Tērā pea i ohorere koe, i tētahi rānei e tata ana ki a koe, i te wā i kōrerotia ai e tō tākuta he maimoatanga e kiia nei ko te 'Chemical Castration'. Ina rongo tātou i te kupu 'castration', he rerekē rawa te whakaaro. Kaua e mataku. Ehara tēnei i te tango pokanga i ngā ira tangata, pērā i tō whakaaro. He tikanga maimoatanga tino nui tēnei e whakamahi ana i ngā rongoā, arā, ngā rongoā, hei whakahaere i ētahi momo mate pukupuku. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā, ngāwari hoki.
He aha te Whakakorenga Matū?
Ki te kī māmā noa, ko te tango matū he tukanga whakamutu, whakaiti rānei i te hanga o ngā homoni ira tangata i roto i te tinana mā te rongoā.
Whakaarohia, he rite ngā homoni i roto i ō tātou tinana ki ngā karere. Ka tukuna ēnei homoni ki roto i te toto mai i ngā repe rerekē. Ka haere ēnei karere puta noa i te tinana, ka kī atu ki ngā okana rerekē kia "mahi i tēnei." Hei tauira, ka pā ēnei homoni ki ngā mea pēnei i te whakahaere i tō tātou kaha, te tipu, me te wairua. He momo homoni motuhake ngā homoni ira tangata. He mea nui ēnei mō ngā mea pēnei i te pakeketanga me te mahi a te pūnaha whakaputa uri.
Engari, i ētahi wā ka puta he raruraru. Ko ētahi momo mate pukupuku, inā koa ko te mate pukupuku repeure me ētahi momo mate pukupuku ū, ka whakamahi i ēnei homoni ira tangata hei "kai". Arā, i te mea kei roto tonu ēnei homoni, ka pai te tipu o ngā pūtau mate pukupuku. Nō reira, ka tapahia e te maimoatanga whakawete matū te "kai" e whiwhi ana te mate pukupuku, arā, te tuku homoni. Kātahi ka mutu te tipu o te mate pukupuku, ka whakahaeretia rānei i te nuinga o te wā.
He maha atu anō ngā ingoa e whakamahia ana mō tēnei. Hei tauira:
- Te Whakaora Hormone
- Te Whakaora i te Whakakorenga o te Androgen
He aha ngā whakamahinga o tēnei maimoatanga?
Ko te nuinga o te wā ka whakamahia tēnei rongoā e ngā tākuta hei rongoā i ngā pukupuku e whakawhirinaki ana ki ngā homoni ira tangata.
Mō ngā tāne, ko te rōpū matua o ngā homoni ira tangata e hangaia ana i roto i ō tātou tinana ko ngā androgens . Ahakoa e hangaia ana ēnei i roto i ngā tinana o ngā wāhine ki tētahi taumata, ka kitea i te nuinga o te wā i roto i ngā tinana o ngā tāne. Ko te Testosterone te homoni androgen matua kua rongo pea koe mōna. He mea nui tēnei homoni mō te tipu me te mahi a te repe prostate. Heoi, ina puta te matepukupuku prostate, ka whakamahia hoki e ngā pūtau matepukupuku tēnei testosterone hei tipu. Koinei te wā e hiahiatia ana te maimoatanga hei whakaiti i tēnei homoni.
I roto i te mate pukupuku ū o ngā wāhine, ko ētahi momo mate pukupuku e whakawhirinaki ana ki ngā homoni estrogen me te progesterone . Ka whakamahia hoki ngā maimoatanga e whakahaere ana i ēnei homoni mō ēnei mate pukupuku.
He aha tāu e mahi ai i mua i te tīmatanga o te maimoatanga?
I mua i te tohu a tō tākuta i tēnei maimoatanga māu, me mōhio ia mēnā ka pai te urupare a tō momo matepukupuku ki te rongoā homoni. Me whai whakamātautau maha tēnei.
- Matawai CT
- Matawai PET
- Endoscopy
- Biopsy - te tango i tētahi wahi kiko hei tirotiro
- Ngā whakamātautau toto e pā ana ki te mate pukupuku
Ko te mea nui, ehara tēnei maimoatanga i te mea pumau. Arā, i muri i te whakamutu i te rongoā, ka hoki anō te hanga homoni ki te āhua noa. Heoi, i ētahi wā ka kōrero pea te tākuta mō tētahi otinga pumau. He pokanga tēnā e kiia nei ko te orchiectomy . Arā, ko te tango pokanga i tētahi, i ngā kōiwi e rua rānei. Ka whakaitihia e tēnei ngā taumata testosterone mō ake tonu atu.
Te tikanga maimoatanga me ngā rongoā e whakamahia ana
Ehara tēnei i te maimoatanga kotahi-wā. He maimoatanga tonu tēnei. He rerekē anō hoki te huarahi e hoatu ai te rongoā.
- Ngā werohanga: Ko te tikanga e whakamahia whānuitia ana.
- Ngā whakatō: Ka whakatakotoria he taputapu iti ki raro i te kiri.
- Pire: Kei te wātea ētahi rongoā i roto i te āhua pire.
I runga i te momo rongoā me te horopeta, me mahi anō pea tēnei maimoatanga kotahi i te marama, kotahi i ia toru marama, kotahi rānei i te tau.
Kei te ripanga i raro nei ētahi o ngā momo rongoā matua e whakamahia ana hei rongoā i te mate pukupuku repeure. He ahua uaua ngā ingoa, engari mā tēnei koe e āwhina ki te mārama.
| Kāwai rongoā | Te āhua o tana mahi me ngā tauira |
|---|---|
| Ngā kaiwhakaoho GnRH | Ka pā ēnei ki te repe pituitary, ā, ka aukati i te tohu ki ngā testicle kia hanga testosterone. I te tīmatanga, ka piki ake pea ngā taumata homoni (ka puea ake te testosterone). Hei tauira: Goserelin, Leuprolide. |
| Ngā kaitukino GnRH | Ka aukati ēnei i te hanga testosterone me te kore e whakanui ake i ngā homoni kua whakahuatia i runga ake nei. Hei tauira: Degarelix. |
| Ngā maimoatanga antiandrogen | Ka ārai ēnei i ngā homoni androgen e hangaia ana i roto i te tinana kia kore ai e taea e ngā pūtau matepukupuku te whakamahi. Hei tauira: Bicalutamide, Enzalutamide. |
| Ngā aukati hanga androgen | Ka aukati ēnei i te hanga o ngā androgens i ngā wāhi katoa o te tinana, ehara i te mea ko ngā testicles anake. Hei tauira: Abiraterone. |
He aha ngā painga, ngā ngoikoretanga, me ngā pānga taha o tēnei maimoatanga?
Pērā i tētahi atu maimoatanga, he painga, he pānga taha hoki tō tēnei.
Ngā painga matua
- Te Whakahaere i te Mate Pukupuku: Ko te painga matua o tēnei he huarahi tino whai hua ki te whakahaere i ngā mate pukupuku e whakawhirinaki ana ki ngā homoni.
- Ka taea te hoki whakamuri: He painga nui tēnei. Ehara i te mea pumau pērā i te pokanga. I muri i te whakamutu i te maimoatanga, ka hoki mārire ngā taumata homoni me te mahi moepuku o tō tinana ki te āhua noa.
Ngā pānga taha pea
Tērā pea ka puta ētahi pānga taha ina roa te tango i tēnei maimoatanga. Heoi, ka kōrerohia ēnei mea katoa e tō tākuta ki a koe, ā, ka hoatu hoki ki a koe ngā tohutohu e tika ana hei whakahaere i aua pānga.
- Te iti o te hiahia moepuku/te libido
- Ngā mura wera
- Osteoporosis
- Ngā raruraru ki te pākia o te ngako me te huka i roto i te tinana
- Te pouri
- Te iti o te papatipu tinana
- Te mate toto iti
- Te uaua
He mamae tēnei? Kāore he mamae o te tango i ngā pire. Heoi, ina werohia koe, ina tāpirihia rānei, tera pea ka pāngia koe e te mamae, te wera rānei. Engari ka memeha haere tēnā i muri i tētahi wā.
Ētahi pātai e pātai pinepinetia ana
He rite tēnei ki te tango i te kiri i te pokanga?
Kāo. Ko te tango ā-tapahi te tango tuturu i ngā huakita, i ngā ovaries rānei. Ko te tango matū te whakamutu wā poto i te hanga homoni mā te whakamahi i te rongoā. Kia mutu te rongoā, ka tīmata anō te hanga homoni.
Koinei te mahi a te vasectomy?
Kāore rawa. He tikanga ārai whānau tuturu te tango i te ure tāne. Ka mutu noa te putanga o te purapura tāne. Kāore he pānga ki ō taumata homoni, ki te hiahia moepuku, ki te mahi moepuku rānei.
Ka taea e au te moe tāne i muri i te maimoatanga?
Āe. Engari tera pea ka iti ake te hiahia moepuku, ka iti ake hoki te hiahia ki te moe. Waihoki, tera pea kāore ō ure e pakari, e roa, e puta pinepine mai rānei pērā i mua. Kōrerohia tēnei ki tō tākuta me te tuwhera.
Karere Tangohia ki te Kāinga
- He ingoa whakamataku te 'whakawete matū', engari e pā ana ki tētahi maimoatanga rongoā mō ngā mate pukupuku e whakawhirinaki ana ki ngā homoni.
- Ehara tēnei i te pokanga tuturu. Tērā pea ka hoki anō te mahi a te tinana ki te āhua noa i muri i te whakamutua o te maimoatanga.
- Ka whakaitihia e tēnei ngā taumata o ngā homoni ira tangata e āwhina ana i te tipu o ngā pūtau matepukupuku.
- Tērā pea ka puta ngā pānga taha, engari mā tō tākuta koe e āwhina ki te whakahaere i aua pānga.
- Kaua e mangere ki te kōrero ki tō tākuta mō ō wehi, ō ruarua, ō āwangawanga rānei. Nāu te tika.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te toto nui o te paheketanga / Menorrhagia?
He āhuatanga morearea te toto nui o te paheketanga, arā, ko te nui o te toto e puta mai ana i te wā paheketanga noa he tata ki te 30-40 ml, engari ki te rua/toru (neke atu i te 80 mL), me whakawhiti e koe tō paraikete/tampon i ia hāora, ki te nui ō toto toto (he nui ake i te moni rūpī), ā, ki te neke atu i te 7 ngā rā e toto ana koe, ka arahi pea tēnei ki te anemia, ā, ka tino pāngia te tūroro e te mate kino!
💬 He aha ngā tino take o te toto o te paheketanga (Menorrhagia)?
E whā ngā tino take o tēnei: 1) 'Ngā Fibroids Uterine' - Ahakoa ehara ēnei i te pukupuku matepukupuku, ka kore e taea e te kōpū te whakawhāiti, ā, ka nui te toto e puta mai ana (koinei te tino take). 2) Ngā Polyps Endometrial me te Adenomyosis. 3) Te kore taurite o ngā homoni (PCOS/thyroid). 4) Ngā koropiko whakamahere whānau iti (IUD) me te take tino morearea: 'Te Matepukupuku Endometrial/Cervical'.
💬 Ina nui te toto i te wā o te paheketanga, he aha ngā 'āhuatanga mōrearea/ohorere' e hiahia ana kia haria ki te hōhipera/whakaaturia ki te VOG me te kore e tango rongoā mai i te whare rongoā?
Ki te nui atu tō toto i tō tikanga mō te rā kotahi, e rua rānei, ka taea e koe te whakaatu ki te VOG (takuta wahine) i roto i ētahi wiki (mō te matawai ultrasound). Engari ko te mōrearea nui rawa atu! 1) Ki te puta he 'anemia nui / hypovolemic shock' i tēnei toto, 2) Ki te mamae tō puku (mamae nui o te pelvis), 3) Ki te pēnei te toto o te wahine hapu (mate whānau / ectopic), ka pakaru pea te kōpū, ā, ka mate pea te tūroro, nō reira me haria tonu ia ki te hōhipera!
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