Fursadaha Kordhinta Hormoonkaaga

Qanacsan

• Guudmarka
• Waa maxay testosterone?
• Hypogonadism-ka ragga
• Daawaynta hypogonadism-ka ragga
• TRT ragga caafimaadka qaba?
• Khataraha daaweynta testosterone
• Daaweyn kale
• Qaadashada

Guudmarka

100-kii sano ee la soo dhaafay, rajada nololeed ee ragga ayaa korortay boqolkiiba 65, sida laga soo xigtay Xarumaha Xakamaynta iyo Kahortagga Cudurrada (CDC).

1900, raggu waxay noolaayeen ilaa abbaaraha. Marka la gaaro 2014, da'daas. Su’aal kama taagna in ragga ay dib u qeexayaan waxa ay noqoneyso 50, 60, iyo 70 sano ama ka weyn.

Jimicsi joogto ah, cunto caafimaad leh, iyo nasasho ku filan dhammaantood waxay gacan ka geystaan ​​sidii loo ilaalin lahaa tamarta iyo firfircoonida ragga ka weyn 50. Laakiin ragga ayaa sidoo kale u jeestay mid ka mid ah xalalka ugu da'da weyn ee la heli karo. Tobankii sano ee la soo dhaafay, isticmaalka testosterone ee da'da dhexe iyo ragga waayeelka ah ayaa caan noqday.

Waa maxay testosterone?

Testosterone waa hormoonka mas'uulka ka ah horumarinta xubinta taranka ee ragga iyo sifooyinka galmada sare. Waxaa soo saaray xiniinyaha. Testosterone waxay muhiim u tahay ilaalinta:

• muruq badan
• cufnaanta lafaha
• unugyada dhiigga cas
• shaqada galmada iyo taranka

Testosterone sidoo kale waxay gacan ka geysataa firfircoonaanta iyo fayoobaanta.

Markay ragga gaboobaan, jidhkoodu si tartiib tartiib ah ayuu u soo saaraa testosterone ka yar. Hoos u dhaca dabiiciga ah wuxuu bilaabmaa qiyaastii 30 jir wuxuuna socdaa inta ka hartay nolosha ninka.

Hypogonadism-ka ragga

Ragga qaarkiis waxay leeyihiin yaraanta testosterone oo loo yaqaanno hypogonadism lab. Tani waa xaalad uusan jirku soo saarin testosterone ku filan. Waxaa sababi kara dhibaatooyinka ka jira:

• xiniinyaha
• hypothalamus
• qanjirka pituitary

Ragga halista ugu jira xaaladan waxaa ka mid ah kuwa dhaawac ka soo gaadhay xiniinyaha ama qaba HIV / AIDS. Haddii aad soo martay dawaynta kimikalka ama shucaaca, ama aad yeelatay xiniinyaha aan fiicnayn ilmo ahaan waxa kale oo lagugu tixgelinayaa inaad halis ugu jirto hypogonadism.

Calaamadaha lagu garto hypogonadism-ka ragga qaangaarnimada waxaa ka mid ah:

• cillad kacsi
• hoos u dhaca murqaha
• madhalaysnimo
• luminta cufnaanta lafaha (lafo-beelka)
• hoos u dhaca gadhka iyo koritaanka timaha jirka
• horumarinta unugyada naaska
• daal
• adkaanshaha feejignaanta
• galmada oo yaraatay

Daawaynta hypogonadism-ka ragga

Dhakhaatiirtu waxay ku go'aamin karaan inaad qabtid hypogonadism lab ah iyadoo loo marayo baaritaanka jirka iyo baaritaanka dhiigga. Haddii dhakhtarkaagu ogaado testosterone oo hooseeya waxay sameyn karaan baaritaanno dheeri ah si loo ogaado sababta.

Daaweynta sida caadiga ah waxaa ka mid ah daaweynta beddelka testosterone (TRT) oo ah qaab:

• irbado
• balastarro
• jel

TRT ayaa lagu soo waramayaa inay gacan ka geysaneyso:

• kor u qaad heerarka tamarta
• kordhi murqaha
• soo celinta shaqada galmada

Si kastaba ha noqotee, saynisyahannadu waxay ka taxaddaraan inaysan jirin macluumaad ku filan si loo go'aamiyo badbaadada joogtada ah ee kaabista testosterone.

TRT ragga caafimaadka qaba?

Rag badan ayaa la kulma isbeddelo markay gaboobaan oo la mid ah astaamaha hypogonadism. Laakiin astaamahoodu lama xiriiri karaan cudur ama dhaawac kasta. Qaarkood waxaa loo tixgeliyaa inay yihiin qayb caadi ah oo gabowga ah, sida:

• isbeddelada qaababka hurdada iyo shaqada galmada
• dufanka jirka oo kordhay
• muruqa oo yaraaday
• dhiirigelinta oo hoos u dhacday ama isku kalsoonaanta

Mayo Clinic waxay soo werisay in TRT ay ka caawin karto ragga qaba hypogonadism. Natiijooyinka ma aha sida ay u cad yihiin ragga leh heerar caadi ah testosterone ama ragga da'da weyn leh heerarka testosterone oo hoos u dhacaya. Daraasado adag oo dheeri ah ayaa loo baahan yahay, sida laga soo xigtay rugta caafimaadka ee Mayo.

Khataraha daaweynta testosterone

Daraasaduhu waa isku dhafan yihiin in TRT ay faa'iido u leedahay ragga caadiga ah markay gaboobaan. Cilmi-baarisyada qaarkood waxay keeneen khataro daran oo ku saabsan daaweynta, gaar ahaan marka la qaato muddada dheer. Tani waxay keentay dhakhaatiirta inay taxaddar ka muujiyaan ku talinta.

Baadhitaan ballaadhan, 2010-ka-falanqaynta daraasadaha 51 ayaa eegay badbaadada TRT. Warbixinta ayaa lagu soo gabagabeeyay in falanqaynta amniga ee TRT ay tahay mid tayadeedu hooseyso ayna ku guuldareysato inay bulshada u sheegto saameynta mustaqbalka fog.

Isbitaalka Mayo wuxuu ka digayaa in TRT ay sidoo kale:

• gacan ka geysta hurdada
• waxay keenaan finan ama dareen-celin kale oo maqaarka ah
• xaddid soo saarida manida
• sababa yaraanshaha xiniinyaha
• naasaha weynee
• kordhinta halista cudurka wadnaha

Waxa kale oo jira khataro ku lug leh yeelashada heerarka testosterone oo hooseeya, sida:

• istaroog
• wadne qabad
• jab sinta ah

Markii hore, waxaa jiray walaac ah in TRT ay sare u qaadday halista ah inuu ku dhaco kansarka qanjirka 'prostate'.

Inta badan xogta hadda jirta, oo ay ku jiraan laba 2015, mar dambe ma taageerto xiriirka ka dhexeeya beddelka testosterone iyo horumarinta 1) kansarka qanjirka 'prostate', 2) kansarka qanjirka 'prostate', ama 3) kansarka qanjirka 'prostate' oo soo noqda daaweynta ka dib.

Haddii aad leedahay hypogonadism lab ama testosterone hoose, kala hadal dhakhtarkaaga haddii TRT ay kuu noqon karto xulasho wanaagsan. Kala hadal halista iyo faa'iidooyinka TRT.

Daaweyn kale

Haddii aadan haysan hypogonadism, laakiin waxaad xiiseyneysaa inaad dareento firfircooni iyo dhalinyaro ahaan. Hababka soo socda ee soo socda ayaa laga yaabaa inay kaa caawiyaan kordhinta heerkaaga testosterone iyada oo aan la isticmaalin daaweynta hoormoonka.

• Joogto miisaan caafimaad leh. Ragga cayilan waxay u badan tahay inay yeeshaan heerar testosterone oo hooseeya. Miisaan luminta ayaa soo celin karta testosterone.
• Samee jimicsi joogto ah. Ragga fadhiga ku jira waxay u muuqdaan inay leeyihiin heerar hoos u dhaca testosterone, maadaama jidhku aanu u baahnayn wax badan. Miisaan-kicintu waxay kicin kartaa wax soo saarka testosterone. Furaha ayaa si joogto ah u dhaqaajinaya jirkaaga una isticmaalaya murqahaaga.
• Seexo 7 ilaa 8 saacadood habeen kasta. Hurdo la’aan ayaa saameysa hormoonnada jirkaaga ku jira.

• Isku day nafaqada fitamiin D-ga ah. Ragga 165 ka mid ah waxay soo jeediyeen in lagu daro qiyaastii 3,300 IUs oo fitamiin D ah maalin kasta waxay kordhisay heerarka testosterone.
• Ku raaxayso qaxwadaada subaxa. Waxaa jira in kafeynku uu kordhin karo heerarka testosterone.

• Hel zinc badan. Yaraanta zinc ee ragga ayaa lala xiriiriyay hypogonadism.
• Cun nuts iyo digir badan. Waxay hodan ku yihiin D-aspartic acid, oo dhiirrigeliya soosaarka testosterone, sida laga soo xigtay mid.

Qaadashada

Hal dariiqo oo lagu kordhiyo heerarka testosterone waa iyada oo loo marayo TRT. Waxay si gaar ah waxtar u leedahay haddii aad leedahay hypogonadism. Daraasaduhu wali ma muujin waxtarka TRT ee ka caawinta ragga leh heerarka caadiga ah ee testosterone ama ragga da'da ah ee hoos u dhacaya heerarka testosterone sababo gabow.

Ragga qaata TRT badiyaa waxay la kulmaan tamar kordhay, galmo kacsan, iyo fayoobaanta guud. Laakiin ammaankeeda muddada-dheer lama dhisin.

Waxaa jira noocyo kala duwan oo daaweyn hab-nololeed ah oo ku lug leh jimicsi, cunto, iyo hurdo oo la muujiyey inay kordhinayso heerarka testosterone. Kala hadal dhakhtarkaaga waxa adiga kugu habboon.