Hoʻololi ʻelemakule i ka ʻōnaehana hānau kāne

Hiki i nā hoʻololi kūnewa i ka ʻōnaehana hānau kāne ke hoʻopili i nā loli i kaʻiʻo testicular, hana sperm, a me nā hana erectile. Kūleʻa mau kēia mau loli.

ʻAʻole like me nā wahine, ʻaʻole ʻike nā kāne i kahi mea nui, wikiwiki (ma luna o kekahi mau mahina) e loli i ka momona ke ʻelemakule lākou (e like me ka menopause). Akā, hoʻololi loli i ka wā o ke kaʻina hana i kapa ʻia e kekahi poʻe andropause.

Hoʻololi nā ʻelemakule i nā ʻōnaehana hānau kāne i nā hōʻike. Hoemi ka nui o nā kiko testicular. ʻO ke kiʻekiʻe o ka hōmona kāne kāne, hoʻemi haʻahaʻa testosterone. Loaʻa paha nā pilikia i ke kūkulu ʻana i kūkulu. He lohi maʻamau kēia, ma kahi o ka nele piha o ka hana.

HUNAHUNA

ʻO nā paipu e hāpai ana i ka sperm e lilo i mea liʻiliʻi (kahi hana i kapa ʻia ʻo sclerosis). Ke hoʻomau nei nā testes i ka hana ʻana i ka sperm, akā ke lohi nei ka wikiwiki o ka hana ʻana o ka cell sperm. ʻO ka epididymis, nā seminal vesicle, a me nā gland prostate e nalowale kekahi o ko lākou mau ʻili o luna. Akā hoʻomau lākou i ka hana i ka wai e kōkua i ka lawe ʻana i ka sperm.

HANA MANAʻO

Hoʻonui ka ʻōiwi prostate me ka makahiki e like me kahi o nāʻiʻo prostate i pani ʻia me kahi ʻāpana e like me kaʻiʻo. ʻO kēia ʻano, i kapa ʻia ʻo benign prostatic hyperplasia (BPH), e pili ana ma kahi o 50% o nā kāne. Hoʻokumu paha ʻo BPH i nā pilikia me ka lohi o ka urination a me ka ejaculation.

I nā kāne a me nā wahine, pili pili ka hoʻololi ʻana o ka ʻōnaehana reproductive i nā loli i ka ʻōnaehana urinary.

Ka hopena o nā hoʻololi

Hoʻololi ka momona mai ke kāne a ke kāne. ʻAʻole wānana ka makahiki i ka momona o ke kāne. ʻAʻole pili ka hana Prostate i ka momona. Hiki i kahi kāne ke makua kāne i nā keiki, ʻoiai inā ua hoʻoneʻe ʻia kāna gland prostate. Hiki i kekahi mau ʻelemākule makua kāne (a hana) i nā keiki kāne.

ʻO ka nui o ka wai ejaculated e like me ka maʻa mau, akā akā ʻoi aku ka liʻiliʻi o ka sperm ola i ka wai.

Loaʻa i kekahi mau kāne i kahi kalaiwa haʻahaʻa (libido). E lohi a emi paha ka ikaika o nā pane moekolohe. Pili paha kēia i kahi pae testosterone i hoʻemi ʻia. He hopena paha ia mai ka psychological a i ʻole ka hoʻololi kaiāulu ma muli o ka ʻelemakule (e like me ka nele o kahi hoa makemake), nā maʻi, nā wā lōʻihi (mau), a i ʻole nā ​​lāʻau.

ʻAʻole hiki i ka wā ʻelemakule ke pale aku i ke kāne mai ka hiki ke ʻoluʻolu i ka moekolohe.

NA PILIKIA MAU

He hopohopo paha ʻo Erectile (ED) no nā kāne ʻelemakule. He mea maʻamau ka hana ʻana o ke kūkulu ʻana ma mua o ka wā ʻōpio o ke kāne. ʻAʻole hiki i nā kāne ʻelemakule ke hana hou i nā ejaculation.

ʻO ED ka hopena pinepine o ka pilikia olakino, ma mua o ka ʻelemakule maʻalahi. He kanaiwa pākēneka o ED i manaʻo ʻia he kumu olakino ma kahi o kahi pilikia psychological.

ʻO nā lāʻau lapaʻau (e like me nā mea e mālama ai i ka hanu kiʻekiʻe a me kekahi mau ʻano ʻē aʻe) hiki ke pale i ke kāne mai ka loaʻa ʻana a i ʻole ka mālama ʻana i kahi kūkulu no ka moekolohe. ʻO nā maʻi, e like me ka maʻi diabetes, hiki ke hana iā ED.

ʻO ED i kumu ʻia e nā lāʻau a i ʻole nā ​​maʻi e mālama maikaʻi ʻia. E kamaʻilio i kāu mea mālama ola mua a i ʻole kahi urologist inā pili ʻoe i kēia ʻano.

Hoʻopilikia paha ʻo BPH me ka mimiki. ʻO ka prostate hoʻonui nui ʻia e ālai i ka paipu e hoʻokahe i ka puhā (urethra). Hoʻololi nā hoʻololi i ka gland prostate i ka loaʻa ʻana o nā maʻi o ka urinary tract i nā kāne makua.

Hiki ke hoʻi i ka mimi i loko o nā puʻupaʻa (vesicoureteral reflux) inā ʻaʻole pau ka wai i ka wai. Inā ʻaʻole mālama ʻia kēia, hiki i ka hopena ke alakaʻi i ka holo pono ʻole ʻana o ke kīhāpai.

Hiki ke loaʻa nā maʻi ʻaʻa Prostate a i ʻole ka mumū (prostatitis).

Lilo ka maʻi ʻaʻai Prostate e like me ka nui o nā makahiki o nā kāne. ʻO ia kekahi o nā kumu maʻamau o ka make ʻana o ka maʻi ʻaʻai i nā kāne. ʻOi aku ka maʻamau o ka maʻi ʻaʻai Bladder me ka makahiki. Hiki i nā kanesa testicular, akā pinepine pinepine kēia i nā kāne ʻōpio.

KOHO ANA

Nui nā loli pili i ka makahiki, e like me ka hoʻonui ʻana i ka prostate a i ʻole atrophy testicular, ʻaʻole hiki ke pale ʻia. ʻO ka mālama ʻana i nā maʻi olakino e like me ke koko kiʻekiʻe a me ka maʻi kōkō e pale aku i nā pilikia me ka mimiki a me ka moekolohe.

ʻO nā loli i ka pane kolohe e pili pinepine ʻia i nā kumu ʻē aʻe ma mua o ka ʻelemakule maʻalahi. Hiki i nā kāne makua ke loaʻa ka moekolohe maikaʻi inā hoʻomau lākou i ka moekolohe ma ka wā waena.

NA Kumuhana e pili ana

• Hoʻololi ʻelemakule i ka hana hormone
• Hoʻololi nā ʻelemakule i nā meaola, nā aʻa, a me nā hunaola
• Hoʻololi nā ʻelemakule i nā puʻupaʻa

Andropause; Hoʻololi hānau kāne

• ʻŌnaehana hānau kāne ʻōpio
• ʻŌnaehana hānau kāne kāne makua

Lanakila RD Neuroendocrinology o ka ʻelemakule. I: Fillit HM, Rockwood K, Young J, eds. ʻO Brocklehurst's Textbook of Geriatric Medicine a me Gerontology. 8th ed. Piladelapia, PA: Elsevier; 2017: chap 13.

van den Beld AW, Lamberts SWJ. Endocrinology a me ka ʻelemakule. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 28.

Walston JD. ʻO ka maʻi maʻamau o ka ʻelemakule. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 22.