Fahimtar Matsayi da Low Testosterone Matsayi a cikin maza da mata

by Rachel Gurevich; Binciken by Anita Sadaty, MD

1 -

Matakan Testosterone a cikin maza da mata Lokacin da TTC

Testosterone yana da mahimmanci ga haifuwa da kyautata jin daɗin rayuwa a cikin maza da mata. Ƙananan matakai na iya haifar da gajiya a duka genders. Charles Knox / Getty Images

Testosterone matakin gwajin wani ɓangare na ƙananan samfurori. Yayinda ake daukar kwayar testosterone a matsayin hormone "namiji", testosterone yana da mahimmanci ga lafiyar maza da mata.

Amma, kamar yadda yake tare da kowace hormone, ba ka so kadan ko yawa.

A cikin mutane, ƙananan testosterone na iya haifar da rashin haihuwa. Duk da haka, mai yiwuwa ka yi mamaki don jin cewa matakan testosterone masu ƙyama suna iya zama matsala.

A cikin mata, matakan high testosterone na iya nuna alamar matsalar haihuwa. Mata za su iya samun matakan testosterone, amma wannan yana faruwa ne bayan da mazauna yin aiki ba kamar yadda aka saba a lokacin shekarun haihuwa ba.

Mene ne ke haifar da matakan testosterone ko babba ko mata? Bugu da ƙari, menene za a iya yi game da shi, musamman ma idan kuna ƙoƙarin yin ciki?

Ci gaba da karatu. Da farko, bari mu tattauna matakan testosterone masu rauni a cikin maza, wanda aka sani da hypogonadism.

2 -

Hanyoyin cututtuka na Low Testosterone Levels a Men

Low libido da dumpfunction kafa ya yiwu alamun bayyanar cututtukan ƙananan testosterone. Bayanin Hotuna / Getty Images

Low testosterone kuma an san shi da matsayin namiji na hypogonadism. Halin hypogonadism zai iya haifar da rashin haihuwa.

Kwararka na iya duba matakan testosterone da yawa idan ...

Karancin Testosterone na Free naka ne a kasa 9 ng / dL
Your Total Testosterone matakan ne a kasa 240 ng / dL

Magungunan ƙananan testosterone a cikin maza sun hada da ...

Ba da amfani
Dama
Wulo
Rage muscle taro
Rage gemu da gashin jiki
Low jima'i
Erectile dysfunction
Ƙãra ko ƙirjin masu hankali
Rage ƙarfin
Hoton haske
Difficulty tare da taro

Haɗin jini na maza na farko shine lokacin da matsala ta samo asali daga gwaji. Hakanan za'a iya kiran wannan a matsayin maƙasudin gwaji na farko ko mazan namiji. A gaskiya ma, wasu daga cikin bayyanar cututtuka suna kama da mace-mace.

Hanya ta namiji na sakandare na biyu shine lokacin da matsala ta samo asali daga gland ko kuma hypothalamus. Wadannan ƙuƙwalwa a cikin kwakwalwa suna haifar da hormones FSH da LH , wanda ke nuna alamar gwaje-gwaje don samar da testosterone.

3 -

Dalili na Low Testosterone a Men

Kiba idan wani abu mai hanawa wanda zai iya haifar da testosterone a cikin mutane kuma zai iya samun karfi fiye da tsufa. David Zaitz / Getty Images

Wasu dalilai na matakan testosterone marasa ƙarfi sun hada da ...

Shekaru : Da zarar maza suka isa shekaru 50, matakan testosterone sun fara juyawa. Hanyar namiji ba ta da shekaru , duk da cewa ba a cikin matsala kamar yadda yake cikin mata.

Kiba : Babba yana iya zama babban tasiri akan matakan testosterone fiye da shekaru. Bincike ya gano cewa kara yawan nauyin nauyi suna da nasaba da haɓaka matakan testosterone. Rashin nauyi zai iya kawo matakan testosterone sama.

Shan taba : Shan taba yana kara yawan halayyar namiji na rashin haihuwa .

Yayi nauyi : Ƙananan ƙananan BMI, rashin abinci mai gina jiki, da kuma motsa jiki mai tsanani zai iya haifar da matakan testosterone masu rauni kuma rage yawan haihuwa.

Klinefelter syndrome (KS) (XXY) : Wannan mummunar cututtuka ne a maimakon maimakon samun X da kuma Y yuwuwar kwayoyin halitta, mutumin yana da ƙarin X chromosome. Yana da mahimmancin dalilin namiji rashin haihuwa.

Kullmann ciwo : Wannan yanayin yanayin ne idan balagarsa ta fara ko ba ta kammala ba.

Harkokin Pituitary : wannan ya haɗa da matsalolin da yadda aikin pituitary yake. Zai iya zama sakamakon sakamakon ciwon sukari ko kwakwalwa. Ko, jiyya na ciwon kwakwalwa tare da radiation zai iya haifar da lalacewa mai tsayi.

Turarar da ba a yi amfani da ita ba : wannan yakan magance lokacin yarinya. Idan ba, ko da yake, dole ne a gyara shi. In ba haka ba, zai iya haifar da matsalolin hormonal daga baya a rayuwa.

Ƙananan matakan baƙin ƙarfe : Wannan kuma an san shi da hemochromatosis.

Raunin gwaji : Idan guda daya ne ya ji rauni, aikin samar da testosterone zai zama al'ada.

Yin maganin cututtukan daji : Chemotherapy da radiation far na iya haifar da ƙananan testosterone na dan lokaci kuma ya ɓad da samar da kwayar halitta. Duk da haka, wani lokacin lalacewar na da dindindin. Ɗaya daga cikin binciken ya gano cewa kashi 30 cikin dari na maza suna fama da matakan testosterone marasa kyau bayan magani.

HIV / AIDs : kwayar cutar zata iya tsangwama da yadda jarrabawar, jima'i, da aikin hypothalamus suke. Wannan, ta biyun, zai iya haifar da matakan testosterone marasa ƙarfi.

Babban magunguna ko tiyata : Wannan zai sabawa kanta bayan dawo da lokaci. Wasu cututtuka, kamar mumps, na iya haifar da matsalolin hormonal na dogon lokaci.

Magungunan likita ko wasan motsa jiki : Misali, marijuana zai iya haifar da ƙananan matakan testosterone.

Matsanancin matakan damuwa : Tsakanin matakan damuwa cortisol sunyi dangantaka da ƙananan matakan testosterone.

4 -

Kula da Low Testosterone Levels a Men

Kwararka na iya bada izinin testosterone injectable don bunkasa matakanka da haihuwa. Tom Merton / Getty Images

Idan matakan testosterone marasa tushe su ne sakamakon rashin lafiyar likita ko salon salon (kamar kiba), sa'an nan kuma akalla ɓangare na shirinka na maganin za a magance yanayin asali.

Zai yiwu a cikin waɗannan lokuta don samun matakan testosterone zuwa matakan al'ada bayan magani ko canza canji.

Wannan ba koyaushe wani zaɓi ba, rashin alheri.

A waɗannan lokuta, likitanku na iya bayar da shawarar daya, wasu, ko duk waɗannan masu zuwa:

Karin bayani na Testosterone : likitanku na iya ƙayyade testosterone injectable. Wannan kuma zai sa zuciya ga bunkasa samar da kwayar halitta.

Za a iya ba da ƙarin tabbacin Testosterone don inganta lafiyar ku da lafiyar lafiya, koda kuwa ba zai magance matsalar haihuwa ba.

Clomid : Duk da yake mafi yawancin hade da rashin haihuwa na mace, ana iya amfani da Clomid a cikin maza don bunkasa matakan testosterone.

Yin gyaran IVF : IVF za'a iya amfani dashi tare da ko maimakon maimakon kariyar hormonal.

Idan akwai nau'o'in haihuwa na mata, likitanku na iya bayar da shawarar yin kokarin IVF farko.

IVF tare da ICSI : Tare da IVF-ICSI , kowane mutum wanda ya dace da kwayar jini ya shiga cikin kwai.

Samun gwajin gwaji (TESE) : Idan ƙananan ƙwayoyin cuta ko ƙididdigar ƙwayoyin cuta ba matsala ba ne, likitanku na iya bayar da shawarar haɓakar ƙwaƙwalwar ƙwaƙwalwa (TESE) . Wannan ya shafi karɓar kwayar cutar ta hanyar kai tsaye daga gwajin ta hanyar kwayar halitta.

Mai ba da launi : A wasu lokuta, likitanku na iya bayar da shawarar yin amfani da mai bayarwa.

5 -

Cutar cututtuka da kuma ƙananan ƙwayoyin Testosterone

Matsayi mafi tsayi na testosterone zai iya haifar da ƙara halayyar haɗari. ftwitty / Getty Images

Matsanancin matakan testosterone masu mahimmanci ma suna da hypergonadism.

Kwararka na iya ɗaukar matakan testosterone da yawa idan ...

Your total testosterone matakan suna sama da 950 ng / dL
Your matakan testosterone kyauta ne sama da 30 ng / dL

Alamar da za a iya yiwuwa da bayyanar cututtuka na high testosterone sun hada da ...

Matashi na farko, a cikin samari
Rashin rashin amfani da rage yawan ƙwayoyi
Kuraje
High libido
Girman gashi mai mahimmanci
Hawan jini
Babban kididdigar jinin jini
Ƙara yawan halayen haɗari
Zalunci

Matsanancin matakan testosterone za a iya haifar da su ...

Tumors: Adrenal da testicular ciwace-ciwacen iya haifar da mummunan high testosterone.
Maganin anabolic steroid: Wasu lokuta amfani da 'yan wasa da masu gina jiki don gina karamin muscle ko kara yawan wasan. Wasu 'yan wasa suna daukar Clomid don inganta aikin, ba tare da izini ba.
Sanarwar Testosterone: Wani lokaci likitancin ya umarta, kuma wani lokacin sayi ba tare da izini ba tare da takardar sayan magani ba.
Zuwa cikin saduwa da wanda ke amfani da gel na testosterone. Gel na iya bazuwa ba tare da haɗari ba a kan wani mutum, yana dauke da matakan testosterone ba tare da gangan ba.

6 -

Yin maganin ƙananan ƙwayoyin Testosterone marasa kyau

Kuna iya ɗaukar karin testosterone yana nufin ƙimar haihuwa, amma ba ya aiki kamar haka. Peter Dazeley / Getty Images

Yana da banbanci ga matakan gurguntaccen kwayoyin testosterone wanda ya haifar da rashin haihuwa a cikin maza. Duk da haka, idan matakan suna da mahimmanci, tambayar zai zama ko yaduwar cutar (rare) ko ta amfani da miyagun ƙwayoyi.

Idan yana da amfani da maganin steroid amfani da anabolic ko ƙaramin testosterone, goyon baya daga kari ko steroid ya kamata ya magance matsalar. Wannan ya kamata a yi a karkashin kulawar likita.

Abin mamaki ne ga mutane da yawa cewa high testosterone na iya haifar da rashin haihuwa. Wasu maza suna bada testosterone suna tunanin cewa zai inganta halayarsu. Ko kuwa, sun ɗauka suna fatan inganta yanayin ƙarfin su, ƙarfin hali, da makamashi.

Abin baƙin cikin shine, ƙaramin testosterone a cikin mutanen da ba su buƙatar cutar ba zai iya haifar da rashin haihuwa.

Ɗaya daga cikin binciken ya gano cewa mutanen da suka dauki testosterone sun cika kuma basu buƙatar su, 88.4% sun kasance azoospermic. A wasu kalmomi, ba su samar da wani kwaya ba.

Duk da haka, watanni shida bayan dakatar da ƙarar testosterone, 65% na maza basu kasance azoospermic ba. Sun fara sake samar da kwayar halitta.

Ba maza ba ne kawai waɗanda suke buƙatar damuwa game da matakan testosterone.

7 -

Matsayi na Highto da Low Testosterone a Mata

Mata da matakan high testosterone zasu iya samun ci gaban gashin ido, wanda zai iya zama damuwa. Westend61 / Getty Images

Idan yazo ga ƙoƙarin yin ciki, ga mata, high testosterone yana da matsala mafi yawa fiye da ƙananan testosterone.

Testosterone yana daya daga cikin hormones da aka sani da androgens. Matakan da ke da mahimmanci a cikin mata an san su kamar hyperandrogenism.

Kwayoyin cuta na matuka masu girma da haɓaka masu haɗari sun hada da ...

Ƙananan lokaci
Anovulation
Kuraje
Girman gashin gashi
Tsarin samari na mata
Kyakkyawar murya
Ƙara ƙwayar tsoka
Ƙararren mai girma

Matsaloli masu yiwuwa na manyan matakan testosterone a cikin mata sun hada da:

PCOS: Cutar cutar ovarian polycystic wani abu ne na rashin rashin haihuwa a cikin mata. PCOS kuma hade da kiba da kuma insulin juriya.
Cikar hyperplasia na al'ada ta al'ada (CAH): Wannan yanayin kwayoyin halitta ne wanda zai cutar da glandar jikinka daga samar da mahimman kwayoyin hormones. Zai iya haifar da rashin haihuwa a cikin maza da mata. Wasu mata za a gano su a matsayin yara. Sauran lokuta, zai iya faruwa daga baya a rayuwa. Wannan an san shi ne a farkon lokacin farawa ko kuma rashin jin dadi mai kamala (CAH).
Magunguna ko ƙwayoyin cuta na ovarian: za a iya ganin matakan testosterone masu girma fiye da 200 ng / dL a lokuta da ciwon daji.
Maganin Anabolic Steroid: Masu yin wasan motsa jiki ba wai kawai za su zubar da cututtukan sitirin ba don inganta aikin. Mata waɗanda ke zaluntar magungunan ƙwayar cuta suna iya samun matakan da ke da ƙwayar testosterone.

Mene ne game da kananan testosterone a cikin mata?

Mata masu da ƙananan testosterone zasu iya fuskanta ...

Low libido
Dama
Wulo
Matsalolin ƙwarewa

Ana ganin yawancin testosterone a cikin mata a lokacin menopause ko da yake zai iya faruwa a kowane zamani. Matakan Testosterone ya karu tare da estrogen da sauran hormones. Low testosterone ba sau da yawa matsala a cikin mata masu ƙoƙarin yin ciki.

8 -

Yin maganin ƙananan Testosterone Levels a Mata

Ayyuka, cin abinci, da asarar nauyi zai iya taimakawa wajen rage matakan testosterone, musamman tare da taimakon metformin. Cultura RM / JPM / Getty Images

A lokacin da kake kula da matakan testosterone masu tsayi, likitanku zaiyi la'akari da burin ku da kuma alamunku. Jiyya yana da bambanci idan kuna ƙoƙarin yin tunani.

Alal misali, wata magani mai yiwuwa shine maganin kwayoyin haifuwa , amma wannan ba zai dace ba ga wanda yake ƙoƙari ya yi ciki.

Wata mawuyacin ita ce maganin maganin maganin maganin antitrogenic sproronolactone (sunan mai suna Aldactone.) Spironolactone ba shi da lafiya don ɗaukar lokacin da yake ciki, don haka ba daidai ba ne ga waɗanda suke kokarin yin ciki.

Zaɓuɓɓuka ga mata masu fata su haifi jariri sun hada da:

Rashin hasara da kuma motsa jiki : Rashin nauyin kima da motsa jiki na yau da kullum, musamman ma mata da PCOS, zasu iya taimakawa wajen ƙananan matakan testosterone kuma zai iya sake farawa da kwayar halitta.

Metformin : Yin maganin insulin da magungunan miyagun ƙwayoyi na metformin na iya taimakawa wajen rage alamun bayyanar PCOS har ma sake farawa da jima'i.

Magunguna na haihuwa : Za ka iya buƙatar sauye-sauyen salon rayuwa da kuma magungunan ƙwayoyi don ɗaukar ciki. Clomid da letrozole sune maganin gargajiya na farko don mata da PCOS.

Sosai na kwaskwarima : Ga matan da suke ƙoƙari suyi juna biyu, maganin kwaskwarima kamar gyare-gyare ko tarawa zai yiwu mafita don bunkasa gashi maras so.

Yadda za a yi ciki tare da PCOS

Ƙari kan haddasa rashin haihuwa:

_Sources:

_{Camacho EM1, Huhtaniemi IT, O'Neill TW, Finn JD, Pye SR, Lee DM, Tajar A, Bartfai G, Boonen S, Casanueva FF, Forti G, Giwercman A, Han TS, Kula K, Keevil B, Pendleton N, Punab M, Vanderschueren D, Wu FC;} _{Kungiyar EMAS.} _{"Hanyoyin da suka shafi shekarun da suka shafi shekarun da suka shafi shekarun haihuwa da tsofaffi sunyi sauya ta hanyar canjin nauyi da kuma salon salon rayuwa: sakamakon binciken na tsawon lokaci daga Nazarin Turawa na Yammacin Turai." Eur J Endocrinol.} _{2013 Feb 20; 168 (3): 445-55.} _{Doi: 10.1530 / EJE-12-0890.} _{Print 2013 Mar. http://eje-online.org/content/168/3/445.long}

_{Cumming DC, Quigley ME, Yen SS.} _{"Tsarin murmushi na ƙwayar testosterone ta hanyar cortisol a cikin maza." J Clin Endocrinol Metab.} _{1983 Sat, 57 (3): 671-3.} _{http://www.ncbi.nlm.nih.gov/pubmed/6348068/}

_{Girma KA1, Skakkebæk A, Høst C, Gravholt CH, Bojesen A. "Bincike na asibiti: Klinefelter ciwo - wani sabuntawa na karshe." J Clin Endocrinol Metab.} _{2013 Janairu 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.} _{"Ayyukan gwaji bayan cytotoxic chemotherapy: shaida na rashin lafiyar Leydig cell." J Clin Oncol.} _{1999 May, 17 (5): 1493-8.} _{http://www.ncbi.nlm.nih.gov/pubmed/10334536/}

_{Høst C, Skakkebæk A, Groth KA, Bojesen.} _{"Halin hypogonadism a cututtukan Klinefelter." 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. Mace hypogonadism: Cutar cututtuka da magani.} _{Journal of 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. "Ɗaukakawa game da farfadowa na namiji na hypogonadism." Farfesa Experin Pharmacother.} _{2014 Yuni, 15 (9): 1247-64.} _{Doi: 10.1517 / 14656566.2014.913022.} _{Agusta 2014 Apr 23. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168024/}

_{Testosterone: Bayanin kwayoyi.} _{Lexicomp, Inc. UptoDate.com.} _{Samun dama ga Satumba 9, 2015. http://www.uptodate.com/contents/testosterone-drug-information}

_{ID na gwaji: TGRP;} _{Testosterone, Ƙidaya da Kyauta, Ciwon sukari.} _{MayoClinic Medical Laboratories.} _{Samun shiga Satumba 9, 2015. http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/8508}

Related Content

Fresh articles

Intresting articles