Fahmidda Heerarka Heerka Sare iyo Hoose ee Testosterone ee Ragga iyo Haweenka

by Rachel Gurevich; Waxaa ku jawaabay Anita Sadaty, MD

1 -

Heerka testosterone Heerarka Ragga iyo Haweenka Marka TTC

Testosterone waa mid muhiim u ah dhalashada iyo raaxeysiga guud ee ragga iyo dumarka labadaba. Heerarka hoose waxay sababi kartaa daal ama labadaba labadaba. Charles Knox / Getty Images

Imtixaanka heerka testosterone waa qayb muhiim ah ee qiimeynta bacriminta. Inkastoo testosterone badanaa loo arko inuu yahay hormoon "lab ah", testosterone wuxuu muhiim u yahay caafimaadka labka iyo dheddigga labadaba.

Laakiin, sida hoormoon kasta, ma rabto wax aad u yar ama aad u badan.

Ragga, testosterone hooseeya ayaa sabab u ah dhalmo la'aanta. Si kastaba ha noqotee, waxaa laga yaaba inaad la yaabto inaad maqasho in heerarka caadiga ah ee testosterone ee aan caadi ahayn ay noqon karaan dhibaato.

Dumarka, heerarka testosterone ee sare waxay muujin karaan dhibaatada bacriminta. Dumarku sidoo kale waxay yeelan karaan heerar hoose oo testosterone ah, laakiin tani waxay caadi ahaan dhacdaa kadib dhalmo yar oo aan caadi ahayn inta lagu jiro muddada dhalashada.

Maxaa keena heerarka sare ama hoose ee testosterone ee ragga iyo dumarka? Intaa waxaa dheer, waxa laga qaban karaa, gaar ahaan haddii aad isku dayeyso inaad uur yeelato?

Akhri akhriska. Marka hore, aynu ka wada hadalno heerarka testosterone hoose ee ragga, oo loo yaqaan 'hypogonadism'. I do not know

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Calaamadaha Heerka Tijaabada Lowester ee Ragga

Dhaawaca libido iyo cilladda erectile waa calaamadaha suurtagalka ah ee heerarka testosterone hooseeya. Image Source / Getty Images

Testosterone Low ayaa sidoo kale loo yaqaan 'hypogonadism'. Labada qof ee cudurka kudhaca waxay u keeni karaan dhalmo la'aan.

Dhakhtarkaaga ayaa laga yaabaa inuu tixgeliyo heerarka testosterone aad u hooseeyso haddii ...

Heerarkaaga baaritaanka ee bilaashka ah ayaa ka hooseeya 9 ng / dL
Heerarka Qiyaasta Testosterone Total waxay ka hooseeyaan 240 ng / dL

Calaamadaha testosterone hoose ee ragga waxaa ku jiri kara ...

Kufsi la'aan
Murugo
Daal
Tirada murqaha oo hoos u dhacda
Kororka garka iyo koritaanka timaha
Wadida jinsiga ee hooseeya
Kala-bax la'aan Erectile
Naaso weyn ama mid xasaasi ah
Xoogga yaraanta
Saacadaha kulul
Dhibaato xoogsan

Dumarka asaasiga ahi waa marka dhibaatadu ka timaado tijaabada. Tani waxaa kale oo loo gudbin karaa isugeynta asaasiga ah ee tijaabada ama ragga menopause. Xaqiiqdii, qaar ka mid ah calaamadaha waxay la mid yihiin haweenka dumarka ah.

Dumarka sare ee labka ah waa marka dhibaatadu ka timaaddo qanjidhada pituitary ama hypothalamus. Qanjidhada maskaxda ee maskaxdu waxay soo saaraan hormoonnada FSH iyo LH , taas oo tilmaamaysa tijaabooyinka inay soo saaraan testosterone.

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Sababaha Dumarka Low Testosterone ee Ragga

Cayilka haddii ay jirto sabab looga hortagi karo testosterone hoose ee ragga iyo waxay yeelan kartaa saameyn xooggan marka loo eego gabowga. David Zaitz / Getty Images

Sababaha keena heerarka testosterone hoose ee ragga ...

Da'da : Marka ragga da'doodu tahay 50 jir, heerarka testosterone waxay bilaabaan hoos u dhac dabiiciga ah. Bacriminta bini-aadanka ayaa hoos u dhacda da'da , inkasta oo aan sida weyn ugu jirin sidii dumarka loogu sameeyo.

Cayilka : Cayilka waxaa dhici karta in uu dhaco saameyn weyn oo ah heerarka testosterone marka loo eego da'da. Cilmi baaris ayaa lagu ogaaday in kordhinta miisaanka ay si toos ah ula xiriirto hoos u dhigidda heerarka testosterone. Miisaanka oo lumiya waxay keeni kartaa heerarka testosterone heer sare.

Sigaar cabid : Sigaar cabidu waxay sidoo kale kordhisaa halista dhalmo la'aanta ragga .

Inaad miisaanka hoos u dhigto: Heerarka hoos u dhaca BMI, nafaqo-xumada, iyo jimicsiga xad-dhaafka ah wuxuu u horseedi karaa heerarka hoose ee testosterone iyo hoos u dhaca bacriminta.

Klinfelter syndrome (KS) (XXY) : Tani waa jirro hidde ah halkaasoo halkii laga heli lahaa hal X iyo mid ah Y chromosome, ninku wuxuu leeyahay X kromosome dheeraad ah. Waa sabab caamsan ee dhalmo la'aanta.

Kallmann syndrome : Tani waa xaalad hiddaha oo qaan-gooyo ay ku fashilmeen inay bilawdaan ama aysan dhammeystirin.

Xanuunada qanjirka 'pituitary': tan waxaa ka mid ah dhibaatooyinka sida loo yaqaan 'pituitary functions'. Waxay noqon kartaa natiijo ka timid buro xabo ama buro maskaxda ah. Ama, daaweynta buro maskaxeed oo leh shucaac waxay sababi kartaa dhaawacyo waqti dheer ah faafinta.

Qandaraasyo aan qarsooneyn : tani waxay sida caadiga ah xalisaa inta lagu jiro caruurnimada hore. Haddii aysan ahayn, waa in la saxo. Haddii kale, waxay sababi kartaa dhibaatooyin hoormooni ah marka dambe ee nolosha.

Heerarka aan macquul ahayn ee birta : Tan waxaa sidoo kale loo yaqaannaa hemochromatosis.

Dhaawaca Dhaawaca : Haddii hal kaliya tijaabiyo dhaawacmo, wax soo saarka testosterone wuxuu noqon karaa mid caadi ah.

Daaweynta Kansarka : Daweynta kiimikada iyo daaweynta shucaaca waxay si ku meel gaar ah u keeni kartaa testosterone hooseeya iyo waxyeello soo saarka shahwada. Si kastaba ha noqotee, mararka qaarkood dhaawaca waa mid joogto ah. Mid ka mid ah daraasaddan ayaa lagu ogaaday in 30% ragga ay la kulmeen heerarka testosterone hoosta daaweynta ka dib.

HIV / AIDs : fayrasku wuxuu faragelin karaa sida baaritaanada, baaritaanka, pituitary, iyo hypothalamus. Tani, si kastaba ha ahaatee, waxay u horseedi kartaa heerarka hoose ee testosterone.

Xanuun weyn ama qalliin : Tani waxay badiyaa dib u soo celineysaa xilliga soo kabashada. Caabuqyada qaarkood, sida qaamo-qashiir, waxay sababi karaan dhibaatooyin hormoon ah oo muddo dheer ah.

Isticmaalka daroogada caafimaadka ama madadaalada : Tusaale ahaan, marijuana waxay sababi kartaa heerarka hoose ee testosterone.

Heerarka sare ee culeyska walaaca : Heerarka sare ee hormoonka cadaadiska hoormoonka waxaa lala xiriiriyay heerarka hoose ee testosterone.

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Daaweynta Heerarka Tiro yar ee Testosterone ee Ragga

Dhakhtarkaagu wuxuu kuu qori karaa testosterone cirbad ah si kor loogu qaado heerarkaaga iyo bacrimintaada. Tom Merton / Getty Images

Haddii heerarka testosterone ee hooseeya ay ka dhalato xaalad caafimaad oo hoose ama qaab nololeed (sida cayilka), markaa ugu yaraan qayb ka mid ah qorshahaaga daaweynta ayaa ku daaweyn doona xaaladda asaliga ah.

Waxaa suurtogal ah in kiisaskan la heli karo si heerarka testosterone loo celiyo heerarka caadiga ah ka dib daaweyn ama bedelida qaab nololeedka.

Tani mar walba ma aha doorasho, nasiib daro.

Xaaladahaan, dhakhtarkaagu wuxuu kugula talin karaa mid, qaar, ama dhammaan kuwan soo socda:

Taageero tijaabo ah : Dhakhtarkaagu wuxuu kuu qori karaa tijaabo-qaadis tijaabo ah. Tani waxay sidoo kale rajeyneysaa in ay kor u qaado wax soo saarista shahwada.

Kobcin tijaabo ah ayaa sidoo kale loo qori karaa si loo wanaajiyo caafimaadkaaga iyo caafimaadka guud, xitaa haddii aysan xalin Karin dhibaatada bacriminta.

Xilliga ugu badan ee lala xiriiriyo dhalmo la'aanta, Clomid ayaa sidoo kale loo isticmaali karaa ragga si loo kordhiyo heerarka testosterone.

Daaweynta IVF : IVF waxaa loo isticmaali karaa iyada oo la isticmaalayo ama laga beddeli karo hormoon ahaan.

Haddii ay jiraan arrimo dumar ah oo ku lug leh haweenka, dhakhtarkaaga ayaa sidoo kale kugula talin kara inaad tijaabiso IVF marka hore.

IVF la ICSI : Iyadoo la socota IVF-ICSI , shahwad shakhsi ah oo si toos ah loogu duro ukun.

Ka-qaadista shahwada ee tufaaxa (TESE) : Haddii tiradu hoos u dhacdo ama tiradu maaha dhibaato, dhakhtarkaagu waxaa laga yaabaa inuu soo jeediyo saarista shahwada tijaabada ah (TESE) . Tani waxay ku lug leedahay shahwada tooska ah ee ka soo baxa baaritaanka iyada oo loo marinayo cad ka-qaadista.

Deeqaha shahwada : Xaaladaha qaarkood, dhakhtarkaagu wuxuu kugula talin karaa inaad isticmaasho shahwadlayda.

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Calaamadaha iyo Sababaha Heerarka Qanjirta Sare ee Ragga

Heerarka testosterone ee sare waxay keeni karaan dabeecadaha khatarta ah ee qaadashada. ftwitty / Getty Images

Heerarka caadiga ah ee testosterone oo aan caadi ahayn ayaa waliba loo yaqaan 'hypergonadism'.

Dhakhtarkaaga ayaa laga yaabaa inuu tixgeliyo heerarka testosterone aad u sarreeyo haddii ...

Heerarka wadajirka ah ee testosterone ayaa ka sarreeya 950 ng / dL
Heerarka testosterone bilaash ah waxay ka sarreysaa 30 ng / dL

Calaamadaha suurtagalka ah iyo astaamaha testosterone sare waxaa ka mid ah ...

Qaangaarka hore, raga dhalinyarada ah
Kicinta iyo tirooyinka shahwada oo hoos u dhaca
Acne
Libido sare
Xooga badan "timo"
Cadaadis dhiig oo sarreeya
Tirada unugyada dhiigga ee cas
Dabeecadaha khatarta sare u qaadaya
Dagaal

Heerarka caadiga ah ee testosterone oo aan caadi ahayn ayaa sababi kara ...

Burooyinka: Adrenal iyo burooyinka testicular waxay keeni karaan baaritaan aan caadi aheyn.
Kufsashada Anabolic steroid: Mararka qaar loo isticmaalo cayaaraha iyo dhisayaasha dhismaha si loo dhiso tiro muruq oo badan ama kor loo qaado waxqabadka ciyaaraha fudud. Ciyaartoyda qaarkood waxay qaataan Clomid si kor loogu qaado waxqabadka, si sharci-darro ah.
Taageerada tijaabada ah: Mararka qaarkood uu dhakhtarku qoro, marmarka qaarkoodna si sharci daro ah u iibsado iyadoon warqad dhakhtar qorin.
Inaad la xiriirto qof isticmaalaya jadeesto testosterone. Jeelka si shil ahaan ah looma shubi karo qof kale, kor u kaca heerarka testosterone si aan ula kac aheyn.

6 -

Daaweynta Heerarka Qanjiraha ee aan caadi ahayn ee Ragga

Waxaa laga yaabaa in aad qaadatid testosteroon dheeraad ah micnaheedu waa bacriminta sarreysa, laakiin ma shaqeyneyso sidaas. Peter Dazeley / Getty Images

Waa wax aan caadi aheyn heerarka testosterone-yada oo yaraaday si ay u dhalmo la'aanta ragga. Si kastaba ha noqotee, haddii heerarku ay yihiin kuwo aan caadi ahayn, su'aashu waxay noqoneysaa haddii uu sababo buro (naadir) ama isticmaalka daroogada.

Haddii ay sabab u tahay isticmaalka steroid anabolic or supplementation testosterone, taageerada dheeraadka ah ama steroids waa inay xalliyaan dhibaatada. Tani waa in lagu sameeyaa kormeer dhaqtar.

Waa wax la yaab leh ragga badan ee testosterone sareeya waxay sababi kartaa dhalmo la'aan. Ragga qaarkood waxay qaataan tijaabooyin dheeraad ah oo ay ku fekerayaan in ay hagaajinayaan bacrimintooda. Ama, waxay isku dayayaan in ay hagaajiyaan istaandarka, awoodda, iyo tamarta.

Nasiib darro, kaalinta tijaabada ah ee ragga ragga aan caafimaad ahaan u baahnayn waxay keeni kartaa dhalmo la'aan.

Mid ka mid ah daraasaddan ayaa lagu ogaaday in ragga qaaday qaadashada dheecaanka testosterone oo aan u baahnayn, 88.4% waxay ahaayeen kuwo yar yar. Si kale haddii loo dhigo, ma aysan soo saarin wax shahwad ah.

Si kastaba ha noqotee, lix bilood ka dib joojinta dheecaanka testosterone, 65% ragga ma ahayn kuwo yar yar. Waxay bilaabeen inay markale soo saaraan shahwada.

Runtu maaha kuwa kaliya ee u baahan in laga walwalo heerarka testosterone.

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Heerarka Heerka Sareeya ee Lowester iyo Haweenka

Dumarka leh heerarka testosterone sare waxaa laga yaabaa inay la kulmaan kobaca wajiga, taas oo noqon karta dareen murugo leh. Westend61 / Getty Images

Marka ay timaado isku dayidda in uur yeelato, dumarka, testosterone-ka sareeya ayaa badanaa ka ah dhibaatada ka yaryar testosterone oo aad u yar.

Testosterone waa mid ka mid ah hormoono badan oo loo yaqaan asrogens. Heerarka sarreeya ee haweenka ayaa loo yaqaan 'hyperandrogenism'.

Calaamadaha heerarka aan caadiga ahayn ee korantada iyo ...

Muddooyinka aan caadiga ahayn
Kala-bixin la'aan
Acne
Koritaanka timo aan caadi ahayn
Nooca lab ah
Cod qoto dheer
Cufnaanta murqaha
Kintir weyni

Sababaha suurtogalka ah ee heerarka testosterone sare ee haweenka waxaa ka mid ah:

PCOS: Polycystic syndrome waa cudur keena dhalmo la'aan . PCOS sidoo kale waxay la xiriirtaa cayilka iyo caabbinta insulin.
Cudurka loo yaqaan 'adrenal hyperplasia (CAH): Tani waa xaalad hiddesid oo waxyeeli karta qanjidhada adrenal in ay soo saaraan hormoonnada aasaasiga ah. Waxay keeni kartaa dhalmo la'aanta ragga iyo haweenka. Dumarka qaarkood ayaa lagu ogaanayaa inay yihiin carruur. Waqtiyada kale, waxay ku dhici kartaa waqti dambe nolosha. Tani waxaa loo yaqaanaa xilli dambe ama bilowga khatarta ah ee loo yaqaan 'adrenal hyperplasia (CAH).
Kansarka adrenal ama kansarka: heerarka testosterone aad u sareeya oo ka weyn 200 ng / dL ayaa laga yaabaa in lagu arko xaaladaha kansarka.
Isticmaalida Isticmaalka Cudurka Anabolic: Dhamaan cayaartoyda ma ahan kuwa kaliya ee ku xadgudubka steroids si loo hagaajiyo waxqabadka. Dumarka isticmaala steroids waxay yeelan karaan heerar aan caadi aheyn oo ah baaritaan.

Maxaa ku saabsan haween lowosteroster ee haweenka?

Dumarka leh heerarka testosterone ee hooseeya waxay dareemi karaan ...

Libido yar
Murugo
Daal
Dhibaatooyinka garashada

Qanjiraha testosterone ee haweenka ayaa badanaa la arkaa xilliga menopause in kastoo ay dhici karto da 'kasta. Heerarka testosterone waxay hoos u dhigtaa estrogen iyo hormoonnada kale ee taranka. Testosterone Low ma aha wax dhibaato ah oo haweenka isku dayaya inay uuraystaan.

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Daaweynta Heerarka Qanjidhka aan caadi ahayn ee Haweenka

Jimicsi, cunto, iyo miisaan lumid ayaa kaa caawin kara dhimista heerarka testosterone, gaar ahaan caawimaadda metformin. Cultura RM / JPM / Getty Images

Marka la daaweynayo heerarka testosterone sare, dhakhtarkaagu wuxuu tixgelin doonaa yoolalkaaga iyo astaamahaaga. Daaweyntu way ka duwan tahay haddii aad isku dayeyso inaad uur yeelatid.

Tusaale ahaan, hal daweyn oo suurtagal ah waa kaniiniyada xakameynta dhalmada , laakiin taasi ma noqon karto mid ku haboon qof uurka leh.

Suurtagalnimada kale waa mukhadaraadka anti-androgen spironolactone (magaca calaamadda Aldactone.) Spironolactone ma ahan amaan in la qaato marka uurku leeyahay, markaa ma'aha mid ku habboon kuwa isku dayaya inay uuraystaan.

Fursadaha loogu talagalay haweenka rajeynaya in ay haystaan cunug waxaa ka mid ah:

Miisaanka culus iyo jimicsi : Maqnaanshaha culeyska iyo jimicsiga joogtada ah, gaar ahaan haweenka qaba PCOS, waxay caawin karaan hoos udhaca heerka testosterone waxayna xitaa dib u bilaabi kartaa ugxanta.

Metformin : Daaweynta caabbinta insulin ee daawada macaanka ee sonkorowga ayaa laga yaabaa inay caawiso yareynta calaamadaha PCOS iyo xitaa dib u bilawdo ugxanta.

Daawooyinka Dumarka : Waxay u badan tahay in aad u baahato isbeddelada hab-nololeedka iyo daawooyinka bacriminta si ay uuraystaan. Clomid iyo letrozole waa daaweynta bacriminta ugu horreeya ee dumarka leh PCOS.

Daaweynta qurxinta : Dumarka isku dayaya in ay uuraystaan, daaweynta qurxinta sida qurxinta ama nuugista ayaa ah xalalka suurtagalka ah ee koritaanka timaha aan loo baahnayn.

Sida Loogu Heli Karo PCOS

Wax badan oo ku saabsan sababaha dhalmo la'aanta:

_Ilaha:

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_{Surampudi P1, Swerdloff RS, Wang C. "Warbixin ku saabsan daaweynta hypogonadism ee ragga ah." Khabiirka Opin Pharmacother.} _{2014 Jun; 15 (9): 1247-64.} _{doi: 10.1517 / 14656566.2014.913022.} _{Epub 2014 Apr 23. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168024/}

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