Izimpawu ezivame kakhulu zokuncipha kwe-testosterone yikuthi ubudlelwano bobulili buyancipha, izinkinga zokujamisa, ukukhathala, ukuncipha kwemisipha, isimo esibi, kanye nobunzima bokugxilisa ingqondo. Kodwa-ke, izimpawu zodwa azikwazi ukuqinisekisa ukuncipha kwe-T, ngoba eziningi zazo zihambisana nokucindezeleka, ukungalali kahle, nezinye izimo. Ukuxilongwa okunembayo kudinga ukuhlolwa okubili kwegazi ekuseni okukhombisa i-testosterone ephansi kanye nezimpawu. Uma izimpawu zizwakala zijwayelekile, isinyathelo esilandelayo esifanele ukwenza ukuhlolwa, ongakwenza uqale ku-inthanethi.
NGAMAFUPI
- Izimpawu ezijwayelekile zokuncipha kwe-testosterone: ukuncipha kobudlelwano bobulili, izinkinga zokujamisa, ukukhathala, ukuncipha kwemisipha, isimo esibi, ubuchopho obungacaci.
- Izimpawu zobulili ziyizona ezicacile. Ukukhathala kanye nokushintsha kwemizwa kuvamile kodwa akucacisi.
- Ukuxilongwa kudinga izimpawu kanye nokuhlolwa okubili kwegazi okubonisayo i-testosterone ephansi ekuseni.
- Abahlinzeki bavame ukubona i-total testosterone engaphansi kuka-300 ng/dL njengephansi.
- Amadoda amaningi anezinga eliphansi awanawo izimpawu, futhi izimpawu eziningi zinenzalo kwezinye izimbangela.
- Ukuhlolwa kulula ukuqala ku-inthanethi; ukwelashwa, uma kudingeka, kudinga ukunakekelwa kwezokwelapha okuqhubekayo.
Izimpawu Ezijwayelekile Zokuncipha Kwe-Testosterone
I-Testosterone yenza okungaphezu nje kokunciphisa ubulili, ngakho-ke izimpawu zokuncipha kwe-testosterone zingavela ezindaweni eziningana zempilo yakho ngasikhathi sinye. Zivame ukuvela kancane kancane, yingakho amadoda amaningi ezingaluboni.
- Ukuncipha kobudlelwano bobulili: Enye yezimpawu ezicacile kakhulu zokuncipha kwe-testosterone.
- Izinkinga zokujamisa: Ubunzima bokuthola noma ukugcina ukujama, noma ukujama okungazenzakaleli okungaphansi.
- Ukukhathala nokuntuleka kwamandla: Ukuzizwa ukhathele ngisho nangemva kokulala okwanele.
- Ukuncipha kwemisipha namandla: Kunzima ukwakha noma ukugcina imisipha.
- Isimo esibi noma ukucindezeleka: Ukucasuka, ukudabuka, noma ukuntuleka kokuzimisela.
- Ubunzima bokugxilisa ingqondo: Umuzwa wokuba ne-foggy, ongacacisi kahle.
- Izinguquko emzimbeni: Amafutha omzimba engeziwe, izinwele zomzimba ezincane, ngezinye izikhathi ubuhlungu besifuba.
I-Cleveland Clinic iphawula ukuthi izimpawu zobulili ziyizona ezicacile kakhulu ku-low T, kanti ukukhathala kanye nokushintsha kwemizwa kuvamile kodwa kungabangelwa kalula yizinto eziningi.
Kungani Izimpawu Zodwa Zinganele
Nasi isigaba izindatshana eziningi ezingasigcini. Ukuba nalezi zimpawu zokuncipha kwe-testosterone akusho ukuthi unesimo, futhi kuyinto efanele ukuyazi ngaphambi kokuba ucabange okubi kakhulu.
Eziningi zazo, njengokukhathala, isimo esibi, kanye nokuzuza kwesisindo, azicacisi. Zihambisana nokungalali kahle, ukucindezeleka, ukudabuka, izinkinga zegilo, kanye nesifo sikashukela. Ngaphezu kwalokho, i-UCSF Urology iphawula ukuthi amadoda amaningi anezinga legazi eliphansi ngempela awanawo izimpawu nhlobo. Yingakho ukudlala imiqhele kuholela abantu ekudidekeni ngezindlela zombili. Indlela kuphela yokwazi ukwenza ukuhlolwa.
Yini Eyimbangela Yokuswela I-Testosterone?
I-Low T ayikona nje ukuguga, nakuba i-testosterone yehla kancane ngokuhamba kwesikhathi. Ukuqonda imbangela kubalulekile, ngoba ezinye zingalungiswa.
I-Testosterone yehla ngokwemvelo cishe ngo-1% ngonyaka ngemuva kweminyaka engu-30, futhi i-American Urological Association iqikelela ukuthi amadoda ayi-4 kwabangu-10 asebekhulile kuneminyaka engu-45 anezinga eliphansi. Kodwa-ke, iminyaka ayiyona ukuphela kwesizathu. Ukukhuluphala, isifo sikashukela sohlobo 2, ukungalali kahle, ukucindezeleka okungapheli, imishanguzo ethile, kanye nokusetshenziswa kwe-anabolic steroid esidlule kunganciphisa i-testosterone. Emaphakatini amancane ikakhulukazi, imbangela eyisisekelo njengokukhuluphala noma inkinga ku-pituitary ivame ukubakhona. Ngezinye izikhathi ukwelashwa kwaleyo nkinga kuphakamisa i-testosterone ngaphandle kwanoma yikuphi ukwelashwa kwamahomoni.
Indlela Ukuhlolwa Kwe-Testosterone Kusebenza Ngayo
Uma izimpawu zihambisana, ukuhlolwa kulula, kodwa isikhathi nokuphindwa kubaluleke kakhulu kunokuba abantu abakulindele. Ukuhlolwa okukodwa okungahleliwe akwanele.
I-Testosterone iphakeme kakhulu ekuseni, ngakho-ke igazi kufanele lithathwe ngaphambi, kuvame phakathi kuka-7 no-10 AM. Ngenxa yokuthi amazinga ayashintsha usuku nosuku, i-Endocrine Society incoma okungenani izivivinyo ezimbili ezihlukene zasekuseni ngaphambi kokuxilongwa kwe-male hypogonadism. Abahlinzeki bavame ukubona i-total testosterone engaphansi kuka-300 ng/dL njengephansi, nakuba ububanzi obuqondile buya ngokuya kwelabhorethri. Uma umphumela wakho wokuqala usubhakuzisa, umhlinzeki angase ayalele ukuhlolwa kwe-free testosterone noma ahlole amanye amahomoni ukuze athole imbangela.
Ukuthola Ukuhlolwa Ku-Inthanethi: Indlela Yokuqala
Awudingi ukuqala nochwepheshe obonana naye ngqo ukuze uthole ukuthi ukuphi. Nasi lapho i-telehealth isiza khona ngempela: ukuqala ingxoxo nokuyalwa kwamalabhorethri afanele.
Uma izimpawu zakho zokuncipha kwe-testosterone zizwakala njengokuhambisana, ungazichazela u-August ukuze uqonde izimpawu zakho futhi unqume isinyathelo sakho esilandelayo. Kuyisiqalo, hhayi ukuxilongwa. Kusuka lapho, ukuvakashelwa kwe-telehealth kungaba isinyathelo sokuqala esitholakala kalula: ngokusebenzisa isevisi ye-urgent care ye-August eku-inthanethi, umeluleki onelayisensi angaxoxa ngezimpawu zakho futhi akusize uthole ukuhlolwa okufanele kwegazi kwasekuseni futhi kuwachaze imiphumela.
Ukucacisa, ukuqinisekisa i-low T kanye nokuphatha ukwelashwa kuyinqubo eqhubekayo. Uma izivivinyo zakho ziyiqinisekisa, ukwelashwa kwe-testosterone kudinga umgwebo onikezelwe kanye nokuqashwa okuqhubekayo, i-telehealth ikusiza ukuthi uqale, hhayi ukuyishintsha.
Nini Kufanele Ubone Udokotela Ngokwakhe
I-Telehealth siyisinyathelo sokuqala esiqinile, kodwa izimo ezithile zidinga ukunakekelwa kochwepheshe ngqo kusukela ekuqaleni.
Bona umeluleki ngobuqu uma unezimpawu ezibi zokuncipha kwe-testosterone, izimpawu ezikhombisa inkinga ku-pituitary (njengezinhlungu zekhanda, izinguquko zokubona, noma ukukhishwa kobisi emabeleni), izinkathazo zokungabi nalutho, noma uma ungumuntu osemncane onamazinga aphansi ngokucacile, ngoba imbangela eyisisekelo idinga ukuhlola okuphelele. Ukwelashwa kwe-Testosterone akufaneleki kuwo wonke umuntu, ikakhulukazi amadoda azama ukukhulelwa noma anezinkinga ezithile zenhliziyo noma ze-prostate, ngakho-ke lezo zinqumo zifanelwe ingxoxo eningiliziwe ngobuqu.
Isiphetho
I-Low T iyinto yangempela, evamile, futhi eyelaphekayo, kodwa futhi kulula ukuyiqonda kabi. Izimpawu zobulili ziyazikhombisa kakhulu; ukukhathala nokushintsha kwemizwa kungaba yizinto eziyishumi nambili ezihlukile. Kunokuzixilonga kusuka kuhlu lwezimpawu, noma ukuyinaka njengokuthi "ukuguga nje," yenza ukuhlolwa kwegazi. Ukwazi inombolo yakho yangempela yilokho okuguqula ukukhathazeka kube uhlelo.
Imibuzo Evame Ukubuzwa
Ziyiziphi Izimpawu Zokuqala Zokuncipha Kwe-Testosterone?
Izimpawu zokuqala nezicacile kakhulu zokuncipha kwe-testosterone ngokuvamile ziyizobulili: ukuncipha kobudlelwano bobulili, ukujama okubuthakathaka noma okungavamile, nokujama okungazenzakaleli okuncane. Amadoda amaningi aphinde aqaphele ukukhathala, isimo esibi, kanye nobunzima bokwakha imisipha, nakuba lezi zingacacisi futhi zingaba nezimbangela eziningi. Ngenxa yokuthi izimpawu zivela kancane kancane, kulula ukuziphuthelwa noma ukuzibeka icala lokuguga nokucindezeleka.
Ngingaba Nezimpawu Zokuncipha Kwe-Testosterone Ngezilinganiso Ezijwayelekile?
Yebo, futhi lokhu kuvamile. Izimpawu njengokukhathala, isimo esibi, nokuzuza kwesisindo zihambisana nezinye izimo eziningi, okubandakanya ukungalali kahle, ukucindezeleka, ukudabuka, izinkinga zegilo, kanye nesifo sikashukela. Ngakho-ke ungazizwa lezi zimpawu ngenkathi i-testosterone yakho ijwayelekile. Yilokho kanye isizathu sokuthi ukuxilongwa kudinga izivivinyo zegazi, hhayi nje uhlu lwezimpawu. Uma amazinga akho ejwayelekile, imbangela yangempela kufanele ihlolwe.
Kunoma Iyini Izinga Le-Testosterone Libhekwa Njengephansi?
Abahlinzeki abaningi bacabanga i-total testosterone engaphansi kuka-300 ng/dL njengephansi kumadoda abadala, nakuba ububanzi obuyinkomba buya ngokuya kwelabhorethri. Ukuxilongwa kudinga kokubili izinga eliphansi kanye nezimpawu. Ngoba amazinga ayashintsha usuku nosuku futhi aphezulu ekuseni, izivivinyo ezimbili zasekuseni zinconywa ngaphambi kokuxilongwa kwe-male hypogonadism.
Ngingazithola Kanjani Izivivinyo Zami Ze-Testosterone?
Ukuhlolwa kusho ukuthathwa kwegazi okulula, okungcono phakathi kuka-7 no-10 AM lapho amazinga ephezulu. Ungaqala ku-inthanethi: umeluleki we-telehealth angabuyekeza izimpawu zakho futhi ayalele izivivinyo ezifanele zasekuseni, bese echaza imiphumela nawe. Ngenxa yokuthi amazinga ayashintsha, lindela ukuhlolwa kokuphindwa. Uma umphumela usubhakuzisa, umhlinzeki angase engeze i-free testosterone noma enye i-hormone test.
Ingabe Ukuncipha Kwe-Testosterone Kudinga Njalo Ukwelashwa?
Cha. Ukwelashwa kuvame ukucatshangelwa kuphela lapho unezinga eliphansi kanye nezimpawu. Amadoda amaningi anezilinganiso eziphansi azizwa kahle futhi awadingi ukwelashwa. Lapho imbangela njengokukhuluphala, ukungalali kahle, noma umuthi uyiyona eyimbangela, ukubhekana nalokho kungaphakamisa i-testosterone ngokwemvelo. Ukwelashwa kwe-Testosterone kunenzuzo yangempela kubantu abafanele kodwa kunezingozi futhi, ngakho-ke yisinqumo somuntu ngamunye.
Ingabe I-Telehealth Ingase Ikhombise I-Testosterone?
I-Telehealth siyisinyathelo sokuqala esiqinile sokubuyekeza izimpawu nokuhlolwa, kodwa ukuqala ukwelashwa kwe-testosterone kuhlukile. I-Testosterone iyinto elawulwayo edinga amazinga aphansi aqinisekisiwe, ukuhlolwa kwembangela, nokuqashwa okuqhubekayo kwezibalo zegazi, i-PSA, namazinga amahomoni. Ngakho-ke ukwelashwa kudinga ubudlelwano nomgwebo onikezelwe kunokuvakashelwa okukodwa. I-Telehealth ikusiza ukuqala inqubo futhi ikuqondise ekunakekelweni okufanele.
Ingabe Ukuncipha Kwe-Testosterone Kuyingxenye Ejwayelekile Yokuguga?
I-Testosterone yehla kancane ngokuguga, cishe ngo-1% ngonyaka ngemuva kweminyaka engu-30, ngakho-ke ukwehla okuthile kuyinto ejwayelekile. Kodwa-ke, ukuzizwa ungaphansi kakhulu akusho ukuthi kufanele nje uvumele. I-Low T ingase futhi ivela ezimbangela ezilungisekayo njengokukhuluphala, isifo sikashukela, noma ukungalali kahle, ikakhulukazi kumadoda amancane. Ukuhlolwa kukutshela ukuthi ngabe izimpawu zakho ziyimizwa yokuguga, i-low T, noma okunye okuthile ngokuphelele.
Ingabe Ukunciphisa Isisindo Noma Izinguquko Zokuphila Kungaphakamisa I-Testosterone?
Ngokuvamile, yebo. Ukukhuluphala kuhlotshaniswa kakhulu ne-testosterone ephansi, futhi ukunciphisa isisindo esidlulele kungaphakamisa amazinga kumadoda ambalwa. Ukulala okungcono, ukuqeqeshwa kwamandla njalo, ukuphatha isifo sikashukela, nokubuyekeza imishanguzo nodokotela wakho kungasiza futhi. Ngenxa yokuthi lezi zihloso zibhekana nesizathu esingezansi, kuvame ukuba yinto yokuqala umeluleki ayibhekana nayo ngaphambi kokucabangela ukwelashwa kwamahomoni.
