Mea Kākau: John Stephens
Lā O Ka Hana: 27 Ianuali 2021
HōʻAno Hou I Ka Lā: 27 Iune 2024
Anonim
Деревенская мелодрама СЧАСТЬЕ РЯДОМ или ДЕРЕВЕНСКИЕ ТОЖЕ ПЛАЧУТ
Wikiō: Деревенская мелодрама СЧАСТЬЕ РЯДОМ или ДЕРЕВЕНСКИЕ ТОЖЕ ПЛАЧУТ

Anter

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:


  1. Ke ʻelemakule nei ʻoe, e hoʻoemi ana kā kāu mau hōʻike manaʻo iā T.
  2. ʻO ka testicular T hoʻohaʻahaʻa ʻia e hana i kāu hypothalamus e hana i ka liʻiliʻi gonadotropin-hoʻokuʻu i ka hormone (GnRH).
  3. ʻO GnRH i hoʻohaʻahaʻa ʻia e hana i kāu pituitary gland e hōʻemi i ka hormone luteinizing (LH).
  4. 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.

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