Hiki iā ʻoe ke loaʻa i ka testosterone haʻahaʻa?

ʻO ka testosterone kahi hone i hana ʻia e nā testicle. He mea nui ia no ka moekolohe kāne a me ka helehelena o ke kino.

ʻO kekahi mau kūlana olakino, nā lāʻau, a i ʻole ka ʻeha hiki ke alakaʻi i ka testosterone haʻahaʻa (low-T). E hāʻule kūlohelohe hoʻi ka pae testosterone me ka makahiki. Hiki i ka testosterone haʻahaʻa ke hoʻopili i ka hoʻokele wahine, ka naʻau, a me nā loli i nā mākala a me nā momona.

ʻO ka mālama ʻana me ka testosterone therapy hiki ke kōkua i ka hōʻemi ʻana i nā ʻōuli.

Hana ʻia ka testosterone e like me ke kāne i kahi kāne. I ke kāne, kōkua kēia hormone:

• Mālama i nā iwi a me nā mākala ikaika
• E hoʻoholo i ka ulu ʻana o ka lauoho a ma kahi o ka momona i ke kino
• Hana sperm
• Mālama i ka hoʻokele wahine a me ke kūkulu ʻana
• Hana i nā ʻulaʻula koko
• Hoʻonui i ka ikehu a me ke ʻano

E hoʻomaka ana ma kahi o ka makahiki 30 a 40, hoʻomaka paha e emi mālie nā pae testosterone. Kū maʻamau kēia.

ʻO nā kumu ʻē aʻe o ka testosterone haʻahaʻa:

• Nā hopena ʻaoʻao lāʻau, e like me chemotherapy
• ʻO ka hōʻeha testicle a i ʻole ka maʻi ʻaʻai
• Nā pilikia me nā ʻōpala i ka lolo (hypothalamus a me ka pituitary) e kaohi ana i ka hana hormone
• ʻO ka hana thyroid haʻahaʻa
• Nui loa ka momona o ke kino (momona)
• Nā maʻi ʻē aʻe, nā maʻi maʻi mau, nā lāʻau lapaʻau, a me nā maʻi maʻi paha

ʻO kekahi mau kāne me ka testosterone haʻahaʻa ʻaʻohe o lākou hōʻailona. Loaʻa paha i nā poʻe ʻē aʻe:

• Kaha hoʻohaʻahaʻa haʻahaʻa
• Nā pilikia i ke kūkulu ʻana
• Helu sperm haʻahaʻa
• Nā pilikia moe e like me ka hiamoe ʻole
• Hoʻoemi i ka nui o ka muscle a me ka ikaika
• Lilo iwi
• Hoʻonui i ka momona o ke kino
• Kaumaha
• Hoʻopilikia i ka noʻonoʻo ʻana

ʻO kekahi mau hōʻailona he ʻāpana maʻamau paha o ka ʻelemakule. ʻO kahi laʻana, he mea maʻamau ka noʻonoʻo liʻiliʻi i ka moekolohe ke hele a ʻelemakule ʻoe. Akā, ʻaʻole maʻamau ka makemake ʻole i ka moekolohe.

Hoʻokumu pū ʻia nā ʻōuli e nā kūlana ʻē aʻe, e like me ke koko kiʻekiʻe a i ʻole ka maʻi kō. Inā hoʻonāukiuki kekahi o kēia mau ʻōuli iā ʻoe, e kamaʻilio pū me kāu kauka olakino.

E loaʻa paha i kāu mea hāʻawi i kahi hoʻokolohua koko e nānā i kāu pae testosterone. E nānā pū ʻia ʻoe no nā kumu ʻē aʻe o kāu mau ʻōuli. Hoʻopili kēia i nā hopena o ka lāʻau, nā pilikia thyroid, a me ke kaumaha.

Inā loaʻa iā ʻoe ka testosterone haʻahaʻa, kōkua paha ka hoʻomaʻamaʻa hormone. ʻO ka lāʻau i hoʻohana ʻia he testosterone i hana ʻia e ke kanaka. Kapa ʻia kēia lapaʻau he testosterone replacement therapy, a TRT paha. Hiki ke hāʻawi ʻia ʻo TRT ma ke ʻano he pill, gel, patch, injection, a implant paha.

Hiki i TRT ke hōʻoluʻolu a hoʻomaikaʻi i nā hōʻailona i kekahi mau kāne. Hiki ke kōkua i ka mālama ʻana i nā iwi a me nā mākala me ka ikaika. ʻOi aku ka maikaʻi o TRT i nā kāne ʻōpio me nā pae testosterone haʻahaʻa loa. Hiki ke kōkua i TRT no nā kāne makua.

Loaʻa nā pilikia i TRT. Pākuʻi ʻia kēia mau mea:

• Hoʻoipo
• Hoʻonui i ka prostate e alakaʻi ana i ka pilikia i ka mimiki
• Huʻi koko
• Hoka maikaʻi ʻole ka naʻau
• Pilikia hiamoe
• Nā pilikia Cholesterol

I kēia manawa, maopopo ʻole inā TRT e hoʻonui i ka makaʻu o ka puʻuwai puʻuwai, hahau ʻana, a i ʻole ka maʻi ʻaʻai prostate.

E kamaʻilio me kāu mea hāʻawi e pili ana inā kūpono ʻo TRT iā ʻoe. Inā ʻaʻole ʻoe e ʻike i kahi loli i nā hōʻailona ma hope o ka mālama ʻana no 3 mau mahina, ʻoi aku ka liʻiliʻi o ka hoʻomaikaʻi ʻana iā TRT iā ʻoe.

Inā hoʻoholo ʻoe e hoʻomaka iā TRT, e ʻike pono e ʻike i kāu mea hāʻawi no ka loiloi maʻamau.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka testosterone haʻahaʻa
• He mau nīnau a hopohopo paha kāu e pili ana i ka lāʻau

Menopause kāne; Andropause; Ka hemahema o ka testosterone; Low-T; Deficit androgen o ke kāne ʻelemakule; ʻO hypogonadism hoʻomaka hope

Allan CA, McLachlin RI. Nā maʻi maʻi Androgen. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 139.

Morgentaler A, Zitzmann M, Traish AM, a me al. Nā manaʻo nui e pili ana i ka hemahema o ka testosterone a me ka mālama ʻana: nā ʻōlelo ʻae a ka poʻe loea kūwaho. ʻO Mayo Clin Proc. 2016; 91 (7): 881-896. PMID: 27313122 www.ncbi.nlm.nih.gov/pubmed/27313122.

ʻO ka pūnaewele US Food and Drug Administration. Ka kamaʻilio palekana palekana ʻana o ka lāʻau FDA: ua akahele ʻo FDA e pili ana i ka hoʻohana ʻana i nā huahana testosterone no testosterone haʻahaʻa ma muli o ka ʻelemakule pono i kahi loli lepili e hoʻomaopopo ai i ka nui o ka makaʻu o ka puʻuwai a me ka hahau ʻana me ka hoʻohana. www.fda.gov/drugs/drugsafety/ucm436259.htm. Hoʻohou i Pepeluali 26, 2018. Loaʻa iā Mei 20, 2019.

• Hormones
• Ke olakino kāne