He aha ke kumu o kaʻu testosterone haʻahaʻa?

Anter

• Nā ʻōuli o ka haʻahaʻa T
• Hoʻomohala fetal
• ʻO Puberty
• Makua makua
• Nā kumu o ka testosterone haʻahaʻa
• ʻO hypogonadism kumu
• Hypogonadism lua
• Nā loli hiki iā ʻoe ke hana
• Hōʻike testosterone

ʻO ka laha testosterone haʻahaʻa

Hoʻopili ka testosterone haʻahaʻa (haʻahaʻa T) i ka 4 a i ka 5 miliona mau kāne ma ka US.

He mea nui ka testosterone i ke kino o ke kanaka. Akā hoʻomaka ia. I kekahi mau kāne hiki i kēia ke lilo i mea nui.Ma waena o nā testosterone haʻahaʻa paha.

Ua ʻimi nui nā kāne ʻelemakule me T liʻiliʻi i ka testosterone replacement therapy (TRT) i nā makahiki i hala iho nei. Kuhi ka TRT i nā hōʻailona e like me ka libido haʻahaʻa, ka nui o nā mākala maikaʻi ʻole, a me ka ikehu haʻahaʻa.

ʻAʻole wale nā ​​kāne makua e hoʻopili ʻia e nā kāne liʻiliʻi ʻo T. Young, ʻoiai nā pēpē a me nā keiki, hiki ke loaʻa i kēia pilikia.

Nā ʻōuli o ka haʻahaʻa T

ʻO nā pae haʻahaʻa o ka testosterone i ʻano atypical o ka ʻelemakule maʻamau ma muli o nā kumu kumu ʻelua a ʻelua paha o hypogonadism. Hana ka hypogonadism i nā kāne ke hana ʻole ka testicle i ka lawa testosterone. Hiki i ka Hypogonadism ke hoʻomaka i ka ulu ʻana o ka fetal, i ka wā ʻōpio, a i ʻole i ka wā makua.

Hoʻomohala fetal

Inā hoʻomaka ka hypogonadism i ka wā o ka ulu ʻana o ka fetal, ʻo ka hopena mua e hōʻino ʻia i ka ulu ʻana o nā hui wahine kūwaho. Kaukaʻi ʻia i ka wā e hoʻomaka ai ka hypogonadism a me ke kiʻekiʻe o ka testosterone i ka wā o ka ulu ʻana o ka fetal, hiki i kahi keiki kāne ke ulu.

• ʻōpū wahine
• genigu ambiguous, ʻaʻole maopopo he kāne a wahine paha
• hoʻohaʻahaʻa kāne kāne lalo

ʻO Puberty

Hiki ke hōʻoweliweli i ka ulu maʻamau inā hypogonadism i ka wā ʻōpio. Kū nā pilikia me:

• hooulu kino
• hohonu o ka leo
• nele i ka lauoho o ke kino
• nā genitalia lalo
• ʻoi loa nā lālā
• nā umauma hoʻonui (gynecomastia)

Makua makua

Ma hope i ke ola, hiki i ka lawa ʻole o ka testosterone ke alakaʻi i nā pilikia ʻē aʻe. ʻO nā hōʻailona me:

• pae ikehu haʻahaʻa
• puʻupuʻu puʻupuʻu haʻahaʻa
• infertility
• ka hana erectile
• hoʻēmi i ka hoʻokele moekolohe
• lohi ka ulu ʻana o ka lauoho a i ʻole ka nalo ʻana o ka lauoho
• nalo o ka nui iwi
• gynecomastia

ʻO ka luhi a me ka noe noʻonoʻo kekahi i hōʻike pinepine ʻia i ka manaʻo a me ka naʻau i nā kāne me ka haʻahaʻa T.

Nā kumu o ka testosterone haʻahaʻa

ʻO nā ʻano ʻelua o ka hypogonadism ka hypogonadism mua a me ka lua.

ʻO hypogonadism kumu

Hoʻokumu nā hōʻike underactact i ka hypogonadism mua. ʻO ia no ka mea ʻaʻole lākou e hana i nā pae testosterone lawa no ka ulu pono a me ke olakino. Hiki i kēia underactivity ke kumu i kahi ʻano hoʻoilina. Hiki ke loaʻa ʻia ma ka ulia ʻole a maʻi paha.

Hoʻopili nā kūlana hoʻoilina i:

• Hōkū hōʻike ʻole ʻia: Ke iho ʻole i lalo nā ʻōpū mai ka ʻōpū ma mua o ka hānau ʻana
• ʻO Klinefelter's Syndrome: Kahi i hānau ʻia kahi kāne me ʻekolu mau chromosome wahine: X, X, a me Y.
• Hemochromatosis: ʻO ka nui o ka hao i ke koko ke kumu o ka holomua o ka testicular a i ʻole ka pituitary hōʻino

ʻO nā ʻano ʻino o ka testicle i hiki ke alakaʻi i ka hypogonadism mua:

• ʻO ka hōʻeha kino i nā testicle: Pono ka ʻeha i nā testicle ʻelua e hoʻopili i nā pae testosterone.
• Orchitis puʻupuʻu: Hiki i kahi maʻi mumps ke hōʻeha i nā testicle.
• Mālama maʻi ʻaʻai: Chemotherapy a i ʻole radiation hiki ke hōʻino i nā testicle.

Hypogonadism lua

Hoʻokumu ʻia ka hypogonadism lua e ka hōʻino ʻia o ka pituitary gland a i ʻole hypothalamus. ʻO kēia mau ʻāpana o ka lolo e kāohi i ka hana ʻana i ka hormone e nā testes.

ʻO nā kūlana hoʻoilina a maʻi paha i kēia ʻano:

• Nā maʻi pituitary i kumu ʻia e nā lāʻau, kōpaʻa kō ʻole, a i ʻole nā ​​tumors liʻiliʻi
• Kallmann maʻi maʻi, kahi ʻano pili i ka hana hypothalamus abnormal
• Nā maʻi hōʻeha, e like me tuberculosis, sarcoidosis, a me histiocytosis, hiki ke hoʻopili i ka pituitary gland a me ka hypothalamus
• HIV / AIDS, ka mea hiki ke hoʻopili i ka pituitary gland, hypothalamus, a me nā testes

Loaʻa nā kūlana i hiki ke alakaʻi i ka hypogonadism lua i:

• ʻElemakule maʻamau: Hoʻopilikia ka ʻelemakule i ka hana a me ka pane i nā hormones.
• Momona: Hiki i ka momona o ke kino kiʻekiʻe ke hoʻopili i ka hana hormone a me ka pane ʻana.
• Nā Lapaʻau: Hiki i nā medial pain Opioid a me nā steroid ke hoʻopili i ka hana o ka pituitary gland a me ka hypothalamus.
• Maʻi maʻi pū: Kaumaha koʻikoʻi koʻikoʻi a i ʻole ke koʻikoʻi koʻikoʻi o ke kino mai kahi maʻi a ʻokiʻoki paha hiki ke hoʻopau i ka ʻōnaehana hānau.

Hiki paha iā ʻoe ke hoʻopili ʻia e ka mua, ke kula kiʻekiʻe, a i ʻole ka hypogonadism huikau. ʻOi aku ka maʻamau o ka hui hypogonadism me ka hoʻonui ʻana o nā makahiki. Hiki i nā poʻe e hele ana i ka lāʻau glucocorticoid therapy ke hoʻomohala i ke ʻano. Hiki iā ia ke hoʻopili i ka poʻe me ka maʻi maʻi sickle-cell, thalassemia, a i ʻole ka waiʻona.

Nā loli hiki iā ʻoe ke hana

Inā ʻoe e ʻike nei i nā ʻōuli o ka haʻahaʻa T, hiki i nā loli nohona ke kōkua i mea e maʻalahi ai kāu mau ʻōuli.

ʻO kahi hana mua maikaʻi ke hoʻonui nei i nā pae hana a mālama i ka papaʻai olakino i mea e hōʻemi ai i ka momona o ke kino. Hiki iā ia ke lilo i mea kōkua e hōʻalo i nā lāʻau ʻo glucocorticoid e like me prednisone a me nā lāʻau ʻeha opioid.

Hōʻike testosterone

Inā ʻaʻole holo pono nā loli nohona iā ʻoe, pono paha ʻoe e hoʻomaka i ka testosterone replacement therapy (TRT) no ka mālama ʻana iā T. TRT hiki ke lilo i mea nui no ke kōkua ʻana i nā kāne ʻōpio me ka hypogonadism e ʻike i ka ulu kāne kāne maʻamau. ʻO nā pae testosterone lawa e kōkua i ka mālama olakino a me ke olakino i nā kāne makua.

Loaʻa nā hopena ʻaoʻao TRT, eia nō naʻe, me:

• huehue
• prostate hoʻonui ʻia
• ʻāpana moe
• hoʻohaʻahaʻa testicle
• hoʻonui umauma
• māhuahua ka helu o ke koko ʻulaʻula
• hoʻemi helu sperm

Pono e hoʻolālā i kahi hoʻolālā hoʻomalu TRT e hōʻalo i ka hapa nui o kēia mau hopena ʻaoʻao makemake ʻole ʻia. E kamaʻilio me kāu kauka e loiloi i kāu mau koho.