Dab tsi yog qhov ua rau Kuv Qhov Testosterone Qes Dua?

Zoo Siab

• Cov tsos mob ntawm qis T
• Tus me nyuam txoj kev loj hlob
• Ua nkauj nraug
• Vauv
• Cov ua rau muaj testosterone poob qis
• Thawj qhov hypogonadism
• Thib ob hypogonadism
• Hloov koj tuaj yeem hloov kho
• Kev hloov testosterone

Kev tsis tshua muaj testosterone ntau

Cov tshuaj testosterone qis (tsis tshua muaj T) cuam tshuam txog 4 rau 5 lab tus txiv neej hauv Asmeskas.

Testosterone yog ib qho tseem ceeb hauv tib neeg lub cev. Tab sis nws pib. Hauv qee tus txiv neej qhov no tuaj yeem ua tau ntau.Nruab nrab ntawm tej zaum yuav muaj qib qis ntawm testosterone.

Cov txiv neej laus uas muaj T tsawg dua tau nce nrhiav cov tshuaj hloov testosterone (TRT) hauv xyoo tas los no. TRT hais txog cov tsos mob xws li tsis muaj libido, lub cev tsis zoo, thiab lub zog qis.

Nws tsis yog tus txiv neej laus dua uas raug cuam tshuam los ntawm T. Cov tub hluas, txawm tias menyuam mos thiab menyuam yaus, tuaj yeem muaj cov teeb meem no.

Cov tsos mob ntawm qis T

Qib qis ntawm testosterone uas atypical ntawm ib txwm muaj hnub nyoog yog vim lwm qhov tseem ceeb los yog theem nrab ua rau hypogonadism. Hypogonadism hauv cov txiv neej tshwm sim thaum cov noob qes tsim tsis tau testosterone kom txaus. Hypogonadism tuaj yeem pib lub sijhawm kev yug menyuam hauv plab, thaum tiav nkauj tiav nraug, lossis thaum tiav hluas.

Tus me nyuam txoj kev loj hlob

Yog hais tias hypogonadism pib thaum lub sijhawm menyuam mos txoj kev loj hlob, thawj cov txiaj ntsig yog cuam tshuam kev loj hlob ntawm kev sib deev sab nraud. Ua raws li thaum hypogonadism pib thiab theem ntawm testosterone tam sim no thaum lub sijhawm menyuam hauv plab, tus txiv neej tus menyuam tuaj yeem txhim kho:

• poj niam deev
• tsis meej pem chaw mos, tsis hais meej txiv neej los poj niam
• underdeveloped txiv neej qhov chaw mos

Ua nkauj nraug

Txoj kev loj hlob tsis tu ncua tuaj yeem cuam tshuam yog tias hypogonadism tshwm sim thaum tiav nkauj tiav nraug. Cov teeb meem tshwm sim nrog:

• leeg kev loj hlob
• tob zuj zus ntawm lub suab
• tsis muaj lub cev plaub hau
• tsis muaj kev sib deev
• txhav ntev dhau lawm
• ob lub mis (gynecomastia)

Vauv

Tom qab lub neej, testosterone tsis txaus yuav ua rau lwm yam teeb meem. Cov tsos mob muaj xws li:

• tsawg zog noj ntau ntau
• cov leeg nqaij tsawg
• ntxiv lawm tshob
• erectile kawg
• tsawg tsav sib deev
• maj mam loj hlob plaub hau los yog plaub hau hle
• poob ntawm cov pob txha loj
• gynecomastia

Nkees thiab lub hlwb pos huab yog qee tus qhia feem ntau ntawm kev puas siab puas ntsws thiab kev xav hauv cov txiv neej uas muaj T.

Cov ua rau muaj testosterone poob qis

Qhov ob hom hom ntawm hypogonadism yog thawj thiab qib siab hypogonadism.

Thawj qhov hypogonadism

Kev sim tsis zoo txaus ua rau thawj qhov hypogonadism. Yog vim tias lawv tsis ua cov qib testosterone txaus rau kev loj hlob zoo thiab kev noj qab haus huv. Qhov kev ua tsis tau zoo no tuaj yeem tshwm sim los ntawm ib qho keeb kwm muaj keeb kwm. Nws tuaj yeem nqa tau los ntawm kev sib tsoo lossis kev mob nkeeg.

Muaj tej yam tsis raug raws li nram no:

• Cov noob qes uas tsis xav txog: Thaum cov noob qes tsis ua poob los ntawm plab ua ntej yug
• Klinefelter's syndrome: Ib qho mob uas tus txiv neej yug nrog peb tus txiv neej pw niam txiv: X, X, thiab Y.
• Hemochromatosis: Ntau cov hlau nyob rau hauv cov ntshav ua rau testicular tsis ua haujlwm lossis kev puas tsuaj rau lub hlwb

Hom noob qes (testicle) kev puas tsuaj uas tuaj yeem ua rau thawj qhov hypogonadism suav nrog:

• Kev raug mob rau lub cev rau cov noob qes: Kev raug mob yuav tsum tshwm sim rau ob lub noob qes kom cuam tshuam rau qib testosterone.
• Tus mob qog lossis mob ntsws: Tus mob qog ua mob tuaj yeem ua rau cov noob qes.
• Kev kho mob cancer: Kev siv tshuaj khomob lossis hluav taws xob tuaj yeem ua rau cov noob qes.

Thib ob hypogonadism

Thib ob hypogonadism yog tshwm sim los ntawm kev puas tsuaj rau lub qog pituitary lossis hypothalamus. Cov seem ntawm lub hlwb tswj cov tshuaj hormone ntau lawm los ntawm cov noob qes.

Cov kab mob los yog kab mob hauv hom no suav nrog:

• Pituitary ntshawv siab tshwm sim los ntawm cov tshuaj, raum tsis ua haujlwm, lossis mob qog
• Kallmann mob ntsws, ib qho xwm txheej txuas nrog hypothalamus tsis zoo
• Cov mob o, xws li mob ntsws, mob sarcoidosis, thiab histiocytosis, uas tuaj yeem cuam tshuam rau lub caj pas pituitary thiab hypothalamus.
• HIV / AIDS, uas tuaj yeem cuam tshuam rau lub caj pas pituitary, hypothalamus, thiab cov noob qes

Tau txais cov xwm txheej uas tuaj yeem ua rau kom muaj hypogonadism txuas ntxiv:

• Laus laus: Kev laus cuam tshuam rau kev tsim khoom thiab teb rau cov tshuaj hormones.
• Kev pham: Lub cev rog hnyav tuaj yeem cuam tshuam rau kev loj hlob hormone thiab cov lus teb.
• Cov Tshuaj Kho Mob: Opioid mob meds thiab tshuaj steroids tuaj yeem cuam tshuam kev ua haujlwm ntawm lub qog pituitary thiab hypothalamus.
• Concurrent mob: Kev mob siab lossis kev ntxhov siab ntau los ntawm kev mob nkeeg lossis phais mob tuaj yeem ua rau lub cev muaj zog tuaj yeem kaw ib ntus.

Koj yuav raug cuam tshuam los ntawm thawj, theem nrab, lossis kev sib xyaw hypogonadism. Mixed hypogonadism ntau dua nrog nce hnub nyoog. Cov tib neeg kho glucocorticoid txoj kev kho tuaj yeem txhim kho tus mob. Nws kuj tseem tuaj yeem cuam tshuam cov neeg muaj mob ntsws-cell, thalassemia, lossis kev quav dej cawv.

Hloov koj tuaj yeem hloov kho

Yog tias koj tab tom pom cov tsos mob ntawm T qis qis, hloov pauv hauv lub neej yuav pab txo koj cov tsos mob.

Thawj kauj ruam zoo yog nce qib kev ua si thiab tswj kev noj zaub mov zoo kom txo tau lub cev rog. Nws tseem tuaj yeem pab tau kom tsis txhob muaj cov tshuaj glucocorticoid xws li prednisone zoo li tshuaj kho mob opioid.

Kev hloov testosterone

Yog tias kev hloov pauv hauv lub neej tsis ua haujlwm rau koj, koj yuav tsum tau pib kho testosterone hloov kho (TRT) rau kev kho tus mob T. TRT yog qhov tseem ceeb heev rau kev pabcuam cov tub hluas hluas uas muaj ntshav qab zib tsis tuaj yeem ua haujlwm zoo li qub. Cov tshuaj testosterone txaus pab tswj kev noj qab haus huv thiab zoo rau cov neeg laus cov txiv neej.

TRT muaj kev phiv, txawm li cas los xij, suav nrog:

• pob txuv
• tsam prostate
• pw apnea
• noob qes shrinkage
• mis o
• ntxiv rau cov ntshav liab
• phev tsawg tsawg suav

Ua tib zoo npaj daim phiaj TRT kho mob yuav tsum zam ntau cov kev mob tshwm sim uas tsis xav tau no. Tham nrog koj tus kws kho mob txhawm rau soj ntsuam koj cov kev xaiv.