Umbuzo othile udla rhoqo kwiindlela zam zonyango. Izigulane zibuza, "Ndinomdlavuza wesibeletho kodwa i- testosterone yamanqanaba aphantsi. Ingaba ndiyakuthatha i-testosterone? "Impendulo yepat eyenziwa oogqirha abaninzi" akunjalo "-i-testosterone iya kusebenza njengomlilo emlilweni kwaye ikhawuleze ukukhula komhlaza.
Kodwa ngaba kunjalo? Impendulo yinto efanelekileyo "yebo," kodwa kukho ubuncinane kwiimeko ezine ngaphandle kokuza kubhekiswa apha ngezantsi.
Nangona kunjalo, ngaphambi kokuba sichaze iimeko apho abantu abanomdlavuza wesibeletho banokuqwalasela ukuthatha u-testosterone, kufuneka sixoxe ngendlela iimvavanyo zegazi ezilinganisa i-testosterone zichazwa ngayo. Yiyiphi imingcele ecacileyo xa ichaza xa izinga le testosterone egazini liphantsi kakhulu?
Ukuhlolwa kweGciwane leLebhu yeTestosterone
Kukho imiba enxulumene novavanyo lwe testosterone egazini. Okokuqala, amanqanaba egazi le-testosterone aphakamileyo ekuseni kwaye aphantsi emini. Uvavanyo oluthatywe nge-4 ntambama "lwaluphantsi" lunokuthi lube ngaphandle kwoluhlu oluqhelekileyo ngenxa yexesha legazi.
Okwesibini, kukho ngokwenene ezimbini iintlobo zeesifo se testosterone: i-testosterone iyonke kunye ne-testosterone yamahhala. Uninzi lweemvavanyo zemihla ngemihla kuphela umlinganiselo we testosterone. Nangona kunjalo, i-testosterone yamahhala inomlinganiselo ochanekileyo ngakumbi we-physiologic umsebenzi we-testosterone. Oko kwathiwa, iingcali ziqonda ngokucacileyo ukuba uqhagamshelwano phakathi kwamazinga anesistim e-testosterone akhululekileyo kunye neemvakalelo ezizimeleyo ezixelwa ngabantu ngamandla abo kunye ne-libido zihlala ziphikisana.
Amanye amadoda ane testosterone ephantsi kakhulu azivale kakuhle.
Ukumisela isimo somntu we testosterone kwaye wenze isigqibo malunga nemfuneko yokuba unyango lwe-testosterone akufanele lusekelwe kuphela kwizinga le-testosterone egazini. Kubaluleke kakhulu ukusekela isigqibo sokusebenzisa i-testosterone kwiimpawu zomntu.
Iyiphi ingongoma yokunika i-testosterone kumntu nje ukulungisa iziphumo eziphantsi ezibonwe ekuhlolweni kwegazi xa isigulane sele seva kakuhle?
I-Testosterone Therapy kunye neCarstate Cancer
Ngoku makhe sixoxe ngeemeko apho ukunikezelwa ngonyango lwe testosterone kungamkeleka kumntu onomdlavuza wesibeleko owaziwayo.
Imeko yokuqala inikezela i-testosterone kumadoda anamazinga aphantsi okanye ahlambalaza. Ezinye iintlobo zesifo somhlaza wesifo se-prostate sigaba esiphantsi kakhulu. Ezi ntlobo zomhlaza wesifo seprotate azange zisasaze kwaye zifanele zibizwa ngokuba zizifo ezihlambalayo. Ngelishwa, igama elithi "umhlaza" linikezelwa ngokungafanelekanga ezi ntlobo zesifo somhlaza wesifo seprotate kwiminyaka eminci edlulileyo kwaye lo mgaqo-nkqubo wokubizwa ngokuba ngumhlaza usaphila nanamhlanje.
Isimo sesibini apho ukunikezelwa kwe testosterone kunokukhuseleka ngokufanelekileyo xa abantu bebenokufumana unyango ngokuhlinzwa okanye i-radiation kwaye babonakala bephiliswa. Emva kwexesha elifanelekileyo lokulinda kwindawo emibini phakathi kweminyaka emihlanu nangesihlanu, umngcipheko wokuphindaphinda umhlaza ngokuqhelekileyo uphantsi kakhulu. Ukwesaba ukusebenzisa i-testosterone kule meko kubonakala kungenasisiseko.
Isimo sesithathu senzeke kumadoda anomdlavuza wesibeletho oye waphinda wabuya emva kokuhlinzwa okanye i-radiation. Le nto ibonakaliswa yiphuhliso lokuphakama kwePSA egazini.
Ngokwesiko, la madoda alawulwa ngamachiza e-downtosterone-anciphisa izilwanyana ezifana neLupron okanye iFirmagon. Izifundo zibonisa ukuba ukulawula umhlaza wexesha elide lilingana ngokusebenzisa uLupron okanye uLupron eqhubekayo.
Ewe, oku kuzwakala kukungaqhelekanga, kodwa ngokwenene ukhuselekile ukuyeka unyango lwe-antiticancer kwaye uthathe ieholide. Xa unyango lugqityiwe, umveliso wemvelo we testosterone ukusuka kwamathambo ubuyisela amanqanaba aqhelekileyo e-testosterone egazini. Nangona kunjalo, i-testosterone ngezinye ihlala iphantsi, ngokukodwa kwindoda ekhulile. I-Lupron yangaphambili ibeke amathambo omzimba ngokusisigxina.
Xa umveliso oqhelekileyo we-testosterone uhluleka ukuqhubeka kwakhona, kunengqiqo ukuqwalasela ukulawula i-testosterone. Emva kwayo yonke into, ekubeni ibonakaliswe ukuba ukuvumela ukubuya okuvela kwi-testosterone kwi-testicles kuphephile, kwakungeke kukhuseleke njani ukulawula i-testosterone ebonakalayo kwimilinganiselo eyenzelwe ukufumana amanqanaba afanayo egazi le testosterone ngokuqhelekileyo aphunyezwe ngamathambo?
Imeko yesine ekufuneka iqwalaselwe yilapho kukho amanqanaba aphantsi e-testosterone kumntu onomdlavuza obizwa ngokuba ngumhlaza wesifo somhlaza osweleyo okanye olahlekileyo ngokomzimba okanye ukulahleka kwemisipha ehambelana nento ebuthathaka kunye nobuthathaka. Le meko ingenzeka kumadoda aneminyaka ephezulu kakhulu okanye ngenxa yesifo esibi kakhulu. Xa abantu bebuthathaka kakhulu (ngenxa yenkqubo ethile engahambelani nomhlaza wesibeletho) kungase kube yingozi kakhulu ukunqanda u-testosterone kunokuba uyinike, nangona umdlavuza weprotate unokuthi ukhule ngokukhawuleza ngokukhawuleza ngenxa ye-testosterone. Kufanelekile ukukhumbula ukuba nokuba "uhlobo olubi" lweengcambu zomhlaza wesifo seprotate lubonakala lube lukhulu kulomlinganiselo wokukhula. Ukuba isigqibo senziwe ukuqalisa i-testosterone, isantya sesiphumo sesifo singaqwalaselwa ngokugqithisileyo kunye novavanyo lwegazi lwe-PSA kunye nokuhlolwa komzimba. Ukuba le mvavanyo ibonisa ukuba umhlaza uqhubeka ngokukhawuleza ngokukhawuleza, unyango lwe testosterone lunokumiswa ngethemba lokuba umhlaza uyayeka ukuqhubela phambili okanye ukulungelelaniswa emva kokuba i-testosterone igqitywe.
Kutheni Kudideka?
Ukudideka malunga nokusebenzisa unyango lwe-testosterone kumadoda anomdlavuza wesifo sesifo somhlaza wesifo se-prostate kubangelwa kukuba umdlavuza wesifo seprotate akusisifo esinye. Kukho iifom eziphantsi, eziphakathi kunye neziphezulu; isifo esifumanekayo kunye nomhlaza wesifo semitha ; iintlobo zentlupheko kunye neentsholongwane ezingabonakaliyo kunyango lwe-hormone. Umgaqo-nkqubo oyedwa awuyi kulungele yonke indawo yonke umdlavuza wesibeletho.
Isigqibo sokuqala i-testosterone, ngoko ke, siza kwizinto ezimbini. Ndacacisile ngcaciso emfutshane ngolu hlobo olukhankanywe ngasentla lweempawu ezine ezinezinto ezinokujamelana nomdlavuza wesibeletho owaziwayo onomthamo ophantsi we-testosterone kwaye unokufumana inzuzo ngokusebenzisa i-testosterone eyongeziweyo. Umcimbi wesibini uhambelana nobungozi bokusebenzisa i-testosterone kwindoda ephilileyo engenasifo somhlaza wesibeletho. Ucwaningo luye lwabonisa ukuba ukunika i-testosterone akukhuselekanga ngokupheleleyo-kwindoda engenayo nayiphi na umdlavuza wesibeletho.
Amanqanaba eTesttosterone egazini athambekela ekunciphiseni ngobudala. Amadoda amaninzi afanelana nale mihla yokunciphisa i-testosterone ngaphandle kokufumana ubunzima obungenakunzima. Nangona kunjalo, kukho ezithile, iziphumo ezinobungozi zokuba ne-testosterone ephantsi, ngakumbi xa i-testosterone ikhutshwe ngokucacileyo. Le miphumo ye-testosterone ephantsi iquka amanqanaba aphantsi aphantsi, i-sex low drive, ukunyameka, imiba yememori, ukufumana ubunzima, ukukhulisa isifuba, ngamanye amaxesha, ukunyuka kwe-calcium ukulahleka kwamathambo-oko kukuthi, i-osteoporosis. Zonke ezi ziphumo ezimbi ze testosterone ephantsi zingakwazi ukuchasana ngokubuyisela izinga eliqhelekileyo le-testosterone egazini.
I-Testosterone Ulwabiwo loPhando kunye neengozi?
Ukunikezela ngonyango lwe testosterone kungenziwa kufumaneke ngokufanelekileyo kwiintlobo ezahlukeneyo zefashion, kubandakanywa nokusetyenziswa kweeyunithi ezimfutshane okanye ezide ezenziwayo, ama-creams, i-gel, kunye neentambo ezijikelezayo. Ukusetyenziswa kwonyango kulula. Nangona kunjalo, njengoko kuphawuliwe ngasentla, unyango lwe testosterone alukho ngaphandle kweengozi (ngaphandle kweengozi zokuyisebenzisa kumadoda anomdlavuza wesibeletho). Inkxalabo enkulu yonyango ye-testosterone yonyango kukuphuhliswa kwesibalo segazi esibomvu eziphezulu kunexesha eliqhelekileyo-ixesha lobugcisa liphezulu i-hematocrit. I-hematocrit, edla ngokugqitywa njenge-Hct, iyinxalenye yepaneli yegazi, iCBC okanye inani elipheleleyo legazi. Olunye igama lobuchwepheshe ongalufumana ngalo lunikeza intsingiselo efanayo ne-hematocrit ephakamileyo "i- polycythemia ."
Ubunzima obunzima obomvu kuthetha ukuba igazi liba nenyameko (ukunyuka kwegazi), ezinokuthi zibeke phambili kwiingxaki ezinzulu ezifana nokuhlaselwa yintliziyo kunye nemivimbo. Ukuqwalaselwa ngokucophelela kwe-hematocrit kuyimfuneko, ngoko ke, kuwo wonke umntu oceba ukufakwa endaweni ye-testosterone. Ngaba i-hematocrit ephakamileyo ikhula ngelixa kunyango lwe-testosterone, oko kukuthi, ukuba i-hematocrit iphakame ngaphezu kwama-50 ekhulwini, kufuneka kuphunyezwe uhlobo oluthile lokumelana. Amanyathelo afanelekileyo angabandakanya ukususwa kwimizuzu yegazi kwiqhinga lomzimba okanye mhlawumbi ukunciphisa umthamo we testosterone.
Ulawulo lwe-testosterone unyango olutshintsho luye lwaba lilungeleleneyo, kunye namadoda ngaphandle komhlaza wesibeletho, ukusetyenziswa kwayo kuye kwadume kakhulu. Njengoko kuphawuliwe ngasentla, kungekhona wonke umntu oya kunyango lwe-testosterone ofumana uhlobo lweenzuzo ezinokulindelwa-iingeniso ezifana nokunyuka kwi- libido okanye ukunyuka kwamandla.
Emva kweminyaka emininzi yamava anika unyango lwe testosterone kumadoda amaninzi, ndiye ndafunda ukuba kukho ukuhlukahluka kwindlela abantu abaya kuphendula ngayo. Ngamanye amaxesha impembelelo ye-testosterone ihamba ngokukhawuleza kwaye idangalisa. Kwamanye amadoda, nangona emva kwexesha elifanelekileyo lokuvavanywa kweenyanga ezintandathu, inzuzo ebonakalayo ingenakho.
Indlela yodwa yokufumana ukuba umntu othile uza kuxhamla kwi-testosterone kukuqalisa isilingo kwaye ugcine oko kuphelelwa ixesha elingangeenyanga ezintandathu okanye ngaphezulu. Kufuneka ixesha elaneleyo lokuvavanya ukuba kuqinisekiswe ukuba kuya kwenzeka ntoni. I-Testosterone ayibangeli iziphumo ezinjengezinye i-hormone, njenge-adrenaline, umzekelo.
Ukuchonga umdlavuza wakho weProtate
Kule nkalo enkulu into esiye sixoxe ngayo iyafaneleka kwaye amaninzi ase-endocrinologists kunye noogqirha abaqhelekileyo baqhelana nokunikezelwa kwonyango lwe-testosterone kubantu abangenawo umhlaza wesibeletho. Iimeko ezinzima, njengoko zikhankanywe ngasentla, ziphakathi kwamadoda anomdlavuza ophathekayo okanye ophethwe ngaphambili. Emva koko, unyango lwe-testosterone lonyango lenye yeendlela ezithandwa kakhulu ukulwa nomdlavuza wesibeletho. Ngoko ke, njani ukulawulwa kwe testosterone eyongeziweyo kumadoda anomhlaza wesibeletho akunakonakalisa? Impendulo yukuthi uhlobo lomhlaza wesibeletho kufuneka luchazwe ngokucacileyo.
Umhlaza wesibeletho osebenzayo unokwazi ukwahlula kwiindidi ezibanzi-iintlobo ezingenakubungozi (ngokukodwa, ezo zizimisele ukuba zibe kwibanga lesithandathu okanye ngaphantsi njengoko zichongiwe ngenaliti yezobuchopho okanye ngokuhlinzwa), kunye neentlobo ezilandelelanayo, zifakwe kwi-7 ukuya kweyishumi. Izinto ezongeziweyo ezifana ne- PSA kunye neziphumo zezicwangciso ezahlukeneyo zingathintela ukwenziwa kwezigqibo. Kwiimeko ezininzi, ukuhlolwa kweengcali zomhlaza wesifo seprotate kuyakufuneka ukuba wenze isigqibo sokugqibela malunga nokukhuselwa kokunikezela unyango lwe testosterone kumntu onomdla we-prostate cancer.
> Imithombo:
> AVEED ® (UkuLawulwa kolwazi). Malvern, PA: Endo Pharmaceuticals Inc.
> Edelstein D, kunye noBasaria S. "I-Testosterone engacatshangwanga kwonyango lwentliziyo ye-hypogonadism." Iingcamango zengcali kwi-pharmacotherapy 11.12 (2010): 2095-2106.
> Eisenberg, ML. I-Testosterone Yokutshintshwa Kwamayeza kunye neNtsholongwane Yomdlavuza WeProstate. " I-World Journal yeMpilo yezeMadoda 33.3 (2015): 125-129. PMC . KwiWebhu. 28 kuMatshi 2017.
> Pickles, T, et al. I-Testosterone ivuselele emva kokuqheliswa kwe-androgen eqhubekayo ye-prostate carcinoma. " I-Cancer 94.2 (2002): 362-367.
> Izinga likaTesttosterone zibalulekile. Udliwano-ndlebe noDkt Laurence Klotz ngeProstatepedia. http://pcri.org/insights-blog/2016/4/6/testosterone-levels-are-nomsebenzi-.