Nā koho no ka hoʻonui ʻana i kāu testosterone

Anter

• Hōʻike Overview
• He aha ka testosterone?
• ʻO hypogonadism kāne
• Nā hana no ka hypogonadism kāne
• TRT no nā kāne olakino?
• Nā pilikia o ka testosterone therapy
• Nā hoʻoponopono ʻē aʻe
• ʻO ka lawe lawe ʻana

Hōʻike Overview

I nā makahiki he 100 i hala iho nei, ua hoʻonui ʻia ke ola o nā kāne e 65 pākēneka, e like me nā Centers for Disease Control and Prevention (CDC).

I ka makahiki 1900, noho ke kāne a hiki i kahi. Ma o 2014, kēlā makahiki. ʻAʻohe nīnau no ka hoʻoponopono hou ʻana o nā kāne i ke ʻano o 50, 60, a me 70 makahiki a ʻoi paha.

ʻO ka hoʻoikaika mau, kahi papaʻai olakino, a me ka hoʻomaha kūpono e kōkua i ka mālama ʻana i ka ikehu a me ke ola i nā kāne ma mua o 50. Akā ke huli nei nō hoʻi nā kāne i kekahi o nā hopena kūpuna ʻoi loa i loaʻa. I loko o nā makahiki he 10 i hala, ua lilo ka hoʻohana testosterone i waena o ka poʻe waena a me nā kāne makua i kaulana.

He aha ka testosterone?

ʻO ka testosterone ka hormone e kuleana ai no ka hoʻomohala ʻana i nā genitalia kūwaho kāne a me nā ʻano moekolohe lua. Hana ʻia ia e nā testicle. He mea nui ka testosterone no ka mālama ʻana:

• puʻupuʻu puʻupuʻu
• nuʻa iwi
• ʻulaʻula koko
• hana moekolohe a me ka hana hoʻohua

Hāʻawi pū kekahi ʻo testosterone i ka ikaika a me ka olakino.

I ka wā e ʻelemakule ana nā kāne, hana liʻiliʻi ko lākou mau kino i testosterone. Hoʻomaka kēia hāʻule kūlohelohe i ka makahiki 30 a hoʻomau i ke koena o ke ola o ke kāne.

ʻO hypogonadism kāne

Loaʻa i kekahi mau kāne ka hemahema testosterone i kapa ʻia ʻo hypogonadism kāne. He kūlana kēia e hana ʻole ai ke kino i lawa ka testosterone. Hoʻokumu ʻia ia e nā pilikia i ka:

• hōʻike manaʻo
• hypothalamus
• pituitary gland

Loaʻa i nā kāne i ka makaʻu no kēia ʻano nā mea i hōʻeha ʻia i nā testicle a i loaʻa iā HIV / AIDS. Inā ua hele ʻoe i loko o ka chemotherapy a i ʻole radiation radiation, a i ʻole he testicle undescended ma ke ʻano he pēpē e manaʻo ʻia ʻoe i ka makaʻu no ka hypogonadism.

ʻO nā ʻōuli o ke kāne hypogonadism i ka wā makua:

• ka hana erectile
• hoʻemi i ka nui o nā mākala
• infertility
• nalo o ka iwi iwi (osteoporosis)
• hoʻemi i ka ʻumiʻumi a me ka ulu ʻana o ka lauoho
• ulu o ka umaumaʻaʻaʻa
• luhi
• paʻakikī paʻakikī
• hoʻēmi i ka hoʻokele moekolohe

Nā hana no ka hypogonadism kāne

Hiki i nā kauka ke hoʻoholo inā loaʻa iā ʻoe ka hypogonadism kāne ma o nā hoʻokolohua kino a me nā hoʻokolohua koko. Inā ʻike kāu kauka i ka testosterone haʻahaʻa e hana paha lākou i nā hoʻokolohua hou e hoʻoholo ai i ke kumu.

Hoʻopili maʻamau ka mālama ʻana i ka testosterone replacement therapy (TRT) i ke ʻano o:

• ʻoki lāʻau
• pākuʻi
• nā gels

Ua kōkua ʻo TRT i:

• hoʻonui i nā pae ikehu
• hoʻonui i ka nui o nā mākala
• hoʻihoʻi i ka hana moekolohe

Eia naʻe, akahele ka poʻe ʻepekema ʻaʻohe lawa o ka ʻike e hoʻoholo ai i ka palekana o ka testosterone supplementation maʻamau.

TRT no nā kāne olakino?

Nui nā kāne e ʻike i nā loli i ko lākou mau makahiki e like me nā hōʻailona o ka hypogonadism. Akā ʻaʻole pili paha kā lākou hōʻailona i kekahi maʻi a i ʻole ʻeha. Ua manaʻo ʻia kekahi he ʻāpana maʻamau o ka ʻelemakule, e like me:

• nā hoʻololi o ka hiamoe a me ka moekolohe
• māhuahua momona o ke kino
• hoʻoliʻiliʻi mākala
• hoʻemi i ka hoʻoikaika a hilinaʻi paha iā ʻoe iho

Hōʻike ka Mayo Clinic e hiki i TRT ke kōkua i nā kāne me ka hypogonadism. ʻAʻole maopopo ka hopena me nā kāne i loaʻa nā pae maʻamau o ka testosterone a i ʻole nā ​​kāne ʻelemakule me ka hoʻēmi ʻana i nā pae testosterone. Pono nā aʻo koʻikoʻi e pono ai, e like me ka Mayo Clinic.

Nā pilikia o ka testosterone therapy

Hoʻohui ʻia nā haʻawina inā he maikaʻi TRT no nā kāne maʻamau i ko lākou mau makahiki. Ua lawe mai kekahi mau noiʻi i nā pōpilikia koʻikoʻi me ka mālama ʻana, keu hoʻi ke lawe ʻia i kahi wā lōʻihi. Ua alakaʻi kēia i nā kauka e akahele e pili ana i ka paipai ʻana iā ia.

ʻO kahi nui, 2010 meta-analysis o nā noi 51 i nānā i ka palekana o TRT. Ua hoʻopau ka hōʻike i ka loiloi palekana o TRT he haʻahaʻa haʻahaʻa a ʻaʻole hiki ke hoʻomaopopo i ka lehulehu e pili ana i nā hopena lōʻihi lōʻihi.

Hoʻomaopopo ka Mayo Clinic e TRT pū kekahi paha:

• kōkua i ka hiamoe apnea
• hana i ka huehue a i ʻole nā ​​ʻili ʻē aʻe
• kaupalena hana sperm
• hoʻohaʻahaʻa testicle
• hoʻonui i ka umauma
• hoʻonui i ka pilikia o ka maʻi puʻuwai

Aia kekahi pilikia e pili ana i ka loaʻa ʻana o nā pae testosterone haʻahaʻa, e like me:

• hahau
• maʻi hohola
• haki pūhaka

Ma mua, aia kekahi mau hopohopo i hāpai ʻo TRT i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai prostate.

ʻO ka hapa nui o nā ʻikepili o kēia manawa, me ʻelua ma 2015, ʻaʻole kākoʻo hou i kahi loulou ma waena o ka testosterone pani a me ka hoʻomohala ʻana o 1) maʻi ʻaʻai prostate, 2) ʻo ka maʻi ʻaʻai prostate ʻoi loa, a i ʻole 3) maʻi ʻaʻai prostate i hoʻi mai ma hope o ka mālama

Inā loaʻa iā ʻoe ka hypogonadism kāne a i ʻole testosterone haʻahaʻa, e kamaʻilio me kāu kauka e pili ana inā he koho maikaʻi paha ʻo TRT iā ʻoe. Kūkākūkā i nā pilikia a me nā pono o TRT.

Nā hoʻoponopono ʻē aʻe

Inā ʻaʻohe ou hypogonadism, akā hoihoi ʻoe i ka manaʻo ʻoi aku ka ikaika a me ka ʻōpio. ʻO nā ʻano hana e hiki mai ana ke kōkua i ka hoʻonui ʻana i kāu pae testosterone me ka hoʻohana ʻole o ka hormone therapy.

• Mālama i kahi kaupaona olakino. Loaʻa paha i nā kāne momona ka pae haʻahaʻa o testosterone. Hiki ke hoʻihoʻi i ka testosterone i hope.
• Hoʻomaʻamaʻa pinepine. ʻO nā kāne noho mau e hoʻoliʻiliʻi i nā pae testosterone, no ka mea ʻaʻole pono ke kino i ka nui. Hiki i ka hāpai ʻana i ke kaumaha ke hoʻoulu i ka hana testosterone. Ke neʻe mau nei ke kī i kou kino a hoʻohana i kou mauʻiʻo.
• Hiamoe 7 a 8 mau hola i kēlā me kēia pō. Hoʻopilikia ka nele o ka hiamoe i nā hormoni i kou kino.

• E hoʻāʻo i nā mea hoʻoluʻu wikamina D. Ua ʻōlelo ʻo A o 165 mau kāne e hoʻopiha me 3,300 IU o ka wikamina D i kēlā me kēia lā i hoʻonui ʻia i nā pae testosterone.
• Nanea i kou kope kakahiaka. Aia kekahi e hoʻonui ka caffeine i nā pae testosterone.

• E kiʻi hou i ka zinc. ʻO ka hemahema kiniki i nā kāne e pili pū ana me ka hypogonadism.
• E ʻai hou i nā nati a me nā pī. Nui lākou i ka waiwai D-aspartic acid, kahi e paipai ai i ka hana ʻana o testosterone, e like me ka mea hoʻokahi.

ʻO ka lawe lawe ʻana

ʻO kekahi ala e hoʻonui ai i kāu mau testosterone ma o TRT. ʻOi aku ka maikaʻi inā loaʻa iā ʻoe ka hypogonadism. ʻAʻole i hōʻike ʻia nā noiʻi i ka pono o TRT i ke kōkua ʻana i nā kāne me nā pae maʻamau o ka testosterone a i ʻole nā ​​kāne ʻelemakule me ka hōʻemi ʻana i nā pae testosterone ma muli o ka ʻelemakule.

ʻO nā kāne e lawe iā TRT maʻamau ka ʻike i ka hoʻonui ʻia o ka ikehu, kahi hoʻokau moekolohe kiʻekiʻe, a me ka maikaʻi holoʻokoʻa. Akā ʻaʻole i hoʻokumu ʻia kona palekana lōʻihi.

Aia nā ʻano like ʻole o ke ola ʻana e pili ana i ka hoʻoikaika kino, ka papaʻai, a me ka hiamoe i hōʻike ʻia e hoʻonui ai i nā pae testosterone. E kamaʻilio me kāu kauka e pili ana i ka mea e pono ai ʻoe.