TRT: Cais Ntawm Qhov Tseeb Los Ntawm Ntawv tseeb
Zoo Siab
- Dab tsi yog TRT?
- Vim li cas T ho txo nrog lub hnub nyoog?
- Kuv yuav paub tau li cas yog tias kuv muaj T tsawg?
- Ua li cas TRT tswj?
- TRT siv kho mob li cas?
- Dab tsi yog qhov siv tsis yog kev kho mob ntawm TRT?
- TRT nqi ntau npaum li cas?
- Khaws nws raws txoj cai (thiab nyab xeeb)
- Puas muaj kev pheej hmoo txuas nrog TRT?
- Hauv qab kab
Dab tsi yog TRT?
TRT yog acronym rau kev hloov tshuaj testosterone, qee zaum hu ua androgen hloov txoj kev kho. Nws yog feem ntau siv los kho cov tshuaj testosterone tsawg (T), uas tuaj yeem tshwm sim nrog lub hnub nyoog lossis ua rau muaj mob.
Tab sis nws tau ua nrov npe rau cov neeg tsis siv tshuaj kho mob, suav nrog:
- txhim kho kev sib deev
- ua tiav cov theem siab zog
- lub tsev tsim cov nqaij leeg rau kev tawm dag zog
Qee cov kev tshawb fawb qhia tias TRT qhov tseeb yuav pab koj ua tiav qee cov hom phiaj no. Tab sis muaj ib co caveats. Cia li dhia dej ua dab tsi kiag rau koj qib T thaum koj laus dua thiab qhov koj xav tau tiag tiag los ntawm TRT.
Vim li cas T ho txo nrog lub hnub nyoog?
Koj lub cev ib txwm ua T tsawg dua thaum koj hnub nyoog. Raws li ib tsab xov xwm hauv Asmeskas Tsev Neeg Kws Kho Mob, tus txiv neej nruab nrab T ntau lawm nqis los ntawm 1 mus rau 2 feem pua txhua xyoo.
Qhov no yog txhua feem ntawm tus txheej txheem txhua yam uas tau pib hauv koj 20s lig lossis 30s ntxov:
- Thaum koj muaj hnub nyoog, koj cov noob qes tsim tsawg dua T.
- Qhov qis qis testicular T ua rau koj cov hypothalamus ua cov gonadotropin-tso cov tshuaj hormone tsawg dua (GnRH).
- GnRH Txo ua rau koj lub qog pituitary ua kom tsawg dua luteinizing hormone (LH).
- Kev txo qis LH ua rau txo qis tag nrho T ntau lawm.
Qhov ua kom tsawg zuj zus ntawm T no feem ntau tsis yog ua rau pom muaj cov tsos mob tshwm sim. Tab sis ib qho tseem ceeb txaus hauv T ntau ntau tuaj yeem ua rau:
- tsawg tsav txiv neej
- tsawg tsawg kheej kheej erections
- erectile kawg
- nws txo qis phev suav lossis ntim
- teeb meem pw tsaug zog
- qhov txawv txav ntawm cov leeg thiab pob txha ceev
- piav tsis hnyav ntxiv
Kuv yuav paub tau li cas yog tias kuv muaj T tsawg?
Tib txoj kev los paub seb koj puas muaj T qis qis yog los ntawm kev pom tus kws kho mob rau kev kuaj ntshav qib testosterone. Nov yog kuaj ntshav yooj yim, thiab cov chaw muab kev pab feem ntau xav tau nws ua ntej sau ntawv TRT.
Koj yuav tsum tau sim ua ob peb zaug vim tias qib T raug cuam tshuam los ntawm ntau yam, xws li:
- kev noj haus
- theem ntawm kev nyab xeeb
- lub sij hawm ntawm ib hnub ua qhov kev xeem tiav
- qee cov tshuaj, zoo li anticonvulsants thiab tshuaj steroids
Ntawm no yog qhov tawg ntawm T qib raug rau cov txiv neej laus pib thaum hnub nyoog 20:
| Hnub nyoog (hauv xyoo) | T qib hauv nanograms toj ib milliliter (ng / ml) |
|---|---|
| 20–25 | 5.25–20.7 |
| 25–30 | 5.05–19.8 |
| 30–35 | 4.85–19.0 |
| 35–40 | 4.65–18.1 |
| 40–45 | 4.46–17.1 |
| 45–50 | 4.26–16.4 |
| 50–55 | 4.06–15.6 |
| 55–60 | 3.87–14.7 |
| 60–65 | 3.67–13.9 |
| 65–70 | 3.47–13.0 |
| 70–75 | 3.28–12.2 |
| 75–80 | 3.08–11.3 |
| 80–85 | 2.88–10.5 |
| 85–90 | 2.69–9.61 |
| 90–95 | 2.49–8.76 |
| 95–100+ | 2.29–7.91 |
Yog tias koj qib T tsuas qis dua me ntsis rau koj lub hnub nyoog, tej zaum koj tsis tas yuav siv TRT.Yog tias lawv tau qis dua, koj tus neeg muab kev pab yuav yuav ua qee qhov kev sim ntxiv ua ntej pom zoo TRT.
Ua li cas TRT tswj?
Muaj ob peb txoj kev los ua TRT. Koj cov kev xaiv zoo tshaj plaws yuav nyob ntawm koj cov kev kho mob xav tau ntxiv rau koj txoj kev ua neej. Qee cov txheej txheem xav tau kev tswj hwm txhua hnub, thaum lwm tus tsuas yog yuav tsum tau ua txhua hli.
Txoj kev TRT suav nrog:
- cov tshuaj noj qhov ncauj
- txhaj tshuaj intramuscular
- transdermal thaj ua rau thaj
- pleev cov cream
Kuj tseem muaj ib daim ntawv ntawm TRT uas cuam tshuam rau kev txhuam tus testosterone ntawm koj cov pos hniav ob zaug ib hnub.
TRT siv kho mob li cas?
TRT ib txwm siv los kho hypogonadism, uas tshwm sim thaum koj cov noob qes (tseem hu ua gonads) tsis tsim cov tshuaj testosterone kom txaus.
Muaj ob hom hypogonadism:
- Thawj qhov hypogonadism. Qes T qhov tshwm sim los ntawm teeb meem nrog koj cov gonads. Lawv tau txais cov cim los ntawm koj lub hlwb los ua T tab sis tsis tuaj yeem tsim lawv.
- Nruab nrab (nruab nrab) hypogonadism. Qog T qhov tshwm sim los ntawm cov teeb meem hauv koj lub hypothalamus lossis pituitary caj pas.
TRT ua haujlwm rau T uas tsis yog tsim los ntawm koj cov noob qes.
Yog tias koj muaj qhov hypogonadism tseeb, TRT tuaj yeem:
- txhim kho koj cov haujlwm kev sib deev
- txhawb koj cov phev suav thiab ntim
- nce qib ntawm lwm cov tshuaj hormones uas cuam tshuam nrog T, suav nrog prolactin
TRT kuj tseem yuav pab ua kom muaj sib txawv ntawm qib T txawv txawv tshwm sim los ntawm:
- autoimmune tej yam kev mob
- caj ces cuam tshuam
- cov mob uas ua rau koj cov kab mob pw ua ke
- lub noob qes undescended
- hluav taws xob kho mob cancer
- kev sib deev hloov khoom nruab nrog
Dab tsi yog qhov siv tsis yog kev kho mob ntawm TRT?
Ntau lub tebchaws, suav nrog Asmeskas, tsis pub cov neeg mus yuav cov tshuaj T txawv tebchaws rau TRT yam tsis raug tshuaj.
Txawm li cas los xij, tib neeg nrhiav TRT rau ntau yam tsis yog mob, xws li:
- poob phaus
- nce qib zog
- boosting kev sib deev tsav los yog kev ua tau zoo
- txhawm rau kev ua siab ntev rau kev ncaws pob
- nce lub cev ntxiv rau lub cev tawm dag zog
TRT tau pom tias muaj qee cov txiaj ntsig no. Piv txwv li, xaus lus tias nws ua kom cov leeg muaj zog ntxiv hauv cov txiv neej hnub nyoog nruab nrab thiab laus dua.
Tab sis TRT muaj ob peb qhov txiaj ntsig tau pom rau cov neeg, tshwj xeeb yog cov txiv neej hluas, uas muaj qhov qub lossis qib T ntau dua. Thiab cov kev pheej hmoo yuav loj dua li cov txiaj ntsig. Kev tshawb fawb me me ntawm 2014 pom qhov sib txuas ntawm cov qib siab T thiab cov phev qis ntau lawm.
Ntxiv rau, siv TRT kom tau txais kev sib tw hauv kev ua kis las yog suav tias "doping" los ntawm ntau lub koom haum tshaj lij, thiab feem ntau xav tias nws yog thaj chaw rau kev txiav tawm ntawm kev ntaus pob ncaws pob.
Hloov chaw, xav txog kev sim qee txoj hauv kev ntxiv rau kev txhawb nqa T. Nov yog yim lus qhia kom koj tau pib.
TRT nqi ntau npaum li cas?
Tus nqi ntawm TRT sib txawv raws li hom uas koj tau sau tseg. Yog tias koj muaj is saws las kho mob thiab xav tau TRT los kho mob, koj yuav tsis them tag nrho tus nqi. Tus nqi tiag kuj yuav txawv raws li koj qhov chaw nyob thiab seb puas muaj cov qauv siv dav dav.
Feem ntau, koj tuaj yeem cia siab them qhov twg los ntawm $ 20 txog $ 1,000 nyob rau ib hlis. Tus nqi tiag tiag yog nyob ntawm ntau yam, suav nrog:
- koj qhov chaw nyob
- hom tshuaj
- kev tswj hwm txoj hauv kev
- seb puas muaj cov qauv siv tsis muaj
Thaum xav txog tus nqi, nco ntsoov tias TRT tsuas yog txhim kho koj cov qib T. Nws yuav tsis kho qhov pib ntawm koj tus T qis, yog li koj yuav xav tau kev kho mob rau lub neej ntev ntev.
Khaws nws raws txoj cai (thiab nyab xeeb)
Nco ntsoov, nws txhaum cai yuav T tsis muaj ntawv yuav tshuaj nyob hauv cov teb chaws feem ntau. Yog tias koj raug ntes thaum ua li ntawd, koj yuav raug lub txim raws kev cai loj.
Ntxiv rau, T muag sab nraum cov chaw muag tshuaj raws cai tsis raug tswj hwm. Qhov no txhais tau tias koj tuaj yeem yuav T nrog lwm cov khoom xyaw uas tsis muaj npe hauv cov ntawv sau. Qhov no tuaj yeem ua rau txaus ntshai lossis tseem muaj sia nyob yog tias koj ua xua nrog ib yam ntawm cov khoom xyaw.
Puas muaj kev pheej hmoo txuas nrog TRT?
Cov kws tshaj lij tseem tab tom sim kom nkag siab tag nrho cov kev pheej hmoo thiab phiv ntawm TRT. Raws li Harvard Kev Noj Qab Haus Huv, ntau txoj kev tshawb nrhiav uas muaj tam sim no muaj qhov txwv, xws li ua kom me me lossis siv cov koob tshuaj loj dua li ib txwm siv T.
Raws li qhov tshwm sim, tseem muaj qee qhov kev sib cav txog cov txiaj ntsig thiab qhov pheej hmoo cuam tshuam nrog TRT. Piv txwv, nws tau hais rau kom ob leeg nce thiab txo qhov kev pheej hmoo ntawm qee yam mob qog noj ntshav.
Ib tsab ntawv nyob rau hauv phau ntawv Tshaj Tawm Kev Kho Mob Ncaj Ncees hauv Urology qhia tias qee qhov kev tsis sib haum xeeb no yog qhov tshwm sim ntawm kev tshaj xov xwm dhau los, tshwj xeeb hauv Asmeskas.
Ua ntej sim TRT, nws tseem ceeb uas yuav tau zaum nrog koj tus kws kho mob thiab saib xyuas txhua yam kev phom sij thiab kev phom sij. Cov no suav nrog:
- mob hauv siab
- ua pa nyuaj
- hais lus nyuaj
- phev suav tsawg
- polycythemia vera
- roj HDL (“zoo”) roj
- plawv nres
- o tuaj ntawm txhais tes lossis txhais ceg
- mob stroke
- benign prostatic hyperplasia (tsam txhab)
- pw apnea
- pob ntxau los sis zoo sib xws ntawm daim tawv nqaij sib txuas
- cov hlab ntsha sib sib zog nqus thrombosis
- pulmonary embolism
Koj yuav tsis tau hla TRT yog tias koj twb muaj kev pheej hmoo rau ib qho mob twg tau hais los saud.
Hauv qab kab
TRT tau ntev dhau los yog kev kho mob rau cov neeg uas muaj hypogonadism lossis mob uas cuam tshuam nrog txo T ntau lawm. Tab sis nws cov txiaj ntsig rau cov uas tsis muaj lub hauv paus tsis paub meej, txawm hais tias tag nrho cov hype.
Tham nrog koj tus kws kho mob ua ntej koj noj cov tshuaj T lossis tshuaj noj. Lawv tuaj yeem pab koj txiav txim siab seb koj lub hom phiaj nrog TRT puas nyab xeeb thiab muaj tiag.
Nws yog ib qho tseem ceeb yuav tsum tau saib xyuas los ntawm tus kws kho mob thaum koj noj T cov tshuaj kom nco ntsoov cov tsos mob tsis zoo lossis cov kev mob tshwm sim uas yuav tshwm sim thaum kho.
Pom Zoo Los Ntawm Peb
Dab Tsi Ncaws Pob Hnub Qub Sydney Leroux Noj kom Nyob Zoo