TRT: Raba Gaskiya da Almara
Wadatacce
- Menene TRT?
- Me yasa T ke raguwa da shekaru?
- Ta yaya zan sani idan ina da ƙananan T?
- Yaya ake gudanar da TRT?
- Ta yaya ake amfani da TRT a likitance?
- Menene amfani da marasa magani na TRT?
- Nawa ne kudin TRT?
- Rike shi bisa doka (kuma amintacce)
- Shin akwai haɗarin da ke da alaƙa da TRT?
- Layin kasa
Menene TRT?
TRT abar lafazi ce don maganin maye gurbin testosterone, wani lokacin ana kiranta maganin maye gurbin asrogen. Ana amfani dashi da farko don magance ƙananan testosterone (T), wanda zai iya faruwa tare da shekaru ko kuma sakamakon yanayin lafiya.
Amma yana ƙara zama sananne ga marasa amfani da likita, gami da:
- inganta aikin jima'i
- cimma matakan makamashi mafi girma
- gina ƙwayar tsoka don gina jiki
Wasu bincike sun nuna cewa a gaskiya TRT na iya taimaka muku don cimma waɗancan burin. Amma akwai wasu kogo. Bari mu nutse cikin ainihin abin da ke faruwa ga matakan T yayin da kuka tsufa kuma abin da za ku iya tsammani daga TRT.
Me yasa T ke raguwa da shekaru?
Jikinku yana haifar da ƙananan T yayin da kuka tsufa. A cewar wata kasida a likitancin dangin Amurka, yawancin samar da T na maza yana sauka da kusan kashi 1 zuwa 2 a kowace shekara.
Wannan duk wani bangare ne na tsarin halitta gabaɗaya wanda ya fara a ƙarshen 20s ko farkon 30s:
- Yayin da kuka tsufa, ƙwayoyinku yana haifar da ƙananan T.
- Testarƙwarar gwajin T yana haifar da hypothalamus ɗinka don samar da ƙaramin haɓakar haɓakar gonadotropin (GnRH).
- Rage GnRH yana haifar da gland din ku don rage ƙarancin homon (LH).
- Sakamakon LH da aka saukar a cikin ƙarancin aikin T gaba ɗaya.
Wannan raguwar a hankali a cikin T sau da yawa baya haifar da wani alamun bayyanar. Amma raguwa mai yawa a matakan T na iya haifar da:
- karancin jima'i
- erearancin tsageran lokaci
- rashin karfin erectile
- saukar da adadin maniyyi ko girma
- matsalar bacci
- asarar tsoka da yawan kashi
- karin nauyin da ba a bayyana ba
Ta yaya zan sani idan ina da ƙananan T?
Hanya guda daya don sanin ko kuna da ƙananan T shine ta hanyar ganin mai ba da lafiya don gwajin matakin testosterone. Wannan gwajin jini ne mai sauki, kuma akasarin masu samarwa suna bukatar hakan kafin su rubuta TRT.
Wataƙila kuna buƙatar yin gwajin sau da yawa saboda matakan T suna fuskantar abubuwa daban-daban, kamar su:
- rage cin abinci
- matakin dacewa
- lokacin rana gwajin yayi
- wasu magunguna, kamar masu ba da magani da masu kwayar cutar
Anan akwai raunin matakan T na al'ada na maza masu girma tun suna shekaru 20:
| Shekaru (a cikin shekaru) | Matakan T a cikin nanogram a kowace milliliter (ng / ml) |
|---|---|
| 20–25 | 5.25–20.7 |
| 25–30 | 5.05–19.8 |
| 30–35 | 4.85–19.0 |
| 35–40 | 4.65–18.1 |
| 40–45 | 4.46–17.1 |
| 45–50 | 4.26–16.4 |
| 50–55 | 4.06–15.6 |
| 55–60 | 3.87–14.7 |
| 60–65 | 3.67–13.9 |
| 65–70 | 3.47–13.0 |
| 70–75 | 3.28–12.2 |
| 75–80 | 3.08–11.3 |
| 80–85 | 2.88–10.5 |
| 85–90 | 2.69–9.61 |
| 90–95 | 2.49–8.76 |
| 95–100+ | 2.29–7.91 |
Idan matakan T ku kawai kaɗan kaɗan ne don shekarunku, mai yiwuwa ba kwa buƙatar TRT.Idan sun yi ƙasa sosai, mai yiwuwa mai ba ka sabis ɗin zai iya yin ƙarin gwaji kafin ya ba da shawarar TRT.
Yaya ake gudanar da TRT?
Akwai hanyoyi da yawa don yin TRT. Zaɓinku mafi kyau zai dogara ne akan bukatun likitanku da kuma tsarin rayuwar ku. Wasu hanyoyin suna buƙatar gudanarwar yau da kullun, yayin da wasu kawai ana buƙatar yin su kowane wata.
Hanyoyin TRT sun hada da:
- magungunan baka
- allurar intramuscular
- facin transdermal
- kayan shafe-shafe
Akwai kuma wani nau'i na TRT wanda ya haɗa da shafa testosterone akan kumatunku sau biyu a rana.
Ta yaya ake amfani da TRT a likitance?
TRT ana amfani da ita don magance hypogonadism, wanda ke faruwa yayin gwajinku (wanda ake kira gonads) ba su samar da isasshen testosterone.
Akwai hypogonadism iri biyu:
- Tsarin hypogonadism na farko. Sakamakon low T daga matsaloli tare da gonads. Suna samun sigina daga kwakwalwarku don yin T amma ba za su iya samar da su ba.
- Tsarin tsakiya (na sakandare) hypogonadism. Tarancin T yana fitowa ne daga lamuran cikin hypothalamus ko gland na pituitary.
TRT tana aiki don gyara T wanda ba gwajin ku bane yake samarwa.
Idan kuna da hypogonadism na gaskiya, TRT na iya:
- inganta aikin jima'i
- bunkasa adadin maniyyin ka da karfin ka
- kara yawan sauran kwayoyin halittar da ke mu'amala da T, gami da prolactin
Hakanan TRT na iya taimakawa wajen daidaita matakan T na baƙon abu wanda ya haifar da:
- yanayin autoimmune
- cututtukan kwayoyin halitta
- cututtukan da ke lalata al'aurarku
- gwauraye marasa kyau
- radiation na ciwon daji
- tiyata gabobin jima'i
Menene amfani da marasa magani na TRT?
Yawancin ƙasashe, gami da Amurka, ba da izinin mutane su sayi abubuwan T don doka ta TRT ba tare da takardar sayan magani ba.
Duk da haka, mutane suna neman TRT don wasu dalilai marasa magani, kamar su:
- rasa nauyi
- ƙara matakan makamashi
- kara karfin sha'awa ko motsa jiki
- haɓaka ƙarfin hali don ayyukan wasanni
- samun karin ƙwayar tsoka don gina jiki
TRT hakika an nuna yana da wasu daga waɗannan fa'idodin. Misali, an kammala da cewa ya inganta ƙarfin tsoka da kyau a cikin tsofaffi da mazan maza.
Amma TRT tana da fa'idodi kaɗan da aka tabbatar wa mutane, musamman ma samari, masu matakan yau da kullun ko na T. Kuma haɗarin na iya wuce amfanin sa. Smallaramin binciken shekara ta 2014 ya samo hanyar haɗi tsakanin manyan matakan T da ƙananan ƙwayoyin maniyyi.
Plusari da haka, yin amfani da TRT don samun fa'ida a cikin wasanni ana ɗaukarsa "doping" ta ƙungiyoyi masu ƙwarewa da yawa, kuma galibin suna ɗauka cewa dalili ne na dakatar da wasan.
Madadin haka, la'akari da gwada wasu hanyoyin daban don haɓaka T. Anan akwai nasihu takwas don farawa.
Nawa ne kudin TRT?
Kudin TRT ya banbanta dangane da nau'in da aka ba ku. Idan kuna da inshorar lafiya kuma kuna buƙatar TRT don magance yanayin kiwon lafiya, da alama ba za ku iya biyan kuɗin gaba ɗaya ba. Hakikanin farashin na iya bambanta dangane da wurinku kuma ko akwai nau'ikan sigar wadata.
Gabaɗaya, zaku iya tsammanin biya ko'ina daga $ 20 zuwa $ 1,000 kowace wata. Kudin ainihin ya dogara da abubuwa da yawa, gami da:
- wurinka
- nau'in magani
- hanyar gudanarwa
- ko akwai nau'ikan sigar wadata
Lokacin la'akari da tsadar, tuna cewa TRT kawai yana haɓaka matakan T. Ba zai magance tushen tushen ƙarancin T ba, don haka kuna iya buƙatar tsawon rai.
Rike shi bisa doka (kuma amintacce)
Ka tuna, haramun ne a sayi T ba tare da takardar sayan magani ba a yawancin ƙasashe. Idan an kama ku kuna yin haka, kuna iya fuskantar mummunan sakamako na doka.
Ari da, T da aka sayar a waje da magunguna na doka ba a kayyade shi ba. Wannan yana nufin cewa kuna iya siyan T da aka haɗa shi da sauran abubuwan haɗin da ba a lasafta su a cikin alamar ba. Wannan na iya zama mai haɗari ko ma barazanar rai idan kuna rashin lafiyan kowane ɗayan waɗannan sinadaran.
Shin akwai haɗarin da ke da alaƙa da TRT?
Har yanzu masana na kokarin fahimtar kasada da illolin da TRT ke haifarwa. A cewar Harvard Health, yawancin karatun da ake da su suna da iyakoki, kamar su ƙarami a cikin girma ko yin amfani da allurai masu girma na T.
A sakamakon haka, har yanzu akwai wata muhawara game da fa'idodi da haɗarin da ke da alaƙa da TRT. Misali, an ce duka biyu suna haɓaka da rage haɗarin wasu nau'ikan cutar kansa.
A a cikin mujallar Therapeutic Ci gaba a Urology ya ba da shawarar cewa wasu daga cikin waɗannan ra'ayoyin da suka saɓa wa juna sun samo asali ne daga labaran watsa labarai masu kishi, musamman a Amurka.
Kafin gwada TRT, yana da mahimmanci ka zauna tare da mai ba da lafiyar ka kuma ka shawo kan duk illa da haɗarin da ke tattare da hakan. Waɗannan na iya haɗawa da:
- ciwon kirji
- wahalar numfashi
- matsalolin magana
- ƙarancin maniyyi
- polycythemia vera
- saukar da HDL (“mai kyau”) cholesterol
- ciwon zuciya
- kumburi a hannu ko ƙafa
- bugun jini
- hyperplasia mai rauni (ƙara girman prostate)
- barcin bacci
- fesowar fata ko makamantan haka
- zurfin jijiyoyin jini thrombosis
- Ciwon ciki na huhu
Bai kamata ku sha TRT ba idan kun kasance cikin haɗari ga kowane yanayin da aka lissafa a sama.
Layin kasa
TRT ya daɗe yana zaɓin magani ga mutanen da ke da hypogonadism ko yanayin da ke da alaƙa da rage T samarwa. Amma fa'idodinsa ga waɗanda ba tare da yanayin asali ba a bayyane yake, duk da yawan talla.
Yi magana da likitanka kafin ka ɗauki kowane kari na T ko magunguna. Zasu iya taimaka muku wajen tantance ko burin ku tare da TRT masu aminci ne kuma masu zahiri.
Har ila yau yana da mahimmanci don kula da ku ta hanyar ƙwararren likita yayin da kuke ɗaukar ƙarin abubuwan T don lura da duk wani alamun da ba a so ko kuma tasirin da zai iya faruwa yayin jiyya.
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