Hypogonadism

Anter

• He aha nā ʻano o ka hypogonadism?
• ʻO hypogonadism kumu
• Hypogonadism waena (kekona)
• He aha nā kumu o ka hypogonadism?
• He aha nā hōʻailona o ka hypogonadism?
• Pehea e ʻike ʻia ai ka hypogonadism?
• Nā hoʻāʻo Hormone
• Nā hoʻāʻo kiʻi
• He aha nā hōʻailona no ka hypogonadism?
• Hoʻomaʻamaʻa no ka wahine hypogonadism
• Hoʻomaʻo no ka hypogonadism kāne
• Hoʻomaʻo no ka hypogonadism i nā kāne a me nā wahine
• He aha ka manaʻo lōʻihi?

He aha ka hypogonadism?

Hana ʻia ka hypogonadism ke hana ʻē aʻe a ʻaʻohe paha i nā homone wahine. ʻO ka moe kolohe, i kapa ʻia hoʻi he gonad, ʻo ia nā mea hōʻike i nā kāne a me nā ovaries i nā wahine. Kōkua nā homone wahine i ka mālama ʻana i nā ʻano wahine lua, e like me ka hoʻomohala ʻana o ka umauma i nā wahine, hoʻomohala testicular i nā kāne, a me ka ulu ʻana o ka lauoho pubic. Pāʻani pū kekahi i nā hormones sex i ka menstrual cycle a me ka hana sperm.

Hiki paha ke ʻike ʻia ka hypogonadism me ka nele o gonad. Hiki ke kapa ʻia he testosterone serum haʻahaʻa a i ʻole andropause ke kū ʻia i nā kāne.

ʻO ka hapa nui o kēia kūlana e pane maikaʻi i nā lāʻau lapaʻau kūpono.

He aha nā ʻano o ka hypogonadism?

ʻElua ʻano hypogonadism: mua a waena.

ʻO hypogonadism kumu

ʻO ke kumu o ka hypogonadism mua ʻaʻole lawa kāu mau homone moe kolohe i kou kino ma muli o kahi pilikia i kāu gonad. Ke loaʻa nei kāu mau gonad i ka leka e hana i nā homone mai kou lolo, akā ʻaʻole hiki iā lākou ke hana.

Hypogonadism waena (kekona)

I ka hypogonadism waena, kau ka pilikia i kou lolo. ʻO kāu hypothalamus a me ka pituitary gland, ka mea e kaohi i kāu gonad, ʻaʻole e hana pono.

He aha nā kumu o ka hypogonadism?

ʻO nā kumu o ka hypogonadism mua loa:

• nā maʻi autoimmune, e like me ka maʻi ʻo Addison a me hypoparathyroidism
• nā maʻi kūlohelohe, e like me Turner syndrome a me Klinefelter syndrome
• nā maʻi ʻino loa, ʻo ia hoʻi nā momi e pili ana i kāu mau testicle
• nā maʻi ate a me nā hakuʻala
• nā mea hōʻike ʻole i hōʻike ʻole ʻia
• hemochromatosis, i hana ke lawe ka kou kino i ka hao nui
• hōʻike pāhawewe
• ʻoki kino ma luna o kāu moʻo kolohe

Ma muli paha o ka hypogonadism kikowaena:

• nā maʻi kūlohelohe, e like me Kallmann Syndrome (hoʻomohala hypothalamic abnormal)
• nā maʻi, me HIV
• nā maʻi pituitary
• nā maʻi hōʻeha, e like me sarcoidosis, tuberculosis, a me histiocytosis
• momona
• wikiwiki kaumaha
• hemahema o ka meaʻai
• hoʻohana i nā steroid a i ʻole opioids
• ʻoki kino o ka lolo
• hōʻike pāhawewe
• ʻeha i kāu pituitary gland a hypothalamus paha
• kahi tumo i loko a kokoke paha i kāu gland pituitary

He aha nā hōʻailona o ka hypogonadism?

ʻO nā ʻōuli e hōʻike ʻia i nā wahine e:

• nele o ka menstruation
• lohi a hele ʻole paha ka ulu ʻana o ka umauma
• uila uila
• lilo o ka lauoho lauoho
• kalaiwa moekolohe haahaa a i ʻole ʻole
• hoʻokuʻu waiū mai nā umauma

Nā ʻōuli e ʻike ʻia i loko o nā kāne pū:

• lilo o ka lauoho lauoho
• poho kino
• ulu umauma ʻole
• hoʻemi i ka ulu ʻana o ka peni a me nā testicle
• ka hana erectile
• ʻosteoporosis
• kalaiwa moekolohe haahaa a i ʻole ʻole
• infertility
• luhi
• uila uila
• paʻakikī paʻakikī

Pehea e ʻike ʻia ai ka hypogonadism?

E alakaʻi ana kāu kauka i kahi hoʻokolohua kino e hōʻoia i ka ulu ʻana o kāu moekolohe ma ka pae kūpono no kāu mau makahiki. Hiki iā lākou ke nānā i kou puʻupuʻu puʻupuʻu, ka lauoho o ke kino, a me kāu ʻano moekolohe.

Nā hoʻāʻo Hormone

Inā manaʻo kāu kauka he hypogonadism paha kāu, e nānā mua lākou i kāu pae hormonone wahine. Pono ʻoe i kahi hoʻāʻo koko e nānā i kāu pae o ka follicle-stimulate hormone (FSH) a me ka luteinizing hormone. Hana kāu pituitary gland i kēia mau hanauna hānau.

E hoʻāʻo ʻia kāu pae estrogen inā he wahine ʻoe. Inā he kāne ʻoe, e hoʻāʻo ʻia kāu pae testosterone. Kuhi pinepine ʻia kēia mau hoʻāʻo i ke kakahiaka ke kiʻekiʻe o kāu pae hormonone. Inā he kāne ʻoe, kauoha paha kāu kauka i kahi kānana semen e nānā i kāu helu sperm. Hiki i ka Hypogonadism ke hōʻemi i kāu helu sperm.

Kauoha paha kāu kauka i nā hoʻokolohua koko hou aku e kōkua i ka hōʻoia ʻana i kahi kuhi a hoʻopau i nā kumu kumu.

Hiki i nā pae hao ke hoʻopili i kāu mau homone wahine. No kēia kumu, hiki i kāu kauka ke nānā no nā kiʻekiʻe hao hao kiʻekiʻe, i ʻike pinepine ʻia i ka hemochromatosis.

E makemake paha kāu kauka e ana i kāu pae prolactin. ʻO Prolactin kahi hormone e hāpai i ka ulu ʻana o ka umauma a me ka hana ʻana o ka waiū i nā wahine, akā aia i loko o nā kāne ʻelua.

Hiki paha i kāu kauka ke nānā i kāu pae hormonone thyroid. Hiki i nā pilikia thyroid ke hana i nā ʻōuli e like me ka hypogonadism.

Nā hoʻāʻo kiʻi

Hiki ke hoʻohana pono ʻia nā hoʻokolohua kiʻi ʻana i ke kuhi. Hoʻohana kahi ultrasound i nā nalu kani e hana i kiʻi o nā ovaries a nānā i nā pilikia, e like me nā ovarian cist a me polycystic ovary syndrome.

Hiki i kāu kauka ke kauoha iā MRI a i ʻole CT scans e nānā no nā tumors i kāu pituitary gland.

He aha nā hōʻailona no ka hypogonadism?

Hoʻomaʻamaʻa no ka wahine hypogonadism

Inā he wahine ʻoe, e hoʻopili kāu mālama ʻana i ka hoʻonui ʻana i kāu nui o nā hormones wahine.

ʻO kāu lālani mua o ka mālama ʻana e lilo paha ia i ka estrogen therapy inā ua loaʻa iā ʻoe kahi hysterectomy. Hiki i kahi āpau a pill paha ke lawelawe i ka estrogen supplement.

Ma muli o ka hoʻonui ʻana o ka estrogen mau pae hiki ke hoʻonui i kou makaʻu o ka maʻi ʻaʻai endometrial, e hāʻawi ʻia ʻoe i ka hui ʻana o ka estrogen a me ka progesterone inā ʻaʻole i loaʻa iā ʻoe kahi hysterectomy. Hiki i ka Progesterone ke hoʻohaʻahaʻa i kou makaʻi no ka maʻi ʻaʻai endometrial inā ʻoe e lawe ana i ka estrogen.

Hiki i nā lāʻau lapaʻau ʻē aʻe ke kuhikuhi i nā ʻōuli kikoʻī. Inā loaʻa iā ʻoe kahi hoʻokamakama wahine hoʻoliʻiliʻi, hiki iā ʻoe ke loaʻa i nā kaha haʻahaʻa o ka testosterone. Inā loaʻa iā ʻoe kahi hana maʻamau o ka menstrual a pilikia paha i ka hāpai ʻana, loaʻa paha iā ʻoe nā injection o ka choriogonadotropin kanaka a i ʻole nā ​​paila e paʻa ana iā FSH e hoʻomaka ai i ka hoʻoipoipo.

Hoʻomaʻo no ka hypogonadism kāne

ʻO ka testosterone ka hone kāne kāne. Hoʻomaʻamaʻa nui ʻia ka testosterone replacement therapy no hypogonadism i nā kāne. Hiki iā ʻoe ke loaʻa ka testosterone replacement therapy e:

• ʻōkuhi
• kāʻei
• ʻalā
• lozenge

Hoʻokomo ʻia nā injections o kahi hormonone hoʻokuʻu gonadotropin i ka wā ʻōpio a hoʻonui paha i kāu hana sperm.

Hoʻomaʻo no ka hypogonadism i nā kāne a me nā wahine

Kūlike ka mālama ʻana no nā kāne a me nā wahine inā he hypogonadism ma muli o kahi tumo ma ka pituitary gland. Hiki ke hoʻopili ʻia i ka mālama ʻana e hōʻemi a wehe i ka tumo:

• pāhawewe
• lāʻau lapaʻau
• ʻoki kino

He aha ka manaʻo lōʻihi?

Inā ʻaʻole ia e kumu ʻia e kahi maʻi hiki ke mālama ʻia, ʻo hypogonadism kahi maʻi hoʻomau e koi paha i ka mālama ola āpau. E hoʻemi paha kāu pae hormonone wahine inā kū ʻoe i ka lāʻau.

Ke ʻimi nei i ke kākoʻo ma o ka hoʻōla a i ʻole nā ​​hui kākoʻo hiki ke kōkua iā ʻoe ma mua, i ka wā, a ma hope o ka lāʻau.