Iimpawu zeHormonal Dysfunction zingahluka kwiiNtombi
Xa abantu bacinga ngesifo se- thyroid , babecinga ukuba yiyintlupheko echaphazela abafazi. Kwaye, ngelixa kuyiyo inyaniso ukuba abafazi baphakathi kwama-8 kunye namaxesha angama-10 amathuba okuba banokuchaphazeleka, abaninzi abantu abangamawaka amabini e-United States bakholelwa ukuba bahlala nesimo esithile sesifo.
Kula manani, uqikelelo lwama-60 ekhulwini luya kungakhange lufumaneke, lithetha i-American Thyroid Association, ngenxa yokuba abantu baqhubeka bayijonga "njengesifo somfazi."
Kodwa le nto yinkalo yengxaki. Nangona iimbangela kunye nokuqhubela phambili kwezifo ze-thyroid zifana namadoda nabasetyhini, kukho iimpawu ezikhethekileyo kumadoda ahlala ephosakeleyo okanye aphethwe ngengozi, okwenza umsebenzi wokuxilonga unzima ngakumbi.
Ukuqonda izifo ze-Thyroid
Ingqungquthela ye- thyroid iyilungu elincinci elincinci, elifakwe ebhokisini elingaphambi kwentamo yakho nje emva kwe-apple ka-Adam. Nangona ubukhulu becala, i-thyroid gland iyenaxanduva lemisebenzi emininzi yomzimba.
Umsebenzi oyintloko we-thyroid gland ukubeka i-hormone ye-secrete egazini eliya kuthiwa ithathwa kwiiseli zomzimba. Ezi ihomoni zikunceda umzimba udibanise amandla, ulawulo lokushisa komzimba, kwaye uqinisekise ukuba intliziyo, ubuchopho, imisipha kunye nezinye izitho zisebenza ngokufanelekileyo.
Enyanisweni, ngokugqithiseleyo yonke imisebenzi ye-biological yomzimba incike kwi-hormone ye-thyroid, ukusuka ekukhuleni kweenwele zakho kunye nezipikili kwi-sex drive yakho.
Ngoko-ke, kuyacaca ukuba kukho ukungalingani kunokubangela ukuba le nkqubo ibenze kakubi, mhlawumbi ngokubeka iibhuleki ngendlela abasebenza ngayo okanye ukuyikhaba kwi-overdrive.
I-thyroid gland isebenza ngokuthoba i-iodine kwizondlo zondlo kwaye iguqula kwiibhloko ze-hormone. Ii-hormones ezimbini ezibalulekileyo zibizwa ngokuba yi-triiodothyronine (T3) kunye ne-thyroxine (T4).
Iqondo apho ezi zi-hormone ziveliswa zixhomekeke kakhulu kwi- pituitary gland . Indima ye-pituitary gland ukufumana inani le-T3 ne-T4 ejikeleza egazini. Ukuba ziphantsi kakhulu, i-gland iya kufaka i-hormone eyaziwa njenge- thyroid evuselela i-hormone (TSH) ukuze ibonakalise i-thyroid gland ukuba ivelise ngaphezulu.
Naliphi na ukuphazamiseka kule nkunkuma ye-hormonal-mhlawumbi ngenxa yesifo, isifo se-autoimmune, okanye ezinye izimbangela-kunokubangela i-thyroid gland ukuba ivelise amahomoni amaninzi ( hyperthyroidism ) okanye encinci ( hypothyroidism ).
Hyperthyroidism kuMadoda
I-Hyperthyroidism yimeko apho i-thyroid gland ikhiqiza kakhulu iT3, T4, okanye zombini. Kukho izizathu ezininzi ezahlukeneyo zezi. Oyintloko phakathi kwabo yiNgcwaba yesifo , isifo esizimelayo apho isimiso somzimba sokuzivikela sikhiqiza umntu olwa ne-antibody osebenza ngokugqithiseleyo.
Izifo zamangcwaba ziqhubela ngamandla kwiintsapho kwaye kukholwa ukuba zichaphazela omnye kubantu abangama-200 e-United States, ngokuqhelekileyo abantu abadala abangaphezulu kwama-40.
Ezinye izizathu ezibangelwa i-hyperthyroidism kumadoda ziquka:
- I-Thyroiditis (ukuvuvukala kwe-thyroid) ebangela ukuba i-T3 ne-T4 ibe "ukuvuza" kwe-thyroid gland
- Isisu esinomdla we-thyroid okanye i-pituitary gland
- Isisu esinobunzima samathambo
- Umhlaza wesantya
- Ukunyusa iodode ngokweqile
- Ukusetyenziswa ngokugqithisileyo kwezibonelelo eziphathekayo ze-T4 eziqhelekileyo zisetyenziswe ngababuciko bomzimba ukukhawulezisa isantya sokunciphisa ukufumana "ngaphezulu,
Amadoda ane-hyperthyroidism aya kubelana ezininzi iimpawu ezifanayo zesifo njengabafazi. Basenokuziva befudumele okanye bathuthumele kwiqondo lokushisa. Ukunyuka kwawo kwesifo se-metabolism kunokubangela ukuba utshintsho kwisifiso okanye ngokukhawuleza, ukulahlekelwa kwesisindo. Ukukhathazeka, ukuxhala, ukukhathala, ukulahlekelwa ingqalelo, kunye nokuthuthumela kwezandla ziqhelekile. Ixesha elide, intlawulo yenhliziyo iya kunyuswa kwaye ibonwe njengento yokugungqa okanye ukugubungela esifubeni.
Enye yeempawu ezixelayo yi- proptosis , okanye ukugqithisa kwamehlo kuhlobana kakhulu nezifo ze-Graves. Nakuphi na ukusukela kuma-25 ekhulwini ukuya kuma-50 ekhulwini kwabasetyhini kunye namadoda baya kufumana le nkcazo ye-hyperthyroid, ebangelwa ukuqokelela kwamaseli omzimba kwisangqa lesiso.
Ukungasebenzi kwezesondo ngesifo se-Hyperthyroid
Kukho, nangona kunjalo, iimpawu ezininzi ezicacileyo kumadoda. Ezi zibandakanya i-gynecomastia, ukukhuliswa okungavumelekanga kwesikhumba sesifuba esivame ukubonakala kumadoda amadala kodwa kunokubonakala kwangaphambili kumadoda ane-hyperthyroidism.
Esinye isifo esichazelayo sisifo sokusweleka kwesondo . Ukongeza kwi-libido ephantsi, ukungasebenzi kwe-erectile kuyinkxalabo evamile kubantu abaneesifo se-hyperthyroid. Ukuhlaziywa kuka-2012 kwiNyunithi yoLwaphulo lwezesondo kunye ne-Andylogy Unit kwiYunivesithi yaseFlorence e-Italy ihlola iimvavanyo apho kuye kwavanywa amadoda angama-6,573. Amadoda athatyathwa njenge-hyperthyroid (kunye ne-TSH ephantsi kunye namazinga aphakamileyo e-T4) abonakala njengengozi eyingozi yokwenyuka kwe-erectile.
Nangona emva kokulungelelanisa izinto ezifana nobudala, ukutshaya, ukukhuluphala, kunye namanqanaba aphantsi e-testosterone, amadoda ane-hyperthyroidism ayengaphezulu kokuphindwe kabini kwengozi xa kuthelekiswa namadoda anezinga eliqhelekileyo le-TSH / T4. Kutheni oku kwenzekayo akukacaci.
Isifo se-Hypothyroid kwiMadoda
I-Hypothyroidism ivela xa umzimba wakho ungavelisi amahomoni e-thyroid okwaneleyo. Ngokuqhelekileyo kudibene nolunye uhlobo lwesifo esizimelayo esaziwa njengesifo sikaHashimoto , apho isistim somzimba sika-immune sihlaselwa ngokuthe ngqo kwi-thyroid gland.
Isifo sikaHashimoto sibangela i-thyroiditis (ukuvuvukala kwe-thyroid gland) okokuqala kudala ukunyuka kwamahomoni e-thyroid. Ngexesha, nangona kunjalo, ukuvuvukala okuqhubekayo kwonakalisa i-thyroid gland apho kungakwazi ukuvelisa i-T3 ne-T4.
Njengesifo se-Graves, i-Hashimoto yinkxalabo eyayizuzwa kwiintsapho kwaye ikholelwa ukuba iyachaphazela abantu abayizigidi ezili-14 e-United States, ngokubanzi phakathi kweminyaka engama-40 no-60.
Ezinye izizathu ze-hypothyroidism kumadoda ziquka:
- Ukunyanga kwesifo se-hyperthyroid (kubandakanywa unyango lwe-radioiodine ) ngamanye amaxesha unokubangela ukuba igciwane le-thyroid livale ngokupheleleyo
- Utyando lwe-Thyroid olubandakanya ukususwa kweminye okanye yonke into
- Imisebe ye-Beam isetyenziswa kakhulu ukunyanga iisomhlaza zentloko nentamo
- Iintsilelo zentsholongwane ze-thyroid
- Amanye amachiza afana ne-lithium, i-amiodarone (esetyenziselwa ukuphatha intliziyo engavumelekanga), kunye ne-interferon alpha (esetyenziselwa ukunyanga i-cancer)
Amadoda ane-hypothyroidism aya kufumana ezininzi iimpawu ezifanayo zesifo njengabafazi. Basenokunganyamezeli kubanda kwaye bazive befudumele nakwikamelo elifudumeleyo. Ukukhathala, ukuzithemba, ukuxinezeleka, kunye nokuthoba konke kuyafana. Kwakhona kunokuba nobuqhophololo beengalo, imilenze, izandla, iinyawo kunye nobuso kunye nokwandiswa okungavumelekanga kwe-thyroid gland (ebizwa ngokuba yi-goiter).
Ukuxhatshazwa ngokwesini ngesondo kwi-Hypothyroid Disease
Ngokumalunga neempawu ezinxulumene ngqo namadoda, i-hypothyroidism ixhaphake ngokuqhelekileyo ekulahlekeleni ubunzima bemisipha kunye namandla kunokuba ubunzima bobunzima bubonakala kubasetyhini.
I-Hypothyroidism inokunyusa umngcipheko wokungabikho komntwana. Enyanisweni, uphando olubonakaliswe njani ukuba amadoda anesifo esiphantsi kwe-thyroid ayenokuba nempumelelo yomgangatho wesilisa, ukuveliswa kwembewu esezantsi, kunye ne-sperm motility motility.
Oku kukholelwa ukuba kubangelwa, ubuncinane inxalenye, ngehomoni eyaziwa ngokuba yiprolactin efihliweyo ngumgudu we-pituitary kunye ne-TSH. Njengoko ukuphuma kweTSH kwenyuka kuma-hypothyroid amadoda, ngokunjalo, i-prolactin. Oku kuninzi kunokubangela ukuhla kwehla kwamanqanaba e-testosterone, anokuchaphazela ukuveliswa kwemveliso yesini, i-sex driver, kunye nokukhula komzimba.
Impembelelo ye-hypothyroidism kwi-androgens (i-hormone yamadoda) ibonakala ixhomekeke kakhulu kwi-erectile i-dysfunction, nangona indlela echanekileyo yolu luhlala lubala. Ngokungafani ne-hyperthyroidism, apho i-TSH yokunyuka kunye nokunyuka kwi-T4 ihambelana ngqo neengxaki zokunyusa, akukho nxu lumano olucacileyo luye lwasekwa kubantu abano-hypothyroid disease.
Ngaloo nto kuthiwa, uphando olwenziwe ngo-2008 olupapashwe kwi-Journal of Clinical Endocrinology kunye neMetabolism lucetyise ukuba amadoda anesifo esiphantsi kwe -roid ayenamazinga aphezulu e-erectile ukungasebenzi kunamadoda angama-hyperthyroid (amaphesenti angama-85 kunye nama-71 ekhulwini, ngokulandelanayo) kwaye ngaphezulu kwamaxesha amathathu kubonwe kumadoda anomsebenzi oqhelekileyo we-thyroid (ama-25 ekhulwini).
Uphononongo olufanayo lubonisa ukuba, xa umsebenzi we-thyroid uvuselelwe ngamachiza, izinga le-erectile dysfunction lilingaphezulu okanye lilingana nelomntu jikelele.
Iingxaki kwi-Diagnosis
Nangona ukuxilongwa kunye nokunyangwa kwezifo ze-thyroid akufani nakwabanye njengabesifazana, kukho isithuba esiyingozi ekufinyeleleni amadoda achaphazelekayo.
Nangona abafazi bavame ukuhlolwa kwiingxaki ze-thyroid xa bebonisa ngeempawu, oogqirha bahlala bejonge i-thyroid xa bejamelana neempawu ezifanayo kumadoda. Ukongezelela koko, ngenxa yokuba ezininzi iimpawu zenziwa kwaye zivela kubantu abangaphezu kwama-40, oogqirha baya kubakho iimeko ezinjenge-erectile dysfunction, iingxaki zesisindo, kunye nokulahlekelwa kwamandla.
Nangona isifo se-thyroid sikhankanywe, oogqirha baya kuhlala behluleka ukulawula iipaneli ezipheleleyo zeemvavanyo, eziquka i-TSH, inkululeko kunye ne-T3 epheleleyo, i-T4 yamahhala kunye ne-T4, kunye nebhethri yezinye iilingo ezibalulekileyo. Ngaphandle kwayo yonke le mvavanyo, ugqirha uya kuba nombono omncinci kwinto enokuthi okanye engayi kuqhubeka. Enyanisweni, ngaphandle kwepaneli epheleleyo, uvavanyo luya kubuya "luqhelekileyo" kwaye lulahleke ngokupheleleyo isifo se -roid nakumajoni abonakala egule.
Ngumoya ofanayo, amadoda ahlala esaba okanye ehlazo ukuxelela uluhlu olupheleleyo lwezonyango kunye noogqirha babo, egxininisa kwiindawo ezibonakalayo okanye eziyingxaki. Ukongezelela, amadoda ahlala eshiya ngokupheleleyo into abachaphazeleka ngayo, ngokwengxenye kuba abanako ukuqonda indlela ama-hormone anokuchaphazela ngayo iimvakalelo, imemori, kunye nomsebenzi wokuqonda .
Ngenxa yoko, oogqirha baya kuthatha inxalenye yomfanekiso kwaye bahluleke ukudibanisa kunye neenkcukacha ezifunekayo ukuhambisa ukuxilongwa.
Into onokuyenza
Ngaphandle kwezimbalwa ezimbalwa, kukho ezimbalwa izibonakaliso ezinzima kunye neziqhamo zesifo se-thyroid kumadoda. Nangona iimpawu ezifana ne-goiter kunye ne-proptosis zinokukukhomba kwindlela efanelekileyo, ngokuqhelekileyo kungekhona impawu kunye neempawu ziya kuba zingacacanga kwaye zingezizo.
Into ebalulekileyo yesifo se-thyroid kukuba ngokuqhelekileyo-kodwa ayisoloko iqhubeka. Ngenxa yokuba ukungasebenzi kwe-thyroid kunokuchaphazela amalungu amaninzi omzimba, kubalulekile ukuba uqaphele nayiphi na impawu onokuyenza. Nangona kubakho lula ukubonisa ukuba utshintsho lwabadala, abaninzi abantu banokuqonda xa imeko ingaqhelekanga, ayiyiyo ingqiqo, okanye iyanda.
Ukuba kukho naziphi na izizathu osola ukuba unesifo se-thyroid, qiniseka ukuba uxela zonke iinkcukacha zakho ugqirha uze ucele ngokuthe ngqo ukuba isifo se-thyroid sinokubangela. Ukuba kuyimfuneko, unokucela ukuthunyelwa kwi- endocrinologist eqeqeshelwa kwizifo ze-thyroid gland.
Ukongeza kwiplanethi ye-thyroid egcweleyo, cela ukuba ngaba uvavanyo olukhethekileyo olubizwa ngokuba luvavanyo lwe- TRH luya kufakwa. Uvavanyo oluninzi, olufana nomxholo wokuvavanya uxinzelelo lwengqondo, kodwa lunye lweendlela ezichanekileyo zokuxilongwa namhlanje.
Xa ufumanisa unyango, ungakwazi ukufikelela kwonyango ngaphambi kokuba kukho iingxaki ezinkulu. Ionyango zonyango namhlanje zilula kakhulu kunanini ngaphambili kwaye zingabandakanya kuphela imishanguzo, ukutya kunye nokutshintsha kwindlela yokuphila. Ukuba utyando okanye i-radioiodine yonyango iyadingeka, ukuxilongwa kwangaphambili kuphantse kudibaniswa nempumelelo enkulu yonyango.
Ingongoma ephambili akuyi kuhlupheka ngenxa yokuthula. Ukuze uthunyelwe ingcali okanye ulwazi malunga nezixhobo zonyango kwingingqi yakho, sebenzisa indawo ye-intanethi eyinikwe nguMbutho we-American Thyroid okanye uqhagamshelane ne-American Board yezoNyango zeZonyango ngaphandle kwe-free-service kwi-866-275-2267.
> Imithombo:
> I-American Thyroid Disease. "Ukunyamezeka kunye nempembelelo yesifo se-Thyroid." Icawa yokuwa, eVirginia; hlaziywa ngoOktobha 2017.
> Corona, G .; Wu, F .; Forti, G. et al. "I-hormone ye-thyroid kunye nomsebenzi wesini wesini." Int J Androl. 2012; 35 (5): 668-79. INGXELO: 10.1111 / j.1365-2605.2012.01266.x.
> Krajewska-Kulak, E. kunye neSengupta, P. "Umsebenzi we-Thyroid kwi-Inferential Male." Front Endocrinol. 2013; 4: 174. INGXELO: 10.3389 / fendo.2013.00174.
> Krassas, G .; Tziomalos, K .; Papadopoulou, R. et al. "I-Erectile i-dysfunction kwizigulane ezine-hyper- kunye ne-hypothyroidism: ingaqhelekanga kwaye sifanele siyiphathe njani?" J Clin Endocrinol Metab. 2008; 93 (5): 1815-9. INGXELO: 10.1210 / jc.2007-2259.