Hypogonadism

Qanacsan

• Maxay yihiin noocyada hypogonadism?
• Hypogonadism-ka aasaasiga ah
• Dhexe (sare) hypogonadism
• Maxay yihiin sababaha hypogonadism?
• Waa maxay astaamaha hypogonadism?
• Sidee lagu ogaadaa hypogonadism?
• Tijaabooyinka hormoonka
• Tijaabinta sawirka
• Maxay yihiin daaweynta hypogonadism?
• Daaweynta hypogonadism-ka dumarka
• Daaweynta hypogonadism-ka ragga
• Daaweynta hypogonadism ee ragga iyo dumarka
• Waa maxay aragtida fog?

Waa maxay hypogonadism?

Hypogonadism wuxuu dhacaa marka qanjidhadaaga galmada ay soo saaraan wax yar ama aan lahayn hormoonno galmo. Qanjirka galmada, oo sidoo kale loo yaqaan gonads, ayaa ugu horreynba tijaabooyinka ragga iyo ugxansidaha haweenka. Hormoonnada galmada waxay gacan ka geystaan ​​xakameynta astaamaha galmada labaad, sida horumarka naasaha ee haweenka, horumarka xiniinyaha ragga, iyo koritaanka timaha xubinta taranka. Hormoonada galmada sidoo kale waxay door ka ciyaaraan wareegga caadada iyo soo saarida manida.

Hypogonadism sidoo kale waxaa loo yaqaan karaa gonad yaraanta. Waxaa lagu magacaabi karaa testosterone dhiigga hooseeya ama xinjirowga jirka markay ku dhacdo ragga.

Xaaladaha badankood ee xaaladdan waxay si fiican uga jawaabaan daaweyn caafimaad oo habboon.

Maxay yihiin noocyada hypogonadism?

Waxaa jira laba nooc oo hypogonadism ah: aasaasi iyo dhexe.

Hypogonadism-ka aasaasiga ah

Hypogonadism-ka asaasiga ahi wuxuu ka dhigan yahay inaadan ku haysan hormoonnada galmada ee kugu filan jirkaaga dhibaato xagga gonads-kaaga ah. Gonads-kaaga wali wuxuu helayaa farriinta ah inuu hormoonno ka soo saaro maskaxdaada, laakiin ma awoodaan inay soo saaraan.

Dhexe (sare) hypogonadism

Cudurka hypogonadism-ka, dhibaatadu waxay ku jirtaa maskaxdaada. Qanjirka 'hypothalamus' iyo 'pituitary gland', oo xakameeya gonads-kaaga, si sax ah uma shaqeynayaan.

Maxay yihiin sababaha hypogonadism?

Sababaha keena hypogonadism-ka aasaasiga ah waxaa ka mid ah:

• xanuunada iswada, sida cudurka Addison iyo hypoparathyroidism
• cilladaha hidaha, sida Turner syndrome iyo Klinefelter syndrome
• infekshanno daran, qaasatan qaamo-qashiirta ku lug leh xiniinyahaaga
• cudurada beerka iyo kalyaha
• tijaabooyinka aan la karin
• hemochromatosis, taas oo dhacda marka jirkaagu nuugo birta badan
• soo-saarka shucaaca
• qalitaanka xubnahaaga galmada

Hypogonadism-ka dhexe waxaa sababi kara:

• cilladaha hidaha, sida Kallmann syndrome (horumar aan caadi ahayn oo hypothalamic ah)
• caabuqyada, oo ay ku jiraan HIV
• xanuunada pituitary
• cudurada bararka, oo ay ku jiraan sarcoidosis, qaaxada, iyo histiocytosis
• cayilnaan
• miisaanka oo yaraada
• yaraanta nafaqada
• isticmaalka steroids ama opioids
• qalliinka maskaxda
• soo-saarka shucaaca
• dhaawaca qanjirka 'pituitary gland' ama 'hypothalamus'
• buro ku taal ama ku dhow qanjirka 'pituitary'

Waa maxay astaamaha hypogonadism?

Calaamadaha lagu arki karo dumarka waxaa ka mid ah:

• caado la'aan
• gaabis ama maqnaansho koritaanka naaska
• olol kulul
• luminta timaha jirka
• galmo hoose ama maqnaansho
• dheecaan caano ka soo baxa naasaha

Calaamadaha lagu arki karo ragga waxaa ka mid ah:

• luminta timaha jirka
• luminta muruqyada
• koritaanka naaska oo aan caadi ahayn
• koritaanka guska iyo xiniinyaha oo yaraaday
• cillad kacsi
• lafo-beel
• galmo hoose ama maqnaansho
• madhalaysnimo
• daal
• olol kulul
• adkaanshaha feejignaanta

Sidee lagu ogaadaa hypogonadism?

Dhakhtarkaagu wuxuu sameyn doonaa baaritaan jireed si loo xaqiijiyo in horumarkaaga galmada uu yahay heer ku habboon da'daada. Waxay baari karaan murqahaaga, timaha jirkaaga, iyo xubnahaaga galmada.

Tijaabooyinka hormoonka

Haddii dhakhtarkaagu u maleeyo inaad qabto hypogonadism, waxay marka hore hubinayaan heerarka hoormoonkaaga galmada. Waxaad u baahan doontaa baaritaan dhiig si loo hubiyo heerkaaga hoormoonka kiciya follicle (FSH) iyo hormoonka luteinizing. Qanjirka 'pituitary gland' ayaa sameeya hormoonnada taranka.

Waxaad tijaabin doontaa heerkaaga estrogen haddii aad tahay haween. Haddii aad lab tahay, waxaad tijaabin doontaa heerka testosterone-kaaga. Baadhitaanadan waxaa badanaa la sawiraa subaxdii marka heerarka hoormoonkaagu sarreeyo. Haddii aad tahay lab, dhakhtarkaagu wuxuu kaloo amri karaa falanqaynta shahwada si loo hubiyo tirada manidaada. Hypogonadism wuxuu yareyn karaa tirada shahwadaada.

Dhakhtarkaaga ayaa laga yaabaa inuu dalbado baaritaano dhiig oo dheeri ah si looga caawiyo xaqiijinta ogaanshaha cudurka iyo meesha looga saaro sababaha keena.

Heerarka birtu waxay saameyn ku yeelan karaan hormoonnada galmadaada. Sababtaas awgeed, dhakhtarkaaga ayaa laga yaabaa inuu hubiyo heerarka birta dhiigga ee sarreeya, sida caadiga ah lagu arko hemochromatosis.

Dhakhtarkaagu wuxuu kaloo rabi karaa inuu cabiro heerarka prolactin-kaaga. Prolactin waa hormoon kor u qaadaya horumarka naaska iyo soosaarida caanaha naaska ee haweenka, laakiin waxay ku jirtaa labada jinsi.

Dhakhtarkaagu wuxuu kaloo hubin karaa heerarka hoormoonka tayroodhkaaga. Dhibaatooyinka qanjirka 'thyroid' waxay sababi karaan astaamo u dhigma hypogonadism.

Tijaabinta sawirka

Imtixaannada sawir qaadista sidoo kale waxay faa'iido u yeelan karaan ogaanshaha cudurka. Ultrasound wuxuu adeegsadaa mowjado dhawaaq si loo abuuro sawirka ugxan sidaha loona hubiyo wixii dhibaatooyin ah, oo ay kujiraan qanjidhada ugxan sidaha iyo polycystic ovary syndrome.

Dhakhtarkaaga ayaa laga yaabaa inuu ku amro MRI-yada ama CT scans inay ka hubiyaan burooyinka qanjirka 'pituitary gland'.

Maxay yihiin daaweynta hypogonadism?

Daaweynta hypogonadism-ka dumarka

Haddii aad dumar tahay, daaweyntaadu waxay ku lug yeelan doontaa kordhinta xaddigaaga hormoonnada galmada dumarka.

Qadka ugu horeeya ee daaweyntaada waxaa macquul ah inuu noqdo estrogen therapy hadii lagaa qalay kaadi-mareenka. Midkood balastar ama kiniin ayaa maamuli kara estrogen dheeri ah.

Sababtoo ah heerarka estrogen ee kordhay waxay kordhin karaan halista kansarka endometrial, waxaa lagu siin doonaa isku darka estrogen iyo progesterone haddii aadan sameynin qalliinka xubinta taranka dumarka. Progesterone wuxuu yareyn karaa halista kansarka endometrial haddii aad qaadaneyso estrogen.

Daaweynta kale waxay bartilmaameedsan karaan calaamadaha gaarka ah. Haddii aad leedahay galmo yaraan, waxaad heli kartaa qadar yar oo testosterone ah. Haddii aad qabto cilladaha caadada ama dhibaato uur qaadista, waxaad heli kartaa cirbado hoormoonka choriogonadotropin hormoon ama kaniinooyin ay ku jiraan FSH si loo kiciyo ugxansidaha.

Daaweynta hypogonadism-ka ragga

Testosterone waa hormoon jinsi lab ah. Daaweynta beddelka testosterone waa daaweyn ballaaran oo loo isticmaalo hypogonadism ee ragga. Waxaad ku heli kartaa daaweynta beddelka testosterone:

• cirbad
• balastar
• jel
• lozenge

Cirbadaha hormoonada sii deynaya gonadotropin ayaa kicin kara qaangaadhnimada ama kordhin kara wax soo saarka shahwadaada.

Daaweynta hypogonadism ee ragga iyo dumarka

Daaweynta ragga iyo dumarka waa isku mid haddii hypogonadism ay sabab u tahay buro ku taal qanjirka 'pituitary gland'. Daaweynta yareynta ama ka saarista burada waxaa ka mid noqon kara:

• shucaac
• daawo
• qalliin

Waa maxay aragtida fog?

Ilaa ay u sababto xaalad la daaweyn karo, hypogonadism waa xaalad daba dheeraatay oo u baahan karta daaweyn cimri dherer ah. Heerka hoormoonkaaga galmada wuu yaraan karaa haddii aad joojiso daaweynta.

Caawimaad ka raadinta daaweynta ama kooxaha taageerada ayaa kaa caawin kara kahor, inta lagu jiro, iyo kadib daaweynta.