Kunzwisisa Testosterone Yakadzika uye Yakadzika Nhamba Muvarume nevakadzi

by Rachel Gurevich; Yakadzokororwa naAnita Sadaty, MD

1 -

Testosterone Nhamba Muvarume Nevakadzi Kana TTC

Testosterone inokosha pakuberekwa uye hurumende hune hukama hwevarume nevakadzi. Kuderera kwakadzika kunogona kukonzera kuneta mumadzimai maviri. Charles Knox / Getty Images

Testosterone yepamusoro kuongororwa chikamu chakakosha chekuongorora kwekubereka. Kunyange zvazvo testosterone inowanzoonekwa se "hormone" yemurume, testosterone inokosha kumurume nemukadzi hutano.

Asi, sezvakaitwa nehomoni dzose, haudi zvishoma kana kuti zvakanyanya.

Muvanhu, pasi che testosterone ndiyo inokonzera kusabereka. Zvisinei, unogona kushamiswa kunzwa kuti maitiro epamusoro e testosterone anogona kuva dambudziko zvakare.

Madzimai, mazinga epamusoro e testosterone anogona kuratidza dambudziko rinogona kubereka. Vakadzi vanogonawo kuva nehutsika hwemasero e testosterone, asi izvi zvinowanzoitika mushure mekuguma kwemwedzi uye kwete sezvakawanda mumakore ekubereka.

Ndezvipi zvinokonzera high or low testosterone mazinga muvarume nevakadzi? Uyezve, chii chingaitwa pamusoro pacho, kunyanya kana uri kuedza kubata pamuviri?

Ramba uchiverenga. Kutanga, ngatikurukurei maonero ezasi e testosterone muvarume, anozivikanwa sevarume ve hypogonadism. A

2 -

Zviratidzo zveTesttosterone Nhamba Dzevanhu

Low libido uye erectile kusagadzikana zviratidzo zvinogona kuitika zvepasi testosterone. Mifananidzo Chinyorwa / Getty Images

Testosterone yakadzika inozivikanwawo sehanzvadzi hypogonadism. Male hypogonadism inogona kukonzera kusununguka.

Chiremba wako angafunga kuti maitiro ako e testosterone akadzika kana ...

Mazinga ako eTestostoneone ari pasi pe 9 ng / dL
Nhamba dzako dzose dzeTestosterone dziri pasi pe 240 ng / dL

Zviratidzo zvepasi testosterone mumarume zvinogona kusanganisira ...

Infertility
Kuora mwoyo
Kuneta
Kupera kwemisasa mashoma
Kupera ndebvu uye mvere dzemuviri kukura
Low sex drive
Erectile dysfunction
Mazamu akawedzerwa kana akaoma
Kuderedza simba
Hot flashes
Dambudziko nematambudziko

Murume wepakutanga hypo hypoadadism ndeye apo dambudziko rinotanga muzviedzo. Izvi zvinogonawo kutumidzwa sekushaiwa kwepupu testicular kana kurara kwemurume. Ichokwadi, zvimwe zvezviratidzo zvakafanana nekumudzimai kwekuenda kumwedzi.

Sekondari varume hypogonadism ndeye apo dambudziko rinotanga mu planditary gland kana hypothalamus. Izvo zvipembenene muuropi zvinobudisa mahomoni FSH neLH , izvo zvinoratidza zviratidzo kuti zvibereke testosterone.

3 -

Zvinokonzera Low Tesstersterone muMume

Kuwedzera kwepamusoro kana chikonzero chinodzivirirwa chepasi pasi che testosterone mukati mevarume uye chinogona kuva nesimba rakasimba kudarika kuchembera. David Zaitz / Getty Images

Zvimwe zvinokonzera kuperera kwe testosterone muvarume zvinosanganisira ...

Zera : Kana varume vasvika makore makumi mashanu, maitiro e testosterone anotanga kuderera. Kuberekwa kwevanhu kunoderera nezera , asi kwete sezvakaitwa nevakadzi.

Kuwedzera muviri : Kuwedzerwa muviri kunogona kuva nechiitiko chakakura pamatunhu e testosterone kupfuura makore. Kutsvakurudza kwakawana kuti kuwedzerwa kwehutano kwakabatana zvakananga nekuderedza testosterone mazinga. Kurasikirwa uremu kunogona kuunza maitiro ako e testosterone.

Kusvuta : Kusvuta kunowedzerawo mungozi yekusagadzikana kwevarume .

Kuva nehuwandu hwemhando dzepamusoro: Maitiro asinganzwisisiki pasi maBMI, kusagadzikana kwezvokudya zvinovaka muviri, uye kuvevedza muviri zvakanyanya kunogona kutungamirira kumazinga ekutenda e testosterone nekuderedza kubereka.

Klinefelter syndrome (KS) (XXY) : Ichi chinonzi genetic disorder pane pane imwe yeX uye imwe Y chromosome, murume ane imwe X chromosome. Icho chinowanzokonzera chikonzero chekushaya vana.

Kallmann syndrome : Ichi ndicho chimiro chekuberekwa kana kukanganisa kunotanga kutanga kana kusina kukwana.

Matambudziko epfungwa : izvi zvinosanganisira matambudziko uye kuti sei pituitary inoshanda. Iyo inogona kunge iri mugumisiro wechirwere chepituitary kana chirwere chepfungwa. Kana kuti, kurapwa kwechirwere cheuropi nemirairo kunogona kukonzera kukanganisa kwenguva refu pituitary.

Kusagadziriswa testicles : Izvi zvinowanzogadzirisa munguva yehuduku. Kana zvisina, kunyange zvakadaro, inofanira kururamiswa. Kana zvisina kudaro, inogona kukonzera zvinetso zveHommonal gare gare muupenyu.

Zvisinganzwisisiki zvakakwirira masimbi : Ichi chinonziwo hemochromatosis.

Kupupurirwa kwechipupuriro : Kana imwechete testicular yakakuvara, kubudisa testosterone kunogona kuitika.

Kanzira kurapwa : Chemotherapy uye remishonga inonzi radiation inogona kukonzera pasi testosterone uye kuderedza utachiona hwemhepo kwenguva pfupi. Zvisinei, dzimwe nguva kukanganisa kunogara nokusingaperi. Chimwe chekudzidza chakawana kuti makumi matatu kubva kuzana zvevarume akawana testosterone pasi mazinga shure kwekurapa.

HIV / AIDS : hutachiona hunogona kupindira maitiro ayo testes, pituitary, uye hypothalamus basa. Izvi, zvakare, zvinogona kutungamirira kumazinga ekutenda e testosterone.

Chirwere chikuru kana kuvhiyiwa : Izvi zvinowanzodzokorora pachavo pashure penguva yekudzikinura. Zvimwe zvirwere, semakemikari, zvinogona kukonzera matambudziko emakore akawanda ehomoni.

Kurapa kana kushandiswa kwekushandisa zvinodhaka : Somuenzaniso, mbanje inogona kukonzera uwandu hwe testosterone.

Kunyanya kukwirira kunokonzera kushungurudzika : Marefu emakemikari anokonzera kushungurudzika cortisol ave achibatanidzwa nehutsika hwe testosterone.

4 -

Kubata Testosterone Low Level muMurume

Chiremba wako angaraira testosterone inokonzerwa kukura mazinga ako uye kubereka kwako. Tom Merton / Getty Images

Kana hutsika dzako hwepasi hwe testosterone dzichikonzerwa nemamiriro ezvinhu ehutano hwepanyama kana kuti mararamiro (kufanana nekuderedza), ipapo chikamu chepurogiramu yako yekurapa ichave ichibata mamiriro ekutanga.

Zvinogona kuitika mumatambudziko aya kuva nemaitiro e testosterone kudzokera kune zviyero zvakashure mushure mehutano kana mararamiro ehupenyu.

Ichi hachisi nguva dzose chisarudzo, nhamo.

Mune zviitiko izvi, chiremba wako anogona kukurudzira imwe, imwe, kana yezvose zvinotevera:

Testosterone supplementation : Chiremba wako anogona kuraira testosterone inopindwa. Izvo izvi zvichaita kuti zviwedzere kukura mbeu.

Testosterone supplementation inogonawo kugadziriswa kuti uvandudze hupenyu hwako uye hutano huzhinji, kunyange kana husingazogadziri dambudziko rekubereka.

Clomid : Kunyange zvazvo kazhinji inowanzobatanidzwa nevakadzi vasina kuberekwa, Clomid inogonawo kushandiswa mune varume kukurudzira maitiro e testosterone.

IVF mishonga : IVF inogona kushandiswa pamwe chete kana kuti panzvimbo ye hormonal supplementation.

Kana pane zvikadzi zvekubereka zvinosanganiswa, chiremba wako anogonawo kukurudzira kuedza IVF kutanga.

IVF ne ICSI : NeVF-ICSI , chirwere chega munhu inopinda zvakananga muzai.

Testicular sperm extraction (TESE) : Kana chirwere chepermerm chepamusoro kana pasina mbeu yebhuruu chinetso, chiremba wako angaratidza testicular sperm extraction (TESE) . Izvi zvinosanganisira kubvisa hutano zvakananga kubva kune ma testes kuburikidza ne biopsy.

Mbeu mupiro : Mune zvimwe zviitiko, chiremba wako anogona kukurudzira kushandisa mbeu yehuta.

5 -

Zviratidzo uye Zvinokonzera High Testosterone Level in Men

Maonero epamusoro e testosterone anogona kutungamirira kune ngozi yakawanda yekuita maitiro. ftwitty / Getty Images

Maitiro easnorthy high testosterone anozivikanwawo se hypergonadism.

Chiremba wako angafunga kuti maitiro ako e testosterone akakwirira kana ...

Nhamba dzako dzose dze testosterone dzinopfuura 950 ng / dL
Mazinga ako e testosterone akasununguka anopfuura 30 ng / dL

Zvimwe zviratidzo uye zviratidzo zvepamusoro testosterone zvinosanganisira ...

Pakutanga kuyaruka, mumajaya
Infertility uye yakaderera mbeu yehuta
Acne
High libido
Kuwedzerwa "kusuruvara"
High blood pressure
High red cell sero count
Kuwedzera maitiro ekutora matambudziko
Kukanganiswa

Maitiro eusnormally high testosterone anogona kukonzerwa ne ...

Tumha: Zvironda zveAdrenal uye testicular zvinogona kuita kuti uptosterone isingasviki.
Anabolic steroid kushandiswa: dzimwe nguva inoshandiswa nevatambi uye vavaki vomuviri kuvaka misi mizhinji kana kukura mitambo. Vamwe vatambi vanotora Clomid kuti vawedzere kushanda, zvisiri pamutemo.
Testosterone supplementation: Dzimwe nguva inorayirwa nachiremba, uye dzimwe nguva inotengwa zvisiri pamutemo pasina chiremba.
Kuzosangana nemumwe munhu ari kushandisa testosterone gel. Iyo gel inogona kuvhara pane mumwe munhu nenzira yengozi, ichisimudza maitiro avo e testosterone asingazivi.

6 -

Kubata Testosterone Yakakwirira Isina Zviratidzo muMurume

Unogona kufunga kuti testosterone yakawanda inoreva kubereka kwakakura, asi haibatsiri saizvozvo. Peter Dazeley / Getty Images

Hazvishamisi kuti maitiro e testosterone awedzere kukonzera kusakwana kune varume. Zvisinei, kana mazinga ari akakwirira zvakanyanya, mubvunzo uyu uchava wekuti unokonzerwa nechirwere (chisingawanzo) kana nekushandisa zvinodhaka.

Kana zvakakonzerwa nevanabolic steroid kushandiswa kana testosterone supplementation, kubatsiridza kubva kune zvinowedzera kana steroid inofanira kugadzirisa dambudziko racho. Izvi zvinofanira kuitwa pasi pekutarirwa kwechiremba.

Zvinoshamisa kune varume vakawanda kuti testosterone yakakwirira inogona kukonzera kusapera. Vamwe varume vanotora testosterone kuwedzera kwekufunga kuti ichavandudza kubereka kwavo. Kana, vanozvitora vachitarisira kuvandudza simba ravo, simba, uye simba.

Zvinosuruvarisa, testosterone supplementation muvarume vasina mushonga vanochida zvinogona kukonzera kuderera.

Chimwe chidzidzo chakawana kuti chevarume vakatora testosterone supplements uye vakanga vasingadi, 88.4% vaiva azoospermic. Mune mamwe mazwi, havana kubereka chero mbeu.

Zvisinei, mwedzi mitanhatu mushure mekumisa testosterone supplementation, 65% yevarume vakanga vasisiri azoospermic. Vakatanga kubereka mbeu zvakare.

Varume havasi ivo voga vanofanirwa kunetseka nezvemazinga e testosterone.

7 -

High and Low Testosterone Levels in Women

Vakadzi vane mazinga epamusoro e testosterone vanogona kutarisa bvudzi rehudzi hukura, izvo zvinogona kuora mwoyo mupfungwa. Westend61 / Getty Images

Kana zvasvika pakuedza kuve nepamuviri, kune vakadzi, high testosterone inowanzova dambudziko kupfuura testosterone yakanyanya.

Testosterone inongova imwe yehomoni dzakawanda dzinozivikanwa se androgens. High androgen mazinga muvakadzi anozivikanwa se hyperandrogenism.

Zviratidzo zvekunyoresa zvakakwirira uye androgen mazinga anosanganisira ...

Izvo zvisina nguva nguva
Anovulation
Acne
Abnormal hair kukura
Male pattern balding
Inzwi rakadzika
Kuwedzera kwemisasa mashoma
An clitoris yakakura

Zvinokonzera zvikonzero zvepamusoro ma testosterone kumavakadzi zvinosanganisira:

PCOS: Polycystic ovarian syndrome inowanzokonzera kusagadzikana kwevakadzi. PCOS inobatanidzwawo nekurema uye kushushikana.
Congenital adrenal hyperplasia (CAH): Ichi ndicho chimiro chechimiro chinokanganisa matanda ako adrenal kubva pakubudisa mahomoni anokosha. Izvozvo zvinogona kukonzera kusakwana kune varume nevakadzi. Vamwe vakadzi vachaonekwa sevana. Dzimwe nguva, zvinogona kuitika gare gare muupenyu. Izvi zvinozivikanwa sekunonoka-kutanga kana kuti kufema congenital adrenal hyperplasia (CAH).
Kanzera yeAdrenal kana ovarian: maitiro epamusoro e testosterone makuru kupfuura 200 ng / dL anogona kuonekwa mumamiriro ekurapa.
Anabolic Steroid Kushandisa: Vatambi vechidiki havasi ivo voga vanoshandisa steroids kushandura basa. Vakadzi vanoshungurudza steroid vangave vasina kukwana zvakakwana zve testosterone.

Zvakadini nechepasi testosterone muvakadzi?

Vakadzi vane mazamu epasi e testosterone vanogona kuwana ...

Low libido
Kuora mwoyo
Kuneta
Kuziva njodzi

Testosterone yakadzika muvakadzi inowanzoonekwa panguva yekupera kwemazuva asi inogona kuitika chero ipi zvayo. Mazinga e testosterone anoderera pamwe neesrogen uye mamwe mahomoni ekubereka. Low testosterone haisi inetso muvakadzi vanoedza kubata pamuviri.

8 -

Kurapa Tsika Isingaoneki Nhamba dzevakadzi

Kudzidzira muviri, kudya, uye kurasikirwa kunogona kubatsira kuderedza maitiro e testosterone, kunyanya nerubatsiro rwemasformin. Cultura RM / JPM / Getty Images

Kana uchibata mazinga epamusoro e testosterone, chiremba wako achafunga nezvezvinangwa zvako uye zviratidzo zvako. Chirapa chakasiyana kana uri kuedza kubata pamuviri.

Semuenzaniso, imwe inogona kurapwa kuberekwa kwekuberekwa kwepiritsi , asi izvozvo hazvina kukodzera kune mumwe munhu achiedza kutora pamuviri.

Imwe ingangodaro inonzi anti-androgen drug spironolactone (zita rechiratidzo Aldactone.) Spironolactone haisi yakachengeteka kutora kana wava nepamuviri, saka hazvina kukodzera avo vanoedza kubata pamuviri.

Zvisarudzo zvevakadzi vanoda kutarisira mwana zvinosanganisira:

Kurasikirwa kwemahombekedzo uye kurovedza muviri : Kurasikirwa zvakanyanya uye kuitisa muviri nguva dzose, kunyanya kuvakadzi vane PCOS, kunogona kubatsira kuderedza maitiro e testosterone uye kungatotangazve kutanga.

Metformin : Kuchengetedza insulin kurwisa nechirwere cheshuga metformin kunogona kubatsira kuderedza zviratidzo zvePCOS uye kunyange kutangazve mavhinga.

Kuita zvinodhaka : Iwe unogona kunge unoda zvose mararamiro ehupenyu nekuchinja mishonga yekuita mimba. Clomid uye letrozole ndiwo mutsara wokutanga kubereka kwevakadzi vane PCOS.

Zvirongwa zvekuzora: Kwavakadzi vanoedza kubata pamuviri, kurapwa kwezvipfeko zvakafanana nekukanda kana kuchera zvinogona kugadziriswa zvisingatsvaki bvudzi kukura.

Nzira Yokuwana Sei Mucheche neCPOS

Zvimwe pamusoro pezvikonzero zvekushaya vana:

_Sources:

_{Camacho EM1, Huhtaniemi IT, O'Neill TW, Finn JD, Pye SR, Lee DM, Tajar A, Bartfai G, S, Casanueva FF, Forti G, Giwercman A, Han TS, Kula K, Keevil B, Pendleton N, Punab M, Vanderschueren D, Wu FC;} _{EMAS Group.} _{"Kusangana kwemazera-kufananidzwa mune hypothalamic-pituitary-testicular basa pakati pevarume vane makore evanhu uye vakuru vanoshandurwa nekurema kuchinja uye mararamiro ezvimwe: marefu ekupedzisira kubva kuEuropean Male Aging Study." Eur J Endocrinol.} _{2013 Feb 20; 168 (3): 445-55.} _{doi: 10.1530 / EJE-12-0890.} _{Dhinda 2013 Mar. http://eje-online.org/content/168/3/445.long}

_{Cumming DC, Quigley ME, Yen SS.} _{"Kubvisa zvakanyanya kufambisa testosterone mazinga ne cortisol mumarume." J Clin Endocrinol Metab.} _{1983 Sep; 57 (3): 671-3.} _{http://www.ncbi.nlm.nih.gov/pubmed/6348068/}

_{Groth KA1, Skakkebæk A, Høst C, Gravholt CH, Bojesen A. "Kuongorora kwechipatara: Klinefelter syndrome - kliniki inovandudzwa." J Clin Endocrinol Metab.} _{2013 Jan; 98 (1): 20-30.} _{doi: 10.1210 / jc.2012-2382.} _{Epub 2012 Nov 1. http://www.ncbi.nlm.nih.gov/pubmed/23118429/}

_{Howell SJ1, Radford JA, Ryder WD, Shalet SM.} _{"Testicular function after cytotoxic chemotherapy: uchapupu hweLeydig cell kusakwana." J Clin Oncol.} _{1999 May; 17 (5): 1493-8.} _{http://www.ncbi.nlm.nih.gov/pubmed/10334536/}

_{Høst C, Skakkebæk A, Groth KA, Bojesen.} _{"Basa rei hypogonadism muKlinefelter syndrome." Asian J Androl.} _{2014 Mar-Apr; 16 (2): 185-91.} _{doi: 10.4103 / 1008-682X.122201.} _A1. _{http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3955327/}

_{Kumar P, Kumar N, Thakur DS, Patidar A. Manzwi evanhu vanonyengera: Zviratidzo uye kurapa.} _{Zvinyorwa zve Advanced Pharmaceutical Technology & Research .} _{2010; 1 (3): 297-301.} _{doi: 10.4103 / 0110-5558.72420.} _{http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255409/}

_{Surampudi P1, Swerdloff RS, Wang C. "Chiitiko pamusoro pehutano hwemunyanzvi hwehana." Nyanzvi yeOpin 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/}

_{Testosterone: Mishonga yemishonga.} _{Lexicomp, Inc. UptoDate.com.} _{Yakasvika September 9, 2015. http://www.uptodate.com/contents/testosterone-drug-information}

_{Test ID: TGRP;} _{Testosterone, Total uye Free, Serum.} _{MayoClinic Medical Laboratories.} _{Yakasvika September 9, 2015. http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/8508}

Related Content

Fresh articles

Intresting articles