Hypogonadism: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• 1. ʻO hypogonadism kāne
• 2. hypogonadism wahine
• 3. Hypogonadotrophic hypogonadism
• Nā kumu kūpono
• 1. hypogonadism kumu
• 2. hypogonadism lua
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki

ʻO ka Hypogonadism kahi kūlana kahi e hana ʻole ai nā ovaries a i ʻole nā ​​testicle i ka nui o nā hormoni, e like me ka estrogen i nā wahine a me ka testosterone i nā kāne, kahi mea nui i ka ulu a me ka ulu ʻana i ka wā ʻōpio.

Hiki i kēia ʻano ke hoʻomohala i ka wā o ka hoʻomohala ʻana o ka pēpē i ka wā o ka hāpai ʻana, ke hōʻike ʻia i ka wā hānau, akā hiki ke hōʻike ʻia i kēlā me kēia makahiki, ma muli o nā liona a i ʻole nā ​​maʻi i nā ovaries a i ʻole nā ​​testicle.

Hiki i ka hypogonadism ke kumu i ka infertility, ka ʻole o ke ʻōpio, menstruation a i ʻole ulu maikaʻi ʻole o ke kino kāne kāne. Pono e hōʻike ʻia ke kauka ʻana o ka hypogonadism e ke kauka a manaʻo ʻia e hoʻoponopono i nā pae o ka hormone a pale i nā pilikia, a pono paha ka hoʻohana ʻana i nā lāʻau a me nā ʻoki lāʻau.

Nā hōʻailona nui

Hiki i ka Hypogonadism ke hoʻomaka i ka wā o ka ulu ʻana o ka fetal, ma mua o ka wā ʻōpio a i ʻole i ka wā makua a me ka nui, nā ʻōuli a me nā ʻōuli i ka wā e ulu ai ke ʻano a me ka moekolohe o ke kanaka.

1. ʻO hypogonadism kāne

Hoʻokumu ʻia ka hypogonadism kāne e ka hōʻemi a me ka ʻole o ka hana testosterone e nā testicle, hōʻike i nā ʻōuli like ʻole e like me ka pae o ke ola.

• Pēpē: hiki ke ulu i ka ulu o nā kino moekolohe kūwaho ma muli o ka hana haʻahaʻa testosterone i ka ulu ʻana o ka fetal. Kaukaʻi ʻia i ka wā e ulu ai ka hypogonadism a me ka nui o ka testosterone i kēia manawa, hānau ʻia ke keiki, he keikikāne kāne maoli nō ia, me nā ʻāpana wahine, nā ʻōpala i maopopo ʻole he kāne a wahine paha a i ʻole nā ​​kāne kāne i hoʻomohala ʻole ʻia;
• ʻO nā keikikāne ma mua o ka wā ʻōpio: hōʻino ʻole ʻia nā ʻōuli o ka hypogonadism o ka peni, nā mākala a me ka lauoho o ke kino, ke ʻano o nā umauma, ka ʻole o nā loli i ka leo, maʻamau i ka wā ʻōpio, a me ka ulu nui o nā lima a me nā wāwae e pili ana i ka pahu;
• Nā kāne ma hope o ka wā ʻōpio: hoʻemi i ka nui o nā lauoho o ke kino, nalo ʻana o ka nui o nā mākala a hoʻonui ʻia ka momona o ke kino, ka hana erectile a me ka makemake haʻahaʻa i ka wahine. Hiki paha i kahi hōʻemi i ka hana ʻana o ka sperm, i hiki ke kumu i ka infertility a i ʻole ka paʻakikī i ka hāpai ʻana i ka hoa.

ʻO ke kuhiakau o hypogonadism i hana ʻia e kahi pediatrician a i ʻole urologist, ma muli o nā ʻōuli, ka mōʻaukala olakino a ma o ka hoʻokolohua kino ʻana e nānā ai ke kauka i ka ulu ʻana o nā testicle, ka peni a me ka lauoho ma ke kino, a me ka hiki hoʻomohala o nā umauma. Inā kānalua ʻoe i ka hypogonadism kāne, pono i ke kauka e kauoha i nā hoʻokolohua e ana i nā pae o nā hormoni e like me testosterone, FSH a me LH, a me ka anamanaʻo sperm, ma o ka sperm test. E ʻike pehea e hana ʻia ai ka spermogram.

2. hypogonadism wahine

Hana ʻia ka wahine hypogonadism ma muli o ka hoʻemi a me ka ʻole o ka hana estrogen e nā ovaries a he ʻokoʻa nā ʻōuli e pili ana i ka pae ola o ka wahine, e hoʻopili pū ana:

• ʻO nā kaikamahine ma mua o ka wā ʻōpio: ʻo ka maʻa mau ka hoʻomaka mua o ka menstruation ma hope o ka makahiki 14 a i ʻole he kaawale loa o ka menstruation, kahi e hoʻopili ai i ka ulu ʻana o nā umauma a me ka lauoho pubic;
• ʻO nā wahine ma hope o ka wā ʻōpio: hiki i ka menstruation maʻamau a i ʻole ke keakea ʻana o nā wā ke hele, nele i ka ikaika, hoʻololi i ke ʻano, hoʻoliʻiliʻi i ka moekolohe, ka nalowale ʻana o nā lauoho o ke kino, nā uila wela a me nā pilikia i ka hāpai ʻana.

ʻO ka hōʻailona o ka wahine hypogonadism i hana ʻia e kahi pediatrician a i ʻole gynecologist, e like me ka makahiki, e pili ana i ka mōʻaukala, ka makahiki i ka mua o ka menstruation, ka hana maʻamau a me nā hoʻokolohua kino e loiloi i ka ulu ʻana o ka lauoho umauma a me ka pubic. Eia hou, pono i ke kauka e kauoha i nā hoʻokolohua hale hana e ana i nā pae o nā hormones FSH, LH, estrogen, progesterone a me prolactin, a me nā hōʻike kiʻi e like me ultrasound o ka pelvis.

3. Hypogonadotrophic hypogonadism

ʻO ka hypogonadotropic hypogonadism, i kapa ʻia ʻo hypogonadism waena, hiki ke hana ʻia i ka wā hānau i nā kāne a me nā wahine, akā hiki ke hoʻomohala i kēlā me kēia makahiki.

Kū kēia ʻano hypogonadism ma muli o nā loli i ka hypothalamus a i ʻole ka pituitary gland, aia i ka lolo, nā mea e pili ana i ka hana ʻana o nā homoni e hoʻoulu i nā ovaries a i ʻole nā ​​testicle e hana i kā lākou mau hormones. I kēia hihia, ʻo nā ʻōuli maʻamau ka ʻeha o ke poʻo, ka paʻakikī ʻike e like me ka ʻike pālua a i ʻole ka nalo ʻana o ka ʻike, a me ka hana ʻana i ka waiū e nā umauma.

ʻO ke kuhi o ka hypogonadotrophic hypogonadism i hana ʻia e ke kauka e pili ana i nā ʻōuli a ma o ka nānā ʻana i ke kiʻi e like me ke kiʻi ʻana o ka resonance ʻumeʻume o ka lolo.

Nā kumu kūpono

Hiki ke hoʻokaʻawale ʻia nā kumu o ka hypogonadism e like me ke ʻano o ka gland i hoʻopili ʻia a hoʻopili pū ʻia:

1. hypogonadism kumu

Hoʻokumu pinepine ʻia ka hypogonadism mua e:

• ʻO nā maʻi Autoimmune, nā aʻa a me nā ake paha;
• Nā pilikia genetic, e like me Turner Syndrome, i nā wahine, a me Klinefelter Syndrome, i nā kāne;
• Cryptorchidism kahi e iho ʻole ai nā testicle i ka scrotum i nā keikikāne i ka wā hānau;
• Mumps i nā keikikāne;
• ʻO ka menopause mua i nā wahine;
• ʻO ka maʻi polycystic ovary syndrome i nā wahine;
• ʻO ka maʻi e like me gonorrhea i nā wahine;
• ʻO Radiotherapy a chemotherapy no ka mālama ʻana i ka maʻi ʻaʻai no ka mea hiki ke hoʻopili i ka hana o nā hormones sex.

I kēia ʻano hypogonadism, ʻaʻole holo pono nā ovaries a i ʻole nā ​​testicle, e hana ana i kahi liʻiliʻi a i ʻole he wahine moe kolohe, no ka mea ʻaʻole lākou e pane i ka hoʻonāukiuki ʻana o ka lolo.

2. hypogonadism lua

Hoʻokumu pinepine ʻia ka hypogonadism lua e:

• Kahe koko ʻole;
• Nā pilikia genetic e like me Kallmann's syndrome;
• Hemahema Nutritional;
• Kaʻaihue;
• ʻOi aku ka hao i ke koko;
• Pāhawewe;
• Maʻi HIV
• Tumo pituitary.

I ka hypogonadism lua, aia ka hoʻoliʻiliʻi a i ʻole ka loaʻa ʻole o ka hana hormone i ka lolo, e like me FSH a me LH, nā mea e hoʻoulu i nā testicle a i ʻole nā ​​ovaries e hana i kā lākou mau sex hormones.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka hypogonadism e hana mau ʻia ma lalo o ka ʻōlelo aʻoaʻo a hiki i nā lāʻau hormonal ke hoʻololi i nā hormone progesterone a me ka estrogen i nā wahine, a me ka testosterone i nā kāne.

Inā he pilikia pituitary ke kumu, hiki ke hana i ka lāʻau me nā hormones pituitary e hoʻoulu ai i ka hana sperm i loko o nā kāne a i ʻole ka hoʻouluulu ʻana i nā wahine a hoʻihoʻi i ka momona. Eia hou, i ka hihia o kahi tumo i ka pituitary gland, koi ʻia ke ʻoki e wehe i ka tumo, hoʻohana i nā lāʻau, radiotherapy a i ʻole ka hoʻomaʻamaʻa hormonal.

Nā pilikia i hiki

ʻO nā pilikia i hiki i ka hypogonadism ke kumu:

• Nā kino genital maʻamau i nā kāne;
• Hoʻonui i ka umauma i nā kāne;
• ʻO ka hana kīnā ʻole o Erectile i nā kāne;
• Hoʻonui i ka pilikia o ka maʻi maʻi maʻi maʻi;
• Hoʻonui i ke kaumaha o ke kino;
• Lilo o ka nui o nā mākala;
• Infertility;
• Osteoporosis.

Hoʻohui ʻia, hiki i ka hypogonadism ke hoʻololi i ka manaʻo pilikino o nā kāne a me nā wahine a hana i nā pilikia i nā pilina aloha a i ʻole nā ​​pilikia psychological e like me ke kaumaha, ka hopohopo a i ʻole ka ʻae ʻole o ke kino ponoʻī.