Yu dɔn de fil taya bad bad wan, nɔ intres pan ɛnitin, ɛn nɔ gɛt di trɛnk we yu bin de gɛt dis biɛn tɛm ? Sɔntɛnde wi kin tink bɔt dɛn tin ya as nɔmal sayn dɛn we de sho se pɔsin dɔn ol, bɔt we di tɛstostɛron, we na wan pan di men ɔmon dɛn we de na man in bɔdi, we de go dɔŋ, kin bi rizin bak fɔ dis. So tide, lɛ wi tɔk bɔt tɛstostɛron riplesmɛnt tɛrapi, ɔ TRT (Testosterone Replacement Therapy), we na tritmɛnt we dɛn kin gi we di tɛstostɛron lɛvɛl smɔl. Lɛ wi jɔs ɔndastand wetin i bi, udat nid am, ɛn wetin na di gud ɛn bad tin dɛn.
Wetin na TRT? Lɛ wi ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, TRT na tritmɛnt we de mek di tɛstostɛron lɛvɛl kam bak pan man dɛn we gɛt lɔw tɛstostɛron lɛvɛl bikɔs ɔf mɛrɛsin rizin. I tan lɛk se wi de gi wi bɔdi sɔntin we dɛn nɔ gɛt frɔm do.
Tink bɔt am dis we, jɔs lɛk we yu gɛt lɔw ayɛn lɛvɛl, wi kin tek ayɛn pil. Bɔt dɛn fɔ jɔs du dis ɔnda dɔktɔ in sɔpɔtishɔn. Bikɔs dis tritmɛnt kin gɛt bɛnifit ɛn sɔm prɔblɛm dɛn bak. So, yu ɛn yu dɔktɔ go disayd togɛda if dis fayn fɔ yu ɔ nɔ fayn fɔ yu.
Udat rili nid dis tritmɛnt?
Dis na kwɛstyɔn we rili impɔtant. TRT nɔto tritmɛnt we dɛn kin gi ɔlman. Ivin institiushɔn dɛn lɛk di Food and Drug Administration (FDA) na Amɛrika dɔn gri fɔ dis tritmɛnt fɔ di wan dɛn nɔmɔ we gɛt smɔl tɛstostɛron lɛvɛl bikɔs ɔf wan sik we dɛn dɔn kɔnfyus pan mɛrɛsin . Wi kin kɔl dis kɔndishɔn `(Male Hypogonadism)`.
Wetin na di tin dɛm we kin mek pɔsin gɛt `(Hypogonadism)`?
tri men כgan dεm de we de involv fכ mek di tεstostεron. Ɛni damej ɔ we nɔ de wok fayn pan ɛni wan pan dɛn tin ya kin mek di ɔmon lɛvɛl smɔl.
- di tεstikul dεm: na di men say we di tεstostεron de prodyuz.
- di pituitary gland: Dis gland we de na di bren de gi signal to di tεstikul dεm fכ mek כmon dεm.
- Hypothalamus: Na ɔda pat na di bren we de kɔntrol di wok we di pituitary gland de du.
Imajin, dɛn ɔgan ya kin pwɛl we dɛn gi pɔsin we gɛt kansa we gɛt kemotɛrapi ɔ redyushɔn tɛrapi. Ɔ dis prɔblɛm kin apin bak bikɔs ɔf wan jenɛtik kɔndishɔn.
I rili impɔtant: di tεstostεron lεvεl dεm de dכn nכmal wan as wi de ol. TRT nɔ gɛt aprɔval naw fɔ dis. Dɔn bak, e kin denja fɔ pipul dɛm wae gɛt sɔm kayn sik, lɛk prɔstat kansa ɔr at pwɛl hat. So, i nɔ fayn fɔ ɔlman.
Wetin yu nid fɔ no bifo yu bigin TRT?
Bifo yu bigin fɔ du TRT, yu dɔktɔ go mek shɔ se yu rili gɛt smɔl tɛstostɛron lɛvɛl ɛn dis tritmɛnt sef fɔ yu. Dɛn go du dɛn tin ya:
1. Tɔk bɔt yu mɛdikal histri: Aks bɔt ɔda sik dɛn we yu gɛt, mɛrɛsin dɛn we yu de tek, ɛn famili mɛdikal histri.
2. I de du fyzikal ɛgzam: I de du ful bɔdi ɛgzam.
3. Ɔda sɔm blɔd tɛst: Dɛn tin ya rili impɔtant.
- Tu mɔnin tɛstostɛron tɛst: Di tɛstostɛron lɛvɛl kin ay pas ɔl na mɔnin, so dɛn kin tek tu blɔd sɛmpul na mɔnin fɔ gɛt di kɔrɛkt ridin.
- Ɛmoglobin ɛn Ɛmatokrit: Si di nɔmba fɔ di rɛd blɔd sɛl dɛn we de na di blɔd.
- Test fɔ mek di liva wok fayn: Chɛk if di liva wɛl.
- Luteinizing hormone test: Gɛt wan aidia bɔt aw di pituitary gland de wok.
- PSA (prostate-specific antigen) test: Lan bɔt prɔstat wɛlbɔdi.
- Prolaktin ɔmon tɛst.
Afta yu dɔn tink bɔt ɔl dis, di dɔktɔ go disayd if TRT rayt fɔ yu ɔ nɔ rayt fɔ yu.
Aw dis tritmɛnt kin wok?
TRT tritmεnt involv fכ gi sεntetik tεstostεron to yu bכdi fכ rεgεl di כmon lεvεl. dis kin εp fכ impruv di simptom dεm fכ tεstostεron dεfichεns (lεk we i nכ want fכ du mami εn dadi biznεs εn we i de lכs εnεji).
Bɔt na sɔntin we impɔtant fɔ ɔndastand. TRT nɔ de mɛn di ɔndalayn kɔz fɔ yu lɔw ɔmon. wetin i rili de du na dat, bay we i de gi yu כmon dεm frכm do, yu tεstikul dεm de tink se, "Oh, wi nכ nid fכ mek כmon dεm igen," εn dεn de stכp fכ prodyuz dεm nכmal wan. Dat min se yu fɔ kɔntinyu fɔ tek di mɛrɛsin fɔ mek yu gɛt di nɔmal ɔmon lɛvɛl. If yu stɔp fɔ tek di mɛrɛsin, i go tek sɔm tɛm fɔ mek yu bɔdi lan fɔ mek tɛstostɛron bak.
Wetin na di difrɛn we dɛn fɔ du TRT?
Laki se, i pas wan we fɔ gɛt TRT. Yu kin pik wan we we go fayn fɔ yu layf ɛn we go fayn fɔ yu bay we yu tɔk to yu dɔktɔ.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Skin jel dɛn | Dis na di we aw dɛn kin yuz mɔ. Yu fɔ put am ɛvride pan klin, dray skin na di say we yu want. Bɔt i rili impɔtant fɔ avɔyd fɔ lɛ dis jel tɔch ɛni ɔda pɔsin in bɔdi (espɛshali uman ɛn pikin dɛn) te i dray. |
| Injɛkshɔn dɛn we dɛn kin put insay di mɔsul | Injɛkshɔn we dɛn kin gi insay wan mɔsul (bɔku tɛm na di bɔdi) wan tɛm insay wan ɔ tu wik. Dɛn kin gi sɔm injɛkshɔn dɛn we de wok fɔ lɔng tɛm ɛvri 10 wik. Bɔt na dɔktɔ in ɔfis nɔmɔ dɛn kin gi dɛn. |
| Injɛkshɔn dɛn we dɛn kin put ɔnda di bɔdi | Na injɛkshɔn we dɛn kin gi ɔnda di skin wan tɛm insay di wik. Bɔku tɛm, yu kin du dis fɔ yusɛf. |
| Pat dɛn we de na di skin | Pat we dɛn kin put pan di skin ɛvride. Dɛn fɔ chenj di say we dɛn de yuz am ɛvride fɔ mek yu nɔ gɛt alɛji na di skin. |
| Pɛlɛt dɛn we dɛn kin put ɔnda di skin | Dɔktɔ kin put sɔm smɔl smɔl pils dɛn ɔnda di skin ɛvri 3-6 mɔnt. dis de mek di כmon kכmכt na di bכdi wan stedi rεt fכ lכng tεm. |
| Bukal tablɛt dɛn | Dɛn fɔ put wan tablɛt we de stika na di ɔp pat pan di gam tu tɛm insay di de. Dis go tek di ɔmon dairekt insay di blɔd. |
| Nasal jel we dɛn kin yuz | Yu fɔ put dis jel pan ɔl tu di nos tri tɛm insay di de. |
| Testosterone we dɛn kin tek bay mɔt | Wan pil we dɛn kin tek tu tɛm insay di de. |
Afta yu dɔn bigin fɔ trit yu, yu dɔktɔ go de chɛk yu ɔmon lɛvɛl ɔltɛm ɛn ɔda blɔd tɛst fɔ si if di tritmɛnt de mek yu gɛt ɛni ɔda wɛlbɔdi prɔblɛm.
Wetin na di bɛnifit dɛn we TRT de gi?
If dɛn gi am kɔrɛkt wan ɛn to di rayt pɔsin, TRT kin rili wok. I kin ɛp fɔ mek di sayn dɛn we de sho se pɔsin nɔ gɛt bɛtɛ tɛstostɛron, nɔ bɔku.
- Fɔ du mami ɛn dadi biznɛs ɛn intres mɔ ɛn mɔ: Dis na big bɛnifit fɔ bɔku pipul dɛn.
- di mכsul dεm we de inkrεs: I de εp di bכdi fכ tכn εn strכng.
- di bon minral dεnsiti we de go כp: di bon dεm kin strכng εn i nכ kin brok.
- Impɔtant maynd: Di wɔri ɛn vɛks we yu bin de fil trade dɔn stɔp, ɛn yu kin fil fayn.
- I de mek yu gɛt mɔ trɛnk ɛn trɛnk: I de ɛp yu fɔ de aktif ɔl di de.
- Fɔ fil fayn ɔltogɛda.
Bɔt dɛn tin ya we kin apin nɔto di sem fɔ ɔlman. I impɔtant bak fɔ mɛmba se wit dɛn bɛnifit ya kin kam wit di risk fɔ gɛt sayd ɛfɛkt.
Yu tink se wi fɔ no bak bɔt di bad tin dɛn we kin apin to wi?
Lɛk ɛni mɛrɛsin, TRT kin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt i impɔtant fɔ no bɔt dɛn.
- Akni ɔ skin we gɛt ɔyl.
- swεla na di ankכl εria (biכs fכ sכm sכm wata we de rεtεn na di bכdi).
- I at fɔ pis bikɔs ɔf di prɔstat stimuleshɔn.
- di brεst dεm we big כ we de mek yu fil pen (Gynecomastia).
- Di wɔs we pɔsin kin gɛt we i de slip.
- Smɔl smɔl tɛstikul dɛn.
- If yu yuz kɔsmɛtik fɔ mek yu skin, yu kin gɛt alɛji fɔ yu skin.
- di sεl dεm we de kכmכt dכn εn dat mek di fεtiliti dεm dכn dכn. Dis rili impɔtant. If yu de plan fɔ bɔn pikin, yu fɔ tink tumɔs ɛn tɔk to yu dɔktɔ bɔt dis bifo yu bigin TRT.
Apat frɔm dat, bɔku chenj dɛn de we pɔsin kin si we dɛn de du blɔd tɛst:
- Di PSA lɛvɛl dɛn we de go ɔp.
- Di nɔmba fɔ di rɛd blɔd sɛl dɛn we de bɔku. Dis kin mek di blɔd tik ɛn i kin mek di blɔd klɔt mɔ.
Aw lɔng i kin tek fɔ si di rizɔlt?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin bigin fɔ fil chenj na dɛn bɔdi ɛn maynd insay sɔm wiks. Dɔktɔ dɛn kin chɛk di tɛstostɛron lɛvɛl bak lɛk wan mɔnt afta dɛn dɔn bigin fɔ trit fɔ si di ful ifɛkt.
If yu sik nɔr dɔn bɛtɛ afta 3 to 6 mɔnt, yu dɔktɔ kin se yu fɔ stɔp fɔ trit yu. Dis na bikɔs yu sayn dɛm nɔ kin bi bikɔs ɔf di lɔw tɛstostɛron.
Udat nɔ fɔ yuz TRT?
Fɔ pipul dɛm wae gɛt sɔm kayn mɛrɛsin, wae yu de yuz TRT kin mek dɛn kayn sik de wɔs. So, TRT nɔ fayn fɔ di wan dɛn we gɛt dɛn kɔndishɔn ya.
- Siriɔs at we nɔ de wok fayn we dɛn nɔ trit.
- Obstructive sleep apnea we nɔ gɛt tritmɛnt.
- If yu dɔn gɛt hat atak ɔr strok insay di las 6 mɔnt.
- di ay levul dεm fכ di rεd blכd sεl dεm na di bכdi.
- Fɔ gɛt prɔstat kansa.
- Fɔ gɛt wan lump we dɛn nɔ ɛgzamin na di prɔstat.
- Man in bɔdi kansa.
Dɔn bak, if yu de plan fɔ bɔn pikin, i go fayn fɔ mek yu avɔyd TRT, bikɔs i kin mek yu nɔ gɛt bɔku bɔku pikin dɛn ɛn i kin afɛkt di we aw yu kin bɔn pikin. Fɔ tray fɔ mek uman bɔn bak leta kin rili dia ɛn i kin tek bɔku tɛm.
Yu tink se TRT rili sef? Lɛ wi tɔk bɔt di prɔblɛm dɛn we kin apin.
Dis na prɔblɛm fɔ bɔku pipul dɛn. As wi bin dɔn tɔk, dɛn kin tek TRT se i nɔ bad fɔ pipul dɛn we nɔ gɛt sik lɛk prɔstat kansa ɔ at sik, as lɔng as dɛn tek am ɔnda dɔktɔ in sɔpɔtishɔn.
Bɔt stil, big big risach nɔ de bɔt wetin kin apin we dɛn tek TRT fɔ lɔng tɛm, lɛk fɔ lɔng lɔng tɛm. Di tin dɛn we dɔn kɔmɔt frɔm sɔm pan di stɔdi dɛn we de apin, nɔ gri wit dɛnsɛf.
Fɔ ɛgzampul, sɔm stɔdi dɛn dɔn sho se TRT kin ridyus di risk fɔ gɛt at sik as tɛm de go. Ɔda pipul dɛn se i kin mek di prɔblɛm bɔku. Fɔ ɛgzampul, wan big stɔdi we dɛn bin du insay 2024 sho se if pɔsin yuz tɛstostɛron jel fɔ lɔng tɛm, dat nɔ kin mek pɔsin gɛt at sik mɔ ɛn mɔ. di opinion dεm de bak we de agens di risk fכ blכd kכlכt na di vein dεm (venous thromboembolism).
Fɔ ɔl dɛn rizin ya, yu dɔktɔ go tek tɛm stɔdi yu yon wɛlbɔdi kɔndishɔn ɛn disayd if TRT nɔ bad fɔ yu.
Ustɛm yu nid fɔ go to yu dɔktɔ?
Afta yu dɔn bigin fɔ TRT, yu go nid fɔ go to yu dɔktɔ ɔltɛm ɛn du blɔd tɛst. Yu dɔktɔ go gi yu wan schedule. Apat frɔm dat, go to yu dɔktɔ dɛn tɛm ya bak.
- If yu sik nɔr de bɛtɛ pan ɔl we yu de trit yu.
- If di sayd ɛfɛkt dɛn de mɔna yu.
- If yu wan tray wan difrɛn TRT we.
- If yu de tink fɔ stɔp TRT.
- Fɔ tek TRT kin denja if yu gɛt nyu mɛrɛsin.
If di sayn dɛm we de sho se yu nɔ gɛt bɛtɛ tɛstostɛron de afɛkt yu layf, nɔto sɔntin we yu kin jɔs bia wit. TRT kin bi gud opshɔn fɔ yu. Bɔt na yu ɛn yu dɔktɔ fɔ disayd fɔ du di wok, ɛn tink bɔt ɔl di gud ɛn bad tin dɛn. Nɔ shek fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- TRT nɔto tritmɛnt fɔ ɔlman. Na fɔ di wan dɛn nɔmɔ we gɛt wan sik we dɛn kɔl ``Hypogonadism'' we dɛn kɔl ``Hypogonadism''.
- Bifo yu bigin fɔ trit yu, i rili impɔtant fɔ mek yu du dɔktɔ kɔmplit ɛgzam.
- difrεn fכm dεm de fכ TRT (jεl, injεkshכn, pat). Tɔk to yu dɔktɔ fɔ pik di we we go fayn fɔ yu.
- Pan ɔl we dɛn tritmɛnt ya kin gi bɛnifit, dɛn kin gɛt prɔblɛm bak fɔ gɛt bad bad tin dɛn. Yu fɔ no dis, mɔ if yu de plan fɔ bɔn pikin.
- TRT na tritmɛnt fɔ lɔng tɛm. Nɔ stɔp wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays.
- Tɔk bɔt ɛnitin we de mɔna yu, fred, ɔ dawt we yu gɛt wit yu dɔktɔ opin wan.











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