Amadoda amaningi aqala ukuzizwa ekhathele, ekhathele, futhi elahlekelwa isithakazelo ocansini njengoba ekhula. Abanye abantu bacabanga ukuthi, "O... lokhu kujwayelekile njengoba sikhula." Kodwa lokho akudingeki kube njalo ngaso sonke isikhathi. Ngezinye izikhathi, lezi zimpawu zingabangelwa ukwehla kwe -testosterone ye-hormone yesilisa emzimbeni wakho. I-Testosterone Replacement Therapy, noma i-TRT ngamafuphi, iyindlela yokwelapha isimo esinjalo. Ngakho-ke namuhla, ake sixoxe ngakho konke ngamagama alula.
Iyini i-TRT? Ngubani ngempela oyidingayo?
Kalula nje, i-TRT iyindlela yokubuyisela amazinga e-testosterone kumuntu onamazinga aphansi e-testosterone ngenxa yesizathu esithile sezokwelapha ngokunikeza i-hormone ye-testosterone ekhiqizwe ngaphandle.
Kodwa nansi into ebaluleke kakhulu. Lokhu kwelashwa kuvunyelwe kuphela kubantu abanesifo esixilongiwe ngokwezokwelapha, esibizwa ngokuthi i-hypogonadism . Lesi simo singabangelwa inkinga ngesinye sezitho ezilandelayo ezihilelekile ekukhiqizweni kwe-testosterone:
- Amasende
- Indlala ye-pituitary
- I-Hypothalamus
Isibonelo, ukwelashwa ngamakhemikhali noma ngemisebe yokwelapha umdlavuza kungalimaza lezi zitho zomzimba. Noma inkinga ingase ivele ngenxa yesimo sofuzo.
Okubaluleke kakhulu, i-TRT ayivunyelwe ukusetshenziswa njengoba amazinga e-testosterone ehla ngokwemvelo njengoba iminyaka ikhula. Ayikhuthazwa futhi ukusetshenziswa ezintweni ezifana nokwakha umzimba. Kungaba yingozi.
Futhi, abanye abantu abafaneleki nhlobo kulolu hlobo lokwelashwa. Isibonelo, i-TRT ayinconywa kubantu abanezimo ezifana nomdlavuza wendlala noma ukwehluleka kwenhliziyo.
Kwenzekani ngaphambi kokuba ukwelashwa kuqale?
Ngaphambi kokuthi uqale i-TRT, udokotela wakho uzoqala aqinisekise ukuthi unezinga eliphansi le-testosterone nokuthi yini ebangela lokho. Uzophinde ahlole ukuthi lokhu kwelashwa kuphephile yini kuwe. Lokhu kuzofaka phakathi ukubuza ngomlando wakho wezokwelapha ophelele, ukwenza ukuhlolwa ngokomzimba, kanye nokwenza ukuhlolwa kwegazi, okufana nalokhu:
- Ukuhlolwa kwe-testosterone okubili ekuseni: Qinisekisa ukuxilongwa.
- Amazinga e-hemoglobin kanye ne-hematocrit.
- Ukuhlolwa kokusebenza kwesibindi.
- Ukuhlolwa kwe-hormone ye-luteinizing.
- Ukuhlolwa kwe-PSA (i-prostate-specific antigen): Funda ngempilo ye-prostate.
- Ukuhlolwa kwe-hormone ye-prolactin.
Udokotela wakho uzocabangela konke lokhu bese enquma ukuthi ukwelashwa kwe-TRT kulungile yini kuwe noma cha.
Kuyini ukwelashwa kwe-TRT? Kusebenza kanjani?
Ngesikhathi sokwelashwa nge-TRT, unikezwa i-testosterone yokwenziwa, engathuthukisa kakhulu izimpawu zakho, njengokuncipha kwesifiso socansi kanye nokungasebenzi kahle kwe-erection.
Kodwa khumbula, i-TRT ayilaphi imbangela eyinhloko ye-testosterone ephansi. Okwenzekayo ngempela ukuthi ama-hormone owasebenzisayo avimba amasende akho ekukhiqizeni i-testosterone ngokwemvelo. Lokho kusho ukuthi kuzodingeka uqhubeke uthatha imithi ukuze ulawule amazinga akho ama-hormone. Uma uyeka ukwelashwa, kuzothatha isikhathi ukuthi umzimba wakho uqale ukukhiqiza i-testosterone futhi.
Kunezindlela eziningana zokunikeza ukwelashwa kwe-TRT. Ngokubambisana, wena nodokotela wakho ningakhetha indlela esebenza kahle kakhulu kuwe.
| Indlela yokwelapha | Indlela yokusebenzisa nokuthi yini okufanele uyazi |
|---|---|
| Amajeli esikhumba | Faka esikhumbeni esihlanzekile nesomile nsuku zonke. Okubaluleke kakhulu: Ungavumeli ijeli lithintane nesikhumba somunye umuntu (ikakhulukazi abesifazane noma izingane) ngesikhathi lisamanzi. |
| Imijovo yemisipha | Ifakwa emsipheni kanye ngesonto noma amasonto amabili. Eminye imijovo esebenza isikhathi eside ingafakwa njalo emavikini ayi-10, kodwa lokhu kumele kwenziwe esikhungweni sezokwelapha. |
| Imijovo engaphansi kwesikhumba | Umjovo ofakwa ngaphansi kwesikhumba kanye ngesonto. |
| Ama-patches | Kufanele uyifake esikhumbeni sakho nsuku zonke. Kufanele ushintshe indawo oyifake kuyo ukuze ugweme ukungezwani nesikhumba. |
| Ama-Pellet | Njalo ezinyangeni ezi-3-6, udokotela ufaka amaphilisi amancane amaningana ngaphansi kwesikhumba. Lawa akhipha ama-hormone ngesivinini esiqhubekayo isikhathi eside. |
| Ijeli yekhala | Kufanele ugcobe ijeli kuzo zombili izimpumulo kathathu ngosuku. |
| Amaphilisi okuphuza | Iphilisi okufanele liphuzwe kabili ngosuku. |
Ngemva kokuqala ukwelashwa, udokotela wakho uzokuxilonga njalo. Kungase kudingeke ukuthi uphinde uhlolwe igazi ukuze kuhlolwe izinto ezifana namazinga e-testosterone kanye nezinguquko egazini lakho.
Yiziphi izinzuzo kanye nemiphumela emibi engaba khona ye-TRT?
Ukwelashwa kwe-TRT kungakunikeza izinzuzo eziningana. Kodwa-ke, njengayo yonke imithi, kunengozi yemiphumela emibi.
Izinzuzo
- Ukusebenza kahle kocansi kanye nesifiso.
- Ukwanda kwesisindo somzimba esinciphile.
- Ukwanda kobuningi bamaminerali ethambo.
- Amazinga athuthukisiwe emizwa namandla.
- Ukuzizwa kahle ngempilo iyonke.
Okuqhamuka uma udla imishanguzo
- Isikhumba esinamafutha noma esinama-acne.
- Ukuvuvukala kweqakala ngenxa yokugcina amanzi emzimbeni.
- Ubunzima bokuchama ngenxa yokukhuthazwa yi-prostate.
- Amabele amakhulu noma abuhlungu (i-Gynecomastia) .
- Ukuwohloka kwe-apnea yokulala .
- Usayizi omncane wamasende.
- Ukwehla kwenani lesidoda kanye nokungabi nabantwana okubangelwa ukungazali .
- Amazinga e-PSA akhuphukile ekuhlolweni kwegazi.
- Ukuqina kwegazi ngenxa yokwanda kwenani lamaseli abomvu egazi.
Yingakho kubalulekile ukwenza lokhu kwelashwa ngaphansi kokuqondisa kukadokotela.
Kuthatha isikhathi esingakanani ukubona imiphumela? Ingabe lokhu kungamiswa?
Kungathatha amasonto ambalwa ukuqaphela izinguquko emzimbeni wakho nasemqondweni wakho ngemva kokuqala i-TRT. Lokhu kuyahlukahluka kumuntu nomuntu. Uma izimpawu zakho zingathuthuki ngemva kwezinyanga ezi-3 kuya kwezi-6, udokotela wakho angase akuncome ukuyeka ukwelashwa. Lokhu kungenxa yokuthi i-testosterone ephansi kungenzeka ingeyona imbangela yenkinga yakho.
Yebo, ungayiyeka i-TRT nganoma yisiphi isikhathi. Uma ungakwazi ukubekezelela imiphumela emibi, uma ungatholi imiphumela, noma uma uthola esinye isimo esikwenza kube yingozi kuwe, ungayeka ukwelashwa. Kodwa ngemva kokuyeka, amazinga akho ama-hormone azobuyela emazingeni awo aphansi angaphambilini.
Ngubani i-TRT engamlungele?
Ukwelashwa nge-TRT kungaba yingozi kubantu abanezimo ezithile zempilo. I-TRT ayinconywa uma unezinye zezimo ezilandelayo:
- Ukwehluleka kwenhliziyo okungalashwanga.
- I-apnea yokulala engapheli engelashwa.
- Uma uke waba nesifo senhliziyo noma isifo sohlangothi ezinyangeni eziyisithupha ezedlule.
- Uma unomdlavuza we-prostate noma umdlavuza webele wabesilisa.
- Uma unethemba lokuba nezingane esikhathini esizayo, i-TRT ayifanele labo abanethemba lokuba nezingane, njengoba inganciphisa inani lesidoda futhi ibangele ukungazali.
Umlayezo Wokuya Nawe Ekhaya
- I-TRT akuyona umuthi omangalisayo wokulwa nokuguga noma wokuhlobisa umzimba. Iyindlela yokwelapha isimo esithile sezokwelapha, njenge -hypogonadism .
- Udokotela wakho kuphela onganquma ukuthi uzoqala yini lokhu kwelashwa noma cha. Uzokwenza zonke izivivinyo ezidingekayo ukuze enze leso sinqumo.
- I-TRT inezinzuzo kanye nezingozi zemiphumela emibi. Ngakho-ke, kubalulekile ukwenza lokhu kwelashwa ngaphansi kokuqashwa njalo ngudokotela.
- Lokhu kuvame ukuba ukwelashwa kwesikhathi eside. Uma uyeka, amazinga akho ama-hormone azobuyela esimweni esijwayelekile.
- Uma ucabanga ukuthi unezimpawu ze-testosterone ephansi, ungabi namahloni ngakho bese ukhuluma nodokotela. Yilokho okungcono kakhulu ongakwenza.
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