Uzizwa sengathi amandla akho wesilisa ayancipha? Konke mayelana ne-Testosterone Ephansi

Ingabe ubulokhu uzizwa ukhathele, ukhathele, futhi ungenaso isithakazelo socansi muva nje? Ngezinye izikhathi sicabanga ukuthi lezi zinto zibangelwa ukuba matasa kwempilo yansuku zonke, kodwa mhlawumbe isizathu salokhu sihlukile kunalokho ocabanga. Namuhla sikhuluma ngesihloko esibaluleke kakhulu kwabesilisa, kodwa abantu abaningi bayanqikaza ukukhuluma ngaso. Lokho ukwehla kwezinga le-testosterone ye-hormone yabesilisa emzimbeni, okubizwa ngezokwelapha ngokuthi `(Male Hypogonadism)`.

Kalula nje, iyini i-testosterone?

Cabanga nge-testosterone "njengowoyela wenjini" emzimbeni wendoda. Le hormone iyisici esiyinhloko esilawula izici zowesilisa. Ikhiqizwa kakhulu emasendeni.

Ake sibheke ezinye zezinto eziyinhloko ezenziwa yi-hormone ye-testosterone emizimbeni yethu:

• Ukugcina intuthuko kanye nokusebenza kwezitho zobulili zesilisa.
• Ukuthuthukisa nokugcina imisipha yomzimba iqinile.
• Ukugcina ukuqina kwamathambo.
• Kubalulekile ekukhiqizweni kwesidoda (i-spermatogenesis).
• Ukudala nokugcina isifiso socansi ('isifiso socansi').
• Kusiza ukugcina izinga elifanele lamaseli abomvu egazi emzimbeni.
• Ukusiza ukuzizwa uphilile engqondweni futhi ujabule ('umuzwa wenhlalakahle').

Ngokuvamile, umzimba wethu ulawula kahle leli zinga le-testosterone. Leli zinga le-hormone liphezulu kakhulu ekuseni, futhi liyancipha kancane kancane njengoba usuku luqhubeka. Lonke lolu hlelo lulawulwa izingxenye ezimbili zobuchopho bethu ezibizwa ngokuthi i-hypothalamus kanye ne-pituitary gland. Lolu uhlelo lokulawula oluyinkimbinkimbi kakhulu. Uma kukhona iphutha elincane noma kuphi kulolu hlelo, amazinga e-testosterone angancipha.

Ziyini izimpawu ze-testosterone ephansi?

Izimpawu zalesi simo zingahluka kakhulu kumuntu nomuntu. Lezi zimpawu ziyashintsha, ikakhulukazi ngokuguga. Kunezinye izimpawu okufanele ziphakamise ukusola uma uzibona.

Lesi simo sibathinta kanjani abantwana abancane?

Uma amazinga e-testosterone kumfana ehla ngaphambi noma ngesikhathi sokuthomba, izimpawu ezilandelayo zingabonakala:

• Ukunciphisa izinga lokukhula kokuphakama.
• Ukukhula kwezinwele okunciphile ezindaweni eziyimfihlo.
• Ukwehla kokukhula kwezitho zobulili.
• Ukujula kwezwi okulibazisekile.
• Ukuntuleka kwamandla afanele ubudala.

Kungani la mazinga e-testosterone ehla?

Kungaba nezizathu eziningana zalokhu. Kalula nje, singahlukanisa lezi zizathu zibe yizigaba ezimbili eziyinhloko. Cabanga nge-testosterone njengomkhiqizo owenziwe efektri (emasendeni). Ama-oda anikezwa 'ehhovisi elikhulu' (izikhungo zokulawula ebuchosheni).

1. I-Hypogonadism Eyinhloko: Lapha inkinga ilele ngqo "embonini" eyenza i-testosterone, okungukuthi, emasendeni . Kungakhathaliseki ukuthi zingaki izimpawu ezivela ebuchosheni, amasende awakwazi ukukhiqiza i-hormone ngenani elidingekayo.

2. I-Hypogonadism Yesibili: Lapha, akukho nkinga ngama-testicles. Inkinga isehhovisi "eliyinhloko." Okusho ukuthi, ngenxa yokungasebenzi kahle kwe-hypothalamus noma i-pituitary gland ebuchosheni , izimpawu ezidingekayo ukwenza ama-hormone azihambi kahle.

Manje ake sibheke izizathu ezihlobene nohlobo ngalunye lwalezi zinhlobo ngemininingwane ethile.

1. Izinkinga zamasende (i-Primary Hypogonadism)

• Izimo zokuzalwa:
• I-Klinefelter's syndrome: Lokhu kuyisimo esingavamile se-chromosome.
• Amasende awabikho kusukela ekuzalweni (i-anorchia) noma awaveli esiswini (amasende angavuki).
• Izimo ezilandelayo:
• Izingozi emasendeni noma ukususwa kwawo ngokuhlinzwa.
• Ukuvuvukala kwamasende (orchitis) okubangelwa izifo ezibangelwa amagciwane njenge-mumps .
• Ukwelashwa ngamakhemikhali noma ukwelashwa ngemisebe yomdlavuza.
• Ukusetshenziswa kwama -steroid athile e-anabolic ekwakheni umzimba.

2. Izinkinga ezihlobene nezikhungo zokulawula zobuchopho (i-Secondary Hypogonadism)

• Izimo zokuzalwa:
• I-Kallmann syndrome: Lesi yisimo esingavamile sofuzo.
• Isifo sikaPrader-Willi.
• Izimo ezilandelayo:
• Izimila noma umonakalo wendlala ye-pituitary.
• Izifo ezifana ne -HIV/AIDS .
• Izifo ezingamahlalakhona ezifana ne-cirrhosis yesibindi noma ukwehluleka kwezinso.
• Isifo sikashukela esingalawulwa (Isifo sikashukela sohlobo 2) .
• Ukukhuluphala ngokweqile .
• I-obstructive sleep apnea (isimo se-sleep apnea esihambisana nokuhona).
• Ukuphuza utshwala ngokweqile .
• Imithi ethile, ikakhulukazi ama-opioid, ama-painkiller kanye nemithi yama-hormone yomdlavuza.

Amazinga e-testosterone ancipha kancane ngokwemvelo njengoba amadoda ekhula. Lokhu kubizwa ngokuthi 'i-hypogonadism yasekupheleni kwesikhathi (LOH).' Lesi simo sivame kakhulu kubantu abakhuluphele ngokweqile noma abanesifo sikashukela.

Wazi kanjani ukuthi unalesi simo?

Uma unalezi zimpawu, udokotela wakho uzoqala akuhlole, akubuze ngomlando wakho wezokwelapha, bese ebuza nganoma yimiphi imithi oyiphuzayo. Ngemuva kwalokho, bazokwenza izivivinyo eziningana, ikakhulukazi ukuhlolwa kwegazi , ukuqinisekisa isimo.

1. Izinga Eliphelele Le-Testosterone: Lesi isivivinyo esibaluleke kakhulu. Lokhu kufanele kwenziwe phakathi kuka-8 no-10 ekuseni , njengoba kulapho amazinga e-testosterone ephezulu khona. Kungcono ukwenza lesi sivivinyo ngezinsuku ezimbili ezihlukene.

2. Amazinga e-Luteinizing hormone (LH): Le hormone ivela endlaleni ye-pituitary. Uma ubheka amazinga ayo, ungathola umbono wokuthi inkinga isezinqeni noma ezikhungweni zokulawula ebuchosheni.

3. Amazinga e-prolactin: Uma le hormone iphakeme, kungaba uphawu lwenkinga ngendlala ye-pituitary.

Yiziphi izindlela zokwelapha lokhu?

Uma amazinga e-testosterone aphansi eqinisekiswa, ukwelashwa okuyinhloko yi- Testosterone Replacement Therapy (TRT) . Okusho ukuthi, umzimba unikezwa i-hormone ye-testosterone ngaphandle. Kunezindlela eziningana zokwenza lokhu.

• Amajeli esikhumba: Amajeli asetshenziswa esikhumbeni. Kufanele asetshenziswe nsuku zonke esikhumbeni esihlanzekile, esomile. Ngemva kokusebenzisa lawa, kufanele kuqashelwe ukugwema ukuthintana nesikhumba sabanye, ikakhulukazi abesifazane nezingane ezincane.
• Imijovo: Imijovo enikezwa emisipheni njalo ngemva kwesonto eli-1-2 noma kaningi.
• Ama-patches: Ama-patches asetshenziswa esikhumbeni nsuku zonke.
• Ama-Pellets: Into encane efana nama-pellets ifakwa ngaphansi kwesikhumba. Ikhipha ama-hormone izinyanga ezi-3-6.
• I-testosterone yomlomo: Amaphilisi anconywa kuphela ezimweni ezithile zezokwelapha.

Udokotela wakho uzokhetha indlela yokwelapha efaneleka kakhulu kuwe kulezi zindlela zokwelapha.

Ingabe wonke umuntu angayithola le ndlela yokwelashwa?

Cha. Ukwelashwa nge-testosterone akufaneleki kwabanye abantu, ikakhulukazi uma benezimo ezilandelayo:

• Umdlavuza we-prostate.
• Umdlavuza webele.
• Izimo zenhliziyo ezingalawulwa ('Ukwehluleka kwenhliziyo').
• I-apnea yokulala engapheli engelashwa.

Ngakho-ke, udokotela wakho uzokuhlola ngokucophelela lokhu ngaphambi kokuqala ukwelashwa.

Ingabe ikhona imiphumela emibi yokwelashwa?

Yebo. Njenganoma yikuphi ukwelashwa, lokhu kungaba nemiphumela emibi.

• Isikhumba esinamafutha noma esinama-acne.
• Ukuvuvukala kweqakala.
• Ubunzima bokuchama.
• Ukukhula kwebele noma ubuhlungu.
• Amasende amancane.
• Ukwehla kokukhiqizwa kwesidoda (lokhu kubalulekile kwabesilisa abasebasha abanethemba lokuba nezingane).
• Inani elandayo lamaseli abomvu egazini.

Ngakho-ke, kubalulekile ukubona udokotela wakho njalo futhi uhlolwe ngokufanele ngenkathi welashwa. Uzohlala eqapha le miphumela emibi.

Yini engenziwa ukuze sisinde kulesi simo?

Nakuba singenakukwazi ukuvimbela izinto ezifana nezici zofuzo, singasiza ekugcineni amazinga e-testosterone enempilo ngokushintsha indlela yethu yokuphila.

• Ukudla okunempilo: Kubalulekile ukudla ukudla okunempilo.
• Ukuzivocavoca: Ukuphakamisa izinsimbi kanye nokuqeqeshwa kwezikhawu eziphakeme (HIIT) kungaba wusizo kakhulu.
• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyisici esiyinhloko ehlisa amazinga e-testosterone.
• Ukulala ngokwanele: Kubalulekile ukulala kahle amahora angu-7-8 nsuku zonke.
• Ukunciphisa ukucindezeleka: Ukucindezeleka ngokweqile kungakhuphula i-hormone i-cortisol futhi kwehlise amazinga e-testosterone.
• Ukunciphisa ukusetshenziswa kotshwala nezidakamizwa.

Lezi zinto zilungele kakhulu impilo yakho iyonke.