Hormoonkaas
Tijaabada testosterone waxay cabirtaa qadarka hoormoonka ragga, testosterone, dhiiga. Ragga iyo haweenkuba waxay soo saaraan hormoonkan.
Tijaabada lagu sharaxay qodobkan waxay cabireysaa wadarta qadarka testosterone ee dhiiga. Inta badan testosterone ku jirta dhiigga waxay ku xiran tahay borotiin loo yaqaan hormoonka galmada ee ku xira globulin (SHBG). Baadhitaan kale oo dhiig ah ayaa cabiraya testosterone "bilaash ah". Si kastaba ha noqotee, baaritaanka noocan ah inta badan maahan mid sax ah.
Muunad dhiig ayaa laga qaadayaa xididka. Waqtiga ugu fiican ee tijaabada dhiigga laga qaadayo waa inta udhaxeysa 7 subaxnimo iyo 10 subaxnimo Muunad labaad ayaa badanaa loobaahanyahay si loo xaqiijiyo natiijo ka hooseysa sidii la filaayay.
Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu kugula taliyo inaad joojiso qaadashada daawooyinka saameyn ku yeelan kara baaritaanka.
Waxaa laga yaabaa inaad dareento xoogaa duritaan ama xoqid markii irbadda la gelinayo. Waxaa jiri kara xoogaa wax garaac ah ka dib.
Tijaabadani waa la samayn karaa haddii aad leedahay astaamo wax soo saar aan caadi ahayn oo hormoon lab ah (androgen).
Ragga, xiniinyaha waxay soo saaraan inta ugu badan testosterone ee jirka ku jira. Heerarka ayaa badanaa la hubiyaa si loo qiimeeyo calaamadaha testosterone aan caadi ahayn sida:
- Qaan-gaarnimada hore ama dambe (wiilasha)
- Dhalmo la'aan, kacsi xumo, heerka hoose ee xiisaha galmada, khafiifinta lafaha (ragga)
Dheddigga, ugxansiduhu waxay soo saaraan testosterone inteeda badan. Qanjirada 'adrenal gland' ayaa sidoo kale soo saari kara waxyaabo badan oo ah androgens kale oo loo beddelo testosterone. Heerarka ayaa badanaa la hubiyaa si loo qiimeeyo calaamadaha heerarka testosterone ee sareeya, sida:
- Finan, maqaar dufan leh
- Ku beddel codka
- Cabirka naaska oo yaraaday
- Koritaanka timaha ee xad-dhaafka ah (timo madow oo mug leh, oo ku yaal aagga shaaribada, gadhka, dhinacyada, feedhaha, badhida, bowdyaha gudaha)
- Kintirka oo kordha
- Xilliyada caadada oo aan caadi ahayn ama maqnaansho
- Bidaarta qaabka labka ah ama timo khafiifinta
Qiyaasaha caadiga ah ee imtixaanadan:
- Lab: 300 ilaa 1,000 nanogram halkii deciliter (ng / dL) ama 10 ilaa 35 nanomoles halkii litir (nmol / L)
- Dheddig: 15 illaa 70 ng / dL ama 0.5 illaa 2.4 nmol / L
Tusaalooyinka kor ku xusan waa cabbiraad guud oo natiijooyinka imtixaanadan ah. Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan noocyo kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.
Xaaladaha caafimaad qaarkood, dawooyinka, ama dhaawaca waxay u horseedi karaan testosterone hooseeya. Heerka testosterone sidoo kale si dabiici ah ayuu hoos ugu dhacaa da'da. Hormoonka testosterone wuxuu saameyn ku yeelan karaa galmada, niyadda, iyo murqaha ragga.
Wadarta testosterone oo hoos u dhacday waxaa sababi kara:
- Jirro daba-dheer
- Qanjirka 'pituitary gland' ma soo saaro qaddar caadi ah qaar ama dhammaan hormoonnadiisa
- Dhibaato ka jirta meelaha maskaxda xukuma hormoonnada (hypothalamus)
- Hawlaha tayroodh oo hooseeya
- Qaangaarnimada oo daahday
- Cudurada ku dhaca xiniinyaha (naxdinta, kansarka, infekshinka, difaaca jirka, culeyska birta)
- Buro aan caadi ahayn oo ka mid ah unugyada 'pituitary cell' ee soo saara in badan oo hormoonka prolactin ah
- Dufanka jidhka oo aad u tiro badan (cayilnaan)
- Dhibaatooyinka hurdo la'aanta (hurdo la'aanta hurdada)
- Cadaadis dabadheeraad ah oo ka yimaada jimicsi aad u tiro badan
Kordhinta wadarta heerka testosterone waxaa sababi kara:
- Adkaysiga ficilka hormoonada labka (iska caabinta androgen)
- Burooyinka ugxansidaha
- Kansarka xiniinyaha
- Dhalmada adrenal hyperplasia
- Qaadashada daawooyinka ama daawooyinka kordhiya heerka testosterone (oo ay ku jiraan qaar ka mid ah supplements)
Dhiig testosterone
Rey RA, Josso N. Ciladda iyo daaweynta ciladaha horumarka galmada. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 119.
Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, iyo polycystic ugxan syndrome. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 133.
Swerdloff RS, Wang C. Xiniinyaha iyo ragga hypogonadism, dhalmo la'aan, iyo cillad galmo. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 221.