Kua ngenge koe, kua ngoikore, ā, kua kore rawa he hiahia ki te moepuku i ēnei rā? I ētahi wā ka whakaaro tātou nā te pukumahi o te ao o ia rā ēnei mea, engari tera pea he rerekē te take i tō whakaaro. I tēnei rā ka kōrero tātou mō tētahi kaupapa tino nui ki ngā tāne, engari he maha ngā tāngata e kore e pai ki te kōrero. Ko te hekenga o te taumata o te homoni tāne testosterone i roto i te tinana, e kiia nei e te rongoā ko te `(Male Hypogonadism)`.
He kupu ngāwari noa iho, he aha te testosterone?
Whakaarohia te testosterone hei "hinu miihini" i roto i te tinana o te tāne. Ko tēnei homoni te mea matua e whakahaere ana i ngā āhuatanga tāne o te tāne. Ko te nuinga o te wā ka puta i roto i ngā hope.
Kia tirohia ētahi o ngā mahi matua a te homoni testosterone ki ō tātou tinana:
- Te pupuri i te whanaketanga me te mahi a ngā whekau tāne.
- Te whakawhanake me te pupuri i te kaha o ngā uaua o te tinana.
- Te pupuri i te kiato o te wheua.
- He mea nui mō te whakaputa parāoa (spermatogenesis).
- Te waihanga me te pupuri i te hiahia moepuku ('hihiri moepuku').
- Ka āwhina ki te pupuri i te taumata tika o ngā toto toto whero i roto i te tinana.
- Āwhina kia ora ai te hinengaro me te harikoa ('te wairua o te oranga').
I te nuinga o te wā, ka pai te whakahaere a tō tātou tinana i tēnei taumata testosterone. Ka teitei rawa tēnei taumata homoni i te ata, ā, ka heke haere i te roanga o te rā. Ko tēnei tukanga katoa e whakahaerehia ana e ngā wāhanga e rua o tō tātou roro e kiia nei ko te hypothalamus me te repe pituitary. He pūnaha whakahaere tino uaua tēnei. Mena he hapa iti kei roto i tēnei pūnaha, ka taea e ngā taumata testosterone te heke.
He aha ngā tohu o te iti o te testosterone?
Ka rerekē rawa ngā tohu o tēnei mate i ia tangata, i ia tangata. Ka rerekē ēnei tohu, inā koa i te pakeketanga. Tērā ētahi tohu ka ara ake te whakapae ina kite koe i a rātou.
| Momo tohu | Whakaahuatanga |
|---|---|
| Ngā āhuatanga me tino whakapaetia |
|
| Ētahi atu āhuatanga noa |
|
He aha te pānga o tēnei āhuatanga ki ngā tamariki nohinohi?
Mena ka heke te taumata testosterone o te tama i mua atu, i te wā rānei o te pakeketanga, ka kitea pea ēnei tohu:
- Te whakaroa i te tere o te piki teitei.
- Te whakaiti i te tupu o ngā huruhuru i ngā wāhi tūmataiti.
- Te hekenga o te whanaketanga o ngā whekau ira tangata.
- Te whakaroa i te hōhonutanga o te reo.
- Te korenga o te kaha e tika ana mō te pakeketanga.
Mena kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu, he mea nui kia kōrero koe ki te tākuta, kaua e whakahē i a rātou he "mea ka puta noa i a koe e pakeke haere ana".
He aha i heke ai ēnei taumata testosterone?
He maha ngā take mō tēnei. Ki te whakarapopoto, ka taea e tātou te wehewehe i ēnei take kia rua ngā wāhanga matua. Whakaarohia te testosterone hei hua e hangaia ana i roto i tētahi wheketere (i roto i ngā porotiti). Ka tukuna ngā ota ki a ia mai i te 'tari matua' (ngā pokapū whakahaere i roto i te roro).
1. Te Hypogonadism Tuatahi: Kei konei te raru kei te "wheketere" e hanga ana i te testosterone, arā, i roto i ngā testicles . Ahakoa te maha o ngā tohu e puta mai ana i te roro, kāore e taea e ngā testicles te whakaputa i te homoni i te nui e hiahiatia ana.
2. Te Hypogonadism Tuarua: Kāore he raruraru ki ngā porotiti i konei. Kei te "tari matua" te raruraru. Ara, nā te hapa o te hypothalamus, te pituitary rānei i roto i te roro , kāore ngā tohu e hiahiatia ana hei hanga homoni e haere tika ana.
Nā, kia tirohia ngā take e pā ana ki ia momo.
1. Ngā raruraru o te kōpū (Te Hypogonadism Tuatahi)
- Ngā āhuatanga whānau:
- Te mate a Klinefelter: He rerekētanga ira tangata tēnei.
- Kāore ngā rae i te whānautanga mai (anorchia) kāore rānei e heke iho i te puku (ngā rae kāore i heke iho).
- Ngā āhuatanga e whai ake nei:
- Ngā aituā ki ngā rakuraku, te tango pokanga rānei i aua rakuraku.
- Te pupuhi o ngā rakuraku (orchitis) nā te mate huaketo pērā i te repe .
- Te rongoā matū, te rongoā irahiko rānei mō te mate pukupuku.
- Te whakamahinga o ētahi steroids anabolic mō te hanga tinana.
2. Ngā raruraru e pā ana ki ngā pokapū whakahaere o te roro (Te Hypogonadism Tuarua)
- Ngā āhuatanga whānau:
- Te mate Kallmann: He mate ira onge tēnei.
- Te mate Prader-Willi.
- Ngā āhuatanga e whai ake nei:
- Ngā pukupuku , ngā pakaru rānei o te repe pituitary.
- Ngā mate urutā pēnei i te HIV/AIDS .
- Ngā mate pūmau pērā i te cirrhosis o te ate, te ngoikore rānei o te whatukuhu.
- Te mate huka kāore i te whakahaeretia (Te mate huka momo 2) .
- Te momonatanga .
- Te apnea moe aukati (he āhuatanga uaua ki te manawa e pā ana ki te ngongoro).
- Te inu nui rawa i te waipiro .
- Ko ētahi rongoā , inā koa ko ngā opioid, ngā rongoā whakamamae mamae me ngā rongoā homoni mō te mate pukupuku.
Ka heke haere ngā taumata testosterone i te pakeketanga o ngā tāne. Ko te ingoa o tēnei ko te 'Late-onset hypogonadism (LOH).' He nui ake te kitea o tēnei mate i roto i te hunga taumaha rawa, i te hunga mate huka rānei.
Me pēhea koe e mōhio ai mēnā kei a koe tēnei āhuatanga?
Mena kei a koe ēnei tohu, ka tirohia koe e tō tākuta, ka pātai atu mō tō hītori hauora, ā, ka pātai atu hoki mō ngā rongoā e tangohia ana e koe. Kātahi ka whakahaerehia e rātou ētahi whakamātautau, ko te nuinga he whakamātautau toto , hei whakaū i te mate.
1. Te Taumata Testosterone Katoa: Koinei te whakamātautau tino nui. Me mahi tēnei i waenga i te 8 me te 10 i te ata , nā te mea koinei te wā e tino teitei ai ngā taumata testosterone. He pai ake te mahi i tēnei whakamātautau i ngā rā e rua.
2. Ngā taumata o te homoni Luteinizing (LH): Nō te repe pituitary tēnei homoni. Mā te titiro ki ōna taumata, ka taea e koe te mōhio mēnā kei roto i ngā porotiti te raruraru, kei roto rānei i ngā pokapū whakahaere i roto i te roro.
3. Ngā taumata prolactin: Mena ka teitei ake tēnei homoni, he tohu pea tēnei kei te raru te repe pituitary.
I mua i te whakamātautau toto, me kōrero ki tō tākuta mēnā kua pāngia koe e te mate pēnei i te makariri, te rewharewha rānei, nā te mea ka taea e ētahi āhuatanga hauora te whakaiti i te taumata testosterone mō te wā poto.
He aha ngā maimoatanga mō tēnei?
Mena ka whakaūtia te iti o te taumata testosterone, ko te maimoatanga matua ko te Testosterone Replacement Therapy (TRT) . Arā, ka hoatu te homoni testosterone ki te tinana i waho. He maha ngā tikanga mō tēnei.
- Ngā kirimi kiri: He kirimi e pania ana ki te kiri. Me pania i ia rā ki te kiri ma, maroke. I muri i te paninga o ēnei, me tūpato kia kaua e pā ki te kiri o ētahi atu, inā koa ko ngā wāhine me ngā tamariki.
- Werohanga: Ka tukuna ngā werohanga ki roto i te uaua i ia 1-2 wiki, i ia wā, neke atu rānei.
- Pāti: He pāti e pania ana ki te kiri i ia rā.
- Ngā Pēneti: Ka whakatōkia he matū iti rite ki te pēneti ki raro i te kiri. Ka tukuna ngā homoni mō te 3-6 marama.
- Testosterone ā-waha: He pire e taunakitia ana mō ētahi āhuatanga hauora motuhake anake.
Mā tō tākuta e whiriwhiri te tikanga maimoatanga e tino tika ana māu mai i ēnei maimoatanga.
Ka taea e te katoa te whiwhi i tēnei maimoatanga?
Kāo. Kāore e pai te rongoā Testosterone mō ētahi tāngata, inā koa mēnā kei a rātou ēnei āhuatanga e whai ake nei:
- Te mate pukupuku o te repeure.
- Te mate pukupuku o te ū.
- Ngā mate ngakau kāore i te whakahaeretia ('Te ngoikore o te ngakau').
- Te apnea moe aukati kāore i rongoatia.
Nō reira, ka āta tirohia tēnei e tō tākuta i mua i te tīmatanga o te maimoatanga.
He pānga taha kei te rongoā?
Āe. Pērā i tētahi atu maimoatanga, ka pā mai pea ētahi pānga taha ki tēnei.
- He kiri hakihaki, he kiri hinuhinu rānei.
- Te pupuhi o te pona waewae.
- He uaua ki te mimi.
- Te whakanui, te mamae rānei o ngā ū.
- Ngā porotiti iti.
- Te whakaiti i te hanga parāoa (he mea nui tēnei mō ngā tāne taitamariki e tumanako ana ki te whānau tamariki).
- Te pikinga ake o te maha o ngā toto toto whero i roto i te toto.
Nō reira, he mea nui kia kite i tō tākuta i ia wā, kia whai hoki i ngā whakamātautau e tika ana i te wā e rongoatia ana. Ka aroturuki tonu ia i ēnei pānga taha.
He aha te mea ka taea te mahi hei ora i tēnei āhuatanga?
Ahakoa kāore e taea e tātou te ārai i ngā mea pēnei i ngā āhuatanga ira, ka taea e tātou te pupuri i ngā taumata testosterone hauora mā te whakarerekē i ō tātou momo noho.
- Kai hauora: He mea nui kia kai i te kai taurite.
- Whakakorikori Tinana: He tino whai hua te hiki taumaha me te whakangungu wā roa (HIIT).
- Kia mau ki te taumaha hauora: Ko te momona tetahi o ngā take nui e whakaheke ana i ngā taumata testosterone.
- Moe pai: He mea nui kia moe pai mō te 7-8 hāora ia rā.
- Te whakaiti i te ahotea: Ka taea e te ahotea nui te whakanui ake i te homoni cortisol me te whakaheke i ngā taumata testosterone.
- Te whakawhāiti i te whakamahinga o te waipiro me te tarukino.
He tino pai ēnei mea mō tō hauora whānui.
Karere Tangohia ki te Kāinga
- He mate hauora te iti o te testosterone ka pā ki ngā tāne o ngā tau katoa. Kaua e whakakorea ngā tohu pēnei i te ngenge me te heke o te hiahia moepuku hei "wāhanga noa iho o te koroheketanga."
- Ki te mea kei a koe ēnei tohu, kaua e whakamā, me kōrero ki te tākuta. Mā te whakamātautau toto noa ka taea te whakaū mēnā kei a koe tēnei mate.
- Ka tino whai hua, ka tino haumaru hoki te rongoā whakakapinga testosterone (TRT) ina tukuna i raro i te tirotiro a te tākuta whai tohu.
- Kaua rawa e whakamahi i te testosterone, i ētahi atu steroids rānei me te kore he tohutohu hauora, ahakoa mai i te ipurangi, i te whare takaro rānei. Ka pā mai pea he raruraru hauora nui.
- Mā te pupuri i tētahi momo noho hauora (kai pai, whakakori tinana, moe) ka āwhina nui ki te pupuri i te taurite o ngā taumata homoni.
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