Kei te whakaaro koe he iti tō testosterone? Me ako tātou mō tēnei huringa o te tinana tāne (Male Hypogonadism)!

Kei te ngenge koe i ētahi wā, kāore he hiahia ki tetahi mea, he pātai iti rānei mō ētahi mea e pā ana ki te tānetanga? Tērā pea ko te take o tēnei he hekenga o te homoni testosterone i roto i tō tinana. I tēnei rā, ka kōrero tātou mō tēnei hekenga o ngā taumata testosterone , e kiia nei e ngā tākuta, he āhuatanga e kiia nei ko te Male Hypogonadism . Kaua e manukanuka, he mea tēnei ka pā ki te tini o te tangata, ā, he maimoatanga anō hoki mōna.

He aha te tikanga o te iti o te testosterone?

Ki te kī māmā noa, ko te iti o te testosterone ko te tikanga kāore ō testicles (ngā repe e whakaputa ana i te parāoa i roto i ngā tāne) e whakaputa ana i te nui o te testosterone. Hei whakamārama, ko tēnei testosterone ka whakaputaina e ngā pūtau Leydig i roto i ngā testicles.

Ka rerekē pea ngā tohu o tēnei mate i ngā tau rerekē. Waihoki, ka heke haere ngā taumata testosterone i te pakeketanga o ngā tāne. E kiia ana tēnei e ētahi atu ingoa, hei tauira:

• Te mate ngoikore o te testosterone
• Te korenga o te testosterone
• Te hypogonadism tuatahi
• Te hypogonadism tuarua

He aha te hiranga o te testosterone?

Ko te testosterone te homoni tāne tino nui. He mea nui mō te whanaketanga o ngā āhuatanga tāne me te whakaputanga o te parāoa (spermatogenesis). He nui ake ngā taumata testosterone i roto i te tinana o ngā tāne i ngā wāhine.

Ka āwhina te testosterone ki te pupuri me te whakawhanake i ēnei mea i roto i te tinana tāne:

• Ngā ira tangata
• Rahi o te uaua
• He taumata toto whero hauora
• Te mātotoru o te wheua
• Hauora hinengaro pai
• Te mahi ā-ira me te mahi whakaputa uri

I te nuinga o te wā, ka whakahaeretia e ō tātou tinana te taumata o te testosterone i roto i ō tātou toto. Ka teitei rawa i te ata, ā, ka heke haere i te roanga o te rā.

Ko te hypothalamus me te pituitary gland i roto i tō roro e whakahaere ana i te nui o te testosterone ka whakaputaina me te tukuna e ō testicles.

Ka tukuna e te hypothalamus te homoni tuku gonadotropin (GnRH) . Mā tēnei ka tohu te repe pituitary kia tukuna te homoni luteinizing (LH) . Kātahi ka haere te LH ki ngā testicle hei whakaoho i te hanga testosterone. Ka tukuna hoki e te repe pituitary te homoni whakaoho follicle (FSH) hei āwhina i te whakaputa parāoa.

Nō reira, ki te mea he raruraru kei ō huakita, kei te hypothalamus, kei te pituitary rānei, ka heke pea ō taumata testosterone.

He aha te taumata e kiia ana he "testosterone iti"?

E ai ki te American Urology Association (AUA), ka kiia he iti te taumata testosterone i roto i te toto o te pakeke mēnā he iti iho i te 300 nanograms ia deciliter (300 ng/dL).

Heoi, kāore ētahi kairangahau me ngā tākuta e tino whakaae ki tēnei whakaaro. E whakapono ana ētahi he iti te taumata o te testosterone i raro iho i te `250 ng/dL`. Heoi anō, ka tino whakaarohia e ngā tākuta ō tohu ina whakatau ana mēnā he iti tō testosterone.

Ko wai kei te nui ake te mōrearea o tēnei hekenga o te testosterone?

Ka pā tēnei mate ki ngā tāne o ngā tau katoa, mai i te whānautanga ki te pakeketanga.

Heoi, he nui ake te tūponotanga o ēnei tāngata ki te pāngia e te iti o te testosterone:

• Mō ngā kaumātua
• Mō te hunga momona rawa (tino momona)
• Mō te hunga kāore i te tino pai te whakahaere i te mate huka momo 2
• Mō te hunga e pāngia ana e te apnea moe aukati
• Ngā tāngata whai mate pūmau pēnei i te ngoikore o te whatukuhu me te cirrhosis o te ate
• Mō te hunga e ora ana me te HIV/AIDS

He pēhea te noa o tēnei āhuatanga?

He uaua ki ngā kairangahau te kī tika i te nui o te testosterone iti, nā te mea he rerekē te whakamāramatanga a ngā rangahau rerekē i te "testosterone iti".

E ai ki ētahi raraunga, tae atu ki te 2% o ngā tāne ka pāngia e tēnei mate. E kī ana ētahi atu rangahau he iti ake te taumata testosterone o te neke atu i te 8% o ngā tāne i waenga i te 50 me te 79 tau te pakeke.

He aha ngā tohu o te iti o te testosterone?

Ka rerekē ngā tohu o te iti o te testosterone i ia tangata, i ia tangata, inā koa i runga i te tau.

Ngā tohu i roto i ngā tāne pakeke

Mena kei a koe ēnei tohu, he nui te tūponotanga he iti tō testosterone:

• Te hekenga o te hiahia moepuku
• Te ngoikore o te ure
• Te ngaro o te huruhuru i roto i ngā kēkē me ngā wāhi tūmataiti
• Te whakaiti i te pūkahukahu
• Ngā mura wera
• Te iti, te kore rānei o te maha o ngā parāoa (Azoospermia), ka uaua ai te haputanga.

Ko ētahi atu tohu pea ko:

• Te pouri (te mate hinengaro)
• He uaua ki te arotahi me te maumahara
• Te nui haere o te ngako tinana
• Te whakanui ake i ngā ū tāne (Gynecomastia)
• Te kaha me te rahi o te uaua kua heke
• Te iti o te manawanui o te tinana

Ngā tohu i roto i ngā tamariki (i mua atu, i te wā rānei o te pakeketanga)

Mena ka heke te taumata testosterone o te tamaiti i mua atu, i te wā rānei o te pakeketanga, ka pāngia pea ia e ngā tohu pēnei i:

• He puhoi te tipu o te teitei, engari ka roa ake pea ngā peka me ngā waewae i ērā atu wāhanga o te tinana.
• Te hekenga o te tupu o ngā huruhuru i te wāhi tūmataiti.
• Te hekenga o te tipu o ngā whekau me ngā whekau.
• Te whakaiti i te hōhonutanga o te reo.
• Te hekenga o te kaha me te manawanui e pā ana ki te koroheketanga.

He aha ngā take o te iti o te testosterone?

He maha ngā take e heke ai ngā taumata testosterone. E rua ngā wāhanga matua o tēnei āhuatanga:

1. Te ngoikore o te kōpū tuatahi: Ka puta tēnei i te raruraru o ngā porotiti.

2. Te hypogonadism tuarua: Ka puta tēnei i te kore mahi tika o te repe pituitary, te hypothalamus rānei i roto i te roro.

Ka taea e ēnei momo e rua te puta mai i ngā take whānau mai, i ngā take kua riro mai rānei i muri mai (i te tamarikitanga, i te pakeketanga rānei).

Ngā take o te hypogonadism tuatahi

Ko te mea ka tupu i tēnei kēhi, he raruraru kei ngā poro, e kore ai e taea e rātou te whakaputa i te testosterone i te tikanga noa.

Ko tētahi atu ingoa mō tēnei ko te hypergonadotropic hypogonadism . Koinei te wā e nui ake ai te whakaputanga a te repe pituitary i ngā homoni LH me FSH (e mōhiotia ana ko ngā gonadotropins) nā te iti o te testosterone. I te nuinga o te wā, ina teitei ēnei homoni, ka kīia ki ngā testicles kia nui ake te hanga testosterone me te parāoa. Heoi, ki te pakaru ngā testicles (he maha ngā wā nā te chemotherapy mō te mate pukupuku) ki te ngaro rānei ngā testicles, kāore e taea e rātou te aro atu ki ēnei gonadotropins kua piki ake. Nō reira, he iti noa iho, he kore rānei e puta te testosterone me te parāoa.

I ētahi wā i roto i te hypogonadism tuatahi, ka piki ake pea ngā taumata gonadotropin ahakoa kei roto i te awhe noa ngā taumata testosterone. Mā tō tākuta tēnei e whakamārama ki a koe, me te whakamārama anō hoki mēnā he mea tika te maimoatanga ahakoa he noa te testosterone.

Ngā take whānautanga:

• Te ngaro o ngā poro i te whānautanga (Anorchia)
• Te mate cryptorchidism (te korenga o ngā testicles e heke iho i te scrotum)
• Te whanaketanga kore oti o ngā pūtau Leydig i roto i ngā testicle (te ngoikore o te pūtau Leydig)
• Te mate a Klinefelter (ka whānau mai ngā tāne me te ira X tāpiri hei utu mō te XY - XXY)
• Te mate Noonan (he āhuatanga ira onge, ka taea te whakaroa i te pakeketanga, te kore e heke iho ngā hua manu, te kore tamariki rānei)
• Te ngoikore o te uaua (he rōpū mate ngoikore o te uaua tuku iho)

Ngā take i riro mai:

• Te whara, te tango rānei i ngā rauropi.
• Te mumura o tētahi, o ngā porotiti e rua rānei (orchitis). He maha ngā wā ka puta mai i te mate kitakita (hei tauira, ngā mate tuku iho i te taatai), ka taea rānei te puta mai i te mate huaketo pērā i te repe.
• Te hoatu i te chemotherapy, i te radiation therapy rānei ki ngā kōpū.
• Ētahi momo mate pukupuku.
• Te whakamahinga o te steroids anabolic.

Ngā take o te hypogonadism tuarua

Ko te hypogonadism tuarua ka puta mai i ngā āhuatanga e pā ana ki te mahi a te hypothalamus me/ranei te pituitary gland. Ka kiia tēnei ko te hypogonadotropic hypogonadism.E kiia ana hoki ko te "testosterone iti" nā te mea he iti ngā taumata o ngā homoni `LH` me `FSH` i konei. Ka heke te hanga testosterone me te parāoa i roto i ēnei taumata iti.

Ngā take whānautanga:

• Te hypogonadism hypogonadotropic motuhake (ngā taumata GnRH iti mai i te whānautanga)
• Te mate Kallmann (he āhuatanga ira onge, te korenga o te whanaketanga o ngā pūtau io i roto i te hypothalamus e whakaputa ana i te GnRH. Tērā pea ka ngaro te hongi)
• Te mate Prader-Willi (he mate ira maha-pūnaha onge ka taea te whakararu i te mahi a te hypothalamus)

Ngā take i riro mai:

• Te hypopituitarism (ka puta pea tēnei i te pukupuku pituitary (adenoma), te mate, te whara, te rongoā irahiko, te pokanga rānei)
• Hyperprolactinemia (te pikinga o te taumata o te homoni prolactin)
• Te nui rawa o te rino i roto i te tinana (Hemochromatosis)
• Te whara o te roro, te whara o te upoko rānei
• Te mate a Cushing
• Te mate ate
• Te ngoikore o te whatukuhu
• HIV/AIDS
• Te mate whakamahi waipiro
• Te mate huka kāore i te pai te whakahaere
• Te momona rawa (te momona rawa)
• Te apnea moe aukati
• Ko ētahi rongoā (hei tauira, te estrogen, ngā rongoā whakarerekē i te wairua, te metoclopramide, ngā opioid, ētahi rongoā mō te matepukupuku prostate)

Ko te hypogonadism tīmatanga-mutunga (LOH) he momo hypogonadism tuarua e puta ana i te koroheketanga noa. I te pakeketanga o ngā tāne, ka heke te hanga testosterone me/ranei te hanga parāoa nā te ngoikore o te mahi hypothalamic-pituitary me te mahi pūtau Leydig.

He mea noa te LOH me te iti o te testosterone i roto i ngā tāne he mate huka momo 2, he taumaha rawa, me/te momona rānei.

I roto i tētahi rangahau, 30% o ngā tāne taumaha rawa he iti te taumata testosterone, ki te whakaritea ki te 6% anake o ngā tāne taumaha noa. I roto i tētahi atu rangahau, 25% o ngā tāne he mate huka momo 2 he iti te taumata testosterone, ki te whakaritea ki te 13% anake o ngā tāne kāore he mate huka.

Me pēhea koe e tino mōhio ai mēnā he iti tō testosterone?

Mena kei a koe ngā tohu o te iti o te testosterone, ka tirotirohia e te tākuta tō tinana. Ka pātai atu hoki rātou ki a koe mō tō hītori hauora, ngā rongoā e tangohia ana e koe, kua tangohia rānei e koe, mēnā kei te momi hikareti koe, me ngā tohu o nāianei. Kātahi ka whakaritea e rātou ētahi whakamātautau toto.

Hei whakatau i te mate, ka whakaarohia e te tākuta ō tohu me ngā hua o te whakamātautau toto.

He aha ngā momo whakamātautau e mahia ana?

Ka taea e ēnei whakamātautau te āwhina i te whakaū i te iti o te testosterone me te kimi i te take:

• Whakamātautau toto taumata testosterone katoa: I te nuinga o te wā, me tango toto e rua i waenga i te 8 me te 10 i te ata, koinei te wā e tino teitei ai ngā taumata testosterone. Me kōrero koe ki tō tākuta mēnā kua pāngia koe e te mate, kua ora rānei i tētahi mate. Mēnā ka puta he āhuatanga ohorere, tera pea he iti rawa ngā hua.
• Whakamātautau toto mō te homoni Luteinizing (LH): Mā tēnei ka āwhina ki te whakatau mēnā he raruraru kei te repe pituitary te take o te iti o te testosterone.
• Whakamātautau toto mō te prolactin: Ko ngā taumata prolactin teitei he tohu pea nō te raruraru, nō te pukupuku rānei i roto i te repe pituitary.

He aha te rongoā mō te iti o te testosterone?

Ka rongoāhia e ngā tākuta te iti o te testosterone mā te Testosterone Replacement Therapy (TRT) . He maha ngā huarahi hei mahi i tēnei:

• Heri Testosterone (e pania ana ki te kiri): Me pania tēnei heri i ia rā ki te kiri ma, maroke hoki, e ai ki ngā tohutohu a tō tākuta. Ko te mea nui, kaua e tukua te heri kia pā ki tētahi atu mā roto i te kiri. Koinei te tikanga e whakamahia whānuitia ana i te Hononga o Amerika.
• Werohanga testosterone ā-uaua: Ka taea e koe, e te tākuta rānei te werohanga i tēnei ki roto i te uaua i ia 1-2 wiki. Tērā anō hoki ngā werohanga testosterone roa-mahi ka hoatu i ia 10 wiki. Tērā anō hoki ngā werohanga kiri raro i te kiri ka hoatu i raro i te kiri.
• Pākete Testosterone (pākete kiri): Me pania tēnei pākete ki te kiri i ia rā, e ai ki ngā tohutohu a tō tākuta. Me huri te wāhi paninga i ia wā, i ia wā, hei ārai i ngā uruparenga kiri.
• Ngā pire testosterone (i raro i te kiri): Ka whakatōngia ēnei pire e te tohunga ki raro i te kiri mō te toru ki te ono marama. Ka whakaratohia e ēnei he horopeta pumau o te testosterone mō te wā roa.
• Papa testosterone waha: He papa piri ēnei e whakatakotoria ana ki ngā kapia e rua i te rā. Ka tere te mimiti o te testosterone ki roto i te toto mā roto i ngā kapia.
• He hinu ihu Testosterone: Me pania tēnei hinu ki ngā pongaponga e rua, kia toru ngā wā i te rā.
• Testosterone ā-waha: Ka hoatu he momo testosterone e kiia nei ko te undecanoate ki ngā tāne he iti te testosterone nā ētahi āhuatanga hauora, pērā i te mate Klinefelter, i ngā pukupuku rānei kua pakaru te repe pituitary.

Heoi, kāore pea koe e whiwhi i te rongoā whakakapinga testosterone mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei i roto i tō hītori:

• Te mate pukupuku o te repeure.
• He puku repeure kāore anō kia tirohia. (Me tirotirohia te repeure o te katoa i mua i te tīmatanga o te rongoā testosterone.)
• Te mate pukupuku o te ū.
• Te ngoikore o te ngākau kāore i te whakahaeretia.
• Te apnea moe aukati kāore i rongoatia.

He aha ngā pānga taha o te rongoā whakakapinga testosterone?

Ko ngā pānga taha o tēnei maimoatanga ka pā mai pea ēnei:

• He kiri ngawari ki te hakihaki, he kiri hinuhinu rānei.
• Te pupuhi o te pona waewae nā te iti o te wai e kohia ana i roto i te tinana.
• Ngā tohu pēnei i te uaua ki te mimi nā te whakaohooho o te repeure.
• Te whakanui, te mamae rānei o ngā ū.
• Te kino haere o te apnea moe.
• Ngā porotiti iti.
• Ki te whakamahia e koe te testosterone e pania ana ki te kiri, ka pāngia pea koe e te mākati me te mumura o te kiri.

Ngā panonitanga ka kitea i roto i ngā pūrongo taiwhanga:

• Te pikinga o te pūmua motuhake-prostate (PSA).
• Te pikinga o te maha o ngā toto toto whero.
• He iti te maha o ngā parāoa, ka hua ake te kore tamariki (te kore e taea te whānau tamariki). He mea nui rawa tēnei mō ngā tāne taitamariki e ngana ana ki te whānau tamariki.

Ka taea te ārai i te hekenga o te testosterone?

Kāore anō kia mōhiotia e ngā tākuta me ngā kairangahau tētahi huarahi hei ārai i te hekenga o te testosterone, ahakoa nā ngā take ira, nā te kino rānei o ngā huakita, te hypothalamus, te pituitary gland rānei.

Heoi, mā ēnei momo āhua noho ka āwhina i te pupuri i ngā taumata testosterone kia noa:

• Te kai i tētahi kai hauora.
• Te whakakorikori tinana.
• Te whakahaere i te taumaha.
• Āta karohia te whakamahi nui i te waipiro me te tarukino.

He aha ngā mea ka puta mēnā he iti tō testosterone? He aha ngā mea ka taea e koe te tumanako?

Kāore he otinga kotahi e pai ana mō te iti o te testosterone. Heoi, mā te haere tonu me te tika o te rongoā whakakapinga homoni, ka taea e koe te whakapai ake i tō hiahia moepuku, te whakaiti i ngā tohu o te pouri, me te whakanui ake i tō pūngao. Ka taea hoki e te maimoatanga te whakanui ake i te papatipu uaua me te kiato o te wheua.

He nui ake te mate o ngā tāne he ngoikore te testosterone i ngā tāne he noa ō rātou taumata testosterone. Heoi, kāore i te mārama mēnā ka whakaitihia tēnei pikinga o te mate e te whakahokinga o ngā taumata testosterone ki ngā taumata noa. Ko te nuinga o te maimoatanga e aro ana ki te whakahaere i ngā tohu, kaua ki te aro ki ngā taumata testosterone.

Mēnā he whānautanga o te hypogonadism, ka āwhina te rongoā whakakapinga testosterone ki te ārai i ngā raruraru e pā ana ki te roa o te pakeketanga.

Āhea koe me toro atu ki te tākuta mō te iti o te testosterone?

Mena kei te tango koe i te rongoā whakakapinga homoni, he mea tino nui kia toro atu koe ki tō tākuta i ia wā mō ngā tirotiro hauora.

Mena kei a koe ngā tohu o te iti o te testosterone, pērā i te heke o te hiahia moepuku, te werawera rānei, kōrero ki te tākuta. Māna koe e tirotiro, ā, ka whakahau kia whakamātauria he toto.

Ki te kore e whakaatuhia e tāu tamaiti ngā tohu o te pakeketanga i te 14 o ōna tau, kōrero ki tana tākuta tamariki.

He tokomaha te hunga e whakahē ana i ngā tohu o te iti o te testosterone hei wāhanga noa o te koroheketanga. Heoi, ki te mea he tohu kei a koe e pā ana ki tō kounga o te oranga, he mea tika kia aro atu koe ki tēnā. Ki te mea kei te pāngia koe e ngā tohu whakararuraru o te iti o te testosterone, tirohia he tākuta hei matapaki i ngā kōwhiringa maimoatanga.

Ko te mea nui hei maumahara māu i tēnei tuhinga (Karere hei tango māu i te kāinga)

He āhuatanga ka pā ki ngā tāne te iti o te testosterone. Ka taea e ia te whakararu i ngā momo raruraru tinana me te hinengaro. Ko te mea pai ko te kaua e mataku, e whakama rānei mō tēnei mea, engari me rapu tohutohu hauora. Ki te pāngia koe e ngā tohu, kaua e whakakorea he koroheketanga noa iho.

Mā te tātaritanga tika me te maimoatanga tika, ka taea e koe te noho pai. Kia maumahara, kāore koe i te mokemoke, ā, kei te wātea te āwhina.

Testosterone , ngā homoni tāne, te ngoikore o te roro, te hauora ā-ira tangata, te whakaora homoni, te hauora o ngā tāne, te korenga o te kaha