Ngaba uziva ngathi amandla akho obudoda ayancipha? Yonke into malunga ne-Testosterone ephantsi

Ngaba ubuziva udiniwe, udiniwe, kwaye ungenamdla kwisondo kutshanje? Ngamanye amaxesha sicinga ukuba ezi zinto zibangelwa kukuxakeka kobomi bemihla ngemihla, kodwa mhlawumbi isizathu sale nto yinto eyahlukileyo kunokuba ucinga. Namhlanje sithetha ngesihloko esibaluleke kakhulu kumadoda, kodwa abantu abaninzi bayathandabuza ukuthetha ngaso. Oko kukwehla kwenqanaba le-testosterone yehomoni yamadoda emzimbeni, ngokwezonyango ebizwa ngokuba yi-`(Male Hypogonadism)`.

Ngamafutshane, yintoni i-testosterone?

Cinga nge-testosterone "njengeoyile yenjini" emzimbeni wendoda. Le hormone yeyona nto iphambili elawula iimpawu zobudoda bendoda. Iveliswa ikakhulu kumasende.

Makhe sijonge ezinye zezinto eziphambili ezenziwa yi-hormone ye-testosterone emizimbeni yethu:

• Ukugcina uphuhliso kunye nokusebenza kwamalungu esini esingamadoda.
• Ukuphuhlisa nokugcina izihlunu zomzimba ziqinile.
• Ukugcina uxinano lwamathambo.
• Kubalulekile ekuvelisweni kwesidoda (spermatogenesis).
• Ukudala nokugcina umnqweno wesondo ('inkanuko yesondo').
• Inceda ukugcina inqanaba elifanelekileyo leeseli ezibomvu zegazi emzimbeni.
• Ukunceda uzive uphilile engqondweni kwaye wonwabile ('ukuziva uphilile').

Ngokwesiqhelo, umzimba wethu ulawula kakuhle eli nqanaba le-testosterone. Eli nqanaba le-hormone liphezulu kakhulu kusasa, kwaye liyancipha kancinci njengoko imini iqhubeka. Le nkqubo yonke ilawulwa ziinxalenye ezimbini zobuchopho bethu ezibizwa ngokuba yi-hypothalamus kunye ne-pituitary gland. Le yinkqubo yolawulo entsonkothileyo kakhulu. Ukuba kukho impazamo encinci naphi na kule nkqubo, amanqanaba e-testosterone anokwehla.

Ziziphi iimpawu ze-testosterone ephantsi?

Iimpawu zesi sifo zinokwahluka kakhulu kumntu nomntu. Ezi mpawu ziyatshintsha, ingakumbi xa ukhula. Kukho ezinye iimpawu ekufuneka zibangele ukurhanelwa xa uzibona.

Le meko ibachaphazela njani abantwana abancinci?

Ukuba amanqanaba e-testosterone enkwenkweni ehla ngaphambi okanye ngexesha lokufikisa, ezi mpawu zilandelayo zinokubonakala:

• Ukucotha kwesantya sokwanda kobude.
• Ukukhula kweenwele okunciphileyo kwiindawo zabucala.
• Ukukhula okunciphileyo kwamalungu esini.
• Ukulibaziseka kokujula kwelizwi.
• Ukungabikho kwamandla afanelekileyo ngokweminyaka.

Kutheni la manqanaba e-testosterone ehla?

Kunokubakho izizathu ezininzi zoku. Ngamafutshane, singazahlula ezi zizathu zibe ziindidi ezimbini eziphambili. Cinga nge-testosterone njengemveliso eyenziwa efektri (kumasende). Iiodolo zinikwa yona 'kwiofisi eyintloko' (amaziko olawulo engqondweni).

1. I-Hypogonadism ePhambili: Apha ingxaki ikwi "fektri" eyenza i-testosterone, oko kukuthi, kumasende . Nokuba zingaphi na iimpawu ezivela ebuchotsheni, amasende awakwazi ukuvelisa i-hormone ngomlinganiselo ofunekayo.

2. I-Secondary Hypogonadism: Apha, akukho ngxaki ngamasende. Ingxaki ikwi "ofisi enkulu." Oko kukuthi, ngenxa yokungasebenzi kakuhle kwi-hypothalamus okanye kwi-pituitary gland ebuchotsheni , imiqondiso efunekayo ukwenza iihomoni ayihambi kakuhle.

Ngoku makhe sijonge izizathu ezinxulumene nolunye lwezi ntlobo ngokweenkcukacha.

1. Iingxaki zamasende (i-Primary Hypogonadism)

• Iimeko zokuzalwa:
• Isifo sikaKlinefelter: Esi sisifo esingaqhelekanga kwi-chromosome.
• Amasende awabikho ukususela ekuzalweni (i-anorchia) okanye awasuki esiswini (amasende angaphakamanga).
• Iimeko ezilandelayo:
• Iingozi ezibangelwa kukususwa kwamasende okanye utyando.
• Ukudumba kwamasende (orchitis) okubangelwa zizifo ezibangelwa ziintsholongwane ezifana ne-mumps .
• I-chemotherapy okanye unyango lwe-radiation lomhlaza.
• Ukusetyenziswa kwee -anabolic steroids ezithile ekwakheni umzimba.

2. Iingxaki ezinxulumene namaziko olawulo lobuchopho (i-Secondary Hypogonadism)

• Iimeko zokuzalwa:
• Isifo sikaKallmann: Esi sisifo esingaqhelekanga semfuza.
• Isifo sikaPrader-Willi.
• Iimeko ezilandelayo:
• Iithumba okanye umonakalo kwi-pituitary gland.
• Iintsholongwane ezifana ne -HIV/AIDS .
• Izifo ezingapheliyo ezifana ne-cirrhosis yesibindi okanye ukungasebenzi kakuhle kwezintso.
• Isifo seswekile esingalawulekiyo (Uhlobo lwesibini lwesifo seswekile) .
• Ukutyeba kakhulu .
• I-obstructive sleep apnea (imeko ye-sleep apnea enxulunyaniswa nokurhona).
• Ukusela utywala ngokugqithisileyo .
• Amayeza athile, ingakumbi ii-opioids, iintlungu kunye namayeza e-hormone omhlaza.

Amanqanaba e-testosterone ngokwendalo ayancipha kancinci njengoko amadoda ekhula. Oku kubizwa ngokuba yi-'Late-onset hypogonadism (LOH).' Le meko ixhaphake kakhulu kubantu abatyebe kakhulu okanye abanesifo seswekile.

Wazi njani ukuba unale meko?

Ukuba unale mpawu, ugqirha wakho uza kuqala akuhlole, akubuze ngembali yakho yezonyango, aze akubuze nangayiphi na imithi oyithathayo. Emva koko, baza kwenza iimvavanyo ezininzi, ikakhulu uvavanyo lwegazi , ukuqinisekisa imeko.

1. Inqanaba leTestosterone lilonke: Olu lolona vavanyo lubalulekileyo. Oku kufuneka kwenziwe phakathi kwentsimbi yesi-8 neye-10 kusasa , kuba kulapho amanqanaba etestosterone ephezulu khona. Kungcono ukwenza olu vavanyo kwiintsuku ezimbini ezahlukeneyo.

2. Amanqanaba e-Luteinizing hormone (LH): Le hormone ivela kwi-pituitary gland. Xa ujonga amanqanaba ayo, ungafumana umbono wokuba ingxaki ikwi-testicles okanye kumaziko olawulo engqondweni.

3. Amanqanaba eprolactin: Ukuba le hormone iphezulu, isenokuba luphawu lwengxaki kwi-pituitary gland.

Zithini iindlela zonyango zoku?

Ukuba amanqanaba aphantsi e-testosterone aqinisekisiwe, unyango oluphambili yi- Testosterone Replacement Therapy (TRT) . Oko kukuthi, umzimba unikwa i-testosterone hormone ngaphandle. Kukho iindlela ezahlukeneyo zokwenza oku.

• Iijeli zolusu: Iijeli ezisetyenziswa eluswini. Zifanele zisetyenziswe imihla ngemihla kulusu olucocekileyo nolomileyo. Emva kokuzisebenzisa, kufuneka kuthathwe unonophelo ukuze kungangeni sikhumba sabanye abantu, ingakumbi abafazi nabantwana abancinci.
• Iinaliti: Iinaliti ezifakwa kwisihlunu rhoqo emva kweveki e-1-2 okanye rhoqo.
• Amabala: Amabala asetyenziswa eluswini yonke imihla.
• Iipellets: Into encinci efana neepellets ifakwa phantsi kwesikhumba. Ikhupha iihomoni kangangeenyanga ezi-3-6.
• I-testosterone yomlomo: Iipilisi ezicetyiswa kuphela kwiimeko ezithile zonyango.

Ugqirha wakho uza kukhetha indlela yonyango efanelekileyo kuwe kwezi ndlela zonyango.

Ngaba wonke umntu angalufumana olu nyango?

Hayi. Unyango lwe-testosterone alufanelekanga kwabanye abantu, ingakumbi ukuba banezi meko zilandelayo:

• Umhlaza weprostate.
• Umhlaza webele.
• Iimeko zentliziyo ezingalawulekiyo (`Ukusilela kwentliziyo`).
• I-apnea yokungalali kakuhle enganyangwanga.

Ngoko ke, ugqirha wakho uza kuyihlolisisa ngononophelo le nto ngaphambi kokuba aqale unyango.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Ewe. Njengalo naluphi na unyango, olu lunokuba nemiphumo emibi.

• I-acne okanye ulusu olunamafutha.
• Ukudumba kweqakala.
• Ubunzima bokuchama.
• Ukwandiswa kwebele okanye intlungu.
• Amasende amancinci.
• Ukuncipha kwemveliso yesidoda (oku kubalulekile kumadoda aselula anethemba lokuba nabantwana).
• Ukwanda kwenani leeseli ezibomvu zegazi egazini.

Kungoko ke, kubalulekile ukubona ugqirha wakho rhoqo kwaye wenze uvavanyo olufunekayo ngelixa usenza unyango. Uza kuhlala ejonga ezi ziphumo ebezingalindelekanga.

Yintoni enokwenziwa ukuze kusindiswe le meko?

Nangona singenakuzithintela izinto ezifana nezinto ezibangela ufuzo, sinokunceda ukugcina amanqanaba e-testosterone asempilweni ngokutshintsha indlela esiphila ngayo.

• Ukutya okunempilo: Kubalulekile ukutya ukutya okunesondlo.
• Ukuzilolonga: Ukuphakamisa iintsimbi kunye noqeqesho oluphezulu lwexeshana (HIIT) kunokuba luncedo kakhulu.
• Gcina ubunzima obusempilweni: Ukutyeba kakhulu yinto ephambili ehlisa amanqanaba e-testosterone.
• Ubuthongo obaneleyo: Kubalulekile ukulala iiyure ezisi-7-8 yonke imihla.
• Ukunciphisa uxinzelelo: Uxinzelelo olugqithisileyo lunokunyusa i-hormone cortisol kwaye lunciphise amanqanaba e-testosterone.
• Ukunciphisa ukusetyenziswa kotywala neziyobisi.

Ezi zinto zilungile kakhulu kwimpilo yakho iyonke.