Testicular tsis ua hauj lwm

Kev mob loj heev tuaj yeem tshwm sim thaum cov noob qes tsis tuaj yeem tsim cov phev lossis txiv neej cov tshuaj hormones, xws li testosterone.

Kev ua haujlwm qeeg tsis yooj yim dua yog tsis muaj. Cov ua rau muaj:

• Qee cov tshuaj, suav nrog glucocorticoids, ketoconazole, tshuaj kho mob, thiab opioid mob tshuaj
• Cov kab mob uas cuam tshuam rau cov noob qes, suav nrog hemochromatosis, mob qog, orchitis, mob qog nqaij hlav testicular, torsion, thiab varicocele
• Mob los yog raug mob rau cov noob qes
• Kev pham
• Cov kab mob caj ces, xws li mob Klinefelter syndrome lossis Prader-Willi syndrome
• Lwm yam kab mob, xws li cystic fibrosis

Cov hauv qab no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev ua tsis tiav:

• Cov kev ua ub no uas ua rau muaj kev cuam tshuam tas li, qis-qis kev cuam tshuam rau lub qhov quav, xws li caij tsheb maus taus lossis caij tsheb kauj vab
• Nquag thiab siv tshuaj maj siv yeeb tshuaj xas ntau
• Cov noob qes uas tseem tsis tau yug thaum yug los

Cov tsos mob nyob ntawm lub hnub nyoog thaum tsis tuaj yeem kuaj pob qij txha, ua ntej lossis tom qab tiav nkauj tiav nraug.

Cov tsos mob tuaj yeem suav nrog:

• Txo hauv qhov siab
• Ob lub mis loj (gynecomastia)
• Ntxiv lawm tshob
• Poob rau cov leeg
• Tsis muaj poj niam txiv neej tsav (libido)
• Poob qhov quav thiab cov plaub hau
• Kev loj hlob qeeb lossis tsis muaj theem nrab txiv neej poj niam txiv neej tus yam ntxwv (plaub hau kev loj hlob, plhws tus ntug, deev tus pojniam, hloov lub suab)

Cov txiv neej kuj yuav pom tias lawv tsis tas yuav chais plaub hau.

Kev kuaj mob lub cev yuav qhia:

• Cov paum uas tsis pom meej meej tsis hais poj niam lossis txiv neej (feem ntau pom thaum tseem yau)
• Tsis tuaj yeem me me, cov noob qes
• Mob qog nqaij los yog ib qho txawv txav hauv cov noob qes lossis cov nqaj

Lwm yam kev kuaj yuav qhia tias cov pob txha tsis muaj zog ntau thiab tsawg dua. Kuaj ntshav yuav qhia tias qib qes ntawm testosterone thiab qib siab ntawm prolactin, FSH, thiab LH (txiav txim siab tias qhov teeb meem yog thawj lossis theem nrab).

Yog tias koj txhawj xeeb txog kev muaj taus me nyuam, koj tus kws saib xyuas kev noj qab haus huv kuj tuaj yeem xaj phev tawm los tshuaj xyuas cov phev kom zoo uas koj ua tau.

Qee zaum, yuav ntsuas ib qho duab ntawm cov noob ntsuas.

Cov kab mob ua kom tsis tshua muaj zog thiab muaj qib testosterone tsawg tuaj yeem nyuaj rau kev kuaj mob rau cov txiv neej laus vim tias testosterone qib ib txwm tso qis qeeb nrog lub hnub nyoog.

Txiv neej cov tshuaj pab cuam txiv neej yuav kho qee yam ntawm lub noob qes. Qhov kev kho no yog hu ua kev hloov kho testosterone (TRT). TRT tuaj yeem muab cov gel, thaj, txhaj tshuaj, lossis cog ntoo.

Tsis txhob noj tshuaj lossis ua haujlwm uas muaj teeb meem tuaj yeem coj cov noob qes tuaj ua haujlwm qub.

Ntau yam ntawm testicular tsis tuaj yeem thim rov qab. TRT tuaj yeem pab thim cov tsos mob kom rov ua tau, txawm hais tias nws tsis tuaj yeem rov qab yug dua.

Cov txiv neej uas muaj cov kev kho mob khomob uas yuav ua rau lub pob ntseg tsis tuaj yeem yuav tsum sib tham txog cov phev khov ua ntej pib kev kho mob.

Cov kab mob qog ua ntej uas pib ua tiav nkauj tiav nraug yuav nres lub cev kev loj hlob ib txwm muaj. Nws tuaj yeem tiv thaiv tus neeg laus tus yam ntxwv (xws li lub suab sib sib zog nqus thiab hwj txwv) los ntawm kev tsim. Qhov no tuaj yeem raug kho nrog TRT.

Tus txiv neej nyob ntawm TRT yuav tsum tau ua tib zoo saib xyuas los ntawm kws kho mob. TRT yuav ua rau cov hauv qab no:

• Ua kom prostate, ua rau tso zis nyuaj
• Cov ntshav txhaws
• Hloov ntawm pw tsaug zog thiab siab ntsws

Hu teem sijhawm nrog koj tus kws khomob yog tias koj muaj cov tsos mob ntawm qhov tsis ua haujlwm hauv lub sijhawm.

Hu rau koj tus kws kho mob yog tias koj nyob ntawm TRT thiab koj xav tias koj muaj kev phiv los ntawm kev kho mob.

Zam kev ua si muaj feem ntau dua yog muaj.

Thawj hypogonadism - txiv neej

• Lub cev nqaij daim tawv
• Txiv neej deev aatomy

Allan CA, McLachlan RI. Androgen tsis muaj qhov tsis txaus. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 139.

Morgentaler A, Zitzmann M, Traish AM, li al. Cov ntsiab lus tseem ceeb hais txog testosterone tsis muaj peev xwm thiab kev kho mob: cov kws tshaj lij thoob ntiaj teb kev pom zoo. Mayo Clin ProcCov. 2016; 91 (7): 881-896. PMID: 27313122 www.ncbi.nlm.nih.gov/pubmed/27313122.

Tebchaws Asmeskas Cov Khoom Noj thiab Tshuaj Yeeb Tshuaj website. FDA kev sib txuas lus txog kev nyab xeeb tshuaj: FDA ceev faj txog kev siv cov khoom testosterone rau kev sim qes vim tias kev laus; yuav tsum tau hloov daim ntawv lo qhia txoj xov xwm tuaj yeem muaj feem yuav muaj mob plawv thiab mob stroke nrog kev siv. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Hloov kho Lub Ob Hlis 26, 2018. Nkag Mus Siv Lub Tsib Hlis 20, 2019.