TRT: Hoʻokaʻawale i ka ʻoiaʻiʻo mai ka Fiction
Anter
- He aha ia TRT?
- No ke aha e emi ai ʻo T me ka makahiki?
- Pehea wau e ʻike ai inā he haʻahaʻa koʻu T?
- Pehea e lawelawe ai ʻo TRT?
- Pehea e hoʻohana ai ʻo TRT i ka lāʻau?
- He aha nā hoʻohana lapaʻau ʻole o TRT?
- Ehia nā kumukūʻai a TRT?
- Mālama i ke kānāwai (a palekana)
- Aia kekahi mau pilikia i pili iā TRT?
- Ke laina lalo
He aha ia TRT?
ʻO TRT kahi inoa no ka testosterone replacement therapy, i kekahi manawa i kapa ʻia ʻo androgen replacement therapy. Hoʻohana mua ʻia ia e mālama i nā pae testosterone haʻahaʻa (T), i hiki ke hana ʻia me ka makahiki a i ʻole he hopena o kahi kūlana olakino.
Akā ke lilo nei i mea makemake nui ʻia no nā hoʻohana lapaʻau ʻole, e like me:
- hoʻonui i ka hana moekolohe
- ka loaʻa ʻana o nā pae ikehu kiʻekiʻe
- ke kūkulu ʻana i ka nuʻu mākala no ke bodybuilding
Kuhi kekahi noiʻi e kōkua ʻo TRT iā ʻoe e hoʻokō i kekahi o kēia mau pahuhopu. Akā aia kekahi mau ana. E luʻu kākou i ka mea e hana pololei ai i kāu pae T ke hele a ʻelemakule ʻoe a me ka mea hiki iā ʻoe ke manaʻo maoli mai TRT.
No ke aha e emi ai ʻo T me ka makahiki?
Hana kūlohelohe kou kino i ka T i kou mau makahiki. Wahi a kahi ʻatikala ma ʻAmelika Kauka Lapaʻau, iho ka nui o ka hana kāne kāne T ma kahi o 1 a 2 pakeneka i kēlā me kēia makahiki.
ʻO kēia kahi ʻāpana o kahi hana kūlohelohe holoʻokoʻa e hoʻomaka i kāu 20 a i ʻole 30 mau makahiki:
- Ke ʻelemakule nei ʻoe, e hoʻoemi ana kā kāu mau hōʻike manaʻo iā T.
- ʻO ka testicular T hoʻohaʻahaʻa ʻia e hana i kāu hypothalamus e hana i ka liʻiliʻi gonadotropin-hoʻokuʻu i ka hormone (GnRH).
- ʻO GnRH i hoʻohaʻahaʻa ʻia e hana i kāu pituitary gland e hōʻemi i ka hormone luteinizing (LH).
- Nā hopena LH i hoʻohaʻahaʻa ʻia i ka hoʻohaʻahaʻa ʻia ʻana o ka hana T holoʻokoʻa.
ʻAʻole pinepine kēia hoʻoliʻiliʻi lohi i ka T i nā ʻōuli i ʻike ʻia. Akā kahi kulu nui o nā pae T e kumu:
- kaʻa hoʻohaʻahaʻa haʻahaʻa
- kūkulu liʻiliʻi kūnewa wale
- ka hana erectile
- hoʻohaʻahaʻa sperm helu a i ʻole ka leo
- pilikia hiamoe
- nalowale ʻole o ka mānoanoa o ka mākala a me ka iwi
- waiwai kaumaha i wehewehe ʻole ʻia
Pehea wau e ʻike ai inā he haʻahaʻa koʻu T?
ʻO ke ala wale nō e ʻike ai inā he haʻahaʻa haʻahaʻa kou ma ka ʻike ʻana i kahi kauka no kahi hōʻike testosterone pae. He ho'āʻo koko maʻalahi kēia, a koi ka hapa nui o nā mea hoʻolako iā ia ma mua o ke kuhikuhi ʻana iā TRT.
Pono paha ʻoe e hana i ka hoʻokolohua i mau manawa no ka mea ua loli nā pae T i nā ʻano like ʻole, e like me:
- papaʻai
- pae o ke olakino
- manawa o ka lā ua pau ka hōʻike
- kekahi mau lāʻau, e like me anticonvulsants a me nā steroid
Eia ka haki o nā pae T maʻamau no nā kāne makua e hoʻomaka ana i ka makahiki 20:
| Makahiki (i nā makahiki) | Nā pae T ma nā nanograms ma ka milliliter (ng / ml) |
|---|---|
| 20–25 | 5.25–20.7 |
| 25–30 | 5.05–19.8 |
| 30–35 | 4.85–19.0 |
| 35–40 | 4.65–18.1 |
| 40–45 | 4.46–17.1 |
| 45–50 | 4.26–16.4 |
| 50–55 | 4.06–15.6 |
| 55–60 | 3.87–14.7 |
| 60–65 | 3.67–13.9 |
| 65–70 | 3.47–13.0 |
| 70–75 | 3.28–12.2 |
| 75–80 | 3.08–11.3 |
| 80–85 | 2.88–10.5 |
| 85–90 | 2.69–9.61 |
| 90–95 | 2.49–8.76 |
| 95–100+ | 2.29–7.91 |
Inā haʻahaʻa iki kāu mau pae T no kou mau makahiki, ʻaʻole pono ʻoe e TRT.Inā haʻahaʻa lākou, e hana paha kāu mea hāʻawi i kahi hoʻokolohua hou aʻe ma mua o ka paipai ʻana iā TRT.
Pehea e lawelawe ai ʻo TRT?
Nui a hewahewa nā ala e hana ai iā TRT. E pili ana kāu koho maikaʻi loa i kāu pono olakino a me kou nohona. Pono kekahi mau hana i ka hoʻoponopono o kēlā me kēia lā, ʻo nā mea ʻē aʻe e pono wale nō e hana i kēlā me kēia mahina.
Nā ʻano TRT me:
- lāʻau lapaʻau waha
- nā kōkō intramuscular
- pākuʻi transdermal
- kālika kumuhana
Aia kekahi ʻano TRT e pili ana i ka hamo ʻana i ka testosterone ma kāu mau ʻalalā i ʻelua mau lā i kēlā me kēia lā.
Pehea e hoʻohana ai ʻo TRT i ka lāʻau?
Hoʻohana maʻamau ʻo TRT e mālama i ka hypogonadism, i kū ʻia ke hana ʻole kāu testes (i kapa ʻia he gonads) i lawa ka testosterone.
ʻElua ʻano hypogonadism:
- ʻO hypogonadism kumu. Nā hualoaʻa haʻahaʻa T mai nā pilikia me kāu gonad. Ke kiʻi nei lākou i nā hōʻailona mai kou lolo e hana iā T akā ʻaʻole hiki ke hana iā lākou.
- Hypogonadism waena (lua). Nā hualoaʻa T haʻahaʻa mai nā pilikia i kāu hypothalamus a i ʻole pituitary gland.
Hana ʻo TRT e hana no T i hana ʻole ʻia e kāu mau mea hoʻāʻo.
Inā loaʻa iā ʻoe ka hypogonadism maoli, hiki iā TRT ke:
- hoʻomaikaʻi i kāu moe kolohe
- hoʻonui i kāu helu sperm a me ka leo
- hoʻonui i nā pae o nā hormones ʻē aʻe e launa pū me T, me prolactin
Hiki iā TRT ke kōkua i ke kaulike i nā pae T i kū ʻole ʻia e:
- kulana autoimmune
- nā maʻi genetika
- nā maʻi e hōʻino ai i kāu kino wahine
- testicle hoʻohaʻahaʻa ʻole ʻia
- radiation therapy no ka maʻi ʻaʻai
- ʻoki kino o ke kino
He aha nā hoʻohana lapaʻau ʻole o TRT?
ʻAʻole ʻae nā ʻāina he nui, e like me ʻAmelika Hui Pū ʻIa, i ka poʻe e kūʻai kū kānāwai i nā mea hoʻopiha T no TRT me ka ʻole o kahi kuhikuhi.
Eia nō naʻe, ʻimi ka poʻe iā TRT no ka nui o nā kumu lapaʻau ʻole, e like me:
- lilo kaupaona
- hoʻonui i nā pae ikehu
- ke hoʻoikaika nei i ka hoʻokele moekolohe a i ʻole ka hana
- ke hāpai nei i ka hoʻomanawanui no nā hana pāʻani
- ka loaʻa ʻana o ka nui muscle no ka bodybuilding
Ua hōʻike ʻia ʻo TRT i kekahi o kēia mau keu pono. ʻO kahi laʻana, ua hoʻoholo ʻia e hoʻonui pono i ka ikaika o nā mākala i waena o nā kāne waena a ʻelemakule.
Akā he mau pōmaikaʻi i hōʻike ʻia no TRT no ka poʻe, keu hoʻi nā kāne ʻōpio, me nā pae T a kiʻekiʻe a kiʻekiʻe paha. A ʻoi aku paha nā pilikia ma mua o nā pōmaikaʻi. Ua loaʻa kahi haʻawina 2014 liʻiliʻi i kahi loulou ma waena o nā pae T kiʻekiʻe a me nā hana sperm haʻahaʻa.
Hoʻohui ʻia, e hoʻohana ana iā TRT e loaʻa ai ka lihi hoʻokūkū i kahi haʻuki i manaʻo ʻia he "doping" e nā ʻoihana ʻoihana he nui, a noʻonoʻo ka hapa nui he kumu ia no ka hoʻopau ʻana mai ka haʻuki.
Ma kahi o, e hoʻāʻo i kekahi mau ʻano hana ʻē aʻe no ka hoʻonui ʻana iā T. Eia he ʻewalu mau ʻōlelo aʻoaʻo e hoʻomaka ai ʻoe.
Ehia nā kumukūʻai a TRT?
Hoʻololi nā kumukūʻai o TRT ma muli o ke ʻano āu i kuhikuhi ʻia. Inā he ʻinikua olakino kou a pono TRT e mālama i kahi kūlana olakino, ʻaʻole paha ʻoe e uku i ke kumukūʻai holoʻokoʻa. E loli paha ke kumukūʻai maoli e pili ana i kāu wahi a inā loaʻa kahi mana generic i loaʻa.
ʻO ka maʻamau, hiki iā ʻoe ke manaʻo e uku ma kahi o $ 20 a $ 1,000 i kēlā me kēia mahina. Aia ke kumukūʻai maoli i ka nui o nā kumu, e like me:
- kou wahi
- ʻano lāʻau lapaʻau
- hana hoʻomalu
- inā loaʻa kahi mana generic i loaʻa
Ke noʻonoʻo nei i ke kumukūʻai, e hoʻomanaʻo e hoʻonui wale ʻo TRT i kāu pae T. ʻAʻole ia e mālama i ke kumu kumu o kāu haʻahaʻa T, no laila pono ʻoe i kahi ola lōʻihi.
Mālama i ke kānāwai (a palekana)
E hoʻomanaʻo, he kūpono ʻole ke kūʻai ʻana iā T me ka ʻole o ka lāʻau i ka nui o nā ʻāina. Inā hopu ʻia ʻoe e hana pēlā, hiki iā ʻoe ke kū i nā hopena kū kānāwai koʻikoʻi.
Hoʻohui, ʻaʻole kūʻai ʻia ʻo T i kūʻai ʻia ma waho o nā hale kūʻai lāʻau kū kānāwai. ʻO kēia ke kūʻai aku paha ʻoe iā T i hui pū ʻia me nā mea hoʻohui ʻē aʻe i helu ʻole ʻia ma ka lepili. Hiki i kēia mea ke lilo i mea weliweli a i ʻole hoʻoweliweli ola paha inā ʻoe e maʻi āpau i kekahi o kēlā mau mea hoʻohui.
Aia kekahi mau pilikia i pili iā TRT?
Ke hoʻāʻo nei ka poʻe loea e hoʻomaopopo piha i nā pilikia a me nā hopena ʻaoʻao o TRT. Wahi a Harvard Health, he nui nā palena o nā noi e kū nei, e like me ka liʻiliʻi o ka nui a i ʻole ka hoʻohana ʻana i nā ʻoi aku ka nui ma mua o ka maʻamau.
ʻO ka hopena, aia nō kekahi hoʻopaʻapaʻa e pili ana i nā pono a me nā pōpilikia e pili ana iā TRT. ʻO kahi laʻana, ua ʻōlelo ʻia e hoʻonui a hoʻoemi i ka makaʻu o kekahi ʻano maʻi ʻaʻai.
A i loko o ka puke pai ʻo Therapeutic Advances in Urology e hōʻike nei i kekahi o kēia mau manaʻo kūʻē ka hopena o ka hoʻolaha ʻana o ka pāpāho overzeal, ʻo ia hoʻi ma United States.
Ma mua o ka hoʻāʻo ʻana iā TRT, he mea nui e noho pū me kāu kauka mālama ola a hele i nā hopena a me nā pilikia ʻē aʻe e hiki mai ana. Pākuʻi ʻia kēia mau mea:
- ʻeha ka umauma
- paʻakikī i ka hanu ʻana
- nā pilikia ʻōlelo
- helu sperm haʻahaʻa
- polycythemia vera
- hoʻohaʻahaʻa HDL ("maikaʻi") kolesterol
- maʻi hohola
- pehu i nā lima a i ʻole nā wāwae
- hahau
- benign prostatic hyperplasia (hoʻonui ʻia ʻo prostate)
- ʻāpana moe
- huehue a i ʻole nā haʻihaʻi ʻili like
- thrombosis hohonu loa
- embolism pulmonary
ʻAʻole pono ʻoe e hele i TRT inā ua makaʻu ʻoe no kekahi o nā ʻano i helu ʻia ma luna.
Ke laina lalo
Ua lōʻihi ʻo TRT he koho lapaʻau no nā poʻe me ka hypogonadism a i ʻole nā kūlana e pili ana me ka hoʻoliʻiliʻi T hana. Akā ʻo kāna mau pono no ka poʻe me ka ʻole o ke kūlana kumu i maopopo ʻole, ʻoiai nā hype āpau.
E kamaʻilio me kāu kauka ma mua o kou lawe ʻana i nā mea kōkua T a i ʻole nā lāʻau. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo inā palekana a kūpono hoʻi kāu mau pahuhopu me TRT.
He mea nui nō hoʻi e kiaʻi ʻia e kahi ʻoihana olakino ke lawe ʻoe i nā mea hoʻopihapiha T e hoʻomaopopo ai i nā hōʻailona i makemake ʻole ʻia a i ʻole nā hopena ʻē aʻe e kū i ka wā o ka lapaʻau.
Nā Nui Aupuni Kaulana
Kaumaha a me ke olakino moekolohe
