Yini i-Masculinizing Hormone Therapy? Inhloso, Inqubo & Imiphumela

I-Masculinizing hormone therapy yindlela yokwelapha yezokwelapha esebenzisa i-testosterone ukusiza ukuthuthukisa izici zomzimba zesilisa. Le therapy ingaba yingxenye ebalulekile yokunakekelwa okuqinisekisa ubulili kubantu besilisa abaguqukayo, abantu abangewona ama-binary, nabanye abafuna ukuhambisana nokubukeka kwabo komzimba nobunjalo babo bobulili.

Le nqubo ihlanganisa ukuthatha i-testosterone ngezindlela ezihlukahlukene ukuze kancane kancane kushintshwe amazinga ama-hormone omzimba wakho. Lezi zinguquko zenzeka kancane kancane ezinyangeni naseminyakeni, okwenza umzimba wakho ukwazi ukuthuthukisa izici ezinjengelizwi elijulile, ukwanda kwemisipha, nokukhula kwezinwele ebusweni. Cabanga ngakho njengokunikeza umzimba wakho indawo yama-hormone owudingayo ukuze uveze ubuntu bakho bangempela.

Yini i-masculinizing hormone therapy?

I-Masculinizing hormone therapy ukwelashwa nge-testosterone okuhloswe ukudala izinguquko zomzimba ezihambisana nokubonakaliswa kobulili besilisa. Udokotela wakho unquma i-testosterone ukuthi ithathe indawo noma igcwalise i-estrogen umzimba wakho owukhiqiza ngokwemvelo.

Le therapy isebenza ngokwethula i-testosterone ohlelweni lwakho, oluthi lubonise umzimba wakho ukuthi uthuthukise izici zesibili zobulili besilisa. Ukwelashwa kuhlukaniswa kakhulu, okusho ukuthi udokotela wakho uzosebenza nawe ukuthola umthamo ofanele nendlela evumelana nezinhloso zakho ezithile nezidingo zempilo.

Le therapy ithathwa njengokunakekelwa okuqinisekisa ubulili ngoba isiza ukunciphisa i-gender dysphoria futhi isekela impilo yakho yonke yengqondo nenhlalakahle. Abantu abaningi bathola ukuthi i-hormone therapy ithuthukisa kakhulu izinga lempilo yabo nomuzwa wokuba ngokoqobo.

Kungani kwenziwa i-masculinizing hormone therapy?

Isizathu esiyinhloko se-masculinizing hormone therapy ukwelapha i-gender dysphoria futhi ukusize uzizwe ukhululekile emzimbeni wakho. I-Gender dysphoria yinhlupheko engenzeka lapho ubunjalo bakho bobulili bungahambisani nobulili obabelwe ngesikhathi sokuzalwa.

Ngaphandle kokwelapha i-dysphoria, le therapy inganikeza izinzuzo ezinkulu zempilo yengqondo. Abantu abaningi bathola ukuncipha kokukhathazeka, ukucindezeleka, nokucindezeleka uma beqala i-hormone therapy. Ushintsho lomzimba ngokuvamile liletha umuzwa wokukhululeka nokwanda kokuzethemba ezimweni zomphakathi.

Abanye abantu futhi bakhetha le therapy ukuze bafeze imigomo ethile yomzimba, njengokwakha imisipha noma ukuthuthukisa izinwele zobuso. Umhlinzeki wakho wezempilo uzoxoxa ngemigomo yakho kanye nokulindela kwakho ukuze enze uhlelo lokwelapha olukulungele.

Yini inqubo ye-masculinizing hormone therapy?

Inqubo iqala ngokuhlolwa okubanzi kwezokwelapha kanye nokubonisana nomhlinzeki wezempilo onolwazi ekunakekelweni okuqinisekisa ubulili. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha, imithi yakho yamanje, futhi axoxe ngemigomo yakho kanye nokulindela kwakho ukwelashwa.

Ngaphambi kokuqala ukwelashwa, ngokuvamile uzodinga ukuhlolwa kwegazi okuyisisekelo ukuze uhlole amazinga akho e-hormone, ukusebenza kwesibindi, nezinye izimpawu ezibalulekile. Udokotela wakho angase futhi ancome ezinye izikrini zezempilo ngokusekelwe eminyakeni yakho kanye nomlando wezokwelapha.

Uma usuvunyelwe ukuqala, uzothola i-testosterone ngenye yezindlela eziningana. Izindlela ezivamile zihlanganisa:

• Imijovo ye-Intramuscular (shots) enikezwa njalo ngama-1-2 amaviki
• Ama-gel noma ama-creams e-Topical asetshenziswa nsuku zonke esikhumbeni sakho
• Izithambiso ze-Transdermal ezigqokwa esikhumbeni sakho
• Imijovo ye-Subcutaneous (ngaphansi kwesikhumba) enikezwa masonto onke
• Ama-pellets e-Testosterone afakwe ngaphansi kwesikhumba njalo ngama-3-6 izinyanga

Udokotela wakho uzokusiza ukhethe indlela esebenza kangcono ngendlela yakho yokuphila nezintandokazi zakho. Inketho ngayinye inezinzuzo zayo mayelana nokulula, izindleko, nokuthi ithinta kanjani amazinga akho e-hormone usuku lonke.

Ukuqokwa okuqhubekayo kubalulekile ukuqapha intuthuko yakho nokulungisa ukwelashwa kwakho njengoba kudingeka. Lokhu kuvakasha kuvame ukuhlanganisa ukuhlolwa kwegazi ukuhlola amazinga akho e-testosterone futhi kuqinisekise ukuthi umzimba wakho usabela kahle emithini.

Ungalungiselela kanjani ukwelashwa kwakho ngamaphilisi ama-hormone okulungisa ubulili?

Ukulungiselela ukwelashwa ngamaphilisi ama-hormone kuhilela izinyathelo ezisebenzayo nezingokomzwelo ukuqinisekisa ukuthi usukulungele lolu hambo olubalulekile. Qala ngokuthola umhlinzeki wezempilo onguchwepheshe ekunakekelweni okuqinisekisa ubulili futhi onolwazi lokwelashwa ngamaphilisi ama-hormone.

Ngaphambi kokuqokwa kwakho kokuqala, qoqa umlando wakho wezokwelapha ophelele, okuhlanganisa noma yimiphi imithi oyithathayo njengamanje kanye nokuhlinzwa kwangaphambilini noma izimo zezokwelapha. Lolu lwazi lusiza udokotela wakho ukuthi akhe uhlelo lokwelashwa oluphephile nolusebenzayo kuwe.

Cabangela ukuxoxa ngezinhloso zakho kanye nomugqa wesikhathi nomhlinzeki wakho wezempilo. Yiba qotho ngoshintsho oluthemba ukulubona nokuthi ungathanda ukulubona nini. Le ngxoxo isiza ukusetha okulindelekile okungokoqobo futhi iqinisekisa ukuthi nobabili nisebenzela izinhloso ezifanayo.

Kuyasiza futhi ukuzilungiselela ngokomzwelo izinguquko ezizayo. Abanye abantu bakuthola kuwusizo ukuxhumana namaqembu okusekela noma abanye abantu abadlule ezintweni ezifanayo. Ukuba nohlelo oluqinile lokusekela kungenza inqubo ibe lula futhi ingabi yodwa.

Okokugcina, qiniseka ukuthi uqonda izici zezezimali zokwelashwa, okuhlanganisa umshwalense kanye nezindleko eziqhubekayo. Ukwelashwa ngamaphilisi ama-hormone kuvame ukuba ukuzibophezela kwesikhathi eside, ngakho ukuhlela utshalomali lwezezimali kubalulekile.

Ungazifunda kanjani imiphumela yakho yokwelashwa ngamaphilisi ama-hormone okulungisa ubulili?

Ukuqonda imiphumela yakho yokwelashwa ngamaphilisi ama-hormone kuhilela ukubheka izimpawu ezimbalwa ezibalulekile udokotela wakho azoziqapha kuyo yonke imithi yakho. Isilinganiso esibaluleke kakhulu izinga lakho le-testosterone, okufanele lenyuke kancane kancane njengoba imithi yakho iqhubeka.

Ububanzi obujwayelekile be-testosterone kubantu abathola ukwelashwa ngamahomoni okwenza kube yindoda ngokuvamile buphakathi kuka-300-1000 ng/dL, nakuba udokotela wakho ezonquma ububanzi obufanele esimweni sakho esithile. Amazinga akho angase aqale aphansi futhi ande kancane kancane njengoba umthamo wakho ulungiswa.

Udokotela wakho uzophinde aqaphe amazinga akho e-estrogen, okufanele anciphe njengoba i-testosterone ikhuphuka. Lokhu kushintsha kujwayelekile futhi kulindelekile njengoba umzimba wakho uzivumelanisa nemvelo entsha yamahomoni.

Ezinye izimpawu ezibalulekile zihlanganisa ukubalwa kwamaseli akho abomvu egazi, ukuhlolwa komsebenzi wesibindi, kanye namazinga e-lipid. Lokhu kuhlolwa kusiza ukuqinisekisa ukuthi i-testosterone ayibangeli imiphumela engathandeki nokuthi umzimba wakho usebenza ngehomoni ngokuphepha.

Ungakhathazeki uma imiphumela yakho ingabukeki

Ukulala ngokwanele kubalulekile ekukhiqizweni kwamahomoni kanye nenhlalakahle yonke. Zama ukulala amahora angu-7-9 ubusuku ngabunye ukuze usekele izinqubo zomzimba wakho zemvelo futhi ukusize uzizwe ungcono.

Gcina zonke izikhathi zakho zokulandela kanye nokuhlolwa kwegazi. Lokhu kuvakashela kudokotela wakho ukuthi aqaphe intuthuko yakho futhi enze izinguquko ukuze alungiselele imiphumela yakho. Unganqikazi ukuxoxa nganoma yiziphi izinkathazo noma izinguquko ozenzayo.

Ziyini izinguquko ezilindelekile ezivela ekwelashweni ngamahlomoni okwenza kube yindoda?

Izingxenye ezivela ekwelashweni ngamahlomoni okwenza kube yindoda zenzeka kancane kancane ezinyangeni naseminyakeni, nemiphumela ethile evela ngokushesha kuneminye. Ukuqonda lolu hlu lwesikhathi kungakusiza ukuthi usethe okulindelekile okungokoqobo ohambweni lwakho.

Ezinyangeni ezimbalwa zokuqala, ungase uqaphele ukwanda kwamandla, izinguquko ezinukweni zomzimba, nokuqala kokukhula kwezinwele ebusweni. Izwi lakho lingase futhi liqale ukuqhekeka futhi lijule kancane kancane ngalesi sikhathi.

Izingxenye ongazilindela ngokuhamba kwesikhathi zihlanganisa:

• Ukujula kwezwi (ngokuvamile kuqala phakathi nezinyanga ezi-3-6)
• Ukwanda kwemisipha namandla (kuqashelwa phakathi kwezinyanga ezi-6-12)
• Ukuhanjiswa kabusha kwamafutha omzimba kusuka ezinqeni kuya esiswini (izinyanga ezi-6-24)
• Ukukhula kwezinwele ebusweni nasemzimbeni (izinyanga ezi-3-6 kuya eminyakeni eminingana)
• Ukwanda kwephunga lomzimba nokugcotshwa kwesikhumba (izinyanga ezi-1-3)
• Ukuqeda ukuya esikhathini (ngokuvamile phakathi nezinyanga ezi-6)
• Ukukhula kwe-clitoral (izinyanga ezi-3-6)

Ezinye izinguquko, njengokujula kwezwi nokukhula kwezinwele ebusweni, ngokuvamile zihlala unomphela ngisho noma uyeka ukuthatha i-testosterone. Ezinye izinguquko, ezifana nemisipha nokusatshalaliswa kwamafutha omzimba, zingase zibuyele kancane kancane uma ukwelashwa kuyekwa.

Khumbula ukuthi okuhlangenwe nakho kwawo wonke umuntu kuyingqayizivele, futhi isikhathi nobubanzi balezi zinguquko bungahluka kakhulu kumuntu nomuntu. Izakhi zofuzo zakho, iminyaka, nempilo yonke konke kunendima ekutheni umzimba wakho usabela kanjani ekwelashweni ngamahlomoni.

Ziyini izici eziyingozi zezinkinga ngemithi yamahomoni yokwenza amadoda?

Ngenkathi imithi yamahomoni yokwenza amadoda ivame ukuphepha uma iqashwe kahle, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nomhlinzeki wakho wezempilo ukuthi nenze izinqumo ezinolwazi mayelana nokwelashwa kwakho.

Ubudala bungaba yisici, njengoba abantu abadala bengase babe nengozi enkulu yezinkinga zenhliziyo nemithambo yegazi noma amahlule egazi. Uma uneminyaka engaphezu kwengama-45, udokotela wakho cishe uzokuqapha eduze ngenxa yalezi zinkinga ezingaba khona.

Izimo zezokwelapha ezikhona ngaphambilini ezingase zikhuphule ingozi yakho zihlanganisa:

• Umlando wamahule egazi noma unhlangothi
• Isifo sesibindi noma ukungasebenzi kahle
• Isifo senhliziyo noma umfutho wegazi ophezulu
• Isifo sikashukela noma ukumelana ne-insulin
• I-Sleep apnea
• I-Polycystic ovary syndrome (PCOS)
• Umlando womdlavuza wamabele noma wokuzala

Izici zokuphila nazo zingathonya izinga lakho lengozi. Ukubhema kukhulisa kakhulu ingozi yama-clot egazi nezinkinga zenhliziyo nemithambo yegazi, ngakho-ke udokotela wakho angase ancome ngokuqinile ukuyeka ngaphambi kokuqala ukwelashwa.

Umlando womndeni wezimo ezithile, njengesifo senhliziyo noma amahlule egazi, nawo ungase uthinte iphrofayili yakho yengozi. Qiniseka ukuthi uxoxa ngomlando wakho wezokwelapha womndeni nomhlinzeki wakho wezempilo ngesikhathi sokubonisana kwakho kokuqala.

Ukuba nezici eziyingozi akusho ngempela ukuthi awukwazi ukuthola imithi yamahomoni, kodwa kusho ukuthi uzodinga ukuqashwa eduze futhi mhlawumbe izinyathelo zokuphepha ezengeziwe ukuqinisekisa ukuphepha kwakho kuyo yonke imithi.

Ziyini izinkinga ezingaba khona zemithi yamahomoni yokwenza amadoda?

Abantu abaningi bayakubekezelela kahle ukwelashwa ngamahomoni okwenza amadoda, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungaba nezinkinga ezingaba khona. Ukuqaphela lezi zinto ezingenzeka kukusiza ukuthi ubone ukuthi nini okufanele ufune ukwelashwa.

Imiphumela evamile, elawulekayo ihlanganisa izinduna, izinguquko zemizwa, nokwanda kwesifiso sokudla. Le miphumela ivame ukuba yesikhashana futhi ivamise ukuthuthuka njengoba umzimba wakho ujwayela izinguquko zamahomoni.

Izinkinga ezingathi sína kodwa ezingavamile zingahlanganisa:

• Amaqhubu egazi emilenzeni noma emaphashini
• Ukwanda kwamaseli abomvu egazi (i-polycythemia)
• Ushintsho lomsebenzi wesibindi
• Izinkinga zenhliziyo nemithambo yegazi
• Ukwakheka noma ukwanda kwe-sleep apnea
• Ukumelana ne-insulin noma isifo sikashukela
• I-cholesterol ephezulu noma ama-triglycerides

Izinkinga ezingavamile kakhulu kodwa ezingathi sína zingahlanganisa ukushaywa unhlangothi noma ukuhlaselwa yinhliziyo, ikakhulukazi kubantu abanezici eziyingozi ezikhona ngaphambilini. Yingakho ukuqapha njalo nokunakekelwa okulandelayo kubaluleke kakhulu.

Abanye abantu bahlangabezana nokulungiswa ngokomzwelo noma ngokwengqondo njengoba amazinga abo amahomoni eshintsha. Ngenkathi abaningi bethola lezi zinguquko zizinhle, abanye bangase bazizwe bekhungathekile yizinguquko ezingokomzimba nezingokomzwelo ezenzeka ezimpilweni zabo.

Izindaba ezinhle ukuthi izinkinga eziningi zingavinjelwa noma zilawulwe ngaphansi kokuqondiswa okufanele kwezokwelapha. Umhlinzeki wakho wezempilo uzokuqapha eduze, ikakhulukazi ngonyaka wokuqala wokwelashwa, ukuze abambe noma yiziphi izinkinga ngokushesha.

Kufanele ngibone nini udokotela ngezinkinga zokwelashwa ngamahomoni okulungisa ubulili?

Ukuqokwa okulandelayo njalo kubalulekile, kodwa kunezimo ezithile lapho kufanele uxhumane nomhlinzeki wakho wezempilo ngokushesha. Thembela emizweni yakho uma kukhona okuzizwa kungalungile noma kukhathaza.

Funani ukwelashwa ngokushesha uma uhlangabezana nezimpawu zeqhubu legazi, njengobuhlungu obuzumayo emlenzeni, ukuvuvukala, noma ubuhlungu besifuba obunzima ukuphefumula. Lezi zimpawu zidinga ukunakekelwa okuphuthumayo futhi akufanele zinganakwa.

Xhumana nodokotela wakho ngokushesha uma uqaphela:

• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Ukukhathala okungavamile noma ubuthakathaka
• Ukuphuzi kwesikhumba noma amehlo
• Isikhwehlela esibi esingathuthuki
• Ubunzima bokulala noma ukuphefumula
• Ukwanda kwesisindo okungavamile noma ukuvuvukala
• Isicanucanu esiqhubekayo noma ukuhlanza

Kufanele futhi uxhumane uma ungaboni izinguquko ezilindelekile ngemva kwezinyanga eziningana zokwelashwa noma uma uhlangabezana nemiphumela emibi ethinta kakhulu izinga lempilo yakho.

Unganqikazi ukuxhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngemibuzo noma izinkathazo, ngisho noma zibonakala zincane. Ithimba lakho lezokwelapha lilapho ukukusekela ohambweni lwakho lokwelashwa ngamahomoni, futhi akukho okukhathazayo okuncane kakhulu ukuthi kungaxoxwa ngakho.

Khumbula ukuthi ukugcina ukuxhumana okuvulekile nomhlinzeki wakho wokunakekelwa kwezempilo kuyisihluthulelo sempumelelo yokwelashwa ngamahomoni. Ukuhlolwa njalo kusiza ukuqinisekisa ukuthi uthola inzuzo enkulu ekwelashweni kwakho ngenkathi uhlala uphephile futhi unempilo.

Imibuzo evame ukubuzwa mayelana nokwelashwa ngamahomoni okulungisa ubulili

Umbuzo 1. Ingabe ukwelashwa ngamahomoni okulungisa ubulili kuphephile ukusetshenziswa isikhathi eside?

Yebo, ukwelashwa ngamahomoni okulungisa ubulili kuthathwa njengokuphephile ukusetshenziswa isikhathi eside uma kuqashwe kahle ngumhlinzeki wokunakekelwa kwezempilo. Abantu abaningi baqhubeka nokwelashwa ngamahomoni iminyaka eminingi noma amashumi eminyaka ngaphandle kwezinkinga ezinkulu.

Isihluthulelo sokuphepha kwesikhathi eside ukuqapha njalo ngokuhlolwa kwegazi nokuhlolwa. Udokotela wakho uzoqapha amazinga akho e-hormone, ukusebenza kwesibindi, nezinye izimpawu ezibalulekile ukuze aqinisekise ukuthi ukwelashwa kuqhubeka kuphephile futhi kusebenza kahle kuwe.

Umbuzo 2. Ingabe ukwelashwa nge-testosterone kuthinta inzalo?

Ukwelashwa nge-testosterone ngokuvamile kunciphisa inzalo futhi kungase kumise ukuvuthwa kwamaqanda nokuya esikhathini. Kodwa-ke, le miphumela ivame ukuguquleka uma unquma ukuyeka ukuthatha i-testosterone esikhathini esizayo.

Uma unesithakazelo sokulondoloza izinketho zakho zokuzala, xoxa ngalokhu nodokotela wakho ngaphambi kokuqala ukwelashwa ngamahomoni. Zikhona izinketho zokulondoloza ukuzala ezitholakalayo, njengokufriza amaqanda, ongase ufune ukuzicabangela.

Umbuzo 3: Ngingakhulelwa yini ngenkathi ngithatha i-testosterone therapy?

Ngenkathi i-testosterone ngokuvamile imisa ukuya esikhathini futhi inciphisa ukuzala, ukukhulelwa kungenzeka kwezinye izimo. Uma wenza ucansi nomuntu okhiqiza isidoda, kufanele usebenzise izindlela zokuvimbela ezithembekile ngaphandle kokuthi uzama ukukhulelwa.

Uma ukhulelwa ngenkathi uthatha i-testosterone, xhumana nodokotela wakho ngokushesha. Kungenzeka udinga ukuyeka ukwelashwa nge-testosterone ngesikhathi sokukhulelwa, njengoba kungathinta ukukhula kwengane esiswini.

Umbuzo 4: Ingabe izinguquko zezwi lami zizohlala unomphela?

Yebo, ukujula kwezwi okuvela ku-testosterone therapy kuvamile ukuthi kuhlale unomphela, ngisho noma uyeka ukuthatha i-testosterone kamuva. Lolu shintsho ngokuvamile luqala ezinyangeni ezimbalwa zokuqala zokwelashwa futhi luqhubeke nokuthuthuka ngonyaka wokuqala noma emibili.

Inqubo yokushintsha izwi ingaba kancane kancane, futhi abanye abantu basebenzisana nabelaphi bezinkulumo ukusiza ukuthuthukisa amaphethini abo amasha ezwi nesitayela sokuxhumana njengoba ushintsho lwenzeka.

Umbuzo 5: Ingabe ukwelashwa ngamahomoni okwenza ube yindoda kubiza malini?

Izindleko zokwelashwa ngamahomoni okwenza ube yindoda ziyahluka kuye ngendawo ohlala kuyo, umshwalense wakho, kanye nohlobo lwe-testosterone olulusebenzisayo. Izindleko zanyanga zonke zingahluka kusuka ku-$50 kuya ku-$300 noma ngaphezulu ngaphandle komshwalense.

Izinhlelo eziningi zomshwalense manje zihlanganisa ukwelashwa ngamahomoni njengengxenye yokunakekelwa okuqinisekisa ubulili, kodwa ukuhlanganiswa kuyahluka. Xhumana nomhlinzeki wakho womshwalense ukuze uqonde izinzuzo zakho ezithile, futhi ubuze umhlinzeki wakho wokunakekelwa kwezempilo mayelana nezinhlelo zokusiza iziguli uma izindleko zikhathaza.