Heerarka testosterone by da'da
Qanacsan
- Heerarka testosterone caadiga ah
- Ilmo galeenka
- Qaan-gaarnimada ilaa qaan-gaarnimada hore
- Qaangaarnimada
- Calaamadaha iyo astaamaha testosterone oo hooseeya
- Hormoonkaas iyo dumarka
- Tijaabooyinka iyo ogaanshaha cudurka
- Saamaynta heerarka testosterone ee aan caadiga ahayn
- Qaadid
Guudmarka
Hormoonkaas waa hormoon xoog leh ragga iyo dumarka labadaba. Waxay awood u leedahay inay xakamayso galmada, xakamaynta wax soo saarka shahwada, kor u qaadista murqaha, iyo kordhinta tamarta. Waxay xitaa saameyn ku yeelan kartaa dabeecadaha aadanaha, sida gardarada iyo tartanka.
Markaad sii gabowdaba, heerka testosterone ee jirkaaga si tartiib tartiib ah ayuu u yaraadaa. Tani waxay u horseedi kartaa isbeddelo kala duwan sida galmada oo yaraata. In kasta oo heerarka testosterone ee hooseeya laga yaabo inay khuseeyaan, waa qayb dabiici ah oo gabow ah.
Heerarka testosterone caadiga ah
Heerka "caadiga ah" ama caafimaadka leh ee testosterone ee ku jira qulqulka dhiigga ayaa aad u kala duwan, waxayna kuxirantahay shaqada tayroodhka, heerka borotiinka, iyo arrimo kale.
Marka loo eego tilmaamaha ugu dambeeyay ee Ururka Urolojiga Mareykanka (AUA), heerka testosterone ugu yaraan 300 nanogram halkii deciliter (ng / dL) waa iska caadi ninka. Ninka qaba heerka testosterone ee ka hooseeya 300 ng / dL waa in laga helaa testosterone oo hooseeya.
Haweenka da'doodu tahay 19 iyo wixii ka sarreeya, heerarka testosterone caadiga ah waxay u dhexeeyaan 8 illaa 60 ng / dL, sida laga soo xigtay Mayo Clinic Laboratories.
Heerarka testosterone waxay gaarayaan heerkooda ugu sarreeya da'da 18 ama 19 kahor intaanay hoos u dhicin inta ka hartay qaan-gaarnimada.
Ilmo galeenka
Testosterone waxay lagama maarmaan u tahay koritaanka uurjiifka caadiga ah inta lagu jiro uurka. Waxay xakameysaa horumarka nidaamka taranka ragga.
Heerarka testosterone ee ilmo galeenka ayaa sidoo kale saameyn ku yeelan kara sida maskaxdaada midig iyo bidix u shaqeyso, sida lagu sheegay hal daraasad oo lagu eegay 60 carruur ah.
Heerarka testosterone waa inay ku dhacaan meel aad u cidhiidhi ah si maskaxda uurjiifka u caafimaad noqdo. Heerarka sare ee testosterone uurjiifka waxaa laga yaabaa inay ku xirmaan autism.
Qaan-gaarnimada ilaa qaan-gaarnimada hore
Heerarka testosterone ayaa ugu sarreeya inta lagu jiro qaan-gaarnimada iyo qaan-gaarnimada hore.
Wiilasha, astaamaha ugu horreeya ee jirka ee testosterone, ama androgens, ee jirka kujira ayaa muuqda inta lagu guda jiro baaluqnimada. Codka wiilka ayaa isbadala, garbihiisa oo is balaara, qaab dhismeedka wajigiisuna noqdo mid lab ah.
Qaangaarnimada
Markay ragga sii gaboobaan, heerarkooda testosterone waxay hoos u dhici karaan qiyaastii 1 boqolkiiba sanadkii kadib da'da 30.
Haweenka premenopausal, testosterone waxaa badanaa lagu sameeyaa ugxan sidaha. Heerarku way hoos u dhici doonaan caadada ka dib, taas oo inta badan bilaabata inta u dhexeysa da'da 45 iyo 55.
Calaamadaha iyo astaamaha testosterone oo hooseeya
Tijaabada testosterone waxay cabireysaa heerka hoormoonka dhiigaaga.
Dadka qaar waxay ku dhashaan xaalado sababa heerar testosterone hooseeya. Waxaa laga yaabaa inaad yeelato heer testosterone hooseeya haddii aad qabtid cudur waxyeello u geysta xiniinyahaaga ama ugxan sidayaasha, oo sameeya hormoonka.
Heerarku way dhici karaan markii aad sii gabowdid. Si kastaba ha noqotee, waxay kugula talineysaa inaad hesho daaweynta beddelka testosterone (TRT) ee heerarka hoose ee ay sababto gabowga kaligiis.
Heerarka testosterone ee hooseeya waxay sababi karaan isbeddel ku yimaada shaqada galmada, oo ay ku jiraan:
- rabitaanka galmada oo yaraada, ama libido yar
- kacsi yar oo kadis ah
- itaal darri
- cillad aan caadi ahayn (ED)
- madhalaysnimo
Calaamadaha kale ee heerarka testosterone hooseeya waxaa ka mid ah:
- isbedelka qaababka hurdada
- adkaanshaha feejignaanta
- dhiirigelin la'aan
- hoos u dhaca muruqyada iyo xoogga
- cufnaanta lafaha
- naasaha waaweyn ee ragga
- niyad jab
- daal
Haddii aad dareento inaad yeelan karto heerar testosterone hooseeya, waa inaad u tagtaa dhakhtarkaaga oo aad ka heshaa baaritaan.
Hormoonkaas iyo dumarka
Hormoonkaas waa hormoonka ugu weyn ee ragga, laakiin haweenku sidoo kale waxay u baahan yihiin si ay u shaqeeyaan jirka oo caafimaad qaba. Testosterone waxaa laga helaa haweenka heerar aad uga hooseeya kan ragga.
Heerka estrogen ee haweenku hoos ayuu u dhacayaa ka dib markay galaan caadada. Tani waxay ka dhigi kartaa heerarkeeda hoormoonka ragga, oo sidoo kale loo yaqaan androgens, xoogaa ka sarreysa. Cudurada sida polycystic ovarian syndrome (PCOS) sidoo kale waxay sare u qaadi karaan heerarka testosterone.
Testosterone xad-dhaafka ah ee dhiiga dumarka ayaa sababi kara:
- luminta timaha madaxa
- finanka
- caadada oo aan caadi ahayn ama maqan
- koritaanka timaha wajiga
- madhalaysnimo
Hormoonka testosterone ee hooseeya ee dumarka sidoo kale wuxuu sababi karaa dhibaatooyin bacriminta, marka lagu daro lafaha daciifka ah iyo luminta libido.
Tijaabooyinka iyo ogaanshaha cudurka
Habka ugu fiican ee lagu ogaan karo testosterone oo hooseeya waa inaad booqato dhakhtarkaaga si aad uhesho baaritaan jireed iyo baaritaanka dhiigga.
Dhakhtarkaagu wuxuu eegi doonaa muuqaalkaaga jirka iyo horumarka galmada. Sababtoo ah heerarka testosterone badanaa way ka sarreeyaan subaxnimada, baaritaanka dhiigga waa in la sameeyaa ka hor 10: 00 am ragga da'da yar. Ragga ka weyn 45 sano waa la baari karaa ilaa 2:00 pm. welina ay helaan natiijooyin sax ah.
Khataraha la xiriira baaritaanka dhiigga waa dhif laakiin waxaa ka mid noqon kara dhiig bax, xanuun meesha la muday, ama infekshan.
Saamaynta heerarka testosterone ee aan caadiga ahayn
Inkasta oo astaamaha hoos u dhigista testosterone ay noqon karto qayb caadi ah ee gabowga, waxay sidoo kale noqon karaan calaamadaha sababaha kale ee salka ku haya. Kuwaas waxaa ka mid ah:
- falcelinta dawooyinka qaarkood
- ciladaha qanjirka 'thyroid'
- niyad jab
- isticmaalka khamriga xad dhaafka ah
Heerarka testosterone ee ka hooseeya heerka caadiga ah waxaa sababi kara xaalado sida:
- kansarka ugxansidaha ama xiniinyaha
- fashilka xiniinyaha
- hypogonadism, xaalad ah in qanjidhada galmada ay soo saaraan hormoonno yar ama aan lahayn
- qaangaarnimada goor hore ama daahday
- jirada joogtada ah, sida sonkorowga ama cudurka kalyaha
- cayil daran
- kiimiko ku daaweyn ama shucaac
- isticmaalka opioid
- xaaladaha hidda-socodka ee muuqda dhalashada, sida Klinefelter syndrome
Heerarka testosterone ee ka sarreeya heerka caadiga ah waxaa sababi kara:
- PCOS
- congenital adrenal hyperplasia (CAH) ee dumarka
- burooyinka xiniinyaha ama adrenal
Qaadid
Haddii heerka testosterone uu aad u hooseeyo, dhakhtarkaagu wuxuu kuu soo jeedin karaa TRT. Testosterone waxaa loo heli karaa sida:
- cirbad
- balastar
- jel ayaa lagaa mariyey maqaarkaaga
- gel sankaaga dulal
- jajabyo lagu beeray maqaarkaaga hoostiisa
Qaar ka mid ah daawooyinka loo isticmaalo in lagu daaweeyo heerarka testosterone ee haweenka sare waxaa ka mid ah:
- glucocorticosteroids
- metformin (Glucophage, Glumetz)
- ka hortagga uurka
- spironolactone (Aldactone)
Waa wax dabiici ah in laga walaaco heerarka hoose ee testosterone. Si kastaba ha noqotee, hoos u dhac tartiib tartiib ah ayaa qayb caadi ah ka ah gabowga. La hadal dhakhtarkaaga haddii aad ka walwalsan tahay ama aad la kulantid astaamo aan caadi ahayn.