I mipa chakna chu a tlahniam niin i hria em? Low Testosterone chungchang zawng zawng

Tun hnaiah i chau a, i chau a, a bik takin sex ngaihven i nei lo em ni? A chang chuan heng thilte hi nitin nun buai vang niin kan ngai thin a, mahse hei hi a chhan chu i ngaihtuah aiin thil danglam tak a ni mai thei. Vawiin hian thupui pakhat, mipa tana pawimawh em em mai kan sawi a, mahse mi tam tak chuan sawi an hreh deuh a. Chu chu taksaa mipa hormone testosterone level tlahniam, damdawi lama `(Male Hypogonadism)` tia koh chu a ni.

A awlsam zawngin, testosterone chu eng nge ni?

Mipa taksaa "engine oil" awm chu testosterone hi han ngaihtuah teh. He hormone hi mipa mipa nihna thununtu ber a ni. Testcle-ah a siam chhuak ber a ni.

Testosterone hormone hian kan taksa a tihchhiat dan tlangpui thenkhat han thlir ila:

• Mipa sexual organs hmasawnna leh hnathawh dan vawn nun.
• Taksa ruhte tihhmasawn leh chak taka vawn.
• Ruh density vawn reng.
• Sperm siam chhuahna atana pawimawh tak (spermatogenesis).
• Mipat hmeichhiatna lama duhna siam leh vawn reng (`sex drive`).
• Taksa chhunga thisen sen (red blood cells) level dik tak awm reng turin a pui thin.
• Rilru tha leh hlim taka awm tura tanpui (`sense of well-being`).

A tlangpuiin kan taksa hian he testosterone level hi a control tha hle. He hormone level hi zing lamah a sang ber a, ni a liam zel chuan a tlahniam zauh zauh thin. He thil kalphung zawng zawng hi kan thluak hmun pahnih hypothalamus leh pituitary gland te hian an thunun a ni. Hei hi control system buaithlak tak a ni. He system khawi hmunah pawh tihsual tlem a awm chuan testosterone level a tlahniam thei.

Testosterone tlahniam hian eng symptoms nge a neih?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle. Heng symptoms te hi a danglam a, a bik takin kum upa lam a zirin a danglam thin. I hmuh hunah rinhlelhna siam tur symptom thenkhat a awm.

Hetiang dinhmun hian naupang tê tête chu engtin nge a nghawng?

Mipa naupangin a puitlin hma emaw, a puitlin lai emawa a testosterone level a tlahniam chuan a hnuaia symptoms te hi a lang thei a ni.

• Height gain rate a tlahniam.
• Mimal hmuna sam sei tlem.
• Mipat hmeichhiatna lama taksa peng hrang hrangte hmasawnna tlahniam.
• Aw thuk zawk tihkhawtlai.
• Kum nena inmil chakna tlakchhamna.

Engvangin nge heng testosterone level te hi a tlahniam?

Hei hi chhan hrang hrang a awm thei. A awlsam zawngin, heng chhante hi chi hnih lian takah kan ṭhen thei a ni. Testosterone hi factory-a (testicles-a) siam chhuah angin han ngaihtuah teh. ‘head office’ (thluak chhunga control center awmte) atangin order pek a ni.

1. Primary Hypogonadism: Hetah hian buaina chu testosterone siamtu "factory"-ah a awm nghal a, chu chu testicles-ah a awm a ni . Thluak atang hian signal engzat pawh lo chhuak mahse, testcle hian a mamawh zat hormone hi a siam chhuak thei lo.

2. Secondary Hypogonadism: Hetah hian, testicles-ah harsatna a awm lo. Buaina chu "head office" ah a awm. Chu chu, thluaka hypothalamus emaw pituitary gland emaw a malfunction vangin hormone siamna atana signal mamawh chu a kal tha lo tihna a ni.

Tunah chuan heng chi hrang hrang nena inzawm chhan hi chipchiar deuhin han thlir ila.

1. Testicular lama harsatna (Primary Hypogonadism) .

• Pianpui natna: 1.1.
• Klinefelter’s syndrome: Hei hi chromosomal abnormality a ni.
• Testicles hi pian tirh atangin a awm lo (anorchia) emaw, pum atanga lo chhuk lo (undescended testicles) emaw a ni.
• A hnu lama thil awm dan: 1.1.
• Testicles-a accident emaw, surgery hmanga lakchhuah emaw a nih chuan.
• Viral infection, mumps ang chi avanga testicles (orchitis) a hring .
• Cancer natna vei tan chemotherapy emaw radiation therapy emaw hmanga enkawl a ni.
• Bodybuilding atana anabolic steroid thenkhat hman dan.

2. Thluak control center nena inzawm harsatna (Secondary Hypogonadism) .

• Pianpui natna: 1.1.
• Kallmann syndrome: Hei hi genetic condition hmuh tur awm lo tak a ni.
• Prader-Willi natna a ni.
• A hnu lama thil awm dan: 1.1.
• Tumor emaw pituitary gland chhiatna emaw a awm.
• HIV/AIDS ang chi hri kai te .
• Natna rei tak tak, cirrhosis of the liver emaw kidney failure emaw te.
• Zunthlum thunun theih loh (Type 2 Diabetes) .
• Thau lutuk .
• Obstructive sleep apnea (rilru hahna nena inzawm, mutthilh theih lohna (sleep apnea) natna).
• Zu in tam lutuk .
• Damdawi thenkhat , a bik takin opioid, natna tidamtu leh cancer damdawi hormonal damdawi te.

Mipa tar chhoh zel chuan testosterone level hi a pianphungah a tlahniam deuh thin. Hei hi `Late-onset hypogonadism (LOH) an ti a.` Hetiang dinhmun hi thau lutuk emaw, zunthlum vei emaw zingah a tam zawk.

Engtin nge he natna hi i nei tih chiang taka i hriat theih ang?

Heng symptoms te hi i neih chuan i doctor chuan a enfiah hmasa ang che a, i medical history a zawt ang che a, damdawi i ei apiang a zawt ang che. Tichuan, test eng emaw zat an ti ang a, a bik takin thisen test , an dinhmun finfiah nan.

1. Total Testosterone Level: Hei hi test pawimawh ber a ni. Hei hi zing dar 8 leh 10 inkarah tih tur a ni tlangpui , chu chu testosterone level sang ber hun a nih avangin. He test hi ni hrang hrang pahnih ah tih a tha ber.

2. Luteinizing hormone (LH) level: He hormone hi pituitary gland atanga lo chhuak a ni. A level en hian a buaina chu testicles-ah nge thluaka control center-ah a awm tih hriat theih a ni.

3. Prolactin level: He hormone hi a san chuan pituitary gland-ah harsatna a awm tih chhinchhiahna a ni thei.

Hei hi eng enkawlna nge ni?

Testosterone level hniam tih finfiah a nih chuan a enkawlna ber chu Testosterone Replacement Therapy (TRT) a ni. Chu chu taksa chu pawn lam atanga testosterone hormone pek a ni tihna a ni. Hei hi hmanraw hrang hrang a awm a.

• Skin gels: Gels hi vunah hnawih a ni. Nitin vun thianghlim leh vawt takah hnawih tur a ni. Hengte hi hnawih zawhah midang vun nena inhnaih loh nan fimkhur a ngai a, a bik takin hmeichhia leh naupang tête vun nena inhnaih loh nan fimkhur a ngai.
• Injection: Kar 1-2 danah emaw a aia tam emaw chhungin taksa ruh pakhatah injection pek thin a ni.
• Patches: Nitin vunah hnawih thin patch.
• Pellets: Pellet ang chi thil te tak te chu vun hnuaiah dah a ni. Thla 3-6 chhung hormone a tichhuak thin.
• Oral testosterone: Damdawi lam harsatna bik thenkhat tan chauh hman tur pills.

I doctor chuan heng enkawlna atang hian i tana tha ber tur enkawlna tur a thlang ang.

Hetiang enkawlna hi mi zawng zawngin kan nei thei ang em?

No. Testosterone therapy hi mi thenkhat tan chuan a tha lo hle a, a bik takin a hnuaia natna te hi an neih chuan:

• Prostate cancer a ni.
• Hnute cancer a ni.
• Thinlung dinhmun thunun theih loh (`Thinlung chak lohna`).
• Mut theih lohna (obstructive sleep apnea) enkawl loh.

Chuvangin, i doctor chuan enkawl tan hmain hei hi uluk takin a enfiah ang.

Enkawlna hian side effect a nei em?

Awle. Enkawlna dang ang bawkin he damdawi hian side effect engemaw zat a nei thei bawk.

• Acne emaw vun thau emaw.
• Ankle a hring chhuak.
• Mi thenkhat zun harsatna.
• Hnute lian emaw, na emaw.
• Testicles te tak te te.
• Sperm siam chhuah tlem (hei hi tlangval fa neih beisei tan chuan a pawimawh hle).
• Thisenah thisen sen (red blood cells) a pung.

Chuvang chuan doctor pan fo a, enkawl lai hian a tul anga test neih a pawimawh hle. Heng side effects te hi a enfiah reng dawn a ni.

Hetiang dinhmun hi dam khawchhuah theih nan eng nge tih theih ang?

Genetic factors ang chi thil kan veng thei lo nain, kan nunphung siamrem hmangin testosterone level hrisel tak kan neih theih nan kan pui thei a ni.

• Ei leh in hrisel: Ei leh in inthlau tak ei a pawimawh.
• Exercise: A bik takin weight lifting leh high-intensity interval training (HIIT) hi a hlawkpui thei hle.
• I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hi testosterone level tihhniamtu lian tak a ni.
• Mut tling: Nitin darkar 7-8 vel mut that a pawimawh.
• Stress tihziaawmna: Stress tam lutuk hian hormone cortisol a tisang thei a, testosterone level a tihhniam thei bawk.
• Zu leh ruihhlo hman tlem.

Heng thilte hi i hriselna pum pui atan a tha hle.