Ukunqongophala kwe-testosterone? Masifunde yonke into malunga nonyango lwe-TRT ngokulula (Unyango Lokutshintshwa kweTestosterone - TRT)

Ngaba ubusoloko uziva udiniwe kakhulu, ungenamdla kwinto ethile, kwaye ungenawo amandla obukade unawo kutshanje ? Ngamanye amaxesha sicinga ngezi mpawu njengeempawu eziqhelekileyo zokwaluphala, kodwa ukwehla kwe-testosterone, enye yeehomoni eziphambili emzimbeni wendoda, nako kungaba sisizathu sale nto. Ngoko ke namhlanje, masithethe ngonyango lokutshintshwa kwe-testosterone, okanye i-TRT (Testosterone Replacement Therapy), olunyango olunikwayo xa amanqanaba e-testosterone ephantsi. Masiqonde nje ukuba yintoni, ngubani oyifunayo, kwaye zeziphi izinto ezilungileyo nezingalunganga.

Yintoni i-TRT? Masiyiqonde ngokulula.

Ngamafutshane, i-TRT lunyango olubuyisela amanqanaba e-testosterone kumadoda anezinga eliphantsi le-testosterone ngenxa yezizathu zonyango. Kufana nokunika imizimba yethu into esweleyo ngaphandle.

Cinga ngale ndlela, njengaxa unezinga le-iron eliphantsi, sithatha iipilisi ze-iron. Kodwa oku kufanele kwenziwe kuphela phantsi kweliso likagqirha. Kuba olu nyango lunokuba neengenelo kunye neengozi ezithile. Ke ngoko, wena nogqirha wakho niya kugqiba kunye ukuba oku kulungile kuwe okanye akunjalo.

Ngubani ngokwenene odinga olu nyango?

Lo ngumbuzo obaluleke kakhulu. I-TRT ayilonyango olunokunikwa wonke umntu. Kwaneziko ezifana ne-Food and Drug Administration (FDA) e-United States zivumile olu nyango kuphela kwabo banamanqanaba aphantsi e-testosterone ngenxa yemeko yezonyango eqinisekisiweyo ngokwezonyango . Le meko siyibiza ngokuba yi-'(Male Hypogonadism)'.

Zithini izizathu ze-`(Hypogonadism)`?

Kukho amalungu amathathu aphambili abandakanyekayo kwinkqubo yokuveliswa kwe-testosterone. Naluphi na ukonakala okanye ukungasebenzi kakuhle kwayo nayiphi na kwezi zinto kunokukhokelela kumanqanaba aphantsi eehomoni.

• Amasende: Eyona ndawo iphambili yokuveliswa kwe-testosterone.
• I-pituitary gland: Le gland esebuchotsheni inika imiqondiso kumasende ukuba avelise iihomoni.
• I-Hypothalamus: Elinye icandelo lobuchopho elilawula ukusebenza kwe-pituitary gland.

Khawucinge nje, la malungu omzimba angonakaliswa yi-chemotherapy okanye unyango lwe-radiation olunikwa isigulane somhlaza. Okanye le ngxaki inokubakho ngenxa yemeko yemfuza.

Yintoni ekufuneka uyazi ngaphambi kokuba uqalise i-TRT?

Ngaphambi kokuba uqale i-TRT, ugqirha wakho uya kuqinisekisa ukuba amanqanaba akho e-testosterone aphantsi ngokwenene kwaye olu nyango lukhuselekile kuwe. Baza kwenza oku kulandelayo:

1. Thetha ngembali yakho yezonyango: Buza ngezinye izifo onazo, amayeza owaselayo, kunye nembali yezonyango yosapho.

2. Wenza uvavanyo lomzimba: Wenza uvavanyo lomzimba wonke.

3. Yiyale uvavanyo lwegazi oluninzi: Olu lubaluleke kakhulu.

• Uvavanyo lwe-testosterone kabini ekuseni: Amanqanaba e-testosterone aphezulu kakhulu kusasa, ngoko ke kuthathwa iisampulu ezimbini zegazi kusasa ukuze kufunyanwe uhlalutyo oluchanekileyo.
• I-Hemoglobin kunye ne-Hematocrit: Jonga inani leeseli ezibomvu zegazi egazini.
• Uvavanyo lokusebenza kwesibindi: Jonga ukuba isibindi siphilile na.
• Uvavanyo lwe-Luteinizing hormone: Fumana umbono wokusebenza kwe-pituitary gland.
• Uvavanyo lwe-PSA (i-prostate-specific antigen): Funda ngempilo ye-prostate.
• Uvavanyo lwehomoni yeprolactin.

Emva kokuqwalasela konke oku, ugqirha uza kwenza isigqibo sokugqibela sokuba i-TRT ikulungele na okanye ayikulungelanga.

Lusebenza njani olu nyango?

Unyango lwe-TRT lubandakanya ukunika umzimba wakho i-testosterone yokwenziwa ukuze kulawulwe amanqanaba eehomoni. Oku kunokunceda ukuphucula iimpawu zokunqongophala kwe-testosterone (ezifana nokuncipha komnqweno wesondo kunye nokulahlekelwa ngamandla).

Kodwa nantsi into ebalulekileyo ekufuneka uyiqonde. I-TRT ayinyangi unobangela oyintloko weehomoni zakho ezisezantsi. Oko ikwenzayo ngokwenene kukuba, ngokukunika iihomoni ezivela ngaphandle, amasende akho acinga, "Owu, asisadingi ukwenza iihomoni," aze ayeke ukuzivelisa ngokwendalo. Oko kuthetha ukuba kufuneka uqhubeke nokusela amayeza ukuze ugcine amanqanaba ehomoni aqhelekileyo. Ukuba uyeka ukusebenzisa amayeza, kuya kuthatha ixesha elithile ukuba umzimba wakho ufunde ukwenza i-testosterone kwakhona.

Ziziphi iindlela ezahlukeneyo ze-TRT?

Ngethamsanqa, zininzi iindlela zokufumana i-TRT. Ungakhetha indlela ehambelana nendlela yakho yokuphila kunye nekulula kwakho ngokuthetha nogqirha wakho.

Emva kokuba uqalile unyango, ugqirha wakho uza kujonga rhoqo amanqanaba akho eehomoni kunye novavanyo lwegazi ukuze abone ukuba unyango lubangela naziphi na ezinye iingxaki zempilo.

Zithini iingenelo ze-TRT?

Ukuba inikwa umntu ofanelekileyo kwaye inikwe ngokuchanekileyo, i-TRT inokuba luncedo kakhulu. Inokunceda ekunciphiseni iimpawu zokungabikho kwe-testosterone kakhulu.

• Ukwanda kwemisebenzi yesondo nomdla: Oku kuyinzuzo enkulu kubantu abaninzi.
• Ukwanda kobunzima bemisipha: Kunceda umzimba ube nomtsalane kwaye womelele.
• Ukwanda koxinano lweeminerali zamathambo: Amathambo ayaqina kwaye amathuba okuqhekeka ayancipha.
• Imeko yengqondo ephucukileyo: Ixhala kunye nokucaphuka kwangaphambili kuye kwehla, kwaye ungaziva uhlaziyekile.
• Yonyusa amandla kunye nokuqina: Ikunceda uhlale usebenza imini yonke.
• Ndiziva ndilungile xa ndiphelele.

Ngaba kufuneka siqaphele nemiphumo emibi?

Njengayo nayiphi na imithi, i-TRT inokuba nemiphumo emibi. Asinguye wonke umntu oyifumanayo, kodwa kubalulekile ukuba uyazi.

• I-acne okanye ulusu olunamafutha.
• Ukudumba kwindawo yeqakala (ngenxa yokugcinwa kolwelo oluncinci emzimbeni).
• Ubunzima bokuchama ngenxa yokukhuthazwa yi-prostate.
• Amabele amakhulu okanye abuhlungu (iGynecomastia).
• Ukuwohloka kwe-apnea yokulala.
• Amasende amancinci.
• Ukuba usebenzisa izinto zokuthambisa ulusu, usenokuba ne-allergies kulusu.
• Ukwehla kwenani lamadlozi kwaye ngenxa yoko kunciphisa ukuzala. Oku kubaluleke kakhulu. Ukuba uceba ukuba nabantwana, kufuneka ucinge kabini kwaye uthethe nogqirha wakho ngale nto ngaphambi kokuba uqale i-TRT.

Ukongeza, kukho utshintsho oluninzi olunokubonwa kwiimvavanyo zegazi:

• Ukunyuka kwamanqanaba e-PSA.
• Ukwanda kwenani leeseli ezibomvu zegazi. Oku kungenza igazi libe lukhuni kwaye kwandise umngcipheko wokuqhekeka kwegazi.

Kuthatha ixesha elingakanani ukubona iziphumo?

Oku kuyahluka kumntu nomntu. Abanye abantu baqala ukuziva utshintsho emzimbeni nasengqondweni yabo kwiiveki ezimbalwa. Oogqirha badla ngokuhlola amanqanaba e-testosterone kwakhona malunga nenyanga emva kokuqala unyango ukuze babone umphumo opheleleyo.

Ukuba iimpawu zakho azikaphucuki emva kweenyanga ezi-3 ukuya kwezi-6, ugqirha wakho unokucebisa ukuba uyeke unyango. Oku kungenxa yokuba iimpawu zakho zisenokungabi ngenxa ye-testosterone ephantsi.

Ngubani ongafanelanga ukusebenzisa i-TRT?

Kubantu abaneengxaki ezithile zempilo, ukusebenzisa i-TRT kunokwenza ezo meko zibe zimbi ngakumbi. Ngenxa yoko, i-TRT ayifanelekanga kwabo banezi meko.

• Ukungasebenzi kakuhle kwentliziyo okuqatha okunganyangwanga.
• I-apnea yokungalali kakuhle enganyangwanga.
• Ukuba ukhe wahlaselwa yintliziyo okanye wahlaselwa sistroke kwiinyanga ezi-6 ezidlulileyo.
• Amanqanaba aphezulu eeseli ezibomvu egazini.
• Ukuba nomhlaza weprostate.
• Ukuba neqhuma elingahlolwanga kwi-prostate.
• Umhlaza webele wamadoda.

Ingaba i-TRT ikhuselekile ngokwenene? ​​Makhe sithethe ngeengozi.

Le yingxaki kubantu abaninzi. Njengoko bekutshiwo ngaphambili, i-TRT ithathwa njengekhuselekileyo kubantu abangenazo izifo ezifana nomhlaza wendlala okanye isifo sentliziyo, lo gama nje ithathwa phantsi kweliso likagqirha.

Nangona kunjalo, kusekho ukunqongophala kophando olukhulu malunga nokuba kwenzeka ntoni xa i-TRT ithathwa ixesha elide, njengeminyaka emininzi. Iziphumo zezinye zezifundo ezikhoyo ziyangqubana.

Umzekelo, ezinye izifundo zibonisa ukuba i-TRT iyanciphisa umngcipheko wesifo sentliziyo ngokuhamba kwexesha. Ezinye zibonisa ukuba iyandisa umngcipheko. Umzekelo, uphando olukhulu ngo-2024 lufumanise ukuba ukusetyenziswa ixesha elide kwejeli ye-testosterone akuyongezi umngcipheko wesifo sentliziyo. Kukwakho neembono eziphikisanayo malunga nomngcipheko wokuqhekeka kwegazi kwimithambo yegazi (venous thromboembolism).

Ngenxa yazo zonke ezi zizathu, ugqirha wakho uza kufunda ngononophelo imeko yakho yempilo aze agqibe kwelokuba ingaba i-TRT ikhuselekile na kuwe.

Udinga nini ukubona ugqirha wakho?

Emva kokuqalisa i-TRT, kuya kufuneka ubone ugqirha wakho ngamaxesha athile kwaye wenze uvavanyo lwegazi. Ugqirha wakho uya kukunika ishedyuli. Ukongeza, bona ugqirha wakho ngala maxesha.

• Ukuba iimpawu zakho aziphucuki nangona unyango lukhona.
• Ukuba iziphumo ebezingalindelekanga ziyakukhathaza.
• Ukuba ufuna ukuzama indlela eyahlukileyo ye-TRT.
• Ukuba ucinga ngokumisa i-TRT.
• Ukusebenzisa i-TRT kunokuba yingozi ukuba unesifo esitsha.

Ukuba iimpawu ze-testosterone ephantsi zichaphazela ubomi bakho, asinto onokuyinyamezela nje. I-TRT inokuba lukhetho olufanelekileyo kuwe. Kodwa isigqibo kufuneka senziwe nguwe nogqirha wakho, sijonga zonke izinto ezilungileyo nezingalunganga. Musa ukuthandabuza ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.