Testosterone tlahniam angin i inhria em? He mipa taksa inthlak danglamna (Male Hypogonadism) hi chiang takin i zir ang u!

A châng chuan chau takin i inhria em, engmah i ngaihven lo va, mipa nihna nena inzawm thil ṭhenkhatah zawhna tlemte i nei em? Hei hi a chhan chu i taksaa hormone testosterone tlahniam vang pawh a ni mai thei. Vawiin hian he testosterone level tlahniam hi kan sawi dawn a, a nih loh leh doctor-te’n an tih angin, Male Hypogonadism an tih natna chungchang hi kan sawi dawn a ni. Lungngai suh, hei hi mi tam tak chunga thleng thei a ni a, a enkawl dan pawh a awm.

Testosterone hniam tih awmzia chu eng nge ni?

A awlsam zawngin, testosterone tlahniam tih awmzia chu i testicles (mipa sperm siamtu glands) te hian testosterone an siam tling lo tihna a ni. A dik tak chuan he testosterone hi testicles chhunga Leydig cells te hian an siam chhuak a ni.

He natna hi kum hrang hrangah symptom hrang hrang nen a rawn lang thei a ni. Tin, mipa an upa chhoh zel chuan testosterone level hi a pianphungah a tlahniam deuh bawk. Hei hi hming dangin an ko a, entirnan:

• Testosterone tlakchhamna avanga natna hrik
• Testosterone tlakchhamna a awm
• Hypogonadism hmasa ber a ni
• Secondary hypogonadism a awm a

Engvangin nge testosterone hi a pawimawh em em?

Testosterone hi mipa hormone pawimawh ber a ni. Mipa mizia tihhmasawn nan leh sperm siam chhuahna atan (spermatogenesis) a pawimawh hle. Hmeichhia aiin mipa hian an taksaah testosterone level a sang zawk hle.

Testosterone hian mipa taksaah heng thilte hi a vawng reng thei a, a tichak bawk:

• Mipat hmeichhiatna lam
• Muscle lian leh te
• Thisen sen (red blood cell level) hrisel tak a ni
• Ruh density a awm
• Rilru hriselna tha
• Sexual leh reproductive function

A tlangpuiin kan taksa hian kan thisena testosterone level a tidanglam thin. Zing lamah a sang ber a, ni a kal zel chuan a tlahniam zauh zauh thin.

I thluaka hypothalamus leh pituitary gland te hian i testicles te hian testosterone an siam chhuah leh chhuah zat an thunun a ni.

Hypothalamus hian gonadotropin-releasing hormone (GnRH) a tichhuak a. Hei hian pituitary gland chu luteinizing hormone (LH) chhuah tir turin signal a pe a ni. Chumi hnuah LH chu testicles-ah a kal a, testosterone siam chhuahna a tichak a ni. Pituitary gland hian sperm siamchhuahna atana pui turin follicle-stimulating hormone (FSH) a tichhuak bawk.

Chuvangin, i testicles, hypothalamus, pituitary gland-ah harsatna a awm chuan i testosterone level a tlahniam thei.

Eng level nge "low testosterone" tia ngaih?

American Urology Association (AUA) chhinchhiah dan chuan puitling thisen testosterone level chu deciliter khatah nanogram 300 (300 ng/dL) aia tlem a nih chuan a hniam anga ngaih a ni.

Mahse, zirchiangtu leh doctor thenkhat chuan he ngaihdan hi an pawm kim lo. Ṭhenkhat chuan `250 ng/dL` aia tlem lo chu hniam anga ngaih a ni an ti. Mahse, doctor-te chuan testosterone i neih tlem leh tlem loh an hriat hunah i symptoms chu an ngaihtuah ngei ang.

He testosterone tlahniam hi tute nge hlauhawm zawk?

Hetiang dinhmun hian mipa kum eng pawh, pian tirh atanga puitling thlengin a nghawng thei a ni.

Mahse, heng mite hian testosterone tlahniam an nei tam zawk:

• Kum upa lam tan
• Mi thau lutuk (thau lutuk) tan chuan .
• Type 2 diabetes control tha lo nei tan
• Obstructive sleep apnea nei tan chuan
• Natna khirh tak tak nei te, kal (kidney failure) leh thin (cirrhosis of the liver) te
• HIV/AIDS vei te tan

Hetiang dinhmun hi engtiang chiahin nge a awm?

Researcher tan chuan low testosterone hi engtiang chiahin nge a awm tih chiang taka sawi a harsa a, a chhan chu zirchianna hrang hrangah "low testosterone" tih hi a danglamin an sawifiah a ni.

Data thenkhatah chuan mipa 2% velin he natna hi an nei thei a ni. Zirchianna dang chuan kum 50 leh 79 inkar mipa 8% aia tam te chuan testosterone level an nei hniam tih an sawi.

Testosterone tlahniam hian eng symptoms nge a neih?

Testosterone tlahniam chhinchhiahna hi mi hrang hrangah a inang lo thei hle a, a bik takin kum a zirin a inang lo thei hle.

Mipa puitlingah symptoms a awm

Heng symptoms te hi i neih chuan testosterone i neih tlem theihna chance a sang hle:

• Mipat hmeichhiatna lama duhna a tlahniam
• Erectile dysfunction a awm thin
• Armpit leh private area-a sam tlakchham
• Testicular a tlahniam
• Hot flash a rawn chhuak ta
• Sperm count tlahniam emaw awm lo emaw (Azoospermia), chu chuan nau pai harsatna a thlen thei a ni.

A lan chhuah dan dangte chu:

• Depression (mood disorder) tih a ni.
• Thil ngaihtuah leh hriatreng harsa
• Taksa thau a tipung
• Mipa hnute lian (Gynecomastia) .
• Muscle chakna leh lian tham a tlahniam
• Taksa tuar theihna a tlahniam

Naupang (puitling hma emaw, puitlin lai emaw) a natna lan chhuah dan .

Mipa naupangin a puitlin hma emaw, a puitlin lai emawa a testosterone level a tlahniam chuan a natna lan chhuah dan te chu:

• Height growth hi a slow a, mahse taksa peng dang aiin a rualin a sei zawk thei.
• Private area-a sam sei tlem.
• Testicles leh testicles te thanlenna tlahniam.
• Aw thuk zawk a tlahniam.
• Kum upat avanga chakna leh chhelna tlahniam.

Testosterone tlahniam chhante chu engte nge ni?

Testosterone level tlahniam thei hi chhan hrang hrang a awm. He dinhmun hi chi hnih ah a inthen a:

1. Primary hypogonadism: Hei hi testicles ngeia harsatna awm vang a ni.

2. Secondary hypogonadism: Hei hi thluaka pituitary gland emaw hypothalamus emaw hnathawh that loh vang a ni.

Heng chi hnih hi pianpui avanga lo awm emaw, a hnu lama (naupan lai emaw, puitling emaw) avanga lo awm thei a ni thei.

Primary hypogonadism awm chhan te

Hetianga thil thleng chu, testicles-ah hian harsatna a awm a, chu chuan testosterone chu a pangngaiin a siam chhuak thei lo.

Hei hi a hming dang chu hypergonadotropic hypogonadism tih a ni . Hei hi pituitary gland hian testosterone a tlem avangin hormone LH leh FSH (gonadotropins tia hriat bawk) a siam tam zawk hun a ni. A tlangpuiin heng hormone te hi a tam chuan testicles te hi testosterone leh sperm tam zawk siam turin an hrilh thin. Mahse, testicles a chhiat chuan (a tam zawkah chuan cancer chemotherapy vang a ni) emaw, testicles a bo a nih chuan heng gonadotropins pung zel hi an chhang thei lo. Chuvang chuan testosterone leh sperm a siam tlem hle emaw, a siam chhuak lo emaw a ni.

A chang chuan primary hypogonadism-ah chuan testosterone level chu normal range chhungah awm mahse gonadotropin level a sang thei. I specialist chuan hei hi a hrilhfiah ang che a, testosterone chu a pangngai a nih pawhin enkawl a tul leh tul loh a hrilhfiah ang che.

Pianpui atanga lo chhuak: 1.1.

• Pian tirh laia testicles awm lohna (Anorchia) .
• Cryptorchidism (testicles te chu scrotum atanga a tlak loh vang) .
• Testicles-a Leydig cells lo thang kim lo (Leydig cell hypoplasia) .
• Klinefelter’s syndrome (mipa hi XY - XXY aiah X chromosome extra neia piang an ni) .
• Noonan syndrome (genetic condition awm lo, puitlin hun sawn hlat, testicles tlahniam lo, emaw nau pai theih lohna) .
• Myotonic dystrophy (muscle chak lohna natna rochun pawl) .

Acquired causes: 1.1.

• Testicles hliam emaw, lakchhuah emaw.
• Testicles pakhat emaw pahnih emaw inflammation (orchitis). Hei hi bacteria infection (e.g. sexually transmitted infection) avanga lo awm a ni fo thin a, a nih loh leh viral infection, mumps ang chi pawh a ni thei bawk.
• Chemotherapy emaw radiation therapy emaw hmanga testicles pek.
• Cancer chi hrang hrang.
• Anabolic steroid hman a ni.

Secondary hypogonadism awm chhan te

Secondary hypogonadism hi hypothalamus leh/ emaw pituitary gland hnathawh tichhe thei dinhmun avanga lo awm a ni. Hei hi hypogonadotropic hypogonadism an ti a.Hetah hian hormone `LH` leh `FSH` level a hniam avangin "low testosterone" an ti bawk. Heng level hniam te hian testosterone leh sperm siamchhuahna a ti tlahniam a ni.

Pianpui atanga lo chhuak: 1.1.

• Isolated hypogonadotropic hypogonadism (pian tirh atanga GnRH level hniam) 1.1.
• Kallmann syndrome (genetic condition awm lo, hypothalamus-a GnRH siamtu nerve cells siam chhuah loh. Hriak rim hloh pawh a awm thei)
• Prader-Willi syndrome (genetic multi-system disorder hmuh tur awm lo, hypothalamus hnathawh tichhe thei) .

Acquired causes te chu: 1.1.

• Hypopituitarism (hei hi pituitary tumor (adenoma), infection, hliam, radiation therapy, emaw surgery avanga lo awm thei a ni) .
• Hyperprolactinemia (hormone prolactin level sang zawk) 1.1.
• Taksa chhunga iron tam lutuk (Hemochromatosis) .
• Thluak emaw lu emaw hliam
• Cushing-a natna (syndrome) a ni
• Cirrhosis natna (liver) a awm
• Kidney tha lo a awm
• HIV/AIDS vei vang a ni
• Zu in hmansualna
• Zunthlum control tha lo
• Obesity (thau lutuk) .
• Mut theih lohna (obstructive sleep apnea) a awm
• Damdawi thenkhat (e.g. estrogen, rilru tidanglam thei damdawi, metoclopramide, opioid, prostate cancer damdawi thenkhat)

Late-onset hypogonadism (LOH) hi secondary hypogonadism chi khat a ni a, kum upa lam pangngaiah a awm thin. Mipa an lo upat deuh deuh chuan hypothalamic-pituitary function leh Leydig cell function tihchhiat vangin testosterone leh/ emaw sperm siamchhuahna a tlahniam thin.

LOH leh testosterone hniam hi mipa type 2 diabetes, thau lutuk, leh/ emaw thau lutuk te zingah a awm fo thin.

Zirchianna pakhatah chuan mipa thau lutuk zinga 30% chuan testosterone level an nei hniam a, mipa thau lutuk zinga 6% chauh an awm thung. Zirchianna dang pakhatah chuan type 2 diabetes vei mipa 25% te chuan testosterone level an nei hniam a, diabetes nei lo mipa 13% chauh an awm thung.

Engtin nge testosterone i nei tlem tih chiang taka i hriat theih ang?

Testosterone tlahniam symptom i neih chuan doctor in physical exam a ti ang. Tin, i medical history te, damdawi i ei leh ei tawh te, i zuk leh in loh te, leh tuna i natna lan chhuah dan te pawh zawhna an zawt bawk ang che. Hemi hnu hian thisen test eng emaw zat an order ang.

Diagnosis siam tur chuan doctor chuan i symptoms leh thisen test result te a ngaihtuah ang.

Eng ang test nge tih thin?

Heng test te hian testosterone tlahniam tih finfiah nan leh a chhan zawng turin a pui thei a ni:

• Total testosterone level blood test: Hei hi a tlangpuiin zing dar 8 leh 10 a.m. inkarah thisen sample pahnih lak a ngai a, chu chu testosterone level sang ber hun a nih avangin. I damlo emaw, tun hnaia natna atanga i dam leh emaw chuan i doctor hnenah i hrilh tur a ni. Emergency a awm chuan a result chu dik lo takin a hniam thei a ni.
• Luteinizing hormone (LH) thisen test: Hei hian pituitary gland-a harsatna awm chu testosterone tlahniam chhan a nih leh nih loh hriat theih nan a pui a ni.
• Prolactin thisen test: Prolactin level sang hi pituitary gland lama harsatna emaw tumor emaw a awm tih a ni thei.

Testosterone tlahniam hi eng enkawl nge ni ang?

Doctor-te chuan testosterone tlahniam hi Testosterone Replacement Therapy (TRT) hmangin an enkawl a. Chutianga tih theih dan kawng hrang hrang a awm a:

• Testosterone gel (vunah hnawih): He gel hi doctor-in a sawi angin vun thianghlim leh vawt takah nitin hnawih tur a ni. A pawimawh ber chu gel hi vun kaltlangin midang nen inzawm tir suh. Hei hi America rama hmanraw hman tlanglawn ber a ni.
• Intramuscular testosterone injection: Nang emaw doctor emaw chuan kar 1-2 danah he injection hi taksa ruh pakhatah i pe thei ang. Tin, long-acting testosterone injection pawh kar 10 danah pek thin a awm bawk. Tin, vun hnuaia injection (subcutaneous injection) pawh a awm bawk.
• Testosterone patch (skin patch): He patch hi doctor-in a sawi angin nitin vunah hnawih tur a ni. Skin reaction a awm loh nan application site hi rotate fo tur a ni.
• Testosterone pellets (subcutaneous): Specialist chuan heng pellets te hi vun hnuaiah thla thum atanga thla ruk chhung a dah ang. Hengte hian hun rei tak chhungin testosterone dose mumal tak a pe a ni.
• Buccal testosterone tablets: Hei hi sticky tablets a ni a, ni khatah vawi hnih gums-ah dah thin a ni. Testosterone hi rang takin thisenah hian gums kaltlangin a lut a.
• Testosterone nasal gel: He gel hi hnar kawng hnih ah ni khatah vawi thum hnawih tur a ni.
• Oral testosterone: Testosterone chi khat, undecanoate an tih hi mipa, damdawi lam thil engemaw avanga testosterone tlahniam, Klinefelter syndrome, emaw, pituitary gland tichhe tu tumor te tan pek thin a ni.

Mahse, a hnuaia natnate hi i neih tawh chuan testosterone replacement therapy i dawng thei lo mai thei:

• Prostate cancer a ni.
• Prostate lump enfiah loh a ni. (Mi zawng zawng hian testosterone therapy an tan hmain an prostate check hmasa phawt tur a ni.)
• Hnute cancer a ni.
• Thinlung chak lohna thunun theih loh.
• Mut theih lohna (obstructive sleep apnea) enkawl loh.

Testosterone replacement therapy hian eng side effect nge a neih?

He enkawlna avanga side effects angin a hnuaia mi te hi a awm thei a ni:

• Acne-prone emaw vun thau nei emaw.
• Taksa chhunga tui tlem a awm avangin ankle swelling.
• Prostate stimulation avanga zun harsatna ang chi symptoms te.
• Hnute lian emaw, na emaw.
• Sleep apnea a zual zel.
• Testicles te tak te te.
• Testosterone vunah hnawih i hman chuan vun na leh inflammation i nei thei.

Laboratory report-a hmuh theih inthlak danglamna:

• Prostate-specific antigen (PSA) tihpun a ni.
• Thisen sen (red blood cells) a pung.
• Sperm count a hniam a, chu chuan nau pai theih lohna (nau neih theih lohna) a thlen thin. Hei hi tlangval fa neih tumte tan chuan a pawimawh zual hle.

Testosterone tlahniam hi ven theih a ni em?

Doctor leh zirchiangtute chuan testosterone tlahniam tur ven dan tur an la hre lo a, chu chu genetic cause vang emaw, testicles, hypothalamus emaw, pituitary gland tihchhiat vang emaw pawh nise.

Mahse, heng nunphungte hian testosterone level a normal reng theih nan a pui thei a ni:

• Ei leh in hrisel ei.
• Exercise tih hi a ni.
• Weight control.
• Zu leh ruihhlo hman tam lutuk loh tur.

Testosterone i neih tlem chuan eng nge thleng? Eng nge i beisei theih ang?

Testosterone tlahniam hi one-size-fits-all solution a awm lo. Mahse, hormone thlak danglamna therapy \ha tak, chhunzawm zel chuan i sex drive chu i ti \ha thei a, depression symptoms i tihziaawm thei a, i chakna pawh i tipung thei bawk. Enkawlna hian taksa ruh (muscle mass) leh ruh (bone density) a tipung thei bawk.

Testosterone tlakchhamna nei mipa te hi testosterone level pangngai nei mipa aiin an thihpui nasa zawk tih a chiang hle. Mahse, testosterone level chu a pangngaia dah leh chuan he thihna pung hi a tihhniam dawn em tih erawh a chiang lo. Enkawlna hi a tam zawk chu symptoms enkawl danah a ni a, testosterone level target a ni lo.

Congenital hypogonadism-ah chuan testosterone replacement therapy hian puitlin hun sawn hlat avanga harsatna awm thei tur venna a pui fo thin.

Testosterone tlahniam chungchangah engtikah nge doctor i hmuh ang?

Hormone replacement therapy i ei a nih chuan doctor pan fo a, checkup neih fo a pawimawh hle.

Testosterone tlahniam symptoms i neih chuan sex drive tlahniam emaw hot flashes emaw i neih chuan doctor nen inbia ang che. A enfiah ang che a, thisen test turin a ti ang che.

I fain kum 14 a tlin hmaa puitlin theihna a lantir loh chuan a naupang enkawltu doctor nen inbia ang che.

Mi tam tak chuan testosterone tlahniam chhinchhiahna hi tar chakna pangngaiah an ngai lo. Mahse, i nunphung tichhe thei symptom i neih chuan ngaihven a hlawh ngei ang. Testosterone tlahniam symptoms buaithlak tak tak i neih chuan doctor pan la, enkawl dan tur sawipui rawh.

He thuziak atanga hriat reng tur pawimawh ber (Take-Home Message) .

Testosterone hniam hi mipa a nghawng thei a ni. Taksa leh rilru lama harsatna chi hrang hrang a thlen thei a ni. Thil tha ber chu hlau emaw, mualpho emaw ni lovin, damdawi lam thurawn zawng hi a ni. Symptoms i neih chuan normal aging tiin hnawl suh.

Diagnosis dik leh enkawlna dik tak nen chuan nun nuam tak i hmang thei ang. Nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk.

` Testosterone, mipa hormone, hypogonadism, mipat hmeichhiatna hriselna, hormone therapy, mipa hriselna, chakna tlakchhamna