Hypogonadism: menene menene, manyan alamun cututtuka da magani

Wadatacce

• Babban bayyanar cututtuka
• 1. hypogonadism na namiji
• 2. hypogonadism mace
• 3. Hypogonadotrophic hypogonadism
• Matsaloli da ka iya haddasawa
• 1. hypogonadism na farko
• 2. hypogonadism na biyu
• Yadda ake yin maganin
• Matsaloli da ka iya faruwa

Hypogonadism wani yanayi ne wanda kwayaye ko kwayayen baya haifar da isasshen sinadarai, kamar su estrogen a cikin mata da testosterone a cikin maza, wadanda ke taka muhimmiyar rawa wajen girma da ci gaba yayin balaga.

Wannan yanayin na iya bunkasa yayin haɓakar ɗan tayi yayin ɗaukar ciki, yana bayyana a lokacin haihuwa, amma kuma yana iya bayyana a kowane zamani, yawanci saboda raunuka ko cututtuka a cikin ƙwarjin mahaifa ko na mahaifar.

Hypogonadism na iya haifar da rashin haihuwa, rashin balaga, jinin haila ko ci gaban mara kyau na al'aurar namiji. Dole ne likita ya nuna maganin hypogonadism kuma yana nufin daidaita matakan hormone da guje wa rikice-rikice, da yin amfani da magungunan homon ko tiyata na iya zama dole.

Babban bayyanar cututtuka

Hypogonadism na iya farawa yayin ci gaban tayi, kafin balaga ko yayin balaga kuma gabaɗaya, alamomi da alamomin cutar sun dogara da lokacin da yanayin ya inganta da kuma jima'i da mutum:

1. hypogonadism na namiji

Hypogonadism na mace yana haifar da raguwa ko rashi samar da kwayoyin testosterone ta hanyar kwayoyin halittar, suna gabatar da alamomi daban-daban gwargwadon matakin rayuwa:

• Jarirai: nakasa girma na kayan ciki na ciki na iya faruwa saboda karancin kwayar testosterone lokacin ci gaban tayi. Ya danganta da lokacin da hypogonadism ya bunkasa da kuma yawan kwayar halittar testosterone da ake samu, ana iya haihuwar yaron, wanda yake asalin halittar namiji ne da al'aurar mata, al'aura wacce a bayyane take ba ta maza ba ce ko ta mace ko kuma ci gaban al'aura maza;
• Yara maza kafin balaga: alamun hypogonadism sun lalata ci gaban azzakari, tsokoki da gashin jiki, bayyanar kirji, rashin sauya murya, yawanci a lokacin balaga, da yawan girma na hannaye da kafafu dangane da akwati;
• Maza bayan balaga: rage adadin gashin jiki, asarar sinadarin tsoka da karin kiba a jiki, rashin karfin jiki da kuma karancin sha'awar jima'i. Hakanan za'a iya samun raguwar samar da maniyyi, wanda kan iya haifar da rashin haihuwa ko wahala wajen yiwa abokin zama ciki.

Likitan yara ne ko likitan urologist ne yake gano cutar hypogonadism, ya danganta da alamomin, tarihin asibiti kuma ta hanyar binciken jiki wanda likita ke duba ci gaban ƙwarjiyoyin, azzakari da gashi a jiki, da kuma yiwuwar cigaban nono. Idan kuna zargin hypogonadism na namiji, likita yakamata yayi odar gwaje-gwaje don auna matakan homonin kamar testosterone, FSH da LH, gami da nazarin kwaya, ta hanyar gwajin maniyyi. Gano yadda ake yin spermogram.

2. hypogonadism mace

Halin hypogonadism na mace wanda ke faruwa saboda raguwa ko rashi samarwar isrogen ta kwan mace kuma yana da alamomi daban-daban dangane da matakin rayuwar mace, wanda ya haɗa da:

• 'Yan mata kafin balaga: yawanci jinin haila na farko yana farawa ne daga shekara 14 ko kuma babu cikakken jinin haila, wanda ke shafar ci gaban nono da gashin mara;
• Mata bayan balaga: jinin haila ko katsewar lokaci na iya faruwa, rashin kuzari, sauyin yanayi, rage sha'awar jima'i, rasa gashin jiki, walƙiya mai zafi da wahalar yin ciki.

Ganewar hypogonadism na mata ana yin ta ne daga likitan yara ko likitan mata, gwargwadon shekaru, gwargwadon tarihin asibiti, shekarun haihuwa a lokacin hailarsu na farko, yanayin al'ada da kuma gwajin jiki don tantance ci gaban nono da gashinta. Bugu da kari, likita ya kamata yayi odar gwaje-gwajen dakin gwaje-gwaje don auna matakan homonin FSH, LH, estrogen, progesterone da prolactin, da kuma gwajin hoto kamar duban dan tayi.

3. Hypogonadotrophic hypogonadism

Hypogonadotrophic hypogonadism, wanda kuma ake kira hypogonadism na tsakiya, na iya faruwa lokacin haihuwa ga maza da mata, amma kuma yana iya bunkasa a kowane zamani.

Wannan nau'in hypogonadism yana faruwa ne saboda canje-canje a cikin guntun ciki ko kuma 'pituitary gland', wanda ke cikin kwakwalwa, wadanda ke da alhakin samar da kwayoyin halittar da ke motsa kwayayen kwayaye ko na kwaya don samar da homon din su. A wannan yanayin, alamun da aka fi sani sune ciwon kai, matsalar gani kamar gani biyu ko rashin gani, da samar da madara ta nono.

Binciken likitan hypogonadotrophic hypogonadism likitan yayi ne bisa alamomin cutar kuma ta hanyar binciken hoto kamar hoton maganadisu na kwakwalwa.

Matsaloli da ka iya haddasawa

Ana iya rarraba dalilan hypogonadism daidai da nau'in glandar da abin ya shafa kuma sun hada da:

1. hypogonadism na farko

Yawancin lokaci ana haifar da hypogonadism ne ta:

• Autoimmune, koda ko cututtukan hanta;
• Matsalolin kwayar halitta, irin su Turner Syndrome, a cikin mata, da Klinefelter Syndrome, a cikin maza;
• Cryptorchidism wanda kwayayen ciki basa sauka a cikin mazakuta a cikin yara maza yayin haihuwa;
• Mumps a cikin yara maza;
• Sauke al'adar mata da wuri;
• Polycystic ovary ciwo a cikin mata;
• Kamuwa da cuta kamar gonorrhea a cikin mata;
• Radiotherapy ko chemotherapy don maganin ciwon daji domin yana iya shafar samar da homonin jima'i.

A wannan nauin hypogonadism, kwai ko kwandala basa aiki yadda yakamata, suna samar da kadan ko babu jima'i na jima'i, saboda basa amsa kuzarin kwakwalwa.

2. hypogonadism na biyu

Hypogonadism na sakandare yawanci yakan haifar da:

• Zuban jini mara kyau;
• Matsalolin kwayar halitta irin su cututtukan Kallmann;
• Karancin abinci;
• Kiba;
• Ironarfin baƙin ƙarfe a cikin jini;
• Radiyya;
• Cutar kanjamau;
• Ciwon ƙwayar cuta

A hypogonadism na biyu, akwai raguwa ko rashin samar da sinadarai a kwakwalwa, kamar su FSH da LH, wadanda ke da alhakin kara kuzari a cikin kwayaye ko kwayayensu don samar da jima'i na jima'i.

Yadda ake yin maganin

Kula da hypogonadism yakamata ayi koyaushe a ƙarƙashin shawarar likita kuma yana iya haɗawa da magungunan hormonal don maye gurbin homonin progesterone da estrogen a cikin mata, da testosterone a cikin maza.

Idan sanadiyyar matsalar ta pituitary ne, ana iya yin magani tare da homonin pituitary don motsa kwayar halittar maniyyi a cikin maza ko kwayayen kwayaye a cikin mata don haka dawo da haihuwa. Bugu da ƙari, a game da ƙwayar cuta a cikin gland, za a iya buƙatar tiyata don cire ƙwayar, amfani da magunguna, radiotherapy ko maganin hormonal.

Matsaloli da ka iya faruwa

Matsalolin da hypogonadism na iya haifarwa sune:

• Abubuwan al'ada na al'ada a cikin maza;
• Ci gaban nono a cikin maza;
• Cutar rashin daidaito a cikin maza;
• Riskarin haɗarin cutar cututtukan zuciya;
• Weightara nauyin jiki;
• Rashin asarar tsoka;
• Rashin haihuwa;
• Osteoporosis.

Bugu da ƙari, hypogonadism na iya shafar darajar kai na maza da mata kuma yana haifar da matsaloli a cikin alaƙar soyayya ko matsalolin halayyar mutum kamar baƙin ciki, damuwa ko rashin karɓar jiki kanta.