Iziphumo ezintle nezimbi zonyango lwe testosterone
Ingaba unyango lwe testosterone luyinto efanelekileyo? Iqondo eliphantsi le-testosterone liye lahlanganiswa nemiphumo enempilo enjengokugqithisela, ukuxhatshazwa kwe-insulin kunye nohlobo lwesifo sikashukela, ukuvuvukala, kunye ne-cholesterol ephezulu kunye ne-triglycerides ekhokelela kwengozi yokwandisa isifo senhliziyo. Nangona kunjalo, ukutshintshwa kwe-testosterone kuza neentlobo zayo zokuxhalabisa, ngokukodwa, iziphumo ezinokuthi zingonakali kwi-cardiovascular system.
Ukususela ngo-2015 i-FDA iye yafuna ukuba iimveliso ze-testosterone zibhalwe ukuba zixwayise abathengi malunga nokwanda kwenyuka engozini yokuhlaselwa yintliziyo kunye nesifo. Ngaphambi kwesi sixwayiso, imimiselo yaphakama kathathu phakathi kuka-2001 no-2011, ebonakala ukuba ibonisa ukuba i-testosterone yayinqunywe ngaphandle kobungqina bobuxoki bamanqanaba aphantsi.
Kutheni amaNqanaba eTesttosterone ehla
Kuyaqondakala ukuba ukulahleka kwe testosterone, i-hormone ehambelana nobuntu kunye nobunzima, kunokuphazamisa abantu abathile, kodwa yinkqubo yendalo. I-hormone igxotha emadodeni xa iseneminyaka engamashumi amabini, kwaye ukuhla kwezemvelo kuyaqala ukuvela. Ukuhla kwehla kuhamba ngokukhawuleza kwaye kuzinzileyo, ngokungafani nokukhawuleza kokuphuma kwesisu abafazi abanamava.
Nangona i-testosterone iyancipha kunye nobudala, ukukhula kwexesha akuyena kuphela isizathu sokuba amanqanaba ahlahle. Amaninzi amaninzi omzimba anxulumene ne-testosterone ephantsi , kunye nemimandla engqongileyo efana nokutshatyalaliswa kwee-chemicals eziphazamisa i-endocrine ezitholakala kwiiplastiki, ezinye iindumbu zee-pesticide kunye nokungcola okufumaneka kwiintlanzi kunye nezinye izilwanyana ezinokutya nazo zinokufaka isandla.
Kukho umjikelo apho amaninzi amaninzi omzimba akhuthaza i-testosterone esezantsi, ekhuthaza amaninzi omzimba, okukhokelela kwisifo sikashukela kunye nesifo senhliziyo. Ukongezelela, iilesi ze-cholesterol-ukunciphisa izidakamizwa ze-statin zinokunyusa oku. Nangona kunjalo, imikhuba yokuphila enempilo , njengokungabikho ukutshaya, ukwenza umsebenzi oqhelekileyo, umzimba ophantsi kunye nosawoti, kunye nokugcina ubunzima obunempilo, kuhlobaniswa namazinga aphezulu e-testosterone kumadoda amadala.
I-hormone iyaziwa ngemiphumo yayo kwimisebenzi yesondo, kodwa ikwadlala indima kumandla, imetabolism, ukubunjwa komzimba (ubunzima bemisipha kunye nobunzima beoli), kunye ne-bone mineral. Ukongezelela, i-hormone ichaphazela imivimba yegazi, ivumela ukuphumla kwendawo engqambileyo yomsila ukukhuthaza uxinzelelo lwegazi oluphantsi kunye nokuhamba kwegazi okungcono.
I-Cardiovascular Concerning With Hormone Treatment
Kwamadoda aphantsi kwe testosterone, unyango lwe-testosterone luye lwaphucula i-cholesterol ye-LDL, uxinzelelo lwegazi, i-index mass mass, i-insulin ukuqonda nokusebenza. Nangona kunjalo, ilingo leklinikhi yonyango lwe testosterone eyenziwa ngamadoda amadala anesifo esiphene sesifo sengqondo senqanyanyiswa ngo-2009 ngenxa yezinga eliphezulu lokuhlaselwa kwentliziyo kunye nemivimbo.
Olunye uphando olushicilelwe ngo-2013 lwalucacisa ngokuphindaphindiweyo i-veterans yamadoda kunye ne-testosterone ephantsi efumana okanye engayifumana unyango lwe-testosterone. Olu pho nonongo lufumene ukusetyenziswa kwe-hormone kwadibene nomngcipheko omkhulu wokubangela ukufa, ukuhlasela kwentliziyo kunye nokubetha.
Ukuqhubela phambili, uhlalutyo lwe-meta lwe-placebo olulawulwa yi-placebo, olulinganisiweyo olulawulwayo lwe-testosterone unyango lufumene iipesenti ezingama-54 zandisa ingozi yemicimbi ye-cardiovascular. Kwaye, kwizifundo zamadoda abasebenzisa i-anabolic steroids, abaphandi bafumana ukwanda kwintliziyo yesifo, kubakhokelela ekubeni babuze ukuba ingabe unyango lwe testosterone luphakamisa umngcipheko.
Indlela yokuTyekela ngeNdalo ingabhetele
Ubungqina buxhasa ukugcina amanqanaba e-testosterone ngaphakathi kwinqanaba elincinane. Nangona i-testosterone ephantsi kakhulu ingaba yingxaki, ukubuyisela amanqanaba omtsha kuyingozi. Ngaphezulu kokufunda okulandelelweyo kweminyaka emithathu, amadoda amadala anamanqanaba e-testosterone ayenamazinga aphantsi okufa ngokuthelekiswa neendawo eziphezulu okanye eziphantsi.
Into ephilileyo kunokuba yenzelwe ukukhusela i-testosterone ukuba ingabi phantsi kakhulu ngokuphila ngokufanelekileyo, ngoko kuya kufuneka ukuba ungathathi i-hormone yokutshintsha. Uphando lwangoku lubonisa ukuba amadoda anganyusa i-testosterone hormone ngokwemvelo. Izifundo ezibini zabafundi abangaphezu kwamandla amaninzi kunye nabantwana abagqithisileyo abaye bathatha inxaxheba kwi-12-week-food diet kunye nokungenelela kokunyanzelisa umzimba bafumene ukuba balahlekelwe isisindo, baphucula uxinzelelo lwegazi, kunye nokunyuka kwamaqela e-testosterone.
Ukutya okufanelekileyo, kunye nokuzivocavoca, kunciphisa amanqindi omzimba kwaye kwandisa ubukhulu bomzimba kunye namandla.
Ukuba unenkxalabo malunga nokugcina amanqanaba afanelekileyo e-testosterone kufuneka ulwele amazinga aphantsi omzimba womzimba ngokutya ukutya okunomsoco ophezulu (ukutya okunomdlavuza), ukutya okucwangcisiweyo okuvelisiweyo kunye nemveliso yezilwanyana, ufumane umzimba oqhelekileyo, usebenzise umthambo kwaye uqinisekise i-vitamin D ne-zinc isimo. Zonke zikhuselekile, iindlela zendalo zokugcina ubunzima, impilo kunye namandla njengoko uneminyaka yobudala.
> Imithombo:
> Kelly DM, Jones TH. I-Testosterone: ihommone yamathambo kwimpilo kunye nezifo. J Endocrinol 2013, 217: R25-45.
> Xu L, Freeman G, Cowling BJ, i-Schooling CM. I-Testosterone yonyango kunye neziganeko zentliziyo phakathi kwabantu: ukuhlaziywa okucwangcisiweyo kunye nokuhlaziywa kwe-meta-ye-trialbo. BMC Med 2013, 11: 108.
> Yeap BB, Almeida OP, Hyde Z, et al. Indlela yokuphila ephilileyo iqikelela ukuphakama kwe-testosterone kumadoda amadala: i-Health In Men Study. I-Clin Endocrinol (Oxf) 2009, 70: 455-463.
> Kumagai H, Zempo-Miyaki A, Yoshikawa T, et al. Ukuguqulwa kwendlela yokuphila kwandisa izinga le-serum testosterone kwaye kunciphisa uxinzelelo lwegazi oluphakathi kwamadoda angaphezu kwamandla kwaye aphelile. Endocr J 2015, 62: 423-430.
> Schulte DM, Hahn M, Oberhauser F, et al. Umqathango weCaloric ukwandisa i-serum testosterone kwiimfundo kwizifundo zesilisa ezigqithiseleyo ngeendlela ezimbini ezihlukeneyo. I-Horm Metab ka-2014, 46: 283-286.