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. Makes sense, right? Mipa pangngai tan pawh kum a lo tam deuh chuan a tlahniam ve deuh chu a ni pui a, mahse a pianphung pangngai aia a hniam lutuk chuan harsatna a thlen thei a ni.

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 (Sperm cells siam chhuahna hna thawh dan.) 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 leh duhna
• Muscle lian leh te chakna
• Thisen sen (Taksa pumpuia oxygen sem darhtu thisen sen zat.) hrisel tak a ni
• Ruh density a awm a, a ti chakin a ti khauh
• Rilru hriselna tha leh ngaihtuahna fim

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 a ni.

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. What do you think? Mi tin taksa a inang lo va, mahni tawkah hriselna dinhmun a dang thei a ni.

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 (Taksa thau letling thawl lutuk leh BMI sang 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

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 (Mipat hmeichhiatna hman laia chak tawk lohna emaw harsatna.) a awm thin
• Armpit leh private area-a sam tlakchham
• Testicular a tlahniam a, a te tial tial
• Hot flash (Taksa lum chhuak pup pup leh thlanfim tla zung zung.) a rawn chhuak ta
• Sperm count tlahniam emaw awm lo emaw (Azoospermia), chu chuan nau pai harsatna a thlen thei a ni.
• Depression (Rilru hahna, lungnguina leh nunphung pangngai khawih buaitu.) 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 lo.
• 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: Primary hypogonadism (testicles ngeia harsatna awm vang) leh Secondary hypogonadism (thluaka pituitary gland emaw hypothalamus emaw hnathawh that loh vang) a ni.

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 hypergonadotropic hypogonadism tih a ni a. Pituitary gland hian testosterone a tlem avangin hormone LH leh FSH a siam tam zawk thin. Mahse, testicles a chhiat chuan heng gonadotropins pung zel hi an chhang thei lo. Chuvang chuan testosterone a siam tlem hle a ni. Pianpui atanga lo chhuak leh hnu lama awm theite chu:

• Pian tirh laia testicles awm lohna (Anorchia)
• Cryptorchidism (testicles te chu scrotum atanga a tlak loh vang)
• Klinefelter’s syndrome (Mipa kromosome dik lo, XXY neihna pianpui natna.)
• Testicles hliam emaw, lakchhuah emaw
• Testicles pakhat emaw pahnih emaw inflammation (orchitis)
• Chemotherapy emaw radiation therapy hmanga enkawlna

Secondary hypogonadism awm chhan te

Secondary hypogonadism hi hypothalamus leh/emaw pituitary gland hnathawh tichhe thei dinhmun avanga lo awm a ni. Hetah hian hormone LH leh FSH level a hniam avangin low testosterone a thlen a ni. A chhan te chu:

• Kallmann syndrome (Hormone siamtu hna thawk thei lo pianpui natna leh hriak rim hloh telna.)
• Hypopituitarism (pituitary tumor, infection, hliam vang a ni thei)
• Taksa chhunga iron tam lutuk (Hemochromatosis)
• Cushing-a natna (syndrome)
• Zu in hmansualna leh zunthlum control tha lo
• Mut theih lohna (obstructive sleep apnea)

Just think about it for a second, mipa upa lamah hian Late-onset hypogonadism (LOH) a thleng fo thin a, hei hi taksa tar tial tial vang leh hormone siamtu hna a lo chak loh deuh vang a ni.

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

Testosterone tlahniam symptom i neih chuan local family clinic / primary health center-ah kalin doctor chuan 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.

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 chuan testosterone level sang ber hun a nih avangin.
• Free testosterone test: Protein in a phuar tel loh, taksaa hna thawk thei tur testosterone zat teh nan.
• Luteinizing hormone (LH) leh Follicle-stimulating hormone (FSH) test: Primary leh secondary hypogonadism thliar hran nan a pawimawh.
• Prolactin test: Pituitary gland that lohna a awm em tih endik nan.

Table hian symptoms leh a awmzia tawi fel takin a entir a, en thuai rawh le:

Testosterone tlahniam hi eng enkawl nge ni ang?

Enkawl dan tur chu a chhan a zirin a danglam hle. Primary hypogonadism a nih chuan testicles aṭanga testosterone siam chhuahna tihlet mai a harsa deuh a, secondary hypogonadism erawh chu a chhan ber (entirnan pituitary tumor emaw hormone thununna) enkawl dam theih a ni. He thil enkawl nan hian heng te hi hman thin a ni:

• Testosterone Replacement Therapy (TRT): Gel, patch, injection, emaw pill hmanga taksa hormone mamawh phuhrukna.
• Hormone stimulation: HCG (Human Chorionic Gonadotropin) injections hmanga sperm siam chhuahna leh testosterone tichak tura hmalakna.
• Lifestyle changes: Thau lutuk tihziawm, exercise lak, zunthlum leh thisen sang tha taka enkawl.

Testosterone replacement therapy hian eng side effect nge a neih?

TRT hi a tangkai viau rualin side effect pawh a nei ve nual a. Mipa thenkhat tan chuan a hnuaia mite hi a thlen thei:

• Taksa thisen sen zat (hemoglobin/hematocrit) a sang lutuk a, thisen a ti hmin harsa thei.
• Prostate gland a tichak mah mah thei a, prostate cancer neih sa a tilian zual thei.
• Mut laiin thawpikna (sleep apnea) a tichhe zual thei.
• Skin acne (hmmai bawl) leh hnute lian (gynecomastia) a thlen thei.
• Sperm siamchhuahna a tithuanawp thei a, nau pai duh tan a pawi thei.

Testosterone tlahniam hi ven theih a ni em?

Kum upat avanga testosterone tlahniam chu thil pangngai a ni a, a vek bik chu ven sen a ni lo. Mahse, hriselna tha vawn tlatna leh nunphung ulukna chuan a tichangkang hle:

• Taksa rih zawng (BMI) tawk chiah vawn reng.
• Rawng leh chaw hrisel ei (Local a chakai, sa, vawksa thau lutuk lo, leh thlai hnah hring ei tam).
• Zu in leh ruihtheihthil hman khawloh loh.
• Zanah mut hmuam hma leh mutthat tawk.