Mawallafi: John Stephens
Ranar Halitta: 27 Janairu 2021
Sabuntawa: 20 Nuwamba 2024
Anonim
Testosterone Therapy in Men with Hypogonadism
Video: Testosterone Therapy in Men with Hypogonadism

Wadatacce

Menene hypogonadism?

Hypogonadism yana faruwa lokacinda glandar jima'i suka haifar da ƙarancin jima'i ko kuma ba. Glandar jima'i, ana kuma kiranta gonads, da farko jarabawa ce a cikin maza da kuma ƙwai ɗin mata. Jima'i na jima'i suna taimakawa wajen sarrafa halaye na jima'i na biyu, kamar su ci gaban nono a cikin mata, ci gaban kwayar halitta a cikin maza, da haɓakar balaga. Jarabawan Jima'i suma suna taka rawa a yanayin jinin al'ada da kuma samarda maniyyi.

Hypogonadism kuma ana iya saninsa da rashi na gonad. Ana iya kiran shi ƙaramin ƙwayar testosterone ko inuwa idan ya faru ga maza.

Yawancin lokuta na wannan yanayin suna amsawa da kyau ga maganin likita da ya dace.

Menene nau'ikan hypogonadism?

Akwai hypogonadism iri biyu: na farko da na tsakiya.

Tsarin hypogonadism na farko

Hypogonadism na farko yana nufin cewa baka da isasshen homono na jima'i a jikinka saboda matsala a cikin gonads ɗinka. Gonads dinka har yanzu suna karbar sako don samar da homon daga kwakwalwarka, amma basu iya samar dasu.


Tsarin tsakiya (na sakandare) hypogonadism

A tsakiyar hypogonadism, matsalar tana cikin kwakwalwarka. Hyphalamus da pituitary gland, wadanda ke kula da gonads ɗinka, basa aiki yadda yakamata.

Menene dalilan hypogonadism?

Sanadin hypogonadism na farko sun hada da:

  • cututtukan autoimmune, kamar cutar Addison da hypoparathyroidism
  • cututtukan kwayoyin halitta, irin su cutar Turner da cutar Klinefelter
  • cututtuka masu tsanani, musamman cututtukan da suka shafi ƙwayoyinku
  • hanta da cututtukan koda
  • gwaji mara kyau
  • hemochromatosis, wanda ke faruwa lokacin da jikinka ya sha ƙarfe da yawa
  • haskakawar radiation
  • tiyata akan al'aurarku

Tsarin hypogonadism na tsakiya na iya zama saboda:

  • cututtukan kwayoyin halitta, irin su ciwo na Kallmann (ci gaban hypothalamic mara kyau)
  • cututtuka, ciki har da HIV
  • cututtuka na pituitary
  • cututtukan kumburi, ciki har da sarcoidosis, tarin fuka, da histiocytosis
  • kiba
  • asarar nauyi mai sauri
  • Karancin abinci mai gina jiki
  • amfani da magungunan sitadodi ko opioids
  • tiyatar kwakwalwa
  • haskakawar radiation
  • rauni ga glandon ku na pituitary ko hypothalamus
  • ƙari a cikin ko kusa da glandon ku

Menene alamun kamuwa da cutar hypogonadism?

Kwayar cututtukan da za su iya bayyana a cikin mata sun hada da:


  • rashin haila
  • saurin nono ko rashi
  • walƙiya mai zafi
  • asarar gashin jiki
  • low ko ba ya nan jima'i drive
  • ruwan madara daga nono

Kwayar cututtukan da za su iya bayyana a cikin maza sun hada da:

  • asarar gashin jiki
  • asarar tsoka
  • ciwan nono mara kyau
  • rage girma na azzakari da kuma golaye
  • rashin karfin erectile
  • osteoporosis
  • low ko ba ya nan jima'i drive
  • rashin haihuwa
  • gajiya
  • walƙiya mai zafi
  • wahalar tattara hankali

Ta yaya ake bincikar cutar hypogonadism?

Likitanku zai gudanar da gwajin jiki don tabbatar da cewa haɓakar jima'i a matakin da ya dace don shekarunka. Suna iya bincika ƙwayar tsoka, gashin jikinka, da gabobinku na jima'i.

Gwajin Hormone

Idan likitanku yana tsammanin kuna iya samun hypogonadism, za su fara bincika matakan hormone jima'i. Kuna buƙatar gwajin jini don bincika matakin ku na hormone mai motsa follic (FSH) da kuma luteinizing hormone. Glandar ku ta pituitary tana yin waɗannan homon haihuwar.


Za ku gwada gwajin ku na estrogen idan ku mata ne. Idan kai namiji ne, zaka gwada matakin testosterone. Wadannan gwaje-gwaje yawanci ana zana su da safe lokacin da matakan hormone suka fi girma. Idan kai namiji ne, likitan ka na iya yin odar nazarin maniyyi don duba adadin maniyyin ka. Hypogonadism na iya rage yawan maniyyinka.

Kwararka na iya yin odar ƙarin gwaje-gwajen jini don taimakawa tabbatar da ganewar asali da kuma kawar da duk wani dalilin da ke haifar da hakan.

Matakan ƙarfe na iya shafar jarabar jima'i. Saboda wannan dalili, likitanku na iya bincika matakan ƙarfe na jini, yawanci ana gani a hemochromatosis.

Hakanan likitan ku na iya auna matakan prolactin ɗin ku. Prolactin wani hormone ne wanda ke inganta ci gaban nono da samar da ruwan nono ga mata, amma yana nan a cikin jinsi biyu.

Hakanan likitanku na iya bincika matakan hormone na thyroid. Matsalolin thyroid na iya haifar da bayyanar cututtuka kama da hypogonadism.

Gwajin hoto

Hakanan gwajin hoto yana iya zama da amfani wajen gano asali. Wani duban dan tayi yayi amfani da igiyar ruwa don kirkirar hoton kwayayen da kuma duba duk wata matsala, gami da gwaiwar ovarian da polycystic ovary syndrome.

Kwararka na iya yin odar MRIs ko CT scans don bincika ciwace ciwace a cikin gland.

Menene maganin hypogonadism?

Jiyya na hypogonadism na mata

Idan ke mace ce, maganinki zai kunshi kara adadin homonin jima'i na mace.

Layinku na farko na jiyya mai yiwuwa zai iya zama maganin estrogen idan kuna da ciwon mahaifa. Ko dai faci ko kwaya na iya gudanar da ƙarin estrogen.

Saboda karuwar isrogen din na iya kara barazanar kasadar endometrial, za a baku hadewar isrogen da progesterone idan baku sami hysterectomy ba. Progesterone na iya rage haɗarin ku don cutar kansa ta endometrial idan kuna shan estrogen.

Sauran jiyya na iya ƙaddamar da takamaiman bayyanar cututtuka. Idan kana da karancin sha'awar jima'i, zaka iya samun karancin kwayoyin testosterone. Idan kuna da rashin daidaito na al'ada ko matsalar samun ciki, kuna iya karɓar allurar homonin mutum choriogonadotropin ko kwayoyi dauke da FSH don haifar da kwaya.

Jiyya ga hypogonadism na namiji

Testosterone shine hormone jima'i na maza. Maganin maye gurbin Testosterone magani ne mai yadu don hypogonadism a cikin maza. Zaka iya samun maganin maye gurbin testosterone ta:

  • allura
  • faci
  • gel
  • lozenge

Allurar kwayar cutar mai sakin gonadotropin na iya haifar da balaga ko kara kwazowar halittar maniyyinka.

Jiyya don hypogonadism a cikin maza da mata

Jiyya ga maza da mata daidai yake idan hypogonadism saboda ƙari ne akan glandon. Jiyya don raguwa ko cire ƙari na iya haɗawa da:

  • haskakawa
  • magani
  • tiyata

Menene hangen nesa na dogon lokaci?

Sai dai idan abin da zai iya magance shi ya haifar da shi, hypogonadism wani yanayi ne mai ciwuwa wanda ke buƙatar magani na rayuwa. Matsayin ku na jima'i na iya raguwa idan kun daina jiyya.

Neman tallafi ta hanyar magani ko ƙungiyoyin tallafi na iya taimaka muku kafin, lokacin, da bayan jiyya.

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