Amadoda amaninzi aqala ukuziva ediniwe, ediniwe, aze aphelelwe ngumdla kwisondo njengoko ekhula. Abanye abantu bacinga, "Owu... oku kuqhelekile njengoko sikhula." Kodwa oko akusoloko kunjalo. Ngamanye amaxesha, ezi mpawu zinokubangelwa kukwehla kwe- testosterone yehomoni yamadoda emzimbeni wakho. I-Testosterone Replacement Therapy, okanye i-TRT ngamafutshane, lunyango lwemeko enjalo. Ke namhlanje, masithethe ngayo yonke into ngokulula.
Yintoni i-TRT? Ngubani ngokwenene oyidingayo?
Ngamafutshane, i-TRT yindlela yokubuyisela amanqanaba e-testosterone kwindoda enamanqanaba aphantsi e-testosterone ngenxa yezizathu ezithile zonyango ngokuhambisa i-hormone ye-testosterone eveliswe ngaphandle.
Kodwa nantsi into ebaluleke kakhulu. Olu nyango luvunyiwe kuphela kubantu abanesimo esixilongiweyo ngugqirha, esibizwa ngokuba yi -hypogonadism . Esi simo sinokubangelwa yingxaki kwenye yezitho zilandelayo ezibandakanyekayo kwimveliso ye-testosterone:
- Amasende
- Indawo yolwimi lamathe
- I-Hypothalamus
Umzekelo, unyango lwe-chemotherapy okanye i-radiation therapy yomhlaza lunokonakalisa la malungu omzimba. Okanye ingxaki inokubakho ngenxa yemeko yemfuza.
Okubaluleke kakhulu, i-TRT ayivumelekanga ukusetyenziswa njengoko amanqanaba e-testosterone ehla ngokwendalo xa abantu bekhula. Ayikhuthazwa nokusetyenziswa kwizinto ezifana nokwakha umzimba. Inokuba yingozi.
Kwakhona, abanye abantu abafanelekanga kwaphela kolu nyango. Umzekelo, i-TRT ayikhuthazwa kubantu abaneengxaki ezifana nomhlaza we-prostate okanye ukusilela kwentliziyo.
Kwenzeka ntoni ngaphambi kokuba unyango luqale?
Ngaphambi kokuba uqale i-TRT, ugqirha wakho uza kuqala aqinisekise ukuba amanqanaba akho e-testosterone aphantsi ngokwenene kunye nokuba yintoni ebangela oko. Baza kujonga nokuba olu nyango lukhuselekile na kuwe. Oku kuya kuquka ukubuza ngembali yakho epheleleyo yezonyango, ukwenza uvavanyo lomzimba, kwaye mhlawumbi ukwenza uvavanyo lwegazi, olufana nolu:
- Uvavanyo lwe-testosterone ezimbini zasekuseni: Qinisekisa ukuba uxilongiwe.
- Amanqanaba e-Hemoglobin kunye ne-hematocrit.
- Uvavanyo lokusebenza kwesibindi.
- Uvavanyo lwe-luteinizing hormone.
- Uvavanyo lwe-PSA (i-prostate-specific antigen): Funda ngempilo ye-prostate.
- Uvavanyo lwehomoni yeprolactin.
Ugqirha wakho uza kuqwalasela konke oku aze agqibe ukuba unyango lwe-TRT lukulungele na okanye alukufanelanga.
Zithini unyango lwe-TRT? Lusebenza njani?
Ngexesha lonyango lwe-TRT, unikwa i-testosterone yokwenziwa, enokuthi iphucule kakhulu iimpawu zakho, ezinje ngokunciphisa umdla wokwabelana ngesondo kunye nokungasebenzi kakuhle kwe-erectile.
Kodwa khumbula, i-TRT ayinyangi unobangela oyintloko we-testosterone ephantsi. Okwenzekayo ngokwenene kukuba iihomoni ozithathayo zithintela amasende akho ekuveliseni i-testosterone ngokwendalo. Oko kuthetha ukuba kuya kufuneka uqhubeke usela amayeza ukuze ulawule amanqanaba ehomoni yakho. Ukuba uyeka unyango, kuya kuthatha ixesha ukuba umzimba wakho uqale ukuvelisa i-testosterone kwakhona.
Kukho iindlela ezahlukeneyo zokuhambisa unyango lwe-TRT. Kunye, wena nogqirha wakho ninokukhetha indlela esebenza kakuhle kuwe.
| Indlela yonyango | Indlela yokusebenzisa kunye noko ukwaziyo |
|---|---|
| Iijeli zolusu | Yithambise eluswini olucocekileyo nolomileyo yonke imihla. Okubaluleke kakhulu: Musa ukuvumela ijeli idibane nolusu lomnye umntu (ingakumbi abafazi okanye abantwana) ngelixa lisemanzi. |
| Inaliti ezifakwa ngaphakathi kwezihlunu | Ifakwa kwisihlunu kanye ngeveki okanye kwiiveki ezimbini. Ezinye izitofu ezisebenza ixesha elide zinokufakwa rhoqo kwiiveki ezili-10, kodwa oku kufuneka kwenziwe kwiziko lezonyango. |
| Iinaliti ezingaphantsi kwesikhumba | Inaliti efakwa phantsi kwesikhumba kanye ngeveki. |
| Iipetshi | Kufuneka uyithambise eluswini lwakho yonke imihla. Kufuneka utshintshe indawo oyithambise kuyo ukuze uphephe ukuba kukho izinto ezibangela ukuba ulusu lungabi namdla. |
| Iipellets | Rhoqo emva kweenyanga ezi-3-6, ugqirha ufaka iipilisi ezincinci ezininzi phantsi kolusu. Ezi hormone zikhupha iihomoni ngesantya esizinzileyo ixesha elide. |
| Ijeli yempumlo | Ufanele uthambise ijeli kuzo zombini iimpumlo kathathu ngemini. |
| Iipilisi zomlomo | Ipilisi ekufuneka ithathwe kabini ngemini. |
Emva kokuba uqalile unyango, ugqirha wakho uza kukujonga rhoqo. Kusenokufuneka uphinde wenze uvavanyo lwegazi ukuze kuhlolwe izinto ezifana namanqanaba e-testosterone kunye notshintsho egazini lakho.
Ziziphi iingenelo kunye nemiphumo emibi enokubakho ye-TRT?
Unyango lwe-TRT lunokukunika iingenelo ezininzi. Nangona kunjalo, njengawo onke amayeza, lunengozi yeziphumo ebezingalindelekanga.
Iinzuzo
- Ukuphucula ukusebenza ngokwesondo kunye nomnqweno.
- Ukwanda kobunzima bomzimba obuncinci.
- Ukwanda koxinano lweeminerali zamathambo.
- Ukuphucula amanqanaba eemvakalelo namandla.
- Ndiziva kamnandi ngobomi ngokubanzi.
Imiphumela
- I-acne okanye ulusu olunamafutha.
- Ukudumba kweqatha ngenxa yokugcina amanzi emzimbeni.
- Ubunzima bokuchama ngenxa yokukhuthazwa yi-prostate.
- Amabele amakhulu okanye abuhlungu (iGynecomastia) .
- Ukuwohloka kwe-apnea yokulala .
- Ubungakanani obuncinci bamasende.
- Ukwehla kwenani lamadlozi kunye nokungabikho kokuzala .
- Ukunyuka kwamanqanaba e-PSA kwiimvavanyo zegazi.
- Ukuqina kwegazi ngenxa yokwanda kwenani leeseli ezibomvu zegazi.
Yingakho kubalulekile ukufumana olu nyango phantsi kweliso likagqirha.
Kuthatha ixesha elingakanani ukubona iziphumo? Ngaba oku kungayekiswa?
Kungathatha iiveki ezimbalwa ukuqaphela utshintsho emzimbeni nasengqondweni yakho emva kokuqala i-TRT. Oku kuyahluka kumntu nomntu. Ukuba iimpawu zakho aziphucuki emva kweenyanga ezi-3 ukuya kwezi-6, ugqirha wakho unokucebisa ukuba uyeke unyango. Oku kungenxa yokuba i-testosterone ephantsi isenokungabi yimbangela yengxaki yakho.
Ewe, ungayiyeka i-TRT nangaliphi na ixesha. Ukuba awukwazi ukunyamezela iziphumo ebezingalindelekanga, ukuba awufumani ziphumo, okanye ukuba ufumana enye imeko eyenza ukuba ibe yingozi kuwe, ungayeka unyango. Kodwa emva kokuba uyekile, amanqanaba akho eehomoni aya kubuyela kumanqanaba awo aphantsi angaphambili.
Ngubani ongalunganga kwi-TRT?
Unyango lwe-TRT lunokuba yingozi kubantu abaneengxaki ezithile zempilo. I-TRT ayikhuthazwa ukuba unayo nayiphi na kwezi meko zilandelayo:
- Ukungaphumeleli kwentliziyo okunganyangwanga.
- I-apnea yokungalali kakuhle enganyangwanga.
- Ukuba ukhe wahlaselwa yintliziyo okanye wahlaselwa sistroke kwiinyanga ezi-6 ezidlulileyo.
- Ukuba unomhlaza weprostate okanye umhlaza webele wamadoda.
- Ukuba unethemba lokuba nabantwana kwixesha elizayo, i-TRT ayifanelekanga kwabo banethemba lokuba nabantwana, kuba inokunciphisa inani lamadlozi kwaye ibangele ukungazali.
Umyalezo Wokuya Ekhaya
- I-TRT ayiloyeza elimangalisayo lokulwa nokwaluphala okanye lokwenza umzimba ube mhle. Lunyango lwesifo esithile, esifana ne -hypogonadism .
- Ngugqirha wakho kuphela onokugqiba ukuba uza kuqala na olu nyango okanye hayi. Nguye oza kwenza zonke iimvavanyo ezifunekayo ukuze enze eso sigqibo.
- I-TRT ineengenelo kunye neengozi zeziphumo ebezingalindelekanga. Ke ngoko, kubalulekile ukuba ufumane olu nyango phantsi kweliso likagqirha rhoqo.
- Olu lunyango oluhlala luthatha ixesha elide. Ukuba uyayeka, amanqanaba akho eehomoni aya kubuyela esiqhelweni.
- Ukuba ucinga ukuba uneempawu ze-testosterone ephantsi, ungabi nazintloni ngaloo nto kwaye uthethe nogqirha. Leyo yeyona nto ingcono onokuyenza.
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