Varume vazhinji vanotanga kunzwa kuneta, kuneta, uye kurasikirwa nerudo rwepabonde pavanokura. Vamwe vanhu vanofunga kuti, "Oh... izvi zvakajairika sezvatinokura." Asi hazvifanirwe kudaro nguva dzose. Dzimwe nguva, zviratidzo izvi zvinogona kukonzerwa nekuderera kwe testosterone yehomoni yemurume mumuviri wako. Testosterone Replacement Therapy, kana kuti TRT muchidimbu, mushonga wechirwere chakadaro. Saka nhasi, ngatitaurei nezvese zviri nyore.
Chii chinonzi TRT? Ndiani anoida chaizvo?
Zvichitaurwa zviri nyore, TRT inzira yekudzoreredza huwandu hwe testosterone mumurume ane huwandu hwakaderera hwe testosterone nekuda kwechimwe chikonzero chekurapa nekupa testosterone hormone inogadzirwa kunze.
Asi hechino chimwe chinhu chakakosha. Kurapa uku kunotenderwa chete kuvanhu vane chirwere chakaongororwa nachiremba, chinonzi hypogonadism . Chirwere ichi chinogona kukonzerwa nedambudziko reimwe yenhengo dzinotevera dzinobatanidzwa mukugadzirwa kwe testosterone:
- Machende
- Gland repituitary
- Hypothalamus
Semuenzaniso, chemotherapy kana radiation therapy yegomarara zvinogona kukuvadza nhengo idzi. Kana kuti dambudziko rinogona kuitika nekuda kwechirwere chemajini.
Chinonyanya kukosha ndechekuti TRT haibvumidzwe kushandiswa sezvo mazinga e testosterone achidzikira nekukura. Haikurudzirwiwo kushandiswa pazvinhu zvakaita sekuvaka muviri. Inogona kuva nengozi.
Uyewo, vamwe vanhu havakodzeri kurapwa uku zvachose. Semuenzaniso, TRT haikurudzirwi kune vanhu vane zvirwere zvakaita sekenza yeprostate kana kutadza kushanda kwemoyo.
Chii chinoitika kurapwa kusati kwatanga?
Usati watanga TRT, chiremba wako anotanga aona kuti une testosterone yakaderera uye kuti chii chiri kukonzera izvi. Vachatarisawo kana kurapwa uku kwakachengeteka kwauri. Izvi zvinosanganisira kubvunza nezvenhoroondo yako yese yezvekurapa, kuongororwa kwemuviri, uye pamwe kuita bvunzo dzeropa, dzakadai se:
- Kuongororwa kwe testosterone kaviri mangwanani: Simbisa kuti chirwere chacho chawanikwa here.
- Hemoglobin uye hematocrit mazinga.
- Kuongororwa kwebasa rechiropa.
- Kuongororwa kweLuteinizing hormone.
- Bvunzo rePSA (prostate-specific antigen): Dzidza nezvehutano hweprostate.
- Kuongororwa kweprolactin hormone.
Chiremba wako achafunga nezvese izvi uye achasarudza kana kurapwa kweTRT kwakakunakira iwe kana kwete.
Chii chinonzi TRT treatments? Inoshanda sei?
Panguva yekurapwa neTRT, unopihwa testosterone yakagadzirwa, iyo inogona kuvandudza zviratidzo zvako zvakanyanya, zvakaita sekushaya chido chebonde uye kusashanda zvakanaka kwenhengo dzepabonde.
Asi yeuka, TRT hairapi chikonzero chikuru chekuderera kwe testosterone. Chiri kuitika ndechekuti mahormone auri kutora anotadzisa machende ako kugadzira testosterone nenzira yechisikigo. Izvi zvinoreva kuti uchafanira kuramba uchitora mushonga kuti huwandu hwemahormone ako hurambe hwakadzikama. Kana ukarega kurapwa, zvinotora nguva kuti muviri wako utange kugadzira testosterone zvakare.
Kune nzira dzakasiyana siyana dzekurapa TRT. Pamwe chete, iwe nachiremba wako munogona kusarudza nzira inokushandirai zvakanyanya.
| Nzira yekurapa | Maitiro ekushandisa uye zvekuziva |
|---|---|
| Majeli eganda | Isa gel paganda rakachena uye rakaoma zuva nezuva. Chinonyanya kukosha: Usarega gel richibata ganda remumwe munhu (kunyanya vakadzi kana vana) richiri kunyorova. |
| Majekiseni emutsinga dzetsandanyama | Inobayiwa mutsandanyama kamwe chete pasvondo kana mavhiki maviri. Mamwe majekiseni anoshanda kwenguva refu anogona kubaiwa mavhiki gumi ega ega, asi izvi zvinofanirwa kuitwa panzvimbo yekurapa. |
| Majekiseni epasi peganda | Jekiseni rinobayiwa pasi peganda kamwe chete pasvondo. |
| Mapepa | Unofanira kuiisa paganda rako zuva nezuva. Unofanira kuchinja nzvimbo yaunoiisa kuti usanyanya kurwara neganda. |
| Mapellets | Mwedzi mitatu kusvika mitanhatu yega yega, chiremba anoisa mapiritsi madiki akati wandei pasi peganda. Aya mapiritsi anoburitsa mahormone nekukurumidza kwenguva yakareba. |
| Gel yemhino | Unofanira kuisa gel iyi mumhino dzese katatu pazuva. |
| Mapiritsi emuromo | Piritsi rinofanira kutorwa kaviri pazuva. |
Mushure mekunge matanga kurapwa, chiremba wenyu achakuongororwai nguva nenguva. Mungangoda kuongororwa ropa zvakare kuti muone kana paine zvinhu zvakaita semazinga e testosterone uye shanduko muropa renyu.
Ndezvipi zvakanakira uye migumisiro inogona kuitika yeTRT?
Kurapwa kweTRT kunogona kukupa mabhenefiti akati wandei. Zvisinei, semishonga yese, kune njodzi yemigumisiro yakaipa.
Mabhenefiti
- Kushanda zvakanaka kwepabonde uye chishuwo.
- Kuwedzera kwehuremu hwemuviri hwakakora.
- Kuwedzera kwehuwandu hwemaminerari mumapfupa.
- Kunzwa kwakavandudzwa uye simba.
- Kunzwa zvakanaka nehupenyu hwese.
Migumisiro Yezvimwe Zvinetso
- Mapundu kana ganda rine mafuta.
- Kuzvimba kwetsoka nekuda kwekusachengetwa kwemvura mumuviri.
- Kuomerwa nekuita weti nekuda kwekukurumidzisa prostate.
- Mazamu akakura kana kuti anorwadza (Gynecomastia) .
- Kuora kwekufema kwekurara .
- Hukuru hudiki hwemachende.
- Kuderera kwehuwandu hwembeu dzemurume zvichikonzera kusabereka .
- Kuwedzera kwePSA mazinga mukuongororwa kweropa.
- Kukora kweropa nekuda kwekuwedzera kwehuwandu hwemasero matsvuku eropa.
Ndosaka zvichikosha kuti munhu arapwe achitarisirwa nachiremba.
Zvinotora nguva yakareba sei kuti zvionekwe? Izvi zvinogona kumiswa here?
Zvinogona kutora mavhiki mashoma kuti uone shanduko mumuviri wako nepfungwa dzako mushure mekutanga TRT. Izvi zvinosiyana kubva kumunhu kusvika kumunhu. Kana zviratidzo zvako zvikasavandudzika mushure memwedzi mitatu kusvika mitanhatu, chiremba wako anogona kukurudzira kuti urege kurapwa. Izvi zvinodaro nekuti testosterone shoma inogona kunge isiriyo yakakonzera dambudziko rako.
Ehe, unogona kurega TRT chero nguva. Kana usingakwanise kutsungirira migumisiro yacho, kana usingawane mhedzisiro, kana ukava nechimwe chirwere chinoita kuti ive nengozi kwauri, unogona kurega kurapwa. Asi kana warega, huwandu hwemahormone ako huchadzokera pahuwandu hwawo hwekare.
Ndiani asingakodzeri TRT?
Kurapwa neTRT kunogona kuva nengozi kune vanhu vane mamwe matambudziko ehutano. TRT haikurudzirwi kana uine chimwe chezvirwere zvinotevera:
- Kukundikana kwemoyo kusina kurapwa.
- Kusarapwa kwechirwere che obstructive sleep apnea.
- Kana wakambova nechirwere chemwoyo kana sitiroko mukati memwedzi mitanhatu yapfuura.
- Kana uine kenza yeprostate kana kenza yemazamu evarume.
- Kana uchitarisira kuva nevana mune ramangwana, mushonga weTRT hauna kukodzera kune avo vanotarisira kuva nevana, sezvo unogona kuderedza huwandu hwembeu uye kukonzera kushaya mbereko.
Mharidzo Yekuenda Nayo Kumba
- TRT haisi mushonga wemashiripiti wekudzivirira kukwegura kana wekusimbisa muviri. Imushonga wechirwere chakati, senge hypogonadism .
- Chiremba wako chete ndiye anogona kusarudza kutanga kurapwa uku kana kuti kwete. Iye ndiye achaita bvunzo dzose dzinodiwa kuti aite sarudzo iyoyo.
- TRT ine zvakanakira uye njodzi dzemigumisiro. Saka, zvakakosha kuti munhu apinzwe mushonga uyu achitarisirwa nachiremba nguva dzose.
- Iyi inowanzova mishonga yenguva refu. Kana ukarega, huwandu hwemahormone ako huchadzokera pahwakajairika.
- Kana uchifunga kuti une zviratidzo zve testosterone yakaderera, usanyara nezvazvo uye taura nachiremba. Ndicho chinhu chakanakisa chaungaita.
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