dhau .
• Qee cov tshuaj , tshwj xeeb yog cov tshuaj opioids, cov tshuaj tua kab mob thiab cov tshuaj hormonal rau mob qog noj ntshav.

Cov theem testosterone ntuj txo qis me ntsis thaum cov txiv neej laus zuj zus. Qhov no hu ua 'Late-onset hypogonadism (LOH).' Cov mob no feem ntau tshwm sim rau cov neeg uas rog dhau lossis muaj ntshav qab zib.

Koj paub tseeb li cas yog tias koj muaj tus mob no?

Yog koj muaj cov tsos mob no, koj tus kws kho mob yuav xub kuaj koj, nug txog koj keeb kwm kev mob nkeeg, thiab nug txog cov tshuaj uas koj noj. Tom qab ntawd, lawv yuav ua ntau yam kev kuaj, feem ntau yog kev kuaj ntshav , los xyuas kom meej tias koj muaj mob.

1. Qib Testosterone Tag Nrho: Qhov no yog qhov kev xeem tseem ceeb tshaj plaws. Feem ntau yuav tsum ua qhov no ntawm 8 thiab 10 teev sawv ntxov , vim tias thaum ntawd yog lub sijhawm uas cov qib testosterone siab tshaj plaws. Nws yog qhov zoo tshaj plaws los ua qhov kev xeem no rau ob hnub sib txawv.

2. Cov tshuaj Luteinizing hormone (LH): Cov tshuaj hormone no los ntawm lub qog pituitary. Saib ntawm nws cov qib, koj tuaj yeem tau txais lub tswv yim seb qhov teeb meem puas yog nyob rau hauv noob qes lossis nyob rau hauv cov chaw tswj hwm hauv lub hlwb.

3. Cov theem Prolactin: Yog tias cov tshuaj hormones no siab dua, nws yuav yog ib qho cim qhia txog teeb meem nrog lub qog pituitary.

Cov kev kho mob rau qhov no yog dab tsi?

Yog tias cov testosterone qis raug kuaj pom tias qis, kev kho mob tseem ceeb yog Testosterone Replacement Therapy (TRT) . Uas yog, lub cev tau txais cov tshuaj testosterone sab nraud. Muaj ntau txoj hauv kev rau qhov no.

• Cov tshuaj pleev rau ntawm daim tawv nqaij: Cov tshuaj pleev uas siv rau ntawm daim tawv nqaij. Yuav tsum siv lawv txhua hnub rau ntawm daim tawv nqaij huv thiab qhuav. Tom qab siv cov no, yuav tsum ceev faj kom tsis txhob kov daim tawv nqaij ntawm lwm tus, tshwj xeeb tshaj yog cov poj niam thiab cov menyuam yaus.
• Kev Txhaj Tshuaj: Kev txhaj tshuaj rau hauv cov leeg txhua 1-2 lub lis piam lossis ntau zaus dua.
• Cov Thaj: Cov thaj uas siv rau ntawm daim tawv nqaij txhua hnub.
• Cov Tshuaj Pellets: Ib yam khoom me me zoo li cov tshuaj pellet raug muab tso rau hauv qab daim tawv nqaij. Nws tso cov tshuaj hormones rau 3-6 lub hlis.
• Tshuaj testosterone noj: Cov tshuaj uas tsuas yog pom zoo rau qee yam mob tshwj xeeb xwb.

Koj tus kws kho mob yuav xaiv txoj kev kho mob uas haum rau koj tshaj plaws ntawm cov kev kho mob no.

Puas yog txhua tus neeg muaj peev xwm kho tau qhov kev kho mob no?

Tsis yog. Kev kho mob Testosterone tsis haum rau qee tus neeg, tshwj xeeb tshaj yog tias lawv muaj cov mob hauv qab no:

• Mob qog nqaij hlav prostate.
• Mob qog nqaij hlav mis.
• Cov mob plawv uas tsis tswj tau ('Lub plawv tsis ua haujlwm').
• Kev pw tsaug zog tsis taus pa uas tsis tau kho.

Yog li ntawd, koj tus kws kho mob yuav ua tib zoo xyuas qhov no ua ntej pib kho mob.

Puas muaj tej yam tshwm sim ntawm kev kho mob?

Yog. Ib yam li lwm yam kev kho mob, qhov no tuaj yeem muaj qee qhov kev phiv.

• Pob txuv los yog tawv nqaij oily.
• Pob luj taws o.
• Muaj teeb meem tso zis.
• Lub mis loj los yog mob.
• Cov noob qes me me.
• Txo cov phev tsim tawm (qhov no tseem ceeb rau cov txiv neej hluas uas vam tias yuav muaj menyuam).
• Cov qe ntshav liab ntau ntxiv hauv cov ntshav.

Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua thiab ua cov kev kuaj mob tsim nyog thaum lub sijhawm kho mob. Nws yuav saib xyuas cov kev mob tshwm sim no tas li.

Yuav ua li cas thiaj li kov yeej tau qhov teeb meem no?

Txawm hais tias peb tsis tuaj yeem tiv thaiv tej yam xws li cov yam ntxwv caj ces, peb tuaj yeem pab tswj cov testosterone kom noj qab haus huv los ntawm kev hloov kho peb txoj kev ua neej.

• Kev noj zaub mov zoo: Nws yog ib qho tseem ceeb uas yuav tsum noj zaub mov kom sib npaug.
• Kev Ua Si: Kev tsa hnyav thiab kev cob qhia lub sijhawm ntev (HIIT) tuaj yeem muaj txiaj ntsig zoo.
• Tswj qhov hnyav kom noj qab nyob zoo: Kev rog dhau yog ib qho tseem ceeb uas ua rau cov testosterone qis dua.
• Pw tsaug zog txaus: Nws yog ib qho tseem ceeb kom tau txais 7-8 teev ntawm kev pw tsaug zog zoo txhua hnub.
• Txo kev ntxhov siab: Kev ntxhov siab ntau dhau tuaj yeem ua rau cov tshuaj hormone cortisol nce ntxiv thiab txo cov testosterone.
• Txwv kev siv cawv thiab tshuaj yeeb.

Cov no zoo heev rau koj txoj kev noj qab haus huv tag nrho.