Kev Hypogonadism

Zoo Siab

• Dab tsi yog hom hypogonadism?
• Thawj qhov hypogonadism
• Nruab nrab (nruab nrab) hypogonadism
• Dab tsi yog cov ua rau hypogonadism?
• Cov tsos mob hypogonadism zoo li cas?
• Yuav kuaj pom tus mob hypogonadism li cas?
• Kuaj ntshav
• Kev ntsuam xyuas cov duab
• Yuav kho tus mob hypogonadism li cas?
• Kho tus poj niam hypogonadism
• Kho tus txiv neej hypogonadism
• Kev kho mob hypogonadism rau txiv neej thiab poj niam
• Dab tsi yog qhov ntev ntawm kev saib xyuas?

Hypogonadism yog dab tsi?

Hypogonadism tshwm sim thaum koj cov qog sib deev tsim tawm ntau los tsawg lossis tsis muaj kev sib deev. Cov qog deev, tseem hu ua gonads, feem ntau yog cov noob qes ntawm cov txiv neej thiab ovaries rau poj niam. Cov txiv neej pw ua ke pab tswj cov kev sib deev theem ob, xws li kev loj hlob ntawm lub mis hauv cov poj niam, kev loj hlob hauv cov txiv neej, thiab kev pub plaub hau. Cov tshuaj hormones poj niam txiv neej kuj tseem ua lub luag haujlwm ntawm kev coj khaub ncaws thiab poj niam ua phev.

Hypogonadism kuj tseem paub tau tias yog gonad deficiency. Nws tuaj yeem raug hu ua cov ntshav qis testosterone los yog andropause thaum nws tshwm sim hauv cov txiv neej.

Feem ntau ntawm cov mob no teb tau zoo rau kev kho mob tsim nyog.

Dab tsi yog hom hypogonadism?

Muaj ob hom hypogonadism: thawj thiab hauv nruab nrab.

Thawj qhov hypogonadism

Thawj qhov hypogonadism txhais tau tias koj tsis muaj cov tshuaj hormones txaus hauv koj lub cev vim qhov teeb meem hauv koj lub gonads. Koj cov gonads tseem tau txais cov lus los tsim cov tshuaj hormones los ntawm koj lub hlwb, tab sis lawv tsis tuaj yeem tsim cov tshuaj ntawd.

Nruab nrab (nruab nrab) hypogonadism

Hauv plawv hypogonadism, cov teeb meem nyob hauv koj lub hlwb. Koj qhov hypothalamus thiab caj pas pituitary, uas tswj koj lub gonads, tsis ua haujlwm zoo.

Dab tsi yog cov ua rau hypogonadism?

Cov laj thawj ntawm cov thawj hypogonadism suav nrog:

• cov kab mob autoimmune, xws li Addison's disease thiab hypoparathyroidism
• kev mob caj ces, xws li Turner syndrome thiab Klinefelter syndrome
• mob hnyav, tshwj xeeb tshaj yog mob qog koom nrog koj cov noob qes
• mob siab thiab mob raum
• xeem poob tsis tau
• hemochromatosis, uas tshwm sim thaum koj lub cev nqus cov hlau ntau
• raug hluav taws xob ntev
• kev phais mob rau koj cov plab hnyuv siab raum

Central hypogonadism tej zaum yuav yog vim:

• kev mob caj ces, xws li Kallmann syndrome (kev txhim kho hypothalamic txawv txav)
• kis mob, nrog rau HIV
• pituitary mob
• cov kab mob inflammatory, suav nrog sarcoidosis, tuberculosis, thiab histiocytosis
• rog dhau
• sai poob ceeb thawj
• kev noj haus kom tsawg
• siv cov tshuaj steroids lossis opioids
• kev phais mob hlwb
• raug hluav taws xob ntev
• kev raug mob rau koj lub caj pas pituitary lossis hypothalamus
• mob qog hauv lossis ze rau koj lub qog pituitary

Cov tsos mob hypogonadism zoo li cas?

Cov tsos mob uas tuaj yeem tshwm sim hauv cov pojniam muaj xws li:

• tsis muaj poj niam
• Kev loj hlob qeeb lossis tsis muaj mis
• kub muag kawg
• poob ntawm lub cev plaub hau
• qes los sis pw ua niam txiv tsav
• tshem tawm mis hauv lub mis

Cov tsos mob uas yuav tshwm sim hauv Cov txiv neej muaj xws li:

• poob ntawm lub cev plaub hau
• qoj ib ce
• mis loj hlob tsis meej
• txo qis kev loj hlob ntawm noov thiab noob qes
• erectile kawg
• txha txha caj qaum
• qes los sis pw ua niam txiv tsav
• ntxiv lawm tshob
• nkees
• kub muag kawg
• teeb meem kev xav

Yuav kuaj pom tus mob hypogonadism li cas?

Koj tus kws kho mob yuav kuaj lub cev kom paub tseeb tias koj txoj kev sib deev yog qib kom haum rau koj lub hnub nyoog. Lawv yuav tshuaj xyuas koj cov leeg ua kom mob, cov plaub hau hauv koj lub cev, thiab koj lub cev.

Kuaj ntshav

Yog tias koj tus kws kho mob xav tias koj yuav muaj hypogonadism, lawv yuav tsum kuaj xyuas koj cov qib kev sib deev hormone ua ntej. Koj yuav tsum tau kuaj ntshav los soj ntsuam koj theem ntawm follicle-stimulating hormone (FSH) thiab luteinizing hormone. Koj lub caj pas pituitary ua rau cov hormones ua me nyuam.

Koj yuav kuaj koj cov qib tshuaj yog koj yog poj niam. Yog tias koj yog txiv neej, koj yuav muaj kev sim seb koj cov qib testosterone. Cov kev sim no feem ntau tau twv thaum sawv ntxov thaum koj cov qib tshuaj hormones ntau tshaj. Yog tias koj yog pojniam, koj tus kws khomob yuav xaj kom phev tawm los kuaj koj cov phev suav. Hypogonadism tuaj yeem txo koj cov phev suav.

Koj tus kws kho mob yuav xaj kom kuaj ntshav ntxiv ntxiv kom pab tshawb xyuas qhov mob thiab paub qhov laj thawj twg.

Cov qib hlau yuav cuam tshuam rau koj cov tshuaj hormones poj niam txiv neej. Vim li no, koj tus kws kho mob tuaj yeem kuaj xyuas cov ntshav muaj ntshav siab ntau, feem ntau pom muaj kab mob hemochromatosis.

Koj tus kws kho mob kuj tseem xav ntsuas koj cov qib prolactin ntau ntxiv. Prolactin yog yam tshuaj uas tsim txhawb kev loj hlob ntawm lub mis thiab kev tsim kua mis hauv cov poj niam, tab sis nws yog qhov tshwm sim hauv ob tus poj niam xeeb tub.

Koj tus kws kho mob kuj tseem yuav kuaj seb koj cov thyroid hormones txaus ntau npaum li cas. Cov teeb meem cov thyroid tuaj yeem ua rau cov tsos mob zoo li hypogonadism.

Kev ntsuam xyuas cov duab

Kev ntsuam xyuas cov duab kuj tseem siv tau rau hauv kev kuaj mob. Tus duab siv lub suab tsis sib haum los tsim cov duab ntawm zes qe menyuam thiab kuaj xyuas txhua yam teeb meem, suav nrog zes qe menyuam thiab polycystic syndrome.

Koj tus kws kho mob yuav xaj MRIs lossis CT scan mus tshawb cov qog hauv koj lub caj pas pituitary.

Yuav kho tus mob hypogonadism li cas?

Kho tus poj niam hypogonadism

Yog tias koj yog poj niam, koj txoj kev kho yuav suav nrog koj cov poj niam cov txiv neej sib deev ntau ntxiv.

Koj thawj kab kev kho mob tej zaum yuav yog tshuaj kho mob estrogen yog tias koj tau muaj mob caj dab. Ib qho thaj lossis ntsiav tshuaj tuaj yeem siv cov tshuaj estrogen ntxiv.

Vim tias kev nce qib tshuaj estrogen tuaj yeem ua rau koj muaj feem mob qog nqaij hlav endometrial, koj yuav tau muab cov tshuaj estrogen thiab progesterone ua ke yog tias koj tsis tau muaj qhov mob hlwb. Progesterone tuaj yeem txo qis koj kev pheej hmoo rau mob qog nqaij hlav endometrial yog tias koj noj tshuaj estrogen.

Lwm txoj kev kho mob tuaj yeem tsom cov tsos mob tshwj xeeb. Yog tias koj muaj lub zog tsis txaus sib deev, koj yuav tau txais koob tshuaj testosterone tsawg. Yog tias koj muaj kev coj khaub ncaws tsis xwm yeem lossis teeb meem rau kev xeeb menyuam, koj yuav tau txais kev txhaj tshuaj los ntawm tib neeg choriogonadotropin lossis tshuaj uas muaj FSH los ua rau muaj kev ovulation.

Kho tus txiv neej hypogonadism

Testosterone yog txiv neej kev sib deev. Testosterone hloov kho yog kev siv dav siv los kho hypogonadism hauv caug. Koj tuaj yeem tau txais kev hloov pauv testosterone los ntawm:

• kev txhaj tshuaj
• thaj
• puab
• lozenge

Kev txhaj tshuaj ntawm gonadotropin-tso cov tshuaj hormones tuaj yeem ua rau tiav nkauj nraug lossis nce koj cov phev.

Kev kho mob hypogonadism rau txiv neej thiab poj niam

Kev kho mob rau cov txivneej thiab poj niam yog zoo li yog tias qhov hypogonadism yog vim muaj cov qog ntawm lub caj pas pituitary. Kev kho mob kom ntsws lossis tshem tawm cov qog tuaj yeem suav nrog:

• hluav taws xob
• noj tshuaj
• kev phais mob

Dab tsi yog qhov ntev ntawm kev saib xyuas?

Txawm hais tias nws mob tshwm sim los ntawm ib qho mob kho tau, hypogonadism yog ib yam mob uas yuav tsum tau kho tas lub neej. Koj qhov kev sib deev qib poj niam yuav poob tsawg yog tias koj tsum tsis kho.

Nrhiav kev pab los ntawm kev kho mob lossis pab pawg muaj peev xwm pab koj ua ntej, lub sijhawm thiab tom qab kho.