Ukumva ubuze imbaraga z'abagabo? Reka tuvuge ku buvuzi bwo gusimbuza Testosterone (TRT)!

Abagabo benshi batangira kumva bananiwe, bananiwe, kandi bakabura ubushake bwo gukora imibonano mpuzabitsina uko bagenda bakura. Hari abantu bibwira bati: "Oh... ibi ni ibisanzwe uko tugenda dusaza." Ariko si ko buri gihe bibaho. Hari igihe ibi bimenyetso bishobora guterwa no kugabanuka kw'imisemburo ya testosterone mu mubiri wawe. Testosterone Replacement Therapy, cyangwa TRT mu magambo ahinnye, ni uburyo bwo kuvura iyo ndwara. None rero uyu munsi, reka tuvuge kuri byose mu buryo bworoshye.

TRT ni iki? Ni nde uyikeneye koko?

Muri make, TRT ni uburyo bwo kugarura urugero rwa testosterone ku mugabo ufite urugero rwa testosterone nkeya bitewe n'impamvu runaka z'ubuvuzi binyuze mu gutanga imisemburo ya testosterone ikorwa hanze.

Ariko hari ikintu cy'ingenzi cyane. Ubu buryo bwemewe gusa ku bantu bafite ikibazo cyasuzumwe n'abaganga, cyitwa hypogonadism . Iyi ndwara ishobora guterwa n'ikibazo kiri kuri imwe mu ngingo zikurikira zigira uruhare mu ikorwa rya testosterone:

• Amasabo y'intanga
• Indwara y'umuyoboro w'amaraso (pituitary gland)
• Hypothalamus

Urugero, imiti cyangwa imiti ivura kanseri hakoreshejwe imirasire bishobora kwangiza izi ngingo z'umubiri. Cyangwa ikibazo gishobora guterwa n'indwara y'uturemangingo.

Nanone, hari abantu batakwiriye ubu buvuzi na gato. Urugero, TRT ntiyemerwa ku bantu bafite indwara nka kanseri ya prostate cyangwa indwara y'umutima.

Ni iki kibaho mbere yuko ubuvuzi butangira?

Mbere yo gutangira TRT, muganga wawe azabanza arebe neza ko ufite testosterone nkeya n'icyabiteye. Azasuzuma kandi niba ubu buryo ari bwiza kuri wewe. Ibi bizaba birimo kubaza amateka yawe yose y'ubuzima, gukora isuzuma ry'umubiri, ndetse wenda no gukora ibizamini by'amaraso, nka:

• Ibizamini bibiri bya testosterone bya mu gitondo: Emeza ko wabonye indwara.
• Urugero rwa hemoglobine n'amaraso.
• Ibizamini by'imikorere y'umwijima.
• Ikizamini cy'imisemburo ya luteinizing.
• Ikizamini cya PSA (antigen yihariye ya prostate): Menya ubuzima bwa prostate.
• Ikizamini cya prolactine.

Muganga wawe azasuzuma ibi byose maze afate umwanzuro niba uburyo bwo kuvura bwa TRT bukubereye cyangwa butakubereye.

Uburyo bwo kuvura bwa TRT ni iki? Bukora bute?

Mu gihe cyo kuvurwa na TRT, uhabwa testosterone y’ubukorano, ishobora gutuma ibimenyetso byawe birushaho kuba byiza, nko kubura ubushake bwo gukora imibonano mpuzabitsina no kudakora neza mu mibonano mpuzabitsina.

Ariko ibuka ko TRT idakiza impamvu nyamukuru itera testosterone nkeya. Mu by'ukuri, imisemburo ufata ibuza amabya yawe gukora testosterone mu buryo busanzwe. Ibyo bivuze ko uzakenera gukomeza gufata imiti kugira ngo urugero rw'imisemburo yawe rugenzurwe. Nuhagarika imiti, bizatwara igihe kugira ngo umubiri wawe wongere utange testosterone.

Hari uburyo bwinshi bwo gutanga ubuvuzi bwa TRT. Muri kumwe, wowe na muganga wawe mushobora guhitamo uburyo bukunogeye.

Nyuma yo gutangira kuvurwa, muganga wawe azagusuzuma buri gihe. Ushobora gukenera kongera gupimwa amaraso kugira ngo urebe ibintu nk'urugero rwa testosterone n'impinduka mu maraso yawe.

Ni izihe nyungu n'ingaruka mbi zishobora guterwa na TRT?

Uburyo bwo kuvura bwa TRT bushobora kuguha inyungu nyinshi. Ariko, kimwe n'indi miti yose, bufite ibyago byo kugira ingaruka mbi.

Ibyiza

• Imikorere n'ubushake byo gukora imibonano mpuzabitsina birushaho kuba byiza.
• Ubwiyongere bw'umubyimba w'umubiri udafite umubiri munini.
• Ubwinshi bw'imyunyu ngugu mu magufwa.
• Ibyiyumvo n'ingufu byarushijeho kwiyongera.
• Kumva meze neza mu buzima muri rusange.

Ingaruka mbi

• Ibiheri cyangwa uruhu rufite amavuta menshi.
• Kubyimba akaguru bitewe no kubika amazi mu mubiri.
• Kugorwa no kunyara bitewe no gukanguka kwa prostate.
• Amabere manini cyangwa ababara (Gynecomastia) .
• Kurushaho kugaragara k'indwara yo guhumeka mu gihe cyo gusinzira .
• Ingano nto y'intanga.
• Kugabanuka k'umubare w'intanga ngore ndetse bigatuma habaho ubugumba .
• Ubwiyongere bwa PSA mu bipimo by'amaraso.
• Ubwinshi bw'amaraso buterwa n'ubwiyongere bw'umubare w'uturemangingo dutukura tw'amaraso.

Niyo mpamvu ari ngombwa ko uvurwa ubu buryo uyobowe na muganga.

Bitwara igihe kingana iki kugira ngo ubone ibisubizo? Ese ibi bishobora guhagarikwa?

Bishobora gufata ibyumweru bike kugira ngo umenye impinduka mu mubiri wawe no mu bwonko bwawe nyuma yo gutangira TRT. Ibi biratandukanye bitewe n'umuntu ku giti cye. Niba ibimenyetso byawe bitaragenda neza nyuma y'amezi agera kuri 3 kugeza kuri 6, muganga wawe ashobora kukugira inama yo guhagarika imiti. Ibi biterwa nuko testosterone nkeya ishobora kuba atari yo itera ikibazo cyawe.

Yego, ushobora guhagarika TRT igihe icyo ari cyo cyose. Niba udashobora kwihanganira ingaruka mbi, niba utabonye ibisubizo, cyangwa niba ugize indi ndwara ituma iguteza akaga, ushobora guhagarika imiti. Ariko nyuma yo kuyihagarika, urugero rw'imisemburo yawe ruzasubira ku rugero rwo hasi rwari ruriho mbere.

Ni nde TRT idafitiye akamaro?

Uburyo bwo kuvura bwa TRT bushobora guteza akaga ku bantu bafite indwara zimwe na zimwe. TRT ntiyemerwa niba ufite imwe muri izi ndwara zikurikira:

• Indwara y'umutima itaravurwa.
• Indwara yo kubura umwuka wo gusinzira idavuwe.
• Niba waragize indwara y'umutima cyangwa indwara yo gucika kw'imitsi mu mezi 6 ashize.
• Niba urwaye kanseri ya prostate cyangwa kanseri y'ibere y'abagabo.
• Niba wifuza kubyara mu gihe kizaza, TRT ntikwiriye abashaka kubyara, kuko ishobora kugabanya umubare w'intanga ngore no gutera ubugumba.