Ubuthakathaka Bokwehlukana Kwabesilisa? Izimpawu, Izimbangela, Nokwelashwa

Ubuthakathaka bokwehlukana kwabesilisa kwenzeka uma umzimba wakho ungakhiqizi i-testosterone eyanele, i-hormone eyinhloko yabesilisa. Cabanga nge-testosterone njengamandla omzimba wakho ezimpawu zobulwane nempilo yonke.

Lesi simo siqeda izigidi zamadoda emhlabeni jikelele futhi singathuthuka kunoma iyiphi iminyaka. Amazinga akho e-testosterone ehla ngokwemvelo njengoba ukhula, kodwa ubuthakathaka bokwehlukana kusho ukuthi awele phansi kwalokho okudingekayo ngempilo enhle nengcono.

Ubuthakathaka Bokwehlukana Kwabesilisa Yini?

Ubuthakathaka bokwehlukana kwabesilisa yisimo sezokwelapha lapho ama-testicles akho noma amagciwane awalawo awabusa angasebenzi kahle. Lokhu kuholela ekukhiqizweni kwe-testosterone ephansi kunokujwayelekile emzimbeni wakho.

Umzimba wakho ucindezela uhlelo oluyinkimbinkimbi ukwenza i-testosterone. Ubuchopho bakho buthumela izigijimi kuma-testicles akho nge-hormones, ubabuza ukuba bakhiqize i-testosterone. Uma noma yiliphi izingxenye zalesi simo siphuka, ubuthakathaka bokwehlukana bungasebenza.

Kunezinhlobo ezimbili eziyinhloko zalesi simo. Ubuthakathaka bokwehlukana obukhulu kusho ukuthi inkinga isema-testicles akho. Ubuthakathaka bokwehlukana obulingene kusho ukuthi inkinga isemagciwane akho okukhiqiza i-hormone awalawo awabusa ama-testicles akho.

Ziyini Izinhlobo Zobunthakathaka Bokwehlukana Kwabesilisa?

Ubuthakathaka bokwehlukana obukhulu buvela uma ama-testicles akho engaqizi i-testosterone eyanele naphezu kokuthola izigijimi ezijwayelekile ezivela ebuchopho bakho. Ama-testicles akho yiwona umthombo wokuqala wenkinga kulesi hlobo.

Lokhu kungenzeka ngenxa yezimo zezakhiwo, ukutheleleka, ukulimala, noma ukwelashwa njenge-chemotherapy. Ubuchopho bakho buzama ukubuyisela ngokuthumela izigijimi ezinamandla, kodwa ama-testicles akho awakwazi ukuphendula kahle.

Ubuthakathaka bokwehlukana obulingene buthuthuka uma ubuchopho bakho bungathumeli izigijimi ezifanele kuma-testicles akho. Ama-testicles akho akwazi ukwenza i-testosterone, kodwa awatholi imiyalo efanele.

Lolu hlobo luvela ngokuvamile ngenxa yezinkinga ezivela e-pituitary gland yakho noma i-hypothalamus. Lezi zikhiqizo zobuchopho ziqondisa ukukhiqizwa kwe-hormone kulo lonke umzimba wakho, kufaka phakathi i-testosterone.

Ziyini Izimpawu Zobunthakathaka Bokwehlukana Kwabesilisa?

Izimpawu zobunthakathaka bokwehlukana kwabesilisa zingase zihluke kuye ngokuthi lesi simo sithuthuka nini nokuthi sibukhulu kangakanani. Ungase uqaphele ukushintsha okubonakalayo, amazinga amandla, noma umsebenzi wezocansi.

Nawa ama-symptom ajwayelekile ongawabona:

• Ukuncipha kokuthanda ucansi nokuhluleka kokuma kwelungu lesilisa
• Ukukhathala nokunciphisa amazinga amandla
• Ukulahlekelwa yimisipha namandla
• Ukukhuluphala komzimba, ikakhulukazi ngasohlangothini lwesihlombe
• Ukushintsha kwesimo sengqondo kufaka phakathi ukucindezeleka noma intukuthelo
• Ubunzima bokuhlala ugxile noma izinkinga zokukhumbula
• Ukunciphisa ukukhula kwezinwele zomzimba nasebusweni
• Ukushisa okukhulu noma ukukhuluphala

Amanye amadoda abona futhi izimpawu ezingavamile ezingase zibe zikhathazayo. Lezi zingase zifake ukukhula kwamabele, ukulahlekelwa ubukhulu lwamathambo okuholela ekwehlulekeni, noma ukushintsha kwemizamo yokulala.

Uma ubuthakathaka bokwehlukana buthuthuka ngaphambi kokuthomba, ungase uqaphele ukuthuthuka okulile kwezimpawu zobulwane. Lokhu kungafaka ilizwi eliphezulu, ukunciphisa ukukhula kwemisipha, noma ukukhula okulile kwezinwele ebusweni nasezimweni.

Yini Ebangela Ubuthakathaka Bokwehlukana Kwabesilisa?

Ubuthakathaka bokwehlukana kwabesilisa bungathuthuka ngenxa yezizathu ezihlukahlukene eziqeda ama-testicles akho ngokuqondile noma izikhiqizo zobuchopho eziwabusa. Ukuqonda lezi zizathu kungakusiza wena nodokotela wakho ukuthi uthole indlela yokwelapha engcono kakhulu.

Nawa ama-cause ayinhloko alesimimo:

• Ubudala - i-testosterone iyancipha cishe ngo-1% ngonyaka ngemva kweminyaka engama-30
• Izimo zezakhiwo njenge-Klinefelter syndrome noma i-Kallmann syndrome
• Ukutheleleka njenge-mumps orchitis ekuqeda ama-testicles
• Ukulimala noma ukulimala kuma-testicles noma i-pituitary gland
• Ukwelashwa komdlavuza kufaka phakathi i-chemotherapy ne-radiation
• Izifo eziningi njengesihlalo, isifo sokugaya, noma isifo se-liver
• Imithi kufaka phakathi i-opioids, i-steroids, noma amanye ama-antidepressants
• Ukukhuluphala nezifo zokuguqula

Izizathu ezingavamile zifaka i-pituitary tumors, i-hemochromatosis (ukukhuluphala kwentsimbi), noma izimo ze-autoimmune. Ngezinye izikhathi, ukusetshenziswa okukhulu kotshwala noma ukucindezeleka kungase kuhlanganyele emazingeni e-testosterone aphansi.

Ezimweni ezingavamile, ungase uzalwe une-testicles ezingahleli kahle noma unezinkinga zokuthuthuka eziqeda ukukhiqizwa kwe-hormone. Lezi zimo zokuzalwa ngokuvamile zivela ngesikhathi sobuntwana noma ebusheni.

Nini Okufanele Ubone Udokotela Ngenxa Yobunthakathaka Bokwehlukana Kwabesilisa?

Kufanele ucabange ukuya kudokotela uma uhlushwa izimpawu ezihlala njalo eziqeda ikhwalithi yakho yokuphila. Ungaziphikisi lezi zinguquko njengengxenye nje yokuguga, ikakhulukazi uma ziqeda kakhulu imisebenzi yakho yansuku zonke.

Hlela i-aphoyintimenti uma uqaphela ukunciphisa kokuthanda ucansi okuphela amasonto ambalwa, ukukhathala okungachazeki okuthuthuki ngokuphumula, noma ukushintsha kwesimo sengqondo okukukhathazayo wena noma abathandekayo bakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ukungena ngokushesha kwezimpawu, ikakhulukazi uma zihambisana nokukhathala okukhulu, ukucindezeleka, noma ukushintsha komzimba njengokukhuluphala okusheshayo noma ukulahlekelwa yimisipha.

Kubalulekile futhi ukuxoxa nganoma yiziphi izinkinga nodokotela wakho ngesikhathi sokuhlola okujwayelekile. Ukutholakala kwangaphambi kwesikhathi nokwelashwa kungasiza ukuvimbela izinkinga nokwenza impilo yakho yonke ibe ngcono.

Ziyini Izingozi Zobunthakathaka Bokwehlukana Kwabesilisa?

Izici eziningi zingandisa amathuba akho okuthuthukisa ubuthakathaka bokwehlukana kwabesilisa. Ukuba nomqondo walo mqondo wezingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uqaphele izimpawu ngokushesha.

Nawa ama-risk factor ayinhloko okufanele uwacabangele:

• Ubudala - ingozi iyanda kakhulu ngemva kweminyaka engama-50
• Ukukhuluphala - ukukhuluphala kungaphambana nokukhiqizwa kwe-hormone
• Uhlobo 2 lwesifo sikashukela nesifo sokuguqula
• Ukusetshenziswa okuqhubekayo kwemithi ye-opioid
• Umlando we-chemotherapy noma i-radiation therapy
• I-sleep apnea noma ezinye izifo zokulala
• Ukucindezeleka okuqhubekayo noma ukucindezeleka
• Ukusetshenziswa okukhulu kotshwala

Ezinye izimo zomsebenzi noma ezokuzungezile zingase futhi zidlale indima. Lezi zingafaka ukukhishwa kwezinto ezithile, ukushisa okukhulu, noma umsebenzi wokuhlangana oqeda izimo zakho zokulala.

Umlando womndeni wezifo ze-hormonal noma izimo zezakhiwo ungase futhi wandise ingozi yakho. Uma unezihlobo ezinezimo ezifanayo, kufanele uxoxe ngalokhu nodokotela wakho.

Ziyini Izinkinga Ezingase Zivele Ngenxa Yobunthakathaka Bokwehlukana Kwabesilisa?

Ubuthakathaka bokwehlukana kwabesilisa obungelashwanga bungase buholele ezinkingeni eziningi zezempilo eziqeda izingxenye ezahlukene zomzimba wakho. Lezi zinkinga zithuthuka kancane kancane kodwa zingaba nemiphumela emikhulu yesikhathi eside empilweni yakho nekhwalithi yokuphila.

Izinkinga ezivamile ongazihlangabezana nazo zifaka:

• I-Osteoporosis nokunyuka kwengozi yokwehluleka kwamathambo
• Isifo senhliziyo nokunyuka kwengozi yokuhlasela kwenhliziyo
• Uhlobo 2 lwesifo sikashukela nokumelana ne-insulin
• Ukucindezeleka okukhulu nezifo zokukhathazeka
• Ukungaqedi nokuncipha kokukhiqizwa kwesidoda
• Ukunyuka kwengozi yesifo sokuguqula
• Ukuwohloka kwengqondo nezinkinga zokukhumbula
• Ukunyuka kwengozi yokufa ngenxa yezizathu ezihlukahlukene

Amanye amadoda angase athuthukise izifo zengqondo ezinzima noma ahlangabezane nezinkinga ezinzima zobuhlobo ngenxa yokunciphisa kokuthanda ucansi namazinga amandla. Ukuphazamiseka kokulala kungaba khona isikhathi eside, okuqeda impilo yakho yonke.

Ezimweni ezingavamile, ubuthakathaka bokwehlukana obungelashwanga bungase buhlanganyele ezimweni ezinzima njenge-osteoporosis enzima eholela ekwehlulekeni okungalindelekile, noma imicimbi enzima yenhliziyo emadodeni anezinye izingozi.

Ubuthakathaka Bokwehlukana Kwabesilisa Butholakala Kanjani?

Ukuthola ubuthakathaka bokwehlukana kwabesilisa kuhilela ukuxuba kokuhlola izimpawu zakho, umlando wezokwelapha, nokulingwa kwegazi okuqondile. Udokotela wakho uzofuna ukuqinisekisa amazinga e-testosterone aphansi nokubona imbangela yokuqala.

Inkambiso yokuxilonga ngokuvamile iqala ngengxoxo eningiliziwe ngezimpawu zakho nomlando wezokwelapha. Udokotela wakho uzokuqonda ngezinga lamandla, umsebenzi wezocansi, ukushintsha kwesimo sengqondo, nanoma iyiphi imithi oyithathayo.

Ukuhlolwa kwegazi kubalulekile ekuxilongeni futhi ngokuvamile kudingeka kwenziwe ekuseni lapho amazinga e-testosterone aphezulu ngokwemvelo. Udokotela wakho uzodinga ukwenza le mihlola kabili ukuqinisekisa imiphumela.

Ukuhlolwa okuqhubekayo kungafaka ukuhlola ezinye i-hormones njenge-luteinizing hormone (LH) ne-follicle-stimulating hormone (FSH). Lokhu kusiza ukuthola ukuthi unebuthakathaka bokwehlukana obukhulu noma obulingene.

Kwezinye izimo, udokotela wakho angase acele izifundo zokuthwebula izithombe njenge-MRI scans zobuchopho bakho noma i-ultrasounds yama-testicles akho. Lokhu kungasiza ukuthola izinkinga zesakhiwo ezingase zibe yimbangela yesimo sakho.

Ukwelashwa Kwobunthakathaka Bokwehlukana Kwabesilisa Yini?

Ukwelashwa kobunthakathaka bokwehlukana kwabesilisa kugxile ekuyibuyiseni i-testosterone umzimba wakho ongayikhiqizi ngokwanele. Umgomo ukubuyisela amazinga akho e-hormone kububanzi obujwayelekile nokwenza izimpawu zakho nekhwalithi yokuphila ibe ngcono.

Ukwelashwa kwe-testosterone replacement therapy kuza ngezindlela eziningi, ngayinye inezinzuzo zayo nezincazelo. Udokotela wakho uzokusiza ukhethe indlela engcono kakhulu ngokusekelwe ekuphileni kwakho, izintandokazi, nomlando wezokwelapha.

Izindlela zokwelapha ezivamile zifaka:

• Ama-testosterone gels afakwa nsuku zonke esikhuneni sakho
• Ukugonywa okunikezwa njalo ngemva kwamasonto ambalwa noma izinyanga
• Ama-patches afakwe esikhuneni sakho futhi ashintshwe njalo
• Ama-pellets afakwe phansi kwesikhumba sakho njalo ngemva kwezinyanga ezimbalwa
• Ama-nasal gels afakwe kabili ngosuku
• Imithi yomlomo (izindlela ezintsha ezitholakala)

Udokotela wakho uzolandelela impendulo yakho ekwelapheni ngokuhlolwa kwegazi okujwayelekile nokulinganisa izimpawu. Ukulungiswa ecebeni lakho lokwelapha kuyinto evamile njengoba uthola lokho okusebenza kahle emzimbeni wakho.

Ngenxa yobunthakathaka bokwehlukana obulingene, ngezinye izikhathi ukwelapha imbangela yokuqala kungasiza ukubuyisela ukukhiqizwa kwe-testosterone yemvelo. Lokhu kungase kufaka imithi yokukhuthaza ukukhiqizwa kwe-hormone yakho kunokuba ukwelashwa kokubuyisela.

Ungayithatha Kanjani Ukwelashwa Kwasekhaya Ngesikhathi Sobunthakathaka Bokwehlukana Kwabesilisa?

Nakuba ukwelashwa kwezokwelapha kubalulekile, kunezinguquko eziningi zokuphila ongazenza ekhaya ukuze usekele ukwelashwa kwakho nekhwalithi yakho yokuphila yonke. Lezi zinyathelo zingasiza ukwenza ukusebenza kahle kokwelashwa kwakho kwezokwelapha kube ngcono.

Gxilisa ekuqondiseni isisindo esinempilo ngokuzivocavoca okujwayelekile nokudla okulinganiselayo. Ukukhuluphala kungaphambana nokukhiqizwa kwe-testosterone nokwenza izimpawu zibe zimbi, ngakho-ke ngisho nokunciphisa isisindo esincane kungaba usizo.

Qaphela ukuthola ukulala okwanele ubusuku ngabunye, uqonde amahora angu-7-9 okuphumula okuhle. Ukulala okubi kunganciphisa amazinga e-testosterone futhi kwenze izimpawu njengokukhathala nokushintsha kwesimo sengqondo kube zimbi.

Caba ngezindlela zokulawula ukucindezeleka njengokucamngca, i-yoga, noma ukuzivocavoca okujwayelekile. Ukucindezeleka okuqhubekayo kungase kuqede ukukhiqizwa kwe-hormone nekhwalithi yakho yokuphila yonke.

Qinisekisa ukusetshenziswa kotshwala futhi ugweme ukubhema, njengoba kokubili kungaphambana nokukhiqizwa kwe-testosterone. Uma uthatha imithi engase iqede amazinga e-hormone, xoxa ngezinye izindlela nodokotela wakho.

Hlala uqine ngohlelo lwakho lokwelashwa oluqokiwe futhi ugcine ulandelela indlela ozizwa ngayo. Lolu lwazi luzoba usizo ngesikhathi se-aphoyintimenti yakho yokulandelela nodokotela wakho.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unike udokotela wakho ulwazi olufanele lokuxilonga nokwelapha okuqondile. Ukuthatha isikhathi sokuhlela imicabango yakho ngaphambi kwesikhathi kungaba usizo kakhulu.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zikuqede kanjani impilo yakho yansuku zonke. Yiba ocacile ngokushintsha kwamandla, isimo sengqondo, umsebenzi wezocansi, nanoma yiziphi izinguquko zomzimba oziqaphelayo.

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, nama-vitamins oyithathayo njengamanje. Faka izilinganiso nokuthi ube uthatha ngayinye isikhathi esingakanani, njengoba ezinye imithi ingase iqede amazinga e-testosterone.

Lungiselela umlando omfushane wezokwelapha kufaka phakathi noma yiziphi izimo eziningi, ukuhlinzwa kwangaphambili, noma ukwelashwa okutholile. Ungakhohlwa ukukhuluma nganoma yimuphi umlando womndeni wezifo ze-hormonal noma izimo ezifanayo.

Caba ukuletha umngane othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olukhulu futhi banike ukwesekwa ngesikhathi soxoxa ngezindaba ezinzima.

Bhala noma yimiphi imibuzo ofuna ukuyibuza udokotela wakho. Lokhu kungafaka imibuzo mayelana nezindlela zokwelapha, imiphumela emibi, noma indlela lesi simo esingase siqede impilo yakho yesikhathi eside.

Iyini I-Takeaway Key Mayelana Nobuthakathaka Bokwehlukana Kwabesilisa?

Ubuthakathaka bokwehlukana kwabesilisa yisimo esingelashwa esiqeda amadoda amaningi, futhi awudingi ukuhlupheka ngezimpawu zodwa. Ngokuxilongwa nokwelashwa okuqondile, amadoda amaningi abona ukuthuthuka okukhulu ezingeni lawo lokuphila.

Isinyathelo esibaluleke kakhulu ukuqaphela izimpawu nokufuna ukulingwa kwezokwelapha. Amadoda amaningi aphikisa lezi zinguquko njengokuguga okujwayelekile, kodwa i-testosterone ephansi ingalashwa ngokuphumelelayo uma ixilongwe kahle.

Ukwelashwa kuyahlukahluka kakhulu, futhi lokho okusebenza kahle komunye umuntu kungase kungabi kuhle komunye. Udokotela wakho uzosebenza nawe ukuthola indlela efanele ngokusekelwe esimweni sakho esithile nezintandokazi.

Khumbula ukuthi ukuphatha ubuthakathaka bokwehlukana ngokuvamile kuyinkambiso yesikhathi eside edinga ukulandelela okuqhubekayo nokwenza izinguquko ecebeni lakho lokwelashwa. Hlala uzimisele nge-aphoyintimenti yokulandelela okujwayelekile nokuxhumana okuvulekile neqembu lakho lokunakekelwa kwezempilo.

Imibuzo Evamile Ebuzwayo Mayelana Nobuthakathaka Bokwehlukana Kwabesilisa

Ingabe ubuthakathaka bokwehlukana kwabesilisa bungaphiliswa ngokuphelele?

Ubuthakathaka bokwehlukana kwabesilisa ngokuvamile bungaphathwa ngokuphumelelayo ngokwelashwa, kodwa ukuthi bungaphiliswa yini kuncike embangelweni yokuqala. Uma kubangelwa isimo esingelashwa njenge-pituitary tumor noma umphumela emibi wemithi, ukulungisa imbangela yokuqala kungase kubuyisele ukukhiqizwa kwe-testosterone okujwayelekile.

Ngenxa yobunthakathaka bokwehlukana obuhambisana nobudala noma izimo eziqeda ama-testicles ngokuqondile, ukwelashwa ngokuvamile kuhilela ukwelashwa okuqhubekayo kwe-testosterone replacement therapy kunokuba ukwelashwa okuhlala njalo. Noma kunjalo, ngokwelashwa okuqondile, amadoda amaningi abona ukuthuthuka okukhulu ezimpawu zawo nekhwalithi yokuphila.

Ingabe ukwelashwa kwe-testosterone replacement therapy kuphephile ukusetshenziswa isikhathi eside?

Ukwelashwa kwe-testosterone replacement therapy ngokuvamile kuphephile kumadoda amaningi uma kulandelelwa kahle ngumhlinzeki wezempilo. Udokotela wakho uzolandelela amazinga akho egazi njalo, alandele imiphumela emibi, futhi ahlole impendulo yakho yonke yempilo ekwelapheni.

Ezinye izingozi ezingase zivele zifaka ukwanda kokubala kwamaseli e-red blood, ukwanda kwe-sleep apnea, noma izinkinga ezihlobene ne-prostate. Noma kunjalo, lezi zingozi ngokuvamile zingalawulwa ngokulawulwa kwezokwelapha okuqondile nokulandelwa okujwayelekile. Izinzuzo ngokuvamile zidlula izingozi kumadoda ane-hypogonadism exilongiwe ngokwezokwelapha.

Ngingakwazi ukuba nabantwana uma ngine-hypogonadism?

Ubuthakathaka bokwehlukana kwabesilisa bungase buqede ukukhulelwa, kodwa amadoda amaningi analesi simo angase aqhubeke eba nabantwana, ikakhulukazi ngokwelashwa okuqondile. Umphumela ekuqedeni ukukhulelwa uyahluka kuye ngohlobo nobukhulu besimo sakho.

Uma uhlela ukuba nabantwana, xoxa ngalokhu nodokotela wakho ngaphambi kokuqala ukwelashwa. Ezinye izindlela zokwelashwa kwe-testosterone replacement therapy zingase zinciphisa ukukhiqizwa kwesidoda okwesikhashana, kodwa kunezindlela zokwelapha ezihlukile ezingasiza ekuqondiseni ukukhulelwa ngenkathi uqeda izimpawu zakho.

Ngingabona kanjani ukuthuthuka ngokushesha ngemva kokuqala ukwelashwa?

Ungase uqale uqaphele ukuthuthuka okukodwa ngemva kwamasonto ambalwa uqale ukwelashwa, kodwa kungathatha izinyanga eziningi ukuthola izinzuzo eziphelele. Amazinga amandla nesimo sengqondo ngokuvamile athuthuka kuqala, ngokuvamile phakathi kwamasonto angu-3-6.

Ukushintsha komzimba njengokwanda kwemisipha nokunciphisa ukukhuluphala komzimba ngokuvamile kuthatha isikhathi eside, ngokuvamile izinyanga ezingu-3-6 noma ngaphezulu. Ukuthuthuka komsebenzi wezocansi kungase kuhluke kakhulu phakathi kwabantu, ngezinye izikhathi kuthuthuka phakathi kwamasonto noma kuthathe izinyanga eziningi. Udokotela wakho uzolandelela intuthuko yakho futhi angalungisa ukwelashwa kwakho uma kudingeka.

Ingabe ukushintsha kokuphila kuphela kungalapha ubuthakathaka bokwehlukana kwabesilisa?

Nakuba ukushintsha kokuphila kubalulekile futhi kungasiza ekuqedeni izimpawu, ngokuvamile akukwazi ukwelapha ngokuphelele ubuthakathaka bokwehlukana obuxilongiwe ngokwezokwelapha ngokwabo. Noma kunjalo, ukuqondisa isisindo esinempilo, ukuzivocavoca okujwayelekile, ukuthola ukulala okwanele, nokuphatha ukucindezeleka kungasiza kakhulu ekwelapheni kwakho.

Amanye amadoda anamazinga e-testosterone aphansi angase abone ukuthuthuka ngokushintsha kokuphila kuphela, kodwa lawo anamazinga aphansi kakhulu ngokuvamile adinga ukwelashwa kwezokwelapha. Udokotela wakho angasiza ekuthola indlela engcono kakhulu ngokusekelwe emazingeni akho e-testosterone kanye nezimpawu.