I-hormone yokwelapha, ngamanye amaxesha kuthiwa "unyango lwe-androgen unyango," lunye lwezinto eziphambili zokwelapha umdlavuza wesibeletho . Nantsi into enifanele ukwazi ngayo ngale ndlela ebalulekileyo.
Androgen Ukunyuswa Kwonyango kunye nendlela Esebenza ngayo
Umzimba wakho uvelisa iintlobo zamahomoni ebomini bakho. Ezinye zala ma hormone ziveliswa kumazinga aphezulu kakhulu kumadoda kwaye zibizwa ngokuba yi-androgens.
I-Testosterone yiyona i-androgen eyaziwa kakhulu. I-Androgens yenziwa ngokuyinhloko kumathambo, kodwa iimbumba ze-adrenal ezingaphezulu kweentso zivelisa imali encinci.
I-Androgens iboniswe ukuba kubangele iiseli zomhlaza zeprostate zikhule. Isiseko esisisiseko okanye ingcamango yonyango lokunyanzelwa kwe-androgen kukuvimbela imveliso okanye imiphumo ye-androgens emzimbeni, ngoko ke, ukucotha okanye ukuyeka ukukhula kweeseli zomhlaza zesifo somhlaza.
Ukuyeka ukuveliswa kweeAndrogens
Imveliso ye-androgens iyenzeka kakhulu kumathambo. Kukho iindlela ezimbalwa ukuba lo mveliso ungasondela ngokupheleleyo.
- Orchiectomy
I-orchiectomy yindlela yokuhlinzwa eyenza ukukhutshwa kwamathambo omabini. Kuyacaca ukuba, emva kokuba ususwe amacwecwe, asakwazi ukuvelisa i-androgens.
I-Orchiectomy ihluke kwezinye iindlela zokukhetha ezibini izizathu ezibalulekileyo. Okokuqala, inkqubo ibangela umphumo osisigxina. Akukho ndlela yokuyibuyisela emva kokugqiba. Okwesibini, kukho utshintsho olubonakalayo emva kokugqiba utyando.
Ngenxa yezi zizathu, amadoda amaninzi akhethe enye yezinto ezingenanto zokugada kunye ne-orrogen.
- I-Luteinizing Hormone-Ukukhupha iHormone (LHRH) i-Agonists kunye ne-Antagonists
La maqela amabini eziyobisi asebenza ngokuthintela i-hormone eyenza i-androgens iveliswe. Zisebenza ngokufanayo kunye ne-orchiectomy ekunciphiseni amanqanaba e testosterone emzimbeni.
Zilawulwa nge-implants phantsi kwesikhumba okanye njengama-injections. Iziyobisi eziqhelekileyo kulolu hlobo ziquka i-leuprolide, i-goserelin, i-triptorelin kunye ne-abarelix.
Ezi zi yobisi zithandwa kakhulu kune-orchiectomy kwiminyaka yamuva kodwa zibiza kakhulu kwaye zifuna ukutyelela rhoqo ugqirha wakho.
Indlela I-Androgens Inokuthi Ikhutshwe Kokusebenza
Amayeza anxamnye ne-androgen ayenakho ayimise imveliso ye-androgens, kodwa, endaweni yoko, vimba umsebenzi wabo emzimbeni. Ezi ziqhelekileyo zisetyenziswe emva kwe-orchiectomy okanye ngelixa i-LHRH i-agonists okanye abachasayo bayasetyenziswa. Abafaneki basebenzise bodwa.
I-anti-androgens ivimba umsebenzi we-androgens kuwo wonke umzimba kungakhathaliseki ukuba i-androgen yenziwa kumathambo okanye kwiintlanzi ze-adrenal. I-anti-androgens idlalwa njengepilisi ethathwa rhoqo imihla.
Amachiza aqhelekileyo kulolu hlobo aquka i-flutamide (i-Eulexin) kunye ne-bicalutamide (i-Casodex).
Izinyango Zonyango Ezingasetyenziswanga Kakhulu
Usenokuba weva ukuba i-estrogens isetyenziswe ukukhusela imiphumo yehomoni yamadoda emzimbeni. Oku kuyinyaniso, kodwa ayenakudla ngokusetyenziswa namhlanje.
Ngelishwa, i-estrogens yafunyanwa ngokunyusa kakhulu amathuba akho ekuphuhliseni iingxaki ezithile ezibandakanya i-blood clots. Ngenxa yoko, abazange baxhamle. Namhlanje, zisetyenziselwa kuphela kwiimeko ezithile apho ezinye iindlela eziqhelekileyo zonyango ze-hormone zilahlekelwe yimpumelelo yazo kunye nezinye iindlela ezifunekayo.