Hari igihe abagabo bacu bumva bananiwe, bananiwe, cyangwa bafite izindi ngorane z'ubuzima, bityo abaganga bashobora kubabwira bati: "Ufite testosterone nkeya." Hanyuma bashobora kukugira inama yo gutera testosterone. Rero, ushobora kumva ufite ubwoba gato iyo ubyumvise, si byo se? Ariko ntugahangayike. Uyu munsi, turaganira kuri uru rushinge rwa testosterone, ni ukuvuga uru rushinge, mu buryo burambuye kandi bworoshye.
Testosterone ni iki? Kuki uru rushinge rutangwa?
Reka tubanze turebe icyo testosterone ari cyo n'impamvu iyi nkingo itangwa.
Muri make, testosterone ni imisemburo y'ingenzi cyane ikorerwa mu mibiri yacu, cyane cyane ku bagabo. Iri mu itsinda
rya androgen hormones. Iyi hormone ya testosterone igira ingaruka ku bintu byinshi ku mugabo, nko guhinduka kw'ijwi, gukura kw'imitsi, imbaraga z'imibonano mpuzabitsina, no gukura k'umusatsi. Tekereza, rimwe na rimwe, bitewe n'impamvu zitandukanye z'ubuvuzi, ingano ya testosterone ikorwa mu mubiri w'abagabo bamwe ishobora kugabanuka. Ni bwo abaganga bakoresha iyi nkingo ya testosterone kugira ngo bagarure urugero rwa testosterone mu mubiri ku rwego rwiza. Iboneka ku isoko ku mazina atandukanye, urugero, `Andro-LA`, `Aveed`, `Delatestryl`, `Depo-Testosterone`, `Virilon`. Ariko, hari igihe uyu muti ukoreshwa no ku bindi bintu. Niba ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umufarumasiye (umuntu wo muri farumasi) kugira ngo umenye byinshi.
Ni iki nabwira muganga wanjye mbere yo gutangira uyu muti?
Mbere yo gutangira gufata inshinge za testosterone,
hari ibintu bike by'ingenzi ugomba kubwira muganga wawe cyangwa umuforomo. Ibi bintu bishobora kudakora kuri uyu muti, cyangwa ushobora gukenera kwitabwaho byihariye. Rero menya neza ko ubabwira ibi bintu:
- Niba urwaye kanseri .
- Niba urwaye diyabete .
- Niba ufite indwara y'umutima .
- Niba ufite indwara y'impyiko .
- Niba ufite indwara y'umwijima .
- Niba ufite indwara y'ibihaha .
- Kuri woweNiba ufite indwara ya prostate (agahu ku bagabo).
- Niba waragize ikibazo kidasanzwe cya ubwivumbure kuri testosterone , indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
- Niba umukunzi wawe w'umugore atwite cyangwa agerageza gutwita.
- Niba umukunzi wawe w'umugore ari umubyeyi wonsa.
Niba hari kimwe muri ibi kikureba, vugana na muganga wawe kugira ngo agufashe gutegura uburyo bwo kuvura bukunogeye.
Utanga uru rushinge ute?
Testosterone itangwa
nk'urushinge, ni ukuvuga mu mitsi. Akenshi, itangwa mu bitaro cyangwa mu ivuriro na muganga cyangwa umuforomo. Ni gake cyane kukubwira kuyifata mu rugo. Nanone, farumasi aho ugurira umuti izaguha
agapapuro k'amabwiriza yihariye (`MedGuide`) kuri buri muganga, kandi igihe cyose uhawe ubuvuzi.
Ni ngombwa cyane gusoma aka gapapuro witonze. Karimo amakuru menshi yerekeye umuti, uko ukoreshwa, n'ingaruka mbi zishobora kubaho.
Bite se niba ibi bikoreshejwe ku bana?
Uyu muti rimwe na rimwe ushobora guhabwa abana bafite imyaka 12 mu bihe bimwe na bimwe. Ariko, ibi bikorwa gusa ku mpamvu zihariye z'ubuvuzi, kandi
hari ingamba zihariye zo kwirinda. Kubwibyo, niba uha umwana uyu muti, ugomba kubiganiraho na muganga wawe no gukurikiza amabwiriza ye.
Bite ho iyo mfashe imiti myinshi? (Ingano irenze urugero)
Niba ubona ko wafashe uyu muti urenze urugero,
hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse. Ntugatinye, kandi ukore ibyo bakubwira gukora.
Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugahe undi muntu uwo ari we wese uyu muti ku mpamvu iyo ari yo yose, kabone n'iyo yaba afite ibimenyetso nk'ibyawe. Kubikora bishobora guteza akaga.
Wakora iki niba wabuze dose?
Ni ingenzi cyane gufata uru rushinge ku gihe.
Ntucikwe n'umuti niba bishoboka. Muganga wawe cyangwa ivuriro bazakubwira igihe urushinge rwawe rutaha ruzaba rugeze. Niba udashobora kujyayo ku munsi wagenwe,
bimenyeshe ako kanya. Ese hari indi miti (Imiti ikoreshwa mu gutera umuti) idahuye n'uyu muti?
Yego, hari imiti imwe ishobora guteza ibibazo iyo ifashwe hamwe n'uru rushinge rwa testosterone. Ni ukuvuga ko umuti umwe ushobora kugira ingaruka ku mikorere y'undi. Kubwibyo, niba ufata iyi miti, menya neza ko wabibwiye muganga wawe:
- Imiti ivura diyabete
- Imiti ihagarika cyangwa igategeka kuvura amaraso , nka Warfarin .
- Oxyphenbutazone
- Propranolol
- Imiti yo mu bwoko bwa steroid, nka Prednisone cyangwa Cortisone .
Uru rutonde ni rwo rw'ingenzi cyane.
Bwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti idatangwa na muganga, imiti y'ibimera, n'inyongeramusaruro. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka kuri uyu muti.
Ni izihe ngamba zihariye zigomba gufatwa mu gihe ufata uyu muti?
Hari ibintu bike ugomba kwitondera mugihe ufata uru rushinge rwa testosterone.
- Jyana na muganga wawe buri gihe: Muganga wawe azagusuzuma buri gihe kugira ngo arebe aho ubuvuzi bwawe bugeze no gupima amaraso kugira ngo arebe neza ko urugero rwa testosterone yawe ruri ku rugero rukwiye. Rero menya neza ko ujya mu ma santere yawe buri gihe.
- Ingaruka zo gutera umutima n'indwara zo gucika kw'imitsi: Uyu muti wemejwe gusa ku bagabo bafite testosterone nkeya bitewe n'indwara zimwe na zimwe. Hari raporo zerekana ko ibyago byo gutera umutima no gucika kw'imitsi byiyongera iyo ukoresha uyu muti. Kubwibyo, niba ugize ibimenyetso nko kugorwa no guhumeka, guhindura amaso, urujijo, kubabara mu gituza cyangwa gufungana, kubabara ukuboko gutunguranye, kuribwa umutwe gukomeye, kutavuga cyangwa gusobanukirwa, kubura ibisebe cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, cyangwa kubura uburinganire mu gihe ugenda, hamagara muganga wawe ako kanya maze ubone ubuvuzi bwihutirwa. Vugana na muganga wawe ku ngaruka n'inyungu z'uyu muti.
- Ingaruka ku bantu barwaye diyabete: Uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso. Niba urwaye diyabete, vugana na muganga wawe mbere yo guhindura indyo yawe cyangwa ingano y'imiti yawe ya diyabete.
- Ikoreshwa ku bagore:Inshinge za testosterone ntabwo zikunze gukoreshwa ku bagore. Niba umugore ateganya gutwita cyangwa atekereza ko atwite, agomba kubimenyesha muganga we. Hari ingaruka mbi zishobora gutera umwana uri mu nda. Baza muganga wawe cyangwa umufarumasiye wawe amakuru arambuye. Nanone, vugana na muganga wawe ku bijyanye n'uburyo bwo kuboneza urubyaro ukoresha mu gihe ufata uyu muti.
- Byabujijwe n'abakinnyi: Amashyirahamwe menshi ya siporo yabujije ikoreshwa ry'uyu muti n'abakinnyi.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, inshinge za testosterone zishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzazibona, ariko ni byiza kumenya ingaruka mbi zishobora kubaho.
Ingaruka mbi zikomeye ugomba guhita ubibwira muganga wawe :
Niba ubonye kimwe muri ibi bimenyetso,
ugomba kubimenyesha muganga wawe vuba bishoboka:- Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Amaraso apfutse: kubabara amaguru, kubyimba cyangwa gushyuha, guhumeka bigoranye, kubabara mu gituza.
- Indwara y'umutima: Kubabara cyangwa gufungana mu gituza, mu bitugu, mu maboko, cyangwa mu rwasaya, isesemi, guhumeka bigoranye, uruhu rukonje cyangwa rushyushye, gucika intege, cyangwa kumva isereri.
- Ukwiyongera k'umuvuduko w'amaraso.
- Gukomereka k'umwijima: Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, intege nke cyangwa umunaniro udasanzwe.
- Guhindagurika kw'amarangamutima, kurakara, cyangwa urwango.
- Guhagarara igihe kirekire cyangwa kubabara.
- Kubura umwuka uhagije mu gihe cyo gusinzira: Kugona cyane, guhumeka cyane mu gihe cyo gusinzira, gusinzira cyane ku manywa.
- Gucika intege mu maso: Kubura ibinure cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kujijinganya, kugorwa no kugenda, kubura uburinganire, kuzungera, kuribwa umutwe cyane, impinduka mu kureba.
- Kubyimba utubuto, amaboko, cyangwa ibirenge.
- Ibitekerezo byo kwiyahura cyangwa kwibabaza, imitekerereze irushaho kuba mibi, kumva wihebye.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje:
Ibi bintu akenshi ntabwo ari bikomeye, ariko
niba bikomeje cyangwa bikakubangamira, bwira muganga wawe:- Ibiheri.
- Impinduka mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere yayo.
- Ububabare, gutukura, cyangwa uburyaryate aho byakoreshejwe.
- Gukura k'urugingo rw'ibere mu buryo butunguranye.
Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe. Ushobora gutanga raporo kuri FDA kuri 1-800-FDA-1088 muri Leta Zunze Ubumwe za Amerika. Muri Sri Lanka, ni byiza kubibwira muganga wawe.
Uburyo bwo kubika umuti? (Ububiko)
Ni ngombwa kandi kubika uyu muti neza.
- Bishyire kure y'abana.
- Uyu muti ushobora gukoreshwa nabi. Kubwibyo, shyira umuti wawe ahantu hatekanye kugira ngo uwurinde ubujura.
- Ntugasangire uyu muti n'undi muntu uwo ari we wese. Kugurisha cyangwa guha abandi uyu muti ni akaga kandi binyuranyije n'amategeko.
- Bika ahantu hari ubushyuhe bw'icyumba, hagati ya dogere selisiyusi 20 na 25 (dogere selisiyusi 68 na 77). Ntubishyire muri firigo. Birinde urumuri.
- Kurikiza amabwiriza y'umuti wahawe.
- Tara imiti yarengeje igihe.
Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)
Sawa, reka twongere twibukiranye ibintu by'ingenzi ugomba kwibuka mu byo twavuze:
Inshinge za testosterone ni uburyo bwo kuvura urugero ruke rwa testosterone ku bagabo. Uyu ni umuti ugomba gufatwa neza neza nk'uko muganga yabigutegetse.
- Bwira muganga wawe ibibazo byose by'ubuzima bwawe n'imiti yose ufata. Ibi ni ingenzi cyane.
- Soma witonze agapapuro k'amabwiriza yihariye (`MedGuide`) kazanwa n'umuti.
- Menya ingaruka mbi. Nubona ikintu gikomeye, bwira muganga wawe ako kanya.
- Reba muganga ku matariki yagenwe.
- Bika uyu muti ahantu hatekanye abana batagera.
- Ntugahe undi muntu uwo ari we wese uyu muti.
Niba ufite ibindi bibazo kuri uru rushinge rwa testosterone, ntutindiganye kubaza muganga wawe, umuforomo cyangwa umufarumasiye. Bazagufasha. Icy'ingenzi ni ukwita ku buzima bwawe!
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