Koj puas xav tias koj cov testosterone qis? Cia peb kawm txog qhov kev hloov pauv no hauv lub cev txiv neej (Male Hypogonadism)!

Koj puas muaj tej lub sij hawm koj xav tias nkees, tsis muaj siab xav ua dab tsi, lossis muaj lus nug me me txog tej yam uas cuam tshuam txog kev ua txiv neej? Tej zaum qhov laj thawj rau qhov no yog qhov txo qis ntawm cov tshuaj testosterone hauv koj lub cev. Hnub no, peb yuav tham txog qhov kev txo qis ntawm cov tshuaj testosterone no, lossis raws li cov kws kho mob hu ua, ib qho mob hu ua Male Hypogonadism . Tsis txhob txhawj, qhov no yog ib yam dab tsi uas tuaj yeem tshwm sim rau ntau tus neeg, thiab muaj kev kho rau nws.

Txhais li cas tias testosterone qis?

Hais yooj yim xwb, testosterone qis txhais tau tias koj cov noob qes (cov qog uas tsim cov phev hauv cov txiv neej) tsis tsim cov testosterone txaus. Yog hais kom meej, cov testosterone no yog tsim los ntawm cov hlwb Leydig hauv cov noob qes.

Tus mob no tuaj yeem tshwm sim nrog cov tsos mob sib txawv ntawm cov hnub nyoog sib txawv. Tsis tas li ntawd, cov testosterone theem pib txo qis me ntsis thaum cov txiv neej laus zuj zus. Qhov no hu ua lwm lub npe, piv txwv li:

• Cov tsos mob ntawm testosterone tsis txaus
• Tsis muaj testosterone txaus
• Kev tsis muaj zog ntawm cov gonadism thawj zaug
• Kev mob hypogonadism theem ob

Vim li cas testosterone thiaj li tseem ceeb?

Testosterone yog cov tshuaj hormones tseem ceeb tshaj plaws rau txiv neej. Nws yog qhov tseem ceeb rau kev txhim kho tus cwj pwm ntawm txiv neej thiab kev tsim cov phev (spermatogenesis). Cov txiv neej muaj cov testosterone ntau dua hauv lawv lub cev dua li cov poj niam.

Testosterone pab tswj thiab txhim kho cov yam no hauv lub cev txiv neej:

• Qhov chaw mos
• Qhov loj ntawm cov leeg nqaij
• Qib ntshav liab zoo
• Pob txha ceev
• Kev noj qab haus huv ntawm lub hlwb zoo
• Kev ua haujlwm ntawm kev sib deev thiab kev yug me nyuam

Feem ntau, peb lub cev tswj cov testosterone hauv peb cov ntshav. Nws siab tshaj plaws thaum sawv ntxov thiab maj mam txo qis thaum nruab hnub.

Cov hypothalamus thiab pituitary gland hauv koj lub hlwb tswj cov testosterone uas koj cov noob qes tsim thiab tso tawm.

Lub hypothalamus tso tawm cov tshuaj hormones gonadotropin-releasing hormone (GnRH) . Qhov no qhia rau lub qog pituitary kom tso tawm cov tshuaj hormones luteinizing hormone (LH) . LH ces mus rau lub noob qes kom txhawb kev tsim cov testosterone. Lub qog pituitary kuj tso tawm cov tshuaj hormones follicle-stimulating hormone (FSH) los pab tsim cov phev.

Yog li, yog tias muaj teeb meem nrog koj cov noob qes, hypothalamus, lossis pituitary gland, koj cov testosterone theem yuav txo qis.

Qib twg thiaj suav tias yog "tsawg testosterone"?

Raws li American Urology Association (AUA), cov neeg laus cov ntshav testosterone theem qis yog tias nws tsawg dua 300 nanograms ib deciliter (300 ng/dL).

Txawm li cas los xij, qee cov kws tshawb fawb thiab cov kws kho mob tsis pom zoo tag nrho nrog lub tswv yim no. Ib txhia ntseeg tias txhua yam tsawg dua '250 ng/dL' suav tias qis. Txawm li cas los xij, cov kws kho mob yuav xav txog koj cov tsos mob thaum txiav txim siab seb koj puas muaj testosterone qis.

Leej twg muaj feem yuav muaj qhov kev poob qis ntawm testosterone no ntau dua?

Tus mob no tuaj yeem cuam tshuam rau cov txiv neej txhua lub hnub nyoog, txij thaum yug los mus txog thaum laus.

Txawm li cas los xij, cov neeg no feem ntau yuav muaj cov testosterone qis:

• Rau cov neeg laus
• Rau cov neeg uas rog dhau heev (rog dhau)
• Rau cov neeg uas muaj tus kab mob ntshav qab zib hom 2 uas tswj tsis tau zoo
• Rau cov neeg uas muaj kev pw tsaug zog apnea
• Cov neeg uas muaj cov kab mob ntev xws li mob raum tsis ua haujlwm thiab mob cirrhosis ntawm lub siab
• Rau cov neeg uas muaj tus kab mob HIV/AIDS

Tus mob no feem ntau tshwm sim li cas?

Nws nyuaj rau cov kws tshawb fawb hais tias qhov tshwm sim ntawm cov testosterone qis yog li cas, vim tias kev tshawb fawb sib txawv tau txhais "cov testosterone qis" txawv.

Raws li qee cov ntaub ntawv, muaj txog li 2% ntawm cov txiv neej uas muaj tus mob no. Lwm cov kev tshawb fawb qhia tias ntau dua 8% ntawm cov txiv neej hnub nyoog ntawm 50 thiab 79 muaj cov testosterone qis.

Cov tsos mob ntawm cov testosterone qis yog dab tsi?

Cov tsos mob ntawm testosterone qis tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, tshwj xeeb tshaj yog nyob ntawm hnub nyoog.

Cov tsos mob ntawm cov txiv neej laus

Yog tias koj muaj cov tsos mob no, muaj feem ntau uas koj yuav muaj testosterone qis:

• Txo kev ntshaw kev sib deev
• Kev ua haujlwm tsis zoo ntawm lub cev
• Cov plaub hau poob rau ntawm qhov chaw mos thiab thaj chaw ntiag tug
• Kev txo qis ntawm cov noob qes
• Kub hnyiab
• Cov phev tsawg dua los yog tsis muaj (Azoospermia), uas tuaj yeem ua rau muaj teeb meem rau kev xeeb tub.

Lwm cov tsos mob yuav muaj xws li:

• Kev Nyuaj Siab (kev puas siab puas ntsws)
• Nyuaj rau kev tsom ntsoov thiab nco qab
• Cov rog hauv lub cev nce ntxiv
• Kev loj hlob ntawm cov txiv neej lub mis (Gynecomastia)
• Cov leeg nqaij tsis muaj zog thiab loj me
• Txo lub zog ntawm lub cev

Cov tsos mob ntawm cov menyuam yaus (ua ntej lossis thaum lub sijhawm laus)

Yog tias tus tub cov testosterone theem txo qis ua ntej lossis thaum lub sijhawm tiav nkauj tiav nraug, nws yuav muaj cov tsos mob xws li:

• Kev loj hlob qeeb qeeb, tab sis cov ceg yuav loj hlob ntev dua li lwm qhov ntawm lub cev.
• Txo cov plaub hau loj hlob hauv thaj chaw ntiag tug.
• Txo kev loj hlob ntawm cov noob qes thiab noob qes.
• Txo qhov tob ntawm lub suab.
• Kev poob qis ntawm lub zog thiab kev ua siab ntev ntsig txog hnub nyoog.

Dab tsi yog cov ua rau testosterone qis?

Muaj ntau yam ua rau cov testosterone qis. Qhov mob no muaj ob pawg tseem ceeb:

1. Kev tsis muaj zog ntawm cov noob qes (primary hypogonadism): Qhov no yog tshwm sim los ntawm teeb meem nrog cov noob qes lawv tus kheej.

2. Kev mob qog nqaij hlav theem ob: Qhov no yog tshwm sim los ntawm kev ua haujlwm tsis zoo hauv lub qog pituitary lossis hypothalamus hauv lub hlwb.

Ob hom no tuaj yeem tshwm sim los ntawm kev yug los yog cov ua rau tau txais uas tshwm sim tom qab (thaum yau lossis laus).

Ua rau muaj tus kab mob hypogonadism thawj zaug

Qhov tshwm sim hauv qhov no yog tias muaj teeb meem nrog cov noob qes, uas tiv thaiv lawv los ntawm kev tsim cov testosterone li niaj zaus.

Lwm lub npe rau qhov no yog hypergonadotropic hypogonadism . Qhov no yog thaum lub qog pituitary tsim ntau cov tshuaj hormones LH thiab FSH (tseem hu ua gonadotropins) vim yog testosterone qis. Feem ntau, thaum cov tshuaj hormones no siab, cov noob qes raug hais kom tsim ntau cov testosterone thiab phev. Txawm li cas los xij, yog tias cov noob qes raug puas tsuaj (feem ntau yog vim chemotherapy rau mob qog noj ntshav) lossis yog tias cov noob qes ploj lawm, lawv tsis tuaj yeem teb rau cov gonadotropins nce ntxiv no. Yog li ntawd, testosterone thiab phev tsawg heev lossis tsis muaj.

Qee zaum hauv thawj hypogonadism, cov theem gonadotropin tuaj yeem nce siab txawm tias cov theem testosterone nyob hauv qhov ntau thiab tsawg. Koj tus kws kho mob tshwj xeeb yuav piav qhia qhov no rau koj thiab seb puas tsim nyog kho mob txawm tias testosterone yog ib txwm muaj.

Cov ua rau muaj menyuam yaus:

• Tsis muaj noob qes thaum yug los (Anorchia)
• Cryptorchidism (tsis ua haujlwm ntawm cov noob qes los ntawm lub scrotum)
• Kev loj hlob tsis tiav ntawm Leydig hlwb hauv cov noob qes (Leydig hlwb hypoplasia)
• Klinefelter's syndrome (cov txiv neej yug los muaj ib qho X chromosome ntxiv es tsis yog XY - XXY)
• Noonan syndrome (mob caj ces tsis tshua muaj, ua rau lub hnub nyoog laus qeeb, noob qes tsis nqis los, lossis tsis muaj menyuam)
• Myotonic dystrophy (ib pawg ntawm cov kab mob tsis muaj zog ntawm cov leeg nqaij uas tau txais los ntawm noob caj noob ces)

Cov laj thawj tau txais:

• Raug mob lossis raug tshem tawm ntawm cov noob qes.
• Mob o ntawm ib lossis ob lub noob qes (orchitis). Qhov no feem ntau yog los ntawm kev kis kab mob ntawm cov kab mob (piv txwv li, kev kis kab mob los ntawm kev sib deev), lossis nws kuj tuaj yeem yog los ntawm kev kis kab mob los ntawm cov kab mob xws li mob qog.
• Muab tshuaj chemotherapy los yog tshuaj tua kab mob rau cov noob qes.
• Qee hom mob qog noj ntshav.
• Kev siv tshuaj anabolic steroids.

Ua rau muaj kev mob hypogonadism theem ob

Qhov mob hypogonadism theem ob yog tshwm sim los ntawm cov mob uas cuam tshuam rau kev ua haujlwm ntawm hypothalamus thiab/lossis pituitary gland. Qhov no hu ua hypogonadotropic hypogonadism.Nws kuj hu ua "tsawg testosterone" vim tias cov tshuaj hormones 'LH' thiab 'FSH' qis ntawm no. Cov qib qis no ua rau cov testosterone thiab cov phev tsim tsawg dua.

Cov ua rau muaj menyuam yaus:

• Kev rho tawm hypogonadotropic hypogonadism (cov GnRH qis txij thaum yug los)
• Kallmann syndrome (mob caj ces tsis tshua muaj, tsis muaj cov hlwb hlab ntsha hauv hypothalamus uas tsim GnRH. Kuj tseem yuav tsis hnov ​​tsw ntxhiab)
• Prader-Willi syndrome (ib qho teeb meem tsis tshua muaj ntawm ntau lub cev uas tuaj yeem ua rau lub hypothalamus ua haujlwm tsis zoo)

Cov laj thawj tau txais:

• Hypopituitarism (qhov no tuaj yeem tshwm sim los ntawm qog pituitary (adenoma), kev kis kab mob, kev raug mob, kev kho hluav taws xob, lossis kev phais)
• Hyperprolactinemia (nce ntxiv ntawm cov tshuaj hormone prolactin)
• Muaj hlau ntau dhau hauv lub cev (Hemochromatosis)
• Kev raug mob hlwb lossis lub taub hau
• Cushing's syndrome
• Kab mob siab cirrhosis
• Kev ua haujlwm tsis zoo ntawm lub raum
• Kab mob HIV/AIDS
• Kev siv cawv tsis raug cai
• Kab mob ntshav qab zib tsis zoo tswj tau
• Kev rog dhau (rog dhau)
• Kev pw tsaug zog tsis taus pa
• Qee cov tshuaj (piv txwv li estrogen, tshuaj hloov pauv kev xav, metoclopramide, opioids, qee cov tshuaj rau mob qog nqaij hlav prostate)

Qhov pib mob hypogonadism lig (LOH) yog ib hom mob hypogonadism theem ob uas tshwm sim thaum lub sijhawm laus. Thaum cov txiv neej laus zuj zus, testosterone thiab/lossis cov phev tsim tawm poob qis vim yog qhov ua haujlwm tsis zoo ntawm hypothalamic-pituitary thiab Leydig cell.

LOH thiab testosterone qis yog qhov tshwm sim ntawm cov txiv neej uas muaj ntshav qab zib hom 2, rog dhau, thiab / lossis rog dhau.

Hauv ib txoj kev tshawb nrhiav, 30% ntawm cov txiv neej rog dhau muaj cov testosterone qis, piv rau tsuas yog 6% ntawm cov txiv neej uas hnyav ib txwm muaj. Hauv lwm txoj kev tshawb nrhiav, 25% ntawm cov txiv neej uas muaj ntshav qab zib hom 2 muaj cov testosterone qis, piv rau tsuas yog 13% ntawm cov txiv neej uas tsis muaj ntshav qab zib.

Koj paub tseeb li cas yog tias koj muaj testosterone qis?

Yog tias koj muaj cov tsos mob ntawm testosterone qis, tus kws kho mob yuav kuaj lub cev. Lawv kuj tseem yuav nug koj cov lus nug txog koj keeb kwm kev kho mob, cov tshuaj uas koj noj lossis tau noj, seb koj puas haus luam yeeb, thiab lwm yam tsos mob tam sim no. Tom qab ntawd lawv yuav xaj ntau qhov kev kuaj ntshav.

Yuav kom paub tseeb tias koj muaj mob, tus kws kho mob yuav xav txog koj cov tsos mob thiab cov txiaj ntsig ntawm kev kuaj ntshav.

Yuav ua li cas thiaj kuaj tau?

Cov kev kuaj no tuaj yeem pab paub tseeb tias testosterone qis thiab nrhiav qhov ua rau:

• Kev kuaj ntshav txog tag nrho cov testosterone: Feem ntau qhov no yuav tsum tau kuaj ob zaug ntawm 8 thiab 10 teev sawv ntxov, vim tias thaum ntawd yog lub sijhawm uas cov testosterone siab tshaj plaws. Koj yuav tsum qhia rau koj tus kws kho mob yog tias koj tau mob lossis nyuam qhuav zoo los ntawm kev mob. Yog tias muaj xwm txheej ceev, cov txiaj ntsig yuav qis heev.
• Kev kuaj ntshav Luteinizing hormone (LH): Qhov no pab txiav txim siab seb qhov teeb meem nrog lub qog pituitary puas yog qhov ua rau testosterone qis.
• Kev kuaj ntshav Prolactin: Cov prolactin siab tuaj yeem yog ib qho cim ntawm teeb meem lossis qog hauv lub qog pituitary.

Kev kho mob rau cov testosterone qis yog dab tsi?

Cov kws kho mob kho cov neeg uas muaj testosterone qis nrog Testosterone Replacement Therapy (TRT) . Muaj ntau txoj hauv kev los ua qhov no:

• Cov tshuaj Testosterone gel (siv rau ntawm daim tawv nqaij): Cov tshuaj no yuav tsum tau siv txhua hnub rau ntawm daim tawv nqaij huv thiab qhuav raws li koj tus kws kho mob qhia. Qhov tseem ceeb tshaj plaws, tsis txhob cia cov tshuaj no kov lwm tus neeg los ntawm daim tawv nqaij. Qhov no yog txoj kev siv ntau tshaj plaws hauv Tebchaws Meskas.
• Kev txhaj tshuaj testosterone rau hauv cov leeg: Koj lossis tus kws kho mob tuaj yeem muab cov tshuaj no rau hauv cov leeg txhua 1-2 lub lis piam. Kuj tseem muaj cov tshuaj txhaj tshuaj testosterone uas ua haujlwm ntev uas muab txhua 10 lub lis piam. Kuj tseem muaj cov tshuaj txhaj rau hauv qab daim tawv nqaij uas muab rau hauv qab daim tawv nqaij.
• Daim nplaum Testosterone (daim nplaum rau ntawm daim tawv nqaij): Daim nplaum no yuav tsum tau muab lo rau ntawm daim tawv nqaij txhua hnub raws li koj tus kws kho mob qhia. Qhov chaw siv yuav tsum tau tig tas li kom tiv thaiv kev ua xua rau daim tawv nqaij.
• Cov tshuaj Testosterone pellets (subcutaneous): Tus kws kho mob tshwj xeeb yuav muab cov tshuaj no tso rau hauv qab daim tawv nqaij rau peb txog rau lub hlis. Cov no muab cov tshuaj testosterone ruaj khov rau lub sijhawm ntev.
• Cov ntsiav tshuaj testosterone hauv qhov ncauj: Cov no yog cov ntsiav tshuaj nplaum uas muab tso rau ntawm cov pos hniav ob zaug ib hnub. Testosterone raug nqus sai sai rau hauv cov ntshav los ntawm cov pos hniav.
• Testosterone nasal gel: Cov gel no yuav tsum tau siv rau ob lub qhov ntswg peb zaug hauv ib hnub.
• Kev noj tshuaj testosterone: Ib hom tshuaj testosterone hu ua undecanoate yog muab rau cov txiv neej uas muaj testosterone qis vim yog qee yam mob, xws li Klinefelter syndrome, lossis cov qog uas tau ua rau lub qog pituitary puas tsuaj.

Txawm li cas los xij, koj yuav tsis tau txais kev kho mob hloov testosterone yog tias koj muaj keeb kwm ntawm ib qho ntawm cov mob hauv qab no:

• Mob qog nqaij hlav prostate.
• Ib lub qog prostate uas tsis tau kuaj. (Txhua tus neeg yuav tsum tau kuaj lawv lub prostate ua ntej pib kho testosterone.)
• Mob qog nqaij hlav mis.
• Lub plawv tsis ua haujlwm zoo.
• Kev pw tsaug zog tsis taus pa uas tsis tau kho.

Cov kev mob tshwm sim ntawm kev hloov testosterone yog dab tsi?

Cov hauv qab no yuav tshwm sim ua cov kev phiv ntawm kev kho mob no:

• Tawv nqaij uas yooj yim muaj pob txuv los yog roj ntau.
• Qij taws o vim muaj dej me me hauv lub cev.
• Cov tsos mob xws li nyuaj tso zis vim yog kev txhawb nqa prostate.
• Lub mis loj los yog mob.
• Kev ua rau mob pw tsaug zog tsis taus pa.
• Cov noob qes me me.
• Yog tias koj siv testosterone rau ntawm daim tawv nqaij, koj yuav hnov ​​​​​​mob khaus thiab o.

Cov kev hloov pauv uas tuaj yeem pom hauv cov ntawv qhia hauv chav kuaj:

• Kev nce ntxiv ntawm prostate-specific antigen (PSA).
• Cov qe ntshav liab ntau ntxiv.
• Cov phev tsawg, ua rau tsis muaj menyuam (tsis muaj peev xwm muaj menyuam). Qhov no tseem ceeb heev rau cov txiv neej hluas uas tab tom sim muaj menyuam.

Puas tuaj yeem tiv thaiv kev poob qis ntawm testosterone?

Cov kws kho mob thiab cov kws tshawb nrhiav tseem tsis tau paub txog txoj hauv kev los tiv thaiv kev poob qis ntawm testosterone, txawm tias yog vim muaj kev ua rau caj ces lossis kev puas tsuaj rau noob qes, hypothalamus, lossis pituitary gland.

Txawm li cas los xij, cov cwj pwm hauv lub neej no tuaj yeem pab ua kom cov testosterone qib ib txwm muaj:

• Noj zaub mov zoo.
• Kev tawm dag zog.
• Kev tswj qhov hnyav.
• Tsis txhob haus dej cawv thiab siv yeeb tshuaj ntau dhau.

Yog koj cov testosterone qis, yuav ua li cas? Koj yuav xav tau dab tsi?

Tsis muaj ib txoj kev daws teeb meem uas haum rau txhua tus neeg uas muaj cov testosterone tsawg. Txawm li cas los xij, nrog kev kho mob hloov tshuaj hormones kom zoo, koj tuaj yeem txhim kho koj txoj kev xav sib deev, txo cov tsos mob ntawm kev nyuaj siab, thiab ua rau koj lub zog ntau ntxiv. Kev kho mob kuj tseem tuaj yeem ua rau cov leeg nqaij thiab pob txha ceev dua.

Cov txiv neej uas tsis muaj testosterone txaus muaj feem pua ​​tuag ntau dua li cov txiv neej uas muaj testosterone ib txwm muaj. Txawm li cas los xij, tseem tsis tau meej tias seb puas yuav kho cov testosterone kom rov qab zoo li qub yuav txo qhov feem pua ​​tuag no. Kev kho mob feem ntau yog tsom mus rau kev tswj cov tsos mob, tsis yog tsom mus rau cov testosterone.

Hauv cov rooj plaub ntawm tus kab mob hypogonadism txij thaum yug los, kev kho mob hloov testosterone feem ntau pab tiv thaiv cov teeb meem cuam tshuam nrog kev laus qeeb.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog qhov tsis tshua muaj testosterone?

Yog tias koj noj tshuaj hormones hloov kho, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom kuaj xyuas koj cov ntshav.

Yog koj muaj cov tsos mob ntawm testosterone qis, xws li kev xav sib deev tsawg dua lossis kub taub hau, nrog kws kho mob tham. Nws yuav kuaj koj thiab xaj kom kuaj ntshav.

Yog tias koj tus menyuam tsis qhia cov cim ntawm kev laus thaum muaj hnub nyoog 14 xyoos, nrog nws tus kws kho mob menyuam tham.

Muaj coob tus neeg tsis quav ntsej cov tsos mob ntawm testosterone qis ua ib feem ntawm kev laus. Txawm li cas los xij, yog tias koj muaj cov tsos mob uas cuam tshuam rau koj lub neej zoo, nws yeej tsim nyog them sai sai rau. Yog tias koj muaj cov tsos mob ntawm testosterone qis, mus ntsib kws kho mob kom tham txog cov kev xaiv kho mob.

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm tsab xov xwm no (Cov Lus Qhia Coj Mus Tsev)

Cov testosterone qis yog ib qho mob uas tuaj yeem cuam tshuam rau cov txiv neej. Nws tuaj yeem ua rau muaj ntau yam teeb meem ntawm lub cev thiab lub hlwb. Qhov zoo tshaj plaws ua yog tsis txhob ntshai lossis txaj muag txog nws, tab sis mus nrhiav kev pab kho mob. Yog tias koj muaj cov tsos mob, tsis txhob tso tseg lawv li kev laus ib txwm muaj.

Yog koj kuaj mob zoo thiab kho tau zoo, koj yuav ua tau lub neej zoo. Nco ntsoov tias koj tsis nyob ib leeg xwb, thiab kev pab yeej muaj rau koj.

Testosterone , cov tshuaj hormones txiv neej, hypogonadism, kev noj qab haus huv kev sib deev, kev kho mob hormone, kev noj qab haus huv ntawm txiv neej, tsis muaj zog